bluuebunny/crossref_metadata_2025 huggingface dataset:
Congenital Duodenal Obstruction: Evaluation of 68 Cases
Authors: Çolak Emel , Celayir Ayşenur
Published: August 2021

INTRODUCTION: Congenital duodenal obstruction, which is one of the most common causes of intestinal obstruction in neonates, gain importance in terms of associated anomalies. In this study, we aimed to review our experience with congenital duodenal obstruction cases operated in our clinic while evaluating the results of these patients. METHODS: All hospital records of neonates with congenital duodenal obstruction which had operated in our department between 2004 and 2017 were reviewed retrospectively. Patients were evaluated according to their demographic features, clinical presentations, associated anomalies, treatments and outcomes. RESULTS: During 13 years, 68 newborns (36 males, 32 females) with congenital duodenal obstruction were operated. The mean gestational age was 35.7±3.1weeks (28-44weeks), the mean birth weight was 2477±651.5 gram (1100–4100 gram) and 46 (67.7%) of them were premature. Associated abnormalities were detected in 37 neonates (54.4%); 16 of them (23.5%) had congenital cardiac malformations, and 13 of them (19.1%) had Down Syndrome. In neonates with associated abnormalities; the avarage period to start enteral feeding was 9.5±5.8 days (4-37days) and the mean hospitalization period was 25.6±26.2days (9-140days). These values were found 7.6±3.2 days (4-20days) and 17.5±13.7days (8-80days) respectively for the patients having no associated anomalies. Postoperative complications such as ileus, septicemia and nutritional intolerance were seen in 17 patients (25%); 3 of them (4.4%) need re-operation. While 63 patients (92.6%) were discharged on average 21.4±22 days (8-140 days); due to septicemia and severe congenital cardiac malformations 5 patients (7.4%) were died in 27.2±14.1 days (11-43days) postoperatively. The rate of septicemia was statistically significantly higher in patients with excitus than the ones who were discharged (p<0.001). DISCUSSION AND CONCLUSION: The presence of associated abnormalities in patients with congenital duodenal obstruction increases the risk of morbidity and mortality. Septicemia and severe congenital cardiac malformations adversely affect prognosis.
Influence of Marketing Mix Strategy on Business Arena Corner
Authors: Rachmawati Elyana Reni , Rahmat Syah Tantri Yanuar , Indradewa Rhian
Published: August 2021

The impact of digital development has made a new standard for Startup companies in winning competitions and can still compete in winning customer satisfaction. This makes startup companies compete to formulate a suitable strategy in a very tight competition through marketing strategies applied by each company. This research was conducted to determine how much influence the 7P marketing strategy run by Startup Arena Corner engaged in the digital application of sports venues in Jakarta. This paper reviews literature from past studies related to the mixed concepts of marketing and descriptive analysis used to analyze the best practices of 7P marketing strategies implemented today. The method is to apply all aspects of 7P the marketing strategy with the scenario that Arena Corner will run, compared to the theory that has been led to marketing mix 7P. The results of this study explain that the implementation of Arena Corner's marketing strategy has been fully integrated, both conventional and digital solid marketing implementation so that it is expected that customers can get satisfaction with Arena Corner's products and services. In addition, it is also necessary for customers to feel the user experience that is inherent in the minds of consumers so that Arena Corner can win the hearts of its customers and new consumers.

Keywords: Marketing Mix 7P, Strategic Marketing, Business Plan, Arena Corner..
Factors Affecting Farmers' Decisions to Use Certified Granola Potato Seeds in Parbuluan District, Dairi Regency
Authors: Sinulingg Riama Hotmaina , . Iskandarini , Supriana Tavi
Published: August 2021

Agricultural products, including potatoes, are still faced with several problems with fluctuations and quite high price sensitivity, mainly due to changes in demand and supply. Decreased (degenerative) production occurs because of the disease that accumulates in each generation of potato seeds and continues to be carried over to the next generation. So that certified potato seeds are needed to increase farmers' production. This study will analyze the influence of the factors of farmer age, education level, farming experience, productivity, seed price, land area, farmer group participation in influencing farmers' decisions to use certified potato seeds. From the total population of potato farmers as many as 365 farmers in Parbuluan District, Dairi Regency, North Sumatra, testing was carried out on 78 samples with the results that the variables of productivity, price, farmer group participation had a significant effect on the use of certified potato seeds, while the variables of age, education, experience, area Land does not have a significant effect on the use of certified potato seeds and productivity, price, farmer group participation, age, education, experience, and land area all influence farmers' decisions to use certified potato seeds.

Keywords: Certified Potato Seed, Potato Farmer, Potato Production.
Lingvistica în Republica Moldova. Indice bibliografic (2012–2016)
Authors:   “Bogdan Petriceicu-Hasdeu” Institute of Romanian Philology, Republic of Moldova, Onofras Maria
Published: August 2021

The current Bibliographic Index represents the continuation of the volume The Linguistics in the Republic of Moldova. Bibliographic index (1991-2011). The paper aims to register, systematize and capitalize the publications in the field, published in 2012-2016. The bibliographic material is largely based on the funds of the Central Scientific Library „Andre Lupan”, consulting the file and catalogs. To fill the gaps, synthesis works, collections, tributes, specialty magazines, newspapers, etc., as well as the Internet were used. The index is not exhaustive, but selective. Taking into account the volume of materials collected, the work was divided, this time, by years. For example, the year 2012 is classified into: 1) books (monographs, collections), dictionaries, textbooks; 2) articles from collections; 3) articles from specialized magazines; 4) articles from science popularization magazines; 5) newspaper articles. Benefiting from a practical structure, the Bibliographic Index is an accessible and useful working tool that can meet the information requirements of this field, presenting approximately all the linguistic material from the given period.
A mixed-integer linear programming model for the selective full-truckload multi-depot vehicle routing problem with time windows
Authors: Bouyahyiouy Karim EL , Bellabdaoui Adil
Published: August 2021

This article has studied a full truckload transportation problem in the context of an empty return scenario, particularly an order selection and vehicle routing problem with full truckload, multiple depots and time windows (SFTMDVRPTW). The aim is to develop a solution where a set of truck routes serves a subset of selected transportation demands from a number of full truckload orders to maximize the total profit obtained from those orders. Each truck route is a chain of selected demands to serve, originating at a departure point and terminating at an arriving point of trucks in a way that respects the constraints of availability and time windows. It is not mandatory to serve all orders, and only the profitable ones are selected. In this study, we have formulated the SFTMDVRPTW as a mixed-integer linear programming (MILP) model. Finally, Computational results are conducted on a new data set that contains thirty randomly generated problem instances ranging from 16 to 30 orders using the CPLEX software. The findings prove that our model has provided good solutions in a reasonable time.
Review: Food price fluctuations and its influence on global food market
Authors: Chaudhry Ifra , Suleman Raheel , Bhatti Adrish , Ullah Inam
Published: August 2021

Food price fluctuation is a multifarious problem in the food marketing. Food price fluctuations have a huge effect on the vulnerable. Food security considered at three levels (household, national and international levels). Food supply, safety, physical and financial accessibility, and food utilization are the four pillars of food security. Since 2006-2007, the costs of most food products in Pakistan have risen by more than 100 percent. Consumption patterns, income, market and stockholding are the main causes of increased food prices. Maternal and child nutrition affected due to price fluctuation at individual level. Short term and long-term police are important to improve food productivity by enhancing agricultural system. The main focus of the study is to identify the effects of price fluctuations on poor pregnant women diet specifically in Pakistan and then on the children. If mother is malnourished or micronutrient deficient then child will also be deficient in that specific nutrient and deficiency will run in families. Hence our purpose is to find out these deficiencies in Pakistan and better implementation of policies.
Activities of Thiazolidine-4-one and Azetidine-2-one Derivatives-
A Review
Authors: S. Ramachandran , Cheriyan Binoy Varghese , Aanandhi M. Vijey
Published: August 2021

Thiazolidine-4-ones containing thiazole moiety have been synthesized by condensing 6-amino Coumarin, Isatin and Primary amines, and aromatic aldehydes. Azetidine derivates were synthesized followed by cyclizations by C-N bond formation and by the C-C bond formation, the amine-catalyzed cycloaddition of allenoates and imines, photocycloadditions of imines and alkenes, ring contraction and expansion rearrangements, and reduction of azetidine-2-ones (β-lactams). Thiazolidine-4-ones has been considered as a magic moiety because it posses almost all types of biological activities such as Antifungal, Antitubercular, Antimicrobial, Antioxidant, Antibacterial, Cytotoxic, Anti-inflammatory, Analgesic, Anti YFV (yellow fever virus) activities. Azetidine-2-one derivatives were reported to possess antibacterial, antifungal and antidepressant activity, anticonvulsant activity, anti-inflammatory activity and cardiovascular activities, antimycobacterial activity, antihypertensive activity. This article is a review of various biological activities of thiazolidine-4-ones and Azetidine-2-ones derivatives.
АНАЛИЗ АРХЕОЗООЛОГИЧЕСКОГО МАТЕРИАЛА ПОСЕЛЕНИЯ ТАРАНГУЛ (предварительные данные)
Authors: Байтілеу Дархан Айтжанұлы , Шагирбаев Мамбет Сапарбекович
Published: August 2021

Остеологический материал является одним из массовых находок на археологических объектах после фрагментов керамики. Данная особенность характерна для большинства поселений эпохи бронзы Казахстана. Вместе с тем, необходимо подчеркнуть, что остеологический материал чаще всего остается вне комплексных исследований, что обуславливает актуальность проведения палеозоологических анализов. Несмотря на то, что различные памятники эпохи бронзы Урало-Мугалжарского региона имеют длительную историю изучения, привлечение остеологического материала из памятников эпохи бронзы названного региона является эпизодическим. В контексте названной проблемы, с целью реконструкции исторических процессов и определения хозяйственно-культурных типов на поселениях Урало-Мугалжарского региона, нами был проведен анализ археозоологической коллекции, обнаруженной в 2020 г. на поселении эпохи бронзы Тарангул (Каргалинский р-н, Актюбинская обл.). Примечательность данного памятника заключается в близкой расположенности к двум известным и достаточно изученным памятникам эпохи бронзы – Шаншарскому археологическому комплексу и выработке на медь (руднику) Чудской. Таким образом, в статье представлены предварительные результаты анализа археозоологической коллекции, обнаруженной на поселении Тарангул. В ходе исследований определен видовой состав животных, проведен фаунистический и сравнительный анализ остеометрических результатов полученных из поселения. В целом, материалы из поселения Тарангул позволяют рассмотреть актуальную тему взаимоотношений древнего населения в пределах конкретного микрорайона и провести историческую реконструкцию палеоэкономики локального микрорайона.
ПРОФЕССОРУ МАДИЯРУ ЕЛЕУОВУ 75 лет
Authors: Акымбек Ералы Шардарбекұлы
Published: August 2021

В статье рассматривается профессиональная деятельность Мадияра Елеуова, как археолога и педагога. С момента поступления в 1970 г. в Казахский государственный университет он занимается изучением памятников средневековой археологии. В период преподавания в университете он руководил разведочной группой археологов данного учебного заведения. В результате исследований он обнаружил и ввел в научный оборот сведения о множестве ранее неизвестных памятников эпохи бронзы, раннего железа и средневековья, расположенных в Шу-Таласском районе, на склонах Каратау, Среднем и Нижнем течении Сырдарьи. Будучи преподавателем в КазНУ, ЕНУ и ИКТУ, доцентом, профессором, заведующей кафедрой, директором научно-исследовательского центра он руководил экспедициями и провел комплексное изучение средневековых городов-столиц: Актобе, Мерке, Тараз, Торткултобе, Култобе, Карачик, Сауран, Кышкала и др.; провел огромную работу по определению основного направления и ответвлений Великого шелкового пути. М. Елеуов – квалифицированный специалист, внесший значительный вклад в развитие средневековой археологии в Казахстане, также отличный наставник в обучении учеников (последователей). В основном его научные труды посвящены проблемам средневековой городской культуры Казахстана и Великого Шелкового пути, проблемам охраны памятников истории и культуры.
АРХЕОЛОГУ ГАНИ КАЛИХАНОВИЧУ ОМАРОВУ 60 лет
Authors: Бесетаев Бауыржан Берканович , Нуржанов Арнабай Абишевич
Published: August 2021

В статье характеризуется жизненный путь Гани Калихановича Омарова, отмечены основные вехи его становления как учителя, ученого. Юбиляр с 1989 г. занимается изучением памятников эпохи бронзы, раннего железа, тюркского времени Тарбагатая, Чингистау и Алтая. Педагогический и научный путь Г.К. Омарова связан с Казахским национальным университетом им. аль-Фараби. В результате работ археологических экспедиций под руководством ученого были открыты многие ранее неизвестные памятники бронзового, железного, тюркского периодов в Юго-Западном Алтае, а также обобщены и сформулированы мысли на основе находок последних лет. Гани Омаров – наставник, известный не только в Казахстане, но и ближнем и дальнем зарубежье. Ученый внес весомый вклад в развитие отечественной археологической науки, в подготовку молодых специалистов-археологов.
Moja sytuacja w okresie koronawirusa. Raport z badań. Część I
Authors:   Instytut Rozwoju Wsi i Rolnictwa PAN, Kalinowski Sławomir , Wyduba Weronika
Published: August 2021

Na skutek pandemii COVID’19 wszyscy znaleźliśmy się w wyjątkowej sytuacji. W różny sposób wpłynęła ona na nasze życie: rodzinne, zawodowe, społeczne. Ponadto nikt z nas nie wie, jaka będzie jego sytuacja za tydzień, dwa, czy miesiąc, które w „normalnych czasach” wydają się nieodległą perspektywą. Również my, naukowcy z Instytutu Rozwoju Wsi i Rolnictwa Polskiej Akademii Nauk, mamy ograniczone możliwości poznania sytuacji ludzi, ich niepokojów i materialnych problemów. Dlatego na portalach społecznościowych zwróciliśmy się o pomoc w badaniu i podzielenie się informacjami o tym, jak pandemia wpłynęła na życie Polek i Polaków. Wszystkim, którzy włączyli się w badania i podzielili doświadczeniem - dziękujemy. Jednocześnie zachęcamy do ponownego wypełnienia ankiety na przełomie maja i czerwca, a następnie we wrześniu. Nasz raport stanowi podsumowanie pierwszej części badań przeprowadzonych w dniach 9-15 kwietnia 2020 roku, a więc w drugim miesiącu pandemii. Pewne zmiany były już zauważalne, pewne zaś dopiero zachodziły. Wiemy jednak, że był to jeszcze początek długiej drogi przed jaką wszyscy stanęliśmy.
憲法未列舉之「健康權」入憲論理──以司法院釋字第785號解釋為中心
Authors: 李震山 李震山
Published: August 2021

憲法未列舉之「健康權」，終於經由釋字第785號解釋，透過憲法第22條納入憲法第二章的「人權清單」。在此之前的漫長時間裡，國家並不能因憲法規定的疏漏，就怠於保障人民的健康，故除退而求其次的援引具基本國策性質的憲法第157條規定：「國家為增進民族健康，應普遍推行衛生保健事業及公醫制度。」以及憲法增修條文第10條有關促進或保障健康等規定，作為概括的憲法依據外，大多分別制定民事、刑事、行政等性質的法律保障之，惟其功效往往因立法形成自由或國家保護義務範圍的不定而生爭議，乃有健康權入憲的問題意識。本文除先就相關論理基礎與脈絡論述外，續對具有里程碑意義的釋字第785號解釋就健康權的詮釋，從國際人權規範觀點提出一些補充與展望意見，至盼日後違憲審查者能賡續強化並累積健康權的理論與實務，以面對健康權多元化的艱巨挑戰，並嘉惠人民。
稅法個案漏洞論
Authors: 李惠宗 李惠宗
Published: August 2021

稅法適用個案上有漏洞，係屬法解釋論的問題，行政法院及稅捐機關均有職權，可以填補漏洞。而稅法適用上的漏洞可分「明顯漏洞」或「隱藏漏洞」而異其填補方法。前者使用「類推適用」，後者以「目的性限縮」填補。縱使法律有漏洞，也不應使用「實質課稅」的概念作為填補漏洞的方法，因為「實質課稅」根本不是「原則」；但如果是立法的「疏漏」，乃屬立法問題，須經立法，始可對人民予以課稅。儘管稅法漏洞可以填補，除產生「補稅」的法律效果以外，不應該立刻另外產生「加罰」的效果。
The Impact of Over-the-Top Services on Preferences for Mobile Services: A Conjoint Analysis of Users in Nigeria
Authors: Ogbo Erezi , Brown Tim , Gant Jon , Davis Alex , Sicker Douglas
Published: August 2021

Although mobile phone subscription rates in Nigeria have grown significantly since mobile service inception in the early 2000s, over half of the population remains unconnected. As the focus of governments and mobile carriers shifts to driving Internet adoption, mobile phone serving as a facilitating condition for the use of traditional and over-the-top (OTT) services is likely to have multiple implications. Using conjoint analysis, this article presents insight into the impact of access to OTT services on users' demand interrelationship and willingness to pay for mobile services. Critical determinants of user preferences for mobile services in Nigeria are identified and the policy implications for regulators and mobile carriers are considered.
Projeto de Conversor Classe E Normalizado com Aplicação de PSO
Authors: BISOGNO FáBIO ECKE , PRADO JOSé WILSON SOUSA
Published: August 2021

Este artigo apresenta a aplicação do método Particle Swarm Optomization na obtenção de valores otimizados para o fator de qualidade, razão cíclica e uma das frequências angulares de ressonância normalizada do conversor Classe-E, operando como rebaixador de tensão quando acoplado ao Retificador Classe-E. As equações de projeto são desenvolvidas de modo a possibilitar a representação e solução em espaço de estados.
Análise das Perdas de Energia no Sistema Elétrico de Distribuição Brasileiro
Authors: PIOTROWSKI LEONARDO JONAS , FRANCHI DIOGO , MEDEIROS LEONARDO HAUTRIVE , JUNIOR ANTôNIO MARIO KAMINSKI , LAZARI GUSTAVO M. DE , ABAIDE ALZENIRA DA ROSA
Published: August 2021

As perdas de energia elétrica são um dos problemas que afetam negativamente os sistemas de distribuição de energia. As perdas técnicas – PT e as perdas não técnicas – PNT representam um enorme desperdício da potência ativa proveniente da geração de energia e acarretam em prejuízos tanto para as distribuidoras de energia como para os seus consumidores. Ao passo que as PT são inerentes à operação do sistema, as PNT estão associadas aos furtos ou fraudes na rede elétrica, problema que as distribuidoras enfrentam e procuram combater. Este artigo tem como objetivo apresentar uma análise geral das perdas elétricas das concessionárias do Rio Grande do Sul – RS, principalmente com destaque nas PNT. Esta análise é fundamentada na comparação com base nos valores de perdas elétricas a nível nacional através de um levantamento de dados.
Análise Técnica da Inserção de Veículos Elétricos e Geração Fotovoltaica no Sistema de Distribuição
Authors: PIOTROWSKI LEONARDO JONAS , NETO NELSON KNAK , ABAIDE ALZENIRA DA ROSA , FARRET FELIX ALBERTO
Published: August 2021

A análise do sistema de distribuição de energia elétrica (SD) perante a crescente inserção de veículos elétricos (VEs) e o constante crescimento da geração distribuída fotovoltaica (GD) permite fornecer uma nova viabilidade técnica para a disseminação desse meio de transporte diante dessa fonte de energia renovável. O principal objetivo deste artigo está em analisar o impacto técnico do carregamento dos VEs juntamente com inserção da GD considerando diferentes níveis de implantação no SD. Logo, um estudo de caso é simulado no software OpenDSS utilizando o circuito Ckt 5 para identificar os impactos no SD em relação à integração de VEs e GD. As simulações são realizadas para um horizonte de dez anos considerando a expectativa de crescimento dos VEs e sua inserção em conjunto com painéis fotovoltaicos residenciais. Os resultados mostram que a combinação de VEs e GD pode ser uma excelente alternativa para uma maior disseminação dessas tecnologias.
Analysis and Design of Isolated SEPIC Converter with Greinacher Voltage Quadrupler Multiplier Cell
Authors: ANDRES BERNARDO , ROMITTI LEONARDO , SCHUCH LUCIANO , ROGGIA LEANDRO , DUPONT FABRíCIO HOFF
Published: August 2021

High step-up converters are required and used in photovoltaic applications, due to low voltage of photovoltaic modules. In this paper, an isolated dc-dc high step-up SEPIC with a Greinacher voltage quadrupler cell is presented. It has the advantage of continuous input current, high efficiency, high voltage gain, isolation and demands a single switch, being suitable for low power grid-tie photovoltaic systems. The operating principles and steady-state analysis are presented, including the detailed analysis of resonant stage, where the value of primary side capacitor is taken into account and plays an important role in the design of the converter, since it directly affects the resonance frequency and RMS current values. Simulation results are presented to validate the analysis and design.
Design of a Current Controller Based on a Two Step Procedure for Grid-Connected Converters
Authors: MATTOS EVERSON , BORIN LUCAS CIELO , OSóRIO CAIO RUVIARO DANTAS , KOCH GUSTAVO GUILHERME , MONTAGNER VINíCIUS FOLETTO
Published: August 2021

This paper provides a two step procedure for current control design of grid-connected converters with LCL filter. The proposed procedure is based on: i) an internal loop with state feedback, aiming on active damping of the LCL filter resonance; ii) an external loop with resonant controllers, aiming to ensure tracking of sinusoidal grid current references. The state feedback gains are computed based on pole location and the resonant control gains are computed based on the minimization of a closedloop tracking error index. A case study is shown to illustrate that the proposed control design procedure leads to grid-injected currents with suitable steady state and transient performances.
Otimização do Torque Eletromagético de uma SM-PMSM com Base na Otimização Topológica
Authors: JESUS LUIZ HENRIQUE REIS DE , FILHO CELIO CORRêA LEMES , CASTRO ALLAN GREGORI DE , BRITO LEONARDO DA CUNHA , PAULA GEYVERSON TEIXEIRA DE
Published: August 2021

Este artigo propõe um método de otimização topológica para o projeto ótimo de uma máquina síncrona com ímãs permanentes na superfície do rotor (SM-PMSM). Para tanto foi desenvolvido um algoritmo, que, associando o método dos Tensores (Back-EMF MST) à métodos de otimização evolucionária (Algoritmo Genético Compacto e Estratégias de Evolução), permitiu ao processo de otimização um número menor de avaliações, haja visto a grande dimensão de análises de elementos finitos de uma SM-PMSM. Para determinar os parâmetros de otimização, foram consideradas os efeitos de saturação e as densidades de fluxo magnético no entreferro quando submetido a carga nominal. Verificou-se que o método proposto proporciona ao projeto da SM-PMSM uma redução na ondulação do torque eletromagnético em torno de 37% bem como uma redução no volume estrutural de 38,23%. Além disso, a saturação presente na força contra eletromotriz (Back-EMF) é reduzida, tendo o comportamento em carga similar ao comportamento à vazio.
Comparison of Efficacy of Nd-YAG Laser with Adjuvant Eflornithine Cream versus Nd-YAG Laser alone for the treatment of facial hirsutism in women
Authors: Khan Iqbal Hassan , Ashraf Annum , Sarwar Uzma , Munir Amna , Tariq Habiba , Chachar Aijaz Z. Khan , Bukhari Azam
Published: August 2021

Background: Hirsutism is an important array of clinical syndrome that ranges from various dermatological to gynecological concerns. This is characterized by growth terminal hairs in women in male-pattern. Aim: To compare the efficacy of Nd-YAG laser with adjuvant eflornithine cream versus Nd-YAG laser treatment alone for facial hirsutism in women. Methods: It was a Randomized Controlled Trial conducted in the Department of Dermatology, Shalamar Hospital, Lahore from 25th February, 2020 to 25th October, 2020. Sampling technique used was probability consecutive sampling. In this study female cases with age 18-40 years with Fitzpatrick type III-IV were enrolled having facial hirsutism for > 6 months and were randomly allocated in two groups A and B. In group A, cases were provided with eflornithine cream to apply on face after cleaning and drying in the form of a thin film only on the treatment area every night. Results: A total 162 cases (81 in each group) were enrolled in this study. Mean age of the subjects in group B and A was 30.23±5.43 vs 30.94±4.88 years. Efficacy was observed in 64(79.01%) cases in group B managed with ND-Yag laser alone and 78(96.30%) cases in group A managed with ND-Yag laser along with Eflornithine with p=0.001. For age group 30-40 years efficacy in group B was 41(80.39%) cases and in all the 49(100%) cases in group A with p= 0.001.In cases with BMI up to 25 kg/m2 efficacy in group B and A was observed in 44(88%) vs 49(100%) cases (p=0.03) and those with BMI more than this, this efficacy was found in 20(64.52%) and 29(90.63%) cases respectively with p=0.02. Conclusion: Efficacy in facial hirsutism is significantly better in ND-Yag laser combined with Eflornithine as compared to ND-Yag laser alone and this difference is also significantly better for combination group in terms of age group 30-40 years, BMI up to 25mg/m2 and in those with duration of complaint upto 2 years. Keywords: Hirsutism, Efficacy, Eflornithine, Nd-YAG laser
Comparison between methyldopa and combination of methyldopa and nifedipine in terms of mean change in blood pressure in pregnancy induced hypertension
Authors: Malik Bilqees Akhtar , Momina Shahzad Bashir , Ashraf Tazeen
Published: August 2021

Objective: Comparison between Methyldopa and combination of Methyldopa and Nifedipine in terms of mean change in blood pressure in pregnancy induced hypertension. Material and methods: This randomized controlled trial was conducted at Department of Obstetrics and Gynecology, Combined Military Hospital Bahawalpur from February 2020 to August 2020 over the period of 6 months. Total 80 patients with pregnancy induced hypertension as per operational definition having age 20-40 years and having gestational age ≥ 20 weeks assessed on LMP were selected. Results: Mean age of the patients was 30.81 ± 5.670 years, mean age of patients of group A was 31.50 ± 5.809 years and mean age of group B was 30.13 ± 5.515 years. Mean gestational age was 30.17 ± 5.981 weeks, mean gestational age of patients of group A was 29.70 ± 6.329 weeks and mean gestational age of patients of group B was 30.65 ± 5.65 weeks. In group A, mean diastolic blood pressure was decrease from 101.2250 ± 4.97938 to 84.5000 ± 3.26599 and in group B from 107.7750 ± 7.18434 to 82.5000 ± 2.25320. Comparison of mean decrease in diastolic blood pressure between group A (High dose Methyldopa) and group B (Low dose Low dose Methyldopa with Nifedipine) was done. Mean decrease in diastolic blood pressure in group A was 16.72 ± 3.935 and in group B was 25.28 ± 6.876. Statistically significant difference of mean decrease in diastolic blood pressure between the both groups was noted with p value 0.000. Conclusion: Results of this study showed that Low dose Methyldopa with Nifedipine combination is more effective as compared to High dose Methyldopa to reduce diastolic blood pressure in pregnant women suffering from pregnancy induced hypertension. Keywords: Diastolic blood pressure, Methyldopa, Nifedipine, Pregnancy induced hypertension, Systolic blood pressure
Anti dyslipidemic effect of Ficus Carica Fruit (Fig) on Lipid Profile of Diet Induced Hyperlipidemic Rats
Authors: Perveen Fouzia , Khan Fariha Ahmad , Irum Zoobia , Siddiqui Amir Hassan , Bhatti Maira , Iqbal Robina
Published: August 2021

Back ground: Hyperlipidaemia, characterized by elevation of one or more lipid types in blood, is a major risk factor for cardiovascular diseases and stroke. Management of hyperlipidaemia is helpful to control the fatal outcome of cardiovascular diseases. This experimental study was done to observe the effects of pulp of Ficus carica fruit on lipid profile in induced hyperlipidemic rats in comparison to atorvastatin. Methodology: The duration of study was 12 weeks. In this study forty male rats were taken and divided into four groups. One group was normal control which was given normal diet throughout study period of 12 weeks. The second group was positive control which was given high fat diet for 12 weeks. The remaining two groups were experimental groups which were given high fat diet for 12 weeks. Hyperlipidaemia was induced after giving high fat diet for first four weeks to the experimental groups. The pulp of Ficus carica fruit and atorvastatin was then added to diet of two experimental groups respectively in addition to high fat diet for the next 8 weeks. Body weight, fasting lipid profile, LDL/HDL ratio and AIP were measured at baseline, 4th, 8th, and 12th week of study. Results: Pulp of Ficus carica fruit significantly improved fasting lipid profile, AIP and LDL/HDL ratio. HDL was also significantly increased. However there was no change in body weight. Conclusion: Ficus carica fruit has marked antihyperlipidemic properties comparable to standard drug atorvastatin. Key words: Hyperlipidaemia, ethanolic extract, pulp, Ficus carica
Prevelance of Undiagnosed Bronchiectasis in Patients Suffering from Severe Persistent Asthma
Authors: Javaid Asad , Musharaf M. Saqib , Ch. Faisal Hassan Zahid , Waqas M. Taha , Farooq Muhammad Mohsin , Ali Rashid
Published: August 2021

Introduction: Asthma is a clinical condition associated with recurring airway obstruction, airway hyperresponsiveness and airway inflammation. Asthma and bronchiectasis are separate illnesses. However, both disorders occur in some patients e.g., ABPA. Rare data exist for determining the impact of asthma aggravation by bronchiectasis. Present study aims to find such association. Objective: To determine the prevalence of undiagnosed bronchiectasis in patients suffering from severe persistent asthma. Study Design: Cross sectional/descriptive study Place and Duration of Study: Department of Pulmonology, Al-Aleem Medical College/Gulab Devi Teaching Hospital Lahore from 1st July 2020 to 31st December 2020. Methodology: One hundred and twenty five patients of severe persistent asthma were enrolled. Patients were aged between 20-75 years. Patients details demographics age, sex and body mass index were recorded after taking written consent. High-resolution computed tomography (HRCT) chest was done among complete patients to recognized undiagnosed bronchiectasis. Prevalence of undiagnosed bronchiectasis was assessed among cases. Results: Sixty five (54.17%) were females and the rest were males 55 (45.83%). Mean age of the patients were 40.26±9.55 years with mean BMI 25.16±8.66 kg/m2. 35 (28%) patients had smoking history. Majority of the patients 55 (44%) were aged between 45-75 years of age. Prevalence of undiagnosed bronchiectasis was found in 48 (38.4%) patients of severe persistent asthma. Conclusion: The prevalence of undiagnosed bronchiectasis was significantly high among patients of long disease duration suffering from persistent asthma. Keywords: Severe persistent, Asthma, Undiagnosed bronchiectasis
“Association Between Placenta Previa and Previous C-Sections”
Authors: Maria Hafiza Amatur Rehman , Nasim Noreen , Rehman Abida , . Saleha , Batool Ammara , Yasin Hafiz Muhammad Irfan
Published: August 2021

Placenta Previa is defined as a condition where the placenta covers the opening of the cervix. It can cause severe bleeding during pregnancy. Its incidence is about 0.28–2%. Objective: The main objective of this study was to find any association between placenta previa and previous C-section among patients presenting at Obstetrics & Gynaecology Department of Sheikh Zayed Hospital, Rahim Yar Khan. Methods: This descriptive cross sectional study was carried out from April 2019 to October 2019 at Department of Obstetrics and Gynaecology Unit III, Sheikh Zayed Hospital, Rahim Yar Khan. 60 patients were selected aged 18-40 years with singleton pregnancy at gestational age more than 24 weeks and having history of one or more cesarean sections in previous pregnancies were included in the study. Results: 60 patients included in this study had mean age of 32.31+ 4.0 years, the mean gestational age was 32.02+ 3.21 weeks. Out of 60 cases, 2(9.5%) placenta previa was seen in one previous C-Section, 3(8.6%) and 1(25%) placenta previa were seen in 2nd 3rd previous C-section respectively. Placenta previa less seen in 2(9.1%) cases with abortion as compare to 4(10.5%) cases with no abortion. The smoking history was seen in only 2(40%) cases having placenta previa. Conclusion: The conclusion of this study that placenta previa is not so common in pregnancies after cesarean section but its number is significantly high in cases that had previous 1 or 2 cesarean sections. Keywords: Placenta Previa, C-section, multiparity, vaginal bleeding
Knowledge and Practice of Gynecologists about Oral Hygiene Measures during Pregnancy
Authors: Ahmad Fareed , Anwaar Ali , Sadiq Muhammad Shairaz , Saeed Alina , Mirza Bilal Abdul Qayum , Afzal Muhammad
Published: August 2021

Objective: To evaluate the knowledge and practice of gynecologists with regard to oral and dental health during pregnancy. Design of the Study: It was a cross-sectional study. Study Settings: This study was carried out at Outpatient Department of Dentistry Combined Military Hospital, Lahore from January 2019 to July 2019. Methods & Materials: The questionnaire was distributed among 450 gynaecologists. The evaluation tool was questionnaire. It was consisted on 23 items in which 18 questions were about the knowledge and five questions about the practice. The response of the respondents was received as yes or no. All the collected data entered in software and statistical analysis of data was done using the SPSS version 22.0. For quantitative variables mean and standard deviation were calculated. Qualitative variables were presented in the form of frequency and percentage. Results: In our study response rate was found to be 84.4%. During pregnancy related to the oral healthcare average of gynaecologist’s knowledge was 12.31±2.73 which showed that they have appropriate knowledge level. During pregnancy related to the oral healthcare measures average of gynaecologist’s knowledge was 3.31 ± 1.256 which exhibited that they have appropriate knowledge level of practices measures. A significant relationship between year of graduation and gynaecologist’s knowledge was observed (P = 0.31), whereas insignificant relationship between graduation year and practice was observed (P = 0.763). During pregnancy related to the need of oral and dental care before & during pregnancy gynaecologist’s knowledge was 3.67 ± 1.035. Conclusion: Gynecologist’s knowledge about oral and dental hygiene measure during the pregnancy was appropriate. Women who are planning their pregnancy must get knowledge from dentist, obstetricians and gynecologists to reduce the rate of complications. Effect of pregnancy on oral and dental hygiene is on the one hand and inhibition from its side effects is on the other hand. Keywords: Gynecologist, Oral Health, Pregnant women
Inferior turbinate reduction by use of Diode Laser. A study on surgical outcome, post-operative crusting, and bleeding
Authors: Iqbal Zafer , Ghouri Shahbaz Mujtaba , Saleem Rehan , Nauman Aysha , Nadeem Muhammad , Saleem M. Daood
Published: August 2021

Objectives: To assess the efficacy of the technique regarding the surgical outcome, post-operative crusting, and bleeding. Design: Single Blind interventional type of study. Study Place and period: This study was conducted at, Chaudhary Muhammad Akram Teaching and Research Hospital Lahore from July 2018 to June 2019. Material and methods: The study included 100 patients and the results of technique in respect to surgical outcome, the safety of technique regarding post-operative complications like crusting in the postoperative period and epistaxis were analyzed. Results: A total of 100 patients were included for research. Their ages were between 10-40 years. It was concluded that almost all the patients had felt improvement in their nasal blockage and postnasal discharge. The sneezing and headache in these patients also have been improved. Ten patients presented with nose crusting and 4 patient presented with mild epistaxis. No acitve intervention was not required in any patient. Conclusion: It was concluded that reduction of inferior turbinate by Diode laser is an excellent, and safe option, regarding the surgical outcome, and complications faced by patients registered for turbinate surgery. Keywords: Turbinates reduction, Diode laser, epistaxis.
Versatility of Reverse Sural Artery Flap for Coverage of Heel and Proximal Foot Defects in Children
Authors: Anwar Muhammad , Waheed Faisal , Hussain Khadija
Published: August 2021

Objective: The objective of the study was to determine the versatility of reverse sural artery flap in terms of its reliability and efficacy for reconstruction of soft-tissue defects of heel and proximal foot in children. Material and Methods: A total of 30 patients aged 5-13 years with ankle and foot defects admitted to the Plastic Surgery and Burn department at the Sheikh Zayed Hospital, Rahim Yar Khan from January 2018 to July 2020 were studied by designing a retrospective cross-sectional case series study. Results: Out of 30 flaps, 26 (86.7%) healed fully, whereas 4 (13.3%) complicated by partial necrosis requiring a secondary procedure. Nineteen (63.3%) patients had wheel spoke injuries, eight (26.6%) sustained degloving injury after a road traffic accident, and three (0.1%) patients were having a history of electric burn. In 22 patients an interpolated flap was used and in 8 cases an islanded flap. Donor sites were skin grafted in all patients. Two patients developed hypertrophic scarring at donor area. All patients showed good functional results, however flap remained insensate throughout the follow-up period that was minimum for 6 months. Conclusion: The reverse sural artery flap is versatile, reliable and a method of choice in reconstructing soft-tissue defects of the hind foot in children. This flap is easy to dissect, has robust blood supply and does not sacrifice any major blood vessel of the leg. Key Words: Reverse Sural Artery Flap, children, Ankle and Foot, Soft-tissue Defects, Wheel Spook Injury
Comparison of effect of Various Combinations of four drugs i.e IV Ondansetron, Ranitidine, Metoclopramide and Omeprazole, to reduce Gastric Fluid Residual Volume and Gastric Acidity in Elective Laparoscopic-Cholecystectomy patients
Authors: Saeed Riffat , Ali Irfan , Qamar Iram , Ali Syed Mehmood , Latif Amer , Shahzad M. Naveed , Banghash Tariq , Ali Nasir
Published: August 2021

Background: Inhaling of gastric contents in lower respiratory tract and larynx results in developing of pulmonary aspiration. The acidity of aspirate contents and its volume determines severity of aspiration and is major cause of post-anesthetic mortality. Objective: To compare the effect of four drugs (ranitidine, IV ondansetron, metoclopramide, omeprazole and metoclopramide) in all possible four combinations, to decrease gastric fluid residual volume and gastric acidity in undergoing laparoscopic-cholecystectomy. Design: It was a clinical randomized trial. Study Settings: Trial was conducted at Department of Anesthesiology and ICU, Sheikh Zayed Hospital, Lahore, for a period of 6 months from 01-07-2019 to 31-12-2019. Patients and Methods: A total of 308 patients from both the genders undergoing laparoscopic cholecystectomy were included in this study. Four equal groups were made by random division of patients. Group A: ranitidine & ondansetron, group B: ranitidine & metoclopramide, group C: omeprazole & ondansetron and group D: omeprazole & metoclopramide. Pre-anesthetic medicine was given to all the patients two hours before surgery. For assessing volume of gastric fluid and its pH, an oro-gastric tube was passed. An informed written informed consent was taken from all the patients. Results: Mean age in this study was 36.40±9.15, 33.23±9.13, 36.82±9.37 and 36.57±9.49 years respectively for Group A,B,C and D. Aspirate had mean quantity of 12.56±5.60 ml/kg, 12.65±5.39 ml / kg, 13.68±5.76 ml/kg and 14.34±6.85 ml/kg and he aspirate mean pH was 2.56±0.55, 2.47±0.58, 2.51±0.57 and 2.45±0.58 respectively for group A,B,C and D. Among both the trial groups, this different was insignificant (p-value > 0.05) for both outcomes. Conclusion: All the drug combinations had no significant difference. However, comparatively less pH and volume of gastric fluid was shown by combination of ranitidine plus ondansetron. Therefore, this combination is recommended before general anesthesia for reducing gastric fluid aspirate in patients undergoing surgery. Keywords: Laparoscopic cholecystectomy, Omeprazole, Ranitidine, Metoclopramide, Ondansetron, gastric fluid acidity, pH, gastric fluid volume
Leadership model and planning strategies in private Catholic colleges during the COVID-19 pandemic
Authors: Lorensius Lorensius , Warman Warman , Silpanus Silpanus , Ping Theresia
Published: August 2021

This paper aims to examine the leadership model and planning strategy of private Catholic colleges during the COVID-19 pandemic in Samarinda City, East Kalimantan, Indonesia. This study adopted a qualitative approach using interviews, observations, and documentation to collect data from 10 lecturers and seven staff as. The collected data were then analyzed descriptively. The results of this study indicate that the leadership model that often appears as a hallmark of private Catholic college leadership during the COVID-19 pandemic is a situational and distributed leadership model, with an emphasis on principles of leadership servant in dealing with changing organizational needs. The planning strategy carried out shows a visionary leadership model, college leaders can rearrange strategies that are adapted to the situation in developing educational programs and improving the quality of the college.
POLA ASUH GRANDPARENTING DALAM MEMBENTUK KEPRIBADIAN ANAK USIA 4-6 TAHUN (Studi Kasus Di RT/04 RW/02 Kelurahan Dusun Besar Kota Bengkulu)
Authors: Handayani Fitri , Dr.Hj Asiyah Dr.Hj Asiyah , Fitriana Septi , Utami Intan
Published: August 2021

Grandparenting parenting pattern is childcare done by grandparents. Childcare should be the responsibility of both parents, but because there are several factors, namely: both parents are busy working, the economic state of the family and there is no parental trust in others in the care of the child except from a close family, so the responsibility is transferred to grandparents. In RT/04 RW/02, there are 7 families who transfer temporary parenting roles to grandparents. The types of parenting patterns applied are: democratic, authoritarian and permissive parenting patterns. From this type of parenting pattern, it will affect the personality of the child. There are 5 personality types: sanguin, phlegmatic, melancholic, cholelic and arsetif types. In childcare each grandparent has its own parenting pattern but the more instrumental in parenting is grandmotherhood. Parenting patterns are influenced by educational background, knowledge, activities, socioeconomic circumstances and so on. But the supporting factor in the implementation of parenting patterns well depends not only on the type of parenting pattern applied by grandparents, but also on the characteristics in the family and community environment. The forms of foster care patterns that are applied are very closely related to the personality of the child after becoming an adult. This research method uses qualitative research, with a type of qualitative descriptive research to describe the findings in the field. Data collection in this study uses three techniques, namely: observation, interview and documentation. From the findings of the researchers parenting patterns in 7 families RT/04 RW/02 dusun besar kota bengkulu 4 families who apply democratic parenting patterns and 3 families applying permissive patterns. for child personality, 3 children who have sanguin personality, 1 child flegmatic personality, 2 children choleric personality and 1 child aresif personality.Keywords: Parenting Patterns Grandparenting, Personality Of Children Aged 4-6 Years
PEMBUATAN PETA TEMATIK DESA LENGKAP BERBASIS PARTISIPASI MASYARAKAT
Authors: Arnowo Hadi
Published: August 2021

Karya tulis ilmiah ini merupakan penelitian yang bersifat kualitatif yang bersifat deskriptif. Pengumpulan data dilakukan dengan studi dokumen berupa tulisan ilmiah dan selanjutnya dianalisis secara teoritis dan empiris. Tujuan penelitian ini adalah pertama untuk mengidentifikasi alur pemanfaatan peta bidang tanah hasil kegiatan PTSL untuk pembuatan peta desa berbasis partisipasi masyarakat. Kedua adalah untuk mengidentifikasi tahapan pembuatan peta tematik wilayah desa berbasis partisipasi masyarakat. Manfaat dari tulisan ini adalah untuk memberi masukan mengenai pemanfaatan hasil PTSL untuk penyusunan informasi spasial wilayah desa dengan menggunakan metode pemetaan berbasis masyarakat. Penyelenggaraan pemerintahan desa berjalan secara efektif apabila dilengkapi dengan informasi spasial terkait pembangunan desa secara lengkap dan akurat. Pembuatan informasi spasial wilayah desa berasal dari data tematik spasial dengan memanfaatkan peta bidang hasil kegiatan Pendaftaran Tanah Secara Lengkap (PTSL) sebagai peta kerja. Hasil dari analisis studi dokumen adalah peta dasar atau peta kerja dan peta bidang tanah hasil dari PTSL sangat tepat digunakan untuk pembuatan peta desa karena menunjukkan visualisasi secara detail. Penggunaan peta dasar adalah sebagi tempat plotting jenis data tematik desa yang berasal dari pengambilan data lapang maupun data sekunder. Sedangkan peta bidang yang berasal dari PTSL untuk plotting data terkait dengan status tanah. Pengambilan data lapang untuk tema tertentu dilakukan melalui partisipasi masyarakat agar informasi yang diperoleh lebih akurat. Proses pengambilan data spasial tertentu dibuat melalui pemetaan berbasis partisipasi masyarakat dengan standar teknis pemetaan. Standar teknis yang dimaksud meliputi metode pengumpulan dan pengolahan data serta penyajian peta.
PERBANDINGAN METODE EKUIDISTAN DALAM USAHA PENETAPAN BATAS WILAYAH KEWENANGAN DAERAH DI PERAIRAN DARAT (STUDI KASUS: DANAU TOBA, SUMATERA UTARA)
Authors: Tasliman Michael Timothy , Djunarsjah Eka
Published: August 2021

Berdasarkan Undang-Undang Republik Indonesia Nomor 32 Tahun 2004 tentang Pemerintahan Daerah, yang menjadi salah satu faktor utama pembentukan daerah yaitu luas daerah dan penghitungan luas daerah ditentukan dengan adanya batas daerah yang jelas untuk daerah tersebut. Penetapan batas daerah tersebut tidak hanya berlaku di wilayah darat, namun juga di wilayah perairan. Penelitian ini bertujuan untuk menetapkan batas wilayah kewenangan kabupaten-kabupaten di sekitar Danau Toba. Metode yang digunakan untuk menetapkan batas wilayah kewenangan ini yaitu metode ekuidistan yang mengacu pada Peraturan Menteri Dalam Negeri Nomor 76 Tahun 2012 dan metode ekuidistan modifikasi yang digagas oleh Dr. Ir. Eka Djunarsjah, M.T. pada tahun 2016. Dari hasil penerapan kedua metode tersebut, luas wilayah danau untuk Kabupaten Samosir terdapat selisih luas sebesar 43 km2, Kabupaten Dairi sebesar 7,3 km2, Kabupaten Karo sebesar 2,8 km2, Kabupaten Simalungun sebesar 10 km2, Kabupaten Toba Samosir sebesar 12,9 km2, Kabupaten Tapanuli Utara sebesar 15,6 km2, dan tidak ada selisih luas untuk Kabupaten Humbanghasundutan. Pergeseran batas maksimum dari metode ekuidistan modifikasi terhadap metode ekuidistan mencapai 1.145,1 meter dan pergeseran minimumnya mencapai 81,835 meter. Dari hasil penelitian ini juga dapat disimpulkan bahwa penerapan Permendagri Nomor 76 Tahun 2012 dengan mengasumsikan danau sebagai batas alam untuk penetapan batas daerah di darat tidak bisa diterapkan untuk Danau Toba.