bluuebunny/crossref_metadata_2025 huggingface dataset:
Full-mouth Rehabilitation of Amelogenesis Imperfecta
Authors: Jabin Zohra , Waikhom Nandita , Agarwal Nidhi , Anand Ashish
Published: August 2022

Amelogenesis imperfecta (AI) is a hereditary disorder expressed by a group of conditions which cause developmental alterations in the structure of enamel. Management of AI is very important because of esthetic and functional concerns as they create a positive psychological impact on the patient. A 12-year-old female patient reported with a complaint of yellowish discoloration of teeth with unesthetic appearance and painful sensitivity to mastication. The intraoral examination observed brownish discoloration of permanent anterior as well as posterior teeth of all segments. The height of the crowns of the upper and lower posterior teeth was also reduced. A hypoplastic type of AI was diagnosed in permanent dentition. A multidisciplinary planning was performed mainly to relieve dental sensitivity and improve masticatory function and esthetics of the patient and was carried out in multiple visits that ranged from preventive phase and restorative phase. Posttreatment improvements in esthetic as well as successful reduction in hypersensitivity were observed.
A Novel Application of Partially Epithelized-Subepithelial Connective Tissue Graft for Management of Complex Mucogingival Condition
Authors: Sharma Deepak , Jhingta Pravesh
Published: August 2022

Multiple adjacent gingival recessions in the mandibular anterior region are frequently associated with critical anatomic factors such as inadequate attached gingiva, high frenum insertion, or shallow vestibule. In addition, the loss of interdental soft and hard tissues make these mucogingival conditions more complex and challenging for the clinician. Multiple periodontal plastic surgical procedures are often required to treat such conditions which increase patient discomfort and surgical morbidity. The cases present for the first time a novel application of the bilaminar technique of reverse partially epithelized-subepithelial connective tissue graft (PESCTG) with bridge flap to treat severe multiple contiguous recessions and augment gingiva and vestibular depth in mandibular anterior teeth as a single-staged surgical approach. The technique achieved good esthetics and clinical outcomes in terms of recession coverage, increase in width and thickness of gingiva, and vestibular depth.
Prosthetic and Dental Implant Patient's Biosafety during MRI Procedure
Authors: Rao Jitendra , Shah Anshdha , Singh Kalpana , Tiwari Bhawana
Published: August 2022

Aims and Objectives:

The survey was conducted to evaluate the awareness among dentists and radiologists regarding the safety and interactions of dental materials in relation to magnetic resonance imaging (MRI).

Materials and Methods:

A questionnaire was circulated among professionals of the North Indian population as Google forms to assess their awareness regarding the safety of dental implants in MRI field, and the results were calculated by the same application.

Results:

A majority of the professionals seemed to be well-informed regarding the magnetic nature of materials used as dental implants. However, there were mixed opinions regarding the biosafety of different dental materials used for prosthetic restoration of implants or as prosthesis that maybe attached to oral structures.

Conclusion:

The present survey revealed that the most professionals possess the knowledge and awareness about biosafety of dental materials, there still a further need to increase awareness to avoid dilemmas in routine practice.
Efficacy of Online Mental Health Program “EmoAid” during the COVID-19 Pandemic
Authors: Gupta Shilpa , Gupta Deepak , Goel Eti , Rehman Usama
Published: August 2022

Background:

COVID-19 has triggered public health crises all around the globe. It has caused mental health issues not only in infected cases but also in uninfected cases. The world was put under strict/restricted lockdown to contain the transmission of COVID-19 diseases. All important aspects of life including therapies and counseling went online. “EmoAid” is one such online mental health program started during the COVID-19 to ease psychological distress.

Aim:

The current study assessed the efficacy of “EmoAid” program.

Methods:

One hundred and twenty-two participants completed depression, anxiety, and stress scale-21 online at three time periods; before the program (T1), after the program (T2), and 3 weeks after the program to study the maintenance effect (T3).

Results:

The results suggested that the program was successful in decreasing symptoms of depression, anxiety, and stress among participants. The maintenance effect of the program was also observed.

Conclusion:

The results highlight the importance of “EmoAid,” an online mental health program in lowering the levels of psychological distress during the pandemic, however, a randomized controlled study is required to validate the results.
Unveiling the Basics of Chest Radiography for Nurses
Authors: Singh Jitender , Sharma Tarika
Published: August 2022

The discovery of X-ray beam in 1895 by Wilhelm Conrad Roentgen provided clinicians with a noninvasive diagnostic method to evaluate the internal alteration of anatomy within the body. Although different health providers prescribe and interpret chest X-ray (CXR), nurses are usually the first to prepare the patient for X-rays, read the radiologist's report, and provide the interpretation to a clinician. This review highlights the basics of chest radiography which will help the nurses to learn the concept and perform their work efficiently.
Conservative Management of Congenital Unilateral Eyelid Ectropion in a 3-Day-Old Neonate in Jos North-Central Nigeria
Authors: Panshak Tenmang , V. Ramyil Alice , Maigida Nievel Buetnaan , Anyika Pamela Onyinye , Wade Patricia
Published: August 2022

Background:

Congenital ectropion is a rare congenital eyelid eversion with chemosis. It is twice more common in males. We report a case of congenital unilateral eversion of the upper eyelid with severe chemosis that was successfully managed conservatively.

Aim:

The case is being reported for its rarity, demonstrating effectiveness of conservative management with 3% hypertonic saline. Also to create awareness of the diseases and ease of management amongst health workers.

Case Presentation:

The patient was a 4 day old female child with a congenital unilateral eversion of the right upper eyelid and severe chemosis following uneventful delivery. Patient was also noticed to be febrile, but no other physical or systemic anomaly. A conservative treatment approach was used which consisted of the application of antibiotics eye drop and ointment and padding of the eye with 3% hypertonic saline soaked gauze. The eyelid reverted spontaneously after 3 days and the condition was completely resolved without complications.

Conclusion:

Congenital eyelid eversion is a benign condition that excellently responds to conservative treatment. Creating awareness of its existence and treatment approach amongst health workers is essential.
Osteosarcoma Arising from a Cervical Teratoma in a 4-Year Old Child
Authors: Amaefule Kenneth Ezenwa , Ejagwulu Friday Samuel , Sholadoye Talib Talib , Dahiru Waziri Garba
Published: August 2022

Cervical teratomas consist of about 3% of all teratomas, and commonly present in childhood. They are often benign and very rarely turn malignant. Malignant transformation of teratomas occurs in about 3% - 6% of such tumours, and often results in carcinomas, and infrequently, sarcomas and yolk sac tumours. Squamous cell carcinoma accounts for about 80% - 90% of such malignant transformation. Osteosarcoma arising from a teratoma is a rare occurrence with the very few reported cases occurring in the ovaries, and no such transformation has been reported in a cervical teratoma. We present our experience with a child with osteosarcoma in a cervical teratoma.
Normative Clinical Reference for Intima-media Thickness of Carotid Arteries Among Nigerian Adults
Authors: Kpuduwei Selekeowei Peter Kespi , Kiridi Enefia Kelvin , Ibegu Opumunu , Amasiatu Valentine Chidozie
Published: August 2022

Background:

The intima-media thickness (IMT) of the carotid arteries is said to be predictive of the risk of cerebrovascular accidents in patients and said to be affected by sex, age, and race. The lack of normative reference values of carotid IMT can adversely affect the screening of subclinical atherosclerosis in Nigeria. Sonography is the most widely used tool in clinical practice for IMT determination.

Aim:

This study was aimed at obtaining sonographic reference values of the IMT of the carotid arteries of healthy adult Nigerians for clinical use.

Study Design:

This is a prospective study, where participants were selected by a simple random technique.

Setting:

The study was carried out in 2019 on adult Nigerians from different ethnic backgrounds that resided in Bayelsa State.

Materials and Methods:

The study population was 104 healthy Nigerian adults both male and female between 18 and 64 years of age. Excluded were those without informed consent, Nigerians aged below 18 and above 65 years, anyone with a history of cardiovascular, cerebrovascular, or metabolic disorders, and athletes. After confirming normal blood pressure and taking their physical measurements, participants’ necks were scanned with an “EcoMed” ultrasound machine version VERTU-3 Portable USG with a linear transducer and a frequency of 7.0 MHz by an experienced radiologist.

Results:

The IMT was recorded for the subjects in millimetres where common carotid artery: males = 0.487 ± 0.014, females = 0.480 ± 0.010 with a reference range of 0.200–0.750 mm; internal carotid artery: males = 0.500 ± 0.019, females = 0.459 ± 0.013 with a reference range of 0.200–0.750 mm; external carotid artery: males = 0.479 ± 0.018, females = 0.437 ± 0.014 with a reference range of 0.180–0.780 mm. The values for the males were higher than those of the females; however, they were not statistically significant. There was also no statistically significant difference between right and left sides in the IMT despite the right persistently being higher than the left in the general study population.

Conclusion:

This study has been able to provide reference values for IMT of the carotid arteries among Nigerians for clinical use in the meantime. We believe that a systematic review of similar data can further be done for the standardisation of national reference.
Comparison of the effect of miconazole and clotrimazole in the treatment of vulvovaginal candidiasis among women seen in a tertiary medical center from 2016 to 2020
Authors: Marquez Shiara Marriz T. , Reyes Lylah D.
Published: August 2022

BACKGROUND:

Vulvovaginal Candidiasis (VVC) is one of the frequent infections of the female genital tract and is the second most common cause of vaginal infections after bacterial vaginosis. According to the Centers for Disease Control and Prevention, azoles are the first-line treatment for VVC. Among the azoles available in the Philippines, only miconazole and clotrimazole are recommended for both pregnant and non-pregnant women.

OBJECTIVE:

Compare the effect of miconazole versus clotrimazole in the treatment of vulvovaginal candidiasis among patients seen at the out-patient department in a tertiary hospital

MATERIALS AND METHODS:

This involved review of the records of patients diagnosed with VVC in a tertiary medical center from 2016 to 2020. All records of women, pregnant and non-pregnant, wherein single-dose 1200 mg miconazole or 6-day 100 mg clotrimazole given vaginally were included.

RESULTS:

Eleven out of the 316 records (3.46%) remained symptomatic after treatment, about 18.1% (2/161) from those who used miconazole and 81.8% (9/155) from those treated with clotrimazole (p 0.027). In terms of failure rate, for miconazole it was 1.2% (2/161), whereas for clotrimazole it was 5.8% (9/155). None of the charts were found to have recorded adverse reaction to the given treatment.

CONCLUSION:

Single-dose miconazole intravaginal regimen has a higher clinical cure rate than the 6-day clotrimazole intravaginal treatment. Thereby, single-dose intravaginal miconazole has the potential to improve patient compliance and treatment outcome at a lower cost.
Paratubal mass carcinosarcoma
Authors: Albon Irish Kate A. , Billod Jimmy A.
Published: August 2022

Carcinosarcoma, formerly known as malignant mixed Mullerian tumors (MMMTs) are highly aggressive tumors that include both malignant epithelial and mesenchymal or stromal elements. The most common site of carcinosarcomas in a female reproductive organ is the endometrium with an incidence of 2/100,000 females, whereas carcinosarcomas arising from the paratubal mass are extremely rare malignancies accounting for fewer than 0.1% of MMMTs. Carcinosarcomas of the Fallopian tube usually occur in the fifth to sixth decades in postmenopausal women with the most common presenting symptom of abdominal pain, followed by vaginal bleeding and abdominal distention. There have been limited published cases worldwide, that is, it has been a thing of interest to be analyzed in today's era. A rare case of paratubal carcinosarcoma is highlighted in this paper as it discourses its clinicopathological characteristics and assesses the prognostic factors associated with treatment outcome and survival.
A successful spontaneous pregnancy after surgery and chemotherapy in a patient with recurrent dysgerminoma
Authors: Pasigon Amor M. , Billod Jimmy A.
Published: August 2022

Dysgerminoma comprises 3%–5% among ovarian malignancies, mostly seen in adolescent and early adult women. The recurrence rate is approximately 10%–20%, occurring within 2 years of diagnosis, and has been reported that more than 75% occur in the 1st year. A 19-year-old nulligravid initially presented with severe abdominal pain, who underwent emergency exploratory laparotomy and left salpingo-oophorectomy, whose histopathologic result revealed dysgerminoma, Stage IC2. Recurrence of dysgerminoma was noted on the contralateral ovary 10 months after for which she had undergone another surgery for wedge resection of the right ovarian mass and complete surgical staging. She received adjuvant chemotherapy without complications. Despite two consecutive surgeries and chemotherapy, she had conceived naturally and her pregnancy was carried to term with no complications and delivered to a live baby girl by normal spontaneous delivery. This case is a proof of how fertility-sparing surgeries and chemotherapy in dysgerminoma can successfully preserve reproductive functions for future conceptions.
A case series on the use of pessaries for shortened cervix
Authors: Elauria-Manalastas Jean Aileen M. , Amin-Ong Almira J. , Prodigalidad-Jabson Lisa T.
Published: August 2022

A cervical length <25 mm is correlated with an increased risk of preterm delivery. Pessaries have been used in patients with a short cervix to prevent preterm birth. Compared to cerclage, it is seen as a novel approach, which is more affordable, less invasive, and can be inserted at a later gestational age. We present our experience on the use of pessaries for shortened cervix. In this case series, we inserted a pessary in pregnant patients from 10 to 30 weeks of age of gestation (mean 23 weeks) with cervical length of 0.9 cm to 2.1 cm. We were able to prolong the pregnancy in 5 of the 7 cases with a mean interval to delivery of 14 weeks. One proposed mechanism of a pessary for shortened cervix is that it directs the inclination of the cervix posteriorly, which allows majority of the weight of the pregnancy to lie on the anterior segment of the uterus instead of on the internal cervical os. Based on the cases presented, we have proposed some guidelines in offering a pessary for patients with a shortened cervix: (1) recommend a pessary in patients with a cervical length <25 mm or a diagnosis of cervical insufficiency; (2) exclude infection or active labor; and (3) remove the pessary if there is rupture of membranes, significant vaginal bleeding, or persistent uterine contractions.
Logarithmic Schrödinger equation and isothermal fluids
Authors: Carles Rémi
Published: August 2022

We consider the large time behavior in two types of equations, posed on the whole space

\mathbb{R}^d

: the Schrödinger equation with a logarithmic nonlinearity on the one hand; compressible, isothermal, Euler, Korteweg and quantum Navier–Stokes equations on the other hand. We explain some connections between the two families of equations, and show how these connections may help having an insight in all cases. We insist on some specific aspects only, and refer to the cited articles for more details, and more complete statements. We try to give a general picture of the results, and present some heuristical arguments that can help the intuition, which are not necessarily found in the mentioned articles.
El mal elemental desde una política fenomenológica en Emmanuel Levinas
Authors: Jiménez Morales Luis Alberto
Published: August 2022

Emmanuel Levinas en un breve escrito de 1934 intitulado Algunas reflexiones sobre la filosofía del hitlerismo analiza la posibilidad del mal elemental desde una interpretación fenomenológica. Considera que el hitlerismo es un despertar de los sentimientos elementales, los sentimientos son un entrecruzamiento de actos intencionales específicos. Así, la filosofía del hitlerismo sería una expresión de los modos de estar-ahí-en-el-mundo, es un modo de la existencia. El mal elemental establece una relación en la cual el sujeto está encadenado consigo mismo. En escritos posteriores el mal elemental parece estar vinculado con un complejo desarrollo de la metafísica de Occidente. Este artículo se propone estudiar cómo la crítica fenomenológica levinasiana es capaz de suspender el mal elemental, intentando desarticular la política de Occidente a través de la fundamentación de una política fenomenológica que conciba otra relación.
Enfrentar el mal o sobre la escucha hospitalaria de lo inaudito
Authors: Martinez Ruiz Rosaura
Published: August 2022

El propósito de este artículo es explorar cómo la escucha radical en casos de violencia extrema tiene el poder de devolver o construir la agencia que ha sido arrebatada a las víctimas. Con base en la teoría de la acción de Hannah Arendt, la teoría del trauma de Freud y la noción de “deseo de narración” de Adriana Cavarero, propongo que prestar oídos al relato del otro es una obligación ética y una responsabilidad política, pues permite escuchar lo hasta ahora inaudito y construir colectivamente nuevas gramáticas de la escucha para dar lenguaje, espacio y tiempo a la experiencia de la violencia extrema.
Adorno avec Sade…
Authors: Comay Rebecca
Published: August 2022

Este artículo analiza cómo la obra de Sade puede leerse para iluminar las aporías de la razón ilustrada y la ley moral.  Sade ha sido contemplado como el retorno de lo reprimido en la razón kantiana (Adorno) o como el secreto impensado que anima todo el sistema moral de Kant (Lacan). El artículo sostiene que leer a Sade con Adorno podría significar cuestionar el círculo vicioso de la repetición de la transgresión y la ley, así como el tedio de una racionalidad instrumental, para abrir una nueva comprensión de la ontología y la historia.
La subversión de la virilidad. Mito, sacrificio y mística en el pensamiento de Georges Bataille
Authors: Neri López José Manuel
Published: August 2022

Este ensayo se pregunta si existe en la producción intelectual, literaria y política de Georges Bataille una subversión del mal entendido como deseo viril por la soberanía y el poder. Para ello, se aborda la conceptualización que Bataille hizo sobre la virilidad en tres momentos distintivos de su obra. El primero es durante su militancia en el movimiento Contre-Attaque, en la cual concibió a la virilidad como una voluntad beligerante contra el fascismo. El segundo corresponde con la fundación de Acéphale y la creencia de que la virilidad implicaba la aprehensión heroica de la existencia entera y no solo aquella impuesta por la civilización moderna. Finalmente, el tercer momento es marcado por ‘la experiencia interior’, a la cual defiendo como el itinerario meditativo en el que el deseo viril se ve desarticulado. El ensayo concluye, sin embargo, planteando críticas y preguntas sobre esta misma experiencia.
Extrema violencia, deseo e imaginación: Hegel, Balibar, Spinoza
Authors: Gómez Calderón Cuauhtémoc
Published: August 2022

El artículo gira en torno al concepto de ‘extrema violencia’ en parte de la obra de Étienne Balibar. En primer lugar, el argumento parte de la idea de que la violencia en la filosofía hegeliana puede ser convertible en Institución, Moralidad o Razón. Sin embargo, esta idea será trabajada y cuestionada a lo largo de nuestro escrito. Especialmente, para desestabilizar la idea de que la violencia puede eliminarse como elemento constitutivo de la discusión política. En segundo lugar, se explora las formas en que la violencia inconvertible es de hecho posible, en ese momento se torna extrema violencia. Nuestro texto muestra dos escenas indisociables y continuas de esta violencia inconvertible en tanto: violencia ultraobjetiva y violencia ultrasubjetiva. Finalmente, profundizamos la idea de cómo la violencia ultra subjetiva se asocia a la fantasía, a la imaginación y al deseo de aniquilar la alteridad. Y se sugiere a la práctica política como un momento de interrupción de este continuum de la extrema violencia, que siempre acecha con minar las condiciones de posibilidad de la política misma.
The Impact of of Accounting Information on Stock Returns – Integrative Literature Review
Authors: Alshaikh Mutaz A.
Published: August 2022

The literature review provides an integrative (and occasionally critical) review and evaluation of relevant literature. This is mostly done by putting this study in the context of relevant research in capital markets accounting and asset pricing, such as arbitrage pricing and the empirical evidence on return anomalies.
The Analysis of National Health Insurance for Hospital Daily Patient Visits During Covid-19 in Mother-Child Hospital “Putri” Surabaya, Indonesia
Authors: Susanti Ari , Amalia Nuke
Published: August 2022

Introduction: Covid-19 has made changes to health services in Indonesia. It occurs in the hospital service flow, so patients must adjust to the restrictions that apply in the hospital. National health insurance (JKN) in Indonesia provides public access to health services. The existence of health insurance should be the solution for patients who are willing to take advantage of health services. Meanwhile, in the covid-19 condition, health services are essential, so they have to get a lot of attention. Objective: The purpose of this study was to analyze National Health Insurance (JKN) patients before and during covid-19 in Mother-Child Hospital "Putri" Surabaya. Methods: This study used descriptive analysis of national health insurance hospital patient visits (both outpatient and inpatient) in Mother-Child "Putri" Hospital Surabaya. The data was taken twice, which is before covid-19, from January 2018 to February 2020, and during Covid-19 from March 2020 to December 2021. Result: The results showed that the trend of JKN patients before and during covid-19 was very different. Before covid-19, there was a tendency to see an increase in JKN patients. During COVID-19, the JKN patient was reduced. Conclusion: Covid-19 is one of the factors that affected the reduction of JKN patients in Mother-Child Hospital "Putri" Surabaya. Not only this hospital, but all health-care services.
Flavored Carbonated Beverages: A Case Study on Bisleri Pop
Authors: Rao Aman , Guha Sriparna
Published: August 2022

"Flavored carbonated beverages" are popularly known as "Soft Drinks" which typically contain carbonated water, a sweetener, and a flavouring agent. It may also contain caffeine, coloring, preservatives, and other ingredients. Soft drinks are the beverage of choice for millions of people, second only to water. The first marketed soft drinks in the Western world appeared in the 17th century, which were made of water and lemon juice sweetened with honey. There are no nutritionally beneficial components in soft drinks. Soft drinks mostly consist of filtered water and refined sugar. Bisleri International (Bisleri) re-entered the Indian soft drink market in February 2016 with the introduction of "Bisleri Pop." Bisleri, on the other hand, will face a number of hurdles in the coming days. To begin with, two multinational corporations (MNCs), Coca-Cola and PepsiCo, dominated the price and flavour pyramid in India's soft-drinks market. The case study of BISLERI POP, an Indian carbonated soft drink firm, focuses on some of the main problems, such as the company's competitive position, the strengths and weaknesses of its marketing strategies, consumer awareness, customer perception, cultural differences, and so on. This study was conducted using a descriptive research design. Google and other web sources were used to get primary data. In order to do a comparison analysis, information from Bisleri Pvt. Ltd. and other websites is used. Even though Bisleri Pop is one of the most well-known and respected bottled water brands in India, most people were not impressed by it.
CROP PERFORMANCES AND GENETIC VARIABILITY ANALYSIS OF SEVEN TOMATO GENOTYPES CONDUCTED UNDER AGRO ECOLOGICAL FARMING MANAGEMENT
Authors: Boulgheb Abdelmadjid , Baaziz Zeineb , Falfali Amina , Reguieg Lies , Aissat Abd El Kader
Published: August 2022

Tomato crop occupies a predominant place after that of potatoes in market garden crops in Algeria. The main purposes of this study were to evaluate crop performances, variability of some morphologic and phenologic traits, and correlations with the yield of seven (07) genotypes of tomato. The trials were carried out on Random Complete Blocs Design (RCBD) with three replications at the local unheated greenhouse during the period from November to June 2018. The most important morphological markers used were stem growth rate, inflorescence (Number of flowers, length of peduncle) and fruit characters (length and circumstance), phenologic stages, and average yield. The effect of the genetic material on the observed variability was significant for all the traits considered. Additionally, we noticed positive values of correlation coefficients of yield with stem length between every two clusters and the number of leave under cluster, average fruit weight, and earliness to flowering. Additionally, earliness to flowering shows very high and stable correlations (above 0.8) with yield during the crop cycle. The principal component analysis showed that the first two components generated 62.17 % of variability, while the first four components accumulated more than 93 % (93.51 %) of the total diversity. Moreover, the dendrogram analysis classified the genotypes within 03 groups.
Comparison of Modified D-H Notation with Standard D-H for and all of Direct Kinematics of Industrial Robotic manipulators
Authors:   Department of Robotic EngineeringAdvanced Robotics Institute (I.A.R.)Santo André, Brasil, Ciuccio Ricardo Luiz
Published: August 2022

The accelerated growth of technology has allowed the development of more complex electromechanical structures and specific to the industry demand. Robots have emerged to meet this demand. The main objective of this work is to present a study of direct kinematics with the purpose of analyzing the behavior of the position and orientation of the industrial robotic manipulator in cartesian space in relation to a coordinate system. The methodology used in this exploratory scientific research will be developed, based on experimental tests, bibliographic references and case study applied at the Advanced Robotics Institute (IAR). The robot under study is the YASKAWA-MOTOMAN-GP7, from the IAR Robotics laboratory. The work contributes to an analysis and proof of Denavit-Hartenberg's notation. The results are the determination of the equations of direct kinematics of the robot, matrix equations developed in the MATLAB© software implemented capable of proving the mathematical model developed, which applies in all industrial robots.
Local and Regional Anesthesia: Clinical Considerations
Authors:   Departamento de Anestesiología, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico de Nacional de Occidente (CMNO), IMSS, Guadalajara, Jalisco, México, Mayorga Diego Eduardo Saavedra
Published: August 2022

Local and regional anesthesia, in discrepancy to systemic, general anesthesia, involves the reversible deadening of a specific region of the body to help any sensation of pain. Pain may be blocked on different situations of its signal transduction pathway,e.g., at the point of origin, along the jitters, or in the brain. Consequently, local and regional anesthesia can be divided into local topical and infiltration anesthesia, regional supplemental whim-whams blocks( PNB), and neuraxial anesthesia(e.g., spinal and epidural). Local anesthesia can be combined with general anesthesia, allowing the boluses of anesthetic and analgesic medicines to be reduced during surgery, and may exclude the need for other measures to achieve sufficient anesthesia( depending on the timeframe of surgery, threat profile, case's concurrence). In general, local anesthesia carries lower threat than general anesthesia, as essential body functions(e.g., respiration) aren't affected.
The Role of Bone Marrow Aspiration in Diagnosis of Hypersplenism and other Diseases in Kassala Area Eastern Sudan, October 2016-October 2017
Authors:   Department of Pathology Faculty of Medicine and Health Science Kassala University Sudan, kroum Samah A
Published: August 2022

Introduction: Bone marrow aspiration (BMA) is an important tool in diagnosis of many haematological and non-haematological diseases. BMA usually done together with complete blood cell count (CBC) and peripheral blood picture. BMA needed for diagnosis of hypersplinsm. BMA alone is sufficient for diagnosis of megaloblastic anaemia, microcytic anaemia, acute leukaemia, chronic myeloid leukaemia, chronic lymphocytic leukaemia and immune thrombocytopenic purpura (ITP). The objective of this study was to determine the indication of bone Aspiration (BMA) in Kassala state eastern Sudan. Identify the important of BMA in diagnosis of hyperslenism and other diseases in the area. Methodology: All cases for BMA referred from different hospitals and health centres in Kassala state. Seventy-one cases of bone marrow aspiration conducted at the Department of Pathology Faculty of Medicine, Kassala University from October 2016 to October 2017. Blood cell count and peripheral blood picture done for all patients subjected for bone marrow aspiration. Clinical information, physical examination, BMA results and other investigations recorded in specially designed form. Data entered on SPSS version 15 and statistically analyse. Results: In 71 of patients underwent BMA, 46 (64.8%) of them with splenomegaly. Twenty (44%) of patients with splenomegaly was due to bilharzia, 18 (39%) due to malaria, two due to malignancy (4%), two (4%) due Visceral Leishmaniosis and two unrevealed causes. Out of the cases with splenomegaly 34 (73.9%) showed features of hypersplenism. Non-splenomegaly cases, 8(32%), 3(12%), 2(8%), iron deficiency, haemolytic, aplastic, and megaloblastic anaemia respectively. 4 cases diagnosed as Idiopathic Thrombocytopenia (ITP). Two cases diagnosed as acute leukaemia. Conclusion: Bone marrow aspiration was very important tool for diagnosis of hypersplenism, endemic diseases in the area and other haematological disorders.
Sistem Informasi Penjualan Furniture Berbasis Web Menggunakan Bahasa Pemrograman Php Mysql
Authors: Putri Perra Budiarti Rahayu , Wijaya Anggi Hadi
Published: August 2022

This research was conducted at the Berkat Furniture Store, this study aims to create a Web-based furniture sales information system at the Berkat Furniture Store.With this system, it is hoped that it can provide convenience in the process of promoting products to the process of selling furniture, starting from ordering and making it easier for consumers to make transactions online and anywhere without consumers having to come to the store to get a product they want. And in designing the application, the PHP programming language and MySQL database are used which aims to make it easier for users to understand and understand.
Evaluation of a vegetable meat made with Pigeon Pea (Cajanus cajan (L.) Huth), Lentils
(Lens culinaris Medik) and Chia (Salvia hispanica L.)
Authors: Castro García Alex , Jácome Reyes Sarly
Published: August 2022

The nutritional values of pigeon pea, lentils and chia are factors to consider promoting nutrition and providing healthy alternatives, seeking to improve people's quality of life. The objective of this research was to evaluate the nutritional contribution, physicochemical, sensory and microbiological parameters of a vegetable meat made from pigeon pea and lentils, fortified with chia and vacuum-packed. Quantitative variables (pH, humidity, proteins, carbohydrates, fats, ashes and fiber), qualitative (color, smell, taste and texture) and microbiologicals (total coliforms, molds and yeasts) were evaluated. The treatments were T1 (55 % lentil, 40 % pigeon pea and 5 % chia), T2 (50 % lentil, 45 % pigeon pea and 5 % chia) T3 (40 % lentil, 55 % pigeon pea and 5 % chia) and T4 (control, 50 % lentil and 50 % pigeon pea). 30 experts were considered for sensory acceptance in terms of color, smell, taste and texture. The vegetable meat from pigeon pea, lentil and chia vacuum-packed, had a great nutritional contribution. T3 had the best values of proteins, carbohydrates, fats, ashes, fiber and acceptable values of pH and humidity, being the best treatment. The lentil used in the highest percentage (T3), obtained greater sensory acceptance, presenting better characteristics in terms of color, smell, flavor and texture, demonstrating positive organoleptic properties in the final product. The microbiological analysis performed showed values that are within the provisions of the respective standard.
FAKTOR - FAKTOR E-COMMERCE YANG MEMENGARUHI TINGKAT KONSUMERISME DI JAKARTA
Authors: Rakhman Abdulah , Wirianto Hansel , Bunfa Liaw , Rifiyanti Hafizah
Published: August 2022

Pengguna internet di Indonesia semakin besar dan pertumbuhannya sangat pesat. Demikian pula jumlah pembelanjaan secara daring melalui pasar daring atau yang dikenal juga sebagai e-commerce tumbuh dengan pesat di Indonesia. Ditemukan bahwa jumlah pengunjung e-commerce di Indonesia dapat mencapai ratusan juta kunjungan per bulannya, dua diantaranya yaitu Tokopedia dan Shopee. Tujuan dari penelitian ini adalah untuk mengetahui faktor dari e-commerce yang dapat memengaruhi pola konsumtif masyarakat Indonesia terutama di Jakarta. Variabel bebas dalam tesis ini adalah variabel antarmuka pengguna (User Interface/UI) yaitu tampilan dari sistem atau aplikasi yang digunakan, dan pengalaman pengguna (User Experience/UX) yaitu pengalaman yang didapatkan saat menggunakan aplikasi atau kedua hal ini biasa disebut UI/UX, promo online, persepsi kemudahan penggunaan, privasi, dan variabel kepercayaan. Tesis ini membahas pengaruh variabel bebas tersebut terhadap konsumerisme. Metode analisa penelitian ini bersifat deskriptif dengan melakukan survei secara daring dengan pembagian kuesioner menggunakan google form. Responden penelitian ini sebanyak 240 orang yang pernah berbelanja pada e-commerce. Hipotesis penelitian menggunakan model analisis regresi linier berganda dan diolah menggunakan SPSS. Hasil penelitian menunjukkan variabel UI/UX, promo, privasi, dan kepercayaan berpengaruh positif terhadap tingkat konsumerisme pada pengguna e-commerce di Jakarta, sementara variabel persepsi kemudahan penggunaan tidak berpengaruh signifikan terhadap konsumerisme
ANALISIS STRATEGI PENGEMBANGAN AGRIBISNIS TERPADU KOPI ARABIKA DI KABUPATEN ENREKANG
Authors: Puspitasari Dewi , Kadir Muhammad , Ramli Hartini
Published: August 2022

Kopi Arabika merupakan salah satu komoditas Agribisnis bernilai ekonomi tinggi bagi masyarakat di kabupaten Enrekang, Sulawesi Selatan. Guna mengetahui lebih dalam mengenai strategi pengembangan Agribisnis Kopi Arabika Di Kabupaten Enrekang sehingga perputaran nilai ekonomi komoditi kopi lebih meningkat maka dilakukan penelitian yang bertujuan: (1). Menelaah Faktor- faktor penting apa saja yang jadi Kekuatan, kelemahan, Peluang, serta ancaman untuk pengembangan agribisnis kopi arabika di Kabupaten Enrekang dari aspek eksternal dan Internal, dan (2). Strategi untuk pengembangan Agribisnis kopi arabika di Kabupaten Enrekang. Analisa informasi terdiri dari analisa deskriptif serta analisa 3 langkah perumusan strategi. Alat analisa yang dipakai untuk merumuskan strategi merupakan matriks IFE, Matriks EFE. Berdasarkan pada hasil analisa yang diperoleh maka prioritas strategi yang diseleksi itu merupakan: 1. Strategi Peningkatan Produksi dan agribisnis Kopi Arabika dengan menggunakan ketersediaan lahan serta SDM yang ahli. 2. Menjaga kelebihan produk kopi serta kemempuan memenuhi permintaan peminat kopi yang terus bertambah 3. Mengoptimalkan pengolahan tanah untuk pengembangan usaha pertanaman kopi melalui kegiatan terpadu pertanian dan perkebunan serta kebutuhan memperoleh pelatihan Agribisnis dan pengembangan usaha tani Kopi Arabika terpadu. 4. Memanfaatkan secara maksimal kelebihan sumber daya (Manusia, Alam, Mesin). Rumusan Strategi Penting bagi pemangku kebijkaan di kabuaten Enrekang guna mendukung pengembangan komoditi Kopi Arabika dan kesejahteraan petani
Nadir Görülen Malign Mide Tümörlerinde Cerrahi Tedavi Sonuçlarımız
Authors: GÜNDOĞDU Ramazan , YABANOĞLU Hakan , ERKAN Serkan , KUŞ Murat
Published: August 2022

Mide kanserleri yaygın görülme oranı ve yüksek mortalitesi nedeniyle halen önemini koruyan bir hastalıktır. En sık görülen histopatolojik alt tipi adenokanserlerdir. Nadir görülen mide kanserlerinin saptanması klinik şüphe ve ek tetkikler gerektirebilmektedir. Bu çalışmada gastrektomi yapılan; nadir görülen histopatolojik tanılı 22 mide kanseri hastasının klinik ve cerrahi tedavi sonuçlarının literatür eşliğinde sunulması amaçlanmıştır. Merkezimizde Ocak 2011-Ekim 2020 tarihleri arasında malign nedenle gastrektomi uyguladığımız hastaların dosyaları geriye dönük incelendi. Nadir gözlenen histopatolojik tanılı ve verilerine ulaşılabilen 22 hasta çalışmaya alındı. Hastaların dosyaları geriye dönük incelenerek yaş, cinsiyet, gastroskopi bulguları, gastroskopik biyopsi, uygulanan cerrahi prosedür, ek tetkik, patoloji raporları, tümör çapı, takip süresi, nüks ve mortalite bilgileri kaydedildi. Çalışmaya 11’i erkek, 11’i kadın 22 hasta dahil edildi. Hastaların yaş ortalaması 53 (18-77) idi. Biyopsilerinde malignite saptanmayan dört hastanın ikisi EUS, biri PET-CT, biri MR bulgularında maligniteden şüphelenilmesi sonrasında opere edildi. Hastaların 12’si GİST, beşi nöroendokrin tümör, ikisi Non Hodkin Lenfoma, ikisi leiomyosarkom, biri skuamoz hücreli karsinomdu. Ortalama takip süresi 36 (0.3-108) aydı. Mide lezyonlarında olası nadir görülen mide kanserlerinin atlanmaması için ek görüntüleme yapılması ve deneyimi yüksek merkezlerce yönetimi önem taşımaktadır.
CASE STUDY OF THE RADIOGRAPHER CREDENTIAL PROGRAM AS A STANDARD FOR SLEMAN REGIONAL HOSPITAL, 2019
Authors: Yusuf Dani
Published: August 2022

Background : In order to maintain clinical governance in the radiology installation, it is necessary to do the radiographer’s credential program as it serves to collect, Verify and evaluate educational licenses, training, competence, And experience of existing health workers. Credentials are an evaluation process by the hospital of a health worker to determine whether the person concerned is worthy of a clinical assignment and clinical authority to carry out certain medical care/actions within the hospital environment for a certain period.Purpose : To analyze the perceptions of radiographers and relevant policy makers, about the process of implementing the credential program for the radiographer profession, especially in RSUD Sleman.Methods : Methods of data collection through in-depth interviews with radiographers and policy makers, And documentary studies related to the radiographer’s credential program in hospitals. For the result of the research, the radiographer’s credential were analyzed using qualitative methods. The location is in Sleman hospital, Yogyakarta.Results : From the analysis of the radiographer’s perception of the credential program, it was found that the implementation of the radiographer’s credentials at the Sleman Hospital was in accordance with the existing mechanism.Conclusion : From the research result, it can be concluded that the implementation of credentials at the Sleman Hospital has been carried out independently, but the implementation of the radiographer’s credentials program independently needs to be evaluated regarding the implementation mechanism. Because the credential program is only limited to the administrative aspect (portfolio), This is still less than ideal and objective, Considering the increasingly complex services available in radiology installations. More competency assessment methods are needed to maintain accountability and competence of health workers in order to ensure that patients get safe and quality health services.
ANALISIS BUDAYA KESELAMATAN PASIEN BERBASIS HSOPSC (HOSPITAL SURVEY ON PATIENT SAFETY CULTURE) SEBAGAI UPAYA PENINGKATAN MUTU DAN KESELAMATAN PASIEN RUMAH SAKIT DI KABUPATEN KARANGANYAR
Authors: Anggraini Anggi Napida
Published: August 2022

Gerakan keselamatan pasien menjadi salah satu goal dari akreditasi rumah sakit JCI (Joint Commission International) merupakan program pemerintah Indonesia sebagai acuan bagi rumah sakit untuk melaksanakan sistem keselamatan pasien sesuai standar yang ditetapkan. Rumah sakit dipaksa memiliki upaya untuk melakukan tindakan yang bersifat preventif untuk mencegah terjadinya medical error yang berkaitan dengan keselamatan pasien, maka manajemen rumah sakit perlu menciptakan serta membangun budaya keselamatan pasien. Di Indonesia, laporan insiden Keselamatan Pasien menemukan adanya pelaporan kasus KTD (14,41%) dan KNC (18,53%) yang disebabkan karena proses atau prosedur klinik (9,26 %), medikasi (9,26%), dan Pasien jatuh (5,15%) (KKP RS, 2011). Rumah Sakit di Kabupaten Karanganyar merupakan RSU Tipe C yang berada di Provinsi Jawa Tengah yang memiliki kewajiban menerapkan Keselamatan Pasien di seluruh area pelayanan, sejak tahun 2012 the Joint Commission mengeluarkan standar akreditasi yang berlaku secara global untuk rumah sakit yang menekankan serta fokus pada pasien yaitu Standar Joint Commission International (JCI). Penelitian ini bertujuan untuk menganalisis Budaya Keselamatan Pasien Berbasis HSOPSC (Hospital Survey On Patient Safety Culture) Di Rumah Sakit di Kabupaten Karanganyar. Dengan menggunakan pendekatan mixed methods research yaitu metode kuantitatif dan kualitatif. Sampel pada penelitian ini adalah perawat dan bidan yang memiliki masa kerja >1 tahun, tehnik sampling menggunakan total sampling. Responden pada kualitatif menggunakan 3 responden dari TIM KPRS. Penelitian ini dilakukan di Rumah Sakit di Kabupaten Karanganyar pada bulan April – Agustus 2020, Analisis data menggunakan distribusi frekuensi dan analisis konten dengan triangulasi data. Hasil penelitian ini menunjukkan bahwa pelaksanaan budaya keselamatan pasien di Rumah Sakit di Kabupaten Karanganyar sudah terlaksana dengan baik dan memiliki budaya keselamatan pasien yang kuat (92,8%). Hambatan dalam pelaksanaan budaya keselamatan pasien antara lain beban kerja tenaga kesehatan, blaming culture, dan dukungan manajemen yang masih perlu dioptimalkan lagi.
Financial Ethics and Performance of Kenyan Small and Medium Commercial Banks
Authors: Ogutu Amos Washika , Kuya Johnstone
Published: August 2022

Purpose: Past empirical investigations on financial ethics have failed to provide an empirical analysis of the primary unethical banking practices prevalent in Kenya’s banking industry, or the perceptions of banking professionals on the type of concerns they believe might be influencing their resolution making. This study aimed at investigating the impact of ethical financial practices on the financial performance of small and medium banks in Kenya. The specific objectives of this research were to; analyse the effect of insider abuse and to investigate the effect of predatory lending on financial performance of small and medium sized commercial banks in Kenya.

Methodology: The research was informed by the Ethical Egoism Theory which predisposes that people should entirely act in their self- interest. The study involved 124 heads of key functional units of the 33 small and medium banks in Kenya that were operational at the time of the study. From the target population of 124 bank managers, a proportionate stratified sample of 94 bank managers was selected for the study using Cochran and Snedecor (1989). Utilizing both primary data, the study applied a semi-structured questionnaire as the main research instrument. Both descriptive and inferential statistics were used for data analysis using the 23rd version of SPSS. From the analyses, the independent variables (predatory lending and insider dealings) moderately influenced the dependent variable (ROA and ROE) with an adjusted R2 = 0.025.

Findings: From the findings, the Multiple Determination Coefficient (R2) was 0.056 meaning that linear regression of “Low fit goodness” explains only 5.6% of the variation in the economic performance of the small and medium banks in Kenya. To establish the cumulative effect of the variables of prediction on the dependent variable, the Analysis of Variance (ANOVA) was applied to determine and analyse the effects of interaction. The study concluded that, a number of insider dealings and predatory banking practices still prevail among the small and medium Kenyan banks despite the ongoing reforms in the banking sector.

Recommendations: The study recommends that commercial banks and other financial institutions in Kenya invest more in establishing systems that promote financial ethics in their service delivery to build their core competency in the dynamic market. At policy level, this study proposes that the Central Bank of Kenya, the Treasury and, other line agencies fast-track the fiscal reform agenda with regards to prudential banking and financial service delivery to mitigate the influence of systemic supervisory weaknesses.