bluuebunny/crossref_metadata_2025 huggingface dataset:
Urgensi Pelaksanaan Skrining Riwayat Kesehatan Peserta JKN-KIS dengan Pendekatan Stakeholder Engagement
Authors: Juwita Nanda Elok , Santoso Dwi
Published: December 2022

Abstrak: Pelaksanaan skrining riwayat kesehatan menjadi salah satu perhatian utama saat ini di BPJS Kesehatan RI. Pelaksanaannya dapat dijalankan dengan maksimal apabila adanya proses stakeholder engagement yang baik dan terstruktur dalam organisasi. Tujuan dari penelitian ini yakni menganalisa tentang urgensi pelaksanaan skrining riwayat kesehatan yang terdiri dari urgensi terkait hierarki peraturan di Indonesia, prevalensi 4 Penyakit Tidak Menular, keterkaitan antara 4 Penyakit Tidak Menular, bahaya dan dampak jika skrining riwayat kesehatan tidak dilakukan serta manfaat skrining riwayat kesehatan. Setelah itu, peneliti menggunakan Kerangka Kerja Ray dan Miller dari penelitian lain kemudian membandingkan kecocokan penggunaan kerangka tersebut pada proses stakeholder engagement yang sudah dijalankan dalam mencapai skrining riwayat kesehatan di KC Singkawang. Metode yang digunakan dalam penelitian ini yakni literature review dikombinasikan dengan komparasi terhadap keadaan di lapangan. Penggunaan referensi menggunakan data sekunder dari berbagai macam penelitian luar maupun dalam negeri. Terhadap hasil, ditemukan berbagai data terkait kelima urgensi tersebut yang dapat menjadi alasan bahwa skrining riwayat kesehatan wajib untuk seluruh peserta JKN-KIS, serta kerangka kerja Ray dan Miller sangat cocok jika diterapkan lebih lanjut dalam proses stakeholder engagement di KC Singkawang. Diharapkan terhadap penelitian selanjutnya dapat melakukan penelitian kuantitatif terkait pengaruh kerangka kerja Ray dan Miller dalam penerapan stakeholder engagement untuk mencapai skrining riwayat kesehatan yang komprehensif.

Kata kunci: Urgensi; Skrining Riwayat Kesehatan; Peserta JKN-KIS; Keterlibatan Pemangku Kepentingan; Kerangka Kerja Ray dan Miller.
Analisa Kondisi Sumber Daya Manusia Lintas Generasi pada Era Revolusi Industri 4.0 di Indonesia: Tinjauan Literatur
Authors: Nopi Hidayat  , Musa Hubeis  , Anggraini Sukmawati  , Eriyatno  , Bintang Akbar MB
Published: December 2022

Changes in digitalization and automation show that a country has entered the Industrial Revolution Era 4.0. In its history, the Industrial Revolution has always brought many transformations, including a shift in the function of Human Resources (HR) to machines. Basically the main goal of HR management is to ensure that the organization has the appropriate HR knowledge and skills in the present and future, including changing jobs with the necessary competencies in the right positions. This study helps provide an understanding of cross-generational HR management in the Industrial Revolution 4.0 Era. Talent Management is the key to the challenges in the Industrial Revolution Era 4.0. This study uses literature studies obtained from reference reading sources related to the similarity of human resource conditions in Western countries and Indonesia across generations. It was found that there were similarities in the occurrence of historical phenomena in American, European countries including Indonesia that affected the Baby Boomers Generation, X and Y. The similarity of ways of working, mindset and values in each generation are the advantages of Talent Management in preparing the right competencies in facing the Industrial Revolution Era 4.0.
Efektivitas Peran dan Fungsi Tim Kendali Mutu Kendali Biaya (TKMKB) Provinsi Sulawesi Selatan Dalam Memberikan Rekomendasi Penyelesaian Dispute Klaim Tahun 2021
Authors: Wahidah Muhayyina , Yusuf Irawan
Published: December 2022

Dalam pelaksanaan program JKN masih ditemui kendala penjaminan pelayanan Kesehatan yang belum sesuai prinsip strategic purchasing. Mutu layanan di Fasilitas Kesehatan yang belum optimal serta kasus dispute mempengaruhi efisiensi, cost-effectiveness serta akuntabilitas Program JKN. Klaim dispute yaitu klaim yang belum disetujui karena adanya ketidaksepakatan antara FKRTL dan BPJS Kesehatan terhadap klaim yang diajukan yang penyelesaiannya dapat melibatkan TKMKB sebagai Tim bersifat independen yang memiliki kekuatan serta representasi dari organisasi profesi, akademisi, dan pakar secara komprehensif dimana luaran rekomendasi objektif dan berbasis data dari TKMKB eskalatif mampu menjadi jembatan efektif dan efisien dalam persoalan mutu layanan dan pembiayaan. Peran dan fungsi Tim KMKB ini juga menghasilkan rekomendasi kebijakan kendali mutu kendali biaya yang sesuai dengan kapasitas dan kapabilitas daerah, memberikan second opinion dan rekomendasi kebijakan penyelesaian dispute klaim kepada BPJS Kesehatan dan FKRTL. Untuk menilai efektivitas peran dan fungsi TKMKB Provinsi Sulawesi Selatan dalam memberikan rekomendasi penyelesaian dispute klaim maka dilaksanakan penelitian ini. Metode digunakan deskriptif kuantitatif dengan membandingkan data dispute klaim pada Bulan Pembebanan Januari sampai Desember Tahun 2021 di Provinsi Sulawesi Selatan berdasarkan Laporan Rutin Bulanan Dispute Klaim Kantor Cabang serta data peningkatan maturitas klaim. Hasil penelitian ditemukan bahwa terdapat penurunan kasus dispute klaim setelah Pertemuan TKMKB di 6 Kantor Cabang. Hal ini terbukti dengan peningkatan kualitas maturitas klaim RJTL dan RITL, maturitas klaim ini dipengaruhi oleh dispute klaim. Semakin sedikit dispute klaim yang belum terselesaikan, semakin tinggi kualitas klaim FKRTL. Sehingga peran dan fungsi TKMKB dalam memberikan rekomendasi penyelesaian dispute klaim kepada BPJS Kesehatan dan FKRTL dinilai efektif.
Kesiapan Rumah Sakit Dalam Implementasi Sistem Pembayaran Global Budget Di Kabupaten Purworejo
Authors: Anjayani Dina , Meliala Andreasta , Hendrartini Yulita
Published: December 2022

The Global Budget payment method was adopted because of the annual increase in healthcare costs, which requires for cost control to guarantee that expenditures are reasonable and resources are distributed fairly without reducing the standard of service. A global budget system provides hospitals the flexibility to utilize the budget to enhance healthcare while also providing financing stability for a predetermined period of time.  In 2018, BPJS Kesehatan initiated a pilot project to integrate the INA CBGs and Global Budget mixed-method hospital payment system (global budget). Purworejo Regency is one of the areas designated as a pilot for the Global Budget payment system's deployment. The outcomes of the Hospital performance indicators in the first semester review were less than ideal. As a consequence, it is required to conduct study into the Hospital's readiness to implement the Global budget Payment System.  A descriptive design and a qualitative methodology were used in the research. The management of four hospitals in Purworejo Regency is the topic of the study.  Observations and interviews were used to explore the readiness of hospitals in implementing the Global Budget payment system in terms of health facilities perception, Quality Control and Cost Control strategies, Global Budget calculations, and patient satisfaction through the results of the Walk Through Audit.  Through the four key variables mentioned above, the scoring technique is used to evaluate the readiness of hospitals to implement the Global Budget payment system.  The modified CCCEAR (California Community Clinic EHR Evaluation and Readiness) tool is used for the readiness assessment, which has three readiness levels: 1) not ready (score 0-33), 2) moderately ready (34-66), and 3) definitely ready (67-100).  Result :  According to a qualitative examination of data from observations and interviews, the hospital received scores of 26 from assessor II and 24 from assessor I, positioning it in the second range. This demonstrates that the hospital fits into the category of being not ready and that it has not considered about developing a more comprehensive and in-depth plan for implementing the Global Budget payment system as well as how to create capacity to enable successful adoption and implementation.  Conclusion : The hospital is not yet at its highest level of readiness to proceed with adopting the Global Budget payment system in Purworejo Regency, according to the findings of scoring on four variables of hospital readiness.
Inteligencia Emocional y Rendimiento Académico en Estudiantes de Último Año de Psicología de una Universidad Pública del Valle de Sula, Honduras
Authors: Zúniga Valle Carmen María , Fernández López Zuly Marlene , Zelaya Guardado Alba Luz , Mejía Velásquez Abelina , López Santos Carmen Siomara
Published: December 2022

La inteligencia emocional ha tomado mucha importancia en las últimas décadas, debido al impacto que tienen las demandas socio-económicas en las personas y que consecuentemente repercuten en la salud física, mental y estabilidad familiar de los individuos. Los estudiantes llegan a los centros educativos cargados de una variedad de conflictos que exacerban su capacidad de afrontamiento, lo cual puede llegar a afectarles en su desempeño académico. Ante esta realidad, se llevó a cabo la investigación sobre inteligencia emocional y rendimiento académico; con el objetivo de analizar si existe relación significativa entre ambas variables y describir las dimensiones de la inteligencia emocional en los jóvenes universitarios. Este estudio se realizó utilizando un enfoque cuantitativo, con alcance descriptivo-correlacional, diseño no experimental, transversal, con una muestra por conveniencia conformada por 71 estudiantes de psicología de la Universidad Nacional Autónoma de Honduras Valle de Sula, cursando la última clase de la carrera. Los resultados evidencian que no existe relación significativa entre la inteligencia emocional y sus dimensiones (atención a los sentimientos, claridad emocional, reparación de las emociones) con el rendimiento académico.
Proceso de Enseñanza y Aprendizaje de Estudiantes Rarámuri en una Escuela Primaria Indígena Mexicana
Authors: Pérez Loya Irma , Arán Sánchez Ana
Published: December 2022

El propósito de esta investigación es analizar el proceso de enseñanza y aprendizaje de una escuela primaria indígena, explorando aspectos como la lengua que los docentes utilizan, así como la planeación y los materiales didácticos. También se considera la perspectiva de los estudiantes sobre su proceso de aprendizaje y sentir respecto al trabajo presencial y a distancia. El estudio se llevó a cabo en una escuela primaria indígena de la Sierra Tarahumara en Chihuahua, México, a la cual asisten principalmente estudiantes del pueblo originario rarámuri. La investigación se enmarca en el paradigma interpretativo con un enfoque cualitativo. Se utiliza el método fenomenológico, con la aplicación de un cuestionario para docentes y otro para los diez alumnos informantes clave. Entre los hallazgos, se encuentra que los docentes trabajan de acuerdo a los lineamientos de la educación bilingüe, al utilizar el español y la lengua indígena, y que adaptan los contenidos curriculares y los materiales didácticos al contexto del alumnado para que resulten significativos. Así mismo, se evidencia la necesidad de implementar una educación intercultural no únicamente con los estudiantes indígenas sino con toda la población, para superar los problemas de comunicación que se presentan debido a las variantes de la lengua.
Aulas Virtuales y la Enseñanza Digital: Buenas Prácticas desde la Experiencia y Capacitación Docente en la FACYT UPNFM CURSPS
Authors: Baide Pérez David Antonio , Montenegro Mejía Carlos Roney
Published: December 2022

El uso adecuado de espacios virtuales de aprendizaje representa un elemento importante en el proceso educativo, la necesidad de formación y actualización docente han aumentado durante la pandemia por el COVID-19 y las universidades deben afrontar estos desafíos. En esa línea, este estudio analiza el uso de las aulas virtuales y las buenas prácticas en la enseñanza digital en la Facultad de Ciencia y Tecnología (FACYT) de la Universidad Pedagógica Nacional Francisco Morazán (UPNFM) Centro Universitario Regional San Pedro Sula (CURSPS), Honduras, desde la experiencia y la capacitación docente durante la pandemia por el COVID-19, a partir de un enfoque mixto, donde se estudian las variables: aulas virtuales, enseñanza digital y, experiencia y capacitación docente. La muestra contemplada en este trabajo abarca 24 docentes y 177 estudiantes del tercer trimestre 2021 de la FACYT, UPNFM, CURSPS, haciendo uso de instrumentos: escala tipo Likert, entrevista y lista de cotejo, se logró identificar las principales herramientas internas y externas que se utilizan en las aulas virtuales, describir las fortalezas y debilidades en el uso de estos espacios y, finalmente, se alcanzó a explicar la importancia de la experiencia y capacitación docente en la mejora de la calidad educativa.
Análisis Multinivel de Factores que Afectan el Rendimiento Escolar en Español Tercer Grado en Honduras
Authors: Rivas Martínez Lesky Ibeth , Cruz Torres Cristian Andrés
Published: December 2022

En este trabajo, se hace un análisis de factores que afectan el rendimiento escolar en español tercer grado en Honduras, utilizando los datos del Tercer Estudio Regional Comparativo y Explicativo (TERCE, 2013), por medio de un modelo de regresión multinivel que permite realizar análisis con estimaciones por niveles; bajo los enfoques frecuentista y bayesiano. En el enfoque frecuentista se realizan varios modelos hasta obtener el modelo final, y se elaboran las pruebas para la verificación de los supuestos de homocedasticidad, ortogonalidad y normalidad, seleccionando el mejor modelo utilizando AIC, BIC, y Log-Verosimilitud. En el enfoque Bayesiano se comparan los modelos utilizando PSIS-LOO y WAIC. Dentro de los principales hallazgos resaltamos, que las variables de mayor impacto son: clima en el aula escolar y prácticas de recreación, las variables instalaciones y servicios básicos de la escuela, indican que unas mejores características de la escuela tienen un efecto positivo y significativo sobre el rendimiento en español de los estudiantes.
Conopidae larvae (Diptera: Conopidae) as endoparasitoids of Aculeata
Authors: Carlos Henrique Marchiori
Published: December 2022

Conopid larvae are internal parasitoids, most are parasitoids of Hymenoptera, particularly those of the Aculeata group, wasps and bees and orthopterans. Adult females are aggressive when attacking their hosts in flight to lay their eggs. The abdomen of the females is modified, it is like a can opener with which they can separate the segments of the abdomen of their victims to insert an egg. The subfamily Stylogastrinae, including the genus Stylogaster, is somewhat different. The egg is shaped like a harpoon, capable of piercing the host's integument. Some species of Stylogaster are mutualistic with army ants. The most important economic and ecological impact caused by Conopidae is probably its harmful effect on pollinating populations of Hymenoptera, especially bumblebees. Conopidae therefore significantly regulates highly infected insect populations and provides substantial selective forces, reducing the colonies' ability to produce sex in late summer. This review aims to verify the biological characteristics of the Conopidae Family. In order to achieve the main objective, a qualitative method was used based on research and analysis of theoretical books, theses banks, university dissertations, national and international scientific articles, scientific journals, documents and digital platforms. The verification of the mini review of the Conopidae Family was carried out from 1961 to 2022.
In Vitro Inhibitory Potential of Lawsonia inermis Extracts against Multidrug Resistant Clinically-Relevant Bacteria: a Phytochemical, Quantitative Antimicrobial and Toxicological Assessment
Authors: OLAİTAN Morufat , NWADİKE Blessing
Published: December 2022

Objective: Majority of the current antibiotics have become less effective due to widespread of multidrug-resistant microorganisms. Medicinal plants are promising candidates that could be used to manage this menace. Therefore, phytochemical, toxicological and antimicrobial potentiality of Lawsonia inermis extracts against MDR clinical bacteria were carried out.

Material-Method: Henna leaf and seed were extracted by cold maceration technique using methanol and water and screened phytochemically. Eight MDR isolates, four of which are ESβL-producers were used for this study. In vitro antimicrobial efficacy and quantitative antimicrobial potency of extracts were estimated. MIC and MBC were determined using broth macrodilution technique. Cytotoxicity test was conducted using brine shrimp lethality assay and LC50 was determined.

Results: The findings of this study revealed that aqueous leaf extract possesses maximum percentage yield of 25.58%. Tannins and phenolic compounds were detected in all extracts, while steroid was absent. Methanol seed extract showed the highest antimicrobial efficacy against all bacteria with 100 percent activity. The highest and lowest zones of inhibition were recorded at 30.0±0.00 and 10.0±0.00 mm, respectively. The zones of inhibition of extracts differed significantly. All extracts displayed highest activity index against the ESβL-producing Enterobacter aerogenes 196 that was isolated from wound with highest value at 4.28. Pseudomonas aeruginosa U109 showed maximum susceptibility index (93.75%); majority of MIC values recorded were within the range of 1.95-62.5 mg/mL. Cytotoxicity test of methanol and aqueous extracts displayed 10001000, respectively.

Conclusion: Findings from this study elucidate the efficacy of Lawsonia inermis as a potential remedy to manage MDR-related infectious bacteria.
HRV BÜYÜME TANISI MODELİNE GÖRE GÜNEY AMERİKAN EKONOMİSİNİN KARAKTERİSTİK ÖZELLİKLERİ
Authors: AKIN Mustafa Şeref
Published: December 2022

Hausmann, Rodrik ve Velasco (HRV) büyüme tanısı modeline göre, Güney Amerikan ekonomisinin özel sektör yatırımlarını engelleyen noktalar tespit edilmiştir. Güney Amerika ülkelerinin ekonomileri ifade edildiğinde anlaşılması gereken karakteristik özellikleri gösterilmektedir. HRV modelinde finansmana erişim ve getiri oranları özel sektörün yatırım kararı almasında en temel faktörlerdir. Güney Amerika ekonomisinin dört temel sorunu: Yüksek faiz oranları, dar ölçekli özel sektör kredi piyasası, büyük gayri resmi sektör ve kamu düzeni eksikliğidir. Finansmana erişimde yüksek kamu borçluluğu ve dolarizasyon ile enflasyon yükselmekte ve dolayısıyla faizler artmaktadır. Dar ölçekli kredi piyasası firmaların uzun dönemli kredi bulmasını zorlaştırmaktadır. Karlılığı olumsuz etkileyen ana faktör gayri resmi sektördür. Çok sayıda mikro ölçekli işletmeler düşük kalifikasyonlu iş gücü istihdam etmelerinden, teknoloji adaptasyonu yetersizliklerinden ve fiziksel sermaye kullanmamalarından dolayı verimsiz üretim yapmaktalardır. Kamusal güvenlik eksikliği şirketlerin büyümesini engellemektedir. Sonuçta Güney Amerika ülkeleri doğal kaynak ihracatçısı kalmaktalardır. Türkiye’nin yüksek orandaki gayri resmi sektörü ile Güney Amerikan ekonomisine benzeşmekte, son yıllarda özel sektörün krediye ulaşmasında kısıtlamalar gevşetilmesiyle ayrışmaktadır.
Brief Report of Possible Anticipation of Earthquakes from Geomagnetic Studies Water Level and Atmospheric Pressure in the South Atlantic
Authors: MA Arecco
Published: December 2022

This paper presents a brief summary of studies carried out in the southwestern Atlantic, based on the analysis of disturbances in the earth’s Geomagnetic Field (GMF), Water Level (WL) and sea-level Atmospheric Pressure (AP) associated with seismic events. GMF records from observatories of the International Real-time Magnetic Observatory Network (INTERMAGNET), WL records from tide stations of the Intergovernmental Oceanographic Commission (IOC), and hourly AP records from databases of the Global Modeling and Assimilation Office (GMAO) of the National Aeronautics and Space Administration (NASA) have been analyzed in the area under study. A comparative table is presented between the frequencies of the GMF wavelet transform analysis, filtered WL records and variation in the AP grids at sea level before and after the earthquakes. It is possible to observe different degrees of approximation in each of the variables regarding the occurrence of earthquakes. For example, in the case of the CMF, some high-intensity seismic events show anomalous frequencies some hours before the earthquake. On the other hand, the WL filtered by astronomical tide, account for the seismic event along the seacoast with a correspondence between wave amplitude and distance to the nearest ports. AP grids account for a dipole type configuration in the distribution of the pressure difference around the earthquake. On the other hand, the time series of atmospheric pressure at ocean level show a local minimum in a range of hours around the occurrence of the event.
Deconstructing Betrayal, Discrimination and Guilt in Khaled Hosseini’s “The Kite Runner”
Authors: Kanosh Hussein K.
Published: December 2022

The current study undertakes a detailed analysis of Khaled Hosseini’s The Kite Runner representative novel. Hosseini, an Afghan born American writer depicts a war-torn Afghanistan in various universal themes i.e., family re-union, discrimination, regret, childhood, guilt, womanhood, betrayal, religion and salvation that played a considerable role in abating commission of crimes in Afghanistan during pre and post-Taliban periods which ended up shaping the interminable psychological scars of the protagonist. In his work, Hosseini reveals the devastating status of Afghans in general and women and children in particular who have, for decades, been irrationally marginalized and confined to the four walls of their homes by the society. His quests for wealth, love, loyalty and unqualified peace among Afghan citizenry whom he equates to have rights just like other human beings globally is the only means through which the protagonist considers a key to chart out a new future. Moreover, in reference to the Pashtun and Hazara ethnic communities’ customs and traditions and by use of historical, factual, real and fictional information, the article discusses the constructive human relations in a society bedeviled with mistrust, confusion, doubt and betrayal. Besides, by adopting the historical perspective method, the study examines how discrimination as a theme has been utilized to portray Hosseini’s literary image as a protagonist writer. Finally, a summary of the paper along with recommendations is made in the conclusion section.
The Oriental Journey -A Trajectory in Chitra Banerjee Divakaruni’s The Mistress of Spices
Authors: Gangan Nisha , Pandian S.Henry , Agarwal Shilpi , R Retna Mony , Moorthi S. , Ross Venetia Savionna
Published: December 2022

This article is an attempt to explore the prospects of transitioning from alienation to acculturation. The ability to change the bitterness of alienation into the sweetness of acculturation lies in the hands of the immigrant. The Mistress of spices through the characters in the novel divulges the secret of acculturation along with its hitches and the requisite for acculturation. Having made it to the host land, it is good for the immigrant to stop brooding over situations and work on settling down. At times, the immigrant might have to resort to the road less travelled, as suggested by Robert Frost in his poem, The Road Not Taken, “Two roads diverged in a wood, and I—I took the one less travelled by, And that has made all the difference”.The diasporic phase should no longer be a battle of the minds but rather a platform for a growth mindset. As the shifting of tectonic plates creates new territories and new horizons, it is high time that a shift in the diasporic mindset is observed. One of the unique features of a growth mindset is to use the roadblocks of migration as opportunities for learning. Migration is a good time to understand and experience the wholesome culture of the place, to dissect the experiences of myth and misconception and fact from fiction, firsthand, in tandem with the sharing of cultural best practices and customs of the homeland.
Exploring Online Arabic Complaints in Hotel Reviews on TripAdvisor: A Discourse-Pragmatic Study
Authors: Alqreeni Gaida Saad , Mahzari Mohammad
Published: December 2022

Although much work has explored Arabic complaints in face-to-face (FTF) communication, the subject has received less scholarly attention in computer mediated communication (CMC). In response to the lack of studies on online Arabic complaints, the present study aimed to identify the types of speech acts employed in Arabic complaints on TripAdvisor, the specific topics evaluated in negative reviews, and the adjectives used to convey the reviewers’ evaluations. The study was conducted on hotels in Saudi Arabia, with a sample comprising 246 reviews of 35 hotels in Riyadh, Al-Khobar, and Jeddah. Only 5-star hotels were included. The data were collected manually and analyzed qualitatively and quantitatively using Microsoft Excel. The results showed that when writing negative reviews on TripAdvisor, Arabs used various speech acts to express their complaints; the most frequently used were retrospective speech acts that included mostly negative evaluations with some positive evaluations. Additionally, the topics most frequently evaluated negatively were services, interpersonal relations, and accommodation; such negative evaluations featured various adjectives with some adverbs to intensify the negative review. Regarding positive evaluations, location was the most frequent positively evaluated aspect, followed by services and accommodation. The results also demonstrated that Arabs rarely used opening and closing speech acts in their negative reviews on TripAdvisor. Finally, the study’s limitations and suggestions are discussed in this paper for the benefit of further research.
Isopluvial Analysis and Intensity Duration Frequency (IDF) Curves for different cities in India
Authors: Das AshokKumar , SRIVASTAVA PRAGATI , YADAV BP
Published: December 2022

Globally water resource management is becoming a priority for every Government. This is due to tremendous increase in population growth,urbanization, modern life style, increase in agricultural activities, industrialization etc. which is increasing the water demand day by day. This paper focuses on design storms studiesusing return period analysis technique (Isopluvial analysis) based on 129 well distributedSelf Recording Raingauge (SRRG) stations in the various climatic zones of India. The extreme rainfall values are taken for preparation of Isopluvial maps for return period of 2-year, 5- year, 10-year, 25-year, 50-year and 100-year at1-hour, 3-hour, 6-hour, 12-hour and 24-hour duration. Further, station wise Intensity Duration Frequency (IDF) curves are also prepared for 27 stations of the country. The Gumble distribution technique for extreme rainfall series is used for this study. Isopluvial maps & IDF curves are found very useful for Design engineers, hydrologists and hydraulic-consultants for the purpose of planning & designing of water resources related projects in the country forthe construction of any drainage network system, metro, road ways etc.and also, to some extend for the estimation of availability of water.
Monitoring of high temperature weather episodes with satellite data
Authors: Sharma Rahul , Kumar Shiv , Giri RK , Pathak Laxmi
Published: December 2022

INSAT-3D/3R Geosatellites are in orbit at 74 and 82 °E positins oerating in staggring mode of 15 minute temporal frequency providing contineous coverage in high spatial domain throgh 6 channel Imager. Satellite derived geophysical parameters like Outgoing Long wave Radiation (OLR), Land Surface Temperature (LST) and Upper Trpospheric Humidity etc are found to very useful in monitoring the high temperature weather episodes affecting almost entie country like Punjab, Hariyam Rajastham Uttar Pradesh (UP), Bihar, Madhra Pradesh (MP)P, , Maharastra, Andhra Paradesh (AP) , Telengana, Tamilnadu Orissa etc starting from mid of March-2022. The actual temperatures in the above said areas pesrsisting above normal ( ~ 4 to 7 C) from Mid March to Mid April-2022 and caued heat wave conditiions in most of the places of the country. The persisteny of the  prevaling heat wave conditions is not only related to surface features but also upper air anticyclonic circulations and sinking of dry air over the affected areas. The entire feedback cycle from lower to middle ttroposphere operating with  dry air mass  (Northerly) almost entire Northwest , Central and parts of South (Maharastra, AP and Telengana) and keep the areas warm and above normal temperature range. The eastward  moving systems also not reaching to lower northern latutudes and moving away and keeping away misture laden winds.

This paper brought out the role of INSAT-3D/3R satellite derived products in monitoring such high temperature episodes. Such type of weather events blended with the support of climatologial features of prevailing weather systems of the season can be utilized in forecasting and its persistence over the area. It is seen from the study that, the OLR vales threshold ranges from 330 -380 watt /m2 in pockets of warmer temperatures or suffering from heat wave conditions. Similarly, the Land surface temperature and UTH values 306 -325 °K & 05-25 % respectively.  The IPWV values in mm are also varies from 2-12 mm during mid-March to mid-April-2022.

 

The satellite and climatological information can be clubbed together up to village level to help the society and disaster management authorities at state /district level  in advance of such high impact weather events. This study is done with limited data sets and in future, it will be carrid out for larger doimain and a suitable the long period avarage (LPA) of past INSAT data (daily, monthly, seasonal), so that areawise thresholds can be generated from almost for entire Indian domain.
Frequency of Incomplete St Segment Resolution After Successful Primary Percutaneous Coronary Intervention
Authors: Jamil Araj , Shaikh Laraib , Ahmed Bilal , Manzoor Vengus , Hussain Sabir , Hussain Wajid , Saghir Tahir
Published: December 2022

The success of primary Percutaneous Coronary Intervention (PCI) can be verified on electrocardiogram through measuring ST Resolution (STR) and examination if their angiogram. Objective: The purpose of this research was to identify instances of after the primary PCI of partial STR and to investigate the characteristics associated with incomplete STR following primary PCI. Methods: At department of Interventional Cardiology of National Institute of Cardiovascular Disease (NICVD), Karachi, Pakistan, this Descriptive Cross-sectional study was conducted. The inclusion criteria set for data collection were patients with age between 18 to 65 years of both genders presented with complain of chest pain 12 hour previously and now diagnosed with acute STEMI, and undergoing successful primary PCI were included in the study. Results: Out of 196 patients, male was 74.5% while female were 25.5%. The Mean age of patients was 52.78±7.81 years. Out of 196 patients, with acute STEMI, 35.2% (69) had Incomplete STR after a successful primary PCI. When applying chi square on study variables with Incomplete STR after a successful primary PCI was found to be not associated with patient’s baseline characteristics. Conclusions: Our research discovered that a considerable proportion of patients with STEMI have Incomplete STR after first PCI. However, no correlation between STR and baseline patient characteristics was observed
Trends Toward Self-Medication Practices During Covid-19 In Gujranwala District
Authors: Raza Syed Qasim , Waqar Muhammad , Ahmad Shahzad , Iqbal Hassan , Saifullah Amna
Published: December 2022

In Gujranwala, self-medication is a prevalent practice since it offers a low-cost alternative for individuals, and it entails the incorrect and irresponsible use of medications to cure self-recognized symptoms. It is also noteworthy that SM has both positive and negative aspects that affect the life of people. Objectives: To determine the occurrence, pattern, and sources of self-medication among respondents with all socioeconomic statuses and educational levels. Methods: A cross-sectional online survey on 535 residents of the targeted region was undertaken from June to November 2021 in Gujranwala district. We analyze our data by using SPSS and find mean values of our different variables and also find the frequencies and percentages the variables for achievement of our desired results. Results: As COVID-19 preventive, 44 (8.7%) respondents self-medicated with penicillin, and only 4 (0.8%) with paracetamol. When COVID-19 symptoms appeared, the pattern shifted, with azithromycin having the highest rate of self-medication of 49 (9.75%) of all drugs. When people were diagnosed with COVID-19, 12.5% used azithromycin, and 10.3% used penicillin. Conclusions: This study found a significantly high level of SM among men in Gujranwala district. Analgesics, particularly paracetamol and Ibuprofen, were the most often utilized medications for SM.
Prevalence of Vertigo in Headphone Users of Call Center of Faisalabad City
Authors: Fatima Rida e , Bashir Irfa , Zahid Rafia , Bunyad Salma , Arshad Feryal , Mehmood Basit , Kashif Muhammad
Published: December 2022

In recent years, call center operations have become a global phenomenon. Call center operators reported headaches, tinnitus, and vertigo as the most common symptoms of wearing headphones for 7 to 9 hours daily. Objectives: To determine the association between vertigo in headphone users and in age, working hours and professional experience. Methods: This cross-sectional study was conducted to determine the prevalence of vertigo in headphone users in call centers of Faisalabad. This study followed pre-determined inclusion and exclusion criteria and the sample size of 450 participants were included in this study. SPSS 24 was used for data entry and analysis. Results: This study reported a significant association between working hours(p=.000), years of work experience (p=.000), and between age (p=.002) and percentage of people with vertigo in VSS. Conclusion: It can be concluded that vertigo has association with age, working hours, years of work experience. While, vertigo has no association with gender, life style, residence and smoking habits.
Impact of Educational Training on Nurses to improve knowledge about Practices Regarding Patients Safety after Cardiac Catheterization
Authors: Saeeda Sania  , Raja . , Ali Sajid , Ali Junaid
Published: December 2022

Cardiac catheterization is a severe health condition that needs standardized care strategies as well as qualified and skilled healthcare professionals to manage it effectively. Objectives:  To evaluate the impact of educational training on nurses to improve knowledge about patient safety practices after cardiac catheterization. Methods: This quasi-experimental study was accomplished among nurses working at cardiac units of both genders from March 2021 to September 2021. Non-probability convenience sampling technique was performed for the collection of data. The data was collected by utilizing the open-access structured tool of knowledge and practice. Results: Regarding the level of knowledge, pre-implementation of educational training, the majority of the participant had poor knowledge 15 (30%) and post-educational training, the knowledge level reached good knowledge (70.0 %) and it was also found statistically significant p-value ≤0.000. Similarly, a significant difference between nurses’ practice after the implementation of the educational training shows (66.7%) inadequate practice before the intervention, while (83.3%) of them had an adequate level of practice after the intervention; it is also found to be a significant p-value ≤0.000. Conclusion: The implementation of the educational training for nurses improved knowledge about practices regarding patients’ safety after cardiac catheterization.
Evaluation of Ageism Attitudes Of Clinical Physical Therapists
Authors: Noor Kamishwa , Khalid Tahreen , Jabbar Saima , Khalid Khan Abdullah , Azam Hafsa , Anwar Arslan , Khalid Khan Umar
Published: December 2022

Considering rising number of older people worldwide, provision of quality healthcare services has become matter of concern. Since, healthcare practitioners’ attitudes towards ageism affect quality of the care provided to the older population. Objective: To evaluate the ageism attitude of clinical physical therapists towards older people. Methods: A cross sectional study was conducted at various public and private sector clinical settings in Faisalabad. 118 participants who were clinical physical therapists with at least one-year clinical experience, currently practicing and willing to participate were included. Geriatrics attitude scale and facts on aging scale were used as outcome measures. SPSS (V.24) was used for analyzing the data and results were interpreted using frequency tables and chi square. Results: The 83.1% participants belonging to age group 24-30 years while 79.7% were female physical therapists.80.5% had been working for more than one year. Attitude was measured with GAS at once time. 68.5% of the people gave positive attitude toward older people. Knowledge was measured with FAQ scale at once time. 51.1% of the participants have maximum knowledge about older people. Interpretation of chi square showed there was no correlation between attitude and knowledge of the physical therapy clinicians (p > 0.05). Conclusion: This study concluded that clinical physical therapists were bearing positive attitude towards older people being aware of the ageism facts. However, there was no correlation found between clinician’s knowledge and ageism attitude
Oral Health Status and Oral Hygiene Practices among Urban Slum Dwellers in Rawalpindi, Islamabad, Pakistan
Authors: Farrukh Habib Muhammad , Mahmood Humaira , Khizar Anum , Idrees Sanam , Pervaiz Farrah , Khan Jawaria
Published: December 2022

Poor oral hygiene is a major factor for oral diseases. Urban slums are recognized as a risk group population as the burden of oral diseases is highest among them. Objectives: To evaluate the oral health status of slums using Decayed, Missed, and Filled Tooth index. To evaluate the oral health status of slums using Community Periodontal Index for Treatment Need. Methods: A cross-sectional study was carried out on 385 urban slum people aged between 20 to 50 years. A convenient sampling method was adopted. Data were collected by structured questionnaire included information related to patient’s knowledge, attitude, and behavior towards oral hygiene and interviewed by trained staff. Oral examinations were performed in line with WHO guidelines. After taking informed consent oral examinations were done by fresh graduate and DMFT and CPITN index were evaluated. Results: Study participants were assessed for attitude, knowledge and oral health behavior, 47% had Good Attitude, only 6% had Very Good Knowledge and < 1% had Very Good oral health behavior. Mean DMFT and CPITN score among Slums came 8.91 + 7.627 and 1.93 + 0.971 respectively. More than a third of the slums population required emergency levels dental treatments. Conclusions: The residents of slums have poor oral hygiene and high prevalence of dental caries. Low socioeconomic status, and lack of primary dental care programs and session are main reasons for poor oral health
Assessment of Levels of CRP As A Measure of Stress Response After Open and Laparoscopic Cholecystectomy
Authors: Ahmed Khattak Imtiaz , Iqbal Javed , Younis Sarmad , Aamer Hussain Syed , Rashid Zakriya , Shoaib Khan Mohammad
Published: December 2022

Laparoscopic cholecystectomy (LC) is supposed to be a first line treatment for complicated bile stones and is regarded as the minimally invasive surgery. Objectives: To determine the levels of CRP as a measure of stress response after open and Laparoscopic cholecystectomy. Methods: A total of 120 patients of both genders aged 20 years or above with fever, abdominal pain, vomiting, nausea and anorexia with symptomatic gall stone were chosen. Laboratory tests, ultrasound and chest radiography were carried out to verify the diagnosis of cholecystectomy and prevent a negative abdomen exploration. The comparison of CRP levels between the two groups was done at 4, 8 and 24 hours. The values ​​of CRP in both procedures were compared with the t-test with P-0.000 taken as significant. Results: The patients mean age was 36.09 ± 8.10 years. There were 50 men and 70 women. Mean CRP was 7.20 ± 2.10 after 4 hours of laparoscopic cholecystectomy; however, after open cholecystectomy, it was 11.30 ± 1.80, CRP after 8 hours in LC was 13.50 ± 7.01 and 21.04 ± 2.14 after open cholecystectomy. The mean CRP levels in laparoscopic cholecystectomy after 24-hrs were 23.40 ± 7.92 and 34.81 ± 7.04 after open cholecystectomy. The most affected age group was 20-35 years in 39(32.5%) patients, 31-50 in 47(39.2%) and 51-65 in 34(28.3%) patients. This study did not find postoperative complications or mortality. Conclusions: CRP is a valuable marker in determining the response to stress in subjects with laparoscopic and open cholecystectomy.
Demographic Associations of Low Back Pain; A Case Control Study
Authors: Khokhar Samia Khalid , Qamar Aisha , Surti Ambreen , Fahim Muhammad Faisal , Mahar Yasmeen
Published: December 2022

Low back pain is a condition of prime concern by World Health Organization. It affects the quality of life and execution of work at jobs worldwide. Among these 90% cases are categorized as non-specific low back pain. Objectives: To evaluate demographic characteristics of cases of low back pain (LBP). To compare the BMI between cases and control groups in relation to low back pain. Methods: This case control study was undertaken on 178 subjects, comprising of equal number of cases of LBP and healthy controls with age ranging from 18-65 year, enrolled by non-probability convenience sampling at PNS Shifa Hospital, Karachi after obtaining ethical approval from ERC of BUHSC. Demographic parameters like gender, age, marital status, and occupation were noted on pre-designed proforma and compared between cases and controls. Body mass index (BMI) was also compared between the groups. Results: The study showed LBP as more common in women, with significant association with marital status, occupation and BMI. The participants were divided into 5 groups according to age, maximum 29.8%, participants were in age group 36-45 years followed by 24.7% in 26 -30 years, 20.2% in 46 -55 years, 16.95 in 18 -25 years and only 8.4% in 56-65 years. Most of the cases were housewives followed by office workers. A highly significant result was seen when BMI was compared between cases and control as most of the cases (41.6%) were overweight as compared to controls. Conclusion: The incidence of LBP was more among women, married, housewives and overweight subjects
Analysis of Semen Patterns in Male Partner of Infertile Couples
Authors: Tufail Nazia , Bano Nosheen , Ali Saima , Wahab Salman Nosheen , Mustafa Jadoon Shandana , Ghafoor Nosheen
Published: December 2022

The 40-50% infertility cases are reported to be because of the male partner. For the accurate investigation of the cause of infertility in couples, the semen analysis is considered as the effective and fundamental tool. It not only assesses the sperm maturity and formation, but also provide with the insights into the quality and production of sperm. Objectives: To analyze the semen pattern of the infertile male. Methods: It was a retrospective study conducted at the Gynecology and Obstetrician department of Khawaja Muhammad Safdar Medical College, Allama Iqbal Memorial Teaching Hospital Sialkot. The study was carried out by collecting data from male infertile patients that visited tertiary care unit for a duration of six months from July 2021 to December 2021. All participants were fully aware of the objective of the study; as written consent was taken from them. The abnormal features of semen were analyzed. The various features of oligozoospermia and normospermia were studied and it was found. Results: A total of 260 individuals participated in this study, among them there were 204 that had primary infertility issues and 56 had secondary infertility issues. There were just 2 infertile male partners that were greater than 50 years of age. It was found that there were 56% partners that had normozoospermia and 39% infertile partners having asthenozoospermia, then it was followed by azoospermia condition which was seen in 28% patients. Conclusions: It was found that the asthenospermia, oligoasthenozoospermia and azoospermia are some of the contributors of male infertility.
Evaluation of the Frequency and Severity of Peripheral Artery Disease Using Ankle Brachial Index among Patients Undergoing Coronary Angioplasty
Authors: Ahmed Zuhaib , Ishaque Shaikh Salman , Ahmed Sumair , Ur Rehman Adeel , Baqai Lubna , Ali Muhammad , Kanwal Marium , Majid Khubaib
Published: December 2022

One of the important markers for the risk stratification of patients with coronary artery disease is peripheral artery disease (PAD). Objective: To define the severity and frequency of peripheral artery disease using ABI among patients undergoing coronary angioplasty. Methods: The cross-sectional study was conducted at department of adult cardiology Tabba Heart Institute Karachi, Pakistan. This research was conducted for the duration of 6 months from 10th Dec 2019 to 10th June 2020. 120 patients met the inclusion criteria. They were admitted to the department of adult Cardiology. In all cases, patient’s detailed history was taken after taking informed and written consent. The ankle brachial index (ABI) was calculated as per the operational definition to reach the outcome PAD and its severity.  Results: A total of 120 patients undergoing coronary angioplasty were included. 89 (74.2%) were males & 31 (25.8%) were females with the mean age of 58.89+10.190 years. The PAD was seen in 9 patients (7.5%) and the severity of PAD was severe in 0(0%) patients, mild in 6(5%), and moderate in 3(2.5%).  Conclusions: In conclusion, peripheral artery disease of the lower leg is not much frequent in patients receiving percutaneous coronary intervention with coronary artery disease but it is associated with disease severity and it & its severity increases with the increase in age and predominant in male gender. The peripheral artery disease severity is also significantly associated with body mass index & obesity.
Impact of Covid-19 Pandemic On Medical Education; Predictors of Educational Difficulties and Poor Acadamic Performance
Authors: Malik Aeeza , Umer Khan Adil , Rauf Abdul , Ur Rahman Atiq , Anjum Omair , Saleem Shaukat Malik
Published: December 2022

COVID-19 is causing multiple psychological problems directly influencing the ability of learning among students. Objectives: To investigate the impact of COVID-19 pandemic on medical education and to explore the influence of different predictors of educational difficulties and poor academic performance. Methods: This cross-sectional study was conducted in Multan Medical & Dental College, Multan, over a period of one month. Through convenient purposive sampling, all the enrolled students from all specialties who agreed to fill the online survey questionnaire voluntarily were included. A self-developed, reliable and validated research instrument was used as a data collection tool to inquire about the demographic details, psychological predictors and educational difficulties. Results: A positive and significant correlation was observed between the psychological distress due to COVID-19 and students’ educational learning difficulties in medical setting. It was found that depression and obsessive-compulsive disorder (p≤0.05) significantly influenced the students’ education and learning but anxiety and posttraumatic stress disorder had no significant impact. Females and students with psychiatric history showed higher level of psychological distress and educational difficulties as compared to males and students without psychiatric history. Conclusions: COVID-19 pandemic has tremendously affected the medical education as strong positive correlation has been observed between psychological predictors and students’ educational learning difficulties. However, during this pandemic learning hazard were more significantly perceived in students with depression and obsessive compulsive disorder.