bluuebunny/crossref_metadata_2025 huggingface dataset:
Pencegahan Kebakaran Saat Aktivitas Bongkar Crude Oil Menggunakan Inert Gas System di Kapal Tanker
Authors: Suprapti Fitri , Susanto Susanto , Dody Endra
Published: October 2022

Muatan cair yang diangkut oleh kapal tanker memiliki resiko kebakaran, dengan ledakan yang sangat tinggi. Lingkungan sangat mempengaruhi keberhasilan dalam meminimalisir resiko kebakaran di kapal tanker. Resiko bahaya kebakaran dapat terjadi kapanpun, saat pencucian tangki, memuat, dalam pelayaran, dan proses pembongkaran. Material mudah terbakar, oksigen, dan panas dalam komposisi cukup akan menjadi pemicu terjadinya kebakaran. Gas lembam yang memiliki kadar Oksigen (O2) < 8 % dapat dijadikan solusi pencegahan kebakaran dari ruang muat. Kebakaran yang terjadi di kapal tanker banyak terjadi saat cargo operation, loading, unloading dan tank cleaning. Penelitian ini dilakukan secara langsung di atas kapal melalui studi kasus. Studi dilakukan di atas kapal tanker MT. Gamsunoro yang dioperasikan PT. Pertamina International Shipping. Jumlah Inert Gas  fan yang digunakan dan volume tangki merupakan variable tetap dalam pengoperasian IGS. Parameter yang diukur adalah kadar oksigen gas lembam pada saluran utama dan tangki muatan. Tekanan kerja dalam ruang muat juga diukur untuk memastikan tekanannya lebih tinggi dari atmosfer. Hasil studi mendapatkan hasil O2 konten pada saluran utama menurun dari 20.9 % menjadi 3.3 tercapai dengan waktu 80 menit. Kadar O2 rata-rata dalam tangki 5.34 % dapat dicapai dengan waktu inerting rata-rata 3.3 jam/tangki dengan menggunakan 1 inert gas fan. Tekanan rata-rata dalam tangki 782.85 mm Hg. Kondisi tersebut menunjukkan pengoperasian inert gas system yang optimal, sehingga proses pembongkaran memenuhi syarat keselamatan pencegahan kebakaran dari ruang muat kapal tanker.
Analisis Kemampuan Problem Solving dalam Penerapan Bidang Fisika Terapan Kemaritiman Sub Materi Vektor pada Siswa/i di SMA Negeri 1 Sukorejo
Authors: Lusiani Lusiani , Hendrawan Andi , Supriyanto Supriyanto
Published: October 2022

Tujuan dalam kajian berikut yakni mendeskripsikan  kemampuan Problem Solving dalam Penerapan Bidang Fisika Terapan Kemaritiman Sub Materi Vektor pada Siswa di SMA Negeri 1 Sukorejo, hal tersebut dikaji sebab deskripsi yang diperoleh nantinya dapat direlevankan dengan penggunaan metode maupun media pembelajaran yang digunakan sebgaai langkah peningkatan hasil belajar siswa. Metode yang digunakan adalah observasi dan kajian literatur.  Dalam penelitian ini penulis mengambil lokasi di SMA Negeri 1 Sukorejo. Pengambilan sampel menggunakan teknik random sampling di kelas MIPA yang mendapatkan materi Vektor. Hasil belajar pada ranah kognitif diperoleh dengan menggunakan instrumen berupa Lembar Kerja Peserta Didik. Diperoleh nilai bahwa secara keseluruhan rerata kemampuan siswa menggunakan langkah-langkah problem solving yakni 99,12 artinya melebihi dari 70% dan hal ini dapat dikategorikan sangat mampu atau memiliki kemampuan yang sangat baik. Simpulan pada kajian ini yakni analisis Kemampuan Problem Solving dalam Penerapan bidang Fisika Terapan kemaritiman Sub Materi Vektor pada Siswa di SMA Negeri 1 Sukorejo secara keseluruhan rerata kemampuan siswa menggunakan langkah-langkah problem solving yakni 99,12 artinya melebihi dari 70% dan hal ini dapat dikategorikan sangat mampu atau memiliki kemampuan yang sangat baik.
Kajian Peraturan Kepala Badan Pengembangan Sumber Daya Manusia Perhubungan Nomor : PK.16/BPSDMP-2017 tentang Pedoman Standarisasi Penyelenggaraan Simulator
Authors: Mudiyanto Mudiyanto , Malik Djamaludin , Soewono Dwiyono
Published: October 2022

Konvensi STCW amandemen Manila 2010 memiliki pembaruan utama fokus yang lebih besar pada kecakapan teknis yang disebut keterampilan non teknis. Keterampilan teknis berkaitan dengan penanganan peralatan kapal, sedangkan keterampilan non teknis sering digambarkan sebagai keterampilan kognitif dan komunikatif. Tujuan dari penelitian ini adalah untuk menyelidiki peran instruksi dan penilaian untuk mengembangkan kompetensi profesional siswa dalam lingkungan pembelajaran berbasis simulasi. Analisis ini mengacu pada kerja lapangan etnografis dan analisis interaksi terperinci dari data rekaman video dari sesi pelatihan simulator dalam kursus navigasi dengan memeriksa bagaimana instruktur maritim memanfaatkan teknologi simulator untuk pengajaran dan penilaian formatif untuk mengembangkan kompetensi profesional siswa. Hasil penelitian menekankan pada pentingnya bimbingan professional yang sistematis dan umpan balik dalam pelatihan berbasis simulator sesuai dengan Peraturan Kepala Badan dan Pengembangan Sumber Daya Manusia Perhubungan Nomor PK.16/BPSDMP-2017 tentang Pedoman Standarisasi Penyelenggaraan Simulator.
The digital fetishism challenge of Indonesian millennial journalists
Authors: Mustaqim Andika Hendra , Hamad Ibnu , Suryadi Karim
Published: October 2022

This study aims to analyze the journalism and digital media practice that resulted in the digital fetishism trend in Indonesian millennial journalists before and during the COVID-19 pandemic. This research adopts the qualitative approach by a case study with in-depth interviews with eight journalists from reputable print and online media and participatory observations which focus on eight journalists’ social media accounts. This research finds that digital media has become a part that cannot be separated from millennial journalists. Dependence on digital media forms a digital fetishism. This research shows that millennial journalists remain disadvantaged and tend to be exploited. Journalists also have the status of digital labor. Digital fetishism has become an ideology and identity which shackles millennial journalists. This study suggests that many opportunities can still be developed by gaining a sustainable future by prioritizing innovation, professionalism, independence, and inclusion.
@TEDSAÚDE: O USO DO INSTAGRAM COMO RECURSO DE DIVULGAÇÃO CIENTÍFICA DE TECNOLOGIAS EDUCACIONAIS
Authors: Rodrigues Emanuelly Mota Silva , Lopes Ana Paula Viana , Ferreira Heraldo Simões , Lourinho Lídia Andrade
Published: October 2022

INTRODUÇÃO: As atuações profissionais em saúde têm buscado a integralidade do fazer, saindo da noção de saúde como ausência de doença. Com isso, para a promoção de saúde faz-se importante meios de comunicação entre a sociedade e a comunidade científica, sendo as tecnologias educacionais e redes sociais bons caminhos para este fim. OBJETIVO: Refletir sobre aimportância do uso do Instagram como recurso de divulgação científica, referenciando-se na construção do perfil @TEDSaúde. MÉTODOS: Através de um relato de experiência foi exposto os métodos utilizados na construção e manutenção de um perfil no Instagram para divulgação de tecnologias educacionais. Foram utilizados como principais recursos tecnológicos o Canva,ImgFlip, Mentimeter. RESULTADOS: Com crescimento orgânico de 107 seguidores e alcance de 1384 contas, as postagens foram distribuídas nas categorias: divulgação científica, tutorial do uso de TICs, memes e curiosidades. Com isso, se propôs a ensinar através do uso meios de divulgação de tecnologias educacionais. CONCLUSÃO: Percebemos o Instagram como um recurso deaproximação rápido e de amplo alcance, servindo como base para a divulgação científica, tornando o conhecimento abrangente e acessível e assim promover saúde.
Green and conventional synthesis of sulfanilic acid
Authors:   University of Craiova, Faculty of Sciences, Department of Chemistry, Calea București 107i, Craiova, Romania, Brătulescu George
Published: October 2022

Synthesis of sulfanilic acid was achieved by conventional and green protocols. The starting reagents were the same in both methods. The activation technique of the reaction was different. Conventional synthesis was thermally activated and green synthesis was activated by microwaves. Energophage, chronophage and polluting features constitute important disadvantages of conventional method. The green method performs much better than the conventional procedure: short time, few hazardous wastes and easy experimental setup. The zwitterionic structure of the sulfanilic acid was demonstrated by spectroscopy.
Polyphenols with antioxidant activity
Authors:   Universitatea din Craiova, Facultatea de Ştiinţe, Departamentul de Chimie, Moanță Anca , Popa Maria ,   Universitatea din Craiova, Facultatea de Ştiinţe, Departamentul de Chimie, Ionescu Cătălina ,   "University of Craiova, Faculty of Sciences, Department of Chemistry, Calea București 107i,Craiova, Romania Craiova, Romania", Ciobanu Georgeta ,   University of Craiova, Faculty of Sciences, Department of Chemistry, Calea București 107i,Craiova, Romania Craiova, Romania, Drăgoi Mădălina ,   Universitatea din Craiova, Facultatea de Ştiinţe, Departamentul de Chimie, Calea București 107i, Craiova
Published: October 2022

Polyphenols from natural fruits were extracted in ethanol and determined using Folin-Ciocalteu method.
Antioxidant activity of alcoholic extract of Chelidonium Majus L. Flowers
Authors:   University of Craiova, Dumitru Mihaela Gabriela , Gănescu Anca ,   University of Craiova
Published: October 2022

The aim of this study is to investigate the total phenolic content and antioxidant activity in extract of the plant Chelidonium majus L. The concentration of total phenolic content was determined using the Folin-Ciocalteu´s reagent and obtained value were 56.5 mg Gallic acid equivalents (GAE) g-1. The antioxidant activity was determined in vitro using DPPH reagent and obtained value were 68.7%.
Assessment of the metal content in seawater and sediments (Coastal Area of the Black Sea)
Authors:   University of Craiova, Faculty of Sciences, Department of Chemistry, Calea București 107i, Craiova, Romania, TENEA ANDA-GABRIELA ,   2National Research and Development Institute for Industrial Ecology ECOIND Bucharest, 57-73 Drumul Podul Dambovitei Street, 060652, Bucharest, Romania, DINU CRISTINA ,   National Research and Development Institute for Industrial Ecology ECOIND Bucharest, 57-73 Drumul Podul Dambovitei Street, 060652, Bucharest, Romania, MURESEANU MIHAELA ,   University of Craiova, Faculty of Sciences, Department of Chemistry, Calea București 107i, Craiova, Romania
Published: October 2022

The aim of this study was to develop a method for simultaneous determination of Cd, Cr, Cu, Fe, Mn, Ni and Zn from saline matrices (seawater and sediments) using the ICP-EOS technique. The developed method has quantification limits between 3.6÷11.7 µg·L−1, precision expressed in RSD < 6%, recovery tests in the range of 90÷115%. The evaluation of 38 seawater samples taken from the Black Sea area indicated that some metals were below the limit of determination of the applied method (Cd, Mn and Ni), others were below the maximum value allowed by the Order 161/2006 (Cr, Fe). Copper exceeded the maximum allowed limit only in 2 analyzed samples and Zn exceeded the maximum allowed concentration according to the current legislation in 50% of the analyzed samples. For the sediment samples, a certified reference material sediment-type with low metal and organic matter content purchased from LGC was used in the validation process.
Giãn động mạch vành do nhiễm Epstein-Barr virus: Tổng quan tài liệu và báo cáo ca bệnh ở trẻ em
Authors: Trang Đỗ Thị Đài , Phương Vũ Thu
Published: October 2022

Giãn động mạch vành là tình trạng giãn lòng mạch động mạch vành vượt quá 1,5 lần đường kính trong đoạn động mạch bình thường liền kề do nhiều nguyên nhân gây ra. Epstein-Barr virus (EBV) là một nguyên nhân hiếm gặp gây giãn động mạch vành. Chúng tôi báo cáo một trường hợp trẻ nam, 7 tuổi, tiền sử khỏe mạnh và chưa mắc COVID-19. Trẻ nhập viện với tình trạng sốt cao liên tục 5 ngày, phát ban, nổi hạch cổ, gan lách to, amidan có giả mạc, tăng men gan và giãn động mạch vành trái. Trẻ có tình trạng nhiễm EBV cấp, sau khi loại trừ bệnh Kawasaki và hội chứng viêm đa hệ thống ở trẻ em (MIS-C) chúng tôi quyết định điều trị Acyclovir. Sau điều trị, tình trạng lâm sàng cải thiện và đường kính động mạch vành dần trở về giới hạn bình thường sau 5 tuần. Kết luận: Ở trẻ nhiễm EBV cần được chú ý đánh giá tình trạng tổn thương động mạch vành và chẩn đoán phân biệt với một số bệnh có triệu chứng tương tự để điều trị kịp thời.
Tác dụng bảo vệ của viên nang cứng Mộc tỳ vị trên mô hình trào ngược dạ dày thực quản thực nghiệm
Authors: Hồng Tô Lê , Sự Phạm Quốc , Vân Anh Phạm Thị , Hiên Đặng Thị Thu
Published: October 2022

Trào ngược dạ dày thực quản (GERD) là một bệnh lý phổ biến và đang có xu hướng tăng lên trên thế giới, trong đó có Việt Nam. Xu hướng sử dụng các thuốc có nguồn gốc từ dược liệu nhằm hỗ trợ điều trị GERD được quan tâm trong những năm trở lại đây. Nghiên cứu được tiến hành nhằm đánh giá tác dụng bảo vệ thực quản của viên nang cứng Mộc tỳ vị (MTV) trên động vật thực nghiệm. Chuột cống trắng chủng Wistar được chia ngẫu nhiên thành 5 lô, mỗi lô 9 con: Lô chứng sinh học, lô mô hình, lô chứng dương (esomeprazol), MTV uống liều 0,252 g/kg/ngày và 0,756 g/kg/ngày trong thời gian 7 ngày liên tục. Mô hình trào ngược dạ dày thực quản được tiến hành theo mô hình Shay kết hợp với uống indomethacin liều 40 mg/kg 2 giờ trước khi gây mô hình. Thể tích dịch vị, pH dịch vị, độ acid dịch vị, diện tích tổn thương và chỉ số thực quản, các thay đổi về đại thể và vi thể được thu thập và đánh giá. Kết quả nghiên cứu cho thấy MTV ở cả hai liều 0,252 g/kg/ngày và 0,756g/kg/ngày làm giảm thể tích dịch vị, tăng pH dịch vị đồng thời giảm độ acid toàn phần và độ acid tự do, giảm diện tích tổn thương và chỉ số thực quản so với lô mô hình.
Tình trạng dinh dưỡng và thói quen ăn uống của người bệnh ung thư tuyến giáp trước phẫu thuật
Authors: Phượng Dương Thị , Hậu Nguyễn Xuân , Hà Vũ Ngọc , Hương Lê Thị
Published: October 2022

Thừa cân, béo phì và thói quen ăn uống không lành mạnh là các vấn đề dinh dưỡng của người bệnh ung thư tuyến giáp (UTTG). Nghiên cứu nhằm mô tả tình trạng dinh dưỡng và thói quen ăn uống của người bệnh UTTG tại Bệnh viện Đại học Y Hà Nội. Nghiên cứu mô tả cắt ngang trên 91 người bệnh UTTG. Thừa cân, béo phì lấy theo ngưỡng cho người châu Á với BMI ≥ 23 kg/m2. Kết quả cho thấy tỷ lệ thừa cân, béo phì của người bệnh UTTG là 28,6%. Người bệnh có thói quen tiêu thụ thường xuyên các thực phẩm: thịt đỏ (67%), thực phẩm chiên rán (60,5%); thực phẩm chế biến sẵn (26,7%); rau họ cải (80,2%). Ngược lại, rất ít người bệnh thường xuyên tiêu thụ các thực phẩm sau: cá và hải sản (15,1%); hạt và quả hạch (3,5%); ngũ cốc nguyên hạt (3,5%); rau củ giàu beta-caroten (9,3%). Các yếu tố liên quan tới thừa cân, béo phì bao gồm: tuổi trên 60 (OR = 4,1); nam giới (OR = 5,2); và thường xuyên tiêu thụ thịt đỏ (OR = 3,4).
Kiến thức, thực hành phòng, chống dịch COVID-19 của nhân viên y tế tại Việt Nam và một số yếu tố liên quan năm 2020
Authors: Nhung Tạ Thị Kim , Anh Nguyễn Ngọc , Xuân Lê Thị Thanh , Quân Phạm Thị , Thảo Nguyễn Thanh , Doanh Nguyễn Quốc , Hương Phan Thị Mai , Quỳnh Nguyễn Thị
Published: October 2022

Nhân viên Y tế có kiến thức và thực hành tốt về phòng, chống dịch COVID-19 sẽ góp phần quan trọng vào việc khống chế dịch COVID-19 lây lan. Nghiên cứu được tiến hành nhằm đánh giá tỉ lệ nhân viên Y tế tại Việt Nam có kiến thức và thực hành đúng về phòng, chống dịch COVID-19 và một số yếu tố liên quan, năm 2020. Thiết kế nghiên cứu mô tả cắt ngang, tiến hành trên 21.413 nhân viên Y tế trực tiếp tham gia phòng, chống dịch COVID-19 tại các cơ sở y tế trên cả nước theo phương pháp ném bóng tuyết. Nghiên cứu cho thấy tỉ lệ nhân viên Y tế có kiến thức và thực hành đúng phòng, chống dịch COVID-19 lần lượt là 84,4% và 71,4%. Nhân viên Y tế nữ, trẻ tuổi, có thâm niên công tác ≥ 10 năm và có nguy cơ tiếp xúc với COVID-19 thì có kiến thức về phòng, chống COVID-19 tốt hơn. Nhân viên Y tế có thâm niên công tác ≥ 10 năm và có nguy cơ tiếp xúc với COVID-19 thì có thực hành về phòng, chống COVID-19 tốt hơn (p < 0,05).
Prevalence of depression and associated factors among adults on antiretroviral therapy in public hospitals of Kembata Tembaro Zone, South Ethiopia
Authors: Girma Addisu , Tekleselasie Wondwosen , Yohannes Tadele
Published: October 2022

Background

Despite the commonness and its relationship with poor outcomes among Human Immunodeficiency Virus-infected adults, depression remains widely unrecognized, untreated, or undertreated in antiretroviral therapy clinic care. This study aimed to assess the prevalence and associated factors of depression among adult people living with HIV attending antiretroviral therapy clinics in public hospitals at Kembata Tembaro Zone, South Ethiopia, 2020.

Method

Multi centric facility based cross-sectional study was conducted on a sample of 393 HIV-infected adults in public Hospitals of Kembata-Tembaro Zone from March-April 2020. A simple random sampling technique was employed to select the study participants. Quantitative data were collected using a pretested and structured questionnaire. Multivariable logistic regression was used to assess factors associated with depression. P-value <0.05 was considered statistically significant.

Results

Among the study participants, 217(56.2%) were females, 230(59.6%) were married, 190(49.2%) were between the ages of 29-39 years, and 198(51.3%) attended primary education. The prevalence of depression was 44.3% (95%CI: 39.4%-49.2%). Being female (AOR=2.03,95%CI:1.21,3.40), living alone (AOR=3.09,95%CI:1.68,5.68), Having HIV related stigma (AOR=2.85, 95%CI: 1.73,4.71), poor social support (AOR=2.55, 95% CI:1.48,4.78), CD4 count less than 350 cell/ul (AOR=2.66, 95% CI:1.48,4.58) and Poor medication adherence (AOR=2.19,95% CI:1.32,3.65) were factors significantly associated with depression.

Conclusion

The prevalence of depression was high. Being female, living alone, having HIV-related stigma, Poor social support, CD4 count less than 350cell/ul, and poor medication adherence was associated with depression. Depression should be included as part of the routine consultation of HIV patients to warrant early detection and treatment.
First record of Micromus variegatus (Fabricius, 1793) from Albania (Neuroptera: Hemerobiidae)
Authors: Szőke Viktória
Published: October 2022

Micromus variegatus (Fabricius, 1793) (Neuroptera: Hemerobiidae) is reported from Albania for the first time. With three figures.
Comparison of Intramedullary Interlocking Nailing (IMLNG) and Minimally Invasive Plate Osteosynthesis (MIPO) in Treating Extra Articular Distal Tibial Fractures
Authors: Khan Muhammad Zeb , Khalid Mohammad , Yasin Malik Mohammad Awan, , Safdar Muhammad , Akram Adeel
Published: October 2022

Background: Due to limited blood flow and sparse soft tissue coverage, treating distal tibia fractures presents a considerable challenge for orthopaedic surgeons. Objective: Our study's objectives were to compare the outcomes of the two treatment modalities of minimally invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) for extraarticular distal tibia fractures. Study Design: Randomized Controlled Trial Place and Duration of the Study: This study was conducted at Department of Orthopedic and Spine Surgery Sughra Shafi Medical Complex, Narowal from March 2021 to March 2022. Material Methods: During A total of 59 patients ( 30 in IMLN group and 29 in MIPO group), both male and female, with AO Type A, b and C distal tibial fractures lasting less than three days and ages ranging from 20 to 60, were enrolled for this research. At the most recent follow-up, clinical and radiological data were assessed. Results: The average duration to union was 21.9 weeks in the IMN group and 19.9 weeks in the MIPO group, and all of the examined patients eventually recovered. In the IMN group, the time to union was substantially greater (p= 0.001). Conclusion: Low operating, union, and hospitalisation times make MIPO advantageous. In order to lessen the morbidity of these patients, we advise using the minimally invasive plate osteosynthesis (MIPO) procedure as the first line of treatment for distal tibia fractures.. Keywords: Distal tibia fracture, minimally invasive plate osteosynthesis, intramedullary nailing,
Frequency of Pregnancy Linked Acute Kidney Damage a Single-Center Study
Authors: Israr Surraya , , Shafi Parveen , Ikram Kiran , Zeb Romaisa , Tahir Lubna , Yasmin Sumaira
Published: October 2022

Background: Acute kidney damage in pregnancy is an unusual but serious complication of pregnancy. Among developed countries, PR-AKI has decreased from 4% to 4.4%. PR-AKI is quite widespread in underdeveloped countries. In impoverished nations like Pakistan, the actual incidence of obstetrics-related AKI and its change are unknown. This research aims to measure acute kidney damage during pregnancy in our setting. Objective: Acute kidney injury (AKI) caused by pregnancy is often documented. To diagnose pregnancy- related AKI. Methods: the study was conducted in the Department of Obstetrics and Gynecology Bacha khan medical college sawabi from 24 June to 24 June 2020. Eighty-seven samples size were included in the study using sequential sample after the areas and (OPD) through A single center study design. The serum creatinine levels were used to diagnose acute renal damage during pregnancy. SPSS version 2.2 for the purpose of data analysis. A mean and standard deviation were determined. for continuous variables such as gestational period, age, and birth weight. Variables like AKI had their frequencies and percentages assessed. The results were then broken down by factors like gestational age and length of pregnancy to determine whether there were any impact modifiers. The significance level was set at P 0.05. Results: The average age of the investigated population was 24 years 2. years old. The pregnancy lasted an average of 3 months, with a standard deviation of 5.112. Acute kidney damage (AKI) was found in only 4% of the 87 individuals investigated, compared to 93% of the patients without AKI. Conclusion: Pregnancy-related acute renal damage was shown to be 7 percent common in our setting, according to the results of our research. Keywords: Creatinine Levels, Pregnancy, Acute Kidney Injury
A Review on Anti-Thrombotic Agents Derived from Snake Venom Protein
Authors: Alharbi Hibah A. , Alabbas lujain M. , Sumnudi Raghad I. , Felemban Shaima , Alhindi Yosra
Published: October 2022

Background: Snakes have always attracted scientists and it caused awe and fear because of the harmful strength of its toxins and the components of various toxins from one snake to another. In 2017, the World Health Organization (WHO) listed snake venom as a neglected high-priority disease, with snakes causing up to 2.7 million venomous bites, nearly 100,000 victims, and nearly three times the number of human disabilities. Objective: i- Snake venom background and therapeutics properties ii- The effects of snake bite iii- the mechanism of haemostasis iv- Types of antithrombotic agents derived from snake venom proteins. Conclusion: Snake venoms are a group of diverse compounds and because of their diversity, they lead to many effects that have different effects on the body, causing an imbalance and mastery of the victim. Just as these components have toxic effects, they have clinical and therapeutic effects. The previous research shown the clinical benefits of snake venom, such as the drug captopril used to treat high blood pressure, And the defibrase used for the prevention of thrombotic disease. Therefore, snake venom components need several studies. They are still unidentified due to the difficulty of obtaining them adequate. Keywords: Snake venoms, antithrombotic, haemostasis, venom proteins.
Symptoms to Balloon time Dependent St-Segment Resolution Post Primary Percutaneous Coronary Intervention and its Impact on Mortality
Authors: Ilyas Mohammad , Khan Muhammad Nauman , Ullah Rizwan , Fayyaz Sidra , Naseeb Khalid
Published: October 2022

Background: The ST-segment elevation myocardial infarction (STEMI) is an emergency manifestation of coronary artery disease (CAD) that occurs when one epicardial coronary artery is completely blocked. Study aims to test whether symptom-onset-to-balloon time correlates with in-hospital outcomes after primary percutaneous coronary intervention (PPCI) among patients with STEMI. Methodology: under the Hospital Ethical and Research Committee's approval, NICVD's Department of Interventional Cardiology conducted a prospective cohort study that lasted for 6 months. Patients fulfilling the criteria of ST elevation, i.e., ≥ 1 mm in limb leads and ≥ 2 mm in precordial leads, aged > 18 and < 80 years, were included. ST segment elevations and time of symptoms onset were interpreted from the patient's ECG, performed for 30 to 60 minutes. Based on the symptom onset to balloon time, the patients were divided into 2 groups, i.e., < 6 and > 6 hours with follow-up till discharge and 30 days after discharge. An analysis of multivariate logistic regression was conducted to determine if ST-segment resolution and in-hospital mortality were influenced by the time from symptom onset to balloon time. Results: The results showed that Patients with double or triple vessel disease had longer symptom onset to balloon time (p=0.041). Symptom onset to balloon time delayed increased ST-segment resolution by <50% (p=0.000). Symptom onset to balloon time was an important prognosticator of ST-Segment Resolution (< 50% Resolution) but not for mortality. Conclusion: The current study concluded that the association between ST-segment resolution and symptom onset to balloon time shows the significance of symptom onset to balloon time among STEMI patients after PPCI. Keywords: Symptoms to Balloon Time, ST Segment Resolution, Primary percutaneous Coronary Intervention
Efficacy of Isolated and Combined Application of Topical Metronidazole and Chlorhexidine in the Treatment of Periodontal Inflammation a Randomized Controlled Trial
Authors: Panhwar Maryam , Manzar Neha , Bibi Batool , Malik Baloch Mahwash , Ayub Tahera , Rehman Amna
Published: October 2022

Purpose: To evaluate the effectiveness of Metronidazole (MTZ) and Chlorhexidine (CHX) gels if used alone or in combination in the treatment of periodontal inflammation Materials and Methods: A Randomized clinical trial, was conducted at the Department of Periodontology, Liaquat University of Medical and Health Sciences, in which patient having moderate to severe periodontitis, assessed by using CPTIN community periodontal index, and bleeding index. Participants were randomly allocated to one of the three groups, Group A -CHX gel Group B – MTZ gel Group C - MTZ gel, and CHX gel both (MTZ –CHX). Furthermore, these indexes were assessed at the 4th, 8th and 12th weeks, and questions were recorded for any adverse effects. Data was analyzed using (SPSS) ANOVA– test used for comparison within groups and finally Repeated measure ANOVA-test was used for intergroup evaluation. Results: A significant improvement in the periodontal status and bleeding index was observed in all treatment groups from the treatment groups when compare baseline scores to all follow-up weeks, mean periodontal status of CHX (baseline:2.7776, 4th week:1.2463, 8th week:2.230, 12th week 0.848) MTZ (baseline: 2.548, 4th week:1.7120, 8th week:1.988, 12th week:1.109) CHX+MTZ (baseline: 2.333, 4th week 1.2432, 8th week 1.482, 12th week:0.524 with p-value 0.0001, However bleeding index showed significant results at the 12th week (CHX:0.825, MTZ:0.125, CHX+MTZ:0.124) with the p-value 0.005 Conclusion: Adjunctive use of topical gels showed significant improvements in clinical and numerical parameters in periodontitis. Keywords: Localized; Metronidazole, Chlorhexidine, Periodontium; inflammation.
Parental Stress of Pakistani Families with Children who Have Developmental Disabilities
Authors: Ramzan Laraib , Rashid Amna , Aziz Saba , Batool Sehar , Yaqoob Saba , Khan Muhammad Azzam , Chugtai Arslan Saleem
Published: October 2022

Background: The goal of this research was to find out what factors were associated with these parenting effects in Pakistani mothers and dads who had children with intellectual disability (ID) or autism spectrum disorders (ASD) A total of 191 parents agreed to take part in the study, 100 of whom had a child with ADS and 91 of whom had a child with ID. Each participant filled out standardized parenting stress scale rating scales and provided demographic data during the interview. Families who have children with Autism and ID have higher emotional state, according to structural equation modelling. Objective: To find out parental stress of Pakistani families with children who have developmental disabilities. Methodology: The cross-sectional study was conducted through five different organizations in Lahore, Pakistan (Bases, Rising sun, Dimensions, Autism resource center, Oasis) and from two hospitals (Mayo Hospital Lahore and Sheikh Zaid Hospital). Standardized questionnaire (Parental stress scale) was used. Data was collected through standardized questionnaire after taking inform consent and distributed among the parents with children that have special needs (ASD and ID) Parents were asked to complete a questionnaire. Result scores were recorded for every respondent. The data was analyzed by “Statistical Package for Social Sciences” SPSS (version 22.0). Results: Using a standardized questionnaire, it was shown that the emotional well-being of families with children with ASD and ID was much worse, with both mothers and fathers reporting emotional exhaustion. Stress was exacerbated by a lack of emotional well-being. ASD parents show high percentage of 72.2% and ID parents show highest percentage of 61.1% so according to the given standardized questionnaire points the higher the percentage the higher the stress level. While raising a kid with neurological disabilities has a roughly comparable effect on Pakistani families as it does on parents in other countries, there are evidence that children with ASD and ID provide particular challenges to these families. Conclusion: Parents of both children face higher stress level. High level of parent stress needs timely counselling of the parents about the circumstances that they need to be encountered with having an abnormal child. They shall be aware with the techniques to deviate their mind from the most recurring point of stress. Keywords: Autism spectrum disorder, Intellectual disability, Parental stress, Pakistan, Health, developmental disability
A Correlational Study of Effort Reward Imbalance (ERI) and Job Satisfaction among Employees Working in Banking Sector of Pakistan
Authors: Ahmad Zafar , Munir Naureen , Shahzadi Shazia
Published: October 2022

The research was carried out to investigate the relationship of Effort Reward Imbalance (ERI) with Job Satisfaction of employees, working in banking sector. For this purpose the ERI questionnaire (Siegrist,1996) and Job Satisfaction Survey (Spector, 1994) were used for measurement. The cross-sectional survey with purposive convenient sampling technique was used for data collection. The sample was consisted of 209 employees comprised of 149 male and 60 female employees working in different banks. 62.2% employees age ranging from 20-30, 25.8% from 31-40, 12% from 41-50. 71.3%were male and 28.7% were female. 9.1 % participants intermediate 43.5 % were a graduate 47.4 % were postgraduate. 59.8 % employees have 1-5 years of job tenure. 22.5% have 5 -10 years of job tenure 9.6% have 10-15 years of job tenure 4. 3% have 15-20 years of job tenure and 3.8% have 20-25 years of job tenure. The results revealed that effort reward imbalance and job satisfaction are correlated whereas gender has no significant impact with ERI and Job satisfaction of employees working in banking sector. Keywords: Effort Reward Imbalance, Job Satisfaction, Bank Employees
Histo-Pathological Evaluation of Breast Cancer after Neo-Adjuvant Chemotherapy
Authors: Ullah Muhammad Sami , Nasir Shaiza , Hina Saddaf , Tahir Kinza , Rana Muhammad Zafar , Rashid Atifa
Published: October 2022

Background: A recent standardized therapeutic technique for the patients having advanced and large (bigger than two centimeters) breast cancer is neo-adjuvant chemotherapy. The gold standard is the histo-pathological assessment of carcinoma response. Methodology: In this research study, we performed the histo-pathologic evaluation of forty-four samples received in the pathology department over a period of one year from 1 July 2021 to 30 June 2022. Results: In this research study, we studied total forty-four patients with breast cancer. Average age of these females was fifty years. Average size prior CT was 56.140 centimeter square and post CT was 29.4 centimeter square. In this research work, complete pathologic response was shown by eighteen percent patients and incomplete response was shown by eighty-four percent patients. Conclusion: Changes in pattern of characterizations examined after the histo-pathological evaluation of tumor are dystrophic calcification, stromal hyalinization, regions of coagulated necrosis, reactive infiltration of lymphocytes, cellular fibrous tissue and hemosiderin laden macrophages. Keywords: Characterization, pathology, evaluation, neo-adjuvant chemotherapy, carcinoma, cancer, average.
Studying the causes of delays in construction projects: the case of Qatar infrastructure projects
Authors: Hassan Al-Hail1 Amna Khalil Ibrahim , Mohammed Mousoof Mohammed Mafrash
Published: October 2022

Background: This study aims to examine the causes of delay in construction projects, particularly in the case of infrastructure projects in Qatar. The most critical delay causes were analyzed in the perception of the project’s three participants: clients, contractors, and consultants. A literature review was conducted to highlight possible delay causes in other countries. There were gaps in detecting the causes of delay due to the lack of studies on Qatar infrastructure projects. Methods: The deductive approach has been used in this study for the quantitative method. It provides a new framework or theory for identifying the causes of delay. The quantitative method used a questionnaire that was created through Survey Monkey. The number of participants was one hundred thirty-three. The questionnaire included forty-one questions in four sections, one sheet for participant information, nine questions about personal data, thirty questions about delay causes, and two questions about delay effects. Results and Discussion: The data analysis was conducted on a questionnaire to rank the causes of delays by the Relative Importance Index (RII) method. Further analysis was undertaken to interpret the data by regression analysis. The results showed that client changing orders during construction was the most significant delay cause in Qatar infrastructure projects. Conclusions: The research aim was achieved by meeting its objectives. Several recommendations were suggested to reduce delays’ influence on Qatar's infrastructure projects. Research limitations were identified for this study.
Distribution and abundance of herbivorous reef fishes on a barrier reef system in the Florida Keys and Dry Tortugas, Florida
Authors: Herbig Jennifer L , Olson Jack C , Keller Jessica A , Grove Laura Jay W , Shea Colin P , Acosta Alejandro
Published: October 2022

Herbivorous reef fishes control algal growth and are critical for maintaining reef health. Grazing effects vary due to community composition, so a diverse herbivore community is important for preventing phase shifts from coral to algal-dominated reefs. However, herbivore communities
and grazing effects vary spatially, resulting in non-uniform distribution of algal mitigation across the seascape. Therefore, understanding how habitat influences herbivore communities is essential for predicting the spatial distribution of these species' ecological services. This study used
underwater visual surveys (n = 5455) to examine how habitat influences spatial patterns of herbivorous fish densities and species richness in the Florida Keys and Dry Tortugas, Florida. Herbivorous fishes were ubiquitous, and communities were dominated by small herbivores such as damselfishes
(Pomacentridae), gobies (Gobiidae), surgeonfishes (Acanthuridae), and small- to medium-bodied parrotfishes (subfamily Scarinae). A suite of factors influenced herbivorous fish communities but boosted regression tree results showed that habitat relief, depth, and spatial location within the
Florida Keys and Dry Tortugas were the most important factors. In general, herbivore occurrence, density, and species richness increased as percent of low relief hardbottom habitat (<0.2 m high) decreased. In addition, density and occurrence of herbivores generally increased at shallower
depths. Spatial location influenced the density of herbivores with potential hotspots predominantly located in the Upper Keys and the Dry Tortugas Bank. These data provide a valuable understanding of the spatial distribution of herbivorous reef fishes, and aid management decisions regarding
the protection and sustainability of herbivore resources and the ecosystems that rely on them.
Gender and Nationalism: Political Awakening of Muslim Women of the Subcontinent in the 20th Century
Authors: Aisha Anees Malik
Published: October 2022

This paper explores the conflicting relationship between feminism and nationalism by probing into the perception which views women as merely symbols of biological repository of a nation. This formulation is temporarily suspended during nationalist struggles, where women’s support was needed to show unity of identity driven by common objectives. Once independence was achieved, women were expected to stop being comrades in the nationalist struggle and return to being biological and ideological repositories of the nation itself. The political struggles of the Muslim women in the pre and post-independence Pakistan have been used as a case in point. The 20th century social reform movement, the Pakistan Movement and post-independence political struggles, till the end of the century, reflect how a masculine nation-state attempts to limit women’s political and legal rights: the same nation-state that was born as a result of the struggles of women alongside their men.
Geopolitical Significance of Balochistan: Interplay of Foreign Actors
Authors: Ali Zaman Shah
Published: October 2022

The geographical location of Balochistan makes it an important region. The province, being the best possible and the shortest route to the Arabian Sea, has attracted the key international and regional players, including China, India, the US, Iran,  the Central Asian Republics (CARs) and Afghanistan. Each player wanted to utilise this region to pursue its geopolitical and geostrategic interests. The building of Gwadar port and the development of Balochistan under the China Pakistan Economic Corridor (CPEC) is going to be a game changer for Pakistan’s socio-economic development. A fully operational Gwadar port will enhance Pakistan’s commercial activities and its connectivity with oil-rich Gulf states, the CARs, Afghanistan, China and with the rest of the world. Therefore, CPEC, under the Chinese One Belt One Road (OBOR) initiative, has enhanced the significance of the Balochistan province. However, it has also added to the concern of the adversaries of Pakistan and China, particularly India and the US. To counter the viability of Gwadar, India has started to invest considerably in the development of the Iranian Chabahar port. Since China’s rivalry with the US and India’s with Pakistan has been a recurring theme in the global and regional politics respectively. It is Iran’s strategic partnership with India, which has been stirring doubts in Pakistan. The episode of arrest of the Indian spy, Kulbhushan Jhadav, has confirmed the involvement of India’s intelligence agency — Research and Analysis Wing (RAW) — and endorsed all other reports on the foreign involvement in supporting the insurgency in Balochistan. In this milieu, this study is an effort to factor in the foreign elements in the current instability in the province.
From Critique of Mass Culture to Culture: Modernity and Arendt’s Political Aesthetics
Authors:   Ilia State University (Georgia), Tsimnaridze Tengiz
Published: October 2022

In this article, I intend to discuss the Arendtian conception of culture. In her influential essay “Crisis in Culture: Its Social and Its Political Significance,” Arendt argues that culture is at risk of disappearing under conditions of modernity. In her view, modernity is the age of mass society that leads to the destruction of culture and the development of mass culture. This is the situation Arendt has in mind when she speaks of a “crisis in culture,” a situation she describes as worldlessness. Culture, according to her, is a phenomenon of the world. Because of this conviction, argues Arendt, culture has a closer relationship to politics. The article is divided into two parts. In the first part, I explore Arendt's critical reflection on the modern attitude to culture. In the second part, I examine her analysis of the relationship between culture and politics. Throughout these parts, I suggest a reading of Arendt that illustrates her understanding of culture based on the authority of Greek and Roman thought and Kant’s Critique of Judgment.
Hermetic Influences in the Works of Konstantin Kostenechki
Authors:   Trakia University – Stara Zagora, Saldzhiev Hristo
Published: October 2022

The present article regards the influence exerted by the Hermetic philosophy on the original works of one of the last representatives of Tarnovo literary school – Konstantin Kostenechki. They are found not only in the explicit mention of Hermest Trismegist in “The Biography of Stefan Larzarević” among philosophes to whom God has partly revealed “the truth” but also in one long and sophisticated syllogism where God Father is presented as “Mind” and “The Sources of the First Mind”. Some specific terms, the description of the Serbian anchorites and one unusual transformation of the Gospel text (Mathew 6:6) also must be ascribed to Hermetic influence. All of these hermetic elements most probably have been loaned from Greek sources having included fragments of “Corpus Hermeticum” and some other hermetic texts.
Some Aspects of the Differences between Shame and Guilt
Authors:   South-West University “Neofit Rilski”, Todoreeva Ina , Asenova Ivanka ,   International Business School
Published: October 2022

This article is focused on the differences between shame and guilt examined through a psychological perspective. The purpose of this analysis developed here is to attain conceptual clarity about what is distinctive about shame and guilt. We claim that shame is erroneously included in the category of “moral emotions” and that, paradoxically, there is nothing moral in it. To this end, we emphasize that shame is produced by the failure to achieve a certain minimum, which is social in its nature. It is therefore connected with low demands on one’s self and low self-esteem. Guilt, on the other hand, is based on the failure to achieve a subjective maximum and an ideal, so it tends to be observed in personalities that exhibit high demands upon themselves and a high self-esteem.
PENGANTAR KEWIRAUSAHAAN (ENTREPRENEURSHIP) UNTUK MAHASISWA
Authors: Asyari Syahrullah , Qadry Ikhbariaty Kautsar
Published: October 2022

Kewirausahaan (entrepreneurship) yang dimaksud saat ini umumnya sangat berkaitan dengan kreasi bisnis untuk membangun “kerajaan” bisnis dari nol dan menjalankannya untuk menciptakan kekayaan dan kemakmuran bagi dirinya sendiri dan orang lain. Menanamkan dan menumbuhkan kewirausahaan mahasiswa dapat dilakukan melalui pendidikan kewirausahaan dengan menggunakan pendekatan tertentu, seperti yang direkomendasikan oleh badan PBB (ILO–UNESCO), yaitu aktivitas kelas, aktivitas simulasi bisnis, keikutsertaan dalam event khusus, role model dan mentor, studi lapang, dan jaringan. Sebelum memulai bisnis, terlebih dahulu dilakukan studi kelayakan dengan langkah-langkah, yaitu penemuan ide, penelitian, evaluasi, pengurutan usulan yang layak, rencana pelaksanaan, dan pelaksanaan. Hasil studi kelayakan akan menjadi pertimbangan dalam memulai usaha atau bisnis. Bagi pemula, termasuk mahasiswa, hal pertama dan utama penting dilakukan adalah mengubah mindset dengan cara tertentu. Selanjutnya, mengembangkan usaha atau bisnis dari yang paling sederhana yang bahkan, tanpa membutuhkan modal uang.
Conhecimento, práctica e impedimentos do autocuidado com os pés de pessoas com diabetes mellitus tipo 2
Authors: João de Carvalho Neto Francisco , Fabiana Rodrigues da Silva Antonia , Rosa Guimarães Mayla , Wellington Costa Lima Emanuel , Pereira Lima Rafaela , Roberta Vilarouca da Silva Ana
Published: October 2022

Objetivo: relacionar o conhecimento, a prática e os impedimentos do autocuidado com os pés em pessoas com Diabetes Mellitus Tipo 2 conforme sexo e escolaridade.

Método: estudo transversal analítico, com 102 usuários de 4 unidades básicas de cidade interiorana do Piauí, Brasil. Coletaram-se dados socioeconômicos e clínicos, entre dezembro de 2018 a julho de 2019, analisados descritivamente por meio do teste de Qui-quadrado.

Resultados: as mulheres obtiveram maior conhecimento e prática de hidratação (p<0,001), secagem entre os dedos do pé no pósbanho (p=0,020), hidratação dos pés com cremes/óleos hidrantes nos calcanhares (p<0,001), hidratação na planta do pé (p=0,003) e uso de calçados macios e fechados (p=0,001); uso frequente de meias pelos homens (p<0,001) e de algodão (p<0,001). Houve associação entre o nível de escolaridade e o uso de salto >5cm (p=0,001) e <5cm (p<0,001).

Conclusão: espera-se que este estudo permita uma nova forma de abordagem, visando à aquisição e aperfeiçoamento do autocuidado.
Case Management for People with Stroke: Quasi experimental study
Authors: Bahls de Souza Pollyanna , de Fátima Mantovani Maria , Maris Peres Aida , Silva Marcon Sonia , Bittencourt Madureira Alexandra , Gryczak Gevert Vania
Published: October 2022

Objective: to compare the effect of intervention by nurse-case manager on risk factors
and blood pressure in post-stroke people.

Method: quasi-experimental study conducted over six months with 14 post-stroke patients in southern Brazil. The intervention with case management consisted of nursing consultations, individualized educational actions and referrals to other professionals, operationalized in three home visits and six telephone contacts. For data analysis, descriptive statistics and Fisher’s test were used, with a significance level of p≤0.05.

Results: Reduction of smoking (p=0.0414), alcohol intake (p=0), sodium consumption (p=0.0024), fat (p=0.0027), carbohydrate (p=0.0203) and sugar (p=0.0111), increased physical activity (p=0.0382) and non-significant reduction of blood pressure levels were observed.

Conclusion: Nurse-led case management is a valid strategy to follow people recovering from stroke.
Knowledge, practice and barriers of diabetic foot self care among individuals with type 2 diabetes
Authors: João de Carvalho Neto Francisco , Fabiana Rodrigues da Silva Antonia , Rosa Guimarães Mayla , Wellington Costa Lima Emanuel , Pereira Lima Rafaela , Roberta Vilarouca da Silva Ana
Published: October 2022

Objective: To relate knowledge, practice and barriers of diabetic foot self-care among
people with Type 2 Diabetes Mellitus, according to gender and education.

Method: Analytical cross-sectional study with 102 users of 4 basic units in the inland of the state of Piauí, Brazil. Socioeconomic and clinical data were collected between December 2018 and July 2019. Descriptive analysis was performed with the use of the Chi-square test.

Results: Women showed greater knowledge and practice of moisturizing (p<0.001), drying between the toes after bathing (p=0.020), foot hydration with moisturizing creams/oils on the heels (p<0.001), hydration on the sole of the foot (p=0.003) and use of soft and closedtoed shoes (p=0.001); there was frequent use of socks by men (p<0.001) and they were mostly made of cotton (p<0.001). There was an association between educational level and the use of shoes with heels >5cm (p=0.001) and <5cm (p<0.001).

Conclusion: It is hoped that this study will allow a new type of approach aimed to the improvement of diabetic foot self-care.