bluuebunny/crossref_metadata_2025 huggingface dataset:
Catch Composition of Fix-Liftnet Based-on the Light Color Combination in Pangkep Waters
Authors: Saragih Paramita , Kurnia Muhammad , Amir Faisal
Published: August 2022

This study aims to describe the composition of the species and the frequency of occurrence of fix-liftnet based on the combination of white-yellow-blue and white-yellow Light Emitting Diode (LED). The research was carried out in July – October 2020, by following the operation of capturing 1 unit of fix-liftnet with 442 watts of light power each. Data collection includes the type and number of catches based on trips and grouped into main, by-catch and discarded catches. The results showed that the composition of the type of catch consisted of 26 species dominated by common ponyfish, Indonesian oil-sardine, squid, anchovies, crabs, yellow snakehead and fringesscale sardinella. The total catch of the combination of white-yellow-blue lights was 359.8 kg with main catch 74.4%, by-catch 19.8% and waste 5.9%. While the white-yellow color combination is 343.8 kg with 75.8% main catch, 15.5% by-catch and 8.3% waste. Fish species with 100% occurrence frequency were common ponyfish (Leiognathus equulus), flower crab (Portunus pelagicus), squid (Loligo sp), Indonesian oil-sardine (Sardinella gibbosa), and smooth pufferfish (Lagocephalus sceleratus).
Communities Vulnerability Mapping of Spermonde Coral Islands
Authors: Idrus Rijal M. , Badawing Dewi Y. Satari , Irwanto I. Irwanto
Published: August 2022

The purpose of this research is to map the vulnerability of communities in seven islands of Spermonde. Vulnerability assessment was conducted in July 2013 using an environmental and socio-economical stand point. Identification of the vulnerability issues were grouped into indicators (climate, island morphological, marine resources and socio-economical changes), with each given a scale of 1-5.and attributes in the form of a semi-structured questioner. To check for the type and severity of a disaster, 62 respondents were asked to rank the disaster on a scale of 1-4. Results indicate that the majority of respondents find that change in climate, island morphology, marine resources and socio-economical conditions hardly affect them. The disaster that they fear the most is the danger of losing their source of income. In terms of vulnerability index,  Bone Tambu and Lumu-Lumu islands are under very high vulnerability for Island and Socio-economic change. In terms of Climate and Marine Resource change, there are no significant differences among the islands. The trends show that these two categories fall under medium to high, with marine resource dynamic change always being higher than the climate change index, except in Kapoposang Island. Overall,  there are no differences between each zonation in vulnerability indexes.
درجة تحقق معايير الاعتماد الدولية(CAEP) في مناهج اعداد معلم الرياضيات في كليات التربية الاساسية من وجهة نظر اعضاء الهيئة التدريسية
Authors: ا. د. غالب خزعل محمد
Published: August 2022

هدف البحث إلى معرفة درجة تحقق معايير الاعتماد الدولية(CAEP)  في مناهج اعداد معلم الرياضيات في كليات التربية الاساسية من وجهة نظر اعضاء الهيئة التدريسية . ولأجل ذلك تم إعداد أداة خاصة بالبحث؛ وهي  عبارة عن مقياس مكون من  64 فقرة ؛ وزعت على 5 محاور تتعلق بمعايير الاعتماد الدولية في أهداف البرنامج، سياسة القبول والتسجيل، طرائق التدريس، أساليب ووسائل التقييم، والخدمات والتجهيزات. طبقت على عينة قصدية تكونت من (29 )تدريسي وتدريسيه من تدريسي كلية التربية الاساسية قسم الرياضيات. وكشفت النتائج أن الاهداف الموضوعة وسياسات القبول والتسجيل وطرق التدريس وأساليب التقييم ووسائل  تحقق معايير الاعتماد الدولية بدرجة متوسطة، بينما تتحقق المعايير في الخدمات والتجهيزات التي تيسر حاجات الطلبة بدرجة متوسطة. كما كشفت النتائج عدم وجود فروق ذات دلالة إحصائية بين متوسطات درجات أفراد العينة حول تقديرات لتوافر معايير الاعتماد الدولية في برنامج الاعداد الاكاديمي بكلية التربية الاساسية تعزى لمتغيري الجنس والتخصص الدراسي، في حين وجدت فروق ذات دالة إحصائية بين تقديرات أفراد العينة حول توافر معايير الاعتماد الدولية المتصلة بالخدمات والتجهيزات اللازمة لبرنامج إلاعداد الاكاديمي في كلية التربية ألاساسية وفقا للمتغير. وخرج البحث بعدد من التوصيات والمقترحات.
دراسة نوعية في الاختلافات في نسب اوزان اللحم والعظام والجلد في كل من دجاج اللحم والدجاج البياض المحلي
Authors: م.د. بان موحان محسن
Published: August 2022

اجريت هذه الدراسة في قسم العلوم / كلية التربية الاساسية / الجامعة المستنصرية للفترة من  15/11/2021 لغاية 15 /3/ 2022 , لغرض دراسة تأثير النوع والسلالة في اوزان الجلد واللحم والعظام بالنسبة للوزن الكلي للدجاجة .استعملت في هذه الدراسة ثلاثة  اوزان من دجاج اللحم  المحلي نوع لوهمان الابيض  والدجاج البياض لوهمان الاحمر  وهي ( 1300 غم , 1400 غم , 1500 غم ) ووزع كل وزن على خمسة  مكررات وكل مكرر دجاجتان .كان اعلى معدل لوزن الجلد في الدجاج لمحلي  في وزن 1500 غم حيث بلغ (  190.5غم  ) وبنسبة( %   12.7 )  وبلغ اعلى معدل لوزن الجلد في الدجاج البياض لنفس الوزن حيث بلغ ( 300 غم )وبنسبة (  %20  )(ووجدت فروق معنوية بين مجاميع الاوزان عند مستوى معنوية p<o.o1 ) )منحيث معدلات الجلد  .كما بلغ اعلى وزن في اللحم عند وزن 1500 غم في دجاج اللحم حيث بلغ(994.25غم ) وبنسبة ( % 66.28  )بينما بلغ وزن اللحم لنفس الوزن في الدجاج البياض حيث بلغ ( 709 غم ) وبنسبة (  %47.26  )(ووجدت فروق معنوية بين مجاميع الاوزان عند مستوى معنوية p<o.o1 ) )من حيث معدلات اللحم  .كما تقارب وزن العظام  في دجاج اللحم  لجميع الاوزن فكان حسب التسلسل (267.5 غم و 263.5 غم و 247.75 غم) وكان هناك فروق معنوية في وزن العظام في جميع الاوزان المأخوذة في الدجاج البياض وبلغ اعلى معدل في وزن 1500 غم ( 307 غم ) ووجد ت فروق معنوية عند مستوى معنوية p<o.o1 ) ) بين مجاميع الاوزان في معدلات اوزان العظام .بينت النتائج المستحصلة من هذه الدراسة  بأن وزن الجلد يزداد مع زيادة وزن الدجاج الكلي مع تقارب اوزن العظام في جميع الاوزان المأخوذة وفي كلا النوعين لكن كان اكبر في الدجاج البياض  .  ولوحظ ان وزن الجلد في الدجاج البياض  اكبر من وزن دجاج اللحم  المحلي لنفس الوزن .اشارت النتائج هناك تباين كبير في نتائج الجلد واللحم والعظام في كل من دجاج اللحم  والبياض.
أثر أستخدام تقنية الحاسوب في تعليم مادة العلوم من وجهة نظر معلمي مادة العلوم دراسة ميدانية على معلمي مادة العلوم للمرحلة الثانوية والإعدادية في تربية دمشق
Authors: درويش حسن درويش  , الاستاذ الدكتور علي عثمان
Published: August 2022

هدفت هذه الدراسة قياس أثر أستخدام تقنية الحاسوب في تعليم مادة العلوم :  دراسة ميدانية من وجهة نظر معلمي مادة العلوم للمرحلة الثانوية والإعدادية في مديرية تربية دمشق، ولتحقيق هدف الدراسة تم تطوير أداة استبانة تتعلق بدرجه أثر أستخدام تقنية الحاسوب في تعليم العلوم. تتكون هذه الاستبانة من (20) فقرة .تم استخدام المنهج الوصفي المسحي في الدراسة، من خلال توزيع الاستبانات على جميع افراد مجتمع الدراسة من معلمي مادة العلوم للمرحلة الثانوية والإعدادية في مديرية تربية دمشق ومسحهم خلال العام الدراسي 2021 \ 2022. وقد أظهرت نتائج الدراسة ما يلي: أن درجة أثر أستخدام تقنية الحاسوب في تعليم مادة العلوم من وجهة نظر معلمي العلوم في مديرية تربية دمشق كانت متوسطة، وأظهرت ايضا بوجود فروق ذات دلالة احصائية عند مستوى الدلالة ( α≤ 0.05 ) في درجة استخدام الحاسوب في تعليم العلوم: من وجهة نظر معلمي مادة العلوم في مديرية تربية دمشق تعزى لمتغير: المرحلة الدراسية. اوصت الدراسة عقد دوارت خاصة لكل من الطلبة والمدرسين لتوظيف واستخدام كافة الادوات المتاحة فيه للعملية التعليمية.
مدى وعي مدرسين الفيزياء بمهارات التفكير عالي الرتبة في محافظة ذي قار / قضاء الشطرة
Authors: أ.م. سماء ابراهيم عبد الله  , الباحث سلام شاكر عاجل
Published: August 2022

استهدف البحث الحالي التعرف على مدى وعي مدرسين الفيزياء بمهارات التفكير عالي الرتبة في محافظة ذي قار / قضاء الشطرة, وتكونت عينة البحث من (100) مدرس من مدرسي مادة الفيزياء الذين يدرسون في المدارس الاعدادية النهارية للبنين الفرع العلمي التابعة لمديرية تربية محافظة ذي قار / قضاء الشطرة, واستعمل الباحثان اداة لقياس مهارات التفكير عالي الرتبة لدى افراد عينة البحث حيث تمثلت بالاستبيان و عرضت على مجموعة من المحكمين و تم استخراج خصائصه السيكو مترية, واستعمل الباحثان مجموعة من الوسائل الاحصائية منها الاختبار التائي لعينة واحدة ومعامل ارتباط بيرسون ومعادلة الفا كرون باخ, وقد اظهرت النتائج توافر مهارات  التفكير العالي الرتبة لدى مدرسين الفيزياء, وقد خرج البحث بمجموعة من التوصيات والمقترحات.
واقع التعليم الإلكتروني من وجهة نظر التدريسيين والطلبة في الجامعات العراقية
Authors: شيماء عبد الحمزة زبون  , سرى يونـس مجيد
Published: August 2022

يهــدف البحــث الحالـي إلــى التعرف علـى واقــع التعليــم الإلكـترونـي مـن وجـهة نـظر التدريســيين والطلبــة فـي الجامعات العراقيـــة . وإعتمـدت الباحثتـــان المنهـج الوصـفي المســحـي لِـبحثـهما ، حيـث تكونـت عينــة البحـث مـن (100) تدريســي وتدريســية مـن كليــة التربيــة الاســاســية /الجامعــة المســتنصرية ، و(400) طالــب وطالبــة مـن كليــة التربيــة الاســاســية /الجامعــة المســتنصرية ، تـم إختــيارهــم عشــوائــياً للفصـل الدراســي الثانـي للعام (2021 – 2022) . وتـم إعـداد أداتـا البحـث وهــما : الإســتبيـان الأول مـوجـه للتدريســيين حـول واقـع التعليــم الإلكترونـي المكون مـن (24) فقرة ، وتــم حســاب الثبــات بإســتخدام معادلــة ألفــا – كـرونبــاخ حيـث بلـغ قيمــة معامـل الثبات (0.86) والإســتبيـان الثانـي مـوجـه للطلبــة حـول واقـع التعليــم الإلكترونـي المكون مـن (24) فقرة ، وتــم حســاب الثبــات بإســتخدام معادلــة ألفــا – كـرونبــاخ حيـث بلـغ قيمــة معامـل الثبات (0.87) . وأظهرت النتائج ان درجة تقدير التدريسيين لواقع التعليم الإلكتروني في الجامعات العراقيــة تراوح مـا بيـن (ضعيــف وكبيـر) ، فـي حيــن تراوحـت درجــة تقديرالطلبة لواقع التعليم الإلكتروني مـا بيـن (متوســط وكبيـر) ، وتم التوصل إلى عدة توصيات أهمها تدريب التدريسيين  والطلبة على مهارات أسـتخدام التعليم الإلكتروني .
اثر انموذجين من دورة التعلم في تحصيل طالبات الصف الثاني المتوسط في مادة الكيمياء
Authors: د.زهراء رؤوف الموسوي  , د. فاطمة عبد الامير الفتلاوي
Published: August 2022

تم تحديد مشكلة البحث الحالي  في الاجابة على السؤال الاتي :

- ما اثر انموذج دورة التعلم ذي ثلاث المراحل وذي الخمس مراحل  في تحصيل طالبات الصف الثاني متوسط ويهدف البحث إلى معرفة اثر انموذجين من دورة التعلم في تحصيل طالبات الصف الثاني متوسط في مادة الكيمياء وللتأكد من تحقيق هدف البحث تم صياغة الفرضية  الصفرية الرئيسة الاتية:

1- لايوجد فرق ذو دلالة احصائية عند مستوى (0.05) بين متوسط درجات طالبات المجموعة التجريبية الاولى التي تدرس وفق انموذج دورة التعلم ذي الثلاث مراحل وبين متوسط درجات طالبات المجموعة التجريبية الثانية التي تدرس وفق انموذج دورة التعلم ذي خمس المراحل وبين متوسط درجات طالبات المجموعة الضابطة  التي تدرس وفق الطريقة الاعتيادية  في التحصيل.

  اختير المنهج التجريبي ذو الضبط الجزئي وذو الاختبار البعدي للتحصيل  تم تطبيق البحث على طالبات الصف الثاني المتوسط في متوسطة خديجة الكبرى التابعة للمديرية العامة لتربية بغداد /الكرخ الثالثة وتمت مكافأة البحث ببعض المتغيرات ،طبقت تجربة البحث في بداية الفصل الدراسي الثاني للعام الدراسي ( 2007/2008 ) م بعد الانتهاء من التجربة طبق الاختبار التحصيلي على طالبات عينة البحث وبعد تصحيح اجابات الطالبات ومعالجتها احصائيا بأستخدام تحليل التباين الاحادي  واختبار شيفيه ) Scheffe) للمقارنات توصلت الى النتائج الاتية :

- تفوق المجموعتين التجريبيتين على المجموعة الضابطة في التحصيل .

  وفي ضوء النتائج استنتجت الباحثتان ان اعتماد انموذجين من دورة التعلم ( الثلاثية والخماسية) له اثر ايجابي في التحصيل لطالبات الصف الثاني المتوسط في مادة الكيمياء وعليه تم التوصل إلى مجموعة من التوصيات والمقترحات اهمها: استخدام انموج دورة التعلم ( الثلاثية والخماسية ) في تدريس مادة الكيمياء  واقترحت استخدام  انموذج دورة التعلم  لطلاب المراحل الدراسية المختلفة ولمواد دراسية مختلفة.
إدمان الإنترنت ومواقع التواصل الاجتماعي وتأثيره في تغيير القيم الاجتماعية لدى طلبة المرحلة الثانوية
Authors: م.د. محمود محمد عمر عساف  , م.م. مصطفى رياض الفركاحي
Published: August 2022

هدفت الدراسة إلى الكشف عن درجة تأثير إدمان الإنترنت ومواقع التواصل الاجتماعي في تغيير القيم الاجتماعية لدى طلبة المرحلة الثانوية بمدينة الموصل، واستخدمت الدراسة المنهج الوصفي؛ حيث تكونت عينة الدراسة (483) طالب وطالبة من طلبة المرحلة الثانوية بمديرية نينوى تم أخذها بالطريقة العشوائية الطبقية من مجتمع الدراسة، وتمثلت أداة الدراسة في استبانة موجهة لأفراد عينة الدراسة، وأسفرت نتائج الدراسة إلى أن تأثير إدمان الإنترنت ومواقع التواصل الاجتماعي في تغيير القيم الاجتماعية لدى طلبة المرحلة الثانوي جاء بمتوسط حسابي قدره (3.42) ويقابله درجة (كبيرة)، وحاز محور الاتصال والتواصل على أعلى درجة تأثير من بين محاور القيم الاجتماعية والذي جاء بمتوسط حسابي قدره (3.46) ويقابله درجة (كبيرة)، يليه محور العادات والتقاليد والذي جاء بمتوسط حسابي قدره (3.43) ويقابله درجة (كبيرة)، ، بينما جاء محور الأخلاق والدين في المرتبة الأخيرة والذي جاء بمتوسط حسابي قدره (3.38) ويقابله درجة (متوسطة)، كما أظهرت الدراسة إلى أن درجة تأثير إدمان الإنترنت ومواقع التواصل الاجتماعي للذكور يفوق الإناث، بينما لم يكن هناك في درجة التأثير تُعزى للتخصص.
تقييم كفاءة اوكسيد الزنك النانوي حقلياً في مقاومة الفطر Rhizoctonia solani المسبب لمرض القشرة السوداء في البطاطا المحلية
Authors: وفاء جواد رسن  , أ. امنة محمد علي  , أ.د. ثامر عبد الشهيد محسن
Published: August 2022

هدفت الدراسة عزل و تنقية مسبب مرض القشرة السوداء Black Scurf على محصول البطاطا و اختبار كفاءة اوكسيد الزنك النانوي ZnO-PNs في مقاومة المسبب حقليا ، أوضحت نتائج جمع العينات التي عليها آثارو أعراض الإصابةبمرض القشرة السوداء  و تمثلت  أهم الأعراض بوجود تعفّنو تقرحات بلون بنّيعلى السيقان و الأفرع و منطقة التاج و الجذور مع وجود أهم علامات الإصابةوهي ظهور الأجسام الحجرية على الدرنات. أظهرت نتائج اختبار المقدرة الأمراضية أن عزلة RU1 هي العزلة الأشد امراضية و حققت مستوى Strong virukent  ، أما نتائج التشخيص المظهري ومن ثم  الجزيئي بتقانة الPCR  أن عزلة RU1 تمثل فطر Rhizoctonia solani  و هو مسبب مرض القشرة السوداء على البطاطاو تم تسجيل العزلة في بنك الجينات تحت رقم انضمام ON055272 . اوضحت نتائج اختبار المعاملات في الأصص ان جميعها كان لها تأثير في خفض النسبة المئوية للاصابة و شدة الاصابة بالفطر ( RU1 ) اذ سجلت معاملة اوكسيد الزنك النانوي اقل نسبة وشدة اصابة كانت (11 و 4.73 )% على التوالي تلاه  المبيد الفطري الذي سجل ( 22 .22 و18.33 )%على التوالي في حين كانت ثم اوكسيد الزنك الذي كان ( 33.33 و 19.03 )% على التوالي مقارنة مع معاملة المقارنة (نبات معRU1 ) .كذلك اوضحت نتائج دراسة  معايير النمو (طول النبات و  و الوزن الطري و الوزن الجاف وعدد الاوراق) أذ سجلت معاملة اوكسيد الزنك النانوي زيادة ايجابية في معايير النمو بلغت ( 54 ،24.33 ،7.33 و99.33)% على التوالي مقارنة مع معاملة السيطرة ، بالاضافة الى نسبة الكلوروفيل وتراكيز الفينولات سجلت  نسب مرتفعة في معاملة اوكسيد الزنك النانوي بلغت 1.03) ،  786.67)%على التتابع ، في حين كانت معاملة اوكسيد الزنك الاعتيادي ذات نسب جيدة وصلت الى (0.45  ، 679)% على التتابع مقارنة مع معاملة المقارنة .
الكشف عن بكتريا E. coli O157: H7 في الجبن الطري العراقي في بعض مناطق بغداد
Authors: الهام إسماعيل الشمري  , زياد طارق السدرة  , منال خالد عبد
Published: August 2022

الإجمالي للعزلات 82 عزلة ، وكان عدد العزلات المخمرة للسوربيتول 60 عزلة ، وكان عدد العزلات غير المخمرة للسوربيتول 22 عزلة. شخصت  العزلات غير المخمرة للسوربيتول عن طريق التشخيص المزرعي والمورفولوجي والبايوكيميائي ، وأظهرت نتائج الاختبارات البيوكيميائية في البداية أن العزلة تنتمي إلى النمط المصلي E. coli O157: H7.

اشارت  نتائج اختبار اللاتكس إلى ظهور واضح للحبيبات (التراص) عند استخدام قطرات من كاشف O157 Test Latex مقارنةً بمعاملة السيطرة.
ALL-TRANS RETINOIC ACID ALLEVIATES ARSENIC-INDUCED ENDOCRINE DISRUPTION IN SWISS ALBINO MICE
Authors: Das Joydeep , Jamal Zarqua , Chatterji Urmi
Published: August 2022

Exposure to endocrine-disrupting chemicals (EDCs), such as arsenic, leads to severe health problems and surreptitiously accentuates stressful
conditions in humans. Additionally, arsenic-induced endocrine stress leads to severe disturbances in glucose metabolism, mostly by disrupting the
structure-function adroitness of the adrenal, thyroid and pancreas. Mechanistically, elevated levels of reactive oxygen species (ROS) generated by
arsenic accentuate perturbation of cellular redox balance and eventually cell death. All-trans retinoic acid (ATRA), an active metabolite of vitamin
A, is known for its anti-oxidant properties. Therefore, ATRA was used as a protection against arsenic-induced deteriorations of physiological
conditions in mice. The present study reveals arsenic induced ROS generation in the adrenal and thyroid glands, accompanied by a decline in the
activities of ROS scavenging enzymes, leading to disruption of the architecture of the tissues and induction of apoptosis therein, culminating in an
imbalance in the hormonal secretions from the respective tissues. Structural damage to the pancreas accompanied with severe imbalances in
glucose metabolism and associated biochemical parameters like glucose, pancreatic amylase and liver glycogen were also noted. Treatment with
ATRA could efciently reverse the deleterious effects induced by arsenic. Hence, ATRA can be used as an efcient nutraceutical which can lead to
attenuation of endocrine stress induced by arsenic.
“BIODENTINE” THE DENTINE IN A CAPSULE AS AN APICAL BARRIER IN TRAUMATIZED MAXILLARY CENTRAL INCISOR WITH TWO YEARS FOLLOW UP.
Authors: Thakur Savita , Bhanu Udai , Grewal Gurkirat Singh
Published: August 2022

Immature teeth are difcult to manage with conventional endodontic treatments and thus it becomes very challenging for clinicians. This case
report describes an apexication with Biodentine in a maxillary left central incisor. The tooth became necrotic after the traumatic injury. According
to the treatment procedure root canals were chemo-mechanically prepared, medicated with triple antibiotic paste followed by Biodentine plug to
stimulate hard tissue apical barrier formation. Follow-up clinical and radiographic examinations were done after 1st quarter, 2nd quarter, 4th
quarter and 2 years respectively. After two years follow-up the tooth was completely asymptomatic as well as resolution of periapical radiolucency
was seen. Biodentine can be considered as basic, simple, biologically active, more limited setting time, improved mechanical properties and
worthy cost. Therefore, it is a promising approach to other methods of an apexication.
WOOD LASER MARKER/ENGRAVER
Authors: Sawant Aarti , Lonkar Shubham , Srivastava Harshit
Published: August 2022

Nowadays people consider gifting a wooden frame with art on it rather than some costly gift. This paper describes how digital art can be engraved
on a piece of wood and be framed for gifting and exhibitions. Digital art consists of drawings like Mandala art, Zentangle designs or any complex
drawings which can be drawn or downloaded on an iPad or a computer in the form of an image. Later, it can be engraved on the wood and the artist
doesn't have to draw the same design many times like on the paper. Once the digital drawing is ready, the person can engrave it more than a thousand times using the Wood Laser Marker/Engraver.
RISING FAST FOOD CONSUMPTION AMONG ADOLESCENT GIRLS IN URBAN AREA : CALL FOR CONCERN
Authors: Vishal Rajani , Mishra C.P. , Srivastava Prerna
Published: August 2022

Consumption of fast food is emerging as potential threat for the physical and mental health of adolescent girls. This study primarily focused on fast food consumption by urban adolescent girls as well as their awareness about fast food and adverse effect on health. These information were obtained by interviewing subjects with the help of pre-designed and pre-tested proforma. Consumption of fast food was predominant in the urban adolescent girls; as much as 65.5%, 21.5% and 9.3% of subjects consumed fast food 1-2, 3-4 and 5 times a week. 1 out of 5 subjects were not aware of the fast-food consuming by them. Nearly 2 out of 3 (66.3%) had knowledge regarding ingredients in the fast food consumed by them. Majority of the subjects were aware about major adverse effect due to the consumption of fast-food.
“ROLE OF STRAIN RATE IMAGING OF LEFT VENTRICLE TO ASSESS UNDERLYING SYSTOLIC DYSFUNCTION IN PATIENTS WITH HEART FAILURE WITH PRESERVED EJECTION FRACTION (HFPEF)”
Authors: M Sidhartha. , Nayak Rajeshwari , Moghal Habibullah , Kasa Abhishek
Published: August 2022

Introduction: HFpEFis increasing 1% per year when compared to HFrEF with an ageing population and rising risk-factors like
hypertension,obesity&diabetes.Endothelial-dysfunction, proteininteractions,signaling-pathways&myocardial-bioenergetics are the suggested
pathophysiological causes for HFpEF.2D-STEhas been utilised to identify HFpEF by focusing on the LV-GLS. To assess the predictive valueAim:
of strain-rate imaging in detecting systolic-dysfunction among patients with HFpEF&Severity of diastolic-dysfunction in relation to the systolic-
dysfunction by echocardiography. Among 50 patients with HFpEF,majority of patients were in age group 56-65 years.In our observationResults:
46% were hypertensive,32% were diabetic,2% wereobese,2% had OSA,18% had dyslipidemia,12% were hypothyroid,44% of patients were on
betablocker therapy,NYHA class II,III,lV breathlessness was in 36%,42%,22% respectively at the time of presentation.We observed E/e' > 15 was
noted in 22% patients and 78% had normal LV-lling pressures,40% had mitral E/A ratio 0.8-1.5,48% had mitral E/A ratio <0.8,2% had mitral
E/A ratio 1.5 - 2,10% had mitral E/A ratio >2,LA-volume > 40ml in 38% patients and <40 ml in 62% patients.96% had LVEDD of 4.2-5.8 cm&
2% had LV EDD of 5.9-6.3 ,TR velocity was found to be <2.8 m/sec in 98% & 2% had >2.8 m/sec.Average LV-GLS was found to be reduced(<-
16%) in 64%,borderline reduced(-16% to -18%) in 24%, >-18% in 12% patients.In HFpEF,both GLS and GCS were related to LVEF(LS,R =
−0.46; p<0.0001;CS,R = −0.51;p<0.0001) but not to standard echocardiographic measures of diastolic-function(E' or E/E').Lower GLS was
modestly associated with higher NT-proBNP,includingLVEF,measures of diastolic-function and LV-lling pressure. HFpEF is aConclusions:
major cause of morbidity and mortality,utility of GLS and GCS is cost-effective way to assess underlying systolic-dysfunction in patients with
HFpEF,guides clinician for prognostication and management.
DEMOGRAPHIC AND CLINICAL PROFILE OF HYPOKALEMIC PARALYSIS IN PATIENTS OF TERTIARY CARE HOSPITAL IN SOUTH INDIA
Authors: Kaliyaperumal Chandrasekaran , Nithyanandam Kannan , Veerasamy Rajakumar , Kumar Varun
Published: August 2022

Introduction: Hypokalemic paralysis is an important reversible cause of acute accid paralysis. Severe hypokalemia if not managed appropriately
can lead to cardiac arrhythmia, respiratory failure and cardiac arrest. Therefore, this study was conducted with the objective of nding the causes of
hypokalemic paralysis in the study population. A cross sectional study was done from January 2019 to January 2021 inMaterials and Methods:
the patients admitted in the Department of Nephrology, Thanjavur Medical College, Tamil Nadu. Systematic random sampling method was
followed and every fth patient admitted with documented serum potassium levels of <3.5mEq/L and acute onset of accid weakness was included
in the study till a minimum sample size of 50 was reached. Most of the study participants, 16 (32%) had dRTA (distal renal tubularResults:
acidosis) followed by SPP (sporadic periodic paralysi) in 14 (28%). Gitelman syndrome (GS) was found in 9 (18%), Bartter syndrome (BS) in 4
(8%), thyrotoxic periodic paralysis (TPP) in 4 (8%) and proximal renal tubular acidosis (pRTA) in 3 (6%) participants. Renal loss ofConclusion:
potassium (distal renal tubular acidosis) was the most common cause for hypokalemic paralysis. Early recognition as well as prompt treatment of
hypokalemic paralysis will reduce the morbidity and mortality.
OUTCOME OF PAEDIATRIC CATARACT SURGERY AFTER PHACOEMULSIFICATION AND INTRAOCULAR LENS IMPLANTATION.
Authors: Kumar Dinesh , Singh Karamjit , Kaur Prempal , Diksha Diksha
Published: August 2022

Purpose: Methods and Material:To study postoperative visual outcome and postoperative complications after paediatric cataract surgery. In this
prospective interventional study in a tertiary centre Children between ages 1-15 years were operated on for cataract surgery and postoperative
visual acuity was compared to preoperative visual acuity and postoperative complications were noted and managed. Visual rehabilitation was done
using optical correction and amblyopia therapy. Comparison between groups was performed using independent sample t-testStatistical Analysis:
and Chi-square test using IBM® SPSS® Statistics version 28. The mean age at surgery of 50 children was 6.8 ± 3.82 years. Out of 50, 32%Results:
had congenital cataract and 68% had developmental cataract. Intraocular lens was implanted in 75 out of 80 eyes. Postoperative visual acuity was
<6/60 in 21 (25.3%) eyes as compared to 60 (72.28%) eyes preoperatively (P < 0.001). 24 (28.9%) eyes had visual acuity >6/18 postoperatively.
Poor postoperative visual acuity of <6/60 was signicantly higher in eyes with congenital cataract as compared to developmental cataract. Fibrin
reaction was most common early (7.2%) and PCO was the most common late complication. Early diagnosis and surgery areConclusions:
necessary for better visual outcome followed by optical rehabilitation and amblyopia therapy.
Grandparents' Sense of Resilience Spending time with Autism Spectrum Disorder Grandchildren (Resiliency and ASD)
Authors: Raheli Baratz-Rix , Abdalla Bowirrat
Published: August 2022

Autism Spectrum Disorder (ASD) includes various types of disorders encompasses varying verbal, mental and behavioural severities that affects the functioning of an individual throughout their life. Resilience is perceived as a structure consisting of several defence mechanisms. Resources of resilience stem from personal, biological and environmental mechanisms, or a combination of some or all of these. The objective of this study is to examine the perceptions of grandparents of children on the autism spectrum on the concept of these children's wellbeing experience. By opting for a qualitative method using the narrative approach, we conducted in-depth interviews with 30 grandparents. The interviewees were asked to address the notion of leisure time and to provide examples from their own experiences. Researchers analysed data using inductive content analysis to generate results. The resilience of grandparents is an important resource that must be recognised and harnessed. They have to bounce back to a state of normality following disruptive and often unexpected events or crises. The responses of the grandparents indicate that they need guidance on the subject regarding both the knowledge on the specic subject of autism and the tools that can help foster relationships with the children, parents of the children and the vicinity. There is place to provide tools for grandparents to build their resilience so they can function in the complicated family framework imposed on them. We found that there is a lack of training programs for grandparents and they would have appreciated to get formal education about how to deal or to get along with their ASD grandchildren.
USE OF HIGH-PERFORMANCE LIQUID CHROMATOGRAPHY IN CHARACTERIZATION OF SUSPECTED HAEMOGLOBINOPATHIES IN CENTRAL INDIA-CLINICOHAEMATOLOGICAL CORRELATION
Authors: Parul Murab , Deepshikha Verma , Maneesh Sulya , R.K. Nigam , Reeni Malik
Published: August 2022

Context: Haemoglobin High Performance Liquid Chromatography is a technique for screening and initial diagnosis of haemoglobinopathies
which includes group of disorders. Detailed clinical history, complete hematological prole along with newer ancillary techniques including Hb
HPLC when used systematically and judiciously can achieve an early diagnosis. Family studies are of considerable importance in elucidating the
nature of disorders. To aid in a cut off value for suspected haemoglobinopathies in Central India. To determine Haemoglobin prole inAims:
suspected cases of Haemoglobinopathies in Central India. Hospital based retrospective and prospective study.Setting And Design: Method And
Material: Blood samples in EDTA analyzed on cell counters. Red cell parameters and reticulocyte count were noted and peripheral smear
evaluated. Screening tests and Serum Ferritin levels done. Samples were then run-on HPLC system. Youden's criteriaStatistical Analysis Used:
was applied for calculation of cutoff values. ROC curve prepared wherever required along with calculations done on MS-EXCEL. TheResult:
cutoff for beta thalassemia trait came out as HbA2>= 3.35% and HbS>8% for sickle cell trait amongst cases collected from Madhya Pradesh.
Conclusion: Study ndings show HPLC as an excellent, powerful diagnostic tool for the direct identication of hemoglobin variants with a high
degree of precision in the quantication of normal and abnormal hemoglobin fractions.
Implementación y evaluación de un objeto de aprendizaje en ciencias naturales: el caso de la energía eléctrica
Authors: Gutiérrez Vásquez Alberto , Candela Rodríguez Boris Fernando , Gallardo Guzmán Lina Marcela
Published: August 2022

Esta investigación abordó la implementación y evaluación de un Objeto de Aprendizaje (OA) para la enseñanza de la física en una escuela de secundaria en el municipio de Cali (Colombia). Para ello, se empleó una metodología de investigación mixta (cualitativacuantitativa) focalizada en la perspectiva cualitativa e interpretativa por estudio de caso, en la que se utilizaron fuentes documentales como: Características Clave del Diseño (CCD), observación participante, videos de las sesiones de clase, diario reflexivo del profesor, pretest y postest, material del estudiante y del profesor. La evaluación formativa de este estudio se llevó a cabo a través de un modelo de evaluación de efectividad tripartito, tomando en cuenta de manera sinérgica los siguientes elementos: intenciones de diseño, acciones del profesor y los estudiantes durante la implementación y aprendizaje alcanzado por los estudiantes. Finalmente, se logró evidenciar que la secuencia de actividades de aprendizaje del OA asistió a los estudiantes en la compresión del contenido sobre los principios básicos que permiten la producción, el transporte y el uso de la energía eléctrica. Sin embargo, dicha compresión no depende exclusivamente del OA, sino también de los razonamientos y acciones pedagógicas del profesor, en conjunción con los factores contextuales de la institución educativa.
SDS SURFACTANT EFFECTS ON STABILITY AND THERMOPHYSICAL PROPERTIES OF Al2O3–WATER BASED NANOFLUIDS
Authors: ALTUN Aycan , ŞARA Osman , DORUK Semahat
Published: August 2022

Nanofluids have been considered as new potential heat transfer fluids, but there are controversial results about the stability and thermophysical properties of nanofluids in literature. In this experimental study, nanofluids at different aluminium oxide (Al2O3) volume fractions (0.3–1.1%) and sodium dodecyl sulfate (SDS) surfactant weight fractions (0.2–0.8%) were prepared by utilizing the two-step method. Stability of the obtained nanofluids was determined according to the sedimentation method, zeta potential and average particle size analysis. Density, viscosity and thermal conductivity of the nanofluids were measured experimentally from 298 K to 338 K. According to the results, the nanofluids prepared with 0.2% SDS began to collapse within a few minutes. However, it was observed that the stability of nanofluids prepared with 0.4% SDS, 0.6% SDS, and 0.8% SDS changed with the particle concentration. Besides, relative density values of nanofluids were found to be independent of temperature for each particle concentration. While relative viscosity of nanofluids increased with temperature, the highest relative thermal conductivity values of nanofluids with different weights of SDS were achieved at different temperatures. In general, relative thermal properties tend to increase with an increase in particle concentration. It has been observed that the stability and dispersion of nanofluids have a high effect on thermophysical properties.
THE INFLUENCE OF TANGENTIAL EDGE RESTRAINTS ON THE NONLINEAR RESPONSE OF LAMINATED COMPOSITE CYLINDRICAL PANELS SUBJECT TO A PINCHING FORCE
Authors: ÇAĞDAŞ İzzet Ufuk
Published: August 2022

In this study, the influence of straight edge tangential restraints on the nonlinear response of symmetrically laminated and balanced composite cylindrical panels subject to a pinching force is investigated. An 8-node degenerated nonlinear shell element, formulation of which is based on the Total Lagrangian Formulation, is employed for geometrically nonlinear analysis and the Arc-Length Method is used to trace the nonlinear path. First, the element is validated for geometrically non-linear analysis by solving two verification problems. Then, numerical results for different rotational boundary conditions are presented for two different stacking sequences, and thickness values. The numerical results presented show that there is no significant difference between the tangentially unrestrained and restrained clamped panels when only one edge is tangentially unrestrained. However, it is observed that the simply supported panels demonstrate a much less stiff behavior when one of the straight edges is tangentially unrestrained.
PRESSURE DEPENDENCIES OF RELATIVE CHANGE IN ELECTRICAL RESISTANCE, GAGE FACTOR AND POISSON’S RATIO IN BARE OPTICAL FIBERS
Authors: GÜNDAY Abdurrahman
Published: August 2022

In this paper, a distributed sensing method relying on the principle of pressure dependencies of relative change in electrical resistance, gage factor and Poisson’s ratio of the bare optical fiber core has been proposed. Using this method, besides the pressure information, relations between pressure and relative change in electrical resistance, gage factor and Poisson’s ratio of the bare optical fiber core have been examined and then the temperature dependencies of these parameters have been mathematically analyzed and matching simulations have also been carried out in Matlab R2021b and Simulink environments. Moreover, first-order equations expressing the relations between these parameters and their temperature dependencies have been derived benefiting from the curve-fitting method. For pressure variations in the range of 2.2 × 107 Pa – 12 × 107 Pa, relative changes in electrical resistance of the fiber core have been obtained in the range of 0.41 × 10-3 – 2.13 × 10-3. In other words, the pressure dependence of relative change in electrical resistance of the fiber core can be expressed as 1.841 × 10-2 Rrc(GPa)-1, i.e. 1 GPa pressure variation occurring along the fiber core causes about 0.01841 unit of Rrc variation. Furthermore, pressure dependencies of the gage factor and Poisson’s ratio have been acquired as 2.924 × 10-2 GF(GPa)-1 and 1.462 × 10-2 σ(GPa)-1, respectively.
KAVİTE ÇIKIŞ KENARININ GÜRÜLTÜ SEVİYESİNE ETKİSİNİN ARAŞTIRILMASI
Authors: YAĞMUR Sercan , DOĞAN Sercan
Published: August 2022

Çalışmada, dikdörtgen kesitli kavite içinde akan akış nedeniyle oluşan gürültü seviyesi ve kavite etrafındaki akış yapıları sayısal olarak incelenmiştir. Araştırma bulgularına göre kavite kesitinde değişiklikler yapılarak gürültü seviyesinin azaltılması amaçlanmıştır. Öncelikle, dikdörtgen kesitli kavite uygulaması için sayısal analizler yapılarak elde edilen akış yapısı sonuçları literatürdeki çalışmalarla doğrulanmıştır. Daha sonra, en yüksek gürültü seviyesinin oluştuğu kavite çıkış kenarı için r/h=0.1, 0.2, 0.5, 0.75 ve 1.0 çap oranlarında beş farklı geometri tasarlanmıştır ve bu geometriler için sonuçları doğrulanan SST k-ω türbülans modeli ile 10-35 m/s hız aralığında sayısal analizler yapılmıştır. Dikdörtgen kesitli ve çıkış kenarı beş farklı çap oranı ile tasarlanmış kavite akış sonuçları görsel ve sayısal veriler halinde sunulmuştur. Elde edilen sonuçlara göre özellikle artan çap oranı ile gürültü seviyesinde azalma tespit edilmiştir. Artan çap oranıyla tüm hızlar için gürültü seviyelerinde en yüksek %26 en düşük %15 oranında azalmalar gözlemlenmiştir. Çalışma sonuçları, uygulamada kullanılan kavite geometrilerinin tasarımına bağlı olarak gürültü seviyesinin azaltılmasında araştırmacılar için yol gösterici nitelikte olacaktır.
GNSS KOD (PSEUDORANGE) ÖLÇÜLERİ İLE TEK NOKTA KONUM BELİRLEME YAZILIMI: KTUN_SPP
Authors: AYSO Emre , KAHVECİ Muzaffer
Published: August 2022

Günümüzde tek frekanslı GNSS alıcıları ile konum belirleme uygulaması birçok alanda (savunma sanayi, navigasyon cihazları, akıllı kişisel cihazlar vb.) yoğun şekilde tercih edilmektedir. Diğer taraftan, yüksek doğruluk isteyen mühendislik amaçlı uygulamalarda (haritacılık, deprem tahmini ve deformasyon analizi çalışmaları, sayısal hava tahmini vb.) genel olarak çok frekanslı alıcılar ve faz gözlemleri tercih edilmektedir. Dolayısıyla, günümüzde artık akıllı telefonlar, akıllı saatler ya da konum tabanlı her türlü gerçek zamanlı navigasyon hizmetleri düşük maliyetli alıcılarla donatılmaktadır. Bu bağlamda tek frekanslı GNSS alıcılarıyla yalnızca sivil (C/A:Coarse Acquisition) kod gözlemlerinin kullanıldığı Tek Nokta (Mutlak) Konum Belirleme (SPP: Single Point Positioning) tekniğinden elde edilen doğruluğun iyileştirilmesi gerekliliği söz konusu alanlarda oldukça önemli hale gelmiştir.
Tek frekansta kod ölçüleri ile mutlak konum belirleme uygulamalarının gittikçe artan kullanım alanları nedeniyle, bu makalenin temelini oluşturan ve makale yazarına ait bir yüksek lisans tez çalışması kapsamında KTUN_SPP (Konya Teknik Üniversitesi_Tek Nokta Konum Belirleme) isimli GPS+Galileo özellikli bir yazılım hazırlanmıştır. Yazılım kapsamında GPS ve Galileo uydularına ait L1 ve E1 frekanslarındaki C1 kod gözlemleri kullanılarak tek nokta konum belirleme ile elde edilebilecek doğruluklar araştırılmıştır. Ayrıca kullanıcı dostu bir ara yüz tasarlanarak kullanıcıya dilediği hesaplama senaryolarını gerçekleştirebilme olanağı da sunulmaktadır. KTUN_SPP yazılımının performansını test etmek amacıyla 7 adet IGS istasyonuna ait 24 saatlik veri setleri kullanılarak GPS, Galileo ve GPS+Galileo SPP senaryoları oluşturulmuş, elde edilen sonuçlar global ölçekte gerçek zamanlı konum belirleme için kullanılan “CenterPoint RTX Post-Processing” hizmetinden elde edilen sonuçlarla karşılaştırılmıştır.
The medieval parish church of Baia Mare: preliminary results of an archaeological research project
Authors: Szőcs Péter Levente
Published: August 2022

Baia Mare (Nagybánya in Hungarian, a town today in Northwestern Romania) was an important mining town in medieval Hungary. It was called Rivulus Dominarum, meaning “Lady’s Creek.” The town owed its emergence and prosperity to gold and silver mining and related minting. The town, therefore, was an important economic centre, not only in the region but also for the whole Hungarian Kingdom. Once a large parish church stood near the main square, but it became almost entirely dismantled, only its tower standing since the second half of the 19th century. From 2012 to 2014, archaeological excavations were carried out in the parish church and its surroundings; the results allow us to outline a much more detailed picture of this significant medieval building.
Clinical Profile of Patients Admitted to the PICU in a Tertiary Care Teaching Hospital in Bangladesh
Authors: Musharraf Dr. Mashura , Shome Dr. Amit , Morshed Dr. Sumon Shahrior , Begum Dr. Dilara , Saad Dr. Tania , Rahaman Dr. Sabira , Akter Dr. Naznin , Anwar Prof. Dr. Sayeeda , Shamsad Prof. Dr. Iffat Ara
Published: August 2022

Background: Care of critically ill children remains one of the most demanding and challenging aspects in the field of pediatrics. PICU aims at promoting early intervention with an objective of achieving good results and better prognosis. This study was undertaken to know about the clinical profile and outcome of patients admitted in pediatric ICU in a tertiary care teaching Hospital. Objective: To find out the Clinical profile of patients admitted to the PICU of a tertiary care teaching hospital in Bangladesh. Methods: This is a hospital based, retrospective, descriptive study, done on patients admitted to pediatric ICU of Dhaka medical College Hospital from October 2019 -June 2022 (2 years and 9 months). Results: Total 437 patients were admitted in pediatric ICU. According to the age distribution of patients, most 172(39.36%) respondents were aged <1 year. The mean age was 3.55±3.52 years SD. There was a male preponderance 299(68%), females were 138(32%). Patients from rural area were 308(70%) and 129(30%) from urban area. Clinical profile showed that meningoencephalitis was the most common diagnosis 85(19.45%) for admission in PICU. This was followed by pneumonia 75(17.16%), septicemia 39(8.92%), and neurosurgical patient 34(7.78%). Although few percentages, some other diseases were significantly important like GBS, AGN, hepatic encephalopathies, accidental emergencies, Dengue shock syndrome, needed PICU support. The outcome revealed, overall mortality was 92(21.05%), 330(75.52%) were discharged, 9(2.06%) patients went against medical advice, 6(1.37%) patients were referred for specific comorbidities. Use of inotropes, need for mechanical ventilation, and presence of co morbid illness and low level of Glasgow coma scale less than seven were independent predictors of mortality. Conclusions: Mortality is moderate in our PICU. We conclude that a well-equipped intensive care unit with modern and innovative intensive care and appropriate training greatly ..........
Segmental Hypokinetic Cardiomyopathy in Churg Strauss Syndrome: A Case Report and Review of a Spectacular Evolution
Authors: Qadi Dr. Chaima Ait El , Zaridi Dr. Ilyas , Bouzerda Pr Abdelmajid , Qacif Pr Hassan
Published: August 2022

Eosinophilic granulomatosis with polyangiitis (EGPA, formerly Churg-Strauss syndrome) is a necrotizing systemic vasculitis of small vessels, associated with late-onset asthma, blood and tissue hypereosinophilia. Cardiac involvement is a major concern and has been described as the leading cause of mortality. In this context, we report the case of a 48-year-old woman with Churg Strauss syndrome, suffering from late-onset asthma, pansinusitis, hypereosinophilia, and cardiac damage, consisting of segmental hypokinetic cardiomyopathy with an altered ejection fraction and healthy coronary artery, complicated by a flutter treated by electric cardioversion. The combination of bolus corticosteroid therapy with Azathioprine, as well as the reduction of the rhythm disorder, led to an improvement of the contractile function and the ejection fraction in this patient's case. This observation illustrates a particular and exceptional form of myocardial damage due to Churg-Strauss syndrome and its spectacular evolution under background treatment and rhythm control.
Incidence of Hysterectomy for Dysfunctional Uterine Bleeding with Post Tubal Ligation
Authors: Khatun Dr. Anju Ara , Zahan Dr. Most. Salma Akhtar , Khatun Dr. Mst. Amena , Khatun Dr. Mst. Hazera , Naznin Dr. Shamima
Published: August 2022

Background: Post tubal ligation syndrome has been a topic of debate and the association of Dysfunctional uterine bleeding (DUB) has been identified as a long-term complication. In refractory cases, hysterectomy can be considered a treatment option for managing the post-ligation syndrome due to prolonged menstrual complaints. But very few studies summarize the fact in our country's context. Considering of epidemiological data, the study was designed to assess the incidence of hysterectomy for DUB with post-tubal ligation. Methods: The hospital-based cross-sectional type of descriptive study was conducted in the inpatient Department of Gynae & Obst in Rajshahi Medical College Hospital (RMCH), From January 2019 to July 2019. Women suffering from DUB and having a history of post tubal ligation were included in the study. After selecting the patients, informed written consent was taken from the subjects. All patients were subjected to a detailed history, clinical examination, and relevant investigation. In necessary cases, hysterectomy was done as a treatment option. Data were collected using a semi-structured questionnaire designed for the study by the researcher. Data analysis and presentation were made by statistical software SPSS 23. Results: Total 100 patients with DUB were included in this study. The mean age was 40.9±6.28 SD (years), range: 25-54 years. The majority of patients (52%) belonged to the age group (41 – 50 years). About 59% came from rural areas. The mean parity was 3.43±1.34. The incidence of hysterectomy among DUB patients with a previous history of tubal ligation was 25%. The mean duration of tubal ligation was 13.4±6.3 years. The usual presentation per vaginal bleeding pattern at presentation was menorrhagia (47%), followed in second and third by metrorrhagia (20%) and postmenopausal bleeding (17%). Besides, 78% of patients also complained of tiredness, and 12% complained of pelvic pain. And Mean duration of symptoms was 13.44 months. Conclusion: About one-fourth of the tubal ligation patients underwent a hysterectomy in their subsequent life, and usually presented with menorrhagia. However, further studies are needed to finalize the incidence rate.
Examination of Three Distinct Dosages of Dexmedetomidine for Counteraction of Postspinal Sedation Shivering in Transurethral Resection of Prostate (TURP) Medical Procedure
Authors: Islam Dr. Md Rezaul , Karim Dr. Mofizul , Haque Dr. A. K. M Zahidul
Published: August 2022

Background: The ideal portion of dexmedetomidine for shivering control with the most un-hemodynamic disturbances is still under research. Postanesthetic shivering (PAS) is an unsavory and possibly serious difficulty. Not very many investigations have been finished in regards to the ideal compelling portion of dexmedetomidine for the counteraction of postspinal anesthesia (SA) shivering. Accordingly, we expected to look at and assess three distinct portions of intravenous dexmedetomidine and to explore the ideal portion of dexmedetomidine that successfully forestalls shivering in patients going through transurethral resection of the prostate (TURP). Materials and Methods: In this randomized, twofold visually impaired, planned study, 135 patients of the American Society of Anesthesiologists I and II booked for elective TURP under SA were selected. Patients were haphazardly apportioned into one of the three gatherings getting dexmedetomidine: Group P: 0.5 μg/kg, Group Q: 0.75 μg/kg, and Group R: 1.0 μg/kg. The essential result of the review was intraoperative rate of shivering. The optional results, like hemodynamic boundaries. Results: Shivering score of various gatherings uncovered measurably huge lower occurrence and seriousness of shivering in Group Q and Group R when contrasted with Group P(P = 0.0395). Occurrences of sickne, bradycardia, and hypotension were more in Group R when contrasted with Group P and Group Q. Axillary temperature and sedation scores were equivalent among various gatherings (P > 0.05). Conclusion: Dexmedetomidine in the dose of 0.75 μg/kg furnishes sufficient antishivering impact with added advantage of sedation and less hemodynamic disturbance.
Evaluasi Penggunaan Antibiotik Pada Pasien Pneumonia Di Rumah Sakit Umum Daerah Abdul Manap Jambi Menggunakan Metoda Gyssens
Authors: Nelita Manurung Putry , Permatasari Jelly , Meirista Indri
Published: August 2022

Pneumonia termasuk dalam 10 penyakit terbesar. Usia dewasa hingga lanjut usia merupakan populasi yang paling banyak terserang pneumonia.Penggunaan antibiotik yang tidak tepat dapat meningkatkan resiko terjadinya resistensi terhadap antibiotik. Oleh karena itu, penting mengetahui rasionalitas penggunaan antibiotik pada pasien pneumonia di Rumah sakit Umum Daerah Abdul Manap Jambi. Penelitian ini adalah penelitian non eksperimental dengan rancangan deskriptif dan pengambilan data secara retrospektif dengan data rekam medik pasien pneumonia, dengan teknik pengambilan sampel purposive sampling. Hasil dari penelitian ini berdasarkan jenis kelamin laki-laki (64,6%), Perempuan (35,4%), berdasarkan usia >45 (77,4%), antibiotik yang digunakan banyak ceftriaxone ( 54,9%), menurut kategori Gyssens antibiotik yang tepat atau rasional 74,2%.