bluuebunny/crossref_metadata_2025 huggingface dataset:
Elementos determinantes de la Dinámica Gerencial de enfermería para el cuidado solidario en un hospital de ESSALUD, Perú
Authors: Bolaños Grau Patricia Liliana
Published: September 2021

Los servicios de enfermería en las instituciones públicas son fundamentales, debido a la importancia que este profesional tiene dentro del proceso de atención de la salud de la población, sin embargo, el servicio no solo conlleva al aprendizaje de elementos técnicos propios de su profesión, también involucra el aprendizaje y aplicación de conceptos gerenciales y de organización que le permitirán un mejor desempeño en sus labores. El objetivo de este artículo es describir los elementos que favorecen u obstaculizan la dinámica gerencial de enfermería para el cuidado solidario en un hospital de ESSALUD, Perú. El abordaje fue cualitativo descriptivo usando la dialéctica y aplicando entrevistas semiestructuradas a cuatro enfermeras de los servicios de consulta externa y hospitalización que desempeñaron cargos administrativos, cuatro enfermeras asistenciales y cuatro usuarios en el Hospital Víctor Lazarte Echegaray de Trujillo, Perú. Se observó como las subcategorías estudiadas, a saber, estructura organizativa, trabajo solidario y docencia asistencial se constituyen como elementos que obstaculizan la dinámica gerencial del personal del área de enfermería. Se concluyó que La gerencia de enfermería precisa de un plan de reingeniería con capacitación en nuevas competencias, de un sistema de evaluación interna y externa innovador, de un programa efectivo de coordinación intra e interinstitucional, de fortalecimiento de la articulación docente asistencial y de un plan de incentivos y reconocimiento, lo que asegurara una gerencia solidaria en bien de los enfermeros y de los usuarios de la institución.
Latin america school of business taught (LASBT): an initial reflexion
Authors: Montiel Méndez Oscar Javier
Published: September 2021

Enough. Is it time for the constitution of a Latin American School of Business Taught? To found it. To have our position. What contributions has Latin America made theoretically and empirically in Business, in the academic literature of Creativity, Management, Innovation, Entrepreneurship, Family Business, Business History, and other related disciplines? Where are we positioned in the history of global research and academic debates?
East asian studies in latin america and its potential contributions for an improved inter-regional business understanding
Authors: Mandujano-Salazar Yunuen Ysela
Published: September 2021

East Asia is today one of the most powerful regions worldwide in terms of innovation, economic and industrial growth. And as such, it has taken its business models, industrial processes, and technology to Latin America, notoriously increasing economic relations. However, Latin American countries have been mostly on the recipient side, perhaps because there is a limited understanding of their Asian counterparts. East Asian Studies provide important knowledge for Latin American specialists on economics and business, improving Latin American business theory, models, and economic relations between regions. Following Michel Foucault’s ideas about the archeological method to understand the context in which a discipline is born, this article follows documentary research and summarizes the similarities and differences between the economic contexts of these regions at the beginning of the Cold War and at the beginning of the 21st century to establish the relevance for understanding East Asian economic and business models. Then, it reconstructs the development of East Asian Studies as an academic area worldwide and its standing in Latin America, highlighting how the political and economic context has influenced its emergence and topics of research. Finally, it reflects on the contributions that can reciprocally be made between the East Asian studies in Latin America and a Latin American School of Business Thought.
Nilai-Nilai Coworking Space dalam Mendukung Konsep Kota Kreatif (Studi Kasus: Daerah Istimewa Yogyakarta)
Authors: Ni'mah Mahnunah
Published: September 2021

Globalisasi dan perkembangan teknologi informasi dan komunikasi membawa perekonomian dunia saat ini telah memasuki era ekonomi kreatif, yang memberikan implikasi pada pengembangan konsep kota kreatif dalam perencanaan dan pengembangan kota. Daerah Istimewa Yogyakarta sebagai kota yang telah dikenal menjadi pusat budaya dan pendidikan didalamnya memiliki sumber daya utama kota kreatif yaitu orang-orang kreatif. Penerapan konsep kota kreatif yang dapat dilihat dari aspek fisik yaitu keberadaan ruang-ruang kreatif yang salah satunya berupa coworking space. Coworking space sebagai wadah dalam menumbuhkan kembangkan kreativitas dan inovasi orang-orang kreatif. Penelitian ini bertujuan untuk mengkaji nilai – nilai coworking space dalam mendukung konsep kota kreatif  dengan menggunakan studi kasus di Daerah Istimewa Yogyakarta. Penelitian ini menggunakan pendekatan kualitatif dengan metode analisis deskriptif kualitatif menggunakan studi kasus. Hasil penelitian menunjukkan bahwa nilai-nilai coworking space di Daerah Istimewa Yogyakarta sebagai lingkungan kerja di sektor kreatif mampu mendorong munculnya komunitas, kolaborasi, komunikasi, dan kreativitas dapat berkontribusi dalam menghasilkan inovasi dan penciptaan peluang nilai ekonomi. Keberadaan coworking space di kota ini juga memiliki peranan yang signifikan dalam hal menghasilkan orang-orang kreatif atau pekerja kreatif (creative class) sebagai sumber daya utama dalam pengembangan kota kreatif.
Informe do BJIHS sobre o novo Qualis CAPES 2017-2020.
Authors: Coelho Paraguassu Éber
Published: September 2021

Informamos aos nossos leitores e pesquisadores que o BJIHS estará na avaliação de periódicos a receber um Qualis que abrange o período de 2017-2020. Segundo os levantamentos internos dos envios de produção para a CAPES, o BJIHS poderá ser classificado na área mãe de Odontologia ou Interdisciplinar. Caso seja classificado na área de Odontologia, a expectativa de Qualis é B4 ou B3 e caso seja classificado na área Interdisciplinar, a expectativa de Qualis é B2 ou B1.
Nilai-Nilai Pendidikan Akidah dalam Novel “Mars Betapa Berartinya Sosok Ibu Dalam Hidupku” Karya Aishworo Ang
Authors: Aroyani Ida , Hasanudin Hasanudin , Husni Husni
Published: September 2021

This study aims to 1) determine the values ​​of Aqidah Education in "Novel MARS How Meaningful a Mother in My Life" by Aishworo Ang. 2) find out the relevance of Aqidah Education Values ​​in the novel "MARS How Meaningful a Mother is in My Life" by Aishworo Ang with current Islamic education. The research method used by the author is content analysis. This analysis is used by the writer to reveal, understand and capture literary works. Meanwhile, data collection techniques are literature study techniques or documentation by examining various writings related to the object of research. The collected data were then analyzed using the stages of data processing, categorization, and data interpretation. After analyzing the data, the authors obtained the following conclusions: 1) The values ​​of aqidah education in the novel "MARS How Meaningful a Mother's Figure in My Life" by Aishworo Ang includes: a) Illahiyat, (a matter of divinity such as about His Essence) b ) Nubuwat, (prophetic issues, scriptures, etc.) c) Ruhaniyat (unseen problems such as spirits, angels, jinn, etc.) d) Sam'iyyat, (problems that can be known through revelation, such as barzhakh , heaven, hell and others) 2) The Relevance of Aqidah Educational Values ​​in Aishworo Ang's Novel "MARS How Meaningful a Mother's Figure is in My Life" with current Islamic education, which is in accordance with the aims of education aimed at improving the quality of Indonesian people, namely humans having faith and fearing God Almighty, this is in line with the contents of the story in the novel "MARS How Meaningful a Mother's Figure in My Life" which generally contains the values ​​of faith, including faith in Alla. h, faith in the book of Allah, faith in the Angel of God, faith in the Prophet, faith in the Last Day, and faith in the destiny of Allah.
Perilaku Individu dalam Lembaga Pendidikan Islam
Authors: Khoirunnisaa' Khoirunnisaa'
Published: September 2021

The study of aspects of human behavior in a particular group which includes aspects caused by the influence of organizations on humans as well as human influences on organizations including organizational behavior. There are two factors that influence individual behavior towards Islamic educational institutions, namely internal and external factors. Internal factors include heredity (heredity or innate). External factors include the environment, maturity or experience and education. While the individual behavior analysis variables include psychological, physiological and environmental variables. Psychological variables include perceptions, personality attitudes, learning and motivation. Physiological variables include physical abilities and mental abilities. And environmental variables include family, culture and social class. As an initial understanding to be able to understand individual behavior well, it is necessary to understand the characteristics inherent in individuals which include biographical characteristics, personality, perceptions and attitudes. The verses of the Qur'an relating to individual behavior form the basis that Islamic educational institutions have hinted that humans have positive and negative potentials in behavior, and in essence the positive potential of humans is stronger than their negative potential.
Reflexões acerca do uso do material concreto no processo ensino e aprendizagem da geometria espacial à luz da Teoria dos Registros Semióticos
Authors: Dalvi Silvana Cocco , Tesch Adriana da Conceição
Published: September 2021

O presente trabalho tem por objetivo evidenciar as potencialidades do material concreto dinâmico para o processo ensino e aprendizagem da geometria espacial à luz da Teoria dos Registros de Representação Semiótica. Os sólidos geométricos foram construídos possibilitando o movimento da forma tridimensional para a planificada e vice-versa. Trata-se de uma pesquisa qualitativa cujos instrumentos para a produção de dados foram observações da professora/pesquisadora, gravações e produções textuais dos alunos do 6º ano do ensino fundamental numa escola localizada em Castelo, Espírito Santo, em 2019. Os resultados revelam que o material confeccionado propiciou transformações de tratamento no registro figural articulando apreensões perceptivas, discursivas e operatórias; o encaminhamento dado a atividade favoreceu a conversão entre a representação figural e a representação na língua materna, visto que uma figura geométrica necessita de um discurso. Advogamos que o material confeccionado contribuiu para a aprendizagem dos alunos, entretanto, enfatizamos a importância dos discursos matemáticos acompanhando sua manipulação.
Characteristics of Lassa Fever Outbreak in Ondo State, Nigeria, Year 2019
Authors: Ejikeme Adaora Rosemary , Olajide Lois , Thomas Sola Sunday , Anueyiagu Chimezie , Aghogho Gbetsere , Akinbiyi Gbenga , Mohammed Amina , Lawal Bola , Gboyega Famokun , Balogun Muhammad Shakir , Dan-Nwafor Chioma
Published: September 2021

Background: Lassa fever (LF) is an acute viral haemorrhagic illness of a 2–21-day incubation period that occurs in West Africa. It is endemic in Nigeria and peaks during the first 12 weeks of the year. On January 22, 2019, the Nigeria Centre for Disease Control (NCDC) declared an outbreak of LF following an upsurge of LF cases in the country. A total of 213 confirmed cases including 41 deaths were reported from sixteen states including Ondo State. A multi-sectoral national rapid-response-team (RRT) was deployed to Ondo State to characterise the outbreak, assess its determinants, and institute control measures. Methods: An Emergency Operations Center (EOC) was activated to coordinate activities. We defined a suspected case as anyone with one or more of the following symptoms: malaise, fever, headache, sore throat, cough, vomiting and either history of contact with rodents, or a probable or confirmed LF case in the past 21 days, or any person with inexplicable bleeding between January 1, 2019, to February 26, 2019, in Ondo State. A confirmed case was any suspected case with laboratory confirmation. We conducted active case search, collected data using the LF case investigation form and reviewed the existing line list. We conducted contact tracing in hospitals and affected Local Government Areas (LGA). Data was analysed using and Epi info 7.0. Results: We identified 287 LF suspected cases in 6 LGAs; 118 were confirmed with 21 deaths (case fatality rate: 17.8%). The mean age was 39.2 ±20 years with a male-to-female ratio of 1.3:1. Of the 1,269 contacts line-listed, 20 became symptomatic, while 14 (70.0%) were confirmed positive. The secondary attack rate was 1.1%. Conclusion: The confirmed cases were more of primary cases, hence the need to focus more on reducing rodent-to-human transmission of LF. We recommend continuous education on community and health facility infection prevention control, contact tracing and enforcement of environmental sanitation measures across the state to mitigate future outbreaks
Application of Economy Token to Self-Care of Mental Illness Patients
Authors: Syahdiba Saufa Yuthika , Wardah Wardah , Malfasari Eka , Yanti Sri , Azhar Bayu , Nelma Ulia , Akbar Aulya
Published: September 2021

Self-care deficit is most of problem in psychiatric nursing diagnoses that characterized by decreased ability to perform activities consisting of bathing, dressing, decorating, eating, toileting or personal hygiene independently. One of the efforts that can be done to reduce this problem is behavioral therapy: Token Economy. The purpose of this study was to identify the effect of behavioral therapy: Token Economy on self-care of mental patients with self-care deficits at the Tampan Mental Hospital, Riau Province. This type of research is quantitative with a quasi-experimental design. The sample in this study was 25 people who were patients with self-care deficits that diagnosed by data from Sebayang Ward Tampan Mental Hospital, Riau Province . The sampling technique is accidental sampling. Data was proceeded by computerized univariate and bivariate analysis. Statistical test using Wilcoxon test after the previous normality test. The results showed that there was a decrease in the level of dependence on self-care. The Z value shows the effect of behavioral therapy: token economy after and before the intervention of -4,414. From the results of the statistical test, it was found that the alpha value (p < 0.05), means that there is a significant effect before and after behavioral therapy: the token economy.
Depression and Fatigue of Breast Cancer Patients Receiving Chemotherapy during the Covid-19
Authors: Retnaningsih Dwi , Auliyak Roudhotul , Mariyati Mariyati , Nurnaningsih Enggar
Published: September 2021

Depression in breast cancer patients includes mental shock, inability to accept reality, hopelessness, fear of death, and fear of the future. Depression creates long periods of sadness and worry, usually accompanied by feelings of worthlessness. Fatigue is a symptom that often appears in cancer patients undergoing chemotherapy. Associated with the conditions of the COVID-19 pandemic, cancer patients have an increased risk of transmitting COVID-19 because they have decreased endurance. This study aims to determine the relationship between depression and fatigue in breast cancer patients undergoing chemotherapy at Hospital Sultan Agung Semarang Indonesia. The instruments used in this study were questionnaire of the hospitals anxiety and Depression Scale (HADS) and questionnaire of fatigue, 30 female respondents who suffer from breast cancer and have undergone chemotherapy. Rank Spearman data analysis. P value = 0.000 and correlation coefficient value r = 0.671. There is a relationship between depression and fatigue in breast cancer patients undergoing chemotherapy which has an impact on adherence to chemotherapy for breast cancer patients. The higher the level of depression is, the more severe the level of fatigue in cancer patients.
Analysis of the Competency-Based Clinical Nurse Career Path Development System Implementation
Authors: Longge Elisabeth , Anindita Rina , Pamungkas Rian Adi
Published: September 2021

Nurses are one of important human resources in a hospital and are one of the keys to the successful implementation of services in the hospital. Providing opportunities in the form of career development is very important for the hospital to organize. The purpose of this study was to analyze the gap between the level of importance and implementation of career development at the UKI hospital in terms of the management and nurse executives perceptions. This research is a quantitative and qualitative research. The results of the study found that the negative average gap (-0.09) between the level of importance and implementation in terms of management and nurse perceptions was low. Based on the results of the study, it was concluded that the gap between the level of importance and implementation at the UKI Hospital judging from the management and nurses perception was still in the fair category. The research result can be used as material for reference and the study in the field of nursing science, particularly in the field of nursing management related to perceptions of career development with the quality of hospital services.
“LOVE” CONCEPT IN THE POETIC CYCLE «LIEBESFRÜHLING» BY FREDERIK RÜCKERT
Authors:   Pyatigorsk State University. Novorossiysk branch, Sanyuk E.Е.
Published: September 2021

The article gives the analyze of the concept "love" in the poetic cycle "Liebesfrühling" by the German romantic poet F. Rückert. The reconstruction of it shows the techniques of constructing and description of it in the associative-semantic field. The concept “love” and its representatives create many associative connections, making space of the text incessant. Deep aesthetic implications are revealed through lexemes without which it is impossible to understand the text and the poetic picture of the author's world as a whole.
An Optimal Design of a Small Photovoltaic Plant with Cost Minimization based on a Real Database of PV Panels and Inverters
Authors: Tsekouras George J. , Deligianni Panagiota M. , Vokas George A. , Moronis Antonios X. , Tsirekis Constantinos D. , Salis Anastasios D. , Bolakis Christos N.
Published: September 2021

The penetration of renewable energy sources and the development of autonomous power systems for the supply of isolated consumers find applications such as covering energy needs in lighthouses, small islands, monasteries, and even isolated special industrial facilities. Power plant cost is a major limitation in the development of these systems. For example, although the electromechanical cost of photovoltaic plants has been significantly reduced in recent years, however the land cost is not considered, which is a significant expenditure. In this paper, the real problem of an autonomous power station design for the supply of the shoreline electrode substation on the Stachtorroi islet of Attica, is taken as the starting point. The electrode substation is part of the Attica-Crete high voltage direct current (HVDC) electrical interconnection project. For the above problem, an overall evaluation algorithm for a photovoltaic (PV) plant is proposed that considers the technical characteristics of the plant, the installation and operating costs (including land costs in addition to electromechanical costs and efficiency of each of the plants components), as well as the actual commercial data of the individual key elements (PV panels, inverters) of various companies, choosing the optimal system through exhaustive search depending on the required power and the deflated capital reduction interest rate
Fetal Ilium as a Tool For Sex Determination: Discriminant Functional Analysis
Authors: Aarti  , Luv Sharma  , Kamal Singh
Published: September 2021

Background: Sex determination has been the most intriguing puzzle for forensic pathologists andanthropologists for which efforts are being done since long. Sexual dimorphism is well established in theadult pelvis and it is known to provide the highest level of information about sexual dimorphism. This studywas conducted to know whether this dimorphism exists in fetal bones?Method: A total of 34 pairs of fetal pelvis bones (22 Males + 12 Females), age ranging from 4 months tofull term were collected from unidentified dead fetuses brought in the Department of Forensic Medicinefor the routine medicolegal autopsies, to study for sexual dimorphism in the Department of Anatomy, Pt.B. D. Sharma PGIMS, Rohtak. Samples were divided in 2 age groups and various metric parameters wererecorded with the help of digital vernier caliper. Data obtained was subjected to descriptive & discriminantfunctional analysis.Conclusion: Results of Descriptive and Discriminant Functional Analysis showed that sex determinationcan be done with 100% of accuracy by using different combinations of parameters of fetal ilium. Thisstudy illustrates that sexual dimorphism exists from early fetal life & after mid pregnancy; it can be clearlyestablished by discriminant functional analysis.This research was limited in its analysis due to less availability of specimens as this represents only theresults in north Indian population. Future studies should be done to explore different populations to betterunderstand the sexual dimorphism in fetal bones of different geographic contexts.
The Relationship of Perceived Benefit, Perceived Barrier, and Knowledge with Vaccine Hesitancy among Anti- and Pro- Vaccine Community
Authors: Aisyah Nur Izzati  , Retno Indarwati  , Makhfudli
Published: September 2021

Introduction: The phenomenon of basic vaccine hesitancy in parents is the biggest challenge faced byhealth workers in the global era currently. This study aimed to analyze the relationship between perceivedbenefits, perceived barriers, and knowledge about vaccines towards vaccine hesitancy among anti and provaccinecommunities on social media Facebook.Methods: This study used a cross-sectional design. The sample was 150 members of the anti-vaccinecommunity and 234 members of the pro-vaccine community on social media Facebook using a purposivesampling technique. Data were collected using questionnaire namely; HBM (health belief model)questionnaire which was translated and modified, and Vaccine Hesitancy Scale (VHS) questionnaire. Theindependent variables in this study were perceived benefits of vaccines, perceived barriers to vaccines,knowledge about vaccines. The dependent variable was vaccine hesitancy. Spearman rho analysis was usedto measure the relationship between the dependent and independent variables.Results: The results of the Spearman rho analysis showed that the perceived benefits of vaccines (p=0.363of anti-vaccine, p=0.702 of pro-vaccine), the perceived barriers to vaccines (p=0.410 of anti-vaccine,p=0.341 of pro-vaccine), and knowledge about vaccines (p=0.413 of anti-vaccine, p=0.192 of pro-vaccine)was related to vaccine hesitancy in parents.Discussion: This study results indicated that the perceived benefits of vaccines, perceived barriers tovaccines, and knowledge about vaccines are related to vaccine hesitancy in parents. The implications of thestudy are essential information for health workers to determine the right and wise strategy in responding tothe increasing vaccine hesitancy in public so that basic vaccine coverage will increase.
Articaine: Opening up a New Vista For Pediatric Dentists
Authors: Ananthu H  , Ashwin P Rao  , Suprabha B S
Published: September 2021

Lidocaine has remained the gold standard local anaesthetic agent to perform dental procedures both in theadult as well as in the pediatric patients. However, the invent of articaine has offered the clinicians with anewer and more potent local anaesthetic agent, which causes minimal side effects. Articaine is 1.5 timesmore potent and 0.6 times less toxic than lidocaine. Also, adequate anaesthesia achieved through infiltrationroute of administration of the drug, almost eliminates the need for the painful and difficult inferior alveolarnerve block in children, thereby minimising the side effects. Thus, achieving adequate anaethesia throughthe administration of a small volume of the drug has opened up a new vista for pediatric dentists in managingpain in children, although manufacturers do not recommend the usage of articaine in children less than 4years of age due to paucity of evidence. So, this review article tries to throw light on the use of articaine inpediatric patients, citing evidence from literature and also tries to portray the recent advances in the researchon articaine use in pediatric patients less than 4 years of age.
A Descriptive Study to Assess the Knowledge and Practice Regarding Prevention of Osteoporosis among Group D Female Workers of Selected Tertiary Care Hospitals in Mangaluru
Authors: Anumol Shaju  , Beeda K Jose  , Geeta Fernandes  , Jeevan  , Josna Johney  , Indumathi
Published: September 2021

Background: Osteoporosis knowledge is one of several factors that are associated with osteoporosispreventive behaviour. Moreover, the educational level of individual has the potential to change theperception of health and illness to a much better level. The objective of the study was to assess the level ofknowledge regarding prevention of osteoporosis among Group D female workers ,to determine the level ofpractice regarding prevention of osteoporosis among Group D female workers,to find correlation betweenknowledge and practice on prevention of osteoporosis among group D female workers,to find associationof knowledge and practice with selected demographic variables. Methodology: A descriptive study designwas adopted for this study .The samples were drawn through Purposive sampling technique and the samplecomprised of 87 female group D workers.The tool used for this study was demographic proforma, OKATquestionnaire, and self reported practice checklist. Conclusion: The mean percentage of knowledge scorewas 37.05% and the mean percentage of practice score was 37.18%.
Legal Civil Liability of the Forensic Medicine as a Judicial Expert from a Jurisprudential Perspective
Authors: Abdelawal Bassiouny  , Saad Ramadan  , Majd Manasra
Published: September 2021

This study dealt with the long-term liability of the forensic medicine expert as a judicial expert. This studyclarifies the concept of civil liability for the judicial expert, the forensic medicine, for the implementation ofit is expertise, through introducing the judicial expert to the forensic medicine, and what is the nature andtypes of this liability, then the study also addressed elements of the civil liability of the forensic medicine.The study concluded that the civil liability of the expert is a tort liability, provided that the elements of thiscivil liability arising from the breach and the occurrence of damage, and the existence of causation where thestrength of this liability is the damage resulting from the expert’s evacuation of the obligations incumbentupon expert.
Efficacy of Clinical Palpation to Detect Cervical Lymph Node Metastasis of Oropharyngeal Cancer
Authors: Ahmad Naeem Mahdi  , Sabah Abdulaziz Issa  , Saif Saadedeen Abdulrazaq
Published: September 2021

Background and Objectives: Before excision of the primary tumor in oropharyngealcancer, a decisionmust be made to treat the cervical lymph nodes (LN) or not. The study aimed to assess the role of clinicalpalpation (CP) for preoperative detection of LN metastasis.Methods: Twenty patients withoropharyngeal squamous cell carcinoma (OSCC), managed by excision of theprimary tumor andneck dissection. The histopathological examination results compared to the preoperativeassessment of the nodes by CP.Results: There were 20 patients involved, 11 males and nine females. The mean age was 54.5 years. Twentyneck dissections were performed; there was 14 LN metastasis as proved by histopathological examination.On CP, true positive was 12, false negative was two, true negative was two and false positive was four.Conclusion: Clinical palpation performed preoperatively is highly advised as it has high diagnosticcapabilities to reach a decision to do neck dissection or not.
The Effect of Acute Bronchitis on Blood Pressure
Authors: Haider Noori Dawood
Published: September 2021

Background: Acute bronchitis is one of the top 10 conditions for which patients seek medical care. Acute bronchitis is a clinical term implying a self-limited inflammation of the large airways of the lung. A possible link between inflammation and elevated blood pressure has been suggested by several cross-sectional and longitudinal studies.Objective: To assess the effect of acute bronchitis on the blood pressure.Patients and Methods: The cross sectional study was carried out in in Baghdad. 100 patients with acute bronchitis, their age group of 17-76 years were included in the study. Blood pressures (systolic and diastolic) for the patients were taken in sitting position on the right arm during the attack and after improvement (five to seven days later).Results: 100 patients with acute bronchitis were enrolled in the study. Mean age was 45.51±15.46. Female were 54 (54%), and 46 (46%) were male. There was 42 (42%) have history of hypertension. Only 15 patients (15%) have history of smoking. Mean arterial pressure (MAP) during attack was normal in 58 (58%), and high in 42 (42%). MAP after improvement was normal in 84 (84%), and 16 (16%) remain high. About clinical features, 100% have cough, 71% sputum, 36% dyspnea, and 6% hemoptysis. Systolic, diastolic blood pressure, and mean arterial pressure during the attack were higher than after improvement with highly statistically significance (P value < 0.001). There was no statistically significant effect for the history of hypertension and smoking on blood pressure during the attack and after improvement (p value 0.441, 0.309 respectively).Conclusion: Systolic, diastolic blood pressure, and mean arterial pressure during the attack of acute bronchitis were higher than after improvement.
Combined Effect of Physical and Psychological Stress Exposure during Pregnancy on the Expression of Caspase-3 Cerebrum and Cerebellum of Newborn Mus musculus
Authors: Binta Dwi Novitasari  , Hermanto Tri Joewono  , Widjiati
Published: September 2021

Background: Prenatal stress affects fetal development including brain development. When a stressor isfelt, the brain as the main target for stress will release a hormone that stimulates the release of pro-apoptoticproteins and activate caspase-3 which acts as an executioner caspase in the cell death process. The aim of thestudy was to analyze the effect of combined stress during pregnancy on the expression of caspase-3 cerebrumand cerebellum of newborn Mus musculus. Methods: An experimental study using 24 pregnant mice (Musmusculus). Subjects were randomized into four groups, consisting of physical stress exposure group (forcedswimming) (G1), psychological stress exposure group (noise) (G2), combination stress exposure group(forced swimming + noise) (G3), and control group (G4). Stress exposure was given on 6th-15th days ofpregnancy. From each mother, three Newborn of Mus musculus were taken to make preparations from braintissue. Immunohistochemical examination was performed to assess caspase-3 expression. Results: Thestudy shows that the mean and standard deviation of the expression of caspase-3 cerebrum and cerebellumin the physical stress exposure group is 5.70 ± 0.99 and 5.80 ± 1.35, the psychological stress exposure groupis 7.23 ± 1.39 and 7.40 ± 1.24, the combined stress exposure group is 8.67 ± 1.09 and 9.30 ± 1.12, and thecontrol group 4.17 ± 1.18 and 3.90 ± 1.06. ANOVAs statistical test results show significant differencesamong groups with a value of p = 0.000 in the cerebrum and p = 0.000 in the cerebellum. Conclusion:Exposure to physical and psychological stress during pregnancy increases the expression of caspase-3 in thecerebrum and cerebellum of newborn mice.
Relationship between Cryptosporidium parvum in Water And Diarrheal Infections at Wasit Province
Authors: Abdulsada A. Rahi  , Safa K. Alwan
Published: September 2021

The present study aimed to identify the relationship between Cryptosporidium parvum in water and diarrhealinfections at Wasit province. One hundred stool samples were collected (male and female) from suspecteddiarrheal patients of parasitic infection who attended to Al-kut hospital and Al-karamah teaching hospitalat Wasit province and fifty water samples were collected from different points at Dijlah river; Householdwater supply and Kut Liquid water during the period from October 2020 to April 2021.The investigation ofoocysts of the Cryptosporidium parvum parasite carried out by staining with modified Ziel Neelson method.The results of our study revealed that 60(60%) was positive for C.paravum. The age group (1-5) monthsshowed the highest 12(12%) prevalence rate while the lowest prevalence was in patient with age group(>20) months reached to 1(1%).
Identification of Cryptosporidium parvum in Stool Specimen Using Different Diagnostic Methods in Wasit Province/Iraq
Authors: Abdulsada A. Rahi  , Salam M. Khlaif
Published: September 2021

The present study aimed to investigate the presence and prevalence of Cryptosporidium amongimmunocompromised patients in Wasit Hospitals and health centers to determine the best method for itsdiagnosis. The study started from the 1st of August to the end of November 2020. One hundred forty stoolsamples were collected from immunocompromised patients from both genders who attended the hospitaland health centers at Wasit province. Stool samples were inspected by modified acid-fast stain as a standardmethod, enzyme linked immunosorbent assay (ELISA) and Molecular Nested PCR method. Modified Ziehl-Neelsen technique revealed 46 (33%) positive cases for Cryptosporidium oocysts, of 85 males and 55 females,highly significant relationship was found between the genders and between different age groups of infectionwith a highly significant difference between rural and urban area. The prevalence of Cryptosporidium was57.14% using nested PCR and 38.46% for ELISA in comparison with MZN method. It is concluded thatcryptosporidiosis found to be endemic in Wasit Province for the first time and the nested PCR was the mostreliable technique for its diagnosis.
Prevalence of Urinary Tract Infections (UTIs) in Children with Inguinal Hermia Repairs
Authors: Arkan Kareem Abd  , Ali Ghazi Abbood1  , Saud Hussein Mousa Al-jumaily
Published: September 2021

This case control study was carried out in Baghdad city from 1st of April 2018 to 1 March 2019 included40 studied cases (children with inguinal hernia) and 40 healthy children to evaluate the prevalence of UTIsin children with inguinal hernia repairs. it was known that the children are infected or not with urinarytract infection through clinical examination of the signs that indicate urinary tract infection, as well as alaboratory examination of the urine to detect the presence of bacteria that cause urinary tract infectionin the laboratory. All children under 15 years of age were included in the study who attended pediatricsurgery clinics. Ages over the age of 15 years old, children with complex inguinal hernia such as blocked,irreducible, strangulated hernia and children with recurrent hernia were excluded. All children included inour study included in the study were examined through routine and microscopic examination of urine, urineculture and sensitivity. children with urinary tract infections were treated according to sensitivity culturereports. This case control study included children with inguinal hernia (90% males and 10% females), theirage range was <1 year to 15 year (mean: 9.52±1.3 year), the study also included 40 healthy children (ascontrol group) with the same characteristics of patient. Thestudyrevealedthaturinary tract infection wasobserved in 25% of (10 of 40) of children with inguinal hernia compared with 5% of (2 of 40) of thecontrol group (P<0.001).This study showed that most of children with inguinal hernia were suffered fromabdominal pain, urge to urinate, polyurea , cloudy urine, fever and pyelonephritis. The study found that,50% of children with inguinal hernia who suffered from UTI were due E. coli, S. aureus with rate 40% andKlebsiella spp with rate 10%. The study showed that 80% of E. coli isolates were sensitive to ampicillin,60% to amikacin and 40% to Amoxiclave, while 100% of S. aureus were sensitive to Ceftriaxone and cand75% to Cefotaxime.It was concluded that, there significant positive correlation between UTIs and inguinalhernia repairs in children.
A comparative Study of Efficacy of Esmolol and Fentanyl For Blood Pressure and Heart Rate Attenuation During Laryngoscopy and Endotracheal Intubation
Authors: Bashar Naser Hussein  , Mohammad Kheiri Mahmod  , Ammar Hamid Hanoosh
Published: September 2021

Background: Blood pressure and heart rate elevation during laryngoscopy and tracheal intubation maycause serious medical problems ex.: patients with cardiovascular disease as well as patients with increasedintracranial pressure. Aim of study: Comparism between Fentanyl and Esmolol in attenuating blood pressureand heart rate during laryngoscope and tracheal intubation. Patients and Method:60 adult patients of bothsex, ages between (20-33) , labeled as ASA I and ASA II will undergo elective surgery, divided into twogroups, each group contain 30 patients: Esmolol Group (E) takes 0.5 mg/kg esmolol IV. And Fentanyl Group(F) takes 1 mic/kg fentanyl IV.Blood pressure and heart rate was recorded before drugs administration asbaseline reading and another reading was taken after drug administration as well as after tracheal intubation.Result: blood pressure and heart rate readings of both groups, when compared to baseline reading showsthat Regarding heart rate, there are significance differences between the two groups, in that, esmololreduce heart rate in all stages when compared to fentanyl. Regarding systolic blood pressure, both drugsreduce systolic blood pressure and there are significances in all stages, favored esmolol except in T3 due torise in sbp when using fentanyl. Regarding diastolic blood pressure, both drugs also reduce diastolic bloodpressure but there are no significances in these reading except in T3 due to esmolol reduce dpb much morethan fentanyl does. Conclusions: esmolol in a dose of 0.5mg/kg is more effective than fentanyl in a dose of1mic/kg in attenuation of hemodynamic response after endotracheal intubation.
Assessment of Relationship between Ectopic Pregnancy and Assisted Reproductive Technology in Baghdad City
Authors: Alyaa Khazaal Neamah  , Wisam Mashaan Muttaleb
Published: September 2021

Objectives: To find out the relationship between assisted reproductive technology,Some demographics characteristic and ectopic pregnancy among women with ectopic pregnancyMethodology: A descriptive study was applied to assess the relationship between ectopic pregnancy andAssisted Reproductive Technology among purposive sample of (60) women aged between (20-43) yearsold attended the hospitals in Baghdad city. Results: The study show that the most woman in the age group(32-37) years old, was primary school graduate, most of them have no gravidity, were treated with assistedreproductive technology previously for (5-12) month, Clomiphene citrate (clomid) is used in the rate (50%),suffering from lower abdominal pain and Darker or brown vaginal spotting. Conclusions: The studyconcluded that there is significant relationship between the use of Clomiphene citrate (clomid) and ectopicpregnancy and the most benefit treatment for ectopic pregnancy is methotrexate. Recommendations: Thestudy recommended a furthers study on ovulation induction, training program about the effect of ovulationinduction especially (clomid) on women health
Pt Kereta Api Indonesia (Persero) Strategy in Facing Corona Virus Disease-19 Pandemic
Authors: Ambar Mutiara  , Djoko Suhardjanto  , Yeni Priatna Sari
Published: September 2021

The purpose of this research is to study and find out the strategies implemented by KAI in dealing with theimpact of the Covid-19 pandemic on KAI’s performance. The method of analysis in this study is a qualitativedescriptive method by analyzing all the data related to the topic being studied, which is then presentedwith fairly comprehensive and comprehensive arguments. The results showed that the very fast growth inthe last ten years is KAI’s performance that should be appreciated. However, the Covid-19 pandemic is areminder that economic development (profit) must be accompanied by the principles of sustainability andenvironmental and social concerns. The current situation in the impact of the Covid-19 Pandemic is veryunfavorable for achieving revenue targets for passenger and freight transport. KAI has carried out variousstrategies in dealing with the impact of the Covid-19 pandemic. Several things that have been done by KAIin dealing with the impact of the Covid-19 pandemic include: 1. Protecting passengers and employees ofKAI by prioritizing health through the Covid-19 prevention protocol; 2. Maintain company liquidity bypreparing several scenarios, if the pandemic ends in June, August or December; 3. Perform cost efficiency(operational expenditure) and reduced investment (capital expenditure) to balance the potential decline inincome.
Effects of Artifacts on the Diagnosis of Ultrasound Image
Authors: Alyaa Raheem
Published: September 2021

In ultrasound imaging, the artifact is the term that can be used to describe various parts of an image that doesnot accurately represent the anatomic structure within the subject being evaluated. The current study aimsto explain the foundation of understanding the artifacts in conventional ultrasound and Doppler techniquesto highlight the effect which may occur as a result of these artifacts. Artifact in ultrasound imaging can beclassified into three categories according to its cause, artifacts caused by the patient, by instrument, and byan operator. Recognition of artifacts is important as they can be considered as tissue composition indicators.Therefore, it helps in the diagnosis. The ability to recognize and correct potential ultrasound artifacts issignificant for image quality improvement and optimal patient care. The most frequent artifact is acousticshadowing that had been seen in 11 from 54 cases and the less frequent is blooming artifact that occurred inonly 1 case from selected cases.
Die krisensichere Lösung: Denken in Prozessen
Authors: Fahry Gerd
Published: September 2021

Der schwäbische Werkzeughersteller Mapal fokussiert sich auf breitere Anwendungsfelder, hat seine Organisationsstruktur neu geordnet und will sich damit den veränderten und divergierenden Herausforderungen der Märkte stellen.
Perceptual stimuli with novel bindings interfere with visual working memory
Authors: Shepherdson Peter
Published: September 2021

What influences the extent to which perceptual information interferes with the contents of visual working memory? In two experiments using a combination of change detection and continuous reproduction tasks, I show that binding novelty is a key factor in producing interference. In Experiment 2, participants viewed arrays of colored circles, then completed consecutive change detection and recall tests of their memory for stochastically independent items from the same array. When the probe used in the change detection test was novel (i.e., required a “change” response), subsequent recall performance was worse than in trials with matching (i.e., “no change”) probes, irrespective of whether or not the same item was tested in both phases. In Experiment 2, participants viewed arrays of oriented arrows, then completed a change detection (requiring memory) or direction judgement (not requiring memory) test, followed by recalling a stochastically independent item. Again, novel probes in the first phase led to worse recall, irrespective of whether the initial task required memory. This effect held whether the probe was wholly novel (i.e., a new feature presented at any location) or simply involved a novel binding (i.e., an old feature presented at a new location). These findings highlight the role of novelty in visual interference, consistent with the assumptions of computational models of WM, and suggest that new bindings of old information are sufficient to produce such interference.
Clinico-statistical study regarding prevention of infections in dental offices by impressions decontamination
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, PERIEANU Viorel Ştefan , PERIEANU Mădălina ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, MALIŢA Mădălina ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, BURLIBAŞA Mihai ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, COSTEA Radu ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, IONESCU Camelia ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, GHIUŢĂ Consuela ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, IONESCU Ileana ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, BURLIBAŞA Liliana ,   Facultatea de Biologie, Universitatea din Bucureşti
Published: September 2021

Objective. The purpose of the study is to evaluate the knowledge and universal application of decontamination methods of impressions in dental practices. Material and method. The study involved 131 persons (dentists and dental students at Faculty of Dental Medicine). All the participants completed a questionnaire regarding the knowledge of transmission risk and rates of infections agents through dental impressions and the importance of different methods of decontamination. Results. Most of the subjects (93.89%) are aware of classical safe standard to achieve infection control in dental office. The youngest ones are well instructed in dental school. Most of the participants concluded that ere is a risk of transmission of infectious agents through different devices (impressions, prosthetic components) are sent out of the practice. Still only 35.11% of the respondents use a decontamination process of impressions. Among these (46 subjects), only 25 of them follow a well-conducted decontamination protocol. Many of the subjects consider that the infections risk of dental devices is minor and the decontamination procedure only makes the technological process more difficult. Conclusions. Dental practitioners consider that there is a minor risk of person-to-person transmission of infectious through dental devices. Doctors and technicians as well do not use a multi-step process of decontamination, because it makes the workflow more difficult.
A meningocele complicating mastoidectomy – case considerations
Authors:   Department of Otorhinolaryngology, “M.S. Curie” Emergency Clinical Hospital for Children, Bucharest, GHEORGHE Dan-Cristian ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, ZAMFIR-CHIRU-ANTON Adina ,   Department of Otorhinolaryngology, “Grigore Alexandrescu” Emergency Clinical Hospital for Children, Bucharest
Published: September 2021

Objective. To discuss a less common complication of middle ear surgery. Meningoceles are dural herniations that can fill the mastoid cavities through congenital or acquired bony defects of the mastoid walls. They can complicate the postoperative course of surgery for chronic middle ear disease. Material and method. Case presentation showing one patient who developed a mastoid meningocele after extensive cholesteatoma surgery. Discussion. The causes of dural herniation into the mastoid cavities are presented. Some hypothesis regarding the factors that favor the occurrence of this complication are presented. Conclusions. Surgical closing of the bone gap in the mastoid wall was the treatment we used. We can not ascertain yet the long term results of such surgical maneuver, regarding the technique and the graft we used. Attention to the mastoid surgical detail and good postoperative intensive care could prevent such complications.