bluuebunny/crossref_metadata_2025 huggingface dataset:
Model Collaborative Governance Dalam Pelaksanaan Program Desa Online di Kabupaten Pohuwato
Authors: Napir Suaib
Published: September 2019

Praktek kolaborasi pemerintahan di Indonesia telah menjadi trend baru dalam kajian pemerintahan untuk mengkaji hubungannya good village governance. Tujuan penelitian ini ialah untuk mengetahui dinamika, aksi dan dampak collaborative governance dalam pelaksanaan desa online pada 8 desa di Kabupaten Pohuwato. Penelitian ini diarahkan pada kolaborasi multipihak dalam program percepatan pembangunan berbasis desa online meliputi informasi, baik pengembangan potensi maupun masalah mendasar dalam tata kelola pemerintahan desa Kabupaten Pohuwato. Penelitian ini menggunakan metode penelitian kualitatif dengan teknik Purposive Sampling digunakan karena teknik penentuan sumber data dengan pertimbangan tertentu. Melalui metode tersebut, data yang diperoleh akan lebih mendalam. Pengumpulan data dilakukan dengan tiga cara yakni Studi Pustaka (Library Research), Studi Lapangan (Field Research), Focus Group Discution (FGD). Hasil penelitian, yaitu, pertama, model collaborative governance belum optimal dalam pelaksanaan program desa online di kabupaten Pohuwato karena eksistensinya belum memiliki dampak yang sifnifikan terhadap perkembangan informasi dan pembangunan desa. Kedua, pengaruh program desa online belum maksimal terhadap percepatan pembangunan desa Kabupaten Pohuwato karena sector strategis, baik potensi dan masalah tidak dimasukkan kedalam informasi program desa on line. Namun kegiatan-kegiatan yang sifat universal saja yang diinformasikan dan itu tidak berpengaruh pada percepatan pembangunan desa di Kabupaten Pohuwato
Calculo diferencial en la resolución de aplicaciones financieras en software libre
Authors: Hernández Allauca Andrea Damaris , Sánchez Almeida Miguel Andrés , Villacis Uvidia Juan Federico , Villacis Uvidia Cesar Antonio
Published: September 2019

La investigación tuvo como objetivo comprobar o rechazar las hipótesis de trabajo. Se trabajó con un tipo  correlacional transeccional, se tomaron como muestra poblacional a 13 personas que laboran en el departamento de informática a quienes se les aplicó una encuesta para conocer su percepción sobre la importancia del cálculo diferencial en la resolución de aplicaciones financieras en software.  Se acepta la hipótesis positiva H1: el cálculo diferencial tiene relación significativa en la resolución de aplicaciones financieras en software libre. Las aplicaciones financieras son una opción para acercar al usuario a las diversas facetas que ofrece la entidad bancaria, quedando confirmada la importancia que tiene el cálculo diferencial en el desarrollo de las mismas, sin embargo, al ser elaboradas en software libre, los usuarios previo permiso  podrían modificar elementos a las app.
Neuroeducación una tendencia pedagógica en el aprendizaje para la vida
Authors: Cevallos Menendez Irina Yadira , Rodríguez Gámez María
Published: September 2019

La investigación persiguió determinar la relación de la neuroeducación como tendencia pedagógica en el aprendizaje para la vida en las universidades del Ecuador. Metodológicamente fue de tipo correlacional transeccional no experimental, se abordó una población de 31 docentes como muestra poblacional. Se  tiene que el valor  de Pearson al ser de -, 158 constituye una correlación negativa muy baja, lo que implica que cuando una de las variables aumenta, la otra disminuye significativamente, lo cual indica que no existe aplicación efectiva de la neuroeducación como estrategia didáctica o enfoque pedagógico para promover un aprendizaje para la vida. Entre las principales conclusiones se tiene que la neuroeducación permite educar en diversidad de potencialidades con la finalidad de promover el respeto mutuo como factor socializador e integrador de los estudiantes en pertinencia de establecer relaciones asertivas que contribuyen en proponer transformaciones sociales que edifiquen en el crecimiento integral de la sociedad.
Constructing Thematic Learning Lesson Plan to Guide Primary Education Student on Achieving Scientific Literacy
Authors: Setiawan Adib Rifqi
Published: September 2019

It is requisite that each activity is necessary to have a clear purpose as it was designed to be a well applicable plan. Scientific literacy indicates that science has value outside scientific practice is hardly modern idea and reality, although we lose sight of this history. Unfortunately, PISA study at 1999-2015 and several preexist works has shows that common science teachings don’t optimally guide students to achieve scientific literacy. As matter of fact, the answer to how to guide student achieving scientific literacy has not been obtained yet. By proposing this work, I am consider that thematic learning as an alternative method to guide students on achieving scientific literacy. Thematic learning is an educational method of teaching in which emphasis is given on choosing a specific theme for teaching concepts. It is based on integrating various information and use it to demonstrate the topic. Pedagogy of thematic learning is based on its exploration of broad areas in one theme. I don’t deny that the concept of integrating subjects to teach in Indonesian schools, generally is not new and has not been very successful in the past. In addition, some people consider thematic learning as an opportunity while others view it as having problems. The answer, however, to how thematic learning education implementation has not been studied yet comprehensively. Therefore, thematic learning lesson plans is very important to be designed then implemented. This work constructs lesson plan to guide primary education student on achieving scientific literacy, using R&D approach four-D model: define, design, develop, and disseminate. It gained lesson plan completed by student worksheets also assessment tests as well, that validated by experts and practitioners nor reliability counted based exclusively on test.
Aligning Education for Sustainable Development (ESD) and Traditional Islamic Perspective
Authors: Setiawan Adib Rifqi
Published: September 2019

This work presents nonsystematically within no claim of completeness about education for sustainable development (ESD) that aligned with traditional islamic perspective. Many of those explanations apply to learning and teaching in general, but clearly some are especially important in Islamic studies education. For convenience, they are presented here in separate sections, even though they are closely interrelated.
Between-School Variability in Achievement Gaps
Authors: Anderson Daniel
Published: September 2019

Achievement gaps are well documented by income and race/ethnicity. Comparatively little research, however, has investigated between-school differences in these gaps. Using publicly available data from California, Oregon, and Washington from the 2014-15 to 2017-18 school years, we estimate school-level racial and economic achievement gaps by grade and content area. We find the majority of the variance in these estimates lies between schools (within district). We then investigate the extent to which these estimates depend upon geography, with visual displays (maps) providing clear evidence of spatial clustering. Finally, we build a computational model using the physical location of the school (longitude and latitude) to predict the achievement gap. We find approximately 18-61% of the total variability accounted for by location, depending on the specific model. We further use the residualized estimates to identify schools with unexpected achievement gaps. Implications for future research and educational systems-level reform are discussed.
An Integrated Design of GSM and Bluetooth Ultra Wide-Band (UWB) Monopole Antenna for Wireless applications
Authors: Gorla Praveen , Amirisetti Sushma , Teja Ravuri Sai , Karthik Korrapati
Published: September 2019

Wireless communication plays a major role in technology transformation into new dimensions where it require most efficient transreceivers which are basically known as antennas for establishing communication between nodes to node.There are different types of antennas used for regenerating different frequencies for different applications. In satellite communication, in air and space crafts or in missile applications where mass, heaviness, volume,budget, performance etc. are the main requirements to design antennas. Such requirements are fulfilled by the Microstrip Antennas . Microstrip Antennas are designed to meet these specifications and hence are widely used in many applications such as global system for mobile communication (GSM), the global positioning system (GPS), personal communication,etc.. A compact microstrip feed with triple band circular monopole antenna which can operate frequencies ranging over GSM (1.78 to 1.82GHz),Bluetooth (2.4 to2.48GHz) and Ultra wideband (UWB:3.10 to 10.6GHz) bands are designed and investigated for wireless applications.By a generalized circular radiating monopole with destructive ground plane,the UWB frequency operation is achieved. Further proceedings, the central part of the radiating antenna is removed by slotting it and then etching a half wavelength circular arc from the radiating patch antenna to achieve a dual band frequency operation over Bluetooth and UWB.The triple band frequency operation is realized by embedding quarter wavelength parasitic element/strip resonating at 1.8GHz placed at the slotted central position in the radiating patch antenna.In this project triple band circular monopole antenna is designed and simulated using electromagnetic simulation software HFSS(15.0).The implementation of the proposed antenna is done on FR4 dielectric substrate having a dielectric constant of 4.4 and loss tangent of 0.02. The antenna covers the three bands of operation with reflective coefficient <-10dB.The antenna also exhibits stable radiation patterns for entire UWB. As a result,integrated lower frequency bands are achieved.
Improving Attention Allocation on the Web Using a Market Mechanism
Authors: Jaykumar Sandeep
Published: September 2019

This project aims to examine the ways that attention allocation on the Web can be improved by using a market mechanism.
Automation with the Taskoid Framework: A Case Study I
Authors: Bheemaiah Anil Kumar
Published: September 2019

Abstract:Taskoids are a quantification of task automation with IaC and MaC, in a SaaS model based on cloud computing(Bheemaiah, n.d.), the author presents a case study of active contour segmentation, using AWS Sagemaker with a tarball of a TensorFlow model. A case study of a genome for a pretrained model used with AWS Sage maker is presented, with extensions to training a network on AWS Sagemaker and also creating tensorflow models from Wolfram mathematical descriptions.(“Website” n.d.)A case study of the generation of the UV maps for manufacturing Cuddles(™) a stuffed toy with embedded Alexa controlled thermo-regulation, using the dog-ear framework and Thermoregulation is cited as an alternative therapy in Autism Spectrum disorder. In this paper we design a Taskoid TACuv1.0 (Bheemaiah, n.d., n.d.)with Alexa enabled thermoregulation, for the design of Cuddlies(™) from images drawn by patients.Keywords: Amazon Alexa, AWS, Sagemaker, active contour segmentation, resnet50, resnet100, deeplearning, Sonoff switches, Thermoregulation, Images, Cuddles(™), Autism Spectrum Disorder, climate change, carbon footprint.What:Design of TACuv1.0 , version 1.0 of a taskoid to convert a cartoon image to the UV maps needed for the manufacture of a Cuddles(™), for thermo-regulation, with or without conversational UI.How:The steps needed are:Creation of an outline with a seam using contour segmentation, to determine the outline.Persistence of the outline, without the cartoon image for a Cuddles(™).Why:Dog-ears, a formal system for the control and integration of wifi-enabled devices with C-UI or MUI, (Bheemaiah, n.d.)allows for the use of retro-switches, either active Sonoff switches or passive ones with templates or the use of IFTTT or the RAVA language. This enables passive control or active thermoregulation.Applications: Local body thermoregulation as a therapy, outdoor and backpacking use, energy savings in low-income households, lower cost of living, personal heating, lower carbon footprint, fighting climate change.
Questionnaire validation for the evaluation of patients satisfaction with chronic generalized periodontitis physiotherapeutic treatment
Authors: Lyubomirsky G.B. , Redinova T.L.
Published: September 2019

This article assesses the reliability, constructive validity and reproducibility of a special questionnaire for determining the quality parameters of rendering physiotherapeutic care to patients with chronic generalized periodontitis. The analysis of literary sources showed that there are studies of quality of dental services, however, we have not met with research into the quality and comfort of physiotherapy procedures for periodontal patients. At the same time, the importance of this issue is obvious and requires study and analysis. Without making judgments about the quality of the service, a full-fledged medical dental procedure can not take place. The assortment of physical devices and methods grows annually, their use in the periodontoloical treatment is not always sufficiently justified, the effectiveness is not always confimed therefore it is important to pay attention not only to the marketing efforts directed by the clinics for comfort, but also to analyze the ideas about the quality of the clinical characteristics of physiotherapeutic procedures.
X-ray microanalysis of mixed saliva with fluorosis
Authors: Musiev A.A. , Volkov A.G. , Dikopova N.Zh. , Makarenko N.V. , Budina T.V. , Ruchkin D.N.
Published: September 2019

The aim of this research was to study patients with the chemical composition of mixed saliva in fluorosis using X-ray microanalysis both living in the endemic center of fluorosis and leaving it. The research involved 64 patients with dental fluorosis, all male, age — 20—35 years. To accomplish the purpose of the study, two groups were formed from them: the first group included 33 people with dental fluorosis of dashed and spotted forms, living in an endemic center of fluorosis (Krasnogorsk district, Moscow region). The second group included 31 people with dental fluorosis who left the endemic focus and live in areas with normal fluoride content in water. Results. According to the content in the mixed saliva of a number of chemical elements, no significant difference (p>0.05) was found between the studied groups. These elements include: carbon, nitrogen, oxygen, silicon, sulfur, and calcium. However, the content of other chemical elements in the oral fluid was observed statistically significant differences (p<0.05) between patients with fluorosis living in the focus of endemic lesion and patients who migrated beyond it. Thus, in the first group, in the studied saliva, the fluorine content was 42% higher than in the second. Also in this group, compared with the second, the phosphorus content was higher 18%, chlorine and potassium 27%. The content of sodium in the first group was 27% lower than in the second.
On the features of the use of digital technologies in the planning and implementation of orthopedic treatment using dental implants
Authors: Kostin K.A. , Kozhevin M.V. , Erohin M.A. , Ponomarev O.Yu.
Published: September 2019

Based on digital technologies using experience, dentists of PerfectSmile Dental Center, St. Petersburg, formulated the stages of orthopedic treatment workflow using dental implants, which are illustrated by the example of a clinical case. This article shows the advantages and key features of using digital protocols in dentistry.
Development of information and communication interaction as an element of corporate culture that increases the attractiveness of a medical institution for patients of older age groups
Authors: Stepanova Yu.S. , Morozova Ya.V. , Kopytov A.A. , Asadov A.R.
Published: September 2019

Based on the literature data and own research performed at the Department of Orthopedic Dentistry of the Medical Institute of the National Research University of Belgorod State University, a review of the methods of information and communication interaction of dental institutions with patients of retirement and pre-retirement age in the context of an increase in average life expectancy and ongoing pension reform is carried out. Elements of strategies of a medical institution that enhance its attractiveness for people of older age groups are presented, as well as the corresponding elements of corporate culture and aspects that allow clarifying the opinions of patients of these age groups on the quality of dental services provided; formulated requirements for employees of medical institutions relevant in the current conditions.
The “Brainstorming” method in teaching the “Prevention and public dental health” discipline at a medical school exemplified by development of “dental health” lessons for children with sensory deprivation of vision
Authors: Surdo E.S. , Galonsky V.G. , Tarasova N.V. , Gradoboev A.V.
Published: September 2019

The article presents experience of implementation of interactive teaching method “brainstorming” in teaching the “Prevention and Public Health” discipline to medical students. The goal and the step-by-step methodology of practical implementation of the aforesaid teaching method for the audience of future dentists are revealed. Advantages and disadvantages of the method from the point of pedagogic efficiency in teaching at a clinical department have been determined. Positive results of usage of this pedagogic technology, its creative potential exemplified by the learning process associated with development of correctional “Dental Health Lessons” for children with sensory deprivation of vision have been demonstrated. The direction and possibility of implementation in practical activity have been pointed out for dentistry students’ ideas acquired through brainstorming within the framework of work of the students’ scientific society at the Paediatric Dentistry and Orthodontics clinic-department at the KrasSMU.
Accuracy, Sensitivity and Specificity of Oral Brush Cytology in the Diagnosis of Oral Epithelial Lesions
Authors: Majid Abdul , Sajid Bushra , Shaikh Kiran , Fahim Amin , Nadeem Farkhunda , Nizamani Ghulam Shah
Published: September 2019

Background: Oral Squamous cell carcinoma (SCC) is highly prevalent in Pakistan than the rest of the world. Five-year survival rate is 80% if SCC is diagnosed at an early stage. The survival rate declines to 20% if diagnosed at a later stage. The objective of the present study was to find out the usefulness of oral brush cytology in detecting oral lesions.

Material and Methods: In the present prospective observational study, 88 samples were collected from Maxillofacial Surgery Out-Patient Department (OPD), Liaquat University Hospital and ISRA University Hospital from July 2015 to December 2015. After taking written informed consent, oral brush cytology was performed and stained with standard Papanicolaou (PAP) staining protocol. The biopsy of the patients was performed by standard protocols of oral biopsy and specimen preserved in 10% buffered formalin. Cross tabulation between diagnosis of brush cytology and biopsy of same patients was done and accuracy, sensitivity and specificity were calculated.

Results: According to the distribution of patients on brush cytology, 59.1% patients were diagnosed with malignant tumors, whereas 17.1% had benign tumors. On biopsy of the same patients, squamous cell carcinoma was confirmed in 72.7% and benign tumors were found in 17% of the patients. Comparison of brush cytology with biopsy of same patients revealed no significant difference. Accuracy, sensitivity and specificity of brush cytology of the oral cavity for detection of malignant tumor were calculated as 86.36%, 81.25% and 100% respectively. Whereas accuracy, sensitivity and specificity of brush cytology of the oral cavity for detection of benign and inflammatory conditions were 100%.

Conclusion: Oral brush cytology has good accuracy, sensitivity and specificity for detection of oral epithelial lesions and can be useful in early detection of oral cancer as well as other lesions. Moreover, as an easy-to-do, painless and non-invasive procedure, it can be a good screening method for detection of oral lesions.
Comparison of Efficacy of Laryngeal Mask Airway and Intersurgical-Gel Supraglottic Airway Device During General Anesthesia in a Tertiary Care Hospital
Authors: Saqib Butt Muhammad , Nisa Noor Un , Mustafa Ghulam , Khan Hasham
Published: September 2019

Background: Upper airways collapse during anesthesia is a common issue faced by anesthetists. Air way maintenance is an essential component of general anesthesia. Laryngeal mask airway and Intersurgical-gel (i-gel) air way devices are new advances in general anesthesia. Present study aims to compare the ease of insertion and hemodynamic response of i-gel supraglottic and laryngeal mask airway (LMA).

Material and Methods: A Randomized Clinical trial was conducted at the Department of Anesthesia, Shaikh Zayed Hospital, Lahore. Study duration was 6 months (June 2014- December 2014). A total of 60 patients were selected through non-probability consecutive sampling. Ethical approval was taken from ethical review board of Sheikh Zayed Hospital and informed written consents were taken from all the participants. Patients were randomly divided into two groups using lottery method. Group A was given laryngeal mask airway device while group B patients were provided with i-gel supraglottic device during anesthesia. Patients were compared for ease of insertion and hemodynamic parameters. Data was analyzed using SPSS version 24. Chi-square and t-test were applied and p-value ≤0.05 was considered statistically significant.

Results: A total of 60 patients were included in study. Mean age of patients was 35.2±11.7 years in LMA group and 36.7±13 years in i-gel group. Group B had lower number of insertion attempts (p=0.01) and high insertion satisfaction (p=0.4) as compared to group A. However, process failure and bleeding rate was found to be slightly higher in group B (16% and 13% respectively) as compared to group A (p>0.05).

Conclusion: i-gel supraglottic device is a successful alternative option in terms of ease of insertion and less hemodynamic response as compared to laryngeal mask airway during general anesthesia.

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Frequency of mandibular third molar surgical impactions in orthodontic patients with different antegonial notching
Authors: Azeem Muhammad , Saleem Muhammad Mudassar , Awaisi Zubair Hassan , Saleh Muhammad Imran , Ahmed Zubair , Hasan Syeda Rabbab
Published: September 2019

Background: Few studies have been reported so far on the frequency of lower third molar impactions in patients with different morphological characteristics. Our aim in this study was to find out the frequency of impacted lower third molars in orthodontic patients with different antegonial notch depths.

Material and Methods: This cross-sectional research was conducted at Orthodontics Department of Dental Section, Faisalabad Medical University, Faisalabad, and de’Montmorency College of Dentistry, Lahore, Pakistan from June 2017 to June 2019. A total of 60 orthopantomograms (OPGs) of patients with impacted lower third molars were included. The depth of antegonial notch was calculated on all the selected OPGs by measuring distance between the deepest area of the notch cavity and the tangent on the inferior border of the mandible. The patients with depth of antegonial notch of 1 mm or less were labeled as having shallow antegonial notch, while those with 3 mm or more were considered as having deep antegonial notch. Percentages and mean + SD were calculated for different variables. Depth of antegonial notching was compared between genders using ANOVA with P-value <0.5 considered as significant.

Results: Of 60 orthodontic patients, there was an equal number of male and female patients (n=30). The average age of the patients was 25.5±4 years. Overall frequency of impactions was similar in both the genders and frequency of impacted lower third molars was found to be greater in patients with deeper antegonial notches.

Conclusion: Mandibular third molar impactions were most frequent in orthodontic patients with deep antegonial notches
Peutz-jeghers syndrome: a case report
Authors: Hashmi Junaid Zia , Muhammad Masood ur Rauf Khan  , Arshad Waqas , Pirzada Zeeshan Haider , Hashmi Arifa Zia
Published: September 2019

Peutz-jeghers syndrome is rare condition with autosomal dominant inheritance. It is due to the mutation in a tumor suppressor gene SK 11 at chromosome no 9. It has a very characteristic presentation. Patient usually presents at a young age with intestinal obstruction due to polyps leading to intussusception. Also there is melanosis at perioral, digits and perineal regions. There is very strong association of cervical and breast carcinoma in females and testicular tumors in males. GIT, pancreatic and lung malignancies occur in both sexes. Regular follow up and screening are necessary for early detection of malignancies. We present a case of young girl who presented with intestinal obstruction along with other signs and symptoms of peutz-jeghers syndrome. Exploratory laparotomy revealed jejunoileal intussusception and hamartomatous polyps. Patient and other family members were advised screening studies of associated malignancies and regular follow up.
Airway Clearance in Bronchiectasis: A Randomized Control Trial of N-Acetylcysteine with 3% hypertonic saline
Authors: Shehzad Muhammad Imran , Mannan Muhammad Atiq Ul , Masood Alam  , Abdul Rauf  , Muhammad Imran Sharif
Published: September 2019

Background: N-Acetylcysteine and 3% hypertonic saline are being used effectively for sputum clearance in chronic cases of bronchiectasis for quite some time. However, their use in acute condition of the disease seems to be underexplored. The objective of our study is to compare the role of nebulized N-acetylcysteine and 3% hypertonic saline in clearing the airway in patients with acute exacerbation of bronchiectasis.

Material and Methods: A total of 136 confirmed cases of bronchiectasis were enrolled in this study. This randomized controlled trial was done in chest ward of Nishtar Hospital Multan from January 2015 to March 2017. Sampling was done by non-probability consecutive sampling and patients were divided into two groups A and B by lottery method. Verbal informed consent was taken from all participants. Group A participants received nebulization of N acetylcysteine mixed in normal saline for ten minutes, while group B participants were nebulized with 10ml of 3% hypertonic saline for ten minutes. Group B was active control group in the study. Data was collected on pre-designed Proforma, and analyzed by SPSS version 22. Numerical variables such as saturation, weight of sputum, age and blood pressure was analyzed by using t test. These were considered significant if the p value was equal or less than 0 .05. For qualitative variables chi square test was applied.

Results: The mean O2 saturation of Group A, before and after treatment, was 92.11±3.07% and 94.47±2.18%, respectively. The difference was statistically significant (p value =0.001). The sputum weight of Group A, before and after treatment, was 2.63±2.39 g and 7.41±1.38 g, respectively. The difference was statistically significant (p value =0.001). The frequency of rhonchi of Group A, before and after treatment, was 52% and 76%, respectively. The difference was statistically significant (p value =0.003). While, for Group B, the mean O2 saturation, before and after treatment, was 92.36±3.13% and 93.49±2.27%, respectively. The difference was statistically significant (p value =0.012). The sputum weight, before and after treatment, was 3.11±2.01 g and 5.56±1.02 g, respectively. The frequency of rhonchi, before and after treatment, was 45% and 74% respectively. Again, the difference was statistically significant.

Conclusion: Both nebulized N-acetylcysteine and 3% hypertonic saline cause airway clearance by enhancing sputum expectoration in patients with acute exacerbation of bronchiectasis equally. Both these agents also improve oxygen saturation in acute exacerbation of bronchiectasis significantly.
Earthquake Preparedness in Schools of Islamabad
Authors: Tariq Nadia , Jaffry Tamkeen Nishat , Khalid Sadaf
Published: September 2019

Background: Pakistan is located in the Himalayan region, which has the highest vulnerability to earthquakes. The Islamabad-Rawalpindi area lies in a tectonically active zone, where earthquakes have been frequent in the recent geological past. Earthquake preparedness in schools is relatively under studied area in Pakistan. The objective of this study was to determine the level of preparedness of schools for earthquakes and to compare it between urban and rural, government and private schools in Islamabad Capital Territory.

Material and Methods: It was a cross-sectional comparative study. The study population was schools of Islamabad Capital Territory. The total sample size was 74 and non-probability purposive sampling technique was used.  Data was collected through a structured questionnaire pretested on 5% of the sample size and respondents were administrative staff of schools. Data was analyzed using SPSS version 21. Data of the categorical variables was presented in the form of frequencies (percentages). Statistical significance of association between school profile and level of preparedness was determined by using bivariate tabular association analysis (Chi square).

Results: Out of 74 schools, 61 were private and 14 were government schools. 46 schools were located in urban areas while 28 were in rural area of Islamabad Capital Territory. Out of the total schools, 66.2% had written preparedness plan for earthquake and 73% of the schools had a safety committee to lead disaster response planning.  Most of the schools (82.4%) had minimum of two exits in high occupancy rooms. There was significant association of location of school with preparedness plan for earthquake (p=0.009), and type of school with two evacuation drills annually (p=0.03).

Conclusion: Private schools and those located in urban areas are better prepared for earthquakes as compared to government schools and the ones located in rural areas.
Antibiotic Sensitivity Patterns of Uropathogens in Children: The Current Trend
Authors: Sara Najeeb  , Naima Tariq  , Muniba Kanwal  , Gul-e-Rehan  , M. Usman Sadiq  , M. Irfan Sadiq
Published: September 2019

Background: The emergence of antibiotic-resistant infections has led to increased health care costs and mortality among children. The purpose of this study was to determine the causative organisms responsible for urinary tract infection and their antibiotic sensitivity pattern among pediatric patients of Rawalpindi/Islamabad.

Material and Methods: This cross-sectional study was carried out from June 2014 to June 2015, in the Department of Microbiology, Army Medical College, Rawalpindi, affiliated with the Military Hospital, Rawalpindi. About 270 urine samples of children with UTI were analyzed through Analytical Profile Index (API) 20E and biochemical test strips system. Their antibiotic susceptibility was determined by using standard techniques. Data were assessed and analyzed by SPSS version 17.

Results: Most common uropathogen was Escherichia coli (61.48%), followed by Proteus (15.5), Klebsiella (12.3%), Pseudomonas (4.5%), Enterococcus (3.7%) and Enterobacter (2.5%). Gram-negative rods, were most sensitive to imipenem (100%), Gentamycin (86%) and Amikacin (78.3%). They were least sensitive to Ampicillin (4.2%) and Norfloxacin (5.5%). Gram-positive cocci showed highest sensitivity for Vancomycin (100%) while displayed relatively less sensitivity for Nitrofurantoin (61.2%) and Gentamycin (48.7%). Cephalosporins also showed increased resistance with only 14% of gram-negative rods showing sensitivity to Cefotaxime. These organisms were highly resistant to Penicillin, showing a sensitivity of only 12.4%.

Conclusion: Decreased sensitivity against penicillin and cephalosporins is seen in uropathogens causing UTI in children. High sensitivity towards Nitrofurantoin makes this drug an empirical treatment in UTI.  Regular surveillance of the developing resistance in uropathogens due to inappropriate use of antibiotic is necessary to reduce complication in children with urinary tract infection.
Cerebrospinal Fluid Leak - Prevalence in Traumatic Head Injury at a Tertiary Care Center
Authors: Muhammad Junaid  , Asad Nabi  , Muhammad Aslam Khan  , Muhammad Umair
Published: September 2019

Background: Cerebrospinal fluid circulates around the surface of brain and spinal cord and through the brain’s ventricles. CSF leak is a condition that occurs when the CSF leaks through a defect in the dura or skull and out through the ear or nose. The most common causes of CSF leak include head injury, brain and sinus surgery. The objective of this study was to determine the frequencies of post-traumatic cerebrospinal fluid leak in traumatic head injury.

Material and Methods: A descriptive case series was carried out in the Department of Neurosurgery, Hayatabad Medical Complex, Peshawar for a period of 1 year, from 1st February 2016 to 31st January 2017. A total of 422 patients presenting within 48 hours of acute trauma to the head were included in a consecutive manner and followed up till 7th day to determine the CSF leak.

Results: The mean age group of our sample was 37.37 + 12.3 years of which 79.6% were male patients and 20.4% female patients. Most of the patients (55.5%) were ≤ 40 years of age. CSF leak was observed in 5.2% of patients, with otorrhea seen in 2.1% patients and rhinorrhea in 3.1% patients, respectively.

Conclusion: CSF leak is quite common in our population after acute trauma to the head. The high prevalence may be due to high frequency of accidents in our society with high velocity impact and more commonly seen in the younger age group (≤ 40 years).
Comparison of Safety and Efficacy of Potassium Hydroxide versus Combination of Salicylic and Lactic Acid for Molluscum Contagiosum
Authors: Durre-Shehwar Arshad Pirzada  , Sumaira Abdullah  , Qurat-ul Ain Zia  , Syed Afaq Ahmed  , Hamid Ali
Published: September 2019

Background: Molluscum contagiosum (MC) is a contagious cutaneous infection caused by MC virus, affecting mainly the pediatric population. It is characterized by flesh-colored umbilicated papules occurring on the skin surface. Potassium hydroxide (KOH) and salicylic acid plus lactic acid combination being keratolytic agents, are effective treatment options. The objective of the study was to compare the efficacy and safety of 10% KOH solution versus salicylic acid/ lactic acid combination in treating Molluscum contagiosum in pediatric population.

Material and Methods: A total of 80 children (age range 1-13 years) with Molluscum contagiosum lesions were selected from the Dermatology Out-Patient Department, and were randomly allocated into two groups by lottery method. Group A was given topical 10% KOH solution and group B was given Salicylic plus Lactic acid preparations for topical application. Patients were followed after two weeks to see regression in size of the lesion, and development of any side-effects. Final visit was scheduled at 6 weeks. Statistical analysis was carried out using SPSS (version 16) with p value less than 0.05 considered as statistically significant.

Results: Patients with MC (n = 80) were equally divided into group A (treated with 10% KOH) and group B (treated with combination of Salicylic acid and Lactic acid). After 6 weeks, complete remission from Molluscum contagiosum virus was seen in 29 (72.5%) patients of group A and 34 (85%) patients of group B. There were 12 (30%) patients in group A who developed local irritation and 4 (10%) developed local erythema after 6 weeks. None of the patients of group B had any such side effects.

Conclusion: 10% KOH solution is as effective as the combination of Salicylic and Lactic acids for treatment of Molluscum contagiosum in pediatric population, however it is associated with side effects of local irritation and erythema.
Pengaruh Kompensasi Terhadap Kinerja Pegawai PT. PLN (Persero) UP3 Manado
Authors: Poluakan Angel Kralita , Runtuwene Roy F. , Sambul Sofia A. P.
Published: September 2019

This study was conducted to determine whether there is an effect of compensation on employee performance at PT. PLN (Persero) UP3 Manado. Human resources play an important role in every company, because of that the company must be able to improve performance in the company by providing compensation in accordance with its achievements. This research is a quantitative approach because this research is presented with numbers, starting from data collection, interpretation of the data, and the appearance of the results. In this study, the population studied was 60 employees. Based on the results of a simple linear regression analysis concluded that compensation affects the performance of employees of PT. PLN (Persero) UP3 Manado. This is evidenced by the results of the hypothesis test (t-test).
Pengaruh Keselamatan dan Kesehatan Kerja Terhadap Kinerja Karyawan PT PP Presisi, Tbk Proyek Tol Manado-Bitung
Authors: Kourouw Pemsi , Tatimu Ventje , Sambul Sofia A. P.
Published: September 2019

This study aims to determine the effect of Occupational Safety and Health on Employees Performance at PT. PP Presisi.Tbk Proyek Tol Manado-Bitung. This study uses a quantitative approach, with a sample of 70 respondents. The sampling techniques in this study were to use Simple Random Sampling. Data collection techniques in this study are by using a questionnaire distribution. The analysis techniques used in this study includes validity test, reliability test, multiple regression test, F test, t-test and coefficient of determination. The data that has fulfilled the analysis techniques was processed using the help of the SPSS 25 program. It can be seen from the results of the statistical test that the Occupational Safety and Health independent variables affect the dependent variable of Employee Performance. The results showed that based on the calculation of the coefficient of determination the influence of the independent variable Occupational Safety and Health on the dependent variable of Employee Performance is 0,368 or 3,68 % which shows that Employee Performance can be influenced by Occupational Safety variable and Occupational Health variable. While the remaining 63, 2 % is influenced by other variables that do not exist in this study. This shows that Occupational Safety and Health has a significant effect on Employee Performance. Where if Occupational Safety is guaranteed and Occupational Health is goodwill improve Employee Performance.
Penguatan Ekonomi Lokal Pada Pelaku UMKM Berbasis Digital Di Desa Winduaji Kabupaten Brebes
Authors: Yamani Achmad Zaki , Muhammad Arif Wirawan , Faiz Muhammad Nur
Published: September 2019

In the industrial era 4.0, technological knowledge, especially information technology is very important. UMKM are micro-enterprises that should have used the information access for the economic welfare of a region, but vice versa. Current problems with UMKM include lack of capital and knowledge of information technology. Winduaji village is one of the villages with UMKM actors with minimal information technology knowledge. The method of implementation is the method of discussion with the format of Training regarding identifying problems to the use of technology media. This training activity was attended by 56 participants consisting of village officials, UMKM actors, and tourism conscious reservoirs. As a result, all participants showed great interest in using social media marketing continuously.
Implementasi Website Pondok Pesantren Syafa’atul Qur’an Cilacap
Authors: Prihantara Andesita , Rahadi Nur Wahyu , Bahroni Isa
Published: September 2019

Syafatul Qur'ant Islamic Boarding School Pondok Pesantren is an Islamic boarding school institution which in addition has the function of preaching to the community, is also an educational organization that has important and complex information to be known to the public so as to support its existence. The media information used so far is brochures, where the media information is still not optimal in its distribution and requires a large cost and a longer time. Cilacap Syafa'atul Qur'an Islamic Boarding School is not widely known by the general public because it is only in its third year, so it needs promotional media as a means to provide information to the public to find out about the activities in the Syafa'atul Qur'an Islamic Boarding School. Cilacap. Utilizing the Internet and implementing a web-based information system for Syafa’atul Qur'an Cilacap Islamic Boarding School using PHP programming, making it easier for people to obtain more complete information, so that it can be more effective and efficient with the use of information technology. The information presented on this website includes the boarding school company profile, detailed information for each education unit including facilities and student achievements. As an up to date media information, an announcement page and pesantren news are also provided. While for the purpose of da'wah provided a tausiyah page and question and answer
Cardiomiopatía restrictiva como presentación de amiloidosis
Authors: Rendón Iván Darío , Acevedo Andrés Mauricio , Buitrago Andrés Felipe , Lombo Bernardo , Jaramillo Mónica , Barrera César Emilio
Published: September 2019

La cardiopatía amiloidea es una rara entidad que se puede presentar dentro del contexto de la amiloidosis sistémica. Su presentación clínica tiende a ser tardía, cuando la función cardiaca se encuentra altamente comprometida. Actualmente han surgido herramientas no invasivas que facilitan su diagnóstico. El tratamiento depende del subtipo y en su mayoría comprende medidas de soporte a la falla cardiaca para proteger otros órganos, junto con quimioterapia oral y trasplante autólogo de medula ósea. Adicionalmente, nuevos factores pronósticos se han postulado para su manejo. Se presenta un paciente que ingresó por disnea de rápida progresión, y cuyo cuadro clínico es consistente con falla cardiaca congestiva. Los estudios paraclínicos reportaron hipertrofia concéntrica del ventrículo izquierdo y un patrón de infiltrados ecogénicos en el miocardio con extensa fibrosis. Se diagnóstica cardiomiopatía restrictiva secundaria a amiloidosis AL. A partir del caso, se describen las características de la enfermedad y los nuevos adelantos en su manejo
Aplasia pura de células rojas secundaria a infección por parvovirus B19 en paciente VIH positivo
Authors: Martinez Rosado Larry Luber , Montoya Castillo Mariana , Berlinghieri Perez Juan David
Published: September 2019

La infección crónica por parvovirus B19 en pacientes seropositivos para el virus de inmunodeficiencia humana (VIH) es una causa identificable y tratable de anemia en esta población, que en nuestro medio aún no ha sido muy estudiada. La búsqueda activa de este patógeno en pacientes VIH positivos con anemia grave sin compromiso de otras líneas celulares puede llevar a una mejoría en la calidad de vida en el tiempo y reducción de los costos de la enfermedad para el sistema de salud.
Nosotros presentamos el caso de un paciente con síndrome de inmunodeficiencia adquirida y anemia a quien se le identifico parvovirus B19
Tumor fibroso maligno de pleura
Authors: Fino Laura Marcela , Carrillo Jorge Alberto
Published: September 2019

Se presenta el caso de un paciente masculino de 50 años con cuadro clínico de nueve meses de evolución consistente en disnea, tos, pérdida de peso, mialgias y poliartralgias. En la tomografía computarizada se evidenció una masa de gran tamaño dependiente de la pleura. Posteriormente, la lesión fue resecada exitosamente y el análisis histopatológico diagnóstico tumor fibroso maligno de pleura. Adicionalmente se presenta una breve revisión de esta patología.
Paquimeningitis y glomerulonefritis crescéntica en vasculitis p-ANCA: Reporte de caso
Authors: Contreras Kateir , Vargas María José , García Paola , González Camilo Alberto , Rodríguez Martha Patricia , Patiño-Fernández Daniela , Borda Miguel Germán
Published: September 2019

Las vasculitis asociadas a anticuerpos contra el citoplasma del neutrófilo configuran patologías multisistémicas caracterizadas por afectar pequeños vasos. Se ha reportado compromiso de sistema nervioso central en 2% a 8% de los casos, rara vez al inicio del cuadro clínico.

Se reporta el caso de un hombre de 67 años de edad con vasculitis p-ANCA, quien debutó con proptosis, paquimeningitis y disfagia severa. Posteriormente deterioro renal, necesidad de hemodiálisis, ciclofosfamida y recambio plasmático terapéutico con lo cual alcanza criterios de remisión parcial y egresa de diálisis. Las vasculitis ANCA se relacionan con una amplia gama de signos y síntomas inespecíficos. La edad de aparición, creatinina inicial y requerimiento de diálisis, son factores pronósticos. El inicio oportuno del tratamiento es fundamental, requiriendo por tanto un alto índice de sospecha
Medicina interna
Authors: Residentes Residentes
Published: September 2019

MI-1 MIOPATÍA NECROTIZANTE INFLAMATORIA AUTOINMUNE ASOCIADA A ESTATINAS (ARAGÓN DIANA, DUARTE JUAN, MAYORGA CAROL, SUÁREZ LILIA, ZAMBRANO MARÍA)

MI-2 RESPUESTA AL MANEJO MULTIDISCIPLINARIO DEL PIE DIABÉTICO: A PROPÓSITO DE 3 CASOS CLÍNICOS (DOMÍNGUEZ RUIZ JUAN DIEGO, DÍAZ ROSALES YURANY ANDREA, CERÓN MORA NATHALY YISET, HERMIDA ORTIZ CINDY ALEJADRA, RODRÍGUEZ FLÓREZ ROBERTO JOSE, PINZÓN TOVAR ALEJANDRO)

MI-3 NEUROPATÍA VASCULITICA MEDIADA POR ANCA (MILLÁN HENRY AUGUSTO, LUNA FREDY ANDRÉS, PÉREZ MARÍA ALEJANDRA, RAMOS MARÍA ELENA)

MI-4 RABDOMIOLISIS SECUNDARIA A EJERCICIO Y CONSUMO DE ALCOHOL (FIGUEREDO-PEÑA MARÍA DEL CARMEN, MOLINA-PIMIENTA LUISANA, RUIZ-TALERO PAULA)

MI-5 DELIRIUM: IDENTIFICACIÓN OPORTUNA Y MANEJO TRANSVERSAL DE LAS INTERACCIONES FARMACOLÓGICAS (ZAPATA-CRISTANCHO D.C., VALENCIA-MONSALVE A.M., MUÑOZTORRES C.E., CASTAÑEDA X. )

MI-6 SÍNDROME HEMOLÍTICO URÉMICO ATÍPICO: DESCRIPCIÓN DE 20 CASOS DE LA REGIÓN CARIBE COLOMBIANA (AROCA MARTÍNEZ GUSTAVO, CABARCAS OMAR, GONZÁLEZTÓRRES HENRY, DOMÍNGUEZ-VARGAS ALEX, CONDE JUAN, OROZCO JOSÉ, ARARAT EDUFAMIRA, MUSSO CARLOS, CONDE JUAN, CADENA ANDRÉS)

MI-7 ENFERMEDAD DEL SUERO POSTERIOR A COLOCACIÓN DE SUERO ANTIOFIDICO: UNA COMPLICACIÓN INFRECUENTE A TENER EN CUENTA (ALVAREZ PERDOMO LUIS CARLOS, MOTTA QUIMBAYA ORFA, GIRALDO BAHAMON GERMAN, ZAMORA JARAMILLO ADRIANA, PUENTES CASTRILLON MARIA ELCY, VILLALBA CERQUERA YESICA)

MI-8 ERGOTISMO: UN RETO TERAPÉUTICO (RUEDA DIANA, RUIZ CAMILO, NAVARRO KAREN, ALARCÓN PILAR)

MI-9 SÍNDROME DE LÖFGREN EN NEIVA-COLOMBIA: REPORTE DE UN CASO (POVEDA-CONDE LITHEY CRISTINA, RODRÍGUEZ-PARRA MARÍA ALEJANDRA, CORTÉS-GUZMÁN JOSÉ SANTIAGO, DURÁNGUTIÉRREZ LUIS FERNANDO.)

MI-10 MIASIS, UN PROBLEMA OLVIDADO DE SALUD PÚBLICA HUMANA: SERIE DE CASOS (SIERRA-MERLANO RITA-M, BALAGUERA CESAR, VILLADIEGO BARRIOS JEAN)

MI-11 DIABETES INSÍPIDA CENTRAL SECUNDARIA A MENINGOENCEFALITIS VIRAL (MORENO PALLARES E., BORNACELLY MENDOZA A.)
Paracoccidioidomicosis
Authors: Sanabria Peña Claudia Liliana , Alarcón Martha Liliana , Duarte Villamizar Jonathan Alexis , Jaimes Maria Fernanda
Published: September 2019

La paracoccidioidomicosis es una enfermedad crónica, sistémica y progresiva, sólo descrita en América Latina, presentamos el caso de un paciente masculino, inmunocompetente, agricultor de café, que debuta con compromiso de la glándula suprarrenal en quien posteriormente se documenta compromiso pulmonar y cuyo diagnóstico se confirma con biopsia de lesiones en suprarrenal, inmunodifusión en gel de agar y reacción en cadena de la polimerasa que mostró compromiso por paracoccidioides brasilensis.