bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of the Role of Twitter in Increasing the Awareness and Knowledge about Diabetes Among Citizens of Saudi Arabia
Authors: Alhodaib Hala , Alshakhs Manal , Alsaidan Sara , Aldossari Hamdah , Alnass Maryam , Alanezi Fahad , Aljabri Duaa , AL-salman Deema , Al-Fayez Asma , AlThani Bashair , Alanzi Turki
Published: January 2022

Purpose:

The objective of this research was to evaluate the role of Twitter in increasing the awareness and knowledge of diabetes among citizens of Saudi Arabia.

Methods:

In this research we used a purposive sampling method and carried out a quantitative experimental study design. The participants were adults Twitter users from Saudi Arabia that had relative diabetic patients. The sample size was 200 participants, which were divided into an intervention and a control group. Each group consisted of 100 participants. The intervention group was recruited through Twitter, and the control group was recruited through WhatsApp. Data were analyzed and interpreted using statistical techniques, such as paired t-test, the simple t-test and the ANOVA.

Results:

The mean diabetes knowledge test (DKT) score of the intervention group was Mean=13.57, SD= 3.46. After the intervention process, the mean (M) increased to 17.06 and the standard deviation (SD) decreased to 2.35. According to these outcomes, the paired t-test showed that the use of Twitter had an influence on increasing diabetes awareness. Instead, for the control group, the mean (M) was 13.68, and the standard deviation (SD) was 3.72 at the baseline. During the study process, the mean (M) of the control group increased to 14 and the standard deviation (SD) augmented to 3.59. Then, according to the paired t-test, we concluded that in the control group, there was no effect on the participants’ knowledge.

Conclusion:

The results suggested that Twitter had a positive impact on increasing awareness and diabetes knowledge among adult Twitter users in Saudi Arabia.
Masculinidades, yoga y espiritualidad en la cárcel Un estudio cualitativo sobre la práctica del yoga en centros penitenciarios masculinos
Authors: Griera Mar
Published: January 2022

In recent years, yoga has gained popularity as a practice oriented to the search for personal, spiritual and physical well-being. The dominant profile of the yoga practitioner has been defined, mostly, as a woman, middle class and living in cities of the western world. However, recent research shows that yoga, as well as other practices from holistic spirituality, are also gaining ground among the male population. Nonetheless, there are almost no studies that focus on investigating the intersection between masculinity and holistic spirituality. This article is a first step to fill this gap. The objective is to understand sociologically the processes of popularization of yoga in a context with a majority presence of working class men -prison institutions-, and to analyze the impact of the practice of yoga in the emergence of alternative conceptions of masculinity
A COMPREHENSIVE APPROACH INTO STEREOSCOPIC VISION
Authors: Retno Wulandari Lely
Published: January 2022

Stereopsis (or stereoscopic) vision is the ability to see depth of perception, which is created by the difference in angle of view between both eyes. The first process is known as simultaneous perception. Objects will fall on each corresponding retina and there will be a process of fusion of the two images into one. Then, the brain initiates three-dimensional perception in visual cortex, creating stereoscopic vision. Stereoscopic vision will rapidly develop, especially at the age of 6-8 months of life. Stereoscopic is important in daily activities. There are many stereoacuity tests to evaluate stereoscopic vision. Stereoscopic examinations are based on the principle of haploscope, anaglyph, or polaroid vectograph. There are qualitative and quantitative examination methods to assess stereoscopic vision. Qualitative examinations such as Horizontal Lang Two Pencil test and Synoptophore. Quantitative examination including Contour stereopsis test and Clinical random dot stereopsis test. The inability of the eye to see stereoscopic can be called stereoblindness. This can be affected by amblyopia, decreased visual acuity, or the presence of ocular misalignment. Inability to achieve stereoscopic vision will impact an individual to perform some daily life activities, and lead to an increase in difficulty interacting in the world.
INDIRECT CEREBRAL REVASCULARIZATION ON OPTHALMIC ARTERY BY USING A DRUG-ELUTING BALLON FOR SUSPECTED MOYAMOYA DISEASE
Authors: Sulaiman Alwahdy Ahmad , Sumantri Usman Fritz
Published: January 2022

Moyamoya disease (MMD) is a rare idiopathic progressive vaso-occlusive disease causing multiple occlusion of cerebral vessels lead to ischemic stroke. Asian population is the most common race to be affected. We present a male patient 33-years old with suspected MMD with right hemiparesis and neurocognitive changes. On digital substraction angiography (DSA) there was appearance of ‘puff of smoke’ on his right hemisphere, stenosis middle cerebral arteries M1 bilaterally, stenosis of right opthalmic artery (OA), stenosis of left anterior cerebral artery (ACA) and aplasia of right ACA. Ballon angioplasty was performed on right OA that supply the contralateral symptomatic stenosis area (left A1) indirectly through anterior ethmoidal artery and anterior falcine artery (OA-ACA collateral). While no guidelines for the management of MMD, cerebral revascularization by using drug-eluting ballon (DEB) in right opthalmica artery is potentially effective treatment that could allow the brain to have good blood supply (gives good collateral to both ACA), reduces burden of the fragile moya-moya vessels to be ruptured followed by improvement of clinical results. Patient’s selection by understanding the stage, its progressivity and collateral formation are crucial before decision is made.
THE RELATIONSHIP BETWEEN CEREBROSPINAL FLUID PRESSURE AND ATHEROGENIC INDEX OF PLASMA IN IDIOPATIC INTRACRANIAL HYPERTENSION PATIENTS
Authors: Şimşek Fatma , Yevgi Recep , Dağcı Yıldız
Published: January 2022

Background: Idiopathic intracranial hypertension (IIH) is a disease thought to be associated with obesity and rapid weight gain. There is no objective parameter with practical use in its follow-up and treatment other than optical coherence tomography. Objective: The aim of our study is to investigate the relationship between atherogenic index of plasma (AIP) and cerebrospinal fluid (CSF) pressure. Methods: Serum vitamin B12, vitamin D, homocysteine, folic acid, triglyceride (TG), high density lipoprotein cholesterol (HDL-C) levels, CSF pressure, CSF microprotein levels were recorded from the file data of patients diagnosed with IIH. AIP was calculated by dividing the TG level logarithmically by HDL-C. Height (kg) and weight (kg) data of the patients were used to calculate the body mass index (BMI). Results: File data of 64 patients were examined. 8 patients with secondary intracranial hypertension were excluded from the study. 80.36% of the patients were overweight, 16.07% were obese, 3.57% were with normal weight. There was no significant correlation between vitamin B12, vitamin D, homocysteine, HDL-C and CSF microprotein levels and CSF pressure level in patients with a diagnosis of IIH. There was a negative correlation between folic acid level and CSF pressure level, and a positive correlation between BMI, TG, AIP and CSF pressure level. Conclusion: Using folic acid supplements and drugs that reduce TG levels can contribute positively to the course of the disease.
Insecticidal Efficacy of Medicines During Cat Flea Infestations in Tyumen
Authors: Kruglov Dmitry S.
Published: January 2022

From time immemorial people began to domesticate wild animals and throughout many generations, they are kept by people genetically isolated from external pathogens. In the prevailing era, every pet owner is trying to breed and protect his animal from contagious and noncontagious diseases. Having said that, lack and inadequacy of knowledge and mass media on simple preventive measures results in the widespread occurrence of infectious and invasive diseases, including flea, Ctenocephalides felis infestation among dogs as well as cats. The present paper primarily attempts to present the results of therapeutic efficiency of Komfortis, Foresto, and Fitoelita medical agents used during flea infestation among domestic cats. In order to meet the purpose of the study, research was carried out within the framework of study and analysis of the epizootic state of invasive diseases of agricultural and unproductive animals, bees, and birds. Studies of changes in the species composition, and bioecological patterns of the development cycle of parasites under shifting boundaries of their ranges were also done. For the study, the animals were divided into three groups of 10 animals each. Standard clinical and hematological research methods were used during the study. Blood sampling included three stages: before insecticide treatment, the intermediate interval of 15 days, and the final stage. Based on the results obtained, it was found that Komfortis and Foresto have 100% therapeutic efficacy at all stages of flea development and possess a long-lasting action duringa flea infestation. The morphological blood analysisshowed that the proposed medical agents have no toxic orsideeffects.
Evaluation of the implementation of interactive video-based online learning in practical courses using the CIPP model
Authors: Sudaryono Sudaryono
Published: January 2022

This study aims to examine the evaluation of the implementation of interactive video-based online learning for the 2020/2021 academic year at Raharja University, Tangerang City, Banten. The research design uses a quantitative approach. Techniques Data collection is done through questionnaires, interviews, and documentation studies. The item instrument validation was carried out using the validity and reliability test of the data with consistent results (0.880>0.60). The study involved 103 participants employing a descriptive data analysis technique using the CIPP evaluation model. The findings show that the average score for all aspects is 80.55%, in the very good category. First, the implementation of learning is in accordance with the Central and Regional Government Regulations and the Learning from Home Guide for the Even Semester of the 2020/2021 Academic Year. Second, input in the implementation of online learning based on video learning in accordance with the planning criteria in the implementation of practical courses. Third, the Learning Implementation Process is an alternative method used by lecturers to overcome online learning obstacles. Fourth, the Learning Products have met the policy standards of educational institutions. It is hoped that the implementation of interactive video-based online learning on educational sites can be continuously improved by evaluating the implementation of learning to achieve much better learning performance and a higher level of student satisfaction than those who do not use it.
Comparison of emotional and social intelligence assessment of students in state and private school during the pandemic
Authors: Khilmiyah Akif
Published: January 2022

This study aims to determine differences in emotional and social intelligence assessment between public and private school students using Android-based PKES (Penilaian Kecerdasan Emosional-Sosial or Social-Emotional Intelligence Assessment) application in strengthening student character during the pandemic. This survey study with a quantitative approach was analyzed using a comparative model. The subjects were 120 parents and students of public and private elementary schools in Yogyakarta chosen by purposive sampling. Data were collected through interviews, observations, and Likert scale tests with the PKES application and analyzed by t-test. It reveals that state elementary school students' emotional and social intelligence emphasizes the psychomotor aspect or good behavior with the habituation method. Meanwhile, private elementary school students emphasize the cognitive aspect of character knowledge through the lecture method. The affective aspect of social-emotional intelligence in public and private elementary schools is still low. Students have not been trained to feel the good character impact with various methods, so good behavior will not last until they are old because it has not been embedded in their hearts. Different tests with t-test obtained 0.378>0.05, so the difference is insignificant. The emotional and social intelligence of public and private elementary school children during the pandemic is not much different. Because students study at home during the pandemic, their character is more influenced by parents than teachers. It implies that parents and teachers should more often train students to feel happy doing good deeds, so good character is embedded in the heart and lasts for a long time.
Evaluation of hybrid learning in college using CIPP model
Authors: Setiawan Risky , Aman Aman , Prasojo Lantip Diat , Mehta Kunal
Published: January 2022

Learning in the millennial era provides significant changes in technology and communication. The COVID pandemic period requires every educational institution, especially universities, to carry out online learning. This influences the performance of lecturers in the online learning process, especially the implementation of hybrid learning at Universitas Negeri Yogyakarta (UNY). The purpose of this study is to (1) describe the implementation of hybrid learning at UNY; (2) know the hybrid learning lecture model carried out at UNY; (3) describe the results of hybrid learning evaluation. This research is an evaluation study with a mixed-method approach that is a mixture of qualitative and quantitative. The evaluation model selected is the CIPP model from Stufflebeam. This model was chosen because the evaluation is comprehensive, including (1) context, (2) input, (3) process, and (4) product. The results show that the hybrid learning evaluation model developed through the instrument already met an excellent construct of loading factor values and had a composite reliability score above 0.7 and Cronbach alpha above 0.6. Implementation of difficulties or obstacles to hybrid learning includes heterogeneity of origin of student residence to make the emergence of internet network signal problems. In comparison, the problem of lecturers is that not all lecturers have skills for technology and media in the implementation of hybrid learning. The results of hybrid learning evaluation showed that the value of context, input, process, and product aspects fall into the category of "excellent," i.e., with a total average score of 3.05.
Developing a Machine Learning Model to Predict Severe Chronic Obstructive Pulmonary Disease Exacerbations: Retrospective Cohort Study
Authors: Zeng Siyang , Arjomandi Mehrdad , Tong Yao , Liao Zachary C , Luo Gang
Published: January 2022

Background

Chronic obstructive pulmonary disease (COPD) poses a large burden on health care. Severe COPD exacerbations require emergency department visits or inpatient stays, often cause an irreversible decline in lung function and health status, and account for 90.3% of the total medical cost related to COPD. Many severe COPD exacerbations are deemed preventable with appropriate outpatient care. Current models for predicting severe COPD exacerbations lack accuracy, making it difficult to effectively target patients at high risk for preventive care management to reduce severe COPD exacerbations and improve outcomes.

Objective

The aim of this study is to develop a more accurate model to predict severe COPD exacerbations.

Methods

We examined all patients with COPD who visited the University of Washington Medicine facilities between 2011 and 2019 and identified 278 candidate features. By performing secondary analysis on 43,576 University of Washington Medicine data instances from 2011 to 2019, we created a machine learning model to predict severe COPD exacerbations in the next year for patients with COPD.

Results

The final model had an area under the receiver operating characteristic curve of 0.866. When using the top 9.99% (752/7529) of the patients with the largest predicted risk to set the cutoff threshold for binary classification, the model gained an accuracy of 90.33% (6801/7529), a sensitivity of 56.6% (103/182), and a specificity of 91.17% (6698/7347).

Conclusions

Our model provided a more accurate prediction of severe COPD exacerbations in the next year compared with prior published models. After further improvement of its performance measures (eg, by adding features extracted from clinical notes), our model could be used in a decision support tool to guide the identification of patients with COPD and at high risk for care management to improve outcomes.

International Registered Report Identifier (IRRID)

RR2-10.2196/13783
Prevention of nasal septoplasty surgical site infections by povidine-iod disinfection: proposal for a pragmatic randomized controlled study (Preprint)
Authors: Gerl Jan Mikael , Leegaard Truls , Singh Rohit , Homøe Preben , Bachmann-Harildstad Gregor
Published: January 2022

UNSTRUCTURED

Surgical site infections (SSIs) from nasal bacteria are an increasingly feared complication in general surgery, in implantation surgery and in intensive care units with
consequences for the patient and society not only in the short, but also in the long run. The increasing hazard of antibiotic resistances may accelerate this problem. In rhinosurgery, SSIs as a complication consist of either local wound infections, septal perforation, pneumonia or life-threatening sepsis. Standard of care for rhinosurgery is surgical hand wash, sterile drapes, gloves and antiseptic disinfection of the skin around the mid-face. Surgeons perform septoplasties in a clean contaminated field and the disinfection of the surgical field in the nasal vestibule and nasal cavity at nasal surgery is not common practice. The infection rates for septorhinoplasty spread along the range of 1 to 27 % according to the literature. It is therefore unknown, whether endonasal disinfection at nasal surgery will prevent the rate of postoperative SSIs. For the proposed pragmatic randomized controlled trial (pRCT), we chose the following primary goal: The preventive effect of aqueous povidine-iod (PVP-I) disinfection on septoplasty related SSIs. As secondary goals serve (a) to determine the safety of endonasal disinfection using PVP-I, (b) to identify the risk of endonasal PVP-I toxicity on olfactory epithelium, (c) to characterize the endonasal microbiota dependent on endonasal PVP-I disinfection in the short- and the long-term and d) to identify the endonasal microbiota in septoplasty related SSI and in septoplasty related uneventful follow-up.
Creatinine Levels at Admission as Predictors of In-Hospital Major Adverse Cardiovascular Events in Acute Heart Failure Patient
Authors: Margolang Farida Hanum , Hasan Refli , Raynaldo Abdul Halim , Hasan Harris , Nafiah Ali , Ketaren Andre Pasha
Published: January 2022

Background: Acute heart failure is a global health problem with high morbidity and mortality. Short term and long term prognosis of these patients is poor. Therefore, early identification of patients at high risk for major adverse cardiovascular events (MACEs) during hospitalization was needed to improve outcome. Creatinine levels at admission could be used as predictors of major adverse cardiovascular events in acute heart failure patients because creatinine is a simple and routine biomarker of renal function examined in patients with acute heart failure. This study aimed to determine whether creatinine can be used as a predictor of major adverse adverse cardiovascular events in patients with acute heart failure.Methods: This study is a prospective cohort study of 108 acute heart failure patients treated at H. Adam Malik Hospital from July 2018 to January 2019. Creatinine cut-off points were determined using the ROC curve, then bivariate and multivariate analyzes were performed to determine predictors of major adverse cardiovascular events during hospitalization.Results: From 108 study subjects, 24 (22.2%) subjects experienced major adverse cardiovascular events during hospitalization. The subjects who died were 20 people (83.4%), subjects with arrhythmia were 2 people (8.3%), and those who had stroke were 2 people (8.3 %). Through the ROC curve analysis, we found creatinine cut-off values of ≥1.7 mg / dl (AUC 0.899, 95% CI 0.840- 0.957, p <0.05). Creatinine ≥1.7 mg/dl could predict major adverse cardiovascular events with a sensitivity of 87.5% and specificity of 79.5%. Multivariate analysis showed that creatinine ≥1.7 mg / dl was an independent factor to predict MACEs during hospitalization in this study (OR 18,310, p 0.001) as well as creatinine clearance and heart rate.Conclusion: Creatinine levels at admission is an independent predictor for major adverse cardiovascular events during hospitalization in acute heart failure patients.
Correlation Between Uric Acid and Atrial Electromechanical Coupling Interval in Heart Failure with Reduced Ejection Fraction
Authors: Syafitri Rosa , Tedjokusumo Pintoko , Akbar M. Rizki
Published: January 2022

Background: Chronic Heart Failure (CHF) can lead to atrial and structural remodeling that result in non-homogenous impulse propagation and inter and intra-atrial conduction delay. Prolongation of interval of Atrial ElectroMechanical Coupling (AEMC) in CHF patient was related to atrial electromechanical remodeling and Atrial Fibrillation (AF) risk. Hyperuricemia found in CHF played a role in the pathophysiology of AF through neuro-hormonal activation, oxidative stress, inflammation and ionic channel dysfunction. This study aimed to investigate the association between uric acid and AEMCinterval in CHF with reduced ejection fraction.Methods: This study was a cross sectional study. Subject were CHF patients with reduced ejection fraction and sinus rhythm who visited cardiology clinic Dr. Hasan Sadikin Bandung between July - September 2018. Blood sampling for uric acid was performed in the morning after fasting 10-12 hours. AEMC interval was measured by echocardiography Tissue Doppler Imaging (TDI) as time interval from onset of P wave in surface electrocardiography to onset of A wave from TDI in lateral atrial wall called lateral PA interval. Statistical analysis was done by linear regression analysis to control confounding variables.Results: This study involved 51 CHF patients with reduced ejection fraction (< 40%) with median age 62 (27 – 81) year, 92% have history of myocardial infarction or coronary revascularization, 16% have diabetes mellitus, 51% have hypertension, and eGFR of 60.9 + 22.1. Mean uric acid was 8.0 + 2.2 mg/dL and mean lateral PA interval was 67.4 + 19.2 ms. Uric acid was significantly associated with lateral PA interval (R : 0.665, adjusted R2 0.407, P < 0.001) after controlling the confounding variables: systolic blood pressure and diastolic function.Conclusion: Uric acid significantly correlated positively with AEMC interval in CHF patients with reduced ejection fraction.
Relationship Between Degree of Disease and Pathological Findings of Echocardiography in Patient with Chronic Obstructive Pulmonary Disease
Authors: Safitri Yunny , Siregar Abdullah A. , Mukhtar Zulfikri , Hasan Harris , Akbar Nizam , Andra Cut A.
Published: January 2022

Background: Cardiovascular complications caused by COPD will change the normal function and shape of the heart’s anatomy. The purpose of this studywas to determine whether there was relationship between the degree of severity of COPD and cardiac pathology abnormalities through echocardiography.Methods: A cross-sectional analysis was conducted on 88 COPD patients at outpatients cardiology clinic Haji Adam Malik General Hospital Medan from October 2018 to December 2018. COPD patients were grouped in 4 groups based on GOLD criteria from spirometry examination, then grouped into 2 large groups, group of patients with mild to moderate COPD (GOLD I - II) and patients with severe COPD (GOLD III - IV). Then all patients underwent echocardiography examination to determine changes in the heart.Results: Pulmonary hypertension was found in 17% of cases. The most common heart pathology disorders were right ventricular hypertrophy (64.8%), left ventricular diastolic dysfunction (52.3%) and tricuspid regurgitation (35.2%). Echocardiographic abnormalities were most commonly found in groups with severe COPD (GOLD III – IV). The severity of COPD was associated with echocardiography abnormalities findings (p <0.05) except in left ventricular dysfunction (p 0.241).Conclusion: Echocardiographic examination in COPD patients can identify cardiovascular complications in severe COPD patients (GOLD III and IV)
The Effect of Door to Wire Crossing and the Incidence of Acute Kidney Injury in ST Segment Elevation Myocardial Infarction Patients Underwent Primary Percutaneous Coronary Intervention at H. Adam Malik Hospital Medan
Authors: Cancerita Sherly , Hasan Harris , Mukhtar Zulfikri , Nasution Ali Nafiah , Akbar Nizam Zikri , Sitepu Andika
Published: January 2022

Background: ST segment elevation myocardial infarction (STEMI) causes hemodynamic changes  and an increase in endogenous vasoconstrictor release leads to renal arteriolar vasoconstriction and decreases renal perfusion and may causes acute kidney injury (AKI). Door to wire crossing is a very important prognostic marker in STEMI patients.

Aims: To assess the effect of door to wire crossing and the incidence of AKI in STEMI patients with onset <12 hours undergoing primary percutaneous coronary intervention (PCI) at H. Adam Malik General Hospital Medan.

Methods: This study is a cohort study conducted from October 2018 to July 2019 with study subjects of STEMI patients with onset <12 hours who underwent primary PCI that met the inclusion and exclusion criteria. Creatinine levels will be checked before and 48-72 hours after the primary PCI as well as the door to wire crossing will be recorded and compared.

Result: The incidence of AKI was found around 14% in the group with a door to wire crossing <140 minutes and by 39% in the group with a door to wire crossing> 140 minutes. It was found that the final urea (p = 0.03), creatinine (p = 0.01), CrCl (p = 0.004) and changes in creatinine (p = 0.008) were statistically significant, while the contrast volume was not. In addition, the door to wire cossing >140 minutes (OR: 4.6; p = 0.032), hypertension (OR: 5.96; p = 0.018) and STEMI onset >6 hours (OR: 7.3; p = 0.019) emerged as independent predictors of AKI.

Conclusion: STEMI patients with onset <12 hours who underwent primary PCI with the door to wire cossing >140 minutes have 4.6 times likelihood to develop AKI rather than those with door to wire cossing <140 minutes. The incidence of AKI ranges from 14% -39%. The independent predictors of AKI besides door to wire crossing are hypertension and STEMI's onset.
Comparison of Left-Heart Structure in Patients with Valvular and Nonvalvular Atrial Fibrillation at Haji Adam Malik Hospital Medan
Authors: Farindani Rizki Astria , Siregar Abdullah Afif , Andra Cut Aryfa , Hasan Harris , Mukhtar Zulfikri , Sitepu Andika
Published: January 2022

Background: Atrial fibrillation is still a most common arrhythmia. The incidence increases according to each remodeling of the heart chamber. Valvular and non valvular heart diseases have differences in hemodynamic adaptations that trigger a certain remodeling. However, until now it is not known whether there is a difference between the left heart structure and valvular and non valvular atrial fibrillation.

Method: There were 60 patients with atrial fibrillation hospitalized from August 2018 to December 2018. The samples were then divided into 2 groups, namely the valvular and non valvular groups, each with 30 samples. All samples that met the criteria underwent echocardiography. Then comparative statistics were carried out with p values ​​<0.05 said to be statistically significant.

Results: In this study we found that coronary heart disease (CHD) was the most common etiology in the non valvular group (73.2%), whereas mitral stenosis was common in the non valvular group (67.7%). In this study there were no differences in left ventricular geometry in the two groups (p = 0.278). There were significant differences in left atrial diameter between the two groups (p = 0.0001). There were significant differences in pulmonary artery diameter between the two groups in this study (p = 0.0001).

Conclusion: There was no difference in the left ventricular geometry, but there were differences in the diameter of the left atrium and the diameter of the pulmonary artery.
Ventricular Septal Rupture following Anterior Acute Myocardial Infarction: A Challenge to a Sub-District Physician
Authors: Pradana Aditya Doni , Widodo Jarot
Published: January 2022

Background: Ventricular septal rupture (VSR) is one of the most serious mechanical complications following acute myocardial infarction (AMI). Although a rare complication, it is associated with significant mortality and morbidity. The purpose of this report was to present a case of VSR following anterior AMI in our hospital.

Case Description: A 54-year old Javanese male presented persistent episode of breathlessness and lower limb swelling for the last two days with prior chest pain 7 days ago. Physical examination revealed a grade 3/6 holosystolic murmer loudest over the apex, S3 gallop, rales bibasally of the lung. Electrocardiographic evidence revealed for a recent anterior myocardial infarction. Chest X-Ray showed a cardiomegaly and pulmonary congestion. Transthoracic echocardiography revealed VSR at mid-anteroseptal with estimated length of 8-10 mm, preserved LVEF 51% with mid-apicoseptal akinesis. Multiple readmissions were noted for this patient in the follow-up with worsened conditions.

Discussion: This is a challenging case report since our hospital is an incapable cath-lab sub-district hospital and far from PCI-capable center. It is critical that all patients with AMI have a brief evaluation for mechanical complications such as VSR. All patients who developed hemodynamic instability during AMI should be comprehensively examined for the murmur and any other heart sound that may provide valuable information.

Conclusion: Every clinician especially in the low-resource setting should be aware of this potentially fatal mechanical complication as the mortality remains significantly high. Early prompt diagnosis and treatment is the key of achieving an optimal outcome.
The The COmprehensive Registry and rEsearch on Heart Failure (CORE-HF) : 2 years report from single-center Indonesian heart failure clinic registry
Authors: Irnizarifka  , Habibie Arifianto
Published: January 2022

Introduction: Heart failure (HF) remains a rising global epidemic which lacking population-based data, especially in Indonesia. The COmprehensive Registry and rEsearch on Heart Failure (CORE-HF) is a single-center registry of Sebelas Maret HF Clinic as part of the ongoing national HF registry under InaHF. This paper designed to give an overview of HF epidemiological data, thus improves HF service quality, especially at Surakarta region.

Methods: The CORE-HF is a cohort, prospective, single-center registry which enrolls all patients with chronic HF. Subjects were recruited consecutively from the outpatient clinic of Sebelas Maret HF Clinic at UNS Academic Hospital. Both enrollment and follow-up have been performed since January 2018 until present. Variables recorded consist of basic characteristics, baseline risk factors, subjective indicators, objective diagnostic assessments, pharmacological therapy, and outcome indicators.

Results: HFrEF has a significant association towards a higher number of rehospitalization and all-cause mortality at any time (p<0.001). The 12 and 24-months cardiac related rehospitalization occurred significantly more in HFrEF group compared to other groups (p<0.001), whereas rehospitalization in HFpEF dominated by non-cardiac cause (p=0.381). Cumulative all cause mortality is significantly highest in HFrEF group for any period of time (p<0.001).

Conclusion: As a part of InaHF National HF registry, the CORE-HF registry focuses in chronic HF and designed to give an overview of HF epidemiological data, especially at Surakarta region. Together with HF Clinic system, we assure not only the optimal GDMT for all indicative patients, but also patient’s compliance.
NEEM BIODIESEL: AN ALTERNATIVE FUEL
Authors: RASTOGI ABHISHEK , SHABAN MOHD. , SAXENA, SHIVAM , SINGH TEJ PRATAP
Published: January 2022

Objective: Fossil fuels are a major source of energy in today’s world but due to the limited availability of fossil fuels and its harmful emissions, it is now very important to shift our focus toward other sources of energy. Biofuels can help us meet this energy requirement. This study is aimed at producing neem biodiesel from neem oil by “transesterification process” using sodium hydroxide (NaOH) and studying its various fuel properties.
Methods: First, extraction was done to produce neem oil from its seeds. Free fatty acid content was reduced and transesterification reaction was carried out at temperature of around 55–65°C in the presence of alkali catalyst, NaOH to produce neem biodiesel. Properties of biodiesel produced such as viscosity and flash point were then determined using redwood viscometer, Abel-Pensky apparatus, and their respective methods for other properties.
Results: Produced neem biodiesel showed higher pour point than that of conventional diesel. Viscosity of neem oil was much higher than standards and was greatly reduced when converted to biodiesel using transesterification and biodiesel showed kinematic viscosity of 5.2 cSt at 35°C.
Conclusion: Neem biodiesel produced has many fuel properties close to that of conventional diesel. Furthermore, the biodegradable, non-toxic nature of biodiesel is another reason for considering it as an alternative fuel. As we cannot directly use neem oil in diesel engine due to its high viscosity, so it is needed to convert it into biodiesel so that its properties become comparable to the conventional diesel.
The Potential Health Benefits of Papaya Seeds
Authors: Saba Shaistha
Published: January 2022

Abstract: Papaya (Carica papaya) is a tropical fruit having commercial importance because of its high nutritive and medicinal value. Papaya seeds are traditionally used by human beings from centuries to heal many illnesses. Papaya seeds contains antioxidants and antimicrobial virtues which gives protection against harmful free radicals and reduce rate of cancer and heart disease. Papaya seeds contain a variety of essential macro and micronutrients. The papaya seeds contain large amounts of nutrients, including fibre which is effective for combating constipation and other digestive problems. Seeds can be used to treat health complications such as urinary tract infection, candidiasis and sepsis. Papaya seeds are sometimes used in salads and can even be used as a substitute for black pepper. Products developed from papaya seeds are considered to be nutritionally rich with diverse sources of all nutrients. Papaya seeds have the potential to produce oil with nutritional and functional properties highly similar to olive oil. The papaya seed, and products may be useful for bio-fuel, medicinal and industrial purposes. Therefore, Papaya seeds are usually thrown away but their proper utilization can lead to the development of novel drug in medicine and considered as safe for consumption. ‘In this review subtopics covered are nutritional and Phytochemicals composition, antioxidant effect, antibacterial Activity, anthelminthic effect, Phytochemicals with Anticancer activity, Lycopene and isothiocyanate applications in papaya, papaya seed products and in vivo animal studies.’
Devanagari Handwritten Character Recognition Using Deep Learning
Authors: Padmaja Kannuru
Published: January 2022

Abstract: In this paper, we present the implementation of Devanagari handwritten character recognition using deep learning. Hand written character recognition gaining more importance due to its major contribution in automation system. Devanagari script is one of various languages script in India. It consists of 12 vowels and 36 consonants. Here we implemented the deep learning model to recognize the characters. The character recognition mainly five steps: pre-processing, segmentation, feature extraction, prediction, post-processing. The model will use convolutional neural network to train the model and image processing techniques to use the character recognition and predict the accuracy of rcognition. Keywords: convolutional neural network, character recognition, Devanagari script, deep learning.
Ship Operational Efficiency from AIS Data Using Big Data Technology
Authors: Ingle Suraj
Published: January 2022

Abstract: The Energy Efficiency Design Index (EEDI) is a necessary benchmark for all new ships to prevent pollution from ships. MARPOL has also applied the Ship Energy Efficiency Management Plan (SEEMP) to all existing ships. The Energy Efficiency Operational Indicator (EEOI) provided by SEEMP is used to measure a ship's operational efficiency. The shipowner or operator can make strategic plans, such as routing, hull cleaning, decommissioning, new construction, and so on, by monitoring the EEOI. Fuel Oil Consumption is the most important factor in calculating EEOI (FOC). It is possible to measure it when a ship is in operation. This means that the EEOI of a ship can only be calculated by the shipowner or operator. Other stakeholders, such as the shipbuilding firm and Class, or those who do not have the measured FOC, can assess how efficiently their ships are working relative to other ships if the EEOI can be determined without the real FOC. We present a method to estimate the EEOI without requiring the actual FOC in this paper. The EEOI is calculated using data from the Automatic Identification System (AIS), ship static data, and publicly available environmental data. Big data technologies, notably Hadoop and Spark, are used because the public data is huge. We test the suggested method with real data, and the results show that it can predict EEOI from public data without having to use actual FOC Keywords: Ship operational efficiency, Energy Efficiency Operational Indicator (EEOI), Fuel Oil Consumption (FOC), Automatic Identification System (AIS), Big data
An Effect of Covid Treatment on Oral Cavity
Authors: Sikarwar Milan
Published: January 2022

Abstract: Covid-19 means Corona Virus Disease which is an emergency disease declared by World Health Organization. Its first case was reported on December, 2019 in a city of China name Wuhan. Responsible virus for Covid-19 is SARS-CoV-2. Disease can be transmitted by Sneezing, Coughing, Close Contact etc. Patient of Covid-19 advise to isolate themselves for minimum 14 days either in Home or Hospital setup.
Medical Image Fusion Using Deep Learning Mechanism
Authors: Tanuja Nukapeyyi
Published: January 2022

Abstract: Sparse representation(SR) model named convolutional sparsity based morphological component analysis is introduced for pixel-level medical image fusion. The CS-MCA model can achieve multicomponent and global SRs of source images, by integrating MCA and convolutional sparse representation(CSR) into a unified optimization framework. In the existing method, the CSRs of its gradient and texture components are obtained by the CSMCA model using pre-learned dictionaries. Then for each image component, sparse coefficients of all the source images are merged and then fused component is reconstructed using the corresponding dictionary. In the extension mechanism, we are using deep learning based pyramid decomposition. Now a days deep learning is a very demanding technology. Deep learning is used for image classification, object detection, image segmentation, image restoration. Keywords: CNN, CT, MRI, MCA, CS-MCA.
Communication in a Multicultural Virtual Environment for Modern Slovak Students
Authors: Tkáčová Hedviga , Králik Roman
Published: January 2022

The necessity of establishing intercultural communication skills in children and young people is growing in the modern world. Expanding, extending the openness and accessibility of the Internet area, where diverse people with varied ideas, interests, and aspirations meet, plays a significant role in this process. Todays youth are aptly referred to as digital aborigines, as they navigate the multicultural internet environment with ease, actively using modern technology that have already become a part of their daily lives. The goal of this study is to investigate the setting of an online multicultural environment from the perspective of Slovak university students, as well as to identify and analyze current problems that university students can see in online discussions about other cultures. A structured interview was used as the primary research approach. The results provide Slovak students perspective on the six most common topics that resonate in connection with different cultures on the current Internet: (1) concerns about ones own safety due to differences of others; (2) misinformation on the Internet regarding the difference of others; (3) cognitive prejudice; (4) religious prejudices; (5) exaggeration; and (6) influencing audience emotions. This paper holds the view that modern young people should develop not only the ability to navigate in virtual reality, but also make daily personal efforts to overcome personal barriers and develop intercultural media literacy, which the authors define as the ability to acquire, in addition to digital competencies, intercultural understanding skills and apply these skills in practice in the process of communication in the Internet environment.
The Current State of the Teaching the Russian Language in the Multicultural Russian School
Authors: Kytina Natalia I. , Khamraeva Elizaveta A.
Published: January 2022

Although it is commonly known that the dominant trend in the development of modern post-industrial society is globalization, today we can already talk about glocalization as a bidirectional process of integration and localization, complementary to the dialectical development of mankind. This process implies the unification of all spheres of social life in a single global space and the isolation of individual regions and ethnic groups as a protective reaction to preserve their uniqueness and identity. The described social trends are now becoming decisive for the development of the education system as the main social institution. Migration processes and related problems of integrating migrants into a new society, preserving the national language and culture, searching for identity - all these phenomena necessitate innovative methodological solutions that should be implemented in the context of learning the Russian language at a multicultural Russian school. The article considers topical problems related to the implementation of the program of teaching the Russian language in a multicultural environment. The authors propose a conceptual definition of a multicultural school. They analyze the pedagogical experience of individual educational institutions developing their own training methods for use in a multicultural environment. This analysis makes it possible to identify socio-adaptive, cultural, psychological and linguistic aspects of teaching Russian in a multicultural school. Along the way, an increase in the psychoemotional burden of teachers working in multi-ethnic classes is noted. Additionally, the effective experience of implementing preschool language training of non-native speakers in the Moscow region is analyzed. In line with the above, the authors review the current situation with regard to teaching the Russian language in the multiethnic regions of Russia through the example of the Republics of Sakha (Yakutia) and Tatarstan. In particular, it is noted that for the regions of the Russian Federation it is methodologically incorrect to use the term multicultural school, since in the national constituent entities of the Russian Federation there is a special type of national school, and a program for studying Russian as a non-native language is also being implemented.
To Remember or to Forget: Political Repression in the Collective Memory of Descendants
Authors: Bovina Inna B. , Ryabova Tatiana V. , Konkin Vladislav Y.
Published: January 2022

The question of political repression divides society and polarizes public discourse. Understanding political repression through the prism of socio-psychological knowledge is a zone of proximal development for researchers, because the suicidal nature of repression, which A.M. Etkind points out, makes it difficult to understand terror, hinders the work of mechanisms that operate in a society that has come into contact with a catastrophe of such magnitude and duration. The study is devoted to the study of social ideas about repression, as well as emotional reactions towards repression and the repressed among the descendants of the repressed, i.e., their children and grandchildren. A total of 110 people (61.82% - females) aged 44 to 78 years, 93.63% with higher education, participated in the study. The sample included three groups: the generation of children (21 people, M = 59.52 years; SD = 9.04); the generation of grandchildren (63 people, M = 54.71 years; SD = 7.66); and the control group (26 people, M = 53.65 years; SD = 7.72). A survey in the form of a questionnaire was used, followed by a prototypical analysis of associations, which made it possible to identify the structure of ideas about repression in the three groups. To analyze emotional reactions, a factor analysis of scores on 38 scales was carried out, followed by an analysis on the new variables. The characteristics of the structure of social representations (the core and periphery zones) are consistent with the initial hypothesis that the supposedly traumatic event of repression is perceived as a personal one by the descendants but as a social one by the respondents of the control group. There were no differences in the severity of emotional reactions in relation to the category of repressions and repressed between the generations. The combined group of descendants significantly differs from the control group in the greater severity of indicators when assessing the category of repression by the factors of Anxiety, Depression and Grief, and when assessing the category of repressed by the factor of Grief. The results of the study of social ideas about the past allow us to talk about the collective memory of repression in two generations of the descendants of the repressed: in the structure of the inner world of generations of descendants, repression is a personal event of family history, colored by sorrowful feelings of varying degrees of intensity and depth.