bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Gadget terhadap Tumbuh Kembang Anak pada Masa Early Childhood
Authors: Rahayu Z Sri Putri , Tri Mutya Mita Fani , Rahmi  , Muliati Riska
Published: November 2022

Masa anak-anak merupakan masa yang sangat penting dalam pertumbuhan dan perkembangan seseorang. Masa anak-anak dinilai masa penentu untuk masa perkembangan tahap selanjutnya, dan sangat perlu diperhatikan, baik oleh orangtua, lingkungan, dan pihak lainnya. Pada masa anak-anak terjadi perkembangan baik itu secara fisik, Bahasa, sosial, bahkan emosional. Perkembangan fisik, kognitif, bahasa, sosial dan emosional mengalami perubahan yang sangat cepat pada masa ini terutama pada masa anak usia dini, oleh karena itu masa ini disebut juga masa keemasan. Saat ini sangat efektif untuk mengoptimalkan berbagai potensi anak agar menjadi pribadi yang berkualitas. Pesatnya perkembangan ilmu pengetahuan dan teknologi saat ini berdampak pada pola asuh orang tua. Gadget merupakan salah satu hasil perkembangan ilmu pengetahuan dan teknologi yang paling populer digunakan mulai dari kalangan lanjut usia, hingga anak usia dini sudah mulai menggunakan gedget. Penggunaan gadget pada anak usia dini dapat mempengaruhi pertumbuhan dan perkembangan anak. Meskipun gadget memberikan dampak positif bagi anak, namun dampak penggunaan gadget pada anak lebih dominan berdampak negatif. Penyelesaian penggunaan gadget harus mencakup prinsip-prinsip kebijakan dalam pendidikan karakter pada anak, penggunaan gadget yang ideal terutama untuk anak usia dini dilakukan dengan mempertimbangkan usia, waktu, kebutuhan, dan tempat. Penelitian ini menggunakan jenis penelitian Pustaka (library research) dengan metode pengumpulan data dari buku, jurnal, dan artikel. Teknik analisis data menggunakan deskriptif analisis dengan menggunakan tata fikir logis untuk mengonstruksikan sejumlah konsep menjadi proposisi, hipotesis, postulat, aksioma, asumsi ataupun mengkonstruksi menjadi sebuah teori.
Rancang Bangun Mesin Pelangsiran Material Konstruksi Tower Transmisi Sistem Crane Pulley dengan Kapasitas Maksimal 250 kg
Authors: Mukhamad Alaya Fadlu Hadi , Darmanto Seno , Haqni Firdaus Kurniawan
Published: November 2022

Material shredders are used in construction projects to move materials from the starting point to the intended point. This trimming machine uses a type or system of crane pulley. In the world of construction, it can rarely be used in various terrains, whether flat terrain, valley terrain, or hilly terrain. Therefore, this paper aims to ensure that the process of upgrading / transferring the construction material of the 150 kV transmission tower can run well on flat terrain to difficult terrain such as valleys and hills based on several consideration factors. The design process of the material shredder consists of three stages, namely design, tool making, and tool testing. The design process consists of several stages, namely field review and the availability of supporting systems and raw materials. The fabrication process, carries out the assembly of materials that are already available by the predetermined design. The process of testing the tool, using the test method directly in the field so that the data presented is real loading data. The material drill engine can be used well in the field with a maximum carrying capacity of 250 kg with the highest effective tool capacity of 12,424kg/hour and fuel sed as much as 0.91 liters/hourKeywords : Design and Construction, Solidworks, Material Transfer Tool, Shifting Machine, Material Mover
The Relationship between the Clean and Healty Living Behavior Implementation and Stunting Prevalence Amid The Covid-19 Pandemic
Authors: Nurbaety Nurbaety , Tri Yubiah  , Nurlaili Zulkaidah
Published: November 2022

Stunting is a chronic nutritional problem that remains unresolved in Indonesia, in which Indonesia ranked third in stunting prevalence in the Southeast Asia region, reaching to 36.4%. During the COVID-19 pandemic, stunting prevalence can be decreased by implementing the clean and healthy living behavior. Unfortunately, community’s awareness regarding the importance of the clean and healthy living behaviors is lacking. The results of a survey done to 5 mothers of toddlers aged 12-59 months showed that they washed their hand improperly. They often washed their hands before and after eating only using water without soap, not washing their hands before breastfeeding, and not using running water. This study examined the relationship between the clean and healthy living behavior implementation in the household with stunting prevalence during the COVID-19 pandemic at Bolo Health Center. This quantitative research was performed using a cross sectional design, involving 71 randomly-selected mothers of toddlers at the Bolo Health Center. Data were analyzed using Chi-square test, which results exhibited the importance of the clean and healthy living behavior in relation to the stunting prevalence in toddlers amidst the COVID-19 pandemic. The statistical analysis resulted in a correlation coefficient value of 0.310 and a confidence alpha value of 0.033. These values indicated the presence of a relationship between the two variables. Proper implementation of the clean and healthy living behavior is expected to decrease the stunting prevalence in toddlers. Toddlers are expected to grow and thrive as strong and quality future generation of the nation..
Relationship Knowledge and Attitude of Mom and Family Support in Doing Baby Massage Independently in Puskesmas District Onowaembo Help Gunungsitoli In 2021
Authors: Barus Magdalena , Mediana Sembiring
Published: November 2022

Baby massage is a touch therapy in direct contact with the body that can provide a sense of security and comfort for babies. Mother's broad knowledge will also affect the mother's desire to do baby massage, besides that there are also work factors, attitudes and perceptions that can influence in doing baby massage. This type of research uses an analytical research design with a cross-sectional approach, which is a type of research with cause or risk and effect variables or cases that occur when the research object is measured or collected simultaneously (at the same time). which can be obtained from this research, namely, Based on the results of research that has been carried out on the Relationship of Mother's Knowledge with Mother's Independence to Doing Baby Massage independently, the results of the Chi-Square test, the significant value of the relationship between mother's knowledge and mother's independence is 0.000, which means p-value < 0.05. So, it can be concluded that there is a significant relationship between mother's knowledge and mother's independence. Based on the results of research that has been carried out on the relationship between mother's attitude and mother's independence towards doing baby massage independently, the result of the Chi-square test is that the significant value of the relationship between mother's attitude and mother's independence is 0.000 , which means p-value <0.05. So, it can be concluded that there is a significant relationship between mother's attitude and mother's independence. Based on the results of research that has been carried out on the relationship between family support and mother independence on doing baby massage independently, the Chi-square test result shows that the significant value of the relationship between family support and mother's independence is 0.000, which means p-value <0.05. So, it can be concluded that there is a significant relationship between family support and maternal independence. This is in line with Malikhotul's research (2012) on "The relationship between mother's level of knowledge about infant massage and infant massage behavior at the Posyandu, Gunungsari Village, Beji District, Pasuruan Regency. This study shows that mother's knowledge about infant massage is related to infant massage behavior. It is hoped that health workers, especially midwives.
The Relationship of the use of Injected Hormonal Contraception with the Event of White about KB Accepters in The Working Area of the Singosari Inpatient Health Center, Pematang Siantar City, In 2022
Authors: Tambun Masta
Published: November 2022

A Family Planning (KB) is an effort to regulate the birth of children, distance, and the ideal age of childbirth, regulate pregnancy, through promotion, protection, and assistance in accordance with reproductive rights to realize a quality family This research was carried out in the work area of the inpatient health center Singosari Pematang Siantar in 2022 The reason for choosing this location is because the use of contraceptives in men in this region is still lacking. The type of research used in this study is observational analytics with a cross-sectional research design . The data collection technique used in this study was to provide a list of questions (questionnaires) to the research targets related to or related to the use of injectable-type contraceptives and the incidence of vaginal discharge in respondents. . The population in this study were acceptors of injectable birth control for 1 month and 3 months who experienced vaginal discharge in the Working Area of the Singosari Pematang Siantar Inpatient Health Center in 2022'. A total of 41 people. The sampling technique used in this study is purvosive sampling or the sample that is used as the object of research is what has been determined as a sample, namely respondents who experienced vaginal discharge because they used 1 month of injectable birth control and 3 months of injectable birth control, which was 41 people. Chi-Square test results state Ho is rejected if the probability of <0.05. The results of the chi-square test analysis were obtained df = 1, and nulai p value (p = 0.005<0.05) then Ho was rejected and Ha was accepted, then there was a significant relationship between the use of injectable hormonal birth control and the incidence of vaginal discharge in the acceptor of birth control in the work area of the Singosari Pematang Siantar Inpatient Health Center in 2022. It is hoped that midwives will further improve counseling regarding the use and side effects of hormonal contraceptives, and encourage acceptors to maintain the cleanliness of reproductive devices so as to avoid the occurrence of vaginal discharge.
Factors Affecting Mother’s Behavior in Doing Infant Massage Independently in the Dian Maternal Clinic in Jakarta Barat in 2022
Authors: Ericha Merammis BR Sembiring  , Basaria Manurung  , Dewi Purba  , Nurmala Sari Dewi  , Elfiana
Published: November 2022

In the midst of this developing society, people in Indonesia still use traditional health services, especially baby massage to traditional birth attendants. Baby massage to a shaman has become a hereditary tradition. This study aims to determine the factors that influence the behavior of mothers in doing baby massage independently at the Dian Maternity Clinic, West Jakarta. This type of research is an analytical survey. Then analyze the dynamics of the correlation between phenomena or between risk factors and effect factors is a phenomenon that results in an effect (influence). There is no influence between the mother’s education factor on the mother’s behavior in doing baby massage independently at the Dian Maternity Clinic in 2022 with a p value of 0,580. There is no influence between the mother’s knowledge factor with a p value of 0,551. There is an influence between the mother’s attitude factor on the mother’s behavior with a p value of 0,021.
Mapping of Antenatal Care Visits for Pregnant Women on the risk of pregnancy and prevention of childbirth complications
Authors: Handayani Purnama , Suhartini  , Iswandi Idris
Published: November 2022

Maternal and infant mortality rates in North Sumatra are still high. Based on data from the North Sumatra Health Office as of June 2021, there are 67,345 pregnant women who have received pregnancy services, 65,431 who gave birth and 39,375 newborns. The most common causes of death for pregnant women according to the Sample Registration System (SRS) are hypertension in pregnancy 33.7%, obstetric bleeding 27.3%, non-obstetric complications 15.7% and other obstetric complications 12.04%. Antenatal Care (ANC) as one of the early screening efforts of pregnancy risk factors. The aim of the study was to map Antenatal Care Visits to Pregnant Women on the risk of pregnancy and the prevention of childbirth complications based on the minimum standards of antenatal care and danger signs during pregnancy. The method used is the spider web test, frequency test, reliability test, coefficient of determination test, bivariate analysis. The sample in this study used a non-probability sampling technique — accidental sampling, 60 samples, 2 dependent variables and 1 independent variable. The results showed that the implementation of the Mapping of Antenatal Care Visits for Pregnant Women in the working area of ​​the Sei Mencirim Health Center had not yet run optimally. This situation can be seen from the results of achieving the target of Antenatal Care Visits at the Sei Mencirim Health Center. The low achievement can be seen from the lack of cooperative respondents in filling out the questionnaire, and the education level of many who are still in elementary/junior high school. The occupation is dominated by housewives. In terms of age, it is dominated by the age of 21-30 years. Although the human resources on Puskesmas are sufficient, the availability of facilities and infrastructure does not meet government standards, and so the source of the budget obtained for Antenatal Care Visits is low. Simultaneously, knowledge about the danger signs of pregnancy and knowledge about antenatal care visits has an effect of 22.3% on knowledge about prevention of childbirth complications
The Effect of Eye Exercise on Eye Fatigue on Computer Users
Authors: Sari Nurul Kartika , Yehud Maryen  , Indah Oktavia
Published: November 2022

Background: Eye fatigue is a complaint often found in computer users' efforts to overcome eye fatigue are eye exercises. This study aimed to determine the effect of eye exercises on computer users' eye fatigue at the National Land Agency of Sorong Regency office. Research methods: This study uses the Quasi-Experiment method, one group pre-test-post-test design. The sample used 23 respondents. The research instrument used is the observation sheet before and after the intervention. result: This study used the Wilcoxon test and obtained p value = 0.000 (p 0.05), where the average value of eye fatigue complaints before eye exercises were carried out was 12.00, while after the intervention, there was a decrease in the value of 0.00. Conclusions: Based on the study's results, it is known that eye exercises can reduce eye fatigue of computer users at the National Land Agency of Sorong Regency Office, so they can be used to prevent eye fatigue
A Comparative Assessment of Five Different Distributions Based on Five Different Optimization Methods for Modeling Wind Speed Distribution
Authors: WADİ Mohammed , ELMASRY Wisam
Published: November 2022

Determining wind regime distribution patterns is essential for many reasons; modelling wind power potential is one of the most crucial. In that regard, Weibull, Gamma, and Rayleigh functions are the most widely used distributions for describing wind speed distribution. However, they could not be the best for describing all wind systems. Also, estimation methods play a significant role in deciding which distribution can achieve the best matching. Consequently, alternative distributions and estimation methods are required to be studied. An extensive analysis of five different distributions to describe the wind speeds distribution, namely Rayleigh, Weibull, Inverse Gaussian, Burr Type XII, and Generalized Pareto, are introduced in this study. Further, five metaheuristic optimization methods, Grasshopper Optimization Algorithm, Grey Wolf Optimization, Moth-Flame Optimization, Salp Swarm Algorithm, and Whale Optimization Algorithm, are employed to specify the optimum parameters per distribution. Five error criteria and seven statistical descriptors are utilized to compare the good-of-fitness of the introduced distributions. Therefore, this paper provides different important methods to estimate the wind potential at any site.
CLINICAL OUTCOME OF POST COVID MUCORMYCOSIS PATIENTS IN A TERTIARY CARE CENTRE IN UTTARAKHAND, INDIA
Authors: Malhotra Rashmi , Mehrotra Nitin , Titiyal G S
Published: November 2022

Objective – To study clinical outcome of post COVID mucormycosis patients in a tertiary care centre in Uttarakhand, India A Methodsretrospective observational study conducted at tertiary care centre Haldwani, Uttarakhand, India between May18, 2021 and July2, 2021 in
current, recent, or remote history of COVID19 with diagnosed mucormycosis. 31 patients pre Results- sented with mucormycosis, 29 had
association with COVID-19,out of which 6 were active cases of COVID-19 and 23 were post COVID. All the patients had sino-nasal involvement
and ethmoid sinus was the most common sinus affected. Intra-orbital extension was seen in 53 per cent of cases out of which 39% were 3c category
while intracranial extension was seen in 20 per cent. Diabetes mellitus was present in 26 of 31 cases. Around 38% patients had history of oxygen
therapy ( NRM/cannula) and 47% had history of steroids use. Around 13% underwent surgery, despite the use of liposomal Amphotericin B
therapy .Surgery mainly consisted of exentration with or without open maxillectomy and ethmoidectomy The association between Conclusioncoronavirus and mucormycosis is a life threatening complication. Uncontrolled diabetes and over-zealous use of steroids are two main factors
aggravating the illness. Despite all the medical and surgical efforts the illness carries high mortality rate. As we are learning more about the new and
long-term manifestations of the Covid-19 infection, further research is required to establish if COVID19 itself predisposes to mucormycosis.
FACIAL LIPOMA IN MAXILLARY AND INFRAORBITAL REGION CAUSING NASO LACRIMAL DUCT COMPRESSION – A RARE CASE REPORT
Authors: Desai Jennifer , Dossa Sharmin , Surlikar Girish , Patil Prachi
Published: November 2022

Lipomas are one of the most common soft-tissue mesenchymal tumors seen in all parts of the body. Their occurrence in the head and neck region is
however relatively rare. Although benign in nature, lipomas may present as a slow growing tumors causing compression of surrounding structures
and an unaesthetic appearance. We present here a rare and unique case of lipoma in the infraorbital region in a 43 year old female which was
managed by complete surgical excision. The rarity of the anatomical site and compression of the Naso-Lacrimal Duct caused by it makes it a unique
case. Along with the case report, the pathogenesis, histopathological features and the treatment have been discussed.
PILONIDAL SINUS EXCISION SECONDARY HEALING VERSUS EXCISION WITH FLAP CLOSURE: AN UNSOLVED DILEMMA
Authors: Kumar Ashwini , Kumar Kaushalendra , Kumar Shrikant , Vishal Vijyendra
Published: November 2022

Introduction: Various treatment strategies have been proposed for pilonidal sinus, with surgical intervention being the mainstay of treatment.
However, which surgical technique is better is still a matter of debate. In this study we want to compare the ap closure technique with the
secondary healing. Method:This is a prospective case control study conducted at ESICMCH bihta, patna were 50 patient diagnosed with pilonidal
sinus were divide into two groups, one with excision and other with excision with ap closure, and compared. Result:in our study the ap coverage
group had lesser hospital stay, and faster recovery. However, excision only group had uneventful recovery with lesser complications. Conclusion:
The excision with ap coverage heals faster, but excision with secondary intention appeared to have lesser complications.
PLASMA HAEMOGLOBIN AS AN INDICATOR OF HEMOLYSIS IN MALARIA
Authors: Wadalkar Sneha , Nalgirkar Bharati
Published: November 2022

Malaria is major health problem in many tropical and sub-tropical countries, [7] with genus Plasmodium considered to be one of the main killers of
man in malaria endemic foci. Red blood cells are the principal sites of infection in malaria. [7] This condition is characterised by hemolysis and
thereby altering the levels of plasma haemoglobin. Objective- To assess whole blood and plasma haemoglobin in patients of Malaria and control
subjects. Material and Method- 5 ml of blood was collected and divided in 2 EDTAvials , one used for assessment of whole blood haemoglobin
and from other vial plasma was separated and processed immediately.Both plasma and whole blood haemoglobin levels were analysed by
Drapkin's solution. Result-Whole blood haemoglobin levels were found on lower side( 9.8 ± 1.4 g/dl) where as levels of plasma haemoglobin were
high (0.6 ± 0.16 g/dl) in patients of Malaria.Also level of Plasma haemoglobin were high in cases of mixed malaria(0.7 ± 0.08 g/dl) ConclusionAnaemia is very commonly associated nding and altered levels of plasma haemoglobin in Malaria due to hemolysis can leads to several systemic
complications and severe organ damage.
A STUDY ON COMPARISON OF BLOOD GROUPS IN COVID 19 INFECTED AND NON INFECTED MBBS STUDENTS OF AIIMS UDAIPUR
Authors: Beladiya Mit , Mehvish Madiha , Ojha K.C.
Published: November 2022

Background: - (COVID-19) is an infectious pandemic disease affected people of all age and gender but still there was variation in susceptibility
and severity. ABO blood group was considered as a susceptible factor. There is a discrepancy and paucity of data regarding the relationship between
ABO and Rh blood typing and susceptibility to COVID-19 disease. Aims and objectives:- To identify the blood groups of all our study subjects
and then to compare blood groups among Covid infected and non-infected medical students. Lastly to motivate our study subjects to donate blood.
Materials and methods:- Apparently healthy 287 MBBS students aged between 18-25 years were selected as subjects of our study. Ethical
clearance was taken from institutional ethical committee. Consent was taken from all study participants. Blood groups were determined during
regular physiology practicals and cross veried with their identity cards. Detailed history was obtained regarding Covid 19 disease and two groups
were formed as Covid infected [45] and non -Covid infected[242] and then the blood groups of both these group subjects were compared and
statistically analysed using SPSS 22.0 statistical software and R environment version 3.2.2 Results:- we found that blood group B positive was
majorly distributed and least susceptible among the Covid 19 non- infected individuals. The O positive blood group was predominantly distributed
and most susceptible among Covid 19 infected individuals Discussion & conclusion:- ABO gene is highly polymorphic and blood types have
considerably different distribution across ancestry groups and geographic location. ABO and Rh groups are not distributed equally across, race or
ethnicity groups. Large sample size and prospective type of study is required to exactly explain the blood group association with disease
susceptibility
Mask Mouth Syndrome—Pros and Cons
Authors: Batta Dr. Anil , Kumar Umesh , Sharma Preeti
Published: November 2022

Recent studies suggest that coronavirus disease 2019 (COVID-19) may be transmitted by infected persons even in the absence of symptoms of disease. While social distancing and good hand hygiene are the most important methods to prevent virus transmission, new guidelines state that healthy individuals can consider wearing masks in public settings, particularly when physical distancing is difficult (like in grocery stores or pharmacies). Primary benefits of wearing a mask include limiting the spread of the virus from someone who knows or does not know they have an infection to others. Masks also remind others to continue practicing physical distancing. However, nonmedical masks may not be effective in preventing infection for the person wearing them. Masks should not be worn by children younger than 2 years or by individuals who are unable to remove the mask by themselves or are unconscious.
GeneXpert Ultra- a New Diagnostic Era for Childhood Tuberculosis
Authors: Haque Tahmida , Hossain Delwar , Islam Tania
Published: November 2022

Introduction: Tuberculosis (TB) is a serious public health problem and a significant diagnostic and therapeutic challenge worldwide. Molecular diagnostic techniques are crucial in the World Health Organization’s new tubercular control strategy. Objective: The study aims to investigate the efficacy of GeneXpert Ultra in the diagnosis of childhood tuberculosis. Methods: A prospective cross-sectional study was carried out in the pediatric pulmonology ward and general pediatric ward of the Institute of Child and Mother Health (ICMH), Matuail, Dhaka. Child ages ranging from two months to fifteen years who were admitted to the pediatric pulmonology ward and general pediatric ward of ICMH during the period of December 2020 to November 2021 with a history of fever, cough, chest pain, evening rise of temperature, night sweats, weight loss were included in this study. Results: Among the study population (N=99), almost all the patients (91, 91.2%) had cough, thirty-six patients (36, 36.3%) had cough for 2 weeks, and about half of the patients (49, 49.5%) had a productive cough, ninety patients (90, 90.9%) had fever, around one-fifth of the patients, had a fever more than two weeks. About half of the patients (47, 47.5%) had a high-grade intermittent fever. Evening rise of temperature was seen in around one-fourth of the patients (24, 24.2%). MT test was positive for two patients (2, 2.0%) and doubtful for two patients (2, 2.0%)., Seventeen patients (17, 17.1%) specimens were collected from induced sputum, around three-fifths of the patients’ (70, 70.7%) specimens were collected from gastric aspirate, eighty-two patients (82, 82.8%) specimens were collected from the stool and one patient’s specimen (1, 1.0%)was collected from pus produced in BCG vaccine site. GeneXpert ultra was detected in thirteen patients (13, 13.1%) and was trace detected in six patients (6, 6.0%). Of the 13 patients, 7 patients (7, 53.8%) were diagnosed with pulmonary TB, two patients (2, 15.4%) were .....
Reproductive Phenology of Mangifera indica L. and Persea americana Mill in Brazzaville (Republic of Congo)
Authors: P Mpassi , J YOKA , O Amboua Issengue , YF Assongba , JG Djego
Published: November 2022

Mangifera indica L. and Persea americana Mill are two species of fruit trees for food use. In Brazzaville, they seem to be the most representative and cover the whole city. The phenological study of these two species was carried out throughout the city of Brazzaville. The objective of the study is to improve the phenological knowledge of these species. The methods used are based on field surveys. The selected, marked and geolocated trees are monitored by the observation method for two years. The various results obtained show that flowering in Mangifera indica L. appears early in January. It evolves progressively and becomes visible in all sites during the dry season, between June and July, then decreases in August. The peak of flowering is observed in July with 100% of plants recorded. Fruiting starts in March, progresses gradually in terms of number of trees and reaches its peak between August and September with 80% of trees recorded. However, in Persea americana Mill, flowering starts early in March and progresses over time until it reaches its peak between July and August with 80% of trees recorded. Fruiting is observed from August onwards and lasts until December, January and February, during the rainy season. The evolution of these different phenophases shows phenological characteristics common to these trees, marked by phenological asynchrony, variation and interaction. These results highlight the effect of the seasons on the phenological evolution of the species studied.
Kinetics of Spontaneous Conversion of Methylcobalamin into Hydroxocobalamin in Aqueous and Methanol Solutions HPLC/MS
Authors: Yefimov Stanislav V.
Published: November 2022

This work aimed to determine the stability of methylcobalamin in injection solutions under light-protected conditions, identify the products of its spontaneous transformation, and determine the kinetics of these transformations. We have found that methylcobalamin is unstable and transforms into hydroxocobalamin spontaneously at room temperature in aqueous and methanol solutions protected from light. Kinetics, reaction products, and rate constants have been determined. A method for the qualitative and quantitative determination of methylcobalamin and its conversion products is proposed.
Association between Pre-Eclampsia and Spontaneous Prelabour Rupture of Membrane (Prom) in Pregnancy
Authors: Apsara Dr. Suraiya , Bilkish Dr. Umme Sayeeda , Morshed Dr. K M Reaz , Nahar Dr. Kamrun , Hoque Dr. Luna Farhana , Hussain Dr. Nafeesa Binti
Published: November 2022

Background: Pre-eclampsia and other hypertensive disorder in pregnancy are among the top causes of maternal and perinatal death globally. About 10% of all pregnancies have pre labor (premature) rupture of membranes (PROM), of which 7%–8% occur after 37–42 weeks. The objective of the study was to observe if pre-eclampsia is associated with spontaneous PROM. Method: Eighty (80) eligible pregnant women with gestational age ≥20 weeks were included in this study. They were divided into 2 equal case and control groups; 40 pregnant women with Pre-eclampsia and 40 pregnant women with normal blood pressure. The association of the risk of spontaneous PROM was assessed among these groups. Results: In this study 87.5% of the Pre-eclampsia case group and 75% of the normotensive control group were primigravida. There was a significant association between the gestational age of 82.5% of the Pre-eclampsia group and 70% of the normotensive group being full term (p=0.034). In the Pre-eclampsia group, there were 29(72.5%) PROM with a significant association (p=0.010), whereas in the normotensive group, there were 4 (10%) PROM with no significant association. The risk of PROM was found among Pre-eclampsia patients. Conclusion: In this study, we concluded that Pre-eclampsia is associated with the risk of spontaneous PROM.
Cross-Sectional Study of Depression and Suicidality Among College Students in University of Port Harcourt, Nigeria
Authors: David Lekpa K. , Paul John N. , Hart Josiah S. , Ibeachu Chinagorom P.
Published: November 2022

Background: Depression as it were having been defined as a common and serious medical illness that negatively affects how you feel, the way you think and how you. The WHO in a fact sheet report has stated that depression is a common mental disorder and one of the main causes of disability worldwide. They added that globally, an estimated 264 million people are affected by depression. In 2020, an estimated 21.0 million adults in the United States had at least one major depressive episode. The pressure to perform well in school against all odds induces elements of depression when the results are not proportional to the efforts put into the study. Hence, this study was done to assess the level depression and suicidality amongst college students in the University of Port Harcourt, Rivers State, Nigeria. Materials and Methods: The study was descriptive cross-sectional with a total of 104 students who were recruited conveniently from the College of Health Sciences, University of Port Harcourt, Rivers State, Nigeria. The research instrument was a close-ended questionnaire structured in four parts: socio-demography, depression, coping, and suicidality adapted from the Beck-depression-inventory, COPE inventory tool, and Ask Suicide-Screening Questions (ASQ) tool. The statistical analysis was done using statistical package for social sciences (SPSS) version 23. The descriptive statistics was done using simple descriptive tool, chi square test was used to test for association between variables with the confidence interval 95%, p at 0.05 and power of 80. Results and Discussions: Age group (yrs) was the only significant socio-demographic characteristic that was significantly associated (X2 39.102, P=0.001) with depression status. The depression status of the participants showed that those who had Mild mood disturbance were 5(4.8%), Borderline clinical depression 4(3.8%), Moderate depression 10(9.6%), Severe depression 3(2.9%), and Extreme depression 6(5.8%). The study showed ...
Construction of Training Program for Industrial Innovation and Entrepreneurship Talents --------Take the Bioengineering Major of Heilongjiang Bayi Agricultural University as an Example
Authors: An Hongbo , Liu Zhe , Zhang Shuang , Wang Yanhong , Wang Jingwei , Zang Zhongjing , Li Liyang
Published: November 2022

Training plan is the implementation plan and basic basis for colleges and universities to achieve the goal of talent training and ensure the quality of education and teaching. From the orientation of training objectives, the construction of curriculum system, the adjustment and optimization of professional curriculum structure, the cultivation program of industrial innovation and entrepreneurship talents in bioengineering major of Heilongjiang Bayi Agricultural University was constructed.
Eye Lesions during HIV/AIDS Infection: About 75 Patients
Authors: Othmane Belhadj
Published: November 2022

Ocular attaints during AIDS are multiple and can affect both the ant segment, post, and appendices. Post-segment disorders may be directly related to HIV itself, opportunistic infections, or neoplasia dominated lymphoma. Changes in vision are mainly due to retinitis CMV (most common) and retinitis VZV (most severe) Eye surveillance of AIDS patients is therefore very important. General antiviral treatments do not prevent relapse and have hepatic and renal side effects.
Multimodal Imaging of Retinochoroidopathy in Choroideremia Carrier
Authors: Makino Shinji
Published: November 2022

A 48-year-old woman was referred for ocular fundus abnormality by medical checkup. She had no subjective complaints. Fundus examination revealed diffuse moth-eaten appearance with chorioretinal atrophy in both eyes. Moreover, patchy areas of depigmentation were observed around the optic disc and in the peripheral retina. Fundus autofluorescence showed mosaic appearance in widespread retina, and patchy hypoautofluorescence areas corresponding to patchy areas of depigmentation. Although optical coherence tomography scan through the fovea of both eyes showed relatively preserved foveal contour and retinal layers, subtle irregularities at the level of the retinal pigment epithelium and ellipsoid zone observed. Based on these collective findings, we diagnosed our patient with retinochoroidopathy in choroideremia carrieir. Choroideremia is rare, occurring even less frequently as a symptomatic disease in female carriers. Our findings may contribute to a better understanding of this rare condition.
A Miniscule Exploration of the Libyan Stock Market
Authors: Bonga Wellington Garikai , Siyakiya Puruweti
Published: November 2022

The formation of the Libyan Stock Market (LSM) has been greatly affected by instability in the country. The stock market has been active, inactive, active and inactive since its inception in 2006. On the other end, there has been a growing concern and existence of constant pressure to activate the stock market for the benefit of the economy. The factional disagreements and a weak security environment that persist pose heavy challenges for developing and re-activating the stock market. The economic outlook for Libya remains uncertain. It remains difficult to forecast economic outcomes with any degree of confidence because of high uncertainty linked to political and security developments. The times when the stock market was active, significant contribution was brought to the economy, and such has been confirmed by many stakeholders. If re-activated the LSM is expected to play vital role in capital supply for investment, which in turn drive economic development in Libya. For effective contribution, LSM should be established on strong and stable foundations.
Dosimetric Influence of Normalization Points on Post Mastectomy Chest Wall Teletherapy
Authors: Ibrahim Hassan , Bello Usman
Published: November 2022

Background: Many advanced radiotherapy techniques had been employed in breast cancer teletherapy, purposely to significantly reduce dose to organs at risk (heart and lungs) with marginal or no compromise in planning target volume (PTV). Majority of used techniques yielded rewarding results in developed countries where facilities, manpower and skills are available. In Nigeria, significant number of post mastectomy breast cancer patients received chest wall irradiation using manual hand planning, therefore, the dose distributions to target volume and organs at risk (OAR) were uncertain. Sokoto centre being the first in the country to use treatment planning system (TPS) focused on identifying planning skills (normalization points) with good 95% dose coverage to PTV, and minimizing dose to OAR. Methods: Eighteen post mastectomy patients (ten rights and eight lefts chest walls) were simulated via computed tomography scan (CT-scan) in supine position with breast board and fudicial markers to demarcate tumour bed borders. Planning target volume (PTV chest walls) and OAR were contoured from the acquired CT images and bi-tangential portals were applied. The energy used from Elekta précised Linac was 6 MV, and dose of 50Gy in 25# was prescribed to each patient. The Upper 1/3rd normalization point (UNP), Lower 1/3rd (LNP) and Inter-field (INP) were sequentially applied as dose normalization points on each planning CT image, dose to PTV and OAR were evaluated using Clarkson and pencil beam calculation algorithms. Statistical analysis was conducted using SPSS Software to study dose distributions of the normalization points. Results: Patients simulated were between the ages of 29-56yrs with mean age of 42yrs. The mean percentage doses from normalization points on left chest walls ranged between 81.7-107.7% to PTV, 13.3-17.8% to the lung and 5.5-6.8% to the heart, the reported hot spots were between 110.7 to 141.5%. Similarly, the mean doses from normalization points on the right chest walls ranged between 81.5-108.8% for PTV, 17.8-23.5% to the lung and 2.7-3.7% to the heart, with hot spots of 108.8-137.9%. The statistical differences using independent-t- test for the normalization points on both left and right chest walls shows p-value < 5%. Conclusion: The three normalization points influenced dose distribution to PTV and OAR differently. The UNP and LNP showed a desired dosimetry with marginal compromise in 95% PTV coverage compared to INP.
Multiple Complex Odontomas in Maxilla and Mandible: A Rare Case Report
Authors: Cherian Latha Mary , Sanil Swathi , S Krishnapriya, , Mohanan Manjusha , S Sudha, , Varghese Binuja Elsa
Published: November 2022

of the jaws. Rather than true neoplasm, odontomas are considered to be hamartomas. Usually odontomas are found to be asymptomatic, although a few incidences of swelling, delayed eruption of permanent tooth and in severe cases, infection or lymphadenopathy has been reported. Multiple complex odontomas pose a therapeutic challenge in some cases especially in the mandible due to proximity of vital anatomic structures. They have also been associated with complications like cystic transformation. Here we are presenting a case of multiple complex odontomas in the maxilla and mandible in a 32-year-old male patient.
Insular Carcinoma of Thyroid
Authors: Zoubi Dr. Ahmad Muhammad Al , Shashidhar Dr. Swaroop N
Published: November 2022

Introduction: Insular carcinoma is a rare tumour with frequent tumour necrosis and micro follicles. Materials and Methods: Female patients with swelling in front of neck, USG and FNAC were carried out. FNAC showing follicular neoplasm were followed up with histopathology and 2 cases are presented here. Observation: Two female cases with swelling in front of neck with cytology depicting follicular neoplasm were studied. Discussion: Insular carcinoma of thyroid arises from follicular epithelium hence have abortive follicles with necrosis. Its prognosis lies between well and poorly differentiated thyroid carcinoma. Conclusion: It is necessary to recognize the tumour for better prognosis.
Morpho-Cultural, Pathological and Genetic Variability in Rhizoctonia solani Isolates Infecting Crops in Rice Based Cropping Pattern of Punjab State; India
Authors: K Kipsumbai P. , S Hunjan M. , S Sekhon P.
Published: November 2022

Rhizoctonia spp. which was earlier considered a minor disease causing pathogen under Punjab conditions now is a major threat to crops grown in Punjab. The present study investigated the morphological and cultural variations in Rhizoctonia population, pathogenic behaviour and extent of genetic differentiation between infecting populations of R. solani from different hosts. By species specific primers, Rhizoctonia species in Punjab were identified as R. solani (87.8 %), R. oryzae (11.1%) and R. oryzae-sativae (1.1 %). Morphological characterization of Rhizoctonia spp. based on the growth rate, colour of mycelium and sclerotial characters. A high degree of variation among these R. solani isolates was established. Potato isolates belonging to the different geographic areas of the state were clustered together and cotton isolates also related. R. solani isolates from maize, rice, wheat and chilli formed two major cluster groups. The molecular data on AG specific primers revealed that 46.8% of the isolates belonged to AG1-1A, while AG1-1B (10.1%), AG2-1 (13.9%), AG3 (12.7%). Using interspecific sequence repeat primers, isolates were clustered into three major groups (I, II, III). Group III consisted of isolates, mostly from Ludhiana irrespective of the hosts, indicating existence of genetic similarity among these isolates. Isolates were also found to partially group according to place of origin and the host. Further a partial relationship between the level of severity on rice was observed. The diversity and relatedness in hosts of R. solani isolates from Punjab indicates the need to consider the cropping pattern to reduce the inocula in the soil.
Antecedents of Customer Satisfaction and Customer Retention in Outspan Hospital in Nyeri County, Kenya
Authors: Mbaabu Amos Gitonga , Njuguna Dr. Reuben
Published: November 2022

The rate at which private hospitals are failing to satisfy and retain their customers is becoming a concern for hospital managers. Customer satisfaction and retention issues have affected most private hospitals leading to customer defection. For organizations to have a competitive edge over their competitors, they need to focus on customer satisfaction and retention to reduce customer defections. The general objective of the study was to evaluate the antecedents of satisfaction and retention of customers in Outspan Hospital in Nyeri County, Kenya. The study was guided by the Service Quality Gap Model. The study used a descriptive research design. 70 respondents acting as heads and deputies of the various departments of Outspan Hospital consisted of the target population. A census method was used hence the assumption of 70 respondents as the sample size. Structured questionnaires were used to collect data. Inferential statistics which included variance, and regression analysis were used to measure the existence of a relationship between the independent variables, and the dependent variables. The study findings established that three independent variables namely; service design, system usage, and customer switching cost were significantly associated with customer satisfaction and retention in Outspan hospital. Therefore, the management of Outspan Hospital should enhance customer satisfaction and retention based on key study recommendations. These recommendations include; improving the external appearance of the institution, focusing on improving complaints handling programs, improving utilization of self-service technology (SST), and retaining customers through switching barriers that provide customers with superior customer value.
Comparative Analysis of Bank Performance during COVID 19 Pandemic Period between Year 2020 and Year 2021 in Indonesia (Case Study: PT Bank Rakyat Indonesia (Persero) Tbk)
Authors: Kurniawati Sri , Yulius Yudi , Ruwaida Ruwaida
Published: November 2022

The aim of this study is to analyse whether there is a difference in bank performance of PT Bank Rakyat Indonesia (Persero) Tbk (BRI) between 2020 and 2021 during covid-19 pandemic period in Indonesia. The method used analysis of average difference t-test (paired sample t-test). The result shows that there is no significant difference of comparative analysis of PT Bank Rakyat Indonesia (Persero) Tbk performance during covid 19 between year 2020 and year 2021.
The Effect of Social Support on Nutritional Status and Using Decision Making Contraception
Authors: Ilmiya Istifadatul , Sulistiyawati Ika
Published: November 2022

Background: An uncontrolled increase in population can increase the number of maternal deaths, the use of contraception is an activity to regulate pregnancy spacing and prevent complications in mothers during pregnancy, childbirth and postpartum. Several factors that can influence the decision-making for the choice of contraception are social support which consists of the support of husband, family, friends and health workers. While contraception has side effects, one of which is changes in body weight that can affect the nutritional status of women who accept contraception. Purpose: Determine the effect of social support on the nutritional status of women who accept contraception and the effect of social support on the decision making of contraceptive selection. Methods: the research design is cross sectional with the sampling technique using simple random sampling. The sample size is 225 respondents, data collection using questionnaires and observations using multiple logistic regression analysis. Findings: The results of the analysis of social support with contraception decision making showed that the family support variable had a p value of 0.04 and that of friends' support had a p value of 0.01. While the results of the analysis of social support with the nutritional status of contraceptive acceptors showed that the family support variable had a p value of 0.04. Conclusion: Social support from family support has a significant effect on the nutritional status of women who are contraceptive acceptors. Meanwhile, social support in the form of support from family and friends has a significant effect on decision making when choosing contraception.