bluuebunny/crossref_metadata_2025 huggingface dataset:
Konsumsi Makanan Siap Saji Sebagai Faktor Dominan Terjadinya Dismenore Pada Remaja
Authors: Ida Kusumawati  , Umi Aniroh
Published: October 2021

Dysmenorrhea or menstrual pain is one of problems that is often complained adolescent.  The purpose of the insulation is to know the most dominant factor related to the incident of dysmenore in adolescent. This type of research is an analytical observational research with cross sectional design. Sample research of 108 people taken by purposive sampling. The research instruments used are questionnaires. Analysis using Chi-square and logistic regression. Results show the average age of respondents was 13-17 years old. Most adolescent 86 (79.6%) aren’t do exercise regularly the majority of teenagers experience mild stress as much as 58 people (53.7%), adolescent often consume fast food as many as 76 people (70.4%) and adolescents experienced a dysmenore occurrence of 81 people (75.0%). Results gained that there is a relationship between sports habits and dysmenore events with Pearson chi-square p = 0,168 ≤ α (0.05), there is a  link between stress levels with a dysmenore occurrence with Pearson chi-square p = 0, 070 ≤ α (0.05), there is a connection between fast-consumption with a dysmenore event with Pearson chi-square p = 0, 000 ≤ α (0.05). The final result obtained that affect the incidence of dysmenore is the consumption of fast food. Advice for the adolescent further expands the knowledge of dysmenrhea so that when experiencing dysmenore events can overcome it.

ABSTRAK

Dismenore atau nyeri menstruasi merupakan salah satu masalah yang sering dikeluhkan remaja.  Tujuan penelitian ini untuk mengetahui faktor paling dominan yang berhubungan dengan kejadian dismenore pada remaja. Jenis penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Sampel penelitian sebanyak 108 orang yang diambil dengan cara purposive sampling. Instrumen penelitian yang digunakan adalah kuesioner. Analisis data menggunakan chi-square dan regresi logistik. Hasil penelitian menunjukkan umur responden berkisar antara 13-17 tahun. Sebagian besar remaja 86 (79,6%) tidak melakukan olahraga dengan teratur, sebagian besar remaja mengalami stres ringan sebanyak 58 orang (53,7%), remaja sering mengkonsumsi makanan cepat saji sebanyak 76 orang (70,4%) dan remaja mengalami kejadian dismenore sebanyak 81 orang (75,0%).  Ada hubungan antara kebiasaan olahraga dengan kejadian dismenore dengan p= 0,168 ≤ α (0,05), ada hubungan antara tingkat stres dengan kejadian dismenore dengan p= 0, 070 ≤ α (0,05), ada hubungan antara konsumsi makanan cepat saji dengan kejadian dismenore dengan p= 0, 001 ≤ α (0,05).  Hasil akhir didapatkan yang paling berhubungan dengan kejadian dismenore adalah konsumsi makanan cepat saji. Saran bagi remaja putri lebih memperluas pengetahuan tentang dismenore agar saat mengalami kejadian dismenore dapat mengatasinya.
Perbandingan Aktivitas Antifungi Ekstrak Etanol 70% Dan 96% Buah Parijoto (Medinilla speciosa) Terhadap Candida albicans
Authors: Puji Astutik  , Richa Yuswantina  , Rissa Laila Vifta
Published: October 2021

Parijoto fruit (Medinilla speciosa) contains active compounds of flavonoids, tannins, saponins, glycosides. Parijoto fruit (Medinilla speciosa) has many benefits for human health, one of which is as an anti-fungal. In this study, the antifungal activity test of 70% ethanol extract and 96% ethanol extract of parijoto fruit (Medinilla speciosa) was tested against Candida albicans. This research was conducted by maceration using 70% ethanol and 96% ethanol as solvents. While the anti-fungal activity used the disc diffusion method using a concentration variation of 2.5% w / v; 5% w / v and 10% w / v using the ratio of ketoconazole antibiotics. Parijoto fruit extract (Medinilla speciosa) obtained 70% (%) ethanol and 96% (%) ethanol. Ethanol 70% with a concentration of 2.5% w / v of 25.83 mm; 5% w / v was 27.03 mm and 10% w / v was 28.03 mm, while the ethanol extract of 96% parijoto fruit (Medinilla speciosa) at a concentration of 2.5% w / v was 31.59 mm; 5% w / v of 33.24 mm and 10% w / v of 36.11 mm. The statistical results of 70% ethanol and 96% ethanol, both of which have anti-fungal activity, are not much different, as evidenced by the T-Test statistical test with a P-Value of 0.00 <0.05, because the effect of the 96% parijoto fruit compound is more effective. . The 70% ethanol extract and 96% ethanol extract of parijoto fruit (Medinilla speciosa) can inhibit the growth of Candda albicans with a concentration of 10%.

ABSTRAK

Buah Parijoto (Medinilla speciosa) mengandung senyawa aktif flavonoid, tanin, saponin, glikosida. Buah parijoto (Medinilla speciosa) merupakan yang memiliki banyak manfaat bagi kesehatan manusia, salah satunya adalah sebagai antifungi. Dalam penelitian ini, uji aktivitas antifungi dari ekstrak etanol 70% dan ekstrak etanol 96% buah parijoto (Medinilla speciosa) akan diuji terhadap Candida albicans. Penelitian ini dilakukan dengan maserasi menggunakan pelarut etanol 70% dan etanol 96%. Sedangkan aktivitas antifungi menggunakan metode difusi cakram menggunakan variasi kosentrasi 2,5% b/v; 5% b/v dan 10% b/v dengan menggunakan perbandingan antibiotik ketokonazole. Ekstrak buah parijoto (Medinilla speciosa) diperoleh hasil etanol 70% (%) dan etanol 96% (%). Etanol 70% dengan konsentrasi 2,5% b/v sebesar 25,83 mm; 5% b/v sebesar 27,03 mm dan 10% b/v sebesar 28,03 mm sedangkan ekstrak etanol 96% buah parijoto (Medinilla speciosa) pada konsentrasi 2,5% b/v sebesar 31,59 mm; 5% b/v sebesar 33,24 mm dan 10% b/v sebesar 36,11 mm. Hasil statistik etanol 70% dan etanol 96% aktivitas antifungi keduanya memiliki aktivitas antifungi yang tidak jauh berbeda sebagaimana dibuktikan dari uji statistik T-Test dengan nilai P-Value 0,00 <0,05, karena pengaruh dari senyawa buah parijoto 96% lebih efektif. Ekstrak etanol 70% dan etanol 96% buah parijoto (Medinilla speciosa) dapat menghambat pertumbuhan Candda albicans dengan kosentrasi 10%.
Gambaran Karakteristik Ibu yang Melakukan Inisiasi Menyusu Dini di PMB Anik Mupidah,Amd.Keb Desa Gelang Kulon Kecamatan Sampung Kabupaten Ponorogo
Authors: Qoni’atun Nurnaini  , Yulia Nur Khayati
Published: October 2021

One of the efforts to increase the success rate of breastfeeding is by implementing an early breastfeeding program (IMD) for newborns to their mothers. The benefits of breastfeeding in early childhood include: reducing infant mortality due to hypothermia, the baby will get colostrum which is rich in antibodies needed for intestinal growth and fighting infection. Meanwhile for mothers, the love relationship between mother and baby is very good, it will stimulate the release of oxytocin, reduce the risk of bleeding and accelerate the release of the placenta. In Ponorogo Regency in 2019, 88.72% carried out IMD. Many mothers who give birth at midwife Anik's place do IMD on their newborns. The purpose of this study was to determine the description of the characteristics of mothers who perform IMD at PMB Anik Mupidah, Amd.Keb. This type of research is a descriptive correlative study with a retrospective time approach (backward looking). The population was all mothers who gave birth to IMD at PMB Anik Mupidah, Amd.Keb from January to November 2020. A sample of 39 mothers gave birth using a total sampling technique with frequency distribution data processing. The results showed that from 39 mothers who gave birth to IMD, most of them were aged 20-35 years 31 (79.5%), multiparous 23 (59.0%), not working 21 (53.8%), middle / high school 19 (48 , 7%).

ABSTRAK

 

Salah satu upaya untuk meningkatkan angka keberhasilan pemberian ASI adalah dengan pelaksanaan program pemberian ASI dini (IMD) pada bayi baru lahir kepada ibunya. Manfaat menyusui pada bayi usia dini antara lain adalah mengurangi kematian bayi akibat hipotermia, bayi akan mendapatkan kolostrum   yang kaya antibodi yang diperlukan untuk pertumbuhan usus dan melawan infeksi. Sementara bagi para ibu   hubungan cinta ibu dan bayi sangat baik , akan merangsang pelepasan oksitosin., mengurangi resiko perdarahan dan mempercepat pelepasan plasenta. Di Kabupaten Ponorogo pada tahun 2019 sebesar 88,72% yang melakukan IMD. Ibu yang bersalin di tempat Bidan Anik banyak ibu yang melakukan IMD pada bayi baru lahir. Tujuan penelitian ini untuk mengetahui bagaimana gambaran karakteristik ibu yang melakukan IMD di PMB Anik Mupidah,Amd.Keb. Penelitian menggunakan desain  penelitian deskriptif dengan pendekatan retrospektif (backward looking). Populasi yaitu seluruh ibu bersalin yang melakukan IMD di PMB Anik Mupidah,Amd.Keb dari bulan Januari-November 2020. Sampel sebanyak   39 ibu bersalin dengan teknik sampel menggunakan total sampling. Pengolahan data dengan menggunakan distribusi frekuensi.  Hasil penelitian menunjukkan dari 39 ibu bersalin yang melakukan IMD sebagian besar umur20-35 tahun 31 (79,5%), multipara 23 (59,0%), tidak bekerja 21 (53,8%), menengah/SMA 19 (48,7%).
Hubungan Antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA di Puskesmas Sepaso Kecamatan Bengalon
Authors: Putri Ginaya Dinda , Afriyani Luvi Dian
Published: October 2021

Various efforts to improve the quality of puskesmas services a priority in the development of the health sector, especially MCH services. Reliability, responsiveness, assurance, empathy and physical evidence of service quality are needed to improve patient satisfaction. Research to find out the Perception of Service Quality with the Satisfaction Level of MCH Patients and is there a correlation between Perceptions of Service Quality and the Satisfaction Level of KIA Patients. Data analysis used the Chi Square Test with an error rate of <0.05 This type of research is quantitative using a cross sectional design. Data collection techniques using accidental sampling using a questionnaire instrument via Whatss App Group and Google Form. The population in this study were 50 respondents. The sample in this study were 35 respondents. The results of the Univariate Analysis of Service Quality Perception of KIA patients showed that 15 were good (42.9%) and 20 were poor (57.1%). In the Reliability Dimension 20 good (57.1 Satisfaction (p = 0.693). The satisfaction felt by patients is the difference in the quality of health services with the expectations of the patient or a group of people or local residents who have got what is expected and needed with the services provided by health workers. Midwives can improve service quality by providing services according to patient needs.

ABSTRAK

Berbagai upaya dilakukan untuk meningkatkan mutu pelayanan puskesmas menjadi prioritas dalam pembangunan bidang kesehatan, terutama pada pelayanan KIA. Dibutuhkan kehandalan, daya tanggap, jaminan, empati dan bukti fisik dalam mutu pelayanan untuk meningkatkan kepuasan pasien KIA. Tujuan penelitian untuk mengetahui Gambaran Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA dan adakah Hubungan Antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA. Analisis data menggunakan Uji Chi Square dengan tingkat kesalahan <0,05. Jenis Penelitian ini adalah kuantitatif dengan menggunakan desain Cross Sectional. Teknik Pengambilan data menggunakan Accidental Sampling dengan menggunakan instrumen kuisoner dengan Google Form. Populasi pada penelitian ini sebanyak 50 responden. Sampel pada penelitian ini sebanyak 35 responden. Hasil Analisis Univariat Persepsi Mutu Pelayanan pasien KIA menunjukkan 15 baik (42,9%) dan 20 kurang (57,1%). Dan hasil Kepuasan Pasien pada Pasien KIA menunjukan baik (57,1%) dan 15 kurang (42,9%). Hasil Analisis Bivariat menunjukkan tidak ada hubungan antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien (p=0,693). Kepuasan yang dirasakan pasien merupakan mutu pelayanan kesehatan dengan harapan pasien atau sekelompok masyarakat atau warga setempat yang telah mendapatkan apa yang diharapkan dan dibutuhkan dengan pelayanan yang diberikan oleh tenaga kesehatan. Bidan dapat meningkatkan kualitas pelayanan dengan memberikan layanan sesuai kebutuhan pasien.
CARBON FIBRE ALIGNMENT FOR REINFORCED COMPOSITES
USING EMBROIDERY TECHNOLOGY
Authors: Domenech-Pastor J. , Diaz-Garcia P. , Garcia D.
Published: October 2021

Composites are materials formed by the combination of two or more components that acquire better
properties than the ones obtained by each component on its own. Composites have been widely used in the
industry due to its light weight and good mechanical properties. To improve these properties several layers of
reinforced material (e.g., carbon fibre) are overlapped which produce an increase in the fibre consumption. In
this sense Tailored Fibre Placement (TFP) embroidery can offer good opportunity to reduce the consumption
of reinforced fibre while improving the mechanical properties due to the alignment of the fibres in the effort
direction. This study analyzes the performance of carbon fibre reinforced composites with Polyester resin
made with TFP embroidery technology against flexural strength efforts and without using plain woven fabrics
to demonstrate that the use of reinforcement fabrics in composites can be optimized by a curved alignment of
the fibers. Two different structures were embroidered with TFP technology, one simulating a woven fabric
with straight unidirectional alignment of fibres in horizontal and vertical direction, and a second structure
made with curvilinear alignment of carbon fibers. After the study of the flexural mechanical properties an
improvement of 18% was obtained in maximum flexural strength.
THE EFFECT OF PLASMA TREATMENT ON THE PRINTABILITY
OF POLYESTER FABRIC USING COCHINEAL NATURAL DYE
Authors: Khajeh Mehrizi M. , Haji A. , Shahi Z. , Golshan M.
Published: October 2021

Use of synthetic dyes for dyeing of textile fabrics is most problematic environmental concerned for textile industry. The demand of natural colourants for the dyeing of textile fabrics has been increasing. Thus, sustainable novel technologies for textile dyeing are needed that utilize improved colour strength and enhanced performance characteristics of the fabric. This study attempts to highlight the possibility of using cochineal natural dye in the printing of polyester fabrics after surface modification by O2/Ar plasma treatment. The colour strength, air permeability, crease recovery angle of printed fabrics, colour fastness to rubbing, washing and light, were also studied. The surfaces of untreated and plasma-treated polyester fabrics were analysed by SEM to compare the morphological changes. Surface roughness and cracks were indicated after the plasma pretreatment.
The results indicated that plasma treatment could improve the printability of polyester fabric compared with untreated samples, with enhanced the adhesion and penetration of printing paste to the surface.
The air permeability of printed fabrics has decreased, while the angle of crease recovery has increased. The fastness properties of printed samples were found suitable to very good.
Analyses of the light extraction efficiency of organic light-emitting diodes with ITO/mesh-Ag/ITO anode and its optical transmittance as transparent electrode
Authors: Kim Kirak , Cho Eou-Sik , Kwon Sang Jik
Published: October 2021

We have used the three-dimensional finite-difference time-domain simulation method to analyze the out-coupling efficiency of organic light-emitting diodes (OLEDs) with an ITO/Mesh-Ag/ITO anode. The period and grid space of the meshed Ag structure effectively affected the extraction ratio (ER) of the bottom-emitting OLED. The 3D simulation results for a simple structure of OLED with an ITO/Mesh-Ag/ITO anode showed the ER of about 26.4% and it enhanced 2.26 times that of the continuous Ag layer of about 11.7%. In addition, in respect to the transparent electrode of the OLED using the ITO/Mesh-Ag/ITO multiple layers, the Ag thickness and open ratio were important factors that affected the transmittance and the electrical conductance. The open ratio of 60% resulted in sheet resistance of less than 25 Ω/□, while keeping the transmittance nearly similar to that in the case of a single ITO layer.
SURGICAL CORRECTION FOR GINGIVAL DEPIGMENTATION USING ELECTROSURGERY-A CASE REPORT
Authors: Arun Apoorva , Kaushik Mayur , Singh Roopse , Tomar Nitin
Published: October 2021

The harmony of smile is determined not only by the shape, position and colour of the teeth but also by the colour of the gingival tissues. Excessive
gingival pigmentation is a major aesthetic concern for many people. Though, it is not a medical problem but many people complain of dark gums as
unesthetic. Aesthetic gingival depigmentation can be performed in such patients with excellent results. A case is reported here in which a simple and
effective gingival depigmentation was performed with the use of electrosurgery which provides increased satisfaction in patients
CASE REPORT OF GASTRO-INTESTINAL STROMAL TUMOR (GIST)
Authors: Dalal P. R. , Parikh J. V. , Bhammar Laxman , Lalwani Nilesh
Published: October 2021

GISTs are the most common sarcomatous tumors of GI tract, usually found in stomach and duodenum. Mostly GISTs arise as a de novo. Frequently
present with hematemesis, melena and abdominal pain but sometimes diagnosed incidentally. CECT abdomen with pelvis is important to see the
origin and extension of the tumor and to assess for metastasis. A 52 year old male admitted for left sided abdominal pain for 7 to 8 year and on
examination lump is palpable in epigastrium, umbilical and left hypochondriac region. CT abdomen suggestive of mass arising from proximal
jejunum. The patient underwent a surgical resection with free margins and had an uneventful recovery.
HISTOPATHOLOGICAL SPECTRUM OF OVARIAN TUMORS : 5 YEARS RETROSPECTIVE STUDY IN A TERTIARY REFERRAL HOSPITAL IN ASSAM
Authors: Naiding Momota , Khakhlari Nitu Mani , Mahanta Nandakanta , Sheikh Shah Alam
Published: October 2021

Introduction : Ovarian tumor accounts for 30% of female genital tract cancers and comprises of large variety of neoplastic entities. Mortality rate
has due to ovarian tumor has gradually increased. The present study was undertaken to study the frequency of various histomorphological
spectrum, histological subtypes and age distribution pattern of ovarian tumors.
Methods: Retrospective study was carried during period of 1st January 2015 to 31st st December 2019, 455 cases of ovarian neoplastic lesions
were taken from the records of the department. Classication was done according to WHO classication.
Results: Of the 455 cases, 332 cases (73%) were benign, 16 cases (3.5%) cases were borderline and 107 cases (23.5%) cases were malignant.
Among the histological subtypes surface epithelial tumors are common comprised of 76.9% followed by germ cell tumors (19.6%). Serous
cystadenoma (42.8%) was the most common benign tumor followed by mature cystic teratoma (16.5%). Among the malignant tumors, the most
common was Serous cyst adenocarcinoma (11.9%)
Tumors were seen over age range of 11-81 years. Maximum number of cases were in the 4th to 6th decade. Benign tumors were primarily seen in
Younger age group , whereas malignant tumors were common in elderly age group.
Conclusions: In our study we analysed all the spectrum of ovarian tumors diagnosed on the basis of histomorphology. Surface epithelial tumors
were the commonest ovarian tumor. Maximum numbers of ovarian tumors were in the age range 40-59years and malignant tumors were common
in age >40 years
RANDOMIZED COMPARATIVE STUDY OF ONDANSETRON AND COMBINATION OF ONDANSETRON AND DEXAMETHASONE, AS A PROPHYLAXIS OF POST-OPERATIVE NAUSEAAND VOMITING IN ADULTS UNDERGOING ELECTIVE LAPAROSCOPIC SURGERIES
Authors: Ruku Rumani , Chowdhary Jasmeen
Published: October 2021

Background: Post-operative nausea and vomiting (PONV) is quite associated with laparoscopic surgery. In-spite of advances in surgery and post
surgical care, nausea and vomiting still has a high incidence. This study was planned to explore the efcacy of a combination therapy of
ondansetron with dexamethasone against PONVand compare the results with the efcacy of ondensetron-only.
Method:Arandomized clinical trial study was conducted in the Department of Anesthesia, GMC Jammu, over a period of 6 months, on 50 patients
in the age group of 18-50 years, of either gender, undergoing laparoscopic surgeries under general anesthesia. Patients were divided into two groups
of 25 each: Group A received 4 mg of Ondansetron intravenously, while Group B received 4 mg of Ondansetron and 8 mg of Dexamethasone
intravenously, soon after intubation.
Results: The demographic variables of two groups were similar. While 19 (76%) patients showed post-operative nausea in Group A, while in
Group B, only 8 (32%) patients experienced nausea, which was very signicant. Similarly, 11 (44%) patients showed post-operative vomiting in
GroupAand only 2 (8%) complained of vomiting. 24% patients did not complain about any kind of nausea or vomiting in GroupA. Mild nausea was
observedin60%patientsinGroupA,while amongonly32%patientsingroupB.Nocomplications of anykindwereobservedduringthisstudy.
Conclusion: Ondensetron and dexamethasone, administered intravenously, after intubation, in laparoscopic surgery, is safe and has a better patient
response in preventing post-operative nausea and vomiting.
MEDICAL EDUCATION BY E-LEARNING METHODS: A TEMPORARY ALTERNATIVE OR A NEW BEGINNING
Authors: Kumar Suneel , Singh Kamaldeep , Kumar Jakhar Dheeraj
Published: October 2021

The Covid-19 epidemic made the educational institutions to adopt online education systems in an attempt to continue teaching safely as well as to comply to the instructions from the government. Online education systems have been there for many years but they have gained popularity recently, more in the form of a necessity rather than a luxury. This presented a new challenge for the institutions, teachers and the students as they needed to adapt to the online teaching systems. E-learning is the outcome of development of science and technology and is different from traditional teaching in many ways. In traditional teaching the physical presence of the student and teacher at same site is a very crucial factor, while in E-learning the presence is virtual. There are two types of e-learning, synchronous and asynchronous. E-learning has many advantages as well as disadvantages, but how gracefully it gets incorporated in the traditional medical teaching, that only time will tell.
ULTRASOUND AS PRIME MODALITY OF CHOICE FOR EVALUATION OF BREAST LESIONS.
Authors: Santosh Rathi Snehal , Kadam Sonali Mhaske
Published: October 2021

INTRODUCTION: The four main roles of ultrasound in Breast imaging are-primary screening, supplemental screening, diagnosis and
Interventional procedures. Palpable masses, abnormal nipple discharge and mammographic abnormalities constitute the most common indication
for targeted Breast Ultrasound.
AIM: To study the role of Ultrasound in evaluating Breast lesions and characterising them as Benign or Malignant.
MATERIAL AND METHODS:This is a Retrospective analysis conducted in Department of Radiology, MGM Medical College and Hospital,
Kamothey, Navi Mumbai from February 2021 to June 2021. A total of 136 patients with signs and symptoms related to breast lesions were
screened.
CONCLUSION: The advent of high frequency probe, easy accessibility, cost effectiveness, reliability and relatively easy to perform makes
ultrasound as the prime modality of choice for screening breast lesions.
ANALYSIS AND CORELATION OF A PANEL OF SERUM BIOMARKERS WITH TREATMENT OUTCOME OF ISCHEMIC HEART DISEASE IN A TERTIARY CARE HOSPITAL OF WEST BENGAL
Authors: Baral Sudeshna , Biswas Srabani , Choudhuri Sharmistha , Majumdar Biswajit
Published: October 2021

Background :In India Ischemic heart disease (IHD ) is the of most
common causes of mortality and morbidity . Several studies have
pointed out a strong association of serum Lipoprotein (a) ,
Homocysteine and highly sensitive – C reactive protein [hs-CRP],with
IHD , but these markers have been studied in isolation .
Aim: The aim of the study was to assess diagnostic potential of the
above biomarkers as well as their ability to reect treatment outcome.
Results : The results of statistical analysis showed that levels of
serum Lp (a) and serum homocysteine were signicantly raised in
patients in of IHD compared to their apparently age and sex matched
controls whereas the level of serum hsCRP level did not showed any
signicant difference in between cases and controls. We also found
signicant lower value of serum level Lp (a), homocysteine and hsCRP in 3 months and 6 months post treated cases compared to
untreated cases of IHD. But failed to show any signicant correlation
in between serum levels of Lp(a) , hsCRP and Homocysteine level
with disease severity( LVEF%) of IHD.
Conclusion :So the serum Lp(a) , hsCRP and Homocysteine level is
associated with increase risk factor of IHD and would be a better
upcoming diagnostic and marker for diagnosis of IHD patients .
PATTERN AND OUTCOME OF ACUTE POISONING IN CHILDREN OF 1-12 YEARS AGE GROUP ADMITTED IN THE PAEDIATRIC WARD OF A TERTIARY CARE HOSPITAL
Authors: Gayen Soumya , Kabiraj Bapan , Kumar Jana Jadab , Prasad Sit Syama
Published: October 2021

BACKGROUND: Acute poisoning, a common, yet an important preventable cause of morbidity and mortality in children, is a paediatric
emergency globally, responsible for 0.33% to 7.6% of the total paediatric admissions among various hospitals of India. This study was done to
assess the changing trends, in the pattern and outcome of poisoning among 1-12 years children.
METHODS: This is an institution-based descriptive epidemiological study with cross-sectional design that includes a hundred children of one to
twelve years age, conducted over a period of one and half years in the paediatric department of a tertiary care hospital in India.
RESULTS: In the study period, majority of the patients out of 100 admitted, were male (65%).Most of those (68%) belonged to the 1-3 years age
group. The share of hydrocarbon poisoning (46%) was highest with 26 cases of Kerosene ingestion being the most in it. Important presenting
complaints were vomiting, pain abdomen, tachypnoea, and pneumonitis. Only 1 patient died during the course, the cause of which remained
unknown.
CONCLUSION: The pattern and outcome of acute poisoning in children was quite similar when compared to other studies from different
hospitals in India. Survival rates have been increasing due to ongoing improvement in medical infrastructure, which one hopes, shall keep
improving along with focus on preventive measures at community levels.
MINDFULNESS BASED COGNITIVE THERAPY AND SYMPTOMS SEVERITY IN PATIENTS WITH OBSESSIVE COMPULSIVE DISORDER
Authors: Mushtaq Neha Farheen , Kumar G Venkatesh
Published: October 2021

BACKGROUND: Obsessive Compulsive Disorder (OCD) is a mental disorder characterized by the presence of obsessions and compulsions with
lifetime prevalence of around 2%-3%. Increase in symptoms severity often signicantly seen impairment with work, relationships and other
responsibilities. Therefore, timely and effective intervention is required. Literature favors cognitive Behavioral therapy (CBT) as intervention in
the management of symptoms severity.
AIM: The present study attempts to see the role of mindfulness based cognitive therapy in reducing symptoms severity in OCD.
METHODS AND MATERIALS: Pre- and post- MBCT intervention with a control group design were used to conduct this study involving 34
patients with OCD. Patients were equally distributed in two groups where one group was given intervention Mindfulness based cognitive therapy
(MBCT) sessions for 8 weeks. Pre- and post- intervention assessment was done using Yale-Brown Obsessive Compulsive Scale (YBOCS)
symptoms severity. And the results were compared.
RESULTS: Obtained research data indicates that there is a signicant declined in the composite score on YBOCS symptoms severity at post
intervention assessment in the group which had been undergone MBCTas compare to the other group.
CONCLUSION: Findings revealed that MBCThas a signicant effect on reducing symptoms severity in patients with OCD.
Bayesian Multilateration
Authors: Alencar Alisson , Mattos César , Gomes João , Mesquita Diego
Published: October 2021

Multilateration (MLAT) is the de facto standard to localize points of interest (POIs) in navigation and surveillance systems. Despite sensors being inherently noisy, most existing techniques i) are oblivious to noise patterns in sensor measurements; and ii) only provide point estimates of the POI’s location. This often results in unreliable estimates with high variance, i.e., that are highly sensitive to measurement noise. To overcome this caveat, we advocate the use of Bayesian modeling. Using Bayesian statistics, we provide a comprehensive guide to handle uncertainties in MLAT. We provide principled choices for the likelihood function and the prior distributions. Inference within the resulting model follows standard MCMC techniques. Besides coping with unreliable measurements, our framework can also deal with sensors whose location is not completely known, which is an asset in mobile systems. The proposed solution also naturally incorporates multiple measurements per reference point, a common practical situation that is usually not handled directly by other approaches. Comprehensive experiments with both synthetic and real-world data indicate that our Bayesian approach to the MLAT task provides better position estimation and uncertainty quantification when compared to the available alternatives.
Dynamic Offset Compensated Operational Amplifiers
Authors: Assim Ara Abdulsatar Assim , Balashov Evgenii
Published: October 2021

The given work is devoted to designing and implementing different dynamic offset cancellation techniques for 50 nm technology CMOS operational amplifiers. The goal is to minimize or get rid of the effects of the offset voltage. Offset voltage exists in all differential amplifiers due to the fact that no pair of transistors can be fabricated with the same size, there is always a slight difference in their dimensions (length or width), this gives rise to an undesirable effect called offset, the value of offset voltage for cheap commercial amplifiers are in the range of 1 to 10 mV, de-spite the fact that this isn’t a significant value, due to the high gain of such amplifiers, this voltage is amplified by tens or hundreds of times, this results in clipping of the output signal and this further limits the amplifier’s maximum allowable input voltage within the given dynamic range, hence its of great importance to take this small voltage into consideration, low-offset amplifiers find applications in mixers, analog to digital converters, instrumentation devices, etc. In this thesis, by using two different techniques for removing offset voltage (chopping and auto-zeroing), five low offset operational amplifiers were designed. The implemented methods reduced the flicker noise by more than 457 times (from 9.4 nV/√Hz to 20 pV/√Hz) at 1 Hz. All the simulations were done using Cadence Virtuoso.
A Model-Driven Approach for Conducting Simulation Experiments
Authors: Wilsdorf Pia , Heller Jakob , Budde Kai , Zimmermann Julius , Warnke Tom , Haubelt Christian , Timmermann Dirk , van Rienen Ursula , Uhrmacher Adelinde M.
Published: October 2021

With the increasing complexity of simulation studies, and thus increasing complexity of simulation experiments, there is a high demand for better support for their conduction. Recently, model-driven approaches have been explored for facilitating the specification, execution, and reproducibility of simulation experiments. However, a more general approach that is suited for a variety of modeling and simulation areas, experiment types, and tools, which also allows for further automation, is still missing. Therefore, we present a novel model-driven engineering (MDE) framework for simulation studies that extends the state-of-the-art by means for knowledge sharing across domains, increased productivity and quality of complex simulation experiments, as well as reusability and automation. We demonstrate the practicality of our approach using case studies from three different fields of simulation (stochastic discrete-event simulation of a cell signaling pathway, virtual prototyping of a neurostimulator, and finite element analysis of electric fields), and various experiment types (global sensitivity analysis, time course analysis, and convergence testing). The proposed framework can be the starting point for further automation of simulation experiments, and therefore can assist in conducting simulation studies in a more systematic and effective manner. For example, based on this MDE framework, approaches for automatically selecting and parametrizing experimentation methods, or for planning following activities depending on the context of the simulation study, could be developed.
Can changes in platelet count, mean platelet volume, and platelet distribution width be used to determine the severity of COVID-19?
Authors: Tire Yasin , Yazar Mehmet Akif , Erdem Said Sami
Published: October 2021

Objective: We aimed to investigate the relation of platelet count (PLT), mean platelet volume (MPV) and platelet distribution width (PDW) with other acute phase reactants in COVID-19 new corona virus.

Material and Methods: Thirty one patients with COVID-19 were included in to study. There were three groups as outpatient (Group 1, OP)(n=6), hospital (Group 2, H)(n=16) and intensive care unit (Group 3, IC)(n=9) in this analytic study.

Results: WBC (White Blood Cell), CRP (C-Reactive Protein) values were significantly different in all groups. PDW values were significantly lower in Group 3 than Group 1, 2. The result of ROC analysis was 10.9 as a cut-off value (Area under the curve, AUC)=0.407)

Conclusions: This study indicates that lower PDW may frequently develop in COVID-19 cases and there is a relation between thrombocytosis and acute phase reactants, that is, the inflammatory response. So we can offer that PDW should be used as a marker of Covid-19 disease severity, but it needs more studies in the future.
A rare case of L5-S1 right severe foraminal stenosis and paramedian disc herniation result in foot drop of right lower extremity: A case report
Authors: Nguyen Ngoc Quyen , Phan Trong Hau
Published: October 2021

Objective: the authors presented a extremely rare case of severe foraminal stenosis combined with huge lateral lumbar disc herniation 

Case presentation: The authors presented a 74 – year old, male with type II chronic diabetes, had severe pain of the dermatomal distribution of L5, S1 nerve roots, and foot-drop of the right lower limb. When we evaluated the patient’s MRI, the huge paramedian disc herniation of the right L5-S1 level was seen and the right L5-S1 laminotomy and discetomy were planned for the treatment of the patient. However, the clinical symptoms were not completely correlated with that MRI findings so that, we re-checked the MRI, particularly at the lumbosacral region, and the right severe foraminal stenosis of L5-S1 level was found. The patient underwent surgery with facetectomy, transforaminal interbody fusion, and pedicle screw fixation. After the operation, the patient has quickly reduced radiating pain of the right lower extremity, although the foot-drop was not improved. Because of the huge lateral lumbar disc herniation impression, that could affect the assessing the patient’s injury correctly, leaded consequences of a missing diagnosis of foraminal stenosis and inadequate surgery method.

Conclusion: It is essential to detail examination of the clinical manifestations and thorough assessment of MRI for evaluation of the correlation between the physical examination and MRI findings before making the decision of surgical method.
The Intensive care outcome of patients with a solid tumor in a tertiary care hospital in Saudi Arabia: Results of a prospective ICU Registry
Authors: Rugaan Asiah Salem , Hasan Naved , Iqbal Masood , Damanhouri Elaf , Radi Rwan Emad , Radwan Enshrah , Alhazmi Maher
Published: October 2021

Objective: There is a paucity of research on the factors predicting mortality and a length of stay in the Intensive Care Unit (ICU) with solid tumor patients. This study will assess the characteristics and predictors of outcomes of patients with solid tumors in medical ICU.

Material and Methods: This research has been designed as a retrospective observational study using an ICU database. Patients who have a solid tumor were included in the study (May 2015 to July 2018). Post-surgical and those with a length of stay of more than one day are excluded from the study. We identified the predictors     for ICU mortality and ICU long stay (≥21 days).

Results: Out of 2883 patients, 364 patients with solid tumors were enrolled. The commonest sites for solid tumors were breast (15.9%), colorectal (11.5%), and lung (9.9%). 158 (43.4%) had metastatic disease, and 264 (72.5%) with progressive disease. The major reasons for ICU admission were a respiratory failure (52.7%) and severe sepsis (52.2%). The ICU and hospital mortality rates were 32.4% and 47%, respectively. Fifty patients (13.7%) had long stayed (≥ 21 days) in ICU. The independent predictors for mortality were Sequential Organ Failure Assessment (SOFA) score (OR, 1.2; 95% CI, 1.1–1.3; P=.000), invasive ventilation (OR, 3.5; 95% CI, 1.5–8.3; P=.004) and vasopressor (OR, 2.6; 95% CI, 1.1–5.9; P=.018), while the independent predictors of long-stay were ICU infections (odds ratio [OR], 18.9; 95% CI, 5.3 – 66.7; P=.0001), SOFA score (OR, 1.5; 95% CI, 1.2–1.8; P=.0001), invasive ventilation (OR, 8.2; 95% CI, 1.6–40.4; P=.009), bilirubin (OR, .5; 95% CI .2–.9; P=.049).

Conclusion: Irrespective of the cancer stage, patients had a reasonable survival, and most do not require a long stay in the ICU. Flexibility in admission should be considered as disease progression and metastatic disease were not independent predictors of ICU mortality or long stay in this study.
Potential drug-drug interactions related with repurposed drugs for COVID-19
Authors: Silva Joseane Barbosa da , Rego Marfranea Souza , Santos Larissa Rico Bertolino dos , Mueller Andre
Published: October 2021

Desde o início do surto do coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2), pesquisadores vêm estudando moléculas que pudessem ter algum papel na redução da propagação ou no combate a sintomas dessa doença viral. Mesmo com o advento das vacinas, fármacos têm sido propostos para reduzir a carga viral, diminuir a entrada do vírus na célula hospedeira, reduzir eventos inflamatórios no organismo, combater edema pulmonar ou outros sintomas e eventos manifestados no paciente com Covid-19. Levando em conta que frequentemente pacientes usam dois ou mais medicamentos, este artigo objetivou fazer uma revisão bibliográfica e consulta a sites especializados sobre interações farmacológicas com os principais medicamentos reposicionados para tratamento da Covid-19 no Brasil. Descrevemos as interações com grau de risco moderado ou grave envolvendo anti-inflamatórios não-esteroides, azitromicina, dexametasona, dexclorfeniramina, hidroxicloroquina, ivermectina e nitazoxanida. Esperamos que este estudo auxilie os profissionais da saúde na tomada de decisões sobre as estratégias farmacoterapêuticas empregadas em cada paciente com Covid-19.                                                                                                                                      

Palavras-chave: Interações medicamentosas. Covid-19. SARS-Cov-2. Coronavírus.
An Intelligent System for Load Forecasting on a Distribution Network
Authors: Gbadamosi Saheed , Adedayo Ojo Olukayode
Published: October 2021

This paper presents an Adaptive Neuro-Fuzzy Inference system (ANFIS) technique for medium-term load forecasting in a distribution network. This technique is an integrated system consisting of fuzzy logic systems and Artificial Neural network (ANN). The inputs to the system include days of the week, temperature, time, current and previous hourly load on the distribution network. The data collection is within the period of two years. The formulation and mapping of the input data is done using fuzzy logic system and ANN are employed for generation of inference. The experimental results show the average load pre-diction accuracy of 87.23% and regression coefficient of 0.873. The analysis of the proposed ANFIS for load forecast is effective in planning, managing and organizing the electric load forecast with accurate prediction.
Metadane w architekturze informacji
Authors: Matysek Anna , Tomaszczyk Jacek
Published: October 2021

Cel/Teza: Celem artykułu jest przybliżenie roli metadanych w projektowaniu architektury informacji serwisów internetowych. Skupiono się przede wszystkim na metadanych opisowych i strukturalnych, które mają istotny wpływ na organizację i wyszukiwanie informacji na stronach WWW. Koncepcja/Metody badań: Wyjaśniono czym są metadane, przedstawiono ich rodzaje, standardy oraz funkcje w środowisku cyfrowym. Wyeksponowano znaczenie metadanych w przeglądaniu i wyszukiwaniu informacji. Pokazano sposoby umieszczania metadanych na stronach internetowych tworzonych bezpośrednio w języku HTML oraz w systemie zarządzania treścią WordPress. Wyniki i wnioski: Metadane pełnią istotną rolę w architekturze informacji serwisów internetowych. Umożliwiają opisywanie obiektów cyfrowych i tworzenie semantycznych powiązań między nimi, co zwiększa efektywność wyszukiwania informacji i użyteczność serwisów. Zaleca się zatem, aby architekci informacji odpowiednio dobierali schematy metadanych, dbając o spójność i szczegółowość ich elementów. Oryginalność/Wartość poznawcza: Zagadnienie metadanych w organizowaniu i wyszukiwaniu informacji w serwisach internetowych nie zostało do tej pory szczegółowo wyjaśnione w piśmiennictwie dotyczącym architektury informacji.
“Get the DNR”: residents’ perceptions of goals of care conversations before and after an e-learning module
Authors: Branfield Day Leora , Saunders Stephanie , Steinberg Leah , Ginsburg Shiphra , Soong Christine
Published: October 2021

Background: Residents frequently lead goals of care (GoC) conversations with patients and families to explore patient values and preferences and to establish patient-centered care plans. However, previous work has shown that the hidden curriculum may promote physician-driven agendas and poor communication in these discussions. We previously developed an online learning (e-learning) module that teaches a patient-centered approach to GoC conversations. We sought to explore residents’ experiences and how the module might counteract the impact of the hidden curriculum on residents’ perceptions and approaches to GoC conversations.
Methods: Eleven first-year internal medicine residents from the University of Toronto underwent semi-structured interviews before and after completing the module. Themes were identified using principles of constructivist grounded theory. 
Results: Prior to module completion, residents described institutional and hierarchical pressures to “get the DNR” (Do-Not-Resuscitate), leading to physician-centered GoC conversations focused on code status, documentation, and efficiency. Tensions between formal and hidden curricula led to emotional dissonance and distress. However, after module completion, residents described new patient-centered conceptualizations and approaches to GoC conversations, feeling empowered to challenge physician-driven agendas. This shift was driven by greater alignment of the new approach with their internalized ethical values, greater tolerance of uncertainty and complexity in GoC decisions, and improved clinical encounters in practice.
Conclusion: An e-learning module focused on teaching an evidence-based, patient-centered approach to GoC conversations appeared to promote a shift in residents’ perspectives and approaches that may indirectly mitigate the influence of the hidden curriculum, with the potential to improve quality of communication and care.
The Construction of a Poverty Return Risk Indicator System under Rural Revitalization: Taking the Poor Households in Guangdong Province
Authors: Peng Xiaojie , Lei Kun
Published: October 2021

This paper consists a return-to-poverty risk indicator system including indicators such as the per capita annual income of poverty-stricken families, the implementation of policies, and the gender of the head of the household. Using a combination of analytic hierarchy process and fuzzy evaluation method, 50 poor households with registered cards in Guangdong Province in 2020 were taken as the research objects, and quantitative analysis of the index system was carried out. The results show that the per capita annual household income is the most influential indicator, and policy coverage, policy effectiveness, and per capita annual household expenditure also have a significant impact.
Macro and Micro-Nutrients of Azolla pinnata as a Soilless Growth Media
Authors: Shamsudin Rosnah , Azhari Nor A. A. , Kasim Susilawati , Rahmat Muhammad A. S.
Published: October 2021

Azolla pinnata is a small floating fern which widely occurs in certain regions such as Southeast Asia. Azolla is utilized in the new plant research on the currently existing products for soilless growth media. Soilless growth media are an alternative component to replace soil for cultivation uses. In urbanization scenario nowadays, most of the flatten open-area soil is used for development, affecting the soil supply for plants. To introduce a new component such as the soilless growth media, it must have the same or more nutrients than soil or other existing soilless growth media. A study found that Azolla is used as a soilless growth media in the nursery for olive trees cultivation. According to the study, the nutrients obtained from Azolla are sufficient to replace soil as a growth media. In this experiment, the Single Dry Ashing, and Kjeldahl and Dummas methods were used to evaluate and compare both macro and micronutrients of Azolla to Midorie Pafcal and Jiffy-7 pallets. Based on the results, the values were 0.94 % (N), 4352.00 ppm (P), and 563.13 ppm (K); compared to 1.35% (N), 377.13 ppm (P), 1512.33 ppm (K); and 0% (N), 563.13 ppm (P), 1343.67 ppm (K), respectively. The results also showed the values of Copper (Cu), Iron (Fe), and Zinc (Zn) for Azolla, Midorie Pafcal and Jiffy-7 samples were 15.33 ppm (Cu), 2579.67 ppm (Fe), 93.63 ppm (Zn); 7.53 ppm (Cu), 9988.33 ppm (Fe), 26.77 ppm (Zn); and 13.01 ppm (Cu), 1150.30 (Fe), 12.40 ppm (Zn), respectively. In conclusion, Azolla pinnata is capable of providing the nutrients required for a plant, making it suitable as a soilless growth media for all plants.
Approximation of solutions of split equality fixed point problems with applications
Authors:   AFRICAN UNIVERSITY OF SCIENCE AND TECHNOLOGY, ABUJA, NIGERIA, ADAMU ABUBAKAR , ADAM AISHA A. ,   AFRICAN UNIVERSITY OF SCIENCE AND TECHNOLOGY, ABUJA, NIGERIA
Published: October 2021

In this paper, we introduce and study an inertial algorithm for approximating solutions of split equality fixed point problem (SEFPP), involving quasi-phi-nonexpansive mappings in uniformly smooth and 2-uniformly convex real Banach spaces and establish a strong convergence theorem. We give applications of our result to split equality problem (SEP), split equality variational inclusion problem (SEVIP) and split equality equilibrium problem (SEEP). Our results extend, generalize and unify several recent inertial-type algorithms for approximating solutions of SEP and SEVIP. Moreover, to the best of our knowledge, our propose method which does not require any compactness type assumption on the operators is the first inertial algorithm for approximating solutions of SEFPP, SEP, SEVIP and SEEP in Banach spaces.