bluuebunny/crossref_metadata_2025 huggingface dataset:
Advancing Precipitation Prediction Using a New Generation Storm-resolving Model Framework – SIMA-MPAS (V1.0): a Case Study over the Western United States
Authors: Huang Xingying , Gettelman Andrew , Skamarock William C. , Lauritzen Peter Hjort , Curry Miles , Herrington Adam , Truesdale John T. , Duda Michael
Published: June 2022

Abstract. Global climate models (GCMs) have advanced in many ways as computing power has allowed more complexity and finer resolution. As GCMs reach storm-resolving scale, for predictions to be useful, they need to be able to produce realistic precipitation distributions and intensity at fine scales. This study uses a state-of-art global storm-resolving GCM, the System for Integrated Modeling of the Atmosphere (SIMA), as the atmospheric component of the open-source Community Earth System Model (CESM) and a non-hydrostatic dynamical core – the Model for Prediction Across Scales (MPAS). For mean climatology, at uniform coarse (here, at 120 km) grid-resolution, the SIMA-MPAS configuration is comparable to the standard hydrostatic CESM (with finite-volume (FV) dynamical core) with reasonable energy and mass conservation. We mainly investigate how the SIMA-MPAS model performs when reaching storm-resolving scale at 3 km. To do this effectively, we compose a case study using a SIMA-MPAS variable resolution configuration with a refined mesh of 3 km covering the western US and 60 km remaining of the globe. Our results show realistic representations of precipitation details over the refined complex terrains temporally and spatially. Along with much improved temperature features from well performed land-air interactions and realistic topography, we also demonstrate significantly enhanced snowpack distributions. We compared and evaluated the model performance using both observations and a traditional regional climate model. This work illustrates that a global SIMA-MPAS at storm resolving resolution can produce much more realistic regional climate variability, fine-scale features, and extremes to advance both climate and weather studies. The next-generation storm-resolving model could ultimately bridge large-scale forcing constraints and better-informed climate impacts and weather predictions across scales.
Problem of statistical education in Croatia
Authors:   University of Split, Rozga Ante
Published: June 2022

The process of statistical education in Croatia can be considered to be as complex as it is in all other developing countries. As a part of former Yugoslavia, Croatia was a communist county with an inherited system of secondary and university education. However, the country is also in the process of economic development. Statistical education has been based mostly on the style of the Soviet Union, with the emphasis on statistical theory rather than practice. The available official statistics have been exclusively focused on planning the economy, especially when the new Yugoslav economy is shifting towards a market-oriented economy, statistical research and applications must play a much greater role in all aspects of Coratian everyday life and scientific research. Now, the statistical treatment of scientific problems is speaking everywhere.
A mudança comportamental e as novas estratégias de marketing
Authors: Santos Lucidalva Maria dos , Costa Denis Honorato
Published: June 2022

Introdução: As influências que o marketing e as organizações provocam sobre os usuários, são capazes de afetar seus comportamentos. As gerações atuais, possuem a seu alcance ferramentas tecnológicas como aliadas e estão sempre conectadas e passiveis de atrativos e comodidades, tornando suas experiencias de compras, comportamentos e vivência mais dinâmicas. Objetivo: Analisar a influência das redes sociais e o poder que a internet/empresas de marketing exercem sobre consumidores nas decisões, sobretudo na hora das compras.  Metodologia: Foram realizadas busca entre fevereiro a maio de 2022, por material científico relacionado a mudança comportamental e as novas estratégias de marketing, por meio das bases de dados Google Acadêmico e em base de dados preferencialmente em administração de empresas, escritos em português. Foram utilizados como itens de exclusão, monografias, dissertações e teses, sobretudo com foco no produto e não na pessoa. Após leitura inicial dos resumos, 21 artigos foram selecionados para leitura na integra e compor o corpo estrutural dessa revisão narrativa. Considerações Finais: As redes sociais e as estratégias de marketing desempenham grande influência comportamental e tem poder sobre os consumidores, no processo decisório na hora da compra, despertando o desejo em obter produtos e serviços. Os recursos/equipamentos digitais e mídias afins, sites, influenciadores digitais anônimos e principalmente os famosos, propagandas, posts, vídeos, entre outros, são recursos poderosos para atrair e despertar a necessidade de obtenção de produtos, mesmo quando não há a necessidade real dos consumidores de obtê-los.
Apoplexia de tumor hipofisário: uma revisão de literatura
Authors: Paz João Victor Carvalho , Alves Alexandre Augusto Gomes , Alves Beatriz da Cruz , Beckman Lucas Frota , Almeida Danielle Cavalcante Cruz , Siqueira Rômulo Diego Marinho , Melo Amanda de Morais , Nascimento Natália Darvila Magalhães , Moraes Dyego Mondego , Assis Ana Luiza Leão Madeira de , Sousa Andressa Carvalho Murada de , Pontes Daniel de Brito , Freitas Camila Melo de , Santos Carleany Almeida dos , Paixão Rafaella Keila Moreira
Published: June 2022

Introdução: A apoplexia hipofisária é um distúrbio potencialmente fatal devido a infarto isquêmico agudo ou hemorragia da glândula pituitária. As principais características clínicas dessa síndrome são cefaleia, náuseas, vômitos, deficiência visual, alteração do estado mental e até coma. Metodologia: Trata-se de uma revisão sistemática da literatura do tipo quantitativo utilizando as seguintes Palavras-chave: Adeno-Hipófise; Apoplexia Hipofisária; Neoplasias Hipofisárias; Revisão de Casos Relatados. Resultado: Como o evento primário envolve o adenoma, a síndrome deve ser denominada apoplexia tumoral hipofisária e não apoplexia hipofisária. Apesar de a apoplexia hipofisária ocorrer dentro de adenomas hipofisários, ela também pode ocorrer em não adenomatosos ou mesmo na hipófise normal, especialmente durante a gravidez. Discursão: Embora a terminologia "apoplexia hipofisária subclínica" seja amplamente utilizada para descrever evidências anatomopatológicas de isquemia ou hemorragia hipofisária assintomática, é significativo notar que a apoplexia hipofisária é uma síndrome clínica e não uma definição anatomopatológica. Conclusão: embora a apoplexia hipofisária seja uma complicação incomum dos tumores hipofisários, ela deve ser reconhecida como uma emergência neuro endocrinológica e neurocirúrgica que requer diagnóstico e tratamento imediatos, individualizando cada indivíduo para direcionar para terapias conservadoras ou mais invasivas.
Desarrollo sostenible y globalización: la necesaria transformación de las políticas públicas en clave cosmopolita
Authors: Millán Acevedo Natalia
Published: June 2022

Nos encontramos en un momento de crisis multidimensional que afecta a los ámbitos económicos, políticos, sociales y ambientales de las organizaciones humanas. Así, la dinámica globalizadora ha reconfigurado las estructuras de poder ampliando el impacto de los fenómenos transnacionales en los actores y procesos políticos nacionales. En este marco, este trabajo analiza la importancia de desarrollar políticas públicas orientadas al desarrollo sostenible que, además, incorporen una dimensión cosmopolita que permita visibilizar el impacto de las estructuras globalizadas en los sistemas políticos estatales. El presente artículo forma parte de un proyecto de investigación I+D+I que analiza la implementación de la Agenda 2030 en diversos países europeos y latinoamericanos. Este marco metodológico está permitiendo desarrollar un extenso trabajo de campo sobre políticas públicas, desarrollo sostenible y globalización. Por esto, la metodología utilizada se ha basado principalmente en una extensa revisión bibliográfica que se integra con reflexiones analíticas derivadas de entrevistas en profundidad a 28 expertos y expertas sobre políticas públicas y Agenda 2030. El artículo concluye confirmando la hipótesis teórica planteada en este trabajo que remite a la necesidad de integrar la dimensión cosmopolita a las políticas públicas de desarrollo sostenible en la medida en que las dinámicas globales influyen y reconfiguran de manera sustancial los procesos nacionales, al tiempo que las políticas públicas nacionales influyen en las coyunturas globales.
Espacialidad, género y nación. La anti/elegía gay y la función social del discurso funerario en la poesía de guerra de Emilio Prados
Authors: Álvarez Enrique
Published: June 2022

Este trabajo describe un proceso de producción y transformación del espacio bélico y de la nación como formaciones ideológicas asociadas a la masculinidad heteronormativa. El foco principal del argumento es el análisis de la función social del discurso funerario en verso en dos romances de la Guerra Civil de España, originalmente publicados por Emilio Prados en 1937 en el furor de la batalla. Por un lado, el lamento por los camaradas muertos le proporciona a Prados la oportunidad de expresar en el poema el lazo afectivo entre hombres. Por otro lado, Prados introduce en su escritura un subtexto macabro anti-elegíaco asociado al golpe de estado de 1936, y a la resistencia antifascista que por contraposición a la destrucción y la muerte se incorpora a la representación del cuerpo masculino en el poema. En ambos casos, Prados incluye en estos textos un discurso funerario cuyo objetivo transciende la función pública del duelo y se instala en la expresión de la experiencia homoerótica. Una discusión del marco teórico sirve como introducción al argumento general del artículo. Esta sección introduce el concepto de «espacio social» de Henri Lefebvre, la dialéctica socio-espacial de Edward Soja, y la imbricación simbólica del paisaje en el proceso de formación social según explica Denis Cosgrove. Esta introducción viene seguida de unos apuntes con algunos de los aspectos formales del discurso anti/elegíaco sobre los que se asienta el análisis de los textos de Prados.
Devolviendo la visibilidad a los invisibles. Preguntando la orientación sexual en las encuestas de opinión pública en España.
Authors: Ramírez Dueñas José María
Published: June 2022

La relevancia académica de la orientación sexual en la investigación social ha crecido en los últimos años con la legitimación de la sociología de la sexualidad y los estudios queer. Sin embargo, todavía existen pocas encuestas que incorporan una pregunta sobre esta cuestión, más en España, dónde su presencia en los cuestionarios se ha producido de una manera tardía con respecto a las tendencias internacionales. En este texto se presenta un análisis comparativo de las diferentes fórmulas que se han utilizado para preguntar la orientación sexual (comportamiento sexual, identificación de cónyuge, atracción sexual y auto-identificación) para abordar el debate académico y teórico de sus ventajas o inconvenientes. Además, se presenta una descripción de la población LGBA+ (lesbianas, gays, bisexuales, asexuales y otras orientaciones sexuales) para observar algunas cuestiones de eficacia y representatividad de la pregunta, sus efectos en la selección de la muestra y sus consecuencias en las investigaciones que incorporan esta variable en el estudio. Finalmente, en las discusiones se defiende que es la pregunta de la auto-identificación la que mejor parece responder a la construcción de identidad que requiere la sociología para dar respuesta a determinados fenómenos sociales, así como se propone un tipo de enunciado para preguntar la orientación sexual en cuestionarios de opinión pública.
The Use of Preparations Based on Zirconium Phosphate for Demetallization of Fermented Fruit Materials
Authors: Панасюк Александр Львович , Белослюдова Галина Юрьевна , Клепиков Дмитрий Владимирович
Published: June 2022

Исследовали возможность использования препаратов на основе производных циркония для удаления катионов тяжелых металлов и токсичных продуктов из пищевых жидкостей. Указано, что при деметаллизации применение препаратов, вносимых в виде растворов (ферроцианид калия и др.) создает опасность наличия их остаточных количеств в пищевом продукте при неправильном применении, включая передозировку. По возможности, следует отдавать предпочтение нерастворимым сорбентам, среди которых можно выделить препараты на основе соединений циркония. В работе использовали фосфат циркония, имеющий коммерческое название сорбент марки «Термоксид-3А» в Н+-форме и в Na+-форме, который успешно применяется при очистке промышленных и питьевых вод от примесей. Исследовали эффективность его применения для сброженных плодовых материалов, особенность которых составляет наличие значительных количеств анионов яблочной кислоты - конкурирующих лиганд, затрудняющих обработку. На примере яблочных и грушевых сброженных материалов показана эффективность сорбента марки «Термоксид-3А» для удаления железа, меди, алюминия, цинка, свинца, а также мышьяка. Предпочтительно задавать препарат в Н+-форме, которая обеспечивает полноту удаления, не повышает в материалах содержание натрия и не влияет отрицательно на их органолептические свойства.

The possibility of using preparations based on zirconium derivatives to remove heavy metal cations and toxic products from food liquids was investigated. It is indicated that during demetallization, the use of drugs introduced in the form of solutions (potassium ferrocyanide, etc.) creates a danger of their residual amounts in the food product with improper use, including overdose. If possible, preference should be given to insoluble sorbents, among which preparations based on zirconium compounds can be distinguished. In the work, zirconium phosphate was used, which has the commercial name of the sorbent of the brand «Thermoxide-3A» in H+ form and in Na+ form, which is successfully used in the purification of industrial and drinking water from impurities. The effectiveness of its use for fermented fruit materials was investigated, the peculiarity of which is the presence of significant amounts of malic acid anions - competing ligands that complicate processing. On the example of apple and pear fermented materials, the effectiveness of the sorbent of the brand «Thermoxide-3A» for the removal of iron, copper, aluminum, zinc, lead, as well as arsenic is shown. It is preferable to set the drug in the H+ form, which ensures complete removal, does not increase the sodium content in the materials and does not adversely affect their organoleptic properties.
UPAYA PENINGKATAN PENGETAHUAN DAN KETERAMPILAN IBU HAMIL TENTANG MANAJEMEN ASI PERAH
Authors: Daimah Umi , Kartika Jenny , . Khairunisya
Published: June 2022

Upaya Peningkatan pengetahuan dan keterampilan ibu hamil tentang manajemen ASI Perah. ASI Eksklusif merupakan nutrisi paling baik bayi. Salah satu kegagalan pemberian ASI eksklusif adalah karen masih kurangnya pemahama ibu yang bekerja dalam memberikan ASI Perah. Oleh sebab itu cakupan ASI eksklusif masih sangat kurang. Berdasarkan data yang diperoleh di PMB “Kartini Desa Karang Raja Muara Enim” sebagian dari ibu – ibu hamil tersebut adalah ibu dengan kehamilan pertama (Primigravida), dimana mereka tidak mempunyai pengalaman dalam hal melakukan ASI Perah padahal sebagian dari ibu ibu hamil tersebut adalah ibu yang bekerja diluar rumah. Maka dari itu kami tim Pengabdian masyarakat akan melaksanakan penyuluhan dan latihan tehnik melakukan ASI Perah di PMB Kartini Desa Karang Raja Kecamatan Muara Enim Kabupaten Muara Enim. Sasaran Pengabdian Masyarakat ini adalah ibu hamil Trimester III di PMB Kartini Desa Karang Raja Kecamatan Muara Enim Kabupaten Muara Enim Metode kegiatan yang dilakukan untuk tercapainya tujuan pengabdian kepada masyarakat ini adalah dengan presentasi dan Praktik tentang Manajemen Laktasi meliputi ASI Ekslusif, Perawatan Payudara, Cara menyusui, Cara memerah ASI, Cara Penyimpanan ASI sehingga diharapkan Ibu hamil Trimester III ini yang akan menjalani masa Post Partum nantinya, akan dapat memberikan ASI kepada bayi nya dengan benar sampai usia 6 bulan secara ekslusif. Hasil pengabdian masyarakat didapatkan adanya peninngkatan pengetahuan dan keterampilan tentang manajemen ASI Perah sebelum kegiatan 57,21 (3,41) menjadi 86,73 (2,29) setelah kegiatan . Hasil uji statistik menunjukkan p value = 0,000 yang berarti bahwa upaya peningkatan pengetahuan dan keterampilan ibu hamil tentang manajeman ASI Perah di PMB Kartini Muara Enim berhasil dilakukan. Adanya peningkatan pengetahuan Ibu hamil yang diukur dengan menggunakan kuesioner Pretest dan Post testserta ibu mampu mempraktikkan cara memerah ASI dengan menggunakan Alat Peraga Phantom payudara
Posterior subthalamic area deep brain stimulation for recurrent tremor after ventral intermediate nucleus thalamotomy: a case report
Authors: Lee Seung Un , Jung Na Young
Published: June 2022

Neurosurgical treatments, including both lesioning procedures and deep brain stimulation (DBS), are considered effective treatments for patients with intractable essential tremor (ET). However, it can be challenging to arrive at the decision to perform a second surgical attempt for recurrent ET after the initial neurosurgical treatment because of the uncertainty of successful results. We encountered a 49-year-old man who complained of recurrent tremor after ventral intermediate nucleus thalamotomy. The patient underwent DBS in the posterior subthalamic area (PSA), resulting in significantly reduced tremor and improved daily function. Although there are various surgical options for recurrent ET, DBS targeting the PSA induces favorable tremor control and can be successfully used as a salvage therapy after thalamotomy.
Computing multiple solutions of PDEs with deflation
Authors: Farrell Patrick
Published: June 2022

Computing the distinct solutions u of an equation f(u, λ) = 0 as a parameter λ∈ℝ is varied is a central task in applied mathematics and engineering. The solutions are captured in a bifurcation diagram, plotting (some functional of) u as a function of λ. In this talk I will present a useful idea, deflation, for this task.

Deflation has three main advantages. First, it is capable of computing disconnected bifurcation diagrams; previous algorithms only aimed to compute that part of the bifurcation diagram continuously connected to the initial data. Second, its implementation is very simple: it only requires a minor modification to an existing Newton-based solver. Third, it can scale to very large discretisations if a good preconditioner is available; no auxiliary problems must be solved.

We will present applications to hyperelastic structures, liquid crystals, and Bose-Einstein condensates, and discuss how PDE-constrained optimisation problems may be solved to design systems with certain bifurcation properties.
The credit channel of monetary transmission in the US: is it a bank lending channel, a balance sheet channel, or both, or neither?
Authors: Brissimis Sophocles N. , Papafilis Michalis-Panayiotis
Published: June 2022

We develop a theoretical framework that extends the Bernanke and Blinder (1988) model to incorporate imperfect substitution between internal and external finance of firms in order to study the operation of both the bank lending and the balance sheet channels of monetary transmission in the US. Our model is used to quantify the financial accelerator effects due to the operation of these channels. Empirically, we employ multivariate cointegration techniques to identify the equilibrium relationships included in our model, and we provide evidence that only the balance sheet channel is operational for the period before and after the global financial crisis.
Կենդանանուններով կազմված դարձվածային միավորների իմաստակառուցվածքային առանձնահատկությունները արդի հայերենում և պարսկերենում
Authors: Թորոսյան Հռիփսիմե
Published: June 2022

Հոդվածի նպատակն է արդի հայերենի և պարսկերենի կենդանանան բաղադրիչով դարձվածային միավորների իմաստային և կառուցվածքային յուրահատկությունների բացահայտումը նկարագրական, զուգադրական և համեմատական մեթոդներով: Զուգադրվող լեզուների տարբեր դարձվածաբանական բառարանների լեզվական նյութի հիման վրա ներկայացվում են կենդանանուններով կազմված անվանական և հաղորդակցական կապակցությունները, դրանց ձևավորման կաղապարները, դարձվածային համարժեքներն ու համապատասխանությունները։
Ազորդացփոր գավառի պատմաճարտարապետական հուշարձանների տեղագրության ու արդի վիճակի շուրջ
Authors: Ակոպով Արկադի , Նահատակյան Դավիթ
Published: June 2022

Սույն հոդվածի շրջանակներում առանձին ուսումնասիրության առարկա են դարձել պատմական Մեծ Հայքի Տայք աշխարհի Ազորդացփոր գավառի պատմաճարտարապետական հուշարձանների տեղագրության և արդի վիճակի վերաբերյալ հարցերը: Զուգահեռ ներկայացվում են ժողովրդագրական տվյալներ, որոնք ընդգրկում են XIX դարից մինչև Հայոց Մեծ եղեռն ընկած ժամանակաշրջանը:
Açık Kaynaklı Görsel Programlama Yazılımı Aracılığıyla YBM Platformunun Yeteneklerini Geliştirme: Doğrudan Modelden Alınan Mahal Bitirmeleriyle Mahal Listesinin Oluşturulması
Authors: BAKIR Kadir Emre
Published: June 2022

Bu çalışmada, YBM platformlarından biri olan Autodesk Revit ile mimari modelden mahal listesi oluşturulması ele alınmaktadır. Autodesk Revit ile mahal listesi oluşturmada temel olarak iki yöntem kullanılmaktadır. Bu yöntemlerden ilkinde tüm bitirmeler mahal listesine elle yazılabilmektedir. Yazılan bitirmeler açılır listeden farklı mahaller için seçilebilmektedir. Diğer yöntem; anahtar tablo (key schedule) yöntemine dayanmaktadır. Islak hacimler, depolar gibi mahal tipleri mahal bitirmelerine göre oluşturulmaktadır. Ardından uygun mahal tipleri mahal listesinin doldurulması için seçilmektedir. Ancak her iki yöntemde de mahali çevreleyen elemanların bitirmeleri doğrudan modelden alınamamaktadır. Mahal bitirmelerinin modelden bağımsız yazılması hatalara sebep olabilmektedir. Ayrıca, mahal bitirmelerinde yapılan değişiklikler kişisel çabalarla takip edilmeli ve düzeltilmelidir. Çözüm, açık kaynaklı görsel programlama yazılımı olan Dynamo’nun kullanımıyla mahal bitirmelerinin doğrudan modelden elde edilmesi ve bu bitirmelerin mahal listesine yazılmasıdır. Bu amaçla oluşturulan Dynamo komut dizisinde Dynamo için geliştirilen paketler de (Clockwork ve archilab) kullanılmıştır. Geliştirilen Dynamo komut dizisi basitten karmaşığa doğru oluşturulan deneme modeli üzerinde sınanmış ve komut dizisinin çalışma sınırları ortaya konmuştur. Ardından, oluşturulan Dynamo komut dizisi iki katlı örnek konut yapısı üzerinde denenmiştir. Konut modelinde yapılan denemelerde mahal listesine mahal bitirmeleri yazılabilmiştir.
Artificial Intelligence in Promoting Teaching and Learning Transformation in Schools
Authors: Liu Yufei , Saleh Salmiza , Huang Jiahui
Published: June 2022

With the development of science and technology, artificial intelligence technology has entered an unprecedented period of rapid development, and it is profoundly changing all areas of life. Various countries require implementation of intelligent education, but how artificial intelligent education promotes the development of school teaching is still lacking in systematic discussion. This paper discusses several aspects of artificial intelligence to promote teaching and learning reform, including artificial intelligence to promote the innovative development of teaching resources and teaching environment, teaching and learning methods, the development of school teaching management and teaching evaluation, and to promote the reform of subject structure and educational content. With a view to encouraging the application of artificial intelligence in promoting the transformation of teaching and learning, it is proposed that schools meet new requirements in the era of artificial intelligence.
Hypothyroidism Incidence in Polycystic Ovarian Syndrome/ Subfertility
Authors: Naeem Syeda Khalida , Khaliq Mohammad Afzal , Nabi Zafar Abdul , Alam Imam , Baksh Imam
Published: June 2022

The association of polycystic ovarian syndrome (PCOS) and hypothyroidism is increasingly being recognised. Both syndromes share some common characteristics. In the patients of these two disorders, sub fertility appears frequently. Background and Objective: Hypothyroidism and PCOS are those syndromes that affects the women of child bearing age.These syndromes leads to subfertility. Risk of subfertility can be prevented in the patients of hypothyroidism by treatment at the onset of the disease. As hypothyroidism occurs more commonly in the patients of PCOS, so it is very important to explain its clinical impact. The objective of this study is to find out how hypothyroidism affects the patients who are suffering from polycystic ovarian syndrome. Study Design: The study design of this article is meta-analysis research. Material and Method: In last two months, we have studied many patients in our clinic.Out of these patients, some were diagnosed as patients of hypothyroidism and there were some patients of PCOS. All patients were females.Data including age and BMI was noted from their record sheets. We also noted the level of different hormones of their body.Venous blood samples were drawn and thyroid volumes was checked. Place and Duration: This study is conducted at Gynae and Obs department of Makran Medical College, Turbat and Teaching Hospital Kech, in the last two years in and outdoor from June 2019 to June 2021. Result: The values of triglycerides, cholesterol, fasting glucose , fasting insulin were significantly higher in the patients of PCOS. Levels of different hormones Including FSH, LH, TSH were also different in affected females as compared to control group.Women suffering from pcos are also unable to conceive.Total thyroid dysfunction was seen in almost 50% patients of pcos. Conclusion: Females who were suffering from hypothyroidism had higher volume of their ovaries and cystic ovaries as well.Meanwhile, females who suffered from pcos had more thyroid related diseases as well.Hypothyroidism changes the level of reproductive hormones in females and makes them unable to conceive (causes subfertility). Keywords: Hypothyroidism, Subfertility, Insulin resistance, PCOS, BMI, Hormones level.
Association of Metabolic Syndrome and Psoriasis
Authors: Malik Tooba , Nasreen Saba , Memon Hira Shafquat , Yousuf Shakila , Khan Seemab , Gul Sana
Published: June 2022

Objective: The objective of this study was to determine the association of metabolic syndrome and psoriasis Study Design: Case control study Settings: This study was conducted in Department of Dermatology in collaboration with Department of Chemical Pathology, PNS Shifa, Karachi. Duration of Study: Conducted for the duration of Six months from 1st July, 2020 to 30th December, 2020. Results: In our study, 67.39%(n=31) in cases and 76.09%(n=35) in Controls were between 20-35 years of age while 32.61%(n=15) in cases and 23.91%(n=11) in controls were between 36-50 years of age, mean+sd was calculated as 31.87+6.71 and 30.0+6.29 years respectively, 63.04%(n=29) in cases and 67.39%(n=31) in controls were male while 36.96%(n=17) in cases and 32.61%(n=15) in controls were females, frequency of association of metabolic syndrome and psoriasis was recorded as 56.52%(n=26) in cases and 32.61%(n=15) in controls had metabolic syndrome while 43.48%(n=20) in cases and 67.39%(n=31) in controls had no findings of metabolic syndrome, p value was calculated as 0.02 showing a significant difference. Conclusion: We concluded that the frequency of metabolic syndrome is higher among psoriasis cases when compared to the control cases. However, our significant results suggested that the physicians should periodically screen psoriatic patients for MetS and timely suggest medication or changes in lifestyle. Keywords: Psoriasis, Metabolic syndrome, Frequency
Can the Health Beliefs Predicts High School Students’ Behavioral Intention to Adopt Heart-Health-Prevention Behavior?
Authors: Khudair Afnan Hadi , Habeeb Mohammed Baqer
Published: June 2022

Objective(s): This study aimed mainly to enhance high school female students’ heart-health-preventive behaviors. Methodology: Part of the study was an experimental randomized controlled trial used to guide this study. The study was carried out at Fatima Al-Zahraa High School for females in Al-Diwaniyah City. The study included a simple random sample of 142 high school female students (72 students in each of the study and control groups). The study instrument consists of subjects’ sociodemographic characteristics. It includes the Expanded Health Belief Model Scales for Heart-Health Preventive Behaviors (Perceived Susceptibility to Develop Heart Disease Scale, Perceived Severity of Heart Disease Scale, Perceived Barriers to Adopt Heart-Health Preventive Behaviors Scale, Perceived Benefits of Adopting Heart-Health Preventive Behaviors Scale, Self-Efficacy of Adopting Heart-Health Preventive Behaviors Scale, Health Motivation for Adopting Heart-Health Preventive Behaviors Scale, Subjective Norms for Adopting Heart-Health Preventive Behaviors Scale, Cues-to-Action Related to Adopting Heart-Health Preventive Behaviors Scale, and Behavioral Intention to Adopt Heart-Health Preventive Behaviors Scale. Data were analyzed using the statistical package for social science (SPSS), version 26. The statistical measures of frequency, percent, mean, standard deviation, Repeated Measures ANCOVA, linear regression, One-way analysis of variance (ANOVA), and independent-sample t-test will be used. Results of the study: The study results displayed that the administered Expanded Health Belief Model Scales for Heart-Health Preventive Behaviors-based intervention noticeably enhanced students’ Perceived Susceptibility to Develop Heart Disease, Perceived Severity of Heart Disease, Perceived Barriers to Adopt Heart-Health Preventive Behaviors, Perceived Benefits of Adopting Heart-Health Preventive Behaviors, Self-Efficacy of Adopting Heart-Health Preventive Behaviors, Health Motivation for Adopting Heart-Health Preventive Behaviors, Subjective Norms for Adopting Heart-Health Preventive Behaviors, Cues-to-Action Related to Adopting Heart-Health Preventive Behaviors, and Behavioral Intention to Adopt Heart-Health Preventive Behaviors. Conclusion: The researcher concluded that the greater the Subjective Norms for adopting heart-health-preventive behaviors, the better the Behavioral Intention of adopting heart-health-preventive behaviors. The greater the Ques-To-Action for adopting heart-health-preventive behaviors, the better the Behavioral Intention of adopting heart-health-preventive behaviors. Keywords: Health Beliefs, High School Students, Behavioral Intention, Heart-Health-Prevention Behavior.
“Effects of Medroxy Progesterone Acetate (Inject-Able Contraceptive) on Diameter of Graffian Follicle (Ovary) of Adult Albino Rats”
Authors: Nigar Soofia , Ahmed Hira , Jabeen Hina , Fahmi Shazia , Rasool Raffat , Mughal Amna
Published: June 2022

Objective: An injectable birth control called Medroxy Progesterone Acetate (MPA) was used in the study to see how it affects adult female albino rats' ovaries. Study design An experimental study Place of study : To conduct the research, scientists worked with animals at the Dow University of Health Sciences' Animal House, the Institute of Basic Medical Sciences, and the Dow Diagnostic Research and Reference Laboratory (DDRRL). In the months of April and July of 2012, researchers conducted their investigation. Materials and Method:For the purpose of the research, a total of 72 female albino rats were chosen and divided into three distinct categories. Each group was further subdivided into three smaller groups based on the length of time that the therapy session lasted. The experiment utilized a group size of n = 24, which served as the control. The dose of MPA that was given to Group B (which consisted of 24 people) was 3 mg/kg of body weight. Participants in Group C (n = 24) were given an MPA dose that was two times higher than those in Group A (3 mg/kg). A single injection of MPA was given to group B as well as group C at the beginning of the experiment. During the course of the research, it was noticed that the ovaries of the animals had changed both in terms of their shape and their structure. Hematoxylin, eosin, and masson's trichrome were the stains that were used to color the tissues of the ovary. With the assistance of an ocular and stage micrometer, even minute differences could be detected and measured. The Kruskal-Wallis test and Tukey's test are two examples of nonparametric statistical analysis that were used to investigate the differences in each group's variables. Result: In comparison to control groups, experimental animals fed MPA had significantly smaller diameters of graafian follicles (DOF) than animals in the control groups. There was a significant difference in depth-of-field (DOF) between groups A1, B1, and C1 after one month of treatment. Groups A2, B2, and C2 each had a DOF of 571.25 98.26 meters, 288.25 100.80 meters, and 179.0 37.23 meters. In groups A3, B3, and C3, the DOF ranged from 699.75 m to 128.7 m, 230.37 m to 20.83 m, and 159.37 m to 47.65 m. Conclusion: Research shows that MPA can lower the amount of follicular atresia as well as chronic anovulation, according to the findings of this study. With this study's findings, we can better understand the risks that hormonal contraceptives like injections have to women's health. Keywords: MPA: Medroxy progesterone acetate FSH:Follicular Stimulating Hormone ,LH: Luteinizing Hormone. DOF : Diameter of graafian follicles
Effectiveness of an Instructional Program on Behaviors of Parents Toward Children with Attention Deficit Hyperactivity Disorder in Autism Centers at Baghdad City
Authors: Arrar Safaa Razzaq , Khudhair Saud Hassoon
Published: June 2022

Objective: To find out the effectiveness of instructional program on behaviors of parents toward children with Attention Deficit Hyperactivity Disorder. Methodology: A quasi-experimental study was conducted that included (120) deliberate samples of parents selected from eight autism centers according to the study criteria (60) parents in the centers (Al-Safa, Al-Marwa, Basmat Amal, Al-Tahadi), and (60) parents in the centers (Al-Rami, Al-Rahman, Al-Takhassusi, Al-Saeeda Family. The samples were divided into two groups (60) parents (study group) who participated in the instructional program and (60) parents (control group) who did not participate in the program. The groups are almost identical in their properties. The instructional program was implemented in four steps, the first step (pre-test) is to assess parents' behaviors towards children with ADHD before implementing the program, and the second step is to implement the program and then two tests and the time period between the first and second test is two weeks. The validity and reliability of the questionnaire were determined by a group of experts and through a pilot study of ten parents. Descriptive and inferential statistics were used to analyze the data. Results: The results of the study indicated that the general evaluation of the parents’ behaviors about ADHD for the study sample before implementing the program was a lack of basic behaviors about ADHD, but after implementing the program the result was: The study indicated a high effectiveness in the behaviors of the parents Matters between the study group as indicated by the high significance associated with the “Greenhouse-Geisser” correction at p-value = 0.001. A significant difference was found for the study group on the first and second pretest and posttest over time, compared with the control group. Keywords: Effectiveness, Instructional Program, Behaviors, Parents, Attention Deficit Hyperactivity Disorder, Autism Centers.
Evaluation of Awareness about Hematuria among Non-Urologist Doctors
Authors: Bumbia Hira , Javaid Atif , Badar Quratulain , Soomro Niaz , Rehman Abdul , Khan Sajan
Published: June 2022

Objective: To evaluate the attitude, general level of knowledge and practices regarding the common urological problems in non urological doctors Methodology: A cross-sectional study was carried out in multiple tertiary care hospitals and private clinics between August 2018 to December 2019. All the general physicians having their private practice or those working in Agha Khan University Hospital, Civil Hospital Karachi, Liaquat National Hospital, Jinnah postgraduate hospital, and Ziauddin Hospital were included in the study. General physicians belonging to the urology department were excluded from the study. Results: Most of the doctors could easily diagnose gross hematuria (55.17%) but microscopic hematuria was missed by many(34.96%). Risk assessment of bladder carcinoma like smoking , any chemical exposure , previous history of hematuria etc was not addressed by the majority of gynecologists (69.03%), physicians(52.54%) as well as internists (32.72%). While most physicians assess gross hematuria by ultrasound, microscopic hematuria is not further investigated by a significant percentage of physicians. During survey it was revealed that most of the physicians use antibiotics as the the mainstay of treatment for hematuria without considering the urine c/s and cytology. Conclusion: A trend of overuse of antibiotics and reluctance of primary care doctors in referring the patient to the specified doctor was seen. It was noted that there is a lack of understanding and knowledge among non urological doctors regarding a common sign. Keywords: awareness, hematuria, general physician, urology
Investigation of Sports Commitment, Anxiety of Contagion to Corona Virus and Perceived Stress in University Athletes
Authors: Aksoy Yener , Aras Lale , Imamoğlu Osman
Published: June 2022

Aim: The aim of this study is to investigate sports commitment, anxiety about catching the corona virus and perceived stress in athletes who are studying at university. Methods:The data of 581 university students studying in different faculties of Ondokuz Mayıs University and competing in one of the individual and team sports as competitors were evaluated. In the study, the scales of commitment to sports, perceived stress and anxiety about catching the corona virus were used. Results: While the individual anxiety sub-dimension and the total score of anxiety about catching the corona virus were significantly different according to gender (p<0.001), socialization anxiety was found to be similar (p>0.05). There was no statistically significant difference in perceived stress scores according to gender (p>0.05). A significant difference was found between the scores of commitment to sports according to gender, the sub-dimension of being fit, dedication and internalization, and the total score of commitment to sports (p<0.05 and p<0.001). While there was a significant difference in the anxiety of catching the corona virus according to the team and individual sports status (p<0.05 and p<0.001), there was no statistically significant difference in the socialization anxiety scores (p>0.05). Conclusion: It has been determined that while the anxiety of catching the corona virus and the state of commitment to sports change according to the gender variable, the perceived stress levels are similar in the university students who compete as individual and team athletes. In order to reduce students' anxiety about catching the corona virus, it may be recommended to take measures to reduce contact in training. Keywords: University student, Sports, Corona virus, Anxiety, Perceived stress, Sports commitment
Covid-19, Clinical Manifestations in Pregnant Women, Aftermaths on Timing and Mode of Delivery at Hail, Saudi Arabia
Authors: Parveen Nuzhat , Alharbi Mohammed Salem M , Abdullah Alzamil Razan Fahad , Rashdi Shuruq Radhi Ali Al , Sayfi Alharbi Aryam Fatim
Published: June 2022

Objectives: The study was performed to identify the clinical manifestation of Covid-19 infection during pregnancy its impact on the pregnancy outcomes, and its presentation in completely/incompletely vaccinated women. Material and Methods: We conducted this cross-sectional study at Ha`il, a northern city in Saudi Arabia, starting from 15th Dec. 2021 till 15th Jan. 2022. The mean differences of background variables were computed by using the Independent-Sample t-test. A Chi-square test was applied to assess the presentation of the disease in pregnant/non–pregnant and vaccinated/ non-vaccinated women. P-value <0.05 was taken as statistically significant. Results: Fatigue followed by fever and cough (65, 42, and 38% respectively) were the most common presentations of infection during pregnancy. Hospitalization (15.4%) and ICU (9.4%) admissions were more in pregnant than in non-pregnant women. Clinical manifestations were the same in the completely and incompletely vaccinated women. The incompletely vaccinated women were at increased risk of hospitalization (p-value 0.01), and pneumonia (p-value 0.05). The covid-19 infection has no significant association with age of the participants, body mass index, and parity. Covid-positive women during pregnancy underwent fewer cesarean- sections than Covid negative (20% vs. 80%, p <0.05). The mean gestational age at delivery, preterm birth, and neonatal weight at birth were the same in both groups. The rate of transmission of the infection to the neonates remained extremely low. Conclusion: Covid disease during pregnancy doesn’t increase the risk of preterm birth, cesarean delivery, or low birth weight of the babies. Complete vaccination against tcovid-19 declines the risk of hospital admission for severe disease and pneumonia in women.
Mental Health Symptoms in Relation to Socio-Demographic Characteristics and Lifestyle Factors among Nursing Collegians at Baghdad University
Authors: Abdown Shahad Nasret , Hussein Hassan Ali
Published: June 2022

Background :Mental illnesses have spread very widely in world, especially in recent years, and their causes are multiple and complex, including the lifestyle in general, and the lack of commitment to a healthy diet, lack of exercise regularly, or lack of adaptation to stress and psychological pressures, and a significant lack of sleep, which is replaced by staying up for periods of time. In addition to other factors that we will discuss in the research and according to research, the rate of prevalence of mental illness among university students is 75% who have at least one mental illness. Objective: To assess mental health among nursing collegians at Baghdad university, and to find-out the relationship between mental health symptoms of nursing students and their socio-demographic characteristic. Methodology: The study was conducted in 2021/2022 and included 171 participants representative of the Iraqi nursing student’s population. Lifestyle factors were assessed via electronic questionnaire and included frequency of physical and mental activity, alcohol consumption, smoking, as well as circadian and social regularity. Outcome variables were depression, anxiety, stress and satisfaction with life Result: There is high significant relationship between Lifestyle behavior and mental health among the nursing collegians as seen with strong positive correlation at p-value= 0.001 Conclusion: Mental health among nursing collegians at Baghdad university were fair, and there is no relationship between mental health symptoms of nursing students and their socio-demographic characteristic. Keywords: Mental health, Socio-Demographic, Lifestyle, Nursing Collegians
Subciliary and Subtarsal Incision in Management of Zygomatico-Orbital Fracture, A Study on Scar Assessment
Authors: Kumar Rajesh , Ali Raza , Ali Zaidi Syed Aijaz , Maheshwari Bhavesh , Ahmed Khursheed , . Lajpat , Shams Salman
Published: June 2022

Objective: To evaluate outcome between the subciliary and subtarsal incision in management of zygomatico-orbital fracture in terms of postoperative scar assessment. Subject and Methods: A total 36 patients of either gender, age 21 to 40 years having isolated zygomatico-orbital fracture were selected by consecutive sampling (16 patients in Subciliary and 16 in Sub-tarsal group). Zygomatico-orbital fracture was confirmed by 3D CT scan and Occipitomental view of face. After surgery postoperative scar assessment (Pigmentation, Pliability, Vascularity and height) was performed using Vancouver scar scale. Results: Male participants accounted for 27 (84.4%) of the 32 zygomaticomaxillary complex fractured patients, followed by 5 female patients (15.6% ). With 17 (53.1%) patients, the age group 21-25 years was the most afflicted, followed by 26-30 years with 15 (46.9%) patients and a mean age of 25.59 ± 3.004 years. In all three postoperative weeks, the subtarsal group performed considerably better than the subciliary group in terms of postoperative scar evaluation. Conclusion: Scar formation was higher in subciliary group as compared to subtarsal group Keywords: Subtarsal, Subciliary, Zygomatico-orbital, Fracture,Scar, Assessment
Visual Requirements and its Relation with Road Traffic Accident in Saudi Arabia
Authors: Almutairi Rayan Nasser , Ahmad Mohammad Shakil
Published: June 2022

Introduction: Driving is the act of operating and moving vehicles for which it is critical for drivers to recognize road signs, pedestrians, and animals when on the road. In Saudi Arabia it is estimated that there are over 1 million car accidents per year in which almost 80% are due to vision issues. The aim of the study is to assess the need of visual test and its relation with RTA. Material and methods: This study has followed cross sectional study design conducted among driving license holders aged (17-60) who could be both the resident and non-resident of Saudi Arabia. A structured questionnaire was used to collect data for 550 calculated samples using the online platform. The data was analyzed using excel-13 and SPSS-21. T-test was used to compare vision with correction and number of accidents; vision without correction and number of accidents whereas ANOVA and Post-Hoc test was used to compare the number of accidents among different age groups. Results: This study involves the information collection among 550 respondents who had received the driving license under the Government of Saudi Arabia. Among the respondents, majority (33%) of them were from the age group 17 to 27. The prevalence of vision problem among respondents was 45% in which 72% had their visual correction. All the respondents who did not had visual correction has faced any sort of road traffic accident as the reverberation of denial towards need of visual correction. The study also performed comparative analysis to see the various relations among the driver's visual status and the road traffic accidents, were more number of accidents were recorded among respondents around 17-27 years of age. The study also reflected that there was no statistically significant difference in mean number of accidents between any other age group. Conclusion: Saudi Arabia has one of the highest accidents rate in the world by over 1 million accidents in 2016. This study has significantly highlighted the risk age group and people's denial towards visual correction leading to increase in rate of road traffic accident. So there is need of strictly implementing compulsory vision checkup with medical professional and revised standard visual requirement for obtaining driving license. Keywords: Vision, Visual standards, Road Traffic Accidents, Driving license