bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Correlation and Variability between Transcerebellar Diameter and Gestation age in Normal pregnancies
Authors: Patial Neha , Jhobta Anupam , Kapila Sumala
Published: July 2022

Background: Transcerebellar diameter is emerging as a promising indicator for assessment of the Gestational age. Present study was done with the objective to evaluate the Correlation and estimate the Variability between Transcerebellar Diameter and Gestation age in Normal pregnancies. Material and Methods: This Prospective Cross-sectional study was conducted on antenatal women of gestational age 15-40 weeks with normal singleton pregnancies cases attending the antenatal clinic and admitted in the Department of Obstetrics and gynecology, and sent to Department of Radiology KNSH MandC and IGMC Shimla for Antenatal USG Scan. In every patient TCD was measured. Data was analysed by appropriate statistical test using EPI INFO Version 7.2 software. Correlation coefficients were then used to compare TCD with Gestational age in normal pregnancies. Results: In this study 100 were normal pregnancies were studied. Mean age of study participants was 24.8±3.25years. Maximum number of patients (54%) was between 21-25 years followed by 26-30 years (32%). Maximum number of patients (44%) was between 30-36 weeks of gestation and least number of patients (5%) was between 12- 18weeks. It was noted that minimum variability was seen during 12-18 weeks i.e±0.34weeks and maximum variability in estimation of gestational age by transcerebellar diameter was seen between 24-30 weeks i.e.±1.38 weeks. It was observed that during second trimester TCD had the highest correlation with gestational age i.e.0.987 .It is also noted that TCD has relatively lesser correlation with gestational age in third trimester. i.e.0.788. Conclusion: Overall it was noted that TCD had a strong correlation with gestational age throughout the pregnancy which was statistically significant.
Predictors of Delay in Diagnosis and Treatment for Tuberculosis in North India: A Cross Sectional Analytical Study
Authors: Singh R , Singh G , Dhadhwal D , Mahajan A , Barwal V , Gupta R
Published: July 2022

Introduction: Tuberculosis (TB) has been a continuous major public health problem.The treatment delay affects an individual, the community, a country’s health and economy. In general, it is very difficult to quantify the crisis in country’s health and economy, especially in the era of MDR-TB, from suffering and death of economically productive individuals from such preventable and treatable disease because of delayed initiation of treatment.Understanding the causes behind delay in diagnosis and treatment is essential for all partners involved in tuberculosis control. Material and Methods: The cross-sectional study was conducted among the patients of tuberculosis diagnosed at I.G.M.C. Shimla from 1st August 2018 through 31st July 2019.A structured, validated and pretested questionnaire was adapted from the WHO multi country tuberculosis treatment delay survey. Questionnaire consists of basic demographic profile of patients, type of tuberculosis and associated co-morbidities, TB knowledge, attitude toward TB and regarding potential delays. Data was collected from patients at the time of their registration for treatment at DOTS centre. Results: The most common levels of delays identified in study participants were patient delay and health care provider delay.The mean delay at patient level was 66 days and delay at health care provider was 83 days. Total delay among participants was 130 days.Among all study participants, 31.03% thought that their symptoms would go at their own. The economic constraint was found in 22.41 %.Reason of delay among 41.42 % participants was Late diagnosis at level of health care provider. Out of total, 18.5% who visited private practitioner, were not diagnosed. Conclusion: There was a delay of 66 days for seeking treatment and 84 days for diagnosis of tuberculosis at health care provider level. A longer delay was revealed in smoker, residents of rural area and patients from low income group for seeking treatment.The delay at the level of health care provider was significantly associated in participants who travelled less than five kilometers to reach first health facility for seeking treatment.
A Snapshot of Medical Students' Perceptions about Online Assessment and Its Comparison with Online Teaching Experience during COVID-19 Pandemic
Authors: Yadav Anuradha , Sankhla Manisha , Yadav Kavita
Published: July 2022

Background: Educational institute adopted online teaching and assessment method during the COVID-19 pandemic to continue the students’ studies and to minimize the spread of disease in the community. Medical education did a good and energetic effort in these circumstances, students satisfaction feedback about the quality of online teaching and assessment is still not evaluated. Method: The study was conducted on 250 phase-I MBBS students, after taking permission from the institutional research review board. The Google feedback form was shared on the student WhatsApp group, the participation was voluntary, total 212 students gave the response, that was analyzed in the excel sheet. Statistical analysis was done by primer version 7 and P-value is less than .05 was considered as a significant. Result: One in every 3 students accepted the effectiveness of online assessment while the remaining 2 students were neutral and disagree, respectively. The internet assess was a major barrier for e-lectures, and when comparing it with online assessment significant difference was observed (P=.001). Students’ satisfaction with online classes and assessment also statistically differs (P=.001). At the same time, students’ satisfaction for online assessment was not influenced by students’ residential area. Conclusion: Medical students’ satisfaction was 40% with the online mode of assessment. The students’ satisfaction towards online classes and online assessment has a statistically significant difference, that was not influenced by geographical settlement. Internet connectivity was a barrier for online classes and assessment with a statistically significant difference.
Comparison of Single Clip Laparoscopic Cholecystectomy (SCLC) and Two Clip Laparoscopic Cholecystectomy (TCLC): A randomized control study
Authors: Attri Anshu , Sharma Parul , Chandel U K , Devkaran Bhavash , Kaundal Ashok , Syal Kartik
Published: July 2022

Background: Advanced energy sources, such as the harmonic scalpel,
though expensive, may provide the advantage of shorter operating time by
reducing smoke, bloodless dissection in the GB bed, lower risk of bleeding from
the cystic artery due to secure vessel sealing, and avoiding the use of a larger
number of titanium clips. This study was undertaken to compare the advantages of
Single clip laparoscopic cholecystectomy (SCLC) and Two Clip Laparoscopic
Cholecystectomy (TCLC). Material and Methods: This prospective randomized
study was conducted in the Department of Surgery IGMC, Shimla over a period
of 1 year starting from 1st july 2019 to 30th june 2020. In this study 100
consecutive patients of symptomatic cholelithiasis confirmed by USG reporting
were participated and randomized into 2 groups of 50 each. Group 1 patients
underwent SCLC and Group 2 patients underwent TCLC. Outcomes were
measured in terms of operative time, intra operative stone spillage, intra operative
blood loss, amount of CO2 used , post operative pain , conversion into open
cholecystectomy and post operative complications. Results: Among the total 100
patients, 24 were males and 76 were females. Among them, 10 males and 40
females underwent single clip laparoscopic cholecystectomy (SCLC) while 14
males and 36 females underwent Two Clips laparoscopic cholecystectomy
(TCLC). Mean age of males were 48.50 ± 14.49 and females were 46.73 ± 16.16
in SCLC group while mean age of males were 45.36 ± 14.53 and females were
45.25 ± 15.97 in two clips laparoscopic cholecystectomy group. Present study
showed that there was more Operative Time, more Mean CO2 used, more
Approx. Blood Loss, more Intra Op. Stone spillage and more Use of Drain but less
Average pain score at 6 and 24 hours and less Average Length of hospital stay in
DCLC group as compared to SCLC group but this difference was not statistically
significant. Similarly in both group equal number of patients Convered to Open
Cholecystectomy and there was no Post op. Complications in both groups.
Conclusion: Study concluded that there was no statistically significant difference
among both SCLC and DCLC groups in terms of operative time , intra operative
stone spillage , Use of Drain, intra operative blood loss , amount of CO2 used ,
post operative pain, Conversion to Open Cholecystectomy and post operative
complications.
Intermediate and Long Term Follow Up of Balloon Angioplasty for Native Coarctation of the Aorta in Neonates and Infants
Authors: Younis Faiz Ahmed
Published: July 2022

Background: Balloon angioplasty (BA) became an alternative procedure for the management of CoA, which initially performed at 1983 (5). The effectiveness of BA for the management of native CoA remains controversial in neonates (less than one month) and infants under the first year of life, in spite of its acceptable morbidity and the reduced complication rates. This controversy was due to higher re-stenosis rate and the increased risk of aneurysm formation present with CHF, which might also increase the surgical risk. Objective: To study the intermediate and the long-standing effects of BA for native CoA in neonates and infants and to determine any predictive factors for the outcome. Patients and Method: Included in the study were all patient 12 days to 11 months referred for possible balloon dilation to our Ibn-Albaitar teaching hospital department of congenital cardiac intervention with evidence of discrete coarctation of aorta. The hemodynamic data, angiogram and clinical records of 63 patients were examined with follow up data from 2 to 138 months (median 72 months). Results: Immediate success with balloon angioplasty was achieved in 35 Patients of 63 patients. 33 patients (52 %) with intermediate follow up data ( rang 12 to 138 months ) available are asymptomatic and normotensive with insignificant arm to leg blood pressure gradient (is lellss than 20 mmHg). 28 patients (44.4%) with primary successful result showed increase in gradient at 2 to 86 months after angioplasty requiring re-intervention in 28 Patients. Follow up after 84 months was available in 55 patients, 92% of whom are normotensive and have not required additional intervention. No additional intervention was needed in our patients > 7 years old. 17 of 29 surviving neonates who initially had a successful dilatation required re-angioplasty or operation after angioplasty. Transverse arch hypoplasia showed negligible effect on blood pressure gradient; whereas isthmus hypoplasia is linked with re-intervention in 14 % of patients. A small aneurysm was noted in 1 (1.5%) patients of 63 Patients. Conclusion: BA of native CoA is effective in neonates, infants under the first year of life, and also in the older children, the aneurysm formation is rare, and however life time follow up is reasonable.
Encephalitis As a Complication of SARS-CoV-2 Vaccines Is More Common Than Previously Thought
Authors: Finsterer Josef , Matovu Daniel
Published: July 2022

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Evaluation of Socio-Demographic and Clinical Parameters after Open Reduction and Internal Fixation of Acetabulum Fractures
Authors: Kumar Ravi , Sharma Divyansh , Bhushan Bahrat , Lal Mukand , Kashyap Sandeep
Published: July 2022

Background: The present study was done to evaluate the sociodemographic and clinical parameters after open reduction and internal fixation of acetabulum fractures. Material and methods: The present study was done in 44 patients of fracture acetabulum managed by open reduction internal fixation in the Department of Orthopaedic surgery, Indira Gandhi Medical College, Shimla. Results: There were 16 prospective (36.4%) and 28 retrospective (63.6%) cases. The mean age was 45.07 years with maximum number of 39 (88%) patients in the age group of 21- 60 years. Majority (77.3%) of the patients was males and 22.8 % were females. Forty three (97.7%) patients belonged to rural area and remaining 1(2.3%) patient belonged to urban area. Road traffic accident was the mode of injury in 63.6% patients followed by fall from height in 36.4%. Eighteen (41%) patients had posterior wall fracture followed by posterior wall with posterior column fracture was seen in 12 (27%). Average time interval between injury and surgery was 15 days (range 3-55 days). Thirty six percent of the patients were operated between 8-14 days and 34 % of patients between 0-7days. Thirty (68%) patients were operated by Kocher-Langenbeck approach in lateral position followed by 7 (15%) patients with ilioinguinal approach in supine position. Autogenous Bone graft was used in 31.7% of patients. Mean duration of hospital stay was 24 days (range 7-35 days). Conclusion: Study concluded that most of the patients were in the age group of 21- 60 years, males, belonged to rural area, injured due to Road traffic accidents, had posterior wall, operated within 15 days and were operated by Kocher-Langenbeck approach in lateral position.
To Evaluate the Expression of p53 and Ki67 in Breast Cancer and Their Clinicopathological Correlation with ER PR and HER2/neu
Authors: Singh Preeti , Srivastava Sweta , Verma Nidhi , Baliyan Dheeraj , Singh Neha , Rathi Monika , Mittal Deepali , Kumar Vijay
Published: July 2022

Background: Breast cancer is the most common cancer among women in India and with an increasing trend. The combined estrogen receptor (ER), progesterone receptor (PR), and HER2/neu biomarker expression is a predictor of breast cancer status for therapeutic guidance. Studies have demonstrated that these biomarkers are unstable throughout their tumor progression. Varying concordance and discordance in the biomarker expression between ER, PR Her2neu and its correlation with p53 and ki67 status are reported. Aim: This study was conducted for studying and comparing the expression of immunohistochemistry (IHC) markers, i.e., ER, PR, HER2/neu, p53, and Ki67 for clinicopathological features and interrelation purpose.
Methods: Fifty one cases of female breast carcinoma between years December 2019 and April 2021 were included in the study. IHC was applied on the sections from tru-cut/excisional biopsies and subsequent mastectomy specimens. Analyses of the expression of IHC markers were attempted. Results: Substantial agreement was observed for biomarker ER, PR, HER2/neu, p53, and Ki67 expression with respect to age of the patient, size of the lump, histologic grade and diagnosis. Conclusion: This study demonstrated a significant association between tumor size with advanced histological grade, high cell proliferation (Ki-67 expression) and p53. Thus, there is a need to perform ER, PR, HER2/neu, p53, and Ki67 IHC studies routinely to help design therapies that are tailored to target the specific tumor clones and render maximum benefit to patients.
The Role of Mammography in Asymptomatic High Risk Women in Mosul City
Authors: Aliand Eman Mohammad , Qasim Ghada Abed
Published: July 2022

Breast cancer is the most common carcinoma in women in the western world .Breast cancer is the leading cause of death in those aged 44-50years.This cross-sectional study was performed to evaluate the role of mammography in the detection of occult malignant breast lesions in high-risk women.The screened women were clinically asymptomatic for breast cancer.The study population was 238 high-risk women in Mosul city; over 13 months. The age range was (35-75) years; the mean age was (42.7 years) in (62.2%) of the total. Ten groups of high-risk women were identified:-Those with a previous history of modified radical mastectomy 89 (37.4)% , mammography was positive in eight cases (8.99%). Of those who have a positive family history of breast cancer in first-degree relatives 68 (28.7%), mammographically positive cases were six (8.8)%. For those with a positive family history of malignancy elsewhere in the body other than the breast 35 (14.8)%, mammography was positive in three (8.6%). Of those with conservative surgery for stage one breast cancer 19(7.98%) (4) cases (21.1%) three were mammographically positive (15.8%) in the ipsilateral breast, and one woman in her contralateral breast 5.3%. Nulliparous women about forty years old were 9 (3.8%), and only two were mammographically positive (22.2%).Patients who were subjected to surgery for ovarian tumors 8 (3.4%). Two were mammographically positive(25%). Patients with operations for benign ipsilateral breast lesions were five (2.1%), only one was mammographically positive (20%).Two obese ladies with bulky fatty breasts (0.84%), one of them was mammographically positive (50%). Patients with a history of hysterectomy for fibroids were 2(0.84%),only one was mammographically positive (50%).One woman 74 years old (0.42%) was mammographically positive (100%).Ultrasonography and mammography were performed for 387 breasts. The size of tumors detected was in the range of 4-10 millimeters with an average of 4.6millmeters.In conclusion, mammography is an X-ray picture of the breast and doctors use it for early screening programs for early detection of breast cancer, especially in high-risk women, sometimes two to three years before it can be felt.
Vascular endothelial growth factor (VEGF): A Noninvasive Biomarker for the Prediction of Invasive Placentation
Authors: Athab Shaimaa Sabri , Salman Sura Saladdin , Salman Farah Abdul Majed
Published: July 2022

Background: Abnormally invasive placentation (AIP) is a life-threatening obstetric condition which is responsible for massive obstetric hemorrhage that is a leading cause of pregnancy related death. The optimal management of this complication requires a valid antenatal diagnostic tool other than Doppler ultrasound (US). Of these, a handful of laboratory markers have been so far used for the antenatal detection of invasive placentation. Objective: This study sought to establish whether low maternal serum VEGF is related to AIP. Materials and Methods: Over a period of 0ne year, a case control study was conducted in the department of Obstetrics and Gynecology at AL-Yarmouk Teaching Hospital, including 90 pregnant ladies with gestational age 28 week and beyond, of whom 43 cases were diagnosed with placenta accrete using Doppler ultrasound and 47 healthy pregnant ladies with normal placentation. The serum vascular endothelial growth factor was measured by Enzyme-linked immunosorbent assays in all participants, and each individual was followed up regarding intraoperative and postoperative outcomes. Results: a significantly lower serum vascular endothelial growth factor level was found in women having placenta accrete when compared with control group with (P LESS THAN 0.001). At a level of 95.85 pg/ml, serum vascular endothelial growth factor was 90% sensitive, 64% specific in the identification of cases with placenta accrete spectrum. Conclusion: Vascular endothelial growth factor levels may be a potential noninvasive biomarker to aid in the antepartum diagnosis of invasive placentation.
A Randomized Clinical Trial to Evaluate the Effect of Programmed Labour and Epidural Analgesia on Onset and Duration of Stages of Labour
Authors: Bala Jyotika , Thakur Suman
Published: July 2022

Background: The present study was conducted to evaluate the effect of programmed labour and epidural analgesia on onset and duration of stages of labour. Material and Methods: This randomized interventional clinical trial was conducted in department of Anaesthesia at Kamla Nehru State Hospital for Mother and Child, Indira Gandhi medical College Shimla in collaboration with Department of Anaesthesia on eighty uncomplicated pregnant women that were divided into two groups of 40 patients each by block randomization. One group received programmed labour protocol (Injection Pentazocine 6 mg + Injection Diazepam 2 mg IV + Injection Tramadol 1-1.5 mg/kg I.M therafter a single dose of injection Drotaverine 40 mg intravenously) while the other group received epidural analgesia. They were monitored for VAS score before and after intervention. Results: The two groups were comparable in terms of patients characteristics (age, parity, period of gestation). Both groups were comparable in terms of onset of labour Spontaneous labour seen in 65-70% of subjects. Regarding the duration of active phase of labour, In our study, In group 1 duration of active phase of 1 stage of labour was 215 min, and in group 2 it was 204 minutes with standard deviation of 32 minutes in group 1 and 40.4 minutes in group 2 respectively. Using student ‘t’ test this difference was found to be significant statistically. (P value less than 0.005). The mean duration of second stage of labour was 24.3 in group 1 and 35.8 min in group 2 with significant p valueless than 0.005. The mean duration of third stage of labour in our study was 5.89 minutes in group 1 and 5.7 min group 2. This difference is statistically insignificant (using student ‘t’ test (>0.005). Conclusion: Our study concluded that there was significant difference in first and second stage of labour in both groups while there was no significant difference in third stage and onset of labour in both groups.
Clinical Profile and Outcome and Risk Factors of Cardiovascular Involvement in Hospitalized Children with Kawasaki Disease
Authors: Al-Miraj A. K. , Rezwanuzzaman S. M. , Mony Sakera Khatun , Zaher Muhammad Abduz , Alam Md. Rezaul , Ullah Mohammad Ata , Akter Sharmin , Reza Mohammad Maruf
Published: July 2022

Kawasaki disease (KD), also known as Kawasaki syndrome, is an acute febrile illness of unknown cause that primarily affects children younger than 5 years of age. The present study was conducted to study the clinical profile and outcome and risk factors of Kawasaki disease in children. This observational prospective study was conducted in cardiology ward with a diagnosis of Kawasaki disease from 1st June 2020 to 31 July 2021 in Bangabandhu Sheikh Mujib Medical University Hospital Dhaka, Bangladesh. Forty five (45) children aged between 3 months to 10 years were studied. Kawasaki disease is more prevalent among male child (73.33%). Most commonly encountered risk factor for cardiovascular involvement especially coronary dilatation or aneurysmal change is more observed in younger age of presentation. Fever, rash, conjunctivitis, erythema and edema of limbs, periungual skin desquamations are the presenting features. Cardiovascular involvement of left main coronary artery dilation is the most frequently observed aneurismal change observed among study population which was evident in 68% of the children having coronary involvement. All the study patient received high dose aspirin (100%) and 93% received IVIG of whom 6.66% had IVIG- resistant Kawasaki disease. Commonly occurring complication is uveitis (17.77%). Among the total 45 study population 1 patient expired (2.22%).Clinicians should have a high index of suspicion of Kawasaki disease in persistently febrile patients and once clinically diagnosed, echocardiography should be done and IVIG therapy along with aspirin should be started, specially in infants (less than 6 months) as they have the higher tendency to develop coronary aneurysm.
Severe Neurological Complications of COVID-19 in Pediatric Patients Require Extensive Work-Up
Authors: Finsterer Josef
Published: July 2022

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Appreciation of the Prevalence of Primary Infertility among Women of Reproductive age, Iraq, Baghdad
Authors: Jawad Inaam Mohammed , Aljboury Dunya Kadhim Ahmed
Published: July 2022

This paper aims to assess the prevalence of primary infertility among women of reproductive age, where the study was conducted in Al-Dholuiya General Hospital, Al-Shiqat General Hospital, Salah Al-Din, Iraq. Where 100 women patients (infertility) and 100 women were collected as a control group. The analysis of data and demographic information for patients and the control group was based on the statistical analysis program SPSS soft 22, mean value and SD to the ages of the patients were identified, and study design based on questionnaire questions and private interviews in order to find more information and data about patients and statistical differences were found between the two groups of patients and the control group, at ≤0.05.
Role of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease
Authors: Kapadia Vishakha , Tripathi Sanjay , Shah Viral
Published: July 2022

Aims and objectives- To determine the impact of pulmonary rehabilitation program in patients with COPD regarding Clinical symptoms Status of exercise tolerance Status of physical and social performance Quality of life Method- 50 patients with stable COPD, who were willing to participate, were included in study. All patients were taught chest physiotherapy, bronchial hygiene, education about disease and its management and proper nutrition. All patients were assessed regarding any psychological problems. Daily 30-35 minute sessions were conducted at institute for initial 4 weeks and then home care was taught. Patient was assessed periodically for symptoms, quality of life and spirometric findings. All variables were recorded at baseline and after completion. Statistical analysis were performed using student’s‘t’ test and p values observed. Result- Dyspnea scale measured by Modified Medical Research Council (MMRC) (3.0 ± 0.66) improved after program (1.89 ± 0.83, p value less than 0.0001) which is statistically very significant. Health related quality of life measured by using St. George’s Respiratory Questionnaire 49.74 ± 5.17 improved significantly 40.92 ± 4.87 after program (p value less than 0.0001) 6 minute walk distance (280.9 ± 18.04) improved significantly after program (303 ± 17.34) (‘p’ value less than 0.0001) Spirometric parameters like FVC (p value 0.02), FEV1 (p value 0.17) and FEV1 / FVC ratio (p value 0.76) do not show any statistically significant changes after program.
Sarcopenia in Liver Cirrhosis: A Prospective Study
Authors: Sharma Shubham , Chauhan Nidhi
Published: July 2022

Background and aim: Liver diseases are associated with low testosterone. However, little is known about risk factors of changes in testosterone. This study determined skeletal mass index in liver cirrhosis and associated risk factors with the abnormal testosterone levels. Methods: In this descriptive hospital-based study, 50 patients with evidence of liver cirrhosis diagnosed on history, imaging and investigations were included for a period of 12 months. Sarcopenia was defined as value of ≤36.5 cm2/m2 in males and ≤30.2 cm2/m2 in females. Results: The mean age was 50.4±10.1 years. The most common symptom was abdominal distension (50%) followed by upper GI bleed (30%), altered sensorium (20%), and jaundice (10%). Majority of the patients (58%) in our study were in CTP class C, followed by 16 patients (32%) in CTP class B, and 5 patients (10%) in CTP class A. 66% of the patients had low skeletal mass index. SMI was not associated with CTP class (P=0.463). Conclusion: There is a significantly higher prevalence of loss of skeletal mass in liver cirrhotic patients in this region
Nadir Medikolegal Bir Akut Batın Nedeni: Enteroenterik ve Enterokutanöz Fistüle Neden Olan Gossipiboma
Authors: ÇAĞLAR Recep
Published: July 2022

Gossypiboma are surgical tampons that are forgotten in the operation area and cause serious complications in the patient. The most frequently forgotten foreign body in operations are surgical tampons. Early recognition of gossypiboma is important to minimize the risk of morbidity and mortality in the patient. While they may be asymptomatic, they may cause complications such as perforation, obstruction, peritonitis, intra-abdominal or enterocutaneous fistula, abscess and sepsis. In the differential diagnosis, hematoma, pseudocyst and tumors should be considered. In computed tomography (CT), the spongy appearance formed as a result of the air trapped in the cotton pad is characteristic. Its treatment is surgery. If possible, the use of radiopaque labeled tampons can be avoided by taking preventive measures such as careful counting of surgical materials before and after each surgical operation. It should be kept in mind in the differential diagnosis of gossypiboma in patients with a history of previous surgery and diagnosed with an intra-abdominal mass.
AKTIVITAS ANTIBAKTERI EKSTRAK ETANOL DAUN LIDAH MERTUA (Sansevieria trifasciata VAR. LAURENTII) TERHADAP PERTUMBUHAN Klebsiella pneumonia
Authors: Fatimah Siti , Prasetyaningsih Yuliana , Prathi Naristha
Published: July 2022

The leaves of the lidah mertua (Sansevieria trifasciata var. Laurentii) contain saponins, alkaloids, flavonoids and polyphenols which work as antibacterials because they can damage bacterial cell walls. This study aims to determine the activity of the ethanol extract of the lidah mertua leaves on the growth of Klebseilla pneumoniae based on the inhibition zone diameter. The test was carried out by extracting the lidah mertua of the in leaves with the maceration method using ethanol as a solvent. This type of research is laboratory experimental. The method used was the inhibition test method with disc discs and tested using a dilution with a concentration of 60%, 70%, 80%, 90%, and 100%. The results showed that the ethanol extract of the in-lidah mertua leaves with a concentration of 60%, 70%, 80%, 90%, and 100% could inhibit the growth of the Klebsiella pneumonia bacteria with an average diameter of the inhibition zone, respectively 7 mm, 10 mm, 11 mm. , 12 mm and 13 mm. The ability to inhibit bacterial growth in the disc disc method for a concentration of 100% is categorized as very strong because it has an average inhibition zone diameter of> 12 mm, for a concentration of 70%, 80%, and 90% is categorized as strong because it has an average inhibition zone diameter of 8- 12 mm, while the 60% concentration is categorized as weak because it has an average inhibition zone diameter of <8 mm based on the Vasanthakumari category. The antibacterial activity test in inhibiting the growth of Klebsiella pneumonia has the highest value at a concentration of 100%
DESCRIPTION OF KNOWLEDGE OF WOMEN STUDENTS ABOUT MENSTRUATIVE INTERFERENCE (POLIMENOREA)
Authors: Azizah Nur , Sari Suci Arsita , Muhidayati Wiwik , Afandi Agus ari
Published: July 2022

Menstrual cycle is abnormal can trigger polymenorhoe, polymenorhoe is shorter than 21thrid day of menstrual cycle. The number of bleeding day less than or same many of normal period. the research to know the discribe of knowledge about polymenorhoe on women student at high school health rejekwesi bojonegoro. Method is descriptif reaserch with simple random sampling, amount 46 responden. This research result indicates that less than some respondent is as much as 21 responden (45,7%) has knowledge is less about polymenorhoe. Conclusion is  less than some responden had knowledge is less about polymenorhoe. To increase knowledge reproductive health by read materials, book form Lecture, internet acces and book.
THE EFFECT BRAIN GYM TO FINE MOTOR DEVELOPMENT ON PRE SCHOOL CHILDREN
Authors: Anjar Sari Desy Siswi , Nurmalisyah Fitri Firranda
Published: July 2022

Pre-school is a golden period in the development process. It consist of cognitive, physical, motoric, and psychosocial aspects of a child developing optimally. One of the developmental parameters is fine motor, its related to physical skills that involve the muscles of the fingertips and eye-hand coordination. The aim was to analyse the effect of brain gymn to improve fine motoric design. The design was a one-group pre-experimental with pre-posttest. The population was all students pre school in Sentul Jombang, East Java. Total sample were 33 respondents which matched the inclusion and exclusion criteria. The data collected by questionnaire sheets were adopted from instrument for assessing child development, namely KPSP. Intervention was given by brain exercise were carried out 3 times a week for 2 months then analyzed using Wilcoxon with a significance value of α = 0.05. The results showed that brain exercise in pre-school children was able to improve fine motor  skills (p = 0.000). Brain gym is one of the effective ways to improve fine motor skills in children because being able to facilitate blood flow and oxygen to the brain also helps overall brain development. Therefore, brain gym is highly recommended for pre-school children.
HUBUNGAN ANTARA SARAPAN PAGI DENGAN TINGKAT KONSENTRASI BELAJAR SISWA
Authors: Ma'arif Moh. Zainul , Duwairoh Alifea Meta , Firdauz Arisa Septianingrum
Published: July 2022

The results of the 2018 Program for International Student Assessment (PISA) survey show that Indonesian student achievement is ranked 74th out of 79 countries. Indonesia's score is still low. Learning achievement is closely related to learning concentration. One of the effects of learning concentration is the calories of breakfast in the morning, because a breakfast with sufficient calories can meet the body's needs so that the body can continue to optimize metabolism as fuel for the brain to work. The purpose of this study was to determine the relationship between breakfast and the level of concentration in student learning.This study uses a correlational analytical design with a cross sectional time approach. A sample of 40 respondents was taken by simple random sampling. Data was taken by using observation. While the statistical test used is the Spearman's Test.The results showed that as many as 20 students (50%) had breakfast in accordance with the standard needs and had a good concentration of learning as many as 19 students (47.5%). The results of the Spearman's test show that there is a relationship between breakfast and the concentration level of students' learning (p value = 0.000). The conclusion that breakfast affects learning concentration. Breakfast must meet the daily nutritional needs of 30% of the total calorie needs.
Procurement Systems of Health and Pharmaceuticals in Hospitals during COVID-19 Pandemic: A Systematic Literature Review
Authors: Kusumaninggar Primada , Pribadi Firman
Published: July 2022

Background: Due to the rise of the COVID-19 pandemic, medical health care plays a more crucial role in handling the increase. Countries worldwide accidentally collapsed because of unpreparedness in facing COVID-19, which caused a hospital panic phenomenon to stock medical equipment. Objective: To describe the procurement system for health and pharmaceutical supplies in hospitals during pandemic COVID 19. Method: A Systematic literature review. In a literature search from 2019 to 2022, the investigation found as many as 92 papers extracted using PRISMA guidelines, and a total of fourteen articles were selected for review. Results: in this review, we found that the government in every country has different procurement systems, revealing that each has its strengths and weaknesses. However, centralized procurement systems have a distinct advantage.
Growth of Oak Seedlings with Specific Ectomycorrhizae in Urban Stress Environments
Authors: Anderson L. M. , Clark A. L. , Marx D. H.
Published: July 2022

Eleven-month old container grown seedlings of pin oak (Quercus palustris) and sawtooth oak (Q. acutissima) were outplanted on an earth-filled, steeply graded highway interchange near Atlanta, Georgia. The pin oak seedlings had eitherPisolithus tinctorius(Pt) ectomycorrhizae or natural ectomycorrhizae (controls). The sawtooth seedlings had either Pt,Thelephora terrestris(Tt), or natural (controls) ectomycorrhizae. At the end of two growing seasons, pin oak seedlings with Pt ectomycorrhizae were larger than control seedlings. Pt ectomycorrhizae also increased survival and growth of seedlings of sawtooth oak in comparison to seedlings with Tt or control ectomycorrhizae.
Response ofCornus floridato Moisture Stress
Authors: Williams J. D. , Ponder H. G. , Gilliam C. H.
Published: July 2022

Two experiments were conducted to determine the effects of moisture stress on one-year-old containerizedCornus florida. Recovery times of plant’s shoot water potential, stomatal conductance and transpiration to the levels of nonstressed control plants were dependent on duration of moisture stress. Increased stress resulted in longer recovery periods. Shoot length was suppressed by severe moisture stress. Short periods of moisture stress, such as 10 days without water followed by normal watering, resulted in initial suppression of shoot length, but by the end of the growing season, there were no differences between short-term moisture-stressed plants and nonstressed plants. Longer periods of stress, such as 22 days without water, resulted in suppressed shoot growth in the growing season of the stress and also produced a slower shoot growth rate the following growing season.
Device-to-Device Communication in 5G Networks
Authors: Mr. Nagesh U B  , Shravani M S  , Shravya  , Shreya L  , Shreyas Moolya
Published: July 2022

Device-to-device communication produces a new dimension in the mobile environment, easing the data exchange process between physically neighboring devices. 5G wireless networks are expected to carry large traffic volumes due to the growth of mobile devices and the increasing demand for high data rates from applications. Device to device communication is one of the suggested technologies to support this increasing load and enhance the capacity of networks. However, the implementation of D2D communication reveals many barriers that include communication scheduling, for which the architecture remains complex and obscure. The mobile operator’s action to collect the short-range communications for maintenance of the proximity-based services and improve the performance of networks drives the development of D2D. Through direct communication, device-to- device technology can increase the overall throughput, enhance the coverage, and reduce the power consumption of cellular communications There are popular low- level D2D techniques available for short- range wireless transmissions, such as Bluetooth and WiFi -Direct, and typically they use license-exempt bands. Most of the cellular technologies, however, do not support direct over-the-air communication between end users.
Monitoring and Controlling of Solar Power Plant Based on IoT
Authors: Dr. B.M. Nayak  , Sagar Kamble  , Shubham Shedge  , Saurabh Pawar  , Shubham Sonavane
Published: July 2022

Solar power plants need to be monitored for optimum power output. This helps retrieve efficient power output from power plants. Use of nonconventional energy sources is increasing day by day the most favorite way is to generate and energy using cell solar rays by making use of solar panels so we need and monitoring system which will monitor the generation as well as security and controlling of the Solar generation stations and for this purpose we were going to develop the system this system is basically and internet based system over which we can monitor and control the Solar Power Station where we will monitor the generation using the power generated on the solar panels using voltage and current sensor this data is calculated and stored on to the iot based server also we will going to monitor and security for the power station where we will use and safety sensors are facing sensors which will monitor the boundary of the power plant and maintain the security of the system also we are going to use and Solar tracking system to generate maximum energy from the solar panels To monitor the environmental conditions we are going to use and light intensity sensor and temperature sensor which will monitor the light intensity and temperature at the power plant so this all data generated by the system is transferred to an iot based server using an iot module here we are going to use esp32cam module which can generate the data and send it to the iot server also it has an built-in camera which will give you visual data to the monitoring authority we will provide and display on to this system which will display all the data from the sensors also we can control the distribution lines or distribution contactor. This makes remotely monitoring of solar plants very easy and ensure best power output.
Crianças com síndrome congênita do Zika vírus na educação infantil: contexto histórico e pedagógico
Authors: Mercado Elisangela Leal
Published: July 2022

Este artigo analisou o contexto histórico e pedagógico da inclusão escolar na educação infantil em Maceió/AL, a partir do mapeamento de crianças com Síndrome Congênita do Zika (SCZ). Utilizou como abordagem metodológica a pesquisa qualitativa exploratória-descritiva, a partir da pesquisa bibliográfica e documental, complementada por entrevistas semiestruturadas com quatro professoras e duas gestoras de duas instituições de Educação Infantil com maior número de crianças matriculadas. As vozes das profissionais entrevistadas foram organizadas em duas categorias: inclusão escolar e prática pedagógica inclusiva. Os resultados permitiram compreender que a inclusão escolar é composta por desafios, no qual o silenciamento e assujeitamento dessas crianças rompem com a ideia de sujeitos de direitos e revelam a face de uma educação infantil adultocêntrica, que trabalha com um currículo paralelo, necessita a etiologia e diagnostico da SCZ para atuar e, concebe a deficiência como limitação ou doença.
Exploring the Implementation of Trauma-Informed Care in OT Practice
Authors: Holman Kelsie , Esposito Caitlin , Shepherd Lydia
Published: July 2022

Date Presented 04/01/2022

This research aimed to answer the question of how much education about trauma-informed care (TIC) have OTs received or are seeking out, and how are OTs implementing elements of TIC in their daily practice. Survey techniques were used to collect data regarding practices, education, and knowledge of TIC. The intended results and conclusions included uncovering a gap in the knowledge and practice of TIC in OT to advocate for the utilization of these concepts in practice.

Primary Author and Speaker: Kelsie Holman

Additional Authors and Speakers: Lydia Shepherd

Contributing Authors: Caitlin Esposito
Examining the OT Student Perspective of Group Work in Graduate School
Authors: Simpson Erin , Conway Courtney , Erickson Emily , Kramer Otto , Oberbroeckling Morgan , O’Malley Courtney , Ybarra Halie
Published: July 2022

Date Presented 04/02/2022

The ability to collaborate, a skill learned from group work, remains important after entering the OT workforce. This study examines OT students’ perspectives on group work in graduate school. Suggestions to improve effectiveness included clearer expectations, group evaluations for accountability, and a mix of both assigned and chosen groups. Group work might be more effective if faculty better understood the student perspective.

Primary Author and Speaker: Erin Simpson

Additional Authors and Speakers: Courtney Conway, Emily Erickson, Otto Kramer, Morgan Oberbroeckling, Courtney O’Malley, Halie Ybarra
Occupational Health and Wellness of Adult Women With Autism Spectrum Disorder During the COVID-19 Pandemic
Authors: Huang Yan-hua , Lin Annika , Lam Teresa , Krizek Alexandra , Ingram Jaclyn
Published: July 2022

Date Presented 03/31/2022

This quantitative survey study measured stress, engagement in meaningful activities, self-efficacy, quality of life, and coping among women with and without autism spectrum disorder (ASD) during the time of coronavirus disease 2019 (COVID-19). Statistical analysis revealed significant differences on all measures except engagement. These findings suggest a potential need for specialized OT support for women with ASD that may be especially desired when adapting to changes during and after COVID-19.

Primary Author and Speaker: Yan-hua Huang

Additional Authors and Speakers: Annika Lin, Teresa Lam, Alexandra Krizek, Jaclyn Ingram
OT and Physical Therapy Utilization and Discharge Disposition for Ischemic Stroke Patients Differ Among Functional Subgroups
Authors: Edelstein Jessica , Graham James , Keeney Tamera , Hoffman Amanda L. , Kinney Adam , Malcolm Matthew
Published: July 2022

Date Presented 04/01/2022

Functional impairments after stroke are heterogeneous. Standardized clinical assessments may not effectively capture the different functional subgroups of individuals after stroke. Using latent class analysis, five functional subgroups were identified within a sample of individuals hospitalized for ischemic stroke. The following outcomes varied across the functional subgroups: OT utilization, physical therapy utilization, and discharge disposition.

Primary Author and Speaker: Jessica Edelstein

Additional Authors and Speakers: Adam Kinney, Matthew Malcolm

Contributing Authors: James Graham, Tamera Keeney, Amanda L. Hoffman
Effects of a Collaborative OT Interactive Vaulting Program on Executive Function and Participation in Children With Disabilities
Authors: Panczykowski Heather
Published: July 2022

Date Presented 04/02/2022

This study explored the benefits of an equine-assisted interactive vaulting OT program in children with disabilities. Interventions included activities that fostered emotional regulation, communication, and teamwork. Preliminary results revealed statistically significant improvements in eight areas of executive function as rated by the interactive vaulting instructor. Results on the Social Profile were also significant in the areas of activity participation and social interaction.

Primary Author and Speaker: Heather Panczykowski
Pediatric Feeding via Teletherapy Intervention
Authors: Hawkins Julia M. , Bileck Alyssa , Brown Aurora , Eckert Hannah , DeAnna Smith
Published: July 2022

Date Presented 03/31/2022

This study researched the impact of tactile play on the oral acceptance of a nonpreferred wet food item among siblings. The results show preliminary evidence that using the SOS approach via teletherapy may increase the acceptance of aversive foods among children. The results inform OT practitioners about the use of the SOS approach alongside caregiver education. OT practitioners working with children with food aversions should consider play with wet food items before facilitating eating of the same foods.

Primary Author and Speaker: Julia M. Hawkins

Contributing Authors: Alyssa Bileck, Aurora Brown, Hannah Eckert