bluuebunny/crossref_metadata_2025 huggingface dataset:
Faculty Engagement in Internal Quality Assurance of Academic Programs: A Literature Review
Authors: Pham Nhung Tuyet Thi
Published: March 2022

Faculty engagement has a close relationship with the internal quality assurance (IQA) of academic programs and program success since faculty participation significantly impacts continuous quality improvement of teaching and learning. However, dramatic challenges revealed in a review of the literature indicated faculty resistance to this process. The purpose of this review of published articles was to learn about the strategies to engage faculty in quality management of academic programs. Based on a thematic and content analysis of published articles three major categorical areas emerged: Resources, IQA model and recognition and rewards. The knowledge gained from this analysis has implications for international higher education at three levels: ministry of education and training, accreditation agencies and higher education institutions. The implementation of identified practices would foster movement of the quality assurance process toward continuous quality improvement.
METODE PEMBIASAAN DALAM MENUMBUHKAN PERILAKU SABAR PADA ANAK DI RAUDHATUL ATHFAL BUNTUL TEMIL
Authors: Lusi Silvi , Al Hidaya Ardian , Akbar Eliyyil
Published: March 2022

Tujuan penelitian ini untuk menjelaskan metode pembiasaan dalam menumbuhkan perilaku sabar pada anak di Raudhatul Athfal Buntul Temil. Jenis penelitian yang digunakan dalam penelitian ini yakni jenis penelitian kualitatif. Pendekatan yang digunakan dalam penelitian ini yakni dengan pendekatan deskriptif di mana suatu teknik untuk menguraikan dan menggambarkan suatu keadaan yang akan diteliti. Hasil penelitian ini disimpulkan bahwa metode pembiasaan dalam menumbuhkan perilaku sabar di Raudhatul Athfal Buntul Temil ditunjukkan dari beberapa kegiatan yang dilaksanakan, kegiatan rutin, kegiatan spontan, pemberian teladan dan kegiatan terprogram.Metode pembiasaan dalam menumbuhkan sikap sabar di Raudhatul Athfal Buntul Temil dapat terlihat dari anak yang menunjukkan perilaku sabar saat menunggu giliran. Hal tersebut dibuktikan dengan kegiatan baris-berbaris anak masuk ke dalam ruangan sesuai urutannya. Sabar ketika bermain terlihat dari kegiatan bermain perosotan, anak bermain secara bergantian, bagi anak yang belum mendapat kesempatan main, anak akan bersabar untuk menunggu dan memberikan kesempatan bagi temannya.
THE URGENCY OF EMBEDDING RELIGION-BASED LITERACY FOR FUTURE MOSLEM’S INTELLECTUALS
Authors: Choirul Choirul muna
Published: March 2022

One of the fields that is a benchmark for the progress of a nation is education. The world of education is one of the most logical paths towards an advanced future. Therefore, the world of education must have the proper guidelines so that the learning process can run effectively and efficiently. The Method used in this study is a literature review, namely by conducting a comprehensive literature review of previous relevant studies, then analyzing the concepts developed. The results of the study state that the primary thing that becomes a reference so that future generations can become intellectuals and be able to think critically is through Literacy. Formal education provides a reading culture system in the learning curriculum with the support of the environment and adequate facilities. Meanwhile, non-formal education starts from family education which is based on Islam. Thus, it is hoped that it can positively impact the Indonesian nation, especially the Muslim generation, in readiness to face life in the next era. In order to be able to compete in the global world and build a new civilization, it is undoubtedly better than the previous civilization, namely with a moderate and dignified civilization.
Analysis of the sensitivity and specificity of ultrasound elastometry of the liver in women with chronic hepatitis C
Authors: Chernov V. S.
Published: March 2022

Introduction. Despite the success in the treatment of chronic hepatitis C (HCV), the incidence of HCV remains at a high level, and the assessment of the degree of liver fibrosis is relevant in all patients with HCV.

The aim of the study was to conduct a comparative diagnosis of the stages of liver fibrosis in women with chronic hepatitis C according to ultrasound elastometry and biopsy.

Materials and Methods. To achieve this goal, a comprehensive clinical, laboratory (including virological), instrumental examination of 93 patients with HCV of reproductive age was conducted.

Results. When interpreting the results, it was found that ultrasound elastometry in women with chronic hepatitis C is comparable to the results of percutaneous puncture liver biopsy.

Discussion. Chronic hepatitis causes significant economic damage to health systems. The main factor affecting the reduction of morbidity and the risk of complications is the early diagnosis of HCV infection and timely antiviral therapy. The main objective of therapy is to achieve a stable virological response (SVR), as well as to reduce the activity of inflammation and the stage of AF in patients with HCV. The isolated use of serum markers of fibrosis and ultrasound elastometry of the liver at the early stages of the disease is not informative enough, so it is advisable to use a combination of different techniques, and at the CP stage, a puncture biopsy can be safely replaced with ultrasound elastometry of the liver, especially for the purpose of dynamic monitoring of patients with HCV.

Conclusion. According to the comparative ROC-analysis of the results of ultrasound elastography and puncture liver biopsy, the high sensitivity and specificity of these methods for diagnosing liver fibrosis was established. The comparability of ultrasound elastography of the liver with the results of puncture biopsy, in young women, increases with the progression of liver fibrosis, and can be used to determine its degree.
Combined neurodegenerative disease associated with mutations in SLC5A7 and TGM6 genes
Authors: Epifanov P. A. , Dmitriev A. V. , Volkova L. I.
Published: March 2022

Introduction. Hereditary neurodegenerative diseases are a large genetic deterministic group of nosologies, which is based on the clinic of steadily progressing processes of destruction of neuronal systems. Damage to the nervous system can have various combinations, but the most common are atrophy of the cerebellum, brain stem, spinal cord columns, and also possible damage to the peripheral nervous system. Despite the classical descriptions of the clinical picture of various forms of neurodegenerative pathology and the corresponding genetic markers of the disease, in the practice of a neurologist, there are cases that are difficult to determine the nosological form of the disease.

Materials and methods. The article describes a case of combined hereditary pathology associated with laboratory-confirmed mutations in the SLC5A7 genes (associated with the development of type 7A hereditary motor sensory neuropathy) and TGM6 (affecting the development of type 35 spinocerebellar ataxia) and the clinical picture of lower spastic paraplegia.

Results. The clinical case presents a combined form of hereditary spastic paraplegia with pseudobulbar syndrome, mild motor-sensory neuropathy of the lower extremities, signs of cerebellar hypotrophy on MRI and moderate impairment of walking and speech function against the background of two mutations previously identified in type 35 spinocerebellar ataxia and hereditary motor-sensory ataxia of type 35 type 7A neuropathy.

Discussion. Diagnosis of nosological forms of hereditary pathology, manifested by a combination of lesions of the peripheral and central nervous systems, requires a detailed analysis of the hereditary history, neurological status and genetic examination results from a neurologist.

Conclusion. The clinical case demonstrates polymorphism of clinical manifestations of hereditary forms of neurodegenerative pathology and a possible combination of various phenotypic and genotypic variants.
Echocardiography in laboratory rabbits
Authors: Izmozherova N. V. , Charkin O. S. , Markova E. V. , Bakhtin V. M. , Kozulina E. V. , Shutova Zh. V. , Yaroschuk N. A.
Published: March 2022

Introduction. Rabbits are used as convenient models for studying drug cardiotoxicity. Echocardiography is one of the most informative non-invasive methods of assessing the cardiovascular system function. In literature, there is no clearly formulated protocol for heart ultrasound examination in rabbits. Purpose was the systematization of literature data on echocardiography techniques in rabbits.

Materials and methods. The sources search involved the Scientific Electronic Library eLIBRARY.RU and the National Library of Medicine information base (PubMed.gov). The search covered the 15-year period. Original or review articles containing a detailed description of the echocardiography technique were included.

Results and discussion. For animals anesthesia before the study, various drugs combinations based on ketamine, xylazine, medetomidine, zolazepam, tiletamine are used. In rabbits, it is possible to use M-, B-, Doppler echocardiography modes in a wide frequency range (5 – 12 MHz). Parasternal longitudinal, parasternal transverse and apical ultrasound approaches are applied. The parameters of the transmitral blood flow (peak A, peak E, ratio A/E, peak E', the magnitude of regurgitation), as well as the contractile function of the left ventricle (end systolic and diastolic volumes and sizes, stroke volume, cardiac output, shortening fraction) are subject to assessment. The Teicholz and Simpson methods can be used to calculate the ejection fraction. The literature under survey coveres listed parameters of normal values for various ages’ rabbits.

Conclusion. Echocardiography is a relatively affordable non-invasive method for studying the state of cardiovascular system in rabbits in an experiment. The method can be used to analyze myocardium size, left ventricle contractile function, and assess the state of heart valvular apparatus. At present, normal values of echocardiographic parameters in rabbits have been experimentally established, which adds to the informative value of the method. Qualitative study performance requires special preparation, including careful animal anesthesia, the choice of the approaches and modes used.
Characteristics of malignant neoplasms of the hepatobiliary system in the cohort of occupationally-exposed workers
Authors: Zhuntova G. V. , Azizova T. V. , Bannikova M. V. , Sychugov G. V.
Published: March 2022

Introduction. The etiology of malignant neoplasms (MN) of the hepatobiliary system is multifarious, so when assessing the impact of ionizing radiation on the occurrence of tumors of this localization, non-radiation factors should be considered. The aim of the study was to describe cases of hepatobiliary system disease in the cohort of employees hired at the main plants of FSUE Mayak Production Association (PA «Mayak») in 1948-1982, who were exposed to occupational chronic radiation. Materials and Methods. The cohort under study included 22,377 persons (25% were women). The frequency of individual risk factors was compared among morphologically confirmed cases of hepatobiliary cancer and among workers who had not been ill with tumors of the indicated localization. Results. Up to December 31, 2018, the cohort had 59 cases of liver MCC (59% hepatocellular carcinoma, 17% cholangiocarcinoma, 25% hemangiosarcoma, and 2% anaplastic cancer) and 34 cases of gallbladder and biliary tract MCC (100% adenocarcinoma). The incidence of chronic diseases of gallbladder and biliary tract, cholelithiasis was statistically significantly higher among cases of hepatobiliary MNS in comparison with uninfected workers. In addition, there was a higher share of persons who had contact with harmful industrial factors before employment at PA «Mayak», as well as those with chronic liver diseases, excessive body weight and obesity among liver cancer patients. Doses of occupational exposure were highest in workers with liver hemangiosarcomas. Discussion. The data were obtained testifying to a possible role of non-radiation factors and ionizing radiation in the development of hepatobiliary cancer in the workers of the cohort under study. A peculiarity of the cohort is a high proportion of hemangiosarcomas in the structure of hepatic cancer. Conclusion. The non-radiational factors that, along with occupational exposure, could influence the incidence of hepatobiliary cancer among PA «Mayak» workers have been singled out. An analysis of risk caused by radiation and non-radiation factors is required to clarify the results of the study.
Vaccination against covid-19: the opinion of medical students
Authors: Matveeva E. S. , Fedorova A. M.
Published: March 2022

Introduction. One of the pressing issues in public health today is the fight against the COVID-19 pandemic, including vaccine prophylaxis, its  possibilities,  necessity  and  safety.  Proper  professional  advocacy  plays  an important role in the success of the vaccination campaign. Medical school students are also part of the professional community, who are as close as possible to the population and can be a source of information    for them to influence their decisions about whether or not to vaccinate. The aim of the work was to study  the attitudes of medical university students, as carriers of special information, toward vaccination against COVID-19. Materials and methods. A questionnaire survey was administered to 151 medical university students from Chelyabinsk and Ekaterinburg, mainly from the 4th to 6th years of medical, pediatric, and preventive medicine faculties. Results. Many of the trainees participating in the study are familiar with the new coronavirus infection (have themselves had an infection, are involved in providing medical care to patients with the new coronavirus infection), and more than 80% have been vaccinated against COVID-19. 63.0% of unvaccinated respondents do not plan to vaccinate in the near future, half of them due to uncertainty about the effectiveness of the vaccine. 44.9% of all respondents were not afraid of adverse effects of vaccination, and a large proportion (55.1%) expected reactions and even complications after vaccinated against COVID-19. They consider vaccination to be effective against COVID-19 47.5%, and 52.5% of those surveyed are not sure about vaccination effectiveness. Discussion. The effectiveness of vaccination for airborne infections is determined by the one-step coverage of a large (at least 70.0%) portion of the population. Most of the students surveyed intend to recommend vaccination against COVID-19 (almost 63%); however, 37.1% are not yet ready to do so. The motivations for their own vaccination are equally understanding of its necessity and fear of administrative restrictions. The study participants form their judgments about the problem under study mainly on the basis of popular publications and mass media appearances, which is confirmed by their low appeal to official statistics and special sources. Conclusion. To date, medical university students have not had a pronounced interest in learning about the new coronavirus infection, so the educational process under the COVID-19 pandemic needs to pay special attention to the problem under discussion.
Cystic adenomatous lung malformation of type II in the newborn, problems of early diagnosis
Authors: Shestak E. V.
Published: March 2022

Introduction. Cystic adenomatous malformation (CAM) is a congenital lung malformation resulting from abnormal morphogenesis of lung branching at different stages and in different parts of the tracheobronchial tree, with formation of cysts. The incidence of CAM is one case per 8,300-35,000 live births. The modern classification distinguishes four types of CAM. The aim of the work was to analyze the features of the course of the disease and radiological signs that can help the doctor to suspect the presence of congenital lung malformations in   the newborn in the early stages of  manifestation,  justify  additional diagnostic  methods, and timely  choose an appropriate treatment tactic. Material and methods. The article presents the clinical observation of a newborn infant with type II CAM and concomitant disease «early neonatal sepsis». Medical documents are used, where the results of clinical examination, instrumental (X-ray, ultrasound, CT) and laboratory methods  of investigation are presented. Data of histological examination of biomaterial obtained intraoperatively are presented. Results. An analysis of the clinical and radiological dynamics is given. Based on the examination, congenital malformations were detected, and surgical treatment was performed. The child was discharged from the hospital on the 35th day of life in a satisfactory condition. A detailed analysis of diagnostic limitations at each stage of the child's life was conducted. Discussion. Diagnosis of CAM in the early stages was difficult not only because of the nature of the malformation, but also because of the clinic of sepsis, which was the leading one in the first days of life. The morphology of the malformation leads to problems with its prenatal diagnosis and the lack of a clear radiological and ultrasound picture in the postnatal period. Conclusion. In any case of recurrent air leak syndrome, differential diagnosis of congenital pulmonary malformations and the use of CT or MRI for accurate imaging seems reasonable.
Current views on the assessment of vascular wall elasticity in pregnant women with arterial hypertension
Authors: Kolobova S. O. , Borovkova N. U.
Published: March 2022

Introduction. Arterial hypertension is the most common somatic pathology in pregnant women. Arterial hypertension is a factor of high risk for the development of severe preeclampsia, placental insufficiency, intrauterine growth restriction, premature birth, maternal and perinatal mortality, nervous disorder and vascular heart disease of newborns and women’s distant cardiovascular disorders. The pathogenesis of gestational complications is associated with pathology of placentation, endothelial dysfunction and a decrease in vascular elasticity. The pathogenesis has not studied yet. Nowadays there are no tests with enough sensitivity and specificity ensuring early diagnostics and risk identification at development of great obstetric syndromes. Aim of the study was to improve our understanding about a clinical and prognostic role of vascular wall elasticity in pregnant women with arterial hypertension. Materials and Methods. We searched publications and analyzed literature using various scientific databases, including Index Medicus, PubMed/MEDLINE, Embase, Cochrane Library and Russian scholarly journals related to obstetrics, gynecology, cardiology for the last 9 years. Results and Discussion. Today changes in the elastic properties of arteries is a modern marker of a high risk of cardiovascular events in patients with essentialhypertension. Endothelial dysfunction develops already in the early stages of arterial hypertension and initiates structural changes in the vascular wall and   an increase in arterial stiffness. High activity of the sympathetic nervous system is the cause of changes in the elastic properties of arteries in pregnant women with arterial hypertension. Conclusion. The role of vascular wall elasticity in pregnant women with arterial hypertension is of tremendous importance and deserves close attention. The study of elastic properties of vessels is relevant for assessing the risk of gestational complications in pregnant women with arterial hypertension.
ANALISIS PENERAPAN METODE ECONOMIC ORDER QUANTITY (EOQ) DALAM UPAYA EFISIENSI BIAYA BAHAN BAKU PADA PABRIK ROTI SARI RAMA KOTA KENDARI
Authors: Mulyani Mita Sri , Sahrun Sahrun , Kambolong Makmur
Published: March 2022

Tujuan dari penelitian ini merupakan : untuk mengetahui bagaimana penerapan metode Economic Order Quantity (EOQ) dalam upaya mengefisiensi biaya bahan baku pada Pabrik Roti Sari Rama kota Kendari. Metode penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif deskriptif. Subjek penelitian ini merupakan pemilik utama dari Pabrik Roti Sari Rama yaitu Ibu Wd.Abe. Hasil penelitian menunjukan bahwa penerapan metode  Economic Order Quantity (EOQ) pada Pabrik Roti Sari Rama dapat lebih menghemat biaya pemesanan dan penyimpanan sebesar Rp.3.643.290. Hal ini disebabkan karena metode Economic Order Quantity (EOQ) menawarkan frekuensi pemesanan ulang yang lebih sedikit yaitu 15 kali dalam setahun dengan kuantitas yang lebih banyak dalam sekali order bahan baku, berbanding jauh dengan metode perusahaan yang melakukan frekuensi pemesanan sebanyak 48 kali dalam setahun.
The amendment of the legal regulation of the institution of tax incentative in the Russian Federation
Authors: Fedosimov B. A.
Published: March 2022

The article is devoted to the institution of tax incentives, which is currently significant important for the development of the Russian state, that is objectively determined by the essence of tax incentives, which consists in intensifying the legal behavior of subjects of specific relations. Based on the analysis of the theoretical and legal foundations of tax benefits, the author developed a definition of tax incentives, highlighted its stages, analyzed the problems of legal regulation of the institution being considered, as well as legal means to increase the effectiveness of tax benefits.

The purpose of the study. Analysis of legal regulation and practice of applying tax incentives in the Russian Federation, identifying existing problems, as well as formulating proposals of a theoretical and practical nature to improve the current tax legislation governing the institution of tax incentives in the Russian Federation. Research methods. The research was carried out through the use of a complex of general scientific methods (analysis and synthesis, deduction and induction, logical method, system analysis, etc.) and private scientific (special legal) methods. The main research method was the formal legal method, which made it possible to identify gaps in the legal regulation of the process of tax incentives in Russia and to formulate proposals for supplementing and changing certain regulatory provisions of tax legislation.

Main scientific results. As a result of a comprehensive analysis of the legal regulation of the institution of tax benefits in Russia, theoretical provisions were formulated and substantiated, revealing the specifics of the content and essence of tax incentives, taking into account the current state of development of the national and world economy.

Conclusions. The article draws conclusions about the importance of tax incentives for reforming the Russian system of taxes and fees in the context of developing the economic potential of business entities. The scientific research contains author's proposals for improving the current tax legislation in order to effectively use the institution of tax incentives in Russian practice. The obtained scientific results testify to the achievement of the set research goal.
DISEASE ANALYSIS OF TANNERY WATER AFFECTED AREAS OF DISTRICT KASUR OF PAKISTAN
Authors: Hussain Gulfam
Published: March 2022

Kasur is well-known for its enormous leather industry, however the city pays a high price in terms of water pollution as a result of this business. Water within a broad radius of this leather manufacturing sector has been designated unfit to drink. As a result, this contaminated water has a negative impact on human health. This research is a small attempt to investigate the problems produced by water contamination. Surveillance was carried out in Kasur for this aim, and the results were assessed. Both males and females had a high prevalence of morbidity from various diseases, according to the findings.
Note d’opportunité sur la valorisation des logiciels issus de la recherche
Authors: Clément-Fontaine Mélanie , Di Cosmo Roberto , Guerry Bastien , Moreau Patrick , Pellegrini François
Published: March 2022

Le logiciel est un objet hybride au sein de la recherche, dont il est à la fois moteur (comme outil), résultat (comme preuve d’existence d’une solution) et objet d’études (comme artefact). Ce statut spécifique doit amener à la définition de stratégies, d’outils et de procédures adaptés aux différents enjeux qu’il soulève, tels que notamment : la citation des contributions relatives à la conception et à la production de logiciels, la reproductibilité des résultats de recherche faisant intervenir des logiciels, la valorisation et la pérennisation du patrimoine logiciel créé.
An Active Security System Based on AR Smart Classes and Face Recognition Technology
Authors: Charles Chen Charles Chen , Charles Chen Xiao-Yan Wang , Xiao-Yan Wang Jian Chen , Jian Chen Qin Liu , Qin Liu Sheng-Lung Peng
Published: March 2022

How to effectively apply AR (Augmented Reality) new technology to create better safety environment for society and enterprises is the concern of many government and enterprise leaders. This research combines AR smart glasses, multi face recognition technology and control system technology to develop a face recognition active security platform which can effectively improve the arrest of criminals and establish a safer social environment.

 
Detection Method of Photovoltaic Panel Defect Based on Improved Mask R-CNN
Authors: Shuqiang Guo Shuqiang Guo , Shuqiang Guo Zhiheng Wang , Zhiheng Wang Yue Lou , Yue Lou Xianjin Li , Xianjin Li Huanqiang Lin
Published: March 2022

To solve the low efficiency and precision of uncrewed inspection in photovoltaic power stations, a segmentation method of improving the defective photovoltaic panels based on improved Mask R-CNN is proposed. The atrous spatial pyramid pooling and spatial attention mechanism were introduced into the extraction network to improve detection accuracy. Uncrewed aerial vehicle infrared video of the panels is used to input the network model for defect detection. As a result, the automatic annotation of the defect position is achieved, significantly improving the efficiency and precision of uncrewed inspection. The precision, recall and FPS are used as performance metrics to evaluate U-Net, PSPNet, Mask R-CNN and the algorithm in this paper. Experiments show that the detection precision of the four models are 77.3%, 82.2%, 84.0% and 89.8% respectively, the recall are 79.4%, 79.0%, 81.6% and 84.4% respectively, and the FPS are 12.5, 9.6, 8.6 and 8.2 respectively. Although the FPS of this algorithm is slightly reduced, the precision and recall have been greatly improved, and can be applied to industry.

 
Network Representation Learning Algorithm Based on Community Folding
Authors: Dongming Chen Dongming Chen , Dongming Chen Mingshuo Nie , Mingshuo Nie Jiarui Yan , Jiarui Yan Jiangnan Meng , Jiangnan Meng Dongqi Wang
Published: March 2022

Network representation learning is a machine learning method that maps network topology and node information into low-dimensional vector space, which can reduce the temporal and spatial complexity of downstream network data mining such as node classification and graph clustering. This paper addresses the problem that neighborhood information-based network representation learning algorithm ignores the global topological information of the network. We propose the Network Representation Learning Algorithm Based on Community Folding (CF-NRL) considering the influence of community structure on the global topology of the network. Each community of the target network is regarded as a folding unit, the same network representation learning algorithm is used to learn the vector representation of the nodes on the folding network and the target network, then the vector representations are spliced correspondingly to obtain the final vector representation of the node. Experimental results show the excellent performance of the proposed algorithm.

 
Gli esiti dello stroke ischemico del bambino: afasia e talamo
Authors: Giardinelli Silvia , Bianchedi Ilaria , Uva Andrea , Marchetti Federico
Published: March 2022

Left thalamic stroke in adults commonly results in thalamic aphasia, which is characterized by defects in lexical and semantic abilities associated with fluency and comprehension disabilities and intact word repetition. Although few cases have been reported, aphasia with similar features can also be present as a consequence of left-brain hemisphere stroke in children, which has usually a poorer prognosis if compared with that of the adult population. The paper reports the case of a 20-month-old female child that developed aphasia after an ischemic stroke that involved the left anteromedial thalamus. In these cases it is necessary to initiate an early rehabilitation treatment, possibly supported by augmentative and alternative communication techniques.
A volte ritornano: l’esordio subdolo della malattia di Crohn
Authors: Posocco Francesca , Bramuzzo Matteo
Published: March 2022

The case of a 12-year-old boy with diffuse arthralgia initially misdiagnosed as systemic onset juvenile idiopathic arthritis is described. The diagnosis of Crohn disease was eventually posed based on high faecal calprotectin level and suggestive ultrasound abdominal images. The authors underline how Crohn disease may present without abdominal symptoms.
Comparative analysis of pulmonary function impairment in adolescent idiopathic vs. congenital scoliosis
Authors: Bashir Khurram , Sabir Nadeem , Rehman Zia-Ur- , Aziz M. Omar , Atta Awan Malik Ahsan , Dogar Ammar , Nadeem Umair , Aziz Amer
Published: March 2022

Background: Scoliosis is the main three-dimensional pathological backbone deformation with direct effects on the thoracic cage and a prevalence of 0.3 to 15.3% of the population. Aim: To assess the comparison of pulmonary function impairment in adolescent idiopathic and congenital scoliosis. Place and duration of study: Department of Orthopedic & Spine Center, Ghurki Trust Teaching Hospital Lahore from 1st January 2020 to 31st August 2020. Methodology: In this cross-sectional study 30 patients diagnosed with Idiopathic congenital scoliosis after the approval from the Ethical Committee of the hospital (15 idiopathic and 15 congenital scoliosis) were enrolled. The data were collected using predesigned proforma, including demographics (gender, age, BMI, Cobb's angle, and side of deviation) and outcome variables to measure pulmonary function impairment. In all patients, pulmonary function tests were performed. Results: In group A, the mean value of FVC (%) was lower than 80% of the predicted normal value as 59.8±12.0 as compared to group B 78.32±21.35%. The average predicted value of FEV1 was 62.3±13.5%slightly decreased in group A (below 80% of the predicted normal value) compared to group B81.47±19.88%. The FEV1/FVC ratio was normal in both groups (>70% predicted). The result also revealed a significant difference in both groups as (p-value<0.05). Conclusion: Idiopathic and congenital scoliosis is a common thoracic cage weakening deformity with potentially significant and permanent effects of the lungs. As pulmonary symptoms may become clinically apparent unless major and permanent changes have taken place in lung function. It is advisable to recognise the issue early and to conduct routine pulmonary function tests. Keywords: Adolescent Idiopathic scoliosis (AIS), Congenital scoliosis (CS), Cobb angles, forced vital capacity (FVC),
Frequency and Susceptibility Profile of Pathogens Causing Urinary Tract Infections in Pediatric Population
Authors: Mir Nazia , Khurshid Rabia , Zafar Aizza , Saleem Sidrah , Ch. Saadia , Ali Uzma
Published: March 2022

Background: Urinary tract infection is one of the most common cause of bacterial infection in childhood. Urinary Tract Infections are more common in pediatric population and is a major reason behind morbidity and mortality in children. Aim: To isolate most common pathogens causing UTI, their frequency and susceptibility pattern in pediatric population. Methodology: Urine samples were collected from various children with symptomatic UTI and cultured on Cysteine lactose electrolyte deficient agar. Identification of organisms was done by using microbiological techniques which included biochemical tests and gram staining. Antibiotic susceptibility pattern was achieved by Kirby Bauer disc diffusion method and results were interpreted according to Clinical Laboratory Standard Index guidelines 202. Results: Total 1200 samples were processed. Out of these samples, 492(41%) had positive bacterial growth and 59% had negative growth. Common pathogens isolated were Escherichia coli 209(42.5%), Klebsiella spp 144(29.3%), Pseudomonas spp 47 (9.6%), Enterococcus faecalis 38 (7.7%), Acinetobacter spp 37(7.5%), and Proteus spp 17 (3.5%). Overall these uropathogens exhibited better susceptibility for Colistin (84.8%), followed by Nitrofurantoin (64.7%), Amikacin (64%), Pipedemic acid 25.4%), Ceftazidime (21.4%), Nalidixic acid (18.7%), Augmentin (16.8%) and Meropenem (54%). Conclusion: This study reported a high rate of UTIs (41%) among children. A high proportion of antibiotic resistant is due to overuse of antibiotics. Incidence of UTIs can be decreased with prompt diagnosis at the right time and empirical antibiotic therapy. Keywords: Urinary Tract infection, Escherichia coli, antimicrobials.
Comparison of efficacy of lateral sphincterotomy versus topical 0.2% Glyceryl Trinitrate Ointment in anal fissure treatment
Authors: Ghaffar Naeem , Majeed Ch Salman , Majeed Ch Wasif , Ghufran Samar , Hussain Shahid , Jamil Amreem
Published: March 2022

Aim: To compare the outcomes of both 0.2% glyceryl trinitrate and lateral sphincterotomy to treat the anal fissure. Study design: Comparative study. Methods: This study was performed at the surgery department sir Ganga Ram Hospital hospital Lahore, Pakistan from 1st June 2020 to 30 Dec 2021. Total 80 patients were the participant of this study. After the diagnosis of anal fissure and before the starting treatment, a detailed scenario of its treatment, process, side effects, and chances of recurrence were explained to patients then consent was signed by the individual patients. Patients were divided into two groups to compare the outcomes of both sphincterotomy and glyceryl trinitrate. Group A had 40 patients and Group B had 40 patients as well. The age of all the patients was above the 18 years. Results: Group A had 14 (35%) patients of age range 18-30 years and 26 (65%) of 31-60 years old. 13 (32.5%) females, 27 (67.5%) males, mild pain in 10 (25%), severe pain in 30(75%), Constipation was reported in 16(40%) patients and 29(72%) patients had bleeding issues. Group B found with 17 (42.5%) patients of age range 18-30 years and 23 (57.5%) of 31-60 years old. 10 (25%) females, 30 (75%) males, mild pain in 12 (30%), severe pain in28(70%), Constipation was reported in 20(50%) patients and 31(77%) patients had a bleeding issue. The final comparison after six weeks of treatment shows the 65% of patients healed with the lateral sphincterotomy and 47% of patients healed with ointment of 0.2% glyceryl trinitrate. The healed proportion was measured high for the lateral sphincterotomy treatment as compared to the ointment of 0.2% glyceryl trinitrate. Conclusion: We concluded that lateral sphincterotomy has an effective response to treat the anal fissure as compare to 0.2% ointment of glyceryl trinitrate. Keywords: Lateral sphincterotomy, ointment of 0.2% glyceryl trinitrate, anal fissure.
Prevalence of Insomnia in patients suffering from Stroke
Authors: Ahmad Hafiz Iftikhar , , Rafique Hira , Mushtaq Maida , Asghar Hafiz Muhammad Uzair , Maqbool Sania , Mushtaq Qurratulain
Published: March 2022

Aim: To establish the Prevalence of insomnia in patients suffering fromstroke. Methods: By the consent of patients or their attendants we piloted a cross-sectional study among90 stroke patients at different hospitals of Lahore. A modified Sleep Centre Interview wasconducted from the participants regarding their sleeping pattern, day time effects and its effecton their life. Results: The study included 90 stroke patients of those 56 were males and 34 were females. Outof 90, 27(30%) patients had sleep disturbance of them 16 were male and 11 were male.Therefore the prevalence of insomnia was found to be 30%. There were 33.3% patients reportedthat they woke up at least 2 time at night while 25.9% woke up 3 times at night and only 18.5%woke up once at night. 48.4% patients reported that they follow the same sleep pattern for 3-4. days per week while 44.4% followed the sleep pattern for 2-3 days a week 74% reported that ittakes them 2-3 hours to sleep while 22.2% reported that it takes them 4-5 hours to sleep once awaked. Conclusion: The study concluded that sleep disturbances as insomnia and hyper insomnia arecommon among stroke fighters. Insomnia was associated with increased level of anxiety anddisability after stroke. Physical therapy and psychotherapy will improve patient’s level of cognition,energy level, and mood and give them better sleep. Keywords: insomnia, sleep disturbances, stroke, sleep initiation and maintenance disorder,
Effects of Transcutaneous Electrical Nerve Stimulation along With Home Based Care Program on Low Back Pain and Disability in Post-Partum Patients
Authors: Shafiq Hira , Tauqeer Sana , Hanif Arooj , Zahid Ambreen , Asghar Momna , Nawaz Umbar
Published: March 2022

Aim: To determine the Effects of Transcutaneous Electrical Nerve Stimulation Along with home based care program in postpartum patient with low back pain for improving pain and disability Study design: Quasi-Experimental study Place and duration: Kanaan Physiotherapy and spine Clinic Lahore, Pakistan from 2 March 2021-3 September 2021. Methodology: A total of 70 postpartum patients age range between 18years-40years were randomly allocated in 2 groups. Inclusion criteria was patients having low back pain during delivery and any other syndrome or anatomical abnormality were excluded. Group A received TENS plus supervised conventional home physical therapy program while Group B received Conventional home physical therapy program. Both groups took 5 sessions in a week treatment. Generalized the low back pain was measured by numeric pain scale, Modified Oswestry disability questionnaire was used to assess disability. Data analysis was done by using SPSS Version 21. Results: The experimental group showed significant improvement low back pain postpartum in numeric rating pain scale (p<0.00) (Pain) and Oswestry disability index (p<0.00) (Disability) Conclusion: It was concluded that Transcutaneous Electrical Nerve Stimulation along with home based exercise was significantly in reducing low back pain in postpartum. Comparison between both groups showed significant improvement in decreasing disability and pain after treatment. Keywords: Low back pain, postpartum period, Transcutaneous Electrical Nerve Stimulation
Knowledge about Folic Acid Supplementation for Prevention of Neural Tube Defects among Gynecologist and Paediatric Surgeon
Authors: Sharif Muhammad , . Aqsa , Sharif Muhammad Soban , Arif Hafiz Muhammad , Hassan Ahmad , . Javaria
Published: March 2022

Aim: To assess the knowledge of gynecologist & Paediatric Surgeon about the role of folic acid in prevention of neural tube defects. Study design: Cross Sectional Study Setting & duration of study: Department of Paediatirc Surgery, KEMU/Mayo Hospital Lahore from 1st November to 15 December. Methodology: After ethical approval data was collected on a questioner performa created on google doc regarding demographic variables, knowledge about neural tube defects, dose and timing of folic acid supplementation in prevention of neural tube birth defects. Results: 70% of the doctor who took part in this study work between 20-30 year of age. 50% were male & 50% were female. Majority of doctors (80%) have experience of 1-10 years after graduation. The participants doctors include postgraduate residents (68%) followed by consultant (11.1%), Medical Officer, Senior Registrar, Registrar & House Officer. 90.7% were government employee most of them have knowledge about meningomylocele but majority of them (57.4%) did not have proper knowledge about dose and timing of folic acid supplementation for prevention of neural tube defects. Conclusions: We conclude that most of gynecologist and paediatric surgeons don’t have sufficient knowledge about role of folic acid in prevention of neural tube defects, specially meningomyelocele in children. There is a need to launch awareness campaign among healthcare providers through social media, symposium, and newspaper about supplementation of folic acid before conception in women so that this important disability condition/disease incidence may be reduced Keywords: Meningomyeloclele, Folic Acid Supplementation, Prevention
Sources of Stress among Medical Students
Authors: Zia Mudasar , Qayyum Anoosh , Majeed Sadia , Saad Maheen , Hanif Farah , Rashid Shazia
Published: March 2022

Aim: To find out the frequency and relative frequency of stress on medical students of a local medical college, Lahore. Study Design: Cross sectional study Place and Duration of study: Local Medical College with duration one month (Feb 2019) Methods: The study was surveyed on 150 medical students of M.B.B.S part 1 & 11. Questionnaire was divided into three sections including environmental stress, family affairs stress and stress of studies. Results: In the context of environmental stress features in medical students the highest odds of stress in students was problem in time management for study, followed by feeling of bullying and their current feelings of stress, feeling of uncomfortable at the time of dissection and conflict with other student. In the context of stress the highest odds of stress was due to family affairs in medical students was responsibility in regard to family problem, family issues, history of family depression and recently loss of family member. The last context was study related stress include the highest odds of stress in students who not fulfill self-expectations and fail to perform task followed by poor in the studies due disturbances by the class fellows, ineffective copying skills and non-serious attitude toward studies followed by emotional stress and sleeping. Conclusion: It is concluded that good academic environment, as well as problem focused and emotion focused strategies may help to alleviate stress. Keywords: Medical students, Relative frequency of stress.
Comparison of Postural Drainage and Percussion Techniques in Cystic Fibrosis Patients
Authors: Shah Shahzaib Raza , Hassan Zainab , Waqas Shoaib , Ali Aadil Ameer , Hamza Makhdoom Muhammad
Published: March 2022

Aim: To determine the effects of postural drainage and percussion techniques in patients with cystic fibrosis. Methods: This research was carried out in the ‘South Punjab Clinics, Hospital Multan' as a randomized clinical trial. From December 2020 to June 2021, the research was completed in about six months. This study used a sample size of 32 cystic fibrosis patients to determine the effects of postural drainage and percussion treatments. Two groups of patients were formed. Suctioning and aerosol medicines were used as a common treatment for both groups. Postural drainage, aerosol drugs, and suctioning were used in Group A, while the percussion method, aerosol medications, and suctioning were used in Group B. The frequency of sputum, forced spirometry FEV1 and patient satisfaction are also used. Results: The mean age and standard deviation of 32 patients was 281.009, including 20 males and 12 females. The pretreatment mean value of forced expiratory volume (FEV1) for the percussion and postural drainage groups was 4.25 and 2.38, and the post-treatment mean value was 1.00 and 2.22 respectively. The pretreatment mean value of sputum production for the percussion and postural drainage groups was 1.00 and 1.00, and the post treatment mean value was 2.25 and 2.19 respectively. Data was not normally distributed, so a non-parametric test (Mann-Whitney) was applied. The calculated p value was greater than 0.05. Conclusion: In cystic fibrosis patients, there was no substantial difference in the benefits of percussion and postural draining techniques. Keywords: Cystic fibrosis, percussion, postural drainage, airway clearance technique,
UPAYA MENINGKATKAN KEMAMPUAN OKUPASI ANAK TUNAGRAHITA SEDANG MELALUI PELAKSANAAN PROGRAM TERPADU BHAKTI LUHUR
Authors: Wahyuni Sri , Supi Supi
Published: March 2022

Children with moderate mental retardation are a category of children who need assistance in learning everything including in the field of household work occupations. The Bhakti Luhur Integrated Program (PTBL) is a flagship program used by the Bhakti Luhur Foundation that is involved in handling people with disabilities, one of which is mentally retarded children. One of the fields in the Integrated Bhakti Luhur Program (PTBL) is the occupational field with the sub-sector of household work. This study aims to assess whether household work occupational training is effective in improving the ability of children with moderate mental retardation. This study uses a quantitative descriptive research design, with the subject of 4 children with moderate mental retardation. The data collection method used is full participant observation. Meanwhile, data analysis was carried out by processing the final test minus the initial test and then presenting it. The results showed that: for the PU subject from the four exercise items, the results were 50.8%, for the PA subject from the four exercise items the results were 56%, for the AG subject from the four exercise items the results were 65%, for the MZ subject from the four exercise items the results were obtained. 82.5%.
EFEKTIVITAS PENERAPAN RENUNGAN DAN BACAAN KITAB SUCI BAGI ANGGOTA YUNIOR ALMA PUTERI DI BHAKTI LUHUR MALANG
Authors: Desa Maria Vianti , Sirken Rosalina
Published: March 2022

The five points of spiritual life are the basis of ALMA PUTERI's spiritual life which have been applied since the initial training period, namely the aspirants, postulants and novices. The goal is to develop a deep spiritual life that is focused on surrender and pure devotion to Christ in the fellowship of ALMA PUTERI. Meditation and Bible Reading are included in the daily activities in spiritual formation, which are continuously improved so that they take root in ALMA PUTERI Junior members. The purpose of this study is to describe the application of reflection and reading of the Bible for ALMA PUTERI Junior members, as well as examine the extent to which the ALMA PUTERI Junior members are active in applying meditation and Bible reading. This type of research is descriptive qualitative. The data obtained in this study were based on the results of interviews, observations and documentation of the 5 main informants of the ALMA PUTERI Junior members and 3 additional informants in charge of the guesthouse. The results of the study show that the application of meditation is less effective, while the application of reading scriptures is effective for the development of the spiritual life of ALMA PUTERI Junior members in the Dieng Bhakti Luhur Complex, Malang.
Adequação organizacional durante e após a pandemia de COVID-19
Authors: Catrib de Azevedo Lemos Roberta , Leal Marcus Costa Lima Verde
Published: March 2022

Diversos desafios foram impostos pela pandemia, especialmente a sobrevivência das organizações e a busca pela recuperação econômica. Nesse contexto desenvolveu-se estudo com o objetivo de identificar medidas de socorro às empresas que sejam eficazes na manutenção de suas atividades e, consequentemente, do emprego e renda durante e após a Pandemia de COVID-19. Procurou-se mapear estratégias planejadas pelas organizações durante e após a pandemia, bem como oportunidades aplicadas aos negócios. Trata-se de um estudo de campo, com natureza quantitativa, composto por questionário. Foi identificada a ineficácia do plano de socorro às empresas do governo, onde a maioria não obteve acesso ao crédito. Já a opção de suspensão de contrato, redução de carga horária dos funcionários e prorrogação de pagamento de impostos foi vista como uma adequada medida que permitiu a redução de gastos das empresas. A virtualização das vendas e o trabalho à distância foram citados como principais oportunidades.