bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Strategi Pelaksanaan (SP) 1-4 Pada Penderita Skizofrenia Dengan Masalah Halusinasi Pendengaran
Authors: Anwairi Ubay
Published: March 2022

Skizofrenia merupakan salah satu gangguan jiwa dengan gejala positif yang sering muncul yaitu halusinasi. Pasien dengan diagnosis medis skizofrenia sebanyak 70% mengalami halusinasi. Halusinasi merupakan salah satu masalah keperawatan yang dapat ditemukan pada pasien gangguan jiwa. Sebagian besar pasien halusinasi mengalami sensasi berupa suara, penglihatan, pengecapan, perabaan, atau penghiduan tanpa stimulus yang nyata
PRINSIP-PRINSIP MANAJEMEN DALAM AL-QUR'AN DAN HADIS
Authors: Zahra Sufiani
Published: March 2022

Dalam Webster, News Collegiate Dictionary disebutkan bahwa manajemen berasal dari kata to manage berasal dari bahasa Italia “managgio” dari kata “managgiare” yang diambil dari bahasa Latin, dari kata manus yang berarti tangan dan agere yang berarti melakukan. Managere diterjemahkan dalam bahasa Inggris dalam bentuk kata kerja to manage, dengan kata benda management dan manager untuk orang yang melakukan kegiatan manajemen. Management diterjemahkan kedalam bahasa Indonesia menjadi manajemen atau pengelolaan.Kata manage dalam kamus tersebut diberi arti: (1) to direct and control (membimbing dan mengawasi); (2) to treat with care (memperlakukan dengan seksama); (3) to carry on business or affair (mengurus perniagaan, atau urusan/persoalan); (4) to achieve one‟s purpose (mencapai tujuan tertentu). Pengertian manajemen dalam kamus tersebut memberikan gambaran bahwa manajemen adalah suatu kemampuan atau ketrampilan membimbing, mengawasi dan memperlakukan/mengurus sesuatu dengan seksama untuk mencapai tujuan yang telah ditetapkan.Istilah manajemen sebenarnya mengacu kepada proses pelaksanaan aktifiitas yang diselesaikan secara efisien dengan dan melalui pendayagunaan orang lain.3 Terry memberikan defenisi: “management is a distinct process consisting of planning, organizing, actuating and controlling, performed to determine and accomplish stated objectives by the use of human beings and other resources”.4 Maksudnya manajemen sebagai suatu proses yang jelas terdiri dari tindakan-tindakan perencanaan, pengorganisasian, pelaksanaan, dan pengendalian yang dilaksanakan untuk menentukan serta melaksanakan sasaran/tujuan yang telah ditentukan dengan menggunakan sumber daya dan sumber-sumber lainnya. Arifin Abdurrachman sebagaimana dikutip oleh M. Ngalim Purwanto, memberikan pengertian manajemen merupakan kegiatan-kegiatan untuk mencapai sasaran-sasaran dan tujuan pokok yang telah ditentukan dengan menggunakan orang-orang pelaksana.
Quasi Time-Fuel Optimal Control Strategy for dynamic target tracking
Authors: Zheng Huaihang , Wang Junzheng , Shi Dawei , Liu Dongchen , Wang Shoukun
Published: March 2022

A quasi time-fuel optimal control strategy to solvethe dynamic tracking problem of unmanned systems is investi?gated. It could bring the biggest advantage into full play in the field of switching tracking for multiple targets, such as the multi-target strike of weapons and the rapid multi-target grabbing of robots on industrial assembly lines. Compared with the time-fuel optimal control studied before, the proposed controller retains the advantages of optimal control when switching between multiple dynamic targets, and overcomes the high-frequency oscillation problem of the system under the discontinuous control strategies. Moreover, the asymmetry of friction load, which can affect the dynamic performance of the system, is also considered. Therefore, the novel control law proposed in this brief can make the corresponding system achieve the desired transient performance and satisfactory steady-state performance when switching between multiple dynamic targets. The experiment results based on the visual tracking turntable verify the superiority of the proposed method.
Adaptive Affinity for Associations in Multi-Target Multi-Camera Tracking
Authors: Hou Yunzhong , Wang Zhongdao , Wang Shengjin , Zheng Liang
Published: March 2022

Data associations in multi-target multi-camera tracking (MTMCT) usually estimate affinity directly from re?identification (re-ID) feature distances. However, we argue that it might not be the best choice given the difference in matching scopes between re-ID and MTMCT problems. Re-ID systems focus on global matching, which retrieves targets from all cameras and all times. In contrast, data association in tracking is a local matching problem, since its candidates only come from neighbouring locations and time frames. In this paper, we design experi?ments to verify such misfit between global re-ID feature distances and local matching in tracking, and propose a simple yet effective approach to adapt affinity estimations to corresponding matching scopes in MTMCT. Instead of trying to deal with all appearance changes, we tailor the affinity metric to specialize in ones that might emerge during data associations. To this end, we introduce a new data sampling scheme with temporal windows originally used for data associations in tracking. Minimizing the mismatch, the adaptive affinity module brings significant improvements over global re-ID distance, and produces competitive performance on CityFlow and DukeMTMC datasets.
PRINSIP-PRINSIP MANAJEMEN DALAM AL-QUR’AN DAN HADIS
Authors: Sari Nurintan Permata
Published: March 2022

Islam yang telah ditetapkan sebelumnya. Proses manajemen terlibat fungsi-fungsi pokok yang ditampilkan oleh seorang manajer/pimpinan, yaitu: a) Perencanaan (Planning); b) Pengorganisasian (Organizing); c) Pimpinan (leading) dan d) Pengawasan (Controling); dan e) penghargaan. Hadis-hadis tentang manajemen pendidikan Islam mengetengahkan, bahwa nabi sebagai pendidik yang patut dicontoh menerapkan manajemen yang telah diakui keberhasilannya dan merupakan prinsip-prinsip dasar dalam pendidikan Islam. Prinsip-prinsip dasar tersebut dapat dikembangkan dalam mencapai tujuan pendidikan Islam, terutama dalam mewujudkan manusia yang taat kepada Allah, berakhlak baik dan cerdas akal dan sosial.
Makalah Jenis, Bentuk dan Penjenjangan Koperasi
Authors: K Khelvin.
Published: March 2022

Koperasi menjadi salah satu pilar penting dalam mendorong dan meningkatkan pembangunan serta perekonomian nasional. Pada awal kemerdekaan Indonesia, koperasi diatur oleh Undang-Undang No. 14 Tahun 1965 tentang Perkoperasian. Setelah itu, terjadi beberapa peraturan mengenai koperasi tersebut mengalami beberapa pergantian, mulai dari dihapusnya Undang-undang tersebut dan digantikan oleh Undang-Undang No. 12 Tahun 1967 tentang Pokok Pokok Perkoperasian, kemudian oleh Undang-Undang No. 25 Tahun 1992 tentang Perkoperasian.Koperasi adalah suatu badan hukum yang dibentuk atas asas kekeluargaan dimana tujuannya untuk mensejahterakan para anggotanya. Koperasi bisa dipahami sebagai perkumpulan orang secara sukarela untuk memperjuangkan peningkatan kesejahteraan ekonomi mereka.
KOPERASI DAN UMKM
Authors: Taha Muh. Ridwan
Published: March 2022

Usaha mikro merupakan kelompok pelaku usaha terbesar (96%) di Indonesia dengan karakteristik berpenghasilan rendah dan bergerak di sector informal. Salah satu kendala dalam perkembangan usaha mikro adalah keterbatasan modal yang dimiliki dan sulitnya mengakses sumber permodalan.Penelitian ini merupakan studi kasus pemberian kredit bagi kelompok pelaku usaha mikro oleh Dinas Koperasi dan UMKM Kota Semarang di Kelurahan Pekunden Kecamatan Semarang Tengah. Tujuan dari penelitian ini untuk menganalisis perbedaan modal usaha, omzet penjualan, dan laba dari usaha mikro yang memperoleh kredit.Analisis data dalam penelitian ini menggunakan analisis deskriptif, uji validitas, uji reliabilitas, dan uji pangkat tanda Wilcoxon. Sampel yang dianalisis sebanyak 48 responden yang mendapat kredit dari Dinas Koperasi dan UMKM.Hasil analisis menunjukkan bahwa kredit dari Dinas Koperasi dan UMKM dapat membantu meningkatkan modal usaha, omzet penjualan, dan laba para pelaku usaha mikro di Kelurahan Pekunden yang dilihat dari perbedaan variable modal usaha, omzet penjualan, dan laba antara sebelum dan setelah mendapat kredit. Hal tersebut memberikan implikasi bahwa program perkreditan dari pemerintah melalui pemberian pinjaman modal dapat membantu pengembangan usaha mikro.Kata Kunci : Usaha Mikro, Kredit Dinas Koperasi dan UMKM Kota Semarang, Modal Usaha, Omzet Penjualan, Laba
Penerapan Asuhan Keperawatan Jiwa Pada Tn. H Dengan Masalah Halusinasi Di Ruang Doloksanggul 1 RSJ Prof. DR. Muhammad Ildrem
Authors: SIREGAR ROY RONNI
Published: March 2022

Schizophrenia is a chronic mental disorder that affects the brain and causes disturbances of thought, perception, emotion, movement and strange behavior, the symptoms that are often encountered are hallucinations. Hallucinations are a state of a person experiencing a change in the pattern and amount of stimulation that is initiated internally or externally to each stimulation. Patients who experience hallucinations, especially patients who hear voices, the voices of people who are talking about what is being discussed and ordered to do something. The evaluation found that there was an increase in the client's ability to control what was experienced and the impact on decreasing the symptoms of auditory hallucinations experienced.
TEORI DAN KURVA PERMINTAAN
Authors: FADHILAH AISYAH
Published: March 2022

Teori dan Kurva Permintaan
Self Acceptence Dalam Implementasi Hospitalitas Kristen
Authors: Paillin Wiranto Bongga
Published: March 2022

Abstrak : Manusia sebagai makhluk sosial yang setiap harinya melakukan interaksi sosial di lingkungan masyarakat dengan menekankan keramah-tamahan atau Hospitalitas. Begitupun dengan kehidupan seorang Kristiani yang diberikan suatu hukum, yang disebut dengan hukum kasih sebagai cerminan cinta kasih dari Yesus Kristus kepada umat manusia, untuk diberlakukan kepada setiap orang bahkan orang asing sekalipun. Namun, dalam penerapannya masih belum sempurna. Hal ini dikarenakan masih banyak orang yang enggan untuk berinteraksi dengan orang asing, karena dipengaruhi oleh anggapan bahwa orang asing membawa ancaman, sehingga beberapa orang merasa takut dan cemas. Untuk itu Self Acceptence atau penerimaan diri mengambil peranan didalamnya untuk dapat membuat setiap orang dapat memahami dan menerima setiap kelebihan dan kekurangan diri sendiri, serta mereka dapat berdamai dengan diri sendiri. Sehingga setiap orang dapat memberlakukan Hospitalitas dengan penuh cinta kasih satu sama lain, dan merasakan kenyamanan dan kedamaian.
Elevated AKIRIN1 expression distinguishes basal-like human breast cancer.
Authors: Mamoor Shahan
Published: March 2022

Patients diagnosed with basal-like breast cancer face a more aggressive disease course and more dismal prognosis than patients diagnosed with luminal A and luminal B breast cancer molecular subtypes (1-4). We mined published microarray data (5, 6) to understand in an unbiased fashion the most distinguishing transcriptional features of tumors from patients with basal or basal-like subtype breast cancer. We observed transcriptome-wide differential expression of akirin 1, AKIRIN1, when comparing tumors of patients with basal-like breast cancer with that of other PAM50 molecular subtypes. AKIRIN1 mRNA was present at significantly higher quantities in the tumors of patients with basal-like breast cancer. Analysis of patient survival data revealed that AKIRIN1 primary tumor expression was correlated with overall survival in luminal B subtype breast cancer. Elevated AKIRIN1 expression appears to distinguish basal-like human breast cancer from the other molecular subtypes.
Hospitalitas: Ditinjau dari Efesus 6:1-4 Dan Implikasinya Terhadap Kenakalan Remaja Di Era Milenial
Authors: B. Fritsilia Yuni
Published: March 2022

Dalam tulisan ini dimana kami memperlihatkan tentang kenakalan remaja yang nyata di era milenial sekarang ini. Kenakalan remaja merupakan salah satu bentuk tingkah laku yang kurang berkenan yang dijumpai di masyarakat khususnya dalam keluarga. Tidak dapat dipungkiri bahwa kenakalan remaja ini, jika tidak segera ada penanganan maka bisa saja mempengaruhi perilaku remaja sampai dewasa nanti. Oleh sebab itu, dalam tulisan kami ini akan meneliti beberapa faktor yang menyebabkan kenakalan remaja, khususnya dalam keluarga. Dalam tulisan ini kami juga menunjukkan bagaimana peran gereja dan peran orang tua dalam menangani dan mencegahkenakalan remaja dan juga menerapkan keramahtamahan (hospitalitas). Namun, dalam hal ini bukan berarti bahwa gereja merupakan bagian paling bertanggungjawab pada kenakalan remaja. Namun, peran gereja dalam hal ini adalah salah satu organisasi yang ikut bertanggung jawab dalam penanganan kenakalan remaja. Dalam hal ini peran orang tua sangat di butuhkan dan menjadi hal yang utama dan menjadi tanggung jawab orag tua, karena dalam lingkup keluargalah pembelajaran di mulai paling awal.
Can comfort lead to productivity and not discomfort?
Authors: Thoudam Jyotishraj
Published: March 2022

A Zen person would be more efficient if fighting a villain rather than a more violent and vigorous one. But who would this Zen person be (anyone who doesn't speak a lot is considered to be Zen), is he good or bad or dangerous? I do not know, but the author advises action or interaction between any unspoken or Zen like person (if he is Zen like that of Einstein then Fine) but if he acts like Ted Bundy has been proven to be problematic. The author tries to form a bridge from ancient meditation practices to modern Einstein's approach or Feynman, using different forms of comforts.
Pengertian Koperasi Syariah dan UMKM
Authors: Rajab Nabila
Published: March 2022

Koperasi Syariah Merupakan bentuk koperasi yang memiliki tujuan, prinsip dan kegiatan usahanya berdasarkan prinsip-prinsip syariah, yaitu prinsip hukum Islam berdasarkan fatwa yang dikeluarkan oleh Dewan Syariah Nasional Majelis Ulama Indonesia. Hal ini didasarkan pada Permenkop No. 16 Tahun 2015 Tentang Pelaksanaan.Pelaksanaan Kegiatan Usaha Simpan Pinjam dan Pembiayaan Syariah oleh Koperasi, dimana salahsatu jenis Koperasi Syariah adalah Koperasi Simpan Pinjam dan Pembiayaan Syariah yang memiliki pengertian, yaitu koperasi yang kegiatan usahanya meliputi simpan pinjam dan pembiayaan sesuai prinsip syariah, termasuk mengelola zakat, infaq/ sedekah dan wakaf.
Jenis, Bentuk dan Cara Penjenjangan Koperasi
Authors: Rahmi
Published: March 2022

Koperasi merupakan usaha bersama dari sekolompok orang yang mempunyai kepentingan yang sama dengan tujuan meningkatkan kesejahteraan anggotanya. Tujuan koperasi sebagai perusahaan atau badan usaha bukan semata-semata hanya pada orientasi laba, melainkan juga pada orientasi manfaat . Koperasi pun terbagi dari beberapa jenis dan bentuk yang akan penulis jelaskan dalam pembahasan makalah. Seperti koperasi konsumen, koperasi produsen, koperasi jasa, koperasi simpan pinjam, dan koperasi pemasaran. Adapun bentuk-bentuk koperasi yaitu bentuk koperasi primer dan koperasi primer. Kemudian ada dua cara atau sistem yang dapat digunakan dalam penjenjangan koperasi, yaitu sistem federasi dan sistem
PENGERTIAN KOPERASI KOPERASI SYARIAH DAN UMKM
Authors: israeni
Published: March 2022

Salah satu bentuk Kerjasama ekonomi yang paling cocok untuk mmberdayakan rakyat kecil adalah koperasi. Karena di dalam koperasi dapat ditemukan prinsip dan nilai-nilai kebersamaan, gotong royong dan kesejahteraan Bersama. Koperasi merupakan badan usaha yang beranggotakan orang perseorangan atau badan hukum. Koperasi dikelola berdasarkan asas kekeluargaan, yang diartikan sebagai pengelolaan bersama secara demokratis dan terbuka. Dalam islam, koperasi termasuk kategori syirkah/syarikah. Syirkah adalah kerja sama antara dua orang atau lebih dalam berusaha yang keuntungan dan kerugiannya ditanggung Bersama. Koperasi syariah secara kasat mata sebenarnya adalah konversi dari koperasi konvensional. Hanya saja prinsip operasional koperasi syariah adalah menciptakan kesejahteraan (falah) bagi para anggotanya dengan prinsip saling membantu dalam kebaikan (al-ta’awun al al-birri) secara Bersama-sama. Koperasi syariah tidak mengenakn bunga melainkan tarif sewa penyimpanan dari barang yang digadaikan. Koperasi Syariah adalah salah satu solusi pengeleloan keuangan umat Islam yang berbasis syariah karena di dalamnya terdapat prinsip kegiatan, tujuan dan kegiatan usahanya berdasarkan al-Qura’an dan Hadits.Kementerian Koperasi dan UKM berusaha mendampingi koperasi dengan melakukan pelatihan dan edukasi kepada UMKM terutama sektor kuliner. Selain itu, juga membantu menfasilitasi lahirnya inovasi produk yang sesuai dengan permintaan pasar. Hal ini dilatarbelakangi oleh meningkatnya jumlah akun marketplace karena masyarakat beralih pada bisnis online.
Elevated NOLC1 expression distinguishes basal-like human breast cancer.
Authors: Mamoor Shahan
Published: March 2022

Patients diagnosed with basal-like breast cancer face a more aggressive disease course and more dismal prognosis than patients diagnosed with luminal A and luminal B breast cancer molecular subtypes (1-4). We mined published microarray data (5, 6) to understand in an unbiased fashion the most distinguishing transcriptional features of tumors from patients with basal or basal-like subtype breast cancer. We observed transcriptome-wide differential expression of nucleolar and coiled-body phosphoprotein 1, NOLC1, when comparing tumors of patients with basal-like breast cancer with that of other PAM50 molecular subtypes. NOLC1 mRNA was present at significantly higher quantities in the tumors of patients with basal-like breast cancer. Analysis of patient survival data revealed that NOLC1 primary tumor expression was correlated with overall survival in basal and luminal A subtype breast cancer. Elevated NOLC1 expression appears to distinguish basal-like human breast cancer from the other molecular subtypes.
JENIS, BENTUK DAN CARA PENJENJANGAN KOPERASI
Authors: Huzain Hasriany
Published: March 2022

Koperasi sudah dikenal sejak lama oleh masyarakat Indonesia. Badan usaha yang menjalankan kegiatan usahanya berdasarkan atas asas kekeluargaan ini juga telah cukup banyak membantu meningkatkan perekonomian masyarakat dan pembangunan nasional. Sejak pertama kali diperkenalkan kepada masyarakat Indonesia, badan usaha koperasi telah mampu membantu masyarakat dalam meningkatkan kemampuan ekonominya melalui kegiatan-kegiatan usaha koperasi.
Manajemen Asuhan Keperawatan Jiwa Pada Ny. Y Dengan Masalah Harga Diri Rendah Kronis: Studi Kasus
Authors: Damanik Ira Agustyne
Published: March 2022

Gangguan jiwa adalah sekumpulan perilaku dan psikologis individu yang menyebabkan terjadinya keadaan tertekan, rasa tidak nyaman, penurunan fungsi tubuh dan kualitas hidup. Gangguan jiwa menimbulkan beban ganda bagi mereka yang menderita penyakit tersebut. Fungsi fisik, psikologis, kognitif, emosional, dan sosial sering terganggu oleh proses penyakit. Seseorang yang didiagnosis dengan penyakit jiwa sering kali harus mengatasi penolakan, penghindaran, dan bahkan kekerasan fisik yang disebabkan oleh makna budaya negatif yang terkait dengan gangguan jiwa
MAKALAH INDIVIDU(JENIS,BENTUK, DAN CARA PERJENJANGAN KOPERASI)
Authors: R Rizky Amaliyah
Published: March 2022

Koperasi merupakan gerakan ekonomi rakyat yang berdasarkan atas asas kekeluargaan. Koperasi di Indonesia saat ini telah berkembang dengan pesat karena para anggota-anggotanya yang terdiri dari masyarakat umum telah mengetahui manfaat dari pendirian koperasi tersebut, yang dapat membantu perekonomian dan mengembangkan kreatifitas masing-masing anggota.
KOPERASI SYARIAH DAN UMKM
Authors: Sari Nurintan Permata
Published: March 2022

Koperasi syariah adalah salah satu gerombolan swadaya rakyat yang bertujuan menjadi forum ekonomi warga buat membuatkan bisnis-bisnis produktif dan investasi dan menaikkan tingkat hidup menggunakan berdasar dalam prinsip syariah. Sedangkan, UMKM merupakan suatu bisnis atau usaha yang pelakunya perorangan, perkelompok, ataupun badan bisnis. Penggolongan pada UMKM terbagi tergantung dalam penghasilan atau aset yang dimiliki setiap tahunnya. Serta UMKM terbagi sebagai tiga bagian, yakni (mikro, mini , dan menengah).Pemberdayaan bisnis mikro, mini dan menengah (UMKM) dan Koperasi syariah adalah langkah yang strategis pada menaikkan dan memperkuat dasar kehidupan perekonomian berdasarkan sebagian terbesar warga Indonesia, khususnya melalui penyediaan lapangan kerja dan mengurangi kesenjangan dan taraf kemiskinan. Dengan demikian upaya buat memberdayakan UMKM wajib terencana, sistematis dan menyeluruh baik dalam tataran makro, meso dan mikro sinkron menggunakan prinsip syariah.
Can We Feel Ownership of an Agent’s Body in Virtual Reality? A mini-review.
Authors: Gkoumas Christos
Published: March 2022

From ancient years, the body has been the center of all sensations through which humans experienced and interacted with the outer world. Over the years, this idea hasn’t evolved much, giving rise to theories indicating the durability and rigidness of self-constructed body representations. However, numerous studies in the field of body distortions, out-of-body, and body ownership illusions have brought an end to this previously unquestionable belief. In this review, key experimental findings from these studies are presented and how they shaped the future of the field is explored. Recently, the digital revolution brought a new era to body ownership illusion research through the rise of immersive virtual reality. Since then, several studies have examined the role of virtual reality in the induction of body ownership illusions, focusing on aspects such as visuotactile and visuomotor stimulation, visual perspective, and virtual body appearance. Important findings from these studies are discussed, with conclusions being made with caution, and directions for future work are being proposed.
Job Preferences of Frontline Health Workers in Ghana - A Discrete Choice Experiment
Authors: Dunsch Felipe Alexander , Velenyi Edit
Published: March 2022

The lack of supply of adequately skilled and motivated health workers especially in rural areas poses a major obstacle to health service delivery in Ghana, as well as in many other developing countries. In this paper, we present the results of a discrete choice experiment (DCE) conducted with community health officers (CHO) and community health volunteers (CHV), which are extension workers that provide health services and consultations to mostly rural populations. CHOs and CHVs completed the cadre-specifi?c discrete choice experiment that elicited preferences for attributes of potential job postings. Data was collected from 404 CHOs and 206 CHVs in 8 Ghanaian districts in 4 regions. For CHOs, next to increases in salary, the choice of job posting was most strongly influenced by facility quality, followed by career development opportunities and transport subsidies. Additional supervision showed no effects. For CHVs, next to receiving a monthly stipend, facility quality was also most important, followed by training opportunities. We are corroborating the notion that other non-fi?nancial incentives can have strong effects on job preferences, for example the equipment of the facilities, which includes housing, as well as training and career development and training opportunities. Given that Ghana's health wage bill is already very high (in relative terms), this may open new policy avenues for health worker recruitment and retention to converge towards universal health coverage.
Rare presentation of extra-pulmonary tuberculosis of the cheek
Authors:   Associate Professor, Department of ENT, Head & Neck Surgery, Sri Ramachandra Medical College and Research Institute, Porur, Chennai-600116, India, Saravanam Prasanna Kumar , Singh Urvashi ,   Resident, Department of ENT, Head & Neck Surgery, Sri Ramachandra Medical College and Research Institute, Porur, Chennai-600116, India
Published: March 2022

Extra- pulmonary tuberculosis (EPTB) has become a rising health problem aided by a pandemic of Human Immunodeficiency Virus infection (HIV). It occurs in about 15%-20% of HIV negative immunocompetent individuals and a greater propensity to occur in those with HIV infection. It predominantly affects the lymphatics and other organ systems like – central nervous system, skeletal, pleural etc. Tuberculosis of the cheek is uncommon, and is usually associated with a concomitant oral lesion. Extra-oral Tuberculosis in the absence of an oral lesion, is a unique occurrence. Hence, it can pose a diagnostic challenge especially in a young immunocompetent individual. We therefore report a rare presentation and management of Extra-pulmonary Tuberculosis of the Cheek in an immunocompetent 26 year old male.
Patient Safety in paediatrics and neonatal medication
Authors:   Associate Professor, Department of Pediatrics, Government Medical College and Hospital, Sector 32, Chandigarh160030, India, Jain Suksham , Guglani Vishal ,   Professor & Head, Department of Pediatrics, Government Medical College and Hospital, Sector 32, Chandigarh160030, India
Published: March 2022

Patient safety needs to be addressed for better health services. This needs a stringent uniform regulatory system. Although, after 2013 Central Drug Standard Control Organisation, CDSCO has laid down regulations for clinical trial, stem cells research, compensation for morbidity and mortality in subjects in clinical trial. There has been data from India on medication errors and patient safety in pediatric, neonatal and anaesthesia setting, knowledge of health professionals on medication errors. Still regulatory body has not laid down standards of patient safety, its audit, insurance and compensation guidelines. Medication errors are prevalent in the hospital settings. Considerable attention to patient safety is not a regular component of medical education, and much research needs to be carried out to understand the causes, consequences, and prevention of healthcare-related adverse events. Pediatric population is three times more suseptible to such errors. Healthcare professionals working in neonatal wards are particularly susceptible to committing errors due to the peculiarities of newborn patients and of the neonatal intensive care unit (NICU) environment.
Primary Osteoma Cutis ‐ A case report
Authors:   Assistant Professor (Selection Grade), Department of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC & RI), Chennai, Tamil Nadu-600116, India, Moorthy Swathy , Yuvaraj Aravind ,   Post Graduate, Department of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC & RI), Chennai, Tamil Nadu-600116, India
Published: March 2022

Osteoma Cutis is a rare disorder characterized by spontaneous bone formation beneath the skin. The disease can be primary with no preceeding cutaneous lesions or secondary with an underlying cause of cutaneous ossification such as metaplastic reactions to inflammatory, traumatic or neoplastic processes. Osteoma cutis is most often a secondary phenomenon to local tissue alteration or pre‐existing calcification. Primary osteoma cutis is exceedingly rare. Here we present to you a case – a 25 year old gentleman presenting with multiple swellings in the form of hard nodules like calcified tumours of varying sizes over his scalp, extremities, subungual regions, and over almost all the bony prominences of his body since the age of 5 years. The biopsy findings were consistent with Osteoma Cutis. The possible causes for secondary subcutaneous ossification were ruled out with appropriate investigations. Henceforth diagnosing Primary Osteoma Cutis. It can be easily confused with Tumour Cacinosis, which can be differentiated with a biopsy.
Giant hydronephrosis of kidney mimicking ascites: A case report
Authors:   Professor, Department of Surgery, Kalpana Chawla Government Medical College, Karnal, Haryana-132001, India, Goyal Sunder , Aggarwal Rajesh ,   Department of Surgery, Deepak Hospital, Sarabha Nagar, Ludhiana, Punjab-141001, India, Goyal Snigdha ,   Ex Senior Resident, Department of Pathology, Dr. RML Postgraduate Institute of Medical Sciences, New Delhi, Delhi-110001, India
Published: March 2022

The giant hydronephrosis can rarely be large enough to mimicks as ascites. A patient was received with distended abdomen and was diagnosed clinically as ascites in which paracentesis revealed clear fluid and subsequently ultrasonological evaluation revealed a giant hydronephrosis of left kidney occupying almost whole abdomen. Such presentation of giant hydronephrosis is uncommon, So, we present this case in which percutaneous nephrostomy was done as initial treatment to savage the kidney function.
Anxiety due to dental procedures and treatment among adult patients attending outpatient clinics in King Abdulaziz University Hospital, Jeddah, Saudi Arabia
Authors:   Professor of Epidemilogy, Department of Family and Community Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, Ibrahim Nahla Khamis ,   Professor of Epidemilogy, Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt, Al-Jdani Maha ,   Fifth Year Medical Students, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, Al-Aamoudi Noor ,   Fifth Year Medical Students, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, Sukkar Samaher ,   Fifth Year Medical Students, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Published: March 2022

Background: Anxiety is an emotion experienced by most of individuals at some time during their life. Oral health is an essential component of the overall public health, while dental anxiety can lead to deterioration of such health. The purpose of the study was to determine the prevalence and predictors of dental anxiety among patients attending outpatient clinics of King Abdulaziz University Hospital (KAUH), Jeddah. Methods: A cross-sectional study was conducted among a sample of 231 adult patients who attended the outpatient clinics of KAUH, Jeddah, during the year 2013/2014. A standardized interviewing questionnaire was used and contained Corah’s Dental Anxiety Scale (DAS) was included. Results: The prevalence dental anxiety among participants was 50.6%. Females obtained a significantly higher mean DAS compared to males (Student's t-test = 3.78, p < 0.001). Dental anxiety was also higher among younger participants. Multiple linear regression model revealed that predictors of dental anxiety were the previous cancellation of dental appointment (t-test =2.998, p < 0.001, B = 2.998), followed by memorizing poor dental practice, gender and age. The highest percentage of severe anxiety was related to dental extraction (46.0%). Sweaty hands (56.1 %), fast breathing (21.5 %) & increased heart rates (13.6 %) were the commonest reported somatic manifestations accompanying visiting dentists. Conclusions: Dental anxiety represents a common problem among Saudi adults attending KAUH. Dental anxiety was predicted by cancellation of dental appointment(s), memorization of poor dental practice, gender and age. Enhancing awareness of the community about oral health and how to avoid dental anxiety through educational campaigns is recommended.
Women’s mental health campaign in East Sikkim
Authors:   Post-doctoral Fellowship in Addiction Medicine at NIMHANS, Bangalore, Rasaily Satish ,   Officer (OST), Singtam District Hospital, Sikkim-737101, India, Tobgay Jigmee ,   State Nodal Officer (Mental Health), Sikkim-737101, India
Published: March 2022

Mental illnesses affect women and man equally but differently with some mental illness more common in women [1,2] . Anxiety, depression, eating disorders, deliberate self harm, and other neurotic disorders are more prevalent among women owing to different roles and responsibilities in Society [2,3] . One in five women suffers with mental health problems in a lifetime. Women’s vulnerability to mental health problems are heightened during pregnancy and immediate postpartum period with 60 to 80 percent of mothers feels “baby blues.” About 1 in 10 mothers may experience more serious post-partum depression brought about by hormonal changes [4] .
Amyand’s Hernia- two case reports along with review
Authors:   Professor, Department of Surgery, Kalpana Chawla Gove rnment Medical College, Karnal, Haryana-132001, India, Goyal Sunder , Goyal Snigdha ,   Ex Senior Resident, Department of Pathology, Dr. RML Postgraduate Institute of Medical Sciences, New Delhi, Delhi-110001, India
Published: March 2022

An Inguinal hernia is called as Amyand's hernia if it contains a vermiform appendix in addition to other contents in its sac. Appendix can be inflamed or non-inflamed and can be adherent or not adherent to the sac walls. The first successful appendectomy was performed in 1735 by Claudius Amyand, a French surgeon. It is arguable, whether or not an appendectomy should be performed at the time of hernia repair if appendix is non- inflamed. We report two cases of amyand’s hernia.
Atrial Fibrillation induced by the Samsum Ant (Pachycondyla sennaarensis) sting: a case report and related literature review
Authors:   Al Baraha Hospital, Dubai, Ministry of Health, UAE, Naeem Kashif Bin , Madad Parwaneh ,   Al Baraha Hospital, Dubai, Ministry of Health, UAE, Razzaq Najiba Abdul ,   Al Baraha Hospital, Dubai, Ministry of Health, UAE
Published: March 2022

Ant allergy is rare but can cause severe life-threatening anaphylaxis mandating urgent treatment. Samsum Ant (Pachycondyla sennaarensis) is endemic in UAE and constitutes a public health hazard. It can cause mild skin reaction to severe anaphylaxis. Cardiac arrhythmias are rarely reported. We report a patient who presented with Samsum ant sting and developed transient atrial fibrillation in addition to anaphylactic reactions. The case report highlights the rare association with atrial fibrillation and reviews the related literature.
Giant primary hydatid cyst of spleen: rare case report with brief review of literature
Authors:   Professor, Department of Surgery, Kalpana Chawla Gove rnment Medical College, Karnal, Haryana-132001, India, Goyal Snigdha , Goyal Sunder ,   Ex Senior Resident, Department of Pathology, Dr. RML Postgraduate Institute of Medical Sciences, New Delhi, Delhi-110001, India, Bhardwaj Ankit ,   Department of Surge ry, BPS Govt Med College for Women, Khanpur, Sonipat, Haryana- 131305, India
Published: March 2022

Primary extrahepatic hydatid cysts are rare, and primary splenic hydatid cysts even more so, constituting 2% to 3.5% of all hydatid cysts. We did a retrospective study of four years from Jan 2011 to Dec 2014 and only 24 cases of hydatid cysts were recorded. There was only one case of splenic hydatid cyst. Diagnosis was made with the help imaging modalities like ultrasonography and/or contrast-enhanced computed tomography. Enzyme linked immunosorbent assay for hydatid antibodies tested were done to confirm the diagnosis. Surgery was the main stay of treatment after proper sterilization of cyst cavity.
Medication Package inserts, concept among doctors pharmacists and laypersons- A beneficial guidance or a source of confusion
Authors:   Research Fellow, Department of Pharmacology, Faculty of Pharmacy, Hamdard University Karachi, Karachi, Pakistan, Kafeel Huda
Published: March 2022

Increasing emphasis on the importance of the package insert we tend to designed a questionnaire to work out the perspective of physicians, pharmacists and laypersons of Karachi towards package inserts (PI) for medication data. The sample size of our study was 270 that embody ninety physicians, ninety pharmacists and ninety laypersons. The study explore the results of the survey that the majority of respondents (93.7%) are aware about the packaging Insert (PI) or showed the positive response about awareness to PI and (70.4%) aforementioned that they read the packaging insert (PI) before prescribing or taking the drugs. Out of 70.4% respondents who read the PI, (52.6%) listed “adverse effects” and (51.1%) listed “indications” as the principle section of interest, and show least interest (19.6%) in pharmacology. The quality and amount of knowledge offered within the PIs has been shown to influence patients’ compliance and satisfaction, wherever as solely 18.9% consider PIs just a source of confusion.
Infant feeding practices in urban and rural southern Katanga communities in Democratic Republic of Congo
Authors:   Department of Paediatrics, Faculty of Medicine, University of Lubumbashi, P.O.Box:1825, Lubumbashi, Democratic Republic of Congo, Lubala Toni Kasole , Mukuku Olivier ,   Department of Paediatrics, Faculty of Medicine, University of Lubumbashi, P.O.Box:1825, Lubumbashi, Democratic Republic of Congo, Mutombo Augustin Mulangu ,   Department of Paediatrics, Faculty of Medicine, University of Lubumbashi, P.O.Box:1825, Lubumbashi, Democratic Republic of Congo, Lubala Nina ,   Department of Paediatrics, Faculty of Medicine, University of Lubumbashi, P.O.Box:1825, Lubumbashi, Democratic Republic of Congo, Nawej Frank Nduu ,   Centre Medical du Centre Ville, Lubumbashi, Democratic Republic of Congo, Mawaw Paul Makan ,   Department of Public Health, Faculty of Medicine, University of Lubumbashi, P.O.Box: 1825, Lubumbashi, Democratic Republic of Congo, Luboya Oscar Numbi ,   Department of Paediatrics, Faculty of Medicine, University of Lubumbashi, P.O.Box:1825, Lubumbashi, Democratic Republic of Congo
Published: March 2022

Introduction: The results of previous scientific studies made in China and Vietnam have shown a big difference in feeding practices of children living in rural areas and those living in urban areas suggesting the influence of economic and socio-cultural factors. The aim of the study is to compare feeding practices of children under the age of five years between urban and rural areas in southern Katanga in the Democratic Republic of Congo (Central Africa). Methods: This is a cross-sectional and descriptive study of 1630 mother infant pairs recruited from 250 randomly chosen households from each of 5 different villages near the town of Lubumbashi and two urban areas (Lubumbashi and Kampemba). Results: The proportions of mothers who initiate breastfeeding within one hour after birth in urban and rural areas were respectively 48.3% and 46.0% (ORa: 1.32; CI95%: 1.01-1.72). 44.2% of the mother in urban areas exclusively breastfed their children until the age of 6 months versus 14.5% in rural areas (p<0.001). The average age of the children when they stopped breastfeeding was 16.4 months in urban areas versus 17.9 months in rural areas (p<0.001). 91.3% of first foods given in urban areas were cereals (p<0.001) versus 86.8% in rural areas. Conclusion: The study showed that mothers living in rural areas breastfeed longer than those who live in urban areas. Moreover, our results show that mother in rural areas use infant formulas and introduce solid, semi-solid or soft food sooner and more often than women in urban areas.
Some clinical and haematological effects of G6PD deficiency among individuals with sickle cell disorders in Kumasi, Ghana
Authors:   Department of Biochemistry and Biotechnology, College of Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana, Firempong C.K. , Nsiah K. ,   Department of Biochemistry and Biotechnology, College of Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana, Yeboah F. A. ,   Department of Molecular Medicine, School of Medical Sciences, KNUST, Kumasi, Ghana
Published: March 2022

Background: As to whether the presence of Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency ameliorates or worsens sickle cell disease (SCD) is still not clear. Aim and Objectives: This study was therefore aimed at investigating whether the presence of G6PD deficiency among SCD subjects (HbSS and HbSC) would have any significant impact on the severity of crisis and haematological indices. Subjects and Methods: A structured questionnaire was used to obtain information on the clinical state of the subjects. The qualitative methaemoglobin reduction method was used to screen for G6PD deficiency, followed by the measurement of some haematological indices. Results: The data showed that the different genotypes of SCD subjects had similar clinical features, voiding of darkened urine, frequency of crises and blood transfusion, p > 0.05. Statistically, the presence of G6PD-deficency among the HbSS and HbSC patients had no significant impact on their haematological indices (p > 0.05), except the glutathione stability, (p < 0.05). However, a statistically significant difference occurred between the haematological indices of the SS and SC patients (p < 0.05), with improved values in the SC subjects. The presence of the G6PD in the SCD population was quite low (6.49%) compared with other similar studies (8 - 30 %) among the general population. These findings strongly support some reports that SCD subjects with G6PD-deficiency do not show a compromised function due to the combined defects.
Developing Drug De-addiction Services in East Sikkim, Report by Singtam District Hospital
Authors:   Post-doctoral Fellowship in Addiction Medicine at NIMHANS, Bangalore, Rasaily Satish ,   Officer (OST), Singtam District Hospital, Sikkim-737101, India, Sharma Indra Lal ,   Associate Professor, Department of Psychiatry, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim737102, India, Tobgay Jigmee ,   State Nodal Officer (Mental Health), Sikkim-737101, India
Published: March 2022

According to World Drug Report, an estimated 250 million people between the ages of 15 and 64 had used at least one substance in 2014. Approximately 29million people are suffering with substance use disorder with 207,000 deaths in 2014 [1] . In the NHS, Cannabis (3%) and opioids (0.7%) were the commonest illicit substances prevalent in India. Data from Drug Abuse Monitoring Survey observes that cannabis (11.6%), heroin (11%), opium (8.6%) and other opiates (6.3%) constitute the majority of drug use by treatment seekers other than alcohol (43.9%) in India [2] . Alcohol and non–medicinal use of psychoactive substance use has become a matter of serious concern in Sikkim. From unofficial estimates alcohol use has traditionally been prevalent among Sikkim’s population which is reflected in the national surveys. In Sikkim, prevalence of licit substance (tobacco & Alcohol) use is more common than the use of illicit substances. NFHS-3 has revealed a very high prevalence of current alcohol use at 45%% and 19% for males and females respectively in Sikkim. These figures are much higher than the national average of 32% and 2% in males and females. There is an increase in trend towards current alcohol use in particular from NFHS-2 to NFHS-3 which may be due to greater availability, accessibility, affordability, and social acceptability [3,4] . Though Sikkim was declared a smoke free state, the Global Adult Tobacco Survey (GATS India 2010) reported the overall prevalence of current tobacco use was 42% higher than the national average of 35% [5] . However, there is a growing recognition that newer substances are becoming popular among the younger generation. Epidemiological data on illicit substances is scarce and it is hard to draw any conclusion about the recent trends in illicit substance use pattern in Sikkim.
Pai syndrome without cleft lip. A variation in the expression of the syndrome: A case report
Authors:   Auxiliary Professor, Department of Radiology, Matanzas Pediatric Hospital, 3000067 st. Postal Code 40100 Matanzas, University of Medical Sciences, Matanzas, Cuba, Moreno Víctor G. Ferreira , Fundora Ibis Sosa ,   Department of Otolaryngology, Matanzas Pediatric Hospital, 3000067 st. Postal Code 40100 Matanzas, University of Medical Sciences, Matanzas, Cuba, Boffill Sandra Domínguez ,   Department of Otolaryngology, Matanzas Pediatric Hospital, 3000067 st. Postal Code 40100 Matanzas, University of Medical Sciences, Matanzas, Cuba, Tallet Lázaro A. Vidal ,   Attending Physician and Consultant, Department of Pediatrics, Matanzas Pediatric Hospital, 3000067 st. Postal Code 40100 Matanzas, University of Medical Sciences, Matanzas, Cuba, Cordero Idanis Orea ,   Department of Otolaryngology, Matanzas Pediatric Hospital, 3000067 st. Postal Code 40100 Matanzas, University of Medical Sciences, Matanzas, Cuba, Gálvez Carlos A. Alonso ,   Department of Imaging, University Teaching Hospital, MatanzasMatanzas, Cuba
Published: March 2022

Pai syndrome is a rare disorder that includes midline cleft lip, pericallosal lipoma and cutaneous polyp of the face. It is a rare form of frontonasal dysplasia, first described in 1987. Only few cases have been reported in the literature. We report a case of perinatal diagnosis using cranial ultrasound. The aim of this paper is to describe the clinical and imaging features of a further patient with Pai syndrome.
Atherosclerotic background of disseminated teeth losses in sickle cell diseases
Authors:   Professor of Internal Medicine, Medical Faculty of the Mustafa Kemal University, Hatay, Turkey, Helvaci Mehmet Rami , Sahan Mustafa ,   Assistant Professor of Emergency Medicine, Medical Faculty of the Mustafa Kemal University, Hatay, Turkey, Arslanoglu Zeki ,   Assistant Professor of Pediatric Dentistry, Dentistry Faculty of the Mustafa Kemal University, Hatay, Turkey, Celikel Adnan ,   Assistant Professor of Forensic Medicine, Medical Faculty of the Mustafa Kemal University, Hatay, Turkey, Ayyildiz Orhan ,   Professor of Internal Medicine, Medical Faculty of Dicle University, Diyarbakır, Turkey, Muftuoglu Orhan Ekrem ,   Professor of Internal Medicine, Medical Faculty of Dicle University, Diyarbakır, Turkey
Published: March 2022

Background: We tried to understand whether or not there is an atherosclerotic background of disseminated teeth losses in sickle cell diseases (SCDs). Methods: All patients with the SCDs were included, and cases with disseminated teeth losses (< 20 teeth present) were detected. Results: The study included 434 patients (222 males). Mean ages were similar in males and females (30.8 versus 30.3 years, respectively, P>0.05). Smoking (23.8% versus 6.1%) and alcohol (4.9% versus 0.4%) were higher in males (P<0.001 for both). Although the relatively younger mean ages, the prevalences of disseminated teeth losses were higher both in males and females (5.4% versus 1.4%, respectively, P<0.001). On the other hand, transfused units of red blood cells in their lives (48.1 versus 28.5, P=0.000), chronic obstructive pulmonary disease (25.2% versus 7.0%, P<0.001), ileus (7.2% versus 1.4%, P<0.001), cirrhosis (8.1% versus 1.8%, P<0.001), leg ulcers (19.3% versus 7.0%, P<0.001), digital clubbing (14.8% versus 6.6%, P<0.001), coronary artery disease (18.0% versus 13.2%, P<0.05), chronic renal disease (9.9% versus 6.1%, P<0.05), and stroke (12.1% versus 7.5%, P<0.05) were all higher in males. Conclusion: SCDs are chronic inflammatory processes on vascular endothelium particularly at the capillary level, and terminate with accelerated atherosclerosis induced end-organ failures in early years of life. Although the relatively younger mean ages of the study cases, the higher prevalences of disseminated teeth losses in both genders are probably due to the disseminated endothelial damage, inflammation, and fibrosis both at arterial and venous systems of the oral mucosa, periodontium, and teeth in the SCDs.