bluuebunny/crossref_metadata_2025 huggingface dataset:
Desain Panduan Audit Tata Kelola Sistem Informasi Boost The Order (SIBORDER) di PT Telekomunikasi Indonesia Menggunakan COBIT 2019
Authors: Martinus Kezia Nadia Putri , Maria Evi , Chernovita Hanna Prillysca
Published: December 2021

PT Telekomunikasi Indonesia Tbk (Telkom) is engaged in information and communication technology and network services. Information technology (IT) plays an important role in PT Telkom's business processes, so it needs to be managed using the Control Objectives for Business and Related Technology (COBIT) framework. COBIT 2019 accommodates new IT trends in business, so that it can serve as a guide for auditors, users and management to bridge the gap between risk, control, and technical problems at PT Telkom, especially in the management of the Boost The Order (SIBORDER) Information System. IT governance audit is a control mechanism for SIBORDER management. Therefore, before conducting the audit, the auditor needs to make an audit plan to make it easier when allocating resources so that the audit is carried out effectively and efficiently. This research aims to design a SIBORDER governance audit guide using the COBIT 2019 framework. The design begins first, by identifying stakeholder needs, enterprise goals and weighting design factors. The results of stakeholder needs, namely optimizing risk and resources, while enterprise goals, namely EG01, EG05, EG06 and EG13, and the results of domain identification as focus areas, namely BAI 10, DSS 03, DSS 04 and DSS 05. Second, determination of information sources based on the RACI Chart. Third, the creation of an audit worksheet that contains a list of questions for the assessment of the selected domain and the schedule of audit implementation.
Pengembangan Aplikasi E-Reimbursement Karyawan Berbasis Android Pada PT Bringin Inti Teknologi
Authors: Widodo Yohanes Bowo , Anindya Aulia , Sutabri Tata
Published: December 2021

Aplikasi E-Reimbursement merupakan aplikasi online berbasis Android yang berfungsi sebagai sarana klaim atau reimbursement  karyawan PT Bringin Inti Teknologi. Kondisi pendemi saat ini yang mengharuskan karyawan dan atasan melakukan Work From Home demi mengikuti peraturan pemerintah. Hal tersebut membuat proses reimbursement bisa tertunda karna diperlukannya dokumen fisik dan tanda tangan basah di atas laporan. Namun dengan adanya aplikasi E-Reimbursement karyawan dengan mudah dan cepat dapat  melakukan proses reimbursement karena bisa dilakukan secara online. Aplikasi ini dikembangkan menggunakan Android Studio dan Bahasa pemrograman yang digunakan adalah Java serta sistem manajemen basis data menggunakan MySQL.Hasil yang diharapkan dari aplikasi ini adalah agar proses reimbursement dapat berjalan dengan cepat dan efektif tapi tetap disesuaikan dengan standar operasional perusahaan yang sedang berlaku saat ini. Diharapkan juga kedepannya tidak terjadi duplikasi penyimpanan arsip untuk dokumen reimbursement karena data reimbursement sudah tersimpan di database. Selain meminimalisir penggunaan ruang arsip yang berlebih, pencarian dokumen reimbursement  saat diperlukan bisa melalui database tanpa harus membuka dokumen fisik.
Analisis Perbandingan Serverless Computing Pada Google Cloud Platform
Authors: Barokah Ilmi , Asriyanik Asriyanik
Published: December 2021

Serverless computing menjadi paradigma tren baru di cloud komputasi, memungkinkan pengembang untuk fokus pada aplikasi inti logika dan aplikasi prototipe cepat. Serverless computing memiliki biaya yang lebih rendah dan kenyamanan yang diberikannya kepada pengguna yang tidak perlu fokus pada manajemen server. Karena prospeknya yang bagus Serverless computing, dalam beberapa tahun terakhir, sebagian besar vendor cloud utama telah meluncurkan platform komputasi tanpa server komoditas mereka. Namun, karakteristik platform ini belum dipelajari secara sistematis. Perlunya analisis platform ini secara kualitatif yaitu mulai dari pengembangan, penyebaran, dan aspek runtime untuk membentuk taksonomi karakteristik. Google Cloud Platform memiliki beberapa jenis serverless Computing, dalam artikel ini akan dijelaskan mengenai perbandingan antara beberapa Serverless Computing yaitu diantaranya Cloud Functions, App Engine, Cloud Run,dan Google Kuberenetes Engine (GKE).
The Impact of the Exchange Rate Volatility on Stock Markets Dynamics in Tunisia and Turkey: An Artificial Neural Network Analysis
Authors: Mechri Nesrine , De Peretti Christian , Ben Hamad Salah
Published: December 2021

The present research provides an overview of links between exchange rate volatility and the dynamics of stock market returns in order to identify the influence of several macroeconomic variables on the volatility of stock markets, useful for political decision makers as well as investors to better control the portfolio risk level. More precisely, this research aims to identify the impact of exchange rate volatility on the fluctuations of stock market returns, considering two countries that belong to the Middle East and North Africa (MENA) zone: Tunisia and Turkey. Previous works in the literature used very specified and short periods of study, many important variables were neglected, and most of the earlier research was concentrated on the developed countries. In this research, we integrate several control variables of stock market returns that have not been simultaneously studied before. In addition, we spread out our research period up to 15 years including many events and dynamics. Generalized Autoregressive Conditional Heteroskedasticity (GARCH) and multiple regression models are first employed. Then, an Artificial Neural Network (ANN) is used and compared with the results of the multiple regression. Hence, the results show that for both Tunisia and Turkey, exchange rate volatility has a significant effect on stock market fluctuations.
Is Duration of Endotracheal Tube Intubation Using a Video Laryngoscope Different with a Direct Laryngoscope in Elective Surgery Patients During Pandemic Covid-19?
Authors: Zaky Hasan  , Zulkifli  , Agustina Br Haloho  , Irfannuddin
Published: December 2021

Introduction: Aerosol box is a usefull tools to prevent aerosol and droplet contaminations during laryngoscopy and intubation in COVID-19 pandemic. Video laryngoscope is recommended during this era to increase the operator and patient’s distance during the procedure. However, many anesthesiologists still use direct laryngoscopes due to their availability and familiarity. This study aims to compare endotracheal tube intubation with video laryngoscope compared to direct laryngoscope in elective surgery patients.

Methods: This study was a quasi-experimental study. The sample size in each group (video and direct laryngoscope) was 35 subjects. The primary outcome of this study was to compare the duration of intubation between video laryngoscope and direct laryngoscope, while the secondary outcome was to evaluate complications such as broken teeth and sore throat 24 hours post intubation.

Results: Direct laryngoscope had shorter intubation duration than video laryngoscope [12.3 (8.9-21.0) vs 13.3 (11.4 – 21.6; p =0.07) respectively. Two complication reported on video laryngoscope groups.

Conclusion: Duration of ETT intubation using a direct laryngoscope was shorter during intubation with aerosol box compared to video laryngoscope in elective surgery patients. The box which was being used may limit the space of movement making it difficult to intubate.
Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) Patients Treated with Laparoscopic Neovaginal with The Davydov Procedure with Epidural Anesthesia: A Case Report
Authors: Putra Hadrians Kesuma , Amir Fauzi  , Ratih Krisna  , Aerul Chakra Alibasya  , Aidyl Fitrisyah  , Alia Desmalia
Published: December 2021

Introduction. MRKH syndrome is characterized by incomplete or absent of vaginal and uterine agenesis. Currently there are no official guidelines on the management of MRKH syndrome. This case report is about the operative management in MRKH patients by neovaginal with laparoscopic Davydov procedure.

Case presentation. A 26-year-old woman admitted that she had never had a period, the patient admitted that her breasts began to grow at the age of 13, and the patient was planning to get married, and refused to take further planning. The patient then came back to the RSMH urogynecology clinic after marriage, from the examination it was found that the pubic hole was ± 0.5 cm deep, speculum examination could not be done, the uterus could not be palpable from the rectal toucher. From the ultrasound examination, it was found that both ovaries were within normal limits and suspected uterine hypoplasia. Hormone tests were within normal limits, with the following values: LH 27.01 mIU / mL, FSH 57.08 mIU / mL, Estradiol 10 pg / mL, Prolactin 5.94 ng / mL. Patients with a history of atrial septal defect (ASD) and ventricular septal defect (VSD)

Conclusion. Treatment of MRKH syndrome patients is usually complex and requires multidisciplinary counseling, therapy, and management, so it is hoped that it can help patients to make a functional vagina. Further research and collaboration from various multidisciplinary make pregnancy in patients with MRKH syndrome, not impossible, along with current technological and scientific developments, the selection of surrogate mothers, and uterine transplantation is an option.
Critical Thinking Skills And Student Enthusiasm In Virtual-Based Learning For Thermodynamics Course
Authors: Farcis Fenno , Wijayanti Enny , Budi Gunarjo Suryanto , Dinata Pri Ariyadi Cahya
Published: December 2021

This study aims to determine the critical thinking skills and enthusiasm of prospective physics educator students in learning virtual-based thermodynamics courses. This type of research is a survey research that begins with the development of research instruments using a 4-D development model according to Thiagarajan consisting of 4 stages, namely: define, design, develop, and disseminate. The research subjects were 20 students of the physics education study program at the University of Palangka Raya in the Thermodynamics class. Collecting data using validation methods, evaluation techniques and student enthusiasmquestionnaires. Quantitative data were obtained from the results of critical thinking skills assessment and student enthusiasm questionnaires in the virtual-based thermodynamics learning process given at the end of the lesson. The data analysis technique used quantitative and qualitative descriptive inferential statistical test analysis. The results obtained are the test instrument for critical thinking skills learning outcomes and student enthusiasm questionnaire instruments in virtual-based thermodynamic learning that have been developed are included in the valid criteria, with Cronbach's Alpha reliability () 0.712 < 0.899 which is included in the high reliability criteria; 1) students' critical thinking skills are 87% with an average N-gain of 0.86 critical thinking skills which is in the high criteria; 2) student enthusiasm on average 91.7% students feel enthusiastic about thermodynamics learning that is carried out virtually, which can be seen from the aspect of student's intention to take part in learning by 95%, aspect of goal 90%, aspect of self-potential by 90% and positive thinking aspect by 91.7%.
Blade weapons from the necropolis of the Great Migration Period Karban I (Northern Altai)
Authors:   Altai State University, Barnaul, Seregin N. N. , Demin M. A. ,   Altai State Pedagogical University, Barnaul, Matrenin S. S. ,   Altai State University, Barnaul
Published: December 2021

The article presents the results of studying a complex of bladed weapons from the excavated objects of the burial-memorial complex Karban I. This site is located on the left bank of the Katun river, 1,7 km north-west of the Kuyus village, in the Chemal region of the Altai Republic. One dagger and four combat knives were found in four undisturbed burials of the Bulan-Koby culture. The morphological analysis of objects and the definition of analogies from the sites of Altai and adjacent territories made it possible to draw a number of conclusions about the general and special characteristics of the items and their relative dating. It has been established that the complex of bladed weapons from the Karban I necropolis reflects the distribution of items that appeared among the population of the Bulan-Koby culture under the influence of the late Xiungnu or early Xianbei military traditions.
The state of burial mounds in Ust’-Kalmansky and Loktevsky districts of the Altai Territory (monitoring results)
Authors:   Altai State Pedagogical University, Barnaul, Telegin A. N. , Golovchenko N. N. ,   Altai State Pedagogical University, Barnaul
Published: December 2021

The article publishes observations in 2020 and 2021 on the condition of burial mounds located on the territory of Ust’-Kalmansky and Loktevsky districts of the Altai Territory. The surveyed archaeological sites are located on two geographically similar, but significantly remote from each other territories, which gives us the opportunity to compare the state of the archaeological heritage of these areas. The comparison of the current state of the burial mounds was carried out with the results of mapping and monitoring of archaeological sites of Ust’-Kalmansky and Loktevsky districts carried out in 1991–1994 by P. I. Shulga and S. M. Sitnikov. The disappointing dynamics of the state of the objects of archaeological heritage of these territories has been traced.
Results of field studies among residents with Russian-Ukrainian ethnic identity in the regions of Russia
Authors:   Belgorod State University, Belgorod, Bublikov V. V. , Lyulya N. V. ,   Altai State Pedagogical University, Barnaul
Published: December 2021

The article examines the results obtained in the course of field research in 2020–2021 by members of the research team as part of a project to study multiple Russian-Ukrainian identity in a few regions of Russia. An integrated approach made it possible to conduct a quantitative and qualitative research due to the developed author's methodology for collecting information (2020 — interview, 2021 — questionnaire). The materials obtained allow us to speak of the specifics of ethnic self-identification (more than 40 formulations), with the identification of the reasons that influenced the formation of the Russian-Ukrainian identity, and also to consider the linguistic situation, in- terethnic relations among the Russian-Ukrainian population in five regions of Russia.
The Bianki Local History Museum of Biysk ethnography collection and exhibition in the 1920s.
Authors:   Independent researcher, Biysk, Kolyaskina E. A.
Published: December 2021

The article deals with the problem of the beginning of ethnographic collections in the first decade of the Bianki Local History Museum of Biysk, field research and exhibition techniques.
The practice of creating “places of memory” for the anniversary of the Altai Republic
Authors:   Gorno-Altai State University, Gorno-Altaysk, Tadina N. A. , Yabyshtaev T. S. ,   Independent researcher, Gorno-Altaysk
Published: December 2021

The analysis of the practice of creating "places of memory" in connection with the 30th anniversary of the formation of the Altai Republic is given on the basis of the collected field material. It is noted that society and government materialize memory establishing monuments, opening museums, organizing holidays and festivals. The fact of the installation of V. I. Chaptynov monument (the first head of the republic) forms a memorial landscape in the central park of Gorno-Altaysk — the capital of the republic. Attention is drawn to the fact that in order to understand the significance of famous personalities, political myths have been put together as a tool to influence public consciousness. The main objects of the mythologization of the regional political space are the local public figures’ biographical facts and the events of regional history.
Field research in the Krutikhinsky district (results of the 2021 field season)
Authors:   Altai State Pedagogical University, Barnaul, Golovchenko N. N. , Besetaev В. В. ,   Kazakhstan National University named after Al-Farabi, Almaty
Published: December 2021

The article is devoted to the introduction into scientific circulation of materials obtained during the field work of the Verkhneobsky archaeological detachment of the Altai State Pedagogical University in the Krutikhinsky district of the Altai Territory in the summer of 2021. In the course of the conducted research, the Maslyakhinskaya Hill was monitored. A bronze ring was found in the scree of its collapsing part. The ongoing archaeological supervision in the village of Krutikha allowed to expand the selection of fragments of the Russian ceramic complex from this locality. Copper-cast Old Believers’icons and a cross were obtained from local residents, which may tentatively date from the end of the XVIII — beginning of the XX century.
Evaluation of adherence of patients with atrial fibrillation to anticoagulant therapy at the outpatient stage of treatment
Authors: Sokolov A. V. , Lipatova T. E. , Reshetko O. V.
Published: December 2021

Despite clinical guidelines for the treatment of atrial fibrillation (AF) patient adherence to oral anticoagulants (OACs) in routine clinical practice remains low. Assessing the factors affecting adherence to the OACs regimen and developing strategies for its improvement is important. Aim. To assess the adherence of patients with AF to the prescribed anticoagulant therapy at the outpatient stage of treatment. Methodology. The object of the study was 165 patients with nonvalvular AF undergoing treatment in a specialized cardiology department or receiving outpatient treatment in a specialized cardiological dispensary in Saratov from February 2018 to December 2019. After 3, 6, 12 months, a telephone contact with the patients was carried out, a specially designed questionnaire was filled out, in which the anticoagulant therapy received by AF patients was reflected, the Morisky-Green questionnaire was filled out, the answers of patients about the reasons for skipping or stopping the administration of the OACs were recorded. Results. After 3 months. 16.6 % of AF patients replaced the OACs intake with antiplatelet agents, 16 % refused antithrombotic therapy; 43.1 % of AF patients were adherent to OACs. After 6 months. antiplatelet agents were taken by 24.5 % patients (p<0.05), 11.9 % completely stopped taking antithrombotic drugs; 30.8 % of patients were adherent to OACs (p<0.05). After 12 29,5 % patients replaced OACs treatment with antiplatelet agents, 7.6 % patients did not take any antithrombotic drugs; 31.8 % of AF patients were adherent to OACs. The most common reasons for a decrease in the adherence to OACs therapy were the cost of drugs, lack of understanding of the value of OACs administration in AF, and the lack of appreciable effect of OACs administration. Conclusion. At the outpatient stage of treatment, there was an insufficient level of adherence of AFpatients to OACs treatment.
Fluvoxamine Provide a Gastro-Protection Against Vitiated Insult
Authors: Sada W. Abdulqader  , Ibrahim M. Faisal  , M. G. Saeed  , Marwan M. Merkhan
Published: December 2021

The etiology of peptic ulcer disease is multifactorial and remains an enigma over the last decades. The central parameter is the acid secretion; whose control is under the coordination of gastrin, acetylcholine, histamine, and prostaglandin. The treatment of peptic ulcers is a bi-armed tool, directed toward fighting microbial growth alongside acid suppression. However recent studies reported failure of the therapy due to recurrence of symptoms. Therefore, additional parameters should be considered including patient mood and psychological status. The present study aimed to introduce a new approach to the therapeutic regimen of ulcer disease using commonly used antidepressant drugs (fluvoxamine and fluoxetine) in a laboratory animal model of peptic ulcer induced by stress insult to act as a mood upset model in an attempt to mimic mood changes in human. The study was conducted on 4 groups of laboratory animals using control negative and control positive (misoprostol) against the tested drugs group (fluvoxamine and fluoxetine group). The result confirmed that fluvoxamine confers gastroprotective effects against ulcer insult compared to both fluoxetine or misoprostol groups. These results might significantly mean that antidepressant drugs could be utilized in peptic ulcer diseases or added at low doses to prevent ulcer insults due to whatever precipitating factors, such as, infection, alcohol, smoking, NSAIDs, and stress ulcer.
The Effect of TROP2 Expression on Papillary Thyroid Carcinoma Development in Iraqi Patients
Authors: Sadik A. Abdullah
Published: December 2021

Background : Papillary Thyroid Carcinoma (PTC) is common type of the thyroid cancers, it’s onset in female at 30-50 years more than male and account for about 80% of all thyroid cancer cases . PTC diagnosis depend on histo-pathological finds of abnormal papillary architectures in the tissue as golden standerd of PTC diagnosis . Trophoblast cell surface antigen 2 (TROP2) is trans-membrane glycoprotein receptor ,encoded by Tacstd2 gene , observe in various cancer types specially epithelial cancers . TROP2 has the up-regulation ( overexpression) in cancer cells such as pancreatic , thyroid and ovarian cancers. Objective of the Study:It’s shown up-regulation of TROP 2 in PTC Iraqi patients by Immunohistochemical method.Materials and Methods: The current study done in Al-Yarmook Teaching Hospital from March 2020 to January 2021 , was included 30 cases of PTC patients and 30 healthy subjects , all of subject’s age were more than 30 years . This study depend on collect of paraffin embedded PTC biopsies then used Immunohistochemical method to examined the present of TROP2 in all cases.Results: This qualitative study shows significant expression of TROP2 in PTC patients compare with control groups .Conclusion: The current study demonstrate effect of TROP2 expression on PTC development
Efficacy of Serum Levels of Antioxidants in Oral Submucous Fibrosis Patients
Authors: Satyam Joshi  , Khushboo Desai  , Hemal Joshi  , Darshan Patel  , Neha Verma  , Riya Shah
Published: December 2021

Background and Aim: Serum total protein, albumin and uric acid are plasma’s potent antioxidant defense; it comes out convincing enough to be used as a reliable marker of oxidative stress in the body and could be helpful in the early identification of oral submucous fibrosis (OSMF), against the other invasive and not so cost effective diagnostic adjuncts. Hence the present study was aimed to compare the serum levels of total protein, albumin and uric acid in oral submucous fibrosis patients.Material & Methods: Patients were assigned to one of three groups: Group one consisted of 25 healthy individuals, Group two consisted of 25 individuals with chewing tobacco habit without OSMF, Group three consisted of 25 patients with chewing tobacco habit with OSMF. Participants were instructed to fast overnight. On the following day between 8 and 10 AM, 5 ml of venous blood was drawn from each subject using a sterile disposable syringe taking care to prevent hemolysis. Assay of albumin & total protein were carried out using the bromocresol green method and that for uric acid was carried out by biuret method.Results: Mean serum levels of Total protein decreased from group I to group III; difference was not found to be statistically significant. Serum levels of Albumin decreased from group I to group III; difference was found to be statistically significant (p < 0.05). Serum levels of Uric acid decreased from group I to group II; difference was found to be statistically significant (p < 0.05).Conclusion: Our findings suggest that the degree of oxidative damage in OSMF can be assessed by estimation of serum Total Protein, Albumin & Uric Acid levels in affected patients. Underlying deficiency of antioxidants can be corrected by dietary supplementation of these antioxidants. This may be helpful for successful management of OSMF and for avoiding the consequences of malignancy.
Inappropriate Use of Antibiotics among Children Under Five in Rural and Urban Communities of Cambodia
Authors: Sokontheavy Yong  , Kittipong Sornlorm  , Wongsa Laohasiriwong
Published: December 2021

Background: Inappropriate use of antibiotics is a major treat especially in low- and middle-income countries with antibiotic resistant. Cambodia with high prevalence of infectious diseases among children under five, antibiotics use in urban and rural setting has not been clearly identified. Therefore, this study aimed to investigate the situation of inappropriate antibiotic use among children under five in urban and rural communities of Cambodia.Methods: An analytical cross-sectional study was carried out in both urban and rural communities in Cambodia from September to November 2020 by structured questionnaire interviewed among 512 Cambodian caregivers on antibiotic use for the under 5 children.Results: Among 512 children, majority were males both in urban (55.6 %) and rural (50.3%) settings, with the median age of 29.5 (3:59) months in urban and 30.0 (3:59) months in rural. The prevalence of inappropriate use of antibiotics among children under five was 79.3% (95% CI = 75.55 to 82.60), of which it was 26.0 % in urban and 53.3% in rural. Most of the rural respondents (82.1%) use antibiotics for bacterial infection diagnosed by doctors. However, it was only 52.6% in rural areas. Similar proportion of 58.6 % in urban and 61.1 % rural used antibiotics for fewer days than prescription.Conclusions: Inappropriate use of antibiotics were found in more than 3 quarters of children under five, of which the proportion in rural areas were much higher than urban. The further investigation on factors contributing to inappropriate use of antibiotics should be conducted.
The Balanced Score Card in Improving Performance in the Health Care Sector: A Literature Review
Authors: Tirtana Brachnata  , Nur Wening
Published: December 2021

This paper is a literature review that discusses the use of the Blanced Score Card (BSC) to improve organizational performance, especially in the field of health services. The purpose of this study is to explore and connect theories from various studies. This paper identifies 21 articles with related topics published in the last decade. The results in this study indicate that BSC has been used in the health sector but is mostly used in the hospital sector, amounting to 87.5% (measuring performance against national standards and guidelines in the essential package of hospital services, assessing the quality of health services to strengthen health services in developing a country, integrated health care in hospitals, measuring service quality with the cost of patient care in the hospital, evaluate hospital performance, evaluation of the main performance of the hospital as an effort to achieve the hospital’s strategic goals efficiently) and in part small bada in the field of pharmaceutical services by 12.5% (measuring and evaluating the performance of pharmacies and stressing patient-centered services). While in other health service sectors there has not been any research that causes this cause based on this research it can be used to develop other research to examine the effectiveness of the use of BSC in the broader health service sector such as national health insurance, basic health services, or at the ministry or agency health.
Association between Cortisol and Infection Risk of Children with Acute Lymphoblastic Receiving Induction and Consolidation Chemotherapy in Dr. Soetomo General Hospital Surabaya
Authors: Tutwuri Handayani  , Dewa Gede Ugrasena  , Mia Ratwita Andarsini
Published: December 2021

Background: Mortality due to Infection associated therapy in acute lymphoblastic leukemia (ALL) children remains high, although therapeutic success and survival rate are substantially improving.Methods: This study used a pre and post-test group design for children aged less than 18 years with ALL newly diagnosed and receiving chemotherapy in pediatric patient of Dr. Soetomo hospital Surabaya.Results: The study involved 25 subjects, 10 subjects were male, average age ranged from 3 to 9 years. The high risk-ALL subjects were 15 (60%), hyperleukocytosis 4 (16%) subjects and 7 (28%) subjects with leukopenia. Statistical analysis showed a significant difference in decreasing cortisol levels in week-4 compared to week-0 (p <0.001) and an increased in cortisol levels between week-12 compared to week-10. The incidence of infection during induction phase is higher than the consolidation phase (40vs15). The relationship between the mean cortisol levels and the incidence of infection in general showed a significant difference in the induction phase of week-0 (p=0.029), week-4 (p=0.041), and week-6 (p=0.005).Conclusion: In the induction phase, there is an association between mean cortisol levels and the risk of infection, but there is no such association in the consolidation phase.
Assessment of Patients’ Satisfaction with Fixed Partial Denture and its Correlation with Patients’ Evaluation of Clinicians
Authors: Uswah Khan  , Pankaj Dhawan  , Piyush Tandan  , Meena Jain
Published: December 2021

Introduction: Patient satisfaction affects clinical outcomes, patient retention, and patient-centered delivery of quality health care. It is a very effective indicator to measure the success of doctors and healthcare organizations. Hence, the present study was designed to investigate the relationship between patients’ satisfaction with Fixed Partial Denture and their perception regarding their clinicians’ in a dental school in India.Methods: A cross-sectional survey was carried out among 250 patients attending the OPD of the Department of Prosthodontics of a dental college in Faridabad, India. Patients having atleast3 unit fixed prosthesis were interviewed regarding the demographic details, oral hygiene aids used, and dental care utilization. Patient satisfaction questionnaire and patients’ evaluation of dentist questionnaire was also administered. Data were statistically analysed using SPSS version 21.0 and significance was set at p<0.05Results: The overall PSQ score for the present study was 6.58+0.59. It was higher in males and increased with social class. Most of the patients agreed or strongly agreed with positive dentist conduct. There was a strong positive correlation between patient satisfaction scores and patient agreement with the dentist.Conclusion: The majority of patients were satisfied with the services received at the facility. Social class was associated with a difference in the level of patient satisfaction
Body Mass Index as an Indicator for Endometrial Biopsy in Premenopausal Women with Heavy Menstrual Bleeding
Authors: Wafaa Salah Abd-Al Amieer  , Lamees Adnan Shubber  , Shaymaa Mareai Qaddoori
Published: December 2021

Background: Although Obesity is a risk factor of endometrial hyperplasia/ carcinoma, there is no consensus on using the BMI as a predictor for endometrial biopsy screening in patients with heavy menstrual bleeding in pre-menopausal women. Therefore, it’s clinically important to identify BMI cutoff values as a predictor for endometrial hyperplasia/ carcinoma in premenopausal women with heavy menstrual bleeding.Aim of the Study: To determine the feasibility of using Body Mass Index (BMI) as an indicator to perform endometrial biopsy in premenopausal women presented with heavy menstrual bleeding.Patients & Methods: This is a cross-sectional study that was conducted in Obstetrics and Gynecology Clinic /Al-Emamain Al-Kadhemein teaching medical city in Baghdad where women 150 women who are 40-50 years old with heavy menstrual bleeding where sent for endometrial biopsy. 100 women had abnormal endometrial biopsy results, histopathological results of the abnormal endometrial samples were classified into following groups: hyperplasia without atypia, hyperplasia with atypia, and hyperplasia with atypia and cancer. Statistical analysis conducted to correlate The Body Mass Index (BMI) with the status of endometrial biopsy.Results: 42% of the women with BMI≥30 kg/m2 have hyperplasia with atypia or carcinoma compared to 10% of women who BMI<30 kg/m2 (p<0.001). from 54 women who had hyperplasia with atypia in endometrial sample results; 77.7% of such patients were BMI≥30 kg/m2. Receiver operating characteristic analysis shows that using BMI ≥30 kg/m2 as a predictor of hyperplasia with atypia or carcinoma carries a sensitivity of 80.77 % and specify of 86.00% with area under the curve (AUC) value of 0.83 (CI. 0.75-0.92) and (p<0.001). women with BMI≥30 kg/m2 has a relative risk (RR) of 3.98 of developing endometrial hyperplasia (without atypia or with atypia+carcinoma) and a relative risk (RR) of 4.11 of developing hyperplasia with atypia or carcinoma (p<0.001).Conclusion: Our results indicate that BMI regardless of the age is the highest risk factor for abnormal endometrial hyperplasia premenopausal women. Also, BMI≥30 kg/m2 has highest risk for developing endometrial hyperplasia with atypia or carcinoma. BMI≥30 kg/m2 can be used as predictor of endometrial hyperplasia in premenopausal women with heavy uterine bleeding.
The Protection of Traditional Knowledge of Medicinal Herbs for Just Health and Welfare Access for the Traditional Communities: A Comparison between India and Indonesia
Authors: Yenny Eta Widyanti  , Rahmi Jened  , Nurul Barizah
Published: December 2021

The purpose of this study is to identify a model in the protection of traditional knowledge (TK) of medicinal herbs by adopting a comprehensive protection instrument, comprising positive and defensive protection. Based on the regulation of TK in international conventions and the national laws, the best practice for the protection of TK of medicinal herbs is by implementing a sui generis regulation that stems from the principle of justice in fulfilling the traditional communities’ rights over access to health and welfare.
Face Validity of Gujarati Version of Lower Extremity Functional Scale (LEFS)
Authors: Disha A. Rupareliya  , Yagna U. Shukla
Published: December 2021

Background: Lower extremity functional scale (LEFS), originally developed by Binkley et. al in 1999,is a valid Patient rated outcome measure (PROM) for various musculoskeletal conditions. The scale isoriginally developed in English languageand has been translated and cross culturally adapted into manylanguages. In India, the scale is still applied in the original language, i.e. English, and also in its originalform. Hence, the need of the study is to find the face validity of Gujarati translated LEFS in accordancewith functional activities of Gujarati population.Methodology: Individuals referred to Physiotherapy clinic and having lower limb musculoskeletalcondition were screened for the eligibility. Those who fulfilled the inclusion and exclusion criteriawere included in the study. Face validity of Gujarati LEFS was calculated by asking the individuals tograde items of Gujarati translated LEFS according to 5-point Likert scale, including very important,important, relatively important, slightly important and unimportant, as how each item appear to themfor measuring lower extremity function.Results: Item impact score for each item was calculated from frequency and mean item importancescore. Item impact score of:· 15 out of 20 items was more than 1.5· 5 out of 20 items scored less than 1.5Results show statistically significant need to change the items of Gujarati translated LEFS.Conclusion: 5 out of 20 items in Gujarati translated LEFS needs to be modified/eliminated for itsimplication into Gujarati population.
Prevalence of Pelvic Girdle Pain During Menstruation and Its Co-Relation with Menstrual Hygiene Products
Authors: Disha Tejani  , Priti Chovatiya  , Akshita Shihora  , Himani Dave
Published: December 2021

Background and Purpose: Menstruation and menstrual hygiene females vary among females.Unhygienic menstrual practices sometimes result in adverse health outcomes during menstruationin women. During menstruation, women have many symptoms. Pelvic girdle pain is one of themusculoskeletal symptoms during menstruation. Pelvic girdle pain affects the activity of daily livingsand restricts movement. The purpose of this study is to find out the prevalence of pelvic girdle painduring menstruation and its co-relation with menstrual hygiene products.Methodology: Total 385 women with age groups between 18-30 years were included in the study.All participants were provided with a questionnaire that includes demographic data, a pre-structuredPerforma, and a pelvic girdle questionnaire. The most common symptoms of pelvic girdle pain arepain in the pelvic area, shooting, and aching pain that spreads throughout the lower body, includingthe upper thigh and perineum. The majority of females used disposable sanitary pads. There was a lowprevalence of pelvic girdle pain during menstruation and negative co-relation between pelvic girdlepain and menstrual hygiene products.Conclusion: Prevalence of pelvic girdle pain during menstruation is low among young adult femaleand participant those having a pain had complain of mild to moderate symptoms and there is a negativecorrelation between menstrual hygiene products and pelvic girdle pain.
First Ladies
Authors: Røstad Ingunn M.
Published: December 2021

From the fifth century to the Viking Age in present-day Norway, certain women belonging to the upper strata of society were buried with high-quality ornamental bow-brooches. Although adjusting to changing styles of decoration, the practical function and basic form of the brooches - rectangular headplate, bow and rhomboidal footplate – remained more or less the same throughout the centuries they were in use. By exploring burials which include these ornamental accessories, I argue that the brooches functioned as an important factor in reproducing and continuously negotiating identity shared by certain women within the Scandinavian Iron Age elite.
Social Transformations and Resilience
Authors: Pesch Alexandra
Published: December 2021

The amazing goblet known as the ‘Tassilo Liutpirc Chalice’ is one of the most significant archaeological objects from the eighth century AD. Surprisingly, the animal figures that adorn it have close parallels with the creatures of the Germanic Animal styles from the fifth century onwards. This paper explores the deeply-rooted traditions behind this, and the social, cultural and political mechanisms that sustained its continuity, transcending the boundaries of epochs and religions. It is argued that a supra-regional network of workshops was the driving force in the development of this sophisticated imagery.
Energy Decarbonisation and Primary Energy in the 21st Century
Authors: Brkić Vladislav
Published: December 2021

This paper emphasizes the role of primary sources of energy, primarily oil and gas in the future (so-called “energy mix”) with the expected trends in the future. The changes expected by the oil and gas sector in the 21st century have been underlined due to energy decarbonisation. There are intense discussions about the oil and gas future due to the effects of climate change and the announcement that oil is in the final phase of exploitation due to the high depletion of fields around the world. How are the big oil companies responding to these challenges and what are the trends of global energy consumption? In the 21st century, it is necessary to take in account all types of energy with the growth of renewable sources. In the meantime, natural gas is imposed as a bridge between fossil and decarbonised energy, and the trends in the gas segment in the world and in the Republic of Croatia will be emphasized as well. In addition, the new Croatian energy strategy must be aligned with changes in the oil and gas sector, as well as exploration and production of hydrocarbons. Carbon-free energy is still a long way, but the low-carbon energy period has begun.
The "Jesus-Mozi Dialogue" In The Revival of Mohism In The Republic Of China——Take Zhang Yijing, Wang Zhixin And Wu Leichuan As Examples
Authors: HUANG Jiaofeng
Published: December 2021

"Jesus-Mozi Dialogue" is an underflow in the revival of Mohism in the Republic of China. Since modern times, the intellectual circles have mostly taken Christianity as the "rational model" of Mohism. When it comes to the best reference for Christianity in traditional Chinese culture, Mohism is always used as an example, which has been discussed in the field of Mohism research. However, in the past, people still paid little attention to the church's view of the "Jesus-Mozi Dialogue" between Mohist School and Chinese Christians, which is a pity. This article attempts to discuss the various viewpoints of Zhang Yijing, Wang Zhixin, and Wu Leichuan on Mohism and "Mohist religion" as examples, and looks forward to giving a clear definition of the literature and the division of school attribution to the results of the "Jesus-Mozi Dialogue".
A Comparative Study of Density and Fineness in the Narratives of Chinese and Western Classical Novels
Authors: ZHAO Yanqiu , SUN Xu
Published: December 2021

Density refers to the number of story elements within a narrative of a given piece of writing. Fineness refers to the sufficiency and inherent completeness of the story elements displayed. In comparison, the density of story elements in ancient Chinese novels is higher, and the fineness is lower, while the density of story elements in Western novels is lower and the fineness is higher. This difference partly contributes to the simplicity and refinement of the structure of Chinese novels and the complexity and delicate nature of the structure of Western novels. However, each of these characteristics has its strengths, in line with the national culture and social framework from which the Chinese and Western novels emerged. As such, these elements found in both Chinese and Western novels can appropriately reflect the way of life of their respective societies and the thoughts and feelings of the people therein, both of which are worthy of recognition.
The contribution of susceptibility-weighted imaging (SWI) in the central nervous system superficial siderosis’ evaluation in 3 Tesla magnetic resonance imaging (MRI)
Authors:   Department of Radiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey, Güney Bünyamin , Yeniçeri İbrahim Önder ,   Department of Radiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey, Doğan Emrah ,   Department of Radiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey, Çullu Neşat ,   Department of Radiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey
Published: December 2021

Objective. The aim of this study is to evaluate the magnetic resonance imaging (MRI) findings of central neural system (CNS) superficial siderosis cases and the diagnostic contribution of the susceptibility-weighted imaging (SWI) sequence to conventional imaging. Method. TSE T2-weighted and SWI-MRI of 26 patients diagnosed as CNS-superficial siderosis (CNS-SS) were retrospectively evaluated with 3-Tesla MRI. The localization and type of involvement of SS were reviewed. Results. The CNS-SS were divided into two categories as central amyloid angiopathy-SS (CAA-SS) and non central amyloid angiopathy-SS (non-CAA-SS). In non-CAA cases, the involvement was typical (classic) in 5 cases and atypical in 9 cases. In 12 of these cases (85.7%), SS findings were observed on both turbo spine echo (TSE) T2 images and SWI imaging, while in 2 cases (14.3%) SS was detected only on SWI images. In 7 of the CAA-SS cases, involvement was focal type SS (58.33%), while 5 cases had diffuse type SS (41.67%) involvement. In the vast majority of cases (n = 10) of this type of SS, involvement was detected only in SWI images, while siderosis was not detected in TSE T2 images. In addition, occult cerebral vascular malformation accompanying SS, which can be observed only in the SWI sequence, was found in a total of 4 cases. In the cross-matching statistical analysis performed between CAA-SS and non-CAA-SS groups and subgroups, SWI was found to be significantly superior to T2 in detecting SS in the CAA-SS group (p:0,007). Conclusions. SWI imaging was superior in detecting SS and detecting cerebral occult vascular malformation in CAA-SS cases. Although the detectability of SS by SWI was high in other groups, no statistically significant difference was found. Under these circumstances, we think that it will be beneficial to add SWI imaging to the routine imaging protocol in cases with suspected CNS-SS.
Clinical characteristics and neurophysiology features of amyotrophic lateral sclerosis patients at Sanglah Hospital Denpasar
Authors:   Neurology Department, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia, Lastrawan I Made Odie , Arimbawa Komang ,   Neurology Department, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia, Pratiwi Ni Made Dwita ,   Neurology Department, Faculty of Medicine, Udayana University, Sanglah General Hospital, Denpasar, Indonesia
Published: December 2021

Background. Amyotrophic lateral sclerosis (ALS) is a one of motor neurons disease. The Incidents in Europe are 2.6 per 100,000 people per year and in the United States, more than 5,600 are diagnosed each year. The death was reportedly 2 per 100,000 people per year. In Sanglah Hospital there are no study that described the characteristics clinical and neurophysiology of ALS at Sanglah Hospital. Objective. To find the characteristics of ALS based on clinical and neurophysiology of ALS at Sanglah Hospital in terms of demography, clinical, Nerve Conduction Studies (NCS) and Electromyography (EMG). Methods. Retrospective descriptive study using medical records of patients in neurology polyclinic at Sanglah Hospital from January until December, 2018. Results. From 14 ALS patients with average age of 47 years old, men and women same amount, high school 71.4%, unemployed 50 %, and married 92.8%. Symptoms first appeared with an average age of 42 years with complaints of lower limb weakness 64.3%. The diagnosis of ALS with the symptom UMN and LMN on bulbar and 2 spinal region 71.4%, and symptom with the UMN and LMN on 3 spinal region 28.6%. Results of motor and sensory NCS were normal, type axonal and mixed neuropathy. Characteristics of EMG were PSW +4, fibrillation +4, MUAP: high amplitude (giant potential), widened duration, polyphasic phase, incomplete IP recruitment in all patients (100%) although in different muscles of the examined patient. Conclusions. Characteristics from 14 patients ALS in 2018 at Sanglah Hospital indicate that patients have a good prognosis.
Complex auditory impairment with peduncular hallucinosis due to pontine haemorrhage – a case report
Authors:   Stroke Unit, Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania, Negrilă Anca , Terecoasă Elena Oana ,   Stroke Unit, Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, Radu Răzvan Alexandru ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Interventional Radiology, University Emergency Hospital Bucharest, Bucharest, Romania, Cășaru Bogdan ,   Stroke Unit, Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania, Marinescu Andreea Nicoleta ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Radiology and Medical Imaging, University Emergency Hospital Bucharest, Bucharest, Romania, Tiu Cristina ,   Stroke Unit, Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: December 2021

Peduncular hallucinosis is a rare syndrome that develops with upper brainstem and diencephalon lesions. Patients complain of vivid hallucinations that usually occur in hypnagogic states but maintain critical appraisal. Pathological disruption of the reticular activating systems partially explains this clinical phenomenon. We report the case of a 47-year-old man presenting with peduncular hallucinosis associated with central auditory disturbance consisting of bilateral hypoacusis and left-sided paradoxical hyperacusis, secondary to a pontine haemorrhage.