bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of intracuff dexamethasone on incidence and severity of post operative sore -Prospective randomized study
Authors: Rajan Sunil , Narayani Naina , Paul Jerry , Kumar Lakshmi
Published: April 2021

Background and Aims:

Postoperative sore throat (POST) continues to be a common concern following endotracheal intubation. Objectives of the present study were to compare the effects of intracuff dexamethasone on the incidence and severity of POST, postoperative hoarseness of voice (POHV) and cough (POC).

Material and Methods:

This prospective, randomized, double blinded study was conducted in 60 patients undergoing short laparoscopic surgery lasting <2 h. Patients were randomly allocated into Group A and B. After intubation, endotracheal tube (ETT) cuffs were filled with saline in group A and with 0.1 mg/kg dexamethasone in group B. All patients received general anesthesia as per a standardized protocol. Incidence and severity of POST, POC, and POHV were assessed.

Results:

As compared to group A, the number of patients who had sore throat was significantly low in group B at 2, 6, 12, and 24 h (P < 0.001). Though more number of patients in group A had postop cough at all time points and postop hoarseness of voice at 2,6, and 12 h, the difference was statistically significant only at 2 h and 6 h for both. Severity as well as the incidence of POST, POC, and POHV showed a downward trend in both groups with time. In group B, no patient had POST after 12 h, POC after 6 h, and none complained of POHV in the postoperative period.

Conclusion:

Intracuff dexamethasone 0.1 mg/kg significantly reduces incidence and severity of POST, POC, and POHV which occur following general anesthesia with endotracheal intubation in patients undergoing short pelvic laparoscopic procedures lasting <2 h.
A survey of cardiopulmonary resuscitation in COVID-19 patients
Authors: Kapoor Mukul C. , Rao SSC Chakra , Dewan Rasesh , Böttiger Bernd W.
Published: April 2021

Background and Aims:

The novel coronavirus 2 (SARS-CoV-2) pandemic has placed severe resource constraints on hospitals. High mortality rates of the COVID-19 have overwhelmed the resuscitation services. The constant fear of virus infection during cardiopulmonary resuscitation (CPR) has placed severe restrictions on the resuscitation services. Reports of poor outcomes after CPR further dampened the spirits of CPR providers. Hence we surveyed CPR practices for COVID -19 patients across hospitals in India by health care providers.

Material and Methods:

An online survey using Google Forms was initiated to collect data on performance of CPR in diagnosed cases of COVID-19 after in-hospital cardiac arrest. The survey's web-link was publicized using social media, and participation sought of all personnel involved in CPR delivery in COVID-19 patients. The responses received were analyzed. The main outcome measured were determination of the percentage of COVID-19 patients discharged home who were administered CPR.

Results:

There were 248 responses from different parts of India. At the time of cardiac arrest, 194 victims had diffuse lung infiltrates, 22 had mild lung disease, while 32 had no documented lung lesion. Twenty-five victims had evidence of pulmonary embolism, 39 had cardiac involvement, and 3 had brain involvement. Return of spontaneous circulation (ROSC) was achieved in 59.27% of cases but ROSC sustained in only 22.59%. 7.25% of patients, who received CPR, could be discharged home.

Conclusion:

The survey has shown reasonable survival rates after CPR administration in COVID-19 patients suffering from IHCA. We should not ignore the need to maximize live outcomes after CPR, even in COVID-19 patients.
Effect of oral gabapentin premedication on hemodynamic parameters and postoperative pain in patients of laparoscopic cholecystectomy
Authors: Jain Richa , Kumar Mahendra , Singh Tanveer , Rautela R. S. , Kumar S.
Published: April 2021

Background and Aims:

Carbon dioxide (CO2) pneumoperitoneum created during laparoscopic cholecystectomy causes adverse hemodynamic changes such as rise in arterial pressure. The aim of this study was to assess the effect of oral gabapentin premedication on hemodynamic parameters in addition to postoperative nausea and vomiting (PONV) and pain in patients of laparoscopic cholecystectomy conducted under general anesthesia.

Material and Methods:

Randomly selected 60 American Society of Anesthesiologists (ASA) class I patients scheduled for laparoscopic cholecystectomy were premedicated with either gabapentin 1200 mg (Group GB) or placebo (Group PL) 2 h prior to induction of anesthesia. Anesthesia was induced with fentanyl, propofol, and vecuronium; and maintained with oxygen (33%), nitrous oxide (66%), and isoflurane (1%) with controlled ventilation. Hemodynamic parameters were recorded at various time intervals intraoperatively and during pneumoperitoneum every 10 min till 50 min. Postoperatively visual analog score (VAS) for pain, incidence of PONV, and sedation score were recorded for 6 h. The collected data were analyzed statistically by using repeated measures analysis of variance (ANOVA), Student's t test, Chi-square test, and Mann–Whitney U test.

Results:

Changes in mean BP, systolic BP, and diastolic BP from prepneumoperitoneum values were significantly less in group GB during pneumoperitoneum (P < 0.05) with no significant change in HR in both groups (>0.05). VAS score was significantly lower in group GB. The duration of analgesia and PONV free period were significantly higher in group GB (P < 0.01).

Conclusion:

Oral gabapentin premedication may be used to control hemodynamic parameters during pneumoperitoneum in patients undergoing laparoscopic cholecystectomy.
Anesthetic management and outcomes of patients with Steven-Johnson Syndrome—A retrospective review study
Authors: Ramsali Manjula V. , Puduchira Koshy G. , Maganti Sitaram P. , Vankaylapatti Sarada Devi , Pasupuleti Surender , Kulkarni Dilipkumar
Published: April 2021

Background and Aims:

Steven-Johnson Syndrome (SJS) is a rare and severe form of erythema exudative multiforme. Multisystem involvement in SJS and the suspicion of precipitation of the disease with exposure to anesthetic drugs makes anesthesia a challenging task. The concerns during anesthesia are the mucosal lesions and special care that is required to prevent injury to the oropharynx and larynx during airway management and also the drugs used for anesthesia. In the literature, very few isolated case reports or case series are available. Here, we have analyzed the cases of SJS coming for ophthalmic anesthesia, taking into consideration factors like mode of presentation, precipitating factors, associated diseases, types of anesthesia, anesthetic modifications, and various drugs used during anesthesia.

Material and Methods:

The electronic medical records of 497 cases of SJS who required interventions like ophthalmic examination or surgery (either under local or general anesthesia) over a period of 18 months were analyzed retrospectively. The records were reviewed to obtain the concerned details like anesthesia-inducing agents, muscle relaxants, inhalational agents, and analgesics. The problems concerned with monitoring and intubation were also noted. The data were analyzed and presented as frequency and percentage.

Results:

Patient age ranged between 9 months and 72 years. Many surgeries were conducted under general anesthesia (441) although a few required local (peribulbar block) anesthesia (56). The drugs administered for general anesthesia were sevoflurane, isoflurane, propofol, thiopentone, vecuronium, and atracurium and those administered for pain management were fentanyl, tramadol, butorphanol, and paracetamol. The patients who were sensitive to nonsteroidal anti-inflammatory drugs (NSAIDs) and paracetamol were not administered the same. None of the patients reacted adversely to the different drugs used for anesthesia.

Conclusion:

Identifying the precipitating factors, understanding the pathophysiology and its implications for anesthesia will help in successfully managing anesthesia in the rare cases of SJS.
Closed Reduction for Developmental Hip Dysplasia in Lately Diagnosed Walking Age Children
Authors: Alakkari Majdi , Alageli Nabil A.
Published: April 2021

Aim:

The aim of the study was to assess the success and possible complications of closed reduction (CR) treatment of developmental hip dysplasia (DHD) in late-diagnosed children and explores its relation to the acetabular index (AI) measurement prior to treatment.

Patients and Methods:

Twenty-three consecutive patients with dislocated hips, 16 unilateral and 7 bilateral (30 hips), were retrospectively included in the study. They were admitted to the specialist pediatric orthopedic unit of the University Hospital (Tripoli Medical Center) in Tripoli, Libya. There were 21 females and 2 males with an average age at diagnosis of 17 months (range from 14 to 31 months). Their average follow-up period was 3 years (2–5 years), and none of them received treatment prior to diagnosis. All patients received prior inpatient skin traction for at least 2 weeks followed by CR with soft tissue release (adductor tenotomy), hip spica applied and maintained for an average of 3 months. Patients who had a failure of reduction or resubluxation at follow-up went for open reduction and a reconstruction procedure.

Results:

CR was successful in 27 hips (90%), failed in 3 (10%) other, the average age of the successful reduction group was 20.5 months, while that of the open reduction group, it was 23 months (P = 0.25). The average AI of the CR group was 39.0°, while that of the open reduction group, it was 42.7° (P = 0.15); 6.7% of patients with an AI of <40° had a failure of CR, while 16.7% of an AI of >40° had a failure of CR of the hip (P = 0.46). No complications of treatment were recorded at follow-up.

Conclusion:

Staged CR of DHD in older children in the hands of experienced specialists is still a valid means of their treatment, especially in developing countries with limited resources. There is a relatively higher failure rate of CR, the older the child is and the higher the AI.
TREND, DIRECTION AND PERFORMANCE OF AFGHANISTAN’S INTERNATIONAL TRADE
Authors: Ashrafi Sayed Ahmad Rashid , Kalaiah Vishwanatha
Published: April 2021

Afghanistan is at a strategic location which acts as an important corridor in Asia and connects powerful industrial economies such as India and China to Northern Asia and to Europe via dry and seaways and vice versa through the Lapis Lazuli Corridor, Chabahar port and other corridors. The study asses to perceive the performance and trend of Afghanistan’s export and import. Moreover, the study points out to the destinations of Afghanistan's exports by regions and origin of Afghanistan’s imports by regions. The paper descriptively concentrates on direction, trend, and performance of the Afghanistan trade. The data is retrieved from numerous secondary sources encompass National Statistic and Information Authority and Ministry of Trade and Industry of Afghanistan. The period selected is from 2002 to 2018. Moreover, the research is based on quantitative data and descriptive statistics have been used to analyze the trend and direction of the Afghanistan trade. The study shows that there is an ascending direction of Afghanistan's export to Emerging and Developing Asian Economies majorly includes Pakistan, India and Bangladesh, while it indicates a descending export direction to Advanced Economies, Commonwealth Independent States, Middle East, and European Nations. Furthermore, Afghanistan's import shared with the regions is in an unstable form.

JEL Classification Codes: F1, F10, F19.
Akram Khan’s Approaches to Biblical Sources in His Tafsīrsoho Qur’an Sharif
Authors: Khaled Mohammad Ataullah
Published: April 2021

This paper examines, following an analytical and descriptive methodology, Akram Khan’s approaches towards Biblical sources in his commentary on Qur’an known as Tafsīrsoho Qur’an Sharif (The Noble Qur’an with Tafsīr), and, thereby, intends to understand his methodology in Qur’anic exegesis. Akram Khan denies the acceptance of Biblical sources more than once in his work. Even he attacks on authors and narrators who narrated, or allowed them in their works or showed a positive approach towards them. Akram Khan’s rigorous stance against Biblical narratives and strong criticism of the exegeses who allowed those sources in their works can often lead to the assumption that he simply does not find Biblical sources reliable, like many classical and modern writers. But a close inspection reveals that it is not the soundness and validity of Biblical sources what makes him reject them, rather it is more about his preference of reason and rationalism.
Optimizing Operating Room Throughput
Authors:   , Brendel Amanda
Published: April 2021

Practice Problem: Throughput is an instrumental aspect for hospitals to maximize patient capacity; therefore, methods to improve patient flow should be consistently implemented. Surgical areas are a major contributor to inpatient admissions and the subsequent revenue; however, without the appropriate oversight, patient throughput can be negatively impacted. PICOT: The PICOT question that guided this project was: In operating room patients who require inpatient admission (P), how does the implementation of a standardized bed flow process (I), compared to the current methods for care transitions (C), reduce perioperative delays and improve hospital financial metrics (O), over a three-month period (T)? Evidence: A review of the evidence revealed that streamlining operating room throughput was essential to the quality of clinical care and patient safety as well as to improve efficiencies associated with patient volumes, lengths of stay and hospital census. Intervention: A dedicated bed flow manager was implemented in the project setting with the overall goal to enhance throughput measures within the operating room. Outcome: While the intervention did not achieve statistical significance as determined by the data analysis, the results did demonstrate clinical significance as the organization was able to maximize capacity and throughput during the Covid-19 pandemic. Conclusion: The addition of a dedicated surgical bed flow manager was beneficial to the optimization, standardization and systemization of the perioperative throughput process.
Early Identification of Sepsis: A Nurse Driven Protocol to Reduce Morbidity, Mortality and Hospital Costs
Authors:   , Biju Ruth
Published: April 2021

Practice Problem: About 270,000 people die from sepsis every year, which is one person every 2 minutes, more than prostate cancer, breast cancer, and AIDS combined. It was identified that the organization had a good process in place for the treatment of severe sepsis but no process for early assessment of worsening symptoms of sepsis. PICOT: The PICOT question that guided this project was: In adult inpatients (P), does the use of a nurse-driven sepsis screening tool (I) compared to not using a screening tool (C) affect early identification and treatment of sepsis (O) within an 8-week period (T)? Evidence: Ten high-quality studies that met the inclusion criteria which supported using a nurse-driven sepsis identification tool, were identified. The evidence demonstrated utilizing the tool, education of staff, and integration of the tool into the Electronic Health Record were key factors for a successful project. Intervention: Staff were trained on the Severe Sepsis Identification tool and utilized the tool in the EHR with the goal of reducing the number of patients developing severe sepsis when admitted to the hospital for any diagnosis. Outcome: The evaluation of the outcome measures indicated that the number of patients who developed severe sepsis decreased from 12, pre-implementation to 1 post-implementation. The number of those patients for whom the physician was notified within 30 minutes which is the standard notification time for the organization for any change in patient condition improved from 19 pre-implementation to 27, post-implementation. Chi-square test showed a p-value of 0.001 demonstrating statistical significance in using the Severe-Sepsis Identification Screening tool to reduce the number of patients developing severe sepsis, whereas the p-value for physician notification times was 0.015 which revealed statistical insignificance in using the tool. Conclusion: The implementation of a nurse-driven severe-sepsis identification tool for early identification of sepsis decreased the number of patients who developed severe sepsis and provided evidence for the clinical significance of the intervention.
EXAMINATION OF ATTITUDES OF SPECIAL EDUCATION TEACHERS TOWARDS CHILD NEGLECT AND ABUSE REPORTING IN TERMS OF DIFFERENT VARIABLES
Authors: Değirmenci Fatima Şenda , Nuri Cahit , Direktör Cemaliye
Published: April 2021

In this study, the attitudes of special education teachers working in various schools in the Turkish Republic of Northern Cyprus towards reporting child neglect and abuse were examined according to various variables. In accordance with this purpose, 86 special education teachers participated in the study. A personal information form and a "teacher attitudes towards the reporting of child abuse and neglect" survey were applied to the participants. Four out of ten of the participating teachers indicated that they received education on child abuse, and nine out of ten stated that marrying a child younger than 18 should be considered as an abuse. On the other side, one in six teachers stated that they had been abused as children. In the matter of responding to reports of child abuse and neglect and meeting the need, teachers do not find the current system effective and adequate. When the responses of the teachers to the survey were examined, it was observed that they thought it was significant for teachers to fulfill their obligation of notification to reduce and prevent child abuse and neglect in the long run. As a result, it is important for teachers to have knowledge of the legal legislation on abuse of children, what civil and public institutions they can reach on this issue and what common activities can be carried out with them, what reactions they can give in times of crisis or critical situations, and how they can guide people. In-service training on the related issues can be shown as a requirement.

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Plyometric Double Leg Tuck Jump: Pengaruhnya Terhadap Power Otot Tungkai Atlet Bola Voli
Authors: Sutimin  , Muhamad Syafei  , Didik Rilastiyo Budi  , Kusnandar  , Topo Suhartoyo  , Panuwun Joko Nurcahyo
Published: April 2021

Metode latihan merupakan faktor penting dalam pembinaan olahraga prestasi, pelatih dapat memaksimalkan potensi atlet apabila mampu menerapkan metode latihan dengan tepat. Metode latihan yang dapat diterapkan pada permainan bola voli yaitu bentuk latihan plyometric double leg truck jump. Tujuan dari penelitian ini yaitu untuk menganalisis perbedaan pengaruh latihan plyometric di pasir dengan di tanah terhadap peningkatan power otot tungkai atlet bola voli pelajar. Jenis penelitian ekperimen dengan desain two group pretes-postest desigen, jumlah sampel 24 orang atlet dan menggunakan instrumen penelitian vertical jumpt test. Analisis data menggunakan uji t. Hasil penelitian menunjukan terdapat pengaruh yang signifikan setelah atlet melakukan latihan plyometric double leg truck jump dengan p=0,000, terdapat perbedaan pengaruh latihan plyometric double leg truc jump di tanah dan pasir dengan p=0,000. Metode latihan plyometric double leg truck jump di pasir meningkatkan power otot tungkai lebih baik daripada latihan di tanah dengan perbedaan skor sebesar 9,4%. Sehingga direkomendasikan untuk melakukan latihan plyometric double leg truck jump di pasir untuk meningkatkan power otot tungkai atlet bola voli pelajar.
Studi Analisis Partisipasi Masyarakat Dalam Berolahraga Di RTH Se-Kabupaten Banyuwangi
Authors: Januar Ramadan  , Galih Farhanto  , Wawan Setiawan
Published: April 2021

Olahraga merupakan salah satu aktivitas fisik maupun psikis seseorang yang berfungsi untuk meningkatkan dan menjaga kualitas kesehatan seseorang sesudah melakukan olahraga. Aktifitas olahraga tanpa disadari atau sadar sering dilakukan dimana-mana. Olahraga yang biasanya dilakukan oleh masyarakat di RTH adalah olahraga Jogging atau lari-lari kecil, ada juga yang melakukan olahraga sepak bola, dan lain-lain. Ruang Terbuka Hijau (RTH) adalah area yang memanjang berbentuk jalur dan atau area mengelompok yang penggunaanya lebih bersifat terbuka, tempat tumbuh tanaman, baik yang tumbuh secara alamiah maupun yang tumbuh sengaja ditanam. Keadaan RTH di Banyuwangi sering digunakan masyarakat untuk melakukan kegiatan-kegiatan olahraga dan sebagainya, dan ada juga masyarakat Banyuwangi yang datang ke RTH untuk berekreasi bersama keluarganya. Dikabupaten Banyuwangi terdapat beberapa RTH, salah satunya RTH Singojuruh, RTH Maron, dan RTH Bajulmati. Penelitian ini termasuk penelitian deskriptif kualitatif. Untuk mengetahui tingkat partisipasi masyarakat berolahraga dilakukan observasi dan wawancara. Hasil penelitian menunjukkan partisipasi masyarakat dalam berolahraga di Di RTH Singojuruh terdapat 61%  yang melakukan olahraga berkategori tinggi, di RTH Maron terdapat 67% yang melakukan olahraga berkategori tinggi, sedangkan di RTH Bajulmati terdapat 37% yang melakukan olahraga berkategori rendah.
Analisis Biomekanika Akurasi Tendangan Sudut Berdasarkan Variasi Titik Impact
Authors: Aldino Ariwijaya  , Arya T Candra  , Ach. Zayul Mustain
Published: April 2021

Tendangan sudut merupakan salah satu faktor penentu terciptanya sebuah gol dalam permainan sepakbola. Akurasi merupakan salah satu indikator penentu terkait kualitas dari sebuah tendangan sudut itu sendiri. penelitian deskriptif kuantitattif ini dilakukan dengan menggunakan teknik tes dan pengukuran. Tujuan dari penelitian ini adalah untuk mengkaji tingkat akurasi tendangan sudut berdasarkan variasi titik impact. Berdasarkan hasil analisis data, tingkat akurasi tendangan dengan 4 variasi yaitu titik a, titik b, titik c, dan titik d dari sisi kanan gawang. Dari masing-masing variasi dengan jumlahpeserta 20 orang sebanyak 12 orang (60%) yang memiliki akurasi tendangan yang baik pada tendangan titik a, sebanyak 13 orang (65%) yang memiliki akurasi tendangan yang baik pada tendangan titik b, sebanyak 11 orang dengan presentase (55%) memiliki akurasi baik pada tendangan titik c, dan sebanyak 7 orang dengan presentase (35%) yang memiliki tingkat akurasi yang baik pada tendangan titik d.
THE FIRST PERIOD OF INDEPENDENT PRESS IN TURKESTAN (1906-1908)
Authors: Abdirashidov Zaynabidin
Published: April 2021

Туркистонда миллий матбуотнинг шаклланишига туртки бўлган омиллар орасида Исмоил Гаспринскийнинги “Таржимон” газетаси катта рол ўйнади. “Таржимон” ўз саҳифаларида Туркистоннинг кун тартибидаги муаммоларини ёритиш билан бир қаторда маҳаллий зиёлиларни танитишга ҳам хизмат қилди. ХХ асрнинг бошларида Туркистонда шаклланган янги мустақил матбуотнинг биринчи даври 1906-1908 йилларни қамраб олади.Мақолада Туркистон матбуотининг шакланиши, уларнинг асосий йўналишлари таҳлил қилинган. Шунингдек, миллий матбуот ва журналистиканинг ривожига тўсиқ бўлган муаммолар давр нуқтаи назаридан ёритилган. Миллий матбуотнинг асосий муаммоси сифатида молиявий жиҳат ҳамда обуначи масаласи бўлганлиги фактик далиллар орқали очиб берилган.
COVERAGE OF ISSUES OF NATIONAL LANGUAGE AND ORTHOGRAPHY IN THE WORKS OF ASHURALI ZAHIRI
Authors: Abdulkhamid Djumanov
Published: April 2021

Мазкур мақолада Ашурали Зоҳирийнинг миллий тилга бўлган эътиборсизликнинг сабабаларини ўрганиш устида олиб борган изланишлари ҳақида сўз боради. Маърифатпарвар олим ўзбек тилининг назарияси, имло қоидалари бўйича китоблар ва дарсликларнинг йўқлигига алоҳида аҳамият қаратгани ва уларни яратиш борасидаги амалий фаолиятига урғу берилади.
THE INVALUABLE CONTRIBUTION TO EDUCATION
Authors: Xamrakulova Nazokat
Published: April 2021

Джадиды выступали за проведение реформы старометодных школ, нововведения в быту, образовании и культуре. Они стремились коренным образом преобразовать школьную систему. По мнению джадидов, для достижения этого были необходимы непрерывная просветительская деятельность, создание новометодных школ, национального театра, передовой печати и литературы, с помощью которых можно было коренным образом изменить самосознание народа, привить в нем высокие чувства патриотизма и свободолюбия.
BEHBUDIY AND THE STUDY OF BEHBUDIY
Authors: Tashmuxamedova Latofat
Published: April 2021

Ушбу мақолада Туронзаминнинг энг ардоқли фарзандларидан бири бўлган Маҳмудхўжа Беҳбудий фаолияти, ижодий мероси фактлар, далиллар асосида ўрганилган.
PENGARUH LINGKUNGAN KERJA DAN KARATERISTIK INDIVIDU TERHADAP MOTIVASI KERJA DAN KINERJA KARYAWAN CV. AINUN BATARA GURU
Authors: Haslindah Andi , Idrus Ilham , Saldi Saldi
Published: April 2021

Sumberdaya manusia merupakan satu aset yang paling berharga yang dimiliki oleh suatu instansi, organisasi atau perusahaan, karena keberadaannya sangat menentukan terhadap dinamisasi mobilisasi perusahaan. Bagaimana karakteristik individu mempunyai pengaruh terhadap Motivasi kerja dan kinerja karyawan CV.Ainun Batara Guru dan Bagaimana lingkungan kerja mempunyai pengaruh terhadap Motivasi kerja dan kinerja karyawan CV.Ainun Batara Guru. Dalam  penelitian ini peneliti menyebarkan kuisioner sebanyak 30 responden yang disebarkan secara random ke karyawan/pekerja CV. Ainun Batara Guru. Menggunakan metode Kuantitatif dan didapatkan hasil Terdapat pengaruh Lingkungan Kerja terhadap motivasi kerja dan kinerja karyawan, Terdapat pengaruh karakteristik individu terhadap motivasi kerja dan kinerja karyawan, Terdapat pengaruh secara simultan lingkungan kerja dan karakreristik individu terhadap motivasi kerja dan kinerja. Dengan kesimpulan bahwa terdapat pengaruh lingkungan kerja dan karakteristik individu terhadap motivasi kerja dan kinerja karyawan pada CV.Ainun Batara Guru serta Lingkungan kerja dan karakteristik individu memberikan  pengaruh secara bersama terhadap motivasi kerja yaitu sebesar 24,3% dan kinerja sebesar 28,3%.
ANALISA PENILAIAN KELAYAKAN JAMINAN DALAM PENGAMBILAN KEPUTUSAN KREDIT UMKM PADA LEMBAGA KEUANGAN DI INDONESIA
Authors: Kurniawan Aris
Published: April 2021

Peneliti mencoba menjelaskan tentang jaminan kredit yang umumnya diterima perbankan khususnya pada segment kredit UMKM, penulis berusaha menjelaskan secara best practice terkait jaminan kredit, penilaian jaminan kredit dan jenis jaminan yang umumnya dihindari oleh perbankan. Objek dalam penelitian ini adalah bank yang melayani pembiayaan atau kredit khususnya segment UMKM baik bank pemerintah maupun bank swasta. Metode penelitian yang digunakan deskriptif kualitatif. Sumber data yang yang digunakan adalah data-data yang penulis peroleh dari web resmi bank yang dijadikan objek penelitian. Disamping itu penulis juga mengumpulkan brosur beberapa bank, data pendukung lainya adalah buku pedoman kebijakan kredit yang penulis miliki dimana penulis pernah bekerja pada beberapa bank tersebut. Untuk melengkapi informasi dan data penulis juga melakukan wawancara dengan beberapa marketing bank. Hasil Pembahasan dalam penelitian ini menjelaskan jenis jaminan yang umumnya diterima perbankan adalah tanah dan bangunan, tanah kosong, kios, kendaraan bermotor roda 2 dan 4 serta deposito. Untuk LTV (Loan To Value) atau rasio besarnya pinjaman dibandingkan dengan jaminan yang diberikan antara lain tanah kosong maksimal 70-80%, tanah dan bangunan maksimal 80%, kendaraan bermotor maksimal 60-70% dan deposito maksimal 90%. Adapun jaminan yang umumnya dihindari oleh perbankan untuk tanah dan bangunan adalah, jaminan yang diperuntukan untuk jalur hijau, lebar jalan kurang dari satu meter, dibawah aliran listrik bertegangan tinggi, dibantaran kali arus deras, tanah dalam sengketa, tanah dan bangunan yang peruntukan dan dipakai untuk fasilitas umum dan kegamaan dan lain-lain.
İmgesel Yapılarda Müzik ve Geometri Kesişimi; Iannis Xenakis Örnekleri Üzerinden İnceleme
Authors: ÇOLAK Burcu Buram , İLERİSOY Zeynep Yeşim , SOYLUK Asena
Published: April 2021

Disiplinler arası olan mimarlığın müzik ile ilişkisi tarih boyunca sorgulanmıştır. Her iki disiplinin matematik kurgularının kendine özgü olmasının yanı sıra derinlemesine incelendiğinde bu kurguların alt taban verilerinin aynı kaynaktan geldiği görülmektedir. Çalışma kapsamında; müzik mimarlık ilişkisi müzisyen bir mimar olan Iannis Xenakis ’ın tasarlamış olduğu örnekler üzerinden; müzik ile mimarlık ilişkisinin nasıl kurulduğunun anlaşılması için yapı künyeleri oluşturulup, mimari özellikleri ve tasarım yaklaşımları araştırılmıştır. Daha sonra oluşturulan tablolar yardımıyla çalışma kapsamında incelenen örnekler belli başlıklar altındaki parametreler aracığıyla irdelenmiştir. Müzik ve mimarlık disiplinlerinin ara kesitindeki temel kriterler; mimarlık ve müzikte kompozisyon ile ilgili temel kavramlar, tasarım yaklaşımda vurgu, mimarlık ve müziğin tasarımdaki kurgusu, tasarımın çıkış noktası, müzik ve mimarlık ilişkisi kompozisyonu oluşturmada kullanılan yapı elemanları şeklinde ana başlıklarda toplanmıştır. Bu ana başlıkların alt başlıkları olarak ortak parametreler doğrultusunda irdelenen örnekler üzerinde müzik ve mimarlık ilişkisini tasarımda kurgularken nelere dikkat edildiği, tasarım amacına uygun olarak hangi kriterlerin ön plana çıktığına dikkat çekilmesi hedeflenmektedir. Sonuç olarak; mimar bir müzisyen olan tasarımcı Iannis Xenakis ’ın yapılarında müzik ile mimarlık ilişkisini kurgularlarken kullandığı parametrelerin neler olduğunun ortaya koyulması sağlanarak bir yapıda müzik ile ilişki kurulurken matematiksel kurgunun nasıl strüktüre edilmesi gerektiği konusunda literatüre katkı sağlanması amaçlanmıştır.
DOES BUSİNESS SATİSFACTİON AFFECT THE LİFE SATİSFACTİON? EXAMPLE OF HEALTH SCİENCES ACADEMİCS
Authors: URGANCI Yasemin , YILMAZ Cansu , ÇEÇEN Sultan , ÖZÇELİK Hanife
Published: April 2021

This research was conducted in a descriptive way to identify the levels of businesssatisfaction and life satisfaction of individuals working as academics in healthcare science. The study was sampled by academics working in the health sciences faculty/colletas in the cities of Nigde, Tokat, Batman and Kayseri, who agreed to participate in the study from 3 February to 31 March 2020.

The exercise of the research was approved by the Ethics Council of Nigde Omer Halisdemir University; the University of Omer Halisdemir, the University of Tokat Gaziosmanpasa, Batman University and Kayseri Erciyes. The data was collected by researchers using a questionnaire form for the academic demographic characteristics of academics, Minnesota Satisfaction Questionnare (MSQ) andThe Satisfaction with Life Scale (SWL). This research evaluated the data using appropriate analysis methods including SPSS packet programs, Independent t-Test, Pearson Correlation Test and One Way ANOVA Teston the computer.
The Assessment of Turkey’s Lack of Resilience to Disasters and Hazards with IDB Indicator System
Authors: YAPRAK Ünal , ŞAHİNÖZ Turgut , ŞAHİNÖZ Saime
Published: April 2021

In recent years, resilience has emerged as a guiding principle for urban development and disaster risk management. The aim of this study, human development, economic recovery and the factors that influence to reach a high level of security at every level, Turkey is to determine the level of resistance against disasters at the national and international areas of the province.

The study was prepared with a semi-numerical method and the scope of the study was all provinces of our country. Although the study covers 2015-2017 periods, it was applied to all provinces of our country. LRI (Lack of Resilience Index) consists of 8 sub-factors and the index value is between 0 and 1. Classification of index values was done according to international standards as follows; between 0-0.20 as low, between 0.20-0.40 as medium, between 0.40-0.80 as high and between 0,80-1,00 as very high.

Ağrı (0.71), Şırnak (0.66), Muş (0.66) and Hakkâri (0.65) provinces were the first four provinces with the highest value according to the 2015-2017 average value of LRI and Isparta (0.38), Bolu (0.38), Izmir (0.36) and Ankara (0.32) were the lowest. Moreover, while 93.83% of our provinces were in the high index category, it was seen that 6.17% is in the middle index category and we had no provinces in the low index category.

As a result, it was seen that our provinces had deficiencies regarding lack of resilience, especially the average and expected schooling years, per capita national income, insurance rates of buildings and houses and the number of hospital beds.
THE IMPACT OF PERCEIVED SOCIAL SUPPORT ON PERCEPTION OF HEALTH STATUS IN ISPARTA
Authors: CEYLAN Begüm , ERDEM Ramazan
Published: April 2021

The aim of this study is to determine whether the level of social support perceived in Isparta province has an effect on health perception. Individuals over the age of 18 in the city center of Isparta constitute the target population of the research. 399 people were included in the research. The Multidimensional Scale of Perceived Social Support (MSPSS) developed by Zimet et al. (1988) and adapted into Turkish by Eker and Arkar (1995) and The Perception of Health Scale (PHS), developed by Diamond et al. (2007) and adapted into Turkish by Kadıoğlu and Yıldız (2012) were used as a data tool in research. The analysis of the data obtained was performed with the help of SPSS program, frequency, percentage, mean, correlation and regression analysis. Social support perception of the participants is above the midpoint. Social support perception dimensions are above the midpoint of 3. It emerged that the vast majority of participants received support from their families. Among the dimensions of the health perception scale, perceptions of the importance of Health and dimensions of self-awareness are above 3. It was understood that participants thought about their health, cared about them, and thought that whether they were healthy or not was due to them. While there is a significant and positive relationship between the perception of caring for the health of participants receiving support from a special person, there is a strong, significant, and positive relationship between the importance of caring for their health of participants receiving support from their family.
Role of Arthrodesis in Adult-acquired Flatfoot Deformity
Authors: Kirinpanu Arthithat
Published: April 2021

Adult-acquired flatfoot deformity (AAFD) is composed of multi-structure problems. Failure of tendons, capsular, and other ligamentous structures lead to significant deformity and disability. Several therapeutic approaches are used to treat this disease. Arthrodesis reconstruction type procedure was raised as a satisfactory operation with high patient satisfaction. Ability to reduce most severe and fix deformities made it a procedure of choice in dealing with advance stage AAFD. Malunion, nonunion, lateral wound breakdown, and adjacent joint osteoarthritis are leading problems associated with this operation. However, there are some situations that patient will be best undergone these operations. Realigned triple arthrodesis along with its modifications are currently wide-accepted treatment for rigid arthritic flatfoot. Severe flexible AAFD and failed flatfoot reconstruction while choosing patients properly are also possible indications to treat with the fusion techniques. Lastly, some specific patient factors (age, morbid obesity, preexisting degenerative joint disease, and neuropathic patients) could be important factors to influence type of operations.

How to cite this article: Kirinpanu A. Role of Arthrodesis in Adult-acquired Flatfoot Deformity. J Foot Ankle Surg (Asia Pacific) 2021;8(2):60–65.
Failed Flatfoot Reconstruction: Reasons and Management
Authors: Valleenukul Thanut , Petchkum Pongpol
Published: April 2021

This article will focus on the common failures and the treatment plans for complications after flatfoot deformity correction procedures including how to prevent the failures. The comprehensive history and the physical examination, including a thorough assessment of which procedure was used throughout the prior surgery, are essential to realize this complex problem. The appropriate surgical procedure should be adjusted to the symptoms as it may be related to the cause of the failures from the previous operation.

How to cite this article: Valleenukul T, Petchkum P. Failed Flatfoot Reconstruction: Reasons and Management. J Foot Ankle Surg (Asia Pacific) 2021;8(2):66–71.
Kinesin family member 14 (KIF14) induces tumor cell proliferation in muscle invasive bladder cancer (MIBC)
Authors: Zhang Hai-Tao , Liu Zhao-Fei , Wang Heng , Hou Si-Nan , Mao Peng-Fei , Nie Rui-Zhi , Xu Xiang-Jun
Published: April 2021

Introduction

Bladder cancer ranks the first in the morbidity of urogenital malignancies in China. Bladder cancers are pathologically classified into 2 sub-types, including non-muscle invasion bladder cancer (NMIBC) and muscle invasive bladder cancer (MIBC). MIBC is a highly lethal tumor and targeted therapies showed promising prospect for the treatment of MIBC. Novel therapeutic targets are still badly needed to combat this disease. The kinesin family member 14 (KIF14) is an engaging molecular motor and involved in multiple cellular processes such as cell division. Additionally, KIF14 is highly expressed in multiple tumor tissues and participates in the progression of several cancers such as gastric cancer and hepatocellular carcinoma. However, its possible role in the development of bladder cancer remains unclear.

Material and methods

Herein, 107 cases of MIBC tissue specimens were collected and detected by immunohistochemistry assays, and we analyzed the relationship between AKIF14 expression and clinical features. Then we used the cell line T24 and 5637 of bladder cancer into the experimental group transfected shKIF14 plasmid.KIF14, additionally, fascinated tumor growth of MIBC in mice.

Results

We demonstrated the high expression of KIF14 in tumor tissues from patients who underwent MIBC. Furthermore, KIF14 was statistically correlated with clinical feature, such as tumor stage (P = 0.001). Our results further confirmed the impairment of proliferation capacity after KIF14 ablation in vitro and in vivo.

Conclusions

In summary, we revealed KIF14 could serve as a promising therapeutic target for the treatment of MIBC.
The influences of selected clotting and fibrinolysis factors on survival of patients with kidney tumors – a prospective study
Authors: Tupikowski Krzysztof , Jaobsche-Polichn Urszula , Bittner Jadwiga , Ptaszkowski Kuba , Halon Agnieszka , Zdrojowy Romuald , Adamiec Rajmund , Gosk-Bierska Izabela
Published: April 2021

Introduction

Multiple studies suggest that cancer leads to activation
of clotting and fibrinolysis pathways, elevating the risk of thromboembolic
events. Kidney cancer is often complicated by clotting disorders. In this
study, we hypothesized that preoperative clotting and fibrinolysis parameters are altered in healthy volunteers and kidney tumor patients. We also
hypothesized that these differences may be associated with survival in patients who have undergone operations due to kidney tumors.

Material and methods

In this study, 96 patients with kidney tumors and 30
healthy volunteers were recruited at a single university center. All patients
were assessed for pre-operative serum concentrations of tissue factor (TF), tissue factor pathway inhibitor (TFPI, total TFPI, full-length TFPI, truncated TFPI),
plasmin-antiplasmin complex (PAP), thrombin-antithrombin complex (TAT), von
Willebrand factor (vWF), clotting factor XIII A1 (FXIIIA1), D-dimers, and fibrinogen. Additionally, standard peripheral blood morphology was evaluated.

Results

Malignant kidney tumors were diagnosed in 85 of 96 tumor patients. In patients with kidney tumors, there were statistically significantly
higher concentrations of fibrinogen, D-dimers, TAT, PAF, TF, TFPI, vWF, FXIIIA1,
and leukocyte counts compared to the control group. Statistically significant
correlations were found between multiple parameters. This points to significant clotting system alterations. Cox stepwise hazard analysis showed
that pre-operative fibrinogen and D-Dimer concentrations were significantly
associated with survival.

Conclusions

In patients with kidney tumors, multiple clotting and fibrinolysis parameters are significantly altered. Routine pre-operative measures
should include determination of fibrinogen and D-dimer concentrations as
these markers aid in prediction of survival probability.
Effect of physical exercise combined with shockwave therapy on erectile dysfunction in diabetic patients
Authors: Salama Amr B. , Abdrabo Mohamed  Samy , Abouelnaga Walid A.
Published: April 2021

Introduction

The aim of the study was to evaluate whether physical exercise (PE) in addition to extracorporeal shockwave therapy (ESWT) is more effective in improving erectile function as compared to ESWT and PE alone in diabetic patients with erectile dysfunction (ED).

Material and methods

Forty-five patients with type 2 diabetes mellitus (DM) and ED were divided into three equal groups: group 1 (ESWT group) received treatment with ESWT twice weekly for 6 weeks, comprising 3000 shockwaves at an energy density of 0.25 mJ/mm2 and an emission frequency of 6 Hz; group 2 (PE group) received treatment with physical exercise three times per week for 12 weeks; and group 3 (combined group) was treated using physical exercise in the form of the program followed by the PE group, plus ESWT in the form of the same parameter and protocol as that of the ESWT group. Treatment outcomes were measured by International Index of Erectile Function-5 (IIEF-5) score variations recorded at 4 and 12 weeks after the end of treatment with respect to the baseline.

Results

The mean IIEF-5 scores significantly improved in all groups at the 4-week follow-up without intergroup differences. At the 12-week follow-up, the mean IIEF-5 improvement and durability were significantly higher among patients in combined groups.

Conclusions

The combined approach of ESWT and PE provides significant advantages in erectile dysfunction improvement and durability as compared to ESWT or PE alone in diabetic patients with ED.
AVALIAÇÃO CLÍNICO LABORATORIAL DO SCHISTOSOMA MANSONI: UMA DOENÇA ENDÊMICA NO BRASIL
Authors: Apolinário Joelma Maria dos Santos da Silva
Published: April 2021

Introdução: A esquistossomose mansônica (EM), enfermidade parasitária desencadeada pelo helminto Schistosoma mansoni, permanece como uma importante doença no contexto da saúde pública brasileira. Com efeito, o conhecimento sobre o diagnóstico, as possibilidades terapêuticas, farmacológicas ou não, a epidemiologia e as medidas de profilaxia e controle tornam-se extremamente importantes para o clínico. Objetivo: Por se tratar de manifestações clínicas durante sua evolução, a esquistossomose mansônica (EM) assemelha-se a inúmeras outras doenças, dificultando o diagnóstico, retardando o tratamento e a notificação da parasitose. Para tal, realizou-se uma revisão da literatura utilizando as bases Scielo (Scientific Eletronic Library Online) e PubMed (National Library of Medicine). Material e métodos: No diagnóstico parasitológico é fundamental o exame de fezes, com especial importância para as técnicas de Lutz e Kato-Katz, esta última um método quantitativo, com grande aplicabilidade na inferência da carga parasitária, detectando a presença de ovos nas fezes, o que ocorre após o 45º dia de infecção. Resultados: O exame de fezes possui baixa sensibilidade, as infecções por S. mansoni com pequena carga parasitária. Recomendam-se a realização de exames laboratoriais com um mínimo de três amostras sequenciais de fezes, coletadas em dias distintos, com intervalo máximo de 10 dias entre a primeira e a última coleta. Conclusão: Os exames laboratoriais e a avaliação por métodos complementares são essenciais para a detecção e mensuração do comprometimento orgânico causado pelo S. mansoni, destacando-se os métodos parasitológicos, imunológicos e os de imagem. É importante conhecer os elementos atinentes ao diagnóstico clínico e laboratorial, bem como ao tratamento, à epidemiologia, à profilaxia e ao controle da SM aspecto extremamente relevante para a condução dos pacientes vitimados pela doença.
Sucessão familiar: o caso do assentamento Santa Olga no município de Nova Andradina - MS
Authors: Moreira Fabiano Greter
Published: April 2021

A migração do campo para a cidade é uma realidade, pois a busca de melhores condições de rendimentos, de estudos para os mais jovens e a ausência de aptidão pelo campo por parte de alguns produtores geram a não permanência nas propriedades. A pesquisa objetivou analisar a percepção dos agricultores sobre a Sucessão da Gestão na Agricultura Familiar no Projeto de Assentamento (PA) Santa Olga, localizado no município de Nova Andradina, em Mato Grosso do Sul. A metodologia utilizada neste estudo está baseada em um estudo de caso, com coleta de dados por meio da aplicação de questionários aos assentados visitados, totalizando 90 lotes. Os principais resultados mostram que a percepção de sucessão dos assentados do PA Santa Olga sobre a preparação de sucessores nos lotes é pequena e a grande maioria dos produtores ouvidos durante esta pesquisa não realiza nenhuma estratégia de continuidade.
Relation of cytomegalovirus to alopecia areata: therapeutic trial with oral ganciclovire drug
Authors: Kattoof Wisam M. , Kawen Ahmed A.
Published: April 2021

Alopecia areata (AA) is lost hair from a few or all regions of the body, for the most part from the scalp. Etiology and pathogenesis of alopecia areata being not totally comprehended, is accepted to be multifactorial in ancestry. Recently, studies suggested an association between alopecia and types of viruses, therefore we concerned to investigate the association between CMV infection and alopecia areata. This study included of 100 individuals (50 alopecia patients and 50 healthy). Mean age of study groups were 20.90 ± 11.07 and 22.64±12.29 years of cases and control group respectively. Mean of age onset of patients were 20.83 ± 10.0. Out of 50 patients 52{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47} were male, the rest were female. However, 1:1 of control group was male: female. 40{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47} of patients had a positive family history for this disease. Alopecia areata affected on scalp in 78{df6391716bcab23f197eab8ba5a452daee5812a1941604c42f67c7803ea6be47} of cases. All patients had a high concentration of CMV IgM. With treatment of oral ganciclovire drug, a decrease of anti-CMV IgM levels and an increase of CMV IgG levels were observed.