bluuebunny/crossref_metadata_2025 huggingface dataset:
Educación para la sustentabilidad: Conciencia y educación ambiental
Authors: Flores Hinostroza Elizeth Mayrene , López González Wilmer Orlando , Encalada Segovia Hugo Fernando , Paredes Benavides Alicia Gabriela
Published: February 2023

El presente artículo se enfoca en la fase inicial (diagnóstico) sobre la Educación para la sustentabilidad: Conciencia y educación ambiental un proyecto perteneciente a la vinculación con la sociedad, el problema que se ha identificado es que: el campus de la Universidad Nacional de la Educación (UNAE) que se encuentra ubicado en la cuenca media del río Burgay, lo que conlleva a la contaminación de dicho río por parte de los estudiantes. Es un proyecto que se centra en la educación ambiental, en la construcción de áreas de restauración ecológica UNAE, una chacra, entre otros; con el fin de erradicar la contaminación presente en el área universitaria y sobre todo en la cuenca del río Burgay. La primera fase de este proyecto se centra en la sistematización teórica acerca de la contaminación, objetivos del Plan Nacional. En este sentido, se utiliza una metodología bajo los principios de la investigación-acción participativa para usar la vinculación con la sociedad y las ciencias experimentales; la recolección de datos utiliza los siguientes instrumentos: entrevistas, grupos focales y talleres de trabajo. Al analizar los datos se evidencia la necesidad de un programa de educación popular ambiental para la restauración ecológica y la reforestación y así concientizar sobre la importancia de proteger al medio ambiente.
Propuesta de estrategias metodológicas en entornos virtuales
Authors: Elgueta Valderas Brunilda Edith , Catalán Cueto Juan Pablo
Published: February 2023

La investigación se lleva a cabo en el Instituto profesional AIEP de la sede de Talca, en la asignatura de Inclusión Social y Diversidad de la carrera Técnico en Trabajo Social, bajo la modalidad vespertina y online, debido a la desmotivación de los estudiantes y descendido rendimiento académico, surge la necesidad de indagar mediante una serie de instrumentos de recolección de datos, originándose el principal objetivo de diseñar una propuesta de innovación que promueva la utilización de metodologías activo participativas que fomentan el aprendizaje significativo en entornos virtuales de aprendizajes en la asignatura de Inclusión Social y Diversidad de la carrera de Técnico en Trabajo Social del Instituto AIEP. En base a los resultados del estudio, se puede concluir que la propuesta del dosier cumple con el propósito del objetivo y del proyecto de innovación, pues facilita al profesorado el uso de estrategias metodológicas para favorecer el aprendizaje en los(as) estudiantes, fomentar la motivación hacia el aprendizaje, mejorar el rendimiento académico, y promover el aprendizaje significativo.
Entrevista al Dr. Herman Van de Velde
Authors: Escribano Hervis Elmys
Published: February 2023

El Dr. C. Elmys Escribano Hervis conversa con el Dr. Herman Van de Velde sobre educación e investigación educativa.

Ver la entrevista
Activitatea de intelligence - Ciclul intelligence
Authors:   Multimedia SRL, Sfetcu Nicolae
Published: February 2023

David Singer afirmă că, în prezent, amenințarea constituie principalul obiectiv al agențiilor de informații. Activitatea de informații poate fi considerată ca fiind procesul prin care anumite tipuri de informații sunt solicitate, colectate, analizate și diseminate, și modul în care sunt concepute și desfășurate anumite tipuri de acțiuni secrete. Ciclul informațional reprezintă un set de procese utilizate pentru a furniza informații utile în luarea deciziilor. Ciclul constă din mai multe procese. Domeniul conex al contrainformațiilor este însărcinat cu împiedicarea eforturilor informative ale altora.
PENYELESAIAN SENGKETA DI PERADILAN TATA USAHA NEGARA MELALUI UPAYA ADMINISTRATIF
Authors: Al Amin Ahmat Yusuf , Wibowo Arif
Published: February 2023

Implementasi Peraturan Mahkamah Agung Republik Indonesia (PERMA) Nomor: 6 Tahun 2018 tanggal 4 Desember 2018 tentang Pedoman Penyelesaian Sengketa Tata Usaha Negara Setelah Melakukan Tindakan Administratif yang merupakan pengaturan tambahan dari ketentuan Pasal 75, 76, dan 77 Undang-Undang Nomor 30 Di Indonesia, terjadi perubahan terhadap sistem peradilan tata usaha negara pada tahun 2014. Pertanyaan apakah diperlukan upaya administratif sebelum membawa masalah tata usaha negara ke Pengadilan Tata Usaha Negara tidak dapat dielakkan oleh perubahan tata kelola ini. Kedua, bagaimana penyelesaian pengaduan administratif ke PTUN?
Eksistensi dalam Mengoptimalisasikan Pelaksanaan Proses Dismissal dan Pemeriksaan Persiapan di Pengadilan Tata Usaha Negara
Authors: Riri Sabila , Wibowo Arif
Published: February 2023

Peradilan Tata Usaha Negara merupakan permohonan yang pembentukannya dimaksudkan sebagai peradilan khusus untuk menilai, memutus, dan menyelesaikan sengketa tata usaha negara . Salah satu fitur dari penyelenggaraan peradilan ini dibandingkan dengan peradilan lainnya adalah pemeriksaan setiap gugatan oleh Ketua Pengadilan sebelum perkara tersebut diteruskan kepada Majelis Hakim. Gugatan pemeriksaan oleh Ketua Pengadilan ini disebut dengan proses pemecatan atau prosedur pemecatan. Meskipun terdapat kendala-kendala yuridis dan implementasi, bukan berarti menetapkan proses pemecatan dan penyiapan persiapan tidak dapat dilakukan melalui sidang elektronik. Kemudian, instrumen yang masih relavankah ini diterapkan, Kewenangan Ketua Pengadilan prosedur pemecatan telah menambah pihak penguasa keadilan dan panjangnya jalan memperjuangkan keadilan sehingga keberadaan PTUN sebagai lembaga yang secara tidak langsung melakukan kontrol yudisial akan lebih maksimal. Dengan hal ini, pemerintah akan merasa terus diawasi oleh masyarakatnya, serta kemauan untuk melakukan koreksi ataupun perlawanan secara legal terhadap keputusan Badan atau Pejabat TUN yang dianggap merugikan masyarakat.
Emerging Health Care Markets and need for an Innovative Business Models for Equitable Health Care Service Delivery: A Health Policy Perspective
Authors:   Department of Public Health, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India, NR Dr. Somesekhara
Published: February 2023

To drive the transformational change needed to have a good impact on health care delivery systems and to build the healthcare delivery value chain, new business models are needed. The innovative models interlink the patients, hospitals and economies and all participants through shared risk and shared purpose for working together. This business models can only be designed by thorough understanding of the economic policies relevant to the context where the health institutions are operating. For countries like India, thorough context analysis is needed to design the best business models, whose economy is in the transition phase.
Intermediate Syndrome in Organo Phosphorous Poisoning Patients admitted to ICU-A Retrospective Analysis
Authors:   Professor and Head, Department of Anaesthesiology and Critical Care,, Nupoor Neha , Nagaiah Suresh Kumar , Madhusudhana Ravi , Raj Anusha , Krish-namurthy Dinesh , Kamarthi Prabhakar
Published: February 2023

Background: Poisoning with Organophosphorus (OP) compounds is one of the most common presentations we come across in critical care units. Recognition and initiation of immediate treatment holds key to the outcome. Aims: To study the outcome of OP compound poisoning patients, the effect of delay and the frequency of Intermediate syndrome. The case sheets of patients admitted with OP compound poisoning to ICU in medical college referral hospital were retrospectively analysed. Materials and methods: We have done retrospective analysis of 177 patients admitted to the emergency department with history of acute OP poisoning. Eight patients were brought dead, 10 patients were referred and 159 patients were admitted to ICU. Statistical analysis: Student t- test is used to find the significance of study parameters on continuous scale between two groups on metric parameters. Chi-square/ Fisher Exact test is used to find the signifi-cance of study parameters on categorical scale between two or more groups. Results: We found that Inter-mediate syndrome is commonly seen when there is delay of more than 9 hours for hospitalization following OP compound consumption and delay in starting atropine and PAM. Conclusions: OP composed insecticide poisoning is a life threatening condition that needs rapid diagnosis and treatment with good supportive care, starting of early enteral feeds, monitoring for the prevention and management of acute and delayed complications that occur during the course of stay in ICU. Keywords: Intermediate syndrome, OP poisoning, ICU, Retrospective analysis.
Help Seeking Behaviour of Adolescents at Kolar
Authors:   Staff Nurse, RL Jalappa Hospital and Research Centre, Kolar, Karnataka, India., MS Radha , Subhashini Lavanya , Prabhu Immanuel , Banubi Baby GK
Published: February 2023

Background: Adolescents are full of energy, have significant drive and new ideas. They are a posi-tive force for the nation and are mostly responsible for its future productivity, provided they undergo over-all development in a healthy manner. Aims: To find the help seeking behaviour of adolescents in an urban high community. Materials and methods: Fifty boys and girls in the age group of 13 to15 years from an urban high school in Kolar were studied. A structured questionnaire was used to assess the help seeking behavior of the adolescents. Results: Among the adolescents reporting with psychological problems, con-cern with their physical height, weight and lack of concentration was more common. Among those identi-fied with behavioural problems, lack of confidence and difficulty in maintaining peer relationship was more frequent. Health problems reported commonly reported were skin and eye problems, acne and general weakness. Boys reported more frequent psychological, medical and behavioral. Those residing in urban are-as and from nuclear families reported more psychological, medical and behavioral problems when com-pared to those from rural area and from joint family. Majority of the adolescent girls approached their mothers for seeking help to their problems. Conclusions: Providing information and education to school going adolescents on their common health problems and providing help as per their help seeking behavior is necessary. Keywords: Help seeking behaviour, adolescent, school children
Mothers Perception of Health Care Needs of Preterm Neonates in Intensive Care Unit
Authors:   Assistant Lecturer, Sri Devaraj Urs College of Nursing, Kolar, Karnataka, India, Subhashini Lavanya , MS Radha , GK Baby
Published: February 2023

Background: Family members of the new born admitted to neonatal intensive care unit (NICU) of hospitals are stressed and in are in undue anxiety. Aims: What are the health care needs of preterm neo-nates admitted to NICU as perceived by the mothers. Materials and methods: Thirty mothers whose pre-term child was being provided care in NICU were studied. An interview questionnaire tool was applied and the perception of the mother about her child's health care need was rated using a scale. Results: Majority of the mothers were under 25 years (86.60%), 60% were from nuclear families and 66.6% were primis. Major-ity of the babies were born premature between 32-37 weeks of gestation (76.6%) and 70% of them were malnourished (birth weight < 2.5 kg). Mothers of critical new born child in intensive care units are anxious for information about the child’s condition. Conclusions: Nurses in the NICU are primary care givers and information providers. Provision of appropriate and adequate information and counselling to mothers are essential for quality preterm care. Keywords: Preterm child, perceived health care, intensive care.
Incisional Endometriosis following Caesarean Section - A Case Report
Authors:   Assistant Professor, Department of Obstetrics and Gynaecology, E Gomathy , R Ashritha , N Deepika , Sakalecha Anil
Published: February 2023

Scar endometriosis can be located at the skin, subcutaneously in the uterine scar and intraperitone-ally. The incidence reported of abdominal scar endometriosis is 0.03 to 0.4%. Cyclical pain in the scar asso-ciated with the patients menstrual cycle is common. MRI is the most sensitive imaging method. Histopatho-logical evaluation are confirmatory for the condition. Surgical excision of the scar is the treatment of choice. We report a case of caesarean section scar endometriosis treated at a medical college hospital. Keywords: caesarean section, pregnancy, scar endometriosis.
A Special Case Report on Small Intestinal Mesenteric Tear-A Rare Encounter
Authors:   Post graduate Department of General Surgery, Sri Devaraj Urs Medical College., S Vijaykumar , Prasad Krishna , Y G Akarsh , PN Sreeramulu
Published: February 2023

Mesenteric injuries can follow severe abdominal trauma or contusion and is a cause of hemoperito-neum. More commonly injured by torsional force so called seat belt injury, due sudden deceleration result-ing in mesenteric tear. This possibility has to be kept in mind as you encounter polytrauma case. Apart from controlling ongoing hemorrhage, associated ischemic or ruptured gut will require resection. We report one such case of mesenteric injury following abdominal trauma. Key words: Mesentery, Hemoperitoneum, Seat injury, Torsional injury
A Rare Case of Tetanus with Aspiration Pneumonia
Authors:   Final year Postgraduate, Department of General Medicine,Sri Devaraj Urs Medical Collage, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar., Deepa Sandinti , V Lakshmaiah , A Raveesha
Published: February 2023

Tetanus is a rare bacterial disease caused by infection with clostridium tetani. Because of its rarity in developed world many of the current generation of clinicians can be unfamiliar with the disease. Here we are sharing our experience regarding a case of tetanus we have come across. A 58-year-old male presented with 1-month history of difficulty in walking and stiffness in all 4 limbs. His chest x-ray showed non homogenous opac-ities in right lower zone. Patient was admitted to ICU in view of low O2 saturation and low GCS, and kept on mechanical ventilation. He was kept in a dark environment with minimal disturbances. After tracheostomy was done his O2 saturation has improved. Increased secretions were managed by regular suctioning and anticholin-ergics. Patients condition gradually improved and spasms have stopped after 6 weeks, O2 saturation was main-taining on room air and with eye opening spontaneously. Tracheostomy tube was removed after shifting out of ICU. Keywords: Tetanus, muscle spasms, muscle relaxants, tetanus toxin
Homicidal acute arsenic poisoning: A report of two cases
Authors:   Assistant Professor, Department of Forensic medicine and Toxicology, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, MG Raj Kumar , P Srinivasa Reddy
Published: February 2023

Arsenic has been considered as an ideal homicidal poison from centuries back till date and placed in the top list of lethal poisons used with criminal purpose. We report two cases of acute arsenic poisoning, who succumbed to death after being admitted to hospital for consuming toxic temple food offering. Initially it was believed that some toxic substances might have got mixed with religious offerings which led to food poisoning among devotees. Later it was unearthed by investigating officer that it was due to web of rivalry illicit relationship. The autopsy findings of red velvety gastric mucosa, petechial haemorrhages over visceral organs along with the distinctive clinical profile of the deceased lead to a strong doubt of arsenic poisoning which were further confirmed by chemical analysis report and the circumstantial evidence of consumption of prasadam laced with arsenic poison. Keywords: Prasadam, illicit relationship, Homicidal poisoning, Arsenic, Red velvety gastric mucosa
Easy Way to Prepare Reusable Face Shield for Healthcare Workers
Authors:   General & Laparoscopic surgeon, Prem Prakash Hospital, Nagpur, India., Agrawal Vijay P , Agrawal Munmun V
Published: February 2023

Face shield is one of the parts of personal protection equipment. It is used to protect face which in-cludes eyes, nose, mouth etc. It is mainly used by healthcare workers to protect them from patients body fluids like droplets, secretions etc. In the present scenario of limited resources, we have prepared a reusable face shield from lamination Pouch. Keywords: Face shield, Covid 19, personal protection equipment (PPE)
An observational study of left ventricular hypertrophy and left axis deviation in ECG among type 2 diabetic patients with and without hypertension from a rural hospital in Karnataka
Authors:   Assistant Professor Department of General Medicine, Sri Devaraj Urs Medical Collage, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, B R Sindhu , Shashikantha Shashikantha
Published: February 2023

Introduction: Type 2 diabetes mellitus is rampant around us. Diabetes and hypertension go hand in hand when it comes to non-communicable diseases and diabetes per se leads to hypertension and together they in-crease cardiovascular diseases. This increases morbidity and mortality in diabetic patients. Assessing ECG in rural health settings would help us to decrease the cardiovascular morbidity by initiating appropriate treat-ment. AIM: To study the age and gender of type 2 diabetic patients with and without hypertension and to compare LVH, LAD among 2 groups. Material and Methods: 97 diabetics attending OPD and IPD from Nov 2015- May 2017 were grouped into 2. Group I of 50 were hypertensive diabetics and group II of 47 were normotensive diabetics. Detailed history was noted and relevant investigations were done. Result: Among the 97 diabetics, mean age in the group I was 62±10.76yrs and in group II was 62±9.44 yrs. Fe-males outnumbered males among the hypertensive diabetics (group I) and males were more among the normo-tensive diabetics (group II). In group I, maximum percentage (26%) was diabetic from 6-10yrs and 20% pa-tients were newly detected diabetics. In group II, 27.7% were newly detected, 25.5% diabetic from 6-10yrs. Pulse rate, systolic blood pressure and diastolic blood pressure were higher in group I compared to group II and it is statistically significant with P value 0.003, <0.001 and <0.001 respectively. Conclusion: Majority was among the age group of 51-70yrs and majority were females in hypertensive diabetic groups. Maximum number of patients had LVH finding in hypertensive diabetics (22%) in ECG. Large number of studies should be conducted to understand the disease and variation in its risk factors in India. Keywords: Hypertension, type 2 diabetes mellitus ,ECG, Left Ventricular Hypertrophy.
Diagnosing injuries caused by Indian wild boar: A case report
Authors:   Assistant Professor, Department of Forensic medicine and Toxicology, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar., M G Raj Kumar , P Srinivasa Reddy
Published: February 2023

Wild boars are medium sized mammals commonly seen in Europe, Asia, North Africa and Greater Sun-da Island and India. Sus scrofa cristatus species is commonly seen in India. They are primarily nocturnal animal and are generally shy in nature, so incidences of attack by wild boar are rare. They are dangerous due to their razor sharp tusks, which can cause serious injuries. Wild boar attacks are under reported in the medical litera-ture. Attacks on humans by wild animals causing fatal injuries are not uncommon in rural and forest areas of India. This is the case of a 55-year-old male farmer who was assaulted from by an adult wild boar. Autopsy ex-amination revealed multiple penetrating injuries, bilateral rib fractures and an anorectal injury. Unlike the inju-ries inflicted by wild cats, canines and bulls, the hallmark of boar attack is the infliction of multiple penetrating injuries to the lower part of the body. As the victims of wild boar attack are usually recovered from rural forest areas, the investigating officers could be misled as to the nature of infliction of these multiple, fatal penetrating injuries to a possible homicide. This case is reported for its rarity, for the awareness of the possible injuries in such unnatural deaths, and for the factors predisposing to a boar attack. It is concluded that fatal penetrating injuries caused by this type of attack can be associated with extensive soft-tissue damage despite externally appearing to be simple puncture wounds. Keywords: Wild boar, penetrating injuries, anorectal injury
Hope to cope with Covid-19
Authors:   Department of Psychiatry, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar -563101, Karnataka, India, C Dr. Ruth Sneha
Published: February 2023

The novel Corona virus pandemic as de-clared by the World Health Organisation (WHO) has brought in front of us many challenges in all aspects of life. It is an event that most of us have not wit-nessed anytime in our lives. Although social distanc-ing, quarantine and self-isolation are essential to prevent spread of this highly virulent disease, an atmosphere of fear and anxiety is built up. So it is at these times that we have to improve our mental and emotional wellbeing
Ocular abnormalities in patients with chronic renal failure on haemodial-ysis: A study from a rural tertiary care teaching institute.
Authors:   Assistant professor , Department of Ophthalmology, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research. Tamaka, Kolar, Karnataka., N Inchara , M Narayan , B A Praveen Kumar
Published: February 2023

Background: Chronic Renal Failure (CRF) affects every organ system, including the eye. Potential vision-threatening ocular complications among patients with CRF can lead to irreversible visual impairment. Aims: We assess and report ocular abnormalities in patients with chronic renal failure on hemodialysis in a rural setup. Settings and Design: This is a cross-sectional hospital-based study conducted in a rural tertiary care institute. Methods and Material: One hundred twenty subjects undergoing dialysis in our institute for a period of 2 years were included in the study by convenient sampling. Statistical analysis used: Data were analyzed using Microsoft excel and represented using mean, standard deviation, ratio, and percentages. Results: Among the subjects, 16.7% of total eyes had vision <6/60, and 35% had < 6/24. The causes for visual impairment were maculopathy in 31 eyes, cataract in 20 eyes followed by proliferative diabetic retinopathy in 11 eyes. Lid edema was present in 22.5%, conjunctival pallor in 30.8%, and corneal calcification in 2.4% of total eyes. Retinopathy was the most important finding. Hypertensive retinopathy was present in 93 out of a total of 120 patients (98%). Diabetic retinopathy was present in 49 out of 85 diabetic subjects (72.3%). Seventeen out of 93 patients of hypertensive retinopathy and 11 out of 49 subjects of diabetic retinopathy were detected for the first time. Conclusions: This study highlights the importance of ocular examination in patients with metabolic disorders like Diabetes and Hypertension. Vision threatening complications in CRF patients were detected easily without any complicated procedures and any cost. And even screening was possible in bedridden patients. In this study, the patient was recognized to have the renal disease by looking at the ocular abnormalities and was referred to a physician in the same visit. This signifies easy accessibility of changes in the eye, to know disease in the other organs like kidney. Keywords: Chronic renal failure, retinopathy, corneal calcification, haemodialysis
Vulnerability of People with Cancer and the Potential risks of COVID-19 Pandemic: A perspective in Morocco
Authors:   DMD, Laboratory of Human Ecology, Department of Biology, School of Sciences Semlalia, Cadi Ayyad University, Marrakech, Morocco., Addi Rachid Ait , Benksim Abdelhafid , Cherkaoui Mohamed
Published: February 2023

Cancer affects almost 18 million around the world in 2018, and the most common cancer is the lung cancer. COVID-19 is an acute respiratory disease caused by novel coronavirus SARS-CoV-2 or 2019-nCoV was first reported in Wuhan, China in December 2019. Recently, on March 11, 2020, COVID-19 was declared by the World Health Organization (WHO) as a virus pandemic disease. Furthermore, it has been known that the malig-nancy and anticancer treatments, such as chemotherapy or surgery cause systemic immunosuppressive state in patients with cancer that is why cancer patients are more vulnerable to infection than others and for especially for COVID-19 and with a high probability of complications. Additionally, the major concern for patients with cancer is the incapacity to get fundamental medical services due to the pandemic spread. In Morocco, the pre-vention of contamination, the prioritization of care and the organization of the price in therapeutic charge of patients by the various oncology centers and services were applied which leads that most of patients with can-cer continue their treatment even if we are in the COVID-19 pandemic. Keywords: COVID-19- Cancer- Pandemic-Morocco
Assessment of Nursing Staff Knowledge and Practices Regarding Needle Stick Injuries (NSIs) in Al-Lieth General Hospital: A quality control study
Authors:   Department of Anatomy & Embryology, Faculty of Medicine, Zagazig University, Egypt., El-Sawy Naser A. , Mosa Osama F
Published: February 2023

Background: NSI which is known as Needle Stick Injuries can cause accidental exposure to serious blood borne diseases. It is very common in HCWs (Healthcare Workers). The nurses who have temporary disability are more able to get needle stick incidents and occupational accidents. But these injuries and NSI can cause this temporary disability turn into permanent disability because of the transmission of diseases like AIDS and se-rum hepatitis. Nurses are the important part of any hospital and they play an important role in preventing and managing NSI. Aim: The aim of this study and research is to judge the knowledge and skilled practices of the nursing staff about NSI (Needle Stick Injuries). Methods: The sample comprised of total 150 nurses including both females and males collected from Emergen-cy Room, Hemodialysis Unit, ICU (Intensive Care Unit), Surgical and Medical Wards of Al-Lieth General Hospital. Results: Our study exposed that the age of the 52.7% nurses were 25 to 30 years and the age of the 2% of the nurses were <20 years. There was a difference between total score of nurse’s knowledges and their practices about NSI. 88% of the nurses had knowledge and skilled practices while rest of the nurses had no knowledge and no skilled practices about NSI preventions and management. Conclusion: The NSI between nurses and the practices of recapping needles increases the probability of NSI. The nurses had knowledge and skilled practices while only some of the nurses had incompetent practices about NSI preventions and management. Key words: Assessment, Follow-up, Infection, Knowledge, Nurses, Needle Stick Injury (NSI), Quality Control.
Effectiveness of functional training in improving function of facial muscles in people with facial palsy due to trauma
Authors:   Lecturer, Department of Physiotherapy, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research. Tamaka, Kolar-563101, I Naveen Kumar , J Saravan Kumar
Published: February 2023

Background: This study aimed to examine the effects of a functional training in improving function of facial muscles in people with facial palsy due to trauma. Settings and Design: Saveetha Physiotherapy OPD, Two group pre-test post-test non-equivalent design. Methods: 20 participants based on convenient sampling were assigned to either receive Functional training group or conventional treatment group. The primary outcome measures are House Brackman score and facial disability index (FDI). Statistical analysis used: Mann Whitney U test was used to compare the data sets between the groups. Results: Between group analysis of post-test mean and standard deviation for House-Brackman score for Func-tional training group and conventional treatment were 1.6(1) and 3.67(0.72) respectively. It was statistically significant with p<0.05.Between group analysis for FDI were statistically significant with p=0.01 at the end of 4 weeks for both subscales of physical and social. Conclusions: Functional training may improve function of facial muscles and can be recommended for people affected with facial palsy due to trauma. Keywords: functional training, traumatic facial palsy, facial exercises, recovery of function, facial rehabilitation, FDI, House-Brackman, Task training
Difficulties in Diagnosing a Case of Myasthenia Crisis
Authors:   2nd Year Postgraduate, Department of General Medicine, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar., G V Atishaya , K Prabhakar , A Anitha , Chaitanya Jithendra
Published: February 2023

A 26 year old, female presented to EMD in severe respiratory distress. Patient had history of breathlessness since past one month with h/o intrauterine death 1month back .On further investigation it was found that anti acetylcholine receptor antibody was above normal limits and was started on cholinesterase inhibitors, initially patient showed signs of improvement but later patient condition worsened and patient was diagnosed with Myasthenia gravis in crisis. Patient was started on pulse steroid therapy but patient did not show significant response, patient attenders were advised for IVIg but they could not afford the same, later patient was transferred to a center with plasmapheresis facility where plasmapheresis was done and now patient doing well and is on oral cholinesterase inhibitors. Keywords: Myasthenia crisis, anti-acetylcholine receptor antibodies
Resuming ophthalmology practice armoured with a bulletproof plan due to COVID 19
Authors:   Professor and HOD, Department of Ophthalmology, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Ramachandra Sandhya , V Varsha
Published: February 2023

Covid 19, a deadly pandemic which started in China’s Wuhan province in December has impacted the lives of millions of people physically, mentally and economically. In view of the pandemic, the Government of India instituted a nation-wide lockdown on 24th march 2020.All non-emergency outpatient departments and elective surgeries were deferred. Ophthalmology, predominantly an elective, non-emergency branch was severely affected.1 However, we have to learn to live with this virus, which means adapting to the “new normal” and resuming elective ophthalmology practice
Labour Admission Test - A low cost alternative to predict foetal distress and neonatal outcomes
Authors:   Resident, Department of Obstetrics and Gynaecology, Jaya Jagadguru Murugharajendra Medical College, Davangere, Karnataka., Chinta Chandini Sree Lalitha , B Sarvamangala
Published: February 2023

Background and Objectives: The aim of various antepartum and intrapartum monitoring methods is to detect foetal hypoxia at the earliest and to prevent subsequent damage. Cardiotocography (CTG) is one of them. Routine and continuous EFM in labour is not possible in developing countries with limited resources and manpower. Objective of the study was to evaluate the role of CTG as admission test (AT) to predict foetal outcome in low and high-risk group. Methods: The study population consisted of 100 low risk and 100 high risk patients at term in labour admitted at WCH Hospital attached to J.J.M Medical College, Davangere. Patients were subjected to admission CTG for 20 minutes. The trace thus obtained was classified as normal, suspicious and pathological AT as per NICE 2017 Guidelines on Intrapartum Care. Results: Among the study group of 200 cases, including low and high-risk groups, 156 (95 & 61) cases had normal AT, 29 (5 & 24) cases had suspicious and 15 high risk cases had Pathological AT. The incidence of foetal distress, caesarean rate, Apgar score at 5 minutes less than 7, NICU admission was higher in pathological AT group than in normal AT. A statistical analysis comparing normal and abnormal (suspicious + pathological) AT showed high specificity 83.82% and high negative predictive value 92.95%. However, LAT was found to have low sensitivity 59.26% and low positive predictive value 36.36%. Conclusion: CTG as LAT is a simple, non-invasive, low cost test with high specificity and NP, that can be used to triage patients at the outset, thereby utilizing the limited equipment and staff effectively in resource poor labour wards. Keywords: Labour Admission Test, Cardiotocography, Perinatal Outcome, Electronic Fetal Monitoring
A Descriptive study to assess the knowledge regarding Family Planning Methods among Degree students in a selected college, Kolar with a view to develop health education pamphlet
Authors:   Assistant Professor, Department of Nursing Foundation, Sri Devaraj Urs College of Nursing, Tamaka, Kolar., R Vani , Kharel Renuka , A G Yakshini , K U Amritha , S Ashika , Joshy Jomol , V Geetha , Getcy Merlin , E Poovarasan , R Swetha
Published: February 2023

Background: It is calculable that the world population can increase 2.5 billion over the next 43 years, from the current 6.7 billion to 9.2 billion in 2050. Family planning is pivotal to ensuring the health and development of youth, reducing unnecessary health risks, and improving their opportunities and productive livelihoods. Studies showed that the most of the students (17–19 years) are more likely to experiment with sexual activities while lacking knowledge on sexual health and protective measures. Unsafe sex has been estimated to be the second most important worldwide issue for health. Aims/Objectives of the study: To assess the Knowledge regarding family planning methods among degree students. To find the association between knowledge with selected demographic variables, regarding family planning methods among degree students. Methods: Descriptive cross-sectional survey using structured Knowledge questionnaire among 100 UG students from the Mahila Samaja degree College were selected respectively by using a purposive sampling technique. Results: Results were analyzed by description and inferences statistics and findings shows that, majority of respondents 82% of participants are having inadequate knowledge, 18% of participants are having moderate knowledge & none of the participants had adequate knowledge, regarding family planning methods Conclusion: The study emphasizes that public Universities should consider a possible curriculum restructuring to incorporate family planning updates. And nurses play a pivotal role working in Hospital as well as in the Community setup should educate and provide awareness to the adolescents regarding Family Planning methods. Keywords: Family planning methods, Degree students, Knowledge
Prospek Rijan Laundry dalam Meningkatkan Usaha Mikro Kecil dan Menengah Menurut Tinjauan Ekonomi Islam Studi pada Rijan Laundry Pondok Pesantren Riyadlul Jannah Mojokerto
Authors: Ainurrofiq Mokhammad
Published: February 2023

Tujuan penelitian ini adalah untuk mengetahui prospek dalam penerimaan pendapatan yang cukup besar bagi pemilik usaha dan bagaimana tinjauan ekonomi Islam terhadap usaha laundry di Pondok Pesantren Riyadlul Jannah Mojokerto. Dalam pengumpulan data, penulis menggunakan wawancara dan dokumentasi yang di ambil dari lokasi penelitian. Subjek dalam penelitian ini adalah pengusaha usaha Rijan laundry, sedangkan objek penelitian adalah usaha Rijan laudry. Dalam penelitian ini penulis menggunakan teknik analisa kualitatif dengan deskriptif. Hasil penelitian menunjukkan bahwa prospek usaha laundry di Pondok Pesantren Riyadlul Jannah Mojokerto merupakan salah satu usaha untuk meningkatkan usaha mikro kecil dan menengah khususnya di Pondok Pesantren Riyadlul Jannah Mojokerto. Sedangkan yang mempengaruhi usaha laundry ini dapat dilihat dari pemasaran dan produksi, faktor pendukung usaha Rijan laundry yaitu Faktor pertama adalah konsumen yang terus meningkat sebagian mencari jalan lain yang praktis untuk mengurusi masalah pakaian kotor, faktor kedua yaitu kewajiban konsumen dalam melaundrykan pakaian ke Rijan Laundry, sedangkan dalam tinjauan ekonomi Islam dalam usaha Rijan laundry tidak ada hal yang bertentangan dengan ekonomi Islam dan kita sangat di anjurkan untuk senantiasa berusaha dan bekerja, dengan adanya itu terbukanya lapangan pekerjaan dan juga terdapat unsur tolong menolong, hal ini sangat dianjurkan oleh agama yang mulia ini.
Penerapan Analisis SWOT dalam Menentukan Strategi Pemasaran Syariah Produk Butik Maura Pacet Mojokerto
Authors: Puspita Hifi Rini
Published: February 2023

The application of Islamic Shari'a in Mojokerto has developed a new paradigm regarding the application of law, including muamalah which causes the application of sharia principles in marketing to also be an interesting matter to study. This study aims to analyze the implementation of sharia marketing at the Butik Maura Pacet Mojokerto. Marketing mix variables consist of product, price, promotion and distribution, as well as SWOT variables. The method used is qualitative descriptive analysis approach. Sources of data obtained by observation, interviews, and documentation. The results of this study indicate that the implementation of the marketing mix has been carried out properly and in accordance with sharia principles, and there are no elements that deviate from Islamic law in the marketing process according to the example of the Prophet.
Modern Approaches to Addressing the Mass Incarceration of America's Mentally Ill Population
Authors:   Fort Hays State University, Bice Cameron , Terry April ,   Fort Hays State University
Published: February 2023

Correctional facilities negatively affect individuals with pre-existing mental and behavioral health concerns while also creating an environment that manifests future mental illness. Issues include facility overcrowding, restrictive housing practices, lack of accessible services, and ill-informed practices and procedures when working with individuals with mental illness. Incarcerated individuals with mental illness also face disparities through (1) sentence length, (2) race/ethnicity and gender, and (3) increased risk in victimization. This paper draws attention to a long-standing, yet current critical issue in the American criminal justice system—the use of jails and prisons as modern-day psychiatric hospitals. This literature yields many options for disrupting this practice, including both proactive and reactive reforms that seek to reduce mass incarceration of those with mental illness as well as improve correctional facility conditions for this incarcerated population.
Application of Practice with Scientife Shortening to Improve Students' Problem Solving Skills on Human Digestion Material in Class XI Mipa SMAN I Susukan Cirebon
Authors: Mahmudah Siti , Maknun Djohar , Ubaidillah Mujib
Published: February 2023

Problem solving skills are very important in learning biology, but the facts in the field show that problem solving skills in learning biology are still relatively low. So that accuracy is needed in choosing a learning approach that gives more room for problem solving for students is the scientific approach. This approach is to be able to solve problems systematically, gain knowledge, skills and attitudes. The purpose of this study is to examine; 1) student learning activities, 2) differences in the problem solving skills of the control class and experimental class students, and 3) students' responses to the application of practicum with a scientific approach. This research is a quantitative study conducted at SMAN 1 Susukan with a population of 120 students of Class XI MIPA 1.2 and 3 at SMAN 1 Insert and samples as many as 34 students of Class XI MIPA 1 in the experimental class and 34 students in Class XI MIPA 2 in control class. The research design used was a pretest posttest control group with data collection techniques using tests, observations and questionnaires. The results showed 1) there was a difference in the increase in student learning activities, 2) there was a significant difference in the increase in students' problem solving skills in the experimental class by 0.64 and the control class by 0.11, and 3) students gave a positive response to the application of practicum with an approach scientific material on the human digestive system. Based on the results of the study it can be concluded that the application of practicum with a scientific approach can improve student learning activities and student problem solving skills and students give a positive response to biology learning by applying a scientific approach.
Application of the Socio Scientific Issue Strategy to Improve Students' Scientific Argumentation Skills on The Concept of the Respiration System in Class XI Mipa SMAN 1 Suranenggala
Authors: Siska Siska , Yunita Yunita , Ubaidillah Mujib
Published: February 2023

Argumentation ability is one of the main objectives of science learning because students must know the scientific explanation of natural phenomena, use it to solve problems and be able to understand other findings that students get. SSI learning (Socio-scientific Issues) is expected to develop the ability to learn scientifically, because in SSI (Socio-scientific Issues) learning is carried out on scientific concepts that have an impact on people's lives. The purpose of this study (1) to describe the application of Socio Scientific Issues learning strategy in the experimental class (2) to analyze the differences in the improvement of students 'scientific argumentation skills between the control class and experimental class on Socio Scientific Issues learning strategies, (3) describe students' responses to Socio Scientific's learning strategies Issues on the concept of the respiratory system. This research was conducted at Suranenggala Public High School 1 in the even semester with a pretest-posttest control group design research design design. The sample in this study were students of class XI-MIPA 1 (experimental class) totaling 35 people and class XI-MIPA 4 (Control class) totaling 35 people. Data collection techniques: observation, student worksheets, tests (pretest and posttest), and questionnaires. The results of the study show that (1) the implementation of the Socio Scientific Issues strategy as a whole can be carried out very well, (2) There is a difference in the ability of scientific argumentation between students using Socio Scientific Issues learning strategies and students who do not use Socio Scientific Issues learning strategies in learning biology. (3) Students' responses to the application of Socio Scientific Issues learning strategies show an agreed response from students and can produce positive responses from students.
Analysis of the Utilization of Information Technology in Education During the Covid-19 Pandemic
Authors: Saputro Wahyu Eko , Widya Widya , Wiguna Tantra Agun , Meilinda Shinta , Agrustiani Agrustiani
Published: February 2023

The Covid-19 pandemic has been around for the past two years. All sectors are affected by the Covid-19 pandemic, including the education sector. Learning that was originally done face-to-face, with the pandemic must be done online. Teachers and students are forced to be prepared for sudden changes. Online learning of course must use technology and the internet to connect it. So this study aims to analyze the use of information technology in education during the covid-19 pandemic. Documentation method is a research method used in this research. The data used are sourced from various types of documents, be it books, reports, or journals. In addition to the method, the approach used is qualitative approach. The results showed that the existence of information technology helped facilitate the learning process during the Covid-19 pandemic. Some of the applications used for learning include Google Classroom, Zoom, Google Meet, WhatsApp and several other applications. Not only when learning is online, but when learning has been done face-to-face again, information technology still helps in the process of teaching and learning activities.
The Effect of Provisioning Micronutrients for Pregnant Women up to Breastfeeding to Prevent Postpartum Blues in Balikpapan City
Authors: Sipasulta Grace Carol , Murti Ni Nyoman , Pasiriani Novi , Mardiana Nina
Published: February 2023

The groups most susceptible to micronutrient deficiencies are pregnant women, breastfeeding mothers and children under 5 years of age. This is because they need vitamins and minerals in greater quantities than the other groups. In addition, this group is also very susceptible to the adverse effects of micronutrient deficiencies. Lack of micronutrients can increase the risk of infectious diseases, death from diarrhoea, measles, malaria and the lungs, including the risk of developing blues.

The analytical observational method used a retrospective cohort design. The purpose of this design is to know the effect of micronutrient feeding to pregnant women with the incidence of postpartum blues. Balikpapan City has health centres’ in 6 sub-districts, represented by 10 health centres’ through simple random sampling. The sample of each health centre is a quota of 20 mothers. Analysis using the frequency distribution to calculate the frequency or number and percentage of the measured aspects. Test the hypothesis proposed in this study using the Manova test and Multivariate using Multivariate Linear Regression.

Results Micronutrients are needed by pregnant women, there are 44.5% of mothers who do not routinely take drugs obtained during ANC, Micronutrient Intake is Not Fulfilled during Postpartum as many as 92 mothers (46.0%). Multivariate test. Wilks' Lambda Siq. The income obtained can be spent so that it is petrified to prevent the risk of postpartum blues

Conclusion: families need to be involved in preventing postpartum, in order to detect the risk of postpartum by reminding them to take medication regularly.
Saudi-Israeli Relations: Progress, Risks and Opportunities
Authors: Mueller Chelsi
Published: February 2023

Will Saudi Arabia be the next Arab state to sign a peace treaty with Israel? What does the Saudi-Israeli relationship look like two years after the Abraham Accords? Why hasn’t Saudi Arabia joined the United Arab Emirates, Bahrain, Morocco, and Sudan in formalizing its ties with Israel? This brief article examines the drivers of normalization between Israel and Saudi Arabia and explores the complex calculations that have thus far postponed an official agreement.
Israeli Foreign Policy in Light of Dramatic Changes in the Region: Diplomatic Success and Challenges Ahead
Authors: Harari Michael
Published: February 2023

The dramatic developments in the Middle East in the last decade have improved and strengthened Israel’s position in the region. The implications of the Arab Spring, the discoveries of natural gas in the deep waters of the East Med, and specifically within the Israeli EEZ, initiated a regional process where Israel is playing a central, substantial and constructive role. It was manifested with the impressive regional architecture in the East Med (and in particular the establishment of the EMGF) and the Abraham Accords. Those developments strengthened Israel’s room of maneuver and its self-confidence. At this strategic junction, a substantial and extremely important challenges are ahead of Israel’s Foreign policy: Expanding the regional cooperation in the East Med to include more relevant players if possible; Deepening the cooperation with the Abraham Accords countries and using this model for wider cooperation in the region; and last but not least, initiating a political and realistic process with the Palestinians in order to revive the Two State Vision.