bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnosis dan Tatalaksana Enterokolitis Nekrotikans
Authors: Luthfi Taufik Muhammad , Lestari Desriani
Published: July 2022

Enterokolitis nekrotikans (EKN) ialah peradangan berat saluran pencernaan yang terjadi pada 5-7% neonatus prematur. EKN merupakan penyebab utama morbiditas dan mortalitas di NICU. Patofisiologi multifaktorial dan belum sepenuhnya diketahui. Deteksi dini sulit karena manifestasi klinis sulit dibedakan dan masih tergantung pada radiologi abdomen yang kurang sensitif. Patofisiologi dan pendekatan diagnosis menjadi topik penelitian prioritas di bidang neonatologi saat ini. Strategi pencegahan dan tatalaksana komprehensif diharapkan dapat ditemukan agar memperbaiki luaran penyakit.

Necrotizing enterocolitis (NEC) is a serious inflammatory disease of intestine which affects 5-7% preterm neonates. NEC is the leading cause of morbidity and mortality in NICU despite rapid advance in preterm neonatal care. Pathophysiology of NEC is multifactorial and not fully understood. Early detection is challenging because of indistinguishable clinical manifestation and still relies on less sensitive abdominal radiography. Nowadays, pathophysiology and diagnostic approach are priority topics for research in neonatology. Comprehensive prevention and treatment strategies expectedly can improve outcome of disease.
Tinea Kapitis pada Dua Saudara Kandung
Authors: Elisia Elisia , Putu Dyah Ayu Saraswati
Published: July 2022

Tinea kapitis banyak ditemukan pada anak-anak yang tinggal bersama dalam satu kelompok ataupun keluarga. Presentasi klinis dari hewan peliharaan sebagai sumber dermatofitosis tidak selalu tampak. Diagnosis tinea kapitis melalui anamnesis, inspeksi kulit kepala, KOH, ataupun kultur. Dilaporkan kasus tinea kapitis pada dua saudara perempuan berusia 3 tahun dan 6 tahun dengan keluhan kebotakan sejak 1 bulan, awalnya tampak bintik merah gatal dan bersisik mengerak; rambut mudah patah dan dicabut. Pemeriksaan KOH positif. Hasil kultur menunjukkan M. canis dan Rhodotorulla. Setelah terapi ketokonazol losion dan ketokonazol sampo selama 2 bulan, didapatkan perbaikan.

Tinea capitis can be found among children living together in a group or in a family. Clinical presentation of dermatophytes among pets, dominated by cats and dogs as source of infections is not always established. Tinea capitis can be diagnosed by anamnesis, inspection of the hair and scalp, Wood’s lamp examination, KOH microscopic examination, and culture. Two tinea capitis cases in siblings with baldness since 1 month preceded by red spots progressing into itchy patches, scaling, and crusted. Hair was brittle and broke off easily. KOH microscopic examination were positive. Cultures showed M. canis and Rhodotorulla. Lesions were reduced after two months of therapy with ketoconazole lotion and ketoconazole shampoo.
Penggunaan Isotretinoin Oral pada Tatalaksana Akne Vulgaris
Authors: Nur Rohmah Restu
Published: July 2022

Akne vulgaris adalah penyakit kulit paling umum dan dikaitkan dengan kecemasan, penurunan harga diri, stigma, dan skar pada wajah yang dapat menjadi beban penyakit yang signifikan bagi pasien. Pada kasus akne nodulokistik dan papulopustular yang berat, isotretinoin oral sering diresepkan sebagai terapi lini pertama yang berpotensi menyembuhkan penyakit. Pedoman praktik klinis Kanada, Amerika, dan Eropa merekomendasikan isotretinoin untuk penatalaksanaan akne derajat sedang hingga berat. Meskipun penggunaan klinis isotretinoin telah berlangsung bertahun-tahun, tinjauan komprehensif terapi isotretinoin pada pasien akne masih kurang. Artikel ini akan memaparkan penggunaan isotretinoin oral pada tatalaksana akne vulgaris.

Acne vulgaris is the most common skin disease and the associated anxiety, reduced self-esteem, stigma, and facial scarring can impose a significant burden on the patient. In cases of severe nodulocystic and papulopustular acne, oral isotretinoin is often prescribed as a first-line treatment, potentially cure of disease. Canadian, American, and European clinical practice guidelines have suggested that isotretinoin should be used for management of moderate to severe acne. Despite many years of clinical use of isotretinoin, a comprehensive review of evidence for isotretinoin therapy for acne is lacking. This article describes the use of oral isotretinoin in the treatment of acne vulgaris.
Analysing Company Policies at PT. Semen Baturaja Tbk
Authors: S. Elinda Nurul Hasana Dewi B. , Syafrina Intania , Depari Irene Juwita , Pramita Nina , Annisah Tiara
Published: July 2022

When it was founded on November 14, 1974, the company was born under the name PT Semen Baturaja (Persero) with a 45% share ownership owned by PT Semen Gresik and 55% PT Semen Padang. The company runs a business specifically in the production of slag with the production center located in Baturaja, South Sumatra. Meanwhile, the cement milling and bagging process are carried out at the Baturaja Factory, Palembang Factory, and Panjang Factory which are then distributed to the Company's marketing areas. PT Semen Baturaja (Persero) Tbk is a company engaged in the cement industry and is aware of the risks arising from its operations to workers and the environment. The COVID-19 pandemic period greatly affected the company's work system in all fields, including the PT. Semen BATURAJA Tbk, because many projects are delayed or constrained. By developing corporate strategy, improving employee performance, conducting periodic checks on corporate governance in detail, and increasing the efficiency of the use of raw materials.
THE EFFECT OF BLENDED LEARNING ON STUDENT LEARNING OUTCOMES IN MULTIMEDIA LEARNING IN HIGHER EDUCATION
Authors: Zulkifli Zulkifli , Putra Andi
Published: July 2022

Learning is a basic need for everyone in meeting educational needs in the educational hierarchy. However, in the learning process itself, there are often various kinds of obstacles in the learning process. In learning multimedia courses at STT Payakumbuh, the problem is that the achievement of student learning outcomes is still low, to overcome these problems, a blended learning model is used so that the achievement of multimedia learning can increase. and to determine effect of applying blended learning in multimedia learning, a quasi-experimental study was conducted with purposive nonequivalent control groups, The research was conducted at Sekolah Tinggi Teknologi Payakumbuh (STT Payakumbuh) in the Multimedia course with a sample class of class 2017 as an experimental group using blended learning and class 2018 as a control class using traditional learning in the classroom. The study was conducted for 7 sessions with data collection techniques in the form of multiple-choice tests consisting of pretest and posttest. After that, the calculations were carried out using the t-test in both classes and obtained a value of 0.000 or sig < 0.05 (5%), then it can be interpreted that H0 is rejected and H1 is accepted. So this study shows that there is an effect of blended learning on student learning outcomes in multimedia courses at STT Payakumbuh.
ANALYZING CUSTOMERS’ SATISFACTION ON FACILITY MANAGEMENT SYSTEM (FMS) USING WEBQUAL 4.0: A CASE STUDY
Authors: Taurintyanna Rr. Dhianita Apriany , Karyati Cut Maisyarah
Published: July 2022

Propertek Facility Management System is a website-based ERP, which is used as a dashboard and is systematically integrated with an application called Many Option. Currently the Property Management Facility Management System has been used in 3 apartments, namely The Pakubuwono Residence, Gading Icon Apartment, and Kubikahomy. This apartment has a total of 2,578 tenants to date. Based on this data, the quality of applications used by tenants must be measured based on user satisfaction. This study aims to determine whether the variables in the Webqual 4.0 measurement method, namely usability, information quality, and service interaction quality, can affect the level of user satisfaction of the Propertek Facility Management System website. The research method used is a quantitative research method, quantitative data is a research method based on positivistic (concrete data), research data in the form of numbers to be measured using statistics as a test calculation tool, related to the problem under study to produce a conclusion. In this study, the quality of the Property Management Facility Management System was measured using the WebQual 4.0 method. WebQual 4.0 is a method of measuring website quality based on end user perceptions. Webqual 4.0 was compiled based on research on three areas or dimensions, namely Usability, Information Quality, and Service Interaction. The results of measuring website quality using the WebQual 4.0 method are expected to be information for the development team to find out system weaknesses, as well as become a reference and benchmark for improving system quality.
THE PHENOMENON OF GOTONG ROYONG IN JAVA COMMUNITY: A CASE STUDY NYUMBANG
Authors: Prasetiyo Ari
Published: July 2022

Culture is the result of human creation in order to make life easier. Along with the times, the culture is possible to experience shifts and changes. This study discusses one of the cultures of gotong royong in Javanese society, especially the nyumbag, by taking research samples from several villages in Yogyakarta. This study discusses the changes and phenomena of people's attitudes toward the tradition of donating. The results of the study found that on the one hand the community was uncomfortable and objected to the tradition of donating, but on the other hand the community was unable to change the tradition. This is due to the existing system in the community, namely in the form of social control and social sanctions. These two things greatly affect the mindset and behavior of the community. Social control and social sanctions are factors that keep the continuity of a hereditary tradition in society.
Green Bonds for Renewable Energy in Latin America and the Caribbean
Authors: González-Ruiz Juan David , Mejía-Escobar Juan Camilo , Rojo-Suárez Javier , Alonso-Conde Ana-Belén
Published: July 2022

This paper comprehensively analyzes the overall status of the green bond market in Latin America and the Caribbean (LAC) for the renewable energy sector. Our results show that, in most cases, issuers are non-financial corporations. Also, despite LAC’s low perception of transparency, 78% of the volume issued has been externally reviewed. In general terms, the barriers imposed on issuance by local governments, mainly municipal debt ceiling, low credit rating and solvency, limited capabilities to prepare bankable projects, and lack of communication channels between the financial sector and local governments, constrain the green bond market in LAC. Furthermore, although the presence of development institutions that promote the issuance of green bonds in the renewable sector has improved in recent years, it is mandatory to continue making progress in this area. For that purpose, closer cooperation and alliances are essential to share responsibilities and knowledge in LAC.
“Are We Theologians?”: A Practical Theology Approach to Catholic Social Teaching with Women Religious in East Africa
Authors: DeMarais Sarah C.
Published: July 2022

Catholic sisters in East Africa are a powerful force for advancing integral human development, central to the vision of Catholic social teaching (CST), but they often lack access to formal theological education. When they do participate in formation in CST, they are inspired and energized to share their learnings and connect their distinctive congregational charisms to the broader social mission of the Church. This essay presents an innovative and effective approach to teaching CST that the Loyola Institute for Ministry has developed with its Certificate in Catholic Social Teaching, an online certificate offered at both the graduate and undergraduate levels. Twenty-five sisters in East Africa have earned the certificate and applied their knowledge and skills in practical theological reflection in the service of transformative action projects for integral human development and sustainability. This essay describes the inculturated course content, online delivery, and Ignatian spiritual formation woven throughout. This project and resulting student successes illustrate how a practical theological approach that honors experience, culture, and contextuality empowers students to discern and respond to community needs in light of the Catholic social tradition.
Does a Long-Run Relationship Exist between Trade Openness and Carbon Dioxide Emissions in Sri Lanka?
Authors: Maheswaranathan Sarojini , Bhavan Thangamani
Published: July 2022

In recent years, the process of globalization has provided a great deal of support to international trade, which has led to the increase in global trade volume. However, as far as the negative characteristics of international trade flows are concerned, the extensive production and trade needed to meet global demands have led to higher energy consumption and higher carbon dioxide (CO¬2) emissions. Sri Lanka has been trading since 1977, so the objective of this study is to investigate the existence of the relationship between trade and carbon dioxide emissions in Sri Lanka. Using annual time series data running from 1980 to 2014, this study employs Johansen’s cointegration method for econometric analysis. The findings of the study derived from the analysis revealed that the intended variables are likely to move together in the long run. The study suggests that reprocessing emissions, pollution prevention actions, and the introduction of low carbon technology in trade can mitigate carbon dioxide emissions.
Aliado silencioso: Alemania Occidental y la modernización del sector de la defensa en España, 1945-1986
Authors: Sanz Díaz Carlos
Published: July 2022

Este artículo reconstruye la lógica política, tecnológica y económica de las relaciones entre España y Alemania en el ámbito de la defensa entre 1945 y 1986 desde el punto de vista de las aportaciones alemanas a la modernización militar de España. La RFA fue una fuente destacada de transferencias tecnológicas a España, aunque muy por detrás de Estados Unidos y Francia. La década de 1945-1955 y el periodo democrático a partir de 1975 ofrecieron las condiciones más favorables para el intercambio, primero esencialmente bilateral y privado, y después cada vez más oficial y multilateral en el marco de la OTAN.
Movimiento de Objeción de Conciencia en la década de 1980
Authors: Ordás García Carlos Ángel
Published: July 2022

La campaña de insumisión iniciada en febrero de 1989 supuso la continuación de una línea de desobediencia al Estado que duraba casi dos décadas. A diferencia del contexto político precedente, a partir de las elecciones de 1982 el Gobierno de la democracia gozaba de un importante grado de legitimidad política y social para hacer cumplir la ley. No obstante, los jóvenes antimilitaristas consiguieron poner en marcha la insumisión y cuestionar la legitimidad del Gobierno. Todo esto fue fruto de la evolución del contexto político y social, así como de la evolución interna de los grupos antimilitaristas, en especial el Movimiento de Objeción de Conciencia, que acabó configurándose como un importante espacio de encuentro, movilización y activismo político de la juventud española.
Circus & the Avant-Gardes: Between Science and Art
Authors: Jürgens Anna-Sophie , Hildbrand Mirjam
Published: July 2022

This article examines the position of circus within the arts and sciences by exploring the interest of early 20th-century artists in circus phenomena – as a source of inspiration for artistic projects and studies – and the location of circus as an object of research within the panorama of scholarly disciplines. As the speakers – experts from different academic fields, curators and circus practitioners – at the second symposium on Circus and the Avant-Gardes (May 2020, University of Bern) examined, (studying) circus and avant-garde connections contributes to a better understanding of the artistic movements from the early 20th century and their cultural legacy, the history of popular entertainment and the cultural relevance of circus arts today. It also clarifies the importance of circus as an object of interdisciplinary and artistic research.
Application of specialized DFA for time series forecasting
Authors: Pavlova U. V. , Rakitskiy A. A.
Published: July 2022

In this paper the possibility of using deterministic finite automaton to forecast time series in real time is considered. To solve this problem, a modification of the automaton with 10 reading heads designed to recognize multilinear sequences is proposed. The article presents modifications of this automaton, algorithms for their implementation, and demonstrates the results for various time series. In addition, the paper presents a method for changing the algorithm of the automaton ensuring its step-by-step execution.
Aprendizaje autodirigido y emprendimiento: una aproximación desde la realidad universitaria
Authors: García-Tudela Pedro Antonio , González-Calatayud Víctor , Montiel-Ruiz Francisco José
Published: July 2022

El emprendimiento, entendido como la generación de ideas que se convierten en realidad, es una competencia básica que la propia Unión Europea está intentando fomentar en los estudiantes. Lo mismo sucede con la competencia digital, la cual se está desarrollando desde hace tiempo en todos los niveles educativos. De la combinación de ambas surge el emprendimiento digital, que tiene una relación directa con el aprendizaje autodirigido, ya que requiere que la persona aprenda a autogestionarse. Es por ello que en este trabajo se analiza la dimensión del emprendimiento digital de los estudiantes de último curso de grado para comprender cómo autogestionan también su aprendizaje, concretamente en la dimensión de gestión. La muestra estuvo compuesta por 1.108 estudiantes de las universidades públicas de la Región de Murcia, cuyo 64,17% estaba formado por mujeres y la edad media era de 23 años. El alumnado se muestra preparado para aprender de su propia experiencia, además de considerar la planificación para cumplir con los plazos como algo fundamental. Se encontraron diferencias en relación con el sexo y la rama de conocimiento de procedencia del alumnado que se discuten en el trabajo. Se requiere de más investigación que analice la relación entre el emprendimiento y el aprendizaje autodirigido.
Ecologías digitales y aprendizaje autodirigido
Authors: González-Sanmamed Mercedes , Prendes Espinosa M.ª Paz , Souto-Seijo Alba
Published: July 2022

Presentación del monográfico Ecologías digitales y aprendizaje autodirigido.
Continuous assessment strategies as a way to motivate students in Technology careers
Authors: Jimenez-Rosado Mercedes , Perez-Puyana V. , Romero García Alberto , Bengoechea Carlos , Felix Manuel
Published: July 2022

Society demands that new strategies for learning processes put a greater focus on the students. Thus, new methods must be implemented in higher education studies, leaving guided learning, which is evaluated at the end of the course. The high percentage of abandonment of university studies calls for the implementation of teaching systems in which students are the main actors of the learning processes, under the guidance of the faculty. Moreover, a continuous assessment of students would help to increase student motivation by the continuous feedback of their effort as the course is underway. This work collects the results of different experiences carried out in three different degrees in the University of Seville (Mechanical Engineering, Chemistry and Materials Engineering). These experiences follow a methodology based on case studies, which finally motivated students in every course analysed and promoted the obtainment of higher marks.
Point-of-Care Anti-Counterfeit Medicines Technologies
Authors: Iloh GU , Akodu B A , Emeka E A
Published: July 2022

Background: Substandard and falsified medicines pose a serious threat to public health throughout the world but disproportionately afflict under-resourced nations with weak pharmaceutical regulatory mechanisms. The prescription of medicines is an event in which a medical practitioner(MP) is a decision maker for the ultimate consumer who is the patient.

Aim: The study was aimed at describing awareness, identification, utilization, and barriers to utilization of point of-care overt anti-counterfeit medicine technologies(ACMTs) and the drivers, dangers and preventive measures of substandard and falsified medicines among MPs in Abia State.

Methods: This was a cross-sectional study done on 178 MPs in Abia State, Nigeria. Data were collected using a self-administered questionnaire that elicited information on awareness, identification, utilization of overt ACMTs and its barriers. The drivers, dangers and preventive measures for substandard and falsified medicines were also studied.

Results: The mean age±SD of the respondents was 34±8.2 (Range 24-72 years). There were 159(89.3%) males. All the respondents (100%) were aware of the point-of-care overt ACMTs with the most commonly identified types being labelling (100%), packaging (100%), printing graphics (100%), and mobile authentication numbers(MAN) (100%). The most commonly utilized ACMTs were labelling (100%), packaging (100%) and printing (100%) technologies. Time constraint (100%) was the predominant predisposing barrier to utilization of overt ACMTs. The commonest classes of falsified and substandard medicines were anti-malarial (100%), anti-bacterial (100%) and analgesics (100%). The most common driver and danger of substandard and falsified medicines alluded to by the respondents were poor pharmaceutical products regulatory systems (100%) and treatment failures (100%), respectively. The most recommended preventive measure was securing supply chain of medicines (100%).

Conclusion: Awareness of point-of-care overt ACMTs was very high but did not appear to translate to comparable utilizations for all types. The most commonly utilized overt ACMTs were labelling, packaging and printing technologies. Time constraint was identified as a possible predominant barrier to utilization of overt ACMTs. The commonest classes of substandard and falsified medicines were anti-malarial, anti-bacterial and analgesic medicines. It was believed that the commonest driver of substandard and falsified medicines was poor pharmaceutical products regulatory system and all these could result in treatment failures. Securing supply chain of medicinal products may serve as an effective preventive measure.
Pattern and Predictors of Patients' Willingness to Comply with Recommendations after Surgical Consultations in a Teaching Hospital in Nigeria
Authors: Okonta K E , Ogaji D S
Published: July 2022

Background: Willingness of patients to comply with decisions taken during surgical consultations may influence the quality of care and health outcome.

Objective: This study determined the pattern and predictors of patients' willingness to adhere to surgical recommendations.

Methods: A descriptive cross-sectional study involving about 490 adults recruited by systematic sampling. The content validity and internal consistency reliability of the tool which assessed patients' willingness to comply with recommendations for follow-up visit, drug prescription, investigation and surgical procedure were determined. Frequencies distribution and multivariate ordinal logistic regressions were conducted and p-value <0.05 was considered significant.

Results: A total of 466 respondents' data was analysed giving a response rate of 95.1%. The Cronbach's alpha of the questionnaire was 0.7 and the mean age of the respondents was 43.7 +15.7 years. About a fifth (18.2%) earned more than N==150,000 (»$385) and out-of-pocket payment was the prevalent mode of making payments (83.3%). Follow-up visit was the most frequent recommendation (31.8%) and patients' willingness to accept recommendations ranged from 62.7% (admission) to 93.2% (prescription). The visit status was the most consistent predictors of patients' willingness to accept the various recommendations.

Conclusion: Fewer patients were willing to accept the recommendation for an admission than other recommendations. Findings are useful in developing strategies to improve patients' adherence with recommendations following consultations with surgeons.

Keywords: Consultation; Hospital; Inpatient; Nigeria; Outpatient; Patient Acceptance of HealthCare; Teaching.
Awareness, Availability and Use of Teaching Aids and Skills Acquisition Materials in Family Medicine Training Centres in West Africa
Authors: Fatusin AJ , Oseni TIA , Salam TO , Kalala K S , Fatusin B B , Ameh P , Ayisi-Boateng N K , Bafana N A A`
Published: July 2022

Introduction: Teaching aids and skills acquisition tools are rapidly forming an integral part of Family Medicine postgraduate training worldwide. While some training centres in West Africa have made concerted efforts to ensure their use, many still have a lot to improve on. Hence, there is a need to objectively determine its level of awareness, availability, and use in the sub-region.

Methods: This was a descriptive cross-sectional study involving all consenting Heads of Department and Training Coordinators of all centres with current West Africa College of Physicians Family Medicine accreditation. The Google link to a questionnaire comprising socio-demographic variables, questions on awareness, availability and use of various teaching aids and skill acquisition tools was sent to the respondents via WhatsApp message. Continuous variables were expressed as mean ± standard deviation and categorical variables as frequencies and percentages. Chi-square test and logistic regression analysis were used to determine factors associated with and predictors of availability and use of teaching aids/skills acquisition tools.

Results: The response rate was 107(84.3%) from all currently accredited West Africa College of Physicians Family Medicine training centres. Their mean age was 54±7 years; they were predominantly 93(86.9%) certified as trainers. All the respondents felt the use of teaching aids/skills acquisition materials will enhance learning in their departments. However, most were aware and used traditional resources (97.2%) and non-electronic (96.3%) resources. Only 10 (9.3%) respondents had mannequins for training Resident Doctors.

Conclusion: Most Family Medicine Trainers in West Africa are aware and support the use of teaching aids/skills acquisition materials. However, the uptake is currently very low. There is an urgent need for the Postgraduate College and all stakeholders to look into ways of improving the use of teaching aids/skills acquisition materials in the sub-region.

Keywords: Awareness; Family Medicine; Skills acquisition; Teaching aids; West Africa.
Biochemical Assessment of Cardiovascular Risk Associated with the Duration of Antipsychotic Therapy in Patients with Schizophrenia
Authors: Akande A A , Adelekan A , Abdulazeez I M
Published: July 2022

Background and objectives: Schizophrenia accounts for 78% of cases managed in Behavioural Sciences in Nigeria, and treatments with antipsychotic drugs may contribute to the onset of coronary heart disease (CHD) due to dyslipidaemia - associated complications. The prevention of CHD is preferable and less expensive than its management; thus, early identification and treatment may offer the possibility of reducing the devastating sequel. The aim of this study was to investigate the pattern of dyslipidaemia and cardiovascular risk (CVR) associated with duration of antipsychotic therapy inorder to improve awareness on early diagnosis, treatment and CVR reduction.

Methods: This was a longitudinal (prospective) study involving 44 participants recruited through systematic random sampling. Each participant served as their own control. Four blood samples were obtained from each participant, starting with a baseline before the onset of antipsychotic therapy and subsequently at monthly intervals for three consecutive months from commencement of therapy. Parameters of routine and advanced lipid profiles were assayed and the atherogenic indices were calculated.

Results: Both the routine and advanced lipid profiles werewithin reference limits at baseline. A significant increase in monthly levels was observed with dyslipidaemia noticed by the second month of antipsychotic therapy. There was an association established between the duration of therapy and a high CVR. The TC/HDL-C ratio performed better than apo B-100 and individual routine lipid profile fractions in the evaluation of CVR.

Conclusions: Dyslipidaemia associated with high CVR may develop with antipsychotic therapy. Calculation of atherogenic indices was a good indicator of CVR.

Keywords: Antipsychotics; Cardiovascular risk; Dyslipidaemia; Schizophrenia.
Clinical Audit of Low Dose Prophylaxis Programme for Nigerian Children with Haemophilia
Authors: Tolani
Published: July 2022

Introduction: The evidence of benefits for prophylaxis especially low dose prophylaxis is incontestable yet most children in developing countries as Nigeria do not have access to this treatment protocol.

Aim: The aim was to audit the low dose prophylaxis treatment in Nigerian children with haemophilia.

Methodology: A multicentre clinical audit of five haemophilia treatment centres; University of Nigeria Teaching Hospital Enugu, Lagos University Teaching Hospital, National Hospital Abuja, University of Port Harcourt Teaching Hospital Port Harcourt, and Federal Teaching Hospital Gombe. Eighteen children with mild-severe haemophilia were enrolled into low-dose prophylaxis treatment programme. The reduction of joint bleeding, improvement of joint function and Quality of Life (QoL) during prophylaxis were analysed.

Results: In total 18 children - 17males and 1 female (median age 8 years) were enrolled. The median duration of observation was 7 months (range 3-15months). Seven of the children were on primary prophylaxis (41%) while 10 of the children (59%) were on secondary prophylaxis. The number of joint bleeds decreased from a total of 162 (individual range 5-20, mean 10.3) to 42 (range 0-7, mean 3.0) during the observation period with an overall reduction of 74%. Joint function improved in 94.1% of disease joints, while only 5.6% reported no improvement (due to poor compliance). School attendance improved in all subjects, sports participation and daily activity improved moderately.

Conclusion: Low dose prophylaxis was beneficial in reduction of joint bleeds, improvement of joint function and improvement of QoL of Children with haemophilia in Nigeria.

 

Authors

T U Nwagha 1, H C Okoye 1, C E Udo 2, S Yuguda 3, K I Korubo 4, T A Adeyemo 5
Evaluation of Asymptomatic Malaria Antigenaemia and Parasitaemia in Human Immunodeficiency Virus-Infected Children in Benin City, Nigeria
Authors: Ibadin
Published: July 2022

Background: Malaria and HIV/AIDS are rampant in subSaharan Africa with prevalence of one reinforcing the other and control of one impactful on control of the other. Malaria parasitaemia (MP) prevalence is increased in HIV-infected individuals while certain drugs used in latter cause decline in MP but it is uncertain how they affect malaria antigenaemia (MA). How certain bio-social and disease characteristics affect MA and MP in this cohort is unknown.

Objectives: To determine prevalence of asymptomatic MP and MA and their clinical and social determinants in HIV infected.

Methods: In a prospective cross-sectional study carried out at the University of Benin Teaching Hospital (April to June 2016), 221 HIV-infected children (aged 1-17years) asymptomatic for malaria and 221 apparently healthy HIV-negative controls were studied. MA was assessed using rapid diagnostic test while MP was evaluated using microscopy. Standard method was used to determine parasite count.

Results: Prevalence of asymptomatic MP was 24.4% in subjects and 17.6% in controls while MA prevalence in subjects and controls were comparable (20.8% vs 18.1%). Malaria parasitaemia rate (MPr) of 24.4% was higher than malaria antigenaemia rate (MAr) (20.8%). MP and MA rates were independent of socioeconomic status, access to anti-retroviral drugs, their duration of use and clinical disease stage.

Conclusion: MA occurred frequently enough to warrant its use as malaria case definition surrogate in asymptomatic children with HIV/AIDS receiving trimethoprim-sulfamethoxazole prophylaxis and protease inhibitors.

Authors

M O Ibadin 1, N Eghafona 2
Risk Factors of Skin Diseases among School Children in South Eastern Communities in Nigeria
Authors: Ewurum
Published: July 2022

Background: Skin disorders frequently seen among primary school children are common causes of morbidity. Determining the risk factors of skin diseases, will enhance a better understanding of skin health and prevent skin diseases in school children.

Aim: To determine the common risk factors of skin diseases among primary school children in Umuahia South Local Government Area of Abia State.

Methods: A descriptive cross-sectional study carried out over a 4-month period among pupils of public and private primary schools. Diagnosis of skin diseases was based on clinical findings as well as laboratory investigations where indicated. A pre-tested, self-administered, close ended questionnaire was used to ascertain the risk factors of skin diseases.

Results: Eight hundred and forty-seven (847) and seven hundred and thirteen (713) subjects were recruited from public and private schools respectively. Fifty-six percent of the subjects were males. The mean age of the study participants was 8.74 ± 2.08 years. The overall prevalence of skin diseases was 40.2%. Using a multivariate logistic regression, gender, number of people per room, frequency of bathing per week and source of water were found to be significant risk factors for skin diseases.

Conclusion: Socio-demographic factors and living conditions are significant risk factors of skin diseases. Standard hygienic practices by school children and their parents/ caregivers will help to reduce the high prevalence of skin diseases in our environment.

Authors

O Ewurum 1, C A Ibeneme 2, T O Nnaji 3, A N Ikefuna 4
Prevalence and Factors Associated with Depression among Resident Doctors in Nigeria: A Multi-Center Study
Authors: Obilom
Published: July 2022

Background: Depression is a significant contributor to the global burden of disease. Several studies have shown that depression in resident doctors is more common than that in the general population. However, data on the prevalence of depression among resident doctors in Nigeria is limited.

Objectives: The aim of this study is to determine the prevalence of depression as well as factors associated with depression among resident doctors.

Methods: A cross-sectional study design was employed with semi-structured questionnaires on socio-demographic and other factors associated with depression in resident doctors. The proportionate sample size in hospitals across the six geopolitical zones with multi-stage sampling and systematic random sampling technique was used to recruit resident doctors. The Beck's Depression Inventory was employed. The data was analyzed using Epi info version 3.5.3 (2011) and Stata 14. A p-value of less than 0.05 was statistically significant.

Results: The prevalence of depression was 18.9% among the resident doctors. Negative binomial regression used showed that depression in resident doctors was significantly associated with age (IRR=1.07, 95%CI:1.01-1.13, p=0.017), female gender ((IRR=1.75, 95%CI: 1.00-3.05, p=0.049) and being a resident in the surgical specialties (IRR=2.31, 95%CI: 1.35-3.94, p=0.002), respectively.

Conclusion: The prevalence of depression among resident doctors showed that older age, female gender, and surgical specialties were determinants of depression.

Author

R E Obilom 1, C T Amanyam 1, A M Ogunbode 2, O A Mosuro 2, G U Ndukwu 3, F M Onuoha 4, B A Grema 5, M D Akangoziri 6
Elementary Teachers’ Use of 1:1 Tablets in Lesson Planning and Presentation on a Western Pacific Island
Authors: Soalablai Sinton , Wilson Andrea M , Baltes Beate
Published: July 2022

The Ministry of Education on a Western Pacific island invested in an expensive 1:1 tablet program providing elementary teachers and students with a tablet but had not determined if the program produced desired positive changes in the teachers’ instructional practices of lesson planning and lesson presentation. Guided by experiential learning theory, this causal–comparative study’s purpose was to determine if the 1:1 tablet program resulted in changes in elementary teachers’ use of technology in their lesson planning and lesson presentation practices. We analyzed pre and postimplementation lesson planning and lesson presentation data, collected from 63 elementary teachers, using repeated measures t-tests. Results showed teachers’ use of technology in lesson planning and lesson presentation increased significantly following implementation of the 1:1 tablet initiative. These findings suggest that the 1:1 tablet program created an environment that positively supported technology-driven instruction for teachers as well as students. In light of these results, the 1:1 tablet program appears to be a worthwhile initiative for the education system on the island that should be continued and possibly expanded even if public financial resources are scarce.
JUMPA Vol. 8 No. 1 Februari 2021 Dampak Kinerja Keuangan Terhadap Pembagian Dividen Pada Perusahaan Manufaktur Yang Terdaftar di BEI
Authors: Sekolah Tinggi Ilmu Ekonomi Y.A.I Ida Musdafia , Sekolah Tinggi Ilmu Ekonomi Y.A.I Rigzy Evrilyana
Published: July 2022

Penelitian ini mengkaji dampak kinerja keuangan terhadap pembagian dividen pada perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia. Kinerja keuangan yang diperkirakan memberikan dampak pada pembagian dividen dalam penelitian ini adalah Cash Ratio, Return On Assets, dan Asset Growth. Metode yang digunakan dalam menjawab permasalah penelitian ini adalah Ordinary Least Square (OLS). Data penelitian adalah data sekunder berupa laporan keuangan yang dipublikasikan tahun 2015 sampai 2019 oleh perusahaan manufaktur perusahaan manufaktur yang terdaftar di Bursa Efek Indonesia. Hasil penelitian menunjukkan current ratio dan return on asset berpengaruh signifikan dan positif terhadap pembagian Dividen (Dividen Payout Ratio), sedangkan Asset Growth tidak memiliki pengaruh signifikan terhadap pembagian Dividen. Namun secara simultan terdapat pengaruh yang signifikan antara Current Ratio, Return On Asset dan Asset Growth.
JUMPA Vol. 8 No. 2 Juni 2021 Kinerja Keuangan Sebagai Prediktor Harga Saham Unggulan
Authors: Perbanas Institute Hanifah Fajryanti , Perbanas Institute Mustanwir Zuhri
Published: July 2022

Penelitian ini bertujuan untuk menganalisis pengaruh kinerja keuangan yang diproksi dengan current ratio, debt to equity ratio, return on asset dan earning per share terhadap harga saham unggulan di Bursa Efek Indonesia yang masuk ke dalam LQ45 periode 2015-2019. Sampel ditentukan menggunakan teknik purposive sampling dan didapatkan sebanyak 20 perusahaan yang sesuai dengan kriteria. Analisis yang digunakan dalam penelitian ini adalah regresi data panel dengan model Random Effect. Berdasarkan analisis didapatkan hasil bahwa variabel return on asset memiliki pengaruh positif signifikan terhadap harga saham dengan nilai hasil probabilitas pada uji t sebesar 0.0391, di bawah nilai 0.05. Variabel earning per share tidak berpengaruh terhadap harga saham pada tingkat signifikasi 95% (alfa 5%) tetapi mempunyai pengaruh positif yang lebih lemah dengan probabilitas 0.0609 pada tingkat signifikansi 10%. Variabel current ratio dan debt to equity ratio tidak memiliki pengaruh signifikan terhadap harga saham dengan probabilitas sebesar 0.6915 untuk current ratio ( CR) dan 0.8152 untuk debt to equity ratio (DER). Dari hasil Uji F didapatkan nilai probabilitas statistik F= 0.000738, kurang dari 5% bahkan kurang dari 1%, sehingga variabel independen yaitu current asset, debt to equity ratio, return on asset dan earning per share secara simultan berpengaruh terhadap harga saham.
Corrosion and wear protection of AISI 4140 carbon steel using a laser-modified high-velocity oxygen fuel thermal sprayed coatings
Authors: Sivarajan Shanmugasundaram , Joshi Adwait , Palani Karthikeyan C. , Padmanabhan Raghupathy , Stokes Joseph T.
Published: July 2022

Inconel and micro and nano WC-12Co powders were deposited on AISI 4140 carbon steel by high-velocity oxy fuel (HVOF) coating and followed by laser surface modification. Laser power and scan speed were varied at different levels. Microstructure and microhardness were investigated. Nanocoatings performed better than microcoatings. Nanostructured WC powder coatings exhibited greater hardness compared to microstructured powder coating. When the laser power is increased to 170 W, a small cellular dendrite microstructure through multiphase solidification is formed due to the difference in thermal properties of Inconel 625 and WC particles. Adequate laser power and low scan speed were preferred to produce a high-quality coating. From the electrochemical corrosion test results, it was observed that the corrosion rate of laser-modified HVOF sprayed coating is lower than the carbon steel sample. This shows that the Inconel sprayed by laser-modified HVOF coating enhanced the corrosion resistance of the substrate steel material. The porosity percentage was higher for all the samples when laser scan speed was increased.
The influence of selected factors on the strength of angle joints of frame elements
Authors: Rybiński Kamil , Borysiuk Piotr
Published: July 2022

The influence of selected factors on the strength of angle joints of frame elements. The research determined the impact of 5 types of adhesives (PVAc, EVA, PO, PO met., PUR) and the time elapsed since the moment of gluing (4, 8, 12, 24 and 72h) on the strength of the mitre joints of frame elements made of MDF. The elements of the frames were additionally connected with metal staples. As a reference option, joining elements without an adhesive, using only staples, was employed. The strength of the connections was determined as the maximum module when testing connections in two configurations: compression and tensile strength. For each variant, 10 repetitions were performed. It was demonstrated that regardless of the test system or the time elapsed since gluing, the highest values of the modules were recorded in the case of the EVA adhesive. In turn, the use of PO and PUR adhesives requires a long bonding time, while PO met. and PVAc adhesives are characterized by low suitability for gluing mitre joints made of MDF sheets (values of modules comparable to the values of modules having only stapled connections).
Los cuidados progresivos de pacientes como política hospitalaria: su implementación en EEUU, 1953-1969
Authors: Peve Andrea , Spinelli Hugo
Published: July 2022

cute la implementación de los cuidados progresivos de pacientes (HCPP) en hospitales estadounidenses, entre los años de 1953 y 1969. Las preguntas de investigación son: ¿cuál era la situación en la época de los hospitales en EEUU y qué difcultades tenían para la atención médica?, ¿qué antecedentes reconoce la propuesta de los cuidados progresivos de pacientes?, ¿Cuál fue la defnición de los cuidados progresivos de pacientes?, y ¿en qué consistía la propuesta de los HCPP? Se realizó una revisión en PubMed y Scopus y se trabajó sobre 39 artículos y otros documentos de la época. Los cuidados progresivos distinguieron cinco diferentes zonas de cuidado: intensivos, intermedios, autocuidado, prolongado y domiciliario, con ello se trató de optimizar recursos a través de la categorización de pacientes y la racionalización del personal de enfermería. Los cuidados progresivos con sus normas y protocolos en cuidados separados fueron infuidos por el estructural-funcionalismo dominante de la época.
El “ethos” de la Generación Z: los estudiantes de medicina de la UNAM
Authors: Hamui Sutton Liz , Martínez D. Joshua , Millán-Hernández Manuel , Vives Varela Tania
Published: July 2022

Introducción: la sucesión de generaciones históricas se ha acelerado debido a las innovaciones tecnológicas que han impactado a la comunicación, educación y ámbito laboral. La Generación Z egresó de la licenciatura para incorporarse al mundo laboral con representaciones y prácticas sociales particulares, experiencias y expectativas que enmarcan sus preferencias, ideologías, creencias y valores. Objetivos: i) Analizar articulaciones y tensiones en la experiencia formativa de médicos internos de pregrado ii) Describir las modalidades de comunicación de estudiantes de la Gen Z en espacios sociales y virtuales iii) Descifrar el “ethos” que caracteriza la vida personal, social, educativa, económica y política de los estudiantes de medicina de la Gen Z. Método: Se realizó un estudio mixto explicativo. Primero se utilizó una encuesta de escala actitudinal de diferencial semántico con 22 preguntas y su análisis estadístico. Segundo se buscó ahondar y profundizar en los resultados mediante grupos focales. Resultados: respondieron 462 estudiantes de internado médico. La confiabilidad del instrumento (0.82). Tres grupos focales con un total de 30 participantes. Se encontraron tres dimensiones de análisis: 1) Uso de las tecnologías de la comunicación, 2) Experiencias y expectativas de la profesión médica y 3) Vida personal y compromiso sociopolítico. Discusión: Conocer el “ethos” que orienta el comportamiento de los estudiantes de medicina pertenecientes a la Gen Z, permite a los sistemas de salud, a las instituciones formadoras y empleadoras de los nuevos médicos entender las expectativas, necesidades, prácticas sociales y visiones a futuro de quienes formarán parte de ellas y las conformarán.
Sindemia por COVID-19, multimorbilidad y determinantes sociales en Chile
Authors: Venegas Arluciaga Florencia , Gamboa Valenzuela Juan , Cruz Parada Javiera , Uribe Reyes Victoria , Ortiz Contreras Raúl
Published: July 2022

Introducción: La actual pandemia ha desafiado a los sistemas de salud en todo el mundo, evidenciado cómo las inequidades sociales determinan el curso y desenlace de la enfermedad por SARS-CoV-2. El presente artículo presenta datos epidemiológicos, como antecedentes para plantear la existencia de una sindemia en la actual crisis sanitaria que atraviesa Chile. Materiales y métodos: La metodología de recolección de información se basó en la estrategia de búsqueda por bola de nieve de tipo no discriminatorio exponencial, donde se seleccionaron tres términos de búsqueda clave, a partir de los cuales se desarrolló la investigación; Los términos fueron: COVID-19, determinantes sociales de la salud y multimorbilidad. Se buscaron datos estadísticos acerca de los resultados en salud de personas con multimorbilidad, durante la pandemia por SARS-Cov-2, así como las diferencias en cuanto a incidencia y mortalidad según distintos contextos sociales. Se utilizaron los motores de búsqueda Google, Google Scholar y SciELO. Resultados: Se identifcaron relaciones de vulnerabilidad sindémica, asociadas a peores resultados de salud determinando el curso y resultado de la enfermedad por COVID-19. Discusión: Los datos presentados permiten observar cómo ha afectado la enfermedad por COVID-19 en distintos grupos poblacionales, donde los determinantes sociales de la salud cumplen un rol fundamental. Conclusiones: Existen los sufcientes antecedentes para plantear una relación sindémica entre COVID-19, multimorbilidad y determinantes sociales en Chile. Los resultados de esta investigación refuerzan el planteamiento de que la salud pública se debe construir con un enfoque integrador, transdisciplinario e intersectorial.