bluuebunny/crossref_metadata_2025 huggingface dataset:
Desafios e possibilidades da prática como componente curricular na formação de professores de Geografia
Authors: Lima Neto João Carlos de
Published: June 2023

No presente artigo são apresentadas discussões sobre a relação entre teoria e prática na formação de professores, com ênfase na Prática como Componente Curricular (PCC), seus desafios e possibilidades no contexto dos cursos de Licenciatura em Geografia. Trata-se de uma investigação de natureza qualitativa e sua coleta de informações foi conduzida por meio de entrevistas semiestruturadas com coordenadores de curso, professores formadores e grupos de discussão com os estudantes concluintes dos cursos em 2017 de duas Instituições de Ensino Superior de Goiás. A partir do diálogo com professores formadores e estudantes concluintes em duas universidades públicas goianas, discorre-se acerca dos desafios que permeiam a implementação e a operacionalização da PCC. Além disso, apresenta-se uma proposta de percurso didático como alternativa para a superação dos desafios apontados, os quais evidenciam a necessidade de práticas formativas que propiciam uma interconexão com os conhecimentos profissionais do professor de Geografia. Assim, contribui com o processo de construção do conhecimento pedagógico sobre os conteúdos geográficos.
Palavras-chave
Formação de professores, Licenciatura em Geografia, Prática como Componente Curricular. 
 
Challenges and possibilities of practice as a curriculum component in teacher education in Geography
Abstract
This article presents discussions on the relationship between theory and practice in teacher education, with emphasis on Practice as a Curricular Component (PCC), its challenges and possibilities in the context of the degree in Geography. This is an investigation of a qualitative nature and its collection of information was led through semi-structured interviews with course coordinators, teacher trainers and discussion groups with students graduating from courses in 2017 from two Higher Education Institutions in Goiás. From the dialogue with teacher trainers and graduating students in two public universities in Goiás, the challenges that permeate the implementation and operationalization of the PCC are discussed. Also, a proposal for a didactic course is presented, as an alternative for overcoming the challenges mentioned, which highlights the need for training practices that provide interconnection with the professional knowledge of the Geography teacher, in order to contribute to the construction process of pedagogical knowledge about geographic contents.
Keywords
Teacher training, Degree in Geography, Practice as a Curricular Component.
Persepsi Mahasiswa sebagai Calon Guru Pendidikan Agama Islam (PAI) dalam Menghadapi Tantangan Era Digital (Studi Pada Mahasiswa Program Studi PAI UIN Sumatera Utara)
Authors: Arlina Arlina , Nabila Ridha , Anggraini Nursela , Maulana Aldikha Aditya , Rahmaini Siti
Published: June 2023

This research is intended to collect the student's perceptions as candidates for pai in the digital age. The focus of the study is student perceptions, challenges, and the role of pai student in the digital age. The research methods used are qualitative with a descriptive study approach. The techniques used to collect data are observation, interviews, and documentation. Next, to analyze the data using the miles and huberman techniques of data reduction, data presentation, and deduction. As a result of this study, being a pai teacher in the digital age has been difficult because it has to face challenges such as scientific development and a moral crisis. As for the efforts that can be made, students must be digital literacy, innovating varying methods and media, following the growth of curriculum, and preparing materials according to the original sources.
The Role of Mobilizing Teacher Education in Efforts to Improve the Quality of Teacher
Authors: Anggraeni Intan Nur , Rugaiyah Rugaiyah
Published: June 2023

The quality of teachers tends to decline in this modern era; most teachers need more professionalism to carry out their duties. This is reflected in the low competence of the teacher. The Teacher Competency Test (UKG) conducted on Indonesian teachers showed unsatisfactory results. In addition, the decline in teacher quality can also be caused by several factors, including a lack of knowledge about technology, lack of time discipline, and the negative impact of globalization. The purpose of this study is to provide an understanding that the existence of the Teacher Mobilization Education Program is based on efforts to improve teacher quality. This research uses a qualitative approach with the literature study or literature review method. Data were collected by reviewing the official websites of Google Scholar, Research Gate, sign online and the Ministry of Education Culture Research and Technology of the Republic of Indonesia, with the keyword quality of teacher, teacher competence, teacher and obtained the data about teacher mobilization. The study results a show that teacher mobilization education can help improve the quality of teachers by increasing their competence. Mobilizing teacher education can create active, inclusive, capable, innovative, and sustainable teacher learning habits to support students' learning process. Education is inseparable from the role of the teacher as a role model and leader in learning. This government-initiated program can upgrade the quality of teachers, not only serving as teachers but as trainers and activators for other teachers in the context of developing creative, innovative, and student-centered learning. The driving teacher education program makes teachers more adaptive to the various changes they face with the times. It can cultivate the best learning methods based on existing technology. This study recommends that teachers continue to develop their quality through education and training to face future challenges.
Pengaruh Kewibawaan Guru Fikih terhadap Aktivitas Belajar Siswa di Madrasah Tsanawiyah Miftahul Huda Seberang Tembilahan Kecamatan Tembilahan
Authors: Syahid Abd. , Ilyas M. , Zulkarnainsyah Zulkarnainsyah , Hidayat Suriya
Published: June 2023

This study aims to determine whether there is an influence of Jurisprudence Teacher Authority on Student Learning Activities. This type of research is quantitative research. The number of samples in the study amounted to 71 people. Data collection techniques through questionnaires and documentation. The data analysis technique was carried out by means of a simple linear regression statistical test. Based on data analysis on variable X, namely the Authority of the Fikih Teacher, the result is 97% and is categorized as Very Strong, because it lies in the Interval Criteria of 81% -100%. Furthermore, based on data analysis on the Y variable, namely Student Learning Activities, the results obtained were 97% categorized as Very Strong, because it lies in the Interval Criteria of 81% -100%. Based on data analysis on variables X and Y, namely the effect of the authority of the Fikih teacher on student learning activities, the results obtained are F count ≥ F table = 69.5 ≥ 3.99, so reject Ho and accept Ha means that there is a positive and significant influence between the authority of the Fikih teacher on Student Learning Activities.
Pendidikan Akhlak yang Terkandung dalam Buku “Yang Hilang dari Kita: Akhlak” Karya Muhammad Quraish Shihab
Authors: Khoiriyah Khoiriyah , Ni’mah Mamluatun , Herwati Herwati
Published: June 2023

This study aims to find out how moral education is according to the perspective of Muhammad Quraish Shihab in his book entitled "What we have lost: morals. The type of research used is qualitative research with library research methods, the data sources used are primary and secondary data sources, the data analysis technique used is content analysis. The results of this study indicate that moral education according to Quraish Shihab is divided into three, namely morals towards Allah, morals towards the Prophet Muhammad SAW and morals among fellow human beings. The moral values contained in the book are sincerity, grace, wisdom, reading, perseverance, trust, loyalty, strength, spaciousness, tolerance, nobility and self-esteem, discipline, simple living, shame and tabayyun.
Metode Simaan dan Murajaah dalam Menghafal Al-Quran di Pondok Pesantren Nurul Quran Patokan, Kraksaan, Probolinggo
Authors: Hasanah Imroatul , Khumaidi Ahmad , Maghfiroh Ummi Lailia
Published: June 2023

In the current era, several methods have emerged in the process of memorizing the Koran, but the implementation of the Sima'an and Muraja'ah methods has persisted to this day, especially at the Nurul Quran Kraksaan Islamic boarding school. The aim of this research is to find out the implementation of the simaan and murajaah methods at the Nurul Quran Patokan Islamic Boarding School, Kraksaan Probolinggo. The qualitative approach was chosen by collecting data through observation. The results of the study show that there are supporting and inhibiting factors in memorizing the Al-Quran. The supporting factors are enthusiasm in memorizing the Koran properly and correctly, increasing and being able to reach the target. While the inhibiting factor is prioritizing simaan, namely wanting to memorize a lot but putting aside murojaah. So, it is not uncommon for many students to memorize verse by verse but are not fluent in the previous verses.
Impact of Green Human Resource Management on Environmental Performance: the Mediating Role of Green Innovation and Environmental Strategy in Pakistan
Authors: Afzal Ch Manahil , Khan Sajjad Nawaz , Baig Fahad Javed , Ashraf Muhammad Umair
Published: June 2023

With globally increasing recognition of environmental sustainability, now businesses are also acknowledging the requirement of incorporating green practices into their company operation. The study aims in exploring the relation in between the concepts of some sustainability elements such as “green human resource management practices” (GHRMP) and variables like “environmental performances”, with the examination of environmental strategy and green innovation playing as a mediator. The study of GHRMP with respect to its elements such as green recruitment refers to selecting and hiring an employee who has significant knowledge about environmental sustainability.  It also consists of an element named green training that refers to teaching and developing a set of skills in employees to take action while protecting the environment within the organization The author specifically examines the connection between them by using the resource-based view theory. They also tested their relationship using the manufacturing firm's ability, motivation, and opportunity (AMO) theory. A survey questionnaire research strategy was used in this study along with a simple random sampling of 247 managers from large manufacturing firms in Punjab of Pakistan. For data analysis, this research used the p-test based on PLS-SEM. The findings showed that the study elements have a direct and major influence on each other especially the GHRMP and strategic environmental approach complement each other in the presence of the sustainable innovative product by the organization. Additionally, environmental strategy (ES) also partially mediated the influence of sustainable innovative products can be termed green innovation (GI), and it has an impact on environmental performance. The result revealed significant suggestions for legislators and manufacturing industries, to promote environmentally responsible actions, manufacturing goods, plus some production methods through a successful incentive program to increase loyalty. To apply the analysis and apply the study variables in the selected large sample sizes that can also be retested for future research, further research can exclude the novelty and unique issue by replicating the same research in other regions of the world.
Implementation of the Ulul Ilmi Model in PAI Learning to Improve Student Character
Authors: Budiyanti Nurti , Hasanah Aan , Syah Muhibbin , Suhartini Andewi
Published: June 2023

The decline in the quality of education in Indonesia is inseparable from the decline in quality possessed by educators, especially the shift in the educational paradigm often appears as one of the consequences of the mixing of Western paradigms that enter the world of education, so that the learning process is directed to the success of the logical and empirical thought process. While in the Islamic paradigm, the learning process is directed to think logically, empirically and theologically. This is related to the way the development of quranic learning models carried out by an educator in the classroom. The Ulul Ilmi model has an output to produce student characters that have the character of Ulul Ilmi. This paper aims to implement the Ulul Ilmi model in PAI learning to improve the character of students, which can certainly help realize national education goals. The research methodology used by the author uses a qualitative approach. Research data is taken from the learning process carried out by UPI students through observation, interview, and documentation. The data was then analyzed using Miles and Huberman's theory. Based on the results of the study, the Ulul Ilmi model in PAI learning is implemented following ten learning syntactic using a scientific approach contained in the initial, core and final activities. This model has an impact on improving the quality of educator performance and the quality of the learning process that is more valuable to deliver to the output of the learning process so that the character of Ulul Ilmi is formed. In addition, in its implementation the learning process needs careful readiness that needs to be considered by educators and learners, be it physical readiness, psychic, adequate equipment and learning facilities in order to minimize various inhibitory factors that occur during the implementation of the Ulul Ilmi model in the PAI learning process, because with careful preparedness, the learning process runs in accordance with the learning syntapositions that have been formulated in order to achieving the expected results, in forming the character of students in order to have the character of Ulul Ilmi.
Stimulating Children in Enhancing Spirituality through the Exemplary Story of Ants
Authors: Budiarti Erna
Published: June 2023

It is important for Early Childhood to be stimulated by providing support in practising activities directly carried out by children in order to make it a religious experience. The purpose of stimulating Early Childhood is to increase Spirituality through the example of teachers and meaningful interactions about the beauty of diversity through exemplary stories. This research was conducted at Nurul Aulia Kindergarten Depok with a qualitative descriptive research method with a case study approach. The results of the study show that through the story of the example of ants and interactive dialogue, it is known that the implications of stories about theexample of ants in Early Childhood are very effective in building spiritual character and have an impact on the attitudes and behavior of children who have love for their religion, are able to identify problems and find solutions.
The Dakwah Problems of the Muhammadiyah Organization in Cimanggis District, Depok City
Authors: Solehudin Heri
Published: June 2023

Since its birth, Muhammadiyah has determined its missionary line that is straight in line with the social problems of the Indonesian nation, so it is only natural that Muhammadiyah in its da'wah activities is characterized by a number of its Charities (Muhammadiyah Charities), especially in the fields of education and health. Along with the times, social, economic and educational problems in society are increasingly complex, this is where Muhammadiyah is required to play an active role in providing solutions to a number of these social problems. On the other hand, the limitations of both Muhammadiyah human resources and natural resources which are actually very potential in the Cimanggis District, Depok City are also still not fully explored. thus hampering Muhammadiyah missionary activities in Cimanggis District, Depok City. This research is a type of descriptive research with a qualitative approach. While the data collected is based on direct observation, interviews and document studies. The results of the study indicate that the problems faced by Muhammadiyah in Cimanggis District, Depok City in realizing its social da'wah, are because Muhammadiyah's potentials have not been fully explored, both in terms of human resources and natural resources.
Biomass productivity of Microchloropsis gaditana cultivated in a variety of modes and effect of cobalt and molybdenum on its lipid distribution
Authors: Papapolymerou George , Karapanagiotidis Ioannis Τ. , Katsoulas Nikolaos , Metsoviti Maria N. , Gkalogianni Elli Z.
Published: June 2023

The autotropic, heterotrophic and mixotrophic cultivation mode of the microalgae Microchloropsis gaditana was studied. Three sets of experiments were carried out: In the first set, six experimental groups were tested; one autotrophic, one heterotrophic and four mixotrophic where cultivation modes carried out and biomass productivities were compared to each other. In the second and in the third set of experiments, the algae were exposed to four or five concentrations of cobalt (Co) or of molybdenum (Mo) respectively; in these sets of experiments the effect of Co and Mo on the biomass productivity and on the lipid content and distribution of M. gaditana was examined. In the 1st set of experiments, the mixotrophic cultivations, the initial carbon concentration, C(0), was equal to
2.87 g/L, 2.92 g/L, 3.96 g/L and 4.96 g/L and in the heterotrophic cultivation C(0) was equal to 2.24 g/L. Nitrogen initial concentration, Ν(0), was held constant at 77.1 mg/L. For the heterotrophic and the three mixotrophic cultivations, the biomass yield, when expressed as g/(per L-g of added carbon) was highest for the heterotrophic growth. In the 2nd and 3rd sets of experiments it was found that both Co and Mo affect biomass productivity and lipid distribution. Co, even at relatively medium concentrations, strongly inhibited the growth. On the other hand, Mo, even at relatively high concentrations, did not affect substantially the growth rate of M. gaditana. The lipid distribution showed that for most treatments with varying concentrations of Co and Mo, MUFA prevailed while, n-3 PUFA up to 26.6% and 19.4% of the total FA were obtained. Lipid and protein contents of the biomass for the treatments with Co were up to 8.18% and 14.97% respectively, while the respective values for the treatments with Mo were higher up to 16.67% and 17.76%.
Trastorno por uso de videojuegos y comportamiento agresivo en adolescentes de educación secundaria: Un estudio transversal en Perú
Authors:   Universidad Nacional Amazónica de Madre de Dios, Estrada-Araoz Edwin Gustavo
Published: June 2023

Introducción: Los videojuegos son en la actualidad una de las formas de entretenimiento más populares, especialmente entre los adolescentes y jóvenes, sin embargo, su uso excesivo y compulsivo podría provocar una serie de problemas que afectarían su bienestar personal y calidad de vida. Objetivo: Determinar si el trastorno por uso de videojuegos se relaciona de manera significativa con el comportamiento agresivo de los adolescentes de educación secundaria de la Amazonía peruana.
Obesity paradox and cardiovascular risk
Authors:   Catholic University of Cuenca. Cuenca-Ecuador, Torres Quezada Ana Daniela
Published: June 2023

Obesity, traditionally defined as excess body fat, is a non-communicable chronic inflammatory disease highly prevalent in both sexes, in all age groups, and in different regions globally, which is frequently associated with an increased risk of metabolic and cardiovascular morbidity and mortality. During the last decades, evidence has been growing that suggests the existence of a phenomenon that is currently known as the “obesity paradox”, which exposes that individuals who are overweight or obese have a lower risk of mortality from all causes, an effect that extends to those patients with cardiovascular diseases (CVD), in whom mortality from CV causes is also decreased.
Consumption of psychoactive substances, mental health and sexual behaviors as risk factors in the health of Colombian children and adolescents
Authors: Barrera-Mesa Carmen Emilce
Published: June 2023

This research aims to provide precise data on risk behaviors and protective factors for the health of secondary and high school students at a Colombian educational institution. The study has a quantitative approach with a descriptive scope, a convenience sampling was carried out thattook as a sample of 656 students who received authorization from their parents and agreed to answer the voluntary, anonymous, and confidential survey. The 10 modules of the Global School Hkealth Survey (GSHS) were applied, and this article presents the results regarding the modules of tobacco use, drug use, sexual behaviors, and mental health.
Psychotherapeutic treatments in patients with bipolar and schizoaffective disorders: A meta-analytic review
Authors:   Docente investigadora, Corporación Universitaria del Caribe, CECAR, Sincelejo, Colombia, Hernández-Flórez Nubia
Published: June 2023

Objective: To analyze scientific publications on bipolarity and schizophrenia to detect both pharmacological and psychotherapeutic treatments that have been applied in the last five years (2018-2022). Method: A quantitative method was applied, under the bibliometric research approach. The PRISMA method was used for this purpose. The search variables and the construction of the equations with their respective Booleans were defined. The database used was the Web of Science (WOS). After filtering by applying exclusion and inclusion criteria, a total of 23 documents were obtained for analysis.
Effect of Cognitive Behavioral Therapy on The Behavior of Patients with Cardiovascular Disease: A Systematic Review
Authors:   Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia and Department of Community Health Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Indonesia, Israfil Israfil
Published: June 2023

Background: Cardiovascular disease (CVD) has been known to be one of the most common causes of death in the community. One of the factors that affect the condition of patients with cardiovascular disease is unhealthy behavior. Cognitive-behavioral Therapy (CBT) is a therapy to improve patient behavior from bad to better behavior. This study aims to synthesize various research results on the effect of Cognitive-Behavioural Therapy (CBT) on the behavior of patients with cardiovascular disease.
Autism spectrum problems, attention deficit, anxiety symptoms and IQ in children from 2 to 5 years
Authors:   Universidad Nacional Abierta y a Distancia, School of Social Sciences, Arts and Humanities, Corozal, Sucre, Vergara Álvarez María Laura
Published: June 2023

The aim of the study was to establish the relationship between autism spectrum problems, attention deficit, anxiety symptoms, and IQ in children aged 2 to 5 years, through a quantitative correlational methodology. The sample consisted of 189 children and their parents and/ or caregivers belonging to child development centers and children’s homes in the city of Sincelejo, Colombia. The Wechsler Intelligence Scale for Preschool and elementary school children – WPPSI IV and the Child Behavior Check List – CBCL were applied. The main result was that in the Pearson correlation coefficient, anxious symptomatology and attention deficit were not related to any IQ index, while autism spectrum problems were related to the processing speed index (-0.282*).
Caregiving and parenting practices during mandatory confinement by COVID-19 of early childhood caregivers
Authors:   Corporación Universitaria del Caribe CECAR, Programa de Licenciatura en pedagogía Infantil, Sincelejo- Sucre, Arguello-Muñoz Ferdy
Published: June 2023

Introduction: During the COVID-19 infection, the population of infants and adolescents has been the most affected in aspects such as health, adequate nutrition, responsive care, protection, and safety, among others. Objective: To describe the care and upbringing practices of early childhood caregivers during compulsory confinement, from the point of view of health, nutrition, and psycho-pedagogical support.
Internalized and externalized problems in preschoolers and emotional state of caregivers during the COVID-19 pandemic: A longitudinal study
Authors:   Corporación Universitaria del Caribe, Programa de Licenciatura en pedagogía Infantil, Sincelejo-Sucre, Herazo Chamorro Mónica Isabel
Published: June 2023

Introduction: The COVID-19 pandemic forced to take measures to protect public health such as mandatory social isolation and the closure of universities and schools, unprecedented measures such as the case of Colombia that affected the emotional state of the population and their mental health. Objective: To compare internalized and externalized problems in preschoolers and the emotional state of caregivers during the COVID-19 pandemic, at three different times, before isolation (2019), during isolation (2020) and after it (2021).
Mini-sternotomy versuMini-sternotomy versuss conventional sternotomy in aortic valve replacement surgery; A comparative study
Authors: Mohamed KhalidBakr Ali  , Mohamed Moustafa Abdelaal  , Wael Mohamed Elfeky  , Amr Ahmed Abdou Ettish
Published: June 2023

Objectives: To assess safety; efficacy and efficiency of mini-sternotomy in aortic valve replacement in comparison to conventional sternotomy on short term follow up.Methods: This comparative study between 45 patients having aortic valve replacement via full sternotomy versus 45 others planned for upper j-shaped mini-sternotomy, was conducted from May 2019 to February 2022 in Kafrelsheikhuniversity hospital, Egypt. Data was collected and statistically analysed to assess outcomes.Results: Mini-Sternotomy approach was compared to conventional approach on the aspects of cardio pulmonary bypass (CPB) (p=0.153) and cross clamp (CC) time (p=0.673),. There was significantly less postoperative bleeding (p<0.001), rate of blood transfusion (p<0.001), duration of ICU stay (p=0.013) and total hospital stay (p=0.022) in ministernotomy approach in comparison to conventional sternotomy.Conclusion: For primary isolated AVR, less invasive techniques are a realistic, practical, and good alternative that offers better postoperative results than Full Sternotomy.Keywords: Aortic valve, sternotomy, Blood Transfusion, Pain, Intensive Care Units
Narrow band imaging as a noninvasive tool for evaluation of the severity of inflammation in patients with ulcerative colitis in Kafr-El-Sheikh university, Egypt
Authors: Aya Mohammed Mahros  , Eman Mohammad Saied  , Abdel Atty Ibrahem Abdelatty  , Mohammed Khorshid  , Hassan Elsayed El batea
Published: June 2023

Objective: To analyse the effectiveness of narrow-band imaging in determining the severity of inflammation in ulcerative colitis patients in relation to histological activity.Method: The cross-sectional study was conducted at Kafrelsheikh University Hospital, Egypt, from June 2021 to May 2022, and comprised patients regardless of age and gender who had ulcerative colitis and visited the endoscopy unit. After taking detailed history, the patients were subjected to physical examination and laboratory tests which included complete blood count, international normalised ratio, erythrocyte sedimentation rate and faecal calprotectin. Colonoscopy with narrow-band imaging, biopsy and histopathological assessment were done as part of clinical evaluation. Data was analysed using SPSS 20.Result: Of the 100 patients, 55(55%) were male and 45(45%) were females. The overall mean age was 33.72±10.29 years (range: 11-56 years). There were 73(73%) patients who were married, 12(12%) had positive family history and 19(19%) were smokers. Besides, 18(18%) patients received biological therapy. There was significant positive correlation between histopathological and endoscopic scores (p<0.05). Also, there was a significant positive correlation between histopathological score and findings of narrow-band imaging (p<0.05). There were 10(10%) patients who were found to have dysplasia that was not diagnosed with colonoscopy.Conclusion: Narrow-band imaging was found to have a significant correlation with the histologically determined degree of inflammation.Keywords: Narrow-band imaging, Ulcerative colitis, Histological scoring, Smokers, Leukocyte L1 antigen complex, Colonoscopy, Biopsy, Inflammation, Biological therapy.
Role of Speckle Tracking Echocardiography in Prediction of Responders to Cardiac Resynchronization Therapy
Authors: Mohamed Elsayed Abdelfattah  , Reda Biomy Bastawisy  , Wael Anwar Haseeb  , Hany Mahmoud  , Abdel-Shakour
Published: June 2023

Objective: To assess heart failure patients by speckle tracking echocardiography before cardiac resynchronisation therapy implantation to predict the outcome.Method: The descriptive follow-up study was conducted at Kafrelsheikh and Mansoura University Hospitals, Egypt, from January 2020 to May 2022, and comprised heart failure patients of either gender who had ejection fraction ≤35%, QRS width ≧130msec and symptomatic even on optimal medical therapy. They were subjected to full clinical evaluation, electrocardiogram, basic and speckle tracking echocardiography with calculation of maximal septal to lateral delay at baseline and 3 months after cardiac resynchronisation therapy implantation. The patients were classified according to response into group I having non-responders, group II having patients who improved clinically only, andgroup III having responders both in clinical and echocardiographic terms. Data was analysed using SPSS 23.Results: Of the 38 patients with mean age 55.24±11.23 years, 16(42%) were females and 22(57.9%) were males. There were 7(18.4%) patients in group I, 7(18.4%) in group II and 24(63.2%) in group III. There was a positive significant correlation between response to cardiac resynchronisation therapy CRT and increase in maximal septal to lateral delay at baseline (p<0.01). There was an inverse significant correlation between response to cardiac resynchronisation therapy and decrease in maximal septal to lateral delay 3 months after the implantation (p=0.036).Conclusion: Maximal septal to lateral delay was found to be a good tool to predict the response to cardiac resynchronisation therapy before implantation.Keywords: Speckle tracking, Cardiac resynchronisation therapy, Heart failure
Left atrial function assessment by speckle tracking echocardiography in low-risk atrial fibrillation patients
Authors: Kareem Mohammed Helmy  , Reda Biomy Bastwisy  , Mohammed Kamal Salama  , Wael Anwar Haseeb
Published: June 2023

Objective: To compare the left atrial function utilising speckle tracking echocardiography in patients with low-risk and high-risk non-valvular atrial fibrillation.Methods: The descriptive, cross-sectional study was conducted at the cardiology department of Kafrelsheikh University Hospital, Egypt, from January 2021 to January 2022, and comprised low-risk atrial fibrillatin participants in group I, high-risk atrial fibrillatin patients in group II, and healthy controls in group III. After detailed medical history, the subjects underwent 12-lead electrocardigram, and echocardiographic assessment, including two dimensional, M-mode, tissue doppler, and speckle tracking of the left atrium. The association of left atrial strain with Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score  was explored. Data was analysed using SPSS 28.Results: Of the 90 subjects, there were 30(33.3%) in each of the 3 groups. The mean age among the groups was significantly different among the groups (p=0.014). Left atrial ejection fraction and left atrial strain had an overall significant difference among the groups (p<0.001). Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score was negatively correlated with Left atrial ejection fraction and (p<0.001) and left atrial strain (p<0.001).
Conclusion: In individuals with atrial fibrillatin, there was a significant decrease in left atrial strain and left atrial function. The use of speckle tracking echocardiography allowed for a more detailed analysis of left atrial mechanics. The correlation of left atrial strain and left atrial ejection fractionwith Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score was significantly negative.Keywords: Atrial fibrillation, Electrocardiography, Echocardiography, Speckle.
Effect of six weeks of whole-body vibration in treatment of postnatal constipation
Authors: Eman Abd Elfatah Elhosary  , Doaa Rafat ElAzab  , ElSayed Mohammed Hanoura  , Eman M Othman
Published: June 2023

Objective: To determine the efficacy of whole-body vibration in the treatment of postnatal constipation.Method: The prospective, randomised, single-blind, pre-post, controlled trial was conducted from December 2020 to May 2021 at the outpatient clinic of the Obstetrics and Gynaecology Department, Kafrelsheikh University Hospital, Egypt, and comprised women with complaint of postnatal constipation. They were randomised into two groups. Group A was subjected to whole-body vibration in addition to diet instructions, pelvic floor exercises and static abdominal exercises for six weeks. Group B was subjected to pelvic floor exercises, static abdominal exercises and diet instructions. Constipation symptom questionnaire and patient assessment of constipation quality of life questionnaire were used at baseline and post-intervention. Data was analysed using SPSS 25.Results: Of the 40 women, 20(50%) were in each of the 2 groups. Group A mean age was 24.88±2.22 years, while it was 24±2.25 years in Group B. Age, height and body mass index were not significantly different between the groups (p>0.05). There was significant improvement in Group A quality of life and constipation severity (p<0.05).Conclusion: Whole-body vibration had positive impact on postpartum women’s constipation symptoms and quality of life.Keywords: Pelvic floor, Vibration, Constipation, Postpartum period, Diet, Postnatal women.
Tissue doppler echocardiography as a predictor of early subclinical right ventricular diastolic dysfunction in asthmatic children
Authors: Ahmed Mohammad Abbas  , Hany Hussein Mousa  , Reda biomy  , Mohamed AbdelGhafar Hussein  , Heba Mohammad Reyad  , Osama Elagamy
Published: June 2023

Objective: To assess the effect of asthma in children on systolic and diastolic functions of the heart, and to explore the relationship between the two.Methods: The case-control study was conducted at Kafrelsheikh University Hospital, Egypt, from September 2019 to May 2022, and comprised asthmatic children of either gender aged 5-15 years and healthy controls matched for age and gender. The participants were subjected to detailed history, complete examination, spirometry evaluation and conventional and tissue Doppler echocardiography. Myocardial performance index was calculated and compared. Data was analysed using SPSS 22.Results: Of the 120 subjects, 60(50%) were cases; 33(55%) boys and 27(45%) girls with mean age 9.4±2.9 years (range: 5-15 years). The remaining 60(50%) subjects were controls; 34(56.6%) boys and 26(43.3%) girls with mean age 9.7±2.9 years (range: 5-15 years). Left ventricular dimensions, estimated pulmonary artery pressure, and right ventricular dimensions showed no significant inter-group differences (p>0.05), but right ventricular end diastolic diameter was significantly higher in the cases than the controls (p=0.046). Tissue Doppler showed that lateral annular peak Ê, Â, isovolumetric relaxation time and myocardial performance index values were significantly different between thegroups (p<0.05).Conclusion: Tissue Doppler echocardiography could detect subtle right ventricular diastolic dysfunction in asthmaticchildren even with no clinical symptoms and normal findings on conventional echocardiography.Keywords: Pulmonary artery, Echocardiography, Doppler, Asthma, Spirometry
Prognostic value of basal markers (epidermal growth factor receptor “EGFR” and cytokeratin 5/6) expression in triple-negative invasive breast cancer
Authors: Amany Mostafa ElFeky  , Eman Mohamed Saied  , Hanan Shawky  , Emad Sadaka
Published: June 2023

Objective: The To distinguish between basal and non-basal subtypes of triple-negative breast cancers based on epidermal growth factor receptor and cytokeratin 5/6, and to establish the association of the diagnosis with clinicopathological parameters and survival rates.Methods: The retrospective study was conducted at the Clinical Oncology and Nuclear Medicine Department of Kafrelsheikh University Hospital and Tanta University Hospital, Egypt, and comprised medical records from January 2014 to December 2018 related to cases with histopathologically proven triple-negative breast cancer who had been treated and followed up for at least 5 years. The cases had been evaluated using immunohistochemistry for epidermal growth factor receptor and Cytokeratin 5/6 expression. Data related to prognostic factors, overall survival and diseasefree survival was retrieved. Data was analysed using SPSS 21.Results: There were 100 patients with median age 50 years (inter-quartile range: 35-55.25 years; range: 22-69 years). There were 58(58%) pre-menopausal subjects, 15(15%) had positive family history, and 68(68%) had tumour size T2. Basal markers were noted in 74(74%) patients. Basal subtype was significantly more common in patients aged <50 years at diagnosis, premenopausal women, patients with positive nodal status, those with grade III tumours, and patients with Ki67 proliferation marker >20% (p<0.05). Tumour size, histological subtypes and lympho-vascular invasion were not significantly different between the groups (p>0.05). The basal subtype had worse disease-free survival and overall survival rates (p<0.05).Conclusion: Triple-negative breast cancer patients who expressed epidermal growth factor receptor and/or cytokeratin 5/6 were found to have poor findings, with worse disease-free survival and overall survival.Keywords: Breast neoplasms, Ki67 antigen, EGFR Receptors, Oncology.
Effect of corticosteroid and immune-suppressive drugs on oral manifestations in hospitalized COVID-19 patients
Authors: Ahmed Mohamed Al Elgendy  , Enas Ahmed Elgendy  , Marwa Sabry  , Mohamed Kamal Salama  , Tamer Aboshady
Published: June 2023

Objective: To explore if the oral lesions in coronavirus disease-2019 patients are caused by the drugs used in the treatment or by the virus itself.Method: The cross-sectional study was conducted from September 2020 to September 2021 at the Kafrelsheikh University Hospital, Egypt, and comprised coronavirus disease-2019 patients of either gender aged 20-60 years having severe pneumonia and breathing difficulties who had no comorbidities. Based on the level of interleukin-6 and procalcitonin, the patients were classified into high group I receiving tocilizumab and methylprednisolone, medium group II receiving methylprednisolone alone, and low group III receiving antiviral drugs. The oral manifestations wererecorded at the time of admission before treatment and at 2 weeks after the respective treatment. Data was analysed using SPSS 20.Results: Of the 90 patients, 30(33.3%) were in group I; 16(%) males and 14(%) females with mean age 44.82±6.10 years. Group II had 27(%) patients; 14(%) males and 13(%) females with mean age 43.74±4.87 years. Group III had 33(%) patients; 9(%) males and 14(%) females with mean age 42.66±2.51 years (p>0.05). There was no significant difference among the groups at baseline and after 2 weeks of treatment regarding oral manifestations. Intragroup comparison demonstrated a significant difference in the two values in all the three groups (p<0.05).Conclusion: Oral lesions in coronavirus disease-2019 patients were caused by the virus itself rather than the drugs used in its treatment.Keywords: Tocilizumab, Dentists, Methylprednisolone, COVID-19.
Clinical significance of baseline and post-treatment CXCR1 expression in breast cancer women received neoadjuvant chemotherapy
Authors: Sara Adel Amin  , Emad Abd El Mongy Sadaka  , Khalid Ahmed Ismail  , Ashraf Fathy Barakat  , Ahmed Abdel Aziem Menaisy  , Amr Abd Elmoneim Mahmoud
Published: June 2023

Objective: To examine the chemokine receptor type 1 expression in breast cancer tissues before and after neoadjuvant chemotherapy, and its relationship with pathological response to neoadjuvant chemotherapy and other clinical variables.Methods: The prospective study was conducted at Kafrelsheikh University Hospital, Egypt, from November 2018 to March 2021, and comprised female patients with new histopathologically proven breast cancer eligible for chemotherapy. Paraffin blocks of tumour specimens were stained immunohistochemically using concentrated rabbit anti-human chemokine receptor type 1 polyclonal antibody kits. The patients were followed up for treatment response, disease recurrence and mortality. Data was analysed using SPSS 25.Results: Of the 100 patients with mean age 50.2±12.1 years, 40(40%) in group A with mean age 55.1±9.3 showed marked response and 60(60%) in group B with mean age 47.0±12.7 years showed mild/moderate response (p<0.001). Group A patients had significantly lower baseline and post-treatment chemokine receptor type 1 expression compared to group B patients (p<0.05). The change in chemokine receptor type 1 expression was not significantly different (p>0.05). Patients with tumour grade 3 had significantly higher baseline chemokine receptor type 1 expression compared to patients with tumour grade 2. Tumour stage and post-treatment chemokine receptor type 1 expressionwere also significantly interlinked (p<0.05). Multivariate regression analysis identified patients’ age, baseline chemokine receptor type 1 and post-treatment chemokine receptor type 1 expressions as predictors of treatment response.Conclusions: There was found to be an association between baseline and post-treatment chemokine receptor type 1 expression in breast cancer tissues and pathological response to neoadjuvant chemo therapy in such patients.Keywords: Neoadjuvant therapy, Paraffin, Breast neoplasms, Receptors, Chemokine.
Role of prostate ultrasonography to predict the efficacy of bipolar prostatectomy in benign prostatic hyperplasia
Authors: Ali Ibrahim Ali Yuosef  , Ahmed ElSayed Ibrahm Zeid  , Eslam Shokry AbdelMaksoud  , Tarek Mohamed AbdelBaky  , Hossam ElDeen  , Abdel Hameed Nabeeh
Published: June 2023

Objective: To evaluate the role of prostatic ultrasonography in predicting the clinical outcomes of bipolar transurethral resection of the prostate.Method: The prospective study was conducted at the Urology Department, Kafrelsheikh University Hospital, Cairo, Egypt from December 2018 to June 2019, and comprised male patients complaining of lower urinary tract symptoms due to benign prostatic hyperplasia. The patients were subjected to pelvi-abdominal and transrectal ultrasonography and values were noted for the international prostate symptom score, uroflowmetry, post-void residual urine volume, ejaculatory domain, and the erectile function domain of the international index of erectile function. The safety of the procedure was assessed using the modified Clavien classification of complications. This was followed bycystourethroscopy under spinal anaesthesia, and then by bipolar resection of the prostate by a single experienced urologist. Operating time, length of hospitalisation, intraoperative and postoperative complications, catheterization time, and changes in haemoglobin levels were recorded. All evaluations were done at baseline and postoperatively at 1, 3 and 6 months. Data was analysed using SPSS 21.Results: There were 109 male patients with mean age 65.53±6.27 years, mean body mass index 24.6±1.7kg/m2. Mean total prostate volume at baseline was 86.32±43.61gm (range: 30-195m). There was a significant decrease postoperatively (p<0.001). This was associated with a concomitant improvement of international prostate symptoms score, uroflowmetry and post-void residual urine volume over six-month follow-up (p<0.001 ). Overall, 63(57.8%) subjects were sexually active, and there was no significant difference in the international index of erectile function score at baseline and postoperatively (p>0.05).Conclusion: Prostate ultrasonography can be used as a single investigating tool to evaluate the clinical outcomes after bipolar transurethral resection of the prostate.Keywords: Transurethral resection, Prostate, Prostatic hyperplasia, Erectile, Urinary tract, Ultrasonography, Pelvis.
Influence of Self-Care Guidelines on Improving Menopausal Urogenital Symptoms
Authors: Mona Ahmed ElSheikh  , Aziza Ahmed Atia  , Nevin Samir Metwaly  , Laila Ahmed Nabwy
Published: June 2023

Objective: To evaluate the effect of self-care guidelines on improving menopausal urogenital symptoms.Method: The quasi-experimental study was conducted from September 2018 to February 2019 at the outpatient clinic at the maternity hospital of Ain Shams University, Egypt, and comprised menopausal women reporting urogenital symptoms. The participants were divided into 10 equal groups and were subjected to 30-minute theoretical and practical self-care sessions 3 times per week for 4 weeks. Data was collected using interviews, Day-to-Day Impact of Vaginal Aging questionnaire and Urinary Incontinence Questionnaire. Data was collected at baseline, immediately after the intervention and after 3 months from the first evaluation. The collected data were statistically analysed usingthe statistical package for social science (SPSS version 20), percentage (%), the arithmetic mean (), standard deviation (SD), and chi-square (X2 & P-value) were calculated.Results: Of the 120 women with mean age 48.03±3.04 years (range: 45-50 years), 72(60%) had secondary education, 109(90.8%) were married, 44(36.7%) were working in an office and 7(55.8%) were housewives. The mean age at menopause was 46.57±2.33 years (range: 42-50 years). Urogenital symptoms post-intervention reduced significantly (p<0.05)Conclusion: Self-care intervention had a significant impact in terms of improving menopausal urogenital symptoms.Keywords: Gynaecology, Menopause, Urinary incontinence, Ambulatory care, Urinary tract, Aging, Urogenital symptoms.