bluuebunny/crossref_metadata_2025 huggingface dataset:
Wordwall Media and its Impact on Understanding Light Material in Class V Elementary School Science Subjects
Authors: Widyasari Dexani , Hastuti Woro Sri , Supartinah Supartinah , Senen Anwar
Published: June 2024

Using technology for learning is really important. This research wants to see if using word wall media helps 5th-grade students understand light in science class. This research method is quantitative experimental quasi experimental design type Post-test only control group design. The sampling technique is purposive sampling. The results of this research show the influence of the use of wordwall media on the understanding of light at Benerwetan State Elementary School and Kaibon State Elementary School. The normality test showed that the experimental class had a significance of 0.15 and the control class had a significance of 0.15, both greater than 0. 05 The homogeneity test showed a p-value of 0.47, which is higher than 0.05, and the hypothesis test showed a p-value of 0. 000, which is lower than 0. 05, so it can be concluded that there is an "influence of the use of wordwall learning media on understanding of light material in subjects Science at Benerwetan State Elementary School and Kaibon State Elementary School
Development of Electronic Student Worksheet Based on Problem-Based Learning for Material on Environmental Change Geoheritage Gumuk Pasir
Authors: Handayani Nida Dwi , Djukri
Published: June 2024

This research aims to determine the development of PBL-based electronic LKPD on environmental change material at Gumuk Pasir Geoheritage and the feasibility of PBL-based electronic LKPD on class X environmental change material at Gumuk Pasir Geoheritage. This research is development research (R&D) using a 4D development model consisting of stages definition, design, development and deployment. This research was only carried out until the development stage. This research was validated internally by media expert lecturers and material experts and externally validated by biology teachers and class X high school students. The results of the research show that based on the assessment of media expert lecturers, a score of 82.13 was obtained in the "very good" category, material experts received a score of 67.4 in the "good" category, biology teachers obtained a score of 92.84 in the "very good" category, and the assessment of class X high school students obtained a score of 94.44. “very good” category. Based on the results of the development and feasibility that have been carried out, it can be concluded that the PBL-based electronic LKPD is suitable for use in the learning process regarding environmental change material at the Gumuk Pasir Geoheritage.
Implementation of Traditional Games in Ethnoscience Learning
Authors: Supiyati Sri , Wazni M. Khairul , Kusuma Dadang Warta Chandra Wira , Muliadi Agus
Published: June 2024

This study aims to explore the perceptions of preservice teachers on the implementation of traditional Sasak tribe games in ethnoscience learning. This exploratory research was conducted at the Mandalika University of Education with a subject pool of 294 preservice teacher students. The research utilized a validated closed questionnaire instrument with responses gathered using a Likert scale. The data from this study were analyzed using quantitative descriptive statistics. The results of this study are (1) preservice teachers’ perceptions of the implementation of traditional Sasak games in ethnoscience learning in each item of the statement, namely item 1 scored 3.30, categorized as Very High; item 2 scored 3.22, categorized as Tall; item 3 scored 2.88, also categorized as Tall; item 4 scored 3.41, categorized as Very High; item 5 scored 3.19, categorized as Very High; item 6 scored 3.28, categorized as Very High; item 7 scored 3.13, categorized as Tall; item 8 scored 3.38, categorized as Very High; item 9 scored 3.37, categorized as Very High; and item 10 scored 3.47, categorized as Very High; (2) preservice teachers hold highly favorable perceptions regarding the implementation of traditional Sasak games in ethnoscience learning, proven by the average score of 3.26, categorized as Very High.
THE CARD SORT TYPE ACTIVE LEARNING METHOD ON CREATIVE THINKING ABILITY IN CLASS V SOCIAL SCIENCES LEARNING SDN MARGA JAYA I BEKASI CITY
Authors: Pratiwi Nur Azizah , Putri Fara Diba Catur
Published: June 2024

This study aims to determine the effect of using the card sort type of active learning method on the ability to think creatively in class V social studies students at SDN Marga Jaya I, Bekasi City. This study uses a quantitative approach, with the subject being Class V teachers and fifth grade students at SDN Marga Jaya I, Bekasi City. The research sample consisted of two classes, namely the experimental class and the control class. In the experimental class there were 27 students, and in the control class there were 26 students. In obtaining the data, the researcher used the Social Sciences Creative Thinking Ability test method for elementary school students in the form of essay choice questions, observation, and documentation. The data analysis technique used is inferential analysis by testing the hypothesis using the t-test statistic, a significant level of 5% = 0.05. Inferential analysis is an analytical technique that can be used to determine whether the hypothesis in the study is accepted or rejected. Based on the results of the study, it can be concluded that the use of the card sort type of active learning method on the ability to think creatively in class V social studies students at SDN Marga Jaya I, Bekasi City. This is shown in the results of the average value of the experimental class after being given the card sort learning treatment, which is 67.11, and the control class which is given the conventional learning treatment is 61.92.
Frequency of Ventilator associated Pneumonia (VAP), Central line associated Blood Stream Infections (CLABSI) and Catheter Related UTI in PICU - A single center experience from Lahore.
Authors: Aaveza Nazir  , Abid Rafiq Ch  , Muhammad Rashid Ayub  , Muhammad Usman
Published: June 2024

Objective: To assess the incidence of catheter-related urinary tract infections (UTIs), central line-associated blood stream infections (CLABSIs), and ventilator-associated pneumonia (VAP) in the paediatric intensive care unit (PICU). Study Design: Retrospective Cross sectional Study. Study Design: Pediatric Intensive Care Unit, Fatima Memorial Hospital, Lahore. Period: January 10, 2023 to July 9, 2023. Methods: All 120 children of either gender admitted at PICU having age 1 month to 12 years who stayed in PICU for ≥48 hours were included in study. Data was recorded on the proforma containing basic demographic information along with diagnosis, mechanical ventilation, central line, urinary catheter and associated infections with information related to length of stay and outcome of the children. SPSS v25 was used to input and analyse the data. All of the variables were subjected to a descriptive analysis. Using stratification, we were able to regulate for potential moderators of the effects, such as age and gender. Chi-square/Independent t-tests were performed after stratification, with a p-value 0.05 indicating statistical significance. Results: Total 120 children admitted at PICU having age 1 month to 12 years who stayed in PICU for ≥48 hours were included in study. Gender distribution showed that, 77(64.2%) were males and 43(35.8%) were females. The mean age of the children was 26.6±31.95 months. The mean stay in PICU was 4.82±4.19 days and mean stay in hospital was 5.98±4.08 days. Among 120 children, 21(17.5%) were on ventilator and among them, 11(52.4%) had ventilator associated pneumonia, 14(11.7%) had CVL and 10(8.3%) had BSI and among them, 5(50.0%) had CVL associated BSI, while 22(18.3%) had catheter insertion and among them, 6(27.3%) had CA-UTI. According to outcome of children, 9(7.5%) expired. Conclusion: For developing countries, active surveillance is essential to reduce the burden of Healthcare-associated infections (HAIs) in high risk groups.
Post COVID-19 pneumonia lung fibrosis: A worrisome sequelae in surviving patients.
Authors: Maria Naseer  , Salahuddin Balooch  , Naila Mumtaz  , Ayesha Niaz  , Iram Aziz  , Umar Amin
Published: June 2024

Objective: To assess the frequency of pulmonary fibrosis after coronavirus infection through computed tomography (CT) severity score analysis. Study Design: Cross-sectional Prospective study. Setting: Tertiary Care Hospital Kharian. Period: 12 November 2021 to 11 May 2022. Methods: It included 100 patients with age range of 20 to 70 years. The demographics, clinical history and severity level of patients was noted at admission. The CT was conducted at follow up of 6 weeks. The eminent CT findings and severity score were recorded for each patient. The occurrence of fibrosis was recorded at 12 weeks follow-up. The data was assessed by statistical software for social sciences (SPSS) v.23 through means and standard deviations or frequencies and percentages. The association of CT severity score and occurrence of fibrosis was checked through correlation analysis with p value of 0.05 as significant. Results: The findings of CT at week 12 was significant correlated with CT severity score at week 6. Conclusion: The CT findings and scoring can help in assessing the probability of occurrence of pulmonary fibrosis. This can be helpful for timely treatment of the disease.
Comparison between outcome of early and delayed laparoscopic surgery in patients with acute cholecystitis – A prospective randomized controlled trial.
Authors: Arrham Hai  , Sabah Ali Chaudhary  , Atiq Ur Rehman  , Maham Farooq  , Usman Akram  , Tahira Hameed
Published: June 2024

Objective: To determine the comparison between outcome of early and delayed laparoscopic cholecystectomy among patients presenting with acute cholecystitis. Study Design: Prospective Randomized Controlled Trial. Setting: Dr. Akbar Niazi Teaching Hospital, Islamabad. Period: September 2022 to February 2023. Material & Methods: Total 108 patients (54 in each group) were included in the study. Group-A planned for surgery before 7 days of onset of symptoms, while Group-B planned for surgery after 7 days of onset of symptoms. The outcomes were measured in terms of hospital stay and operating time. Results: Patient’s age range was 15-60 years with mean age of 40.8±12.6 and 42.2±12.8 years in group-A and B, respectively. Conversion to open cholecystectomy, bile duct injury, surgical site infection and hypertension were comparable in both groups. Mean hospital stay in group-A was 9.26±2.43 and in group-B 15.41±3.37 days (p = 0.001). Mean operating time was significantly less in group-A as compared to group-B (64.93±6.68 vs 72.78±8.03 min; p = 0.001). Stratification with regard to gender and hypertension was significant (p ≤ 0.05), whereas stratification with regard to age and surgical site infection was insignificant (p ≥ 0.05). Conclusion: Early laparoscopic cholecystectomy is safe and associated with less complications and lower conversion rates as compared to late cholecystectomy for acute cholecystitis.
A prospective study of outcome of CT-Scan-Guided stereotactic biopsy for brain pathology.
Authors: Aurangzeb Kalhoro  , Kashif Ahmed  , Pervaiz Ali  , Abdul Sattar M. Hashim
Published: June 2024

Objective: To assess the effectiveness of stereotactic biopsy in individuals with brain lesions and describe the surgical procedure utilized during this to analyze the features of pathologies linked to the application of this surgical approach. Study Design: Descriptive study. Setting: Neurospinal Cancer Care Institute in Karachi. Period: January 2019 and June 2022. Methods: This study had approval from the ethics committee and patients provided written informed permission Under general anaesthesia the biopsy was performed. The definitive diagnosis based on histopathological report were considered positive. Results: We had of 61 patients, gender wise males were 37 (55.73%) and females were 24(39.34%), with calculated mean age was 41.01years (range between 15–67 years). Majority of patients were between the age of 33 and 66 years (67.21%). Pre and post procedure, patients had to go brain MRI brain or CT scan brain for helping in localization. The lesion was supratentorial as observed in 56 patients (91.80%) and 5(8.19%) were infratentorial. The post contrast enhancements were observed in 35 patients (57.37%). Conclusion: The study presented compelling evidence supporting the ease and accuracy of the stereotactic procedure in targeting the lesion, Stereotactic intervention for lesions has been shown to be both effective and safe.
Correlation of Hepatic steatosis, Fibrosis and Body anthropometry.
Authors: Punhal Khan  , Shahid Karim  , Rajesh Kumar  , Vishal Kumar  , Afsheen Faryal
Published: June 2024

Objective: To determine the correlation of hepatic steatosis and fibrosis with body anthropometry among Non-alcoholic fatty liver disease (NAFLD) patients presenting in outpatients Gastroenterology clinics in a tertiary care hospital in Karachi, Pakistan. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: October 2022 to March 2023. Methods: Body anthropometric measures and demographic data of patients were recorded when presenting to outpatient clinics with NAFLD. The controlled attenuation parameter (CAP) was obtained by FibroScan using an M or XL probe considering CAP value ≥ 248 dB/m as hepatic steatosis. Liver fibrosis was defined as a liver stiffness (LS) value ≥8 kPa. Results: In a total of 300 patients, the mean age was 51.4±8.4 years. The median CAP was 251 (IQR=219-342). Steatosis was present among 233 (77.7%) patients. Fibrosis was present among 229 (76.3%) patients. Steatosis was found to have significant correlation with age, waist circumference, neck circumference, hip circumference, triglycerides, creatinine, low density lipoprotein, alinine transaminase, aspartate aminotransferase, alkaline phosphatase, gamma-glutamyl transferase, srum cholesterol and, high density lipoprotein. Fibrosis was significantly correlated with age, waist circumference, neck circumference, hip circumference, triglycerides, low density lipoprotein, total bilirubin, alanine tansaminase, alkaline phosphatase, gamma-glutamyl transferase, serum cholesterol, high density lipoprotein. Conclusion: Considerable interplay of metabolic factors, and anthropometric measures exist with NAFLD. It is important to monitor visceral fat measurements among NAFLD patients with anthropometric and biochemical abnormalities.
The use of corticosteroid injection in the treatment of chronic shoulder pain.
Authors: Haroon Yousaf  , Abdus Samad Khan  , Aiman Zia  , Zahir Khan  , Maria Ahmad  , Shafqat Ullah Khan
Published: June 2024

Objective: To determine the short term outcome of intra-articular corticosteroid injection the treatment of chronic shoulder pain. Study Design: Descriptive Study. Setting: Mardan Medical Complex, MTI. Period: 12th August 2023 to 15th December 2023. Methods: All patients of chronic shoulder pain fulfilling inclusion criteria were administered intra-articular corticosteroid injection. Pre intervention demographic and visual analogue scale (VAS) score and DASH (Disabilities of the Arm, Shoulder and Hand) scores were noted. All patients underwent through intraarticular corticosteroid injection procedure. VAS score and DASH score was calculated again on four week follow up visit. Both scores were compared by paired t test using SPSS version 23. The pre and post injection VAS and DASH scores were compared and p value calculated using paired t test. P value <0.05 was considered significant. Results: Total of 50 patients were included in the study. The mean age of patients was 50.08+6.43yrs and mean duration of symptoms was 5.7+1.6 months. 64% (n=32) of the patients were male, while 36% (n=18) were female about a total of 64% (n=32) of the patients were diabetic. Majority (56%, n=28) of patients exhibited left-side involvement, while 44% (22) presented with right-side involvement. The mean pre intervention VAS score was 79.86 + 6.32 and DASH score was 59.98+8.44. The mean post intervention VAS score was 15.7+4.1and DASH score was 49.78+6.33. After applying paired t-test on pre and post intervention scores, both VAS and DASH score was statistically significant with p value of <0.001. Conclusion: Intra-articular corticosteroid injection significantly relieved shoulder pain and improved functional outcome in short term follow up in patients with chronic shoulder pain.
Non-adherence to self-monitoring of blood glucose (SMBG) in poorly controlled type 1 and type 2 diabetes mellitus.
Authors: Muhammad Akbar Shah  , Sajida Riaz  , Fasih Iqbal  , Muhammad Salman Aamir  , Tahir Ghaffar  , Khalid Usman
Published: June 2024

Objective: To access non-adherence to self-monitoring blood glucose (SMBG) in poorly controlled type 1 and type 2 diabetes mellitus. Study Design: Prospective Descriptive study. Setting: Department of Diabetes and Endocrinology, Hayat Medical Complex Peshawar. Period: July 2023 to January 2024. Methods: The study comprised 296 patients, 50 patients had type 1 diabetes (T1DM) and 246 had type 2 diabetes (T2DM). Participants were selected based on defined criteria of poor glycemic control characterized by persistent hyperglycemia and raised HbA1c. SMBG profile was assessed and common factors recorded. Results: The patient mean age was 60 years with a standard deviation of 9.8. Non-adherence to SMBG was observed in 45.94%. Non-adherence to SMBG was 40% in Type 1 DM whereas in Type 2 DM it was 47.15%. Factors responsible for non-adherence were, not knowing about SMBG (60%), lack of glucometer (54%), the uselessness of SMBG (36%), costly strips (80%), inability to check SMBG (50%), painful procedure (30%), and SMBG inconvenient (40%). Short history of diabetes (55%) T2DM (47.15%), Illiteracy (52.94%), negative family history of diabetes (51%), and poor economic condition (73.52%) were common predictors. Conclusion: The research gives an important insight in to the demography, treatment modalities, non-adherence and adherence to self-monitoring blood glucose testing, various factors responsible and predicting non-adherence to SMBG.
Frequency and spectrum of Post-Intensive Care Syndrome (PICS) in survivors of critical illness in a tertiary care hospital in Pakistan.
Authors: Syed Hussain Azhar Rizvi  , Fakhir Raza Haidri  , Mujtaba Hassan  , Syeda Shaheera Zaidi
Published: June 2024

Objective: To determine the frequency and spectrum of post-intensive care syndrome (PICS) in survivors of critical illness at a tertiary care hospital of Pakistan. Study Design: Cross-sectional study. Setting: Intensive Care Unit (ICU) of the Sindh Institute of Urology and Transplantation, Karachi, Pakistan. Period: November 2022 to July 2023. Methods: Critical illness survivors aged 18-75 years and discharged from intensive care units ICUs were analyzed. PICS was defined as new or worsening problem(s) in physical, cognitive, or mental health status arising after critical illness and persisting beyond acute care hospitalization. Montreal Cognitive Assessment (MoCA), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Clinical Frailty Scale (CFS) were used to evaluate cognitive, psychiatric, and physical impairments. Results: There were 91 patients, with a median age of 40 years (IQR = 23 - 48). Physical impairment was observed in 49.4% of patients, whereas cognitive impairment was found in 67%, and psychiatric impairment (based on PHQ-9 scores of 5 or greater and GAD-7 scores of 5 or greater) was observed in 49.4% and 45.0% of patients, respectively. Overall, the frequency of PICS was found to be 84.6% in our study, and the frequency of patients with impairment in 1, 2, or 3 domains was 33%, 14.3%, and 37.4%, respectively. Conclusion: PICS is a highly prevalent syndrome in survivors of critical illness. Shock is a statistically significant risk factor for PICS. Cognitive impairment appears to be the most common domain of PICS.
A dança como manifestação artística
Authors: Almeida Érica Lorraine Morais , Silva Ozenir Morais Da , Valdivieso Patricia
Published: June 2024

A dança faz parte de uma construção histórica da humanidade, misturando-se e
modificando-se a partir da diversidade das civilizações, de suas necessidades, seus cultos e suas
crenças. Nesse sentido, a dança é uma manifestação cultural que reúne movimento corporal,
música, ritmo, expressão e sentimentos variados. Sendo assim, enquanto parte da cultura
corporal do ser humano, é essencial que a dança esteja inserida no âmbito escolar, e sua prática
seja ofertada a todos os alunos nas aulas de Educação Física. Este trabalho objetivou
compreender a maneira como a dança se apresenta no contexto escolar, com ênfase nas aulas de
Educação Física dos anos iniciais do Ensino Fundamental da rede municipal de ensino da cidade
de Lagoa – PB, além de relacionar os conceitos e as práticas pedagógicas da dança na Educação
Física Escolar e analisar a percepção dos professores de Educação Física dos anos iniciais do
Ensino Fundamental acerca da importância e dos objetivos da dança na escola. Trata-se de um
estudo do tipo exploratório com abordagem quantitativa, onde se utilizou como instrumento de
coleta dos dados um questionário estruturado na forma de entrevista, estimulando o entrevistado
a se expressar livremente sobre a dança no cenário das aulas de Educação Física. Os dados
foram organizados de acordo com as categorias de análise, que perpassam desde a formação
dos professores, conceitos que os mesmo têm sobre a dança, além das vivências e experiências
em dança, e a inserção e contribuição dos mesmos para que a dança seja de fato efetivada nas
escolas. Além disso, os dados foram interpretados conforme o referencial teórico que deu subsídio à temática abordada. A partir da análise dos dados coletados foi possível observar que se faz
necessário um conhecimento mais amplo quanto à inserção da dança nas aulas de Educação
Física, englobando aspectos metodológicos que integrem teoria e prática, mas também o apoio da
gestão escolar e um planejamento didático que envolva reflexão e vivências, onde o educando
não só reproduza, mas (se) transforme, produza, conhecendo sua história, dando sentido à vida
pessoal e educacional. Concluiu-se que as danças na escola estão mais em projetos pedagógicos
extracurriculares do que nas aulas de Educação Física, estando presente em datas
comemorativas, onde há sempre a interação do professor com o aluno, entretanto, não limitando a
expressão corporal dos alunos.
Development of learning video comparison using Palembang jumputan context to determine students' mathematical reasoning
Authors: Nabila Siti , Putri Ratu Ilma Indra , Zulkardi Zulkardi
Published: June 2024

The importance of learning videos on comparison materials in the context of Palembang jumputan fabric as a starting point for learning so that students have good mathematical reasoning ability. The purpose of this research is to produce a learning video on comparison using the context of Palembang jumputan fabric that is valid and practical and to determine the potential effect of using a learning video on comparison using the context of Palembang jumputan fabric on students' mathematical reasoning ability. This research uses the Pendidikan Matematika Realistik Indonesia (PMRI) and collaborative learning approaches. This type of research is a design research type of development study. The subjects of this study were 37 seventh-grade students at Srijaya Negara Junior High School, Palembang. The data collection techniques were observation, tests, and interviews, which were analyzed descriptively. This research produced a learning video on comparison material using the context of Palembang jumputan fabric that was valid and practical, and the potential effect of using learning videos on students' mathematical reasoning skills was classified as good, with an average value of 67.52. Using learning videos on comparison materials in the context of Palembang jumputan fabrics makes students' mathematical reasoning skills classified as good.
Mathematical reasoning and self-regulated learning differences by using mathematical literacy-based e-module
Authors: Rosyada Amrina , Sari Novita , Sukmaningthias Novika , Nuraeni Zuli
Published: June 2024

This research is motivated by the low level of students' mathematical reasoning abilities related to self-regulated learning. Several aspects that can support it include an e-module and mathematical literacy. Based on this problem, this research aims to describe students' mathematical reasoning abilities reviewed through self-regulated learning, specifically through a mathematical literacy-based e-module. The method used in this research is descriptive with a qualitative approach. The research participants were 32 8th-graders in one of the junior high schools in Palembang. Meanwhile, the research sample consisted of 4 students, consisting of 2 students with a high level of self-regulated learning and 2 students with a moderate level of self-regulated learning. Data collection techniques used were tests, questionnaires, and interviews. The research results showed that students with high levels of self-regulated learning also have a high level of mathematical reasoning ability by showing 3 out of 3 mathematical reasoning ability indicators. Meanwhile, students with moderate levels of self-regulated learning also have moderate mathematical reasoning ability, as shown by two of the 3 mathematical reasoning ability indicators.
Competencias ciudadanas en los lineamientos institucionales de una universidad pública de Colombia
Authors: Benavides Bastidas Oscar Manuel , Gómez Narváez Diógenes Andrés , Rojas Zapata Andrés Felipe
Published: June 2024

Este estudio tuvo por objetivo analizar la implementación de las competencias y las competencias ciudadanas en los lineamientos institucionales de una universidad pública en Colombia y el conocimiento acerca de su definición y utilidad por parte de docentes y estudiantes en el año 2021. Se empleo el método cualitativo, la población fueron los lineamientos pedagógicos, los docentes y estudiantes de la facultad de educación. Para la recolección de información se empleó la revisión documental, la entrevista semiestructurada y los grupos focales. Resultados, se evidencia que los profesores y estudiantes no tienen un conocimiento claro sobre cómo se conceptualizan las competencias y competencias ciudadanas en los documentos institucionales, por lo que no hay una articulación entre la visión de la universidad y el quehacer educativo, lo que puede ocasionar que la formación de licenciados no se ajuste a las necesidades de las personas ni la sociedad.
Tourism capacity and economic growth in selected African economies
Authors: Glory OKWO  , Peter C. EGBON  , Titus O. AWOGBEMI
Published: June 2024

The Vector Autoregressive approach is used in this study to investigate the capacity of tourism on the economic growth in selected African countries. (Nigeria, South Africa, Morocco, Mauritius, Kenya, Tanzania, and Tunisia) with panel analyses using data from 1995 to 2022. The variables for the study include gross domestic product (GDP) as a proxy for economic growth, tourism receipts (TR), and tourist arrivals (TAR). The result from the study shows that in the short- run tourism receipts was positive but non-significant on the economic growth of the countries, while it was positive and significant in the long run. Tourist arrivals were negative and non-significant in the short- run but positive and significant in the long- run. This shows that tourism has some positive impact on the economies of the selected countries and that their capacity for economic growth is significant. The study concludes that investment in the tourism industry should be adopted as a development strategy, given that tourism has the potential to improve economic growth.
Biodiversity of Oocystic infectious forms of coccidian parasites in poultry drinking water (Gallus gallus domesticus) collected from farms and markets in Yaounde: Relationship with environmental variables
Authors: Mvoé Stéphanie Nadège  , Pierrette Ngo Bahebeck  , Ajeagah Gidéon
Published: June 2024

In order to identify and count parasites in poultry drinking water (Gallus gallus domesticus) which contains six (06) varieties in Cameroon. This study takes place in the city of Yaoundé more precisely in four stations (Nkoabang farm, Ngousso farm, Ekounou market and Mfoundi market), during the long dry season to the short rainy season of the year 2023. Physico-chemical analyzes were carried out in the field and in the laboratory. The observation of oocysts was made under the IVYMEN microscope with the 40X objective and the 100 objective using immersion oil and the formalin-ether concentration method and the modified Zielh-Neelsen method allowed us to isolate the oocysts. Biological analyzes show that the species of Cryptosporidium spp. was the highest (243 ± 212 oocysts/L) for the Ekounou market station and (199 ± 186 oocysts/L) for the Mfoundi market. The highest protozoan densities were recorded during the short rainy season (PSP). The least dense species was Isospora spp. with (11 ± 24 oocysts/L) at the Mfoundi market and (1 ± 1 oocysts/L) at the Ekounou market. The presence of these pathogens shows that these drinking waters need more strict and intense monitoring for animal and human health. The physicochemical results present high values of turbidity, color, total dissolved solids and very low dissolved oxygen value of up to 2%. The nitrate values vary from 0,15 mg/L to 13 mg/L as well as the temperature values which vary from 22,2°C to 27,1°C.
The effect of nutrition education on anemia using lecture method, leaflet media, and Tiktok on behavior change among adolescent girls
Authors: Sitty Fadhilla Fitrianty Lahay  , Sunarto Kadir  , Sri Manovita Pateda  , Lintje Boekoesoe  , Irwan
Published: June 2024

The purpose of this study was to analyze the effect of providing nutrition education using lecture methods, leaflets, and TikTok on changes in adolescent girls' behavior. Research data were collected using a questionnaire and analyzed using univariate and bivariate analysis. The results showed that there were differences in the respondents before and after the provision of nutrition education using lecture method, leaflets, and TikTok media. Before the intervention, most of the respondents were in the poor category in terms of knowledge, attitudes, actions, and behaviors. After the intervention, most respondents were in the good category. The p-value for each evaluation category, namely knowledge, attitude, action, and behavior are 0.000 ≤ 0.05. This means that there is an effect of nutrition education on anemia through lecture methods, leaflet media, and TikTok on behavior change among adolescent girls in SMP Negeri 1 Tapa.
Terrible triade of the elbow: Practical conduct (About 20 cases)
Authors: Mohamed Fargouch  , Oussama Adnane  , Anas Rguibi  , Oussama El Adaoui  , Driss Bennouna  , Mustapha Fadili
Published: June 2024

Introduction: The terrible triad of the elbow (TTE) combines elbow dislocation, fracture of the radial head and coronoid process, and was individualized as a clinical entity by Hotchkiss in 1996 [1]. It follows trauma involving valgus of the elbow, supination of the forearm and axial compression. This trauma induces injury to the radial collateral ligament complex, which extends towards the capsule, reaching the ulnar collateral ligament compartment Material and methods: This work consistes of a prospective study of 20 cases of unfortunate elbow triad treated at the "Aile IV" Orthopedic Traumatology Department of CHU Ibn Rochd in Casablanca, during the period spread between January 2018 and January 2023. Long-term results were assessed using the Mayo Clinic Elbow Performance Score (MEPS). Results: The preferred approach is the posterolateral or lateral Cadenat approach. 12 type III radial heads were treated with mini-plates after tabletop reconstruction, 7 were treated with screws and one head was resected due to the impossibility of osteosynthesis. 11 type 1 coronoid process fractures were treated with capsular reinsertion, and the remainder with screw fixation. The lateral collateral ligament was repaired in all patients by anchoring. The medial collateral ligament was affected in 06 of our patients after intraoperative stability testing, requiring suture and anchor repair. Overall, the MEPS score ranged from 50 to 96%, with an average of 81%, including 7 excellent, 7 good, 2 good and 4 poor results. Discussion: Described by HotchKiss in 1996, the terrible elbow triad is a rare entity accounting for only 10% of radial head fractures. Several authors advocate systematic reconstruction of the radial head, coronoid process and lateral ligament plane to limit complications. The radial head represents an important element of stability in forced valgus and posterior translation. Type II radial head fractures, and where possible type III fractures, should therefore be preserved and osteosynthesized. The coronoid process is the key element in the stability of the humero-ulnar joint. 50% of the height of the coronoid process is required to ensure sagittal stability of the humero-ulanr joint. Conclusion: Only the restoration of elbow integrity by repairing all structures, using a standardized surgical protocol, can achieve good functional results. The aim of treatment is to restore osteoligamentous stabilization in the sagittal plane, enabling early post-operative mobilization and minimizing the risk of post-traumatic stiffness.
Secondary syphilis with tuberculosis co-infection: A rare case
Authors: Athiyah Amatillah  , Damayanti  , Afif Nurul Hidayati  , Medhi Denisa Alinda  , Novianty Rizky Reza  , Yuri Widia  , Dewi Nurasifah  , Regitta Indira Agusni  , Shinta Dewi Rahmadhani
Published: June 2024

Syphilis is an infection that could be transmitted sexually and caused by certain bacteria called Treponema pallidum with almost 21.000 new cases in Indonesia. Regularly positive blood serologic tests and similar abnormalities in cerebrospinal fluid (CSF) examination, including a positive Venereal Disease Research Laboratory (VDRL) test, are typically observed in cases of syphilis, except in instances of burned-out or previously treated cases. Tuberculosis (TB) is also a common infectious disease in Indonesia with a prevalence of 759 per 100.000 persons, but co-infection of syphilis and TB is a rare finding. A 29-year-old female was diagnosed with syphilis and TB referred from a public health center with red rashes found on the palm and soles bilaterally a month before the visit. Dermatological examination of the palms and soles showed multiple violaceous macules with clear boundaries, with varying sizes between 0.5 cm x 1 cm. No abnormalities were found in the genitalia and oral mucosa. The result of the VDRL examination, the titer was 1:128 and the Treponema Pallidum Haemagglutination Assay (TPHA) result was 7,59. The patient was prescribed by single dose of Benzathine Penicillin injection 2.4 million IU IM. The patient experienced clinical improvement and decreased VDRL and TPHA titers after a month of evaluation. Co-infection of syphilis and tuberculosis is a rare finding. TB infection is found to have decreased interferon production and CD25 expression which causes immunosuppression as a risk for syphilis. Otherwise, treponemes may potentially contribute to reactivation in immunosuppression individuals.
Contribution of C-reactive protein in the detection of sepsis in newborns: A cross-sectional study
Authors: Sara Harrar  , Soukaina El Aassri  , Yazid El Alaoui Boufares  , Taoufik Benhoumich  , Asma Lamrani Hanchi  , Nabila Soraa  , Siham Aboulmakarim
Published: June 2024

Background: The objective of our study is to evaluate the effectiveness and contribution of the C-reactive protein dosage, widely used in our context, in the early detection of neonatal sepsis and diagnostic orientation. Methods: Retrospective study, conducted at the clinical biochemistry laboratory, in collaboration with the microbiology laboratory, in newborns admitted to the neonatology department for management of confirmed or suspected neonatal infection, during a period extending from January to December 2020. Results: A total of 300 blood cultures were performed. The sex ratio M/F: 1,38. The average age was 11.24 days. There were 148 positive cultures among which there were 120 positive CRP, that is 81%. And 152 sterile cultures with 50 positive CRP. The mean CRP value in the positive cultures was 62.67 mg/L. It was 15.53 mg/l in sterile cultures. The chi-square statistic calculated for our analysis is 70.906 with a significance level (alpha) of 0.05. The point-biserial correlation coefficient (r_pb) for this study is 1.51 Conclusion: Although there are currently more specific and sensitive early markers of inflammation, the C-reactive protein determination, widely used in our context, provides sufficient sensitivity and specificity in the diagnostic orientation of neonatal sepsis.
Rare and endangered plants of the flora of Georgia common in the Tbilisi environs (East Georgia, Caucasus)
Authors: Nikoloz lachashvili  , Konstantine Kereselidze  , Mariam kikvidze
Published: June 2024

The protection and preservation of biodiversity around big cities is an urgent problem of modern times. The present study is devoted to the protection and preservation of the wild flora of Tbilisi City. 40 rare and endangered vascular plants of flora of Georgia growing wild in the Tbilisi environs have been identified. 14 of them are trees, 6 - shrubs, 2 - semi-shrubs and undershrubs, 17 - perennial herbs and 1 - annual plant. Each of them was assessed according to IUCN categories and criteria: Critically Endangered (CR) – 6 species, Endangered (EN) – 10, Vulnerable (VU) – 12, Near Threatened (NT) – 8 and Data Deficient (DD) species – 4. They are plants of different bio-ecologies and are distributed in the different vegetation types and habitats. 19 species are endemics of the Caucasus. Two of them (Astragalus cyri Fomin and Anthemis saguramica Sosn.) are endemics of Georgia. The article provides a list of the target species with reference to key synonyms, families, habitats (within Tbilisi environs), life forms and IUCN categories and criteria (within Georgia).
Effect of pelvic floor muscle training on quality of sexual intercourse and urinary incontinence in post-partum mothers in the working area of Lubuk Buaya Health Center In 2023
Authors: Novi Aulia Driza  , Arni Amir  , Fika Tri Anggraini  , Yuniar Lestari  , Ariadi  , Amel Yanis
Published: June 2024

Dysfunction of the pelvic floor muscles following pregnancy and childbirth can lead to postpartum urine incontinence and sexual dysfunction. Exercises targeting the pelvic floor muscles can enhance sexual performance and reduce incontinence. In Koto Tangah District, Lubuk Buaya Community Health Center sees the most number of postpartum mother visits; most moms there report experiencing pain and discomfort during sex as well as postpartum urine incontinence. The purpose of this study was to ascertain how pelvic floor muscle training affected postpartum moms' urine incontinence and the quality of their sexual interactions.This study's design is a quasi-experiment with a control group for the pretest and posttest. From June to September of 2023, all postpartum women made up the study's population. Purposive sampling was used to split the 52 participants in the research sample into two groups: the intervention group and the control group. The chi square test was employed for data analysis.The group that received pelvic floor muscle training saw improvements in the quality of their sex and a reduction in their level of urine incontinence. According to statistics, pelvic floor muscle training has an impact on postpartum moms' quality of sexual relationships (p=0.024) and urinary incontinence (p= 0.005).The study concludes that pelvic floor muscle training affects postpartum mothers' quality of sexual relationships and urine incontinence. Regular practice for longer than four weeks can yield the best outcomes.
The influence of transformational leadership style on the implementation of patient safety in hospitals: Literature review
Authors: Badriyah Putri Jannah
Published: June 2024

Hospitals, as health service facilities, have a top priority in pursuing patient safety as an organizational outcome. In this case, leaders have a proactive role in implementing patient safety as a means of preventing incidents related to hospital patient safety. A leader's leadership style needs to be adapted to the needs of the organization, one of which is the transformational leadership style. With the characteristics of hospitals as complex healthcare facilities, this leadership style is considered the most appropriate to apply. Objective: The aim of writing the article is to determine the influence of transformational leadership styles on efforts to implement patient safety in hospitals. Methodology: This paper uses a literature study method with secondary data in the form of journals and published articles sourced from online databases and adjusted to the specified inclusion and exclusion criteria. Results: Transformational leadership applied in hospitals is a very significant and positive strategy for patient safety efforts. Leaders with a transformational leadership style will focus on effective integration processes so they can provide high-quality patient care. Transformational leadership plays a role in improving working conditions and atmosphere. This will affect the quality of service and care provided by hospital staff to patients. The implementation of quality services has an impact on preventing and handling patient safety incidents. Conclusion: A significant influence on the leadership style exercised by a hospital leader positively impacts patient safety efforts.
Effects of Hyperthyroidism on the Heart
Authors: Irida Kecaj  , Ergita Nelaj  , Ilir Gjermeni  , Kei Xhixhabesi  , Jonilda Shukulli  , Ina Refatllari
Published: June 2024

Thyroid hormones have a significant cellular and hemodynamic effect, playing an important role on cardiac function and structure. On the basis of the understanding of the cellular mechanisms of action of thyroid hormones on the heart and cardiovascular system, we can explain the changes in cardiac output, cardiac contractility, arterial pressure, vascular resistance and rhythm disorders, that results from thyroid dysfunction. It is important to know cardiovascular complications in hyperthyroidism, because of their high frequency in clinical presentation and increased mortality and morbidity risk. The importance of the recognition of the effects of thyroid disorders on the heart, comes from various studies, where it is established that the restoration of normal thyroid function is accompanied by cardiovascular hemodynamic improvements. In the present review, we discuss how hyperthyroidism affects cardiovascular system.
Madaltuiko asiointikynnys? Perustoimeentulotukiasiakkuus Helsingissä ennen ja jälkeen Kela-siirron
Authors: Korpela Tuija , Heinonen Hanna-Mari , Laatu Markku
Published: June 2024

Perustoimeentulotuki siirrettiin kunnista valtakunnallisesti toimivan Kelan toimeenpantavaksi vuonna 2017. Artikkelissa tarkastellaan, miten toimeenpanossa tapahtunut muutos heijastui tuen hakemiseen, saamiseen ja tukikuukausien määrään Helsingissä. Tarkastelu perustuu kattavaan rekisteriaineistoon vuosilta 2011–2019, ja muutoksia tarkastellaan iän, sukupuolen, siviilisäädyn, kansalaisuuden, tulotason ja muiden Kelan etuuksien saamisen mukaan. Tulokset osoittavat perustoimeentulotuen hakemisen yleistyneen uudistuksen jälkeen kaikissa ryhmissä. Myös tuen saaminen yleistyi joidenkin ryhmien osalta. Erityisesti Kelan etuuksia aiemmin saaneet, nuoret ja muut kuin Suomen kansalaisethakivat ja saivat tukea Kelasta yleisemmin kuin kaupungin sosiaalitoimesta. Tuen saannin kesto lyheni lähes kaikissa ryhmissä ja varsinkin 65 vuotta täyttäneiden tuensaajien joukossa. Tutkimuksen perusteella kynnys asioida toimeentulotukiasioissa Kelassa on ainakin Helsingissä selvästi matalampi kuin sosiaalitoimessa.
Green Synthesis of AgNPs and Fe2O3NPs Using Garlic Plant and Study their Anticancer Activity against Cervical Cancer Cells
Authors: Ali Hala H. , Mohammed Noori Farah T.
Published: June 2024

In this study, silver and iron nanoparticles were biosynthesized using the garlic plant, an economical and environmentally friendly method. A blend of chitosan (CS) and polyvinylalcohol (PVA) was prepared. The silver nanoparticles (AgNPs), iron oxide nanoparticles (Fe2O3NPs), and the (CS/PVA) blend were characterized by X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), and Field Emission Scanning Electron Microscopy (FE-SEM) analyses. The FE-SEM images revealed that Fe2O3NPs were cubical and hexagonal, and AgNPs were spherical aggregates. AgNPs with blend (CS/PVA) and Fe2O3NPs with blend (CS/PVA) and (Fe2O3NPs/blend (CS/PVA) /AgNPs) composite were synthesized and tested for anticancer activity against cervical cancer cells (Hela) using the MTT assay. Best kills and the highest inhibitory effect were observed in (AgNPs/blend (CS/PVA)) and (Fe2O3NPs/Blend (CS/PVA)/AgNPs) composite. These findings demonstrated the method's ability to synthesize nanocomposites with desirable physical, chemical and biological properties. Therefore, these findings demonstrate the new antibacterial and robust cytotoxicity features of the nanocomposite material, which has promising medical applications.
Pengaruh Dengue Hemorrhagic Fever Derajat 3 Dan 4 Terhadap Kehamilan Trimester 3 (36 Minggu)
Authors: Adinata I Made Agus Virdian , Rahmawati Febtarini , Waskito Budi Arief
Published: June 2024

DHF (Dengue Hemmorhagic fever) merupakan penyakit yang ditandai dengan terinfeksi virus dengue yang dapat disebabkan oleh gigitan nyamuk. Virus DHF dapat ditularkan oleh nyamuk yang betina berspesies Aedes aegypti dan dapat juga ditularkan oleh spesies Aedes albopictus. Penyakit DHF ini tersebar pada daerah tropis yang dipengaruhi oleh suhu, curah hujan, dan urbanisasi. DHF (Dengue Haemorrhagic Fever) merupakan penyakit yang disebabkan oleh adanya infeksi dari virus dengue yang dimana tanda dan gejalanya seperti nyeri otot atau nyeri sendi yang disertai leukopenia, limfadenopati, ruam, trombositopenia, ditesis hemoragik, dan demam. DBD menyebabkan adanya pembesaran atau terjadi sebuah penumpukan cairan di rongga tubuh. Penelitian ini bersifat deskriptif dengan menggunakan teknik pengumpulan data, analisis, dan pemecahan masalah menggunakan metode systematic review. Systemic review adalah metode untuk mengidentifikasi, menilai dan menginterpretasi topik yang dimana tujuannya untuk menjawab rumusan masalah yang sudah disusun sebelumnya oleh peneliti. Dan dari hasil analisis yang telah dilakukan menggunakan studi literature atau literature review jurnal, ada 18 jurnal yang dapat disimpulkan bahwa terdapat pengaruh dengue hemorrhagic fever derajat 3 dan 4 terhadap ibu hamil trimester 3.
Studi Literatur Hubungan Paparan Kebisingan Dengan Kejadian Peningkatan Tekanan Darah Pada Pekerja Industri
Authors: Ratri Ni Putu Ayu Tarissa Aprilia , Noviana Ayu Cahyani , Kadir Akmawarita
Published: June 2024

Kebisingan merupakan suara yang tidak diinginkan yang dihasilkan oleh industri atau kegiatan tertentu, yang dapat membahayakan kesehatan seseorang dan lingkungan. Paparan kebisingan dapat menyebabkan emosi yang tidak menentu, yang dapat menciptakan stres, ketika stres berkepanjangan, tekanan darah akan meningkat dan hipertensi akan berkembang. Tujuan penelitian ini adalah untuk mengetahui hubungan antara paparan kebisingan dengan kejadian peningkatan tekanan darah pada pekerja industri. Penelitian ini menggunakan metode Systematic Literature Review. Data dikumpulkan dari artikel jurnal yang telah diterbitkan di Google Scholar, Pubmed (PMC), dan Proquest dengan topik tersebut diatas. Jurnal artikel yang digunakan, diseleksi dengan kriteria inklusi dan eksklusi. Dari hasil penelitian ditemukan bahwa ada hubungan paparan kebisingan dengan terjadinya peningkatan tekanan darah pada pekerja industri yang dipengaruhi dengan beberapa faktor seperti Usia, Indeks Massa Tubuh, Massa Kerja, Intensitas Kebisingan, dan Lama Paparan Bising.