bluuebunny/crossref_metadata_2025 huggingface dataset:
Improvising Kanak Sprak: Feridun Zaimoğlu’s Freestyle Forms and the Politics of Belonging
Authors: Teupert Jonas
Published: April 2024

Public discourse often excludes the erroneous speech of migratory subjects, thus foreclosing social and political rapprochement. This paper argues that the position outside of pregiven, linguistic norms provides migratory speech with an improvisatory quality that can serve as a catalyst for community formation. Simulating freestyle forms in writing, Feridun Zaimoğlu’s Kanak Sprak seeks to find a new language for the critique of xenophobia and to establish belonging based on precarious conditions. In a close reading of Fikret’s monologue “Pity is that true vitamin,” I show how improvisation disrupts established discourses and transforms the meaning of conventional hate speech tropes to forge transethnic alliances. The paper then turns to the subsequent volume Koppstoff and problematizes the commodification of Kanak speech in neoliberal pop culture. Çağıl’s monologue “If you’re smart, you take our side” hints at a different understanding of improvisation that reframes the relation between mainstream society and its others. Drawing on critical improvisation studies, the paper contributes to the understanding of linguistic interventions into social orders that determine who can say what, in which speech form, and according to which norms of belonging.
Heimat: Malady Without Remedy. “Deheimatizing” German Literature (Othmann, Taha, Ayata)
Authors: Karakurt Hevin
Published: April 2024

It has become commonplace to consider Heimat a loaded concept. The origins of the malady of Heimat have been very convincingly laid out by Bilgin Ayata in her argument for a “deheimatization” of German cultural politics. Ayata deems this necessary as she considers every effort to salvage the concept through reclaiming or pluralization (Heimaten) as futile. While suggestions have been made out of social and cultural studies aiming to remedy its exclusionary and dangerous shortcomings, this article engages with literature’s potential for a “deheimatization” of German cultural spaces. In the study of three German novels by Kurdish authors, first access points are worked out: From rendering a German Heimat impossible through the destruction of the Kurdish homeland in Ronya Othmann’s The Summers (2020), and the disenchantment of a Kurdish Heimat as place of longing in Karosh Taha’s In the Queen’s Belly (2020), to the “deheimatizing” of the German Heimat in getting to know the Kurdish homeland thus far ignored in Imran Ayata’s My Name Is Revolution (2011). The present engagement with Kurdish-German literature provided some first access points towards a “deheimatization” of the German literary landscape and the canon, which could ultimately lead to new imaginaries of collectivity beyond the nation and thus beyond Heimat in its unsalvageable meaning. However, more theorizing is needed in order to render the concept of “deheimatizing” more fruitful for literary analyses.
Hadi Tschüss
Authors: Mevert Kyra
Published: April 2024

Prose piece (translated from the German by Didem Uca)
Dana Bönisch, Jil Runia and Hana Zehnschetzler (eds.), Heimat revisited & Svenja Kück, Heimat und Migration. Ein transdisziplinärer Ansatz anhand biographischer Interviews mit geflüchteten Menschen in Deutschland
Authors: Kletnikov Filip , Zimmermann Ronja
Published: April 2024

Dana Bönisch, Jil Runia and Hana Zehnschetzler (eds.), Heimat revisited. De Gruyter, 2020.

Svenja Kück, Heimat und Migration. Ein transdisziplinärer Ansatz anhand biographischer Interviews mit geflüchteten Menschen in Deutschland. Transcript Verlag, 2021.
PENGARUH DISIPLIN KERJA, MOTIVASI KERJA DAN KEPUASAN KERJA TERHADAP KINERJA KARYAWAN PADA PT. BUDIWIJAYA EDUCATION CENTER
Authors: Cahyani Regita , FAITULLAH FAITULLAH , Hendrayani Iin
Published: April 2024

Kinerja karyawan adalah suatu hasil kerja yang dicapai seseorang dalam melaksanakan tugas yang diberikan kepadanya.Adapun faktor-faktor yang mempengaruhi kinerja karyawan dalam penelitian ini yaitu disiplin kerja, motivasi kerja dan kepuasan kerja.Tujuan penelitian ini adalah untuk mengetahui pengaruh disiplin kerja, motivasi kerja, dan kepuasan kerja secara parsial dan simultan terhadap kinerja karyawan PT. Budiwijaya Education Center.Adapun teknik pengambilan sampel yang digunakan adalah sampel jenuh.Jumlah sampel yang digunakan dalam penelitian ini yaitu 50 responden.Metode penelitianyang digunakan adalah metode kuantitatifdengan analisis data verifikatif.Hasil uji parsial (uji t) menunjukkan bahwa untuk disiplin kerja (X1) diketahui nilai thitung 1,989 < nilai ttabel 1,680, motivasi kerja (X2) dapat diketahui nilai thitung 2,502 < nilai ttabel 1,680, kepuasan kerja (X3) dapat diketahui nilai thitung 4.126 > nilai ttabel 1,680, tidak mempunyai pengaruh signifikan secara parsial terhadap kinerja karyawan (Y).Hasil uji simultan (uji f) menunjukkan bahwa nilai F hitung 5,273 > nilai F tabel 2,67 dan signifikan lebih kecil 0,05 (0,01 < 0,05) maka dapat disimpulkan bahwa hipotesis nol ditolak artinya variabel disiplin kerja (X1), motivasi kerja (X2) dan kepuasan kerja (X3) secara simultan berpengaruh signifikan terhadap kinerja karyawan (Y). Hasil koefisien Adjusted R Square diperoleh nilai 0,733 (7,3%) berarti nilai variabel disiplin kerja (X1) motivasi kerja (X2),kepuasan kerja (X3) dan kinerja karyawan (Y) sebesar 73% sedangkan sisanya 27% dapat dijelaskan oleh variabel lain yang tidak diteliti dalam penelitian ini, bagi peneliti selanjutnya agar menambahkan variabel-variabel lain yang dapat mempengaruhi kinerja karyawan.
Seasonal fluctuations in Foliar micronutrients concentration of Morus alba and Albizia stipulata -potential fodder trees of North-west Himalaya
Authors: Mishra V. , Sharma Jatendra
Published: April 2024

Seasonal trends in leaf micronutrients concentration of Morus alba and Albizia stipulata were studied during the active growth period (bud break to leaf abscission). In both the species while, Fe and Mn concentration showed accumulation, the Zn, Cu and Na concentration decreased with the advancement of season. Mo concentration decreased with the increase in leaf age in Morus alba whereas in Albizia stipulata it fluctuated in the first half of the growing season and displayed consistent accumulation towards leaf senescence. The seasonal average concentration of Fe, Zn and Na was higher in Morus alba and that of Mn, Cu and Mo in Albizia stipulata.
Occurrence of Black Mold on Sweet Pepper Fruits Caused by Alternaria alternata in Korea
Authors: Kim Wan-Gyu , Lee Gyo-Bin , Yun Sun-Im , Ryu Jae-Taek
Published: April 2024

In July 2022 and 2023, black mold symptoms were observed sporadically on fruits of sweet pepper (Capsicum annuum) plants grown in a greenhouse located in Suwon, Korea. The incidence of black mold on the fruits was 5−24% (average 14.8%) in variety SP-504 (yellow and elongate type) and 1−8% (average 5%) in variety SP-505 (red and round type) investigated. Four single-conidium isolates of Alternaria sp. obtained from the diseased fruits were identified as Alternaria alternata based on the morphological characteristics and molecular phyogenetic analyses. The isolates were tested for pathogenicity to sweet pepper fruits of varieties SP-504 and SP-505 through artificial inoculation. The isolates mostly induced large lesions on fruits of the two varieties in the wound inoculation, but only two isolates small lesions on fruits of the variety SP-504 in the non-wound inoculation. No lesions formed on fruits of the variety SP-505 in the non-wound inoculation. The pathogenicity tests revealed that susceptibility of sweet pepper fruits to the disease differs between the varieties. The symptoms induced by pathogenicity tests with the isolates were similar to those observed on fruits from the greenhouse investigated. This is the first report of A. alternata causing black mold on sweet pepper fruits in Korea.
First Report of Lasiodiplodia theobromae Causing Gummosis on Citrus grandis (L.) Osbeck in Vietnam
Authors: Trai Vo Thi Ngoc , Ha Tran Thi Thu , Hung Nguyen Bao
Published: April 2024

This study aims to isolate and identify the fungal pathogen responsible for gummosis disease affecting Thanh Tra pomelo in Vietnam. Through molecular identification utilizing primer pairs ITS5 and ITS4, the analysis pinpointed Lasiodiplodia theobromae as the specific fungal pathogen. Notably, the fungal colonies exhibited vigorous growth on potato dextrose agar. Initially, these colonies appeared whitish-grey, transforming into a black-grey hue within 5–7 days at a temperature of 30oC. According to previous reports, Phytophthora spp. was the most common pathogenic genus causing gummosis on Thanh Tra pomelo in Vietnam. To our knowledge, this is the first report on L. theobromae causing gummosis on Thanh Tra pomelo in Vietnam.
First Report of Pectobacterium aroidearum Causing Soft Rot on Ficus carica in Korea
Authors: Park Kyoung-Taek , Ten Leonid N. , Hong Soo-Min , Nam Song-Woon , Back Chang-Gi , Lee Seung-Yeol , Jung Hee-Young
Published: April 2024

In July 2021, symptoms of soft rot were observed on the stems of Ficus carica in Yeongam, Jeollanamdo, Korea. To accurately diagnose the cause, infected stem was collected and bacterial strain was isolated. Among these, the pathogenic strain KNUB-08-21 was identified as Pectobacterium aroidearum through 16S rRNA gene sequencing and phylogenetic analysis based on the concatenated sequences of the dnaX, leuS, and recA genes. The affiliation of the isolate with this bacterial species was also confirmed by its biochemical characteristics obtained using API ID 32 GN system. Artificial inoculation confirmed the strain’s pathogenicity in figs, causing significant damage to both stems and fruits. To our knowledge, this is the first report of P. aroidearum causing soft rot disease in F. carica in Korea.
Sunflower oil supplementation in the diets of lactating cows: productive and nutritional performance
Authors: Rizzo Fábio Antunes , Fluck Ana Carolina , Schafhäuser Junior Jorge , Scheibler Rudolf Brand , Nörnberg José Laerte , Vargas Diego Prado de , Lourenço Lívia Argoud , Souza Ana Paula Binato de , Silva Jamir Luís Silva da
Published: April 2024

Eight Jersey cows (2nd-4th lactation; 483 ± 43 kg body weight; milk yield 21±2.2 kg day-1) were used in a double 4x4 latin square design to evaluate whether the inclusion of increasing levels of sunflower oil in the concentrate up to the limit of 110.0 g kg-1 DM of EE, in replacement to corn grain, has an impact on milk production and composition, feed efficiency, energy balance, intake and digestibility. of diets, and the fatty acid profile of milk fat from Jersey cows. The treatments consisted in lipid supplementation with increasing levels of sunflower oil replacing the corn grain and wheat bran of concentrate, including: CD (control diet), without sunflower oil and with 38 g kg-1 of EE dry matter (DM); and three treatmens with sunflower oil concentrate-included: SF65= 65 g kg-1 DM of EE; SF86=86 g kg-1 DM of EE and SF110=110 g kg-1 DM of EE. The increase of EE in diets did not affect the dry matter intake, neutral detergent fiber or crude protein. There was a linear increase in the digestibility coefficients for organic matter, crude protein, EE, neutral detergent fiber and blood levels of cholesterol. Treatments did not affect milk production, fat content, lactose or total solids. It is possible to use up to a limit of 110.0 g kg-1 DM of EE in the diet, decreasing the concentrate total amount.
El botón de Nácar:
Authors: Silva de Oliveira Rogério Luiz
Published: April 2024

El Botón de Nácar (2015) é um documentário dirigido por Patricio Guzmán. Lançado no intervalo entre Nostalgia de la Luz (2010) e La Cordillera de los Sueños (2020), o filme, assim como os outros dois, adota uma estratégia de criação que, nas palavras do próprio diretor, a respeito de seu processo criativo, segue “o caminho da intuição, da dedução ou das metáforas” (GUZMÁN, 2017, p. 22). Assim como os outros filmes, El Botón de Nácar oferta uma experiência audiovisual que conecta os acontecimentos do regime de Augusto Pinochet, durante a ditadura militar chilena, com outros episódios da memória do país. A partir de uma experiência de cinematografia rigorosa, assinada pela diretora de fotografia Katell Djian, El Botón de Nácar é feito de metáforas visuais que estão a serviço de um argumento profícuo: a água tem memória. Em torno desta inferência, as imagens do filme constituem um conjunto de formas obtidas por meio de recursos particulares da direção de fotografia. Diante dessas imagens, é possível construir uma reflexão sobre o modo como sua captura tática intensifica a ideia de que a água tem memória, e amplia nosso olhar a respeito da relação da água na Terra com a dinâmica do Universo. O estudo faz uso de uma metodologia que, a partir de uma análise imagética, tem inspiração na maneira como Fayga Ostrower pensa o processo criativo e na disposição teórica de Georges Didi-Huberman, no que diz respeito ao trato da memória por meio da ideia de anacronismo. Apesar da presença de um vasto repertório de recursos visuais na narrativa, a ênfase do estudo recai sobre a direção de fotografia, especialmente em elementos como os grandes planos e planos detalhe (registrados com artifício macro), desfoque e movimentos de câmera.
A representação imagética da mulher nos cartazes da guerra civil espanhola
Authors: Silva Paulo Celso , Postali Jacinto Thífani
Published: April 2024

A guerra civil espanhola marcou gerações de mulheres que conviveram com uma sociedade debatendo-se entre o conservador e o progressista em uma cultura patriarcal e machista. Será realizada uma análise do conflito entre as facções republicanas, que desejavam preservar os direitos conquistados e a nova identidade feminina, e os golpistas, que buscavam manter a sociedade com as suas estruturas e identidades tradicionais. A análise do conflito entre as facções republicana e golpista será realizada tendo como base a teoria do multiculturalismo crítico, que busca compreender a interseção entre cultura, política e poder na sociedade contemporânea, em especial no que se refere à diversidade cultural e à luta por direitos e igualdade. Essa teoria pode ajudar a entender como as diferenças culturais influenciaram as lutas pelo poder na Espanha da época e como isso afetou as mulheres. Nesse contexto, é possível destacar que as imagens estereotipadas e discriminatórias das mulheres de diferentes grupos culturais foram utilizadas nas diversas mídias, especialmente nos cartazes de propaganda política, para reforçar determinadas ideologias e concepções sobre o papel da mulher na sociedade. Vale dizer, ainda que a análise desse conflito, com base na teoria do multiculturalismo crítico, evidencia a importância de se promover a inclusão e a igualdade de gênero em todas as esferas da sociedade.
Economia das imagens
Authors: Correia Micael Arruda
Published: April 2024

A partir do modelo conceitual proposto pelo projeto filosófico de Slavoj Zizek, caracterizado pela articulação entre três linhas de força (filosofia, psicanálise e pensamento político), o trabalho buscou operar uma metodologia orientada pelos seguintes eixos conceituais: teoria da imagem, filosofia e psicanálise. A relação entre imagem e capitalismo encontra-se consolidada na sociedade do consumo, uma vez que os imperativos de gozo são veiculados por modalidades contemporâneas de imagem. Nesse contexto, a possibilidade de aproximação entre a forma mercadoria e a imagem é favorecida pela natureza subjetiva, normativa e instrumental dessas imagens, que compõem uma economia que produz uma forma de vida específica num mundo imagético. A eficácia desse processo se deve à sua adequabilidade ao ritmo de autovalorização conformativa do Capital e sua compulsão pela produção e consumo contínuo de imagens. Enquanto os imperativos de gozo incitam a uma sujeição disciplinar através do fluxo indeterminado de enunciados e objetos, a sociedade atua na produção do valor das imagens, elevadas através da inclusão do próprio sujeito na imagem. Os efeitos dessa dinâmica caracterizam-se por uma espécie de bloqueio na capacidade dos sujeitos de narrarem suas experiências de sofrimento, uma vez que o empuxo imagético e repressivo da sociedade ocasionaria déficit na qualidade narrativa.
Livestock Disease Data Management for E-Surveillance and Disease Mapping Using Cluster Analysis
Authors: Kemal Ahmed Mohammed , Prasad Sharma Durga , Seid Worku Hussein , Yilma Getinet , Ibenthal Achim , Yadav Dharmveer
Published: April 2024

Livestock is a crucial source of livelihood for Ethiopians. However, the sector’s contribution to the economy is not as significant as expected. This is mainly due to the prevalence of livestock diseases caused by various pathogens posing a serious threat to local and national food security, reducing income, and impacting the livelihoods of livestock keepers. However, the sector has constraints on improved data management framework for enhanced livestock disease pattern analysis and e-surveillance
Syllabus Analysis of English for Hotel Receptionist Program with SKKNI in Kartu Prakerja by Mobile English
Authors: Fahira Raihaana Ziani , Nurkhamidah Neni
Published: April 2024

Hotel receptionists who work as frontline in the hospitality industry are supposed to be able to perform their duties no matter where the guests come from. In handling foreigners, English can be used as a medium to communicate and serve guests. To achieve a certain level of communication in English; the employee could take training programs and courses to upskill their language level in ESP. This study intends to analyze a syllabus of the ESP. By conducting this study, the researcher tries to find out the competencies being taught in the program and the suitability of the SKKNI as the standard reference. The method used in this study was qualitative research with a content analysis approach. The subject of this study was a syllabus developed by Mobile English as a learning institution that partners with the Kartu Prakerja Program. The instrument used to examine the study was a form of table. The study's results examined only five competencies taught in the program out of 14 competencies that should be acquired based on the SKKNI. The finding implies that future improvements in the syllabus and the program are needed to help the student be competent in their role as hotel receptionists
Students' Inductive Reasoning Ability in Solving Fractional Problems Through Contextual Approach
Authors: Kamsurya Marwa Astriani , Ngadino Dede
Published: April 2024

Students can think and reason about a math problem if they can understand the math problem. A way of looking at mathematical problems also influences the mindset about the solution to be done. Through a contextual approach, students can practice their thinking skills in solving problems. This study aims to determine the ability of mathematical inductive reasoning with a contextual approach in solving fractional problems. This type of research is descriptive qualitative. The number of subjects in this study was 1 obtained using the Purposive Sampling technique using certain criteria, namely student test results on fractional material. The instruments used are using tests and interviews. Tests are used for the process of determining subjects, and interviews are used to determine inductive reasoning abilities. The interview process used is an unstructured interview and is conducted on subjects, peers, and subject teachers. Data analysis techniques using qualitative analysis consist of data collection, data presentation, and conclusions. The results of data analysis show that subjects in the process of solving problems on fractional material have inductive reasoning abilities in the process of solving problems and meet all indicators of inductive reasoning used in this study, namely observing the pattern of questions given, looking for relationships contained in the questions to facilitate problem solving, and determining the estimation of problem solving and drawing conclusions,  and can predict the pattern of solving the next problem
Assessment of Knowledge and Perceptions of Pakistani Adults about Non-nutritive Sweeteners
Authors: Naveed Aiman , Khan Bilal , Asghar Kanza , Noor Maryam , Arshad Mahnoor , Sultan Tehmina , Mazhar Mahrukh
Published: April 2024

Non-nutritive sweeteners are used as a substitute for sugar and have strong sweetening properties. They can be helpful in weight management, diabetes, and other insulin sensitivity-related metabolic disorders. Objective: This survey intended to analyze the knowledge and risk perceptions related to the safety and benefits of Non-nutritive sweeteners in a population of Pakistani adults. The impact of knowledge dissemination on the consumption of Non-nutritive sweeteners was also assessed. Methods: An online survey was conducted, and 680 responses were received. Results: Results indicated that 55.7% reported Non-nutritive sweeteners consumption, while 44.3% denied any usage. Only 27.4% of respondents showed trust in regulatory bodies while only 26.2% had any idea about the laws surrounding their use. The second part of the study aimed to examine the effect of knowledge dissemination on Non-nutritive sweeteners consumption, but the result showed that the participants were still not convinced about the safety levels of Non-nutritive sweeteners (p < 0.05). The only statement that participants were persuaded by was that Non-nutritive sweeteners does not pose any risk of cancer. The main reason for consumption was attributed to the low caloric properties of Non-nutritive sweeteners. Conclusions: The results showed that effective communication by regulatory authorities and health professionals via the internet, social media and leaflets can be beneficial in educating the public about Non-nutritive sweeteners. The role of health care professionals is also important to assure the public of the safety of Non-nutritive sweeteners.
Biotechnological Innovations in Sustainable Food Production
Authors: Walait Manam , Ajaz Malaika , Rasool Waleed , Irfan Maham , Fatima Mahnoor , Tariq Faiza
Published: April 2024

This review article explores the critical role of biotechnology in addressing the global food security crisis aggravated by the COVID-19 pandemic and Eastern European conflict. It starts by examining the profound impacts of these events on food supply chains and pricing, supported by relevant statistical evidence. The study then discusses agricultural biotechnology, comparing conventional and sustainable agriculture, with an emphasis on genome editing and modification techniques such as Zinc Finger Nucleases (ZFNs), Oligonucleotide-directed mutagenesis (ODM), and CRISPR. The application of RNA interference in agriculture and microbial biotechnology in promoting soil health and sustainable food production is discussed. Furthermore, the review shifts focus to the utilization of microbial biotechnology for soil health enhancement and sustainable food production, encompassing the development of pest-resistant and drought-tolerant crops and biotechnological methods for optimizing water use efficiency. Additionally, it examines biotechnology's applications in food processing, including enhancing nutritional content and improving shelf life and safety. The European Green Deal is analyzed, particularly its influence on agriculture through strategies like Farm to Fork, Biodiversity, and Circular Economy. Finally, the review concludes by addressing policy considerations, ethical challenges, and the necessity of international cooperation in biotechnology research, exemplified by projects like the Golden Rice and Heat-Tolerant Maize for Asia (HTMA), highlighting the multidisciplinary nature and global significance of biotechnological innovations in ensuring sustainable food production.
Healthcare Management of an Obese Person
Authors: Baqir Syeda Rida , Khan Shafaque Aslam , Zaman Bushra Marium , Ali Tahira Hamid , Bangash Nazish Saeed , Ali Muhammad Amjad , Zaidi Fatima , Farooq Jahan Ara
Published: April 2024

Around the world, 1.6 million causalities are due to mortalities related to obesity. Obesity is the major cause of various health issues and diseases like diabetes, cancer, heart disease, hypertension, sleep loss, etc. The main causes of obesity in Pakistan are poor diet, lack of exercise, and a sedentary lifestyle. Body mass index is a measurement tool that can be used to measure the fat of the body by calculating the ratio of weight and height of males and females. The ratio of people living in urban areas is higher than people living in rural area. The objective of our study is to explore the knowledge of healthcare management of an obese person. This is an exploratory study extracted from various literatures to enhance the understanding related to multiple treatment options i.e.: surgical and non-surgical interventions for the management of obesity. It comprises of various national and international, cross-sectional surveys, and experimental researches. The study concluded that there are many conservative and non-conservative options for the management of obesity and the reduction of weight can improve the quality of life as well as reduce the risk of various diseases.
Healing the Healers: Prioritizing the Mental Support for Nurses
Authors: Perveen Kousar
Published: April 2024

The demand of qualified nurses is growing worldwide which has made nursing a highly sought-after profession. This profession is revered for its unwavering dedication to healing and support, and stands as a beacon of compassion and care. Yet, there are various challenges that often go unnoticed behind the scenes of this noble vocation, the most disregarded is the mental health struggles faced by nurses. Despite this profession being auspicious, its burden can take a toll on the mental well-being of nurses. However, it is seen as stigma that the people who heal others also need healing.
Nurses navigate the complexities of patient care and are the embodiment of resilience and selflessness. On the daily basis, they witness pain, triumph and loss, and shoulder the emotional weight of the patients as well.  Moreover, it is often required from them to work irregular hours and rotating shifts, which may include nights, weekends and holidays, which not only disrupts sleep patterns but also makes it challenging for them to maintain work life balance straining personal relationships. These negative aspects can cumulatively result in professional burnout and dissatisfaction in nurses. It may worsen the mental health of nursing leading them to leave the profession altogether.
Unfortunately, this issue is not appropriately addressed making it a pervasive stigma in the profession. Nurses are often seen as strong and resilient but it creates a perception that nurses should be able to handle any mental or emotional stress themselves. If the nurses admit vulnerability and seek help, it is viewed as sign of weakness. In addition, nurses fear judgement and the negative opinions of the colleagues who perceive them as incompetent, unreliable, or unfit for duty. Moreover, unfavorable health care settings, such as understaffing, high workload, and limited resources may contribute to the mental health support being viewed as a luxury and inconvenience rather than a legitimate need. These notions hinder the open dialogue and impede access to much needed support.
It is imperative that the stakeholders within the healthcare system exert efforts to address the challenges faced by nurses regarding mental. We need to acknowledge and recognize that the arduousness of the nursing profession and how it affects the mental well-being of nurses. The organizations should prioritize mental health of their practitioners by offering them resources such as counseling services and peer support networks. The stigma surrounding mental health needs to be shattered so that an environment can be fostered where nurses feel safe and are supported in their time of vulnerability. Only then can we ensure that auspicious nature of nursing shines brighter than ever before and illuminate a path of healing for healers as well.
Knowledge Regarding Hepatitis B Virus Infection and its Prevention among Nursing Students in Karachi
Authors: Ali Javid , Shah Azizullah , Khan Saeeda , Ali Yasir , Khan Ameer Ullah , Mustafa Ghulam , Badshah Kausar
Published: April 2024

Hepatitis B Virus (HBV) infection is a significant global health concern. All healthcare professionals especially nurses are always at a greater risk of getting the HBV. Objective: To assess knowledge regarding Hepatitis B Virus infection and its prevention among nursing students in Karachi. Methods: A descriptive cross-sectional study design was used to assess the knowledge of student nurses regarding Hepatitis B infection at ten nursing institutes in Karachi for six months; the calculated sample size was 529 by Open Epi version 3.0 by using convenient sampling technique. The data were collected by well-structured questionnaire and involved the questions about knowledge of Hepatitis B Virus infection and its prevention. All the students of Diploma in Nursing above the age 16 years were included while all the students of other nursing discipline were excluded. Results: The overall level of knowledge of the respondents on HBV infection was very good in this study, 93.2%, in response to the question concerning about the causes of Hepatitis B Virus infection (76.7%) responded positive. Knowledge regarding the incubation period of Hepatitis-B was very less (31.4%). 59.0 % consider that they are at risk to get Hepatitis B at their job, while 96.7% knew that it can be transmitted by unsterilized syringes, needles and surgical instruments which is similar to our study. Conclusions: All healthcare professionals especially student nurses are always at a greater risk of getting the HBV. Therefore, comparable research with a larger population and sample size has to be carried out.
Spectrum of Hemoglobinopathies in Tertiary Care Hospitals of Rawalpindi and Islamabad
Authors: Zia Tanveer Ul Haq , Ahmed Ammar , Ilyas Muhammad , Siyar Hira , Bahadar Haji
Published: April 2024

Hemoglobinopathies, including Thalassemia and sickle-cell syndromes are lifelong diseases with a significant impact on patients, families, and healthcare resources. Despite therapeutic progress, Pakistan, located within the Thalassemia belt, lacks comprehensive data on the epidemiology, clinical course, mortality, complications, and treatment outcomes of Thalassemia. Objective: To determine the frequency of haemoglobinopathies in Tertiary Care Hospital of Rawalpindi and Islamabad. Methods: A retrospective cross-sectional study of 7 months was conducted on the local population of Islamabad and Rawalpindi from January 2020 to July 2020. Total 600 patients referred for Hb electrophoresis were initially selected for study. Data from 300 patients were collected from PIMS Hospital, Islamabad, and 300 from Holy Family Hospital, Rawalpindi. Clinical information for each patient was recorded separately, data were statistically analyzed using Microsoft Excel version 2016 and graphs were made on GraphPad Prism version 08. Results: Out of 600 patients from Rawalpindi and Islamabad 227 (37.84%) patients were found to have hemoglobinopathies. Beta Thalassemia trait was the most common disorder among those with hemoglobinopathies (47.13%), followed by beta Thalassemia major (23.34%), sickle Beta Thalassemia (10.57%), sickle cell disease (6.6%), Hb D trait (5.28%), Hb D/beta Thalassemia (3.96%), Hb E trait (2.2%), and sickle cell trait (0.88%). Conclusions: The study showed a significantly high frequency of hemoglobinopathies in the capital city Islamabad and Rawalpindi. β- Thalassemia trait and β- Thalassemia major were found in high frequency among various hemoglobin disorders.
Prevalence of Neck Pain and Disability in Medical Students of Sialkot
Authors: Ghafoor Sadia , Faiz Rabia , Ayesha . , Pervaiz Aroma , Yousaf Ayesha , Basit Habiba , Arshad Anees , Ghias Sidra , Khalid Amna
Published: April 2024

Neck pain is a pervasive musculoskeletal disorder and one of the leading causes of disability worldwide. It ranks as the fourth most typical cause of disability. Objectives: To determine the prevalence of neck pain and disability in medical students of Sialkot. Methods: It was cross-sectional study and simple random sampling technique was used. 465 male/female medical student 18–25-year-old were participated. Subjects with other neck pathologies like cervical stenosis were excluded. Data were collected from three different institutes of Sialkot i.e., University of Sialkot, Sialkot College of Physical Therapy and University of Management and Technology. Northwick Park Neck Pain Questionnaire was used to collect data. Study ran from 20 May to 22 September 2021.Statsitical analysis done through SPSS version 20. Histogram, bar charts used to display data. Ethical approval obtained from institute before conducting research. Results: Results were calculated using Northwick Park Neck Pain Questionnaire (NPQ) percentages. 15.9% had no disability, 58.1% had mild disability, and 19.4% had moderate disability while 6.7% were suffering from severe disability. The overall neck pain prevalence was 58.1% and it caused mild disability in medical students. Conclusions: It is concluded that neck pain is quite common among medical students as more than half of participants were suffering from this issue. Lifting heavy objects being in uncomfortable posture during daily activities and reading for extended hours aggravate the pain. Occasional disturbance of sleep was also noted.
Pre-operative Anemia as a Risk Factor of Morbidity and Mortality in Valvular Surgeries
Authors: Abbas Sardar Saud , Sajjad Muhammad Wasim , Naeem Hamid , Ul Islam Mujahid , Khan Imran , Sabir Ahsan , Imran Owais , Arshad Umair , Shah Syed Nauman , Afridi Rimshah
Published: April 2024

Pre-operative anemia can be a hindrance to speedy recovery and will increase blood transfusion intraoperative and post operatively. Objective: To find a correlation between preoperative anemia and the subsequent morbidity and mortality rates in patients undergoing valvular surgeries. Methods: A retrospective observational study, involving 493 valvular surgeries’ patients. All patients had the same anesthetic and surgical techniques. According to the WHO, anemia is a hemoglobin level < 13 g/dl for men and <12 g/dl for women. Clinical variables were compared using chi-square and independent t-test. Results: The patients received cardiac surgery for valvular heart disorders and had an average age of 42.2±14.1 years, with 60.9% being male. Most patients exhibited NYHA III (48.9%) and CCS III (36.5%) functional class symptoms. Highest comorbidity was hypertension (35.1%), followed by diabetes (14.4%) and dyslipidemia (6.5%). 43.2% were anemic and older than non-anemic individuals (P=0.02). Anemic people had a significantly greater incidence of HTN (P 0.02) and DM (P < 0.001). Both groups exhibited identical perfusion and cross-clamp periods (P=0.4 vs. P=0.3). Though not statistically significant (P=0.08), non-anemic patients needed more intraoperative blood or blood product transfusions. Patients with anemia have worse outcomes, including increased rates of in-hospital mortality (P=0.03), extended artificial breathing (P=0.04), and postoperative blood/product transfusion (P<0.001). 44.8% of anemic individuals needed RCC, 41.9% FFP, and 41.4% platelets. Conclusions: anemia is associated with the poorest post-operative results. There is conflicting information about the impact of preoperative anemia, particularly iron deficiency anemia, on valvular surgery.
Prevalence of Urinary Incontinence and its Association with Chronic Constipation, Chronic Cough, Urinary Tract Infections, and Parity during the Third Trimester of Pregnancy
Authors: Shaikh Kashaf , Zahra Urooj , Abdullah Muhammad , Batool Sana , Habiba Umme , Khan Sara , Tasleem Afzal Mamoona
Published: April 2024

Urinary incontinence (UI) refers to involuntary urine leakage. It can affect anyone, although it is more common among pregnant women. Incontinence is classified into three types: Stress, urge, and mixed urinary incontinence. Objective: To was to determine the prevalence of urinary incontinence and its association with chronic constipation, chronic cough, urinary tract infection, and parity during the third trimester of pregnancy. Methods: A cross-sectional analytical study was carried out in the twin cities of Pakistan between April 2022 and September 2022. The data were recruited from 184 pregnant women aged between 18-45 years, who were in their third trimester. A self-structured questionnaire was used to collect demographic data as well as assessments of parity, chronic cough, chronic constipation, and urinary tract infections. QUID was used to determine the kind of urine incontinence, and the ICIQ-UI-SF was employed to record the frequency and severity of the condition. Results: The average age of the participants was 27.8±4.7. Out of 184 participants, 91 had urine incontinence, with 52 (27.8%) having stress urinary incontinence and 39 (21.3%) having urge urinary incontinence. Urinary incontinence symptoms were severe (N=36, 19.1%) in most subjects and moderate (N=26, 14.2%) in others. Chronic cough and parity had a significant relationship with urine incontinence (p<0.05).  Conclusions: The results imply that urinary incontinence was moderately prevalent. Urge urine incontinence was less common than stress incontinence. Multiparity and chronic cough were strongly associated with UI.
Effects of Articulated & Static Ankle Foot Orthotics on Gait Kinematics: Foot Drop Patients Perspective
Authors: Khan Aqsa , Khan Aqeel Ahmed , Haroon Irzam , Khattak Wafa , Kashif Muhammad , Kamran Muhammad , Saqulain Ghulam
Published: April 2024

Foot drop is a common occurrence following stroke. Ankle foot orthotics (AFO) are used to correct drop foot deformity with several AFOs available to choose from. Literature suggests research on the impact of articulated AFO on gait. Objective: To determine the impact of static/ rigid and articulated AFO on gait kinematics in foot drop cases. Methods: This cross-sectional study involved 100 unilateral drop foot cases from the PIPOS Rehabilitation Services Program from September 2019 to February 2020.   The sample included both genders aged 2-15 years. Gait Lab data were used to compare the results while wearing static AFO and articulated AFO and analyzed using SPSS version 21. T-test was used to see difference between groups with p-value <0.05 considered significant.  Results:  Articulated AFO is significantly (p<0.001) better than rigid AFO in terms of step length, stride time, and cadence. Articulated AFO is significantly better at initial contact (p<0.001), mid stance (Hip p=0.006, Knee & ankle p<0.001) and terminal stance (p<0.001) than rigid AFO. For Initial Swing, there was a significant (p<0001) difference between AFOs for extension at knee and ankle joint. At mid-swing articulated AFO provided significantly (p<0.001) better flexion at hip and knee joint. At terminal swing articulated AFO provided significantly (p<0.001) better flexion at the hip and required extension at the knee. Conclusions: This study identified Articulated AFO was superior to rigid AFO in improving functional mobility and gait consistency & lowering the risk of falling. Articulated AFOs were significantly better in terms of step length, stride time, and cadence.
Predictability of Financial Crises in Turkey: ANN-Based Early Warning System
Authors: Kas Mete , IRPICI Yasemin
Published: April 2024

The integration of the world economy, the removal of boundaries in financial markets, and the spread of financial crises have led to a more pronounced impact. In order to mitigate the negative effects of crises and implement policies promoting economic stability, an Artificial Neural Network-based Early Warning System has been developed using artificial intelligence techniques. In this study, monthly data for the period from January 1992 to December 2022 was used for 14 variables commonly employed in leading indicators literature. Crisis periods were identified using the Financial Stress Index, and crisis periods overlapping with financial crises in Turkey were determined. The Early Warning System, created with the Multilayer Perceptron model from Artificial Neural Networks, was tested based on training and validation performances. Among the models created, the highest performance was achieved by a model with the trainlm backpropagation algorithm, tanh and softmax activation functions in the hidden layers, and a purelin activation function in the output layer, accurately identifying crisis and normal periods with 100% accuracy.
IMPACT OF DEPRESSION IN LOWERING THE QUALITY OF LIFE AMONG PATIENTS WITH RHEUMATIC MUSCULOSKELETAL DISORDERS ATTENDING A TERTIARY HOSPITAL IN NORTHERN NIGERIA
Authors: AUDU I , ANALIKWU J , YAKASAI B , UMAR A , OLISAH O , SHEIDU S
Published: April 2024

Background: Rheumatic musculoskeletal disorder is a group of inflammatory disorders affecting one or more joints of the body causing pain, swelling, stiffness, and loss of joint functions. They constitute the second most common cause of disability worldwide when measured by years lived with disability (YLDs). Rheumatologic disorders may precipitate psychological distress, including depressive disorders. Depression is presently the fourth leading cause of the global burden of disease. The comorbidity of these disorders may negatively impact the quality of life. Most studies on depression among rheumatoid patients have focused on determinants rather than the role of depressive disorder in lowering quality of life. This study determined the impact of depression in lowering the quality of life of rheumatoid disease patients.
Methods: A cross-sectional descriptive study of randomly selected 151 participants, using a systematic random sampling method was used. The Socio-demographic and clinical questionnaire, MINI, and WHO Quality of Life were administered to them.
Result: The majority of the participants were females (56.3%), and more than half were above 40 years (59.7%). About two-thirds had poor quality of life with a score of less than mean±1SD. The prevalence rate of depressive disorder was 14.6%. Poor quality of life was significantly associated with gender (t= 2.111, p=0.038), marital status (t= 3.228, p= 0.002), level of education (t= -3.551, p= 0.001), and living alone (t= 2.025, p= 0.045). Depression was found to be an independent contributor to poor quality of life.
Conclusion: Depression is common among rheumatoid patients. There is a need to screen for and treat depression among these patients to improve their quality of life.
Pengaruh Pemberian Infusa Daun Pandan Wangi (Pandanus Ammarylifolius) Terhadap Penurunan Kadar Glukosa Pada Mencit (Mus Muculus)
Authors: Febrianti Erika
Published: April 2024

Pandan Wangi leaves (Pandanus ammaryllifolius) is a native Indonesian plant originating from Bangka and widely distributed in Southeast Asia. Fragrant pandan leaves (Pandanus ammaryllifolius) have chemical constituents including alkaloids, saponins, flavonoids, tannins, polyphenols, and dyes. Each of these chemical compounds can help lower blood glucose levels in the body. This study aims to determine the effectiveness of Pandanus ammaryllifolius leaf extract in reducing blood glucose levels in mice. Induction of hyperglycemia was carried out by administering a 50 gram glucose solution to male mice (Mus Musculus). This study used the extraction method and diabetes level reduction test using fragrant pandan leaf infusion (Pandanus ammarylifolius). Mice were divided into 5 experimental groups consisting of 3 treatment groups (F1, F2 and F3) and 2 control groups (K+ and K-). The dose used was the F1 dose of 0.3 ml/30 gram BW/day, the F2 dose was 0.6 ml/30 gram BW/day and the F3 dose was 0.9 ml/30 gram BW/day, while the K+ group used 5 mg glibenclamide and K- used aqua injection. The results showed that at a dose of 0.3 ml/30 grams BW/day, the average diabetes level was quite high, namely 156.8 mg/dL, at a dose of 0.6 ml/30 grams BW/day it decreased by 155.2 mg/dL and at a dose of 0.9 ml/30 grams BW/day decreased with a low average of 165.2 mg/dL. However, a dose of 0.9 ml/30 grams BW/day was the best dose because it was able to reduce diabetes levels quickly on the 14th day normal.
Tanaman Daun Pandan wangi (Pandanus ammaryllifolius) adalah tanaman asli Indonesia yang berasal dari Bangka dan tersebar luas di daerah Asia Tenggara. Penelitian ini bertujuan Untuk mengetahui apakah efektivitas ekstrak daun pandan wangi (Pandanus ammaryllifolius) dalam menurunkan kadar gula darah pada mencit dan Untuk mengetahui apakah larutan gula dapat meningkatkan kadar glukosa darah pada mencit. Induksi hiperglikemia dilakukan dengan pemberian larutan gula dengan 50 gram pada mencit jantan (Mus Musculus). penelitian ini menggunakan metode ekstraksi dan uji penurunan kadar diabetes menggunakan infusa daun pandan wangi (pandanus ammarylifolius). Mencit dibagi menjadi 5 kelompok percobaan yang terdiri dari 3 kelompok perlakuan (F1, F2 Dan F3) dan 2 kelompok kontrol (K+ dan K-). Dosis yang digunakan dosis F1 0,3ml/30gram BB/hari, dosis F2 0,6ml/30gram BB/hari dan dosis F3 0,9ml/30gram BB/hari, sedangkan pada kelompok K+ menggunakan glibenclamid 5mg dan K- menggunakan aqua injeksi. Hasil penelitian menunjukkan bahwa dosis 0,3ml/30gram BB/hari terjadi rata-rata kadar diabetes yang cukup tinggi yaitu 156,8 mg/dL, pada dosis 0,6ml/30gram BB/hari mengalami penurunan 155,2 mg/dL dan pada dosis 0,9ml/30gram BB/hari terjadi penurunan dengan ratarata rendah yaitu 165,2 mg/dL, Namun dosis 0,9ml/30gram BB/hari merupakan dosis yang terbaik karena mampu menurunkan kadar diabetes dengan cepat pada hari ke 14 sudah mencapai kadar normal.
Gambaran Ketepatan Peresepan Obat BPJS Rawat Jalan Dengan Formularium Nasional Di Rumah Sakit X Jakarta Timur Periode Desember 2022 – Februari 2023
Authors: Yulina Rani
Published: April 2024

Ketidaktepatan dokter dalam menuliskan resep dengan Formularium Nasional masih sering terjadi, sehingga pasien harus mengeluarkan biaya tambahan untuk mendapatkan obat yang sesuai dengan dosis dan lama terapi yang dianjurkan. Ketidakpatuhan terhadap Formularium juga akan mempengaruhi mutu pelayanan rumah sakit terutama mutu pelayanan Instalasi Farmasi. Oleh karena itu, peneliti tertarik untuk melakukan studi deskriptif tentang kesesuaian peresepan obat dengan Formularium Nasional. Populasi dalam penelitian ini adalah pasien BPJS Rumah Sakit X di Jakarta Timur periode Desember 2022 – Februari 2023 dengan menggunaakan rumus slovin. Hasil penelitian dari total item obat kronis periode Desember 2022- Februari 2023 didapatkan 703 item obat kronis, yang sesuai Formularium Nasional 694 item obat kronis sebanyak 98,71%. Dari total item obat akut periode Desember 2022-Februari 2023 didapatkan 330 item obat akut, yang sesuai Formularium Nasional 269 item obat akut sebanyak 79,4 %. Dari total seluruh item obat periode Desember 2022 - Februari 2023 didapatkan 1040 item obat, yang sesuai Formularium Nasional berdasarkan kelas terapi 963 item obat sebanyak 92,6%. Kesesuaian peresepan obat dengan Formularium Nasional di Rumah Sakit Umum Hermina Jatinegara belum memenuhi standar Kepmenkes RI No. 129/Menkes/SK/11/2008, bahwa penulisan resep seluruhnya harus mengacu pada Formularium dengan standar 100%.