bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevention Program Regarding Falls among Older Adults at Geriatrics Homes
Authors: Mohamed Asmaa T. , Abd Elltef Mona A. B. , Miky Shimaa F.
Published: April 2021

Context: Older adults are vulnerable to falls that result in injury and disability, making fall prevention a national priority.

Aim: This study aimed to evaluate the effect of a fall prevention program on older adults' knowledge, practices, and elder wellbeing regarding falls.

Methods: A quasi-experimental (single group pre/post-test design) was utilized to achieve the aim of this study. Four geriatric homes at the North district, Cairo governorate were included in the study. The systematic random sample composed of 50 older adults were included in this study. The pre-designed interviewing questionnaire was utilized to collect data regarding socio-demographic characteristics to assess age, sex, marital status of the older adult, and to assess the presence of chronic illness, medication, frequency of falling, and hospitalization. This questionnaire also assesses the knowledge of older adults regarding meaning, causes, protective measures, complications, and a safe environment. Besides, it assesses the reported practices of older adults regarding their health maintenance measures, nutrition, physical activity, and safe home environment. Older adult wellbeing scales developed to assess older adult physical, social, and psychological wellbeing.  An environmental safety checklist used to assess the safety of the geriatric home environment.

Results: Revealed that more than two-thirds of older adults aged ≥ 75 years more than half of them experienced falling two times during the past two years, there was a highly statistically significant difference in older adults' total knowledge pre and post prevention program implementation P<0.001. Moreover, there was a highly statistically significant difference between total older adult reported practices pre and post prevention program implementation P<0.001. There was statistically significant improvement related to the physical, social, and psychological wellbeing of older adult pre and post-program implementation. There was a statistically significant correlation between the older adult educational level and their knowledge and practices (p<0.05).

Conclusion Application of the prevention program has a positive effect on the studied older adults' knowledge, reported practices, and their wellbeing regarding fall prevention at geriatric homes. The current study recommended that prevention programs should be applied in all geriatric homes to prevent and control falls among older adults.
Effect of Psycho-Educational Program on Psychological Distress and Post-Traumatic Stress Disorder among Stroke Survivors' Patients
Authors: Barakat Mona M. , Mostafa Hend A.
Published: April 2021

Context: A stroke is a brain attack, and a major global health problem not merely affects a person physically but also emotionally. Psychosocial well-being is frequently threatened following a stroke. The improvement of the psychological status of stroke patients is essential to stroke management and recovery.

Aim: The study aimed to evaluate the effect of the psychoeducational program on psychological distress and posttraumatic stress disorder among stroke survivors' patients.

Methods: A quasi-experimental study design (one group pre/posttest) was utilized to achieve the aim of the study in the neurology department at Benha University Hospital at Benha City, Kaluobia Governorate. A convenient sample of 40 stroke survivor's patients was included in the study as a single study group. Three tools were utilized for data collection, structured interview questionnaire, Hospital Anxiety, and Depression Scale, and Post Traumatic Stress Disorder Scale.

Results:  Reveals that there was a highly statistically significant reduction in the severity of total anxiety and depression and also total posttraumatic stress disorder post-program implementation than before. Also, there was a highly statistically significant positive correlation between total posttraumatic stress, total anxiety, and total depression among studied patients pre and post-program implementation at p-value <0.001.

Conclusion:  Psycho-educational program had a positive effect on reducing psychological distress and posttraumatic stress disorder among stroke survivors' patients. The study recommended that psychological nursing intervention should be continuously integrated as a part of routine nursing care provided for stroke survivors' patients in the neurology and rehabilitation unit.
Appreciation of Soundscape Design of Traffic Streams at Road Junctions – A Case Study of Ring road Junction, Vijayawada, Andhra Pradesh, India
Authors:   Assistant Professor, Dept. of Architecture  School of Planning and Architecture,Vijayawada, Chadalavada Karthik
Published: April 2021

Urbanization is a worldwide phenomenon. Globally, there is a constant increase in urbanization across various cities. Cities' urban spaces, in terms of open, built-up, and green space, are changing as a result of this rapid development. Creating or redefining an urban environment necessitates careful planning and guidelines, as well as a user-friendly approach to design. The visual aesthetics of a space are prioritized over all other dynamics and considerations required to complete a proper urban setting. Roads and built-up spaces are key components of an urban setting. The sound propagation in between these spaces decides the livability of people. In most of the urban cities across the world, the increasing noise level in the communities put forth a major issue for its people and their livability. Redesigning the spaces with alternate strategy to create a better acoustical urban environment is important. One such strategy is soundscape and it uses environmental sound to redefine an urban space. A soundscape approach to the design will bring out a positive and stress free surrounding. This paper aims to study and understand urban sound and the implementations of soundscape design in urban environment through case studies. Also intends to examine the existing case of the Ring Road Junction in Vijayawada and propose a soundscape strategy that can be implemented to create a less noisy junction. The paper concludes by proposing a strategy for designing an urban soundscape.
PENINGKATAN PRESTASI BELAJAR MATEMATIKA SISWA MELALUI LEMBAR KERJA SISWA DENGAN PENDEKATAN OPEN ENDED SMP NEGERI 2 CEPER KLATEN
Authors: Putra Aji Permana
Published: April 2021

The purpose of this class action research is to (1) improve students' mathematics learning achievement through learning with the help of  worksheet open ended approach in class VII F SMPN 2 Ceper, Ceper District, Klaten Regency 2017/2018 Academic Year. (2) Describe how to overcome the constraints of applying learning with the help of  worksheet open ended approach to improve mathematics learning achievement of class VII F SMPN 2 Ceper. Based on the results of the study it can be concluded: (1) The application of the learning with the help of  worksheet open ended approach can improve the learning achievement of grade VII F SMPN 2 Ceper, which is indicated by: students of class VII F as many as 32 students have increased learning achievement that is before action only 53.1% of students study completely, after the action becomes 100%. How to overcome constraints, namely the teacher must be skilled in applying learning with the help of  worksheet open ended approach is: a) reviewing the concepts and basic competencies that students will learn, b) forming heterogeneous study groups both in terms of ability, gender, religion, tribes etc., c) prepare everything about learning as well as possible so that when learning runs smoothly, d) minimize the number of group members so that learning takes place effectively with no passive group members or playing alone during group discussions, e) giving gifts at the best group presentations.
Implementasi Model Pembelajaran Team Game Tournament (TGT) Untuk Meningkatkan Hasil Belajar Siswa
Authors: Putri Prihastini Oktasari
Published: April 2021

This study aims to: (1) find out how to apply the Team Game Tournament (TGT) type cooperative model in learning mathematics. (2) determine whether using the cooperative model type Team Game Tournament (TGT) can improve student mathematics learning outcomes. The type of research used is Classroom Action Research (CAR). The sample in this study were all grade V students of SD Negeri 1 Plumbon in the academic year 2019/2020 as many as 24 students. The instruments used in this study were observation, documentation and student achievement tests

Based on the results of the study, it was concluded that: the use of a cooperative model type Team Game Tournament (TGT) can improve student learning outcomes in mathematics class V SD Negeri 1 Plumbon. This can be shown in the final cycle test results obtained a significant increase in value, meaning that the learning process of mathematics using the cooperative model type Team Game Tournament (TGT), the class average value has increased with the results in the pre-cycle of 51.625; cycle I amounted to 63.75 and cycle II amounted to 75.625. With the percentage of completeness in the pre-cycle of 29.17%, the first cycle of 50% and the second cycle of 79.17%.
PENERAPAN MODEL PEMBELAJARAN MAKE A MATH UNTUK MENINGKATKAN KEAKTIFAN BELAJAR SISWAA PADA MATA PELAJARAN MATEMATIKA
Authors: Putri Prihastini Oktasari
Published: April 2021

This study aims to determine whether applying the Make A Math cooperative learning model can increase student learning activeness in mathematics. The type of research used is Classroom Action Research (PTK). This Classroom Action Research was carried out in two cycles, each of which included planning, action, observation and reflection. The sample in this study were all class VIIA students of SMP Negeri 7 Kebumen in the academic year 2018/2019, totaling 24 students. The instruments used in this study were observation, documentation and questionnaires.Based on the results of the study, it was concluded that the application of the Make a math type of cooperative learning model can increase student learning activeness in mathematics class VII SMP Negeri 7 Kebumen. The increase in student learning activeness can be seen in the questionnaire. Based on the questionnaire of student learning activeness using the Make A Type cooperative learning model, there was an increase from pre-cycle by 56.71% in the low category, increasing in the first cycle to 67.03% in the moderate category and increasing again in the second cycle, namely by 81.04%
SNOWBALL THROWING SEBAGAI MODEL PEMBELAJARAN GUNA PENINGKATAN KEAKTIFAN BELAJAR SISWA MADRASAH IBTIDAIYYAH BIDANG MATEMATIKA
Authors: Musaropah Umi , Mahali Muhamad , Delimanugari Daluti , Najib Muhammad Agus , Lestari Mimi Indah , Nasruddin Muh.
Published: April 2021

Classroom action research was motivated by the less active attitude of the Class V students of MI Negeri 4 Gunungkidul. located in MI Negeri 4, located in Dusun Semenrejo, Pulutan Village, Wonosari District, Gunungkidul Regency in learning mathematics. The Snowball Throwing learning model is expected to be able to improve it, especially in the material of addition and subtraction of fractions with different denominators on. This research was conducted during July 2019. Data was collected through observation, interviews and documentation. The research was carried out for two sessions continuously to produce according to expectations where the achievement was achieved through learning as many as 22 students. Therefore it is suggested that the teacher can apply the SbT type of cooperative learning model to other materials. Variations can be made within the framework of cooperative learning that is adapted to the material and conditions
PENERAPAN SIMBOL OPERASI MATEMATIKA SEDERHANA SEBAGAI DASAR MENGHILANGKAN ESSENSI BUNGA BANK DALAM PERSPEKTIF ISLAM
Authors: Budiutomo Tri Wahyu
Published: April 2021

According to Islam, bank interest on credit activities is included in the category of "usury" which is forbidden for Islam. The problem of bank credit activities is a very important need for people in doing business. The purpose of this paper is to try to use simple mathematical symbols to try to eliminate the essence of usury. Changing the essence of "usury" with the concept of cooperation and using a simple symbol "=" can eliminate the essence of usury, of course everything must be based on good intentions and honesty
Foreign Direct Investment and Local firm’s Performance
Authors: Wanjere M. D , Ogutu M. , Kinoti M. , Iraki X.N.
Published: April 2021

This paper investigates the effect of FDI on performance of manufacturing firms in Kenya. Little is documented about the link between FDI variables of capital flow, advanced production technology, marketing expertise and management know-how and performance of firms. The study’s sought to establish the effect of each individual FDI variables on firm’s performance. It also sought to established the overall effect of the performance manufacturing firms in Kenya. The population of study comprised 100 companies registered with Kenya Association Manufacturing as at the time of data collection in 2019 and that had over 10 percent foreign ownership. The respondents were the CEOs of organization. The study used a structured questionnaire to collect primary data. Descriptive and inferential statistics were both used to analyze the data. Data was pretested for normality, linearity, multicollinearity, autocorrelation and homoscedasticity and the data found to meet most of these preconditions. The Pearson correlation analysis was employed to discern not only the strength but also the direction of the interrelationships involving the variables. The researcher tested the effect of the components of FDI on performance of manufacturing firms. The study developed one hypothesis and four sub hypothesis. The results revealed that there was a statistically significant relationship between FDI and firm performance. This imply that to achieve better firm performance, the government need to come up with policies geared to attracting more FDI into the key sectors of the economy. Keywords: Foreign Direct Investment, Firm Performance, Capital Flow, Advanced Production Technology, Marketing Expertise, Management Knowhow.
Self Perception of the Heroes in the Stories of Vüs’at O. Bener, Published in Varlık Magazine
Authors:   Bulent Ecevit University, 3.Karakaya N.
Published: April 2021

Vüs‟at O. Bener is one of our writers who wrote short stories between 1952-1957 in Varlık magazine, which has been successfully publishing since 1933. Bener published six stories in the magazine Varlık during that period. These stories are cross-sectional stories that address the same social problems at other social realistic writers of the period. All the features of Chekhov style can be seen in these stories, which are examples of the transition to a modern story in our literature. Besides these characteristics, the main feature of their characters is that they are individuals whose “self-perception” cannot be completed. The sef-perception is limited to the findings reflected from the outside in these individuals who see themselves as marginalized. This pscyhological situation, in which been appreciated depends on approval and other individuals, can be matched with the search of today‟s people in the media and in the virtual world. The efforts of Bener's heroes to be perceived as complete or perfect by others by trying to reflect a life flawlessly shown only with certain frames as if it "existed" is an indication of the same emptiness that has existed from past to present.
The Idea of National Independence in the Works of M. Chokay
Authors:   Khoja Akhmet Yassawi International Kazakh-Turkish University, Kongyratbay T.A.
Published: April 2021

The name M. Chokai as a historical person is known not only in Kazakhstan, Central Asia and Russia, but also in the countries of the European Community. If his ashes rest in the center of Berlin, near Paris there is an alley with his bust. The difficult fate of the glorious son of his people, the new generation began to get acquainted only over the past thirty years. In recent years, a 12-volume collection of works by M. Chokai has been published, where there are a lot of socio-political problems and information that shed light on the past of our people. The article analyzes the fateful judgments of the author about the fate of nations. Readers are presented with political views and attitudes of public figures of the beginning of the twentieth century, as well as information about their future fate. The publication covers numerous information affecting the interests of not only the Kazakh people, but also the peoples of Central Asia and the Caucasus, as well as countries outside the world. Against this background, М.Шоқай is shown as a major public figure who carried through his life the idea of the unity of the Turkic peoples.
The Tradition “Kyz Uzatu” Among the Turkic Peoples of the City of Turkestan
Authors:   Khoja Akhmet Yassawi International Kazakh-Turkish University, Nemetova E. , Zhiyenbayev Y. ,   Khoja Akhmet Yassawi International Kazakh-Turkish University
Published: April 2021

In Kazakhstan, more than a hundred nationalities live peacefully and preserve their culture, traditions and customs. In this regard, despite the differences in the traditions of the Turkic peoples of Kazakhstan, they also have similarities. This article examines the Kyz uzatu tradition of the Kazakh, Uzbek and Mesket Turks living in the city of Turkestan. For the Turkic society, the family is the most important concept that ensures unity and solidarity, as well as the continuity of generations. In Turkic society, marriage is a condition for creating a family. For this reason, we tried to compare the tradition of bridesmaids among the Turkic peoples, which is the subject of our research. Our research, which used analytical and comparative methods, analyzed a variety of sources related to the topic. The findings have been refined in terms of differences and similarities. As a result of our research, it was noticed that in the culture of the Turkic peoples living in Turkestan, great importance is attached to the “Kyz Uzatu” tradition. Thus, the changes in wedding traditions under the influence of modern technology were demonstrated.
Ismail Gaspirali: The Architect of the Modern Education System Among the Russian Turkic People
Authors:   Ege University, Özkaya Y.
Published: April 2021

After accepting Islam, Turks found themselves in an education system that would meet the needs of the current era. For this time period, one might observe that while formal education was proceeding, religious or common-public education was also present among the society. During the Golden Age (time of the Prophet Muhammed) and after, the times when philosophers such as Biruni, Farabi and Ali KuĢçu lived, has been seen as the well-established patterns of modern education system. But in time, political turmoil, authority gap and other reasons interrupted this education system. In addition, the sixteenth century Russian invasion caused the Turkic tribes to be isolated. It is well-known that the modern education began for the Russian Turkic people in Tsarist Russia in the nineteenth century. It is observed that the modern education began in Azerbaijan, with its geostrategic place, closeness to Ottoman Empire and Europe. Intellectuals such as Seyyid Azim ġirvani and Mirza ġefi‟ applied the usul-i cedit type education and wrote course books but they could not manage to make this system as a conventional education. A Crimean pedagogue, intellectual, writer, and journalist Ġsmail Gaspıralı was the first figure who envisioned a systematical Westernized kind of educational pattern namely usul-i cedit. He not only made an effort to disseminate the usul-i cedit education system, but he was also the architect of the common public or adult education system. These efforts are all reflected in his literary works. The common public or religious education is the methods of restoration of the people aiming to modernize or awaken the society.
Comparative Analysis of the Use of Anatomical Names Found in Divan-i Hikmet in the Turkic Languages
Authors:   Khoja Akhmet Yassawi International Kazakh-Turkish University, Utebekov S.
Published: April 2021

The article provides a linguistic analysis of anatomical names that occupy an important place in the vocabulary of the Kokshetau version of the famous work of the medieval Sufi poet Khoja Ahmed Yasawi Divan-i Hikmet. The article analyzes more than twenty anatomical names found in Divan-i Hikmet, and also provides information about the use of these names in historical monuments, in the languages and dialects of modern Turkic peoples. The article examines in detail such anatomical names as: aġız «mouth», arḳa «back», ayaḳ ~ ayaġ «foot», baġır «liver», baş «head», bel «waist», boyun «neck», iç «belly», egin «shoulder», elig ~ el «hand», ḳol «hand», kög(ü)s «chest», köz «eye», ḳulaḳ «ear», öpke «lung», saç «hair», saḳal «beard», süngek «bone», tıl «tongue», uça «back, shoulder blade», yürek «heart», yüz «face». The article pays attention to the phonetic phenomena that occur in some names, along with this, when describing the use of each name in the Turkic languages, both semantic and personal aspects are compared. Along with this, a comparative-scientific analysis of the opinions of scientists in connection with the creation and formation of some names was carried out. The author studies the direct and indirect meanings, as well as the polysemantic meaning of some names. In addition, the article describes the meanings and features of the use of somatisms in the Turkic languages that occur in the language of the monument, i.e. phraseological expressions from anatomical names.
Conversion of a maternity hospital to an infectious diseases
hospital in the context of a coronavirus infection pandemic
Authors: Perehodov Sergey N. , Sakvarelidze Nikoloz Yu. , Tsakhilova Svetlana G. , Lunina Elena V.
Published: April 2021

Coronavirus infection caused by a new strain of SARS-CoV-2 virus contributed to an increase in the number of infectious

patients. The Ministry of Health of the Russian Federation and Rospotrebnadzor took over the organization of work to combat

the pandemic. In Moscow, medical and preventive events were organized by the Government of the capital and the Department

of Health of the city. As soon as possible, it was decided to reassign medical institutions to infectious hospitals for the treatment of patients with COVID-19 or with suspicion of it. “Maternity hospital No. 8” – the branch of State Clinical Hospital named after V. P. Demikhov was redesigned as a hospital on March 13, 2020. The decision was due to the presence of isolated boxes and an intensive care unit in the institution. The task was solved in one day: the first patients with coronavirus infection were admitted to the hospital for medical care at 17:00 on March 13, 2020.
STRATEGI PENGAWASAN KEIMIGRASIAN SERTA PERAN HUKUM KEIMIGRASIAN DALAM MENGHADAPI ANCAMAN KEDAULATAN NEGARA DI INDONESIA
Authors: Mayang Dinda , Wani Panca , Ambia Warisul
Published: April 2021

Keimigrasian merupakan hal ihwal lalu lintas orang yang masuk atau keluar wilayah Indonesia serta pengawasannya dalam rangka menjaga tegaknya kedaulatan negara (UU No 6 Tahun 2011 pasal satu angka 1). Saat ini Total jumlah penduduk dunia tahun 2019 adalah sebanyak 7.714.576.923 dan terus bertambah tentunya. Bertumbuh 1.07 persen dibanding tahun 2018 atau bertambah 81.757.598 penduduk. Adapun jumlah usia rata-rata penduduk dunia menurut worldometers adalah 29,9 tahun. Ini merupakan suatu kondisi dimana siklus kepadatan dan lalu lintas orang di dunia semakin berkembang dan meningkat. Jumlah penduduk terbanyak masih didominasi Cina. Negara Tirai Bambu ini mencatatkan 1.417.930.226 jiwa penduduk. Total penduduk Cina lima kali lebih banyak dibandingkan jumlah penduduk Indonesia. Di peringkat dua, penduduk paling banyak di dunia ditempati oleh India. Penduduk India berjumlah 1.362.483.286 sejak artikel ini dibuat dan terus bertambah. India mengejar Cina yang hanya berjarak sekitar 50 juta penduduk. Indonesia merupakan negara peringkat ke 4 dengan jumlah penduduk terbanyak ke 4 di dunia dengan jumlah penduduk mencapai 257.912.349 jika di persenkan mencapai 3.44% penduduk bumi. Dengan adanya perkembangan globalisasi dan ekonomi yang kian meningkat dan jumlah peningkatan penduduk yang kian bertambah membuat manusia bermigrasi ke negara- negara lain. Dengan adanya dampak perubahan siklus perekonomian di setiap negara berbeda beda serta mobilitas sosial dan diferensiasi sosial juga ketimpangan sosial maka akan timbul kriminalitas di setiap negara. Kriminalitas bukan hanya dari segi ekonomi saja tetapi, bisa dari segi politik, sosial, serta berdampak juga terhadap keamanan negara. Dengan adanya hal tersebut, maka keimigrasian harus selektif dalam menerima orang asing (foreign) ke Indonesia, guna menjaga stabilitas keamanan negara dari ancaman, gangguan, dan hambatan dari luar.Kata kunci : Penegakan Hukum , Orang Asing , Keimigrasian , Kejahatan
PENERAPAN MODEL PEMBELAJARAN BERBASIS MASALAH UNTUK MENINGKATKAN HASIL BELAJAR MATEMATIKA MATERI LINGKARAN PADA SISWA KELAS XI AKUNTANSI-2 SMK NEGERI 1 SIGLI
Authors: Anita Anita
Published: April 2021

Penggunaan strategi pembelajaran yang kurang tepat dapat mengakibatkan rendahnya hasil pembelajaran yang diperoleh siswa. Penerapan Model Pembelajaran Berbasis Masalah merupakan salah satu usaha yang dapat ditempuh dengan tujuan untuk meningkatkan hasil belajar matematika materi lingkaran pada siswa kelas XI Akuntansi-2 SMK Negeri 1 Sigli.  Penelitian ini merupakan Penelitian Tindakan Kelas (PTK) yang terdiri atas 2 siklus. Subyek penelitian adalah siswa-siswi Kelas XI Akuntansi-2 SMK Negeri 1 Sigli tahun pelajaran 2017/2018 sebanyak 30 siswa. Analisis data menggunakan teknik analisis deskriptif komparatif dengan membandingkan kondisi awal dengan hasil-hasil yang dicapai pada setiap siklus, dan analisis deskriptif hasil observasi dengan membandingkan hasil observasi dan refleksi pada siklus 1 dan siklus 2. Hasil penelitian diperoleh pada siklus I dengan presentase ketuntasan sebesar 63,3%, nilai rata-rata kelas sebesar 74,5 dan meningkat pada hasil tes siklus II sebesar 90% dengan nilai rata-rata 83,7. Pada kedua siklus ini terjadi perubahan aktivitas dan perolehan nilai yang signifikan bila dibandingkan dengan pra siklus dengan ketuntasan belajar yang hanya mencapai 40% dan nilai rata-rata adalah 64,3. Dengan demikian melalui belajar matematika materi lingkaran berbasis masalah dapat meningkatkan hasil belajar matematika materi lingkaran pada siswa kelas XI Akuntansi-2 SMK Negeri 1 Sigli.Kata kunci : Hasil belajar, Model pembelajaran Berbasis Masalah, Lingkaran
Psychotische symptomen bij ontregelde insulineafhankelijke diabetes mellitus: gedwongen opname vermijdbaar?
Authors: BLANCKE S. , MAEBE J. , MAESEN A. , VANDERBRUGGEN N. , MATTHYS F. , ZEEUWS D.
Published: April 2021

Psychotic symptoms in dysregulated insulin-dependent diabetes mellitus: could coercive hospitalisation have been avoided?

This case report describes the medical history of a 64-year-old man brought to the emergency department in a combined psychotic and delirious state due to dysregulated diabetes mellitus (DM). Because of the prominent psychotic symptoms, he was hospitalised in the psychiatric ward. Compliance was compromised as the patient, being under satanic influence, had delusional thoughts of the psychiatric staff. His blood sugar dysregulated further and the patient needed to be transferred to the diabetology department, where he showed good compliance. His blood sugar was regulated and the patient could leave the diabetology department, although the psychotic symptoms persisted. Retransfer to the psychiatric ward was suggested. Because of aggressive acting-out, coercive hospitalisation was proposed. He was transferred to another hospital for a second psychiatric expertise, where he agreed with the proposed antipsychotic treatment and a psychiatric hospitalisation. Consequentially, a coercive hospitalisation was no longer indicated. One day later, he was discharged and the psychotic symptoms resolved shortly after.

The correlation between psychosis and dysregulated DM is discussed and the demand for coercive measures re-examined. If the symptoms had been considered as part of an integrated health problem, allowing the patient to continue his stay on the diabetology department, the demand for coercive measures could have been avoided.
Xanthogranulomateuze pyelonefritis: een moeilijke differentiaaldiagnose
Authors: MAES C. , COPPENS K.
Published: April 2021

Xanthogranulomatous pyelonephritis: a difficult differential diagnosis

Xanthogranulomatous pyelonephritis is a rare clinical event caused by a urinary infection and mostly accompanied by an underlying pathology causing a urinary outflow obstruction of the affected kidney. This article describes the medical history of a 73-year-old woman with no underlying urinary obstruction of the kidney, which made this case a rather rare example of the disease. When suspecting this kind of infectious problem, the differential diagnosis must contain a malignancy as it could be accompanied by a transitional cell carcinoma or mimicked by a renal cell carcinoma.
Enyhülés az EU és Törökország között
Authors: Egeresi Zoltán
Published: April 2021

Az elemzés átfogó képet kíván nyújtani az Európai Unió és Törökország között nemrég kezdődött détente-ról. Bemutatja a két fél kapcsolatának történelmi dinamikáját, és a diplomáciai viszonyt meghatározó problémákat. Az elemzés szerint a korábbi problémás időszak után a jelenlegi közeledés a kapcsolatok rendeződését hozza magával, azonban külső és belső tényezők miatt ez a normalizáció rendkívül törékeny marad. Az EU külpolitikája Törökország irányába egyre pragmatikusabb és tranzakcionálisabb lesz, ami világossá teszi, hogy milyen jelentős változás állt be a bilaterális kapcsolatokban.
Mineral Composition of Medicinal Plants Traditionally Used in the Management of Sickle Cell Disease in the Kwilu Province (Congo-Kinshasa)
Authors: Kitadi J. M. , Inkoto C. L. , Lengbiye E. M. , Tshibangu D. S. T. , Tshilanda D. D. , Ngbolua K. N. , Taba M. , Mbala B. M. , Schmitz B. , Burubu J. L. , Mpiana P. T.
Published: April 2021

The aim of this study was to determine the mineral composition of 10 plants especially Alchornea cordifolia, Alternanthera bettzickiana, Annona senegalensis, Cyttaranthus congolensis, Dissotis brazzae, Justicia secunda, Harungana madagascariensis, Hura crepitans, Hypoxis angustifolia and Vigna unguiculata used in the management of sickle cell disease by traditional practitioners in Kwilu Province. The Plants collection was done at Kwilu province, sample were evaluated through fluorescence spectrometric analysis. These plants were harvested in Kwilu province in the Democratic Republic of Congo The mineral composition analysis was carried out using the fluorescence spectrometric method. This study revealed presence of Twenty-three (23) mineral elements, in each of these plants among others: Potassium (K), Phosphorus (P), Calcium (Ca), Sodium (Na), Magnesium (Mg), Sulphur (S), Chlorine (Cl) and trace elements such as: Aluminum (Al), Silicon (Si), Vanadium (V), Chromium (Cr), Manganese (Mn), Iron (Fe), Nickel (Ni), Copper (Cu), Zinc (Zn), Selenium (Se), Bromine (Br), Molybdenum (Mo), Tin (Sn), Iodine (I), Barium (Ba) and Lead (Pb). Iron, Zinc (Zn), Selenium (Se), Copper (Cu), Calcium (Ca), Magnesium (Mg) and Manganese (Mn) are mineral elements that are related to sickle cell disease. Of all these elements, Potassium and Calcium were in a higher content while Lead, Tin, Bromine, Copper and Nickel are in trace amounts. The correlation coefficients obtained between the mineral elements are significant. The presence of some mineral elements like Fe, Zn, mg and Se can be useful for sickle cell disease patients.
Clinic epidemiological evaluation of co morbidities in patients
with psoriasis in a tertiary care hospital
Authors: SK Jaffer basha
Published: April 2021

Background: Psoriasis is a common disease presented to the
dermatology clinics. There are several reports concerning co
morbidities in patients with psoriasis. Some of them include
diabetes mellitus, hypertension, dyslipidemia, obesity, IHD,
ulcerative colitis. Hence, we in the present study tried to
evaluate the existing comorbidities in patients diagnosed with
psoriasis in presenting to our hospital.
Methods: This study was conducted in the Department of
Dermatology, Venereology, and Leprosy, Prathima Institute of
Medical Sciences, Karimnagar. This case-control study
evaluated the prevalence of diabetes mellitus, hypertension,
obesity, dyslipidemia and metabolic syndrome in patients with
psoriasis. The existence of hypertension, diabetes mellitus,
dyslipidemia, obesity was determined by standard criteria. The
data was recorded and analyzed using SPSS version 17 for p
values.
Results: BSL (Blood Sugar Level) derangement as increased
fasting BSL was observed in 23 (23%) cases compared to 8(8%)
controls. There was a statistically significant difference between
psoriatic cases and controls. The total number of male patients
with raised waist circumference was 24 (33.8%) compared to
9(13.2%) controls. There was a statistically significant
association of raised waist circumference in psoriasis cases
compared to controls, the p-value was <0.004. The existence
of metabolic syndrome was 27% in the study group and 8% in
the control group the p values were <0.004 and significant.
Conclusion: The results of the present shows that there is a
significant prevalence of psoriasis in males as compared to
females. There is a significant association of metabolic
syndrome in patients with psoriasis. Hence all the patients with
psoriasis need to be evaluated for metabolic syndrome which
may be a risk factor for systemic diseases.
The Prevalence of low T3 syndrome in chronic heart failure:
A Hospital-based study
Authors: Gururaj Nishanam , Voruganti Nithin
Published: April 2021

Background: Effect of thyroid hormone on cardiac functions
is mediated by biologically active T3 which binds to nuclear
TR. There is increasing evidence that patients with mild thyroid
dysfunctions are presenting with adverse cardiovascular
manifestations which includes heart failure.
Aim: The present study aimed to determine the existence of
low T3 syndrome in patients with chronic heart failure.
Material and Methods: This prospective study was conducted
in the Department of General Medicine and Cardiology, KMC,
and MGM Hospital, Warangal. patients with heart failure were
included in the study. A total of n=100 patients were included
in the study detailed physical examination was conducted to
assess the patient's volume status (rales, edema, jugular venous
distension), weight, height, body mass index, and orthostatic
blood pressure changes. Complete blood count, blood glucose
(fasting and 2 hours postprandial), Fasting serum lipid profile,
blood urea, serum creatinine, and serum electrolytes were
measured in all patients. Two-dimensional echocardiography
was done in patients.
Results:Analysis of Echocardiography parametersCompared to
patients who were alive (n=90),left ventricular end-diastolic
diameter was higher in those whodied (n=10). The mean
ejection fraction in died and alive groups were27.19% and
35.12% respectively. Persons who died had asignificantly lower
ejection fraction than those alive.When the mean ejection
fraction was compared betweenpatients with low total
T3
(T3<80 ng/dl) and normal T3
, patients with low T3
had a mean
ejection fraction of 29.2% and those with normal T3
levels had
a mean ejection fraction of 34.78%. This indicates the mean
ejection fraction is lower in patients with low total T3
levels.
Conclusion:Within the limitations of the present study it can
be concluded that the prevalence of low T3
syndrome in
patients with chronic heart failure is common. It was found
that patients with lower T3
levels were having a lower ejection
fraction.The LVEDD diameterwas negatively correlated with
total T3. Therefore, Total T3
levels can be used as an adjunct to
other parameters for risk stratification and survival estimation
in chronic heart failure.
A study of clinical, bacteriological and radiological profile of severe
pneumonia in children
Authors: Neelagiri Uday Kumar
Published: April 2021

Pneumonia continues to pose a threat to health of children in
developed and developing countries despite improvements in
socioeconomic status, immunization and early diagnosis and
treatment. Universality, vulnerability and frequency of
occurrence of ALRTI in children are well recognized all over
the world.
Methods: This prospective clinical study of severe pneumonia
conducted on n=150 children who were admitted to pediatric
wards and PICU in PIMS, Nagunoor, Karimnagar. A detailed
examination of each child including anthropometry was carried
out. During the general physical examination, emphasis was
laid on assessing general condition of the child, respiratory
rate (counted over 1 minute), presence of fever and other signs
such as cyanosis and pallor. Detailed systematic examination
of the respiratory, cardiovascular and central nervous system
was done. Any associated illness such as septicemia, meningitis
and congestive cardiac failure if present was noted.
Result: In this prospective study, n=150 cases of severe
pneumonia were studied. In the present study, majority of
cases (53%) were less than one year of age. majority of the
cases were diagnosed as Bronchopneumonia (66.67%), Lobar
pneumonia was diagnosed in 18.6% of cases and pneumonia
and its complications in 9.3% of cases. In the present study,
radiological findings were present in 80.66% of cases Bacterial
pneumonia was detected in 62.67%, viral pneumonia in 14%.
Culture was positive in only of cases. S. pneumonia was the
most common organism isolated (6 cases) followed by S. aureus
(n=5 cases) and Klebsiella (n=3 case). n the present study,
antibiotics were given in all cases.
Conclusion : In this study we found Bronchopneumonia is the
predominant form of presentation in infants and preschool
children. Among the risk factors studied, previous history of
similar illness, inappropriate immunization for age, anemia,
PEM grade 3 and 4, were found significant causes for severe
pneumonia.
Clinical Study of Concomitant Strabismus.
Authors: Mahajan Sachit , Gupta Satish kumar
Published: April 2021

Background and Objectives: Strabismus is a condition in which
there is misalignment of visual axes of two eyes. Concomitant
strabismus is a condition in which the angle of deviation is
constant in all the directions of gaze. Concomitant strabismus
is further classified as convergent, divergent, hyperdeviation
and hypodeviation. Major presenting complaints include
cosmetic blemish, diminution of vision, asthenopic symptoms
like headache, eye strain and diplopia. This study was
conceptualized to study the clinical and ophthalmological
profile of patients with concomitant strabismus, in order to
generate evidence to manage this condition more effectively.
Material and Methods : This cross-sectional, observational
study was conducted over a period of two years in 120 patients
with concomitant strabismus. Ocular history and visual acuity
were recorded. Cover, cover-uncover, alternate cover test,
Hirschberg test, Krimsky test and examination by synaptophore
were done. Refraction and fundus examination was also done.
Result: Majority of the patients were under 5 years of age
(46.6%) with male to female ratio of 2:3. Convergent squint
was more common (71.6%) with majority of patients having
moderate degree of deviation (58.8%). Hypermteropia was
more commonly associated with squint (65%) more so with
convergent squint. Eccentric fixation was present in only 10%
of the cases.
Conclusion: Convergent concomitant squint is more common
type with majority of patients having moderate degree of
deviation. Hypermetropia is more commonly associated with
concomitant squint. Appropriate refraction and timely
intervention can help in preventing amblyopia in young
children
Study of serum Ceruloplasmin, Malondialdehyde (MDA) and
hs-CRP as biomarkers of severity in Psoriasis
Authors: K. Prashant , Khan MI
Published: April 2021

Background : Psoriasis is one of the common diseases
diagnosed in dermatology clinics. It is characterized by
erythematous and sharply demarcated papules covered by
silvery micaceous scales. Although, etiology is an unclear
genetic predisposition seen in 50% of cases. This study aimed
to determine the role of malondialdehyde (MDA),
ceruloplasmin, and C-Reactive Protein (hs-CRP) as markers of
severity of the disease.
Methods: N= 75 patients were selected and divided into three
categories of different severity based on PASI scores. Those
with PASI score of < 10 were mild cases included in group I and
with PASI Scores of 11-15 were moderate cases included in
group II and PASI scores >15 were in group III. N=25 age and
sex-matched taken from healthy people were included in group
IV controls.
Results: correlation coefficient (r) values were calculated
between PASI and biomarkers. Of the biomarkers, a strong
positive correlation was shown by serum ceruloplasmin levels
in group I and group II (r = + 0.9). Ironically the values in group
III of ceruloplasmin were positive the correlation was not
strong. The Malondialdehyde values in group III also showed a
strong positive correlation with r values of + 0.93. In the hsCRP group, a strong positive correlation was found in group III
however, a weak positive correlation was found in group I and
group II.
Materials and Methods: A Hospital-based Prospective study
was conducted in the Department of Medicine, Santhiram
medical college & general hospital for a 2 year period.Universal
Sampling Technique was used for the selection of study
subjects.The study population included patients admitted with
fever, flank pain, and positive urine or blood cultures in the
department of general medicine in Santhiram medical college
and general hospital.The final sample size was 50 subjects.
Conclusion: Serum ceruloplasmin was positively correlated
with PASI scores and serum MDA levels were highly correlated
in severe cases of psoriasis. The hs-CRP was also found to be
elevated in the psoriasis cases as compared to controls
however, a significant positive correlation was found in severe
cases. Therefore, psoriasis severity can be mo
Blood cyst of the mitral valve – is it common? Case report
Authors: Ionac Ioana , Mornos Cristian , Feier Horea , Dema Alice , Ionac Adina
Published: April 2021

Cardiac blood cysts are benign tumors, usually congenital malformations, found on the endocardium, particularly along the closing lines of the heart valves. Blood cysts of the heart are commonly reported at postmortem findings in infants and they are very rare in adults. We report a case of a 39 year old patient, who was incidentally discovered during echocardiography having a blood cyst attached to the ventricular face of the anterior mitral valve and to the mitral chordae. During surgery, the cystic mass was resected. Mitral valvuloplasty was successfully performed and the patient had an uneventful recovery. Blood cysts are rarely reported, thus there is no consensus or guidelines for the optimal management of the asymptomatic cases. Although our patient was asymptomatic and the cyst did not interfere with the cardiac function, together with the heart team, we chose the surgical resection of the cardiac mass in order to prevent possible complications.
Atrial functional tricuspid regurgitation: a novel and underappreciated clinical entity
Authors: Florescu Diana-Ruxandra , Figliozzi Stefano , Guta Andrada , Vicini Stefano , Tomaselli Michele , Târtea Georgică Costinel , Istrătoaie Octavian , Parati Gianfranco , Badano Luigi , Muraru Denisa
Published: April 2021

Functional or secondary tricuspid regurgitation (FTR) is a progressive disease with a significant negative impact on patient morbidity and mortality. Recently, atrial fibrillation (AF) has been recognized as a cause of FTR (with/without coexisting functional mitral regurgitation) by promoting right atrial (RA) remodeling and secondary tricuspid valve (TV) annulus dilation, even in the absence of right ventricular (RV) dilation or dysfunction. This distinct form of FTR has been called “atriogenic” or “atrial”. Recent evidence suggests that the RA is an important player in FTR pathophysiology not only for patients with AF, but also for those in sinus rhythm. Preliminary reports on atrial FTR show that cardioversion with documented maintenance of sinus rhythm promotes TV annulus and RA reverse remodeling and may significantly reduce FTR severity at follow-up. Large-scale studies on the prognostic benefits of rhythm vs rate-control strategy in atrial FTR patients are needed to substantiate specific guidelines indications for this subset of patients.
Left atrial appendage morphology and the risk of stroke
Authors: Zsarnóczay Emese , Száraz Lili , Nagy Anikó Ilona , Merkely Béla , Maurovich-Horvat Pál , Simon Judit
Published: April 2021

In patients with non-valvular atrial fibrillation (AF) the risk of stroke is five times higher than in patients with sinus rhythm. Moreover, stroke is likely to be more severe in the AF patient population. Left atrial appendage (LAA) is the most common source of emboli in AF-related stroke. LAA thrombus is present in 15% of AF patients. Therefore, numerous studies aimed to evaluate the role of LAA structure and function in stroke formation. Higher LAA volume and bigger LAA orifice have been reported to be associated with increased risks of stroke. Moreover, not only the size, but also the shape of the LAA influences thrombus formation. The presence of an obvious bend in the proximal part of the dominant LAA lobe, described as chicken wing LAA morphology has been reported to be protective against stroke. However, other studies are not consistent with this finding and there is no consensus about LAA morphology categories. LAA has reservoir, contractile, electric and endocrine functions, that can provide essential information about the risk of clot formation and embolic events. Decreased LAA flow velocity, reflecting lower LAA contractility has been described to be associated with higher stroke risk. All in all, even if the LAA plays an important role in stroke formation, there are controversial literature data, therefore further studies are needed to evaluate the underlying mechanisms.
Assessing the Challenges of Local Leaders in Rural Community Development: A Qualitative Study in Malaysia
Authors: Md Rami Aizuddin , Aziz Faiq , Zaremohzzabieh Zeinab , Ibrahim Abdullah
Published: April 2021

In Malaysia, the ongoing reform at the local government level continues to shape the role of local leaders in rural development. This study aims to identify several challenges faced by rural community leaders and to suggest some ways in which rural leaders can weather and benefit from them. This qualitative study, which used content analysis, employed purposive sampling to firstly select the interviewee, and then was sustained throughout until data saturation. The respondents were from a 60-member cohort from Malaysia’s Villages Development and Safety Committee who held the positions of chairpersons and ordinary members. For data collection and analysis, this study used semi-structured interviews and an inductive approach respectively. The data analysis led to the development of eight main themes of “difficulty in decision making”, “strengthening external network”, “disseminating the precise information”, “Comprehensive participation of the community members”, “preparing an efficient work plan”, “overlapping functions of government agencies”, “political control”, and “the lack of facilities and infrastructure”. Identifying these challenges for rural community leaders will help the local government take proactive action on community leadership in terms of social capital, networking, communication, trust creation, and leadership qualities. Going forward, the government should place serious attention to developing the potential and skills of local leaders as a reward for their profound commitment to developing their community.