bluuebunny/crossref_metadata_2025_split huggingface dataset:
Echocardiographic assessment of Left Ventricular Dyssynchrony in Hypertensive Patients with Normal Systolic Function
Authors: Mohammed Marwa Tareq 
Published: December 2020

Background: Normal Left Ventricular systolic function is present in nearly 50% of patients with congestive heart failure, the majority of such patients have systemic hypertension. Recent studies have demonstrated Left Ventricular dyssynchrony among patients with heart failure and normal systolic function. The co-existence between Left Ventricular dyssynchrony and hypertension with normal systolic function (with no clinical evidence of heart failure) is less well understood.
Objective:
To assess the Left Ventricular dyssynchrony among hypertensive patients with normal systolic function by using Tissue doppler imaging.To find out the associations between the LV dyssynchrony and other global echocardiographic findings like (LA volume index, LVmassindex , LV sephericity and LV filling pressure E/E`)
Type of the study: Prospective case- control study
Methods: The study conducted in Baghdad Teaching Hospital from 1st of June 2015 to 30th of May 2016 .Study included two groups of people, 40 patients, age_ matched healthy (control) group (group1) and 60 patients with established hypertension (group 2). A Complete 2-D and TDI echocardiography studies with simultaneous ECG were performed for all patients. Examination involved LV septal and posterior wall thicknesses, internal dimensions, left atrial size, ejection fraction and tissue doppler derived waves velocities E', E/E.' Dyssynchrony was determined by measuring T-P max ( the maximal time difference from the onset of QRS to peak systolic velocity on TDI between any opposing LV wall in 3 apical views) .
Results: The study included 40 age –matched control people, 27males (67.5%) and 13 females (32.5%) with a male to female ratio was 1.8 :1, ranging from (42.4-58y) with mean age was (50.2 ±7.8y ) (group 1) and 60 hypertensive patients, 38 males (63.3%) and 22 females (36.7%) with a male to female ratio was 1.7 :1, ranging from (48.5- 66.5y) with mean age of (57.5± 9.0 y) (group 2) . Left Ventricular dyssynchrony was identified in 20 of 60 patients (33.3%) .Dyssynchrony had no significant association with age and BSA. But it was significantly associated with LA volume index (r = 0.61, p=0.001), LV mass index(r=0.52 ,p=0.001) , LV sphericity index (r= 0.5, p = 0.003) ) and LV filling pressure(r=0.6 , p value=0.001) . Dyssynchrony had significant negative correlation with ( E`) velocity (r= - 0.7 ,P =0.001) .
Conclusion: Left Ventricular dyssynchrony is frequent among hypertensive patients with normal LV systolic function .The Left Ventricular dyssynchrony is significantly related to LA volume, LV mass, LV sphericity and LV filling pressure.
Low Back Pain and Obesity (Review Article)
Authors: Al- Edanni Mohammed Sh. , Al- Edanni Mohammed Sh. 
Published: December 2020

Low back pain a major causes of morbidity throughout the world and it is a most debilitating condition ,and can lead to decreased physical function ,compromised quality of life, and psychological distress.
Obesity is nowadays a pandemic condition. Obese subjects are commonly characterized by musculoskeletal disorders and particularly by non-specific LBP. However, the relationship between obesity and LBP remain to date unsupported by objective measurements of mechanical behavior of spine and it is morphology in obese subjects.
Key words: obesity, low back pain,
Evaluation of Ultrasonography in the Diagnosis of Acute Appendicitis with Histopathology as Gold Standard
Authors: Manea Ahmed N. , Mohammad Tawfeeq J. , Shehatha Sarmad j. 
Published: December 2020

Background: Acute appendicitis is the most common surgical abdominal emergency with a life time prevalence of 1 to 7 individuals. Because the clinical diagnosis of acute appendicitis remains a challenge to surgeons, so different aids were introduced like different scoring systems, computer aided programs, ultrasonography, computerized tomography, Magnetic resonance imaging, Gastrointestinal tract contrast studies and laparoscopy to improve the diagnostic accuracy.
Objective: To evaluate ultrasound in the diagnosis of acute appendicitis in those patients clinically diagnosed with histopathology as gold standard.
Methods: A cross sectional study carried in Al-kindy Teaching Hospital through one year duration from 1st of may2015 to1st of May 2016. All included patients were subjected to ultrasonographic examination to assess the vermiform appendix with a graded compression technique. The Ultrasonography findings were recorded as positive and negative for acute appendicitis.
All the appendices removed from the study patients were sent for histopathological study. Statistical analysis done using (SPSS) version 21, Chi-sequare test used for categorical variables and t-test was used to compare between two means. Level of significance (P value) set at ≤ 0.05.
Results: A total of 215 patients with suspected appendicitis, males 112 (52.09%) and females 103(47.9%) were included in present study. The validity results of ultrasound in comparison with histopathology findings were as following; accuracy 86.5%, sensitivity 86.5%, specificity 86.6%, positive predictive value 99.8% and negative predictive value 32.5%.
Conclusion: The ultrasonography has a good accuracy, sensitivity and specificity in diagnosing acute appendicitis.
Toll like receptor 2(TLR2) in acne vulgaris patients before and after oral isotretinion therapy
Authors: Mahmood Wakas Saadi 
Published: December 2020

Background: Acne vulgaris is one of the top three most commonly encountered dermatological problems worldwide in both primary and secondary care. Human keratinocytes express functional TLR2 heterodimers. An increased expression of TLR2 was detected in the epidermis of inflammatory acne lesions, as observed in normal skin; the expression level increased with the degree of differentiation of the keratinocytes. TLR2 expression is upregulated in inflammatory acne lesions and induced by C. acnes. The current study conducted to assess the oral isotretinion treatment effect on the acne vulgaris patients by evaluated the Toll Like Receptor 2 as a major immune system marker in Acne vulgaris immune response.
Methods: 50 patients with acne vulgaris seen in outpatient clinic of dermatology centre(Al-Baidhaa out clinic center) in Baghdad during the period 1/9/2017 to 1/8/2018. The diagnosis of patients were done by the specialist dermatologist only sever and moderate acne cases were chosen. Fifty serum samples were collected before oral isotretinion therapy, only forty-five serum samples were collected after 8 weeks of oral isotretinion therapy. All patients have received 0.5mg-1mg/kg/day of oral isotretinoin. The mean ages was 22 years(range, 16-36 years). A total of 50 patients, 36(72%) of patients were females and 14(28%) were males. Furthermore 43(86%) of cases have heredity history. Also control serum samples were collected from people without acne and they chose with the same mean ages. The serum samples were stored at -70°C for up to six months. ELISA test for quantitative determination of TLR2 human was done. Statistical analysis was done using T-test.
Results: Highly significant statistical difference were noticed (p<0.001) when we compare study group after therapy with control group, also highly significant statistical difference was noticed (p<0.01) when we compare study group before therapy with control group.
Conclusion: Significant decrease of TLR-2 level was noticed in study group after isotretinoin therapy in comparison with same group before therapy and also with the control group. Pronouncedly the effects of oral isotretinion suggest a path towards importance of this therapy as an anti-acne agent
Accuracy of Fine Needle Aspiration Biopsy (F.N.A.B) in Diagnosis of Breast Lump
Authors: Abedalrahman Sarab K. 
Published: December 2020

Background: Breast cancer is the first one among Iraqi females. Most of them present later for diagnosis. Early detection center in tertiary hospital practice uses FNAB for early diagnosis. Publications on accuracy of this detection are scarce.
Objective: To test the accuracy of FNAB in breast lump diagnosis.
Methods: Diagnostic test accuracy study, on 204 women with breast lump, attending the oncology department in 2017.
Results: Fine-needle aspiration biopsy diagnosis of histologically malignant cases were, malignant in 89 (87.3%), suspicious of malignancy in 5 (4.9%), and benign in 4 (3.9%). Complete sensitivity was 87.3%, and specificity was 100%, with 12.7% false negative results and no false positive cases. The accuracy was 94%.
Chronic Tennis Elbow Treated by Platelet-Rich Plasma Versus Steroid Injections: A Comparative Study
Authors: Al-Edanni Mohammed Sh. 
Published: December 2020

Background: Painful elbow joint over the lateral epicondyle especially with resisted wrist extension are common signs of lateral epicondyle tendinopathy, also called tennis elbow.
Objective: To evaluate the clinical outcome of local platelet rich plasma (PRP) injection in patients with chronic tennis elbow compared with a steroid (Depomedrol 40 mg) injection.
Methods: A total of 88 patients with chronic tennis elbow were treated at Al-Kindy Teaching Hospital and private clinics. All patients had chronic pain for about 24 weeks or more and had failed first line treatment. The patients dividing into two groups, Group A injected with PRP (n = 44), and group B injected with depomedrol 40 mg (n = 44). A good clinical result was demarcated as 25% or more progress on the visual analog scale for pain. All patients followed for 6 months in both group for clinical successful result.
Results: At three months (n = 44), in group A reported a perfection of 58.2% in their pain scores while 49.3% in the group B (N = 44). At 6 months follow up, the group A informed a perfection of 74.3% in their pain scores while 58.4 % in the group B. The local elbow tenderness recording at three months was 37.4% in the group A, while in the group B was 48.4%. At six months, 16.1% versus 30.2% recounted major elbow tenderness (P = .009) in groups (A and B) respectively.
The clinical improvement rates at three months revealed no changes between both groups while it showed more significant clinically changes in group A ( 87.1%) than in group B (70.1 %) with P value = 0.008 after six months follow up.
Conclusion: No important changes were found at 3 months in both groups, but at 6months, clinical significant perfections in patients treated with PRP group (group A)
Action Taken in Managing Dental Health of Children due to Mother’s Oral Health Literacy Level
Authors: Sabdho Wening Gilang R. , Nurensa Karunia , Bramantoro Taufan , Kartikasari Fidelia , Faisal Muhammad 
Published: December 2020

Background. The index of dental care needs of children from year to year tend to increase as shown in the results of the National Basic Health Research (Riskesdas). Children are individuals who still need the involvement of parents, especially mothers, in determining the attitudes and actions they will take to manage their dental health.
Methods. This study is a cross-sectional research in which a total of 108 women of childbearing age were randomly selected. An assessment was carried out on the actions taken by the mother in managing her child’s dental health using the HU-DBI instrument (Hiroshima University Dental Behavioral Inventory), and Health Literacy in Dentistry (HeLD), to see the relationship with the level of dental health literacy they have.
Results. There was a significant difference in the aspect of understanding, in different decision making (p=0.044) between the group of mothers who had a low HeLD score (3.52±0.77) and the group of mothers who had a high HeLD score (3.70±0.46).
Conclusion. The results showed that the aspects of understanding, ability to receive-treat-translate dental health information, and literacy level would lead to different actions in managing children’s dental health.
The Application of the ADDIE Model and the Training Cycle in the Development, Implementation and Evaluation of Training Program on Data Use for Decision-making among End-users of Electronic Health Information System
Authors: Guevarra Jonathan P. , Ongkeko Jr. Arturo M. , Antonio Carl Abelardo T. , Bermudez Amiel Nazer C. , Fernandez–Marcelo Portia H. 
Published: December 2020

Objective. This paper describes the process utilized in developing a training program on data use for decision making tailored for real-time monitoring of maternal and child health indicators through Community Health Information Tracking System (rCHITS) end-users in selected areas in the Philippines.
Methods. Guided by the ADDIE (Analysis, Design, Development, Implementation and Evaluation) model and the training cycle, existing records and reports lodged with the National Telehealth Center (NTHC) pertaining to rCHITS were reviewed, supplemented by interviews with the technical staff of the NTHC and discussion with healthcare workers. Training design was developed, training modules and materials were prepared, critiqued, revised and finalized. The training was implemented and evaluated using an evaluation tool designed for this specific capability-building endeavor.
Results. A tailored training program on data use for decision-making was designed for rCHITS end-users in select areas in the Philippines. The process of developing the training program was guided by the ADDIE Model and the Training Cycle. Training was delivered to a total of 128 public health workers. Majority of the participants gave high evaluation on the clarity and relevance of objectives, discussion of topics, methods of delivery, and time devoted in addressing issues (range 3.5-3.8 out of highest possible score of 4).
Conclusion. This paper demonstrates the utility of the ADDIE Model and the Training Cycle in developing a training program aimed at enhancing the capability of the field personnel in utilizing the data generated from rCHITS in decision-making. Training participants must also be monitored and evaluated in their workplace setting in order to determine if the concepts and principles covered during the training program are put into practice.
Exploring the Relationship between the Mosaic Code and the Hammurabi Code
Authors: BOAHENG ISAAC 
Published: December 2020

Over the years there has been a growing interest in the connections between the Old Testament and other Ancient Near East literature. The Hammurabi Code, a Babylonian legal document which predates the Mosaic Code by about 300 years, is one of the ancient documents that have featured prominently in such comparative studies. The remarkable similarities between the Hammurabi Code and the Mosaic Code raises questions about the originality of the Mosaic Code. Scholars often ask whether Moses copied and/or revised the Hammurabi Code and gave it to Israel as a divinely inspired Law or whether Moses actually received his Law as an original document from God. If Moses plagiarized the Hammurabi Code, then the inspiration of the Mosaic Code and (by extension) the inspiration of the entire Hebrew Scriptures is in doubt. The relevance of this textual and source issue for Old Testament scholarship has prompted the present study which aims at investigating the relationship between the Mosaic Code and the Hammurabi Code through a comparative study. After a critical assessment of the key similarities and differences between these two ancient documents, the paper suggests keys factors that might have accounted for the similarities and the proceeds to contend for the originality and authenticity of the Mosaic Code.

Keywords: Ancient Near East, Hammurabi Code, Mosaic	Law, Old Testament, Plagiarism
Amazônia na encruzilhada
Authors: Nunes Coelho Maria Célia 
Published: December 2020

Resenha do livro Amazônia: encruzilhada civilizatória. Tensões territoriais em curso, de Carlos Walter Porto-Gonçalves. Rio de Janeiro: Consequência, 2017. 111 pp., ISBN 978-8-5694-3720-8.
GAMBARAN TINGKAT PENGETAHUAN IBU TENTANG PENYAKIT KANKER SERVIKS DI WILAYAH JAKARTA TIMUR
Authors: Retno Winarti Suryani Hartati, 
Published: December 2020

Angka kematian kanker serviks masih tinggi, lebih dari 92 ribu perempuan di Indonesia diantaranya karena kanker serviks, sehingga menempati nomor dua dalam jumlah tertinggi di dunia. hal ini dapat disebabkan karena tidak adanya proses pemantauan sejak dini. Cakupan dektesi dini kanker serviks di Indonesia sangat rendah yang hanya berkisar 5%. Hal ini disebabkan oleh kurangnya pengetahuan tentang kanker serviks sehingga angka kejadian kanker serviks meningkat setiap tahunnya. Tujuan: Untuk menggambarkan tingkat pengetahuan ibu tentang kanker serviks pada ibu berusia antara 30 hingga 50 tahun di wilayah Jakarta Timur. Metode: Penelitian cross-sectional ini menggunakan teknik consecutive sampling untuk memilih 103 ibu di Jakarta Timur. Penelitian ini telah dilakukan dari bulan Juni hingga Agustus 2019. Data dikumpulkan menggunakan kuesioner yang terdiri dari karakteristik ibu dan tingkat pengetahuan ibu tentang kanker serviks. Telah diuji validitas dan reliabilitasnya. Uji validitas menggunakan product moment Pearson (r = 0,467-948), dan uji reliabilitas dengan Cronbach Alpha (0,794).Hasil: penelitian menunjukkan bahwa sebagian besar ibu memiliki pengetahuan rendah (75,7%). Hasil penelitian membuktikan bahwa ada hubungan antara tingkat pendidikan dengan pengetahuan tentang kanker serviks (p = 0,000). Usia, status perkawinan, pekerjaan, suku tidak memiliki hubungan dengan pengetahuan tentang kanker serviks. Saran yang dapat peneliti berikan ialah perawat dalam memberikan penyuluhan tentang kanker serviks pada ibu, harus melihat latar belakang tingkat pendidikan ibu, sehingga ibu paham terhadap ilmu yang diterima.
EFEKTIFITAS MODEL AAPTASI ROY DALAM MANAGEMEN KASUS DEMAM NEUTROPENIA PADA ANAK DI RUMAH SAKIT CIPTO MANGUNKUSUMO
Authors: Happy Hayati Rosa Melati, Allenidekania, 
Published: December 2020

Demam neutropenia merupakan komplikasi yang terjadi paska kemoterapi. Tujuan Karya Ilmiah Akhir adalah menggambarkan aplikasi model adaptasi Roy dalam merawat anak dengan kanker yang mengalami masalah demam neutropenia dan pencapaian kompetensi praktik spesialis keperawatan anak. Peran perawat yang dilakukan selama praktik adalah pemberi asuhan, advokator, konselor, pendidik, kolaborator, peneliti dan inovator berlandaskan etik dan legal dalam keperawatan. Pendekatan model adaptasi Roy diaplikasikan pada 5 kasus dan proses keperawatan yang dilalui adalah pengkajian perilaku, pengkajian stimulus, diagnosa keperawatan, tujuan keperawatan, intervensi dan evaluasi. Evaluasi yang didapat adalah nilai ANC lebih dari 1000 mm3 saat anak keluar dari ruang rawat demam neutropenia, dan gejala klinis mengalami perbaikan. Model adaptasi Roy dapat diterapkan pada anak kanker di ruang rawat anak dalam upaya mencapai proses adaptasi dan meningkatkan kualitas hidup anak.
Efektivitas Pelvic Rocking Exercises terhadap Lama Waktu Persalinan pada Ibu Primipara
Authors: Surtiningsih S , Susiloretni Kun Aristiati , Wahyuni Sri 
Published: December 2020

Abstrak. Persalinan yang berkepanjangan berhubungan erat dengan peningkatan morbiditas pada ibu dan bayi, peningkatan kelainan pada fisiologi persalinan, dan eskalasi kelahiran melalui operasi caesar. Kejadian persalinan yang berkepanjangan dapat diminimalisir dengan persiapan fisik dan psikologis yang baik. Latihan Pelvic Rocking Exercises (PRE) adalah bodywork dengan melakukan putaran di pinggang dan pinggul. Tujuan penelitian ini adalah untuk membuktikan efektivitas PRE terhadap lama waktu persalinan. Metode penelitian adalah Quasi experiment dengan desain penelitiannya posttest only control design. Hasil penelitian menunjukkan bahwa rata-rata lama kala II pada kelompok perlakuan adalah 29 menit , paling cepat 10 menit dan paling lama 50 menit sedangkan rata-rata lama kala II pada kelompok kontrol adalah 48 menit dengan lama kala II paling cepat 10 menit dan paling lama 115 menit. Uji independent t-test didapatkan hasil nilai ρ-value sebesar 0,007 < α (0,05) berarti terdapat perbedaan lama waktu persalinan kala II pada ibu primipara yang dilakukan Pelvic Rocking Exercises dan yang tidak dilakukan Pelvic Rocking Exercises. Effect size menggunakan rumus Cohen untuk mengetahui pengaruh atau efektifitas Pelvic Rocking Exercises terhadap lama waktu kala II didapatkan 0,43 yang dapat diinterpretasikan efektifitas Pelvic Rocking Exercises terhadap lama waktu kala I dalam kategori kuat (efektif). Simpulan: pelvic rocking exercise berpengaruh terhadap lama kala I dan Kala II Peralinan sehingga perlu dilakukan secara rutin pada ibu hamil trimester III. Kata kunci : Panjang persalinan, primipara, latihan goyang panggul
O gaucho vai à ópera: Estanislao del Campo e os primeiros anos do Teatro Colón de Buenos Aires
Authors: Diego Marcelo 
Published: December 2020

Três poemas do escritor argentino Estanislao del Campo (Buenos Aires, 1834-1880), publicados entre 1857 e 1866, têm como motivo óperas encenadas no Teatro Colón, inaugurado em 1857. Dois deles têm como personagem o gaucho "Anastasio el Pollo", por meio do qual o autor atualiza, embora em tom paródico, o gênero gauchesco. Este ensaio examina brevemente esses poemas, a fim de observar como, neles, o universo do teatro lírico é mobilizado como espelho do universo do gênero gauchesco.
Drag Histories, Herstories and Hairstories
Authors: Quigley Karen , Cameron David , Angelaki Vicky , Finburgh Clare , Wickstrom Maurya , Fragkou Marissia , Anderson Michael , Wotzko Rebecca 
Published: December 2020

Drawing on rich interdisciplinary research that has laced the emerging subject of drag studies as an academic discipline, this book examines how drag performance is a political, socio-cultural practice with a widespread lineage throughout the history of performance. This volume maps the multi-threaded contexts of contemporary practices while rooting them in their fabulous historical past and memory.
The book examines drag histories and what drag does with history, how it enacts or tells stories about remembering and the past. Featuring work about the USA, UK and Ireland, Japan, Australia, Brazil and Barbados, this book allows the reader to engage with a range of archival research including camp and history; ethnicity and drag; queering ballet through drag; the connections between drag king and queen history; queering pantomime performance; drag and military veterans; Puerto Rican drag performers and historical film.