bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of topical vs. combination ciprofloxacin for the treatment of Chronic Suppurative Otitis Media
Authors: Nasir Wakeel  , Aasma Tariq  , Iqra Gull  , Hafeez Hamna 
Published: August 2023

BACKGROUND & OBJECTIVE: Topical antibiotics are a popular choice for treating chronic suppurative otitis media (CSOM), but there is no consensus on their penetration ability in the middle ear, mastoid cavities, and effectiveness against the causative pathogens. Hence, the present study aimed to compare the efficacy of empirical treatment of Chronic Suppurative Otitis Media (CSOM) with topical ciprofloxacin alone and in combination with oral ciprofloxacin.
METHODOLOGY: In this prospective study, 98 consecutive patients presented with diagnosed CSOM of tubotympanic type were recruited from the ENT Department of Bahawal Victoria Hospital. The enrolled patients were randomly subjected to the treatment groups (49 in each group), i.e., topical ciprofloxacin drops alone or oral and topical ciprofloxacin in combination; the therapy continued for 1 week. After 7 days of treatment, patients were assessed to observe the resolution of discharge and adverse effects of the drugs.
RESULTS: It was observed that 95.9% of the patients had complete resolution of discharge after 7 days of treatment; the outcomes were comparable in both treatment groups (p=1.00). There was no statistically significant difference between the patients of both treatment groups concerning gender, age, and discharge duration (p>0.05). There were minimal side effects but apparently, they were more frequent among group B patients than in group A.
CONCLUSION: It is concluded from the study that topical ciprofloxacin alone is as efficacious as oral and topical combination therapy for the treatment of CSOM.
Ketamine as a pre-emptive analgesia in patients undergoing caesarean delivery under spinal anesthesia
Authors: Humaira Ahmad  , Samina Aslam  , Sahir Shafiq  , Asif Sagheer  , Sarwat Bibi  
Published: August 2023

BACKGROUND & OBJECTIVES: Lower segment caesarean section (LSCS) leads to moderate to severe pain in the patient. Pain severity is directly proportional to the functional limitations and depression in the postpartum period, making it essential to provide good pain relief after surgery. Maternal wellbeing and better nursing care of newborn requires good postoperative analgesia with minimal side effects. The main objective of the study was to evaluate the analgesic effect of intravenous low-dose ketamine, when administered pre-emptively, in patients undergoing caesarean delivery under spinal anesthesia.
METHODOLOGY: Two groups were made, each with 50 full-term pregnant females with a plan of caesarean section under spinal anesthesia. Group-A received spinal anesthesia with bupivacaine 0.5% along with intravenous placebo of 2cc normal saline, whereas group-B received 0.5mg/kg ketamine intravenously after administration of spinal anesthesia but before the start of surgical incision. Pain intensity was monitored using a visual rating pain scale (VRS), till the need for the first analgesic dose postoperatively.
RESULTS: Both groups were comparable in terms of age and weight. Analgesia was markedly prolonged, and postoperative pain scores were significantly less in Group-B (ketamine group) as compared to Group-A; with p-value< 0.001, demonstrating analgesic properties of ketamine when administered pre-emptively as an intravenous dose.
CONCLUSION: Our study concluded that pre-emptive analgesic dose of ketamine (administered before surgical incision), leads to prolong analgesia in post-operative period in patients who underwent LSCS under spinal anesthesia.
PENGARUH PENGGUNAAN MEDIA PEMBELAJARAN ONLINE TERHADAP PRESTASI BELAJAR SISWA MELALUI MINAT BELAJAR
Authors: Fallo Diana Yani , Sogen Maria , Roga Elen 
Published: August 2023

This type of research was quantitative with an experimental method. The procedure employed in this research was the class was given a pre-test and post-test as well as the results of the validity test, reliability test, normality test, and hypothesis test. Reliability was used to measure an instrument with two or more answer choices and for an instrument with more than two answer choices. It is said to be reliable if the Cronbach Alpha reliability coefficient is between 0.70 - 0.90 and the results obtained from the results of the questionnaire validity test are 0.721. The test results showed that the use of learning media influences students' achievement.
MINAT LITERASI MEMBACA MAHASISWA DI PROGRAM STUDI PENDIDIKAN GURU SEKOLAH DASAR UNIVERSITAS CITRA BANGSA
Authors: Nahak Kristina E. Noya , Nalle Efraim Semuel 
Published: August 2023

Menyadari akan pentingnya membaca yang merupakan suatu aktivitas yang sangat bermanfaat sebaiknya setiap orang menjadikan membaca sebagai suatu hobi atau minat yang terus diasah dan dilatih sehingga menjadi suatu kebiasaan yang terus berkelanjutan. Tujuan dari penelitian ini adalah untuk mengetahui minat literasi, sikap, dan kebiasaan membaca mahasiswa Program Studi Pendidikan Guru Sekolah Dasar Universitas Citra Bangsa. Jenis penelitian ini adalah kuantitatif dengan pendekatan deskriptif dan menggunakan kuesioner untuk mengumpulkan data. Responden dalam penelitian ini mahasiswa semester dua kelas C dan D yang berjumlah 50 orang. Setelah semua data terkumpul kemudian dianalisis menggunakan analisis tematik. Hasil penelitian menunjukkan bahwa minat membaca mahasiswa sudah ditanamkan sejak dini yakni dibangku Taman Kanak-Kanak sehingga mahasiswa memiliki literasi membaca yang baik. Mahasiswapun menyadari akan pentingnya membaca oleh karena itu aktivitas membaca ini sering dilakukan di kampus maupun di rumah dengan durasi waktu satu sampai dua jam. Bahan bacaannyapun beragam mulai dari media cetak hingga media elektronik. Kebiasaan membaca inipun ditunjukkan melalui sering membaca materi yang akan dibahas dalam perkuliahan nanti maupun setelah selesai perkuliahan dengan tujuan tidak mudah lupa, lebih memahami, menguatkan pemahaman terhadap materi kuliah dan membantu mengingat. Menciptakan Lingkungan akademik yang nyaman dan menyenangkan sangat baik untuk kegiatan literasi, membangun pemahaman dan pengetahuan yang kompeten melalui literasi membaca.
INTERNALISASI PERAN GURU KELAS DALAM PENINGKATAN AKTIVITAS BELAJAR SISWA PADA PEMBELAJARAN TEMATIK
Authors: Nitte Yulsy Marselina 
Published: August 2023

Penelitian ini menggunakan jenis penelitian kualitatif dengan subjek penelitiannya adalah guru kelas di SD Negeri Nunukurus Kecamatan Kupang Timur. Teknik pengumpulan data yang digunakan adalah observasi, wawancara dan dokumentasi. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana internalisasi peran guru kelas dalam meningkatkan aktivitas belajar pada pembelajaran tematik. Hasil dari penelitian yang dilaksanakan oleh peneliti adalah sebagai berikut: (1). Kendala yang dihadapi guru dalam meningkatkan aktivitas belajar siswa pada pembelajaran tematik adalah kurangnya semangat siswa ketika mengikuti kegiatan belajar mengajar, kurangnya keberanian siswa dalam mengajukan dan menjawab pertanyaan dan kurangnya pengetahuan siswa dalam membaca, menulis maupun menghitung. (2). Internalisasi peran guru kelas dalam meningkatkan aktivitas belajar siswa pada pembelajaran tematik adalah membuat rencana pelaksanaan pembelajaran, menyiapkan materi pembelajaran, membuat media pembelajaran dan memberikan kesempatan kepada siswa untuk bertanya dan menyampaikan pendapat.
Early Coronary Artery Disease in a Female Patient with Discoid Lupus Erythematosus and Hashimoto’s Thyroiditis
Authors: Dimitrovska Biljana , Jovchevska Simona , Bede I. , Vraynko Elif , Kostova Nela , Zafirovska Biljana , Otljanska Magdalena 
Published: August 2023

BACKGROUND: Atherosclerosis is a chronic inflammatory condition involving the endothelium of the blood vessels, predominant the coronary arteries. Main risk factors are dyslipidemia, hypertension, diabetes, smoking, obesity, and lack of physical activity. Patients with autoimmune diseases, including rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis etc., have a twofold increased risk of developing CAD at younger age, compared with the general population.
CASE REPORT: A 41-year-old female patient, with history of smoking and dyslipidemia, was admitted to our hospital with acute inferoposterior myocardial infarction. Initially, coronary reperfusion therapy per protocol was administrated and primary percutaneous coronary intervention (PCI) was performed. Multivessel CAD was found, and two stents were implanted on obtuse marginal and circumflex artery. Transthoracic echocardiography (TTE) revealed left ventricle systolic and diastolic dysfunction with segmental hypokinesis. Additionally, the patient was first diagnosed with DLE at the age of 15, but the disease was uncontrolled in the last 7 years. She also has hypothyroidism, regularly treated with hormone replacement therapy. The patient was discharged with medicamentous therapy including dual antiplatelet agents, statin, beta-blocker, angiotensin-receptor blocker, potassium sparing diuretic and proton pump inhibitor. One month later, recoronarography was performed with stenting of left anterior descending artery. TTE showed improvement of the left ventricle systolic function with preserved ejection fraction. The blood test showed elevated levels of antithyroid antibodies. A rheumatologist was consulted, who recommended therapy with hydroxychloroquine and regular follow-ups.
CONCLUSION: In younger patients with chronic inflammatory diseases, inflammatory mediators play a significant role in the development of the atherosclerotic plaques, regardless of co-existing risk factors. Therefore, an early cardiovascular assessment is required in these patients for preventing severe or life-threatening cardiovascular events.
Isolated Right Ventricular Infarction without Right Ventricular Dysfunction: A Case Report
Authors: Wening Tristi L. , Siagian Abigail , Asanti Rismarini , Laksono Sidhi 
Published: August 2023

BACKGROUND: Myocardial infarction is the leading cause of the occlusion of the coronary artery. Meanwhile, right ventricular myocardial infarction (RVMI) is usually associated with inferior left ventricular infarction in 10–50% of cases. We presented isolated RV infarcts which are rare cases that happen in only 3% of total myocardial infarction.
CASE PRESENTATION: We presented a case of a 67-year-old man with sudden chest pain, shortness of breath, and a history of diabetes mellitus. From his 12 lead electrocardiogram, there is no specific ST elevation yet elevation in V3R and V4R and elevated troponin I highly sensitive value. The patient developed junctional bradycardia and early percutaneous coronary intervention backup temporary pacemaker showed total occlusion in the proximal right coronary artery (RCA)
CONCLUSION: The RVMI commonly occurs in the dominant RCA that also supplies the sinoatrial node and atrioventricular node. Therefore, due to its location that passed through the RCA, bradycardia to complete heart block may happen. Isolated right ventricular (RV) infarction may happen because either RV marginal as the predominant location is occluded, or non-dominant RCA occluded by thrombus. RV infarction may impair RV contractility causing a decrease in RV stroke volume and this condition leads to hypotension, shock, and severe hemodynamic derangement. Meanwhile, acute proximal RCA occlusions do not result in significant RV necrosis, one of the reasons is collateral flow from the left coronary system further protects from RV dysfunctions in our patient.
Experiences and perceptions of undergraduate optometry students towards public eye care services in South Africa
Authors: Zulu Noxolo L. , Van Staden Diane 
Published: August 2023

Background: Public eye care services in South Africa are relatively underdeveloped. This is, in part, due to optometry services historically being private sector-focussed, as well as a lack of ophthalmologists in the country. Optometry students who engage in service learning at public health facilities are well placed to share their perceptions of this service.Aim: To investigate the perceptions and experiences of optometry students regarding public eye care services in South Africa.Setting: Data were collected on the Phelophepa Health Care Train while it was stationed at Musina and Polokwane in 2019.Methods: A qualitative study was conducted using focus group interviews to collect data from South African optometry students. Two focus group sessions were held, with a total sample of 18 representing two different higher education institutions. Interview recordings were transcribed, and data were thematically analysed using interpretive content analysis.Results: Three main themes emerged, namely ‘inability to deliver quality services’, ‘negative perceptions about public eye care services’ and ‘potential to improve public eye care services’. Strengthening infrastructure and human resource capacity were seen as fundamental steps to improving public eye care services in South Africa.Conclusion: Strengthening public eye care services in South Africa is necessary in order to improve the experience-based perceptions of optometry students towards this sector. Addressing eye health system weaknesses through appropriate resourcing will likely contribute to attracting this potential future human resource to the sector, and assist in alleviating the shortage of human resources for eye health within South Africa’s public health service.Contribution: Optometry education and professional practice in South Africa is increasingly adopting a more public health approach. This shift towards strengthening public eye care services and improving human resources capacity for the same is both important and necessary to address unmet eye health needs in the country. However, current gaps and challenges within the public health system may deter new graduates in South Africa from choosing this practice path if the overall challenges of resourcing and capacity to deliver quality services are not addressed.
Aspects redistributifs de l’intervention des finances publiques dans le secteur des transports
Authors: Madre Jean-Loup 
Published: August 2023

In this article, the author analyses, on the basis of 1973 data, the redistributive effects of Public Finance concerning household moving. He first exposes the problems presented by the adjustment of the methodology of redistribution examined in this sector; the answer to the criticism which follows this article permits a development of this point. The main problems are caused by the way the investment expense problem is treated (road infrastructure...) and by the effects of taxes via the used car market. It is well known that private transportation is subject to more taxes than they get benefit from (road use); it is the contrary for the most of public transportation. According to the allocation presented here: - relating to the housing area, the Parisians are the most favoured, - relating to the CSP of the family head, the employees are the most favoured by the public transportation benefit, especially those which are associated with social discounts (weekly work card, paid holidays), - relating to the size of the family, the most numerous families (5 children or more) pay the least.
Dans cet article, l'auteur analyse, sur la base des données de 1973, les effets redistributifs des finances publiques liés aux déplacements des ménages. Il expose tout d'abord les problèmes posés par l'adaptation de la méthodologie de la redistribution à l'étude de ce secteur : la réponse à la critique qui suit cet article permet de développer ce point. Les principaux problèmes sont posés par le traitement des dépenses liées à l'investissement (infrastructures routières...) et par la répercussion des taxes par l'intermédiaire du marché de la voiture d'occasion. On sait que les transports individuels supportent plus de taxes qu'ils ne reçoivent de transferts (usage de la route) ; c'est l'inverse pour la plupart des modes de transports collectifs. Les répartitions présentées ici montrent donc : - en fonction de la zone d'habitat, que ce sont les parisiens qui sont les plus favorisés, - en fonction de la CSP du chef de ménage, que ce sont les salariés qui bénéficient le plus de l'aide aux transports en commun, notamment de celle qui passe par les réductions sociales (carte hebdomadaire de travail, congés payés...). - en fonction de la taille de la famille, que les familles les plus nombreuses (5 enfants ou plus) ont le prélèvement net le plus bas.
Pour mieux comprendre les déplacements interrégionaux de voyageurs : un modèle multimodal de demande (Première partie : les objectifs retenus et la conception générale du modèle)
Authors: Marche Roger 
Published: August 2023

The multimodal transport demand model, being developed in France since 1973, aims above all at better taking into account the influence of the level of service of different transport modes on the choice of mode and on mobility. While preceding models of the type "journey cost-journey time-passenger income" dealt essentially with business trips by air or railway in first class, this model has the following extensions:- taking into account all the interregional modes of transport: trains, aircraft, passengers cars,- taking into account private journeys,- simulation of individual travel behaviour on the basis of sample trips.The first applications are encouraging. However, if the problems of a methodological order have been solved in an acceptable way, the estimation of the numerical values of parameters with a sufficient precision will need the realization of important sample surveys.
Le modèle multimodal de demande, développé en France à partir de 1973, vise d'abord à mieux prendre en compte l'influence du niveau de service des différents modes de transport sur le choix du mode et la mobilité. Alors que les modèles précédents du type "prix-temps-revenu" portaient principalement sur les voyages professionnels effectués en avion ou par le train en 1ère classe, ce modèle correspond aux extensions suivantes :- prise en compte de l'ensemble des modes de transport interrégionaux : train, avion, voiture,- prise en compte des voyages personnels,- fonctionnement par simulation des comportements individuels, à partir d'échantillons de voyages.Les premières applications effectuées sont encourageantes. Toutefois, si les problèmes d'ordre méthodologique sont résolus de manière acceptable, l'estimation de la valeur numérique des paramètres avec une précision suffisante nécessitera la réalisation d'importantes enquêtes par sondage sur les voyages.
In order better understand interregional passenger travel: a multimodal transport demand model. Second part: description of the model and first results
Authors: Marche Roger 
Published: August 2023

The multimodal transport demand model, being developed in France since 1973, aims above all at better taking into account the influence of the level of service of different transport modes on the choice of mode and on mobility. While preceding models of the type "journey cost-journey time-passenger income" dealt essentially with business trips by air or railway in first class, this model has the following extensions:- taking into account all the interregional modes of transport: trains, aircraft, passengers cars,- taking into account private journeys,- simulation of individual travel behaviour on the basis of sample trips.The aim and general model design ware given in a preceding article. Here the reader will find further details of the operation of the model and the first results obtained.
Le modèle multimodal de demande développé en France à partir de 1973, vise d'abord à mieux prendre en compte l'influence du niveau de service des différents modes de transport sur le choix du mode et la mobilité. Alors que les modèles précédents du type "prix-temps-revenu" portaient principalement sur les voyages professionnels effectués en avion ou par le train en 1ère classe, ce modèle correspond aux extensions suivantes :- prise en compte de l'ensemble des modes de transport interrégionaux : train, avion, voiture,- prise en compte des voyages personnels,- fonctionnement par simulation des comportements individuels, à partir d'échantillons de voyages. Les objectifs retenus et la conception générale du modèle ont été décrits dans un précédent article. Le lecteur trouvera ici des compléments sur le fonctionnement du modèle et les premiers résultats obtenus.
Toward rationalizing the transport project planning process in Cairo, Egypt
Authors: Gakenheimer R. , El Hawary M. 
Published: August 2023

The preparation and execution of transportation projects in Cairo involves the participa¬tion of several local and national agencies, each with its own perspectives on the problems and preferences among projects. Together this participation creates a "slate" of projects, a set of projects which by mutual agreement will be executed in the near future. This form of agreeing on project selection has significant strengths in that, for example, it produces a program which has the active support of all the agencies in the transportation sector. One the other hand, it means the detailed programming must be handled in a special way. In the absence of a central rationale for project selection, comparative evaluation between projects has a limited role, and implementation must always include several projects simultaneously to keep the interests of concerned agencies in balance. But one must remember: the slate is a plan, and for all its lack of scientific refinement, a robust, realistic plan.
La préparation et l'exécution des projets de transport au Caire réunissent la participation de plusieurs services à l'échelon local et national, chacun avec ses propres perspectives sur les problèmes, et ses préférences parmi les projets. De cette participation collective résulte une liste d'accords mutuels, un ensemble de projets qui doivent être exécutés. Cette forme d'accord sur le choix des projets a une portée significative en ce que, par exemple, elle établit un programme qui joint le support actif des services principaux de secteur des transports. D'autre part, elle signifie que la programmation détaillée doit être effectuée de manière spécifique. En l'absence d'une rationalité centrale pour le choix des projets, l'évaluation comparative de ceux-ci a seulement un rôle limité et la mise en œuvre proprement dite doit toujours inclure plusieurs projets simultanément afin de conserver l'équilibre entre les intérêts des services concernés. Mais il faut rappeler que la liste d'accords mutuels constitue un plan qui, malgré son manque de raffinement scientifique, n'en est pas moins solide et réaliste.