bluuebunny/crossref_metadata_2025_split huggingface dataset:
VITAMIN D LEVEL IN CHILDREN PRESENTING WITH RECURRENT LOWER RESPIRATORY TRACT INFECTION IN A TERTIARY CARE HOSPITAL
Authors: RABIA IQBAL  , MUNEEBA KAMRAN  , RABIA NAJAM  , SIDRA TAHIR  , JUNAID RASHID  , MUHAMMAD SHAHID  
Published: May 2023

Introduction: Acute lower respiratory infection (ALRI), like pneumonia and bronchiolitis, is among the leading cause of death worldwide in children under 5 years of age and is the most common reason for hospital admission of children under 5 children. Risk factors of ALRI include low birth weight, top feeding, incomplete vaccination, air pollution, over-crowding, parental smoking, and chronic ailments. It is also hypothesized that the increased prevalence of ALRI during winter months is due to decrease in Ultraviolet B radiation exposure to skin resulting in decreased Vitamin D production. The rationale of this study is to see the magnitude of Vitamin D deficiency in children presenting with LRTI in emergency of a Tertiary care hospital.
Objective: The objective of my study was to:  “determine the frequency of Vitamin-D deficiency among children presenting with lower respiratory tract infections in a tertiary care hospital”
Study Design: Cross sectional survey.
Duration of Study: Six months i.e; From: 01.06.2017 to 30.11.2017
Settings: Pediatric ward, General Hospital, Lahore.
Results: In this study, total 130 patients were taken, 46.15%(n=60) were between 02-12 months of age and 53.85%(n=70) were between 13-24 months of age, mean+sd was calculated as 12.57+6.22 months, 48.46%(n=63) were male while 51.54%(n=67) were females. Frequency of vitamin-D deficiency among children presenting with lower respiratory tract infections was recorded in 39.23%(n=51) while 60.77%(n=79) had normal levels.
Conclusion: We concluded that the patients having LRTI have a high frequency of Vitamin D deficiency. So, it is recommended to screen every child who is diagnosed with lower respiratory tract infection for vitamin D deficiency. It is also recommended that every setup should have their surveillance to know the exact magnitude of this problem.
RESPONSE EVALUATION OF NEO ADJUVANT CHEMOTHERAPY WITH CISPLATIN AND 5-FLUROURACIL IN LOCALLY ADVANCED SQUAMOUS CELL CARCINOMA OF CERVIX
Authors: MUHAMMAD TAHIR  , MUHAMMAD ABBAS KHOKHAR  , MAHAM TASEER  , SAMINA QAMAR  
Published: May 2023

Objective: To assess the frequency of different responses of neoadjuvant therapy with cisplatin and 5-flourouracil in patients presenting with locally advanced squamous cell carcinoma of cervix. Patients and Methods: This was a descriptive case series study conducted at Department of Oncology, Jinnah Hospital, Lahore from 10-07-2015 and completed on 9-01-2016. One hundred and fifty patients were included. Selected patients received chemotherapy with Cisplatin 75mg/m2 on day 1 and 5-flurouracil 750 mg/m2/day continuous infusion from day1 to day5, 3 weekly for a total of 2 cycles. Response assessment was done after completion of 2 cycles of chemotherapy and it was documented as either complete response (CR) or Partial response (PR) or Stable Disease (SD) or Progressive Disease (PD) according to Standard Method of “Response Evaluation Criteria in Solid Tumors(RECIST 1.1)” with CT scan.
Results: Mean age of study population was 48.19±6.23 year. Majority (49 patient or 32.7%) had stage IIIb disease, 21(14 %) patients had stage IIB disease, 33 (22%) had stage IIIa and 47 (31.3%) had stage IVA disease at baseline. Fifty patients (33.3%) had lymph node involvement and100 patients (66.7%) had no lymph nodal involvement. 116 (77.3%) patients had ECOG performance status of 1 and remaining had performance status of 2.Partial response was seen in 15 (12.7%) with stage IIb patients, 24(20.3%) with stage IIIa, 39 (33.1%) with stage IIIb patients and 40 (33.9%) with stage IVa patients. Stable disease was seen in 4(16.7%) with IIb, 6(25%) with IIIa, 8(33.3%) with IIIb and 6(25%) with IVa patients. Complete response was seen in 2(28.6%) with IIb,3(42.9%) with IIIa, and 1(14.3%) with IIIb and IVa patients each. Progressive disease was seen in only one patient with stage IIIb. Response rates in stage IIIB and IVa patients were better than the stage IIb and IIIa patients but it was not statistically significant.
Conclusion: Neo-adjuvant chemotherapy has fair response rates in locally advanced squamous cell carcinoma of cervix. In resource constraint countries like Pakistan where due to lack of treatment facilities like radiotherapy and skilled oncological surgeons many patients miss the chance of cure due to long waiting times, Neo-adjuvant chemotherapy can be used as a bridge therapy in patients who are waiting for definitive treatment options.
DIAGNOSTIC ADEQUACY AND SAFETY OF IMAGE GUIDED TRU-CUT BIOPSY
Authors: ABDUL MAJID  , AMBREEN ZAHOOR  , ZEENAT ADIL  , SHAUKAT MAHMOOD  
Published: May 2023

Objective: To analyze the safety and adequacy of image guided TRU-CUT biopsy in Kuwait Teaching Hospital, Peshawar
Materials and Methods: This retrospective cross-sectional study was conducted in Radiology Department of Kuwait Teaching Hospital from 1st January to 31st December 2016. A total 354 patients presenting for image guided TRUCUT biopsies were included in study, specimens were sent to reputable laboratories for evaluation of sample adequacy whereas, safety of the procedure was assessed by rate of major complications. SPSS version19 was used for statistical analysis.
Results: 100% of CT guided biopsies generated adequate samples, whereas 326 out of 336 U/S guided biopsies produced adequate specimen with overall diagnostic adequacy of 97.1%. Scrutiny of results depicts no major complications in any patient. There was statistically insignificant effect of needle parameters or imaging modality, having P value > 0.005, on the adequacy of biopsy specimen.
Conclusion: Image guided TRU-CUT biopsy is effective and safe procedure. Our study can help counsel patients about safety and effectiveness of procedure and avoiding more invasive open biopsies.
INCIDENCE OF MALIGNANCY IN SOLITARY THYROID NODULE
Authors: SAJID RASHID NAGRA  , GHULAM DASTGIR KHAN  , MUHAMMAD NASRULLAH  , AYESHA HAYAT  , SANA GHAFFAR  
Published: May 2023

Background: Nodular goitre is prevalent in adult population. Usually it is multinodular goitre but a discrete swelling has to be evaluated for risk of neoplasia. Special dilemma is for diagnosis of follicular adenomas and follicular carcinomas.
Objective: To investigate solitary thyroid nodule and its association with malignancy.
Materials and Methods: This prospective study of 145 patients from January 2015 to December 2016, carried out in referral hospital of Saudi Arabia. Only those cases with solitary thyroid nodule were included in the study and then incidence of malignancy evaluated. Sex incidence, age groups along with routine investigations followed by ultrasonography and FNAC carried out in all patients. Thyroid function tests were mandatory before subjecting patients for treatment.
Results: Predominantly (68%) solitary nodule was found in Right lobe of thyroid gland in comparison to left lobe (25%) and in isthmus (07%). Out of these 145 patients, 88.27% were benign while 8.3% malignant and 3.45% were suspicious. Suspicious turned out to be 2.1% benign and 1.4% malignant on biopsy. Nodular goitre (65%) dominated in benign group, followed by Hashimoto’s thyroiditis (3%). In neoplastic group, follicular carcinoma (52%) took top slot and papillary neoplasm (23%) on second place. Female to male ratio was 4:1. Age range was from 19 years to 64 years. FNAC was main stay of investigation along with ultrasound neck.
Conclusion: A significant percentage of malignancy is present in solitary thyroid nodule. So its early diagnosis and proper treatment should be ultimate goal to reduce the mortality of the disease.
Evidence Base for Virtual Primary Care
Authors: Lachance Chantelle C. , Severn Melissa , Kim Joanne 
Published: May 2023

The aim of this report was to identify and organize evidence and summarize key findings on the clinical effectiveness, cost-effectiveness, patient and provider experiences and preferences, and equity considerations of virtual primary care. It includes 60 relevant reports, of which we summarized 6 systematic reviews (SRs) and organized 54 additional reports into annotated reference lists.
This report was not a formal evidence synthesis, and no conclusions were formed about the value of virtual primary care. The literature was not critically appraised, and the quality of the evidence from the included reports is unknown.
The evidence about the clinical effectiveness of virtual primary care summarized in this report comes from a limited number of studies identified by 3 SRs and was mainly focused on health care utilization outcomes versus patient health or clinical harms outcomes. The findings were mixed, but overall, in-person visits may be associated with lower rates of health care utilization (e.g., emergency department visits, hospitalizations) compared with virtual visits. Virtual consultations may be associated with improved patient engagement compared with in-person care for certain conditions or settings (e.g., opioid addictions) but not others (e.g., smoking cessation, postnatal care, other general settings).
The evidence about the cost-effectiveness of virtual primary care summarized in this report comes from 3 studies identified by 1 SR. Virtual primary care compared with in-person care might be cost-effective for patients with asthma and patients who received cognitive behavioural therapy, but these analyses considered very limited outcomes.
The evidence about patient and provider experiences and preferences associated with virtual primary care that is summarized in this report comes from 4 SRs. The SRs identified many perceived benefits and drawbacks of virtual primary care from both patient and provider perspectives, including those around access to care, effectiveness, experience and satisfaction, and financial impact and cost.
The evidence about potential equity issues associated with virtual primary care summarized in this report comes from 2 SRs. Equity considerations, such as age, may affect individuals accessing and using primary care health services. For example, telephone consultations tended to be used by older individuals (aged ≥ 85 years), while internet-based consultations tended to be used by younger individuals.
Reconstituição histórica temporal da Exposição Internacional do Centenário da Independência
Authors: Drago Niuxa , Vilasboas Naylor , Guedes Batista Neto Sebastiao 
Published: May 2023

A Exposição Internacional do Centenário da Independência do Brasil teve lugar entre o desmonte do Morro do Castelo e respectivo aterramento da Praia de Santa Luzia, no Rio de Janeiro, em 1922/23. Bastante estudada por diversas disciplinas, a comemoração oficial do centenário, prestes a completar 100 anos, já foi motivo de publicações na área dos estudos urbanísticos e arquitetônicos, com destaque para os textos de Ângela Martins (1998), Ruth Levy (2010), Raquel Coutinho da Silva (2012), e Margareth Pereira (2013). No entanto, tendo durado 10 meses, entre setembro de 1922 e julho de 1923, o recinto da exposição, com seu arruamento, tratamento paisagístico, mobiliário urbano, e pavilhões, não pode ser considerado uma obra acabada conforme levam a entender os mapas e fotografias divulgados pelos órgãos oficiais da comemoração. As obras levadas a cabo pelo Prefeito Carlos Sampaio (KESSEL, 2001) e o aumento considerável do número de automóveis e visitantes, as mudanças provocadas pela iluminação pública noturna, o costume do veraneio e eventos da cidade, como o Carnaval, transformavam continuamente o espaço da exposição, que nunca funcionou com todos os pavilhões em atividade. As constantes mudanças nas diretrizes e projetos fizeram com que a exposição fosse inaugurada com apenas cinco pavilhões abertos ao público e fechada quando cinco dos principais pavilhões já estavam vazios. O mesmo pode ser falado sobre o espaço livre do certame, o qual não é encontrado nenhuma representação documental.
O objetivo desta pesquisa é reconstituir e analisar o recinto da exposição, afim de preencher as lacunas encontradas. Esta análise se dará por meio de um mapa temporal, com intuito de recriar um documento do certame. acreditamos poder, desta forma, visualizar o cenário das comemorações em sua verdadeira dimensão urbana
Perawatan Bangunan Fasilitas Umum di Desa Bencoy Kecamatan Cireunghas Kab. Sukabumi
Authors: Pangestu Mulki , M.Raiga Agusti Rustandi  , Lisna  , Moch Ichwan Setia  
Published: May 2023

Public facilities building is one of the buildings intended for the public, the public facilities are provided by the government for the common interest in daily activities. Therefore, the facilities must have comfort when used by all groups,
In Indonesia, the maintenance of public facilities is not comprehensive enough so that there are some public facilities that are not well maintained. In my opinion, maintenance of these public facilities is important because it involves comfort when used by the community.
Therefore we carry out maintenance on public facility buildings in Bencoy Village, Cireunghas District, Sukabumi Regency in order to create comfort for users of public facilities later.
From the public facility building, we carried out renovations for approximately five days by compiling the interior and exterior design of the public facility building, then dismantling and repairing it according to the design, then adjusting the interior first, then adjusting the exterior and finally painting the interior and exterior of the building. further clean and clean the building of public facilities so that the realization of comfort for users of the building.
Pemanfaat Lahan RW sebagai Tempat Penanaman Pohon Jeunjing
Authors: Yunita Ramanda  , Salwa Rizkiah  , Muhamad Ardi Maulana  , Agri Apriansyah  
Published: May 2023

Pada setiap lingkungan RW selalu terdapat lahan kosong yang sering tidak di gunakan bahkan belum di manfaatkan dengan baik oleh warga yang berada di sekitar nya, maka dalam pelaksanaan KKN 2021 ini yang dilaksanakan oleh Nusaputra University, di desa cireunghas kecamatan Cireunghas, tepatnya di RW 03 mahasiswa peserta KKN kelompok 12 bersama masyarakat membuat program kerja penunjang “Pemanfaatan Lahan RW sebagai tempat penanam pohon jeungjing” penanaman pohon ini sebanyak 200 bibit pohon jeungjing yang di tujukan untuk dapat membantu perekonomian masyarakat khusus nya Kas warga untuk kegiatan sosial yang melibatkan seluruh warga yang akan di laksanakan di RW 03 di masa yang akan datang. Kegiatan ini juga sebagai kegiatan reboisasi lingkungan dan melindungi hutan.

Kata kunci : pemanfaatan; lahan kosong; penanaman jeungjing
Pengembangan Model Kualitas Hidup Kerja, Budaya Organisasi, Kepuasan Kerja, Dan Kinerja Pekerjaan Terhadap Organisasi Pelayanan Masyarakat
Authors: Mintawati Hesri 
Published: May 2023

ABSTRAK

Studi tentang kinerja pekerjaan dalam organisasi dapat ditemukan penggunaan yang luas terutama di sektor bisnis. Di sektor tubuh berseragam, kajian tentang kinerja masih kurang, terutama di kepolisian yang terkait dengan perlunya kinerja terbaik anggota untuk menjamin ketentraman dan ketertiban di masyarakat. Kajian tentang prestasi kerja seringkali melibatkan data persepsi responden pada dimensi penelitian termasuk data wacana kinerja pegawai. Penelitian dilakukan dengan memperhatikan konstruk kualitas lingkungan kerja (QWL) dan budaya organisasi (OC) untuk menunjukkan kinerja kerja menggunakan konstruk kepuasan kerja sebagai faktor mediasi yang direpresentasikan oleh dimensi reward dan dimensi relasi. Penelitian ini menggunakan analisis regresi dan SMART-PLS untuk mendapatkan model hubungan dengan menggunakan (i) konstruk kualitas lingkungan kerja dan (ii) konstruk budaya organisasi, sekaligus dimediasi oleh konstruk kepuasan kerja. Secara keseluruhan, penelitian ini dapat digunakan secara signifikan dalam menilai kinerja pekerjaan dan dapat digunakan sebagai referensi akademis dalam penilaian kinerja pekerjaan..

Kata kunci: Prestasi kerja, kepuasan kerja, kualitas lingkungan kerja, budaya kerja, Indonesia
Dampak Kuliah Kerja Nyata Dalam Kegiatan Keagamaan Bagi Anak-anak dan Orang Tua Demi Mewujudkan lingkungan yang religius
Authors: Yulia Nurfitriani  , Citra Hafitasari  , Sugeng Pratomo  , Rizan Nurahman  , Yanaz Aditya Lesmana  , Desri Restiana  , Melisa Safitri  , Aseel Alifa Hamdan  , Fitri Mareta  
Published: May 2023

Kuliah Kerja Nyata (KKN) dapat mewujudkan perubahan baru di masyarakat salah satunya di bidang keagamaan, sehingga akan ada dampak yang ditimbulkan dari diadakannya Kuliah Kerja Nyata (KKN) tersebut. Seperti halnya Kuliah Kerja Nyata (KKN) yang dilakukan di Desa Cijurey Kecamatan Gegerbitung Kabupaten Sukabumi, mahasiswa sebagai agent of change dapat memberikan kontribusi nyata kepada masyarakat melalui program KKN ini. Dalam hal ini bertujuan untuk mengetahui dampak dari Kuliah Kerja Nyata (KKN) terhadap kegiatan kegaaman bagi Anak-anak dan Orang tua di Desa Cijurey. Jenis Penelitian ini merupakan penelitian Lapangan (field research) dengan pendekatan deskriptif kualitatif yang Objeknya adalah Desa Cijurey serta Subjeknya adalah Anak-anak dan Orang tua. Dalam Penelitian ini diketahui bahwa dampak KKN Dalam Kegiatan Keagamaan Bagi Anak-anak dan Orang Tua dapat memberikan dampak positif melalui program-program yang telah dilaksanaka oleh mahasiswa.
PEMANFAATAN CONTENT DIGITAL MARKETING SEBAGAI UPAYA ANTISIPASI PENURUNAN BISNIS PASCA PANDEMI COVID-19
Authors: Syafrizal Asnita Putri , Mulyanti Dety 
Published: May 2023

AbstrakPandemi Covid-19 yang terjadi 2 tahun lalu mengakibatkan penurunan bisnis yang signifikan pada usaha-usaha masyarakat. Sebagai upaya mengatasi penurunan bisnis tersebut, beberapa UMKM mulai merambah pemasaran produk secara digital. Hal ini juga dilakukan oleh UMKM Kripik Balado Henny yang melakukan pemasaran produk menggunakan media social untuk memperkenalkan produk ke masyarakat luas. Namun keterbatasan pengetahuan, mengakibatkan produk tidak tersampaikan secara informatif dan tepat sasaran. Untuk mengatasi masalah tersebut, dilakukan analisis Content Digital Marketing sebagai strategi pemasaran produk yang tepat. Dalam penelitian ini dilakukan analisis pasar menggunakan metode deskriptif kualitatif dengan pendekatan Literatur Review untuk mengetahui target dan kebutuhan konsumen. Diperoleh 50 Responden pengguna media social dengan rentang umur 17 – 45 tahun yang membutuhkan informasi produk menggunakan konten digital. Selanjutnya dilakukan Content Digital berupa Branding Product sebagai bentuk promosi produk sesuai dengan kebutuhan konsumen. Berdasarkan hasil Content Digital Marketing terhadap produk Kripik Balado Henny, diperoleh 46% konsumen sangat tertarik, 39% konsumen tertarik dan 15% konsumen tidak tertarik terhadap produk yang telah dipromosikan secara digital tersebut pada media social. Maka penggunaan Content Digital Marketing pada produk dapat meningkatkan minat beli konsumen, sehingga dapat mengatasi penurunan bisnis pasca Covid-19.Kata kunci : Content Digital Marketing, UMKM, Bisnis, Produk, Media Social
Hallássérült kisgyermekek családközpontú korai intervenciójának hazai alakulása
Authors: Lukács Szandra , Détár Andrea 
Published: May 2023

Absztrakt
Háttér és célok: A hallássérült gyermekek korai intervenciója a több évtizedes múlttal rendelkező, evidenciaalapú, naturális auditív-verbális terápia mentén történik. Ennek kialakulását és gyakorlati megvalósulását a tudomány és technika fejlődése tette lehetővé.
Módszer: Ez a narratív áttekintés a hallássérült gyermekek korai intervenciója kapcsán kíván egy képet adni, hogy milyen fejlődési út vezetett a jelenlegi szakmai elvek, konszenzusok kialakulásához.
Következtetések: Kutatások bizonyították, hogy a hallássérült gyermekek nyelvi fejlődése szignifikáns összefüggésben áll a szülők terápiába való bevonódásával, aktív szerepvállalásával, valamint az idői tényezővel, a hallássérülés minél korábbi felismerésével (Moeller, 2000; Sharma et al., 2002). A hallássérült gyermekek heterogén csoportot alkotnak. Azonban mindannyiuk számára elérhető az egyéni igényeket figyelembe vevő terápia, optimális halláskorrekció, mely által új perspektívák nyíltak az élet számos területén.
Kulcsszavak: korai intervenció, naturális auditív-verbális terápia, szülői bevonódás, nyelvelsajátítást támogató stratégiák
Tendenciák a hallássérült gyermekek ellátásában az újszülöttkori hallásszűrés nyomán Az UNHS (Univerzális Neonatális HallásSzűrés) hatása a hallássérülés diagnosztikájára és a hallókészülékes ellátásra
Authors: Keresztessy Éva 
Published: May 2023

ABSZTRAKT
Magyarországon 2015 óta kidolgozottan működik a hallásszűrés protokollja. A hallássérült kisgyermek életútjának alakulását döntően befolyásolja, hogy a hallásszűrést követően haladéktalanul megtörténik-e a diagnózis felállítása, és meghatározó, hogy a kisgyermek ezután milyen ellátórendszerbe kerül, hiszen a vizsgálatok nem zárulnak le a diagnózis felállításával, hanem a fókusz áthelyeződik a technikai ellátásra. Jól működő ellátórendszerben az érintettek egy szabályozott folyamat részeseivé válnak, amely folyamatba – szerencsés esetben – minden szakellátó a megfelelő időben és helyen kapcsolódik be. Hazánkban azonban nincs egységes rendszere a diagnosztikai és habilitációs folyamatnak, nincs meghatározva a megfelelő beavatkozás tartalma és hatóköre.
Vizsgálatainkat az ELTE Bárczi Gusztáv Gyógypedagógiai Kar Hallássérült Személyek Pedagógiája és Rehabilitációja Szakcsoport és a Hangzoona Kft. közösen működtetett audiológiai vizsgálóállomásán végeztük.
Jelen tanulmányban 281 gyermek vizsgálatáról, ellátásáról számolunk be. A gyermekek mindegyike a 2015-ben kötelezően bevezetett újszülöttkori objektív hallásszűrési program hivatalos kezdetét követően született. Közülük a legidősebb 2015. novemberében, a legfiatalabb 2022. októberében született. A vizsgálatokra 2017. november 30. és 2022. november 30. közötti időszakban jelentkeztek ellátásra intézményünkbe. Ezen esetek ismertetésével mutatjuk be azt a módszertant, amit a hallássérült kisgyermekek hatékony megsegítésére alkalmazunk. Ezzel kívánjuk megalapozni egy egységes protokoll kialakítását.
Kulcsszavak: hallásszűrés, folyamatdiagnózis, hallás-beszédfejlesztés, családközpontú beavatkozás, funkcionális hallásvizsgálat, multidiszciplináris team, protokoll
A IMPORTÂNCIA DO “CONHECIMENTO DO TEMA” NA FORMAÇÃO INICIAL DE PROFESSORES E PARA A ELABORAÇÃO DOS CURRÍCULOS A PARTIR DA BASE NACIONAL COMUM CURRICULAR (BNCC)
Authors: Gomes Seferian Ana Paula 
Published: May 2023

Esse artigo apresenta reflexões suscitadas pela tese de doutorado defendida em 2018, a partir das constatações apresentadas nesse trabalho. Na referida tese, pudemos ponderar sobre a relação do Conhecimento do tema (GROSSMAN, 1990) ou Conhecimento Específico do Conteúdo (SHULMAN, 1982), que compõe o Pedagogical Content Knowledge (PCK) com o desenvolvimento de habilidades e competências em Geografia. Para tanto buscamos contextualizar a pesquisa e seus resultados, apresentando a organização de um plano de ensino para o ensino superior que se vale das Sequências Didáticas (SDs), tanto como recurso organizador das atividades de ensino, como também se mostrou fonte para a sistematização dos dados e das análises realizadas. Por fim, procuramos mostrar a importância do Conhecimento do Tema tanto na formação dos professores, como para a elaboração de currículos que promovam o desenvolvimento das habilidades e competências propostas pela Base Nacional Comum Curricular (BNCC).