bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH KEMAMPUAN DAN MOTIVASI TERHADAP KINERJA PEGAWAI PADA KANTOR CAMAT KELUANG KABUPATEN MUSI BANYUASIN
Authors: Jusrizal Jusrizal , Rakhmat Rakhmat , Afrika Didi , Edi Herman , Suhendra Suhendra 
Published: March 2023

Judul penelitian ini adalah “Pengaruh Kemampuan dan Motivasi terhadap Kinerja Pegawai pada Kantor Camat Keluang Kabupaten Musi Banyuasin”. Adapun rumusan masalah dalam penelitian ini adalah bagaimanakah tanggung jawab aparatur dalam pelayanan publik di Kantor Camat Suak Tapeh Kabupaten Banyuasin?. Tujuannya 1)Untuk mendeskripsikan dan menganalisis profesionalitas aparatur Kecamatan Suak Tapeh Kabupaten Banyuasin dalam menjalankan tugas dan fungsi organisasi secara profesional terutama dari aspek responsifitas dan inovasi. 2)Menganalisis faktor-faktor apa saja yang dihadapi Camat Suak Tapeh Kabupaten Banyuasin dalam mengembangkan aparat yang bertanggung jawab dan berinovasi. Penelitian ini akan menggunakan metode penelitian kualitatif yaitu menekankan unsur manusia sebagai instrumen penelitian, dengan menekankan unsur manusia sebagai instrumen penelitian maka akan mempermudah penyesuaian-penyesuaian dengan kenyataan yang terjadi dilapangan. Sumber data yang digunakan dalam penelitian ini adalah data primer dan data sekunder. Data primer diperoleh dari data-data yang dikumpulkan penulis dari sumber data di lokasi penelitian, sedangkan data sekunder diolah dari hasil dokumentasi yang dilakukan penulis dari hasil wawancara, studi dokumentasi dan pengamatan lapangan. Hasil analisa adalah 1)Responsifitas aparatur Kecamatan Suak Tapeh baik dalam rangka pelayanan kepada masyarakat maupun dalam pelaksanaan tugas-tugas yang lain dinilai masih kurang, sehingga tujuan mulia organisasi dan pemberian pelayanan terbaik bagi masyarakat belum dapat tercapai. Peningkatan profesionalitas aparatur belum dapat tercapai sesuai yang diharapkan. 2)Wewenang dan tanggung jawab masing-masing aparatur Kecamatan Suak Tapeh telah dipahami dan dilaksanakan dengan baik dari pimpinan puncak (Camat), pejabat menengah (Sekcam dan Kepala Seksi) sampai staf pelaksana meskipun masih menggunakan sistem hirarki dalam pelaksanaan tugas dan pengambilan keputusan.Berdasarkan hasil penelitian maka dapat direkomendasikan beberapa hal yaitu 1)Upaya yang dapat dilakukan untuk menumbuhkan responsifitas aparatur adalah dengan membuat program kerja jangka panjang, jangka menengah dan jangka pendek serta menetapkan skala prioritas kegiatan mana sajakah yang akan dilakukan terlebih dulu. Program kerja dan skala prioritas tersebut dapat dipajang sehingga dapat dibaca oleh seluruh pegawai dan adanya control untuk saling mengingatkan antar karyawan. 2)Memberikan motivasi dan kesempatan seluas-luasnya kepada para pegawai untuk menambah pengetahuan dan peningkatan ketrampilan baik dari inisiatif dan biaya pribadi atau biaya dinas dalam rangka menyikapi kemajuan ilmu dan teknologi diharapkan dapat meningkatkan kepercayaan diri aparatur dalam menumbuhkan semangat berkembang dan mengembangkan diri.
Assessment of Air Pollution Associated Self-Reported Symptoms on General Population of Rawalpindi and Islamabad
Authors: Hisam Aliya , Mashhadi Syed Fawad , . Laiba , Riaz Zoya , Suleiman Muhammad , Amjad Sameer , Bashir Hamza 
Published: March 2023

Objectives: To assess the air pollution-associated self-reported symptoms among the general population of Rawalpindi and Islamabad.
Study Design: Analytical cross-sectional study.
Place and Duration of Study: Study was conducted at Pak Emirates Military Hospital & Combined Military Hospital,Rawalpindi Pakistan, from Nov 2021 to Apr 2022.
Methodology: The data was collected using a pre-formed questionnaire and was distributed among the general population that reported to Pak Emirates Military Hospital and Combined Military Hospital OPD, Rawalpindi Pakistan and the students of varying colleges of Islamabad and Rawalpindi Pakistan. People were thoroughly explained about the content and the purpose of our study. The data was collected after their consent and were told about their right to fill whole or part of the form and that they can withdraw or drop out of the study at any point. Data were analyzed in SPSS version 23.
Results: Mean age of the population was 29.41±12.41 years. The physical effects were categorized according to their scores as mild 54(21.3%), moderate 122(48.2%) and severe 77(30.4%). About 150(50.8%) participants reported positive behavioral and psychological effects of air pollution. About 160(63.4%) people reported that they’ve been using preventive measures to avoid the air pollution associated health effects. While 174(68.8%) people had sufficient awareness regarding air pollution and its effects (p<0.05).
Conclusion: The general population of Rawalpindi and Islamabad reported significant physical, and psychological, behavioral effects of air pollution. An association was found between occupation and physical effects of air pollution. Psychological effects like aggressive behavior and anxiety were found to have association with occupation. Facemask was found the most prevalent preventive measure. Participants had sufficient knowledge about air pollution and effects.
Frequency of Hyperuricemia in Type-2 Diabetes Mellites and its Relation with Diabetic Nephropathy
Authors: Ali Gulzar , Kamran Muhammad Asif , Amir Muhammad , Mumtaz Babar , Khan Imran , Tariq Muhammad 
Published: March 2023

Objectives: To determine the frequency of Hyperuricemia in patients with type-2 Diabetes Mellitus and to compare frequency of Diabetic Nephropathy in Hypouricemic vs Normouricemic patients with type-2 Diabetes.
Study Design: Cross-sectional analytical study.
Duration and Place of Study: Medicine Department Combined Military Hospital Peshawar, from Dec 2018 to May 2019.
Methodology: Patients from both genders with type 2 Diabetes having glycosylated hemoglobin (HbA1c) ≥6.5%, Fasting Blood glucose ≥ to 7.0 mmol/L or random blood glucose ≥11.1 mmol/L were recruited from out Patient department.Participants were tested for serum uric acid, fasting blood glucose, Glycosylated hemoglobin (HbA1c) and Spot Urine Albumin Creatinine Ratio after 8 hours fasting.
Results: Out of 111 patients enrolled Hyperuricemia was present in 40 (36.04%) patients of which 21 (52.50%) were male and 19 (47.50%) were female. Diabetic Nephropathy was present in 43(38.74%). Out of 43 patients having diabetic nephropathy, 25 (58.14%) were having hyperuricemia. The study observed a linear relationship between serum uric acid and type-2 diabetes duration, fasting blood glucose levels, glycosylated hemoglobin (HbA1c) and urinary Albumin creatinine ratio.
Conclusion: Hyperuricemia is positively linked with diabetic complications in majority of patients with type-2 diabetes. Serum uric acid levels can be used as an early diagnostic parameter and can prognosticate diabetic nephropathy.Keywords: Diabetes mellitus, Diabetic nephropathy, Hyperuricemia, Microalbuminuria
Diagnostic Accuracy and Agreement between Magnetic Resonance Imaging and Ultrasound Finding for the Diagnosis of Rotator Cuff Tears
Authors: . Shabana , Akhtar Muhammed , Noor Asma , Ashfaq Mohammed , Ashfaq Tayyaba , Shah Zahid Raza 
Published: March 2023

Objective: To determine the diagnostic accuracy and agreement between ultrasound and magnetic resonance (MR) imaging in determining rotator cuff tears.
Study Design: Cross-sectional study.
Place and Duration of the Study: Armed Forces Institute of Radiology and Imaging, Pak Emirates Military Hospital,Rawalpindi Pakistan, from Jul 2018 to Jan 2019.
Methodology: Patients of either gender with a traumatic shoulder injury duration of less than 15 days were consecutively included. Rotator cuff tear on ultrasonography was diagnosed on the presence of a hypoechoic discontinuity in the tendon and accentuation of cartilage shadow, giving a 'double cortex' view while on MRI, the hyper-intense signal area within the tendon on T2W, fat-suppressed and GRE sequences, corresponding to fluid signal seen.
Results: Of 88 patients, the mean age was 54.022±5.19 years. Ultrasound diagnosed rotator cuff tears in 42(47.7%) patients, and MRI diagnosed rotator cuff tears in 44(50.0%) patients. Diagnostic accuracy of ultrasound taking MR imaging as the gold standard showed sensitivity as 81.82%, specificity as 77.27%, negative predicted value as 78.26%, positive predicted value as 80.95%, and overall diagnostic accuracy as 79.55%. A moderate agreement was found between ultrasound and MRI findings (p-value=0.591).
Conclusion: The findings of the current study showed significant moderate agreement between ultrasound and MR imaging in the determination of rotator-cuff tears.
Effectiveness of 17-Alpha-Hydroxyprogesterone in the Prevention of Preterm Labour
Authors: Urooj Uzma , Khan Sumaira , Parveen Shakeela , Shah Sajid Ali 
Published: March 2023

Objective: To compare the effectiveness of 17-Alpha- Hydroxyprogesterone in preventing preterm labour.
Study Design: Prospective longitudinal study.
Place and Duration of Study: Department of Obstetrics and Gynecology, Combined Military Hospital, Sakardu Pakistan, from Jun to Dec 2019.
Methodology: A total of 208 patients (104 in each group) were recruited in this study. Group-A 17-alpha-hydroxyprogesterone (250mg) intramuscular injection was given weekly from 20-36 weeks of gestation or delivery, whichever occurred first. GroupB (Control Group) received no treatment except routine antenatal care but was treated actively with tocolytic drugs and corticosteroids if they presented with preterm labour.
Results: Mean age of the patients was 26.1±4.9 and 25.7±4.5 in Group-A and B, respectively. In Group-A (17-alphahydroxyprogesterone), the mean gestational age at delivery was 36.8±3.8; in Group-B (control), the mean gestational age was 35.7±1.3. Treatment was efficacious in 82 patients (78.8%) in Group-A and 65(62.5%) in Group-B. The difference was statistically significant between the two groups (p=0.009).
Conclusion: 17 Alpha-Hydroxyprogesterone caproate preventive therapy likely plays an important role in reducing the risk of recurrent preterm birth.
Anatomical Variation of Olfactory Fossa on Computed Tomography of Paranasal Sinuses
Authors: Shahid Madeeha , Mahmood Rashid , Ullah Hidayat , Sheraz Muhammad Atif , Ibrahim Muhammad Imran , Ali Farzana Zulfiqar 
Published: March 2023

Objective: To determine the frequency of anatomical variation of olfactory fossa among the adult Pakistani population by Keros classification on computed tomography (CT) of paranasal sinuses.
Study Design: Cross-sectional study
Place and Duration of Study: Department of Radiology, Combined Military Hospital, Rawalpindi Pakistan, from May 2019 to Mar 2020.
Methodology: A total of 65 patients of either gender were included. Patients with previous trauma or surgery of the skull base or paranasal sinuses, malignant diseases of the sinuses and congenital anomalies were excluded. All the included patients in the study underwent CT paranasal sinuses. Measurements of the olfactory fossae followed by grouping as per Kero’s classification were done, and CT findings were recorded.
Results: The patients included in the study ranged from 18 to 65 years, with a mean age of 33.09±10.86 years and 72.3% of patients 18 to 40 years of age. Of 65 patients, 36(55.4%) were males, and 29(44.6%) were females. The mean CT depth of the olfactory fossa was 6.34 ±4.03mm. Type-I olfactory fossa by Keros classification was found in 17(26.2%), Type-II in 35(53.8%) and Type-III in 13(20%) of patients.
Conclusion: This study concluded that Keros Type-II is the most common anatomical variation of olfactory fossa among the adult Pakistani population on CT of paranasal sinuses with an intermsediate risk of intracranial complications during endoscopic sinus surgery involving this region.
Clinicopathological Spectrum of COVID-19
Authors: Ali Syed Salman , Shaukat Javeria , Zubair Muhammad , Khan Muhammad Hassan , Hashaam Muhammad 
Published: March 2023

Objective: To analyse the clinicopathological spectrum of COVID-19 among 2000 patients.
Study Design: Cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Abbottabad Pakistan, from Apr to Jun 2020.
Methodology: The study included 2000 patients who came to CMH Abbottabad to seek medical attention during the first wave of the COVID-19 pandemic. Age, gender, contact history, history of foreign travel, clinical features, comorbid conditions and results of SARS-CoV-2 PCR were observed.
Results: From 2000 cases, 1442(72%) were males, and 558(28%) were females. The mean age was 35.02±13.00 years, and 1275(63.8%) cases were from the 3rd to fourth decade of life. 900(45%) of the cases had a contact history with a COVID-19 patient, whereas only 4(0.2%) had a history of foreign travel. 1854(93.0%) of the cases were asymptomatic, whereas only 48(2.4%) presented with fever and cough, the most common symptoms. Only 26(1.3%) cases had associated comorbid conditions, and 263(13.0%) cases showed positive PCR results. The statistical association was found to be significant among age groups, gender, contact history and results of SARS-CoV-2 PCR,(p-value< 0.001).
Conclusion: This study provides an overall view of the COVID-19 pandemic, which has grasped the globe within no time.Efficient preventive and control measures are mandatory, in addition to early identification and diagnosis, to overcome the infection.
Diagnostic Accuracy of CHROMagar Orientation for Identification of Uropathogens
Authors: Ali Nayab , Hussain Wajid , Mirza Irfan , Niazi Asima , Rubab Fatima , Salim Saira 
Published: March 2023

Objective: To determine the diagnostic accuracy of CHROMagar Orientation for its ability to support the growth and identification of uropathogens by keeping API 20E/20NE as a gold standard.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Microbiology, Armed Forces Institute of Pathology, Rawalpindi Pakistan, from Jun to Nov 2019.
Methodology: A total of 470 midstream specimen of urine from patients suspected of UTIs were analyzed. Urine specimens were inoculated by 1µL calibrated sterilized loop each on CLED Agar, Blood agar and CHROMagar Orientation media plates.Culture plates were incubated at 35.00±2.00ºC for 18 to 24 hours. As per standard protocols, isolates were identified by colony morphology, Gram stain, catalase, oxidase, DNAase, coagulase, and API 20E/20NE. In addition, the appearance of microorganism on CHROMagar Orientation media were identified according to the manufacturer’s instructions.
Results: Out of 470 samples, 211 showed no growth, 90 were classified as mix growth (polymicrobial), and 169 samples were positive (unimicrobial) for the growth of uropathogens. All the samples positive for bacterial growth on conventional media were also positive on CHROMagar orientation and vice versa. The sensitivity and specificity of CHROMagar Orientation for differentiation of uropathogens were 99% and 100%, respectively.
Conclusion: The overall findings of our study suggested that CHROMagar supports the growth of all uropathogens. It provided the rapid identification of organisms based on their colour morphology, even in a mixed bacterial culture, growth within 24 hours easily.
Uterine Artery Doppler Pulsatility Index in the First Trimester as a Forecaster of Pre-Eclampsia in Primary Gravida
Authors: Humayun Pareesae Artemis , Aziz Sadaf , Arif Ayesha , Afsheen Afeera , Arif Nadia , Batool Sadiqa 
Published: March 2023

Objective: To uncover a correlation between a high uterine artery pulsatility index on Doppler ultrasound and the early onset of pre-eclampsia to reduce maternal and fetal morbidity and mortality.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Gynecology and Obstetrics, Combined Military Hospital, Multan Pakistan, from Jun 2020 to Dec 2021.
Methodology: After Ethical Approval and informed consent, the umbilical artery pulsatility (UAPI) of the patients was measured by a transabdominal scan(TAS) between 75 and 100 days. Raised UAPI was correlated with early onset preeclampsia.
Results: One hundred and sixty pregnant women were included in the study, out of which 34(21.3%) women developed preeclampsia, and 126(78.8%) were normal patients. Maternal weight (p=0.001), maternal BMI (p=0.002), gestational age and weight at delivery (p=0.001), and uterine artery doppler pulsatility index (p=0.001) had statistically significant differences with pre-eclampsia and regular patients among the target population.
Conclusion: First-trimester uterine artery pulsatility index on Doppler ultrasound is a beneficial technique to recognize the women by risk status and target them to prevent pre-eclampsia.
Celiac Disease and its Association with Socio-Demographic Parameters in Patients with Diabetes Mellitus Type-1
Authors: Imran Paras , Qasim Saeeda Fouzia , Latif Saba , Yahya Mohammad , Shaikh Saima Athar , Masood Shazia 
Published: March 2023

Objective: To determine the frequency of Celiac disease in patients with Type-1 Diabetes Mellitus (DM) and its association with socio-demographic parameters.
Study Design: Cross-sectional study.
Place and Duration: Medical Departments of Dr Ruth K. M. Pfau, Civil Hospital, Karachi Pakistan, from Apr to Sep 2019.
Methodology: Patients diagnosed with type-1 DM were enrolled in the study. Patients underwent blood testing for Celiac Serology. IgA level greater than 10U/m1 was taken as positive for celiac disease. If IgA levels were low, then Anti-tTG IgG was tested.
Results: One hundred seventy-seven patients diagnosed with type-1 diabetes mellitus were included in this study. The average age of patients was 36.39±6.81 years. There were 109(61.58%) males and 68(38.2%) females. The frequency of celiac disease in patients with type-1 DM was observed at 8.47%. The frequency of celiac disease was not statistically significant among different age groups (p=0.644), gender and disease duration (p>0.05). However, celiac disease was more frequent in patients with a family history, but it was not statistically significant (25% vs 7.7%; p=0.086).
Conclusion: This study showed a higher frequency of celiac disease in patients with T1DM than in the general population in our country, and the data lend support to recommend regular screening for Celiac disease in all patients with Type-1 DM.
Relações de Agência e Governança em Instituições de Ensino Superior Sem Fins Lucrativos
Authors: Moreira Evelter Silva , Macedo Roberta de Cassia 
Published: March 2023

Objetivo: O presente ensaio teórico tem por objetivo identificar como ocorre as relações de agência, envolvendo os stakeholders em instituições de educação superior sem fins lucrativos, bem como o papel da governança corporativa nesse contexto. Abordagem teórica: Discute-se a Teoria da Agência, a Teoria dos Stakeholders e a Governança Corporativa a partir de seus fundamentos, história e evolução até os dias atuais e as especificidades das instituições de educação sem fins lucrativos. As teorias são concatenadas em uma perspectiva de múltiplos principais e agentes envolvendo os stakeholders e a governança como moduladora de conflitos em relação ao propósito da organização. Resultados: Apresenta-se como resultado um modelo teórico evidenciando as relações de agência, das quais podem emergir riscos de conflitos, quando os objetivos institucionais da organização são desconsiderados e o papel da governança na mitigação destes riscos. Para pesquisas futuras sugere-se o aprofundamento prático, com uma investigação empírica em organizações sem fins lucrativos. Originalidade/Relevância: O trabalho tem originalidade por propor uma abordagem integrada das teorias, mostrando-se também relevante para o campo dos estudos do terceiro setor. Contribuições teóricas: Traz contribuições teóricas na medida que traça uma nova perspectiva de abordagem das teorias e do propósito das organizações. Contribuições sociais: Apresenta também contribuições sociais por discutir o tema no contexto das instituições de educação superior sem fins lucrativos, contribuindo para que este tipo de organização possa compreender melhor a configuração e os riscos envolvendo as relações de agência.
Information hygiene in the Internet as a stress resistance factor of the penitentiary system future employees
Authors: Мадоян М.А. , Мадоян С.М. 
Published: March 2023

В статье обобщены и проанализированы новейшие научные данные о неблагоприятных эффектах информационного воздействия интернет-среды применительно к будущим сотрудникам пенитенциарной системы, которые являются, с одной стороны, представителями силовой структуры, с другой – частью поколения, никогда не жившего без интернета. Рекомендованы способы соблюдения информационной гигиены, препятствующие негативному влиянию интернет-контента. Предложены мероприятия по формированию и закреплению навыков информационной гигиены у курсантов пенитенциарных вузов. Положения статьи могут быть использованы в учебно-воспитательном процессе подготовки сотрудников пенитенциарной системы.
In the article the authors summarize and analyze the latest scientific data on the adverse effects of the information impact of the Internet environment in relation to future employees of the penitentiary system, who, on the one hand, are representatives of the security forces, on the other, part of a generation that has never lived without the Internet. Methods for maintaining information hygiene are recommended to prevent the negative impact of Internet content. Measures for the formation and consolidation of information hygiene skills among cadets of penitentiary universities are proposed. The provisions of the article can be used in the educational process of training employees of the penitentiary system.
Brolucizumab (Beovu)
Authors: CADTH  
Published: March 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses brolucizumab (Beovu), 6 mg (6 mg/0.05 mL solution) for intravitreal injection.
Indication: For the treatment of diabetic macular edema.
СИНГУЛЯРДУУ КОЗГОЛГОН ӨЗГӨЧӨ ЧЕКИТИ БАР БИРИНЧИ ТАРТИПТЕГИ ДИФФЕРЕНЦИАЛДЫК ТЕҢДЕМЕНИН ЧЕЧИМИНИН АСИМПТОТИКАСЫН ТУРГУЗУУ
Authors: Дадажанова Гуласал , Абсатар кызы Айдана 
Published: March 2023

Бул жумушта изилдѳѳнүн предмети болуп сингулярдуу козголгон бир тектүү эмес алсыз сызыктуу дифференциалдык теӊдемелер эсептелинет. Изилдѳѳнүн максаты сингулярдуу козголгон бир тектүү эмес алсыз сызыктуу дифференциалдык теӊдеме чечимин асимптотикасын тургузуу болуп эсептелинет. Чечимдин асимптотикасын тургузууда классикалык асимптотикалык усул – козголуулар усулунан пайдаланылды. Анын жардамында сызыктуу жана сызыктуу эмес дифференциалдык теӊдемелердин, жекече туундулуу дифференциалдык теӊдемелердин чечимин тургузуу салыштырмалуу оӊой. Макалада теӊдемеси каралып, мааниси болгон учурда дифференциалдык теӊдеме алсыз сызыктуу кадимки дифферециалдык теңдеме болот. Теӊдемеде кичине параметрден аналитикалык түрүндѳ кѳз каранды болгону үчүн, анын чечими да кичине параметр боюнча аналитикалык функция болот. Башкача айтканда калдык мүчѳсү бар Тейлордун катарына ажырайт. Козголуу методунун классикалык теориясына Анри Пуанкаре чоӊ салым кошуп, алгычкы аныктаманы берген. Сингулярдуу козголгон теӊдеменин чечимин асимптотикасын тургузуу колдонмо изилдѳѳлѳрдѳ чоӊ мааниге ээ болуп, алар физика, техника, суюктуктар жана газдар механикасы кѳп изилденет.