Student’s Awareness Towards Corruption Cases in Indonesia

Background : The current corruption case in Indonesia are severely problematic since it is normalized by society. As a response, the current agenda of the Indonesian government to tackle it is by raising awareness of youth towards Indonesia’s corruption case. Aim : This study aims to knowing the importance of anti-corruption education and its applications among students. Method : The methodology of this study is the use of a qualitative survey on Faculty of Pharmacy students and interviews with representatives of students of the Faculty of Pharmacy. The population of this study is students of Airlangga University. The sample of this study is 52 students of class C the Faculty of Pharmacy Result : Students have awareness about corruption and even proposed that the current anti-corruption education is not enough to tackle corruption. Recommendation : The researcher suggests that students can be brave to campaign about the importance of anti-corruption education to the public. Limitation : The limitation of this study is that it is difficult to conduct research because in the online pandemic era, this results in delays in the research process.

Authigenic Phyllosilicates in Sand Layers from the Mudflats of Saline Lakes in the Northern Great Prairies, Saskatchewan

ABSTRACT The mudflats of saline lakes are amenable to authigenic clay formation due to the high ionic strength of the solutions driven by evaporative concentration and due to the fluctuating wet/dry cycles. However, the mudflats of saline lakes have received relatively little study given the challenges in sampling unstable sediments coupled with post-depositional alterations that make direct relationships to the climate difficult. In an effort to gain a better understanding of the authigenic phyllosilicates present, the mudflats of 17 sulfate-rich saline lake basins across southern Saskatchewan were sampled. The <2 μm fraction was separated from the sediments and analyzed utilizing X-ray diffraction (XRD), scanning electron microscopy, bulk chemical analysis via digestion and inductively coupled optical emission spectroscopy, and visible and near-infrared reflectance spectroscopy. The mudflat sediments were characterized as highly variable and were classified based on particle size into sediment classes A (clay-rich), B (unsorted till), and C (sand). Despite the high variability in sorting and thickness of the sedimentary layers, the phyllosilicates were distinctive within each class independent of the basin. Phyllosilicates in sediment class A were characterized by well-crystalline dioctahedral (Al) clays similar to the surrounding soils with smectite > illite > kaolinite > chlorite. Phyllosilicates from sediment class B displayed highly variable characteristics ranging between classes A and C. Clays from sediment class C were dominated by illite with decreasing proportions of smectite, kaolinite, and chlorite. The illite in the sand lenses was poorly formed, with broad reflections in the XRD patterns indicative of small crystallite size or high disorder, which is consistent with an authigenic nature. The clays in class C were rich in iron (Fe) and magnesium (Mg) and displayed lath-like morphologies common with authigenic illite forming in sandy porous sediments. The sand lenses of mudflats represent viable targets for finding authigenic clay minerals in detrital-rich sediments to use in understanding past climates on Earth and Mars.

A Comparative Study on the Effect of Class C and Class F Fly Ashes on Geotechnical Properties of High-Plasticity Clay

Clays generally have a low strength and capacity, and additives are usually used to stabilize them. In recent years, using fly ash to stabilize soil has decreased environmental pollution while also having an economic benefit. The objective of this study is to perform a comparative investigation on the effect of class C and class F fly ashes on geotechnical properties of high-plasticity clay using the Atterberg’s limit, compaction, California Bearing Ratio (CBR), and unconfined compressive strength tests. The results showed that with an increase in the amount of fly ash, there was a decrease in the maximum dry density and an increase in the optimum moisture content. Moreover, an addition of fly ashes of up to 25% caused a reduction of the liquid limit and plasticity index, and an increase in the maximum unconfined compressive strength and CBR. Lengthening the curing time had a positive impact on the unconfined compressive strength of the soil. The soil samples with class C fly ash were seen to possess more efficient geotechnical properties as compared to class F fly ash.

Correlation between Hepatic Vein Wave form Changes on Doppler Ultrasound and the Severity of Diseases in Cirrhotic Patients

Background: Cirrhosis is a common problem and is a leading cause of chronic liver disease. Early diagnosis with assessment of severity of diseases may help prevent the associated complications and patients’ sufferings. Now a days Hepatic venous Doppler can be a tool for diagnosis of cirrhosis and to assess correlation between waveform changes and severity of diseases. Objective: The purposes of this study was to determine the significance of hepatic vein waveform changes on doppler ultrasound in cirrhotic patients and to correlate with liver dysfunction. Materials and methods: This study was carried out in the department of Radiology and Imaging of Enam Medical College and Hospital during January 2017 to May 2018. Doppler waveforms were obtained from right hepatic vein in all the cases and classified as triphasic, biphasic and monophasic. Waveform comparisons were made among patients with differing grades of cirrhosis. Child- Pugh class was used to assess severity of cirrhosis. Doppler sonography was done in 80 patients suspecting of having liver cirrhosis. Data on clinical findings, B mode sonographic findings and hepatic vein doppler ultrasound findings were collected and documented in structured forms. Analysis was done using SPSS - 20. Results: Total of 80 patients who met the inclusion criteria are included in the study with mean age of 45.37±7.64 (range 25-75) years. Among these 57 (71%) were males while 23(29%) were females. On the basis of hepatic function 25 (31%) patients presented in Child-Pugh Class A, 31(39%) with Class B and 24(30%) patients had Class C. Hepatic venous waveform was triphasic in 22 (27.5%), biphasic in 28(35%), and monophasic in 30 (37.5%) cases. Our study revealed 88% (21) of Child- Pugh Class C, 23% (7) of Class B and 8% (2) of class A patients had monophasic HV waveform. The hepatic venous waveform progressively changed from triphasic to biphasic to monophasic with advancing grade of cirrhosis. The relationship of these waveforms change had significant relation with hepatic dysfunction (p < 0.022). Conclusion: Hepatic vein wave form changes reflects the change in hepatic circulation associated with progression of liver cirrhosis. It can be used as a new parameter in the assessment of severity of liver cirrhosis. Thus, alteration in hepatic venous blood flow pattern on doppler ultrasound can be a useful noninvasive tool for evaluating diseases severity in patients with cirrhosis. J MEDICINE 2021; 22: 100-106

Quality of Life Score in Patients with Chronic Liver Disease using CLO Questionnaire

Aim: To determine the quality of life score in patients with chronic liver disease using CLO questionnaire. Study Design: Cross sectional study Place and Duration: Department of Gastroenterology, Shaikh Zayed Hospital Lahore during from 14-June-2016to 15-December-2016. Methodology: 180 consecutive patients of chronic liver disease were selected after taking Informed consent. The diagnosis was confirmed according to the data of clinical, biochemical examinations and the results of percutaneous liver biopsy data in some selected cases. All patients were subjected to exam, LFT's, RFT's and CBC, ultrasound abdomen, esophagogastroscopy which were enrolled in this study. Anti HCV, HBsAg, ferritin, Cerruloplasmin and Autoimmune profile, was done to establish the etiology. Severity of liver disease was estimated by Child-Pugh Score (Annexed). The chronic liver disease questionnaire (CLDQ) was applied as the instrument for measuring quality of life. Results: The mean age of the patients was 35.28±7.26 years. Majority of the patients were male as there frequency was 142 (78.9%). 127 (70.60 %) cases were found to be having a child pugh grade c severity of disease. Mean quality of life score was 16.3±5.88. Mean quality of life score in males was 16.21±6.21 while in female was 16.63±4.48. Similarly the mean quality of life score in child pugh class B was 13.77±4.58 and in child pugh class C was 17.35±6.05. Conclusion: It is concluded that the quality of life was bad in the patients who had child pugh class C as compared to those who had class B. Keywords: Quality of Life, Chronic Liver Disease, Cirrhosis

Analysis of the compliance of the prescribed therapy with the EURO FORTA system in polymorbidic patients of elderly and old age with CHF

Aim To study the consistency of the prescribed therapy with the EURO FORTA (2018) system in polymorbid patients with chronic heart failure (CHF) according to data of the local registry.Material and methods The study included 313 patients with CHF aged 75±8.2 years. The Charlson Comorbidity Index (CCI) and the number of diseases (1–2, 3–5, >5) were calculated for all patients. Inpatient and outpatient treatment was assessed according to the EURO FORTA (2018) system based on polymorbidity degree, age, gender, and CHF type and severity.Results For the retrospective analysis of outpatient treatment, 5 groups of patients were isolated based on the drug class in the EURO FORTA system: group 1, patients treated only with class A drugs (3.51 %); group 2, class A and B drugs (22.36 %); group 3, class A, B, and C drugs (17.25 %); group 4, class A, B, C, and D drugs 10.86 % (А, В, С, D) and 16.31 % (А, В, D); and group 5, patients without an outpatient drug therapy (29.71 %). For the analysis of inpatient treatment, 4 groups of patients were isolated based on the drug class in the EURO FORTA system: group 1, patients treated only with class A drugs (0.32 %); group 2, class A and B drugs (15.97 %); group 3, class A, B, and C drugs (57.19 %); and group 4, separately analyzed patients treated with class C and D drugs or only D in combination with class A and B drugs. Thus, 28.11 % of patients at the outpatient stage and 82.75 % of patients at the inpatient stage received drugs with questionable efficacy/safety profiles (class C); 27.17 % of patients at the outpatient stage and 26.52 % at the inpatient stage received potentially inappropriate drugs (class D). At the outpatient stage in groups 2-4, most of patients (51.43–70.59 %) had >5 diseases (pmg=0.020). At the inpatient stage, there were no significant differences between groups in the number of diseases (pmg=0.349). The groups were comparable in the left ventricular ejection fraction depending on the CHF type (pmg=0.027 and pmg=0.778) at both stages of treatment. For instance, the same patient with preserved left ventricular ejection fraction could be included into EURO FORTA group 2 for the analysis of outpatient treatment while after prescription of the inpatient treatment, he/she could be included into group 3; pmg (intergroup, detecting differences for comparison of 3 groups) exceeded 0.017; therefore, the groups were comparable in the number of CHF patients with reduced, mid-range, and preserved left ventricular ejection fraction.Conclusion Every second patient of the study had more than 5 diseases. Every third patient did not take any drugs at the outpatient stage. 28.11 % of patients received EURO FORTA class C drugs and 27.17% of patients received class D drugs at the outpatient stage. The drugs to be avoided in CHF, included primarily nonsteroid anti-inflammatory drugs (NSAIDs) and class I and III anti-arrhythmic medications (except for amiodarone). At the inpatient stage, 82.75 % of patients received EURO FORTA class C drugs and 26.52 % of patients received class D drugs. NSAIDs and ciprofloxacin prevailed among the drugs to be avoided in CHF.

Mechanical Properties of API Class C Cement Contaminated with Oil-Based Mud OBM at Elevated Temperatures and Early Curing Time

The catastrophic events faced by the Oil and Gas industry in the past depict the importance of maintaining the integrity of the well. The cement acts as a crucial barrier throughout the life cycle of the well. The contamination of the cement occurs due to inefficiency in cementing practices and operations. Experimental investigations have been done on the reduction in mechanical properties of different API class cement considering contamination with water-based mud and oil-based mud. This study focuses on analyzing the changes in mechanical properties of API Class C cement on varying the following parameters: OBM contamination (0%, 0.6%, 1.1%, 2.2%, 4.3%) Curing time (4 hrs, 6 hrs, 8 hrs, 1 day, 3 days, 7 days) Temperature (25˚C, 75 ˚C) API recommendations were followed for preparing the cement slurries. The destructive, as well as non-destructive tests were carried out on the cement samples at ambient room temperature to measure the uniaxial compressive strength (UCS) for OBM contaminated class C cement slurries. The general trend observed is that the UCS increases with an increase in curing time and temperature. UCS decreases with an increase in OBM contamination. Logarithmic trends were obtained for UCS vs curing time for different contaminations at a given temperature. Exceptions were observed at lower curing times where contaminated samples showed better results than the neat cement slurries. These observations play a critical role in understanding contaminated cement behavior. This widespread work was carried out only on API Class C cement to provide reliable data for future references. The correlations presented in this paper will help operators estimate the deterioration in mechanical properties of Class C cement in the presence of low OBM contamination. Email: [email protected] & [email protected]