bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Pengaruh Penerapan Green Banking dan Efisiensi Biaya Operasional terhadap Profitabilitas Bank Umum Syariah di Indonesia
Authors: Mustika Salma Nabila , Kristianingsih Kristianingsih , Tripuspitorini Fifi Afiyanti , Djuwarsa Tjetjep
Published: June 2023

The purpose of this study is to determine whether the implementation of green banking and operational cost efficiency can affect the profitability of Sharia Commercial Banks in 2016-2020. The variables used in this study are indicators of green banking as an exogeneous variables, BOPO as an intervening variable, and ROA as an endogenous. The type of data used in this study is secondary data in the form of panel data sourced from the annual reports of each Sharia Commercial Bank registered with the Financial Services Authority (OJK) in 2016-2020. Hypothesis testing is done by using a path analysis model. The results indicate that the implementation of green banking has a negative and significant effect on BOPO and has no direct effect on ROA of Sharia Commercial Banks. While, BOPO has negative and significant effect on ROA of Sharia Commercial Banks.
A Comparative Study on Takaful Governance between Malaysia and Brunei Darussalam
Authors: Ruhana Nafisah , Abdul Halim Nur Haziyah , Ginting Ledy Mahara , Azizul Rahman Sarah Amalina
Published: June 2023

The aim of this study is to compare takaful governance in Malaysia and Brunei since both countries known for their strong support of takaful. This is to highlight the impact of respective governance on the overall takaful industry in each country. Moreover, the objective of this study is to gain a comprehensive understanding of the governance practices of takaful operators in Malaysia and Brunei. The study will examine a number of important governance mechanisms in both countries and draw comparisons between the governance practices of takaful operators in Malaysia and Brunei. This study use qualitative and descriptive research method to examine and identify similarities and differences in takaful governance between Malaysia and Brunei Darussalam. This is to provide better understanding on how corporate governance for takaful operators influence the takaful operations in both countries. This paper will also emphasized on the key mechanisms of takaful governance and highlighting their duties and responsibilities. This study finds that Malaysia's guide to corporate governance for takaful operators is more fully developed due to its longer-established market. However, corporate governance for takaful operators in both countries is largely similar. Some aspects of Brunei's corporate governance were found to mirror Malaysia's practices
Quantum computing for manufacturing and supply chain optimization: enhancing efficiency, reducing costs, and improving product quality
Authors: Chen Weinberg Jiang , Marcus Griffin Schworm , Leesburg D'Souza
Published: June 2023

The research explores the application of quantum computing to manufacturing and supply chain optimization in an effort to increase productivity, reduce costs, and improve product quality. Quantum algorithms, specifically the Quantum Approximate Optimization Algorithm (QAOA), are developed and evaluated to solve complex optimization problems in these domains. Quantum computing approaches are contrasted with traditional optimization techniques to demonstrate the potential advantages of quantum algorithms in terms of solution quality and working time efficiency. Practical implementation considerations of data availability, algorithm scalability, and system integration are also discussed. This research shows that quantum algorithms can effectively optimize production scheduling, resource allocation, and supply chain management, resulting in shorter production schedules and improved operational performance. This research recognizes the limitations of current quantum hardware, the complexity of the problem domain, and the difficulty of implementation. Despite these limitations, this research lays the foundation for further investigation and innovation in quantum computing for manufacturing and supply chain optimization, highlighting the potential for long-term transformative effects on industrial operations.
Pengaruh Obesitas terhadap Laju Filtrasi Glomerulus pada Anak
Authors: Tangkere Pricilla W. , Rompies Ronald , Umboh Adrian
Published: June 2023

Abstract: Obesity is well known as an independent risk factor for chronic kidney disease, thus assessment of renal function is more essential in obese individuals. Glomerular filtration rate (GFR) is generally accepted as the best overall index of kidney function. This study aimed to evaluate the effect of obesity on glomerular filtration rate in children. This was a literature review study. The literature search was performed by using PubMed and Google Scholar databases with “Obesity AND Glomerular Filtration Rate AND Children” as its keywords. After going through the process of searching and filtering the literatures based on inclusion and exclusion criteria, the results obtained 10 literatures to be reviewed. The literatures showed that in the short to medium terms of the duration of obesity, GFR was increased. A reduction in GFR levels then could be observed if obesity persists over time. Also, in obese children, the higher the body mass index (BMI), the lower the GFR level. In conclusion, childhood obesity affects GFR level, whereas GFR level is reduced along with the increasing duration of obesity and BMI.
Keywords: childhood obesity; glomerular filtration rate; risk factors
 
Abstrak: Obesitas merupakan faktor risiko independen dari penyakit ginjal kronis; oleh karena itu, penilaian fungsi ginjal perlu dilakukan pada individu dengan obesitas. Laju filtrasi glomerulus (LFG) merupakan salah satu indikator yang dapat menggambarkan fungsi ginjal secara keseluruhan. Penelitian ini bertujuan untuk mengetahui apakah terdapat pengaruh obesitas terhadap LFG pada anak. Penelitian ini dilakukan dengan metode literature review. Pencarian literatur dilakukan dengan menggunakan basis data PubMed dan Google Scholar dengan “Obesity AND Glomerular Filtration Rate AND Children” sebagai kata kunci. Hasil penelitian mendapatkan 10 literatur yang sesuai dengan kriteria inklusi dan eksklusi, yang kemudian dilakukan review. Pada penelitian ini didapatkan bahwa peningkatan LFG (hiperfiltrasi) terjadi pada awal masa obesitas, diikuti dengan penurunan LFG seiring bertambahnya durasi obesitas. Selain itu, pada anak dengan obesitas didapatkan bahwa semakin tinggi indeks massa tubuh (IMT), maka LFG semakin rendah. Simpulan penelitian ini ialah obesitas memengaruhi LFG pada anak, yaitu nilai LFG menurun seiring dengan bertambahnya durasi obesitas dan IMT.
Kata kunci: obesitas pada anak; laju filtrasi glomerulus; faktor risiko
Reorientasi Sekolah Alam Berbasis Kearifan Lokal di Desa Toro
Authors: Muis Hasriani , Nur Yunidar , Golar Golar , Rhamdhani Rhamdhani
Published: June 2023

Desa (Ngata) Toro adalah salah satu desa yang yang sedang giat membangun sekolah alam, dan telah mendapatkan dukungan dari berbagai pihak. Namun demikian, di dalam perkembangannya, sekolah alam ini belum memiliki orientasi pembelajaran yang berbasis pengetahuan kearifan lokal yang dimilikinya. Padahal, desa ini memiliki sejumlah kearifan lokal yang baik, dan perlu dilestarikan. Oleh karena itu, perlu segera melakukan reorientasi pembelajaran di sekolah alam, serta menyiapkan sejumlah instrument yang dapat memudahkan proses pembejajaran yang akan diterapkan oleh  para guru. Metode pendekatan yang ditawarkan untuk mendukung realisasi program Pengabdian pada Masyarakat ini adalah dalam bentuk pendidikan bagi mitra. Reorientasi sekolah alam lebih difokuskan pada proses pembelajaran yang berbasis pada kearifan lokal melalui peningkatan kapasitas tenaga pengajar, pendamping dan relawan Memberikan perlakuan khusus bagi peserta yang membutuhkan pemahaman, seperti memperbanyak contoh-contoh factual di lapangan, melalui kegiatan belajar Bersama para murid di alam
دراسة مقارنة لنتائج اختبارات اللياقة البدنية بين حكام الوسط والمساعدين الخاصة بدورة صقل الحكام قطر 2014
Authors: م.د فارس سامي يوسف مالك  , م.د محمد غني حسين
Published: June 2023

يهدف البحث الى:

1-التعرف على نتائج اختبارات اللياقة البدنية الخاصة لعينة البحث.

2- التعرف على الفروق في نتائج اختبارات اللياقة البدنية بين حكام الوسط والحكام المساعدين لعينة البحث.

تم اختيار عينة البحث بالطريقة العمدية ومن الحكام الذين شاركوا في الدورة الدولية المقامة في دولة قطر ويديرون الدوري الممتاز العراقي اذ بلغ عددهم (20) حكما ومثلت عينة البحث (95.24)% من مجتمع الإحصائية ، ووجد انSPSS  البحث الاصلي, وتم معالجة البيانات بواسطة استخدام البرنامج الجاهز

           .هناك ارتباط ذات دلالة غير معنوية بين متغيرات البحث المبحوثة للحكام الوسط والمساعدين
أثر دورة التعلم المعدلة( (7E‘Sفي اكتساب المفاهيم الرياضية لدى تلميذات الصف الخامس الابتدائي
Authors: أ.د فائق فاضل أحمد  , م. م. علي خالد خضير
Published: June 2023

تدعونا الزيادة الكبيرة في المعرفة الرياضية، والحاجة إلى التثقيف الرياضي لأفراد المجتمع إلى البحث عن أنسب الطرائق والوسائل لإيصال المعلومات للطلبة. ومن هنا يسعى هذا البحث إلى معرفة أثر دورة التعلم المعدلة(7E‘S) في اكتساب المفاهيم الرياضية لدى تلميذات الصف الخامس الابتدائي. ومن خلال اختبار الفرضية الصفرية الآتية (لايوجد فرق ذو دلالة إحصائية عند مستوى معنوية 05‚0 بين درجات التلميذات اللواتي يدرّسْنَ بحسب دورة التعلم المعدلة (7E‘S) ودرجات التلميذات اللواتي يدرّسْن بالطريقة الاعتيادية في اكتساب المفاهيم الرياضية). اقتصر البحث على المفاهيم الرياضية المتضمنة في الفصلين الأول (المجموعات) والثاني (المستقيمات والزوايا) من كتاب الرياضيات للصف الخامس الابتدائي للعام الدراسي (2013-2014)م.
تأثير استخدام أسلوبي التعلم(التبادلي – الأمري) في تعلم وتحسين انجاز مهارة القفز العالي
Authors: M. Dr. AbdAli ALFartusi
Published: June 2023

تكمن اهمية البحث في استخدام الاساليب الحديثة في تدريس التربية الرياضية والتي تعتمد على التدريسي والطالب الذي هو محور العملية التعليمية مما يتيح له فرصة التمكن من التعلم باساليب التعليم ومبادئه اما مشكلة  البحث فكانت معرفة تاثير استخدام اسلوبي التعلم (التبادلي والتقليدي) في تعليم مراحل فعالية القفز العاليويهدف البحث الى  اعداد منهج تعليمي باسلوب التعلم التبادلي والامري لتعليم مهارة القفز العالي لعينة البحثوكذلك التعرف على تاثير استخدام كلا من اساليب التعلم(التبادلي- الامري) مستوى اداء مهارات فعالية القفز العالي.اما فروض البحثفكانت هنالك فروق معنوية ذات دلالة احصائية بين  الاختبارات القبلية البعدية لمجموعتي البحث في( الاسلوبي التبادلي والامري)لمستوى اداء فعالية القفز العالي ولصالح المجموعة التجريبية وتطرق الباحثالى الدراسات النظرية المرتبطة بالدراسة والاهمية أساليب التدريس والدراسات المشابهةواستخدم الباحث المنهج التجريبي بأسلوب نظام المجموعتين المتكافئتين لملائمة لطبيعة المشكلة المراد حلها.وتكونمجتمع البحث من طلاب المرحلة الثانية في كلية التربية الاساسية قسم التربية الرياضية الجامعة المستنصرية للعام الدراسي (2013 - 2014) والمولفة من العينة من (60) طالباً وتم تقسيم العينة الى مجموعتين بالطريقة العشوائية عن طريق اجراء القرعة لاختبار المجموعة التجريبية والضابطة كل مجموعة (30) طالب وقد تم تكافؤ المجموعتين في متغيرات (طول-العمر- الوزن) وكذلك في الاختبار المهاري (القفز العالي)واستخدم الباحث الوسائل الاحصائية الاتية :(الوسط الحسابي.الانحراف المعياري.اختبار (t) لمعرفة الفروق للعينات غير المتناظرة.اختبار (t) للعينات المتناظرة.واستنتج الباحث ظهور فرق ذي دلالة معنوية بين المجموعتين التجريبية والضابطة في تعليم القفز العالي ولصالح الاسلوب التبادلي.وكذلك تفوق الاسلوب التبادلي في تعليم القفز العالي على الاسلوب التقليدي
تأثير برنامج للتربية الحركية في تطوير التفكير الإبداعي لدى أطفال الرياض الذكور بعمر 4-5 سنوات
Authors: Sukaina Hassan Shaker
Published: June 2023

تكمن أهمية البحث بأعداد برنامج للتربية الحركية في تطوير التفكير الإبداعي لدى أطفال الرياض الذكور بعمر 4-5 سنوات.

      أما مشكلة البحث فتكمن في أن درس التربية الحركية في الوقت الحاضر لم يعطَ له العناية والأهمية التي يستحقها من حيث أن بعض رياض الأطفال لم تعدو كونها أماكن أعدت لإيواء الأطفال ولا تعمل على تنمية مداركهم العقلية وقدراتهم البدنية.

ويهدف البحث إلى أعداد برنامج للتربية الحركية يتلائم وقدرات عينة البحث من أطفال الرياض والتعرف على تأثير البرنامج المعد في تطوير التفكير الإبداعي لدى أطفال الرياض الذكور بعمر 4 - 5 سنوات.     

   وافترضت الباحثة بان هنالك فروق ذات دلالة إحصائية بين نتائج الاختبار القبلي والاختبار البعدي في التفكير الإبداعي للمجموعتين التجريبية والضابطة لعينة البحث من أطفال الرياض . وهنالك فروق ذات دلالة إحصائية بين نتائج الاختبار البعدي للمجموعتين التجريبية والضابطة في التفكير الإبداعي لدى أطفال الرياض .

استخدمت الباحثة المنهج التجريبي ، واجري البحث على عينة تم اختيارهم على وفق الطريقة العمديه. ومن اجل الوصول إلى صحة النتائج ودقتها أجرت الباحثة التكافؤ . وأوضحت الباحثة الوسائل والأدوات المستعملة بالبحث. وقد عمدت الباحثة إلى عرض وتحليل ومناقشة نتائج الاختبارات القبلية والبعديه للتفكير الإبداعي للذكور في  المجموعتين الضابطة والتجريبية، وعرض وتحليل نتائج الاختبارات البعدية للتفكير الإبداعي للذكور في المجموعتين الضابطة والتجريبية. وقد استنتجت الباحثة ظهور فروق ذات دلالة إحصائية في جميع متغيرات البحث للمجموعة التجريبية بين الاختبارين القبلي والبعدي ولصالح الاختبار البعدي.
تأثير برنامج باستخدام أسلوب الاكتشاف الموجه في تعلم بعض المهارات الأساسية بكرة اليد
Authors: QAYSSAR A.ZURAIJII
Published: June 2023

يهدف بحث إلى التعرف على تأثير البرنامج المعد باستخدام أسلوب الاكتشاف الموجه في تعلم بعض المهارات الأساسية بكرة اليد اذ استخدم الباحث المنهج التجريبي لتحقيق اهداف البحث تكون مجتمع البحث من طلاب الصف الاول المتوسط متوسطة الشهيد حسين السويعدي مديرية تربية الرصافة الثالثه محافظة بغداد والبالغ عددهم 108 طالب يمثلون ثلاث شعب تم اختيار عينة البحث بصورة عشوائية من شعبتي ( أ ، ب) لتكون المجموعتين تجريبية وضابطة وبواقع (20) طالبا لكل مجموعة، اجريت لهم الاختبارات القبلية  بعدها تم تطبيق البرنامج التعليمي باسلوب الاكتشاف الموجه على المجموعة التجريبية وطبقت المجموعة الضابطة برنامجها وفق الاسلوب المتبع وبعد اجراء الاختبارات البعدية وعرض النتائج وتحليلها ومناقشتها استنتج الباحث بأن البرنامج التعليمي باستخدام أسلوب الاكتشاف الموجه  هو الأكثر فاعلية في تعلم بعض المهارات الأساسية بكرة اليد وأوصى الباحث  بضرورة استخدام اسلوب الاكتشاف الموجه لتأثيره الايجابي والفعال في تعلم بعض المهارات الأساسية بكرة اليد.
تأثير برنامج تعليمي على وفق جوانب الحركة وإبعادها في تعلم مهارات السبعة لمصارعي الحرة بأعمار (6-7) سنة
Authors: م.د. علي فؤاد فائق
Published: June 2023

ويسعى الباحث إلى توضيح أهمية هذا البحث في تطوير جوانب الحركة وإبعادها بهدف تعلم المهارات السبعة في لعبة المصارعة، فالمشكلة البحث أن الأطفال بهذا العمر يجدون صعوبة في تعلم لعبة المصارعة وما تتناولها من مهارات ومسكات فنية .
تأثير بعض الوسائل التدريبية في تطوير مهارتي المناولة ودقة التهديف لدى لاعبي كرة القدم
Authors: Moneer Mahmood Jasim  , Muna taha adress  , Muaid Walid Nafa,a
Published: June 2023

كان الهدف من البحث هو الكشف عن تأثير بعض الوسائل التدريبية في تطوير مهارتي المناولة ودقة التهديف من خلال إعداد تمرينات باستخدام بعض الوسائل المساعدة لتطوير مهارتي المناولة ودقة التهديف بكرة القدم وتم استخدام التمرينات المناسبة للشدة التدريبية ، وقد لاحظ الباحثون هناك ضعف لدى لاعبي نادي الصليخ في مهارتي المناولة ودقة التهديف وما لها من اثر في حسم نتائج المباريات  وعدم استخدام الوسائل التدريبية المساعدة لتطوير مهارات اللاعبين والوصول بهم إلى أفضل مستوى من الأداء المهاري .

   وتم اختيار العينة بالطريقة العمدية واجري اختبار قبلي على 20 لاعب من فريق نادي الصليخ بكرة القدم , ثم قسمت العينة إلى مجموعتين ضابطة وتجريبية بطريقة المزاوجة وخضعت المجموعة التجريبية الى البرنامج التدريبي المعد من قبل الباحثون .

    وبعد استخدام الوسائل الإحصائية المناسبة توصل الباحثون إلى عدة نتائج تحددت بوجود تـأثير ايجابي للوسائل التدريبية في تطوير مهارتي المناولة ودقة التهديف بكرة القدم لدى العينة مما أدى إلى ظهور فروق معنوية ولصالح الاختبارات البعدية .

     وقد أوصى الباحثون إجراء المزيد من البحوث في هذا المجال ولفئات عمرية مختلفة, ولمعرفة تأثير البرامج التدريبية المقننة بشكل علمي ومدروس على عينات أخرى لتلاءم مستوى اللاعب ونوعية الفعالية للحصول على أفضل النتائج .
تأثير تمرينات بدنية بوزن الجسم لتنمية القوة السريعة للذراعين والرجلين للاعبي الجمناستك بأعمار (12 - 14) سنة
Authors: M.M MOHAMMED R.GHAWI
Published: June 2023

هدفت الدراسة الى إعداد تمرينات بدنية بوزن الجسم لتنمية القوة السريعة للذراعين والرجلين للاعبي الجمناستك بأعمار (12 _ 14 ) سنة وافترض الباحث ان هناك فروق ذات دلالة احصائية بين نتائج الاختبارات القبلية والبعدية للمجموعتين (التجريبية والضابطة) ولصالح المجموعة التجريبية للاعبي الجمناستك بأعمار (12 _ 14 ) سنة .

     اشملت عينة البحث على (40) لاعباً من طلاب  الصف الأول المتوسط ضمن مديرية تربية بغداد الرصافة الثالثة , اظهرت نتائج الاختبارات البدنية ان التمرينات البدنية بوزن الجسم هو أسلوب فعال لتنمية القوة السريعة (المميزة بالسرعة والقوة الانفجارية )) للاعبي الجمناستك بأعمار 12-14 وأوصى الباحث بضرورة تنمية القوة السريعة للاعبي الجمناستك في المرحلة المبكرة من التدريب اذ انها تعد الركيزة الأساسية التي يتوقف عليها تطوير المراحل الفنية لمعظم الحركات .
تأثير منهج تعليمي بالأسلوب التدريبي في تعليم بعض المهارات الاساسية بلعبة تنس الطاولة
Authors: Ahmed .H. Ahmed  , Nabeel Abdil Wahab Al
Published: June 2023

قام الباحث باستخدام منهج تعليمي بالأسلوب التدريبي في تعليم بعض المهارات الاساسية في تنس الطاولة ، وقد استخدم التصميم التجريبي لمجموعة تجريبية واحدة بنظام الاختبارات القبلية والبعدية لعينة مكونة من (24) طالبة بأعمار من (16 – 18 ) سنة مأخوذة من مجتمع مكون من (71) طالبة من طالبات الصف الرابع العلمي لإعدادية البصرة للبنات / تربية الكرخ الثانية.

وقد تضمن المنهج التدريبي ( 20 ) وحدة تعليمية موزعة على وحدتين تعليميتين خلال الاسبوع الواحد ولمدة عشرة اسابيع بزمن ( 45 ) للوحدة الواحدة .

        وقد اظهرت النتائج فروق ذات دلالة احصائية بين الاختبارات القبلية والبعدية ولصالح الاختبارات البعدية ، كما دللت النتائج على نجاح الاسلوب التدريبي المتبع في تعليم المهارات قيد الدراسة بتنس الطاولة وبصورة ايجابية وفعالة مما يؤكد بان الاسلوب التدريبي يعد من افضل الاساليب في الدروس العملية .
ERRORS IN USING INHALER DEVICES AMONG COPD PATIENTS: A PROSPECTIVE COHORT STUDY
Authors: Kuriakose Joseph , M D Manju , Kumar B S Praveen
Published: June 2023

Background: Pharmacological treatment of chronic obstructive pulmonary disease (COPD) is mainly based on inhaled medications. Inappropriate use of inhalers due to the unrecovered peak inhalation ow rate (PIFR) results in an increased risk of early treatment failure. Therefore, this study was carried out to address the error patterns in using dry powder inhalers (DPI) versus pressurized metered-dose inhalers (MDI) inhaler devices among COPD patients with acute exacerbation. For this Methods: prospective cohort study, a cohort of 138 COPD patients with acute exacerbation were included from a tertiary care hospital in Karnataka. The inhalation technique and PIFR were evaluated at discharge and twice in follow-up at 15-day and 90 days intervals based on a list of the most common errors in the inhalation techniques. About 63% Results: of patients had comorbidities. The average length of hospital stay was 7.8 days and the mean PIFR value at discharge was 58.9L/min. About 51.4% of the COPD patients were MDI users and 48.6% were DPI users. The most frequent errors were inappropriate inhaling and short breath holding time for DPI (89.6% and 88.1%) and MDI (84.5% and 94.3%) device users, respectively. At follow-ups, these errors- inhaling deeply and shortbreath holding time continued to occur signicantly during 90-day follow-ups for DPI (79.1% and 82.1%) and MDI (79.2% and 90.1%) device users, respectively. However, the breath-out and mouthpiece placing errors were reduced signicantly at 90 days of follow-up among the DPI (50.7% and 40.3%, respectively) and MDI users (47.9% and 19.8%, respectively). Inappropriate inhali Conclusions: ng and short breath holding time were the most frequent and major errors made by inhaler device users. This emphasizes the training in proper inhalation techniques for COPD patients treated with inhalers
HISTOPATHOLOGICAL STUDY OF LEPROSY CASES AT KARWAR INSTITUTE OF MEDICAL SCIENCES.
Authors: D Pruthvi , A Kolur , J Gowda
Published: June 2023

Introduction: Leprosy is a infectious disease which is chronic in nature. It is caused by bacterium mycobacterium leprae. Histopathologically diagnosis of leprosy is broadly classied under ridley jopling classication. To study the histopat Aim: hological spectrum of leprosy at karwar institute of medical sciences, karwar. Retrospective study from January 2022 to Materials and Methods: june 2022 including the histopathologically diagnosed cases of leprosy. Skin biopsies from clinically suspected lesions are collected, xed,processed and stained with H and E ,followed by Fite ferraco stain . Histopathological diagnosis is classied as per Ridley-jopling classication. Out of 30 cases studied Results:,highest incidence was found in the age group 20 to 30. Males showing larger in number then females. Common clinical presentation being loss of sensation and histopathologically borderline lepromatous showing higher in frequency followed by lepromatous leprosy.In total Fite ferraco staining showing positivity with 50%. In order to prevent the drug resistance and to ai Conclusion: d in good prognosis ,diagnosing leprosy is equally important. Hence histopathology is considered as a gold standard.
SCROTAL CALCINOSIS: CASE REPORT AND REVIEW OF LITERATURE
Authors: Koul Shalinder , Raj Kuldeep , Dhar Heenu , Kadam Rahul
Published: June 2023

Idiopathic scrotal calcinosis is a rare benign disorder of the scrotal skin. It consists of multiple nodules of the scrotal skin with no evident underlying cause, often with normal calcium and phosphate metabolism. The pathogenesis of scrotal calcinosis is still controversial. Metabolic and hormonal work-up needs to rule out other causes. Surgical excision is the choice of treatment both for conrming the diagnosis as well as for treatment. More studies need to be carried out on the best option for scrotal reconstruction
IMAGING ASSESSMENT OF INTRACRANIAL VESSELS AND BRAIN PARENCHYMA IN TAKAYASU ARTERITIS AND ITS RELATION WITH MACARONI SIGN IN CERVICAL CAROTID ARTERIES
Authors: Rabbani Gulam , Singh Pawan , Chakraborty Sumit , Chattopadhyay Arghya
Published: June 2023

Objectives - Aim of this study to evaluate the imaging ndings of intracranial vascular and parenchymal involvement in Takayasu arteritis and to
correlate these ndings with Macaroni sign in cervical carotid arteries. Materials and Methods: This is a cross-sectional study with total of 19
study subjects. We have evaluated each patient by ultrasonography of cervical carotid vessels. Subsequently each patient underwent MRI brain and
MRA of cerebral vessels. We have assessed correlation of Macaroni sign in cervical carotid arteries with intracranial vascular and parenchymal
involvement. Result: our study shows Maximum number of patients (63%) belonged to the age group (25-35) years with female predominance.
Neurological involvement in the form of history of stroke were present in 31.5% of cases. In our study 19 patients of Takayasu arteritis the neck
vessel involvement in the form of macaroni sign, were very common approximately 63.2% of cases. In Macaroni sign the echogenicity of intimamedia thickness were hyperechoic in most of the cases. The maximum thickness of the involved arterial wall was 2.7mm (mean ± SD,
1.14±0.66mm). Two patients of Takayasu arteritis showed calcic plaque with signicant stenosis and one patient also had the reverse ow in
vertebral artery. Macaroni sign is a strong predictor for the intracranial cerebral vessels involvement in Takayasu arteritis. Conclusion: CCA
involvement and Macaroni sign are very common as compared to cervical part of ICA in Takayasu arteritis. Takayasu arteritis is an unusual
etiology for neurological brain parenchymal vascular insult. Ultrasonography (USG) is a simple, portable, bedside, non-invasive, standard realtime, quite sensitive and superior imaging method to detect the early changes in the wall of the arteries, progression of disease and indirect predictor
of brain parenchymal vascular insult.
CLINICO-CYTOLOGICAL CORRELATION OF THYROID SWELLINGS AT KARWAR INSTITUTE OF MEDICAL SCIENCES.
Authors: D Pruthvi , A Kolur
Published: June 2023

Aim(s) To elucidate the clinical presentation of thyroid swelling and to assess the Clinico – cytological correlation of thyroid swellings Objective(s) 1. To assess the efcacy of FNAC in thyroid diseases. 2. To study the clinical presentations of thyroid lesions with its cytological correlation Material and method :The present study was a prospective study carried out in the Department of Pathology, karwar institute of medical sciences, karwar, karnataka (India), on both indoor and outdoor patient requiring FNAC of the thyroid lesions between May 2022 to October 2022 with 60 sample size. Results 1) Swelling in front of neck was the most common symptoms followed by pain 2) Swelling40(66.6%), cases were goiter under evaluation/ multinodular goiter 3) Colloid goiter was diagnosed in 35cases (58.3%). Conclusion FNAC is a safe and simple technique of preoperative diagnosis with a sensitivity rate was 96.6% with a specicity rate of 98.3%. Our results also showed a PPV of 98.3% anda NPV of 96.6%.
A CLINICOPATHOLOGICAL STUDY OF 100 CASES OF SALIVARY GLAND LESIONS AT A TERTIARY CARE CENTRE.
Authors: Mohanrao Pawar Atul , Kasture Jyoti , Bajaj Preeti
Published: June 2023

Background: Salivary gland shows varied types of pathological lesions ranging from inammatory lesions to neoplasms. We have studied the salivary gland lesions with correlation to clinical and histopathologic features. Objective: Aim of this study was – 1. To study the epidemiology of salivary gland lesions in a tertiary care centre with respect to the age, sex and site distribution. 2. To study the histomorphological aspect of these lesions. 3. To correlate between ne needle aspiration cytology and histopathology of these lesions. Materials and Methods: The present observational study was conducted in the department of pathology in Dr. VPMCH&RC, Nashik. Total 100 cases were studied over a period of two years with particular reference to age, sex, site, cytological details & histological types as per WHO classication. Detailed FNAC & histopathological examination was done in all the cases. Correlation between the cytological & histopathological diagnoses was assessed. A total of 100 cases were studied, comprising of 62 Results: male & 38 female and 16 cases were malignant. The parotid gland was the most commonly involved site (70% of cases). Of the 46 non-neoplastic cases, 38 were of chronic sialadenitis and 8 cases of mucous retention cyst. Among the 38 benign neoplastic lesions, 32 were Pleomorphic adenoma and 6 were Warthin's tumour. Mucoepidermoid carcinoma (8 cases) was the most common malignant neoplastic lesions. Correlated in 95% of instances. Salivary gland lesions, are most Conclusion: nd th commonly seen in 2 to 6 decade of life with more male predominance. Parotid gland is the most common site. Lesions have more frequent occurrences compared to neoplastic lesions, with chronic sialadenitis having highest incidence. Histopathologic examination is fairly accurate in making a diagnosis especially in non-neoplastic & benign neoplasms.
HERNIA SAC NECK RATIO - A TOOL TO PREDICT THE DEVELOPMENT OF SYMPTOMS AND COMPLICATIONS IN UMBILICAL HERNIA
Authors: N M Srinivas , A Aishwarya
Published: June 2023

BACKGROUND: An umbilical hernia with a narrow neck and a wide sac is more prone to complications, thus the morphology of an umbilical hernia is crucial in determining the development of symptoms and consequences. The hernia sac-neck ratio and ultrasonographic ndings are used in this study to take into account the physical properties of the hernia in order to anticipate the onset of symptoms and complications. MATERIALS AND METHODS: This study is a prospective observational study conducted in Victoria Hospital from February 2021 to July 2022.Atotal of 115 patients with umbilical hernia underwent an ultrasound of abdomen to note the size of the neck of the hernia. The diameter of the hernia sac was measured clinically for both emergency and elective patients intra-operatively. The ratio was calculated and compared. RESULTS: The 115 research participants included 52 complicated cases and 63 uncomplicated cases. The mean hernia neck size in complicated case was 2.07 cm and in uncomplicated group was 2.53 cm. According to the ROC curve analysis, the mean hernia sac neck ratio, the study's area of interest, was higher in the complicated group than in the uncomplicated group (2.78 vs. 2.42) and was linked with a 49% sensitivity and 70% specicity at a cutoff ratio of 2.6. CONCLUSION: This study showed that the Hernia sac neck can be used as a specic tool for predicting complications and that individuals with a smaller neck and a bigger sac are more likely to have complications.
OPHTHALMOMYIASIS EXTERNA DUE TO OESTRUS OVIS: CASE SERIES AND REVIEW OF LITERATURE
Authors: R Ranjiv , Sharma Rishi
Published: June 2023

Objective: To report a case series of Ophthalmomyiasis externa along with review of literature highlighting the common epidemiological factors
and treatment. A presentation is made of ve (05) clinical cases of patients with Ophthalm Material and Methods: omyiasis externa caused by
Oestrus ovis larvae. Ocular myiasis is a parasitic infection by larval Results: stages of ies. It can affect the ocular globe externally and / or
internally, with the former being the most frequently affected. The organism that mainly affects the eyes is the Oestrus ovis larvae. Conclusion:
Ophthalmomyiasis is rare clinical entity that can occasionally occur in humans. It is most prevalent in regions with humid and warm climates.
Shepherds and farmers in rural areas are most commonly affected. An early diagnosis and prompt management is of paramount importance in
preserving normal vision.
A STUDY OF PH IN DRAIN FLUID AND POSTOPERATIVE INFECTIOUS COMPLICATIONS IN PATIENTS OF ABDOMINAL SURGERY: A STUDY FROM A TERTIARY CARE CENTRE IN CENTRAL INDIA
Authors: Patidar Sapna , Kela Manoj , Mishra Arun , Gupta Apoorv , Harchandani Rohit
Published: June 2023

Abdominal pain accounts for nearly 7% of all emergency room visits [1-2] and is the most common cause for abdominal surgeries.
A STUDY OF CLINICAL SPECTRUM AND OUTCOME IN PATIENTS OF BIRTH ASPHYXIA
Authors: Suresh Shah Arpit , S. Sonawane Ravindra
Published: June 2023

Background - The condition Perinatal asphyxia, a crucial issue in neonatology, is a fatal condition that has a signicant impact on the infant's
neurological and intellectual development, as well as new-born mortality and morbidity. This study focusses on clinical outcome in neonates with
Birth Asphyxia. Aim of study –To study the clinical spectrum and short-term outcome of babies with birth asphyxia.
Objectives –
1. To study the maternal and fatal risk factors responsible for the occurrence of birth asphyxia.
2. To study the clinical presentation of babies with birth asphyxia.
3. To study the short-term outcome of the affected babies.
Method –Hospital Based Prospective Observational Study where 60 cases fullling inclusion criteria were included in the study. Inclusion criteria
included new-borns with 1. APGAR score < 7 at 1 min of life. 2.Requiring resuscitative measures. & 3. Metabolic acidosis with pH <7.0. Result –
60 cases with birth asphyxia (APGAR score < 7 at 1 min) were reported from the total admitted to neonatal intensive care unit. 55 cases were in –
born. 63.33 %. were female & 36.66 % were male, the mean birth weight was 2991.5 ± 382.5 g, and the mean gestational age was 39.5 ± 2.3 weeks.
66.66 % patients were born by normal vaginal delivery. 70 % pregnancies were Multigravida. The mortality death reported was 11.66%. 55 % cases
required nasal prongs, 33.33 % supplied with Oxygen through CPAP& 11.66 % cases were on ventilation. Conclusion – In the present study higher rate of induced Vaginal Delivery, Multigravida and irregular ANC was reported among patients with perinatal asphyxia. In neonatal care, perinatal asphyxia continues to be the primary factor in neonatal ICU admissions, mortality, and morbidity. Atherapeutic hypothermia therapy with a longterm follow-up component would be advantageous given the high incidence of HIE.
PREVALENCE OF BLOOD GROUPA2 AMONG GROUPAAND AB DONORS
Authors: Jain Vidhi , Kothari Farzana
Published: June 2023

The ABO blood group antigens are clinically signicant and their discovery by Landsteiner in 1900 paved way for the performance of safe blood transfusions. These antigens are characterized by their distinct carbohydrate structures attached to the glycoprotein or glycolipid membranes of red blood cells (RBCs). Their expression can also be detected on various human cell and tissue surfaces including sensory neurons, vascular endothelium and platelets. [1] Subgroups of the ABO antigens occur and are characterized by reduced quantities of the antigens on the RBCs and saliva of secretors. [2] Landsteiner & Levine subdivided blood group A into their principal subgroups, A1 and A2. The presence of Asubgroups is due to genetic variations in the coding region which leads to diminished amounts of A substance and higher amounts of H substance on red blood cells. There are weaker subgroups than A2 which do not frequently occur but when present; they show a characteristic decreased Aantigen sites on their RBC and a corresponding increased H antigen activity. [3] The difference between subgroups A1 and A2 is seen in their reactivity with the Dolichos biflorus lectin. The Dolichos lectin specically agglutinates A1 cells, leaving the A2 cells unagglutinated. The ABO antibodies occur naturally in the sera of individuals who do not have the corresponding antigens and can cause haemolysis in-vivo. They are mostly immunoglobulin M (IgM). These antibodies through complement activation can cause severe, life-threatening transfusion reactions due to incompatible ABO blood transfusions. Anti-A1 antibody appears as an atypical cold agglutinin in the sera of few people with group A2 or A2B who do not have the corresponding antigen.[4] One to eight percent of persons with blood group A2 and about 22-35% of persons with group A2B have serum anti-A1. These antibodies may cause discrepancies in ABO blood grouping which can further result in HTR.[5] Rare cases of haemolytic transfusion reaction due to anti-A1 have been reported.[4] It is estimated that about 80% of individuals with antigen A are A1 while the remaining 20% are A2. [5] Among Indians, the frequency of subgroup A2 among group A individuals is 6.58% whiles that of A2B among group AB is 8.99%.[6] Knowledge of the frequency and distribution of blood subgroup A2 will help to enhance blood compatibility testing, population genetic studies, investigation of transfusion reactions, studying disease associations and resolving some medico-legal issues.[7]
EVALUATION OF HYPONATREMIA IN HOSPITALIZED PATIENTS- A RETROSPECTIVE OBSERVATIONAL STUDY
Authors: Gupta Harshit , PS Punia V , Babu Gupta Suresh
Published: June 2023

Background and objectives: A retrospective study was performed for evaluation of hyponatremia in hospitalized patients. Material and Methods: A retrospective case record based study was carried out and 200 hospitalized ICU patients aged 18-0 yrs were selected who were admitted for more than 1 week duration not having undergone any surgical intervention. Exclusion criteria was patients with underlying chronic kidney disease or chronic liver disease, previous history of dialysis and previous history or head trauma or stroke. Results: Signicant reduction in serum sodium levels were noted. The correlation of the symptoms with the serum sodium levels was found to be statistically signicant in cases of severe and moderate hyponatremia Conculsion: Hospitalized pateints are at risk of hyponatremia particularuly suffering from gastrointerstinal, cardiovascular and renal disorders and if left untreated can lead severe symptomatic hyponatremia
TO STUDY STRESS AND PSYCHOLOGICAL WELL-BEING IN MOTHER OF INTELLECTUALLY DISABLED CHILDREN IN RURALAREA: A CROSS SECTIONAL OBSERVATION STUDY
Authors: Arjun Mukade Gajanan , Rajendra Aswar Nayana
Published: June 2023

Introduction: Intellectual and developmental disability (IDD) is a developmental impairment that has no known treatment. Children with intellectual disabilities are typically abandoned and excluded from society as a whole. The wellbeing of a family is inuenced by the mental and physical health of the parents, especially the women who are the centre of the family. They are the ones who must deal with issues related to their child's disability, such as delayed development, a higher incidence of child psychopathology, behavioural issues, and decisions about whether to seek out-of-home care for the child and therapeutic services while simultaneously maintaining the household. current study was conducted to determine stress and psychological well-being in mother of intellectually disabled children Materials and Methods: Present cross-sectional prospective study was conducted on 50 Caregiver mothers of intellectual disability (ID) child from rural area to determine their stress and psychological well-being. Children were classied into mild (IQ-55 to 79), moderate (IQ 35 to 54) and severe (IQ 20 to 35) intellectual disability (ID) based on IQ. Stress was assessed by Perceived Stress Scale (PSS) and wellbeing by psychological wellbeing scale. Observations and Results: PSS score low (0 to 13), Moderate (14 to 26) and High (27 to 40) was found in 18 (36 %), 18 (36 %) and 14 (28 %) cases respectively. Result was statistically signicant (P=0.032). PWB score Very Low (50 to 58), Low (58 to 83), Moderate (83 to 217), High (217 to 242) and Very High (242 to 250) was found in 7 (14 %), 9 (18 %), 11 (22 %), 11 (22 %) and 12(24 %) cases respectively. Result was statistically signicant (P=0.034) Conclusion: Parents of intellectually disabled children should engage in therapies including psychotherapy, relaxation, and stressreduction strategies to improve their psychological health. Proper counselling services also assist the parent in leading a healthy life and in maintaining their psychological health
HISTOPATHOLOGICAL STUDY OF SPECTRUM OF NEOPLASTIC AND NONNEOPLASTIC LESIONS OF INTESTINE
Authors: N Malini , M Nirgude Nayantara , P Sneha
Published: June 2023

Introduction- Intestinal specimens received includes both neoplastic and non neoplastic lesions. These range from congenital anomalies, inammatory to neoplastic lesions. Clinical and radiological ndings are non specic so, histopathological study is considered to be gold standard for the conrmation. One year study was done during the period of January 2021 to December 2017 a Materials and methods- t KIMS Hubballi on 293 intestinal specimens (43 small intestine, 84 large intestine and 166 appendix). The specimens were processed routinely and special stains were done where ever required. Widespectrum of intestinal lesions were studied. There Results- were 241 non neoplastic lesions and 52 neoplastic cases. Non neoplastic cases included congenital anomalies, inammatory and ischemic lesions. Neoplastic cases included both benign and malignant lesions. Neoplastic lesions of small intestine included adenocarcinoma, carcinoid, gastrointestinal stromal tumour and gastrointestinal schwanomma. Non neoplastic lesions of large intestine included hirschsprungs disease and sigmoid volvulus. One case of enterobius vermicularis was diagnosed in appendix. Intestinal lesions present with vague symptoms and e Conclusion- arly diagnosis and treatment is essential to prevent the complications. This study emphasises the need for early diagnosis of the disease through histopathology which is essential for appropriate treatment of the patient
DISPLACED SUPRACONDYLAR HUMERUS FRACTURES REDUCED WITH CLOSED REDUCTION AND PERCUTANEOUS PINNING USING THE ARM BOARD TECHNIQUE IN CHILDREN.
Authors: Kodela Tejdeep , Endigeri Preetish , Gajabar Samarin , Reddy. G Tarun
Published: June 2023

Introduction: Closed reduction percutaneous pinning is the current gold standard of treatment for displaced supracondylar fractures of the
humerus in children (CRPP). A simple CRPP process using a radiolucent arm board and simpler C-arm handling is described in this methodology.
This method yields reproducible results and is easy to copy. It may also be used to any standard operating table.
EFFECTIVENESS OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUE ON LEVEL OF STRESS AMONG BSC. NURSING 1ST SEMESTER STUDENTS.
Authors: Sonali Panwar , K Chitra
Published: June 2023

Background: A Progressive muscle relaxation (PMR) entails a physical and mental component. The physical component involves tensing and relaxing the muscle groups over the legs, abdomen, chest, arm, face, with the eyes closed in sequential pattern. Atension is given in a muscle group approximately 10 second and then released for 20 second before continuing with the next muscle growth. The mental component focuses on the difference between the feeling of the tension and relaxation because the eyes are closed, one is forced to concentrate on the sensation of tension and relaxation because of the feeling of warmth and heaviness felt in the relaxed muscle, after it is tensed, mental relaxation is felt as a result with practice the student learns how to effectively relax and deter stress in his life. Materials and Methods: Quantitative approach with Quasi Experimental non randomized control group design was used in this study. A total 60 BSc. Nursing 1st year semester Students, studying in Uttaranchal (PG) Bio- medical sciences Uttarakhand were included in the study, by using convenient sampling technique. Astress rating scale used to evaluate the effectiveness of progressive muscle relaxation technique regarding level of stress. Results: The mean pre-test score of experimental groups was 83.36 whereas post-test score of experimental groups was 55.77, with a mean difference of 27.59, and SD of pre- test was 10.29, SD of post- test was 12.29. The mean pre-test control group score was 84.7 and post-test control group 77.07, with a mean difference of 7.63 and SD of pre-test was 5.19 and post- test was 5.55. The calculated 't' value 6.39 was greater than tabulated 't'= 1.699 which was statistically proved at 0.05 level of signicance. It revealed that progressive muscle relaxation technique was effective in decreasing the level of stress among BSc. Nursing 1st semester students
CORRELATION BETWEEN ASSESSMENT OF CUP DISC(CD) RATIO USING OPTIC NERVE HEAD PHOTOGRAPHY AND OPTICAL COHERENCE TOMOGRAPHY(OCT)
Authors: R Ranjiv , Sharma Rishi
Published: June 2023

Background: Various types of modalities exist for examination of the Optic nerve head. As changes in the optic disc are a major indicator of
glaucoma it is vital to establish which among the modalities correlate best with each other. In this study the cup to disc ratio was assessed using
optical coherence tomography and optic nerve head photography and the ndings were compared A Methods: n observational study was
conducted. Group I consisted of 50 patients of primary open angle glaucoma and Group II consisted of 50 non-glaucomatous patients. ONHP and
OCT were done to assess the average cup to disc ratio CDR. Average CDR as calculated by the 2 methods was compared by Pearson correlation.
Correlation value of +1 is total positive correlation, 0 is no correlation and −1 is negative correlation. The correlation value in the case Results:
group was 0.86 for CDR. The correlation value in the control group was 0.72 for CDR. The study fo Conclusion: und OCT ndings and ONHPndings have weak correlation
SURGICAL OUTCOME OF DIAGNOSED CASES OF MUCORMYCOSIS- AT TERTIARY CARE HOSPITAL
Authors: Shivasharan Sujit , P Chavan Reshma , V Desai Wilson
Published: June 2023

Mucormycosis incidence had increased in India due to COVID-19 over a period of 3 months, especially during the second wave of COVID-19 in Maharashtra, India. In India, Mucormycosis was seen in 0.14 per 1000 population, which was 80 times higher as compared to developed countries. As Mucormycosis is angio-invasive disease, it causes vascular thrombosis and tissue necrosis
MEDIASTINAL PSEUDOCYST: A RARE ASYLUM FOR A COMMON DISEASE
Authors: Nara Nityasha , Marwah Sanjay , Das Shouvik
Published: June 2023

Pseudocyst is one of the commonest complications following pancreatitis. However, a mediastinal pseudocyst is a rare entity which demands a
high index of suspicion for diagnosis. We report a case of a 42 years old male who presented to the emergency with cough, retro-sternal chest pain,
progressive dysphagia and vomiting. He was a chronic alcoholic with multiple hospitalisations in past 4 years for recurrent episodes of severe acute
pancreatitis. There was left sided pleural effusion on chest radiograph and extrinsic compression of distal oesophagus and proximal stomach from
posterior aspect on endoscopy. Abdominal computed tomography (CT) revealed a large pseudocyst abutting the body of pancreas and extending
superiorly into the mediastinum. Patient was treated conservatively and given total parenteral nutrition followed by Ryle's tube feeding. He
improved, started accepting orally and was discharged. Patient was asymptomatic on follow up and repeat CT scan after 6 weeks showed
signicant decrease in the size of collection
STUDY ON KNOWLEDGE ABOUT RASHTRIYA KISHOR SWASTHYA KARYAKRAM (RKSK) AMONG ADOLESCENTS ATTENDING HEALTH CENTRE IN DELHI.
Authors: Jain Archita , Laxmikant Borle Amod , Bej Punyatoya
Published: June 2023

Background: Adolescents are susceptible to several preventable and treatable health problems like nutritional disorders, substance abuse, mental health concerns, early and unintended pregnancy, unsafe sex, injuries and violence. To ensure holistic development of the adolescent population, the Ministry of Health and Family Welfare launched Rashtriya Kishor Swasthya Karyakram (RKSK) programme. This study aimed to assess the knowledge regarding Rashtriya Kishor Swasthya Karyakram (RKSK) among adolescents attending the health centre in Delhi. Methods: Acrosssectional study conducted among 100 adolescents belonging to age group of 10-19 years, who were attending the urban and rural health training centres in Delhi. Data was collected with the help of the predesigned and pretested questionnaire. Data was collected regarding socio-demographic details and knowledge regarding different adolescent health services provided under the programme. Results: Out of 100 adolescents, 18.0 % participants had adequate knowledge about RKSK. Knowledge about IFA supplementation, transmission and prevention of Sexually Transmitted Infection and common mental health problems was 52.0%,36.0% and 24.0% respectively. Knowledge regarding adverse effects and consequences of tobacco, alcohol and drug abuse and risk factors for non-communicable diseases was 46.0% and 42.0% respectively. 12.0% participants had awareness about Adolescent Friendly Health Clinics and 8.0% had registered themselves at these clinics. 44.0% participants had knowledge about Adolescent Health Days. 71.4% of adolescent girls had awareness regarding good menstrual hygiene. Conclusions: The knowledge regarding RKSK programme is low amongst the adolescents Awareness need to be spread regarding the various services provided under the programme through social media, local newspapers and television channels so that more number of adolescents avail these services