bluuebunny/crossref_metadata_2025 huggingface dataset:
Myocardial dysfunction in newborns with severe birth asphyxia
Authors: Shivangi Kachhwaha  , Anjali Bharani  , Dharmanshu Chaube  , Nirbhay Mehta  , Puneet Goyal
Published: September 2023

Background: Severe birth asphyxia is one of the leading causes of mortality and morbidity in developing countries like India. Severe birth asphyxia can result in transient myocardial ischemia, myocardial dysfunction, and cardiac failure.
Aims and Objectives: The current study was undertaken for a better understanding of myocardial dysfunction with the help of serum levels of CPKMB and their correlation with mortality.
Materials and Methods: It was a prospective observational study. We studied 150 newborns with severe birth asphyxia admitted to be SNCU of Maharaja Yashwantrao Hospital Indore from August 2021 to July 2022 after clearance from the Institutional Ethics Committee and informed parental consent.
Results: A total of 150 newborns with severe birth asphyxia were enrolled. Nearly 75% were males, and 25% were females. Most of the mothers (80%) were multigravidas. Antenatal complications were present in 85.33% of cases. Amniotic fluid was meconium stained in 73.33%, and fetal distress was present in 72.70%. CPKMB was deranged in 93%, and the ejection fraction was reduced in 53%. Out of the total 150 cases, 72 died, with levels of CPKMB elevated in 70 cases and ejection fraction reduced in 62 cases.
Conclusion: We conclude that serum CPKMB levels rise early before ejection fraction is reduced and can help us identify myocardial dysfunction early. There is a statistically significant association between CPKMB, ejection fraction, and mortality in babies with severe birth asphyxia. Cardiac-specific enzyme CPKMB helps in the early recognition of myocardial dysfunction, and there is significant correlation with neonatal mortality.
Association of metabolic syndrome with hypothyroidism and hyperuricemia: A cross-sectional study in a tertiary care hospital, Kolkata, West Bengal
Authors: Atanu Chakraborty  , Amitabha Pal  , Sudipta Pal  , Saswati Mukherjee
Published: September 2023

Background: Metabolic Syndrome (MetS) (Syndrome X, insulin resistance syndrome, MetS) consists of a constellation of metabolic abnormalities which include central obesity, hyperglycemia, insulin resistance, high triglycerides, low high-density lipoprotein (HDL) cholesterol, and hypertension. Obesity is a critical component of MetS. It causes alteration in the thyroid hormones and hyperuricemia. Furthermore, insulin resistance seen in MetS causes decreased uric acid excretion.
Aims and Objectives: To study the association of MetS with hypothyroidism and hyperuricemia.
Materials and Methods: A cross-sectional study was conducted among patients from the outpatient department of General Medicine, IPGME and R, Kolkata from January 2012 to June 2013. A total of 112 patients, consisting of 53 patients with MetS and 59 patients without MetS were selected. Patients’ history, clinical and laboratory findings were recorded and data were analyzed.
Results: Majority (66%) of the patients with MetS were female and the rest were male. The mean Body mass index of patients with MetS was 33.31±4.36 (Mean±SD) kg/m2 and without MetS was 25.21±2.62 (Mean±SD) kg/m2. A significant association was observed between weight, height, waist circumference, fasting blood sugar, HDL value, and MetS (P<0.05). About 39.6% of the patients with MetS had hyperuricemia. The association between MetS and hyperuricemia was found to be significant. Similarly, 45.3% of the patients with MetS had hypothyroidism. This association was also found to be significant. Serum thyroid-stimulating hormone had a minimal correlation with serum uric acid in patients with MetS (correlation coefficient r=0.344), while no correlation was observed between fT3, fT4 with serum uric acid.
Conclusion: Increased prevalence of hyperuricemia and hypothyroidism was seen among patients with MetS. More extensive population-based research is needed to support this finding.
Gastric lavage to reduce feed intolerance among vigorous neonates >34 weeks born through meconium stained liquor: A comparative study
Authors: Manoj Kumar Gupta  , Dhirendra Prasad Yadav  , Mohammad Ashfaque Ansari  , Mukendra Sah
Published: September 2023

Background: Feed intolerance during early postnatal period is common in newborns with meconium-stained liquor (MSL). Prophylactic gastric lavage in neonates delivered with MSL and its recommendation by some pediatric textbooks, despite negligible scientific evidence and evidence-based recommendations.
Aims and Objectives: This study was designed with the objective of determining if gastric lavage in all babies with MSL led to the development of less feed intolerance as compared to those who were not subject to the procedure.
Materials and Methods: The present study was a randomized control trial, conducted at National Medical College and Teaching Hospital, Birgunj, from December 01, 2021, to November 30, 2022. The study populations were 280 vigorous neonates with ≥34 weeks of gestation and ≥1800 g delivered with MSL. Among them, 140 neonates were kept in the lavage and non-lavage group. Data were analyzed using the Chi-square test, odds ratio, and level of significance at P<0.05.
Results: Thirty-two (22.85%) and 54 (38.57%) neonate in the lavage and no lavage group developed the first episode of vomiting with a significant P=0.005. No significant difference in the incidence of feed intolerance was found (8.57% vs. 15%, P=0.099). None of the neonates in either group developed any complications during the procedure.
Conclusion: Gastric lavage seems to reduce the first episode of vomiting but not overall feed intolerance in vigorous infants born through meconium-stained amniotic fluid. Hence, concluded that gastric lavage should be reserved for treating the rather rare feed intolerance than routine prophylactic in vigorous neonates delivered with MSL.
A cross-sectional study to determine association between sleep quality and mental health of medical faculty from a tertiary care center of India
Authors: Piyushkumar C Parmar  , Somani Abhishek , Maharshi Patel  , Jain Samkit D , Mishra Richa , Jain Riya , Rokade Eeshitha , Sabat Ritesh
Published: September 2023

Background: Sleep quality is very important for the mental health of individual. The sleep quality and mental health have bidirectional relation and mean that the poor mental health affects the one’s sleep quality or poor sleep quality affects the mental health.
Aims and Objectives: The objective of the study was to document the relation between sleep quality and mental health of medical faculty. The secondary objective of the study was to identify the determinants of quality of sleep and mental health.
Materials and Methods: This was cross-sectional study done between August and November 2021 after the second wave of COVID-19. Pittsburgh Sleep Quality Index Scale (PSQI) was used to access sleep quality and Zung Self-Reporting Depression Scale (ZSDS) was used to access the metal health. All the medical faculty of medical institutes were included in the study and three attempts were made to enroll them in study.
Results:Cronbach’s alpha for PSQI for this study was 0.80 and for ZSDS was 0.69 both were in an acceptable range. This study reported that 60.2% of participants have good quality of sleep while 16.3% of participants have recorded in mild or moderate ZSDS score. Exercise and chronic disease condition have statistically significant difference with ZSDS score. Remaining all the lifestyle-related habits do not have any significant association either with PSQI or ZSDS.
Conclusion: Although there was no statistically significant difference between quality of sleep and ZSDS score, the mean score was higher of those participants who categorized as mild or moderate Zung score in comparison to those who categorized as normal.
SEM study of resin tags depth for filled pit and fissure sealants using subpressure and adhesive system - An experimental analysis
Authors: Waghmode Sonali , D Shashikiran , Hadakar Savita , Gaonkar Namrata , Gugawad Sachin
Published: September 2023

Background: Pit and fissure caries account for about 90% of the caries of permanent posterior teeth and 44% of caries within the first teeth in children and adolescents. Sealant application may be a preventive conservative approach. However, it is still challenging to bolster the retention of the filled sealant and to chop back the microleakage.
Aims and Objectives: To evaluate and compare the depth of resin tags of three filled pit and fissure sealants (PFS) using subpressure and adhesive system under scanning electron microscope (SEM).
Materials and Methods: This study was in vitro experimental study. Forty-five orthodontically extracted premolars were prepared for resin tag depth measurement and divided according to materials and subgroups. Group A- Resin-based filled PFS, Group B- Resin modified glass ionomer-based filled PFS, Group C- Giomer based filled PFS. Subgroup 1- Only sealant application, Subgroup 2- Subpressure application, Subgroup 3-Adhesive system + Subpressure application. Samples were subjected to thermocycling. The sectioned tooth fragments were polished using a carbide stone and then mounted under SEM for analysis. Photographs of the sections were obtained and the resin tag lengths were measured. Unpaired t-test and one-way analysis of variance test used for analysis. Results were considered significant when P<0.05.
Results: The depth of resin tags of the tested materials differed significantly for Giomer-based and resin-modified glass ionomer-based filled PFS group with P<0.05. Whereas Resin-based filled PFS group was not found significant P>0.05 for the depth of resin tags.
Conclusion: This study concludes that Giomer based filled PFS group and Resin-modified glass ionomer-based filled PFSs showed the highest Resin tag depth respectively when compared with Resin-based filled PFSs. The Subpressure application group was more effective followed by Adhesive+subpressure application group and Control group.
Demography, clinical features, and outcome of fungal keratitis presenting in tertiary eye care in Nepal
Authors: Bajracharya Leena , Bade Asta Ram , Gurung Reeta
Published: September 2023

Background: Fungal keratitis is an important cause of ocular morbidity in developing countries.
Aims and Objectives: To study fungal keratitis in detail along with its outcome.
Materials and Methods: This is a retrospective study of fungal keratitis that had presented between October 2013 and March 2015.
Results: 168 fungal ulcers were enrolled. 145 had fungus isolated in the culture; 23 had fungal elements seen only in potassium hydroxide mount examination. The average age of patients was 46.7 years. 55.3% were male. 75% were farmers. Patients presented at an average of 23.6 days since the onset of symptoms. In 85 cases (50.6%), trauma was the risk factor followed by steroid use (12.5%, n=21) and diabetes mellitus (7.7%, n=13). 72 out of 85 cases of trauma were due to vegetative matter. 94 (55.9%) ulcers had hypopyon. 56 (33.3%) ulcers had infiltrate size of ≥¼ of corneal surface. 12 (7.1%) ulcers were perforated at presentation. Out of 145 fungal isolates, Aspergillus species and Fusarium species were isolated in equal numbers (n=41, 28.3% each), followed by unidentified hyaline fungus (14.4%, n=21). The ulcers were treated with combination of topical natamycin 5% and fluconazole 0.3% with or without oral fluconazole. 111 (66.1%) fungal ulcers improved with medical treatment, 37 (n=22.0%) underwent therapeutic penetrating keratoplasty, 6 (3.6%) were eviscerated and outcome unknown in 14 (8.3%). Smaller-sized ulcers, ulcers without hypopyon and those presenting within 7 days had better prognosis (>80% healing with medical treatment) with statistical significance.
Conclusion: Farmers were constantly at risk of fungal keratitis due to work-related trauma. Fungal ulcers presented late with large sized ulcers and with complications, thus making treatment challenging and necessitating surgical intervention. Timely treatment had better prognosis.
Effects of intra-operative administration of intravenous dexmedetomidine on incidence of emergence phenomenon after general anaesthesia in adults; An observational study
Authors: Bhat Ghulam Jeelani , Naqash Iqra Nazir , Lone Abdul Qayoom , Faizah Mufti  , Ganie Farooq Ahmad , Mir Altaf Hussain , Qadri Reyaz
Published: September 2023

Background: The occurrence of emergence agitation (EA) is the most common and practical problem faced in the immediate post-operative period during the process of Extubation under General Anaesthesia. Dexmedetomidine, an α2 adrenoceptor agonist is an excellent drug that has been shown effective to decrease the preoperative anxiety and smooth induction and emergence.
Aims and Objectives: To assess the effect of intravenous dexmedetomidine primarily on EA and other complications that may occur during emergence from general anesthesia.
Materials and Methods: 80 patients of either gender aged 18–65 years with ASA status I and II, undergoing various elective general and urological surgeries under general anesthesia were included in the study. Patients receiving adjuvant drug dexmedetomidine, were labelled as Group D (n=40) and those who didn’t receive any adjuvant were labelled as group C (n=40). Dexmedetomidine was given at 1 μg/kg and then maintained at infusion of 0.4 μg/kg/h till the end of the surgery for group D. The hemodynamic parameters and SpO2 were measured during the intraoperative period at various intervals of time till the end of surgery and also on arrival to the recovery room till patient was discharged from post-anesthesia care unit in both the groups.
Results: The use of IV dexmedetomidine has proved significantly effective in prevention of incidence of EA with the overall incidence of agitation of 7.5% in Group D as compared to 42.5% in group C.
Conclusion: Intraoperative administration of intravenous dexmedetomidine decreased the incidence of EA and other emergence phenomena like cough, pain and PONV with stable hemodynamics, safety profile, good analgesic properties and opioids sparing side effects.
Alice in wonderland syndrome – A medical enigma
Authors: Pushpa NB  , Arora Dyuksah , Kumar Satish Ravi
Published: September 2023

Alice in Wonderland syndrome (AIWS) is a disorder in which patients report distorted visual perception and an impaired sense of time. It was first described in 1955 by the British psychiatrist John Todd, who associated these symptoms with disorders such as migraine and epilepsy. Before Todd’s observations, many symptoms of this disorder had made appearances in literature describing hysteria. Similar symptoms were observed in soldiers with occipital wounds after World Wars I and II.
Patients with AIWS experience a plethora of symptoms such as, “kinetopsia” – Stationary objects appear to be moving, “total microsomatognosia” – Body parts appear unusually smaller. “Depersonalization” – Feeling of strangeness in perceiving one’s body image is common in AIWS. Often, this is accompanied by “derealisation” – Patients start perceiving their surroundings and the people around them as unreal. However, the patient is aware that this state of consciousness is not normal- which is what differentiates it from the state of psychosis. Other symptoms include: Dyschronometria, dysmorphops, macropsia, micropsia, kinetopsia, prosopometamorphopsia, and plagiopsia. In migraine patients, the prevalence rate of these symptoms increases to about 15%.
Most symptoms of AIWS are ascribed to neurons of the central nervous system and cell columns that respond to specific sensory inputs (Ex- like visionary inputs of cortical areas V1–V5). Area V4 of the extrastriata visual cortex, particularly responds to the colors, whereas area V5 responds to movement. V4 and V5 also respond to shape and depth, but the bilateral loss of function of V4 results in achromatopsia (the inability to visualize color), and bilateral loss of V5 results in akinetopsia (the inability to visualize motion).
Anatomically speaking, a critical region for developing this syndrome is the junction of three major areas, i.e., temporooccipital, parieto-occipital, and temporo-parietal junctions, known as the temporoparietal-occipital carrefour, point where our visual and somatosensory perceptions of the world are integrated to develop an external and internal representation of ourselves.
AIWS remains a poorly understood and usually misdiagnosed syndrome. It is mostly associated with Epstein–Barr virus infection in children. Most cases of AIWS are expected to have a full remission of symptoms; sometimes, this may occur spontaneously with/without proper treatment. However, in cases with an associated chronic disease, like migraines and epilepsy, symptoms tend to occur in accordance with the active phases of these diseases.
The number of fascinating disorders that surround and confound the medical community has no limit. The journey into the human brain is about as daunting and baffling as Alice’s journey into Wonderland. Efforts to understand the functioning and physiology of this extraordinary organ will keep both doctors and scientists on their toes for many years to come.
To evaluate the analgesic efficacy of intravenous dexamethasone as an adjuvant to caudal block: A prospective, randomized, double-blind study
Authors: Neetu Gupta  , Yogesh Dodiyar  , Khushal Bokde  , Sharma Aseem , K.K. Arora
Published: September 2023

Background: Post-operative pain is of great concern in pediatric age group. Intravenous dexamethasone has been found to be promising in reducing post-operative pain when administered as an adjuvant to epidural anaesthesia in abdominal and orthopedic surgeries. However, little is known about its efficacy in children receiving caudal block for post-operative pain relief.
Aims and Objectives: This study aimed to evaluate the analgesic efficacy of intravenous dexamethasone as an adjuvant to caudal block in children posted for infraumbilical surgeries.
Materials and Methods: This interventional, double-blinded, randomized controlled study included 110 children aged 1–5 years with American Society of Anesthesiologists Grade I and II undergoing elective infraumbilical surgeries. To test our hypothesis, the superiority of intravenous dexamethasone was compared with the control group. All children received caudal bupivacaine 0.25% (1 mL/kg). Children were randomly allocated to two groups to receive: normal saline 0.075 mL/kg (Group C) and IV dexamethasone 0.3 mg/kg (0.075 mL/kg) (Group D). Post-operative pain scores (Face, Legs, Activity, Cry, and Consolability [FLACC] score), duration of analgesia, post-operative analgesic consumption, and intraoperative hemodynamics were compared.
Results: FLACC score was found to be higher in Group C than Group D at all times. The mean FLACC score was significantly less with the study drug compared to the control group (P<0.001). The time to request for first rescue analgesia was significantly less in Group C as compared to Group D (4.01±0.69 h vs. 5.51±0.50 h, P=0.019). The mean total analgesic consumed in the first 24 h was significantly higher in Group C than in Group D (666.09±174.69 mg vs. 384.55±125.04 mg, P=0.015). Hemodynamic parameters were comparable in both the groups.
Conclusion: Intravenous administration of dexamethasone 0.3 mg/kg as an adjunct to caudal bupivacaine 0.25% provides significantly longer duration of post-operative analgesia and lesser total analgesic consumption compared to the use of caudal bupivacaine 0.25% alone.
Evaluation of antiarthritic activity of ethanolic extract of Derris brevipes (benth.) Baker leaves
Authors: Nesni M Makkar  , Veena R  , Priya Mohan B.N  , Jeena Ann John  , Princy Louis Palatty  , Kuriachan Sanitha
Published: September 2023

Background: Derris brevipes is a common medicinal plant used in the traditional system of medicine as an anti-arthritic agent.
Aims and Objectives: The present study was to evaluate the anti-arthritic activity of ethanolic extract of D. brevipes (EEDB) leaves, belonging to the family Leguminosae.
Materials and Methods: The dried leaves were collected and extracted using 95% ethanol, and the extract was subjected to a preliminary phytochemical screening. In vivo activities were evaluated in collagen (chicken sternal collagen)-induced arthritis (CIA) in Sprague–Dawley rats. Prednisolone was used as the standard, and EEDB (at doses of 300 mg/kg and 600 mg/kg) was administered through the oral route. Body weight measurement, arthritic score, histological score, and radiology score assessments were carried out.
Results: Preliminary phytochemical screening of leaf extract from D. brevipes showed the presence of components such as steroids, triterpenoids, and flavonoids. In vivo tests on CIA rats given the extract showed that it could lower the arthritic score, the paw volume, the radiological score, and the histological score.
Conclusion: From this study, it is concluded that the D. brevipes leaf extract possesses antiarthritic activity.
Correlation between the Internet addiction and affect score among medical students
Authors: N Bhagyashree , Kiran Veerapaneni  , Sai Sailesh Kumar Goothy
Published: September 2023

Background: The Internet has become an integral part of our day-to-day life. It is one of the most influential media in the modern era and incorrect usage might be harmful. About 90% of adolescents use it for acquiring information. Its development has given lots of chance for exchange of information, communication, and social interactions. One of the major public health concerns accompanied with it is the internet addiction.
Aims and Objectives: The objective of the study was to assess and to correlate the affect scores and Internet addiction test (IAT) score among medical college students using the positive and negative affect (NA) schedule scale and Young’s IAT.
Materials and Methods: This cross-sectional study was conducted among the 1st-year and 2nd-year medical students to assess the Internet addiction and positive and NA score. They were asked to fill separate questionnaires.
Results: The result showed that the duration spent in viewing the Internet and IAT score had a significant negative correlation with the positive affect score (P=0.001) and significant positive correlation with NA score (P≤0.001).
Conclusion: Intervention measures should be taken to minimize the effects of internet addiction on affect score. Awareness about harmful effects of excess Internet use should be provided so as to enhance the academic performance of students.
Beyond the veil: Unveiling the unconventional - exploring the profiling, attitudes, and influential factors of body donors
Authors: Rosemol Xaviour
Published: September 2023

Background: Cadavers are essential for anatomical education, yet their scarcity plagues medical colleges in Kerala and India. However, the Government Medical College in Thrissur has experienced a rise in annual body donations.
Aims and Objectives: This study aims to explore the motivating factors behind this increase among the population of Thrissur.
Materials and Methods: This study employed a cross-sectional survey design conducted at the Department of Anatomy, Government Medical College in Thrissur, Kerala. The study utilized data from the Body Donation Register, which covered a period from May 1st, 2011 to April 30th, 2012, encompassing a total of 223 individuals. During this specific period, which was selected due to the notable surge in body donation trends, there was a significant increase observed. The sample size was set at 110 participants. Data collection was conducted through face-to-face interviews with the voluntary body donors and was analyzed using the statistical package for the social sciences, version 16.0.
Results: Gender distribution: Among 120 donors, 56.7% were male and 26.7% were female. Age groups 61–70 had the highest percentage (36%) of body donors. Socioeconomic status: the majority were above the poverty line (78.2%). Religious affiliation: Hindus had the largest representation (40 individuals). Marital status: Most donors were married (92 out of 110). Number of children: Most donors had two children (64 individuals). Sources of information: Family and relatives were the primary sources. Awareness of dissection: An equal number of donors were aware and unaware. Motivations for donation varied, including social service and avoiding burden after death.
Conclusion: A good proportion of donors had a socioeconomic status above the poverty line, and most of them were graduates or postgraduates. The majority of body donors did not have a religious affiliation. However, they had a strong family background and received support from their families. Interestingly, most of the donors were unaware of how their bodies would be used after donation.
Estimation of radiological and functional outcome of closed calcaneus fractures treated by open reduction internal fixation with calcaneal plate and screws: A prospective study
Authors: Sarkar Pranjal , Indrajit Saha  , Surojit Mondal  , Susanta Rakshit  , Bandyopadhyay Ranadeb , Saha Debasish
Published: September 2023

Background: Calcaneus fracture comprising only about 2% of all fractures is the most common tarsal bone fracture, constituting about 60% of all tarsal bone fractures. Most of calcaneus fractures are intra-articular making them difficult to treat conservatively with unpredictable outcome. With surgical fixation, there is apprehension of soft-tissue complication. Hence, we decided to conduct this study to estimate radiological and functional outcome of closed calcaneus fractures treated by open reduction internal fixation (ORIF) with calcaneal plate and screws.
Aims and Objectives: Study was conducted to estimate radiological and functional outcomes of closed calcaneus fractures treated by ORIF with calcaneal plate and screws.
Materials and Methods: This prospective study included patients with calcaneus fractures operated by extended lateral approach and fixed by ORIF with standard calcaneal low-profile locking plates and screws at Bankura Sammilani Medical College, Department of Orthopaedics and reviewed at out or inpatient department between January 2021 and August 2022. 15 patients with total 19 calcaneus fractures, with 4 patients needing bilateral calcaneus fixation, were enrolled for the study. The data were then recorded as for duration to fracture union, satisfactory radiological reduction as for Bohler’s angle, and functional outcome using the American Orthopaedic Foot and Ankle Society score. Data were then processed and analyzed with the help of Microsoft Excel spreadsheet and SPSS (version 27.0) using descriptive statistics in terms percentage and frequency, range, and standard deviation.
Results: Comparing pre-operative and post-operative Bohler’s angle, 17 (89.47%) had adequate reduction and for 2 (10.53%) cases, adequate reduction could not be achieved. In our study, overall 7 out of 19 limbs (36.84%) had excellent functional outcome, 10 (52.63%) had good result, and 2 (10.53%) had fair result.
Conclusion: ORIF of displaced intra-articular calcaneal fractures through extended lateral approach with low-profile locking calcaneal plates gives good subtalar joint reduction in most cases with satisfactory functional outcome with few complications.
Intubation challenges in surgeries of thyroid swellings
Authors: Urang Madhusmita , Jagadish Basumatary  , Asha Saikia  , Tapan Kumar Talukdar  , Rupam Borgohain
Published: September 2023

Background: Difficult airway is when a trained anesthesiologist experiences difficulty with face mask ventilation of the upper airway or tracheal intubation or both. It has always been a challenging issue for anesthesiologists.
Aims and Objectives: The objective was pre-operative assessment of airway in patients with goiter and to find the incidence of difficult intubation and its management.
Materials and Methods: A prospective study was done in 32 patients presenting with goiter of various sizes. Routine airway examination includes mouth opening, Mallampati grading, neck circumference, neck mobility, thyromental distance, tracheal deviation on chest X-ray, AP and lateral views of neck, and Cormack-Lehane grading on laryngoscopy. The technique followed in each case was noted.
Results: Out of 32 cases, difficult intubation was experienced in five cases. Among the studied parameters, neck mobility (66.7%) followed by neck circumference (44.4%) and Mallampati grading (37.5%) was found to be more predictive in assessing the airway. 62.5% patients were intubated through direct laryngoscopy, followed by bougie in 21.9% patients. Due to difficulty in intubation, 15.6% patients were intubated through videolaryngoscopy.
Conclusion: We conclude that induction of anesthesia can be challenging for patients with goiter. A thorough history and examination are mandatory pre-operatively in these patients. Neck circumference and neck mobility are the most crucial factors as evident in our study. Videolaryngoscopy plays an important role in patients with difficult airway.
To study the usefulness of islanded tongue flap reconstruction for carcinoma buccal mucosa defect
Authors: Prem Shanker  , Mohd Athar  , Singh Sujeet
Published: September 2023

Background: Carcinoma buccal mucosa is very prevalent among the Indian population. The mainstay of treatment is surgical excision, which leaves tissue defects requiring reconstruction. Various techniques and flaps have been used for reconstruction of such defects, and research is still underway for better cosmesis and functional outcomes.
Aims and Objectives: The aims of this study were to assess the usefulness of an islanded tongue flap in buccal mucosa cancer defect reconstruction after segmental mandibulectomy.
Materials and Methods: The present hospital-based observational study was conducted on patients with carcinoma buccal mucosa, with an age greater than 20 years and both sexes included after obtaining written and informed consent. The patients underwent islanded tongue flap reconstruction after wide local excision of tumor and segmental mandibulectomy.
Results: Twenty-four patients underwent the procedure and were included in this study. The outcome of the surgery was compared in terms of deglutition and difficulty in speech on a scale of good, satisfactory, and poor. The cosmetic outcome was also compared in the same way. During the post-operative period, eight (33.33%) patients developed early complications of hematoma and pus discharge. Three (12.5%) developed wound dehiscence. Two (8.33%) of these patients also developed flap necrosis. All these complications were managed conservatively. Overall, the surgery had a good cosmetic outcome with minimal difficulty in deglutition or speech.
Conclusion: Based on results, an islanded tongue flap can be regarded as a good alternative for small and medium-sized buccal mucosa cancer defect reconstruction after segmental mandibulectomy.
Effectiveness of Pictures in Enhancing ESL Students’ Short Story writing Ability
Authors: Tiwari Hari Prasad
Published: August 2023

The integration of pictures into story teaching offers a dynamic approach that caters to various learning styles, fosters deeper understanding, and makes the learning experience more enjoyable. This quantitative pre-experimental research was conducted to investigate the impact of visuals on enhancing short story writing skill among secondary level ESL (English as a Second Language) students. Data was derived from a sample of thirty students selected purposively for the study. The research incorporated pre-tests, progressive tests, and post-tests as data collection techniques. The outcomes of these tests were subsequently compared and analyzed to assess the influence of visuals on short story development. The analysis of the data revealed that pictures were indeed effective in teaching short story composition to secondary level students. Therefore, utilizing visuals as an instructional tool for teaching short story writing is recommended for secondary level ESL students.
Literature Review: Penerapan Sistem Job Satisfaction dan Job Rotation pada Karyawan Perusahaan
Authors: Sutrisno Sutrisno , Leuhery Ferdy , Sose Andi Tenry , Tuasela Antje , Manda Darmawati
Published: September 2023

Job rotation policy is a strategy for developing employee skills by the company to improve employee performance, and this can provide refreshment and a sense of a new atmosphere for employees. So that it can provide job satisfaction or satisfaction to employees. The method in this research is a literature study by reviewing some of the results of previous research which originates from national and international articles. The research results were analyzed and used as material for discussion to determine answers to problems regarding the relationship between job rotation policies and job satisfaction which can have an impact on employee performance. All ideas from each study provide information about the methodologically desirable theory of the study being analyzed. The results of the literature review show that the job rotation policy implemented by the company has a good impact on employee job satisfaction, so it is good for improving employee performance.

Keywords: Job Rotation, Job Satisfaction, Company Employees
Pengaruh Kompetensi Sumber Daya Manusia Dan Kemampuan Pemanfaatan Teknologi Terhadap Kinerja Aparatur Desa Di Kantor Desa Jojjolo
Authors: Bakri Muhammad , Jainuddin Jainuddin , Risman Risman , Erfan Muhammad
Published: September 2023

Based on the review of the main problem, the research objectives to be achieved are as follows: (1) To determine and analyze the influence of Human Resource Competence on the Performance of Village Apparatuses at the Village Office in Jojjolo (2) To determine and analyze the influence of Technology Utilization Capability on Village Apparatus Performance At the Village Office In Jojjolo To find out, (3) To analyze the influence of Human Resource Competence and Ability to Utilize Technology on the Performance of Village Apparatus at the Village Office in Jojjolo. The research location is Jo'jolo Village, Bulukumpa District, Bulukumba Regency. This study uses descriptive qualitative research methods, with data sources, namely questionnaires and documentation. The sample of this research is village apparatus. The data analysis used is data quality test, classical/prerequisite test, and hypothesis testing. The potential of HR affects the performance of village officials. This means that the better the competence of human resources, the performance of the village apparatus will also increase. The use of technology has a significant influence on the performance of the village apparatus. This means that the better the use of technology, the performance of the village apparatus will increase.

 

Keywords: Human Resources, Village Apparatus, Technology
Pengaruh Independensi dan Kompetensi Terhadap Kualitas Audit (Studi Empiris Pada Kantor Akuntan Publik di Bandung)
Authors: Hidayat Sendie Nur , Susiani Rini
Published: September 2023

This study aims to determine and analyze the effect of auditor independence and competence on audit quality at Public Accounting Firms in Bandung. This study data was obtained by distributing questionnaires to 45 respondents using the quota sampling technique, which is part of Non-probability Sampling. Respondents in this study were auditors at the Public Accounting Firm in Bandung. The analysis technique used in this research is the classical assumption test, multiple linear regression, and hypothesis testing. The results showed that independence has a positive but insignificant effect on audit quality, competence has a positive and significant effect on audit quality, and independence and competence simultaneously have a significant effect on audit quality.

Keywords: Independence, Competence, Audit Quality
Brand Preference Sebagai Mediasi Faktor-Faktor Yang Mempengaruhi Purchase Intention
Authors: Septiani Rosalina , Marlien R.A
Published: September 2023

It is important for marketers how to make customers buy a product. The decline in the Avanza – Xenia market share in 2020 and 2021 indicates that purchase intention for the two products that carry out co-branding is decreasing. This study aims to examine the impact of brand equity and co-branding on purchase intention with brand preference as a mediator. The population in this study were potential consumers of Nasmoco Pemuda Semarang Dealers, with an estimated amount that could not be predicted, while the sample taken was 120 respondents. The sample collection method uses purposive sampling. The finding is brand equity, co-branding has a positive and significant effect on brand preference. Brand equity, co-branding and brand preference have a positive and significant effect on purchase intention so that brand preference is proven to act as a mediation.

Keywords: Brand Equity, Co-branding, Brand preference, Purchase intention
Pengaruh Profitabilitas, Leverage dan Market Value terhadap Harga Saham pada Perusahaan Industri Barang Konsumsi yang Terdaftar Di Bursa Efek Indonesia Tahun 2019-2021
Authors: Priliana Nanda Dwi , Lisiantara G. Anggana
Published: September 2023

Companies that are members of the Consumer Goods Industry have very high competition, so they must continue to improve their company performance to survive in the face of competition. These conditions can affect the movement of stock prices. The way to measure company performance is by looking at the financial statements and considering the ratios in them. So this research was conducted to find out whether there is an influence between the profitability ratios (ROA, ROE), leverage (DAR) and market value (EPS) partially or simultaneously on share prices in consumer goods industry companies listed on the IDX in 2019-2021. This study uses secondary data and quantitative methods purposive sampling as a data collection method. The total sample used after the outliers were 144 companies. Multiple linear regression analysis using the SPSS program was used as a technique to analyze the data. The conclusion of this study is Profitability (ROA, ROE), Leverage (DAR) and Market Value (EPS) simultaneously have a significant effect on stock prices. Profitability (ROA) partially has no effect on stock prices. Profitability (ROE) partially has a significant effect on stock prices. Leverage (DAR) partially has no effect on stock prices, and Market Value (EPS) has a significant effect on stock prices.

Keywords: Profitability, Leverage, Market Value, Stock Price.
Pengaruh Struktur Modal Terhadap Manajemen Laba
Authors: Eka Eka , Goso Goso , Halim Muh.
Published: September 2023

The purpose of the study was to analyze and determine the impact of capital structure as measured by the debt-to-asset ratio (DER) and the debt-to-asset ratio (DAR). financial ratios on earnings management calculated using the Jones and Modified Jones discretionary accruals models. The secondary data used is the financial statements of PT. Piranti Jagad Raya for the 2018-2022 period. The data analysis technique uses simple linear regression with the help of SPSS Statistics 25. The results and findings of the study show that capital structure has a significant positive effect on earnings management. This indicates that the higher the equity of a company, the more efficient use of earnings management. Implications for PT. The Jagad Raya tool is to avoid agency problems and information asymmetry between agents and principals. Companies can implement more efficient earnings management or suppress the use of earnings management to avoid opportunistic actions so that companies have healthy financial reports.

Keywords: Earnings Management, Capital Structure, Agency teori
Pengaruhi Rasioi Profitabilitasi, Rasio Likuiditasi Dani Rasioi Leveragei Terhadapi Mandatory Disclosure Yangi Di Moderatori Firm Size (Studi Perusahaan BUMN 2010–2020)
Authors: Ariesa Yeni , Pricylia Cindy , Chen Felia , Fahlevi Mochammad
Published: September 2023

The purposei/aim of thisi studyi isi toi examinei whether thei ratio of Profitabilityi, Liquidityi and Leveragei Affect Mandatory Disclosure which is Moderated by Firm Size in the BUMN sector in 2010-2020. The research usesi deductiveiapproachi method, quantitativei type and descriptivei. Thei amount ofi BUMN enterprise sectori registered on the IDXiare 19 companiesi andi thei samplei thati fulfill the criteriai according to purposivei samplingi is 13 companiesi. This typei of researchi data usesi secondaryi datai. Thei datai used in the pooling data. Thei datai analysisi techniquei ofi thisiresearchi usesi the EVIEWS program. The conclusion from thei resultsi ofi thisi studyi shows thei profitabilityi andiliquidity ratio havei significanti negative effecti oni mandatory disclosure whilei the leveragei ratio andi firmi sizei haveiai positivei effecti oni mandatory disclosurei. Simultaneouslyi profitabilityi ratiosi, liquidityi ratiosi, leveragei ratiosi and firm sizei havei no effecti oni mandatory disclosure. It is proven by f count is 0.8923 and sig value is 0.2617 higher than 0.05.

Keywords: Profitabilityi Ratios, Liquidityi Ratios, Leveragei Ratios, Firm Size and Mandatory Disclosure.
The Role of Audit Quality as a Moderating Variable in Relationship Between Quality of Audit Committee, Company Size and Financial Report Integrity of Manufacturing Companies Listed in IDX
Authors: Hertina Dede , Yendri Okma , Rachmad Yoesoep Edhie , Samosir Hendrik Elisa Sutejo , Putra Halim Dwi
Published: September 2023

With audit quality serving as a moderating variable, the goal of this study is to examine and collect empirical data on the impact of audit committee quality and business size on the caliber of financial reports. Accounting knowledge, committee size, and meeting frequency all indicate the quality of an audit committee. Manufacturing businesses that were listed on the Indonesia Stock Exchange between 2013 and 2016 were used as a sample in this study. 33 manufacturing enterprises with a 4 year observation period were included in this study. Purposive sampling was used to collect the data. The multiple regression model and moderated regression analysis were used in this study to examine the hypotheses. The findings of this study revealed that the caliber of financial reports was unaffected by the audit committee's experience, the frequency of its meetings, or the size of the accounting and financial firms. Regarding the moderating influence of audit quality, the findings indicated that it was unable to moderate the relationship between the business size and the integrity of financial reports and all audit committee quality proxies.
تصور مقترح لتفعيل الشراكة بين جامعة الإمام عبد الرحمن بن فيصل والمؤسسات الإنتاجية في ضوء رؤية المملكة 2030
Authors: القحطاني عبد الله بن مسفر بن محمد , الهادي شرف الدين بن إبراهيم
Published: August 2023

هدفت الدراسة إلى تقديم تصور مقترح لتفعيل الشراكة بين جامعة الإمام عبد الرحمن بن فيصل والمؤسسات الإنتاجية في ضوء رؤية المملكة 2030. واتبعت الدراسة المنهج المزجي وذلك عبر التصميم التتابعي التفسيري، واستُخدمت استبانة لجمع البيانات من عينة عشوائية بسيطة بلغ عددهم (97) قائدًا من القيادات الأكاديمية بجامعة الإمام عبد الرحمن بن فيصل، و (123) قائدًا من المؤسسات الإنتاجية في المنطقة الشرقية، ومقابلة مقننة مع عينة قصدية عددهم (5) من القيادات الأكاديمية وممثلين المؤسسات الإنتاجية، وقد أظهرت نتائج الدراسة أن واقع الشراكة بين جامعة الإمام عبد الرحمن بن فيصل والمؤسسات الإنتاجية تتوافر بدرجة أحيانًا من وجهة نظر القيادات الأكاديمية بجامعة الإمام عبد الرحمن بن فيصل، وموافق بدرجة ضعيفة من وجهة نظر ممثلين المؤسسات الإنتاجية، وأن المعوقات التي تحد من الشراكة جاءت موافق بدرجة متوسطة من وجهة نظر القيادات الأكاديمية بجامعة الإمام عبد الرحمن بن فيصل، وبدرجة موافق من وجهة نظر ممثلين المؤسسات الإنتاجية، وجاءت الآليات التي تساهم في تفعيل الشراكة بدرجة موافق من وجهة نظر القيادات الأكاديمية بجامعة الإمام عبد الرحمن بن فيصل، وموافق بدرجة عالية من وجهة نظر ممثلين المؤسسات الإنتاجية، ووجود فروق ذات دلالة إحصائية عند مستوى (0.05) بين وجهة نظر القيادات الأكاديمية وبين ممثلي المؤسسات الإنتاجية حول تحديد واقع الشراكة بين جامعة الإمام عبد الرحمن بن فيصل والمؤسسات الإنتاجية، وكانت الفروق لصالح القيادات الأكاديمية، وحول تحديد معوقات الشراكة كانت الفروق لصالح ممثلي المؤسسات الإنتاجية، وحول تحديد آليات تفعيل الشراكة كانت الفروق لصالح ممثلي المؤسسات الإنتاجية. وقد قدمت الدراسة في ضوء نتائجها تصورًا مقترحًا لتفعيل الشراكة بين جامعة الإمام عبد الرحمن بن فيصل والمؤسسات الإنتاجية في ضوء رؤية المملكة 2030.
Caracterización clínica del binomio madre-hijo de recién nacidos hijos de madres con VIH en el Hospital Barrio Obrero, años 2016 al 2021
Authors: Verón Molinas Gloria Beatriz , Britez Carolina , Lacarrubba José María , Sanabria Gabriela
Published: August 2023

Introducción: El virus de la inmunodeficiencia humana (VIH) es un miembro de la familia Retroviridae, actualmente agrupado dentro del género Lentivirus.

Objetivos: Describir las características clínicas de los recién nacidos hijos de madres con diagnóstico de VIH positivos.

Materiales y Métodos: Se realizó un estudio descriptivo, transversal, retrospectivo del binomio madre-hijo de recién nacidos hijos de madres con VIH, internados en el Servicio de Neonatología del Hospital General Barrio Obrero en el periodo comprendido de enero de 2016 a diciembre 2021. Se procedió a la recolección de los datos de las fichas del periodo correspondiente al estudio.

Resultados: Un total de 31 individuos (binomios madre-hijo) fueron analizados, la mayoría del sexo masculino, un tercio de los niños nació con bajo o muy bajo peso, se registraron 11 madres con controles prenatales insuficientes o nulo, lo que dio lugar a 5 partos vaginales, éstos sin control prenatal. El motivo de internación fue la hiperbilirrubinemia, la profilaxis recibida por los RN fue monoterapia con Zidovudina.

Conclusiones: Esta investigación ha demostrado que a pesar del esfuerzo de los programas de control de VIH y maternos, los niños aún nacen con bajo o muy bajo peso, se observan controles prenatales insuficientes y partos vaginales.
Miocardiopatía hipertrófica en la edad pediátrica. Revisión a propósito de una serie de casos
Authors: Rohden Both Franciele Regiane , Chaparro Garay Gabriela  Alexandra , Álvarez Núñez Soledad de los Ángeles , Verón Coronel Carlos Miguel , Garay Echeverría Nancy Mercedes
Published: August 2023

Introducción: La miocardiopatía hipertrófica (MCH) constituye una enfermedad compleja y variable en cuanto a morfología, fisiopatología, pronóstico y sobrevida. Se caracteriza por una hipertrofia del ventrículo izquierdo, aunque en ocasiones puede ser biventricular o ventricular derecha aislada. En la edad pediátrica predominan las causas no sarcoméricas. La ecocardiografía es el método diagnóstico más utilizado para caracterizar la morfología y repercusión hemodinámica, sin embargo, la resonancia magnética cardíaca (RMC) es de elección por aportar mayores ventajas morfológicas y funcionales. Las pruebas genéticas son de gran importancia en la determinación del diagnóstico etiológico, manejo terapéutico y pronóstico. El tratamiento tiene como objetivo principal mejorar la capacidad funcional y aliviar los síntomas. Los betabloqueantes no vasodilatadores son considerados de primera líneay en algunos casos se puede recurrir a terapias avanzadas como disopiramida o terapia de reducción septal (TRS), uso del cardiodesfibrilador implantable (CDI), y en ocasiones se debe considerar trasplante cardiaco en pacientes con síntomas refractarios al tratamiento médico y en MCH del tipo obstructivo.
Materiales y métodos: Estudio observacional, descriptivo, corte transversal.
Resultados: Se estudiaron 12 pacientes, desde enero de 2020 a diciembre de 2022, con edades comprendidas desde 5 meses hasta 16 años, diagnosticados con MCH de presentación clínica variable y de distintas etiologías.
Conclusión: La MCH de causas no sarcoméricas como los síndromes malformativos y errores innatos del metabolismo son las que tienen peor pronóstico y sobrevida. La finalidad de detectar precozmente la MCH es el inicio temprano de la terapia específica, para así retrasar el compromiso cardiovascular y mejorar la sobrevida.