bluuebunny/crossref_metadata_2025 huggingface dataset:
CURRÍCULO, TEMPO, AFETO E TECNOLOGIAS
Authors: Rodrigues Allan Carvalho , Emiliao Soymara , Carvalho Janete Magalhães
Published: August 2024

Nesta entrevista, a professora Janete Carvalho, titular da Universidade Federal do Espirito Santo,  reflete sobre o desejo da vida e dos afetos , na relação que a contemporaneidade  estabeleceu entre os sujeitos, a partir do advento das tecnologias, e  desdobramentos dessas modificações   nos currículos pensadospraticados nas escolas brasileiras. Criou a noção de  Comunidade de afetos e afecções e com ela, referendou  que a constituição de redes de conversações e ações possibilitam   criar novas formas de comunidade que potencializam o cotidiano escolar. Aponta que os currículos e os docentes e suas narrativas, são como modos de dizer e se constituem como expressão das singularidades e de modos de fazer que atravessam a dimensão do virtual. E o que importa é o que acontece no meio, nem no início nem no fim, porque não acredita em um fundamento último que guie as práticas dos educadores.  Para Carvalho, os docentes que trabalham nos cotidianos escolares estão no plano de imanência.
Issues of Using UAVs to Monitor the Quality of Coastal Waters
Authors:   National Aerospace Agency, Humbatov Dylan , Aliyeva Humar ,   National Aerospace Agency
Published: August 2024

Coastal water quality studies are carried out using both marine measuring stations and UAVs equipped with multispectral and hyperspectral equipment. The results of the conducted research have shown that the quality of coastal zones is determined mainly by the amount of algae and, in particular, seaweed, the bulk of which is under water. The surface part is usually estimated using a UAV equipped with spectral measuring equipment with a large error, since it is necessary to take into account the effects of gloss and turbidity of the sea surface. At the same time, accounting for the underwater part of this vegetation can be carried out without the influence of reflected radiation of the surface part. For this purpose, the well-known regression dependence of the reflected signal of the surface part on the ratio of the reflected signal of the blue part of the spectrum to the reflected signal at the transition site at the edge of the red zone is used. The task of searching for such a type of function of dependence of radiation from the edge of the red zone on reflection from the near infrared zone is formed, in which the target functional formed on the basis of the specified regression dependence and some restrictive condition imposed on the desired function would reach a minimum. A transcendental equation has been obtained, the solution of which allows us to determine the nature of the desired dependence, in which the influence of radiation from the surface part of the vegetation under study minimally affects the result of evaluating the underwater part of the plant.
Examining Challenges and Prospects Associated with Implementing Legal Protections for Electronic Governances: A Generic Perspective from Developing Country
Authors: Ibrahim Yousef Gharaibeh Zaid , Ahmad Faleh Alazzam Farouq , Jabbar Salih Ali , Khalaf Abed Rabbo Aldrou Khaled
Published: August 2024

On a worldwide scale, information and communication technologies are undergoing fundamental shifts, and research has been done to investigate the mechanisms between e-government and e-governance in light of these informational and technological shifts. There have been many discussions about different e-governance case studies, and the distinctions between e-governance and e-government, as well as their respective benefits, have been aptly investigated from the point of view of government implementation. This current paper also focuses on deploying an e-governance mechanism and addressing the difficulties and constraints involved. Finally, practical problems regarding the adoption of e-governance have been addressed by online administration and Internet legislation. Future research has to focus on legitimate challenges and how they statistically relate to e-governance and artificial intelligence in various public and commercial institutions
CARACTERIZAÇÃO E PROPOSIÇÃO DE TRATAMENTO DA ÁGUA RESIDUÁRIA DA LAVAGEM DE CAJUS: UMA TRATATIVA DE REÚSO NO SERIDÓ-RN
Authors: Medeiros Isandra de França , Silva Vanessa Riani Olmi , Martins Eliane Maurício Furtado , Silva Roselir Ribeiro da , Campos André Narvaes da Rocha , Antas Francisco Pio de Souza
Published: August 2024

CARACTERIZAÇÃO E PROPOSIÇÃO DE TRATAMENTO DA ÁGUA RESIDUÁRIA DA LAVAGEM DE CAJUS: UMA TRATATIVA DE REÚSO NO SERIDÓ-RN
 
 
ISANDRA DE FRANÇA MEDEIROS1; VANESSA RIANI OLMI SILVA2; ELIANE MAURÍCIO FURTADO MARTINS3; ROSELIR RIBEIRO DA SILVA4; ANDRÉ NARVAES DA ROCHA CAMPOS5 E FRANCISCO PIO DE SOUZA ANTAS6
 
1Mestra, Departamento de Ciência e Tecnologia de Alimentos, IF Sudeste MG campus Rio Pomba, Av. Dr. Sebastião da Paixão s/n, Bairro Lindo Vale, CEP: 36.180-000, Rio Pomba MG, Brasil e e-mail:isandramde@gmail.com
2Profª Doutora, Departamento de Ciência e Tecnologia de Alimentos, IF Sudeste MG campus Rio Pomba, Av. Dr. Sebastião da Paixão s/n, Bairro Lindo Vale, CEP: 36.180-000, Rio Pomba MG, Brasil e e-mail vanessa.riani@ifsudestemg.edu.br
3Profª Doutora, Departamento de Ciência e Tecnologia de Alimentos, IF Sudeste MG campus Rio Pomba, Av. Dr. Sebastião da Paixão s/n, Bairro Lindo Vale, CEP: 36.180-000, Rio Pomba MG, Brasil e e-mail eliane.martins@ifsudestemg.edu.br
4Prof. Doutor, Departamento de Ciência e Tecnologia de Alimentos, IF Sudeste MG campus Rio Pomba, Av. Dr. Sebastião da Paixão s/n, Bairro Lindo Vale, CEP: 36.180-000, Rio Pomba MG, Brasil e e-mail roselir.silva@ifsudestemg.edu.br
5Prof. Doutor, Departamento de Ciência e Tecnologia de Alimentos, IF Sudeste MG campus Rio Pomba, Av. Dr. Sebastião da Paixão s/n, Bairro Lindo Vale, CEP: 36.180-000, Rio Pomba MG, Brasil e e-mail andre.campos@ifsudestemg.edu.br
6Prof. Doutor, Departamento de química, IFRN campus Currais Novos, Rua Manoel Lopes Fillho 773, Bairro Valfredo Galvão, CEP: 59.880-000, Currais Novos RN, Brasil, e e-mail pio.antas@ifrn.edu.br
 
 
1 RESUMO
 
 
Palavras-chave: agroindústrias, efluentes, legislação, água, reúso.
 
 
 
MEDEIROS, I. F.; SILVA, V. R. O.; MARTINS, E. M. F.; SILVA, R. R.; CAMPOS, A. N. R.; ANTAS, F. P. S.
CHARACTERIZATION AND TREATMENT PROPOSITION OF WASTEWATER FROM CASHEW WASHING: A REUSE ADJUSTMENT IN SERIDÓ-RN
 
 
2 ABSTRACT
 
 
Keywords: agro-industries, effluents, legislation, water, reuse.
Effectiveness of Multidisciplinary Physiotherapeutic exercise on the patients with Spastic Diplegic Cerebral Palsy
Authors:   Assistant professor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India., Patel Heena , Patel Ragbi ,   Tutor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India., Barot Jahanvi ,   Assistant professor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India., ranu Apexa ,   Tutor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India., B. Patel Shreyansiben ,   Tutor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India., Kaila Radhaben ,   Assistant professor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India., Maheta Urvi ,   Tutor in Physiotherapy department at Sakalchand Patel University, Visnagar, Gujarat, India.
Published: August 2024

Background and Objectives: Cerebral Palsy (CP) describes as a group of permanent disorder of development of movement and posture causing activity limitation that are attributed to non-progressive disturbances occurred in developing fetal or infant brain. Objective of this study to assess the effectiveness of different physiotherapy treatment technique and exercise protocol used in patients with cerebral palsy. Aim: To study the effect of multidisciplinary physiotherapeutic exercise on the patients with spastic diplegic cerebral palsy. Method: multidisciplinary physiotherapeutic exercise is given on the patients with spastic diplegic cerebral palsy including PNF technique, Rood’s approach, Vojta technique, MFR, passive movement, weight-bearing exercises, as well as prolonged stretching. Result: physiotherapeutic treatment, he was able to improve his head and neck control and balance her posture. He was able to stand with minimal support using a Knee Ankle Foot Orthosis (KAFO). Conclusion: multidisciplinary physiotherapeutic) improved gross motor functions and social skills while having a minor impact on GMFCS. KEYWORDS: Spastic diplegic cerebral palsy, Physiotherapy, PNF, Vojta technique, MFR, GMFCS.
A bibliometric analysis of research on fish and floristic diversity: Trends and themes
Authors: Al-Mutairi Khalid Awadh
Published: August 2024

Research on the relationship between fish and floristic diversity has been limited by narrow scopes, inconsistent methodologies, and geographic biases, resulting in fragmented insights. This study presents a comprehensive bibliometric analysis on the relationship between fish diversity and floristic diversity, spanning nearly six decades from 1965 to 2024. Using the Scopus database, 47 publications were identified based on the presence of the keywords "fish" and "floristic diversity" in article titles, abstracts, and keywords. The analysis reveals a gradual increase in publications over time, with notable peaks corresponding to heightened awareness of biodiversity conservation. The research themes identified include habitat provision, ecosystem resilience, impact of environmental change, and the role of invasive species. The study highlights the importance of integrating conservation strategies that protect both fish and plant diversity to maintain ecosystem health and resilience. The findings also point to regional and taxonomic specificity as critical areas for future research, particularly in climate change and habitat alteration. This bibliometric review provides valuable insights into the evolution of this field and identifies gaps and opportunities for further investigation. Therefore, the study underscores the critical interdependence between fish and floristic diversity within ecosystems, a relationship that both natural processes and anthropogenic influences have shaped over time. The findings suggest that conservation efforts must adopt a more integrated approach, recognizing the mutual dependencies between different forms of biodiversity. This approach will be essential for mitigating the adverse effects of human activities on ecosystems and ensuring the long-term sustainability of both fish and plant communities.
Effectiveness Verification of Evacuation Guidance Including Underground Passages Using Multi-objective Optimization
Authors: Takeda Mei , Onishi Masaki
Published: August 2024

In this study, we approach the optimization problem of evacuation guidance assuming major terminal stations in Tokyo using crowd simulation and optimization algorithms. We propose a method to optimize multiple indicators with various guidance variables, including underground passages, and evaluate multiple scenarios obtained through optimization. The results of experiments using three algorithms: Random search, NSGA-II, and MOTPE, showed that MOTPE can be used to search for high-quality solutions quickly. Additionally, scenarios with guidance shortened the total evacuation time and reduced the congestion levels compared to scenario without guidance.
Important factors associated with using kratom among the U. S. population aged 12 years and above in 2019
Authors: Dhankikar Suraj , Arewar Akansha , Quinn Megan , Besekar Smruti , Patel Dhilon
Published: August 2024

Background: The psychoactive Southeast Asian herb known botanically as Mitragyna speciosa, or Kratom, has recently gained appeal as an illicit drug across the world. Demographic factors may explain the increased use of Kratom. Many demographic characteristics and risk factors are associated with kratom use and mental health. This analytical inquiry used the 2019 NSDUH database to identify and investigate the factors linked with Kratom misuse in the United States.
Methods: This cross-sectional study monitored the 2019 National Survey on Drug Use and Health (NSDUH) dataset, involving a multistage representative area probability sampling method. The data was collected from the non-institutionalized U.S. population aged 12 and above, comprising 98% of the study group. The study used a sample size of 56,136, filtered on inclusion/exclusion criteria. The study findings would offer valuable insights for epidemiologists, policymakers, and the wider community to improve behavioural health.
Results: The study found that 66.45% of Kratom users were unmarried, with 33.555% being married, widowed, or divorced. The low p-value of 0.0001 suggested a link between Kratom consumption and marital status. Individuals without mental health education used Kratom at a higher rate (78%), but no significant relationship was found. Males consumed Kratom at a higher rate (58.76%), while females consumed 41.24%.
Conclusions: The study highlighted the impact of demographic factors like age, marital status, gender, income, and mental health education on Kratom consumption, with implications for public health policy.
Evaluation of invitro antidiabetic activity using silver nanoparticles of Galinsoga parviflora leaf extract
Authors: Bhat Waseem H. , Ahmed Syed S.
Published: August 2024

Background: Diabetes mellitus, characterized by chronic hyperglycemia, can lead to severe complications if untreated. G. parviflora, a plant from the Astereaceae family, is traditionally recognized for its medicinal properties, including hypoglycemic effects. This study investigates the antidiabetic potential of silver nanoparticles synthesized from G. parviflora leaf extract. To evaluate the in-vitro antidiabetic activity of silver nanoparticles from G. parviflora by assessing their α-amylase and α-glucosidase inhibitory activities, and glucose uptake using the everted gut sac method.
Methods: Silver nanoparticles were synthesized from G. parviflora and tested for α-amylase and α-glucosidase inhibitory effects using colorimetric methods. Glucose uptake activity was assessed with an everted gut sac model from chicken ileum. Statistical analysis employed one-way ANOVA and Tukey’s post-hoc test, with significance set at p<0.05.
Results: The nanoparticles exhibited significant α-amylase inhibitory activity, with 90.2% inhibition at 200 µl and 91.9% at 400 µl, surpassing the standard drug Acarbose. They also showed dose-dependent α-glucosidase inhibitory activity, achieving 34.5% inhibition at 200 µl and 32.6% at 400 µl. Glucose uptake analysis revealed significant reductions at 150 minutes for both the standard drug and nanoparticles compared to the control (p<0.05). However, at 300 minutes, only the standard treatment maintained significant differences.
Conclusions: Silver nanoparticles of G. parviflora exhibit significant in vitro antidiabetic activity by inhibiting key digestive enzymes and reducing glucose uptake. These findings suggest their potential for developing novel antidiabetic therapies.
Therapeutic potential of Garcinia cambogia and Emblica officinalis in the management of obesity and lipid profiles in a rat model of diet induced obesity
Authors: Yadav Ritu , Bindra Harleen K. , Chaurasia Rakesh C.
Published: August 2024

Background: Obesity has emerged as one of the significant public health burdens across the globe, which predisposes the risk of cardiovascular diseases and metabolic dysfunctions. Medicinal plants can be possible therapeutic measures for managing obesity. Garcinia cambogia and E. officinalis have been used for their anti-obesity and hypolipidemic properties. The objective of this study was to evaluate and compare the anti-obesity and hypolipidemic effects of Garcinia cambogia and E. officinalis in a high energy diet-induced obese rat model.
Methods: A total 36 albino rats were included in the study. The animals were randomly divided into 6 groups of 6 rats each. Group 1 (control) received distilled water orally, Group 2 received Garcinia cambogia extract orally in dose of 200 mg/kg/day, Group 3 received Garcinia cambogia extract orally in dose of 400 mg/kg/day, Group 4 received E. officinalis extract orally in dose of 20 mg/kg/day, Group 5 received E. officinalis extract orally in dose of 40 mg/kg/day and Group 6 (standard) received Orlistat in dose 20 mg/kg/day. Parameters assessed included body weight and lipid profile (total cholesterol, triglycerides, LDL cholesterol, and HDL cholesterol).
Results: Both Garcinia cambogia and Emblica officinalis interventions demonstrated significant reductions in body weight gain and improvements in lipid profile compared to the HED group. The intervention groups exhibited notable decreases in total cholesterol, triglycerides, and LDL cholesterol levels, along with an increase in HDL cholesterol levels.
Conclusions: Our findings suggest that Garcinia cambogia and Emblica officinalis possess anti-obesity and hypolipidemic effects in a high energy diet-induced obese rat model. These naturals show promise as potential therapeutic agents for combating obesity and associated dyslipidemia. Further research is needed to understand and validate their efficacy in human populations.
A review on: nutraceutical and neuropotective approaches of Momordica charantia L. fruits against neurodegenerative disease
Authors: Mohanty Sanjib K. , Nayak Yashaswi
Published: August 2024

The Momordica charantia is a tropical plant, also known as bitter gourd or bitter melon, is a crucial herbal remedy with a wide range of medicinal properties. People in Indian subcontinent and China consider, M.charantia as key components to treats variety of elements such as cancer, diabetes and neurodegenerative diseases like Alzheimer’s disease, Parkinson’s disease, multiple sclerosis etc. These diseases are described by degeneration or loss of selective neuron populations in a progressive manner. The two main characteristic of neurodegenerative illness are oxidative stress and inflammation, which have been studying using the variety of medicinal herbs and their derivatives.  However, very few authors have reported the protective effects of M. charantia against neurodegenerative diseases.  This short review focus on the neuroprotective effects of M. charantia. Based on their anti-oxidant and anti-inflammatory properties, the present study emphasizes to further explore the protective effects of M. charantia against neurodegenerative and neuroinflammatory diseases.
Determinants of puerperal sepsis among postpartum women admitted to hospitals in Dire Dawa, Ethiopia: an unmatched case-control study
Authors: Yasin Aminu Mohammed , Sintayehu Yitagesu S. , Bedru Leyla Abrar , Abdu Neima Ridwan , Alemu Yalelet Belay
Published: August 2024

Background: Puerperal sepsis is an infection of the genital tract that occurs at any time from 2 to 42 days of puerperium. Despite various efforts undertaken, it remains among the leading causes of maternal mortality, including in Ethiopia. However, studies in Ethiopia have been inconsistent and lacking in the study area. Therefore, this study was aimed at assessing puerperal sepsis's determinants, which could help in interventions.
Methods: A hospital-based unmatched-case control study was used among 600 postpartum women (150 cases and 450 controls). Cases (postpartum women with puerperal sepsis) and controls (postpartum women without puerperal sepsis) were selected by a systematic sampling technique. Data were collected using a structured questionnaire and a medical record review, entered and cleaned by Epi DATA (version 3.1), and analyzed using SPSS (version 22). A p value of 0.25 at bivariate to select variables for multivariate and ≤ 0.05 at multivariate with 95% confidence intervals was considered statistically significant.
Results: Determinants of puerperal sepsis were housewives, merchants, rural residences, home deliveries, cesarean deliveries, and vaginal examinations and prolonged rupture of membranes.
Conclusion: Puerperal sepsis determinants are primarily obstetric-related, with occupation and residence being the most significant. Accordingly, early interventions on all these determinant factors of puerperal sepsis could make a difference in overcoming morbidity and mortality related to puerperal sepsis. Thus, hospitals are recommended to conduct further research and improve institutional delivery and use standard procedures during the labor and delivery.
Evaluation and compare the outcomes of patients undergoing either a unipolar or bipolar hemiarthroplasty for fractures of the femoral neck in aged patients
Authors: Julfikar A. F. M. , Zaman Shorif U. , Nissan M. N. I. , Miah Mohammad B.
Published: August 2024

Background: Treatment of displaced intra-capsular femoral neck fractures in older patients remains controversial. Factors such as age, fracture type, bone quality, and socio-economic status influence treatment decisions. Surgical options like hemiarthroplasty and internal fixation are considered, each with distinct outcomes and considerations. The study aimed to compare radiological and clinical outcomes, as well as functional results, between elderly patients undergoing unipolar and bipolar hemiarthroplasty for femoral neck fractures.
Methods: The prospective interventional study conducted over a period of 30 months, from July 2021 to December 2023. A total of 72 patients were included in this prospective interventional study, which was conducted at the 250-bed general hospital Gopalganj and the Sheikh Sayera Khatun Medical College Hospital. Of them, 36 underwent treatment with a unipolar prosthesis and another 36 underwent treatment with a fenestrated bipolar prosthesis via a lateral approach. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) version 24.
Results When the unipolar and bipolar groups were compared, comparable demographic distributions and mean ages (71.12 years) were found. Statistically significant differences were observed in hip scores (p value=0.019), activity on stairs (p value=0.043), and wearing shoes (p value=0.023), with the bipolar group demonstrating better outcomes in these aspects. Satisfactory outcomes were achieved by 80.55% of the unipolar group and 72.22% of the bipolar group, with 19.45% and 27.78% experiencing unsatisfactory outcomes, respectively.
Conclusions: Bipolar hemiarthroplasty with a fenestrated stem may offer older patients with displaced intracapsular femoral neck fractures better functional outcomes and fewer complications compared to Austin-Moore unipolar prostheses.
War-related orthopedic injuries: a comprehensive analysis from Benghazi medical center 2013-2016
Authors: Alhoiti Ayman , Abushaala Hassan , Elfadli Mustafa
Published: August 2024

Background: The majority of war-related injuries involve the extremities and typically necessitate surgical intervention. These injuries are notably severe due to the impact of high-velocity rockets, including gunshot wounds and blast injuries. However, epidemiology of the war-related injuries of the last decade Libyan conflict remains under investigated. The study aimed to illustrate the characteristics of the cases volume, mechanism of injury, and the emergency department management protocol.
Methods: A retrospective observational study included all patients admitted to the orthopedic department with war-related injuries between December 2013 and December 2016. Relevant data collected included patient demographics, injury patterns, and treatment modalities. The data was organized and analyzed using SPSS statistical software.
Results: The 563 patients with war-related orthopedic injuries were treated during the study period. The highest percentage of patients were seen in 2015 (45%) and 2014 (44.2%), with a peak in July/summer months. Most patients were male (86.3%) with a mean age of 30.5 years. The most common causes of injury were gunshot wounds (36.1%) and explosions (28.2%), primarily affecting the upper (35%) and lower (29.3%) extremities. The 75.7% of injuries resulted in fractures, with 16.2% having associated injuries like bowel, nerve, and amputation. The most common emergency interventions were damage control surgery, debridement, and fixation.
Conclusions: This data provides valuable insights into the complex nature of war-related orthopedic injuries and the challenges healthcare teams face in conflict-affected regions. The findings underscore the critical need to strengthen the resilience and capacity of medical systems to effectively address the specific needs of war trauma.
Functional outcomes of displaced metastatic fractures of proximal femur: comparison between prosthetic replacement and intramedullary nailing
Authors: Wangjiraphan Noppadol , Songpaiboon Ukrit
Published: August 2024

Background: Surgical treatments for proximal femur metastasis include prosthetic replacement (PR) and intramedullary nailing (IMN). Controversy persists regarding the most appropriate surgical option, and previous studies have mixed outcomes of patients with both displaced and impending fractures. This study aimed to assess the early functional outcomes in patients undergoing PR or IMN specifically for displaced metastatic fractures.
Methods: A retrospective cohort study was conducted on patients with displaced metastatic proximal femur fractures treated surgically between January 2013 and March 2023. Patients with metastases confined to the femoral head or neck without trochanteric extension, which is not an indication for IMN, were excluded. Patients were divided into PR and IMN groups. Functional outcomes were assessed using the Musculoskeletal Tumor Society (MSTS) score at three months postoperatively.
Results: Seventeen patients (10 females, 7 males; mean age 63.1±10.7 years) were treated with PR, and 31 patients (18 females, 13 males, mean age 61.4±11.3 years) were treated with IMN. Preoperative MSTS scores were similar between PR and IMN groups (3.8±2.6 vs. 2.9±1.6, p=0.179). Postoperatively, PR group had significantly higher MSTS scores (16.6±7.0 vs. 12.8±5.1, p=0.045), with better scores in function (p=0.028), supports (p=0.005), and walking (p=0.032). PR group had longer operative time (142 vs. 90 min) and greater blood loss (650 vs. 200 ml) compared to IMN group.
Conclusions: Patients with displaced proximal femur fractures from metastatic lesions had significantly higher MSTS scores with PR than with IMN at three months postoperatively.
Comparative study of compound both bone leg fractures managed with versatile antibiotic intramedullary inter locking nailing with external fixator
Authors: Nargund Sachin , Patwegar Abdul Qadeer , Chandran Uday
Published: August 2024

Background: Background Compound fractures of the tibia are more likely to result in non-union and the development of infection because of inadequate blood supply and the absence of soft tissues in the antero-medial side of the tibia. Whether to undertake a primary fixation or a staged fixation is still a difficult decision to make in situations like these. Hence, we performed this study to compare the clinical, functional and radiological outcome of compound both bone leg fractures managed with Versatile Antibiotic Intramedullary Interlocking Nailing system and external fixator.
Methods: This is a Prospective comparative study performed on all patients admitted with compound fractures (Grade 1,2,3A,3B) of both bone leg fractures in the Department of Orthopaedics at a tertiary care center. Thorough wound debridement was done layer by layer after adequate extension of the wound. Fracture ends were debrided, thorough wound wash given with Reamer Irrigation Aspiration system (RIA).
Results: In our study, there is a significant association between the time delay of surgery and post operative infection (p value 0.008). In our study, average time from admission to surgery was 20.9 hours in group A vs group B (21.81 hours).
Conclusions: The final outcome in our study mainly depended on wound debridement and thorough pulsatile lavage and early intervention (VAIL Nailing), earlier the surgery better the outcome.
Functional and radiological outcome of intramedullary nailing in proximal tibial fractures through supra patellar approach
Authors: Brijesh Sharma  , Vipul Agarwal  , Pal C. P. , Yashvardhan Sharma
Published: August 2024

Background: Proximal third tibial fractures pose complex challenges in orthopaedic trauma care. The choice of surgical approach plays a pivotal role in achieving successful outcomes. This study was conducted to address the significant gap in research regarding the functional and radiological outcomes of the supra patellar approach in intramedullary nailing for proximal tibial fractures.
Methods: This prospective cohort study was conducted on a total of 100 patients presenting with proximal tibial fractures. All patients underwent intramedullary nailing using the supra patellar approach. Functional Outcome was assessed using the lower extremity functional scale (LEFS) at 3 weeks, 3 months, and 6 months and 1-year post-surgery. Union status, alignment, and hardware-related complications were assessed through X-rays at each follow-up point to study the radiological outcome.
Results: At the end of 1-year follow-up, 88% of patients had an excellent LEFS score,10% had a good LEFS score, and 2% had a fair LEFS score. All patients had a radiological union at 1 year follow up with an average radiological union time being 5.6 (±1.8) months.
Conclusions: We advocate for the utilization of suprapatellar nailing as the preferred approach for managing proximal third tibial fractures. This method   consistently yields excellent clinical and radiological outcomes while maintaining a minimal complication rate in comparison to other management modalities.
Comparative analysis of the outcome between aperture and suspensory graft fixation methods in anterior cruciate ligament reconstruction surgeries: a systematic review
Authors: Bhatt Priyank R. , Devpura Mukesh M. , Rathi Pranav P. , Sable Aashiket S.
Published: August 2024

Human knee joint is a complex hinge joint which is relatively unstable compared to other joints of the body. The ligaments of the knee stabilize the joint during the different range of motion and are under continuous tension. This results in anterior cruciate ligament (ACL) being injured during unnatural movement of the joint particularly in sports. With the advent of arthroscopy and better understating of ligament injuries with the use of MRI, the ligament reconstruction procedures have increased. The Reconstructive procedures for the ACL impart use of an Autograft which is secured in the bony tunnels of femur and tibia using various methods. As with any fixation these materials are subjected to various biological and mechanical forces. Suspensory or aperture graft fixation are the two most commonly employed methods in recent times. Both these methods have different tensile strengths and failure rates. Various studies have been conducted to assess the outcomes of these methods to evolve the most suitable and fail-safe method of securing the ACL allograft in the bony tunnels.
Diagnosis and treatment of subchondral bone insufficiency fracture of the knee joint: case series
Authors: Gennadiy Koshman , Ravindrakumar Eshwar , Jayasooriya Patabadege Dasun I. A. , Dineshkumar Prithvi Akaash , Mihasha Mariyam
Published: August 2024

Subchondral insufficiency fracture of the knee (SIFK) is a stress fracture that happens under the cartilage usually due to repetitive stress to the bone which is already weakened by non-cancerous diseases which impacts the bone strength and fragility. SIFK is a new nosologic entity that has replaced the diagnosis of spontaneous osteonecrosis of the knee. Primary avascular necrosis of the femoral condyles is a differential diagnosis of subchondral fracture of bone insufficiency of the knee joint, which requires a different approach to treatment. The aim of our study was to evaluate the effectiveness of conservative treatment of subchondral bone insufficiency fracture of the knee joint (SIFK).
Direct lateral approach for hemiarthroplasty: a case series
Authors: Chanda Ashoke K. , Mandal Raju , Dasgupta Sudipta , Biswas Kousik , Dalal Rayan , Mudi Himangshu
Published: August 2024

Worldwide, hip fractures are a public health concern. The primary course of treatment for displaced femoral neck fractures is still surgery. Even now, hemiarthroplasty remains a highly preferred surgical procedure. The most popular methods for gaining access to the hip joint are the direct lateral and posterior approaches. Aim of this series is to research the short-term functional results, risks, and disadvantages of the direct lateral approach to the hip. Patients with traumatic neck of femur fracture coming to the Department of Orthopaedics, Calcutta National Medical College and Hospital and was elected for bipolar hemiarthroplasty as treatment option. Among the 12 cases 9 were males and 3 were females. The value of z is 2.4495. The value of p is 0.01428. The result is significant at p<0.05. Garden’s classification - there were 2 cases of type 3 garden and 10 cases of type 4 garden fractures. The value of z is 3.266. The value of p is 0.00108. The result is significant at p<0.05. Though there is a chance of iatrogenic gluteal nerve and vascular injury -which we did not encounter in our case - the direct lateral approach exposes the hip joint to a sufficient but limited degree. However, the risk of post-operative hip dislocation is minimal because the rotator cuff of the hip joint is preserved; none of the 12 cases that were chosen had this condition.
Surgical and functional outcomes of vancouver type B2 postoperative periprosthetic femoral fracture treated with revision arthroplasty and coxa femoral bypass
Authors: Chatrashali Shivaraj Amruthrao , Gaddi Rakshith Amaresh
Published: August 2024

As the number of total hip arthroplasties have steadily increased, one would expect a concomitant increase in catastrophic postoperative events such as periprosthetic fractures. This study evaluates the surgical and functional outcome, along with the associated complication rates in patients undergoing revision arthroplasty following Vancouver type B2 post-operative periprosthetic femoral fracture. We studied 14 Clinically and radiologically diagnosed patients with Vancouver type B2 Post-operative Periprosthetic femoral fracture.  The post-operative VAS score has decreased to 2.23±0.92 from a pre-operative score of 8.30±0.9, p<0.001. The average Harris Hip Score has improved from 44.05±7.71 pre-operatively to 83.63±7.75 post-operatively at 6 months, p<0.001. At 6-month follow-up, we had 57% excellent results, 29% good results, 7% fair results, and 7% poor results based on Harris Hip Score. The revision arthroplasty of Vancouver type B2 post-operative periprosthetic femoral fracture with revision arthroplasty and coxa femoral bypass has excellent-good surgical as well as functional outcomes in terms of regaining abductor function by an increase in range of motion at the affected hip joint, significant pain relief leading to improved quality of life after surgery at short term follow up period.
Bilateral symptomatic ring-shaped meniscus: a case report
Authors: Alçada Rita , Ribeiras Cabral João , Telles De Freitas Ricardo , Varatojo Ricardo
Published: August 2024

Discoid meniscus is the most common meniscal anatomical variant, affecting almost exclusively the lateral meniscus. Ring-shaped meniscus is an extremely rare meniscal variant in which there is an intermeniscal bridge between the anterior and posterior horns, forming a complete ring. Ring-shaped meniscus is generally asymptomatic and found incidentally. We present the case of a 16-year-old male who presented with bilateral mechanic knee pain associated with positive meniscal tests. Arthroscopic surgery was performed and ring-shaped lateral meniscus with complex tears were identified in both knees. Partial lateral meniscectomies were performed on both knees and hay-bale mattress sutures were used to preserve the remnant lateral meniscus of the left knee. After surgery, the patient obtained good outcomes with regards to pain and mechanical symptom relief. To our knowledge this is the first reported case of bilateral symptomatic ring-shaped meniscus. The reported case demonstrates that complex ring-shaped lateral meniscus tears can be successfully addressed with arthroscopic surgery.
A rare case of proximal arm neurofibroma causing ulnar nerve compression: successful surgical intervention and recovery
Authors: Mohammed K. Najeeb , Mammu Sharafuddeen , B. Deepak , Chacko V. H. Nidhin
Published: August 2024

Compressive neuropathy of the ulnar nerve due to a neurofibroma above the elbow is extremely rare, with few cases reported worldwide. A young male presented with a progressively enlarging swelling and increasing pain in the right upper arm. Over time, the patient developed symptoms indicative of ulnar nerve compression, including numbness, tingling, and weakness in the hand and forearm. Physical examination and diagnostic imaging revealed the presence of a neurofibroma compressing the ulnar nerve above the elbow. The patient also exhibited generalized features consistent with neurofibromatosis, such as multiple café-au-lait spots and cutaneous neurofibromas. Given the severity of the symptoms and the confirmed diagnosis, the patient underwent surgical excision of the neurofibroma along with neurolysis to decompress the ulnar nerve. The surgical intervention aimed to relieve pain and improve sensory and motor function. The surgical procedure was successful, resulting in significant pain relief and marked improvement in sensory and motor functions. Postoperatively, the patient reported substantial symptomatic relief and regained functional use of the affected limb. This case underscores the importance of considering rare causes of ulnar nerve compression, such as neurofibromas, particularly in patients with underlying neurofibromatosis. It also highlights the effectiveness of surgical removal and nerve decompression in resolving symptoms and restoring function in such complex cases.
Impact of osteoporosis on oral health
Authors: Srivastava Ruchi
Published: August 2024

Oral diseases and osteoporosis are common conditions. A bone disease called osteoporosis arises when bone mass and mineral density decline, or when the composition or quality of bone varies. This may result in a weakening of the bones, raising the possibility of fractures. As various oral diseases, particularly periodontal disease, which affects almost half of the adult population, similarly osteoporosis also affects half of the elderly population, specially above 60 years of age. As the population ages, the rise in the number of patients with osteoporosis may increase. Osteoporosis is a systemic skeletal disorder with compromised bone density and strength that leads to increased risk of bone fracture; whereas periodontitis is considered a local infection with a host immune-inflammatory response within the supporting periodontal tissues of the teeth that results in alveolar bone loss. Bone tissue is continuously absorbed by and replaced by the body. In osteoporosis the loss of old bone is not in pace with the formation of newer bone. Medications along with a proper balanced diet and weight-bearing exercises are all part of the treatment to help strengthen already weak bones or stop bone loss. This review enlightens the possible risk factors, current evidence, pathophysiology and measures that can be taken to prevent osteoporosis based on various researches.
Did you sleep well last night? Good sleep for good body, mouth and teeth- Review
Authors: Rastogi Isha
Published: August 2024

Our body functions and so it’s upto us to take care of ourselves. Sometimes we don’t sleep well or don’t sleep at all. It happens mostly on Monday mornings where it’s anxiety, stress, fatigue and insomnia. This affects our body, mouth and teeth. Snoring or obstructive sleep apnea osa, is a serious issue. If we pay attention to it, this can be treated.

Many specialities can treat this osa. Dental field also treats these patients. If proper case history, diagnosis, and treatment planning is done, then with multidisciplinary approach, great results can be achieved.

Osa patients need attention definitely. When such patients come to any clinician, adequate steps must be taken. Osa affects both adults and children. Depending upon the job, age, gender, daily routine, other individual conditions, treatment and surgery needs to be done. Management of osa patients seems difficlut initially but with proper decision making, these patients can certainly be managed perfectly. All it requires is some prudence of clinician, along with thorough studying of pros and cons of the case for final implementation. Also some cooperation of patient is needed to produce extraordinary outcomes.
Exploring the Identities of Korean Americans Through Identity Journey Mapping in a Study Abroad Program
Authors: Cho Hyesun , Hayes Josh
Published: August 2024

This study explores the identities of Korean American college students through identity journey maps during a faculty-led study abroad program in Korea. Drawing from Asian Critical theory (AsianCrit), this study presents how participants of Korean descent challenged a monolithic and unitary notion of Korean American identity while acknowledging multifaceted, dynamic, and fluid nature of their transnational identity. Furthermore, it suggests that identity journey maps can serve as a pedagogical tool to counter racial stereotypes and discrimination against Asian Americans.
Sinergitas Quintuple Helix dalam Pengembangan Pariwisata Berkelanjutan di Mina Wisata Technopark Sleman
Authors: Sakina Aulia Widya , Wedadjati Ratna Sesotya , Adiwirahayu Anastasia , Widati Widati
Published: August 2024

Pengembangan dan pemberdayaan masyarakat wisata merupakan tindakan pendekatan sosial budaya, ekonomi dan ekologi, yang mampu membuka kesempatan kerja bagi masyarakat dan bias menjadi alternatif penghasilan sekunder karena dalam setiap prosesnya terdapat pelibatan masyarakat. Pengelolaan wisata di Mina Wisata Technopark Sleman termasuk dalam kategori tumbuh dari tiga kategori (tumbuh, berkembang, dan maju). Kategori tumbuh ditandai dengan indikator berupa pemanfaatan daya tarik potensi yang masih digunakan oleh masyarakat lokal, sehingga pengembangan fasilitas wisata masih terbatas. Pengelolaan mina wisata memerlukan keterlibatan dan peran aktif dari masyarakat, serta dukungan dari seluruh stakeholders, baik itu pemerintah, perguruan tinggi, lembaga swasta maupun media, sebagai upaya pengembangan potensi wisata agar lebih terarah, berkelanjutan dan mampu berperan dalam peningkatan kesejahteraan masyarakat. Penelitian ini merupakan penjabaran tentang kolaborasi peran Academician, Business, Community, Government dan Media (ABCGM) dalam pengembangan Mina Wisata Technopark Sleman secara berkelanjutan.
Manajemen Dakwah MUI dalam Mewujudkan Moderasi Beragama di Kabupaten Deli Serdang
Authors: Kurniawan Rhohis , Fachran Haikal Muhammad
Published: August 2024

Penelitian ini bertujuan untuk mengetahui bagaimana manajemen dakwah MUI dalam mewujudkan moderasi beragama di Kabupaten Deli Serdang. Metode yang digunakan dalam penelitian ini adalah pendekatan kualitatif, peneliti menggunakan prosedur penelitian yang menghasilkan data deskriftif berupa kata-kata tertulis maupun lisan dari orang-orang atau prilaku yang di amati. Pengumpulan data secara kualitatif ini di lakukan dengan teknik observasi, wawancara dan dokumentasi. Hasil kerja Manajemen Dakwah MUI sudah cukup baik, dengan menerapkan pola manajemen yang terstruktur mulai dari perencanaan, pengorganisasian, penggerakan, dan pengendalin atau evaluasi dakwah. Sehingga dampak yang dirasakan oleh masyarakat Kabupaten Deli Serdang bisa mendapatkan indeks kerukunan umat beragama yang di laporkan mencapai 70 % hal ini menjadi menjadi predikat yang cukup baik dan musti dijaga dan ditingkatkan secara bersama dengan penuh kesadaran dan semangat toleransi untuk saling menghargai dan menghormati apapun perbedaannya, mengingat pentingnya menjaga kerukunan umat beragama, agar tercapainya kehidupan yang aman, damai dan sejahtera.
Positive Outcomes of Cross-Border Tourism Development Cooperation: A Case of Kazakhstan, Kyrgyzstan and Uzbekistan
Authors: Akbar Imanaly , Tazhekova Akmaral , Myrzaliyeva Zabira , Pazylkhaiyr Bauyrzhan , Mominov Serik
Published: August 2024

The development of cross-border tourism between neighboring countries has become increasingly popular in recent decades. In European countries where the visa-free regime is established, this scheme is well developed and positively affects the development of the country's economy. Developing cross-border areas and establishing cross-border cooperation with neighboring countries is one of the priorities of Central Asian state policy. In the last ten years, several large-scale cross-border platforms aimed at developing tourism have been implemented among the more developed countries (Kazakhstan, Kyrgyzstan and Uzbekistan) in Central Asia, so our study was based on the border regions of the three countries mentioned above. The study aims to highlight the benefits of cooperation in cross-border tourism by examining the experiences and expectations of experts who are well-versed in the field of tourism. A qualitative research method was mainly used in semi-structured interviews focused on the positive results associated with the development of cross-border tourism among people familiar with the region's tourism. The analysis showed that according to the informants, the development of cross-border tourism has a moderate impact on the joint development of infrastructure projects by countries. The results also showed that all of the survey participants believed that cross-border tourism would provide an impetus to strengthen joint tourism marketing and the exchange of knowledge and innovation between countries. In short, it can be seen from the results of the research that the respondents generally highly appreciated the positive influence of the development of cross-border tourism on the growth of the country's economy.
Comparison of Two Methods for Measuring Speech Intelligibility
Authors: Prodeus Arkadiy , Dvornyk Oleksandr , Naida Anton , Grebin Oleksandr
Published: August 2024

Comparing of the full speech transmission index method and full formant-modulation method of speech intelligibility measurement has been made. The methods were compared according to the accuracy of the measurements under the conditions of noise interference. The dependences of the STI estimates errors on the signal-to-noise ratio and on the duration of the test signals were obtained by means of computer simulation. It is shown that the accuracy of speech transmission index estimates is practically the same for both methods. In particular, it is shown that the use of test signals with a duration of 4 s is minimally acceptable and provides an estimation error of 0.03. Using 8 s and 16 s test signals reduces the speech transmission index estimation error to 0.02 and 0.01, respectively, for a wide signal-to-noise ratio range from minus 28 dB to plus 28 dB. The obtained results are close to those for the case of the joint action of noise and reverberation.
Solution of the Problem of Identification of Aerodynamic Coefficients of Aircraft According to the Data of Their Full-Scale Tests
Authors: Silvestrov Anton , Ostroverkhov Mykola , Spinul Liudmyla
Published: August 2024

The methodology of the correct identification of the aerodynamic coefficients of the aircraft is considered, namely the determination of the partial derivatives of the aerodynamic forces and moments of the aircraft according to its state variables. The method of determining static (balancing) dependencies from short-term dynamic modes of a natural experiment is also presented. The effectiveness of the proposed approach is confirmed by the practice of determining the aerodynamic coefficients and aerodynamic characteristics of various aircraft.