bluuebunny/crossref_metadata_2025 huggingface dataset:
Asociación entre nivel de conocimiento sobre higiene postural, satisfacción laboral e incapacidad prolongada en pacientes con lumbalgia
Authors: Villa Díaz Karla Gabriela , Loya Martínez José Luis , Villarreal Ríos Enrique , Escorcia Reyes Verónica , Galicia Rodríguez Liliana , Carballo Santander Erasto
Published: September 2023

Objetivo: Determinar la satisfacción laboral y el nivel de conocimiento sobre higiene postural como factores asociados a incapacidad prolongada en lumbalgia.
Métodos: Estudio transversal analítico en pacientes con incapacidad temporal de trabajo por lumbalgia, se integraron dos grupos, pacientes con incapacidad prolongada y pacientes con incapacidad no prolongada. El tamaño de la muestra fue 120 por grupo. La satisfacción laboral se evaluó mediante el instrumento adaptado basado en el cuestionario s21/26 y S4/82, para la higiene postural se utilizó el cuestionario sobre higiene postural de Borrás. El análisis estadístico incluyó t student, mann whitney y Chi2. 
Resultados: No se encontró asociación entre incapacidad prolongada y satisfacción laboral, en el grupo con incapacidad prolongada 42.5% refieren estar bastante satisfechos y en el grupo sin incapacidad prolongada la prevalencia es 35.0% (p=0.154). En el grupo con incapacidad prolongada el nivel de conocimiento bajo sobre higiene postural es 87.5% y en el grupo sin incapacidad prolongada el porcentaje es 68.5% (p=0.000). 
Conclusión: La satisfacción laboral no es factor asociado con incapacidad prolongada por lumbalgia, el nivel de conocimiento sobre higiene postural es factor asociado a incapacidad prolongada por lumbalgia.
Outcomes in patients with COVID-19 and new onset heart blocks: Insight from the National Inpatient Sample database
Authors: Shoura Sami J , Teaima Taha , Sana Muhammad Khawar , Abbasi Ayesha , Atluri Ramtej , Yilmaz Mahir , Hammo Hasan , Ali Laith , Kanitsoraphan Chanavuth , Park Dae Yong , Alyousef Tareq
Published: September 2023

Cardiac magnetic resonance (CMR) imaging could enable major advantages when guiding in real-time cardiac electrophysiology procedures offering high-resolution anatomy, arrhythmia substrate, and ablation lesion visualization in the absence of ionizing radiation. Over the last decade, technologies and platforms for performing electrophysiology procedures in a CMR environment have been developed. However, performing procedures outside the conventional fluoroscopic laboratory posed technical, practical and safety concerns. The development of magnetic resonance imaging compatible ablation systems, the recording of high-quality electrograms despite significant electromagnetic interference and reliable methods for catheter visualization and lesion assessment are the main limiting factors. The first human reports, in order to establish a procedural workflow, have rationally focused on the relatively simple typical atrial flutter ablation and have shown that CMR-guided cavotricuspid isthmus ablation represents a valid alternative to conventional ablation. Potential expansion to other more complex arrhythmias, especially ventricular tachycardia and atrial fibrillation, would be of essential impact, taking into consideration the widespread use of substrate-based strategies. Importantly, all limitations need to be solved before application of CMR-guided ablation in a broad clinical setting.
Ostrożnie z marksizmem! Uwagi na marginesie rozprawy Tomasza Banacha Katylina i tabulae novae. Problem powszechnego zadłużenia i utilitas rei publicae w mowach Cycerona. Warszawa: C.H. Beck (2022, ss. 87, ISBN 978-83-8291-242-5)
Authors: Jońca Maciej
Published: September 2023

Be Careful with Marxism! Notes on the Margins of Tomasz Banach’s Work Catyline and Tabulae Novae. The Problem of Universal Indebtedness and Utilitas Rei Publicae in Cicero’s Speeches (Warszawa: C.H. Beck, 2022, pp. 87, ISBN 978-83-8291-242-5)

In Tomasz Banach’s interesting and useful monograph on the promises of debt relief (tabulae novae) with which Catiline tried to win the favour of Roman society, the reader can find statements in which the author expresses powerful opposition to some „Marxist” and „neoliberal” tendencies. Unfortunately, the author does not explain what he understands by the term “Marxism”, nor does he cite academic literature to define the characteristics of a „Marxist Catiline”. This is a mistake, because the views of Polish representatives of Marxist doctrine regarding the figure and achievements of Catiline, are analogous to those of Tomasz Banach.
Work-life balance po polsku – najważniejsze refleksje po nowelizacji z 2023 r.
Authors: Godlewska-Bujok Barbara
Published: September 2023

The article concerns the method and effects of implementing Directive 2019/1158 in the field of work-life balance. The author refers to the most important thematic areas of amendments, i.e. mainly parental rights, and places them in the context of work-life balance and working time. The author indicates the most important problems regarding the implementation of the so-called work-life balance directive in this context. There are still many unsolved issues and most impor-tantly the question of whether all changes were equally necessary. The author also raises the issue of working time as a key element in the interpretation of changes in the labor law system.
Prawne aspekty hałasu „sąsiedzkiego” – cz. III (odpowiedzialność karna)
Authors: Nowosad Aleksandra , Poniatowski Piotr
Published: September 2023

The study concerns the legal aspects of a nuisance to which a person may be exposed at their place of residence. The authors analyze the provisions specifying offences and petty offences described in the Polish Criminal Code, the Polish Code of Petty Offences, and the Act of April 27, 2001 on the environmental protection law, which may be applicable in counteracting nuisance “neighborhood” noise.
Agroterroryzm z wykorzystaniem czynników biologicznych i zagrożenia z nim związane w Polsce i Europie w kontekście pandemii COVID-19 i wojny w Ukrainie
Authors: Jarynowski Andrzej
Published: September 2023

W związku z rosnącym zagrożeniem agroterrorystycznym i najwyższym poziomem jego ryzyka w Polsce oraz regionie europejskim od czasu wejścia w życie konwencji o zakazie broni biologicznej i toksycznej (1972 r.), a także protokołów dodatkowych do konwencji genewskich (1977 r.) istotne znaczenie ma analiza wyzwań w obszarze bezpieczeństwa biologicznego i żywnościowego oraz przedstawianie rekomendacji. Analiza przeprowadzona przez autora artykułu wskazuje, że pandemia COVID-19 przyczyniła się do upowszechnienia wiedzy na temat podstaw mikrobiologii i epidemiologii oraz do zwiększenia dostępności do taniej, przenośnej diagnostyki mikrobiologicznej, co może mieć również skutki negatywne. W analizie została uwzględniona możliwość wpływu obcego wywiadu na produkcję żywności w Polsce, np. za pomocą dezinformacji prowadzonej w mediach społecznościowych. Wnioski płynące z tej analizy obejmują: rozszerzenie monitorowania środowisk specjalistów oraz mediów społecznościowych, wzmocnienie czujności producentów żywności i ekspertów rolniczych, przeprowadzenie symulacji scenariuszy introdukcji, badanie procesów radykalizacji oraz wykorzystanie narzędzi oceny epidemiologicznej w przypadku wystąpienia niepokojących zdarzeń.
Protecting critical infrastructure with game theory, optimization techniques, and AI algorithms
Authors: Michalak Tomasz P. , Godziszewski Michał T. , Nagórko Andrzej
Published: September 2023

In light of recent geopolitical developments, Europe and Poland are acutely aware of the urgent importance of infrastructure security. Despite heightened interest and increased investments, our security resources remain severely limited, rendering continuous protection for every potential target unattainable. Consequently, the strategic allocation of security resources becomes an ongoing imperative. This paper presents a short introduction to the core principles behind advanced methods that facilitate automated decision-making in security resource allocation. These methods leverage artificial intelligence (AI), game theory, and optimization techniques, and have demonstrated their effectiveness through multiple real-life deployments in the USA. We also provide a concise overview of this exciting body of research and discuss the solutions and software developed by our team, “AI for Security” at the IDEAS NCBR research institute to protect critical infrastructure in Poland and in Europe.
Zonal security applied to modern diplomatic facilities, as exemplified by the construction of embassy buildings in Europe at the turn of the 20th and 21st centuries
Authors: Dobrzyńska-Jarosz Agnieszka
Published: September 2023

Diplomatic facilities are buildings with a unique structure and of great international importance. One of the important factors in their design is security and therefore the use of possible security measures (active and passive) to prevent potential threats. The aim of this article is to present the security measures used for the architecture of diplomatic facilities using the example of embassy buildings in Europe. Twenty-two embassies located in Warsaw, Berlin and Rome were analysed from this perspective. The article characterises the elements used in their design, implementation and modernisation at the turn of the 20th and 21st centuries.
Agroterrorism involving biological agents and related threats in Poland and Europe in the context of the COVID-19 pandemic and the war in Ukraine
Authors: Jarynowski Andrzej
Published: September 2023

With the growing threat of agroterrorism and the highest level of risk in Poland and the European region since the Biological and Toxin Weapons Convention (1972) and the Additional Protocols to the Geneva Conventions (1977) came into force, it is important to analyse the challenges in the area of biosecurity and food security and make recommendations. The analysis carried out by the author of this article indicates that the COVID-19 pandemic has contributed to the dissemination of knowledge of the basics of microbiology and epidemiology and to the increased availability of low-cost, portable microbiological diagnostics, which may also have negative effects. The analysis took into account the possibility of foreign intelligence influencing food production in Poland, e.g. through disinformation via social media. Conclusions of the analysis include: expanding monitoring of the expert community and social media, strengthening the vigilance of food producers and agricultural experts, simulating introduction scenarios, studying radicalisation processes and using epidemiological assessment tools in case of alarming events.
Effectiveness of selected AI models in predicting victims of terrorist attacks
Authors: Tuszyński Jakub
Published: September 2023

Terrorism continues to be a problem for many countries around the world. The article compares the effectiveness of selected machine learning algorithms in predicting the victims of terrorist attacks in order to answer the question of whether they can serve as one of the anti-terrorist tools. An exploratory data analysis was carried out, and selected trends and characteristics of terrorist attacks were discussed. Some measures for evaluating the classification algorithms used in the study are presented, and potential directions for further research are indicated.
Contribution to the recent history of archaeology by using some digital humanities methods and techniques applied to field recording documents of an archaeological site excavated in 1970s
Authors: Tuffery Christophe
Published: September 2023

This article presents the results of an archaeological archive research. Field recording documents from the Rivaux site in France, which was excavated from the 1970s to the 1990s, were exploited. After digitising a set of field notebook pages, the author developed an application, called Archeotext, which allows transcribing and georeferencing these documents. Some of the results obtained show new ways of exploiting this type of archive by using certain methods and techniques of the digital humanities.
EVALUATION OF TRACHEAL ASPIRATE CULTURES IN PATIENTS FOLLOWED WITH HOME MECHANICAL VENTILATORS
Authors: AKYÜZ ÖZKAN Esra , GÜR VURAL Demet
Published: September 2023

Introduction: In recent years, there has been an increase in the use of mechanical ventilators at home. In this study, we aimed to investigate the underlying diseases, admission complaints, microorganisms that isolated in samples taken from tracheal aspirate (TA) cultures and their resistance to antibiotics in patients followed up with mechanical ventilators at home.

Methods: Between January 1, 2020 and January 1, 2021, TA cultures, identification of bacteria and their antibiotic susceptibilities were evaluated by VITEK 2 (bioMeriux, France) automated identification system. The patients' age, gender, underlying diseases, duration of home ventilator use, complaints, and laboratory data were reviewed retrospectively from the patient files.

Results: Of the 91 prediagnosed ventilator-associated pneumonia (VAP) patients examined in the study, 72 (79%) were male and 19 (21%) were female. The ages of the patients ranged from 5 to 212 month, with a mean age of 91,64 ± 64,07 month. The most common reason for referral was fever and dyspnea and 43.76% of the patients were diagnosed with cerebral palsy/epilepsy and 10.4% with syndromes.

Of the samples; 12 (13.3%) were defined as Gram-positive and 79 (86.7%) as Gram-negative. Pseudomonas aeruginosa was detected in 44 (48.4%) samples, S. marcescens in 9 (9.9%) and Klebsiella in 8 (8.8%) samples. Staph aureus was detected in 12 (13.3%) samples. Carbapenem resistance was 18.75% for P. auriginosa, 16% for Klebsiella, 12.5 for E.coli and 12% for Acinetobacter baumani.

Conclusion: TA culture should be taken from patients with home mechanic ventilator (HMV) who admitted with signs of infection such as fever and respiratory distress and treatment should be arranged according to the result. It was observed that the TA culture antibiotic resistance rates of the patients followed up with HMV at home was lower than the TA cultures sent from the patients hospitalized in the intensive care unit.
The effects of decreased ovarian reserve on in vitro fertilization outcome
Authors: KARA Özlem , DURAN İdil
Published: September 2023

Objective: In this study, we aimed to compare the effects of microdose and antagonist regimens on IVF-ICSI outcome.

Material and Methods: The study was conducted at the XXXX University Medical Faculty Training and Research Hospital IVF Clinic during the period of 2018 and 2022. The files of the patients were reviewed retrospectively and age, duration of infertility, basal FSH level, body mass index, antral follicle number (AFC), antimullerian hormon (AMH) level, retrieved oocyte number, metaphase 2 oocyte number, fertilization and pregnancy rates were evaluated. The patients in Group 1 (n=124) were treated by using gonadotropin releasing hormone (GnRH) microdose protocol and in Group 2 (n=136) were treated by using antagonist protocol.

Results: There was no significant difference between the groups in terms of the characteristics of the patients such as age, infertility duration, basal FSH level body mass index, AFC and AMH level. The retrieved oocyte number, metaphase 2 oocyte number, fertilization rates and pregnancy rates were also similar.

Conclusion: Our results demonstrated that microdose and antagonist regimens have similar effect in poor reponder women on IVF-ICSI outcome.
Cognitive assessment in patients with acute COVID-19: A cross-sectional study
Authors: KOÇAK Yusuf , ÇELİKBİLEK Asuman , SAHİN Burc Esra , ZORLU Duygu , ZARARSIZ Gökmen
Published: September 2023

Purpose: Many reports have revealed a high percentage of patients suffering from cognitive impairment due to COVID-19. However, data are limited at the acute phase of COVID-19. We investigated cognitive functions using the Montreal Cognitive Assessment (MoCA) in mild COVID-19 patients compared with non-COVID-19 patients within 5 days after the initial respiratory symptoms of infection.

Materıals and Methods: 113 patients with mild COVID-19 and 109 age- and sex-matched controls were enrolled in this prospective cross-sectional study. Cognitive functions were evaluated using the MoCA.

Results: We found that the MoCA scores were significantly lower in the COVID-19 patients than in the controls (P < 0.001). Compared with the controls, we found point deficits within some MoCA items such as visuospatial (P < 0.001), memory (P = 0.017), and attention (P < 0.048) domains. In the multivariate model, female sex (2.06 [1.02–4.16], P = 0.044), low education level (150.05 [5.16–43.90], P < 0.001), high fasting blood glucose level (0.98 [0.96–1.00], P = 0.043), and the presence of COVID-19 (24.24 [9.52–61.72], P < 0.001) were independently associated with cognitive impairment (OR, 95% CI).

Conclusion: We detected cognitive dysfunction, involving the visuospatial domain, memory, and attention, during the acute phase in patients with mild COVID-19.
Physicians' Attitutes Towards Modern and Complementary Medicine
Authors: KETE Huriye , ERSOY Suleyman , PALA Emin
Published: September 2023

Introduction

This study aims to evaluate the opinions of physicians in Umraniye Training and Research Hospital (UTRH), University of Health Sciences, Istanbul about modern medicine and Traditional and Complementary Medicine (T&CM).

Materials and Methods

Among the physicians working in UTRH 407 of them were interviewed. The participants were asked to complete the questionnaire prepared by the researchers. Questions evaluating their demographic information, and their opinions on modern medicine and T&CM were asked of the participants.

Results

The mean professional experience of these physicians is 10,14±9,49 years. 39.1% of the participants have received training on T&CM. 76.7% of them think that T&CM methods are useful and supportive methods for modern medicine. 74.9% of physicians think that more randomized controlled studies should be done to increase awareness about T&CM methods. The most concerning option for physicians regarding the widespread application of T&CM methods is the employment of these methods by inappropriately trained people or those who have not received any training. 85.6% (n=125) of the physicians who received training on T&CM methods think that modern medicine does not give due importance to preventive medicine. 93.8% (n=135) of the physicians who were trained in T&CM methods, preferred additional T&CM methods because the patients were not satisfied with modern medical methods, 86.6% (n=129) of them said that modern medicine has a disease-centered approach rather than a patient-centered approach.

Conclusion

Physicians think that T&CM methods are supportive and useful methods for modern medicine and state that more randomized controlled studies should be done about T&CM methods.
The Digital Divide and Gender Disparity: A Study of Rural Students in the Republic of
Moldova
Authors: Bărbuță Alina , Ghețău Cosmin
Published: September 2023

The current paper investigates gender disparities in digital competence among N=1526 rural
middle school students from the Republic of Moldova by employing the Youth Digital Skills
Indicator (yDSI). While prior research has highlighted gender's role in digital exclusion, recent
studies in both developed and developing countries suggest narrowing gender gaps. Similarly,
the current study findings reveal no statistically significant gender differences in Information
Navigation and Processing, Communication and Interaction, and Problem-Solving. However,
significant disparities emerge in Digital Content Creation [t(1425) = 4.20, p = .000] and Safety
[t(1421) = 2.49, p = .000], favoring girls. Boys' lower scores in digital safety warrant further
investigation due to potential implications for their exposure to digital threats. These findings
underscore the evolving landscape of gender-related digital skills in Moldovan rural middle
schools.

Keywords: digital divide; gender; online education; digital inequalities; social
stratification
Strain and intimate relations
Authors: Martina Pintea-Trifu , Dragoș Trifu , Cristian Delcea , MÜLLER-FABIAN Andrea
Published: September 2023

Introduction
Affectional expression plays an important role in the dyadic adjustment in couples. It
measures the individual's satisfaction towards emotionality and sexuality expression in the
relationship (1). This study aims to analyse the association between strain and affectional
expression.
Material and Method
We selected 30 patients who declared themselves strained for the experimental group
and 30 patients who declared not to be strained for the control group. We analysed the
association between strain and agreement on sex relations and also the association between
strain and feeling too tired for sex. Microsoft Excel and MedCalc were used for statistics
Results
The statistical analysis showed that subjects who declared themselves strained at the
moment of evaluation had 14,5 more times disagreements with their partner regarding sex
relations [OR=14,5, 95% CI (1,7177-122,4), P=0,0140]. Even though strained subjects were
1,96 times more tired for sex than subjects who did not consider themselves strained at the
moment, the value did not reach statistical significance [OR=1,96, 95% CI (0,7023-5,4788),
P=0,1986].
Conclusion
The affectional expression is being disturbed by the current state of strain, especially
the couples' agreement on intimate relations. In order to avoid separation and divorce, there is
need of psychotherapy, support and campaigns targeting strain, anxiety, depression, work-life
balance and importance of sleep.
YENİCE ÇAYI’NDA (KARABÜK) GÜNLÜK ORTALAMA SICAKLIK VE GÜNLÜK TOPLAM YAĞIŞLARIN AKIM ÜZERİNDEKİ ETKİLERİ
Authors: İRDEM Cemil
Published: September 2023

Bu çalışmada Filyos Çayı’nın ana kollarından Yenice Çayı’nın günlük akım verileri ile günlük ortalama sıcaklık ve günlük toplam yağışlar arasındaki ilişkilerin istatistik analizi amaçlanmıştır. Ayrıca günlük toplam yağışların şiddet basamaklarına göre akımı nasıl etkilediği de ortaya koyulmuştur. Analizlerde ilk olarak günlük ortalama sıcaklıklar ve günlük toplam yağışlarla günlük akım verileri arasındaki istatistik ilişkileri belirlemek amacıyla Pearson korelasyon değerleri hesaplanmıştır. Daha sonra günlük toplam yağış verileri, şiddet basamaklarına göre gruplandırılmış, her bir grup için günlük akım değerlerinin bir önceki güne göre değişim yüzdesi hesaplanmıştır. Elde edilen sonuçlara göre Yenice Çayı’nda nisan-kasım arasında günlük ortalama sıcaklıklarla günlük akım değerleri arasında negatif korelasyona rastlanırken, ocak, şubat, mart ve aralık aylarında pozitif korelasyon söz konusudur. Sahada hafif yağışların gerçekleştiği günlerde akım değerleri bir önceki güne göre %8,9 artarken, bu oran normal yağışlar için %37,8, orta şiddette yağışlar için %71,3, şiddetli yağışlar için ise %62,5 olarak belirlenmiştir.
Performance Appraisal in the Industry (A Case Study of Apex Printing Company Limited)
Authors: Ogbodo Ifeyinwa Faith , Onye-Ndimele Munachimso Obioha , Utochukwu Ogbodo Emmamuel , Nnanyelum Onyenanu Chukwunonso Nnanyelum
Published: September 2023

This project work attempts to assess the performance appraisal exercise as carried out in Apex Printing Company Ltd. (APC). Performance appraisal aims at improving an organization's performance by enhancing an individual’s performance. It assesses individuals’ present and future performances. A good appraisal system recognizes the distinction between personal, traits and achievements. The achievements of an employee are the ultimate measure of his success or self-fulfillment. However, the person’s attitudes are sometimes contrivance he uses to achieve the results. The methodology employed in the research includes questionnaire administration and personal interviews. The population studied comprised the entire staff of APC, which is made up of 1800 comprising 350 members of senior and management staff and 1450 junior employees. The tests revealed that the company’s performance appraisal machinery is ineffective in evaluating the factual performance of its personnel due to several reasons, which include human bias in assessment. It has therefore been recommended among other things that the management of APC should embark on an immediate review of the entire appraisal machinery of the company and ensure that it is designed to achieve the purpose of assessing the true performance of employees.
A Study on Impact of HRM Practices on Organizational Performancewith special reference to IT Companies in Hyderabad
Authors: B. Neeraja
Published: September 2023

The study explores the critical relationship between HRM practices and the performance oforganizations, with a specific focus on IT companies in Hyderabad. This research delves into thedynamic and competitive landscape of the IT sector and aims to shed light on how HRM strategiesimpact organizational success. Through an in-depth analysis of HRM practices such as recruitment,training, performance appraisal, and employee engagement, the study highlights their pivotal role inattracting and retaining top talent within IT firms. The research emphasizes the need for HRMpractices to align with the unique requirements of the IT industry, including technical skilldevelopment and adaptability. By investigating these aspects, the study provides valuable insightsfor IT companies in Hyderabad and similar tech hubs, offering actionable recommendations foroptimizing HRM strategies to ensure sustained organizational performance, growth, andcompetitiveness. A sample of 186 responses was gathered with the help of structured questionnairein few IT companies existing in Hyderabad. This study encapsulates the key objectives and findingsof the comprehensive study, making it a valuable resource for HR professionals and IT industrystakeholders seeking to enhance their understanding of the HRM-performance relationship.
Criterios para la elección de mano de obra en los pisos climáticos de Cañar
Authors: Guamán Carlo Eloy Velásquez
Published: September 2023

El objetivo de esta investigación es facilitar un manual de criterios para el cantón Cañar, para que las obras de construcciones se cumplan en los tiempos acordados y no lleguen a costos excesivos debido los rubros retrasados, siendo una necesidad contar con mano apropiada, entonces por razón económica y técnica, es obligatorio identificar las habilidades necesarias que deben conservar y adaptarse rápidamente al lugar que se designe laborar. Por lo que este documento constituye un suministro de ayuda en la selección de mano de obra acertada para un proyecto de construcción que este ubicada en los diferentes pisos climáticos de la zona de estudio. Para llegar a la solución se realiza un análisis de los resultados obtenidos por medio de la metodología de investigación descriptiva, las mediciones son realizadas a través de horas/hombre esto dentro de las obras ubicados en los diferentes lugares de Cañar (Frio, Templado y Cálido). Se inicia con la revisión bibliográfica de los problemas que se han manifestado en las construcciones de la localidad tomando en cuenta el principal argumento como es la adaptación de la mano de obra en los diferentes pisos climáticos que tiene el cantón Cañar. Seguidamente se toma los datos de campo para analizar y plantear criterios eficientes para la selección de los obreros para cada sector del cantón. Además, en el documento se incluye criterios para adaptar a los trabajadores a cualquier clima. Las mediciones se hacen en la ejecución de obras similares tomando datos mediante horas/hombre con jornal de cinco días y medio y con cuatro personas; maestro, albañil uno, albañil dos y un ayudante, en total con doce personas. El estudio se ejecuta en los diferentes pisos climáticos del cantón Cañar, así mismo se rota a los obreros de un clima a otro para mayores resultados en rendimiento.
A Clinical Study to Evaluate the Efficacy of Kasisadi Vaginal Pessary and Udumbaradi Tail Pichu in Management of Shweta Pradar (Abnormal Vaginal Discharge): A Double Arm Random Control Study
Authors: Renu Yadav  , Soni Kapil
Published: September 2023

Shwetapradara, a symptom of many gynaecologic disorders, develop due to vitiation of Kapha predominant Doshas. Laghutriya described Shwetapradar. In Charak Samhita management of Shwetpradar is described under the description of Pandurasrigdara. Chakrapani has explained Pandura-Asrigdara as Shwetapradar in his commentary. Objectives: To draw Ayurvedic management to the disease with effective cure and no or minimal side effects, that can be easily administered and accepted by the patient. Materials & Methods: After obtaining Ethics Committee approval and informed consent, 210 patients were randomized into two groups. In one group, Kasisadi vaginal pessary in the night followed by Udumbaradi Taila Pichu for 2 hours in the morning was given while in another a vaginal pessary (clotrimazole+ tinidazole+ clindamycin) was given for 7 days. From baseline to 7th day on the bases of assessment criteria per-speculum examination was done. A comparison of categorical variables was done using an appropriate statistical test. Results: Uduambaradi Taila and Kasisadi vaginal pessary exhibited potentially comparable effects to the conventional treatment but the recurrence rate was found more in conventional treatment. Conclusion: Uduambaradi Taila pichu and Kasisadi vaginal pessary combination is an effective, side effects-free, patient-compliant herbal alternative for the management of abnormal vaginal discharge.
Vanshlochan Substitution and Adulteration: Discussions on the Controversy over its Original Source
Authors: Acharya Balkrishna  , Prashant Katiyar  , Shalini Singh  , Rajesh Mishra  , Vedpriya Arya
Published: September 2023

In India, about 80% of the rural population relies on herbal remedies for their basic medical needs. The increasing demand and trading of raw materials for herbal medicines often involve adulterants and substitutes. The reasons behind intentional adulteration are typically commercial and include degradation, admixture, sophistication, inferiority, spoiling, and other unidentified causes. Substitution is the use of comparable medications instead of the original ones. Similar Rasa, Guna, Virya, Vipaka, and most importantly Karma are the guiding principles for choosing alternative medicaments. The adulteration and substitution of herbal medications are currently a major issue in both the herbal business and Ayurvedic therapies. Vanshlochan or Tabasheer is one of the example, which has long been used as an anti-tussive in traditional medicine to cure a variety of illnesses. When this compound was first derived, the major constituent was silica with traces of other elements. Vanshlochan is prescribed as a bioavailability booster and offers a synergistic component to some well-known medications, including Sitopaladi, Talisadi, and Dadimashtaka in Ayurveda and other Unani formulations. To be utilized as a medication in conventional medicine, Vanshlochan needs stringent pharmaco-analytical approaches with evidence-based studies regarding its drug safety for human consumption. Therefore, it is essential to provide trustworthy procedures for the accurate identification, standardization, and quality control of Vanshlochan, Tabasheer, or Tugaksheeri.
Polycystic Ovarian Syndrome and Endometrial Receptivity Current Perspectives and Solution Through Ayurveda
Authors: Nidhi Bajpai  , Anuradha Roy  , Binay Sen
Published: September 2023

PCOS is a heterogeneous endocrine disorder which is characterised with oligomenorrhoea, anovulation, hirsutism and acne. Its prevalence increased exponentially from 2% to 18% in last two decades. On Later stages of its pathogenesis it manifests its metabolic involvement and causes various fertility issues and results into implantational failure which indicates endometrial defects. Conventional treatment includes combined oral contraceptives, insulin sensitizing drugs In alternative science various single herbs are mentioned which can reverse the pathology of PCOS and improve pregnancy outcome. So this review mainly rules out potential indicators for hampered endometrial receptivity and their solution through single herbs. Material and Methods: This is a literature review. Patient population is diagnosed cases of PCOS. This is a non interventional study. Data search was done from PubMed, Embase, and Cochrane Library. Conclusion: Patients with PCOS predisposed for endometrial receptivity disorder which can be cure with the use of single herbs via improved receptivity markers. Thus it helps to improve fertility and obstetrical outcome.
An Experimental Study on the Analgesic Action of Padmak Agad
Authors: Varsha Bansal  , Ramesh Chandra Tiwari  , Bhawana Mittal  , Gaurav Sharma
Published: September 2023

Padmak Agad is indicated in all types of Luta and Keet Visha. According to Acharya Vagbhatta, heaviness in head and eyes, coma, dizziness, dyspnoea, pain, swelling, fever, itching and anorexia are common symptoms of all Keeta Damsha. Several synthetic and plant origin analgesic are being tested for their efficacy and potency on different animal model including hot plate, tail flick, tail clip, cold pain, filament pain, tail immersion technique, acetic acid induced writhing test, formalin induced writhing test etc. Material and Methods: Tail clip model and Hot plate model were selected for the present study. Eighteen Swiss albino mice had been divided in to three groups each group contain six mice. First group was negative control group; second group was test drug group while third group was standard group. Test drug was given to the group 2 for 7 days O.D. Result: When we performed the tail clip test, response time of group 1, 2, 3 were 4.40±1.853, 14.07±9.309, 40.68±11.759 seconds respectively. In Hot Plate model, calculated response time of group 1, 2, 3 were 2.93±0.667, 5.46±0.911, 6.04±0.857 seconds respectively. When we used Dunnett's multiple comparisons test to compare the group 1 to group 2 and group 1 to group 3, there was statistically no significant role of test drug in tail clip model and hot plate model. Discussion and Conclusion: No effect of Padmak Agad is found in tail clip model. Padmak Agad is effective in hot plate model but not up to significant level.
Effect of Huthabhugadi Churna and Trayushnadi Ghrtam as an Ayurvedic Protocol in Metabolic Syndrome - A Case Series
Authors: Harishma Asok.S  , Arjun Chand.C.P  , Arun Pratap  , Kasthuri Nair.A
Published: September 2023

The combination of obesity, dyslipidaemia, impaired glucose tolerance, hypertension often combined to the term ‘Metabolic Syndrome’ affects nowadays approximately more than 30% of the population of young generation. It has become a significant global health challenge associated with an increased risk of atherosclerotic cardiovascular disease (CVD). Ayurveda provides insights into the understanding of Metabolic Syndrome through concepts like Medodhatuvriddhi, Medovahasrothodushti, Santharpanajanya vikara (Sthoulya, Medoroga, Prameha, Hrdroga) and Amapradoshaja vikara. The aim of the study is to evaluate the efficacy of Huthabhugadi Churna and Trayushnadi Ghrtam as an Ayurvedic protocol in metabolic syndrome. This study is a case series done on 5 subjects, were Huthabhugadi Churna 6gm twice daily before food with Takra as Anupana was given for 14 days followed by Trayushnadi Ghrtam 5gm thrice daily with lukewarm water as Anupana next 14 days. Assessment was done on 0th day, 29th day and 42nd day with subjective and objective parameters. The Kapha vatahara and Medohara properties of trial drugs helped in the elimination of excess Medodhathu and formation of optimal Rasadi dhathus relieving the symptoms associated with metabolic syndrome The study showed a significant effect in normalising the lipid profile and improving the quality of life. These findings challenge the common misconception that consuming ghee leads to hyperlipidaemia offering valuable insights for further research and validation.
General Ailments Related with Agnidushti
Authors: Laxmi Sharma  , Sudipta Kumar Rath
Published: September 2023

Agni is described as an important factor of digestion and metabolism in Ayurveda treatise. Agni is responsible for all the vital functions within body and determines the quantity of food to be consumed. The conversion of ingested food in the form of energy through digestion, absorption and assimilation completely depend upon individual’s Agni i.e., digestive fire. Agni has a significant role in balanced body functioning and keeping the body components in homeostasis. According to Acharya Charak, Dehagni is considered as the cause of life, complexion, strength, lustre, health sustenance, Oja, Teja and it shows the critical importance of Agni in overall health of an individual. Individuals die when their Agni stops working, but when their Agni is Sama (balanced), they are completely well and live a long, happy, and healthy life. When a person’s Agni is vitiated, his entire metabolism is disrupted resulting in bad health and disease. As a result Agni is considered the foundation (Mool) of life. Although the number of Agni in our body is uncountable because it play an important role in metabolism even at cellular or molecular level particularly then also in Ayurvedic texts it mainly considered of 13 types in number. These are one Jatharagni or Koshthagni, five Bhootagni and seven Dhatvagni. Firstly, Jatharagni perform its action in Koshtha (stomach) then Bhootagni and Dhatvagni perform their action. Any kind of disturbance at any level of digestion and metabolism (Aaharpachankriya) leads to certain kind of disruption in normal functioning of Agni. It may be hyper or hypo or fickle state of Agni (Tikshnagni, Mandagni, Vishamagni). These all conditions called as Agnidushti. Agnidushti is a common cause for general health ailments like Ajeerna (indigestion), Amlpitta (acidity), Atisaar (diarrhoea), Arsha, Grahani (IBS or IBD) etc. Consumption of unhealthy food without following the Aaharvidhi described in Ayurvedic texts increasing these health issues day by day. The paper is about to deciphering these ailments in respect with pathogenesis i.e., Samprapti.
Critical Review on Broad Spectrum Action of Vasti Karma - A Literary Study
Authors: Harshamali K.A.D.T  , Tharangani W.A.S
Published: September 2023

Ayurveda views a person's Tridosha balance as indicative of their overall health, and Pancakarma treatment aims to restore harmony and normality by purging the vitiated Dosha. One of the five Pancakarma procedures, Vasti karma is a unique and broad spectrum therapeutic and preventive strategy.  The objective of this study was to determine why Vasti karma has emerged as a key Panchakarma therapeutic strategy. The study's data sources included primary Ayurvedic texts, secondary Ayurvedic medical literature, and scientific publications that were published online. Vasti is said to purge or calm vitiated Vata and further normalize its activities. Vasti is alleged to have a multifaceted activity that possesses preventative, curative, and promotional effects. As a result, it is recognized as the best course of therapy and a viable alternative to small surgeries. In contemporary medicine, enema is primarily used to remove feces from the large intestine, whereas in Ayurveda, Vasti is a route of drug administration for multiple actions, acting both locally in the large intestine and systemically on the body tissues, which is why it is considered to be a "Ardha chikitsa" as well as a "complete Chikitsa" due to its wider applicability and greater disease-curing ability. It ultimately comes to the conclusion that Vasti is the supreme and primary Panchakarma therapy method since it demonstrates broad spectrum action that may be used on a huge variety of disorders.
Role of Viruddhahara in Ayurveda w.s.r. to Deshviruddha and Kaalaviruddha Aahara
Authors: Shilpa Shankarrao Walkikar
Published: September 2023

Ayurveda is an ancient system of medicine in India. It is a science and specialty of sensible carrying on those aids in achieving life expectancy. It puts a compliment on obstruction and recovery medicines despite different ways to deal with sanitizing and recovery. It can help each person with reaching the right decisions about their food, lifestyle, and exercise to re-establish a decent game plan between their body, cerebrum, and care, to re-establish a decent generally speaking plan between their body, mind, and care, thusly finishing the spread of disorders. Some unsatisfactory eating schedules, penchants, lifestyles, problematic food blends (e.g., milk and fish, melons and grain, yogurt, and meat or cooked Madhu, etc), periodic changes, checked sentiments, and stress factors can all act either together or freely to change the harmony of Vata, Pitta, and Kapha. According to the possibility of the explanation, either Vata, Pitta, or Kapha go through intensification or craziness which impacts the Agni (gastric fire) and makes Ama (harms). This Ama enters the circulatory framework and is circumnavigated all through the body, plugging up the channels. Systems for upkeeps of toxic substances in the blood achieve toxemia. This assembled noxiousness, when profoundly grounded, will step by step impact Prana (vital life energy), Ojas (obstruction), and Tejas (cell metabolic energy) and result in afflictions. This can be nature's undertaking at killing the harmfulness from the body. Each alleged contamination is a crisis of Ama noxiousness. Ama is the crucial inside justification behind all ailments, due to the annoyed Doshas.
Littoral Cell Angioma of the Spleen
Authors: Tan YM , Chuah KL , Wong WK
Published: September 2023

Introduction: Littoral cell angioma is a recently described vascular tumour of the spleen with an unknown aetiology.

Clinical Picture: We present a case of a 36-year-old lady who had a successful living-related renal transplantation 13 years ago. On follow-up, she was investigated for pyrexia of unknown origin (PUO) and was found to have a large solitary hypodense splenic lesion.

Treatment: Splenectomy was carried out because an underlying infective or neoplastic cause for this patient on long-term immunosuppression could not be excluded. The operation and subsequent clinical course was uneventful and the patient’s fever settled postoperatively. The histological and immunohistochemical features of the tumour were consistent with a littoral cell angioma.

Conclusion: Littoral cell angioma is a vascular tumour of the spleen. This case illustrates that it can be a cause of PUO and should be considered in the differential diagnosis of splenic hypodense lesions.
Dosimetric Difference of Urinary Bladder and Rectum in Patients Undergoing Intracavitary Brachytherapy for Cervical Cancer under Procedural Sedation and General Anesthesia: A Survey at Bugando Cancer Center and Ocean Road Cancer Institute
Authors:   BSc. MIR, Department of Radiology division of Radiation Oncology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania, Nathanael Gloria K. , Kazoba Francis G. ,   BSc. RTT, Department of Radiology division of Radiation Oncology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania
Published: September 2023

Background: High-Dose-Rate Intracavitary Brachytherapy (HDR-ICBT) is a commonly employed treatment modality for cervical cancer, delivering a high dose of radiation directly to the tumor site while minimizing exposure to surrounding healthy tissues. Anaesthesia administration during HDR-ICBT varies, with some centres using Sedation (CS) and others employing General Anaesthesia (GA). Despite the widespread use of these anaesthesia techniques, their potential impact on dosimetric outcomes, particularly in the urinary bladder and rectum, remains an area of interest and investigation. Objective: This study aimed to determine the dosimetric difference in the urinary bladder and rectum doses among cervical cancer patients undergoing HDR-ICBT under CS and GA. The study was conducted at Bugando Cancer Centre (BCC) and Ocean Road Cancer Institute (ORCI) to compare the dosimetric outcomes between the two anaesthesia techniques. Methods: A total of 273 patients who underwent HDR-ICBT for cervical cancer were included in the study. Patients were divided into two groups based on the anaesthesia technique used during the procedure: 143 patients received GA, and 130 patients received CS. Dosimetric parameters of the urinary bladder and rectum doses were collected and analysed using descriptive statistics and the independent samples t-test. Results: The findings demonstrated a statistically significant dosimetric difference in the mean urinary bladder dose between patients treated under GA and CS (p < 0.001). Patients under GA received a significantly lower mean urinary bladder dose compared to those under CS. However, no statistically significant difference was observed in the mean rectum dose between the two anaesthesia groups (p = 0.689). Conclusion: The study reveals that the choice of anesthesia technique significantly impacts the urinary bladder dose during HDR-ICBT for cervical cancer. Patients receiving GA had a lower mean urinary bladder dose compared to those under CS. However, no significant dosimetric difference was observed in the mean rectum dose between the two anesthesia groups. These findings emphasize the importance of considering anesthesia techniques during treatment planning to optimize dosimetric outcomes and patient safety in HDR-ICBT. Further investigation and long-term follow-up are warranted to validate and expand upon these results. Collaboration between radiation oncologists and anesthesia teams is crucial to enhance treatment efficacy and minimize potential complications during HDR-ICBT for cervical cancer
An Error Analysis on Writing in Simple Present Tense
Authors:   lampung university, Setiana Nina
Published: September 2023

This paper aims to know the type of errors that happened in writing daily activities of fifth grade of MI Al Khairiyah Kupang Teba Bandar Lampung. This research used qualitative design. This study was focused on analyzing the type of errors that's produce by students in simple present tense that have been collected from 20 students of fifth grade of MI Al khairiyah kupang teba, Bandar Lampung. The data can be found by written test. The researcher gives for students to write daily activities. This test should be completed by the subjects in order to find out the errors in their writing. The results of this research, the researcher found some type of errors such as omission, addition, misordering and misformation. misordering ( 89 errors = 36.6%), followed by addition (87 errors = 35.8%), misformation (40 errors = 16.45%), and omission (27 errors = 11.2%).
Rural Community Leaders and Development Messages in the Digital Age
Authors:   School of Communication, Universitas Bengkulu, Jl. W.R. Supratman Kandang Limun Bengkulu,Indonesia, Adeni Susri , Yusnita Titien ,   School of Communication, Islamic Sahid Institute, Jl. KH Basuki Dakri KM6 Pamijahan, Bogor,Indonesia, Harahap Machyudin Agung ,   School of Communication. Universitas Pembangunan Negeri Veteran Jakarta, Jl. RS. Fatmawati Pondok Labu, Jakarta, Indonesia
Published: September 2023

Messages for development to reach the general public are conveyed through various channels. In rural communities, community leaders usually play a very important role so that information on developments that are currently and will take place can be known by the community. But in today's digital era where people also have wide and open access by utilizing the internet, it seems as if the role of community leaders is starting to be marginalized. This study aims to explore the role of community leaders in conveying information to the public in the digital era and how the public receives the information they receive. A qualitative study in Pamijahan Village, Bogor, with informants from community and community leaders, shows that community leaders still play a role in conveying information that is considered important by the community and community leaders also try to maximize the internet in conveying information that is useful to the community.