bluuebunny/crossref_metadata_2025 huggingface dataset:
COMPARISON BETWEEN C-REACTIVE PROTEIN AND SERUM LACTATE IN EVALUATION OF SEPSIS INDUCED ACUTE KIDNEY INJURY AND SEPSIS WITHOUT ACUTE KIDNEY INJURY
Authors: Sandeep Kumar Reddy Buchipudi , Hanifah Mohamed , Sankar Siva , Sumathi S.
Published: March 2023

Background One of the main causes of death in critically ill patients is sepsis. In Intensive care unit half of
the patients develop Acute Kidney Injury, and has high mortality rates. In assessment of sepsis there are
multiple markers in which C-reactive protein, serum lactate are commonly used. C-reactive protein is known biomarker of
inammation and involved in several immunological functions. Aim To correlate C-reactive protein and Serum lactate in
evaluation of sepsis induced acute kidney injury and compare these parameters in sepsis without acute kidney injury.
Materials & Methods This is a Cross-sectional study which will be done at Mahatma Gandhi Medical College and Research
Institute, Pondicherry. This study comprises of 52 patients out of which Group 1 are 26 patients having sepsis with AKI and
Group 2 are 26 patients are having sepsis without AKI. Complete case history including the socio-demographic data and other
medical conditions of the patient was recorded and & the collected blood samples were recorded for CRP, Serum lactate as well
as other parameters. Results Mean age of subjects in sepsis with AKI and sepsis without AKI are almost similar, with 55.8 %
being females. 90% of sepsis with AKI group and 76% of sepsis without AKI group has CRP of >10 and 42% of sepsis with AKI
group and 34% of sepsis without AKI group has Lactate of >2. Conclusion CRP and Serum lactate are markers of
inammation. CRP has been used to monitor the course of infection and inammatory diseases. CRP has not only a
biochemical marker of inammation but also an active modulator of the inammatory response.
“EXPERIENCES IN THE SUCCESSFUL MANAGEMENT OF FIVE CASES OF STERNOMASTOID MUSCULAR TORTICOLLIS”
Authors: Reddy Kallam Anji
Published: March 2023

Congenital muscular Torticollis is a rare musculoskeletal disorder characterized by unilateral shortening
of the Sternocleidomastoid muscle. Producing deformity of the neck with exion of the neck towards the
same side and the chin facing the opposite shoulder. We treated six cases, and of which ve are due to congenital Sternomastoid
shortening (unilateral) and another case with fusion of cervical vertebrae causing Torticollis and Klippel Feil Syndrome with cleft
of the soft palate which was also repaired.
COMPARATIVE EVALUATION OF DEXMEDETOMIDINE AND FENTANYL FOR EPIDURAL ANALGESIA IN LOWER LIMB ORTHOPEDIC SURGERIES
Authors: Agarwal Anoop , Patel Vijal , S Sowmya
Published: March 2023

A study conducted between two groups to compare : Ropivacaine + Dexmedetomidine (RD) and
Ropivacaine + Fentanyl (RF), comprising 50 patients each. Inj. Ropivacaine, 15 ml of 0.75%, was
administered epidurally in both the groups with addition of 1 μg/kg of dexmedetomidine in RD group and 1 ฀g/kg of
fentanyl in RF group. Besides cardio-respiratory parameters and sedation scores, various block characteristics were
also observed. The study was compiled systematically and analyzed using ANOVA with post-hoc signicance, Chisquare test and Fisher's exact test. Value of P<0.05 is considered signicant and P<0.001 as highly signicant.As compared
both groups.RD group was signicantly earlier in establishment of complete motor blockade, sensory analgesia at T10.
Postoperatively sedation better in RD group. Incidence of nausea and vomiting was signicantly high in the RF group,
while incidence of dry mouth was signicantly higher in the RD group. At the end of study Dexmedetomidine seems to
be a better alternative to fentanyl as an epidural adjuvant.
A STUDY ON EFFECTIVENESS OF LAUGHING- YOGA ON TYPE 2 DIABETICS WITH CHRONIC STRESS
Authors: Hathila Purva , Patel Khushbu
Published: March 2023

A number of controlled yoga trials in last few years have observed lifestyle interventions especially yoga
to be efcacious in the management of diabetes. The aim of our study is to systematically review the
research conducted in the eld to understand the effectiveness of yoga on diabetes mellitus. A systematic search was done
using search engines such as PubMed, Google Scholar, Cochrane Library, MEDLINE, CAMbase, PsycINFO and IndMED. A
total of 212 articles were selected, of which 166 were excluded and 46 controlled trials (CTs) were included in the review. Among
the 46 CTs, 31 studies were categorized based on the primary outcome variables, 10 were based on the secondary outcome
variables and 5 studies were control studies. Risk of bias assessment was conducted on all the studies. The review
demonstrates signicant improvement due to yoga practice in the primary outcome measures such as blood glucose levels
along with secondary outcome measures such as cardiac autonomic variables, lipid prole, liver enzymes, respiratory
variables, quality of life, anxiety and depression. Thus yoga has not only been found to be benecial for improved glycaemic
control, but also for the wide variety of symptoms associated with the diabetes. Despite this evidence, it is worth mentioning that
further gold standard randomized controlled trials are warranted with more specic sets of practice, to prescribe yoga
especially as an alternative treatment for the management of diabetes
EVALUATION AND PROGNOSTIC CORRELATION OF ACUTE PANCREATITIS USING CT SEVERITY INDEX
Authors: Kumar. S Dinesh , S Abhishek.
Published: March 2023

Background: Of all abdominal emergencies, pancreatitis is one of the most complicated and clinically
difcult. The preferred imaging technique for determining the severity of acute pancreatitis and its
consequences is computed tomography (CT). To evaluate the clinical outcome of acute pancreatitis and Aim: prognostic
correlation based on the CT severity index. We included 30 patients with suspected acute pancr Settings and Design: eatitis
attending department of Radio Diagnosis, KVG medical college and hospital during the study period (January 2022 to May
2022). All the patients were evaluated by contrast enhanced CT. The severity of pancreatitis was scored using CT severity index
(Balthazar), modied severity index (Mortele) and revised Atlanta classication and the cases were classied into mild,
moderate and severe. The outcome parameters studied were Length of hospital stay, Need for surgery or percutaneous
intervention, incidence of infection or organ failure and death. The age group of patients was 16 Results: to 69 years with
maximum patients (36%) between 25 and 35 years. Majority were males (81%). According to Modied CT Severity Index, 15%
patients had mild, 42% patients had moderate and 43% had severe pancreatitis. Majority of the cases (44%) were categorized
as severe pancreatitis according modied Mortele CT score. Majority of the cases were categorized as mild pancreatitis
according Balthazar CTSI score and revised Atlanta classication. 38% patients are considered to have end organ failure.
Hepatic failure is the most common system failure seen in 22% patients. 36% patients had evidence of systemic infection. 10%
patients required surgical interventions. The score is simpler to calculate and the inter-ob Conclusions: server variability is
decreased using the modied CT severity index
EFFICACY OF CORE DECOMPRESSION WITH AUTOLOGOUS CANCELLOUS BONE GRAFTING ON HEALING IN AVN OF THE FEMORAL HEAD
Authors: Kumar Mittal Vishnu , Yadav Manoj , Mathur Mudit , Bhagwan Sharma Shiv
Published: March 2023

Introduction:- Avascular necrosis (AVN) of the hip is a condition caused by interruption in the blood
supply to the subchondral region of the head of the femur leading to death of the osteoblasts and
osteocytes. the term osteonecrosis is now preferred. To study the efcacy of core decompression wi Aims And Objectives th
autologous cancellous bone grafting on healing in AVN of the femoral head This study was conducted Material and methods:-
in the Department of Orthopaedics, Jhalawar Medical College, Jhalawar (Raj.). 21 patients were admitted in the department of
orthopaedics with avascular necrosis of femoral head and treated with core decompression autologous cancellous bone
grafting from September 2019 to August 2020. Present study consisted of 21 Results:- patients of AVN femoral head , between
age 20 to 60 years treated with core decompression and autologus bone grafting excellent results were obtained in 23.8% , good
in 47.6%, fair in 19% while 9.5% patients had poor outcome Core decompression wi Conclusion:- th autologous cancellous bone
grafting in early stages of AVN of femoral head is an effective modality to delay the progression of the disease, postpone the
femoral head collapse and eventual arthritis, and also helps in revascularization of the femoral head.
AN INSIGHT TO DERMATITIS CRURIS PUSTULOSA ET ATROPHICANS – A CASE SERIES
Authors: S Soundarya. , Thomas Jayakar
Published: March 2023

Dermatitis cruris pustulosa et atrophicans is a distinct type of folliculitis that presents as pruritic, diffuse
tiny follicular pustules with perifollicular edema and alopecia commonly occurring over the legs most
commonly caused by Staphylococcus aureus. This was rst described by Clarke in his book titled Skin diseases in the African as
Nigerian shin disease in the year 1952. Dermatitis cruris pustulosa atrophicans is therapy resistant and recurrences are quite
common in spite of proper treatment. Self-resolution occurs as scarring sets in. Despite being a well-recognized entity, it has
been less commonly reported or studied in dermatological literature. In this article, we highlight four classical cases of
dermatitis cruris pustulosa et atrophicans and its review of literature. Further studies on a larger scale need to be done to
elucidate the exact etiopathogenesis and its proper management.
CHALLENG TO OBESITY; COVER WEIGHT LOSS BY CONSUMPTION OF INDIAN MILLETS.
Authors: S. Bhaisare Manmohan
Published: March 2023

Obesity is a pathological condition in which excessive body fat accumulated leading adverse effect on
health and life expectancy. [1]. Obesity is a chronic disorder with complex interaction between genetic
and environmental factor. It characterized by high cholesterol, high fatty acid level, imbalance of metabolic energy, insulin
desensitization, gallstone, high blood presser, shortness of breath, emotional and social problem and excessive adipose mass
accumulation with hyperplasia and hypertrophy.[2]. In the present study method that had been used for preventing weight gain
by meal, replacement and given some quantitative dose of millet, at one time dinner. So in this method level of compliance is
better by giving the nutrient intake food, to controlled calories density of the body of patient, which enhances effect of weight loss
STUDY ON EFFECT OF NEBULISED BUDESONIDE ON POST-OPERATIVE SORE THROAT, HOARSENESS OF VOICE AND COUGH.
Authors: Raghunath Shiravadkar Shailendra
Published: March 2023

Background: Post-operative sore throat (POST) is often an inevitable consequence of tracheal intubation
associated with cough and hoarseness. Effect of nebulised budesonide was studied on the incidence and
severity of POST. In this prospective randomised study, 60 patients undergoing Methods: laparoscopic surgeries lasting <2 h
were randomly allotted into two equal groups. Group A received 500 μg budesonide nebulisation, 15 min before intubation. No
such intervention was performed in Group B. The primary outcome was the incidence and severity of POST. Secondary
outocomes included the incidence of post-operative hoarseness and cough. Pearson's Chi-square test, Fisher's exact test and
Independent sample t-test were used as applicable. Compared to Group B, signicantly fewer Results: patients had POST in
Group A at 2, 6, 12 and 24 h (P < 0.001) along with post-operative hoarseness of voice and cough. Nebulized Conclusion:
budesonide is effective in signicantly reducing the incidence and severity of POST.
AN OBSERVATIONAL STUDY TO ASSESS THE SEVERITY AND OUTCOME OF COVID 19 AND NON COVID 19 STROKE PATIENT IN TERTIARY CARE CENTER AND ITS ASSOCIATED HOSPITAL
Authors: Verma Archana , Prakash Pandey Ved , Gupta Ankur , Chouhan Peeyush
Published: March 2023

Background: Covid-19 might be more likely to cause thrombotic vascular events, including stroke, than
other coronavirus & seasonal infectious diseases. The proposed mechanisms for these cerebrovascular
events include a hypercoagulable state from systemic inammation & cytokine storm; postinfectious immune-mediated
responses. 40 COVID-19-infected patients with Stroke and 40 Non COVID-19 infected in age group 25-100 years admitted in our
500 bedded covid dedicated hospitals associated with Maharaja Yashwantrao hospital, Indore, were observed for their clinical
prole, complications, laboratory parameters, inammatory markers, radiological parameters and outcome etc. Patients were
divided into two study groups i.e. Covid-19 Stroke group and Non Covid-19 Stroke group. Clinical, laboratory and radiological
parameters were observed in both groups and found out to be worse in covid-19 stroke group.
OUR EXPERIENCE OF LAPAROSCOPIC INTRA-PERITONEAL ONLAY MESH PLUS (IPOM PLUS) REPAIR FOR UMBILICAL AND PARA-UMBILICAL HERNIA AT TERTIARY CARE CENTRE
Authors: Chaudhari Akshay , Purandare Snehal
Published: March 2023

Aim: To summarize our experience in laparoscopic intra-peritoneal onlay mesh (IPOM) plus repair for
umbilical and para-umbilical hernia at tertiary Care Centre over a 2-year period. This is a Study designRetrospective observational study of patients treated at Tertiary health Care Centre, Pune. Retrosp Type of study- ective
observational study. July 2020 to July 2022. 36 patients with umbilical and paraumbilical Period of study- Sample size- hernias.
Conclusion: Thus, IPOM plus repair for umbilical and para-umbilical hernia is safe with advantages of minimal post-operative
pain, less hospital stay and early return to normal activities
SERUM URIC ACID IN TYPE 2 DIABETES MELLITUS AND ITS ASSOCIATION WITH CARDIOVASCULAR RISK FACTORS
Authors: Manasa Katta , Shashikala Cheguri , Sushmitha Kavuri
Published: March 2023

BACKGROUND: Prevalence of Type 2 Diabetes mellitus is rapidly increasing and is already as epidemic
in India. Diabetes mellitus is an important risk factor associated with increased incidence of
cardiovascular disease (CVD) Prevalence of CVD has rapidly increased in past few years. The four major risk factors for CVD
are hypertension, dyslipidemia, diabetes mellitus and cigarette smoking.The Morbidity and mortality due to noncommunicable
diseases specially attributed to diabetes mellitus and coronary heart disease is rising rapidly in India, causing nearly 5.8
million deaths per year annually. Insulin resistance state is associated with diabetes mellitus and metabolic syndrome. AIM To
study the effect of serum uric acid levels in type 2 diabetes mellitus and its association with cardiovascular risk factors.
OBJECTIVES :To compare serum uric acid levels with other CVD risk factors (hypertension, dyslipidemia, obesity, smoking)
among type 2 diabetic subjects.To compare duration of diabetes and serum uric acid levels STUDY DESIGN: Cross sectional ,
observational study. PLACE OF STUDY: Department of General Medicine, Kamineni institute of medical sciences, Narketpally.
DURATION OF STUDY : October 2020 to September 2022
COMPARISON OF THE EFFICACY OF INTRATHECAL ISOBARIC ROPIVACAINE AND BUPIVACAINE IN KNEE ARTHROSCOPY: A RANDOMIZED CONTROLLED TRIAL
Authors: Agarwal Anoop , Patel Vijal , Menat Himanshu
Published: March 2023

A study conducted between two groups to compare intrathecal isobaric Ropivacaine & Bupivacaine
in post operative recovery in patients undergoing arthroscopic knee surgery.ASA grade 1&2 patients
were randomized into two groups to receive 2ml plain solution either 0.5% bupivacaine (Group B) or 0.75% ropivacaine
(Group R).In the intraoperative period,onset,efcacy,duration and regression of sensory and motor block were noted in
both the groups at regular intervals. Above mentioned two groups are compared for pain score,recovery prole,analgesic
requirement and complications postoperatively. Analysis was performed using Chi-square test and Student's t-test. Onset
and duration of sensory and motor block was signicantly more (P = 0.001) with bupivacaine as compared to
ropivacaine.
COMPARATIVE ANALYSIS OF COBAS 6800, RT-PCR, AND TRUENAT SARS-COV-2 IN ROUTINE DIAGNOSIS OF COVID19.
Authors: Sachan Reena , Priyanka Priyanka , Singh Abhishek , Chaudhary Deepak
Published: March 2023

Introduction - In December 2019, a group of patients of unknown aetiology with atypical pneumonia
emerged in Wuhan, China [1]. Severe Acute Respiratory Syndrome Corona Virus 2 (SARS CoV-2), a novel
beta-coronavirus was identied as the cause of these cases [2]. RTPCR testing leads to delay in diagnosis in cases where early
and rapid diagnosis of COVID-19 is warranted which leads to tension and anxiety both among patient and treating health care
workers. Material And Methods- This retrospective observational study was designed and conducted at the Department of
Microbiology; Moti Lal Nehru Medical College (MLNMC), Prayagraj Uttar Pradesh. This study was approved by the
Institutional Ethics Committee (IEC). All study data was retrieved from Hospital Information System of medical college. Result -
Among 200 patients, sample for Truenat, RT-PCR and Cobas 6800 testing were collected during study period. Out of 200
samples 57(28.5%) samples were positive by Cobas 6800 with 15(7.5%) invalid results and 128(64%) negative results. In RT-PCR
71(35.5%) samples were positive and 129(64.5%) samples were negative with no invalid results. 200 positive samples were then
selected from the RTPCR and COBAS 6800 positive samples for Truenat testing. Out of these 200 positive samples results of
60(30%) samples were presumptive positive and 128(64%) were negative invalid results 12(6%). Conclusion- we have
concluded that RT-PCR is the best diagnostic method for the detection of COVID-19 in a country like India, where there is
shortage of trained man power, well equipped labs and poor infrastructure. It also reduces the nancial burden in the era of
pandemics, where whole population needs to be catered.
EVALUATION AND SELECTION OF SUPPLIER IN A HEALTHCARE SUPPLY CHAIN USING ANALYTIC HIERARCHY PROCESS UNDER CRISP ENVIRONMENT
Authors: Bhosale Trupti , Umap Hemant
Published: March 2023

The objective of supplier selection process is to minimize risk in purchasing, enhance overall prot of the
customer, and build the long lasting and close relations between suppliers and buyers. Supplier
selection process is one of the main key processes of the supply chain management. So, selection of a supplier has become an
important issue for development of a proper supply chain system. Here, we have provided a case study for supplier selection
using Analytical Hierarchy Process (AHP) one of the widely used Multi Criteria Decision Making (MCDM) technique. We have
explained it using crisp data. In this study, we evaluated four suppliers using crisp AHP. The proposed method is useful when
selection is to be done from a large set of suppliers in limited time. It also helps to choose the supplier that best suits the
Pharmacist's requirements. It also provided comprehensive literature review of multi criteria decision making problems. In spite
of the no. of studies on supplier selection, the evaluation and selection of suppliers using the specic measures of the healthcare
sector are less investigated. In order to ll this gap, this research proposed a guide for supplier selection of baby hygiene
product.
TRACTON ALOPECIA: AN UNDER REPORTED COMMON CAUSE OF HAIR LOSS IN CHILDREN.
Authors: S Soundarya , M Anandhajhothi , Thomas Jayakar
Published: March 2023

Traction alopecia is a type of hair loss caused due to mechanical trauma to the hair by traumatic
hairstyling with continued long term traction. This can be secondary to social, cultural, religious or
occupational practices. The hair loss depends on the extent, force and the duration of the traction. This non-scarring form of hair
loss if not addressed early can lead to permanent scarring alopecia. In most of the patients, this is an accidental diagnosis
especially in school going girls in India where they need to tie tight braids as a part of their curriculum. In this article, we report a
case series of traction alopecia with emphasis on its early diagnosis, clinical features and management
RETROSPECTIVE STUDY OF ULTRASONOGRAPHIC AND FNAC CORRELATION OF THYROID LESIONS WITH HISTOPATHOLOGY
Authors: Lasya T. , Chaitanya Latha S. , Rama Murthy K. , Vahini G. , Rajendra Prasad J.
Published: March 2023

INTRODUCTION: Thyroid diseases, a common clinical problem have prevalence rate of 4–7% in the
general population. Fine-needle aspiration cytology (FNAC) is a minimally invasive, accurate diagnostic
tool which can differentiate neoplastic from non-neoplastic lesions and reduces the number of unnecessary thyroidectomies, but
has limitations . Our study was a retrospective an METHODOLOGY: alysis of 124 cases of thyroid lesions over a period of 3 years
from April2019 to April 2022. The FNAC ndings were reviewed and data was compared with the histopathological, imaging
ndings and data was analysed. Majority of the pat RESULTS: ients were females in the age group of 41–60 years with a mean age
of 42 years and most were non-neoplastic lesions. 76 cases were diagnosed as colloid nodular goitre and benign cystic lesions by
FNAC. 44 cases were diagnosed as neoplastic lesions (follicular neoplasm, papillary carcinoma, and suspected malignancy) by
FNAC. 18 of these cases were non neoplastic lesions, 24 were papillary carcinoma, 2 were follicular carcinoma on
histopathological examination . Statistical analysis of neoplastic lesions showed sensitivity, specicity, accuracy, false positive
rate, false negative rate, positive predictive value, and negative predictive value of FNAC to be 69.09%, 90.7%, 80.8%, 9.2%, 30.9%,
86.3% and 77.6% respectively. Ultrasound was foun CONCLUSION: d to be more reliable than palpation, but denitive diagnosis
can be reached only with FNAC/Biopsy. Bethesda system of reporting thyroid cytology should be meticulously followed to minimize
errors and a repeat FNAC asked for discordant cases after a multidisciplinary team conference.
THE POWER OF ELECTRONIC WORD OF MOUTH
Authors: Thirusanku Janemary , Kumar Rahuoll
Published: March 2023

In the early 1970s,word of mouth is first utilised when consumers' daily conversations reflect their interest in a company's
product or service.As a general rule,it is free advertising that is sparked by client experiences that go above and beyond
their expectations.With the rapid adoption of technologies, electronic word of mouth (eWOM) has allowed humans to
engage with the worldwide market by providing comments and statements via the Internet of Things (IOT). Moreover,
the pandemic of Covid-19 has led to the increase in usage of eWOM. This research deals with some theories and
antecedents that influences eWOM. Furthermore, the impacts of covid-19 on eWOM in the hospitality and tourism
industry,importance and the impacts of eWOM are also discussed.This research analyses the drivers,importance and
impacts of eWOM.
PREDICTING DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY BASED ON CLINICORADIOLOGICAL ASSESSMENT
Authors: Dwivedi Surjeet , Kumar Deepak , Kumar A Vinod
Published: March 2023

Gallstone disease is one of the most common and costly of all
digestive diseases. The third National Health and Nutrition
Examination Survey estimated that 6.3 million men and 14.2
million women aged 20 to 74 in the United States had
gallbladder disease.(1)
HEART FAILURE AS AN IN-HOSPITAL MORTALITY PREDICTING FACTOR IN COPD PATIENTS: AN OBSERVATIONAL STUDY
Authors: Ravikrishnan Aiswarya , Khan Javed , Kumar Yadav Mohit
Published: March 2023

INRODUCTION: Chronic obstructive pulmonary disease (COPD) and heart failure are two major causes of mortality,
globally. Coexistence of both conditions cause diagnostic difficulties because of similarities in symptoms and signs.
Most patients with both conditions are characterized by high mortality.Age,sex and comorbidities are considered to be
the major predictors of mortality in patients with COPD and heart failure alone.Undiagnosed heart failure in patients of
COPD has catastrophic consequences.AIM OF STUDY:To describe prevalence of heart failure in COPD patients and its
impact on in hospital mortality.MATERIAL AND METHODS:An observational study was conducted on 100 diagnosed
cases of COPD for a period of 6 months,admitted in medicine ward and medical intensive care unit at Jhalawar Medical
College.RESULTS: Out of the 100 patients studied,72 (72%) were males and 28 (28%) were females.23 patients (23%)
were diagnosed with coexisting heart failure. In hospital mortality was 12%, mortality among coexisting heart failure
patients was higher (30.43%) in comparison to patients with only COPD (6.49%)- odd ratio 6.3 (95% CI 1.77-22.41).
CONCLUSION: Heart failure has an important impact on in hospital mortality in patients with COPD. Heart failure and
other comorbidities should be recognized early and properly treated in order to improve survival in patients with
COPD
PREVALENCE AND FACTORS CONTRIBUTING TO NONCOMPLIANCE TO LIFE STYLE MODIFICATION IN HYPERTENSIVE PATIENTS.
Authors: Vijay Pawar Smita
Published: March 2023

Hypertension is denoted as the silent killer" because it often has no symptoms and is not discovered until a serious
complication develops. Hypertension can be termed as an "iceberg disease". The submerged portion of the iceberg
represents the hidden mass of the disease,while floating tip denotes the signs and symptoms It is estimated that 30% of
those with hypertension do not know they have it.United States with hypertension,59% are being treated but only 34%
are considered to be in control.This is unfortunate because it is believed that hypertension can be controlled in most
people.1 World Health Organization (WHO) defined Hypertension is a condition of systolic blood pressure higher then
140mmHg or diastolic blood pressure higher than 90 mmHg. Hypertension is a major risk factor for stroke, myocardial
infarction (heart attack), heart failure, aneurysms of the arteries, peripheral arterial disease & is a cause of chronic
kidney disease. Dietary and life style changes can improve blood pressure control & decrease the risk of associated
health complication.This study reviews the prevalence of noncompliance as a risk factor in the management of chronic
diseases with a specific focus on hypertensive therapy. Factors leading to increased incidence of noncompliance to
antihypertensive drugs therapy among hypertensive patients. The findings of the study will provide direction to the
health care providers to help the clients Compliance can be enhanced if adequate information about the disease
process and the importance of regular treatment is emphasized along with constant support and reinforcement,based
on their learning needs and problems
SMALL BOWEL LEIOMYOSARCOMA:A RARE CASE REPORT
Authors: Galande Ashok , Pancholi Falak
Published: March 2023

leiomyosarcoma is a rare type of malignant tumor that arises from smooth muscle cells.it is classfied as a soft tissue
sarcoma.tumors of small bowel amount for less than 5 % of all gastrointestinal malignancies with sarcomas ranking 5 th
(~1.2%). small bowel tumors are usually asymptomatic at the early stages & difficult to visualise by upper & lower
endoscopy LMS belongs to a heterogeneous group of soft tissue neoplasms, and with its aggressive nature, it often
presents local recurrence and visceral metastases. As in the presented case, clinical manifestation of this disease, as in
other small bowel tumours, is unspecific.here we discuss a rare case presentation of the same
Esercizi di pedagogia critica. In omaggio a Paolo Federighi e alla “Scuola fiorentina”
Authors: Colazzo Salvatore
Published: March 2023

The essay seeks to emphasize how post-World War II Italian pedagogy was renewed by opening it up to considering the educational potential of social contexts, thereby managing to connect with the most vital currents in the international debate, which were interested in deepening the school/society nexus. It grasps in Vico an extraordinary precursor of themes explored and clarified in recent times. With this choice it wants to indicate the existence of a carsic current in national reflection of great importance, to be studied, deepened and claimed in order to escape the risks of foreignness that so many of today's pedagogical studies manifest. He points out in the research of the so-called "School of Florence" the design of some very fruitful trajectories in the field of social and community pedagogy, grasping in this its specific contribution to the renewal of Italian pedagogy.
Per un progetto della pedagogia italiana
Authors: Corsi Michele
Published: March 2023

Pedagogy is still searching for its own identity and epistemological status. Especially in Italy, where the task of pedagogy, despite the efforts of many and numerous pedagogical colleagues, still has a marginal role, particularly in its political and transformative value. This is why it is important to return to pedagogy in its foundational elements, but especially to pedagogy as a promoter of critical reflexivity and concrete actions for the present and future of society and new generations. The essay reviews the most recent history of pedagogy and its Scientific Societies and opens up to the challenges of the contemporary world with confidence and respect for the high mandate facing the pedagogical reflexivity.
Il contributo di Paolo Federighi sulle politiche transnazionali nello sviluppo dell’Educazione degli Adulti. Il modello delle learning city e learning region
Authors: Piazza Roberta
Published: March 2023

The essay is a tribute to Paolo Federighi for his role as a magister and researcher in the area of learning and education of adults. Through a brief excursus of more than twenty years, from my first steps as a researcher to my recent experience as a member of the Scientific Committee of Lucca Learning city - the attempt is to highlight the level of influence that his reflections had on my interest in education policies in adulthood education and on embracing the learning city model.
Educazione degli Adulti e Tecnologie dell’Educazione: intersezioni disciplinari tra passato, presente e futuro
Authors: Ranieri Maria
Published: March 2023

The essay shows the historical and theoretical connections between adult education and distance learning, showing how the latter has made use of the many theories developed since the Andragogic challenge and how it has been able to offer itself as a catalyst for the former. Especially starting from MOOCs, this dual nature of distance learning – that of concretizer and that of reflective catalyst of adult education – are transformed into a research that touches pedagogical aspects (related to continuing education and its strategic role), teaching aspects (related to the methods of structuring training actions), but also and above all ethical-political apects, related to the democratization of Higher Education.
Il potenziale corporeo nell’azione didattica
Authors: Galdieri Michela , Sibilio Maurizio
Published: March 2023

The stimulating reflections in the field of the new cognitive sciences have added breath of life to studies on didactics towards an original reinterpretation of educational practices based on the valorization of the body as a founding pedagogical device of educational and training processes. The emergence of an embodied vision of cognition and the recognition of a dynamic dialogicality between the organism and the environment have prompted the construction of new research paths, creating the conditions for the recognition of the learning, communicative, simulative and vicarious potential of corporeity in teaching-learning processes. Teaching, as a science of human interaction, is enriched with verbal, iconic and bodily codes, manifesting teaching postures and corporeity that highlight its nature as a complex adaptive system.
Sviluppare identità di persone che apprendono
Authors: Striano Maura
Published: March 2023

Within the context of a reflection on learning from a lifelong and lifewide perspective, this paper intends to highlight the pedagogical need to focus on the individual and her or his resources as a prerequisite for starting and maintaining a fruitful “learning career”. For this purpose, the construct of “learning identity” is explored in depth. Within the field of the “technologies of the self” it has been possibile to identify dedicated strategies and tools that can support the growth and evolution of this form of adult identity in support of a leaning that can nourish the different stages of life.
Prodromi dell’alternanza scuola-lavoro: la Ferme École di Meleto in Val d’Elsa
Authors: Xodo Carla
Published: March 2023

The contribution reconstructs the work of innovation carried out by Cosimo Ridolfi in the Agricultural Institute of Meleto in Val d'Elsa, as a paradigmatic example of the relationship between theory and practice and a model example of school-work alternation. Through a historical perspective, we want to highlight the educational aspects of practical and conceptual activity in practical and operational contexts, especially in agriculture, a tradition inaugurated by Ridolfi and continued by Lambruschini, which initiated a true Tuscan school of innovation in the formal learning setting of education and training that has become a European model.
Assessment of Nocturnal and Daytime Sleep disturbances among Elderly Parkinsonism Patients in Baghdad City
Authors: Al-Ameri Maan Hameed Ibrahim
Published: March 2023

Background: Sleep disturbances are one of the most common of the non-motor complications of Parkinson's disease (PD), and increase in frequency with advancing disease. As many as 98% of patients with PD may suffer at some time from nocturnal symptoms, that can disturb their sleep. The causes of sleep disturbance in PD are numerous, and many patients may have several factors that contribute. These disorders can be broadly categorized into those that involve nocturnal sleep and daytime manifestations such as excessive daytime sleepiness.
Objectives: To assess the levels of disturbances of nocturnal and daytime sleep of the Parkinson's disease patients in the city of Baghdad and to find out relationship between these levels and some demographic characteristics of patients.
Methodology: A descriptive study was conducted between the ninth of September, 2013 and 15th of December 2013. A purposive non-probability sample of 100 elderly patients who are diagnosed with Parkinson's disease andanother 75 aged matched healthy controls were recruited to participate in the study. To reach the objectives ofthis study a questionnaire was constructed. The present questionnaire consists of two parts; demographiccharacteristics; gender, age, and duration of illness; and 15 items as a part of Parkinson's disease Sleep Scale(PDSS) for measuring levels of sleep disturbances.
Results: The results indicate that all the patients with Parkinson's disease have different levels of sleepdisturbances: 55.0% with severe level, 32.0% with moderate level, and only 13.0% with mild level. There is asignificant association between levels of sleep disturbances and age and duration of illness. Also the resultsrevealed that there were a wide difference between the Parkinson's disease group and matched healthy controlgroup regarding the sub-categories of sleep disturbances.
Conclusions: The results of the study indicated that more than half of PD patients had severe level of sleepdisturbance; there were significant relationships between severity of sleep disturbances and age and duration ofdisease; and finally there was a difference between PD participants and matched controls group.  
Recommendations: Establishing specialized centers which give daily cares for patients with Parkinson'sdisease, follow-up programs for each patient registered at these centers, and governmental financial supportfor those patients.
Assessment of hemorrhoids and anal fissure occurrences in women during pregnancy in Pirmam City/Iraq
Authors: Ahmed Hamdia Mirkhan , Pola Farhad Hassan
Published: March 2023

Aim: The aim of this study was assessment of obstetrical characteristics of women with hemorrhoids and analfissure.
Methodology: A cross-sectional study was conducted between 1st September 2013 and 30th July 2014 in Pirmamcity in Kurdistan Region of Iraq on 50 women who attend surgical private clinic and complained with signs andsymptoms of hemorrhoids and anal fissures and diagnosed by observation and physical examination of the anus.A questionnaire was constructed for the purpose of the study. Chi-square test or Fisher exact test were used foranalyzing of the data.
Results: Mean (M±SD) age of women were 30.36 (± 7.4). The rate of hemorrhoids, fissures or both were asfollowing respectively: 14%, 48% and 38%. Sixty two percent of the study sample were multipara. The majority(84%) of the sample had vaginal delivery. There was statistically significant association between prolonged laborwith aggravation of hemorrhoids and fissures by pregnancy/delivery but there was no statistically significantassociation between onset of hemorrhoids or fissures and their aggravation by pregnancy/delivery with parityand mode of delivery.
Conclusions: Hemorrhoids and anal fissures were most common in multipara and grand multipara women andwho delivered vaginally. These conditions may aggravated by pregnancy and delivery.
Recommendation: Advising and educating women for appropriate diet and bowel motion during pregnancy andimproving care during labor may decrease the hemorrhoids and anal fissures. Further studies with large samplesize and case- control study will help to understand the effect of childbearing experience on anal disorders
Evaluation of the nursing management for patients undergoing to water seal chest tube drainage system
Authors: Ahmed Sabah Abbas , Al-Ganmi Ali Hussein A. , Jassim Suad
Published: March 2023

Objective(s): The study objectives are to identify the nursing management provided to patients undergoing to water- seal chest tube drainage system..
Methodology: A descriptive study which was using the quantitative design. The study was conducted in Alhariri, Alyarmouk, and Alkindy teaching hospitals starting in October 10th 2012 up to the September 30th 2013. To achieve the objectives of the study, A non-probability (purposive) samples of (50) nurses delete was consisted of all nurses who provides management for patients under-water-seal chest tube drainage systems. The questionnaire tool was constructed, consisting of two parts, first one the demographical data of the sample & the second is the 13th steps of observational checklist for nursing management of patients with under-water-seal chest tube drainage system, the questionnaire validity & reliability was determined by a panel of experts in and out of Nursing College, a suitable statistical analysis was applied for the data. stem. Data were collected by an application of direct observation as a means of data collection. Nurses were evaluated while they are working in the thoracic or surgical wards during the day. Instrument validity and reliability were determined through content validity, by a panel of experts and a suitable statistical analysis was applied for the data.
Results: The results of the study showed that most of the sample were males nurses at age group of (20-30) and (31-40) years old working at thoracic surgical wards since 1-5 years only with a poor nursing experience. Also, the result of study indicated that the male nurses who are with nursing institute (22), preparatory nursing school (20) and nursing school (8) were providing care to patients with chest tube under water- seal drainage not accepted. They were with knowledge deficit and experience in maintain patency and sterility when changing down tube, they do not note the presence of bubbling and recording the consistency of the drainage, which indicating poor management and technique provided and this may lead to complication such as pneumonia and pneumothorax, which may leads to pulmonary failure.
Conclusion: The study concluded that the most of nurses that work in thoracic or surgical wards have deficit knowledge in some aspects related to nursing management provided to patients with under water- seal chest tube drainage system.
Recommendations: The study emphasize that nurses working in thoracic wards must be at least with Diploma or Bachelorette degree of well educated to provide complete and accurate management for patients with chest tube. Also, the study recommends to apply an intensive courses for already these nurses to improve their knowledge and practice in caring for under-water-seal chest tube drainage system patients..
Pseudomonas aeruginosa: Perfil de resistência antimicrobiana e principais sítios de infecção de amostras colhidas de pacientes imunossuprimidos
Authors: Portela de Azevedo Arimatéia , Teixeira de Sousa Marinho Daiane , Da Conceição Emilly Rodrigues , Barbosa Dileani , Gomes Faria Suzete , Da Silva Nascimento Jamily , De Oliveira Lima Neves Madlene , Vieira da Silva Tatiana , Oliveira da Fonseca Iraide , Nascimento Lima Guilherme
Published: March 2023

Introdução: A Pseudomonas aeruginosa é uma bactéria causadora de infecções hospitalares principalmente em pacientes imunossuprimidos podendo ocasionar infecções oportunistas. Objetivo: Descrever o perfil de resistência antimicrobiana da Pseudomonas aeruginosa e os principais sítios de infecção de amostras colhidas de pacientes internados na UTI´s para pediátricos e adultos de uma unidade de referência em doenças tropicais no Amazonas. Metodologia: Pesquisa retrospectiva, descritiva realizada a partir da coleta de dados existentes nas planilhas de notificação de Infecção Relacionadas a Assistência à Saúde-IRAS existentes no banco de dados da Comissão de Controle de Infecção Hospitalar-CCIH. Resultados: No período de doze meses foram notificadas 42 infecções intra-hospitalares, destas, 6,7% foram causadas por Pseudomonas aeruginosa resistente aos carbapenêmicos (imipenem e/ou meropenem) e a maioria ocorreram nas enfermarias (49,7%) mas houve um número bem expressivos de casos na UTI para pacientes adultos (34,6%) e o sitio mais acometido foi o trato respiratório (62,5%). Conclusão: A redução de infecções graves em pacientes internados com P.aeruginosa depende do início rápido da terapia antimicrobiana e adequada, para isso, requer atividade de vigilância da resistência farmacológica em cada instituição afim de evitar cepas altamente resistentes aos fármacos utilizados.
Analysis of Diet Compliance and Physical Activity with Return Rate in Coronary Heart Disease Patients
Authors: Syahrir Syahrir , Ranuntu Olliviani , Fatmawati Fatmawati , Fitryani A Nurul Fuady
Published: March 2023

Coronary heart disease is one of the diseases that causes death in the world, but these patients must always be controlled or treated regularly so that further complications do not occur or can lead to death. The success of treatment depends on patient compliance itself, where non-adherence causes problems in quality of life. Patients who are not compliant in control will eventually be followed by stopping treatment, this will have an impact on the patient's quality of life. The purpose of this study was to analyze dietary adherence and physical activity with recurrence in coronary heart disease patients. This research is a quantitative study using an analytic survey research method with a cross-sectional study design approach, sampling by total sampling with a total sample of 42 respondents who were outpatients at the heart polyclinic. The results showed the value of dietary adherence (p=0.001), physical activity (p=0.000). So it is said that there is a relationship between dietary adherence and physical activity with recurrence in patients with coronary heart disease at the Heart Polyclinic at the Kolonodale Hospital. It is hoped that people with coronary heart disease will comply more with the recommended dietary patterns and physical activity patterns so that they can reduce the recurrence rate.
Extent of livelihood opportunity of the sericulture farmers in Kamrup district of Assam
Authors: Rabha Pulak , Dutta Lohit Ch. , Saikia Monimala , Barua Sajib , Saikia Hemanta
Published: March 2023

The study was conducted with a sample of 120 sericulture farmers in Kamrup district of Assam in three development blocks viz. Bongaon, Boko and Chayani Borduwa. The study revealed that majority (43.33%) of the respondents belonged to middle age group, 36.67% were illiterate, 45.83% belonged to small size family and 69.17% had pucca house. In case of operational land holding majority (34.17%) of the respondents possessed small size of land holding, 33.95% had annual income ranging from Rs.75,001-1,00,000, 75.00% had medium level of extension contact, 61.67% had moderate level of risk bearing ability, 59.17% had moderate level of decision-making  ability and only 23.33% had received training. Most of the respondents (35.00%) practiced “Sericulture +paddy+plantation crops” followed by “Sericulture+paddy+piggery" (15.83%) and “Sericulture+paddy+fruits” (12.50%) as their livelihood options. Education, family size, house type, operational land holding risk bearing ability and decision-making ability have significant relationship on livelihood options.
Development of laboratory model of fluidized bed gasifier for low density leafy biomass
Authors: Ramjani S. A. , Gunasekar J. John , Vijayakumary P. , J Ramachandran
Published: March 2023

Crops can also be grown for energy could be produced in large quantities, and likely to become the most popular in the future. One of the most widely used renewable energy source for heating is biomass in the form of fuel wood, charcoal, agriculture residues etc. A lab model of Fluidized Bed Gasifier (FBG) for handling low density and leafy biomass materials like rice husk, saw dust, bagasse, tree leaves etc. was developed. The performance study of the gasifier was determined by different parameters such as air factor, gas yield, calorific value and hot gas efficiency. The average gas yield of 2.5 m3/kg and a maximum possible feed rate 10 kg/h with the existing feeding system the capacity of the unit was worked out as 20kW.
Phytoremediation potential of macrophytes against heavy metals, nitrates and phosphates: A review
Authors: Qayoom Imtiyaz , Jaies Inain
Published: March 2023

Natural waters are degraded either by contaminants or pollutants. Contaminants are synthetic compounds which cause degradation of water quality, even when present in minute residues. They include pesticides, heavy metals, Poly Chlorinated Biphenyl’s, Poly Aromatic Hydrocarbons, plastics etc. On the other hand, pollution precisely refers to the increase in nitrates and phosphates in water body. Aquatic macrophytes, besides their role in the food chains, play significant part in mitigating both pollutant and contaminant levels. Their uptake and sequestration of nitrates, phosphates and heavy metals is well documented and published in worldwide. This paper reviews the efficacy of different macrophytes in freshwater ecosystems for uptake of pollutants and contaminants. It will provide an insight for policy makers in efficient mitigation of pollution levels in the water body.