bluuebunny/crossref_metadata_2025 huggingface dataset:
Differences in drug availability levels before and during the covid19 pandemic in the pharmaceutical installation of NTB provincial hospital
Authors: Wisnu M. Ari , Herowati Rina , Harsono Samuel Budi
Published: August 2024

Health services are now increasingly needed during the COVID-19 pandemic which threatens public health. The need for public medicines that must be available such as flu, cough, vitamin c, antibiotics and antimalarials and antivirals for health services makes hospitals must try to fulfil and currently the COVID-19 pandemic situation is still continuing so hospitals must be ready to provide health services to patients.This study aims to determine the differences in drugs in the Pharmacy Installation of the NTB Provincial Hospital before the COVID-19 pandemic in 2019 and during the COVID-19 pandemic in 2020. This study is a descriptive-evaluative study with retrospective data collection in 2019 which represents the period before the COVID-19 pandemic and 2020 which represents the COVID-19 pandemic. The samples used in the study consisted of drug data from the Pharmacy Installation of the NTB Province Regional General Hospital (RSUD) and were analyzed using the Wilcoxon test. The results obtained are the level of drug availability in the pharmaceutical installation of the NTB Provincial Hospital obtained based on the results of observing data in 2019 and 2020, namely 19 and 37 months. There is a significant difference (Asymp. Sig (2-tailed) 0.000) the level of drug availability in the Pharmacy Installation of the NTB Provincial Hospital before and during the COVID-19 pandemic in 2020 with a difference of 18 months.
The Relationship between Mother's Knowledge and the Incident of Stunting in Toddlers at the Mundar Village Polindes, South Labuan Amas District, Hulu Sungai Tengah Regency in 2024
Authors: Qomah Isti , Tazkiah Misna , Rahmayanti Rizka
Published: August 2024

Stunting is stunted growth caused by a lack of nutritional intake due to a diet that does not meet long-term needs. South Kalimantan Province is in the top 3 provinces with the highest reduction in stunting (-5.4%) in 2022 based on the SSGI results released by the Indonesian Ministry of Health. Initially in 2021 stunting in South Kalimantan reached 30.0% and in 2022 it decreased by 24.6%. With a figure of 24.6%, reducing stunting is still a priority for South Kalimantan to achieve the target of 14% in 2024. Based on data from the Hulu Sungai Tengah district health service in 2020, the figure was 10%, experiencing a decrease in 2021 with a figure of 9.44%, and in in 2022 there will be an increase of 31.10%. This research is analytical research. With a Cross Sectional approach. The research results showed that the majority of mothers had sufficient knowledge and 21 children were not stunted (33.9%), 9 children were stunted (14.5%), and there was insufficient knowledge with the incidence of stunted children being 13 people (21.0%). and there were 2 children (3.2%) who were not stunted, while there were 0 people (0%) with good knowledge and stunted babies, and 17 people (27.4%) who were not stunted. Based on the results of the chi square test, it was found that there was a relationship between maternal knowledge and the incidence of stunting at the Mundar Village Polindes with a P value = 0.000. It is recommended that the Mundar Village Polindes, South Labuan Amas District, Hulu Sungai Tengah Regency further increase health education activities related to health and education for mothers with babies and toddlers about preventing stunting through improving child nutrition.
Epidemiological and Bacteriological Profile of Urinary Tract Infections Diagnosed at The Bacteriology Laboratory of the Centre Hospitalier Universitaire De Fann, Dakar from January 1er to December 31 2020
Authors: M. Der, , A. A. Niang,
Published: August 2024

Introduction Urinary tract infections are extremely frequent and caused by bacteria whose treatment is based on the administration of antibiotics. The emergence and spread of acquired resistance mechanisms are limiting the indications for a number of antibiotics. It is in this context that this work is set, the main objective of which is to study the epidemiological and bacteriological profile of urinary tract infections at the CHNU de Fann, Dakar. Methodology: This is a retrospective study covering a one-year period from January 1er to December 31 2020. All patients received at the laboratory for an ECBU request were included. Data collection was based on information sheets and bench registers. The following information was collected : age, sex, germ isolated, antibiotic susceptibility profile. These data were processed using R. Studio software version 3.6.3, 2019. Results : We received 3697 requests for bacteriological examination of urine. The mean age of patients in our series was 48.7 years, with extremes of 15 days and 113 years. The 60 to 80 age group was the most affected. Women were more affected, with a rate of 51.03%, compared with 48.97% for men. A total of 3,697 urine samples were received during the study period, of which 776 were positive after analysis, representing a rate of 21%. 845 bacteria, with enterobacteria predominating (73.14%), followed by Gram-negative non-fermentative bacilli (13.37%) and Gram-positive cocci (13.27%). Escherichia coli was the most prevalent species, with a frequency of 36.09%, followed by Klebsiella pneumoniae (17.99%), Pseudomonas aeruginosa (8.16%), Staphylococcus aureus (6.63%), Enterobacter spp (6.50%), Citrobacter spp (4.02%), Acinetobacter spp (3.73%), Streptococcus spp (3.67%).Enterobacter spp (52.72%), Escherichia coli (47.53%) and Klebsiella pneumoniae (49.34%) showed a high prevalence of ESBL. Staphylococci showed a high rate of resistance to methicillin (55.71%).
Prevalence and Antibiotic Resistance Profile of Extended-Spectrum Beta-Lactamase-Producing Uropathogenic Enterobacteriaceae Isolated at the Bacteriology-Virology Laboratory of Chnu De Fann, Dakar
Authors: M. Der , A. A. Niang
Published: August 2024

Introduction: Urinary tract infections caused by Enterobacteriaceae producing extended- spectrum β-lactamases represent a growing infectious risk, and in many cases may even lead to therapeutic impasses due to their multi-resistance to antibiotics. The aim of this study was to determine the antibiotic susceptibility profile of extended-spectrum betalactamase-secreting uropathogenic enterobacteriaceae isolated at the CHNU de Fann, Dakar .Material and Methods: This was a retrospective study lasting six months (from January 1 to June 30, 2018) concerning all uropathogenic E-BLSE strains isolated at the Bacteriology-Virology laboratory of the CHNU de Fann (Dakar). Results: This study revealed a high prevalence of E-BLSE isolation (41.8%), particularly in outpatients (65.67%). The most represented age group was between 60 and 80 years, with a percentage of 48.11%. E. coli was the most isolated germ (51.49%), followed by Klebsiella pneumoniae (26.87%). A study of the susceptibility profile of EBLSE to other antibiotic molecules revealed high levels of resistance, reaching 100% for sulfamethoxazole trimethoprim and fosfomycin, and 91.3% for fluoroquinolones. For aminoglycosides, high co-resistance was observed with gentamicin (85.7%), while it was low with amikacin (3.84%). Our results also showed 100% sensitivity to imipenem. Conclusion: The emergence of extended-spectrum ß-lactamase-producing urinary tract infections is a major public health problem. Faced with this alarming and worrying situation, and in order to limit the emergence of healthcare-associated infections, it has become imperative to improve hospital hygiene.
Adoption of Human Resource Technology (HRT): Its Implication on Entrepreneurs and Micro Scale Industries’ (MSI) Employee Performance in Yobe State
Authors: Kachalla U. M. , Adamu H. B.
Published: August 2024

This study examines the impact of adopting the implementation of technology on HR practices on employees of entrepreneurs and MSI in Yobe State, Nigeria. The research explores the barriers and enablers of technology adoption in HR practices, considering factors such as limited access to technological infrastructure, the digital divide among the workforce, data security concerns, and resistance to change. The findings highlight the challenges faced by organizations in Yobe State in adopting and effectively utilizing HR technologies. Limited access to technological infrastructure and disparities in digital skills among employees emerge as significant barriers. The data security concerns and resistance to change hinder technology adoption efforts. The study emphasizes the need for strategies and enablers to overcome these barriers and promote successful technology adoption in HRT practices. The research identifies gaps in the existing literature and highlights the need for further studies that specifically address the context of Yobe State. By addressing these research gaps, entrepreneurs and MSI in Yobe State can better understand the implications of technology adoption on their HR practices and develop effective strategies for successful implementation.
Multiple endocrinopathies acquired using a checkpoint inhibitor - Pembrolizumab: A Case Report
Authors: Marcelino Gustavo César Sola Barreto , Miranda Eduarda Lavínia Mota de , Sebastianes Fernando
Published: August 2024

: Immunotherapy with checkpoint inhibitors (ICIs) has been increasingly employed for the treatment of many malignancies, and endocrinopathies are one of their most frequent side effects. This case report describes a 70-year-old man who faced many endocrinopathies (primary hypothyroidism, secondary adrenal insufficiency, and diabetes mellitus) after initiation of immunotherapy with an ICI (pembrolizumab) for treatment of urothelial bladder cancer. We discuss the prevalence, physiopathology, screening, and diagnosis of each of these abnormalities. Clinicians need to be aware of these endocrine complications of ICI therapy and be ready for early diagnosis and appropriate management.
Práticas Inclusivas no Ensino de Física: Uma Abordagem para Alunos com Deficiência Visual
Authors: Ribeiro Alexandra dos Santos , Santos Amaya de Oliveira
Published: August 2024

O presente artigo investiga a inclusão de alunos com deficiência no ensino de Física, enfatizando a adaptação de recursos didáticos para garantir uma experiência de aprendizagem acessível e significativa. Exploram-se os desafios enfrentados pelo sistema educacional na promoção de práticas inclusivas e são examinadas estratégias adaptativas, tanto em termos de materiais didáticos quanto de metodologias pedagógicas. Casos práticos de implementação de recursos adaptativos, incluindo materiais táteis, visuais e estratégias pedagógicas multissensoriais, são analisados ao longo da pesquisa. São discutidas as potencialidades e limitações dessas práticas, identificando áreas que necessitam de aprimoramento para a inclusão efetiva dos alunos no ensino médio. Destaca-se a formação docente como um elemento-chave para o sucesso da inclusão, ressaltando a importância da conscientização institucional e de políticas educacionais eficazes. O principal objetivo é analisar e adaptar práticas pedagógicas que possibilitem uma compreensão mais acessível dos conceitos físicos para esses alunos. A pesquisa foi conduzida por meio de uma revisão bibliográfica detalhada e da aplicação prática de métodos adaptados em sala de aula, visando identificar as ferramentas e técnicas mais eficazes para promover a inclusão. Os resultados indicam que a utilização de recursos táteis, audiovisuais e tecnologias assistivas desempenha um papel crucial na facilitação do aprendizado para alunos com deficiência visual, proporcionando uma experiência educativa mais equitativa.
Peculiarities of the evolution of pulmonary hypertension in patients with ischemic heart failure 12 months after myocardial revascularization
Authors: Cazacu Janna , Dodu Stela , Bursacovschi Daniela , Vataman Eleonora
Published: August 2024

Pulmonary hypertension (PH) associated with left heart disease is common and has an important impact on disease progression, morbidity and mortality. We aimed to identify the particularities of PH evolution in patients with ischemic heart failure during 12 months after myocardial revascularization (MRev) by coronary artery bypass grafting or percutaneous coronary angioplasty.Methods: The research included 281 patients undergoing MRev (mean age=63.2±9.7 years, 76.5%- men). Follow up period - 12.6±1.6 months. The patients were divided according to the echocardiographic probability of PH (PHPr) into 3 groups: low PHPr (117 patients), intermediate PHPr (74 patients), high PHPr (90 patients). Results. The prevalence of PH 12 months after MRev constituted 69.7%, increasing by 10% compared to the initial period. We highlighted a negative evolution of PHPr during 1 year after MRev: 42.8% of patients with initially low PHPr and 54.1% of those with intermediate PHPr had a higher degree of PHPr. The peak tricuspid regurgitation velocity and the pulmonary artery systolic pressure did not change significantly during 12 months after the acute event. The negative evolution of PHPr was determined by the negative dynamics of additional echocardiographic signs suggestive for PH: the right atrium area (+2,2±0.4mm), the right ventricular outflow tract acceleration time (-7.6±1.2ms), the inferior vena cava diameter (+0.55±0.2mm). During 12 months after MRev, 5 patients died, all of them had high PHPr (p<0.01), and the hospitalization rate was significantly higher in this group (high PHPr - 57.1%, intermediate PHPr - 43.2%, low PHPr - 38.7%, p<0.05). Conclusions: The PH prevalence 12 months after MRev was 69.7%, increasing by 10% compared to the initial period. A negative evolution of PHPr was noted during 1 year follow up. Patients with high and intermediate PHPr had a higher rate of hospitalizations during the 12 months after MRev and all deceased patients had high PHPr.
Long-term prognosis in patients with pulmonary embolism
Authors: David Lilia , Răcilă Sabina , Mitrofan Irina , Diaconu Nadejda
Published: August 2024

Venous thromboembolism (VTE), clinically expressed as deep vein thrombosis (DVT) or pulmonary embolism (PE), is, globally, the third most common acute cardiovascular syndrome after myocardial infarction and stroke. Pulmonary embolism is associated with high morbidity and mortality. The long-term prognosis of these patients is insufficiently studied.Aim: To analyze mortality and clinical events at long-term follow-up in patients with confirmed PE. Material and methods: The study included 168 patients with PE, 53% men and 47% women, mean age 61.2±12.8 years, consecutively hospitalized in the Institute of Cardiology. Patients were classified into four risk groups according to the 2019 European Society of Cardiology Guidelines. Patients were followed-up for a mean period of 11.4±0.9 months. Results. During the study period died 23 people (13.7%), 8 of them during hospitalization and another 15 - after discharge from the hospital; in the latter, death occurred suddenly - in 4 cases (26.6%), it was due to cardiovascular causes- in 4 cases (26.6%), through cancer - in 5 (30%) people and from other causes - in 2 (13.3%) patients. Recurrent VTE was observed in 4 (2.5%) subjects, including PE - in 3 and DVT in 1 patient. During the surveillance period 4 (2.5%) patients developed stroke, 5 (3.1%) - acute myocardial infarction, 1 (0.2%) patient - another arterial event. Hemorrhagic complications suffered 20 patients. Chronic thromboembolic pulmonary hypertension was detected in 12.4% of people over 5.4±2.8 months after primary PE. Newly diagnosed cancer was observed in 2 (1.25%) people.Conclusions. The mortality rate in PE patients over an average period of 11.4±0.9 months was 13.7%, including 4.7% - in hospital and 8.9% - at long-term follow-up; in-hospital death was significantly higher in patients in the high and intermediate high risk category compared to those with intermediate-low and low risk and no statistically significant differences were established between these groups in the long-term mortality rate; the main cause of death in the hospital was PE, and during the surveillance period death from cardiovascular causes predominated, followed by death from cancer.
Interventional treatment in elderly patients with severe aortic valve stenosis and coronary artery disease
Authors: Abraș Marcel , Pasat Ecaterina , Surev Artiom , Gutan Inesa , Moscalu Vitalie , Ciorici Catalina
Published: August 2024

Aortic stenosis (AS) is a valvular heart disease commonly found in the elderly patients and frequently is associated with coronary artery disease (CAD). The impact of CAD severity and of the percutaneous coronary intervention (PCI) on post-TAVI outcomes is frequently debated. Purpose. Comparison of clinical and hemodynamic outcomes, as well as the rate of major adverse cardiovascular and cerebrovascular events (MACE) in patients undergoing TAVI with PCI (patients with AS and CAD) versus isolated TAVI (patients with AS). Material and methods. Our team conducted a prospective study that included 41 patients, with an age greater than 70 years old, who were diagnosed with severe aortic valve stenosis. After performing coronary angiography, the patients were divided into two groups: 32 patients without significant coronary lesions and 9 patients with multivessel lesions with a Syntax Score <22 and who subsequently underwent coronary angioplasty (PCI). Results. The TAVI procedure was performed with a 100% success rate. After the procedure, the ejection fraction increased inconsiderably in all patients, but the average pressure gradient decreased impressively, the average value being12.59 ± 5.62 mmHg vs 14.78 ± 8.73 mmHg, p< 0.001. The peak velocity of the jet through the aortic valve is 2.36 ± 0.50 m/s vs 2.53 ± 0.83 m/s, p< 0.001.Conclusion. The one-year post-procedural follow-up showed that both groups of patients had a similar rate of MACE, with a significant improvement in clinical-hemodynamic parameters according to transthoracic echocardiography data.
Prognostic echocardiographic parameters in hospitalized patients with pulmonary embolism
Authors: Sorici Galina , Diaconu Nadejda , Kivirijik Irina , Cuzor Tatiana , Grosu Aurel
Published: August 2024

Pulmonary embolism (PE) is considered one of the most common cardiovascular diseases with considerable mortality. Echocardiography remains an important investigation in the evaluation of these patients, with some echocardiographic parameters playing an incremental role in prognostic evaluation.Objectives: To determine the spectrum of echocardiographic changes in patients hospitalized with pulmonary embolism at the Institute of Cardiology of the Republic of Moldova and to highlight parameters with significant prognostic value in relation to risk scores for mortality stratification in PE. Materials and methods: We prospectively enrolled 168 patients admitted to the Institute of Cardiology. All patients were evaluated by transthoracic echocardiography. Results: Parameters most associated with in-hospital mortality at 30 days were: right atrial area (RA) >18cm2 (p=0.007), tricuspid valve regurgitation (TR) grade (p=0.002), tissue systolic velocity of the anterior wall of the right ventricle (RV) (p=0.03), inferior vena cava diameter (p=0.04), RV/LV ratio >1.0 (p=0.04), and TAPSE/PSAP index <0.4 (p<0.008). Conclusions: Echocardiographic parameters such as tricuspid valve regurgitation grade, RA area, tissue systolic velocity of the anterior RV wall, TAPSE/PSAP index, and interventricular ratio have additive value in evaluating prognosis in patients with PE.
Dietary habits of patients with coronary artery disease
Authors: Abras Tatiana , Abras Marcel , Nucă Petru
Published: August 2024

Unhealthy eating habits as well as malnutrition represent important and independent risk factors with an increased influence on patients with coronary artery disease (CAD) being incompletely elucidated in the current literature. This study is a descriptive observational one in which 88 patients (average age of 65.61 ± 8.40 years, 68.18% being men) with BCI were included, who were divided into two groups: the group of subjects with acute coronary syndrome (ACS) and the group of subjects with chronic coronary syndrome (CCS), both groups undergoing the coronary angioplasty procedure. The main objectives were to establish the correlation between unhealthy dietary pattern and the risk of CAD, as well as the influence of nutritional status on ACS and CCS. It was determined that obesity, dyslipidemia, high blood pressure, frequent consumption of red and processed meat, rare consumption of fish, increase the risks of CAD. Nutritional status assessed by the nutritional status control score (CONUT) was more frequently elevated in patients with ACS.
New perspectives in taming resistant hypertension
Authors: Caraus Alexandru , Cociu Maria , Moiseeva Anna , Popescu Liuba
Published: August 2024

Resistant hypertension represents a significant burden for healthcare systems worldwide due to its association with extremely high cardiovascular risk and remains a therapeutic challenge driven by complex and inadequately addressed by conventional therapy pathophysiological pathways. Several drugs in various stages of investigation could potentially have a significant impact on the ultimate treatment of resistant hypertension. In addition to pharmacological therapy, studies show promising evidence regarding renal artery denervation in managing resistant hypertension. Better usage of currently approved therapies and the integration of emerging therapies are welcomed additions to the anti-hypertensive therapeutic arsenal.
Heart failure: From Definition to Prognosis - An Integrated Analysis of Epidemiological Data, Clinical and Paraclinical Findings, and Prognosis
Authors: Savca Dmitri , Jitari Inessa , Mihalache Georgeta , Revenco Valeriu , Cabac-Pogorevici Irina
Published: August 2024

Currently, heart failure (HF) represents a major challenge in the medical field, affecting a significant number of people globally. Although previous research has brought valuable contributions, recent discoveries and approaches bring new perspectives to this complex condition. Among the analyzed data, there is a notable increase in the incidence of HF, particularly among younger individuals, with a significant risk in hospitalizations in the future. Risk factors for HF are linked to unhealthy lifestyle and medical conditions such as atrial fibrillation, coronary artery disease, and hypertension. For diagnosis, paraclinical investigations, consisting of electrocardiography and echocardiography, are essential, while measuring plasma natriuretic peptides can provide valuable additional insights. The prognosis of HF patients varies depending on the type of HF, being influenced by factors such as age, gender, and comorbidities.
Physiopathological mechanisms of orthostatic arterial hypertension
Authors: Dodu Stela
Published: August 2024

The definition, prognostic role and clinical importance of orthostatic arterial hypertension (OHTA) have long remained unclear, in the context in which this pathology is little studied. Recent data have reported evidence that OHT correlates with masked arterial hypertension and target organ damage resulting from elevated blood pressure, the occurrence of various cardiovascular diseases, as well as an increased risk of mortality. Most of the evidence comes from studies in which OHT was defined using, as a benchmark, the increase in systolic blood pressure, while the clinical relevance of the increase in diastolic blood pressure values, currently, still remains unclear. The most recent consensus regarding the term orthostatic hypertension is provided by the Japanese Society of Hypertension, which defines it as an increase in systolic BP of ≥20 mmHg, associated with a systolic blood pressure value of at least 140 mmHg, when passing from the clinoin orthostatism. The pathophysiological mechanisms underlying this phenotype of hypertension are still controversial, varying with age. In young people, excessive activity of the neurohumoral system seems to be the determining cause, while with age, vascular stiffness plays a significant role in the occurrence of orthostatic arterial hypertension. Analyzing the latest data from the specialized literature, we observe that pathologies such as diabetes, activity disorders of the baroreflex system, essential arterial hypertension, can also induce the appearance of OHT. People with a tendency to increase blood pressure values, need to be subjects to periodic measurements of blood pressure values, including clino and otostatism.
Surgical interventions with preservation of saphenous vein in the treatment of varicose disease: retrospective evaluation
Authors: Vescu Luminița , Casian Dumitru , Culiuc Vasile
Published: August 2024

With the alarming increase in the number of ablative interventions in the treatment of varicose disease, the application of saphenous preserving strategies is current in light of the growing evidence of the importance of the saphenous vein as a graft. We evaluated a clinical case series, which included 194 patients (209 lower limbs) with varicose veins, undergoing surgical interventions with saphenous vein preservation. The present article reflects the clinical-demographic characteristics of the patients and the results of the preoperative imaging investigations, together with the early clinical outcomes of the respective types of surgery.
Major risks of harmful environmental carcinogenic effects in light industry enterprises
Authors: Baciu Anatolie
Published: August 2024

Synthesis paper revealing fundamental data on the epigenetic determination of the initiation and maintenance of neoplastic processes in the breast tissue of female workers in light industry enterprises. The primary importance of the synchronization of circadian rhythms in the environment and the biorhythms of the biological molecular, cellular and internal tissue clocks is noted. Preventive programs should be based on preventing the desynchronization of neuroendocrine mechanisms involving melatonin and hormone-dependent tissues of the internal environment with circadian light/dark cycles of the external environment. The forced nature of the work activity associated with the development of social jetlag requires the provision of recreation periods after the rotation period.
The invading of Territory and Psyche: Contextualizing Solastalgia in Arundhati Roy’s The God of Small Things
Authors: D Shereena , Shoba K.N.
Published: August 2024

Today’s world faces a shift to the Anthropocene which has been brought on by anthropogenic activities at a global level. Sustainable development has now become a vital part of environmental protection. However, the damage already done cannot be negated. The trauma that has stemmed from said activities is increasingly coming to light when studying the physical and psychological effects on individuals, pertaining to their natural spaces. With environmentalism gaining great importance in the present-day scenario, many writers are portraying their ecological activism through their literary works. One such writer is Arundhati Roy, a brave activist who gives a voice to the voiceless and acknowledges the marginalized. Her literary works posit social and political issues, boldly bringing to light harsh societal realities and cruelties that many others would try to evade. This signature first novel of Roy, The God of Small Things received great critical acclaim for its narrative technique and the various societal issues skilfully and impactfully uncovered by the writer. This research will attempt to contextualize and critically analyse the concept of solastalgia in the novel, uncovering markers of trauma and debilitation. The primary focus of this paper will be to create a deeper understanding of the characters in relation to their ecological situations in the story, particularly the protagonists, Estha and Rahel, tracing their lives from their childhood in Ayemenem, Kerala to the current state of affairs in the same place when they return as adults.
Child Labour in Saurashtra Region of Gujarat State
Authors: K. Ravaliya Rameshkumar
Published: August 2024

Child labour is one of the most pressing social problems which the international community has been facing. Children are an important asset not only for their country but for the whole of mankind. They are not merely future adults. They are tiny apostles of peace and above all very much human beings though weak and immature. In almost all societies, children work in some way, though the types of work they do and the forms of their involvement vary. But many millions of children work under abusive and exploitative conditions that are clearly dangerous to them. There are still a large number of children who are employed in rag picking, collection of raw hides and skins, leather flaying and tanning, accompanying their parents for deep sea fishing, fish processing and storage, collection of minor forest produce, etc., that have not been brought within the ambit of the prohibited category.
Social Mobility among Women – A Study
Authors: V. Patel Sanjay
Published: August 2024

Special facilities given to women through education drive women-empowerment. Educational empowerment is the means to change the traditional attitudes of women in the right direction. Empowerment is essential to increase business skills among women. With education, women are able to achieve their goals, achievements and success, build self-confidence and become self-reliant by taking education in their favourite fields. That is why women empowerment is essential in education. In India, caste equality is mentioned in the preamble, fundamental rights, fundamental duties and guiding principles of the Constitution. The constitution of the country gives equality to women. Not only that, but empowers the state to take functional steps in favour of women. In Indian society, women empowerment is very important in social, economic, educational, political, legal etc.
Cultural festivals of Primitive tribes of Bilaspur Division of Chhattisgarh
Authors: Kumar Sachin
Published: August 2024

Festivals are of utmost importance in human life, All festivals are the heritage of our culture, which people celebrate together, With the arrival of the festival, there is a sense of enthusiasm in the minds of the people and celebrate these festivals with full law. Whether the festival is big or small or whether it is limited area, it affects the entire society and nation. Each festival is a symbol of cultural and social consciousness which awakens the masses, removing the monotonous life of human beings and various types of entertainment., enthusiasm, They make the cycle of life pleasant by providing happiness. Cultural traditions flowing from the earliest ages, Efforts, Beliefs, Beliefs, Ideals, ethical, It is a direct reflection of religious and social values which do not present an overview of any particular class or region of people's life. Therefore, festivals were arranged as products of social upliftment and recreation. Truth from this, A sense of sincerity and self-confidence arises and the feeling of depravity and inferiority goes away. That's why all festivals are important. Indian Tribal Festival has been part of the structure of tribal India for thousands of years. And this tradition still exists in the present time, the Indian tribe festival has its own special quality, Tribal Dress of Celebration, ornament, song, dance, The language or the unique formal ambience in a distant forest or mountain makes it all the more enchanting. Chhattisgarh region of India is world famous for its unique folk art and culture, different types of Teej and festivals are celebrated in this region, which is recognized by the society. The tribal areas of Chhattisgarh region are known all over the world for their beauty and exceptional tribal population, Perhaps this is the reason that there is a plethora of festivals in this region which is characteristic of the culture here. Folk festivals have an important place in making culture flow. About one-third of the population in Chhattisgarh belongs to tribes and even today they keep their culture alive through various festivals.
अनुच्छेद-44 समान नागरिक संहिता की वर्तमान समय में उपयोगिता
Authors: कुमार धुरंधर जयंत
Published: August 2024

समान नागरिक संहिता संविधान में उल्लिखित राज्य के नीति निदेशक सिद्धांतों पर आधारित होनी चाहिए। जिसके क्रियान्वयन का उद्देश्य महिलाओं, बच्चों की सुरक्षा की दृष्टि से विरासत, बच्चे की अभिरक्षा का अधिकार, भरण-पोषण, द्विविवाह की रोकथाम आदि के बारे में भेदभाव को दूर करना है। ज्वलंत संस्कृतियों, परंपराओं और धार्मिक मान्यताओं के कारण समान नागरिक संहिता लागू करना आज तक संसद के लिए एक कठिन कार्य बना हुआ है। जिसमें एकरूपता लाने के उद्देश्य से विभिन्न मौजूदा व्यक्तिगत कानूनों में संशोधन करके भी प्राप्त किया जा सकता है।
मुजफ्फरनगर काण्ड का हल्द्वानी में प्रभाव
Authors: जोशी दीप
Published: August 2024

अपनी विशिष्ट भौगोलिक आर्थिक एवं सांस्कृतिक स्थिति के आधार पर पर्वतीय क्षेत्र के लिए एक पृथक इकाई की मांग स्वतंत्रता पूर्व से ही शुरू हो गई थी यद्यपि प्रारंभ में यह मांग उदारवादी तरीके से की गई जिसमें यहां निवास करने वाले बुद्धिजीवियों वर्गों द्वारा पत्र-पत्रिकाओं की सहायता से ब्रिटिश सरकार की तरफ अपना ध्यान आकर्षित किया। स्वतंत्रता के पश्चात् गठित फजल अली आयोग जो कि देश में भाषाई आधार पर राज्यों के पुनर्गठन के लिए बनाया गया था ने भी 1955 ई0 में इस क्षेत्र को पृथक राज्य के रूप में गठित करने की संस्तुति की परंतु राजनीतिक इच्छा की कमी के कारण यह क्षेत्र पृथक राज्य का रूप न ले सका। इसके पश्चात् गठित विभिन्न राजनैतिक व सामाजिक संगठन द्वारा पृथक राज्य की मांग को तीव्र तरीके से उठाया गया तथा सरकार की ओर अपना ध्यान आकर्षित करने के लिए जुलूस, धरना-प्रदर्शन, विधानसभा व संसद का सहारा लिया। 1994 का वर्ष उत्तराखंड आंदोलन के लिए एक मील का पत्थर साबित हुआ क्योंकि इस वर्ष सरकार द्वारा मंडल कमीशन की संस्तुति के आधार पर पिछड़े वर्ग के लिए निर्धारित 27 प्रतिशत का आरक्षण उत्तराखण्ड राज्य पर लागू किया गया जबकि यहां पिछड़े वर्गों की जातियों का अनुपात बहुत कम था। जिसका विरोध संपूर्ण उत्तराखण्ड में होना शुरू हो गया। आरक्षण विरोधी आंदोलन को पृथक राज्य आंदोलन में आत्मसात होने में अधिक समय नहीं लगा। आन्दोलन के दौरान सरकार व प्रशासन द्वारा किए गए कृत्यो ने आग में घी का कार्य किया। प्रस्तुत शोध पत्र में इसी आरक्षण विरोधी आन्दोलन के दौरान 2 अक्टूबर 1954 को घटित मुजफ्फरनगर काण्ड के पश्चात् हल्द्वानी में इसके प्रभाव का क्रमबद्ध तरीके से अध्ययन किया गया है। इसके साथ ही नगर के विभिन्न सामाजिक वर्गों मुख्य रूप से महिलाओं व छात्राओं की प्रतिक्रिया को ही दिखाया गया है। मुजफ्फरनगर कांड के पश्चात् पुलिस-प्रशासन की भूमिका पर भी प्रकाश डाला गया है।
A Study to Evaluate the Effectiveness of Educational Intervention on Knowledge regarding Self Care Practices among Adult Asthmatics in selected hospital at Ahmedabad
Authors: Hemangini Solanki , P.M Suneesh , Justin doss. K. Jeenath
Published: August 2024

Bronchial asthma remains a most common human and economic burden, despite recent challenge in detecting the optimal management of asthma and renewed efforts from guidelines developers to help physicians integrate the recommendations in to current care. More than 300 million persons all over the world are affected by bronchial asthma, with mortality about 250,000 annually. The objectives of the study were to assess the level of knowledge regarding self care practices among adult asthmatics. b) To evaluate the effectiveness of educational intervention on knowledge regarding self care practices among adult asthmatics. c) To find out the association between selected demographic variables and Pre test level of knowledge regarding self care practices among adult asthmatics. The research approach selected for the study was quantitative research approach and pre-experimental research – one group pre-test post-test design. The study was conducted at selected hospital at Ahmadabad. Total 30 samples were selected from patients attending OPD & admitted in wards. Patients who are willing to participate in the study. Patients who are present at the time of data collection. Age of patient between 20-60 years. A formal prior permission was obtained from the Hospital, at Ahmadabad. The study was conducted for a period of a week 30 samples were selected based on the criteria for sample selection. The collected data were analyzed by using inferential statistical method. t- test was used to evaluate the effectiveness of A. Findings related to demographic variables of the study.1. The majority of 18(60%) sample’s age is between 50-60years. The majority of 21 (70%) the sample’s sex were male. The majority of 14 (47%) the sample’s education status is secondary. The majority of 21 (70%) samples are belongs from middle class. The majority of 23(90%) samples are not having past surgical history. The majority of 24(80 %) samples are having no family history. The majority of 23(76%) samples are having no previous hospitalization. significant p<0.05 level. Hence their findings of the study revealed that the Structured Teaching Programme was effective in knowledge regarding adult asthmatics
A Comparative Study to Assess the Knowledge and Health Seeking behavior regarding Danger Signs in Newborns among Primi mothers in a selected Urban and Rural Area of Bhilai, (C.G)
Authors: Anand Julie
Published: August 2024

This study was conducted with the objectives to assess the knowledge and health seeking behaviors regarding danger signs in newborns among primi mothers in urban and rural areas and to compare the knowledge and health seeking behaviors regarding danger signs in newborns among primi mothers in urban and rural areas And also to correlate knowledge and health seeking behaviors regarding danger signs in newborns among primi mothers in urban and rural areas and to prepare a booklet regarding danger sign in identification and management of newborn danger signs for mothers. Keeping in view the objective of the study the research design selected for the present study is comparative research design to assess the knowledge and health seeking behaviors regarding danger signs in newborns. The sample size is, 100 primi mothers, 50 each from urban and rural areas. A purposive sampling technique was used to assess the knowledge of primi mothers regarding newborn danger signs. Overall analysis shows that in urban area majority 90% had good knowledge, 10% had average knowledge and none of them had poor knowledge. In rural area majority of mothers i.e., 96% had poor knowledge, 4% had average knowledge and none of them had good knowledge. and also there is significant difference between health seeking behaviours of mothers in urban and rural areas regarding danger signs in newborn. In urban area mean, mean score %, SD, CV of knowledge is 170.56, 87.02, 7.6, and 4.4 respectively. Whereas mean, mean score %, SD, CV of health seeking behavior is 55.96, 93.2, 4.9 and 8.7 respectively. In rural area mean, mean score%, SD, CV of knowledge is 107.96, 62.6, 6.3 and 5.8 respectively. Whereas mean, mean score %, SD, CV of health seeking behavior is 15.34, 55.5, 3.05 and 19.8 respectively. Findings shows that there is significant difference between the level of knowledge as well as health seeking behaviour in urban and rural area regarding danger signs in newborn among primi mothers.
Assessment of Knowledge of Antenatal mother, Son Self-Care Strategies attending OPD in selected Hospitals of Akola City
Authors: Rathod Rajusing , Sawarkar Akash , Pardhi Mohit , Bhatkar Sumit , Raut Sumit , Soge Pratiksha , Sardar Pratiksha , Bhoyar Abhijit
Published: August 2024

Background of the study: Pregnancy and childbirth are special events in women’s lives and indeed, in the lives of their families. A woman is an important person for her family. She nourishes her fetus and gives birth to child. Aims: the aims or objectives of the study are: i) To assess the knowledge of antenatal mothers on self care strategies attending OPD. ii) To determine the association between the knowledge score with the selected demographic variables. Methodology: 150 antenatal mothers of all trimester were assessed for self care strategies by using structured interview schedule. The findings were then analyzed statistically. Results: It was revealed that there is a positive correlation between the hemoglobin level and dietary habits of ante natal mothers. Conclusion: Hence the results of the study can be a useful tool while handling antenatal mothers and can result in improved health.
A Study to Assess the Knowledge on Care of Preterm Baby among B.Sc.(N) Students at Selected College of Nursing, Salem
Authors: P. Indira , R. Nalini
Published: August 2024

Background: Preterm baby can develop a range of problems because their immature organs. As they are on risk to develop hypoxia, hypothermia and other many associated adverse conditions, who need special care and attention. Preterm babies are usually nursed in incubators to provide the best possible warmth. A proper nursing care for a preterm baby should be established through good nursing practices. Objectives: 1) To assess the level of knowledge on care of preterm baby among B.Sc(N) students. 2) To associate the level of knowledge on care of preterm baby and selected demographic variables of the B.Sc(N) students. Methods: A descriptive research design was adopted to assess the knowledge on care of preterm baby at selected college of nursing, salem. A total sample size was 27. They were selected by consecutive sampling technique. Results: The findings showed that majority 11(40.6%) had moderate knowledge, 10(37.1%) had adequate knowledge, 6(22.3%) had inadequate knowledge on care of preterm baby. Conclusion: There was a significant association between the level of knowledge and selected socio demographic variables of the students such as age, residence, previous year university examination marks (%) and source of information.
A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge regarding Reproductive Tract Infection and its Prevention among Adolescences girls in selected Higher Secondary School Dharampur
Authors: Kumari Pavar Neha , Vora Twinkal , Justin Doss. K. Jeenath
Published: August 2024

Pre- experimental design one group pretest – posttest was used to conduct the study. The sample size were 60 patents having Adolescences Girls. The study was conducted at DNP higher secondary school. The conceptual framework was based on “General System Model”. Data was analyzed descriptive statistics such as mean, standard deviation, frequencies and percentages.The objectives of the study were(a) To assess exiting knowledge regarding reproductive tract infection and its prevention among adolescences girls of selected higher secondary school of Dharampur.(b) To evaluate the effectiveness of the structured teaching programme regarding reproductive tract infection and it prevention among adolescences girls in selected higher secondary school Dharampur.(c) To find out the association between pretest knowledge scores with the selected socio-demographic variables regarding reproductive tract infection and its prevention among adolescences girls in selected higher secondary school Dharampur.The research approach selected for study was quantitative research approach and pre-experimental one group pretest and posttest design. The study was conducted at selected higher seconday school dharampur. Total 60 samples were selected based on non-probability purposive sampling. The researcher used structured interview schedule and structured questionnaire for data collection regarding demographic variables and pretest. The collected data were analyzed by using inferential stastical method t-test was used to evaluate the effectiveness of reproductive tract infection and its prevention among adolescences girls in selected higher secondary school dharampur. It reveled that mean score of pre test was54(90%) adolescences girls were having inadequate level of knowledge and 6(10%) of adolescences girls were having moderate level of knowledge. While in post-test 45(75%) had moderate level of knowledge and 15(25%) has adequate level of knowledge. Hence their finding of of study revealed the level of knowledge on prevention and management of selected breast complication 19.13 that was highly significance at p<0.05 level the hypothesis was accepted.
ASPECTOS DO NOVO RADICALISMO DE DIREITA DE THEODOR ADORNO
Authors: Paiva Mario
Published: August 2024

Há um novo interesse por estudos sobre direita, especialmente sobre direita radical. Muito disso ocorre graças aos elementos de conjuntura; uma vitória inicial de Donald Trump nos Estados Unidos, de Jair Bolsonaro no Brasil etc. Nesse cenário, entender estudos que trabalharam anteriormente sobre o tema é muito importante, nisso essa publicação da palestra de Adorno, Aspectos do novo radicalismo de direita, se mostra um grande acerto, porque é surpreendente como essa palestra, de abril de 1967, conversa com o mundo atual.
Beckwith-Wiedemann syndrome with Hirschsprung’s disease in a newborn case report and literature review
Authors:   Department of Academic Affairs, Tawam Hospital, Al Ain, United Arab Emirates., Shahrour Ola , Mehair Alaa ,   Department of Academic Affairs, Tawam Hospital, Al Ain, United Arab Emirates., Alsaadi Ali Ahmed ,   Laboratory Department, Clinical Scientist, Union 71, Tawam Hospital, Al Ain, United Arab Emirates., Al Shamsi Aisha ,   Pediatrics Department, Genetic Division, Tawam Hospital, Al Ain, United Arab Emirates.
Published: August 2024

Background: Beckwith-Wiedemann Syndrome (BWS) is a genetic condition related to changes in the genes of chromosome 11 which result in the overgrowth of many parts of the body and are associated with multiple congenital anomalies. Hirschsprung’s disease is a congenital disorder characterized by a complete absence of ganglion cells in the myenteric and submucosal plexus of the colon. So far, only 2 patients with Beckwith-Wiedemann syndrome and intestinal obstruction due to Hirschsprung’s disease were reported.
A Rare Presentation of Primary Thymic Small Cell Carcinoma Found after Trauma: A Case Report
Authors:   Department of Surgery, General Surgery Resident Cardiothoracic Surgery Research Fellow, The University of Arizona, 1625 North Campbell Avenue, Tucson, Arizona 85719, USA., Conrad Hope
Published: August 2024

Thymic small cell carcinoma is an exceedingly rare diagnosis with undefined treatment options and, typically, poor prognosis. A 69-year-old female presented to the Emergency Department with chest pain and was found on Computed Tomography (CT) to have a multilobulated cystic mass in the anterior mediastinum. Magnetic Resonance Imaging (MRI) demonstrated a 7 x 8 x 8 cm mediastinal mass suspicious for thymoma. Biopsies of enlarged lymph nodes in levels 4L and 7 were negative for malignancy. The patient was taken for surgical resection of the mediastinal mass. After standard sternotomy, the mass was noted to be contiguous with the thymus. The specimen was removed en bloc and surgical pathology revealed high grade neuroendocrine carcinoma, measuring 9.0 cm in greatest dimension, consistent with small cell carcinoma of the thymus. Fibrous adhesions to the lung were noted but all margins and lymph nodes were negative for malignancy. Brain MRI was unremarkable and multidisciplinary tumor board decided to proceed with adjuvant chemotherapy. Patient is currently doing well without symptoms of recurrence one year post-operatively.
Advancements and Challenges in the Application of Machine Learning for Biomedical Diagnostics and Disease Prediction
Authors:   School of Systems and Enterprises, Stevens Institute of Technology, Hoboken, NJ, USA., Zarei Atefeh , Farazin Ashkan ,   Department of Mechanical Engineering, Stevens Institute of Technology, Castle Point on Hudson, Hoboken, New Jersey 07030, USA.
Published: August 2024

This review paper delves into the transformative potential and challenges of Machine Learning (ML) in the field of biomedical diagnostics and disease prediction. With the advent of advanced computational models and an ever-increasing availability of biomedical data, ML has the potential to revolutionize diagnostic methodologies, enhance predictive accuracy, and streamline therapeutic interventions. However, the application of these technologies is not without its challenges, including issues of data quality, algorithmic bias, and ethical concerns, which must be addressed to leverage ML’s full potential effectively.