bluuebunny/crossref_metadata_2025 huggingface dataset:
Adherencia al tratamiento farmacológico y no farmacológico en pacientes hipertensos ambulatorios en una institución prestadora de salud
Authors: Rodríguez Camelo Luisaura , Acosta Atencia Nahir , Durán Pérez Julio César , Sánchez Roca Delfina , Farah Carrillo Najia Mohamed
Published: May 2024

Objetivo: evaluar la adherencia al tratamiento antihipertensivo indicado, farmacológico y no farmacológicos, que asisten ambulatoriamente en una institución de mediana y alta complejidad en Valledupar.
Materiales y métodos: estudio descriptivo de corte transversal, en único centro. Se incluyeron pacientes mayores de 18 años, hipertensos, de los servicios de consulta externa o rehabilitación cardiaca en una institución en la ciudad de Valledupar, entre el 2 de enero y 31 de marzo de 2020, a quienes se les realizó una entrevista para evaluar adherencia farmacológica mediante el test de Morisky-Greeny, y no farmacológicas mediante auto reporte. Fueron excluidas personas con alteración en la esfera mental que le impedían responder la entrevista.
Resultados: del total de 333 participantes, 127 fueron considerados adherentes al tratamiento farmacológico según el test de Morisky-Green (38.1% IC 95%: 32.9-42.4%), sin que se encontrara diferencias por sexo (p=0.66), edad (p=0.27), seguridad social (p=0.19), estrato socioeconómico (p=0.11), estado civil (p=0.36), la escolaridad (p=0.19), la zona de residencia (p=0.45), la cantidad de medicamentos utilizados (p=0.82), el tiempo de años con tratamiento (p=0.34) o el servicio de atención (p=0.66). Adicionalmente, solo 18.9% (IC95% 14.7-23.1%) cumple con todas las recomendaciones de manejo no farmacológico y 9.6% (IC95%: 6.4-12.7%) el tratamiento farmacológico y no farmacológico.
Conclusiones: la adherencia al tratamiento antihipertensivo en el presente reporte se encontró solo en alrededor de un tercio de los pacientes (38.1%), por lo que se hace necesario realizar un trabajo multidisciplinario, para educar al paciente y la familia, haciéndolos participes de las decisiones de tratamiento y mejorar la adherencia
FASCIA LATA PEDUNCULATED FLAP FOR UPPER THIRD RECONSTRUCTION OF THE LOWER EXTREMITY: A CLINICAL CASE PRESENTATION
Authors: Torres Herrera Giovanni Alexander , Coral Polit María José , Jara Chavez Alexander Antonio , Poma Morocho Pablo Luis , Tadeo León Karina Elizabeth , Artieda Guerra Vanessa Estefania , Tejada Andino Diana Carolina , Cardenas Herrera Santiago Israel
Published: May 2024

Objectives: To describe the importance and versatility of the fascia latae ap for coverage of wide
defects of the upper third and lower extremity. A retrospective study was carried out in a male Method:
patient diagnosed with sarcoma of the left inguinal region, who underwent surgical treatment (wide excision with safety
margins) + reconstruction and coverage of the bloody area with a local myofasciocutaneous fascia ap of fascia lata. Results:
A 64-year-old man reported nodular presence in the left inguinal region of 1 year of evolution, the beginning of the size of a pea,
which has been increasing in size and becoming painful on palpation, becoming visible on inspection, on palpation the
presence of a hard, xed, painful tumor lesion. Computed Tomography (CT) scan revealed ndings regarding probable
myxoid liposarcoma and embryonic biopsy of malignant mesenchymal neoplasia in favor of sarcoma. Extensive excision was
performed with margin of injury safety + reconstruction and coverage of the bloody area with myofasciocutaneous local
pedunculated fascia lata ap. Sarcoma is a rare and aggressive soft tissue tumor that can appear an Conclusion: ywhere in
the human body. There are more than 50 types. Treatment for curative purposes will always be a complete excision with safety
margins in both extension and depth, leaving great defects in coverage and functionality in the affected region. It is here where
the knowledge of aps is put into practice for better coverage and preserve the functionality of the area involved. In the upper
third of the thigh, the pedunculated fascia latae ap is considered to be of choice due to its versatility (cutaneous, fascius,
muscular), extension, rotation and very low risk of complications.
"UNVEILING TRUTHS: AUTOPSY'S CRUCIAL ROLE IN EXPOSING MEDICAL NEGLIGENCE FOR LEGAL JUSTICE”: A CASE SERIES
Authors: Gupta Richa , Kumar Alok , Chakotiya Pranay , Mittal Anjesh
Published: May 2024

In the Eminent Field of healthcare, the role of autopsy in unraveling the Complexity of medical negligence
is critical. With an alarming prevalence of cases involving potential malpractice, this research explore
into the critical signicance of autopsies in shedding light on litigation arising from medical negligence. The medical eld is not
immune to the complexities and uncertainties inherent in any human attempt, and instances of alleged misconduct prompt a
closer examination of postmortem procedures. Healthcare practitioners and medical experts may neglect their patients by
acting rudely toward them, failing to provide them the necessary attention and information, or by offering inadequate
treatment, which can have a wide range of consequences, including serious injury and even death. Regulations in the form of
laws and ethics must be put in place to address the situation where the medical profession is used to further personal interests at
the expense of societal demand.In contrast to those who lack education, educated people no longer believe that “the will of god”
can be used to explain any unfortunate complication or to explain an unfortunate side effect of treatment; instead, they believe
that “someone has to be responsible and answerable” and that “someone ought to pay.” for the misfortune. In this study we aim
to explore the symbiotic relationship between autopsy ndings and the legal eld by offering insights into the contribution of
postmortem to the resolution of disputes arising from alleged medical malpractice.
EFFECT OF DIETARY MODIFICATION AND PHYSICAL ACTIVITY ON OBESE YOUNG ADULTS GOING TO GYM FOR WEIGHT LOSS IN GAYA, BIHAR: A BEFORE AND AFTER STUDY
Authors: Pankaj Piyush , Singh Anu , Kumar Pankaj
Published: May 2024

Background: An adequate diet is a prerequisite for appropriate growth and development so as to remain
active. Balanced nutrition coupled with physical activity forms a healthy lifestyle which eventually leads to
multiple health benets such as positive mental health and a lower risk of noncommunicable diseases like diabetes,
hypertension, etc. It has become an upcoming trend for young adults to join a gym.There is a need to highlight with the help of
research studies that lifestyle modication in the form of diet(dietary modication) and physical activity on a regular basis can
help in controlling obesity.
A STUDY OF MUCIN EXPRESSION PATTERN IN GASTRIC ADENOCARCINOMA: AN AMBIDIRECTIONAL OBSERVATIONAL STUDY
Authors: Bera Oli , Bhattacharyya Aditi , Mukhopadhyay Sabuj Ghana , Karmakar Rupam , Bandyopadhyay Goutam
Published: May 2024

Objective: This study investigates mucin expression patterns in gastric adenocarcinoma (GAC),
examining neutral, sialomucins, and sulfomucins using histochemistry. We aim to correlate histological
grading and molecular classication with mucin histochemistry offering potential diagnostic and prognostic markers. These
ndings contribute to understanding the complex interplay between mucin alterations, molecular pathways, and clinical
outcomes in GAC. This observational study, conducted from March 2021 to August 2022, included 50 Materials and Methods:
cases of gastric adenocarcinoma. It utilized both prospective and retrospective approaches to gather specimens and employed
histochemical staining techniques to assess mucin changes. Data analysis was performed using SPSS 20.0, focusing on mucin
expression patterns across different histopathological variants. Our ndings revealed age and sex d Results: istribution trends,
distinct tumor histological patterns, and signicant peri-neural and lymphovascular invasion. In diffuse gastric
adenocarcinoma, mucin staining patterns indicate increased mucin production and a shift toward neutral mucin. Conversely,
intestinal-type gastric adenocarcinoma exhibits strong positivity for intestinal-type mucin components and sialomucins, with
signicant sulphomucin presence. In our study, we explored various clinicopathological aspects of g Conclusion: astric
adenocarcinoma (GAC) and delved into mucin staining patterns. These results contribute to a deeper understanding of GAC
characteristics with potential clinical implications.
ASSOCIATION BETWEEN LOW SERUM VITAMIN D LEVELS AND AXIAL LENGTH CAUSING MYOPIA IN SCHOOL CHILDREN
Authors: Siddiq S. , Rao V. Rajeswara
Published: May 2024

Objective: To know and evaluate the association between serum vitamin D levels and axial length
leading to myopia in 7±1yrs school going children. Study Design: This was an observational study
conducted at the Department of Ophthalmology, maharajah's institute of medical sciences, vizianagaram, Andhra pradesh,
from July 2022 - August. Materials & Methods: A total of 100 School children were tested for mono ocular visual acuity with the
snellens chart from 6mts, ocular examination was done and Axial length was measured with IOL Master 500. Cycloplegic
refraction was done at full dilatation. Myopia >-0.5D is taken into consideration. Non fasting blood samples were drawn by
antecubital venipuncture and stored until analysis. Serum samples were collected in all children. The measurements of
25(OH)D (nmol/L) in the samples is taken. Mothers were asked to answer questions about the time spent outdoors and indoors
watching tv/mobile for 0-4hrs and a questionnaire was prepared. Results: A total of 100 school children were taken for ocular
examination for myopia and laboratory testing for serum vitamin D. Girls had smaller AL than boys but no sex predilection was
observed for myopia occurrence. Out of 100 children : 49 are girls, 51 are boys of age 7yrs.Of these, 20 of 49 girls which accounts
to 41% are myopic (>0.5 D ) 22 of 51 boys which accounts to 43.1% are myopic showing no sex predilection .The odds of children
being myopic with low vitamin D is 0.58 , while being non-myopic is 0.41. The odds of children being myopic with Optimal levels
of VitD is 0.33, while being non myopic is 0.66 which is signicant.In my study only 12% of non myopes have low vitamin D, 45%
of non myopes are having optimal levels Conclusion: In conclusion, we found that serum levels of vitamin D were inversely
related to AL, and that low levels increased the risk of myopia.
ENDOSCOPIC ASSISTED REMOVAL OF CYSTIC DISEASES OF JAW- A MULTIINSTITUTIONAL RETROSPECTIVE STUDY
Authors: Yadav Ram Raj , Selvaraj Siva , Chakraborty Priyanko , Kumar Rajesh , Das Saptasikha
Published: May 2024

Introduction: Jaw cysts are a typical presentation for outpatient ENT specialists, and they are frequently
treated by both ENT and maxillofacial surgeons. Nonetheless, otolaryngologists have an extra
advantage when doing minimally invasive enucleations and excisions due to their prociency with endoscopes. Signifying the
need of nasal endoscopy training to oral surgeons. This is a multi-institution retrospective study Material method: conducted
between 2020 and 2022 in the ENT departments of tertiary care hospitals in Uttar Pradesh and Bihar, North India. There were
eleven patients in our study. For maxillary cystic lesions, enucleation and excision were performed Result: with endoscopic help
using transnasal and sublabial techniques, or a combination of methods for both maxillary and the mandibular lesions.
Patients were followed for six months, during which time no recurrence was found. There are many ap Conclusion: proaches to
managing cystic lesions in the jaw, ranging from partial removal to aggressive excision needing reconstruction due to
increased morbidity. The combined or endoscopy-assisted technique provides minimal morbidity, excellent results with
functional preservation, and total excision.
THINKING, A DIVERSE AND INCLUSIVE PROCESS AN EPISTEMOLOGICAL LOOK
Authors: Salum Tome Jose Manuel
Published: May 2024

Resume:Contemporary education has taken on the challenge of promoting different programs aimed at
promoting inclusive teaching-learning processes that facilitate attention to diversity. It is evident that the
integration of students with special needs in regular educational centers has caused signicant changes in the curriculum,
infrastructure and training among teachers. In the last ten years, educational inclusion has made signicant progress, but much
remains to be done to expand inclusive spaces.
ROLE OF MEDICAL SOCIAL WORKER IN DIABETES CARE IN RURAL AREAS
Authors: Sonawane Punam
Published: May 2024

Diabetes mellitus is a chronic condition that requires comprehensive management involving medical,
psychological, and social support. The challenges of managing diabetes are particularly pronounced in
rural areas, where healthcare resources are limited, and access to medical facilities is often restricted. Medical social workers
play a crucial role in bridging these gaps, providing essential services that address the multifaceted needs of individuals with
diabetes. This write-up explores the various roles of medical social workers in diabetes care in rural areas, emphasizing their
contributions to patient education, care coordination, psychosocial support, advocacy, and community outreach.
RISE IN THE SEROPREVALENCE OF SECONDARY SYPHILIS IN A TERTIARY CARE CENTRE
Authors: Varshini R Agnes
Published: May 2024

Introduction: Syphilis, a sexually transmitted infection caused by the spirochete bacterium Treponema
pallidum, continues to be a signicant public health concern globally. While primary syphilis often
presents with genital ulcers, secondary syphilis manifests with a range of systemic symptoms and skin lesions. This research
aims to explore and understand the recent rise in the seroprevalence of secondary syphilis within the connes of a tertiary care
centre. Materials and methods: This retrospective cohort study, conducted in a specialized department of a tertiary care
centre, aimed to determine the seroprevalence and temporal trend of secondary syphilis. Data were collected from medical
records, including demographic details, clinical presentations, laboratory results, and treatment history. Serological testing
employed standard diagnostic methods. Ethical considerations included obtaining institutional review board approval and
ensuring patient condentiality. Results: A temporal trend analysis revealed a steady increase in secondary syphilis
seroprevalence from 1.67% in 2018 to 3.65% in 2023. Demographic analysis highlighted higher prevalence among males
(69%), particularly in the 31-45 age group (38%). Cases were more prevalent in individuals with a middle socio-economic status
(46%). Conclusion: This study reveals a concerning rise in secondary syphilis seroprevalence within a tertiary care centre,
necessitating targeted interventions. Demographic analysis emphasizes the importance of gender-specic and age-specic
interventions. Further research is warranted to explore underlying factors contributing to the increase in cases, informing
comprehensive public health strategies.
INSIGHTS INTO THE CLINICAL SPECTRUM AND DIAGNOSTIC DILEMMAS OF ACUTE PANCREATITIS: A NARRATIVE REVIEW
Authors: Montaño Yandar Christian Daniel , Muñoz Pabón María Camila
Published: May 2024

Acute pancreatitis (AP) is a severe inammatory disorder of the pancreas, precipitated predominantly by
gallstones or excessive alcohol consumption. It manifests with intense upper abdominal pain, nausea,
vomiting, and fever, potentially escalating to systemic inammation and severe complications like organ failure. The urgency of
timely management is crucial to mitigate life-threatening scenarios and prevent long-term consequences such as chronic
pancreatitis or pancreatic necrosis. Management strategies focus on immediate supportive care, including hydration, pain
control, and nutritional support, complemented by interventions to address blockages. Early diagnosis and targeted treatment
protocols are vital to improve patient outcomes and reduce morbidity and mortality associated with this acute condition.
A STUDY OF SUBCLINICAL HYPOTHYROIDISM IN FEMALES OVER FIFTY YEARS OF AGE IN A TERRITORY CARE HOSPITAL – CROSS SECTIONAL STUDY
Authors: Babu A Jenish , Thilagar Thilagar , Annie Philipe Meghna , Premkumar Premkumar
Published: May 2024

Background. A study of subclinical hypothyroidism in females over fty years of age in a territory care
hospital– cross sectional study Methods: Data was collected from diabetic patients attending
Department of General medicine of Sree Mookambika Institute of Medical Sciences,Kanyakumari, TamilNadu from march 2022
to September 2023.Data collected from 100 patients in outpatient thosewere examined for thyroid function. Women with
subclinical hypothyroidism (dened as TSH > 5.5µIU/ml with normal free T4 and free T3 ) were considered as cases. Results:
Surveys that stratied TSH levels indicate a predominance of TSH <10µIU/ml, which accounts for about 55-85% of cases.
Almost 65% of our patients with subclinical hypothyroidism had TSH levels <10µIU/ml. Conclusion: Subclinical hypothyroidism
is highly prevalent in elderly women above the age of 50 years.Most of those with subclinical hypothyroidism have TSH level
below 10µIU/ml.
ONE THING THAT MATTERS”- A CROSS-SECTIONAL STUDY TO ASSESS THE PATIENT SATISFACTION AT THE COMMUNITY HEALTH CENTRE, SANAND, AHMEDABAD, GUJARAT.
Authors: Rajput Shivangi , Panchal Ripal
Published: May 2024

Background:In India, health services comprise of three tier structure; and Community Health Centre (CHC) is one of them. CHC required to act primarily as a referral centre for the patients requiring specialized health care services. Patient satisfaction surveys can be tools for learning; they can give proportion to problem areas and a reference point for making management decisions. So, this study aims to assess the level of satisfaction among the patients regarding the essential health services being provided at CHC.Material & Methods:This cross-sectional study was carried out over the course of a month among the patients at the CHC Sanad. Patient were selected using consecutive sampling technique and interviewed on the basis of Validated patient satisfaction scoring tool. Data was tabulated and analysed in MS excel & SPSS 26. Results:There were 115 patients interviewed in all, and the gender distribution was nearly equal. A majority of patients visited the medicine OPD. The mean age group distribution was 37.2±1.27. The overall satisfaction was 64% with mean 27.5±3.1. The highest satisfaction was in Communication i.e., 73% followed by 64% General satisfaction and lowest in Interpersonal manner. Conclusion:The mean score and percentage of satisfaction was high in CHC. Interpersonal skills and time spent with the doctor were important areas to work on. The study findings can help in improvement of health care delivery system.
SOCIAL INFLUENCE AND HIGHER EDUCATION CHOICES AMONG COLLEGE WOMEN– AN EMPIRICAL STUDY
Authors: Hariharan K. S.
Published: May 2024

The study explores into the examination of social inuence on the decision-making processes of college
women, to a limited extent from a small population and sample. This exploration is predominantly
conducted through the aid of the Planned Behaviour theory and its variables. The variables utilized in this research have been
drawn from existing literature, with a notable reference to Agnis Stibe's 2019 study. Furthermore, an additional variable,
labelled "family inuence/pressure," has been integrated into the research instrument for the Indian context and inuence on
decisions of college women. This variable encompasses statements related to parental educational qualications and
siblings' education to justify the above inuence in link with Family inuence/pressure. It is assumed that qualied parents
would have more inuence on the decision of college women in the Indian context. 97 students from a Business school were
studied on this research area by interviewing them with major statements on their decision-making and their choices. The
researcher perceives that the inclusion of this variable would signicantly amplify the study's comprehension, particularly with
regard to the decision-making processes of college women. This research extends the application of the planned behaviour
theory to explain the reciprocal aspect of social inuence on the decisions and choices of college women. The constructs under
investigation are also scrutinized in conjunction with the “qualication variable” to recognize any noticeable differences
between them.
NOTION OF JARA IN AYURVEDA
Authors: Rani Jyoti , Vishnoi Rinkesh , Sharma Anita
Published: May 2024

Humanity has always been interested in maintaining and enhancing youth and increasing longevity by
slowing down or preventing the ageing process. Five percent of people on the planet will be over 65 by
2030. Numerous health issues come with growing older, and research on the population suggest that the elderly will require
three to ve times as many healthcare services as people in their early years. Experts in ageing conduct research centered on
strategies for delaying the ageing process by disrupting its natural progression. Among the interventions are body part cloning,
restricted food intake, and anti-aging medications to prolong youth and postpone biological ageing. One of the most respected
mind-body-spirit medical systems in the world, Ayurveda, presents several theories regarding the ageing process. This medical
approach offers treatments for "healthy ageing" to extend life expectancy and promote optimal health via living in balance with
the natural world.
EFFECTIVENESS OF WHATSAPP BASED INFORMATION VERSUS MANUAL MODE OF INFORMATION ON KNOWLEDGE REGARDING LIFESTYLEMODIFICATIONS AMONG HYPERTENSIVE ADULTS IN SELECTED AREAS: A STUDY PROTOCOL
Authors: Ther Yogita , Makasare Nutan
Published: May 2024

Background: Hypertension is an elevated blood pressure, it is a serious medical condition that
signicantly increases the risk of heart, brain, kidney and other disease. 33% urban and 25% rural
Indians are hypertensive. Only about 12% people with hypertension in India have their blood pressure under control.
Uncontrolled blood pressure is one of the main risk factors for cardiovascular diseases (CVDs) and are responsible for onethird of total deaths in India, by WHO report 2017. Social media has been boomed as a biggest source for information
sending and receiving; it provides a good platform for commerce among people belongs to any cultural settings. WhatsApp is
an instant messaging app, constructed and launched in 2009 by Brian Acton and Jan Koum. It's available free at no nancial
cost. Objective: To assess the knowledge regarding lifestyle modication among hypertensive adults in selected areas. To
assess the effectiveness of WhatsApp based information versus manual mode of information on knowledge regarding lifestyle
modications among hypertensive adults. Study Design & Methodology: Quasi experimental non-randomized control group
design. Knowledge of one group will be assessed by giving information by WhatsApp based mode and second group by giving
information by manual mode. 100 samples will be selected by non-probability purposive sampling technique. Content and
construct validity and reliability of the tool will be assessed through experts in the eld, proper statistical measures and pilot
study. Their knowledge will be assessed through pre-test with the help of self-structured knowledge questionnaire. Posttest will
be conducted after seven days of intervention program. Using descriptive and inferential statistics, collected data will be
analyzed. Expected Results: There will be signicant improvement in knowledge score in one group as compare to other, after
administration of an intervention program. Limitation: Study will be conducted in selected urban areas of Nagpur district only.
Conclusion: This study ndings will contribute to the existing body of knowledge regarding lifestyle modication in
Hypertension and explain about the effectiveness of the mode of information i.e WhatsApp based information and manual
mode information.
CHASING THE BITE : REAL OR FACTITIOUS?? DISCUSSION FOR STRENGTHENING THE EVIDENCE OF HUMAN BITE MARK.
Authors: Gupta Richa , Singh Garima , Mittal Anjesh , Singh Ajay
Published: May 2024

A bite mark has been dened as a pattern produced by human or animal dentitions and associated
structures in any substance capable of being marked by these means¹. The individuality of the human
dentition frequently allows the Forensic Odontologist to reach a strong opinion of association in cases of identication and bite
mark analysis. Such analysis can often be useful during the investigation of violent crimes². Here three cases are taken to study
the bite marks either real or factitious and best possible approach to extract the maximum possible information explain its
evidential value.. It is hoped that these cases will demonstrate the signicant role the analysis of bite marks might play
alongside other criminalistic routines
UNDERGRADUATE MEDICAL STUDENTS' PERCEPTION ON DIET SURVEY TECHNIQUE
Authors: K P Asha , Philip Sairu , D. Indu
Published: May 2024

Competency based medical education is emphasize on student centric learning,their opinion will also help in making a
suitable framework for nutrition education for undergraduate medical students. Hence, the objective of this study is to
assess the perception of undergraduate medical students about diet survey analysis. A cross-sectional study was
conducted among 140 final-year MBBS students.Perception was assessed using a five-point Likert scale and expressed
in percentages.Majority (77.9%) of the study participants agreed or strongly agree that nutrition education is relevant in
MBBS course. Among the study participants, 45% of the respondents reported that nutrition is more theoretical than
practical,and 67.9% agreed that it is difficult to conduct diet survey technique using 24-hour recall method.69.3% agree
or strongly agree that diet counselling is important.Participants generally perceived nutrition education as relevant and
didn't find survey techniques overly challenging, there were variations in perceptions based on age and gender,
particularly regarding the practical application and recollection of nutritional concepts.
Enhancing Home Security with AI-Driven Drone Surveillance
Authors: Tallapaneni Karthikeya , Kumar Arpan , Gautam Harsh , Yadav Ayush , Kumar Ayush , Yadav Harsh
Published: May 2024

This research paper presents the design and implementation of an AI-Based Smart Home Security System Using Drone Surveillance. Leveraging advances in artificial intelligence and drone technology, the system aims to enhance home security through proactive threat detection and surveillance.
Nanosuspensions: A Novel Drug Delivery System
Authors: Singh Shikha , Bharati Divya
Published: May 2024

The current article cites the importance of the emerging and promising future of new age dosage form, ‘nano suspensions’. Particle size reduction, particularly nanonization, is a non-specific, universal approach to improve the bioavailability of poorly soluble drugs. The article emphasizes importance in the preparation, evaluation and the research work going on with various drugs and their appropriate applications. Nano suspensions have emerged as a promising strategy for the efficient delivery of hydrophobic drugs because of their versatile features and unique advantages. Techniques such as media milling and high-pressure homogenization have been used commercially for producing nano suspensions. The unique features of nano suspensions have enabled their use in various dosage forms, including specialized delivery systems such as mucoadhesive hydrogels. Rapid strides have been made in the delivery of nano suspensions by parenteral, peroral, ocular and pulmonary routes. Currently, efforts are being directed to extending their applications in site-specific drug delivery.
Role of Medicinal Plants in the Treatment of COVID-19: A Review
Authors: Srivastava Sanch , Verma Navneet Kumar , Srivastava Saumya , Agrawal Nimesh
Published: May 2024

As of right now, there is no evidence to support the idea that COVID-19 specific treatments exist; what is known is that the immune system is a major factor in the development and course of the illness. Chemicals of high efficacy and low toxicity have been found in plants and some of these chemicals are used as building blocks to create highly potent synthetic drugs. While the primary application of herbal treatments is in prevention, certain nations have published guidelines recommending the use of traditional remedies for varying stages of COVID-19 infection. Although Europe has a long and rich history of employing medicinal plants for therapeutic purposes, there aren't as many scientific trials for this kind of approach as there are in Asia. The ability to prevent and treat COVID-19 would be significantly impacted in this way by a bridge connecting tradition and science.
Pharmacovigilance during the COVID-19 Pandemic Era in Morocco
Authors: Khatem Soukaina , Alioua Ayyoub , Zaoui Sanaa
Published: May 2024

The COVID-19 pandemic has underscored the importance of pharmacovigilance in monitoring the safety of drugs and vaccines used for the treatment and prevention of the disease. In Morocco, the pharmacovigilance system has been strengthened to ensure effective surveillance and management of adverse effects of COVID-19 drugs and vaccines. This article examines the changes and actions that have been undertaken by Morocco to enhance pharmacovigilance during the COVID-19 pandemic.
Hamate Bone Fracture following a Sports-Related Accident: A Case Report
Authors: Mahir M. , Benfaddoul O. , Bouktib Y. , Hejjami A. El , Boutakioute B. , Idrissi M. Ouali , Guanouni N. Idrissi
Published: May 2024

Fractures of the hamate bone are uncommon but can occur as a result of sports-related accidents and can present diagnostic challenges. This article presents a case report of a hamate bone fracture following a sports-related incident, with a focus on the use of CT scans for accurate diagnosis and treatment planning. The purpose is to highlight the significance of imaging techniques in evaluating hamate bone fractures and guiding appropriate treatment strategies.
Imaging Modalities in the Diagnosis of Congenital Abdominal Aortic Stenosis
Authors: Mahir M. , Boussif M. , Ahmanna H. Ch. , Zouita B. , Basraoui D. , Jalal H.
Published: May 2024

Ischemic episodes affecting the aorta are uncommon in pediatric populations but demand urgent attention due to their potential for grave outcomes if left untreated. This case underscores the critical role of imaging modalities, particularly CT scanning, in diagnosing aortic ischemia swiftly and accurately, thereby facilitating timely therapeutic interventions.
Epidemiological and Prognostic Assessment of Nosocomial Infections in the Surgical Emergency Resuscitation Department IBN Tofail Hospital
Authors: Ngala Marina A. Nde , Mavoungou Prince B. , Osuard Pr. Youssef EL , Khallouki Pr. Mohammed
Published: May 2024

Nosocomial infection is an infection acquired in a healthcare establishment. It is acquired more than 48 hours after admission [1]. Intensive care units are considered a reservoir of multi-resistant bacteria due to the critical condition of patients and the practice of certain invasive care [2]. NI constitute a public health problem marked by high morbidity and mortality. The objectives of our study are:  Detail the epidemiological profile of IN  List ATB-resistant germs  Determine the main prognostic factors We carried out a prospective study from January to June 2022 including patients hospitalized during the period in the HIT RUCH department. Patients whose stay was less than 48 hours were excluded. The diagnosis of IN was suggested based on clinical and paraclinical signs and then confirmed by bacteriological analyses. The resistance profile of the germs to ATB was reported by the results of the antibiogram. Among the 92 patients who stayed more than 48 hours in intensive care, 19 presented with IN, an incidence of 20.65%, of which 89% were male and the median age was 51.7 years. The time to IN acquisition was 5.1 days. IN at the pulmonary site were predominant with a percentage of 36.84%. The germs responsible for IN were dominated by BGN including acinetobacter baumanii with 42.1% and its resistance to ATB was 100% to C3G, 65.6% to amikacin; CGP germs were represented by staphylococcus aureus with 15%. IN-related mortality was 42%. It appears in the light of our results that IN and resistance of germs to ATB are worrying. Judicious use of ATB, hand washing and use of sterile equipment are essential to reduce the incidence of nosocomial infection.
Focal Segmental Glomerulosclerosis Secondary to Hodgkin’s Lymphoma: A Case Report
Authors: Bothard Helena Botokoto- , Havyarimana Clément , Abdelaziz Nassima Hissein , Manirakiza Jean Claude , Medkouri G. , Zamd M. , Khayat S. El , Mtioui N. , Benghanem M.
Published: May 2024

Focal segmental glomerulosclerosis (FSGS) accounts for 12-35% of nephrotic syndrome (NS) in adult. The association between FSGS and Hodgkin’s disease is rare. NS may precede, be concomitant with or appear secondary to Hodgkin’s lymphoma. We report a case of a 57-year-old patient who was admitted with impure NS with 7g/24h of proteinuria, renal failure and microscopic haematuria, revealing FSGS on renal biopsy, with concomitant discovery of Hodgkin’s lymphoma of sclero-nodular type. Treatment of Hodgkin’s lymphoma with chemotherapy led to disappearance of the NS and complete recovery of renal function. The association of FSGS and Hodgkin lymphoma, although rare, is not a myth but a reality. Histology and imaging are important diagnostic tools. Early initiation of specific chemotherapy is a fundamental condition for complete recovery of renal function.
Anterior Sagittal Epispadias Urethral Duplicity: A Case Report
Authors: Mouad Assia , Sadqi Rihab , ALLAH Hanae KHIR , ABBASSi Asma EL , BOUHAFS Mohamed Amine
Published: May 2024

Urethral duplication is a rare congenital urological anomaly that can be detected incidentally or due to urinary symptoms in young patients. Symptoms may include recurrent urinary tract infections, dysuria, bifurcated urinary stream, urinary incontinence, and purulent discharge from the accessory meatus. The pathophysiology remains poorly understood, with various embryological theories proposed. Treatment typically involves surgical excision of the accessory urethra, especially in symptomatic cases. Urethral duplication is often associated with other malformations, and Effman's classification system categorizes it into three types based on the location of the accessory urethra. We present the case of a 4 years old boy with anterior sagittal epispadias urethral duplicity.
Prescribing Habits for Pregnant Patients in a Sample of Psychiatry Residents at Ibn Nafis Psychiatric Hospital: A Descriptive Study
Authors: Fatheddine M. , Elfahiri F. , Ennaciri Z. , Adali I. , Manoudi F.
Published: May 2024

Prescribing psychotropics for pregnant women is a delicate issue as most drugs cross the placenta. There are concerns about possible hazards to the growing fetus and balancing the risk of malformation against the risk of a psychiatric condition relapsing is a common dilemma. To minimize the risks associated with polypharmacy monotherapy is typically the preferred approach. This study aimed to explore the prescription habits of psychotropic medications to pregnant women by residents at IBN NAFIS University Psychiatric Center and review it in the light of literature. 25 residents took part. We found that for agitation, 93% of residents prescribed classic antipsychotics. For major depressive disorder, 81% of residents prescribed selective serotonin reuptake inhibitors (SSRIs). For anxiety disorders, 68% of the sample prescribed SSRIs. For manic episodes, 50% of residents prescribed lamotrigine, 12% prescribed olanzapine, 6% preferred sodium valproate, 6% prescribed classic antipsychotics. For psychotic disorders, the vast majority of residents prescribed classic antipsychotics (88%), while 6% of them prescribed Risperidone and the remaining 6% preferred the use of Olanzapine. For insomnia, the majority of residents in the sample preferred prescribing hydroxyzine (69%). Oxazepam is considered a first-line anxiolytic because it doesn't create active metabolites. Classic antipsychotics like haloperidol and chlorpromazine are commonly prescribed during pregnancy due to their proven efficacy and safety. Atypical antipsychotics like olanzapine risperidone quetiapine and clozapine are used, with olanzapine being a first-line treatment due to reassuring data on fetal side effects. Thymoregulators like lamotrigine can be used but caution is advised due to potential risks. Antidepressants like tricyclics and SSRIs are commonly prescribed with SSRIs being preferred for pregnant women. The study emphasizes the importance of taking into account the particulars of the drugs such ...
Proximal Femoral Focal Deficiency – An Uncommon Congenital Anomaly: Case Report and a Review of the Literature
Authors: Raboua M. , Fahir O. , Ahmanna H. C. , Zouita I. , Basraoui D. , Jalal H.
Published: May 2024

Background: Proximal femoral focal deficiency (PFFD) is a rare congenital skeletal abnormality that may be associated with other bone defects. The incidence varies between 1 case per 50,000 people and 1 case per 200,000 people. PFFD is bilateral in 15% of cases [1]. In people with PFFD, the proximal femur is partially absent, but the distal femoral portion is always present, which serves to distinguish this phenomenon from the entire femoral deficiencies when the whole organs are usually shortened. Identifying these abnormalities on radiographs may aid in the management of these cases because early treatment may help ensure adequate femoral growth. This case report sheds light on this intriguing anomaly, offering an idea of the evaluation of Proximal Femoral Focal Deficiency.
Comparative Analysis of Pharmacological and Non-Pharmacological Interventions in Hypertensive Patients at Cumilla Medical College Hospital
Authors: Rumi Dr. Md. Ahsan Ullah , Baset Dr. Md. Abdul , Khaled Dr. Shaif Uddin Mohammad , Ashrafuzzaman Dr. Md.
Published: May 2024

Background: Hypertension is a prevalent cardiovascular condition requiring effective management to reduce associated morbidity and mortality. Both pharmacological and non-pharmacological interventions play crucial roles in its treatment. This study aims to compare the effectiveness of these interventions in hypertensive patients at Cumilla Medical College Hospital, Bangladesh. Objective: To conduct a comparative analysis of pharmacological and non-pharmacological interventions in hypertension management. Method: A prospective study was conducted using data from the Department of Medicine at Cumilla Medical College Hospital, Bangladesh, from January 2023 to December 2023. A total of 184 patients were included in the study. Data on pharmacological and non-pharmacological interventions were collected, and blood pressure measurements were recorded. Result: Among the 184 patients, 65% received pharmacological interventions, while 35% received non-pharmacological interventions. Of those receiving pharmacological interventions, 82% achieved blood pressure control, compared to 73% in the non-pharmacological group. The mean reduction in systolic blood pressure was 20 mmHg in the pharmacological group and 15 mmHg in the non-pharmacological group. Regarding lifestyle modifications, 45% of patients in the non-pharmacological group reported improved dietary habits, and 55% reported increased physical activity. Conclusion: Both pharmacological and non-pharmacological interventions effectively manage hypertension, with pharmacological interventions showing slightly higher blood pressure control rates. However, non-pharmacological interventions are valuable for improving lifestyle factors. A combination of both approaches may be optimal for hypertension management.
A Huge Infected Dentigerous Cyst Occupying the Maxillary Sinus
Authors: Abdelkader Smida , Afef Slim , Jihed Sghaier , Abdellatif Chokri , Jamil Selmi
Published: May 2024

A dentigerous cyst (DC) ranks as the second most common odontogenic cyst after a radicular cyst arising from the crowns of impacted, embedded, or unerupted teeth. DC frequently causes the corresponding tooth to be displaced into an ectopic location, such as the sinus cavity in the maxilla. Surgical treatment involves extracting the tooth and enucleating the cyst using a conservative intra-oral approach or endoscopic surgery. We report a rare case of a 25-year-old woman with maxillary third molars inside the maxillary sinus attached to a dentigerous cyst and treated with Caldwell Luc surgery through an intraoral approach.
Social Economic Determinants of Health and Health Disparities in Uganda
Authors: Moses Baluku , Igwe Matthew Chibunna
Published: May 2024

This review scrutinizes the intricate interplay between social-economic determinants of health (SDH) and the ensuing health disparities in Uganda, offering a nuanced understanding of the multifaceted factors shaping health outcomes across diverse demographic strata. By synthesizing a comprehensive array of empirical studies, theoretical frameworks, and policy analyses, this review illuminates the complex dynamics underpinning health disparities within the Ugandan context. Through a multidimensional lens, it explores the unequal distribution of resources, opportunities, and power structures that fuel disparities in health access and outcomes. Moreover, it delves into the implications of these disparities for public health policy and practice, advocating for targeted interventions aimed at addressing socio-economic determinants to foster health equity in Uganda.
Central Bank Digital Currencies (CBDCs) and Financial Inclusion: Explore How CBDCs Can Promote Financial Inclusion for Unbanked or Underbanked Populations, Considering both Benefits and Challenges
Authors: Svoboda Andreas
Published: May 2024

Central Bank Digital Currencies (CBDCs) offer a promising solution to expand financial inclusion for the unbanked and underbanked populations globally. This paper explores the potential benefits of CBDCs in promoting financial access, including reduced transaction costs, increased accessibility in remote areas, and efficient government transfers. However, challenges like infrastructure limitations, privacy concerns, and regulatory frameworks need to be addressed for successful implementation. The paper examines ongoing pilot projects in Sweden and China, highlighting how these initiatives tailor CBDCs to specific national contexts. By overcoming these challenges and continuing research, CBDCs can become a powerful tool for financial inclusion, fostering economic empowerment and participation.
Caudal Regression Syndrome: A Case Report
Authors: Raboua M. , Mekouar M. , Ahmanna H. C. , Zouita I. , Basraoui D. , Jalal H.
Published: May 2024

Caudal regression syndrome is a rare malformation syndrome that involves varying degrees of agenesis of the sacral and coccygeal vertebrae, along with shortening of the lower limbs, and gastrointestinal, genitourinary, and cardiovascular anomalies. Its precise cause remains unknown, although its association with maternal diabetes is well established. We present a rare case of this syndrome in a one-month-old newborn whose mother has known diabetes and who also presents with anorectal malformation syndrome.
Analysis of Current Tax, Deferred Tax, and Deferred Tax Assets on Earnings Management
Authors: Salim Thomas , Yuniarwati Yuniarwati
Published: May 2024

The goal of this study is to examine the impact of current taxes, deferred taxes, and deferred tax assets on earnings management. The research focuses on companies operating in the industrial sector listed on the Indonesia Stock Exchange during the years 2020, 2021, and 2022. A sample of 20 companies is selected using purposive sampling. Data processing involves multiple regression analysis assisted by Eviews 13 and Microsoft Excel. The findings indicate that current taxes have a significant positive impact on earnings management, while deferred taxes and deferred tax assets do not have a significant positive impact on earnings management. The implications of this research highlight the role of current taxes, deferred taxes, and deferred tax assets as detectors to track the movements of managers who have engaged in earnings management in the financial reports of companies, particularly in the income statement section.
Kegunaan BNP dan NT-proBNP sebagai Diagnostic Biomarkers pada Gagal Jantung dan Disfungsi Jantung dalam Bidang Klinis dan Forensik
Authors: Azis Muhammad Mulki Abdul
Published: May 2024

Lebih dari 26 juta orang di dunia menderita gagal jantung dan disfungsi jantung. Pemeriksaan pada pasien dengan kedua penyakit ini, khususnya pada yang telah meninggal, sangat sulit dilakukan akibat dari kurangnya catatan rekam medis, keterbatasan pemeriksaan klinis dan perubahan morfologis yang tidak terlihat secara kasat mata. Saat ini, BNP dan NT- proBNP telah digunakan secara luas sebagai indikator yang signifikan untuk diagnosis gagal jantung dan disfungsi jantung, baik dalam bidang klinis maupun forensik, Telah cukup banyak studi yang meneliti kegunaan BNP dan NT-proBNP dari segala sisi di bidang klinis dan forensik. Tujuan dari artikel ini adalah untuk membahas fitur biologis, penelitian terkini terkait aplikasinya dan prospek penelitian ke depan dari BNP dan NT-proBNP dalam bidang klinis dan forensik. Metode yang digunakan dalam penelitian ini adalah studi pustaka, dengan mengumpulkan dan menganalisis literatur yang relevan terkait peran BNP dan NT- proBNP dalam diagnosis, terapi, dan prognosis penyakit jantung. BNP dan NT-proBNP merupakan biomarker yang penting dalam bidang klinis dan forensik untuk penilaian penyakit jantung. Dengan perkembangan teknologi di bidang biologi molekuler, diharapkan penggunaan BNP dan NT-proBNP dapat menjadi lebih tepat dan akurat di masa depan, meningkatkan diagnosis, pengobatan, dan pemahaman tentang penyakit jantung baik pada pasien hidup maupun post-mortem.