bluuebunny/crossref_metadata_2025 huggingface dataset:
Volumetric assessment of fat graft retention over implant by MRI
Authors: Symonds Emma KC , Wilms Heath , Finlayson Carys , Hally Kathryn E , Black Bianca , Sparks Sarah V , Slocombe Angie , Dennett Elizabeth R , Danielson Kirsty M , Meredith Ineke
Published: April 2024

**Background**: Autologous fat grafting (AFG) is an increasingly popular adjunct to post-mastectomy breast reconstruction as it can produce a natural cosmetic outcome and alleviate undesirable radiotherapy-associated consequences, with low surgical risk. However, graft retention rates are variable and unpredictable. In order to improve and understand what influences graft retention rates, accurate and consistent methods for the measurement of graft retention must be developed.**Methods**: Twenty patients who were undergoing AFG following a previous mastectomy were prospectively enrolled. Of these, six women suitable for immediate breast reconstruction (IBR) with implant underwent MRI pre- and three months post-AFG. **Results**: All patients had a net gain in volume at three months post-procedure with a mean of 123.6 ± 56.07cm^3^; however, the percentage retention ranged from 30.0 to 104.7 per cent. **Conclusions**: This study has demonstrated the feasibility of measuring AFG retention over implant using MRI, as well as confirming variable tissue retention rates. This is an important step forward for studies on improving overall graft survival.
The cool table—limiting warm ischaemia in fillet-of-leg free flap harvest: a case series
Authors: Miles Oliver , Mah Eldon
Published: April 2024

The amputated part is an ideal donor for sarcoma defect reconstruction in proximal lower limb amputation; however, these composite tissues are at risk of tissue ischaemia during long operations. A retrospective case investigation of four patients receiving fillet-of-leg flaps for proximal lower limb and pelvis sarcoma reconstruction was performed. A ‘cool table’ was used for fillet-of-leg harvest from the amputated part to limit warm ischaemia. Three flaps were myocutaneous, the other osseomyocutaneous including tibia. Ischaemia time ranged between 75 and 150 minutes. All flaps survived with no vascular complications.
Evaluation of updated National Burn Service escharotomy guidelines—where do we cut now?
Authors: Nahab Fouad , Wong She Richard
Published: April 2024

**Objective**: An escharotomy is a time-critical/emergency limb or life-saving procedure. It may need to be performed by health professionals with little or no previous experience. Both situations occurred during the 2019 White Island (Whakaari) volcanic eruption. While online resources are included as part of the New Zealand National Burn Service website, on review the illustrations were found to lack clarity. The goal of this research was to create updated national escharotomy resources and to test their effectiveness.**Methods**: A literature review alongside expert opinion and a medical illustrator were used to produce up-to-date escharotomy illustrations. A cohort of plastic surgery registrars at Middlemore Hospital, New Zealand, undertook survey-based evaluations. We determined new guideline effectiveness on participant performance following data analysis.**Results**: Of 18 plastic surgery registrars surveyed, 45 per cent were trainees. Our new guidelines produced an improved accuracy of escharotomy placement of 100 per cent, 85 per cent and 90 per cent on torso, upper and lower limbs respectively. On average the greatest improvement was in the non-SET registrars (54% vs 32%). Using new guidelines, 100 per cent of participants felt they could safely perform an escharotomy.**Conclusion**: Our updated National Burn Service escharotomy resources have been evaluated and determined to be easy to use. By incorporating detailed illustrations, we have provided useful and effective escharotomy incision placement guidelines. Difficult areas of the body will require attention in future revisions of this resource. These updated illustrations are a vital step in allowing an escharotomy to be safely performed by those who need to perform an escharotomy but are unfamiliar with the procedure.
Under her skin: the life and work of Professor Fiona Wood AM, national living treasure: a book review
Authors: Ashton Mark W
Published: April 2024

Fiona Wood AM has changed international plastic surgery and the way we treat burns patients. This book is a 'must read' for Australasian plastic surgeons.
Burn care and the plastic surgeon
Authors: Rawlins Jeremy
Published: April 2024

Are other specialties snapping at the heels of plastic surgeons to deliver burn care in Australia? Jeremy Rawlins looks to the coming decade of burn care and plastic surgery.
Acute management of skin tears with mesh grafting: a prospective study and cost-benefit analysis
Authors: Chow Oliver , Davies Matthew , Ricciardello Daniel , Pham Therese , Kwei Johnny
Published: April 2024

**Background**: Skin tears cause a significant burden to the patient and healthcare system. Acute management has traditionally comprised of operative debridement and formal skin grafting, which is costly, invasive and often followed by admission for five to seven days. In a 2014 pilot study by Vandervord and colleagues, a protocol for re-laying the skin tear as a meshed skin graft (mesh protocol) was proposed, which has not been validated to date. Our study aims to compare a prospective cohort to the original pilot study to determine validity in clinical practice and provide an updated cost-benefit analysis.**Method**: All patients who presented with acutely sustained skin tears at Northern Beaches Hospital, NSW, Australia, were prospectively entered into the mesh protocol as described by Vandervord and colleagues. An updated cost-benefit analysis was performed using a national hospital cost data collection report produced by the Independent Hospital Pricing Authority (IHPA).**Results**: We enrolled 53 patients onto the protocol who had sustained a total of 64 discrete skin tears, with 11 patients sustaining more than one skin tear. The average age of patients was 86, and the most common location of the skin tear was pretibial, followed by forearm/hand. Only one patient required a return to theatre for debridement and formal skin grafting, and three patients required long-term dressings for partial mesh graft loss. The cost to the healthcare system is consistent with the pilot study, with a significant difference between discharge from the emergency department post-procedure and formal grafting and admission for five to seven days.**Conclusion**: Use of the mesh protocol creates wound coverage and prevents the need for formal skin grafting, and reduces costs associated with formal operations and hospital admissions.
Acute carpal tunnel syndrome secondary to MAC infection with rice bodies: a case report
Authors: Alpen Sophie , Shugg Sarah , Deo Sandyha
Published: April 2024

The authors describe a case of mycobacterial hand infection presenting as acute carpal median nerve compression requiring surgical intervention with rice bodies found intraoperatively.
Free gracilis muscle transfer with anastomosis of its major to minor pedicle for reconstruction of a popliteal fossa defect: a case report
Authors: O'Hare Caitlin , Theile Harrison , Wiper Jonathan
Published: April 2024

The authors describe a novel case where the gracilis muscle was used to reconstruct a popliteal defect with the muscle’s own minor pedicle being used for microsurgical anastomosis.
Exploring patient values and perceptions with facial nerve palsy to help guide management: An Australian perspective
Authors: Hasmat Shaheen , Low Tsu-Hui , Dusseldorp Joseph , Mukherjee Payal , Clark Jonathan
Published: April 2024

**Background**: Facial nerve palsy (FNP) leads to a combination of aesthetic and functional deficits with profound psychosocial consequences. Significant advances have been made in restoring dynamic function through a range of facial reanimation solutions. Patient-reported severity scales are predetermined metrics that provide limited insight into patient values and perceptions. A qualitative study was conducted to elicit the experiences of patients with FNP and explore their views and motivations for seeking therapy. **Methods**: Participants were sourced from the Sydney Head and Neck Cancer Institute Database, Australia. Eligibility for the study included age over 18 years and a diagnosis of complete FNP. Semi-structured interviews were conducted and the transcripts were subjected to thematic text analysis.**Results**: Nineteen patients consented to participate in the study. One was excluded due to an isolated marginal mandibular nerve palsy. Five main themes emerged: eye symptoms, fear of judgement and social withdrawal, aversion to further invasive surgeries, the need for multidisciplinary streamlined care and lack of public awareness.**Conclusion**: Eye symptoms and the social consequences of FNP carry significant impact on both patients’ personal and professional lives. There is a paucity of services that can support patients across the complex spectrum of problems seen in FNP.
Letters from Spring Street: a book review
Authors: Ashton Mark
Published: April 2024

Associate Professor Behan has produced a remarkable contribution to Melbourne plastic surgery and to Australian plastic surgery as a whole, writes Editor-in-Chief Mark Ashton.
Dupuytren’s disease: using keystone techniques to improve vascular dynamics in fasciectomy
Authors: Behan Felix
Published: April 2024

Background: Palmar defects arising from surgical correction for Dupuytren’s disease can be surgically corrected using skin grafts. This article describes the applications of keystone principles as an alternative to John Hueston’s firebreak graft, popularised in the mid-1980s. Method: In 2003, I introduced the principle of a fenestrated, full-thickness graft to optimise graft-take and expedite healing, offering an alternative for the management of palmar defects created by surgical release. Results: The combination of reliable hypervascularity with a pain-free postoperative phase, characteristic of KPIF, ensures an easy recovery with early commencement of hand therapy. With minimal vascular complications (apart from clinical cases where diabetes and smoking are factors) the overall surgical outcome gives an aesthetic appearance matching surrounding tissues. Conclusion: Island flaps based on the keystone principle improve vascularity resulting in minimal complications with healing. Recurrence of Dupuytren’s disease following this technique has not been observed to date.
Carpal tunnel syndrome caused by persistent median artery thrombosis with a possible link to COVID-19 vaccination: a case report
Authors: Horan Emily , Romeo Pascalino , Loch-Wilkinson Anna
Published: April 2024

The authors present a case of COVID-19 vaccine-related median artery thrombosis.
Delayed debridement of Ovine Johne’s disease vaccine (Gudair) inoculation: a case series
Authors: Murphy Lisa A , Kode Gary M , Briffa James
Published: April 2024

This case series outlines the management and clinical course of seven patients who sustained unintentional inoculation with Gudair vaccine.
Genomic surveillance and sequencing of SARS-CoV-2 in Malaysia
Authors: Tajudin Norazimah , Wang Seok Mui , Kumar Darshan Chandra , Mohamad Mariam , Mohd Nawi Siti Farah Alwani
Published: April 2024

This manuscript offers an in-depth review of the genomic surveillance of SARS-CoV-2 variants in Malaysia, emphasizing the integral role of this surveillance in understanding the virus's evolution and informing public health responses. Leveraging platforms like GISAID, Nextstrain, and the Pangolin classification system, researchers in Malaysia and their global counterparts share genome sequences and clinical data of SARS-CoV-2. These tools, particularly Nextstrain for real-time tracking and visualization of viral evolution, and Pangolin for lineage classification have advanced understanding of significant mutations, such as D614G and N501Y, and their impact on virus transmissibility and pathogenicity. The study of the virus's emergence in Malaysia offers vital insights into its evolutionary trajectories, aiding in effective pandemic management. Malaysia's Genomic Surveillance Program, aligned with national immunization efforts, plays a key role in identifying and controlling COVID-19 spread. This program integrates molecular, epidemiological, and clinical data that helps the health authorities in making a decision that leads to public health intervention and policymaking. This review details the significance of genomic surveillance in Malaysia, emphasizing its impact on understanding viral evolution, monitoring variants, informing public health strategies and responses, and preparing for future infectious disease challenges effectively.
Explorando el agotamiento extremo en médicos residentes de hospitales públicos: identificación y mitigación de factores de riesgo a través de estrategias de afrontamiento eficaces
Authors: Rodríguez Marvin
Published: April 2024

El síndrome de agotamiento extremo (SAE), es una problemática laboral, afecta a profesionales de la salud, con repercusiones en la salud mental, calidad de vida, rendimiento laboral y en la prestación de servicios. El objetivo de este estudio es analizar la evidencia científica relacionada con el agotamiento extremo en médicos residentes de hospitales públicos. Para realizar esta revisión sistemática, se efectuó una búsqueda exhaustiva de artículos científicos en SCOPUS, Google Académico, Scielo, Dialnet y Redalyc, utilizando descriptores como agotamiento extremo, síndrome de burnout, médicos residentes, especialidades médicas y hospitales públicos. Los resultados revelan que la prevalencia del SAE es alta y consistente en todos los estudios revisados, afecta a más de la mitad de los residentes, sobretodo los de años superiores, sin diferencias significativas en la incidencia entre géneros y el agotamiento emocional es la subescala con mayor afectación. Los factores predisponentes incluyen la elevada carga laboral y académica, jornadas de trabajo extenuantes, maltrato e incluso abuso y acoso psicológico, físico y sexual en algunos casos. Se enfatiza sobre la necesidad de implementar medidas y estrategias, que abarquen intervenciones a nivel individual, organizacional y político, que pueden resultar efectivas en la prevención y manejo del SAE. En conclusión, el SAE en médicos residentes se atribuye a la exposición crónica a factores estresantes, como un ambiente laboral hostil, una sobrecarga laboral y académica, y la falta de intervenciones efectivas en los programas de prevención y control. Estos hallazgos resaltan la importancia de abordar de manera integral este problema en los hospitales públicos.
ESTIMATIVA TEMPORAL E ESPACIAL DO DESEMPENHO DOS MODELOS DE REGRESSÃO CALIBRADOS PARA OS FLUXOS DE CARBONO EM ÁREA DE FLORESTA TROPICAL SAZONALMENTE SECA DE CAATINGA
Authors: Silva Joélia Natália Bezerra da , Galvíncio Josiclêda Domiciano , Miranda Rodrigo de Queiroga , Moura Magna Soelma Besera de
Published: April 2024

Os ecossistemas terrestres desempenham um papel fundamental no ciclo global do carbono, mitigando os efeitos do aquecimento global. Estudos da troca de energia nos ecossistemas fornecem informações importantes para a compreensão dos fluxos de CO2 nos sistemas ambientais. Este estudo tem por objetivo estimar a Produção Primária Bruta, a Produtividade Primária Líquida e a Respiração do Ecossistema no Bioma Caatinga frente às mudanças climáticas. Foram obtidas medições e foi realizada a caracterização climática do período de 2015 a 2019 a fim de verificar se os fluxos de carbono acompanharam a sazonalidade climática da região. Os resultados apontaram que os valores médios dos fluxos foram condizentes com os padrões climáticos. Foi avaliado a variação dos fluxos de carbono diário associados as variáveis ambientais, assim também o uso e cobertura do solo para todo o domínio da Caatinga. Foram utilizados modelos a partir das faixas espectrais observadas em campo e verificadas as estimativas para diferentes ecorregiões da Caatinga. Observou-se que as áreas de altitudes (Complexo Ibiapaba-Araripe e a Chapada Diamantina) obtiveram valores mais altos de GPP, Reco e NEE, e a Depressão Sertaneja Meridional obteve valores baixos entre os anos de 2015 e 2019.
The Frequency of Depression Among Patients with Chronic Kidney Disease on Hemodialysis
Authors: Ur Rehman Ateeq , Mirza Irfan , Amir Ullah  , Rashid Tahir
Published: April 2024

Objective: To find out the frequency of depression among patients with chronic kidney disease (CKD) on hemodialysis and to know fresh local descriptive statistics and updated analysis of depression in our local population in patients presenting with chronic kidney disease on hemodialysis.

Methodology: In this study, a total of 126 chronic kidney disease patients on hemodialysis presented to Nephrology department, Nephrology Department District Headquarter Teaching Hospital, Kohat were observed from December 10, 2021, to June 9, 2022. Written informed consent was taken and all patients underwent detailed interviews using Beck Depression Inventory (BDI) score in a calm environment in nephrology OPD.

Results:  In this study mean patient age was 52 years with SD ± 8.214. Sixty-two percent of patients were male and rest were female. More than 53(42%) patients had depression while 73(58%) didn’t have depression. 

Conclusion:  Our study concludes that the frequency of depression was 42% in chronic kidney disease patients on hemodialysis. Effective screening and treatment of depression in chronic kidney disease patients are crucial for improving their clinical outcomes and enhancing their overall quality of life.

Key words: chronic kidney disease, depression, hemodialysis.
Research issues of the region as an adaptive socio-economic system
Authors: Miskhozhev E. R. , Samotuga V. N.
Published: April 2024

Aim. To consider the issues of regional management in the modern conditions of the country’s economic development, which are characterized, on the one hand, by objective factors of the world economy development, such as dynamism, complexity, instability of the foreign economic environment, on the other hand, by the unfriendly attitude of a number of Western countries, which is expressed primarily in the application of economic sanctions to Russia.

Objectives. To identify the main directions and peculiarities of the positions of various domestic and foreign authors regarding the issues of the study of the region as an adaptive socio[1]economic system; to formulate the functions and properties of the region as a system.

Methods. The authors used empirical and analytical methods of research, defined the region from the position of the system approach.

Results. The author’s vision of key properties of the region as a socio-economic system is presented, their description from the position of regional management is given. The existing approaches are analyzed and the peculiarities of the organizational and economic structure of management of the region as a system are defined, and the directions of its development in the conditions of unstable market environment are highlighted.

Conclusions. There is an obvious need to form a new methodology of regional management on the basis of the system approach, taking into account the peculiarities of modern economic realities. The first step to this is the substantiation of the region as an open socio-economic system. The idea of expediency of further improvement of the mechanism of regional management on the basis of the principles of adaptation and self-organization is put forward.
Campervans Community Lifestyle in Bandung: A Case Study in Environmental Communication
Authors: Novianti Felita Eka , Dirgantara Pradipta
Published: April 2024

Travel has evolved from mere tourism to mass tourism, focusing on leisure and recreational experiences. Nature-based tourism has become popular. Indonesia ranks 32 out of 117 in the Travel and Tourism Development Index, but limited accommodation options hinder its growth. The Ministry of Tourism plans to introduce campervans in 2022 to improve tourism quality. Therefore, research titled "Campervans Community Lifestyle in Bandung: A Case Study in Environmental Communication" is made, aiming to know the lifestyle of campervans community in Bandung as a case study in environmental communication. The research explores the campervan lifestyle in Bandung, a unique mode of transportation with various options for short-term and long-term travel. Despite its origins outside Indonesia, the lifestyle benefits society, and its adopters. However, the government in Bandung does not fully acknowledge or encourage it, leading to a demand for expedited permits and improved amenities
Implementasi Algoritma Long Short-Term Memory dalam Prediksi Konsentrasi Gas Metana (CH4) di Kota Salatiga
Authors: Putri Febyola Kurnia Tiara , Wowor Alz Danny
Published: April 2024

Implementation of the Long Short Term Memory (LSTM) algorithm is done to build a prediction model that can handle complex time series data. Model development uses training and testing data and combines multiple time series to improve prediction accuracy. Model testing is done by measuring the root mean square error (RMSE) value as a performance indicator. The test results show that the application of the LSTM algorithm to the (CH4) sensor provides an optimal RMSE value, namely with a value for training data of 20% (0.09) and test data of 80% (0.14), indicating the prediction accuracy of methane gas (CH4) concentration is potentially unexploded, the results obtained have important implications for safety monitoring. This test contributes to the development of predictive methods to monitor and manage potential risks associated with (CH4) concentrations. The application of LSTM to (CH4) sensors not only improves prediction accuracy but also opens up opportunities for the development of safety systems that can more effectively predict and prevent potentially harmful phenomena due to methane gas.
Jurnalisme Lingkungan dalam Pemberitaan Wisata Taman Hutan Mangrove di Kampung Sejahtera Kota Bengkulu
Authors: Wardani Indriati Triea , Adhrianti Lisa , Perdana Dionni Ditya
Published: April 2024

Kondisi lingkungan hidup di seluruh dunia saat ini dihadapkan pada berbagai tantangan dan perubahan yang signifikan seperti perubahan iklim, hilangnya keanekaragaman hayati, pencemaran lingkungan, dan krisis air. Penelitian ini bertujuan untuk mengetahui bagaimana pembingkaian berita wisata taman hutan mangrove di kelurahan makmur kota Bengkulu pada media Radar Bengkulu.diwsay.id dan Mongabay.co.id.  Penelitian ini menggunakan penelitian kualitatif deskriptif dengan metode analisis framing model Zhongdang Pan dan Gerald M. Kosicki yang memiliki 4 pisau analisis, yaitu sintaksis, skrip, tematik, dan retoris. Teknik pengumpulan data menggunakan data primer dan data sekunder. Penelitian dilakukan melalui observasi teks berita online pada media radarbengkulu.disway.id dan mongabay.co.id dengan jumlah 1 berita pada masing-masing portal media. Berdasarkan data yang telah ditemukan, perbandingan pembingkaian dalam informasi yang muncul dari media radarbengkulu.disway.id dan mongabay.co.id sering terlihat pada cara penyajian fakta dan pemilihan narasumber
Produksi Pesan Korporat Melalui Video Lebaran 1444 H PT Petrokimia Gresik
Authors: Setiawan Ramzy Fauza , Dirgantara Pradipta
Published: April 2024

Dalam era digital, perusahaan dihadapkan pada kompleksitas dalam menyampaikan pesan korporat secara efektif. Komunikasi digital, khususnya melalui media video, menjadi strategi yang krusial. Penelitian ini menganalisis peran komunikasi digital melalui studi kasus video Lebaran 1444 H PT Petrokimia Gresik. Analisis mengevaluasi efektivitas penggunaan komunikasi digital dan dampaknya pada persepsi serta keterlibatan audiens. Penelitian ini bertujuan memberikan pemahaman terhadap signifikansi komunikasi digital dalam menyebarkan pesan korporat serta memperkuat keterlibatan audiens di era digital. Kesimpulan menunjukkan bahwa produksi pesan korporat melalui video kreatif membuka peluang baru untuk interaksi perusahaan dengan audiens melalui media sosial, meskipun dihadapi dengan tantangan anggaran dan waktu
Dari Radio Ke Instagram Kunci PRFM Bertahan di Era Digital
Authors: Herawati Nia , Anggraini Clara Novita
Published: April 2024

Di era digital saat ini tidak banyak radio yang bertahan. Media sosial telah menjadi salah satu alat komunikasi yang berpengaruh dalam membangun citra dan hubungan dengan audiens. PRFM (Pikiran Rakyat FM) News merupakan stasiun radio yang masih bertahan hingga saat ini dan mengikuti perkembangan jaman. Tujuan penelitian ini adalah untuk mengetahui bagaimana perencanaan komunikasi Instagram PRFM (Pikiran Rakyat FM) News. Dalam upaya untuk memahami strategi yang digunakan, penelitian ini menerapkan pendekatan kualitatif dengan metode deskriptif karena memungkinkan peneliti untuk mendapatkan wawasan mendalam tentang bagaimana PRFM News beroperasi dalam menyampaikan informasi kepada audiens, Hasil dari penelitian ini diketahui bahwa PRFM mengikuti trend yang sedang berlangsung. Dengan demikian, strategi komunikasi PRFM ini dapat menjaga relevansi dan menarik minat masyarakat untuk mengkomunikasikan setiap permasalahan yang dialami PRFM juga menyoroti adanya fokus pada teknik penyusunan pesan di Instagram. Hal ini menunjukkan kesadaran akan pentingnya presentasi pesan yang efektif untuk menarik perhatian dan mempertahankan audiens
Pembinaan Terhadap Anak Putus Sekolah Melalui Program Sekolah Terbuka di SMP Terbuka Kota Banjarmasin
Authors: Surawardi Surawardi , Ihsan M. Adly Nurul
Published: April 2024

Pembinaan anak putus sekolah di SMP Terbuka Kota Banjarmasin yang meliputi; Pertama: Memberikan keterampilan berupa: Kriya Tekstil dalam bentuk; membuat kain sasirangan dan menjahit. Keterampilan pemanfaatan pengggunaan benda benda bekas seperti kaleng, botol dan benda bekas lainya dalam bentuk tempat bunga, hiasan dinding, dan hiasan kunci serta pernak pernik hiasan lainya. Keterampilan tata boga dalam bentuk membuat wadai tradisonal dalam bentuk; cara mangamir roti dan ontok, cincin, pais pisang dan waluh, gaguduh, babungku, wajik dan sebagainya.  Keterampilan Informatika dalam bentuk; mengetik dalam program word dan exel. Kedua: Mengenalkan dan menanamkan nilai-nilai keagamaan dalam bentuk; mengajarkan pendidikan agama setiap satu kali dalam seminggu pada kegiatan intrakurikuler, Ketiga: mengajarkan praktik wudhu, shalat dan tayamum, melatih dan membiasakan shalat berjama’ah waktu Ashar, membaca syair al Habsyi dan membiasakan memperingati hari-hari besar Islam seperti; Maulid Nabi, tahun baru Islam serta Isra Mi’raj. Keempat; Memberikan pendidikan baik umum maupun agama yang meliputi seluruh materi pelajaran yang tertera pada kurikulum intrakurikuler yang terdiri dari: Kriya Tekstil, PAI, Biologi, Bhs.Indo, Pkn, Bhs. Inggris, Seni Budaya, Fisika, Bhs. Inggris, Seni Budaya, Fisika, Sejarah, Geo & Sos, Ekonomi, Moluk serta SBTA. Faktor-faktor yang mendukung atau menghambat anak putus sekolah yang meliputi: Pertama, Latar belakang keluarga; ada keluarga yang menyadari pentingnya pendidikan bagi anak dan sebagian keluarga yang belum menyadari pentingnya pendidikan wajib belajar 9 tahun bagi anaknya di SMP Terbuka Kota Banjarmasin. Kedua:Faktor ekonomi: semua anak yang ada di SMP Terbuka Kota Banjarmasin berlatar belakang keluarga tidak mampu yang menyebabkan mereka tidak dapat sekolah secara reguler di SMP pada waktu pagi hari. Ketiga, Faktor lingkungan; Semua anak yang ada di SMP Terbuka Kota Banjarmasin berada pada lingkungan tempat tinggal yang kurang mendukung terhadap kesadaran wajib belajar 9 tahun yakni lingkungan buruh pasar dan kerja serabutan serta buruh bangunan, disamping itu anak masih berada pada lingkungan anak yang masih banyak putus sekolah dan tidak bersekolah lagi. Sementara faktor lingkungan sekolah merupakan faktor yang sangat mendukung yakni dengan gurunya yang berkompeten serta prasarana yang memadai yakni standar SMP reguler.
ISOLATION OF HIGHER MOLECULAR WEIGHT OF GENOMIC DNA FROM VARIOUS BODY TISSUES OF TASAR SILKWORM, ANTHERAEA MYLITTA DRURY
Authors: K Kumari , E R Seraphim
Published: April 2024

In the present study Genomic DNA was isolated from different body tissue of 3 and 5 instars larva and pupae of Tasar
silkworm, Antheraea mylitta Drury. The current article focuses to investigate the various samples for higher molecular
weight genomic DNA isolation from Tissues commonly used for molecular studies. The modication was targeted to collect the tissue and the
primary process of genomic DNA isolation. The cationic detergents used and performance was recorded in gel documentation. This article
describes the best sample to obtain higher molecular weight of genomic DNA from Tasar silkworm.
A STUDY ON HEAVY METAL CONTENT IN SINGHARA FLOUR IN INDIA
Authors: Mukherjee Ashish , Sharma Manvi , Senapati Anup K
Published: April 2024

Singhara atta is an excellent source of good carbohydrate and energy boosting nutrients like iron, calcium, zinc and
phosphorous. There are no reports regarding the level of heavy metal content in Singhara our. The objectives of this
study was to determine the concentrations of lead (Pb) and copper (Cu) in Singhara our collected from various part of India. Out of 24 samples of
Singhara our analysed, Lead (Pb) content ranged from 0.0638 ppm to 1.6929 ppm and Copper (Cu) from 0.0011 ppm to 6.1725 ppm. It was
found that 16 samples contain Lead (Pb) and all the samples for copper are within the permissible limit as specied by FSSAI. It is found that
concentration of Lead (Pb) and Copper (Cu) in all Singhara our samples collected from various regions of India is within the safe limits as
prescribed by FSSAI.
COMPARISON OF VIDEOLARYNGOSCOPE VERSUS MACINTOSH LARYNGOSCOPE FOR ELECTIVE TRACHEAL INTUBATION IN INFANTS – A RANDOMISED INTERVENTIONAL STUDY
Authors: Rathore Pratibha , Singla Sheetal , Kumar Manish , Chatterjee Rama , Dogra Neelam , AR Seethal
Published: April 2024

Background and Aims: Airways of pediatrics patients differ from adult in numerous ways.Oral, pharyngeal and laryngeal axes alignment is
required for successful conventional direct laryngoscopy and intubation. Videolaryngoscopes improve ease of intubation and is associated with
decreased movement of cervical spine by obviating the need for aligning line of sight with glottis.This study was designed to compare Tuoren
videolaryngoscope versus Macintosh laryngoscope in elective tracheal intubation in infants. Material and Methods: 132 infants of American
Society of Anesthesiologist grading I and II ,without anticipated difcult laryngoscopy were registered for this prospective randomised clinical
trial. They were allocated into either groups- Group A(n=66) infants were intubated with size 1 Tuoren videolaryngoscope and Group B(n=66)
infants were intubated with direct laryngoscope with size 1 Macintosh blade. The primary objective was to compare time taken for
intubation.Secondary objectives included comparison of rst attempt success rate, Ease of Intubation score, Intubation Difculty Score and
complications in both groups. Results: Time taken for intubation was 24.15 ±2.13 s in Group Aand 24.62 ±2.27 s in Group B (p = 0.226) and rst
attempt success rate were comparable in both the groups whereas glottic visualisation (p<0.001), Intubation Difculty Score (p < 0 .001) and ease
of intubation (p = 0.490) were better with video laryngoscope. Conclusion: The performance of Tuoren Videolaryngoscope and Macintosh
laryngoscope was similar in terms of time taken for intubation and rst attempt success rate though better glottic visualisation, ease of intubation
and lower intubation difculty score was achieved with Tuoren videolaryngoscope.
A COMPARISON OF NEBULIZED AND INTRAVENOUS LIDOCAINE FOR REDUCING BLOOD PRESSURE CHANGES DURING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION.
Authors: Thakur Shalini , Pushpinder Pushpinder , Aggarwal Supriya , Sharma Devanshi
Published: April 2024

Background: Laryngoscopy and endotracheal intubation often lead to temporary increases in blood pressure and heart rate due to the activation of
the sympatho-adrenal system. Patients with cardiovascular and cerebrovascular illnesses may have a sudden hemodynamic reaction, which may
have harmful consequences such as myocardial ischemia or infarction, arrhythmias, cardiac failure, increased intracranial pressure, and cerebral
hemorrhage. Aim: A comparison of nebulized and intravenous lidocaine for reducing blood pressure changes during laryngoscopy and
endotracheal intubation Materials and method: Aprospective randomized study was done in the Department of Anaesthesia and Critical Care at
K. D. Medical College Hospital and Research Center, Mathura, from June 2023 to Jan 2024. Ninety patients undergoing surgeries under general
anesthesia were divided into two groups. Patients of group IVL (n=45) received 2% Lignocaine 1.5mg/kg diluted in 10ml Normal saline by slow
intravenous route 90 seconds before induction, and patients of group NL (n=45) received 4ml, 4% lignocaine as nebulization 10min before
induction.Results: In Group NL, the baseline heart rate (HR) was 87.04 bpm, increasing to 112.47 bpm two minutes post-intubation, indicating a
rise of 25.43 bpm. In the IVL group, the baseline HR for this group was 87.63 bpm, with a subsequent increase to 100.02 bpm two minutes postintubation, reecting a rise of 12.39 bpm.In the NL group, nebulized lignocaine signicantly increased systolic (SBP), diastolic (DBP), and mean
arterial pressure (MAP) by notable values as compared with the IVL group. Conclusion: Our conclusion is that the administration of lignocaine
effectively mitigates the uctuations in heart rate and blood pressure induced by laryngoscopy and endotracheal intubation. Notably, the
intravenous delivery of lignocaine demonstrates superior suppressive properties when compared to lignocaine nebulization.
ROLE OF NEUROSONOGRAM IN GERMINAL MATRIX HEMORRHAGE
Authors: S.R. Amritha.
Published: April 2024

Germinal matrix-intraventricular hemorrhage is one of the most common devastating intracranial complication in preterm infants, especially those
born before 32 weeks of gestation and very-low-birth-weight infants (1). The gold standard for diagnosing GMH-IVH has been high-resolution
real-time cranial ultrasonography (CUS), which has a 96% sensitivity and 94% specicity for identifying intracranial hemorrhage (1).
ROLE OF MULTI DETECTOR COMPUTED TOMOGRAPHY IN EVALUATION OF RENAL MASSES
Authors: Yadav Vinay , Jilowa Sarita , Chandra Shivani
Published: April 2024

Detection of renal masses and their differentiation from their benign counterparts is extremely important, especially when these masses are small.
CT is the most sensitive imaging modality for detecting and characterizing renal masses as solid lesions, simple cysts or complex cysts. MDCT
with its speed, easy availability and multiplanar reformatting capabilities has emerged as the single most useful tool for characterization of renal
masses. In this review, we showcase the imaging ndings of cystic as well as solid renal masses using MDCT.
A CORRELATION STUDY OF PSORIASIS AREA SEVERITY INDEX AND FASTING BLOOD GLUCOSE LEVELS IN PSORIASIS PATIENTS
Authors: Johri Smiti , Koshley Vinod , Singh Mrityunjay Kumar , P Gongale Sayali
Published: April 2024

Background: Psoriasis is a multisystem disease of unknown origin and is universal in occurrence. The chronic inammatory nature in psoriasis is
thought to predispose the patients to other diseases with inammatory component, like cardiovascular and metabolic disorders including diabetes
mellitus. This study attempts to study the correlation between Psoriasis Area Severity Index (PASI) and Fasting blood sugar (FBS). Methods:This
was a cross-sectional study conducted in the Department of Dermatology at a tertiary care centre in central India. Patients of Psoriasis attending the
outpatient department were enrolled in the study and examined after taking informed consent. Result and conclusion: There was signicant
positive correlation between PASI and FBS.
A CROSS SECTIONAL STUDY OF AWARENESS, KNOWLEDGE, AND PERCEPTION ON COVID-19 VARIANTS VIA MEDIA SOURCES IN ADULTS OF NASHIK CITY, MAHARASHTRA
Authors: Suryawanshi Kavita , Pawar Sushil , Agrawal Amit A.
Published: April 2024

Background: With the onset of Covid-19 pandemic, multiple variants have emerged due to mutations. Post emergences of every variant, there
have been situations of public crisis and fear in people across the world. Accurate information shared about the Covid-19 variants was one of the
key factors to address public havoc. Aim: This study aimed to assess awareness, knowledge, and perception about the Omicron and Delta variants
of Covid-19 in the adult population of Nashik city, Maharashtra. Materials and Method: A cross-sectional online survey was designed and
distributed to 77 participants via email and social media platforms. Results:The majority of respondents 86.2% fell within the age range of 18 to 40
years. 90% of subjects regularly followed the media platforms of news, and social media applications- WhatsApp/ Twitter/ Facebook to receive the
updates on Covid-19 variants. The education status of these participants was not found to be related to the use of social media platforms including
news to gain information about the Covid-19 variants. 79% replied correctly for Omicron and Delta variants of Covid-19, 15% were unsure and 6%
said no. Conclusion: The majority of our study subjects followed the media for updates on Covid-19 disease. Social media apps – WhatsApp,
Facebook, and news have signicantly played a role in educating about Covid-19 variants information. We observed a high level of awareness and
perception of Covid-19 and its variants while a mid to low level of knowledge about the variants. We found a low correlation between education
status and knowledge-based responses. These ndings are valuable for examining the behavior of adults following the media and actual knowledge
of disease gained by the people.
EVALUATION OF MICROTENSILE BOND STRENGTH OF COMPOSITE RESIN WITH DIFFERENT BONDING AGENTS ON ETCHED DENTIN TREATED WITH BROMELAIN AND PAPAIN: AN INVITRO STUDY
Authors: Vijaya Bhanu Prasangi , Ramakrishna Raju Kanumuri , Saipriyanka Chinta , Diksha Jolling
Published: April 2024

Aim: Using various bonding substances, the purpose of this research is to evaluate as well as contrast the effects of 10% bromelain and papain on
the microtensile durability produced by composite resin when applied to etched dentin. Current resea Material and methodology: rch was
conducted on 30 human permanent mandibular molar teeth. Disto-occlusal & Mesio-occlusal conservative cavities were prepared, etchant
application was done for 15 seconds and rinsed with water and blot dried. Prepared samples randomly split into 2 groups/categories (n=15)
depending on the deproteinization agent used. (G1):10% Bromelain for 1 min. (G2):10% Papain (1 min) and then washed off. MO cavities treated
using Prime Bond NT bonding agent & DO cavities treated using Adper Single-Bond 2 bonding agent and restored with bulkll composite (TetricN-Ceram) and the samples subjected to thermocycling. Samples then sectioned vertically into 1mm2 thick slabs by using hard tissue microtome
and were subjected to universal testing machine for analysis of the durability of the microtensile bond. The software SPSS Statistical analysis:
version 20 (IBM, SPSS, Armonk, NY, USA) was used to conduct the statistical analysis. Data evaluation techniques include descriptive statistics
and a single direction assessment of deviation using Tukey's post-hoc testing. With a microtensile b Results: ond strength of 58.14±1.97 MPa,
Group 1 (Bromelain-MO) showed highest microtensile bond strength and Group 4 (Papain-DO) 21.92±2.86 MPa has the least microtensile bond
strength. The microtensile bond strength varied between the two groups in a statistically signicant. Every pairwise comparison shown to be
statistically signicant by Tukey's post hoc testing. : The mean microtensile bond strength values o Conclusion f bromelain treated with Prime bond
NT and Adper single bond 2 was signicantly high in comparision to papain treated with Prime bond NT and Adper single bond 2.
CLASSIFICATION OF CLEFT LIP AND PALATE - PAST TO PRESENT
Authors: Fatima Kaleem , Singh Deepak , Gandhi Anshika , Rai Priyank , Tripathi Tulika
Published: April 2024

Cleft lip and palate is the most common congenital anomaly affecting 1.6 per 1000 live births. Cleft lip and palate may involves the lip, alveolus,
hard palate and soft palate in different combinations. As cleft lip and palate involves diverse combinations and requires an interdisciplinary
approach towards treatment, a common language of communication is required. The classication of cleft lip and palate has come a long way since
the rst classication system by Davis and Ritchie in 1922 till now. This article explores the different classication systems and the evolution of
classication systems of cleft lip and palate till now
Deforestation and sustaining plant non timber forest products availability to rural households for poverty alleviation in Delta State, Nigeria
Authors: Nwandu P.I.
Published: April 2024

The paper assessedhow deforestation affects the sustainable availability of plant Non-Timber Forest Products –NTFPs-to rural households in Delta state, Nigeria. Random and Purposive sampling techniques were used for the study. All together 75 rural households’ respondentswere sampled. Focus group discussions were used to improve the data collected. Structured questionnaire wasthe main instrument used for data collection. The questionnaire was validated by experts from the field of study. Data wereanalyzed using descriptive statistics such as frequency distribution, percentages and means. Findings revealedthat deforestationtakes place through known methods like populationpressure, over-exploitation, logging and non-enforcement of Government policies. The availability of NTFPs wasnot sustained and little or no conservation measures were carried out by the rural households. Recommendations include among others that forest conservation initiatives by governmentshould allow the participation of rural households in programme formulations and executionsand management as regards NTFPs use and sustainability; there should be education and enlightenment ofrural householdson forest conservation and deforestation. There should alsobe encouragement ofthe in-situ and ex-situ cultivation of plant NTFPs andthose highly consumed in households which are atthe risk of being depleted orgoing intoextinction.
In Vivo antimicrobial activities of Allium cepa on cultured adult Clarias gariepinus (Burchell, 1822)
Authors: Oghenochuko O.M. , Akinduti A.P. , Ishola Q.O. , Kareem I.O. , Ezeri G.N.
Published: April 2024

The design of the study was to evaluate the antimicrobial activity of Allium cepa in cultured Clarias gariepinus. The proximate compositions and Mineral assay of whole A. cepa bulb and experimental diets were determined using standard methods. Microbial susceptibility assay was carried out in vitro on Staphloccocus aureus and Escherichia coli using Agar well diffusion. Bacterial isolation and identification from the different treatments and control was carried out according to standard methods. High moisture content (89.25 %) was recorded followed by carbohydrate (9.45%) and crude protein (7.21%). Experimental and control diets revealed 50 % and above crude protein content. In vitro susceptibility test of the various onion extracts and antibiotic shows susceptibility of the reference strains to the onion extracts. Bacterial isolation and identification showed the presence of pathogenic gram positive and negative coli and bacilli respectively. Results obtained for total fungi counts show the presence of both systemic and superficial fungi. Lower bacteria and fungi counts were observed 14 days after the withdrawal of experimental diets. Conclusively, onion can be used as antimicrobial agent in the culture of Clarias gariepinus.
Comparative study of turbidity removal efficiency of green pea (Cicer arietinum) seed and pod extract for turbid water treatment
Authors: Muhammad M. M , Hamisu A. J , Lawan M. A.
Published: April 2024

Natural coagulants are considered affordable and efficient substitutes to chemical coagulants for use in water treatment. The study investigated the turbidity removal efficiency of pea seed and pod extracts from surface water. Chemical and proximate analyses of pea seed and pod were evaluated. Optimum values of coagulant dose, pH and stock solution concentrations were determined using jar test. Turbidity removal efficiencies and residual turbidity of the coagulant were also evaluated. The highest turbidity removal efficiency was found to be 98% and 97% at 10% w/v stock solution concentration of the pea seed and pod extract respectively. The optimum pH suitable for coagulation of surface was found to be 6.8 and 6.6 at 10% w/v stock solution of pea seed and pod extract respectively. The pea seed and pod extract were found to be most efficient in removing turbidity from surface water at 10% (w/v) stock solution with optimum dose of 1600mg/L. The p-value was found to be 0.99, 0.0156 and 0.33 for Turbidity removal efficiency, pH and Residual turbidity of pea seed and pod respectively. Pea seed and pod turbidity removal efficiencies are statistically insignificant, but their pH and Residual turbidity values are statistically significant. The findings in this study suggest that both the Pea pod and Pea seed extract are effective in water coagulation, but pea seed extract is more effective in drinking water coagulation, while pea pod extract was cheaper and readily available.
Comparative study of biogas production from cocoa pod, maize husk, orange peels, pineapple peels, and coconut fiber co-digested with yeast
Authors: Enaboifo M.A , Adadu C.A.
Published: April 2024

The demand and cost of domestic energy in Nigeria are on the increase, primarily due to the increasing human population and demand. This is compounded by desertification, increasing the cost of electricity, industrialization, lack of alternative such as solar, wind and nuclear energy.This study was conducted in crop science laboratory Faculty of Agriculture, University of Benin, Benin City to compare the potential of biogas produced from anaerobic co-digestion of coconut fibre, cocoa pods, maize husk, orange peels, pineapple peels and yeast and to determine the effect of pH and retention time on biogas yield. The experiment was arranged in a completely randomized design with three replicates using a set of five batch reactors. The digesters were labeled A, B, C, D and E respectively. Digester A consist of 2g of yeast, 4g of coconut fibre, digester B consist of 2g of yeast, 4g of cocoa pods, digester C consist of 2g of yeast, 4g of maize husk, digester D consist of 2g of yeast, 4g of orange peels and digester E consist of 2g of yeast, 4g of pineapple peels. The pH was determined before corking the reactors. The results showed significant differences among the different substrate for biogas yield and methane component. Biodegradability of the different substrate, quality and retention time significantly affected the biogas yield in the five digesters. Digester loaded with maize husk produced significantly higher volume of biogas and methane component compared with other substrate. Increase in biogas yield for maize husk of 4g was 23.33ml with methane component of 61.78% for the 10 days hydraulic retention time. The retention time of 4, 5, 6 and 8 days significantly produced the highest volume of biogas. Based on these findings, for obtaining optimum biogas yield, maize husk and yeast blend could be a rich source of renewable energy option and would help arrest ecological disaster in addition to control of deforestation.