bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Permintaan dan Penawaran Sari Apel UD. Kholifah Kopwan Yasmin Desa Andonosari Pasuruan Dalam Mikro Ekonomi Islam
Authors: Sukamto  , Maslihatul Masfufah
Published: February 2024

Penelitian ini bertujuan untuk menganalisis permintaan dan penawaran sari apel di UD. Kholifah Kopwan Yasmin dalam teori mikro ekonomi Islam. Manusia sebagai makhluk hidup dengan kebutuhan yang beraneka ragam yang tidak terbatas, maka dalam kehidupan sehari-hari tidak akan terlepas dari transaksi permintaan dan penawaran. Permintaan dan penawaran pada sari apel UD. Kholifah Kopwan Yasmin merupakan permintaan elastis, dikarenakan konsumen sangat peka dengan perubahan harga, hal itu menyebabkan konsumen lebih memilih barang pengganti yang memiliki fungsi yang sama ketika harga sari apel lebih murah. Untuk penawaran pada sari apel merupakan penawaran inelastis sempurna, dikarenakan meskipun adanya perubahan harga tidak mempengaruhi jumlah barang yang ditawarkan, berapapun tingkat harga namun jumlah yang ditawarkan tetap sama. Fungsi permintaan terdapat hubungan saling berkaitan antara harga dengan jumlah sari minuman apel dengan permintaan konsumen berdasarkan harga dan waktu yang tidak ditentukan. Bahwa banyak dan sedikitnya jumlah minuman sari apel yang diminta di pasar tergantung pada tinggi dan rendahnya harga minuman sari apel dalam waktu tertentu yaitu pada musim perayaan hari besar Islam. Tampak pada penawaran sari apel berlaku hukum penawaran yaitu hanya berlaku pada keadaan cateris paribus. Cateris paribus adalah keadaan di mana faktor yang mempengaruhi jumlah penawaran sari apel hanyalah faktor harga sedangkan faktor yang mempengaruhi jumlah permintaan sari buah yang lain  dianggap given (tetap atau tidak berubah).
Peran Guru Bimbingan dan Konseling dalam Mengatasi Kecenderungan Perilaku Agresif Peserta Didik di MAN Asahan
Authors: Miftahur Rahmi Sitompul  , Purbatua Manurung
Published: February 2024

Aggressive behavior is behavior carried out by individuals or groups that is intended to hurt, injure, and harm other people, both individuals and groups, with intention or on purpose, both verbally and nonverbally. The aims of this study were (1) to describe the factors that cause students to behave aggressively at MAN Asahan, (2) to describe the role of the counseling teacher in dealing with the aggressive behavior of students at MAN Asahan. This study uses a qualitative descriptive research method. The subjects and objects in the study were guidance and counseling teachers and students. Research instruments are interviews, observation and documentation. The results of the study show that (1) the causes of aggressive student behavior are largely due to the hard character of students and tend to assume that the behavior they are doing is normal and due to a lack of supervision, attention and affection from parents so that children tend to feel they can do anything desired and (2) the role of the guidance and counseling teacher in reducing the aggressive behavior of students is quite good, namely by investigating the student's problems. As well as carrying out counseling services, in the form of: individual counseling services, group counseling services, etc.
Pengaruh Model Pembelajaran Blended Learning Terhadap Hasil Belajar Siswa pada Materi Sistem Gerak Manusia di Kelas XI SMAN 2 Perbaungan
Authors: Nanda Sholeha  , Indayana FebrianiTanjung  , Reflina
Published: February 2024

The justification for this exploration is to see the effect of mixed learning on the learning outcomes of motion structures. Tests are used in this exam strategy. This study used a semi-trial research design. Participants from the following two classes were selected through total sampling in this study: 35 students from XI IPA 2 as the control group, with 34 students from XIIIPA 1 as the experimental group. Based on the examination and conversation, it was obtained that the t value was 4.309 > 1.689, so that H0 was rejected and Ha was declared. The hypothesis testing table also shows the level of significance: 0.000 0.05. Thus according to the justification for the items in the independent T test, it is quite well accepted that there is a difference in the usual learning outcomes of the posttest control group and the posttest exploratory encounter. Thus it can be concluded that the blended learning model influences the activities and learning outcomes of class XI students of SMA N 2 Perbaungan.
Menyikapi Radikalisme Perspektif Hadits Nabi Saw
Authors: Ali Mohtarom  , Muhammad Nur Hadi  , Ahmad Ma'ruf
Published: February 2024

This paper explores the management of radicalism in Indonesia as an extremist and terrorist phenomenon, drawing on the hadith of Prophet Muhammad SAW. It adopts a qualitative approach and literature review as a research methodology, using the Integrative Review model. According to the Prophet's Hadith, two approaches are suggested: preventive action and repressive action. Preventive actions involve promoting attitudes of moderation, tolerance, compassion, justice, equal rights, and caution in issuing fatwas. On the other hand, repressive measures, in line with the hadith found in Sahih Bukhari and Sahih Muslim, are directed towards addressing the actions of hypocrites and khawarij to safeguard the unity of the Muslim Ummah and protect the well-being of the Muslim community..
Integrasi Pembelajaran Dengan Penelitian Dan Pengabdian Kepada Masyarakat
Authors: Muflihah Muflihah , Sholehan Sholehan
Published: February 2024

The integration of research and devotion to society in the learning process become a necessity for university. Universities in Indonesia have carried out an integrated learning process with studies and devotees to communities such as the state islamic university of sunan ampel surabaya and the state islamic university of maulana malik Ibrahim Malang. The concept of integration in the learning process was carried out to support the implementation of the tri dharma administration of the University and to suit the need for internal quality audits and accreditation of BANPT. This study is a kind of descriptive quantitative research. The results from this study are in form of integrating study with study and service to society in RPS of Arabic education department of UINSA and UINMA in luring, face to face, learning activities, structured assignment and the independent assignment.its output can be in form of artiker in a research journal and service learning in schools, a equivalency teaching in schools and interning for an integrated RPS learning output in community service.
Eksistensi Malaikat dalam Perspektif Tasawuf dan Filsafat
Authors: Mursalim  , Fansuri Fuad , Nuraini
Published: February 2024

Iman kepada malaikat adalah kewajiban bagi umat Islam yaitu meyakini bahwa mereka adalah para hamba Allah dan makhluk-Nya, mengakui bahwa kematian mungkin bagi mereka, dan membenarkan bahwa mereka adalah para utusan Allah kepada manusia. Malaikat sangat banyak jumlahnya dan dengan bentuk yang berbeda-beda. Para ahli tasawuf dan filsafat berbeda dalam memberikan pengertian dan cara mengimani malaikat. Mereka cenderung melenceng dari apa yang telah Allah dan rasul-Nya jelaskan dalam al-Qur’an dan hadis. Tak terkecuali ahli filsafat muslim banyak berkomentar tentanf malaikat, salah satunya adalah al-Ghazali dalam kitabnya Ihya Ulumuddin banyak sekali mengulas tentang malaikat.
Arabic Day Madrasah Aliyah Bilingual Junwangi Krian Sidoarjo : Program Unggulan Pengembangan Bahasa Arab bagi Peserta Didik
Authors: Hani syifa  , Khizanatul Hikmah
Published: February 2024

Madrasah Aliyah Bilingual merupakan sekolah berbasis pesantren yang memiliki program kebahasaan yang disebut program arabic day untuk mewujudkan lingkungan berbahasa (al biiah al lughowiyah). Pembelajaran lebih menekankan penguasaan pengetahuan dasar bahasa arab kemudian menerapkan dan mengembangkannya. Penelitian ini bersifat kualitatif deskriptif. Observasi, wawancara, dan dokumentasi merupakan teknik pengumpulan data yang digunakan. Tujuan penelitian ini adalah untuk mendeskripsikan pelaksanaan program arabic day, mengetahui faktor pendukung dan faktor penghambat. Hasil dari penelitian ini menunjukkan bahwa program arabic day merupakan kegiatan tambahan yang dilakukan diluar kelas untuk membantu siswa dalam memahami dan membiasakan berbicara bahasa arab. Implementasi program arabic day diawali dengan tiga tahapan, yaitu perencanaan penyusunan materi pembelajaran yang didasarkan pada kebutuhan siswa berupa buku Languange Day Program. Pelaksanaan program arabic day dilaksanakan dengan konsep pembelajaran yang berbeda saat di kelas, materi pembelajaran dikemas secara sederhana, dan metode serta model pembelajaran inovatif, kreatif, dan menyenangkan. Kemudian evaluasi yang dilakukan sebelum (Pre-test) dan sesudah kegiatan (Post Test) berupa soal-soal dasar keterampilan berbahasa. Faktor pendukung program arabic day antara lain suasana lebih menyenangkan, materi sederhana, dan metode pembelajaran lebih inovatif. Faktor penghambat kegiatan adalah kurangnya fasilitas belajar dan waktu pelaksanaan yang terbatas.
Platone e la penna rossa dello storico. Per un controesame di un luogo comune
Authors: Capra Elena Sofia
Published: February 2024

Il contributo si propone di riflettere sul pregiudizio dell’inaffidabilità di Platone in ambito storico. Dopo una breve rassegna delle critiche rivolte nel mondo antico agli “errori” storici e cronologici presenti nelle opere del filosofo, ci si concentra sui problemi posti dal riconoscimento delle date drammatiche dei dialoghi e dalla presenza in essi di allusioni e riscritture di fatti storici, mettendo in luce la fragilità tanto di
una eccessiva pretesa di precisione in riguardo a date ed eventi (soprattutto in considerazione delle attese del pubblico di Platone e della memoria storica condivisa da tale pubblico e dall’autore) quanto dell’applicazione a tutti i riferimenti storici dell’autore
di un totale scetticismo. La riflessione porta a suggerire che la categoria dell’errore sia poco adatta ai passi di carattere storico di Platone, che devono essere rigorosamente compresi nella loro specificità e possono talvolta così offrire un inedito punto di vista
sulle vicende narrate o alluse.
La Didone virgiliana e la poetica dell’errare
Authors: Giusti Elena
Published: February 2024

La tematica dell’errare accompagna la storia della letteratura latina con una semantica che abbraccia tanto le peregrinazioni dell’epica quanto la perdita del sé e il vagare proprio dell’invasamento bacchico tragico. Questo contributo ricapitola alcune tappe dell’uso metapoetico dell’error nella letteratura di età repubblicana, per poi soffermarsi sulla loro rievocazione nell’Eneide, e in particolar modo nell’episodio di Didone. Eroina “errante” par excellence (come proposto da un’antica etimologia del suo nome tramandataci da Timeo), Didone nell’Eneide diventa vero e proprio simbolo della “deviazione” dalle logiche storiche e morali che governano il poema. Allo stesso tempo,
la regina è anche capace di rievocare e commentare gli “errori” del poeta, mettendo luce su un’inconsistenza temporale del poema per esporre l’intera natura fittizia e anacronistica
del suo incontro con Enea.
Aristotelismo senza ortodossia. Il Socrate di Aspasio
Authors: Delle Donne Carlo
Published: February 2024

Nel contributo, viene esaminata l’interpretazione che Aspasio, commentatore aristotelico, avanza di Socrate. In particolare, si metteranno in luce alcune analogie con la lettura che un altro filosofo di età imperiale, Plutarco, propone del magistero socratico. Questo esame contrastivo intende mostrare come l’impiego di categorie quali “ortodossia” ed “eterodossia”, in sede storiografica, rischi di essere fuorviante: la contaminazione tra “scuole” diverse era un fenomeno ben più pervasivo di quanto simili etichette inducono a ritenere.
Errori ed emendazioni in testi grammaticali latini: paleografia, fonetica e influenza del contesto
Authors: De Nonno Mario
Published: February 2024

Si individuano errori per lo più poligenetici (paleografici, fonetici, psicologici)
in luoghi di opere grammaticali comprese nella raccolta dei Grammatici Latini (GL) di H. Keil: gli Instituta dello ps. Probo (GL IV 47, 7-11, e 182, 17-20), le cosiddette Explanationes in Donatum (GL IV 511, 1-9), Pompeo grammatico (GL V 238, 17-19), Foca (GL V 427,
21-23), Plozio Sacerdote (GL VI 509, 21-30) e lo ps. Capro (GL VIII 94, 18), e se ne propongono emendazioni.
A COMPARATIVE STUDY TO KNOW THE EFFECTS OF DEXMEDETOMIDINE AS AN ADJUVANT WITH 0.75% ROPIVACAINE FOR ULTRASOUND GUIDED AXILLARY BRACHIAL PLEXUS BLOCK FOR FOREARM AND HAND SURGERIES
Authors: Patel H S Prajwal , G Y Bhavyashree , B Sarvesh
Published: February 2024

Background: Dexmedetomidine is an selective alpha-2-receptor agonist.Various studies have been
done to describe the effects of dexmedetomidine as an additive to local anaesthetics in peripheral nerve
blocks.With the use of ultrasound guidance axillary brachial plexus block has been easier with reduced drug dosage and with
lesser complications. Objectives: To compare the effects of addition of dexmedetomidine with 0.75% ropivacaine for axillary
brachial plexus block in reference to onset of sensory and motor block and duration of analgesia. Methods: 60 patients of ASA
grade I and II posted for forearm and hand surgeries were allocated randomly into two groups of 30 each,Group R will receive
0.75% ropivacaine 20ml + Nacl 0.9%(1ml) Group D will receive 0.75% ropivacaine 20ml + dexmedetomidine 1ml(100µg).Under
ultrasound guidance axillary block was administered.Onset of sensory block was assessed by pin prick method,modied
bromage scale was used to assess the motor block,patients would be assessed post operatively for the duration of sensory and
motor blockade. present study showed that onset of sensory and motor blocks was signicantly fast Results: er in group D as
compared to group R.Also duration of motor block and duration of analgesia was prolonged in group D as compared to group
R. No statistically signicant changes in intraoperative MAP and HR,BP, spo among two groups. It was concluded 2 Conclusion:
that addition of dexmedetomidine(100µg) to 0.75% ropivacaine shortens the sensory and motor onset time, with increased
duration of analgesia and motor blockade when used for axillary brachial plexus block under ultrasound guidance without
any adverse effects.
PEDIATRIC TESTICULAR TORSION UNVEILED: COMPREHENSIVE NARRATIVE ANALYSIS
Authors: Suelta Vera Sandra Carolina , Palencia Bustos Dago Mauricio
Published: February 2024

Testicular torsion, a critical urological emergency, poses the risk of testicular loss, emerging as the most
signicant acute scrotal condition. The bell clapper deformity, characterized by inadequate testicular
attachment to the tunica vaginalis, augments testicular mobility, creating a predisposition to torsion. The resulting twisting of
the spermatic cord leads to venous compression, edema, and eventual ischemia due to arterial occlusion. Neonatal torsion
follows an extravaginal pattern, with two peak incidences, notably during puberty. Clinically, patients experience sudden,
intense testicular or scrotal pain, often accompanied by nausea and vomiting. Diagnosis primarily relies on clinical ndings,
supported by the TWIST score, and, in equivocal cases, scrotal Doppler ultrasound. Management entails immediate urological
consultation, with surgical interventions such as detorsion and orchiopexy for viable torsion or orchiectomy for nonviable
cases. Manual detorsion before surgery can salvage the testicle, and the debate over the necessity of bilateral orchiopexy
persists. Appendiceal torsion, common in boys aged 7 to 12, is clinically diagnosed, managed with analgesia and scrotal
support, with surgery (appendage removal) considered for persistent pain. Intermittent testicular torsion presents as acute,
sharp pain with rapid self-resolution, recurring intermittently in boys. In a review, 26 percent experienced nausea or vomiting,
and 21 percent reported nocturnal pain. Physical signs include mobile testes, anterior epididymis, or a bulky spermatic cord.
Clinical and radiographic evaluations may be normal, emphasizing the need for follow-up on recurrent or worsening pain.
Ultrasound, while up to 75 percent sensitive, often shows normal ndings, underscoring the diagnosis's clinical nature.
Immediate follow-up is crucial, and a seven-day reassessment is recommended if initial evaluations are unremarkable.
Awareness of intermittent torsion aids timely intervention, preventing complications and ensuring optimal care for affected
individuals.
AN ANALYSIS OF GST AND ITS IMPACT ON ONLINE PURCHASER BEHAVIOUR WITH REFERENCE TO KOLAR CITY IN KARNATAKA
Authors: Devi K Manjula
Published: February 2024

GST is a single indirect tax for the whole nation, one which will make India a unied common market. It is
a single tax on the supply of goods and services, right from the manufacturer to the consumer. Under GST,
the government has xed GST rates on 1,211 goods and 500 services in the range of 5 to 28 per cent. Therefore to identify the
impact of GST over online purchasers, the research title was developed and the survey was done with the objectives to know the
level of awareness the online purchasers have towards GST, and further study the impact of GST on Online Purchasers & there
Purchase Intention. Some of the major ndings are 83% of the respondents agree that, there is a general increase in Tax rates of
products after implementation of GST,72% of the respondents strongly agree that, return of products is complicated after
implementation of GST, 73% of respondents strongly agree that, Cancelation of products purchased online is difcult after
implementation of GST, 98% of respondents strongly agree that the product delivery is much faster. With the ndings nally it is
concluded that GST has a greater impact on online purchasers despite of this there is a greater scope for E-Retailing in future.
A CASE SERIES OF HYDATID CYST AT UNUSAL AND USUAL SITES
Authors: R. Kuchar Nikita , B. Patil Suwarna , A. Doifode Dnyaneshwar , S. Sarate Dilip. , S Talokar Pooja
Published: February 2024

Hydatid cyst disease is a type of zoonotic disease that is caused by Echinococcus granulosus. The larval
stage of the tapeworm is infective to humans. Dogs and foxes are the primary hosts; sheep and cattle act
as intermediate hosts, while humans are the accidental hosts and represent the dead end of the life cycle of larvae. Hydatid
disease can manifest anywhere in the body. In an endemic country like India, hydatid cyst disease should be kept in mind for the
diagnosis of any cystic or solid lesion.
SYNDROMES ASSOCIATED WITH DEVELOPMENTAL ANOMALIES OF THE TEETH-A COMPLETE LITERATURE REVIEW
Authors: Sundaresan .S Ganapathy , G Kishore . , Prabhakaran. M.S Lenin , Balasankari Balasankari , .P Karthika , Kumar. M Sathish
Published: February 2024

Dental anomalies are common congenital malformations which can occur as isolated ndings or part of
a syndrome. This review focuses on genetic causes of abnormal tooth development and implications of
these abnormalities for clinical care. These includes abnormalities due to shape size and structure of the tooth such as
Microdontia, Macrodontia, Amelogenesis Imperfecta ,Anodontia, Talons cusp, Dentin dysplasia, Dentinogenesis
Imperfecta.This is followed by discussion of syndromes associated with the the developmental disturbances of the tooth such as
size,shape,number and structure of the tooth . Next, we review the clinical conditions abnormalities and treatment for the
syndromes with abnormalities in the tooth size, shape, and form.
USUAL TO UNUSUAL VASCULAR COMPLICATIONS ENCOUNTERED DURING ENDOVASCULAR MANAGEMENT OF RENAL BIOPSY COMPLICATIONS
Authors: Shaik Zoya , Marupaka Sravan Kumar , Venkateswarlu J
Published: February 2024

Percutaneous renal biopsy is widely used for diagnosis, prognosis, and management of nephropathies.
Early identication and embolization of the involved artery aids in effective management of the vascular
complications and defers the need for nephrectomy. In this study, we aimed to evaluate various vascular injuries after renal
biopsy requiring interventions. Pseudoaneurysm was the most common form of arterial injury. Target vessel was identied by
angiography and successful embolization was done deferring nephrectomy. Deaths occurred due to haemorrhage.
A BRIEF OVERVIEW OF CLOUD COMPUTING
Authors: Karnakota Nandini , Yashwanth Reddy Algubelly
Published: February 2024

In the world of information technology, cloud computing has become a paradigm-shifting phenomenon
that is completely changing how people and enterprises access, store, and utilize data. The paper offers
a thorough analysis of the expansion, fundamental ideas, and applications of cloud computing. The paper starts off by
reviewing the evolution of cloud computing historically before diving into the basic service models (IaaS, PaaS, and SaaS) and
deployment structures (public, private, and hybrid) that dene the cloud environment. The paper also covers the underlying
technologies, such as virtualization, containerization, and distributed computing, that enable scalable, exible, and
reasonably priced cloud environments. An outline of security concerns in the context of the cloud, such as data encryption,
identity management, and regulatory compliance, claries the challenges and solutions to protecting data in the cloud. The
study also looks at advancements in the eld, highlighting how serverless designs, edge computing, and articial intelligence
integration may affect cloud computing in the future. The abstract concludes by outlining the real-world implications of cloud
adoption, including how it will impact resource management, business models, and IT infrastructure as a whole.
A COMPARATIVE ANALYSIS OF LAPAROSCOPIC HERNIA REPAIR AND OPEN LICHTENSTEIN'S HERNIA REPAIR
Authors: Vanura Koli Nikhil , Kumar. T Arun
Published: February 2024

This prospective comparative study explores the efcacy of laparoscopic hernia repair (Total
Extraperitoneal Repair – TEP) versus open Lichtenstein's repair in 50 cases of unilateral inguinal hernias.
Employing convenience sampling, patients were randomly assigned to undergo either technique after pre-operative
preparation. Postoperative care meticulously monitored pain, bleeding, urinary retention, and wound complications. Utilizing
statistical analyses, including descriptive statistics and chi-square tests, the study scrutinized outcomes based on specic
parameters. Results indicated a marked reduction in postoperative pain, shorter hospital stays, and earlier return to work with
TEP repair. However, TEP repair proved to be more expensive. The study's limitations include the subjective nature of pain
assessment and the challenge of long-term follow-up. These ndings contribute insights into the comparative advantages and
limitations of laparoscopic and open hernia repair techniques, aiding clinicians in informed decision-making.
KNOWLEDGE AND ATTITUDE REGARDING FALL PREVENTION AMONG NURSES
Authors: S Maheswari
Published: February 2024

Background: Falls and its consequences are major public health problem, making it the second leading
cause of accidental deaths worldwide. Fall is reported as the most frequent patient safety event occurring
in hospitals. Fall occur at a rate of 3–5 per 1,000 occupied bed-days, and the Agency for Healthcare Research and Quality
estimates that each year 700,000 to 1 million hospitalized patients fall.
Objectives:
1.To assess the level of knowledge and attitude regarding Fall prevention among nurses .
2.To associate the selected demographic variables with level of knowledge and attitude regarding Fall prevention among
nurses.
Method: A descriptive cross sectional research design was adopted. Total 50 staff nurses who fullled the sampling criteria
were selected by using non probability convenience sampling technique in a selected hospital. The data collection period was
from September 2021 to February 2022 in a selected Hospital. Results: Among 50 samples 49 [83 %] of the staff were female
and 30 [ 60 % ] of them had B.Sc [N] qualication. 23 [46 %] are 2 to 5 years experience. 31 [62% ] staff are married. 7 [14%] of
them had adequate knowledge, 11 [22%] had moderately adequate knowledge, 32 [64 %] are inadequate knowledge. 6
[12%] of them had favourable attitude , 40 [80%] had moderately favourable attitude , 4 [8 %] are unfavourable attitude.
There was no signicant association between the level of knowledge and attitude with selected demographic variables such
as the gender, educational qualications, years of experience. Conclusion: The ndings of the study revealed that the staff
nurses had lack of knowledge and attitude regarding fall prevention.
ASSESSMENT OF OBSTETRIC FACTORS AND PREGNANCY OUTCOMES IN WOMEN WITH DECREASED FETAL MOVEMENT BEYOND 34 WEEKS OF GESTATION
Authors: Sinha Anjali , Agarwal Shivani
Published: February 2024

Fetal movements are a sign of fetal well-being and its count is a non-invasive method of screening for the
fetus at risk of poor pregnancy outcomes. The wide and multifactorial etiology of decreased fetal
movements is a dilemma and data on its association with obstetric factors is conicting. Maternal perception of fetal movements
is a self-screening method for assessing fetal well-being and serves as an indirect measure of central nervous system integrity
and function. This study aims to assess obstetric factors in women with decreased fetal movement beyond 34 weeks of gestation
and its pregnancy outcomes. Summary: There was a higher incidence of poor fetal outcome and stillbirth in cases of high-risk
group. Decreased FM being an indicator of fetal compromise, fetuses with non-reassuring CTG were delivered on admission
and thus few of them were managed to have had good perinatal outcomes.
COMPARISION OF PERIOPERATIVE SERUM LACTATE LEVEL IN ON-PUMP VERSUS OFF-PUMP CORONARY ARTERY BYPASS GRAFT
Authors: Varla Hymavathi , Nethikar Rahul , Canjeevaram Vijaya Mohan
Published: February 2024

Coronary artery bypass grafting (CABG) can be performed with the use of cardiopulmonary bypass (onpump CABG) or without (off-pump CABG). Lactate is used as a marker for oxygen deciency in anaerobic
metabolism at the tissue level. Increase in tissue lactate concentration is associated with cellular dysfunction due to the
depletion of high energy phosphate compounds. This Institution based Retrospective study was done to Compare the peri -
operative serum lactate levels in patients undergoing On-pump versus Off-pump CABG Surgery. Total 20 patients were
analysed with mean age of 56.35 +- 4.33 years. EURO score-2 shows 0.85 +- 0.28 and 1.21 +- 0.54 in On-pump and Off-pump
respectively. EURO score-2 is high in Off-pump when compared with On-pump and this ndings are statistically not signicant
(p: 0.07). Peak lactate levels in On-pump& Off-pump CABG are 4.7& 5.8 mmol/dl respectively. Older studies showed that there
was a signicant association seen between lactate level and CPB. Off-pump surgery may improve short-term outcomes such as
renal failure and stroke. In our study, there were no signicant differences in postoperative patterns of release of Lactates in
patients with On-pump v/s Off-pump
ASSOCIATION OF PERIPROCEDURAL HAEMOGLOBIN REDUCTION AND MYOCARDIAL INJURY IN PATIENTS WITH UNSTABLE ANGINA UNDERGOING PERCUTANEOUS CORONARY INTERVENTION
Authors: Bagchi Sushil Kumar , Moniruzzaman Md. , Nahar Sharifun , Khalequzzaman Md. , Chowdhury Sanjib , Choudhury Amal Kumar
Published: February 2024

Background: Patients undergoing percutaneous coronary intervention are at risk of different complications such as periprocedural bleeding and
acute haemoglobin reduction that can lead to myocardial injury. Blood loss through catheter during procedure and through puncture site
haematoma causes periprocedural acute haemoglobin drop. Objectives: To nd out the association of acute haemoglobin reduction and
myocardial injury after PCI in patients with unstable angina. Methods:This prospective observational study was conducted at National Institute of
Cardiovascular Diseases (NICVD) for one year of time. Total 130 patients were enrolled based on inclusion and exclusion criteria during the study
period. Haemoglobin and troponin-I were measured before and after PCI within 24 to 48 hours of the procedure. On the basis of post procedural
acute haemoglobin level the study population were categorized into two groups: Group I patients with normal haemoglobin level and Group II
patients with signicant acute haemoglobin reduction (≥1 gm/dl). Results: Total 24 patients developed periprocedural myocardial injury, among
them 17 (70.8 %) were in reduced haemoglobin group and 7(29.2%) in normal haemoglobin group. Elevation of troponin I after PCI had higher in
group II than group I patients with statistically signicant difference. Multivariate logistic regression analysis showed that haemoglobin reduction
was an independent predictor of PMI (OR 1.94; 95% CI, 1.241-8.684; p=0.01). Conclusion: Periprocedural haemoglobin reduction in patients of
unstable angina was associated with myocardial injury after percutaneous coronary intervention (PCI).
SYNCHRONOUS OVARIAN CLEAR CELL CARCINOMA AND CARCINOSARCOMA OF ENDOMETRIUM- A RARE CASE REPORT
Authors: Koppalkar Rachana , Vaidya Kuladeepa Ananda , Geethu Geethu
Published: February 2024

Carcinosarcoma previously called as Malignant Mixed Mullerian tumour comprised of both malignant epithelial and mesodermal components. It
is an aggressive tumour with poor prognosis that constitute for about 2-5% of all uterine malignancies. Clear cell carcinoma comprises of 5-25% of
ovarian cancers. Herein we present a rare case of a 63 year old obese female with P8L8 presented with chief complaints of postmenopausal
bleeding and pain abdomen since one month. Gross examination showed left ovarian mass measured 15x12x6cm. Endometrial cavity was
distended with grey white friable polypoidal mass extending into the cervix and then protruding through the os. Microscopy from left ovarian mass
showed tumour arranged predominantly in tubulocystic and papillary pattern. Tumour cells are cuboidal to polyhedral with clear to eosinophilic
cytoplasm. Microscopy from endometrium showed biphasic tumour composed of carcinomatous and sarcomatous components. It was diagnosed
as a rare association of clear cell carcinoma of ovary with carcinosarcoma of endometrium.
GREEN SYNTHESIS OF SILVER NANOPARTICLES AND ITS BIOMEDICAL APPLICATION
Authors: Yeasmin Sabina , Bhattacharya Indrani
Published: February 2024

Silver nanoparticle have versatile application. It can be synthesised by both chemical and green method. Here in our paper we focus on the synthesis
of silver nanoparticle by green method. Fungi mediated, bacteria mediated, plant mediated synthesis were focused in this paper. This nanoparticles
can be applied in the eld of biology. Due to low toxicity it was used in different biological system. It was also used in the synthesis of
pharmaceutical drugs, cosmetics, packets or food containers. Biomedical imaging part would be also discussed in this section. Metal oxide
nanoparticles were also synthesised by using plant extract or microbes. Prepared silver nanoparticles were characterised by UV-Vis method, DLS
method. Surface plasmon resonance indicates the formation of silver nanoparticles. Silver nanoparticle have strong antibacterial, antifungal,
antidiabetes and anticancer activity.
EQUAL EFFECTIVENESS OF OMEGA-3 POLYUNSATURATED FATTY ACIDS (n-3 PUFAs) FROM CET03® AND FISH OIL IN ELEVATING THE OMEGA 3 INDEX: A 12- WEEK RANDOMIZED PLACEBO CONTROLLED PARALLEL STUDY
Authors: Wakeman M.
Published: February 2024

The nature of the source of (n3 PUFAs) can affect the bioavailability of docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). A new
source of n3 PUFA is CET03® (Omega 11 & Omega 3), which, unlike sh oil (FOil), contains high levels of the monounsaturated fatty acid
Cetoleic acid also known as Omega-11. Recent studies demonstrate that n3 PUFA from CET03® are bioavailable in human subjects, however, this
has not been investigated in comparison to other marine sources of EPA and DHA such as sh oil. The objective of this study was to examine the
effect supplementation with CET03® delivered to healthy subjects over 12 weeks on the n3 PUFA status and to compare it with the same length of
intervention with sh oil. The Omega-3 Index (O-3I)- a measurement of the DHA and EPA content of red blood cells compared to the total
percentage content of all other identiable fatty acids-was employed to quantify the n3 PUFA status of each individual in the study. Thirty
participants completed this randomized double-blind study (CET03® group: (DHA+EPA dose: 400 mg/day per 2 capsules, n = 14; FOil group:
(DHA+EPA dose: 600 mg/day/2 capsules, n = 16). At baseline, both groups exhibited comparable Omega 3 Index values-(mean ± SD) -(CET03®:
4.96 ± 1.18%, FOil: 5.55 ± 0.88%,). Following completion of the intervention, the increase in Omega 3 Index was comparable between both groups
(CET03®: 5.73 ± 1.38%; p<0.00001); (FOil: 6.24± 1.35%; p<0.0003). The study suggests that pro-rata, based on EPA and DHA equivalent dosing,
CET03® can increase the n3 PUFA status more efciently than sh oil and is therefore a credible equivalent alternative marine source of
bioavailable n3 PUFA.
ORWELL'S “SHOOTING AN ELEPHANT” AND THE DEMANDS OF EMPIRE
Authors: Sahoo Braja Kishore
Published: February 2024

In “Shooting an Elephant” George Orwell writes of his experience in
British-ruled India in the early Twentieth Century. At the time, he was a
young, inexperienced soldier stationed there to help protect the
Queen's interests. While he was there, he had to do something that had
made some ethical conicts within him.. Orwell had to kill an elephant
that had run rampant in lust throughout a village. In its wake it
destroyed a truck, a hut, and a villager. The villagers were obviously
upset about the ordeal and he was called upon to restore the order
before anything, or anyone, was hurt. Throughout the course of the
adventure, he decided that it was best to kill the animal. His reasons for
doing so, however, were not as clear-cut. He said his ultimate decision
was to not look bad in front of the villagers; and that gave him a degree
of shame. Orwell was obviously in conict within himself about his
rationale, otherwise there would be none. What is to be seen is how he
was justied in shooting the elephant, regardless of what ethical or
moral agonies he had suffered. Orwell needed to show solidarity
among the people as a man of authority. If he had not, the presence of
the troops there would deteriorate to the point of total anarchy. The
creature had also trampled a hut, killed a man, a cow, destroyed a fruit
stand and ate the contents, and destroyed a government garbage van.
These are very valid reasons to kill it, and ensure that it will never occur
again with the animal in question, as well as maintain order within the
village.
ADOPTION PATTERN OF INTEGRATED PEST MANAGEMENT IN BASMATI RICE IN HARYANA
Authors: Sehal Mohit , Pawar Neeraj , Malik D. P.
Published: February 2024

The present study was carried out with the objective to study the adoption pattern of IPM among farmers in Basmati paddy. Four districts of
Haryana namely Karnal, Kaithal, Sonipat, Jind was purposively selected. One block was selected randomly from each district. From each Block,
20 IPM and 10 CPM farmers were selected. The primary data for the agriculture year 2019-20 was collected by survey method through personal
interview of the selected farmers with the help of specially designed interview schedule. The overall ndings reveals that mostly cultural practices
are adopted by IPM farmers. The majority (70%) of the IPM paddy growers had medium level of adoption followed by high extent of adoption
(16.25%) and then low extent of adoption (13.75%). Therefore, it is suggested that the extension activity need to be intensied to create awareness
among the farmers for higher adoption of IPM technology for sustainable production of paddy
The health state of the National Health Service. Diagnosis, prognosis and therapy
Authors: Cartabellotta, N.
Published: February 2024

Il Servizio Sanitario Nazionale (SSN) italiano è nel pieno di una crisi profonda che ci sta portando dritti verso un disastro sanitario, economico e sociale, già ben evidente in diverse aree interne del Sud. Oggi nei fatti l’universalità, l’uguaglianza e l’equità – i princìpi fondamentali del SSN – sono stati traditi, con inevitabili conseguenze che condizionano la vita quotidiana delle persone. L’attuale quadro, aggravato dalla pandemia, mostra disuguaglianze regionali, carenze di personale sanitario e inefficienze nell’erogazione delle cure. Ma soprattutto non lascia intravedere alcun rilancio progressivo del finanziamento pubblico per la sanità. La spesa sanitaria pubblica rimane al di sotto delle medie europee e OCSE, contribuendo a disallineare l’Italia dagli standard internazionali. Assistiamo ad una vera e propria “frattura strutturale” tra il Nord e il Sud del Paese che si riflette sia nella distribuzione del personale medico e infermieristico che nell’esigibilità delle nuove prestazioni dei LEA. Il Piano Nazionale di Ripresa e Resilienza (PNRR) è un’opportunità per il rilancio dello SSN, ma con le attuali criticità di implementazione rischiamo di indebitare le future generazioni per finanziare un costoso lifting del SSN. La Fondazione GIMBE propone un Piano di Rilancio per “curare le patologie” che affliggono il SSN: 14 punti che rappresentano lo standard per il monitoraggio continuo delle azioni politiche di Governo e Regioni. PAROLE CHIAVE servizio sanitario nazionale (SSN); finanziamento pubblico; disuguaglianze regionali; personale sanitario; livelli essenziali di assistenza; piano nazionale di ripresa e resilienza (PNRR); privatizzazione della sanità.
Awareness and role of the diabetologist in lipodystrophic syndromes: an AMD survey
Authors: Pintaudi, B.
Published: February 2024

Le sindromi lipodistrofiche sono patologie rare caratterizzate dalla assenza più o meno generalizzata di tessuto adiposo sottocutaneo con conseguenti bassi livelli circolanti di leptina. Esse si caratterizzano per alcuni aspetti fisici peculiari quali: acantosis nigricans, ipertrofia muscolare, flebomegalia, xantomi eruttivi, aspetto progeroide, aspetto cushingoide, aspetto acromegaloide. Alcune condizioni cliniche sono inoltre comunemente associate alle sindromi lipodistrofiche: diabete mellito con elevato fabbisogno insulinico (≥ 200 unità/die o ≥ 2 unità/kg/die), ipertrigliceridemia grave (≥ 500 mg/dL), steatosi epatica. L’importanza di una diagnosi precoce e la presenza di alterazioni cliniche di ordine metabolico rendono il ruolo del diabetologo fondamentale nel riconoscere i casi ed eventualmente trattarli in modo adeguato. Allo scopo di valutare il livello di conoscenza della classe diabetologica sul tema delle sindromi lipodistrofiche è stata strutturata una survey nazionale. La survey è stata compilata complessivamente da 103 Soci AMD. Il 27.2% dei rispondenti ha dichiarato di avere familiarità con le sindromi lipodistrofiche. I rispondenti alla survey hanno dichiarato di seguire nella maggior parte dei casi (68.0%) un numero di pazienti compreso tra 1 e 50 con caratteristiche cliniche riferibili alle sindromi lipodistrofiche. Nella maggior parte dei casi (47.6%) la leptina ricombinante veniva riconosciuta come il migliore trattamento. La survey evidenzia in maniera molto chiara come vi sia la reale voglia dei clinici di essere coinvolti in iniziative di educazione e formazione relative al tema. PAROLE CHIAVE sindromi ipodistrofiche; leptina; diabete mellito.
Hydatid Cyst at Unusual Location (Spleen) - A Case Report
Authors: Kaur Harleen , Sharma Aradhana , Singh Harpal , Sethi Shivam , Kaur Kushaldeep
Published: February 2024

Echinococcosis or Hydatid disease is a zoonosis endemic in agricultural areas of the world. It is caused by tapeworm of genus Echinococcus excreted in the faeces of infected dogs. Most common site of involvement is liver (50-77%) followed by lungs (18-35%), abdominal cavity and brain. Splenic hydatid cyst is a rare entity constituting 0.5 - 4% of abdominal hydatid disease. We report a case of 62 yrs old female who presented with vague abdominal pain and vomiting. Her abdominal CECT revealed a cystic lesion with peripheral calcified foci at lower pole of spleen. All other investigations were normal except for raised serum echinococcus IgG levels. Splenectomy specimen was received and histopathological examination confirmed it as hydatid cyst. Microscopy showed outer acellular laminated membrane, inner germinal layer with scolices along with eosinophilic inflammatory infiltrate. Patients presenting with hydatid disease are usually asymptomatic or can have vague abdominal pain. The disease is associated with recurrences, fatal anaphylaxis if neglected and high morbidity and mortality, therefore it should be considered as a differential for any cystic mass found in any part of the body.
New Case of Papillary Thyroglossal Tract Cyst Carcinoma, in the Absence of Clear Guidelines, What Should Be Do?
Authors: Jadi Hamza El , Kessab Amine , Srifi Hajar , Moustaghit Imane
Published: February 2024

Thyroglossal tract cyst carcinoma (TTCC) is a rare pathological situation, The challenge is mainly in the surgical management. In this article, we report a new case of papillary TTCC in a 51 years old female patient, not suspected preoperatively and confirmed postoperatively by histological analysis of the resected specimen. The therapeutic strategy was completed by a total thyroidectomy with adjuvant treatment with radioactive iodine and hormone restraint therapy. The outcome was favorable after 7 years of follow-up. In the absence of clear guidelines, the management of TTCC depends on the clinical situation and the experience of the treating team.
Rancang Bangun Sistem Informasi Manajemen Operation OLT Aktual dan Ter-Integrasi
Authors: Fadillah Ihsan Zaky , Komalasari Rita
Published: February 2024

PT Telkom Indonesia (TELKOM) merupakan perusahaan penyedia jasa jaringan telekomunikasi di Indonesia,  dalam proses perkembangannya sangat membutuhkan integrasi data yang baik dari antar lini. Kinerja unit akan sangat ditentukan oleh kualitas pengelolaan data yang merupakan penggerak utama aktivitas bisnis perusahaan. Sistem Informasi Manajemen Operation OLT Aktual & Ter-Integrasi (SIMOOLTAN) pada Unit PED PT. Telekomunikasi Indonesia Tbk adalah sebuah solusi inovatif yang bertujuan untuk meningkatkan efisiensi dan efektivitas manajemen operasional. Sistem ini dirancang untuk memberikan pemantauan yang akurat dan terintegrasi, memfasilitasi perencanaan, rekayasa, dan implementasi yang efisien di Unit PED. Dengan fokus pada kebutuhan operasional Telkom Indonesia, SIMOOLTAN menyediakan antarmuka pengguna yang responsif,  dan fitur-fitur terintegrasi guna mendukung pengambilan keputusan yang tepat waktu. Pada penelitian ini digunakan metode Prototype untuk pengembangan sistem, pendekatan ini digunakan untuk memahami kebutuhan pengguna, merinci fitur sistem dan mendapatkan feedback, atau rilis produk yang dibuat untuk menguji konsep dan proses untuk bertindak sebagai sesuatu yang akan di replikasi atau dipelajari. Implementasi SIMOOLTAN diharapkan dapat memberikan kontribusi positif terhadap manajemen operasional, membawa dampak signifikan terhadap efisiensi layanan, dan memberikan landasan yang kuat untuk pengembangan teknologi telekomunikasi di masa depan. Untuk memenuhi kebutuhan ini, diperlukan solusi inovatif berupa sistem visualisasi data. Sistem ini dirancang untuk memberikan akses realtime, responsif, dan akurat melalui satu pintu sumber data, menggunakan teknologi terkini, memungkinkan pemantauan yang efisien, pelacakan perubahan status, dan analisis data yang mendalam dengan fokus pada kecepatan dan keakuratan.
Psikoedukasi Kesehatan Mental Pada Mahasiswa Psikologi Universitas Tjut Nyak Dhien
Authors: Fadhilah Cut Rafyqa , Liza Lubis Indah Sari , Nisfiary Reny Khaerany , Fitria Syiva , Sarah Cut
Published: February 2024

“There is no health without mental health”. Ungkapan tersebut kini telah disepakati oleh banyak pakar dan praktisi di bidang Kesehatan Mental, bahwa Kesehatan Mental sama pentingnya dengan Kesehatan Fisik. Berbagai data dan penelitian mengungkapkan angka permasalahan dan gangguan Kesehatan Mental pada individu dengan rentang usia transisi remaja menuju ke dewasa (16-24) tahun semakin meresahkan. Tujuan dilakukannya kegiatan Pengabdian Kepada Masyarakat ini adalah untuk meningkatkan pengetahuan dan kesadaran mahasiswa terkait Kesehatan Mental. Dengan adanya kegiatan ini, diharapkan dapat memberikan kontribusi untuk masyarakat khususnya kalangan mahasiwa mengenai pentingnya Kesehatan Mental dan mengurangi angka permasalahan serta gangguan Kesehatan Mental yang dialami Masyarakat Indonesia khususnya Kota Medan. Selain itu, dengan dilakukannya kegiatan ini diharapakan Mahasiswa Psikologi sebagai calon stakeholder dan praktisi Kesehatan Mental jika telah lulus nanti, serta agen perubahan-dapat menginspirasi (role model) mahasiswa di fakultas lainnya maupun remaja yang masih sekolah, untuk lebih sadar dan memahami pentingnya menjaga Kesehatan Mental. Kegiatan Pengabdian Kepada Masyarakat ini dilakukan terhadap 40 Mahasiswa Psikologi Universitas Tjut Nyak Dhien dengan bentuk penyuluhan, yaitu Psikoedukasi dengan Metode Eksperiensial. Dari kegiatan ini para mahasiswa memperoleh pengetahuan dan informasi tentang Kesehatan Mental, serta mengubah stigma negatif menjadi perilaku yang lebih sehat baik bagi dirinya maupun orang lain. Kekurangan dalam kegiatan ini adalah terbatas pada Mahasiswa Psikologi saja, oleh karenanya untuk ke depan kegiatan yang sama juga masih harus dilakukan di jurusan-jurusan lain, serta di berbagai Universitas yang ada di Kota Medan.
METHODOLOGICAL ASPECTS OF ASSESSMENT OF CONTINUITY ACTIVITIES OF BUSINESS ENTITIES DURING INTERNAL AUDITS
Authors:   PhD, Head of the Department of Financial Analysis and Audit   Tashkent State Economic University, Khazhimuratov N. Sh.
Published: February 2024

This article discusses the methodological issues of assessing the continuity of business entities in the process of audits. As a result of the research, the stages of business continuity, the impact on the reliability of financial statements, the composition of analytical procedures used to assess business continuity, the analysis of financial results of the audit organization and the impact on the types of audit conclusion are scientifically substantiated. During the research, the analytical methods for assessing the continuity of business entities have been developed. In particular, the necessity to form an audit opinion through the analysis of the financial condition and performance indicators of the business entity was highlighted. The study provides a scientific basis for the continuity of the type of audit report using international standards. The article describes how the auditor predicts the future activities of the business entity using the principle of continuity. The results of the study are used by audit organizations to conduct audits in accordance with international standards.
APPLICATION OF COGNITIVE GRAPHICS METHODS IN THE FORMATION OF A STRATIFIED TERRITORIAL SAMPLING
Authors:   Senior Researcher, Information and Mathematics Department   Republican Center for the Study of Public Opinion ", Reshetnikov I. V. ,   Izhtimoy fikr"
Published: February 2024

The paper discusses the approaches to constructing a model of a nationwide territorial sampling based on information technology, in particular, using cognitive graphics methods which improve the selection process of territorial units, a visual grouping of districts by population, types of geographical zones, etc. The article describes examples of working with specialized software designed to solve some of the applied problems of forming the office part of the sample and methods of using ready-made solutions in standard applications that can, by visualization, turn the data set into information suitable for further processing in order to generate new knowledge.