bluuebunny/crossref_metadata_2025 huggingface dataset:
Extraversion ou transmission des savoirs endogènes à travers la littérature enfantine ivoirienne ?
Authors: BOUTIN Béatrice Akissi , DANGUI Yah Nadia
Published: May 2024

Le livre littéraire pour enfants a un projet éducatif et, par-là, vise le développement personnel et social. En Côte d’Ivoire et ailleurs en Afrique, les ressources qu’il mobilise et transmet s’inscrivent, dès ses débuts, dans le débat entre modernité et tradition, ou mieux entre savoirs exogènes et savoirs endogènes. Il fait partie de tout ce que la colonisation a impliqué comme changement dans l’éducation et dans ses canaux de transmission. Notre but est de montrer à quel point se mêlent parfois aujourd’hui apports endogènes et exogènes dans les ressources du développement, en prenant appui sur le média livre enfantin qui, en soi, a été intégré dans la culture ivoirienne, en même temps que la culture dite moderne. Dans un premier temps nous rappelons quelques fondements théoriques de l’étude des illustrations des livres pour enfants ainsi que les paramètres retenus par les langues ivoiriennes pour les termes classiques de couleurs. Nous menons ensuite une étude spécifique des couleurs en lien avec les valeurs véhiculées dans les livres littéraires pour enfants, avant d’analyser le dynamisme du rapport entre endogène et exogène dans le livre littéraire pour enfants.
Role of the French Language in Regional and International Trade and Tourism Promotion
Authors: BUGINGO Don Patrick , ATCERO Milburga
Published: May 2024

Le rôle de la langue française dans le commerce régional et international et la promotion du tourisme : évaluation des avantages pour l’Ouganda pendant la pandémie de Covid-19 et l’ère numérique

La présente étude examine les principaux obstacles que rencontrent le secteur du commerce et du tourisme ougandais sur le marché francophone pendant la pandémie de Covid-19 et à l’ère numérique. L’objectif est de déterminer l’importance de la langue française pour les entreprises ougandaises et le secteur du tourisme et de l’hôtellerie sur le marché mondial. L’étude s’appuie sur une base de littérature large et diversifiée afin d’indiquer la valeur de l’apprentissage d’une langue étrangère, la manière dont une telle formation peut être utilisée et plusieurs autres considérations fondamentales relatives à la langue et à l’emploi en Ouganda. Des données ont été recueillies à partir d’une enquête par sondage auprès des entreprises en Ouganda afin de déterminer l’importance de la connaissance de la langue et de la culture françaises pour les entreprises souhaitant apparaître sur le marché francophone. Sur la base des résultats, il est recommandé que le français devienne un élément essentiel du plan stratégique de l’Ouganda. Le français est nécessaire pour une participation efficace au régionalisme et à l’internationalisme. Le multilinguisme offre un avantage concurrentiel sur le marché du travail actuel.
Pratiques et représentations linguistiques dans la communication entre les gouvernements décentralisés et leurs populations dans le comté de Kakamega au Kenya
Authors: WERE Vincent  Otaba
Published: May 2024

La langue occupe une place non négligeable dans la vie humaine comme outil d’échange et de transmission des savoirs. En Afrique, les langues africaines et les langues importées sont primordiales pour le développement équilibré de l’être humain (Diki-Kidiri 2004). Toutefois, la question du rôle des langues africaines dans les pays multilingues sur le continent africain reste largement ignorée dans les discussions sur le développement durable. Il suffit d’examiner les constitutions des pays africains tels que le Kenya pour constater que les langues indigènes ne jouissent pas de statut privilégié par rapport au développement socio-économique au sens large du terme. Or, les langues sont des ressources comme des autres sans lesquelles le vrai développement des populations africaines restera illusoire. L’objectif était de déterminer les langues utilisées par les habitants de Kakamega dans leurs échanges avec les autorités du comté et les raisons pour lesquelles ces locuteurs choisissent l’utilisation d’une telle langue par rapport aux autres.
Le questionnaire et l’entretien menés avec le chargé de communication du comté de Kakamega ont été des outils précieux pour recueillir des données sur l'utilisation des langues locales dans les communications entre les autorités locales et les habitants de cette région, située à l’ouest du pays. Ce comté a été choisi pour l'étude en raison de sa position en tant que deuxième plus peuplé après Nairobi, la capitale, ainsi que pour sa population essentiellement homogène, à l'exception des divers dialectes de la langue luhya. Les résultats de l'enquête révèlent que les langues locales sont largement absentes des échanges entre les autorités du comté et les populations locales, bien que ces dernières préfèrent être adressées dans leur langue maternelle.
Pour garantir un accès efficace aux services au niveau des comtés, il est impératif de mettre en œuvre une politique linguistique à deux niveaux de gouvernance, à savoir au niveau national et infranational. Cette politique viserait à promouvoir l'utilisation des langues régionales dans les échanges et la prestation de services, car les barrières linguistiques peuvent entraver le bien-être social et, par conséquent, le développement durable.
Tekirdağ’ın Kapaklı/Karaağaç Köyü Camii ve Mektepli Camiler Tipolojisi
Authors: İnce Gülzade Merve , İnce Cevat
Published: May 2024

Tekirdağ ili, Kapaklı ilçesi, Karaağaç Mahallesi, Karaağaç Camii restorasyon projesi ile sanat tarihi/mimari tarihçe raporu çalışması sürecinde yapının günümüze ulaşan mimari detaylarının bölgede yer alan benzer plan şemasına sahip diğer camiler ile mukayeseli incelemesinin yanı sıra literatür ve arşiv çalışmaları sonunda bugüne kadar yapılan çalışmalarda gözden kaçmış olan kendine özgü, özel bir plan şemasına sahip “mektepli camii” plan şeması karşımıza çıkmıştır. Trakya bölgesine 93 Harbi olarak isimlendirilen savaş sonrası göçen yurttaşların ihtiyacını karşılamak üzere kurulan yerleşimlerin ihtiyacını karşılamak üzere 19. yy. sonu ile 20. yy. ilk çeyreğinde inşa edilen bu camilere ait zengin bir fotoğraf arşivinin, İstanbul Üniversitesi Yazma Eserler Kütüphanesi’nde bulunan II.Abdülhamit Albümünde olduğunu tespit ettik. Ayrıca farklı kaynaklarda karşımıza çıkan planların aslında tek tip bir proje üzerinden küçük değişiklikler ile ana form korunarak inşa edildiği ve bu plan şemasında büyük külliye ya da medrese yapıları dışında tek mekan içinde okul ve cami işlevinin birlikte çözümlendiği görülmüştür. Özel bir plan şeması ile fonksiyonel ve pratik kullanıma sahip olan bu yapının bu güne kadar yapılan tipoloji çalışmaları dışında, yapılan çalışma kapsamın yeni bir cami mimari formu olduğu tespit edilmiştir.
RESEARCH IN THE FIELD OF HEALTH SCIENCE
Authors: Mekiš Nejc
Published: May 2024

Research in the broadest sense, is a cornerstone of human progress. It expands our knowledge, deepens our understanding, drives innovation, and promotes technological progress. It enables us to recognize and overcome challenges, encourages critical thinking and leads to the development of new theories and frameworks. In the field of health sciences, research plays an even more important role as it addresses the pressing needs of an aging population that is putting increasing strain on healthcare systems.
To meet the demands of this growing population, healthcare professionals must provide the highest quality of care. This can only be achieved through continued advances in health sciences driven by rigorous research efforts. Health sciences research is critical to the development of evidence-based medicine, which is the foundation for effective and patient-centered care.
Researchers are constantly developing innovative and creative methods to address complex questions. The research process embodies a systematic and meticulous approach involving the painstaking collection, organization, and analysis of information to illuminate our understanding of specific topics or research questions. This process is indispensable for solving healthcare dilemmas, making informed decisions, and advancing knowledge.
The two primary research approaches, qualitative and quantitative research, each contribute valuable insights to the field of health sciences. Qualitative research looks at the nuances of human experience and explores perceptions, beliefs and behaviors. In contrast, quantitative research focuses on numerical data and uses statistical methods to analyze relationships and patterns. Both approaches are important to understanding the complexity of health sciences and the best possible care for the patient.
ZNAČAJ SESTRINSKE KOMORE ZA UNAPREĐENJE ZDRAVSTVENE NJEGE
Authors: Konjo Hadžan , Ovčina Amer
Published: May 2024

Političari Evropske unije su zdravstvenu njegu identifikovali kao uređenu profesiju koja ima uticaj na sigurnost i javno zdravlje stanovništva uz posjedovanje karakteristika općeg javnog interesa. Zakonskom legislativom u FBiH je uređena djelatnost medicinskih sestara -tehničara, primalja, način obavljanja i organiziranja djelatnosti, standard obrazovanja i uslovi za obavljanje djelatnosti medicinskih sestara i primalja, prava, obaveze i odgovornosti medicinskih sestara i primalja, te kontrola sigurnosti i kvalitete rada. Profesionalno pravno tijelo sa jasnim ovlaštenjima, koje okuplja i zastupa medicinske sestre-tehničare različitih nivoa obrazovanja je Komora medicinskih sestara-tehničara. Pored brojnih zadataka koje Komora provodi je zagovaranje i implementacija strategija i politika od posebnog interesa za unaprijeđenje profesionalnog i stručnog razvoja. To obuhvata područje standardizacije prakse i proširenje kompetencija u skladu sa stečenim kvalifikacijama. Za ostvarenje cjelokupnih profesionalnih ciljeva neophodna je intersektorska saradnja Komore sa ustanovama koje obrazuju i upošljavaju profesionalce za zdravstvenu njegu. Koordiniranom i kontinuiranom saradnjom moguće je uskladiti zajedničke interese i ostvariti očekivanja profesionalaca u različitim nivoima prakse. Cilj je da stečene kompetencije u okviru visokoškolskog obrazovanja moraju postati operativne u radnim organizacijama. U tom procesu Komora može i mora uložiti sve napore da pomogne zdravstvenim i drugim srodnim organizacijama da razumiju i implementiraju savremene modele zdravstvene njege, te iskoriste ljudske potencijale koji se stavljaju na raspolaganje zdravstvenom tržištu u našoj zemlji. Snaga profesionalne komore je u definisanju, distinkciji, proširenju kompetencija u zdravstvenoj njezi i standardizaciji prakse, te može da bude polazna osnova za reformske procese u zdravstvenom sistemu.
U radu će biti prikazani prednosti i nedostatci u procesu koordinirane saradnje profesionalnih sestrinskih tijela, obrazovnih i zdravstvenih ustanova u zemlji.
PREVENCIJA I LIJEČENJE POLNO PRENOSIVIH BOLESTI
Authors: Panova Gordana , Kamceva-Mihajlova Gordana , Karakoleva-Ilova Marija
Published: May 2024

The terms “sexually transmitted diseases” (STDs) and “sexually transmitted infections” (STIs) are used to describe conditions in which infections or diseases can be transmitted through sexual contact. It is important to note that an individual who is infected with these infections can transmit them to others without showing specific symptoms. This possibility of not exhibiting symptoms can significantly contribute to the rapid spread of infections, as people can become infected and transmit them to others while being unaware of their own condition. In addition to sexual contact, some of these infections can also be transmitted through the use of intravenous needles or from a mother to her newborn during childbirth or through breastfeeding. STIs can have serious consequences for the health of affected individuals and can lead to significant economic costs associated with treating the diseases and their complications. It is also worth noting that there is a significant risk of mortality from these diseases, either in the acute phase of the disease or as a result of chronic forms or malignancy.
To prevent the spread of STIs, it is important to engage in safe sexual practices and use protective measures such as condoms, as well as undergo regular testing and check-ups. Raising awareness and education about these infections and prevention methods are also crucial aspects.
OCCUPATIONAL HAZARDS AND RISK ASSESSMENT IN BIOMEDICAL LABORATORIES
Authors: Šegalo Sabina , Pašalić Arzija , Mačak Hadžiomerović Amra , Serdarević Nafija
Published: May 2024

Introduction: Laboratory professionals (LP) are exposed to various hazards in the workplace, whose direct and/or cumulative effects can lead to the development of health disorders of varying severity. Our study aims to assess the level of occupational risk in biomedical laboratories.
Subjects and methods: A cross-sectional study was conducted between November 2020 and February 2021. The study included LP of all profiles in Europe, and the territorial affiliation of the respondents formed the basis for the formation of the groups studied. A validated questionnaire used for data collection was distributed online through the networks of professional associations. Based on the type of agent, frequency of exposure, characteristics of the workplace and work process, and individual factors, an occupational risk assessment matrix was created in categories ranging from low to very high. Descriptive and inferential statistical methods with a statistical significance threshold of 5% (p ≤ 0.05) were used for the statistical analysis.
Results: Significant differences in risk categorization were found between the groups studied (p < 0.001). Overall, 81.2% of LP in the European Union fall into the medium risk category, while more than half (52.1%) of LP and 1.7% of LP in Bosnia and Herzegovina fall into the high and very high risk categories. Higher education, service longer than 21 years, public sector, and biochemistry laboratory were identified as predictors of high risk, while predictors of very high risk were higher education, service of 21 to 30 years, public sector, and histopathology and molecular laboratories.
Conclusions: Lack of equipment, organizational issues and working conditions were identified as weak points that directly correlate with risk levels in biomedical laboratory workplaces. Additional efforts to control exposure in biomedical laboratories are needed to maintain the health of LP.
RAZVOJ KULTURE SIGURNOSTI U RADIOTERAPIJI – ZNAČAJ ELEKTRONSKOG SISTEMA ZA PRIJAVLJIVANJE INCIDENATA
Authors: Topčagić Muhamed , Julardžija Fuad , Pašalić Arzija , Šehić Adnan , Tinjak Enis
Published: May 2024

Kultura sigurnosti je set vrijednosti, znanja, vještina, stavova i prakse na individualnom i institucionalnom nivou organizacije radioterapijskog procesa koji uspostavlja način rada u kojem sigurnost i zaštita zdravlja predstavljaju prioritet prilikom obavljanja radnih zadataka. Razvoj kulture sigurnosti na individualnom i institucionalnom nivou postalo je jedno od ključnih sigurnosnih pitanja u savremenoj radioterapiji. Cilj ovog istraživanja je procijeniti mogućnost upotrebe elektronskog sistema za prijavljivanje incidenata u razvoju kulture sigurnosti kod zdravstvenih profesionalaca u radioterapiji i mogućnost izgradnje sistemske primjene seta vrijednosti koji omogućava obavljanje svih radnih zadataka u radioterapiji uz davanje maksimalnog priorieta sigurnosti. Kao instrument istraživanja korišten je elektronski sistem za prijavljivanje incidentata u formi strukturiranog kompjuterskog intervjua prema ROSEIS metodologiji. Na osnovu informacija prikupljenih pomoću sistema napravljena je procjena razvijenosti različitih segmenata kulture sigurnosti, predložene mjere na njenom razvoju i poboljšanju, te data pocjena njihove efikasnosti u unaprijeđenju sigurnosti u radioteapiji. Razvijena kultura sigurnosti u radioterapijskom radnom okruženju može značajno unaprijediti kvalitet radioterapijskog tretmana, reducirati pojavu incidenata, poboljšati efikasnost i efektivnost radioterapijskog tretmana. Razvoj kulture sigurnosti ne podrazumijeva samo uspostavu standardnog seta pravila, nego i promjenu stavova, ponašanja i profesionalne prakse na individualnom i institucionalnom nivou.
VAŽNOST UKLANJANJA INTERFERENCIJE U PRIJETRANSFUZIJSKOM ISPITIVANJU UZROKOVANE LIJEKOM DARZALEX – PRIKAZ SLUČAJA
Authors: Dilberović Admir , Kola Lidija , Kola Ivan
Published: May 2024

Uvod: Darzalex je monoklonsko IgG anti CD-38 protutijelo čija primjena dovodi do panreaktivnosti u testovima prijetransfuzijskog ispitivanja a sama panreaktivnost je posljedica vezivanja monoklonskog protutijela na protein CD-38 na površini eritrocita.
Ovo vezivanje onemogućuje otkrivanje antieritrocitnih aloprotutijela i osiguravanje podudarnog koncentrata eritrocita za transfuzijsko liječenje.
Cilj rada je prikazati metodu za uklanjanje intereferencije koristeći specifični DaraEx reagens.
Materijali i metode: Prikazujemo slučajeve prijetransfuzijske imunohematološke obrade 3 pacijenta koji su bili podvrgnuti terapiji lijekom Darzalex, prije i nakon početka korištenja lijeka. Prijetransfuzijsko imunohematološko ispitivanje prije početka korištenja lijeka uključivalo je određivanje krvne grupe (ABO) i Rh faktora, direktnog i indirektnog antiglobulinskog testa, Rh fenotipa i Kell antigena pacijenta. Metode rada su bile mikrokartice različitih proizvođača, antigen specifični serumi i testni eritrociti. U ispitivanjima koja su rađena nakon početka korištenja lijeka, za neutralizaciju anti CD-38 protutijela u križnoj reakciji koristio se specifični reagens DaraEx.
Rezultati: U imunohematološkom ispitivanju prije primjene lijeka, sva 3 pacijenta imala su negativan indirektni i direktni antiglobulinski test.
Nakon primjene lijeka, nađene su interferencije u prijetransfuzijskom imunohematološkom testiranju kod svih pacijenata, a antiglobulinski testovi i sve križne probe rađene s dozama koncentrata eritrocita su bile pozitivne.
Nakon obrade specifičnim DaraEx reagensom, križne probe su bile negativne, te su pacijenti potom uspješno transfudirani, bez poslijetransfuzijskih reakcija.
Zaključak: Pacijentima s dijagnozom multiplog mijeloma često su potrebne transfuzije krvnih pripravaka. Zbog lažno pozitivnih rezultata u testovima, teža je identifikacija eventualno prisutnih aloprotutijela, što ugrožava sigurnost transfuzijskog liječenja.
Stoga je važna suradnja između kliničara i laboratorija te pravovremena informacija o početku liječenja s lijekom Darzalex kako bi se napravila identifikacija važnih eritrocitnih antigena i osigurali eritrocitni pripravci podudarni u antigenu prije uzimanja lijeka.
Muscle strength and pulmonary function in individuals with chronic kidney disease: a cross-sectional study
Authors: Rocha Lívia Gomes da , Policarpo Júlio Henrique , Cunha Beatriz Luiza Marinho , Silva Juliana Rodrigues da , Marinho Patrícia Érika de Melo
Published: May 2024

Background: Respiratory muscle weakness in chronic kidney disease (CKD) is described by decline in lung function and respiratory pressures in patients who are still in the conservative stage of the treatment. Objective: To assess respiratory muscle strength and lung function in patients in stages 4 and 5 of CKD. Methods: It was a cross-sectional study developed between February and July 2015 at an university hospital, and approved by the Institutional Ethics Committee (Report No. 1.360.173). Patients of both sexes, aged between 18 and 59 years, and diagnosed with CKD stages 4 and 5 non-dialytic were included. There were collected information about gender, age, comorbidities, and length of treatment for kidney disease. Inspiratory and expiratory muscle strength (manovacuometry) and lung function [forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, and peak expiratory flow (PEF) (portable digital spirometer)] were assessed. Results: 22 patients in the CKD stages 4 and 5 participated of this study, they presented a prevalence of inspiratory muscle weakness of 70% and 75% and expiratory muscle weakness 90% and 83.3%, respectively. In terms of lung function, patients in the CKD stage 4 had lower spirometrics values. Conclusion: Patients in the stages 4 and 5 of CKD undergoing by the conservative treatment had reduced respiratory muscle strength and changes in the pulmonary function.
Forms of Human Rights Activities Implemented within the Framework of the Institute of the Financial Ombudsman
Authors: Surmeneva E. A.
Published: May 2024

The paper analyzes the activities of the Institute of the Financial Ombudsman aimed to protect the rights and legitimate interests of consumers of financial services. The paper explains that human rights protection is carried out in two forms: procedural and non-procedural. According to the author, the procedural form of the human rights protection of the Institute of the Financial Ombudsman represents public relations between the Financial Ombudsman, consumers and financial organizations in the process of considering appeals under Federal Law No. 123-FZ dated 04.06.2018 «On the Ombudsman for Consumer Rights of Financial Services» and forms consistently carried out activities of the financial ombudsman as a public entity, related to the establishment of the factual circumstances of the dispute between the consumer and the financial institution, the application of their legal norms, the definition of protective measures, the issuance of a decision and the monitoring of its execution. The paper explains such areas of human rights activities implemented in a non-procedural form as consulting and educational work, expert and analytical activities, interaction and cooperation with human rights organizations and civil society institutions, improvement of legislation, consideration of appeals in accordance with Federal Law No. 59-FZ dated 02.05.2006 «On the procedure for considering appeals from Citizens of the Russian Federation». It is concluded that the combination of procedural and non-procedural forms within the framework of the institution of the Financial Ombudsman gives human rights activities a systemic character, comprehensively ensuring protection of consumers of financial services.
A Prosecutor in Administrative Cases on Medical Intervention Necessary to Save Lives: Issues Unsettled in the Legislation
Authors: Afanasyeva T. I.
Published: May 2024

In administrative cases considered under Chapter 31.1 of the Code of Administrative Procedure of the Russian Federation, there are still many issues that reduce the effectiveness of protecting the rights of minors and incapacitated people to protect life and health. These problematic aspects include definition of the medical intervention necessary to save lives, determination of the list of persons entitled to file an administrative claim, mandatory participation of the prosecutor in these cases, the evidence base in the case, correlation with the provisions of the Family Code of the Russian Federation. The stated issues are considered based on law enforcement practice and foreign experience. The author suggests ways to overcome existing problems by means of improving legislation. Amendments are proposed to a number of articles of Chapter 31.1 of the Code of Administrative Procedure of the Russian Federation and Federal Law No. 323-FZ dated 21.11.2011 «On the Basics of protecting the Health of Citizens» concerning granting the prosecutor the right to file an administrative claim, notifying the prosecutor of the guardian’s refusal of medical intervention in relation to a person under his care, fixing unacceptable motives for refusing medical intervention, mandatory participation of the prosecutor in such cases, adjustments of the subject of proving.
The Importance of Crime Categorization for the Institutions of Competence and Jurisdiction
Authors: Mozina E. V.
Published: May 2024

The paper develops the idea that the legal significance of crime categorization is not limited exclusively to the branch of criminal law. The categorization of crimes has had a fundamental impact on the resolution of a considerable number of issues in the criminal procedure. Following the example of the institutions of competence and jurisdiction, the influence of crime classification by the level of public danger on criminal procedural law is proved. Attention is given to the fact that the categorization of crimes is one of the substantive properties that make it possible to determine the preliminary investigation (inquiry) body and the competent court. The paper not only states the importance of classifying crimes according to the level of public danger for the criminal procedure, but also draws attention to the flawed nature of some provisions that use the categorization of crimes and the closely related term «gravity of the crime.» The possibility of improving legislation by legally strengthening the position of categorization of crimes in the relevant norms is substantiated.
Beneficios de pertenecer a un grupo de apoyo de cuidadoras de niños con discapacidad múltiple: un estudio cualitativo
Authors: Rodríguez-Vélez María Elena , Cantillo-Medina Claudia Patricia , Perdomo-Romero Alix Yaneth
Published: May 2024

Objetivo. Explorar la percepción de los beneficios de participar en un grupo de apoyo de cuidadoras de niños con discapacidad múltiple. Materiales y métodos. Estudio cualitativo, enfoque etnográfico focalizado, realizado de octubre del 2022 a febrero del 2023, muestreo por conveniencia, participaron 20 cuidadoras de niños con discapacidad múltiple. La información se recolectó mediante observación participante, grupos de discusión y entrevistas semiestructuradas. Se realizó análisis temático aplicando las propuestas por Braun y Clark. Resultados. Los temas emergentes fueron: red de apoyo social: integrarse, informarse y ayudarse mutuamente; espacio de aprendizaje: se aprende a cuidar y a cuidarse; promueve el empoderamiento: identificar y enfrentar barreras de acceso. Conclusiones. El grupo de apoyo funciona como una red de apoyo social, proporciona información, reduce la incertidumbre, facilita el afrontamiento y la resiliencia tras el nacimiento y crianza de un hijo con discapacidad múltiple. Espacio donde se aprende a cuidar y a cuidarse a sí mismo y donde se promueve el empoderamiento para la defensa de los derechos de los niños con discapacidad.
Profil Sensori Kopi Blend dari Beberapa Kultivar Arabika Gayo
Authors: Putra Mardan Syah , Abubakar Yusya' , Widayat Heru Prono
Published: May 2024

Coffee diversity contributes significantly to the richness and uniqueness of taste, because each coffee type or cultivar carries out its intrinsic quality as a reflection of its genetic characteristic. The aims of this study is to examine the effect of blending of several Gayo Arabica coffee cultivars on the coffee brew sensory profile. This study uses quantitative descriptive analysis (ADK). Experimental design used is one factor ANOVA with 7 combination ratio.  Combination of 3 and 2 cultivars were also to be  analyzed with different mixing of 3 and 2 cultivars. The samples were then tested for taste including Aroma, Flavor, Aftertaste, Acidity, Body, Balance, and Overall by expert panelists. The data were analyzed using the Mann-Whitney test because the data did not have a normal/nonparametric distribution. The results of the analysis of variance showed that there was no significant difference between the blending treatment and the control treatment on the taste quality scores tested (P0.05). Based on the descriptive, there is a difference in the taste quality score between the blending treatment and the control treatment on the total score of Gayo Arabica coffee taste quality.
Analisis Kecacatan Flakes pada Produk Oriflakes di PT Serealia Prima Nutrisia Daerah Istimewa Yogyakarta
Authors: Ningtyas Farah Mustika , Kumalasari Ika Dyah
Published: May 2024

Product defects are one of the critical parameters to maintaining quality and consumer interest in marketed products. This study aims to determine the proportion of defects, types, and factors causing defects in flakes in Oriflakes products at PT Serelia Prima Nutrition suggestions for improvement are made to reduce the number of defective flakes. The method used to analyze defects that occur uses seven tools: control charts, Pareto diagrams, and fishbone diagrams. The number of flake defects is 14,8 kg for one month, the defects found in flakes are still under control because they do not cross the UCL and LCL limits. The types of flakes defects that occur are the color of the flakes that are too dark (burnt), too thick, lumpy, and the middle part is immature with the most dominant type of defect being the color of the flakes that are too dark (burnt) by 44%. Some of the leading causes of defective flakes are process and machine factors. Suggestions for improvements that can be made to prevent or reduce flakes defects are by always monitoring and checking the entire production process from weighing raw materials to the health of production tools and machines.
A New Properties of Bajakah Tampala Wood (Spatholobus littoralis Hassk) Ethanol Extract Against α-Amylase Inhibition as Candidate Antidiabetic and Its Fortification in Kapok Honey
Authors: Anggriani Rista , Harini Noor , Husna Afifa , Sukardi Sukardi , NS Maureen Danysha
Published: May 2024

Bajakah Tampala extracted with ethanol was indicated to contain phenolic and flavonoids. So far, the ethanol extract of Bajakah Tampala wood has only been analyzed for its antioxidant activity. Whereas flavonoids not only act as antioxidants but also play a role in inhibiting -amylase which is related to antidiabetic properties. The ethanol extract of Bajakah Tampala wood has never been used as a fortificant in honey. The purpose of this study was to determine the levels of phenols, flavonoids, antioxidant activity, and inhibitory activity of α-amylase from the ethanol extract of Bajakah Tampala Wood (EEBTW) at various solvent concentrations. In addition, to investigate the effect of adding EEBTW to Kapok honey on its bioactivity. This study was conducted using Post Test Only Group Design that was applied to 1% fortification of the three extracts in Kapok honey. Extraction used three concentrations of ethanol (70%, 80%, and 90%). Parameters tested in the study were total phenol, total flavonoid, antioxidant activity, and % inhibition of α-amylase. The result showed the higher the ethanol concentration, the lower the total phenolic, flavonoid, % DPPH scavenging activity, and α-amylase inhibition. The addition of 1% EEBKT has synergism with brown honey in increasing phenol, antioxidant activity, and % inhibition of α-amylase. EEBTW has the potential as an antidiabetic candidate and Kapok honey with EEBTW has the potential as functional honey
Pemanfaatan Ampas Bubuk Kopi Robusta Sebagai Campuran Bahan Baku Pembuatan Bokasi
Authors: Irfan Irfan , Bakhtiar Bakhtiar , Putra Remmy Lazuardi , Fadhil M.
Published: May 2024

Most of the coffee grounds waste is still left unattended so that it can pollute the environment. For this reason, it is necessary to have a way to use coffee grounds, such as making organic fertilizer or bokashi, in order to reduce environmental pollution and at the same time reduce the use of chemical fertilizers by farmers. The decomposition of coffee grounds tends to produce acid and lowers the pH of bokashi, so it is necessary to add alkaline ingredients. This research aimed to study the effect of the proportion of coffee grounds and fish bone meal as a mixture of raw materials in making bokashi on the quality of the bokasi produced. This research used a Completely Randomized Design (CRD) with 2 factors. Factor I proportion of coffee grounds (A: 0%, 10%, 20%, 30%). Factor II proportion of fish bone meal (T: 0%, 2,5%, 5%). Each treatment was repeated 2 times to obtain 24 experimental units. The analysis of bokashi included: total microorganisms (TCC), pH, C elements, N elements, C/N ratio, temperature, water content, and plant growth tests. The results showed that coffee grounds could be added to the raw material mixture for making bokashi up to a proportion of 30%, indicated by a good pH (neutral range) and C/N ratio (10-20) values of bokashi produced. However, plant height generally decreased. The addition of up to 5% fish bone meal in raw material mixture which contained coffee grounds could help to maintain or increase the pH of bokashi during the fermentation process, and improved plant growth.
Recent trends of interventions in labor management at a tertiary care hospital
Authors: Thakkar Nidhi D. , Agarwal Sonali N.
Published: May 2024

Background: Aim of the study were to identify the changing trends in labor management in terms of rate of cesarean section (C-section), rate of trial of labor after C-section (TOLAC), rate of primary and repeat C-section, rate of episiotomy in primi and multi-gravida and percentage contribution of red cell concentrate (RCC) to total blood transfusion.
Methods: The data was collected retrospectively for every year at SSG hospital, Baroda from 1st January 2014 to 31st December 2022. C-section rate was calculated per annum in percentage, which was again split into primary and repeat C-section rate. Leading indications for primary C-section were identified. Rate of total episiotomy, in primigravida and multigravida, trends of RCC transfusion rates and its contribution to total blood products were estimated. Appropriate statistical tests were applied to check level of significance.
Results: C-section rate contributing to total confinements increased from 30.76% in 2014 to 37.6% in 2022, which was statistically significant. Contribution by primary C-section has decreased but repeat C-section has increased over these years. Common indications for primary C-section included fetal distress, MSL, breech presentation, non-progression of labor etc. Overall rate of episiotomy has increased from 41% in 2104 to 54.4% in 2022, with decrease in primigravida and increase in multigravida over these years but these rates are not significantly changed. Contribution of RCC to total transfusion significantly decreased from 76.1% in 2014 to 66% in 2022.
Conclusions: Rate of total and for repeat C-section are increasing with time, so TOLAC and other strategies to reduce primary C-section should be focused upon. Episiotomy must not be routine and should be given when indicated only. Interventions to reduce requirement of blood transfusion must be strengthened. New oral and parenteral iron preparations should be accepted based on evidences.
A study of short cervix in mid trimester of pregnancy
Authors: Kotwal Alpesh M. , Vyas Rupa C. , Shah Sapana R. , Deliwala Kruti J. , Parikh Purvi M.
Published: May 2024

ABSTRACT
Background: Preterm birth is truly a global problem. Cervical length is one of the major determinants of preterm births. Diagnosis of cervical insufficiency can be made by history of previous mid trimester loss, on clinical evaluation or sonographically by measuring cervical length or seeing funnelling of OS. The mainstay treatment of cervical insufficiency is the cervical cerclage.
Methods: Present study includes 55 cases of cervical length less than or equal to 2.5 cm on TVS examination between 18 to 22 weeks of gestation of singleton pregnancy was conducted at department of obstetrics and gynaecology at SMT NHL medical municipal hospital, Ahmedabad from July 2022 to December 2023 and shows comparison of rate of full term and preterm deliveries.
Results: Out of 55 patients with cervical incompetence, 22 (40%) patients were diagnosed on examination. Out of 55 patients with cervical incompetence 33 (60%) patients had preterm births and only 19 (35%) patients delivered full term, 3 (5%) had abortions. Present study shows there were 35% full term deliveries, 60% preterm deliveries and 5% had abortion among patients having cervical length less than or equal to 2.5 cm.
Conclusions: Internal OS status of every patient should always be examined by ultrasound between 18 to 22 weeks. Thus, cervical length is very useful in prognostication and prediction of preterm birth. There are highest chances of late preterm in cervical incompetent patients. Our study showed better outcome with OS tightening group compared to conservative group.
Study of medical methods of abortion and self-attempted abortion
Authors: Kapadia Labdhi M. , Mewada Bhavna N. , Patel Akash J. , Vaghela Zeel R.
Published: May 2024

Background: Medical abortion in the early stages of pregnancy is considered safe, but it relies on having accurate information and support from a qualified healthcare professional. Despite this, many women opt to use medical abortion pills independently or with the assistance of unqualified practitioners, or pharmacists, as these drugs are readily available over-the-counter without requiring a medical prescription.
Methods: This retrospective analytical study was undertaken at the department of obstetrics and gynaecology, at Smt. SCL municipal general hospital, Ahmedabad between December, 2022 to December, 2023.
Results: The present study clearly suggests 50% cases of self-attempted medical abortion with drug purchased ‘over the counter’ needs surgical evacuation, 30% managed with further medical intervention and blood transfusion, while comparing with cases which were prescribed MTP Pills in tertiary health care centre need surgical intervention in only 10% cases and the complete abortion rate was 90%.
Conclusions: In India the drugs for medical abortion are easily available and accessible without prescription, so most women feel it can be carried out in privacy and they only come to hospital when they develop complications. When MTP pills are prescribed under care of properly trained healthcare personnel with proper guidelines, they have a high success rate and fewer complications.
Feto maternal outcome in pregnancy with fever
Authors: Prajapati Dipika J. , Patel Shlok V. , Panchal Nirali P. , Patel Rina V.
Published: May 2024

Background: Infection in pregnancy is a common clinical problem worldwide. The risk to the mother and the fetus is significantly increased in pregnancy complicated by fever. Effect of fever depends on the extent and duration of temperature elevation, socioeconomic status and nutritional status of mother, pre-existing co-morbidity, timing of exposure in pregnancy and several other factors. So, here we have carried out study on symptomatic antenatal patients to determine the fetomaternal outcome of various infections during pregnancy.
Methods: This prospective observational study is done to determine fetomaternal outcome of 80 antenatal patients admitted during antepartum period with fever with infectious etiology at the department of obstetrics and gynecology, At SMT. SCL hospital, between 1st April 2023 to 30th September 2023, who were either delivered or aborted.
Results: Out of 80 cases of fever in pregnancy, most common cause of fever was urinary tract infection (UTI) (31.3%) followed by upper respiratory infection (25%). fever was associated with antenatal complication such as abortion (13.8%), preterm delivery (23.7%), PROM, PPROM and etc. fetal outcome were preterm birth (23.7%), low birth weight (40%), neonatal mortality (2.5%).
Conclusions: Infection during pregnancy is a commonly encountered feature that results in an extensive array of both maternal and fetal complications. The most common cause of fever was UTI. So, all women coming for first antenatal check-up should be investigated for the presence of asymptomatic genitourinary infection. early diagnosis and treatment of them adequately with the antimicrobials decreasing the associated neonatal and maternal morbidities.
Diagnostic predicament of bilateral ovarian masses with rare and distinct histopathology
Authors: Mohan Ruchika , Bhayana Aanchal , Bagri Neha , Misra Ritu
Published: May 2024

Xanthogranulomatous oophoritis is a rare, peculiar, non-neoplastic, chronic inflammatory pathology that can mimic ovarian mass. Affected organ shows replacement of normal tissue with foamy histiocytes, multinucleate giant cells, neutrophils, fibroblasts, plasma cells and areas of necrosis within. Its aetiology is still unknown, and the final diagnosis is usually made through histopathological examination. The present case report describes an unusual presentation of simultaneous occurrence of Xanthogranulomatous oophoritis and fibrothecoma masquerading as bilateral tubo-ovarian masses in a post-menopausal female. Despite initial assumptions and suspicions of tubo-ovarian abscesses, surgical exploration revealed an unexpected pathology. Histopathological evaluation confirmed the diagnosis, emphasising the importance of vigilant and comprehensive assessment in atypical presentations.
Something left behind: a rare complication of copper-T insertion
Authors: Dubey Kanak , Chawla Latika , Rajaram Shalini , Kumari Om , Bhandari Janhawi
Published: May 2024

This case report presents a unique and intriguing clinical scenario involving an incorrect copper T insertion following a caesarean section. The case presented the importance of training in the right technique for intra-uterine contraceptive device (IUCD) insertions in peripheral health facilities and the potential risks associated with inappropriate procedures. Prompt identification and management of misplaced IUCDs are crucial in minimizing patient discomfort, preventing complications, and optimizing reproductive health outcomes.
Correlation between transcutaneous perianal ultrasonography findings and preoperative findings of fistula in ano
Authors: Islam M. Safiqul , Sayem M. Abu , Akther S. M. Quamrul , Lima Ismat J. , Mandal Sajib C. , Alam Shariful , Islam Mansurul , Al Galib M. Saba
Published: May 2024

Background: Fistula in ano is a common and challenging condition in colorectal surgery. Accurate diagnosis is crucial for effective treatment. This study evaluates the efficacy of transcutaneous perianal ultrasonography (TPUS) in diagnosing fistula in ano, comparing its findings with per-operative observations.
Methods: This cross-sectional observational study was conducted at Shaheed Suhrawardy Medical College, Dhaka, over six months. Fifty patients diagnosed with fistula in ano were included. TPUS was used to detect fistula tracts and internal openings, with findings compared to per-operative observations. Data were analyzed for sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of TPUS.
Results: TPUS demonstrated high sensitivity in detecting fistula tracts (97.80%) and internal openings (95.45%). However, specificity was lower for both fistula tracts (20.00%) and internal openings (33.33%). The PPV and NPV for TPUS in detecting fistula tracts were 91.67% and 50.00%, respectively, and 91.30% and 50.00% for internal openings. The overall accuracy of TPUS was 90.00% for fistula tracts and 88.00% for internal openings.
Conclusions: TPUS is a highly sensitive diagnostic tool for detecting fistula tracts and internal openings in patients with fistula in ano. Despite its lower specificity, TPUS can be an effective component of a multimodal diagnostic approach. Combining TPUS with other diagnostic methods can enhance the accuracy of diagnoses and improve patient outcomes.
Acute cholecystitis in a post-operated patient of subtotal laparoscopic cholecystectomy: case report
Authors: R. Muñoz Braulio , D. Gutiérrez Carlos , Pereyra de la Cruz Hugo E.
Published: May 2024

Acute cholecystitis in the remnant of the gallbladder’s wall is a rarely reported condition, which occurs in the 1.6% of all subtotal cholecystectomies, due to gallstones occluding the cystic duct. Symptomatology is variable and may be confused with other pathologies that begin after gallbladder surgery. In the following case we present an elderly woman who arrived at the emergency department with classic acute cholecystitis symptoms, she underwent a fenestrated subtotal laparoscopic cholecystectomy due to severe inflammation in the area of dissection. Ten months later, she returned with a similar clinical picture, ultrasound was performed showing a small-sized gallbladder with gallstones inside. Open cholecystectomy was performed due to adherences, the gallbladder was opened to extract the gallstones, likewise, dissection of the Hartmann's pouch until identified cystic duct, which was ligated along with the cystic artery. The patient's postoperative course was favorable, symptomatology disappeared after one day of the surgery. This is an interesting subject which needs to be widely known, therefore, we present the following case report.
Operative management of traumatic rupture of diaphragma in elderly with Bochdalek hernia: a rare case report
Authors: Hotiatun  , Sinuraya Lauraine W. , Hayuningrat Prima K. , Soebandrijo
Published: May 2024

Diaphragmatic hernia is a displacement of the abdominal viscera organs into the thoracic cavity due to a defect in the diaphragm. The most common type is failure fusion of the Bochdalek’s foramen. We report the case of a 76-year-old woman with discomfort in the right chest area since 1.5 months ago. Shortness of breath and nausea accompanied the complaints. The patient admitted that eight months before hospital admission, she was hit by a motorbike, fell towards the back, and hit her back. After the incident, the patient reported one episode of hematemesis and melena. On physical examination, the conjunctiva was pale. The anterior and posterior thoracic regions appeared asymmetrical, the fremitus was asymmetrical, and there was increased diaphragmatic excursion with bowel sounds on the right thorax. An image that leads to a right Bochdalek hernia was obtained on thoracic multi slice computed tomography (MSCT) with contrast. The patient underwent thoracotomy and diaphragm repair using mesh. The thoracic approach aims to reduce visceral-pleural adhesions and visceral intrathoracic perforation. Right-sided Bochdalek hernia in the elderly is rare, but trauma is very likely to occur and worsen the patient's condition. Late diagnosis and inadequate management are associated with incarceration and strangulation with high mortality rates. In this case, thoracotomy approach proved to be a useful method for hernias due to chronic defects in the diaphragm.
A rare case of invasive intestinal mucormycosis: a case report
Authors: Parmar Mohini , Bhadreshwara Kamlesh A. , Kanajariya Tushar
Published: May 2024

Mucormycosis is an uncommon, life threatening infection, also known as zygomycosis. Most infections are fatal. We reported a case of a 38 year old male patient who presented with generalised abdominal pain, fever and vomiting for 15 days. Patient was a known case of chronic kidney disease. On per abdominal examination, guarding and rigidity were present. Patient was taken for an emergency exploratory laparotomy. Approximately 1500 ml toxic fluid with faeces was drained on entering the abdominal cavity. Sloughed out caecum with multiple perforations and gangrenous terminal ileum with ascending colon was seen. Non-viable segments were resected and stoma was given. Resected segment was sent for histopathological examination. On histopathological examination, invasive small intestinal mucormycosis with acute on chronic inflammation with ulceration, perforations and serositis with hemorrhagic necrosis and infarction was found. Patient vitally deteriorated in the post-operative period and succumbed to death due to cardiac failure with septicemia.