bluuebunny/crossref_metadata_2025 huggingface dataset:
A Clinical Case of Delayed Facial Nerve Suitation after Its Damage During Excision of a Dermoid Cyst of the Paratious Region in a Child
Authors: Диаб Х.М. , Пащинина О.А. , Михалевич А.Е. , Зухба А.Г. , Пирогова Н.Е. , Харири М.
Published: November 2023

Паралич лицевого нерва представляет собой тяжелую патологию различной этиологии (инфекционная, травматическая, интраоперационная), ведущую к функциональным нарушениям, угнетению эмоционального состояния. Для периферического поражения лицевого нерва характерно маскообразное выражение лица с широко раскрытой глазной щелью, слезотечением и опущенным углом рта на стороне заболевания. Подобная картина с выпадением функции всех или отдельных групп мимических мышц может быть обусловлена повреждением нерва на разных участках сложного пути, который он проделывает, начиная от коркового двигательного центра до концевых разветвлений мышц лица. Очень важно выявить уровень и глубину поражения лицевого нерва для выбора рациональной тактики дальнейшего хирургического лечения. В статье описан клинический случай реконструкции лицевого нерва у ребенка 2 лет после повреждения нерва при иссечении дермоидной кисты левой околоушной области. В данном случае был применен способ реиннервации мимической мускулатуры лица путем нейрорафии лицевого нерва «конец в конец» с одномоментным повторным полным иссечением свищевого хода под контролем нейромониторинга.

Facial paralysis is a severe pathology of various etiologies (infectious, traumatic, intraoperative), leading to functional disorders, depression of the emotional state. Peripheral lesions of the facial nerve are characterized by a mask-like facial expression with a wide-open palpebral fissure, lacrimation, and a lowered corner of the mouth on the side of the disease. Such a picture with loss of function of all or individual groups of facial muscles may be due to damage to the nerve in different parts of the complex path that it makes, starting from the cortical motor center to the terminal branches of the muscles of the face. It is very important to identify the presumptive level and depth of damage to the facial nerve in order to select a rational tactic for further surgical treatment. The article describes a clinical case of "end to end" suturing of the facial nerve in a 2-year-old child after its injury during excision of a dermoid cyst in the left parotid region. In this case, a method was used to reinnervate the mimic muscles of the face by means of end-to-end neurorrhaphy of the facial nerve with simultaneous repeated complete excision of the fistulous tract under the control of neuromonitoring.
Learning from Learning Loss: Bayesian Updating in Academic Universal Screening During Learning Disruptions
Authors: Hall Garret , Doyle Emma
Published: November 2023

We used Bayesian ordinal regression methods to examine the sensitivity of reading and math screening accuracy before and following learning disruptions related to the COVID-19 pandemic. Using a Bayesian updating procedure in which model estimates from previous years are used as Bayesian priors in following years, we find that reading and math screening accuracy was similarly predictive before and following COVID-19 prolonged unplanned school closures (PUSCs) and subsequent learning disruptions (odds ratios range across years: 15-25). We additionally find that this predictive accuracy varied across grade levels, but this grade variation was insensitive to learning disruptions. These findings demonstrate the practical applicability of Bayesian updating to universal screening accuracy, particularly in the context of PUSCs or other learning disruptions that may impact student academic needs. Limitations and future directions for Bayesian methods in screening are discussed.
ORÇAMENTO POR DESEMPENHO NO ENSINO SUPERIOR: UMA REVISÃO DE LITERATURA
Authors: Gaivota Silveira Nauana , Cezar Bornia Antonio
Published: November 2023

No ensino superior, os processos de avaliação de desempenho e alocação orçamentária são críticos. O Performance-Based Budgeting (PBB), em português Orçamento por Desempenho, relaciona os resultados mensuráveis das políticas públicas com os recursos aplicados nos programas do governo e, portanto, possibilita a criação de informações úteis ao processo decisório dos gestores públicos. Sua adoção decolou durante 1985-1995 e hoje já se fez presente em 33 países, entretanto, enfrenta diversas dificuldades na sua implementação. Neste cenário, o objetivo desta pesquisa é analisar quali e quantitativamente as publicações científicas especializadas com o tema Orçamento por Desempenho relacionadas às Instituições de Ensino Superior para identificar a viabilidade da aplicação prática da ferramenta nessas instituições. Foi utilizado para tal, o processo estruturado de revisão bibliográfica, sendo selecionados 27 artigos para o portfólio final. Com maior expressividade nos anos recentes (2019, 2020 e 2021), o tema ainda tem potencial de contribuição. A crescente de trabalhos com abordagem quantitativa traz contribuições para os trabalhos qualitativos, trazendo maior potencial de generalização e reduzindo possibilidades de viés. Os estudos demonstram a viabilidade da aplicação do PBB em Instituições de Ensino Superior, ainda que seja conhecida a complexidade da mensuração dos resultados nesta área. A carência de detalhes operacionais da aplicação do Orçamento por Desempenho surge como uma lacuna. Estudos com maior detalhamento poderão propiciar a evolução do conhecimento de forma mais escalonada, evitando retrabalhos e reincidência nas mesmas dificuldades e barreiras. Apesar da alta difusão mundial, com pesquisas e aplicações em países em desenvolvimento, os estudos na América Latina e, em especial, no Brasil, ainda são escassos.
DESENVOLVIMENTO DE UM SISTEMA DE DESTILAÇÃO DE ÁGUA EM CICLO FECHADO E SUBMETIDO À DESTILAÇÃO DE ÁGUA COM ELEVADA DUREZA
Authors: Karlo  Acosta Mendonça Jean , Fagundes Martins Jurandir
Published: November 2023

O grande desafio da humanidade é conciliar o seu desenvolvimento com a manutenção dos recursos naturais, de modo que as sucessivas gerações tenham o mesmo acesso a esses recursos. A água doce é um dos recursos naturais de grande importância, cujo uso deve estar em constante processo de melhoria. No Instituto Federal Farroupilha, os aparelhos destiladores dos laboratórios funcionam descartando a água que sobra do processo. Cada destilador descarta aproximadamente 50 L de água potável para destilar 1 L de água. O volume de descarte é muito alto considerando os números mensais ou anuais de desperdício, o que implica em gasto de recursos públicos e mau uso dos recursos hídricos. A cidade de São Vicente do Sul, no Rio Grande do Sul, tem a água com elevada dureza, em torno de 15 vezes maior do que cidades mais próximas a ela. A elevada dureza da água aumenta drasticamente a frequência de limpeza do destilador e reduz a durabilidade da sua resistência elétrica. Para minimizar essas três questões, construiu-se um sistema de ciclo fechado, no qual a água que entra no destilador e a que sai como descarte é a mesma contida em um reservatório de 210 (duzentos e dez) litros. Uma bomba de água envia a água do reservatório até o destilador, e o volume de água destilada sai desse sistema e gera a necessidade de reposição de água no reservatório. Este estudo também comparou o sistema proposto com um sistema aberto e os resultados mostraram uma economia de água, redução da frequência de limpeza e aumento da durabilidade do destilador.
Analysis of Pending Claims in Cases of Mistakes in Codification of Diagnosis in the INA-CBGs Claim Problem Solution Management Guide
Authors: Yastori Yastori
Published: November 2023

Pending claims are a problem and a challenge for coders along with the presence of Minister of Health Regulation No. 24 of 2022 which provides greater challenges for coders in clinical classification coding activities. This research was carried out from March to May 2023 at Hospital Casemix Department in Bukittinggi. The implementation of this research started from collecting secondary data using observation, interviews and documentation methods. Processing and analyzing data by collecting, tabulating and narrating, and analyzing descriptively with a retrospective approach based on relevant regulations. The non-random sampling technique used in sampling is Purposive Sampling. The research results showed that there were 5 cases of pending claims that experienced errors in the codification of the claim diagnosis. Codification errors are caused by mismatches in management and resources, the emergence of mortality codes, and discrepancies in examination result values with the diagnosis criteria claimed in accordance with the BPJS Minutes Management Guide for Solutions to INA-CBGs Claim Problems.
Xylophagous insects (Insecta: Coleoptera, Hymenoptera, Lepidoptera) of Populus sp. (Malpighiales: Salicaceae) in the eastern regions of Ukraine
Authors: Skryknyk Yu. Ye. , Zhupinska K. Yu. , Koshelyaeva Ya. V. , Meshkova V. L.
Published: November 2023

72 species of xylophagous insects were identified under the bark and in the wood of poplars and aspens, including Coleoptera (66 species), Lepidoptera (5 species), and Hymenoptera (1 species). There were 40 Cerambycidae, 19 Buprestidae, 7 Curculionidae, 2 Sesiidae, 3 Cossidae, 1 Siricidae species. 5 monophagous, 14 oligophagous, and 53 polyphagous insects were identified. The frequency of occurrence of all species is estimated. Single and rare species predominate (33 and 26 species, respectively). There were 9 common species and 4 abundant species. All abundant species are polyphagous
Implementasi Metode Naïve Bayes Pada Penentuan Mutu CPO (Crude Palm Oil)
Authors: Efendi Rusdi , Faurina Ruvita , Hamimmah Tiya Suci
Published: November 2023

Kelapa sawit merupakan sumber minyak nabati yang sangat produktif dan menghasilkan minyak nabati tertinggi dibandingkan tanaman perkebunan lainnya menjadikan latar belakang penelitian ini. Tujuan penelitian ini melakukan klasifikasi mutu CPO (Crude Palm Oil) kedalam 2 kelas klasifikasi menggunakan metode Naïve Bayes. Dengan adanya klasifikasi ini diharapkan dapat mengurangi human error dalam dalam penentuan mutu CPO. Parameter yang digunakan dalam peneltian ini adalah kadar asam lemak bebas, kadar air dan kadar kotoran yang sangat berpengaruh terhadap mutu CPO. Dengan menggunakan teknik split data pada saat vaidasi,  data dibagi menjadi data latih dan data uji sebesar 70:30. Berdasarkan hasil pengujian menggunakan confussion matrix, penggunaan metode Naïve Bayes terhadap data yang telah diambil pada objek penelitian diperoleh tingkat akurasi sebesar 97.7 % atau termasuk dalam kategori excellent. Sementara nilai Spesifisitas sebesar 95.8 %, nilai recall sebesar 100% dan Presisi sebesar 95.4%.
Analisis Kualitas Jaringan Internet di Gedung Guntur: Studi Kasus pada Tenant Call Center PT Jasnita Telekomindo
Authors: Zibaltar Thoriq , Ramayanti Desi
Published: November 2023

Penelitian ini dilakukan untuk mengukur kualitas jaringan internet di Gedung Guntur, yang merupakan gedung milik PT Jasnita Telekomindo dan memiliki tenant call center. Staff agen call center mengeluhkan lambatnya koneksi internet saat melakukan input laporan di CRM dan melakukan panggilan telepon dengan pelanggan. Oleh karena itu, penelitian ini bertujuan untuk melakukan pengukuran parameter jaringan, seperti throughput, delay, dan packet loss, dengan menerapkan Quality of Service (QoS) pada data voice dan CRM. Pengukuran dilakukan menggunakan perangkat lunak Axence Net Tools 5. Hasil pengujian menunjukkan bahwa parameter bandwith memiliki nilai 3.086 Kbps, throughput memiliki nilai 1.918 Kbps, delay memiliki nilai 1 ms, dan packet loss memiliki nilai 0%. Jika hasil pengujian tersebut disesuaikan dengan standarisasi TIPHON, maka nilai parameter tersebut mencapai indeks 4, yang menunjukkan kualitas jaringan yang sangat baik. Penelitian ini memberikan pemahaman yang lebih jelas mengenai kualitas jaringan internet di Gedung Guntur dan memberikan indikasi bahwa jaringan tersebut memenuhi standar TIPHON. Hasil penelitian ini dapat digunakan sebagai dasar untuk mengidentifikasi langkah-langkah perbaikan atau peningkatan yang diperlukan untuk meningkatkan kualitas layanan di Gedung Guntur.
Sistem Pakar Untuk Mengidentifikasi Hama Dan Penyakit Pada Tanaman Jagung Menggunakan Metode Teorema Bayes Berbasis Web
Authors: Efendi Rusdi , Zarkani Agustin , Ristianah
Published: November 2023

Jagung merupakan salah satu tanaman pangan penghasil karbohidrat yang paling banyak di konsumsi oleh masyarakat global, selain gandum dan padi. Banyaknya tanaman jagung yang diserang hama dan penyakit dapat mengganggu produktivitas jagung dan perekonomian masyarakat karena tanaman jagung bisa menjadi rusak sehingga dapat mengakibatkan turunnya harga dan kualitas hasil panen. Tujuan sistem ini agar dapat membangun sistem pakar untuk mengidentifikasi 8 jenis penyakit dan 9 hama pada tanaman jagung dari 49 gejala dengan menggunakan metode Teorema Bayes, serta mempermudah petani jagung dalam melakukan pengendalian setelah mengetahui adanya hama dan penyakit yang teridentifikasi. Metode Teorema Bayes adalah salah satu metode untuk mengatasi ketidak pastian suatu data. Dimana metode ini didasarkan dari kondisi awal dimana kondisi awal merupakan kondisi gejala-gejala yang ada kemudian dikenakan aturan yang sudah ditentukan lalu diambil nilai kebenaran yang paling besar untuk menentukan kesimpulan dan solusi dari gejala yang telah disebutkan sebelumnya[1]. Hasil fungsionalitas 100% teruji berhasil melalui pengujian black box. Hasil evaluasi akurasi dari Metode Teorema bayes  untuk mengidentifikasi hama tanaman jagung sebesar 94,23%.
Single Exponential Smootihing (SES) Untuk Prediksi Penjualan Alat Kesehatan Pada Toko Alat Kesehatan JK Medika Prabumulih
Authors: Septiyaputrisalasih Septiya_putri_salasih , Zaid amin
Published: November 2023

Pada kebanyakan perusahaan di berbagai kota toko penjual alat kesehatan salah satunya yaitu kota Prabumulih.  Kota Prabumulih terdapat toko penjualan alat kesehatan J medika, dimana penjulan toko tersebut terkadang terjadi penurunan atau peningkatan penjualan, sehingga menyebabkan sering terjadinya kekurangan stok barang akibat dari tidak adanya prediksi kebutuhn barang. Maka dibutuhkan prediksi atau peramalan terhadap penjualan alat kesehata. Hal tersebut guna memprediksi ketersediaan barang kedepanya. Peramalan menjadi unsur penting dalam proses pengambilan keputusan, peran peramalan diberbagai bidang, seperti keuangan, pemasaran, produksi, ekonomi, riset operasional, kependudukan dan lain sebagainya. Kegiatan peramalan memiliki hasil prediksi di masa depan untuk menjadi salah satu usaha perusahaan dalam pengambilan keputusan strategi keberlangsungan usaha. Metode Single Exponential Smoothing, dimana metode Single Exponential Smoothing menjelaskan bahwa data mengalami ketidak stabilan di sekitar nilai rata-rata yang stabil. Hasil prediksi di masa depan untuk menjadi salah satu usaha persiapan jumlah barang alat Kesehatan. Adapun hasil penelitian ini menunjukan jumlah kebutuhan barang pada tahun 2023. Berdasarkan hasil penelitian, Single Exponential Smoothing menghasilkan prediksi kedepanya persediaan barang berjumlah 306 alat kesehatan.
Perancangan UI/UX Aplikasi Mobile Penjualan Pada Toko Up Store Menggunakan Figma
Authors: Mandani Ardi , 2Ahmad Mutatkin Bakti
Published: November 2023

Today's digital environment, mobile applications are essential for improving user experience and sales reach. This study will use Figma software design to create a user interface (UI) and user experience (UX) for mobile app sales on Up Store. Figma, an online prototyping platform, can be used to create web or mobile applications. Programmers can contribute to the figma project by writing their own code. The process used to create this design is called Design Thinking. Design Thinking focuses on understanding users, developing ideas, and testing solutions through iterative cycles. This strategy will help in defining user needs, understanding the context of use, and creating an acceptable and efficient design. This research resulted in a mobile application UI/UX design that complies with sound design principles and uses current sales trends in the Up Store. If the user interface is well designed, users will interact with the app more positively, increasing user retention and sales. Figma also allows UI/UX designers and
Penerapan Augmented Reality Sebagai Media Pengenalan Ikon Kota Di Provinsi Yogyakarta Berbasis Objek Landmark
Authors: Zukhrian Shafarazaq  , Muhammad Zakariyah
Published: November 2023

Daerah Istimewa Yogyakarta adalah destinasi wisata yang unik dan populer di kalangan wisatawan domestik maupun internasional. Namun, banyak orang, baik penduduk setempat maupun pengunjung, belum sepenuhnya memahami potensi dan sejarah DIY. Ini disebabkan oleh kurangnya informasi yang tersedia dan kurangnya daya tarik dalam penyajian informasi yang umumnya dilakukan oleh media mainstream. Oleh karena itu, diperlukan sebuah aplikasi mobile yang inovatif untuk memperkenalkan wilayah Yogyakarta. Aplikasi yang diusulkan menggunakan teknologi Augmented Reality yang terintegrasi dengan API website untuk menyajikan data terbaru. Tujuan dari penelitian ini adalah untuk memperkenalkan DIY melalui objek landmark dengan aplikasi mobile Augmented Reality yang interaktif dan informatif. Hasil pengujian aplikasi dengan black-box, menunjukkan bahwa aplikasi mampu mengenali marker dengan tingkat keakuratan yang tinggi dan performa yang stabil. Aplikasi ini diharapkan dapat meningkatkan pemahaman masyarakat dan wisatawan tentang kekayaan DIY serta mendorong lebih banyak kunjungan ke daerah ini melalui informasi yang disajikan secara relevan dan detail.
Implementation of Random Forest for Vehicle Type Classification using Gamma Correction Algorithm
Authors: Noprisson Handrie , Ayumi Vina
Published: November 2023

Traffic control systems can be a valuable tool for monitoring road traffic by counting and tracking vehicles in real time. This research is the initial research into the development of methods to improve the accuracy of vehicle detection and recognition. The purpose of the study was to analyze the performance of gamma correction and random forest performance to improve the accuracy of vehicle detection and recognition. Performance measures used in the study were confusion matrix, accuracy, precision, recall, F1-score. Based on experimental results, random forest with gamma=1.5 got the best accuracy of 85.00%, while random forest with gamma=0.5 got accuracy of 81.30%, random forest with gamma=1.0 got accuracy of 84.00%, random forest with gamma=2.0 got accuracy of 84.00%.
Kualitas Udara Akibat Lumpur Lapindo dan Keluhan Kesehatan Masyarakat
Authors: Rohmah Salsa Maulida , Rachmaniyah Rachmaniyah , Rusmiati Rusmiati , Khambali Khambali , Sulistio Irwan
Published: November 2023

Latar Belakang: Semburan lumpur panas yang keluar akibat kesalahan kerja dari PT. Lapindo Brantas mengakibatkan keluarnya gas berbahaya salah satunya adalah gas amonia (NH3). Kadar gas yang melebihi standar dapat mengakibatkan efek terhadap penurunan kualitas kesehatan pada tubuh manusia. Tujuan penelitian ini adalah mengetahui kualitas udara akibat lumpur lapindo dan keluhan kesehatan masyarakat.

Metode: Penelitian ini adalah penelitian deskriptif observasional dengan populasi sebanyak 110 responden dengan sampel 52 responden. Teknik pengambilan sampel yang digunakan ialah simple random sampling. Teknik ini digunakan karena seluruh populasi memiliki kesempatan yang sama untuk pengambilan sampel. Teknik pengumpulan data pada penelitian ini menggunakan pengukuran lapangan, observasi dan wawancara.

Hasil: Hasil pengukuran kualitas fisik udara rata-rata suhu mencapai 28,5oC yang telah memenuhi standar berdasarkan PMK No. 2 Tahun 2023, rata-rata kelembaban adalah 74,5% yang melebihi standar berdasarkan PMK No. 2 Tahun 2023 dan kecepatan angin sebesar 1,1 m/s dengan kategori angin sepoi-sepoi berdasarkan departemen kesehatan. Hasil penelitian ini juga menunjukkan kadar gas amonia adalah 0,11 ppm berdasarkan Pergub Jatim No 10 Tahun 2009. Penelitian ini juga menunjukkan hasil pada keluhan iritasi tertinggi pada iritasi hidung dan terendah pada iritasi kerongkongan serta pada keluhan gangguan kesehatan didapatkan hasil tertinggi pada pusing dan terendah pada mual.

Kesimpulan: Kesimpulan dalam penelitian ini adalah kadar gas amonia yang memenuhi standar baku mutu dan masyarakat mengalami keluhan iritasi tertinggi dengan iritasi hidung dan keluhan gangguan kesehatan tertinggi dengan gangguan kesehatan pusing.

Kata kunci : Lumpur lapindo, amonia, keluhan kesehatan
CASE SERIES OF UNUSUAL & VERY RARE VAGINAL PATHOLOGIES
Authors: Sinha Maruti , Chaudhary Manisha , Bagga Poonam , Kaur Gurcharan
Published: November 2023

The term vagina is from Latin meaning “Sheath” or “Scabbard” and may also be referred to as the birth
canal in the context of pregnancy & childbirth. The vagina & vulva has evoked strong reactions in
societies from time immemorial and is symbolic with female sexuality, including negative perceptions, cultural taboo's. In
common speech vagina refers to the female genitals in general & not specically to its dictionary & anatomical denitions
wherein vagina refers exclusively to specic internal structure. (Wikepedia). Pelvic examination are performed by trained
Gynecologists to examine for unexplained symptoms of discharge, pain, unexpected bleeding or urinary problems. The
vaginal opening is assessed for position, hymen, growth, ulcers or any other pathology as a routine. We present here three very
interesting & rare Case reports of vaginal pathologies that we came across during examination in Gynae OPD. We are
discussing here three extremely rare cases of vaginal pathologies where in one case a stone was found in the vagina around a
multiload Cu T thread in a patient with history of VVF following Ceasarian section. The second case pertains to a congenital
condition called Vacteryl Syndrome where patient has grown into an adult without being aware that anal opening was absent
&she was passing stool through vagina. The third case is also unique wherein post delivery the patient's vagina was packed
with gauze soaked in some chemical probably caustic soda to control PPH, resulting in vaginal stenosis.
CROSS SECTIONAL STUDY ON CAUDA70 SCORE AND ITS RELATION WITH TREATMENT OUTCOMES IN ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT IRD, SMS MEDICAL COLLEGE, JAIPUR
Authors: Nair Rupal , Mufthah Syed Ahamed , Agnihotri S. P. , Rajawat G. S.
Published: November 2023

Background: Acute exacerbation of COPD can be attributed to varying aetiologies. AECOPD has been
linked to certain variables that determine prognosis. CAUDA70 score uses 6 easily measurable
parameters that reect the underlying multisystem involvement . This study was done to assess CAUDA70 score and its relation
with treatment outcomes in patients with acute exacerbation of COPD. Methods:150 patients admitted with an acute
exacerbation of COPD were included in this hospital based cross sectional study. One point was given for each of the following
variable: Confusion, Acidosis (pH<7.35),Urea >7mmol/L, Dyspnoea mMRC 4, Albumin>35g/L, Age>70 years, thus yielding a
six point scoring system. The outcome of the patient was correlated with the score obtained to assess prognosis. Result: Out of
150 patients , 71 patients(47.3%) obtained a score up to 2. Among these patients, 58(81.69%) recovered without ventilation
whereas 13(18.30%) needed non invasive ventilation for management, none of the patients required invasive ventilation and
there was no mortality. Rest 79 patients(52.6%) had a score between 3 to 6. Among these patients , 8 (10.1%) required invasive
ventilation, mortality was reported among 12 (15.1%), 42(53.1%) required non invasive ventilation whereas 17(21.5%)
recovered without ventilation. Higher CAUDA70 score was signicantly associated with a poorer outcome (p-value<0.001) in
terms of higher no. of mortality and requirement of invasive ventilation. Conclusion: CAUDA 70 score proved to be simple and
effective tool to predict the need for mechanical ventilation and prevent mortality. The ndings help in determining which
patients are at high risk of in-hospital death and is useful in decisions on patient admission, discharge management and
health care resource allocation.
TOTAL LAPAROSCOPIC HYSTERECTOMY FOR FEMALE TO MALE GENDER REASSIGNMENT
Authors: Jaiswal Sarika , Jaiswal Sumeet , Mukherjee Shubhra
Published: November 2023

Background: Total laparoscopic hysterectomy with bilateral salpingoopherectomy (TLH with BSO) is
performed in cases of gender dysphoria for female to male gender re- assignment in trans- men. There
are few unique challenges in these cases as compared to laparoscopic hysterectomy for other gynaecological conditions in ciswomen. Material & methods: We performed 252 cases of TLH with BSO in the period of 5 years (2015-2020). All the cases were
trans-men who wanted female to male gender afrmation surgery. Before surgery, evaluation by 2 psychiatrists was done to
conrm gender dysphoria. All surgeries were done with written informed consent after variable duration of cross hormone
therapy. Results: Delayed tissue healing and secondary haemorrhage from vault were more as compared to TLH in normal
women. As all patients were nulliparas and mostly virgins having narrow vagina, there was technical difculty in manipulation.
Vaginal vault closed more exterior in these patients. Bilateral oophorectomy necessitates counselling for life-long testosterone
therapy. Conclusion: TLH in trans-men poses unique surgical and social challenges. The acceptance for surgery is high. 90 % of
these patients do not want further genetic reconstruction.
A COMPARATIVE ANALYSIS OF BEST CORRECTED VISUAL ACUITY AND INTRAOCULAR PRESSURE IN MYOPES AND HYPERMETROPES: A CROSSSECTIONAL STUDY
Authors: Salor C Janie , R Aalathi , Gopal Biju , Palpoo Rajeev
Published: November 2023

Introduction: The relationship between refractive errors, best corrected visual acuity, and intraocular
pressure in myopes and hypermetropes is crucial for enhancing eye care practices and promoting
routine eye exams. It aims to improve eye care practices and promote routine exams, lling a gap in literature and advancing
ophthalmology and optometry by contrasting best corrected visual acuity and intraocular pressure. Materials and methods:
200 participants aged 40-70 years were recruited from the ophthalmology department at Sree Mookambika Institute of Medical
Sciences, Kulasekharam. They underwent a comprehensive ocular examination, including a detailed medical history
assessment, visual acuity measurement, and IOP measurement. Statistical analysis was performed using SPSS, with a p-value
< 0.05 considered statistically signicant. Results: The study found that most hypermetropes (69.23%) were aged over 60
years, while myopes (41.89%) were aged 40-50 years. Hyperopic refractive errors were higher in the >51-60 age group, while
myopes were more common in the 40-50 age group. Intraocular pressure (IOP) readings showed a signicant difference
between myopes and hypermetropes, with a mean difference of -1.610 mmHg. Best Corrected Visual Acuity (BCVA) distribution
was also found to be a signicant indicator of visual clarity. The study's ndings highlight the importance of understanding the
differences between myopes and hypermetropes in assessing visual clarity. Conclusion: The study compares BCVA and IOP
between myopes and hypermetropes, highlighting the need for tailored management approaches for individuals with varying
refractive errors. This knowledge can improve care and quality of life for myopic and hypermetropic patients.
COMPARISON AND APPLICATION OF SCIENTIFIC MANAGEMENT AND HUMANISTIC MANAGEMENT THEORIES IN SCHOOL TEACHER MANAGEMENT
Authors: Liu Xiaofang , Liu Baowei
Published: November 2023

This article aims to compare the application of scientic and humanistic management theories in school
teacher management, and explore their advantages, limitations, and how to integrate them in practice to
improve teacher performance and development. Firstly, it briey introduces scientic and humanistic management theories,
and elaborates on their importance in education. Secondly, it analyzes the application of scientic management in teacher
management from the perspective of performance evaluation systems and discusses its impact on teacher performance. Then,
it explores the specic application of humanistic management in teacher management, emphasizing its role in promoting
teacher satisfaction and innovation capabilities. The comparison part contrasts scientic and humanistic management in
terms of management philosophy, goal setting, and incentive mechanisms and investigates their similarities and differences.
Finally, it thoroughly discusses integrating scientic and humanistic management to achieve a more comprehensive teacher
management effect. Through case analysis, it proposes integration strategies to balance task orientation and employee care.
This article will provide benecial theoretical guidance and practical suggestions for school teacher management practices.
NUTRIENT CANAL AS A DIAGNOSTIC AID
Authors: Malini A. Hema , Selvi R. Tamil , Vishnu R.
Published: November 2023

Background: Nutrient canals are the radiolucency representing the spaces in bone through which blood
vessels and nerves travel to supply surrounding structures. It is one of the incidental ndings in the
intraoral periapical radiograph which is often confused with fracture lines. Aim: To correlate the existence of nutrient canals in
subjects with underlying systemic illness. Objectives: To determine whether the alteration in the presence or absence of nutrient
canal can be a diagnostic aid in hypertensive and diabetic patients. Materials And Method: Radiographic evaluation of
mandibular anterior intraoral periapical radiographs for the presence of nutrient canals in patients with hypertension and
diabetes mellitus. 45 subjects were selected, which includes 15 diabetic subjects, 15 hypertensive subjects, and 15 subjects
without any underlying systemic illness as control group. Results: There is a signicant increase in the number of nutrient
canals in diabetes and hypertensive patient compared to the normal healthy individual. Conclusion: Incidence of nutrient
canals in the intra oral periapical radiograph can act as a supporting diagnostic aid in detection of underlying systemic
conditions and aiding the patient in overall health and treatment planning.
EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE REGARDING FIRST AID MANAGEMENT OF FOREIGN BODY ASPIRATION AMONG PARENTS OF UNDER FIVE CHILDREN IN SELECTED AREAS: A STUDY PROTOCOL
Authors: Bhidekar Pooja Bandupant , Bansod Kalpana Atul
Published: November 2023

Background: In countries such as India, Brazil, and Egypt, the children are more likely to die before
attaining the age of 5 years. In India 70.2% population belong to less than 5 years of age, among these
most are within 2–3 years of age. Airway foreign body is predominantly a problem of younger children. Objective: To assess the
effectiveness of structured teaching programme on knowledge regarding rst aid management of foreign body aspiration
among parents of under ve children in selected areas. Methodology: Pre experimental one group pre-test post-test research
design will be used. Duration of study will be one month.70 parents of under ve children from selected community areas of
Nagpur district will be selected as a sample through non probability convenience sampling technique. The self-structured
questionnaire will be used to assess the knowledge. Validity and reliability of the tool will be determined with appropriate
standardized methods. Expected Results: Knowledge will enhance after structured teaching programme. Limitation: Only
parents of under ve children of selected community areas of Nagpur district will be included in this study. Conclusion: The
results of this study will contribute to empower parents of under ve children in terms of knowledge regarding rst aid
management of foreign body aspiration. Structured teaching programme will be effective method to enhance knowledge of
parents.
CARDIOVASCULAR MANIFESTATIONS IN ACUTE ORGANOPHOSPHATE POISONING
Authors: Ali Md. Mubasheer , Janjal Prashant
Published: November 2023

Organophosphorus poisoning is a signicant health concern, particularly in developing countries. This
study aimed to investigate the cardiac manifestations of organophosphorus compound ingestion and
explore the frequency and variation of electrocardiogram (ECG) and 2D-echocardiography changes in patients with
organophosphorus poisoning. The study included 50 patients admitted to Shadan Institute of Medical Sciences between 2021
and 2023. The results showed that 62% of the patients had electrical abnormalities recorded on ECG, while 38% had no
abnormalities. Sinus tachycardia was the most common abnormality, followed by ventricular premature complexes, sinus
bradycardia, and atrial brillation. Additionally, 22% of the patients exhibited echocardiographic abnormalities. The study
highlights the prevalence of cardiovascular abnormalities in organophosphorus poisoning and emphasizes the need for further
research on the correlation between ECG and echocardiographic changes in these patients. Understanding the cardiac
manifestations of organophosphorus poisoning is crucial for effective management and treatment strategies.
SERUM AND ENDOMETRIAL TISSUE ENDOCAN LEVELS IN PATIENTS WITH ENDOMETRIAL POLYPS, HYPERPLASIA AND CANCER
Authors: Büyük Musa , Celik Fatih , Kanat Pektas Mine , Tolga Arioz Dagistan
Published: November 2023

Introduction: Endocan is a proteoglycan which participates in inammation and angiogenesis. This
study aims to determine whether serum and endometrial tissue concentrations of endocan can be used to
differentiate between benign and malignant endometrial pathologies. Materials And Methods: This is a cross-sectional
review of 90 patients who underwent endometrial biopsy due to abnormal vaginal bleeding and who were diagnosed with
endometrial polyp (n=65), endometrial hyperplasia (n=12) and endometrial cancer (n=13) at the study center. Results: When
compared to the endometrial cancer patients, the patients with endometrial polyp had signicantly younger age and longer
height (p=0.001 and p=0.003 respectively). When compared to the endometrial cancer patients, the patients with endometrial
hyperplasia had signicantly younger age and less frequent menopause (p=0.01 and p=0.001 respectively). The patients with
endometrial hyperplasia had signicantly higher gravidity than the patients with endometrial polyp (p=0.020). The patients
with endometrial polyp, endometrial hyperplasia and endometrial cancer had statistically similar concentrations of endocan in
serum and endometrial tissue (p=0.249 and p=0.675 respectively). Conclusion: The patients with endometrial polyp,
endometrial hyperplasia and cancer were statistically similar with respect to the endocan concentrations in serum and
endometrial tissue.
COMPARATIVE STUDY OF LAPAROSCOPIC APPENDICECTOMY VERSUS OPEN APPENDICECTOMY
Authors: N. Vaghasiya Govardhanlal
Published: November 2023

Background: Appendicectomy for appendicitis is one of the most frequently performed procedure by the
general surgeon among both sexes. Advantage of Laparoscopic Appendicectomy over open
appendicectomy is of having less postoperative pain, less requirement of analgesics , less hospital stay, better cosmetics and
also good Method: This is a comparative study of 50 cases of appendicitis divided equally into two groups 25 in open and 25 in
the laparoscopic, which were randomly selected and operated in the department of general surgery, Madhav Surgical
Hospital, Rajkot. Results: In present study pain score was 2.90±0.8 for open group as compared to 1.50±0.6 in lap group
(p<0.03) because of longer incision stretch of muscles and wound infection. Post operative complications like vomiting was
lower in laparoscopic group with 16% as compared with 48% in open group (p<0.05) and ileus was lower in lap group with
26±4.2 and for open group 30±5.2 with p<0.05 which were signicant. There is signicant reduction in incidence of post
operative wound infection in lap group 0% as compared to open group 28% (p<0.05). Duration of postoperative hospital stay
was signicantly low for lap group 2±0.70 as compared to open group 7±0.80. The return to normal activity was low for lap
group 12±2.08 days as compared to open group 18.00±3.2 days. Duration of surgery for open appendicectomy was 50±17
mins and for lap appendicectomy was 55±10 mins. Conclusions: Laparoscopic appendicectomy is better & much benecial &
convenient as well diagnostic than open appendectomy in selected patients with acute or recurrent appendicitis. It has its own
value as diagnostic tool & needs lesser postoperative rest and early resume to routine work among patients.
Triphala – Used in dentistry
Authors: Pal Riya , Reche Amit , Bhowate Rahul , Sharma Soumya
Published: November 2023

India is very rich in medicinal plants. Herbal extracts are used in Indian tradition. In ancient times herbal
medicine, herbal extracts were given very importance. This herbal medicine, extracts have been used for
several years back. Plants have phytochemical, it has effects on human body. Plants have been known for their aromatic,
avoring and medicinal purpose. Since the birth of modern world herbs are being replaced by articial and synthetic drugs.
These synthetic drugs cause several side effects. In present time people blindly trust on synthetic drugs. Due its side effects
people are returning back to natural herbs with hope of security. Tripala is herbal drug used in various pharmacological
activities. Tripala is made of three fruits Amalaki or Indian gooseberry, bibhitaki and haritaki. Triphala is used in traditional
Indian system. It is used in disorders of all the dosas. Triphala is antioxidant. It prevents various gut realted disorders. It may also
prevent cancer. This review comprises of thriphala medicine in dentistry.
PLASMA LEPTIN AND ADIPONECTIN IN PATIENTS WITH MICRO-VASCULAR COMPLICATIONS IN TYPE 2 DIABETES MELLITUS
Authors: Karumarakkal Jayarajan , R Chandni , Joseraj M.G. , Manjalavil Mohan Raj
Published: November 2023

Introduction Diabetes mellitus is a chronic metabolic disorder characterised by hyperglycemia
resulting from absolute or relative insulin deciency. Uncontrolled diabetes leads to microvascular
complications like diabetic nephropathy, retinopathy, neuropathy etc. There are many markers which help in the detection of
diabetes mellitus. Leptin and adiponectin are 2 such important markers which has a role in the metabolism of glucose as well
as in the inammation process. Leptin deciency results in hyperphagia, obesity and diabetes mellitus. Adiponectin is
primarily secreted by adipose tissue and is has anti-diabetic, and anti-atherogenic properties. Aim of the study This study
aims to detect the association between the plasma concentration of leptin and adiponectin in diabetic patients with or without
micro-vascular complications. Materials and methods Diabetic patients with micro-vascular complications are included in
this comparative study as group I, while group II includes diabetic patients without micro-vascular complications. Serum levels
of leptin and adiponectin were assessed in both the groups along with glycaemic status (fasting blood sugar, post prandial
blood sugar and glycated haemoglobin). These parameters were compared between both groups using a t-test. Results The
diabetic patients with microvascular complications are having high serum levels of leptin and low levels of adiponectin when
compared with the patients without microvascular complications. Conclusion This study conrms that serum levels of leptin
have a positive correlation while serum levels of adiponectin have a negative correlation in diabetic patients with
microvascular complications when compared to diabetic patients without microvascular complications.
STUDY OF ETIOLOGICAL, CLINICO-RADIOLOGICAL AND MICROBIOLOGICAL PROFILE OF PATIENTS WITH BRONCHIECTASIS AT INSTITUTE OF RESPIRATORY DISEASES, SMS MEDICAL COLLEGE, JAIPUR
Authors: Airon Aniruddha , Joshi Vinod , N Shenoy Nithin
Published: November 2023

Background: Bronchiectasis has been considered as orphan lung disease since long. There is a
geographical variation in clinical features and etiologies of Bronchiectasis. HRCT can accurately
diagnose bronchiectasis, along with localizing and describing the areas of parenchymal abnormalities, and identifying
bronchiolar abnormalities and mucus plugging. The aim of this present study to evaluate the etiology, clinical-radiological and
microbiologicalprole of patients with bronchiectasis presenting at IRD, SMS Medical College, Jaipur. Material & Methods:
This was a hospital based prospective observational study carried out on 90 bronchiectasis patients at Department of
Respiratory Medicine, Institute of Respiratory Diseases, SMS medical college, Jaipur, over a period of one year (2021- 2022).
Patients attending our OPD with cough, purulent expectoration, shortness of breath, fever, with/without hemoptysis and
radiological features favoring bronchiectasis or previously known/evaluated cases of bronchiectasis were included in our
study. A questionnaire was given to them and information was collected regarding the demographic data, childhood history,
symptomatology and signicant past and personal history. Results: Our study showed that the mean age of the study
population was 49.87 years with male preponderance (72.22%) as compared to females (27.78%). The mean BMI was 22.37.
Majority were in the normal range of BMI (86.67%). 57.78% of our study population were non smokers with 21.11% as exsmokers and 21.11% as current smokers. 8 patients died during the study period. Most common etiology associated with
mortality was post tubercular as it was the major identied cause followed by Idiopathic, COPD and post pneumonia. Out of 8
deaths, 3 patients died who had Pseudomonas as culture organism. The major complication associated with death was cor
pulmonale which has a clinical as well as statistical correlation with a p value = 0.001. Conclusion: We concluded some
signicant differences in patient's etiological, clinical, radiological and microbiological proles when compared to data from
Western World.
FEDERALISM AND NATIONAL SECURITY IN INDIA AFTER LIBERALISATION
Authors: Gautam Mukesh
Published: November 2023

This article examines the intricate relationship between federalism and national security in India in the
post-liberalisation era. The process of economic liberalisation that began in 1991 had profound
implications for India's federal structure and its approach to national security. This article delves into the evolution of federalism
in India, mainly focusing on the challenges and opportunities it presents in the context of national security. By analysing critical
case studies and policy shifts, this article aims to provide insights into how federalism impacts India's ability to safeguard its
sovereignty and territorial integrity.
COMMUNITY ACQUIRED PNEUMONIA/PLEURAL DISEASE: A RARE CAUSE OF ABDOMINAL PAIN IN PREGNANCY
Authors: Menon Nandini , K Fathima.
Published: November 2023

Community acquired lower lobe pneumonia is a rare cause of abdominal pain in pregnancy which may present as acute abdominal pain. Ultrasound
and MRI are the preferred imaging investigations. The standard treatment is broad spectrum antibiotics and pleuritic interventions. We report a
case of lower lobe pneumonia with pleural effusion presented in rst trimester with acute abdominal pain.
MIDLINE VERSUS PARAMEDIAN APPROACH TO SPINALANESTHESIA FOR CAESAREAN DELIVERY: IT MAY BE BETTER NOT TO BE IN THE MIDDLE!
Authors: Hussain Mir Ashrat , Thekakara Arnold Plazid , Ashokkumar Deepika
Published: November 2023

Subarachnoid block (SAB) more popularly called as Spinal anesthesia, remains a golden standard technique of anesthesia in caesarean delivery
given its simplicity, reliability, safety and cost effectiveness. and particularly many signicant advantages of the later technique compared to
General anesthesia pertinent to this population group. The most commonly approach to spinal anesthesia till date remains the midline approach.
But in pregnant women, given their limited ability to ex the spine, and also to lumbar lordosis associated with term pregnancy, the midline
approach may be difcult at times as the success of the later depends much on the exibility of the lumbar spine. So, the paramedian approach to the
subarachnoid space that does not depend on the patient's spine exibility is always a better option in the patients for caesarean delivery. Aim of the
study The aim of our study was to compare was to compare the midline and paramedian approach to Spinal anesthesia in terms of number of
attempts, time taken to complete the effective injection into the subarachnoid space, and side effects like post dural puncture headache (PDPH) and
backache resulting from the subarachnoid injection. Materials and methods Sixty patients posted for elective and Emergency Caesarean section
were randomly divided into two groups of 30 patients each. In one group SAB was established by using the midline approach and in the other group,
the subarachnoid space was accessed by using paramedian approach as a primary technique to achieve subarachnoid block. The patients were
followed up for 72 hours post procedure to take note of complications like backache and PDPH and managed accordingly. Results SAB using
Paramedian approach was established in fewer attempts and in less time compared to the midline approach. The risk of complications like PDPH
and backache associated with spinal anesthesia were also observe less to occur with paramedian approach than with midline approach. Conclusion
Paramedian approach to SAB is a better option than midline approach for spinal anesthesia technique in patients for caesarean deliveries; the
former approach requires relatively fewer attempts and the procedure time and risk of complications are lesser compared to the later approach.
EVALUATION OF THE EFFECTS OF THE AQUEOUS EXTRACT OF EREMOMASTAX SPECIOSA ADMINISTERED DURING GAMETOGENESIS IN THE FEMALE RAT
Authors: Nchegang Benjamin , Mesmine Kuissu Mimosette , Lamou Bonoy , Mezui Christophe , Orock Enonchong George Enow , Vernyuy Tan Paul
Published: November 2023

Background And Aim: Eremomastax speciosa (Hochst) Cufod (Acanthaceae) is a shrub used in traditional medicine to remedy several ailments.
The aim of this work was thus to evaluate the reprotoxicity in female rats when the extract is administered during the period of gametogenesis.
Materials And Methods: Thirty-six male albino rats were divided into four groups of nine rats each and given the extract at doses of 0, 250, 500
and 1000 mg/kg, respectively, for 60 days followed by a 10 days fertility study by pairing each treated male with an untreated female. Thirty-six
other female rats were divided into four groups of nine rats each and given the extract at doses of 0, 250, 500 and 1000 mg/kg and were then crossed
each with an untreated male. The effects on fertility parameters, body and organ weights were assessed, as well as biochemical, haematological and
histological parameters. In untreated female rats crossed with treated m Results And Conclusion: ales during gametogenesis there was an increase
in mating index (from 66.7 % to 88.9 %), increase in percentage of pregnant females (from 83.3% to 100%) and consequent increase in fertility rate
from 55.6 % in controls to 66.6-77.8 % in females crossed with extract-treated males. When female rats were given E. speciosa extract during
gametogenesis and crossed with untreated males, although copulation rates increased signicantly but gravidity and fertility rates reduced
signicantly as evidenced by the signicant decrease in numbers of implantations, corpora lutea and fetuses and live young.