bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Teknis dan Finansial Usaha Perikanan Tangkap Longline
Authors: Prasetyono Untung , - Suharyanto , Sarianto Deni , Yeka Adnal , Fauzan Arzal Ramadhan Muhamad
Published: February 2022

This study aims to analyze the technical aspects of longline fishing gear, as well as calculate the economic aspects of the longline fishing business, and analyze the level of feasibility of the longline business at PPS Cilacap from a financial perspective. The method used in this study is a descriptive survey method with the object of assessment of fishermen being longline fishing gear. The sampling method is purposive sampling. The data analysis method used is technical and financial analysis. The results of the study based on financial analysis concluded that the longline fishing business in Cilacap PPS is feasible to be developed with an NPV value of IDR 5,303,563,607, IRR = 40% (IRR> i), Payback Period = 0.63 with a payback period of 3 years and B/C Ratio = 1.28 (> 1).
Sebaran Ukuran Rajungan Hasil Tangkapan Gillnet dengan Jarak Lokasi Penangkapan Berbeda di Perairan Kabupaten Pangkep
Authors: Ihsan Ihsan , Tajuddin Mustamin , Abdullah Hasrun , Zainuddin Zainuddin
Published: February 2022

Penelitian bertujuan menkaji frekwensi sebaran ukuran dan jumlah hasil tangkapan gillnet jarak lokasi penangkapan berbeda. Data dibutuhkan adalah data primer dan sekunder. Bahan dan alat digunakani alat mistar panjang, kamera, dan rajungan. Data dianalisis menggunakan analisis distribusi frekwensi ukuran hasil tangkapan rajungan. Struktur frekwensi sebaran ukuran (cm) produksi rajungan dengan alat gillnet terhadap lokasi penangkapan berbeda di perairan Pulau Balang Lompo Kabupaten Pangkep menunjukan adanya perbedaan, umumnya ukuran paling kecil jarak 0-2 mil, dan ukuran jarak  >2-4 mil dan jarak >4-6 mil, produks rajungan semakin besar. Perbedaan nyata dari segi perbedaan ukuran produksi rajungan, lebih kecil dekat pantai dan jumlah lebih banyak dibandingkan lepas pantai. Jarak lebih jauh dari pantai produksi rajungan, sebaran ukuran produksi rajungan besar dan jumlahnya banyak dari perairan lebih dekat Pulau Balang Lompo Kabupaten Pangkep.
Kesesuaian Lahan Budidaya Lobster (Panulirus spp.) Sistem Keramba Jaring Apung Menggunakan Pendekatan Sistem Informasi Geografis
Authors: Prasetya Arif , Hasidu La Ode Abdul Fajar
Published: February 2022

Penelitian ini bertujuan mengidentifikasi dan memetakan beberapa parameter oseanografi yang sesuai untuk kegiatan budidaya lobster sistem keramba jaring apung dan  menghasilkan rekomendasi berupa peta spasial kelayakan lahan budidaya lobster sistem keramba jaring apung. Penelitian ini dilaksanakan pada bulan Juli 2021 di perairan Kabupaten Kolaka. Pengambilan data oseanografi dilakukan pada 58 stasiun, selanjutnya melakukan spasial analisis menggunakan program Arc GIS 10. Metode menggunakan analisis interpolasi dan klasifikasi spasial, kemudian melakukan overlay data pada seluruh parameter oseanografi untuk memberikan skoring berdasarkan matriks kesesuaian, sehingga menghasilkan peta spasial kesesuaian lahan. Berdasarkan peta kesesuaian lahan, diperoleh luas lahan yang sangat sesuai untuk budidaya lobster sistem keramba jaring apung adalah 7973 ha dan cukup sesuai seluas 20090 ha, sedangkan seluas 9519 tidak sesuai untuk kegiatan budidaya lobster sistem keramba jaring apung di perairan Kabupaten Kolaka, Provinsi Sulawesi Tenggara.
The The Efficiency of Generator Toward Changes Electric Loading in Fishing Vessels
Authors: Prasetyo Djoko , Abrori Muhammad Zaki Latif , Pujianto Andreas
Published: February 2022

Electrical energy on fishing vessels is an unavoidable energy requirement, the electric source on board is obtained from an electric generator which is generally driven by a diesel engine. Electrical energy on fishing vessel is used for lighting, navigation purposes and assisting fishing activities to loading and unloading. The electric generator on fishing vessel will operate properly and have a long service life if the load applied to the generator does not exceed the load factor limit. Researchers carried out several stages, i.e: identify the electric power distribution system, identify the generator capacity and electrical load received, calculate the electrical load on different operational conditions. In this study, it is also known that the operating efficiency of the generator under four different operational conditions. The results of the research, this fishing vessel uses a radial electrical distribution system; using two units of electric generator with identical specifications, each has a capacity of 225 kVA; the generator operates efficiently in all operational conditions with a load factor of 79.70% to 83.08%.
STATUS DAN PERMASALAHAN PEMANFAATAN SUMBER DAYA RAJUNGAN DI INDONESIA
Authors: Huda Hakim Miftakhul , Wijaya Rizki Aprilian , Triyanti Riesti , Sari Yesi Dewita , Zamroni Achmad
Published: February 2022

Permintaan pasar yang terus meningkat dikhawatirkan memberikan tekanan besar pada sumber daya rajungan di Indonesia. Penelitian ini bertujuan menganalisis status pemanfaatan sumber daya tersebut dan permasalahannya serta merumuskan rekomendasi kebijakan yang relevan. Pengumpulan data dilakukan melalui metode survei di 4 (empat) lokasi, yaitu Lampung Timur, Cirebon, Demak, dan Rembang. Analisis data dilakukan menggunakan pendekatan deskriptif, yang mencakup penyajian temuan lapang, penjelasan fenomena yang terjadi, dan pembandingan dengan hasil riset terkait. Hasil analisis menunjukkan bahwa peningkatan upaya penangkapan rajungan terjadi dengan cara yang membahayakan keberlanjutan sumber daya. Hal tersebut terkait dengan temuan dari riset ini yang menunjukkan adanya penggunaan alat tangkap tidak ramah lingkungan, ketergantungan yang tinggi pada pasar ekspor, dan potensi konflik di antara nelayan. Kebijakan yang kemudian disarankan adalah pengendalikan upaya penangkapan melalui pemberlakuan sistem buka tutup musim penangkapan. Kebijakan tersebut diharapkan dapat memberikan ruang yang cukup bagi rajungan untuk bereproduksi sehingga memungkinkan kelangsungan stok dan pemanfaatan rajungan di Indonesia. Title Utilization Status and Problems of Crab Resources in IndonesiaThere is a considerable fear that increasing market demand will give a massive pressure on Indonesia crab resources. This research aims to analyze the status and problems of resource utilization as well as to formulate relevant policy recommendations. Data were collected through survey in 4 (four) locations, namely East Lampung, Cirebon, Demak, and Rembang. The data obtained in this study were analyzed using descriptive approach, including description of field findings, phenomena, and comparison with related studies. The analysis results showed that the increased capture of crab endangered the sustainability of resources. This is related to the findings of this research which showed the use of environmentally damaging fishing gear, high dependence on export markets, and potential conflicts among fishers. The study suggests control over the crab capture with open-closed season to allow the crabs to reproduce for its stock availability and utilization in Indonesia.
PENDEDERAN ABALON, Haliotis squamata KEPADATAN TINGGI DENGAN SISTEM TANGKI AIR MENGALIR Tangki air Mengalir
Authors: Permana Gusti Ngurah , Rusdi Ibnu , Septory Reagan , Kurniawan Hendra Agung
Published: February 2022

Teknologi budidaya abalon telah tersedia dan dilakukan dengan berbagai metode budidaya pendederan dan pembesaran. Namun, hingga saat ini belum berkembang di masyarakat karena kurangnya minat pengusaha/pembudidaya abalon untuk mengaplikasikan secara komersial. Hal ini disebabkan oleh kualitas dan kuantitas benih belum stabil, pertumbuhan lambat, biaya tinggi, dan memerlukan waktu pemeliharaan lebih lama. Oleh karena itu, perlu diupayakan metode yang lebih sederhana dengan biaya murah untuk pembesaran abalon. Penelitian ini bertujuan untuk membandingkan pertumbuhan dan produksi abalon dengan padat tebar berbeda pada sistem-sistem tangki air mengalir. Benih abalon dipelihara di bak beton ukuran 12 m x 0,8 m x 0,8 m; kepadatan 70% dan 80% dari luasan dasar bak. Sementara untuk menghitung kelayakan usaha, rumus yang digunakan adalah revenue cost ratio (R/C). Hasil penelitian menunjukkan bahwa pertumbuhan panjang, lebar dan bobot cangkang pada densitas 70% lebih baik dibandingkan dengan densitas 80%. Kepadatan 70% menghasilkan 8,98% peningkatan hasil biomassa dan kematian 6,51% lebih tinggi dari kepadatan 80%. Berdasarkan analisis ekonomi, sistem pembibitan ini layak secara ekonomi di mana padat tebar 70% dari total luas dasar memiliki keuntungan finansial terbaik.Breeding technology for abalone is available, and its farming can be done using different nursery and grow-out methods. However, abalone farming has not yet been commercially practiced due to the lack of interest from fish entrepreneurs/fish farmers. This is due to several factors related to the quality and quantity of seeds, such as inconsistent availability, slow growth, high cost, and long culture was period. Therefore, it is necessary to develop a simpler and inexpensive method to culture abalone. This research aimed to improve the rearing technique for abalone. Two concrete tanks of 12 m x 0.8 m x 0.8 m in size were used in which abalone seeds were stocked with stocking densities of 70% and 80% of the bottom area. The concrete tanks were equipped with a flow-through water circulation system. The business feasibility of the culture system was calculated using the revenue cost ratio (R/C) formula. The results showed that the growth in length, shell width and weight at a density of 70% was better than that of the density of 80%. The density of 70% resulted in an 8.98% increase in biomass yield and a 6.51% mortality higher than a density of 80%. Based on the economic analysis, this nursery system is economically feasible where the stocking density of 70% of the total bottom area has the best financial return.
STRATEGI PEMASARAN PRODUK IKAN CAKALANG ASAP (STUDI KASUS: UKM FROZEN SEAS)
Authors: Triyastuti Meilya Suzan , Ndahawali Daniel H. , Ondang Hetty M. P.
Published: February 2022

ABSTRAKPenelitian ini bertujuan untuk merumuskan strategi pemasaran ikan cakalang asap di UKM Frozen Seas dengan mengidentifikasi faktor internal maupun eksternal di UKM Frozen Seas. Penelitian dilakukan di UKM Frozen seas, Bitung dengan menganalisis faktor internal dan eksternal yang berdampak pada strategi pemasaran ikan cakalang asap. Hasil penelitian menunjukkan bahwa strategi pemasaran yang diperlukan diantaranya kerjasama dengan perusahaan untuk mendapatkan bahan baku dan produk yang berkualitas; diferensiasi pengemasan yg ramah lingkungan, rasa dan harga yg murah; penerapan teknologi pengasapan yang efektif dan efisien terhadap peningkatan kandungan nutrisi ikan; informasi kandungan gizi pada kemasan, menambah pasar dengan kerjasama dengan pihak terkait. ABSTRACTFrozen seas SMEs need the right marketing strategy so that smoked skipjack products can compete in the digital era. This study aims to formulate a marketing strategy for smoked skipjack tuna in Frozen seas UKM by identifying internal and external factors in Frozen seas UKM. The research method used in this research is the descriptive method. The research data were obtained by conducting observations, documentation, and interviews. The research was conducted at UKM Frozen Seas by analyzing internal and external factors that had an impact on the marketing strategy of smoked skipjack tuna. The results show that there is a need for a marketing strategy to optimize product sales and increase profits. Therefore, it is necessary to have a marketing strategy in the SME Frozen Seas which is needed including cooperation with companies to obtain quality raw materials and products; differentiation of environmentally friendly packaging, taste and low price; application of effective and efficient smoking technology to increase the nutritional content of fish; information on nutritional content on the packaging, adding to the market in collaboration with related parties.
La inspiración tomista del realismo jurídico de Javier Hervada
Authors: Errázuriz Carlos-José
Published: February 2022

Javier Hervada afirmaba que su maestro por antonomasia era Tomás de Aquino. El artículo se propone verificar en qué medida ello se aplica a la concepción hervadiana del realismo jurídico clásico, que considera la cosa justa como esencia del derecho. Con este fin se estudia la relación con Santo Tomás tanto del evento de la «iluminación » de Hervada sobre ese realismo como de las implicaciones de esa «iluminación». Al final se precisa en qué sentido existe un tomismo de Hervada. En este sentido, el artículo muestra que no se trata de un autor que se haya dedicado analíticamente a estudiar las obras del Aquinate, sino de un jurista y filósofo del derecho que ha sintonizado con su doctrina tomándola como punto de partida para una elaboración personal, tratando de repristinar y desarrollar el realismo jurídico, mediante presentaciones didácticas y sistemáticas, y teniendo en cuenta los temas de nuestro tiempo, como los derechos humanos. Se han usado especialmente las fuentes en las que el mismo Hervada habla de su trabajo científico.
El Derecho preexiste a la Justicia
Authors: Ollero Andrés
Published: February 2022

El autor, en homenaje al profesor Javier Hervada y con ocasión de una tesis doctoral sobre John Finnis defendida recientemente en la Universidad de Navarra, parte de la distinción entre derecho y moral para analizar la relación entre el iusnaturalismo y la ley natural, que engloba contenidos no solo jurídicos sino también morales.
El «medium rei» y el contexto hermenéutico: similitudes y diferencias
Authors: Rodríguez-Puerto Manuel
Published: February 2022

El realismo jurídico es una de las partes más importantes de la filosofía jurídica de Javier Hervada. Entre otras nociones, el realismo jurídico mantiene que el derecho es, en su sentido más profundo, la «cosa justa», obtenida desde las características objetivas de una relación de justicia. La hermenéutica jurídica también sostiene una concepción del derecho centrada en la concreción dentro de diversos contextos. Hay similitudes entre estas teorías, pero también hay una diferencia clara: el realismo jurídico de raíces tomistas afirma la existencia de principios evidentes del derecho natural. La hermenéutica jurídica mantiene que el ser humano existe siempre en una situación histórica sin fundamentos objetivos de procedencia metafísica.
conversa com os editores
Authors: Higuet Etienne Alfred
Published: February 2022

conversa
„denn der tragende Gehalt der Kultur ist die Religion und die notwendige Form der Religion ist die Kultur“. Considerações sobre os fundamentos teórico-conceituais e sistemáticos da teologia da cultura de Paul Tillich
Authors: Abreu Fábio Henrique
Published: February 2022

Esse artigo reconstrói a teologia da cultura de Paul Tillich de forma sistemática. A tese apresentada afirma que o modo da relação entre religião e cultura no programa teológico-cultural de Tillich é não apenas mediado por uma filosofia do espírito e do sentido, como também reivindica uma teoria dos símbolos plenamente delineada. A análise da filosofia do espírito e do sentido de Tillich é desenvolvida na primeira parte da presente exposição. A partir da elucidação de sua filosofia do espírito e do sentido, o conceito de religião, enquanto direcionamento ao incondicionado, é apresentado em sua natureza mais própria. A tarefa de exposição do conceito de religião compreende o conteúdo da segunda parte desse estudo. Na terceira e última parte da presente exposição, uma análise da função do conceito de símbolo para uma delimitação mais precisa da teologia da cultura de Tillich é oferecida. Como se tornará perceptível, é a partir do conceito de símbolo que a forma própria do relacionamento entre religião e cultura, i.e., entre o condicionado e o incondicionado, é articulada.
As veredas, o sertão, a vida: a dinâmica da fé de Riobaldo a partir de Paul Tillich
Authors: Rocha Viviane De Sousa
Published: February 2022

Este trabalho quer fazer emergir aspectos da fé de Riobaldo, ou seja, como a fé aparece nesse personagem tão peculiar, tão ambíguo, paradoxal, um ser tão ímpar? A questão surgiu a partir da leitura do livro de João Guimarães Rosa e da leitura de Paul Tillich (1985) na Especialização. O livro de Tillich, Dinâmica da Fé (1985) será referência teórica, utilizado para refletir e estudar a fé. Assim, a partir dessa leitura, busca-se identificar a fé do personagem Riobaldo. O objetivo geral é investigar um recorte do livro, isso é, o personagem Riobaldo e sua fé, na narrativa de Grande Sertão: Veredas. Os objetivos específicos consistem em analisar a partir da definição de fé elaborada por Paul Tillich (1985), aspectos religiosos e relações com o sagrado e o transcendente presentes na fé do místico e filósofo Riobaldo. A metodologia será a pesquisa bibliográfica. Por meio de revisão de literatura, busca-se aprofundar a leitura da obra, a partir de alguns autores e pesquisadores, tais como Antonio Candido e Walnice Galvão. Serão abordadas as questões relativas à fé do sertanejo. A questão que nos moveu durante a pesquisa consiste na existência da fé em meio à dúvida. O trabalho resultou na continuação dos estudos no mestrado tendo como referencial teórico Paul Tillich e dois contos de Rosa como objeto de pesquisa.
A origem judaico-cristã do paradigma da governamentalidade e sua pertinência para uma análise do neoliberalismo atual
Authors: C. de Moraes Karolayne Maria V. , Mendes Alex Silva
Published: February 2022

O presente artigo versa sobre a noção de governamentalidade proposta por Foucault e a pertinência desse conceito como “pedra de toque” para a realização de uma boa análise e compreensão da realidade atual. Num primeiro momento, a pesquisa se volta para a aula do dia oito de fevereiro de 1978, ministrada por Foucault, no Collège de France, em que o mesmo apresenta como a origem de uma das mais eficazes estratégias de governo dos homens remonta a um paradigma judaico-cristão, a do pastor que conduz as suas ovelhas. Em seguida, buscar-se-á apresentar como o mesmo paradigma, base da governamentalidade de outrora, permanece vigente na realidade atual, ainda que com a utilização de outros instrumentais, porém com as mesmas finalidades de dirigir as consciências e as condutas à uma assimilação da ordem neoliberal cada vez mais incisiva. Objetiva-se, portanto, por meio desse artigo compreender qual é o paradigma base da noção de governamentalidade apresentada por Foucault e como esse mesmo paradigma mostra-se ainda hoje atuante e eficaz, no contexto hodierno, exercendo seu poder e vigilância sobre a conduta dos sujeitos que respondem de modo passivo.
Gangster school: The role of the school environment in gang recruitment strategies in Port Elizabeth, South Africa
Authors: Petrus Theodore
Published: February 2022

Gangs and gang violence continue to be serious challenges throughout South Africa, but especially in cities such as Cape Town and Port Elizabeth. In the northern areas of Port Elizabeth, hardly a day goes by without at least 1 report in the local news media about gang-related incidents. Most of the gangs in the northern areas have organised and relatively sophisticated recruitment strategies that they use to recruit new members. Various factors contribute to the gravitation of most youths to the gang lifestyle. With this article I seek to examine 1 of those factors, namely the school environment. I argue that various factors affecting the school environment make it possible for gangs to target school-going youths for recruitment. The article is based on both the literature and the use of primary data from my research into gangs in the northern areas of Port Elizabeth. The article concludes with some recommendations on how to combat gang recruitment in the school environment.
Revisiting the Effect of Education on Later Life Health
Authors: Moorthy Avinash , Figinski Theodore F. , Lloro Alicia
Published: February 2022

We provide new evidence on the effect of education on later life health. Using variation in state compulsory schooling laws, we examine education's effect on a range of outcomes encompassing physical health, decision-making, and life expectancy. We employ under-utilized Health and Retirement Study data linked to restricted geographic identifiers, allowing us to match individuals more accurately to compulsory schooling laws. While positively related to educational attainment, compulsory schooling laws have no significant effect on later life health outcomes. Our results suggest that increased educational attainment has no significant causal effect on health.
Anti-Alcohol Campaign of 1985–1988 as a Factor Demographic Processes: Analysis of Regional Historiography
Authors: Uvarov S. N.
Published: February 2022

The article analyses the historical literature on the anti-alcohol campaign of 1985–1988 in Russian regions. It is concluded that some of the works do not consider the impact of the campaign on demographic changes, while the reduction in the volume of sales and consumption of alcoholic beverages, a decrease in the number of alcoholics, alcoholic psychosis, fight against bootlegging, alcoholic crimes are examined in detail. A decrease in mortality, an increase in the birth rate, an increase in the life expectancy of the population in the context of the fight against alcoholism are touched upon only in a number of studies (for example, in materials from Western Siberia, Udmurtia, Bashkiria). The problem is most studied in the Udmurt Republic, where the influence of the campaign on marriage and divorce was also considered. Additionally, in Udmurtia, the ethnic component of the influence of the anti-alcohol campaign on demographic processes was analysed. Therefore, it was concluded that the greatest reduction in mortality occurred among the Udmurts living in rural areas.
[RETRACTED] Aktiv Formulations Keto BHB (WARNING Update Review!) Must Read Benefits! v1
Authors: not provided feadedoyoureh
Published: February 2022

[RETRACTED]

https://aktivformulations-keto-bhb.jimdosite.com
Alanya Ekolojik Koşullarında Yetişen Cistus creticus L. Bitkisinin Taze ve Kuru Yaprak Örneklerinde Bazı Biyoaktif Bileşenlerin, Pigment İçeriği ve Antioksidan Kapasitenin Belirlenmesi
Authors: KAYA Armağan , MURATHAN Zehra Tuğba
Published: February 2022

Cistus creticus L. Türkiye’nin kuzey, güney ve batı kıyıları boyunca yayılım gösteren önemli tıbbi bitkilerden birisidir. Antik çağlardan beri antimikrobiyal, antiinflamatuar, sitotoksik ve antiülserojenik özellikleri nedeniyle halk tıbbında kullanılmaktadır. Bitkinin taze ve kuru yaprakları genellikle çay olarak tüketilmektedir. Bu çalışma, Alanya ekolojik koşullarında doğal olarak yetişen Cistus creticus L. bitkisinin taze ve kurutulmuş yapraklarının bazı biyokimyasal özelliklerini araştırmayı amaçlamaktadır. Bu amaçla bitkinin vejetatif gelişiminin en yüksek olduğu ilkbahar döneminde hasat edilen yaprak örneklerinde; toplam askorbik asit, toplam fenolik, toplam flavonoid, toplam klorofil ve toplam karotenoid içerikleri ile antioksidan aktivite araştırılmıştır. Toplam askorbik asit miktarı dışındaki tüm parametreler kuru yaprak örneklerinde taze yaprak örneklerinden daha yüksek bulunmuştur. Bitkinin yüksek derecede biyoaktif bileşen içermesi ve % 50 civarında radikal süpürücü aktiviteye sahip olması bakımından tüketiminin önemli olduğu düşünülmektedir.
Analysis of Factors Affecting Local Own-Source Revenue in Regency/City of Bali Province in 2010-2019
Authors: Octavyanthi Gladys Annisa , Basuki Agus Tri
Published: February 2022

Local own-source revenue (PAD) is one indicator to determine the independence of regional autonomy in exploring the potential to support sources of revenue. All regions are trying to increase PAD in their area by continuously increasing the potential found in their regions, and Bali Province is one of them. This research aims to analyze the effect of gross regional domestic product (GRDP), investment, and general allocation fund (DAU) on local own-source revenue in the regencies/cities of Bali Province in 2010-2019. Based on the analysis, the results obtained that jointly, all independent variables affected local own-source revenue. Individually or partially, the investment variable had a negative and insignificant effect on local own-source revenue. Meanwhile, the GRDP and general allocation fund (DAU) variables had a positive and significant impact on local own-source revenue in the regencies/cities of Bali Province.
Comparison of the effect of kalsitrapine and metformin as adjunctive therapy in the treatment of infertility in women with polycystic ovary syndrome
Authors: Jalilvand Faranak , Farzipour Shahla , Amani Firouz , Houshmandi Susan , Naeimi Sajjad
Published: February 2022

Background: Chronic anovulation is one of the most common causes of infertility. In women with polycystic ovary syndrome (PCOS), other factors related to oocyte quality or endometrial and nesting disorders may also play a role. Infertile and non-ovulatory women who tend to become pregnant are candidates for ovulation induction. The aim of this study was to evaluate the effect of Kalsitrapine and metformin on the treatment of patients with PCOS.Methods: The clinical trial study was performed on 80 female patients with PCOS who had referred to Ardabil city hospital for infertility treatment were randomly divided in two groups with personal consent. One group received Kalsitrapine and another group received metformin.Results: The mean age of all patients was 26.08±5.21. There was no significant difference between 2 groups in term of age and BMI. There was no statistically significant difference between the two groups in terms of primary and secondary infertility. The mean duration of infertility was 3.68±3.49 years. There was no statistically significant difference between the 2 groups in terms of infertility duration. There was no statistically significant difference between the 2 groups in terms of the type of menstrual cycle. The response rate to treatment was 17.5% in the metformin group and 10% in the Kalsitrapine group. There was no statistically significant difference between the 2 groups in terms of response to treatment. In comparison, none of the studied factors in the 2 groups was significantly associated with the response to treatment.Conclusions: It is true that the recovery rate of the herbal medicine Kalcitropine in this study was slightly lower than metformin, but due to the side effects of metformin, including lethargy, abdominal pain, diarrhea, headache, constipation, bloating, weight loss, heartburn, nausea and Vomiting, unpleasant taste of metal in the mouth In some people, such people may be prescribed kalcitrapine for a longer period of time to evaluate its effect.
Clinical and endoscopic features of pill-induced esophagitis
Authors: Patel Dhruv Kumar M. , Panchal Yash N. , Patel Maitri M. , Rajput Sanjay L. , Patel Mukundkumar V. , Patel Mayank J.
Published: February 2022

Background: Medication can cause an injury in the esophagus by local and systemic effect, leading to esophagitis. Many such medications have been identified as a cause of pill-induced esophagitis. This study was performed to evaluate the clinical and endoscopic findings of pill-induced esophagitis.Methods: This was retrospective observational study, conducted among patients diagnosed endoscopically with pill-induced esophagitis at Ansh gastroenterology clinic, Ahmedabad, India, from April 2017 to March 2021. The data of these patients were recorded in pre-designed case record form by evaluating their past medical records.Results: Total 90 patients were diagnosed with pill-induced esophagitis. Retrosternal chest pain (68.9%), odynophagia (41.1%), dysphagia (25.6%), and epigastric pain (14.4%) were common clinical findings. The major culprit medications were antibiotics, and NSAIDs (non-steroidal anti-inflammatory drugs). Common esophageal endoscopic findings were ulcer (84.4%), erosion (17.8%), and active ulcer bleeding (12.2%). Kissing ulcers were observed in the majority (46.7%) of cases. The majority of ulcer and erosion were located in middle third of the esophagus. All the patients were recovered within 6 to 10 days after treatment with PPIs (proton pump inhibitors) and/or antacids, and withdrawal of the causative medication.Conclusions: Pill-induced esophagitis commonly manifests as retrosternal chest pain, odynophagia and dysphagia, and endoscopy reveals kissing ulcer and erosion in the majority of cases. The condition can be treated with PPIs and/or antacids, and withdrawal of the offending medication.
A critical evaluation of promotional drug literatures available with prescribers at a tertiary care teaching hospital in Gujarat, India
Authors: Mistry Vimesh R. , Kanani Neeta J. , Thacker Kuntal S.
Published: February 2022

Background: Promotional literature provided by the pharmaceutical companies is one of the important marketing strategies to prescribe. Many of these literatures do not follow ethical guidelines and contain biased and irrelevant information that may cause irrational prescribing. So we did this study with an aim to check the credibility, reliability and authenticity of the PDLs available with prescribers.Methods: Promotional drug literatures were analyzed based on various parameters and guidelines provided by world health organization. Statistical analysis was done using Microsoft Excel.Results: A total 395 promotional drug literatures were analyzed and very few of them fulfilled the ethical criteria for drug promotion. Most of them focused on providing information about generic name, brand name manufacture company name and claims about efficacy. Few of them focused on safety of drugs as less information provided about adverse reaction, precaution and drug-drug interaction. Many of them contain space occupying unnecessary pictures.Conclusions: It can be concluded that the majority of the promotional advertisements that were given to the prescribers do not follow ethical guidelines and were not able to improve rational prescribing but only have commercial benefits.
Comparative trial of seizure recurrence in phenobarbitone maintenance for 72 hrs versus till discharge in moderate to severe perinatal asphyxia in term infants
Authors: Koul Hemangi , Saini G. S.
Published: February 2022

Background: This study was done to look for seizure recurrence in moderate to severe perinatal asphyxia when phenobarbitone was stopped at seizure free interval of 72 hours versus those in whom phenobarbitone was continued upto discharge.Methods: It was a open label randomized trial conducted in neonatal intensive care unit of department of Pediatrics, SMGS from November 2014 to October 2015. This study was conducted on term babies (>37 weeks) with birth asphyxia with moderate to severe encephalopathy according to Levene classification with seizures within 24 hours admitted in NICU.Results: Recurrence of seizures was 6 (10%) in whom phenobarbitone was continued upto discharge and 8 (13.3%) in whom phenobarbitone was stopped after 72 hours of seizure free interval. These results were statistically comparable.Conclusions: There is no beneficial effect of giving phenobarbitone for more than 72 hour in neonates having moderate to severe perinatal asphyxia who are neurologically normal.
Case series of accidental sanitizer consumption in children during COVID lockdown
Authors: Sankar Reethika , Kadambi Prahlad
Published: February 2022

Accidental consumption of unknown substances is common in pediatric age group due to the playful and curious nature of children. Children aged between 1-5 years are most vulnerable for such accidental consumption and thus parents are instructed to keep harmful substances out of reach of children, more so in this age group. With the advent of the COVID19 pandemic in 2020, sanitizers became a common name in most households, making children vulnerable for accidental consumption of them. This case series describes a series of Accidental Sanitizer Consumption in Children during the COVID Lockdown. 8 children presented with accidental consumption of sanitizer in June 2020. The mean age of the children who presented to the hospital was 3.37±1.06 years. Among the 8 children who presented to the hospital, 5 were female and 3 were male. The lethal dose of 1-Propanol and 2-propanol components are 2.8 g/kg and 2.1 g/kg respectively. None of the children had consumed the lethal dose. None of the children from our case series had complaints of confusion, drowsiness, shallow breathing, mucosal irritation, dizziness, headache and bradycardia as the quantity of handrub sanitizer below the toxic dose. Thus, we would like to reinforce responsibilities of parents towards preventing accidental consumption in children as it affects the community at large.
Deviated nasal septum in children: a review
Authors: Swain Santosh Kumar
Published: February 2022

Deviated nasal septum (DNS) is a common clinical entity in human beings. Deviated nasal septum (DNS) may also result in upper respiratory infection, sinusitis, headache, epistaxis, middle ear infection, and hyposmia which increase the morbidity of the child and hamper the quality of life.  The common clinical symptoms associated with DNS among children are nasal obstruction and postnasal discharge. The chronic nasal block in DNS has an adverse effect on the development of the child. DNS has an important effect on the faciomaxillary growth and development, particularly in the first decade of life. The treatment of DNS in childhood has received challenges among otolaryngologists because of its concern about the role of the nasal septum in the overall growth of the midface. So, otolaryngologists are often cautious during the correction of the DNS in children. DNS and its impact on nasal breathing impairment in children are often underestimated by clinicians. Clinicians often have little knowledge on the impact of DNS, its clinical manifestations in children, and its appropriate management. Early intervention for DNS in children is helpful to prevent morbid symptoms and their complications. This review article discusses etiopathology, epidemiology, clinical presentations, diagnosis, and current treatment of the DNS in children.
A study of anemia profile in a research hospital in Telangana, South India
Authors: Fatima Syeda Hajra , Ahmad Tasleem , Latha Sree , Javed Ghazala , Minhajuddin Ahmed
Published: February 2022

Background: Anemia is widespread public health problem with 1.62 billion people affected globally.  In India, Anemia is considered a major health problem. Children, women of child bearing age and pregnant women are more prone to develop anemia. Anemia affects the physical and mental growth of children, associated with increase maternal and fetal mortality, leads to reduced work productivity in adults. The present study was undertaken to determine prevalence and severity of anemia among patients who attended the outpatient clinics of a Unani research hospital in Telangana.Methods: This hospital based retrospective observational study was conducted from January 2020 to December 2020 to investigate the prevalence, type, and determinants of anemia. The complete haemogram values of all the patients who underwent haemogram investigation were noted, information was compiled, tabulated, and analysed. Descriptive statistics were computed with percentages, mean, standard deviation, and student’s t-test was used find the significance of study parameters.Results: Prevalence of anemia was 26.2% (872/3326), high prevalence of anemia was observed in females (44.04%) compared to males (5.72%) (p<0.0001). The prevalence was more in reproductive age group (58.6%). Moderate anemia (58.6%) was more prevalent followed by mild anemia (36.6%). Microcytic hypochromic blood picture predominates with the incidence of 53.6% followed by normocytic blood picture 42.2%.Conclusions: Results confirmed high prevalence of anemia in females and moderate anemia being more prevalent followed by mild anemia and majority of anemia cases were microcytic, suggesting iron deficiency as the main cause of anemia.
An observational study to find out changes in arterial oxygen tension during fiberoptic bronchoscopy
Authors: Kumar Pardeep , Purohit Gopal , Choudhary C. R. , Borana Hemant , Shyam Radhe
Published: February 2022

Background: Arterial hypoxaemia is the commonest complication, since respiratory depressant drugs are used for premedication, and the airway is also partially occluded by the bronchoscope. The study is therefore designed to find out the changes in arterial oxygen tension during (FOB) along with effect on central hemodynamics, pre and post procedure ECG and PFT. Objectives were to find out the changes in arterial oxygen tension during FOB, to study the effects of FOB on central hemodynamics, electrocardiographically and pulmonary function tests.Methods: One hundred patients aged 20 years undergoing FOB were evaluated for the arterial oxygen tension and cardiac rhythm changes at KNCH, Jodhpur during 12 months study period from 2019 to 2020.Results: All patients developed a fall in PaO2 following FOB but hypoxaemia was noted only in 18 cases. Bronchial washing, punch biopsy and brush biopsy did contribute to hypoxaemia significantly. There was a uniform rise in heart rate in all the patients after FOB which was statistically significant. There was slight sinus tachycardia in most of the cases although ECG indicated no major arrhythmias. The pulmonary functions which include change in VC, FVC, FEV1 and PEFR after FOB, on statistically comparison no statistical difference could be observed. There was no significant change in PaCO2 level and pH level. Mean of SBP and mean of DBP was statistically significant.Conclusions: All patients showed a decline in arterial PaO2 after FOB which was highly significant. There was slight sinus tachycardia in most of cases. FOB itself does not endanger the patients with any significant or serious complications.
Thyroid and lipid profile in chronic kidney disease in Southern India
Authors: Galeti Ershad Hussain , Reddy Sandeep , Conjeevaram Jyothi , Galeti Ayesha
Published: February 2022

Background: The progression of chronic kidney disease (CKD) is linked to a multitude of comorbidities, such as thyroid dysfunction, dyslipidemia, and cardiovascular disease. Objective were to determine the thyroid and serum lipid profile of CKD patients and to establish correlation between severity of renal disease with these 2 metabolic parameters.Methods: This was a prospective study conducted among the 100 CKD patients over 1 year admitted in the department of urology and nephrology at our hospital.Results: There were 66 (66%) male patients and 36 (36%) female patients among the 100 patients. There were no patients in grade 1, whereas there were 2, 20, 66, and 12 patients in grades 2-5 CKD, respectively. In each grade of CKD, the mean age, eGFR, urea, creatinine, thyroid profile, and lipid profile were computed individually. The levels of urea, creatinine, and eGFR differed significantly across CKD grades 2-5. The thyroid profile differed significantly across CKD grades 2-5. The lipid profile differed significantly across CKD grades 2-5, with p=0.000, >0.05, 0.000, >0.05, >0.05 for total cholesterol, triglycerides, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and very low-density lipoprotein (VLDL) levels, respectively.Conclusions: The number of patients increases with decreasing T3 and T4 and increasing thyroid stimulating hormone (TSH) proportionate to the severity of the renal failure. In addition, hypothyroidism is becoming more common in people with chronic renal disease. Serum triglycerides, LDL, and VLDL levels rise statistically significantly in CKD grades 3-5 patients.
Acute pulmonary embolism in a patient with neuroleptic malignant syndrome
Authors: Jaison Pyari , Kurien Abraham , Gladson Nikhil , Abraham Merin V.
Published: February 2022

Neuroleptic malignant syndrome (NMS) is a life-threatening complication seen in psychiatric patients exposed to antipsychotic medications. NMS is associated with medication with dopamine antagonist action. The typical tetrad of symptoms of NMS includes fever, muscle rigidity, altered mental status and autonomic dysfunction. Acute pulmonary embolism is one of the major complications seen in patients diagnosed with neuroleptic malignant symptoms. Here we present a case report of a 64 years old female with a history of psychiatric illness, presented with fever, rigidity and altered mental status and diagnosed to have NMS. Later her condition was complicated by pulmonary embolism. She was treated with bromocriptine and heparin infusion and improved symptomatically.
A study of the hearing status in the contralateral healthy ear of patients with chronic otitis media following mastoidectomy surgery in a tertiary care hospital, Kerala, India
Authors: Kuruvilla Anoop Varghese , Vazhappilly Sumam Paul
Published: February 2022

Background: Bone drilling and suction during surgeries, exposes cochleae to noise of markedly high levels, temporal bone vibrations to high speeds of drill bits. Variations in burr type and drilling duration can determine extent of noise generated. These may affect cochlea and hearing status of a patient. This study tries to identify hearing loss if any, in the apparently healthy contralateral ear and, the effect of various drill parameters on hearing status in patients with chronic otitis media following mastoidectomy surgery.

Methods: Study done using proforma, clinical examination data from operation theatre during surgery and audiology department. Pure Tone Audiometry of apparently healthy contralateral and diseased ears in patients done before surgery, within 24 hrs and 72 hrs after surgery.

Results: Out of 161 patients ,12 patients (7.45%) developed hearing loss post operatively. The mean duration of drilling with cutting burr in the 12 patients with hearing loss was 28 minutes 20 seconds (SD: 1.72) and for diamond burr was 25 minutes and 26 seconds (SD: 2.06). Among the patients with hearing loss, four had multiple frequencies affected (33.3%). There was a statistically significant relation in type of drills used in surgery and hearing loss (p<0.001). In 10 Out of 12 patients, the hearing loss post-surgery, (83.3%) reverted to normal within 72 hrs.

Conclusions: A positive correlation exists between, transient sensorineural hearing loss that develops post-surgery with the various type of drills used for surgery, which reverted to pre-operative hearing levels within 3 days.

 
Comparison of the quality-of-life beneﬁt received from cochlear implants and hearing aids among hearing-impaired adults
Authors: Jain Ayash , Mathur Rajani , Mrig Sumit , Kumari Punam , Nijhawan Samriddhi , Agarwal Arun K.
Published: February 2022

Background: To compare the quality-of-life (QOL) beneﬁt received from cochlear implants (CIs) and hearing aids (HAs) among hearing-impaired adults. Using Case Control Study design, health-related questionnaire based on indices for audiological data and quality of life (QOL) was prepared. The questionnaire was used to compare the satisfaction level of users of Cochlear Implants with that of Hearing aids.

Methods: Retrospective and prospective data pandemic from December 2019 to May 2021 was collected. Twenty- five cases of adult Cochlear Implant users were compared against equal number of age-matched control cases of users Hearing aids. Questionnaire to assess the influence of either on quality of life was mailed to the receipients.

Results: Scores for the Hearing aids group matched very well with the scores for the Cochlear Implant group. Overall QoL scores were extensively higher for all 6 subdomains. \Multiple evaluation of variance showed greater QOL benefit in CI than HA users across the physical, psychological, and social subdomains (p<0.001).

Conclusions: Cochlear implants provide extensive benefit for those with profound hearing loss as hearing aids bring for those with less severe hearing loss.

 
Congenital laryngeal stridor-a double trouble
Authors: Venkatesan Sivaranjini , C. Vikram Raj Mohanam T. , Kurien Mary , Krishnan Lalitha
Published: February 2022

Hemangiomas of the airway are benign vascular lesions that can involve any site from the nares to the tracheobronchial tree. It is the most common head and neck tumors in infants. Most of these lesions are seen in the subglottic area in infants. The presence of supraglottic hemangioma is rarely described. This may be due to less likely chance of symptoms and the tendency of infantile hemangiomas to involute without therapy over time. Also, the occurrence of supraglottic hemangioma as a synchronous airway lesion (SAL) with laryngomalacia (LM) is very rare, with most common lesions being tracheal bronchus, tracheomalacia, bronchomalacia and subglottic stenosis We report a rare case of supraglottic hemangioma involving laryngeal surface of epiglottis, as an uncommon SAL with LM, both being unveiled during the evaluation for stridor in a sixty-five-day old infant. It responded well to medical treatment with oral propranolol as it is for most infantile hemangiomas.
Comparative analysis of the effectiveness of the alternatives current treatments in Meniere’s disease
Authors: Jiménez Mónica P. , Pérez Susana G. , Torres José C. , Zarate Carlos M. , Beltrán Rubén , Figueroa Fátima F. , Osuna Felix , Zepeda José M. , López Carlos A.
Published: February 2022

The objective is to compare the efficacy of the treatments currently used in Ménière's disease, assessing their advantages and disadvantages. A bibliographic review was carried out with 11 original articles, of which 10 are in English and 1 in Spanish, from 3 years to date in Journal of Vestibular Research, Otology & Neurotology, European Archives Oto-Rhino-Laryngology, American Journal of Otolaryngology, Laryngoscope Investigative Otolaryngology, Journal of Neurology, Iranian Journal of Otorhinolaryngology, Revista Ciencia y Salud, respectively. The following books were consulted Harrison's Principles of Internal Medicine; Oído, nariz, garganta y cirugía de cabeza y cuello; Diagnóstico y tratamiento en otorrinolaringología. Cirugía de cabeza y cuello; and, Tratado de otorrinolaringología y patología cervicofacial. Medical treatment with dexamethasone, gentamicin, betahistine and diuretics was evaluated, as well as surgical treatment with endolymphatic sac surgery, vestibular neurectomy and labyrinthectomy. Treatment is individualized, however, betahistine is recommended as the first option, followed by IT gentamicin for the control of vertigo.
Hair shaft disorders: a rare case series
Authors: Mounica P. Lakshmi , Reddy P. Navaneetha , Reddy C. Vijay Bhaker , Sagar P. Vidya
Published: February 2022

The hair shaft is composed of multiple layers, which include the medulla, cortex and cuticle. Genetic disorders, diseases or environmental factors can lead to changes in the properties of these structures, resulting in fragility or alterations in hair shaft texture, appearance or manageability giving rise to various hair shaft disorders. Depending on the fragility of the hair the hair shaft disorders are divided into those with increased fragility and those without increased fragility. A clear detailed history and accompanying microscopic, trichoscopic evaluation help in establishing a diagnosis. In this case series we presented a series of seven hair disorders which included pili torti, trichorehexis nodosa, monelithrix, plica palonica, white piedra, trichoptilosis and Tay’s syndrome. Most of the hair shaft disorders have underlying metabolic disorders or genetic disorders that are left unnoticed and are commonly treated as alopecias which do not improve on treatment. Thereby creating a need of diagnosing these conditions appropriately. The treatment of hair shaft disorders depends on treating the underlying cause. In addition patients must be advised to reduce the traumatic effects on the hair like ironing, chemical treatments, curling.