bluuebunny/crossref_metadata_2025 huggingface dataset:
A CLINICAL STUDY ON COMPLICATIONS OF TWIN GESTATION
Authors: Rani. K. N. M Asha , H. K Navya , T Chaitra , Patil Pratibha
Published: July 2023

Background and objectives: Twin pregnancies are associated with an increased risk of obstetric complications as well as perinatal morbidity and mortality especially in developing countries. The objective of present study was to determine feto-maternal complications in twin pregnancy at a tertiary care center. Methods: This prospective observational study was conducted in the department of OBG, VIMS, Ballari from the period of 1st January 2021 to 31st December 2021. Consecutive sampling was done till the sample size of 75 was reached for women with twin pregnancies admitted in labor room or ANC ward with 28 completed weeks of gestation. Results: The incidence of twin pregnancies in this study was 1.31% and the highest incidence was observed in the age group of 21-25 years. They were seen more in multigravida (58.7%) as compared to primigravida (41.3%). Dichorionic placentation accounted for 78.7% and monochorionic 21.3%. Preterm labor (76%), hypertensive disorders (44%) anemia (21.3%) and PPH (12%) were the most common complications. Incidence of LSCS was 42.66%, most common indication was malpresentation accounting for 46.87%. In this study, 95.33% of the babies were LBW and 77.14% were referred to NICU, prematurity being the most common indication for NICU admission. Perinatal mortality rate of monochorionic pregnancy was 28.12% and it was 16.9% for dichorionic pregnancy which shows a signicant association of perinatal mortality rate and chorionicity. Interpretation and conclusion: Twin pregnancy is a high risk pregnancy associated with signicantly increased maternal morbidity, neonatal morbidity and mortality. Such pregnancies require good antenatal care, early detection of maternal and fetal complications together with thorough intranatal and postnatal vigilance and timely referral to a center well equipped for management of such cases.
Aortitis, en búsqueda de su etiología, a propósito de dos casos
Authors: Oquendo Diego , Perdomo Daniel , Motta Orfa , Duran Luis Fernando
Published: July 2023

La aortitis se refiere a la inflamación de la aorta, que puede ser de causa no infecciosa o infecciosa, diagnosticándose generalmente de forma incidental tras estudios histopatológicos de piezas quirúrgicas de aorta. Se presentan dos casos de pacientes que acudieron por falla cardíaca y aneurisma de aorta severa, con necesidad de cirugía. El reporte de patología informó: aortitis. Luego de estudios complementarios, se concluyó que se trataba de una aortitis aisladay de arteritis de Takayasu. Se resalta el seguimiento mediante histopatología, en búsqueda de una etiología específica, para ofrecer un tratamiento y seguimiento acorde al diagnóstico definitivo.
Brain Tumor Classification using Transfer Learning
Authors: Narawade Vaibhav , Shetty Chaitali , Kharsambale Purva , Bhosale Samruddhi , Rout Sushree
Published: July 2023

Brain tumors are one of the more severe medical conditions that can affect both children and adults. Brain tumors make up between 85 and 90 percent of all primary Central Nervous System (CNS) malignancies. Each year, brain tumors are found in about 11,700 persons. The 5-year survival rate is around 34% for males and 36% for female patients with malignant brain or CNS tumors. Brain tumors can be classified as benign, malignant, pituitary, and other forms. Appropriate treatment, meticulous planning, and exact diagnostics must be used to prolong patient lives. The most reliable way for detecting brain cancer is Magnetic Resonance Imaging (MRI). The images are examined by the radiologist. As brain tumors are complex the MRI serve as guide to diagnose the seriousness of the disease. Since the placement and size of the brain tumor seems incredibly abnormal for persons affected by the disease it becomes difficult to properly comprehend the nature of the tumor. For MRI analysis, a qualified neurosurgeon is also necessary. Compiling the results of an MRI can be extremely difficult and time-consuming because there are typically not enough qualified medical professionals and individuals who are knowledgeable about malignancy in poor countries. Thus, this issue can be resolved by an automated cloud-based solution. In the proposed model, The Convolutional Neural Networks (CNN) is used for the classification of the brain tumor dataset with an accuracy of 99%.
EFISIENSI DAN IDENTIFIKASI LOSS PADA PROSES PENGOLAHAN TERASI UDANG REBON (Acetes sp) DI DESA BELO LAUT KECAMATAN MUNTOK BANGKA BELITUNG
Authors: Andriyani Erta Afriza , Yuliati Kiki , Supriadi Agus
Published: July 2023

The objective of this research was to study the efficiency and identification on each processing of terasi shrimp and recommendation to repaired. The research was conducted from August 2009 until July 2012 in Belo Laut village, Bangka Belitung Province. The objective of this research was to study the efficiency, to identify losses during the processing of terasi and to formulate recommendations for process improvement. Laboratory analysis was conducted in Bioprocess Laboratory at Chemical Enginering, Enginering Faculty, Sriwijaya University. Parameters observed were the contents of water, ash, protein, fat, and carbohydrate.. The data were analysed descriptively. The results showed that the efficiency was 35.73%. Based on Pareto diagram, the improvement priority which need to be done is for the dominant loss of shrimp that is wasted on the salinity (36.76%), left on the machine (26.47%), and wasted on drying I (16.18%). The cause-effect diagram analysis shows that the causing factor of the dominant loss come from equipment and human/worker factors. The results of laboratory on nutrient composition terasi showed that average water content (wb) was 35.21%, protein content (db) was 37.88%, fat content (db) was 1.85%, ash content (db) was 9.35%, and carbohydrate content (db) was 50.94%.
Analisis Kandungan Logam Berat (Pb, Hg, Cu dan As) Pada Kerupuk Kemplang Di Desa Tebing Gerinting Utara, Kecamatan Indralaya Selatan, Kabupaten Ogan Ilir
Authors: Ariansya Kiki Agus , Yuliati Kiki , R.J. Siti Hanggita
Published: July 2023

The purpose of research was to investigated the heavy metal (Pb, Hg, Cu, and As) content on the kerupuk kemplang (traditional fish cracker) at the North Tebing Gerinting Region, District of South Indralaya, Ogan Ilir Regency.This research was conducted on September until May 2012 the north region Tebing Gerinting, district of South Indralaya, Ogan Ilir regency and Laboratory of Balai Riset dan Standarisasi Industri dan Perdagangan, Palembang.This research used survey method to obtain primary data. The data showed the value of heavy metal content differs, there were fish source (marine fish and fresh water fish),Â  location (in the roadside and in the village), and drying method (with and without rack) and each sample was replicated two times.Â  The parameter of observation were conducted on plumbum (Pb), mercury (Hg), copper (Cu) and arsenic (As).The result of the research revealedÂ  that plumbum (Pb) of Kerupuk kemplang with raw material from marine fishÂ  and dried in the roadside with rack had value of plumbum 0,0025 mg/kg and in the roadside without rack had 0,0108 mg/kg. Drying on the village with rackÂ  had 0,005 mg/kg and without rack had 0,0005 mg/kg. Kerupuk kemplang with raw material from freshwater fish and dried in the rack of roadside had value of Â plumbum 0,0021 mg/kg and without rack had the value of 0,0055 mg/kg. Drying on the village with rack had 0 mg/kg and without rack had 0,005 mg/kg.Â  Plumbumâ€™s content on kerupuk kemplang still below the threshold were allowed, had the value of 0,3 mg/kg, but it should be able attention because of its heavy metal that could be accumulated in humanâ€™s body especially on kidney, heart and brain.
PENGUJIAN AKTIVITAS ANTIOKSIDAN EKSTRAK BUNGA LOTUS (Nelumbo nucifera)
Authors: Romadanu Romadanu , Hanggita Siti , Lestari Shanti Dwita
Published: July 2023

The purpose of this research was to observe antioxidant activity of lotus leaves extract (Nelumbo nucifera). The extractionÂ  process was carried out using three different solvents namely methanol, ethyl acetate and n-hexane. The observed parameters were extraction yields phytochemical compounds (alkaloid, flavonoid and tanin) and antioxidant activity using DPPH method. The results showed that the methanol extract exhibited the highest yield with a value of 0.708% and had a flavonoid tannin content of 1161 ppm. The antoxidant activity of the same extract as indicated by IC50 value was 199 ppm. The extract ethyl acetate and n-hexane solvents did not show potential antioxidant activities
A Narrative Inquiry of Two English Teachers’ Identity Construction
Authors: Fitaloka Devia , Gandana Isti Siti Saleha
Published: July 2023

Teacher identity is one of the essential aspects influencing the form and quality of educational processes. The present study examines the narratives of one of the writers, Devia, and an English teacher, Trisa, throughout their learning and teaching experiences and the process that were involved as they negotiated their identities as teachers. The data were collected from an autobiographical narrative of Devia as an English teacher, as well as intensive life-history interviews with Trisa. Analysis of the narratives and interview data led to four major themes: inspiring figures, teaching practicum experiences, becoming an English teacher, and pursuing a postgraduate study. The findings revealed that Devia’s and Trisa’s engagement in the practices and activities of learning and teaching shaped their teacher identity constructions. Keywords: narrative inquiry, teacher identity, teacher identity construction
Peranan Kepala Sekolah Dan Guru Dalam Manajemen Kesiswaan Di SDK Santa Maria Ratu Rosari Gianyar
Authors: Wulandari Dewa Ayu Riska , Prawita Wayan Cahya , Sepriani Ni Kadek
Published: July 2023

The principal is a role model who must be able to improve the quality of the school in carrying out the student management function which includes students, teachers and school physics, in the management of student management it is the most important thing to make optimal student conditions so that schools have quality, student management, school principals have a very significant and very basic role, starting from the admission of new students, student development or self-development to the student graduation process. The purpose of this study is to describe the role of the principal and teacher in student management at SDK Santa Maria Ratu Rosari Gianyar. This study used descriptive qualitative method. The data were taken by means of interviews, observation and documentation studies. In this study, the subjects of this study were the principal, vice principal for curriculum and student affairs, as well as several students and teachers in the field of study and administrative staff at this school. Based on the results of research and data analysis and conclusions, it was found that; 1) the principal has a function that greatly influences the development of the school, both school progress, student achievement and student character development. The ongoing student management process is in accordance with the plans previously prepared by the school in accordance with technical instructions from the education office. 2. Student management management of SD Santa Maria Ratu Rosari Gianyar is managed by student teachers, classroom teachers and education staff who have been appointed by the principal with the principal as the person in charge. The management of student management itself begins with planning for new student admissions by adjusting the capacity previously adapted to existing infrastructure and existing teachers and education personnel, then admitting new students, organizing students, student orientation, student coaching and service, and student assessment.
Design of Modified Booth’s Encoder Using SPST technique
Authors: G Vasudeva. , Gururaj Bharathi
Published: July 2023

This paper presents the design and implementation of signed-unsigned Modified Booth Encoding (SUMBE) multiplier. The present Modified Booth Encoding (MBE) multiplier and the Baugh-Wooley multiplier perform multiplication operation on signed numbers only. Therefore, this paper presents the design and implementation of SUMBE multiplier. The modified Booth Encoder circuit generates half the partial products in parallel. By extending sign bit of the operands and generating an additional partial product the SUMBE multiplier is obtained. The Carry Save Adder (CSA) tree and the final Carry Look ahead (CLA) adder used to speed up the multiplier operation. Since signed and unsigned multiplication operation is performed by the same multiplier unit the required hardware and the chip area reduces and this in turn reduces power dissipation and cost of a system. The proposed radix-2 modified Booth algorithm MAC with SPST gives a factor of 5 less delay and 7% less power consumption as compared to array MAC.
Evaluasi Manajemen Penerimaan Siswa Baru Berbasis Online pada MTsN 11 Agam
Authors: Warmanto Edi , Arif M.
Published: July 2023

Penelitian ini bertujuan untuk mengevaluasi proses pelaksanaan manajemen penerimaan siswa baru secara online pada MTsN 11 Agam tentang apakah berjalan dengan lancar atau ada kendala yang ditemukan. Metode yang digunakan adalah metode kualitatif. Semenjak wabah Covid melanda, proses pelaksanaan penerimaan siswa baru pada MTsN 11 Agam yang sebelumnya dilakukan secara manual (offline) beralih menjadi online. Proses penerimaan siswa baru secara online ini sudah dilaksanakan selama dua tahun, yaitu tahun pelajaran 2020/2021 dan 2021/2022. Karena proses penerimaan siswa baru secara online ini sudah diterapkan selama dua tahun, maka sudah selayaknya ada evaluasi. Berdasarkan hasil penelitian, penerimaan siswa baru secara online berjalan dengan baik dan lancar. Mulai dari pembentukan panitia, pembuatan dan penyebaran brosur, pendaftaran, seleksi dan pendaftaran ulang. Namun masih terdapat beberapa kendala, yaitu: (1) informasi yang disebar melalui media sosial tidak menyentuh seluruh calon siswa, terutama mereka yang tidak memiliki android, (2) masih ada beberapa calon siswa yang akan mendaftar yang tidak paham cara melakukan pendaftaran online, (3) calon siswa baru yang tempat tinggal di pedalaman kesulitan melakukan pendaftaran dikarenakan terkendala jaringan internet.
Impactos psicosociales de la pandemia covid- 19 en la educación
Authors: Benítez Carolina E.,
Published: July 2023

La Pandemia COVID-19 y su rápida propagación ha requerido como medida sanitaria el confinamiento para evitar el contagio. Este aislamiento social generó riesgos en la salud mental y efectos psicológicos a corto y largo plazo. Además, el cambio de la relación presencial profesor alumnos otra virtual ha traído consigo consecuencias como a falta de acceso a la explicación detallada. El presente estudio tiene como objetivo analizar los impactos psicosociales de la pandemia de COVID-19 en la educación. Se realizó una revisión exhaustiva de la literatura científica publicada en los últimos cinco años.  En cuanto a la metodología, se utilizó un enfoque de investigación documental, revisando y analizando los artículos seleccionados en busca de información relevante sobre los efectos psicosociales de la pandemia en el ámbito educativo. Se aplicaron criterios de inclusión y exclusión para seleccionar los estudios más pertinentes y se llevó a cabo un análisis comparativo de los resultados. Este estudio resalta la importancia de abordar los impactos psicosociales de la pandemia en la educación y propone la implementación de estrategias de apoyo emocional y social para mitigar los efectos negativos. Se destaca la necesidad de fortalecer la comunicación entre docentes y alumnos, así como de brindar recursos y herramientas adecuadas para el aprendizaje virtual.
DAUR ULANG LIMBAH KERTAS UNTUK PENINGKATAN KETERAMPILAN MASYARAKAT DI BANTARAN SUNGAI KOTA TASIKMALAYA
Authors: Rahim Muhamad Ali , Santoso Miky Endro , Suryana Wawan , Sukayasa Komang Wahyu
Published: July 2023

Keberadaan banyaknya sampah di sekitar bantaran sungai dapat menyebabkan banjir, mengganggu kesehatan masyarakat, dan dapat menjadi sumber penyakit. Oleh karena itu sampah harus ditanggulangi bersama-sama oleh segenap warga masyarakat. Selain itu, melatih keterampilan dalam mengolah limbah, khususnya limbah kertas, sangat diperlukan masyarakat. Keterampilan dalam mengolah limbah kertas ini dapat mengurangi sampah, dan juga berpotensi untuk mendapatkan penghasilan tambahan yang tentunya sangat dibutuhkan warga masyarakat. Kegiatan abdimas ini bermitra dengan Forum Komunikasi Pencinta Alam Tasikmalaya (FKPA-T) dan masyarakat bantaran sungai Cimulu, RW.01, kampung Tawang Kulon, kelurahan Tawangsari, kecamatan Tawang, kota Tasikmalaya. Tujuan abdimas ini adalah memberi pelatihan masyarakat di sekitar bantaran sungai dengan praktik keterampilan pengolahan daur ulang limbah kertas, sehingga berpotensi untuk dikembangkan menjadi produk yang bermanfaat dan memiliki nilai jual. Metode yang digunakan adalah metode ceramah, workshop eksperimental, dan tanya jawab. Hasil yang diperoleh adalah kemampuan teknik para peserta pelatihan dalam praktik membuat kertas daur ulang sudah nampak ada peningkatan sesuai arahan tim pengabdi. Selain itu, mereka juga menyadari proses daur ulang kertas sebagai salah satu cara penanggulangan limbah dapat berpotensi untuk dikembangkan menjadi produk kerajinan yang memiliki nilai jual dan dapat membantu secara perekonomian keluarga.
A Blueprint for the Milky Way’s Stellar Populations. IV. A String of Pearls—the Galactic Starburst Sequence
Authors: An Deokkeun , Beers Timothy C. , Lee Young Sun , Masseron Thomas
Published: July 2023

We continue our series of papers on phase-space distributions of stars in the Milky Way based on photometrically derived metallicities and Gaia astrometry, with a focus on the halo−disk interface in the local volume. To exploit various photometric databases, we develop a method of empirically calibrating synthetic stellar spectra based on a comparison with observations of stellar sequences and individual stars in the Sloan Digital Sky Survey, the SkyMapper Sky Survey, and the Pan-STARRS1 surveys, overcoming band-specific corrections employed in our previous work. In addition, photometric zero-point corrections are derived to provide an internally consistent photometric system with a spatially uniform metallicity zero-point. Using our phase-space diagrams, we find a remarkably narrow sequence in the rotational velocity (v

ϕ
) versus metallicity ([Fe/H]) space for a sample of high proper-motion stars (>25 mas yr−1), which runs along Gaia Sausage/Enceladus (GSE) and the Splash substructures and is linked to the disk, spanning nearly 2 dex in [Fe/H]. Notably, a rapid increase of v

ϕ
from a nearly zero net rotation to ∼180 km s−1 in a narrow metallicity interval (−0.6 ≲ [Fe/H] ≲ −0.4) suggests that some of these stars emerged quickly on a short gas-depletion timescale. Through measurements of a scale height and length, we argue that these stars are distinct from those heated dynamically by mergers. This chain of high proper-motion stars provides additional support for recent discoveries suggesting that a starburst took place when the young Milky Way encountered the gas-rich GSE progenitor, which eventually led to the settling of metal-enriched gas onto the disk.
Abundance estimation with DNA metabarcoding – recent advancements for terrestrial arthropods
Authors: Sickel Wiebke , Zizka Vera , Scherges Alice , Bourlat Sarah J. , Dieker Petra
Published: July 2023

Biodiversity is declining at alarming rates worldwide and large-scale monitoring is urgently needed to understand changes and their drivers. While classical taxonomic identification of species is time and labor intensive, the combination with DNA-based methods could upscale monitoring activities to achieve larger spatial coverage and increased sampling effort. However, challenges remain for DNA-based methods when species counts and/or biomass estimates are required. Several methodological advancements exist to improve the potential of DNA metabarcoding for abundance analysis, which however need further evaluation. Here, we discuss laboratory, as well as some bioinformatic adjustments to DNA metabarcoding workflows regarding their potential to achieve species abundance estimation from arthropod community samples. Our review includes pre-laboratory processing methods such as specimen photography, laboratory methods such as the use of spike-in DNA as an internal standard and bioinformatic advancements like correction factors. We conclude that specimen photography coupled with DNA metabarcoding currently promises the greatest potential to achieve species counts and biomass estimates, but that approaches such as spike-ins and correction factors are promising methods to pursue further.
Impacts of campus disruption on educational developers’ role-identity and teamwork
Authors: Pilny William V. , Brock Benjamin , Fiore Stephanie Laggini
Published: July 2023

In times of crises, educational developers (EDs) work to ameliorate the teaching- and learning-related impacts caused by campus-wide disruptions such as health-related emergencies, mass shootings, and environmental disasters. These incidents may impact the personal-psychological factors and processes of EDs that, in turn, influence their engagement with team members and faculty. Given the vital role EDs play in improving faculty teaching and student learning across higher education (Dawson et al., 2010; Grupp, 2014; Schroeder et al., 2010), understanding the impacts of campus-wide disruptions on their functioning is critical. The present, novel study uses a psychological-phenomenological methodology and the Dynamic Systems Model of Role Identity (DSMRI; Kaplan & Garner, 2017) as a guiding theoretical framework to examine how a major disruption impacted the sense of self and engagement of EDs (n = 6) who hold different specialties (i.e., pedagogy or educational technology) and work in an educational development center housed within a large research institution. Participants completed three, open-ended survey questionnaires focused on their perceptions and actions before and during the COVID-19 disruption to institutional operation. Using the DSMRI Analysis Guide and Codebook (Kaplan & Garner, n.d.), five themes emerged from the data. These themes were used to address primary research questions and inform future directions and implications for theory, research, and practice.
Terracottas in the Yale Babylonian Collection
Authors: Battini Laura
Published: July 2023

This article presents a publication project concerning the terracottas in the Yale Babylonian Collection that began in 2018, suspended by the pandemic, and resumed in 2022. After defining the difficulties and the methodology, it presents an overview of the study and concludes by describing the publication plan.
Diphilos Dissertation Prize 2022 Studies on Coroplastic Production in Greek Sicily. A PhD Dissertation on the Terracotta Dedicants from the Votive Deposit of Piazza San Francesco in Catania (fifth to fourth century B.C.E.)
Authors: Ferlito Flavio
Published: July 2023

This contribution represents a brief description of my doctoral dissertation1 entitled “Il deposito votivo di Piazza San Francesco a Catania: produzione, contesto e diffusione. Le offerenti in terracotta nella Sicilia orientale dall’età protoclassica all’età tardo-classica” 2that was defended successfully on May 4, 2021, at the University of Catania.
Bibliography 2020-2021
Authors: Studies Association for Coroplastic
Published: July 2023

The following is a compilation of publications on coroplastic topics for 2019-2020. As this is taken from Dyabola, all reference Greek or Roman terracottas. Bibliography on coroplastic topics that focus on other areas of the ancient world are very much appreciated and can be sent to uhlenbrj@hawkmail.newpaltz.edu.
Les libéraux du Trienio constitucional (1820-1823) en quête de leurs origines : des fictions oniriques au service d’une mythologie politique
Authors: Le Guellec Maud
Published: July 2023

Le Trienio constitucional, pendant lequel le roi absolutiste Ferdinand VII est contraint de régner avec un gouvernement libéral, constitue un moment crucial de l’histoire de l’Espagne. C’est en effet en 1820 que, pour la première fois, l’idéologie issue du Cadix de 1812 a enfin l’occasion d’être véritablement mise en pratique. Mais une fois aux commandes, les libéraux doivent s’imposer comme un acteur majeur sur l’échiquier politique national, et modifier les mentalités face à des schémas absolutistes bien ancrés dans les esprits. Dans cette tâche épineuse de mise en place d’un nouvel imaginaire politique, ils font appel à tous les canaux possibles : textes, images, cérémonies, symboles, etc. Ils mobilisent, également, différentes stratégies de légitimation qui alternent ou se combinent selon les moments, les publics et les supports. Cet article se propose d’explorer une des stratégies auxquelles ont recours les libéraux du Trienio – la mise en scène de la genèse du libéralisme –, à travers l’un des corpus propices à cette mise en mots et en images d’un mythe des origines : les fictions oniriques. La réflexion prendra notamment appui sur El Anteojo mágico, o La visión de los dos palacios en el bosque (D.J.A.R., Oviedo, 1820) ; El Dos de mayo. Fragmento (in El Espectador, 2 mai 1821) ; Mi sueño, o visión de un hombre libre (B… M…, Séville, 1821) ; Mi viaje a la luna o sueños políticos y morales. Primera insurrección del pueblo de Airebi (in Diario constitucional de Palma, 11 et 12 mai 1820) et Profecía de lo que se verá el día 9 de julio de 1820 (Madrid, 1820).
La socialización frustrada de la industria del Calzado en Barcelona (1936-1939)
Authors: Delhom Joël
Published: July 2023

La socialización de la industria del Calzado en Barcelona fue tributaria de la alianza sindical antifascista y de la participación anarcosindicalista en el gobierno, que redujeron su alcance revolucionario. El contexto bélico impuso una orientación productivista, centralizadora y disciplinaria en ruptura con las perspectivas emancipadoras, que generó insatisfacción entre los trabajadores y los militantes. Se enfocan aquí los factores que limitaron la actuación autónoma de la CNT, las resistencias que enfrentó su Agrupación del Calzado, la falta de cueros y las limitaciones de los cuadros sindicales. La última parte analiza las dificultades de la colectivización desde la percepción de la base militante.
Multimodal Embeds in the Multimodal Texts
Authors: You Yu-ling
Published: July 2023

This chapter examines the multimodal embeds in the multimodal texts that are composed for academic purposes on CGScholar. Multimodal embeds refer to the various modes that are allowed, by means of the Creator on CGScholar, to be inserted into the multimodal texts to form meaning together with texts. We propose the rhetorical purposes of multimodal embeds, based on the Systemic Functional Grammar, to account for the insertion of multimodal embeds in multimodal texts. Based on our text analysis of the multimodal embeds, we propose that they are employed by the authors for various rhetorical purposes, and further discuss that the affordances of different modes are related to the rhetorical purposes which multimodal embeds are inserted to achieve.
The Safety to Switch from Constant Voltage to Constant Current with a Mixed Internal Pulse Generator in Deep Brain Stimulation
Authors: Öztürk Gülşah , Paksoy Kemal
Published: July 2023

Background:

Deep brain stimulation (DBS) is an efficient modality for the treatment of movement disorders. Differing from the constant voltage (CV)-DBS devices, constant current (CC)-DBS devices may allow more precise stimulation of the target brain regions since they are less influenced by impedance. If internal pulse generators (IPGs) of DBS devices are required to be connected with electrodes of different brands, employing proper adapters is necessary. Such connected DBS devices are called mixed or hybrid devices.

Objectives:

As there is sparse information about the clinical mixed devices, we studied their safety and efficacy.

Materials and Methods:

Clinical scores of 13 patients implanted with mixed DBS devices were determined with the Unified Parkinson’s Disease Rating Scale (UPDRS) in Parkinson’s disease (PD) (n = 10) and with the Burke–Fahn–Marsden Dystonia Rating Scale (BFMDRS) in dystonia (n = 3). Patient satisfaction was assessed with the Timmerman questionnaire. The Clinical Global Impression Improvement (CGI-I) Scale was also evaluated.

Results:

Patients’ overall satisfaction was considerably higher with mixed devices. The UPDRS and BFMDRS clinical scores did not significantly differ after switching to a mixed DBS device. Three patients before the DBS switch suffered from side effects under the CV mode. These patients got rid of the side effects in their follow-up with a reduction in pulse width values.

Discussion:

Mixed devices working in CC mode are well tolerated with high patient satisfaction.

Conclusion:

Besides patient satisfaction, mixed IPGs are also considered safe.
Early maladaptive schemas in substance use disorders in the Indian context: Theoretical and therapeutic implications
Authors: Chopra Ratnesh , Murthy Pratima , Narayanan Gitanjali
Published: July 2023

Schema theory seems to be a relevant perspective in the overall understanding of substance use disorders (SUDs). Early maladaptive schemas (EMSs) are defined as self-defeating emotional and cognitive patterns that begin early in our development, repeat throughout life, and act as risk factors for mental health problems and substance use (SU). SU behavior acts as a means by which users attempt to avoid triggering the unpleasant and negative emotions inherent in their elevated schema. Thus, SU is often seen as a coping mechanism in schema theory. This has important implications in terms of assessment, treatment, and planning of interventions. Schema therapy would be a valuable addition to the current therapy practice, which emphasizes a dual focus on both SU and EMSs and uses an integrated framework of cognitive, behavioral, and experiential techniques to target and modify EMSs.
Pathways to the first contact with mental health services among patients with schizophrenia: A cross-sectional observational study
Authors: Tyagi Swati , Deopa Nikita , Pardal Pavan K. , Charan Deepak , Prakash Jyoti
Published: July 2023

Background:

Schizophrenia is a mental illness with a profound impact on patient and their caregivers. There is increasing evidence that delay in the commencement of treatment following the onset of illness may be related to the pathways; patients navigate before accessing mental health services.

Aim:

The aim of this study is to assess the pathways of care to the first contact with mental health services among patients with schizophrenia.

Methods:

A total of 150 diagnosed schizophrenia patients aged 12–60 years were recruited as per inclusion and exclusion criteria. The sociodemographic details were gathered using semistructured sociodemographic data sheets; semistructured pathways to care questionnaire and positive and negative syndrome scale for schizophrenia were administered.

Results:

The most common first pathway to care was faith healers. The education of the head of family, socioeconomic status, rural background, and occupational status of patients have a significant impact on the first pathway of psychiatric care. The findings suggest that while planning mental health services, emphasis should be made on collaboration between psychiatric and nonpsychiatric services.

Conclusion:

The pathways patient choose depend on a number of factors like their socio-cultural background, belief about the supernatural causation of psychiatric illness, stigma associated with psychiatric illness, lack of knowledge about the mental illness, and influence of close family relatives on the choice of treatment.
A qualitative study on perspectives of undergraduate professional students on suicide and recommendations for an effective suicide prevention program
Authors: Shanmugavinayagam Arumuganathan , Usaid Syed , Thangaraju Siva Ilango , Sinnathambi Sumithra Devi
Published: July 2023

Background:

Suicide has become a leading cause of death among 15- to 39-year-olds. Recent data suggests that one student commits suicide every 60 seconds in India. One of the suicide preventive strategies adopted is the introduction of a crisis helpline for students but the effectiveness of this support in preventing suicide remains questionable. Our study aims to find out the perspectives of students on suicide and their recommendations for an effective suicide prevention program.

Method:

A qualitative design with focus group discussions was used to collect data. A universal sampling technique was adopted and the data were analyzed using the framework method.

Results:

A total of 830 students were divided into 70 groups with each group having 12 to 15 students participating in the focus group discussion. Several themes and subthemes emerged from the discussion. Overall, students had a poor understanding of people who attempt suicide, elaborated the factors instigating a person to make a suicidal attempt, barriers to access help and their views on effective crisis intervention service.

Conclusion:

The study identified student perspectives on suicide and the challenges perceived by the students for the effective implementation of a crisis intervention program for suicide prevention.
Psychological adjustments among lower limb amputees in North Indian population: A cross-sectional study
Authors: Kumar Dileep , Mishra Sudhir Ramkishore , Gupta Anil Kumar , Srivastava Mohit Kishore , Yadav Ganesh
Published: July 2023

Introduction:

Limb amputation is an extremely stressful event for an individual, following which the amputee develops inferior body image, anxiety, and changes in self-concept and identity. For holistic rehabilitation, understanding the psychosocial status of the amputee and its’ predictors is of utmost importance.

Objective:

The aim of the article is to assess the psychological adjustments in patients with lower limb amputation and determine its clinical and sociodemographic correlates.

Material and Methods:

A observational cross-sectional study was conducted from 2020 to 2022 among lower limb amputees of a tertiary care hospital in Lucknow which serves as the only rehabilitation and artificial limb center for the whole state of Uttar Pradesh. Baseline sociodemographic and clinical data were collected. The Hospital Anxiety and Depression Scale was used to determine underlying depression and anxiety, while the Trinity Amputation and Prosthesis Experience Scale was used for understanding the psychological adjustment.

Results:

The mean age of the amputee was 39.47 ± 16.99 years. The mean general, social adjustment, and adjustment to limitation score was 16.3 ± 3.34, 15.19 ± 3.59, and 12.76 ± 3.15, respectively. Male amputees, aged >40 years, and pensioners had significantly higher scores for general adjustment (P < 0.05). Those aged >40 years were pensioners and had no underlying depression and anxiety and had better social adjustment (P < 0.05). Those with transfemoral amputation had a significantly lesser adjustment to limitation (P = 0.003).

Conclusion:

Young age amputees had poor general and social adjustments and more activity restriction but high prosthesis satisfaction as compared to the elderly. Those with transfemoral amputation had a poor adjustment to limitation while those wearing above-knee prosthesis had more activity restriction.
COVID-19 associated psychosis
Authors: Messina Antonino , Signorelli Maria Salvina
Published: July 2023

Since the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic was declared, cases of psychosis, delusions, hallucinations, and disorganized behavior have been reported worldwide, both during the acute phase of COVID-19 and after recovery. Given the recent emergence of COVID-19, data are still accumulating, and it is premature to correlate COVID-19 with psychotic disorders causally. However, SARS-CoV-2 has been shown to have the ability to cross the blood-brain barrier and penetrate neurons. This finding and the amount of published work on COVID-19 and psychotic disorders compel special attention to elucidate the link between SARS-CoV-2 and the occurrence of psychotic symptoms. In this article, several reviews and case reports that have analyzed the link between COVID-19 and psychotic disorders are reviewed. In light of the data that have emerged at the present time, study criteria were proposed to identify COVID-19-related psychosis.
Spiritual-Religious Coping in Patients with Schizophrenia: A Qualitative Analysis
Authors: Das Soumitra , Malathesh Barikar Chandrappa , Chatterjee Seshadri Sekhar , Mitra Sayantanava , Punnoose Varghese P.
Published: July 2023

Background:

Spiritual and religious ways of coping are adaptive for individuals battling schizophrenia in the face of various illness-related factors. Related research is mainly focused on those with acute symptoms. Schizophrenia and a qualitative analysis of the connotation of spirituality-religiosity (SR) in processing illness-related difficulties in Indian context is sparse. This study analyzed how the SR helps people with schizophrenia to handle various day-to-day challenges in life.

Methods:

A qualitative approach was adopted, and consenting patients were asked open-ended questions. Data collected from these in-depth interviews with 15 individuals with schizophrenia and currently in remission were analyzed according to a predetermined model. Data were collected and analyzed based on grounded theory principles.

Results:

Twelve out of 15 of the individuals regarded SR as an inherent part of their well-being. At a personal level, the descriptions reflected a tendency toward achieving inner peace, meaning, and purpose in life; whereas at social/interpersonal levels, it was more about acceptance and seeking other’s support. These individuals regarded SR as a way of sharing love, care, and support, which would further help them in handling difficulties and accepting responsibilities.

Conclusion:

A well-formed SR belief system helps the patients with schizophrenia to navigate better through the day-to-day life stressors by changing the ways of coping.
Brucellar testicular abscess: The 17th case report and review of literature
Authors: Hamoda Taha Abo-Almagd Abdel-Meguid , Bahassan Omar , Almalki Abdullah Majed , Alkhzaim Ali Hasan , Khogeer Ahmed Nizar , Ahmed Ehab Mahmoud , Algarni Kamal
Published: July 2023

Brucellosis is an endemic zoonotic disease caused by intracellular gram-negative coccobacilli called Brucella. This infectious disease may implicate many farm animals and is transmissible to exposed humans. Brucellosis is potentially life-threatening and may lead to granulomatous multi-organ involvement with tendency to chronicity and recurrence. The treatment of brucellosis requires combined and protracted antimicrobial therapies to eliminate the disease and to avoid its relapse. Genitourinary brucellosis is common among infected humans in endemic areas and is considered the second-most affected focal site, which commonly manifests as epididymo-orchitis. Testicular abscess, however, is an extremely rare complication of brucellosis. To the best of our knowledge, in the literature, there are to date only 16 previously published case reports, including 22 patients of brucellar testicular abscesses, emphasizing the extreme rarity of this condition. Most of these cases harbored small abscesses, which were treated conservatively using antibiotics therapy only, or with added drainage of the abscesses. Larger abscesses were reported to necessitate orchiectomy. In some cases, the abscesses were mimicking tumors, and surgeries for orchiectomy were done accordingly. A summary of the previously reported cases in the literature is presented. Here, we present the 17th case report of a 34-year-old man with a right-side huge multilocular brucellar testicular abscess apparently replacing the entire testicle, who was successfully treated with organ-sparing management by incision-drainage of the large abscess with antibiotics, to eventually preserve his testis. In conclusion, brucellosis should be considered among the differential diagnoses of any testicular swelling, especially in endemic areas. Drainage of brucellar testicular abscess with appropriate medical treatment is feasible and may preserve the testicle, even with large abscess apparently replacing the entire testicle.
Fluoroscopy-free semirigid ureteroscopy for ureteral stone treatment: A prospective single-arm study of feasibility, efficacy, and safety
Authors: Aliaga Alfredo , Avalos Andres Vega , Sanchez Rodrigo , Rojas Sergio , Aguila Felipe , Marchant Fernando
Published: July 2023

Objectives:

Patients with urolithiasis receive a significant amount of radiation during diagnosis, treatment, and follow-up of their pathology, with nearly 20% receiving more than the annual recommended, creating a growing concern regarding radiation exposure faced by patients and health personnel. The objectives of the study were to describe a standardized fluoroscopy-free (FF) semirigid (SR) ureteroscopy (URS) technique for ureteral stone treatment and to determine the feasibility, efficacy, and safety of this technique for the treatment of ureteral stones comparing it to a historical cohort of fluoroscopy-guided (FG) SR-URS.

Materials and Methods:

A prospective single-arm study of patients submitted to FF SR-URS was conducted. Visual and tactile cues were employed to avoid the use of ionizing radiation. The success (feasibility), stone-free (efficacy), and complication (safety) rates of each procedure were registered. The results were compared to a historical cohort of patients that underwent FG SR-URS at our center.

Results:

One hundred and five patients subjected to FF SR-URS were included in the study and compared to a historical cohort of 87 patients subjected to FG SR-URS. The main characteristics were comparable among groups. Ninety-seven patients (92.38%) were completed without any use of ionizing radiation. The stone-free rate was 92.45%, similar to the historical cohort. Only Clavien I and II complications were found without statistical difference between the study groups. The average dose of radiation exposure for the historical cohort was approximately 0.5 mSv.

Conclusions:

FF SR-URS is a feasible, efficacious, and safe technique for treating the ureteral stones for urologists with good practice of the traditional technique. Implementing this procedure allows a decrease in radiation exposure to both patients and health personnel.
Neurofibroma of the external genitalia, extreme enlargement of the clitoris
Authors: Almesned Razan , Alhagbani Mohamed , Sultan Mohammed , Alshayie Mohammed , Alqarni Naif , Alshammari Ahmed
Published: July 2023

Neurofibromatosis of the genitourinary tract is rare, with a prevalence of 0.65%, and it is exceedingly rare to involve the external genitalia. Involvement of the clitoris, labia majora, and prepuce was reported with clitoromegaly being the most frequently occurring. Herein, we are reporting the case of a 6-year-old girl who was diagnosed with a neurofibroma of the clitoris; measuring 9.4 cm in its largest dimension. To the best of our knowledge, this is the largest clitoral neurofibroma reported in the literature. Due to the rarity of such cases and reports limitations in the literature, the diagnosis of neurofibroma of the external genitalia requires a high index of suspicion by health-care providers. Surgical excision and postoperative follow-up for possible recurrence remain the gold standard of management.
Library Reading Habits: An Exploratory Study on School Children of Delhi
Authors: Mehta Richa
Published: July 2023

The present study entitled “LIBRARY READING HABITS: AN EXPLORATORY STUDY ON SCHOOL CHILDREN OF DELHI ” was carried out to check the time spent by the school children in the library. The study was carried out in six schools of Delhi out of which two are Government, two are Government aided and two are Private schools, viz., School A, School B, School C, School D, School E and School F respectively. One hundred eighty people formed part of the sample to understand their perspective.
Salient features of the study were:
1. Most students from government, government aided and private schools use libraries for reading purposes. Reason for this trend could also be the peer pressure to excel and be better in class and among their peer groups and the highly competitive environment particularly in private schools motivates students to read books beyond their prescribed texts.
2. Students from private schools claimed that even though their library was comfortable and provided a good atmosphere for reading, but the seating space is not always enough as per the class strength and at times a suitable well-spaced area may not be available. In contrast, students from government schools felt that even though seating is provided, most seats are not well built and nearly broken which reduces the number of seatings as compared to the number of students.
3. Most of the students feel that the time spent by them in the library is useful and helps them in the process of learning, the reason probably being that the library opens to them a plethora of resources that helps them connect with the happenings of the world outside their classroom. The percentage is low in case of government schools, because they visit the library on a monthly basis.
Hubungan Koordinasi Mata Tangan, Kelentukan Pergelangan dan Konsentrasi dengan Ketepatan Shooting Petanque Puslatkab Kabupaten Mojokerto
Authors: Mokhamad Raynaldo Dwiki Fahrizal  , Reo Prasetiyo Herpandika  , Puspodari
Published: July 2023

Penelitian bertujuan untuk memperoleh informasi hubungan koordinasi mata tangan, kelentukan pergelangan tangan dan tingkat konsentrasi terhadap ketepatan shooting game. Teknik sampling pada penelitian ini menggunakan non probability purposive sampling sehingga dapat diperoleh 14 atlet Kabupaten Mojokerto untuk diteliti. Instrumen penelitian ini yaitu koordinasi mata tangan menggunakan lempar tangkap bola di dinding, kelentukan menggunakan goniometer, konsentrasi menggunkan concentration grid dan ketepatan shooting menggunakan shooting game. Teknik analisis data dalam penelitian ini menggunakan uji normalitas, uji linieritas, uji korelasi sederhana dan uji regresi linier berganda. Dari hasil penelitian dapat dijelaskan : 1)Variabel koordinasi mata tangan (X1) memiliki nilai rhitung 0,945 > 0,532 rtabel, 2) Variabel kelentukan tangan (X2) memiliki nilai rhitung 0,870 > 0,532 rtabel,3) Variabel tingkat konsentrasi memiliki nilai rhitung 0,830 > 0,532 rtabel, 4)hubungan antara koordinasi mata tangan, kelentukan pergelangan tangan dan tingkat konsentrasi dengan ketepatan shooting game pétanque mempunyai taraf  signifikansi sebesar 0,00 < 0,05. Nilai F hitung sebesar 21,543 > 3,59 dan memiliki hubungan sebesar 0,866 atau 86,6% dan sisanya 13,4% dijelaskan variable lain yang tidak dikaji dalam penelitian ini.