bluuebunny/crossref_metadata_2025 huggingface dataset:
Análisis metodológico para la mejora de la comunicación en salud de los operadores de juegos: estudio de la iniciativa JuegosONCE.es
Authors: Mejías Martínez Guillermo , Cuesta Díaz Victoria
Published: August 2023

Una estrategia efectiva de Juego Responsable idealmente busca provocar cambios directos en los comportamientos/creencias del jugador. Incluso las pequeñas mejoras en la eficacia de la comunicación de dichos mensajes pueden tener grandes impactos posteriores. En este sentido, los mensajes de prevención son una de las estrategias de salud pública más utilizadas para reducir los daños causados por el juego patológico. A través de dos estudios este trabajo tiene como objetivos analizar desde diferentes campos los factores que más influyen en la efectividad de los correos electrónicos en materia de comunicación en salud para optimizar su eficacia. Para ello se utilizará el caso de estudio de la iniciativa del portal JuegosOnce.es con los correos que dicho operador manda a los usuarios que sobrepasan un límite de gasto de forma recurrente (Estudio 1). Los resultados obtenidos permiten obtener los factores que tienen más impacto en la efectividad de las comunicaciones en materia de Juego Responsable para, a continuación, proponer una mejora en dichos correos que es testada en una prueba de concepto (Estudio 2). Los resultados permiten establecer unas directrices a raíz de conocer el insight del consumidor para producir mensajes que promuevan un cambio en la conducta del consumidor y permitan obtener el máximo beneficio de las políticas de juego responsable. Estas directrices pueden ser clave en el diseño de futuras campañas con un contenido y forma más optimizados según la evidencia científica.
Akıllı Kent Uygulamalarına Yönelik Ölçek Geliştirme ve Geçerlik Çalışması
Authors: GÖKSOY SEVİNÇLİ Berfin
Published: August 2023

Akıllı kentler, günümüz teknolojisinin gelişmesiyle yaygınlaşmaya başlamıştır. Akıllı kentler temelde; akıllı ekonomi, akıllı çevre, akıllı yönetişim, akıllı ulaşım, akıllı insan ve akıllı yaşam bileşenlerinden oluşmaktadır. Temel bileşenlerden herhangi birinin eksikliği durumunda akıllı kentlerden bahsetmek mümkün olmamaktadır. Elbette akıllı kentlerin başarılı bir şekilde hayata geçirilmesi kent sakinlerinin akıllı kent uygulamalarına yönelik yaklaşımlarına da bağlıdır. Literatürde akıllı kentlere yönelik çalışmalar ağırlıklı olarak örneklem seçilen kentlerin akıllı kent uygulamalarının neler olduğunu ortaya koymaktadır. Bu çalışma ise, kent sakinlerinin akıllı kent uygulamalarına yönelik yaklaşımlarını temel alan toplumsal bir ölçek geliştirme amacındadır. Amaç doğrultusunda anket yöntemi tercih edilmiştir. Akıllı kent bileşenlerinin (faktör) her biriyle ilgili madde havuzu oluşturularak 5li likert tipte anket elde edilmiştir. Çalışmada Ankara ili Çankaya ilçesinde ikamet eden, 18 yaşından büyük ve akıllı telefon kullanan toplam 844 kişiden elde edilen verilerle analizler yapılmıştır. Analiz bulguları doğrultusunda ölçeğin 26 madde ve 6 faktör ile yapısal geçerlilik ve güvenirlilik özelliklerine sahip bir ölçme aracı olduğu görülmüştür. Ölçek geliştirme çalışmaları için madde havuzundan elenen madde sayısının tüm maddelerin yarıya yakını olması beklenen bir durumdur. Sonuç olarak akıllı kent uygulamaları ölçeğinin mükemmel derecede güvenilir, akıllı ulaşım faktörünün çok iyi derecede güvenilir, akıllı insan faktörü, akıllı yaşam faktörü, akıllı ekonomi faktörü, akıllı çevre faktörünün iyi derecede, akıllı yönetişim faktörünün ise genel kabul gören düzeyde güvenilir ölçme araçları oldukları bulgulanmıştır. Faktörler bazında yapılan madde analizleri incelendiğinde ise güvenirlilik bakımından herhangi bir maddenin ölçek dışında bırakılmasına gerek olmadığı ve madde toplam korelasyonlarının 0.7’nin üzerinde olduğu görülmüştür. Ölçek maddeleri incelendiğinde tamamının istatistiksel olarak anlamlı yol katsayılarına sahip ve yeterli büyüklükte maddeler olduğu anlaşılmıştır.
Faktor-faktor yang Memengaruhi Luaran Penanganan Gastroschisis
Authors: Raktion Michael , Lampus Harsali F. , Candy Candy , Langi Fredrik G.
Published: August 2023

Abstract: Gastroschisis is a congenital disorder in which the internal abdominal viscera protrudes through a defect in the anterior abdominal wall. Survival rates exceed 96% in high-income countries, but in low-income countries, mortality rates can reach >90%. This study aimed to determine the factors that influenced the outcome of gastroschisis treatment. This was an analytical study using SPSS ver. 22.0. The results obtained 18 infants with gastroschisis who met the criteria. All of the babies later developed sepsis and died. Characteristics of the sample were as follows: most gastroschisis diagnosis was confirmed after birth (83%), most cases recieved antenatal care from the midwife only (83%), delivery at the primary health facility (78%), baby was referred to the hospital without nasogastric tube and plastic wrap (50%)  and most babies had low risk (GPS≤1) (61%). Influencing significant factors found were the medical procedures performed before reffering to the length of hospital stay (p=0.007), length of parenteral nutrition (p=0.009), and duration to enteral feeding (p=0.005). In conlusion, medical procedures performed before reffering influence the outcome of gastroschisis treatment.
Keywords: gastroschisis; factors inflluencing the outcome of gastroschisis; Gastroschisis Prognostic Score
 
Abstrak: Gastroschisis adalah kelainan kongenital berupa protrusi visera internal abdominal melalui defek dinding abdomen anterior. Angka survival melebihi 96% di negara dengan pendapatan tinggi, namun di negara berpendapatan rendah, angka mortalitas dapat mencapai >90%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi luaran penanganan gastroschisis. Penelitian ini menggunakan metode analitik dengan alat analisis SPSS ver. 22.0. Hasil penelitian mendapatkan 18 bayi dengan gastroschisis yang memenuhi kriteria. Setelah dilakukan operasi, seluruh bayi dirawat kemudian mengalami sepsis dan meninggal. Karakteristik sampel ialah diagnosis gastroschisis baru ditegakkan saat lahir (83%), ibu bayi memeriksakan kehamilannya pada bidan (83%), ibu melahirkan di faskes primer (78%), bayi dirujuk ke rumah sakit tanpa pemasangan NGT dan penutupan usus (50%), dan sebagian besar beresiko rendah (skor GPS ≤1) (61%). Faktor yang bermakna memengaruhi luaran penanganan gastroschisis ialah tindakan medis yang belum dilakukan sebelum merujuk terhadap lama rawatan rumah sakit (p=0,007), lama nutrisi parenteral (p=0,009), dan durasi hingga enteral feeding (p=0,005). Sinpulan penelitian ini ialah tindakan medis yang belum dilakukan sebelum merujuk merupakan faktor yang berpengaruh pada luaran penanganan bayi dengan gastroschisis.
Kata kunci: gastroschisis; faktor yang berperan terhadap luaran penanganan; Gastroschisis Prognostic Score
PENGARUH INOVASI PRODUK, HARGA DAN CITRA MERK TERHADAP KEPUTUSAN PEMBELIAN MOBIL BEKAS (Studi Kasus Showroom The King Cobra Auto Jakarta Timur)
Authors: Murdani Burhan , Supartono  , Satpatmantya BR Kurbandi
Published: August 2023

Abstract.  The development of the times and technology in the era of globalization, people's need for means of transportation has also increased. Understanding the needs and wants of customers will provide important input for entrepreneurs to design marketing strategies. Therefore, there are several consumer factors to make purchasing decisions. This study aims to examine the effect of product innovation, price and brand image on used car purchasing decisions at The King Cobra Auto Showroom, East Jakarta. This research is included in the survey research method, so the research design is quantitative descriptive research. The sampling method used is nonprobability sampling, namely purposive sampling method with a total of 50 respondents. The sample of this research is all consumers with the criteria of having an age of 21 years and over. The research is positive so that it uses a Likert scale and analytical techniques in research using SPSS. Based on this table, the calculated F value is 34.845. It is known that the F table value is 2.70 and a significance value of 0.000 is obtained
.
Abstrak.  Perkembangan zaman dan teknologi pada era globalisasi, kebutuhan masyarakat akan alat transportasi juga meningkat. Memahami kebutuhan dan keinginan pelanggan, maka akan memberikan masukan penting bagi pengusaha untuk merancang strategi pemasaran. Oleh karena itu ada beberapa faktor konsumen untuk mengambil keputusan pembelian. Penelitian ini bertujuan untuk menguji pengaruh inovasi produk, harga dan citra merek terhadap keputusan pembelian mobil bekas di Showroom The King Cobra Auto Jakarta Timur.  Penelitian ini termasuk dalam metode penelitian survei maka desain penelitian ini adalah penelitian deskriptif kuantitatif. Metode pengambilan sampel yang digunakan adalah nonprobability sampling yaitu dengan metode purposive sampling dengan jumlah 50 responden. Sampel penelitian ini adalah seluruh konsumen dengan kriteria memiliki umur 21 tahun keatas. Dalam penelitian bersifat positif sehingga menggunakan skala likert dan teknik analisis pada penelitian menggunakan SPSS. Berdasarkan tabel tersebut, diperoleh nilai F hitung  yaitu 34,845. Diketahui jika nilai F tabelnya 2,70 dan diperoleh nilai signifikansi sebesar 0,000. Hasilnya menunjukkan bahwa nilai F hitung lebih besar dari nilai F tabel (34,845> 2,70) dan nilai dari signifikansi lebih kecil dari 0,05 (0,000 < 0,05).
KEBERADAAN KOPERASI JAYA PELITA BAGI MASYARAKAT DI KELURAHAN PANGOLOMBIAN KOTA TOMOHON SULAWESI UTARA
Authors: Pangkey Deisy A. P. J.
Published: August 2023

Abstract. The existence of Jaya Pelita Cooperative in Pangolombian Village, Tomohon Selatan, Tomohon, and its benefits to the community. The cooperative is one of the solutions so that people can develop their business by borrowing money from the cooperative, although with a relatively large interest rate and high administrative costs, it is still attractive to the community because of the easy requirements. This research uses a qualitative method. The results of the research obtained from interviews conducted with several customers include; cooperatives are very helpful for those who need funds to open a business and meet family needs, and cooperative loans are used for daily needs. Based on the results of the research, it can be concluded that the existence of Jaya Pelita Cooperative is very helpful to the people of Pangolombian Village. Researchers suggest that the Cooperative should not provide admin fees and interest fees that are too high for customers. The researcher hopes that by reading this article, other researchers will be motivated and inspired to conduct other research to make a positive contribution to other communities.
ALOKASI ANGGARAN PENDIDIKAN DALAM ANGGARAN PENDAPATAN DAN BELANJA NEGARA (APBN) DI INDONESIA
Authors: Rustiningrum Sri , Digdowiseiso Kumba
Published: August 2023

Abstract. Education as a learning tool that can increase insight and knowledge and make the community have more value and be able to explore and develop them existing potentials, so that they become quality human resources. The government provides an allocation of education funds with a minimum amount of 20% of the total state budget each year. With this high budget allocation, education in Indonesia should be able to reach all people. However, children drop out of school still happen because of motivation and economic factors. Most of the education budget allocation is still used for the payment of salaries for teachers so that the education quality has not been considered, even though it should be with a large budget that the education quality can be improved and developed. The purpose of this study is to find out how the education budget allocations in the APBN in Indonesia. The research method is to conduct a literature review. The results obtained are: 1. Education budget is allocated more for local governments than for the central government. 2. Indonesia has a large proportion of the expenditure budget and this budget is mostly used to pay teachers. 3. There has been no effort to improve the quality of education that has been able to motivate people to attend education.
ANALISIS KEADAAN PEREKONOMIAN PRA OLIMPIADE DAN PASCA OLIMPIADE
Authors: Ferdinand Ferry Vincenttius , Muliadiredja Timothy Sean , Christian Jonathan
Published: August 2023

Abstract. Being the host of the Olympics is an honor in itself. Because by hosting the Olympics it is hoped that it will have a good impact on the country's economy. Many countries in the world are competing to host the Olympics, and indeed the results of several countries do have an impact on the country's economy. With this data, it was also found that there were very significant changes in the economies of countries that hosted the Olympics, such as Bei Jing and Brazil. By using benchmarks based on GDP Growth, Unemployment and Foreign Direct Investment, it is expected to be able to answer the economic growth of each country that is hosting the Olympics.
PENGARUH PEMISAHAN HAK ALIRAN KAS DAN HAK KONTROL TERHADAP MANAJEMEN LABA AKRUAL DAN MANAJEMEN LABA RIIL
Authors: Ariesta Antania Lusiana
Published: August 2023

Penelitian ini bertujuan membuktikan secara empiris pengaruh hak aliran kas serta pemisahan hak aliran kas dan hak kontrol terhadap manajemen laba akrual serta manajemen laba riil. Penelitian ini menggunakan metode regresi linear berganda. Sampel penelitian adalah 157 badan usaha yang terdaftar di Bursa Efek Indonesia (BEI) pada tahun 2018. Penelitian ini menemukan bahwa hak aliran kas berpengaruh signifikan negatif terhadap manajemen laba akrual ketika badan usaha mengalami laba dan tidak berpengaruh signifikan positif terhadap manajamen laba riil. Penelitian ini juga menemukan bahwa pemisahan hak aliran kas dan hak kontrol tidak berpengaruh signifikan positif terhadap manajemen laba akrual dan tidak berpengaruh signifikan negatif terhadap manajemen laba riil. Terakhir, penelitian ini menemukan bahwa pemisahan hak aliran kas dan hak kontrol tidak berpengaruh signifikan positif terhadap manajemen laba akrual ketika hak aliran kas rendah dan tidak berpengaruh signifikan negatif terhadap manajemen laba riil ketika hak aliran kas rendah.
PENGARUH PEMBERIAN BANTUAN PROGRAM KELUARGA HARAPAN (PKH) TERHADAP KESEJAHTERAAN MASYARAKAT
Authors: Arum Dewi Sekar , Digdowiseiso Kumba
Published: August 2023

Abstract.  The research aims to examine the effect of providing assistance with the Hope Family Program (PKH) on community welfare. The research was conducted at Community RW.26 Kelurahan Baktijaya Kecamatan Sukmajaya, Depok City Which received assistance from the Family Hope Program (PKH). The research method used is quantitative methods with a sampling Technique of the number of informants 17 beneficary families of the family hope program assistance. Data Collection techniques used by observation, interviews and documentation. The data analysis Technique is using simple linear regression method. The result showed that PKH implementation had an effect on people’s welfare
PENGEMBANGAN WISATA HUTAN ADAT IMBO PUTUI DI DESA PETAPAHAN KECAMATAN TAPUNG
Authors: Rika Enjelina Simatupang  , Mayarni
Published: August 2023

The first customary forest in Riau to receive state recognition was the Imbo Putui Forest. In Petapahan village, customary forests are managed according to their customs. Adat is the standard rule of the Petapahan community in regulating and utilizing the climate. Imbo's customary forest potential is very likely to be developed. The purpose of this research is to describe tourism development and the factors that hinder the development of Imbo Putui customary forest tourism. Cooper's development theory consists of four parts institutional, accessibility, amenity, and attractiveness. This type of research is descriptive. This study found that the development of the Imbo Putui customary forest has been carried out, but has not been optimal. The planned activities are going well, but the development is not done properly, such as facilities and accessibility. As well as the inhibiting factors. The budget that hinders development requires a long process and the lack of human resources to participate in the development of customary forests is an obstacle
АЛЕБАСТРОВА РІЗЬБА В ОЗДОБЛЕННІ РЕНЕСАНСНИХ ІНТЕР’ЄРІВ ЛЬВОВА – ОСОБЛИВОСТІ РЕСТАВРАЦІЇ
Authors: Стасюк Олена
Published: August 2023

Надано коротку характеристику алебастру як каменю, та описано його використання в архітектурі Галичини. Звернено увагу на ренесансну алебастрову різьбу в сакральних та приватних інтер’єрах Львова. Приведено приклади реставрації алебастрових елементів оздоблення ренесансних інтер’єрів Львова.
DIE WICHTIGSTEN PRINZIPIEN DER ÜBERSETZUNG DER PHRASEOLOGISMEN IN DEN LITERARISCHEN WERKEN
Authors: IMYAMINOVA Shukhratkhon
Published: August 2023

Dieser Artikel widmet sich der Erforschung der Übersetzungsprinzipien von Phraseologismen aus dem Deutschen ins Usbekische in den literarischen Werken. Bei der Analyse der Kriterien für die Übersetzung von Phraseologismen aus dem Deutschen ins Usbekische wurde vergleichende Methode angewendet. In den literarischen Werken, nämlich Märchen, wurden bei direkter Übersetzung solchen Fällen begegnet wie vollständige bzw. teilweise Übereinstimmung und das Fehlen der Übereinstimmungen der Phraseologismen. Bei der vergleichenden Untersuchung dieser Probleme wurden solche Fälle wie Nichtübereinstimmung bei der Übersetzung häufiger getroffen und dieser Prozess konnte dem Übersetzer viele Schwierigkeiten bereiten, weil Übersetzung der Phraseologismen aus dem Deutschen ins Usbekische ein komplexer Prozess ist. Die Neuheit dieser Arbeit ist die wissenschaftliche Forschung der Autorin an das Thema der Übersetzung von Phraseologismen aus dem Deutschen ins Usbekische in den literarischen Werken. Die Autorin bestrebt sich danach die Übersetzungskriterien durch eine vergleichende Analyse verschiedener Theorien und Konzepte zu entwickeln. Obwohl dieser Artikel keine vollständige Lösung für das Problem der Übersetzung von Phraseologismen anbietet, kann er eine wichtige Lösung für die weitere Forschung auf demselben Gebiet sein.
A STUDY ON RISK FACTORS, MICROBIOLOGICAL SPECTRUM AND OUTCOMES OF PATIENTS WITH ACUTE PYELONEPHRITIS: A TERTIARY CARE CENTRE EXPERIENCE IN SOUTH INDIA.
Authors: K V Bhavani , P Nagarajan , Chiniwalar Archana , Mohammed Noor , M Seenivasan , Kumar R Aravinth , S Manokaran
Published: August 2023

Background Acute pyelonephritis is a severe urinary tract infection syndrome.With increasing antibiotic resistance, fatal outcomes are noticed in
complicated pyelonephritis. Hence, we conducted a study to know the risk factors, microbiological spectrum, local antibiogram and outcome of
patients admitted with acute pyelonephriris A prospective observational si Materials and Methods ngle center study in a government tertiary care
hospital in South India.Adult patients admitted in our hospital with a diagnosis of Acute pyelonephritis from July 2022 to june 2023 were included
in the study Total of 82 patients were included in the study.44 patients w Results ere females and 38 were males. 61% had diabetes mellitus. E.coli
was the most common organism cultured followed by Klebsiella. Majority of organisms were resistant to aminopencillins, quinolones,
cotrimoxazole and sensitive to carbapenams, aminoglycosides, cefaperazone-sulbactam, piperacillin-tazobactam.85.4% patients recovered and
mortality was seen in 14.6% .Older age was associated with poor outcome and was statistically signicant. Thrombocytopenia, septic shock and
Multi organ dysfunction were associated with poor outcome.19.5% required renal replacement therapy. Patient requiring renal replacement
therapy had poor outcome. Patients with uncontrolled hyperglycemia had poor outcome. Local Conclusion antibiogram pattern is essential to
prevent further resistances in organisms. When patients presents with Older Age, Uncontrolled hyperglycemia, multi organ dysfunction, severe
renal dysfunction, thrombocytopenia ,septic shock these local antibiogram will be useful in reducing mortality.
PROLAPSE OF ILEAL LOOPS THROUGH THE PATENT VITELLO-INTESTINAL DUCT: A CASE SERIES OF SEVEN CASES
Authors: Kumar Jitendra , Kaleem Usmani Moh , Solanki Prakshi , Ahmad Khursheed , Tiwari Nikhil
Published: August 2023

Vitellointesinal duct connects the gut to yolk sac. During development of fetus VID closes. However as a result of developmental anomaly it may
persist as patent duct. Sometimes if the defect is wide enough or there is increase abdominal pressure, it may complicate to prolapse of bowel
through this patent duct. In certain scenario prolapse bowel may lead to gangrenous changes and complicating the situation to septic shock and even
death. We have collected seven cases of Patent Vitellointesinal duct with prolapse of bowel loops through it, some of them presented in state of
septic shock and one of them expired during resuscitation. With that we conclude that with early identication, denitive treatment of Patent VID
by surgical correction should not be delayed to prevent lethal complications.
IMPACT OF MEDIA ON FOOD PREFERENCES AND NUTRITIONAL STATUS OF SCHOOL CHILDREN AGED 7-9 YEARS
Authors: sri Kadarla Chandana , Ramishetti Sudhikshitha
Published: August 2023

In India, around 40-50% of advertisements during children's programmes are for junk foods (high in fat, salt and sugar content). It is estimated that
children are spending more time in front of a screen. This study aimed to investigate the Impact of Media on Food Preferences and Nutritional
Status of School Children aged 7-9 years in Hyderabad, Telangana. Asample 150 school children (81 boys and 69 girls) was randomly selected, and
non-experimental research was conducted through a descriptive survey using ofine questionnaires. It was included with questions regarding
general information, anthropometry, past medical history, television viewing pattern, dietary habits, food frequency questionnaire, and rating scale
for hunger and satiety. The ndings were revealed that most of boys were normal weight category, while girls tended to be overweight, when plotted
on WHO growth charts. Television viewing pattern showed that 48% of children watched for 1-2 hours, 24.7% for 3-4 hours, 18% for 5-6 hours and
9.3% for more than 6 hours daily. Past medical history of subjects showed that 23% were suffering from dental diseases (80%- dental cavities,
17.1% - tooth ache, 2.9%-bleeding gums), 4% were suffering from ocular disease (eye sight). There was statistically insignicant difference
between the mean impact of media and dietary preference of children (p*=0.29(>0.05). Statistical analysis revealed that a weak correlation
between Impact of Media and Dietary preferences (+0.33). A strong correlation was observed between the Impact of media and past medical
history (dental diseases and ocular diseases) (+0.86). Thus, this study reinforces the importance to educate children and parents regarding healthy
eating habits and to control children's television viewing patterns and timings for better food choices and future circumstances.
EFFECT OF REMINERALISATION AND RESIN INFILTRATION ON THE SURFACE HARDNESS OF THE DEMINERALISED DENTIN ; AN IN-VITRO STUDY
Authors: Tewari Tanu , Raju Rechu , Paliwal Pragyan
Published: August 2023

Objective: Non-Carious Cervical Lesions (NCCL) are characterized by loss of hard dental tissue near the CEJ. NCCLs that undergo
demineralization and long term remineralizing treatment alter the structure of dentin. The purpose for conducting this study was to assess the effect
of surface micro hardness of the demineralised dentin after remineralising it with MI Paste Plus, Remin Pro and Icon Inltrant Method: 25
extracted premolar teeth were sectioned into buccal & lingual halves exposing the dentin at the cervical aspect. All samples were demineralised
using citric acid solution and were then divided into different groups according to the remineralising agents used. All samples from each group were
subjected for analysis to check their surface hardness after 15 days using a Vickers hardness testing machine Results: The mean micro hardness in
the Group I was 64.79 (SD=2.44), Group II was 40.82 (SD=2.98), Group III was 54.00 (SD=2.88), Group IV was 50.82 (SD=3.02) and Group V
was 54.61 (SD=2.88). The micro hardness was highest in the Group I, followed by Group V and least in the Group II . The difference between the
ve groups was found to be statistically signicant with f value of 90.879 and p value of 0.001 Conclusion: Within the limitations of this in vitro
study, the sound dentin shows greatest microhardness, yet along with this, it has also been found that Remin Pro, MI Paste Plus and Icon Resin
Inltrant can efciently increase the micro hardness of demineralised dentin.
A COMPARATIVE STUDY OF EFFECTS OF CLONIDINE VERSUS MAGNESIUM SULPHATE ON HEMODYNAMICS DURING INTUBATION AND INTRAOPERATIVE PERIOD IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY
Authors: Emeema Bandrapalli , Ramesh Kalapala , Mary Uma Manjula K , Srujana Ragha
Published: August 2023

The aim of this study was to compare the efcacy of intravenous
clonidine 1μg/kg and intravenous magnesium sulfate 30 mg/kg in
attenuation of hemodynamic response to intubation and
pneumoperitoneum in intraoperative period in laparoscopy
cholecystectomy patients in terms of: 1. Systolic Blood pressure 2.
Diastolic blood pressure 3. Mean arterial blood pressure 4. Heart rate
.The secondary objective was to observe recovery parameters such as
postoperative pain, level of sedation and any adverse effects.
REVIEW OF MAGNETIC RESONANCE IMAGING FOR STAGING EVALUATION OF CARCINOMA CERVIX
Authors: Y L Mounika , K. Azharuddin S. , Rao P.B Anand , P Nittala Pramod
Published: August 2023

Introduction:Cervical carcinoma is one of the most common cancer in women worldwide. Cervical carcinoma most often affects women between
45 to 55 years of age. Squamous cell carcinoma comprises approximately 69% of all cervical carcinomas. It is clinically staged using International
Federation of Gynaecology and Obstetrics (FIGO) classication system, which is based on ndings at clinical examination and radiological
examination.Without cross-sectional imaging, there is poor evaluation of nodal metastasis and parametrial invasion. MRI helps in assessing these
features and hence MRI is now widely accepted as optimal for staging evaluation as well as selection of therapeutic strategy. The aim of the study is
to determine the efciency of MRI in staging of cervical carcinoma and to compare MRI staging of cervical carcinoma with FIGO clinical staging.
Materials and methods: All such patients with biopsy proven cervical carcinoma referred to the department of Radio diagnosis, GSL Medical
College & Hospital were subjected for the study. Upon investigations with MRI Pelvis , a multi-planar, multi-sequence images with slice thickness
of 5 mm were acquired.MRI interpretation of tumour size, signal intensity, vaginal invasion, parametrial invasion, pelvic wall invasion, bladder
and rectum invasion, lymph node status will be done. Then the MRI staging was correlated with the FIGO clinical staging. All statistical analysis
was performed by SPSS software version 20.0, MEDCALC software and MS EXCEL-2007.For all statistical analysis p<0.05 was considered as
statistically signicant. Results: In FIGO staging, the maximum number of patients belonged to Stage IIB followed by stage IIIB. On MRI staging
IIIC1 and IIB are the most common presentation. On correlation of staging from FIGO clinical stage with MRI staging, only 32% patients had same
stage with 51% patients upstaged after MRI evaluation. It can also be observed that approximately 17% of patients had at least 1 node with 56.6%
had no nodes at all on MRI evaluation. On multivariate analysis of various parameters, it was found that MRI tumor size showed strong association
with the MRI staging (P value, <0.0001), FIGO staging (P value, 0.002), no. of nodes (P value, 0.002), and parametrial invasion (P value, 0.003).
Conclusion: There is change of FIGO clinical stage in signicant number of patients on MRI evaluation. Most of our patients diagnosed are at the
higher stages of the disease and so, assessing the above mentioned parameters are of utmost importance as it may change the clinical course as well
as prognosis of such patients. Hence we conclude that MRI evaluation must be a part of imaging work up in cervical carcinoma patients
MARITAL RAPE: A SOCIAL SANCTION OR AN OFFENCE
Authors: Chaudhury Maithili
Published: August 2023

“Marital rape” is not recognized as an offence under our legal system. It is a general notion that after marriage “consent” is no longer a requirement
between husband and wife and therefore any sexual intercourse between husband and wife after marriage almost inevitably includes the consent of
both spouses and the aspect of “rape” is nonexistent. But is it justied to take away the entire possibility of any kind of forced intercourse between
married couples? Rape as an offence is severely punishable under our penal code but it is not even considered as an offence if the two people
involved are parties to a marriage. Why is marriage a sanction to any spouse in a marriage to force their partner into any form of sexual intercourse
and it will be perfectly legal even in the eyes of law? Marriage is a social institution which helps our society to grow and develop and also to have the
possibility of an upcoming generation, but it should never act as a shield to any wrong. Moreover, if marital rape gets recognition as an offence then
it will create a ruckus in the sanctity of a marriage as well the families involved it which will give the wife an optimum sword to yield against her
husband in case there is some kind of altercations between and will completely leave the husband open for punishment. Therefore, it is our
legislature's responsibility to come up with a broader denition of the offence of 'rape' which would include the term 'victim' making the offence
wholesome rather than gender-centric.
OUTCOME OF PREGNANCY COMPLICATED BY THREATENED ABORTION
Authors: Akbar Ruqia , Ahmad Dar Farooq , Akbar Suhail , Bin Akbar Mohammad
Published: August 2023

Background: Threatened abortion is the most common complication in the rst half of pregnancy.The prognosis of threatened abortion is very
unpredictable.Threatened abortion had been shown to be associated with increased incidence of preterm labor, preterm premature rupture of
membranes, antepartum haemorrhage, fetal growth restriction and fetal death.Aims and Objectives: This purpose of this study was to determine
whether patients with rst-trimester threatened abortion are at increased risk for poor pregnancy outcome. Methods: This prospective study was
carried out in Lalla Ded Hospital ,Government Medical College Srinagar from August 2022 till May 2023. Total 80 cases of threatened abortion
were selected. Results: The mean age being 31.38± 4.24 years SD and maximum number of the patients 41(51.25%) were having gravidity of more
than 3.There were total 80 patients with symptoms suggestive of threatened abortion, 26 (32.5%) patients aborted spontaneously whereas in 54
(67.5%) patients pregnancy was continued. Among those who continued pregnancy preterm delivery was seen in 11(20.37%), fetal growth
restriction was seen in 4 (7.40%), antepartum hemorrhage in 5 (9.25%), preterm premature rupture of membrane in 4 (7.40%) and intrauterine
death in 3 (5.55%) patients. Conclusion: Threatened abortion is not only associated with miscarriage but also with a higher rate of pregnancy
complications like preterm labor,placental abruption, preterm rupture of membranes,fetal growth restriction. So, It is important for the clinicians to
closely monitor these patients, ensure comprehensive and optimal management for the continuation of pregnancy and also reducing the
complications in these high-risk pregnancies.
ACUTE ONSET QUADRIPARESIS AS MYELIN OLIGODENDROCYTE GLYCOPROTEIN(MOG) ASSOCIATED DISEASE WITH ADEM (ACUTE DISSEMINATED ENCEPHALOMYELITIS) AFTER CHICKEN POX- A RARE CASE PRESENTATION
Authors: Bhandari Sudhir , Khan Nasiba , Swami Yogesh , Agrawal Abhishek , Gupta Vishal , Wadhwani Dilip
Published: August 2023

Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an inammatory disease of central nervous system characterized
by attack of immune mediated demyelination. This disease entitiy is seronegitive for AQP-4 and Oligoclonal band and positive for anti MOG. We
report a case of post chicken pox quadriparesis which was ultimately diagnosed as MOGAD with ADEM. This is rare post chicken pox
complication.
A HOSPITAL-BASED OUTCOME ASSESSMENT OF PERCUTANEOUS PINNING AND PLASTER FOR DISTAL RADIUS FRACTURES IN POSTMENOPAUSAL WOMEN
Authors: Lodh Udeepto , Dash Aniruddh , Zion Nego
Published: August 2023

Introduction: The aim of this study was to evaluate the functional outcome of Percutaneous pinning for distal radius fractures in post-menopausal
women. The study was conducted in the Department of Orthopaedics, with a study group comprising fty post-menopausal women with distal
radius fractures. The research spanned a period of 7 months, and the age group of the participants ranged from 45 to 70 years. Results:The average
age of the patients was 55.70 years, with the majority falling in the 45-55 years age group (60%), followed by the 56-65 years age group (30%). The
fractures were primarily caused by motor vehicle accidents (54%), self-falls (34%), and other causes (12%). Right wrist fractures were more
common, accounting for 66% of cases, while left wrist fractures constituted 34%. The study evaluated various factors such as range of motion, pin
loosening, and complications. The average range of motion was 60 degrees in exion, 62 degrees in extension, 26 degrees in ulnar deviation, and 8
degrees in radial deviation. Pronation and supination had an average of 70 degrees and 65 degrees, respectively. Pin loosening was observed in 6
cases, while other complications included pin site supercial infection (n=3), malunion (n=2), joint stiffness (n=4), and reduced grip strength
(n=2). Assessment of the patients' functional outcome was carried out at 4 months postoperatively using the demerit score system of Gartland and
Werley. The results indicated that 30% of cases showed excellent outcomes, 46% had good outcomes, 16% were rated fair, and 8% were classied
as poor. Conclusion: This study highlights that percutaneous pinning with k-wires is a safe and effective treatment for both undisplaced and
displaced unstable fractures of the distal end of the radius in post-menopausal women. The functional outcome assessment revealed promising
results, with a signicant proportion of patients achieving excellent and good outcomes. With these ndings, percutaneous pinning offers a viable
option for managing distal radius fractures in this specic demographic, promoting better patient outcomes and enhancing their quality of life.
However, further research and longer-term follow-ups are warranted to validate the long-term efcacy and stability of this treatment approach.
EMOTIONAL DEPENDENCY AND THE IMPACTS ON THE LIVES OF PEOPLE: AN INTEGRATIVE LITERATURE REVIEW
Authors: Dias Alves Fernanda , Pires Peixoto Camacho Tábita , Euler da Silva Reis Elton
Published: August 2023

Introduction: emotional dependency is a pattern of behavior where a person develops a strong need to be emotionally attached to another person,
constantly seeking the approval, validation, and emotional security on the part of that person. This can lead to difculty in terms of making
independent decisions, low self-esteem and intense fear of abandonment. Objective: to conduct a systematic literature review on emotional
dependency and its impacts on the lives of people. Methodology: this is a systematic literature review, based on descriptive research, whose
articles were selected in May 2023 in the LILACS, APA PsycNet and PubMed databases, from the combination of the descriptors “Psychological
dependency”; “Emotional dependency”; “Interpersonal dependency”; and “Affective dependency”. As for the selection of works, those published
in English, Spanish and Portuguese were determined. Acritical analysis was performed, and the articles related to the theme and made available in
full were ltered. Accordingly, 16 articles were selected for this study. Results and Discussion: it is perceived that there is a scarcity of articles on
emotional dependency and that the studies found present divergences in the used terminology. Emotional dependency can be divided into passive
or active, being associated with different controlling proles, such as natural victim, intentional victim, avenger and narcissist. Conclusion:
emotional dependency occurs when a person is dependent on the state or actions of another person, resulting in an emotional prison that limits
freedom and authenticity, leading to a lack of permission to move on.
ENHANCING ATHLETIC PERFORMANCE: EXPLORING THE WORLD OF NOOTROPICS IN SPORTS
Authors: Kumar Shubham
Published: August 2023

Nootropics, also known as cognitive enhancers or "smart drugs," have garnered increasing attention in the sports world as potential aids for
enhancing mental performance. This thematic paper explores the intersection of nootropics and sports, delving into their potential benets and
ethical considerations. While the use of these substances in sports raises intriguing possibilities for optimizing cognitive function during training
and competition, it also presents signicant challenges in terms of safety, fairness, and the potential for abuse. This paper aims to provide an indepth analysis of the implications of incorporating nootropics in sports and encourages a balanced approach to this complex and evolving subject.
TO STUDY ASSOCIATION BETWEEN RESIDENCE (RURAL/URBAN) AND LENGTH OF STAY IN HOSPITAL WITH REFERENCE TO PATIENT SATISFACTION IN A GOVERNMENT TERTIARY CARE TEACHING HOSPITAL
Authors: Dwivedi Shambhavi , Chahal Anjali , Srivastava Pradeep , Dutt Bhardwaj Nitin
Published: August 2023

Background: In health care service, patients' satisfaction depends on their cognitive and emotional reactions. This indicates a strong relationship
exists between patients' satisfaction and health care service, especially foodservice. Foodservice quality is known to inuence patient satisfaction
with hospital stay. Objective: The main aim was to study association between residence (rural/urban) and length of stay in hospital with reference
to patient satisfaction in a government tertiary care teaching hospital. In order to achieve this aim, the objective identied was to measure and assess
patient satisfaction with the food and services in the hospital. Method: Face to face interview was conducted of Patients who were taking hospital
diet. Result: The patient's were interviewed to assess their satisfaction with hospital service in relation to understand the association between
satisfaction level among respondents according to place of residence (rural/urban) and number of days in hospital stayed.
OUTCOMES IN FRACTURE NECK OF FEMUR TREATED WITH CLOSED REDUCTION AND INTERNAL FIXATION WITH MULTIPLE 6.5 mm CANNULATED SCREWS
Authors: Bhaskar SK , Sen Akshit , Raj Sumit
Published: August 2023

Objective: To study the union, complications and functional outcomes in fracture neck of femur treated with closed reduction and internal xation
with multiple screws. 50 cases of intra capsular fracture neck of femur of age Materials And Methods: group between 18-55 years of age operated
in JLN Hospital, Ajmer from July 2020 to November 2022. Neglected fracture neck of femur, Pathological fractures were excluded. Results:
Intracapsular Fracture neck of femur in young adults is increasing due to road trafc accidents. The results in our study were satisfactory with
Excellent [60%], Good [14%], Fair [14%] and Poor [12%] functional outcome by Modied Harris Hip Score. Osteonecrosis of the femoral head
and non union are the two most common and challenging complications. The intracaps Conclusion: ular fracture neck of femur in young adults
treated surgically by closed reduction and internal xation with 6.5 mm cannulated cancellous screw xation gave excellent to good functional
outcome in 74%. Hence this would be a best procedure for intracapsular fracture neck of femur for a long period of time in orthopaedic practice.
Network Performance Analysis of Smart Grid Communications Over LTE cat-M
Authors: Dash Biswajit Kumar , Shah Sureel , Malandra Filippo
Published: August 2023

Smart grid applications heavily rely on communication infrastructures that offer flexibility, scalability, and cost-effectiveness to enable bi-directional information exchange across geographically distributed grid elements. Wireless cellular networks, such as LTE cat-M, provide extensive coverage at a reduced cost, both in terms of installation and power consumption. This paper presents a multi-node testbed to assess the suitability of LTE cat-M technology for a variety of smart grid applications, with distributed nodes collecting and transmitting data at a variable rate, from 0.25 to 100 frames per second (fps). Based on field experiments, an extensive performance analysis is presented with Key Performance Indicators (KPIs), such as delay, jitter, and frame loss. The impact of the number of smart grid nodes and propagation quality are also considered in the analysis. Finally, a calibration method to optimize the packet transmission time is presented with a 33.91% delay reduction under different conditions.
Dierondersteunde interventie voor volwassenen met autisme
Authors: Wijker Carolien , Enders-Slegers Marie-Jose , Spek Annelies , Leontjevas Ruslan
Published: August 2023

This article is based on the thesis in which the eff ects of Animal Assisted Therapy (AAT) were explored on, amongst others, self-perceived stress, anxiety, depression, and social communication in adults with autism and an average to high intelligence (Wijker, 2022). AAT is a structured, goal-oriented intervention in which a trained animal plays an integral role. Participants received 10 weekly one-on-one AAT sessions guided by a certified psychologist. The aim of the AAT was to reduce stress and improve social and communication skills. This research shows that 1) after AAT participants experience significantly lower self-perceived stress, agoraphobia, and depression, and informants of AAT participants report significant improvements in social responsiveness, such as social awareness and social communication, 2) that AAT is rated as highly feasible and relevant by both participants and therapists, and 3) that AAT may be effective in generalizing learned skills to participants’ daily lives. Because of its clinically relevant effects and remarkable adherence, AAT can be regarded as a promising therapy for stress-related outcomes, such as anxiety and depression and social awareness and communication in this population. More research however is needed on the effects of AAT in the ASD population and with larger sample sizes.
مدينة طلبيرة الأندلسية Talavera 94-477هـ / 712-1084م
Authors: ياسين جاسم , العلياوي الأستاذ الدكتور             حسين
Published: August 2023

طلبيرة مدينة أندلسية تقع في منطقة الثغر الأوسط إلى الشمال الغربي من طليطلة وهي من أعماله ، على الضفة اليمنى من نهر تاجه ، فتحها المسلمون بقيادة طارق بن زياد ، وفيها كان أول لقاء بين الأخير وموسى بن نصير في الأندلس ، واستوطنها العرب والبربر وعمروها ، ثم تطورت الحياة فيها بسبب موقعها الثغري المهم إلى أن أصبحت من المدن المهمة هناك ، واستمر الحكم الإسلامي لها حوالي أربعة قرون عندما سقطت بيد النصارى في حدود سنة 477هـ/1084م .

تطلبت مادة البحث أن نقسمها إلى ثلاثة محاور ، خصص الأول للجغرافية التاريخية للمدينة من حيث الموقع وأهم مظاهرها الطبيعية ، كما تناولنا في المحور الثاني التاريخ السياسي لطلبيرة وما مرت بها من أحداث خلال عهود الدولة الإسلامية المختلفة حتى سقوط المدينة بيد النصارى في النصف الثاني من القرن الخامس الهجري / الحادي عشر الميلادي ، كما تطرق المحور الثالث من البحث إلى بعض الجوانب الحضارية للمدينة ولاسيما أهم رجالاتها الذين أسهموا في ميادين العلم المختلفة
study effect of cytomegalovirus on lipid profile in injured women in AL-Najaf governorate , Iraq.
Authors: K.A. AL-Hadraawi Maysoon , Mousa Hamza Zahra , Ismeal Nasser Noor
Published: August 2023

The study conducted on 60  out patients women  and 30 healthy women to determine the effect of injury to Cytomegalovirus on levels of cholesterol, TG, HDL, LDL and VLDL in women infected with  Cytomegalovirus  in compared with healthy women group . Who had visited AL-Hayat center laboratory ,AL-Riwan laboratory  and Al-Sadder medical city in Al- Najaf governorate during the period from October 2015 till April 2016. The results apear significant decrease (P< 0.05) in LDL but significant increase  in levels of  cholesterol, TG,LDL, HDL, and VLDL  of CMV  infected women with compared to control group.
Antibacterial Activity of Essential oils Isolated from Eucalyptus globulus Labill and Eugnia caryophyllata Thunbery (Family Myrtaceae): A comparative study
Authors: Abd al-Raouf Ammar Semysim Enas
Published: August 2023

The essential oils of Eucalyptus globulus Labill and Eugnia caryophyllata Thunbery analyzed by Thin Layer Chromatography TLC. The results showed that TLC plates separated five compounds from E. globulus oils and four compounds from E. caryophyllata oils with different Rf values. The obtained essential oils from leaves E. globulus and flower buds E. caryophyllata were tested on Escherichia coli and Staphylococcus aureus, by using agar well diffusion method, to determine its antibacterial activities. The strongest effected was noted in E. globulus oils against S. aureus and E.coli with diameter of zone of inhibition (25 mm and 23 mm respectively). While the E. caryophllata oils showed the least effect on S. aureus and E. coli in compare with E. globulus oils with diameter of zone of inhibition (20 mm and 18 mm respectively). We concluded that the essential oils obtained from the leaves of E. globulus offer significant antibacterial activity toward E.coli and S. aureus.