bluuebunny/crossref_metadata_2025 huggingface dataset:
Female Athlete Triad (FAT) Screening Using LEAF Questionnaire: A Cross-Sectional Study in Indonesia Pencak Silat Athletes
Authors: Rosyada Itsna , Purnama Sapta Kunta , Wiboworini Budiyanti
Published: November 2023

Health information acquired from a health examination or screening is one of the requirements for participating in the Pencak Silat tournament. Unfortunately, the most common health tests cover only vital signs and weight checks. Those tests cannot accurately describe a person's health status, such as digestive and menstrual disorders, common among female athletes due to intensive physical training and the pressure to maintain body weight according to the tournament category. The Female Athlete Triad (FAT) is the name given to this condition. This is the first study to use the LEAF questionnaire to assess the risk of FAT in female Indonesian Pencak Silat athletes. This is an observational study using a cross-sectional design. Data were collected online from 207 participants using a purposive random sampling approach. According to the findings of this study, 53.6% (N = 111) of 207 respondents were at risk of FAT. The risk variables were closely associated with the number of exercise hours per week (P = 0.012) and education level (P = 0.023). The high prevalence of FAT and its high risk indicate the necessity for FAT screening as a requirement for competing in the Pencak Silat tournament and prevention of early osteoporosis and uterine function abnormalities in female Indonesian Pencak Silat athletes. Furthermore, FAT screening on female athletes in all sports is required to prevent the long-term clinical implications of FAT.
IDENTIFIKASI PANJANG LANGKAH DAN FREKUENSI LANGKAH SEBAGAI FAKTOR PENENTU KECEPATAN LARI SPRINT 100 M
Authors: Sunaryadi Yadi
Published: November 2023

This study aims to identify the variability of stride length and stride frequency of junior-level 100 m sprinters with different performance levels and to verify the kinematics parameters of the phases of sprinting. Data were collected from a sample of 9 junior sprinter athletes determined by purposeful sampling. The analysis results show that the average number of steps for 100 m is 52.8. For the variable stride length, the average is 1.88 m. The step frequency variable shows an average of 4.77 steps/second (max step frequency). During the acceleration phase, the average stride frequency is 4.48 steps/second. The score in the last phase, i.e., the sprinters must maintain their velocity until the end of the race from a distance of 60 – 100 m, shows an average rate of 4.07 steps/second. The average sprinting time of the sprinters is 11.74 seconds, and the average speed of the sprinters is 8.54 ms-1, with a top speed of 8.95 ms-1 and the lowest speed of 7.99 ms-1. Based on the analysis of kinematic parameters, the different phase structures. The results show that stride length significantly contributes to the 100 m sprint performance than stride frequency, which is no longer considered the most critical determinant of performance at junior-level athletes.
The CIPP Model: Evaluation of the Football School Curriculum in Indonesia
Authors: Nugraha Eka , Sumarni Een
Published: November 2023

The higher the number of football schools, the more diverse the quality of the schools. Evaluating the football school curriculum as an effort to determine the quality of the schools. The research design of this study used the Context, Input, Process, Product model (CIPP). It has used a descriptive quantitative method. The samples were two football schools, namely POR UNI football school, and Sidolig football school, selected through the purposive sampling technique. The research instruments were questionnaires and interviews given to 160 respondents, including principals, trainers, students, and parents. Data analysis was carried out quantitatively using t-scores and compared to the Glickmann quadrant. Based on the evaluation dan data analysis, the curriculum of POR UNI football school for the 13-17 years age group showed effective results, while the curriculum of Sidolig football school for the 13-17 years age group was less effective.
Mapping the Injury History of Indonesian Kabaddi Athletes
Authors: Alviana Irana Mery , Sugiharto S , Sri Ramania Nia , Fahmi Hasan Muhamad
Published: November 2023

Sports injuries in athletes will affect their performance. The purpose of this study was to determine and find out the common injuries experienced by Kabaddi athletes in Indonesia. This study used a quantitative descriptive research design. The instrument used in this study was an injury report questionnaire. The questions focused on anthropometry, types of injury, and causes of injury. The population of this study was Kabaddi athletes spread across provinces in Indonesia. The samples of this study were taken using a purposive sampling technique. The inclusive criterion included Kabaddi athletes who had or were currently experiencing injuries. The samples of the study were 41 athletes (n = 41). In female Kabaddi athletes, the most common injuries were found in the upper body and experienced by athletes in the defender position (61.5%). Injuries to the lower body were mostly experienced by a raider (38.5%). The body parts that were commonly injured in male Kabaddi athletes, especially to the upper body, involved mostly wrist injuries (14.29%) followed by shoulder/clavicle and upper arm injuries (7.14%). In the lower body, the most common injuries were on the knees (21.43%) and ankles (17.86%). Meanwhile, in other parts of the body, the injury mostly occurred on the head, such as the face, nose, and mouth, (10.71%). In female Kabaddi athletes, the most common injuries occurred to the upper body, including to the shoulder/clavicle (30.77%). Meanwhile, in the lower body, the injury mostly occurred to the ankle (15.38%). This study shows that the most common injuries to male Kabaddi athletes in Indonesia are injuries to the lower body, namely the knee, and ankle, while the most common injury to female Kabaddi athletes is an injury to the upper body, namely the shoulder/clavicle.
Menguatkan Kompetensi Guru SD dalam Bimbingan dan Konseling
Authors: Chudari Ima Ni'mah , Robiansyah Firman , Sutarjo Ajo , Darmawan Darmawan
Published: November 2023

Class teachers are the closest and most intense parties in daily communication with students. In their duties and obligations as organizers, they are required to be able to create situations, lead, stimulate and move and direct teaching and learning activities. In addition, teachers must be parents of their students. Class teachers in elementary schools must prepare themselves and strengthen their competence in the science of Guidance and Counseling (GC) services. Community service activities in the form of workshops or workshops for classroom teachers in elementary schools, aim to provide practical knowledge and skills in student guidance service activities in elementary schools. This community service program activity is carried out in the form of a workshop or workshop, which consists of theoretical presentations and training in the preparation of GC work programs for elementary schools. The target audience were teachers and principals of Teaching Laboratory Elementary School -UPI Campus in Serang and teachers of State Elementary School of Tembong Serang, totaling 9 people. The results of this community service activity are: (a). understanding of the objectives and principles of guidance services in SD; (b) in understanding about the work program of guidance services in elementary schools; (c) teachers can practice how to make work programs for guidance services in elementary schools; (d) encourage teachers to carry out guidance service activities in elementary schools. The hope of this program is to create an ecosystem and improve the quality of guidance by classroom teachers in targeted primary schools.
Webinar Pengabdian: Meningkatkan Kreativitas Seni Siswa SD di Masa Pandemi melalui Pemanfaatan Barang Bekas di Rumah
Authors: Arrum Aisyah Herlina , Yutikawati Adella , Daulatullail Fadel , Mufidah Mufidah , Uula Syifa Aulia Nurul , Syamsiah Tiara Nurul , Suwangsih Erna , Setiani Rina Nurhayati
Published: November 2023

The implementation of online learning during this pandemic has a huge impact on the sector of education, one of those is the implementation of education at UPTD SDN 1 Munjuljaya which is identical to its musical activities. The learning process which carried out by online, especially in practicing the art activities is very difficult to do because it requires practice directly, so it causes the art creativity of students can’t be optimally developed considering the increasing spread of the covid-19 virus. One of the things that can overcome this problem is we carried out a community service through webinar with the theme “Improving Elementary School Students Art Creativity during the Pandemic through Utilizing Secondhnd Goods at Home”. The method that used id an online webinar via Zoom Meeting platform which is attended by 70 participants including students in grade 3, 4, 5, and 6. Through this webinar, the students are very enthutiastic in developing art creativity by utilizing secondhand goods at home although this activity carried out online. In this webinar, the students practice a beat by following the instructions of the speaker, they are also assigned to make a work, so its helps students to increase their creativity in using second-hand goods
Effects of Traditional Team Games on Child Emotional Isolation Symptoms in Orphanages
Authors: Aini Irma Zulfahuri , Mahendra Agus , Wibowo Ricky
Published: November 2023

An orphanage is an unfamiliar place for the children who live in it. Playing activities could give the children the opportunity to express all their emotions naturally. The purpose of this study was to determine the effect of traditional games on the personality, depression, social worthiness, and emotional isolation of children in an orphanage. The population of the study were 13 elementary school-age children in an orphanage in Bandung. Sampling technique used total sampling technique with inclusion and exclusion criteria. The sample of this study included 10 boys. The instrument used was the emotional isolation symptom test with UCLA Loneliness Version 3. This study used One Group Pre-test Post-test design. Analysis of research data employed quantitative descriptive analysis technique. The results showed that the traditional games, named Bentengan and Boy-boyan, had a significant effect on emotional isolation, but did not have a significant effect on child personality, social worthiness, and depression. Children who often play had a decreased level of emotional isolation symptoms because playing was carried out together creating an emotional bond in friendship so that the child felt accepted and did not feel lonely.
Effect of Kid's Athletics Program on Elementary School Student's Goal Setting, Problem Solving, and Social Skills
Authors: Witasa Arasy Akbar
Published: November 2023

Study this aim to know how the kid's athletics program influences elementary school students' goal setting, problem-solving and social skills. Method research used in research _ this is a pretest-posttest control group design. The sample used in the study is 16 students’ boys and 14 students women ages 11-12 years. The sampling process uses a purposive sampling technique. The student shared Becomes two groups, namely 15 experimental groups and 15 control groups. The instrument used in research is the Life Skills Scale for Sport Questionnaire. Posttest results on both groups show the development of goal setting, problem-solving, and social skills. After all, the kid's athletics program significantly affects student goal setting, problem-solving, and social skills compared to group control.
Selflessness: An International Comparative Analysis of a Much-Needed Public Value
Authors: Andrews Christina W. , Vries Michiel de
Published: December 2023

The purpose of this paper is to investigate how selflessness is to be measured and how it is to be explained. Adopting an innovative approach to measure selflessness, we assess its prevalence in different regions across the world. We also investigate the factors that explain its emergence and how they interact in predicting it. The level of selflessness differs significantly across the world. Considering the factors predicting it, we find that the likelihood of an individual exhibiting selflessness largely depends on the region they live in. Workplace also plays a crucial role – in OECD countries, working in the public sector increases the propensity for selflessness, but it has the opposite effect in Africa.The research design involves a multivariate analysis of data from the World Values Survey using both straight-forward regression analyses and binary logistic regression.The main findings show that the impact of factors traditionally considered important, such as religious affiliation and employment in the public, private, or not-for-profit sectors, varies across regions. These region-specific interaction effects are seen, for instance, in the influence of one’s workplace on their propensity for selflessness. Public sector employees are significantly more likely to be selfless than their private sector counterparts. However, while working in the public sector increases the likelihood of being selfless in OECD countries, this relationship is reversed in Africa.In previous academic studies, little attention was paid to such interaction effects and the impacts of religious affiliation, public sector employment, gender, etc. were assumed to be stable all over the world. This study shows otherwise.As per practical implications, the results of our analyses suggest that research on values needs to be contextualized. This is particularly important when research aims at offering advice to practitioners. Our investigation has shown that the same factors that enhance selflessness in one part of the world may decrease its presence in other regions. A one-size-fits-all approach is therefore not adequate.
Tecnologias Educacionais sobre Saúde Mental na Área da Saúde: Protocolo de Scoping Review
Authors: Santos Alexandy Michel Dantas , Santos Ana Cristina de Macedo , Silva Ronald Davi Vieira da , Silva Cícera Renata Diniz Vieira , Oliveira Lannuzya Verissimo e , Salvador Pétala Tuani Candido de Oliveira
Published: November 2023

Objetivo: Identificar e mapear as tecnologias educacionais sobre saúde mental utilizadas no ensino da saúde. Método: Será conduzida uma scoping review, seguindo o referencial do Joanna Briggs Institute, com o objetivo de responder à questão: “Quais são as tecnologias educacionais sobre saúde mental que têm sido utilizadas na área da saúde?”. Para a identificação dos estudos, serão utilizadas bases de dados eletrônicas multidisciplinares em ciências da saúde, bem como repositórios de dissertações e teses. A identificação e o mapeamento da evidência disponível por meio deste estudo revelarão aspectos relevantes acerca das tecnologias educacionais existentes, seus impactos e desafios neste campo, o que é considerado relevante para subsidiar a melhoria da qualidade do ensino, seja na educação permanente, educação em saúde ou formação acadêmica. Espera-se que a scoping review contribua para a análise crítica das tecnologias educacionais sobre saúde mental na área da saúde, dada a potencialidade de impacto no desenvolvimento das competências educacionais.
Efeitos do treinamento resistido sobre indicadores de saúde de sobreviventes de câncer de mama
Authors: Paixão Rodney Coelho da , Jesus-Leite Marco Aurélio Ferreira de , Cunha Lucas Moreira , Puga Guilherme Morais , Penha-Silva Nilson
Published: November 2023

Investigar os efeitos do treinamento resistido não linear (TRNL) sobre desempenho físico, antropometria, aspectos hematológicos, bioquímicos e biofisicoquímicos de sobreviventes de câncer de mama (SCM). Vinte e duas mulheres com histórico de mastectomia e linfadenectomia completaram 12 semanas de treinamento. Avaliações de força máxima (FM), resistência de força (RF), índice de massa corporal, percentual de gordura corporal (%GC), percentual de massa magra (%MM) aspectos hematológicos, bioquímicos e de estabilidade de membrana eritrocitária foram realizadas antes e depois do TRNL. Em todos os exercícios, ocorreram ganhos significantes (p < 0,05) de FM e RF. Além disso, houve diminuição do %GC e aumento do %MM, redução de eritrócitos, plaquetas e hemoglobina, bem como mudanças desejáveis para todas as variáveis de perfil lipídico. Esses achados revelam a necessidade de monitoramento constante desse público e, sobretudo, o impacto multidimensional do TRNL com benefícios sobre diversos indicadores de saúde em SCM.
Casos de HIV/AIDS durante uma década em uma cidade na região metropolitana de Porto Alegre (RS)
Authors: Matos Sanay Laurentino , Meller Fernanda Oliveira , Quadra Micaela Rabelo , Mendes João Vitor Santana , Schäfer Antônio Augusto
Published: November 2023

Identificar as prevalências de HIV/AIDS em uma cidade da região metropolitana de Porto Alegre (RS) e descrever características dos indivíduos infectados. Estudo descritivo em Sapucaia do Sul com dados do Sistema de Informação de Agravos de Notificação (SINAN) de 2009 a 2018. Foram incluídas notificações de indivíduos com idade igual ou superior a 13 anos, e excluídas aquelas com preenchimento inadequado e gestantes. Tendência temporal dos casos de HIV/AIDS foi apresentada por frequência absoluta e características sociodemográficas por frequências absoluta e relativa. Foram notificados 832 casos de HIV/AIDS no município, dos quais 43,4% correspondentes à AIDS. Durante o período avaliado, a notificação de HIV aumentou 4.000%, e a de AIDS, 230%, com predominância no sexo masculino, adultos jovens, brancos e com ensino fundamental incompleto. Os resultados são relevantes no âmbito da saúde coletiva, pois contribuem para nortear e fortalecer estratégias de combate e controle da doença.
Fatores associados a altos escores de saúde mental de professores universitários durante a pandemia de COVID-19
Authors: Baptista Cremildo João , Martins Alberto Mesaque , Escalda Patrícia Maria Fonseca
Published: November 2023

Este trabalho tem como objetivo apresentar indicadores de saúde mental e identificar fatores associados

a esses indicadores em professores universitários durante a pandemia de COVID-19. O estudo foi

realizado com dados transversais de 339 professores de quatro universidades federais brasileiras, os quais

responderam a um formulário online, de agosto a setembro de 2021. Os dados de saúde mental foram

obtidos com auxílio da escala de depressão, ansiedade e estresse (DASS-21). A maioria apresentou escores

considerados normais para as três dimensões, ansiedade (57,20; I.C 95%: 51,76-62,53), depressão (61,10;

I.C 95%: 55,63-66,24) e estresse (56,64; I.C 95%: 51,17-61,95). Escores altos de depressão, ansiedade e/

ou estresse estiveram associados a diagnóstico prévio de transtorno mental, afastamento do trabalho por

causa da pandemia, passar pelo menos 12 horas sozinho por dia, procurar e não conseguir assistência

médica durante a pandemia e autopercepção de piora no estado emocional durante o distanciamento

social-físico.
Adjustable partial body cryotherapy
Authors: Shakurov Alexey V.
Published: December 2023

Based on an analysis of the technical level of equipment utilized in cryotherapy, the issue of increasing the dosing accuracy and, accordingly, ensuring accurate and uniform cooling of a biological object was identified, which required research into the issues of controlled cooling. A software for predicting the result of cryotherapy has been developed, and a range of rational parameters for supplying gas to the cabin of the installation has been determined when performing controlled cryotherapy (i.e., from 40 to 70 g/s and from −140℃ to −160℃). An experimental model of a new type of installation, which enables cryotherapy to be conducted with changes in the main parameters of the equipment in operation in a wide range of cooling gas flow temperatures from −50℃ to −160℃, free-flow velocity from 0.1 to 2 m/s, and cryotherapy time up to 420 s, has been developed and implemented. The experimental model, together with the prediction software, forms a complex system for research and controlled implementation of cryotherapy in a wide range of operating parameters. Algorithms for implementing regulated modes for various biological objects and purposes of exposure have been developed and recommendations have been provided, enabling the practical application of the proposed concept.
ETHNOLOGICAL RESEARCH IN THE BALKANS
Authors: KOÇ Haşim
Published: November 2023

Scrolling through the Bosnia and Herzegovina (BiH) makes one feel ethnic segregation and tension between the three constituent ethnies at every corner of the country. This tensed atmosphere stemmed from the wars in the 90s of the previous century and, even though the wars stopped after the Dayton Peace Agreement signed in 14 December 1995, is still continuing in different forms. In order to analyze the reasons for the continuity of these problems, social scientists from the ex-Yugoslavian countries and from other countries are conducting research in the region using ethnological methods, which have been assuming to be ethnology as a special field for better understanding existing conflicts. In this short piece, two books published recently will be reviewed to understand the use and function of ethnological research for the Balkans.
Are subscriptions dead?
Authors:   , Vincent Victoria Nicole , Zitcer Andrew , Yau Pamela
Published: November 2023

This case study explores and evaluates the ideas and concepts of patron loyalty, audience development strategies, and whether the traditional subscription model is an appropriate ticketing model for a theatre in a post-Covid-19 marketplace. To accomplish this, my research focuses on a single organization, the Grand Opera House, located in Macon, GA. A review of the literature on the traditional subscription model, demographics of subscribers and single ticket buyers, and patron loyal concepts sets the stage for definitions, themes, and questions that form the basis of this study. Through interviews conducted with organizational leaders, historical data analysis, and a patron survey, I show that while the Grand Opera House shares common challenges with similar arts organizations in its audience trends, the subscriber audience segment tends to have a higher level of loyalty, and subscriptions and the traditional ticketing model still have a place in organizational strategy. Findings of this study suggest that the subscription ticketing model is not dying and that other organizations can still find value in subscriptions and the subscriber audience.
Numerical Study on Resistance of Stepped Planing Hull
Authors: Rayhan Fajri Ashfi , Masrul Andika , Khairullah Akbar Arya , Anugerah Putra Bima
Published: November 2023

A stepped planing hull, also known as a step hull, is a hull modification that reduces the wetted surface area. Although this type of hull has proven effective in several ships, it is still rarely used. The step hull possesses numerous advantages that make it ideal for activities involving small and fast boats. However, regrettably, its full potential remains untapped at present. The purpose of this study was to identify the effect of variations in the angle of the step hull on resistance or drag. The study utilized the CFD method, and three hull configuration models were used at each change in hull step angle of 180º, 210º, 240º, and 270º. Configurations 1 and 2 have similarities in terms of rear hull length (600 mm), hull height (20 mm for configuration 1 and 30 mm for configuration 2), and deadrise angle (15° for configuration 1 and 20° for configuration 2). Configuration 3 has similarities with an 800 mm rear hull, 20 mm hull height, and 15° deadrise angle. It was found that as the Froude number increases, the coefficient of total resistance decreases. Conversely, as the Froude number increases, the resulting resistance also increases. The configuration with the highest resistance value corresponds to the alteration from configuration 2 with a hull step of 180°, and that the alteration from configuration 2 with a hull step of 270° corresponds to the configuration with the lowest resistance value. This study concludes that deadrise angle and the height of the step hull are the main factors that require careful consideration when designing ships that use a step hull. Therefore, this research provides an understanding of the step hull and can serve as a basis for the development of the step hull.
Effect of Heating Temperature, Holding Time and Stabilization Temperature on the Al-Foam Properties
Authors: Puspitasari Dewi , Puspitasari Poppy , Mustapha Mazli , Ginta Turnad Lenggo
Published: November 2023

The interest in metallic foam is increasing since their cellular structures have a unique combination of properties such as high stiffness, low density, lightweight, high specific strength, and thermal insulation. Commonly, the performance of metallic foam can be improved by the heat treatment process. However, the previous heat treatment methods still present the brittle crack path and the research on heat treatments of the metal foam properties is very limited. In this study, individual parameters in stress relieving treatment that contribute to Al-Foam properties were investigated. The stress-relieving process of the samples was performed using a vacuum furnace. The composition of aluminium foam was determined by X-Ray Fluorescence (XRF). The hardness test was conducted using a microhardness tester. Quasi-static compression test was conducted by a universal testing machine. From the SEM-EDX elemental images, it can be observed that traces of Ca, Fe, Ti, and Si have a homogeneous distribution in the Al-matrix. In the result obtained, the mechanical properties of aluminium alloy foam decrease when the heating temperature is enhanced. The mechanical properties of closed-cell aluminium alloy increase with the reduction of the holding temperature. This was due to the recovery and recrystallization process which depended on time and temperature during the heat treatment process. The mechanical properties of aluminium foam were raised after increasing the stabilization temperature. This finding was due to the vibrational atomic motion in the recovery process.
A study to determine the effects of epidural analgesia in labour and to assess its maternal and neonatal outcome
Authors: Syed Anam B. , Kapote Deepali S.
Published: November 2023

Background: There is widespread acceptance of epidural analgesia among many physicians and patients, but disagreement remains regarding the effect of intrapartum epidural analgesia on the subsequent progress of labour and the mode of delivery. This study was designed to look and assess the effects of labour analgesia on maternal and fetal outcomes.
Methods: This is an observational prospective cohort study where 60 parturient visiting the hospital in labour during the study period who fulfilled the eligibility criteria & gave written informed consent for the participation were included as cases. Another 60 parturient visiting the hospital during the same period who also fulfilled the eligibility criteria and consent for the same were included as controls. After test dose of 3 ml of 2% lignocaine with 1:2,00,000 adrenaline, an initial bolus of 10 ml of 0.1% Ropivacaine+1microgram/cc Fentanyl is given.
Results: Epidural analgesia gave better pain relief when the VAS scores of the two groups were compared. No effect on increase of Caesarean or instrumental delivery rates was observed. Even though the first stage of labour was prolonged and the second stage shortened, the overall time of active stage of labour remained the same in both groups. No adverse neonatal outcome was seen with respect to epidural analgesia.
Conclusions: Epidural analgesia provided excellent pain relief for most of the women delivering at our institute & is associated with high patient satisfaction.
A comparative study of ferric carboxy maltose versus iron sucrose for iron deficiency anaemia in pregnancy
Authors: James Nikitha , Antartani Ramalingappa C. , James Neha Anu
Published: November 2023

Background: Anaemia is a major contributor to maternal morbidity and mortality worldwide. Ferric carboxy maltose is a novel iron preparation which can treat anaemia faster and more effectively. Thus, this study aimed to evaluate the efficacy and safety of FCM in pregnancy and also to compare the same with Iron sucrose in pregnancy.
Methods: This was a Prospective, Hospital based, Comparative study performed on 120 women who attended the department of obstetrics and gynaecology at KIMS, Hubli for a duration of one and a half years (2017-18). The patients received either FCM or Iron sucrose, with 60 participants in each group.
Results: Among 120 subjects, 75% of the patients had microcytic, hypochromic anaemia, 1.4% had dimorphic anaemia.38.33% of patients had moderate anaemia (Hb 6-7.9g/dl). After FCM infusion, rise in Hb at 2 weeks was 1.5g/dl and at 4 weeks was 2.9 g/dl. Serum ferritin levels raised by 36.7 and 63.1 mcg/l at 2 and 4 weeks with FCM respectively. On comparison with Iron sucrose, the Hb rise was statistically better with FCM at 4 weeks, whereas the ferritin levels were significantly improved with FCM at both 2 and 4 weeks after treatment. Side effects in mild form occurred in 7.5% of the subjects.
Conclusions: FCM is a safe, effective alternative to other parenteral iron therapies, offering faster correction of anaemia and iron replenishment. Its use in pregnancy will significantly reduce the burden of maternal mortality and morbidity.
Social egg freezing: a gateway to fertility insurance
Authors: Chhatwal Jashan , Bakshi Rita , Bakshi Sakshi , Tripathi Nidhi
Published: November 2023

Background: There is a decline in fertility due to delayed childbearing and hence, elective egg freezing (oocyte cryopreservation) offers a solution. Two primary techniques are used for human oocyte cryopreservation: slow freezing and vitrification. Vitrification is highlighted as a promising method. The present study was conducted to evaluate the pregnancy outcomes from oocytes that were frozen for social reasons and oocytes were frozen by method of vitrification.
Methods: This retrospective study was conducted at RISAA IVF International Fertility Centre, New Delhi, collecting the data available over 6 years (2017-2023). It focused on freezing of oocytes and collected data on frozen, thawed, and fertilized oocytes, analysing thawing, survival, and fertilization rates by patient age group. Data was processed using Microsoft Excel and SPSS, with quantitative data presented as mean and standard deviation, and qualitative data as frequencies and proportions.
Results: In this study of 25 patients who froze their oocytes, the average age at cryopreservation was 33.38 years. The mean age at implantation was 36.48 years. On average, patients had 10 retrieved oocytes. Most patients with thawed oocytes were in the 35-37 age group, although the highest survival and fertilization rates (86.9%) occurred in the above-40 age group. Established pregnancies were more common in the 35-37 age group, with 5 out of 10 pregnancies regardless of the day of embryo transfer.
Conclusions: Elective egg freezing (oocyte cryopreservation) has emerged as a valuable solution to preserve fertility.
A review of hyperandrogenism state in polycystic ovarian syndrome
Authors: M. Mohamed Shabi , P. S. Nivya , C. S. Devika , Reddy Malayanur Suhas , N. Poornima , K. R. Roopesh , Joseph Joel , Kolageri Shivanand
Published: November 2023

Polycystic ovary syndrome is one of the most prevalent endocrinopathy in premenopausal women. The pathophysiology of PCOS is not clear, however disturbance in the hypothalamic-pituitary-ovarian axis and abnormal steroidogenesis along with genetic and environmental factors act as main contributors to this disorder. The steroidogenic pathway is affected by the overexpression of the CYP11A, CYP17, and CYP19 genes in PCOS, which results in a hyperandrogenic condition. The initial effect of too much androgen in PCOS is impaired folliculogenesis. The most frequent clinical manifestations of hyperandrogenism in women with PCOS include hirsutism, acne, and androgenic alopecia. Women with PCOS may have an excess of androgen during foetal life due to the elevated expression of P450c17a during the whole pregnancy. PCOS is believed to be formed in utero by the influence of androgen excess on gene expression in adolescence and adulthood, which offers more solid evidence that real PCOS can be induced by prenatal androgenization. A prenatal androgen excess-induced epigenetic phenomena is suggested by the current theory of PCOS's developmental genesis. It is currently believed that the many tiny follicles seen in polycystic ovaries and the considerable irregularity in the very early stages of folliculogenesis are associated to the formation of anovulation in PCOS.
A prospective observational study of prevalence, incidence, and prognostic implications of right-sided heart failure in acute respiratory distress syndrome patients
Authors: Sahu Chinmay , Rao K. S. , Mishra Prasanna , Panda Rajesh
Published: November 2023

Background: Acute respiratory distress syndrome (ARDS) is a common reason for respiratory failure in critically unwell patients. Noncardiogenic pulmonary edoema that develops suddenly, acute hypoxemia, and the need for mechanical ventilation are its defining features. This study's major objective was to examine the likelihood of cor-pulmonale in ARDS patients receiving protective ventilation, as well as its prognosis over the long term.
Methods: S. C. B. medical college in Odisha, India served as the setting for this prospective observational study. 100 consecutive patients with moderate to severe ARDS were included in the trial in accordance with the Indian criterion. With an average PEEP of 91 cm H2O and a plateau pressure cap of 31 cm H2O, these patients were ventilated.
Results: There were 100 patients altogether, 63 males and 37 females, with a mean age of 59-19 years. The interval between the diagnosis of ARDS and TEE was typically 0.75-0.97 days. There were 100 cases of cor pulmonale, which was shown to be common (21.09%). Lung injury occurred more frequently in patients with cor pulmonale compared to other patients when an infectious cause was involved [37 (79.06%) vs. 67 (57.61%)].
Conclusions: The incidence of cor pulmonale in ARDS patients undergoing ventilation with restricted airway pressure is an interesting finding. In our investigation, it showed up as an independent risk factor for 28-day mortality and was linked to sepsis and high driving pressure readings.
The importance of palliative care in Duchenne muscular dystrophy: a reflection
Authors: Saha Vasundhara
Published: November 2023

Duchenne muscular dystrophy is a progressive disease involving early morbidity and mortality of children. Hence, it becomes essential to address the evolving issues comprehensively according to palliative care principles. Apart from physical issues, psychological, ethical and spiritual concerns affect the quality of life throughout the symptomatic period including the end of life. This case depicts the incomplete management of progressive physical issues as well as psychological, ethical and spiritual concerns of a ten-year-old child and his family. Lack of proper communication and inadequate knowledge about end-of-life care adversely impacts the quality of life of such patients. Understanding of Palliative Care principles helped to gain insight about the lacuna in clinical care of such patients. Knowledge and incorporation of Palliative Care principles is extremely important for any clinician dealing with progressive diseases like Duchenne Muscular Dystrophy and many more. Application of these principles has the potential to enhance the quality of life of patients and their caregivers significantly throughout the course of the disease.
A comparative study between robotic sleeve gastrectomy and robotic mini gastric bypass: which one is better?
Authors: Aggarwal Ramesh K. , Prasad Arun , Aggarwal Kavita
Published: November 2023

Background: Bariatric surgery now days is a commonly done procedure for morbid obese or super obese patients. With the development of less invasive procedures like laparoscopy & robotic surgery, the use of bariatric surgery is becoming more common. The present study was conducted with an idea to compare the post operative outcomes in 2 groups (robotic sleeve gastrectomy & robotic mini gastric bypass) in terms of various parameters such as operative time, post-op. pain, length of hospital stay.
Methods: Present study has been conducted on 35 patients, divided into two groups, based on two commonly performed procedures, Group one-21 patients (Robotic one anastomosis gastric bypass/Mini gastric bypass) and group two-14 patients (Robotic Sleeve Gastrectomy). All the cases in both groups were selected according to the patient’s BMI, associated symptoms and patient’s own preference for the procedure; both groups were followed for a period of 6 months.
Results: On analysis, group 2 patients had a shorter operating time (p<0.01) and shorter hospital stay (P value<0.05) with almost similar results in term of weight loss after 6 months. Only one patient in group 1 had significant post operative complication in term of pulmonary embolism that was successfully managed conservatively
Conclusions: Group 2 had a significantly shorter operating time & shorter hospital stay, with almost similar weight reduction after 6 months period of follow up and had no post operative complication, group 1 had one post operatively complications in term of pulmonary embolism which was managed by conservative means.
Peripheral vascular emergencies-clinicopathological co- relation with outcome in a tertiary care centre
Authors: Jain Ankita , Jadhav Uday , Kulkarni Dwarkanath , Aironi Balaji , Potwar Sushrut , Patil Prashant
Published: November 2023

Background: Peripheral arterial disease represents a major caseload in emergency department and also is major cause of distress and socio-economic burden to patient and his/her family due to risk of complications. It has a multifactorial etilogy and requires prompt treatment to salvage the limb and prevent complications. This study is a clinic-pathological correlation between various factors and surgical outcome.
Methods: It is a prospective study involving 75 patients who had presented with peripheral vascular disease with different mode of presentations. All patients underwent surgical procedure and were given inj. heparin and tab. Aspirin in post operative period. Their surgical outcome was studied and co-related with etiological factors and clinical presentation.
Result: Time from onset till presentation was one of the most important factors in deciding outcome. COVID-19 also emerged as one of the important risk factors in 12 cases. Patients who had been given prior anticoagulation therapy had better outcomes.
Conclusions: Outcome in peripheral vascular disease patient depends on variable factors, however starting patients prior on anticoagulants has shown more possibility of salvaging the limb.
Top & Bottom: Indian Servants and Masters on Screen. Part II
Authors: Krylova Anastasia S.
Published: November 2023

The paper continues the analysis of Indian cinema begun in its first part [Vanina, Krylova, 2023]. Four films, three Indian and one American adaptation of an Indian novel, are sources for the authors’ analysis of the cinematographic presentation of domestic servants, traditionally ‘invisible’ but vitally important members of almost every, even modest, Indian household. Cinematic art, to be sure, reflects not just social phenomena as such, but their perception by public opinion determining what should and what should not be. In Indian cinema plots, usually, domestic servants play episodic roles, glimpsed like shadows. However, the films chosen for analysis are significant as the servants, their work and relations with their employees appear on the forefront as a basic clue of the story and the author` s concepts. Differing by genre (a vaudeville comedy, a social drama, a ‘motivational’ movie, and a thriller) as well as by the creators’ talent, those films, each in its own way, reconstruct mutually attracting and repelling worlds of servants and masters, keeping silence on the core problem of those relations, caste hierarchy.
“Lord of the Gold Turtle”, or The Myanmar Lacquers’ Inscriptions from the State Museum of Oriental Art Collection
Authors: Gozheva Natalia A.
Published: November 2023

Features of the peculiar “lacquer epigraphy” of Myanmar, i. e. lacquer inscriptions are considered in the paper on examples of artworks from the collection of the State Museum of Oriental Art. The appearance of inscriptions in lacquer art, called pan-yun in Myanmar, dates to the ancient tradition of accompanying cult monuments with donor texts, which was largely associated with the Buddhist idea of acquiring merit that affects a person’s future life. In the medieval period, lacquerware’s inscriptions were applied mainly to religious objects, and only in the 20th century did they become traditional in the domestic sphere as well. The “lacquer epigraphy” contains good wishes, comments on pictorial narratives, messages about the traditional and high quality of products, the place of manufacture, the name of the workshop, customer, or master, and less often, the date of production. An analysis of the inscriptions leads the author to the conclusion that, overall, they remain within the Buddhist paradigm of accumulating and passing on religious merit.
MINIREVIEW AND HYPOTHESIS: HOMOLOGY MODELLING OF SPODOPTERA LITURA (LEPIDOPTERA: NOCTUIDAE) AMINOPEPTIDASE N RECEPTOR
Authors: López Pazos Silvio Alejandro , Cerón Salamanca Jairo Alonso
Published: November 2023

Pest insect aminopeptidase N (APN) is a receptor for Bacillus thuringiensis Cry1 proteins. A 108-kDa APN has been characterised in Spodoptera litura, here their APN three-dimensional structure was determined; it has 4 structural domains. Domain I is the region that recognizes Cry1 toxins, a loop of this section might be very important in this role. Probably, domain II has functions in Cry1 protein-APN interaction. Domain III has a sandwich topology and domain IV is a superhelix. The APN have conserved structures, with slightly mutations just like result of coevolution with Cry proteins.
Development of Organ-on-Chip for the Study of Placental Pathologies: A Ten-Year Study of Literature Published
Authors: Kalode Ravindra , Kalode Pranoti R.
Published: November 2023

Context: The placenta performs a crucial function in nutrient exchange, but studying this tissue poses a number of challenges. Utilizing microfluidic and microfabrication technologies, a 3D placenta-on-a-chip model provides a biomimetic alternative for studying placental diseases and treatments.
Objectives: Aim: To review and analyze the currently available placenta-on-chip data to study placental pathologies in patients.
Methods: By systematically searching the PubMed, Scopus, and Science Direct databases, research papers that employed 3D printing techniques for the development of organoids and Organ-on-Chip (OoC) systems for in vitro experiments were gathered and scrutinized.
Results: When exposed to glucose transfer, placenta-on-a-chip mimics the features of an in vivo human placenta. Microchips have the potential to become a platform for diagnostic purposes for placental diseases and a model for duplicating the important features of these diseases.
Conclusions: The microfluidic placenta-on-a-chip platform holds promise as an affordable solution with versatile applications. However, research is essential to develop a comprehensive in vitro pregnancy model in the future to expand our understanding of feto-maternal communication.
The Effect of Corrective Exercise on Pain Referred to The Jaw Joint (TMJ) in Elderly Women With Upper Crossed Syndrome
Authors: Mansouri Mahan , Sokhanguei Yahya , Sohaily Shahram
Published: November 2023

Background: Upper crossed syndrome is a muscular imbalance disorder associated with various referred pains, especially jaw discomfort. Complications like temporomandibular joint (TMJ) osteoarthritis may link to forward head posture and mechanical head pains resulting from this syndrome.
Objectives: The objective of this study was to compare the impact of corrective exercise on pain of TMJ in elderly women with upper cross syndrome.
Methods: A total of 30 elderly women with upper crossed syndrome were enrolled at the Kahrizak Elderly Care Center and randomly assigned to either a corrective exercise group or a control group. The experiment group underwent an eight-week training program. Pain levels and neck range of motion were assessed using a pain ruler and goniometer, respectively. In order to measure neck extension, the mean difference and effect size were determined using paired t-test and Cohen’s d, respectively. Referred pain ratings were analyzed using Mann-Whitney U and Wilcoxon signed-rank tests, with effect size calculations, to further understand the intervention’s effect on pain perception.
Results: Both groups demonstrated significant changes in referred pain perceptions (P = 0.0441) post-intervention. However, regarding neck extension, neither the control nor the experiment group exhibited statistically significant alterations in neck extension (P = 0.4309)
Conclusions: These findings indicate that corrective exercises have a positive effect on alleviating referred pain in the jaw joint caused by muscle imbalance. Given the merits of corrective exercises as a non-pharmacological intervention, they are recommended as an effective approach for improving referred pain in the jaw.
An Observational Study on Evaluation of IOTA Ultrasound Simple Rules to Distinguish Benign and Malignant Ovarian Masses and Histopathological Correlation in a Tertiary Care Hospita
Authors: Sumaya Amatul Kareem , Swetha Banavath , Ramachandraiah Aithagani , Ahmed Nadeem , Bajaj Sunitha
Published: November 2023

Background: The international ovarian tumor analysis (IOTA) study technique is a specialized method for classifying and identifying adnexal growths. It employs 10 simple ultrasound directions to characterize masses as benign or malignant. Objectives: This study aims to provide pre-operative information to help gynecologists manage ovarian masses, avoiding delays in malignancy treatment and unnecessary surgery for benign lesions.
Methods: This was a hospital-based observational study conducted in the radiology department on patients with clinical diagnoses of ovarian masses from August 2020 to March 2022 by prospective randomized sampling method. Patients with suspected ovarian pathology were evaluated using IOTA ultrasound rules and designated benign or malignant. The patients underwent a thorough history and clinical examination. Ultrasound was used to confirm the ovarian origin of the mass and differentiate it as benign or malignant. A transvaginal ultrasound was performed where necessary. Histopathological examination was the gold standard to confirm ultrasound and Doppler findings. Descriptive stats: Frequencies/percentages for categorical data, mean ± SD for normal, median with IQR for non-normal. Uncertainty measured by 95% CI.
Results: During the study, 50 women were eligible for the study, and the mean age of the participants was 45.3 years. Of 50 patients who underwent surgery, 38 cases were considered benign based on IOTA USG rules, of which 35 were benign and 3 were malignant histologically. Eight cases were considered malignant based on IOTA USG rules, of which 6 were malignant and 2 were benign. Four cases were considered indeterminate, with two being benign and two being malignant histologically. If inconclusive cases are classified as malignant, the sensitivity and specificity are 75% and 88%, respectively.
Conclusions: USG is an easily available imaging tool that can be used as an initial modality in evaluating ovarian masses. IOTA simple ultrasound rules have diagnostic accuracy in distinguishing benign and malignant ovarian masses and help in management.
Missile Attacks on Al-Ahli Hospital in Gaza and Silence of Reference International Authorities
Authors: Akhondzadeh Shahin
Published: November 2023

The Article Abstract is not available.