bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Pendapatan Usahatani Cabai Keriting Di Kecamatan Kauditan Kabupaten Minahasa Utara
Authors: Pariakhan Oschard , Pangemanan Lyndon Reinhard J. , Kumaat Ribka Magdalena
Published: March 2023

This study aims to analyze the income of curly chili farming in Kauditan sub-district, North Minahasa regency. This research was conducted in Kauditan District, North Minahasa Regency. This research began from March to June 2022. The method used in this study was purposive with the consideration that Kauditan District is one of the curly chili producing districts. The type of data used in this research is primary and secondary data. The primary data consisted of data on fixed costs, variable costs, investment costs, curly chili production data, curly chili price data, sales data and curly chili cultivation information obtained from field visits and direct interviews with curly chili farmers in Kauditan District. Secondary data in the form of curly chili production development data, curly chili productivity data, and curly chili farming analysis data from other studies obtained from literature studies both obtained in libraries, websites, and other places in the form of the results of previous research related to research problems. The results showed that the income of curly chili farming in Kauditan District, North Minahasa Regency per hectare in one planting cycle with a total of 10,000 plants amounted to IDR225,190,000.
Strategi Pemasaran Produk Olahan Buah Durian Umah Duren Di Kota Manado
Authors: Limbat Tesalonika Millenia Ivone , Kaunang Rine , Taroreh Mellisa Lady Gisela
Published: March 2023

This study aims to find out how the marketing strategy for processed durian fruit Umah Duren in Manado City. This research was conducted from June to August 2022. The data analysis method used in this study was SWOT analysis. SWOT analysis is an analysis that includes efforts to identify strengths and weaknesses (internal), opportunities and threats (external) faced. The data used are primary data and secondary data. Primary data obtained directly from respondents by conducting direct interviews using questionnaires. Secondary data obtained from other information data related to this research. The results of this study indicate that the Marketing Strategy for Processed Durian Fruit Products Umah Duren in Manado City through the analysis method on the SWOT matrix is obtained at the coordinates of 1.67 : 2.68, which means that the position is in quadrant I, namely supporting the growth strategy (growth).
Analisis Risiko Usaha Tani Jagung Di Desa Lompad Baru Kecamatan Ranoyapo Kabupaten Minahasa Selatan
Authors: Kaban Natasha Dian Rudangta , Katiandagho Theodora Maulina , Baroleh Jenny
Published: March 2023

This study aims to determine the income of corn farming farmers, the risks faced by corn farming farmers, and how much risk is faced by farmers. The research was conducted in Lompad Baru Village, Ranoyapo District, South Minahasa Regency. This research was conducted from April to August 2022. The selection of respondents was intentional. Primary data is data obtained directly from the field through interviews using a questionnaire to each corn farming farmer. Secondary data, namely data obtained through related agencies such as the field agricultural extension office in Ranoyapo District and the Lompad Baru Village office. The results showed that the total income earned by all corn farming farmers was IDR14,200,000 with an average income earned by corn farming farmers amounting to IDR1,420,000. The risks of corn farming in the study area are production risks originating from disturbances of plant-disturbing organisms (pests, diseases and weeds), erratic weather/climate (long dry spells) and minimal availability of subsidized seeds; price/market risk stems from high corn fertilizer prices and high pesticide prices; institutional risk; human risk; financial risk. The level of income risk faced by corn farming farmers is low with a coefficient of variation (KV) of 0.56.
Konstruksi Teologis Remaja Islam Banjar perspektif Prophetic Intelligence Hamdani Bakran Adz-Dzakiey
Authors: Akbar Ali , Sabda Syaifuddin , Cahyadi Ani , Husin Gt. Muhammad Irhamna
Published: March 2023

Kecerdasan profetik pada hakekatnya adalah konsep-konsep yang terkandung dalam Al-Qur'an dan as-Sunnah. Kecerdasan profetik juga dapat dikatakan sebagai penelitian baru dalam bidang psikologi Islam. Kajian ini dilakukan sebagai upaya untuk menjawab berbagai permasalahan umat, berdasarkan penelaahan yang mendalam terhadap Kitab Suci dan juga kajian, pemahaman dan penerimaan terhadap prototipe kehidupan para nabi dan rasul. Nabi Muhammad secara khusus melihat dirinya terselubung dalam kaca tasawuf, memperkuat teori-teori kecerdasan kenabian. Tujuan penelitian ini untuk mengetahui bagaimana konstruksi teologis remaja Islam Banjar kemudian dianalisis dengan perspektif Prophetic Intelligence yang dikenalkan oleh Hamdani Bakran. Penelitian ini menggunakan pendekatan kualitatif dengan paradigma fenomenologi, penelitian berlangsung secara alami (sesuai) dalam lingkungan alamiah dari fenomena yang diteliti, prosesnya bersifat siklus, peneliti. Metode yang digunakan dalam penelitian ini adalah metode etnografi. Penelitian ini dilakukan di Kalimantan Selatan. Penelitian ini dilakukan selama 2 bulan dari November hingga Desember 2022 dalam tiga tahap: Persiapan, pengumpulan data dan analisis data. Hasil dari penelitian ini telah ditemukan konstruksi teologis remaja Islam masyarakat Banjar dimulai dari memilih pasangan hidup, Ketika hamil sampai kelahiran dan juga pada Pendidikan anak. Beberapa aspek tersebut membentuk perilaku remaja Banjar yang dikenal luas menjadi sosok yang agamis.
جمالية البديع في أنظمة نصاميم المنتجاث الصناعية
Authors: أ. م .د . لبنى أسعد عبد الرزاق
Published: March 2023

يهتم هذا البحث بدراسة أهمية توظيف فنون البلاغة العربية في العملية التصميميةبعدها لغة قادرة على توليد المعاني ؛ مما يؤثر على ردود افعال المستخدم تجاهها وتأويلهلها بما يحقق كثرة في المعاني والدلالات التي يطلقها هذا المؤول والمتولدة عن النصالتصميمي للمنتج الصناعي ذاته . تناول الفصل الاول مشكلة البحث التي تجلت بالتساؤلالتالي : ما مدى العلاقة الترابطية البنائية ما بين البديع وهو فن لغوي وبين توظيفه فيتصاميم المنتجات الصناعية؟وناقش البحث البديع واقسامه كونه فن من فنون البلاغة العربية وبيان جماليته فيالأنظمة التصميمية ث وصولا الى مجموعة من النتائج التي أظهرت جمالية المحسناتالمعنوية والتي ترجمت في وظيفة التصميم ؛ آما فيما يخص المحسنات اللفظية فقد وظفتوفق ارتباطها بالشكل.وبهذا توضحت قوة العلاقة ما بين بلاغة اللغة العربية والإبداع في التصميم كونالتصميم لغة ومن الممكن توظيف المفاهيم البلاغية فيه , ومنها علم البديع كونه العلمالذي يوشح به الكلام بأوجه الحسن والجمال .
اثر التقويم التكويني في تتحصيل طلبة المرحلة الاولى في مادة التخطيط
Authors: م.م.محسن سالم الموسوي
Published: March 2023

يعد التقويم من أهم عناصر المنظومة البيداغوجية ومن المرتكزات الاساسية في العمليةالتعليمية -التعلمية ملما لها من علاقة اساسية مع الاهداف والكفايات المسطرة علاوة على كونه المعيارالحقيقي لتشخيص مواطن القوة والضعف في نظامنا البيداغوجي وتجاربنا الاصلاحية في مجال التربيةوالتعليم ءولقد أصبح في السنوات الاخيرة يحتل مكانة بارزة في دائرة علوم التربية ٬يكاد‏ يحتفل بحقلعلمي خاص به يتميز بموضوعه وأدواته المنهجية .

وهذه الاهمية المتزايدة للتقويم في عصرنا ترجع الى عوامل خاصه؛ نذكر منها :

تطور الانظمة التربوية في المجتمعات الحديثة والمعاصرة ,الاهتمام باقتصاديات التعليم وتنميةنتائجه في المجال التربوي ، نقدم تقنيات القياس وأساليب التقويم الكمي للظواهر التربوية ارتباط التقدمالحضاري في المجتمعات المعاصرة بوظائف التقويم البيداغوجي.

يفيد مصطلح التقويم في المجال البيداغوجي: إصدار حكم على مدى وصول العملية التعليميةالى أهدافها وتحقيقها لأغراضها والكشف عن مختلف الموانع والمعيقات التي تحول دون الوصول الىذلك واقتراح الوسائل المناسبة من أجل تلافي هذه الموانع .بهذا المعنى لايبقى التقويم مجرد إصدارأحكام قيمة على المتعلمين التي تتراوح بين الجودة والضعف بل يكون التقويم مرادفا لقياس مستوىالمتعلم ومردو ديته ولكنه عمليه أشمل تتعلق بصيرورة التعليم والتعلم وأن كان البعض يعتبر التقويمقياسا ؛ذلك أن القياس مجموعة من المثيرات نضبط بها بطريقة كمية مجموع عمليات عقلية أو سماتنفسية وتتحول النتائج المحصل عليها الى قيم كمية وتسمى درجات وينقسم التقويم الى ثلاثة أقسام :1 التقويم التمهيدي القبلي2- التقويم التكويني البنائي3- التقويم الختامي النهائي وسوف يتناول هذا البحث النوع
أستخلاص الـ Surlactin لبكتريا Lactobacillus acidophilus ودراسة تأثيره على بكتريا Staphylococcus المعزولة من إصابات مختلفة
Authors: أ. د. منيرة جلوب العبادي  , ا. م. د. مكارم عادل الطائي
Published: March 2023

تضمنت الدراسة تقصي تأثيرالسيرلاكتين(Surlactin)  المنتج من بكتريا حامض اللاكتيك Lactobacillus acidophilus  ضد بكتريا المكورات العنقودية Staphylococcus المعزولة من إصابات مختلفة  شملت التهابات الجروح والحروق والمجاري البولية ، حيث شخصت 33  عزلة لبكتريا المكورات العنقودية الذهبية   S.aureus   و27  عزلة  لبكتريا المكورات العنقودية البشروية   S.epidermidis  بما يعادل % 41.77 ) و  % 34.18) من 79 عزلة لأنواع مختلفة من البكتريا تم جمعها من تلك الاصابات وتشخيصها بالصفات الزرعية والمجهرية والاختبارات الكيموحيوية وتأكيد التشخيص بأستخدام نظام الفايتك Vitek 2 System  .

  أكدت نتائج الدراسة  فعالية مستخلص الـ Surlactin الخام لراشح بكتريا حامض اللاكتيك في ازالة الغشاء الحيوي وتثبيط الالتصاق لبكتريا المكورات العنقودية البشروية  ، كما انه قد يكون له فعالية مثبطة لنمو بكتريا  S. aureus  وذلك بعد مرحلة الديلزة ضد 0.01 مولر دارئ الفوسفات التي بلغ معها تركيز البروتين والكربوهيدرات في مستخلص السيرلاكتين 3 مايكروغرام / ملليتر  و 7 مايكروغرام / ملليتر على التوالي .
الفيبرنوجين والبروتين التفاعلي Cعالي الحساسية وعلاقتهما بأمراض القلب التاجية
Authors: أ.د. حميد محمود مجيد  , محمد علي حسين
Published: March 2023

بسبب الانتشار الواسع للالتهابات وخاصة المزمنة منها بين مرضى القلب والاوعية الدموية تم قياس كل من  الفيبرنوجين و hs-CRP  كدوال حيوية biomarker  على أمراض القلب التاجية . أُجريت هذه الدراسة في مستشفى بعقوبة التعليمي للمدة من 1/9/2015  الى 1/3/2016  ,اذ تم جمع عينات من الدم الوريدي بواقع 5 سم³ من المرضى الراقدين في وحدة الانعاش , والمكونة من : 35 مريض مصاب باحتشاء عضلة القلب و35  مريض مصاب بالذبحة الصدرية , وقورنتا بمجموعة اصحاء مكونة من 20 شخص .  استخدم 2 سم³ من الدم لقياس الفيبرنوجين في الدم باستعمال جهاز Coagulation Haemostasis  Analyzer  , اما بقية الدم فقد وضع انبوبة plane tube وعرض للطرد المركزي بسرعة 3000 دورة / دقيقة لمدة 10 دقائق بعد تخثره وفصل المصل ووضع في جهاز Cobas Integra 400 Plus  لغرض قياس hs-CRP  والمؤشرات الكيموحيوية الاخرى .  أظهرت نتائج الدراسة : وجود فروقات معنوية p<0.05  في مستويات الفيبرنوجين , البروتين التفاعلي C عالي الحساسية , البروتين الشحمي منخفض الكثافة , وانخفاض مستويات البروتين الشحمي عالي الكثافة لمجموعتي مرضى احتشاء عضلة القلب والذبحة الصدرية مقارنة بالسيطرة ( الاصحاء ) .
Arahan Pengendalian Ruang Kawasan Perkotaan Mamasa Ditinjau Dari Kesesuaian Lahan Pertanian
Authors: Yudha Octa Pratama Briyan , Aksa Kamran , Yahya Ilham
Published: March 2023

Abstract. The purpose of this study is to determine the suitability of agricultural land in the Mamasa Urban Area and to formulate directions for spatial control in the Mamasa Urban Area, based on the suitability of agricultural land. This type of research is a mixed method research. To determine the suitability level of agricultural land in the Mamasa Urban Area using the Agricultural Land Suitability Analysis analysis tool, and to formulate spatial control directions in the Mamasa Urban Area, based on the suitability of agricultural land.
The main conclusions of this study are that the suitability of agricultural land in the Mamasa Urban Area is annual crops with an area of 1538.36 ha, and the concept of controlling the suitability of agricultural land for annual crops or annual crops with an area of 1538.36 ha. According to PP No. 1 of 2011 and for plantation areas, it is directed that the conversion of paddy fields to non-rice fields is not allowed in this area.
 
 
Abstrak. Tujuan penelitian ini adalah untuk mengetahui kesesuaian lahan pertanian di Kawasan Perkotaan Mamasa dan merumuskan arahan pengendalian tata ruang di Kawasan Perkotaan Mamasa berdasarkan kesesuaian lahan pertanian. Jenis penelitian ini adalah penelitian mix metod, Untuk menentukan tingkat kesesuaian lahan pertanian di Kawasan Perkotaan Mamasa dengan menggunakan alat analisis Kesesuaian Lahan Pertanian, dan merumuskan arah pengendalian ruang di Kawasan Perkotaan Mamasa berdasarkan kesesuaian lahan pertanian.
Kesimpulan utama dari penelitian ini adalah kesesuaian lahan pertanian di Kawasan Perkotaan Mamasa adalah tanaman semusim dengan luas 1538,36 ha, dan konsep pengendalian kesesuaian lahan pertanian untuk tanaman semusim seluas 1538,36 ha. Sesuai PP No 1 Tahun 2011 dan untuk areal perkebunan diarahkan agar tidak boleh dilakukan konversi lahan sawah menjadi lahan non sawah di wilayah ini.
Dorsal Root Ganglion Stimulation for Treatment of Chronic Upper Abdominal Pain: A Case Report
Authors: Lee David , Paicius Richard , Deer Timothy
Published: March 2023

BACKGROUND: The use of dorsal root ganglion stimulation (DRGS) has been widely reported in the treatment of inguinal and groin pain, post-herniorrhaphy pain. The use of the DRGS has more recently been proposed for upper abdominal symptoms. In this case report, we detail the potential use of dorsal root ganglion stimulation for the treatment of postoperative right upper quadrant abdominal pain. CASE REPORT: A 55 year-old female with history of pancreatic cancer with multiple abdominal surgeries including Whipple procedure. The patient presented to an outpatient interventional pain clinic with chronic upper abdominal pain symptoms. Recent gastrointestinal and spinal work-up was unremarkable. Having exhausted all conservative measures the patient was offered DRGS trial. The trial leads were placed at the right T7 and T8 dorsal root ganglion. The procedure was performed with conscious sedation and was well-tolerated. CONCLUSIONS: Dorsal root ganglion stimulation (DRGS) presents a unique method of capturing upper abdominal visceral pain symptoms. The efficacy of DRGS offers another option in addition to conventional treatment, as well as dorsal column spinal cord stimulation (DC-SCS). Due in part to its use of selective dermatomal distribution of sensory perception one can reliably target a specific region of the abdomen where DC-SCS may not. KEY WORDS: Dorsal root ganglion stimulation, neuromodulation, abdominal pain, chronic pain
Unilateral Lumbosacral Plexopathy Following Extra-Corporeal Membrane Oxygenation Managed with Burst Spinal Cord Stimulation: A Case Report
Authors: Gonzalez Mesa Jose Manuel , Iglesias Rozas Pablo Ignacio , Porras Salvador , Palma Perez Francisco Javier , del Valle Hoyos Marta , Rivera Perez Milagros , Cruz Manas Jose
Published: March 2023

BACKGROUND: Lumbar plexopathy is considered a rare complication of minimally invasive endovascular or surgical procedures, but it has not been related to the use of extracorporeal membrane oxygenation (ECMO) so far. In cases of high-intensity neuropathic pain, neuromodulation should be considered early in the treatment. CASE REPORT: After receiving supportive ECMO therapy for 7 days, a 42-year-old woman developed lumbar plexopathy and high-intensity neuropathic pain and was referred to the pain unit 6 months later. After unsuccessful use of neuropathic drugs, spinal cord stimulation achieved global improvements of 90%. Sixteen months later, the patient continues to be asymptomatic, leading an active life as a mother of 4 children. CONCLUSIONS: The use of ECMO cannot be said to be the main cause of plexopathy in this case, but a multifactorial approach regarding this issue should be considered. Spinal cord stimulation can provide dramatic relief in localized neuropathic pain. KEY WORDS: Extracorporeal membrane oxygenation (ECMO), lumbosacral plexopathy, spinal cord stimulation
ULTRASONOGRAPHIC ASSESSMENT OF LUNG IN DYSPNEIC PATIENTS WITH LUNG INFECTION
Authors: Kammari Bhagyasri , Singh Rathore Falguni , K. Patil J.
Published: March 2023

Introduction- A wide range of pulmonary illnesses with a signicant clinical prevalence includes infectious lung disease. Numerous studies have
examined the clinical value of lung ultrasonography (LUS) in the treatment of patients who present with dyspnea due to an infectious lung illness in
the last ten years. We present data on the methodical and standardised use of bedside LUS in the differential diagnosis of patients with acute
dyspnea due to infective pulmonary diseases. We conducted a cross-sectional s Materials and Methods- tudy on 120 patients with infectious lung
illnesses (mean age, 54.2± 11.5 years; range, 25-85 years; 40 women, 80 men). All individuals underwent a chest X-ray and bedside LUS using a
convex probe. A clinically necessary chest CT was done on a subgroup of individuals. By Results- comparing the percentage of pleural effusion
and pulmonary consolidation determined by LUS to X-ray, we found a statistically signicant difference (54 vs. 20.8%, respectively, p 0.05; 90 vs.
46.6%, p 0.001). 38.3% of the LUS-detected consolidations had air bronchograms, which were mixed, hypo, and hyperechoic lesions. When
conducted, chest CT veried every nding determined by LUS. LUS is a helpful suppl Conclusion- emental technique when used in conjunction
with clinical, laboratory, and radiographic workup, as specied by clinical guidelines. When there are chest X-ray visible opacities or when clinical
suspicion is high and radiological results are negative, the approach is very helpful in differentiating between pleural effusion and lung
consolidation.
EFFECTIVENESS OF LUKEWARM WATER COMPRESS ON BREAST ENGORGEMENT AMONG PRIMI POSTNATAL MOTHERS AT S.V.S HOSPITAL, MAHABUBNAGAR TELANGANA
Authors: Anusha T. , Leena Madhura N.
Published: March 2023

The present study was undertaken to evaluate effectiveness of lukewarm water compress on breast engorgement among primi postnatal mothers at
s.v.s hospital, mahabubnagar, telangana. The study objectives aim at 1. Assess the level of breast engorgement among primi postnatal mothers in
experimental group and control group.2. Plan and implement lukewarm water compress on breast engorgement among primi postnatal mothers in
experimental group.3. Evaluate the effectiveness of lukewarm water compress on breast engorgement among primi postnatal mothers.4.compare
post test scores of lukewarm water compress on breast engorgement among both control and experimental group.the data collection procedure was
carried out and the samples were taken from s.v.s hospital mahabubnagar district, yenugonda, telangana. Sample size was 40 primi postnatal
mothers with breast engorgement who were admitted in s.v.s. Hospital, mahabubnagar, telangana. The result of the study were the mothers were
divided into two groups one is experimental group and other control group. The score between 4-5 and severeengorgement indicates the score of 6.
4 (20%) were under mild engorgement level in pretest whereas 9 (45%) were mild engorgement level in post test, 9 (45%) were under moderate
engorgement level in pretest whereas in post test were 3 (15%), 7 (35%) were under severe engorgement level in pretest whereas in post test were
found nil, noengorgement level in pretest were found nil whereas 8 (40%) were under no breast engorgement.
ROLE OF MRI IN EVALUATION OF GRADE IV PERIANAL FISTULA (ACCORDING TO SAINT JAMES'S UNIVERSITY HOSPITAL CLASSIFICATION)
Authors: Anand Sahu Asish , Vare Ajay , RoteKaginalkar Varsha
Published: March 2023

Introduction- Fistula-in-ano can be dened as a hollow tract or cavity which is lined by granulation tissue. It is crucial to properly assess these
stula-in-ano because surgical intervention must be aimed at not only eradication of stulous tract thereby eradication of source of infection but
also at the maintenance of continence which depends on intergrity of anal-sphincter complex. MR stulography has the distinct advantage of not
only depicting the stulous tract but also in demonstrating the extent of transmural inammatory process secondary tracts/ramications and
abscesses. The aim of the study is to evaluate role of MRI in appropriate diagnosis of Grade IV perianal stulae – Complicated transsphincteric
stulae (Saint James's University Hospital Classication) with its post operative correlation. Around 19 patients who were Methodologydiagnosed with grade IV perianal stula (according to Saint James classication) on MR stulogram in the Department of Radiology were included
in the study and followed up with their post operative data. A male preponderance Results And Discussion - reported in our study, correlating well
with studies by others like Kakani SS et al., Daabis N et al. and Abbas et al. Purulent perianal discharge was common presenting complaints. Most
common location for internal opening was posterior position which was also seen in a study by Choudhary J, Kaushal L, Rajput P. Out of the total 19
patients, extrasphincteric abscess/collection was more commonly found in the patients. Majority of the patients had secondary tracts and
ramications. In this study accuracy for correct localization of internal opening was (93.33%), identication of ramications/secondary tracts was
(92.85 %) and abscesses/collection was (90 %) as compared to operative ndings which correlated well with studies by Singh K et al., Daabis et al.
and Madireddy et all MRI is a useful modality for diagnosis and successful mana . Conclusion- gement of grade IV perianal stula. MRI helps in
detailed assessment of the number & extent of the stulous tracts and their relationship to anal sphincter complex, including ramications, thereby
reducing the recurrence & complications and improving the prognosis.
A STUDY OF THE PREVALENCE OF PULMONARY FUNGAL COLONIZATION IN ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Authors: Sarma Arnav , Goswami Priyam , Nath Reema , Kalita Dhritishna
Published: March 2023

Introduction: Chronic obstructive Pulmonary Disease (COPD) is a common preventable and treatable disease. Exacerbations are frequent events
in the natural history of the disease. The rate of fungal infection in COPD has shown an upward tendency in recent times. Also, it brings a serious
threat to these patients.Aim:To study the prevalence of pulmonary fungal colonization and to identify any association between fungal colonization
with clinical manifestations in acute exacerbation of COPD. Methodology: Hospital based prospective, observational study was done from 1st
July 2015 to 30th June 2016. Clinical data and fungal culture reports of patients with acute exacerbation of COPD were collected. Results: 103
patients were assessed. Mean age was 61.39±11.88 years. Males were 59.22%. Mean duration of disease was 63.34 months with 7.41 days of acute
symptoms. Out of 103 patients, 64.08% were smokers, 41.75% had exposure history to indoor pollution and 8.74% had diabetes. Cases with history
of inhaled steroids were 38.83%. Fungal growth in sputum was seen in 33.98%. Out of these, 77.14% were Candida albicans, 5.71% C glabrata,
2.86% C krusei and 2.86% C tropicalis. Fungal drug sensitivity reports showed resistance to Fluconazole was 37.14%, Itraconazole 2.86%,
Voriconazole 2.86% and Amphotericin B 5.71%. In cases with fungal growth, mean duration of acute symptoms was 11.03 days compared to 5.54
days in cases without fungal growth (p<0.001). Severity according to GOLD criteria were mild (0%), moderate (34.29%), severe (51.43%), very
severe (14.29%) in cases with fungal growth, and mild (7.35%), moderate (54.41%), severe (30.88%) and very severe (7.35%) in patients without
fungal growth (p<0.05). Conclusion: The prevalence of fungal colonization in acute exacerbation of COPD was 33.98%. The duration of acute
symptoms and severity of the disease were statistically signicant in the patients with fungal growth in sputum. Hence fungal culture is
recommended in all patients of COPD with acute exacerbations
A COMPARATIVE STUDY IN EVALUATION OF MIDDLE EAR DISEASES BY OTOENDOSCOPY AND OTO-MICROSCOPY
Authors: R Balaje , Swarup Jyothi , Dev Swaroop , Asok Sradha , KM Moulya
Published: March 2023

Background: Middle ear diseases are the most common conditions in otology, proper evaluation of these patients are mandatory. Microscopic
examination of ear is the routine procedure in evaluating the ndings with certain limitations. Introduction of endoscopy had led to the attempts of
utilizing it in otolaryngology for the evaluation of middle ear spaces. This is Materials And Methods: a Hospital based comparative study,
patients attending outpatient department of ENT, Sri Siddhartha Medical College, of both genders between 18 to 60 years of age, diagnosed to have
disease of middle ear have been enrolled for the study after obtaining the written informed consent. Study parameters of both the groups were
compared. Among 124 participants, our study showed that 29 participants (23.38 %) Eustachian Results: tube opening is visible through the
microscope, while it is visible in 111 participants (89.51%) under otoendoscopy. In 33 participants (26.61%) epitympanum is visible under
microscopy, compared to otoendoscope were 95participants (76.61%) are visible. Hypotympanum is visible in 58 participants (46.77%) with
microscope and 112(90.3%) participants with otoendoscope. Visualization of sinus tympani in 9 participants (7.2%) is possible through
microscope whereas it is visible in 91 participants (73.3%) through otoendoscope. Facial recess is visible in 8 participants (6.4%) through
microscopy and in 89(71.7%) participants through otoendoscope. Oval window is visible in 12 participants (9.6%) through microscope whereas it
is visible in 89 (71.7%) participants through Otoendoscopy. The p-value of all the above parameters is less than 0.001; indicating study is
statistically signicant thus otoendoscope has a better visualisation of these structures. No statistically signicant difference between the
examination of the external auditory canal and round window using a microscope and otoendoscope has been obtained. Oto- Conclusion:
microscopy despite having the better three dimensional images, otoendoscope gives a better visualization of middle ear structure in evaluating
diseases of middle ear. Therefore we conclude that Otoendoscopic examination should be mandatory along with routine Otomicroscopic
examination.
COMPARATIVE STUDY OF PLEURAL FLUIDS USING CYTOSPIN AND CONVENTIONAL CENTRIFUGE TECHNIQUE
Authors: Farheen Ayesha , Begum Atiya
Published: March 2023

To conduct a comparative study of pleural uids using Cytospin and conventional Centrifuge technique with emphasis on improvement of diagnosis yield in Tuberculosis effusions.
HISTOLOGICAL STUDY TO COMPARE THE APPROPRIATE PARTICLE SIZE OF BETA TCP FOR SOCKET PRESERVATION
Authors: Mahesh Lanka , Luis CalvoGuirado José , Shukla Sagrika , Jain Anshi
Published: March 2023

Background: One the most used and potent synthetic bone graft substitute which is not only osteoconductive, but also osteoinductive which has
been recently discovered and gain popularity is the β-tricalcium phosphate (β-TCP). Along with its cell-mediated resorption propertybeta TCP
allow regeneration of full bone defect. Its clinical outcome is sometimes considered to be “unpredictable”, possibly due to a poor understanding of
β-TCP physico-chemical properties. Histological evaluation and effects of of bet AIM: a TCP small and large particle at the site of defect in cases of
grossly decayed teeth, bone defect and other required areas. Total of 20 cases we Material and Methods: re included in the study (10 cases each of
small and large particle). Trephine biopsy was performed and sent for histological evaluation. Histological evaluation depicted the results Results:
on the basis of new none formation with residual bone graft material. Vascularity is studied in both the cases with areas of inammation.
Conclusion: Production of Mesenchymal stem cells progenitors plays a potent role in elucidating the effects of small Beta TCP particle and is
responsible for the production of new bone.
RELATIONSHIP BETWEEN MID UPPER ARM CIRCUMFERENCE (MUAC) AND BODY MASS INDEX (BMI) OF CHILDREN AGED 7-12 YEARS IN GANUKUL VILLAGE, RAMANAGARA DISTRICT, BENGALURU RURAL.
Authors: Vanama Pravalli , M Ramesh
Published: March 2023

Background: In India and worldwide overweight or obesity in paediatric age group has become one of the most important health problems.
Overweight / obesity is a proved risk factor for several signicant complications and tracks in adulthood. Body mass index (BMI) is used as a
clinical assessment of overweight and obesity in children and mid-upper arm circumference (MUAC) is used as an assessment for nutritional
status. I would like to compare Mid upper arm circumference and Body mass index. To Objective: compare the mid upper arm circumference
(MUAC) with that of body mass index (BMI) of the study population 7-12 years in Ganukul village, Ramanagara district, Bengaluru rural.
Materials And Methods: This is a study done in children aged 7-12 years in Ganukul village, Ramanagara district, Bengaluru rural. Following
ethical clearance from the institutional ethical committee, the study was conducted in schools belonging to the study area. The children were visited
in the school and after consent being obtained from the parents by visiting their house. Base line data including age, gender, demographic data,
socioeconomic status was noted. Following this standard anthropometric measurement including weight in Kilogram, Height in centimeters, mid
upper arm circumference in centimeter, body mass index was measured using standard measurement protocols. Weight was measured without
shoes with the help of digital machine to the nearest 500 grams. Height was measured with stadiometer to the nearest completed centimeter or child
standing against the wall with the bare foot should look straight, standing in relaxed manner with arms hanging by the side, they should stand with
both feet and knees closes together, head kept in Frankfurt plane (the line joining the lower margin of the orbit and upper margin of the external
auditory canal should be parallel to ground). Age was calculated from date of birth. MUAC was measured with non-stretchable measuring tape to
nearest millimeter. BMI was measured by weight in KG / height in m2 Results: Compared to MUAC and BMI, BMI was the best predictor for
overweight and obesity compared to MUAC as evidenced by statistically signicant adjusted odd's ratio. On the other hand MUAC was a better
predictor of underweight compared to BMI but the adjusted odd's ratio was not statistically signicant. Conclusion: BMI is a better predicator for
over weight , MUAC is a better predictor for underweight.
K
NON-HODGKIN LYMPHOMA PRESENTING AS RECURRENT PLEUROPERICARDIAL EFFUSION- A CASE REPORT
Authors: Panda Bikash , Manjhi Rekha , Behera Aurobindo
Published: March 2023

Non-Hodgkin lymphoma is a lymphoproliferative disorder usually affecting lymphoid organs. 20% patients with non-Hodgkin lymphoma may
present with pleural effusion but pericardial involvement is rare. Pleural & pericardial effusion in lymphoma are usually due to direct seeding of
malignant cells or by obstruction to the lymphatic drainage of pleura & pericardium. We report a case of non-Hodgkin lymphoma presenting as
recurrent pleuro-pericardial effusion. A middle aged male with chief complaints of progressive dyspnea, palpitation & generalized pufness for
past 2 months was found to have bilateral pleural effusion, pericardial effusion, ascites & generalized lymphadenopathy. Right supraclavicular
lymph was node was evaluated using FNAC & excisional biopsy. Pleural & pericardial uids were analyzed. He was diagnosed as Non-Hodgkin
lymphoma and started with Rituximab, Prednisolone, Cyclophosphamide, Vincristine & Doxorubicin. Patient improved on subsequent follow up
SINGLE PORT LAPAROSCOPIC CONGENITAL INGUINAL HERNIA REPAIR
Authors: Mohanlal Jain Siddharth , singh Chhabda Tejinder , G Pathrikar Satyajeet
Published: March 2023

Aim and Objectives:The present study was undertaken to evaluate the effectiveness of single port laparoscopy incongenital inguinal hernia repair
with respect to operative time, intra and postoperative complications, hospital stay and rate of recurrence. Materials And Methods: Total 30
patients of age between 2-15 years admitted with diagnosis of congenital inguinal hernia, unilateral or bilateral hernia, with reducible non
obstructive, primary were included in the study. All cases were performed under general anaesthesia by using a modication of technique described
by Ozgediz et al. Results: Among 30 patients, 25 (83.3%) were male and 5 (16.7%) were female. Maximum numbers of patients were in the age
group of ≤5 years (56.7%) with mean age of patients was 6.39 ± 3.43 years. Most of the patients (17; 56.7%) had right inguinal hernia. Mean
operative time required was 16.23±4.39 minutes. Only in one patient (3%) extra port placement needed to reduce the contents of hernia. Intra
operatively, one patient (3.3%) had retro peritoneal hemorrhage and post operatively one patient (3.3%) had complained of nausea for some hrs.
The mean hospital stay was 1.48±0.58 Day. There was no recurrence occur in any case. Conclusion: In the paediatric population, single port
laparoscopic inguinal hernia repair can be performed safely. This enables extension of the advantages of reduced access surgery to patients with
limited resources to be handled. It also incorporates the benet of being fast, shortened operating time and better cosmesis. The benet of limited
instrumentation and the intracorporeal knotting avoidance makes this a feasible technique
A PROSPECTIVE STUDY ON ANTIMICROBIAL PROPHYLAXIS USE IN ORTHOPEDIC SURGICAL INPATIENTS AT A TERTIARY CARE HOSPITAL
Authors: Lakkireddy Prabhat , M S Ratnamani , Sanjana D. , Maqsood Maryam , Jameel Khazra , Raghu Gaddam , Supraja Salluri
Published: March 2023

Introduction: Surgical Antimicrobial Prophylaxis plays a crucial role in prevention of Surgical Site Infections which are potentially preventable
and are multifactorial in nature. Materials and Methods: Aprospective, observational, single centre study was conducted on 165 patients to study
the administration of surgical antimicrobial prophylaxis and incidence of surgical site infections. Results: Most common surgeries were Knee
Replacement, Hip replacement, Open Reduction Internal Fixations, and Closed Reduction and Manipulations. The most utilized drug irrespective
of surgical procedure was found to be cefuroxime at 1.5 grams, both preoperatively and post operatively. Out of 165 patients, 9 patients showed
signs of SSI (incidence rate:5.45%), while others had healthy wound recovery. Conclusion: The prevention of SSIs, while accounting for
signicant risk factors, avoiding increased postoperative hospital stay and escalated expenses justies the adoption of the practice of antimicrobial
prophylaxis and employment of a parameter-based detection and treatment.
FUNCTIONAL AND RADIOLOGICAL ANALYSIS OF SURGICALLY MANAGED DISPLACED INTRA-ARTICULAR CALCANEUM FRACTURE
Authors: Prabhakar Vijayan Selvin , Elangovan Pradeep , Kumar Kannan Arun , Kumar Sugananthan Dinesh
Published: March 2023

One of the most common foot fractures is fracture of calcaneum. It is usually caused by high energy trauma, with 75% being intraarticular. Advances in imaging, implants, AO principles of internal xation and the routine use of intraoperative imaging have made internal
xation a recommended procedure in recent past. The study included 38 patients of int Material and methods: ra-articular calcaneal fractures
treated operatively with ORIF with PO using the modied Kocher's approach. The patients were assessed radiologically and for functional
outcome as per AOFAS (American Orthopedic Foot and Ankle Score) score. 43 fract Results: ures in 38 patients were included in our study with
mean age of 38.58 years. 56% had good and 44% had excellent results with nal AOFAS score. All radiological parameters like Böhlers angle,
Gissane's angle and calcaneal width and height showed improvement following surgery, with later three having statistical signicance. There was
no inuence of complications following surgery over nal AOFAS score. Surgical Conclusion: management of calcaneal fracture require
thorough understanding of anatomy and various radiological parameters. Careful patient selection, preoperative planning, appropriate timing for
surgery, proper approach and accurate anatomic reduction gives a good functional outcome. Sander's classication helps in surgical planning as
well as prognostication.
A STUDY OF PREVALENCE OF THROMBOCYTOPENIA IN CHRONIC HEPATITIS B PATIENTS AND ITS ASSOCIATION WITH THE SEVERITY OF HEPATIC FIBROSIS IN A TERTIARY CARE HOSPITAL OF NORTH EAST INDIA.
Authors: Madhab Baruah Sreemanta , Sarma Hrisikesh , Das Monigopa , Nanda Taye Parama , Hossain Imdadul
Published: March 2023

Background: Thrombocytopenia which is dened as circulating platelet count below 150×109/L, is one of the uncommon extra-hepatic
manifestation of Chronic hepatitis B infection.1 Thrombocytopenia in Chronic hepatitis B infection mainly attributes to hepatic cirrhosis of liver,
autoimmune destruction of direct platelets and megakaryocytes, impaired production of platelets due to impaired thrombopoietin production.2–4
Objective: To assess the platelet count in chronic hepatitis B patients and its association with the severity of hepatic brosis. Materials and
methodology: Ahospital based observational study was conducted among 70 chronic hepatitis B patients where chronic hepatitis B infection was
conrmed by HbcIg-Total and HbcIgM ELISA kit test. Platelets were being counted with the help of microscope and neubauer slide. Severity of
brosis is graded by liver point shear wave elastography machine. Results:Among the 70 Chronic hepatitis B patients 24 patients were found have
thrombocytopenia. Value of mean platelet count (in ×109/L) were 327.14±62.07, 224.14±72.56, 191.88±18.89, 157.55±13.24 and 121.43±60.71
in normal hepatic status; mild, signicant, severe brosis and cirrhosis respectively. Conclusion: From the study thrombocytopenia can be
considered as one of the extra-hepatic manifestations in CHB patients where the platelet count is found to be inversely proportional to the severity
of hepatic brosis with signicant association (p value < 0.0001).
A COMPARATIVE STUDY BETWEEN LAPAROSCOPIC VERSUS OPEN REPAIR OF INCISIONAL HERNIA AT A TERTIARY CARE INSTITUTE.
Authors: Nethaji Kancham , Ranjan Rajeev , Abhishek K , Akela Ankur
Published: March 2023

Introduction Incisional hernia is a bulge or protrusion near or directly along a prior abdominal surgical incision.Repair of ventral hernias has
always been challenging because of the distorted anatomy due to previous surgery. With the advancement in technology as well as surgical
techniques, laparoscopic incisional hernia repair (LVHR) is more commonly being performed as compared to open repair in various centers
throughout the World. Our study aimed to compare the short-term operative outcomes between laproscopic and open repair. Materials and
methods Fifty patients diagnosed with non-complicated incisional hernias were included in this prospective study and were randomly divided into
the laparoscopic group and the open group. The two groups were compared to evaluate operative time, postoperative pain, length of hospital stay
and time taken to return to normal activity. A p-value of less than 0.05 was considered to be statistically signicant. Mean operative time Results
was longer in Laproscopic repair (100 min) as compared to open repair (76 min)(p<0.01). Patients experienced more pain on the rst and seventh
postoperative days in the open group (p<0.01) and they also had a longer duration of hospital stay as compared to the laparoscopic group .
Conclusion Laparoscopic repair carries a signicant advantage over open hernia repair, especially in terms of reduced postoperative pain, duration
of hospital stay, and early resumption of normal activity
“LABOUR ANALGESIA- A COMPARATIVE STUDY OF EPIDURAL BOLUS ADMINISTRATION OF 0.125% BUPIVACAINE WITH 0.0002% FENTANYL VERSUS 0.25% PLAIN BUPIVACAINE”
Authors: Kumar Mukesh , Kumar Sushil , Kumar Rabindra
Published: March 2023

Introduction: Labour pain is of major concern since most parturients experience signicant pain of extremely severe intensity. Labour pain can
have deleterious effects on the mother, on the foetus and on the labour outcome. Epidural anaesthesia is an effective means of providing analgesia
during labour. To compare the efcacy of epidural analgesia using 0.125% bupivacaine and 0.0002% Aim: fentanyl versus an epidural using
0.25% bupivacaine alone for labour analgesia. It is a prospective comparative study c Methods: onducted at a Tertiary care hospital, Fifty
parturients who were admitted to the antenatal ward and who requested pain relief during labor and who fullled the inclusion criteria were selected
for the study after taking written informed consent. Analgesia provided by both techniques Conclusion: was found to be similar. Women in group
FB retained motor power in their legs. Motor Block was minimized in Group FB. Both the intervention group had lesser impact on the
hemodynamics. Complications were minor and were easily managed.
PREVALENCE OF ELEVATED AST, ALT, ALP IN TYPE 2 DIABETES MELLITUS
Authors: Jangam Jeshwanth , Padma Vijayasree A , Venkateswarlu M , Helena Rajkumari J
Published: March 2023

Background:Type 2 diabetes mellitus (T2DM) is a major public health concern affecting millions of people worldwide. The relationship between
liver enzymes and T2DM has been reported in limited studies. The aim of this study is to evaluate the prevalence of elevated liver enzymes in
T2DM. Methods: A total of 200 individuals (100 diabetic and 100 nondiabetic) were enrolled in the study. Aspartate aminotransferase (AST),
Alanine aminotransferase (ALT), Alkaline phosphatase (ALP) activities were measured in serum collected from them. T2DM was dened as
fasting blood glucose (FBG) ≥126 mg/dLor self-reported recent use of insulin or antidiabetic medications. Results:Among the participants, 63%
in T2DM and 30% in the non-diabetic group had at least one or more elevated liver enzymes in serum. The mean concentrations of serum AST, ALT
and ALP were signicantly higher in the T2DM group compared to the non-diabetes group, suggesting high prevalence of elevated liver enzymes
in the T2DM. Conclusions: A high prevalence of elevated liver enzymes was observed in subjects having T2DM than in non-diabetics. More
studies of this nature should be carried out in developing countries to get proper insights into the importance of assessing liver enzymes in T2DM.
PREVALENCE AND CORELLATES OF PREHYPERTENSION AND HYPERTENSION AMONG ADULTS ATTENDING OUTPATIENT DEPARTMENT IN TERTIARY CARE HOSPITAL
Authors: Priyanka Gowri , D Pavanchand , krishna U Vamsi , Ch Mounica , R Nageswararao
Published: March 2023

Introduction: India and many other developing countries are facing a problem of epidemiological transition from communicable diseases to noncommunicable diseases. Globalization brought the life style and behavioural modications and in turn increased the prevalence of life style
disorders such as hypertension and diabetes mellitus etc. Aim and objectives: to know the prevalence of pre hypertension in age group of 19 to 45
years .to know the prevalence of hypertension in age group of 19 to 45 years to know association of various risk factors with pre hypertension and
hypertension in adult age group. Methodology-a hospital based observational pilot study conducted among 770 adults between age groups of 19 to
45 years of age in government general hospital outpatient department, which is a tertiary care hospital that caters needs of entire NTR District, A.P.
Results: it was observed that the prevalence of hypertension and pre hypertension was 24.7 % and 23.6% among study subjects. Uncontrolled
hypertension was observed in 7.7% of study subjects. Various study factors like age, gender, presence of chronic illness, presence of alcohol
consumption, presence of sedentary life style and absence of physical activity, junk food consumption, presence of high BMI contributed
signicantly as possible risk factors for hypertension and prehypertension and showed statistically signicant association in this study
MORPHOMETRIC ANALYSIS OF ETHMOIDAL FORAMEN IN ADULT DRY INDIAN SKULL
Authors: Manzoor Saima , Chandel Sheetal , Chowdhary Shahnaz , Magrey Yusra
Published: March 2023

Ethmoid bone is located in the anterior part of the base of the cranium between the orbits. The medial orbital wall separates the content of the orbit
from the ethmoidal air sinuses. The anatomical landmarks of orbital cavities are very much important during orbital surgeries which includes
surgery of anterior cranial fossa and endonasal microsurgeries of ethmoidal region. On this medial orbital wall, the anterior and the posterior
ethmoidal foramina are located along the frontoethmoidal suture and more anteriorly to the optic canal and these are very much important in orbital
surgeries. This prospective observational study was undertaken to study the morphology of Ethmoidal foramen in adult dry Indian skull and to
study the clinical implications of ethmoid foramen. A total 50 dry adult skulls were measured for the ethmoidal foramen. It was reported that the
mean of posterior ethmoidal canal right and left was 2.09±0.75mm and 2.31±0.132mm respectively. The study concluded that to ensure the safety
of surgical procedures to be performed among ethmoid foramen it is very important to measure the various landmarks; as the anatomical variations
can cause problems and leads to surgery related complications.
STUDY OF PROGNOSTIC INDICATORS IN PATIENTS WITH CIRRHOSIS OF LIVER WITH ASCITIS AND SPONTANEOUS BACTERIAL PERITONITIS
Authors: Renuka Devi Nalluri , Madhusudhana Devarakonda , Siddhartha reddy Murthala , Sai Krishna K. , Donti Anusha
Published: March 2023

Spontaneous bacterial peritonitis(SBP) is dened as ascitic uid infection in the absence of any obvious intraabdominal source of infection. The
mortality rate is approximately 30-50% The objective of this study is to study predictors of mortality on patients with spontaneous bacterial
peritonitis in cirrhosis of liver patients. Methods: Fifty patients diagnosed with cirrhosis of liver reporting to ACSR GGH, Nellore were included in
the study. SBPwas diagnosed based on ascitic uid ascitic uid PMN count >250. Serial ascitic uid cell count was done at 24 hours, 48 hours and 5
days.The results were compared between survivors and non survivors. Results: Male: female ratio was 2:1.Study showed 42% mortality. TLC
above 11000/mm3,total bilirubin above > 4 mg/dl, serum creatinine >1.5 were associated with increased mortality .Interpretation & Conclusion:
Ascitic uid PMN count > 600 at the time of diagnosis, 700 at 24 hrs, 450 at 48 hrs was associated with poor prognosis. AProgressive fall in serial
ascitic uid cell PMN count was associated with good prognosis
PSYCHOLOGICAL PROBLEMS AND BURNOUT AMONG PROFESSIONALS WORKING FROM HOME DURING THE COVID-19 PANDEMIC: A WEB-BASED CROSS-SECTIONAL STUDY
Authors: Chowdhry Simran , Annapurna N.
Published: March 2023

Coronavirus caused an outbreak that was rst identied in Wuhan City,
Hubei Province, China. Since then, the virus has spread to nearly every
country, leading the World Health Organisation (WHO) to declare this
as a pandemic on March 11, 2020. The COVID-19 virus, SARS-CoV2, can induce a variety of symptoms, including fever, dry cough,
exhaustion, anosmia, and, in severe cases, severe acute respiratory
syndrome.(1) According to current evidence, COVID-19 virus is
primarily transmitted between people through respiratory droplets and
contact routes.(2) Considering the ease of transmission and, therefore,
consequent overcrowding of the health systems (3),many nations were
forced to transition from easy safety precautions to difcult ones, such
as encouraging hand washing and mask use for personal protection to
social isolation, lockdown, and social distance, which swiftly became
a normal part of people's daily life.(4) Schools were closed as a result,
and businesses began requesting that their employees work from home
whenever feasible.(5) Working remotely from a non-ofce location,
typically an employee's house, is known as telecommuting or working
from home. Working from home has probably become one of the most
popular methods for reducing unemployment, keeping society
functioning, and protecting the populace from the COVID-19 virus
during the pandemic.(6)