bluuebunny/crossref_metadata_2025 huggingface dataset:
E-SPORTS (ELECTRONIC SPORTS) FROM ISLAMIC PERSPECTIVE
Authors: Abdullah Mohd Yusra , Yaakob Mohd Ashrof Zaki , Bhari Azri , Khalid Mahyuddin , Mohamed Yusof Mohd Faiz
Published: October 2022

E-Sports (Electronic Sports) is a phenomenon that is gaining popularity among the younger generation today. E-sports is an effective platform for developing and training mental and sensorimotor abilities especially in the coordination of human limbs. In the implementation of e-sports activities, there are various negative perceptions in the minds of society despite the fact that there are many advantages and positive effects of e-sports activities. Issues related to e-sports need to be analyzed and evaluated carefully according to various perspectives including the perspective of Islamic law. This study aims to explain the concept of e-sports comprehensively and holistically so that the implementation of e-sports meets its true concept and purpose. The public's negative perception of e-sports needs to be assessed fairly and comprehensively so as not to become an ongoing polemic. Next this study analyzes e-sports from the perspective of Islamic law and compliance with Islamic standards. Qualitative methods were implemented in this study by using data collection and data analysis methods. The method of data collection was done through library research. The data obtained were analyzed based on inductive, deductive and comparative methods to obtain comprehensive study results. The results of the study found that e-sports is a positive activity to society and has many advantages, while the negative elements found in e-sports need to be identified and refined so that it is beneficial to all.
ISLAMIC AND WESTERN PERSPECTIVES OF CRITICAL THINKING
Authors: Inda AbdulMumini , Sihes Ahmad Johari
Published: October 2022

Critical thinking (CT) has today gone beyond borders, beliefs, and disciplines. It is naturally connected to human nature as the quality of human life is determine by the quality of his thinking. Recent studies prove and common sense recognizes the need to embed the teaching of Critical thinking across the curriculum (Geertshuis & Albashiry, 2019). As valuable as this most important 21st century skills there is still growing misconception about its meaning, and applications moreover many consider Critical thinking as alien to Islamic teaching. This paper therefore, attempts to humbly give a substantive definition of Critical thinking from both the modern and Islamic perspectives, with particular reference to Paul Elder framework for Critical thinking and show the origin of critical thinking from the Islamic world view. It is quite troubling to find teachers of Islamic studies today not responsive to the contemporary global challenges (Nordin & Surajudeen, 2015; Rosnani, Suhailah, & Adesile, 2014; Sahin, 2018; Sciences et al., 2018). Islamic knowledge integration which is based on Tawhidic epistemology is increasingly attracting attention of intellectuals across the globe, especially as the prevalent view on critical thinking is mostly rooted from the modern secularistic system that emphasized on materialism and lead humanity to a narrow mindedness and focusing only to the things of the life here without given premium to the afterlife. Al-Qur’an being the compendium source that comprehensively contained all that human kind need to know about this life and the life hereafter, has left no stone unturned. Finding the Qur’anic perspective about thinking generally and Critical thinking particularly is not only relevant but indispensable. The knowledge of it will help in supplementing the limitations of the modern perspectives of critical thinking which give emphasis to the mundane while Islamic or Qur’an goes beyond that. Consequently, the authors attempt to analyse and discuss Critical thinking from the lens of Qur’an and show areas of similarities and differences between the modern and Quranic Paradigm with the hope that the humble efforts will clarify the much misconception on the central position of CT from the Islamic perspectives, also to serve as reference material to both teachers and students of knowledge.
THE PHILOSOPHY AND THE CONCEPT OF ISLAMIC LITERATURE ACCORDING TO SIDEK BABA
Authors: Yaacob Adli , Mohd Fadzil Farah Syafiqah
Published: October 2022

Professor Datuk Dr. Sidek Baba is an intellectual and authoritative scientist. He has produced papers on Islamic literature and Islamic writings while pursuing studies at the Diploma in Islamic Studies at Universiti Kebangsaan Malaysia in 1985. In his study, he emphasized the concept of Islamic literature and Islamic writing by bringing the differences in the use of both. The study that Sidek Baba has done is very closely related to the title of this study, which is about debating the concept of Islamic literature in Sidek Baba's views and comments. This study explains the origins of manners and Islamic writings and how the history of Islamic literary ideas in the Arab world and Malay land has emerged. Furthermore, this study is further reinforced by how Sidek Baba accepts the work and art of Muslims and non-Muslims by submitting their concrete arguments and opinions about the conditions of accepting and practicing the content of a work because for him the world of writing works is a daunting field unintelligible for a writer, for the writer who is always practicing with the Islamic teaching to produce a moral Islam that thereby elevates the rank and value of Islam to all over the world.
SHARIAH GOVERNANCE: SOME PROBABLE CHALLENGES THAT MAY BE FACED BY SHARIAH COMMITTEE (SC) AT ISLAMIC FINANCIAL INSTITUTIONS (IFIs)
Authors: Abubakar Yusuf Sani
Published: October 2022

Shariah governance is an integral part of the Islamic Financial Institutions to ensure that all operations and activities always conform to the Shariah principles. The duty of ensuring the Shariah governance is entrusted on the Shariah committee of the IFIs. The aim of this study is to explore some probable challenges that the Shariah committee may encounter while discharging their duty. The study adopts doctrinal approach which utilizes descriptive approach of qualitative research methodology which relies on secondary data in form of textbooks, journals, newspapers, related websites etc. The study found that there are certain challenges the Shariah committee may likely face while performing their duty i.e., ignoring Shariah committees’ (SC) recommendations by the management; lack of Independence of Shariah Committee (SC); variations in fatwa of different Shariah committees (SC); and multiple appointments of Shariah committee member. The researcher then recommended probable solutions to the said challenges.
Ukristei as an integral component of Ukraine’s innovation system
Authors: Mykhalchenkova O. Y. , Hornostai N. I.
Published: October 2022

In general, during the last years international cooperation in the scientific and technical sphere is characterized by active contacts and exchange, wide range of interesting perspective projects, proper level of regulatory and legal support and powerful basis for further development of relations between scientific and educational institutions. The separate significant area of the scientific and technical segment of Ukraine’s cooperation is activity in the sphere of innovations and technological transfer. Ukraine, like other UN member states, has joined the global process of ensuring sustainable development in order to create favorable conditions for development and wider application of innovations. Within the framework of the development of Ukraine’s diplomatic relations with EU member states, Eastern Partnership countries, participation in bilateral scientific and technical cooperation within the framework of intergovernmental agreements, cooperation with international organizations and foundations has reached a much higher level of strategic partnership. Ukraine is an active participant of international cooperation in the sphere of technology transfer. Ukrainian international cooperation in modern conditions needs new mindset and approaches. As a result of the redistribution of the international balance of forces with the participation of Ukraine existing integration blocks are being modified, additional opportunities for the creation of new configurations of the international scientific and technical partnership were arised. The transfer of innovative technologies is of particular importance. International cooperation is one of the effective tools of Ukraine’s integration and forms a special common space area, which is a continuous flow source of technological innovations and a convenient tool of innovation development in the field of technological transfer. Cooperation with foreign scientists will allow to create specialized databases of technologies/developments; conduct of research on the definition of exchange regulation of scientific and technical products; attracting the best experts for scientific and technical expertise; consulting support of business-incubators and startup-companies; coordination of joint researches; participation in business and technological cooperation of partner countries as a component of the general innovation space.
Legislation of the countries of the European Region on the drinking water quality management (overview)
Authors: Тюрина И.А. , Лебедь-Шарлевич Я.И. , Манаева Е.С.
Published: October 2022

Качественная питьевая вода является залогом здоровья и благополучия населения. Формирование требований к водоподготовке способствует обеспечению качества и безопасности питьевой воды. Проведен обзор основных подходов законодательного регулирования и нормативно-правовой базы в области обеспечения качества питьевой воды в странах Европейского региона. Рассмотрены требования к качеству питьевой воды, реагентам, материалам и оборудованию, применяемым в системах питьевого водоснабжения, а также требования к их сертификации в странах Европейского союза и России. Отмечено, что, несмотря на наличие национальных нормативов и стандартов, происходит гармонизация требований, предъявляемых к продукции для питьевого водоснабжения, в рамках крупных объединений государств (Европейский союз и Евразийский экономический союз).

High-quality drinking water has been a guarantee of the health and well-being of the population. Formation of the requirements to the water treatment contributes to ensuring the quality and safety of drinking water. A review of the main approaches of the legislative regulation and the legal framework in the field of drinking water quality assurance in the countries of the European Region was carried out. The requirements to the quality of drinking water, chemicals, materials and equipment used in drinking water supply systems, as well as the requirements to their certification in the EU countries and Russia are considered. It is noted that, despite the availability of the national regulations and standards, a harmonization of the requirements to the products for drinking water supply is taking place within the framework of large associations of states (the European Union and the Eurasian Economic Union).
Analisis Investasi Studi Kelayakan Rencana Pengembangan Layanan Rawat Inap Dan Rawat Jalan Rumah Sakit
Authors: Agni Markus Kumara
Published: October 2022

Salah satu RSUD di Kabupaten Kebumen, Jawa Tengah, merencanakan akan mengembangkan pelayanannya pada tahun 2022. Rencana tersebut sudah melalui kajian yang mempertimbangkan kebutuhan masyarakat, ketersediaan tenaga kesehatan, ketentuan regulasi, serta kondisi awal rumah sakit. Untuk melengkapi rangkaian kajian tersebut perlu dilakukan juga sebuah analisis keuangan di mana di dalamnya terdapat analisis investasi.Analisis investasi ini digunakan untuk menilai kelayakan rencana pengembangan rumah sakit dari segi investasinya. Hasil analisis diharapkan dapat menjadi salah satu pertimbangan dalam pengambilan keputusan mengenai rencana pengembangan rumah sakit tersebut.Metode yang digunakan dalam analisis ini adalah penilaian investasi dengan beberapa indikator yaitu Payback Period, Net Present Value (NPV), dan Internal Rate of Return (IRR). Data yang digunakan adalah data primer hasil wawancara dan diskusi dengan pejabat rumah sakit serta pemangku kepentingan, data sekunder mengenai tarif beberapa rumah sakit, laporan keuangan, serta literatur dan regulasi mengenai sistem keuangan rumah sakit.Analisis investasi ini menghasilkan penilaian yang dikategorikan layak untuk semua indikator penilaian.Dari hasil penilaian investasi tersebut dapat disimpulkan bahwa rencana pengembangan rumah sakit ini layak untuk dilaksanakan.
Evaluasi Pelaporan Insiden Keselamatan Pasien di RS Swasta di Lampung Tahun 2022
Authors: Tiovita Angela Merici , Listina Febria , Maritasari Dwi Yulia
Published: October 2022

Pelaporan insiden merupakan subsistem dalam keselamatan pasien. Tidak dilaksanakannya pelaporan insiden berdampak pada peningkatan insiden keselamatan pasien. Namun berdasarkan data, terjadi penurunan pelaporan insiden pada 5 tahun terakhir, bahkan tidak ada laporan KPC pada tahun 2021. Tujuan penelitian ini adalah diketahuinya evaluasi pelaporan insiden keselamatan pasien di RS Swasta di Lampung tahun 2022.Penelitian kualitatif  ini dengan studi kasus. Informan berjumlah 14 orang, yang dipilih menggunakan teknik purpossive sampling. Terdiri dari 1 informan kunci yaitu ketua komite PMKP, 1 informan utama yaitu sub komite keselamatan pasien, serta 12 informan pendukung yaitu PIC mutu. Pengumpulan data dengan wawancara mendalam (in-depth interview) dan observasi dokumen. Analisa data dilakukan dengan cara reduksi, penyajian data dan penarikan kesimpulan.Hasil penelitian ini adalah bahwa dari segi input sudah ada subkomite keselamatan pasien, namun belum ada SK pengangkatan PIC pelaporan insiden yang disertai uraian tugas dan wewenang, staf yang bertanggung-jawab dalam pelaporan insiden sampai analisa belum terlatih. Belum ada regulasi khusus tentang keselamatan pasien, belum dilakukan PDCA sebagai metode penyelesaian masalah dan pelaporan masih dilakukan secara manual. Dari segi proses ditemui kendala yaitu kepala ruang/unit belum paham jenis-jenis insiden, pengumpulan data belum valid, belum ada sistem terintegrasi dalam pengolahan, penyajian dan analisa data insiden. Dari segi output, rendahnya pelaporan insiden disebabkan oleh persepsi takut disalahkan. Pengambilan keputusan untuk menyelesaikan masalah belum maksimal terhambat analisa data pelaporan insiden. Diperlukan regulasi dan SK penetapan yang jelas, pengajuan pelatihan SDM untuk peningkatan kompetensi sesuai sasaran, dan sosialisasi terkait keselamatan pasien perlu lebih agresif.
PENINGKATAN USIA SEBAGAI PREDIKSI PENINGKATAN TEKANAN DARAH SISTOLE DAN DIASTOLE PENDERITA ISPA PADA USIA PRODUKTIF
Authors: Susanto Nugroho , Suwarto Suwarto , Setiawan Setiawan
Published: October 2022

Pada tahun 2017 World Health Organization (WHO) menyebutkan bahwa diperkirakan ada kasus sebanyak 1.020.000 kasus TB di Indonesia, tetapi yang dilaporkan ke KEMENKES sebanyak 420.000 kasus. Dari kasus tersebut masih banyak kasus yang belum terlaporkan dan menjadi masalah kesehatan yang berdampak serius bagi Indonesia (1).Berdasarkan data kementerian kesehatan, penyakit ISPA menempati peringkat pertama untuk penyakit menular, dibanding dengan penyakit menular lainya seperti diare, demam berdarah, dan chikungunya.2 Penelitian Tazinya, et al bahwa proporsi ISPA sebesar 54,7% (280/512) sedangkan penemonia 22,3% (112/512)Penyakit menular menjadi salah satu masalah kesehatan yang besar di hampir semua negara berkembang termasuk Indonesia. Penyakit menular menjadi masalah kesehatan global karena menimbulkan angka kesakitan dan kematian yang relatif tinggi dalam kurun waktu yang relatif singkat. Penyakit menular merupakan perpaduan berbagai faktor yang saling mempengaruhi. Faktor tersebut terdiri dari lingkungan (environment), agen penyebab penyakit (agent), dan pejamu (host). Tujuan penelitian untuk mengetahui prediksi peningkatan usia pada penderita ISPA dalam meningkatkan tekanan sistol dan diastole..
Pengembangan Instrumen Kesehatan Mental Pada Remaja Sebagai Dasar Penyusunan Digital Support System Application
Authors: Krisdiyanto Joko , Fitriani Ayu , Sahayati Sri
Published: October 2022

Latar Belakang: Faktor penghambat yang terkait dengan perilaku mencari bantuan pada remaja diantaranya adalah kurangnya informasi; pengakuan bias keparahan, biaya, rasa malu, waktu, dan jarak; dan ketidakpercayaan pada profesional kesehatan. Untuk itu, perlu adanya aplikasi yang dapat diakses dengan mudah oleh remaja baik untuk penilaian kesehatan mental secara nyaman, terjaga privasi dan bermanfaat untuk masalah kesehatan mentalnya. Selanjutnya, dibutuhkan cara pengukuran kesehatan mental pada remaja yang valid dan reliabel yang dapat mengukur sesuai keadaan mental masing-masing remaja yang mengakses aplikasi tersebut.Tujuan: Untuk mendapatkan item-item yang valid dan reliabel skala Kesehatan mental (stress, kecemesan dan depresi)Metode Penelitian: Penelitian ini adalah penelitian kuantitatif, dengan menggunakan desain penelitian modifikasi model Wilson dan model Oriondo dan Antonio. Langkah-langkah yang digunakan adalah 1. tahap perancangan tes; 2. uji coba tes yang terdiri dari: penetapan subjek uji coba, pelaksanaan uji coba, dan analisis data hasil uji cobaHasil : Penelitian ini menunjukkan baahwa skala stress memiliki nilai validitas butir dari 0,440 – 0,834, nilai relibilitas sebesar 0.918, dan indek kesesuian model dengan nilai RMSEA=0,054, GFI=0,952; AGFI=0,902dan CFI=0,968. Skala kecemasan memiliki nilai vaaliditas butir dari 0,460 – 0,651, nilai reliabilitas sebesar 0.849 dan indeks kesesuaian model dengan nilai RMSEA=0,074, GFI=0,920; AGFI=0,914dan CFI=0,938. Skala depresi memiliki nilai validitas butir dari 0,302 – 0,607 nilai relibilitas sebesar 0.831, dan indek kesesuian model dengan nilai RMSEA=0,076, GFI=0,937; AGFI=0,931 dan CFI=0,910.Kesimpulan:. Skala Stres terdapat 14 item yang valid dan reliabel, serta mempunyai kesesuaian model, dengan nilai validitas dari 0,460 – 0,651, nilai reliabilitaas 0.849. Skala Kecemasan terdapat 12 item yang valid dan reliabel, serta mempunyai kesesuaian model, dengan nilai validitas dari 0,460 – 0,651, nilai reliabilitaas adalah 0.849. Skala Depresi terdapat 16 item yang valid dan reliabel, serta mempunyai kesesuaian model, dengan nilai validitas dari 0,302 – 0,607, nilai reliabilitaas adalah 0.831.
Energi Analysis of Significant Energy Use in Tire Company using Pareto Diagram
Authors: Kamaluddin Kamaluddin , Budiman Irwan , Christine Sembiring Anita
Published: October 2022

Melalui Peraturan Pemerintah No. 70 tahun 2009 tentang Konservasi Energi, pemerintah telah mewajibkan bagi pengguna energi besar yaitu pengguna yang menggunakan energi sama atau lebih dari 6000 setara ton minyak per tahun wajib melaksanakan kegiatan konservasi energi atau manajemen energi. Dalam penelitian di objek penelitian yang merupakan perusahaan ban, perusahaan tersebut merupakan salah satu industri yang menggunakan energi lebih dari 6000 setara ton minyak per tahun dan merupakan salah satu industri yang secara langsung memberikan dampak bagi penyediaan energi nasional. Menyadari dampak dari ketersediaan dan kenaikan harga energi ini terutama bagi industri, maka perusahaan dituntut perlu melakukan tindakan yang tepat dan bijaksana dalam mengkonsumsi energi melalui program konservasi dan penghematan energi. Penerapan Manajemen Energi yang terlihat di perusahaan masih digabungkan dengan struktur fungsional organisasi yang ada sehingga fungsi kontrolnya menjadi lemah. Pentingnya penentuan prioritas dalam melaksanakan konservasi energi, dengan menggunakan metode diagram pareto 20/80 akan memberikan penyusunan sasaran yang lebih tepat dalam mencapai efisiensi energi. Pemilihan prioritas akan memberikan potensi yang cukup besar untuk peningkatan kinerja energi, di samping itu penentuan prioritas akan membuat organisasi lebih efektif dan efisien.
Strategi Pengembangan Kawasan Konservasi Hutan Mangrove Desa Bebanga Kecamatan Kalukku Kabupaten Mamuju
Authors: Rerung Tri Gernamalya , Rahman Rahmawati , Yahya Ilham
Published: October 2022

Abstrak: Penelitian ini bertujuan mengetahui faktor-faktor pengaruh yang signifikan dalam strategi pengembangan kawasan konservasi hutan mangrove. Penelitian ini menggunakan pendekatan kuantitatif dan kualitatif. Pada penelitian ini, penulis menggunakan analisis chi-square dan analisis data secara induktif yaitu analisis yang diawali dengan pengumpulan data (observasi, wawancara dan dokumentasi), kemudian pembahasan, bukti pendukung dan diakhiri dengan kesimpulan. Selanjutnya untuk menyusun strategi pengembangan kawasan konservasi hutan mangrove Desa Bebanga menggunakan metode analisis deskriptif.
Abstract: This study aims to determine the factors that significantly influence the development strategy of mangrove forest conservation areas. This research uses an approach quantitative and qualitative. In this study, the authors use chi-square analysis and inductive data analysis, namely the analysis that begins with data collection (observations, interviews and documentation), then discussion, supporting evidence and ends with conclusions. Furthermore, to develop a strategy for developing a mangrove forest conservation area in Bebanga Village using descriptive analysis methods.
AUTOERYTHROCYTE SENSITIZATION SYNDROME.
Authors: Anjum Asma , Reddy M Pranay
Published: October 2022

Autoerythrocyte sensitization syndrome is characterized by lesions which are ill dened, tender,
recurrent and spontaneous in nature . There are fewer than 200 case reports[1]. A 40 year old married
female, agricultural labourer by occupation came to our OPD with history of recurrent painful petechiae and ecchymosis over
both upper and lower extremities since 7 years. The episodes were frequent and were heralded by pain and edema of legs,
followed by petechiae progressing to ecchymosis within a day. Lesions occurred at intervals of 7 to 10 days. Not associated with
itching ,fever, joint pains or any other symptoms. She was excessively worried since her mother's demise and had low level of
mood when visited. It typically occurs in middle-aged females with underlying psychiatric disorders such as depression, anxiety
or obsessive compulsive disorders.
CORRELATION OF FINE NEEDLE ASPIRATION CYTOLOGY AND BIOPSY IN CERVICAL LYMPHADENOPATHY TERTIARY CARE CENTRE EXPERIENCE MUMBAI INDIA.
Authors: Pandya Jayashri , Krishna E Sai , R. Ambre Sagar
Published: October 2022

Cervical lymphadenopathy is a clinical nding and may be a sign of an indolent inammation, infection
or a malignant disorder. Fine Needle Aspiration Cytology of lymph node has become an integral part of
the initial diagnosis and management of patients with lymphadenopathy due to easy availability of results, simplicity and
minimal trauma with less complications. In some cases, reactive lymphadenopathy can be discerned on clinical grounds , and
may require no specic therapy. The objective of this study is to correlate the ndings of FNAC to biopsy in all cervical
lymphadenopathies.
A RETROSPECTIVE ANALYSIS OF GENDER BASED DIFFERENCES IN D-DIMER AND IL-6 VALUES IN COVID-19 PATIENTS AMONGST GENERAL POPULATION
Authors: C. Patel Darshankumar , A. Patel Sachinkumar , A. Panchal Hemal , M Joshi Rachit
Published: October 2022

Coronavirus Disease 2019 is primarily a respiratory illness that can cause thromboinammatory
disorder. Elevation of D-dimer and IL-6 are potential biomarkers for poor prognosis in COVID-19, though
optimal cutoff value for D-dimer to predict mortality has not yet been established. This study aims to assess any statistically
signicant difference between D-dimer and IL-6 values amongst male and female patients matched for age and socioeconomic
status. D-dimer and IL-6 data from patients between time periods of 15 april to 20 may 2021 was used. The study has been done
under the ethical standard of the institution. Risk factors were analyzed among 52 participants. Cases were patients with
COVID-19 conrmed by RT-PCR or Rapid Antigen Test (RAT). Statistical test used for analysis was Fisher's exact test. Results
obtained and analyzed were found to be inconclusive in our study, however further studies with larger sample size are required
for coming to any denitive conclusion. Further research is required for the proper understanding of gender based immune
differences and its interaction with covid-19 infection.
EVIDENCES ON EFFECTIVENESS OF NON-PHARMACOLOGICAL MANAGEMENT OF PROCEDURAL PAIN AMONG CHILDREN.
Authors: Pooja Pooja , Chandra Sharma Mukesh , Rupam Supreet
Published: October 2022

Background -Evidence as “the integration of best research evidence with clinical expertise and patient
values”. Evidence Based practice in nursing is a process of locating, appraising, and applying the best
evidence from the nursing and medical literature to improve the quality of clinical nursing practice. Research ndings,
knowledge from basic science, clinical knowledge, and expert opinion are all considered "evidence"; however, practices based
on research ndings are more likely to result in the desired patient outcomes across various settings and geographic locations.
Method (Searching strategies ) -Online articles and databases like PubMed ,CINHAL ,Medline ,Cochrane , Google Scholar
Area of search -Evidences on Effectiveness of Non –pharmacological management of procedural pain among children
.Various non –pharmacological Methods of pain management like non-nutritive sucking ,music ,swaddling ,positioning
,olfactory ,multi-sensorial stimulation ,maternal touch ,acupuncture, skin-to-skin contact”, “sucrose”, “massage “and
“breastfeeding during nursing procedures like venepuncture ,immunization and other therapeutic procedure on children .
Evidence hierarchy: levels of evidence on this area will be Systematic Review, Single RCT ,Single Non-Randomized Trial
(quasi –experimental) ,Single prospective /cohort study ,Single case –control study ,Single cross –sectional study ,Single indepth Qualitative study , Expert opinion, case reports, etc. There are various research st Result – udies that shows that pain
among children of various age group during procedure can be reduced or managed effectively by use of non-pharmacological
methods only. After getting various level of evidence on non –pharmacological management of procedur Conclusion – al pain
among children nurses in various setting of children care like NICU, PICU and paediatric ward can use the evidences and
technique in providing effective care.
MAHATMA GANDHI VIEWS ON HUMAN PREDICAMENT
Authors: Sivakesavardhan V. , Naik B. Sreenivasulu
Published: October 2022

The Human Predicament provides a detailed examination of human predicament and emotions.
Immortality and suicide have nuanced implications in light of this unfortunate situation. An ecological
frame of reference for political action to change the economic and social trends now deepening the human predicament:
overpopulation and continuing population growth, overconsumption by rich societies, resource depletion, environmental
degradation, and inequitable distribution of wealth within and between societies. Certain points often overlooked include: the
demographic contribution to environmental deterioration; climate disruption, global toxication and a decay of biodiversity
and ecosystem services and economic growth of the rich, which hurts everyone in the long term. Perpetual economic growth is
biophysically impossible, the culture gap impedes solutions and all the factors are intertwined. Hope comes from growing
worldwide grassroots movements.
INCARCERATED ACUTE TRAUMATIC ABDOMINAL WALL HERNIA : A RARE ENTITY
Authors: Kumar Manoj , Kumar Singha Abhijit , Singh Anamika , Singh Mahavir , Dalal Satish
Published: October 2022

Acute traumatic abdominal wall hernia is a rare type of hernia that occurs after a low or high velocity
impact of the abdominal wall against a blunt object only few cases have been reported in literature. We
report a case where a high velocity impact due to roadside accident caused a traumatic abdominal wall hernia in a 48-year-old
male patient. The physical examination ndings revealed the presence of traumatic abdominal wall with gut lying just below the
fat of anterior abdominal wall which was which was conrmed on USG. Patient was managed by exploratory laparotomy with
resection and ileo-ileal anastomosis. The post operative period was uneventful. It is important to emphasize the importance of
the physical examination in such cases to make early diagnosis. Urgent surgical intervention is recommended to avoid wound
and bowel related complications.
EVALUATION OF DERMATOGLYPHIC PATTERNS AND THEIR CORRELATION WITH SKELETAL MALOCCLUSIONS
Authors: Markande Archana , Indira A.P. , Priscilla David Maria
Published: October 2022

Background and Objectives: Dermatoglyphics deals with the study of the epidermal ridges and their
congurations on the ngers, palms and soles. Epidermal ridge patterns form early in fetal development
and remain unchanged throughout life and play a signicant role in the diagnosis of many disorders with genetic background.
As the primary palate, lip and dermal ridges develop during the same period of intrauterine life, the genetic message
contained in the genome - normal or abnormal, is deciphered during this period and is also reected by dermatoglyphics. The
present study was undertaken to evaluate the different dermatoglyphic patterns and their correlation with skeletal
malocclusions. The study was conducted on 90 individuals divided into 3 equal groups- skeletal Methods: class I, II and III.
Dermatoglyphic patterns were recorded using ink method following rolling impression technique. The dermatoglyphic data
was assessed for different nger ridge patterns and total ridge count (TRC). On compar Results: ison skeletal class I group
showed markedly decreased number of loops and increased total ridge count (TRC). Skeletal class II showed markedly
increased number of loops and markedly decreased TRC. Skeletal class III showed markedly decreased number of arches and
increased TRC. Loops were found to be the most predominant pattern in skeletal class II and III groups. The mean TRC was
found to be increased in skeletal class III group and markedly decreased in skeletal class II group which was statistically
signicant. Dermatoglyphics can be used as a screening tool and for early prediction of skeletal mal Conclusion: occlusion at a
younger age group. Dermatoglyphics have important practical and clinical implications which can be applied for preventive
and interceptive orthodontics among paediatric patients and also for parent counseling.
ANALYSIS OF THE BASKA MASK VERSUS PROSEAL LARYNGEAL MASK AIRWAY SEALING PRESSURE IN PATIENTS POSTED FOR LAPAROSCOPIC SURGERIES UNDER GENERAL ANAESTHESIA
Authors: G R Manu , A Kamat Chaitanya , C Patil Manjunath
Published: October 2022

Background: Airway management by anaesthesiologist has come a long way from the invention of
endotracheal intubation. Invention of supraglottic airway devices (SAD) provided alternative airway,
without hazards of direct laryngoscopy and intubation. First generation SAD was considered airway tubes, and hence
modications were made to them. PLMA (Proseal laryngeal mask airway) is a second generation SAD which has a gastric port
along with the airway tube. BASKA mask is a novel 3rd generation SAD. We designed this study to compare the clinical efcacy
of BASKA mask and PLMA for time for insertion, ease of insertion, airway sealing pressure and complications in anaesthetised
patients undergoing positive pressure ventilation under general anaesthesia. The present randomi Methodology: zed control
trial was conducted in 60 ASA-1 and ASA-2, aged between 18-60 years posted for elective laparoscopic surgeries under general
anaesthesia. Patients were allocated into two equal groups, Group B-BASKA mask (n=30) and Group P- PLMA (n=30). All the
data Collected were analysed. The demographic data, duration of insertion and airway sealing pressure were analysed using
unpaired't' test. In our study we observed that, BASKA mask took lesser time to ins Results: ert in comparison to PLMA, the mean
duration of insertion was 16.77±2.14 sec in BASKA Mask and 25.40±3.04 sec in PLMA Group. This difference was statistically
signicant (p < 0.0001). The Mean airway sealing pressure was 33±2.31 cm of H2O in BASKA mask group and 27.00±1.84 cm
of H2O in PLMA Group, after 5 min of insertion and 31.33±2.06 cm of H20 in BASKA Mask and 26.90±1.79 cm of H2O in PLMA
Group after 5 min of pneumoperitoneum. The airway sealing pressure was more in BASKA group which was statistically
signicant both after 5 min insertion and 5 min of pneumoperitoneum. There were no signicant mean airway sealing
pressures between 5 min after insertion and 5 min after pneumoperitoneum in both the groups. The ease of insertion was more
in BASKA mask but it was statistically insignicant. The Laryngopharyngeal morbidity score between these groups were
statistically insignicant. To conclude, we observed that BASKA mask took lesser time to insert Conclusion: than PLMA in
anaesthetized paralysed adult patients. Mean airway sealing pressure was higher in BASKA mask than PLMA. The ease of
insertion was more in BASKA mask but it was statistically insignicant. The LPM score between these groups were statistically
insignicant.
RETROSPECTIVE STUDY OF INTESTINAL OBSTRUCTION IN 50 CASES IN A TEACHING HOSPITAL
Authors: Sreedhar Reddy Devireddy , Nagaraju N , Jayakiran B , Krishna D  Gopi , Kavyasree M , Mohan Reddy Madan
Published: October 2022

Mechanical bowel obstruction is a frequently encountered surgical emergency and continues to remain a
challenge to surgeons despite advances in eld of medicine, pathophysiology, surgical technique and
conservative management. This retrospective study in patients operated for acute mechanical bowel obstruction in our
department, was intended to highlight the common causes of intestinal obstruction in this geographical location of the study
which had suggested measures for treatment of the condition. 50 patients who underwent exploratory laparotomy for intestinal
obstruction were compared in terms of age, sex, symptoms, etiology of intestinal obstruction, site of obstruction, operative
procedure performed and post operative complications.
RARE CASE OF INFECTED MESENTERIC CYST WITH POST OPERATIVE DUODENAL FISTULA- A CASE REPORT
Authors: Ravi Kumar Dappu , Kumar Kandi Pranesh , Niranjan Batta
Published: October 2022

Mesenteric Cysts are rare intra-abdominal tumors occurring in the mesentery of intestine, may contain
chyle or serous uid, and have variable presentations[1]. One such case was managed at our institution.
A 70-year-old male patient presented with history of mass per abdomen associated with pain for 10 days. On clinical
examination palpable mass of size approximately 10*10cm in the epigastric, umbilical region, along with an incisional hernia
at the same site. CECT abdomen revealed a collection of size 13*12*7cm in mesentery extending from epigastric to umbilical
region, with a midline defect in the rectus of size 10*7cm. Emergency exploratory laparotomy was performed and cyst identied,
oozing of pus was noted. Marsupialization of cyst cavity was done. Postoperatively, bilious output noted through the RFD. Oral
contrast CT revealed contrast leak from D3 of duodenum, with stulous communication into the cyst. Under uoroscopic
guidance, NJ tube was passed beyond the site of stulous communication. Subsequent drop in RFD output was observed.
Patient was followed up for 6 months, subsequent course was uneventful.
PLEURO-CUTANEOUS WINDOW IN MANAGEMENT OF CHRONIC EMPYEMA- A SINGLE CENTER STUDY
Authors: Sisodia Anula , Verma Hemlata , Saini Manoj , Bhandari Chand
Published: October 2022

Background: Various treatment options are available for the management of empyema including
medical therapy, open and closed drainage, decortication and thoracoplasty. Pleuro-cutaneous window
(PC window) is an accepted method of treatment for optimal drainage of chronic empyemas. Open window thoracostomy
should be considered in debilitated patients with empyema, where denitive surgery is not indicated and failure to control the
disease by tube thoracostomy. Materials and Method: This was a single center study, conducted on 60 patients of chronic
empyema at Institute of Respiratory Diseases during January 2016 to December 2020. These patients were initially treated with
medical therapy and chest tube drainage but their lungs were not completely expanded. They were not the candidates for
denitive surgery at that time because of their medical and lungs condition, hence they were treated by pleura-cutaneous
window. Results: Mean age of patients in our study was 35.63 ± 12.14 years and age range was 15 to 60 years. In our study 49
patients were male and 11 were females. Patients with left sided empyema were 34 (56.67%) and with right sided empyema
were 26 (43.33%). Most of the patients 44 (73.33%) had chest tube drainage for 3 to 4 months. Average duration of hospital stay
was 7 days. Lung expansion occurred in 32 (53.33%) patients. Conclusion: Open drainage by pleuro-cutaneous window
expands the entrapped lungs despite the presence of broncho-pleural stulas. Pleuro-cutaneous window also has
psychological benets in these patients
TYPE I CONGENITAL COLONIC POUCH RESECTION WITH TERMINAL ILEOSTOMY IN A 43-YEAR-OLD WOMAN. CASE REPORT
Authors: García Jorge Chucuán- , Martínez José Ochoa- , Pérez Ricardo Espinoza- , Miguel Silva-García , Quitzia Libertad Torres-Salazar
Published: October 2022

INTRODUCTION: Congenital colonic pouch syndrome is an extremely rare condition, particularly in
Western countries. In this condition, the colon is replaced with a partially or completely abnormal pouch,
connected to the genitourinary tract by a stula or may end in a blind pouch. As it is a congenital condition, the cases reported
are found in the neonatal population, so its detection in adulthood is extremely rare. We present CASE PRESENTATION: the
case of a 43-year-old female, who was admitted to the general surgery service with suspected stulizing CROHN's disease. She
attended with a two-month clinical picture, presenting a painful ulcer in the left perianal and gluteal region, accompanied by
discharge of purulent material and feces through the vaginal introitus. Laboratory tests (CAT, colonoscopy and MRI) did not
present conclusive information. An exploratory laparotomy was performed, nding a congenital type I colonic pouch, so it was
resected, and a terminal ileostomy was performed. The present case aimed to report our experi CONCLUSIONS: ence with a
pathology that has not been reported in this particular age group in our country. Imaging studies before surgery were unable to
diagnose the pathology, so the exploratory laparotomy was decisive for the treatment.
“A COMPARATIVE EVALUATION OF EFFECT OF INTRA ARTICULAR FENTANYL VERSUS DEXMEDETOMIDINE AS ADJUVANT TO ROPIVACAINE ON POST OPERATIVE PAIN IN KNEE ARTHROSCOPIC SURGERIES”
Authors: Noorani Sania , Rastogi Bhawana , Situ Situ , Rastogi Avinash , Chaudhary Garima , Chaudhary Gaurav
Published: October 2022

Background: Knee arthroscopy involves good repair of knee ligaments and menisci with minimal
injuries but with variable degree of post operative pain. This pain can be minimal in some but can be very
distressing in others. This study aims at evaluating effect of intra articular fentanyl versus dexmedetomidine as adjuvant to
ropivacaine on post operative pain in knee arthroscopic surgeries. Ninety patients of ASA Class I Materials and Methods: /II,
aged 20–60 years posted for arthroscopic knee surgery were randomly divided into Group R (control group),Group RF(fentanyl)
and Group RD (dexmedetomidine) with 30 patients in each group. Anaesthetic technique used was spinal anaesthesia in all
patients. Group I patients received Ropivacaine 0.75% 22 ml , group II received Ropivacaine 0.75% 20 ml +Fentanyl 1mcg/kg
and Group III received 1 µg/kg dexmedetomidine diluted to 20 ml Ropivacaine 0.75% via intra-articular route at end of
procedure. VAS score for 24 h, time to rst rescue analgesia and total dose of analgesic required in each group was evaluated.
Results: VAS scores were signicantly lower in Group III, time to rst analgesic requirement was highest in group III
(412.2±34.9mins) and lowest in group I (280.4±18.8mins), P value 0.002. Total dose of analgesic used in Group III
(166.667±47.946 mg) patients was signicantly lesser compared to patients in Group I (273.33±44.978 mg) and group II
(183.33±46.113 mg), P value 0.0226. Intra-articular dexmedetomidine as adjuvant t Conclusion: o 0.75% ropivacaine is
effective in providing prolonged postoperative analgesia and decreases total analgesic requirements without any signicant
side effects after arthroscopic knee procedures.
EXAMINATION OF THE EFFECT OF SMOKING ON CHEEK CELLS AT A MICROSCOPIC LEVEL
Authors: Madan Ehsaas
Published: October 2022

Oral cancer is lifestyle-related cancer, with the consumption of tobacco as a primary factor. The purpose
of this study is to determine the impact of smoking on the cheek cells of an individual, using scrapings
containing exfoliated buccal cells to correlate the microscopic ndings and observations with the period for which each
participant smoked and the frequency of their consumption of tobacco. The association between cells showcasing alterations
and indication of buccal mucosa cancer with an abnormally large nucleus to cytoplasm ratio and the time period for which the
respective participant has been exposed to smoking is examined. Behaviour intervention to quit smoking may be accelerated if
the global public is made aware of risk factors for developing cancer of oral mucosa. Thus, proving the need for increased
research on the same.
KNOWLEDGE ATTITUDE AND PRACTICE STUDY ON ANTENATAL CARE DURING PREGNANCY IN PREGNANT FEMALES OF RURAL AREA OF HINGNA, MAHARASHTRA.
Authors: Deshmukh Snehal , Inamdar S.
Published: October 2022

Introduction: Antenatal care is the backbone of mother and child's good health. Pregnant females
should be well aware about the components of antenatal care and how it will shape her and her baby's
future in the best possible way. Methods: A cross sectional study was done on rural population of Hingna at Shalini tai meghe
hospital and Datta Meghe Medical College to study the level of knowledge, attitude and practise of antental care among
pregnant females. Total 217 patients were included in the study, they were given predesigned questionnaire. Results: Out of
217 , maximum patients 159(73.27%) were between 19- 30 years of age, maximum number of patients , 101 (46.54%) had taken
primary schooling ,more number of patients 118, (54.37%) had per month income between 5000-15000 rupee, 145 females
(66.82%) were multigravida and 67 females (30.87%) were primigravida ,29 patients( 19.33%) had previous home delivery,
189,(87.09%) were aware about the need and the importance of visiting hospital during anc period ,176 (81.10%) were knowing
the importance of taking iron and folic acid medicines during pregnancy .132 patients (60.82%) and 112 patients (51.61%) were
aware about the signicance of measurement of weight/height and blood pressure in pregnancy respectively. 193 patients
(88.94%) were willing to have proper anc care. Only (58.06%), 126 patients were willing for some family planning methods and
91 patients (41.93%) denied. 98.61% , 214 were ready to deliver in the hospital. 87.09% knew about the importance of regular
anc check up but in practice only 67.74% i.e 147 patients registered before 12 weeks and 44.23% i.e 96 females had minimum 4
anc visits. 93.08% patients knew about the signicance of ultrasonography, but only 74.65% , i.e 162 females had done
minimum 3 ultrasonography. While 81.10% had fair attitude regarding intake of folic acid and iron tablets, in reality only
56.68% i.e 123 patients had been taking iron and folic acid regularly. 50.23%, 109 females had planned delivery with use of
contraceptives. Conclusion: Though the knowledge was substantial about the antenatal care services among pregnant
women, the level of attitude and practise needs to improve. Family support and good level of education is needed to improve
the knowledge and adopt good antenatal practices.
ANALYSIS OF RISK FACTORS OF PREECLAMPSIA AND ECLAMPSIA AND ITS EFFECTS ON MATERNAL AND FETAL OUTCOME AS PER GESTOSIS SCORE
Authors: Shukla Padma , Singh Nikita , Patel Sheetal , Derashri Gaurav
Published: October 2022

Objectives: Observation and analysis of the risk factors associated with preeclampsia and eclampsia
and its effect on maternal and fetal outcome. Methods: It is a prospective study where 500 diagnosed
cases of preeclampsia and eclampsia were recruited after taking informed consent. Data collected on the basis of detailed
history and clinical evaluation. Result: The maximum number of preeclampsia and eclampsia in the present series occurred
between the age group 21 to 25 years (46%). Majority of cases (71.4%) in our study presented between 35.1 to 40 weeks of
gestational age. 24.4% cases had BMI in range of 25-29.9. 51.4% women were primipara and 53.2% cases were unbooked.
Majority of the cases (45.2%) belonged to the upper lower socio-economic class. Out of 500 cases, 23.2% had anaemia, followed
by hypothyroidism in 14.8% cases, GDM in 3.8% cases, obesity 2.8% cases, chronic hypertension in 2.2% cases, diabetes
mellitus in 2% cases, and PCOD in 0.4 % cases. Risk factors found in our study that affected maternal and perinatal outcome
severely were: primiparity, unbooked status, lower middle class III and upper lower class IV, BMI>24.9, gestational age < 34
weeks, anaemia, hypothyroidism and chronic hypertension and gestational diabetes mellitus. Conclusion: Our study reveals
that if patients present with multiple risk factors (three and more), maternal morbidity and mortality increased signicantly
LUNG CAVITATION: AN UNWANTED COMPLICATION OF COVID-19 LUNG DISEASE
Authors: A Dosi Ravi , Shivhare Shailendra , Agrawal Ankur , Jaiswal Neha , Patidar Ravindra
Published: October 2022

Aim & objective: To assess the incidence of pulmonary cavitatory lesion in patients with COVID-19 and
describe its characteristics and evolution. The present descriptive observational study Methodology:
was conducted on 1105 RT-PCR Conrmed cases of SARS-COV-19 in Sri AUROBINDO MEDICAL COLLEGE AND PG
INSTITUTE, INDORE, Madhya Pradesh january 2021 to june 2021. This study highlights t Conclusion: hat lung cavitatory lesion
in patients with severe COVID-19 lung disease can occur, is associated with secondary complications of hemoptysis,
pneumothorax, and confers a poor prognosis. Early cross sectional imaging should be considered if there is suspicion of
cavitatory lesion on plain radiographs, and a more aggressive investigation and treatment of possible invasive fungal infection
undertaken. Further studies are needed to determine whether treatment with tocilizumab, systemic glucocorticoids or a
combination of both may increase the risk of developing lung cavitatory lesion in patients with COVID-19.