bluuebunny/crossref_metadata_2025 huggingface dataset:
Amazônia Ocidental
Authors: Lopes Nathalia Viana
Published: July 2023

No panorama político contemporâneo, em que a democracia brasileira sofre constantes ameaças sofistas, sobretudo através do discurso de ódio, do desrespeito às bases constitucionais e do incentivo à violência e à discriminação, torna-se cada vez mais difícil e longa a trajetória que as mulheres indígenas da Amazônia Ocidental precisam traçar para superarem a situação de invisibilidade estatística e sub-representação política em que se encontram. Lançando mão do método dialético-dedutivo, da pesquisa bibliográfica e da análise de entrevistas e diálogos, o presente artigo objetiva abordar os problemas e motivos que originam e coadunam com a situação de sub-representação política de indígenas mulheres na Amazônia Ocidental de forma a propor possíveis soluções para diminuir o caminho até a conquista do exercício igualitário da democracia por estas cidadãs originárias. Para isto, foram analisados dados estatísticos, obras literárias e teses escritas por juristas e antropólogos, além de trabalhos e entrevistas realizadas pela docente do curso de Psicologia do Campus de Cacoal da Universidade Federal de Rondônia, a Professora Luciana Ribeiro Conz. A partir das análises fixaram-se os principais agentes (problemas) que determinam a participação política feminina, além disso, foram elencadas, possíveis soluções para esses impasses representativos, com o objetivo de atenuar o árduo itinerário das mulheres indígenas rumo à representação política isonômica.
Sagrada Família e a posição de Marx e de Engels diante da França e da Revolução Francesa
Authors: Sartori Vitor Bartoletti
Published: July 2023

o artigo analisa a posição ocupada por A sagrada família no itinerário intelectual de Marx e Engels, explicitaremos como que há nessa obra um aprofundamento na crítica à sociedade civil-burguesa e à natureza classista dessa sociedade. Posteriormente, ao enfocar a análise, presente no livro abordado, sobre a Revolução Francesa, veremos como que se tem na política francesa, não tanto um modelo positivo, mas algo que esclarece os próprios limites daquilo que foi chamado por Marx de entendimento político. Por fim, chega-se ao ponto em que se percebe que não há qualquer concepção instrumental de Estado e de política em Marx e Engels, sendo possível que a vida civil-burguesa, bem como a sociedade civil-burguesa se vejam fortalecidas na medida mesma em que há, em determinados momentos, uma oposição à classe burguesa.
INTERIORIZAÇÃO DO ENSINO SUPERIOR E O DESENVOLVIMENTO REGIONAL BRASILEIRO: UMA REVISÃO DE LITERATURA
Authors: Carmo Alesxandro Fernando do , Almeida José Elesbão de , Queiroz Daiane Kelly de
Published: July 2023

O presente estudo tem como objetivo evidenciar a relação entre interiorização do ensino superior público e o desenvolvimento regional brasileiro. Trata-se de uma revisão integrativa de literatura, realizada nas seguintes bases de dados: DOAJ, SciELO, Google Scholar, Portal Periódicos da Capes e Repositório do Conhecimento do IPEA, no período de 2015 a 2021. Os termos de busca utilizados nas bases foram: “educação superior” AND “ensino superior” AND “expansão do ensino superior” AND “desenvolvimento regional” AND “instituições de ensino superior” AND “interiorização do ensino superior”. A coleta de dados se deu no mês de maio de 2021. Foram identificados 14 artigos que preencheram os critérios de inclusão, todos sobre estudos brasileiros. Os principais indicadores de desenvolvimento evidenciados pelos estudos foram: democratização do acesso ao ensino superior; dinamização da economia dos municípios onde as instituições foram instaladas; fomento ao mercado de trabalho; alterações demográficas e no espaço urbano e a incorporação de parcelas da população antes pouco representadas nas universidades públicas. Os artigos foram analisados e evidenciaram que a interiorização das IES contribui em vários fatores para o desenvolvimento dos locais onde as IES foram instaladas.
احساس الطلبة الجامعيين بجودة الحياة وعلاقته ببعض المتغيرات
Authors: د. كاظم كريدي خلف العادلي
Published: July 2023

تتمثل جودة الحياة لدى البعض بامتلاك الثروة التي تحقق لهم السعادة؛ في حين يراها البعض

الآخر في الحياة التي يتوافر فيها فرص العمل والدراسة ويراها آخرون بالحياة التي يتمكن فيها الفردمن الحصول على مبتغاه دون عناء أو جهد ويحددها البعض الآخر بالحياة الخالية من الغش والخداعوالكذب أو قد يحددها آخرون بالحياة المفعمة بالصحة الجسمية والنفسية الخالية من الأمراضوالاضطرابات . ومهما يكن المراد بالمفاهيم . وكيف ما يكن تعريف الفرد لجودة الحياة فقد هدفالبحث الحالي قياس :

1. إحسائن طلبة الجامعة يجودة الحياة؟

2. معنوية الفروق بين طلبة الجامعة في مدى الإحساس بجودة الحياة على وفق متغيري الجنس

و التخصص الدراسي ؟
القيم الأخلاقية لأسر كتاب القراءة للصف السادس الابتدائي
Authors: م.م. دنيا محمود إسماعيل
Published: July 2023

تأتي دراسة القيم عن ارتباطها الوثيق بكافة مبادئ الحياة الاجتماعية والاقتصادية و السياسيةفهي تخص العلاقات الإنسانية بكافة صورهاء فقد أكد المربون على أهمية القيم الأخلاقية ودورها فيكل نشاط إنساني» حيث ازدادت أهميتها ودورها في التربية الحديثة في ظل التقدم العلمي والتقدميالذي غزا كل مبادئ الحياة والذي لم يحل مشكلات حياة الإنسان المعاصرة بل زادت التوتراتوالاضطرابات الاجتماعية و السياسية وذلك بسبب فشلة في تقديم البديل الأمثل لهذه القيم الأخلاقيةالغائبة في عالم الواقع. وتبدو أهمية القيم الأخلاقية في حياة الفرد والمجتمع واضحة لأن السلوكالاجتماعي في جوهره يقوم على أساس مبدأ النظام الذي يحكم العلاقات بين الناس ويحقق التواؤم بينالفرد والمحيط الاجتماعي الذي يتعامل معه في أي فئة عمرية.

ولعل أهمية الأخلاق تنبع من إنها ذات علاقة وطيدة بكافة مبادئ الحياة» من أجل أن لاينحرف عن مساره الصحيح وأن نجعل من المدرسة الحليف الأول للأسرة للوصول إلى هذه النتيجةلأن التربية عامل مهم من عوامل التغيير والرقي الاجتماعي ولاسيما في مجتمعنا العربي المسلم الذيأساسه القيم الأخلاقية حيث قال الرسول قلل: [إنما بعثت لأتمم مكارم الأخلاق].

ولاشك إن التربية الأسرية هي من المسؤوليات الأساسية للأسرة حيث تعد الأسرة المصنعالأول الذي يشكل شخصية الكائن الاجتماعي خاصة في مراحل عمره الأولى.

إن أول ما يدعو إليه اتجاه غرس القيم وإنمائها هو تحديد المجالات القيمية التي ينبغي تعليمهافي المدرسة وانتقاء الوسائل والأساليب التربوية التي تساعد المتعلمين على تمثل تلك القيم واكتسابهاءحيث تعالت الصيحات - في الآونة الأخيرة- بضرورة اضطلاع المؤسسات التعليمية بدور أكبر فيمجال التربية الأخلاقية وإعطائها مساحة أكبر في مناهج التعليم.
السلوك الاداري لمديري معاهد اعداد المعلمين وعلاقته بالروح المعنوية للتدريسيين ..
Authors: د. نبيل رفيق محمد
Published: July 2023

يهدف البحث التعرف على السلوك الإداري لمديري معاهد إعداد المعلمين وعلاقته بالروحالمعنوية للتدريسيين ؛ ولتحقيق هدف البحث وضع الباحث الفرضيتين الصفريتين الآتيتين:1. لا توجد علاقة ارتباطية دالة أحصلئياً عند مستوى دلالة (0.05) بين السلوك الاداري والروحالمعنوية,2. لا توجد فروق دالة إحصائياً عند مستوى دلالة (0.05) في العلاقة الارنباطية بين السلوكالاداري والروح المعنوية تبعا للمتغير الجنس ( ذكور - إناث).تكون مجتمع البحث من تدريسي معاهد إعداد المعلمين التابعة للمديرية العامة لإعداد المعلمين/بغدادء والبالغ عددهم (660) تدريسياً وتدريسية ء للعام الدراسي (2011 - 2012) م؛ بواقع ( 203)

تدريسي و(457) تدريسية ؛ اختار الباحث عينة التدريسيين والتدريسيات بالطريقة العشوائية موزعينعلى المديريات العامة للتربية بغداد الست ؛بواقع (24) ذكور و( 22) إناث في تربية بغداد الرصافةالأولى ؛و (16 ) ذكور و(21 ) إناث في تربية بغداد الرصافة الثانيةكه و ( 11 ) ذكور و ( 8 ) فيتربية بغداد الرصافة الثالثة ؛أما تربية بغداد الكرخ الأولى فقد بلغ ( 23 ) ذكور و( 23 ) إناث و(12) ذكور و( 12 ) إناث في تربية بغداد الكرخ الثائية؛ و ( 12 ) ذكور و( 14 ) إناث في تربيةبغداد الكر خ الثالثة؛ وهم يشكلون نسبة (%30) من مجتمع البحث؛ وبذلك أصبحت عينة البحث النهائية(198) تدريسي وتدريسية.

نظراً لتوافر مقياسين السلوك الاداري والروح المعنوية المعد من قبل الناصر (2004) لدىرؤساء الأقسام العلمية في جامعة بغداد علذا تبنى الباحث هذين المقياسين لتحقيق هدف البحث الحاليوالذي يتضمن المقياس الأول من (42) فقرةءويتضمن المقياس الثاني (26) فقرة؛ وتوجد أمام كل فقرةثلاث مستويات وهي : ( عالي ، متوسط ، ضعيف ) وتأخذ هذه المستويات ( 3 _ 2 _ 1 ) علىالتوالي ، وبذلك فان درجة الحدة ستكون درجتين ء أما الفقرة التي تزيد عن ( 5 ,2 ) درجة تعد عالية
EFEKTIVITAS SELF-INSTRUCTIONAL MODULE (SIM) DALAM PENINGKATAN PENGETAHUAN PASIEN DIABETES MELLITUS TIPE II
Authors: Baeda Abd. Gani , Kedua Rizqi Wahyu Susanti , Yulianti Sri , Nurmansyah Muhamad
Published: July 2023

Latar Belakang: Rendahnya pengetahuan penderita diabates mellitus berdampak pada rendahnya self care management dan kemungkinan terjadinya peningkatan komplikasi penyakit. Salah satu media untuk meningkatkan pengetahuan pasien diabetes mellitus adalah dengan memberikan informasi melalui self instructional module (SIM). Tujuan penelitian ini adalah untuk mengetahui efektivitas self instructional module (SIM) terhadap peningkatan pengetahuan pasien diabates melitus.

Metode: Penelitian ini menggunakan desain quasi-experimental dengan rancangan pretest-postest group design dengan jumlah sampel 15 orang yang ditentukan secara purposive sampling. Hasil: Analisis data menunjukkan self instructional module (SIM) efektif dalam meningkatkan pengetahuan pasien diabates mellitus dengan nilai p 0,04 (p<0,05). Sebagian besar responden mengalami peningkatan pengetahuan tentang pengobatan dan komplikasi setelah pemberian modul

Kesimpulan: SIM efektif dalam meningkatkan pengetahuan pasien diabates melitus.
PENGARUH PEMBERIAN JUS ALPUKAT, MADU, DAN COKLAT HITAM (JUS AMACO) TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERTA HIPERTENSI DI PANTI SOSIAL KOTA PALEMBANG
Authors: Muzakar Muzakar , Rahman Imeliana , Listrianah Listrianah
Published: July 2023

Background : Someone who experiences an increase in blood pressure exceeds the systolic value of 140 mmHg and a diastolic 90 mmHg is called hypertension (RI Ministry of Health, 2014). The results of the Basic Health Research (Riskesdas) in 2013 showed that the prevalence of hypertension in Indonesia was 25.8% and the prevalence of hypertension in South Sumatra was 26.1%. Objective : This study aims to determine the effect of giving avocado juice, honey, and dark chocolate (amaco juice) to the reduction of blood pressure in elderly people with hypertension on the Tresna Werdha Teratai Palembang Social Home. Method : This type of research was quasi-experimental with a treatment and comparison group conducted in January 2019 at the Tresna Werdha Teratai Palembang Social Home. The number of samples in this study were 50 elderly consisting of 25 elderly treatment groups and 25 elderly comparison groups.Result : The results of this study indicate that based on sex most of the women are in the treatment group by 60% (15 people) and in the comparison group by 72% (18 people). Based on age in the treatment group, most of the age group> 70 years were 13 people (52%) and in the comparison group there were 18 people (72%). Conclusion : The results of statistical tests showed that the value (p <0.05) p-value <0.05 so it can be concluded that there was the effect of AMACO juice on the reduction of blood pressure in elderly people with hypertension on the Social Institution of Tresna Werdha Teratai Palembang.
HUBUNGAN KADAR INSULIN GROWTH FACTOR 1 SERUM DENGAN TINGKAT KECERDASAN ANAK SEKOLAH DASAR DI KABUPATEN MUSI RAWAS
Authors: Rismiati Meti , Flora Rostika , Zulkarnain Zulkarnain
Published: July 2023

Latar belakang: Intelligence Quotient (IQ) merupakan skor yang diperoleh melalui tes intelegensi, yang merupakan salah satu tanda perkembangan otak atau kecerdasan intelektual dimana dalam dunia pendidikan bermanfaat untuk mengetahui prestasi belajar individu yang dapat di capai. Kecerdasan intelektual pada anak-anak dipengaruhi faktor gizi, zat gizi yang kurang  mengakibatkan sel-sel neuron yang terbentuk lebih sedikit yang mengakibatkan kemampuan berfikir intelektual anak juga akan menurun yang dapat dilihat dari skor IQ yang lebih rendah di banding anak seusianya dengan gizi seimbang. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan Kadar Insulin Growth Factor (IGF-1) dengan tingkat kecerdasan pada anak Sekolah Dasar di Kabupaten Musi Rawas. Metode: Penelitian ini merupakan penelitian observasional analitik dengan menggunakan rancangan cross sectional dengan jumlah sampel sebanyak 77 anak diambil secara random dari anak sekolah dasar di Kabupaten Musi Rawas. Data karekteristik anak dan orang tua diperoleh melalui kuesioner, sedangkan data Kadar IGF-1 serum diperoleh dengan metode ELISA. Tingkat kecerdasan  diukur dengan metode CFIT dan data kadar IGF-1 dihubungkan dengan tingkat kecerdasan dianalisis menggunakan uji regresi linier. Hasil: Hasil Analisis regresi linier sederhana antara kadar IGF-1 serum dengan tingkat kecerdasan (IQ) anak diperoleh nilai p=0,000 dan B=0,270 yang artinya setiap kenaikan kadar IGF-1 sebesar 1% akan menambah 0,270 tingkat kecerdasan lebih besar. Dengan nilai p kurang dari 0,05, maka terdapat hubungan antara kadar IGF-1 serum dengan tingkat kecerdasan secara signifikan.
REVERSE VACCINOLOGY APPROACH TOWARDS THE PREVENTION OF SARSCOV-2 INFECTIONS
Authors: A. Jadhav Mahadev , V. Pawar Shivani , S. Deshmukh Gargi
Published: July 2023

The coronavirus family has been infecting the human population for the past two decades, but the ongoing coronavirus called SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) has posed an enigmatic challenge to global public health security. Current available vaccines are less effective to prevent SARS-CoV-2 infections due to rapid rate mutations in his genome & it's also responsible for increased viral transmissibility leads to morbidity & mortality. The aim of the present study to design a peptide vaccine against SARs-Cov-2 by using epitope (B-cell & T-cell) based reverse vaccinology approach. The structural proteins Spike protein & Nucleoprotein of SARS-CoV-2 were used to identify potential epitope to construct effective peptide vaccine which prevents SARS-CoV-2 infections. Various reverse vaccinology resources & tools such as EXPASY, Vaxijen, IEDB, CTLPred, ALGPred, Pepfold and HPEPDOCK were used for immunoinformatics analysis. We investigated the parameters associated with antigenicity, toxicity, and allergenicity of selected proteins by evaluating their various properties. The result obtained from different steps of immunoinformatics analysis was satisfactory. The CTL epitopes that passed the antigenicity, allergenicity, toxigenicity, and immunogenicity assessment were 02 epitopes from the nucleoprotein becomes effective & safer vaccine to prevent SARS-CoV-2 infections but the experimental tests becomes essential to validate the efcacy of epitope based peptide vaccine.
AXILLARY DRAIN MIGRATION LEADING TO HEMATOMA FOLLOWING MODIFIED RADICAL MASTECTOMY: A CASE REPORT
Authors: Kumar Ritesh , Mandal Abhishek , Kumar Malik Sandeep , Chauhan Sandeep , Rekha Mantry Krishna , Marwah Sanjay
Published: July 2023

Background- Breast carcinoma is the commonest malignancy in females for which modied radical mastectomy is an important modality of management. Erosion of perforator vessel due to migration of axillary drain to ap region has not been reported as a cause of hematoma formation as per available literature. We report a case of 75 year female presented with complaint of painless lump in her left breast for one month. She was diagnosed of having carcinoma breast for which modied radical mastectomy was done. On 5th postoperative day, fresh bleed was noted from the suture line and a soft uctuant swelling was felt in the region of lower ap. Bed side exploration of the wound was done and was found to have hematoma formation due to erosion of perforator vessel by migration of axillary drain. Hematoma formation due to ap erosion caused by the migration of axillary drain is an unusual complication which can be avoided by moderating the intensity of shoulder exercises and proper placement of drain in the axillary region. In case of hematoma formation, early exploration of wound, achieving hemostasis and re-position of the drain in axilla is recommended.
ASSESSMENT OF MATERNAL MORTALITY DEATH REVIEW AT TERTIARY HOSPITAL : (2019-2022) A RETROSPECTIVE ANALYSIS
Authors: Meena Rasna , Singh Sanghmitra , Kushwaha Beenu
Published: July 2023

Introduction: Maternal mortality remains the leading cause of death and disability for reproductive age women. India contributes 1/5 of global burden of absolute maternal death however it has experienced on estimated 4.7% annual decline in maternal mortality ratio and 3.5% annual increase in skilled birth attendance since 1990 while on track to meet millennium development goal no.5.Within India there is marked variation in MMR and healthcare access between regions and in socioeconomic factors understanding the distribution related to cause specic mortality and access to obstetric service indicator essential to improve maternal health. Aim : To evaluate and assess causes of maternal mortality and measures to reduce it. Method: A retrospective study done at tertiary level care center from june2019-may2022.Data were collected from death review form, case-records studied and analyzed. Results: Total of 72.6% of deaths were due to direct causes with eclampsia and associated hypertensive disorders being the most common cause followed by Anemia as the most important indirect cause. Others include ARDS, sepsis, hepatitis, cardiovascular diseases, amniotic uid embolism, aspiration pneumonitis, and diabetic ketoacidosis. Conclusion: Strengthening health system to collect high quality data in order to respond to needs and priorities of women. Early referral, easy transport, continued skill-based training, special training is required for ASHA and ANM worker and medical ofcers working at PHC, early recognition of high - risk women and their timely referral and management is highly required.
EFFECTS OF ESMOLOL ON THE PREVENTION OF HEMODYNAMIC RESPONSE TO TRACHEAL INTUBATION
Authors: Chourey Hemant , Singh Ajay , P Santhosh Arsha
Published: July 2023

Introduction: Endotracheal extubation is almost always associated with haemodynamic changes. This increase in sympatho-adrenal activity may result in hypertension, tachycardia and arrhythmias and is more hazardous to the patients with hypertension, myocardial insufciency or cerebrovascular disease. Aims: To compare the effects of esmolol in attenuating the cardiovascular responses to tracheal extubation. Material And Method : After ethical committee's approval, this observational study was carried out on ASA class I-II patients. After pre-anaesthetic checkup, 60 patients were randomly allocated to 2 equal groups by using chit method. Patients were given 10 ml saline in Group – S, and 1mg/kg of esmolol diluted in 10 ml saline in Group – E. These drugs were given 3 minutes after reversal and 2 minutes before extubation. Statistical Analysis: The results were analyzed using ANOVA, student's paired t-test and chi-square test. 'p' value of <0.05 was statistically signicant and <0.001 was highly signicant. Results: Esmolol had greater attenuating effects on haemodynamic changes than control group. Attenuation on changes of heart rate and blood pressure was greater with esmolol Conclusion: esmolol 1mg/kg i.v. given at 2 min before extubation was of value in attenuating the cardiovascular changes during tracheal extubation & emergence from anaesthesia. Esmolol is more effective in attenuating the heart rate and systolic blood pressure
A RARE CLINICAL ENTITY ON TRAUMATIC SHOULDER PAIN TURNED OUT TO BE OSTEOLYTIC METASTASIS OF HUMERUS WITH HISTOPATHOLOGY PROVEN SQUAMOUS CELL CARCINOMA OF LUNG.
Authors: Priya. M Lekha , Usman Nasin
Published: July 2023

Skeletal metastases from advanced lung cancer can be exacerbated by either direct extension from nearby primary or more frequently by hematogenous spread of malignant cells. The most typical location for bone metastases in lung cancer is the lumbar spine. In long bones, humerus in particular are rare locations for metastases from lung primaries. Skeletal dissemination is most frequently linked to small cell and large cell bronchogenic carcinomas. In this case report we present a case of traumatic left shoulder pain and we evaluated the patient under magnetic resonance imaging which is the most commonly used imaging modality for assessment of suspected soft tissue pathologies associated with the shoulder pain followed by histopathology and PET- CT turned out to be squamous cell carcinoma lung with osteolytic metastasis to humerus.
AN INTERESTING CASE REPORT OF NIEMANN- PICK DISEASE.
Authors: Newmai Amankhai , Gisuthan Bindiya , Raji N Laila
Published: July 2023

Niemann Pick disease is a lysosomal storage disease and is autosomal recessive. Type A and B are both due to sphingomyelinase deciency. There is lysosomal accumulation of sphingomyelin, cholesterol, glycolipid and acylglyceropyrophosphate(1). And patient clinically presents with hepatosplenomegaly with or without nervous system involvement and other signs and symptoms. Incidence in Ashkenazi Jews is 1 in 40,000 for type A, 1 in 2,50,000 for both Type A and type B and 1 in 1,50,000 for Type C (2). Our case was a 10 year old male patient who presented with fever and reduced appetite for 4 days. There was no history of vomiting , abdominal pain, yellow discoloration of sclera/ loose stools. On examination patient had cervical, axillary and inguinal lymph node enlargement, hepatosplenomegaly and cherry red spots in macula. Triglyceride levels were elevated. A clinical suspicion of storage disorder was made . FNA of cervical lymph node and bone marrow biopsy aspiration showed foamy histiocytes. Enzyme assay showed low serum acid sphingomyelinase level and genetic work up showed SMPD1 gene positivity. Niemann Pick disease type A/type B was conrmed. The clinical course of our patient was similar to type A/B cases. And patient is on enzyme replacement therapy and on follow up.
TO STUDY THE EFFECT OF DELIVERING BABIES ON MOTHER'S ABDOMEN WITH REFERENCE TO CORD CLAMPING TIME AND REQUIREMENT OF NEONATAL RESUSCITATION IN TERM BABIES
Authors: Pandya Disha , K Arora K
Published: July 2023

Background: Delayed cord clamping is proved to be more efcient in increasing neonatal blood volume as compared to early cord clamping;
thereby raising iron status and preventing anemia in term infants. However, the benets and potential harms of each policy are still debatable. The
present study aimed to study the effect of delivering babies on mother's abdomen with reference to cord clamping time (DCC & ECC) and
requirement of neonatal resuscitation in term babies. The effect of DCC compared with ECC on infant iron status was also investigated. Material
& Methods: 200 full term babies who were born after a low-risk pregnancy were assessed. Depending on the timing of cord clamping, infants were
randomly categorized into DCC (≥180 seconds after delivery) and ECC (≤10 seconds after delivery) groups. Outcomes were assessed as primary
outcomes (Hb & iron status at 4 months of age) and secondary outcomes (neonatal anaemia, polycythaemia, early respiratory symptoms and need
for phototherapy). Results:Astatistically insignicant difference was seen in Hb concentration, but infants subjected to delayed cord clamping had
48% higher mean ferritin levels (P<0.001) and a lower prevalence of iron deciency (P=0.01). For secondary outcomes, the DCC group showed
lower prevalence of neonatal anaemia at 2 days of age (P<0.05). Conclusions: DCC as compared to ECC resulted in improved iron status and
reduced prevalence of iron deciency at 4 months of age, and reduced prevalence of neonatal anaemia, without demonstrable adverse effects.
RENAL PROFILE IN TERM NEONATES WITH PERINATAL ASPHYXIA AND ITS CORRELATION
Authors: Bezboruah Gayatri , Mahapatra Ipsita
Published: July 2023

Introduction: Perinatal asphyxia leads to acute kidney injury in neonates, with up to 56% of cases being affected. Identifying AKI in these neonates is crucial to providing them with necessary uids and electrolytes to improve their outcomes and reduce the risk of mortality. The study aimed to determine the incidence of AKI in term neonates with hypoxic ischemic encephalopathy and determine the association of different stages of HIE with incidence of AKI. In this hospital based prospective cohort study, 212 ne Methods: onates with birth asphyxia with varying stages of hypoxic ischemic encephalopathy were subjected to renal function test on day 3 and day 5 of life. A serum creatinine level greater than 1.5 mg/dl on the third day of life, or a urine output of less than 0.5 ml / kg / hr for more than 6 hours beyond 24 hours after birth was used to identify AKI. All the details of the case was recorded in a proforma and analysed using appropriate statistical tools. We found that AKI was prevalent in Results: newborns who suffered from asphyxia, with a 39.15% incidence rate. Additionally, the incidence of renal failure increased with the severity of HIE stage. The levels of blood urea and serum creatinine were signicantly higher in HIE III compared to HIE II and HIE I (p value <0.001). The majority of neonates with HIE III had oliguric AKI. The severity of HIE correlate Conclusions: s well to incidence of AKI in birth asphyxia.
CLINICAL PROFILE OF PATIENTS UNDERGOING SPLIT SKIN GRAFT FOR DIABETIC FOOT ULCER
Authors: Pai Aishwarya , Poojari Harsha
Published: July 2023

Introduction: Diabetic foot ulcer is a chronic complication of diabetes mellitus which manifest as lesions on the deep tissue of the foot. It has an
estimated global prevalence of 6.3% with 15-25% of diabetes mellitus patients developing DFU during their lifetime. Aim: To assess the clinical
prole of patients undergoing split skin graft for diabetic foot ulcer. Methodology: It is a hospital based cross sectional study conducted among 50
patients aged 20 years or above with diabetic foot ulcer and planned for split thickness skin graft in a tertiary care teaching hospital.
Sociodemographic characteristics and history were taken using a preformed proforma, clinical examination including ulcer assessment and arterial
assessment was done. Laboratory parameters like FBS, PBS, HbA1C were taken using standard diagnostic procedures on the next day of
admission. Results: 58% of the participants were male and the mean age of participants was 54.7+13.4 years. 62% of the patients gave history of
ulcer for more than one month. 72% of the case had single wound. Right foot was involved in 52% cases and left foot in the rest. The glycosylated
hemoglobin of the participants ranged from 5.8-9.3% with mean value of 7.8+0.87%. In addition, fasting blood sugar ranged from 121-362mg/dl
with mean value of 201.3+51.7mg/dl. Similarly, the post prandial blood sugar ranged from 143-30mg/dl with mean value of 222.2+51.7mg/dl.
Conclusion: Majority of the cases of diabetic foot ulcer patients coming for split skin graft procedure have clean wound but uncontrolled diabetic prole
“OXIDATIVE STRESS AND ROLE OF ANTIOXIDANTS IN ACNE: A NON RANDOMIZED CASE CONTROL STUDY.”
Authors: Yadav Sushil , Khan Farah , Tanwar Ransingh
Published: July 2023

Introduction: As acne is associated with oxidative stresses and the role of antioxidants is of much importance in treatment of acne as antioxidant defense systems, such as super oxide dismutase (SOD) and glutathione (GSH) keep ROS production in check, thereby maintaining an appropriate cellular redox balance thus this study is aimed at assessing the role of antioxidants in acne which shows signicant improvement in acne lesions with oral anti oxidant supplementation. Objective: Ÿ To assess the oxidative stress in acne patients. Ÿ To compare the results of anti-acne therapy versus anti-acne therapy with anti-oxidants. Material & Methods: This non-randomized, case-control study was conducted over 100 acne patients between 16 to 25 years and divided into 2 groups. Assessment of oxidative stress was done using Fridovich and malonyl dialdehyde by Ohkawa method. Group A patients received anti-acne therapy along with anti-oxidant while group B received only anti-acne therapy, assessment using clinical photographs, measurement of SOD level, MDA level, global acne grading scale and reduction in number of lesion was done on 1st follow-up(1 month) and at the end of study i.e. 2nd month. Results: Oral antioxidants reduce oxidative stress by increasing SOD level and by decreasing MDA level. Benecial clinical and biochemical effects are seen, also subjects taking oral antioxidants showed signicant reduction in clinical parameters such as mean GAG score, number of lesions and pigmentation as compared to other group. Oral supplementation in the form Conclusion: of antioxidants improves clinical outcome of anti acne therapy
KNOWLEDGE, ATTITUDE AND PRACTICE TOWARDS CERVICAL CANCER AMONG WOMEN ATTENDING DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, LALLA DED HOSPITAL, GOVERNMENT MEDICAL COLLEGE, SRINAGAR. - A CROSSSECTIONAL, HOSPITAL BASED SURVEY IN KASHMIR
Authors: Akbar Ruqia , Iqbal Asif , Bin Akbar Mohammad , Akbar Suhail
Published: July 2023

Introduction Cervical cancer is a major public health problem.Knowledge about disease and early screening is the most effective measure for
cervical cancer prevention. Lack of awareness, negative attitude, and poor practice about cervical cancer and screening are the major causes to
increase the incidence of disease.Aims And Objectives The study is designed to assess knowledge, attitude, and practice (KAP) towards cervical
cancer, screening, and prevention. Study Design A cross-sectional, hospital-based survey was conducted in women attending Obstetrics and
Gynecology Department, Lalla ded hospital, Government Medical College Srinagar. Materials And Methods A total of 350 subjects were
enrolled and subjected for interview using prevalidated KAP(knowledge, attitude and practice) questionnaire on cervical cancer. Results Most of
the respondents (71.71%) never heard about cervical cancer.Majority of the participants (94.28%) had inadequate knowledge and almost 93.14%
women had never done cervical cancer screening practice, but interestingly 60% of the women had a favorable attitude towards cervical cancer
screening. Conclusion A majority of the women surveyed, had a poor knowledge regarding symptoms, risk factors, and preventive measures of
cervical cancer, but it was encouraging to nd, that most of them had a positive attitude towards prevention of cervical cancer. It was also
concluded, that introduction of a nationwide sensitization campaign, educating target population and introduction of HPV vaccination in national
immunization program,will help to alleviate the morbidity and mortality of this dreaded, but completely preventable disease
CLINICOPATHOLOGICAL STUDY WITH TOPODIAGNOSIS OF LOWER MOTOR NEURON FACIAL NERVE PALSY
Authors: Rajagopal Abhishek , Soni Smita , J. K. Yashveer , Y. K. Kirti , Rani Vinodia Ritu
Published: July 2023

Background: Facial expression is a fundamental part of human communication and is one of the main means of expressing emotions and providing non-vocal intimation. Facial nerve has a long course intracranially and runs through a bony canal known as fallopian canal. Hence this makes it more susceptible to injury in comparison to other nerves in the body. Aim: To determine the etiopathological factors responsible for LMN facial nerve palsy and the most common level of facial nerve injury. Materials and Methods: A Prospective study conducted in a tertiary care center in the department of Otorhinolaryngology & Head and Neck Surgery. Result: Out of 60 patients studied, 70% were males and 30% were females. The commonest age group was from 21 to 30 years (28.33%). The commonest etiology was chronic otitis media accounting to 35%. Tympanic segment of facial nerve was seen to be most involved (33.33%). Most patients presented with grade 4 facial palsy at onset (58.33%). Conclusion: Most causes of LMN facial palsy can be diagnosed clinically and early diagnosis with prompt treatment brings better results. FNP in cases of CSOM without cholesteatoma has better prognosis. Tympanic segment of facial nerve was seen to be more frequently involved.
TRANSDERMAL BUPRENORPHINE PATCH FOR POSTOPERATIVE PAIN MANAGEMENT IN ABDOMINAL SURGERIES
Authors: Yadav Smrti , Chandra Dulara Suresh
Published: July 2023

The present study was carried out in 120 Patients of age 20-50 years with ASA grade I & II of either sex. The following are the important observations done during the study: Patients receiving transdermal buprenorphine patch 20 microgm/hour 6 hours before surgery had better haemodynamic stability. Among General anaesthesia groups, the HR and SBP were lower in group A (20 mcg/h) at most of the study points. However, the DBP and MAP were slightly higher in group A (20 mcg/h) at most of the study points. RPP (HR*MAP) was lower in group A (20 mcg/h) at most of the study points, except during the initial 6 hours and at 72 hours. In patients undergoing surgeries under Regional Anaesthesia, it was observed that the group B (20 mcg/h) had slightly lower HR. Similarly RPP (HR*MAP) was lower in group B at most of the study points. VAS scores were signicantly lower with transdermal buprenorphine patch 20 microgm/hour in both general anaesthesia and regional anaesthesia groups. With respect to General Anaesthesia, it was observed that the VAS scores were signicantly lower in the group A (20mcg/h) at all points from 6 h to 72 h. Among the regional anaesthesia, group B was observed that the VAS score for pain were signicantly lower in at all points from 6 h to 72 h. Thus, Buprenorphine 20 mcg/ hr patch had lower VAS scores in both general and regional anaesthesia. In patients done under general anaesthesia, the frequency of rescue analgesia was 5.40±1.16 (group A). In patients done under Regional anaesthesia the frequency of rescue analgesia was 5.13±0.63 in group B.In patients done under general anaesthesia, the total dose of rescue analgesic required was to group A, 405.00±87.20 mgs. In patients done under Regional anaesthesia the total dose of rescue analgesic required in group B 385.00±47.16 mgs. All the patients were cooperative, oriented and tranquil by 18 hours of post-operative period. Sedation score of 2 was achieved earlier with 20 micrograms patch in both general and regional anaesthesia groups. No major adverse effects were observed in any of the study groups. Transdermal buprenorphine in a dose of 20 micrograms/hour applied 6 hours prior to surgery provides good analgesia in patients undergoing surgeries with both general and regional anaesthesia, with lower pain scores ( less than 3, after 30 hours postoperative ) and lesser requirement of rescue analgesics group A, 405.00±87.20 mgs. And group B, 385.00±47.16 mgs), without signicant adverse effects. No incidences of bradycardia or hypotension were observed during the study in both the groups
PRETREATMENT NLR AS A BIOMARKER AND IT'S CORRELATION WITH BREAST CANCER STAGING: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Pratap Singh Uday , Srivastava Vaibhav , Ahmad Siddiqui Anwar , Verma Kachnar
Published: July 2023

Aim and objectives: The present study was undertaken to investigate pre-treatment NLR as biomarker concerning breast cancer stage and nd Correlations of NLR with various stages of Carcinoma Breast. Materials and method: This observational prospective study was conducted in the Department of General Surgery, Moti Lal Nehru Medical College, Prayagraj, and Kamla Nehru Memorial Hospital, Prayagraj. The pathological analysis included Tumour size, Modied bloom Richardson grade and score, Nodal status and Pathological stage. 8th AJCC TNM classication was used for staging of breast cancer was used. NLR was calculated using Total leucocyte count, Neutrophil percent, Lymphocyte percent as follows: NLR= Neutrophil count/ Lymphocyte count. Results: The result of the Pearson correlation showed that there was a signicant association between NLR with Tstage, N stage, M stage, Pathological stage and Early or late breast CA. ROC analysis was done for nding the cutoff values of NLR for early vs Late breast cancer Area under the curve was 0.903 and is statistically signicant with 95% CI for AUC = 0.828-0.978. Conclusion: In view of positive correlation, cost-effectiveness, and easy availability of NLR, pre-treatment NLR can be used as a biomarker for breast cancer stages.
PREVALENCE AND CLINICAL RELEVANCE OF SKIN PRICK TEST AND ITS ASSOCIATION WITH PULMONARY FUNCTION TEST WITH ASTHMA SEVERITY AT TERTIARY CARE CENTER.
Authors: Meena Gautam , Maan Lokesh , Mishra Mahesh , Jalutharia Jitendra , Goyal Aditi
Published: July 2023

Aim: To study the prevalence and clinical relevance of skin prick test and its association with pulmonary function test with asthma severity at tertiary care center. It was a tertiary care based observational study whic Material & Methods: h included 60 patients in which a total of 60 Bronchial Asthma patients were enrolled from January 2021 to June 2022. The inclusion criteria comprised of all patients diagnosed with Bronchial asthma & detailed history, clinical examination and spirometry with demonstration of reversibility. In the Results & Observation: present study among all positive reactions insect was the most common allergen (86.7%) followed by dust (83.3%), pollens (60%) and fungi (33.3%). And Spearman's correlation between number of allergens and severity of asthma reveals there was a signicant increase in severity of asthma with the increasing number of positive allergens in SPT (p value = <0.0001). Conclusion: The present study suggests that bronchial asthma patients with a higher serum concentration of IgE and total eosinophil count and sensitivity to more number of allergens in skin prick test have a higher asthma severity.
A HORMONE POSITIVE BREAST CANCER MASQUERADING AS CUSHING SYNDROME: A CASE REPORT
Authors: Fatima Sheereen , Kulkarni Bijal , Nisar Shaikh Imran
Published: July 2023

Endogenous Cushing syndrome because of ectopic secretion of adrenocorticotropic hormone (ACTH) more commonly arise from small-cell lung carcinoma. Ectopic ACTH secretion from a neuroendocrine tumor of the breast is a rare phenomenon, with only 7 cases previously reported in the literature. We present a case of hormone positive metastatic invasive mucinous carcinoma of breast with neuroendocrine differentiation with multiple metabolic complications.
Auto Self-Correct ChatGPT
Authors: Guo Tong
Published: July 2023

We propose Auto Self-Correct ChatGPT (ASC-GPT) to solve the problem to let human teach ChatGPT to refresh/expand ChatGPT’s knowledge automatically. The core idea of our method is: Correcting/Teaching the ChatGPT’s knowledge equals to editing the related data in the whole train-dataset of ChatGPT’s policy model. We propose the procedures to implement our idea and discuss the reasons why we design these procedures.
Endomorph L-current for infinite genera category
Authors: Bhattacharjee Deep
Published: July 2023

Here I will show the L-currents formulated for the necessary charge required in string vibrations for the particle generator scheme taken as ∇_(p,q). 
A Nonlinear Model of Gauss’s Equation with Possible Applications
Authors: Hauser John
Published: July 2023

This work explores a nonlinear extension of the conventional Maxwell equations inwhich the concept of charge density is expressed in terms of the fields.  Solutions are found to exist which consist of localized concentrations of electromagnetic energy such as exist in real particles.  Some additional features of the model for interacting particles are discussed. 
A Deep Learning Approach to Causal Inference in Human Genomics using Counterfactual Reasoning
Authors: Gobonamang Tshepo , Mpoeleng Dimane
Published: July 2023

In this paper, we delve into the intricate realm of human genomics, presenting a novel design that leverages deep learning and counterfactual reasoning for causal inference. We postulate that mutations occurring within DNA sequences have the potential to instigate diseases by interrupting essential biological processes, a hypothesis that fundamentally drives this research.

To test this, we have undertaken a meticulous extraction of key attributes from a range of databases hosted by the National Center for Biotechnology Information (NCBI). These attributes are subsequently processed using one-hot encoding, a technique that effectively transforms categorical variables into a form that could be provided to machine learning algorithms.

A sophisticated deep learning model is then utilized to ascertain the accuracy of the hypothesis. The output, depicted as a causal graph, elucidates the relationships and interactions between the variables in question, providing a graphical representation of the proposed hypothesis.

Our research suggests that strategic modifications to the DNA sequence or alterations to the set of mutations in the DNA could induce significant changes in the biological processes. This, in turn, can lead to alterations in the structure and function of proteins, a cornerstone of cellular operations.

We also underline the importance of counterfactual statements in formulating hypotheses and driving intelligent behavior. Despite their untestable nature and inherent subjectivity, these counterfactuals serve as powerful tools for comprehending and predicting outcomes.

The implications of this design extend beyond academic interest. It provides a pathway for a deeper understanding of human genomics and holds promise for the development of targeted therapies for genetic diseases. It fosters the possibility of personalized medicine and therapeutic strategies that can alter the course of the disease at a genetic level, potentially revolutionizing healthcare.
Digital Expressions: Exploring Cultural Emoticons and Changing Digital Speech Patterns
Authors: Gul Raja Sana
Published: July 2023

With the development of technology and computing applications, communication among people become easy. Nowadays different platforms are accessible for expressing news, knowledge, and multiple emotions such as happiness, sadness, disappointment, thoughts, opinions. In the current digital world, emoticons play a vital role in computer-based communication. This study examined the usage of emoticons and the slight shift of words to emoticons in computer-mediated communication. The research also investigates how people understand the emoticon, and used them for clearing their meanings. The study investigates participants’ views and interpretations of emoticons by utilising a mixed-methods technique that combines surveys and qualitative analysis of communication data. It investigates emoticons’ cultural relevance and communication potency while taking into account variables like age, gender, and social environment that affect emoticon usage. The main focus of the study is to identify the demand for emoticons from a cultural perspective. The findings have consequences for people, academics, and practitioners, highlighting how crucial it is to take cultural considerations into account when creating communication platforms and comprehending how visual symbols affect message perception. In addition to this study, the frequency usage of emoticons is also investigated.
Detection of Short-Form Video Addiction with Wearable Sensors via Temporally-Coherent Domain Adaptation
Authors: Rahman Md Mahmudur , Mahi Atqiya Munawara , Sultana Sharmin , Alam Mohammad Arif Ul
Published: July 2023

Short-form Video Addiction (SVA), a novel digital addiction of the modern world, proliferates among young adults and is not formally diagnosable. SVA detection from resulting bio-signals is crucial to prevent its adverse impacts. Existing formal methods involve large and expensive neuro-imaging devices in laboratory setups that are intrusive and not feasible to use in daily life. A possible non-intrusive solution can be using wearable sensors which is challenging due to the resulting noisy and faint signals. To address this problem, we investigate multi-modal wearable sensing technology to detect SVA in a non-intrusive fashion. However, fusing multi-modal sensors effectively presents different challenges due to the presence of signal heterogeneity. In this study, we propose a novel multi-modal temporally coherent domain adaptation method to effectively detect SVA using Electroencephalogram (EEG) and Electrodermal Activity (EDA) sensors. We also investigate the nature and properties of SVA with the help of different components of EEG and EDA signals. We evaluate our proposed method for SVA detection and fatigue assessment tasks. Experimental evaluation posits the proposed model's superior performance (+10% accuracy) over state-of-art domain adaptation models.
Revisiting boost converter modeling and analysis to integrate power electronics and control courses
Authors: Almeida Pedro
Published: July 2023

  Abstract—Contribution: This paper focuses on the ntegration of classical power electronics and control courses by revisiting the modeling and analysis of a dc-dc boost converter. The boost converter serves as a single plant that encompasses various control concepts.

Background:Power electronics and control are highly important subjects for modern electrical and electronic engineers. However, traditional courses often fail to establish a connection between these subjects, leaving out certain topics and making it challenging for students to grasp crucial concepts. This paper aims to assist students in bridging this gap.

Research Questions:1) This study addresses the following questions: 1) What are the differences between switched, nonlinear large-signal averaged, and small-signal linear models? 2) What are the limitations of each model? 3) How can we determine the region where the linear model error is acceptable? 4) What information can be extracted from each model?

Methodology: A comprehensive step-by-step modeling and analysis approach is presented, focusing on explaining key points that are often overlooked in textbooks. After each important concept explanation, exercises are proposed to enhance learning and broaden students’ perspectives.

 
A Comprehensive Systematic Review of YOLO for Medical Object Detection (2018 to 2023)
Authors: Qureshi Rizwan , RAGAB MOHAMMED GAMAL , ABDULKADER SAID JADID , muneer amgad , ALQUSHAIB ALAWI , SUMIEA EBRAHIM HAMID , Alhussian Hitham
Published: July 2023

A systematic Review of YOLO for medical Object Detection (2018 - 2023)
Regulation of insurance comparative advertisements: focusing on the legislative cases and disputes in Germany
Authors:   Korean Insurance Law Association, Ji Gwang Woon
Published: July 2023

Comparative advertisements for insurance products can be used to receive selection from potential buyers by delivering accurate information to consumers by clarifying their differentiation through objective comparison of products or services between advertisers and competitors.
Currently, regulations on comparative advertising of insurance products are governed by the Labeling and Advertising Act in Korea, the Enforcement Decree of the same Act, and the Comparative Advertising Review Guidelines. Through the general law applied to general products and services, regulations in the form of prohibiting unreasonable display and advertising are being enforced even for insurance products. Of course, this regulatory system does not create a large legal vacuum. However, related issues such as the possibility of comparative advertising between offline and online sales channels due to the characteristics of insurance products as legal products and changes in sales channels due to the emergence of online sales channels are derived. Considering these points, this paper reviewed German legislative examples and dispute cases in order to derive implications related to the legal regulations of insurance product comparison advertisements. In particular, this study reviewed the comparative advertising acceptance criteria and related cases under the Unfair Competition Prevention Act, which is a general law on comparative advertising in Germany, and reviewed the requirements and precedents regarding the applicability of comparative advertising between competing companies in relation to insurance products. Based on this, this paper discussed the matters to be considered for the establishment of a regulatory system for insurance product comparison advertising in Korea and the need to establish self-regulatory insurance product comparison advertising guidelines.