bluuebunny/crossref_metadata_2025 huggingface dataset:
Ethnic Clashes in Manipur: Conflict against Subaltern Subjugation
Authors: Gogoi Dr. Pobon Kr.
Published: February 2024

The Manipur is now in a hotbed of violent ethnic clashes between Meiteis and Kukis. The ethnic clashes begun after the verdict given by Manipur High Court. The honorable court urged the state government to recommend the proposal to the Union Ministry to consider the ST tag to the Meiteis. The All Tribal Student Union Manipur (ATSUM) organized the ‘Tribal Solidarity March’ on 3rd May to protest against the High Court verdict. Demographically the Meiteis are the majority with 53% population but not considered as native inhabitants. Therefore, they constantly demanded the Schedule Tribe status. But the other tribal communities opposed the inclusion of the Meiteis as tribal or ST status. The state government role was not active to control of the situation.
Health Seeking Behavior and Post COVID 19 Collision on Reproductive Health among Rural Women in West Bengal: A Micro Level Analysis
Authors: Chowdhuri Madhura
Published: February 2024

Women reproductive health has always been at a stake and due to COVID-19 pandemic vulnerability went even worse. The paper attempts to gain an insight on the health seeking behaviour (HSB) of women suffering from reproductive morbidities in rural West Bengal. It examines the financial implication of ill-health and its formidable consequence in post COVID-19 period. The paper is based on primary data of 200 women in West Bengal aged 15-49 years. Illiteracy and joblessness impart significant negative impact on women HSB. Young married women are less likely to opt treatment. Respondents have positive opinion towards public entities whereas possesses negative perception towards private HCS. North Twenty Four Paraganas is comparatively better performing district compared to Nadia. COVID-19 has imparted higher impact on Nadia district compared to North Twenty Four Parganas. Adoption of UHC approach through intersectoral convergence is necessitated to ensure ‘Health for all’.
The Conscript as a Hybrid Novel: Exploring Hybridity, Migration, and Identity Negotiation in Hailu’s Masterpiece
Authors: Tesfamariam Desbele Teckle
Published: February 2024

This article examines Hailu’s novel, ‘The Conscript’, as a paradigmatic example of a hybrid novel that explores the intricate dynamics of hybridity, migration, and identity negotiation. Drawing on concepts from genetics, biology, and cultural studies, the article delves into the multifaceted nature of hybridity and its political implications. The narrative unfolds through Tuquabo, the protagonist, and other characters who represent different cultures and nationalities, depicting the complexities of their identities. The novel traverses various geographical locations, including East Africa and Italy, highlighting the transformative power of migration and the blending of cultures. Through Tuquabo’s journey, the novel underscores the fluidity of identity and the profound impact of movement and change. Moreover, it analyzes the significance of naming as a social act that reflects the hybrid nature of individuals and their interconnectedness with history, culture, and social ties. By examining the novel’s portrayal of hybridity, migration, and identity negotiation, this article offers valuable insights into the complexities of postcolonial literature and the ongoing quest for identity in a rapidly changing world.
The Third Gender: Blessings or Curse – A Sociological Overview about 21st Century Equality within Inequality
Authors: Chandra Debasmriti
Published: February 2024

Renaissance and enlightenment have paved the way for the arrival of modernity in the western countries. Eventually, modernity has entered into the periphery of the India too through various ways. After it, India has also gradually moved towards the domain of the post modern era as well. Now the gradual exposure to these epoch-making movements has made India a more open-minded and non-superstitious country and also make it aware of the various segments of knowledge like - Consciousness, Rationalism, Equality so on and so forth. These developments have paved a way for a plethora of discussions which otherwise have been discarded as taboo. This paper has endeavored to locate the arrival of such a veiled topic as a part of its discussion and consideration. From the 1860’s, India has been seen to develop a prone towards the establishment of an equal society although the goal is yet to be fulfilled. But in this process a number of topics have come to the surface in order to be seen and known. This paper is going to trace periodically the social journey of the third gender from inequality to equality from a sociological perspective in the time between the 1860’s and the 21st century under the influence of consciousness, rationality and equality.
MEDIDAS DE PREVENÇÃO PARA O PÉ DIABÉTICO: UMA COMPLICAÇÃO CRÔNICA DO DIABETES MELLITUS
Authors: Mazzo Lara Danelucci , Apolinario Pedro Lucas , Camapum Mateus Nascimento , Maciel Thainan Stefany Nobre , Gomes Bruna Luísa Palhares
Published: February 2024

Sabe-se que o diabetes mellitus em seus estágios crônicos manifesta-se com agravos vasculares e neuropáticos. Isso é extremamente preocupante, já que a relação com doenças cardiovasculares é significativa e essas são as principais causas de morte no Brasil. Além do pior agravo que é a morte, muitos pacientes podem conviver com sequelas incapacitantes para o resto da vida, gerando prejuízos para a sociedade como um todo. Logo, esta revisão narrativa de literatura reuniu artigos das principais bases de dados no intuito de apontar quais são as principais medidas de prevenção para pacientes que desenvolvam a condição de pé diabético. Concluiu-se que o pé diabético é uma grave complicação do diabetes mellitus. Graças à perda de sensibilidade, necessita-se de bastante atenção ao fazer a higiene dos pés e ao escolher os calçados adequados. Portanto, todos os pacientes com este agravo devem ser devidamente instruído, já que há grande possibilidade de incidir novas lesões ou piorar as já existentes.
ASPECTOS EPIDEMIOLÓGICOS DE HEPATITE B E C EM GESTANTES NO BRASIL NO PERÍODO DE 2016 A 2020
Authors: Hoffmann Barbara Rebeca , Caporal Marcelo Rodrigo , Gritz Carolina Charnoski , Vada Renata Yumi , Karnoski Carla , Bernardon Marceli
Published: February 2024

As Hepatites B e C são infecções que afetam principalmente o fígado e são classificadas como leve, moderada ou grave. A doença deve ser diagnosticada de forma precoce para que o tratamento seja efetivo, e as medidas de prevenção devem ser seguidas para diminuir a transmissibilidade. Dessa forma, através de um estudo epidemiológico observacional descritivo serão analisadas as notificações registradas na plataforma online DATASUS no Brasil no período de 2016 a 2020 em gestantes contaminadas pela Hepatite B e C, visando análise das regiões de notificação, faixa etária, provável fonte de contaminação e a forma clínica em que os pacientes foram diagnosticados para que medidas sejam efetivadas com o objetivo de reduzir as taxas de contaminação tão recorrentes em âmbito nacional. Esse estudo demonstrou que no Brasil as gestantes predominantemente afetadas foram as de faixa etária entre 40 e 59 anos, principalmente infectadas pela Hepatite C, maioritariamente com a forma clínica crônica e a provável fonte de contaminação foi a sexual, em ambos os tipos de hepatite estudados.
Analisis Penetapan Harga Pokok Produksi Pada CV Gerai Seni Konveksi Palembang
Authors: Winda Apriyani  , Eka Jumarni Fithri
Published: February 2024

This Final Report aims to assist the company in calculating and compiling reports on the cost of production, considering its significance in the progress of CV Gerai Seni Konveksi. The data used is primary and the object includes the calculation of the cost of production for orders for shirts, sports t-shirts and PDl vests. From the data obtained, problems were found at CV Gerai Seni Konveksi Palembang, namely the lack of proper classification of the elements of the cost of production. Apart from that, the company has not allocated depreciation costs for electricity and equipment, and has not calculated the cost of production carefully. Based on this, the author suggests that companies classify the elements of cost of production accurately, including raw materials, labor costs, depreciation of electricity costs, and depreciation costs of machinery and equipment into a cost calculation that reflects the actual costs.
Pengaruh Literasi Keuangan dan Perilaku Keuangan Terhadap Minat Berinvestasi Mahasiswa Pendidikan Ekonomi UNS
Authors: Andriani Hania , Kristiani  , Sudarno
Published: February 2024

This study aims to identify (1) the effect of financial literacy on the interest in investment of students in the UNS Economics Education Study Program, (2) the effect of financial behavior on the interest in investment of students in the UNS Economics Education Study Program, (3) the effect of financial literacy and financial behavior on the interest in investment of students in the UNS Economics Education study program. This research is a quantitative research method with a population of 165 students in the UNS Economics Education Study Program batches of 2019 and 2020. The sampling technique used was proportionate random sampling with the data collection method using a questionnaires and the data analysis used was multiple linear regression analysis. The results of this study indicate that (1) there is a positive and significant influence of financial literacy on the interest in investment of students in the UNS Economic Education study program. (2) there is a positive and significant influence of financial behavior on the interest in investment of students in the UNS Economic Education study program. (3) there is a positive and significant influence of financial literacy and financial behavior on the interest in investment of students in the UNS Economic Education study program.
Pengaruh Self Efficacy, Kompetensi dan Dukungan Organisasi Terhadap Kinerja Karyawan Pada PT Indo Bismar Surabaya
Authors: Ratna Putri Wulandari  , Siti Mujanah
Published: February 2024

The research objectives to be achieved in accordance with the formulation of the problem above are to determine, analyze and answer the effect of Self Efficacy, Competence and Organizational Support on Employee Performance of PT Indo Bismar Surabaya. This research uses quantitative methods. Sampling was carried out by saturated sampling technique with a questionnaire method with 51 employees and analyzed using the Statistical Package for the Social Sciences (SPSS) version 25. The data analysis technique used is multiple linear regression analysis. Meanwhile, the classical assumption tests used include Normality Test, Multicollinearity Test, Autocorrelation Test, and Heteroscedasticity Test. The results showed in the t test conducted partially that the Self Efficacy variable had a significant positive effect on employee performance, the Competency variable had a significant positive effect on employee performance and the Organizational Support variable had a significant positive effect on employee performance. Regarding the f test, it shows that the variables of Self Efficacy, Competence and Organizational Support simultaneously affect the performance of employees of PT Indo Bismar Surabaya.
Pan-Arctic Sea Ice Concentration from SAR and Passive Microwave
Authors: Wulf Tore , Buus-Hinkler Jørgen , Singha Suman , Shi Hoyeon , Kreiner Matilde Brandt
Published: February 2024

Abstract. Arctic sea ice monitoring is a fundamental prerequisite for anticipating and mitigating the impacts of climate change. Satellite-based sea ice observations have been subject to intense attention over the last few decades, with passive microwave (PMW) radiometers being the primary sensors for retrieving pan-Arctic sea ice concentration, albeit with coarse spatial resolutions of a few or even tens of kilometers. Space-borne Synthetic Aperture Radar (SAR) missions, such as Sentinel-1, provide dual-polarized C-band images with <100 meter spatial resolution, which are particularly well-suited for retrieving high-resolution sea ice information. In recent years, deep learning-based vision methodologies have emerged with promising results for SAR-based sea ice concentration retrievals. Despite recent advancements, most contributions focus on regional or local applications without empirical studies on the generalization of the algorithms to the pan-Arctic region. Furthermore, many contributions omit uncertainty quantification from the retrieval methodologies, which is a prerequisite for the integration of automated SAR-based sea ice products into the workflows of the national ice services, or for the assimilation into numerical ocean-sea-ice coupled forecast models. Here, we present ASIP (Automated Sea Ice Products): a new and comprehensive deep learning-based methodology to retrieve high-resolution sea ice concentration with accompanying well-calibrated uncertainties from Sentinel-1 SAR and Advanced Microwave Scanning Radiometer 2 (AMSR2) passive microwave observations at a pan-Arctic scale for all seasons. We compiled a vast matched dataset of Sentinel-1 HH/HV imagery and AMSR2 brightness temperatures to train ASIP with regional ice charts as labels. ASIP achieves an R2-score of 95 % against a held-out test dataset of regional ice charts. In a comparative study against pan-Arctic ice charts and PMW-based sea ice products, we show that ASIP generalizes well to the pan-Arctic region. Additionally, the comparison reveals that ASIP consistently produces relatively higher sea ice concentration than the PMW-based sea ice product, with mean biases ranging from 1.45 % to 8.55 %, and that the discrepancies are primarily attributed to disparities in the marginal ice zone.
Analisis Volume Sedimen Terhadap Pendangkalan Di Dalam Saluran Primer Jaringan Irigasi (Studi Kasus: D.I. Cipicung Subang)
Authors: Ernawan Deny
Published: February 2024

Research conducted in the primary canal of D.I Cipicung, Subang Regency, experienced damage to the irrigation network. Damage to the D.I Cipicung irrigation canal network in the primary canal, so that research is needed to find out how much silting volume is caused by sediment deposition in the irrigation canal. The method in this study uses a mathematical method to determine the volume of sediment deposition in the channel. The results show that the volume of sediment in the primary canal in the Cipicung D.I irrigation network is Vq Primary = 16.24 m3 (difference in depth 0.64 m) or 0.16% of the length per section 50.5 m of the total length of the primary canal 300 m and the change in the cross section of the primary channel is A = 1.25 m2 or 27.11%. So that the results of these calculations, it is necessary to resolve by repairing the right side of the canal lining with construction, the entrance channel from the river to the primary canal needs to be built a gate, dredging of sediment is required in the primary canal, and maintenance is required so that the canal is routinely once a week or once a month so that the strong channel is not quickly damaged.

Keywords: Sediment Siltation, Primary Canal, Irrigation Network Damage.
ANALISIS EFEKTIVITAS PENGGUNAAN ALAT BERAT PADA SUATU PROYEK KONSTRUKSI (Studi Kasus : Pembangunan Kolam Retensi Wilayah Sirnaraga – Kota Bandung)
Authors: Janizar Syapril , Ardianto Aldy , Setiawan Felix
Published: February 2024

This research is motivated by the need to observe and analyze the efficiency of using heavy equipment in the retention pond construction project in the Sirnaraga area. The purpose of this study was to determine the production capacity of heavy equipment used, the efficiency factor of heavy equipment and to analyze the effect of the efficiency factor on the production capacity of heavy equipment. The method used in this research is descriptive analytic method which focuses on solving actual problems, where the data collected, compiled, explained and analyzed. The results showed that the production capacity of heavy equipment for excavators was 52.14 m3/hour, dump truck was

11.60 m3/hour, stamper was 540.00 m3/hour, vibrator concrete was 750 m3/hour, portable concrete mixer pump was 83 m3/hour, and hydraulic truck crane of 10.384 tons/hour; efficiency factor of heavy equipment for excavator is 0.83 (good operating condition), dump truck is 0.80 (medium), stamper is 0.81 (good), vibrator concrete is 0.83 (good), portable concrete mixer pump is 0.83 (good), and hydraulic truck crane 0.83 (good); The greater the production capacity of each unit of heavy equipment, the higher the efficiency factor of the heavy equipment obtained with good operating conditions. Vice versa, if the production capacity is small, the efficiency factor value of the heavy equipment used will also be small.
Pengaruh Media Pendingin Proses Laku Panas Terhadap Persebaran Butir Ferrite dan ketangguhan Mild Steel AISI 1020
Authors: Halimi Ahmad Dzukfikri , M. W. Arif Sektiono  , D. Setiawan  , M. Ahsin Fahmi
Published: February 2024

This research aims to determine the toughness properties and microstructure of AISI 1020 steel material which was previously treated by using a variety of cooling media including air cooling, oil cooling and grease cooling. After being cooled by using several cooling media, it was continued with impact and microstructure testing. The results showed that AISI 1020 steel specimens using air cooling media, had the average impact strength value of 19.1 joules/mm, while those using oil cooling media had an average impact strength of 35.2 joules/mm, and those using grease cooling media had an impact strength of 45 joules/mm. From this data, the one with the highest impact strength value was the grease cooling media at 45 joules/mm and the one with the lowest impact strength was the air cooling media, namely 19.1 joules/mm. The results of metallographic observations were obtained when the grease media was used, the distribution of ferrite was reduced and did not have time to form, whereas in steel that was cooled with oil, the distribution of ferrite was almost the same as the untreated material and for air media, the shape of the ferrite structure spread and formed evenly.
Mass spectrometry imaging of lipid isomers: Isomer resolved mapping of unsaturated fatty acids in mouse brain
Authors:   , Jekimov Lachlan James
Published: February 2024

This project employed advanced mass spectrometry techniques to identify lipid isomers within mouse brain and cellular lipid extracts. The project explored the optimisation and development of novel experimental methodologies to aid the identification and spatial mapping of lipid isomers within brain tissue sections. The diversity of lipid structures revealed highlights novel approaches to establish isomer resolution within lipidomics as well as underscoring the importance of characterising and identifying lipid isomers that may be present in complex biological matrices.
Vuelven (López, 2017). Lloronas contra el orden femi-genocida
Authors: Alarcon Zayas Violeta
Published: February 2024

El concepto de “grotesco traumático” (Connelly, 2015) servirá de base para el análisis discursivo del funcionamiento de la figura fantasmagórica femenina que entronca con el mito de la Llorona en el filme Vuelven (López, 2017). Para indagar su función como dispositivo crítico, se desentrañarán los elementos con los que se construye la perspectiva crítica de género desde el terror y la abyección y los conceptos de “vidas precarias” (Butler, 2006) y “femi-genocidios” (Segato, 2016) en el contexto del “capitalismo gore” (Valencia, 2010).  Se comprueba que la metáfora grotesca muestra lo espectral como aliado ambivalente que aterra y desorienta pero que desvela el entramado sociopolítico corrupto y violento del orden patriarcal feminicida y dignifica a sus víctimas.
Cómo fomentar la incorporación de agendas políticas feministas en el discurso político: Estrategias para la construcción del espacio discursivo en respuesta a las crisis de género
Authors: Wang Siyue
Published: February 2024

Este trabajo emplea el marco crítico de la teoría de la proximización en la lingüística cognitiva, utilizando tres discursos oficiales del presidente del Gobierno de España como corpus. Hemos realizado un exhaustivo análisis cualitativo y cuantitativo de las expresiones discursivas feministas del presidente Pedro Sánchez utilizando el software de análisis de corpus Wordless. La investigación aborda, desde tres perspectivas –espacial, temporal y axiológica– cómo las expresiones feministas de Pedro Sánchez construyen crisis y confrontaciones ideológicas mediante estrategias discursivas. Los resultados revelan que, en cuanto a tendencias espaciales, los discursos presidenciales delinean relaciones conflictivas entre dos campos discursivos. El núcleo discursivo incluye a Pedro Sánchez, el gobierno español y el feminismo, mientras que los elementos discursivos en los márgenes comprenden violencia, machismo, privilegios y discursos de odio. En el plano espacial, los elementos marginales resaltan la amenaza que representan para la entidad del discurso central y la ideología. En cuanto a las tendencias temporales, contrastando el uso de distintas formas discursivas, como los cambios de tiempo, se refleja la persistencia de los elementos marginales a lo largo del tiempo, desde el pasado hasta el presente y hacia un futuro indefinido. En lo que se refiere a las inclinaciones evaluativas, la comparación entre la ideología positiva del discurso central y la ideología negativa de los elementos marginales destaca la confrontación ideológica y demuestra los conflictos del mundo real que esto provoca. Finalmente, anticipando crisis previsibles causadas por la confrontación ideológica entre el presente y el futuro, se aboga por la legalización de políticas de igualdad de género.
Cultural and Creative Industries of Local Autonomy: Cultural Innovation and Cultural Upgrading
Authors: Jia Qiaoran , Li Ding , Wang Zhong , Zhang Tao , Li Shiru
Published: February 2024

In order to explore the relationship between local autonomous cultural and creative industries and economic and cultural upgrading, this paper uses a questionnaire survey to conduct practical investigation and analysis, and discusses the relationship between the following aspects. Local self-government, The results show that local autonomous cultural creativity can promote economic growth and improve cultural level, and there is a certain correlation between economic growth and cultural upgrading, but the correlation is poor, indicating that the impact of economic growth on cultural upgrading is indirect, and cultural upgrading and economic growth are the main factors for the development of local autonomous cultural and creative industries. Local autonomy is the main influencing factor of economic growth and cultural upgrading, and it is also a combination factor for the development of cultural and creative industries. Therefore, strengthening local autonomy, promoting economic growth, and cultural upgrading can promote the development of cultural and creative industries.
Sub-state Actors in International Organizations: Analysis of Local Government Involvement and Influence
Authors: Qu Shuyi , Wang Jinqiang
Published: February 2024

In order to analyze the influence of sub-national actors on international organizations, this paper uses a questionnaire to survey the level of participation and influence of local governments. As sub-state actors, local governments have their responsibilities and obligations to influence state behaviour in a variety of ways. Local governments need to do the following: the influence and status of sub-state actors on international organizations, whether local governments are sub-state actors and their influence on state behavior, and the uncertain influence of local governments and states on international organizations. The results show that local actors play a secondary role in influencing international organizations, and that local governments are one of the local actors and have a supervisory and binding role on state behavior. The impact of local government and national uncertainty on international organizations is largely based on the outcome of local government involvement. Therefore, it is the state actors who are able to fulfil the responsibilities of international organizations and are participants in the relevant work of international organizations, in which the influence of local government participation on international organizations is more significant.
The Impact of Sustainable Development and Spatial Rationality Planning of Urban Buildings Under the Guidance of Local Government Policies: Environmental Policy and Green Building Design Principles
Authors: Mao Tianbin , Li Qian
Published: February 2024

In order to explore the relationship between the sustainable development of urban buildings and spatial rationality planning under the guidance of local government policies, this paper takes Beijing, Shanghai, and other regions as examples to conduct a questionnaire survey literature, analyzes environmental policies and green building principles, and puts forward several hypotheses based on relevant literature. Spatial rationality planning has an impact on the sustainable development of cities. Environmental policies and green building design principles have a constraining effect on the sustainable development of cities. Government policies can ensure the sustainability of urban building development and promote the rational distribution of space. The results show that there is an inevitable relationship between the rational spatial layout and the sustainable development of urban buildings, and environmental policy and green building design principles can promote the rational planning of space. Government policies can guide the rational layout of space and improve the sustainable development of cities. Therefore, spatial rationality planning is the main factor for the sustainable development of the city, government policy is the external factor, and environmental policy and green building design are the constraints. From the perspective of environmental policies and green building principles, local governments should guide spatial rationality planning to improve the sustainable development of buildings.
A Systematic Review of Augmented Reality In Mathematics Education In The Last Decade
Authors: Erşen Zeynep Bahar , Alp Yasemin
Published: February 2024

The goal of the study is to examine a comprehensive review of research involving augmented reality (AR) in mathematics teaching during the previous 10 years. For this purpose, the research was conducted using a systematic review technique. It synthesized a set of 60 articles from 2012 to 2021. Two researchers used content analysis to analyze the data. According to the findings, the majority of publications were published in 2019, with studies mostly aiming at assessing the influence of AR applications on mathematical achievement and exposing viewpoints on AR applications used in mathematics education. Also, secondary school students were mostly preferred as participants. Furthermore, most of the studies found that mathematics teaching with AR applications had a positive impact on academic standing and the teaching process, and that AR applications positively affected attitudes in mathematics lessons, increased the motivation of individuals towards mathematics lessons, and improved three-dimensional thinking skills.
STUDY TO GAUGE THE PERFORMANCE OF QUEUING SYSTEM USING MULTI-SERVER QUEUING MODEL (M/M/S) IN A PRIVATE HOSPITAL OUTPATIENT DEPARTMENT
Authors: Mittal Dr. Payal , Sodani Dr. P.R.
Published: February 2024

Queues are a ubiquitous aspect of everyday life, occurring in various service settings such as telecommunications, supermarkets, banks, and notably, the rapidly expanding field of healthcare, where customers are required to wait. The study of these line formations and the various methods employed to manage them falls under the domain of Queuing theory. Essentially, it represents a mathematical approach to analyzing systems that handle random demands, addressing the common and often frustrating experience of waiting. The telephone exchange is used as an example since Erlang was the first to address the issue of congestion in the early 20th century, and handling a large number of calls was the initial challenge with queuing theory. In essence, the queuing problem arises when the facility provider's service rate is slower than the pace at which clients get services [1].
A STUDY ON PATIENT EXPERIENCE IN IPD
Authors: Surolia Abhishek , Sodani Dr. P. R.
Published: February 2024

The healthcare industry is globally grappling with concerns about quality as it rapidly transforms to meet the ever-growing needs of its patient population. Rather than perceiving patients as uninformed with limited healthcare options, facilities are now acknowledging that informed consumers have diverse service requests and healthcare alternatives [1]. Giving importance to patients' needs and preferences is essential for a compassionate healthcare system. Although healthcare service quality has traditionally relied on expert practice standards, the last decade has seen a prevailing acknowledgment of patients' perceptions as a crucial indicator for assessing healthcare quality. Patients' views are now considered an integral component of performance improvement and clinical effectiveness. It is stressed that elevated burnout among nurses can have a negative impact on patients' satisfaction.
COMPARATIVE STUDY ON PRIMARY HEALTH CENTERS IN RURAL AND URBAN AREAS OF GANDHINAGAR DISTRICT IN GUJARAT
Authors: Seth Pavitra , Sodani Dr. P. R.
Published: February 2024

The initial interaction between citizens and the Public Health System holds significant importance, symbolizing the government's commitment to enhancing healthcare services and overall population health through diverse programs. The effectiveness of these health initiatives relies on public engagement with healthcare services. Therefore, it is crucial to identify factors influencing improved access to public healthcare services, particularly at the Primary Health Care (PHC) level, to achieve the goal of universal health coverage. Given the government's distinct initiatives for rural and urban health, it is essential to examine if there are variations in PHC service accessibility between these regions.
SITUATIONAL ANALYSIS OF RMNCH+A PROGRAM: FACILITY BASED SURVEY
Authors: Sharma Ratika , Sadhu Dr. Goutam
Published: February 2024

Enhancing the well-being and survival of mothers and children is vital for achieving the national health objectives outlined in the NRHM and meeting the targets set by MDG 4 and 5. As we approach the year 2015, there is an opportunity to expedite progress toward MDG goals and redefine the national agenda by formulating a comprehensive strategy for maternal and child health over the next five years. To maximize the impact of the RCH program, it is crucial to acknowledge that addressing reproductive, maternal, and child. A holistic approach is required to address health, acknowledging the interdependence of individual health outcomes with the population's overall health state at different life stages [1].
A STUDY ON MICRO- INSURANCE IN INDIA
Authors: Gupta Namrata , Sadhu Dr. Goutam
Published: February 2024

Micro-insurance, specifically designed for low-income individuals, differs from conventional insurance by offering a low-value product that necessitates unique design and distribution strategies. This includes features like community risk-based premium calculations, where the premium is determined by assessing the risk at the community level rather than individually. The active participation of an intermediary agency representing the target community is also a key element. Integrating measures to empower the economically disadvantaged to cope with diverse risks is increasingly recognized as an essential component of any strategy aimed at reducing poverty [1]. Every year, around 25 million households, comprising over 100 million individuals, are plunged into poverty due to healthcare-related expenses, forcing them to shoulder the financial burden of healthcare services from their own resources.
A COMPARATIVE STUDY ON THE EFFICACY & EFFICIENCY OF COVAXIN AND COVISHIELD
Authors: Singh Amrita , Sadhu Dr. Goutam
Published: February 2024

The onset of the new human coronavirus disease 2019 (COVID-19) was first documented in Wuhan, China, in 2019 and swiftly evolved into a worldwide pandemic, representing the fifth officially recorded pandemic since the 1918 flu pandemic. The primary modes of virus transmission include coughing, sneezing, and speaking, with droplets typically settling on surfaces or the ground rather than dispersing over long distances through the air. Although there is a possibility of disease transmission through contact with contaminated surfaces and subsequent face-touching, such instances are relatively uncommon. The virus exhibits its highest level of contagiousness within the initial three days of symptom onset, yet it can also spread from asymptomatic individuals before symptoms manifest. As of September 2021, nearly two years since the initial identification of COVID-19, there were more than 200 million confirmed cases and a death toll surpassing 4.6 million [1]. A week before, on March 7th, the number of COVID-19 cases had reached 100,000, prompting the World Health Organization (WHO) to declare it a pandemic on March 11th. The situation swiftly shifted from appearing as a localized problem in China to a global health emergency virtually overnight [2].
ANALYSIS OF HOSPITAL PERFORMANCE BASED ON QUALITY INDICATORS
Authors: Bhatnagar Aditi , Sodani Dr. P.R.
Published: February 2024

Quality management revolves around ensuring consistent quality, a factor heavily reliant on the dependability of processes. The effectiveness of these processes is closely tied to the presence of performance objectives, procedures for risk reduction, policies for quality improvement, systems for measuring quality, and mechanisms for rewarding success [1]. Hospitals, facing the challenge of improving quality while minimizing costs, are reviewing their operational strategies and quality assurance (QA) initiatives. Issues such as customer dissatisfaction, rising expenses, fierce competition, and decreased reimbursement for services are driving hospitals to embrace strategies like total quality management (TQM), continuous quality improvement (CQI), and quality improvement (QI) to enhance the quality of care and reduce costs [2].
AUDIT OF DOCUMENTATION OF MEDICAL RECORDS AS PER NABH STANDARDS
Authors: Chandel Ritu , Das Dr. Arindam
Published: February 2024

Medical records play a pivotal role in enabling healthcare professionals to plan and evaluate patient treatments, ensuring a seamless continuum of care across different providers. The precision and lucidity of information in the medical record directly influence the quality of care delivered to a patient. Maintaining comprehensive records is crucial not only to meet requirements for certification and licencing, but also to allow medical professionals to verify that patients have received the right treatment. Clinical audit is a technique that is used in quality improvement to evaluate services against predetermined criteria and facilitate required modifications in order to improve patient outcomes.. Two retrospective assessments of medical record quality were carried out using a random sampling strategy and a 48-item evaluation grid across 9 domains. The evaluation showed a significant improvement in all sections of the medical chart during the second analysis compared to the first. After an initial assessment of 1,460 medical records, a departmental audit program was established. The second evaluation, following internal auditing, was conducted on 1,402 medical records, revealing an increase in all scores above 50% [1].
Assessment of Ovbiomu Coal for Industrial Application
Authors: O. O. Alabi , S. Adakole , O. S. Osaghae
Published: February 2024

This research is to assess the quality of Ovbiomu lignite coal deposited for optimum utilization in metallurgical industries in Ovbiomu. Samples of coal were collected for analysis and sample was collected from five different stationary lots until 10 kilograms of the sample was collected and 500g was taken for characterization. The sample was reduced using jaw crusher and ball milled to a size of 1400μm and 1 kilograms of 1400μm was further reduced to 1100μm and was classified into various sieve sizes using mechanical sieve shaker. CalK2 bomb calorimeter was used to determine the calorific value of the head sample, the economic liberation size and the actual liberation size. The proximate analysis of the head sample and all the sieve sizes was done using Furnace, oven, porcelain crucibles, analytical balance, and desiccator to ascertain the individual carbon content. Ultimate analysis was done using XRD and concentration was done using froth flotation method. Result from sieve analysis shows that at 1000 μm, 710 μm, 500 μm, 355 μm, 250 μm, 180 μm, 25 μm, 90 μm, 63 μm, and -63 μm, the following weight was retained 1.45 g 1.86 g, 3.73 g, 3.5 g, 14.61 g, 48.28 g, 0.15 g, 0.17 g and 0.20 g respectively. The economic liberation size was found out to be 180um where most of the sample is retained and the actual liberation size was found out to be 125um but with a very small quantity retained. The results of the calorific value of the head sample and each of the sieve sizes of 250μm, 180μm, and 125μm, was determined to be 24.51MJ/Kg, 25.86MJ/Kj, 18.57MJ/Kg and 38.07MJ/Kg respectively, the following are result of percentage carbon content, for the Head sample (40.65%), 1000μm (29.55%), 710μm (38.53%), 500μm (42.43%), 335μm (35.42%), 250μm(43.07%), 180μm (30.92),125μm (63.40%) 90μm (0.56%) 63μm (0.62%) and -63μm (9.91%). The result of ultimate analysis of the sample shows Nitrogen (1.15%), Hydrogen (4.80%), Sulphur (0.13%) and Oxygen (29.56%).
Retrospective Study on the Prevelance of Antimicrobial susceptibility pattern of staphylococcus species among patients attending Tertiary Care Hospital
Authors: Shyam Hrithik , G Bhuvaneshwari. , Aruna D. , Neelusree P.
Published: February 2024

Staphylococcus is a group of bacteria that comprises of more than 30 species of medical importance. Among which Staphylococcus aureus causes most infections. 60% of Healthcare associated infections were caused by Staphylococcus aureus. They cause many different types of infections like Skin infections, which are the most common types. They also cause Bacteremia, an infection of the bloodstream, which can lead to sepsis. Bone infections, Endocarditis, Food poisoning and Pneumonia were also commonly caused by this bacterium. In past one-decade Staphylococcus species is gaining resistance to the antibiotics which is commonly used and also to the higher level antibiotics. This study mainly emphasis upon the prevalence of these species in a tertiary care hospital in order to frame the antimicrobial stewardship policy. The samples were received from the different departments and antimicrobial susceptibility pattern was interpreted. All the clinical specimens yielding Staphylococcus species were included in this study. 63% of Staphylococcus species were isolated from Exudate specimen following by Urine, Respiratory and Blood. The prevalence of MRCONS and MRSA is higher among inpatients with varying susceptibility pattern. This requires periodical surveillance and stringent infection control practices. This retrospective study was conducted to evaluate the value of the antimicrobial stewardship team (AST) combined with infectious diseases consultation on management and outcomes of Staphylococcus infections in a tertiary-care center.
Physicochemical characterization of the sludge generated by the wastewater treatment plant of Kenitra
Authors: Benlemlih Noura , Auajjar Nabila , EL Aammouri Safae , Nizar Youness , IBRIZ Mohammed
Published: February 2024

The autonomous company of Kenitra "RAK", adopts the vision of valorization of the dehydrated sludge in the field of agriculture, if it meets the requirements. For that we studied the feasibility of this valorization via a physicochemical study; the parameters which were studied are: Dry matter (DM) and volatile dry matter (VDM), pH, dryness, the detection of fertilizing elements and heavy metals. The results of physico-chemical analysis showed that the sludge from the wastewater treatment plant (WWTP) is rich in fertilizing elements such as: TKN (46mg/kg), Total Phosphorus (733mg/kg), Potassium (159.75mg/kg), and DM (31.11g/l), VDM (16.77g/l), pH (8.11), dryness (22.36%). For the heavy metal analysis, it is found that the sludge is in conformity with the standards of spreading in terms of heavy metal content (Cd 0,22mg/kg MS, Cr 106,27mg/kg MS, Cu 37,48 mg/Kg MS, Hg 1,33mg/Kg MS, Ni 7,66mg/Kg MS, Pb 12,75mg/Kg MS); It can be said that this sewage sludge from the Kenitra WWTP has a real agronomic interest but with the absence of a microbiological analysis of this sludge, it is impossible to make a decision concerning the use of the sludge in agriculture. The study conducted therefore requires further research to confirm the feasibility of recovery to benefit from a green fertilizer and reduce a certain pollution.
Combinational Antidiabetic effects of Curcuma longa L. and Trigonella foenum-graecum L. extracts in alloxan induced type-1 diabetic rats
Authors: Basha Shaik Sadak , Fathima Shaik Sameena , Ismail Shaik Mannur , Mhd Sarbon Norizah , Sekhar Meesala Guru , Aluru Sudheer , Rao Pasupuleti Sreenivasa , Mohammed Arifullah , Abdul Rahman Suzanah , Sushma Nannepaga John , Siraj Mohiddin Syed , Ramesh Bellamkonda , Sekhar Dornadula Giri Raja , Matcha Bhaskar
Published: February 2024

Diabetes mellitus is a metabolic disorder that is one of the leading causes of death globally. The current study aimed to determine the combined protective effect of Curcuma longa (CL) and Trigonella foenum-graecum (TFG) on alloxan-induced oxidative stress in liver tissue of albino Wister rats. Rats were divided into 8 groups with 6 individuals each. Group I served as control, group II, III and IV were treated with CL, TFG and CL+TFG respectively. Group V, VI, VII and VIII were alloxan-induced diabetic rats, whereas group V served as negative control and group VI, VII and VIII were treated with CL, TFG and CL+TFG respectively. Blood glucose, body weight, oxidative enzymes and histopathological changes were evaluated. Group V showed significant increase in blood glucose levels after induction of alloxan, whereas, group VI, VII and VIII showed significantly decreased levels. However, the best hypoglycaemic activity was found in group VIII. The body weights were slightly increased in groups II, III and IV after the treatment of plant extracts, whereas, decreased body weights were noticed in group V. though no significant weight changes were observed in groups VI, VII and VIII. A significant decrease in oxidative enzyme levels as compared to group V were recorded. The histopathological investigation of liver tissue showed morphological alteration in group V and ameliorative effects in group VI, VII and VIII due to administration of CL, TFG and CL+TFG. Therefore, the combined administration of CL+ TFG exhibits the highest hypoglycemic activity by reducing the oxidative enzyme levels and regeneration of liver tissue.
Perception and attitude of medical sciences students towards the use of online Internet information in Oman
Authors: Alghasani Alghaliya , Albarwani Maiya , AlSaadi Buthaina , AlJabri Aisha , Al-Harthy Nutayla , AbuKhader Majed
Published: February 2024

Background: The trend of seeking medical and health information through the Internet has been continuously increasing among youth population specially college students. The aim of this study was to record the perception and attitude of medical sciences students studying in Oman towards the use of medical and health information on the internet. Methods: A cross sectional study which involved medical sciences students studying in four higher education institutions. The questionnaire was composed of 23 close-ended questions grouped into demographic and students’ perception and attitudes towards medical and health information in the internet. Results: The internet was used as source for medical literature and medical information along with other activities in 71.1% of students and PubMed and Google were used as trusted search engines. The majority of students (96.9%) tend to check the accuracy and reliability of internet medical and health information through searching for particular information in two or more websites. 72.1% of the students believe that the internet offers great potential to meet academic needs and promote learning. The statistical analysis showed a significant statistical correlation (p=0.0001) in certain aspects of the perception and attitude of the participating students towards the utilization of medical and health information on the internet. Conclusion: Although majority of students were trained on utilizing medical and health information during their university education, it seems this exposure varies between the four academic majors. Educational institutions in Oman are encouraged to design their e-health literacy program based on the individual requirements of medical sciences curricula.
Novel Therapies Take Center Stage- IKCS NA 2023 Highlights
Authors: Shah Neil
Published: February 2024

The International Kidney Cancer Symposium (IKCS) in 2023 emerged as a pivotal event, uniting top experts in kidney cancer. Showcasing groundbreaking research, the symposium provided practical insights into the latest developments in diagnosis and treatment. With a strong focus on patient-centered care, IKCS 2023 served as a crucial platform for staying updated on the evolving landscape of kidney cancer research, fostering collaboration and knowledge exchange among professionals.
Molecular and Immune Landscape of Fumarate Hydratase-mutated Renal Cell Carcinoma
Authors: Al-Share Bayan A. , Wu Sharon , Hinton Andrew , Alloghbi Abdurahman , Alkassis Samer , Guastella Anthony , Helmstetter Anthony , Nabhan Chadi , Nazha Bassel , Barata Pedro , Ryan Charles , McKay Rana , Heath Elisabeth
Published: February 2024

Fumarate hydratase-deficient renal cell carcinomas are an aggressive form of kidney cancer that often results in poor prognosis and high fatality rates. The implications of somatic mutations are not well described, and standard treatment has not been established for this renal cell carcinoma subtype. Further molecular characterization of fumarate hydratase-deficient renal cell carcinomas could potentially help to identify biomarkers that can be exploited with future targeted therapies. 2199 renal cell carcinomas were analyzed by DNA sequencing (592-gene panel) and whole- transcriptome sequencing and 40 tumors were identified with pathogenic FH mutations. Co-occurrence of mutation with other cancer-related genes were assessed along with immune profiles and immunotherapy biomarkers. Fumarate hydratase-deficient renal cell carcinomas had a lower prevalence of co-mutation with common renal cell carcinoma driver mutations such as VHL and chromatin remodeling genes when compared to wild type renal cell carcinoma. Conversely, prevalence of several cancer-related genes (MAX, BRCA1, PMS2, BRAF, NF2, and AKT1) was higher in fumarate hydratase-deficient renal cell carcinomas. Immunotherapy biomarkers (mismatch repair deficiency and tumor mutational burden) were detected at low frequency in mutant and wild type renal cell carcinomas, while PDL1 expression occurred at higher frequency in fumarate hydratase-deficient renal cell carcinomas. Fumarate hydratase-mutated kidney tumors may have a different mutational and immune landscape than wild type tumors. The absence of VHL mutations in a significant number of fumarate hydratase deficient renal cell carcinomas suggest that FH mutations may drive tumorigenesis using distinct angiogenic pathways. Our study highlights potential therapeutic implications that will require further study.