bluuebunny/crossref_metadata_2025 huggingface dataset:
IL PRINCIPIO SERVITUS IN FACIENDO CONSISTERE NEQUIT E LA CATEGORIA DELL’ONERE REALE NELLA TRADIZIONE ROMANISTICA
Authors: Leo de Pretis Antonio
Published: June 2023

Il volume, che costituisce la fase finale di un lungo percorso di ricerca, si incentra sull’analisi in chiave diacronica e trasversale del principio condensato nel noto brocardo servitus in faciendo consistere nequit, principiando dallo studio di Pomp. 33 ad Sab. D. 8.1.15.1 e di Ulp. 17 ad ed. D. 8.5.6.2, concernente la servitus oneris ferendi. L’esame delle fonti consente di dimostrare come tale ultima fattispecie non possa essere riguardata alla stregua di “eccezione” al predetto principio e, ancor più, come quest’ultimo non debba essere inteso nei termini assoluti che lo hanno posto, sia pure con importanti eccezioni, a fondamento della sistematica dei rapporti reali nella tradizione romanistica.
Pengelolaan dan Pengembangan Kekayaan Islam
Authors: Pratami Arifa
Published: June 2023

Alissya Protection Plus merupakan tabungan proteksi (Tapro) Syariah yang memadukan tabungan dengan asuransi jiwa, kesehatan, perlindungan atas penyakit kritis sebagai proteksi yang dipilih sebagai perlindungan hidup berbasis Syariah yang aman, damai, dan menguntungkan. Tapro Allisya menginvestasikan dana nasabah pada instrumen-instrumen investasi yang halal dan bersih.Tapro Allisya memberikan perlindungan yang maksimal dari berbagai sisi dengan premi yang minimal.Besaran premi jumlah asuransi merupakan bagian dari wealth protection, sebagai proteksi kekayaan keluarga. Dengan adanya asuransi, salah satunya asuransi jiwa Syariah Allianz merupakan prinsip pengelolaan strategi/instrument keuangan Islam untuk mengatasi risiko-risiko kehidupan, dan melindungi aset-aset kita dalam upaya untuk mengelola kekayaan kita untuk menjadi lebih berkembang.  tabungan rutin) tergantung dari kapasitas masing-masing orang
PENGARUH BAGI HASIL TERHADAP NASABAH DALAM MEMILIH TABUNGAN AKAD MUDHARABAH PT. BANK SYARIAH INDONESIA
Authors: Alfarisi Salman , Ghani Nahar Alang Abdul , Tamba Sulaiman
Published: June 2023

Penelitian ini menjelaskan apakah sistem bagi hasil berpengaruh terhadap nasabah dalam memilih tabungan akad mudharabah PT. Bank Syariah Indonesia, apakah manfaat sistem bagi hasil terhadap nasabah dalam memilih tabungan akad Mudharabah PT. Bank Syariah Indonesia, dan bagaimanakah penyebab nasabah memilih tabungan akad Mudharabah PT. Bank Syariah Indonesia. Metode dalam penelitian ini adalah deskriptif dengan pendekatan kuantitatif. Jumlah populasi yang terdapat dalam penelitian ini adalah 200 nasabah. Sedangkan yang dijadikan responden sebanyak 50 nasabah dengan teknik pengambilan sampel teknik accidental sampling. Teknik pengumpulan data dengan observasi, kuesioner, wawancara, dan dokumentasi. Teknik analisis data yang digunakan adalah Uji Validitas, Uji Reliabilitas, Uji Normalitas, Analisis Regresi Linear Sederhana, Uji t Statistik, dan Koefisien Determinasi. Berdasarkan hasil Analisis Regresi Linear Sederhana diketahui bahwa sistem bagi hasil berpengaruh signifikan terhadap nasabah dalam memilih tabungan akad mudharabah PT. Bank Syariah Indonesia. Hal tersebut dibuktikan melalui uji t, nilai thitung sebesar 3.180 ttabel 1.677. Hal ini juga mengindikasikan Ha diterima dan H0 ditolak. Berdasarkan uji koefisien determinasi diperoleh nilai R square sebesar 0,174. Artinya, variabel nasabah dalam memilih tabungan akad mudharabah dapat dijelaskan oleh variabel system bagi hasil produk PT. Bank Syariah Indonesia sebesar 17.4%, sedangkan 82,6%%  dijelaskan oleh variabel lain di luar penelitian.
ANALISIS SAHAM SYARIAH TERHADAP MINAT MASYARAKAT MEMBELI SAHAM SYARIAH DI BURSA EFEK INDONESIA CABANG MEDAN
Authors: Sipayung Sity Sholehaa , Nasution Ahmad Adib , Pratami Arifa
Published: June 2023

Penelitian ini bertujuan untuk menganalisis saham syariah terhadap minat masyarakat membeli saham syariah di Bursa Efek Indonesia. Variabel yang digunakan penelitian ini yaitu saham syariah (X), dan minat masyarakat membeli saham syariah (Y). Pada Penelitian ini metode yang digunakan adalah jenis penelitian dengan pendekatan kuantitatif. Sumber data yang digunakan adalah data primer. Responden yang dijadikan sampel dalam penelitian ini sebanyak 52 orang. Proses analisis data dalam penelitian ini menggunakaan metode analisis regresi linear berganda dengan bantuan SPSS 26 untuk mendapatkan gambaran umum tentang hubungan antara satu variabel dengan variabel lainnya.
PENGARUH ZAKAT PRODUKTIF TERHADAP PENINGKATAN EKONOMI MUSTAHIQ PADA DOMPET DHUAFA WASPADA MEDAN
Authors: Pane Nurleliana , Nasution Ahmad Adib , Parianto Parianto
Published: June 2023

Penelitian ini bertujuan untuk menganalisis pengaruh zakat produktif  terhadap Peningkatan ekonomi mustahiq di Dompet Dhuafa Waspada Medan. Variabel yang digunakan dalam penelitian ini yaitu, zakat produktif (X) dan peningkatan ekonomi mustahiq (Y). Rumusan Masalah dalam penelitian ini adalah : (1) Apakah  Program Zakat Produktif  Berpengaruh Terhadap Peningkatan Ekonomi Mustahiq di Dompet Dhuafa Waspada Medan. (2) Bagaimanakah Pengelolaan Program Zakat Produktif di Dompet Dhuafa Waspada Medan. Penelitian ini menggunakan pendekatan penelitian kuantitatif. Data yang digunakan dalam penelitian adalah data primer, responden yang dijadikan sampel dalam penelitian ini sebanyak 30 orang. Metode yang digunakan adalah analisis regresi linear sederhana dengan bantuan SPSS 25 untuk mendapatkan gambaran umum tentang hubungan antara satu variabel dengan variabel lainnya. Hasil dari penelitian menunjukkan bahwa variabel zakat produktif memiliki pengaruh yang signifikan terhadap peningkatan ekonomi mustahiq. Hal ini diperoleh dari hasil uji T yaitu = 0.840 dan = 1,671 dengan taraf signifikan 0,05 dan juga R Square Value sebesar 0.818
PERAN PEMBIAYAAN DALAM MENINGKATKAN USAHA MIKRO PADA BANK SUMUT SYARI’AH CABANG RINGROAD MEDAN SELAYANG
Authors: Sari Nurmala , Nasution Ahmad Adib , Pratami Arifa
Published: June 2023

Developing micro-enterprises in Indonesia cannot be separated from banking support in disbursing financing to micro-enterprises. The role of Islamic banking in developing community businesses, especially in micro-enterprises, is to participate in providing financing to the community to develop their businesses. In this study, there are two problem formulations, namely what is the role of financing in increasing micro-enterprises at Bank Sumut Syari'ah Rongroad Medan Selayang Branch? What is the condition of the role of financing in increasing micro-enterprises before and after the existence of Bank Sumut Syari'ah Rongroad Medan Selayang Branch? And how is the role of Islamic banks in increasing micro-enterprises at Bank Sumut Syari'ah Rongroad Branch.The purpose of this study is to determine the role of financing in increasing micro-enterprises at Bank Sumut Syari'ah Rongroad Medan Selayang Branch, to determine differences in customer income before and after receiving financing, and to analyze the role of Islamic banks in increasing micro-enterprises at Bank Sumut Syari'ah. Rongroad Branch The research methodology used is a quantitative approach. The sample used is the Micro business customers of Bnak Sumut Syariah Medan Ringroad Branch in 2021 as many as 30 respondents. The data analysis used in this study is simple linear regression analysis and comparison test, with the help of SPSS version 20. The results of the research conducted indicate that financing has a significant effect on increasing microfinance business at Bank Sumut Syariah Ringroad Medan Selayang Branch. The development of the customer's business occurred in increasing business capital, increasing sales turnover, increasing income, expanding business and increasing workforce. And there is a significant difference in the level of income of PT. Sumut Syariah Medan Ringroad Branch Office before and after obtaining microfinance. The average income of customers after obtaining microfinance for North Sumatra Syariah Medan Branch Office increased by 35%. Where the average income before obtaining microfinance is Rp. 3,521,579.55 and after obtaining microfinancing is Rp. 4,752,329.55.
Built Heritage Management Systems: Australia and Germany Compared
Authors: Amar Johari H.N. , Armitage Lynne , O’Hare Daniel , Moorhead Matthew
Published: June 2023

A recent, unreported, focus group of international heritage practitioners from academia, urban planning, land use management and urban design, found interesting similarities and differences between Australian and German cultural built heritage (CBH) management systems. For validation, a literature review provided a methodological framework and is reported in this paper. Its objective is to confirm the principal themes elicited by the initial work, being: assessment standards, transferable development rights, heritage conservation incentives and private property rights’ management thereby contributing enhanced clarity to the broader relationship between built heritage and stakeholder roles in heritage conservation. This paper is a precursor of more detailed planned empirical, in-country study seeking further insights into stakeholder interests and value systems based on a recent developed analytical approach known as Cultural Heritage Discourse (CHD). It is recognised that this empirical component is a limiting feature of the current research but anticipated as inevitable due to the preliminary stage of enquiry. Keywords: Conservation of built heritage; cultural heritage discourse; heritage management systems; transferable development rights; Germany and Australia
Towards Net-Zero Emissions in the Global Tourism Industry
Authors: Jones Peter
Published: June 2023

Tourism is a major contributor to global greenhouse gas emissions, and while the tourist industry is seen to have an important role to play in addressing net-zero emissions, this role has received limited attention in the academic tourism literature. This paper looks to contribute to filling that gap by exploring how the tourism industry is addressing the challenge of net-zero emissions. The paper employs a qualitative evidence synthesis approach, which reveals that many tourism companies are looking to address the transition to net-zero emissions, and provides an outline of how some of the major players within the tourism industry are approaching this transition. By way of a reflective conclusion, the author raises four wider sets of issues, relating to the concept of net-zero emissions, the role of natural capital solutions and offsetting, technological solutions, and the relationship between the net-zero transition, growth, and sustainability. Keywords: climate change, net-zero emissions, greenhouse gases, carbon, tourism
Automatic Spike Neural Technique for Slicing Bandwidth Estimated Virtual Buffer-Size in Network Environment
Authors: Al-Yassari Mohammed Mousa Rashid , Al-Jamali Nadia Adnan Shiltagh
Published: June 2023

The Next-generation networks, such as 5G and 6G, need capacity and requirements for low latency, and high dependability. According to experts, one of the most important features of (5 and 6) G networks is network slicing. To enhance the Quality of Service (QoS), network operators may now operate many instances on the same infrastructure due to configuring able slicing QoS. Each virtualized network resource, such as connection bandwidth, buffer size, and computing functions, may have a varied number of virtualized network resources. Because network resources are limited, virtual resources of the slices must be carefully coordinated to meet the different QoS requirements of users and services. These networks may be modified to achieve QoS using Artificial Intelligence (AI) and machine learning (ML). Developing an intelligent decision-making system for network management and reducing network slice failures requires reconfigurable wireless network solutions with machine learning capabilities. Using Spiking Neural Network (SNN) and prediction, we have developed a 'Buffer-Size Management' model for controlling network load efficiency by managing the slice's buffer size. To analyze incoming traffic and predict the network slice buffer size; our proposed Buffer-Size Management model can intelligently choose the best amount of buffer size for each slice to reduce packet loss ratio, increase throughput to 95% and reduce network failure by about 97%.
On the Laser Micro Cutting: Experimentation and Mathematical Modeling based on RSM-CCD
Authors: Hassan Sura Sabah , Bachy Bassim Shaheen
Published: June 2023

The laser micro-cutting process is the most widely commonly applied machining process which can be applied to practically all metallic and non-metallic materials. While this had challenges in cutting quality criteria such as geometrical precision, surface quality and numerous others. This article investigates the laser micro-cutting of PEEK composite material using nano-fiber laser, due to their significant importunity and efficiency of laser in various manufacturing processes. Design of experiential tool based on Response Surface Methodology (RSM)-Central Composite Design (CCD) used to generate the statistical model. This method was employed to analysis the influence of parameters including laser speed, laser power, laser frequency and number of passes on the cutting characteristics -and geometrical. Cutting-geometry requirements are significant quality features since they are one of the metrics for the geometrical precision of micro-cutting proses it was concluded that higher laser power, slower speed, and more pass number result in a low kerf taper, these parameters have a significant impact on the other cutting characteristics, and geometrical. Whereas the frequency has the lowers impact on the cutting geometrical. Finally, the experiments show Maximum depth was 2000, width minimum top kerf width was 305.56 µm and the minimum angle of 2.8906.
Indocyanine Green Fluorescence-Guided Laparoscopic Ureterolysis for Complex Gynecological Surgeries
Authors: Yan Ya'nan , Li Qing , Zhang Chunhua
Published: June 2023

Background: To identify and safeguard the ureters of patients with deep infiltrating endometriosis or complex pelvic adhesion (obliterated cul-de-sac) using indocyanine green (ICG) during laparoscopic surgery. Methods: Stepwise surgical demonstration using narrated video footage. The stepwise procedures were: (1) Explore the abdominal cavity, resect pelvic adhesions, remove the right ovarian endometrioma cysts, and open the peritoneum to locate the fluorescence. (2) Place bilateral 5-Fr ureteral catheters through the cystoscope, inject ICG retrogradely, and clip the catheter to retain the ICG. (3) Identify the course of ureters and perform ureterolysis with real-time visualization under Near-infrared fluorescence. Resect the para-ureteral endometriosis and other pelvic endometriosis. Results: The patient was discharged on the 4th postoperative day with satisfactory surgical effect and without any complications. Conclusions: For complex gynecologic surgeries whereby ureterolysis might be challenging, ICG fluorescence imaging could be used to quickly identify the course of the ureter, prevent ureteral injury and reduce the risks of perioperative and postoperative complications. This case demonstrates that intraureteral ICG provided quick visualization of the ureter and allowed surgeons to safely perform ureterolysis. The proposed technique could be considered in complex gynecological cancer, pelvic floor disorder or endometriosis surgery.
Feasiblity Study on the Longitudinal Section of the Fetal Esophagus by Prenatal Ultrasound between 21 and 23 Gestational Weeks
Authors: Chen Xiulan , Zhu Yongsheng , Zhou Ning , Ma Li , Xu Mingfen , Zhong Siyao
Published: June 2023

Background: Prenatal esophageal atresia (EA) diagnosis may improve outcomes by optimizing prenatal and postnatal care. This study evaluated the feasibility of direct antenatal visualization of normal longitudinal esophageal sections using two-dimensional ultrasound between 21 and 23 gestational weeks. Methods: A detailed prenatal anatomic survey was performed, followed by dedicated esophageal imaging. The latter was performed as follows: coronal sections of the thoracic aorta were obtained; the sound beam was then moved ventrally; and strip-shaped high echoes with three or more hyperechoic layers were identified as the esophagus. Images showing the longest esophageal segment were used to measure the esophageal length and angle (between the thoracic aorta and esophagus). Results: Longitudinal esophageal sections were visualized in 94.0% (n = 205/218) of patients. The visualization rates between fetuses in different positions were statistically significant (p < 0.05). Two tubular patterns of longitudinal fetal esophagus sections were observed when collapsed on ultrasound: a tubular structure composed of three hyperechoic layers (40.4%, 88/218); and a tube composed of multilayered hyperechoic structures (59.6%, 130/218). Swallowing actions were observed in 28 cases (12.8%, 28/218). The fetal esophagus was fluid-filled and exhibited an appearance similar to a tram-track sign. The time taken to visualize the longitudinal esophageal section was 21.3 ± 13.1 sec (range 3–60 sec). Conclusions: Direct antenatal visualization of a normal fetal esophagus is feasible, and recommended when suspecting EA on routine fetal ultrasound, to improve diagnostic specificity.
Impact of Coronavirus Disease 2019 in Cesarean Delivery and Neonates: A Case-Control Study
Authors: Yang Juseok , Park Ji Eun , Baek Jong Chul , Kwon Iyun , Jo Hyen Chul
Published: June 2023

Background: The aim of this study was to compare the maternal, surgical, and neonatal outcomes in pregnant women with coronavirus disease 2019 (COVID-19) who underwent cesarean delivery at term and provide evidence for the management of parturient with COVID-19. Methods: This case-control study was conducted retrospectively and evaluated 67 cases of cesarean delivery between February 1 and May 31 performed at the Gyeongsang National University Changwon Hospital, Korea. Case group included women who had positive reverse transcriptase-polymerase chain reaction (RT-PCR) test within 7 days before delivery. Control group was selected based on mode of delivery and gestational age among women with negative RT-PCR result. Results: A total of 34 women with COVID-19 and 33 COVID-19-negative women and their neonate were included in this study. Preoperative C-reactive protein was higher in case group (6.4 mg/L vs 1.8 mg/L, p < 0.001), but preoperative and postoperative day 1 and 3 hemoglobin levels did not differ between groups. Postoperative complications were similar in both groups. Control group had higher 1- and 5-minute APGAR scores than case group (p = 0.006 and p = 0.005) and showed better results of cord blood analyses in cord blood pH and base deficit (p = 0.001 and p = 0.002). Neonatal admission to intensive care unit did not differ between groups and there was no vertical transmission of COVID-19. Conclusions: Pregnant women with coronavirus disease 2019 at term who underwent urgent cesarean delivery showed comparable surgical and neonatal outcomes except higher preroperative C-reactive protein levels compared to COVID-19-negative women.
Robotic Pelvic Lymphadenectomy in Gynecological and Urological Malignancies
Authors: Eissa Ahmed , Sighinolfi Maria Chiara , Elsodany Ibrahim , Habib George , Puliatti Stefano , Zoeir Ahmed , Elsherbiny Ahmed , Abo-Elenien Mohamed , Mousa Ayman , Elbendary Mohamed , Radwan Mohamed , Gaia Giorgia , Elbahnasy Abdel Hamid , Micali Slavatore , Rocco Bernardo
Published: June 2023

Objectives: Pelvic lymphadenectomy is a crucial step in the management of different pelvic cancers for both prognostic and/or therapeutic goals. Robotic surgeries offered numerous benefits over open and/or laparoscopic surgeries such as better visualization, shorter hospital stay, less pain and better cosmoses. The aim of this narrative review is to evaluate the value and outcomes of robotic pelvic lymph node dissection (PLND). Mechanism: The PubMed database was searched using the following keywords “Robotic” AND “pelvic lymph node dissection” to identify all the relevant articles concerned with the role and outcomes of robotic PLND. We included only English articles published between 2010 and 2022. Data from the retrieved articles were then used to formulate this review that highlight the introduction, the outcomes of robotic pelvic lymph node dissection (PLND), and the mapping of sentinel lymph node (SLN) in cervical, endometrial, prostate, and bladder cancers. Findings in Brief: PLND is an integral part of gynecological and urological oncology for its role in tumor staging and planning of further treatment plan. Furthermore, it may play an important therapeutic role in bladder cancer. Robotic approach to PLND is safe and efficient and can be potentially used for cervical, endometrial, prostate, and bladder cancers. Conclusions: Robotic PLND could be an alternative to open and laparoscopic approaches as it may decrease the associated morbidities without compromising the quality of Lymph node dissection (LND).
The Transition of Cardiovascular Disease Risks from NAFLD to MAFLD
Authors: Yang Zifeng , Yang Juan , Cai Jingjing , Zhang Xiao-Jing , Zhang Peng , She Zhi-Gang , Li Hongliang
Published: June 2023

The increased burden of nonalcoholic fatty liver disease (NAFLD) parallels the increased incidence of overweight and metabolic syndrome worldwide. Because of the close relationship between metabolic disorders and fatty liver disease, a new term, metabolic-related fatty liver disease (MAFLD), was proposed by a group of experts to more precisely describe fatty liver disease resulting from metabolic disorders. According to the definitions, MAFLD and NAFLD populations have considerable discrepancies, but overlap does exist. This new definition has a nonnegligible impact on clinical practices, including diagnoses, interventions, and the risk of comorbidities. Emerging evidence has suggested that patients with MAFLD have more metabolic comorbidities and an increased risk of all-cause mortality, particularly cardiovascular mortality than patients with NAFLD. In this review, we systemically summarized and compared the risk and underlying mechanisms of cardiovascular disease (CVD) in patients with NAFLD or MAFLD.
Field mire seminar with international participation in Polistovsky state nature reserve (Pskov Region, Bezhanitsy settlement, September 8–9, 2022)
Authors: Galanina О. V. , Korablev N. P. , Smagin V. A. , Tyusov G. A.
Published: June 2023

Brief information is provided on the Mire field seminar with international participation held on September 8–9, 2022 on the basis of the Polistovsky State Nature Reserve (Pskov Region, Russia). The two-day seminar included a plenary session and a field trip to the territory of the Reserve with a visit to the “Plavnitsa mire” ecotrail. Ten reports were presented as well modern methods of studying mire ecosystems were demonstrated.
KEBIJAKAN MONETER PERSPEKTIF ISLAM
Authors: FADHILAH AISYAH
Published: June 2023

KEBIJAKAN MONETER PERSPEKTIF ISLAM
Comparative Panel File: Manual for CPF v.1.5
Authors: Turek Konrad , Voets Isabel , Kalmijn Matthijs
Published: June 2023

The Comparative Panel File (CPF) harmonises the world’s largest and longest-running household panel surveys from seven countries: Australia (HILDA), Germany (SOEP), Great Britain (BHPS and UKHLS), South Korea (KLIPS), Russia (RLMS), Switzerland (SHP), and the United States (PSID). The project aims to support the social science community in the analysis of comparative life course data. The CPF is not a data product but an open-source code that integrates individual and household panel data from all seven surveys into a harmonised three-level data structure. In this manual, we present the design and content of the CPF, explain the logic of the project, workflow and technical details. We also describe the CPF’s open-science platform.
Experiment ended
Authors: Robinson Jonny
Published: June 2023

Two university-federal agency letters and five years
Experiment ended
Authors: Robinson Jonny
Published: June 2023

Wiley paused Hindawi special issues amid quality problems
Experiment ended
Authors: Robinson Jonny
Published: June 2023

When journals dont meet their ethical guidelines
Objective world and subjective world
Authors: Yu Xiaoyang
Published: June 2023

If I'm sitting on the beach, and I open my eyes, I suddenly see before me the sea, the waves. There is an objective world, but the sea I see before me is in my subjective world.
Experiment ended
Authors: Robinson Jonny
Published: June 2023

Hindawi journals demoted by Nor
Experiment ended
Authors: Robinson Jonny
Published: June 2023

Australia space scientist made up data
METODE PEMBELAJARAN: Hal-hal yang Harus Diketahui dalam Penggunaan Metode Diskusi pada Mata Pelajaran Bahasa Indonesia
Authors: Tusa'diah Risma
Published: June 2023

Pembelajaran pada saat sekarang menggunakan kurikulum merdeka, kurikulum merdeka ini nantinya akan memberikan ruang bagi pendidik untuk membangun sebuah pembelajaran yang berkualitas sesuai dengan situasi dan kondisi pada saat itu. Didalam sebuah pembelajaran tentunya memerlukan metode pembelajaran. Metode pembelajaran akan menentukan bagaimana jalannya proses pembelajaran. Mata pelajaran bahasa Indonesia memfokuskan pada aspek kognitif, afektif dan psikomotor sebagai pedoman atas kemampuan siswa. Dalam metode diskusi akan adanya interaksi antara siswa dengan siswa ataupun antara siswa dengan guru yang akan memecahkan suatu permasalahan.
Conservative management a safer option in high-grade renal injuries: Our institutional experience
Authors: Ponnusamy Periasamy , Poovathai Senthilkumar , Rajkumar Ramakrishnan  , Sangreshi Vinayak
Published: June 2023

Background: Renal injuries constitute around 1–5% of all trauma associated injuries. In present era, there has been a focus toward conservative management for blunt renal injuries. Advancement in radiographic injury grading, improved hemodynamic monitoring systems, valid renal injury grading systems allows successful non-operative management for renal preservation even in cases of Grades IV and V.
Aims and Objectives: The aim of our study was to assess outcomes of patients managed conservatively (non-operatively) for high-grade blunt renal injury at our center. The objective of this study is to assess whether high-grade renal injuries can be managed by conservative management successfully or not.
Materials and Methods: The study conducted in a retrospective manner using hospital records of the past 2 years. Thirty patients with blunt renal injuries were included in the study and were categorized based on the American association for the surgery of trauma (2018 revised) injury grading. These management strategies were analyzed in terms of “failure of conservative management,” complications, and need for adjuvant procedures. Statistical data analysis was done using Microsoft Excel (2019) software.
Results: Thirty patients were included in the study with a mean age of years. Out of the total 30 patients, 17 had Grade I–III injuries, and 13 had Grade IV. All the Grade I–III patients were managed conservatively and required no adjunctive procedures. 10 out of 13 cases of Grade IV injuries underwent non-operative management. Complications included urinary tract infection (5), persistent hematuria (3), hypertension (1), urinoma (2), and ileus (1). All complications were of Clavien Dindo classification of grade 1–2.
Conclusion: Grade IV blunt renal injuries can be managed conservatively if the patient is hemodynamically stable.
An observational study for evaluation of antibiotic utilization and growing resistance against antibiotics in pediatric patients suffering from meningitis in a tertiary care hospital
Authors: Subhradipta Bhattacharyya  , Arup Ghosh
Published: June 2023

Background: Meningitis, inflammation of the meninges with systemic septicemia, from the bacterial, viral, or fungal origin, is a fatal disease in all age groups, particularly infants and children. The present study was done to evaluate the usage of antibiotics in pediatric patients with meningitis in a tertiary care hospital.
Aims and Objectives: The study was conducted to evaluate the prescription pattern of antibiotics for pediatric patients suffering from meningitis. The efficacy of antibiotics, combination of antibiotics, and the resistance developed against them were reevaluated.
Materials and Methods: An observational, noninterventional study with 34 pediatric patients (The mean age of the patients were 6.17 year. ±4.84 SD) admitted in Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar from September 2012 to February 2014 were evaluated. Data were collected after the approval of the research protocol by the Institutional Ethics committee, KIMS from case sheets of patients from the ward as well as the Medical Record and Data section. Comparative statistical analysis was done by using student’s t-test in respect of data measured on a continuous scale. All differences with P<0.05 were labeled as statistically significant.
Results: Ceftriaxone±ß lactamase inhibitor (βLI) (77.4%), and Cefoperazone±βLI (12.9%) were the most frequently used cephalosporin. In 55.8% of patients, three or more antibiotics in combination were given. Two drugs regimen like β lacatam+aminoglycoside in 23.5% of patients and β lactam+anti-Methicillin-resistant Staphylococcus aureus (MRSA) in 20.6% were given. Emerging resistance pattern against both Gram-positive cocci and Gram-negative bacilli to penicillins, cephalosporins, and aminoglycosides which are the primary first-line drugs has been observed.
Conclusion: Very severe meningitis patients were treated with multiple antibiotics including anti-MRSA agents. High resistance (≥60%) was observed against β lactams.
Feasibility of urolithiasis management after studer neobladder urinary diversion: A multicenter center study
Authors: Arvind Kumar  , Anurag Dubey  , Praveen Lakhera  , Prashant Patel  , Avinash Pratap Singh Thakur  , Fanindra Singh Solanki
Published: June 2023

Background: Stones formation is a common complication after cystectomy including stones of the upper urinary tract and reservoir or conduit. Advances in instrumentation and techniques have expanded treatment options, while minimizing morbidity.
Aims and Objectives: Feasibility of urolithiasis management after urinary diversion surgery.
Materials and Methods: Eleven patients of diversion with stone were observed from January 01, 2015, to July 30, 2022. Operative procedures were decided on basis on stone locations and size. Perioperative parameters were observed and compared with similar studies. Percutaneous nephrolithotomy, percutaneous-based antegrade ureteroscopy with semi-rigid or flexible ureteroscope, transurethral reservoir lithotripsy, percutaneous pouch lithotripsy, and open operation were performed. The operative finding and complications were retrospectively collected and analyzed.
Results: The mean age of the patients was 53.2±8.1 years and mean pre-operative stone diameter was 3.1±3.5 cm. Three patients suprapubic cystolithotomy, two patients percutaneous cystolithotripsy, two patients percutaneous nephrolithitomy, two patients extracorporeal shock wave lithotripsy, one patient per urethral cystolithotripsy/cystolitholapexy, and one patient ureteroscopy/flexible ureteroscopy were done. The male-to-female ratio was 9/2. Stone-free rate was 100% after single session of treatment. In the post-operative period, fever was observed in two patients, and urinary leakage through wound site in one patient.
Conclusion: Stone surgery after urinary diversion is challenging, success of treatment depends on experience of surgical team, pre-operative preparation, and correct instrumentations.
Perception, attitude, and practice of labor analgesia among obstetric care providers in Eastern Uttar Pradesh
Authors: Khan Imran Ahmed , Aditya Vani , Arun Kumar Srivastava  , DK Srivastava
Published: June 2023

Background: Labor pain is among the foremost severe pain that ladies experience in their lifespan, if inadequately treated can lead to certain complications in labor. Relieving this pain with medical interventions is also full of misconceptions and disagreement among people. Different traditional and pharmacological methods for labor pain relief are utilized by obstetric care providers.
Aims and Objectives: The aim of the study was to obtain perception, attitude, and practice of labor analgesia among obstetric care providers in Eastern Uttar Pradesh.
Materials and Methods: A cross-sectional online survey was conducted among obstetric care providers practicing in eastern Uttar Pradesh to access the perception, attitude, and practice of labor analgesia.
Results: A total of 152 valid responses were obtained from the 250 participants contacted (response rate of 60.8%). The majority (98%) of them were in favor of utilizing some or the other technique of labor pain relief, and 80.3% of the participants were utilizing some of the available methods solely or in combination. Non-pharmacological methods were the most frequently used technique (77.9%). Epidural analgesia was used by only 9.8% of participants. Less awareness among pregnant women, fear of harm to the baby, lack of dedicated supporting staff, and non-availability of anesthesiologists were among the most commonly pointed out as barriers to utilizing labor epidural analgesia.
Conclusion: The majority of obstetric care providers were in favor of using some or the other technique of labor analgesia, but there was a large gap between the practice and attitude among health-care service providers regarding labor analgesia. Epidural analgesia was practiced very less due to some myths and scarcity of workforce.
Gamma glutamyl transferase in Type II diabetes mellitus patients attending tertiary care academic hospital
Authors: Rakesh Sinha  , Sudhanshu Shekhar  , Ravi Kant  , Nibha  , Chaitanya Prakash
Published: June 2023

Background: Diabetes mellitus (DM) is a clinical syndrome characterized by hyperglycemia due to absolute or relative deficiency of insulin. It is a leading cause of mortality and morbidity in adults worldwide, posing serious medical, socioeconomic, and rehabilitation problems. Rapid diagnosis plays an important role in the management of DM. Gama glutamyl transferase (GGT) is an example of one of these biomarkers.
Aims and Objectives: The aim of the study was to study the correlation of GGT in Type 2 DM patients.
Materials and Methods: The present cross-sectional study was carried out in the Department of Biochemistry, B.J. government Medical College and Sassoon General Hospital Pune, Maharashtra. The study period was from December 2015 to June 2017. A total of 70 newly diagnosed Type 2 DM patient aged between 40 and 60 years with blood glucose level more than 126 mg/dL in fasting and more than 200 mg/dL post-prandial were included in the study.
Results: The mean GGT in control group was 26.5 U/L and in diabetic group was 58.5 U/L. The GGT values were significantly raised in diabetic (case group) as compared to control group (P<0.0017).
Conclusion: GGT can be considered as an important biomarker in monitoring and preventing complication associated with Type 2 DM.
Psychological assessment using DASS-21 and association of sociodemographic variables with mental health in health-care professionals and general population during COVID-19 pandemic
Authors: Muddasir Sharief Banday  , Muntaha Manzoor  , Sajad Ahmad Rather  , Bilal Ahmad Para
Published: June 2023

Background: Millions of people have been impacted by COVID-19 pandemic globally. COVID-19 pandemic has descended people to the realms of uncertainty and isolation which surprisingly are associated with mental distress. Depression, anxiety and stress are one of the prominent psychological factors that might have been significantly impacted by the ongoing pandemic.
Aims and Objectives: The present study was conducted predominantly with the aim of assessing psychological impact by COVID-19 in health-care professionals (HCPs) as well as in general population.
Materials and Methods: The present study was an observational study conducted in Sher-i-Kashmir Institute of Medical Sciences, Soura, a tertiary level teaching hospital in Union territory of Jammu and Kashmir, India. A total of 250 participants comprising both HCPs and general population were included in the study. Depression, anxiety, stress-scale-21 questionnaire, a validated instrument, was used to assess the depression, anxiety, and stress levels among the participants. Informed consent was taken individually for volunteering in the study and participants were required to fill the questionnaire as per the directed instructions.
Results: Out of 250 participants, 54.8%, 68%, and 34.4% were found to have depression, anxiety, and stress, respectively. The prevalence of severe and extremely severe depression corresponded to 9.9% and 6.8% of HCPs, respectively. Severe and extremely severe anxiety existed in 14.9% and 21.1% of HCPs, respectively, followed by 7.5% and 1.2% severe stress and extremely severe stress percentages. About 11.2% and 7.9% participants in community experienced severe and extremely severe depression, respectively. Although 19.1% and 21.3% values corresponded to severe and extremely severe anxiety in community, 5% participants were found to have severe stress, and 4 % had extremely severe stress. A significant positive correlation existed between the levels of depression, anxiety, and stress. No statistically significant association was found between DAS scores and demographic variables except anxiety scores which showed a statistically significant association with HCPs especially nurses, students, and doctors.
Conclusion: The findings from this study highlight high prevalence of depression, anxiety and stress experienced during COVID-19 pandemic by all participants. Anxiety in comparison to depression and stress was found to be experienced by majority of participants. Anxiety levels were prominent in nurses, students, and doctors among HCPs.
Comparative study of laparoscopic versus open surgery in cases of liver hydatid cysts
Authors: Padmane Sagar Gajanan  , Ajay Patidar  , Ashish Pratap Singh  , Priyank Sharma
Published: June 2023

Background: Hydatidosis is a zoonotic infection, and treatment is mandatory to avoid complications. The infection can be asymptomatic or severe, causing extensive organ damage and even death of the patient.
Aims and Objectives: The main aim of this study is to find out the merits and demerits of laparoscopy over that of open surgery in the treatment of hydatid cysts of liver.
Materials and Methods: This prospective observational study was done on 50 patients who had liver hydatid disease admitted in the Department of Surgery, Shyam Shah Medical College Rewa (M.P.). Patients were divided into two groups consisting of 25 cases in each. Group A: managed by laparoscopic surgery and Group B: managed by open surgery.
Results: The mean operative time in Group A was 99.6 min, while in Group B, it was 140.4 min. Group A patients were mobilized early and resumed duty very fast then Group B. The mean duration of stay in hospital was 8.64 days (range: 4–20 days) in Group A and 11.84 days (range: 4–12 days) in Group B. Wound infection seen in 9 patients in Group B and 0% in Group A. General complication rate was 32% in Group B and 8% in Group A. No recurrence noticed in either group during follow-up.
Conclusion: Overall laparoscopic management of liver hydatid cyst is cost-effective in terms of early mobilization, early discharge, and early resumption of work along with cosmetic benefit.
Comparison of intrathecal dexmedetomidine and intrathecal fentanyl as an adjuvant to bupivacaine during spinal anaesthesia for lower limb orthopedic surgery
Authors: Agrawal Dipty , Niyati Sinha  , Shiv Kumar Singh
Published: June 2023

Background: In this study, we have compared the addition of fentanyl 25 mcg and dexmedetomidine 5 mcg to 15 mg of 0.5% hyperbaric bupivacaine for spinal anesthesia separately for patient undergoing lower limb orthopedic surgery. Dexmedetomidine is an α-2 adrenoreceptor agonist and it can prolong the motor and sensory block for long spinal anesthesia. It act by binding to presynaptic C-fiber and postsynaptic dorsal horn neurons. The analgesic action is a result of depression of release of C-fiber transmitters and hyperpolarization of postsynaptic dorsal horn neurons.
Aims and Objectives: The present study compares the onset, duration of sensory and motor block, postoperative analgesia, hemodynamic changes, and adverse effects of intrathecal dexmedetomidine and intrathecal fentanyl as an adjuvant to bupivacaine during spinal anesthesia for lower limb orthopedic surgery.
Materials and Methods: Patient was randomly grouped by close-envelope technique into the three equal group of 30 in each group. Total 90 patients were including in this study. The blind nature of the study was maintained and the study drug is given according as, Group-1: 15 mg of 0.5% hyperbaric bupivacaine. (Control group), Group-2: 15 mg of 0.5% hyperbaric bupivacaine with 25 mcg of fentanyl, and Group-3: 15 mg of 0.5% hyperbaric bupivacaine with 5 mcg dexmedetomidine for spinal anesthesia.
Results: Patients in dexmedetomidine Group-3 had a significantly longer sensory (160±18.5 min) and motor block (242±22 min) time as compared to patients in fentanyl and control group (P<0.001). The time to first request of analgesic in the post-operative period was also longer in dexmedetomidine group (245±3.6 min) when compared to bupivacaine and fentanyl in which it was 125±1.0 min and 220±2.5 min, respectively (P<0.001).
Conclusion: We concluded that intrathecal dexmedetomidine with bupivacaine for spinal anesthesia is associated with prolong motor and sensory block then fentanyl 25 μg with bupivacaine and bupivacaine alone.
A comparative study of the efficacy of intravenous paracetamol and dexmedetomidine alone and in combination on perioperative hemodynamics and post-operative analgesia for patients undergoing laparoscopic cholecystectomy under general anesthesia
Authors: Gadde Venkata Harshitha  , Jitendra Agrawal  , Sourabh Shrivastava  , Preeti Goyal
Published: June 2023

Background: With increase in incidence of gallbladder stone disease, the laparoscopic cholecystectomy is most preferred surgical technique. Laryngoscopy and peritoneal gas insufflation leads to hemodynamic stress response and pain during and after the procedure. Multimodal analgesia is recommended to reduce the stress response and prevent the post laparoscopic pain. Intravenous paracetamol and intravenous dexmedetomidine are both effective components in respect of multimodal analgesia.
Aims and Objectives: The aim of this study was to compare and evaluate the effects of intravenous paracetamol and dexmedetomidine alone and in combination as part of multimodal analgesia on perioperative hemodynamics and post-operative analgesia.
Materials and Methods: One hundred and five patients between the of age 18–60 years posted for laparoscopic cholecystectomy were randomly assigned to three groups (n=35). Before induction patients in Group D received dexmedetomidine 0.5 μg/kg/h and patients in Group P and Group P+D received 1 g paracetamol infusion over 15 min. Intraoperatively as continuous infusion patients in Group D and Group P+D received dexmedetomidine 0.2 μg/kg/h and Group P received 0.2 mL/kg NS until the removal of gallbladder. Perioperative hemodynamic variables, postoperatively, the need for rescue analgesia and any complications or side effects were recorded, compared, and analyzed.
Results: Intraoperative hemodynamic variables were significantly higher in Group P compared to Group D and Group P+D (P<0.05). Prolonged rescue analgesia found in Group P+D (9.06±1.16 h) then Group D (5.52±1.22 h) and Group P (4.35±0.99 h), respectively, which was strongly significant among the groups (P<0.0001).
Conclusion: Our study concluded that the combination of paracetamol and dexmedetomidine maintains the better hemodynamic stability and prolonged the duration of analgesia, with the benefit of high patient satisfaction. In addition, there was significantly less post-operative bradycardia and shivering.
Histopathological study of ovarian lesions at a tertiary health-care center
Authors: Paritosh Shringi  , Matariswa Samanta  , Vishakha Behl  , Pawan Nikhra  , Chandra Mathur  , Kavita Gupta
Published: June 2023

Background: Ovary is the most common site of non-neoplastic and neoplastic lesions, can appear at any age, and is the leading cause of hospitalization and surgery. The ovary is made up of totipotent sex cells and multipotent mesenchymal cells. As a result, when it becomes neoplastic, almost any type of tumor can develop.
Aims and Objectives: The aim of the study was to find out the histopathological findings of ovarian lesions.
Materials and Methods: The present study was carried out in the Department of Pathology, Pacific Institute of Medical Sciences, Udaipur, from April 2021 to September 2022 and includes 102 cases of ovarian lesions. Histopathology department received the specimens in formalin filled container and performed routine grossing and H and E staining procedure.
Results: The incidence of neoplastic ovarian lesion was 40.2%. Majority of non-neoplastic lesion of ovary was follicular cyst (42.6%) followed by simple cyst (36.1%). Surface epithelial tumor was diagnosed in majority of ovarian tumors (73.2%) followed by germ cell tumor (22.0%). The majority histopathological benign tumor type was serous cystadenoma (43.9%) and malignant was high-grade serous carcinoma (14.63%).
Conclusion: The incidence rate increased with age, with the greatest number of new cases being diagnosed beyond 4th and 5th decade. In our study, the youngest patient was of 2 year and oldest was of more than 60 years. However, histopathological study of ovarian tumors is still considered as a gold standard method, our observations and results proved to be valuable base line information regarding frequency and pattern of ovarian tumors.
Red cell distribution width, platelet distribution width, and plateletcrit as indicators of prognosis in COVID-19 patients - A single-center study
Authors: Kovuri Umadevi  , Rajarikam Nagarjunachary , Motrapu Lavanya  , Mohd Imran Ali  , Farida Begum  , Seshava Puri Smitha Vadana
Published: June 2023

Background: COVID-19 is still present in the world, though the extent varies by region and country. According to the World Health Organization, there have been over 617 million confirmed cases of COVID-19 and over 13 million deaths worldwide since the pandemic began on March 10, 2023.
Aims and Objectives: This is a study conducted with the aim of providing biomarkers to predict COVID-19 disease progression and mortality based on red cell indices and platelet indices which are commonly measured as part of a complete blood count (CBC).
Materials and Methods: A prospective study was conducted during the peak of the second wave of COVID-19 from March 2021 to June 2021. The study included 540 patients who were admitted to the Government General Hospital, Nizamabad, and had tested positive for COVID-19 by RT-PCR. Red Blood Cell (RBC), Hematocrit (HCT), Red cell indices like Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), Mean Corpuscular Haemoglobin Concentration (MCHC), Red Cell Distribution width (RDW) and Platelet indices like Mean Platelet Volume (MPV), Platelet Distribution Width (PDW), Plateletcrit (PCT), Platelet–Large Cell Ratio were taken from CBC analyzer Sysmex XN-1000 and analyzed statistically. The patients were then followed up for a period of 14 days to track their outcomes.
Results: In the data, majority were male n=334 (62%) and n=280 (38%) were female. 70.37% (n=380) were survivors and 29.63% (n=160) were non-survivors. Red blood cell, red cell indices such as RDW-CV and RDW-SD, and platelet indices such as PCT and PDW were significantly higher in non-survivors compared to survivors with P<0.05.
Conclusion: Non-survivors had significantly higher levels of RDW-CV, RDW-SD, PCT, and PDW compared to survivors. These parameters in combination can be useful for predicting COVID-19 mortality at early stage in forthcoming waves.