bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical characteristics and management in women with postpartum infection
Authors: Truong Thi Linh Giang
Published: May 2023

Background: Postpartum infection affects women’s health and psychology. Objectives: To study the clinical and paraclinical characteristics of postpartum infection patterns and evaluate the management attitude in cases of postpartum infection.

Methods and Materials: Women who were in the postpartum period, diagnosed with postpartum infection and treated at the Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital from 06/2021 to 01/2023.

Results: There were 40 cases of postpartum infection, accounting for 87.5%. Endometritis is the most common type, accounting for 87.5%. Common clinical symptoms: 80.0% have abnormal secretions, 67.5% have abdominal pain, 50.0% have poor uterine contractility. Regarding subclinical, 55.0% of cases had elevated white blood cell count ≥ 10 x 109/l, mean CRP value was 33.02 ± 33.29 (mg/l) and 65.0% had remained organization within the uterus. About treatment: 100% of cases of antibiotic treatment according to the regimen, no cases need surgical treatment. 100% of cases had good treatment results with an average hospital stay of 7.5 ± 1.3 days.

Conclusion: Endometritis is the most common form. Risk factors for postpartum infection: Caesarean section, rupture of membranes ≥ 6 hours, prolonged labor. Management attitude in postpartum infections is appropriate

Key words: postpartum infection, endometritis, vaginal delivery, cesarean delivery
Soil-transmitted helminthes infection and related factors among primary school students at Ea Po commune, Cu Jut district, Dak Nong province
Authors: Tran Van Thuy , Hoang Thi Minh Trang , Ngo Van Phuong , Nguyen Thi Cam Nhung
Published: May 2023

Background: Soil-transmitted helminth infection is a common and a significant health problem in poor and developing countries. Children are the most commonly infected with soil-transmitted helminths.

Objectives: To determine the proportion of soil-transmitted helminth and related factors to soil-transmitted helminth infection in primary school students in Ea Po commune, Cu Jut district, Dak Nong province, in 2021.

Material and methods: A cross-sectional study was caried out on 440 primary school students attending two primary schools. Participants were interviewed and collected the fecal to detect soil-transmitted helminths by the Kato technique.

Results: The prevalence of soil-transmitted helminth infection among primary school students was 17.5%. Ethnicity, hand washing before eating, barefoot walking, and toilet were related factors to soil-transmitted helminth infection.

Conclusion: These results reinforce the need to take more effective actions to address soil-transmitted helminth infection in children.

Key words: prevalence, related factors, soil-transmitted helminths.
Assessment of knowledge, attitudes and practical skills in using inhalers for asthmatic outpatients
Authors: Vo Thi Hong Phuong , Phan Dang Thuc Anh , Nguyen Phuoc Bich Ngoc , Ngo Thi Kim Cuc , Le Van Quang , Phan Thi Hoa
Published: May 2023

Background: Asthma is a chronic inflammatory disorder of the airways with increasing prevalence worldwide, becoming a burden for the healthcare system. Currently, inhaled therapy is the mainstay of asthma treatment. Factors associated with the incorrect use of inhalers were lack of knowledge or false beliefs. Incorrect inhalation techniques are the most common reasons that lead to uncontrolled asthma and treatment failure.

Objectives: (1) To survey the knowledge and attitude of asthmatic outpatients towards asthma disease, treatment medicines and inhaler use. (2) To assess the patient’s practical skills in inhalation technique.

Materials and methods: A descriptive cross-sectional study was conducted on asthmatic outpatients treated at Hue University of Medicine and Pharmacy hospital from March 2022 to April 2022.

Results and conclusions: A total of 102 asthmatic patients were enrolled in the study. The proportion of males accounted for 62.7%. The mean age of patients was 59.2 ± 15.4. Regarding knowledge assessment, 31.4% of the patients had good knowledge of diseases and inhalers. Regarding that attitude, 24.5% of patients had a good attitude towards the disease and inhalers. The percentage of patients showing good practical skills in metered dose inhaler use (MDI) and dry powder inhaler (DPI) - Turbuhaler was 54.5%, DPI - Accuhaler was 66.7%.

Key words: bronchial asthma, inhalers, metered dose inhaler, dry powder inhaler
Jesus the Teacher of truth
Authors: Krasicki Arkadiusz , Albin Ana
Published: May 2023

Many people try to historically dispute the person of Jesus of Nazareth. The aim of this paper is to find contrary claims in the Scriptures to prove that Jesus is the eternal Teacher. This implies that Jesus’ mission has not come to end with his mission on Earth. In the first part of the paper, we will explain the Old and New Testaments’ meanings of a teacher. This will be followed with stating the differences between Jesus’ teaching and the teaching of the scribes and Pharisees. The aim of this is to prove the historicity of Jesus of Nazareth. In the second part of the paper, we will deal with the consideration of truth and connect the concepts of authenticity and truth. The eternal teacher of the Truth with his teaching frees those who accept him and encourages them to change their hearts and lives. His teaching transcends time and space boundaries. In comparison to the teachers of this world, Jesus is an authentic teacher who lives all that he teaches as example for his disciples of his communion with his Father. The teaching of Jesus is different from the Jewish teaching, as well as from any other teaching. Jesus as teacher of teachers provides an example of learning, especially in situations of temptation. As a teacher, Jesus has a unique “educational plan” - the doctrine of God’s kingdom and His teaching methods have a strong effect on students.
A Magnetic-Multiplier-Enabled Hybrid Generator with Frequency Division Operation and High Energy Utilization Efficiency
Authors: Chen Jie , Wu Kangjie , Gong Shaokun , Wang Jianchao , Wang Ke , Guo Hengyu
Published: May 2023

The hybrid electromagnetic-triboelectric generator (HETG) is a prevalent device for mechanical energy harvesting. However, the energy utilization efficiency of the electromagnetic generator (EMG) is inferior to that of the triboelectric nanogenerator (TENG) at low driving frequencies, which limits the overall efficacy of the HETG. To tackle this issue, a layered hybrid generator consisting of a rotating disk TENG, a magnetic multiplier, and a coil panel is proposed. The magnetic multiplier not only forms the EMG part with its high-speed rotor and the coil panel but also facilitates the EMG to operate at a higher frequency than the TENG through frequency division operation. The systematic parameter optimization of the hybrid generator reveals that the energy utilization efficiency of EMG can be elevated to that of rotating disk TENG. Incorporating a power management circuit, the HETG assumes the responsibility for monitoring the water quality and fishing conditions by collecting low-frequency mechanical energy. The magnetic- multiplier-enabled hybrid generator demonstrated in this work offers a universal frequency division approach to improve the overall outputs of any hybrid generator that collects rotational energy, expanding its practical applications in diverse multifunctional self-powered systems.
"Time of Theatre or How We Made a Fairy Tale with Auntie Ilonka, the Wild Woman"
Authors:   ", PALOCSAY Kisó Kata ,   Hungarian Theater Department within Faculty of Theatre and Film, Babeș-Bolyai University."
Published: May 2023

"There is human time and there is wild time. But there is also the time of love and peace and care. And there is the time when stories are born. The text describes the puppet performance for adults called Ilonka. Ileana Lăcătuș, Ilona Lakatos was a Gypsy woman who lived with her daughters and their families in a small basement flat in a small street near the Slaughterhouse in Cluj Napoca. We had known each other for more than twenty years. For me she was the archetype of the Wild Woman, the timeless, who stands on the borderline between myth and reality like La Loba. This realization led me when I decided to bring her life stories to life in a puppet show, because who could convey this story, in which life can turn into death and death into life at any moment, more aptly and authentically than a puppet? Where can you step out of time (and space too) better than in a puppet theater? Aunt Ilonka’s life stories are minority stories and universal, because they are based on the same general female roles and situations, regardless of time and geographical coordinates, culture, social background, and skin color. These are built on four major Motifs: 1. “I was afraid” 2. “I say, it’s good” 3. Moving on, progress 4. Fairy godmothers The puppet show for adults entitled Ilonka 96 was co-created by Kata Palocsay, who selected the text from Csilla Könczei and Ilonka Lăcătuș’s book entitled Aunt Ilonka and directed the performance. András Hatházi, who dramatized the selection. Emese Erdei, who performed in the play. The scenery was designed and created by Kata Palocsay, Emese Erdei and Rebeka Hatházi. The stage movement was set by Enikő Györgyjakab. Dorottya Balog assisted in moving the marionette. The technical assistant of the performance was Júlia Sipos. The video projections include animated images of Gypsy artists’ works and an excerpt from the film by Csilla Könczei and Tibor Schneider, starring Ilonka Lăcătuș. Because time passes in vain. We in the theater are always in the present tense."
The Art of Dance and The Human Body in Motion
Authors:   George Enescu National University of Arts of Iasi - Faculty of Theatre,, ENACHE Lorette
Published: May 2023

"Through this study, I have developed an invariant relationship between dance art and theatricality and dramaturgical context that reveals a complex picture of the human body in motion. The human body becomes a syncretic modulation of corporeality and gesturality through dance in theatrical discourse. As a medium of expression and reception, contemporary dance addresses multiple registers, including physicality, energy of the body-subject itself, and multiple sonorities. Consequently, contemporary art is constantly researching and interpreting spaces in which the geography of the body is shaped in an increasingly personal and intimate way. Dance is increasingly imprinted with personal searches, inner questions, nuanced through each spectacular presentation, reflecting the world in which we live geographically."
The Merry Widow 2.0. Andrei Șerban
Authors:   Faculty of Theater – UNAGE Iasi, AVRAM Cristi
Published: May 2023

"Review the show or the article `Merry Widow 2.0. Andrei Șerban` traces the journey of bringing an operetta completed and premiered in 1905 up to date. Adapting and relating a musical composition to contemporary reality is an arduous process that requires rigorous probing into the depths of the libretto, the spoken text and the music to bring out their universality and relevance. By following the two versions made by director Andrei Șerban in Romania, the one in 2016 and the one in 2023, I try to point out that the mirroring of the present in contemporary art is not only a necessity to speak to the man of today about his world, but also defines the purpose of art, which must direct the gaze of the receiver towards himself and the world around him"
About the timeless time in theater
Authors:   Doctoral student at the Faculty of Theatre, ", PANDELE Georgeta Simona ,   George Enescu",   National University of Arts in Iași
Published: May 2023

"The theater from the perspective of physical time is the theater of antiquity, middle ages, renaissance, classicism, romanticism, realism or the modern period. The primitive man's first approaches to theatrical art 313 will be realized through mimicry and in and will express man's need to assert himself through an instinctive-emotional manifestation supported by his innate gift to approach others through imitation 314 . If in its beginnings, this creative act of prehistoric man was chaotic, in time, it became a complex theatrical manifestation, which will mirror the evolutionary trajectory of the individual in relation to the human species. The etymology of the word „theatre” shows us its double semantic quality. It comes from the ancient Greek θέατρον‎ („a place for viewing”) 315 , from θεάομαι („to see, look at, observe”), and is both a theoretical-poetic notion and an artistic representation that will cause man to look at himself mirrored in his world, becoming a theatrical reflection of times long past into the immediate present."
PENGARUH KEPUTUSAN PENDANAAN, KEPUTUSAN INVESTASI DAN KEBIJAKAN DIVIDEN TERHADAP NILAI PERUSAHAAN
Authors: Pratiwi Utari Mega , Oktavianna Rakhmawati
Published: May 2023

ABSTRACT

This study aims to obtain empirical evidence of the effect of funding decisions, investment decisions, and dividend policies on company value in financial companies listed on the Indonesia Stock Exchange for the 2017-2021 period. This type of research is quantitative. The population in this study are financial companies listed on the Indonesia Stock Exchange for the 2017-2021 period. This sampling technique uses purposive sampling, that is, the data collection is adjusted to a predermined withdrawal. The samples obtained from this study were 24 companies. The statistical test used is the Data Regression Analysis Panel. Data analysis techniques in this study were processed using the Eviews statistical software program version 10. Based on the results of the hypothesis testing that has been done, it was found that Funding Decisions, Investment Decisions, and Dividend Policy have a simultaneous effect on Firm Value Partially, Funding Decisions and Investment Decisions have an effect on Firm Value, while Dividend Policy has no effect on Firm Value
Pengaruh Literasi Keuangan, Kontrol Diri, Konformitas Hedonis, Penggunaan Electronic Money, Gaya Hidup dan Lingkungan Teman Sebaya Terhadap Perilaku Konsumti
Authors: Kurniawan Asep , Mulyati Sri , Tribuana Lita
Published: May 2023

Penelitian ini bertujuan untuk mengetahui pengaruh literasi keuangan, kontrol diri, konformitas hedonis, penggunaan electronic money, gaya hidup dan lingkungan teman sebaya secara parsial dan simultan. Data yang digunakan dalam penelitian ini adalah data primer dengan cara penyebaran kuesioner. Metode yang digunakan dalam pengambilan sampel adalah metode non probability sampling dengan teknik purposive sampling dan jumlah sampel dalam penelitian ini berjumlah 202 responden yang merupakan mahasiswa jurusan Akuntansi yang berkuliah di Universitas yang berada di Jawa Barat. Data tersebut diolah menggunakan metode uji asumsi klasik, analisis linear berganda, uji t dan uji F. Hasil penelitian menunjukan bahwa secara parsial (uji t), variabel literasi keuangan dan konformitas hedonis tidak berpengaruh terhadap perilaku konsumtif. Sedangkan variabel kontrol diri, penggunaan electronic money, gaya hidup dan lingkungan teman sebaya berpengaruh terhadap perilaku konsumtif. Hasil secara simultan (uji F) menunjukan bahwa literasi keuangan, kontrol diri, konformitas hedonis, penggunaan electronic money, gaya hidup dan lingkungan teman sebaya berpengaruh secara simultan terhadap perilaku konsumtif.
Review Article Olive Fruit Fly Bacterocera Oleae Infestation of Olives: Effect on Quality and Detection in Olive Oil
Authors: Amr Ayed , Sadder Monther , Sakarneh Nawal
Published: May 2023

Bacterocera oleae ‎ is the most common olive fruit pest in Jordan. The high incidence of olive fruit infestation with fruit fly in its stages of larvae and pupa is a common problem in olive oil production. Although not detected by simple means, it is believed to impart a “Grubby” taste that is detected only by experts and results in lowering the value of the oil from infested fruits. The effect of damage caused by B. oleae ‎ depends on the degree of infestation which is manifested in the presence of exit holes (EH) produced by the full-grown larvae which destroy the fruit skin and expose it to oxygen and other destructive factors like fungi. This results in the acceleration of hydrolytic and oxidative types of rancidity which can be estimated by measuring oil acidity (FFA) and peroxide value (PV). This review covers the literature related to the effect of olive fruit fly infestation on the quality of olive fruits and oil and the methods used in its control and detection.
Helicity-resolved Raman spectroscopy of mono- and a few-layers-thick PtSe2
Authors: Yasuda Isamu , Kawada Takuya , Matsumoto Hiroki , Kawaguchi Masashi , Hayashi Masamitsu
Published: May 2023

We studied helicity-resolved Raman scattering in PtSe2 flakes with different thicknesses. The peak amplitude of helicity-switched Raman scattering is significantly larger than that of helicity-conserved scattering for the in-plane E

g
mode, consistent with the Raman tensor analyses and conservation law of angular momentum. The peak amplitude of the helicity-switched E

g
mode is larger for the thinner flakes. In addition, we find Raman peaks near the energy levels of IR-active E

u
and A
2u
modes, only for monolayer and a few-layers-thick flakes. Interestingly, these peaks manifest themselves only for helicity-switched Raman scattering; they are nearly absent for helicity-conserved scattering.
Sosialisasi Pencegahan Perundungan Siber pada Siswa-Siswi SMAN 1 Parigi Pangandaran Kelas XIPA1 dan XIPA2
Authors: Masrina Dwi , Kurniawati Linda , Sirait Rinda Aunillah
Published: May 2023

The socialization of cyberbullying prevention aims to increase awareness of Pangandaran students about the dangers of cyberbullying and to increase their understanding of the digital culture and ethics of Pangandaran students. The activity was carried out using the lecture method and interactive question and answer. From the results of testing the pre-test and post-test data to measure participants' understanding of the socialization material delivered by the team, it was found that the socialization of cyberbullying prevention increased participants' knowledge about cyberbullying practices.
Penyuluhan Bahaya Penipuan Online sebagai Bentuk Peningkatan Literasi Digital bagi Masyarakat
Authors: Winarno  , Prasojo Yudin Joko , Ibrahim Maulana Malik , Joanida Tesalonika Ajeng , Saskya Nanda , Irgarenata Janeayun
Published: May 2023

Fraud is a crime committed for the benefit of one party or oneself at the expense of another party. With the development of the digital age, fraud can be carried out online as fraud today knows no boundaries of time and place. Bago Village is one of the remote villages in Slagen District that needs to improve its digital literacy. This is evidenced by the continued online fraud in the Bago village area. To avoid these problems, a digital competence consultation can be conducted. The purpose of this advice is to avoid online scams, use electronic devices more cautiously, and improve your digital prowess when dealing with social media. As a method, after socialization, the participants are measured by a questionnaire, and the counseling method is used to evaluate the results. The survey revealed that almost everyone in Bagor Village, Miri and Slagen use social media in their daily lives. In addition, 93.94% of the counseling participants were satisfied with their counseling activities regarding online fraud and improved their digital literacy knowledge to always be cautious when using social media. Finally, 95.45% of the participants hoped that such activities would be held regularly due to the rapid development of technology. This indicates that the expansion measures have been successfully implemented and have had a positive effect.
Literasi Bahaya Penggunaan Radiasi pada Siswa Madrasah Tsanawiyah Miftahul Ulum Melirang Bungah Gresik
Authors: Ramadhani Nastiti Faradilla , Saputra Deny , Nurrachman Aga Satria
Published: May 2023

Radiation is any kind of energy transmitted without an intermediate medium. Radiant energy is generally wave-shaped, most commonly sinusoidal. There are two types of radiation: ionizing radiation and non-ionizing radiation. Ionizing radiation is radiation that causes the process of ejecting electrons from atoms to form ion pairs. Attention should be paid to ionizing radiation, particularly its sources, types, properties, effects, and methods of avoidance. Ionizing radiation is well known, for example radiation from X-rays. Non-ionizing radiation can occur in equipment and mobile phones. Miftaful Ulm Merilan Madrasah Tsanawaya School is in Merilan Village, Bunga District, Eastern Gresik Regency. The location of this school is far from the city center. Student health contributes to the smooth running of the educational process. There is a lack of knowledge and awareness among students and residents in Bunga district that radiation hazards affect their quality of life. A technical implementation of this training will help you address the material. Students were assessed using pretests and posttests. The mean score before the pretest was 32.7, and after listening to the material and after the posttest was 80.
Pembinaan Pelaku Usaha Perempuan Melalui Pelatihan Manajemen Usaha dan Keuangan Bagi Pelaku UMKM di Gampong Meuria Paloh Kota Lhokseumawe
Authors: Fuadi  , Juanda Reza , Ningrum Rani Puspita , Munardi  , Khairawati  , Falahuddin
Published: May 2023

The aim of this non-profit initiative is to find solutions to the problems faced by women entrepreneurs in the village of Meulia Paro, Lhoksumawe. Issues identified include lack of knowledge and motivation in online business, lack of understanding of financial management when running a business, lack of capital and knowledge when managing long-term assets, and lack of understanding of Islamic business ethics. etc. As a method of implementing this activity, we conduct preliminary observations, approaches based on social observations, examine issues, and find appropriate solutions. The implementation phase includes interaction, counseling and training for her MSME business people in Meuria Paloh Village. Evaluation is done by observing the economic agent again after the end of the philanthropic activity. The conclusions of this non-profit activity indicated that most of the training participants had limited knowledge and motivation for online business, poor understanding of Islamic business ethics, and poor financial management. I'm here. Therefore, this outreach can provide sustainable solutions for women entrepreneurs in Meulia Paro village, improve the quality of their business, understand Islamic business ethics and financial management, and expand the market for MSME products. is expected.
The Effect of Training, Career Development and Competence on the Performance of PDAM Tirta Kamuning Employees in Kuningan Regency
Authors: Roharyani Wike , Maryam Siti , Rudiantono Yodi , Wibowo Sandi Nasrudin
Published: May 2023

This study aims to analyze the effect of training, career development and competencies jointly and partially on the performance of PDAM Tirta Kamuning employees in Kuningan Regency. This study used quantitative methods using questionnaires. The population in this study was 161 permanent employees of PDAM Tirta Kamuning, Kuningan Regency. The sampling technique with proportional stratified random sampling and the number of samples determined based on the Slovin formula obtained by 62 respondents. Data analysis uses classical assumptions, multiple linear regression, coefficient of determination and hypothesis tests (t-test and F-test). The results showed that: (1) training had a positive and significant effect on employee performance as evidenced by the calculated tstatistic > ttable, namely 2.107 > 1.671 and the sig value of 0.039 < 0.05, (2) career development had a negative and significant effect on employee performance indicated by the calculated tstatistic < ttable namely -2,070 < 1,671 and sig value 0.043 < 0.05, and (3) competence has a positive and significant effect on employee performance indicated by a calculated tstatistic > ttable which is 3.087 > 1.671 and a sig value of 0.003 < 0.05. Meanwhile, the results of simultaneous tests showed that training, career development and competence had a significant effect on the performance of PDAM Tirta Kamuning employees in Kuningan Regency, which was shown by the  calculated Fstatistic >  Ftable, namely 7.964 > 2.76 and a sig value of 0.000 < 0.05.
Pengaruh Kecerdasan Emosional dan Kecerdasan Spiritual terhadap Perilaku Etis dengan Locus of Control sebagai Variabel Moderating pada Karyawan Dazzle di Yogyakarta
Authors: Hidayat Rohmat , Rokhman Nur
Published: May 2023

Penelitian ini bertujuan untuk menguji pengaruh kecerdasan emosional dan kecerdasan spiritual terhadap perilaku etis pada karyawan dengan locus of control sebagai variable moderating. Penelitian ini dilakukan pada bulan Mei sampai Juli 2021 di Dazzle Store Yogyakarta. Pengumpulan data dilakukan dengan menggunakan kuesioner. Sampel dalam penelitian ini adalah karyawan yang bekerja di Dazzle Gejayan dan Super Dazzle Jakal Yogyakarta yang berjumlah 76 dari 190 karyawan dan pengambilannya dengan model probability dengan metode disproportionate stratified random sampling. Teknik analisis data yang digunakan adalah uji validitas, uji reliabilitas, asumsi dasar dan klasik, analisis MRA, uji t,serta uji F. Hasil penelitian ini menunjukkan bahwa kecerdasan emosional tidak berpengaruh terhadap perilaku etis, kecerdasan spiritual tidak berpengaruh terhadap perilaku etis dan locus of control tidak bisa memoderasi hubungan kecerdasan emosional serta kecerdasan spiritual terhadap perilaku etis pada karyawan.
EVALUATION OF INDUCTION OF LABOUR IN TERM PREMATURE RUPTURE OF MEMBRANES BY PGE2 GEL VS INTRAVENOUS OXYTOCIN INFUSION
Authors: Singh Supriya , Agarwal Shivani
Published: May 2023

Premature rupture of membranes (PROM) refers to rupture of fetal membranes prior to onset of regular
uterine contractions. It continues to be one of the most vexing issues of obstetrics due to increased
maternal and fetal morbidity and mortality due to delayed intervention. A total of 240 women were divided into two equal groups
to receive either i.v. oxytocin or intracervical PGE2 gel by odd-even method with the aim to compare induction to delivery interval
and maternal and fetal outcome in both groups. They were followed from admission till discharge of the patient after delivery.
Induction to delivery interval was found to be more in PGE2 group but maternal and fetal outcomes were comparable in both
groups
A PHILOSOPHICAL COMMENT ON THE MODIFICATIONS IN RAJASTHAN RIGHT TO HEALTH BILL 2022
Authors: Mariano Anto Bruno Mascarenhas J , Balachandran Karthik
Published: May 2023

The Government of Rajasthan introduced the Rajasthan Right to Health Bill, 2022, which was passed in March 2023 after being referred to the Select Committee. Doctors in Rajasthan expressed apprehensions about the Bill, which led to the government modifying some clauses in the Act. As per the "Memorandum of Understanding between IMA and PHNHS and UPCHAR and State Government," certain private hospitals will be excluded from the Act. Hospitals run by trusts and those established on a Public-Private Partnership (PPP) mode will be covered under the Act, and there will be a single-window system for licenses and approvals for hospitals. The paper then draws parallels between the recent situation in Rajasthan and how the unied voice of people has the power to achieve a common goal. It highlights the stories of the fall of the Jericho wall, the destruction of the demon king Hiranyakashipu, and the siege of the city of Ta'if, which demonstrate the power of sound and the importance of a unied voice.
UNUSUAL COLOR OF URINE AND SERUM, SHOULD ONE INVESTIGATE THE CAUSE OR NOT?
Authors: Bhide Milind , Nikhil K Majethia , Ajay A Phadke
Published: May 2023

Laboratory diagnosis has become the cornerstone for all clinical diagnosis and treatment, with the advent of genetic workups like DNA sequencing and FISH prognosis of diseases also coming under the umbrella of lab tests. However, the time-tested methods for the analysis of samples before processing (which in the era of accreditation comes under the pre-analytical phase) are still very important in suspecting if not diagnosing disorders apart from preventing pre-analytical errors because of hemolysis, lipemia, QNS, mislabeling, etc. A Yellow serum sample in a rack of tubes is quite common in the laboratory which suggests hyperbilirubinemia. We here like to report a case of 12 years old female child who presented for routine blood and urine testing as she was suffering from low grazed fever, abdominal pain, and loose stool. One look per se the picture favors an infective etiology. But on a collection of specimens the serum turned out to be greenish and the urine too was dark green in color (Fig 1&2) So the questions that we tried to answer by this article are what caused this change in plasma color? what other conditions could cause blood discoloration? And are there concerns or possible interference with laboratory tests? On reviewing the literature, we came across various causes of green discoloration of urine, and interferences encountered routinely which we have discussed in our article. On follow up the child was all right after treatment and has no further episodes of such discoloration
A STUDY OF PREVALENCE OF H. PYLORI IN PATIENTS WITH DYSPEPSIA UNDERGOING UPPER G.I ENDOSCOPY AT OUR INSTITUTE
Authors: Bhagwan Yadav Indrajit , Umakant Patil Brijesh , Vaidya Samruddhi
Published: May 2023

Aim: A Study Of Prevalence Of H. Pylori In Patients With Dyspepsia Undergoing Upper G.i Endoscopy At Our Institute Study design- This is a Prospective observational study of patients treated at Tertiary health Care Centre, Pune. Type of study- Prospective observational study. Period of study- September 2020 to May 2022. Sample size150 patients with symptoms of dyspepsia. Conclusion: On Rapid Urease Test kit, H. pylori was found to be 56.67% prevalent in patients with dyspepsia who underwent upper gastrointestinal endoscopy.
EFFICACY OF VITAMIN D SUPPLEMENTATION IN PATIENTS WITH CHRONIC LOW BACKACHE – A PROSPECTIVE STUDY
Authors: Keerthi Chennuri , Neeraja K. , Sharon Sonia S.
Published: May 2023

Background: Chronic low back ache (LBA) is one of the commonest and expensive ailments of youngsters with ambiguous pathophysiology leading to a signicant loss of productivity. Studies established that the vitamin D is a proven anabolic hormone for the entire musculoskeletal system. This study was designed to evaluate the differences in outcomes with various oral formulations of vitamin D available in the market. This Methodology: study is a randomised, prospective, open label analytical study of a cohort of patients with LBA and hypovitaminosis D from June 2022 to August 2022. Patients were sequentially randomized to one of the three treatment subgroups (Granule group, Nano Syrup group, Soft gel capsule group) named after the vit.D formulation they received after establishment of clinical, radiological and biochemical eligibility. Total number of 145 subjects were screened, among them 119 subjects were eligible and 87 have completed the study. Vitamin D supplementation of 60,000 IUs per dose for ten consecutive days (pulse-D therapy) was given in form of granule (1 g sachet) or nano syrup using aqueous nanotechnology (5 mL bottle) or soft gel capsule. Adverse drug reaction recording chart was provided to all patients and was reviewed regularly. The patient's weight was measured on day 0, week 3, week 6, week 9 and week 12. Hypovitaminosis D is a potential Results: causative factor for LBA in addition to the other known factors. The results obtained with nano syrup formulation were signicantly better compared to other formulations. Vitamin D can play an important role in pathogenesis and treatment of LBA. Nano Conclusion: formulations developed with aqueous technology have shown enhanced stability, water solubility, bioavailability, signicantly better improvement in vitamin D level and functional outcome in low back pain
ANALYSIS OF THE SOLVENCY POSITION OF SELECTED INDIAN BANKING SECTOR IN CONTEXT WITH PEARLS ANALYSIS
Authors: Kumarie V Vimal
Published: May 2023

PEARLS is a critical tool or technique to determine the nancial stability of banks. It includes protection, Effective Financial Structure, Asset Quality, Rates of Return and Cost, Liquidity and Signs of growth. Here, this paper compares the solvency position of eight selected Indian Public and private sector banks named, SBI, Punjab National Bank, Indian Bank, bank of India, HDFC, ICICI, AXIS, Karur Vysya Bank, which have been analysed for the period of ve years i.e. from March 2018 to March 2022. The ndings highlighted that there is a signicant difference in the solvency ratio of selected public and private sector banks.
PYRO TERROR: FOREST ARSONS
Authors: Muchtar Ofer
Published: May 2023

ntroduction: Stereotypes and pre judice are human traits. It seems that they accompanied humanity since its beginning when people saw or meet somebody, and had to judge him as an enemy or as a friend. In this view, these traits are part of the evolution of human kind, hence, they should be important and valued. Is it? As we will show these traits may destroy the life not only of a person, but those of communities that are different in their origin, nationality, gender, skin color and age. People may be labelled as dangerous to society in accordance to their born status, and they may nd themselves at the lowest strata of their society or culture (Adams -Quackenbush et al. 2019; Barlow & Barlow, 2002; Deskins et. Al. 2017; Park & Wittenbrink, 2002; Plous, 2003). Our article addresses stereotypes and pre judice as an attitude, conscious or unconscious, among the public in relation to forest arsons in Israel. These attitudes are common among the police, and the judicial system. The personal of these systems are members of the culture, inuence by it and inuence back on it. In other words these personal are mirror of the attitudes which are common in the society they serve and inuence this society until there is a loop of attitudes between culture, society and the judicial system. Many studies found out that police ofcers, prosecutors and even judges use the notion of proling to mark certain marginal groups as more dangerous to society. This so-called proling justies arrests, prosecutes, and more severe punishment in the name of society's security. As a result, the mass media and the public accept this proling and develop stereotypes and prejudgment against these groups. In many countries these traits address against immigrants, women, young people, black skin color and other characteristics, which make them more vulnerable to media hype, being arrest more easily and punish more severely. As a result, they become more exposed to negative labels and pre judice. Our article addresses these issues in relation to arson in Israel and show how stereotypes and pre judice among the public make the media and the public to believe that and to blame Arabs in eco terrorism of forest arsons, while the data shows that only 2% of the arsons are motives by national ideology (i.e., Terror).
RETROSPECTIVE STUDY ON CLINICAL OUTCOME OF STROKE IN RELATION TO ADMISSION DAY GLYCEMIC STATUS IN A TERTIARY CARE HOSPITAL
Authors: L Raghavendra , A Kalyankar Mohit , M Yuvashri
Published: May 2023

Stroke or cerebrovascular accident is an abrupt onset of a neurological decit lasting for more than 24hrs that is attributable to a focal vascular cause. Hyperglycemia and stroke appear to be related in two ways. First incidence of stroke is known to be higher in diabetics than non diabetics. Second it has been suggested that even in non diabetics relatively mild degree of hyperglycemia early in stroke might increase infarct size and lead to poor prognosis. A record based retrospective study was conducted at a tertiary care hospital to determine the admission day glycemic status of patients with cerebrovascular accident and to record the outcome. Datas of 30 patients admitted with cerebrovascular accident in the past year was obtained and analysed for demographic and clinical features. It was observed that hyperglycemia was noticed in 63% of patients in general and hyperglycaemia is positively associated with poor functional outcome. Hence, there is an urgent need to conrm the improvement in these patients by normalizing blood sugar
PHYCOBILLIPROTEINS AND ITS ECONOMIC VALUES – AN OVERVIEW
Authors: Devika R , Ramya AK
Published: May 2023

Marine ecosystem plays an important role in the country's economy for its valuable resources and top listed in the productivity environment. The plants and algae are known for its medicinal values and they are used in the primary health care and the bioactive compounds are proven to have therapeutic values. The special properties of phycobiliproteins are photosensitizer, chemical and thermal stability at varied pH. Phycobiliproteins extracted from macro and micro algae has wide applications in various industrial sectors like food, colourant, medicine, analytical sensing, pharmaceutical industries etc.
A STUDY OF CORE-CUT BIOPSY AND FNAC FINDINGS IN A CLINICALLY PALPABLE BREAST LUMP
Authors: Sandesh Shah Piyush , Jadhav Sandip , Sonsale Rajesh
Published: May 2023

Aims And Objectives To nd the sensitivity and specicity of FNAC and Core-Cut biopsy. To study the efcacy of FNAC and Core-Cut biopsy with that of Histopathological (gross specimen) study in diagnosing a breast lump. To nd limitations of FNAC and Core-Cut biopsy Materials and Method: This is Hospital based Interventional study at Tertiary care centre in the department of General Surgery. All patients admitted during the period of 24 months with palpable breast lump coming under the eligibility criteria will be subjected for FNAC and Core-Cut biopsy after obtaining informed consents. Data Entry is done by using MS Excel and Analysis is done by using Suitable Statistical tests. Results: Our study of 70 patients, age incidence was ranged from 18 to 70 years. The age incidence for the benign lesions ranged from 18 years to 64 years (Mean age 38.5 years, SD= 12.56 years). The incidence for the malignant lesions ranged from 25 to 70 years (mean age 51.06 years, SD= 10.62 years). Out of total 70 patient, 49 patients had lump in right breast, 21 had lump in left breast. Our study True positive for FNAC was 38(54.28%) True negative was 26 (37.14%) and false positive was 0 and false negative were 6 (0.08%), which lead to the interpretation of sensitivity of 86 % for FNAC and specicity of 81.12% for FNAC. Our study True positive for Core-Cut biopsy was 42(60%) True negative was 26(38%) and False positive was 0(0%) and false negative was 02(2.85%), which lead to the interpretation of sensitivity of 95% for Core-Cut biopsy and specicity of 92.85 % for Core-cut biopsy. For Core-Cut biopsy in our study positive and negative predictive value was found to be 100% and 59.09% respectively Conclusion: As Both Sensitivity and Specify of Core-Cut biopsy is far superior than FNAC, and more number of False Negative reports in FNAC, where we can miss the Malignant breast Lump, we conclude that, Core-Cut Biopsy is far superior to FNAC in the diagnostic approach of breast cancer and, especially in cases of doubt, it is preferable to proceed directly with Core Cut biopsy.
RETROGRADE INTUBATION OF PAEDIATRIC DIFFICULT AIRWAY WITH TMJ ANKYLOSIS.
Authors: J. Karthiga R. , Ramsesh Manohar R. , Divya V. , Lakshmi R.
Published: May 2023

Temporomandibular joint (TMJ) ankylosis is a restriction of movements caused by intracapsular brous
adhesions, brous ankylosis and osseous ankylosis of TMJ joint. Trauma is the main cause of TMJ
ankylosis. The anaesthetic management of paediatric patient with TMJ ankylosis is highly difcult task because child will be
anxious with limited mouth opening. Hereby we are presenting a case of 12 year old child with TMJ Ankylosis with severely
restricted mouth opening(<3mm) posted for release of the ankylotic mass with distraction osteogenesis and interpositional
graft placement using dermis fat. Fiberoptic nasotracheal intubation is the gold standard method of securing airway but in
resource limited setting we have described a retrograde intubation using COOK retrograde intubation set with the help of guide
wire and bougie for securing airway after giving sedation with fentanyl, ketamine, transtracheal block and airway nebulisation
with 4% lidocaine. Spontaneous ventilation was maintained till securing the airway. The airway was secured without any
complications. Post op mouth opening was adequate, hence patient was extubated uneventfully.
SPONTANEOUS CAECAL PERFORATION IN PREGNANT FEMALE: A RARE CASE REPORT
Authors: Kumar Davinder , Verma Charu , Chauhan Sandeep , Malik Sandeep , Rekha Mantri Krishna , Zion Zion , Verma Shivam
Published: May 2023

Caecal perforations are rare to occur spontaneously than colonic perforation. Due to physiologic changes
and limitations on several diagnostic imaging modalities, preoperative diagnosis of the caecal perforation is particularly challenging in pregnant women.
STONE ANALYSIS- A 5 YEARS REVIEW
Authors: Nikhil K Majethia , Ajay A Phadke , Avinash A Phadke
Published: May 2023

Kidney stones are solid masses that are formed when there are high levels of calcium, oxalate, cystine, or phosphate and too little liquid. There are different types of kidney stones. Calcium oxalate stones are the most common type of kidney stone. Nowadays it is thought that kidney stones are a systemic disorder. The stone composition can differ from a distinct single crystal to a compound mixture of many dissimilar crystals. The epidemiology of kidney stones is evolving. The gender gap has narrowed, and diet, obesity, and environmental factors have been implicated. Understanding of the epidemiology is required to comprehend the degree to which modiable etiological factors are responsible for stone formation and to undertake measures for preventing recurrence. Many methods for stone analysis are available, including dry and wet chemical spot tests, X-ray powder diffraction, Fourier transform infrared (FT-IR) spectroscopy and Raman spectroscopy. The Guidelines on Urolithiasis of the European Association of Urology recommend infrared spectroscopy or X-ray diffraction for kidney stone analysis and consider wet chemical tests as outdated. Have shared our experience with FITR for kidney stones analysis in this article.
CARDIOMYOPATHY IN CASE OF SCORPION BITE
Authors: Vij Niti , Hisaria Shraddha , Joshi Anil
Published: May 2023

Scorpion stings are really painful but rarely harmful. Scorpion
envenomation is potentially fatal in many regions
worldwide.The sting effect depends on the size of the victim,
the season, the age of the offender and the delivery dose of the
scorpion [1,2]
A RARE CASE OF SHEEHAN'S SYNDROME .
Authors: Ayesha Tajuddin Gadiwan , Shubham Ghogal , Bhattacharya Meenakshi
Published: May 2023

Sheehan's syndrome is postpartum hypopituitarism caused
by necrosis of the pituitary gland.(1) It is rare complication
which occurs in 1 out of every 100,000 births globally and is the
most common cause of hypopituitarism in low- or middleincome countries [2, 3]. It is reported that Sheehan's syndrome
accounts for 0.5% of all known cases of hypopituitarism in
females [4]. The disease is deemed “rare” in industrialized
nations, but in developing nations, due to a lack of access to
sophisticated medical procedures, skilled professionals, and
medical resources, which contributes to a higher prevalence
of postpartum hemorrhage and subsequent Sheehan's
syndrome, it is said to occur in 5 out of every 100,000 births [5,
6]. The prevalence is much higher in developing countries,
with a prevalence as high as 3.1% in a state in India where
more than half of the affected individuals had home deliveries
[7]. The underlying process leading to Sheehan's syndrome is
the infarction of the physiologically enlarged anterior pituitary
lobe (due to hyperplasia of prolactin secreting cells as a result
of elevated estrogen secretion) and secondary to the
compression of the blood vessels supplying the gland by the
enlarged gland itself or due to grossly decreased blood.
CLAUDIN AND VASCULAR ENDOTHELIAL GROWTH FACTOR (VEGF) AS BIOMARKERS AND ITS CORRELATION WITH SEVERITY OF DENGUE
Authors: Bhargavi R. , Hanifa Mohammed , Kumar Agiesh , Venkatesh Prasanna
Published: May 2023

The consequences of DENV infection range from asymptomatic condition, dengue fever (DF), or severe forms, such as dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS). In this study we would like to get the circulatory levels of Claudin 1 and VEGF A and compare it's association with the severity of the dengue disease
Ripensare la signoria rurale trentina
Authors: Varanini Gian Maria
Published: May 2023

The essay reconstructs the development of studies on rural lordships in Trentino during the 19th-20th centuries, the period of the dissolution of a seigniorial system that had survived almost six hundred years.
Famiglie signorili delle valli di Non e di Sole
Authors: Bettotti Marco
Published: May 2023

With reference to the 14th and 15th centuries, the essay analyses the specific characteristics of the rural lordships of the Val di Non and Val di Sole, territories of the Episcopal principality of Trento, particularly subject to Tyrolean influence.
Tra nord e sud. Le signorie rurali in valle dell’Adige, nella piana Rotaliana e in valle di Cembra
Authors: Tomedi Andrea
Published: May 2023

With reference to the 14th and 15th centuries, the essay analyses the specific characteristics of the rural lordships of the Adige valley, on the border between the territory subject to the bishop-prince of Trento and the southern Tyrol.
Vescovi e signori rurali nella regione trentino-tirolese tra XIV e XV secolo
Authors: Tomedi Andrea
Published: May 2023

The essay illustrates the progressive weakening of the figure of the prince-bishop of Trento, feudal lord of most of the holders of castle lordships in the Trentino area. During the fourteenth century and especially the fifteenth century, noble families learned to look to Vienna and Innsbruck and to participate in the Tyrolean diets. With the sole exception of Alexander of Mazovia, the Trentino prince-bishops following Niccolò da Brno were all faithful to the empire and indeed strong supporters of it.
‘Er wordt heel weinig met de kinderen gesproken’
Authors: Hermanns Jo
Published: May 2023

Bij kindermishandeling is er een eerste reflex die zegt: ‘Dit kan niet’. Het is deels een intuïtie, maar wel een die je hebt op basis van kennis en ervaring, in combinatie met je onderbuikgevoel. De vaak gebruikte term ‘niet-pluis-gevoel’ vind ik wat zwak. Die zegt niet meer dan: hier gaat iets niet goed. Maar ik schrik niet bij iedere draai om de oren. Nee, mijn gevoel moet zeggen: dit kan niet, hier moet een grens getrokken worden. Als je dat constateert, probeer je eerst te helpen, maar niet meer zo vrijblijvend. U
‘Ethiek gaat ook over lovenswaardige zaken’
Authors: Cusveller Bart
Published: May 2023

De verpleegkunde is geworteld in een morele onderneming, namelijk: goed doen voor mensen die dat nodig hebben. Een verpleegkundige moet zich daarvan bewust zijn. Beroepsethiek gaat voor mij niet over mooie boeken of stappenplannen, maar over het vermogen expliciet te maken wat het morele is dat in het vak schuil gaat. Als je dat niet expliciet maakt, ontstaat het gevaar van eenzijdigheid. Ik denk dat we dat nu te vaak zien in de zorg. Het beheersen bedrijfsmatige denken heeft dan de overhand.