bluuebunny/crossref_metadata_2025 huggingface dataset:
Socialization and Counseling to Enhance Teenagers' Understanding of the Dangers of Addictive Substances for Students of Harapan Tiga Private High School
Authors: Aritonang Barita , Syarifuddin Shofian , Sitepu Rahmadani , Meilani Debi
Published: July 2024

Community Service aims to enhance students' understanding of Harapan Tiga Private High School's dangers of addictive substances and their impact on physical and mental health. Additionally, community service strives to encourage positive attitudes and behaviors so that students can face pressures and temptations without resorting to addictive substances. Adolescence is a critical period where teenagers undergo various developmental tasks and social pressures, including the risk of drug abuse. Through a comprehensive program of socialization and counseling, students are provided with information about types of addictive substances, their negative impacts, and strategies to combat peer pressure. The implementation method involves a collaborative approach with the school, preparation stages, activity planning, and partner participation. The results of these activities show an increase in students' understanding of the dangers of addictive substances, positive attitude changes, and the establishment of cooperation between the school, parents, and the community in preventing drug abuse among teenagers. Teaching knowledge about addictive substances and their misuse from an early age, through both formal and informal education, plays an important role in shaping teenagers' understanding of the dangers of addictive substances. By increasing understanding and awareness among teenagers, it is expected that the risk of drug abuse will decrease and their quality of life will improve. In conclusion, the results of community service show a significant increase in students' understanding of the dangers of addictive substances and the formation of positive attitudes, thereby preventing drug abuse among teenagers.
Education about The Importance of Husband and Family Support Regarding Pregnant Women's Anxiety Trimester III in Facing The Process Labor
Authors: Silalahi Lenny Sepriani , Sipayung Selamat Tuahta
Published: July 2024

The third trimester of pregnancy is a pregnancy that requires vigilance. At this time, pregnant women often experience anxiety about the condition of their baby, which will be born normally or abnormally. Support from her husband and family is something that a mother needs to relieve her anxiety. The main target of this outreach is people in the area This is due to the lack of support given by the husband and family to pregnant women before the birth process. This counseling aims to provide education to husbands and families to provide attention and support to pregnant wives or families so that they do not experience anxiety in facing the birthing process. The targets for this outreach activity are husbands and families (parents) who have wives or children who are in the third trimester of pregnancy. To assess husband and family support, it will be carried out twice, namely asking questions before and after counseling. The results obtained indicate that there is a change in attitude in the form of support for pregnant wives or families before and after being given counseling. This is a good way to overcome problems related to third trimester pregnancy in the health environment.
Counseling on Clean and Healthy Living Behaviors (PHBS) at State Primary School 101900 Lubuk Pakam
Authors: Wulan Sri , Pardede Desika Wali
Published: July 2024

Implementing Clean and Healthy Living Behavior (PHBS) among elementary school children is very important to prevent disease, build healthy habits from an early age, improve learning achievement, reduce absenteeism, and create a clean school environment. With continuous education and active participation from all parties, including teachers, students and parents, PHBS can become a strong foundation for children's health and well-being, both now and in the future. The aim of this counseling is to form clean and healthy living habits from an early age in children at SD Negeri 101900 Lubuk Pakam. With a comprehensive and continuous educational approach, it is hoped that children can internalize clean and healthy living behavior as part of their daily routine. The method used is a pretest before presenting the material, then continuing with an explanation or presentation of material about the importance of PHBS and practicing it directly, such as washing hands, brushing teeth, environmental cleanliness, after that, a posttest or observation of the implementation of PHBS is carried out again, with 60 counseling participants. counseling place at SD Negeri 101900 Lubuk Pakam. From the results of the activity, it can be seen that before the counseling was carried out, the majority of participants had little knowledge about PHBS and after the counseling was carried out the majority had good knowledge and the participants also understood the importance of PHBS and were able to practice it correctly. It was concluded that it is important to carry out PHBS counseling or explanations at SD Negeri 101900 Lubuk Pakam to increase knowledge and change behavior and create an environment that supports health and well-being for the entire school community.
Implementation of Medical Record Application for Patient Registration Data Management at Pagar Jati Health Center
Authors: Ginting Darmanto , Purba Rini Armaida , Octavariny Raisha
Published: July 2024

advancement in health services that help improve the quality of health systems worldwide, including Indonesia. Electronic Medical Records (EMR) applications have been useful for improving the efficiency and quality of health services in the health industry. The use of medical applications is a global trend, and electronic medical records are believed to be able to improve the quality of health information services. Improving access and quality of patient services is very important for health organizations such as health centers, so data management is an important solution in improving efficiency. The development of the Medical Record Application at Pagar Jati School is a high priority initiative that aims to provide a system that is capable of handling patient data. Based on the findings of the health center accreditation process in 2016, the service of raw materials, both in-hospital and out-of-hospital raw materials, has been implemented in accordance with the health center supply management standards. The use of information systems is encouraged to improve efficiency. This includes documentation of patient symptoms and the speed of treatment delivery, as well as the accuracy of information obtained from patient registration to initial treatment. To ensure that all anticipated goals and outcomes are achieved, direct monitoring and support will be used in the final stage to evaluate each step of the work process. The Medical Record Application is expected to increase the efficiency of administrative data processing in terms of speed and accuracy of the data produced as well as reduce operational costs, minimizing the possibility of data loss and damage.
Workshop Response Time at the Emergency Room Lubuk Pakam Health Center
Authors: Ramadhan Ritonga Rahmad , Kurata’ain Kurata’ain
Published: July 2024

Higher level of achievement of the community in the local area, this is also a service in the area which is a world-class public and individual service, at the same time prioritized in promotion and prevention efforts. Decree of the Minister of Health Number 129 of 2008 concerning Minimum Service Standards in Emergency Installations, Response Time, also known as "emergency service response time", is the time needed by patients from the time they arrive at the Emergency Installation until they are given first aid in minutes. The maximum response time is five minutes. The results of the study showed that the number of qualified nurses, the availability of medical equipment, and emergency room employees are the main factors affecting response time. An important factor in evaluating the quality of health services is patient satisfaction, which is measured by how patients act after receiving health services. Patient satisfaction also depends on how well the service offers patient expectations. Patient service has a significant impact on patient satisfaction and is an important component in the Puskesmas system that must always be evaluated. The experience and ability of a doctor in handling emergency patients quickly and accurately correlates with patient satisfaction. Patients who receive good health services will indirectly promote and recommend the health facility to their families.
Training on The Application of Nebulisation with The Semi Fowler Position in Controlling The Breath Frequency of Bronchial Asthma Patients At The GM Hospital
Authors: Purba Anita Gandaria , Simanjuntak Elfrida , Ginting Samuel , Kalvin Freddy
Published: July 2024

Respiratory disorders can attack anyone indiscriminately. It is often found that types of respiratory diseases such as asthma and ARI. The causes are varied, such as dirty air, bacteria, and viruses. The world death rate of 20% is caused by asthma which is estimated for the next 10 years if it is not treated properly. Bronchial asthma is a type of non-communicable but chronic disease of varying severity in the respiratory tract. Pharmacological therapy such as nebulization and non-pharmacological therapy such as the semi-Fowler position are appropriate treatments to be given to patients with bronchial asthma so that they can regulate the patient's respiratory frequency. Giving a nebulizer can overcome shortness of breath, relax bronchial spasms, liquefy phlegm, and clear the airways. Meanwhile, the semi-Fowler position can provide comfort in breathing so that the lungs become wider. This training activity was attended by PkM participants, namely 20 nursing staff. The series of PkM activities include the delivery of material, discussions, therapy demonstrations, and simulations of treating bronchial asthma patients using nebulization and the semi-Fowler position. The media used are a nebulizer, teaching aids, and SOP. The results of the PkM implementation show that the PkM participants have understood the benefits of nebulization in the semi-Fowler's position. Apart from that, PkM participants were also able to carry out the two treatments by the SOP which was implemented through simulation.
Use of Coconut Oil and Aloe Vera in Treatment of Baby Diaper Rash
Authors: Yanti Dian Anggri , Harahap Rahmat Ali Putra , Batubara Khairunnisa
Published: July 2024

Most babies' skin is prone to irritation because the skin is not moist enough. Very cold temperatures also make the skin dry and itchy. Skin disorders such as diaper rash are an inflammatory condition of the skin on the baby's thighs and buttocks. Diaper rash occurs due to skin contact with baby feces for a long time. Diaper rash can be treated through non-pharmacological therapy such as using coconut oil and aloe vera which are known to have excellent properties for the skin and without side effects. Coconut oil and aloe vera come from nature and can be used as medicine to speed up the healing process for diaper rash. Coconut oil contains tocopherols, phenols, sterols, squalene and vitamin E which are useful in repairing skin cells and preventing irritated skin. Aloe vera is also able to speed up the skin recovery process because it contains glycoprotein compounds, auxin and lignin. PkM activities are carried out through demonstrations followed by training. PkM participants are mothers who specifically have 15 toddlers. The PkM results show that PkM participants' knowledge has increased regarding the benefits of using coconut oil and aloe vera in treating diaper rash. Apart from that, these PkM participants have also been able to apply the knowledge they have gained in dealing with diaper rash. Apart from that, these PkM participants have also been able to apply the knowledge they have gained in dealing with diaper rash so that when they face such conditions, the PkM participants are ready in terms of knowledge and skills.
Workshop on The Use of Miana Leaf Juice (Coleus Scutellarioides (L) Benth) as An Alternative to Safranin Dye in Bacterial Gram Staining
Authors: Krisdianilo Visensius , Siregar Sa'adah , Rahayu Asvia , Rizky Vincentia Ade
Published: July 2024

One of the commonly used stains in bacterial identification is gram staining, this staining is used to distinguish the physical properties of the cell wall and the chemical properties of bacteria, this dye will distinguish bacteria into gram-positive bacteria with the result of the bacteria will be purple and gram negative with the result of red bacteria. The use of safranin is effective in working on bacteria because it is alkaline, this can cause binding between the chromophore component in the dye and the cytoplasm of bacteria that are basophilic. However, the use of safranin also has a negative impact on health and the environment. Therefore, the need to use materials that are safer for health and the environment, miana leaf juice (Coleus Scutellarioides (L) Benth) can be used as a natural dye to replace safranin. Minana leaves are very easy to find in gardens and are usually ornamental plants, the anthocyanin content in this plant can be used as a color pigment to replace safranin, anthocyanins will produce red to dark red pigments in an acidic atmosphere. The purpose of this community service activity, the community service organized a workshop for students of the Medical Laboratory Technology Study Program, Lubuk Pakam Medical Health Institute, aiming to provide information on the use of miana leaf juice (Coleus scutellarioides (L) Benth) as an alternative to safranin dye in bacterial gram staining. From the results of the service, it can be concluded that the participants can understand the material and the demonstration, this can be seen from the increase in the percentage of understanding both from before 61% to 87% after being given the demonstration and material.
Evolución de la masa muscular, masa grasa y fuerza muscular en personas mayores hospitalizadas
Authors: Galardo Mailen , Paul Astrid , Lemos Belén , Deforel María Luisa , Garau Cecilia
Published: July 2024

Introducción: la desnutrición (DN) en la persona mayor (PM) al ingreso hospi- talario alcanza el 60,00 %. Las hospitalizaciones de más de ocho días muestran una reducción significativa de la masa muscular (MM) y la fuerza muscular (FM).
Objetivo: determinar el efecto de los primeros 10 días de hospitalización sobre la evolución de la MM, según la circunferencia de la pantorrilla (CP), la circunferencia muscular del brazo (CMB), el espesor del músculo aductor del pulgar (EMAP) y la FM.
Métodos: estudio descriptivo y longi- tudinal. Los datos se obtuvieron mediante la Mini Nutritional Assessment (MNA) y las mediciones antropométricas (peso, talla, CP, CMB, EMAP y FM) se realizaron a las 24-48 horas del ingreso del paciente, y a los 10 días.
Resultados: la muestra quedó conformada por 49 PM. Predominó el sexo feme- nino (57,00 %; n = 28). La media de edad fuede77±8,2años(IC:95%=75,2-80 años) y un rango de 65 a 96 años. El índice de masa corporal (IMC) promedio fue de 24,6 ± 4,3 kg/m2 (IC: 95 % = 23,4-25,8) y un rango de 17,3 a 34,6 kg/m2. La prevalencia de evolución desfavorable de la MM fue del 67,30 %, 55,10 % y 51,00 %, según CP, CMB y EMAP, respectivamente. Para la FM, la evolución favorable predominó en un 53,10 %.
Conclusión: la hospitalización empeora la evolución de la MM, sin poder confirmar lo mismo para la FM. La MM, según el EMAP, fue la que presentó mayor dispersión.
Explorando alianzas en el capitaloceno. La construcción de la otredad desde una perspectiva interseccional.
Authors: Dal Din Lucía
Published: July 2024

En este artículo abordaremos las formas en la que la analogía con “lo animal” ha acompañado históricamente la descripción de grupos subordinados. Esta construcción de una otredad marginalizada y no, o poco, humana que ha alimentado los imaginarios europeos en la conquista del “Nuevo Mundo”, persiste hasta nuestros días y se replica no sólo en los análisis que las elites criollas han realizado sobre los grupos indígenas, sino también sobre las clases sociales que, en nuestro continente, cargan con el estigma de lo indio, lo no-blanco, incivilizado. Así como la metáfora y analogía animal han servido para describir a estos sujetos racializados y atravesados por el estigma de clase, también ha actuado de estructura significativa para describir a la mujer y “lo femenino”. Es nuestro objetivo en este trabajo colaborar a las discusiones que ven en el análisis intereseccional un campo productivo y potente de conocimiento, no sólo académico, sino vital.
SIMÓN RODRÍGUEZ y su intuición sobre la discriminación racial como poder colonial del siglo XIX.
Authors: Mallearel Jorge Mario
Published: July 2024

Nuestro objetivo, desde la obra del maestro venezolano Simón Rodríguez, fue examinar el racismo ligado a la educación y sus consecuencias políticas. Además, siguiendo en sus escritos la crítica racista hacia la Europa colonial del siglo XIX, distinguimos a un posible precursor de los analistas decoloniales del siglo XX. Por ejemplo, Aníbal Quijano, como parte de aquellos analistas, considera que la cuestión racial utilizada por los conquistadores fundamentó el dominio, la explotación y la ignorancia en América. Asimismo, pudimos corroborar, a través de los textos de Rodríguez y de ciertos comentadores, que éste interpretó que las prácticas coloniales de enseñanza, que diferenciaban espacios pedagógicos según la raza, impedían una educación igualitaria, es decir, una Educación Social o Popular. El resultado de nuestro examen fue que, a pesar de haber sido ajeno a ciertas categorías decoloniales contemporáneas, descubrió en la distinción de razas efectuadas en las instituciones escolares la dificultad que iba a significar arribar a una verdadera República. En conclusión, Simón Rodríguez en muchos de sus textos dejó testimonio de la trascendencia que tenía el vínculo entre colonialismo, racismo y educación.
CHARACTERISTICS AND VOLUME INDICATIONS OF THE HYPOPHYSEAL FOSSA AREAS IN DIFFERENT AGE GROUPS OF THE AZERBAIJAN POPULATION
Authors: Shadlinskaya Sabina
Published: July 2024

The aim of the research was to study the age characteristics of area and volume of the hypophyseal fossa, which, in our opinion, are important for clinical practice. It is known that any noticeable changes in the dimensions of the hypophyseal fossa, including its volume, disrup functioning of the pituitary gland. Changes in the shape of the pituitary gland are associated with a number of congenital diseases (Down syndrome, Sekel syndrome, Williams syndrome and Aksenfeld-Rieger syndrome). Material and methods: The research consisted of 86 tomograms taken from the archives in Department of Radiation Diagnostics and Therapy, Department of Radiology of the Educational Surgery Clinic of Azerbaijan Medical University. When selecting in a retrospective review, skulls with morphological changes of the cranial bones and visible facial bones were identified. The material was divided into 4 age groups: I group (7-12 years old), II group (13-21 years old), III group (22-61 years old), IV group (62 years old and older). To measure the area of ​​the hypophyseal fossa, we determined the distance between the middle (a) and posterior (b) clinoid processes, the length (h) and depth (l) between these lines. Taking into account that the hypophyseal fossa is trapezoidal in the vertical norm (norma verticalis), we calculated its area S= xh and its volume V xhxl using the formulas. The obtained results were recorded and statistical analysis was carried out. Researches were carried out in 128-slice TOSHIBA tomograph. Measurements were made in axial and sagittal projections using RadiAnt DICOM Viewer program adapted for computer use. When analyzing indicators by variation groups, the mean score (M), standard error (±m), 95% confidence interval (95% CI), average structure - Me (median), quartiles (Q1, Q3), minimal and maximal (min, max) indicators were calculated. The difference between groups was assessed by ANNOVA (t-test). When comparing two or more groups, the results were performed with the non-parametric H-Kruskal-Wallis test. Results:When comparing all age groups, high difference integrity is observed in both area and volume indicators . These indicators are minimal in I age group. Changes in volume indicators also showed the same dynamics: this indicator was 576.3±38.2 mm 3 (min-max - 414.0-947.0) in the I age group, 686.4±35.4 mm 3 (min -max - 513.0) in the II age group, 758.9±35.3 mm 3 (min-max - 401.0-1251.0) in the III age group and 817.8±36.7 mm 3 (min-max - 493.0-978.0) in the IV age group.
CARDIOPROTECTIVE PROPERTIES OF SGLT2-INHIBITORS
Authors: Wielgus Karol , Pawłowska Maria , Bator Piotr , Bobrzyk Adrian , Wawryszuk Angelika , Kamińska Weronika , Magiera Karol , Ramian Jan , Łyko Grzegorz , Antos Maria
Published: July 2024

Due to its high mortality rate, heart failure (HF) presents a substantial worldwide health burden that calls for efficient treatment approaches. Inhibitors of the sodium-glucose co-transporter 2 (SGLT2) have become essential treatments for heart failure in all left ventricular ejection fraction (LVEF) levels. Their processes, which include enhanced metabolic efficiency and ventricular loading circumstances, present encouraging results. The effectiveness of SGLT2 inhibitors, dapagliflozin and empagliflozin, in lowering cardiovascular mortality and heart failure hospitalizations in heart failure patients with reduced, mildly reduced, and preserved ejection fraction has been shown in several clinical trials, including DAPA-HF, EMPEROR-Reduced, EMPEROR-Preserved, and DELIVER. These results represent a revolutionary development in the treatment of HF, emphasizing the use of SGLT2 inhibitors in comprehensive treatments, regardless of renal function or diabetes state.
Correio em tempo de imeio
Authors: Dultra Maruzia
Published: July 2024

Nesta vídeo-carta, discutimos um modo de pensar e fazer pesquisa que imbrica seu cunho científico à perspectiva criativa. Os experimentos apresentados integram nossa tese de doutorado realizada de forma epistolar, como uma tecnologia de produção do conhecimento que incorpora demoras. Ao tecer a tese, a partir do verbo “teser” que inventamos, acionamos manualidades singulares para o desafio-a-fio de costurar, com a agulha da linguagem, a trama têxtil do pensamento. Embora, a priori, uma tese acadêmica tenha o formato escrito, da tessitura que cerzimos, insurgiram materialidades que incluem e ultrapassam a palavra, as quais chamamos de artesanias poeticonceituais. Com essa via “manual”, tateamos a questão da pesquisa, trilhando-a sem fórmulas prescritas, pois cada “teser” se engendra no caminho da investigação, caminhando.
Gabriela Mureb
Authors: Castro Vinicius Portella
Published: July 2024

O artigo trata da obra da artista fluminense contemporânea Gabriela Mureb e do seu diálogo com a tecnologia moderna industrial. A partir de ideias de pensadores como Yuk Hui e Gilbert Simondon, tenta-se apresentar as máquinas e performances ruidosas de Mureb como produtos e produtores de tensões críticas singulares com a tecnicidade, tensões que colocam em jogo conceitos como as de humanidade e natureza técnica, gesto e trabalho, dispêndio e exaustão energética, duração e espessura experiencial, criação e destruição.
Outcomes of Endovascular Intervention for Salvage of Failing Hemodialysis Access
Authors: Karundeng Billy , Tjandra Djony , Sumangkut Richard , Winarto Michael D.
Published: July 2024

Abstract: Chronic kidney disease (CKD) is a worldwide public health problem. Hemodialysis accesses are prone to failure due to thrombosis and stenosis over the anastomosis or outflow vein. This study aimed to obtain the outcomes of endovascular intervention for salvage of failing hemodialysis access. This was a retrospective and descriptibe study. Data were collected from all patients who underwent endovascular intervention for failing hemodialysis access starting from January 2021 – June 2023 at Prof. Dr. R. D. Kandou Hospital, Manado. The results showed that 136 subjects were included in this study. The highest comorbidities were found in patients with a history of hypertension (52.9%). The most common arteriovenous fistulas (AVF) hemodialysis access was at the brachiocephalic location (75.7%). The most frequent cause of access dysfunction was simple stenosis (64.7%). Pseudoaneurysm was occurred in two subjects (1.4%), and ruptured outflow vein was occurred in one subject (0.7%). The patency rate at three months was 77.6%, but the primary patency rate would decrease to less than 50% over six months. Endovascular intervention in the form of balloon angioplasty is currently the main line of choice in dealing with problematic AVFs in principle what is being done is to intraluminaly dilate the narrowed or blocked lumen of the outflow vein. The complication rate from the procedure performed was 2.2% where in two patients a pseudoaneurysm occurred at the puncture site, namely the brachial artery and the radial artery then another patient had rupture of the AVFs outflow vein, therefore, an additional procedure was performed to close the AVFs with ligation. In conclusion, endovascular intervention for failing hemodialysis access has good results, but the primary patency rate will decrease to less than 50% over six months.
Keywords: chronic kidney disease; hemodialysis access; endovascular intervention
Método assintótico aplicado ao modelo de tráfego de Greenberg
Authors: Silva Mariana , Rodríguez-Bermudez Panters
Published: July 2024

Neste trabalho foi aplicado o método assintótico no modelo de tráfego de Greenberg, que é representado por uma lei de conservação, para obter soluções do tipo choque. O texto inicia apresentando a função polinomial, que é uma aproximação da função de fluxo do modelo de Greenberg, e a partir dela se constrói a cadeia de Hugoniot-Maslov, que é o método assintótico. A base matemática para essa construção é a subálgebra de Colombeau, cuja cadeia é um sistema de equações diferenciais ordinárias. Esse sistema foi resolvido numericamente pelo método de Runge-Kutta, com isso se obteve a solução numérica pelo método assintótico. Por fim, foi feita uma comparação gráfica com dois métodos de diferenças finitas, Lax-Wendroff e Lax-Friedrichs, para mostrar a eficácia do método assintótico.
CASE REPORT: TREATMENT OF CYSTIC LESION AND CARIES IN THE MAXILLARY ANTERIOR REGION UTILIZING COMPOSITE RESTORATION WITH PUTTY INDEX IN AN ADULT FEMALE
Authors: Raktade Pawan , Sarak Kshama , Daokar Sadashiv , Pawar Nishigandha
Published: July 2024

Dental caries is a biolm-mediated, diet modulated, multifactorial, non-communicable, dynamic disease resulting in net mineral loss of dental hard
tissues [Fejerskov 1997; Pitts et al., 2017]. It is determined by biological, behavioural, psychosocial, and environmental factors. As a consequence
of this process, a caries lesion develops. [1] The aesthetic impact of caries-induced damage on the anterior teeth can signicantly affect an
individual's performance and self-condence. The patient's treatment in this instance was tailored to her preferences, as she was aware of the black
discoloration on her anterior maxillary teeth. She expressed that her family, relatives, and friends frequently inquired about the discoloured
appearance of her front upper teeth. The patient indicated that the condition of her anterior maxillary teeth had a negative impact on her self-esteem
and social interactions. This case study provides a comprehensive account of the successful management of a cystic lesion and caries in the
maxillary anterior region of a female adult patient. The treatment approach included performing an apicoectomy on tooth 12, conducting root canal
treatment on teeth 11, 12, 13, 21, 22, and 23, and applying composite restoration using a putty index technique. The patient's condition necessitated
a meticulous diagnosis, treatment planning, and restoration process. Through the utilization of a putty index, the tooth's natural morphology was
accurately replicated during the composite restoration procedure, resulting in favorable functional and aesthetic outcomes.
UROTHELIAL CARCINOMA WITH SQUAMOUS DIFFERENTIATION – A RARE CASE WITH REVIEW OF LITERATURE
Authors: Patil Nanda , Khawale Rutuja , Pandey Pooja
Published: July 2024

Urothelial Carcinoma shows divergent differentiation which results in distinct morphological patterns. Squamous differentiation is one of them
which is associated with bad prognosis because of its aggressive nature and resistance to radiotherapy, chemotherapy and immunotherapy. Also, it
is known for local recurrence. Squamous differentiation in urothelial carcinoma is associated with advanced stage of tumor as well as lymph node
metastasis. We present a case of urothelial carcinoma with squamous differentiation to highlight its rare occurrence and its poor prognosis.
TO COMPARE SERUM ALBUMIN LEVEL WITH CD4 COUNT AS A MARKER OF IMMUNOSUPPRESSION IN PEOPLE LIVING WITH HIV
Authors: Salian Raksha , S Ashokavardhana , Deepika Malluri Satya , G N Aravind
Published: July 2024

Introduction: Human immunodeciency virus (HIV) is a retrovirus that targets T cells, disrupting the body's immune system and causing
immunosuppression. CD4 count has been widely employed in describing stages of HIV disease. Although CD 4 counts and RNA levels are easily
performed in tertiary government hospitals, they are not available everywhere including primary, secondary and corporate health care settings, and
logistical, technological, and budgetary issues limit their use. To estimate serum Albumin and Abso Aims &Objective: lute CD4+ cell counts in
PLHIV and to correlate serum albumin levels with absolute CD4 cell count as a marker of immune suppression. This Materials And Methods:
cross sectional study was conducted at Hospitals attached to Bangalore Medical College and Research Institute from February 2021 to August
2022. Clinical examination and investigations were done as per the Performa. Serum albumin levels and CD4 counts were measured using standard
laboratory techniques. A total of 136 individuals participated in the study with the mean age of th Result: e sample is 42 years, and a standard
deviation of 10 years. The correlation coefcient between albumin and the CD4 count was 0.797 with a p-value of 0.001, indicating a strong
positive correlation between these two variables. Both Serum albumin levels and CD4 counts decrease Conclusion: s as the disease progresses in
PLHIV patients. Hence serum albumin levels can be used as a marker of immunosuppression in people living with HIV.
CEPACIA- AN UNSOLVED PUZZLE
Authors: Shanil P Mohammed , Jasmin K Farsana
Published: July 2024

Burkholderia cepacia is a pathogen usually causing infection to immunocompromised or hospitalized patients. Burkholderia is considered as one
of the main causal agents of sepsis commonly associated with various health care products constant risk for people with certain predisposing
characteristics, such as those suffering from chronic obstructive pulmonary disease (COPD), ventilator-associated pneumonia (VAP) or Cystic
brosis. It is also associated with infections in patients with underlying lung disease, such as cystic brosis and chronic granulomatous disease. We
present a case of B. cepacia sputum positivity in a patient with COPD who was hospitalized due to chronic infection. We speculate that B. cepacia,
as a chronic colonizer, may cause infections in patients with lung disease other than cystic brosis.
THE PREVALANCE OF NON-CARIOUS CERVICAL LESIONS IN PATIENTS REPORTING TO DEPARTMENT OF CONSERVATIVE DENTISTRY OF DENTAL COLLEGE IN MARATHWADA REGION OF MAHARASHTRA A CROSS-SECTIONAL STUDY
Authors: Raktade Pawan , Sarak Kshama , Daokar Sadashiv , Pawar Kalpana , Ranjalkar Aishwarya , Potfode Komal , Thakur Mohit
Published: July 2024

Background: The non- carious cervical lesions will cause deterioration of aesthetics, oral function loss, sensitivity and pain. Sensitivity due to
these lesions is very painful state which affect directly life quality. Hence, early diagnosis and proper treatment is necessary for such lesions. AIM:
To evaluate the prevalence of non-carious cervical lesions in patients reporting to department of conservative dentistry of dental college in
Marathwada region of Maharashtra. Materials And Methods: In this cross-sectional study, Informed consent (Annexure 1) was received from 500
patients participating in the study. Aquestionnaire was designed in order to collect information on sociodemographic details of patient. (Annexure
2) Clinical examination of the oral cavity was done by a single examiner trained and calibrated at CSMSS Dental College, Aurangabad. The Smith
and Knight tooth wear index (Annexure 3) was used to identify Non-Carious Cervical Lesions in the participants. Socioeconomic status was
assessed using the modied Kuppuswamy scale Oct 2022 (Annexure 4). All permanent teeth were examined for the presence/absence of
noncarious Cervical Lesions. After all teeth were examined, the highest score was recorded, and the participant was classied on the basis of the
highest score obtained. Calculation of the mean and standard deviation (SD) of four parameters/levels index was done. Results: The data obtained
from questionnaire and clinical examinations showed that the prevalence of noncarious cervical lesions was 25% i.e. 125 patients were diagnosed
with non-carious cervical lesions out of the total examined 500 patients. In conclusion, the research clearly showed that there is a high prevalence of
non-carious cervical lesions, which are associated with various risk factors.
SQUAMOUS CELL CARCINOMA ON OCULAR SURFACE: A RARE CASE REPORT
Authors: Chakma Pinki , Sinha Deexa , Saha Chayanika , Banerjee Alpana
Published: July 2024

A 60 year old female presented with painful orbital mass arising from right lower eye lid for last 3 months. CECT of PNS reveals enhancing mass
with lobulated contour in the anterolateral aspect of right orbit involving lateral rectus. MRI of orbits was suggestive of possibility of malignant
mass, FNAC of the mass was done & it shows cyto-morphological features suggestive of squamous cell carcinoma. Patient underwent wide local
excision of right eye followed by temporalis ap. On gross examination of the specimens it measured (5.5×5×3.5) c.m and the whole orbit was
distorted. On microscopic examination of the mass shows features of well differentiated squamous cell carcinoma (conjunctiva) involving whole
anterior chamber with lacrimal gland inltration with TNM staging T4aNXMX.The prevalence of ocular squamous cell carcinoma are 0.09% and
2.42 cases/1000000 populations. Therefore this has been chosen for presentation due to its rarity.
EXTENDED NASOLABIAL FLAP FOR ORAL SUBMUCOUS FIBROSIS: CASE-BASED EXPLORATIONS AND OUTCOMES
Authors: Shetty Sujeeth Kumar , Kathuria Abhinav , S Shivananda , Saran Tarangini
Published: July 2024

Introduction: Oral submucous brosis (OSF) is a chronic, debilitating condition primarily found in Southeast Asia, caused by habitual areca nut
consumption. It leads to pallor and rigidity of the oral mucosa, restricted mouth opening, and increased sensitivity to hot and spicy food.
Histologically, OSF involves an inammatory response followed by broelastic changes, resulting in epithelial atrophy and trismus. Materials
And Methods: This study included ve patients with advanced OSF and an interincisal distance of less than 15 mm. Patients underwent surgical
intervention after providing informed consent. Preoperative data on age, gender, etiological factors, and mouth opening were recorded. OSF was
conrmed histopathologically. Patients were followed up for one year, with the primary metric being maximum interincisal distance. Results: All
patients achieved and maintained adequate mouth opening without ap loss or infections. No complications such as ap discoloration or vascular
issues occurred. Minor issues like ecchymosis and hypertrophic scars were successfully managed. The mean forced intraoperative mouth opening
was 42 mm, and at one year, it was 32 mm. Aesthetic outcomes were satisfactory, with effective mastication and relief from burning sensations by
the sixth week postoperatively. Conclusion: The extended nasolabial ap is a versatile and effective solution for reconstructing post-brotomy
defects in OSF cases, offering dependable vascularity, minimal functional impact, and satisfactory cosmetic outcomes.
A PERSONALIZED APPROACH TO DIAGNOSIS OF DEMODECOSIS
Authors: Sokolova T.V. , Malyarchuk A.P. , Golitsyna M.V. , Lopatina Yu.V. , Ilyina I.V.
Published: July 2024

Purpose. Improving the diagnosis of demodicosis based on a personalized approach to choosing a method for collecting material, clinical manifestations for extracting ticks and assessing the degree of tick infestation. Materials and methods. The results of an examination of 57 patients with clinically and laboratory confirmed demodicosis are presented. The exclusion criteria were patients with acne, rosacea, perioral dermatitis. Clinical manifestations were assessed by dermatoscopy. The material was collected for microscopic detection of mites using 2 traditional and 3 proprietary methods. Microscopy was also used to identify bacterial flora in pustules and yeast flora in scrapings of the epidermis. Results. A comparative analysis of the effectiveness of 4 diagnostic methods showed the priority of comedone extraction: 5 or more mites were found from an area of 0.5 cm2 in 96.5% of patients. The occurrence and abundance of mites were highest in the material from follicular papules with “spikes” (74.5%, 4.9±1.1 specimens) and typical follicular papules (56.3% and 6.1±1.7). When the disease duration was more than 6 months, the phenomenon of “strands of vellus hair“ was detected in the contents of follicles at the same time with mites (5–17 specimens). Analysis of the contents of the pustules made it possible to prove the antagonism between the pyogenic flora and mites of the genus Demodex.
CORRELATION OF RADIOLOGICAL CHANGES DETECTED 6–12 MONTHS AFTER COVID-19-ASSOCIATED PNEUMONIA WITH THE AREA OF LUNG TISSUE LESIONS ON MULTISPIRAL COMPUTED TOMOGRAPHY OF THE CHEST ORGANS
Authors: Vyun O.G. , Konkova L.A.
Published: July 2024

Background. Despite the end of the pandemic caused by the new coronavirus infection (COVID-19), many authors in their works draw attention to the persistence of clinical and radiological manifestations of this disease after recovery, within the so- called post-Covid syndrome [1, 2]. The search for predictors of the possible formation of fibrosis in lung tissue is of particular interest. This article presents the results of an analysis of the type and prevalence of radiological changes identified 6–12 months after COVID-19-associated pneumonia, with the area of lung tissue affected according to multispiral computed tomography (MSCT) of the chest in young patients. Purpose. To analyze the possible relationship of the types and frequency of detection of radiological changes detected 6–12 months after COVID-19-associated pneumonia with the affected area according to MSCT of the chest. Materials and methods. The study included 227 patients with an average age of 40.5±6.55 years who had pneumonia associated with COVID-19. High-resolution MSCT of the chest organs was performed using a 128-slice Philips device. Results. Statistically significant differences were revealed in the frequency of detection of post-inflammatory fibrosis between groups of patients depending on the initial area of damage to the lung tissue. Conclusion. In the group of patients with an initial lesion area of 50–75% (MSCT 3), post-inflammatory fibrosis in the lung tissue was more often recorded in comparison with the groups of patients with an initial lesion of 0–25% (MSCT 1) and 25–50% (MSCTCT 2).
ASSESSMENT OF THE POTENTIAL ANTIMICROBIAL EFFECT OF LOW-TEMPERATURE ARGON PLASMA IN VITRO
Authors: Orlova O.E. , Sukhina M.A , Zubrickij V.F. , Koltovich A.P. , Tyukalov A.Yu. , Zemlianoi A.B.
Published: July 2024

Background. Low-temperature argon plasma is widely studied as an alternative approach to control resistant microorganisms when the effectiveness of antibiotics and antiseptics is reduced due to the natural resistance of pathogens or biofilms. Purpose. Assessment of the survival rate of pathogenic microorganisms under the influence of low-temperature argon plasma (LTAP) factors in vitro. Materials and methods. The object of the study was the effect of LTAP factors on the survival of pathogenic microorganisms in vitro. The LTAP source is the plasma-arc installation “PLAZMORAN” (Russia). The bacterial strains studied were pure cultures of clinical strains of microorganisms. Strains of gram-negative bacteria K.pneumoniae, P.aeruginosa, A.baumanii, E.coli, gram-positive bacteria MRSA, and yeast of the genus C.albicans. Results. The results of assessing the impact of LTAP factors on the survival of microorganisms showed their pronounced antimicrobial effect under a certain set of control, geometric and temporal parameters. The antimicrobial effect of LTAP is the death of microorganisms, including gram-positive and gram-negative bacteria, and yeast.The results of the study showed that when a certain dose of exposure to a combination of LTAP factors is reached, the microorganisms die. Conclusion. LTAP has a pronounced antimicrobial effect, both when acting on monocultures and possibly on microbial associations and microbial biofilms. However, the effect of LTAP on associative microbial cultures requires additional study.
Participation of women in forestry activities for sustainable livelihood in area J4 forest reserve, Ijebu East Local Government, Ogun state, Nigeria
Authors: Ilori A. R. , David M. O . , Fadipe M.O. , Adeokun O. A. , Mufutau R.A.
Published: July 2024

Forestry participation is the active engagement of local residents in planning, implementing, and sustaining initiatives that aim to conserve and manage forest resources. The study examined the level of participation of women in forestry activities in Area J4 Forest Reserve, Ijebu East, Ogun State, Nigeria. Participation has been identified as a substance of social change. In Nigeria today, however, women are shut out from certain occupational categories due to formal barriers as well as informal barriers to entry. A total of one hundred and thirty (130) respondents were randomly selected for the study and interviewed through structured interview schedule. Descriptive statistics such as frequency distribution tables, mean and percentages were used in analysing the data while chi-square statistical tool was used in testing the hypotheses. Majority 34.6% of the respondents were between 30 and 39 years age bracket. 87.7% were married while 37.7% of the respondents had secondary education. Results revealed that majority 78.5% of the forests were established more than 40 years ago while 10.0% were established about 50 years ago. The result showed that there was significant relationship between the respondent’s age, religion, education, income and their level of participation in forest activities. Similarly, there was significant relationship between constraints and level of participation of women in forest activities The study recommended that training should be provided for women, women should be involved in planning and policy making of forestry management while gender and social norms must be addressed.
Effects of potassium fertilizer rates on growth, tuber yield and quality of sweet potato (Ipomea batatas L) in Ogbomoso, Southwest Nigeria
Authors: Okanlawon T. A , Kolawole G. O.
Published: July 2024

Sweet potato (Ipomoea batatas L) is an important dicotyledonous tuberous staple crop of the Convolvulaceae family. It is valued for its tubers which are either boiled, fried, baked or roasted for human consumption or boiled and fed to livestock as a source of energy. However, the cultivation of sweet potato is constrained by low soil fertility, particularly inadequate potassium, which plays a pivotal role in the growth and tuber development of sweet potato. Therefore, the effects of potassium fertilizer rates on the growth, tuber yield and quality of sweet potato were determined at the Teaching and Research Farm, Ladoke Akintola University of Technology, Ogbomoso during 2022 major cropping season. The treatments were; 0 (control), 60, 90, 120, 150 and 180 kg K2O/ha laid out in randomized complete block design replicated three times. Data collected on length of primary vines, number of leaves, fresh shoot biomass, number of tubers, fresh tuber yield and nutritional contents of the tubers were subjected to analysis of variance and treatment means separated with least significance difference (LSD) at 5% probability level. The application of K fertilizer had significant influence on the performance of sweet potato. At 14 weeks after planting (WAP), plants treated with 180 kg K2O/ha produced the longest mean vine length (p = 0.043, 184.93 cm), highest
number of leaves (p = 0.003, 217), highest fresh shoot biomass (p = 0.015, 11.83 t/ha), number of tubers (p = 0.037, 68) and fresh tuber yield (p = 0.0004, 22 t/ha). In contrast, plants that received no fertilizer, had the shortest vine length (133.67 cm), the least fresh shoot biomass (7.1 t/ha) and tuber yield (12.7 t/ha). The least number of leaves (136) was observed with the application of 60 kg K2O/ha while 90 kg K2O/ha produced the least number of tubers (46). The potassium content of sweet potato tuber was significantly influenced by K fertilizer rates, whereas the phosphorus content was unaffected. The highest contents of phosphorus (p = 0.967, 0.10%) and potassium (p = 0.038, 1.26%) were recorded in tubers that received 150 kg K2O/ha and 180 kg K2O/ha, respectively. The carotenoid, carbohydrate, and protein contents of sweet potato tuber decreased as the potassium rates increased. Conversely, the crude fiber content increased (p = 0.044) as the potassium rate increased. In conclusion, application of 180 kg K2O/ha improved the performance of sweet potato better than the other rates in the study area. However, it seems that the maximum yield potential of sweet potato in the study area had not been attained. Therefore, further research with higher than 180 kg K2O/ha may be required to identify the optimal level for cultivating sweet potatoes.