bluuebunny/crossref_metadata_2025 huggingface dataset:
Health Promotion for Stroke Patients at Grandmed Lubuk Pakam Hospital
Authors: Putri Nindia , Tati Murni Karo-Karo
Published: November 2024

Stroke is a major health problem for modern society today. Nowadays, stroke is increasingly becoming a serious problem faced almost all over the world. This is because a sudden stroke can result in death, physical and mental disability in both productive and elderly age. This research is to determine the role of health promotion on the motivation of stroke patients in receiving physiotherapy services at Grandmed Lubuk Pakam Hospital. This research is qualitative research which aims to explore a problem with detailed limitations, as well as collecting in-depth data. The number of informants in this study was 4 people. Data collection was carried out using an in-depth interview method equipped with a voice recording device with 4 informants. The principle of health promotion here is that the patient and the patient's family are able to understand or understand what is conveyed by the promotion officer which can then influence interest in doing or coming to health services. every patient or patient's family who is targeted can receive the promotion well. Grandmed Lubuk Pakam Hospital health promotion is emerging as a forum that leads or guides towards health prosperity for patients and their families. By emphasizing knowledge about the impact of stroke until post-stroke and how to function, the body can move freely as before. providing more interesting and creative methods or means so as to attract the attention and interest of patients and the patient's family to listen and understand more easily and more pleasantly.
Analysis of Health Promotion Strategies for Treatment of Cervical Cancer at Awal Bros Hospital Pekanbaru Riau
Authors: Kristiani Ekalia , Sitepu Rahmadani
Published: November 2024

Cancer is one of the main causes of death, as many as 8.2 million people die from cancer. According to GLOBOCAN data in IARC (2020), cervical cancer cases in Indonesia increased by 36,633 (17.2%) with 234,511 deaths. Cervical cancer generally attacks women aged 30-39 years. Symptoms of cervical cancer are post-coital bleeding, smelly vaginal discharge, vaginal bleeding continuously without stopping, pain in the genitals are reported as early symptoms of cervical cancer. The aim of this research is to analyze Health Promotion Strategies in the treatment of cervical cancer at Awal Bros Hospital Pekanbaru. This type of research is qualitative. The number of informants was 4 informants. The results of research conducted by the health promotion program at Awal Bros Hospital in Pekanbaru show a holistic and sustainable approach in overcoming the challenge of cervical cancer. By focusing on education and empowerment, as well as addressing identified obstacles, these efforts have had a positive impact in increasing awareness, treatment compliance and quality of life for patients affected by cervical cancer. However, there is still a need to continue evaluating and adapting to increase the effectiveness of the program and ensure better access for all patients. The health promotion (advocacy) strategy for cervical cancer treatment was carried out quite well through a lobbying process and outreach to various agencies, Awal Bros Hospital carried out this by building an individual atmosphere and building a group atmosphere. By increasing participation in early screening and ensuring continuity of treatment for optimal effectiveness in preventing cervical cancer. Awal Bros Pekanbaru Hospital implements a health promotion strategy for cervical cancer with a focus on empowerment and a personal approach to patients and their families.
Analysis Of The Quality Of Family Planning (Kb) Health Services On Children's Nutritional Status At Sigambal Public Health Center, Rantau Selatan District, Labuhanbatu Regency
Authors: Ritonga Tintin Insani Hartuti , Karnirius Harefa
Published: November 2024

Background: Family planning services play an important role in supporting reproductive health and family well-being, especially in ensuring adequate nutrition for children. Objectives: to investigate the relationship between the quality of family planning (FP) health services and children's nutritional status at the Sigambal Health Center, Rantau Selatan District, Labuhanbatu Regency. Research method: structured interviews with mothers who participated in the family planning program and anthropometric measurements of their children.Results: there was a significant relationship between the quality of family planning services and children's nutritional status. High-quality family planning services have a positive impact on children's nutritional outcomes, as evidenced by improvements in weight and height indicators according to WHO standards. Factors determining service quality include the availability of contraception, the expertise of health workers, and community involvement in family planning initiatives.Conclusion: This study emphasizes the importance of improving family planning services by ensuring adequate resources, ongoing training for health personnel, and encouraging community participation. These efforts are critical to improving children's nutritional status in the region
Effectiveness of nutrition counseling on blood sugar levels and adherence to dietary practices in patients with type 2 diabetes mellitus
Authors: Tika Tika Dwita Adfar , Sepni Asmira  , Yumarlina  , Sri Mayada Adfar
Published: November 2024

One of the management strategies for Diabetes Mellitus (DM) is through nutrition counseling to increase patients' knowledge and ability to prepare food and manage their diet to achieve optimal health. This study aims to determine the effectiveness of nutrition counseling on blood sugar levels and patient adherence to the DM type 2 diet. Quasi-experimental research design using a Non-Equivalent Control Group Design. Respondents were selected using purposive sampling, resulting in 35 respondents who met the criteria. Diet adherence is assessed based on compliance with the 3Js (quantity, type, and schedule), and blood sugar levels are measured using a glucometer. Data analysis was conducted using the Wilcoxon test.
The study results showed that before nutrition counseling, the intake of nutrients was as follows: carbohydrates 268.77±96.1 grams, protein 60.69±11.97 grams, fat 61.61±20.53 grams, carbohydrates 268.77±96.1 grams, and fiber 11.40±4.57 grams. After nutrition counseling, the intake was: energy 1621.17±409.01 kcal, protein 61.36±11.61 grams, fat 56.78±25.41 grams, carbohydrates 268.77±96.12 grams, and fiber 12.92±13.82 grams. The mean adherence to food type before nutrition counseling was 0.57±0.502 and after nutrition counseling was 0.91±0.284. The mean adherence to meal schedules before nutrition counseling was 0.60±0.497 and after nutrition counseling was 0.83±0.382. The mean blood sugar level before nutrition counseling was 151.20±26.787, and after nutrition counseling, it was 136.57±26.947. The conclusion is that nutrition counseling is effective in changing blood sugar levels and adherence to the diet in patients.
Factors Affecting Mental Health Status among Chinese Secondary School Students
Authors: Yi Lu Jing , Keat Ooi Boon , Fei Yue Peng
Published: November 2024

Objective - This study aimed to investigate the variables affecting the mental health of Ping Mei High School students in Chifeng, Inner Mongolia Autonomous Region, China.
Methodology/Technique - 147 secondary school students from classes that will take national examinations participated in this survey. The DASS-21 scale and self-reported variables were used to evaluate the students' mental health.
Findings – The study's findings indicated that relationships between teachers and students, families, and academics are all significant factors that influence mental health status. The survey also determined how well students coped with mental health issues. Junior high school students at Ping Coal Middle School in Chifeng City, Inner Mongolia Autonomous Region, China, were concerned with mental health conditions more related to anxiety and depression, but as students, they did not show substantial symptoms of stress; male students were better than female students in terms of academics and teacher-student relationship factors, and female students were higher than male students in terms of anxiety levels; academics, family, teacher-student relationships, and coping strategies were significantly negatively correlated with depression; academics and teacher-student relationships were, respectively, significantly and mildly negatively correlated with anxiety; on the other hand, academics were significantly and mildly negatively correlated with anxiety. significantly and mildly negatively correlated with anxiety; on the other hand, academics were significantly negatively correlated with stress.
Novelty - This may be related to the profile of the participants, who were high school students taking the national examination. In addition, the teacher-student relationship was also associated with depression and anxiety levels. The final finding of this study was that family factors negatively predicted depression levels among secondary school students; teacher-student relationships negatively predicted anxiety and depression levels among secondary school students.

Type of Paper: Empirical
JEL Classification: I10, I11, I19.
Keywords: Depression；Anxiety；Stress；Mental health status
Reference to this paper should be made as follows: Yi, L.J; Keat, O.B; Fei, Y.P. (2024). Factors Affecting Mental Health Status among Chinese Secondary School Students, J. Mgt. Mkt. Review, 9(3), 101 – 113. https://doi.org/10.35609/jmmr.2024.9.3(2)
Screening, Isolation and Hydrocarbon Degradation Characteristics of Yeasts from Mangrove Sediments of Kerala
Authors: Pothayi Vidya , N Kutty Sreedevi , Chempakassery Devasia Sebastian
Published: November 2024

The aim of the present work was to examine the hydrocarbon degradation potential of yeasts isolated from the mangrove sediments. Mangrove sediments around the world were considered to be heavily polluted with oil contaminants and the microbes dwelling in them were believed to be highly active in metabolizing and detoxifying the oil fractions. In the present study, 70 yeast isolates were screened for their lipolytic activity qualitatively and 35 of them which showed comparatively higher lipolysis were tested for their crude oil degradation ability. Screening of hydro-carbon utilizing isolates was performed on Bushnell Haas agar media overlaid with 1% crude oil and the appearance of colonies were considered a positive. Three isolates were selected based on this and were sequenced using ITS gene of the 18S region of the rDNA and identified to be Candida tropicalis. The extent of crude oil degradation was assessed by growing the isolates in basal medium supplemented with heavy crude oil as the carbon source for 21 days. The residual crude oil fractions were then analyzed using GC-MS to quantitatively measure the degradation potential of each isolate. Our results showed that the yeast strains under study could actively metabolize the crude oil including the higher chain fractions which make them efficient hydrocarbon degraders that can be used in the bioremediation processes.
Establishing Optimal Machine Learning Models for Monitoring Water Quality in Vietnam’s Upper Ma River
Authors: Ngo Thanh-Son , Nguyen Duc-Loc
Published: November 2024

This study aims to establish the optimal regression model for predicting total suspended solids (TSS) and Turbidity based on in situ data and spectral regions of Sentinel-2 images. Various machine learning models were evaluated, including Multilayer Perceptron Regression (MLPR), Random Forest Regression (RFR), AdaBoost Regression (ABR), Multiple Linear Regression (MLR), and K-Nearest Neighbors Regression (KNNR). These models were applied to different band combinations of spectral regions: visible (VIS), near-infrared (NIR), shortwave-infrared (SWIR), VIS+NIR (VNIR), and VIS+NIR+SWIR (VNIR+SWIR). The study results revealed that the MLR model, while not the best performer during training (R2 = 0.89 for TSS and R2 = 0.66 for turbidity), did not exhibit overfitting, with corresponding R² values in testing being 0.80 and 0.42, respectively. Variable selection for MLR models identified optimal spectral bands: B3, B5, B6, B8, B11, and B12 for TSS, and B4, B8, B11, and B12 for Turbidity. The final no-intercept multiple linear regression models achieved R2 = 0.88 for TSS and R2 = 0.62 for turbidity. Performance metrics for TSS were superior, with lower MAE, MSE, and RMSE compared to Turbidity. This study underscores the efficacy of using MLR models with selected spectral bands for accurate and generalizable predictions of TSS and turbidity.
Evaluation of accuracy of Phenotypic methods in the detection of Methicillin Resistant Staphylococcus aureus
Authors: Tariq Nehaj , Shahina Yasmin  , Tariq Butt  , Aleena Butt  , Shazia Arif  , Saeeda Bano
Published: November 2024

Abstract:
Methicillin resistant Staphylococcus aureus (MRSA) is a variant of Staphylococcus aureus; responsible for a significant share of the infectious load.
Objective: The current study was conducted to evaluate the accuracy of already in vogue phenotypic methods of identification of MRSA keeping in view the gold standard method of mec-A gene detection using Polymerase chain reaction (PCR) and to compare the sensitivity and specificity of different phenotypic methods (Cefoxitin Disc Diffusion, Oxacillin Disc Diffusion, Oxacillin Screen Agar, and MIC of Oxacillin by Agar Dilution Method) with the genotypic method (PCR).
Method: A descriptive cross-sectional study was carried out at Microbiology Lab, Pakistan Railway Hospital, Rawalpindi from October 2021 to September 2022, after attaining the formal approval from Institutional Ethical Review Committee (Riphah/IIMC/IRC/21/73), using non-probability sampling technique. A total of 222 samples of Staphylococcus aureus were isolated from all the clinical specimens received at Microbiology lab at Pakistan Railway Hospital. Among those isolates, 150(67.5%) were Methicillin sensitive Staphylococcus aureus (MSSA) and 72(32.4%) were Methicillin Resistant Staphylococcus aureus (MRSA). The results of Phenotypic methods were compared with the results of PCR by using Chi-square formula. The sensitivity and specificity of Cefoxitin Disc Diffusion method was 62.5% and 96.6%, Oxacillin Disc Diffusion method was 65.3% and 93.3%, Oxacillin Screen Agar technique was 81.9% and 96% while that of Oxacillin MIC by Agar Dilution was 91.6% and 89.3% respectively. Oxacillin screen agar demonstrates the better phenotypic technique for detection of MRSA in routine practice.
Efek pemberian jus tomat-mentimun terhadap tekanan darah pasien penyakit jantung pembuluh darah di Rumah Sakit Pusat Angkatan Darat Gatot Soebroto
Authors: Fayasari Adhila , Sulasminiati Sulasminiati , Istianah Isti
Published: November 2024

Latar Belakang: Manajemen hipertensi pada pasien kardiovaskular dapat mengurangi efek morbiditas dan mortalitas. Pengontrolan diet dengan asupan tinggi kalium merupakan salah satu cara untuk mengontrol tekanan darah. Pemberian jus tomat-mentimun berperan sebagai salah satu treatment non farmakologi penurunan profil tekanan darah. Tujuan: Untuk menganalisis perbedaan profil tekanan darah terhadap pemberian jus tomat-mentimun pada pasien penyakit kardiovaskular di RSPAD Gatot Soebroto. Metode: Penelitian ini menggunakan desain quasi eksperimental pada 36 subjek di bangsal kardiovaskular RSPAD Gatot Soebroto. Subjek dibagi menjadi dua kelompok, dengan masing-masing 18 subjek untuk kontrol mendapatkan jus tomat 200 ml dan untuk intervensi mendapatkan jus tomat-mentimun 200 ml selama lima hari. Kedua kelompok mendapat obat hipertensi dan diet khusus rendah garam. Data tekanan darah diukur dengan sphigmomanometer raksa, dan data asupan diukur dengan menggunakan food recall 24 hours. Analisis statistik menggunakan Mann-whitney test, paired t-test dan MANCOVA dengan α 5%. Hasil: Terdapat penurunan tekanan darah sistolik dan diastolik di kedua kelompok perlakuan (p<0,001). Namun, tidak ada perbedaan selisih tekanan sistolik dan diastolik antara kelompok jus tomat dan tomat-mentimun (p>0,05). Penurunan tekanan darah lebih besar pada kelompok tomat dengan rerata 3,56 mmHg untuk tekanan darah sistolik dan 0,67 mmHg untuk tekanan darah diastolik. Kesimpulan: Pemberian jus tomat dan jus tomat-mentimun dapat menurunkan tekanan darah, namun tidak ada perbedaan signifikan antara keduanya.
Las etapas del duelo en el siglo XXI:una revisión crítica de su origen, evidencia y uso actual
Authors:   Universidad Santiago de Cali, Sierra Duque César Hernán
Published: November 2024

A pesar de las críticas que ha recibido, la Teoría de las etapas del duelo sigue siendo ampliamente conocida y utilizada. El público general, los profesionales y los servicios de salud aún sostienen que durante el proceso de duelo se atraviesa por cinco etapas sucesivas y discretas, lo que tiene efectos nocivos para los dolientes. En consecuencia, este texto se propone revisar la evidencia empírica que respalda a esta teoría. Se han encontrado dificultades metodológicas en el estudio empírico de la Teoría de Eapas, como la falta de un instrumento dise-ñado para medir el paso por las distintas etapas. No se ha encontrado evidencia sólida que apoye una interpretación estricta de la Teoría de Etapas. En cambio, se ha observado que las personas experimentan distintos cambios a lo largo del proceso de duelo, algunos de las cuales pueden corresponder o no con las etapas propuestas, sin seguir un orden específico. Se propone que la Teoría de Etapas tiene un valor histórico y descriptivo, pero, contrario al uso actual que se hace de ella, no contribuye adecuadamente a la explicación del proceso de duelo. Por ende, se aconseja limitar su uso, en favor de otras teorías y modelos más recientes, que tienen mayor apoyo teórico y empíricoPalabras clave:duelo, evidencia empírica, revisión de literatura, teoría de etapas, metodología, Kübler-Ross.
Monitoreo gráfico y ventilatorio en la Unidad de Cuidados Intensivos (UCI)
Authors:   Universidad Santiago de Cali, Estupiñán Pérez Víctor Hugo
Published: November 2024

Los pacientes críticos, adultos o pediátricos que ingresan a la unidad de cuidados intensivos y requieren soporte ventilatorio invasivo, debido a alteraciones respiratorias, hemodinámicas o de cualquier otra índole deben estar continuamente monitorizados, de tal manera que podamos detectar cambios en la ventilación como en la oxigenación. Estos cambios pueden deberse a problemas en la mecánica respiratoria, trastornos en la oxigenación que llevan a asincronías con el ventilador mecánico. Es por eso que, a través de la monitorización de curvas y bucles, capnografía o el uso de las diferentes escalas para medir la sedación podemos detectar que problemas existen y como corregirlas. En algunos casos, puede ser necesario cambiar el modo ventilatorio o ajustar la sedación para mejorar la sincronización entre el paciente y el ventilador. Por otra parte, el capnógrafo es una herramienta adicional que ayuda a analizar el estado de la ventilación. Este tipo de monitoria nos permite obtener datos sobre posibles cambios en la relación ventilación/perfusión, (V/Q) sin embargo, esto requiere experiencia y experticia por parte del terapeuta respiratorio o el personal de salud que manipula el ventilador mecánico, y de esta manera poder corregir las alteraciones que lo producen.
A COMPARTIVE ANALYSIS IN EASTERN PART OF UTTAR PRADESH ASSESSING THE SAFETY AND EFFICACY OF INTRAVENOUS IRON SUCROSE VS INTRAMUSCULAR IRON SORBITOL FOR IRON DEFICIENCY ANEMIA IN PREGNANT WOMEN
Authors: Maan Vaishali , Yadav Divya , Kumar Gupta Sunny
Published: November 2024

Background: Anemiais themostcommonlyhaematologicaldisorderinpregnancy.Anemiaisassociatedwith
higher perinatal mortality and morbidity. In the developing countries like India more than two third pregnant
womensufferfromanemiaoutofwhich95%ofcasesareduetoIrondeciencyanemia.Irondeciencyanemiaareduetopoornutrition
and it is estimated to affect nearly two third of pregnant women in developing countries like India. Aim: To compare the safety and
efcacyofintravenous ironsucrosewithintramuscularironsorbitolinpregnantwomenineasternpartofUttarpradesh.Objectives:To
compare the safety of intravenous iron sucrose with intramuscular iron sorbitol. To compare efcacy of intravenous iron sucrose with
intramuscular iron sorbitol. Material And Methods: 100 antenatal women attending outpatient department with haemoglobin 7-
9gm/dl will be recruited randomly and then they are divided into two groups different group of 50 each. To the 50 patients groupAiron
sucrose is given and to 50 patients group B iron sorbitol is given. Then safety efcacy and adverse drug reaction with both the therapy
were recorded. Result: Haemoglobin concentration raised signicantly in both the groups. The increase rise in haemoglobin level in
Group A and Group B signicantly high in by the fourth week. But none of the group B case reached the target level of haemoglobin
during this observation period. With iron sorbitol adverse event were common. However no serious adverse drug reactions were
observed. Conclusion: Intravenous iron sucrose is found to be more safe and more efcacious and faster acting then intramuscular
ironsorbitoltherapytotreatfortreatingmoderatetosevereanemiainpregnantwomen.
CONSUMERS ATTITUDE AND PREFERENCE TOWARDS ONLINE FOOD DELIVERY SERVICES PROVIDERS: A STUDY IN ERODE DISTRICT OF TAMIL NADU
Authors: Sukasini R. , Subramaniam K.
Published: November 2024

The online food delivery service is one of the fastest growing businesses in India today. The increased
mobile phone usage and development in the internet and communication technology have boosted the
growth of such business in India. On-line food ordering is a simple, convenient and easy way for consumers to buy and have
food delivered at their doorstep without wasting the time in restaurant. This method is convenient, safe, and reliable and is
revolutionizing the present restaurant industry. At this background, this study is an attempt to identify the factors inuencing the
consumers to prefer online food delivery services in Erode District of Tamil Nadu. The primary data of this study have been
collected from 100 sample respondents using convenient sampling technique and analyzed with the help of Statistical Tool like
Garret Ranking Technique. The study concludes that the Door Step Delivery is the primary factor inuencing the consumer to
prefer online food delivery services and suggests that prompt delivery of food at the doorstep of consumer at a reasonable price
can still inuence the consumers towards preferring online food delivery services.
CORRELATION OF DIABETIC PARAMETER (HBA1C) WITH OXIDATIVE STRESS PARAMETER (MDA) IN TYPE 2 DIABETES MELLITUS PATIENTS
Authors: Mohammed Abdul Ashfaq , Rimsha Rimsha , Fatima Arooba , Rukhayya Fnu , Siddiqua Syeda Ayesha
Published: November 2024

Background: Type 2 diabetes mellitus (T2DM) is a growing public health concern globally, characterized
by chronic hyperglycemia, dyslipidemia, and increased oxidative stress. These metabolic alterations are
key contributors to the development of long-term complications. Aim: This study compared glycemic control, lipid proles,
serum protein levels, and oxidative stress markers between patients with T2DM and healthy controls. Materials & methods: A
total of 60 participants were recruited, including 30 healthy controls and 30 patients with T2DM. Data on age, gender, body
mass index (BMI), and family history of T2DM were recorded. Blood glucose levels, HbA1c, lipid proles (total cholesterol,
triglycerides, LDL, HDL), total serum proteins, and oxidative stress marker (MDA) were measured and compared between the
two groups. Results: The diabetic group exhibited signicantly higher blood glucose levels (14.24mmol/dL) and HbA1c
(10.55%) compared to controls (6.27mmol/dL and 5.54%, respectively; p < 0.001*). Total cholesterol, triglycerides, and LDL
levels were elevated in the diabetic group, while total serum proteins were lower. Oxidative stress, as measured by MDA levels,
was signicantly higher in the diabetic group (0.305nmol/mg protein) compared to controls (0.176nmol/mg protein).
Conclusion: Patients with T2DM demonstrated poorer glycemic control, lipid dysregulation, and increased oxidative stress
compared to healthy controls. These ndings highlight the need for comprehensive management of metabolic and oxidative
stress parameters in patients with diabetes to prevent complications.
IN VIVO STUDY TO EVALUATE THE HEPATOPROTECTIVE ACTIVITY OF ROHITAKADI VATI AGAINST ALCOHOL INDUCED SUBACUTE HEPATOTOXICITY IN RATS
Authors: Kurtkoti Ketan , Sabale Amol
Published: November 2024

This study evaluated the hepatoprotective activity of Rohitakadi Vati, an Ayurvedic formulation, against
alcohol-induced subacute hepatotoxicity in Wistar rats. A total of 24 rats were divided into four groups:
control, disease control (alcohol), standard control (alcohol + Silymarin), and test (alcohol + Rohitakadi Vati). Over a 28-day
period, parameters such as body weight, clinical signs, organ weights, biochemical markers, and histopathological changes
were assessed. Results showed that Rohitakadi Vati signicantly reduced alcohol-induced liver damage, as evidenced by
improved biochemical parameters and reduced histopathological alterations compared to the disease control group. The study
concludes that Rohitakadi Vati exhibits signicant hepatoprotective effects comparable to Silymarin, supporting its potential
use in managing alcohol-induced liver damage.
“A COMPARATIVE STUDY OF ORAL PREGABALIN AND ORAL PARACETAMOL AS PRE-EMPTIVE ANALGESICS IN PATIENTS POSTED FOR LOWER LIMB ORTHOPAEDIC SURGERIES UNDER SPINAL ANAESTHESIA
Authors: S. R Adarsh , K. Gouroji Santhosh , E V Anusree , Agarwal Samiksha , K. S Rajendrakumar , Ankadaki Jyothi Veerappa
Published: November 2024

Objectives: This study aimed to compare the efcacy of oral pregabalin and oral paracetamol as preemptive analgesics in patients undergoing lower limb orthopaedic surgeries under spinal anaesthesia.
The primary outcomes were pain scores, opioid consumption, and quality of sleep postoperatively. Methodology: The study
included 60 patients undergoing elective lower limb orthopaedic surgery. Patients were randomly assigned to receive either 150
mg of oral pregabalin (Group PG) or 1 g of oral paracetamol (Group PA) one hour before surgery. Pain intensity was assessed
using the Visual Analog Scale (VAS) immediately post-surgery and at intervals up to 24 hours. Rescue analgesia use and
quality of sleep were also recorded. Statistical analyses included independent sample t-tests, Chi-Square tests, and repeated
measures analysis. Results: At 2 hours post-surgery, the PA group had signicantly higher mean VAS scores (3.90) compared to
the PG group (1.67, p < 0.001). Signicant differences were also noted at 18 hours (p = 0.001) and 24 hours post-surgery (p <
0.001), with the PA group experiencing higher pain levels. The PA group required more doses of rescue analgesia ( ² = 23.3, p <
0.001) and reported poorer sleep quality compared to the PG group ( ² = 6.19, p = 0.045). Conclusion: Oral pregabalin is more
effective than oral paracetamol for pre-emptive analgesia in patients undergoing lower limb orthopaedic surgeries under
spinal anaesthesia.
UNVEILING THE HIDDEN CONNECTION: LEPTOSPIRA AS AN ANTECEDENT IN GUILLAIN-BARRÉ SYNDROME
Authors: Dasgupta Ishan , Prakash Swayam
Published: November 2024

Guillain-Barré Syndrome (GBS) is an immune-mediated acute polyneuropathy often triggered by
infections. Although rare, leptospirosis, a zoonotic bacterial infection, can precede GBS, particularly in
endemic regions. We report a case of GBS in a 32-year-old woman following leptospirosis. She presented with ascending lower
motor neuron (LMN) quadriparesis, along with bulbar and respiratory involvement. Nerve conduction studies suggested the
AMSAN variant of GBS. In addition to standard IVIg treatment for GBS, she was also treated with doxycycline due to positive
Leptospira IgG and IgM results, indicating a recent leptospirosis infection. She showed a fairly good clinical recovery. The
association of leptospirosis with GBS is not well-documented in previous literature. This case emphasizes the importance of
recognizing leptospirosis as a potential antecedent in GBS, particularly in endemic regions, and highlights the role of early
intervention in improving outcomes.
THE IMPACT OF CIGARETTE SMOKING ON GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES: A CROSS-SECTIONAL STUDY.
Authors: Imtiyazuddin Md , Tabassum Azeeza , Fatima Arooba , Tazeen Nabeela , Rimsha Rimsha , Siddiqua Syeda Ayesha
Published: November 2024

Background: Cigarette smoking is a well-known risk factor for various cardiovascular and metabolic
diseases, including diabetes. Its potential impact on glycemic control, particularly in type 2 diabetic
patients, warrants further investigation, as poor glycemic control is associated with increased complications and morbidity in
this population. Aim: This study aims to evaluate the effect of cigarette smoking on glycemic control in type 2 diabetic patients,
comparing smoking and non-smoking groups to identify key risk factors that inuence glycemic outcomes. Materials &
Methods: A cross-sectional, comparative study was conducted with 60 participants, 30 with type 2 diabetes and 30 non-diabetic
controls. Demographic, clinical, and lifestyle variables, including age, gender, BMI, blood pressure, hypertension status, and
cigarette smoking, were collected. Univariate and multivariate analyses were used to assess the association between these
variables and glycemic control, focusing on smoking as a potential risk factor. Results: Cigarette smoking was signicantly
associated with poor glycemic control in type 2 diabetic patients, with an adjusted odds ratio (OR) of 3.57 (95% CI: 1.71–7.58, p
= 0.001). Age (adjusted OR: 1.07, 95% CI: 1.05–1.10, p = 0.001) and systolic blood pressure (adjusted OR: 1.03, 95% CI:
0.99–1.04, p = 0.001) were also signicant risk factors. Gender, BMI, and diastolic blood pressure did not show signicant
associations with glycemic control. Conclusion: Cigarette smoking, along with age and systolic blood pressure, is a key
determinant of poor glycemic control in type 2 diabetic patients. These ndings underscore the importance of smoking
cessation and comprehensive management of modiable risk factors to improve glycemic outcomes in this population.
COMPARATIVE EVALUATION OF INTRATHECAL ADMINISTRATION OF BUPRENORPHINE OR FENTANYL AS AN ADJUVANT TO LEVOBUPIVACAINE (HYPERBARIC) IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERIES
Authors: Kaushal Anand , Smriti Shruti
Published: November 2024

Background: Using intrathecal adjuvants in spinal anesthesia aims to enhance analgesic efcacy and
prolong the duration of sensory and motor blocks. Buprenorphine and fentanyl are commonly used
adjuvants with distinct pharmacological proles, offering varying benets in terms of onset time and duration of analgesia.
This study seeks to evaluate and compare the effectiveness and safety of these two adjuvants when combined with hyperbaric
levobupivacaine in patients undergoing lower limb surgeries. Aims And Objectives: The study compared the efcacy and
safety of intrathecal buprenorphine and fentanyl as adjuvants to hyperbaric levobupivacaine in patients undergoing lower
limb surgeries. Materials And Methods: An analytical cross-sectional study was conducted at Sri Aurobindo Medical College
and Post Graduate Institute, Indore, from 1st September 2022 to 1st February 2024. Eighty-four patients, aged 18 to 40 years with
ASA grade 1 and 2 status, scheduled for lower limb surgeries under subarachnoid block were enrolled. Patients were randomly
assigned to two groups: Group B (n=42) received intrathecal levobupivacaine 0.5% with 30 mcg buprenorphine, and Group F
(n=42) received intrathecal levobupivacaine 0.5% with 25 mcg fentanyl. Sensory and motor block characteristics,
intraoperative hemodynamic parameters, duration of postoperative analgesia, and adverse effects were assessed. Results:
The demographic characteristics were comparable between the groups. The onset time of sensory block was signicantly
faster in Group F (2.7 ± 0.6 minutes) compared to Group B (3.8 ± 1.3 minutes, p < 0.001). Conversely, the onset of motor block
was quicker in Group B (7.7 ± 2.7 minutes) compared to Group F (10.2 ± 2.9 minutes, p < 0.001). Intraoperative hemodynamic
parameters were similar between the groups. The duration of adequate postoperative analgesia was signicantly longer in
Group B (422.2 ± 10.28 minutes) compared to Group F (288.6 ± 4.30 minutes, p < 0.001). Group B required fewer additional
analgesic doses within the rst 24 hours postoperatively (mean 1.2 doses) compared to Group F (mean 2.1 doses, p < 0.001).
Adverse effects were comparable between the groups, with no signicant differences. Conclusion: Both buprenorphine and
fentanyl are effective and safe adjuvants to levobupivacaine for intrathecal anesthesia in lower limb surgeries. Buprenorphine
offers a signicantly longer duration of postoperative analgesia, while fentanyl provides a faster onset of sensory block.
UNRAVELING ABDOMINAL PAIN: A CASE OF BUDD – CHIARI SYNDROME IN A PEDIATRIC PATIENT
Authors: Priya M Swathi , Vijayakumar Pooja
Published: November 2024

Budd-Chiari Syndrome (BCS) is a rare disorder resulting from obstruction of the hepatic veins or inferior vena cava,
leading to liver congestion and potential failure. This case report highlights a 12-year-old male who presented with
intermittent abdominal pain for one month, progressively worsening in intensity. Clinical examination revealed
hepatomegaly, and further diagnostic workup, including Doppler ultrasound and CECT imaging, confirmed the
presence of Budd-Chiari Syndrome caused by inferior vena cava stenosis. Endovascular intervention with IVC stenting
was performed, leading to symptomatic improvement. This case underscores the importance of considering BCS in
pediatric patients presenting with unexplained abdominal pain and hepatomegaly. Early diagnosis and intervention are
crucial for improving outcomes in this rare but potentially fatal condition.
TORSION OF TERM GRAVID UTERUS - AN INCIDENTAL FINDING DURING CESAEREAN SECTION: A RARE CASE REPORT
Authors: Monkolla Madhuri , Tirupati Seshasai
Published: November 2024

Uterine torsion is rotation of the uterus around its long axis greater than 45 degrees. This is a rare case of 22 year old
G2P1L1,40 weeks of gestational age with previous normal vaginal delivery admitted for safe instituitional delivery.
Growth scan was done, AFI of 4.5 cm with estimated fetal weight 2.8 kg. After counselling about risk of oligohydramnios
explained the mode of delivery,taken consent of trail of labour and induction.As there was non reassuring CTG, with
nonprogession of labour,patient was taken for emergency LSCS under spinal anesthesia, intraoperatively there was an
axial rotation of uterus to 180 degrees observed,as there was difficulty to derotate the full term gravid uterus with stiff
abdomen low transverse incision is given on the posterior surface of uterus and delivered an alive male baby .Derotation
of uterus done and sutured. Uterine torsion although rare should be kept in mind while performing cesaerean section.
BRONCHOPULMONARY FISTULA IN A NEONATAL
Authors: Dipak Dani Saurin , R Gupta Abhaya
Published: November 2024

We report a rare case of a 1.2kg preterm neonate with bilateral pneumothorax and air leak diagnosed as
bronchopulmonary fistula secondary to the use of a suction catheter. HRCT Thorax confirmed the site of the leak.
Bronchopulmonary fistula repair was done after the failure of conservative management.
STEWART TREVES SYNDROME-A SERIES OF UNFORTUNATE EVENTS
Authors: Sree C M Janani , R Dharani , R Sudha , Priyadarshini Anuradha , S Adikrishnan
Published: November 2024

Angiosarcoma is a highly malignant soft tissue tumor and this developing post-chronic lymphedema is also known as
Stewart Treves Syndrome. Early detection is crucial since it might develop from a spreading bruise to an ulcer in the
future. The primary diagnostic tools are immunohistochemistry and histopathology. Treatment ranges from radical
surgery to immune checkpoint inhibitors. We present a case of an 82-year-old woman, previously diagnosed with
pemphigus and treated with cyclophosphamide, who developed angiosarcoma complicating chronic lymphedema of
the left lower limb. The lymphedema in turn was a result of a radical excision done for bladder carcinoma.
ASSESSMENT OF EFFICACY OF ORAL HEALTH GAME APPLICATIONS BY EVALUATING PLAQUE INDEX SCORE OF 5-8 YEARS OLD CHILDREN
Authors: Gupta Aarushi , Choubey Shikha , Kapoor Rishabh , Mathur Shivani , Verma Urvashi , Singh Rishba
Published: November 2024

Background: Caries is a multifactorial disease that is influenced by oral hygiene practices and nowadays with
advancing technology,this can also be aided by the use of oral health game applications.Aim: To assess the efficacy of
various oral health game applications by evaluating the plaque index score of 5-8 years old children at a time interval of
th th 14 days. Design: Plaque index was calculated for 20 children at baseline, 7 day and 14 day. They were randomly
allocated into 4 groups,one control group and 3 different toothbrushing game app groups.Results: Plaque index scores
reduced in all the 4 groups but were not statistically significant. Group C showed the highest reduction in the Plauqe
index scores. Conclusion: Toothbrushing and Oral health game applications have proven to be an interesting and
educational method to instill good oral hygiene habits in children.
3D CT RECONSTRUCTION: UNVEILING LIVER VOLUME DYNAMICS AND ITS RELATIONSHIP WITH BMI AND BODY SURFACE AREA
Authors: Prasad Pooja , M. J Geetha. , Raman Rajesh , C Devika
Published: November 2024

Introduction: Estimation of liver size has important clinical implications. A thorough knowledge of liver dimensions and
volume is prerequisite for clinical assessment of liver disorders. It can facilitate decision making in liver transplant
surgery to avoid donor-recipient graft mismatch. In liver transplantation, pre-transplant liver volume is an independent
determinant of the prognosis of graft survival. The liver span measured by palpation and USG is prone to inter-observer
variability and poor repeatability. Hence, there is need for 3D volumetric reconstruction. To estim Objective: ate liver
volume by 3D CT reconstruction and to correlate BMI and body surface area with the liver volume in patients of south
Karnataka region. This cross sectional observational study was performed by retrospective Materials and Methods:
evaluation of 1000 patients in the age group of 20-90 years who have undergone CT abdomen at the Department of
Radiology, MIMS, Mandya during the study period from May 2023 to December 2023. Mass lesions of liver, liver
laceration, cirrhosis of liver, storage disorders and age<20 years were excluded from the study. The clinical details of
these patients were retrieved from the HIS. Estimation of liver volume was performed using Fujifilm synapse 3D software
on axial CT image dataset. Volume was determined by the volume rendering tool. The statistical analysis was performed
using statistical software(IBM). Average liver volume was 1393+/-487ml for an average BMI of 24.5+/- Results: 5.4kg/m2
and average BSA of 1.43+/-0.2(m2). From our study results, there is a positive correlation between liver volume and BSA
and this correlation is statistically significant with P-value less than 0.05. 3D CT reconstruction Conclusion: is a useful
tool for accurate liver volume estimation. Our study shows a positive correlation between liver volume and BSA.
COMPARISON BETWEEN AGES AND STAGES QUESTIONNAIRE-3 AND TRIVANDRUM DEVELOPMENT SCREENING CHARTS AS A SCREENING TOOL FOR DEVELOPMENT DELAY
Authors: Madhurasree Nelanuthala , Goyal Prachi , Siddiqui Mohd. Saeed , Haseeb Mohammad , Bangalore Anjali
Published: November 2024

Background: Developmental delay in children is a critical concern globally, impacting long-term outcomes and
imposing significant economic burdens. Early identification and intervention are crucial for mitigating adverse effects.
Objective: This study aims to compare the effectiveness of two developmental screening tools, the Ages and Stages
Questionnaire-3 (ASQ-3) and the Trivandrum Development Screening Charts (TDSC), in identifying developmental
delays in children aged 2 to 60 months. A cross-sectional study was conducted at MGM Medical College Methods: ,
Aurangabad, from September 2022 to January 2023, involving 220 children. Informed consent was obtained from parents
or guardians. Two pediatricians screened each child using TDSC and ASQ-3, respectively. Data was analysed using SPSS
software, with descriptive statistics, kappa statistics, and Cronbach's alpha to assess agreement and reliability.Results:
The mean age of participants was 25.02 months and 44.5% (98/220) were female. ASQ identified 68.6% of children with
developmental delays, while TDSC identified 42.3%. The highest developmental delays were observed in the 13-18
months (67.74%) and 25-36 months (63.27%) age groups. Time taken for complete assessment by ASQ-3 was 20-25
minutes and by TDSC was 5-7 minutes. Moderate agreement was found between ASQ-3 and TDSC (Kappa = 0.407).
Internal consistency for ASQ delay domains ranged from moderate to good (Cronbach's alpha 0.434 to 0.667).
Conclusion: The study demonstrates that ASQ-3 identified a higher percentage of developmental delays compared to
TDSC, with moderate agreement between the two tools. These findings highlight the importance of using multiple
screening tools for early identification of developmental delays, ensuring timely intervention and support for affected
children.
GENETIC PREDISPOSITION AS A FACTOR IN THE CHOICE OF COMBINED PREPARATIONS FOR THE REGRESSION OF INVOLUTIONAL SKIN CHANGES
Authors:   Sechenov First Moscow State Medical University, Moscow, Russia, Khanalieva I.A. ,   Medical Institute of Continuing Education of the Russian Biotechnological University (ROSBIOTECH), Moscow, Russia, Svechnikova E.V. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH). Moscow, Russia,   Polyclinic No1 of the Administrative Department of the President of the Russian Federation, Moscow, Russia, Flaks G.A. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia,   Asteri-Med Clinic, Moscow, Russia
Published: November 2024

Background. Advances in the study of skin aging have proven the importance of high-quality synthesis of collagen types I and III. Protein synthesis is a genetically determined process, encoded by a multitude of genes, mutations in which led to disruption of this process. Purpose. FLG, AQP3, COL1A1, MMP1, ELN genes responsible for skin aging correlate with the certain skin morphotypes and the studied variability of gene transformations opens prospects for predicting the development of aging signs at any age and, as a consequence, timely prevention of aging problems. Materials and Methods. The article presents interim results of a conservative study, methods for correcting involutional changes in the face and neck skin. Patients in the comparison groups with the main signs of skin aging received corrective therapy according to scheme 1 (SKINOPRO ACTIVE) 8 mg/ml, once every 7 days and scheme 2 (SKINOPRO FORTE) 12 mg/ml, once in 7 days. The effectiveness of therapy with drugs based on hyaluronic acid, silicon and zinc is assessed based on the analysis of the pathomorphological picture of biopsy specimens and immunohistochemical studies of Ki-67, p53, AP-1, collagen I, collagen III, TGF-b, Clotho, Calreticulin protein expression. Results. The results obtained confirm the importance of determinaining aberrations in genes encoding skin collagensynthesis for the purpose of personalized selection of treatment methods for correcting aging signs in different morphotypes. Conclusion. The possibility of conducting further studies of pharmacological preparations used to correct morphofunctional signs of aging of the face and neck skin was discussed, based on the presented data.
Honderd jaar segregatie: Praktijken, legitimaties, gevolgen
Authors: Jungbluth Paul
Published: November 2024

Segregatie is lang niet altijd etnisch en onderwijs lijkt er niet zonder te kunnen. Segregatiecriteria zijn juist veelsoortig en wisselen in de loop der tijd. Lang niet elke segregatie is opzet, van sommige varianten is men zich niet eens bewust. Historische vanzelfsprekendheid, politieke correctheid en maatschappelijke wenselijkheid bieden wisselende rationales, net als (vermeende) onderwijsorganisatorische logica. Doorgaans heeft de aangevoerde rationaliteit meerdere lagen, net als de argumentatie waarmee die rationale door anderen in twijfel wordt getrokken. Is de legitimering van segregatie zo wispelturig als haar praktijk: elke combinatie lijkt denkbaar. Ze wisselt met de tijdgeest, onderwijsvisies, pedagogische ‘modes’ of met budgettaire en demografische randvoorwaarden. Uiteraard zijn praktijk én legitimatie vaak nauw verweven met belangen: belangen van leerlingen, ouders, leerkrachten, bestuurders of institutionele beheerders. Niet altijd wordt dat belang openlijk benoemd. Reëel hoeft het ook niet te zijn, vermeend belang volstaat. Zijn segregatiepraktijken maar zelden evidence-based, hetzelfde geldt voor de strijd ertegen. Ook die wordt niet per se aangegaan op openlijke gronden, gestaafd op feiten of gestreden met open vizier. We staan bij deze wispelturigheid van zowel segregatiepraktijken als segregatie-ideologieën stil in een poging om ze te leren herkennen als fenomenen met meestal meerdere lagen en gezichten.
Segregatie op de bible belt: een lokaal-historisch perspectief
Authors: Exalto John
Published: November 2024

Segregatie komt niet alleen in grootstedelijke en etnisch gemêleerde gebieden voor. We treffen het ook op de zogenaamde bible belt aan. In deze bijbelgordel is de wettelijk erkende richting van de reformatorische scholen sterk vertegenwoordigd. Deze scholen worden bevolkt door de bevindelijk gereformeerden (SGP-stemmers). Tezamen vormen zij de zogeheten reformatorische zuil, een netwerk van organisaties waarin de reformatorische scholen een belangrijke plaats vervullen. Aan de hand van een lokale casus (de nog onbesliste schoolstrijd in de buurtschap De Valk) wordt uitgelegd dat de West-Veluwe in de loop van de twintigste eeuw aan een proces van refoïsering onderhevig is geweest. In dat proces botst de traditionele dorpscultuur, gericht op sociale cohesie, met de ‘allochtone’, van elders komende refo’s, gericht op de eigen subcultuur. Die botsing leidt tot een nieuwe vorm van segregatie. Ze drijft de traditionele School met de Bijbel in het nauw in een poging haar te refoïseren. Naar aanleiding van deze lokale casus wordt betoogd dat regionale processen zich niet per definitie naar landelijke schaal laten extrapoleren, en dat beleidsmakers daarom in regionaal-historisch diversiteitsbeleid geschoold zouden moeten worden.