bluuebunny/crossref_metadata_2025 huggingface dataset:
SINOPSIS DE LA SUBFAMILIA SPIRANTHOIDEAE (ORCHIDACEAE) EN COLOMBIA, PARTE II
Authors: Dueñas Gómez Hilda del Carmen , Fernández-Alonso José Luis
Published: December 2023

Como segunda y última entrega de la revisión sinóptica de la subfamilia Spiranthoideae para Colombia, se presenta a continuación la parte correspondiente a la tribu Spirantheae subtribus Cyclopogoninae (3 géneros, 41 especies) y Stenorrhynchidinae (9 géneros, 15 especies) y la Tribu Cranichideae (5 géneros, 53 especies). Los géneros más diversos en estas tribus son: Cranichis (20 especies), Cyclopogon (17), Ponthieva (15) y Pelexia (14). Como parte de los resultados de este estudio: a)- se propone con base en la morfología floral (la estructura del rostelo y viscidio), la transferencia del género Cybebus de la subtribu Spiranthinae donde venía siendo ubicado a la subtribu Stenorhnchidinae; b)- se registran para Colombia por primera vez los géneros Lyroglossa (L. grisebachii) y Helonoma, proponiéndose la combinación nueva Helonoma peruviana (Szlach.) Salazar, Dueñas & Fern.Alonso; c) Se añaden nuevos registros a la lista conocida de especies colombianas, pertenecientes a los géneros: Coccineorchis (C. cristata, C. navarrensis), Cyclopogon (C. maldonadoanus, C. olivaceus, C. rimbachii), Pelexia (P. hirta, P. palmorchidis), Ponthieva (P. venusta), y Sarcoglottis (S. grandiflora, S. maasorum, S. neglecta, S. stergiosii); d) se incluyen también 19 registros de especies recientemente publicadas, correspondientes a los géneros tratados en la parte I (Aspidogyne y Microchilus); e) se incluye por último un análisis de la distribución y diversidad de los géneros de esta subfamilia según rangos altitudinales en Colombia; el grupo presenta una distribución básicamente andina, encontrándose principalmente entre 1300 y 3600 m de altitud. Los géneros ampliamente distribuidos son Microchilus, Gomphichis, Cyclopogon, Pelexia, Sarcoglottis, Coccineorchis, Stenorrhynchos, Cranichis y Ponthieva, encontrados casi desde el nivel del mar hasta más de 3000 m, en todas las regiones del país. En contraste, Beloglottis, Brachystele, Cybebus, Eltroplectris, Hapalorchis, Helonoma, Lankesterella, Lyroglossa, Kreodanthus, Pteroglossa y Sauroglossum, tienen distribución muy restringida.
ESTUDIO TEÓRICO DE LA INTERACCIÓN ENTRE LA GLUTATIÓN ZETA TRANSFERASA (GSTZ) Y ÁCIDOS α-HALOALCANOICOS
Authors: Vivas-Reyes Ricardo , Padilla Angélica , Martínez Emiliano
Published: December 2023

La estructura 3D de la glutatión Z-transferasa se obtuvo del Protein Data Bank bajo el código 1FW1; posee una secuencia de 208 residuos (5 al 212). El modelo obtenido consta de 208 aminoácidos, un ión sulfato, una molécula de glutatión, una molécula de 2,3-dihidroxi-1,4-ditiobuano (DTT) y 109 moléculas de agua. Siendo el residuo Ser10 el responsable de la actividad catalítica. A pesar de las diferencias numéricas en los valores de las funciones de evaluación y teniendo en cuenta el error asociado a la utilización de métodos derivados de la mecánica clásica los resultados del docking molecular fueron lo suficientemente adecuados para estimar la posible localización y conformación de los aductos formados entre glutatión y ácidos α-haloalcanoicos; estos resultados mostraron una apropiada complementariedad geométrica entre el sitio activo y los α-haloalcanoicos; no evidenciaron diferencias significativas con respecto a la estéreo selectividad y estéreo especificidad de la GSTZ hacia los ácidos α-haloalcanoicos. Adicionalmente los resultados sugieren que los ligandos estudiados tienen la suficiente movilidad dentro del sitio activo para generar poses con alta afinidad de unión pero con poca probabilidad de ocurrencia, lo cual puede deberse a la orientación que asumen algunos átomos de hidrógeno.
ESCARABAJOS DEL GÉNERO DICHOTOMIUS HOPE 1838 (SCARABAEIDAE: SCARABAEINAE) EN LA AMAZONÍA COLOMBIANA
Authors: Sarmiento-Garcés Rodrigo , Amat-García Germán
Published: December 2023

Se dan a conocer las especies del género Dichotomius Hope de la Amazonía de Colombia, con inclusión de los subgéneros y “complejos de especies”, equivalentes a los subgéneros y a las secciones propuestas por Lüederwaldt (1929). Los caracteres se basan principalmente en las características de los cuernos, protuberancias de la cabeza, características pronotales, torácicas y elitrales. Se citan localidades colombianas y se comentan tendencias de distribución geográfica de las especies. Finalmente, se incluye una clave ilustrada para el reconocimiento de las especies.
ESTUDIOS BIOQUÍMICOS DE LOS ERRORES INNATOS DEL METABOLISMO EN COLOMBIA, DURANTE DOS DÉCADAS
Authors: Barrera Avellaneda Luis Alejandro
Published: December 2023

Este trabajo describe la participación del autor en el diagnóstico, tratamiento y estudios moleculares a lo largo de 20 años de enfermedades metabólicas en Colombia. Se enumeran las técnicas que han sido utilizadas para la confirmación bioquímica de cerca de cincuenta de estas enfermedades por vez primera en la literatura colombiana. Se describen las terapias que se emplean, sus limitaciones y las dificultades encontradas en el país para su aplicación. Se discute en detalle la Terapia de Reemplazo Enzimático (TRE) por ser la alternativa más eficaz hasta el momento para algunas de las enfermedades lisosomales y porque llegó a Colombia muy poco después de haberla comenzado a usar en los EE.UU. Se comentan brevemente otros tipos de terapias que pronto estarán disponibles en Colombia para enfermedades monogénicas y el descubrimiento de nuevas mutaciones en los genes responsables de las enfermedades de Morquio y de Gaucher en pacientes colombianos.
DESCRIPCIÓN DE LA ESTRUCTURA INTERNA DEL MESENCÉFALO DE AOTUS (PRIMATES: SIMIIFORMES: AOTIDAE) CON REFERENCIA A HOMO (PRIMATES: SIMIIFORMES: HOMINIDAE): POSIBLES IMPLICACIONES EN LA EVOLUCIÓN DE LOS CICLOS CIRCADIANOS DE MAMÍFEROS
Authors: Duque Osorio Juan Fernando
Published: December 2023

No se cuenta con descripciones de la estructura interna del MC del único primate simiiforme (antropoideo) nocturno, Aotus. Dado que el MC es importante en la regulación del sueño, se evaluó esta estructura en Aotus, con una técnica histológica y otra Inmunohistoquímica. El MC de Aotus y Homo contienen esencialmente los mismos elementos grises y blancos. Con la técnica Inmunohistoquímica para Serotonina, se encontró un posible núcleo serotoninérgico nuevo (NN?) para el MC de Aotus, que no ha sido descrito en el MC humano. Teniendo en cuenta las relaciones que tendría el NN? con estructuras componentes de los CRS a este núcleo como un posible componente adicional de dichos circuitos, logrando, en mamíferos nocturnos como Aotus, que por un lado la influencia excitadora de la luz del día, tenga un efecto inhibidor sobre el Tálamo y la Corteza Cerebral, y por otro lado haciendo que la influencia inhibidora de la falta de luz durante la noche, tenga el efecto contrario. Dado que, para refugiarse de la predación y relajar competencia con los reptiles dominantes (arcosaurios: dinosaurios) del período Triásico, los primeros mamíferos eran nocturnos, se propone la posibilidad de que el NN? sea plesiomórfico para los mamíferos y que en mamíferos diurnos, el desarrollo de este núcleo putativo se reprima. La existencia del NN? debe ser confirmada con otros estudios.
ESCALA DE INFORMACIÓN, ESCALA DE FLUCTUACIÓN Y ENTROPÍA DE LAS LLUVIAS EN EL VALLE DE ABURRÁ, COLOMBIA
Authors: Poveda Germán
Published: December 2023

Presentamos dos parámetros estadísticos nuevos para el estudio de series de tiempo de variables geofísicas, que denominamos escala de información ψ*, y escala de información normalizada ψ, útiles para cuantificar la dependencia global (no lineal) y a memoria de los procesos geofísicos en el tiempo. Estos nuevos parámetros constituyen una generalización de la escala de fluctuación, θ, que cuantifica la dependencia lineal y la persistencia en procesos de memoria corta. Definimos la escala de información  como la integral de la función de autocorrelación. Estimamos las funciones de auto-información, análoga a la escala de fluctuación que se define como la integral de la función de autocorrelación. Estimamos las funciones de auto-información y de autocorrelación usando registros de lluvias en estaciones localizadas en el Valle de Aburrá sobre la cordillera central de Los Andes de Colombia, con una resolución temporal de 15 min. Durante el período de 1998-2006. Estimamos tanto la escala de información como la escala de fluctuación, y estudiamos cómo se comporta la entropía de las series de lluvia cuando la lluvia se agrega intervalos de tiempo crecientes T= 15 - 30 min., así como 1, 3, 6, 12, y 24 horas. Los resultados indican que la entropía y las escalas de información son levemente dependientes del número de intervalos de clase requeridos para estimar la función de distribución de probabilidades del proceso estocástico.

Encontramos que las funciones de autocorrelación y de auto-información exhiben un patrón de decaimiento muy rápido (exponencial), lo cual implica convergencia de escala de fluctuación a en el rango θ ∈ (58 min.-93 min.), y de la escala de información ψ ∗ ∈  (5 min – bits a 16 min – bits). Además, la relación entre las escalas de información normalizada exhibe valores en el rango ψ ∈ (39 min. – 56 min.). Además, la relación entre las escalas de fluctuación y de información exhibe valores φ = θ/ψ∗ ∈ (1,41 − 1,79). Finalmente, encontramos que la entropía crece como una función potencial casi perfecta del intervalo de agregación temporal, tal que S ∼ Tβ, with β ∈  (0,533 – 0,758). Este resultado debería explicarse en términos de la ganancia de información sobre la lluvia a medida que transcurre el tiempo, pero que también debería poder ser explicado como consecuencia de la segunda ley de la termodinámica en la lluvia tropical de montaña.
A REVIEW OF EXPANSIVE PHENOMENA IN WAGENBURG NORTH TUNNE
Authors: Berdugo Iván , Alonso Eduardo , Romero Enrique , Gens Antonio , Albis María
Published: December 2023

The paper deals on tunnelling and swelling in anhydritic-gypsiferous claystones. The geology of the Gipskeuper in Baden-Württemberg (Germany) and the phenomenology of expansions in Wagenburg North tunnel are described. Consistent swelling triggering events, mechanisms and exhaustion causes were identified using a thermo-hydro-chemo-mechanical theoretical analysis. It is suggested that long-term swelling in tunnels excavated through anhydritic-gypsiferous claystones is a result of solvent-way gypsum crystal growth due to ventilation induced groundwater evaporation and rock drying; an opposite concept to the usual consequences of drying in argillaceous materials, which causes shrinkage strains
ANÁLISIS CRÍTICO DEL PRINCIPIO DE UNIFORMISMO EN GEOLOGÍA, DESDE LA TEORÍA DEL CONOCIMIENTO DEL FILÓSOFO KARL RAIMUND POPPER
Authors: Manrique Bonilla Jesús Antonio
Published: December 2023

El uniformismo de James Hutton y Charles Lyell en geología, históricamente se ha considerado una noción confusa y poco creíble científicamente. A la vez, la mayoría de los análisis sobre este principio se sustentan desde un enfoque esencialmente inductivo, lo que, al parecer, es la razón por la que han resultado poco prometedores para su clarificación epistemológica. Sobre la hipótesis de que los problemas epistemológicos de este principio surgen de abordarlo como una generalización inductiva, aquí se intenta una interpretación distinta, basada no sólo en las afirmaciones de sus proponentes, sino también, en las ideas del filósofo K. R. Popper respecto a la insostenibilidad lógica de la inducción. En tal sentido, la aproximación al uniformismo desde el racionalismo crítico es novedosa respecto a las ya existentes. Desde esta visión, su validez, carácter y estatus epistemológico dejarán de ser confusos.
Introduction to NJWLS 2023-4
Authors: Buch Anders
Published: December 2023

This final 2023 issue of Nordic Journal of Working Life Studies comprises five research articles from researchers in Denmark, Norway, and Sweden.
Cardiovascular Considerations In Antipsychotic use: An Editorial
Authors: Hasanzadeh Alireza , Nateghi Saeed
Published: December 2023

The Article Abstract is not available.
A Patient with a Thoracic Tumefation
Authors: Magro Valerio Massimo , Caturano Michele , Boccalone Eugenio , Scala Giovanni , Verrusio Azar Walter
Published: December 2023

Tumors of the chest wall are uncommon lesions that comprise a heterogeneous group of neoplasms. These tumors may arise from osseous structures or soft tissues and may be malignant or benign. We describe the case of a proliferative swelling of uncertain origin that led us to suspect a neuroendocrine origin for the mass we observed and studied. Neuroendocrine tumors arise from neuroendocrine cells, which are peptideand amine-producing cells dispersed throughout the body. Usually, these tumors occur in various organs as intrathoracic or abdominal masses that become manifest after a variable time, usually after inducing a heterogeneous symptomatology secondary to the secretion of various molecules. The case we describe, on the other hand, develops both exophytically and endophytically, first appearing as an externally developing thoracic mass. Subsequent appropriate investigations revealed bone and muscle involvement in the patient’s thoracic cavity. Therefore, we describe our management of a paucisymptomatic patient who presented with a rapidly developing swelling in the intermammary site that progressed equally rapidly.
An Extremely Rare Case of Extensive Myositis Ossification: Complete Extra-Articular Ankylosis of Hip Joint
Authors: Agarwal Shubham , Raichandani Kishore , Jain Hemant , Raichandani Surbhi
Published: December 2023

Myositis ossificans, in its literal translation, is defined as an inflammatory ossification of muscle and the neighboring soft tissues. A rare case of post-brain injury ossification of the Gluteus maximus muscle extending from the greater trochanter of the femur to the right wing of the iliac bone, leading to extra-articular bony ankylosis of the hip is reported. A 40-year-old male presented to the Outpatient department with a stiff right hip and restriction of its movements. The patient had a history of cerebral hemorrhage 18 months back and subsequently developed stiffness in the right hip since the last 3 months. X-ray and CT scan revealed the extension of an ossified bar extending between the lateral aspect of the right iliac wing above the right acetabulum and upper 1/3 of the anterior lateral aspect of the femur near the greater trochanter, measuring 1003240 mm. The patient was then allowed to go for rehabilitation with appropriate physiotherapy and anti-inflammatory drugs. Extensive hypertrophic ossification can occur at a totally unrelated site as a consequence of cerebral insult/ head injury.
Unusual Cause and Treatment of Uncontrolled Hypertension
Authors: Elhout Somaya , Habib Mohammed
Published: December 2023

Median arcuate ligament syndrome (MALS) is a rare benign condition typically affecting young females. It usually presents with chronic abdominal pain, nausea, vomiting and weight loss. They are usually diagnosed incidentally on MDCT angiography. We report a rare adult male of MALS which presented with a recurrent hypertensive urgency without any abdominal pain leading to an extensive workup and incidental diagnosis of MALS which was successfully treated by angioplasty with stenting of celiac trunk without any complication.
Cutaneous Anthrax of the lip: a Case Report in a 1 Year Old Infant
Authors: Haghighi Faria Hasanzadeh , Farsiani Hadi , Layegh Pouran , Mostafavi Mina , Aelami Mohammad Hassan
Published: December 2023

Anthrax is a deadly, contagious bacterial infection. Skin anthrax is most frequent. Anthrax is a work-related illness, so it’s rare among kids. Children’s symptoms are similar to adults. In this article, we introduce a one-year-old infant who developed cutaneous anthrax due to contact with contaminated broth with a sore on the corner of the lip. A 1-yearinfant from a village in Quchan, North-east Iran, with a swollen lesion with dark brown to black crust on its surface on the left side of upper lip presented to Akbar’s Children Hospital, Mashhad, Iran, in January 2021. Bacillus anthracis was seen in direct smear of wounds with Gram staining though the sample culture result was negative. Mortality from cutaneous anthrax can be up to 20%. Therefore, timely use of antibiotics is quite effective in decreasing mortality and reducing the effects of bacterial spread in the blood.
Extra Gastrointestinal Stromal Tumour (EGIST) of Chest Wall Detected on 18F-FDG PET/CT: A Case Report and Brief Review of Literature
Authors: Gupta Nitin , Verma Shalini , Thakur Priyanka
Published: December 2023

Gastrointestinal stromal tumors (GIST) are rare tumors accounting for less than 1% of primary neoplasia of the digestive tract. They can also occur outside the GIT, where they are called extra gastrointestinal stromal tumors (EGIST), which are extremely rare tumors. GISTS and EGISTS have similar histo-pathological and molecular profiles. Though these are known to be FDG avid, some of the atypical GISTS can be FDG negative or only minimally FDG avid. Here, an unusual case of a 57-year-old female with FDG avid solitary chest wall mass is presented, which after biopsy and immune-histochemistry was proven as EGIST. She underwent en block resection of the tumor and is presently on adjuvant treatment with Imatinib mesylate. This case report highlights the importance of considering EGIST as a differential diagnosis of a solitary chest wall mass and the utility of 18FFDG PET/CT in its management.
Democratic Operation and Organization of the School Leadership
Authors: Giorgos Dr Panagiotopoulos
Published: December 2023

This research study comes to highlight findings in relation to issues of democratic organization and operation of the school leadership. For the needs of the study, the quantitative methodology was followed and an electronic questionnaire (google form) was delivered through the Directorates of Primary Education of Greece to teachers’ emails. The sample, which was consisted of 358 individuals, was selected by following the simple random sampling technique. An electronic questionnaire with 14 close-ended questions was constructed, whereas there was also a session of demographic and vocational data including questions regarding gender, age, additional studies, years of service, and training in democratic operation and organization of school units. According to the findings, the participants do not state in a clear and unequivocal way whether they are satisfied or not with their participation in school decision-making, with the ability of students to influence school events or whether the Greek school can function in a democratic way. They somewhat agree that the school principal distributes responsibilities to the members of the school community, and treats equally all the staff members, as partners. Finally, statistically, gender, years of service, and training in issues of school democratic organization and functioning seem to affect some subscales.
Contrast Tuned Imaging for Detection of Left Ventricular apical thrombus: A Case Report
Authors:   Chief, Non Invasive Cardiologist, Pediatric and Adult Cardiology, Prakash Heart Station, D-16 Nirala Nagar, Lucknow, UP India, Shubham Kacker Akhil Mehrotra, Mohammed Shaban,
Published: December 2023

Thrombi represent the most frequently found intracardiac masses. Left ventricular thrombus (LVT) is an important complication in patients with ischemic heart diseases and in those with dilated cardiomyopathy and systolic heart failure. The diagnosis of left ventricular thrombus remains important since anticoagulation will reduce the risk of systemic embolization and stroke. Despite advances in other imaging modalities, echocardiography remains the most important tool for diagnosis and risk stratification in patients predisposed to develop left ventricular thrombi. We are presenting a case report of 62 years old gentleman who had suffered from anterior wall myocardial infarction (AWMI) in the recent past, and now has developed LVT which was detected by contrast tuned imaging (CTI) technology based contrast echocardiography. This is a first case report of detection of LVT by this ingenious technology. Keywords: Thrombus, Left Ventricle, Ischemic Heart Disease, Anterior Wall Myocardial Infarction, Contrast Tuned Imaging, Left Ventricular Opacification.
Rare Neurological Manifestation of Thyroid Disorders – An Interesting Case Series
Authors: Shobana N, Sacratis Jenix Nathan,
Published: December 2023

Background & Aims Disorders of thyroid gland are among the most common endocrine disorder. The neurologic disorders associated with thyroid dysfunction span the entire spectrum of neurology. Symptoms range from disorders of emotion and higher cognitive function to movement disorders, neuromuscular diseases and a range of rarer yet significant neurologic sequalae. Myopathy is the most common of the peripheral neurologic manifestations in both hypothyroidism and hyperthyroidism. Compressive mononeuropathies, namely carpal tunnel syndrome, are a major feature in hypothyroidism. At the level of the central nervous system, psychosis, personality change, mood disorder, confusion, dementia, coma, and seizures can occur in either hypothyroidism or hyperthyroidism. Movement disorders occur in hyperthyroidism, whereas ataxia and headaches are associated with hypothyroidism.
Risk Management in Health Management
Authors:   Health services administration, Alsulami Naif K
Published: December 2023

The study of this paper investigates the crucial function of risk management in healthcare administration. It centers around the different sorts of dangers in medical services and their motivation on quiet security, care quality, and authoritative execution. The use of technology, the importance of risk management, risk consideration and mitigation strategies, and the challenges faced by healthcare organizations are all examined in this section. It keeps up by underlining the situation with fostering a gamble mindfulness in regard to effectively accomplishing chances and working on understanding results in the troublesome medical services setting.
Effect of Amla Powder and Turmeric Powder Consumption on Geriatric Subjects Suffering from Non-Insulin Dependent Diabetes Mellitus
Authors:   Nutritionist, Fortis Escorts, New Delhi, Pandey Nirmal
Published: December 2023

Diabetes mellitus is the most challenging public health problem of 21st century. International Diabetes Federation, (2015) reported 69.1 million cases of diabetes in India. Worldwide 2011 estimation of prevalence of diabetes in the elderly population (60 years & above) is between 15% to 20% (IDF Diabetes Atlas, 2012). The present study titled “Effect of amla powder and turmeric powder consumption on geriatric subjects (60 years & above) suffering from non-insulin dependent diabetes mellitus” involved multistage random sampling technique. The study was conducted on 18 geriatric subjects residing in Kala Mahal & Pipal Mandi area of Agra city, randomly divided into 2 groups- experimental group (N1=8) and control group (N2=9). 2.5g each of amla powder and turmeric powder was consumed by experimental geriatric non-insulin dependent subjects for 45 continuous days and its effect on fasting and post prandial blood glucose level was recorded and compared with the control group. Demographic, anthropometric and dietary patterns of both groups was also recorded. Statistical tests were applied and it was found that consumption of amla powder and turmeric powder was significantly effective on geriatric subjects (60 years & above) and there was a significant drop in the fasting & post prandial blood glucose level of experimental group on 45th day of feeding trial. In the 24-hour diet recall average consumption of thiamine (mg) was significant at 95% confidence interval (p<0.05)nwhen t-test was applied while energy (kcal), protein (g), carbohydrates(g), fat(g), phosphorus (mg), iron (mg), vitamin A (mcg), riboflavin (mg), niacin (mg) and vitamin C (mg) intake were not significant (p>0.05).
An Unaccustomed Presentation of Besnier-Boeck-Schaumann Disease
Authors:   Department of General Medicine, Govt. T.D Medical College, Alappuzha, Kerala, India, Raj I Dr Vani
Published: December 2023

Eliminating other potential causes of granulomatous inflammation helps to diagnose the mysterious sarcoidosis. All clinicians face a diagnostic dilemma because of the clinical polymorphism and the multisystemic sarcoidosis symptoms. After the lungs, the skin is the organ most frequently impacted by sarcoidosis. Before, during, or after systemic involvement, dermatological symptoms can occur, and the kind of skin lesion can have a bearing on the prognosis. Additionally, compared to a biopsy of visceral organs, a skin lesion biopsy is easier to perform and less intrusive. Therefore, there are some instances in which cutaneous symptoms can help with the diagnosis and outlook of a systemic illness. A high index of clinical suspicion is needed for early diagnosis and timely management, which can improve the quality of life for those patients and reduce morbidy and mortality due to this disease. This article has emphasised the prevalence, clinical characteristics, and treatment of the common skin lesions of sarcoidosis.
A Rare Case of Cecostomy Tube in Complicated Acute Appendicitis Leading to Fecal Peritonitis
Authors:   Senior Resident Department of General Surgery, PGIMS Rohtak, Verma Sandeep
Published: December 2023

The most common abdominal surgical emergency in the world in acute appendicitis. Most common age group involved is between first to second decades but patients at extreme age have higher mortality rate due to late presentation. We are presenting a case of appendicitis which was complicated as long history at time of first surgery which led to caecal injury which was managed with ceacostomy. 62 years gentleman was referred from private hospital with fecal discharge from the open appendectomy wound and cecostomy tube insitu. Patient was diagnosed as phlegmon sequelae of acute appendicitis. Patient underwent emergency laparotomy, peritoneal lavage, removal of cecostomy tube, primary repair of caecal perforation and diversion loop ileostomy. Patient recuperated well. This case report highlights the challenges faced and complexities associated with failure of cecostomy in managing caecal perforation following laparoscopic appendectomy. The conversion from a laparoscopic approach to an emergency open appendectomy followed with cecostomy proved to be a vital decision in the face of phlegmon sequelae of acute appendicitis. The phlegmonous nature of acute appendicitis should be managed conservatively otherwise leading to a more aggressive surgical intervention. Keywords: Acute appendicitis, cecostomy, ileostomy, fecal discharge, phlegmon, complicated appendicitis.
The Role of clinical pharmacists’ interventions and prevention of medication errors in emergency departments
Authors:   Pharmacy Specialist, Almokhalas Abdulrahman J.
Published: December 2023

Clinical pharmacists play a vital role in mitigating medication errors within the high-pressure setting of emergency departments (EDs). This study underscores the significance of their interventions in elevating patient safety and reducing adverse drug events. Medication errors in the ED often stem from factors such as time constraints, incomplete patient information, and complex drug regimens. Clinical pharmacists address these challenges by conducting comprehensive medication reconciliation, assessing drug interactions, and adjusting dosages to align with each patient's specific requirements. Their presence in EDs facilitates real-time verification of medication orders, immediate correction of errors, and close collaboration with the healthcare team. Furthermore, clinical pharmacists provide invaluable drug information and education to patients and medical staff, thereby lowering the risk of inappropriate drug usage and promoting safer administration practices. Existing literature affirms that clinical pharmacist interventions in EDs lead to a notable reduction in medication errors, adverse drug events, and subsequent healthcare costs. In summary, the integration of clinical pharmacists in the ED is indispensable for augmenting patient safety, averting medication errors, and ultimately enhancing patient outcomes. Keywords: medication errors, clinical pharmacists, emergency departments, patient safety, healthcare.
Effect of Pratimarsha Nasya (Nasal Instillation of oil) and Yoga based Protocol (Omkar chanting, Bhramari Pranayam, and Relaxation Technique) in reducing Geriatric stress with reference to Manas Swasthya (Mental Welbeing): A Randomized Control Trial – A study Protocol
Authors:   Assistant Professor, Dept of Swasthavritta, Dr. Rajendra Gode Ayurved College, Hospital and Research Center, Mardi Road, Amravati, PhD (Scholar) Govt. Ayurved College, Nagpur, Joshi Maheshwari Diwakar
Published: December 2023

Today age-related cognitive decline stands as a major public health issue, with high societal costs and few preventative options. Geriatric age group is very prone to the age related psychological disturbances. This study will provide cost effective and easily acceptable solution for geriatric stress if proved positive. Aim: To Study effect of Pratimarsh nasya and yoga based protocol - (Omkar chanting, Bhramari Pranayam, and relaxation technique) to relive stress in geriatric Patients w.r.t manas swasthya Primary Objective:1) To study the effect of Pratimarsha Nasya and yoga based protocol in mental stress of geriatric patients. 2) To assess the effect by assessment criteria (WHO QOL and PSS Scale) Secondary Objective: 1) To study and develop a Yoga based protocol 2) To study the geriatric problems related manas swasthya 3) Standardization of Nasya drug (Bramhi Siddha Tail) 4) To prepare an audio for Relaxation technique 5) To study the WHO QOL and PSS Scale as an assessment criteria for relieving geriatric stress. Methodology: This study will be carried out on 132 subjects of geriatric stress, One group will undergo Bramhi tail nasya and other will undergo Nasya and the yoga based protocol for 3 months. Assessment: Assessment will be done based upon PSS Score and WHO –QOL Score with appropriate statistical tests. Conclusion: Conclusion will be drawn on the basis of Observations, Data analysis, test for significance. Keywords: Pratimarsha Nasya, Yoga based Protocol, Geriatric stress, Manas Swasthya.
A Rare Presentation of Intestinal Obstruction: Gall Stone Ileus
Authors:   M.S. (SURGERY), CH Tauni Devi, Hamirpur, Dr Arvind Mehra Dr Vishal Gautam
Published: December 2023

Gallstone ileus is a mechanical intestinal obstruction due to gallstone impaction within the gastrointestinal tract.1 It is an unusual complication of cholelithiasis, occurring in fewer than 0.5 percent of patients.2 Typically as a result of the formation of cholecysto-duodenal fistula, surgical removal of the gallstone is the mainstay of treatment in order to relieve the intestinal obstruction. Objective: To know about this rare diagnosis so that one can keep it as a differential diagnosis for intestinal obstruction and thus manage accourdingly. Keywords: Intestinal obstruction, Gallstone ileus, Bouveret’s syndrome, Cholecystoduodenal fistula, Bilio-enteric fistula.
Assessment the awareness of the elderly patient's knowledge and attitudes among influenza vaccination in kingdom of Saudi Arabia 2023
Authors:   Nursing, AL Husiniah Center, Saudi Arabia, Qadri Ahmad Ali Yahya
Published: December 2023

Background: Although influenza vaccination is recommended for people aged 50 and above in Saudi Arabia, and the vaccine is provided free of charge, the elderly influenza vaccination rate is still low, also influenza vaccination reduces rates of pneumonia, hospitalization and mortality, influenza vaccination uptake remains low in older patients. Globally, influenza epidemics cause 3–5 million cases of severe illness and result in a quarter million deaths each year. Despite Saudi Arabia tropical climate, influenza and a significant number of hospitalization's. Influenza vaccination has been shown to reduce influenza‑related hospitalizations and deaths. Patients with an influenza infection are at increased risk of severe illness and complications and have a higher mortality and morbidity rate. Despite the significant role of influenza vaccination in preventing and minimizing the serious complications of influenza infection in elderly patient's. Aim of the study: Assessment the awareness of the elderly patient's knowledge and attitudes among influenza vaccination in kingdom of Saudi Arabia 2023. Methods: This cross-sectional study was conducted among 300 participants from health care centers in Makkah Al-Mokarramah city. A validated self-administered questionnaire was used. It includes questions on socio demographic variables, knowledge, attitude, and vaccine response, during the August to September 2023. Results: shows the majority of participant (47.0%) have average of the knowledge towards influenza vaccination followed by (35.0%) of participant high while Range(2-8) and Mean ±SD(7.011±0.512), X2 38.22 P=0.001also the majority of participant (51.0%) have high of the attitudes towards influenza vaccination followed by (37.0%) of participant average while Range(10-18) and Mean ±SD (15.521±1.755), X2 70.26 P=0.001. Conclusion: The proportion of elderly people aged 50 and above who are willing to receive free influenza vaccine is high in Saudi Arabia. But the level of knowledge about influenza, vaccine and trust in society is low. The government should continue to improve the elderly’s awareness and trust in society through medical staff, family members, television and radio media, and guide the elderly to actively vaccinate against influenza. Effective publicity should be carried out through the above channels to guide the elderly to actively vaccinate against influenza, and a significant number of hospitalization's Keywords: Assessment, Knowledge, attitudes, Patients, PHC, seasonal influenza, Immunization, Saudi Arabia.
Case Report on Lung Cancer in Old Tuberculosis with Bio Mass Fuel Exposure
Authors:   Department of Pulmonology, Dr. VRK Women’s Medical College Teaching and Research Institute, Dr Sumayya Afreen Dr Hidayath Hussain, Dr Vindhya Vasini,
Published: December 2023

Pulmonary tuberculosis (TB) and lung cancer are becoming increasingly prevalent especially in developing countries. The occurrence of lung cancer after 30 years of completed pulmonary TB treatment is rare. We report a rare occurrence of lung carcinoma after 30 years of completed pulmonary TB treatment. Keywords: pulmonary tuberculosis, lung carcinoma.
Health Policy and Planning in Health Management System
Authors:   Pediatric Endocrinologist,‏ Master of Quality and Safety, Harvard Medical School, Shelowi Haila AL
Published: December 2023

Health policy and planning play pivotal roles in the effective management of healthcare systems. These aspects encompass the formulation, implementation, and evaluation of strategies and regulations to optimize healthcare delivery. Robust health policies ensure equitable access, quality care, and cost-effectiveness, while planning entails resource allocation, infrastructure development, and workforce distribution. Successful health management systems hinge on evidence-based policies, stakeholder engagement, and adaptability to evolving health challenges. This abstract highlights the critical interplay between policy formulation and strategic planning, emphasizing their indispensable contributions to achieving efficient, accessible, and sustainable healthcare services.
A Rare Coexistence of Cervical Node Tuberculosis in CA Pancreas
Authors:   Professor and Head of Department - Pulmonology, Dr VRK Women’s Medical College, Teaching Hospital & Research, Hyderabad, Telangana, India, Consultant Pulmonologist Omega Hospital, Gachibowli, Dr RJ Bhavna Srivastav Dr Mohammed Hidayath Hussain, Dr Kaushal G Vira,
Published: December 2023

The association of TB with carcinoma was initially described ∼200 years ago by Bayle who considered ‘cavitation cancereuse’ as one of the various types of TB(1) Since both disorders are common, we support the notion that in most cases their co-existence may be explained by chance alone. Nowadays, research for carcinogenesis is expanding and the possible correlation between chronic inflammation and cancer development is slowly being unraveled. Although TB and cancer are very common diseases, there has been little attention to the pathophysiological and practical implications of their co-existence. We sought to review the available evidence and identify the data that refer to the correlation between TB and malignancy in order to highlight neglected aspects of this association and probably derive clinically useful information.
The Role of Anesthesia in Pain Management: Advancements in Perioperative Analgesia
Authors:   Anesthesia Technologist King Abdelaziz Air Base Hospital, Saleh AL Zahrani Abdelaziz
Published: December 2023

This paper examines in detail the important role of anesthesia in perioperative pain management, focusing on recent advances in perioperative analgesia on. This paper examines the fundamental relationship between anesthesia and analgesia, with particular emphasis on recent innovations in surgical analgesic techniques. This study aims to elucidate the evolving panorama of anesthesia in surgical settings, losing light on how those trends are improving ache manipulate for sufferers. This paper uses a rigorous research approach including an extensive literature review and empirical data collection to support the findings. This study demonstrates the significant impact of modern anesthesia, including important insights into alternative mechanisms of action and effectiveness, for healthcare professionals and researchers in this field gain valuable insights. By addressing these factors, this paper seeks to inform the understanding of how anesthesia plays an important role in improving the perioperative experience of patients by improving pain and to make progress. Keywords: Anesthesia, Pain Management, perioperative Analgesia, Healthcare professionals, Patients care.
Frequency and Distribution of ABO and Rhesus (D) Blood group Antigens among Blood Donors at a District Hospital Blood Bank in North Goa
Authors:   Consultant Pathologist, Dr Krupa Jog r Priyanka Mashelkar, Dr Shruti Shetye, Dr Misbah Shaikh,
Published: December 2023

Background: Many blood grouping systems and blood group antigens have been described in the available literature. ABO and Rh grouping systems are the most prevalent amongst these. The prevalence of these varies between different regions and races. The present study was conducted at a District hospital blood centre, to study the frequency and; age and sex distribution of ABO and Rh groups in the study population, in the North District of Goa, to help in managing the blood bank inventory and serve patients better. Methods: The study population included 5438 blood donors (voluntary and replacement). Blood groups were determined by conventional test tube agglutination methods – forward and reverse grouping, using standard antisera. Data obtained from the blood centre records was reported as numbers and percentages, and findings were compared with the available literature. Results: Blood group O was the most prevalent in our study population, followed by A, B and AB. Rh positivity was seen in 93.6% blood donors. Rest all donors were Rh negative. Majority donors belonged to the age group 31-40 years, followed by 21-30 years, with majority (88%) being males. 97% donors were voluntary and 3% were replacement donors. Conclusion: O Positive was the commonest blood group in our study population and AB negative was the least common. Keywords: blood donors, voluntary, replacement, blood groups, ABO group, Rh group, distribution, age, gender.
Alobar Holoprosencephaly : A Case Report
Authors:   Service de gynécologie obtstétrique de l’Hôpital maternité Souissi de Rabat, Halim H.
Published: December 2023

Holoprosencephaly (HPE) consists of a spectrum of malformations related to incomplete separation of the prosencephalon. It occurs between the 18th and the 28th day of gestation and affects both the forebrain and the face. It is estimated to occur in 1/16,000 live births and 1/250 conceptuses. Alobar HPE, the most common and most severe type of HPE, can be diagnosed in the first trimester of pregnancy using ultrasound. Among survivors, the long-term outcome is poor and depends on the type and severity of the pathology as well as associated anomalies. Keywords : Holoprosencephaly, Alobar, Malformation.
Assessing Laboratory Safety Protocols: Enhancing Practices for a Safer Environment
Authors:   Laboratory Specialist, Ministry of Health, Saudi Aribia, Alansari Fawzan Thallab
Published: December 2023

This study explores the evaluation and enhancement of laboratory safety protocols to promote a safer working environment. The research focuses on assessing current practices, identifying potential gaps, and proposing improvements to mitigate risks associated with laboratory activities. A comprehensive analysis of safety measures, including equipment usage, chemical handling, and emergency response procedures, is conducted. The study aims to provide valuable insights into refining existing safety protocols, fostering a culture of safety awareness, and ultimately creating a more secure laboratory environment. Keywords: Laboratory Safety, Safety Protocols, Risk Assessment, Chemical Handling, Emergency Response, Safety Awareness, Laboratory Environment, Hazard Mitigation.
Différenciation Socio-Spatiale des Pratiques et des Usages de la Végétation Ligneuse dans la Ville de Ziguinchor
Authors: Diouf Moctar
Published: December 2023

Par-delà les fonctions esthétiques, sociétales (aménités urbaines) et écologiques qu’on leur accorde généralement en ville, les arbres comestibles ou non, plantés ou spontanés présents dans la ville de Ziguinchor et sa périphérie rendent de nombreux services et biens à travers les usages qu’en font les habitants et les ressources qu’ils en attendent. Cet article étudie l’évolution et les principaux usages (alimentaires, médicaux et énergétiques) de la végétation ligneuse. Dans un contexte d’urbanisation accélérée de la ville de Ziguinchor et d’intensification des prélèvements de produits ligneux liées à la croissance de la population urbaine alimentée par la crise politique (conflit casamançais) et les crises climatiques (sécheresses des années 1970 et 1980). Depuis 1973, l’évolution de la végétation est plus marquée par le recul des ligneux dans le tissu urbain et péri-urbain de Ziguinchor (Diouf, 2022). La reconfiguration de la ville combinée aux choix des emplacements des ligneux par les habitants mettent en évidence différents types d’arbres - arbres de cour, arbres de devanture, arbres d’alignement, arbres d’espace public (jardin) et arbres spontanés – disséminés au sein et aux abords de la ville sous forme d’arbres isolés ou groupés. Les usages des arbres ont été décelés à l’aide d’enquêtes par entretiens semi-directifs menés auprès des habitants et des acteurs-décideurs ainsi qu’à l’observation directe du paysage végétal (terrain). Les relevés floristiques effectués ont permis de lister les principales espèces arborées identifiées grâce aux usages qu’en font les populations. Il ressort de cette approche, une différenciation des usages et des pratiques de l’arbre selon les quartiers (populaires ou aisés) et les catégories socio-professionnelles des habitants. Ainsi, dans les quartiers populaires, l’arbre est une ressource alimentaire (feuilles, fruits), énergétique (bois mort et chardon de bois), médicinale et en bois de service (clôture, charpente…) non négligeable pour les citadins démunis. Alors que dans les quartiers résidentiels aisés, l’arbre est particulièrement prisé pour ses rôles esthétique et écologique.
Actual directions of the improvement of control and supervisory activities in the education sphere
Authors:   Russian Presidential Academy of National Economy and Public Administration, Kolesnikova Ksenia I. , Shunko Andrey N.
Published: December 2023

The article is devoted to the analysis of a new model of control and supervisory activities of public authorities in the field of education, new approaches to its implementation. The analysis of the actual data on the results of the reform of control and supervisory activities in the Russian Federation, as well as the analysis of the results of the activities of control and supervisory authorities in the field of education. A special place in the article is given to the institutional foundations for improving control and supervisory activities in the Russian Federation and the types of state control (supervision) in the field of education. The authors have identified the main trends in changes in the regulatory legal framework for the implementation of control and supervisory activities of public authorities in the field of education and the basic principles of the formation of a new model of control and supervisory activities within the framework of the ‘regulatory guillotine’ mechanism — monitoring, prevention and risk-oriented approach. The basic principles of the introduction of a risk-based approach into the control and supervisory activities are analyzed, the system of attribution of objects of control in the field of education to a certain risk category is described. The directions of digitalization of supervision in the field of education are presented. The main tools of control and supervisory activities in the field of education are identified and characterized: licensing and accreditation of educational organizations. The article analyzes the problems of implementation of control and supervisory activities in the education sphere.
Computer gambling addiction and identity crisis: A socio-philosophical perspective
Authors:   Krasnodar Cooperative Institute (branch) of the Russian University of Cooperation, Petrakova Anna S.
Published: December 2023

Gambling addiction as a social problem is becoming more and more relevant in conditions of almost complete transition of society to digital ways of interaction, when people spend most of their working and personal time on the Internet. The author considers computer game addiction as a factor affecting the processes of personal identification and self-identification. This is due to the fact that, immersed in a virtual gaming environment, a gamer has the opportunity to independently form his identity, using a game character and transferring its external data, attributes, character, habits and other parameters, ultimately on himself. In addition, interaction in the network community of players also does not require the demonstration of a real image, practically not limiting the player in the choice of means of personal identification. In the article, the author identified the signs of computer game addiction, including complete immersion in the game, inability to control their behavior during the game and immediately after leaving it, inability to manage time, loss of connection with reality, transformation of goals and interests, leading to an increase in aggression, implementation of antisocial behavior patterns, destruction of social ties and almost complete loss of skills of constructive interpersonal interaction. Substitution of values, loss of moral ideas and guidelines, inability to empathy, aggression, increased anxiety, isolation, decline in general intellectual level — these are not all the consequences of computer game addiction. According to the author, the prevention of cybernetic gambling addiction requires active information work with the population, as well as the development of a mechanism of legal regulation of online gambling.