bluuebunny/crossref_metadata_2025 huggingface dataset:
Insights into the Prognostic Role of Serum Interleukin-6 and Hematobiochemical Alterations in Cattle during Recent Outbreaks of Lumpy Skin Disease in Lodhran District, Pakistan
Authors: Ahmad Waqas , Shabbir Muhammad Abu Bakr , Ahmad Mehmood , Omer Muhammad Ovais , Mushtaq Rana Muhammad Zahid , Aroosa Sadaf , Iqbal Asif , Majeed Arfa
Published: January 2023

Lumpy skin disease (LSD) is a highly infectious disease of cattle caused by a virus of the Poxviridae family, genus Capripoxvirus. The present study was designed to determine the prognostic ability of serum IL-6 in LSD using a binary logistic regression model at baseline sampling. A 17-day cohort study was conducted on a recent outbreak of LSD among cattle in the Lodhran District of Punjab, Pakistan. Infected cattle were divided into two categories based on their clinical status on day 17 as recovered (n = 33) or unrecovered (n = 17). Nodular lesions and scab specimens (n = 50) were used for the isolation of the lumpy skin disease virus and were confirmed by PCR. In recovered animals, hematological results showed marked leukocytosis, eosinophilia, lymphocytosis, neutrophilia, and monocytopenia. However, marked erythrocytosis, leukopenia, and thrombocytopenia were observed in the unrecovered animals at the final sampling point of the study. Serum levels of total protein, albumin, and glucose were significantly higher in the recovered animals. Meanwhile, aspartate aminotransferase, alkaline phosphatase, lactate dehydrogenase, creatinine phosphokinase, total bilirubin, and direct bilirubin were found considerably higher in the unrecovered group. Receiver-operating characteristic curve analysis for serum IL-6 at baseline predicts the extended clinical conditions at the cut-off value of 85.16 pg/mL (55% specificity, 94% sensitivity, area under the curve 0.8039, respectively). In conclusion, the disease-induced hematological and biochemical alterations were significantly ameliorated in the recovered animals. In addition, the study revealed that serum IL-6 can be used as a valid marker for predicting the clinical worsening of LSD in cattle.
Flood Simulation and Flood Risk Reduction Strategy in Irrigated Areas
Authors: Liu Zhenyang , Xiong Yujiang , Xu Junzeng
Published: January 2023

The potential risk of flood or waterlogging in irrigation districts has increased due to global climate change and intensive human activities. This paper employed a waterlogging process simulation model for flat irrigation districts in the paddy fields to simulate floods under different scenarios. The scenarios of the rainfall conditions, initial storage depths, and work scales are designed, respectively. The risk of flood damage increases as rainfall increases, with a maximum increase of 62.8%, comparing the extreme scenario with the current scenario. A moderate rise in pumping station flow and using pre-rain drainage measures in the paddy fields can effectively reduce waterlogging loss. The total regional flood damage was reduced by up to 10.9%, 15.8%, and 35.9% when the pump station flow in the study area was increased by 10%, 20%, and 30%. The insights from this study of the possible future extreme flood events may help flood control planning.
El recurso agua, su importancia a través de procederes didácticos en contenidos matemáticos
Authors: Álvarez Pardo Elen Dolores , Abreu Alonso Oslaidys , Crespo O´Relly Nismel
Published: January 2023

El recurso agua es una prioridad, una necesidad de primer orden para garantizar el desarrollo económico y social, sobre todo, para la salud y supervivencia de la especie humana en todo el planeta. Lograr un nivel de educación ambiental mediante un proceso de enseñanza-aprendizaje desarrollador es nuestro propósito, sin embargo, este proceso en la actualidad presenta insuficiencias. Se realizó el estudio de las condiciones teóricas, metodológicas y prácticas en que se desarrolla, a fin de alcanzar la preparación adecuada sobre el conocimiento del agua y su importancia para su desempeño ulterior. Los métodos aplicados permitieron corroborar el estado actual, así como la revisión de documentos, sobre el contenido para establecer los fundamentos teóricos y metodológicos de la investigación. Los resultados obtenidos a través de la aplicación de estos métodos permitieron la elaboración de informes y realizar las valoraciones cualitativas correspondientes. En la  preparación alcanzada, mediante la ejecución de procederes didácticos a través de un sistema de actividades se identifican: que estos manifestaron en todo momento motivación e interés por lograr su preparación, lo que les permitió el cambio en su modo de actuación.  Elevaron el nivel de compromiso, interés y creatividad, se nutrieron de conocimientos para su aplicación presente y futura.
The Acupressure Combination Points BL32 and L14 With Points BL32 And SP6 on Labor Pain in Active Phase
Authors: Mujahidah Saadah , Megawati Megawati , Hapsari Shindi
Published: January 2023

ABSTRACTLabor pain that is not resolved will cause hyperventilation so that the need for oxygen increases, blood pressure increases, and reduced intestinal motility and vesikaurinaria. This situation stimulates an increase in catecholamines which disrupts uterine contractions resulting in uterine inertia. Labor pain due to psychic responses and physical reflexes. Acupressure is used to treat pain. Acupressure can affect the intensity of pain. This study was to determine the effect of giving Acupressure Combination of Points BL32-L14 with BL32-Sp6 on Active Phase I Labor Pain in PMB Sukatmi Setrokalangan Kudus.  This type of research was a Quasy experiment with a two-group pre-post test design. The sampling technique used was accidental sampling with a sample size of 24 respondents divided into two groups (12 interventions and 12 controls). The normality test used the Shapiro-Wilk test, data analysis used the Wilcoxon and Mann-Whitney tests.  Acupressure BL32 and L14 for pain (p 0.03), Acupressure BL32 and Sp6 got p 0.002. Comparison of BL 32-Li4 acupressure with Bl32-Sp6 got p 0.590.  There is an effect of Acupressure BL32 and L14 on labor pain, and there is an effect of Acupressure BL32 and Sp6 on labor pain. There was no difference between BL 32-Li4 and Bl32-Sp6 on labor pain.  Keywords : acupressure; active phase; bl32-li4; bl32-sp6; labor pain ABSTRAKNyeri persalinan yang tidak teratasi akan menyebabkan hiperventilasi sehingga kebutuhan oksigen meningkat, tekanan darah meningkat, dan motilitas usus berkurang dan vesikaurinaria. Keadaan ini merangsang peningkatan katekolamin yang mengganggu kontraksi uterus sehingga terjadi inersia uterus. Nyeri persalinan karena respon psikis dan refleks fisik. Akupresur digunakan untuk mengobati rasa sakit. Akupresur dapat mempengaruhi intensitas nyeri. Penelitian ditujukan untuk mengetahui pengaruh pemberian Akupresur Kombinasi Titik BL32-L14 dengan BL32-Sp6 terhadap Nyeri Persalinan Aktif Fase I di PMB Sukatmi Setrokalangan Kudus. Jenis penelitian ini adalah Quasy eksperimen dengan desain two-group pre-post test design. Teknik pengambilan sampel yang digunakan adalah accidental sampling dengan jumlah sampel 24 responden yang terbagi menjadi dua kelompok (12 intervensi dan 12 kontrol). Uji normalitas menggunakan uji Shapiro-Wilk, analisis data menggunakan uji Wilcoxon dan Mann-Whitney. Akupresur BL32 dan L14 untuk nyeri (p 0,03), Akupresur BL32 dan Sp6 didapatkan p 0,002. Perbandingan akupresur BL 32-Li4 dengan Bl32-Sp6 didapat p 0,590. Ada pengaruh Akupresur BL32 dan L14 terhadap nyeri persalinan, dan ada pengaruh Akupresur BL32 dan Sp6 terhadap nyeri persalinan. Tidak ada perbedaan antara BL 32-Li4 dan Bl32-Sp6 pada nyeri persalinan. Kata kunci : akupresur; fase aktif; bl32-li4; bl32-sp6; nyeri persalinan
Study on the Housing Status and Satisfaction Analysis of Single-person Households by 2030 Generations in Gwangju Metropolitan City
Authors:   Korea Real Estate Research Institute, Hong Hee Sook , Lee Myeong Gyoo , Kim Hang Jib , Kim Dae Ill
Published: January 2023

Recently, as a result of the surge in single-person households caused by changes in the demographic structure, responses to improve economic and social characteristics and living conditions are actively underway. In particular, as people's education levels have increased along with the Fourth Industrial Revolution’s advanced socialization, various changes in society as a whole have occurred due to an increase in women's participation in economic activities, increase in the age of first marriage, and decrease in the birth rate, resulting in changes in household types. The goal of this study is to examine the current state of the housing environment and housing satisfaction of the 2030 generations in Gwangju Metropolitan City, one of the regional base cities, and to present implications for improving the quality of life and the living environment for single-person households as the 2030 generation increases. To this end, theories about single-person households and theories about satisfaction with the housing environment were investigated. Furthermore, the housing status and satisfaction with the housing environment of single-person households in Gwangju Metropolitan City were examined by 2030 generations. As a result, 1) a systematic housing management system for single-person households in 2030 generations was established, and methods for implementation, 2) discriminatory policies and support for 2030 generations were developed, and 3) the need for customized housing type support centered on consumers to increase housing satisfaction were identified.
Potensi Antihiperglikemik Ekstrak Kulit Buah Semangka (citrullus lanatus linn.) terhadap Diabetes Mellitus Melalui Penghambatan Aktivitas Enzim Alfa Glukosidase
Authors: Syachriyani Syachriyani , Firmansyah Firmansyah
Published: January 2023

Diabetes Mellitus merupakan gangguan metabolisme endokrin yang ditandai dengan abnormalitas kadar glukosa dalam aliran darah karena aktivitas gaya hidup yang tidak sehat. Pendekatan terapeutik yang dapat digunakan untuk mengobati penyakit Diabetes Mellitus yaitu dengan cara penghambatan enzim yang berhubungan dengan penyerapan glukosa di tubuh, seperti enzim alfa-glukosidase.  Tujuan dari penelitian adalah untuk mengetahui potensi antihiperglikemik ekstrak Kulit Buah Semangka melalui penghambatan aktivitas enzim alfa-glukosidase dengan menentukan  persen inhibisi dan IC50 ekstrak Kulit Buah Semangka sehingga dapat dimanfaatkan sebagai antidiabetes terhadap Diabetes Mellitus. Ekstrak Kulit Buah Semangka diperoleh dengan cara maserasi menggunakan pelarut Etanol 96 %. Enzim alfa-glukosidase yang digunakan pada penelitian ini berasal dari Saccharomyces cerevisae dan p-nitrofeni –?-D-glukopiranosid (pNPG)  yang berfungsi sebagai substrat. Ekstrak Kulit Buah Semangka  dibuat dengan variasi konsentrasi 20, 40, 60, 80 dan 100 ppm.. Aktivitas enzim diukur berdasarkan hasil absorbansi p-Nitrofenol yang absorbansinya terukur pada panjang gelombang 410 nm menggunakan  microplate reader. Hasil pengujian inhibitor ekstrak Kulit Buah Semangka konsentrasi 20 ppm. 40 ppm, 60 ppm dan 80 ppm terhadap enzim alfa-glukosidase menunjukkan rata-rata persen inhibisi 7,904 %, 17,937 %, 24,757 %, 32, 894 % dan 41,840 % sedangkan baku Akarbose diperoleh persen inhibisi 50,115 %, 60,000 %, 69,152 %, 73,837 % dan 79,179 %.  Nilai IC50 ekstrak Kulit Buah Semangka 120,212 ppm dan baku Akarbose 13,055 ppm, Hal ini menunjukkan bahwa ekstrak Kulit Buah Semangka dapat memberikan efek penghambatan (inhibitor) terhadap enzim alfa-glukosidase.
Adaptasi Business Model Canvas pada Penyusunan Model Bisnis Badan Usaha Milik Desa
Authors: Saputra Acwin Hendra
Published: January 2023

Penelitian ini bertujuan untuk mengetahui model adopsi Business Model Canvas yang dapat diterapkan untuk bentuk wirausaha sosial seperti BUMDES diperlukan adaptasi dari model Business Model Canvas asli. Adaptasi yang dilakukan hendaknya mampu menangkap karakteristik BUMDES dan bentuknya sebagai wirausaha sosial. Adaptasi Business Model Canvas yang tepat akan membantu BUMDES menentukan model bisnisnya untuk kemudian dapat melakukan inovasi. Penelitian ini dilakukan dengan metode kualitatif dan pendekatan studi pustaka atas konsep Business Model Canvas untuk diadaptasikan bagi BUMDES. Model adaptasi Business Model Canvas yang dikembangkan oleh Qastharin dengan menambahkan blok dampak dan pengukuran menggambarkan manfaat bagi pelanggan perusahaan sosial beserta pengukurannya sebagai indikator keberhasilan dan kemajuan wirausaha sosial ditemukan selaras bagi penyusunan model bisnis BUMDES.
Csevegőrobotok alkalmazása a customer service területén.
Authors: Gulyás Dávid
Published: January 2023

E tanulmány célja, hogy szekunder adatgyűjtés segítségével bemutassam a csevegőrobotok működését, OxIPO-modell aspektusából értelmezett tanulási folyamatát, alkalmazásának a vállalat eredményét befolyásoló hatásait. Arra is keresem a választ, hogy az Észak-alföldi régióban milyen az ügyfélszolgálat területén alkalmazott csevegőrobotok általános fogyasztói megítélése. Netnográfiai kutatás, s online kérdőív segítségével igyekeztem a csevegőrobotokkal szemben támasztott igényeket felmérni.
The Burning Monk
Authors: Benedičič Luka
Published: January 2023

This paper is a study of the self-immolation of the Mahayana Buddhist monk Thich Quang Duc in 1963, Saigon. It highlights some of the reactions to this event, as well as more recent academic analyses, and contrasts them with the letter of the monk Thich Nhat Hanh who disagreed that the self-immolation was a protest or suicide. This ontological discrepancy motivated new research approaches. In order to show it as studyable, the paper thematizes it by introducing the conceptual pair of visible-invisible. It presents a discussion by Mario Blaser that addresses the field of epistemology and ontology, also commenting on some fundamental theoretical approaches such as the ontological turn and cosmopolitics. The paper argues that the invisible – for example ontological – contents of the event have been overlooked in many analyses, or oversimplified by using an objectivist or political vocabulary.
Fo Guang Shan’s Expansion in the Religious Market of Thailand
Authors: Su Guiyu , Liu Yaoping
Published: January 2023

As one of the prominent Mahayana Buddhist institutions from Taiwan, Fo Guang Shan (FGS) entered the religious market of Thailand as early as the 1990s. Its influence has grown tremendously among the local Chinese communities and Thai society. Despite this, there is a dearth of scholarship  dedicated to FGS’s market expansion in Theravada-dominated Thailand. Through a SWOT analysis, this paper explores FGS’s marketing strategy for the Thai religious market. The findings suggest that FGS bears certain strengths, such as its appealing humanistic Buddhist doctrine, gift-giving networking skills and its strong emotional bonds with the Chinese communities in Thailand. These strengths have brought and will continuously provide FGS with opportunities for further expansion. However, FGS’s weakness is always there and obvious, given its foreign and non-mainstream nature and questionable legitimacy of existing as a Buddhist institution (or temple) in Thailand. All this has already caused threats to FGS’s missionary clergies and sanctuaries, mainly based in the Bangkok area, not to mention the growingly fierce competition from its Thai Theravada and local-born Mahayana counterparts.
MORAL, DERECHO Y LÓGICA JURÍDICA
Authors: Mora Ramirez Rafael Félix
Published: January 2023

En este trabajo afirmamos que la lógica y, en especial, la lógica jurídica guarda relaciones con el derecho y este a su vez, se vincula con la moral. Sin embargo, la discusión acerca de la naturaleza de la moral y del derecho se puede retrotraer hasta la Grecia Antigua. Específicamente, nos referimos a los sofistas quienes discutieron estas cuestiones y sentaron las bases para el relativismo que hoy en día caracteriza las relaciones culturales de este mundo globalizado. Luego, definimos la moral y las normas morales para contraponerlas a las normas sociales y a las normas jurídicas. Enseguida, el derecho es analizado desde un punto de vista objetivo. Así, al considerar al derecho como un sistema de normas jurídicas se hace posible que se vincule con la lógica, y, en especial, con la lógica jurídica. Finalmente, terminamos este trabajo estudiando los conceptos de norma jurídica y silogismo jurídico.
Equipe Editorial e Avaliadores Ad hoc
Authors: Andreis Greice da Silva Lorenzzetti , Padilha Glauciane Klein Burgiert
Published: January 2023

Equipe Editorial e Avaliadores Ad hoc da REMAT, v. 8, n. 2, 2022.
An Analysis of Inflectional Morphemes in a Short Story “The Child’s Story” by Charles Dickens
Authors: Ifadloh Nur , Najerin Muhammad Rizky , Nufus Zahratun , Ulum Miftakhul
Published: January 2023

This study aims to determine the inflectional morpheme contained in the short story entitled "The Child's Story" by Charles Dickens. The analysis shows that there are 108 inflectional morphemes found in the short story "The Child's Story". There are 35 plural nouns “-s”, “-es” with 32.5% percentage as the most dominant inflectional morphemes found in this story. Next, possessive nouns “-'s”, “-s'” and comparative adjectives “-er” both show 2 data (1.8%), superlative adjectives “-est” shows 3 data (2.7%), 3rd person singular/present tense “-s” shows 4 data (3.7%), verb past tense “-ed”/”-d” shows 29 data (26.9%), Present participle “-ing” shows 32 data (29.7%), past participle verb “-en” shows 1 data (0.9%). In addition, Inflectional does not change the grammatical category of words consisting of "-s, -'s, -er, -est, -s, -ed, -ing, and -en". The suffix “-s” means plural. The suffix “-'s”, “-s'” means possessive. The ending “-er” means comparative. The suffix “-est” means superlative. The ending “-ed” means past. The ending “-ing” means current (continuous). The ending “-en” means participle.

Keywords: Morphology, Words, Inflectional, Morphemes, Suffixes.
A Discourse Analysis on Bazaart Photo Editing Software Advertisement Published by Apple Inc.
Authors: Aminah Yanti Nur
Published: January 2023

This research discusses the language ideology that is used in the advertisement published by Apple Inc. which is to promote Bazaart application software. The research objectives are to investigate the intentions, techniques and discursive strategies of the advertiser and to analyze the social practices within the discourse. To understand how text works to make meaning, the researcher adopted Fairclough’s three-dimensional framework and Halliday’s theory of Systemic-Functional Linguistics (SFL). The research design is qualitative descriptive and the data source is in the form of social media captions posted by Apple Inc. on their Instagram page. The study applies a textual analysis to look at the advertiser’s strategies in using indirect language to attract readers’ interests. The findings reveal that direct language and imperative word choices are two dominant strategies used in most advertisements. That is to say, today, online advertisements are not enticing to audiences. The software advertisement delivered by Apple Inc. uses a slightly different strategy as they do not mention imperative words to persuade the readers to use Bazaart software. The result of this study is that social practices shown by language power in the advertisement delivered by the company can draw targeted readers’ interest.
Perancangan Data Warehouse Sistem Penerimaan Siswa Baru Menggunakan Online Analytical Processing (OLAP) di TK IT Mutiara
Authors: Azizah Qonita , Masriah Masriah , Atmojo Wahyu Tisno
Published: January 2023

Peningkatan jumlah siswa pada TK IT Mutiara membuat sekolah kesulitan dalam melakukan pengelolaan data pendaftaran sehingga harus membutuhkan waktu untuk mendapatkan informasi. Pembuatan aplikasi OnLine Analytical Processing (OLAP) Data Warehouse dapat membantu mengekstrak dan memudahkan dalam mencari informasi penting dari beberapa sistem informasi yang berbeda. Metode penelitian yang dilakukan adalah kualitatif dengan teknik perolehan data wawancara dengan seorang narasumber di TK IT Mutiara dan studi pustaka melalui jurnal yang relevan dengan topik penulis dan juga menggunakan metode nine step Kimball. Tujuan penelitian ini adalah untuk merancang sistem yang memudahkan kepala sekolah  untuk melakukan analisis terhadap data siswa baru menggunakan Aplikasi OLAP Data Warehouse. Hasil penelitian ini adalah terciptanya aplikasi OLAP Data Warehouse yang dapat memberikan kemudahan kepada kepala sekolah dalam melakukan analisis terhadap data siswa baru sehingga dapat membantu proses pengambilan keputusan, serta dapat menampilkan bentuk laporan yang mudah dibaca dan dipahami.
Pembuatan Sistem Desalinasi Kapasitas 240 liter/jam di Dusun Bondan Kecamatan Kampung Laut Cilacap
Authors: Girawan Bayu Aji , Santoso Agus , Pribadi Joko Setia , Supriyono Supriyono
Published: January 2023

Dusun Bondan is a district located in a tidal area. Various problems arise in Dusun Bondan because of the use of water that doesn’t meet the quality of sanitation water causing several diseases. The water crisis experienced by the residents of Dusun Bondan becomes the worst disaster especially in summer because the water at Dusun Bondan is salty with high total dissolved solids. A water desalination system has been made to produce sanitation water that meets the standard based on Minister of Health Regulation No. 32 of 2017. The methods used to overcome these problems are water source identification, design of desalination system, purchasing, fabrication and testing of desalinated water. The result of the activities is a desalination system which consists of pre-treatment using 4 filtration stages ended with reverse osmosis desalination using a special membrane. The result of desalinated water test shows that the water is odourless, tasteless, and other parameters meet the requirement of the standard.
ORGANOPHOSPHORUS POISONING PRESENTING WITH EXTRAPYRAMIDAL INTERMEDIATE SYNDROME
Authors: Patel Mohd Asif , Shaikh Mohsin , S Kavyasree , Pandharipande Madhuri , Deshmukh Deepti
Published: January 2023

Organophosphorus (OP) pesticide poisoning which is common in rural India, usually presents with acute cholinergic crisis, which is due to
increased acetylcholine because of the inhibition of the enzyme acetyl-cholinesterase. Central Nervous System (CNS) manifestations are rare, and
even rarer is the presentation with extrapyramidal symptoms. The authors report a case of organophosphorus poisoning presenting with torticollis 4
days after organophosphorus exposure. The patient had inhalational exposure to organophosphorus compound while spraying in the elds and
developed intermediate syndrome 4 days later. But rather than having respiratory depression, the patient developed torticollis. The patient was
successfully managed with Inj Pralidoxime and supportive care. We wish to bring awareness in the medical profession and the general public
regarding this rare but life threatening presentation of organophosphorus poisoning.
STUDY OF VITAMIN B12 LEVELS IN PATIENTS WITH TEMPORARYDEFUNCTIONING ILEOSTOMY- A CASE SERIES
Authors: Kumar MS Anil , Nalla Chinmay
Published: January 2023

Pain abdomen is one of the the most common presentations of Ileal perforation. In emergency setting, ileostomy is the most commonly performed
procedure for damage control and ileostomy closure is usually planned in the long run usually within 3 months. Naturally, after ileostomy there is
alteration in the normal homeostasis of nutrient absorption in the gut. Vitamin B12 is the one of the most important micronutrient absorbed in the
ileum.This study focuses on presence of any correlation between serum vitamin B12 levels and its absorption in patients of Temporarydefunctioning ileostomy over the period of time.
ANALYSIS OF PRIMARY SMALL BOWEL TUMORS : A SINGLE CENTRE EXPERIENCE AND REVIEW OF LITERATURE
Authors: Deivanathan N. , Raja P. Sangaia , Suganthan T.
Published: January 2023

INTRODUCTION: Despite composing 75% of the length and 90% of the surface area of the gastrointestinal tract, the small bowel develops
relatively few primary neoplasms and less than 2% of gastrointestinal malignant neoplasms. Variation in presenting symptoms may delay the
treatment and therefore worsen the outcome. MATERIALS AND METHODS: 10 cases of small bowel tumors were operated in Government
medical college hospital,Karur from June 2022 to September 2022. Their medical records were analysed retrospectively. DISCUSSION: Small
bowel tumours are rare and in total account for less than 10% of gastrointestinal neoplasia. The majority of small bowel neoplasms are
benign. They are frequently asymptomatic and identied incidentally. Four major histological types account for over 99% of small bowel
malignancies that includes adenocarcinoma, carcinoid tumours, lymphomas and GIST. CONCLUSION: Small bowel tumors have a rare
incidence and classically presents late, most often diagnosed after surgery for small bowel obstruction or perforation. Appropriate evaluation of
presenting symptoms helps in early diagnosis and prompt treatment
STUDY OF DISPLACED MIDSHAFT CLAVICLE FRACTURES TREATED WITH INTRA MEDULLARY TITANIUM ELASTIC NAIL SYSTEM AND ITS FUNCTIONAL OUTCOME
Authors: Khan Faiyaz , Kumar Dey Nirmal , Jana Debarshi
Published: January 2023

Introduction: Fractures of the clavicle, which primarily occur in young males, constitute 2.6–4% of all fractures in adults. A male dominance of
approximately 70% has been reported. The most frequent injury mechanism is a direct fall on the shoulder. Fractures are often sustained during
sports activities or trafc accidents. The majority (69–82%) of fractures occur in the mid-shaft of the clavicle, followed by 12–26% in the lateral
part and 2–6% in the medial part. Aims: This study is aimed to assess the functional Outcome of intramedullary titanium elastic nail system for
Displaced Clavicle Fracture.Materials And Methods:The present study was analytical study. This Study was conducted from one and half year at
Department Of Orthopaedics Jagannath Gupta Institute Of Medical Sciences And Hospital, Kolkata. Result: In our study, 1 (5.0%) patient had Bb
Leg Injuries and 2 (10.0%) patients had I/L Scapula Spine in Associated Injuries which was not statistically signicant (p=0.6530). Conclusion:
We found that, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and overall outcome.
VAULT DEHISCENCE – A RARE GYNECOLOGICAL EMERGENCY
Authors: Lakshmi Nalam Raj , Uma Uppalury , Bhojwani Disha
Published: January 2023

Background: VCD is a rare complication following hysterectomy. Signicance of this condition lies with the potential of evisceration of
abdominal and pelvic contents resulting in additional morbidity. Case presentation: A57 years old multiparous female presented to casuality with
severe pain abdomen and vaginal discharge. With history of undergoing Total Laparoscopic Hysterectomy 6 months back. On examination small
intestines were in vagina, with 2 cms defect in vault. Patient was stabilized and the defect was closed vaginally. Conclusion: VCD is a rare
complication that should be kept in mind when patient presents with sudden onset lower abdominal or pelvic pain along with vaginal discharge
following hysterectomy. In absence of any bowel pathology, vaginal closure is a safe treatment option.
A COMPARATIVE STUDY OF INTRAARTICULAR PRPAND HYALURONIC ACID FOR OSTEOARTHRITIS KNEE JOINT
Authors: Kumar Saha Arnab , Panja Supantha , Sarkar Rakesh , Das Saptadeep
Published: January 2023

Intrarticular injections with PRP and HAcan be quite benecial to treat OAknee patients that cannot be managed by analgesics and physiotherapy
alone. However, there is no consensus regarding the better efciency of PRP vs HA till now. Hence, this study compares the efciency of these
procedures in terms of clinical outcomes as measured by functional and pain assessment. This hospital based prospective randomised trial was
conducted among 100 patients (50 study group and 50 in control group), selected using simple randomisation sampling. The functional assessment
after both procedures was evaluated at 6 weeks, 3 months, 6 months and 1 year using the WOMAC scale and VAS scale. The p-value using unpaired
t-test in comparison between the two groups not statistically signicant through all the follow up periods showing that PRPwas not superior to HA
even though both the groups showed signicant improvement in the WOMAC scores at all follow up points (p=0.215 ;6 weeks, p=0.961; 3
months,p=0.738;6 months) .Group I VAS shows a reduction in mean of 7.3 to 3.1 which denotes improvement in the patient's pain There was a
signicant reduction of VAS mean from 7.04 to 3.04 in Group II, showing signicant improvement in pain.The p value was not statistically
signicant when comparing the 2 groups (p=0.807) Our studies conclude that both modalities were efcient in improving the functional status of
the knee and reduce symptoms of OA, PRP did not provide superior clinical improvement compared with HA in symptomatic or functional
improvement at different follow-up stages.
A CASE OF DISSEMINATED MULTI-DRUG RESISTANT TUBERCULOSIS WITH BONY INVOLVEMENT
Authors: Naik Saikiran , Velmita Vaz Riya , Keny Sanjivani
Published: January 2023

Drug resistant tuberculosis continues to be a public health problem, Early diagnosis and initiation of treatment play important role in management
of MDR-TB. Here, we report a patient who is 27 year old female diagnose initially as a case of TB pleural effusion and was initiated on 1st line antiTB drugs, after initial response to therapy and completing intensive phase of treatment, in forth month of continuation phase patient presented with
symptoms of fever, anorexia and weight loss. Further evaluation with CT scan thorax revealed bony involvement with osteolytic lesions involving
multiple ribs and vertebral column leading to multiple paraspinal collections and cold abscess formation involving anterior chest wall, pus
CBNAAT showed mycobacterium tuberculosis resistant to rifampicin which was conrm on culture. Patient was diagnosed as case of
disseminated MDR-tuberculosis.
PRIMARY SMALL CELL NEUROENDOCRINE CARCINOMA OF THE VAGINA: AN UNUSUAL ENTITY WITH LITERATURE REVIEW
Authors: Kaira Vaanika , Kaira Pankaj , Agrawal Tanu
Published: January 2023

Primary Small Cell Neuroendocrine Carcinoma (PSCNC) of the vagina is an exceptionally rare malignancy with only 28 cases reported so far.
Female genital tract neuroendocrine tumors are exceedingly rare and constitute only 1%-2% of all gynecological malignancies. Because of their
rarity, they pose a signicant diagnostic challenge for both clinicians and pathologists. Accurate timely diagnosis is imperative for both therapeutic
management and prognostic point of view.
RETINOPATHY IN HIGH-RISK NEWBORNS IN TERTIARY CARE HOSPITAL IN WESTERN INDIA
Authors: Shankar Jadhav Renuka , Pande Vineeta , B. Jadhav Shankar , Lohakare Anita
Published: January 2023

Aim: To study various factors of retinopathy in high-risk newborns Material & Method All patients admitted in NICU/ high risk OPD with
diagnosis of premature retinopathy. Fundus examination with direct ophthalmoscope, RETCAM the ndings were noted and analysed to rule out
various serious causes of retinopathy of prematurity in high risk newborns. Results: A total 100 patients of retinopathy of prematurity were
examined in premature babies. A signicant positive association of retinal changes and risk factors were analysed by taking p value, shers exact
test. In this study 38 neonates developed hyperbilirubinemia, 30 newborn had apnea, 18 had alidosis, 16 cases suffered from septicaemia, 9
newborn required blood or blood production with retinopathy in high risk newborns.
KNOWLEDGE AND UNDERSTANDING OF NON-PRESCRIPTION (OTC) DRUGS
Authors: C. Davawala Urvashi , P. Singh Anil
Published: January 2023

Introduction: Over the counter (OTC) or non-prescription drugs sold directly to a consumer without the doctor's prescription. As compared to
prescription drugs, which requires a medical prescription to be dispensed. So, over the counter (OTC) drugs are mainly used for self-medication
because such medicines are easily accessible at pharmacies without the doctor's prescription. In India till date, there are no specic unifying
regulations related to use and sale of OTC products and this impacts both the accessibility to better health care and patients' safety due to
inappropriate use. The aim behind this study is to assess the knowledge and understanding regarding Non- prescription (OTC) drugs. Material &
methods: A cross-sectional questionnaire-based study conducted among undergraduates and postgraduate medical students, medical ofcer,
specialist, super-specialist nursing students, staff nurse to assess the Knowledge and Understanding of Non-prescription (OTC) drugs. In present
study data was collected by Google form over a period of 3 months. 212 responses were received and entered into Microsoft ofce excel &
statistical analysis was done. 212 responses were evaluated, Male: Fe Result male ration was120:92. Out of 212 responses, 74 (34.9%)
Undergraduate medical students, 44 (20.8%) Postgraduate medical students, 31 (14.6%) Medical ofcer, 21 (9.9%) Specialist, 6 (2.8%) Nursing
students, 36 (17%) Staff nurses gave response in this study. Most respondents (n=144, 67.9%) believed that 'OTC/Non-prescription drug'
mentioned in Drug and Cosmetics Act. (104, 49.1%) respondents believed that in India OTC/Non-prescription drugs are included in a separate
category of drugs and have established regulations for their use. Signicant gaps were noticed in the responses from the respondents with regards to
the knowledge about OTC drugs in India. Conclusion General awareness and knowledge of OTC is very good but few are aware about rules with
regard to OTC/Non-Prescription and “Household remedies” under Drugs and Cosmetics Act, 1940. In India, there is a committee for
OTC/Nonprescription drugs and regulations are still being framed.
Energy and exergy analysis of hydrogen production on co-gasification of municipal solid waste and coal
Authors: KOÇER Abdülkadir , AKSOY Ercüment , YAKA Ismet Faruk , GÜNGÖR Afşin
Published: January 2023

Hydrogen energy is considered as one of the cleanest sources of energy due to its high efficiency. The only combustion product of hydrogen is water. Gasification can be used for the conversion of wastes into other fuels, and it presents an engaging renewable replacement for fossil fuels. This study aims to produce hydrogen as a result of co-gasification of MSW with coal to generate energy during its disposal. The importance of the system has been emphasized by making energy and exergy analyses. Gasification performance and the importance of hydrogen production of municipal solid blended with coal at different ratios (10%, 30%, 50%, 70%, and 90%) were also determined. A numerical model was developed for the co-gasification system. This study implies that gasification can be used for the evaluation of coal with disposal of MSW and conversion of these wastes into energy, without harming the environment.
Pica Syndrome Revealing Celiac Disease: A Case Report
Authors: Adioui Tarik , Mouslim Imane , Nejjari Fouad , Berrag Sanaa , Tamzaourte Mouna
Published: January 2023

Celiac disease is an autoimmune mediated chronic inflammatory enteropathy primarily affecting the small intestine, occurring in genetically predisposed individuals and caused by a permanent sensitivity to ingest gluten cereals. Pica is the compulsive eating of nonnutritive substances, and may be either a cause or a result of iron deficiency, with the latter being a possible presenting sign of Celiac Disease. We report the case of an 18-year-old female patient with history of depression and pica disorder. Laboratory investigations, serology testing and duodenal biopsy showed arguments of celiac disease with spectacular improvement noted after initiating the gluten free diet.
Anemia: An Unusual Cause of Free-Floating Thrombus of Carotid Artery
Authors: Bassit C. , Oumlil S. , Essaadouni L.
Published: January 2023

Free floating thrombus (FFT) in the carotid artery is an uncommon finding and rarely reported in the literature. Less than 150 cases have been reported in the literature. We report a case of 38-year-old patient, with iron deficiency anemia under martial therapy, who presented internal carotid artery thrombosis with ischemic stroke of the superficial territory of the right middle cerebral artery. The etiological assessment did not find any cause apart from an iron deficiency anemia at 6.6g / dl. The patient was put on anticoagulant treatment with good clinical improvement (progressive recovery of motor activity) radiological (partial re-stabilization of the right internal carotid artery). We present one case with FFT suffering from anemia, with no atherosclerotic disease, managed successfully with a medical approach.
Tuberculosis of the Elbow Joint – A Rare Case Report
Authors: M Dr. Natraj , Burma Dr. S P , S Dr. Vignesh
Published: January 2023

Musculoskeletal tuberculosis accounts for nearly 10% of all extra pulmonary cases with spine being the most common site. Tuberculosis involving the elbow joint is extremely rare accounting for less than 5% of all skeletal lesions. Early diagnosis and treatment is crucial to prevent serious joint and bone destruction. Here, we present a rare case of primary TB elbow joint in a 46 year old female.
Mackler's Triad in Boerhave Syndrom: Exceptional Case Report
Authors: Adioui T. , Rokhsi S. , Nejjari F. , Berrag S. , Tamzaourte M.
Published: January 2023

Boerhaave syndrome is a rare entity, difficult to diagnose, with a potentially fatal outcome if not managed rapidly. We report the case of a female patient diagnosed throughout the triad of Meckler and confirmed with CT Scan using a water-soluble contrast product such as gastrografin showing pneumo-mediastinum with important subcutaneous emphysema. Clinically the patient was stable ruling out surgery but requiring a broad-spectrum intravenous antibiotic therapy with monitoring. The evolution was reassuring after a 15 day follow up. The barogenic nature of the rupture probably explains the wide mediastinal contamination, rapidly responsible for severe respiratory distress, sepsis and shock. A careful history and a detailed imaging examination allow a rapid diagnosis and therefore more caution treating the patient.
Neonatal Rectal Duplication Cyst: A Rare Presentation
Authors: Kulkarni Dr. Apoorva , Bhise Milind , Shah Nilesh , Shah Dhvani
Published: January 2023

Rectal duplication cysts are a rare clinical entity accounting for 4% of all intestinal duplications. The presenting symptoms depend upon their size, location and age of the patient. We report a rare neonatal presentation of rectal duplication cyst which was present as a swelling in the infracoccygeal region in a female child since birth. MRI suggested a cystic swelling adjacent to the rectum. Excision was done by posterior sagittal approach at 1 month of age. Histopathology confirmed it to be a rectal duplication cyst.
Penggunaan make a match untuk meningkatkan pengetahuan dan sikap ibu dalam pencegahan ispa pada balita
Authors: Husna Anis Rosyiatul , Kusumawardani Novianty , Marini Gita , Nasrullah Dede
Published: January 2023

Penyakit ISPA merupakan salah satu penyakit yang sering dialami oleh anak balita. Orang tua menganggap hal ini biasa terjadi pada usia tersebut. Kurangnya pengetahuan ibu dalam mengenali dan memberikan perawatan menyebabkan anak terlambat dalam mendapatkan pengobatan, sehingga berlanjut pada kondisi yang lebih parah yaitu pneumonia. Banyak metode yang digunakan perawat untuk memberikan informasi dan pemahaman kepada masyarakat tentang ISPA. Pendekatan edukasi dengan Make a Match diharapkan dapat meningkatkan pengetahuan ibu dalam mencegah ISPA pada balita. Pengabdian ini dilaksanakan di posyandu panggul, Sidoarjo dengan jumlah peserta 20 ibu yang memiliki anak balita dan dilaksanakan selama 2 minggu. Pelaksanaan kegiatan pengabdian ini menggunakan pendekatan kelompok. Metode yang digunakan dalam pengabdian ini adalah Make a Match. Hasil pengabdian menunjukkan terjadi peningkatan pengetahuan baik dari 5 orang menjadi 18 orang.  Kesimpulan, pendidikan kesehatan dengan metode Make a Match dapat digunakan sebagai salah satu metode edukasi untuk meningkatkan pengetahuan ibu dalam pencegahan ISPA pada balita.
 
Acute Respiratory Infectionis (ARI) is a disease that is often experienced by children under five. Parents think this is common at that age. The lack of knowledge of mothers in recognizing and providing care causes children to be late in getting treatment, so that it continues in a more severe condition, namely pneumonia. Many methods are used by nurses to provide information and understanding to the public about the disease. The educational approach with Make a Match is expected to increase mother's knowledge in preventing ARI in toddlers. This service was carried out at the Pelvic Posyandu, Sidoarjo with 20 participants, mothers with toddlers and carried out for 2 weeks. The implementation of this service activity uses a group approach. The method used in this service is Make a Match. The results of the service showed an increase in good knowledge from 5 people to 18 people. In conclusion, health education using the Make a Match method can be used as an educational method to increase mothers' knowledge in preventing ARI in toddlers.
Pendampingan desa penambangan menuju desa inklusi ramah perempuan, anak, dan budaya
Authors: Prasetyowati Irma , Setyari Agustina Dewi , Eriyanti Linda Dwi , Rohman Hermanto
Published: January 2023

Desa penambangan dinilai memiliki banyak inovasi terutama berkenaan dengan pengembangan literasi dan digitalisasi. Namun, berdasarkan hasil evaluasi serta diskusi yang telah dilakukan bersama Pemerintah desa capaian tersebut masih belum berjalan optimal pasca pendampingan. Kegiatan pengabdian masyarakat ini bertujuan untuk mendampingi Desa Penambangan Kecamatan Curahdami kabupaten Bondowoso guna mewujudkan desa inklusif yang ramah anak, perempuan, dan budaya melalui program inovasi desa dengan mengoptimalkan potensi desa yang sudah ada. Metode pengabdian masyarakat ini terdiri dari tahap persiapan dan tahap pendampingan. Observasi awal dilakukan menggunakan dua pendekatan yaitu pendekatan partisipatoris, serta wawancara (diskusi). Sedangkan tahap pendampingan dilakukan dengan Focus Group Discuss( FGD) penyusunan partisipatif desain kebijakan yang inovatif dan terintegratif. Hasil pengabdian masyarakat ini diperoleh pelaksanaan pendampingan Desa Penambangan telah memenuhi target yang sesuai dengan strategi dalam upaya mewujudkan Desa ramah perempuan dan peduli anak (DRPPA). Luaran pelaksanaan pendampingan ini adalah terbentuknya regulasi Perdes/peraturan kepala Desa terkait rencana aksi Desa Penambangan menuju Desa ramah anak, perempuan dan budaya.
 
Penambangan villages are considered to have many innovations, especially with regard to the development of literacy and digitalization. However, based on the evaluation results and discussions that have been carried out with the village government, the results have not run optimally after the assistance. This community service activity aims to assist Penambangan Village, Curahdami District, Bondowoso Regency to create an inclusive village that is child-, women- and cultural-friendly through a village innovation program by optimizing the potential of existing villages. This community service method consists of a preparatory stage and a mentoring stage. Initial observations were made using two approaches, namely the participatory approach, as well as interviews (discussion). While the mentoring phase is carried out by means of a Focus Group Discussion (FGD) for participatory preparation of innovative and integrated policy designs. The results of this community service were obtained by the implementation of the Penambangan Village assistance that had met the targets according to the strategy in an effort to create a women-friendly and child-caring village (DRPPA). The output of this mentoring implementation is the formation of Perdes regulations/Village head regulations related to the Penambangan Village action plan towards a child, women and cultural friendly village.
Factors Affecting the Completeness of Completion of Inpatient Medical Records in Hospitals
Authors: Devhy Ni Luh Putu , Purwanti Ika Setya
Published: January 2023

Medical record is a document that contains patient data consisting of identity, history of examination and treatment of patients. Medical records must be filled out completely because they can be used as a legal basis if something unexpected happens during a health action. Completeness of medical records can be used as a support to improve health services. Based on the results of previous studies, it was found that only 74% of the completeness of the RM from the name of the action indicator. This literature review aims to determine the factors that affect the completeness of filling out medical records.

Methods: The method used in this article is a literature review, the search for articles in this LR uses a google scolar, with the keywords "completeness factors", AND "medical records" AND "hospitalization". The articles found in the search were 262 articles, then re-evaluated according to the inclusion and exclusion criteria that had been set so that finally 5 articles were available that could be reviewed.

Results: Factors that affect the completeness of filling out medical records are man, method, material, money Man, money and methode are factors which effect uncomplitement of medical records, so that recommended to make standard operating procedure (SPO) in doing medical records then for giving motivation to the health worker in filling medical records we can giving present and clear sanctions for them.

Conclusion: Man, money, materials, and methods are factors that can affect the incompleteness of medical records, so it is recommended to make Standard Operating Procedures (SOP) in carrying out medical record activities and socialize them on an ongoing basis, then to motivate health workers in filling out RMs, prizes can be given and clear sanctions.
SENSITIVITAS DAN SPESIFISITAS METODE RAPID TEST ANTI-HBs TERHADAP ELISA
Authors: Putri Gela Setya Ayu , Santosa Budi
Published: January 2023

Hepatitis B merupakan penyakit inflamasi dan nekrosis sel hati yang disebabkan oleh infeksi virus hepatitis B (VHB). Kehadiran anti-HBs merupakan faktor penting dalam diagnosis dan prognosis infeksi VHB. Rapid test adalah salah satu metode pemeriksaan selain ELISA untuk mendeteksi adanya anti-HBs, lebih praktis dalam penggunaan dan ekonomis. Tujuan penelitian ini untuk mengetahui nilai sensitivitas dan spesifisitas rapid test anti-HBs Intec® terhadap metode ELISA sebagai gold standar. Penelitian ini merupakan studi observasional menggunakan metode uji diagnostik. Populasi penelitian ini adalah mahasiswa D4 Analis Kesehatan FIKKES Universitas Muhammadiyah Semarang semester tujuh post vaksinasi hepatitis B sejumlah 32 orang untuk didapatkan serum darah. Analisis statistik dilakukan uji Mc Nemar. Hasil pemeriksaan dengan rapid test yaitu positif 26 sampel (81,2%), dan  negatif 6 sampel (18,8%). Hasil pemeriksaan dengan ELISA yaitu reaktif 27 sampel (84,4%), dan nonreaktif 5 sampel (15,6%). Kesimpulan akhir yaitu Rapid test anti-HBs Intec® memiliki nilai sensitivitas dan spesifisitas yang sangat baik dengan persentase sensitivitas 96,3% dan persentase spesifisitas 100%. Tidak terdapat perbedaan yang bermakna pada sensitivitas dan spesifisitas metode rapid test dan ELISA (p= 1,000) sehingga Rapid test anti-HBs Intec®  dapat digunakan sebagai skrining untuk pemeriksaan anti-HBs.