bluuebunny/crossref_metadata_2025 huggingface dataset:
Treatment selection for T4 laryngeal cancer: is organ-preserving approach possible with chemoradiotherapy or is multimodality treatment more effective?
Authors: DELİKGÖZ SOYKUT Ela , ODABASİ Eylem , ŞAHİN Nilgün , BARAN Ahmet , TABAN Hakan , UNAL Asude
Published: September 2023

Aims: Organ-preserving approach is recommended as an evidence-based treatment option for advanced laryngeal cancer (LC) with similar survival results. However, the organ-preserving approach in T4 disease is controversial, and surgical treatment is primarily preferred. Today, chemoradiotherapy (CRT) is applied to T4 LC patients who are inoperable for medical or surgical reasons and upon the request of the patient who refuses the recommended surgical treatment. The aim of this study was to evaluate the treatment outcomes in patients with T4 LC who underwent CRT for these conditions and received adjuvant radiotherapy (RT)/CRT as the standard treatment regimen after surgery.

Methods: A retrospective review of T4 LC patients treated with CRT (17 patients) and adjuvant RT/CRT (26 patients) between 2015 and 2021 was conducted. Overall survival (OS), local regional recurrence-free survival (LRRFS), and disease-free survival (DFS) were compared between the groups. The organ preservation rate was determined for the CRT group.

Results: The median follow-up time for the entire cohort was 41 months, the 5-y OS, LRRFS, and DFS were 55.9%, 51.4%, and 51.9%, respectively. Statistically significant difference was found between the treatment groups in terms of 5-y OS, LRRFS, and DFS rates, and survival was found to be decreased in the CRT group (35.3% vs. 70.2%, p=0.007; 22.1% vs. 75.1%, p= 0.001; 22.1% vs. 75.7%, p=0.001). With respect to other clinicopathological factors, age was the only significant factor in on OS in multivariate analysis, whereas tumor size, nodal stage, and ECE (in the postoperative RT group, except LRRFS) were linked with OS, LRRFS, and DFS rates. Among the patients who underwent CRT, OS was found to be better in the group applied due to the patient’s request compared to the patients referred for RT due to medical or surgical inoperability, and in multivariate analysis, the indication for RT remained an independent predictor of OS. In addition, the 3-y organ preservation rate was 81.5% in the CRT group.

Conclusion: The surgical arm had statistically significantly superior results in terms of OS, LRRFS, DFS compared to the CRT group. However, it is also noteworthy that OS was better in cases where RT is applied at the patient’s request without inoperable disease. In addition, laryngeal protection was observed to a large extent in the CRT arm.
Increased frequency of hypertension and coronary artery disease independent of age in primary hyperparathyroidism associated hypercalcaemia
Authors: GÜNEŞ Elif , GÜNEŞ Mutlu
Published: September 2023

Aims: There are conflicting data in the literature regarding whether there is an increased frequency of coronary artery disease (CAD) in patients with primary hyperparathyroidism (PHP). In this study, we planned to investigate the frequency of CAD and hypertension (HT) in patients with PHP.

Methods: Patients with PHP aged 18 years and older who were admitted to the endocrinology clinic between September 2020 and February 2023 were included as the patient group, and age- and gender-matched individuals who presented with thyroid nodules between the same dates were included as the control group. A total of 217 patients, 114 with PHP and 103 as control group, were eligible for the study. The study was conducted as a retrospective data analysis and laboratory and demographic information of the patients and the control group were obtained from their files.

Results: Age and gender distribution of the patient group and the control group were similar (respectively; age: 55.6+12.9 years, 53.0+7.2 years, p=0.058, female/male distribution: 93/21, 80/23 p=0.48). The prevalence of HT and CAD was higher in the patient group (respectively; HT: 65.1%, 31.0%, p
PELATIHAN PEMBUATAN LUMPIA IKAN TONGKOL SEBAGAI BENTUK KAMPANYE GEMAR MAKAN OLAHAN IKAN UNTUK MENCEGAH STUNTING SEJAK DINI
Authors: Apriliani Dwi , Mulfiza Febi , Nurnidar Nurnidar , Kiflah Marzatul , Khalil Muhammad , Liswandi Liswandi , Bungsu Putra , Mardhiah Ainal , Isfanda Isfanda , Nurhayati Nurhayati , Handayani Lia
Published: September 2023

Kegiatan pelatihan pengolahan ikan tongkol menjadi isian lumpia di Desa Meunasah Mon ditujukan untuk ibu-ibu yang memiliki anak usia dibawah 5 tahun sehingga harapannya dapat meningkatkan pengetahuan mengenai stunting dan kemampuan dalam menyediakan makanan olahan dari ikan bagi anak-anak dan keluarga dirumah. Pemilihan lumpia sebagai produk olahan yang didemokan adalah mengingat anak-anak sangat gemar makan makanan yang digoreng, dan lumpia merupakan salah satu makanan yang disajikan dengan digoreng. Pelatihan ini dilakukan dnegan cara presentasi materi dan demonstrasi langsung pembuatan lumpia isi ikan tongkol. Hasil kegiatan ini sangat memuaskan dan sesuai target, karena terlihat para peserta sangat antusias dan mampu mengikuti tahap-tahap pembuatan lumpia dengan baik. Sebnayak 90% peserta menyatakan sangat puas dan 10% meyatakan puas dengan kegiatan ini. Dan diharapkan aga rada kegiatan serupa secara berkala dengan produk olahan yang lain seperti 20% peserta menginginkan produk olahan berikutnya dalah bakso, sebanyak 25% menginginkan nugget, 50% peserta menginginkan abon sebagai olahan berikutnya dan sebanyak 10% peserta memilih produk olahan lainnya.Kata kunci:Gemarikan, lumpia ikan, olahan ikan, stunting
Marketing Crisis Management and Hotel Performance: Evidence from Hotels in Mombasa County, Kenya
Authors: Mukolwe Eunice , Rotich Dorothy , Mapelu Isabela , Ipara Hellen
Published: September 2023

Purpose: Tourism is crucial in driving economies and preserving cultural heritage worldwide. The sustainability of tourist destinations depends on their ability to effectively manage and recover from marketing crises that can damage their attractiveness and reputation. Despite the allure of tourist destinations, they are susceptible to various marketing crises, challenging their hospitality industries and local economies. These crises can disrupt visitor flows and tarnish reputations. This study explored the impacts of marketing crisis management practices on hotel performance in Mombasa County, Kenya, within a global context of vulnerable tourist destinations.

Methodology: This study employed partial least squares structural equation modeling (PLS-SEM) embedded in the causal-comparative research design to explore the relationship between marketing crisis management practices and hotel performance. Data were collected through questionnaires distributed to management staff in 18 star-rated hotels in Mombasa County. Confirmatory composite analysis (CCA) validated the measurement models, and demographics were considered as potential influencers on the relationship. Data were presented in Table format and interpreted using percentages.

Findings: The findings revealed that communication and public relations (β = 0.417, p < 0.05), marketing strategy adjustment (β = 0.336, p < 0.05), and reputation management (β = 0.186, p < 0.05) significantly and positively affected hotel performance. The three combined practices explained 75.1% of the variance in hotel performance. Based on these findings, hotels in Mombasa County and the broader Kenyan hospitality industry must prioritize effective communication and public relations, agile marketing strategy adjustment, and proactive reputation management as integral components of their crisis management strategies to enhance resilience, foster customer loyalty, and maintain competitiveness, especially in times of crises, such as the ongoing COVID-19 pandemic.

Recommendations: Effective communication and public relations positively impact hotel performance by fostering emotional connections, repeat business, and positive reviews. Dynamic marketing strategy adjustment enhances resilience and adaptability, attracting safety-conscious and adventurous travelers. Reputation management safeguards trust, credibility, and customer loyalty, mitigating negative perceptions during crises. Combining these practices contributes to substantial positive impacts on hotel performance.
Ethnicity and Motivations for Fulani Herders and Host Communities Aggression in Nigeria: Fulani Versus Indigenous People of Plateau State
Authors: Kasa Adamu Gayus , Bello Talatu Buba
Published: September 2023

This paper investigated how ethnicity affects the perceptions of what motivates the aggression between Fulani herders and the Plateau indigenous people of Nigeria. The research was conducted in four selected and most aggression-affected Local Government Areas (LGAs) of Plateau State: Barkin Ladi, Bassa, Jos-South, and Riyom. The sample size of 400 was determined using Yamane Taro’s sample size formula. The study adopted a mixed method of quantitative (survey) and qualitative – Key informant Interviews (KII) and Focus Group Discussions (FGDs) for data collection. Four hundred copies of the questionnaire were distributed, and seven KII and nine FGDs were conducted. The findings indicated that the Fulani and their host communities have different perceptions of the motivation for the aggression between them. The study found a relationship between ethnicity and four out of the five identified drivers of the attacks in Plateau State. This study recommended that the Plateau State government should return the displaced communities taken over by the Fulani herders to change the indigenous people’s perception that the aggression is not about land-grabbing, Fulanization, and Jihad. The Government should also arrest and prosecute cattle rustlers to stem the tide of the attacks in Plateau State.
Community Education Mapping as a Tool for Addressing of Out of School Children in Nigeria: The Role of Adult Education Administrators. Muhammad Alkali PhD.
Authors: Alkali Muhammad
Published: September 2023

The need to provide education for all Nigerian children has been recognised by all; people, community members, civil society orgainsation, governments and development partners. The phenomenon of out-of-school children and youths in Nigeria remains one of the serious problems confronting educational sector of the country. It appears that there are conflicting figures about the actual number of these children. And people and scholars blamed the problem to inability to have access to the actual number of out-school-children. This is the reason the author advocates for community mapping as a way out. This paper therefore explored the problems associated with the provision of education to out-of-school children and suggested possible potentials of community mapping in addressing the problems. Lastly, the roles of adult and non-formal education administrators were highlighted.
Conservation of Terrestrial Flora and Fauna in Rachuonyo South, Kenya: A Focus on Effects of Hunting and Gathering
Authors: Atieno Juma Christine , Nzisa Mutavi Irene , Joyce Obuoyo , Abraham Omanyo
Published: September 2023

Terrestrial flora and fauna species are at the brink of disappearance yearly due to increase in human population. Yearly, the extinction rate of these species are 25% and 34% globally and 69% and 68% in Kenya. However, the depletion rate and the status of species in Rachuonyo South is not specified in any literature and yet, the rise of human population in Rachuonyo South has increased anthropogenic activities for instance 74% and 97% of population depends on agriculture and wood fuel respectively. The purpose of this study was to examine the effect of hunting and gathering on terrestrial flora and fauna species conservation. A cross-sectional survey design was used by application of Stratified Random Sampling to generate a sample size of 379 household heads. Data was collected using questionnaires and interviews. The results indicated that there were 80 and 25 terrestrial flora and fauna species threatened. The terrestrial flora and fauna species were in a declining trend (mean=1.96, standard deviation=0.487 and mean=1.97, standard deviation=0.462) respectively. The frequency of hunting and gathering were extremely high (mean=2.90, standard deviation= 1.006). Hunting and gathering were greatly affecting terrestrial flora and fauna species (mean=1.22, standard deviation=0.414). The respondents were not sure whether there were effective conservation measures in place to mitigate the effects of the mentioned hunting and gathering (mean=1.70, standard deviation=0.457). In conclusion, the survival of terrestrial flora and fauna species in Rachuonyo South Sub County was greatly threatened by hunting and gathering. The local communities should be involved in conservation measures.
Changing epidemiology of Clostridioides difficile infection – increasing number of community-acquired forms and infections in children
Authors: Sučík Martin , Rosoľanka Róbert , Šimeková Katarína , Bánovčin Peter , Schnierer Martin
Published: September 2023

Clostridioides difficile colitis has long been considered an infection associated with hospitalization and concomitant antibiotic treatment. However, the increasing number of community cases in recent years has led to a reassessment of the traditional understanding of its epidemiological characteristics. In addition, community-associated forms have been reported many times in children, young adults, or people without comorbidities and with a negative history of antibiotic use in the pre-disease period. These groups have traditionally been considered low risk for the development of the infection. Thus, many studies have naturally investigated the impact of asymptomatic Clostridioides difficile carriers, including neonates and infants, on the transmission of the causative agent in the community. The prevalence of this bacterium in animals, in food and in the environmental setting has also been the subject of research. The goal was to elucidate the role of these factors in the spread of the agent in community settings. In this article, we summarize the current knowledge on confirmed and potential risk factors for community-acquired Clostridioides difficile infection, together with the results of studies examining patient characteristics. We also provide information on the issue of Clostridioides difficile infection in the paediatric population, which is closely intertwined with the community-acquired form of the infection. Keywords asymptomatic carrier state, Clostridioides difficile, epidemiology, community-acquired infections
Why should we and should we not use ChatGPT in gastroenterology?
Authors: Král Jan , Waloszková Kateřina , Selucká Jana , Machytka Evžen , Špičák Julius , Bužga Marek
Published: September 2023

Summary: Artificial intelligence (AI) is increasingly being incorporated into medicine, including gastroenterology, opening new possibilities for the diagnosis and treatment of digestive tract diseases. ChatGPT, an AI model based on the GPT-4 architecture, has the potential to accelerate diagnosis and treatment, personalize care, educate, and train healthcare professionals, support decision-making, and improve communication with patients. However, with the use of AI come challenges such as the limited ability of AI to replace human judgment, data errors, issues related to security and personal data protection, and implementation costs. The future of ChatGPT in gastroenterology depends on its ability to process and analyze large amounts of data to identify patterns and create individual treatment plans. Thanks to advancements in AI and machine learning, ChatGPT is becoming more accurate and efficient, enabling faster diagnosis and treatment of gastroenterological diseases. In the field of education, ChatGPT will serve as an invaluable source of information on the latest research articles and procedures. Despite the benefits of AI in gastroenterology, it is essential to address issues of ethics, data protection, and collaboration between AI and healthcare professionals. Ensuring proper protocols and procedures will enable the safe and ethical use of AI in medicine. Although AI offers significant potential for improving the quality of care, it is necessary to address challenges associated with data protection, security, and ethics. Key words: artificial intelligence – AI – ChatGPT – gastroenterology
Dosage forms of oral mesalazine and their clinical use
Authors: Lapka Marek
Published: September 2023

Mesalazine or 5-aminosalicylic acid is important substance which is used in therapy of inflammatory bowel disease (IBD), like ulcerative colitis (UC) and Crohn’s disease (CD). On the market, various mesalazine formulations for local (supositoria, rectal foam and enema) and for systemic administration (covered tablets, slow releasing tablets or slow releasing granulates) are available. Some differences between mesalazine formulations are enabling higher flexibility for clinical practice to choose the optimal drug in terms of distribution active drug according to disease activity and location. The pharmacokinetic profile of various mesalazine formulations and impact on the clinical practice are discussed in the text. Keywords inflammatory bowel disease, mesalazine, ulcerative colitis, pharmacokinetics
Determinantes de la aprobación de alcaldes en México
Authors: Chacón Montoya Bianca Nayeli , Saldaña Villanueva Carlos Emmanuel
Published: September 2023

En 2014, se promulgó una reforma constitucional en México que permitió la reelección al cargo de alcalde en los municipios. Esto llevó a que en las elecciones de 2018 para 23 entidades del país 320 alcaldes buscaran la reelección, de los cuales el 59% logró permanecer en el puesto. Por tanto, el objetivo de este estudio es analizar los factores que determinan la aprobación ciudadana de los alcaldes en México. Mediante la encuesta Así Vamos 2019, llevada a cabo en Nuevo León y un modelo logístico se encontró que los ciudadanos que tienen confianza en su alcalde y perciben que los recursos públicos están siendo utilizados de manera eficiente, tienen más probabilidades de aprobar su gobierno. Por el contrario, la percepción de inseguridad y falta de justicia reduce la probabilidad de aprobación. Entre estos determinantes se encontró también que la confianza tiene el mayor impacto en el aumento de la probabilidad de aprobación.
Video Platformlarında Strateji Oluşturma Modeli Önerisi: YouTube Blogu Tematik İçerik Analizi
Authors: MURATOĞLU Caner , BAYTAR Orhan
Published: September 2023

Günümüzde kurumsal şirketler, kurum ve kuruluşlar sosyal medya ve diğer medya araçlarını kullanarak paydaşlarıyla iletişim kurmaktadır. Bu araçlardan bir olan kurumsal bloglar, bir tanıtım ve bilgilendirme faaliyeti olarak işlev görmektedir. Kurumsal bir blog olarak araştırma örneklemi olarak seçilen, köklü bir geçmişe sahip YouTube, bir medya platformunun yönetilmesi ve platformun geliştirilerek devamlılığının sağlanması açısından iyi bir örnektir. YouTube, faaliyete başladığı 2005 yılından itibaren kurumsal blog sayfası üzerinden platformun yönetimsel yapısına ışık tutan duyuruları paylaşmaktadır.

Nitel araştırma tasarımı ve amaçlı örnekleme dayanan bu çalışmada 2022 yılına ait YouTube blog duyuruları içinden tarama ve eleme yapılarak analize dahil edilecek duyurular tespit edilmiştir. İçerik analizinde nitel araştırma desenlerinden gömülü teori yaklaşımı kullanılmıştır. Verilerin toplanması açısından sosyal medya kaynağı olarak YouTube resmi kurumsal blog sayfası ele alınmıştır. Elde edilen duyurular nitel veri analiz programına aktarılarak veri seti analiz edilmiştir. Duyurular tematik içerik analizine göre satır satır okunarak; finansal, regülasyon, yönetim ve organizasyon, ürün geliştirme, içerik üretimi, telif hakları, mahremiyet ve dezenformasyon gibi ana strateji bileşenleri belirlenmiştir.

Analiz sonucunda elde edilen Kod Sistemi araştırmanın ana çıktısı olarak, elde edilen bulgular ana temalar, kategoriler halinde hiyerarşik olarak gösterilirken, önerilecek strateji uygulama modeli çevre unsurları ile temalar ve kategoriler ilişkilendirilmiştir. Araştırma veri setinin analiziyle yapılan kodlama sonucunda Kod Sistemi ortaya konulmuş, kod tablosundaki bulgular değerlendirilmiştir. Çalışmanın sonuç bölümünde kategori ve temalar ile strateji çevresinin unsurları değerlendirilmiştir.

Elde edilen temalar; Ürün Geliştirme, İçerik Yönetimi ve Marka Yönetimi olmak üzere üç adet olarak belirlenmiştir. Kategoriler ve strateji uygulama aşamasında etkin olduğu ileri sürülen strateji çevresi unsurları; Yönetimsel ve Politika, Enformasyon ve Dezenformasyon, Mahremiyet, Topluluk, Yapay Zeka ve Analitikler, İnovasyon ve Kapsayıcılık olarak araştırmacı tarafından belirlenerek, bu strateji bileşenleri her tema özelinde görselleştirilerek etki düzeylerine ait bir dijital strateji uygulama modeli öne sürülmüştür.
Description of last instar larva of Cordulegaster kalkmani (Odonata: Cordulegastridae)
Authors: Müller Ole , Schneider Thomas , Ikemeyer Dietmar , Brochard Christophe
Published: September 2023

The final instar larva of Cordulegaster kalkmani Schneider, Vierstraete, Müller, van Pelt, Caspers, Ikemeyer, Snegovaya & Dumont 2021 is described and illustrated based on one female exuvia collected in Alakabük, Bitlis province, Turkey, in July 2022. The exuvia of Cordulegaster kalkmani is compared with the exuviae of members of the “boltonii group” in the eastern part of the Western Palaearctic: C. vanbrinkae, C. picta, and C. heros. The exuvia of C. kalkmani shows no clear distinction in comparison to the other members of the eastern “boltonii group”.
Estimation of Stature from the Length of the Sternum in the Ethnic Meitei Population– A Study in Medicolegal Autopsies
Authors: Zohlupuii L B , Devi T M , Haricharan A , Memchoubi P H
Published: September 2023

Identification is necessary for living persons, dead persons, decomposed bodies, and mutilated and burnt bodies. In some cases where long bones are not available; the fresh sternal length can be used for stature estimation. Forty male cases belonging to the ethnic Meitei population within the age group 14-70 years were studied. Linear regression analysis was applied for the different sternal lengths to derive regression equations for the estimation of the stature of the study population. The linear regression obtained for the length of the manubrium, length of the body, combined length of the manubrium and the body and the total sternal lengths were Y=5.7641X +138.53, 1 Y=2.277X +140.6, Y=2.3229X +128.81 and Y=2.4786X +116.05 respectively. The maximum correlation was observed for the total 2 3 4 sternal length (R=0.569) followed by manubrium (R=0.475), the combined length of manubrium and mesosternum (R=0.462) and mesosternum (0.374). The study showed that there was a moderate positive correlation between all the sternal measurements with the cadaveric length.
Estimation of Stature from Head Length in Adults in a Tertiary Care Teaching Hospital of Bareilly, Uttar Pradesh
Authors: Chahal P , Sharma A , Singh M
Published: September 2023

Stature is the height of the person in upright posture. It is one of the most important elements in the identification of an individual. In the recent times, due to natural disasters like tsunamis, earthquakes, floods, cyclones, and man-made disasters like bomb blasts, terror attacks, wars, plane crashes, mass accidents and other accidents, the need of establishing the identity of the person has become an important necessity for both legal and humanitarian reasons. Many a times, only skull is brought for medico legal identification, this necessitates to correlate the metric traits of the skeletal remains with the stature. The present study was conducted on 300 individuals in a tertiary care hospital of Bareilly, Uttar Pradesh. The study showed a significant co-relation between head length and stature.
An Unexpected Cause of Sudden Death Reported as a Case of Adverse Event Following Immunization (AEFI)
Authors: Sam N M , Raveendran R , Deepthi S
Published: September 2023

Adverse event following immunization is any untoward medical occurrence which follows immunization and which does not necessarily have a causal relationship with the usage of the vaccine. Here we had a case where a 20-year-old male, who had taken second dose of Covishield vaccine and presented with complaints of fever, vomiting and abdominal pain. He was managed conservatively, but he collapsed and died at home, the next day. Autopsy revealed it as a case of small bowel volvulus with complications like gangrene and peritonitis. Volvulus of small intestine is a rare condition; non-specific clinical features and laboratory investigations make it difficult to diagnose. Coincidence with vaccination perhaps complicated the diagnosis in this case, which needed to be dealt as a surgical emergency.
Diagnosis of Hanging in an Alleged Case of Ligature Strangulation: A Case Report
Authors: Sharma N , Giri S , Khanna K , Dagar T , Pal V
Published: September 2023

Hanging is one of the commonest method among the painless suicidal deaths. In few instances, false allegations are made by next of kin and they claim that the ligature mark over the neck of deceased is due to strangulation or postmortem hanging rather than ante-mortem hanging. Vice versa cases are also likely in an attempt to concealment of the crime. In such cases, complete post-mortem examination and incident scene visit are very helpful to differentiate between the two. In the case being reported, the authors report a case of young adult female individual in which ligature strangulation was alleged by the parents and investigating officer but which was diagnosed as a hanging after autopsy. Authors also report the important external as well as internal findings in a case of hanging and discuss the unusual complications lead to death after hanging.
Study of Natural Deaths in Custody at Tertiary Care Hospital in Rajasthan
Authors: Solanki A , Dutta S , Goel S , Sharma P
Published: September 2023

As death is final outcome of life, it is inevitable in prisoners too. Pattern of deaths can reveal living conditions and practices in a population. This study was conducted to observe the pattern of natural deaths among prisoners autopsied at a tertiary care hospital in Jaipur during April 2017 to March 2018. During this period 16 cases of alleged natural deaths in custody were autopsied comprising of 15 males and 1 female. The natural deaths were almost evenly distributed in all age groups. Carcinoma was leading cause of death in (37.5%) cases, followed by cardio-vascular causes in (25%) cases, intracranial hemorrhage in (12.5%) cases, septicaemia in (12.5%) cases, tuberculosis associated with HIV in (6.25%) case and Pneumonia associated with Parkinsonism in (6.25%) cases. All (100%) of the natural deaths received medical attention prior to death and died in hospital. Injuries were present in 5 cases (31.25%) but were not attributed to causing deaths.
Study of Homicidal Deaths Autopsied in VSSIMSAR, Burla: A Three-Year Retrospective Study
Authors: Dash A , Xalxo B , Panda S , Perei S
Published: September 2023

Killing of an individual is the highest level of aggression found in society. Incidence of homicide is on the rise and its pattern is also changing with time. The present retrospective study was conducted in the department of Forensic Medicine and Toxicology, VIMSAR, st st Burla from 1 January 2018 to 31 December 2020. All the cases brought to the department for autopsy, either confirmed or later registered as homicide by investigating officer were considered for study. Among 4918 autopsies conducted during the period of 3 years 119 cases (2.41%) were of homicidal deaths. 66.4% of homicide victims are males. Majority of homicidal deaths occur in the age group 21-30 years and 31-40 years accounting for 52% of total cases combinedly. 46.2% homicide victims succumbed to injuries at the spot. Majority of cases (44 cases, 37%) occurred during night hours. Infliction of injuries are present in multiple areas in 42.8% of cases. Blunt weapons (29.4%) were the most commonly used. Defence wound were present in 19% of cases. Most common site of fatal injury is head in 46.2% of cases. In majority of cases (46.2%) cause of death was due to craniocerebral injury.
Impact of COVID-19 Pandemic on Suicide Rates in Vidisha: A Record and Verbal autopsy Based Mixed Method Study
Authors: Garg K , Nigam M , Nigam R , Solanki N
Published: September 2023

COVID-19 came as a challenge to the world. Several ad hoc measures were adopted by countries to control the spread of the virus. These measures involved lockdowns which encompassed the closure of workplaces, entertainment places, and schools, loss of jobs, loss of income and inability to leave the house. These led to an increase in mental health issues in the population ultimately leading to an increased incidence of suicides. This study was done to identify the prevalence of suicide cases before and during the COVID-19 pandemic in the Vidisha district and to find various reasons and perceptions behind the suicides that happened during the COVID-19 period. First-order family members of 11 deceased individuals were interviewed with a semi-structured questionnaire. It was found that the number of suicides during-COVID period increased to more than 1.5 times the pre-COVID number. This might be due to the unavailability of poison due to the lockdown, that the number of hanging cases increased more as compared to poison. Females had a significant association between the manner of suicide and the period. Pandemic-associated lockdown closure of economic activities, isolation and increased domestic conflicts were found to be the major factors that were responsible for suicides during the pandemic. Studies also showed that suicide is perceived as a weakness and a quick escape from problems.
A Study of Injury Pattern and Mode of Accident of Fatal Injuries in RTA Cases Admitted in a Tertiary Care Centre -3 Year Retrospective Study
Authors: Manoranjan B , Somashekhar S P , Ravindra S H , Vishal V K , Prasanna S J , Pratima R , Dhivagar K
Published: September 2023

Road traffic accident ranks among the top causes of death in the world; after ischemic heart disease, it is projected to become the second leading cause in 2020. A report states that 1.24 million people die every year worldwide on the roads. RTA is a public health issue that greatly affects individuals, families, communities, and nations. The cost of burden is estimated to be around 1–2% of a country’s GNPin low-income countries. To know the pattern of fatal injuries in RTA cases. To correlate the survival period and cause of death in fatal road traffic accidents. Data from medico-legal autopsies of all RTA victims from 2018 to 2020 (n= 210) were collected in this retrospective study. Data were analyzed using SPSS software, V.22. The majority of the study population, 24.2% (51 out of 210), belonged to the 1-30 age group. Male predominance was noted in the study with 84.2% (177 out of 210). The type of accident was self-fall in high proportion 26.6% (56 out of 210) followed by a collision between 2-wheelers and 4-wheelers 24.2% (51 out of 210). Intracranial haemorrhage was reported in 140 (66.6%) study participants as the leading cause of death followed by hemorrhagic shock other than head and neck injury reported in 42 (19.9%) cases. A short revival period of fewer than 24 hours was noticed in intra-cranial haemorrhage (81 out of 140) followed by hemorrhagic shock other than head and neck injury (39 cases). Skull fractures are higher in 2-wheelers compared to other types of vehicles and pedestrians. (103 out of 140). The majority of fatal accidents occurred in two-wheelers. Hence, health education and awareness should be created among two-wheeler riders, especially drivers & pillion to wear helmets and follow safety measures while riding.
Hydrological Investigation Ground Water Quality and its Aquifer Parameters
Authors: Dr. Arpan Deshmukh  , Ravindra Pawar  , Nikhil Ghule  , Vishal Chalak  , Pratik Tayde
Published: September 2023

Water is the most critical component of life support system. India shares about 16% of the global population but it has only 4% of the water resources. The national water policy gives priority to drinking water followed by agriculture, industry and power. The single most important task before the country in the field of India‘s water resource management is to pay special attention to rainwater conservation, especially which falls on our vast rain-fed lands but most of which flows away from it. In Maharashtra every year due to uneven rain fall many of the region face drought problem. Paani foundation invested a year in research, understanding the problem and possible solutions. the Satyamev Jayate crew started a non-profit organization well known as Paani Foundation, which would spread knowledge of watershed management and groundwater replenishment. They learned about water conservation principles and watershed management structures like contour trenches, earthen dams, and soak pits, then went back to their villages and lead the work, which involved all the villagers pitching in volunteer (shramdaan) work. They executed their plans in the months before the monsoon, with their success measured after the rains. In this project the to study on efforts taken by paani foundation due to scarcity of water by on site investigation.
Radiologic Evaluation of Inverted Teeth
Authors: KAYA Sema , ESKİN Kübra , KOÇ Alaettin
Published: September 2023

Aim
Inverted teeth are a very rare anomaly. In addition, there has been no detailed research on the subject except case reports. The aim of this study is to provide information about the radiologic and demographic features of inverse teeth.
Material-Methods
Between January 2016 and December 2022, 154 inverse teeth that were detected in panoramic radiographs taken for diagnostic purposes in the Department of Oral, Dental and Maxillofacial Radiology of our faculty between January 2016 and December 2022 were included in the study. Data were analyzed with IBM SPSS V23. Chi-square test was used to compare categorical variables according to groups. Significance level was taken as p<0.050.
Results
Of the 154 cases, 61 (39.6%) were female and 93 (60.4%) were male and 148 (96.1%) cases were seen in the maxilla and 6 (3.9%) in the mandible. 36 (23.4%) cases were seen on the right side, 45 (29.2%) on the left side and 73 (47.4%) in the midline. A statistically significant difference was observed in the distribution of inverse tooth types and the side of the teeth according to gender (p<0.05).
Conclusion
Inverted teeth are a very rare anomaly. As with all impacted inverted teeth, it should be kept in mind that pathologies related to these teeth may develop and the patient should be informed about this for routine control.
Assessment of the Volumetric Features of Nasolacrimal Canal on Patients with Unilateral Cleft Lip and Palate: A Cone-Beam Computed Tomography Study
Authors: GULER Arif Yigit , GOKSEL Sevde
Published: September 2023

Aim: This study aimed to evaluate the differences between angle, length and volume of the nasolacrimal canal in unilateral cleft lip and palate patients.
Material and Methods: A total of 29 unilateral cleft lip and palate patients (16 female and 13 male) and 58 nasolacrimal canals were examined. Anteroposterior diameter, transverse diameter, length, angle and volume values of the nasolacrimal canal were measured and statistically compared.
Results: The mean nasolacrimal canal volume was 619.04±235.55 m3 on noncleft side and 548.63±247.99 m3 on cleft side and significant difference was found. The mean transverse diameter was 4.81±1.29 mm on noncleft side and 4.49±1.18 mm on cleft side and significant difference was found among them. There were no difference among the nasolacrimal canal length and anteroposterior diameter.
Conclusion: It can be thought that unilateral cleft lip and palate patients are more likely to have a nasolacrimal system problem on cleft side.
Investigation of the Effect of Ankaferd Blood Stopper on Wound Healing of Donor Site
Authors: TALMAÇ Ahmet Cemil , ALTINDAL Dicle , ÇALIŞIR Metin , EGE Bilal
Published: September 2023

Aim: The aim of this study is to evaluate the effect of Ankaferd Blood Stopper (ABS) on the palatal donor site following free gingival graft
(FGG) surgery.
Materials and Methods: A total of 12 patients (24 palatal sites) were included in the study. In each patient, the donor sites were randomly
divided into two groups. ABS+collagen pads were applied to the test group. Only collagen pads were applied to the control group. Donor
sites were evaluated in terms of bleeding, complete epithelialization, sensitivity, pain score, analgesic usage, wound size, Landry, Turnbull,
and Howley (LTH) index, and tissue thickness (TT).
Results: Intraoperative bleeding was observed in significantly more patients (n=9) in the control group, while it was not observed in any
of the patients in the test group (p=0.000). Although higher complete epithelialization (33.3%) was detected in the test group on day 14,
there was no significant difference in epithelization between the groups. There was no significant difference in pain score, analgesic usage,
wound size, LTH index, or TT between the groups. When the amount of change between the times was analyzed, only the change in TT
between the 21st day and the 6th week was found to be statistically significant (p=0.028).
Conclusion: In our study, it can be said that the use of ABS following FGG surgery has a positive effect on intraoperative bleeding, shortterm complete epithelialization, and long-term TT, but it cannot provide superiority compared to collagen sponge alone in terms of early
wound healing, postoperative pain, and analgesic usage.
Video Online Learning: An Alternative for Students' Mathematics Problem Solving
Authors: Lestari Fitria , Efendi Deni , Dara Triyana
Published: September 2023

The research design used quantitative in control group design (pretest-posttest control group design). The population in this study were all students of class VIII at SMP Muhamamdiyah 3 Bandar Lampung, totaling 147 students. The sampling technique used purposive sampling technique with the consideration that the selected sample was taught by the same teacher. For this reason, there were 2 sample classes, namely the experimental class, which consisted of 29 students and the control class, which consisted of 29 students. Data collection techniques were obtained through problem solving ability tests, observation. Based on the results of the analysis, it was obtained that there is a significant influence between classes using problem solving assisted learning online learning videos and classes using conventional learning models testing criteria with a significance level of 0.05. It was found that the results of the Sig t-test, (2 tailed) in both sample classes is 0.000 <0.05, then Ho is accepted meaning: there is a significant difference in effect between classes using problem solving learning assisted by online learning videos and classes using conventional learning models.

Keywords: Problem Solving, Online Learning Videos, Mathematical Problem Solving Skills
Method for the separation of non-ferrous metals and ree from the mother liquor of the crystallization process AlCl3·6H2O
Authors:   Satbayev University, Dosmukhamedov N.K. , Zholdasbay Е.Е. ,   Satbayev University
Published: September 2023

The paper analyzes the raw material base of the coal deposit in the world and Kazakhstan. It is shown that with the development of the coal industry, the output of ash and slag waste is growing, which occupy large areas for storage and their negative impact on the environment. The paper describes the mechanism of the process of rectification of the mother liquor with ammonium hydroxide with the release of non-ferrous metals and REE into the precipitate (cake) and the production of a circulating solution based on calcium chloride. The results of thermodynamic calculations of the Gibbs free energy of deposition of non-ferrous metals from the mother liquor in the temperature range of 293-323 K (20-50°C), showed the fundamental possibility of separation of non-ferrous metals into the precipitate. The results of thermodynamic calculations are fully confirmed by experimental experiments on the study of the regularities of the separation of non-ferrous metals (CM) and REE into the target commercial product (cake) from the mother liquor obtained after crystallization of aluminum chloride hexahydrate by rectification with NH4OH. In the process of rectification of the mother liquor, a solution of calcium chloride in the amount of 989.9 ml and 11.91 g of cake (precipitate) containing NFM and REE was obtained. The resulting solution is reversible and is used for chlorinating ash firing. A high (more than 99%) extraction of NFM and REE in the cake was established. According to the phase composition, the cake consists of NFM and calcium hydroxides, with a predominant, up to 50%, content Zn(OH)2. The cake can be easily processed by known metallurgical methods with maximum extraction of NFM and REE. The process of rectification of the mother liquor is the final stage of the innovative technology of complex processing of ash and slag waste of the TPS of Kazakhstan. The paper shows the technological scheme of the developed technology of complex ash processing and optimal technological parameters. The technology will stimulate the development of the energy industry by completely recycling them to obtain commodity products with high added value and increase the efficiency of thermal power plants operating on coal combustion by involving ash waste in processing as an additional source of raw materials.
Selection and justification of charge preparation based on manganese waste from ore dressing
Authors:   Satbayev University, Zholdasbay Ye.Ye. , Tazhiev Ye.B. ,   Satbayev University, Argyn А.А. ,   Satbayev University, Kaplan А.V. ,   Arvak LLC, Koishina G.М. ,   Satbayev University, Dosmukhamedov N.К. ,   Satbayev University
Published: September 2023

Large amounts of waste from the enrichment of manganese ores, dispersed iron- and carbon-containing slurries accumulate at large processing plants, metallurgical plants, plants. Millions of tons of manganese waste have been accumulated at the Dzhezdinsky GOK. Processing of small and dispersed metal-containing industrial waste cannot be carried out by traditional technology. The development and implementation of a new technology for processing these wastes into valuable metal alloys is a very urgent problem. In this paper, based on a comparative analysis of the theoretical approaches to the production of steel and ferroalloys of traditional technology and new ideas, the selection and justification of the preparation of the charge is carried out. It is shown that the theoretical foundations of the adsorption-autocatalytic mechanism can be revised from the point of view of the organization of metal production from the point of view of solid-phase reactions.

The theoretical foundations of the «Dissociation-adsorption mechanism» are given, where the phenomenological phenomenon is focused on the fact that the dissociation of chemical compounds, including metal oxides, is inherent in them as well as their formation from individual elements regardless of external conditions. The influence of external factors, for example, energy (temperature rise), causes thermal dissociation, which does not so much prove whether dissociation exists or not at all, as it shows a specific degree of dissociation of the compound for the purposeful restoration of the element or the formation of a new compound. It is shown that the dissociation of metal oxides intensifies proportionally to a decrease in particle size and an increase in temperature. It is established that dispersed oxide materials can be metallized with solid carbon due to the reduction of iron within the temperature range of 950-1100°C.
On the use of the finite element method in the study of the stress-strain state of the contour of the Annie Cave on Mount Arsia
Authors:   Kazakh National Women's Pedagogical University, Baymakhan R.B. , Muta A.N. ,   Kazakh National Women's Pedagogical University, Tileikhan A. ,   Kazakh National Women's Pedagogical University, Kozhogulov K.C. ,   Institute of Geomechanics and Subsoil Development of the National Academy of Sciences of the Kyrgyz Republic
Published: September 2023

People who have visited the surface of Mars for the first time cannot survive in conditions of such dangers as radiation, micrometeorites and dust storms. But we offer the caves found on this Mars as a way to use them as a natural refuge from these environmental hazards. The gravitational field on the surface of Mars is about three times weaker than on Earth, and the magnetic field is too weak. Therefore, creatures that have left Earth, including humans, can live on the surface of Mars for only 30-40 seconds. Even the most powerful spacesuit can save a person's life for just a few hours. Martian caves weaken solar radiation almost three times and do not let it inside. Therefore, the study of Martian caves, conducting scientifically based research to make them the first habitat, is an urgent problem today. Therefore, it is advantageous to use the mountain caves of Mars as an underground habitat. Since atmospheric protection is minimal at high altitudes, scientific studies of the strength and stability of the inner edges to Martian gravity are carried out to turn these caves into living quarters, such as mines, tunnels. Under the influence of various forces (gravitational, temperature, low-current, tectonic, etc.) of such structures on Mars, a mechanical and mathematical model is being developed to study the strength of cave dwellings, habitats.
Earth remote sensing application for forest fire size, burn state and fire recovery
Authors:   International Educational Corporation, Shogelova N. , Sartin S. ,   North Kazakhstan University named after M. Kozybayev
Published: September 2023

Forest fires greatly affect forest ecosystems, causing the loss of their biodiversity and their resilience. In addition, they have a strong impact on the global carbon balance and, ultimately, climate change. This article analyzes studies of remote sensing techniques and data used to estimate the area of forest burnt, fire severity, fire impacts, and patterns of reforestation at the global level. The study discusses the results of an analysis based on 329 selected articles on major aspects of the field of study published in 48 journals over the past two decades (2000-2020). Article characteristics were analyzed, including journals, spatial extent, geographic distribution, types of remote sensing sensors, ecological zoning, tree species, spectral indices, and accuracy measures used in the studies. The paper also discusses the main trends, problems and the increasing value of various remote sensing methods in assessing the area of forest fires, the severity of fires and post-fire recovery. Finally, it identifies potential opportunities for future research using next-generation remote sensing systems, classification methods and cloud computing, as well as new process platforms for regional and large-scale research applications.