bluuebunny/crossref_metadata_2025 huggingface dataset:
Design and experimental demonstration of photonic-crystal lasers with multijunction active layers
Authors: Katsuno Shumpei , Yoshida Masahiro , Inoue Takuya , De Zoysa Menaka , Hatsuda Ranko , Ishizaki Kenji , Noda Susumu
Published: November 2024

We introduce multijunction active layers, featuring a stack of alternating active layers and tunnel junctions, to photonic-crystal surface-emitting lasers (PCSELs) to increase their slope efficiency, which is vital for various applications including laser processing and LiDAR. First, we design a multijunction PCSEL that avoids optical absorption in the heavily-doped tunnel junctions while allowing sufficient optical gain and resonance effects in the active and photonic crystal layers. Next, we fabricate a 3-mm-diameter two-junction PCSEL, achieving a slope efficiency of 1.58 W A−1, which is over twice as high as that of conventional single-junction PCSELs, and a record-high peak output power of 1.8 kW for PCSELs.
Inovasi Peran Hablum Minal Alam dalam Meningkatkan Pendidikan Religius di Perkumpulan Tani Pemuda Darul Mukmin Sukorejo Pasuruan
Authors: Miftah Mifthul arifin , Saifulah  , Ahmad Marzuki  , Anang Sholikhudin
Published: November 2024

Hablum minal 'alam is the relationship between humans and nature, humans as caliphs on this earth are ordered to always guard, care, process, preserve and utilize nature that has been bestowed by Allah SWT. Damage that occurs in nature due to human actions is not unfamiliar, even the National Disaster Management Agency (BNPB) said that in the last 10 years, disasters in the country have continued to increase. Which is caused by none other than the beginning of the decline and erosion of human morals and consciousness in protecting and utilizing nature. Therefore, in this study, the researcher wants to analyze and describe (1) the role of the Darul Mukmin Youth Farmers Association in improving religious education through hablum minal 'alam innovation, (2) the implementation of hablum minal 'alam innovation in improving religious education in the Darul Mukmin Sukorejo Pasuruan Youth Farmers Association.
This research uses a qualitative approach in descriptive form. The type of research used is field research.  The data in this study used primary data and secondary data. For data collection, researchers use techniques, (1) interviews, (2) observation and (3) documentation. Data analysis techniques include data reduction, data display and data verification. Checking the validity of findings is carried out with diligence, observation and triangulation.
The results of this study show that: the background of the role of the Darul Mukmin Youth Farmers Association in improving religious education through hablum minal 'alam innovation includes, (a) religious education is implemented through Islamic values combined with agriculture and hablum minal 'alam, (b) religious education is combined with agriculture in the form of collaborative activities between agricultural and religious activities (c) religious education covers the field of hablum minallah,  Hablum Minannas and Hablum Minal' Nature. Meanwhile, the implementation of hablum minal 'alam innovation in improving religious education in the Darul Mukmin Sukorejo Pasuruan Youth Farmers Association includes: (a) aqidah such as piety, (b) morals such as honesty and sincerity and (c) community such as responsibility
Lactancia Materna: Un acto de amor
Authors:   Universidad Santiago de Cali, Ospina Uribe Martha Cecilia , Villegas Arenas Dolly ,   Universidad Santiago de Cali
Published: November 2024

"Las prácticas como el inicio temprano de la lactancia materna y la lactancia materna exclusiva son cruciales para reducir la morbimortalidad infantil. La organización mundial de la salud recomienda el inicio temprano de la lactancia del bebé dentro de la primera hora de vida, lo mismo que la lactancia materna exclusiva hasta los seis meses sin otros líquidos o sólidos. A pesar de su importancia, las tasas de inicio temprano y lactancia materna exclusiva siguen siendo preocupantes desde el punto de vista de la salud pública. Factores como la residencia rural, falta de seguimiento prenatal, parto por cesárea, nivel educativo materno, apoyo psicosocial y lugar de parto influyen en el inicio tardío de la lactancia materna"
El Estado en el Cauca: Una aproximación investigativa actual
Authors:   Universidad Santiago de Cali, Ávila Rojas Odín
Published: November 2024

El presente libro que tiene el lector en sus manos, llamado El Estado en el Cauca: una aproximación investigativa actual., es una compilación de 4 textos producidos a partir de la experiencia que tuve como profesor e investigador de tiempo completo, durante cuatro años y medio en la región. Experiencia que se insertó en un contexto local y regional caracterizado por la gran diversidad tanto poblacional como natural y de riquezas territoriales que han sido una constante en este departamento. En este sentido, hay una amplía cantidad de sujetos que se configuran desde aspectos étnico-raciales y culturales hasta en sus dimensiones institucional, económica, ilegal y el ejercicio del poder gubernamental en los conflictos, violencia, tensiones y disputa por el Estado en los territorios caucanos.
Monitoreo gráfico y ventilatorio en UCI
Authors:   Universidad Santiago de Cali, Estupiñán Pérez Víctor Hugo , Estupiñán Soto María de los Ángeles ,   Hospital Universitario del Valle Evaristo García
Published: November 2024

La monitorización de la ventilación mecánica del paciente en estado crítico adulto y pediátrico, permite detectar en forma oportuna los eventos que pueden llegar a producirse durante este soporte invasivo, de tal manera que se pueda evitar la lesión inducida por el respirador. De esta manera en este capí-tulo se conocerá la forma de ciclado de los ventiladores, los bucles que se pro-ducen de acuerdo con cada modo ventilatorio. Así mismo, la identificación de los diferentes problemas mediante la presentación grafica de los bucles.
Memoria histórica para la transformación social Lineamientos pedagógicos para la enseñanza de la memoria del conflicto armado colombiano.
Authors:   Universidad Santiago de Cali, Ardila Behar Carolina , Hinestroza Juan Pablo ,   Universidad Santiago de Cali, Vargas John Eduardo ,   Universidad Santiago de Cali, Behar Leiser Olga ,   Universidad Santiago de Cali
Published: November 2024

"¿Cuáles son las temáticas que comprenden la Memoria Histórica y de qué manera pueden los profesores de colegio implementar los lineamientos pedagógicos para su enseñanza en espacios educativos? Las respuestas a esta pregunta están contenidas en la presente cartilla metodológica, que nace en el marco de la investigación ""EDUCOMUNICACIÓN, CENTENNIALS, CULTURA POLÍTICA Y DESAPRENDIZAJE DE LA VIOLENCIA"", adelantada por docentes y estudiantes de las Facultades de Humanidades y Artes, de Derecho y de Educación, de la Universidad Santiago de Cali. Con el apoyo de la Dirección General de Investigaciones de la USC, se aplicó una estrategia para la enseñanza de la Memoria Histórica en colegios públicos de la ciudad de Cali. Como producto de esta experiencia se creó la presente cartilla, con el fin de que este proceso no se quede como un ejercicio episódico de intervención escolar. Por el contrario, al generar estrategias que les permiten a los docentes replicar la experiencia, ellos pueden seguir educando a los futuros bachilleres bajo los lineamientos de la enseñanza de una Memoria Histórica humana y comprometida con la transformación del país. La presente cartilla metodológica no trae fórmulas mágicas para que, con solo su implementación, los profesores se conviertan en educadores de la memoria, pero es un primer paso que abre las puertas de un diálogo entre las instituciones de educación superior y las escuelas secundarias."
Mujeres Rurales empoderadas de su salud cardiovascular
Authors:   Universidad Santiago de Cali, Zambrano Bermeo Rosa Nury , Tamayo Montoya Paula Andrea ,   Universidad Santiago de Cali, Franco Avellaneda Ana Isabel ,   Red de Mercados Agroecológicos Campesinos (REDMAC)
Published: November 2024

"Cuidar la salud cardiovascular de las mujeres rurales en el Valle del Cauca es vital. La falta de atención en salud para las mujeres rurales es la manifestación de las brechas de género que ponen en riesgo su vida. Las mujeres rurales viven bajo pautas culturales de desigualdad y su bienestar suele estar por debajo de las necesidades de sus familias y comunidades. Algunas de estas mujeres son productoras de alimentos saludables, pero están expuestas a presiones económicas y educativas que las llevan a poner en venta los alimentos que cultivan para consumir otro tipo de alimentos que ponen en riesgo su salud cardiovascular. Las enfermedades del sistema circulatorio y cardiovasculares son la primera causa de años de vida potencialmente perdidos (AVPP) entre las personas mayores de 60 años y es la tercera causa de AVPP entre las personas mayores de 29 años. Con esta cartilla se propone mediante un proceso de Apropiación Social de Conocimiento promover el empoderamiento de las mujeres rurales para el autocuidado de su salud, el mejoramiento de sus estilos de alimentación y la reducción de su enfermedad y muerte por enfermedades cardiovasculares. Si se apoya a las mujeres rurales para atender sus riesgos de salud, no necesitarán tratamientos costosos, se reducirá la frecuencia de ataques al corazón, accidentes cerebrovasculares, la carga resultante de la discapacidad y la pérdida de vidas humanas. Esto contribuye al fortalecimiento de la población rural y al alcance de los Objetivos de Desarrollo Sostenible en la región"
EFFECT OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE OF ORGAN DONATION AMONG ITI STUDENTS IN PALAKKAD DT KERALA
Authors: K M Maya Mohan
Published: November 2024

Organ donation is the process of giving an organ to another person who needs transplant. This can be
done by a living donor or after death Organ donation can save or signicantly improve the quality of life
for recipients suffering from organ failure. This institution based study aimed to assess the knowledge of ITI students on organ
donation and the effect of a structured teaching programme on their knowledge.Study was based on Ernestine Wiedenbach's
prescriptive theory in quantitative approach. A total of 30 study participants selected through non probability convenient
sampling. Data was collected by structured questionnaire and analyzed using descriptive and statistical analysis. In this
study there was marked improvement in the post test score as mean was 16.2 compared to pretest mean score 10.7.The
calculated 't' value 7.23 was much higher than the tabulated value at 0.05 level of signicance. Thus it was statistically
interpreted that the structured teaching programme on selected organ donation among ITI students was effective.
DETECTION OF NDM,VIM, IMP METALLO-ß-LACTAMASE GENES IN KLEBSIELLA PNEUMONIAE ISOLATED FROM CLINICAL SAMPLES AT A TERTIARY CARE CENTRE: A STUDY FROM SOUTHERN RAJASTHAN
Authors: Sharma Shubhangi , Sharma Anshu
Published: November 2024

Background: The increased prevalence of carbapenem-resistantance caused by Metallo- -lactamase
(MBL) is worrisome in clinical & community settings world widely. The mortality rate associated with
infections caused by MBLs producing organisms ranging from 18 to 67% . This study aimed to determine the prevalence of
Metallo- -lactamase genes NDM, VIM and IMP among klebsiella pneumoniae isolates in various clinical samples pus, urine,
blood samples, respiratory secretions (tracheal & endotracheal), peritoneal-uid. Methods: It is a descriptive cross-sectional
study carried out to detect MBL genes NDM, VIM and IMP by combined disc diffusion test and multiplex realtime PCR reactions
among 200 klebsiella pneumoniae isolates, at MBGH hospital during Jan.2023 to Jun2023. The standard microbiological
methods were used for the isolation and identication of klebsiella pneumoniae isolates. All the 200 isolates of klebsiella
pneumoniae were screened by the carbapenem (Meropenem/Imipenem/Ertapenem)resistant by Kirby Bauer Disc Diffusion
method on Muller Hinton Agar. The conrmatory detection of Metallo- -lactamase (MBL) was done by the combined disc
diffusion test(CDT), further all the combined disc test positive isolates were enrolled for RTPCR. Results: Out of the 200
klebsiella pneumoniae isolates, 80(40%) were found resistant to carbapenem (Meropenem/Imipenem/Ertapenem). 55 (27.5%)
isolates were found positive by combined disc test among all the 80 klebsiella pneumoniae isolates. prevalence of MBL genes
by multiplex RTPCR assays among 55 combined disc positive klebsiella pneumoniae isolates, we found 44(22%) isolates
positive and 11(5.5%) were found as negative. New Delhi Metallo beta lactamase was the most frequent genes 27(49%),
followed by Verona integron Metallo beta-lactamase (VIM) was 11(20%), and consequently, imipenemase (IMP) was 6(10%).
There was a statistically, signicant association between the combined disc test and the RTPCR assay (P.value <1).
Conclusion: This study revealed the increase in trend of carbapenemase production and a high prevalence of MBL genes in
klebsiellae pneumoniae isolates from MBGH Hospital which were not previously established.
A STUDY ON COST ANALYSIS IN DIABETIC PATIENTS WITH CARDIOVASCULAR COMPLICATIONS
Authors: Sabapathy Sundaram Lakshmi , Nandhakumar Selvi Kayathri , Rajendran Shailaja , Abdul Kadhar Sidhiqa Yasmin
Published: November 2024

Background: Diabetes is a chronic disease that occurs either when the pancreas does not produce
insulin or when the body cannot effectively use the insulin it produces. Objective: To evaluate the average
investigation and medication cost for T2DM with CV complication. To evaluate the total average cost (Direct medical and direct
non-medical) for T2DM and T2DM with CV complication. To evaluate the total average cost (Direct and indirect cost) for T2DM
and T2DM with CV complication. To assess the economic burden of T2DM with other complications. Methodology: A
prospective study was conducted in the medicine and surgery department of govt medical college and hospital, Nagapattinam.
Result- The commonly occurring cv complication was found to be hypertension, which constitutes about 58.4% of total patients.
The direct medical cost is the highest in patients with hypertension, ischemic heart disease and atherosclerosis. Rs 5400. The
total cost is highest in patients with hypertension and atherosclerosis, totalling Rs 26280. From the current data it was found that
CVS complications increase the economic burden among patients with T2DM.
FASCIA ILIACA COMPARTMENT BLOCK VS INTRAVENOUS FENTANYL AS ANALGESIC TECHNIQUE TO FACILITATE SPINAL ANAESTHESIA IN PATIENTS UNDERGOING SURGERY FOR FEMUR FRACTURES
Authors: Modi Vamsi , Saraf Ishita , Dixit Atul
Published: November 2024

Femoral fracture is the most painful bone injury and performing spinal anesthesia is challenging due to
poor positioning unless we provide a good analgesia. Intravenous strong opioids are commonly used but
to date nerve blocks are also being utilized. The peripheral nerve Block- Fascia Iliaca Compartment Block Is more effective in
reducing pain during positioning, shortening time to perform subarachnoid block, and increase the quality of positioning than
intravenous fentanyl.
SCIENCE TECHNOLOGY AND MODERN SOCIETY
Authors: Bhaskar V. Udaya , Jaya Kumar G. Stanley
Published: November 2024

The 21st Century is distinguished from humanities previous history by the unprecedented progress in
Science and Technology in the Society within the context of sustainable development it is now recorded
that no modern society is imaginable without the support of Science and Technology. At present the society is giving much
priority for Science and Technology as means towards the development in all sectors likes Medicine, Education,
Communication, Entertainment and Transportation. No country in the world has invested as hevely in the return of Science and
Technology. The 21st Century offers both promise and a challenge in Science and Technology remarkable changes in Science –
Technology – Society and in information and communication technology in particular hold the promise of new scientic
discoveries improving economic strength, living standards and better communication, production (Agriculture) and is
healthcare many of today's needs to our modern society can expect by developing and discoveries is Science and Technology.
In the present situation of society Science and Technology were the main basis of Social progress not only in industrial
development nations but also all over the world. The main aim of the present research paper is to active these goals of
progressions a Science Technology approach in the development of modern society
EFFICACY OF MAGNESIUM SULFATE ADDED TO BUPIVACAINE IN TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POST OPERATIVE ANALGESIA AFTER INGUINAL HERNIORRHAPHY
Authors: Angadaki Jyothi Veerappa , Hanji S. Anitha , Agarwal Samiksha , Ks Rajendrakumar , Sr Adarsh , E V Anusree
Published: November 2024

Background: TAPB is an effective component of multimodal analgesic regimens for various abdominal
procedures. MgSO4 is an ideal adjuvant in TAPB. We studied the efcacy of MgSO4 as an adjuvant to
bupivacaine in TAPB in patients undergoing inguinal hernia repair. Objectives : The aim of this study is to evaluate the efcacy
of MgSO4 as an adjuvant to bupivacaine in ultrasound guided TAPB for postoperative analgesia in inguinal herniorrhaphy. 1)
To determine duration of postoperative analgesia. 2)To determine the intensity of postoperative analgesia. Materials And
Methods: 48 cases were divided into 2 groups, Group 1 (n=24) received 18ml of 0.25% bupivacaine with 2ml of 0.9% NaCl,
whereas Group 2 (n=24) received 18ml of 0.25% bupivacaine with 2ml MgSO4(200mg). Patients were evaluated for pain at 0, 1,
2, 3, 4, 8, 12,16, 20 and 24h. Time to rst rescue analgesic and duration of postoperative analgesia was noted. VAS during rest
and VAS movement, Time to the rst rescue opioid analgesic dose, Duration of analgesia, Total dose of opioid analgesic
requirements (mg), Patient satisfaction, Patient ambulation time were also recorded and statistical analysis was done.
Results: There were no signicant differences between the two groups regarding age, BMI, and ASA Score. On comparison of
MABP, HR, SP02 among 2 groups there is no much statistical difference among all times noticed. On comparing VAS during rest
and at movement , there was a statistically signicant decrease in group 2. Time elapsed for demand of rescue analgesia is
more in group 2. Total dose of opioid used is statistically more in group 1. Patient satisfaction and duration of analgesia is more
towards group 2. Conclusion: - MgSO4 (200 mg) as an adjuvant to bupivacaine in ultrasonography guided TAPB prolongs the
duration of analgesia, reduces postoperative pain scores, and decreases demands for rescue analgesics.
A STUDY TO ASSESS THE LEVEL OF RISK FOR HYPERTENSION AMONG NURSING OFFICERS WORKING IN ESIC MEDICAL COLLEGE AND HOSPITAL. KALABURGI, KARNATAKA
Authors: V R Balarama , Hunashyal Ganesh C
Published: November 2024

Hypertension is a serious disease with increasing worldwide prevalence leading to life threatening complication.
Hypertension, a major public health concern, affects over 1.28 billion people globally. The worldwide prevalence of
hypertension in adults is estimated to be around 30-40%.In India,the prevalence is about 29.8%,with increasing rates in
both urban and rural populations.Since the nursing officials are the backbone of any health care system,the researchers
felt that the nursing officials go through tedious or hard work pattern; they also felt that it would be beneficial to know
their risk of developing hypertension among them. Objectives: to assess the level of risk of hypertension among the
nursing officers and to find the association between the level of risk for hypertension and selected demographic
variables. Methodology: A non evaluative descriptive research approach was adapted to collect the data, by the Self
Administered hypertension risk assessment tool. The conveniently selected sample of 60 Nursing officers working in
ESIC Medical College and hospital, Kalaburgi, Karnataka. Results: The major findings of the study showed that the
overall Mean percentage was found to be 55.73% and the overall Mean Score for.hypertension risk score was 26.75± SD.
And Majority i.e 73.33% of the Nursing officials are at Moderate risk for hypertension.It can be concluded that Nursing
officers working in ESIC Medical College and hospital Kalaburgi comes under moderate risk for hypertension, where
risk reduction educational interventions to be implemented and evaluated
STITCH VS. STICK: A COMPARATIVE ANALYSIS OF GLUE AND SUTURE FOR PTERYGIUM EXCISION SURGERY.
Authors: Chaudhari Chaitali , Kansagra Riddhi , Amin Nikunj , Garala Jeel
Published: November 2024

Aim: To compare the use of Fibrin glue versus Vicryl Suture for fixating Conjunctival auto graft for Pterygium excision
surgery. We included 60 Patients by obtaining informed Consent and Surgery of their choice, diagnos Method: ed with
Pterygium at Ophthalmology department at C U Shah Medical Hospital Surendranagar.30 of them treated with Fibrin
glue (Group -A) and 30 of them treated with Suture (Group-B). All patients were followed up for six months after
completion of treatment. Key parameters assessment included recurrence rates, surgery time postoperative outcomes.
Result: Out of 60 patients, recurrence rate was observed in 4% in fibrin glue group and 9 % in suture group.
Postoperative pain, Inflammation was less with fibrin glue than suture, operative time was about 12-15 min for fibrin glue
group and about 15-20 min for suture group done by same Surgeon and statistically significant improvement in visual
outcome with fibrin glue group then suture group. Our conclusion is Fibrin glue has better less recu Conclusion: rrence
rates, less surgery time and better Postoperative outcomes than Suture technique in pterygium surgery
ANTIBACTERIAL SENSITIVITY STUDY IN DIFFERENT TYPE OF CHRONIC OTITIS MEDIA
Authors: Magdum Vishal , Nirmale Swapnil Shravan , Gosavi Shishir , Gosavi Rahul , Nagulkar Vishnu , Kachare Aishwarya
Published: November 2024

Objective: This study aimed to identify the most common bacteriological flora in chronic otitis media (COM) cases and
assess the management using culture-sensitive antibacterial agents. A descriptive prospective study Methods: was
conducted from January 1, 2023, to December 31, 2023. Patients with active ear discharge for at least three months were
included, while those with prior ear surgery, trauma, or fungal infections were excluded. Bacteriological analysis and
culture sensitivity testing were performed on collected swabs. Among the participants, the majority Results: were
males aged 21 to 30 years. Left ear involvement was noted in 58% of cases, with 44% experiencing a disease duration of 7
to 12 months. Pseudomonas aeruginosa was the predominant isolate, followed by Staphylococcus aureus.
Cefoperazone-sulbactam demonstrated the highest sensitivity, while most isolates showed resistance to amoxicillin and
clavulanic acid. Chronic otitis media is a significant cause of hearing loss worldwide. It is extre Conclusions: mely
important to find the organism before starting treatment. The study underscores the importance of culture-sensitive
testing in guiding effective treatment and preventing antibiotic resistance, highlighting Pseudomonas aeruginosa as a
major pathogen in these cases.
A CASE REPORT OF RARE DISEASE ACROCALLOSAL SYNDROME
Authors: Bellamkondi Megha , Bandichhode Sachin , Chakre Sudarshan , More Suraj
Published: November 2024

Acrocallosal syndrome (ACS)1,2 is characterised by post-axial polydactyly,duplication of the hallux,and abnormality of
corpus callosum including agenesis or dysgenesis, occasional anencephaly, and/or Dandy–Walker malformation,
characteristic craniofacial abnormalities,and moderate-to-severe mental retardation. One year old male child admitted
in view of convulsions who has dysmorphicfacies, polydactyly, Hallux duplication, undescended testis. MRI brain
showed carpus callosal agenesis and Whole exon sequencing – KIF 7 gene mutation.Acrocallosal syndrome is rare with
only a limited number of cases being described in the literature. Early recognition of the condition is necessary to
intervene surgically and to counsel the parents regarding the genetics of the disease and dedicated follow-up of the
affected child in special OPDs.Molecular testing should be done in all suspected cases.
EXPLORING THE LINK BETWEEN VITAMIN D STATUS AND MICROVASCULAR COMPLICATIONS IN TYPE 2 DIABET
Authors: Shankar Varun , Karibasappa Karibasappa
Published: November 2024

Introduction: Type 2 diabetes mellitus is a global epidemic affecting 462 million people all over the world.Chronic
microvascular complications of Type 2 Diabetes mellitus include diabetic retinopathy, nephropathy and neuropathy.
The prevalence of Vitamin D deficiency is estimated to be 1 billion,i.e.nearly 15% of the world's population. Vitamin D
has important actions on glucose metabolism. These include improved insulin exocytosis, direct stimulation of insulin
receptor,improved uptake of glucose by peripheral tissues,improving insulin resistance.
Objectives:
1. To measure levels of 25 hydroxy Vitamin D in patients with T2DM.
2. To assess the extent of microvascular complications in patients with T2DM and the Link Between Vitamin D Status and
Microvascular Complications in Type 2 Diabetes.
Methodology: A prospective study was conducted at JJM Medical college, Davangere and the study included 72
patients.Physical examination and investigations were done including:
1. Dilated fundus examination by ophthalmologist.
2. Presence or absence of neuropathy was confirmed by nerve conduction study
3. Urine was tested for protein creatinine ratio.
4. 25 Hydroxy Vitamin D levels were analysed by Electrochemiiluminecence method with machine COBAS 6000.
Results:The average duration of diabetes in our subjects was 7.51±6.37 years and 28(38.9%) had diabetes for less than
5 years.The number of patients with Vitamin D deficiency tended to increase when the duration of diabetes was more
than 5 years. Of the 39(54.16%) subjects with microvascular complications most 28(71%) had Vitamin D deficiency.
Conclusion: Vitamin D deficiency is significantly associated with poor glycaemic control in Type 2 DM. Vitamin D
deficiency is more common in patients with type 2 diabetes with microvascular complications than in those without.
FLUBENDIAMIDE POISONING: A CASE REPORT
Authors: Mecca Reya , N. Senthil , Chenguttuvan Avinash
Published: November 2024

Introduction: Deliberate self-harm (DSH) by ingesting pesticides is a prevalent issue, particularly in rural areas of
developing countries.Flubendiamide, a diamide insecticide,is considered less toxic than other pesticides but can still
cause significant clinical symptoms when ingested in large quantities. This report examines a case of deliberate
Flubendiamide ingestion and the subsequent medical management. Case Presentation: A 35-year-old woman
presented with a history of deliberate ingestion of Flubendiamide 39.35%, approximately 5-10 ml,following a stressful
domestic event. She initially experienced symptoms of loose stools, vomiting, and epigastric pain. After receiving
gastric lavage and conservative treatment at a local hospital, she was transferred to our facility for further observation.
On admission, she was conscious and had stable vital signs. General and systemic examinations were unremarkable,
except for an ulcer in the hard palate.Baseline laboratory investigations were normal except for iron deficiency anemia.
She was managed with supportive care, and her symptoms resolved during her hospital stay. Discussion:
Flubendiamide targets insect ryanodine receptors but may also affect human calcium channels.Although it is marketed
as having low mammalian toxicity, the presence of mucosal ulceration and gastrointestinal symptoms in this case
suggests localized toxicity, possibly linked to the phthalic acid component in the insecticide. The patient's timely
intervention and stable condition reflect the importance of early medical care in pesticide poisoning cases.
Conclusion: Despite its low toxicity, Flubendiamide can cause significant symptoms in humans, particularly mucosal
damage.Early decontamination and supportive care are critical in managing such cases.
EXTENSIVE TOXIC EPIDERMAL NECROLYSIS TREATED AT A BURN CENTRE – A CASE REPORT
Authors: V Abhyankar Suhas , Devi Kurra Vasundhara , Juneja Manpreet , M Vartak Aravind
Published: November 2024

Toxic epidermal necrolysis (TEN) is one of the most severe drug-induced mucocutaneous reactions, characterised by
extensive necrosis and detachment of the epidermis. In majority of cases, the administration of pharmaceutical drugs is
thought to be the primary cause of Steven Johnson Syndrome (SJS)/TEN. Erythema, epidermal detachment that manifests
as blisters, and denuded skin patches are the defining features of this pathology. In this article, we report a case of a 28-
year-old male patient who presented to the emergency with a generalized maculopapular rash all over the body and was
taken off the drug immediately and was referred to the burns unit with extensive blisters and skin eruptions all over the
body. The patient was treated with intravenous fluids, iv antibiotics, parenteral nutrition and moisture retaining daily
dressings. Patient was hospitalised for a period of 2 months and was healed completely without surgical intervention.
A PROSPECTIVE STUDY COMPARING THE EARLY FUNCTIONAL OUTCOME AND GAIT BETWEEN LATERAL AND POSTERIOR APPROACHES IN TOTAL HIP ARTHROPLASTY
Authors: Shubham Shankar Upadhyay
Published: November 2024

Background: Total Hip Arthroplasty (THA) is a well-established procedure for managing arthritis and related hip joint
conditions. However, the optimal surgical approach—whether lateral or posterior—remains a subject of debate.
Objective: This prospective study aims to compare the early functional outcomes and gait analysis between the lateral
and posterior approaches in patients undergoing THA. Methods:Mata Gujri Memorial Medical College & L.S.K.
Hospital, Kishanganj, Bihar, 23 patients (16 male, 7 female) were evaluated over a period of 3 months. The primary
outcomes measured included functional improvement assessed by the Harris Hip Score (HHS),Trendelenburg test,and
Rivermead Visual Gait Assessment (RVGA). Pre- and post-operative electromyographic (EMG) evaluations of the
gluteus medius and maximus muscles were also performed. Results: Findings showed significant improvement in the
HHS,with the posterior approach showing superior outcomes in terms of pain relief and functional recovery (p < 0.05).
Gait analysis revealed better outcomes in the posterior group,though the difference was not statistically significant (p =
0.115).The Trendelenburg test also favoured the posterior approach,but this result was not significant (p = 0.131).There
was no significant difference in nerve injury,with EMG results remaining normal in both groups. Conclusion: The study
concludes that while both approaches offer excellent functional recovery, the posterior approach may have a slight
advantage in early post-operative outcomes, particularly concerning pain and function. However, factors such as
femoral offset were critical in influencing gait and abductor muscle strength post-operatively.
LONG-TERM RESULTS OF SURGICAL TREATMENT OF GYNECOMASTIA
Authors:   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia, Klimenko K.V. , Pakhomova P.A. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia, Artamonova K.V. ,   Revitalife Reconstructive Surgery Clinic, Moscow, Russia, Portnova E.V. ,   Revitalife Reconstructive Surgery Clinic, Moscow, Russia, Grishina N.T. ,   Revitalife Reconstructive Surgery Clinic, Moscow, Russia, Buzel I.G. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia, Sergeev D.I. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia
Published: November 2024

Background. Gynecomastia (female breasts) has been known for a long time, but only in the last decades of the last centurythe problem of gynecomastia became widespread not only in endocrinology, but also in surgical practice. Most often surgical treatment is performed at stages II–III of the disease. Purpose. Is to evaluate the long-term results of surgical treatment of gynecomastia. Materials and methods. The study included 73 patients between the aged of 28 to 62 years with various stages and forms of gynecomastia. Results. No relapses were noted in all patients who underwent sectoral removal of glandular tissue and breast resection with transposition of the nipple-areolar complex. All relapses occurred after liposuction. Conclusion. The standard gynecomastia surgery and surgery for breast resection and skin ptosis with the transposition of the nipple-areolar complex showed good relapse-free long-term results.
IMMUNOLOGICAL MARKERS AND SELF-ASSESSMENT OF PHANTOM PAIN SEVERITYOF COMBATANT AT THE INPATIENT STAGE OF MEDICAL REHABILITATION
Authors:   Medical Institute of Continuing Education of the Russian Biotechnological University (ROSBIOTECH). Moscow, Russia, Ustinova M.E. , Yudin V.E. ,   Medical Institute of Continuing Education of the Russian Biotechnological University (ROSBIOTECH). Moscow, Russia,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defense of the Russian Federation, Moscow, Russia, Budko A.A. ,   Medical Institute of Continuing Education of the Russian Biotechnological University (ROSBIOTECH). Moscow, Russia,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defense of the Russian Federation, Moscow, Russia, Ionidi V.Y. ,   Clinical and Diagnostic Laboratory “DIАNARK”, Moscow, Russia, Mygkova M.A. ,   Clinical and Diagnostic Laboratory “DIАNARK”, Moscow, Russia, Petrochenko S.N. ,   Clinical and Diagnostic Laboratory “DIАNARK”, Moscow, Russia
Published: November 2024

Background. The article presents an analysis of immunological markers — the level of natural antibodies to regulators of the main biochemical systems, including the inhibitory and excitation systems, opiate and anti-opiate, biogenic amines, renin-angiotensin, anti-bodies to hemostasis proteins in the blood plasma of people with phantom limb pain that developed after limb amputation, due to combat surgical trauma. It has been established that immunological indicators characterizing the main systems of regulation of human homeostasis in these patients significantly exceed the normal level. The correlation of the antibody level did not depend on the self-assessment of the phantom pain severity degree according to the chi-word rating scale. Purpose. To study the level of immunological markers — the level of natural antibodies to regulators of the main biochemical systems, including inhibition and excitation, opiate and anti-opiate, biogenic amines, renin-angiotensin, homeostasis proteins in the blood serum of individuals suffering from phantom pain syndrome in order to objectify the pain status. Materials and methods. Clinical studies were conducted on the basis of the Branch No. 2 of the National Medical Research Center for Military Medical Technology named after A. A. Vishnevsky of the Ministry of Defense of the Russian Federation. Results. Monitoring the individual profile of natural antibody level to endogenous regulators optimizes the personalization of the patient's treatment and rehabilitation program, as it provides the possibility of biochemically assess of the inhibition and excitation system indicators, the level of tolerance of pain thresholds, and the state of psycho-emotional status. Conclusion. The immunological indicators obtained as a result of the research, characterizing important biochemical human regulatory systems, exceeded the normal level, which indicates a tense, activated functional state of the body.
FEATURES OF THE CLINICAL PICTURE OF ACUTE PERITONITIS IN HIV-INFECTED PATIENTS
Authors:   Infectious Diseases Clinical Hospital No. 2 of the Moscow City Healthcare Department, Russia, Faller A.P. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia, Kurnosov A.V. ,   Infectious Diseases Clinical Hospital No. 2 of the Moscow City Healthcare Department, Russia
Published: November 2024

Background. The clinical picture of acute peritonitis in HIV-positive patients has its own specific features and is characterized by a blurred and multifaceted character, which significantly complicates the diagnosis of this disease. Purpose. To identify the features and specifics of the clinical picture of acute peritonitis in patients with HIV infection. Materials and methods. An analysis of the literature data was carried out, based on the outcome of which three syndromes were selected, which maximally included the known symptoms of acute peritonitis: abdominal pain syndrome, intestinal insufficiency syndrome and systemic inflammatory response syndrome (SIRS). The study included 158 patients with HIV infection who had a preliminary diagnosis of acute peritonitis. All patients underwent diagnostic laparoscopy, according to the results of which they were divided into the main and control groups. In the main group, 83 patients with a confirmed diagnosis of acute peritonitis were selected . The control group included 75 patients whose diagnosis of acute peritonitis was not confirmed. The analysis of the symptoms of acute peritonitis in HIV-infected patients was carried out within the framework of individual syndromes and their combination. Results. In the main group, abdominal pain syndrome was found in 20.5% of the patients, intestinal insufficiency syndrome was detected in 59%, and SIRS — in 61.4%. The following results were obtained in the control group: abdominal pain syndrome — 14.7% of the patients, intestinal insufficiency syndrome — 48%, SIRS — 33.3%. The study shows that a combination of “classic” criteria for acute peritonitis occurs in a small number of HIV-infected patients with acute peritonitis and is not always an absolute sign of the diagnosis. It was also noted that the presence of acute peritonitis in patients with HIV infection is possible even in the absence of all the “classic” criteria for this disease. Conclusion. The clinical picture of acute peritonitis in HIV-infected patients is atypical, characterized by mild or no “classic” symptoms, masked by the manifestation of opportunistic infections and HIV-indicative diseases, and requires further study to improve diagnosis and treatment.
Levensbeschouwelijke segregatie in het onderwijs. De impact van monoreligieus onderwijs nader beschouwd
Authors: Bertram-Troost Gerdien
Published: November 2024

Regelmatig zijn er in ons land serieuze debatten over de houdbaarheid van het Nederlandse duale onderwijsstelsel en het recht van ouders om hun kinderen naar bijzondere (religieuze) scholen te sturen. Een vaak opgeworpen vraag is of monoreligieuze scholen, mede gezien de relatief geringe levensbeschouwelijke diversiteit binnen de school, hun leerlingen goed genoeg kunnen voorbereiden op een leven in een plurale samenleving. In deze bijdrage wordt het monoreligieus onderwijs en de effecten van dit onderwijs op leerlingen verder verkend. Uit de beschreven studies blijkt dat het onderzoeken van de effecten van het monoreligieus onderwijs een complexe zaak is. Dit hangt onder meer samen met het feit dat er geen eenduidigheid is over wat onder ‘levensbeschouwelijke diversiteit’ verstaan wordt. Daarbij komt dat de invloed van school niet strikt gescheiden kan worden van andere invloeden, waaronder die van het gezin. Bovendien zijn er goede redenen om aan te nemen dat monoreligieuze scholen ook onderling van elkaar verschillen. Daarom wordt, met het oog op een meer genuanceerde discussie over de rol van levensbeschouwing in onderwijs, gepleit voor onderzoek dat zich richt op hoe scholen van uiteenlopende denominaties en achtergronden hun leerlingen voorbereiden op deelname aan de Nederlandse samenleving.
Wat de school vermag. Over de (on)mogelijkheid van de school om segregatie te bestrijden
Authors: Pols Wouter
Published: November 2024

In 2009 opende De Wereld op Zuid haar deuren. De Wereld op Zuid is de naam van een multifunctioneel gebouw in Zuidwijk (deelgemeente Charlois) in Rotterdam. In het gebouw huizen twee basisscholen, een dagverblijf, een welzijnsinstelling en een instelling voor kinderen met een geestelijke beperking. Met elkaar vormen ze een brede school. Eén van de oogmerken van de school is het doorbreken van segregatie. De kenniskring Opgroeien in de stad van de Hogeschool Rotterdam was nauw bij de ontwikkeling van De Wereld op Zuid betrokken. Daarbij deed ze ook onderzoek. ‘Wat de school vermag’ bestaat uit een reflectie op de uitkomsten van dit onderzoek. Een aantal concepten van Noord- Amerikaanse politieke filosofen, met name die van Michael Walzer en Benjamin Barber, is daarbij leidend.
‘Gaat weg uit hun midden en scheidt u af’. Segregatie en solidariteit in het vroege christendom
Authors: Groenendijk Leendert
Published: November 2024

Aan de geschiedenis van het vroeg(st)e christendom laat zich exemplarisch demonstreren dat segregatie – opgevat als functionele differentiatie – een profijtelijk proces kan zijn. Deze van oorsprong joodse beweging heeft blijk gegeven van exponentiële groei in de Grieks-Romeinse wereld. Een distinctieve en attractieve (superioriteit uitstralende) groepsidentiteit werd ontwikkeld in conflictueuze interactie met de joodse thora orthodoxie en ‘heidense’ religies en mores alsook door zich kritisch af te grenzen van zowel ‘te’ judaïserend als ‘te’ paganiserend christendom. Het missionaire succes is echter niet alleen te danken geweest aan aansprekende differentiatie, maar ook aan gunstige politieke en sociale omstandigheden en goed bruikbare culturele verworvenheden, waaronder communicatievaardigheden, welke deel uitmaakten van het vigerende curriculum. Overgang tot het christendom, bezegeld door de doop, impliceerde een breuk met bloedverwanten en vrienden voor wat betreft hun ‘ongekerstende’ lifestyle. Christenen werden geacht hun ware ‘broeders en zusters’ te vinden binnen de ecclesia. Dit ideaal kon verstrekkende implicaties hebben voor de relaties in het huisgezin, de opvoeding en ontwikkeling van kinderen.
Nutritional Evaluation and Sensory Description of Five Porridges Formulated from Certain Local Commodities for Use as Supplementary Foods for Children in Côte d’Ivoire
Authors: Mariame Cissé , Carine Assoumou Ebah , Joseph Kouadio Natia , Séverin Kra Kouassi A. , Sébastien Niamké
Published: November 2024

The aim of this work was to evaluate the nutritional, vitamin and sensory potential of porridges for infant feeding. Endeed, malnutrition in weaning infants and young children is a major public health and social problem in developing countries. It is therefore essential to develop appropriate complementary food formulations to address this problem. In this context, different flours have been developed from local raw materials (cereals and pulses) in combination with other ingredients. Five porridges, B1F, B2F, B3F, B4F and B5F were prepared from five flours formulated with several ingredients according to the PNN method. Biochemical, fonctional and nutritional analyses were carried out on the porridges obtained as well as hedonic tests. Results showed that these porridges are rich in proteins (15.93-22.36%) and lipids (19.93-26.80%), with an energy density above the recommended limit for porridges used as complementary foods. Due to their high viscosity (1.90 Pa/s), B1F and B5F porridges would be more suitable for young children. Porridges B1F, B2F and B3F were the most popular due to their sweet, milky flavour. Porridges B4F 449.4 ± 0.07µg/100g and B5F (628,00 ±1,00 µg/100g stand out for their high vitamin A content, while B2F (30.20) and B3F (34.10 mg/100g) have the highest vitamin E content.
Digital Workflow Optimization for Endocrown Restorations on Root- Treated Teeth
Authors: Wejden Ben Amor , Yosra Gassara , Elhouda Lakhal Nour , Zohra Nouira , Dalenda Hadyaoui , Jilani Saafi , Mounir Cherif , Belhassan Harzallah
Published: November 2024

Endocrown restorations have become a popular solution for endodontically treated teeth, offering both functional and esthetic benefits. These restorations are particularly effective for molars due to the larger surface area of the pulp chamber, which enhances retention and stability. This article presents a clinical case of a zirconia endocrown restoration for a highly damaged mandibular molar. Utilizing a fully digital workflow, the preparation, design, and fabrication of the restoration were performed with precision, ensuring minimal tooth structure removal. Zirconia was chosen for its superior mechanical properties, including fracture resistance and durability. The challenges associated with zirconia, such as bonding reliability, were addressed through surface treatments like air abrasion and the use of 10-MDP-based chemical promoters. The patient’s outcome was both esthetically pleasing and functionally successful. This case highlights the advantages of integrating digital workflows and advanced materials in modern prosthodontic practice, while also acknowledging the need for careful selection of materials and techniques based on the individual case.
Evaluation of Colour Stability in Orthodontic E-Chains in Various Solutions: An in Vitro Study
Authors: Dharumalingam Pavithra , A Dr. Nidhi, , Deepak Dr. C. , P Dr. Deenadayalan, , Mohan Dr. Reshma , T Dr. Akshay, , Praveen Dr. K.
Published: November 2024

This in vitro study aimed to evaluate the colour stability of orthodontic elastomeric chains (E-chains) immersed in various solutions, simulating conditions encountered during orthodontic treatment. A total of 75 samples were divided into 5 groups based on the solutions used for immersion: control medium, chlorhexidine mouthwash, carbonated drink, honey lemon water and turmeric water in the time duration of 12hrs, 24hrs and 72hrs such as 5 samples per solution and time. The colour stability was assessed using the CIE Lab* colour space system, and changes were quantified using the ΔE* (Delta E) formula. The results demonstrated significant differences in colour stability across the solutions. In descending order, the colour of the samples was: turmeric water, honey lemon water, carbonated drink, chlorhexidine mouthwash and control medium. The findings indicated that exposure to chromogenic solutions can adversely affect the aesthetic properties of E-chains, which may influence patient satisfaction and treatment outcomes. The study highlights the importance of understanding the impact of dietary habits on the aesthetic integrity of orthodontic E-chains. Further research is warranted to explore the long-term implications of these findings on orthodontic treatments and to investigate potential methods to enhance the colour stability of E-chains in clinical settings.
THE IMPACT OF COTTON MANUFACTURING AND EXPORT ON THE INDIAN ECONOMY
Authors: Dev Amit Jain
Published: November 2024

Cotton assumes a significant part in the advancement of the Indian economy. The Indian material Industry is basically cotton based. In this paper, an unobtrusive endeavor has been utilized PET chips in cotton industry and its effect on the development of Indian Economy