bluuebunny/crossref_metadata_2025 huggingface dataset:
Sosialisasi Perlindungan Hukum terhadap Petani atas Ketersediaan Lahan Pertanian di Indonesia serta Sebagai Wujud Menciptakan Ketahanan Pangan Daerah
Authors: Affandi Imanudin , Marpaung Devi Siti Hamzah
Published: May 2023

Issues of legal protection for farmers, food security and availability of farmland have strategic social, economic, and religious functions for Indonesian agricultural society. The unpredictability of land-use change threatens the resilience, independence and food sovereignty of farmers and communities. Therefore, government policy to protect sustainable farmland will continue to explore whether legal protections are needed for existing farmland as well as farmers to become permanent farmland. The purpose of this activity is to make farmers understand that they have the right to live a decent and prosperous life through the availability of the land itself, and the method is the preparation stage, the implementation stage, and the reporting stage. consists of During the implementation phase, non-profit activities such as demonstrations of socialization techniques, tree planting, and production of organic pesticide fertilizers were carried out. Socialization occurs through the engagement of performance goal partners and actively and interactively between resource personnel and participants. The official stressed that the availability of agricultural land is a fulfillment of rights that communities and the state must acquire, in which case local governments have an obligation to make efforts. The demonstration introduced the technology of producing organic pesticide fertilizers to increase the fertility of agricultural land in community service areas. This inaugural event went according to plan.
The Impact of Dental Satisfaction Questionnaire (DSQ) and Word of Mouth on Patient Satisfaction Educational Dental and Oral Hospital
Authors: Hasibuan Reza Rahmadi
Published: May 2023

The realization of satisfied patients provides benefits, including harmonious relationships with patients to hospitals, providing a good foundation for patient loyalty and recommending WOM. The general purpose of this survey is to find out the effect of satisfied patients through the dental satisfaction tools approach on the interest in recommending to others at the Unsoed Dental and Oral Education Hospital. This research is an analytic observational study with a cross sectional approach. With a total sample of 106 respondents, where the respondents were RSGMP patients. The research data collection method was carried out by collecting data directly in the field, namely through the questionnaire or questionnaire method where the questionnaire was a Dental Satisfaction Questionnaire, patient satisfaction variables and word of mouth variables. The results of the overall analysis concluded that dental patient satisfaction had a positive effect on RSGMP patient satisfaction and word of mouth had an effect on RSGMP patient satisfaction. Future research is expected to use interview or observation methods other than questionnaires as research instruments so that patient data can be obtained that are outside the sample criteria. Thus the data collected will be more varied.
Study of PKLMalioboro Relocation Policy on Tourists' Buying Interest to Increase Local Income in the Special Region of Yogyakarta during the Covid-19 Pandemic Era
Authors: Kusuma Manggar Wulan , Wardhani Shita Lusi
Published: May 2023

The decrease in the number of tourists in DIY Province, especially the Malioboro area, which occurred during the Covid-19 pandemic, resulted in reduced local revenues for the DIY provincial government.  This is due to the enactment of PP Number21 of 2020 concerning Large-Scale Social Restrictions (PSBB) in Indonesia. This condition makes the level of fear of tourists entering the tourist area very high. One of them is the Tourist Area of Malioboro. The very limited location of the PKL is the cause of the emergence of tourist crowds in the Malioboro area. To overcome this, the DIY Provincial Government then made a policy of relocating the Malioboro PKL. With the new location, it is hoped that PKL will further restore the store atmosphere as it was felt by tourists before the Covid-19 pandemic era. Tourists will again feel safe and comfortable visiting the Malioboro PKL. This condition is expected to increase the number of tourists at the Malioboro PKL again so that it can increase the DIY Provincial Pad which had experienced a decline during the Covid-19 pandemic. This study used a survey method with the sample being DIY travelers.  The data in this study were processed using SmartPLS 3.0 software.  The results of this study show that the store atmosphere variable does not affect the buying interest of tourists.  Meanwhile, location variables and experiential marketing positively affect tourists' buying interest.  This proves that the increase in PAD, of which occurred due to an increase in the number of tourists visiting DIY after the PPKM policy was relaxed. The increase in PAD was also coupled with an increase in sales of souvenir products typical of Yogyakarta, one of which tourists could get at the Malioboro PKL relocation location.
Plastic management to reduce environmental pollution
Authors: Montesinos González Salvador , Aguilar Cruz Conrado , Manzano Herrera Moisés
Published: May 2023

There is an infinity of plastic products which have facilitated human life, but have also caused great environmental pollution that affects flora, fauna and of course the human being. Such is the use of polyethylene terephthalate (PET), which is a widely used plastic throughout the world, in Mexico and in each of the states and municipalities that comprise it. The vast majority of organizations, scientists, and others have understood this situation and have promulgated laws, designed strategies, environmental programs, etc. in order to contain or reduce their use or even recycle and reuse these materials, since once they are discarded they become polluting materials. Objective: Given this situation, this project is proposed whose objective is to design a program to reduce the contamination generated by polyethylene terephthalate (PET) mainly among other plastics in the municipality of Silacayoápam, Oaxaca, Mexico and in turn reactivate the local economy in small businesses stores through exchanges for basic basket products. Method: Using the documentary analysis technique, primary information was collected by conducting a direct survey of the inhabitants of the municipality, after which it was systematized in data record sheets, and the main challenges posed by the use of the polymer in the municipality were identified. Results: with the data collected, strategies for the use of plastic were analyzed and proposed, designing a management program for PET and other plastics for the local area that helps reduce environmental impact, and also promote environmental culture in the municipality and on the other. side and perhaps more important is to reactivate the economy of local businesses. Discussion and conclusions: the generation of this type of strategies allows, on the one hand, to have a culture of collection and recycling and, on the other hand, to support small businesses affected by the pandemic and the inflation of basic basket products, this represents an enormous challenge in the region and at the national level to define a more efficient, inclusive and sustainable waste management system, to reduce health and environmental problems.
WORKFLOW CHANGES & RESPONSIBILITIES CONCERNING USER APPLICATION OF TOMOTHERAPY OVER LINEAR ACCELERATOR, A RADIATION THERAPIST STANDPOINT
Authors: Roy Subrata , PT Afnan , U Pal Deepak , Kishore Shrivastava Shyam
Published: May 2023

Radiation Therapist's (RTT) role in the driven modern Technology is rapidly evolved day by day, with the new advancement through Articial Intelligence involvement making errors less efcient time effective workow, but at the end of the day, there is a signicant of Radiation Therapist who is responsible for mastering the high Complex Radiation dose Delivery. Linear Accelerator (LA) known as a linear particle accelerator has many applications such as they generate X-rays and high-energy electrons for Radiation therapy, Treatment purposes used directly to achieve the highest kinetic energy for light particles for particle physics. Ionizing in medicine works by damaging the DNA of cells including cancer cells. We can this is the primary radiation Unit for treating cancer patients. Most Radiation Therapists have basic user guidelines to Operate the C-arm Linear accelerator, On the Otherhand, The Tomotherapy System is among the most revolutionary radiotherapy innovations in the history of cancer treatment, completely redening the standard for individualized and precise treatment of tumors anywhere in the body ,while creating a new paradigm for patient comfort and quality of life. Tomotherapy combines integrated CT imaging for exceptional treatment accuracy with a rst-of-its-kind helical treatment delivery platform that uses patented beam-shaping technology to precisely target tumors while minimizing the impact on surrounding healthy tissue. There are various Operational Changes as compared to the traditional LA where Radiation Therapist needs to adapt themselves to these signicant Changes The aim of this paper is to briey describe the new generation of Tomotherapy Radiation Therapists point of view and the changes in the regular workow towards the high-end treatment modality.
EMERGENCY CONTRACEPTION: KNOWLEDGE, ATTITUDE, AND PRACTICES AMONG HEALTH CARE PROVIDERS
Authors: Patilkar Deeksha , Dalal Nilesh , Patel Alka , Siroliya Akanksha
Published: May 2023

Background: After unprotected sexual relations, emergency contraception (EC) is recommended to prevent unplanned pregnancy and its adverse implications. Its proper application can help to avoid unwanted pregnancy or unsafe abortion, which can reduce maternal mortality. As a result, the current study sought to investigate the knowledge, attitudes, and practices of married females attending OPD of tertiary care hospital regarding EC. Methods: The current cross-sectional study was carried out among married females who were willing to participate and visited the OPD of a tertiary care hospital over the course of three months. A questionnaire was used to collect data, and proportions were used to present the ndings. Results: 300 women were ready to give written consent were recruited for study. 90% of those surveyed had heard about EC, with media being the main informational source. 81% correctly identied the time when oral tablets were used as EC, and 91% were aware that this was the case. 73% of people would be willing to use EC themselves in the event of unprotected intercourse, and 85% would recommend it to a friend or relative if necessary. About 70% of those surveyed have ever used EC. Conclusions: High literacy among married women explains their high awareness, positive attitude, and adequate use of EC. It shouldn't make authorities complacent; rather, they should push initiatives to reduce maternal mortality using regular contraceptives besides EC.
UNCOMMON PRESENTATION OF MECKEL DIVERTICULUM IN AN INFANT
Authors: P. K Shivani , Goel Dipesh , Thawait Anand , Bhardwaj Divesh
Published: May 2023

Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Painless intestinal hemorrhage is a frequently occurring complication that relates to Meckel's diverticulum in children. Bowel obstruction is a rare complication of Meckel's diverticulum in children. This is to report a case of 1 month old male infant presented with sudden history of abdominal distention and not passing stool for 4 days
CORRELATION OF SERUM FERRITIN AND LDH ON CRITICALLY ILL PATIENTS OF COVID-19 DISEASE DURING 1ST AND 2ND WAVE OF COVID 19 PANDEMIC IN TERTIARY CARE HOSPITAL, INDIA
Authors: Soni Renu , Srivastava Abhishek , Kumar Arya Saxena Anil , Mishra Aarti
Published: May 2023

In both the earlier waves of COVID-19 variants, severe and fatal respiratory disease like acute respiratory distress syndrome (ARDS) became more fatal in population with comorbid conditions. Therefore, early identication of severe COVID-19 is very important for individual's precise management, including antiviral, oxygen support and intensive care unit (ICU) management. First case of COVID-19 got reported in the medical record of India on 30th January 2020 in a student who had returned from Wuhan, China. In 2020 and 2021 it was found that individuals with increased serum ferritin and LDH level landed up with severe and very severe COVID-19 if not treated timely and correctly. So correlation between S. Ferritin and LDH in 1st and 2nd wave was required to evaluate the condition of patients who remained admitted in critical care unit with or without comorbid conditions. This is hospital based cross- sectional observational study on 50-50 (total-100) critically ill patients admitted during 2020 and 2021 respectively. We found that In 2020 during the 1st wave serum LDH and serum Ferritin levels were signicantly high with the mean value of 481.65 U/L and 532.56 ng/ml respectively and in 2021 during 2nd wave serum LDH and serum Ferritin levels were again signicantly high with the mean value of 488.43 U/L and 667.27 ng/ml respectively. In 2020 patients with comorbid conditions showed S. LDH and Ferritin mean value of 543.47 U/L and 582.63 ng/ml respectively and in 2021 during 2nd wave it showed S.LDH and Ferritin levels mean value of 672.72 U/L and 727.38 ng/ml respectively. Both inammatory markers were signicantly more increased in the critically ill patients who presented with co-morbidities. This study will provide improved condence to health workers working in remote areas and COVID-19 hospitals in predicting transfer of COVID-19 patients to tertiary care hospitals for critical care management at the earliest.
MARCHIAFAVA - BIGNAMI DISEASE
Authors: Yeole Umesh , Kulkarni Prabhanjan , Vij Niti , Dhamankar Nagesh
Published: May 2023

Marchiafava-Bignami disease (MBD) is a very rare disorder of
demyelination/necrosis of the corpus callosum and the near
subcortical white matter that is especially predominant in illfed alcoholics. The disease can be acute, subacute, or
chronic. The clinical picture is marked by dementia,
dysarthria, spasticity, and walking inability. It is a very rare
condition. In the United States, one study found 250 published
cases were reported before 2001, suggesting it is likely many
cases have gone undiagnosed. International data is similar,
always reminding that the prevalence is underestimated
because of the non-autopsied patients. Published in
approximately 300 case reports.
A RARE CASE REPORT OF ASSOCIATION OF HLA-B*15:02 ALLELE IN CARBAMAZEPINE INDUCED TOXIC EPIDERMAL NECROLYSIS IN CENTRAL INDIA.
Authors: Chakote Smita , Gaikwad Aishwarya , Deshpande Arpita , Mahure Vyankatesh , Churi Vaibhavi , Patel Priyanka
Published: May 2023

Carbamazepine is a well-tolerated drug, widely used for seizure and chronic pain disorders but can
cause idiosyncratic cutaneous-adverse-drug reactions (cADR) in susceptible individuals. Toxic
epidermal necrolysis (TEN) is one such reaction resulting in severe epidermal and mucosal loss with constitutional symptoms.
Though morbidity and mortality are unpredictable, high level supportive care is required for these patients. Immune complex of
HLA allele, offending drug and T-cell receptor are responsible for immunopathogenesis of these cADR in susceptible
individuals. HLA-B*15:02 has the strongest association to cause carbamazepine induced TEN in South-Asian population. We
report a case of TEN, caused by carbamazepine in an HLA-B*15:02 carrier from central India. He recovered uneventfully due to
early diagnosis and high-quality multidisciplinary approach. HLA-B*15:02 allele screening must be mandatory before starting
carbamazepine in populations with diverse gene-pool to prevent life threatening cADR.
PREGNANT WOMEN WITH SEVERE ANAEMIA IN LABOUR: PREVELENCE, SOCIODEMOGRAPHIC DETERMINANT AND OBSTETRICS OUTCOME
Authors: Gamit Darshana , Patel Ekta , Bhoya Dipika
Published: May 2023

Background: Anaemia is most common hematological issue encountered during pregnancy and one of the major cause for maternal and perinatal morbidity due to disturbed physiological milieu. Our objective was to study the pregnancy outcome in women with severe anaemia in labour. Method: A Prospective observational study was conducted by collecting data from medical records of around 100 consecutive consenting women with severe anaemia in labour with >28weeks of pregnancy which admitted in a labour room of a tertiary health care center of south Gujarat over a period of one year after HREC approval. Results: In our study Majority of the subjects (73 %) were in the age group of 19 – 29 years, Majority (70%) subjects were unbooked. 75% subjects were with severe anaemia (Hb = 4 – 7 gm/dl) and 25% subjects were of very severe anaemia (Hb < 4 gm/dl). Majority of the (69 %) subjects were multipara and (31%) subjects were primipara. In multipara, majority (73.91%) subjects were having < 2 years of birth spacing interval. 84% subjects had microcytic hypochromic anaemia. 62% subjects had vaginal delivery and 36% subjects were undergone for Emergency LSCS. Conclusion: Increasing utilization of healthcare facility at every step(rural/urban) by needy women can improve obstetric & perinatal outcome associated with maternal anaemia. To overcome complications of anemia during pregnancy & in labour early detection of cases & early catching of mild to moderate cases of anaemia & their timely management required. All these can improve our clinical & Reproductive outcome
TO STUDY OCULAR INVOLVEMENT AND OUTCOME IN ESTABLISHED CASES OF RHINO-ORBITO-CEREBRAL MUCORMYCOSIS ADMITTED AT GMERS, GOTRI.
Authors: Chakravorty Shalaka , Nankani Krutika , Patel Hemali , Sapre Ashwini
Published: May 2023

Objective- To study ocular involvement and outcome in these patients after rigorous medical-surgical
management. A Retrospective Study carried out at GMERS Hospital, Gotri. All patients Method–
admitted from April 2021 to August 2021, with past history of Covid-19 and biopsy proven Mucormycosis have been included in
the study and were subjected to complete history taking, ophthalmological examination and imaging studies. All patients were
treated by multidisciplinary approach with Intravenous Amphotericin B (IVAMB) and Transcutaneous Retrobulbar
Amphotericin B (TRAMB) +/- Exenteration depending on the extent of involvement. Statistical analysis was done using
Binomial test and P value <0.001 was taken in signicance. Total patients included in the stud Result– y were 205. Total patients
with ocular involvement was 63. Out of total patients with ocular involvement(63), 27 had full ocular recovery and 36 had partial
ocular recovery. Ocular recovery was documented based on visual acuity and clinical ocular ndings of the patients during
course of treatment(after atleast 21 doses of IVAMB and 5 doses of TRAMB). Total patients posted for Exenteration were 4. Total
mortality was 3. This study documents the number of patients that had ocular involvement and the ou Conclusion– tcome in
these patients after a meticulous collaborative treatment. A considerably large number 63/205 (30.7%) of patients had ocular
involvement out of which, lesser number 27/63(42%) had full ocular recovery while larger number 36/63(57%) had partial ocular
recovery which was due to an extensive involvement of orbit at presentation and rapid spread, reected in imaging studies.
Patients posted for Exenteration (4/205)(1.95%) and the Total Mortality (3/205)(1.46%) was substantially low due to timely
diagnosis, imaging and antimicrobial therapy, thus saving both sight and life in this dangerous infection.
CLINICAL AND RADIOLOGICAL OUTCOMES IN PATIENTS TREATED WITH LUMBAR SPINE INSTRUMENTATION WITH PLF: A 5YR FOLLOW UP STUDY
Authors: G.B.S Varun , Ambareesh Ambareesh , S Gurucharan , M S Vishwanath , Jaliparthy Keerthi
Published: May 2023

Lumbar posterior instrumentation with fusion is a common surgical option for the Introduction:
treatment of degenerative disc disease. The fusion options are PLF(Posterolateral Fusion) or Interbody
fusion, which include several approaches, each having certain advantages and disadvantages over the other. Although there
is clear superiority of interbody fusion over PLF, not every lumbar posterior instrumentation requires an interbody fusion. PLF
has been used over several decades and it shows promising results. In this study we aim to demonstrate the clinical and
radiological outcomes of lumbar spine fusion with PLF at 5 years follow up. A retrospective, cli Methods: nical and radiographic
study was performed on 93 consecutive patients who underwent lumbar posterior instrumentation with PLF over a period of 2
years and followed up for 5 years. Radiographic and clinical functional outcomes were collected and compared at preoperative
and at 5 years post operative time point. Parametric and nonparametric tests were used when appropriate with p value < 0.05
being signicant 93 consecutive patients were evaluated with an average age of 44.6 ± 11.6 Results: years, and 57% were
female. Mean Visual Analog Scale (VAS) for back pain decreased signicantly by a mean of 6.04 ± 1.5 points from
preoperative to 5 years postoperative (p < 0.001). Signicant fusion rates were achi Conclusion: eved and maintained at 5
years follow up after PLF. Clinically, the patients reported a signicant decrease in VAS scores. PLF achieves improvement in
functional outcomes and is still an alternate procedure to interbody fusion
TAKAYASU'S ARTERITIS: ANAESTHETIC IMPLICATIONS AND MANAGEMENT OF A PATIENT FOR CESAREAN SECTION IN A TERTIARY CARE HOSPITAL
Authors: A Mangrulkar Nilay , Sharma Archana
Published: May 2023

Takayasu's arteritis (TA) is a rare, chronic, inammatory, progressive, idiopathic arteriopathy, aficting young women of reproductive age group, causing narrowing, occlusion, and aneurysms of systemic and pulmonary arteries, especially the aorta and its branches. During pregnancy, such patients warrant special attention. We report here with anesthetic management of a primigravida of 37 week gestation, who suffered from TA scheduled for elective cesarean section by general anaesthesia. The intraoperative period was uneventful. The patient was stable in the postoperative period and was shifted to ward after being monitored in the intensive care unit for 24 h.
CLINICO-ETIOLOGICAL PROFILE OF PATIENTS WITH NEWLY DETECTED ATRIAL FIBRILLATION : A RECORD BASED STUDY IN A TERTIARY CARE HOSPITAL IN MANDYA
Authors: B Manju , C Suresh , R Tejas
Published: May 2023

Atrial brillation is the most common sustained arrythmia charecterised by disorganised rapid and
irregular atrial activation and with irregular ventricular rate. A record based retrospective study was
conducted at a tertiary care hospital to know the clinico-etiological prole of atrial brillation . Datas of 130 patients admitted in
the hospital in the past 6 months were obtained and analysed . It was observed that the most common presenting complaint was
breathlessness seen among 70.76% of patients and palpitation was seen in 60 % of patients followed by bilateral lower limb
swelling seen among 36.92% patients. The most common etiology in this study was rheumatic heart disease ( 56.15%) followed
by ischemic heart disease ( 20%) and hypertension ( 10%). This article has provided many insights on potential risk factors for the
occurrence of atrial brillation. This would help in early diagnosis and prompt treatment of AF and the possible risk factors.
THE ROLE OF ICT IN TEACHING ENGLISH LANGUAGE PHONICS
Authors: Ahmad Sani Musa , Rabiu Abubakar Sadiq
Published: May 2023

Teaching of English language phonics is becoming one of the most challenging task in our society where knowledge of the phonics is expanding and changing rapidly and modern technologies are demanding teachers of English language phonics to learn how to use these technologies in their teaching. A teacher play a pivotal role in the process of teaching English language phonics. Hence, knowledge of ICT and skills to use ICT in teaching English language phonics has gained enormous importance for today's English language phonics teachers. The teachers are expected to know how to successfully integrate ICT into their lesson to make learning more meaningful. ICT based learning causes changes in the Educational objectives in the conception of the teaching and learning process. ICT can provide more exible and effective ways for professional development of the teachers. This paper projects the conceptual details about importance of ICT in teaching English language phonics and also the challenges of ICT in teaching English language phonics. It concludes with discussion of key principles for effective ICT development in teaching English language phonics.
CLINICAL EVALUATION OF INTRAOCULAR PRESSURE MEASUREMENTS USING DIFFERENT TONOMETERS IN PATIENTS OF VARIOUS REFRACTIVE ERRORS
Authors: Mittal Sonalee , Kumar Singh Parihar Ashwini , Swami Gauri
Published: May 2023

Background: Intraocular pressure (IOP)is an important rst indicator of probability and suspicion of Glaucoma. The virtual IOP status is grossly inuenced by multiple factors including Refractive errors, corneal biomechanics ,central corneal thickness(CCT) and Scleral rigidity. Aim: To compare relative IOP measurements and its variability in Emmetropes, myopic and hypermetropic patients using Schiotz, Goldmann Applanation(GAT)and I-Care Rebound tonometer to establish an equation between virtual and real time IOP. Materials and Methods: This observational prospective study comprised of 100 subjects above the age of 18 years inclusive37 Emmetropes , 31 Hypermetropes and remaining 32 belonged to myopia . Statistical Analysis : Descriptive statistics were performed using SPSS for Windows version 17.0 to calculate the demographic characteristics of the study cohort. The data were expressed as mean values including the standard deviation (SD) and the 95% condence interval (CI). Mean IOP measurements between Schiotz, I-Care and GAT were compared by One way ANOVA along with Individual pair wise comparison by applying Post Hoc Tukey Test for comparison of IOP measurements using a particular method of Tonometry in individuals of myopia, hypermetropia and emmetropia. Results: The highest mean value of CCT 536.667 mum was in Hypermetropes whereas the lowest CCT value of 507.031mum was in myopic eyes with statistically signicant (P<0.05). The mean value for IOP in Emmetropes was16.665 mm Hg for Schiotz , 15.027 Hg for GAT and 15.081 mm Hg for I –Care .Whereas Hypermetropes revealed mean value of 15.055 mm Hg for Schiotz , 14.323 mm Hg for GAT and 14.065 mm Hg for I –Care . The mean value for IOP in Myopic eyes was 16.875 mm Hg for Schiotz , 14.375 mm Hg for GAT and 14.688 mm Hg for I –Care . Conclusion : The study had revealed higher mean value of IOP in Myopic eyes as compare to Emetropic and Hypermetropic subjects. IOP measurements by the Schiotz tonometer were signicantly higher as compare to GAT and I-Care tonometer. Whereas recordings by GAT and I Care tonometers were almost in agreement .Denitive correlation could not be established between pachymetry readings and adjusted IOP following GAT and I –Care tonometry .
ROLE OF DRAIN FLUID AMYLASE IN POST-OPERATIVE CARE.
Authors: Nikhil K Majethia , Ajay A Phadke , Avinash A Phadke
Published: May 2023

Pancreatic stula is still one of the most serious and potential complications after post-laparotomy. Despite their importance, pancreatic stulas still have not been uniformly dened. Amylase concentration of the drainage uid after surgery for gastric cancer can be considered a predictive factor of the presence of a pancreatic stula. We report such a case where a high level of drain uid amylase led to the detection of possible pancreatic injury after a hysterectomy
THE PREVALENCE OF MORPHOLOGICAL CHANGES IN OVARIES IN DIFFERENT AGE GROUPS WITH POLYCYSTIC OVARY SYNDROME
Authors: Joseph Blessymol
Published: May 2023

Background: Polycystic ovary syndrome (PCOS) is a common endocrinophathy disorder affecting
reproductive aged women and frequently manifest during early reproductive age. It is a heterogeneous
disorder, with multiple reproductive, cosmetic and metabolic complexities which is characterized by dysfunction in ovulation
and clinical or biochemical hyperandrogenism and the presence of polycystic ovarian morphology. It is the most common
endocrine cause of infertility, increased risk of adverse pregnancy outcome, metabolic syndrome, type 2 diabetes mellitus, and
some carcinoma. For these reasons a correct and early diagnosis of this syndrome is fundamental, as it allows performing the
most appropriate treatments and check-ups thus reducing the risk of developing all the complications related to it. Objectives:
To measure the ovarian morphology in different age groups of adolescent and adult women with polycystic ovary syndrome.
Methods: In this observational crossectional study 150 married or unmarried adolescent and adult women with PCOS were
subdivided into three equal age-based groups of 50 each: 12 – 28 years (group 1), 29-36 years (group II) and 37-50 years (group
III). The ovarian volume, ovarian area, ovarian stromal area, follicles count and size were determined by trans-abdominal and
trans-vaginal scans. All statistical procedures were performed using SPSS 20.0 for Windows (IBM SPSS Statistics, IBM
software). Values are expressed as mean ± standard deviation and compared by one-way Anova p<0.05 is considered
signicant. Test for normality was done using Kolmogorov-Smirnov test. Bonferroni correction for multiple comparisons was
applied. Conclusion: In this study, ovarian area showed a positive correlation with age in women with polycystic ovaries. There
were no signicant changes in ovarian volume, ovarian stromal area, and follicle count during reproductive ages until the
perimenopause. It was observed a moderate negative correlation of age with follicle size.
A PROSPECTIVE CLINICAL STUDY ON PREGNANCY WITH ABRUPTIO PLACENTAE IN WOMEN ATTENDING A TERTIARY CARE CENTRE OF CENTRAL INDIA
Authors: Khan Sabahat , Dalal Nilesh , Achale Sheetal
Published: May 2023

Background- Placental abruption is a relatively rare but serious complication of pregnancy and placed the well-being of both mother and fetus at risk. Placental abruption is also called abruptio placentae. The estimated incidence is around 1% of all pregnancies. Despite being a relatively rare occurrence, placental abruption needs urgent intervention. Most placental abruptions happen before 37 weeks of pregnancy. Maternal morbidity and neonatal mortality are primarily caused by placental abruption. Despite the fact that blood transfusions are available, maternal deaths are nonetheless uncommon and higher than the overall maternal mortality rate. Preterm birth, low birth weight, perinatal hypoxia, stillbirth, and neonatal mortality are all neonatal consequences. Even with better prenatal care and monitoring methods, the rate of placental abruption has been rising in several nations. The present study Material and Method- is a prospective study done in the Department of Obstetrics and Gynecology, M.G.M Medical College and M.Y Hospital, Indore, over a period of 1 year from March 2021 to February 2022.. All cases are admitted in Department of Obstetrics and Gynaecology, M.G.M Medical College and M.Y Hospital, Indore. The study will include prospective cases for 1 year from ethics committee Inclusion Criteria- 1. All cases of concealed and revealed abruption with gestational age > 28 weeks till term. 2. All abruption with clinical symptoms of sudden onset abdominal pain, vaginal bleeding and uterine tenderness 3. All patients of abruptio placentae diagnosed on USG ndings. Exclusion Criteria- 1. All patients who come with the history of Ante partum hemorrhage but are having local (vaginal/cervical)causes excluded. 2. All patients referred to the hospital for the management of post-partum complications. 3. All other causes of APH like placenta previa and other extra placental causes. Result- Majority of the study population were booked multigravida in the age group of 26-30 years of low socioeconomic status with B+ blood group with anemia and gestational hypertension as risk factors.Most of them underwent LSCS with Shock and sepsis as complications 80% study participants had live and healthy baby. 20% had perinatal death. 47.9% of the babies were low birth weight and 25% required resuscitation Without a doubt, abruptio placent Conclusion- ae is a potentially serious obstetric condition that has the potential to threaten mother health and wellbeing, foetal viability, neonatal mortality, and morbidity. We found that important risk factors for abruptio placenta are multiparty, unbooked status, living in a rural area, maternal anaemia, and hypertension and also it is independent risk factor for perinatal mortality. From the present study we conclude that to prevent and lessen the severity of the situation early intervention, prompt delivery, and strengthening of safe motherhood services, particularly in remote regions will be helpful.
A COMPARATIVE STUDY OF THE STRUCTURAL AND HISTOPATHOLOGICAL CHANGES IN THE PLACENTAE OF HYPERTENSIVE AND NORMOTENSIVE MOTHERS AND A CORRELATION OF THESE FINDINGS WITH THE BIRTH WEIGHTS OF THEIR BABIES.
Authors: Das Anushree , Saha Soma , Roy Rajarshi
Published: May 2023

Background: The placenta being the main organ directly involved with fetal development in the womb. Being a crucial organ responsible for the pregnancy and fetal nutrition it has generated keen interest and research to understand the placental morphology. This work aims in delivering the structural changes observed in placenta of mothers with hypertension and to do a comparative analysis with respect to the new born birth weight with the normotensive mothers. Objective: To identify & investigate pathological changes of the placenta in cases of pregnancy-related high blood pressure & to nd out correlation of such changes with neonatal birth weight as compared to that in normotensive mothers and also observation of changes in placental tissue specimens of hypertensive mothers. The study also compared fetoplacental (FP) ratios in both groups. Materials and Methods: This study was done on 50 placentae. 25 mothers with normal pregnancies and 25 mothers with hypertension due to pregnancy were selected from obstetrics and gynecology patients at the Medical College, Kolkata. All samples were then examined for structural and histological changes. The neonatal birth weights were also recorded with the help of weighing scale. Results: In our analysis, 25 (50%) patients were hypertensive (group A) and 25 (50%) were normotensive (group B). Morphometric parameters considered in these two patient groups are placental weight, placental volume, central placental thickness, and cotyledon number. Mean differences for each of these parameters were compared and found to be statistically signicant. Fetal weight was also measured in each case, the F-P ratio was observed, and the mean F-P ratio in Group A and Group B was also compared
HYSTEROLAPROSCOPIC EVALUATION OF INFERTILE FEMALES IN A TERTIARY CARE HOSPITAL
Authors: Neha Linda Anamika , Moses Vibha , Chourasia Sapna , Siroliya Akanksha
Published: May 2023

Background: Childbearing and raising are extremely important events in every human's life and are strongly associated with the ultimate goals of happiness and family integration. Infertility is a major health problem. As commonly used investigations are unable to detect majority of pelvic pathology in infertile women, DHL has become an essential part of infertility evaluation. Objective: To evaluate various factors causing primary and secondary infertility by Diagnostic Hysterolaproscopy. Materials and Methods: This was a cross sectional, observational study which included 100 females with primary and secondary infertility during 1 year study period fullling the inclusion and exclusion criteria. Intraoperative ndings were noted and cause of infertility was assessed. Results: Out of 100 patients included in the study, 68 presented with primary infertility and 32 presented with secondary infertility. Majority of primary infertility group (66.2%) belonged to 21 -25 years of age and 50.0% of secondary infertility cases presented in 26-30 years of age. Hysteroscopy showed abnormal ndings in 32% cases. In our study, Laproscopy revealed that the tubal factor was the most common cause contributing to 58% of infertility. ovarian factors were diagnosed in 41%,peritoneal factors were present in 37% and uterine factors contributed 23%. Conclusion: Comprehensive evaluation of infertility has been made easy by using safe and effective hysterolaproscopy technique. It helps in diagnosing and treating various conditions in same sitting
Le Giudicarie e la val Vestino: i Lodron e i da Campo
Authors: Cagol Franco
Published: May 2023

In the 14th and 15th centuries, the rural lordships of the Lodrone and da Campo families asserted themselves in the geographically complex area of the Sarca valley, open to the territory of Brescia.
Castelli e campagne in area trentina. I rapporti tra i signori e le comunità rurali
Authors: Franceschini Italo
Published: May 2023

n a territory without large urban centres, such as the Trentino area, the relationship between lords and rural communities is crucial for the exploitation of resources, the administration of justice, the social control of unfree peasants
‘Soms heb je de morele plicht het beroepsgeheim te schenden’
Authors: Willems Dick
Published: May 2023

Als ik in mijn werk bij het AMC te maken krijg met kindermishandeling, gaat het meestal om het syndroom Münchhausen by proxy. Dat wil zeggen: het veroorzaken van klachten en symptomen bij kinderen door hun ouders of verzorgenden, soms bijna tot de dood aan toe. Het grote probleem is dat dit meestal heel erg moeilijk te achterhalen valt; de mensen die het doen, zijn vaak erg slim in het verbergen ervan. De ethische vraag daarbij is meestal hoe ver je kunt gaan met het in de gaten houden van ouders om te kijken wat ze doen met hun kinderen.
Management of Antithrombotic Drugs in Digestive Endoscopy
Authors: Elmqaddem Ouiam , Koulali Hajar , Zazour Abdelkrim , Ismaili M. Zahi , Kharrasse Ghizlane
Published: May 2023

Summary: The endoscopic management of patients under antithrombotic treatment implies several factors related to the patient and the endoscopic procedure, an assessment of the bleeding and thrombotic risk is primordial in the admission, the day of the endoscopy an adjustment of the procedure equipment may be proposed according to the estimated bleeding risk, the post endoscopic management consist of discussing the resumption of treatment according to the bleeding and thrombosis risk without forgetting to educate the patient about the risk of bleeding, which may be delayed after the endoscopy, sometimes requiring reassessment in consultation or even hospitalization to monitor the progress.
Early Explosive Fat Embolism Syndrome: A Case Report
Authors: Hounain Taha , Oumaiouf Latifa , Bahja Saad El , Ziadi Amra , Samkaoui Mohamed Abdenasser
Published: May 2023

The Fat Embolism Syndrome (FES) is a set of clinical, biological and radiological signs resulting in the obstruction of microcirculation by micro-droplets of insoluble fats. The clinical signs of the FES are not very specific, the diagnosis is difficult and the risk of misunderstanding this syndrome is very real. The FES appears after a trauma, often few days later. At present, there have been few cases of fat embolism presenting within 3 h after trauma. We present here a rare case of early explosive FES.
Intracarinal Foreign Body: An Unusual Location in a 13-Month-Old Child, About a Case Report and Literature Review
Authors: Azzahiri I. , Madkouri H. El , Zouita B. , Basraoui D. , Jalal H.
Published: May 2023

Inhalation of the foreign body is a frequent cause of morbidity and mortality in the pediatric population, particularly between six months and three years. Carinary localization remains very rare and less frequently diagnosed on bronchoscopy. Clinical symptoms differ depending on the seat and degree of the obstruction, ranging from inspiratory dyspnea with cyanosis to persistent or recurrent pneumonia. Imaging, in particular the thoracic scanner, plays an essential role in the positive and topographical diagnosis and bronchoscopy remains the reference examination for therapeutic purposes. We report the case of a 13-month-old infant, admitted to the pediatric emergency department with laryngitis and cough that had been evolving for 6 days, the thoracic CT scan showed a plastic foreign body located in the carina, with discussion of the primordial role of the CT scan in its detection.
Unusual Radiological Presentation of Gayet-Wernicke Encephalopathy: About A Case Report
Authors: I Azzahiri , O Benfaddoul , B Zouita , D Basraoui , H Jalal
Published: May 2023

Gayet-Wernicke encephalopathy is an acute neurological disorder resulting from thiamine deficiency. Its diagnosis can be challenging due to its varying clinical presentations, which can be atypical or nonspecific. Although chronic alcoholism is a common cause, Gayet-Wernicke encephalopathy can also develop in conditions associated with thiamine deficiency, including undernutrition, prolonged fasting, chronic vomiting, and exclusive artificial feeding. Although rare, the condition is reversible if promptly diagnosed and treated. Here, we present a case of Gayet-Wernicke encephalopathy in a pregnant patient who presented with intractable vomiting, and whose radiological findings were atypical, making the diagnosis more challenging.
Spontaneous Retroperitoneal Biloma "Choleretroperitoneum" Complicating a Tumor of the Main Bile Duct: Exceptional Complication about a Case
Authors: Azzahiri I. , L’kbir A. , Boutakioute B. , Idrissi M. Ouali , Ganouni N. Cherif Idrissi El , Benchouk M. , Belaid W. Ait , Ahbala T. , Rebbani K. , Louzi A.
Published: May 2023

Biloma refers to the accumulation of bile outside the biliary tract, which can be encapsulated or not. This condition is often caused by trauma, abdominal surgery, duodenal diverticula, or biliary disease. Spontaneous perforation of the common bile duct is rare in adults, and only a few cases have been reported in the literature. We present a case of spontaneous retroperitoneal biloma complicating a tumor of the main bile duct in a 77-year-old woman.
Systemic Lupus Erythematosus: An Exceptional Cause of Diffuse Splenic Calcifications. A Case Report and Review of the Literature
Authors: Azzahiri I. , Kirami S. , Boutakioute B. , Idrissi M. Oualid , Ganouni N. Cherif Idrissi El
Published: May 2023

Splenic calcifications have been reported in various diseases other than SLE, such as rheumatoid arthritis, systemic sclerosis, amyloidosis, sickle cell anemia, lymphoma, and post-infectious or post-traumatic sequelae. However, they are extremely rare in SLE, and only a few cases have been reported in the literature. In this article we discuss the case of a 32-year-old woman with systemic lupus erythematosus (SLE) who was found to have diffuse splenic calcifications, discovered incidentally during a CT scan performed to assess her pancreatic involvement due to SLE.
Open Cleft Schizencephaly: Rare Etiology of Macrocrania in Newborns: About A Case
Authors: Khayi FZ. , Bennaoui F. , Idrissi NS EL , Maoulainine FMR
Published: May 2023

Schizencephaly is a rare anomaly of embryonic development characterized by the presence of linear clefts containing cerebrospinal fluid and lined with dysplastic gray matter; which extends from the lateral ventricle to the outer surface of the cortex. The schizencephalic cleft can be open or closed Established etiologies include in-utero infections, young maternal age, abuse of drugs and toxic products. The clinic is dominated by motor impairment, mild mental retardation and epileptic seizures. We report the case of a newborn with macrocrania related to unilateral open cleft schizencephaly.
Persistent Trigeminal Artery: A Little Known Cause of Trigeminal Neuralgia- MR Imaging
Authors: Adegbindin Wariss , Coulibaly Moussa , Benzalim Meriem , Alj Soumaya
Published: May 2023

A persistent trigeminal artery (PTA) is a non-involuted embryonic vessel that connects the cavernous part of the internal carotid artery with the posterior circulation. In the adult, it is usually found incidentally but can be often associated with vascular malformation, cerebral aneurysm trigeminal neuralgia and even posterior circulation strokes. We report here a case of persistant trigeminal artery as a cause of trigeminal neuralgia and its aspects found in MR imaging.
Acute Irreversible Hippocampal Toxic Encephalopathy Secondary to Cannabis Use: A Case Report
Authors: Kaichouh Zakaria , Hernoussi Zakaria El , Chari Walid , Lahlou Mohammed , Sedik Touiaba Ibn , Belkouchi Lina , Hamzaoui Hamza El , Benhlima Abdelkader , Arfaoui Manal , Alilou Mustapha
Published: May 2023

This case report presents a rare and severe complication of cannabis use in a 32-year-old male patient. The patient presented with status epilepticus and was found to have acute irreversible hippocampal toxic encephalopathy confirmed by MRI. Despite aggressive treatment with sedation and anti-epileptic therapy up to quad therapy, the patient's seizures were refractory to treatment. The patient initially regained consciousness, but later suffered a relapse of status epilepticus and respiratory distress. This case highlights the importance of considering acute irreversible hippocampal toxic encephalopathy as a potential complication of chronic cannabis use, and the need for healthcare professionals to be aware of this serious and potentially life-threatening condition.
Pericardial Localization of Hydatid Cyst: A Case Report
Authors: Waberi Abdourahman , Aloumba William , Merzem Aicha , Belgadir Hasna , Amriss Omar , Moussali Nadia , Elbenna Naima
Published: May 2023

Pericardial localization of hydatid cysts is rare, with a negative hydatid serology in almost half of the cases. It usually occurs in association with mediastinal or peritoneal involvement. Medical imaging remains an important diagnostic element. We report an observation of pericardial involvement associated with mediastinal and peritoneal involvement.
Strangulation of the Verge by Plastic Ring
Authors: Benabdallah Y. Staouni , Fallouh G. , Garrab M. , Diaou M. Bah , Sabbagh R. Al
Published: May 2023

We report the case of a 73-year-old Parkinsonian patient, admitted to the emergency department of the Moulins yzeure hospital center, for penile lymphedema evolving for 7 hours after the voluntary placement of the rod in the neck of a plastic bottle to urinate in. The removal of this ring was immediately performed under general anesthesia in the OR after several attempts under local anesthesia that failed. Seven days later, the patient showed a marked improvement with regression of the skin signs, the skin was more supple and less infiltrated. At the exit the patient was programmed for a cold posthectomy. Through this observation and the data of the literature, we specify the management of this pathological situation and the associated complications.