bluuebunny/crossref_metadata_2025 huggingface dataset:
PROFILE OF HEMATOLOGICAL ABNORMALITIES AND ITS CORRELATION WITH ABSOLUTE CD4 COUNT AND HIV VIRAL LOAD IN HIV-INFECTED PATIENTS IN A TERTIARY CARE HOSPITAL
Authors: Meghana Bachu  , Akhil Kumar Vuppula  , Srikrishna Raghavendra Boddu  , Suresh Inugurthi  , Swamy Miryala
Published: September 2023

Objectives: The objectives of the study are as follows: (1) To study the spectrum of hematological abnormalities in human immunodeficiency virus (HIV) infected patients. (2) To find the correlation of hematological abnormalities with absolute CD4 count and HIV viral load.
Methods: This remained a cross-sectional and observational study conducted in the Department of General Medicine of Kamineni Academy of Medical Sciences and Research Centre, Hyderabad. The duration of the study was 18 months and it extended from January 2022 to June 2023. One hundred HIV-infected patients were included in this study on the basis of a predefined presence and exclusion criteria. CD4 count, complete blood count, CD4 count, and absolute neutrophil count were done in all cases. The spectrum of hematological abnormalities in HIV-infected patients and correlation of hematological abnormalities with absolute CD4 count and HIV viral load was analyzed. p<0.05 was taken as statistically important.
Results: Among the 100 studied cases, there were 62 (62%) males and 38 (38%) females with a M: F ratio of 1:0.61. The mean age of male and female patients was found to be 45.85±10.12 and 46.74±9.86 years. The mean age of male and female patients remained found to be comparable. Incidence of anemia and neutropenia was found to be more in patients with absolute CD4 count <200 cells/μl or viral load of >1000 copies/ml as compared to other patients and the difference was statistically significant (p<0.05). Although individuals with low absolute CD4 count (<200 cells/μl) or high viral load (>1000 copies/ml) had higher prevalence of thrombocytopenia there was no statistically significant difference from other patients (p>0.05).
Conclusion: Incidence of anemia and neutropenia significantly correlates with high HIV viral load and lower utter CD4 cell counts.
PLACENTA ACCRETA SPECTRUM DISORDERS
Authors: SHELLY KHILLAN  , PARNEET KAUR  , BEANT SINGH
Published: September 2023

Placenta accreta spectrum is a rare pathology, but there is an increase in the incidence of placenta accreta. In the accreta spectrum, abnormal placental adherence to the myometrium stems in part from partial or total absence of the decidua basalis and imperfect development of the fibrinoid or Nitabuch layer. This results in the absence of a physiological line of cleavage, so resulting in failure of separation of the placenta causing significant hemorrhage. This leads to maternal morbidity and mortality. 12 patients of placenta accreta managed at Government Medical College and Rajindra Hospital, Patiala, over 1 year (December 2021–November 2022) were reported. All cases had a histopathologically proven diagnosis of placenta accreta. The major risk factors identified were placenta previa, previous cesarean section, multiparity, advanced maternal age, previous uterine surgeries, or curettage. Ultrasound (USG) color Doppler and magnetic resonance imaging allowed us to strongly suspect the presence of placenta accreta in a pregnant woman with risk factors. Placenta accreta spectrum is associated with life-threatening hemorrhage, urinary bladder injury, intensive care unit admission, massive blood transfusion, and maternal death. The course of action in each and every patient varies according to whether the diagnosis of the placenta is made antenatal or during C-section and the amount of blood loss.
ROLE OF MAGNETIC RESONANCE IMAGING IN EVALUATION OF UTERINE PATHOLOGIES AND ITS CORRELATION WITH ULTRASOUND
Authors: AAYUSH BANSAL  , SIMMI BHATNAGAR  , MANOJ MATHUR
Published: September 2023

Objective: Uterine pathologies, both benign and malignant, are common among reproductive age females and postmenopausal females. Herein, we aim to assess the role of magnetic resonance imaging (MRI) in the evaluation of uterine pathologies and to correlate them with ultrasonographic findings (USG).
Methods: We conducted a prospective study in the Department of Radiodiagnosis at Government Medical College and Rajindra Hospital, Patiala. It included 45 females who were referred from department of obstetrics and gynecology with clinical suspicion of uterine pathologies. All the patients underwent both USG and MRI, results were compiled and statistical tests applied.
Results: The mean (±SD) age of patients was 38.9±10.8 years. About 82% of the females were premenopausal. Nineteen females were diagnosed with fibroids, nine had adenomyosis, and two patients had endometrial polyps. Five of each were histopathologically proven cases of cervical and endometrial carcinoma. Four patients were diagnosed with Mullerian anomalies. MRI could diagnose more number of fibroids and in more number of patients. On USG, adenomyosis was falsely diagnosed in one patient and was reported as normal in one other patient. In cases of endometrial carcinoma, myometrial invasion was better predicted through MRI. Similarly, in cases of cervical carcinoma, parametrial extension was underdiagnosed by USG alone. MRI detected bicornuate bicollis uterus and septate uterus in two cases each. Very good correlation was observed between the USG and MRI findings with Kappa coefficient of 0.823 (p<0.001).
Conclusion: MRI is the radiological imaging of choice in patients with suspected uterine pathologies and correlates well with USG. Therefore, USG and MRI should be combined together in case of diagnostic dilemma for better decision-making and patient management
HISTOPATHOLOGICAL ANALYSIS OF UTERINE APPENDAGEAL LESIONS: A 2-YEAR STUDY AT TERTIARY HEALTH CENTRE
Authors: Sajid Abdul , NEELIMA ARORA  , DIVYA GOYAL  , KUNAL PUROHIT  , VANITA KUMAR
Published: September 2023

Objective: The objective of the study was to evaluate the various histopathological patterns of uterine adnexal lesions and their prevalence in different age groups.
Methods: This is a prospective study conducted in the Department of Pathology, Sardar Patel Medical College and associated group of hospitals, Bikaner, on specimens of uterine appendageal lesions received from November 1st, 2020 to October 31st, 2022 for histopathological examination. The tissues were processed, then stained sections were examined microscopically and histopathological analysis done.
Results: A total of 376 cases were included in the study. Out of these, 212 were ovarian lesions, 149 were tubal lesions, and 4 cases showed involvement of both tube and ovary, whereas 11 showed the lesion of broad ligament. 32% of the lesions were tumorous, of which 73% tumors were benign, 26.2% tumors were malignant, and 0.8% were borderline tumors. Maximum uterine adnexal lesions were encountered in 21–30-year age group. Maximum (55.7%) benign tumors were in 21–40-year age group, whereas maximum (53.1%) malignant tumors were in 41–60-year age group. Mean age was 58.53±12.62 years.
Conclusion: Non-neoplastic lesions were more common as compared to neoplastic lesions and benign neoplasms outnumbered the malignant neoplasms. Tubal ectopic pregnancy was the most common non-neoplastic lesion. Ovarian teratoma was the most common benign tumor and serous cystadenocarcinoma was the most common malignant tumor encountered. Malignant tumors affect older age group compared to benign tumors.
HISTOPATHOLOGICAL STUDY OF SALIVARY GLAND LESION
Authors: MAMTA GARG  , SUNITA BIKA  , SARITA PARIHAR  , VEDANT GARG
Published: September 2023

Objective: The objective of this study was to evaluate various histopathological patterns of salivary gland lesions.
Methods: The hospital-based retro-prospective observational study was conducted at the Department of Pathology, Sardar Patel Medical College and associated group of hospitals, Bikaner. This study included salivary gland biopsies/tissue following surgical resection, submitted, processed routinely, and stained with H&E stain, histopathologically diagnosed salivary gland lesions in the department of pathology. Histopathological study was carried out as records available of the previous 5 years (2017–2022).
Results: We observed the number of male patients was higher than the female patients. Most of the patients in this study enrolled in 2021 followed by 2018, 2019, 2017, 2020, and 2022. The proportion of patients with poor oral hygiene was significantly higher than the proportion of patients with good oral hygiene. Pleomorphic salivary gland adenoma was the most prevalent morphological spectrum of lesions, followed by chronic sialadenitis and Warthin tumor. The frequency of benign lesions was significantly higher than malignant lesions also, the majority of parotid gland and sub-mandible gland lesions were benign. The frequency of neoplastic lesions and non-neoplastic lesions was almost similar.
Conclusion: Salivary gland tumors (SGTs) are relatively more in males. The principal site for SGTs is the parotid gland in both benign and malignant tumors. PA was the most common benign SGT, and adenoid cystic carcinoma was the most frequent malignant neoplasm.
A PROSPECTIVE RANDOMIZED INTERVENTIONAL STUDY TO DETERMINE THE INFLUENCE OF SPINAL FLEXION VERSUS EXTENSION IN THE LATERAL DECUBITUS POSITION ON THE UNILATERALITY OF SPINAL ANESTHESIA USING HYPERBARIC BUPIVACAINE FOR ELECTIVE UNILATERAL LOWER LIMB SURGERIES
Authors: SUNITA MEENA  , KAMALESH KUMAR MALAV  , JEETAM SINGH MEENA  , SAVITA MEENA  , NANDINI SHARMA  , SURENDRA MEENA
Published: September 2023

Objective: A restricted sympathetic block during spinal anesthesia may minimize hemodynamic changes and advantageous in view of maintaining stable cardiovascular profile through intraoperative period.
 Methods: This prospective randomized interventional study was conducted on a total of 150 patients of either sex aged 20-50 years of American Society of Anesthesiologists grades 1 and 2 were randomly allocated in two groups (75 in each group).Using a 25-gauge Quincke spinal needle, 7.5 mg of 0.5% hyperbaric bupivacaine was injected over a period of 80s at L3-L4 interspace in both groups. Patients were kept in flexion or extension according to belonging groups: Group A (flexion) or Group B (extension) after drug administration for15 min of lateral decubitus position, then patients were turned to supine position.
 Results: Strict unilateral sensory and motor block at 15 min was noted in Group A 45 patients (60%) and 25 patients (33.33%) in Group B (p=0.002*). At 60 min, there was no significant sensory unilaterality between the groups (p=0.987). At 60 min, 30 patients (40%) in Group A and 14 patients (18.66%) in Group B had strict unilateral motor block (p=0.007*). Highest achieved sensory level on nondependent side was T10 in Group A and T8 in Group B, whereas it was T6 in Group A and T5 in Group B on dependent side.
 Conclusion: For unilateral spinal anesthesia, spinal flexion position provided better strict unilaterality and restricted sympathetic blockade than spinal extension position.
SELF-MEDICATION PRACTICES IN DERMATOLOGICAL DISEASES: A CROSS-SECTIONAL QUESTIONNAIRE-BASED STUDY
Authors: RAKESH KUMAR MEENA  , SUDHANSHU SHARMA  , VIVEK SAGAR
Published: September 2023

Objective: The study aimed to assess the pattern and reasons for self-medication practices and its rationality in dermatological diseases among the population of the Malwa region of the central India.
Methods: Individuals aged older than 18 years who were practicing self-medication and gave informed consent for participation in the study were enrolled. Doctors, pharmacists, and medical students were excluded from the study. A preformed and semi-structured questionnaire was used to obtain the data.
Results: High tendency of self-medication was seen among young adults of age between 21 and 40 years (61.42%) while it was low among aged < 20 years (15.71%) and > 50 years (7.14%). Self-medication practice was more common in people who had education between high school and graduation (72.85%) in comparison to the illiterate (7.14%) and post-graduated subjects (5.14%). Most of the subjects who had practicing self-medication were taking suggestions from the nearest medical shopkeepers (50%). The main reasons for self-medication were the non-severity of diseases (42.85%) and easy availability of medicine from medical stores without dermatologist prescription (24.28%).
Conclusion: The study showed the prevalence of self-medication was nearly same in both rural and urban population. Health-care providers should educate patients on the dangers of self-medication. Such messages should be extended periodically to the community at large scale by the government health ministry/authorities. Government should enforce relevant and strict legislation, which limits the sales of drugs without prescription.
NON-FERMENTING GRAM-NEGATIVE BACTERIA IN BLOOD CULTURE: A MENACE IN INTENSIVE CARE UNIT SETTINGS
Authors: DHARMENDER KUMAR  , RUMANA FAROOQ MIR  , HARIT KUMAR  , NARINDER KAUR  , ROSY BALA  , JYOTI CHAUHAN
Published: September 2023

Objective: To know the prevalence of NFGNB isolated from blood culture specimens and their antibiotic sensitivity pattern in intensive care units.
Methods: A total of 3393 blood samples during 1 year were received from patients admitted in various ICUs. 5–7 mL blood was aseptically collected and added in BACTEC bottles and then subsequently incubated in BD BACTECTM (FX40) fluorescent series instrument for up to 5 days. After incubation period, positive samples were processed for gram stain and subsequently sub-cultured on blood agar and MacConkey agar. These plates were incubated at 37°C for 24 h. Further identification and antimicrobial susceptibility testing of NFGNB were carried out by Vitek-2 Compact (Biomerieux India) as per the standard operating procedures.
Results: Out of 3393 samples 696 samples showed growth, out of which 96 (13.79%) were Gram-positive cocci, 36 (5.17%) were Candida spp., and 564 (81.03%) were Gram-negative bacilli (GNB). Among 564 GNB, 453(80.31%) were lactose fermenter and 111 (19.68%) were non-lactose fermenters. One (0.53%) isolate of Aeromonas hydrophila was excluded from this study. Among 110 NFGNB, Acinetobacter baumannii complex (41.66%) was the most predominant followed by Pseudomonas aeruginosa (32.72%). Amikacin was the most sensitive drug for all the NFGNB isolates followed by Piperacillin/Tazobactam. Stenotrophomonas maltophilia showed excellent susceptibility to minocycline (83.33%) followed by ceftazidime (66.66%). Burkholderia cepacia showed good susceptibility to Trimethoprim/Sulfamethoxazole.
Conclusion: Increasing antimicrobial resistance in NFGNB and their intrinsic or acquired resistance to many antibiotics makes them more lethal. It is therefore recommended to have quality guidelines on the “rational use of antibiotics” which need to be implemented strictly
A NOVEL APPROACH TO INTRALESIONAL AUTOLOGOUS SERUM THERAPY IN MELASMA: AN OPEN-LABEL, PROSPECTIVE STUDY
Authors: RAKESH KUMAR MEENA  , SAGAR VIVEK , SHARMA SUDHANSHU , PANDEY DHRUVENDRA
Published: September 2023

Objective: The study aimed to assess the effectiveness of intralesional autologous serum therapy in Melasma.
Methods: A total of 30 patients over 18 years of age were enrolled in the study with prior approval from the institute’s ethical committee. Serum was injected intradermally into the melasma lesions of the patient every 2 weeks with a 30G insulin syringe. Patients were called for follow-up every 15 days until 90 days. On each visit, clinical response to treatment was calculated using the modified Melasma Area and Severity Index (mMASI) score, and side effects were also noted, if any.
Results: The reduction in mean mMASI score from baseline was not significant till the second visit (day 15) (p=0.317), while it was statistically significant from the third visit onwards (day 30) (p=0.024). The reduction in mean mMASI score from baseline 3.95±3.23 to 2.31±2.16 (41.51% improvement) is suggestive of a good response, which was also statistically significant (p≤0.001).
Conclusion: Study patients perceived a significant improvement in pigmentation during the therapy period without any considerable side effects. Thus, autologous serum therapy may be a viable alternative to the existing treatment modalities for Melasma.
La poética del desborde y su metarrelato en dos novelas peruanas contemporáneas
Authors: Kabusch Marcela Magdalena
Published: September 2023

El presente artículo aborda, desde el análisis de dos novelas de la narrativa peruana contemporánea de principios de siglo xxi, el nacimiento de nuevas poéticas que se instalan en el espacio-tiempo de la ciudad de Lima, desbordada por las migraciones y convulsionada por el conflicto armado interno de las décadas de 1980 y 1990. Su originalidad reside en construir un marco de categorías de análisis de los productos de la cultura popular, contrahegemónica y de su naciente discursividad. Se refiere, para ello, a dos novelas que funcionan como metarrelatos en las que el tema principal es la reflexión sobre la escritura, su necesidad y sus posibilidades como evidencia de un ser histórico, político, sexual, que habla a través del cuerpo y de esa misma escritura. Las novelas estudiadas son: Vergüenza de Patricia de Souza y Un golpe de dados (novelita sentimental pequeño-burguesa) de Victoria Guerrero Peirano.
Llantos y llakis en testimonios visuales de la violencia política en Perú
Authors: Campuzano Betina Sandra
Published: September 2023

Este artículo expone, desde el análisis del discurso, la imagen y los estudios latinoamericanos, el testimonio peruano del conflicto armado interno. Su originalidad reside en trazar su genealogía con la visión de mundo andino y la escritura de Guaman Poma y José María Arguedas. Entre sus hallazgos, enuncia que los llakis o recuerdos penosos de los campesinos no se interpretan con categorías occidentales, sino que requieren una historización de la violencia en los Andes que advierta especificidades regionales. Se inscriben en el terreno de lo indecible y se nombran a través de otros lenguajes. Así sucede con el relato fotográfico Yuyanapaq de la Comisión de la Verdad y la Reconciliación y la historia gráfica Rupay de Cossio, Rossell y Villar. En el pasaje de la oralidad a la escritura, las imágenes irrumpen para tramitar lo indecible y, en ese intersticio, configura una retórica del dolor.
Varesi, Gastón Ángel. Kirchnerismo y neodesarrollismo. Hegemonía, acumulación y relaciones de fuerzas en la Argentina. Buenos Aires: Luxemburg, 2021.
Authors: Bilmes Julián
Published: September 2023

Reseña del libro: Varesi, Gastón Ángel. Kirchnerismo y neodesarrollismo. Hegemonía, acumulación y relaciones de fuerzas en la Argentina. Buenos Aires: Luxemburg, 2021
Las reseñas como construcción de un horizonte editorial. Gregorio Weinberg en el Correo Literario (1944-1945)
Authors: Maggio-Ramírez Matías
Published: September 2023

El presente artículo tiene como objetivo analizar las reseñas que se publicaron en el periódico Correo Literario, las cuales representaron criterios editoriales de los nuevos sellos que emergieron en la década del cuarenta. Las editoriales buscaban interpelar al nuevo público lector que gracias al proceso de escolarización continua llegaba al ámbito del libro. Se analizan las reseñas que escribió Gregorio Weinberg, que también firmó con el seudónimo de Héctor Pacheco Pringles, porque en ellas estableció horizontes de expectativas sobre el trabajo editorial, tanto cuando ofició como reseñador como en su papel de editor en Lautaro. La valoración positiva de las editoriales que incorporaban prólogos, advertencias y notas eruditas para acompañar a nuevos lectores, se contraponía con las editoriales que publicaban sin ningún cuidado el texto. Las reseñas sirvieron para reponer los criterios editoriales ante la ausencia de un archivo del sello Lautaro y de sus colaboradores.
Diagnostic Utility of Aldosterone/Direct Renin Concentration Ratio in Iraqi Patients with High Arterial Blood Pressure: A Pilot Study
Authors: Abd Al-Razaq Zaid Q. , Khudhair Mahmood Shakir , Sabry Khalid Abdulhussein
Published: September 2023

Objectives: Primary aldosteronism is a prevalent contributor to secondary hypertension, posing an elevated risk of morbidity and mortality. The initial step in diagnosing this condition involves screening individuals suspected of having it.

Methods: In our study, we enrolled 50 patients who were suspected of having hyperaldosteronism. We provided specific recommendations and instructions to these patients concerning drug therapy and implemented measures to enhance testing accuracy. The tests were conducted using the Chemiluminescence Immunoassay (CLIA) system procedure, relying on plasma direct renin concentration rather than activity. Our findings were meticulously validated, compared, and aligned with the references from ARUP laboratories.

Results: Among our participants, 4 patients (8%) were unequivocally diagnosed with primary aldosteronism based on the Aldosterone Direct Renin Concentration (ADRR) criteria. These patients exhibited the trifecta of hypokalemia, elevated aldosterone levels, and diminished renin levels, obviating the need for further confirmatory testing. Furthermore, 13 patients (26%) were deemed likely candidates for primary aldosteronism, given their plasma aldosterone levels exceeding 15 ng/dl and renin levels below 2.5 pg/ml. Additionally, 7 patients (14%) displayed strong indications of primary aldosteronism, characterized by plasma aldosterone levels surpassing 21 ng/dl and plasma renin concentrations below 2.5 pg/ml, accompanied by high ADRR values. However, both the "likely" and "strong indication" groups necessitated confirmatory testing. Notably, our results revealed no significant disparities in age, gender, personal or family history of atherosclerotic cardiovascular disease (ASCVD), or the presence of adrenal adenomas between patients diagnosed with primary aldosteronism and those in the non-aldosteronism group within the study.

Conclusion: Primary aldosteronism is a prevalent health concern, warranting the screening of highly suspicious patients. Utilizing direct renin concentration, instead of renin activity, offers a straightforward, cost-effective, rapid, and reproducible method for diagnosis.
Extraction and Quality Evaluation of Starch from Sindhoora Variety Mango Seed Kernel
Authors: .K Rani , .R Parimalavalli
Published: September 2023

Mango is known as the "King of Tropical Fruits" and is one of the world's most popular fruits. Mango fruit processinggenerates 25-40% waste consisting of peels and kernels, presenting a significant opportunity for by-product recovery. A mangoseed kernel starch has been isolated using sedimentation, centrifugation, and alkali methods. The study aims to apply centrifugation,sedimentation, and alkali methods to isolate the starch from mango seed kernel and study the effects on the physiochemical,functional, and FTIR characteristics of starch. The results of this investigation revealed that the highest starch yield was observedby the alkali method (81.11%), followed by sedimentation (64.11%) and centrifugation (63.16%). The physio-chemical propertiesrevealed that the centrifugation method had high protein (1.77±0.005g) and lipid (0.78g) content.In contrast, the highest starchyield (97.32g) and amylose (28.13g) content were observed in the alkali method. The functional properties like solubility index(23.0%) and swelling power (11.36g/g) were also increased in the alkali method, which maintained this tendency throughout time.When compared to centrifugation and alkali methods, the water-binding capacity of the sedimentation (90.23%) method wassignificantly increased in the mango kernel starches (p<0.05). Results of FTIR analysis showed that all starches share the samestructural properties, including O-H groups, O=C=O stretching, C-H bending, C=C bending, and -CH stretching. The studyconcludes that extraction using the alkali method had a significantly important role in the physio-chemical and functional propertiesof mango kernel starches, which may be used to improve the textural and sensory aspects in formulations of novel products
ABSURDITAS DALAM KUMPULAN CERITA PADA BUKU â€œCERITA RAKYAT DAERAH JAWA TIMURâ€
Authors: Putra Valdi Giffari Rahmayati , Viono Tono , Ambarwati Ari
Published: September 2023

Â Penelitian ini berfokus pada penyelidikan absurditas yang tergambarkan pada cerita rakyat daerah Jawa Timur yang disusun oleh Dinas Pendidikan dan Kebudayaan. Peneliti bertujuan untuk mengungkap gejala dan solusi dalam menghadapi absurditas. Penelitian ini menggunakan konsep absurditas berdasarkan pemikiran dari Albert Camus seperti yang digambarkan dalam mitos Sisifus. Sumber data dalam penelitian ini adalah kumpulan cerita rakyat daerah Jawa Timur yang disusun oleh Departemen Pendidikan dan Kebudayaan (Tim Proyek Penelitian dan Pencatatan Kebudayaan Daerah) pada tahun 1978. Sedangkan, dalam teknik pengumpulan data dalam penelitian ini menggunakan teknik dokumentasi dan studi Pustaka.Â  Hasil penelitian ini menunjukkan terdapat 3 dari 18 cerita rakyat yang mengandung absurditas, diantaranya adalah â€œDongeng Tentang Burung Gagakâ€, â€œAsal Mula Ayam Hutanâ€, dan â€œAsal Mula Pohon Jati Besarâ€. Setelah Peneliti melakukan analisis data ditemukan terdapat gejala-gejala absurditas dalam cerita tersebut. Gejala-gejala absurditas ini disebabkan oleh ketidakmampuan dan konfrontasi tokoh cerita akan situasinya. Situasi yang berbeda dengan pencarian maknanya membuat absurd dalam tokoh tersebut. Solusi dalam menghadapi absurditas juga ditemukan oleh Peneliti. Dari 3 cerita rakyat yang mengandung unsur absurditas itu, Peneliti lebih banyak menemukan solusi suicide untuk menghadapi absurditas, sedangkan solusi yang valid adalah pemberontakan dan menciptakan makna itu sendiri hanya ditemukan dalam 1 cerita rakyat saja.
ANALISIS PENERAPAN PEMBELAJARAN DIFERENSIASI PROSES MELALUI GAYA BELAJAR SISWA PADA MATERI MENULIS LAPORAN HASIL OBSERVASI
Authors: Fitri Annisa Aprilia , Nani Solihati
Published: September 2023

Penelitian ini dilakukan untuk mengetahui bagaimana penerapan pembelajaran diferensiasi proses melalui gaya belajar siswa dilaksanakan pada materi menulis teks laporan hasil observasi. Guna mengetahui hal tersebut, penelitian dilakukan dengan menggunakan metode deskriptif kualitatif dan analisis tinjauan pustaka agar penelitian ini mampu menggambarkan secara holistik disertai dengan berbagai perspektif mengenai pembelajaran diferensiasi proses melalui gaya belajar. Pengumpulan data yang ditempuh oleh peneliti dengan cara analisis hasil tes diagnostik, observasi, wawancara, dan analisis produk pembelajaran. Hasil dari penelitian ini, berdasarkan analisis tes diagnostik terdapat tiga preferensi gaya belajar siswa, yakni gaya belajar (1) visual, (2) auditori, dan (3) kinestetik. Dalam penerapan pembelajaran berdiferensiasi proses, guru memberikan stimulus pembelajaran yang berbeda sesuai dengan kebutuhan siswa. Siswa dengan gaya belajar visual diberikan stimulus melalui poster dan slide show power point, gaya belajar auditori diberikan stimulus dengan mendengarkan materi yang diberikan guru serta siswa yang saling bergantian sebagai narasumber (tutor sebaya dan diskusi), gaya belajar kinestetik diberikan stimulus dengan menyusun puzzle dan membuat mind mapping. Hasil stimulus yang diberikan guru berdasarkan gaya belajar siswa membuat pembelajaran menjadi lebih menyenangkan, membuat siswa ikut terlibat aktif, serta menumbuhkan kreativitas siswa, sehingga siswa dapat menyerap informasi pengetahuan dengan maksimal dan mampu mengembangkan potensi kodrat yang siswa miliki.
Frijol UNAD DOSQ – ZANDÚ, nueva variedad de frijol arbustiva para el clima medio y frio moderado
Authors: Polanco Puerta Manuel Francisco , Mejía Terán Adriana Luzely , Prada Yolvi
Published: September 2023

El frijol en Colombia es un alimento básico en la dieta familiar, es una fuente de proteína, carbohidratos, vitaminas, fibra dietaria y minerales esenciales, siendo uno de los principales cultivos de la economía campesina, al que se dedican más de 120.000 pequeños productores en un poco más de 100.000 hectáreas, el 85% de esta área, se siembra en la tierras altas de la zona Andina con variedades tipo voluble, de granos grandes, con gran aceptación en los mercados regionales, pero que resultan muy susceptibles a las enfermedades fungosas. Situación diferente sucede con los frijoles tipo arbustivo, en su mayoría variedades mejoradas con tolerancia a las enfermedades fungosas, pero poco apetecidas por los consumidores de esta zona. La falta de variedades de frijol arbustivo, adaptadas a la zona de clima medio y frio moderado, con granos grandes y tolerantes a las plagas y enfermedades que permitieran disminuir el impacto negativo sobre el medio ambiente, motivo a docentes investigadores de la UNAD y su grupo de investigación CIAB a realizar cruzamientos, y retrocruzamientos, entre variedades de frijoles volubles, con frijoles arbustivo y por años de selección, lograr ofrecer a los productores de la zona Andina una nueva variedad de frijol mejorada, de tipo arbustivo denominada UNAD Dosq Zandú, de granos grandes moteados, de ciclo productivo corto, tolerante a las principales enfermedades limitantes del cultivo y rendimientos superiores a 2.3 ton/ha., reduciendo los impactos ambientales y haciendo el cultivo más rentable. Por lo tanto, el propósito de esta nota de campus es que los estudiantes de agronomía comprendan la aplicación de los conocimientos de genética, fitomejoramiento y cultivos de clima medio y frio en la obtención de una variedad mejorada del cultivo y a la vez presentar a los productores del país las bondades de una nueva variedad de Frijol tipo arbustivo de mayor aceptación, lograda por la UNAD que les permitirá ser más competitivos y que puede incentivar el desarrollo regional del cultivo.
Budaya Marosok Pasar Ternak Cubadak Batusangkar Kabupaten Tanah Datar 2004-2022
Authors: Lilie Kori
Published: September 2023

Dalam pembahasan ini mengkaji bagaimana budaya marosok di pasar ternak Cubadak dan juga menggali tradisi marosok. Tradisi marosok di pasar ternak Cubadak dari awal berdiri sampai zaman sekarang yang teknologinya sudah canggih, di zaman kontemporer ini masih dipraktekkan dan dibudayakan pada daerah setempat. Melalui metode studi pustaka, penelitian in menghasilkan kesimpulan bahwa budaya marosok ini adalah sebuah kearifan lokal yang dimiliki masyarakat nagari Cubadak. Dalam cara marosok menggunakan media penutup dapat berupa handuk, kain sarung, topi atau bahkan baju yang digunakan oleh penjual atau pembeli. Cara pelaksanaannya yaitu secara non verbal maksudnya yaitu saat melakukan tawar menawar harga, penjual dan pembeli hewan ternak menggunakan gerakan jemari dalam sebuah penutup untuk menjaga kerahasiaan harga ternak yang ditawarkan. Adapun faktor penyebab eksisnya transaksi jual beli hewan ternak menggunakan cara marosok yaitu: faktor nilai yang terkandung dalam tradisi marosok: saling menghargai, saling percaya, yang kedua, diajarkan dari generasi ke generasi: pengalaman orang tua, yang ketiga faktor identitas: karena kegiatan ini sudah mendarah daging, suatu kebiasaan dari dahulu, yang keempat faktor ekonomi dan yang kelima faktor wisata.
Kata Kunci: Sosial-historis; Budaya: Marosok
Characteristics of Recurrent Respiratory Papillomatosis and Impact Factors of Surgical Intervals
Authors: Liu Siwei , He Changding , Yu Jin-Chao , Deng Wenyao , Huang Fang , Wang Jiaqi , Xu Siyan , Shao Jun
Published: September 2023

Objectives: Part I analyzes the clinical characteristics of
JO-RRP and AO-RRP. Part II explores the influencing factors of surgical
intervals. Methods: Part I: Clinical features were analyzed in
168 RRP patients (59 JO-RRP and 109 AO-RRP) diagnosed and treated in our
hospital. Part II: The correlation of interoperative time with onset
age, gender, Derkay anatomical score or surgical methods were analyzed
in JO-RRP patients. Results: The interoperative time between
operations in the JO-RRP group was 116.3±75.9 days, and in the AO-RRP
group was 169.1±141.7 days (p<0.05). In the JO-RRP group, the
CO2 laser treatment interval (186.2±140.1 days) was significantly longer
than that of the microdebrider group (124.7±114.5 days) (p=0.011).
Conclusions: 1. JO-RRP patients had higher Derkay score, higher
surgical frequency and shorter surgical interval. 2. The surgical
intervals lengthened with age and shortened with higher Derkay scores.
CO2 laser surgery has the longest interoperative time.
Carvedilol to prevent decompensation of liver cirrhosis in patients with clinically significant portal hypertension stratified by novel non-invasive model
Authors: Qi Xiaolong , Liu Chuan , You Hong , Zeng Qing-Lei , YJ Wong , Wang Bingqiong , Grgurevic Ivica , Dong Bingtian , Gou Wei , Ju Shenghong , Yim Hyung Joon , Yu Qian , Hirooka Masashi , Enomoto H. , Hanafy Amr , Cao Zhujun , Dong Xiemin , Jung Young Kul , Kim Tae Hyung , Koizumi Yohei , Hiasa Yoichi , Nishimura Takashi , Iijima Hiroko , Xu Chuanjun , Guo Xinru , Lan XiaoLin , Lai Changxiang , Liu Shirong , Wang Fang , Guo Ying , Lv Jiaojian , Li Jie , Zhang Liting , Wang Yuqing , Dai Erhei , Xie Qing , Shao Chuxiao , Liu Zhensheng , Ravaioli Federico , Colecchia Antonio , Teng Gaojun
Published: September 2023

Objective: To develop a novel non-invasive model for CSPH, and
investigate whether carvedilol could reduce the risk of decompensation
in patients with high-risk CSPH stratified by the novel model.
Methods: International multicenter observational study with a
median follow-up time of 38 months. Three cohorts were included in study
from 6 countries. In this study, a total of 1,304 patients were
fulfilled diagnosis of liver cirrhosis. Patients were treated with
carvedilol in longitudinal carvedilol-treating cohort. The primary
outcome was the development of the first hepatic decompensation .
Results: Six studies from the meta-analysis were involved
(n=819), and LSM and platelet count (PLT) were identified as independent
risk factors of CSPH, with pooled risk ratios of 1.10 (95% confidence
interval [CI] 1.06-1.15) and 0.99 (95% CI 0.98-0.99). A novel model
was established. In HVPG cohort (n=151), the areas under the receiver
operating characteristic curve (AUC) of the novel model, ANTICIPATE
model, and Baveno VII criteria for CSPH were 0.91 (95% CI 0.86-0.95),
0.80 (95% CI 0.73-0.87), and 0.83 (95% CI 0.77-0.89). The novel model
narrows down the grey zone to 22.5%, significantly lower than 50.3%,
using Baveno VII criteria (p<0.001). In follow-up cohort
(n=1,102), the cumulative incidences (1.7% vs 2.5% vs 15.8%) of
decompensation events were significantly different by using the novel
model cutoff values of >0, 0 to -0.68 (medium-risk), and
<-0.68 (p<0.001). In the carvedilol-treating cohort,
the patients with high-risk CSPH stratified by the novel model (treating
cohort, n=51) had significantly lower rates of decompensation than those
of NSBBs untreated patients with high-risk CSPH (n=613 before propensity
score matching [PSM], n=102 after PSM, all p<0.05).
Conclusion: A novel model provides stratification for CSPH and
decompensation in patients with liver cirrhosis. Treatment with
carvedilol significantly reduces the risk of decompensation among
high-risk CSPH patients stratified by the novel model.
Impact of the 23-year recovery process of degraded lands and management systems on carbon stocks, soil aggregation, and CO 2 emissions in the Atlantic forest biome, Brazil.
Authors: Ozório Jefferson Matheus Barros , Neves Isabela , Rosse Jean Sérgio , Lopes Jaqueline Alves , Alcântara Laiza Coelho de , Alcântar Laiza Coelho de , Panachuki Eloi , Castilho Selene Cristina de Pierri , Marra Leandro Marciano
Published: September 2023

The study aimed to quantify the carbon (C) contents and stocks and
evaluate the structural stability and the total emission of
mineralizable carbon (C-CO ) in different areas with
sandy-textured soil. Three managed areas were evaluated: conventional
tillage system (CTS) considered as a reference, no-tillage (NT),
permanent pasture (PP), and an area in the process of environmental
recovery that comprises the Binational Biological Refuge of Maracaju
(BBRM). Samples of deformed and undisturbed soils were collected from
all areas in years 0-0.05; 0.05-0.10; 0.10-0.20; Soil layers of
0.20-0.40 m. From the samples, carbon stocks were analyzed, soil
aggregation in CO emission. There was a positive
variation of ∆Stock-C for all areas compared to the reference area. The
best structural parameters were observed in the PP and BBRM areas. The
highest peaks of C-CO emission occurred in the CTS
area, especially on the 29 and 49
day. The CTS area evidenced that inadequate
management decreased soil quality. The areas with conservation practices
contributed to the quality of the edaphic environment for the attributes
evaluated. The BBRM area demonstrated a great capacity to increase
carbon stocks, also contributing to the improvement of the physical
quality of the soil.
Is an ecosystem perspective sufficient to understand meta-ecosystem processes? A critical reflection
Authors: Spaak Jürg , Bundschuh Mirco , Entling Martin , Schulz Ralf , Schaefer Ralf
Published: September 2023

Meta-ecosystems are the largest and probably most complex structures
investigated in ecol-ogy. Because of their complexity they are often
separated into their respective ecosystems and then studied in
isolation. This is often done without analysing whether an understanding
of the individual ecosystems can lead to a proper understanding of the
meta-ecosystem, like-ly because we lack clear guidelines when such a
separation is sufficient. We here propose four conceptual models for
which a separation appropriately approximates the full dynamics. For
each of these models we provide empirical evidence from riparian
meta-ecosystems to showcase that the terrestrial or aquatic ecosystem
should likely not be studied in isolation. Finally, we provide a new
theoretical framework to assess how strongly two ecosystems are linked
and discuss how this framework might be applied in future empirical
research.
Member selection criteria in fruit and vegetable producer organizations in Poland
Authors: Chlebicka Aleksandra , Pietrzak Michał
Published: September 2023

The role of producer organizations (POs) in enhancing the efficiency of agricultural production and empowering farmers within the agro-food supply chain has gained significant attention among scholars and policymakers. These organizations play a crucial role in addressing the challenges faced by farmers, such as market volatility, limited access to resources, and unequal bargaining power. The primary objective of this paper is to delve into the selection criteria employed by POs and classify them accordingly. By doing so, we aim to gain a deeper understanding of how the member selection process evolves over time and to highlight any divergences between POs that are actively operating and those that have ceased their operations. By contrasting the selection processes of active POs with those that have discontinued their operations, we hope to uncover potential reasons for the success of these entities. To accomplish this, our study focuses on a sample of 70 producer organizations composed of fruit and vegetable growers situated in two voivodships in Poland.
Tourism in wartime Ukraine – condition, restrictions and prospects
Authors: Gabryjończyk Piotr , Kudinova Iryna
Published: September 2023

The aim of the article is to present the current possibilities of travelling in Ukraine, shaped in the first year of the Russian-Ukrainian conflict, and the problems that the war caused in the Ukrainian tourism economy. The research method used was the analysis of selected secondary sources, including literature on the impact of crises on tourism, tourism industry reports and statistics on tourism in Ukraine. It was stated that, as a result of the war, international tourism in Ukraine decreased by as much as 90% and in the near future it will be very difficult to reach the pre-war number of visitors. There is still domestic tourist traffic, but it is subject to numerous and internally diversified restrictions. As a result, in 2022 there was a significant decrease in the size of the national tourist tax (by 24%) and budgetary revenues from the tourism economy (by 31%), despite the impressing increases in the above-mentioned categories in the western regions of Ukraine.
Strategie zarządzania obszarami leśnymi w wybranych krajach i ich skuteczność w ochronie zasobów leśnych
Authors: Jalinik Mikołaj , Pawłowicz Tomasz
Published: September 2023

W opracowaniu zbadano skuteczność strategii zrównoważonej gospodarki leśnej wdrażanych w krajach na czterech kontynentach. Badania koncentrowały się na praktykach zarządzających obszarami leśnymi na kontynentach: europejskim, amerykańskim (północ¬nym i południowym) i australijskim. Kontynenty azjatycki i afrykański zostaną uwzględnione w osobnej publikacji. Wybór państw został wybrany na podstawie osobistych zainteresowań autorów opracowania. Zwrócono szczególną uwagę na skuteczność w zachowaniu i powiększa¬niu zasobów leśnych. Zaprezentowany materiał może stanowić cenne źródło dla decydentów i zarządców obszarami leśnymi w zakresie stosowania zrównoważonych strategii ochrony i od¬twarzania lasów. W badaniach zastosowano krytyczną analizę literatury specjalistycznej oraz metody: indukcyjną i dedukcyjną.
Sex/gender differences in service use patterns, clinical outcomes and mortality risk for adults with acquired brain injury: a retrospective cohort study (ABI-restart)
Authors: Mann Georgina , Troeung Lakkhina , Martini Angelita
Published: September 2023

Objective: To identify sex/gender differences in functional, psychosocial and service use patterns in community-based post-acute care for acquired brain injury. 
Design: Retrospective cohort study.
Subjects/patients: Adults with acquired brain injury enrolled in post-acute neurorehabilitation and disability support in Western Australia (n = 1,011).
Methods: UK Functional Independence Measure and Functional Assessment Measure (FIM + FAM), Mayo-Portland Adaptability Inventory-4, goal attainment, length of stay (LOS), number of episodes of care and deaths were evaluated using routinely collected clinical and linked administrative data.
Results: At admission, women were older (p < 0.001) and displayed poorer functional independence (FIM + FAM; p < 0.05) compared with men. At discharge, there were no differences in goal attainment, psychosocial function or functional independence between men and women. Both groups demonstrated functional gains; however, women demonstrated clinically significant gains (+ 15.1, p < 0.001) and men did not (+ 13.7, p < 0.001). Women and men had equivalent LOS (p = 0.205). Aboriginal and/or Torres Strait Islander status predicted longer LOS for women but not for men. Being partnered predicted reduced LOS for women but not men. Women had a higher risk of multiple episodes of care (p < 0.001), but not death (p = 0.409), compared with that of men.
Conclusion: At admission to rehabilitation and disability support services for acquired brain injury, women have poorer functional independence and higher risk of multiple episodes of care, compared with men, suggesting greater disability in the community. By the time of discharge from these services, women and men make equivalent functional and psychosocial gains. The higher risk of multiple episodes of care for women relative to men suggest women may need additional post-discharge support, to avoid readmission.
Pelatihan Kehumasan dan Keprotokolan Bagi Aparatur Desa di Wilayah Das Banyumala, Kabupaten Buleleng
Authors: Darmayanti Ida Ayu Made , Artika I Wayan , Nurjaya I Gede , Astika I Made , Tantri Ade Asih Susiari
Published: September 2023

Pengabdian kepada masyarakat ini ditujukan bagi aparat desa di wilayah DAS Sudamala, Kabupaten Buleleng. Sebagian besar aparatur desa ini belum berpengalaman menerapkan pemberian informasi kepada publik dan tata cara menerima tamu. Terlebih, mereka belum pernah mengikuti pelatihan terkait hal itu meskipun dalam keseharian tugas mereka lakukan secara otodidak. Kekurangan itu dapat diminimalisir dengan melakukan pelatihan kehumasan dan keprotokolan dengan menerapkan metode penugasan dan studi kasus. Berdasarkan pada pelatihan yang dilaksanakan, dapat ditarik kesimpulan, yaitu pelatihan ini sudah berjalan dengan baik dan lancar serta mencapai target yang telah direncanakan sebelumnya, yakni aparat desa mampu mengaplikasikan segala sesuatu yang telah dilatihkan, yakni terkait kehumasan dan keprotokolan.
Bimbingan Teknis Penerapan Prinsip Kejujuran Dalam Perjanjian Jual Beli Berbasis Ekonomi Digital di Desa Pulau Panggung pada Masa Pandemi Global
Authors: Yahanan Annalisa , Murzal  , Muntaqo Firman , Nurhidayatuloh  , Sulistiyaningrum Helena Primadiantini
Published: September 2023

Pandemi global yang melanda dunia termasuk Indonesia, tidak hanya berdampak pada bisnis di perkotaan tetapi juga di pedesaan seperti menurunnya omzet penjualan. Perjanjian jual beli berbasis ekonomi digital merupakan salah satu solusi masyarakat pedesaan untuk memanfaatkannya dalam rangka meningkatkan kesejahteraan mereka. Tujuan kegiatan ini adalah memberikan bimbingan teknis terkait dengan penerapan prinsip kejujuran dalam perjanjian jual beli berbasis ekonomi digital. Metode pelaksanaan dilakukan dengan cara ceramah dan diskusi serta dilanjutkan dengan praktik membuat iklan dengan aplikasi penggunaan gambar (canva) berisi prinsip kejujuran yang tujuannya untuk melindungi konsumen. Hasil dari bimbingan teknis menunjukkan bahwa peserta dapat membuat iklan dengan konten memberikan informasi yang jujur dan benar terkait dengan produk yang ditawarkan sesuai dengan peraturan. Namun dalam pelaksanaan pembuatan iklan berbasis ekonomi digital dalam menawarkan produk mengalami kendala karena keberadaan internet yang tidak stabil.
Optimalisasi Peran Orang Tua Dalam Pemantauan Pertumbuhan, Perkembangan dan Stimulasi Balita pada Masa Pandemi Covid-19
Authors: Pratiwi Putu Irma , Sulyastini Ni Komang , Astuti Anjar Tri
Published: September 2023

Penyakit Coronavirus 2019 (COVID-19) merupakan masalah kesehatan dunia. Langkah-langkah yang dilakukan pemerintah untuk mengendalikan pandemi ini menimbulkan dampak yang luas pada perekonomian, kehidupan sehari-hari dan semua aspek kehidupan anak. Gangguan pertumbuhan dan perkembangan seringkali tidak kentara dan sulit untuk diketahui, biasanya akan terdeteksi ketika sudah terjadi masalah. Proses skrining awal memungkinkan untuk menemukan anak-anak berisiko mengalami masalah dalam perkembangan. Orang tua memiliki peran yang penting dalam melakukan kegiatan ini. Tujuan Kegiatan ini untuk meningkatkan kemampuan orang tua dalam memantau pertumbuhan, perkembangan, pemberian stimulasi pada balita dirumah dan tercatatnya hasil pemantauan pada buku Kesehatan Ibu Anak (KIA). Metode kegiatan pengabdian ini adalah pelatihan. Hasil dari pengabdian ini terdapat peningkatan  pengetahuan pada orang tua balita mengenai pemantauan pertumbuhan dan perkempangan dilihat dari hasil pre dan posttest serta terlaksananya pemantauan pertumbuhan, perkembangan dan pemberian stimulasi pada balita dirumah.
PELATIHAN PEMBUATAN ASAP CAIR DENGAN TUNGKU PIROLISIS SEDERHANA BAGI KELOMPOK PETANI KELAPA DI DESA YEH EMBANG, KECAMATAN MENDOYO, JEMBRANA BALI
Authors: Tika I Nyoman , I Ketut Supir  , I Gusti Ayu Tri Agustiana
Published: September 2023

Tujuan pengabdian ini adalah untuk mentransfer teknologi pembuatan asap cair dengan tungku pirolisis sederhana bagi petani kelapa di Desa Yeh Embang, kecamatan Mendoyo, Jembrana Bali. Metode yang digunakan adalah pelatihan dan pendampingan. Pelatihan dilakukan 3 hari, setelah itu dilakukan pendampingan selama 3 bulan. Adapun pelatihan yang dilakukan adalah pembuatan asap cair dengan tungku pirolisis sederhana. Evaluasi kegiatan ini dilakukan terhadap respon, aktivitas, produk yang dihasilkan. Hasil kegiatan menunjukkan bahwa petani kelapa dapat menghasilkan asap cair dengan rendemen 1,5% dan arang batok kelapa dengan rendemen 73,2%, dan efisiensi keuntungan meningkat dari 45% menjadi 85,93%. Analisis terhadap hasil produksi petani dilakukan dengan GC-Ms, dihasilkan 7 macam komponen yang dominan yaitu fenol, 3-metil-1.2- siklo pentadion, 2-metoksi fenol, 2-metoksi-4- metilfenol, 4-etil-2-metoksifenol, 2.6-dimetoksi fenol dan 2.5-dimetoksi benzil alkohol. Respon peserta menunjukkan memberikan respon positif. Kegiatan P2M ini perlu lebih sering dilakukan agar petani dapat meningkatkan pengetahuan dan keterampilannya.