bluuebunny/crossref_metadata_2025 huggingface dataset:
Epistemologis Tafsir Tematik: Menuju Tafsir Al-Qur’an Yang Holistik
Authors: Kamil Fajri , Rahman Pathur , Nur Sulaiman Mohammad , Ilyas Deddy
Published: January 2024

The aim of this research is to discuss the Epistemological Efforts of Thematic Interpretation in Holistic Interpretation of the Qur'an. This research falls under the category of qualitative research, therefore the researcher only conducts a literature review. The first step involves gathering literature sources, both primary and secondary sources. The next step in this research is to provide a description of the literature sources that discuss the history, meaning, principles, and steps of thematic interpretation. The conclusion of this research is obtained through an analysis or epistemological approach to the method of thematic interpretation. The results and discussions of this research reveal that the discourse on the thematic method among scholars and scientists has led to the development of this method through the collaboration of modern scientific knowledge in the field of interpretation. This collaborative interpretation is referred to as integrative thematic interpretation, which enhances the existing classification of thematic interpretation. Ideally, all classifications of thematic interpretation can be interwoven into an integrative formulation of thematic interpretation, thus resulting in a holistic thematic interpretation of the Qur'an. Holistic thematic interpretation of the Qur'an is an epistemological effort to establish the validity of interpretation as a divine truth and as a rational and sensory truth that can be justified apriori, aposteriori, and pragmatically.

Keywords: qur’an; thematic interpretation; epistemological; holistic.
Konsep Wasathiyyah Menurut Sayyid Quthb dalam Kitab Tafsir Fi Zhilal Al-Qur’an (Analisa Sosiologi Pengetahuan Peter Ludwig Berger)
Authors: Janhari M. Nurwathani , Khumaero Suke Indah
Published: January 2024

Isu mengenai pola beragama yang wasathiyyah mendapat perhatian yang cukup luas di era ini. Hal tersebut tidak terlepas dari munculnya paham ekstrim kiri maupun ekstrim kanan. Bahkan, isu tersebut mendapat perhatian yang cukup serius dalam beberapa kitab tafsir khususnya dalam kitab tafsir Fi Zhilal Al-Qur‟an yang menjadi objek material dalam penelitian ini. Berangkat dari latar belakang tersebut, penelitian ini hendak menelisik pandangan Sayyid Quthb mengenai konsep wasathiyyah dalam kitab tafsir Fi Zhilal Al-

Qur‟an, serta menganalisa pandangan tersebut dengan menggunakan pendekatan Sosiologi Pengetahuan dari Peter Ludwig Berger. Dengan menggunakan analisa sosiologi pengetahuan dari Peter Ludwig Berger akan terlihat bahwasanya setiap pengetahuan bersifat subjektif dan tidak bebas nilai, karena setiap pengetahuan dipengaruhi oleh subjektivitas dari pengarang itu sendiri atau dalam hal ini mufassir. Adapun hasil dari penelitian ini menunjukkan bahwasanya, bagi Sayyid Quthb, konsep wasathiyyah dipahami sebagai suatu tata cara beragama yang seimbang dalam beberapa aspek, seperti bersikap wasathiyyah dalam pandangan, keyakinan, pemikiran, perasaan, peraturan, keserasian hidup, ikatan, hubungan, tempat, maupun zaman. Dengan melihat pendapat Sayyid Quthb tersebut dengan menggunakan Sosiologi Pengetahuan dari Peter Ludwig Berger akan terlihat bahwasanya pendapat tersebut tidak terlepas dari pandangan Sayyid Quthb mengenai Barat. Bagi Sayyid Quthb, setelah melakukan kunjungan ke Amerika dalam kapasitasnya sebagai konsultan Pendidikan, ia berpandangan bahwasanya Barat memiliki paham materialistis yang kering dari nilai-nilai ketuhanannya, yang mengakibatkan munculnya berbagai masalah sosial. Oleh sebab itu, bagi Sayyid Quthb, hal tersebut akan dapat teratasi melalui konsep yang ada dalam Islam, terlebih lagi konsep wasathiyyah yang tertuang dalam Qs. Al-Baqarah [2] : 143.
Furgensi Infrastruktur Dalam Surat An-Nahl Ayat 15 Menurut Ibn Jarir Al-Tabari Dan hamka
Authors: Ghianovan Jaka
Published: January 2024

The existence of a country is said to be advanced if it meets several conditions, one of which is a good and strong infrastructure. The urgency of this aims to sustain human life. Infrastructure consists of several types, namely: 1) Economic Infrastructure which revolves around services that produce production and final consumption as well as public facilities; 2) Social Infrastructure which is engaged in health, education and tourism; 3) Administrative Infrastructure / Institutions in the field of law enforcement, population administration and culture. Infrastructure is discussed in the Qur'an Surah An-Nahl verse 15 such as the creation of mountains, rivers and roads. Ibn Jarir Al-Tabari explains that the creation of rivers (Anharan) and roads (Subulan) aims to facilitate transportation connectivity between regions and to make it easier for humans to get the gifts of Allah SWT. Hamka also explained that the existence of several things mentioned in Surah AnNahl verse 15 such as rivers and roads is the lifeblood of mankind as has happened since the beginning of human civilization, so this is very urgent for the development of the country
Ruqyah Syar’i: Signifikansi Dan Pengaruh Surat Al-Fatihah Dalam Praktik Ruqyah
Authors: Ridwan Agus Rifki , Rusli Ris’an , Halimatuss’adiyah Halimatuss’adiyah
Published: January 2024

Basically the study of the Qur'an does not necessarily focus on the text of the Qur'an. However, it can also refer to social phenomena associated with the presence of the Qur'an in certain Muslim communities, as well as other individuals who are involved with it on a daily basis or what is often referred to as the Living Qur'an. The Qur'an lives in society and is known as the Living Qur'an. In contrast to most Al-Qur'an studies which concentrate on the text of the Al-Qur'an, this article aims to bring the evolution of Al-Qur'an studies into the realm of the Living Qur'an. An interesting option in its development may be the living Koran. The research findings show that Surah Al-Fatihah can be used to perform meruqyah for individuals.
Rabbani's Character in Social Media: A Study of the Relevance of Al-Qur'an Meme's Instagram Mubadalah.id with Interpretations of Mufasir Nusantara
Authors: Zulfikar Eko , Almunadi Almunadi , Kher Abdul
Published: January 2024

This article aims to examine the idea of ​​Instagram Mubadalah.id about the character of Rabbani in the Qur’an. In the post that was uploaded in the form of a meme on its website, Mubadalah.id seems to have contributed thoughts about the character of Rabbani that men and women must have. This is interesting to study further, considering that Mubadalah.id is an Instagram social media that actively posts issues around Islam, especially those related to gender. By using qualitative methods and a virtual ethnographic approach, this article concludes that Mubadalah.id’s Instagram provides the idea of ​​nine Rabbani characters based on verses of the Koran which are packaged in the form of memes, namely: having faith in Allah, always doing good deeds, protecting oneself from lust for the world, intertwin hablun minan-nas, have commendable morals, do not oppress women, are aware of their potential, are aware of slander within themselves, and behave in rahmatan lil ‘alamin. The nine characters of Rabbani in the Qur'an offered by Mubadalah.id are very relevant to the interpretation of Mufasir Nusantara against the verses which are used as a benchmark to designate the character of Rabbani. Therefore, the nine Rabbani characters need to be applied in Indonesian social life to achieve a better life.
Analisis Pemikiran as-Shabuni Tentang Poligami Dalam Kitab Shafwatut Tafasir
Authors: Wahyudi Wahyudi , Nada Wahyu , Sutanto Cepi , Widianengsih Dedeh , Pitriani Latipah
Published: January 2024

This article explains polygamy according to the thought of Shaykh Muhammad Ali ash-Shabuni. The purpose of this article is to provide an overview of ash-Shabuni's thoughts on polygamy. The method used in this research is the library research method or Literature Study, supported by other related sources. Polygamy has never been discussed. We can look at it from a socio-cultural point of view to a theology-of interpretation. The author tries to analyze how ash-Shabuni explains his interpretation and his thoughts on QS. al-Nisa (4): 3 and 129 which textually mentions polygamy, The book referred to in this study is the book of tafsir Shafwatut Tafasir, he states in his tafsir that polygamy is not a new innovation in Islam, but has been a common practice among Arabs before Islam, although without clear boundaries. Islam, according to him, provides solutions to imbalances and chaos in society through the Sharia law of polygamy. In addition, the author also presents the opinions of Salafi scholars regarding the law of polygamy, more clearly discussing this polygamy.

Keywords: Shafwatut Tafasir, Tafsir Al Quran, ash-Shabuni, Polygamy.
Tafsir Tematik: Manaqib Iblis Dalam Perspektif Al-Qur’an
Authors: Sanusi Al Khanafi Muh. Imam
Published: January 2024

Al-Qur’an merupakan kitab petunjuk untuk umat manusia kapanpun dan dimanapun. Keyakinan tentang kebenarannya diakui oleh orang-orang yang bertaqwa. Salah satu ciri-ciri orang yang bertaqwa ialah percaya dengan perkara gaib. Diantara ungkapkan dalam al-Qur’an terkait dengan yang tidak tampak (gaib) adalah iblis. Kata Iblis (ابليش) terulang sebanyak 24 kali, dalam 24 ayat dan di dalam 9 surat dalam bentuk tunggal yang dijumpai dalam al-Qur’an. Al-Baqarah (2): 34, Al-`Araf (7): 11, 12, 14, 16 , Al-Hijr (15): 31, 32, 33, 36, 39, Al-Isra’ (17): 61, 62, Al-Kahfi (18): 50, 51, Taha (20): 116, 117 Asy-Syu`ara’ (26): 95, Saba (34): 20,21, Sad (38): 74, 75, 76, 79, 82. Semua ayat-ayat di atas menyebutkan tentang pembangkangan iblis kepada Allah untuk bersujud kepada Adam. Iblis diciptakan Oleh Allah swt sebagai makhluk antagonis yang tugasnya mengajak ke lembah kejahatan. Sehingga hati manusia disesatkan untuk menjauhkan dirinya dari Allah swt. Iblis diciptakan oleh Allah swt sebagai bentuk kesempurnaan-Nya dalam menciptakan Alam jagad raya, dan keseimbangan atas ciptaanya. Tanpa adanya iblis, manusia di dunia akan sia-sia dan justru derajatnya tidak akan berkembang. Dengan diciptakannya iblis manusia bisa berlomba-lomba untuk menjadi makhluk yang terbaik dari hasil ciptaan-Nya. Karena itu, manusia harus menyadari dan mengenali betul apa saja godaan, tipu daya dan muslihat yang dipergunakan oleh iblis, sehingga bisa menjadi makhluk yang mulia disisi Allah.
Analisis Keterampilan Proses Sains dalam Praktikum Kimia Fisika
Authors: Eralita Norma
Published: January 2024

Physical chemistry practicum is a crucial element in higher education curriculum to develop students' science process skills. The study aims to analyze the skills of science processes in physics chemistry practices in the university environment. Emphasis is given on the ability to make careful observations, plan appropriate experiments, make accurate measurements, analyze data critically, and connect theory with practice in the laboratory. The research method used in this study is qualitative research involving data collection from physical chemistry practicum conducted by students in university laboratories. The research targets were chemical engineering students who received physical chemistry practicum courses at the faculty of industrial technology, Nahdlatul Ulama Al Ghazali University, Cilacap. Research data were collected through practicum observations, interviews, and analysis of student practicum report results. The data were analyzed to evaluate the science process skills developed during practicum, as well as its impact on the understanding of physical chemistry concepts. The results of the analysis show that physics chemistry practicums provide students with practical experience in conducting practicum activities. Students demonstrated the ability of their scientific processes to perform careful observations such as accurate and accurate measurements. Critically analyze data from the results of experiments or experiments such as making the correct table or graph. These skills are intellectual process skills that are very important in studying chemistry.
Lists of children’s traits for measuring parental values: from the perspective of Schwartz's typology
Authors: Okolskaya Lidia
Published: January 2024

This article examines techniques for measuring parental values in key studies from the 1920s to the 2010s. Lists of prompts with desired qualities of children offered to respondents for selection or evaluation are analyzed in termsof Schwartz's value typology, which includes dimensions of conservation –openness to change and self-enhancement – self-transcendence. It is found that questionnaires tend to detail socially oriented values more than individualistic values, with a stronger emphasis on hierarchical sociality qualities such as obedience, neatness, good manners, and less emphasis on altruistic behaviors. Individualistic values of autonomy, self-enhancement and hedonism are not always adequately reflected in the questionnaires, which may be due to the restrictive nature of values for others compared to values for oneself.
Effects on expression of B lymphocyte transmembrane ligand genes after treatment with Rose extract
Authors: Arokiaraj Mark Christopher , Menesson Eric
Published: January 2024

The goal was to evaluate the role of red rose extract (Pierre de Ronsard) on the human B lymphocytes gene CD20, CD30, CD40, and CCR5 expression. Red rose extract was prepared at the dilution of 0.0075% (v/v) and stored until use at -20°C. Cell treatment was performed at 37°C on human B cells. Cells were plated in 6 well plates at 1.5x106 cells per well and stored at -80°C and total RNA extracted. RTq-PCR was performed according to Genecopoeia. The cycle threshold method (ΔΔCt) was used for data analysis. The comparative Ct method quantification (2^-ΔCt ) and fold change for CD20, CD30, CD40 and CCR5 were - 5.65E+01, 4.80E-01, N/A, 2.47E-01; and 0.954,0.377, N/A and 0.577, respectively. The amount of total RNA extracted from about 4.5x10⁶ cells was low and did not allow us to measure the RNA profile. With the exception of CD40, all other genes were expressed and well-measured in both B cell samples by qRT-PCR. The expression of CD30 and CCR5 genes were decreased in B lymphocytes in vitro with the rose extract treatment. More studies are needed to further study these effects and potential.
Mucua: Sensory analysis of the fruit of Adansonia digitata L. (Baobab) in natura
Authors: Tomás Augusta , Oliveira Leandro
Published: January 2024

The mucua is the fruit of the embondeiro or baobab (Adansonia digitata L.) and originates from Africa. It has a high content of ascorbic acid and dietary fiber, along with antioxidant properties. The aim of this study was to test the acceptability of the mucua fruit in natura in a sample of Portuguese adults and test its intention to consume and availability to pay for this fruit. After providing the fruit, participants fulfilled a questionnaire for their socioeconomic characterization and tested their acceptability and willingness to pay for the fruit. The participatants in this study (n=53) were 20 years old, primarily female (80.8%), Portuguese (73.1%), and students (86.6%). The tasters considered the following aspects of the mucua fruit pleasant or very pleasant: global appreciation (49.2%), color (71.2%), shape (53.8%), flavor (40.4%), aroma (48.5%) and texture (44.2%). Approximately 30% of tasters would be willing or very willing to consume this fruit regularly and pay 3 €/ kg (62.9%). The mucua had good acceptance by the tasters, and the color, the form, and the global appreciation, were the attributes with the best scores on the acceptability test. In addition, they were willing to consume it regularly if they were available at an economically affordable price.
Food Contact Materials: contaminants and associated risks from the reports published in the RASFF portal (2020-2022)
Authors: Palma B. B. , Pereira C. M. , Costa J. G. , Fernandes A. S.
Published: January 2024

Food Contact Materials (FCM) have been a source of alert and concern for public health. The portal of Rapid Alert System for Food and Feed (RASFF portal) is a key tool for food safety that includes the countries of the European Union, together with a few associated countries. This system ensures the flow of information to enable swift reaction when risks to public health are detected in the food chain. The present work aimed at characterizing the RASFF notifications related to FCM that occurred between the period of January 2020 and December 2022. For this purpose, a database with 600 notifications existing on the portal was created. The results of this study demonstrated that tableware, followed by cooking utensils and cups/mugs, were the product categories that originated the greatest number of notifications. Primary aromatic amines were the contaminant associated with higher health risks and physical particles were the most reported contaminants. China was the country of origin most associated with notifications and Spain was the country that carried out most notifications.
Subject-related communicative language competence: Exploring future information technology specialists' learning and teaching
Authors: Kaldarova Aissulu , Kulgildinova Tulebike , Berdenova Saule , Zakirova Gulnara , Zhanabayeva Svetlana
Published: January 2024

The need for IT professionals with fluency in foreign languages becomes increasingly critical as the Kazakhstani government implements steps to foster IT innovation. However, there are structural, geographical and professional imbalances in the interaction of supply and demand for IT professionals who can speak a foreign language in the   modern labour market   which is the main problem that is currently hindering the growth of the IT sector in Kazakhstan. The aim of this study was to assess the development of subject communicative language competencies (a) in linguistic or grammatical ability and (b) in discourse ability in first-year students for the proposed author's innovative learning technique in the educational process as well as the appropriate technological and systematic procedures. A mixed-research method was used in this study. The study involved 365 learners in the "Informatics" direction at the International University of Information Technologies in Almaty, Kazakhstan during the school year 2021-2022. According to the findings, the experiment participants did not develop subject-related communicative language competencies. The results show that the degree of capability formation is not satisfactory.  52.8% is the basic level, 41.6% is the production point  and only 5.8% is the high level. Positive dynamics shaping learners' subject-related language communication competencies were identified as a result of the implementation of innovative techniques. This paper contributes to the research on teaching IT students in developing countries and highlights the most important factors that contribute to improve the level of subject-related communicative language competencies of IT students.
Algunas variantes complejas en El alguacil endemoniado de Francisco de Quevedo
Authors: Azaustre Galiana Antonio
Published: January 2024

Este trabajo analiza algunas variantes textuales especialmente difíciles en la transmisión manuscrita e impresa de El alguacil endemoniado de Francisco de Quevedo. Muchas de ellas plantean el problema de determinar si la variante es responsabilidad del autor, o bien de copistas o impresores, lo que repercute en la valoración del testimonio y sus lecturas.
Mechthild Albert entre El Puerto, Madrid y Bonn
Authors: Peral Vega Emilio
Published: January 2024

Lecciones y maestros
Clinical Profile of Patients Presenting with Altered Sensorium to Emergency Department
Authors:   Associate professor, Department of Emergency Medicine & Critical Care,SDM Medical College & Hospital, Sattur, Dharwad, Karnataka 580009, India., Malapur Rajanikant S. , P.B. Vijayalakshmi ,   Professor & Head, Department of Emergency Medicine & Critical Care,  SDM Medical College & Hospital, Sattur, Dharwad, Karnataka 580009, India., M. Soumya ,   Assistant Professor, Department of Paediatrics, SDM Medical College & Hospital, Sattur, Dharwad, Karnataka 580009, India.
Published: January 2024

Altered sensorium is a frequent presentation in emergency department, but the exact etiology of many altered sensorium patients is unknown. Patients present with vague symptoms, thus altered sensorium diagnosis and treatment are highly challenging for emergency physicians. The aim of this study is to provide a framework for the assessment of altered sensorium patients. This assessment should allow providers to better understand the etiology of mental status changes and therefore improve diagnostic skills and management. This is a retrospective record based study. The research duration was from January, 2016 to December 31, 2016. The study involved 9,800 emergency patients, in which 524 (5.34%) were altered sensorium patients. Demographic characteristics, clinical manifestations, assessment approaches, causative factors, emergency treatments and outcomes were collected. In 524 patients with altered sensorium patients recruited, accounting for 5.34% of all emergency department patients, 316 (60%) were male, and 208 (40%) female. Etiologic factors were neurological (n=225; 42.93%) & nonneurological (n=299; 57.07%). Patients with altered sensorium pose a diagnosing difficulty for ED physicians. The most frequently encountered diagnostic categories causing altered sensorium patients were primary CNS disorders, intoxication, organ system dysfunction, and endocrine/metabolic diseases. Altered sensorium is an important warning signal for ED patients because of its potentially fatal and reversible effects. Prompt evaluation and treatment are essential to decrease morbidity and mortality associated with altered sensorium patients.
Outcome of Patients with Acute Poisoning Treated with Gastric Lavage
Authors:   Associate professor, Department of Emergency Medicine, JJM Medical College, Davanagere, Karnataka 577004, India., V. Ashok Kumar , P.M. Vinaya Swamy ,   Professor, Department of Emergency Medicine, JJM Medical College, Davanagere, Karnataka 577004, India., R. Guruparan ,   Post Graduate Resident, Department of Emergency Medicine, JJM Medical College, Davanagere, Karnataka 577004, India.
Published: January 2024

Acute poisoning is a medical emergency and preventable cause of morbidity and Mortality. Gastric lavage (GL) is one of the most commonly used decontamination method for poisoning in developing countries despite lack of supporting evidence. This study was designed to evaluate the outcome of patients with acute poisoning treated with GL in regards to timing of the procedure. Methods: In this study, GL was planned to be administered to patients with acute poisoning after initial stabilization. Early GL was defined as GL given within one hour of poison exposure and late GL was referred to performing the procedure after one hour till 12 hours of ingestion. Results: During the study period, 80 patients with acute poisoning received GL comprising of 30 who received early, 50 who received late. 23 patients (29%) died. Mortality, respiratory failure and duration of ICU stay was more in late GL treated patients compared to early GL patients however this was not stastically significant. Conclusion: Since in our study timing of gastric lavage did not create a meaningful difference in the overall mortality, respiratory failure and duration of ICU stay, it would be better that gastric lavage be given to all patients irrespective of early or late arrival without any clinical ambiguity.
Anticoagulant-Related Hemorrhagic Complication: A Rare Presentation
Authors:   Secondary DNB, PGY 02,Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, Delhi 110088, India., Shah Vikram , Datta Kishalay ,   Associate Director and Head, Department of Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, Delhi 110088, India., Gulati Vaibhav ,   PGY 03, Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, Delhi 110088, India., Kumar Jitesh ,   PGY 03, Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, Delhi 110088, India., Naidu Sarat Kumar ,   PGY 03, Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, Delhi 110088, India.
Published: January 2024

An anticoagulant is a drug (blood thinner) that treats, prevents, and reduces the risk of blood clots-breaking off and traveling to vital organs of the body, which can lead to life threatening situations. Anticoagulants are commonly used medications in the prevention and treatment of thromboembolic disease. Vitamin K antagonists (VKAs), primarily warfarin, have been the most frequently used agents for patients requiring chronic anticoagulation. More recently, newer oral anticoagulants including the direct thrombin inhibitors and factor Xa inhibitors have become available. Bleeding is the major complication of anticoagulant and fibrinolytic therapy. The criteria for defining the severity of bleeding vary considerably between studies, accounting in part for the variation in the rates of bleeding reported. The major determinants of vitamin K antagonist (VKA)-induced bleeding are the intensity of the anticoagulant effect, underlying patient characteristics, and the length of therapy. Iliopsoas hematoma is a rare complication that occurs in patients receiving anticoagulant therapy. The clinical manifestation of iliopsoas hematoma is non-specific. It can mimic orthopedic or neurological disorders, including paraesthesia or paresis of the thigh and leg due to compression of the nerve plexus.
Post Traumatic Transient Cortical Blindness
Authors:   Resident, Dept. of Emergency Medicine, AMRI Hospitals, Khandagiri, Shankarpur, Odisha 751030, India., Pandey Manas , Mishra Debasis ,   Cunsoltant, Dept. of Emergency Medicine, AMRI Hospitals, Khandagiri, Shankarpur, Odisha 751030, India., Nomani Sajid ,   H.O.D & Consultant, Dept. of Emergency Medicine, AMRI Hospitals, Khandagiri, Shankarpur, Odisha 751030, India.
Published: January 2024

Transient cortical blindness is a rare complication of mild head trauma, but it always creates fear in the patient and their family. However, it usually has a benign outcome. Post traumatic Transient Cortical Blindness is defined as temporary and complete visual loss associated with normal pupillary reflexes and fundoscopic examination with return of visual function without any long term neurological complications following minor head trauma. Since the number of reported cases are very less, transient blindness after head injury has been mostly attributed to hysteria if brain imaging and fundoscopy examination is normal. Post traumatic Transient Cortical Blindness was first reported by Lemiere [in 1918]but its pathophysiology is still unknown. We report one such case of transient blindness.
Comparative Study of Primary Closure Versus Non-Closure in Dog Bite Wounds
Authors:   Associate professor, Department in Emergency Medicine, Ramaiah Medical College & Hospital, Bengaluru, Karnataka 560054, India., V.R. Anil Kumar , V.N. Priyanka ,   Assistant professor, Department in Emergency Medicine, Ramaiah Medical College & Hospital, Bengaluru, Karnataka 560054, India., K.B. Abhishek ,   Resident, Department in Emergency Medicine, Ramaiah Medical College & Hospital, Bengaluru, Karnataka 560054, India.
Published: January 2024

Introduction: Dog bites are common in India accounting to 1-2% of patients presenting to Emergency department. There is long drawn controversy regarding the treatment protocol for dog bites. Several studies have shown comparable amount of wound infection in both these techniques with better aesthetic appearance following Primary closure. We conducted a study to compare the rate of infection, aesthetic outcome & the wound healing time between Primary closure and Non-closure technique. Materials & Methods: After Ethical committee clearance,120 consecutive patients with Dog bite wounds were included in this Experimental control trial. The patients were divided into two groups based on computer-based randomization.All dog bite wounds received initial wound care. One group underwent Primary suturing of wound and in other group wounds were dressed without suturing. Prophylactic antibiotics were given to all patients. Human immunoglobulin was administered according to WHO guidelines. Infection rates, cosmetic appearance and healing time were compared. Results: The infection rate in primary closure was 8.3% as compared to 11.7% in Non-closure. However, it was not statistically significant (P=0.543). Primarily closed wounds had 86.7% good scars as compared to 11.7% in Non-closure which was statistically significant (p=0.001). We also found that the Mean healing time was 23.65 days in Primary closure and 49.05 in Non-closure. Conclusion: Primary suturing of dog bite wounds leads to faster healing rate with no significant change in the infection rate & yields a good cosmetic scar. Local infiltration of wound with immunoglobulin showed no change in the rate of infection.
An Unusual Presentation of an Unprovoked Pulmonary Embolism; Diagnostic Challenges in the Emergency Department
Authors:   Resident, Department of Emergency Medicine, Max Hospital, Vaishali, Ghaziabad, Uttar Pradesh - 201012., Sehgal Pallavi , Naidu Sarat Kumar ,   Attending cunsoltant, Department of Emergency Medicine, Max Hospital, Vaishali, Ghaziabad, Uttar Pradesh - 201012., Nair Dheeraj Bhaskaran ,   Associate Consultant and Coordinator, Department of Emergency Medicine, Max Hospital, Vaishali, Ghaziabad, Uttar Pradesh - 201012.
Published: January 2024

Pulmonary embolism is a life-threatening condition and in most cases the presentation is typical with h/o pleuritic chest pain, breathlessness and h/o prolonged immobilization. However unusual presentations are not very rare and its awareness can avoid delay in its diagnosis and prevent mortality. A 23 years old male presented to ER with non-specific complaints of right upper quadrant pain and fever for 2 days. His vital signs were within normal limits apart from tachycardia and all initial investigations were normal. Due to his increased breathlessness, Well’s score was checked but it was zero. However D-dimer was done which showed high values 1000ng/ml following which CTPA was performed that showed multiple right sided pulmonary emboli. He was then started on LMWH and Direct thrombin inhibitor and was discharged after 4 days. The purpose of publishing this case is to make physicians aware of the unusual presentations of pulmonary embolism and that too in a patient who did not have any known risk factors.
Association of Ventilator Associated Pneumonia with Various Risk Factors in Patients at Ahmedabad, Gujarat
Authors:   Assistant professor, Department of Medicine, GMERS Medical Collage, Sola, S.G. Highway, Ahmedabad, Gujarat 380060, India., Vadodariya Namrata , Jivarajani Harsha ,   Assoicate Professor, Department of Medicine, GMERS Medical Collage, Sola, S.G. Highway, Ahmedabad, Gujarat 380060, India.
Published: January 2024

Background and Aim: Ventilator associated pneumonia (VAP) is a common complication in critically ill patient affecting 9 to 27% of all critically ill patients. We have done the study of ventilator associated pneumonia (VAP) with various risk factors like age, sex, duration of ventilation, airway access, various organisms and their culture and sensitivity to various antibiotics and comorbid conditions associated with ventilator associated pneumonia. Material and Methods: The present study was conducted in our Medical ICU of Civil Hospital during period from November 2009 to November 2011. It includes 100 cases of mechanically ventilated patients of age more than 15 years. VAP was defined as the occurrence of a new and persistent radiographic infiltrate in conjunction with positive endotracheal aspirate culture. A cut off of 7 days of mechanical ventilator was used to distinguish patient with early nset VAP from those with late onset VAP. Risk factors like age, sex, duration of mechanical ventilation and comorbid conditions like COPD, stroke, ischemic heart disease were studied. Results: Most common comorbid state associated with mechanical ventilatory support was COPD and 72.72% patients with COPD developed VAP. incidence of VAP was highest with reintubation (70%) followed by tracheostomy (30%) and non-invasive ventilation (20%). most common organism for VAP was Pseudomonas with 37.5% incidence, followed by Staphylococcus Aureus (16.66%), Klebslia (16.66%), Conclusion: Ventilator associated pneumonia is an important cause of mortality in ICU patients. Most important risk factors for development of VAP include age >60 years, presence of co-morbid illnesses, re intubations, duration of ICU stay.
Gender Bias in Dengue The Lab Perspective
Authors:   Tutor, Department of Emergency Medicine, Kempegowda Institute of Medical Sciences and Research, Bengaluru, Karnataka 560004, India., Joshi Anagha A. , Byrappa Varun ,   Assistant Professor, Department of Emergency Medicine, Kempegowda Institute of Medical Sciences and Research, Bengaluru, Karnataka 560004, India., B.R. Gayathri ,   Tutor, Department of Emergency Medicine, Kempegowda Institute of Medical Sciences and Research, Bengaluru, Karnataka 560004, India., B. Madhupriya ,   Assistant Professor, Department of Pathology, Kempegowda Institute of Medical Sciences and Research, Bengaluru, Karnataka 560004, India.
Published: January 2024

Background: Dengue infection can occur as epidemics in India. If early treatment is not instituted it has high mortality. Currently there is no specific antiviral drug or vaccine available for treatment of dengue, preventive measures play a crucial role in controlling the infection and reducing mortality. Sex and gender are major factors which impact incidence, severity and response to vaccination and therapy in dengue, so that preventive measures may be targeted to the at risk population. Aims: The aim of the study is to analyse gender patterns in dengue and its impact on the severity of dengue. Materials and Methods: A total of 132 seropositive cases of dengue were analysed for the haematological parameters (haematocrit, blood counts) and serology in association with gender and age of the patients over one month period in November 2016 at KIMS hospital Bengaluru.The relevant data obtained from the microbiology register and haematology report forms was tabulated for analysis. Results: Our patients were aged 5months-65years with an average of 32years. 30% constituted paediatric group with 70% in non paediatric (>12years) group. There was a male predominance with 55% males, 45% females and male to female ratio of 1.2:1. In the paediatric group we had 45% males (18/40) and 55% females (22/40). The lab parameters showed a rise in haematocrit in 54% of females as against 49% of males and was more marked in paediatric group. Leucopenia was significantly seen in higher proportion of males (44%) as against females (34%). The differential counts showed marginally higher proportion of lymphocytes especially atypical lymphocytes in females compared to males (56%vs 49%). Neutropenia and thrombocytopenia were seen in marginally higher proportion of males than females were 29% vs 24% and severe thrombocytopenia was 59% and 54% respectively. NS1 antigen positivity was noted in higher proportion of males compared to females (33% vs 22%) whereas association with antibody was seen in higher proportion of females compared to males 44% vs 35%). Conclusion: Gender differences play an important role in prevalence and severity of dengue. Awareness of this factor and implementing preventive measures targeted at the risk population helps to reduce mortality and morbidity of disease.
A Rare Case of Eosinophilic Gastroenteritis
Authors:   MEM Resident, Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India., Khan Ashar , Govil Priya ,   Culsoltant, Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India., Datta Kishalay ,   Associate Director and HOD, Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India.
Published: January 2024

Eosinophilic gastroenteritis (EGE) is a rare disease characterized by eosinophilic infiltration and peripheral eosinophilia. It can be seen anywhere in the gastrointestinal tract. It is diagnosed in the biopsies taken during endoscopic examination of the patients with abdominal pain and chronic diarrhoea. A 22 years old Female patient is having Gastroesophageal reflux disease (GERD) presented with complaints of painin abdomen,centrally located,diffuse in nature,pain exacerbate with food and norelieving factor associated with nausea,vomiting and constipation.On examination abdomen was soft with diffuse tenderness. In this article we present a case of Pain abdomen associated with vomiting and constipation diagnosed as EGE.
Sequele of Events in Covid 19 Patients
Authors:   MEM Resident, Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India., Verma Pallavi , Datta Kishalay ,   Associate Director and HOD,Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India., Rawat Anita ,   Consultant Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India., Khan Ashar ,   MEM Resident, Department of Emergency Medicine, Max Superspeciality Hospital, Shalimar Bagh, New Delhi 110088, India.
Published: January 2024

The Coronavirus Pandemic began in China in December 2019. In a short time, this pandemic spread globally. This virus has been called the 2019 new coronavirus (2019-nCoV) by the World Health Organization. The characteristic features/symptoms of Covid-19 are fever, cough, shortness of breath, abdominal pain, myalgia, sore throat, loss of smell and taste, diarrhoea, chest pain other possible symptoms. The characteristics features on Chest xray/CT chest are subpleural localized ground glass opacities and numerous irregular areas of consolidation in both lungs and especially in the lower lobes. Pneumothorax and Subcutaneous emphysemaremains a relatively rare sequelae indicating a rate of 1%. In this case report, we aim to present a case of Covid-19 positive patient with cough, high fever and breathlessness who later developed pneumothorax in the left hemithorax and subcutaneous emphysema. It should be kept in mind that in patients with Covid-19 pneumonia, pneumothorax secondary to lungparenchymal damage may occur. Mortality rates can be reduced in patients with early diagnosis and treatment.
A Study on Serum Uric Acid in Patients with Heart Failure
Authors:   Senior Resident, Department of General Medicine, Raichur Institute of Medical Sciences, Raichur, Karnataka 584102, India., ... Bhaskara , K Abhilash ,   Senior Resident, Department of General Medicine, Raichur Institute of Medical Sciences, Raichur, Karnataka 584102, India,, G Aishhwarrya Umeshchandra ,   Senior Resident, Department of General Medicine, Bangalore Medical College and Research Institute, Bengaluru, Karnataka 560002, India.
Published: January 2024

Elevated serum Uric Acid levels have been observed in clinical conditions associated with hypoxia. Cell death can cause accumulation of purine bodies and hence hyperuricemia. Increased activation of Xanthine Oxidase can be caused by tissue hypoxia, which itself is a consequence of vascular (and cardiac) dysfunction. Methodology: A detailed history was taken including past or current morbidities. A structured clinical examination and the laboratory investigation profile of the subjects was recorded on a predesigned proforma. Height was measured by a Stadiometer, weight was recorded using a spring based weighting scale. BMI was calculated using formula of BMI = Weight (in kg)/ Height (in metre2). Results: Serum Uric Acid level (SUA) estimation done in our study group of 85 patients diagnosed as congestive heart failure showed the following results – Patients with SUA <5 mg/dl consisted of 8.2% of the study group (n=7); patients with SUA 5.1–7 mg/dl consisted of 28.2% of the study group (n=24); the maximum number of patients had their SUA 7.1–9 mg/dl contributing 44.7% of the study group (n=38); whereas those with SUA >9 mg/dl contributed 18.8% of the group (n=16). Conclusion: Thus, a total of 49 patients (65.33%) had hyperuricemia. The mean SUA was 7.68 ± 2.26 mg/dl. Keywords: Serum Uric Acid; Heart failure; Hyperuricemia.
Analysis of Clinical Presentation, Investigations, Admissions and Mortality Among Patients Presenting to Emergency Departments
Authors:   Assistant Director, Department of Nursing, Parmanand Deepchand Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra 400016, India., Jain Meenu
Published: January 2024

Introduction: Characteristics of patients presenting to Emergency Department (ED) are important in order to plan future strategies and improve quality assurance. However, very few tertiary hospitals routinely utilize the patient data to improve the quality of health care services. In this study we aim to analyse the characteristics of patients presenting to ED in a tertiary care hospital in India. Methods: This retrospective observational study included 1124 adult patients presenting to the Emergency department from May, 2018 to August, 2019 at a tertiary care hospital in Mumbai. Patient demographic details, laboratory investigations and clinical outcomes were assessed. Results: Out of 1124 patients, 899 were taken up for analysis wherein 61% were males and 39% were females. Fever (13.9%) was the most common complaint noted which was followed by abdominal pain (12.6%) and chest pain (11.1%). Of the total number of patients, 58%were managed successfully in the emergency room while 30.6%patients were admitted to wards and 10%patients were shifted to the ICU. The most common investigations conducted were blood glucose (31.6%), complete blood count (31.5%) and electrocardiography (31.4%). 42.05% patients were admitted to the hospital, 18% patients left against medical advice, while more than a quarter of patients (37.05%) were discharged and 1.45% patients succumbed to death. Conclusion: Demographic and characteristic data obtained through the hospital’s information management system, provided a holistic snapshot of patients visiting the emergency department which will help us in carving out strategies in regulating the ED training programmes, planning adequate infrastructure and developing faculty resources.
Incidence of Pulmonary Complication Mainly Pneumonia, Need for Mechanical Ventilation, Respiratory Depression after Acute Stroke
Authors:   Assistant Professor, Department of General Medicine, The Oxford Medical College, Hospital and Research Centre, Bangalore, Karnataka 562107, India., Kumar Prasanna , G Bharath ,   Assistant Professor, Department of General Medicine, Koppal Institute of Medical Sciences, Koppal, Karnataka 583231, India.
Published: January 2024

Introduction: Stroke is the second most common cause of death worldwide and a frequent cause of adult disability in developed countries. Stroke burden on families and society is projected to rise from approximately 38 million disability-adjusted life years (DALYs) lost globally in 1990 to 61 million DALYs in 2020 due to population ageing. Methodology: A total of 100 consecutive stroke patients who got admitted in Medical ICU, medical step down of our hospital and met inclusion criteria and exclusion criteria were studied prospectively over a period of 12 months. Results: As per our study results, stroke associated pneumonia is found to be the most common pulmonary complication of the stroke next followed by mechanical ventilation. Stroke associated pneumonia is most commonly observed in posterior circulation strokes, Infarcts and in patients who required mechanical ventilation. Conclusion: Stroke incidence is most commonly seen in the age group of 51-70yrs, male sex, anterior circulation stroke, infarctions are more common in our study.
Post Covid Acute Necrotizing Pancreatitis
Authors:   Emergency Medicine Resident, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi 110088, India., Kaushik Arun , Datta Kishalay ,   Associate Director and HOD, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi 110088, India., Rawat Anita ,   Senior Consultant, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi 110088, India., Khan Ashar ,   Emergency Medicine Resident, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi 110088, India.
Published: January 2024

The Coronavirus Pandemic began in China in December 2019. In a short time, this pandemic spread globally. World has been challenged by SARS COV-2, a new virus causing pneumonia and acute respiratory distress syndrome. There is lack of literature implicating COVID-19 in Pancreatitis, yet virus is generally understood to be a cause of pancreatitis in children. We present a case of previously well 12-year-old girl who presented to emergency department with a chief complain of abdominal pain, anorexia and bilious vomiting. She was diagnosed with acute pancreatitis with an abnormal lipase, ultrasound and computed tomography and was found to be COVID-19 positive by polymerase chain reaction. Our case suggest that in current pandemic, consideration for SARS COV2 testing in children with gastrointestinal symptoms and pancreatitis may be considered. Additionally, this case highlights the need for appropriate personal protective equipment for providers, even when COVID is not initially on the differential.
Pregnancy with Tubercular Pericarditis Presenting as A Cardiac Emergency: Review of A Rare Case
Authors:   Cunsoltant, Department of Obstetrics and Gynecology, Maulana Azad Medical Collage and associated Lok Nayak Hospital, New Delhi 110002, India., Pandey Nalini Bala , Narain Anupriya ,   Senior resident, Department of Obstetrics and Gynecology, Maulana Azad Medical Collage and associated Lok Nayak Hospital, New Delhi 110002, India., Gupta Mannan ,   Post Graduate Resident,Department of Obstetrics and Gynecology, Maulana Azad Medical Collage and associated Lok Nayak Hospital, New Delhi 110002, India., Mala Y M ,   Professor & Head of Unit, Department of Obstetrics and Gynecology, Maulana Azad Medical Collage and associated Lok Nayak Hospital, New Delhi 110002, India., Aggarwal Sakshi ,   Post Graduate Resident,Department of Obstetrics and Gynecology, Maulana Azad Medical Collage and associated Lok Nayak Hospital, New Delhi 110002, India., Sachdeva Poonam ,   Senior consultant, Department of Obstetrics and Gynecology, Maulana Azad Medical Collage and associated Lok Nayak Hospital, New Delhi 110002, India.
Published: January 2024

Pericardial effusion can present as one of the life threatening emergency requiring prompt diagnosis and immediate life-saving measures. We are presenting a case of a large pericardial effusion, tubercular in origin, in a pregnant woman with 31 weeks period of gestation. She presented with acute onset cough, dyspnea and hemodynamic instability. She was managed successfully with pericardiocentesis and antitubercular therapy and later she had a normal vaginal delivery. Prompt and correct diagnosis and team-based approach is the key in the management of such patients and a successful outcome. Keywords: Pericardial Effusion; Tubercular; Pregnant; Pericardiocentesis.