bluuebunny/crossref_metadata_2025 huggingface dataset:
La música en la epistemología de la medicina
Authors: Saldarriaga Cantillo Alejandra
Published: August 2022

La búsqueda de una formación en salud integral ha llevado a que las instituciones de educación superior se cuestionen sobre la formación ideal que se debe brindar a los estudiantes de medicina en la que se fomente una conexión real con el entorno: “educar para aprender a vivir en el mundo y con el otro, a sabiendas de que el otro es una persona a la vez igual y diferente que yo, orientados a la misma finalidad: la conformación del ser humano y el bien social” (1).

El abordaje de temas complejos como los procesos subyacentes a la inmunidad, la transcripción genética, las patologías metabólicas, entre otros, representan retos académicos importantes para los docentes y los estudiantes en el proceso del aprendizaje. Sin embargo, hay un currículo oculto que es igualmente relevante, y que puede ameritar el uso de herramientas epistemológicas no convencionales, como la música, y que puede ser un buen complemento para adquirir las habilidades clínicas y humanísticas, entre las que destaca la capacidad de desarrollar habilidades semiológicas y la capacidad de desarrollar empatía frente a una situación crítica de salud. Desde este punto de vista, la rehumanización de la medicina se ha convertido en la actualidad en un requisito primordial.

A continuación, se expondrán tres situaciones de salud complejas descritas en canciones de salsa, en las que se analiza las emociones humanas subyacentes, como una invitación a explorar el currículo oculto detrás de la enfermedad vista objetivamente
Neumomediastino por SARS-CoV-2
Authors: Campbell-Silva Santiago , Campbell-Quintero Sebastián , Campbell-Quintero Santiago , Castro-González Iyuleisa , Vásquez-Arias Fernando , Vanegas-Guarnizo Evelyn
Published: August 2022

El neumomediastino es una complicación poco frecuente de las neumonías virales, sin embargo, a raíz de la pandemia de la COVID-19, los informes de casos de neumomediastino por SARS-CoV-2 se han incrementado. A este tipo de neumomediastino se le denomina espontáneo.

Se define como neumomediastino espontáneo a la presencia de aire en la cavidad mediastínica sin ninguna causa aparente, pero paradójicamente, el grupo denominado espontáneo es el que tiene mayor causa desencadenante, por lo tanto, creemos que la clasificación actual no es coherente con el significado.

Presentamos cinco casos de neumomediastino por SARS-CoV-2 y proponemos una clasificación para el neumomediastino. Estos son los primeros informes publicados en nuestro país.
Enfermedad de Whitmore en paciente diabético
Authors: Theran-León Juan Sebastián , Villalobos Ariza Mayra Alejandra , Solano Díaz Luis Carlos , Vargas-Osorio Maria Johanna , Esteban Badillo Laura Yibeth
Published: August 2022

Burkhloderia pseudomallei  es un patógeno propio de climas tropicales ,clínicamente se manifiesta con una amplia variedad de síntomas inespecíficos ,se presenta el caso de un  paciente  varón de 64 años  con antecedente de de diabetes mellitus Tipo II controlada, enfermedad renal crónica estadio IIIB y Tuberculosis tratada en 2015 que presentaba  un síndrome febril prolongado y dolor torácico con cambios isquémicos en el electrocardiograma  que fue llevado a arteriografía  con enfermedad coronaria multivaso, con indicación de manejo quirúrgico abierto, en sus laboratorios prequirúrgicos se encuentra tomografía de tórax  masa en mediastino superior derecho , por lo que se difiere el procedimiento, ésta masa es estudiada de manera ambulatoria con reporte de biopsia negativo para malignidad y microorganismos , posteriormente con astenia y adinamia de 4 meses donde en hemocultivos se aisló  B. pseudomallei. Fue tratado con éxito con carbapenémico por 15 días, ahora está recibiendo terapia de mantenimiento, sin complicaciones.
OBESITY AND GYNECOLOGICAL MALIGNANCIES: A MULTI-CENTRIC CROSS SECTIONAL STUDY
Authors: P. Shah Ishan , Thakor Shaktisinh , Patel Anil , Shah Kalgi
Published: August 2022

Introduction: Obesity is a growing problem and has signicant implications for a variety of diseases,
including human cancers. Obesity has now become an epidemic so is the increase of gynecological
malignancies in this era. So we review the association of obesity and gynecological malignancies like breast, endometrial,
cervical, ovarian, tubal and Vulvo-vaginal carcinoma as an independent etiological risk factor. ToAims and objectives:
estimate the prevalence of overweight and obese female in western Indian population. To nd the association of different
gynecological malignancies and obesity. To evaluate the effect of obesity on different gynecological malignancies in
accordance with age, reproductive life and socioeconomic status A cross sectional study in western. Materials and methods:
Indian states Gujarat, Maharashtra and Rajasthan from January 2019 to December 2021, 10245 sample size and with
overweight and obese post menarchal women up to 70 years of age with BMI >25 kg/m2 were compared to matched controls.
All the consented subjects were initially screened by questionnaire by eld worker and examined for routine and advanced
screening and examinations like Manual Palpation of breast, per abdomen, per speculum per vaginal examination and Pap
smear by certied professionals according to standard protocols. Investigation was performed when required like
mammography, Ultrasonography and laboratory investigations. Positive association of breast and endometrialResults:
carcinoma especially in postmenopausal women and cervical carcinoma. Weak positive association for ovarian carcinoma
only in premenopausal woman (not statistically signicant). We do not nd enough cases to conclude anything for vulvo
vaginal and tubal carcinoma. Growing epidemic of obesity can be statistically correlated with increasingConclusion:
incidence of gynecological malignancies like breast, endometrial, ovarian and cervical. Large scale studies further needed for
evaluation of correlation of vulvo vaginal and tubal carcinomas.
OCCURRENCE, MANAGEMENT AND OUTCOME OF MOLAR PREGNANCIES IN TERTIARY CARE CENTRE, GMCH
Authors: Deka Bhanita , Sarma Purashree , Maslai Renu Judith
Published: August 2022

Molar pregnancies represent a signicant burden of disease on the spectrum of gestational
trophoblastic disease. The incidence varies widely in different parts of the world. The objective of this
study is to determine the occurrence, management, and outcome of molar pregnancies at our institution. During the study
period of 1 year, a total of 36 cases were diagnosed with GTD, giving an incidence of 2.6 per 1000 pregnancies, 2.7 per 1000
deliveries and 2.8 per 1000 livebirths in the department of Obstetrics and Gynaecology, GMCH. Vaginal bleeding was the
commonest symptoms (66.66%) apart from amenorrhea. Suction evacuation was the primary mode of treatment (91.66%) and
only 4 patients (11.11%) underwent hysterectomy. Chemotherapy was administered in 12 patients. During the follow up period, 5
patients (13.88%) were diagnosed with GTN, 4 of them being invasive mole and 1 being choriocarcinoma. Use of routine rst
trimester ultrasonography has led to early diagnosis and majority of cases are cured by simple surgical intervention. Longer
follow up protocol attribute to poor compliance. A multi-centered study is essential in India to determine the true incidence and
overall outcome of molar pregnancy that will help in the understanding of the burden of the disease.
RADIATION INDUCED HYPOTHYROIDISM AN UNDERESTIMATED ENTITY-OBSERVATIONAL STUDY
Authors: hanmayyagari Babulreddy , Guntaka Mounika , Babulreddy H.
Published: August 2022

This observational study highlights the specific symptoms as well as the aetiology related to radiation induced
hypothyroidism after radiotherapy thereby it facilitates the prevention of radiation induced hypothyroidism and reduce
its incidence. Hypothyroidism is a known complication after radiotherapy of regional cancers and radio iodine ablation
of thyroid gland. Where the higher the radiation dose is proportional to the incidence of hypothyroidism. The incidence
of hypothyroidism gradually increases with time so regular follow up is required. Intensity modulated radiotherapy
should limit the dose to the thyroid, which would reduce the incidence of hypothyroidism. The incidence of radiation
induced hypothyroidism in head and neck cancer is also related to the radiation dose, radiotherapy technique, thyroid
volume, female sex, and age. As the incidence of cancers are increasing we need larger and long term follow up studies
for better understanding of radiation induced hypothyroidism thereby timely action.
INFLUENCING FACTORS OF WORK-LIFE BALANCE TRENDS IN WOMEN EMPLOYEE LIFE
Authors: Rani C , Nedumaran G.
Published: August 2022

In organizations and on the home front, the challenge of work-life balance is rising to the top of many employers' and employees' consciousness. the challenge of work-life balance is rising to the highest of the many women employers' and employees' consciousness. In today's fast-paced society, human resource professionals seek options to positively impact rock bottom line of their companies, improve employee morale, retain women employees with valuable company knowledge, and keep step with workplace trends. this text provides human resource professionals with a historical perspective, data, and possible solutions for organizations and women employees alike to work/life balance. Three factors global competition, personal lives/family values, and an aging workforce present challenges that exacerbate work/life balance. this text offers the attitude that human resource professionals can assist their companies to maximize these factors by using work-life initiatives to realize a competitive advantage within the marketplace.
SAFETY AND EFFICACY OF DIRECT ACTING ANTIVIRALS FOR CHRONIC HEPATITIS C IN PATIENTS WITH CHRONIC KIDNEY DISEASE
ON MAINTENANCE HEMODIALYSIS
Authors: Kumar V Pradeep , R Ramani , M Kannan , Shankar C Vijai , P. B Sriram
Published: August 2022

BACKGROUND AND AIMS: Hepatitis C virus (HCV) infection is common among hemodialysis (HD) patients and is
associated with increased morbidity and mortality. Aim of the study is to assess the safety and efficacy of pangenotypic
DAA regimens in patients with chronic disease on maintenance hemodialysis. In thisMATERIALS AND METHODS:
prospective observational study, hemodialysis patients with chronic hepatitis C infection were identified and treatment
initiated with appropriate pangenotypic regimen. Totally 74 patients diagnosed with chronic hepatitis C and treated with
DAAs for 12 weeks. The sustained virologic response (SVR) rate obtained 12 weeks post-treatment (SVR12) was
evaluated. Laboratory indices and adverse reactions during the treatment process were also assessed. All theRESULTS:
patients enrolled completed 12 weeks of treatment. 12 out of 74(16.2%) patients had compensated liver disease. SVR
was achieved in 12 out of 12 patients (100%) receiving sofosbuvir/velpatasvir, and 60 of 62 patients (96.7%) receiving
sofosbuvir/daclatasvir. No serious or significant adverse reactions were reported. PangenotypicCONCLUSION:
regimens containing sofosbuvir are safe and well tolerated in patients with chronic kidney disease on maintenance
hemodialysis. Sofosbuvir/daclatasvir based regimens at full dose can be used as an alternative pan genotypic regimen
in patients with chronic kidney disease on hemodialysis.
EFFECT OF LETHAL CONCENTRATION OF CADMIUM NITRATE ON GLYCOGEN CONTENT IN LIVER,GILL, KIDNEY, INTESTINE AND STOMACH OF FRESHWATER FISH, CHANNA PUNCTATUS
Authors: Jadhav S.B. , Phadke S. V.
Published: August 2022

This study was carried out on fish channa punctatus to investigate the lethal concentration of cadmium nitrate in liver,
gill, kidney, intestine and stomach of fresh water fish channa punctatus compare to control one. Lc50 for cadmium nitrate
is 0.57 ppm. Fish exposed to 96hr. LC50 of cadmium nitrate. Cadmium increases the rate of glycolysis.
STARCH AND CELLULOSE BASED BIO- POLYETHYLENE: A REVIEW
Authors: B Suresh , K G Swayamprabha
Published: August 2022

In current year, there has been enhancing in the usage of plastic and disposal of waste coming from daily life. Various
type of plastics are using for our daily needs, in order to reduce the impact of petroleum based plastics and other waste to
be considered and focused on green plastics. Polyethylene are the polymers which can be produced by repeating the
single units. It is one of the bittersweet coinage for human's better life. But this coinage causes a lot problems to the
environment. To overcome this problem an alternative and eco-friendly Polyethylene is introduced called bio-
polyethylene. Bio-polyethylene are from natural biomass sources. Among various source, starch has chief role in
production of bio-polyethylene due to its low cost and nature abundance with plasticizers such as glycerol and vinegar.
Starch based bio-polyethylene has good mechanical properties, tensile strength and biodegradability. Cellulose also
used as source in development of biodegradable polyethylene. In this review starch and cellulose has led to their great
innovative uses in food packaging and to improved biodegradation and mechanical properties.
A CASE REPORT OF SECONDARY HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN A POST-COVID-19 : AN EMERGING COMPLICATION
Authors: C P Ganesh , Pahel Meitei Soibam , Gracefulda Hadem Sanwaka , Sundaray Debabrata
Published: August 2022

Hemophagocytic lymphohistiocytosis (HLH) is a disease that can affect both children and adults. HLH can be
categorized as primary or secondary. Secondary HLH (sHLH) may be secondary to various viral infections. Severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2) virus infection is a pandemic with multi- system involvement. HLH in
COVID-19 positive patients is a recognized entity. However, in post-COVID-19 patients who have recovered and are
negative by serological tests and reverse transcription-polymerase chain reaction test may present with sHLH due to
dysregulation of the immune system. We highlight this unusual finding of post-COVID-19 sHLH in this case, who was
diagnosed by the new revised H-score.
FASTING, FEASTING: FROM A FEMINIST PERSPECTIVE
Authors: Sagarika Panda Etishree
Published: August 2022

Western feminism is encapsulated in literature and corresponds in written form, which is contradictory to the East,
especially in countries like India. Because of its oral tradition and greater illiteracy, the effect of this discourse was
limited to the urban community. But the recent scenario is different as rural people are much better informed with the
advent of the electronic media. Indian women writers in English have been raring to try their hands at writing over the
past few decades and perpetually making efforts to accomplish their mission successfully. They no longer fall behind
their male counterparts no matter what the genre is. Their artistic creations are axiomatic and have bagged a prominent
place in the spectrum of world literature. Women novelists are now globally recognized for their contribution to the
amplification of Indian Writings in English, especially in the genre of fiction which causes the acclivity of feminist
literature. The most prominent among them are Shobha Dey, Arundhati Roy, Anita Desai, Kamala Markandeya, Ruth
Prawar Jhabvala, Shakuntala Shrinagesh, Bharathi Mukherjee, and Kiran Desai, who defy the deep-seated patriarchy.
Among these writers, Anita Desai denies a narrow feminist approach and portrays females' desire for liberty from social
and traditional bondages in patriarchy. The present paper explores the despicable status of women in the Indian
patriarchy and expounds on the depiction of the psychological plight of her female characters and gender oppression in
her novel Fasting, Feasting. As a prominent Indian writer, Desai proposes her outlook and stance on the issues of
femininity and elucidates that Indian feminism contradicts the Western one.
ENTREPRENEURIAL INTENTION: A CRITICAL REVIEW
Authors: Bardia Bhawana , Kumar Das Amit
Published: August 2022

Economic experts all over the world have regarded Entrepreneurship as the fourth factor, next to land, labour and
capital; for the production of goods as well as services. Entrepreneurs are said to be the steering wheel for the economic
development of a Nation. The contributions of an Entrepreneur for the Country as a whole and the society in particular is
enormous. In this context, it is important to study about Entrepreneurship and explore in detail about its significance.
This paper aims to draw special attention to the importance of Entrepreneurship. Further, the need of Entrepreneurial
Intention and its scope taking students into consideration has also been highlighted.
A CASE REPORT OF PEDIATRIC MOG- ANTIBODY DISEASE WITH BILATERAL OPTIC NEURITIS
Authors: M Patel Sweety , V Mehta Vaidehi , V Jekaliya Kishan , R Boghani Akanksha
Published: August 2022

MOG – Antibody disease is an inflammatory demyelinating condition of the CNS characterized by a monophasic or
relapsing course of neurological dysfunction which does not meet the typical criteria for multiple sclerosis or other
known neuro inflammatory conditions and occurs in presence of serum MOG antibodies using specific cell based
assays. In pediatric patients MOG antibodies are detected in range of relapsing phenotypes including relapsing
inflammatory optic neuritis (RION), acute disseminated encephalomyelitis followed by optic neuritis (ADEM – ON),
brain stem demyelination and aquaporin P4 antibody negative neuromyelitis optica spectrum disorder (AQP4-Ab
negative NMOSD).MOG positive optic neuritis is frequently bilateral and associated with optic nerve head swelling.It is
associated with neurological diseases like Multiple Sclerosis, ADEM or Transverse Myelitis.MOG antibody IgG is
detected in serum by indirect fluorescence test.IV Methylprednisolone is the treatment of choice, if it fails to improve
vision or if optic neuritis is recurring, then a combination of plasma exchange and IV Methylprednisolone should be
considered.Long term immunosuppressants used for Prevention include corticosteroids, azathioprine, mycophenolate
mofetil and rituximab. The optimal preventive therapy has yet to be determined.Once the disease has been diagnosed,
uncertainty remains over the best treatment approach and clinical trials for the pharmacological management of MOG-
antibody optic neuritis are still needed.
ACUTE CORONARY SYNDROME: CASE REPORT IN A YOUNG PATIENT.
Authors: Lara Rueda Carlos Alberto , Romero Paola Catalina , Landívar Pérez José Martín , Castillo Gonzáles Andrea Michelle , Díaz Ortega María Belén , Catota Camacho María Magdalena , Freire Sandoval Adrian Ricardo
Published: August 2022

Objetive : To describe the probable cause of acute myocardial coronary syndrome in a young patient with no medical
history and an adequate lifestyle. A retrospective study was carried out, a clinical case of a young patient withMethod:
no history and with an adequate lifestyle who was followed up for 2 years from 2020 to 2022 in cardiology and
hematology outpatient Rclinics for hypercoagulability and genetic studies. Genetic studies,Results :
hypercoagulability and immunological studies were negative. Possibly, over time, the patient will show aConclusion:
more florid symptomatology that could be associated with an immunological pathology such as SLE that explains the
cause or has more resources, which will allow the pertinent study to be carried out to demonstrate the presence of
genetic mutations related to thrombophilia
VARIOUS MODALITIES OF TREATMENT OF PROXIMAL TIBIAL FRACTURES : A PROSPECTIVE LONGITUDINAL STUDY
Authors: Paramesh Nikil Sanaba , Das Arjun , K S Shamanth
Published: August 2022

Background: Tibial plateau fractures are one of the commonest intra-articular fractures. They result from indirect
coronal or direct axial compressive forces. This makes about 1% of all fractures and 8% of the fractures in elderly.
Nevertheless, tibial plateau fractures challenging remain because of their number, variety and complexity. With
advancements the treatment of each fracture type is still not defined hence we have taken up this study to analyze various
fracture patterns and its outcome. : The study includes 40 patients having the fractures of the proximal tibialMethods
metaphyseal; metaphyseodiaphyseal with or without intra-articular extension (including upper third fractures of tibia),
closed fractures, fractures with Open grade-I wounds (Gustillo Anderson Classification).The study excludes compound
fractures having grade II and III (Gustillo Anderson) and Paediatric patients. The treatment method was based on the
type of fracture, the amount of displacement , the amount of depression and surrounding skin condition of the tibial
plateau.We used the Schatzker classification because it is closest to describing the specific fracture type and it is easy to
apply. In this study there were 40 patients with mean age of 39.18 (median 38.5 and min – max 25 to 55) with 25Results:
male (62.5%) and 15 (37.5%) female with significant male preponderance. In this study road traffic accident was the
commonest mode of injury (65%) and produced different types of fractures, followed by fall from height (22.5%), injury
while playing sports (12.5%). The correct method of management of tibial condylar fractures depends onConclusions:
good clinical judgment. If rational treatment is to be instituted the surgeon must have sound knowledge of the
personality of the injury and a clear understanding of the knee examination, imaging studies and must be familiar with
variety of techniques available at present for treating tibial condyle fractures.
PSYCHOLOGICAL IMPACT OF COVID-19 LOCKDOWN: AN ONLINE SURVEY FROM KASHMIR.
Authors: Gania Abdul. Majid , A Mir Shawkat , A Suhaff Ajaz , Majeed Himayun
Published: August 2022

Aims and Objectives To assess the psychological effects on corona virus disease (COVID-19) on general population.
Methods: A cross-sectional study design was implemented to assess the potential psychological distress during the
COVID-19 pandemic in Kashmiri population within the first 2 weeks after implementation of strict personnel restrictions,
by using an anonymous online survey. The data was collected by using an online survey platform as per Indian
Government's recommendations to minimize face-to-face or physical interaction. Target group included all members of
the public exceeding the age of 16
SPLENIC ARTERY PSEUDOANEURYSM - VASCULAR COMPLICATION OF PANCREATITIS IN A FEMALE
Authors: Revin Revin , Singh Priya
Published: August 2022

Pancreatitis is one of the common abdominal pathologies having a variable type of presentation.Vascular complications
are rare, but severe in nature having high mortality and morbidity rates. Ultrasound coupled with computer tomography
helps in fast and accurate diagnosis of these vascular complications like pseudo aneurysms, aneurysms, and thrombosis
of peri pancreatic arteries.We are presenting a case report of a pseudo aneurysm of the splenic artery.
THE ROLE OF PRIMARY HEALTH CARE (PHC) IN DISASTER MANAGEMENT
Authors: Passiou Maria A.
Published: August 2022

Introduction: The number of events, either natural or manmade, that can potentially cause disasters, has increased
sharply in recent years. Life losses, along with the displacement of millions of people, and the corresponding economic
cost, should mobilize international organizations to effectively address the situation, with part of this effort referring to
the mobilization and cooperation of all stakeholders involved. An investigation, through literature review, ofObjective:
the role of Primary Health Care in disaster management. This assignment is based on a descriptiveMaterial – Method:
review. A literature search was performed on the PubMed, Sciencedirect, and Scopus databases focusing on the years
2015-2022. The following keywords were used: Primary health, community health, Home-Based Primary Care, disaster
management. No reference was included to the provision of health care outside of primary health care structures.
Results: The results can be grouped in two categories. In the first category, an analysis takes place regarding PHC
actions in each stage of the disaster management cycle. In the second category, the conditions are listed that should be
paid attention to, especially by the political leaders of each country. The World Health Organization,Conclusions:
especially in the aftermath of the pandemic of the last two years, has reinstated the critical role of PHC as a cornerstone of
solid health systems. At the same time, international organizations that specialize in disaster management focus on
reducing risks, as a responsibility that is mostly assigned to communities working together with all organizations
involved. Combinedly, it naturally follows that primary health care structures play a leading role in the management of
mass events.
A STUDY ON FINANCIAL STATEMENT ANALYSIS OF TAMILNADU INDUSTRIAL COOPERRATIVE (TAICO) BANK LTD,CHEENAI
Authors: B Rohini. , naveena Sathya , Rathika S.
Published: August 2022

Financial statements are the pulse of an organization to understand the healthy financial position of an organisation. This
Study was taken up in Tamilnadu Industrial Development Cooperative Bank (TAICO), Chennai with the objective to
determine the variation in the items of income statement and balance sheet by common size statement, to evaluate the
performance of the bank by comparative study and to ascertain the solvency, liquidity and profitability ratios of the bank.
For the purpose of the study, last three years financial statements were obtained from the bank.With the help of Common
size balance sheet, Comparative Balance sheet and Ratios of Profitability, Solvency and Liquidity the financial status was
obtained. The bank has seen a down side during the pandemic period as visible from the analysis. It is also very positive
to note that deposits has risen and the bank is close to pre-pandemic status as per 2021 reports. The bank has to
concentrate on investing in Fixed assets and also ensure that profits are used in this regard. Other variables indicate a
healthy financial statement of the bank.
EFFECT OF HOT FOOT BATH ON QUALITY OF SLEEP AMONG THE OBESE INSOMNIA PATIENTS - A SHORT RESEARCH REPORT
Authors: Ashokkumar S. , Vinudha S.
Published: August 2022

BACKGROUND: This study examined the water therapy in the form of hot foot bath (HFB) for improving sleep quality
among the obese patients with insomnia. We have recruited 8 obese patients with known history ofMETHODOLOGY:
insomnia. The patients were instructed to drink a glass of tepid water and sit in the foot bath by immersing legs in a HFB
tub up to mid of the calf muscles for 20 min before bedtime. The Alice PDX is a portable monitor used for the assessment
of quality of sleep in a normal day and HFB intervention day. After the HFB, Total sleep time (TST [90 min])RESULTS:
increased, with reduction in the sleep latency time (SL [20 min]). There was a significant improvement in the N3 stage
sleep time (10 min) with moderate reduction in the wake after sleep onset time (WASO [18min]) among obese patients.
CONCLUSION: The findings above showed that single session of HFB intervention improves sleep quality among the
obese participants.
COMPARISON OF BAND LIGATION AND INJECTION SCLEROTHERAPY IN SYMPTOMATIC FIRST AND SECOND DEGREE HAEMORRHOID PATIENTS
Authors: T. Chhabda Tejinder , A. Sanap Narayan , Javed A. Jibran , S. Wadhokar Pranav
Published: August 2022

Haemorrhoid is a very common surgical condition of the anorectal region. Symptoms include bleeding, protrusion,
discharge and discomfort. Band ligation and sclerotherapy are the most common local procedures in use today. Despite
being so commonly used, few studies have compared the two procedures based on their efficacy. This case series
focuses on the efficacy and complications of band ligation and sclerotherapy in symptomatic early stage haemorrhoids.
Patients with first and second degree haemorrhoids were randomly assigned to band ligation(group A) or sclerotherapy
(group B) and followed up regularly for post procedure complications and symptoms. No complications were seen in
Group B at the end of two months while two patients(8.2%) had recurrence of bleeding per rectum in Group A at
the end of two months and repeat procedure had to be done. This finding was statistically non-significant
(p=0.13). Immediate post procedure pain was more in Group A (54.5%) as compared to Group B (45.5%). 63.6%
patients in Group A and 72.6% patients in Group B were asymptomatic at the end of two weeks. Based on our
study, it can be concluded that in symptomatic early stage haemorrhoids, band ligation provides quick relief of
symptoms but has a higher rate of complications and recurrence, on the other hand sclerotherapy has a delayed
response with lesser complications and recurrence. Both procedures are highly effective and easy to perform on an
outpatient basis with quick patient recovery
Gedächtnistheorie und Neues Testament
Authors: Huebenthal Sandra
Published: August 2022

Mit seinem innovativen Ansatz erschließt das Lehrbuch erstmals die Erkenntnisse interdisziplinärer Forschung zu Gedächtnis und Erinnerung für die Interpretation des Neuen Testaments. Jenseits der Frage wie es gewesen ist, werden die Texte des Neuen Testaments nicht als historische Berichte, Geschichtsschreibung oder Augenzeugenerinnerung gelesen, sondern als Zeugnisse frühchristlicher Identitätsbildung, die sich sozialen Aushandlungsprozessen verdanken. Neben einer grundlegenden Einführung in die Grundbegriffe kulturwissenschaftlicher Gedächtnistheorie bietet das Buch exemplarische Lektüren neutestamentlicher Texte als Identitätstexte, an die Leser:innen mit ihren eigenen Erfahrungen anknüpfen können, und einen Ausblick in das Potential kulturwissenschaftlicher Exegese.
Grundzüge der Außereuropäischen Christentumsgeschichte
Authors: Koschorke Klaus
Published: August 2022

Die Mehrheit der christlichen Weltbevölkerung lebt heute im globalen Süden. Kenntnisse ihrer Geschichte sind darum unerlässlich. Dieses Lehrbuch bietet einen ebenso kompakten wie anschaulichen Überblick über die Christentumsgeschichte Asiens, Afrikas und Lateinamerikas seit ca. 1450. Vielfalt und Verflechtung, lokale Akteure und globale Auswirkungen stehen im Fokus der Darstellung. Karten, Abbildungen und zahlreiche Fotos sowie laufende Verweise auf leicht zugängliche Quellentexte unterstützen das Selbststudium und die Gestaltung des Unterrichts.
Evaluasi Interaksi Obat pada Pasien Hipertensi di Rumah Sakit Umum Daerah Labuang Baji Makassar
Authors: Rantisari Andi Meinar Dwi , Yusuf Muhammad , Ndeku Maria Yunita , Page Muhammad Taufik
Published: August 2022

Penelitian ini bertujuan untuk mengidentifikasi potensi terjadinya interaksi obat dan tingkat keparahannya pada pengobatan pasien hipertensi rawat inap di Rumah Sakit Umum Daerah Labuang Baji Kota Makassar Periode Januari 2019 – April  Tahun 2020. Jenis penelitian ini adalah observasional non eksperimental dengan pendekatan deskriptif, pengumpulan data dilakukan secara retrospektif dengan pengambilan sampel dilakukan secara non-probability dengan memenuhi kriteria inklusi. Hasil penelitian  menunjukan dari 42 pasien yang menerima terapi obat antihipertensi terdapat 29 pasien (71,4%) yang mengalami  interaksi obat dan 13 pasien (31,0%) tidak mengalami interaksi obat. Berdasarkan tingkat keparahan interaksi obat, interaksi yang paling tinggi yaitu tingkat moderate sebanyak 21 kasus (65,6%), interaksi major sebanyak 9 kasus (28,1%), dan interaksi minor sebanyak 2 kasus (6,3%). Berdasarkan mekanisme interaksi obat, interaksi farmakodinamik sebesar 23 kasus (71,9%), dan interaksi farmakokinetik sebesar 9 kasus (28,1%).
Hubungan Kesadaran dan Sikap terhadap Pengelolaan Sampah Mahasiswa di Universitas Negeri Malang
Authors: Salewangeng Aswal , Yusuf Yusmar
Published: August 2022

Masalah sampah timbul akibat kurangnya pengetahuan tentang bagaimana cara penanganan sampah yang baik dan sikap yang terkadang acuh tak acuh terhadap sampah yang berserakan. Tindakan yang semaunya membuang sampah sembarangan disebabkan kurangnya kesadaran tentang lingkungan dan dampak yang ditimbulkan. Sikap sadar lingkungan untuk memisahkan sampah organik dan anorganik belum muncul dalam diri. Penelitian ini bertujuan untuk mengetahui hubungan kesadaran dan sikap mahasiswa Universitas Negeri Malang (UM) dalam pengelolaan sampah. Penelitian ini merupakan deskriptif analitik korelasional menggunakan desain cross sectional. Pengambilan sampel dengan cara cluster random sampling melalui dua tahap yaitu: tahap pertama menentukan sampel tempat yaitu mahasiswa di UM dan tahap kedua menentukan sampel responden sejumlah 30. Penelitian ini dilakukan di UM. Instrumen yang digunakan adalah lembar kuisioner (check list). Analisa data dengan rank sperman menunjukkan nilai sebesar 0,649 disimpulkan bahwa H0 diterima artinya tidak ada hubungan antara kesadaran dan sikap mahasiswa di Universitas Negeri Malang dalam pengelolaan sampah.
Uji Sensitivitas Antibiotik terhadap Pertumbuhan Klebsiella pneumonia dari Sputum Penderita Infeksi Saluran Pernapasan Bawah
Authors: Rahman Indas Wari , Prihartini Arum
Published: August 2022

Pneumonia adalah infeksi akut yang mengenai jaringan paru-paru (alveoli) yang dapat disebabkan oleh berbagai mikroorganisme seperti bakteri, virus, dan jamur. Salah satu penyebab utama pada pneumonia komunitas adalah bakteri Klebsiella pneumoniae. Bakteri ini banyak ditemukan di mulut, kulit, dan saluran usus. Sebagian bakteri golongan Klebsiella menjadi sangat resisten terhadap beberapa antibiotik. Penelitian ini bertujuan untuk mengetahui sensitivitas antibiotik penisilin g, ampisilin, amoksisilin, eritromisin, gentamisin, tetrasiklin, sefotaksim, levofloksasin, fosfomisin dan kloramfenikol terhadap pertumbuhan Klebsiella pneumonia. Penelitian ini merupakan penelitian deskriptif analitik dengan metode uji difusi Kirby-Bauer menggunakan sepuluh macam disk antibiotik yang akan diukur zona hambatnya. Bakteri uji yang digunakan diisolasi dari sampel sputum penderita infeksi saluran pernapasan bawah dan dikonfirmasi sebagai spesies Kleibseilla pneumonia dengan uji Vitek 2 Compact. Dari hasil penelitian ini diperoleh bahwa antibiotik jenis Penisilin g, Ampisilin, Amoksisilin, Eritromisin, Sefotaksim dan Levofloksasin memperlihatkan zona hambat Resisten terhadap pertumbuhan Klebsiella pneumoniae, dan antibiotik Gentamisin Intermediet terhadap Klebsiella pneumoniae, sedangkan antibiotik Tetrasiklin, Fosfomisin dan Kloramfenikol Sensitif terhadap Klebsiella pneumoniae sehingga masih baik digunakan untuk menghambat pertumbuhan Klebsiella pneumoniae.
Uji Sensitivitas Salmonella typhi terhadap Antibiotik Sefalosporin Generasi Ketiga pada Penderita Demam Tifoid
Authors: Arfani Nurfitri , Ka'bah Ka'bah , Habibah Habibah
Published: August 2022

Demam tifoid adalah penyakit menular yang menimbulkan infeksi akut pada usus kecil dan disebabkan oleh Salmonella typhi. Terapi tifoid adalah dengan pemberian antibiotik.  Penggunaan antibiotik yang tidak rasional menyebabkan peningkatan bakteri yang resisten. ESBL adalah enzim pada Salmonella sehingga bakteri tersebut memiliki mekanisme resistensi terhadap antibiotik seperti golongan sefalosporin generasi ketiga. Salah satu antibiotic golongan sefalosporin yang banyak digunakan adalah cefotaksim dan ceftriakson.  Tujuan penelitian ini adalah untuk mengetahui uji sensitivitas S. typhi terhadap antibiotik sefalosforin generasi ketiga pada penderita demam tifoid. Sampel yang digunakan sebanyak 43 isolat S. typhi penderita demam tifoid. Hasil penelitian menunjukkan dari 43 sampel isolate yang digunakan, hanya 4 isolat yang diidentifikasi sebagai S. typhi. Uji sensitivitas 4 isolat S. typhi menunjukkan bahwa keempat sampel tersebut sensitif terhadap antibiotik cefotaksim dan ceftriakson dengan zona hambat terluas yaitu pada kode sampel H.36 dengan antibiotik cefotaksim sebesar 29,5 mm dan antibiotik ceftriakson 38,5 mm.
The Safety, Efficacy, Patient Satisfaction and the Outcome of the Stapled Hemorrhoidectomy in the Bangabandhu Sheikh Mujib Medical University, Bangladesh
Authors: Faisal Dr. Mohammad Shahriar , Khan Dr. Rizwana Rahman , Islam Dr. Shahidul
Published: August 2022

Background: Hemorrhoid is a common disease in our country. But its conventional surgical treatment is associated with severe pain and open wound for a long time. Patients are very much frightened to undergo this kind of operation. A new method of hemorrhoid operation i.e. stapled Hemorrhoidectomy does not involve excision of the hemorrhoid and is thereby expected to have less pain and no open wound. Aim of the study: The aim of the study is to investigate the safety, efficacy, patient satisfaction, and outcome of the stapled hemorrhoidectomy operation in the Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city. Methods: 50 patients were selected randomly who were admitted to Bangabandhu Sheikh Mujib Medical University, Bangladesh, and different private hospitals in Dhaka city. They were evaluated by short history, clinical examination, and appropriate investigations. With adequate preoperative preparation, they underwent Stapled Hemorrhoidectomy. They were followed up postoperatively and for 2 months after the operation. Results: 38 patients left the hospital within 36 hours of operation, 6 patients stayed for 4 days, 4 patients for 6 days, and only 2 patients stayed for more than 5 days. 1 patient had 2nd-degree hemorrhoid, 44 had 3rd hemorrhoid and 5 had 4th-degree hemorrhoid the average operating time was 25.30 minutes. The highest time required was 45 minutes and the slowest time was 20 minutes. Initial postoperative pain was common but it didn’t continue for more than 24 hours, only 3 patients complained of occasional pain after discharge. 48 patients had complete relief of symptoms and 2 had a small residual lump. The urgency of defecation was complained about by 5, which subsided with time. No other serious complications like infection or sphincter damage were seen. 49 patients had full satisfaction during follow-up. Conclusion: Stapled Hemorrhoidectomy is associated with significantly less pain immediate ....
Association of Dyslipidemia with Clinically Significant Macular Edema (CSME) in Type – II Diabetes Mellitus
Authors: Islam Md. Mufakh Kharul , Rahman Md. Mizanur , Hossain Md. Khalid , Hassan Shah Noor , Islam Md. Shafiqul
Published: August 2022

Aim: To observe the association between dyslipidemia and CSME in Type – II diabetes mellitus. Method: With convenience type of sampling technique 36 patients of diabetic retinopathy (DR) with CSME (Group–I) and another 35 patients of DR without CSME (Group – II) aged > 40 years were selected in Bangabandhu Sheikh Mujib Medical University (BSMMU) for this case control study from March’2013 to March’2014. Diagnosis of DR and CSME were carried out by history, clinical examination, fasting blood glucose (FBG), blood glucose 2 hours after breakfast, HbA1c (glycated hemoglobin), color fundus photograph (CFP) and optical coherence tomography (OCT) of macula as per ETDRS (Early treatment diabetic retinopathy study) criteria. Then fasting lipid profile was measured and compared between the groups. Result: Between two groups age, sex and occupation were matched. Dyslipidemia was present in 32 (88.9%) cases in Group–I and in 18 (51.4%) cases in Group – II, (p =0.001). Mean Total Cholesterol(TC) (211.8 mg/dl), Low Density Lipoprotein(LDL) (141.6 mg/dl) and Triglyceride(TG) (207 mg/dl) in Group – I were significantly higher than mean Total Cholesterol (183.3 mg/dl), Low Density Lipoprotein (118.5 mg/dl) and Triglyceride (143.5 mg/dl) in Group –II (p = < 0.05). But High Density Lipoprotein (HDL) was significantly lower in group- I (35.8 mg/dl) than group -II (41.1 mg/dl). Conclusion: Diabetic retinopathy with CSME has close association with dyslipidemia.
Pneumomediastinum, a Rare Complication of Upper Gastrointestinal Fibroscopy: A Case Report
Authors: Zaki Fadoua Idrissi , Mougui Ahmed , Bouchti Imane El
Published: August 2022

Pneumomediastinum is defined by the presence of air in the mediastinum. It can be spontaneous or secondary to a trauma, its evolution is often favorable and its management is based on symptomatic treatment. Its diagnosis is based on the cervico-thoraco-abdominal scanner. This article presents a rare case of spontaneous pneumomediastinum discovered incidentally after upper gastrointestinal endoscopy.
Remimazolam for General Anesthesia in an Elderly Patient with Severe Heart Failure and Aortic Stenosis: A Case Report
Authors: Park Ji Hwan , Kim Kye Min , Lim Yun Hee , Yoo Byung Hoon , Cho Joon Ho , Jun In-Jung
Published: August 2022

Background: It is challenging to perform general anesthesia in patients with severe heart failure. Remimazolam, a recently approved benzodiazepine for general anesthesia, may be very useful for these patients because of less cardiovascular depression compared to other anesthetics. Case: An 85-year-old male patient with severe heart failure (left ventricular ejection fraction, 16%) and aortic stenosis was scheduled for general anesthesia for femur fracture surgery. Anesthesia was performed with remimazolam and remifentanil, and a stable hemodynamic state was maintained with continuous administration of phenylephrine and dobutamine. He did not wake up even 30 minutes after discontinuation of remimazolam administration. Flumazenil was administered intravenously. After 5 minutes, he was awakened and recovered without any events. Conclusions: Remimazolam can be a safe anesthetic for patients with severely impaired cardiac function. For rapid awakening from anesthesia in elderly patients, lowering dose of remimazolam should be considered and flumazenil can be used as necessary.
Digital Competencies Needed by Teachers for Utilizing Mobile Learning Applications for Effective Lesson Delivery in Technical Colleges in Aba Education Zone of Abia State
Authors: N Onyebuenyi Promise , N Oluka Sussan
Published: August 2022

This study was set to determine the digital competencies needed by teachers for utilizing mobile learning applications for effective lesson delivery in Technical Colleges in Aba Education Zone of Abia State. Two research questions guided the study in line with two hypotheses. The study adopted descriptive survey research design and was carried out in Aba, Abia State. The population for the study constitutes 43 Technical College Teachers (sampled purposively) and 55 IT Practitioners (obtained through preliminary survey). Data pertinent to the study were collected using a structured questionnaire developed by the researchers titled “Digital Competencies Needed for Utilizing Mobile Learning Applications Questionnaire (DCNUMLAQ)”. The questionnaire was validated by three research experts and the reliability of the instrument was established using Cronbach Alpha which gave a reliability co-efficient result of 0.77. Mean and standard deviation were used to answer the research questions while the null hypotheses were tested using t- test at .05 level of significance and appropriate degree of freedom. Some of the findings include that the ability to; provide students with task management tools to organize their work, exploit computer games for pedagogical purposes, create screen capture tutorials, being able to detect plagiarized works in students assignments are part of the digital skills needed by teachers for utilizing mobile learning applications for effective lesson delivery in technical colleges in Aba Education Zone. Based on the findings of the study, the recommendations made among others include that technical college teachers should be retrained for capacity development and adoption of trending technological skills into classroom teaching for enhanced learning outcome, and education administrators/policy makers should enact policies especially for on-time assessment of teachers’ capacity in the use of ICT for teaching in technical colleges for effective lesson delivery.
Study and Practice on the Construction of General Academic English Curriculum in NCEPU
Authors: An Guoping , Cai Honggai
Published: August 2022

General academic English has become a new trend during the transitional period of college English reform in China. This paper introduces its construction practice in North China Electric Power University（Baoding）from the following aspects: need analysis, course objectives, course content, course arrangement, course evaluation and course implementation effect. This paper aims to provide theoretical basis and practical experience for the construction of general academic English curriculum and the reform of College English.
Monetary Policy and Financial Performance of Consumer Goods Manufacturing Firms: Evidence from Flour Mills Nigeria Plc
Authors: Hassan Adamu , Ahmad Zubairu
Published: August 2022

This study examines the effect of monetary policy on the financial performance of Flour Mills Nigeria plc using an annual dataset from 1990 to 2021. The financial performance is measured as return on assets while monetary policy is a proxy by monetary policy rate. Other control variables in the model are exchange rate, inflation rate and managerial efficiency. In the estimation, this study employed the autoregressive distributed lag (ARDL) model. The results of this study reveal that monetary policy has a significant negative effect on the financial performance of flour mills plc while the exchange rate and inflation rate have no significant influence on the financial performance of the company. The result further suggested that managerial efficiency has a significant positive effect on the financial performance of the sampled firm. According to the results, this study recommended that monetary authorities should cut down the monetary policy rate. The foregoing will serve as an incentive for the company to increase its production operation and in the long will help to boost output and financial performance. Finally, the study recommends the need for the company to strengthen its efforts in improving managerial efficiency because of its positive influence on financial performance.
Implementation of Health Safety and Environment Engineering Risk Management in Corrugated Carton Box Companies
Authors: Handoyo James , Basuki Widodo W , Sukwadi Ronald
Published: August 2022

Occupational Health and Safety (OHS) risk management is an effort made to manage the risks of work accidents to minimize the risk of work accidents in a company. The aim and target of OHS risk management is to create an OHS system in the work environment that involves all parties, so as to reduce the number of workplace accidents and create a safe workplace. Therefore, it is necessary to conduct further research on the implementation of the OHS risk management system in the company. In this research, identification and analysis of accident risk have been successfully carried out, as well as making suggestions for risk mitigation in a company in the corrugated carton box sector. In addition, work accident investigations have also been carried out to determine the cause of a work accident and detect latent sources of hazards that were not detected in the risk identification process.