bluuebunny/crossref_metadata_2025 huggingface dataset:
Students’ Satisfaction and Learning: Assessment of Teaching-Learning Process in Knowledge Organization
Authors: Mathur Garima , Nathani Navita , Chauhan Abhay Singh , Kushwah Silky Vigg , Quttainah Majdi A.
Published: January 2024

This study aims to assess parameters like student perception and student satisfaction towards the interactive teaching-learning process (TLP), which may help teachers at different educational levels to teach more effectively. The teaching-learning process included general regulatory teaching, teacher preparation for learning, regulatory assessment, and student perception and planning for learning. A questionnaire was administered to a sample of classes 11th and 12th with various streams, including Mathematics, Biology, and Commerce as their majors in Central India. This study examined the impact of student perception on their satisfaction with the teaching-learning process (TLP). The results indicated that students’ perception of general regulatory teaching, preparation for learning & regulatory assessment significantly impact their satisfaction towards TLP, but preparation for learning and Regulatory assessment were not associated to satisfaction with teaching. However, it resulted in student learning positively. The findings further indicated that student satisfaction and learning are not different in-stream and class level.
Fototerapia neonatal: Vigilando la dosis óptima.
Authors: Vélez Pinos Paola , Villarreal Altamirano Jorge
Published: January 2024

Introducción: La fototerapia es el tratamiento para la ictericia neonatal, pero debe asegurar una “dosis” suficiente de luz irradiada en la banda espectral correcta y sobre una superficie de piel suficientemente amplia. Varios equipos de fototerapia han sido desarrollados para cumplir con este requisito técnico, inclusive actualmente en el mercado se disponen de equipos de alta intensidad lumínica que permiten aplicar una fototerapia intensiva.
Propósito de la revisión: El objetivo de la presente revisión es responder a las siguientes preguntas: ¿Cómo se determina si los equipos de fototerapia emiten la intensidad suficiente de luz para asegurar la dosis de tratamiento? En términos de mantenimiento de equipos, la principal directriz que se ha empleado en la mayoría de unidades de neonatología es el número de horas de uso, pero, ¿Es en realidad el parámetro adecuado?
Hallazgos recientes: Con esta revisión invitamos a los profesionales de la salud en las unidades de neonatología a hablar en términos de irradiancia, entendida como la medida para determinar el tiempo ideal para el mantenimiento y recambio de las luces de los equipos de fototerapia y así asegurar el tratamiento efectivo en los neonatos.
Conclusión: Los aparatos con tecnología LED deben ser verificados con emisiones de irradiancia >10 μW/cm2/nm, estableciendo la garantía de la degradación de la bilirrubina.
Myślenie Josepha Ratzingera o wieczności i nieśmiertelności w kontekście filozoficzno-teologicznym
Authors: Kołodziejczyk Marek
Published: January 2024

The subject of reflection in this publication are the concepts of eternity and immortality of the human soul shown in a philosophical-historical and theological outline, with particular reference to the teachings of Joseph Ratzinger. His views are shown against the background of ancient, biblical, New Testament, early Christian concepts, medieval Christian thought, as well as modern and contemporary thought, which were the platform for Ratzinger’s inspiring explorations and conclusions; they led him to combine his fidelity to tradition and the truths derived from it with his original and profound view of the reality of eternal life.
Post produktowy jako forma reklamy na Instagramie na przykładzie artykułów kosmetycznych
Authors: Król Julia
Published: January 2024

The subject of the study is the form of statements made by users of the Instagram platform, which was defined as a product post. The study tried to determine the features typical for the genre of statements, which are product posts. The research procedure included the analysis of the visual and verbal layer of the post. The main thematic axes of posts, communication strategies and the persuasive frame were sdistinguished. Determining these features allowed us to state that a product post is an advertising message. The hypothesis was confirmed that the product post has a constant theme and structure and performs functions specific to advertising.
To jest ten dom, w którym Chrystus chce się zatrzymać.Absalona ze Sprinckirsbach kazanie XXXIX na poświęcenie kościoła – przekład i komentarz
Authors: Wilk Piotr
Published: January 2024

The article contains the first translation into Polish of Absalon’s of Sprinckirsbach Sermon XXXIX. The theme of the sermon is the dedication of the church. The translation is preceded by a short introduction about the author and his work. There is also a summary of the sermon in the introduction. The translation is accompanied by explanatory comments and localizations of biblical passages.
Natura liturgii i jej znaczenie dla życia Kościoła w świetle Konstytucji Sacrosanctum Concilium
Authors: Pakuła Mateusz
Published: January 2024

The Second Vatican Council contributed much to the development of the theology of the liturgy, liturgical theology, but also introduced some practical and legal changes in the celebration and organization of liturgical life. The way to liturgical reform was reopened primarily by involving the laity. Liturgy, as the source and summit of Christian life, gives meaning to the Church and strengthens it on the way of salvation.
Niepokalana Wszechpośredniczka Łask jako tytuł Bazyliki Mniejszej w Niepokalanowie
Authors: Śliwiński Daniel
Published: January 2024

The idea of Virgin Mary as Mediatrix of All Graces has been present in the Church for centuries. This title was understood in different ways and many efforts were made to defend this Virgin Mary’s privilege. At the turn of the 19th and 20th centuries the title appeared in the teaching of popes. It is not surprising that Saint Maximilian, the great worshiper of Our Lady the Immaculate also called Her Mediatrix of All Graces. Initially teaching the traditional science relating to that title and then creating a new way of proving that privilege.Beginning the construction of the church, mentions St. Maximilian, that it is in honor of Mary Immaculate. Even after his death and after returning to the work on the basilica, interrupted by the Second World War, there was no mention of the title of Mediatrix of All Graces. On the basis of the archives, it can be concluded that only a few months before the consecration, probably thanks to the efforts of monastic father Vitalis Jaskiewicz, it was decided that the church would be called the Mediatrix of All Graces. In recent years the Apostolic See confirmed the rank of the ceremony in Niepokalanów on the 7 th of May and indicated that on that day the form of the Blessed Virgin Mary Mother and Mediatrix of all Graces should be used.
Słowo wstępne redaktora naukowego tomu tematycznego: Liturgia jako culmen et fons
Authors: Bartocha Waldemar
Published: January 2024

Brak
Versified physico-theology of Paul-Alexandre Dulard
Authors: Drozdek Adam
Published: January 2024

Paul-Alexandre Dulard was an eighteenth-century literary figure keenly interested in the science of his time and theology. He poetically blended tohether these two interests in his poetic work, The grandeur of God in the marvels of nature, where, as presented in this article, he addressed in the spirit of the then popular physico-theology the problem of the existence of God: the harmonious makeup of the universe points directly to its divine Designer. He also addressed the problem of theodicy by using the orderliness of the universe is explaining the existence of what is deemed to be evil. Finally, Dulard discussed the immortality of the soul as indicated by the desire of happiness which cannot be fulfilled in this world.
Protecting Protectionism in the WTO
Authors: Pelton Abigail
Published: January 2024

The Inflation Reduction Act of 2022 (IRA), as part of the largest in-vestment the United States has made to mitigate climate change to date, amended the United States Internal Revenue Code to reduce the cost of shifting toward renewable energy. Specifically, the IRA expands tax credits available to taxpayers who invest in or produce clean energy and provides a new consumer tax credit for electric vehicles. However, the IRA has come under fire from U.S. trading partners because some of these tax credits contain local content requirements (LCRs)— that is, the Act requires beneficiaries to source products or materials domesti-cally in order to receive the full benefit. Several foreign governments have claimed that the IRA’s use of LCRs violates World Trade Organiza-tion (WTO) agreements to which the U.S. is a party. If another member of the WTO lodges a formal complaint with the WTO and the U.S. re-ceives an adverse ruling, the U.S. could be ordered to repeal the IRA or face sanctions, which would severely hamper U.S. and global efforts to meet emissions goals. Moreover, LCRs could be a very useful tool for countries other than the U.S. to use to facilitate the growth of prosper-ous new renewable energy industries, something essential to sustaina-bly avoiding climate catastrophe. This Note reviews the WTO rules which the IRA may violate and finds that the IRA would not pass muster under prevailing interpretations of WTO agreements. However, evi-dence in the relevant WTO agreements support an alternative that would allow the IRA to survive. This Note proposes such an interpreta-tion and argues that it would be prudent for the WTO to adopt it in light of the current climate crisis.
Self-Efficacy Analysis as Mediating with Workload and Job Satisfaction Affects e-Performance
Authors: Setiadi Iwan Kresna
Published: January 2024

This study aims to analyze the role of self-efficacy as a mediator in the effect of workload and job satisfaction on electronic performance (E-Performance). The data analysis method uses a mediation model with self-efficacy variables as intermediaries, measured through the SmartPLS 4.0 application. The sample of this study amounted to 100 people taken from employees of companies engaged in the Logistics Industry. The results showed that workload did not have a significant effect on E-Performance, while job satisfaction had a positive and significant effect. Self-efficacy was found to mediate the relationship between workload and full E-Performance, as well as partially mediate between job satisfaction and E-Performance. The implications of these findings contribute to the understanding of the factors that influence electronic performance in the work environment, by highlighting the role of self-efficacy as a relevant mediator. These conclusions can help organizations in designing more effective management strategies to improve performance in the technological era.
Instructing students in history museums: A systematic literature review
Authors:   History Research Unit, KU Leuven, Belgium, Geerts Brent , Depaepe Fien ,   Centre for Instructional Psychology and Technology, and ITEC, Imec Research Group, KU Leuven, Belgium, van Nieuwenhuyse Karel ,   History Research Unit, KU Leuven, Belgium
Published: January 2024

History museums offer a wide range of possibilities to engage students in learning about the past, as well as about history. When compared to scholarly research on other types of museums, their educational promises are underexposed. Within these promises, instructional practices and instructional agents such as museum educators and history teachers play an important role. In order to get a view on research methods and findings regarding instruction within history museums, we conducted a systematic literature review. Three scholarly databases were searched, yielding 45 peer-reviewed journal articles. Those have been fully screened, analysed and compared regarding their research design (in terms of research questions, participants involved, and theoretical and methodological approaches) and their research outcomes (in terms of what they revealed about the content, the nature and the approach of instruction in history museums). Review outcomes reveal four different types of research designs, ranging from describing instructional practices to studying beliefs or a combination thereof, or a focus on the relationship between instruction and students’ learning. Within each of these types, great variety was observed regarding the involved participants and the theoretical and methodological approaches. Besides, the review distinguished three areas of research outcomes, namely the goals of instruction, the instructional methods and the relationship between schools and museums before, during and after instruction. Findings within these areas reveal that certain tensions exist, for example between cognitive and emotional-affective learning goals, also related to disciplinary (historical) and civic educational goals. Other tensions were to be distinguished between student- and teacher-centred instructional methods and between beliefs and practices regarding collaborations between schools and museums. Taken together, these research outcomes yield important implications for instructional practices in history museums and for future scholarly research on them.
Correlation Between Pes Planus (Flat Foot) and Anterior Knee Pain (Patello-Femoral Pain Syndrome) Among Obese Homemakers
Authors: Thakore Pranidhi
Published: January 2024

Background: Pes planus causes tibial rotation, that has been suggested to link movements in the foot and lower leg, so an abnormal alignment of the foot can affect the mechanics of the patellofemoral joint which leads to pain. This leads to Anterior Knee pain that aggravates on activities like: Ascending stairs, Kneeling, Frequent sitting and rising. Musculoskeletal disease is a major cause of pain and disability in the community, although it has minimal impact on mortality. Emerging evidence suggests that even small changes in weight-bearing activity, like walking, are sufficient to cause musculoskeletal pain in the obese.
Objective: To find out the correlation between Pes planus and Anterior knee pain in obese homemakers.
Methods: An observational study was conducted in the community of Anand, Nadiad and Ahmedabad. Depending on the selection criteria, participants were selected and informed consent was signed. The respondents were then requested to offer their demographic information.
Statistical analysis was done by first calculating the descriptive analysis and then using Pearson’s correlation to find out the association between Pes Planus and Anterior knee pain.
Results: The correlation of Arch Index with Kujala was weak positive (+0.269) and the correlation of Foot posture index-06 with Kujala is excellent (+0.990).
Conclusions: The study showed an Excellent correlation between Pes Planus (FPI-06) and Anterior Knee pain; and a weak positive correlation between Arch Index and ix Anterior knee pain among Obese (according to the Asian BMI criteria) Homemakers. This means that as the Pes Planus is present there is a high possibility of occurrence of Anterior Knee pain

Key words: Flat Foot, Pes planus, Anterior knee pain, Patello femoral pain syndrome, Obesity, Homemakers
Concept about Fertilization in Unani System of Medicine
Authors: Abdullah Mohammad , Ansari Nafasat Ali , Quadri Mohd Abu Bakar
Published: January 2024

In ancient times, when people had no interest in inventions and discoveries, but only made gauntlets and swords to fight wars, and there were only a few wealthy families who traded, we do not expect anyone to have high-tech laboratories and study embryology and preparations to inform humanity about the different stages of intrauterine life that modern scientists discovered only a century ago. From ancient to the modern period various definitions of fertilization have been given e.g. fusion of male and female gamete to form new individual organism (zygote and Istiqrār-i-Ḥaml). The ancient Egyptians believe the God Aton is the creator of embryo and ancient Indians said that the embryo form after sexual intercourse. Hippocrates explained that both men and women produce both male and female semen. Aristotle explained the nature of semen. Galen stated that male seed acts as molder. In Ṭibb-i-Nabawī Prophet Muhammad (peace be upon him) answered the questions about formation of child asked by a Jewish rabbi. Arab physicians said that the semen is drawn from all parts of body and both testicles of female produce female seed. In the view of Baghdadi male semen has formative faculty to perform actions. It may not be realistic to expect Unani physicians to make the same discoveries as modern scientists. However, it is still impressive that they came very close to understanding the mystery. Moreover, it is noteworthy that Unani physicians had realistic and serene explanations about the discovery.

Key words: Fertilization; Zygote; Istiqrār-i-Ḥaml; Unani.
Silent Struggles: Mental Health Barriers in Men Facing Cancer
Authors: M Mithesh , Sheelam Praveen K
Published: January 2024

Amidst the multifaceted landscape of cancer, the often-overlooked psychological struggles of male cancer patients stand as a focal point of this research. Exploring the intricate emotional terrain, this study sheds light on the profound mental health adversities experienced by men facing cancer diagnoses. Anxiety, depression, and existential crises emerge as testaments to the complex emotional challenges, overshadowed by societal expectations and stigmas surrounding masculinity and vulnerability. This investigation unravels barriers hindering male cancer patients from seeking crucial psychological support, encompassing societal norms, limited awareness, and communication challenges.
Addressing these complexities necessitates a comprehensive approach, calling for shifts in societal perceptions, normalization of mental health conversations, and seamless integration of psychological support within healthcare systems. Strategies proposed encompass enhancing mental health literacy, fostering open dialogues, ensuring access to mental health services, and advocating for systemic reforms.
The research underscores the urgent need for societal reforms that empower male cancer patients to seek mental health support without fear of judgment or societal repercussions. Future actions advocate for open dialogues, technological advancements, and policy changes to ensure equitable access to holistic care, prioritizing the psychological well-being of male cancer patients within the cancer care continuum.

Key words: Male Cancer Patients, Psychological Struggles, Societal Expectations, Mental Health Adversities, Holistic Care
Sustained Attention Outcomes of ADHD Traits and Typically Developing Participants
Authors: Qin Jessie , Kazazi Fjorda
Published: January 2024

Recent analyses into the prevalence of ADHD illustrate the connection between ADHD traits and eye movements. This present study explored the differences between people with ADHD traits (PWADHDT) and typically developing (TD) participants in sustained attention by measuring the number of saccades (NOS), number of fixations (NOF) and fixation duration (FD). Individuals with ADHD traits (n = 17) or without (n = 13) were examined. A saccade task and antisaccade task were utilised through a VR-created environment, designed to imitate an urban setting. The saccade task required participants to look directly at a provided stimulus, whereas the antisaccade required participants to look in the opposite direction. This experiment imitated Munoz’s 2003 study and aimed to assess whether there is a link between ADHD traits and eye movements,[1] as well as outline the higher levels of hyperactivity and lower levels of inattention exhibited by the ADHD group when compared to the control group. Results revealed that PWADHD showed greater hyperactivity and lower attention, supporting the hypothesis outlined above.The findings suggested that measures of eye movement can be used as indicators for ADHD traits, and propose the continued use of innovative VR software in future experiments.

Key words: Behavioural and social sciences; cognitive psychology; ADHD traits; saccades; fixation duration
Prevalence of Wrist Injury in People Who Are Lifting Heavy Weights in Gym
Authors: Malve Akshad Dipak , Patil Smita Chandrakant
Published: January 2024

Background: We aim to Identify the types and severity of wrist injuries that occur during weightlifting activities in the gym. Identify the training-related and demographic variables linked to a higher risk of wrist injuries. Assess the impact of wrist injuries on the ability to perform weightlifting exercises and overall physical activity levels. Develop strategies to prevent wrist injuries among weightlifters in the gym setting.
Method: This was an observational study undertaken on 45 participants. Aged between 15 to 30 years. Study quality was done by using self-made questionnaire.
Results: 45 Individual who participated in a survey of the weight lifting population. According to this study, 43.3 percent of participants had mild wrist injuries, 50% had moderate wrist injuries, and 6.7% had severe wrist injuries as a result of lifting something heavy.
Conclusion: According to these results, wrist injuries occur most frequently in weightlifters. Lifting big weights in the gym can lead to a lot of wrist injuries.

Key words: wrist injury, GYM, physical activity, training
Non-Traumatic Hemothorax in a Child with Necrotizing Pneumonia: A Case Report
Authors: Shah Bipesh Kumar , Nagpal Dheeraj , Yadav Shankar Prasad
Published: January 2024

Acute necrotizing pneumonia has challenges in diagnosis and management involving a multidisciplinary team approach; pediatric medicine and surgery. The initiation and timely upgradation of antibiotics with drainage of collection (pus, blood) is the key to better outcomes. The imaging study should not be delayed for the diagnosis and to rule out other cavitary lesions. The virulence nature of staphylococcus aureus and streptococcus pneumonia makes them common aetiological agents. We present a case of a child who initially had symptoms of severe pneumonia, and later on was found to have hemothorax which improved with broad-spectrum antibiotics and chest tube drainage.

Key words: child, hemothorax, pneumonia
Effect of IMT and Breathing Retraining Technique in Asthmatic Patient: A Case Study
Authors: Kumar Mohit , Madaan Vani
Published: January 2024

Background: Asthma is a chronic respiratory disease that causes breathlessness, cough with sputum, and chest tightness due to which there is a decrease in respiratory muscle strength that further leads to elevating these symptoms due to minute allergen. Due to these symptoms, there is a significant decrease in PFT values i.e. FEV1, FVC, and the ratio (FEV1/FVC). So, there is a need for a study to check the effect of the IMT device along with the breathing retraining exercises on breathlessness, 6-minute walk distance, and PFT.
Methodology: A case study was designed to assess the effect of IMT and breathing retraining exercises on the respiratory muscles of asthmatic patient of age 20-25 years old. This study is designed for 21 days and IMT device was prescribed twice a day with 30 repetitions each whereas Breathing retraining exercises were prescribed twice a day with 2 sets of each exercise and 15 repetitions each. Pre- and post-values of PFT, 6-minute walk distance, fatigue severity score (FSS), and mMRC scale for dyspnea were noted and data was analyzed via MS Excel.
Result: According to the current study, there is a significant improvement in FEV1, FVC, and the ratio of these. This study shows that IMT devices and breathing retraining exercises are helpful in alleviating breathlessness and FSS. A significant improvement shows in the 6-minute walk distance after 21 days of protocol of IMT and breathing retraining exercises.
Conclusion: The study shows significant improvements in respiratory parameters, breathlessness, and functional capacity after implementing Inspiratory Muscle Training devices and breathing retraining exercises. These interventions alleviate breathlessness and reduce FSS, making them valuable components of comprehensive respiratory care strategies.

Key words: IMT Device, Breathing Retraining Technique, PFT, FSS, mMRC
Aberrant Acute Calculous Cholecystitis with 740 Gallstones: A Rare Case Report
Authors: Reddy Lokireddy Srinivasa , Raja Sreerama
Published: January 2024

Gallstone disease remains the cause of morbidity and mortality since ancient times. In India, it is considered to be approximately 4%, whereas it is 10% in the Western countries. Cholesterol super saturation lies at the heart of gallstone formation. 0ur case report is about 62 years old female patient presented with high grade intermittent fever, right upper quadrant abdominal pain radiating to the back, nausea and vomiting of two days duration. She was acutely sick looking with a blood pressure of 100/70 mmHg, pulse-rate of 120, respiratory rate of 24 breaths per minute and temperature measuring 40.6°C. We did interval laparoscopic cholecystectomy and find out thickened fibrous gall bladder wall with 740 stones of size ranging from 0.5 cm to 1.8cm inside it. Gallstone disease is one of the most prevalent gastrointestinal disorders since ancient times and management of its complications incurs significant economic burden. Age and female sex considered strong risk factors compared to other risk factors. Solitary stone and younger age were the most prominent predictors of severe inflammation. Surgery is the mainstay of management for symptomatic gallstone diseases and in selected conditions of asymptomatic cases

Key words: Multiple gallstones; Acute cholecystitis; laparoscopic Cholecystectomy; Gallbladder carcinoma
Development of a Mechanical Shoe Donning and Doffing Assistive Device for Bilateral Upper Limb Deficiency: A Prototype
Authors: Tiwari Navneet , Kumari Rohina
Published: January 2024

One of the most important problems for the bilateral upper limb deficient patient is the inability to don and doff their shoes. Assistive devices have emerged as a beacon of hope for bilateral upper limb-deficient patients, bridging the gap between their abilities and the activities they wish to perform. Mobility is a fundamental aspect of daily life, and footwear plays a pivotal role in this regard. For an upper-limb-deficient child, the simple act of putting on shoes can be a daunting task. The objective of this study is to design and create an effective mechanical device that can provide assistance to patients with bilateral upper limb deficiency facing challenges in independently donning and doffing their shoes and reduce the time and effort required to put on their shoes.

Key words: Bilateral amputee, upper limb deficiency, assistive device, shoe donning, shoe doffing
Prevalence of Backward Disequilibrium in Subjects with Chronic Low Back Pain
Authors: Chintamani Radhika , K.V Thulasi
Published: January 2024

Background: Backward disequilibrium (BD) is a postural disorder in subjects who have distortion in their perception of vertical posture. This is characterized by posterior trunk tilt in standing or sitting position which predisposes the subject to fall backward. Chronic Low back pain (CLBP) is defined as pain in the lumbosacral region, buttocks and thighs that is mechanical in nature and seen to be pain that persists beyond the expected period of healing.
Methodology: This study was a prevalence study to identify the backward disequilibrium in subjects with chronic low back pain subjects. Out of 70 participants 53 subjects were identified with the inclusion criteria of the study. The questionnaires used to assess backward disequilibrium were Timed backward walking test, Tampa’s kinesiophobia scale and Mini Best-test.
Results: The study concluded that the ability to walk in normal speed, static balance and dynamic balance are affected due to chronic low back pain (CLBP) and it also leads to fear of fall. The subjects with chronic low back pain showed significant p value with respect to Timed backward walking test (0.05*), Tampa’s kinesiophobia scale (0.05*) and Mini Best-test (0.05*) for the age group 51-55 years compared to other groups. In addition, Mini Best-test was statistically significant even in the age range 46-50 with p value of 0.05*.
Conclusion: The current study concluded that as the age advances in subjects with chronic low back pain, there will be definite backward disequilibrium evidently seen.

Key words: Backward disequilibrium, Chronic Low Back Pain, Tampa's kinesiophobia scale, Mini best-test, Timed backward walking test.
A Prospective Comparative Study on Clinical Estimation of Intraoperative Blood Loss with Postoperative Hemoglobin and Packed Cell Volume in Patients Undergoing Caesarean Section
Authors: R Rudra Mol , Rao Manjula Sudhakar , Jith Arya S
Published: January 2024

BACKGROUND: Obstetrical haemorrhage is a potentially preventable cause of mortality and morbidity. It’s important to know the co-relation between intraoperative blood loss and post operative Hb and PCV in a patient undergoing LSCS for timely management of any obstetric haemorrhage.
AIM: The aim of the study is to compare clinically estimated intraoperative blood loss with postoperative Hb and PCV in patients undergoing caesarean section.
MATERIALS AND METHODS: Visual method of clinical estimation of blood loss assessment was adopted for assessing total intraoperative blood loss during the surgery. Total intraoperative blood loss was visually estimated and documented by counting the blood-soaked mop pads, blood in suction after deducting the saline for wash, weighing the blood clot and multiplied them with the estimated volume of blood it would hold. Sum of all these parameters will give total intraoperative blood loss. Then we assessed the correlation by getting the laboratory Hb and PCV.
RESULTS: The Pearson’s value and ‘p’ value of postoperative laboratory Hb is -0.106 and 0.244. Pearson’s value and ‘p’ value of postoperative laboratory PCV is -0.165 and 0.068.
CONCLUSION: we observed that there was no statistically significant correlation between total intraoperative blood loss with the postoperative laboratory Hb and PCV. There was no indication for intraoperative or postoperative transfusion of blood to the patients after the LSCS

Key words: Hemoglobin, Intraoperative blood loss, Lower segment caesarean section, Packed cell volume, Postoperative, visual method.
Vowel Productions in Malayalam Speaking Toddlers with Repaired Cleft Palate and /or Lip
Authors: Subrahmanian Manju , Pushpavathi M.
Published: January 2024

Introduction: Cleft palate and /or lip is a congenital orofacial anomaly affecting speech production skills. The current study investigates vowel production in toddlers with repaired cleft palate and /or lip (RCP±L). The number and type of vowels in terms of tongue height and tongue advancement were computed from the speech sample extracted. In toddlers with RCP±L, the frequency of nasalized vowels was computed.
Method: A 30-minute mother-child interaction video was used for the extraction of speech samples for investigating vowel productions. Vowel productions of five 30–36-month-old toddlers with typical development (TD) were compared with the vowel productions of five 30–36-month-old toddlers with RCP±L.
Results: Toddlers with RCP±L were found to have significantly lesser productions of close-mid, high (close), front, and back vowels in comparison to toddlers with TD. Toddlers with RCP±L were also found to exhibit nasalization of vowels.
Conclusion: Quantity and quality of vowel productions are affected in toddlers with RCP±L, ascertaining the need for early intervention.

Key words: Vowel production, toddlers, repaired cleft palate and /or lip, nasalized vowels, tongue height, tongue advancement, Malayalam
Determinants of Early Antenatal Care Booking among Pregnant Women attending Embu Teaching and Referral Hospital, Kenya: A Cross-sectional Survey
Authors: Jemutai Faith , Impwii Domisiano Koome
Published: January 2024

Background Information: Antenatal care is a fundamental pillar in ensuring positive maternal and fetal outcome. Even though WHO recommends the initiation of antenatal visits in the first trimester, this varies among pregnant women. This study aimed to determine the factors that determined the early antenatal care booking among pregnant women.
Methods: An institutional based, descriptive cross-sectional survey was carried out in Embu teaching and referral hospital. The study was undertaken from February to April 2023, and involved eighty-seven pregnant women. Data were collected using a researcher administered semi-structured questionnaire. SPSS version 28.0 was used to analyze data. Descriptive statistics were used to summarize the data whereas regression analysis and Chi-square were used to test relationship at 95% CI.
Results: The study indicated that 35.0% of women started antenatal care within 12week gestation. Multivariate logistic regression analysis showed that: [(AOR (95% CI)) maternal age 20-24 years (5.25 (1.29, 21.35)), being married (4.6 (1.52, 13.95)), having a secondary education (3.2(1.17,8.74)) and being employed (2.81(1.01,7.80)) were positive determinants of early commencement to antenatal care.
Conclusion: The proportion of women initiating ANC within the WHO recommended gestation of 12 weeks is low. Woman’s age, level of education, marital status and occupation are the positive determinants of early ANC initiation. Health care providers should provide information, education and communication about the benefits of early ANC for every eligible mother. Mass media programmes and campaigns on early initiation of ANC should also be developed to promote early uptake of ANC services among prospective mothers.

Key words: Antenatal care, first visit, timing, determinants, booking.
Type-II-Diabetes Mellitus- Etiology, Epidemiology, Risk Factors and Diagnosis and Insight into Demography (Urban Versus Rural)
Authors: Sharma Umesh Kumar , Pujani Meenu , . Anuradha
Published: January 2024

Diabetes is a chronic metabolic disorder that affects the synthesis of insulin. Two major types of diabetes are Type I and type II. Type I Diabetes results from autoimmune disease due to destruction of insulin-producing beta cells in the pancreas' islets. While, type II insulin (T2DM) is caused by insulin resistance in muscle, fat and liver cells. Insulin resistance in T2DM leads higher triglyceride biosynthesis, decreased triglyceride and increased fatty acid flux. The various risk factors associated with T2DM includes dyslipidemia, hyperglycemia and cardio vascular diseases. T2DM, a chronic non-communicable disease, affects around 463 million people worldwide suffer from this disease and by 2040, that figure is predicted to increase to 640 million. The most common types of T2DM diagnostic tests are (i) FPG (fasting plasma glucose) ≥126 mg/dl assays (ii) The OGTT, or oral glucose tolerance test 2-h plasma glucose ≥200 mg/dl (iii) HBA1C (glycated hemoglobin) ≥6.5%. Due to their sedentary lifestyles and over nutrition, urban patients typically experience higher rates of T2DM than rural ones. A healthy lifestyle that includes eating low-fat, high-fiber meals, exercising moderately to vigorously, decreasing weight, and avoiding prolonged inactivity is key to preventing T2DM. In nations like India, with the use of epidemiological data diabetes prevention initiatives can more effectively target high-risk people.

Key words: Diabetes Mellitus, dyslipidemia, hyperglycemia, insulin, triglyceride, autoimmune disease
Comparison of Ondansetron V/S Dexamethasone for Preventing Post-Operative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy - An Observational Study
Authors: AM Revathy , OT Vasantha , R Rudra Mol
Published: January 2024

BACKGROUND AND OBJECTIVES: Postoperative nausea and vomiting (PONV) are one of the foremost common complications of anaesthesia. To enhance patient outcomes and satisfaction, it is crucial to identify efficient approaches to prevent or eliminate post-operative nausea and vomiting. The most widely used medications for post-operative nausea and vomiting prophylaxis in current day practice are ondansetron and dexamethasone. The current study aims to compare the efficacy of 4mg ondansetron and 8mg dexamethasone in preventing postoperative nausea and vomiting following laparoscopic cholecystectomy.
MATERIALS AND METHOD: The observational study includes 78 patients who underwent laparoscopic cholecystectomy. Patients was randomly allocated into group A or group B. patients in group A received injection ondansetron and patients in group B received injection dexamethasone. The episodes of Post operative nausea and vomiting were observed using a 4-point ordinal scale at intervals of 0-3 hours and 3-24 hours after surgery. For statistical association, The Mann- Whitney U test is used to compare the proportion of nausea and vomiting in two drug groups; a p-value less than 0.05 is considered significant.
RESULTS: The episodes of PONV in 0-3 hours (p= 0.928) were comparatively higher than in 3-24 hours (p=0.360) following surgery. The episodes of PONV were found to be less with dexamethasone than ondansetron in the late 3-24 hours although it was not statistically significant.
CONCLUSION: The intraoperative use of either Dexamethasone 8mg or ondansetron 4 mg for patients undergoing laparoscopic cholecystectomy appears to reduce the incidence of PONV but does not reach statistical significance.

Key words: Ondansetron, Dexamethasone, post-operative nausea vomiting, laparoscopic cholecystectomy
Function and Meaning of Symbols in the Simalungun Ethnic Mangalop Parhorason Traditional Ceremony
Authors: Dahri Lenny , Barus Asni , . Herlina
Published: January 2024

This article is entitled Function and Meaning of Symbols in the Simalungun Ethnic Mangalop Parhorason Traditional Ceremony, which aims to describe the implementation process, form, function and meaning of symbols contained in the Simalungun Ethnic Mangalop Parhorason traditional ceremony. The theory used to analyze data is semiotic theory, namely symbols proposed by Charles Sanders Pierce. The method used in this research is descriptive qualitative with field research techniques. The results obtained from this research consist of two stages of implementation, namely: (1) Pre-implementation of custom (2) Implementation of custom. There are five categories of symbols used, including: (1) Traditional food symbols (2) Traditional equipment symbols (3) Time symbols (4) Status marking symbols (5) Place and position symbols. The function and meaning of the symbols used are to obtain blessings, abundant sustenance as well as completeness and order in life. Through regular living and positive thinking, it is hoped that the mother's pregnancy can be maintained well until the baby is born, and the father is also expected to always support and strengthen the mother during pregnancy. Everything will be in order as expected if you have an orderly life.

Keywords: Function, Meaning, Symbol, Mangalop parhorason, Semiotics
Development of Problem-Based Learning Based Science Teaching Materials Assisted by Audio-Visual Media to Improve Students' Critical Thinking Skills
Authors: . Nadiroh , Wardani Sri , Suminar Tri
Published: January 2024

This study is the development of problem-based learning-based science teaching materials that are assisted by audio-visual media in an effort to improve students' critical thinking skills in Grade V. The purpose of this study was to analyze the feasibility and effectiveness of problem-based teaching materials based on problem-based learning assisted audio-visual media on organ motion material in animals and humans. The method used in this study is Research and Development (R&D) with model Analyze, Design, Development, Implementation, Evaluation (ADDIE). SDN Kebon Pelok and SDN Kanggraksan Cirebon became the subject of research. There are two Tests, limited scale test with 15 students and large scale test with 30 students. The results of the material expert validation test 74.75 with good enough categories and the media expert test 89.50 including very good categories. Analysis of normality test results 0.103>0.05 means normal data, homogeneity Test 0.585>0.05 means homogeneous data, t test 0.000 < 0.05 means significant changes after the action and N-Gain score of 0.5478 is in the range of values between 0.3 to 0.7, which means in the medium category.

Keywords: Problem-Based Learning, Audio Visual, Critical Thinking Skills
Supply Chain Management in Construction Projects: A Comprehensive Analysis of the Indian Context - Review
Authors: Jaisree K.B. , Palani B.
Published: January 2024

Supply chain management (SCM) plays a crucial role in the success of construction projects, Influencing factors such as project timelines, costs, and overall efficiency. This literature review paper provides an in-depth analysis of SCM in construction, with a primary focus on the unique dynamics of the Indian construction industry. Drawing from a wide array of scholarly articles, research papers, and industry reports, this comprehensive review synthesizes existing knowledge in the field. It examines the evolution of SCM practices in the construction sector, emphasizing the shift from traditional methods to contemporary, technology-driven solutions. Furthermore, this literature review explores key SCM elements such as procurement, logistics, risk management, sustainability, and the integration of advanced technologies within the construction supply chain. Sustainability emerges as a significant theme in this review, as it discusses the growing emphasis on environmentally responsible SCM practices in construction projects. In conclusion, this literature review offers a comprehensive overview of supply chain management in construction projects, with a specific focus on India. It serves as a valuable resource for researchers, industry professionals, and policymakers seeking to understand the intricacies of SCM in the Indian construction sector. Additionally, the review highlights areas for further research and development, paving the way for continued advancements in construction SCM practices.

Keywords: Supply Chain Management; Construction Projects; Sustainability; Technology Integration; Logistics;
Patient Satisfaction Levels in One of the Private Hospital in Padang City
Authors: Rahman Sebrin Fathia , Yetti Husna , Astiena Adila Kasni
Published: January 2024

Improving patient care is a priority for health service providers, with the aim of achieving optimal levels of patient satisfaction. Based on patient satisfaction data, the level of patient satisfaction in 2022 still doesn't meet the minimum service standard. It was also found that there were many complaints about the services provided at outpatient clinics. This research aims to determine the level of patient satisfaction based on satisfaction indicators and analyze which attributes are priority problems. The research method uses a sequential explanatory method. Data was obtained from 167 respondents and nine informants. Data analysis uses descriptive analysis and Cartesian diagrams. Qualitative research was carried out using in-depth interviews, observations, and reviews of related documents. Research results showed that the level of patient satisfaction was 72.5%. Based on the five dimensions of service quality, the level of patient satisfaction was found to not meet service standards. There are four main priority problems to be addressed: service registration procedures, inappropriate arrival times for doctors, staff attitudes and communication that aren't optimal, and waiting times for medicines that don't meet standards. It was concluded that the level of patient satisfaction still doesn’t meet the minimum service standards.

Keywords: Outpatient care, patient satisfaction, service quality
Field Partner Performance Assessment Information System Using the Ranking Method at the Statistical Centre of Bukittinggi City
Authors: Putra Fitra Kasma , . Iswandi , . Amuharnis
Published: January 2024

The Central Bureau of Statistics of Bukittinggi City currently has not conducted an assessment of the performance of its field partners. This research was conducted with the aim of designing and building a Field Partner Performance Assessment information system application using the Ranking Method at the Bukittinggi City Statistics Agency, because BPS itself does not yet have an assessment process carried out for these field partners. The criteria that will be assessed in assessing the performance of these field partners are in the form of Grammar, How to Communicate, Ability to provide Services, Politeness, Friendliness of Partners, How to Dress and Attitude. In writing this final project, the research method used is field research, namely interviews by asking questions through question and answer, and library research. In addition, to get good quality human resources, an assessment method is needed, one of these assessment methods is to use the ranking method or Ranking Method. The Ranking Method is a ranking of employees whose scores are highest to lowest. This method begins by observing and assessing the performance of employees, then ranking their performance. The results of this study are in the form of a Field Partner Performance Assessment information system application using the Ranking Method at the Bukittinggi City Statistics Agency which makes it easy for the Bukittinggi City Statistics Agency to assess the performance of field partners to be more effective, accurate and fast.

Keywords: Information System, Ranking Method, Service
A Randomised Single Blind Control Study to Explore Clinical Potential of Homoeopathic Remedy “Calcarea Calcinata” 30 C in Management of Common Warts
Authors: Keerthana K. , Sriharitha Ambala
Published: January 2024

Warts are benign skin growths that can occur on different body areas, in various forms and are common around the world, affecting about 10% of the population. Homoeopathy offers wide range of treatment for warts. Even though individualization and dominating miasm are the cornerstones of Homoeopathic treatment, cases might become one-sided when there are few symptoms. In such cases remedies having affinity for warts can be used for treatment. One such remedy mentioned in Clarks Dictionary of Materia Medica, is Calcarea Calcinata. This study was conducted to evaluate the effectiveness of Calcarea Calcinata, in treating common warts for period of 6 months. The results validated the alternative hypothesis, which states that Calcarea Calcinata is a useful treatment for common warts.

Keywords: Calcarea Calcinata, Warts, Verrucae, Randomised Single Blind Control Study, Homoeopathy
Diphtheria Tonsil with Bullneck and Allergy to Anti-Diphtheria Serum
Authors: Syawqi Rahmat , Mariko Rinang
Published: January 2024

Diphtheria is an acute, highly contagious, vaccine-preventable disease that mainly affects children. Anti-diphtheria serum (ADS) should be administered as soon as a case is declared a probable case based on clinical diagnosis without waiting for laboratory diagnosis. This case report aims to further explore the diagnosis of diphtheria and the management of allergic anti-diphtheria serum given to children. In this case report we discuss a 14-year-old male patient who was diagnosed with diphtheria of the tonsils with bullneck with the main complaints of fever, painful swallowing, and pseudomembranes on the left and right tonsils of greyish-white colour, difficult to remove and diffuse swelling of the neck. Patient’s lab work showed leucocytosis and gram-stained morphology suitable for Corynebacterium diphteriae which then followed by administering antibiotics and ADS. Electrocardiography was performed periodically to observe cardiac complication. Soon after ADS was administered, the child complained of coughing and itching of the body and limbs, and extensive urticaria was found on the body and extremities. Anti-Diphtheria Serum administration was then continued with desentisation technique (besredka) until the complete ADS dose was given and there were no complaints in the patient. The child was treated for 14 days and then controlled at the outpatient clinic.

Keywords: diphtheria; allergy; anti diphtheria serum; bullneck