bluuebunny/crossref_metadata_2025 huggingface dataset:
HUMAN RESOURCE MANAGEMENT AND INNOVATION ON BUSINESS ENTERPRISES PERFORMANCE
Authors: Wijaya Muhammad Adhimawan , Rudiansyah Firman , Priyono Priyono
Published: May 2024

Human resource management and innovation play crucial roles in determining the performance of business enterprises. In today's fast-paced world of technological advancements and intense global competition, organizations need to continuously innovate to maintain a competitive edge. However, successful innovation is only achievable when an organization has the right talent and effective human resources management in place. Therefore, the objective of this study is to examine the interrelationships between Human Resource Management (HRM) and innovation, HRM and business enterprise performance, as well as innovation and business enterprise performance. The study focused on 104 business enterprises in Karawang regency, using purposive sampling techniques and SEM-PLS analysis. The statistical output revealed significant positive effects of HRM practices on innovation variables (effect size: 48.285 > T-table value of 1.995), and on business enterprise performance (effect size: 3.243 > T-table value of 1.995). Furthermore, innovation was found to have a significant positive impact on business enterprise performance (effect size: 3.586 > T-table value of 1.995). In summary, the study highlights the critical role of effective human resource management in fostering innovation and, consequently, improving business enterprise performance. It underscores the importance of nurturing a talented workforce and promoting innovative practices to stay competitive in today's dynamic business landscape.
PENGARUH HARGA, PRODUK, BRAND IMAGE, DAN KUALITAS PELAYANAN TERHADAP KEPUASAN PELANGGAN DI PT. KARYA NUSANTARA PROPERTINDO PEKANBARU
Authors: Putra Andi , Ng Martha
Published: May 2024

Penelitian ini bertujuan untuk mengetahui pengaruh harga, produk, brand image, dan kualitas pelayanan terhadap kepuasan pelanggan pada PT. Karya Nusantara Propertindo Pekanbaru. Populasi konsumen dalam penelitian ini adalah konsumen yang telah melakukan transaksi pembelian di PT. Karya Nusantara Propertindo yang berjumlah 108 orang. Teknik pengambilan sampel dalam penelitian ini yang digunakan adalah sampel jenuh, dengan jumlah 108 responden. Teknik pengumpulan data menggunakan angket penelitian dan studi pustaka, teknik analisis data yang digunakan adalah analisis regresi linear berganda. Hasil penelitian ini menunjukkan bahwa, produk, brand image, dan kualitas pelayanan berpengaruh positif dan signifikan terhadap kepuasan pelanggan, sedangkan harga berpengaruh negatif dan signifikan terhadap kepuasan pelanggan.
REVITALISASI PASAR SAHAM: MENYELUSURI DAMPAK MAKROEKONOMI DAN INDEKS GLOBAL
Authors: Putri Shelinta Decyantra , Fadila Ardhiani
Published: May 2024

Penelitian ini difokuskan pada analisis untuk mengeksplorasi dampak faktor-faktor makroekonomi dan indeks global terhadap kinerja Indeks Harga Saham Gabungan (IHSG) di Bursa Efek Indonesia (BEI). Variabel yang diperiksa meliputi inflasi & kurs sebagai representasi faktor-faktor makroekonomi, serta Indeks Standard & Poor’s 500 dan Indeks Hang Seng sebagai indikator indeks global. Regresi linier berganda adalah teknik analisis yang diterapkan pada data runtun waktu dari tahun 2018 hingga 2022. Perangkat lunak Eviews versi 13 digunakan untuk mengolah data. Hasil analisis regresi linier berganda menjelaskan bahwa: (1) IHSG tidak dipengaruhi secara statistik signifikan oleh inflasi, (2) IHSG dipengaruhi secara statistik signifikan oleh kurs, (3) IHSG dipengaruhi secara statistik signifikan oleh Indeks S&P 500, dan (4) IHSG tidak dipengaruhi secara statistik signifikan oleh HSI.
PENGARUH UKURAN PERUSAHAAN, KEPEMILIKAN INSTITUSIONAL, DAN INVESTMENT OPPORTUNITY SET (IOS) TERHADAP NILAI PERUSAHAAN MELALUI STRUKTUR MODAL SEBAGAI INTERVENING
Authors: Monit Ardian Tri , Yeni Fitri , Afuan M.
Published: May 2024

Nilai Perusahaan pada perusahaan manufaktur yang terdaftar di BEI dipengaruhi oleh Kepemilikan Institusional, Investment Opportunity Set (IOS), dan Ukuran Perusahaan melalui Struktur Modal sebagai variabel intervening selama periode 2018-2022, berdasarkan temuan penelitian ini. Metode eksplorasi kuantitatif digunakan. Sampel untuk analisis ini adalah 224 organisasi daerah yang terdaftar di BEI selama periode 2018-2022. Untuk memilih uji eksplorasi digunakan pengujian purposif yang akhirnya diperoleh 56 organisasi. Strategi pemeriksaan informasi yang digunakan berbeda dengan direct relapse dengan bantuan program spss 25. Hasil pemeriksaan memberikan bukti bahwa ukuran organisasi sampai batas tertentu mempengaruhi rancangan modal, kepemilikan institusional sampai taraf tertentu mempengaruhi pembangunan modal, rangkaian peluang usaha (ios) agak mempengaruhi rancangan modal, ukuran organisasi, kepemilikan institusional, rangkaian peluang spekulasi (ios) dan pembangunan modal. sampai taraf tertentu mempengaruhi penghargaan organisasi, ukuran organisasi, kepemilikan institusional dan set peluang spekulasi (ios) sampai taraf tertentu tidak seluruhnya mempengaruhi penghargaan organisasi melalui desain modal sebagai variabel mediasi yang tercatat pada Perdagangan Efek Indonesia.
THE EFFECT OF TELENURSING ON DIETARY MANAGEMENT AND PHYSICAL ACTIVITY ON CHANGES IN BLOOD SUGAR LEVELS IN PATIENTS WITH TYPE II DIABETES MELLITUS AFTER HOSPITALISATION IN PANTI RAHAYU HOSPITAL PURWODADI
Authors: Prasetyo Hendrik Budi , Lufianti Anita , Sutiyono Sutiyono
Published: May 2024

Background: Hyperglycemia or increased blood sugar is a characteristic of diabetes mellitus (DM), a chronic metabolic disease. One of the main reasons why DM patients do not follow their treatment program is because they do not realize how important a healthy diet and exercise are. Someone with better understanding will be more likely to follow food consumption patterns and regulate blood glucose (glycemic) levels better. Telenursing is a new way of providing nursing care that has developed as a result of the major influence that developments in information and communication technology have had on the health sector.Method: This research uses the pretest-posttest design method. The research respondents were type 2 DM patients post-hospitalization at Panti Rahayu Hospital whose inclusion criteria had been determined with a total of 21 people selected using probability sampling techniques. Data collection was carried out by providing education via video call according to the SOP with the WhatsApp application and then measuring blood glucose levels. Data analysis determined the effect of telenursing on diet and physical activity on changes in respondents' blood sugar levelsResults: The research showed experimental results of improving blood glucose below < 200 mg/dl as many as 16 respondents (76.2%) with normal interpretation, while 5 respondents (23.8%) showed blood sugar levels > 200 mg/dl with abnormal interpretation. The results of statistical tests using Wilcoxson with a p value of 0.00 < 0.05 concluded that there was an effect of telenursing on reducing blood sugar in type 2 DM patients.Conclusion: telenursing regarding diet implementation and physical activity significantly affects blood sugar levels in type 2 DM patients.
Reakcja amerykańskich miast na rosyjską inwazję na Ukrainę
Authors: Frenkel Marcin
Published: May 2024

W pierwszych miesiącach pełnowymiarowej rosyjskiej agresji na Ukrainę jedynie 10% miast amerykańskich zawiesiło lub zakończyło współpracę z rosyjskimi miastami partnerskimi. Dla władz ukraińskich, które publicznie wzywały amerykańskich burmistrzów do zerwania wszelkich kontaktów ze stroną rosyjską, wynik ten wydawał się rozczarowujący. Postawa włodarzy amerykańskich miast zdawała się również różnić od zdecydowanie proukraińskiej polityki rządu federalnego USA. W artykule wyjaśniono podejście amerykańskich miast do konfliktu oraz przyczyny ich niechęci do zrywania formalnych powiązań z rosyjskimi partnerami. Opracowanie to przybliża również sposób funkcjonowania partnerstw miast w USA oraz funkcję tej instytucji jako narzędzia soft power w amerykańskiej polityce zagranicznej. Tym samym wpisuje się w badania nad udziałem aktorów niepaństwowych w stosunkach międzynarodowych.
Procesy sekurytyzacji i desekurytyzacji migracji w Polsce w kontekście migracji z Ukrainy po wybuchu wojny rosyjsko-ukraińskiej (2022)
Authors: Liszkowska Dominika
Published: May 2024

Przedmiotem artykułu jest proces desekurytyzacji migracji w Polsce, który można zaobserwować w kontekście migracji, które miały miejsce po wybuchu wojny na Ukrainie (2022). W artykule, przy wykorzystaniu teorii sekurytyzacji szkoły kopenhaskiej, dokonano w pierwszej kolejności analizy procesu zapoczątkowanego w 2015 r., związanego z kryzysem migracyjnym UE. W jego wyniku doszło do zaostrzenia dyskursu medialnego i politycznego w Polsce i ukazania migrantów i uchodźców z Bliskiego Wschodu i Afryki, jako zagrożenia dla państwa  i społeczeństwa. Podobna tendencja zaobserwowana została w związku z sytuacją na granicy polsko-białoruskiej, kiedy przy wykorzystaniu obrazów wzbudzających strach wprowadzono „środki nadzwyczajne”, uniemożliwiające migrantom (określanym jako „broń Łukaszenki”) przedostanie się na terytorium Polski. Z kolei znacznie bardziej masowa migracja, która miała miejsce po wybuchu wojny na Ukrainie, nie spotkała się z taką tendencją, a towarzyszące jej działania można ocenić całkowicie odmiennie. W związku z tym celem analizy stała się odpowiedź na pytanie: jakie czynniki wpłynęły na desekurytyzację migracji, która miała miejsce w Polsce po inwazji Rosji na Ukrainę?
Methods for assessing the potential of local strategies and programmes in the field of energy and energy efficiency in communities of Ukraine
Authors: Kostetska Iryna , Moldovan Elvira , Stępniewski Tomasz
Published: May 2024

There is suggested the Methods for assessing the potential of local strategies and programmes as a practical tool for assessing the ability of local strategies and programmes in the field of energy and energy efficiency. Due to the use of the Methods, local communities and specific energy cities will be able to identify a compliance level of their local strategies or programmes to legislative and regulative acts of both national and regional levels. This assessing the ability of local strategies and programmes will provides ordering a system of strategies and programmes, and will be a significant step to the practice of energy efficiency and energy sustainability.
In the paper, we will analyze strategies and programmes of six local communities of six Regions (Oblasts) of Ukraine with the help of the suggested Methods. Due to this approach, we will cover with analysis different regions of Ukraine. The findings will be represented in conclusions.
In practice, findings represented in the paper, could be interesting for energy companies, Local Self-Government Authorities, utility companies, academia, and a wide audience interested in issues on energy and energy efficiency. The approbation of the Methods is represented on the example of Ukrainian communities; nevertheless, this is a good example that can be used by territorial units in different countries.
Korea Południowa wobec inwazji Federacji Rosyjskiej w Ukrainie
Authors: Jankowiak Adam
Published: May 2024

Agresja Federacji Rosyjskiej na Ukrainę to wydarzenie, które całkowicie zmieniło dotychczasowy ład międzynarodowy. Od początku działań wojennych można było wyróżnić państwa, które wspierają zaatakowaną Ukrainę i te z Rosją sympatyzujące. Korea Południowa, podobnie jak większość państw Zachodu, poparła Ukrainę, ale odmówiła przekazania jej broni. Decyzja ta wzbudziła kontrowersje, ponieważ Republika Korei dysponuje zaawansowanymi typami uzbrojenia, jej pozycja na globalnym rynku broni stale rośnie, a dzięki popularności osiągnięć kulturalnych była dotychczas postrzegana na świecie tylko pozytywnie. Jednak wojna w Ukrainie zachwiała globalnym porządkiem i zmieniła dotychczasowe determinanty. W niniejszym artykule zostanie przedstawione stanowisko władz Korei Południowej wobec rosyjskiej inwazji w Ukrainie oraz będą omówione przyczyny obecnej polityki i sposoby jej zmiany.
Mapping the Key Actors of Rural Land Conflicts in Bangladesh
Authors: Rahman Md. Zarif , Korobi Sadia Aktar
Published: May 2024

Conflicts over rural land have plagued Bangladesh since its independence. Rural land issues continue to remain unresolved, and violence related to land is still on the rise. The investigation of those engaged in these disputes and the dynamics of their relationships, however, has received very little attention. The current study maps those involved in land conflicts and their relational interplay in the context of rural Bangladesh. The study utilizes qualitative method of data collection including KII interviews, focus group discussions, and expert interviews. Through purposive sampling, key informant interviews and focus group discussions involved a group of relevant stakeholders in land conflicts in the study areas who provided needed information, ideas, and insights on land issues in the area. The study finds that the power structure of the village affects benefit distribution and the resolution of land disputes. Local political leaders and "Matbors" have an impact on how disputes are resolved. Law enforcement authorities are ineffective at resolving violent conflicts, and corrupt land office staff are also of no help, prolonging such conflicts. The study suggests holding workshops on empathy-building, digitizing land management, and enhancing the court system to lessen disputes amongst stakeholders in rural Bangladesh.
EXTRAPANCREATIC PSEUDOPAPILLARY NEOPLASM ARISING FROM THE MESENTERY, MASQUERADING AS A MESENTERIC CYST – A CASE REPORT
Authors: G S Praharsha , Jagadeesh B V C , D T Naveen
Published: May 2024

Background: Methods: Solid Pseudopapillary Neoplasms of the Pancreas are rare entities, and extrapancreatic origin of SPN are even rarer. (2)
We present a case of a 30-year-old female with a slow growing abdominal mass, who underwent exploratory laparotomy owing to the clinical
suspicion of a mesenteric cyst. Intraoperatively, there was a nodular growth arising from the mesentery, which on histopathologic exam showed
sheets of small round cells arranged in patterns of papillae and pseudopapillae, and on IHC, these cells were positive for β-Catenin, conrming the
diagnosis of Solid Pseudopapillary Neoplasms of the Pancreas. (3) There are 50 reported cases of Ext Conclusion: rapancreatic SPN, with only one
other documented case arising from the mesentery, in the English literature. Although Pancreatic SPNs have low malignant potential,
Extrapancreatic SPNs have been observed to have higher metastatic potential and recurrence rates, hence excision is recommended.
ANAESTHETIC MANAGEMENT OF A CASE OF ZENKER'S DIVERTICULUM POSTED FOR Z-POEM UNDER GENERAL ANAESTHESIA
Authors: J. Rohra Divya , B. Kulkarni Shantanu
Published: May 2024

Zenker's diverticulum is a rare disorder characterized by the herniation of the post-pharyngeal wall through the Killian's triangle, located between
the inferior constrictor muscle and the cricopharyngeus muscle. Surgical intervention used to be the primary treatment for Zenker's diverticulum,
despite its high morbidity and mortality rates. In recent years, Z-POEM, a technique utilizing third-space endoscopy, has emerged, specically
tailored for Zenker's diverticulum. It is a relatively new addition to the natural orice transluminal endoscopic surgeries (NOTES). Usually carried
out in endoscopy suites, a crucial step in the procedure involves creating a submucosal tunnel in the esophageal wall and the continuous insufation
of CO2 can inadvertently lead to complications such as subcutaneous emphysema, capnomediastinum, capnothorax, or even capnoperitoneum,
due to tracking of CO2 in surrounding tissues. Anesthesiologists face the challenge of not only administering anesthesia in a remote location, but
also promptly detecting and managing these complications. Here, we outline the effective anesthetic management in the case of an adult male
diagnosed with Zenker's Diverticulum who underwent Z-POEM procedure under General Anesthesia.
ABDOMINAL LUMP IN A CASE OF BILATERAL UNDESCENDED TESTIS- CASE REPORT
Authors: Parikh Jainil , Dhalani Mayank , Swapnil Shah Monal , Purohit Kanak
Published: May 2024

Cryptorchidism is a common congenital anomaly affecting newborn males. It is commonly located in the inguinal canal but can also be found intraabdomen. Early detection before one year of age is recommended and must be operated for orchidopexy. Surgery does not reduce the incidence of
the development of testicular cancer but helps to detect the cancer early if it happens. Cancer risk for adults with cryptorchidism in childhood is
5–10 times greater than usual.
MENOPAUSAL HORMONE THERAPY AND SYMPTOM MANAGEMENT: A COMPREHENSIVE REVIEW
Authors: Khaled Eman , Godara Juhi , Alrais Ghaya , Alnakeb Asra'a
Published: May 2024

This comprehensive narrative review elucidates the complexities surrounding menopausal hormone therapy (MHT), encompassing diverse
symptom management strategies and associated risks. It explores the dynamic landscape of hormonal and non-hormonal approaches, integrating
recent primary evidence and updated recommendations from specialized medical societies. Menopause, a critical phase in women's lives, is
examined through its multifaceted physiological changes and the impact of MHT on symptomatology and long-term health outcomes.
Additionally, the review delves into alternative therapies, emphasizing personalized care and tailored interventions for managing menopausal
symptoms effectively
UNLOCKING THE LINK: DENGUE SEROLOGICAL MARKER AND PLATELET DYNAMICS
Authors: Gupta Prakash Narayan , Babu Bhagya
Published: May 2024

Background: Dengue a vector borne disease considered hazard to public health. Diagnosis is by dengue specic antigen and antibody detection.
Decrease in platelet count consider as warning sign in dengue positive cases. Hence this study was done to correlate various dengue parameter and
platelet count. Material and Methods: A Retrospective analytical study conducted from period of September 2022- September 2023.A total of
1670 serum samples tested for dengue using ICTkit , 82 samples were tested positive. Platelet count recorded for all the cases. Results: 1670 serum
sample tested for dengue, 82 sample tested positive for dengue antigen or antibody by ICT based test. Thrombocytopenia (platelet count <
100,000/ml) observed in 20 cases. Association of thrombocytopenia in dengue positive cases was more signicant as compared to dengue negative
cases. Conclusion: A necessary to provide association of thrombocytopenia and various dengue markers to physician in management of dengue
infection, which further help in reducing complications as thrombocytopenia association in dengue case was signicant as compared to other
dengue negative cases.
ENHANCED RECOVERY AFTER SURGERY IN GYNECOLOGY
Authors: Ali Hassan Hala El Sayed
Published: May 2024

The Enhanced Recovery After Surgery (ERAS) route was created to help patients following major surgery recover more quickly. Three crucial
elements include the preoperative, intraoperative, and postoperative regimens.Early eating, opioid-free multimodal pain treatment, and
euvolemia are just a few of the elements that make up enhanced recovery protocols, which all work together to speed postoperative recovery. In
order to optimize patient care, pre- and post-habilitation are crucial. The results for patients signicantly improved once the ERAS was
implemented, and the overall cost of treatment decreased. Evidence-based medicine is the foundation of the ERAS. In this review, we summarized
the most recent data on ERAS and how it benets the patient.
DENTOALVEOLAR COMPENSATION AND CLINICAL LONGEVITY: A 30-YEAR STUDY ON IMPLANT STABILITY IN OCCLUSAL DYNAMICS.
Authors: Carlo Luca Dal , E. Pasqualini Marco , Rossi Franco , Shulman Mike , Maria Famà Giuseppe
Published: May 2024

This case study follows the remarkable journey of a 27-year-old
woman, a patient who played a pivotal role in advancing scientic
research. In 1993, she bravely opted for an innovative endosseous
titanium blade implant to replace her upper lateral left incisor. Over 30
years, her natural teeth and the interposed prosthetic tooth remained
untouched, a testament to the stability of the dental implant and the
success of prosthodontic rehabilitation with a crown. Her dental
implant journey is not just a captivating story, but a shared experience
that offers a rare glimpse into the long-term effects of such treatments.
FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL IN COLOMBIAN TYPE 2 DIABETIC PATIENTS
Authors: Buendia Richard , Zambrano Monica , Buendia Andres
Published: May 2024

Background And Aims: Type 2 diabetes is considered an epidemic disease, and its control is important for preventing macro- and microvascular
complications. This study aimed to determine the factors associated with poor glycemic control, dened as an HbA1c level >7%, in type 2 diabetic
patients in the cardiovascular risk program of the Hospital Central Policia Nacional de Colombia. Methods:This was a descriptive cross-sectional
study in which univariate and multivariate analyses were performed on factors associated with poor glycemic control in type 2 diabetes patients.
Results: A total of 1058 type 2 diabetic patients were included in this study. The independent factors for poor glycemic control were LDL
cholesterol>100 mg/dl, OR=1.47 (95% CI 1.12 to 1.94, p=0.006); HDL<40 mg/dl in men and <50 mg/dl in women, OR=1.44 (95% CI 1.043 to
1.990, p=0.027); duration of diabetes, OR=1.066 (95% CI 1.049 to 1.084, p=0.001); albuminuria>30 mg/g creatinuria, OR=1.484 (95% CI 1.110
to 1.978, p=0.007); and IDF criteria for metabolic syndrome, OR=2.30 (95% CI 1.470 to 3.590, p=0.001), adjusted for age, smoking status, body
mass index, and triglycerides. Conclusion: Metabolic syndrome is an independent factor for poor glycemic control in type 2 diabetic patients,
which highlights the importance of therapeutic lifestyle changes and suggests that metabolic syndrome should be included in cardiovascular risk
prevention and control programs
LAPAROSCOPIC CHOLECYSTECTOMY AFTER PERCUTANEOUS CHOLECYSTOSTOMY : ASSESSING FEASIBILITY AND SAFETY.
Authors: Gupta Priya , Kalikar Vishakha , Supe Avinash , Patankar Roy
Published: May 2024

Acute calculous cholecystitis is one of the most common surgical entities seen in practice and laparoscopic cholecystectomy is the gold standard
surgical procedure for its treatment. According to the Tokyo guidelines , Grade 3 cases present with organ dysfunction and hence Percutaneous
cholecystostomy (PCT) has been recommended as a bridge to surgery to control sepsis when a patient is unt for surgery or has a high ASA grading
and the ones who do not respond to antibiotics. Successful laparoscopic cholecystectomy after percutaneous cholecystostomy can be safely carried
out without the need for conversion to open surgery with a thorough knowledge of the biliary anatomy, surgical modications such as subtotal
cholecystectomy and access to advanced imaging system and procedures such as intravenous indocyanine green and intra-operative ERCP.
PREVALENCE OF CRYPTOSPORIDIOSIS IN IMMUNOCOMPETENT PATIENTS IN SECONDARY CARE HOSPITAL NORTH EAST REGION
Authors: Gupta Prakash Narayan , Babu Bhagya
Published: May 2024

Background: Cryptosporidiosis infection caused by group of protozoan parasite with in phylum Apicomplexa. Cryptosporidiosis is more
prevalent in patients with immunosuppressed conditions like AIDS and also be seen in immunocompetent patients with asymptomatic or acute or
persistent self-limiting diarrhea. Prospective cohort study was conducted March 2019 and April 202 Material And Methods: 0 to estimate
prevalence of cryptosporidiosis in immunocompetent patients. . Out of 230 stool samples collected fr Result: om 177 adults and 53 children, 47
(20.43%) were positive for Cryptosporidium. Out of 53 stool samples from children, 13 (24.52%) were positive and out of 177 adult 34 were
positive (19.20%). The present study thus highlights the importance of Conclusion: Cryptosporidium as a cause of diarrhoea, especially in
immunocompetent adults.
AN OBSERVATIONAL STUDY ANALYZING THE TREND OF CARDIOLOGIST DRIVEN FETAL ECHOCARDIOGRAPHY IN INDIAN SCENARIO WITH A COMPARISON OF PRENATAL VERSUS POSTNATAL FINDINGS: LESSONS LEARNED DURING A LONGITUDINAL ASSESSMENT OF FETAL CARDIA.
Authors: Krishna D Mandal , Maitri Chaudhuri , Unnati Amatya , Gaurav Kumar , Munesh Tomar
Published: May 2024

Background and aims: Fetal echocardiography stands as the diagnostic pivot for serial assessment of cardiovascular anatomy and hemodynamics
of fetus from rst trimester to postnatal life. It offers high sensitivity in accurate detection of cardiac development and lesions during intrauterine
life. The gold standard remains as postnatal or autopsy validation of antenatal ndings. Our objective was data analysis of the factors determining
referral pattern to pediatric cardiologist, conrmation of the diagnosis and appropriateness of parental counseling and pregnancy management
strategies. an observational study retrospectively reviewed all pregnant women reporting for fetal e Methods and results: chocardiography to
tertiary pediatric cardiac center from February 2021 to July 2023. Relevant factors for referral to pediatric cardiology were tabulated. Fetal
echocardiography protocol was adapted from American Institute of Ultrasound in Medicine guidelines with Extended Cardiac Echocardiographic
Examination protocol. Fetal echocardiographic results were categorized into simple, severe and functional defects. The fetuses were reviewed
postnatally by neonatal echocardiography. Total of 330 pregnant ladies reported for fetal echocardiography in our department, 268 (81.2%) of them
were referred cases. The most common reasons for referral were intra-cardiac echogenic foci (ICEF) in 87 (32.5%) cases followed by suspected
congenital heart disease (CHD) in 80 (29.9%), maternal illness in 39(14.6%), extra-cardiac anomaly 22 (8.2%), family history of CHD 18(6.7%),
fetal arrhythmia 11(4.1%), isolated valve regurgitation seven (2.6%), assisted reproduction three (1.1%) and cardiac mass in one (0.3%) case. We
detected cardiac abnormality in 113 (34.2%) fetuses. Of those, 55 (48.7%) had severe CHD, 32 (28.3%) had simple defect and 26(23%) had
functional heart defect. 70 (62%) were born with congenital heart disease; of which 15(21.4%) were operated at the appropriate postnatal age.
Conclusions: fetal echocardiography by pediatric cardiologist delivers additive diagnostic value and facilitates appropriate parental counseling
from mid gestation, helps in proper perinatal triaging and continued cardiac care from fetus- to newborn.
OBSTETRIC MORBIDITY ASSOCIATED WITH CESAREAN NICHE: A CASE REPORT
Authors: Hamodi Nahla Hatam
Published: May 2024

We presented the case of a 32-year-old woman with a history of two early pregnancy losses and previous cesarean delivery 2012. had a laparoscopic
repair of the cesarean niche in 2018, she experienced an intrauterine fetal demise at 27 weeks in her subsequent pregnancy, leading to medical
management with Misoprostol. In 2023 with new pregnancy at 39 weeks and 6 days gestation, she presented with lower abdominal pain,
necessitating emergency management with cesarean section due to a scar dehiscence-like pouch. A baby girl was delivered with favorable
outcomes. This case underscores the importance of early diagnosis and appropriate management of cesarean niche pregnancy to prevent maternal
complications. Early recognition and prompt intervention are crucial for optimizing outcomes in cesarean niche pregnancies.
SERUM ZINC LEVELS IN CHILDREN WITH ACUTE LOWER RESPIRATORY INFECTIONS
Authors: Singla Ankit , Devi Govada Manorama , Medatwal Prakash , Sharma B.S
Published: May 2024

Introduction Acute Lower Respiratory Tract Infection (ALRTI) is an important cause of morbidity and mortality in the developing world.
Deciency of micronutrients such as zinc may increase the risk of ALRTI. The aim of this study was to estimate serum zinc levels in children of
under-5 year's of age admitted with acute lower respiratory tract infection and to compare with healthy controls. MethodsAcase control Study was
carried out in the Department of Pediatrics of National Institute of Medical Sciences & Research, Jaipur. 70 children with Acute Lower Respiratory
Tract Infections, and another 70 served as controls. Blood samples were collected for zinc estimation in both case and control groups. Results Of
the 70 cases, Demographic data was comparable amongst gender groups. Baseline clinical characteristics of cases and control group were
comparable. Amongst the cases, 54 were diagnosed as bronchiolitis and 16 as bronchopneumonia. The mean (± SD) zinc levels among the cases
was 90.8± 59 μg/dl and in the control group, it was 98.78±66.26 μg/dl which was statistically non-signicant (p = 0.4526). Zinc deciency was
observed to be signicantly associated with the severity of bronchiolitis (p=0.00001) and bronchopneumonia (p=0.011) and prolonged hospital
stay (p= 0.017) as a consequence. Conclusion The results of our study revealed that there was no signicant difference in the zinc level between
children having Acute Lower Respiratory Tract Infection and controls. Zinc deciency was signicantly associated with severity of pneumonia
(bronchiolitis and bronchopneumonia). However to further validate we need to have good quality studies with larger sample size and proper
follow-up.
EVOLUTION OF MANAGEMENT OF MUCOCELE OF APPENDIX OVER TIMECASE SERIES AND REVIEW OF LITERATURE
Authors: Gupta Priya , Kalikar Vishakha , Bhukebag Prasad , Patankar Roy
Published: May 2024

Mucocele of the appendix occurs due to obstruction of lumen of
appendix resulting in abnormal accumulation of mucous in the lumen,
giving the appendix an enlarged appearance with thinned out wall.
Preoperative clinical diagnosis may be challenging due to non-specic
clinical manifestations of the disease or may mimic acute appendicitis.
Radiological imaging is essential for diagnosis. When diagnosed preoperatively, it is always treated by surgery which depends on size and
integrity of the appendix base and on the histology of the lesion.
During surgery, care should be taken to avoid spillage of its contents
into the abdomen which may lead to pseudomyxoma peritonei (PP),
which has very poor prognosis.
CLINICAL EVALUATION OF EFFECTIVENESS OF DIODE LASER AS AN ADJUNCT TO OPENFLAP DEBRIDEMENT AS COMPARED TO OPEN FLAP DEBRIDEMENT ALONE IN THE PERIODONTAL TREATMENT OUTCOME OF PATIENTS WITH CHRONIC PERIODONTITIS – A SYSTEMATIC REVIEW
Authors: Jethwani Sneha , Benjamin Amit , Muglikar Sangeeta , Nalawade Kavita Pol , Kotkar Aishwarya
Published: May 2024

Objective: The objective of this systematic review is to compare and clinically evaluate the adjunctive benets of a diode laser (DL) to
conventional open ap debridement (OFD) in the treatment of chronic periodontitis. DL is an excelle Background: nt soft tissue surgical laser,
indicated for soft tissue curettage or sulcular debridement with an additional bactericidal effect. Studies have been conducted to determine the
effect of DL as an adjunct to OFD. There is limited documentation regarding the clinical effectiveness to prove adjunctive effect of OFD in the
surgical periodontal therapy. Only randomized controlled trials (RCTs) assessing use of DL only in Methods: continuous and contact mode on
undersurface of ap post-conventional OFD for treatment of chronic periodontitis in the test group were considered. Studies published only in
English language with follow-up periods of 3 and 6 months post-operatively and assessing probing pocket depth (PPD) and clinical attatchment
level (CAL) as the outcomes were considered. A total of 6 RCTs were included in this systematic review. Cochrane Risk of Bias tool was used for
assessing the risk of bias. 3/6 studies concluded that DL signicantly led to reduction in PPD or ga Results: in in CAL when used as adjunct to OFD.
Whereas, other 3/6 studies concluded that DL did not signicantly lead to reduction in PPD or gain in CAL when used as adjunct to OFD.
Conclusion: DL can be used as an adjunct to standard treatments (OFD) of chronic periodontitis i.e; chronic periodontitis rather than as a
replacement for standard treatments.
ACUTE SPLENIC SEQUESTRATION IN ADULT
Authors: Mohamed Essarghini , Mohamed Tarchouli
Published: May 2024

Introduction: Acute splenic sequestration is a complication of sickle cell syndromes. it is dened by a sudden increase of more than 2 cm in the
size of the spleen, and a drop in hemoglobin level of at least 2 g/dl. we report a case of splenic sequestration managed by surgery after failure of
transfusion procedures.Observation: A 20 year-old man with homozygote sickle cell syndrom admitted in intensive care unit for acute anemia and
left upper abdomen pain, after transfusion and rehydratation, we note no improvement in the hemoglobin level and the appearance of fever and
abdominal contracture. Emergency splenectomy reveal signs of early splenic infarction. Even if it is Conclusion: rare in adults, splenic
sequestration may impose splenectomy if there is a clinical and biological aggravation after transfusion.
TOMBSTONE OF THE WORM – TWO CASES OF SPLENIC MICROFILARIASIS
Authors: Sushil B Bhusse , Sweety V Shinde
Published: May 2024

Filariasis is caused by nematode parasites of the order Filariae, namely Wuchereria bancrofti and Brugia malayi. Splenic involvement can occur in
extralymphatic or Meyers Kouwenar syndrome. Gross specimen can show nodules or diffuse enlargement. Microscopy showed cylindrical
microlariae with eosinophilic microabscesses.
Non-Hodgkin Lymphoma of the Breast: Localization Exceptional to Know, Case Study and Literature Review
Authors: Loukili H. , Outaghyame S. , Ahmanna C. , Zouita B. , Basraoui, D. , Jalal H.
Published: May 2024

The mammary gland may be the site of a primary lymphoma or be invaded Secondary lymphoma of another organ. Involvement is usually unilatéral, more rarely bilatéral; primary or secondary, virtually the same varieties of lymphoma are observed. Most are B type lymphomas. Imaging is based on mammography and ultrasound, and more recently on MRI. Surgical removal is not indicated in the treatment of these lymphomas, which is essentially based on chemotherapy and immunotherapy.
Ewing's Sarcoma of the Scapula in an Infant: About a Case
Authors: Dinga A. , Niyongere F. , Allaoui N. , Dendane A. , Amrani A. , Alami Alami , Madhi T.
Published: May 2024

Ewing sarcoma (ES)/primary neuroectodermal tumor (PNET) is the second most common malignant bone tumor of childhood and adolescence. It can occur at central or peripheral sites, at skeletal or extraskeletal sites, and is more common at the femurs, ilium, and tibia. We report a rare case of Ewing's sarcoma of the scapula in a 2-year-old infant diagnosed with pain and swelling of the left shoulder. Histopathological confirmation of Ewing's sarcoma was possible following ultrasound-guided biopsy. Treatment consisted of initial chemotherapy, followed by surgical tumor resection after good initial response, followed by adjuvant therapy. The current post-treatment follow-up is 2 years without incident. This case is reported to highlight the rarity of localization and therapeutic modalities, particularly surgical.
Spontaneous Pneumomediastinum: A Case Report of 27 Patients
Authors: Benjelloun H. , Rattal A. , Amir A. , Harraz H. , Zaghba N. , Chaanoun K. , Yassine N.
Published: May 2024

Spontaneous pneumomediastinum is defined as the presence of air in the mediastinum in the absence of traumatic or iatrogenic cause. Diagnosis is based on chest X-ray. Other paraclinical examinations, such as chest tomodensitometry or bronchial or gastrointestinal endoscopy, are sometimes necessary. Outcome is most often favorable. We report 27 cases of spontaneous pneumomediastinum whose data were collected in the Department of Respiratory Diseases at the Ibn Rochd University Hospital in Casablanca between 2008 and 2023. The study involved 19 men and eight women, with an average age of 37 years. Clinical symptomatology was dominated by retrosternal chest pain. The circumstances of onset of pneumomediastinum were coughing spell in 11 cases, hookah consumption in two cases and iterative vomiting in three cases, childbirth and exacerbation of chronic obstructive pulmonary disease (COPD) of bacterial origin in five cases. Outcome was favorable in all cases with spontaneous resorption of the pneumomediastinum with only one death. No recurrence occurred after a minimum follow-up period of 3 years.
Metaphyso-Diaphyseal Chondroblastoma of the Humerus: About Two Cases
Authors: Dinga A. , Allaoui N. , Niyongere F. , Riadi C. , Dendane A. , Amrani A. , Alami Z , Madhi T.
Published: May 2024

Chondroblastoma accounts for less than 2% of all bone tumors, it is a tumor of benign cartilage origin, it is typically located at the level of the epiphysis or process of a long bone. Most often located in the proximal humerus, the distal femur, the proximal tibia, it more rarely affects the tarsal bones or the pelvis. We report 2 cases of young patients (aged 14 years and 15 years) with metaphysodiaphyseal chondroblastoma of the right humerus which was revealed by painful shoulder swelling and joint limitation. Our goal is to discuss the diagnostic difficulties and evolutionary aspects of this rare tumor as well as its treatment.
(Babcock or Soave Baulieux) Procedure for Coloanal Anastomosis: 03 Cases
Authors: Cissé Mohamed Yaya , Diallo Mamadou , Bah Thierno Mamadou Foinké , Camara Mohamed Falilou , Krimou Hicham , Kébé Fatoumata Binta , Sakit Fouad , Choho Abdelkrim , Benjelloun El Bachir , Bouhaddouti El
Published: May 2024

The Soave Baulieux procedure is a surgical technique for performing a coloanal anastomosis in cases of pathological colorectal conditions. A coloanal anastomosis is performed through a sleeve of rectal muscularis after a two-stage mucosectomy. In the first stage, the colonic tube is exteriorised through the anal canal, and a few days later a direct coloanal anastomosis is performed in the second stage. This is a salvage operation and its results are not well documented in the literature. This is a study of three (03) consecutive patients, hospitalised and operated on using the Babcock or Soave Baulieux technique at the Department of Visceral Surgery A of the Hassan II University Hospital in Fez, Morocco. The objectives of this study were to evaluate the indications, operative results, postoperative morbidity and mortality, and long-term functional results. Our study concerns three (03) patients with colorectal cancer. In 66.7% of cases, the decision to perform the Soave Baulieux technique was taken preoperatively to avoid other complications related to the low colorectal anastomosis. After the operation, 66.7% of patients had a simple post-operative course and only one patient (33.3%) was re-operated after a complication (necrosis of the anastomosis from the distal segment to the anus). Only one patient had a permanent stoma. Quality of life and functional results were satisfactory in 66.7% of our patients.
Acute Intoxication in Pregnant Women: Epidemiology and Management
Authors: Ibrim Traoré , Mamadou Diallo , Maouloud Mohamed El Emin Taleb , Binta Kébé Fatoumata , Yaya Cissé Mohamed , Okoue Fryse François Mve , Idrissi M.B. , Mamouni N. , Errarhay S. , Bouchikhi C. , Tale Khalid Ait
Published: May 2024

Intoxication is a frequent reason for consultation in the emergency department, and may be voluntary, with the aim of self-medication, or accidental. However, intoxication in pregnant women is poorly described in the literature, with the majority of reports concerning case histories. This study analyses the epidemiological data on intoxication in pregnant women in the mother and child intensive care unit, describes the various clinical and toxic aspects, describes the management methods and assesses the maternal-fetal prognosis of intoxication in pregnant women.
Squamous Cell Carcinoma of the Bladder: Two Case Report
Authors: Labdellaoui S. , Kaddouri H. , Benabdallah Y. Staouni , Bourhafour M. , Hatim G. , Belhouari M. , Chekrine T. , Bouchbika Z. , Benchekroun N. , Jouhadi H. , Tawfik N. , Sahraoui S.
Published: May 2024

Squamous cell carcinoma (SCC) of the bladder is a rare variant of bladder cancer, accounting for less than 5% of cases. Its occurrence shows a balanced distribution across sexes, although it tends to affect the Black population disproportionately. Clinical presentation is often nonspecific, with hematuria being the predominant symptom. Diagnosis relies on endoscopic resection of the bladder followed by histopathological examination. Due to its rarity, treatment approaches remain a subject of debate. However, radical cystectomy with extensive lymph node dissection is typically favored. In this study, we present a series comprising 2 cases of squamous cell carcinoma. Our objective is to shed light on the epidemiological, clinical, histopathological, and therapeutic aspects associated with squamous cell carcinoma of the bladder. The two cases presented in this study highlight the importance of accurate diagnosis and classification of squamous cell carcinoma of the bladder for optimal treatment planning and patient outcomes.
The Role of CT scan in the Diagnosis of Ileosigmoid Knot: A Case Report and Literature Review
Authors: Hassnaoui M. El , Bouanani J. , Bouktib Y. , Hajjami A. El , Boutakioute B. , Idrissi M. Ouali , Gannouni N. Cherif Idrissi
Published: May 2024

The ileosigmoid knot, although rare, represents a complex surgical emergency requiring rapid and precise man agement. Imaging, particularly computed tomography (CT), plays a crucial role in diagnosis by highlighting specific features such as the "spiral sign" and signs of necrosis. Early detection through these imaging modalities allows for prompt surgical intervention, minimizing the risks of severe complications associated with intestinal torsion. The speed of surgical intervention is crucial to prevent progression to ischemic necrosis, reduce the risks of intestinal perforation, peritonitis, and other serious complications. Various surgical modalities, such as colonic diversion, detorsion, segmental resection, or extended resection in case of necrosis, must be tailored to the clinical presentation and intraoperative findings. Ultimately, the combination of advanced radiological imaging and swift surgical intervention is the key to successful management of the ileosigmoid knot. Emphasizing awareness among healthcare professionals of this rare condition and educating patients to recognize symptoms promptly will contribute to the early and effective management of this infrequent surgical l emergency.
Contribution of Imaging in the Hydatid Cyst of Soft Tissues in the Thigh: A Case Report and Literature Review
Authors: Hassnaoui M. El , Loukili H. , Bouktib Y. , Hajjami A. El , Boutakioute B. , Idrissi M. Ouali , Gannouni N. Cherif Idrissi
Published: May 2024

Hydatid cysts in soft tissues remain a rare occurrence, even in endemic regions. This study underscores the crucial importance of imaging modalities for positive diagnosis and topography, providing optimal guidance for effective management strategies. In this article, we present a case of soft tissue hydatidosis in the thigh, directly explored through magnetic resonance imaging (MRI), complemented by soft tissue ultrasound. The observed mass contained vesicles, localized in the thigh. The diagnosis of hydatidosis suggested by ultrasound was confirmed by MRI. A curative surgical intervention was performed on our patient. The diagnosis of soft tissue hydatidosis can be established when ultrasound and/or MRI reveal a multivesicular appearance. MRI proves to be the most useful imaging modality in cases of atypical or pseudo-solid lesions. The peri-cystic enhancement serves as an indicative feature of soft tissue hydatidosis compared to other locations. The study emphasizes the rarity of muscular localization of hydatid cysts and highlights the crucial importance of radiological, surgical, and preventive diagnostic approaches in managing this pathology. The heightened sensitivity of MRI in cases of atypical ultrasound features underscores its central role in the contemporary management of this complex condition, enhancing both diagnostic precision and treatment planning.
Diagnosis and Management of Two Cases of Post-Traumatic Pseudocyst in Young Adults
Authors: Hassnaoui M. El , Hamdane J. , Boutakioute B. , Idrissi M. Ouali , Gannouni N. Cherif Idrissi
Published: May 2024

Pancreatic injuries can be difficult to diagnose, given the low frequency of these injuries and the associated nonspecific clinical features, subtle imaging findings, and multiorgan trauma. The two most important determinants of outcome following pancreatic injury are the time from injury to definitive diagnosis and the status of the main pancreatic duct (MPD). We present two cases highlighting the diverse spectrum of post-traumatic pancreatic pseudocysts to underscore the importance of individualized management strategies.
Characteristic points of latest Standards of Medical Care in Diabetes
Authors: Bando Hiroshi
Published: May 2024

The American Diabetes Association (ADA) has presented the Standards of Medical Care in Diabetes-2024, introducing some impressive changes in description. The 2024 edition closely follows the ADA/EASD Consensus Statement. To evaluate various complications, BNP, NT-proBNP, ankle-brachial index (ABI), and the FIB-4 index are measured. The administration of SGLT2 inhibitors, GLP-1 receptor agonists, and tirzepatide is recommended for T2D adults with cardiovascular disease, heart failure (including HFrEF/HFpEF), and chronic kidney disease (CKD). For lipid control, bempedoic acid and inclisiran have been introduced. FreeStyle Libre 2 is now available, automatically sending data to the smartphone in real-time every minute.
Survival Advantages of Pancreas Transplantation
Authors: Gruessner Angelika C. , Gruessner Rainer W.G.
Published: May 2024

The field of transplantation has provided tremendous progress to diabetic patients. One way to objectify this development is to determine the survival advantage of transplantation in the 4 diabetic recipient categories: simultaneous pancreas and kidney transplantation (SPK), pancreas after kidney transplantation (PAK), pancreas transplantation alone (PTA), and kidney transplantation alone (KTA).
Over a 21-year time period, from January 1, 2000, to May 31, 2021, the IPTR/UNOS collected information about listing and transplant outcome of diabetic patients. A total of 212,049 patient records were reviewed: 89,579 recipients who underwent pancreas and/or kidney transplantation and 122,470 patients who were placed on the waiting list and are still waiting or were removed from the waitlist due to deteriorating health or death. To determine the survival advantage of pancreas transplantation, patient survival on the waiting list versus after transplantation was defined as the primary outcome. Over the 21-year time period, pancreas and/or kidney transplantation in all 4 diabetic recipient categories saved a total of 273,843 life-years. On average, 11.7 life-years per patient were saved in the SPK category, 6.4 life-years in the PTA category, 6.3 life-years in the PAK category, and 6.6 life-years in the KTA category.
The survival advantage of pancreas and/or kidney transplant recipients was highly significant compared to diabetic patients still waiting for transplantation. The survival advantage was higher for patients with type 1 vs. type 2 diabetes mellitus. The significant survival advantage of PTA recipients versus patients on the waiting list justifies the argument for pre-emptive pancreas transplantation, i.e., before the development of end-stage renal disease. Given the survival advantage as evidenced in 273,843 life-years saved, pancreas transplantation should be more widely applied, and pancreas donation encouraged.