bluuebunny/crossref_metadata_2025 huggingface dataset:
Pencegahan Hipertensi di RT 04 Padukuhan Cabeyan Kalurahan Panggungharjo, Kapanewon Sewon, Kabupaten Bantul, Yogyakarta
Authors: Rosyidah Rosyidah , Lisdiyanti Teti
Published: December 2022

Pengabdian masyarakat ini bertujuan untuk mengedukasi masyarakat terkait dengan kejadian hipertensi, supaya masyarakat di RT 04 Padukuhan Cabeyan dapat memahami pentingnya pencegahan dan pengendalian hipertensi, maka dari itu pada kegiatan pengabdian ini dilakukan edukasi atau penyuluhan tentang Hipertensi dengan tema “Ayo Cegah Hipertensi” serta pembagian leaflet sebagai bentuk pembelajaran dan pengetahuan masyarakat di RT 04 Padukuhan Cabeyan. Metode pelaksaan yang dilakukan untuk mencapai tujuan program tersebut adalah dengan pengecekan tekanan darah, penyuluhan, diskusi interaktif dan pembagian leaflet. Pelaksanaan kegiatan pengabdian berjalan dengan lancar. Intervensi dilakukan dengan metode pengecekan tekanan darah, penyuluhan, diskusi interaktif dan pembagian leaflet. Kegiatan ini dilasanakan dengan harapan dapat meningkatkan pengetahuan dan pemahaman serta dapat mengubah atau memodifikasi gaya hidup masyarakat Padukuhan Cabeyan untuk dapat mencegah penyakit hipertensi. Dalam pelaksanaan penyuluhan ibu-ibu dan bapak-bapak (peserta) berperan aktif dengan melakukan tanya jawab dan diskusi mengenai penyakit hipertensi. Adanya kegiatan edukasi pada masyarakat ini dapat menjadi media promosi kesehatan yang diharapkan dapat berdampak pada peningkatan pengetahuan masyarakat khususnya RT 04 Padukuhan Cabeyan dalam upaya pencegahan serta pengendalian penyakit hipertensi.
Manajemen Psikologi Remaja: Seru, Asyik dan Tetap Syar'i di Ponpes El Jasmeen Singosari Kabupaten Malang
Authors: Dyah Ratnasari Siwi , Andini Lidia , Munfaqiroh Siti , Bunyamin Bunyamin , Muslichah Muslichah , Sonhaji Sonhaji , Syadeli Mohamad , Sunarto Sunarto , Prajogo Uke , Sugiono Djoko , Rahmania Benita
Published: December 2022

Perkembangan zaman membawa konsekuensi budaya, tak terkecuali berbusana dan berperilaku. Keren dan gaul adalah istilah jaman sekarang yang digunakan oleh millenial agar dianggap mengikuti trend dan gaya bergaul masa kini. Agar tidak ketinggalan jaman, sebagai wanita muslimah hendaknya memahami bagaimana cara berpakaian dan berperilaku yang sopan dan baik menurut ajarannya.  Tujuan diadakannya kegiatan ini adalah: 1) Menumbuhkan sikap siswa Ponpes El Jasmeen dalam berperilaku dan berbusana sesuai syariat Islam, 2) Menumbuhkan perilaku seru, asyik dan gaul kepada para santri tetapi yang sesuai syariat, 3) untuk meningkatkan pengetahuan dan sikap seseorang santri untuk menjadi hamba Allah yang taat, 4) Membentuk guru kreatif mampu mengubah pola pikir siswa agar berperilaku sesuai dengan syariat islam. Metode pelaksanaan pengabdian dilakukan melalui pelatihan. Pelaksanaan kegiatan dilakukan selama dua hari pukul 09.00 sampai 12.00 di aula Ponpes El Yasmeen yang dilakukan pada tanggal 13 – 14 Agustus 2022. Hasil kegiatan memberikan pengetahuan kepada para santri El Yasmeen tentang bagaimana berbusana dan berperilaku yang gaul, asyik tetapi sesuai syariat.
USO INADEQUADO DA RITALINA POR ESTUDANTES DA ÁREA DE SAÚDE: REVISÃO DA LITERATURA
Authors: Luiza Batista Cavalcanti Ana , Braga Rolim Vieira Renata , de Lira Silva Macerlane , Gonçalves Vieira Aracele
Published: December 2022

INTRODUÇÃO: O metilfenidato, mais comumentemente conhecido como Ritalina, é um estimulante do sistema nervoso central, derivado da anfetamina, e tem como mecanismo de ação bloquear os transportadores de recaptação de noradrenalina e de dopamina pré-sinápticos. O termo aprimoramento cognitivo denota intervenções pelas quais as pessoas saudáveis melhoram seu desenvolvimento cognitivo. Em muitos países, estudantes universitários têm feito uso de medicamentos para melhorar seu desempenho nas avaliações, aprimorar sua capacidade de aprendizado e prolongar seu estado de alerta, criando um mercado paralelo de substâncias nos campos universitários. OBJETIVO: Analisar o uso da Ritalina por estudantes universitários que tenham o objetivo de aprimoramento cognitivo para melhorar o desempenho acadêmico. METODOLOGIA: O presente artigo será uma revisão sistemática da literatura, onde serão utilizadas as seguintes bases de dados: Biblioteca Virtual de Saúde (BVS); Medical Literature Analysis and Retrieval System Online (MEDLINE/LILACS); National Library of Medicine (PUBMED) e Scientific Electronic Library Online (SciELO). Com os seguintes Descritores em Ciências da Saúde (DeCS): Metilfenidato; Estimulador Cognitivo; Estudantes. Os artigos aceitos têm sua publicação nos últimos 5 anos, em idiomas português, inglês e espanhol, e que se alinhem com o tema. Serão excluídos da pesquisa os trabalhos da literatura cinzenta, além de artigos duplicados, textos incompletos, livros, opiniões de especialistas, artigos pagos e artigos que não abordaram a temática principal. RESULTADOS ESPERADOS: A partir do estudo, busca-se entender melhor o uso do metilfenidato por estudantes sem indicações médicas, visando o neuroaprimoramento e a busca por melhores desempenhos acadêmicos, a fim de averiguar se os objetivos são alcançados e quais são as repercussões clínicas advindas do uso inadequado desta medicação.

PALAVRAS-CHAVE: Estudantes. Estimulador Cognitivo. Metilfenidato.
Kentsel Donatı Elemanlarının Peyzaj Mimarlığı Açısından Değerlendirilmesi: Sultanahmet Meydanı Örneği
Authors: YUCA Nursevil
Published: December 2022

Geçmişten günümüze kadar toplumlar tarafından yoğun olarak kullanılan kentsel mekanlar, içerisinde barındırdıkları kentsel donatı elemanları sayesinde insanların bu mekanlarda geçirdikleri zamanlarının daha kaliteli olmasını sağlayarak kentsel yaşam kalitesinin artırılmasına katkı sağlamaktadırlar. Bu kentsel donatı elemanları, bulundukları alanla bütünleşen, insanların yaşam koşullarını kolaylaştırarak toplumun ihtiyaçlarına cevap veren, alanı canlandıran, bulunduğu bölgeyi iyileştiren özellikte olmalıdır. Bu bağlamda araştırmanın ana amacı kentsel donatı elemanlarının peyzaj mimarlığı açısından değerlendirilmesidir. Bu amaçla tarihi ve kültürel özelliklerinden dolayı yoğun kullanıma maruz kalan Sultanahmet Meydanı çalışma alanı olarak seçilmiştir. Çalışmada ilk olarak; kent yerleşimleri, kentsel donatı elemanlarının işlevleri, kentsel donatı elemanlarının barındırması gereken özellikleri ile ilgili literatür araştırması yapılmıştır. İkinci olarak; çalışma alanı gezilerek donatı elemanlarının yeterliliği konusunda gözlem yapılmış, çalışma alanında bulunan donatı elemanlarının fotoğrafları çekilmiş ve donatı elemanlarının antropometrik açıdan değerlendirilmesi için ölçüleri alınmıştır. Son olarak da alanda mevcut bulunan kentsel donatı elemanları yapılan araştırmalar doğrultusunda, peyzaj mimarlığı meslek disiplini açısından incelenmiş ve oluşturulan kentsel mekânların işlevsel ve estetik açıdan daha kullanışlı olması için öneriler getirilmiştir.
Longevity of adult butterflies (Lepidoptera: Papilionoidea) of eight species raised in captivity
Authors: Silva André Roberto M. , Pimenta Ivan A. , Campos-Neto Fernando C. , Vitalino Raphael F.
Published: December 2022

This study was carried out to estimate the average life time of adult butterflies of eight species raised in captivity. Three hundred and ninety four butterflies were marked at birth, of which 132 (33.5%) were found after their deaths. The only individual of Heliconius erato found after death lived for the longest period (100 days), followed by individuals of Hamadryas februa (32 days ± 7.4), Caligo brasiliensis (28.5 ± 14.8), Caligo illioneus (28 ± 25.2), Anteos menippe (26 ± 14.7), Dryas iulia (18 ± 11.9), Siproeta stelnes (17 ± 9.1) and Biblis hyperia (15 ± 4,9). Those values are generally smaller than those found by other authors for butteflies living in natural environments. This difference is probably due to the fact that insects raised in captivity are exposed to environmental conditions different from those in natural habitats and which can influence adult longevity.
Agriculture Crop Yield Analysis and Prediction using Feature Selection based Machine Learning Techniques
Authors:   Professor & Head, Department of Computer Science Engineering- AI & ML, SNIST, Hyderabad (Telangana), India, Kanth Dr. T. V. Rajini , Kavya Burma ,   B.Tech Students, Department of Computer Science and Engineering, Sreenidhi Institute of Science and Technology, Hyderabad (Telangana), India., Sri Narameta Thanuja ,   B.Tech Students, Department of Computer Science and Engineering, Sreenidhi Institute of Science and Technology, Hyderabad (Telangana), India., Saikrishna Alley Yashwanth ,   B.Tech Students, Department of Computer Science and Engineering, Sreenidhi Institute of Science and Technology, Hyderabad (Telangana), India.
Published: December 2022

Agriculture is being the world's largest industry; it plays a major role in maintaining the economic stability of developing countries. Because of the responsibilities that this sector bears, it is critical to find the precision of production in making profitable decisions in agricultural sector. Machine learning is the most effective tool for making decisions. Machine learning techniques with correct optimizations have been utilized in conjunction with the use of multiple algorithms and create an accurate model for predicting production and also in guiding to improve crop cultivation for enhanced output. The elements like cost of cultivation, cost of production, and yield are utilized to predict the crop yield during the analysis. In this study, the necessary data was acquired, and the methodologies and features employed in agricultural yield analysis were studied. During the literature survey more than 50 articles were referred for analysis. Relevant topics were collected from electronic databases and found useful machine learning approaches with which desired model was developed. Along with Random Forest, Decision Trees, and Support Vector Machine, Gaussian Nave Bayes, and Ada Boost machine learning techniques, Carl Pearson Correlation, Mutual Information, and Chi Square Feature Selection techniques were applied. The accuracy percentage for different algorithms was calculated crop yield prediction with and without feature selection approaches. We also used time complexities to figure out which method is the most efficient and accurate.
As apropriações da dança a partir da prática do jogo digital "Just Dance"
Authors: Prudente Paola Luzia Gomes , Chaves Elisângela
Published: December 2022

O objetivo deste estudo é descrever e analisar as apropriações que jogadores de Just Dance fazem do jogo e da dança. Para o alcance dos objetivos, foi utilizada as técnicas de observação, grupo focal (GF) e conversas espontâneas em um grupo de WhatsApp. Os dados do presente estudo trazem evidências de que os sujeitos que participaram dessa pesquisa extrapolam o que foi previsto e proposto inicialmente para o jogo. Criam, a partir da prática do jogo, novas formas de apropriação que vão para além do ato de jogar. Essa experiência possibilita que esses jogadores deixem de ser expectadores e usuários e passem a participar ativamente da criação e circulação de novos conteúdos digitais. Imersa na cultura digital, a dança é uma fonte de expressão que explora as possibilidades de movimento e dá vazão à criatividade em tempos que a tecnologia faz parte de nós.
An Analysis of Speech The Presidential Candidates Debate of United States in 2020
Authors: Aditiawarman Mac , Agustriawan Oki
Published: December 2022

This research aims to see the impact caused by candidates presidential of United States in 2020 in use of speech acts, where an utterance contains pragmatic meanings to make the listener do what speaker wants through speech, such as statements, orders, offers, thanks and the forms of speech that had have direct effect is like punishing. This analysis is included in pragmatic theory so that it is useful to increase the knowledge of readers from linguistic circles. In speech act theory, this research focuses on the theory based on Austin (1962) then for the illocutionary acts based on Searle (1979).

The researcher applies a qualitative description method to collecting data by Djajasudarma (2006), method to analyze data this research applies a pragmatic equivalent method by Sudaryanto (1993), technique to collecting data researcher applies theory of Djajasudarma (2006), including: tapping records, note-taking techniques. The researcher applies technique of analyze data called the determining element sorting technique by Sudaryanto (1993).

There are 309 utterances or 100% of a whole data, while illocutionary acts are further grouped into five parts, they are assertive type as many as 184 utterances or equivalent to 59% then directive type as many as 70 utterances or 22%, then the commissive type with 49 utterances or 15%, followed by the expressive type with 5 utterances or 1.6% and the declarative type with at least 1 utterance or about 0.3% and last perlocutionary acts found in this data were 139 or equivalent to 44%.
Speech Acts Analysis Used in Jac Schaeffer’s Wandavision
Authors: Raflis Raflis , Syahputra Niko
Published: December 2022

This research is pragmatic approach study an analysis of speech act used  in Jac Schaeffer's Wandavision. The objectives of this researcher are to find out the types of illocutionary acts are performed by all the characters utterance, and to find out the types of illocutionary act dominantly used in Jac Schaeffer's wandavision. The researcher used descriptive-qualitative method to describe and analyze the selected of illocutionary acts which are watching movie and then classifies them according to George Yule’s and Yan Huang's concept types of illocutionary acts. Technique of collecting the data are (1) downloading the movie and movie script of Jac Schaffer’s Wandavision, (2) watching the movie while correcting the script based on the movie (3) taking notes which types of speech act were used in it (4) groups the speech act that occur based on Searle’s and Huang’s theory about speech act. The researcher used descriptive analysis which focus on classifying the types of illocutionary acts and the types of illocutionary acts used in Jac Schaeffer’s Wandavision carried out by all the character.

The researcher found 165 speech acts in all episodes of the Wandavision series, namely 33 representative speech acts, 17 commissive speech acts, 79 directive speech acts , 3 declarative speech acts, and 33 expressive speech acts. The most dominantly used type of illocutionary act in Wandavision series is directive speech act consisting of 79 utterances with percentage of 47.88%.
SUBCAPITAL- CLINICAL CORRELATION OF 2ND (INDEX) TO 4TH (RING) DIGIT RATIO WITH HIGH BLOOD PRESSURE AND ITS IMPLICATION FOR CORONARY HEART DISEASE IN WEST U.P. MALES
Authors: Gupta Reena , Gupta Anshu , Bhartwaj kamal , Singh Pradeep
Published: December 2022

BACKGROUND - The aim of our research work was to estimate the association with high blood pressure and the 2D :
4D ratio, and the intimation of this association with the cardiovascular problem in males living in the west of the Uttar
Pradesh. As a result of exposure to prenatal sex steroids the ratio of the index nger to the ring nger of the hand is changed. Three METHOD -
hundred adult male human subjects from the west up region served as participants in the study. The total number of subjects was divided into two
groups: one group consisted of 150 west U.P males with high blood pressure (also known as hypertension), while the other group consisted of 150
west U.P. males with normal blood pressure (also known as normotensive) and served as the control group. The length of the index and ring
ngers (2D:4D) was measured, and then we estimated the mean value, the standard deviation, and the p-value. According to the RESULT –
measurements that we were taken, the results exhibit that there is a great distinction of of 2D:4D ratio with the control category and the
hypertensive category, and the ratio is greater in both hands for the hypertensive group than it is for the control category. In counting to this, the
ratio was found to be greater in the left hand of the hypertension group. If the p-value is < 0.05, then there is a statistically distinction positive
association. The ndings of the recent work indicate that there is a stat CONCLUSION - istically great direct correlation with 2D:4D ratio and
hypertension in adult males. This connection may serve as a predictor for coronary heart disorders that are connected to prenatal sex hormones.
Nevertheless, additional research is required to validate these preliminary ndings.
ASSESSMENT OF SUICIDALITY IN VIEW OF PSYCHOPATHOLOGY & CLINICAL VARIABLES IN PATIENTS ATTENDING A TERTIARY CARE CENTRE
Authors: Sardesai Ujwal , Niranjan Vijay , Uikey Dhirendra
Published: December 2022

Background: Suicide emerging as public health problem all over the globe. Our continent contribute most as 60% of the
world's suicides are happening here, which simply means every year 60 million people are affected by suicide or
attempted suicide in Asia. Methodology- This is a tertiary care hospital Materials and Methods: based cross-sectional study, which was
conducted in outpatient department of psychiatry, Medical College and mental hospital in a city of central India, after clearance obtained from
institutional ethic committee. Only those patients were included who were meeting inclusion criteria. among all 100 subjects 69 were Resultmale and 31 female, the mean age of participants was 33.87±7.97 years. Most of subject were married, 44% of participant were economically
dependent 53% were belong to nuclear family and 65% were from urban area. In our study a strong association observed between substance
abuse, past history of suicidal attempt, depression with suicidal attempt. Conclusion- Based on the ndings of this study depression and substance
abuse is main factors behind the suicide attempt.
INCIDENCE OF ATROPHIC RHINITIS AFTER PARTIAL INFERIOR TURBINECTOMY: A RETROSPECTIVE COHORT STUDY
Authors: Shivkumar Shivkumar , Gill Nishant , Annie Resusci , Kukreja Srishti
Published: December 2022

Background: Inferior turbinate hypertrophy is a common nding while evaluating the patients with Allergic Rhinitis,
Chronic Rhinitis, Non-Allergic Rhinitis, Hormonal Changes, Acute sinus infection and medications. Turbinate
hypertrophy causes signicant impact on patient's quality of life as it causes sensation of nasal obstruction, difculty in sleeping and epistaxis
due to altered and turbulent ow of air current in nasal cavity and patients tend to go for surgical management when the medical management
fails. The nasal obstruction is generally relieved after surgery but patient with a roomy nasal cavity is also at risk of developing Atrophic Rhinitis.
We present a retrospective cohort study to compare the incidence of post operative Atrophic Rhinitis in two groups with one group of patients
undergoing Partial turbinectomy under endoscopic guidance and other group undergoing turbinate reduction using a Turbinate Scissor. All the
patients included in the study underwent the procedure in the Department of Otorhinolaryngology-Head and Neck Surgery in MBS Hospital,
Kota over a period from July 2020 to December 2021. This retrospective study includes 126 pa Methods: tients as per the inclusion criteria
described in the following article out of which 74 patients (52M, 22F) underwent Partial Inferior Turbinectomy using a microdebrider under
endoscopic guidance and 52 patients (37M, 15F) underwent the Procedure using Turbinate scissors and the incidence of Atrophic Rhinitis was
noted in the post operative follow up period and the data obtained was put to statistical evaluation. Atrophic Rhinitis was noted in a total Results:
of 2 patients out of which 1 patient underwent the procedure using microdebrider and1patient underwent the procedure using Turbinate scissors.
It was noted that there was no difference in gender distribution of Atrophic Rhinitis as well as the use of Microdebrider did not offer any
advantage in reducing the incidence post operative Atrophic Rhinitis (p-value 0.811).
OUTCOME OF ULTRASOUND GUIDED FOAM SCLEROTHERAPY IN THE TREATMENT OF VARICOSE VEINS
Authors: Bhuyan D. , Choudhury D. Das , Agarwal S. , Das A.
Published: December 2022

Varicose veins are one associated aspect of evolution that humans could have happily lived without. It's almost certainly
the price we pay for the two-legged erect posture. Though we have achieved cure for various diseases, till now no reliable
cure has been found for venous insufciency.The gold standard for treating chronic venous insufciency has been surgery. The surgeon dealing
with varicose veins has always had to strike a balance between an aesthetically pleasing outcome and a low rate of recurrence and complications.
Sclerotherapy, which was rst used over 150 years ago, is still the most efcient method for permanently removing pathologically swollen as well
as cosmetically unpleasant but otherwise normal veins.Foam sclerotherapy, in which the sclerosant is mixed with air or physiological gases, is
more effective than direct injection of sclerosants, because the agent's contact with the endothelium is prolonged by the air in the foam. The use of
foam sclerotherapy for big veins has reduced recurrence rates. Large-scale researches have demonstrated the safety of foam sclerotherapy. Foam
sclerotherapy has a recurrence rate that is comparable to surgery. The efcacy of foam sclerotherapy has been variable as per different studies
across different institutions.
IFTAK KSHARA SUTRA TECHNIQUE FOR THE MANAGEMENT OF INTERSPHINCTERIC PERIANAL FISTULA-IN-ANO-A CASE STUDY
Authors: G Vishnupriya. , D Ponnulekshmi. , P. N Rajeshwari , Tripathy Rabinarayan
Published: December 2022

An internal opening (primary opening) in the anal canal or rectum and an exterior opening (secondary opening) in the
perianal skin combine to form a stula-in-ano, an inammatory track. Unhealthy brous tissue and granulation tissue line
this tract. Intersphicteric stulas are ones that cross the internal sphincter and then have a tract to the outside of the anus leading1. The prevalence
of an anal abscess-induced stula-in-ano ranged from 26% to 38%.In men,the prevalence is 12.3 cases per 100,000 population and in women, it is
5.6 cases per 100,000 population2. Fistula-in-ano is a complicated disease, its signs and symptoms which resembles bhagandara disease
described in āyurvedā. ācārya suśruta mentioned this disease under a฀฀a mahāgadās which means difcult to cure. For the management of this
painful disease many treatment modalities are enumerated in āyurvedā classics and k฀āra sūtra therapy is one among them which is proved to be
gold standard. Though k฀āra sūtra therapy is a big revolution in the eld of stula in ano, but it has some disadvantages like it is time consuming
process, severe post-procedural pain, and big scar marks. In the present case report,A 24yr old male p/t c/o pain and swelling in perianal region
since three months and successfully managed with IFTAK (Interception of Fistulous tract and application of Ksharsutra) technique. which
showed a greatpotential in management by minimizing the duration of treatment, mild post procedural pain and minimum scar mark.
LEVELS OF INTERLEUKIN-6, FERRITIN, C-REACTIVE PROTEIN, LACTATE DEHYDROGENASE, D-DIMER, FIBRINOGEN AND PROCALCITONIN IN BLOOD OF COVID-19 PATIENTS: ITS CORRELATION TO THE DISEASE SEVERITY IN PATIENTS IN A TERTIARY MEDICAL COLLEGE IN EASTERN INDIA
Authors: Biswas Soumika , Biswas Lekha
Published: December 2022

The clinical spectrum of SARS CoV 2 infection appears to be wide, encompassing asymptomatic infection, mild upper
respiratory tract illness, and severe viral pneumonia with respiratory failure and even death, with many patients being
hospitalized with pneumonia This study was a hospital based, cross sectional, observational, non interventional study. This study took place in
Medical College and Hospital , Kolkata , study duration was from May 2020 – July 2022 .One-hundred and three patients diagnosed with
COVID-19 infection as tested by real-time quantitative PCR (RT-qPCR) test were included. Those presenting with fever and/or respiratory
symptoms and chest x-ray ndings suggestive of lung infection were diagnosed as having COVID-19 pneumonia (n = 69). Those identied to be
positive for RT-qPCR test but did not have any symptoms were considered asymptomatic (n = 34). The results showed that the mean of the serum
level of IL6 ,CRP, ferritin, LDH, and D Dimer was higher signicantly (P ≤ 0.000) in COVID19 patients compared to the healthy control group .
The mean of theses parameters is signicantly increased in patients with severe coronavirus infection and reached (28.63 ± 14.67 pg/ml,471.60 ±
202.92 pg/ml and 443.55 ± 99.38 IU/L) for IL 6, ferritin, and Lactate Dehydrogenase(LDH) respectively, while in patients with simple to
moderate infection, the levels of IL6, ferritin, CRP, and LDH is reached (9.56 ± 0.66 pg/ml, 232.14 ± 161.29 g/ml, 25.64 ± 22.53 mg/ml, and
335.80 ± 97.63 IU/L) respectively. We also found that total lymphocyte count was decreased signicantly (P = 0.018) in patients infected with
SARS CoV2 (mean = 13.66 ± 4.29), in contrast, neutrophils count was increased signicantly (P ≤ 0.000) in patients (90.43 ± 12.40) compared
with healthy subjects (51.63 ± 5.66). Though for more detailed research a study with much more larger sample size,and study design like
prospective cohort should be taken for better understanding of the altered levels of those parameters over the morbidity and mortality of covid 19
positive patients.
AN OBSERVATIONAL STUDY ON THE INCIDENCE OF GENERAL ANESTHESIA RELATED POST OPERATIVE COMPLICATIONS IN POST ANESTHESIA CARE UNIT (PACU)
Authors: Chelladurai F Osborn Daniel , KS Sruthimol , Shalini Ruth Merlin
Published: December 2022

Background: Post-operative care is the management of a patient after surgery. This includes care given in the surgical
suite room and in the post Anaesthesia care unit (PACU) during the immediate post-operative period .Postoperative
complications can also occur due to the anaesthetic technique and medications. The main problems with general anaesthesia are postoperative
nausea and vomiting (PONV), Surgical site pain, Sore throat, hypoxia, hypotension, dental injury, fatigue and unsteadiness, damage to peripheral
nerves due to positioning and subacute thrombosis. This observational study was performe Methods: d in 156 patients who underwent treatments
under general anaesthesia. Patients were observed for 6 hours in PACU after general anaesthesia and vitals and the complications were
monitored. In this study mild to moderate complications were reported. The result Results: s showed that for laparoscopic and non laparoscopic
surgeries, the factors pain (p=0.001) and sore throat(p=0.016) are signicant. PONV also showed a mild signicance in both laparoscopic and
non laparoscopic surgeries (p=0.052). From this study on 156 patients who underwent for general a Conclusions: naesthesia, based on the results
from this study we concluded that minor complications like pain, sore throat, PONV are most commonly occurring in patients. There is a relation
between sore throat and pain in both laparoscopic and non laparoscopic surgeries. PONV also shows signicance in both laparoscopic and non
laparoscopic surgeries .
ROLE OF FECAL CALPROTECTIN FOR ASSESSMENT OF INFLAMMATORY BOWEL DISEASE ACTIVITY, 4-YEAR STUDY DONE IN INDIAN REFERENCE LABORATORY
Authors: Chilay Aditya , Mehra Neha , Misra Moumita , Almeida Flavia , Chadha Kirti , Jatale Raj , Ramchandran Shibani
Published: December 2022

Introduction:-Calprotectin is calcium binding protein which is secreted by neutrophils & monocytes. It is found both in
plasma & in stools. It is predominantly elevated in inammatory conditions such as inammatory bowel disease (IBD).
To a certain extent, it is also elevated in infectious conditions & in polyposis. This study was conducted to evaluate diagnostic precision of fecal
calprotectin in known inammatory bowel disease (IBD) patients A retrospect Method:- ive analysis of calprotectin, ASCA, cANCA, pANCA,
Total WBC count, ESR, CRP was obtained in referral laboratory in Mumbai over a span of 4 years (2018-2022). Prevalence of raised Results:-
calprotectin was signicantly seen in 13-18 years age group. (P<0.0001). Calprotectin showed a positive correlation with WBC count, CRP &
ESR. There was no signicant association between calprotectin levels & gender. Fecal calprotectin can be used not only in research Conclusion:-
but also in routine clinical practice in differentiating between patients with inammatory & non-inammatory bowel disease.
Aims and Objectives: -
1. To study the prevalence of fecal calprotectin levels with respect to different age groups & gender in inammatory bowel disease patients.
2. To establish correlation of fecal calprotectin levels with ANCA, ASCA, Total WBC count, ESR &CRP
AUDIT OF CATARACT SURGERIES REQUIRING REVISIT FOR COMPLICATIONS
Authors: Naggalakshmi V.S. , Ezhil Arul , Mol Fincy , Srikanth K.
Published: December 2022

Background: To identify patient related and surgeon related factors contributing to complications during a cataract
surgery which can be minimized with stringent protocols. This can be crucial in improving the quality of cataract surgery
while performing high volume cataract surgeries. This cohort study assessed t Method: he number of patients requiring re-surgeries and the
factors contributing to the same In our department, for the months of June, July and August Result: the total number of patients operated were
about 367. And the patients requiring re-surgeries during this period were about 16 (4.35%). Being a teaching hospital with an active resident
program this rate of complication falls within the acceptable levels.Eventhough stict adherence to the standard protocol was followed, we
encountered these complications due to patient related factors which were unavoidable Though SICS is Conclusion: a very effective and safe
procedure, complications do occur largely because of patient related factors like age, grade of cataract, systemic co-morbidities, and ocular factors
like pseduoexfoliation, small pupil and due to uncooperative patients during surgery.
MANDIBULAR PREMOLAR WITH TWO ROOTS AND TWO ROOT CANALS: A CASE REPORT.
Authors: R. Patil Sneha , L. Tandil Yogesh , Mohkar Sagar , Rahul Neelam , Jajodia Chahat
Published: December 2022

For the success of a root canal treatment, an in-depth knowledge of pulpal anatomy and its variations are essential. Failure
to perform thorough debridement and improper obturation will lead to reinfection of the root canal, which will adversely
affect the treatment outcome. Mandibular premolars usually have single root with single root canal system. Howeveranatomic variations of
mandibular premolar have been reported. The clinician should be aware of the conguration of the pulp system for the successful endodontic
treatment. The incidence of two roots in these teeth is quite rare. This report presents the clinical management of mandibular premolar having two
roots bifurcated at the mid-root level.
A STUDY ON POLYPHARMACY AMONG ELDERLY PATIENTS IN MEDICINE WARD OF A TERTIARY CARE TEACHING HOSPITAL OF EASTERN INDIA
Authors: Ghosh Abhishek , Dey Shankar , Banerjee Madhura , Dutta Soham
Published: December 2022

Background: In the modern era, with the increase in the lifespan of individuals with increasing access to health-care
facilities, the population of elderly is also increasing with an equal pace. However, on the other hand, with the increasing
population of the elderly another important issue of polypharmacy has also emerged. Elderly people usually have more disease conditions for
which more of medications are prescribed in older individuals as compared to younger population. Hence, optimizing drug therapy in this aging
population is a challenging task for physician. Polypharmacy can also lead to increase in drug interactions, adverse drug reactions, and
medication errors. It was an observational, cross-sectional, prospective study. The Materials and Methods: study was conducted in patients
admitted in general medicine wards at College of Medicine& JNM Hospital, Kalyani, West Bengal. The study involved 320 elderly patients
(above 65 years of age) of either sex for 3 months from January to March 2020. The information recorded included the demographic details of the
patients, diagnosis, comorbid illnesses, details about medications being, the total number of drugs being used, and the factors associated with
polypharmacy. A total of 320 geriatric patients were included in the study. Pol Results: ypharmacy was found (>5 medications/day) in 79.71% of
geriatrics. Pantoprazole , antimnicrobials and NSAIDS were most commonly prescribed drugs. To counteract the problems Conclusion:
associated with polypharmacy, regular follow- ups and proper monitoring of drug regimens of older individuals are the need of the hour.
CHEMOTHERAPY INDUCED HISTOPATHOLOGICAL CHANGES IN MASTECTOMY SPECIMENS - STUDY AT A TERTIARY CARE CENTRE
Authors: M Gowri . , Bhopal Triveni , Padmaja G. J. Vani
Published: December 2022

Background: Pathological complete response (pCR) to Neo adjuvant chemotherapy (NACT) is a signicant prognostic marker in breast cancer, so accurate diagnosis and grading of pathological chemo response of tumour is needed for an effective planning of treatment regimen. To study the various histopathological Aims: changes in Mastectomy specimens following NACT and to evaluate the pathological response of tumour to NACT, also to compare the expression of ER, PR, and HER2 in biopsies and post NACT mastectomy specimens by Immunohistochemistry (IHC). Methods And Materials: 50 breast carcinoma cases, who was diagnosed on trucut biopsies and treated with preoperative NACT followed by mastectomy was included. In post NACT mastectomy specimens, the chemoresponse was classied according to Union for International Cancer Control (UICC) guidelines. ER, PR, and HER2/ neu receptor expression was compared between trucut biopsy specimens (pre- NACT) and resection specimens (post- NACT). Results were analysed by Chi square test and McNemar chi square test. Among 50 cases, patients presented with lump, Results: involved more on the right and in upper outer quadrant. Most common stage at presentation is stage III A. Histologically all belong to IDCC -NST histological subtype. Signicant reduction in mean tumour size by 52.7% after NACT was observed. pCR, pPR and pNR was observed in 20 %, 58 % and 22 %of the cases respectively. Most common histological change seen in post NACT is necrosis, desmoplasia, brosis, lymphocytic inammatory response. Discordance in ER expression (17.5 %), PR expression (20%) and HER2 /neu (12.5 %) before and after NACT. But these were statistically insignicant. CONCLUSIONS: Pathological evaluation of chemo response of tumour is the gold standard. The discordance rate of ER, PR and HER-2/neu expression following NACT was statistically insignicant, larger studies needed to analyse their impact in patient management.
PREOPERATIVE FASTING AMOUNTING TO DEHYDRATION IN PEDIATRICS AGE GROUP- AN OBSERVATIONAL STUDY
Authors: Himanshu K Khanvelkar , Boat Afreen , Singh Shubhra
Published: December 2022

Introduction: Pre-preoperative fasting, a universally practiced principle in elective cases helps to reduce the risk of
pulmonary aspiration of gastric contents. Prolonged fasting for 8-10 hours has been practiced at various places to avoid
complications like Mendelson's Syndrome and Aspiration Pneumonia. However, prolonged fasting may be an unpleasant experience causing
distress, irritability, dehydration and hypoglycemia especially in pediatric patients. Studies have reported many children end up fasting for up to
12 or 15 hours inspite of recommended 6-4-2 guidelines, leading to side-effects like, hypoglycemia, metabolic acidosis, dehydration.In this
study, we tried to acertain the dehydration status due to various reasons and also suggested a solution for the same. To assess the Aims
dehydration status of pediatric patient based on clinical dehydration scale. (1) T Objectives: o asses the complaints of paient suggesting
dehydration on well designed proforma.(2) To asses amount of dehydartion according to dryness of mucous membranes by using nger print
impression This randomised trial was conducted on 100 NBM paediatric patients Materials And Methods: in age group of 0-14 yrs at Dr.
D.Y.Patil Medical College ,Pune. Time at which the patient was wheeled into operation theater, duration of preoperative fasting was noted
,calculated, analyzed and compared. The tongue was assessed to nd the degree of hydration with help of nger impression from moist tongue on
parchment paper and scoring was given as follows: Scoring:5- almost full nger impression,3- half nger impression and 1-No nger
impression. The nger impression test was, No impression (score=1) in 40 patient Result: s, half nger impression (score=3) in 37 patients
and almost full nger impression (score =5) in 23 patients. Fasting time for pe Conclusion: diatric patients in our study were typically far longer
than current guidelines. This can be attributed to surgery timings of previous patients inside the theatre leading to prolonged fasting time.
COMPARISON OF THE RECOVERY RATE OF OTOMYCOSIS USING CLOTRIMAZOLE DROPS, CLOTRIMAZOLE CREAM AND 10% POVIDONE IODINE SOLUTION (BETADINE) IRRIGATION.
Authors: Ahmad Lone Shafkat , Manzoor Qadri Haris , U Rehman Shakil
Published: December 2022

Otomycosis is one of the common conditions encountered in ENT practice. Difference of opinion does exist regarding
ideal treatment modality. Compare the efcacy of 1% clotrimazole drops, 1% cl Aim: otrimazole cream and 10% betadine
irrigation in the treatment of otomycosis. Randomized control study conducted in the Method: department of ENT and Head and Neck surgery of
Government Medical College Baramulla. The study was conducted on 80 patients over a period of 6 months, clinically diagnosed with
otomycosis. Patients were randomly allotted to three groups. Improvement in symptoms of pruritis, pain and blocked sensation on 1st, 2nd, 3rd
and 4th follow up visits was recorded. All patients were asked the opinion about preferred treatment modality. When compared the Results:
symptoms on day one and subsequent follow ups, the change in symptoms in all the groups was signicant. Group 2 with 1% clotrimazole cream
had signicant improvement on rst visit only. By 4th visit all the groups had signicant improvement.
ANAESTHETIC MANAGEMENT OF HENOCH SCHOLEIN PURPURA IN ADULT WITH ACUTE ABDOMEN – A CASE REPORT
Authors: K. Anusha
Published: December 2022

Henoch-Schonlein Purpura (HSP) is a small vessel vasculitis mediated by IgA-immune complex deposition. It is
characterized by non-thrombocytopenic purpura, arthritis or arthralgia, abdominal pain, and nephropathy. HSP has an
overall excellent prognosis in children, but very rarely reported in adult. There are hardly any evidence for the anesthetic management of adult
patients with HSP. We report a sucessful management of a case of a young adult with HSP who presented with acute abdomen for laparotomy. A
25yr old male with HSP presented with acute abdomen two days after admission. Under general anaesthesia with epidural anagesia, emergency
laparotomy and resection anastomosis was done. Patient was stable post op and discharged on 5th post operative day. Bowel ischaemia
secondary to HSP is a very rare complication. Monitoring and frequent reassessment with early surgical intervention helps to reduce morbidity,
and improves outcome. Epidural analgesia can be safely administered in a patient with HSP as it avoids the use of non steroidal anti inammatory
drugs for post operative analgesia.
A STUDY ON FUNCTIONAL OUTCOME AFTER HIGH FIBULAR OSTEOTOMY IN MEDIAL COMPARTMENT OSTEOARTHRITIS KNEE.
Authors: Karunakar. D. Santosh , R. Balajirao. , C.J. Manikumar.
Published: December 2022

Background: Primary Osteoarthritis of the knee is more prevalent than that of the other joints. Treatment for knee
osteoarthritis can be broken down into nonsurgical and surgical management. Initial treatment begins with nonsurgical
modalities and moves to surgical treatment once the nonsurgical methods are no longer effective. Various treatment modalities available include
intraarticular injections, physiotherapy, visco supplementation, arthroscopic debridement, high tibial osteotomy, and knee replacement with uni
compartmental arthroplasty. All of it has its complications. Hence, there is a necessity for a modest technique, easily reproducible, provides
decent functional outcomes and associated with a smaller recovery period, and develops the quality of life for the affected patients. In this
scenario, this study is designed to know the functional outcomes, when an osteotomy of the bula at proximal 3rd is performed in medial
compartment osteoarthritis knee. The present study was conducted at the depart Methods: ment of orthopaedics Andhra medical college/ king
George hospital Visakhapatnam between 2019 and 2021.Thirtypatients who fullled inclusion criteria were taken up for study n=30. Statistical
Analysis: Statistical analysis was performed using SPSS version 19.0 statistical software for the window. Continuous variables were expressed
as mean, ±SD, and dichotomous variables were expressed as percentages. A two-tailed t-test was applied to analyze the postoperative weightbearing ratio of knee joint space (medial/lateral compartment) data. In addition, the nonparametric test (Wilcoxson's signed-rank test) was
applied to analyze the OKS, AKSS, and VAS scores. The chi-square test will analyze the Comparison of qualitative variable, and Comparison of
the quantitative variable will be analyzed by independent samples unpaired T-test. A P-value less than 0.05 was considered to be signicant. Data
will be entered in Microsoft Excel, and data analysis was performed using windows MEDCALC software on a personal computer. Results:
Sample size of the present study was 30 (n=30). Average age of the patients was 56 years. with males accounting to 56.66% and female's 43.33
percent. There were 17 males and 13 females among the 30 patients. The majority of the patients have grade 2 medial compartment osteo
arthritis. Preoperatively, the mean medial/lateral joint space ratio was 0.26+/-0.12, which increased in the postoperative phase, reaching 0.67+/-
0.29 after six months. Proximal bular osteotomy effectively reduces the pain of m Conclusion: edial compartment osteoarthritis. It also
improves the mean vas pain score earliest postoperatively. We observed modest improvement in both oxford knee scores and American knee
society score.
PERIOPERATIVE ANAESTHESIA CARE : IN POLAND SYNDROME - A RARE CASE REPORT.
Authors: Prafulla Ravipati. , Sunny Sunny , Bhardwaj Mamta , Bishnoi Prakriti
Published: December 2022

Poland syndrome (PS) is a rare musculoskeletal congenital anomaly
with variable presentations . Incidence is 1/30,000 live births, more
often seen in males than females (3:1). Several theories have been
proposed regarding the genesis of PS as vascular disruption theory “
The subclavian artery disruption sequence”. Clinical features include
cardiovascular (dextrocardia, atrial septal defects) musculoskeletal
(club foot, toe syndactly, hemi vertebrae and scoliosis) genitourinary
(renal aplasia and hypospadiasis) hemopoietic (spherocytosis and
myelogenous leukemia, lymphoma) abnormalities. Absence of sternal
head of pectoralis major muscle is an essential feature of PS and most
often it manifests as ipsilateral thoracic cage and upper limb
anomalies. Clinical features are phenotypically variable and
manifestations are often subtle in infancy and childhood delaying their
diagnosis and plan for intervention. PS patients does not always have
functional defects but they present for cosmetic surgical repair where
the safe anaesthetic intervention need to be planned .
PAIN MANAGEMENT OF COVID-19 INFECTED PATIENTS AFTER THE VACCINATION: A PROSPECTIVE STUDY
Authors: Agarwal Sushant , kolla Karnakar , Baro Abhamoni , Barik Mayadhar
Published: December 2022

Background: COVID-19 is a severe infectious disease (SID) claimed that >180,000 lives are infected millions in the
elderly population globally. Emerging evidences we observed that virus to cause hemorrhagic and immunologic
responses impact in all the organs, including lungs, kidneys, eye , the brain, and extremities as well as. We had Material and Methods:
performed with prospectively of >1,500 articles and included 525 references from our online databases, including with the Scopus, PubMed,
Medline, Google Scholar, and the wave of Sciences. COVID-19 patients are also going through the acute respiratory distress syndrome
(ARDS), cytokine storm (CS), acute hypercoagulable state (AHCS), and the autonomic dysfunction (ADF) managed by the multidisciplinary
team approach. This is including with Physical medicine rehabilitation, medicine, nursing, nutrition, and rehabilitation and the other important
radiological ndings. A total no of 30 vaccines under the developmental process (DP), Results: and now newly developed with their guidelines
for the better treatment strategies and newly developed protocols are being well implemented. The majority of 80-95% of elderly population
those are suffering from neurological diseases (ND-90-95%), Alzheimer's disease (AD-85%, Parkinsonism Diseases (PD-95%) and dementia
(D-80%) related illnesses noticed that they are at higher risk during COVID-19 pandemic. The future management for COVID-19 should
include B-cell and T-cell immunotherapy in combination with all the emerging prophylaxis is also more helpful. The pain CONCLUSION:
management in the neurological disorders (ND) including with all the mental health with several illness aspects of the COVID-19 is the most
important side effects of during the pandemic. Hence the national level and International level plan for prevention, diagnosis and treatment for
SARS-CoV-2 also affects patients', families', society's neurological disorders (ND), Alzheimer's disease (AD), Parkinsonism Diseases (PD),
Dementia Diseases (DD), and the other mental health patients at larger in population. Now growing evidence of re-infection in some
neurological disorders (ND) patients is to provide a comprehensive knowledge of SARS-CoV-2-induced with neurological diseases (NDs) and
their mechanism of infection (MOI), diagnostics, therapeutics, and their new treatment strategies, focusing with less attended aspects including
with the nutritional support, psychological, and physical medicine and rehabilitation and its management are essential for elders, youth, and
children.