bluuebunny/crossref_metadata_2025 huggingface dataset:
STIMULASI TUMBUH KEMBANG BAYI PADA MASA PANDEMI COVID 19 DI WILAYAH KERJA PUSKESMAS KELURAHAN CILANDAK TIMUR
Authors: Nurhayati Nurhayati , Puspita Erlin , Yuliani Vini , Triyani Triyani
Published: May 2023

Pada masa keemasan sangat penting dilakukan stimulasi, Keluarga merupakan lingkungan sosial pertama yang dikenal anak dan juga menjadi sarana pembelajaran pertama di kehidupan anak. Perkembangan keterampilan motorik kasar anak yang kurang dapat mempengaruhi aktivitas kemandirian anak yang berdampak kepada perkembangan anak seperti aktivitas sosial, kemampuan konsentrasi dan kemampuan motorik menjadi kurang baik.  Stimulasi yang bervariasi dalam suasana yang menyenangkan akan memacu berbagai aspek kecerdasan anak, salah satunya dengan gerakan-gerakan senam bayi (baby gym) untuk perkembangan  motorik bayi. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu mengenai baby gym, sehingga selama pandemi tetap dapat memberikan stimulus yang tepat kepada bayinya di rumah. Adapun peserta kegiatan ini sebanyak 60 ibu yang mempunyai bayi usia 3-12 bulan dan berada di wilayah kerja Puskesmas Kelurahan Cilandak Timur. Metode yang digunakan Kegiatan Pengabdian masyarakat dilakukan dalam dua tahap di dua posyandu. pre test untuk mengetahui pengetahuan ibu, pertumbuhan dan perkembangan bayi, lalu penyuluhan dan pelatihan dengan video serta pemberian leaflet, setelah 4 minggu melakukan evaluasi dengan melakukan post test untuk mengetahui pengetahuan ibu, pertumbuhan dan perkembangan bayi responden, Hasil dari kegiatan ini didapatkan peningkatan pengetahuan ibu mengenai tumbuh kembang dengan nilai p 0,001, pertumbuhan dan perkembangan yang sesuai pada bayi yang dilakukan baby gym secara teratur dengan grafik pertumbuhan meningkat di KMS. Simpulan yang didapatkan tumbuh kembang bayi yang baik dapat distimulasi dengan baby gym jika dilakukan secara teratur dan terarah karena pengetahuan ibu meningkat tentang stimulasi tumbuh kembang melalui gerakan senam bayi.
PEMBERDAYAAN MASYARAKAT DALAM MENINGKATKAN KEKEBALAN TUBUH MELALUI OLAHAN REMPAH-REMPAH DI KELURAHAN DASAN CERMAN
Authors: Jiwantoro Yudha Anggit , Pauzi Iswari
Published: May 2023

Latar Belakang: Kasus Covid-19 yang masih ada khususnya di Kota Mataram, Provinsi Nusa Tenggara Barat. Dampak dari pemberlakuan PPKM disejumlah daerah, membuat masyarakat semakin terbatas dalam aktivitas bekerja, bahkan diantaranya harus di PHK, sehingga berdampak pada pendapatan mereka. Padahal kondisi covid-19 saat ini masyarakat dituntut sehat dengan berbagai cara untuk meningkatkan imunitas tubuh, sehingga perlu adanya alternatif pencegahan agar kondisi tetap sehat Metode: Solusi yang ditawarkan melalui kegiatan pengabdian masyarakat ini adalah penggunaan rempah-rempah ini dapat menjadi salah satu alternatif yang membantu masyarakat dalam meningkatkan kekebalan tubuh terhadap covid-19 dengan biaya yang murah dan dapat diperoleh dengan mudah. 1) tahap perencanaan adalah: (a) Mengadakan pertemuan dengan Kepala Desa/kelurahan. (b). Mengadakan pertemuan dengan anggota pengabmas terkait penyusunan olahan rempah. 2) Tindakan adalah pelaksanaan pengabdian masyarakat. 3) Evaluasi. Hasil: kegiatan pengabdian masyarakat ini menunjukkan bahwa masyarakat sangat antusias dan terjadi diskusi setelah penjelasan materi. Kesimpulan: Pengabdian kepada masyarakat dilaksanakan dengan baik dan berdampak positif bagi masyarakat. Masyarakat dapat memanfaatkan rempah-rempah di sekitarnya untuk diolah menjadi ramuan yang menyehatkan, selain itu penanaman TOGA menjadi solusi bagi masyarakat untuk hidup lebih sehat.
PEMBENTUKAN & PENDAMPINGAN ASUHAN MANDIRI PEMANFAATAN TANAMAN OBAT KELUARGA PADA WARGA DI SAMARINDA
Authors: Chifdillah Nino Adib , Rahayu Eka Putri , Tarihoran Yael Morina
Published: May 2023

Pengetahuan masyarakat tentang tanaman obat pada umumnya berasal dari pengalaman dan keterampilan yang secara turun temurun telah diwariskan dari satu generasi ke generasi berikutnya. Sementara itu, tanaman obat di Indonesia terdiri dari beragam spesies yang kadang kala sulit untuk dibedakan satu dengan yang lain. Pengetahuan masyarakat tentang tanaman obat masih rendah meski sering menggunakannya sebagai pengobatan tradisional. Salah satu upaya peningkatan partisipasi masyarakat dalam mengelola tanaman obat keluarga adalah pembentukan Asuhan Mandiri Pemanfaatan Tanaman Obat Keluarga. Upaya peningkatan derajat kesehatan masyarakat bisa dilaksanakan melalui pemanfaatan Tanaman Obat Keluarga di halaman rumah sebagai upaya pencegahan DBD pada warga RT. 12 kelurahan Harapan Baru, Kota Samarinda. Metode kegiatan ini adalah penyiapan fasilitator, sosialisasi dan orientasi kader, pembentukan kelompok kerja kesehatan melalui kegiatan forming, storming, norming, dan performing. Hasil kegiatan menunjukkan adanya peningkatan tingkat pengetahuan sasaran kegiatan Pengabdian kepada Masyarakat tentang DBD dan pemanfaatan TOGA sebagai upaya pencegahannya meningkat setelah mengikuti kegiatan pendidikan kesehatan. Selain itu, terdapat 46 dari 57 (80,70%) kepala keluarga di tempat pelaksanaan Pengabdian kepada Masyarakat yang berpartisipasi dalam menanam dan merawat TOGA hingga kegiatan selesai.
Perbandingan Efektifitas Latihan Aerobik Low Impact Dengan dan Tanpa Pemberian Susu Kedelai TErhadap Kadar Trigliserida pada Wanita Dewasa Dengan Berat Badan Lebih Di Desa Air Paoh Kecamatan Baturaja Timur
Authors: Estiani Meilina
Published: May 2023

Berat badan lebih (overweight) dan obesitas pada saat ini menjadi masalah global yang serius. Di Indonesia masalah kelebihan berat badan dan obesitas telah menjadi masalah besar, hal ini terjadi disebabkan karena adanya peningkatan pendapatan masyarakat yang mempengaruhi pola hidup terutama terjadinya perubahan pola makan dan keterbatasan aktiftas fsik.Trigliserida sebagai energi jika tetap pada tingkat yang tinggi dalam jangka waktu yang lama akan menimbulkan masalah kesehatan.Trigliserida merupakan lemak darah yang cenderung naik seiring dengan konsumsi alkohol, peningkatan berat badan, diet tinggi gula atau lemak serta gaya hidup. Untuk mengontrol kadar trigliserida perlu dilakukan beberapa upaya yaitu dengan cara pengaturan pola makan (diet), peningkatan aktivitas fsik, modifkasi gaya hidup. Efek paling nyata dari latihan adalah untuk menurunkan trigliserida, trigliserida akan diubah ke dalam bentuk gliserol dan Free Fatty Acid (FFA) sebagai sumber energi utama selama latihan fsik. Selain itu salah satu upaya non-kimia yang dapat digunakan untuk mempertahankan kadar kolesterol pada kadar normal adalah dengan pemberian makanan yang mengandung isoﬂavon yaitu kedelai. Masyarakat Indonesia telah lama mengkonsumsi kedelai, namun manfaat dari kedelai belum banyak yang mengetahui.Tujuan penelitian ini adalah untuk membandingkan efektiftas latihan aerobik low impact dengan dan tanpa pemberian susu kedelai terhadap kadar trigliserida pada wanita dewasa dengan berat badan lebih di desa Air Paoh Kecamatan Baturaja timur
COMPARISON OF FUNCTIONAL OUTCOMES BETWEEN UNCEMENTED UNIPOLAR AND CEMENTED BIPOLAR HEMIARTHROPLASTY FOR INTRACAPSULAR NECK FEMUR FRACTURES IN ELDERLY
Authors: G. N Tirumalesh , Tokur Shreesha , K. T Madhukar
Published: May 2023

Background: Femoral neck fractures (FNF) are a growing problem in our ageing society and have been associated with
high morbidity and mortality. Hemiarthroplasty is the most commonly used treatment for displaced femoral neck
fractures in the elderly. There is limited evidence in the literature of functional outcome with cemented implants compared to AMP in aged more
than 70 years. Hence an attempt is made to compare the outcome with unipolar vs cemented bipolar prosthesis for displaced fracture neck of
femur in patients aged more than 70years. Ours is a prospective comparative st Materials And Method: udy conducted, involving 40 patients
with short term follow up of one year. Elderly patients above 70 years of age, with displaced fracture neck of femur were included. 20 patients
were operated with Austin Moore Prosthesis (AMP) and 20 with bipolar prosthesis. The functional hip score was assessed using Harris Hip Score
(HHS). The statistical software SPSS 15.0 (Statistical Package for Social Sciences) was used for the analysis of our data. In our study, Result:
mean duration of surgery in uncemented group was 70 minutes and mean duration of surgery in cemented group was 82 minutes. On the basis of
HHS the results were at 6 weeks follow up we had 70.2 for uncemented group and 77.5 for cemented group and in the last follow up at 6 months,
we found HHS 84.2 for uncemented group and 85.6 for cemented group. There were 3 complications in cemented as a cement reaction and 2
supercial infection one in cemented and other in uncemented group. Both cemented Conclusion: and uncemented prostheses can be
recommended according to our study because they were equally good regarding functional outcome and health-related quality of life, contrary to
the generalized and limited published evidence. The seeming advantages of shorter duration of surgery and potentially less blood loss with the
uncemented implant are of little importance compared with the important ndings of equivalent functional results. Both implants may be used
with good results after displaced femoral neck fractures.
CLINICO- ELECTROPHYSIOLOGICAL AND CSF PROFILE AND PREDICTORS OF FUNCTIONAL OUTCOME IN GUILLAINE-BARRE SYNDROME- A PROSPECTIVE STUDY
Authors: Islam Ubedul , Das Marami , Mohd Oleeur Rahman Mazumder Asif , Deuri Anuradha
Published: May 2023

BACKGROUND Guillain-Barre syndrome (GBS) is a rare, immune mediated disorder which is associated with
demyelination of peripheral nervous system and progressive muscle weakness, with an annual global incidence of
approximately 1–2 per 100,000 person-years. GBS has an unpredictable clinical course with up to 30% of patients requiring assisted ventilation
during the course of their illness. Recent advances in the eld of critical care has successfully improved the outcome of GBS. Successful
management mandates anticipation, prompt recognition of modiable risk factors and optimal treatment of neuromuscular respiratory failure in
GBS. There is limited Indian data with regards to the early determinants and outcome of severely affected GBS patients. Knowledge of early
predictors can substantially improve patient care and provides essential data for triage at an early stage in the course of the illness.
OBJECTIVE
1. To study the clinical, electrophysiological prole, progression and outcome of GBS in a tertiary care hospital.
2. To determine the factors associated with the poor functional outcome, including the need for mechanical ventilation.
MATERIALS AND METHODS This was a single centre, prospective study with 50 patients with GB syndrome, conducted from from 1st June
2021 to 30th May 2022 for a period of 1 year at Gauhati Medical College and Hospital. Their clinical, electrophysiological, CSF parameters were
analysed. Hughes grading, EGRIS, mEGOS, MRC sum score were used. Any clinical deterioration and need for mechanical ventilation were
noted carefully. Patients were followed up at 3 months and 6 months at assess their outcome. The mean age of the patients was 30.5 RESULTS
years with a male female ratio of 1.3:1. AIDP was the most prevalent subtype found in 23(46%) patients followed by AMAN in 14(28%),
AMSAN in 9(18%) and 4(8%) cases were unclassied. 32(64%) had severe disease with Hughes score ≥ 4 and 28(56%) had MRC score <40 at
presentation. Respiratory distress was found in 17(34%) of patients, and out of which 10(20%) required mechanical ventilation. During the study
2(4%) patients died of complications. At 3 months, 30(60%) patients had complete recovery, 12(24%) had partial recovery and 6(12%) had poor
recovery. At 6 months, 35(70%) had good recovery, 9(18%) had partial recovery and 4(8%) had poor recovery. Delayed CONCLUSION
presentation, early peak of illness, prolonged Hospital stay, bulbar weakness, neck exor weakness, bilateral facial weakness, quadriparesis,
respiratory distress, need for mechanical ventilation, autonomic dysfunction; high Hughes grading, low average single breath count along with
high EGRIS, mEGOS, MRC sum score, high CSF protein, albumin-cytological dissociation, presence of F-wave abnormalities and Non stimulable nerves or Inexcitable nerves on NCS, AMAN subtype and systemic complications are associated with poor outcome. The overall outcome of GBS is favourable.
ETIOLOGICAL PROFILE OF PATIENTS WITH ATRIAL FIBRILLATION WITH SPECIAL REFERENCE TO VALVULAR HEART DISEASES.
Authors: K Sen A , Kalita Rahul , J Malakar Alok , Chetia Kalpana , Saikia Giorgi
Published: May 2023

Background : Atrial brillation is the most commonly encountered quivering or irregular heart beat(arrhythmia) in our
population and it is the disordered supraventricular (atrial) event characterised by irregular heart rhythm, thereby altered
atrial electrical and mechanical function. Atrial brillation often inuences the quality of life as atrial brillation may be associated with
disability, anxiety, cognitive impairment, chest pain, hospitalization and even absence from work. Many diseases have been implicated to the
development of atrial brillation; amongst which Rheumatic valvular heart disease, systemic hypertension, ischemic heart disease, thyroid
disease is very important. Alcohol and smoking add up to risk factors leading to development of atrial brillation. Although various studies had
been reported from different parts of the country, not much clinical data is available on etiological and clinical prole of Atrial fribillation in north
eastern part of the country hence this study has been undertaken. In this Hospital ba Materials and Methods: sed observational Study conducted
in the department of Medicine, Jorhat Medical College and Hospital, Jorhat, Assam among 90 patients etiology of valvular and non-valvular
atrial brillation was taken into account. In our study, mean age of study populat Results: ion was 46.5±5.09 years, for valvular etiology mean age
34.8± 2.05 years, for non valvular mean age 51.64± 3.08 years. 55.57% of study population were males, 44.43% were females. Valvular atrial
brillation was found in 30% cases, non valvular etiology found in 70% cases.
A CLINICAL STUDY ON PSYCHIATRIC COMORBIDITIES AMONG DIAGNOSED PATIENTS OF POLYCYSTIC OVARY SYNDROME
Authors: Begum Habiba , Medhi Deepanjali
Published: May 2023

Background : Polycystic ovary syndrome is one of the emerging endocrinological condition among women of
reproductive age . PCOS affect their mental health as well. There are many researches going on PCOS. Aim of the study
: This study was done with an aim to see the prevalence of psychiatry comorbidities among PCOS patients attending Gynaecology department as
well as Psychiatry department of Guwahati medical college and hospital, a tertiary care centre in North eastern area of the country. Methodology:
This was a hospital based cross sectional observational study done over a period of one year, from April 2021 to May 2022 . Sample size was 50.
Method of sampling was convenient sampling. Patients attending Gynaecology out patient department and Psychiatry department of Gauhati
medical college and hospital diagnosed as a case of PCOS by treating physician were enrolled in the study after getting informed written consent.
Psychiatric diagnosis was given based on ICD 10 classication of mental and behavioural disorder. The study shows that prevalence of Result :
psychiatric disorders in PCOS patients were found to be 48% among which mood disorder were more than anxiety disorder. PCOS Conclusion :
patients are vulnerable for development of psychiatric problems, so they should always be assessed for psychiatric comorbidities .By knowing
the trend of psychiatric illnesses among the patients in a particular geographic area paves the way for future consideration in their management.
“TWO DIFFERENT DOSES OF INTRATHECAL CLONIDINE FOR POST - OPERATIVE ANALGESIA IN LOWER LIMB SURGERIES - A COMPARISON"
Authors: V. Deshmukh Sharvari , V. Bengali Rashmi , B. Gite Nikhil , G. Lakshmi Manjusha
Published: May 2023

Background and Aim : Clonidine is added to intrathecal bupivacaine to increase the duration of block and provide postoperative analgesia. The study aimed to compare two different doses of clonidine with bupivacaine in lower limb surgery,
and to know the optimal analgesic dose of clonidine. In this single blind randomize Methods: d, prospective comparative study, forty patients of
the ASA grade I or II, posted for lower limb surgery, were randomly allocated into two groups. Group C-30 received 3 mL of 0.5% hyperbaric
bupivacaine with 30 µg of clonidine and Group C-15 received 3 mL of 0.5% hyperbaric bupivacaine with 15 µg of clonidine. The mean onset of
block, regression by two segments, duration of analgesia , hemodynamic parameters and adverse effects were assessed. Data analysis was done
with statistical software SPSS Ver. 20 with Unpaired T test and Chi-square test. Onset of block was signicantly faster (p < 0.01) with Results:
Group C30 than Group C15 ( 0.98 ± 0.07 min vs 1.34 ± 0.19 min) , whereas regression by two segments(192.45 ± 10.69 min vs 168.20 ± 7.89 min)
and duration of analgesia (233.25 ± 23.23 mins vs 179.75 ± 9.06min) was signicantly prolonged in Group C30 than Group C15. Incidence of
adverse events was comparable and not statistically signicant (p > 0.05) in Group C15 (40%) than in Group C30 (60%). Both doses Conclusion:
of clonidine provide equally safe, effective and excellent quality of post-operative analgesia. 30mcg of Clonidine is the optimal analgesic dose
for lower limb surgeries due to faster onset , longer time for regression by two segments and prolonged duration of post-operative analgesia
without any signicant adverse effects.
COMPARATIVE ANALYSIS BETWEEN DYNAMIC HIP SCREW AND CANCELLOUS CANNULATED SCREW FIXATION IN FRACTURE OF NECK OF FEMUR
Authors: Kumar Singh Jai , Kumar Singh Dileep , Kumar Roshan , Saxena Tathagat , Tarachand Dongre Sachin , Goswami Luxmikant , Srivastav Deepak
Published: May 2023

Introduction: Fractures of the femoral neck are common injuries. Even though numerous studies have evaluated
dynamic hip screw (DHS) vs multiple cannulated cancellous screw (CCS) xation for fractured neck of femur, no
consensus has been reached. We sought to compare DHS and CCS xation for femoral neck fractures. Total 60 patients who Methodology:
received DHS/CCS xation for a femoral neck fracture at our hospital were enrolled in this prospective study. All patients were randomly and
equally divided patients into group A (DHS, n=30) and group B (CCS, n=30) and a conventional NOF protocol was administered. All patients
were followed for one year. No signicant differences in clinic-demographic fact Results: ors were observed across groups. Both groups reported
a comparable length of union. More complications were observed in group B than in group A. The mean Harris hip score in group A was
signicantly greater than in group B (p=0.0124*). Most patients in group A scored excellent, whereas group B scored good (p=0.0298*).
Conclusion: In our study, dynamic hip screw (DHS) xation of femoral neck fracture appeared to be better than the multiple cannulated
cancellous screw (CCS) xations
CLINICO-BIOCHEMICAL PROFILE AND HOSPITAL BASED OUTCOME OF PATIENTS WITH DIABETIC KETOACIDOSIS ADMITTED IN A TERTIARY CARE INSTITUTE IN ASSAM
Authors: Islam Ubedul , Kalita Bhaskaracharya
Published: May 2023

BACKGROUND Diabetes mellitus is a metabolic disorder which is characterized by chronic hyperglycaemia resulting
from defects in insulin secretion, insulin action, or both. Globally, the prevalence of diabetes among adults is estimated to
be 537 million in 2021 and is expected to be 783 million by 2045. Most patients with DKA recover when treated appropriately but if remained
untreated, may lead to complications and rise in mortality and morbidity. Hence, early identication of ketoacidosis and aggressive management
with insulin, intra-venous uids and electrolytes replacement may change the outcome of the disease. A hospital based METHODOLOGY
observational study recruited 60 patients of age more than 12 years admitted under the Department of Medicine, GMCH with Diabetic
Ketoacidosis from 1stJuly 2020 to 31st June 2021. DKA was seen in all the age RESULTS groups but predominantly in middle-aged patients in
41-50 years age group (28%) with male predominance (Male:Female ratio =1.7:1). The incidenceof DKA was more among Type 2 Diabetes
(76.7%) than with Type 1 Diabetes (23.3%) . Mortality of patients in the study was found to be 18.3%, which was higher in comparison to
standard literature. Most of the patients in the study presented with nausea, vomiting and pain abdomen (28.30%). Sepsis and inadequate therapy
(31.6% and 20.0%) were the leading precipitating cause of DKA Among the patients, 33.33% presented with severe DKA at the time of
presentation and it was also observed that there is signicant correlation between severity of the disease and mortality (P <0.05). Patients with
Poor GCS, raised serum creatinine, blood urea, serum calcium, alanine transaminase, aspartate transaminase and total serum bilirubin has
signicant correlation with mortality (P value <0.05). However, the body mass index, blood sugar, pH, serum bicarbonate, sodium, potassium,
magnesium, albumin, triglyceride, glycosylated haemoglobin, total leucocyte count and haemoglobin levels at the time of presentation do not
have a signicant correlation with mortality (P value >0.05). It was observed from CONCLUSION our study that contrary to standard
literature, the incidence of DKA is more common in adults than children. DKA was signicant in patients with type 2 diabetes in our series of
patients and hence further studies are necessary to re-evaluatethis observation. CONFLICT OF INTEREST None
HUMOR IN HOSPICE, PALLIATIVE AND END OF LIFE TERMINAL CARE: A SYSTEMATIC REVIEW
Authors: Venkatesan S. , Kumar G.Y Yashodhara , Kamalam Gopalakrishnan Iyer
Published: May 2023

There are many different sorts, hues, intensities, styles, applications, or contexts of humor. The use of humor in end-oflife, hospice, palliative, or terminal care is a taboo topic seldom studied in scientic literature. Beginning in the 1940s,
designated as a form of dark or black humor, they have been used as cost-effective and innovative means for coping with tension by rephrasing
end-of-life difculties or challenges by creating identities, expressing resentment, or promoting dignity and a sense of worth during interpersonal
interactions between patients, caregivers, and healthcare professionals. This narrative review uses Socratic questioning or the W-Question format
(what-where-which-whom-when-how and why sequence) to analyze enlisted studies on this theme along with their applicability, results, and
limitations. Harvest plots are used to highlight thematic concerns and types of research interests by timelines in the past to raise potential areas of
inquiry that should occupy those interested in the future.
ANALYSIS OF STRESS PATTERNS IN THE PERIODONTIUM PRODUCED BY DISTALIZING FORCES ON THE MANDIBULAR MOLARS – A FINITE ELEMENT STUDY
Authors: Agasty Arnab , Hazra Trilokesh , Banerjee Prasenjit , Seth Subhas , Kumar Amit
Published: May 2023

Introduction: Treatment of Class III malocclusion is a considerable clinical challenge for the orthodontist and
commonly includes growth modication involving a chincup to restrain mandibular growth or a facemask to protract the
maxilla, dentoalveolar compensation or camouage involving dental extractions, or orthognathic surgery. The present Materials And Methods:
study was a Finite Element study. This Study was conducted from 12 months at Department of Orthodontics and Dentofacial Orthopedics, Guru
Nanak Institute of Dental Sciences and Research were procured from the departmental archives. Increasing the occlusal inclination of the Result:
loading force decreased the compressive stresses on the alveolar bone, but an insignicant increase was produced in the compressive stresses on
increasing the gingival inclination of the loading force. On comparing the compressive stresses, the horizontal and the 15 degree occlusal force
showed greatest compression in the distal surface in the cervical third close to the midline. The 15 degree gingival force also showed greatest
compression in the distal surface in the cervical third but it was spread more buccally. The 30 degree occlusal force also showed greatest
compression in the distal surface in the cervical third but it was spread more lingually. We found that, the 30 degree gingival force Conclusion:
shows an increased tendency of the tooth to intrude, as evidenced by the compressive stresses produced around the furcation and either apical
regions. Increasing the occlusal inclination of the force shows an increased tendency of the tooth to extrude rather than distalize
COMPARATIVE STUDY OF MULTIDETECTOR COMPUTED TOMOGRAPHY (MDCT) WITH ULTRASONOGRAPHY IN ACCURATE DIAGNOSIS OF URETERIC CALCULUS SIZE.
Authors: Sarangabany Raguraman , Mithunraj R. , Vasanthan Ratna
Published: May 2023

Background The trend of imaging modalities used in the evaluation of urinary system stones had been changed recently
due to the developments in computed tomography (CT) technology. The present study was Objective undertaken to nd
the accuracy of multi-detector computerized tomography in comparison with ultrasonography for an accurate diagnosis of ureteric calculus size.
Methodology Single centre hospital-based comparative cross-sectional study was conducted at Department of Radio-diagnosis, Sri
Venkateshwara Medical College Hospital, and Research Centre, a tertiary care teaching hospital located in Ariyur, Puducherry. A total of 118
patients from February 2021 to September 2022 underwent unenhanced multidetector CT and ultrasound for the diagnosis of ureteric calculus
size. The mean age was 38.8 ± 14.8 years and 74.5% were males and female to Results male ratio was 1.0:2.9. On CT scans stones were found in
the vesicoureteric junction among 12.7% of patients. Ureteric calculi in the upper ureter, mid ureter, and lower ureter were found in 9%, 7%, and
32.2% of patients respectively. Other CT scan ndings included hydronephrosis in 6% of patients, hydroureteronephrosis in 60%, and
perinephric fat stranding in 3.4% of patients. In ultrasound, 6% of patients had hydronephrosis and 60% of patients had hydroureteronephrosis.
Among the 79 cases with ureteric calculi in CT, 35 cases were found on ultrasound. The sensitivity of diagnosing ureteric calculi using ultrasound
is compared with CT and was found to be 44.30% with 100% specicity and 100% PPV, and 46.99% NPV This study concludes that Conclusion
multidetector computerized tomography (MDCT) is more accurate when compared to Ultrasonography in the case of ureteric calculus.
However, in positive cases of ureteric calculus in ultrasonography, there is no signicant difference in size noted in comparison with computed
tomography.
THE CLINICO-RADIOLOGICAL AND FUNCTIONAL OUTCOME OF MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS IN PROXIMAL TIBIAL FRACTURES.
Authors: Rao Vikas , Kumar Ashok , Chhabra Anurag , Chhabra Anubhav , Brar Saurav , Kumar Manish
Published: May 2023

The proximal tibia helps in transmission of body weight and plays an important role in the stability and functioning of the
knee joint. The goal of proximal tibial fractures treatment is to obtain early union of fracture in the most acceptable
anatomical position with early and maximum functional return of activity. This study aims to determine the clinico-radiological and functional
outcome of Minimally Invasive Plate Osteosynthesis in proximal tibia fractures. A total of 30 patients with proximal tibial fractures and fullling
the inclusion criteria were included in the study. The fractures were classied according to the Schatzker classication. Patients were evaluated
functionally using the Knee Society score and radiologically according to the Modied Rasmussen criteria. According to the Knee Society Score,
23 (76.67%) of the patients had excellent results, 4 (13.33%) patients had good results, 2 (6.67%) patient had fair results and 1 (3.33%) patient
performed poorly. According to the Modied Rassmussen criteria, 24 (80.00%) of the patients had excellent results, 5 (16.67%) patients had good
results, 1 (3.33%) patient had fair result and none of the patient performed poorly. Supercial surgical site infection was observed in 2 (6.67%) of
the patients. 1 (3.33%) patient had delayed union and 1 (3.33%) patient had aseptic exposure of implant. In 26 of the patients there were no
complications. There were no cases of deep infection. The present study shows and demonstrates that closed reduction and internal xation using
the principles of minimally invasive plate osteosynthesis is a reliable method for the management of proximal tibial fractures.
EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON THE KNOWLEDGE REGARDING DISASTER MANAGEMENT, PREPAREDNESS AND MITIGATION”
Authors: Pal Kavita , Chouhan Pooja
Published: May 2023

This research study was undertaken assess the effectiveness of planned teaching programme on the knowledge regarding
disaster management, preparedness and mitigation among nursing students at selected school of nursing of Indore, M.P.
The target population consist of nursing student, sample size are 60 nursing students, and non-probability convenient sampling technique was
used. Demographic variables was used. The overall mean of pre-test knowledge scores on disaster management, preparedness and mitigation was
found to be 9.82 and the overall mean of post-test knowledge scores on disaster management, preparedness and mitigation was found to be 22.97
and enhancement in the mean percentage knowledge score was found to be signicant at 5% level for all the aspects under study. There was no
signicant association of pre-test knowledge scores & any selected socio-demographic variables.
EVALUATION OF DENTOALVEOLAR COMPENSATION IN DIFFERENT SKELETAL MALOCCLUSIONS IN BENGALEE POPULATION- A CEPHALOMETRIC STUDY
Authors: Hazra Trilokesh , Agasty Arnab , Banerjee Prasenjit , Seth Subhas , Ghosh Hemanta
Published: May 2023

Introduction: Humans have been aware of facial esthetics from prehistoric times. An 'esthetically pleasing face' is
described as one in which various facial features are well proportioned and balanced from both 'frontal and prole' view.
Evaluating the face in prole is an integral part of a complete orthodontic diagnosis. The labiolingual inclination and anteroposterior (AP)
position of maxillary incisors have a crucial effect on the appearance of the smiling prole. Aims: To evaluate and compare dentoalveolar
compensations in various skeletal malocclusions. The Cross sectional study Materials and methods: , this Study was conducted from January
2018 to June 2019 at Guru Nanak Institute of Dental Sciences and Research, panihati, Kolkata- 7 00114. 120 patients were taken in our study.
Result: In the present study mandibular central incisor to SN shows statistically signicant difference in mean value when intergroup comparison
were made between control group with group-II, and group-III, between group- Mandibular incisors are proclined labially in skeletal class- II
malocclusion, while mandibular incisors were found upright or retroclined in skeletal class-III malocclusion. In Group-II (skeletal Conclusion:
Class- II malocclusion) upper incisors are proclined in the upper jaw, and lower incisor proclined in lower jaw.
AMELOBLASTOMA OF MANDIBLE: A SERIES OF SIX CASES AND REVIEW
Authors: Dutta Sayani , Mitra Ghosh Debasmita
Published: May 2023

Ameloblastoma is a benign but locally invasive odontogenic tumor with unlimited growth potential. The most common
site of occurrence is mandible. Histological presentation comprises of tall columnar ameloblast like cells with central
stellate reticulum showing either cystic degeneration or squamous metaplasia or cells containing granules etc. radiologically they appear as
unilocular or multilocular radiolucency sometimes associated with an unerupted tooth. Here we present six cases of ameloblastoma of different
histopathological variant with a short review of literature
A Novel Method for Land Vehicle Positioning: Invariant Kalman Filters and Deep-Learning-Based Radar Velocity Estimation
Authors: Marques de Araujo Paulo Ricardo , Elhabiby Mohamed , Givigi Sidney , Noureldin Aboelmagd
Published: May 2023

Autonomous and intelligent vehicles are multi-sensor systems operating in various environments and conditions. Due to their characteristics, inertial measurement units (IMUs) are typically the core component of such systems. However, these sensors rapidly accumulate errors due to biases and noise, degrading the positioning solution. Therefore, this paper presents a positioning solution that only uses three gyroscopes and one radar. The proposed method was tested using low-cost sensors in different scenarios, such as open-sky, urban and indoor areas. The key components of the method are the invariant Kalman filters and the use of deep neural networks to estimate the forward velocity of the car using the radar readings. The method was tested on a custom dataset, and our integrated solution accurately estimates the vehicle's 3D position, velocity, and orientation. We achieved, on average, a 1.45% translational error in the tested scenarios, making the proposed method a robust alternative to current IMU-based positioning methods.
Defending Emotional Privacy with Adversarial Machine Learning for Social Good
Authors: Al-Maliki Shawqi , Abdallah Mohamed , Qadir Junaid , Al-Fuqaha Ala
Published: May 2023

Protecting the privacy of personal information, including emotions, is essential, and organizations must comply with relevant regulations to ensure privacy. Unfortunately, some organizations do not respect these regulations, or they lack transparency, leaving human privacy at risk. These privacy violations often occur when unauthorized organizations misuse machine learning (ML) technology, such as facial expression recognition (FER) systems. Therefore, researchers and practitioners must take action and use ML technology for social good to protect human privacy. One emerging research area that can help address privacy violations is the use of adversarial ML for social good. Evasion attacks, which are used to fool ML systems, can be repurposed to prevent misused ML technology, such as ML-based FER, from recognizing true emotions. By leveraging adversarial ML for social good, we can prevent organizations from violating human privacy by misusing ML technology, particularly FER systems, and protect individuals’ personal and emotional privacy. In this work, we propose an approach called Chaining of Adversarial ML Attacks (CAA) to create a robust attack that fools misused technology and prevents it from detecting true emotions. To validate our proposed approach, we conduct extensive experiments using various evaluation metrics and baselines. Our results show that CAA significantly contributes to emotional privacy preservation, with the fool rate of emotions increasing proportionally to the chaining length. In our experiments, the fool rate increases by 48% in each subsequent chaining stage of the chaining targeted attacks (CTA) while keeping the perturbations imperceptible (ε = 0.0001).
Cooperative Decision-Making for CAVs at Unsignalized Intersections: A MARL Approach with Attention and Hierarchical Game Priors
Authors: Liu Jiaqi , Hang Peng , Na Xiaoxiang , Huang Chao , Sun Jian
Published: May 2023

The development of autonomous vehicles has shown great potential to enhance the efficiency and safety of transportation systems. However, the decision-making issue in complex human-machine mixed traffic scenarios, such as unsignalized intersections, remains a challenge for autonomous vehicles. While reinforcement learning (RL) has been used to solve complex decision-making problems, existing RL methods still have limitations in dealing with cooperative decision-making of multiple connected autonomous vehicles (CAVs), ensuring safety during exploration, and simulating realistic human driver behaviors. In this paper, a novel and efficient algorithm, Multi-Agent Game-prior Attention Deep Deterministic Policy Gradient (MA-GA-DDPG), is proposed to address these limitations. Our proposed algorithm formulates the decision-making problem of CAVs at unsignalized intersections as a decentralized multi-agent reinforcement learning problem and incorporates an attention mechanism to capture interaction dependencies between ego CAV and other agents. The attention weights between the ego vehicle and other agents are then used to screen interaction objects and obtain prior hierarchical game relations, based on which a safety inspector module is designed to improve the traffic safety. Moreover, we consider the heterogeneity of human drivers in traffic environments and conduct a series of comprehensive experiments. The proposed approach shows better performance in terms of driving safety, efficiency and comfort than conventional RL algorithms.
The Effect Of Microbially Induced Calcite Precipitation (MICP) On Shear Strength Of Coal Contaminated Soil
Authors: Marini Andi , Utomo Gunaedy , Ryka Hamriani
Published: May 2023

Microbially induced calcite precipitation (MICP) is a soil improvement technique using microorganisms that can change and improve mechanical properties. This technology has been explored and is promising with potential in a variety of applications. Bacillus subtilis bacteria as much as 6% were added to soil contaminated with 5%, 10%, and 15% coal.  The bacteria used were cultured for 3 days in growth medium. In this study, a direct shear test was used to determine the effect of calcite deposition on the behavior of the shear strength of coal contaminated soil. The results showed that there was an increase in the value of cohesion and internal friction angle as parameters of shear strength after the curing period. MICP stabilization in soil contaminated with 5% coal resulted in an increase in shear strength of three times, while in soil contaminated with 10% and 15% coal there was an increase in shear strength of seven times and fifteen times, compared to the untreated soil
Wittgenstein, constructor de modelos
Authors: Marrades Julián
Published: May 2023

Wittgenstein siempre practicó la filosofía como una actividad esclarecedora de las condiciones conceptuales del significado lingüístico. En la primera parte del artículo se trata de probar el papel relevante que Wittgenstein dio al uso de modelos como método de análisis del funcionamiento del lenguaje. Asimismo, en la parte final se intenta mostrar la dimensión ética y la significación estética que Wittgenstein atribuyó a su labor filosófica de aclaración.
Horticulture Activities and Mental Wellness in Young Adults During the COVID-19 Pandemic: A Descriptive Correlational Study
Authors: Braña III Avelino , Canuto Yuvenn , Casupanan Klairellen Arhl , Clement Eugene Chad , Dalisay Agripito Isidore , Amboy Mary Kristine
Published: May 2023

Objective: The COVID-19 pandemic has significantly affected mental health and coping strategies, particularly among young Filipino adults. Evidence suggests that social isolation and extreme routine changes brought by the pandemic are associated with mental wellness issues, including depression, stress, and loneliness. Horticulture activities have emerged as a potential coping mechanism, supported by Roy's Adaptation Model and Kaplan's Attention Restoration Theory.
Material and Methods: This descriptive correlational study was conducted among 361 randomly selected young adult respondents (18-25 years) of the "Iloilo Plant Exchange" Facebook group. Data were obtained through a validated and reliability-tested three-part questionnaire, assessing demographics, horticulture activities, and mental wellness. Descriptive analysis employed frequency, percentage, means, and standard deviations, while inferential analysis utilized t-test, One-Way ANOVA, and Pearson's r at a 0.05 alpha level.
Results: Young adults exhibited a high extent of horticulture activities overall, with variations from moderate to high based on individual profiles. The mental wellness level during the pandemic was average, except for postgraduates who reported high levels. Higher educational attainment and family income were significantly associated with increased horticulture engagement. College and postgraduate respondents had significantly higher mental wellness levels compared to high school graduates. During the pandemic, a highly significant positive relationship was found between horticulture activities and mental wellness.
Conclusion: The study's findings suggest that promoting horticulture activities may enhance mental wellness among young adults during the pandemic, providing valuable insights for mental health interventions and policy development.
The Financial Inclusion and Local Tax Revenue in Indonesia
Authors: Muzdalifah Mifta , Qibthiyyah Riatu Mariatul
Published: May 2023

This study calculates the financial inclusion index, which includes three dimensions: 1) banking penetration, 2) availability of financial services, and 3) usage of financial services in 33 provinces in Indonesia from 2011-2019. The study aims to find empirical evidence on whether financial inclusion affects local tax revenue using the Fixed Effects Panel Data Model. The results show that Indonesia's average regional financial inclusion index is still in a low category. The financial inclusion index has a positive and significant effect on local tax revenue. The results are robust for taxes from different sources, such as provincial tax revenue, regencies/cities tax revenue, or local tax revenue.
Household Economic Welfare During the Rise of Mobile Phone Expansion in Indonesia
Authors: Ramadhani Catra Evan
Published: May 2023

The proliferation of mobile phones in developing countries has significant implications for those countries. Although numerous studies have examined the various advantages of mobile phone use, the relationship between mobile phone access and the economic welfare of households has received comparatively little attention. This paper examines the effects of mobile phone on household expenditures in 2007 and 2014 utilising the Indonesian Family Life Survey (IFLS) combined with Potential Village Survey (PODES). Ordinary Least Square (OLS), Endogenous Treatment Regression (ETR), quantile regression, and two-way fixed effect estimations are used to identify the homogeneous and heterogeneous effects of mobile phone use. According to the estimated results, mobile phone access and signal quality significantly increases household expenditure. According to the results of quantile regression, mobile phone access has the greatest effect on the upper expenditure distributions. It is highlighting the importance of promoting a policy that increases mobile phone and the supporting infrastructure on the lower expenditure distributions.
Price Gap Comparison in Unit Price and Lump Sum Contracts: A Transaction Cost Economic Approach
Authors: Mikowati Linda , Gultom Yohanna Magdalena Lidya
Published: May 2023

This study compares two major types of contracts in public procurement, i.e. unit price and lump sum contracts, in terms of the gap between the winner's bid price and owner’s estimated price (OEP) in resulted price gap during the tender process, taking the case of government procurement in Indonesia. Using Indonesian e-tendering data of 2018-2021, this study employs an Ordinary Least Square regression to assess whether there is a difference in the price gap between the two types of contracts. This study finds that the average price gap in unit price contract is significantly higher than that of lump sum contracts. With the help of the transaction cost economics approach, this study discussed that the higher average price gap in unit price contracts is related to a lower information cost and lower risk of having a change order for the contract faced by the bidders. While in a lump sum contract, the winner's bid price is closer to OEP because bidders are faced with design risks that require higher information costs and contract adaptation during the execution phase. The study also found that the use of a unit price contract is significantly related to a longer tendering time due to a longer period in evaluating the bid.
Risk of Diarrhea in Infants on Breastfeeding Exclusive and Non-Exclusive Breastfeeding
Authors: Irwan Irwan , Katili Deliyana I. , Una Mar'atuljannah , Ladimo Mutiara Patricia , Hantulu Desiana Pratiwi
Published: May 2023

Diarrheal disease is a significant risk factor for morbidity and mortality worldwide in children under five years of age. The study aimed to analyze the risk factors for diarrhea in infants with and without exclusive breastfeeding. The research approach used a case-control analysis with observational analytic methods. The population was all mothers who gave birth to babies aged 6-12 months. By determining the sample using the Lemeshow formula, the example was 152 babies with details of 76 cases and 76 controls. The results of the chi-square test showed (p-value= 0,000), which means that there was an effect of exclusive breastfeeding and non-exclusive breastfeeding with the incidence of diarrhea in infants with a value of OR=12,065, which means that mothers who did not breastfeed their babies 12,065 times more at risk of suffering from diarrhea higher inversely compared to mothers who exclusively breastfeed their babies. In conclusion, infants who are not exclusively breastfed are at risk of suffering from diarrhea than infants who are exclusively breastfed.
Umsinga Wothando
Authors: Dekisile Phiwokuhle Phiwe
Published: May 2023

Le ncwadi ngumdlalo waseqongeni, olungiselelwe ukuba uluntu jikelele lufunde ukuba awunako ukuthintela uthando endleleni yalo. Lowo uthe wazama loo nto uya kurhaxwa kurhaxwe nabanye kwenzeke inyhikityha yokufa. Uthando lusekwa ngumdali hayi omnye umntu. Intliziyo ayiphakelwa bantu bakuthi awunako ukukhethela umntu ukuba makathande bani. NdinguPhiwokuhle Phiwe Dekisile ndicela nonwabele nanku umsebenzi wesandla sam sokhohlo, inkxaso yenu iyakwenza ukuba ndiqhubeke ndinibhalela iincwadi ezikumila kunje. Ndibulela ngokungazenzisiyo kuWikus Van Zyl weUniversity of Johannesburg kunye noSibongile Johnson ngokuqinisekisa ukuba eli linge lam lokuqala liyaphumelela.
Multi Model Approach to Study the Effect of Conceptualization and Discretization on Groundwater Model
Authors: Goyal Rohit , Rajput Hansa
Published: May 2023

The objective of the study is to develop multiple steady state conceptual and numerical groundwater flow models for Bhiwadi region of Alwar district of Rajasthan, India. Automated parameter estimation tool (PEST) is used for the calibration of the models. To evaluate and select the best suited conceptual flow model, several statistical criteria such as RMSE (Root Mean Square Error), R-squared (R^2), Nash-Sutcliffe efficiency (NSE), percent bias (PBIAS), multi model information criteria: Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC) are used. The result of the study indicates that value R2, NSE and Pbias are almost similar for all the models, hence are insufficient to evaluate the models. Therefore, AIC and BIC statistical criteria are used for accurate evaluation. The result also indicates that grid size and orientation have immense impact on modeling output. For the study area coarse grid size has given better results as compared to finer grid size.