bluuebunny/crossref_metadata_2025 huggingface dataset:
THE DIAMOND OF DEATH HYPOCALCEMIAAND LETHAL TRAID IN TRAUMA PATIENTS – AN OBSERVATIONALANALYSIS
Authors: Praneeth B. L. S. , Reddy Ashok , Chandra P. Subash , Gayathri Gayathri
Published: April 2024

Background: Calcium is a divalent cation found in various physiological forms,specically the bound,inactive state and the unbound , active
state.The negative hemodynamic effects of hypocalcemia are crucial in trauma patients. The negative ramications of hypocalcemia are linked to
components of the lethal triad of acidosis, coagulopathy, and hypothermia in trauma patients. Hypocalcemia has direct and indirect effects on each
portion of the lethal triad, supporting calcium's potential position as a fourth component in this proposed diamond of death.
Aims And Objective
-The purpose of the study is to investigate admission serum calcium levels in trauma patients presented with hypotension.
-To study the relationship between admission serum calcium and lethal traid.
Methodology:
- The present study was conducted in a teritiary care hospital from january 2023 to januay 2024.
-Admission serum calcium levels of 100 trauma patients who have presented to emergency department with hypotension are sent and observed.
Result:
-Among 100 trauma patients who presented with hypotension, 80 were observed to have hypocalcemia 18 patients have normal calcium levels and
2 patient have hypercalcemia at the time of admission.
-Among 80 pts with hypocalcemia 59 landed in lethal traid.
-Among 18 patients with normal calcium 5 landed in lethal traid. 2 patients with hyper calcemia no one landed in lethal traid.
Conclusion: According to this study approximately 73% of trauma patients who have hypocalcemia at admission landed into lethal traid .Hence
hypocalcemia is an important feature to be noted in trauma patients.Hypocalcemia is a common nding in shocked trauma patients. Association
between admission ionized hypocalcemia and mortality, blood transfusion requirements, and coagulopathy has been identied. Trauma patients
present hypocalcemic in the setting of severe hemorrhage secondary to trauma, which can be worsened by necessary transfusion and resuscitation.
The critical consequences of hypocalcemia in the trauma patient have been repeatedly demonstrated with the associated morbidity and mortality. It
remains poorly dened when to administer calcium, but earlier administration may be advantageous. Hypocalcemia may serve as a biomarker to
show these needs. Therefore, hypocalcemia could potentially be used as a predictor for lethal traid which has high rates of mortality. Hence it can be
colloboratively called as DIAMOND OF DEATH.
FISH BONE IN PERITONEAL CAVITY !!!!!! A RARE CASE REPORT
Authors: Chandra P. Subash , Reddy Ashok , Praneeth B. L. S. , Kumar K. Vinod
Published: April 2024

The ingestion of foreign bodies results in gastrointestinal perforation in about 1% of patients. Fish bones are the most commonly seen leading to
bowel perforation. The accidental ingestion of sh bones may sometimes lead to penetration injuries in bowel with complicating abscess
formation. Fish bones are usually not visible on plain lms. A computed tomography scan of the abdomen is used to determine the cause of
unexplained and persistent abdominal pain. If encapsulated abscess formation cannot be resolved by CT-guided drainage, surgical intervention
should proceed to prevent profound sepsis. We present the case of a 73 year old man who had right lower abdominal pain. CT showed a focal low
density collection of volume 50cc with internal air foci, internal 19mm hyperdense linear foreign body surrounding fat stranding and omental
wrapping in the right iliac fossa. An intra-abdominal abscess was diagnosed and after surgical intervention, a foreignbody, which proved to be a sh
bone, was removed. The man could not remember swallowing this bone.
EARLY DIAGNOSIS AND SURGICAL MANAGEMENT OF BOERHAAVE'S SYNDROME
Authors: Dal Avinash , Chandra Dronamraju Venkata Anil
Published: April 2024

Background: Sudden oesophageal rupture brought on by severe straining is known as Boerhaave's syndrome. When vomiting occurs forcefully or
repeatedly, that's when it usually happens. Toxic contents can seep out and lead to infection when the oesophagus tears. It's an emergency. In just a
few days, it could be deadly if left untreated. Since the patient arrived so early (less than 12 ho Methods: urs), primary surgical repair was
performed on him. The recommended surgical technique was a left thoracotomy, and open surgery was chosen. The Results: Conclusion:
principal goals of surgery are to restore the oesophagus and empty the thoracic collection. Planning is required for the postoperative nutrition
regimen. Early diagnosis and surgical intervention are key components of the optimal care of Boerhaave's syndrome.
THE HISTOPATHOLOGICAL SPECTRUM OF CARCINOMA OESOPHAGUS : A 1 YEAR RETROSPECTIVE STUDY
Authors: Agarwal Disha , Sharma Adity
Published: April 2024

Introduction: Oesophageal cancer is a deadly malignancy with a very high mortality. It is a growing health concern and its incidence is expected to
increase in the coming years. The two distinct histopathological subtypes of oesophageal cancer are squamous cell carcinoma and
adenocarcinoma. Aim: To study the clinical characteristics, age, sex, histopathological subtypes, and tumour site of oesophageal cancer in this
area. Materials And Methods: This retrospective study was done for a period of 1 year in the Department of Pathology AMCH Assam.
Information was obtained from the Department of Pathology's request forms about clinical characteristics, age, sex, tumour site, and histological
diagnosis. Slides and blocks were extracted from the Department of Pathology's archives. Every slide was reassessed. Results: A total of 32 cases
of oesophageal carcinoma were identied in this study. The youngest patient was 40 years old and the oldest patient was 76 years old. All the 32
samples were from endoscopic biopsy. Squamous cell carcinoma was diagnosed in 30 patients while adenocarcinoma was reported in 2 cases.
Features like tumour site, histopathological type and histopathological grade were noted. Most common involved site was middle oesophagus
followed by lower oesophagus. Both the cases of adenocarcinoma were identied in the lower part of oesophagus. Among squamous cell
carcinoma well differentiated tumours accounts for 20% of cases, moderately differentiated tumours accounts 73.3% for of cases and poorly
differentiated tumours accounts for 6.7% of cases. Both the cases of adenocarcinoma were graded as well differentiated. Conclusion: The majority
of oesophageal carcinomas are of the squamous cell carcinoma type, found predominantly in the middle and lower oesophagus and there is a
growing tendency in the incidence of adenocarcinoma in the lower oesophagus due to high frequency of gastroesophageal reux disease.
LABORATORY STUDY OF HYDROLYSIS OF TEMEPHOS TECHNICAL IN DIFFERENT STERILE BUFFER SOLUTIONS BY VALIDATED HPLC-DAD METHOD
Authors: Simhachalam Joga , Hima Bindu Gandham
Published: April 2024

A laboratory study was conducted to investigate the hydrolysis of temephos technical, an organophosphate insecticide, in different buffer solutions
using validated high-performance liquid chromatography with diode array detection (HPLC-DAD) method. The buffer solutions were prepared at
pH values of 4, 7 and 9. The hydrolysis reactions were carried out at 25°C and 35°C for 30 days. The HPLC-DAD method was validated for
linearity, accuracy, precision, limit of detection, limit of quantication and robustness, and showed satisfactory results for all the parameters. The
hydrolysis of temephos followed rst-order kinetics in all the buffer solutions, and the rate constants and half-lives were calculated. The results of
this study at 50 ± 0.5°C showed that Temephos Technical was not hydrolytically stable at pH 4, pH 7 and pH 9 buffer solutions. The table below
shows the percent degradation at each pH after 5 days of incubation hydrolysis rate increased with increasing pH, indicating that temephos was
more stable in acidic conditions than in alkaline conditions. The results of this study provide useful information for the environmental fate and risk
assessment of temephos in aquatic ecosystems.
DUODENAL TUBERCULOSIS PRESENTING AS SUPERIOR MESENTERIC ARTERY SYNDROME- CASE REPORT AND REVIEW OF LITERATURE
Authors: Ahmad Shabi , Katyayan Ila , college, Prayagraj. Junior resident, Department of Surgery, M.L.N. Medical , Kumar Singh Pradeep , Tripathi Ankur Dutt
Published: April 2024

BACKGROUND-Abdominal tuberculosis is an increasingly common disease with variable presentations. In GIT, the most common site for
tuberculosis is ileocecal region with gastro-duodenal involvement seen in only 1 to 2% of all cases. Narrowing of the third part of duodenum, which
is the most common site of duodenal tuberculosis, may give the impression of Superior Mesenteric Artery Syndrome. We report here two unusual
cases of duodenal tuberculosis that presented as Superior Mesenteric Artery Syndrome.
CASE SUMMARY-Two females of 22 and 25 years of age presenting with the chief complaints of pain all over abdomen and multiple episodes of
vomiting for about 4 months along with a history of bloating, early satiety and weight loss. Multiple enlarged hypodense necrotic periportal,
portocaval and mesenteric lymph nodes were noted in one case while a duodenal stricture was noted in the other. Both the patients were
successfully managed by laparoscopic duodenojejunostomy followed by anti-tubercular treatment for a period of one year with a complete
recovery and no post-operative complications.
“FUNCTIONAL IMPROVEMENTS OF SPEECH AND FEEDING POST TONGUE-TIE RELEASE: A RETROSPECTIVE STUDY”
Authors: M Amonika , U.P Santosh , Harsha B.M.
Published: April 2024

Introduction Tongue tie or Ankyloglossia is a condition whereby the lingual frenulum attaches near the tip of the tongue and may be thick, short or
tight which results in restricted tongue movement. Tongue tie is present in 4% to 11% of newborns. Tongue tie can cause poor breastfeeding, poor
speech intelligibility. Tongue tie release is commonly performed procedure. It may correct the restriction of tongue movement, allows more
effective breastfeeding and also improvement in speech. Aim: To determine the functional outcome of speech and feeding after Tongue tie release.
Materials and Methods: This is a retrospective study, conducted in Chigateri District Hospital, Bapuji Hospital and Bapuji Child Health Institute
and Research Centre, are the teaching hospitals attached to J.J.M. Medical College in Davangere, Karnataka, from January 2015 to October 2023.
Sample size of 71 cases, age group between 13 months to 13 years of either gender. Detailed history examination was carried out. The Coryllos
tongue tie classications was used to assess the degree of restriction. Tongue tie release was done under short general anaesthesia using bipolar
cautery by single surgeon to maintain uniformity. Pre and postoperative evaluation from a speech therapist was carried out. Postoperative
myofunctional exercise were recommended. The patients completed a phone survey for speech and feeding improvements through a questionnaire
which was adapted from [3] at 3 months post tongue tie release. Preoperative and postoperative body weight was checked for patients who
underwent tongue tie release for feeding difculty. A total of 71 patients were part of the study, Results: out of which 51(71.83%) were male and 20
(28.17%) were female patients. The mean age of the patients was 4.45±2.65 standard deviation, out of which 50(70.42%) were between the age
group of 13 months to 5 years and 21(29.58%) between 6 years to 13 years. Parents of the children who underwent tongue tie release underwent a
phone survey for speech and feeding improvement through a questionnaire. With signicant improvement in children's speech and feeding
problems post tongue tie release, also improvement in post operative weight gain (p-value <0.001) which is highly statistically signicant.
Conclusion: Patients who underwent tongue tie release along with myofunctional exercises showed signicant functional improvement in speech
and feeding abilities.
Authors: Shavira Lely
Published: April 2024

Penelitian ini bertujuan untuk mengetahui, menguji, dan menganalisis faktor-faktor yang mempengaruhi minat mahasiswa dalam memilih karir di Lembaga keuangan syariah. Pendekatan yang digunakan dalam penelitian ini yaitu metode kuantitatif dengan penyebaran kuesioner melalui google form kepada 125 mahasiswa Program Studi Ekonomi Syariah di Universitas Gunadarma. Data yang diperoleh kemudian dianalisis dengan menggunakan SPSS Versi 22. Hasil penelitian ini menunjukkan bahwa secara parsial (uji t), variabel religiusitas dan variabel peran lingkungan tidak berpengaruh terhadap minat mahasiswa berkarir di Lembaga keuangan syariah, sedangkan variabel pertimbangan pasar kerja berpengaruh terhadap minat mahasiswa berkarir di Lembaga keuangan syariah. Secara simultan (uji F), religiusitas, peran lingkungan, dan pertimbangan pasar kerja secara bersama-sama berpengaruh signifikan terhadap minat mahasiswa berkarir di Lembaga keuangan syariah. Adapun nilai Adjusted R Square dalam penelitian ini sebesar 0,575 yang berarti besarnya pengaruh variabel independen terhadap variabel dependen adalah sebesar 57,5%, sedangkan sisanya 42,5% dipengaruhi oleh variabel lain yang tidak dimasukkan dalam penelitian ini.
ANALISIS KINERJA KEUANGAN MENGGUNAKAN METODE ECONOMIC VALUE ADDED PADA BANK SUMUT SYARIAH KANTOR CABANG PEMBANTU H.M. YAMIN MEDAN
Authors: Ningrum Azizah Sekar , Imsar Imsar , Syafina Laylan
Published: April 2024

Penelitian ini merupakan penelitian kuantitatif yang menganalisis Kinerja keuangan dalam menggunakan metode Economic Value Added pada Bank Sumut Syariah Cabang Pembantu H.M Yamin Medan pada periode 2018-2022. Untuk menganalisis kinerja keuangan Bank Sumut Syariah Cabang Pembantu H.M Yamin Medan dari tahun ketahun sebelum dan setelah masa goncangan perekonoian oleh covid 19. Jenis penelitian ini merupakan penelitian kuantitatif deskriptif. Popullasi dari pelnellitian ini adalah Unit Usaha Syariah yang ada di Indonesia, sampel yang dipakai untuk penelitian ini ialah laporan keuangan Bank Sumut Syariah Cabang Pembantu H.M Yamin Medan pada tahun 2018-2022. Analisis penelitian ini dilakukan karena ingin menjabarkan kinerja keuangan dan ingin melihat seberapa besar nilai tambah yang dapat dihasilkan, maka peneliti menggunakan pendekatan Economic Value Added (EVA) dalam menentukan nilai tambah. Hasil penelitian menunjukkan pergerakan nilai EVA yang fluktualktif pada kinerja keuangan Bank Sumut Syariah Cabang Pembantu H.M Yamin Medan pada periode 2018-2022. Pada tahun penurunan kinerja keuangan hanya terjadi pada tahun 2020 dimana wabah covid 19 tengah melanda Indonesia.
Alfred Baeumler: Selected Articles from the Book ‘Education and Community’
Authors: Gómez-Jeria Juan Sebastián
Published: April 2024

Alfred Baeumler made some interesting contributions to education from the point of view of the community. He states for example, that intellectualism is the main prejudice of environmental thinking with regard to the educational process. Also, only where man is recognized in his reality and educated according to this reality can the science of education arise in a permanent form. He also discusses the concept of community in Rousseau, Fichte and Pestalozzi. Finally, Schiller’s Wallenstein and Goethe’s Iphigenia in Tauris are commented.
Current Advances with Potential Role of Nanotechnology in Generation of Fuel Cells and Solar Cell Batteries
Authors: Naseem Majid , Anjum Sadia , Saima Saima , Baqar Ghulam , Jabeen Mahpara , Nawaz Iqra , Imran Muhammad , Aslam Usama , Ibrhim Muhammad
Published: April 2024

Batteries are becoming an essential component of many different applications, such as memory backup, clocks, calculators, lighting, portable electronic devices, and photographic equipment, advancements in the electronics sector. Pure metal nanoparticles can be created either destructively or constructively using metal precursors. Because of the plasma resonance feature, it has special opto-electrical properties. Size, shape, and fact govern the metal nanoparticles replicate. Silver, gold, iron, cobalt, zinc, copper, and cadmium nanoparticles are the most prevalent metal nanoparticles. The electrical characteristics of the flower-shaped nanostructure when connected to the Pt nanoparticles are noticeably better than the typical electro-catalytic characteristics of the spherical nanoparticles. Transitional metal oxides are considered vital materials in industry because of their vast variety of magnetic, thermal, chemical, and electrical characteristics, as demonstrated by the evaluation of functional inorganic solids. The corrosive resistance of the metal at high voltages should be taken into account. Al and Ti are therefore excellent options because of the inert layer that forms on their surfaces at high potential. Building a porous metal current collector is therefore crucial to stabilizing alkali metal anodes with improved cycle and safety performance.
Iron Oxides' Influence on the Thermal Decomposition of Pure Ammonium Perchlorate: A Comprehensive Review
Authors: Siddhartha O. Sai , Satyanarayana S. V.
Published: April 2024

The combustion of ammonium perchlorate (AP) has long been a focal point in the development of solid rocket propellants, with particular attention paid to the catalytic effects of iron oxides. Beginning in the 1950s, researchers have diligently studied the kinetics and mechanisms underlying AP combustion, with a focus on both micron-sized and nano-sized iron oxide catalysts due to their widespread application in rocket formulations worldwide. This research effort specifically excludes investigations involving alternative iron oxide-based catalysts, such as doped or mixed oxides, or supported iron oxides, as they are not commonly utilized in major rocket propellant formulations. Despite variations in specific parameters like activation energy and heat of dissociation, the fundamental understanding of AP decomposition with iron oxides remains consistent with earlier findings. Notably, micron-sized catalysts have minimal impact on the low-temperature decomposition (LTD) of AP but can influence high-temperature decomposition (HTD) by altering decomposition temperatures and reducing activation energy. In contrast, nano-sized catalysts tend to accelerate the reaction to such an extent that the LTD phase is often bypassed altogether due to the rapid consumption of NH3, a crucial component in the process. However, the transition to nano-sized particles presents a new challenge: the propensity for particle agglomeration. Current research endeavours are therefore dedicated to devising effective strategies to mitigate this issue and harness the full potential of nano-sized iron oxide catalysts in rocket propellant formulations.
Termination of Unwanted Pregnancy by Medication (Mifepristone and Misoprostol)
Authors: Akter Sayeeda , Rahman Jahanara , Ara Arzu Manth
Published: April 2024

Introduction: Menstrual regulation, or the evacuation of the uterus of a woman at risk of being pregnant is done to ensure a state of no pregnancy, was introduced in Bangladesh in the 1970s in the context of a restrictive abortion law, in part to reduce maternal morbidity and mortality associated with unsafe abortion. Objectives: The study is designed to see the efficacy, safety and acceptability of uterine evacuation by medication using oral mifepristone and buccal misoprostol. Methods: All the patients attending the outpatient department. Of obstetrics & gynaecology in DNMCH during the study period seeking for MRM unwanted pregnancy. Of them 100 cases were selected purposively according to inclusion and exclusion criteria. Success was defined as medical abortion. Results: The oral misoprostol-mifepristone regimen, used by 100 women with a gestational age below 63 days, had a success rate of 92.0%. Ninety two percent patients were completely evacuated and Eight percent patients were incompletely evacuated. Conclusion: An evidence based regimen of 200 mg of mefipristone orally followed by home use of 800 mcg of buccal misoprostol 24hr later is safe and effective up to 9 weeks (63 days) of pregnancy. Further the need of aspiration for any reason was low and hospitalization was rare.
Association between Hypothyroidism and PCOS in Primary Sub-Fertile Women
Authors: Sarker Asma , Khan Khayrul Bashar , Tanni Afia Zainab , Sultana Nilufar , Rahman Florida , Khan Khayrul Kabir
Published: April 2024

Introduction: Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting women's reproductive health and fertility. This study aimed to investigate the demographic, clinical, and biochemical characteristics of primary sub-fertile women with and without PCOS. Methods: This cross-sectional comparative study was conducted at the Fertility Care Centre, Department of Obstetrics & Gynaecology, Dhaka Medical College Hospital, Dhaka, from June 2017 to November 2017. The study included 146 primary sub-fertile women, divided into two groups: Group A (n=73) with PCOS and Group B (n=73) without PCOS. Data on age distribution, educational background, occupation, BMI, hirsutism prevalence, and biochemical findings (TSH, FT3, FT4 levels) were collected and analyzed. Result: The study found significant differences in BMI and hirsutism prevalence between the two groups. Group A (with PCOS) had a higher mean BMI (26.8±7.2) and a greater prevalence of hirsutism (26%) compared to Group B (without PCOS), which had a mean BMI of 24.4±4.3 and a hirsutism prevalence of 11%. Additionally, Group A exhibited significantly higher mean TSH levels (5.0±2.4 µU/ml) than Group B (2.9±1.3 µU/ml). However, no significant differences were observed in FT3 and FT4 levels between the groups. Conclusion: The study highlights the association of PCOS with higher BMI, increased prevalence of hirsutism, and altered thyroid function, particularly elevated TSH levels, in primary sub-fertile women. These findings underscore the importance of considering both metabolic and endocrine factors in the management of sub-fertility in women with PCOS. The study contributes to a better understanding of the complex interplay between PCOS, thyroid function, and sub-fertility, suggesting the need for comprehensive evaluation and targeted treatment strategies in this population.
Early Versus Late Discharge in Postpartum Care: Outcomes after Normal Delivery
Authors: Tuhin Tahmina Begum , Ara Gulshan , Afrin Sadia , Begum Monowara , Ara Ismat
Published: April 2024

Introduction: The optimal timing for postpartum discharge remains a subject of debate, with varying recommendations and practices globally. This study aims to compare the outcomes of early versus late discharge in postpartum care following normal delivery. Methods: This randomized controlled trial was conducted at the Department of Gynaecology and Obstetrics, Institute of Child and Maternal Health, Matuail, Dhaka, Bangladesh, from March 2011 to August 2011. 200 patients who underwent normal vaginal delivery were randomized into early (<24 hours) and late (>24 hours) discharge groups. Baseline characteristics, regularity of antenatal care visits, clinical examination findings at discharge and 7-day follow-up, and postpartum complaints were recorded and analyzed. Result: In our study of 200 participants, the early discharge group (n=100) and late discharge group (n=100) showed comparable baseline characteristics. Age, residence, socioeconomic status, educational status, and gestational age were similar across groups. Antenatal care regularity showed no significant difference with a p-value of 0.75. Clinical examination findings at discharge and the 7-day follow-up revealed no statistically significant differences in maternal and newborn health indicators: anemia (early: 26, late: 28), edema (early: 15, late: 12), minor breast problems (early: 8, late: 6), jaundice (early: 15, late: 12), dehydration (early: 12, late: 9), excessive crying (early: 26, late: 21), and complications of the umbilical stump (early: 7, late: 11). Postpartum complaints such as excessive vaginal bleeding (early: 5, late: 4), fever (early: 8, late: 6), foul-smelling lochia (early: 6, late: 8), feelings of depression (early: 16, late: 14), breast engorgement (early: 26, late: 22), and feeding difficulty (early: 32, late: 28) also showed no significant differences. A substantial number of mothers in both groups preferred the same or a shorter duration of hospital stay for their next delivery (shorter duration preference: early: 46, late: 39). Conclusion: The study concludes that both early and late discharge protocols can be viable options in postpartum care after normal delivery, without significant differences in maternal and newborn health outcomes. The findings support the implementation of flexible discharge policies, tailored to individual needs and preferences, in postpartum care.
A Study on Effectiveness of Customer Relationship Management in State Bank of India a Public Sector Bank at Vikasnagar Dehradun Branch
Authors: Aggarwal Kartikay , Meghani Kishore
Published: April 2024

Customer Relationship Management (CRM) is a new technique in marketing where the marketer tries to develop long term relationship with the customers to develop them as life time customers. This research checks the impact of customer relationship management activities on bank’s customer retention in The State Bank of India, Vikasnagar. For the purpose of study, a sampling analysis was conducted among (550) customers selected with the help of a structured questionnaire. (460) questionnaires were usable. Statistical answers give support on the high positive relationship between customer relationship management (CRM) and customer satisfaction. Thus, this paper aims to identify the reasons for the customers to prefer The State Bank of India at Vikasnagar. Further, this paper focuses the service provided by the staff in the bank. This paper is an attempt to find out CRM role in The State Bank of India at Vikasnagar and few recommendations were suggested from this study were to create an awareness of loan facility, internet banking and locker service.
The Effect of Regional Local Revenue and General Allocation Funds on the Human Development Index in Districts/Cities in East Java 2019-2021
Authors: Asyifyan Mirza Avicenna , Miqdad Muhammad , Putra Hendrawan Santosa
Published: April 2024

This research aims to examine the influence of local revenue and general allocation funds on the human development index. This research uses a quantitative approach with a simple regression analysis method. This research uses samples in the form of districts/cities in East Java Province. The type of data used in this research is secondary data. The secondary data used comes from the Directorate General of Financial Balance and the Central Statistics Agency. The period of this research is 2019 to 2021. The results of this research show that there is an influence between local original income and general allocation funds on the human development index.
Prevalence of Tobacco Users (Smoking and Smokeless) among Rural Areas in Bangladesh
Authors: Md. Abdullah-Al-Maruf Md. Abdullah-Al-Maruf , Hossain Md. Ruhid , Anisuzzaman A.H.M. , Hossan, Alamgir , Kader Abu Naser Md Abdul , Das Jiban Chandra , Mohammed Noor
Published: April 2024

Background: Tobacco consumption, encompassing both smoking and smokeless forms, remains a significant public health challenge globally, particularly prevalent in rural areas of Bangladesh. Despite efforts to curb its usage, tobacco continues to impose a substantial burden on public health, socioeconomic development, and community well-being, especially in rural regions. Objective: This study aims to assess the prevalence of tobacco use among rural areas of Bangladesh, exploring factors driving its uptake and persistence. Method: Between January and June 2023, a cross-sectional epidemiological investigation took place across multiple regions in Bangladesh, spanning Sylhet, Shunamgonj, Moulvibazar, Hobigonj, Chattogram, Pabna, Brahman Baria, Kishorgonj, and Chandpur districts. The study targeted a randomized selection of 250 adults aged 18 years and above, who had resided in their respective areas for at least five years. These individuals were recruited during consultations for various health concerns. Subsequently, they were surveyed regarding their history of tobacco consumption, and with their consent, data was systematically collected using structured questionnaires, physical assessments, and anthropometric measurements. The gathered data underwent statistical analysis through SPSS v. 20.0. Results: The study revealed a diverse demographic profile, with a majority falling within the 18-39 age bracket (40%) and a slight predominance of males (55%). Educational attainment varied, with 50% having primary dropout status. Regarding tobacco use, 30% reported smoking bidi, cigarettes, or self-rolled tobacco, 50% were non-smokers, and 20% used both smoking and non-smoking forms. The onset of tobacco use varied, with 30% starting after the age of 30. Association of impact of chronic long term tobacco use on health was also significant with 76% long term users having health related issues. Additionally, 30% of tobacco users engaged in other forms of recreation, while 25% attempted to quit smoking. Limited psychiatric awareness was evident, with only 10% understanding psychiatric disorders. Conclusion: The study highlights the significant prevalence of tobacco use in rural Bangladesh and underscores the urgent need for comprehensive strategies to address this public health issue. Targeted interventions and evidence-based policies are essential to mitigate the adverse effects of tobacco use, safeguard public health, and promote healthier communities in rural areas.
Decompensation of Chronic Liver Disease during Pregnancy, a Case Report
Authors: Bacha H. El , Konso M. , Hamraoui I. El , Smiti Y. , Benzzoubeir N. , Errabih I.
Published: April 2024

Chronic hepatopathies are cosmopolitan disorders, the most common of which are chronic hepatitis and cirrhosis. Cirrhosis is a pathology of diverse etiologies characterized by diffuse disorganization of the normal hepatic structure due to hepatocyte destruction, with the appearance of regenerative nodules surrounded by fibrosis compressing the hepatic vascularization and causing portal hypertension. We report the case of a patient hospitalized in intensive care for decompensation of chronic hepathopathy during her 4th pregnancy, and we will describe the various consequences of pregnancy on this type of hepathopathy and vice versa via a detailed review of the literature.
"Exploring the Vital Role of Human Milk Banks: A Comprehensive Review"
Authors: S Neetha Dalvi
Published: April 2024

Asia's first human milk bank was established at SION hospital in Mumbai on November 27, 1989 by Dr. Armida Fernandez, the pioneer of milk banking in India. Approximately 3000 to 5000 newborns receive assistance from this milk bank annually. It takes between 800 and 1200 litres of human milk a year to nourish sick and vulnerable newborns in the Neonatal Intensive Care Unit. The Human Milk Bank (Comprehensive Lactation Management Centre) provides assistance to new moms so they can pump milk, breastfeed their newborns, and supply extra milk to hospitalised unwell infants. There are now ten operational milk banks in India. A programme known as a "human milk bank" gathers, preserves, and distributes human breast milk following screening. Breast milk is given to sick and preterm newborns who are at risk, as well as in certain cases when mothers are unable to give their kids enough milk. Breastfeeding moms who are unrelated to the babies receiving the milk donated it. There is a screening process that mothers must go through in order to donate their excess breast milk. This includes a health examination and a questionnaire. Every breast milk donation is examined, heated to a high temperature, and then frozen to be given to infants in need.
Water Birth's Advantages, Safety, and Considerations: An Extensive Overview
Authors: S Manasa H. , Mahadevaswamy R. K. , N Renukadevi D.
Published: April 2024

A water birth is a type of delivery when the mother labours and delivers the baby in a warm pool or bathtub. This review article seeks to present a thorough overview of water birth, covering its potential advantages, potential risks, and the body of existing research. We examine the physiological mechanics underlying water birth, the benefits it provides to both the mother and the newborn, as well as the potential drawbacks and ethical dilemmas surrounding this method. To assist medical professionals and expectant parents in making knowledgeable decisions about water birth, a critical analysis of the pertinent literature is offered.
Surgical Removal of Recurred Pyogenic Granuloma Using Diode Laser in a Pediatric Patient: A Case Report
Authors: Ahmad Nehal , Jindal Mahendra Kumar , Khan Saima Yunus , Azam Imam , Atif Mohammed
Published: April 2024

A pyogenic granuloma is an exophytic inflammatory lesion that can develop in the oral cavity. It is a benign proliferation of capillary blood vessels which causes it to bleed easily. It can often cause difficulty in mastication and trouble in performing oral hygiene procedures. The primary course of treatment is surgical excision combined with meticulous curettage of the surrounding tissues and the elimination of the causing factor. The present case is of a nine-year-old boy who complained of a recurred swelling in the lower front teeth region. After making clinical diagnosis of pyogenic granuloma, diode laser was employed for its excision. There was favorable healing within a week and no-recurrence was seen in one year follow-up. Diode lasers can be utilized for minimally invasive operations that cause less discomfort to patients, improved hemostasis, and no need for suture. This paper describes the successful use of diode laser for excising a recurred pyogenic granuloma with a detailed description of clinical, radiographic, and histopathologic features.
ÓBITOS MATERNOS POR DISTÚRBIOS HIPERTENSIVOS NO ESTADO DE SÃO PAULO
Authors: Silva Junior Eduardo Rezende , Dourado Ana Ghabriela Moeckel Campioni , Rodrigues Cintia Leci
Published: April 2024

INTRODUÇÃO: Estima-se que os distúrbios hipertensivos na gestação (DHG) são responsáveis por uma margem de até 10% das complicações em gestantes no mundo. A prevalência de DHG vem aumentando e está relacionada com fatores como gestação tardia, excesso de peso durante a gestação, obesidade pré-gestacional, além de doenças cardiometabólicas. A prevenção, o diagnóstico oportuno e o manejo adequado dos DHG estão relacionados com um menor risco de complicações e, portanto, menor morbimortalidade materna e fetal. A mortalidade materna é um bom indicador qualitativo de atenção à saúde da população feminina e do acesso à atenção obstétrica, uma vez que os agravos podem ser evitados na maioria dos casos através de serviços de saúde de qualidade. OBJETIVOS: Levantar os óbitos maternos por distúrbios hipertensivos na cidade de São Paulo e comparar as características epidemiológicas dos óbitos maternos, incluindo os tipos de causas obstétricas, a distribuição por faixa etária, associações com o grau de escolaridade das gestantes, variações entre grupos raciais/étnicos e possíveis mudanças temporais ao longo da última década. MÉTODOS: Foi realizado um estudo transversal do tipo descritivo fundamentado no levantamento de dados de óbitos maternos, disponíveis no Sistema de Informação de Mortalidade (SIM) do TABNET/DATASUS. Foram selecionados os óbitos maternos com abrangência geográfica somente no estado de São Paulo, durante o período de 2010 até 2020. RESULTADOS: A eclâmpsia foi o distúrbio hipertensivo com maior mortalidade materna. O pico de óbitos totais ocorreu em 2017. Mulheres brancas, com 8 a 11 anos de escolaridade, na faixa etária de 30 a 39 anos foram as que mais morreram no período estudado, e o tipo de causa obstétrica mais frequente foram as causas diretas. CONCLUSÕES: São necessários mais serviços de saúde voltados para a população mais atingida,  a partir de ações de prevenção quantitativas e qualitativas no pré-natal, além de um aumento na conscientização sobre os distúrbios hipertensivos que mais causam óbitos na gestação.
O Upgrade do Cérebro: Neuroplasticidade e Neurotecnologia
Authors: Cirillo Milena Solti , Rozeira Carlos Henrique Barbosa , Silva Marcos Fernandes da , Domingues Monique Goulart , Cruz Guilherme Jorge Mezentier da , Carvalho Renata Christina Silva de , Bolwerk Marculina Barros de Carvalho , Dâmaso Íris D’angelo , Silva Francisco Lúcio Alves da , Pimentel Monica Gomes Lirio , Souza Vanessa de Oliveira Ferreira Borges de , Costa Bárbara Cristina Antunes da , Shigemori Endiamara Magda Segala , Vicente Amanda Cabral Daniel , Rocha Natacha Dalis Gomes da
Published: April 2024

Desvendar os mistérios do cérebro é explorar as fronteiras do conhecimento, em que a plasticidade encontra a tecnologia para redefinir os limites da mente humana. Assim, o presente artigo investiga a interseção entre neuroplasticidade cerebral e neurotecnologia, explorando o potencial de aprimoramento oferecido por essa sinergia. A neuroplasticidade, a capacidade do cérebro de reorganizar sua estrutura e função em resposta a estímulos ambientais e experiências, é examinada em conjunto com avanços na neurotecnologia, incluindo neurofeedback, estimulação magnética transcraniana e interfaces cérebro-computador. O objetivo principal deste estudo é analisar criticamente a literatura científica para entender como a neuroplasticidade e a neurotecnologia podem ser combinadas para promover intervenções terapêuticas inovadoras no cérebro. Especificamente, busca-se identificar as oportunidades e os desafios associados a essa convergência e fornecer insights relevantes para pesquisadores e profissionais de saúde interessados nesse campo. Para alcançar os objetivos propostos, realizou-se uma revisão bibliográfica crítica e sintética, utilizando plataformas acadêmicas e motores de busca como Google Scholar, Scopus e Web of Science. Foram empregados termos específicos relacionados à neuroplasticidade, neurotecnologia e suas diversas técnicas, delimitando os parâmetros da busca para garantir a seleção criteriosa dos estudos. Além disso, pesquisas específicas foram realizadas para elucidar questões complexas, seguindo uma abordagem fundamentada em princípios científicos e epistemológicos. A combinação de neuroplasticidade e neurotecnologia oferece um vasto potencial para desenvolver terapias inovadoras e intervenções no cérebro, proporcionando benefícios significativos para a saúde e o bem-estar dos indivíduos. No entanto, é importante considerar os desafios éticos, técnicos e científicos associados a essa abordagem, destacando a necessidade contínua de pesquisa e desenvolvimento para aproveitar ao máximo essa promissora convergência entre ciência e tecnologia aplicada ao cérebro.
ALAGAMENTOS EM ÁREAS URBANAS: O CASO DA AV. AMAZILIO LINO DE SOUZA COM AV. PEDRO LUDOVICO EM ANÁPOLIS -GO
Authors: Silva Antônio Carlos Ferreira da , Oliveira Adriano Paiva de , Fernandes Carlos Eduardo , Silva Fabricio Nascimento
Published: April 2024

A intensidade de chuvas são uma grande preocupação para a população da cidade de Anápolis-GO, decorrente disso, situações onde ocorrem inundações e consequentemente alagamentos são bem comuns as margens e travessias de pequenas pontes dos rios presentes dentro do município. Diante a problematização de alagamentos, o município busca minimizar o mesmo, mas, diante um crescimento desordenado do município e a falta de fiscalização no surgimento das primeiras edificações e povoamento da cidade, não se existia com tanta rigorosidade regulamentos de Área de reservação aos arredores dos rios, onde com isso, trouxe uma ocupação de edificações irregular fazendo que os engenheiros do município tenham que buscar situações para minimizar os alagamentos. O estudo de caso feito será direcionado a estas questões, buscando uma melhoria no sistema de drenagem e políticas de serviço de limpeza na região da passagem do Rio Góis pela Avenida Amazilio Lino de Souza com Av. Pedro Ludovico localizada na Vila Jussara.
ETHNOMEDICINAL TREATMENT AGAINST SCIATICA BY THE PRIMITIVE AND VULNERABLE TRIBAL GROUPS OF VISAKHAPATNAM DT., ANDHRA PRADESH
Authors: Koteswara Rao J  , M. Krishna Rao
Published: April 2024

Present study yielded 10 ethnomedicinal plant species covering as many genera and families used to cure sciatica by the PVTGs of Visakhapatnam district. Habit-wise analysis showed the dominance of trees and climber with 4 species each followed by shrubs and herbs one species each. Four plant species and 10 practices were found to be new or less known. Phytochemical investigations are needed for further use.
KEYWORDS Ethnomedicine, Sciatica, Primitive Tribal Groups, Visakhapatnam, Andhra Pradesh
ASSESSMENT AND IDENTIFICATION OF FISHING GEARS USED BY FISHERMEN IN YAURI
Authors: Bawa D. Y  , B. Garba  , M. Jibril
Published: April 2024

This research work aims to assess and identity the fishing gears used by fishermen in Yauri. Four landing sites were randomly selected and information about the socio economic status, available gears and challenges faced by fishermen were collected using a set of structured questionnaires from 100 fishermen. In this study, the socio economic result reveals that (53%) of the fishermen are engaged in fishing activities as their main occupation, (31%) are engaged in fish processing,(27%) have all fishing equipment with (37%) using cast net and (76%) threatened by water pollution. Lack of effective and efficient fishing gears is one of the major challenges, water pollution is also another challenge. Looking at the present situation of the fishermen, government should provide effective infrastructures and amenities and encourage extension work so as to enlighten fishermen on the need to adopt new fishing techniques.
KEY WORDS: Assessment, Identification, Fishing, Gear, Fishermen and Yauri.
FORMULATION AND EVALUATION OF AMPHOTERICIN B LOADED NANOSPONGES FOR TOPICAL DELIVERY
Authors: Pasupuleti chandana  , Gnana kumar Ragineedi  , Palla Sneha  , Perumalla Pooja  , Neerudu Sai Ram  , Sufiyan Ali  , Harish Reddy Kumbham
Published: April 2024

In this work, solvent evaporation was used to create nanosponges, which were then combined with Amphotericin B to create a gel. The Nanosponges formulations were made utilising the solvent evaporation process with PVA acting as a co-polymer and rate-retarders HP-β Cyclodextrin and HPMC K4M. Fourier Transform Infra-Red (FTIR) spectroscopy was used to determine the drugs compatibility with formulation ingredients. We looked at the drug entrapment effectiveness, production yield, and surface shape of nanosponges. Using scanning electron microscopy, the Nanosponges shape and surface morphology were investigated. Scanning electron microscopy demonstrated that the Nanosponges were spherical and porous. SEM images showed that the Nanosponges were spherical in all of their variations, but at larger ratios, drug crystals were visible on the surface of the nanosponge. An increase in the polymer concentration led to an increase in the drug/polymer ratio (1:1 to 1:3), which is growing in order. However, beyond a certain concentration, it was found that the particle size reduced as the drug-to-polymer ratio developed. All formulations have an average particle size that falls between 331.5 and 463.9 nm. The range of 82.21 to 97.78% was found for the drug content of various formulations. The drug release of the optimised formulation was found to be 94.92 % in 9 hours, while the entrapment efficiency of the other formulations ranged from 92.75 to 94.45%. According to stability experiments, the optimised gel formulation remained stable for a period of 15 days.
KEYWORDS - Amphotericin B, HP β-Cyclodextrin, Nanosponges, Drug Delivery System.
PATTERN, PREDICTORS AND MANAGEMENT OF STUDENTS’ CLASSROOM CONDUCT DISORDERS IN POLYTECHNICS IN NIGERIA
Authors: Dr. Goddy Chukuma  , Dr. Joseph Ogbu  , Dr. Charles Thompson
Published: April 2024

The study investigated the pattern, predictors and management of students classroom conduct disorders in polytechnics in Nigeria. The descriptive survey design was adopted for the study. 390 randomly selected lecturers from 13 polytechnics as sample. The sample consisted of 236 (60.5%) males and 154 (39.5%) females, federal polytechnics 129 (33%),
state polytechnics 151 (39%) and private polytechnics 110 (28%). Three instruments (Pattern of Classroom Conduct Disorders Index, Predictors of Classroom Conduct Disorders Scale and Management of Classroom Conduct Disorders Checklist) were used for data collection. Two tailed t-test was used to test for significance on the pattern, predictors and management of classroom conduct disorders. Based on the results, significant difference was found in the mean response of male and female lecturers in the
11 (P – CCDI) subscales measured on the pattern of students classroom conduct disorders. Also, significant difference was found in the mean response of male and female lecturers in 3 (P – CCDS) subscales measured on the predictors of students classroom disorders. A further significant difference was found in the mean response of male and female lecturers in 9 (M – CCDC) subscales measured on the impact of lecturers management strategies of students classroom conduct disorders. It was recommended among others that federal and state governments should resuscitate bursary and scholarship awards for students, polytechnic management should develop. Strategies in dealing with students having personality abnormalities and polytechnic management should ensure that lecturers abide by the terms of their employment in order to maintain acceptable conduct.
THE IMPACT OF CHINESE YOUTH CULTURAL, SPORTS, AND TOURISM PROJECTS PRACTICE UNDER THE CONTEXT OF SPORTS UNIVERSITY-ENTERPRISE CO-CONSTRUCTION
Authors: Katherine Ning LI
Published: April 2024

This study aims to explore the impact of youth cultural and sports travel projects based on school-enterprise joint construction on the development of youth cultural and sports travel. In the introduction, the current demands and status of youth cultural and sports tourism are outlined, emphasizing the role of school-enterprise cooperation in promoting the development of youth cultural and sports travel projects. The literature review reviews the application of the school-enterprise cooperation model in cultural and sports travel projects, the characteristics and development status of youth cultural and sports tourism projects, and summarizes the practical experience of similar projects. The research method involves in-depth analysis of typical youth cultural and sports travel projects jointly constructed by schools and enterprises. The research results include the organizational model and operation mechanism of the projects, as well as the key influencing factors during the practice and their promotion effects on the development of youth cultural and sports travel. Finally, the conclusion section proposes policy suggestions, including improving the institutional mechanism of school-enterprise joint construction, strengthening government guidance and public service support, enhancing the operation and management of youth cultural and sports travel projects, and discussing the limitations and future research directions of the study. This research has theoretical and practical value in deepening the practical experience of youth cultural and sports travel projects and promoting the development of school-enterprise cooperation.
KEYWORDS: University-Enterprise Co-construction, Youth cultural and sports travel project, Practical experience, Development impact.
Vorwort
Authors: Scharrer Margret , Ottomano Vincenzina , Hagmann Lea , Moeckli Laura
Published: April 2024

Vorwort Schweizer Jahrbuch für Musikwissenschaft, Neue Folge 40