bluuebunny/crossref_metadata_2025 huggingface dataset:
PLURALISME HUKUM DALAM PERSPEKTIF PANCASILA TANTANGAN DALAM ERA GLOBALISASI
Authors: Adi Surya Faizal
Published: February 2024

Tujuan penulisan ini adalah memberikan refleksi terhadap gagasan pluralism hukum dalam konteks globalisasi. Dialog antar nilai global dan Pancasila turut berpengaruh terhadap pengertian pluralism hukum. Menggunakan metode kepustakaan dan Analisa secara kualitatif, tulisan ini menghasilkan tiga kesimpulan, Pertama, pluralism hukum adalah model yang cocok di terapkan di Indonesia. Kedua, Pluralisme Hukum perlu diredefinisikan dalam konteks global dengan melihat lebih jauh relasi globalisasi dengan kapitalisme yang bisa mengancam nilai nilai lokal. Ketiga, perlunya elaborasi nilai nilai Pancasila khususnya kemanusiaan yang adil dan beradab dengan konsep pluralism hukum. Elaborasi ini menghasilkan tiga prinsip dalam pluralism hukum, yaitu prinsip kemanusiaan, prinsip selektif dan prinsip kesetaraan.
This paper aimed to analyze the idea of legal pluralism in the context of Globalization. In order to achieve such goal, this paper utilized a conceptual analysis method with reference on qualitative data to reflect the dialogue between global values and Pancasila influence the understanding of legal Pluralism. The research found that first, legal Pluralism is a suitable model to be applied in Indonesia, second, it needs to be redefined in a global context by looking further at the relationship between globalization and capitalism which can threaten local values.  Third, there is a need for elaboration of Pancasila values, especially 'Kemanusiaan Yang adil Dan Beradab' with the concept of legal pluralism.  This elaboration produces three principles in legal pluralism; the principle of humanity, the principle of selectiveness and the principle of equality.
TINJAUAN YURIDIS TERHADAP PERTIMBANGAN HAKIM DALAM PERKARA PEMBAGIAN HARTA WARISAN ANAK ANGKAT PADA PUTUSAN M.A No. 113.K/Pdt/2019
Authors: Handayani Dwi , Rustan Rustan
Published: February 2024

Penelitian ini berawal dari seorang anak angkat yang diangkat secara sah didepan notaris, namun dalam perjalanannya anak angkat tersebut tidak mendapatkan hak waris dari kedua orang tua angkat yang telah meninggal yang dilanjutkan dengan tuntutan keluarga anak angkat ke Pengadilan Negeri. Penelitian ini bertujuan untuk mengkaji Pertimbangan Hukum Hakim Dalam Perkara Pembagian Harta Warisan Pada Putusan No.113.K/Pdt/2019 Telah Sesuai Dengan Hukum Yang Berlaku. Tipe penelitian yang digunakan yaitu penelitian hukum normative terhadap pertimbangan hukum hakim dalam memutus perkara ini. Hasil penelitian menunjukan bahwa Pertimbangan hakim dalam memutuskan perkara ini belum sesuai dengan Peraturan dan Asas-asas serta teori sosiologi hukum khususnya hak hereditatis petition, penulis memberikan sumbangan pemikiran bahwa; Hakim yang baik dalam memberikan putusan terhadap sengketa waris anak angkat diharapkan dapat menjatuhkan putusan dengan mengacu pada Teori Sosiologi Hukum, dimana hukum menjadi pedoman dasar dalam memutus hak-hak anak angkat, memerhatikan hak hereditatis petition, dan notaris sebagai pihak yang paling dekat dengan masyarakat harusnya dapat memberikan penyuluhan kepada klien yang datang kepadanya mengenai akibat hukum dari perbuatan pengangkatan anak atau penyerahan anak dikarenakan akan berdampak pada status hukum anak dan hak mewarisi.
This research originated from an adopted child who was legally appointed in front of a notary, but in the course of his journey the adopted child did not get inheritance rights from the two adoptive parents who had died, followed by the demands of the adopted child's family to the District Court. This study aims to examine the Judges' Legal Considerations in the Case of Inheritance Distribution in Decision No.113.K / Pdt / 2019 in Accordance with Applicable Law. The type of research used is normative legal research on the legal considerations of judges in deciding this case. The results showed that the judge's consideration in deciding this case was not in accordance with the Regulations and Principles and the theory of legal sociology, especially the hereditary rights of petitioners, the author contributed ideas that; Good judges in giving decisions on disputes over the inheritance of adopted children are expected to be able to make decisions with reference to Legal Sociology Theory, where the law becomes the basic guideline in deciding the rights of adopted children, paying attention to hereditary petition rights, and notaries as the closest party to the community should be able to provide counseling to clients who come to them regarding the legal consequences of the act of adopting a child or surrendering a child because it will have an impact on the child's legal status and inheritance rights.
A COMPREHENSIVE ANALYSIS OF ENDOSCOPIC TYMPANOPLASTY WITH TRAGAL CARTILAGE
Authors: Narkhede Parag , Gupta Lovee , Naik Pranjali
Published: February 2024

Objective: The purpose of this study is to determine the effect of endoscopic tympanoplasty using tragal cartilage on the
rate of graft uptake and improvement in hearing. A prospective research was conducte Methodology: d on fty patients
receiving endoscopic tympanoplasty using tragal cartilage.We assessed the following factors: pre- and post-operative hearing levels, rate of graft
success, hearing gain, and post-operative graft failure rate.We monitor the patients for an additional three months following surgery. Results:
After three months, a 100% graft uptake rate was seen in endoscopic tympanoplasty using tragal cartilage.The absence of graft necrosis or
lateralization, along with long-term stability, indicate effective graft uptake.Regarding improvement in hearing, there was a 15.9 dB closure of the
ABG.
MULTIPLICATION AND DIVISION OF DECIMAL NUMBERS WITH THE VEDIC METHOD
Authors: Deo R.C. , Pattanaik Deepak K , K Sharma Nachieketa
Published: February 2024

This paper demonstrates the signicance of Ancient and Vedic mathematics and how it makes the calculation much easier
and takes less time than the usual method present. The data for the analysis has been primarily collected from students of
different ages and studying different subjects. Some of them are studying in high school and intermediate, some are graduates, and some of them
are postgraduates. Also, we have collected data from the students preparing for competitive examinations. After the analysis is carried out, we
come to know that our data is signicant and it is true that Vedic mathematics actually increases the speed of fundamental mathematical
calculations. Many children and adults experience feelings of anxiety, apprehension, tension or discomfort when confronted by a maths problem.
In 2022,36% of fourth grade students performed at or above the NAEP Procient level on the mathematics assessment. Scientist are explored the
nature and resolution of 'mathematics'. From NAS (National Achievement Survey) it is observed that many students consider Mathematics a very
difcult subject in comparison with other subjects. Some students encounter difculties with basic arithmetical operations for which they are
unable to perform simple addition, subtraction, multiplication and division. We can also observe that, when we deal with decimal number system,
that is a very tedious work for many of us. In view of this, immediate attention has been shifted towards vedic and ancient mathematics in school
education for developing logical thinking through easy steps. A system like Vedic mathematics has manifold applications and hence there is a
large scope of sharing the concept of Vedic mathematics with students all over the world. By adopting the methods of Vedic mathematics, we can
solve the numerical problems within seconds which may be very useful to crack any entrance exam of private or government sectors.
STATISTICAL EXPERIMENTAL DESIGNS FOR BIOPROCESS OPTIMIZATION: A FOUNDATION TO ARTIFICIAL INTELLIGENCE
Authors: Mohd Wahid , Anamika Mehta , Nipunjot Soni , Payal Chaudhary , Arshad Jawed
Published: February 2024

Amidst the growing market competition, technologies and processes are short-lived. Even the biotechnological
processes that take years to develop are quickly superseded by more improved and efcient ones. Therefore, the rapid
development of new technologies, Innovation and quicker optimization has become the need of the hour. Optimization of culture media is
normally carried out by the classical One-Factor-At-a-Time (OFAT) approach. OFAT is generally used by biotechnologists at their initial
research due to its simplicity and requires only basic knowledge of mathematics. On the other hand, it is uneconomical, needs a large number of
runs to be carried out, leads to pseudo-optimal results, and takes a long time for optimization. Contrary to this approach, statistical and
mathematical, e.g. Plackett–Burman, Response Surface Methodology (RSM), D-optimal Designs, Central Composite Designs (CCD), machine
learning etc., prove to be quicker, economical, require less number of experiments and provide real-optima for the desired results, be it
maximizing the protein expression, purication, or minimizing the by-products/ toxins, etc. Despite the huge potential, the adaptation of
statistical methods for process optimizations is slow and sluggish. In this article, we compare and explain the basics of classical and modern
process optimization methodologies and provide a simpler way to quickly adopt a machine learning methodology for scientists, who are averse
to the complicated mathematics involved. Statistical Design (SDs) builds the foundation of Articial Intelligence (AI). AI is generally used to
ne tune the results of SDs with or without gaps or incompleteness in the data sets or nonlinear programs are very useful in the eld of medium
optimization. This study would serve the upcoming researchers to plan and devise statistical optimization strategies quickly and efciently with
high reproducibility.
CORRELATION OF PREOPERATIVE ULTRASONOGRAPHIC CRITERIA WITH INTRA OPERATIVE DIFFICULTIES OF LAPAROSCOPIC CHOLECYSTECTOMY AND THE POSSIBILITY OF CONVERSION TO OPEN CHOLECYSTECTOMY
Authors: Priyanka Thota , Sandeep B. , Mahesh Ayyar Srinivas
Published: February 2024

Aim: The aim of this study was to utilise various parameters in pre operative ultrasonography and correlate this with intra
operative ndings in order to assess the possible difculty of the surgery and to predict the necessity of Open
Cholecystectomy prior to performing the surgery. Study was conducted at Alluri Sit Material and Methods: Site of study: arama Raju
Academy Of Medical Sciencesand General Hospital, Eluru Study was a pros Type and Duration of Study pective analysis of symptomatic gall
bladder stone and prediction of ultrasonographic nding and its correlations with intra operative ndings. The total duration of study was around
12 months from DECEMBER 2022 to NOVEMBER 2023 Sample size and study population Assessment and Correlation of Technical
Difculties and Conversion to Open Procedure during Laparoscopic Cholecystectomy by Preoperative Ultrasonography. The study observed
that the sensitivity and specicity of ultrasonography for predicting difculties in surgery was 70.83% and91.84% respectively and sensitivity of
ultrasound to predict the conversion to open procedure was 76.47%, specicity was 85.71%. The total number of laparoscopic
cholecystectomies attempted was146 out of which 48 (32.9%) were difcult on surgery. Out of total 146 cases 34 (23.3%) cases were converted
to open procedure. Taking these values as reference, the minimum required sample size with desired precision of 17.5% and 5% level of
signicance is 97 patients. Maximum patients in our study were found to be in Results: the age group of 50-59 yrs (24.49%).The mean age was
49.09 yrs and the vast majority of patients were females (81.63%). In this study, various parameters in pre operative ultrasonography were
considered and correlated with intra operative ndings and operative inference. Out of 98 patients, a total of 94 patients(95.92%) had mild intra
operative bleeding and 4(4.08%) had moderate intra operative bleeding. A statistically signicant association was seen between duration of
surgery and increase in gall bladder thickness ( p-value <0.001), with impaction of stone at the neck of the gall bladder (p value 0.030), with the
presence of aberrant anatomy, Phyrgian cap ( p value 0.041), CBD size ( p-value <0.001) and with prediction by ultrasonography ( p-value
0.001). In our study, different gall bladder morphology (i.e. phrygian cap) was seen in two patients and both were difcult during surgery.
Conclusion: Pre-operative ultrasonography is a good indicator of difculties which may be faced intra operatively by the surgeon. Increase in
gall bladder wall thickness, presence of impaction of stone at the neck of the gall bladder and aberrant morphology of the gall bladder and Dilated
CBD. It also helps us to plan out the surgery in advance and take consent and appraise the patient of the possible necessity for open
cholecystectomy.
COMPARISON OF POST OPERATIVE ANALGESIA AFTER PERIPHERAL NERVE STIMULATOR GUIDED PECTORAL NERVE BLOCK WITH ROPIVACAINE 0.25%/ROPIVACAINE 0.25% AND DEXAMETHASONE IN PATIENTS UNDERGOING MODIFIED RADICAL MASTECTOMY UNDER GENERAL ANAESTHESIA.
Authors: Raj Patidar Kushal , Agrawal Jitendra , B G Panchakshari , D R Rakesh
Published: February 2024

Introduction: Acute post-operative pain is not only debilitating to the patient in post-operative period, but is an
important risk factor for the development of persistent chronic pain after breast surgery, which lead to diminished health
related quality of life therefore patient going through physical & psychosocial impairment. Thoracic epidural and paravertebral blocks are gold
standard technique to achieve perioperative and postoperative analgesia but performance of these procedure varies according to
anaesthesiologist comfort. As alternatives to these technique. The present study has been designed to use the peripheral nerve stimulator for
PEC- I block with or without dexamethasone along with 0.25% ropivacaine to achieve analgesia for chest wall surgeries such as modied radical
mastectomy, thoracotomies, Latissimus dorsi aps, and other hemithorax surgeries A Prospective and randomized
. Materials And Methods:
Study was conducted in Department of Anaesthesiology, J.A. Group of Hospitals and G.R. Medical College, Gwalior (M.P.) among 90 patients
of ASA grade I and II scheduled for breast cancer surgery. Patient were subsequently randomized into three groups of 30 each by the process of
double blinded randomization by closed envelop technique. Grouping: 90 patients were randomly divided into 3 groups: Group RD (n=30) -10
ml of 0.25% ropivacaine with 4 mg(1ml) dexamethasone followed by general anaesthesia. Group RA (n=30) -10 ml of 0.25% ropivacaine with
1ml normal saline followed by general anaesthesia. Group GA (n=30) -11 ml of normal saline followed by General anaesthesia. Results:
Baseline mean systolic blood pressure was 127±9.5 mm of Hg in group RD, 127.1±8.2 mm of Hg in group RA, and 128±6.9 mm of Hg in group
GA. Statistically highly signicant differences (p<0.001) were observed in mean systolic blood pressure between all three groups. Baseline
mean diastolic blood pressure was 79.9±8 mm of Hg in group RD, 81.4±6.6 mm of Hg in group RA, and 82.2±6.3 mm of Hg in group GA.
Statistically highly signicant differences (p<0.001) was observed in mean diastolic blood pressure between all three groups. As ANOVA P
value is < 0.001. Applying TUKEY HSD (honest signicant differences) between group RD and group GA and group RA and group GA were
found statistically signicant differences (p> 0.05) at all time interval except 20,330,690 min. for mean diastolic pressure. Intra and Conclusion:
st post operatively hemodynamic stability are maintained in pecs block because site of Pecs block is far away from sympathetic supply. Time to 1
rescue analgesia is prolonged when Dexamethasone combined to ropivacaine as an adjuvant compared ropivacaine and normal saline. Incidence
of post operative nausea vomiting are less when dexamethasone added to ropivacaine compare to ropivacaine and mock block.
AN ASSESSMENT OF FUNCTIONAL OUTCOME OF ARTHROSCOPIC AND ARTHROSCOPIC ASSISTED MINI-OPEN ROTATOR CUFF REPAIR: A HOSPITAL BASED PROSPECTIVE STUDY
Authors: Ramuka Gourav , Padhihari Jyoti Prakash , Goverdhanrao Gite Amol
Published: February 2024

Background: Aims & Objective: Shoulder pain is one of the common causes of presentation to orthopedic clinics. The
purpose of the study was to evaluate the functional outcome of arthroscopic and arthroscopic assisted mini open rotator
cuff repair in rotator cuff tear patients. This prospective study included 21 cas Methods And Materials: es of rotator cuff tear patients of either sex
tting the inclusion criteria at the orthopedic department of I.Q City Medical College and Hospital, Durgapur, west Bengal were included in the
present study from May 2023 to December 2023 (8 months). Patients admitted with MRI proven Rotator cuff tear after meeting the inclusion and
exclusion criteria are selected for the study. They will undergo detailed history, clinical and radiological evaluation. Arthroscopic rotator cuff
repair by single row or double row technique using suture anchors by a single trained surgeon. Postoperative rehabilitation as per standard
protocol. Postoperative evaluation done at, 3rd month, 6th month and 8th month. Range of motion, UCLA and ASES scoring done at preoperative
and postoperative follow-ups. A Prospective study with 21 patients is undertaken to Result: study the functional outcome of Arthroscopic rotator
cuff repair. The mean age in our study is 53.5years. Majorities are in the age group 40 to 60yrs. Out of 21 patients, 13 were male, 9 were female.
Major part of our study contained partial thickness tears (58.2%) rather than full thickness tears (41.8%). 76.19 % (16) patients in our study had
traumatic tears and 23.80% (5) patients had degenerative tears.
COMPARATIVE STUDY OF PREOPERATIVE SKIN PREPARATION WITH AQUEOUS POVIDONE-IODINE ONLY AND IN COMBINATION WITH ALCOHOLIC CHLORHEXIDINE IN PATIENTS UNDERGOING CLEAN ELECTIVE SURGERY IN TERTIARY CARE CENTRE
Authors: Cheera Sruthi , Kumar G Manish , Sinha Arunabha
Published: February 2024

Aims And Objectives: To study the effectiveness of povidone-iodine only and combined with an antiseptic solution
containing alcoholic chlorhexidine in preoperative preparation of the skin. Materials And Methods: This comparative
study was conducted in PES hospital Kuppam, including 120 subjects presenting to the General surgery O.P.D. with clinical features of hernia
undergoing mesh hernioplasty from The preoperative preparation of skin in each group was done with r January 2020 to June 2021. espective
antiseptic regimens: Group I: The antiseptic regime used for preoperative skin preparation was three coatings of aqueous povidone-iodine I.P.
5% (Betadine). Group II: The antiseptic regime used was a single coating of agent containing chlorhexidine gluconate 2.5% v/v in 70% propanol
accompanied by two coatings of aqueous povidone-iodine I.P. 5% w/v Inclusion Criteria: All patients aged 18 years and above undergoing
Hernia repair (mesh hernioplasty) with no septic foci anywhere on the body, afebrile, having Normal WBC counts, and is neither
immunocompromised nor on any other long-term steroids Exclusion Criteria: Patients undergoing emergency surgery and Chronic medical
illnesses – hypertension, diabetes mellitus, CAD, COPD is precluded from the study results: Regime II had greater efcacy in decreasing
colonization at the incision site (3.3% in Group II in Comparison to 13.3% in Group I). Regime I inefcacious in decreasing bacterial load at the
incision site is a signicant source of wound infections in the postoperative period. povidone-iodine 5% combined with Conclusion:
chlorhexidine gluconate 2.5% regime should be introduced in preoperative skin preparation for all surgical procedures for effectiveness in
preventing bacterial growth.
DENTISTS PERCEPTION ON CLINICAL PRACTICE AND OBSERVANCE OF STANDARD OPERATING PROTOCOLS AFTER COVID 19 PANDEMIC
Authors: Shivanna Sushmita , Mani Rekha , Thomas Anchu Rachel , Sivarajan Ranjith Kumar
Published: February 2024

The Covid-19 pandemic has posed signicant challenges for dentists worldwide. Treatment provision in dental clinics
was suspended due to their potential as sites of cross contamination for patients. Furthermore, dentists, as members of the
medical community, had to restructure their clinical practice and adhere to new guidelines and recommendations to mitigate the spread of
diseases. Councils and regulatory agencies have suggested different procedures for the treatment and management of patients during the COVID19 pandemic. It is essential for dentists to comprehend, execute, and adhere to stringent operational guidelines in order to prevent the transmission
of infection within healthcare facilities. Despite the introduction of vaccinations and effective infection control measures, do dentists still adhere
to standard operating standards in their practice?. Thus the objective of the survey was to evaluate dentists' view and adherence to standard
standards in clinical practice following the Covid-19 epidemic.
ANTIMICROBIAL PATTERN FOR THE TREATMENT OF DIABETIC FOOT INFECTIONS AT SHADAN HOSPITAL.
Authors: Afsha Sultana Umm- E- Sulaim , Iram Fathima S T , Siddiqui Maseera , Siddiqua Syeda Ayesha
Published: February 2024

Introduction: Foot infections are among the most common bacterial infections encountered in diabetic patients in
clinical practice. These infections and their sequelae such as gangrene, Ischemic ulcers, Neuropathic ulcers, etc., are the
common cause of disability and the reason for most hospital admissions among diabetics. To study th Aims & Objectives: e pattern of use of
antimicrobials in the treatment of infected diabetic foot for the better management of the ailment. It is a prospective study Materials & Methods:
of 6 months, conducted at Shadan Hospital, Hyderabad, Telangana. 70 diabetic patients of age group between 30-80 years of either gender were
enrolled. Relevant data was collected from infected diabetic foot patients. Empirical Antimicrobials administered were listed down. The
prescription pattern of these patients was noted down and specimens were sent to the lab for culture and sensitivity tests. Data was analyzed by
using SPSS software. The majority of the patients were from the age group of 61-70 ye Results: ars (28.6%) with a male predominance (61.4%)
and the duration of diabetes mellitus was >10 years (66%) in the study participants. Ischemic Ulcer and Neuroischemic Ulcers were in the
majority (27.1%) of the patients. In the Gram-negative bacilli, E. coli was isolated high in percentage (n=23), and in the Gram-positive cocci, S.
aureus was isolated in majority (n=13), respectively. The Gram-negative bacilli (Proteus species), were highly sensitive to Amikacin (98%). The
Gram-positive cocci (Streptococci), were highly sensitive to Chloramphenicol (98%). By Conclusion: studying the antimicrobial pattern in
patients with infected diabetic foot a better picture of the antimicrobial sensitivity pattern can be observed, which in turn helps in the better
treatment and management of the disease.
ASSOCIATION BETWEEN RENAL FUNCTION AND CENTRAL OBESITY IN METABOLIC SYNDROME PATIENTS
Authors: Thiek Stephens Janet L. , Jose Chelsy
Published: February 2024

Introduction Central obesity is an excess accumulation of visceral adipose tissue in the abdominal area. This
adiposopathy leads to insulin resistance resulting in development of metabolic syndrome. It is also responsible for obesity
related glomerulopathy, which can progress to chronic kidney disease (CKD) later. Aim To determine microalbuminuria in adults having various
waist to hip ratio as a measure of central obesity It is a Cross-secti Materials and methods onal observational study done on 220 subjects after
applying the inclusion and exclusion criteria at Swami Dayanand Hospital. 110 subjects were included in no metabolic syndrome (control) group,
whereas other 110 subjects were included in metabolic syndrome (central-obesity) group. There is a signicant positive correlation Results
between waist to hip ratio and micoalbuminuria. Microalbuminuria levels incre Conclusion ases with increasing grades of central obesity, hence
prone to develop CKD later in life.
ACUTE COR PULMONALE AS THE PRESENTING FEATURE OF LIMITED SYSTEMIC SCLEROSIS: A CASE REPORT
Authors: Patel Karan , Shah Aashka , Gandhi Aashna , Shingala Tunisha , Keecheril Raj Philip
Published: February 2024

Systemic sclerosis (SSc) is a complex, multisystem disease characterized by brosis and excessive collagen deposition
within the skin and internal organs, chronic inammation, autoimmune dysregulation, and microvascular endothelial
dysfunction. There are two forms of SSc that are characterized by the extent of skin involvement – Limited SSc and Diffuse SSc. Pulmonary
vascular disease, primarily PAH, occurs in 10 to 40 percent of patients with SSc, more common in patients with longstanding limited cutaneous
disease without associated ILD. It can also happen secondary to ILD, particularly in those with diffuse SSc. Dyspnea with exertion and
diminished exercise tolerance are the most common initial symptoms but are commonly absent until the disease is fairly advanced. PAH is fairly
progressive, and if severe, can lead to cor pulmonale and right sided heart failure. A 65 year old female patient presented with breathlessness and
bilateral lower limb swelling since 6 months which progressed in the last 10 days to dyspnea at rest and bilateral pedal edema upto knees. She is a
known case of Hypothyroidism on treatment. On examination bilateral infrascapular ne crepitations were present with loud P2 and early
diastolic murmur at pulmonary area along with visible jugular venous pulsations and bilateral pedal edema. No signicant cutaneous features
could be identied. On further investigations she was diagnosed with Pulmonary Arterial Hypertension (RVSP -70 mm Hg) and Cor Pulmonale
(RA and RV dilated; IVC dilated non collapsible). ANA By IF came strongly positive with centromere pattern (+3) leading to the diagnosis of
Limited Systemic Sclerosis which was conrmed by CENP B antibody being strongly positive on the ANA prole. Treatment was initiated with
Sildenal and diuretic therapy with patient being discharged on LTOT. The patient showed dramatic clinical improvement in follow up.
A CROSS-SECTIONAL STUDY TO ASSESS THE KNOWLEDGE, ATTITUDE, AND PRACTICE ABOUT TOBACCO USAGE AMONG PREGNANT WOMEN ATTENDING THE ANTENATAL CARE OUTPATIENT DEPARTMENT IN A TRIBAL DISTRICT OF MAHARASHTRA
Authors: K Bandgar Rajesh , Uplap Pallavi , N Maneesha , S Parab Nikita , S Patil Aishwarya , R Raut Vishal
Published: February 2024

The number of tobacco-related deaths among women aged 20 years and older is likely to increase from 1.5 million in
2004 to 2.5 million by 2030. Almost 75% of these projected deaths will occur in low- and middle-income countries.
Tobacco usage during pregnancy has a negative impact on maternal and newborn health. As there is limited literature available regarding tobacco
usage among pregnant women in tribal areas, the current study aimed to assess the knowledge, attitude, and practice of tobacco usage among
pregnant women in a tribal district of Maharashtra. Methods: A cross-sectional study was conducted in a tribal district at the Rural Health
Training Centre (RHTC) attached to the Government Medical College in Maharashtra. A sample of 190 pregnant women coming to the Antenatal
Care Outpatient Department of RHTC was taken based on the prevalence of tobacco usage among women in the selected tribal district. The
selected participants were interviewed face-to-face with the help of a semi-structured, pre-tested questionnaire after obtaining informed consent.
The results were analysed in Microsoft Excel. In the present study, out of 190 pa Results: rticipants, 90 (47.4%) were primigravida and 100
(52.6%) were multigravida. Out of 190 participants, 145 (76.3%) were aware of the risks associated with direct tobacco usage, while 161 (84.7%)
knew about the dangers of Second-Hand Smoke (SHS) during pregnancy. A total of 47 (24.7%) participants were exposed to SHS during the
current pregnancy; the majority, 31 (66%), were exposed at home. Eleven (5.8%) participants practiced tobacco use during pregnancy. Out of 6
(3.1%) participants who were currently using tobacco, 2 (33.3%) of them were ready to quit tobacco. Conclusion: There is a gap between
knowledge, attitude, and practices related to tobacco and tobacco cessation among the participants.
FISH BONE INDUCED APPENDICULAR PERFORATION: CASE REPORT
Authors: Pathrikar Satyajeet , Bhandari Vishan , Patil Prajakta
Published: February 2024

Fish bones are common ingested object, most commonly causing perforation of the ileum, followed by the duodenal and
colonic C-loop. A Fishbone foreign body in the appendix leading to appendicitis is very rare. Herein, we report a case of 36
year old man, who presented with acute abdominal pain. Computed tomography suggested as Acute appendicitis with appendicolith within the
lumen. The patient underwent Open Appendicectomy there in he was found to have perforation at tip of appendix due to impaction of sh bone.
EVIDENCE BASED MANAGEMENT OF PANDU (IRON DEFICIENCY ANEMIA) IN CHILDREN THROUGH AYURVEDA
Authors: Deepshikha Deepshikha , Garg G. P.
Published: February 2024

Iron deciency anemia is a major health issue in children leading to symptoms like dizziness, fatigue, weakness and
shortness of breath. This condition is described as Pandu in ayurvedic texts. Ayurveda offers a holistic solution to this
problem. This article reviews the management approach of pandu through Ayurveda highlighting the research-based evidences in this eld.
Researches indicate that various Ayurvedic drugs like Punarnavadi Mandura, Dadimadi Ghrita, Trikatrayadi Lauha, Pandughni Vati,
Dhatrarishta, Phalatrikadi kwath etc. give signicant relief in symptoms of Pandu and increase hemoglobin level.
EFFECTIVENESS OF EXERCISES IN MANAGEMENT OF PAIN IN DYSMENORRHEA: A REVIEW
Authors: Preeti Preeti , Jagga Vinay
Published: February 2024

Introduction: Primary dysmenorrhoea is one of the most common gynaecological problems among young females.
Globally, more than half of young women experience dysmenorrhea, with 10- 20% experiencing severe symptoms.
Despite the fact that dysmenorrhea has a detrimental impact on a woman's life, many women do not seek hospital treatment for dysmenorrhea.
Physical exercise causes endorphins to be released, which may raise the pain threshold and so alleviate pain. The main aim Aim and Objective:
of the study is to investigate the effectiveness of exercises in management of pain in dysmenorrhea. A title and abstract Material and method:
search was undertaken using Google Scholar, Pub Med, the Physiotherapy Evidence Database, and the Cochrane database. The study was
double-checked, and the review used only full-text papers. A total of 12 papers were chosen to examine the effectiveness of exercises in the
management of pain in dysmenorrhea. According to a data search from roughly 12 free full a Result: rticles suggest exercises play vital role in
managing pain in girls and women in dysmenorrhea. Therapeutic exercise is another option for reducing the symptomatology of this health
problem, with a low cost and the absence of side effects. There was evi Conclusion: dence that therapeutic exercise can be considered an effective
strategy in the treatment of primary dysmenorrhea in terms of pain intensity decrease. Exercise therapy can be used as a non-pharmacological
treatment option for primary dysmenorrhea discomfort.
DEGREE OF JOB SATISFACTION OF COLLEGE TEACHERS: A PRAGMATIC STUDY IN MALWA REGION OF PUNJAB
Authors: Singla Asha , Kumar Uppal Rajinder
Published: February 2024

The present study has been conducted to determine the degree of job satisfaction of college teachers in the Malwa Region
of Punjab in 2023. In addition to it, this study also aims to nd out job satisfaction of college teachers based on their
salaries and type of organization in which they work. The sample comprised four hundred teachers of colleges in the Bathinda, Barnala, Sangrur
and Mansa districts of the Malwa Region of Punjab. Job satisfaction survey developed by Spector has been used for the study. To measure degree
of job satisfaction, descriptive analysis covering Mean and Standard Deviation has been used because interpretation guidelines for JSS depend on
mean scores of job satisfaction. One-Way ANOVA has been used to nd on job satisfaction based on salaries of respondents. An independent
sample t-test has been used to nd out job satisfaction based on type of organization in which college teachers work. The present study explores
that college teachers of the Malwa Region of Punjab are ambivalent regarding job satisfaction. They are dissatised with job dimensions of pay
and promotion. They are ambivalent on the points of fringe benets, contingent rewards and operating procedures. So far as supervision,
coworkers, nature of work and communication are concerned; college teachers of the Malwa Region of Punjab are satised. The present study
also explores signicant difference in the job satisfaction of college teachers in Malwa Region of Punjab in favour of those teachers who get
salary more than Rs. 40,000/- p.m. The study also depicts that teachers working in Govt. Colleges/ Constituent Colleges/ Neighbourhood
Campuses in Malwa Region of Punjab are more satised than others.
EFFECTS OF ORAL METOPROLOL AND ATENOLOL ON ANALGESIC AND ANESTHETIC REQUIREMENTS IN LAPAROSCOPIC CHOLECYSTECTOMY: A PROSPECTIVE RANDOMIZED DOUBLE BLIND CONTROLLED STUDY
Authors: Aparna A. , V Yathish , B G Panchakshari , D R Rakesh
Published: February 2024

Introduction: Laparoscopic surgery is a procedure in which small incisions are given over the abdomen and the
operation is performed through them. Reduced postoperative pain is one of the biggest advantages of laparoscopy
compared with open surgery. However, postoperative pain is not completely disappeared and is still considerable,and is the primary reason for
prolonged hospitalization after laparoscopic cholecystectomy. Metoprolol reduces the requirements of propofol and attenuate hemodynamic
stress response.Without modifying the depth of anesthesia atenolol has shown to reduce the doses of various anesthetic drugs by suppressing
cerebral cortical electrical activity, resulting in a burst-suppression pattern. Material And Methods: We have conducted this prospective,
randomised, double blind, placebo controlled study conducted in the Surgical Gastroenterology operation theatres of Sri Venkateswara Institute
of Medical Sciences. This study was registered in Clinical Trials Registry [CTRI/2020/07/026617] before enrolment of the rst patient in our
study. Blinding was ensured by allotting a random number to each patient using a sealed opaque envelop technique. Oral atenolol [25mg],
metoprolol [50mg] or a sugar cube of same and colour were given to the patients by an independent anesthesiologist as per their random group
allocation. The independent anesthesiologist was not a part of the study protocol. Results: With respect to ASAPS grade in the placebo group,
there were equal number [13] of ASAPS grade I and II patients. In the atenolol group, ASAPS grade I patients were a majority, that is; 69.23%
[18] and 30.77 % [8] were ASAPS grade II patients. ASAPS grade I patients were 57.69% [15] and grade II were 42.31% [11] in the metoprolol
group. Majority of the patients belong to ASAPS 1 [46/78] and were uniformly distributed across the 3 groups. All the three groups were
comparable with respect to the distribution of patients in ASAPS grades I and II. p = 0.360 and there was no statistical signicance. There was a
signicant difference among the groups in occurrence of tachycardia, hypertension and hypotension. The incidence of tachycardia, hypertension
were more in placebo group compared to patients who received either atenolol or metoprolol. The incidence of hypotension was more in patients
who received atenolol or metoprolol. Our study concluded that administration of oral a Conclusions: tenolol and metoprolol preoperatively in
patients undergoing laparoscopic cholecystectomy could reduce the isourane but not the intraoperative fentanyl requirements. Therefore the
use of long acting beta blockers as a single oral dose on the day of surgery cannot be suggested based on our study results.
INSTANTANEOUS DENTURE BANDAGE – A CASE REPORT
Authors: Gnanavel Sandhosh , Mayavan Lakshmi Devi , Jayachandran Balaji , Murthy Varsha
Published: February 2024

Patients usually have a discomfort for a tooth extraction because for a period of edentulousness for replacement of teeth.
Nowadays as the time is moving faster, patients need immediate replacement of teeth after extraction. This immediate
denture brings a static solution for this type of patients because, this denture is delivered immediately soon after extraction of the teeth on the same
day. This immediate denture also acts a surgical splint to control haemorrhage and also promotes healing acting as a bandage. It helps to maintain
the normal function and also maintain the aesthetics to avoid the period of edentulousness1. This case report describes the detailed fabrication of
interim immediate maxillary complete denture opposing conventional mandibular complete denture maintaining patients function and aesthetics.
STUDY OF URINARY TRACT INFECTION CAUSED BY MULTIDRUG RESISTANT ORGANISMS
Authors: P Megha , Agarwal Nagamani , G R Pramod
Published: February 2024

for multidrug resistant urinary tract infections Prospective observational study from A Design- ugust 2019 to August
2021 Total of 126 children less than 18 years of age diagnosed to have UTI by culture a Material and Method- nd sensitivity were recruited in
this prospective observational study. Relevant history and examination was done as per the predesigned structured protocol. Antenatal records
were reviewed for evidence of congenital anomalies of kidney and urinary tract. Physical examination was carried out to look for failure to
thrive, toxicity, hypertension, palpable kidney or urinary bladder, genital and lumbosacral anomalies. Patients were enquired about exposure to
antibiotics, and catheterisation of the urinary tract in the previous month. Records were reviewed for the previous episodes of UTI and details of
the present medication was noted. Urine sample for microscopic examination and culture was collected by midstream clean catch or
catheterization. Samples showing > 105 CFU /ml were considered to have signicant growth. Antimicrobial susceptibility testing was done on
samples showing signicant growth by Kirby –Bauer disc diffusion method Multidrug resis Results: tance was more prevalent among the age
group of less than 5 years and more prevalent in males. The major risk factors are previous antibiotic exposure, previous hospitalization,
underlying urological abnormalities. This study reveals that UTI caused by multi Conclusion: drug resistant organisms is on a signicant rise and
the major risk factor being previous exposure to antibiotics. This study showed that most of the isolates were resistant to cephalosporins and
ampicillin. Lesser resistance to nitrofurantoin and amoxiclav was observed. As the susceptibility pattern is changing across the globe, regular
monitoring of antibiotic resistance pattern is necessary
A COMPARATIVE ANALYSIS OF KRACKOW AND KESSLER TECHNIQUES IN ACHILLES TENDON REPAIR: A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL
Authors: Shahid Mohammed , Chakravarthy Rakshith , Sherikar Nagesh , Kumar Hiranya
Published: February 2024

Introduction:Achilles tendon injuries are common, and surgical repair is often required to restore function. The Krackow and Kessler techniques
are two widely used methods for Achilles tendon repair, each with its unique advantages and potential drawbacks. This study aims to compare the
clinical outcomes, functional recovery, and complication rates associated with the Krackow and Kessler techniques in patients undergoing Achilles
tendon repair. Methods: A prospective randomized controlled trial will be conducted, involving patients with acute Achilles tendon ruptures.
Participants will be randomly assigned to either the Krackow or Kessler technique for surgical repair. Preoperative, intraoperative, and
postoperative data will be collected, including demographic information, injury characteristics, surgical details, and follow-up assessments.
Outcome measures will include the Visual Analog Scale for pain, the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot
score, range of motion assessments, and complications. Results: The study aims to provide a comprehensive comparison of the Krackow and
Kessler techniques, assessing their efcacy in promoting tendon healing and functional recovery. Statistical analysis will be performed to identify
any signicant differences in clinical outcomes between the two groups. Conclusion: This prospective randomized controlled trial will contribute
valuable insights into the optimal surgical technique for Achilles tendon repair. The ndings may guide orthopedic surgeons in selecting the most
suitable method based on patient-specic factors, ultimately improving overall outcomes and patient satisfaction.
STUDY TO CORRELATE PAP SMEAR AND COLPOSCOPIC EXAMINATION WITH HISTOPATHOLOGICAL FINDINGS AMONG WOMEN IN A TERTIARY CARE HOSPITAL
Authors: Syed Yasmin , Bajwa Harpreet
Published: February 2024

Background:Cervical malignancy is ranked second after breast carcinoma among females. Colposcopy and histopathology can easily identify the
premalignant lesions as well as other non-invasive inammatory lesions of the cervix. Methods:Aprospective study was conducted by department
of obstetrics and gynaecology among women aged from 20 to 60 years. Socio demographic data, clinical history obtained and examination were
done. Pap smear, colposcopy and colposcopic guided biopsy was done and ndings were noted and analyzed. Results: In present study sensitivity
of Pap smear for detecting lesions above LSIL was 28%, specicity 99.32%, PPV was 93.47%, negative predictive value 76.21% and accuracy of
Pap smear was 78%. The sensitivity of colposcopy in detection of low grade lesions and above came out to be 80.2%, specicity 82.14%, positive
predictive value 66.78%, negative predictive value 86.78% and accuracy of colposcopy was 84.65%.The incidence of preinvasive lesions (LSIL
and HSIL) was 33.6% with LSIL(19.2%) and HSIL(14.4%) and of invasive lesions was 9.6% Conclusions: This study suggests that detection of
cervical abnormalities is higher when colposcopic examination with biopsy and cytology,are used complimentarily in diagnosis of cervical
lesions. Colposcopy eliminates the need for repeated follow up as in Pap smear which has low sensitivity.
COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF IDIOPATHIC CTEV TREATED BETWEEN PONSETI TECHNIQUE AND ACCELERATED PONSETI TECHNIQUE USING PIRANI SCORE.
Authors: D Chandan , Aradhya B M Suhas , V Dhangi Arun , K Phuleker Saurabh
Published: February 2024

Background & Objectives: Congenital talipes equinovarus, also referred to as clubfoot, occurs in one in 1000 live births and is one of the most
common birth defects involving the musculoskeletal system. Ponseti method involves weekly manipulation of the deformity followed by a longleg cast is the time proven method of management. Modied accelerated treatment protocols were designed to reduce the total duration of
treatment. This study was conducted to compare the efcacy of accelerated Ponseti method versus standard Ponseti method. A Methods:
randomized controlled study was conducted with participants randomized to two groups- Study group and Control groups. All feet were scored
using Pirani score, recorded by an independent assessor at each visit. Plaster treatment was continued until clinical correction achieved. Results:
The current study had comparable demographic distribution between the groups. Accelerated Ponseti technique has relatively shorter duration of
manipulation compared to the standard Ponseti technique. Total number of casts used is not signicantly different for accelerated Ponseti
technique compared to the standard Ponseti technique. Accelerated Ponseti technique for club foot management was found to be equally effective
compared to the standard Ponseti technique in managing idiopathic congenital talipes equinovarus assessed by Pirani scoring. Interpretation &
Conclusion: No evidence exists to support the use of a cast change interval of one week. It can be concluded that the accelerated versions of the
Ponseti method can safely be used in the treatment of clubfoot without risking any signicant increase in the required number of casts.
CLINICAL PROFILE OF VIRAL HEPATITIS A IN A TERTIARY CARE HOSPITAL: A RETROSPECTIVE STUDY
Authors: H V Shreyas , S Vinaykumar , PS Malavika , Bagalkot Praveen
Published: February 2024

Hepatitis A virus (HAV) accounts for most acute viral hepatitis (AVH)
globally, with around 1.5 million clinical cases each year and a rate of
1
infection likely to be ten times higher because of underreporting. The
Global Burden of Disease study estimated that acute hepatitis A
infections increased by 4.2% between 2005 and 2015, approximately
2,3 from 109.6 to 114.2 million cases.
EFFECT OF CAFFEINE ON INFORMATION PROCESSING USING P3 EVOKED POTENTIAL STUDY
Authors: Srivastava Nupur , Sarkar D
Published: February 2024

Caffeine, a widely consumed stimulant in today's world, induces feelings of well-being, relaxation, heightened alertness, and improved
concentration. Numerous studies have explored its impact on brain function and behavior through various methods such as mood assessments,
reaction time trials, memory evaluations, EEG, and more recently, Event Related Potentials (ERPs). This particular research investigates how
caffeine inuences ERPs and Reaction Time (RT) by utilizing an auditory "oddball" paradigm. Forty undergraduate medical students volunteered
for the study, during which their ERPs and RT were measured both before and after consuming caffeine for 40 minutes. The ndings revealed a
minor, insignicant decrease in the latency of N1, P2, N2, and P3, alongside a signicant reduction in Reaction Time following caffeine ingestion.
However, the amplitude of P3 exhibited a notable increase after caffeine intake. These outcomes strongly suggest that caffeine enhances
information processing and the brain's motor output response.
A STUDY TO ASSESS THE KNOWLEDGE, ATTITUDE, AND PRACTICES ABOUT BLOOD DONATION AMONG MEDICAL STUDENTS IN A TERTIARY CARE CENTRE
Authors: D Pruthvi.
Published: February 2024

Introduction: Awareness and availability of blood and blood related products are in and out topics for students specially among medical college
students. Aim: To determine the knowledge, attitude and practices (KAP) of medical students about voluntary blood donation. Settings and
Design:It was a cross- sectional study conducted among medical students of KRIMS,karwar ,coastal city of south india, in the months of july 2022
to December, 2022. Material and Methods: All the students ,present on the day of the survey, expressed their consent for participation were
included in the study. Apre- tested, structured questionnaire was used as a study tool. After the collection of the baseline information, a very brief
interactive awareness session, addressing voluntary blood donation was organized for the participants and their willingness to donate blood was
again noted at the conclusion of the session. The data was analyzed by using excel sheet and software. Results: 200 students participated in the
study, 100 (50%) males and 100 (50%) females. Knowledge of Voluntary Blood Donation: The mean knowledge score of participants was 70%.
Overall 190 (95.0%) participants had knowledge of their blood groups. Attitude related to blood donation: 90% study participants felt that people
should donate blood and showed intrest themselves to donate blood. Practice Relating to Blood Donation: Out of the 200 study participants,
only (30.0%) had donated blood. Intrest to donate blood after interactive awareness session raised from 85% to 95.0%. Conclusion: The study
population has relatively good knowledge and a favourable attitude about voluntary blood donation. However the prevalence of blood donation
among the students is still low, especially among the girls.