bluuebunny/crossref_metadata_2025 huggingface dataset:
Consumo de alcohol y espiritualidad en adolescentes de preparatoria de una comunidad rural del Sur de Veracruz, México
Authors: Blanco-Enríquez Francisca Elvira , Cortaza Ramírez Leticia , Baeza-Martínez Mayra Yesenia , Reyes-Padua Carlos Jhafet , Hernández-Cong Zair Alberto
Published: April 2024

Objetivo: Analizar la relación entre consumo de alcohol y espiritualidad en adolescentes de preparatoria de una comunidad rural del Sur de Veracruz, México. Material y Métodos: Estudio transversal y descriptivo-correlacional. Población: 149 adolescentes. Muestra: 110 estudiantes. Muestreo probabilístico, aleatorio estratificado. Instrumento: Test de Identificación de Trastornos debidos al Consumo de Alcohol (AUDIT) y el Cuestionario de Espiritualidad (Parsian & Dunning, 2009). Resultados: 62,7% de los estudiantes ha consumido alcohol alguna vez en la vida y 42,5% en el último año. En espiritualidad, 50% de los adolescentes reportaron nivel bajo, 32,7 % medio y 17,3% alto. El patrón de consumo de alcohol dependiente se encontró únicamente en hombres con 19%. Los adolescentes con patrón de bajo riesgo presentaron mayores porcentajes de nivel de espiritualidad media (76,9%) y alta (66,7%), los jóvenes con consumo dependiente reportaron espiritualidad baja (12,9%). Se encontró una relación negativa y estadísticamente significativa entre la espiritualidad general y consumo de alcohol (r=-,241, p=<0,05). Conclusiones: Los adolescentes de comunidad rural con consumo dependiente presentaron menores niveles de espiritualidad y se encontró relación negativa entre consumo de alcohol y espiritualidad, por lo que se sugiere como factor protector del consumo
Glomerulonefritis por SARS-CoV-2/COVID-19 en pediatría: Reporte de Caso
Authors: Endo Caceres Jorge Alberto , Gil Artunduaga Mónica Alexandra , Serna-Trejos Juan Santiago , Rojas-Hernández Juan Pablo
Published: April 2024

Se destaca el impacto del síndrome respiratorio agudo severo por SARS-CoV-2, con especial énfasis en el sistema renal, evidenciado por glomerulonefritis y lesión renal aguda. Se describe un caso específico de una niña de 5 años con SARS-CoV-2/COVID-19 y glomerulonefritis post-infecciosa. Se resalta la expresión de receptores ACE2 en el riñón, lo que hace que sea un órgano vulnerable a la infección. Se discuten los hallazgos de diversos estudios que muestran la presencia de hematuria, proteinuria y lesiones renales en pacientes con COVID-19, así como la asociación entre enfermedad renal y mayor mortalidad. Se propone un algoritmo para identificar pacientes con mayor riesgo de desarrollar enfermedad grave, basado en marcadores renales como hematuria, leucocituria y albuminuria/proteinuria, junto con niveles de antitrombina III y albúmina. La importancia de monitorizar la función renal en pacientes con COVID-19 y abordar su manejo de manera integral, considerando el riesgo aumentado de complicaciones y mortalidad asociadas con el compromiso renal.
Responsabilidad social universitaria en los alumnos del XI ciclo de medicina humana de la UNICA
Authors: Barrientos Ramos Víctor Hugo , Paolo Francesco Barrientos Salazar , Fiorella Stephanie Arone Chacaltana
Published: April 2024

A la responsabilidad social universitaria (RSU), se le debe comprender como el deber que tiene que tener una institución, para expandir los conocimientos y valores en la formación de los universitarios, en los procesos como proyección social, investigación e innovación para solucionar problemas sociales(1).Ésta exige una visión como un todo, articulando las partes de la institución en un protocolo de promoción de principios éticos y de desarrollo equitativo en estos universitarios, para su formación responsable(1).Tradicionalmente, la RSU en el mundo académico significa “extensión universitaria”, “proyección social”, “voluntariado estudiantil” o “servicio social solidario”. Pero ahora se le entiende mejor como Responsabilidad Social Universitaria(2,3).
Demonstration of a violet-distributed feedback laser with fairly small temperature dependence in current-light characteristics
Authors: Fukamachi Toshihiko , Nishinaka Junichi , Naniwae Koichi , Usuda Shuichi , Fukai Haruki , Sugitani Akihiko , Uemukai Masahiro , Tanikawa Tomoyuki , Katayama Ryuji
Published: April 2024

We have developed a GaN-based distributed feedback laser diode (DFB-LD) with the detuning of +5 nm to obtain a smaller temperature dependence of the threshold current. We found that the current-light characteristics almost overlapped up to 300 mW between 25 °C and 80 °C. The estimated characteristic temperature is about 2550 K. These indicate that our DFB-LD is promising for applications that require small temperature dependence in the output power and oscillation wavelength at constant operation current without precise temperature control.
Structural Performance of Reinforced Concrete Slab with Sugarcane Bagasse Ash and Plastic Flakes as Partial Replacement
Authors:   Department of Civil Engineering, Pan African University Institute of Science, Technology and Innovation, Nairobi, 00100, Kenya., Aliyinza Charity , Kanali Prof. Christopher ,   Agricultural and Biosystems Engineering Department, Agricultural and Biosystems Engineering Department, Jomo Kenyatta University of Agriculture and Technology, Nairobi, 00100, Kenya., Ronoh Dr. Eng. Erick ,   Agricultural and Biosystems Engineering Department, Agricultural and Biosystems Engineering Department, Jomo Kenyatta University of Agriculture and Technology, Nairobi, 00100, Kenya.
Published: April 2024

This research aims to reduce the weight of concrete structural members and promote the use of eco-friendly concrete. To achieve this, plastic flakes and sugarcane bagasse are used as additional materials in concrete production, which can partially replace fine aggregates and cement respectively. This makes structural members lighter, reducing the overall load transmitted to the foundation and the construction cost. The study investigates the effect of plastic flakes and sugarcane bagasse ash on the performance of a reinforced concrete slab. It includes workability, compressive, flexural, tensile strengths, and water absorption of different mix proportions in the fresh state. Various sugarcane and plastic flake percentage replacements of cement and fine aggregates are also investigated. The results show that the 5% SCBA and 5% plastic flake replacement ratio has better mechanical properties compared to the control concrete and other mix ratios. This ratio is used in casting the reinforced concrete slab, whose structural behavior is then investigated in terms of ultimate load, ultimate deflection, load-deflection relationship, and crack patterns. The study shows that the incorporation of sugarcane bagasse ash and plastic flakes as partial replacements improves the bearing of ultimate load capacity. Still, the slab portrays higher deflection than the control slab. The crack patterns appear in the tension zone of the slab, and the slab fails in flexion.
CLINICO-EPIDEMIOLOGICAL PROFILE OF CHILDREN WITH DOWN SYNDROME IN A TERTIARY CARE CENTRE OF WEST BENGAL
Authors: Paul Abhik , Lakra Niva , Pati Sananda , Datta Supratim
Published: April 2024

Background: Down syndrome (DS) is the commonest chromosomal aneuploidy. The clinical features are quite easily identiable, but cytogenetic
analysis is always better to conrm the diagnosis. Early identication and intervention are important to improve patient care and family
counselling. To determine the pattern and prevalence of clinical features, systemic anomalies and a Objectives: ssociated epidemiological
parameters in children with DS. An observational, descriptive study was conducted in the Department Method: of Paediatric Medicine of a tertiary
care hospital in Kolkata, West Bengal from March 2020 to August 2021. The children aged between 1 month to 12 years, satisfying the inclusion
and exclusion criteria were included. They were subjected to detailed history taking, clinical examination, required hematological & radiological
investigations and treatment for the present illness. 96 boys (48%) and 104 girls (52%) were analys Results: ed giving a male to female ratio of
0.9:1. The commonest age group was 1-12 months (52%). Majority of mothers (42%) were in the age group of 20-24 years & only 10% of mothers
were above 34 years of age at conception. None of the mothers underwent antenatal screening for DS. Up slanting palpebral ssure was noted in
92% of them. Children less than 3 years of age had statistically signicant lower (<5th percentile) weight for age, height for age and head
circumference. 82% had congenital cardiac anomaly. Atrio-ventricular septal defect (AVSD) was the most common (43.9%) cardiac defect. Males
had higher prevalence of hypothyroidism than females (p value: 0.011). Cytogenetically, 196 had free trisomy-21 (98%), three had Robertsonian
translocation (1.5%) and one had mosaicism (0.5%). The study concludes more female affection for DS. Conclusions: Younger mothers had more
DS babies. Craniofacial features were most commonly observed. Trisomy 21 was the most common cytogenetic abnormality. AVSD was the major
cardiac defect. Male DS children had more hypothyroidism than female.
A CLINICAL STUDY TO ASSSESS THE CLINICAL PRESENTATION AND OUTCOME IN PREGANANT WOMEN WITH THROMBOCYOTPENIA
Authors: Siwach Aakanksha , Meena Priyanka , Saini Divya , Lal Meena Mohan
Published: April 2024

Introduction: Gestational thrombocytopenia is dened as platelet count less than 1,50,000/μl and forms the second most common cause of
hematological disorders in pregnancy. The women with thrombocytopenia in pregnancy need to be carefully evaluated and the causes determined.
Methodology: It is a hospital based prospective observational study conducted over a period of 6 months. All pregnant women attending OPD at
the department of obstetrics and gynecology, SMS Medical College, Jaipur for antenatal checkup were included for the study and blood sample was
taken. Result: The 145( incidence-36.25%) pregnant women with thrombocytopenia attending the antenatal clinic were included in the study. The
most common cause of thrombocytopenia in pregnancy was gestational thrombocytopenia seen in 75 (51.72%) women, followed by hypertensive
disorders in 46 ( 31.72%) women. The coagulopathy was seen in 12 (8.28%) women, hepatic disease in 6 (4.14%) women. 5(3.45%) women had
dengue IgM positive and 1 woman was diagnosed with ITP. Conclusion: The gestational thrombocytopenia is the most common benign cause of
thrombocytopenia in pregnancy. The women with thrombocytopenia require careful monitoring to improve the fetomaternal outcome.
EXPLORING THE CORRELATION BETWEEN COVID-19 VACCINATION AND THE INCIDENCE OF MYOCARDITIS AND MYOCARDIAL INFARCTION: A NARRATIVE REVIEW
Authors: Rajeshkumar Oza Yugam , Joshi Helly Mayankkumar , Thakkar Jay Jigneshkumar , Nilmanthi De Silva K.H.P.Pumudu , Kulasinghe Nethuki Akithma
Published: April 2024

Background: Acute respiratory illness coronavirus disease 2019 (COVID-19), linked to the SARS-CoV-2 RNA virus, rst appeared in Wuhan,
China, in December 2019. The mRNA vaccines by Pzer, Moderna, and Johnson & Johnson were given emergency approval by international
regulatory bodies. The vaccination campaign was started in India against SARS-CoV-2 on 13th January 2021 with the administration of two types
of vaccines, namely Covaxin and Covishield. There is not much research done on nding an association between different COVID-19 vaccines and
myocarditis or myocardial infarction (MI). Discussion: Adetailed search was performed using the platforms Google Scholar and Pubmed, and we
have included case reports, case studies, and systematic reviews in our review. The manuscript aims to explore the correlation between the
administration of COVID-19 vaccines and the incidence of cardiovascular symptoms such as myocarditis and MI. We have also taken into
consideration the vaccines administered in India and the cardiovascular adverse events associated with them. The review discusses various
possible reasons that can lead to the development of myocarditis and MI post-COVID-19 vaccination. The articles studied reveal several cases of
myocarditis and MI which develop in the patients receiving mRNA vaccines, Covishield and Covaxin. The vaccines have shown tremendous
efcacy against SARS-Cov-2 and as the benets outweigh the risks, it is recommended that everyone should take the vaccines.
ANAESTHETIC TECHNIQUE OF LOW DOSE SADDLE SPINAL ANAESTHESIA IN AN ELDERLY MALE WITH LOW EJECTION FRACTION SCHEDULDED FOR TURP --- A CASE REPORT.
Authors: Kapadiya Sandip
Published: April 2024

Ischaemic heart disease patient with low cardiac reserve( ef—30% ) undergoing non-cardiac surgery poses a challenge for the anesthesiologist to
manage it efciently.usually such patients are at increased risk of congestive cardiac failure (CCF) , life threatening arrhythmias and acute
ischemic events. The anesthesiologist must have complete understanding of its haemodynamics, diagnostic evaluations, treatment modalities and
more so regarding uid shifts and various drug interactions during anesthesia. We report successful management of a patient having ishemic heart
disease with low ejection fraction of around 30% who underwent trans-urethral resection of prostate under saddle spinal anaesthesia with fentanyl
as an adjuvant.
EFFECTS OF DIRECT SWALLOWING TRAINING ALONE AND COMBINED WITH ORAL SENSORIMOTOR STIMULATION ON ORAL FEEDING ABILITY IN PRETERM INFANTS
Authors: Kalirajan Balakrishnan Ajith Krishnaa , Murthy. D. V Venkatesh , E Adarsh.
Published: April 2024

Aim: To evaluate the efcacy of DST alone and combined OSMS (DST+OSMS) administered before oral feeds in facilitating oral feeding
acquisition in preterm neonates. To assess the oral feeding skills in preterm neonates. To compare Objectives: oral feeding with the DST alone and
OSMS group in terms of feeding acquisition skills in preterm neonates. Prospective observational st Method: udy involving 35 preterm neonates.
Preterm neonates included in the study will be assigned to either DST or DST+OSMS group. Interventions will be provided before the start of oral
feeding, 48 hrs after NCPAP discontinuation. Interventions will be provided by trained occupational therapists along with consultation with
neonatal consultant The correlation between Prociency (%vol taken in 5min/vol prescribed)-ml in bo Results: th groups was statistically
signicant in our study (p=0.01). The comparison of overall transfer of milk changes (% volume taken / volume prescribed) and overall rate of
transfer changes (ml/min volume of milk consumed relative to the duration of oral feeding session) from beginning of oral feeds to 100% feeds was
statistically signicant in DST + OSMS group in our study (p=0.001). The correlation between weight gain and duration of stay was statistically
signicant with the DST + OSMS group in our study (p=0.008). The correlation between Weight gain and Overall Transfer of milk at 100% oral
feeds-ml in the DST + OSMS group was statistically signicant in this study (p=0.046*). The correlation weight changes from beginning to
discharge was statistically signicant in DST + OSMS group in our study (p=0.001). The effect of DS Conclusion: T on prociency appeared later
than that of DST +OSMS. These patterns of prociency may have inuenced the subsequent achievement of feeding milestones. Overall the effect
of DST + OSMS in terms of weight gain, duration of stay, overall milk transfer was better than the DST group.
NAVIGATING PARAQUAT POISONING: A CASE REPORT UNRAVELLING THE COMPLEX JOURNEY FROM ACUTE KIDNEY INJURY AND PULMONARY COLLAPSE TO RECOVERY
Authors: Varshney Swarnim , Mashru Vidhi , Patel Abhishek , Oza Yugam
Published: April 2024

Introduction Paraquat poisoning holds on to its diabolical status with different outcomes to different trials of management. Life threatening
complication occur involving pulmonary and renal system occasionally setting into sepsis. Purpose: To report our observations and experience of
managing this patient who came with deliberate self harm with paraquat which was complicated by pulmonary and renal toxicity.Patient was
managed using immunosuppressive, hemodialysis and anti brotic therapy Method Descriptive study of a patient admitted to ICU of tertiary care
hospital of south Gujarat with diagnosis of Paraquat poisoning was performed with follow up of 1 week Conclusion Paraquat poisoning is
uncommon or rather unexplored term in eld of medicine in India with a lot of under reporting. It remains to hold high mortality There is a denite
role of immunosuppressant in patient with moderate to severe poisoning
ARTIFICIAL INTELLIGENCE IN NURSING
Authors: P Vadivukkarasi , Sharma Priya
Published: April 2024

Articial Intelligence (AI) is a branch of computer science that focuses
on creating intelligent machines capable of performing tasks that
typically require human intelligence. The ultimate goal of AI is to
develop systems that can learn, reason, problem-solve, and understand
natural language, among other cognitive abilities. AI is a
multidisciplinary eld that draws from various domains such as
computer science, mathematics, neuroscience, and cognitive science.
This article explores on Articial Intelligence in various eld,
utilization in Health and in Nursing.
3 GENERATIONS OF LOBSTER CLAW SYNDROME: A RARITY
Authors: Kumavat Vandana , Shah Camy , Potdar Shailaja
Published: April 2024

Ectrodactyly also known as Split hand/foot malformation is a rare limb deformity with majorly expressing as an autosomal dominant inheritance
with variable penetrance, commonly known as "lobster claw hand". Usually, it involves midline clefts of the hands and feet with syndactyly. Here
we are reporting an autosomal dominant non-syndromic ectrodactyly with syndactyly in an Indian family expressing three generations.
TO STUDY THE EFFECT OF BLOOD PRESSURE REDUCTION WITH BETA BLOCKERS IN HYPERTENSION ON INTRAOCULAR PRESSURE
Authors: Gawle Pratibha , Chahande Sujata
Published: April 2024

Background Objectives: Previous studies have shown an association between systemic hypertension and intraocular pressure (IOP). To study the
relationship between the blood pressure reduction with beta blockers in hypertension on intraocular pressure A cross sectional, Methods:
observational study conducted at tertiary care hospital, Maharashtra. Ethical clearance was obtained before the start of the study. By purposive
sampling and hospital admissions, 30 hypertensive patients on B blockers were studied. The IOP of each eye was measured once with a noncontact
tonometer at presentation and 30days of follow up. The reduction in IOP with decreasing BP was studied. The study was conducted after ethics
committee permission and obtaining informed consent In our study the mean IOP was 14.83± 1.533mmHg Results: in the right eye and 14.883±
1.69 mmHg in the left eye. The mean IOP measured 30days of follow up after the patients became normotensive was 13.833± 1.583 mmHg in the
right and 13.90 ± 1.583in the left eye. There was decrease in the IOPs seen after BP reduction that was not statistically signicant with P value>
0.05. The study ndings show that with decrease in blood pressure iop decreases and this may thus h Conclusions: elp for the management of
glaucoma patients with comorbidity like hypertension, and may further provide new insight into the pathophysiologic processes underlying
increase in IOP.
TREATMENT OF CLASS I MALOCCLUSION WITH LOWER INCISOR EXTRACTION- A CASE REPORT
Authors: Foujdar Abdulrehman , Rekhate Chaitali , Rekulwad Nitin , Patil Leena , Khavnekar Shalvika , Pai Deeksha
Published: April 2024

Distal movement of posterior teeth, labial movement of incisors, interproximal enamel reduction, junking of premolars, junking of one or two
incisors, and colourful combinations of the forenamed are presently used procedures for crowded mandibular anterior teeth. It might be gruelling to
choose the right course of action, and not every situation will t under every rule. Single mandibular incisor extraction isn't a common orthodontic
treatment. A 16- time-old girl with a Class I malocclusion is the subject of a case study that details her mandibular incisor extraction procedure,
which revealed a substantial mandibular low length insufciency and mandibular tooth- size excess. The degree of mandibular anterior dental
crowding in this case, the mandibular tooth- size that's presently present, and the dental midline distinction were indicated the extraction of one
mandibular incisor
A PROSPECTIVE STUDY OF THE CLINICOPATHOLOGICAL CORELATION AND RISK FACTORS OF ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSAL WOMEN IN A TERTIARY CARE HOSPITAL
Authors: Somaiya Hetvi , Plave Tushar , U Sakina , T Rajashree
Published: April 2024

Introduction: Abnormal Uterine Bleeding (AUB) is dened as any deviation from the normal menstrual cycle that is abnormal in regularity,
duration, volume and frequency. AUB may be accompanied by pain and discomfort which presents a substantial burden on patient's health, quality
of life, society and healthcare system. There is also an increased incidence of associated co-morbidities like thyroid disease, diabetes and
hypertension in AUB cases. Aim: 1. To study the risk factors of abnormal uterine bleeding in perimenopausal women.2. To study the spectrum of
histopathological changes of the endometrium in perimenopausal bleeding with abnormal uterine bleeding. Materials and Methods: This is a
prospective observational study conducted in the Obstetrics and Gynecology department of a tertiary care hospital. Data was collected from
patients who agreed to undergo dilatationa and curettage/endometrial biopsy and be a part of the study with the help of detailed questionnaire after
due approval from the instituitional ethics committee. Data was analysed using Microsoft excel and latest version of SPSS. Results: As age
increases the incidence of AUB also increases, leiomyoma being the most common cause, followed by endometrial causes, adenomyosis and
ovarian causes. Common risk factors associated include obesity, hypertension, diabetes mellitus and hypothyroidism. Histopathological changes
associated with AUB include secretory endometrium with chronic cervicitis, endometrial hyperplasia without atypia, proliferative endometrium,
disordered endometrium, endometrial polyp without atypia, leiomyoma, scanty endometrium and no signicant abnormality. Conclusion: AUB
was most commonly found in 45-49 years age group, leiomyoma being the most common cause, obesity being the most commonly associated risk
factor and secretory endometrium being the most common histopathological nding associated.
MONITORING OF SURFACE RADIATION DOSE TO PATIENTS AND PERSONNEL DURING ERCP FOR OPTIMIZATION OF INSTITUTIONAL PRACTICE
Authors: Jain Mukesh , Sharma Ramesh Chand , Joan Mary , Chougule Arun
Published: April 2024

Endoscopic Retrograde Cholangio-Pancreatography (ERCP) uses ionizing radiation and hence associated with radiation hazards. The present
study analyses the prospective estimates of the radiation doses received by patients and personnel during ERCP, optimizes the radiation dose
during therapeutic ERCP, estimates the risk for personnel and patients and compares the doses with available data and reference levels. Dose Area
Product (DAP) measurements were used to estimate the effective dose (ED) to patients undergoing ERCP. ADAPmeter was tted to the x-ray tube
before each of the ERCP procedure. 60 ERCP procedures of therapeutic intent are evaluated. All the procedures were performed on Allengers HF
uoroscope. The procedure completion time observed varied between 10 minutes to 35 minutes with a median of 20 minutes. Optically Stimulated
Luminescence Dosimeters (OSLDs) were used to measure radiation exposure to the abdomen, thyroid surface, forehead and hands of the personnel
performing the procedure and center of anterior and posterior body surface of the patient undergoing the procedure. Median dose to abdomen,
thyroid surface, forehead and hands measured for personnel. The diagnostic reference level for ERCPin the study is 13.82 Gy.cm2 (75th percentile
DAP) while the UK DRL is 16.7 Gy.cm2. Routine radiation dose monitoring is a valuable tool for reducing both patient and staff radiation doses.
The ERCP type (diagnostic or therapeutic), uoroscopic parameters and the complexity of each clinical case will denitely affect radiation dose
received. The number of procedures performed routinely plays a vital contribution to the cumulative dose to the personnel.
IMPROVED NEONATAL OUTCOMES WITH LIVE OR RECORDED MATERNAL VOICE : A HOSPITAL BASED RANDOMISED TRIAL
Authors: Aslam. N Yusuf , Murthy D.V Venkatesh , E Adarsh . , G Sahana
Published: April 2024

Aim: Interventions that improve oral feeding may reduce the delay in achieving full oral feed, thereby improving weight gain, reducing the
hospital stay. and related healthcare costs.Objective: To determine the effect of exposure to maternal voice in the form of live or recorded.
readings. from a selection of children books or any other book of mother's choice on day of initiation of oral feed, weight gain
and duration of hospital stay. Methods: This was a hospital based prospective, randomised, open labelled, parallel group trial
conducted among inborn preterm infants with gestational age between. 28. and. 34+6. weeks. admitted to the Neonatal
Intensive. Care Unit. (NICU), Rajarajeswari Medical College & Hospital, Bangalore between January 2023, and December
2023.Results: The present study included a total of 34 inborn preterm infants – 17 in the intervention and 17 in the control
group. At baseline, the intervention and controls groups did not vary signicantly by gestational age, birth weight, gender , presence or
absence of intraventricular haemorrhage, periventricular haemorrhage, necrotizing enterocolitis, family history of hearing loss, maternal
morbidity, day of study start, weight (in grams) and length (in cms) at the start of study (p>0.05). The follow up showed that, the day
at full feed was signicantly shorter (MD -8.29, 95% CI -10.52 to -6.06), weight gain (in grams) was signicantly higher (MD 163.53, 95%
CI 37.62 to 289.44), and the length of hospital stay (in days) was signicantly shorter (MD -19.35, 95% CI -26.12 to -12.60) in the
intervention group, in comparison with the control group (p<0.05).Conclusion: These ndings underscore the importance of
incorporating maternal voice interventions into the care protocols for preterm infants in the NICU setting. Furthermore, the non-invasive
nature of the intervention makes it feasible to implement in NICU settings without adding signicant burden to healthcare providers or
families.
A COMPARATIVE STUDY OF TESTICULAR VOLUME TO ASSESS TESTICULAR ATROPHY IN PEDIATRIC AGE GROUP BY SERIAL ULTRASONOGRAPHY IN UNDESCENDED TESTIS BEFORE AND AFTER ORCHIDOPEXY
Authors: Furqan M Mohammed , Tambat Ramesh M , Sai P. Kuladeep
Published: April 2024

Cryptorchidism is the absence of at least one testicle from the scrotum.It is the most common congenital anomaly in boys and occurs in 3% to 9% of
all full-term male neonates.1 In this study, we investigated post-orchidopexy testicular growth of UDTs at different primary locations and
determined the risk factors for Testicular Atrophy(TA). This was a single center hospital based Prospective Observational Study conducted on
patients with Undescended Testis(UDT) in the department of general surgery at SIMS & RC from from April 2022 to February 2024. Ethical
committee clearance was obtained prior to the study and a total of 50 patients were included in the study. Patient prole, age at operation, primary
UDTlocation, and testicular volume where noted. TAwas dened >/=50% loss of volume after orchidopexy. The primary endpoints were testicular
growth and TAafter orchidopexy. RESULTS: Patients were distributed according to their age and majority were found to be in the age group of 1-3
years-28(56%) and mean +/- SD is 5.18+/-2.13. Distribution according to primary location was done and majority were found to be in Inguinal
canal 74%, followed by at level of supercial ring 10%.Patients were distributed according to premature birth and majority 82% were >37 weeks
gestational age who took oral iron therapy. Scrotal volumes were measured at 0 and 6 months post operatively and was found to have an increase in
testicular volume with mean SD of 0.32. TArates were 2%(1/50), 6%(3/50) and 16%(8/50) in primary suprascrotal, canalicular and above inguinal
UDTs. Testicular rates were found to be higher in patients who had primary testicular location above the inguinal canal. Testicular growth was
found to be more signicant with early orchidopexy and with patients having suprascrotal and canalicular UDTs.
MIROS FIXATION IN DISTAL END RADIUS FRACTURES
Authors: Patel Viral , Tilavat Anuj , Patel Tirth , Patel Parth , Patel Vaibhav , Pandya Bhagya , Shah Parth
Published: April 2024

Introduction: 8% to 15% of all fractures are distal radius fractures[1]. Falls on the outstretched hand with the wrist in dorsiexion result in the
majority of fractures. Minimally Invasive Reduction Osteosynthesis System (MIROS) is a type of elastic metaphyseomedullary xation that is
mostly utilized for cancellous bone fractures. It is held in place by tiny external clamps. This approach fully adheres to the contemporary idea of
surgery for the conservation of soft tissue (sparing surgery tissue) by enabling a quick and non-aggressive osteosynthesis with little to no tissue
injury. Our goal was to present a new method for treating distal end radius fractures using the Minimally Invasive Reduction Osteosynthesis
System. To assess the functional and radiological outcome of MIROS in the management of distal end r Aim: Methods: adius fractures. We carried
out a prospective study of 80 patients in a tertiary care Centre who had been diagnosed with extra-articular type of distal end radius fracture
(Frykman Type I and II) and been treated using MIROS external xator system. The subjects were followed up till a period of 16 weeks and
assessed for radiological union time, fracture site collapse, mechanical stability of implant, and complications associated with MIROS external
xator. Then, the results were studied. MIROS xator in cases of Type I and II type of distal end ra Results: dius fracture gave similar results as
percutaneous k wire xation, if not better. In fact, MIROS xation had various advantages over k wire xation like, Immediate mobilization, no
post-operative plaster cast, lower probability of wire back out, lower chance of RSD, low or no blood loss and patient compliance. The operative
time, IITV radiation time was also reduced. In fractures of distal end radius Frykman type I and II, Conclusion: MIROS as a new modality had
good outcomes and should be considered as one of the treatment modality for these fracture patterns.
ISOLATED GIANT RENAL HYDATID CYST; A RARE CLINICAL PRESENTATION
Authors: De Debapratim , Mandal Arnab , Mridha Sagar , Dey Sombuddha , Das Subhabrata
Published: April 2024

Hydatid cyst or cystic Echinococcosis is a parasitic infestation caused by the larval stage of the Echinococcus tape worm. It causes cysts to form in
various organs, most commonly the liver A 26-year-old female patient, presented with an, abdominal lump, gradually enlarging over 6 months.
Clinical examination revealed an intra-abdominal mass occupying the right upper quadrant, moving with respiration. Imaging ndings were of a
single, uni-locular cyst, in close proximity to the liver and right kidney, likely to be a hydatid cyst of the liver. On surgery, surprisingly, the cyst was
found to be arising from upper pole of right kidney without any other organ involvement, and containing clear uid and hydatid sand;
histopathology conrmed hydatid cyst.
UNMASKING STREPTOCOCCUS PYOGENES: THE DEADLY FOE IN NECROTIZING SOFT TISSUE INFECTIONS
Authors: Reddy P. Vasavi , Sondhi Aditi , Hazra Nandita , Anand Kavita Bala
Published: April 2024

Necrotizing soft tissue infections (NSTIs) that are caused by Streptococcus pyogenes are serious life-threatening illnesses, which can cause septic
shock associated with the highest morbidity and mortality. This case series aims to study the clinical presentation, treatment outcomes, and factors
affecting morbidity and mortality of patients with S. pyogenes-related NSTIs. A case series of 4 patients with S. pyogenes-related NSTIs were
admitted from January 2022 to December 2022. Results were recorded and compared using descriptive statistical analysis. We included 4 patients
(male to female ratio 3:1) of NSTI with a median age of 57 years (range 37 years to 82 years). Out of 4 cases, 3 cases showed NSTI in lower limbs.
The mortality rate of NSTI due to S. pyogenes is (3/4) 75% in this study. The poor outcomes in those cases were mostly related to delay in
presentation, underlying comorbidities, threshold of infection, total area of infection, metabolic conditions, involvement of multi-dysfunction
(Hepatic and renal), delay in intervention and mostly the virulence of organism which can cause toxic shock syndrome.
Enhancing WASH Infrastructure in Schools: Best Practices for Improved Menstrual Health and Hygiene Among Students.
Authors: S Rashmi , Amoghashree Amoghashree , Kumar D Sunil
Published: April 2024

In 2010, the United Nations acknowledged the right to safe water,
sanitation, and hygiene (WASH) as a fundamental human right. The
signicance of WASH is underscored by Goal 6 of the Sustainable
Development Goals (SDGs), emphasizing the universal achievement
of these essentials due to their critical role in public health. Despite this
global recognition, the reality in 2019 revealed stark disparities, with
2.2 billion people lacking safe drinking water, 4.2 billion lacking safe
sanitation, and 673 million practicing open defecation worldwide.(1)
The Government of India has demonstrated a commitment to ensuring
sanitation facilities for every child in the country. Initiatives like the
Total Sanitation Campaign(TSC), introduced in 1999, aimed to extend
sanitation coverage nationwide, with a particular focus on rural areas.
Within the TSC framework, School Sanitation Hygiene Education
(SSHE) has been prioritized, emphasizing the installation of toilets in
every school. This dual focus aims to increase school attendance,
particularly by addressing security concerns for girls, and to enhance
overall health outcomes by mitigating the risk of diseases.(2) A parallel
effort by the government, the Swachh Bharat Swachh Vidyalaya
initiative, further reinforces the commitment to ensuring that all Indian
schools possess fully functional and well-maintained water, sanitation,
and hygiene facilities. These concerted actions align with the broader
global goals of promoting WASH as a fundamental human right and
addressing disparities in access to these essentials.(3) As we navigate
the challenges of the 21st century, the transformative power of WASH
cannot be overstated. By recognizing these elements as fundamental
human rights, addressing disparities, and implementing
comprehensive strategies, we can unlock a healthier, more sustainable
future for all. Research has shown that insufcient school toilet
facilities negatively impact academic achievement by contributing to
elevated rates of adolescent dropout, particularly among girls. (4,5)
This perspective article puts light on the necessity of WASH facilities
at schools for complete health of girl child.
NAVIGATING AMH AND AFC DISCORDANCE: INSIGHTS FROM A RETROSPECTIVE COHORT STUDY
Authors: Surendran Deepthi , Gopinathan K. K. , Nair Soumya
Published: April 2024

Introduction: The management of controlled ovarian hyperstimulation (COH) is a crucial aspect of assisted reproductive technology (ART)
treatments. To get the best possible treatment outcomes, ovarian response must be accurately assessed and predicted. In women undergoing
IVF/ICSI, a number of markers, including as anti-Müllerian hormone (AMH) and antral follicle count (AFC), have shown promise as predictive
indicators of ovarian reserve and treatment outcomes. Discordance between AMH and AFC levels is a barrier in identifying the most predictive
marker for IVF results, notwithstanding their signicance. In women with reduced ovarian reserve, this study sought to determine whether AMH
and AFC are more or less useful in predicting the results of in vitro fertilization (IVF) when these indicators are inconsistent. Materials and
Method: A retrospective cohort analysis encompassing women having IVF/ICSI between January till December 2022 was carried out at CIMAR,
Edappal Hospital, Kerala. Patients received customized COH procedures, and participants were divided between three distinct categories based on
preset cut-off values by measuring AMH and AFC levels. To determine how the groups differed in terms of AMH, AFC, and other IVF outcomes,
statistical analyses were performed using chi-square tests and one-way ANOVA. AMH and AFC levels var Results: ied signicantly amongst each
of the three groups, with greater amounts being linked to improved ovarian response. On the other hand, there were no appreciable variations in the
number of embryos or the rates of fertilization. The group with the greatest AMH had the highest continuing pregnancy rate, suggesting that AMH
may be useful in predicting the fate of pregnancies. Further evidence of increased sensitivity to stimulation protocols was shown by lower baseline
FSH levels and a higher follicle-to-oocyte index in the high AFC group. This work highlights the diff Discussion: erent aspects of ovarian reserve
that AMH and AFC represent. Both indicators provide important information about ovarian response as well as treatment results, although they
might not always line up to predict the success of in vitro fertilization. Adapting treatment strategies to a patient's unique AMH-AFC prole may
improve treatment outcomes. To conrm these results and clarify the specic functions of AMH and AFC in directing therapeutic decision-making
in ART, more investigation is necessary.
Effect of supplementing maize with yam peel meal on the growth performance, carcass characteristics, and cost benefit of rabbit production
Authors: Ekwe O. O. , Nwali C. C , Mgbabu C. N. , Nwonu S. R
Published: April 2024

A 56 - days study was conducted to evaluate the effect of replacing maize with yam peel meal on the growth performance and carcass characteristics of growing rabbits. Eighteen (18) growing rabbits of mixed sexes age between 6-8 weeks were used for the study. The rabbits were randomly allotted into three treatment groups in a completely randomized design (CRD). Each treatment was replicated three times having two rabbits per replicate. Three experimental diets were formulated with YPM at varying levels of replacement. The replacement levels of YPM was 0% for control, 20% and 30% representing T2 and T3, respectively. Each of the diets was offered ad-libitum to the rabbits. Parameters studied include feed intake, weight gain, feed conversion ratio, carcass characteristics and cost benefit ratio. Carcass evaluation was done at the 56th day. Cost implication of supplementing maize with YPM was calculated at the end of the experiment. Data was analyzed by one-way analysis of variance ANOVA using Duncan's new multiple range Test. The result showed a non-significant (P>0.05) differences in the body weight and feed conversion ratio among treatments. There were significant (P<0.05) differences in the feed intake of the rabbits. Rabbit fed T2 (20%) and T3 (30%) consumed significantly more feed than rabbits fed T1 (0%). There was no significant (P>0.05) difference for all the parameters considered for carcass traits except kidney. The total feed cost per kg reduced as the replacement levels of YPM in the diets increased. Therefore, the control diet (0%YPM) was more expensive than the diets containing 20% and 30% YPM, respectively. The cost of feed/kg live weight gain was higher for the control diet (0% YPM) when compared with T2 and T3. The results of this study suggest that YPM can replace maize up to 30% optimal level without any deleterious effect on the growth and carcass characteristics of growing rabbits.
Woonstart. GGZprogramma bij Cosis (1). Drie jaar programmatisch werken aan herstel
Authors: Zijlstra Annemarie , Docter Lenneke , Timmer Corine , Wunderink Charlotte
Published: April 2024

In een tweeluik worden in dit eerste deel de achtergrond van het Woonstartprogramma en het programma zelf beschreven (opzet, inhoud en organisatie), en daarnaast de resultaten van een kwantitatief onderzoek naar de doelgroep. In het tweede deel wordt ingegaan, mede op basis van het kwalitatieve onderzoek dat meeliep met de uitvoering van het programma, op de ervaringen bij de implementatie. Beide artikelen staan in deze aflevering van Participatie en herstel en zij vertellen gezamenlijk het verhaal over programmatisch werken aan herstel met Woonstart bij zorgorganisatie Cosis.
Woonstart (2). Ervaringen met implementatie
Authors: Wunderink Charlotte , Timmer Corine , Zijlstra Annemarie , Kingma Marieke , Docter Lenneke
Published: April 2024

In dit tweede deel over het ggz-programma Woonstart bij Cosis delen de auteurs hun ervaringen met de implementatie. Ze gaan ook in op het kwalitatieve onderzoek dat meeliep met de uitvoering van het programma. Het onderzoek werd uitgevoerd in samenwerking met het lectoraat Maatschappelijke participatie van mensen met psychische beperkingen van de Hanzehogeschool. Op blz. 4-15 vindt u het eerste deel van het tweeluik. Ervaringen met de implementatie van Woonstart Woonstart als programma ggz was de gekozen manier om het werken vanuit de herstelvisie te borgen zowel in de inhoudelijke begeleiding als in de bedrijfsprocessen, inclusief de inzet van fi nanciën en vastgoed. De op waarden zoals ‘hoop bieden’, ‘ontwikkelen & leren’ en ‘bondgenootschap’ gebaseerde herstelvisie (en de bijbehorende manier methodische manier van werken, de IRB) moest leidend zijn voor alle ggz-cliënten, ook als uitstroom naar zelfstandig wonen op de korte termijn niet haalbaar is. Het verankeren en doorontwikkelen van Woonstart past in de langetermijnstrategie van Cosis.
Nogmaals over eenzaamheid en ASS
Authors: van der Meere Jaap
Published: April 2024

In het WTA-nummer 3 van 2015 vindt u een overzichtsartikel over de thematiek eenzaamheid en autisme, geschreven op ons verzoek, door de Turkse hoogleraar Baris Korkman. In zijn bijdrage werden tal van aspecten rond eenzaamheid besproken, waaronder de risico’s voor psychiatrische problematiek. Al met al komt eenzaamheid veel voor bij mensen met autisme met vaak enorme consequenties voor hun kwaliteit van leven, aldus Korkman. Aangekomen bij de neurobiologie bespreekt hij studies die aangeven dat eenzaamheid en autisme op dezelfde hersengebieden laden, wat de immens complexe vraag rond causaliteit illustreert, temeer omdat mensen met autisme, anders dan vaak wordt gedacht, wel degelijk op zoek zijn naar vriendschap, menselijke warmte en intimiteit (zie ook Strunz et al., 2017).
A EDUCAÇÃO DE JOVENS E ADULTOS, A FORMAÇÃO DE LEITORES E DIMENSÕES INTERATIVAS COM AS TECNOLOGIAS
Authors: Adriana Adriana de Almeida , Heloisa Josiele Santos Carreiro  , Nádia Souza de Araújo Coral  , Tatiane Oliveira Santos Pereira Abreu
Published: April 2024

A Educação de Jovens e Adultos (EJA) no Brasil é uma modalidade da educação que abrange indivíduos que foram cerceados do direito de frequentar a escola em idade própria. No âmbito das inúmeras reformas educacionais implementadas no país, a formação tem sido discutida e avaliada tendo em vista as mudanças significativas ocorridas nos processos produtivos, na organização do trabalho, nas novas tecnologias e nas políticas públicas educacionais. Objetiva-se problematizar a formação inicial de professores da EJA, a partir da importância da literatura e das tecnologias digitais em processos alfabetizadores, identificando formas de inserção de obras literárias como acesso aos bens culturais nacionais. A metodologia de pesquisa, de natureza qualitativa, mapeou estudos, pesquisas e ações extensionistas produzidas em âmbito digital e nos ateliês de formação de professores promovidos pela universidade pública em escolas da região Leste Fluminense do Estado do Rio de Janeiro. Dos resultados, verificou-se a intensificação da utilização da literatura e da poesia e, particularmente, com a utilização de diferentes meios digitais como principais vias metodológicas em sala de aula. Como forma de investigação da narrativa, utilizou-se a aplicação de questionários a quarenta professores. A partir dessa análise qualitativa, foi possível problematizar as práticas de Formação Inicial e Continuada de professores, e colaborar com os processos didáticos-pedagógicos das práticas docentes a fim de garantir o direito à educação.
A Neglected issue in the History of Education and Training: Women Students of University College London 1870-1930
Authors:   , Stevenson Julie
Published: April 2024

This thesis investigates the participation of women in higher and further education in the period 1870-1930. It focuses specifically on women who studied scientific, technical and vocational subjects at two London based institutions: UCL and the polytechnic at Regents Street, aiming to determine the extent to which women were involved, both numerically and as a proportion of the total student body in each establishment.
A Study of Impact of Chronic Pain on Lifestyle and resource usage in the community
Authors:   , Latham Jane
Published: April 2024

This exploratory and descriptive study of the impact of chronic pain in the community is based on two general practices, one in London and the other in the south of England.
An Icelandic Midwifery Saga - Coming to Light, "With woman" and connective ways of knowing.
Authors:   , Olafsdottir Olof Asta
Published: April 2024

The aim of this thesis was to explore storytelling of Icelandic midwives' working lives, in the period from the mid twentieth century to the present time. This ethnographic narrative study was designed with a broad perspective looking at birth stories of midwives as a mine full of their knowledge to identify and uncover. Interviews were conducted with twenty midwives to collect birth-stories that represent the social and cultural world of childbirth and midwifery in Iceland, and theory was to arise inductively from the midwives' own telling.
Cointegration Analysis - Exports & Economic Performance in Developing Economies
Authors:   , Muleta-Erena Temesgen
Published: April 2024

This thesis tests the theory of export-led growth in developing economies, mainly the case where export expansion is considered to be the primary determinant of growth rate differences among developing economies' growth and the capability to catch up the higher productivity of developed economies.
Distance Learning in the African Context: The learning resource requirements of the students at the Open University of Tanzania, and the extent to which they are met.
Authors:   , Mcharazo Alli
Published: April 2024

There are financial and other constratints on expanding the traditional higher education system in most developing countries. Distance education is one response to this. The Open University of Tanzania (OUT) admitted its first students in January 1994. This research uses OUT as a case study to investigate the actual learning resource requirements of its students and the extent to which they are met. Fieldwork involving interviewing and observation was carried out in six regions of Tanzania. The results indicate that the programmes provided by OUT were popular with students. They also indicate that distance learners have unique learning resource needs and that these are not being fulfilled.