bluuebunny/crossref_metadata_2025 huggingface dataset:
Desafíos que Enfrentan las Empresas en Términos de Infraestructura, Tecnologías y Recursos Humanos para Mejorar su Gestión Logística
Authors: Mejía Maribel , Sanchez Juan , De-La-Cruz Carlos , Bermejo Yonatan , Rojas-Millan Rafael
Published: August 2024

El documento aborda los desafíos logísticos que enfrentan las empresas colombianas debido a la infraestructura inadecuada, falta de tecnologías avanzadas y la escasez de personal capacitado. Estos problemas impactan negativamente la eficiencia y competitividad de las empresas en el mercado global. La investigación se realizó a través de una revisión bibliográfica utilizando bases de datos de alto impacto como Scopus, Web of Science y Science Direct. Se emplearon términos de búsqueda específicos relacionados con logística y tecnologías. La búsqueda inicial arrojó 258 documentos, de los cuales se seleccionaron 21 estudios relevantes que se enfocaban en tecnologías para la logística y la gestión de la cadena de suministro. El proceso incluyó la revisión de títulos y resúmenes para asegurar la pertinencia de los estudios seleccionados. Los artículos fueron leídos en su totalidad para confirmar su relevancia y calidad metodológica. Se creó una tabla de extracción de datos para recopilar información clave de cada estudio, incluyendo autor, año de publicación, objetivos, metodología, resultados y conclusiones. Los hallazgos fueron sintetizados de manera narrativa y agrupados por temas principales tales como, Infraestructura de transporte insuficiente, Adopción limitada de tecnologías avanzadas, Falta de capacitación y Potencial de las TIC. Se concluye se requiere una inversión sustancial en infraestructura de transporte, adopción de tecnologías avanzadas y capacitación continua del personal. Las empresas deben implementar sistemas de información modernos y promover programas de formación. Además, se sugiere la creación de políticas públicas que apoyen el desarrollo de infraestructura y tecnología, mejorando así la gestión logística y la competitividad internacional de las empresas colombianas
Estigma de identidad sexual y apoyo social entre los hombres que tienen sexo con otros hombres en Central y Asunción, Paraguay: un análisis cualitativo
Authors: Ríos-González Carlos Miguel , Recalde Recalde Guillermo Daniel , Jacquet Tatiana
Published: August 2024

Introducción: El estigma relacionado con la identidad sexual, especialmente entre HSH, sigue siendo un desafío importante en muchas culturas, este estigma puede aparecer de varias maneras, desde una discriminación explícita hasta estereotipos más discretos, y puede afectar negativamente la salud mental y emocional de quienes lo sufren. Objetivo: Analizar el estigma de identidad sexual y apoyo social entre los hombres que tienen sexo con otros hombres en Central y Asunción, Paraguay durante el 2024. Metodología: Estudio cualitativo, fenomenológico de tipo descriptivo y explicativo. Las categorías de análisis consideradas en este estudio fueron: a) Estigma y apoyo social en la comunidad en general, b) Divulgación de identidad sexual a la comunidad en general, c) Divulgación de identidad sexual a familiares y amigos y d) Estigma y apoyo social en la comunidad de LGBT. Resultados: Participaron del estudio, nueve HSH, donde los testimonios revelan el profundo anhelo de vivir con autenticidad y libertad. Los HSH en Paraguay desean poder ser ellos mismos sin temor a ser juzgados o rechazados, anhelan relaciones abiertas y honestas, y aspiran a una comunidad donde puedan compartir experiencias y apoyarse mutuamente Conclusión: Los HSH enfrentan obstáculos en su crecimiento y unión como comunidad. La ausencia de una comunidad fuerte y unida dificulta el apoyo mutuo y el desarrollo personal, además de la competencia y la falta de colaboración entre organizaciones e individuos crean un ambiente dividido, donde cada uno busca sus propios beneficios en lugar de trabajar juntos por el bien de todos.
Step-by-step total laparoscopic hysterectomy
Authors: Chatterjee Abhinibesh , Dutta Annesha , Chatterjee Polly
Published: August 2024

Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. In this short communication, we would like to share our experience of 1000 cases of total hysterectomy done laparoscopically witbout having caused any intraoperative or post operative complications.
Effects of raloxifene use on cardiovascular disease risk determinants in postmenopausal women
Authors: Ciftci Banu , Guner Haldun
Published: August 2024

Background: Raloxifene is a selective estrogen receptor modulator (SERM) that binds to estrogen receptors with high affinity, acting as an estrogen agonist or antagonist in a tissue-specific manner. This study aimed to evaluate the effect of raloxifene on various cardiovascular risk determinants in postmenopausal women and to compare these effects with those in a control group.
Methods: The study was conducted as a prospective, open, matched case-control study at Gazi University Hospital. A total of 100 postmenopausal women were included. Fifty postmenopausal women with osteoporosis received 60 mg of raloxifene daily. The other fifty healthy postmenopausal women in the control group received no treatment. After one year, changes in cardiovascular risk markers compared to baseline values were evaluated in both the treatment and control groups. The plasma determinants evaluated included total cholesterol, LDL, HDL, triglycerides, lipoprotein (a), Apo A, Apo B, homocysteine, hs-CRP, and fibrinogen. Carotid intima-media thickness, an important radiologic indicator of cardiovascular risk, was also measured and compared between the groups.
Results: After the study, raloxifene was found to decrease levels of total cholesterol, LDL, homocysteine, and fibrinogen, but it did not affect HDL, triglyceride, Apo B, lipoprotein (a), and hs-CRP levels. There were no differences between the baseline values of the groups or the values of the control group after the study period. In the control group, there was a significant increase in carotid intima-media thickness compared to baseline values, while no such difference was observed in the raloxifene group.
Conclusions: Raloxifene caused favorable changes in many biochemical and radiologic cardiovascular risk determinants compared to the control group. Further clinical studies are needed to determine whether these effects are associated with cardiovascular protection.
Pattern recognition for prenatal sonographic diagnosis of most congenital heart disease: the “7×2” CHD algorithm
Authors: Elhabashy Ahmed
Published: August 2024

Background: Congenital heart defects (CHD) are common anomalies and are commonly missed prenatally because of the difficult learning curve of fetal echocardiography. The aim study was to establish an algorithm to review most of the fetal CHD using a simple pattern recognition that will provide easy approach for their diagnosis. To our best knowledge this is the first algorithm that gather the salient sonographic features of most CHD.
Methods: We had reviewed 66 cases of CHD that were gathered by one tertiary center from January 2020 till December 2023. We used an algorithmic path to allow easy deferential diagnosis of these anomalies by using certain sonographic features (we call them: altered key points). This work reviewed 14 fetal CHD. After exclusion of isolated ventricular septal defect (VSD).
Results: Each 2 of these CHD has a common altered key point during echocardiography. These 7 key points are: right dominance, left dominance, absent crossover of great arteries, aorta override VSD, abnormal crux, abnormal area behind the heart and abnormal three vessels trachea view. These 14 anomalies were grouped in tables with their salient sonographic markers for easy mind mapping during echocardiography.
Conclusions: The “7×2” CHD algorithm is a simple way that allow easy recognition of 14 fetal CHD by focusing on 7 altered key points that can be recognized on the common sonographic views where each of them has 2 main differential diagnosis. These 14 anomalies represents most of the CHD (78%) after exclusion of isolated VSD.
Expectant management versus termination of pregnancy in preterm premature rupture of membranes at 34 to 36+6 weeks gestation: a randomised control trial
Authors: Kaur Amanjot , Jain Vanita , Bagga Rashmi , Radhika S. , Venkataseshan S.
Published: August 2024

Background: This research work aimed to study the effect of expectant management till 37 weeks on various maternal and neonatal outcomes in comparison delivery at 34 weeks in pregnant women with pPROM.
Methods: All pregnant women presenting to our tertiary care institution with pPROM at a viable gestational age fulfilling the inclusion and exclusion criteria were managed conservatively till 37 weeks. The maternal and neonatal outcomes were noted and compared with women with pPROM who delivered at 34 weeks of gestation.
Results: There is no significant increase in the neonatal or maternal sepsis in the patients with preterm premature rupture of membranes managed conservatively beyond 34 weeks period of gestation. Two third of the patients managed conservatively had spontaneous onset of labor thereby reducing the complications of induction of labor. In addition, 44% of patients managed expectantly gained >5 days of maturity beyond 34 weeks.
Conclusions: Expectant management of pPROM beyond 34 weeks period of gestation may be an alternative to immediate delivery.
Comparison of combination of mifepristone and misoprostol with misoprostol alone in management of intrauterine death
Authors: Rajkumar  , Sharma Mamta
Published: August 2024

Background: Intrauterine fetal death is one of the most devastating obstetric complications. A clinically accepted definition of IUFD is the death of fetus at or after 20 weeks of pregnancy, but for international comparison WHO has now recommended IUFD as a baby born with no signs of life at or after 28 weeks of gestation.
Methods: The prospective analytical study was be conducted in the department of obstetrics and gynecology at government medical college and J. K. Loan Hospital Kota over a 1 June 2021 to 30 November 2022 year women with intrauterine death after 28 weeks of gestation are studied. 120 pregnant women were divided randomly, alternatively into two groups of 60 each. Group I (combination regimen)- women received 200 mg mifepristone orally and misoprostol after 24 hours. Group II (misoprostol group).
Results: We included 120 patients with late IUD and found that the mean induction to delivery interval was 9.98 hours in combination group where as it was 14.2 hours in misoprostol only group. This provides a good alternate regimen in the management of late intrauterine deaths.
Conclusions: The combination of mifepristone and misoprostol for induction of labour in IUFD has shorter induction to delivery interval and lesser number of misoprostol doses usage when compared to only-misoprostol group. However, conventional regimen with misoprostol alone may be appropriate in settings where cost is a prohibitive factor.
Retrospective study of maternal and fetal neonatal outcome of dengue virus infection during pregnancy at a tertiary care hospital
Authors: Samyukthanjali Mulakala , M. Munikrishna
Published: August 2024

Background: Dengue fever, a viral infection prevalent in tropical and subtropical areas, exhibits a varied clinical course. While a significant portion of infected individuals remain asymptomatic, the illness can range from a minimal febrile illness to life-threatening dengue shock syndrome. The most common presentation is a self-resolving febrile episode lasting 2-7 days, accompanied by severe headaches, myalgia, arthralgia, nausea, vomiting, and fatigue. However, a critical phase can follow the initial defervescence, characterized by severe abdominal pain, persistent vomiting, and hemorrhagic manifestations. Early recognition and management of severe dengue are essential for optimal outcomes. Females within their reproductive window residing in endemic regions of dengue are susceptible to infection. This study seeks to elucidate the association between dengue virus infection with pregnancy followed with subsequent neonatal outcome, maternal complications.
Methods: A retrospective observational study at was conducted at R. L. Jalappa Hospital and Research Centre, Kolar, India. The study examined the medical records of 28 pregnant women diagnosed with Dengue fever between January 2022 and January 2024.
Results: The study participants mean age was 25.6±5.2 years. Out of total, 50% cases were primi gravida and remaining 50% cases were multi gravida. Of total, 39% cases were required platelet transfusion. Among the study participants, total 11 (39.3%) cases ad presence of PPH, 10 (35.7%) cases delivered preterm babies and 1 maternal death was noted due to dengue fever. Of total, 17.9% fetal distress occurred, 42.9% baby required NICU admission after birth and 28.8% IUD were noted.
Conclusions: Severe dengue during pregnancy may raise the risk of obstetric haemorrhage, preeclampsia, and eclampsia, as well as increasing the chance of foetal distress, caesarean delivery, and mother death.
A study on assessment of knowledge and acceptance of human papilloma virus vaccination among the parents of adolescent girls of North Karnataka
Authors: Badakali Meenakshi A. , R. Manjula
Published: August 2024

Background: Infection with the human papillomavirus (HPV) is the most common sexually transmitted infection (STI). In India, cervical cancer is the second most common women’s cancer in the country. Approximately 80% of cancers caused by HPV can be prevented by administering the HPV vaccine. The current study was taken up to identify the factors influencing HPV knowledge and vaccine acceptance in the parents of adolescent girls.
Methods: A school based cross sectional study design was used. A total of 240 parents participated in the present study. A predesigned questionnaire was used for obtaining their knowledge and acceptance of HPV vaccine for their children. Statistical analysis was done using SPSS software 19.0.
Results: In the present study only 49.6% of them had acceptance about HPV vaccinations for their daughters. 78.3% of them felt that vaccine could prevent infection and could be safe. 54.6% knew about cervical cancer. 34.2% of them felt that the vaccine is painful and may have side effects. 50.8% of them thought that their children are too young to get cervical cancer. 74.6% felt the protection from the vaccine is short lived.
Conclusions: Despite the high efficacy rate of HPV vaccines, adolescent vaccine coverage is very poor due to lack of awareness of its efficacy and safety among parents of adolescent children. Concerted efforts are needed by public and private healthcare sectors to increase the awareness of the disease and increase HPV vaccine coverage.
Perinatal outcome in intracytoplasmic sperm injection conception versus spontaneous conception: a retrospective study
Authors: Jayakumar Nandhini , Shankar Kundavi , Asokan Yamini , V. Geetha , G. V. Rashmi , Naaram Nithya M. , K. R. Hema Niveda
Published: August 2024

Background: Aim of the study was to compare the perinatal outcome between intracytoplasmic sperm injection (ICSI) conception and spontaneous conception. The retrospective analysis of perinatal outcome between the ICSI conception and spontaneous conception was conducted in Institute of Reproductive Medicine, Madras Medical Mission Hospital, Chennai.
Methods: All singleton babies delivered in Institute of Reproductive Medicine between January 2023 to December 2023 had been included in this study. Patient selection was done based on inclusion and exclusion criteria. All data regarding the study variables were collected from the maternal and newborn case sheets, neonatal intensive care unit (NICU) register and parturition register retrospectively and chi square test was used to analyse the statistical significance.
Results: In this study, 50 spontaneous conceptions and 50 ICSI conceptions were included. The advanced maternal age (p=0.00015), gestational age at delivery (p=0.003), mode of delivery (p=0.003), birth weight (p=0.005), and Apgar score at 5 min (p=0.004) were found to be statistically significant. The incidence of intrauterine growth restriction (IUGR), NICU admissions, lower segment caesarean section (LSCS) rate, Doppler changes, and need for antenatal steroids was also found to be higher in the ICSI conception group.
Conclusions: This study concluded ICSI conception is associated with higher chances of adverse perinatal morbidity in comparison with spontaneous conception. Further studies in large scale are needed to bring out the exact mechanism of these complications associated with these adverse perinatal outcomes.
Effectiveness of single versus multiple doses of antibiotics in elective cesarean section for prevention of post operative morbidity
Authors: Kodanda Rama Bhavya , Mariyappa Narayana Swamy
Published: August 2024

Background: Caesarean section is one of the commonest major abdominal surgeries worldwide given to its increasing rate. The most common post-operative complication following caesarean section is considered as the infective morbidity. Many studies have shown a clear advantage of antibiotic prophylaxis in the reduction of postoperative infective morbidity. However, indiscriminate use of antibiotics is still being continued in many centres. This study was aimed at comparing the efficacy of single versus multiple doses of antibiotics in preventing postoperative morbidity following Elective caesarean section.
Methods: This was a prospective comparative study that included 200 patients undergoing elective caesarean section at SNR District Hospital, Kolar, during the study period. These patients were divided into two groups, group 1 received single dose of Inj ceftriaxone 2gm I/V and group 2 received a single dose of Inj ceftriaxone 1 gm I/V within 30-60 mins of commencement of surgery followed by Inj ceftriaxone 1gm I/V BID for 5 days post-operatively. Patients were followed up prospectively for the development of infective morbidity in the form of surgical site infections.
Results: Mean age, mean haemoglobin levels, and duration of surgery were comparable in patients with SSI in both groups. The incidence of surgical site infection was found to be 10% in the patients who received single dose antibiotic prophylaxis which was comparable with 9.5% in multiple dose group.
Conclusions: Single-dose antibiotic prophylaxis is as effective as multiple-dose antibiotic prophylaxis in elective caesarean section in preventing post operative infective morbidity.
Unusual pregnancy in the rudimentary horn of the uterus
Authors: Shetty Anusha S. , Tondge Ganesh
Published: August 2024

Mullerian anomalies are rare to be diagnosed, most of the females with Mullerian anomalies go undiagnosed, as they remain asymptomatic. It is a rare clinical scenario that surprises clinicians since it poses difficulty in diagnosis and treatment. Hereby, we describe a case of a 24-year-old, gravid-2-abortion-1 woman who complained of increased abdominal pain and vaginal bleeding with 9 weeks pregnancy. During past laparoscopic surgeries, she was diagnosed of having a bicornuate-uterus. The first sonography reported a bicornuate uterus with a missed-abortion of 9 weeks. As she was taken up for suction-evacuation, suspicion of a unicornuate-uterus with rudimentary horn raised as no products of conception were evacuated. Repeat ultrasound and MRI demonstrated a gestation sac in the non-communicating rudimentary horn attached to the unicornuate uterus. Further diagnostic hysteroscopy and laparoscopy confirmed the diagnosis of pregnancy in the non-communicating rudimentary horn of the unicornuate uterus with a right-sided ovarian cyst not separately seen from the right-sided fallopian tube and ovary for which the decision of laparoscopic resection of the rudimentary horn and right salpingo-oophorectomy was made. Patient was later discharged without any complications and was advised contraception for the next 6-12 months. Further consultations for infertility and urinary tract abnormalities were organized. Though rare, cases of Mullerian anomalies need to be addressed with utmost care because usually they might present with symptoms of pain or infertility, but rarely they might have catastrophic consequences such as rupture of the rudimentary horn. Hence, prompt diagnosis and management are necessary.
Intrauterine retained fetal bony spicules: an unusual finding in a case of intestinal obstruction
Authors: Sridevi R. , Nithiya S.
Published: August 2024

Prolonged Intrauterine retention of the foetal skeleton has not been adequately reported. Ossification represents retained foetal bone following spontaneous, missed, incomplete, or therapeutic abortion after 12 weeks of gestation. Various theories on the existence of osseous tissue within the uterine cavity have arisen from the diagnostic spectrum. However, sporadic cases of osseous metaplasia of the endometrial stromal cells without prior pregnancy loss have been reported. We report the case of an 18-year-old woman with an obstetric score of abortion 1 who presented with an acute abdomen in a surgical casualty. Ultrasonography revealed intrauterine hyperechoic foci, suggestive of a chronic retained foreign body. CECT revealed tubo-ovarian abscess, peritonitis, and intestinal obstruction. This case highlights the impact of retained foetal bones on the potential health risk of women. Dilatation and curettage performed for hyperechoic foci in the uterine cavity revealed chronic retained intrauterine bony spicules which were later confirmed by histopathology.
Torsion at thirteen: a case report of paraovarian cyst with ovarian torsion in an adolescent girl
Authors: Kashi Ashwini , R. Sheela S.
Published: August 2024

Paraovarian cysts represent 5-20% of all adnexal masses; identified in 15.7% of patients undergoing operative laparoscopy. It is diagnosed when complications like cyst torsion, rupture, haemorrhage and neoplasm. Ovarian torsion contributes ~2.7% of all acute abdomen in children, as early as 5 years of life. A 13 years old girl came to OBG department with complaints of mild pain abdomen in lower left abdomen. Vitals stable, body mass index (BMI) 33.6 kg/m2. On palpation, mild tenderness noted in the left iliac fossa. Ultrasound showed a paraovarian cyst. Patient attenders were not willing for surgical intervention, patient discharged against medical advice. Patient presented to emergency department 10 days later with complaints of pain abdomen since morning, localised to left lower abdomen with vomiting. History of fever since 5 days, now resolved. Patient vitals-pulse of 102 b/min, blood pressure (BP) 100/70mm of Hg. Biomarkers within normal limits. Ultrasound showed bulky (volume ~110 cc) left ovary with absent vascularity on Doppler; a cystic lesion in left adnexa measuring ~7.1×5.9×6.1 cm (vol ~137 cc) likely paraovarian cyst. She underwent Exploratory laparotomy with left salpingo-oophorectomy with left ovarian cystectomy done. Post-operative period uneventful. Histopathology reported as features consistent with torsion of left ovary with paraovarian cyst. In this case of an adolescent girl, if operative intervention was done at first presentation, isolated left paraovarian cystectomy with fertility sparing surgery. The role of expectant management in paraovarian cyst is being studied. Hence, paraovarian cyst should be considered in differential diagnosis of adnexal mass.
Aplastic anemia in pregnancy: an unequivocal nightmare for the obstetricians
Authors: M. Ponn Malar Janani , Rajan Niranjana
Published: August 2024

Aplastic anemia is a rare blood disorder characterized by pancytopenia and hypocellular bone marrow. It is a serious, life-threatening condition that may manifest during pregnancy and imposes a great challenge on management. The major causes of morbidity and mortality are hemorrhage and sepsis. The present case report describes our experience with a pregnant patient with aplastic anemia who was managed with hematologist support, leading to a successful outcome. A 26-year-old primigravida with no significant previous medical history was diagnosed with aplastic anemia at 22 weeks of gestation. She was managed with multiple erythrocytes, platelet transfusion, eltrombopeg, prednisolone, and immunosuppressive therapy. At 34 weeks of gestation, she underwent an elective caesarean section under general anesthesia for a severe intrauterine growth-restricted fetus. The postpartum period was uneventful. Management of aplastic anemia in pregnancy remains controversial, with no clear guidelines as there are only a few case reports. Hence, it warrants a comprehensive multidisciplinary-team approach in order to devise an obstetric, hematological, anesthetic, and neonatal plan and anticipate complications during the peripartum period. And it is possible to have a successful outcome with recent advances in supportive care and blood transfusions. This case is discussed because of its rarity and highlights the challenges involved in its diagnosis, treatment, and follow-up.
Pregnancy complicated by myoma: a case report
Authors: Dulewad S. S. , Temurkar Shraddha , Satpute Kajol
Published: August 2024

Leiomyomas are the most common benign tumor of the uterus and affects 40% to 50% of women. Most of them are asymptomatic (70-80%) but 5% are symptomatic. Fibroid in pregnancy affects its outcomes. Fibroid in pregnancy can be managed conservatively or surgically in the form of myomectomy or hysterectomy. Fibroids when present are associated with complications in 10-40% of pregnant patients like abdominal pain, spontaneous abortion etc.
Penile reconstruction post-oncologic surgery: comprehensive approaches
Authors: F. Fernández-Varela-Gomez , Anceno-Olivares Alec , Jiménez-Marco María Fernanda , Salas-Vázquez María Natividad , Flores-Pérez Fidel Iván , Nuñez-Castellanos Luis Enrique
Published: August 2024

Post-oncologic penile reconstruction aims to restore penile form and function following surgical resection due to penile cancer. This reconstructive surgery is essential as treatments like partial or total penectomy can severely impact a patient’s quality of life. The primary goals include maintaining urinary and sexual function while achieving a cosmetically acceptable result. Techniques range from simple resurfacing of the glans to complex procedures like phalloplasty, while penile-sparing therapies, including topical treatments and laser ablation, are also used to minimize disfigurement. Penile cancer, predominantly squamous cell carcinoma, is rare but more prevalent in developing countries, with risk factors such as human papillomavirus (HPV) infection and poor hygiene. The preoperative evaluation involves assessing comorbidities, psychological state, and functional capacity to ensure optimal outcomes. Criteria for reconstruction include the extent of the defect, oncological status, and desired outcomes. Techniques employed in reconstruction include local, inguinal, anterolateral thigh, and myocutaneous flaps, as well as grafts and alloplastic materials. Innovations in surgical methodologies and multidisciplinary strategies have significantly improved outcomes. However, complications, including high perioperative morbidity, underscore the need for careful patient selection and management. Psychosocial support is crucial for optimal recovery and quality of life, emphasizing the importance of a comprehensive, patient-centered approach in post-oncologic penile reconstruction. This holistic approach ensures that patients not only achieve cancer survival but also maintain a high quality of life following their treatment.
Outcome of early and delayed closure of temporary ileostomy in children
Authors: Hossain Arman , Islam M. Kabirul , Matin Abdul , Lota Rozina Akter , Islam Faridul , Islam Raihan , Rahman Sharmin
Published: August 2024

Background: Ileostomy is frequently utilized in the surgical management of various congenital and acquired gastrointestinal conditions, often leading to significant patient morbidities. This study aimed to evaluate the outcomes of early versus delayed closure of temporary ileostomies.
Method: A prospective comparative interventional study was conducted at Dhaka Shishu (Children) Hospital from March 2017 to September 2019. A total of 48 patients with temporary loop ileostomies were included based on specific inclusion and exclusion criteria. These patients were randomly divided into two groups: early closure (Group A, n=25) and delayed closure (Group B, n=23). Comparative parameters included wound infection, anastomotic leakage, and incisional hernia, with a follow-up period of 6 months postoperatively.
Results: In the early closure group, over 50% of patients were less than 1 month old, while 78.3% in the delayed closure group were aged 2-3 months. The cohort comprised 26 males (54.2%) and 22 females (45.8%). Group A patients had a significantly lower mean weight than group B (p<0.05). The predominant diagnosis in both groups was meconium ileus, followed by volvulus neonatorum, small gut atresia, and typhoid ulcer perforation. Post-closure, the overall wound infection rate was 35.4% (40.0% in group A and 30.4% in group B). Anastomotic leakage occurred in 8.0% of group A and 13.0% of group B. Incisional hernia developed in 4.0% of group A and 13.0% of group B (p=0.388). Mortality rates were 4.0% in group A and 8.7% in group B (p=0.601).
Conclusion: Early closure of temporary loop ileostomy appears to be a comparatively safe option with lower morbidity, suggesting it as a viable alternative to delayed closure.
Management of early hollow viscus perforation: laparoscopic repair in contrast to laparotomy repair
Authors: Shaik Nadigadda Mohammed Shukur , Shaik Kalesha
Published: August 2024

Background: Acute abdomen refers to severe abdominal pain that occurs suddenly. This study was conducted to compare open versus laparoscopic repair for the treatment of early hollow viscus perforation.
Methods: The study involved 50 patients of both genders, divided into two groups. Group I underwent laparoscopic repair, while group II underwent open repair. Variables such as the time taken for resumption of daily activities and operative time were recorded for all patients. Study was done in Kamineni institute of medical sciences, Narketpally Nalgonda (d.t) Telangana prospective observational study for a period from March 2023 to April 2024.
Results: Abdominal distension occurred before pain in 7 patients in group I and 6 patients in group II, after pain in 4 patients in group I and 3 patients in group II, and with pain in 14 patients in group I and 16 patients in group II. Bilious vomiting was observed in 12 patients in group I and 11 patients in group II, while no vomiting occurred in 13 patients in group I and 14 patients in group II. Gastric perforation was diagnosed in 5 patients in group I and 5 patients in group II, ileal perforation in 2 patients in group I and 3 patients in group II, and duodenal perforation in 18 patients in group I and 17 patients in group II. The difference was significant (p<0.05).
Conclusions: This study compared laparoscopic and open repair for hollow viscus perforation in 50 patients. Both groups had similar demographics and initial clinical characteristics. The laparoscopic group experienced significantly shorter surgical times (102.08 vs. 133.52 minutes, p<0.0001), shorter hospital stays (most discharged within 7-14 days vs. 14-21 days), and quicker resumption of daily activities (9.32 vs. 13.68 days, p=0.0042). These findings suggest that laparoscopic repair offers advantages in terms of faster recovery and reduced hospital stays compared to open repair, making it a preferable option for managing hollow viscus perforations.
A case report on rare case of left thigh recurrent liposarcoma
Authors: Nathani Prakher B. , Patel Sahil M. , Dholariya Meet V. , Chothani Manav
Published: August 2024

Lipomas are non-cancerous growths made up of mature fat cells and are considered the most common type of tumor, with an estimated occurrence rate of 10%. They can develop anywhere in the body, typically weighing a few grams and usually measuring less than 2 cm in size. Liposarcomas, on the other hand, represent 10% to 35% of all soft tissue sarcomas, comprising 24% of those found in the limbs and 45% in the abdominal cavity. These tumors can emerge in any area where fat is present and exhibit a variety of histological features, as well as diverse imaging characteristics and behaviors. We have studied a case of a 56-year-old male patient who presented with a complaint of swelling in left thigh since last 4 years, which varied in size with time. The patient was investigated and underwent surgical excision. diagnosis of liposarcoma was confirmed with histology. Lipomas have the potential to transform into one of three types of liposarcomas. Therefore, it is crucial to reevaluate the conventional view of all lipomas as benign growths and consider diverse approaches, as they can occasionally progress to a sarcomatous state. Aggressive forms often require a combination of surgery, chemotherapy, and radiation therapy for treatment. It is crucial to distinguish between different subtypes of liposarcomas due to their significant implications for treatment and prognosis. Liposarcomas tend to affect individuals aged 40 to 60 years, with an equal likelihood in both men and women.
Prevalence of obesity in Kirkuk governorate/Iraq
Authors: Musafer Karar Nadhum Jawad , Alsheikh Sarah Mohammed
Published: August 2024

Our aim in this study was to estimate the prevalence of overweight and obesity and their association among adults in Iraq, particularly in Kirkuk governorate. Data from a representative cross-sectional survey at the governorate level for 2024 for 425 people aged 18 years and older, men and women, who responded to the questionnaire. The results of the questionnaire were analyzed to diagnose the association of obesity with multiple factors, according to the questionnaire. To know the social, demographic, and health risk factors for obesity that can be used in the future in the Kirkuk community. We used the Microsoft Excel program to analyze the results collected from the questionnaire. The study indicated a small percentage of chronic diseases in the Kirkuk community, most of which were blood pressure, diabetes, and irritable bowel diseases. The Kirkuk community was young; most of the age rates were around the second decade of life, and the smoking rate was about a quarter. In Kirkuk society, height rates are acceptable and are around 175 cm. Body mass index rates indicate that most of the participants are overweight (25 kg/m), and this may lead to future obesity problems among the participants. The study suggests conducting a more comprehensive survey, starting awareness campaigns about the dangers of obesity, practising the minimum amount of exercise, adhering to reasonable limits of healthy eating, and changing the sedentary lifestyle.
Análisis de instrumentos financieros innovadores para el sector de agua y saneamiento en América Latina y el Caribe
Authors: Cardozo Tomás , Serricchio Cristian , Jimenez Lina , Lautaro Pedro
Published: August 2024

Este documento se enfoca en la situación actual del financiamiento sostenible en el sector de Agua y Saneamiento (AyS) y sus desafíos y barreras de acceso en la región. Adicionalmente, expone casos de éxito de empresas públicas y privadas de AyS en la región, las cuales han utilizado satisfactoriamente instrumentos financieros innovadores para canalizar recursos económicos. Asimismo, presenta oportunidades para la implementación de soluciones financieras sostenibles en el sector, y las condiciones necesarias para una realización exitosa.
Maturity Model: Adaptative Social Protection System
Authors: Beazley Rodolfo , Taboada Julieta Soledad , Bagolle Alexandre , Chavez Mendoza Cecilia , Tejerina Luis
Published: August 2024

Adaptive social protection refers to the utilization of social protection systems and programs to enhance the ability of impoverished and vulnerable households to withstand and recover from various shocks, such as those associated with climate change.The maturity model is an assessment tool that seeks to measure the capacity of social protection systems to fulfill these new functions. This model is organized into 7 dimensions and consists of 50 indicators. It assesses the level of maturity of the system across 5 different levels. The interconnectedness and reciprocal influence across these dimensions ensure a holistic examination, preventing fragmented approaches and offering a comprehensive perspective of the system.
The Relationship Between Interpersonal Communication and Assertive Behavior With Intrapersonal Conflict
Authors: Mumpuni Katarina Rizky Sri , Suharsono Suharsono , Budi Daniel Purwoko
Published: August 2024

Interpersonal communication and assertive behavior with intrapersonal conflict in employees are important factors in the work atmosphere, of one of the state-owned banks. Quantitative method research with multiple linear regression analysis techniques on the three variables. Based on the results of the analysis that have a highly significant negative relationship between interpersonal communication and assertive behavior with intrapersonal conflict in employees, and partially a highly significant negative between interpersonal communication and intrapersonal conflict, and there is no relationship between assertive behavior and intrapersonal conflict in employees at one of the state-owned banks.
The Meaning of Worship for Religious People in The Covid-19 Pandemic: a Phenomenological Research
Authors: Kusmiati Yopi , Minangsih Kalsum , Legistiana Tantya , Santoso Edi , Gunawan YP Wahyu , Hermawati Yanti
Published: August 2024

This research examines the meaning of worship in five religions (Islam, Christianity, Catholicism, Hinduism, Buddhism, and Confucianism) in Indonesia referring to phenomenological research. The research method used in this research is a qualitative method with a phenomenological approach. The data collection techniques used in this research were observation, in-depth interviews, and documentation. This study's informants used as research subjects were religious figures and followers of Islam, Catholic Christians, Protestant Christians, Buddhists, Hindus, and Confucians. This research found several ideas for worship during the COVID-19 pandemic. First, those who think there is no difference in the implementation of worship before and during the pandemic. Second, those who worship at home during the pandemic follow government regulations. Based on the opinions of informants who have explained many things regarding the implementation of worship during the pandemic, it can be concluded that several meanings of worship are worshiping with a sincere heart, purity of orientation, presenting God in the heart, praising God, listening to God's word, and being transcendental. Twenty-three informants may continue to pray at places of worship during the pandemic, and fifteen informants pray at home, according to policies issued by the government.
Interpersonal Music Communication in the Serenade Bunga Bangsa Music Group in the Song Anjayeng Bawana
Authors: Atika Atika Septiana Laksmi
Published: August 2024

This research aims to determine the interpersonal musical communication of the Bunga Bangsa Serenade music group. This research uses qualitative methods with observation techniques and collects field data in stages. Observations were conducted at nine meetings at the DIY Culture Service, Yogyakarta Cultural Park, and the Ballroom of the Alana Palagan Hotel. After observation, a two-stage coding process was carried out. The first stage is to observe the communication between the performer and the musicians and choir during the practice process. Meanwhile, the second stage compiled categories consisting of communication, musical and non-musical vocabulary, and musical and non-musical gestures towards performers with musicians and choirs. The research results show that interpersonal musical communication can only be done during the practice process, whereas when the concert occurs, it relies only on musical gestures. This is due to the habit of using verbal rather than nonverbal communication during practice.
Active Mobility Assessment in the City of Bamenda
Authors: Kwenui Tachi Cliford , Tezong Steffel Ludivin Feudjio , Fondzenyuy Stephen Kome , Celestino Sergio , Usami Davide Shingo
Published: August 2024

Embarking on active mobility strategies, by promoting cycling and walking as transport modes in combination with public transport to facilitate longer distances can greatly influence cities' livability. Active mobility forms part of Sustainable Urban Mobility Planning. The inadequacy of sidewalks, which include narrow, uneven, obstructed, or even absent sidewalks, poses significant challenges and safety risks for pedestrians, who are among the most vulnerable road users. The study aimed at examining the active mobility infrastructure in the city of Bamenda and identifying the various barriers involved. Quantitative and qualitative data were collected through survey, inspection, interviews as well as secondary data sources. A sample size of 250 was used to represent the population of the focus area and considering the parameters on the checklist used, the average adequacy, which represents the qualitative score of the active mobility infrastructure for the six areas surveyed, was rated at 6.31 percent. Walking is the mode of travel predominantly used in the city of Bamenda as almost half of the total daily trips (48.8%) are made on foot in combination with taxis but unfortunately, initiatives have focused on roads and intersections meant for motorist travel and not on a systematic diagnosis of active mobility, especially sidewalk safety. The roads in the city are poorly designed with streetlights, pedestrian crossings, and sidewalks visibly absent or partially obstructed by permanent obstacles and street vendors. Traffic safety is the leading factor, with a significant influence of 82.0% on active mobility. Good health is another important factor influencing the preference for walking or cycling, with a score of 70.40%. Thus, traffic safety and good health are interconnected factors that significantly influence the preference for walking or cycling in Bamenda. Consequently, pedestrian infrastructure need urgent improvement while cycling facilities are still to be conceived and implemented in the city by the policymakers. Thus, active mobility reduces reliance on private vehicles, alleviates traffic congestion, contributing to a more sustainable transportation system by lowering greenhouse gas emissions and reducing air pollution.
Nahdatul Ulama' (NU) and Identity Politics Practice in The 2019 Presidential Election(Study in Paciran Lamongan Village)
Authors: Al-Amin Mukayat , Marijan Kacung , Muhammad Asfar
Published: August 2024

Nahdatul Ulama' is a religious social organization that has the largest followers in Indonesia and KH Ma'ruf Amin is a high leader of Nahdatul Ulama' who in the 2019 election paired with Joko Widodo ran for vice president of the Republic of Indonesia for the 2019-2014 period. see and analyze the role of Nahdatul Ulama in winning the candidate pair Jokowi-Ma'ruf Amin in Paciran Lamongan village, which is the base of Muhammadiyah? This research seeks to analyze the identity politics practices carried out by Nahdatul Ulama' in Paciran Lamongan village to win the presidential candidate pair Jokowi-Ma'ruf Amin. The research results show that the winning process carried out by Nahdatul Ulama' not only used the structural and network resources it had but also used identity politics practices which were used as a tool of political struggle by Nahdatul Ulama' to win Jokowi-Ma'ruf Amin.
Training Needs Assessment for managers of Technical and Vocational Education and training providers in Namibia
Authors: Aloovi Onesmus Aloovi , Sisinyize Nico L.
Published: August 2024

This mixed-method research study aimed at determining the training needs for managers of Technical and Vocational Education and Training providers in Namibia by employing both qualitative and quantitative data collection methods simultaneously. The research findings revealed that managers of Technical and Vocational training providers did not attend capacity building training within the last 2 years. This implies a lack of structured and coordinated continuous development activities. Financial management, risk management and performance evaluation skills emerge to be areas where managers perform poorly, and these are the areas where training may be needed to maximise performance. Research findings indicate that TVET managers are short of skills to set strategic goals, recruitment, and delegation. In addition, the research findings revealed that most managers possess a good level of proficiency in intrapersonal skills, except for emotional literacy and humility. This indicates that some TVET managers are unable to recognize, understand, and effectively manage emotions, both in oneself and in others. Therefore, there is a need for continuous professional development activities, to ensure that TVET managers remain relevant to their job roles. Lastly, the research findings revealed that interpersonal skills such as communication, collaboration, and conflict resolution skills are recognized as essential for fostering a positive learning environment in any TVET centre as well as cultivate relationships with diverse stakeholders. Therefore, it is important for TVET managers to be capacitated in interpersonal skills to enhance their effectiveness in leading and managing technical and vocational education programmes.
Grounds and Conditions for Awarding Compensation for Violation of the Right to Trial or the Right to Enforce a Court Act within a Reasonable Term: Relevant Issues
Authors:   Senior Lecturer of the Department of Civil Procedure Law of the Kazan Branch of the Russian State University of Justice, Chernov Konstantin N.
Published: August 2024

This article deals with the grounds and conditions that are an important element in the mechanism for protecting the violated rights of Russian citizens / legal entities for a reasonable period of legal proceedings. The grounds and conditions may differ depending on the complexity of the case, the behavior of the participants in arbitration proceedings and a number of other criteria.
The Establishment of the Social Insurance Fund of the Russian Federation as a Private Case of a Ground for Procedural Succession
Authors:   Associate Professor of the Department of Civil Procedure of the Ural State Law University Named after V.F. Yakovlev, Nechaev Aleksandr I.
Published: August 2024

The article is devoted to the procedural issues arising in connection with the Social Fund created in January 2023, which combined the functions of the previously existing Pension Fund of Russia and the Social Insurance Fund. The article is about the question of grounds for replacing these funds as a successor in civil cases.