bluuebunny/crossref_metadata_2025 huggingface dataset:
NAVIGATING THE MAZE OF FEMALE INFERTILITY: A REVIEW OF FACTORS AFFECTING YOUNG WOMEN ACROSS CULTURES AND CONDITIONS
Authors: Murani Siya
Published: November 2024

This comprehensive review aims to examine the multifaceted factors affecting infertility among young women across
different countries and racial groups. An in-depth review of recent literature was conducted, synthesizing findings from
diverse studies on biological, environmental, and societal factors influencing fertility in young women. The review highlights the significant
impact of age, reproductive health history, sexually transmitted infections, lifestyle factors, and environmental toxins on fertility. It also explores
the effects of chronic diseases such as congenital heart disease, chronic kidney disease, and rheumatoid arthritis on reproductive health as well as
emerging factors like elevated serum uric acid levels. The review also addresses the impact of anti-cancer therapies, bacterial colonization, and
HIV on fertility. The findings underscore the need for a multidisciplinary approach to fertility preservation and treatment. Healthcare providers
should consider a wide range of factors when assessing and treating fertility issues in young women. The review also highlights the importance of
preconception counselling and early intervention, particularly for women with chronic health conditions. This review provides a comprehensive
overview of both well-established and emerging factors affecting fertility in young women, integrating insights from diverse populations and
medical conditions and emphasizes the need for tailored approaches to fertility care.
A RARE CASE OF ADENOMYOMATOUS HYPERPLASIA OF AMPULLA OF VATER MIMICKING AS PANCREATIC HEAD MASS
Authors: N Tyagaraja , Sethna K S , Dhote Ajinkya , P Gopalkrishnan
Published: November 2024

Adenomyomatous hyperplasia is an extremely rare lesion encountered in the ampulla of Vater. Less than 50 cases have
been described, most of them with clinical consequences of biliary obstruction and misdiagnosing it as a malignancy.
Patient underwent extensive surgery pancreatoduodenectomy . There is no accurate diagnostic tool to differentiate the benign nature of
adenomyomatous hyperplasia. More extensive operations are often performed due to its malignant nature.
COMPARATIVE ANALYSIS OF TACKER VS. SUTURE FIXATION IN LAPAROSCOPIC INGUINAL HERNIA REPAIR: OUTCOMES AND EFFECTIVENESS
Authors: Samuel Tanmay , Shukla Deepak , Sharma Sarthak , Chaudhary Shivam
Published: November 2024

This randomized clinical trial compared the efficacy of tacker versus suture fixation methods for mesh attachment in
laparoscopic transabdominal preperitoneal (TAPP) hernia repair. Conducted on 20 patients, the study assessed pain
levels, operative time, and complication rates associated with each technique. Findings revealed that suture fixation resulted in significantly lower
pain scores at 6 and 24 hours postoperatively compared to tacker fixation (p<0.001). The average operative time was notably shorter for tacker
fixation (100 minutes) compared to suture fixation (130 minutes). Complication rates, including hematoma, seroma, and scrotal edema, were
similar between the two groups. These results suggest that while suture fixation may offer superior pain management, tacker fixation may be more
time-efficient. Further research with larger samples and longer follow-up is needed to evaluate long-term outcomes and recurrence rates to
comprehensively compare the two fixation techniques.
ASSESSMENT OF PREVALENCE OF MALOCCLUSION USING ANGLE'S CLASSIFICATION OF MALOCCLUSION (1899) AMONG 8 TO 14 YEAR OLD SCHOOL CHILDREN IN CHHATRAPATI SAMBHAJINAGAR - A CROSSSECTIONAL STUDY
Authors: Shinde Kushal , Divekar Pallavi , Bhamare Shivani Ajit , Milind Sirsat Prajakta , Ambadas Chavan Sakshi , Chavan Priyanka Sanjay
Published: November 2024

Background:Malocclusion, or the misalignment of teeth and dental arches, is a common issue that can impact both
function and aesthetics. This study aimed to assess the prevalence of malocclusion among 8 to 14-year-old schoolchildren
in Chhatrapati Sambhajinagar. A descriptive cross-sectional study was conducted, involving 480 students who met the inclusion criteria. Various
occlusal characteristics, including Angle's classes of malocclusion (class I, II, and III), overjet, overbite, midline diastema, and tooth rotation,
were recorded. The study found that 58.75% of participants were male and 41.25% were female. Class I malocclusion was the most common,
observed in 81.46% of children, while class II and class III malocclusions were seen in 16.67% and 1.67%, respectively. Among class II cases,
12.92% were division 1 and 3.75% division 2. A normal overjet (<3 mm) was found in 87.1% of children, while 12.9% had an increased overjet
(>3 mm). A normal overbite was present in 47.9%, with 52.1% having an increased overbite. Midline diastema, occurring only in the upper arch,
was found in 2.7% of children, and 12.7% had tooth rotation, with the maxillary right lateral incisors being the most affected. The study highlights
the high prevalence of malocclusion in this age group, stressing the importance of early detection and treatment to prevent future dental and facial
irregularities.
COMPARISON OF CARDIAC AUTONOMIC ACTIVITY IN PRE- AND POSTMENOPAUSAL WOMEN USING HEART RATE VARIABILITY
Authors: Harsh Divya , Choudhary Raghuveer , Choudhary Kamla
Published: November 2024

Background - Heart Rate Variability (HRV) has been considered as the most sensitive measure of autonomic function
when evaluating sympathovagal balance. It has also been suggested that the effects of estrogen cause parasympathetic
dominance in women of reproductive age and sympathetic hyperactivity in postmenopausal women. – The Aim and Objectives aim of the study
was to compare the basal cardiovascular parameters and HRV between premenopausal and postmenopausal women. Material and Methods –
This was a cross-sectional observational study carried out in Dr. Sampurnanand Medical College, Jodhpur, Rajasthan. After 15 min of rest, HRV
was recorded among 40 premenopausal and 40 postmenopausal women in the supine position for 5 min using AD Instruments, Australia. The
frequency domain parameters of HRV were analyzed Heart Rate Variability was assessed by “C Series HRV System – Lab-Chart 8 (MLS310/8,
Windows or Mac), ADINSTRUMENTS, Australia. The data were presented as mean (SD). Student's Independent t-test was used to find the
statistical difference between the two groups. p-Value < 0.05 was considered statistically significant. Systolic blood pressure (p = 0.00), Results -
pulse pressure (p = 0.00), and HbA1c% (p = 0.00) values were significantly higher in postmenopausal women compared to premenopausal
women. HF (nu), an index of parasympathetic activity, was higher among premenopausal women. LF (nu), and LF/HF ratio were higher among
both the groups. Our study revealed no significant changes in LF (nu), HF (nu), or the LF/HF ratio b Conclusion – etween the two groups.
However, overall pre-menopausal women exhibit higher parasympathetic activity. These findings are may be the result of influence of estrogen,
which is greater in premenopausal women than in postmenopausal women,
ANAESTHETIC MANAGEMENT FOR EMERGENCY LAPAROTOMY IN A PATIENT OF GLANZMANN THROMBASTHENIA
Authors: Raut Akanksha , Sudhakaran Harsha , Kodiyatar Khushbu
Published: November 2024

Glanzmann thrombasthenia (GT) is a rare disease of an autosomal recessive inheritance characterized by a fatal bleeding
tendency. The anaesthesiologist should be cognizant of the risk involved and be prepared with necessary measures. This
paper presents the successful management of intussusception in a 7-year-old with GT undergoing emergency laparotomy in a resource-limited
setup where thromboelastography and recombinant factor VIIa (rFVIIa) are not available.
IMPACT OF CHRONIC RENAL FUNCTION DURING THE TREATMENT OF TUBERCULOSIS
Authors: Savita Kamini , Nigoshkar Shreya , Tomar Jyoti
Published: November 2024

Introduction- CHRONIC RENAL FAILURE (CRF) is an established risk factor for tuberculosis (TB). Both TB
incidence and prevalence are known to be higher in patients with CRF than in the general population. CRF is becoming
increasingly common. The incidence and prevalence of patients on haemodialysis are respectively 4.9 and 13 per 100,000 population, and 35,000
CRF patients are estimated to currently live in Agra region. Despite the relatively high population level burden of CRF and increased risk of TB
among patients with CRF, there are limited data on outcomes of CRF patients treated for TB. The majority of data to date are from case series,
some of which have reported high and others low rates of adverse events and mortality. Few studies have directly compared outcomes in TB
patients with and without CRF. Impact of Chronic renal function during the treatment of tuberculosis Aim- Material and Method Patients. - A
case-control study of 50 diagnosed TB patients conducted at Biochemistry department in collaboration with TB and Chest Department at
Sarojini Naidu Medical College , AGRA. In this study Blood Urea and Uric acid were found mild signi Result- ficant [<0.05] in case 83.1±34.2
(Mean±SD) as comparison of healthy person (Mean±SD) 80.3±30.7. Serum Creatinine were found significant [<0.001] in case 31.6±30.0
(Mean±SD) as comparisons of healthy person (Mean±SD) 18.5±16.09. TB patients with CRF are at increas Conclusion- ed risk of death. More
intensive monitoring of patients with CRF should be considered by the National TB Programme.
PROSPECTIVE STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOMES OF LATARJET SURGERY IN 30 PATIENTS WITH RECURRENT SHOULDER DISLOCATION
Authors: R. Bhadja Hardikkumar , T. Sethi Hardik , Parikh Rupak
Published: November 2024

Background: Recurrent shoulder dislocation is a significant concern in orthopedic practice, often necessitating surgical
intervention. The Latarjet procedure, which involves the transfer of the coracoid process to the glenoid, has gained
popularity due to its reported efficacy. This study aims to evaluate the functional and radiological outcomes of Latarjet surgery in patients with
recurrent shoulder dislocation. A prospective study was conducted on 30 patients who underwent Lata Methods: rjet surgery. Preoperative
assessments included the Rowe Score and visual analog scale (VAS) for pain. Postoperative evaluations were conducted at 3, 6, and 12 months,
assessing functional outcomes using the Rowe Score and measuring radiological outcomes via X-ray and MRI to evaluate glenoid bone graft
incorporation and joint stability. The mean age of patients was 28.4 years, with a male predominanc Results: e (80%). At 12 months follow-up, the
mean Rowe Score improved from 47 (preoperative) to 86 (postoperative), indicating significant functional improvement. The VAS score also
decreased from a mean of 7.2 preoperatively to 1.3 postoperatively. Radiological evaluation showed successful incorporation of the coracoid
graft in all patients, with no instances of graft failure or glenoid erosion. The Latarjet procedur Conclusion: e is a reliable surgical option for
patients with recurrent shoulder dislocation, demonstrating significant improvements in both functional and radiological outcomes. Our findings
support its use as a standard treatment approach in this patient population.
AATMANIRBHAR BHARAT AND GDP WITH INDUSTRIAL GROWTH RATE AND UNEMPLOYMENT RATE SINCE 2019
Authors: Abita Abita
Published: November 2024

Before independence, India was a self reliant country. The British not only made a political slave but also an economic
slave to India. That is why their rule over India lasted for a long time almost 200 years i.e. India was theirs for a long time
slave. To establish their rule, the British first of all destroyed the handicraft industry of India because India was self reliant only because of its
handicraft industry. And they started manufacturing goods using machines in England and selling them in India. Through this policy England
made India an exporter of raw material and an importer of finished goods. That is, it made India a supplier of raw material and a consumer of
finished goods. India's demand which was for handicraft industry of India was transformed into demand for England's industries. Goods made by
machines in England were cheaper and reached the market quickly while goods made by India's handicraft industries were expensive and took
more time. Mahatma Gandhi started the Swadeshi movement. People were appealed to buy goods made by Indian industries. Mahatma Gandhi
tried to explain through this movement that we first have to get freedom from economics level until we became financially independent, we
cannot be free .So use thing made by India only. Not use things made in British factory. After independence five year plans were initiated and the
objective of self reliance was set to take India to a new path of economic development. India has not yet succeeded in achieving this objective set
in the five year plans. Even today, raw materials and traditional goods have a greater place in our exports, while machines and finished goods have
a greater place in the imported goods. Now after covid -19 ,a new campaign has been started by prime minister Narendra Modi to make India a
self reliant country " Atmanirbhar Bharat Abhiyaan(Self Reliant India Campaign )on 12 may 2020.” This paper reviewed on GDP with industrial
growth rate and unemployment rate since 2019 and discussed challenge for achieving the goal Atmanirbhar Bharat & future prespective.
INTRA-OPERATIVE ANAPHYLACTIC SHOCK WITH POST-OPERATIVE BILE LEAK IN A CASE OF HEPATIC HYDATID CYST
Authors: Tripathi Mayank , Fakih Kausar Ateek , Iyer Sandhya
Published: November 2024

Anaphylactic reactions during surgical procedures are rare but can pose significant challenges for patient management
and result in mortality. We present the case of a young male with hepatic hydatid cyst who underwent anaphylaxis during
surgery. During surgery, on puncturing the hydatid cyst with needle, patient's heart rate dropped to 40 and blood pressure plummeted to 60/40 mm
hg with increased peak inspiratory pressure to 45 cm H2O. The patient was administered adrenaline, dexamethasone, pheniramine and started on
noradrenaline infusion. Patient's vitals stabilized and surgery was completed. In the post operative period, he developed bile leak and atelectasis
which was managed medically. This case underscores the importance of recognizing potential anaphylactic reactions in the perioperative setting,
as well as the need for vigilant postoperative monitoring for complications. We discuss the clinical implications of this rare occurrence, review
existing literature on anaphylaxis and highlight strategies for preventing and managing such incidents.
COMPARATIVE EVALUATION OF 0.125% BUPIVACAINE WITH FENTANYL 2mcg/ml AND 0.25% ROPIVACAINE WITH FENTANYL 2mcg/ml FOR EFFECTIVE EPIDURAL LABOR ANALGESIA: AN OBSERVATIONAL STUDY
Authors: Vinisha Nimmagadda , Sahu Manoj , Jain Sarvesh , Choudhary Shashibala , Singh Ajay , Gupta Deepak , Dixit Sonam , Shamji Bhai Vadaviya Nishit Kumar , Kanojiya Sunaina
Published: November 2024

The delivery of the infant into the arms of a pain-free and conscious
mother is one of the most exciting and rewarding moments in
(1) medicine
SONOGRAPHIC EVALUATION OF THYROID LESIONS BASED ON TIRADS SCORING SYSTEM AND ELASTOGRAPHY WITH FNAC CORRELATION
Authors: T Saranraj , Gopalakrishnan Nirmal Kumar , S Rajarajan , Selvi Kalaivani
Published: November 2024

Background: Thyroid nodules are common clinical findings that appear as distinct lesions within the thyroid gland,
identifiable through radiological imaging. Sonographic evaluation, particularly using the Thyroid Imaging Reporting and
Data System (TIRADS) and elastography, has become essential in assessing and managing these nodules. This study aims to evaluate the
diagnostic accuracy and clinical utility of TIRADS and elastography, in conjunction with Fine-Needle Aspiration Cytology (FNAC), for a
comprehensive assessment of thyroid lesions. Methodology: A total of 94 patients with thyroid lesions are selected using B-mode ultrasound.
These participants were subjected to Elastography and Fine needle aspiration of lesion using ultrasound guidance. The Samples were
immediately processed and classified using the Bethesda System for Reporting Thyroid Cytopathology, I Results: n our study, the sensitivity and
specificity of TIRADS were 87.06% and 88.89%, respectively, while elastography demonstrated a high sensitivity of 91.76% and specificity of
88.89%. The findings of our study highlight the clinical relevance of using TIRADS and elastography Conclusion: in conjunction with FNAC.
By implementing this integrated evaluation framework, clinicians can provide more accurate, efficient, and patient-centered care, leading to
better management and outcomes for patients with thyroid nodules.
COMPARATIVE STUDY OF OPEN HEMORRHOIDECTOMY WITH OR WITHOUT LATERAL INTERNAL SPHINCTEROTOMY
Authors: Dixit Saransh , Choudhary Neha , Pancholi Rakesh , Bhardwaj Yash
Published: November 2024

Background: Hemorrhoids, affecting 4.4% to 36.4% of the population, can be classified as internal or external, with
varying degrees of severity. Surgical intervention, particularly hemorrhoidectomy, is often necessary for advanced cases
but is associated with significant postoperative pain. The addition of lateral internal sphincterotomy (LIS) during hemorrhoidectomy has been
proposed to alleviate this pain by reducing internal anal sphincter hypertonicity. This study aims to compare postoperative outcomes, including
pain relief and complications, in patients undergoing open hemorrhoidectomy with and without lateral internal sphincterotomy. Material and
Methods: A comparative study was conducted at Index Medical College and Research Center over six months, involving 50 patients aged 18 to
65 years diagnosed with Grade 3 and Grade 4 hemorrhoids. Patients were randomly assigned to undergo either open hemorrhoidectomy alone
(Group A) or with LIS (Group B). Postoperative pain was assessed using a numeric pain scale 24 hours post-surgery, and complications were
monitored during the follow-up period. The mean age of participants was 48.75 ± 13.15 years, with a Results: higher proportion of males (60%).
Patients in Group B demonstrated a significant reduction in postoperative pain at 12, 24, and 48 hours post-surgery (p=0.01). At 24 hours, 85% of
those experiencing pain relief were from Group B, indicating the effectiveness of LIS in pain management. Furthermore, complications such as
postoperative infection and bleeding were lower in the LIS group, while fecal incontinence was more prevalent. Lateral internal Conclusion:
sphincterotomy during open hemorrhoidectomy significantly improves postoperative pain relief and reduces complications compared to
hemorrhoidectomy alone. This study supports the incorporation of LIS as a beneficial adjunct in the surgical management of advanced
hemorrhoids.
EFFECTIVENESS OF PNEUMOCOCCAL VACCINATION IN REDUCING SEVERITY OF EXACERBATIONS AND DURATION OF HOSPITAL STAY IN PATIENTS WITH BRONCHIECTASIS PRESENTING TO A TERTIARY HEALTH CENTER
Authors: Gopinath Dhwani , Narayan Ram
Published: November 2024

Introduction: Bronchiectasis is a chronic suppurative airway disease which progresses with recurrent exacerbations due
to viral and Pneumococcal infections. One of the most effective methods of prevention of Pneumococcal infection is
vaccination against it. This study is intended to assess effectiveness of Pneumococcal vaccination in reducing severity of exacerbations in
bronchiectasis. All bronchiectasis patients who have taken Pneumococcal vaccinations were interview Methods: ed regarding number of
exacerbations, number of days of hospitalization and oxygen requirement one year prior to and one year after the vaccination, and the answers
were crosschecked with their case sheets to avoid recall bias and the means were compared with t-test to identify presence of any significant
difference over one year. Over the one year after Pneumococcal vaccination, number of exacerbations, Results: number of hospital admissions,
number of days in ICU, ward and the days in ventilator and the requirement for long term oxygen therapy reduced significantly in the study
population. Pneumococcal vaccination significantly improves the quality of life in a bronchiectasis Conclusion: patient by reducing both the
frequency and severity of exacerbations of the disease and also the morbidities associated with prolonged hospital stays.
EFFICACY OF ANTI-FUNGAL PROPERTY OF THE EXTRACT OF DAHLIA PINNATA ON CANDIDA ALBICANS- AN IN VITRO STUDY.
Authors: Mukherjee Aneek , Karpagaselvi K. , Maria J Jessica , Sharif Matheen
Published: November 2024

Context: Oral thrush or Candidiasis remains a common problem in children, elderly and immunocompromised patients
with ailments like renal diseases, diabetes mellitus etc. Candida albicans is the main causative organism for this disease.
Long term use of chemical antifungal make Candida albicans resistant to them. Hence more effective methods/drugs are required to combat
Candida.In present scenario research works are being carried out to seek more traditional or herbal treatment to have better healing effects
without adverse effects of the synthetic antifungal drugs that are been currently used. To determine Aims: minimum zone of inhibition of Dahlia
pinnata against C.albicans An Invitro Study. The well diffusion method using Sabouraud Settings and Design: Methods and Material:
dextrose agar plates was used to evaluate the anticandidal activity of 5%, 10% and 50% concentration of Dahlia pinnata leaves extract against
C.albicans (ATCC 90228) in comparison with 5% Fluconazole. Results were analyzed using SPSS versio Statistical Analysis : n 19.
Independent sample t test was used to compare mean zone of inhibition between two groups with the P value <0.05 was considered statistically
significant. Dahlia pinnata leaves extract exhibited the inhibitory effect against C.albicans. This i Results: nhibitory effect was found to increase
as the concentration of the plant extract increased with 5% showing 2.103mm, 10% showing 3.057mm and 50% showing 5.127mm; however
even at the highest concentration, it was much less compared to 5% concentration of Fluconazole (6.99mm). The anticandidal Conclusions:
activity of Dahlia pinnata leaves against C.albicans needs to be further studied, which may increase its possibility of getting used in herbal
medicine in the near future.
Nourishing Aquatic Life: A Comprehensive Reviewing of Fish Feed Strategies and Disease Combat in Aquaculture
Authors: Ejaz Shahana , Azam Kainaat , Aslam Mehak , Haroon Muhammad , Arooj Arooj , Bukhari Syeda Usama , Shah Shahzada Khurram Adrian , Qaisar Aqeela , Amir Muhammad Ali , Ali Mohsin
Published: November 2024

With an increasing focus on creating sustainable methods that satisfy the nutritional requirements of aquatic life while successfully containing disease outbreaks, aquaculture has emerged as a crucial element of global food security. Nourishing Aquatic Life: A Comprehensive Review of Fish Feed Strategies and Disease Combat in Aquaculture explores the delicate balance between disease management and feed optimization, two crucial factors influencing the ecological sustainability and productivity of aquaculture systems. Innovative substitutes, including plant-based proteins, insect meal, and microbial sources, are being assessed alongside conventional fish feed formulations, which rely on fishmeal and fish oil to lessen environmental stresses while preserving high nutritional value. This article also covers how probiotics, prebiotics, and immunostimulants can improve fish immunity and resilience against common diseases, lowering the need for antibiotics and the likelihood of resistance. Additionally, we look at the most recent developments in fish feed formulation using biofloc, genetic engineering, and nanotechnology, emphasizing their implications for better fish health and disease resistance. These innovative strategies offer a hopeful vision for the future of aquaculture, inspiring us to continue our efforts in this field.
Study of the Acute Toxicity of an Aqueous Extract of the Leaves of Senna alata (L.) ROXB (Caesalpiniaceae) to Mammals
Authors: Benoit Onsiyor Effozougba Jean , Severin Koffi , Stanislas Zahoui Ouga , Anthelme Nene Bi Semi
Published: November 2024

Senna alata (L.) ROXB (Caesalpiniaceae) is a plant known and appreciated by the Ivorian population. It is commonly used to treat high blood pressure and constipation. The aim of this study was to investigate the acute toxicity of the aqueous extract of leaves of Senna alata leaves (EAqSa) in mammals. To do this, a phytochemical study of this extract was carried out. Acute toxicity was assessed by the intraperitoneal and oral routes. The oral toxicity tests were carried out in accordance with directive 423 of the Organisation for Economic Co-operation and Development (OECD) using three (3) lots of three (3) rats, one control lot and two (2) test lots. The control lot received 2 ml of distilled water, one test lot received 2000 mg/ kg bw of EAqSa and the second test lot received 5000 mg/ kg bw of the extract in a single dose. Toxicity tests by intraperitoneal administration are carried out using six (6) lots of six (6) mices including a control lot receiving 0.5 ml of EAqSa. The five (5) test lots received 0.5 ml of doses ranging from 750 to 2000 mg/kg bw of the extract. The animals from the different test lots were observed for twenty-four (24) hours. Qualitative phytochemical analysis revealed the presence of polyphenols, sterols and polyterpenes, flavonoids, catechic tannins, saponosides, quinonic compounds and alkaloids. Acute toxicity tests show that this extract is only slightly toxic by the intraperitoneal route and non-toxic by the oral route. The oral route of administration would be the most recommended for the pharmacological use of this extract, but should be used in moderation.
Phenotypic and Molecular Identification of M.Canis
Authors: Sadeq Hiba Sahib , Hassan Sabreen Falih , Waheeb Mohammed Qasim
Published: November 2024

The current study was conducted to compare morphological and molecular identification methods for the fungus M.canis isolated from 42 patients with dermatophytosis who were clinically diagnosed by a dermatologist, after review by a consultant dermatologist and venereologist in Al-Muthanna Governorate at Al-Hussein Teaching Hospital. In the period from January to November 2024, using traditional methods of isolation and laboratory identification, and molecular methods using polymerase chain reaction (PCR) technology.
Autism in Children
Authors: Suleman Dr Sameen , Khan Dr Urooj
Published: November 2024

Austic spectrum disorder is a very common presentation where children present with social communication difficulties. They can have behavioural problems and other times anxiety. Every autistic child is different and they may come anywhere in the autistic spectrum, ranging from sensory difficulties, social adjustment to food, sleep and concentration challenges. The main aim of this article to bring awareness about autism to the society and to give Austic children help and support to be able to maintain a safe and healthy lifestyle. It is very important to involve a health care practitioner and get the necessary care and advice from the doctor. It is equally important to organize fun interactive games, activities and book reading for children with Autism to help and support them with their difficulties. All of these things can be done with family support and encouragement, however, it can be very challenging and Children with Autism need professional diagnosis, support in community and teachers to guide them.
Operative Procedures and Postoperative Complications in Patients with Gastric Outlet Obstruction
Authors: Hossain Dr. B.K.M. Tarik , Basunia Dr. Moksed Ali , Khan Dr. Saiful Islam , Afraz Dr. Rafiza , Shakir Dr. Md Washif , Ara Dr. Ismot
Published: November 2024

Background: Gastric outlet obstruction denotes complete or partial obstruction of the distal stomach, pylorus, or proximal duodenum. This can happen as a result of an obstructing lesion, external compression, or obstruction caused by acute edema, chronic scarring and fibrosis, or a combination of the two. The most common causes of gastric outlet obstruction are gastric cancer and pyloric stenosis secondary to peptic ulceration. We have very limited research-based information regarding postoperative complications in patients with gastric outlet obstruction. Aim of the study: This study was carried out to determine the operative procedures and postoperative complications in patients with gastric outlet obstruction. Methods: Between September 2012 to February 2013, this prospective observational study was carried out in the surgery department of Rangpur Medical College Hospital, Rangpur, Bangladesh. A total of 50 patients presenting with the features of gastric outlet obstruction were included in this study. A convenient purposive sampling technic was used in sample selection. In 27 patients, surgery was performed. Registration schedules, editing computerization, preparing dummy tables, and analyzing and matching data were all part of the data processing work. Results: In the cases of benign gastric outlet obstruction, bilateral truncal vagotomy and retro colic isoperistaltic gastrojejunostomy were preferred. Distal partial gastrectomy with lymph node dissection was done in resectable antral growth of the stomach. Palliative gastrojejunostomy was done in advanced gastric and pancreatic malignancy. Gastrojejunostomy with biopsy from the duodenum and lymph node was taken from one pre-operatively diagnosed case of duodenal tuberculosis, which was made by endoscopic biopsy. Complication occurred mostly in the malignant cases; 7 (43.75%) patients developed wound infection, of which 5 (31.25%) patients developed wound dehiscence. There was a duodenal stump-blow out in ...
Analysing the Impact of Minimum Wage Laws on Low-Income Workers in Selected Government Ministries, Agencies, Departments and Parastatals in Benue State
Authors: Nwagbala Stella Chinelo , Mary Kekeocha, Ezinne , Edibo Musa David
Published: November 2024

This study analyzed the Impact of Minimum Wage Laws on Low-Income Workers in Selected Government Ministries, Agencies, Departments, and Parastatals in Benue State. It specifically examined the impact of the National Minimum Wage Act on Minority Workers as well as the impact of the Labour Act on Rural Workers in selected government MDAs in Benue State. The target population is 2,803 and a sample size of 338 was derived from Krejcie and Morgan method. The hypotheses were tested with simple linear regression analysis on Statistical Packages for Social Science (SPSS) at a 5 percent significant level. Hypothesis one revealed a statistically significant negative impact of the National Minimum Wage Act on minority workers in selected government MDAs in Benue State. Hypothesis two showed that there is a strong negative impact of the Labour Act on Rural Workers in selected government MDAs in Benue State. The study concluded that there is a statistically significant negative impact of impact of minimum wage laws on low-income workers in selected government ministries, agencies, departments and parastatals in Benue State. It was recommended that policymakers need to review and adjust the National Minimum Wage Act to ensure fair compensation for minority workers in government MDAs by conducting wage audits and aligning wages with the local cost of living. Also, the government needs to revise the labour to address the unique challenges of rural workers in government MDAs by implementing region-specific policies and stronger enforcement mechanisms.
Occupational Stress, Psychological Distress, and Psychoactive Substance Use: A Clinical Case Study
Authors: Essfioui Laila , Elouafa Jamal
Published: November 2024

Occupational stress has become a major global issue, affecting workers' mental health and well-being. Increasing pressures in the professional environment have led to a significant rise in psychological distress among many individuals. To cope with this growing pressure, individuals resort to coping strategies and defense mechanisms, including the use of psychoactive substances. Objective: This study aims to highlight the complex interactions between occupational stress, psychological distress, and the use of psychoactive substances, with a focus on the underlying psychological processes of this comorbidity in a clinical case. Method: A clinical study was conducted on a Moroccan worker who presented both chronic occupational stress and cannabis dependence, with a thorough psychodynamic analysis. Results: The psychodynamic analysis of clinical cases revealed that personal factors, such as low self-esteem, lack of self-confidence, poor self-management, alexithymia, introversion, and narcissistic gaps, can be precipitating factors for stress. They can also lead to psychoactive substance use, which is used as a defensive and adjustment mechanism to restore psychological balance. Conclusion: Occupational stress weakens an individual's psychological resources, leading them to seek psychoactive substances as a means of defense, anesthesia, and avoidance of psychological suffering, in a form of self-medication.
On the Global Existence of Solution and Lyapunov Asymptotic Practical Stability for Nonlinear Impulsive Caputo Fractional Derivative via Comparison Principle
Authors: E Ante, J. , E Abraham, E. , E Ebere, U. , K Udogworen, W. , S Akpan, C.
Published: November 2024

This paper examines the existence of maximal solution of the comparison differential system and also establishes sufficient conditions for the asymptotic practical stability of the trivial solution of a nonlinear impulsive Caputo fractional differential equations with fixed moments of impulse using the vector Lyapunov functions. First, it was discovered that the vector form of the Lyapunov function was majorized by the maximal solution of the comparison system. From the results obtained, it was also established that the main system is asymptotically practically stable in the sense of Lyapunov.
Study on the English Translation of “Xi-style” Speech from the Perspective of Appraisal system --Taking Xi Jinping’s keynote speech at the China-Central Asia Summit as an Example
Authors: Yi Liu
Published: November 2024

By analyzing the English translation of “Working Together for a China-Central Asia Community with a Shared Future, Featuring Mutual Assistance, Common Development, Universal Security, and Everlasting Friendship” delivered by President Xi Jinping, who presided over the first China-Central Asia Summit in Xi'an City, Shaanxi Province, on May 19, 2023, the article analyze how President Xi's keynote address used the attitude of evaluation theory system to promote China's joining hands with Central Asian countries to build the Belt and Road, and to lead the future in-depth cooperation between China and the Central Asian region.
Çocuk Gelişimci Adaylarının Uzaktan Eğitime İlişkin Görüşleri ile Yaşam Boyu Öğrenme Motivasyonları Arasındaki İlişkinin Belirlenmesi
Authors: Hafızoğlu Gökçe , Tekin Hilmi , Kayılı Gökhan
Published: November 2024

Yaşam boyu öğrenme bireyin beceri ve bilgisini geliştirmesi, arttırması için yaşantısının her anında öğrenme faaliyetlerine katılma sürecidir. Bu kapsamda Türkiye’de Covid-19 Pandemisi ve 6 Şubat Depremi nedeniyle üniversitelerde eğitim bir süre çevrimiçi eğitim ile sürdürülmüştür. Bu çalışmada uzaktan eğitimle ders almış çocuk gelişimci adaylarının uzaktan eğitime ilişkin görüşleri ile yaşam boyu öğrenme motivasyonları arasındaki ilişkinin ortaya konulması amaçlanmıştır. Çalışmaya üniversitelerin Çocuk Gelişimi bölümlerinde öğrenim gören 421 öğrenci dahil edilmiştir. Araştırma kapsamında Çevrimiçi Eğitim Değerlendirme Formu ve Hayat Boyu Öğrenme Motivasyon Ölçeği kullanılmıştır. Elde edilen bulgular doğrultusunda Çocuk Gelişimci adaylarının çevrimiçi eğitime ilişkin görüşleri ile hayat boyu motivasyon düzeyleri arasında istatistiksel olarak negatif yönlü anlamlı bir ilişki bulunmuştur. Diğer bir deyişle, çocuk gelişimci adaylarının uzaktan eğitime ilişkin görüşleri dezavantajlı olarak değerlendirildikçe hayat boyu öğrenme motivasyonlarının da arttığı söylenebilmektedir. Bununla birlikte Çocuk Gelişimci adaylarının cinsiyet, yaş, sınıf düzeyi ve çevrimiçi eğitim alma süresi değişkenlerinin; katılımcıların çevrimiçi eğitime karşı görüşleri ile hayat boyu öğrenme motivasyon düzeyleri üzerinde anlamlı bir farklılığa yol açmadığı belirlenmiştir.
Stress management. Practical self-help tools
Authors:   Open International University of Human Developmеnt «Ukraine», Ovcharenko Olena
Published: November 2024

The training manual contains a set of practical exercises aimed at increasing stress resistance; methods of stabilizing the mental state of acute manifestations of stress disorders are presented. A set of practical classes allows you to develop the skills to successfully overcome stressful situations and prevent the development of post-stress disorders. A guide for use by psychologists, social workers, teachers, volunteers, students, teachers of higher education institutions and anyone interested in stress management and self-help in stressful situations.
Determinant of Earnings Management Pre and Post PSAK 109 in Indonesian Banks
Authors: Aufa Wirza , Hidayah Raudhatul , Oktavia Fitriyeni
Published: November 2024

This study aims to determine the differences in Earnings Management and the effect of Institutional Ownership, Managerial Ownership, Audit Committee Competencies, Capital Adequacy Ratio (CAR), and Nonperforming Loan (NPL) on Earnings Management proxied by Discretionary Loan Loss Provision (DLLP) pre and post-PSAK 109 implementation in Indonesian bank listed on the Indonesian Stock Exchange (IDX). This study uses Ordinary Least Square (OLS) regression and Wilcoxon signed-rank test to test the hypothesis. The study used the period pre and post implementation of PSAK 109. We traced each bank's financial report listed on the IDX from 2017 to 2020 to anticipate early implementation. Using purposive sampling, we obtained 40 pre-PSAK 109 and 40 post-PSAK 109 bank samples. This study found no difference in earnings management pre and post-PSAK 109. Institutional Ownership, Managerial Ownership, and Audit Committee Competencies do not affect Earnings Management pre and post-PSAK 109. NPL is positively related to Earnings Management pre and post-PSAK 109, and CAR is positively related to Earnings Management pre-PSAK 109 but has no effect on Earnings Management post-PSAK 109. This study provides additional information for standard setters and OJK regarding monitoring earnings management practices in banking pre and post-PSAK 109.
Pengaruh Terapi Murotal Surat Ar-Rahman Terhadap Tingkat Kecemasan Ibu Hamil Trimester III di UPTD Puskesmas Cirinten
Authors: Setya Ningsih Sukarni , Priharja Dian
Published: November 2024

Kecemasan merupakan suasana/perasaan hati (mood) atau pengalaman yang ditandai dengan adanya kekhawatiran, perasaan tidak menyenangkan dan ketegangan fisik. Kecemasan dan kekhawatiran pada ibu hamil apabila tidak ditangani secara serius akan berdampak serta berpengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Pengobatan non farmakologi tentunya juga diperlukan hal tersebut salah satunya terapi murotal. Efek terapi bacaan Al-Qur’an sebagai obat penyakit jasmani dan rohani, perangsangan ayat-ayat suci Al-Qur’an bagi ibu dapat menurunkan kecemasan Tujuan penelitian. Tujuan penelitian ini adalah untuk pengaruh terapi murotal surat Ar-rahman terhadap tingkat kecemasan ibu hamil trimester III di wilayah kerja UPTD Puskesmas Cirinten Kabupaten Lebak. Metode penelitian Penelitian ini dilakukan dengan pendekatan kuantitatif dengan desain eksperimen yaitu quasi experimental desain. Rancangan penelitian yang digunakan adalah one group pre and post test without control group desain,   sampel penelitian ini sebanyak 23 orang. Hasil penelitian. Hasil penelitian melalui menunjukan nilai rata-rata kecemasan ibu hamil trimester III sebelum diberikan terapi Murotal Surah Ar-Rahman adalah 47,435 nilai minimum 33,0,  nilai maksimum 64,0 dan standar deviasi 9,370, sedangkan nilai rata-rata kecemasan ibu hamil trimester III sesudah diberikan terapi Murotal Surah Ar-Rahman adalah 44,000 nilai minimum 30,0,  nilai maksimum 59,0 dan standar deviasi 8,586. Melalui uji Wilcoxon pengaruh pemberian terapi murotal surah Ar-Rahman terhadap tingkat kecemasan ibu hamil trimester III di UPTD Puskesmas Cirinten Kabupaten Lebak tahun 2023 (P value = 0,000).
Kesimpulan dan saran.   Hasil penelitian ini diharapkan dapat memotivasi tenaga kesehatan untuk menggunakan atau mengkombinasikan terapi farmakologi maupun non farmakologi dan dapat digunakan sebagai salah satu bentuk intervensi dalam memberikan pelayanan kebidanan secara komprehensif.
Some aspects to consider to build teachers' job satisfaction: A comparative study of Uzbek and Hungarian teacher appraisals
Authors: Szűcs Ida , Avezova Gulmira
Published: November 2024

The initiative of the Hungarian government to introduce a new teacher appraisal system within the whole-scale teacher assessment made us review the operational teacher career models and teacher appraisal frameworks linked to salary schemes in the world and compare the planned Hungarian model with the Uzbek teacher career model and teacher appraisal framework. The comparison includes the evolution of appraisals, their procedures, criteria, and methodology.
Our study proposes some ideas for decision-makers to consider when introducing or modifying teacher assessment frameworks so that they can better contribute to teachers' well-being and to improving the quality of work in education.
Tanárképzés a 21. században – a McKinseyjelentéstől a kompetenciaalapú tanárképzésig
Authors: Szabó Dóra
Published: November 2024

A tanulmány áttekintést nyújt a 21. századi tanárképzés kihívásairól és tendenciáiról, fókuszálva a McKinsey-jelentés hatásaira, az osztott és osztatlan tanárképzésre, valamint a kompetenciaalapú képzésre. Elemzésünk során áttekintjük a tanárok felkészítésének változásait az elmúlt években, különös tekintettel a McKinsey-jelentés által felvetett kérdésekre és azok hatására.
Vizsgáljuk a pedagógusképzési tendenciákat, s bemutatjuk a kompetenciaalapú pedagógusképzés fő jellemzőit és előnyeit, miközben kiemeljük a terület kihívásait és további fejlesztési lehetőségeit.
„Tanár volt csupa nagybetűvel, s a tudós tanári lét és modell követendő példája” – Honti Máriára emlékezünk
Authors: Rádli Katalin , Szövényi Zsolt
Published: November 2024

Honti Mária magyar nyelv és irodalom, valamint történelem szakos tanár, tankönyvíró, irodalomtörténeti, módszertani-pedagógiai tanulmányok szerzője, az ELTE Trefort Ágoston Gyakorló Gimnáziumának korábbi igazgatója, a közoktatás ügyének minisztériumi irányítója, nyugalmazott államtitkár. Munkássága a tanártovábbképzéshez, az irodalom és a nyelvészet határterületeihez kapcsolódik. A szakma és a hivatás nála egyet jelentett a tanulókért, a társadalomért felelősséget vállaló tanári magatartással. Életpályája irányadó kollégái és tanítványai számára.
Paradiesgemeinschaften
Authors: Renz Tilo , Rieger Hannah , Weitbrecht Julia , Becker Alexandra , Bleumer Hartmut , Felder Gudrun , Flecken-Büttner Susanne , Meyer Adrian , Quenstedt Falk , Rose Sarah , Scheidel Fabian David , Schwanitz Lara , Schwarzbach-Dobson Michael , Specht Theresa , von Stosch Esther
Published: November 2024

Paradiesische Orte der Bibel wie der Garten Eden und das Himmlische Jerusalem haben im Mittelalter die Imagination angeregt und eine vielfältige Darstellungstradition ausgebildet, die bis in die Gegenwart nachwirkt. Der paradiesische Sehnsuchtsort bildet dabei einen konkreten oder ideellen Fluchtpunkt, der Reflexionen alternativer spatialer, temporaler wie sozialer Ordnungen hervorbringt.
Der Band nimmt die Spezifika mittelalterlicher und frühneuzeitlicher Entwürfe von paradiesischen Orten mit Schwerpunkt in der deutschsprachigen Literatur des Mittelalters und der Frühen Neuzeit in den Blick. Die einzelnen Beiträge untersuchen jeweils die Bedeutung von Paradiesvorstellungen für die Konzeption alternativer Räume, Zeiten und Gemeinschaften. Hier werden je unterschiedliche Rekombinationsmöglichkeiten von Paradieselementen sichtbar, die die Durchlässigkeit und gegenseitige Bezüglichkeit raumzeitlicher und sozialer Aspekte von Paradiesvorstellungen belegen.
Neo Automatic Code to Improve Quality of Cardiopulmonary Resuscitation (CPR) in Society
Authors: Darmawan Rendi Editya , Satino Satino
Published: November 2024

Background: The quality of cardiopulmonary resuscitation (CPR) in Indonesian society is poor. One solution is to give society a metronome called the Neo Automatic Code (NAC) to guide CPR when cardiac arrest patients are present. This study aims to analyze the effect of NAC on the compression depth and compression rate during CPR.
Methods: A quick experimental study with a control group design, where the population is chosen by simple random sampling to distinguish between odd and even. The population is health cadres and youth with an age range of 16-56 years. The intervention group gets training 2 times to do CPR with Neo Automatic Code, and the control group gets training in CPR using standard procedure. We use a CPR manikin to measure variables. Data analyzed used Mann Whitney.
Results: The Mann-Whitney test shows p = 0.001, concluding that there is a difference in the accuracy of depth and compression speed in CPR between the intervention and control groups. This means the NAC metronome can improve CPR performance in compression depth and compression rate. CPR uses a neo-automatic code metronome to ensure the user breathes regularly and helps the rescuer to constantly give compression.
Conclusion: Neo automatic code can improve the quality of CPR in Indonesian society. A study about how many times training must be given to society, considering age, level of education, and kinds of jobs, is needed.
Pembacaan Poskolonial Lukas 10:25-37 dengan Kerangka Berpikir Edward Said dan Implementasinya terhadap Pelayanan Gereja di Tengah Marginalisasi Rasial di Indonesia
Authors: Sulistiyanto Nehemia
Published: November 2024

Memasuki abad ke-21 penelitian Alkitab sebagai teks poskolonial menjadi langkah yang perlu digumulkan oleh gereja. Hal ini dikarenakan adanya paradigma kolonial yang masih mengakar di dalam kehidupan masyarakat, khususnya di Indonesia. Meskipun secara politik Indonesia telah bebas dari kolonialisasi, tetapi secara sosial masyarakat Indonesia masih terkooptasi oleh prinsip-prinsip kolonialisme. Salah satunya adalah marginalsiasi rasial. Melalui artikel ini, penulis berharap dapat menghadirkan nilai poskolonial dari Lukas 10:25-37 guna melepaskan kekangan kolonialisme yang berejawantah dalam bentuk marginaliasi rasial tersebut. Penulis akan melakukan kajian terhadap Lukas 10:25-37 dengan metode berpikir Edward Said tentang oposisi biner. Oposisi biner adalah teori sosial yang diciptakan oleh penjajah terhadap jajahan dalam praktek kolonisasi. Berangkat dari kajian tersebut, penulis akan berfokus pada penemuan nilai-nilai poskolonial dari tokoh dan alur cerita Lukas 10:25. Setelah menemukan nilai-nilai poskolonial dari teks, penulis akan mengimplementasikan nilai tersebut dalam konteks pelayanan gereja di tengah marginalisasi rasial di Indonesia.