bluuebunny/crossref_metadata_2025 huggingface dataset:
THE MENACE OF RABIES: UNDERSTANDING THE VIRUS AND STAYING SAFE-A CASE REPORT
Authors: John Joyse Tibu , Kumar G Arun , G V Kumar , Ramya Ramya
Published: March 2024

Rabies is a vaccine-preventable, acute progressive encephalomyelitis caused by infection with viruses of the Lyssavirus and affects the central
nervous system. Once clinical symptoms appear, rabies is virtually 100% fatal. It spreads to people and animals via saliva, usually through bites,
scratches, or direct contact with mucosa (e.g. eyes, mouth or open wounds). Children between the age of 5 and 14 years are frequent victims.
STUDY OF THE INCIDENCE OF POSTOPERATIVE WOUND INFECTIONS IN ORTHOPEDIC SURGERIES
Authors: Singla Dishant , Malkarjun Tarte Abhijit , Parve Ganesh Kishanrao , Shashikant Patil Sourabh
Published: March 2024

Background: Surgical site infections (SSIs) present a signicant challenge in orthopedic surgeries, leading to adverse outcomes and increased
healthcare costs.Despite infection control advancements,SSIsremain problematic, especially in orthopedicwards.Unique factors,such aslowinocula
for implant-related infections and the pathogenicity ofskin commensals, contribute to their occurrence. Thisstudy aimsto determine the incidence of
Post-operative Wound Infections(POWI)/Surgical Site Infections(SSI) within a year of orthopedic surgeries and identify associated risk factors. The
ndings can help improve patientsafety and reduce the burden of SSIsin orthopedic surgeries. Methods: The study was a prospective,single-center,
observational study conducted in a tertiary care center with 101 cases of SSI identied out of 1076 eligible orthopedic patients. Data on patient
characteristics, comorbidities, length of pre-operative stay, timing of SSI detection, microbiological prole, NNIS scoring, and managementstrategies
were collected. Results:The study examined 101 patients with surgicalsite infections(SSIs). Patients were primarily aged 30-50 years(39.6%), with a
higher proportion of males(73.27%).Wound locations varied, with 45.54% on the Right Lower Limb and 32.67% on the Left Lower Limb. SSIs were
detected early (22.77%), delayed (43.56%), or late (33.66%), predominantly assupercial infections(58.42%). Staphylococcus aureus(44.55%) was
the most common microorganism. NNIS scoring indicated diverse severity, with 0 (50.50%) and 1 (48.51%)score being most prevalent. Management
involved antibiotics (22.77%), debridement (45.54%), and implant removal surgery (31.68%). Conclusion: The study highlights the importance of
proper risk assessment and management of orthopedic patients to prevent SSIs. It also emphasizes the need for early detection and intervention,
judicious use of antibiotics, and follow-up care to improve patient outcomes and reduce the nancial burden of infections. Implementing proactive
measures basedonthe identiedriskfactors canleadtoimprovedpatientoutcomes anda reductioninthe incidenceofSSIsinorthopedic settings.
EFFECT OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION ON SENSORY FUNCTION, SLEEP AND BALANCE IN SUBJECTS WITH DIABETIC POLYNEUROPATHY AFFECTING LOWER LIMBS
Authors: Madhavi V. Leela , Kameswari G. , Sri Kumari V. , Madhavi K.
Published: March 2024

Background And Objectives: Diabetic polyneuropathy is a common, insidious and debilitating microvascular complication causing sensory
symptoms such as numbness, pain, and allodynia. It increases the risk of diabetic foot ulceration by 10 times, which can further lead to nontraumatic amputation thereby increasing fall risk. This study aimed to nd the effectiveness of proprioceptive neuromuscular facilitation on
sensory function, sleep quality, and balance using a neuropathy disability score, Berg balance scale, and pain and sleep questionnaire 3 index.
Materials And Methods: Participants were assigned to two groups control and experimental using randomisation, with 15 subjects in each. The
experimental group received PNF exercises alone while both the groups received conventional exercises. The study was conducted for 15 sessions
over 3 weeks. Pre- and post-evaluation of neuropathy disability score, Berg balance scale, and pain and sleep questionnaire 3 index were
performed. PNF combined with conventional exercises resulted in signicant improvements in NDS(=0.0 Results: 2), BBS (P = 0.01), and PSQ-3
(P =0.02) compared to the conventional exercises group. The study suggests that using PNF patterns Discussion: with conventional exercises can
improve sensory functions, balance, and sleep quality in diabetic subjects. Fibrosis and disruptions in the transmission of data, axonal transport, as
well as vasomotor and trophic functions, can occur due to the excessive pressure applied on neurons and connective tissue. The improvement
attained may be due to proprioceptive neuromuscular facilitation patterns and mobilizations of the peripheral nerves having similar positions and
motions, which can help reduce sensory decits and improve balance and sleep quality. This study fo Conclusion: und that combining PNF with
conventional exercises resulted in greater improvement of sensory function, balance, and sleep quality in subjects with diabetic polyneuropathy
TOXICOLOGICAL ASSESSMENT OF MAINSTREAM EMISSIONS FROM TOBACCO HEATING SYSTEM COMPARED TO CONVENTIONAL CIGARETTES AND BEEDIS
Authors: Sood Rajeev , Saini Rajat , Tiwari Nidhi , Tewari Devesh , H Warsi Musarrat , K. Jain Gaurav
Published: March 2024

This research article evaluates the toxicological impact of mainstream emissions from a Tobacco Heating System (THS) in comparison to
conventional cigarettes (CIG) and beedis (BDI). The study highlights the distinct advantage of THS in signicantly reducing concentrations of
toxicants in its mainstream aerosol due to its low operating temperature, when compared with the mainstream smoke of CIG and BDI. Notably, the
reduction rates for carcinogenic toxicants surpass 84% compared to CIG and exceed 69% compared to BDI. The assessment of cytotoxic and
genotoxic potencies through NRU and Comet assay methods reveals a substantial decrease in the mainstream aerosol of THS compared to the
mainstream smoke of CIG and BDI. These ndings underscore the potential harm reduction associated with the use of THS, indicating a marked
decrease in the release of harmful substances and a signicant improvement in the cytotoxic and genotoxic proles, thereby contributing valuable
insights to public health discourse and regulatory considerations in the context of alternative tobacco products.
A RARE CASE OF SICKLE CELL TRAIT WITH SEVERE ANEMIA WITH MEGALOBLASTOID CHANGES IN TRIPURA : CASE REPORT
Authors: Acharjee Supratim , Biswas Chinmoy , Biswas Chayanika
Published: March 2024

Sickle cell anemia is an inherited disorder caused by a point mutation in gene that encodes the β-globin chain of hemoglobin. The mutation results
in replacement of glutamate by valine. The mutant hemoglobin (HbS) polymerizes red blood cells & cause blockage, resulting in acute, severe pain
called a sickle cell crisis. Sickle cell diseases (SCDs) is an emerging public health challenge, not only in India but also globally. In India, SCD is
distributed geographically in the central and western regions. Here we are presenting a rare case of Sickle Cell Trait with Severe Anemia with
Megaloblastic changes in a middle aged man in Tripura. A Male patient in his forties came to the OPD with severe lethargy & generalised weakness.
Patient had Hypoalbuminemia, Anemia with Marked Anisopoikilocytosis. Bone marrow showed Megaloblastoid changes. After evaluation of
HPLC Chromatogram of Hemoglobin Electrophoresis with a Sickle Window of 15.7 %, HbA2 2.6%, HbF <0.8%, HbA0 71.6% was diagnosed as
Sickle Cell Trait by the Authors. Although Sickle Cell Trait being the benign form of the disease, here it presented with severe Anemia.
Hypoalbuminemia also supports the nding of Pedal Edema. Treatment provider we should always look for hematological status of the patient &
encourage the patient for treatment of Anemia
PSYCHOSIS, A RARE SEQUELA OF OUT-OF-HOSPITAL CARDIAC ARREST, A CASE REPORT
Authors: Angmo Padma
Published: March 2024

Mental illnesses like Depression, Anxiety and Post traumatic stress disorder(PTSD) have been commonly reported as psychiatric sequelae in
patients resuscitated from out-of-hospital cardiac arrest(OHCA). Psychosis, a severe form of mental illness has not been reported in the patients of
OHCA till now. We describe a rare case of patient resuscitated from cardiac arrest developing psychosis which responded well to low dose
antipsychotic.
THE MAJOR LIMITATIONS FACED BY FARMERS IN THE ADOPTION OF INTEGRATED PEST AND NUTRIENT MANAGEMENT IN PADDY (BASMATI) IN HARYANA
Authors: Sehal Mohit , Pawar Neeraj , Malik D. P. , Jaglan Maha Singh
Published: March 2024

The goal of the current study was to examine the difculties farmers encountered while using IPM-INM in Basmati Paddy. Karnal, Kaithal,
Sonipat, and Jind were the four districts of Haryana that were purposefully chosen. A random block was chosen from every district. Twenty IPM
and ten CPM farmers were chosen from each block. As a result, 120 farmers were chosen at random. Using a specially designed interview schedule,
personal interviews with the chosen farmers were used to gather the primary data for the agriculture year 2019–20. The overall ndings reveal that
lack of skill in using IPM-INM tools was with 37.50%, non-availability of bio-pesticide agents and bio-fertilizers (96.25%), non-availability of
labour for inter-culture like uprooting of weeds, cleaning of water channels and harvesting (53.75%). Therefore, it is suggested that the extension
activity needs to be intensied to create awareness among the farmers for higher adoption of IPM & INM technology for sustainable production of
paddy (Basmati).
A CASE SERIES OF ULNAR NERVE PARESIS IN GASTROINTESTINAL STROMAL TUMOUR PATIENTS
Authors: Muralidharan M. , Muthulakshmi S. , Vinodini C. , Arunshreenivas Arunshreenivas
Published: March 2024

Background: With the rise in the incidence of gastrointestinal stromal tumors (from 0.55 per 100,000 population in 2001 to 0.78/100,000 in
2011.), a clear understanding of this condition and its various manifestations has become quite essential. Although a rare manifestation, the
occurrence of ulnar nerve paresis in patients diagnosed with gastrointestinal stromal tumours is frequent enough to warrant research into its
causation. This series report three cases of isolated ulnar nerve paresis in four patients diagnosed with gastrointestinal stromal tumours, with the
aim of assessing the occurrence of nerve pathology in these tumours and a brief review of the literature on its clinical presentation and therapeutic
approach. Methods: A case series of three cases of ulnar nerve paerisis reported in patients operated for gastrointestinal stromal tumour were
analysed by terms of tumour morphology, histopathological examination and immunohistochemistry. The Results: re was a strong association
found to be noted in GIST cases with immunohistochemistry showing S-100 positivity The occurrence o Conclusion: f extra intestinal
manifestations, although not documented extensively, isn't something entirely unheard of. In 3 documented cases of GIST at Government Medical
College and ESI Hospital, Coimbatore, the development of right ulnar nerve paresis postoperatively is to be noted among S-100 marker positive
cases. Patients complained of weakness of right hand postoperatively, and were treated promptly with adjuvant chemotherapy and recovered.
EFFECTIVENES OF UPPER LIMB AEROBIC EXERCISES ON SHOULDER RANGE OF MOTION, PAIN AND FUNCTIONALACTIVITIES IN SUBJECTS WITH MODIFIED RADICAL MASTECTOMY
Authors: Kumar K. Senthil , Shanthi C. , Krishna S. Raghav , Madhavi K.
Published: March 2024

Objectives: To analyse the effects of upper limb aerobic exercises on shoulder range of motion [exion, abduction and external rotation] through
Goniometer in subjects with Modied Radical Mastectomy. To analyse the effects of upper limb aerobic exercises on pain in subjects through
NPRS with Modied Radical Mastectomy. To analyse the effects of upper limb aerobic exercises on functional activities through SPADI scale in
subjects with Modied Radical Mastectomy. Methodology: The design of this study is an one group pre-test, post-test design in which 30 female
subjects (from department of surgical oncology, SVIMS) were recruited by means of purposive sampling method after the fullment of the
inclusion, exclusion criteria. Base line demographic details of the subjects were noted prior to the study and pre-values of shoulder range of motion
[exion, abduction and external rotation], pain and functional activities were recorded on pre and post with the help of outcome measures;
Goniometer, NPRS[Numerical Pain Rating Scale] and SPADI[Shoulder Pain and Disability Index]. Aerobic exercise protocol was given for a
period of 6 weeks. After completion of the aerobic exercise protocol the post values were measured by means of same outcome measures. Results:
The results of the study showed that 6 weeks of treatment of upper limb aerobic exercises have a signicant effect in increasing shoulder range of
motion [exion, abduction and external rotation], and reducing pain and improving functional activities in subjects with Modied Radical
Mastectomy. Conclusion: The ndings of the study indicate that the upper limb aerobic exercises were effective in improving shoulder range of
motion, and reducing pain and improving functional activities in subjects with Modied Radical Mastectomy
EFFECTIVENESS OF MOTOR CONTROL EXERCISES WITH INTERFERENTIAL THERAPY ON PAIN AND FUNCTIONALACTIVITIES AMONG THE SUBJECTS WITH NON SPECIFIC LOW BACK PAIN
Authors: Rambabu G. , Shanthi C. , Kumar K. Senthil , Krishna S. Raghava , Madhavi K.
Published: March 2024

Background And Purpose: Non-specic Low back pain (NS LBP) is a common symptom that can occur in all ages. Studies of individuals with
NS LBP have identied impairments in the control of the deep trunk muscles (e.g. transversus abdomens and multidus) Responsible for
maintaining the stability of the spine, which causes the decrease the Lumbar ROM, functional activity and quality of life. MCE has obtained
increasing attention in treating NSLBP. Objectives: The study is to nd out the effectiveness of Motor control exercises with interferential therapy
on pain and functional activities in subjects with nonspecic low back pain. Methodology: The study design is an experimental study which
consists of 30 subjects, were screened on basis of inclusion and exclusion criteria and randomised into single group. All the subjects were treated
with Motor Control Exercises and Interferential therapy for 4 weeks. Pre and post values are taken before and after the treatment. Outcome
Measures: Pain was measured by numerical pain rating scale, and functional activities by revised oswestry low back pain disability questionnaire.
Results: After the data analysis, the results revealed signicant improvement {p < 0.05} in pain and functional activities. Conclusion: Motor
Control Exercises and Interferential therapy are more effective in reducing pain and functional activities in subjects with nonspecic low back pain.
COMPARISON BETWEEN ALBUMIN AND CRYSTALLOID AS PRIMING SOLUTION IN CARDIOPULMONARY BYPASS PAEDIATRIC CYANOTIC HEART DISEASE PATIENTS ADMITTED FOR SURGERY.
Authors: Chakma Rimjim , Dutta Gupta Sampa , Karmaker Avijit , Banerjee Siddhi , Majumder Saptaki
Published: March 2024

Effects on platelet number and function are a central concern in choice of priming uid on congenital cardiac patients. Aim to compare between
albumin and crystalloid with FFPas priming solution in cardiopulmonary bypass for paediatric congenital cyanotic heart disease patients (CHD). A
total of 66 CHD paediatric patients were divided into two groups to received either albumin or crystalloid solution +FFP as priming uid. The
primary endpoint was assessment of haemoglobin, platelet count and urine output immediately before induction and after cessation of CPB.
Secondary endpoints considered blood loss and consumption of blood products in post operative 24 hrs period. Statistically signicant difference
revealed between the two groups for post CBP Hb,(Gr.albumin10.55±1.32:Gr.cr+FFP 9.91± 1.07; p0.033) post CBP platelet (Gr. Albumin
115151.52±29487.41: Gr.Cr +FFP 139393±23040.64; p 0.000), post CBP urine(Gr.Albumin 869.94±282.67:Gr.Cr+FFP 1051.67±235.48;p
0.006), left drain collection,(Gr albumin 25.30±4.49: Gr Cr 43.03± 7.88;p0.05) right drain collection Gr Albumin 15.15±3.36:Gr Cr 38.33± 7.01; p
0.005), PRBC transfused (Gr Albumin 50.91±13.77:Gr Cr+FFP 114.27±19.05 ;p0.009), and platelet transfusion(Gr Albumin 75.8%:Gr Cr+FFP
24.2%; p 0.003) . Albumin in the prime may attenuate the extravasations of uid out of the vascular space, Moreover systemic inammatory
response associated trans-capillary leakage of plasma proteins is possible to prevent by increase serum albumin levels. To conclude albumin as
priming solution revealed better than crystalloid +FFPin cardiopulmonary bypass surgery in paediatric age group.
SONO-ELASTOGRAPHY IN CHARACTERIZATION OF SUSPICIOUS CERVICAL LYMPH NODES AND CORRELATING WITH HISTOPATHOLOGY.
Authors: V K Pranav , K R Ohmini , SC Sanjay
Published: March 2024

Introduction: Palpation is an age-old method used to assess soft tissue abnormality based on difference in elasticity of the tissues. This is based on
the fact that abnormal tissues (malignant) tend to be harder than the normal tissue. Elasticity is the ability of the material to resume its original size
and shape after applying a deforming force or stress. Pathological changes in the tissue lead to change in elasticity. Elastography is an imaging
modality which can assess the changes in elasticity of the tissue due to pathological process. It is used to differentiate benign and malignant cervical
lymph nodes (LNs) based on colour scale, elasticity scores, strain ratio and compared to the ndings with histopathological results. Aims &
Objective: To perform and correlate B-mode ultrasonography, colour doppler imaging, and elastography of cervical lymph nodes with
histopathological ndings. The stiffness of the tissues was coded in different colors that ranged f Methods And Materials: rom blue for the
components with no strain (hard) and red for components with the greatest elastic strain (Soft). Real time elastography is done on patients having
enlarged cervical lymph nodes conrmed on B mode ultrasound. This is represented as a color coded image superimposed on the B-mode image.
Sono-elastography score is calculated using Alam et al1 study which includes 5 patterns. Elastography ndings are further correlated with
histopathology which is considered as gold standard. We evaluate the size, shape, echogenicity, and Results: hilum on the B-mode images.
Doppler Ultrasonography evaluation of nodal vascular pattern was of high sensitivity & specicity. The calculated sensitivity of elastographic
pattern and scoring was 86%, specicity was 97%, PPV and NPV were 92% and 87% respectively, and the total accuracy was 94%. The mean
elastographic strain ratio for malignant LNs (3.4 ± 1.2) was signicantly greater than that for benign LNs (mean, 1.2 ± 0.3). Real time Conclusion:
ultrasound elastography is a promising imaging technique that is useful in differentiating benign and malignant cervical lymph nodes and can
reduce the rate of biopsies because of its high elasticity being highly associated with benign cytology.
Gli obiettivi della riforma Cartabia: nuovi paradigmi per un processo penale efficiente e garantista
Authors: Cassano Margherita , Conti Carlotta
Published: March 2024

As is well known, in implementation of the NRP, the Cartabia reform made significant changes at numerous junctures of the criminal process. Despite the fact that an excessive focus on the efficiency profile of the procedure alone has been stigmatized from many quarters, the new legislation does not penalize the guarantees of the criminal process but, on the contrary, in many cases aims to enhance its scope. Of course, such a result can only be achieved with the responsible cooperation of all those acting on the trial scene.
La Sezione specializzata immigrazione di fronte all’intreccio delle protezioni e alla ‘profughizzazione’ dello sfruttamento lavorativo
Authors: Santoro Emilio
Published: March 2024

The text analyses the critical issues encountered in the definition of international and special protection proceedings at the Specialised Immigration Section of the Court of Florence and sets out the strategies adopted to achieve the objectives of efficiency and innovation of the same provided by the Giustizia Agile project. In the choice of the strategies put in place, together with the definition of systems for the achievement of quantitative objectives, the focus was on the qualitative profile of the protection of the fundamental rights of applicants with particular reference to the phenomenon of labour exploitation, emerging with increasing frequency among applicants for international and special protection, and the intertwining of the protections provided for its victims.
Valutazione della propensione alla mediazione tramite eXplainable AI
Authors: Nesi Paolo
Published: March 2024

Mediation in civil trials can effectively resolve disputes outside of court proceedings, easing the burden on the courts if successful. Efficiency in identifying disputes is essential, as a failed attempt at mediation can lengthen the duration of the trial. The decision rests with the judge/tribunal on the basis of numerous documents that contain certain statements significant to the decision. This paper describes an artificial intelligence, AI, solution to provide a decision support system that can process documents and (i) produce reliable suggestions, (ii) produce substantiated reasons by highlighting the statements that led to the suggestion, and (iii) respect privacy and data security. Explainable AI techniques (XAI) technologies were used for this purpose, resulting in a solution that meets the defined objectives. The solution was developed as part of the research project "Agile Justice," funded in the Italian National Governance and Institutional Capacity NOP, and validated against real cases. The solution leveraged the Snap4City framework for data management and AI/XAI solution.
Management, Anatomical and Functional Outcomes of Malleolar Fractures at the District Teaching Hospital of Oueme-Plateau in Benin (DTH-OP)
Authors: François Amossou Labissi , Marie Lalèyè Christel , Martin Djagbe S. , Oswald Goukodadja , Adébola Padonou , Aristote Hans-moévi-Akué
Published: March 2024

Introduction: Malleolar fractures are commonly treated in orthopedic traumatology. The purpose of this study was to describe the management and evaluate the anatomical and functional outcomes of these fractures. Patients and Methods: In this study, 106 patients were treated for malleolar fractures. The mean age was 41.8 years, with 70 men (66%) and 36 women (34%). Therapeutic methods were either orthopaedic (n=57; 54%) or surgical (n=49;46%). The initial anatomical results were evaluated according to Lecestre et Ramadier, criteria and the functional results were assessed using the AOFAS score. Results: Anatomical reduction was performed on 65 (61.3%) patients, of whom 28 (26.4%) were treated orthopedically and 37 (34.9%) underwent osteosynthesis. At the last follow-up, of the 79 patients (74.5%) reviewed, 41 (51.9%) had excellent functional results and 17 had good results. Conclusion: At DTH-OP, malleolar fractures are relatively common. The treatment is either orthopedic or surgical depending on the type of fracture and the patient's financial ability to bear the costs.
Clinical Outcomes of Delayed Laparoscopic Cholecystectomy in Patients with Acute Calculous Cholecystitis: A Single Centre Study
Authors: Igbal Yasir , Adam Yousif Abdallah , Awan Faisal Nazir
Published: March 2024

Background: A delayed laparoscopic cholecystectomy is performed as an elective procedure several weeks after a conservative treatment which involves a course of intravenous antibiotics. Aims: To evaluate the clinical outcomes (i.e. hospital stay, mean operative time, re-admissions, and conversion) of delayed laparoscopic cholecystectomy among patients with acute calculous cholecystitis operated on in a tertiary care hospital. Methods: A six-month retrospective study was conducted at the Department of Surgery, Saint Luke’s General Hospital, Kilkenny, Ireland, from 28th August, 2017, to 1st March, 2018. It included 148 patients with acute calculous cholecystitis who underwent delayed laparoscopic cholecystectomy in the department from January, 2016 to December 2016 and who satisfied the inclusion and exclusion criteria. The data was analyzed using SPSS version 21. The age range of patients was between 26 and 59 years, and the overall mean (±SD) age of patients was 41.67 (± 8.23) years. The majority (59.5%) of patients enrolled were aged over 40 years. Among the 148 patients enrolled in this study, 34 (23%) were males and 114 (77%) were females. Only eight (5.4%) patients were converted to open cholecystectomy, and readmission was observed in 21.6% patients. The mean (SD) length of stay was 5.59 (4.42), while the mean length of operative duration was 107.69 (32.15) respectively. Conclusion: Delayed laparoscopic cholecystectomy among patients with acute calculous cholecystitis produces a significantly lower likelihood of conversion to open surgery.
Outcomes and Measures of Children with Bilateral Cochlear Implants: A Single-center Experience in Bangladesh
Authors: Hossain Mohammod Delwar , Islam Mohammed Sirazul , Lorens Artur , Rajeswaran Ranjith , Ganesan Siva
Published: March 2024

Children dealing with hearing impairment encounter challenges associated with speech and language delays, significantly impacting their quality of life. Recent data from the World Health Organization indicate that 466 million people worldwide experience disabling hearing loss, with 34 million being children. Cochlear implantation (CI) is a novel approach for severe to profound sensorineural hearing loss. In pediatric CI, the main objective is to enable hearing-impaired children to perceive sound promptly, facilitating speech and language development. This study investigated the outcomes of bilateral pediatric cochlear implant (CI) users in Bangladesh, applying the Speech, Spatial, and Qualities of Hearing questionnaire and the Classification of Auditory Performance-II (CAP-II). Conducted at the Combined Military Hospital in Bangladesh, the study involved 10 children with bilateral cochlear implants. The results revealed commendable scores in speech understanding, spatial hearing, and qualities of hearing, underscoring the effectiveness of cochlear implant interventions. Deeply examining the implications is the topic of discussion of these findings, emphasizing the positive impact of early implantation and the adaptability of assessment tools in diverse cultural contexts.
Anaesthesia Management of Child with Congenital Cystic Adenomatoid Malformation Posted for Lobectomy
Authors: Jagtap Pradnya
Published: March 2024

Congenital cystic adenomatoid malformation (CCAM) is a benign lung lesion that appears before birth as a cyst or mass in the chest. It is made up of abnormal lung tissue that does not function properly, but continues to grow. These lesions compress the adjacent normal lung tissues. CCAMs occur sporadically, and there is no genetic predisposition. They are usually unilobed and unilateral, with arterial supply and venous drainage from the pulmonary circulation. The postnatal management of symptomatic CCAM varies on whether the patient has respiratory distress or is asymptomatic. Symptomatic patients require a lobectomy or pneumonectomy. Perioperative anaesthetic management is challenging because it involves thoracotomy in a young patient that may lead to hemodynamic compromise and inadequate ventilation.
PRINCÍPIOS DOS EFEITOS ANESTÉSICOS NA RAQUIMEDULAR: REVISÃO DE LITERATURA
Authors: Flores Kevillyn Maria Nava , Almeida Luiz Augusto de , Setúbal Aline Corado , Klein Kethrin Maahs , Rodrigues Rafael Ruschel , Oliveira Luiza Rei , Sousa Laís Silva , Venturim Thainá Bastos , Nascimento Jader Ogura , Rizzo Renato Ruiz , Borges Thais Rodrigues Ferreira , Lagemann Bruna , Santos Ariele Cristina Souza
Published: March 2024

O objetivo deste estudo foi analisar a ligação entre a anestesia raquidiana e as cefaleias pós-operatórias. Foi conduzida uma pesquisa bibliográfica minuciosa, que englobou estudos que investigaram essa ligação, os mecanismos fisiopatológicos envolvidos, assim como as medidas preventivas e terapêuticas para essas dores de cabeça. Como resultado, as dores de cabeça pós-operatórias relacionadas à anestesia raquidiana são uma complicação potencialmente desconfortável para os pacientes. A conexão entre a anestesia raquidiana e o surgimento dessas dores de cabeça ainda é tema de debate na área médica, e mais pesquisas são necessárias para aprofundar o entendimento dessa relação. Medidas preventivas e terapêuticas adequadas são essenciais para aliviar os sintomas e melhorar a qualidade de vida dos pacientes afetados. A colaboração entre profissionais da saúde e pesquisadores é crucial para progredir no conhecimento nesse campo e proporcionar um cuidado mais eficaz aos pacientes submetidos a cirurgias.
REFLEXIONES ACERCA DE LA CONCEPCIÓN KANTIANA DEL RESPETO AL DERECHO COMO UN SENTIMIENTO A PRIORI
Authors: Beade Ileana Paola
Published: March 2024

En la Crítica de la razón práctica, Kant sostiene que el respeto que la ley moral despierta en nosotros es un sentimiento racional, necesario, universal -i.e. no condicionado por la constitución particular de la sensibilidad de cada cual- y que se trata de un sentimiento que puede ser conocido o experimentado a priori (KpV, Ak. V, 73). En algunos de sus principales escritos jurídicos y políticos, el autor hace referencia al respeto que despierta en nosotros el concepto de derecho. Teniendo en cuenta que la ética y el derecho constituyen, para el filósofo, dos dimensiones comprendidas dentro del ámbito amplio de la moralidad, el objetivo de este trabajo será examinar en qué medida el respeto que infunde el concepto de derecho podría ser considerado como un sentimiento moral, y más precisamente: como una suerte de proyección jurídica del sentimiento de respeto a la ley moral.
KANT Y EL ORDEN DEL MUNDO
Authors: Turró Salvi
Published: March 2024

Este artículo analiza la comprensión kantiana del mundo como supuesto inherente a toda su filosofía que, en este sentido, es verdaderamente una “sabiduría del mundo” (Weltweisheit).  Se parte de la visión tradicional del período precrítico (Historia general de la Naturaleza), se estudia el replanteamiento de la temática en las dos primeras críticas, y se concluye con la aportación de la tercera en tanto que “tránsito” entre el mundo sensible e inteligible-moral y así como perspectiva unificadora de lo real como “cosmos”. Estos análisis ponen de manifiesto la permanencia de elementos fundamentales del modelo “timeico” de mundo en el pensamiento kantiano, así como su reelaboración final en forma de sabiduría subjetiva con base moral (Doctrina de la Sabiduría de 1791). Todo ello permite introducir finalmente el sentido historiográfico de una “cosmética filosófica”  en general.
presencia viva de Kant
Authors: PAREDES MARTIN MARIA DEL CARMEN
Published: March 2024

La intensidad del tiempo entre la publicación de la Crítica de la razón pura y la elaboración de la Lógica de Jena por parte de Hegel (1804-1805) marca uno de los periodos más fructíferos de la filosofía moderna. No solo fue un tiempo de transición de la filosofía trascendental de Kant al idealismo de Hegel, sino sobre todo una época en que la presencia viva de la obra de Kant penetró en todas las corrientes de la cultura. Kant era un reconocido Magister mucho antes de que pudiera dar una estructura sistemática a su filosofía y a partir de entonces expandió su influencia tanto entre sus seguidores como entre sus críticos. Schiller y Hölderlin, Fichte y Goethe, Schelling y Hegel pertenecen a la mejor tradición que contribuyó a establecer las características principales de la filosofía postkantian
“¿Religiosidad personal o religión individual en ‘Del sentimiento trágico de la vida’ de Unamuno?
Authors: Sáez Martínez Begoña
Published: March 2024

El presente artículo procura dilucidar si el posicionamiento de Unamuno frente a la pregunta por la trascendencia en Del sentimiento trágico de la vida desemboca en una religiosidad personal o se orienta hacia una religión individual. Para ello, abordaremos el lugar central del yo en el espacio de reflexión sobre la religión, la función del individualismo personalista y la contraposición entre religiosidad personal y religión individual. Finalmente, valoraremos la posible vigencia y actualidad del pensamiento formulado en esta obra.
Technological development of an ergonomic trailer for fi re and
rescue units
Authors: Kropotova N.A.
Published: March 2024

The use of fire-technical weapons for extinguishing landscape fi res and repairing equipment is analyzed. The modernization
existing equipment is proposed by developing a universal trailer trolley, which solves two engineering and research
tasks: providing fi re extinguishing and carrying out loading and unloading operations. The technological design of all stages
of development from a sketch to a 3D model is described. A distinctive feature of the proposed design is its versatility: the
ability to use both a trolley and a trailer for small-sized equipment, for example, an ATV, which serves as an addition to
existing weapons and contributes to increasing the effectiveness of extinguishing landscape fi res and conducting reconnaissance
and search operations.
Ensuring durability the column
of hydraulic presses with the use of a nut bandage in case of partial failure
of the thread
Authors: Zuev E.A. , Vorobyev A.K. , Zueva M.N.
Published: March 2024

The reasons for the destruction of columns of powerful hydraulic presses. Described a method for banding
the nut, which is used to increase the safety margin of a threaded connection, partially when the thread of the column is
destroyed.
Forceful impact of oscillations of nonlinear systems upon occurrence
of two sources of disturbing forces with different vibration frequencies
Authors: Erlich Boris M.
Published: March 2024

Study the effect of external disturbances in a system of nonlinear frictional oscillations is carried out. The
research method is given for the spectrum of oscillations with prevailing harmonic disturbances with two components:
high-frequency and low-frequency. The study takes into account the presence of various types of complex nonlinearities:
elastic, dissipative, or both elastic and dissipative. To reduce the amplitude of oscillations, sometimes reaching signifi cant
values, impact forceful is introduced into the system. Its structure and parameters are determined based on the methods
of the theory of harmonic linearization and optimal control.
Diabetes Mellitus and Bacterial Infections: A Review of Main Infections in DM Patients
Authors: Yunus Reni , Wijayati Fitri , Askrening Askrening , Rahayu Dian Yuniar Syanti , Hasan Fonnie E , Trees Trees , Fusvita Angriani
Published: March 2024

Millions of single-celled microscopic organism called bacteria reside within the human body. Numerous infectious diseases in humans are caused by some of these pathogen bacteria. One of the major risk factors for bacterial infections is diabetes mellitus. Bacterial infections and diabetes may have a reciprocal relationship in which some illnesses exacerbate insulin resistance. Diabetes may occur as a result of bacteria in the digestive system. Any organ in a human body can become infected by bacteria. The respiratory tract, gastrointestinal tract, urinary tract, skin, and soft tissues are the most frequently infected areas with diabetes. Uncontrolled hyperglycemia increases the risk of bacterial infections by impairing innate and adaptive immune responses. Furthermore, skin ulceration can result from long-term diabetic consequences such peripheral vascular disease and neuropathy (sensorimotor and autonomic). These conditions can also lead to secondary bacterial infections.
Factors Associated with the Implementation of GERMAS (Healthy Living Community Movement) in the Community of Cengkareng Timur Village
Authors: Manurung Evanny Indah , Sianturi Laura Angelia Putri , Purba Lola Ade Syah Putri , Agustina Mutia , Silitonga Ester
Published: March 2024

Background: Healthy Community Movement (GERMAS) is a systematic and planned effort carried out jointly by the entire nation with awareness, willingness, and ability to behave healthily to improve quality of life. Based on the results of preliminary studies of visitors of the Cengkareng Health Center who live in the East Cengkareng area, it was found that the application of GERMAS in the Cengkareng community was still relatively insufficient and the number of Non-Communicable Diseases (NCDs) increased.
Objective: This study aimed to identify factors associated with the implementation of GERMAS in East Cengkareng Village 
Methods: This study used a quantitative and correlational approach with a cross-sectional design. The population of this study is the East Cengkareng Community of adults aged 20-49 years. An accidental sampling technique was used to obtain 300 respondents. This research instrument was adopted from previous research conducted by Laksmi in 2019 to measure the implementation of GERMAS, attitude, and knowledge. The data obtained were analyzed using univariate analysis and bivariate analysis with Chi-Square.
Results: The results showed that the people in the East Cengkareng village as many as 252 (84.0%) respondents implemented GERMAS well and as many as 48 (16.0%) respondents did less implement GERMAS. The factors that have a significant relationship with the implementation of GERMAS are age (p-value=0.004), occupation (p-value=0.023), and attitude (p-value=0.013)
Conclusions: Age, occupation, and attitude can affect GERMAS implementation. Future researchers can analyze the application of GERMAS on different characteristics of respondents such as the elderly, pregnant women, adolescents, and on respondents with certain conditions.
Keywords: Age; attitude; GERMAS; occupation
Examining the relationship between urban household food insecurity and under-five mortality in Lideta Sub-city, Addis Ababa, Ethiopia
Authors: Goda Ephrem Tadesse , Boshera Terefe Degefa , Aredo Mengistu Ketema
Published: March 2024

Household food insecurity increases the risk of morbidity and mortality in children. Improved reproductive health in women enhances the nutrition status of children, while better food security helps children survive. This study aims to examine the relationship between food insecurity and under-five mortality. A community-based cross-sectional study was conducted from February to March 2023 in Lideta Sub-City, Addis Ababa, Ethiopia. A total of 605 women of reproductive age were selected using multistage sampling. A Pearson Chi-square test (χ2) and logistic regression were used to assess the association between food insecurity and under-five mortality after adjusting for other covariates. The result of the study shows that food security status was a significant predictor of under-five mortality at p < 0.05. According to the findings, women from food-insecure households were 3.89 times more likely to experience under-five mortality compared to women from food-secure households. Similarly, women’s education, age at first birth, initiation of breastfeeding, child’s age and sex, birth order, and the number of children ever born were significant predictors of under-five mortality at p < 0.05. These outcomes reinforce the notion that food insecurity is a significant public health concern. Consequently, national and regional considerations should prioritize addressing household food insecurity and cases of acute malnutrition to achieve sustainable development goals.
A descriptive model featuring expansive clinical microbiology approaches and antimicrobial stewardship to control antimicrobial resistance in low- and middle-income countries
Authors: Irek Emmanuel Oladayo , Olugbade Olukemi Titilope , Anuforo Anthony Chinemere
Published: March 2024

The upsurge and escalation of antimicrobial resistance (AMR) poses a major worry on the global scene. Effective antimicrobial stewardship (AMS) programs are critical to combat this challenge, and applied knowledge in clinical microbiology serves as the cornerstone for the successful implementation. Despite technological advances, many low- and middle-income countries (LMICs) still adopt traditional phenotypic techniques in clinical microbiology laboratories. An expansive implementation of clinical microbiology approaches can bridge this apparent gap. Good laboratory assessment, hospital epidemiology, and infection prevention and control, which are the sub-divisions of the expansive clinical microbiology approaches, can be deployed to implement AMS appropriately in LMICs. In this paper, we describe a model featuring a functional AMS equipped with expansive clinical microbiology approaches to control AMR in LMICs.
 
Allostatic overload in the medically ill patients: Results from an observational study
Authors: Mansueto Giovanni , Romanazzo Sara , Romaniello Caterina , Guiducci Serena , Galimberti Sara , Cosci Fiammetta
Published: March 2024

The present study aimed at evaluating the prevalence of allostatic overload (AO) among subjects with different medical diseases and explore whether medically ill patients with or without AO differ for specific clinical features (i.e., co-occurring mental or psychosomatic disorders). An observational cross-sectional study was carried out. Outpatients with a diagnosis of blood cancer, systemic sclerosis, or migraine received a clinical assessment which included the Mini International Neuropsychiatric Interview or the Structured Clinical Interview for DSM-5 and the Diagnostic Criteria for Psychosomatic Research-Revised Semi-Structured Interview (DCPR-R SSI). Four hundred and thirty-nine outpatients were enrolled. Among them, 39 (8.9%) had a diagnosis of blood cancer, 200 (45.5%) had a diagnosis of systemic sclerosis, and 200 (45.5%) had a diagnosis of migraine. A total of 104 (23.7%) patients had a DCPR-R diagnosis of AO. Patients with a diagnosis of blood cancer, migraine, or systemic sclerosis did not differ for DCPR-R AO prevalence (P = 0.082). Based on multiple regression analysis, medically ill patients with DCPR-R AO were more likely to satisfy the diagnosis of DCPR-R illness denial (odds ratio [OR] = 2.99, 95% confidence interval [CI] = 1.04 – 8.58), conversion symptoms (OR = 5.32, 95% CI = 1.16 – 24.38), or demoralization (OR = 2.57, 95% CI = 1.08 – 6.11) and a DSM-5 diagnosis of major depressive episode/disorder (OR = 1.90, 95% CI = 1.03 – 3.50), if compared to those without DCPR-R AO. DCPR-R AO is a clinically useful transdiagnostic feature potentially associated with other psychosomatic syndromes and mental disorders that may contribute to the disease burden and the poor global health conditions of medically ill patients.
Proficiency and Approaches in Teaching Children with Learning Disabilities among Filipino Teachers
Authors: D. Sulio Mike , Martin Matronillo Del Mundo
Published: March 2024

The main purpose of the study is to determine the approaches and proficiency of teachers in teaching children with learning disabilities in public elementary schools in San Mateo North and South District, Division of Isabela for the School Year 2019-2020. Descriptive survey was employed. The school heads and SpEd teachers were served as respondents. Mean, t-test and Spearman rank were used to analyze data. The results showed that the teachers teaching students with learning disabilities are proficient and often used different approaches. The teachers are knowledgeable about the applicable teaching approaches to be employed in teaching students with learning disabilities. Likewise, as to the extent of employing of approaches, these were evident as practiced by the teachers and as confirmed and observed by the school heads. School Heads and teachers have the same level of assessment in terms of the extent of approaches in teaching students with disabilities. The teachers are proficient in handling students with learning difficulties. In terms of teachers’ proficiency, both teachers and school heads assessed the teachers as proficient. Therefore, they have the same level of assessment. Teachers frequently used the approaches as manifested by their level of proficiency except for content knowledge. Thus, proficiency of teacher in content knowledge do not depend on approaches being used. The teachers and school administrators shall attend trainings, workshops and conferences related to the varied teaching approaches applicable to the students with learning disabilities. The administrators and focal person of SPED in the district shall engage more related activities and trainings about the nature of content knowledge to be included in the curriculum of the special education to update the content and competencies.
Phonological Fossilization of Arabic Pronunciation among Malays: A Review Article
Authors: Ali Huddin Muhammad Ridha , Sapar Ahmad Arifin
Published: March 2024

Arabic pronunciation has been used widely among Malay speakers in worshiping and religious deeds. However, tongue hardness has affected the Arabic pronunciation among Malays including the factor of different language system. Mahjub’s Theory (1993) mentioned that there were nine the most difficult Arabic sounds to non-native speakers. This concept paper aims only a major objective which is to develop and propose a conceptual framework for the application of air pressure control technique in the vocal tract for reducing phonological fossilization of Arabic pronunciation among Malays. This concept paper is a qualitative study which use library research method, with research for the most part of researches that related to phonological fossilization in second language that were compiled to be analyzed in order to comprehend the concept of phonological fossilization. Besides, observation method towards previous scientific research was made particularly research on the articles that were published in international academic journal. A conceptual framework then will be utilized to apply the technique of air pressure control in the vocal tract that constructed based on Warren’s Theory of Air Pressure Regulation (1986). The technique is then expected to help in improving particularly the pronunciation of the nine most difficult Arabic sounds among Malays.
Sociodemographic Determinants of Acculturation Stress Among International University Students
Authors: Talwar Prashanth , Rethinasamy Souba , Abd Ghani Kartini , Tan Kock Wah , Mat Yusoff Nur Fatihah
Published: March 2024

The study attempted to identify which sociodemographic factors predict acculturation stress and also to examine the levels of acculturation stress amongst 208 international students enrolled in a Malaysian university. A convenience sampling technique was implemented for data collection by utilizing a self-reported questionnaire. As for the sociodemographic factors predict acculturation stress multiple regression analyses demonstrated that among the independent variables, family support, year of study, difficulties in comprehending lectures, and strains of relationship with boyfriend/girlfriend had significant predictive effects on acculturation stress. Young and male international students expressed significantly higher levels of acculturation stress than their older and female counterparts. Students who acknowledged strong family support and were single depicted lesser acculturative stress compared to those with inadequate support and were in a romantic relationship. As for the levels of acculturation stress, findings revealed that acculturation stress was relatively high amongst most of the international students. Perceptions of discrimination and rejection, as well as feelings of homesickness and fear were portrayed by large numbers of students.