bluuebunny/crossref_metadata_2025 huggingface dataset:
Tumor neuroendócrino gástrico: um relato de caso
Authors: Pereira Thayane Vidon Rocha , Storino Aline de Vasconcellos Costa e Sá
Published: May 2023

Objetivo: Este artigo consiste em um relato de caso raro de tumor neuroendócrino tipo I, diagnosticado em uma paciente do sexo feminino, 45 anos, que foi submetida a endoscopia pois apresentava sintomas dispépticos. Foram realizados estudos endoscópicos e anatomopatológicos, confirmando o diagnóstico de neoplasia neuroendócrina gástrica. Métodos: As informações foram obtidas por meio de revisão de prontuário, entrevista com paciente, registro fotográfico dos métodos diagnósticos aos quais o paciente foi submetido e análise de literatura. Detalhamentos de Caso: Paciente do sexo feminino, 45 anos, com dor e distensão abdominal, não apresentava alterações significativas ao exame físico e as investigações clínicas e laboratoriais foram inexpressivas. Os achados histopatológicos evidenciaram um tumor neuroendócrino bem diferenciado do tipo um, sendo uma neoplasia rara de bom prognóstico. Conclusão/Considerações finais: Apesar de serem uma neoplasia rara, merecem uma atenção especial devido ao comportamento distinto e menos agressivo do que o adenocarcinoma gástrico. A paciente do caso em questão segue em acompanhamento ambulatorial com o serviço de gastroenterologia e endocrinologia e realiza endoscopias periódicas.
Pengaruh Leader-Member Exchanges, Kepuasan Kerja, Persepsi Dukungan Organisasi Terhadap Kinerja Karyawan Dengan Peran Komitmen Organisasi Sebagai Variabel Pemediasi
Authors: Prasetyo Achmad Yusuf , Waskito Jati
Published: May 2023

This study aims to analyze the influence of leader member exchanges, perceptions of organizational support and job satisfaction on employee performance with organizational commitment as a mediator. Research using quantitative research methods. The population used was 71 respondents with subjects being BPJS Health employees in the city of Surakarta. Sampling in this study using non-probability sampling with saturated sampling technique. Data collection was carried out by distributing questionnaires to all BPJS Kesehatan employees in Surakarta. Using SmartPLS as a data analysis tool. Testing the data used includes the outer model and inner model. The findings from this study found that Leader member exchanges had no effect on organizational commitment. Leader member exchanges have a significant effect on employee performance. Perceived organizational support has a significant positive effect on organizational commitment. Perceived organizational support has no significant effect on organizational performance. Job satisfaction has a significant positive effect on organizational commitment. Job satisfaction has no significant effect on employee performance. Organizational commitment has a significant positive effect on employee performance. The role of organizational commitment as a mediator is not able to have a significant effect on the effect of leader member exchanges on employee performance. The role of organizational commitment as a mediator is able to provide a positive and significant effect on the influence of perceived organizational support on employee performance. The role of organizational commitment as a mediator is able to provide a positive and significant effect on the effect of job satisfaction on employee performance
Keywords: Leader Member Exchanges, Perceived Organizational Support, Job Satisfaction, and Employee Performance
The Effect of Communication on the Social Interaction of Parents and Children Living Under the Kalijodo Bridge (West Jakarta)
Authors: Langi Tita
Published: May 2023

As social beings, humans like to live and engage in groups or communities. The urge for interpersonal interaction has an impact on someone’s behavior, emotions, and mental health. In particular on the mentality of young children. Human beings are complex creatures who possess the ability to think, communicate, perceive, and experience emotions. They have a fundamental need for social connections to fulfill their emotional and psychological requirements, as well as to seek information and assistance. It is also crucial for them to form connections and understand each other. This phenomenon appears in individuals residing in suburban areas outside Jakarta, the capital city, or even those living beneath bridges in large cities. Considering their busy work to afford daily requirements, they scarcely know and appreciate how vital their relationship with one another is. As a result, children frequently become victims at work. They need to put in a lot of effort to survive. At this age, they should have spent more time in school, learning, playing, and spending time with their families than the other way around. This research uses a qualitative method. The aim of this study is to emphasize the significance of active participation in one’s own life and skillful communication in fostering healthy relationships among families and communities. Effective communication between parents and the community can promote constructive engagement and positive relationships between parents and their children.
Science, Examining The Fingerprint Of God
Authors: Robert Wiley
Published: May 2023

From Romans 1:18-22, “For the wrath of God is revealed from Heaven against all ungodliness and unrighteousness of men who suppress the truth in unrighteousness, because that which is known about God is evident within them; for made it evident to them. For since the creation of the world His invisible attributes, His eternal power and divine nature, have been clearly seen, being understood through what has been made, so that they are without excuse. For even though they knew God, they did not honor Him as God or five thanks, but they became futile in their speculations, and their foolish heart was darkened. Professing to be wise, they became fools.” The Christian view of God is such that God is not one to prove His existence with overwhelming power. He wants to accept Him on the basis of faith (Mark 10:15). His grace and mercy are available to everyone, not just the intellectual but also the little child. Scientists have for many years marveled at the order and the design of the universe and the complex structure of a single cell. All of creation points to an awesome, super mathematician, fantastic engineer. He is a designer who is far beyond all that we can imagine. In much the same way that studying the work of an artist will tell us something about the character of the artist, examining God’s creation will tell us something about the nature of God.
A Biblical Hermeneutical Study on Literal Interpretation
Authors: Hanoch Herkanus Hamadi  , Maria Benedicta Dian Savitri  , Pricilia Manopo
Published: May 2023

The aim of this research is to discover the fundamental principle of literal interpretation as it pertains to biblical hermeneutics. Hermeneutics is a discipline that establishes principles or techniques for interpreting the meaning of a particular author’s work. Over time, there have been numerous contradictions in the interpretation of the Bible in the field of hermeneutics. This study specifically focuses on biblical hermeneutics and identifies the principles of literal interpretation. This research employs a descriptive qualitative method, with data analysis conducted using Miles and Huberman’s theory. The study reveals three principles of biblical hermeneutics, namely genre context, historical context, and grammatical context. The principles are useful for interpreting the Bible according to a literal interpretation. Moreover, hermeneutics is essential for Bible interpreters to objectively determine the meaning of a text, given its divine inspiration and significance. Ignoring this guide can lead to flawed theories since hermeneutics is the science of biblical interpretation. Previous studies indicate that having an open and curious mindset assists people in comprehending and following the Scripture.
The Contribution of Christians Towards Indonesia’s Vision 2045
Authors: Gandi Wibowo
Published: May 2023

The Bible covers both personal salvation and important matters of nationality that can impact the life of a believer. According to Scripture, governments derive their power from God and are responsible for maintaining civil order. God is the ultimate source of power and his will supersedes all others. However, because governments are run by individuals with free will, some authorities follow God’s will while others do not. Regardless, all kingdoms and powers are ultimately under God’s supervision and control, and even those that oppose God’s will are serving his purpose. In fact, the early church was able to spread in part due to the persecution it faced from the Roman government. Similarly, the Indonesian government is viewed as having a divine right. As a rising economic power and is expected to become one of the Big Five economies by 2045, Indonesia must prepare to face both opportunities and challenges. Christians have a responsibility to be a blessing to our nation.
The Perception of Congregational Assemblies in Improving The Quality Of Christian Family Fellowship
Authors: Fredrik Warwer  , Alfius Aninam  , Albertus Y. Fatlolona
Published: May 2023

The apostle Paul in most of his epistles wrote about teaching, nurturing or pastoralizing to members of the church in order to live as follows the will of God. It shows that in the time of the New Testament the apostles and other servants of God in building the congregation not only emphasized on the issue of numbers but also aggravated the problem of the quality of life of the congregation itself. This study aims to determine the perception of the congregational assembly in improving the quality of Christian family fellowship. This study was conducted at the evangelical christian church (GKI) klasis Sentani congregation Hermon Hollo Him Papua, using a qualitative method through the distribution of questionnaires to the congregational assembly. The results showed that the congregational assembly understood that teaching and guiding church members is an important task mandated (100%), must be done wholeheartedly (83%), and always guided by the Bible (61%). However, sometimes in its teaching the Congregational Assembly felt less certain that they were accepted by members of the congregation (61%), this was likely due to the congregation's lack of preparation and knowledge of how to properly teach and guide christian families (56%). The quality of christian family fellowship is judged by two things, namely having biblical knowledge of the christian family and having the example of Christ. Members of the congregation place Christ as the head of the family (100%), also knowing the basis for the formation of a christian family, even if they do not understand very well how to form a quality christian family fellowship (67%). The attitude shown in Christ's example is to make the Bible a guide for life (56%), active in participating in worship (39%%), active in spiritual activities (44%) and always having an attitude of mutual love for others (44%). Based on these results, it can be concluded that aspects of teaching and guidance for members of the congregation have been carried out by the congregational assembly, but still require good guidance for members of the congregation, especially the congregational assembly as the leader of the church so that the quality of christian family fellowship occurs better.
Postcovid Syndrome: Clinical Manifestations, Therapeutic Possibilities
Authors: Волкова М.В. , Кундер Е.В.
Published: May 2023

Постковидный синдром (ПКС) представляет собой актуальную проблему современной медицины ввиду его высокой встречаемости и недостаточной изученности. Вовлечение костно-мышечной системы является одним из самых распространенных симптомов ПКС. Поражение опорно-двигательного аппарата характеризуется достаточной гетерогенностью с диапазоном клинических проявлений от неспецифической боли вследствие малоподвижности и набора веса до развития системного аутоиммунного процесса с вовлечением суставов и/или мышц. В данной статье нами предпринята попытка обобщить полученные к настоящему времени сведения по проблеме ПКС, а также обсудить доступные терапевтические возможности.

Postcovid syndrome (PCS) is an urgent problem of modern medicine due to its high incidence and insufficient knowledge. Involvement of the musculoskeletal system is one of the most common symptoms of PCS. The musculoskeletal system involvement is characterized by heterogeneity, with a range of clinical manifestations from non-specific pain due to inactivity and weight gain to the development of a systemic autoimmune process involving joints and/or muscles. In this article, we have attempted to summarize the knowledge gained so far on the problem of PCS, as well as to discuss the available therapeutic options.
Prokinetics
Authors: Якубчик Т.Г. , Силивончик Н.Н.
Published: May 2023

Нарушения моторики различных отделов желудочно-кишечного тракта занимают ведущее место в патогенезе многих заболеваний органов пищеварения. Прокинетики – лекарственные средства, которые усиливают скоординированную желудочнокишечную моторику и транзит содержимого в желудочно-кишечном тракте, в основном путем усиления и координации желудочно-кишечных мышечных сокращений. Прокинетики (их основное действие заключается в усилении сократимости желудка) включают антагонисты дофаминовых рецепторов, агонисты рецепторов мотилина, агонисты рецепторов серотонина (5-гидрокситриптамина типа 4 [5-HT4]), ингибиторы холинэстеразы и агонисты грелина. Итоприд является недавно разработанным прокинетическим средством, которое усиливает моторику желудка за счет как антидофаминергического, так и антиацетилхолинэстеразного действия.

Motility disorders of various regions of gastro-intestinal tract (GIT) are involved in pathogenesis of many digestive diseases. Prokinetic agents are medications that enhance coordinated gastrointestinal motility and transit of content in the gastrointestinal tract, mainly by amplifying and coordinating the gastrointestinal muscular contractions. The prokinetics (their main effect is to enhance gastric contractility) include dopamine receptor antagonists, motilin receptor agonists, serotonin (5-hydroxytryptamine type 4 [5-HT4]) receptor agonists, cholinesterase inhibitors, and ghrelin agonists. Itopride is a newly developed prokinetic agent, which enhances gastric motility through both antidopaminergic and anti-acetylcholinesterasic actions.
RELAÇÃO DA AGRESSIVIDADE CANINA COM O MEDO
Authors: Lima André Luiz Barbosa de
Published: May 2023

A agressividade e o medo são repertórios conhecidos do comportamento canino. Este estudo teve como objetivo principal avaliar a associação entre a agressividade e o medo em cães e como estas características variaram entre diversas raças de cães. Tratou-se de um estudo transversal com dados de 27541 cães, obtidos do Dog Aging Project 2020, disponibilizado pela University of Washington, nos Estados Unidos. Dois constructos foram desenvolvidos a partir da teoria de resposta ao item: índice de agressividade e índice de medo. A partir das medianas, as razões de prevalência entre cães com índice de agressividade acima e abaixo da média foram ajustadas pelo modelo de regressão linear generalizada bayesiana. Baseado nos resultados, 43,8% (ICmdp95%: 43,3-44,4) dos cães tinham agressividade acima da média. Após ajuste do modelo regressivo, uma maior prevalência de cães com agressividade acima da média foi associada com os cães machos, castrados e de pequeno porte, especialmente quando o medo acima da média esteve envolvido. O contrário aconteceu para cães idosos, de raça pura e que praticavam atividades aeróbicas com prevalência significativamente menor de cães com agressividade acima da média. Quatro grupos de características comportamentais foram apresentadas entre as raças avaliadas: cães mais agressivos e mais medrosos, menos agressivos e menos medrosos, e as duas discordantes. A principal conclusão deste estudo foi que cães com agressividade acima da média foram associados com o medo acima da média.
Hipospadia peniana em cão – Relato de Caso
Authors: Uchoa da Costa Larissa Cristina , Lobato Ribeiro Haroldo Francisco , Vasconcelos Figueiredo Juliana , Cezar Nogueira de Souza Caio , Marques Barrozo Pedro Henrique , Da Silva Brito Jacqueline , Amaral de Carvalho Luyd Otavio , Vieira dos Santos Karina Emily , Francieli do Prado Cintia , Pereira Oliveira Ayla , Moraes Moreira Luiz Fernando
Published: May 2023

A hipospadia é um resultado de uma falha no desenvolvimento em que não ocorre a fusão normal das dobras genitais e intumescência genital, o que causa desenvolvimento anormal da uretra peniana, do pênis, prepúcio e/ou escroto. O objetivo deste relato é descrever um caso de hipospadia peniana de um canino macho, sem raça definida (SRD), de oito meses de idade, atendido no Hospital Veterinário da Universidade Federal Rural da Amazônia, na cidade de Belém/Pará, detalhando o procedimento cirúrgico e anestésico utilizado para resolução do caso. Ao chegar ao hospital, o animal foi submetido ao exame físico inicial no qual observou-se uma deformidade na região perianal por onde drenava a urina e uma abertura na região prepucial, a partir disso, por meio da utilização de radiografia contrastada com sulfato de bário chegou-se ao diagnóstico de hipospadia peniana. Diante disso, foi realizado procedimento cirúrgico reconstrutivo e orquiectomia terapêutica, alcançando a partir dessa conduta a resolução do caso e a recuperação completa do animal. Considerando que essa deformidade impossibilita a capacidade sexual generandi, a resolução recomendada é a cirúrgica, na qual o prognóstico é bom, possibilitando qualidade de vida ao animal.
HEMODIÁLISE VETERINÁRIA: CONSIDERAÇÕES DO COLÉGIO BRASILEIRO DE NEFROLOGIA E UROLOGIA VETERINÁRIAS
Authors: Chalfun Guimaraes Okamoto Priscylla Tatiana , César Cambraia Veado Júlio , Kleine Figueiredo dos Santos Karine , Rodrigues Maia Suellen , Henrique Giovaninni Luciano , Teixeira Machado Caio , Valle de Souza Fabiana
Published: May 2023

Sendo parte integrante do arsenal de opções terapêuticas na nefrologia veterinária, a hemodiálise aplicada aos animais se popularizou e avançou consideravelmente nos últimos anos, não só no mundo como no Brasil. Neste contexto, visando apresentar as características principais da hemodiálise, o Colégio Brasileiro de Nefrologia e Urologia Veterinárias (CBNUV), em nome da sua subcomissão de Técnicas Dialíticas, traz, neste documento, as informações necessárias para embasar os conhecimentos sobre o tema.
Legal consciousness and dissent: The formal and informal regulation of foreign shopkeepers in South Africa
Authors: Gastrow Vanya
Published: May 2023

Many foreign shopkeepers have opened small businesses in South Africa’s township neighbourhoods since the advent of democracy in 1994. Over the years they have encountered animosity from competing South African traders, many of whom have incited xenophobic attacks, and mobilised to curb their businesses. This paper draws on field research on Somali shopkeepers in Cape Town to understand the legal consciousness of parties involved in regulatory efforts to curtail foreign small businesses. It finds that local level regulation reflects a narrative of “parallel to the law”, while national level events mirror Halliday and Bronwyn Morgan’s (2013) narrative of “dissenting collectivism”. However, in this case, parties were targeting progressive laws protecting vulnerable groups rather than laws favouring the elite, and dissent frequently involved cooperation with rather than opposition to the state. Counter-hegemonic action can therefore manifest differently in contexts of rising populism and weakening adherence to human rights principles and values.
Analysis of northern events on the Gulf of Tehuantepec and their effects on navigation
Authors: Trejolievano-De la Rosa Carlo Saddam , Aguilar-Ramírez Ana María , Domínguez-González Agustín , Molina-Navarro Antonio
Published: May 2023

The maritime areas of greatest risk in the Gulf of Tehuantepec, are derived from the strong winds and waves presented during the northern events that occurred during the cold front seasons, these meteorological phenomena affect activities related to navigation and represent a danger to the civil population due to the strong intensities of the wind and the height of the waves. The objective of the present investigation was to identify the maritime zones of greatest risk to navigation on the Gulf of Tehuantepec, derived from the analysis of the events of the north during the period 2015-2019, with the purpose of warning and making the maritime community aware. regional and national, the areas where the effects of the northern events are more intense. Likewise, for the analysis, interpretation and identification of the northern events, wind data recorded at the Automatic Meteorological Station (EMA) of the Secretary of the Navy (SEMAR), located in the Port of Salina Cruz, Oaxaca, and reanalysis data of the set were used. of wind and wave data from ERA5, for its subsequent processing through the Python programming language for the generation of maps of the variables. This gave as a result that a radius of the first 80 Nautical Miles (NM) of the Port of Salina Cruz, Oaxaca has intense wind and wave conditions during the month of January and very intense conditions appearing in a radius of 120 NM around said zone. Of the 56 northern events associated with cold fronts, 40 were classified as strong and 16 were classified as very strong, being of great relevance to avoid navigation accidents.
COVID-19 and Its Relationship with Social and Behavioral Factors
in the Population of the Republic of Kazakhstan
Authors: Urazayeva Saltanat T. , Kumar Gaukhar B. , Tussupkaliyeva Kymbat Sh. , Balmagambetova Saule K. , Urazayeva Aisha B. , Nurmaganbetova Gulaiym Zh. , Nurmukhamedova Shara M. , Amanshiyeva Aimeken A. , Tashimova Zhuldyz K.
Published: May 2023

Introduction: In the context of the ongoing COVID-19 pandemic, information about risk factors of the infection is of utmost importance. The objective of our study was to analyze the prevalence of behavioral and social risk factors for COVID-19.
Materials and methods: In October–November 2021, we conducted a cross-sectional study among 1,123 residents of Kazakhstan aged 18 to 69 years. We used a standardized customized STEPS questionnaire that included socio-demographic data, behavioral data, and questions related to COVID-19. The significance of differences in data characterizing qualitative features was determined using 2×2 contingency tables based on the value of Pearson’s χ2 correlation coefficient.
Results: The mean age of the respondents was 44 years; 29 % of them were men and 71 % were women. Among those who had experienced COVID-19, there were more young and middle-aged people (p < 0.05), people with higher education (55.6 %) (p < 0.05), people having 1 to 3 family members (p < 0.05), and those not engaged in moderate physical activity. We found no statistical relationship between smoking and the novel coronavirus disease (p > 0.05). Those who recovered had higher titers of IgM and IgG antibodies. There was a considerable difference in disease incidence between the vaccinated and unvaccinated (p < 0.05) with an odds ratio of 1.661 (95 % CI: 1.275; 2.164).
Conclusions: Our findings can serve as a guide for COVID-19 awareness campaigns aimed at the coronavirus disease prevention conducted by health authorities and mass media. They can also serve as the basis for in-depth studies of the contribution of various factors to the risk of the disease.
Medico-Geographical Assessment of the Prevalence of Respiratory Diseases
in Northern and Southern Areas of the Russian Far East:
Comparison of Kamchatka and Primorsky Regions
Authors: Pogorelov Artur R.
Published: May 2023

Introduction: Diseases of the respiratory system make a significant contribution to the incidence of the Russian population. Consideration of regional differences in the distribution of respiratory diseases contributes to a better understanding of the true extent of this problem. The Primorsky and Kamchatka Regions require stabilization of the demographic situation, which is affected, inter alia, by respiratory diseases.
Objective: To study spatial differences and risk factors for diseases of the respiratory system in the Primorsky and Kamchatka Regions.
Materials and methods: The assessment was conducted for 2010–2020 based on official statistics on respiratory disease rates in adults and children. To study spatial differences, the epidemiological risk value was estimated for intraregional territories at the first stage of work. The second stage included identification of risk factors for the spread of respiratory diseases using methods of correlation and information entropy analysis. Results: The territories of the regions differing in the level of epidemiological risk (high, increased, moderate and low) were determined. In the Primorsky Region, a high risk of respiratory diseases for adults and children was identified on 9 and 15 territories, respectively, while in the Kamchatka Region, the numbers were found to be much lower (5 and 8). At the regional level, environmental and territorial factors had the greatest impact on respiratory disease rates in the Primorsky Region while in Kamchatka healthcare, weather and climate factors were found to be of major importance.
Conclusion: The results of the assessment of long-term respiratory disease rates in the Kamchatka and Primorsky Regions show that the local situation remains difficult and tense. It is of concern since the main part of the population resides within the territories of high and elevated risk. As a rule, these are northern, distant districts both in Kamchatka and Primorye. The risk factors analyzed have regional differences.
Comparative Analysis of Methods of Environmental Surface Sampling
for Assessment of Viral and Bacterial Contamination
Authors: Smirnova Svetlana S. , Zhuikov Nikolai N. , Egorov Ivan A. , Pushkareva Nataliya A. , Semenov Aleksandr V.
Published: May 2023

Introduction: One of the key elements of the infectious disease surveillance system is microbiological monitoring of contamination of environmental objects and health care personnel hands. In the context of the COVID-19 pandemic, virology testing of swabs from hospital objects and personal protective equipment of workers of infectious disease hospitals for patients with COVID-19 has acquired special importance. According to the current regulatory documents, however, greater priority in microbiological monitoring is given to determination and identification of bacterial pathogens, thus necessitating the development and implementation of an advanced technique of a simultaneous assessment of viral and bacterial contamination.
Objective: To compare different environmental surface sampling techniques used to assess viral and bacterial contamination.
Materials and methods: Samples for environmental swab testing were collected in accordance with the “Scheme for sampling environmental swabs for simultaneous assessment of viral and bacterial contamination” patented by the authors (Industrial Design Patent No. 132971 of September 5, 2022). We applied bacteriological, molecular genetic, and statistical methods in the study.
Results: Overall, 343 wipe samples were tested, of which 68 were atypical (two 38-swab portions, 11.1 % each, contained SARS-CoV-2 RNA and opportunistic microorganisms). Among the opportunistic microorganisms, 42 bacterial strains were identified, including 16 strains of Enterococcus faecalis (38.1 %), 9 strains of Klebsiella pneumoniae (21.4 %), 7 strains of Escherichia coli (16.7 %), 3 strains of Enterococcus faecium (7.1 %), 3 strains of Staphylococcus aureus (7.1 %), 2 strains of Pseudomonas aeruginosa (4.9 %), and 2 strains of Pantoea agglomerans (4.9 %). Eleven variants of viral and bacterial associations were identified. The comparison of environmental swabbing performed by the technique under study with that performed by the standard method, based on test results, indicated a significant 11.1 and 12.3-fold difference in the proportion of non-standard findings for SARS-CoV-2 and opportunistic microorganisms, respectively.
Conclusions: The study results prove that our technique of environmental swabbing meets all modern requirements and facilitates an objective assessment of the level of viral and bacterial contamination of the study objects. This approach can be used for laboratory testing within state and industrial control at institutions of various specialties (healthcare, food industry, childcare facilities, etc.).
Atividade educativa on-line sobre aleitamento materno para conhecimento de agentes comunitários de saúde
Authors: Rouberte Emilia Soares Chaves , Cunha Antonia Lucileide Andrade da , Santos Bruna Kely Oliveira , Cavalcante Daniela Raulino , Monte Alana Santos , Ferreira Jamile Magalhães , Morais Jairo Domingos de , Chaves Anne Fayma Lopes
Published: May 2023

Objetivo: avaliar a efetividade de atividade educativa on-line sobre aleitamento materno (AM) para conhecimento cognitivo de agentes comunitários de saúde (ACS). Métodos: estudo quase-experimental, realizado com agentes comunitários de saúde. Aplicou-se, previamente, teste do conhecimento sobre aleitamento materno. Em seguida, os participantes foram submetidos à atividade educativa on-line teórica e prática. Posteriormente, foi aplicado o pós-teste. Resultados: a amostra foi constituída por 53 profissionais. A atividade se mostrou efetiva, pois foi capaz de melhorar o conhecimento cognitivo dos profissionais sobre o aleitamento materno. Houve estatística significativa nas variáveis sobre fisiologia (p<0,001) e benefícios da amamentação (p<0,003), posição para amamentar (p<0,002), intervalos entre as mamadas (p<0,001), intercorrências mamárias (p<0,001) e conservação do leite (p<0,005). Conclusão: a estratégia educativa on-line obteve efetividade na melhora do conhecimento cognitivo dos ACS sobre AM em todos os aspectos abordados. Destacam-se evidências estatísticas referentes à diferença entre o conhecimento cognitivo prévio e o conhecimento posterior à atividade educativa on-line nas variáveis sobre fisiologia e benefícios da amamentação, técnica de amamentação, intervalos entre as mamadas, intercorrências mamárias e conservação do leite.
Investigation and Implementation of Beacon Technology for Man Tracking in Oil and Gas Industry
Authors: Firdaus Hamizah Fasihah Hairanil , Subramaniam Siva Kumar
Published: May 2023

The oil and gas industry deals with various challenges, and one of it is to comply with frequently changing environmental regulations in monitoring and management system. In this project, the focus will be in the necessity for oil and gas industry to monitor the movement of their employees especially for whom that were conducting tasks in remote areas to wisely optimise the runway resources while simultaneously reaching the needs of delivery schedules. To oversee the workers position, a comprehensive floor mapping system that indicates the real-time status of individuals is required on 24/7 basis. Therefore, the use of beacon system with IOT platform will be applied in this project. The concept is such as the employees are required to carry a customised beacon badge, for this badge will communicate valuable information to the Bluetooth gateway that coordinates the collected information to a cloud-based system for floor mapping process. In other words, an investigation and implementation of a beacon system through a Bluetooth gateway to a cloud-based system in accordance with IEEE 802.15 standard will work out.
Relationship of Knowledge and Addition Food with Increase Weight at Baby 6 – 12 Month
Authors: Estiani Meilina , Suparno Suparno , Rustiaty Nelly
Published: May 2023

Background: The delay in providing additional food results in babies suffering from nutritional deficiencies in various forms (Suhardjo, 2013).                     In OKU District, out of 28,360 children under five were found to have a nutritional status of 1.1%, short toddlers 1.8% and underweight children 0.8% (Dinkes OKU , 2019). Profile of theDinkes OKU, 2019, at the Puskesmas Tanjung Agung , there were 0.1% malnutrition. The Aim  of this study was to determine the relationship between knowledge and supplementary feeding with increased body weight in infants aged > 6 months. Methods: The research design is descriptive analytic with a cross-sectional approach. The population is all mothers who have babies over 6 months in DesaTalang Jawa. The sampling technique is accidental sampling. Sample is 31 respondents,. Analysis with chi-square statistical test (95% confidence level, 0.05 significance).

 Results:Good knowledge of respondents 19.4%, respondents who provide additional food 90.3% and weight gain of children 93.5%. Statistical test : knowledge and supplementary food variables were not associated with weight gain in children ( p value 0.645 and 0.813 ) .

Conclusion: There is no relationship between knowledge and supplementary feeding with baby's weight gain.
STUDY OF HYPONATREMIA IN ICU SETTING IN TERTIARY CARE CENTER - A CROSS SECTIONAL STUDY
Authors: Shah Parth , Deshmukh Manish , Soni Seema , Soni Pravin
Published: May 2023

Introduction– An abnormally low level of sodium in the blood is referred to as hyponatremia. Careful assessment and classication are important to direct diagnosis and treatment, reduce the risk of substantial morbidity and mortality in acute severe cases, and avoid the neurological complications associated with the overly rapid correction. In the ICU, hyponatremia is associated most frequently with chronic conditions such as congestive heart failure, advanced renal disease, and cirrhosis. To study the preval Aims & Objectives: ence of Hyponatremia in ICU Setting & to study the various etiological factors responsible for Hyponatremia. A cross-secti Materials & Methods– onal observational study was conducted on 150 patients for 2 years from September 2019 to December 2021 at ICU at Tertiary Care center .All patients detail history, clinical examination and Laboratory Investigation were carried out. Out of a total 150 patients, 27 patie Results- nts did not have any Comorbid condition, 46 patients had one and 77 patients had more than one comorbidity. 113 (75.33%) had severe hyponatremia with serum sodium below 125 mEq/L, 26 (17.33%) patients were euvolemic, GCS Score of ≥13 was seen in 65 patients out of which 38 (25.33%) had severe hyponatremia. GCS Score between 8-12 seen 68 (45.33%) patients had severe hyponatremia. GCS Score of <8 was seen in 7(4.67%) patients with severe Hyponatremia. Correlation between GCS Score and Severity of Hyponatremia was found highly signicant.(p<0.001, HS). Those who had severe hyponatremia had low GCS score (P<0.0001, HS) SIADH is the most typical cause of hyponatremia in ICU pati Conclusion- ents. In the presence of multiple comorbidities, a prolonged length of stay is seen. Shorter serum sodium and GCS at admission are linked to lower survival.
SUCCESSFUL ANAESTHETIC MANAGEMENT OF A CASE OF OPEN NEPHRECTOMY FOR GRADE 5 RENAL INJURY
Authors: J. Karthiga R. , S. Senthil K. , Divya V. , Lakshmi R.
Published: May 2023

Blunt trauma to the abdomen can cause damage to vital organs like spleen, liver, kidney and intestines and is associated with high morbidity. Hereby we are presenting a case of Grade 5 Renal Injury(shattered kidney) following blunt injury abdomen. A 21 year old male presented to our Emergency Room with history of RTA. He revealed history of severe abdominal pain. He presented with severe tachycardia (HR−140⁄minute),blood pressure and saturation were normal and GCS was 15⁄15. His CECT abdomen revealed shattered left kidney with subcapsular and perinephric collection with renal vascular injury. His hemoglobin was found to be 5.7g/dl, rest of the blood investigations were within normal limits. He was shifted to OT immediately and was proceeded with open nephrectomy. Post induction he devoloped severe hypotension and was started on iv crystalloids and colloids and minimal Nor adrenaline support. Intraoperatively 4 units of PRBC and 3 units of FFP were transfused. Around 1 litre of blood, bladder clots and a concealed hematoma in messentry were evacuated. Post transfusion ABG revealed metabolic acidosis. He was shifted to ICU with the ET Tube. He made an uneventful recovery in ICU and was extubated.Physiologically, hemodynamic compensatory mechanisms maintain vital organ perfusion till about 30% TBV loss, beyond which there is a risk of critical hypoperfusion. Massive blood loss is best managed by following the massive transfusion protocol (MTP).
STUDY OF VIMENTIN EXPRESSION IN TRIPLE NEGATIVE BREAST CANCER
Authors: Kumar Singh Sandeep , Jain Pramila , Choudhary Rajni , Choudhary Anuradha , Malik Reeni
Published: May 2023

Background: Breast carcinoma is one of the most common cancer among women globally. Increased vimentin expression has been reported in triple negative breast carcinoma (TNBC) cases. This study showed the expressi Aims And Objective: on of vimentin in TNBC cases and its correlation with various prognostic factors such as age, tumor size, histological grade and lymph node status. This study Materials And Method: was conducted at Department of Pathology, Gandhi Medical College, Bhopal from January 2021 to June 2022. Total 60 breast cancer specimens (mastectomy, lumpectomy, biopsy) were submitted for histopathological diagnosis and Estrogen receptor (ER), Progesteron receptor (PR) and HER2/neu expression. Out of 60 cases, 21 cases were showing triple negativity and selected for vimentin expression study. Results: In the present study out of 21 TNBC cases, 19 cases (90.5%) had shown positive vimentin expression. The mean age of cases was 52.6years and tumor size >2cm. Signicant correlation was seen between vimentin expression and tumor size, as the tumor size increases vimentin expression also increases. Majority of cases (76.2%) were positive for nodal metastasis. In TNBC cases with positive vimentin expression, 47.6% cases belonged to grade III, 42.9% cases grade II, and 9.5% cases of grade I. As the grade of tumor increases, vimentin expression also increases. Conclusion: The vimentin expression in the present TNBC cases demonstrated signicant vimentin expression which can be helpful in detection of metastasis and disease prognosis
EFFICACY OF ISOXSUPRINE AS AN ADJUVANT IN MANAGEMENT OF OSMF: A RANDOMIZED CLINICAL TRIAL
Authors: Shaik Arshiya , Natarajan Kannan , Kumar Manne Rakesh , Sridevi Beeraka Swapna , Venkata Sarath Prathi , Pratima Putta
Published: May 2023

Introduction: Oral submucous brosis is a persistent, insidious mucosal condition that is primarily brought on by areca nut use. It can also be brought on by excessive use of peppers, dietary deciencies, autoimmune, genetics, and environmental factors. The aim of the Aim Of The Study: study was to evaluate the effectiveness of vasodilator isoxsuprine as an adjuvant in the oral submucous brosis management. Study Design: Twenty patients with OSMF were recruited and randomly two groups were divided. Group A: Patients got treated with Isoxsuprine hydrochloride 10 mg thrice daily and antioxidants (Lycopene) twice daily for 3 months. Whereas, in the Group B, antioxidants two times a day for 3 months were given. Both were instructed for mouth opening exercises. All individuals, mouth opening, burning sensation were recorded and reassessment was done at every 15 days during the treatment and after 3 months follow-up and followed by statistical analysis. Visual Analogue Scale Results: (VAS) score for severity of burning sensation was observed in both the groups A &B was statistically signicant whereas interincisal opening was higher in group A patients. Isoxsuprine Hydrochloride can be suggested as an adjunctive t Conclusion: herapy in oral submucous brosis management.
A PROSPECTIVE STUDY OF ARTERIOVENOUS FISTULA CREATION IN PATIENTS WITH CHRONIC RENAL FAILURE IN INDEX MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE, INDORE (M.P)
Authors: Gour Eeshita , Patidar Sanjay , Tiwari Sudhanshu , Nakrani Prashant , Jain Choudhary Niral
Published: May 2023

Background: Arteriovenous (AV) stulas are naturally occurring connections between an artery and a vein that enable for adequate blood ow during hemodialysis in patients with chronic renal failure. Compared to grafts, they have higher rates of patency and fewer complications. In order to achieve hyperdynamic circulation and ensure that regular venous access is not an issue, AV stula are created at various levels. The presents study sought to determine factors inuencing the patency rate of AV stulas, postoperative complications, and the success rate of AV stulas. Materials and Methods: After approval from the IEC, this prospective study was conducted in Department of General Surgery of Index Medical College Hospital & Research Centre, Indore on 100 patients of all age groups and both gender who visited the OPD with diagnosis of chronic kidney disease. A written pre-informed consent was taken from all patients before enrollment. Result: Out the 100 patients enrolled in the study, majority i.e., 63% revealed radiocephalic stulas while 12% had brachiocubital stulas. 80% of patients were treated by doing side-to-side anastomosis, while in rest 20% patients, end-to-side anastomosis was done. The AV stula remained patent in 65 (65%) patients, and among them, the patency rate of radiocephalic was 60% and that of brachiocephalic was 13.8%. The patency rate for side-to-side stula was 83.1% and that for end-to-side was 16.9%. Patency rate for patients with hemoglobin (Hb) > 9 g % was 93.85% with only 6.15% for patients with Hb < 9 g %. Nonsmokers were 3.5 times (95% CI: 1.58–8.23) more likely to have patent stula than smokers. Arterial diameter is also a predictor of patency. Conclusion: The success rate of AV stula by conventional vascular anastomosis technique was 65%. Side-to-side anastomosis showed higher patency rate than end-to-side anastomosis. Radiocephalic AV stula had better patency rate than other types of stulas performed in upper limb. Anemia (Hb < 9 g %), smoking, and arterial diameter were the major factors inuencing patency of stula. Thrombosis, surgical site infection, postoperative edema, aneurysm and steal phenomenon were the complications noticed in the postoperative period
A STUDY OF CLINICAL PROFILE OF ACUTE PANCREATITIS PATIENTS WITH EMPHASIS ON MODIFIED CT SEVERITY INDEX AND SERUM PROCALCITONIN AS MARKERS FOR ASSESING SEVERITY
Authors: Priyadarshini Das Madhumita , Aideo Ananya , Dutta Somalika , Jyoti Deka Utpal
Published: May 2023

Aim: To study the clinical prole of acute pancreatitis patients and MCTSI as an index for predicting severity, I.C.U admissions and mortality of acute pancreatitis cases and also to compare it with serum procalcitonin in predicting severity. This study was conducted Material and Methods: in the Department of Medicine and Gastroenterology, Gauhati Medical College and Hospital for a period of one year. A total 98 acute pancreatitis were included and their clinical prole was studied. MCTSI score was calculated for all the patients and used to predict severity, I.C.U admissions and mortality. MCTSI was also compared with serum procalcitonin in assessing severity. Male preponderance was noted in the study. The Results: peak incidence of disease was noted in the 3rd decade of life. Pain abdomen was found to be the most prominent clinical feature. Alcohol consumption was found to be the most common etiological factor. It was observed that mild, moderate and severe acute pancreatitis according to ATLANTA CLASSIFICATION correlated well with MCTSI scoring system. All the 19 severe acute pancreatitis cases had an MTCSI score in the severe range (p value of 0.0001 - statistically signicant). The mortality rate was signicantly higher in severe acute pancreatitis i.e. 57.89% as compared to mild and moderate acute pancreatitis (p value of 0.0001). The I.C.U admission rate in mild acute pancreatitis was 4.17% as compared to 100 % in severe acute pancreatitis (p value 0.0001). Statistically signicant difference was observed in serum procalcitonin levels (mean ±SD ng/dl) of mild, moderate and severe acute pancreatitis cases as per MCTSI scoring system (p value of 0.0001). Among the 98 cases, Conclusion: male to female ratio was 2.05:1. The most common cause of acute pancreatitis was ethanol abuse. The most prominent symptom was pain in the abdomen followed by vomiting. MCTSI fared well in predicting severity, mortality and I.C.U admissions in acute pancreatitis cases. The relationship of MCTSI score with serum procalcitonin in predicting severity was found to be signicant
DIAGNOSTIC UTILITY OF QUANTITATIVE D-DIMER TESTING IN CORRELATION WITH CT ANGIOGRAPHY IN RULING OUT THROMBOEMBOLISM- A PROSPECTIVE STUDY AT A TERTIARY CARE CENTRE
Authors: Jadhav Neha , Dave Neeru , Dave Darshan , Kapadia Sweety , Sawadkar Manoj
Published: May 2023

Background: Vascular Thromboembolism (VTE)- blockage of a blood vessel by the broken components of a blood clot, is commonly caused by Thromboembolism Deep venous thrombosis (DVT) and Pulmonary embolism (PE). It can also be caused by various other conditions, and have overlapping features. VTE's have signicant morbidity and mortality, treatment carries signicant side effects, hence, objective testing becomes must to establish or exclude the presence of thromboembolism. D-Dimer, a brin degradation product (FDP), appears in blood after degradation of blood clot by brinolysis. It is normally undetectable or detectable at a very low level, unless the body is forming and breaking down blood clots as in VTE. Materials and Methods: Quantitative D-Dimer test was performed using fully automated technique, on patient's serum. Latex particles coated with anti D-dimer monoclonal antibodies were mixed with the test plasma. In the presence of D-dimer, the latex particles agglutinate, the suspension claries and translates in low turbidimetric readings. All results were further correlated with their CT Angiography ndings.Results: Most patients had D-Dimer value in range of 1.0 to 2.0 µg/ml. High (96.77%) Sensitivity shows that the test can be used safely to detect Thromboembolism even in early stages, whereas, High Negative Predictive value (93.54%), suggests safe exclusion in suspected cases. Conclusion: D-Dimer is highly sensitive, accurate and rapid test, but alone cannot conclude diagnosis. It is advisable to correlate with combination of Radiological investigations (CT Angiography) and clinical probability- Revised Geneva score and to establish a nal diagnosis and plan an appropriate treatment.
PERI IMPLANT SOFT TISSUE FOLLOWING IMMEDIATE IMPLANT PLACEMENT – REVIEW
Authors: J Raghunathan , Y Sameera , Utthamambigai N Shreenidhi , S Shivaane , Dharshini C Deva , E Kanemozhe
Published: May 2023

An object or substance, such as an alloplastic substance or other tissue, that is partially or entirely inserted or grafted into the body for therapeutic, diagnostic, prosthetic, or experimental purposes is referred to as a dental implant. The term "peri implant soft tissue" refers to the soft tissue that encircles dental implants. Depending on when they are inserted after extraction, implants can be either immediate or delayed. We have covered the categorization, aetiology, pathophysiology, therapy, and diagnosis recommendations for peri implantitis in this study.
SPORADIC NEUROFIBROMA TONGUE- A CASE REPORT
Authors: V.S.Sai Karthik P. , Kumar Ch.Ramesh , Jeevan Pradeep K.
Published: May 2023

Neurobromas are the most common benign peripheral nerve sheath tumours.They arise from endoneurium and the connective tissues of peripheral nerve sheaths.Here we present a case of 22year old male with history of a slow growing mass in the left lateral border of tongue.Preop FNAC and CECT were done. Mass excision was done under general anesthesia .Post op histopathological examination conrmed it to be a neurobroma.Neurobromas of tongue are a rare occurence1.They may be sporadic or associated with neurobromatosis syndromes.Along with schwannoma ,broma, neurobroma also forms an important differential diagnosis in the swellings of tongue.