bluuebunny/crossref_metadata_2025 huggingface dataset:
Produktive Financing Problems in Islamic Banks, (Research at Universities in Indonesia : A Systematic Literature Review Analysis)
Authors: Komarudin Parman , Hadi Hendra , Sodiki Muhammad
Published: April 2023

This research is a systematic literature review study that aims to find out the extent of research conducted by students in Indonesia regarding the Problems of Productive Financing in Islamic Banks with an emphasis on preparing final assignments such as Theses and Dissertations. The method used consists of three stages, namely collection, assessment, and presentation. The results of this study indicate that there are 16 final assignments that address the problem of Productive Financing Problems in Islamic Banks in universities throughout Indonesia. The writing of this final project has been started since 2018 and will reach its peak in 2022. Of the many tertiary institutions in Indonesia, students of the Raden Intan Lampung State Islamic University and Iain Padangsidimpuan are the most enthusiastic in making Productive Financing Studies on Islamic Banks in their final project. The most widely used method is the quantitative method with a total of 8 pieces of research and 7 qualitative pieces and the theme most widely raised is related to the analysis and influence of Earning Financing Assets. Until now, studies on Productive Financing in Islamic Banks in tertiary institutions in Indonesia have concluded that Productive Financing (profit sharing system) in Islamic banks is still low and less desirable than consumptive financing. From year to year the profit value in Islamic banking has a decreasing effect. Some of the problems faced in the development of productive financing are not only external but also internal factors from the Islamic banking itself. Some of them are the risks that are considered high, the lack of supervision process, the understanding and interest of the public which is still small in the perception of sharia financing, the inadequate quality and number of human resources, profit-sharing financing is considered complicated and inefficient, the lack of innovation and service development compared to conventional banks and so on. regulations and the role of the government which are considered not optimal.
 Keywords: Problems, productive financing, Islamic banking, Systematic Literature Review Analysis
Spur gear manufacturing using conventional machine tools
Authors: Delgado-Hernandez Alberto , González-Vizcarra Benjamín , Siqueiros-Hernandez Miriam , Ávila-Puc Miguel Angel
Published: April 2023

The objective of this writing is to develop a methodology for the manufacture of a spur gear prototype using conventional machine tools. The purpose of this article is to help scientists and engineering students who need a guide to manufacture this type of elements that are part of a mechanical system for the transmission of movement and force. This study intends a comprehensive analysis of each step used for the manufacture of a spur gear, which allows in an objective way to determine the cutting tools and equipment necessary to carry out its manufacture, starting from the design of the element in question and applying the technical formulas necessary to adjust the parameters in the machining of the part. The methodological approach for this study has been determined based on the practical skills and experience that are paramount in the use of conventional machines. As a contribution we can say that with this methodology it will be possible to eliminate many previous problems in terms of planning and the lack of experience in handling conventional tools.
Didactic prototype of a robotic manufacturing cell to program welding trajectories in a frame
Authors: Mandujano-Nava Arturo , Paz-Cabrera Mauro , Serrano-Ramirez Tomás , Chihuaque-Alcantar Jesús
Published: April 2023

This project shows the integration of a didactic prototype of a robotic manufacturing cell for the programming of welding trajectories in a chassis. The purpose of this project is to integrate the robotic cell through the interaction of the controller of an industrial robot, a programmable logic controller (PLC) and a power transmission system for the positioning of a chassis for didactic purposes for students studying engineering in the area of Industrial Automation. To carry out the project, a scale chassis for a tractor and its support base was first manufactured, then the control of a stepper motor was carried out through a SIMATIC S7-1200 CPU 1214C PLC and a microstep driver module. The programming software COSIMIR from FESTO was also used to program the welding trajectories in a Mitsubishi RV-2AJ robot with 5 degrees of freedom that interacts with the PLC through input and output digital modules. Finally, it was possible to obtain a functional prototype of a robotic manufacturing cell that can be used for teaching robot trajectory programming and that is closely related to industrial machines.
Design and construction of pressure leak testers through the analysis of the filling level for the detection of defects in the nozzle of plastic containers
Authors: Mendoza-Olivares José David , Martínez-Carrillo Irma , Juárez-Toledo Carlos , Barocio-Espejo Emilio
Published: April 2023

Plastic Container Manufacturing Process, many equipment has been developed for the detection of defects, for example: vision cameras, pressure test leak testers, colorimeters, hermeticity cameras, etc. each form is designed to detect a specific defect, it is updated as technology improves. Currently, the industry has opted for the use of microcontrollers that help automate industrial processes, one of the most used micros is Arduino due to its simplicity of programming and low cost of operation. The objective of this work is to apply an Arduino system for the monitoring of pressure leak testers in plastic containers. Finally, the paper shows the possible change of a particular system based on PLC with ladder logic language, by a simple system based on microcontrollers.
Institutional Ethical Concerns in Higher Education
Authors: Mars Keisha Richards
Published: April 2023

The topic identified for research in this paper is to identify the top ethical issues surrounding the field of higher education. This literature is to analyze each ethical concern that affects both students and faculty members and rank them accordingly. After determining each ethical problem, the social responsibility leaders would address each concern that surrounds the inability to lead ethically.Through research, one has discovered that higher education has discovered many struggles toward addressing academic dishonesty that involves cheating, and plagiarism. Many of the ethical issues that are occurring are influenced by administrators, faculty, and students. Throughout this study, you will notice how effective social responsibility plays a role in advancing sustainability. The findings indicate that changes in accountability and the way that faculty conduct themselves is one of the reasons why students may do the right thing. A proposed chart will justify the ranking of ethical issues in the institutions, while providing the sources upon how each issue is view in society.
The Legal Status of the Convention on the Carriage of Goods by Sea in 1978 (Hamburg Rules) before the Jordanian Judge Compared to the French Judge
Authors:   Faculty of Law, University of Jordan, Alhadidi Ismaeel
Published: April 2023

This study aims to compare the legal status of the United Nations Convention on the Carriage of Goods by Sea (Hamburg, 1978) (Hamburg Rules) before the Jordanian judge with its legal status before his French homologue. It is illustrated that the Jordanian judge is bound by the provisions of the Convention since his country became a party to it in 2001. Therefore, the Jordanian judge cannot ignore the criteria of applicability prescribed in Article 2 of the Convention. In addition, when the two parties to the contract designate the Convention as a governing law, it becomes applicable ex proprio vigore. While the French judge finds a leeway when called to pronounce on the applicability of the Convention due to the fact that France did not accede to it. That is why he treats it as a foreign legislation. In fact, the French judge does not give efficacity to the Convention except if his private international law does. This happens mainly when the two parties to the contract of carriage of goods choose the Convention as the law governing their contract. Such an agreementcan be construed as a raise of the limits of the responsibility of the carrier and his obligations whose validity is recognized by the French judge’s legislation. Furthermore, the French judge can give effect to the agreement on the basis of the notion of foreign overriding mandatory rules since his private international law allows him to do so.
Consent Awards and the Supervisory Role of Judiciary: Analytical Comparative Study
Authors:   Faculty of Law, Alahilyya Amman University, Jordan, Tarawneh Mosleh , Alqhaiwi Jalal ,   Faculty of Law, Alahilyya Amman University, Jordan, Al Malahmeh Firas ,   Lawyer, arbitrator and legal consultant
Published: April 2023

This study examines the consent arbitral awards and the possiblity of applying to them the same conditions, rules and effects of ordinary arbitral awards. The study is divided into two main sections: Section one analyzes the legal framework of consent arbitral awards; their definition, purpose and the powers of arbitral tribunals to issue them as being originated from the parties’ consent. This is important in the light of some illegal practices of some disputants who may utilize such awards to cover such practices. The second section deals with the judicial review of consent awards either through annulment or enforcement proceedings under national arbitration laws and international conventions, and in particular the New York Convention of 1958 or the Washington Convention of 1965. This study concludes that the Consent Arbitral Awards play an active role in keeping the good relations between the disputants while having the same status and effects of ordinary arbitral awards. The study invites arbitral tribunals to play a more scrutinizing role of the settlement agreements before issuing the in-consent awards in order to avoid the misuse of the arbitral process as a cover of illegal practices.
internacionalização como caminho acadêmico e os usos dos termos “extension” e “outreach”
Authors: Gasparin Camila
Published: April 2023

Em 2013, a tendência de internacionalização dos periódicos acadêmicos já havia sido identificada nos países emergentes como China, Coréia do Sul, Rússia e Brasil, que ainda ficava atrás nas produções em língua e em parceria com instituições estrangeiras, de acordo com a avaliação dos participantes de um painel dedicado ao tópico na conferência de comemoração dos 15 anos da rede SciELO. Isto resulta em menos visibilidade e impacto internacional da produção e publicações acadêmicas. Nações com produções científicas massivas e que precisam de revistas para publicá-las recorrem ao Brasil para este fim, como é o caso da China, que publica muitas produções sem participação de colaboradores brasileiros. Entre 2003 e 2013, este tipo de publicação, de países emergentes no Brasil, havia aumentado em 10x (ALISSON, 2013), tendo no mesmo período o Brasil apenas dobrado suas publicações internacionais em países avançados.
Não se faz extensão partindo do pressuposto de que eu sei o que o outro precisa - Entrevista com Lourival José Martins Filho
Authors: Sprícigo Fabrício , Martins Filho Lourival José
Published: April 2023

A universidade, os centros de pesquisa, os institutos, a partir daquilo que produzem de ponta, podem, no diálogo com as comunidades, possibilitar a troca, a socialização e a aprendizagem. A experiência aqui no NAPE/UDESC, que é mais voltada para a formação de professores de educação básica, mostra que a extensão retroalimenta o ensino e a pesquisa na perspectiva de pensar que estamos em lugares diferentes, mas somos sujeitos de aprendizagem. Então, a extensão torna isso possível. A extensão é o que nos ensina que só estamos em espaços diferentes, mas somos todos sujeitos cognoscentes. Então, não existe o professor-pesquisador encastelado (como se fosse detentor da última palavra) e o professor da educação básica como se fosse dependente do saber do professor-pesquisador. É uma cumplicidade e o que retroalimenta é a extensão. Então, nesse sentido, toda instituição contemporânea de pesquisa e de formação docente precisa da extensão como possibilidade não apenas de intervir, mas, sobretudo, de aprender.
Investigation on the thermal stability of reflective and anti-reflective coatings on freestanding GaN
Authors: Sun Yuanhang , Zhang Yumin , Wang Miao , Hu Junjie , Meng Wenli , Liang Guosong , Yi Juemin , Wang Jianfeng , Xu Ke
Published: April 2023

The reflective (RC) and anti-reflective coatings (ARC) on freestanding GaN were fabricated using a stack of TiO2/SiO2multi-layers, which changes the reflectance at 532 nm from 17.0% to 2.5% and 99.6%, respectively, and proves the effectiveness of RC and ARC. The reflection spectra of annealed RC and ARC both show a blueshift of about 52 nm after high-temperature annealing, because of the phase transition of TiO2from amorphism to anatase at high temperatures. In order to improve the thermal stability of RC and ARC, we could increase the thickness of TiO2and SiO2proportionally during the coating process.
Prediction of wide-gap topological insulating phase in metastable BiTeI
Authors: Zhang Yaotang , Yamaguchi Naoya , Sawahata Hikaru , Ishii Fumiyuki
Published: April 2023

BiTeI crystals possess many unique pressure-induced electronic properties; however, high-pressure conditions limit their practical applications to some extent. We conducted crystal structure prediction from 3000 structures to determine several structures with high thermodynamic stability. By studying the topological invariants, we found one strong topological insulator with inversion symmetry and one weak topological insulator. Spin splitting was found in two structures, and their spin texture was analyzed by effective SOC Hamiltonian and symmetry. Our study showed that some structures are not only topologically nontrivial but can also simultaneously possess Rashba-type spin splitting with a band gap of up to 860 meV.
Decarbonization of the national energy industry in the context of the latest geopolitical crisis
Authors: Vendelev V. A.
Published: April 2023

Aim. The presente study aims to evaluate the relevance of decarbonization of the Russian energy industry in the context of the latest crisis; to identify emerging and prospective problems; to determine their prerequisites and ways to overcome them.

Tasks. The authors systematize mechanisms available before the crisis aimed at supporting the development of renewable energy sources (RES) in Russia and assess the extent of their functioning at the time of writing; determine how today’s economic challenges will affect the introduction of new low-carbon energy sources; evaluate the possibility of engaging the population in the decarbonization of the energy industry through an in-depth interview of an expert group.

Methods. This study uses analysis of the regulatory framework and other industry sources and in-depth interview of  an  expert  group  to  identify  negative  trends  in  the  further  reduction of the carbon footprint in the energy industry and investigate the prerequisites for the engagement of the Russian population in decarbonization.

Results. On the way to reducing the carbon footprint in the energy sector, new renewable energy facilities will face the first difficulties. The postponement of the 2022  selection  of  RES projects for one year and the provision of a non-penalized two-year delay in the introduction of RES have actually shifted the commissioning of new capacities by three years. The departure of localized producers of wind turbines contributes to a shift in the timing and a decrease in the volume of commissioning of new wind farms in Russia. The traditional energy sector faces similar problems due to the withdrawal of major gas turbine manufacturers from the market. A survey of the representatives of the expert community (industry  specialists)  showed  that experts as household consumers of electric and thermal energy consider the problem of ecology to be still relevant. They are generally positive about the further development of low-carbon generation and are ready to support the decarbonization of the  energy  industry,  but  with  no more than a 10-20 % surcharge to the existing tariff.

Conclusions. Compliance with the global trend of energy transition for Russia presents multiple challenges in the context of the latest crisis. Withdrawal of the manufacturers of high-tech equipment from the market, reduction of green energy exports, and expiration of green international certificates have  significantly  slowed  the  pace  of  decarbonization.  However,  a  survey of the expert community of industry  specialists  shows  that  the  development  of  environmentally responsible consumption of electric and thermal energy in Russia can attract green investment in the country’s energy sector from the population.
Bahasa Indonesia
Authors: Malikha Usrin
Published: April 2023

Berdasarkan pada penelitian variasi bahasa pada deskripsi singkatan akun instagram dosen fakultas tarbiyah IAI Al Qolam Malang. Maka dapa disimpulan penelitian meliputi variasi bahasa dari segi keformalannya yang termasuk ke dalam jenis ragam resmi, ragam beku, ragam usaha, ragram akrab dan ragam santai. Variasi bahasa penggunaan media sosial instagram yang digunakan dosen fakultas tarbiyah IAI Al-Qolam malang yaitu variasi bahasa dari segi keformalannya yang termasuk ke dalam jenis ragam usaha, ragam santai dan ragam akrab. Hal ini terlihat dari kata atau kalimat pada deskripsi singkat (caption) akun instagram dosen fakultas tarbiyah IAI Al-Qolam Malang.
AN ANALYSIS OF THE DEVELOPMENT OF THE INDUSTRIAL ESTATES FROM THE LEADING ECONOMIC SECTORS DUE TO THE POTENTIAL INCREASE IN USAGE OF THE TRANS SUMATERA TOLL ROAD: A CASE STUDY OF THE NORTHERN SUMATERA REGION
Authors: Wardhana Hilman , Ali Berawi Mohammed , Sari Mustika
Published: April 2023

In order to increase economic growth, the Government of Indonesia is making efforts to accelerate infrastructure projects, one of which is the Trans Sumatera Toll Road. This is expected to help increase economic growth and connectivity on the Sumatera island. Sumatera Island is an area that has abundant natural resource potential. However, this potential has not been fully developed by considering the construction of the Trans Sumatera Toll Road. This study aims to develop a leading sector-based industry in the Northern Sumatera Region to increase the potential use of the Trans Sumatera Toll Road. Determination of industrial focus is carried out using location quotient analysis by considering regional development indicators in the form of Gross Regional Domestic Product distribution, sector potential and the Human Development Index. Estimated initial cost required is calculated by benchmarking approach and price survey. The results show that the development of leading sector-based industries in the Northern Sumatera Region is estimated to require initial costs of USD 1,025.53 million for the rice processing industry, integrated coconut processing, food processing, and palm oil processing. The results of this study can be an input for the Indonesian government to increase the potential use of the Trans Sumatera Toll Road through industrial development of leading economic sectors in each region.
معاني التنكير في الأسلوب القراني - دراسة دلالية-
Authors: م. د. يسرى خلف حسين
Published: April 2023

يفصح التركيب عن مرام ومعاني للتنكير في القرآن الكريم؛ ومنه التكثيروالتعظيم؛ والثناء والتخيم؛ والتناهي والتهويل والترغيب؛ ويكون منه مع التقليل التوبيخوالاهانة والتحقير والاستهزاء والترهيب. واللواحق المساندة للتتكير تساعد في بيان المعنىفي الوصف أو العطف أو الجمع والأفراد أو الصيغ والأوزان أو الحروف والأدوات»فيفصح الأسلوب عن العموم والشمول والخصوص والتعيين والتوكيد والإيغال والإطلاقوالشيوع والتوصيف والتفصيل والتنويع والتوسيع؛ وغير ذلك من فضائل التنكير ومعانيهفي أسلوبه المعجز .

اعتمد البحث على آراء العلماء وأهل القرآن وأخذنا بتحليل السور وتفسيرهاالقرآنية مقسمين ذلك إلى التعظيم والتفخيم؛ والتحقير والتوبيخ؛ والتقليل والتكثير والعموموالخصوص ؛ كما خلص إلى تعزيز ما ثبت من موضوعات وجدت في سور القرآنالكريم .
الرتبة في الجملة الاسمية عند الكوفيين
Authors: أ.د علي ناصر محمد  , م. عبد الرزاق حامد مصطفى
Published: April 2023

وبعد. فإنّ موضوع الرتبة من الموضوعات التي شغلت عقول العلماء السابقين والمحدثيين لما لها من أهمية في تحديد مواقع الكلمات ضمن التركيب لذلك نجدهم يدرسون موضوع الرتبة عبر الأبواب النحوية المختلفه من خلال موضوعات التقديم والتأخير والحذف وغيرها لذا جاء هذا البحث الموسوم بالرتبة في الجملة الاسمية ليسلط الضوء على أنماط الجملة الاسمية ليحدد في ضوء هذه الأنماط نوع الرتبة هل هي رتب مقيدة أم رتب حرة
ﺍﻷﺛﺮ ﺍﻟﺴﻠﺒﻲ ﻟﻠﻌﻮﺍﻣﻞ ﺍﻟﺬﺍﺗﻴﺔ ﻋﻠﻰ ﺍﻟﺸﺎﻋﺮ ﺍﻟﺠﺎﻫﻠﻲ
Authors: Raja' lazm ramdan
Published: April 2023

ﻟﻘـد ﺘـﺄﺜرت ﻨﻔﺴـﻴﺔ اﻟﺸـﺎﻋر اﻟﺠـﺎﻫﻠﻲ ﺒوﺼـﻔﻪ اﻨﺴـﺎﻨﺎً واﻗﻌﻴـﺎً وﺸـﺎﻋ اًر ﺤﺴﺎﺴـﺎً ﺒﻤـؤﺜ ارت ﻤﺘﻌـددة

ادت اﻟﻰ ﺨﻠق ذات اﻨﺴﺎﻨﻴﺔ ﻏﻴر ﻤﺴﺘﻘرة ٬ ذات اﻴﺠﺎﺒﻴﺔ ﻤﺘﺤدﻴﺔ ﻗوﻴﺔ ٬ ﻗـﺎدرة ﻋﻠـﻰ اﻟﻤواﺠﻬـﺔ اﺤﻴﺎﻨـﺎً

٬ وذات ﺴــﻠﺒﻴﺔ ٬ ﻋــﺎﺠزة ﻋــن اﻟﻤواﺠﻬــﺔ ﻓــﻲ ﺤــﻴن اﺨــر ... ﻋﻠــﻰ ان اﻟــذات اﻟﺴــﻠﺒﻴﺔ اﻟﻌــﺎﺠزة ﻫــﻲ

ﻤوﻀوع د ارﺴﺘﻨﺎ ﻓﻲ ﻫذا اﻟﺒﺤث وﺴﻨﺘﻨﺎوﻟﻬﺎ ﻤن ﺨﻼﻝ اﺴﺘطﻼع اﻟﺤـﺎﻓز وﺨﺼوﺼـﻴﺘﻪ ﻓـﻲ اﻟﺸـﻌر ﻓـﻲ

ﻀـوء ﻤـﺎ اﻓرزﺘـﻪ اﻟطﺒﻴﻌـﺔ ﻤـن ﺤـواﻓز ﻤﺘﻌﻠﻘـﺔ ﺒﻌواﻤـﻝ اﻟﺤﻴـﺎة . ﻋﻠـﻰ ان ﻫـذﻩ اﻟﺨﺼوﺼـﻴﺔ ﻟﻴﺴـت ﺘﻠـك

اﻟﺘـﻲ ﺘﺴـﺘﺠﻴب ﻟﻬـﺎ اﻟـذات ﺒﻨـوع ﻤـن اﻟﺘﺼـرف ٬ ﺒـﻝ ﻫـﻲ اﻟﺨﺼوﺼـﻴﺔ اﻟﺘـﻲ ﺘﺘﻤﺜﻠﻬـﺎ اﻟـذات ﺒﺎﺴـﺘﺠﺎﺒﺔ

 

ﻤﺘﻤﻴزة ﺒﺄﺒﻌﺎدﻫﺎ اﻻﻨﺴﺎﻨﻴﺔ اﻟﺘﻲ ﺘﺒﻠﻎ ذروﺘﻬﺎ ﻓﻲ ﻋدم ﻗدرة اﻟﺸﺎﻋر وﻋﺠزﻩ ﻋن اﻟﻤواﺠﻬﺔ

وﻤن ﻫذﻩ اﻟﻌواﻤﻝ اﻟذاﺘﻴﺔ ﻫﻲ -:

- 1 ﻓﻘد اﻻﺤﺒﺔ .

- 2 اﻟﺸﻴﺨوﺨﺔ واﻟﻬرم .

- 3 اﻟﻤوت وﻤﻌﻀﻼت اﻟﺤﻴﺎة .

- 4 ﻋﻘدة اﻟﻨﻘص .
ﺍﺳﻄﻮﺭﺓ ﺍﻟﻒ ﻟﻴﻠﺔ ﻭﻟﻴﻠﺔ ﻓﻲ ﺍﻋﻤﺎﻝ ﺍﻟﻨﺤﺎﺕ ﻣﺤﻤﺪ ﻏﻨﻲ ﺣﻜﻤﺖ
Authors: Jawad Abdel Kadhem Abbas
Published: April 2023

ان ﺸـﻌوب اﻟﻌـﺎﻟم ﺘﻌﺘـز وﺘﻔﺘﺤـر ﺒﻤوروﺜﻬـﺎ اﻟﺤﻀـﺎري ,وﻴـزداد ﻫـذا اﻟﺸـﻌور ﻛﻠﻤـﺎ اﻛﺘﺸـف

اﻻﻨﺴـﺎن ان اﻟﺤﻀـﺎرﻩ اﻟﺘـﻲ ﻴﻨﺘﻤـﻲ اﻴﻬـﺎ ﺘﻤﺘﻠـك ﻋﻤﻘـﺎ ,وﻤﻀـﺎﻤﻴن ﻗﻴﻤـﻪ .وﻟﻌـﻝ اﻻﺴـﺎطﻴر واﺤـد ﻤـن

اﻟﻤواﻀﻴﻊ اﻟﻤﻬﻤﺔاﻟﺘﻲ ﺠﺴـدﻫﺎ اﻟﻔﻨـﺎﻨﻴن ﻓـﻲ اﻋﻤـﺎﻟﻬم اﻟﻔﻨﻴـﺔ .ﺘﻨـﺎوﻝ اﻟﺒﺤـث اﺴـطورة(اﻟف ﻟﻴﻠـﺔ وﻟﻴﻠـﺔ ).

ذﻟـك اﻟﻤوﻀـوع اﻟـذي ﺠﺴـدﻩ اﻟﻨﺤـﺎت ﻤﺤﻤـد ﻏﻨـﻲ ﺤﻛﻤـت ﻓـﻲ اﻋﻤـﺎﻝ ﻨﺼـﺒﻴﻪ ﻛﺜﻴـرﻩ ,وﻴﺘﺴـﺎﺌﻝ اﻟﺒﺎﺤـث

ﻋن اﻻﻤﻛﺎﻨﻴﻪ اﻟﺘﻌﺒﻴرﻴﻪ ﻟﻠﻔﻨﺎن وﻗدرﺘﻪ ﻓﻲ ان ﻴﻀﻤن اﻋﻤﺎﻟـﻪ اﻟﻨﺼـﺒﻴﻪ ﻤواﻀـﻴﻊ ﺘﻌﺒـر ﻋـن ﻤﻀـﺎﻤﻴﻨﻬﺎ

 

اﻻﺴطورﻴﻪ .

ﺘﺄﺘﻲ أﻫﻤﻴﺔ ﻫذا اﻟﺒﺤث ﻤن أﻫﻤﻴﺔ ﻓن اﻟﻨﺤت ذاﺘـﻪ ﻤـن ﺠﻬـﺔ ٬ وﻤـن طﺒﻴﻌـﺔ اﻟﻤﻀـﺎﻤﻴن اﻟﺘـﻲ

ﺘﺤﻤﻠﻬـﺎ اﻷﻋﻤـﺎﻝ ﻤوﻀـوع اﻟد ارﺴـﺔ ﻤـن ﺠﻬـﺔ اﺨـرى ٬ وﻴﻬـدف اﻟﺒﺤـث اﻟـﻰ اﻟﺘﻌـرف ﻋﻠـﻰ اﻟﺤﻛﺎﻴـﺎت

اﻟﺸﻌﺒﻴﻪ اﻟﺘﻲ ﺘﻨﺎوﻟﺘﻬﺎ اﻻﻋﻤﺎﻝ اﻟﻨﺼﺒﻴﻪ ﻓﻲ اﺴﺎطﻴر اﻟف ﻟﻴﻠﻪ وﻟﻴﻠﻪ وﻋﻠﻰ ﻗدرة اﻟﻨﺤﺎت ﻓـﻲ اﻻﺴـﺘﻔﺎدﻩ

ﻤن اﻟﻤوروث اﻟﺤﻀﺎري, واﻟﺘﻌﺒﻴر ﻋن اﻟﻤﻀﺎﻤﻴن اﻻﺴطورﻴﻪ ﻓﻲ اﻋﻤﺎﻟﻪ.ﻴﺘﺤدد اﻟﺒﺤث ﻫـذا,ﺒﺎﻻﻋﻤﺎﻝ

اﻟﻨﺼﺒﻴﻪ ﻟﻠﻨﺤﺎت ﻤﺤﻤد ﻏﻨﻲ ﺤﻛﻤت , واﻟﺘﻲ اﺴﺘﻠﻬم ﻓﻴﻬﺎ ﻤوﻀوﻋﺎﺘﻪ ﻤن اﺴطورة (اﻟف ﻟﻴﻠﻪ وﻟﻴﻠﻪ).

ﺘﻀﻤن اﻻطﺎر اﻟﻨظري ﻤﺒﺤﺜﻴن ,ﺘﻨﺎوﻝ اﻻوﻝ اﻻﺴطورﻩ ﻗﺒﻝ اﻻﺴﻼم وﺒﻌدﻩ , واﻟﺜﺎﻨﻲ ﺘﺤدث

ﻋـن اﺴـطورة اﻟـف ﻟﻴﻠـﺔ وﻟﻴﻠـﺔ ﻤوﻀـوع اﻟﺒﺤـث .وﺘﻀـﻤن اﻟﻔﺼـﻝ اﻟﺜﺎﻟـث وﺼـﻔﺎً ﺘﻔﺼـﻴﻠﻴﺎً ﻻﺠـ ارءات

اﻟﺒﺤث اﻟﺘﻲ اﺘﺒﻌﻬﺎ اﻟﺒﺎﺤث وﻫﻲ:ﻤﻨﻬﺠﻴﺔ اﻟﺒﺤث:اﻋﺘﻤد اﻟﺒﺎﺤث اﻟﻤﻨﻬﺞ اﻟوﺼﻔﻲ اﻟﺘﺤﻠﻴﻠﻲ اﻟﻘﺎﺌم ﻋﻠﻰ

اﻟﻤﻼﺤظﺔ ﻓﻲ ﺘوﺼﻴف اﻟﻌﻴﻨﺎت وﺘﺤﻠﻴﻠﻬﺎ ﻋﻠـﻰ وﻓـق اﻟد ارﺴـﺔ اﻟﺘـﻲ ﺘﺤﺘـﺎج اﻟـﻰ ﻗ ارءﺘﻴن:اﻻوﻟـﻰ- ﺘﻬـﺘم

ﺒﺎﻟﺸﻛﻝ اﻟذي ظﻬر ﻋﻠﻴﻪ اﻟﻌﻤﻝ اﻟﻨﺼﺒﻲ.اﻟﺜﺎﻨﻴﺔ- ﺘﻬﺘم ﺒﺎﻟﻤﻀﻤون اﻟﻤﻌﺒر ﻋـن ﻓﻛـرة اﻻﺴـطور ,وﻀـم

ﻤﺠﺘﻤـﻊ اﻟﺒﺤـث ,ﻛﺎﻓـﺔ اﻻﻋﻤـﺎﻝ اﻟﻔﻨﻴـﺔ اﻟﺘـﻲ اﻨﺠزﻫـﺎ اﻟﻔﻨـﺎن ﻤﺤﻤـد ﻏﻨـﻲ اﻟﺘـﻲ ﺘﻨﺎوﻟـت ﻤوﻀـوع اﺴـطورة

(اﻟــف ﻟﻴﻠــﺔ وﻟﻴﻠــﺔ).وﺘم اﺨﺘﻴــﺎر اﻟﻌﻴﻨــﺔ اﻟﻘﺼــدﻴﺔ وﻓــﻲ ﻀــوء ﻗــ ارءة وﺘﺤﻠﻴــﻝ اﻻﻋﻤــﺎﻝ اﻟﻔﻨﻴــﺔ ﻴﻤﻛــن

 

اﺴﺘﺨﻼص اﻟﻨﺘﺎﺌﺞ اﻟﺘﺎﻟﻴﺔ:
Упровадження концепції «Smart City» в управління великими містами України
Authors: Андрієнко Антон
Published: April 2023

У монографії наведено розв’язання актуального наукового завдання – обґрунтування комплексу концептуальних положень щодо упровадження концепції «Smart City» в управління великими містами України, а також розроблення методико-технологічного забезпечення відповідних процесів та їх безупинного вдосконалення. Для теоретиків та практиків сфери публічного управління та адміністрування, науковців, викладачів, аспірантів, студентів, усіх, хто цікавиться розвитком наукової думки. Монографія є відредагованим і адаптованим варіантом дисертаційного дослідження на здобуття наукового ступеня доктора філософії з публічного управління та адміністрування, захищеного автором у 2023 році.
EVALUATE THE EFFICACY OF DEXMEDETOMIDINE AND FENTANYLMIDAZOLAM COMBINATION ON AWAKE FIBEROPTIC INTUBATION IN ORAL CANCER SURGERY
Authors: K. Maru Bhumi , Kisku Anupama , P. Patel Dipika , Arya Tejendra , Thakkar Jayshree
Published: April 2023

Background: Awake beroptic intubation (AFOI) is the principal techniques in the management of difcult airway in
oral cancer surgery. The aim of study was to evaluate the efcacy of dexmedetomidine and fentanyl-midazolam
combination on awake beroptic intubation in oral cancer surgery. An ideal sedation regimen would ensure patient's comfort and co-ordination
attenuation of airway reexes, hemodynamic stability and sedation. 60 patients Methods: of age group 18-60 years with American Society of
Anaesthesiologist I and II posted for oral cancer surgery under general anaesthesia were randomly divided into two groups of 30 each in this
prospective randomised and comparative study. Group-D (30 pt): Received an infusion of 1 µg /kg in 100ml Normal saline infusion IV over 10
min. Group-FM (30 pt): Received an infusion of fentanyl 2 µg /kg and midazolam 0.02mg/kg IV in 10ml of normal saline. All Patients were
assessed for vocal cord movement, coughing, physical movement, comfort score, Ramsay sedation score, patient satisfaction score, and
intubation time and hemodynamics variables. The demographic characteristics w Results: ere comparable in two groups (P>0.05).Group-D has
more incidence of vocal cord opening than Group-FM. Group-D has less cough score than group-FM. Limb movement scores were more in
group-FM than group-D. Group-D were more satised than group-FM (P=0.0002). RSS Score was signicantly better in Group-D than in
Group-FM (P=0.041). Group-D showed signicantly reduced hemodynamic response to AFOI than group-FM. Conclusion: Dexmedetomidine
is more effective than fentanyl-midazolam during AFOI, as it provides better intubation condition, hemodynamics stability and sedation
POSTPRANDIAL HYPERTRIGLYCERIDEMIA AS A RISK FACTOR FOR MACROVASCULAR COMPLICATIONS IN TYPE 2 DIABETES MELLITUS
Authors: Nanda Kishore Rayana , Naga Divya Dhathri Akula , Rashmita Vakamullu
Published: April 2023

Diabetes mellitus is a common endocrine disorder characterized by chronic hyperglycemia, and disturbances of
carbohydrate, fat and protein metabolism. The prevalence of diabetes has been increasing widely in India and worldwide.
Diabetes is a cause of signicant mortality and morbidity due to macro and micro vascular complications. Dyslipidemia accompanying type 2
Diabetes plays an important role in pathogenesis of atherosclerotic vascular disease. Post prandial hypertriglyceridemia, irrespective of fasting
triglyceride levels, has emerged as a signicant risk factor for symptomatic and asymptomatic macro vascular disease It is a case control study,
conducted for a period of 1 year from November 2020 to October 2021, on patients visiting the Out-patient department of NRI institute of Medical
Sciences, Sangivalasa, Visakhapatnam. The cases and controls were subjected to clinical and biochemical evaluation to detect presence of macro
vascular complications. The cases were subjected to a high fat meal, and plasma triglycerides were measured two and four hours after a fat
challenge. It was observed that post prandial hypertriglyceridemia correlated better than fasting triglycerides in patients with macro vascular
complications. Persistent and signicant post prandial hypertriglyceridemia was observed in diabetic patients with macro vascular
complications; and can be used as a marker for predicting vascular complications in type 2 Diabetes mellitus
PSYCHOSOCIAL ASPECTS OF BEGGARS
Authors: Ghulam Razdan Ram , Sagar Bajpai Suvaran , Pratap Singh Chauhan Surya
Published: April 2023

Background: Beggars exists in all society law and begging is prevalent throughout the world. Place, prevalence and
pattern of begging changed with the living place. It is a social evil in India and in developing world. So that this study was
carried out for psychosocial aspects of begging in Indore district of Madhya Pradesh. T Aim: his study aimed to assess psychosocial aspects of
beggars in Indore and to nd psychosocial reasons of becoming beggar. Data collection Methods: techniques included: (1) survey through head
count and (2) structured individual interviews. A sample of 100 beggars was selected through purposive sampling procedure so that all categories
of beggars get covered. The interviews were conducted in the months from May 2021 to July 2021. Data was veried manually at various stages,
tabulated and analysed in the form of tables, bar diagrams, histograms, charts, etc. In this study, most of the beggars were children and Results:
adolescents and were females. Most of them started begging since the age of 6 years and came from nuclear family and living with the parents.
They mostly beg for basic needs and supporting family nancially. One fourth were beggars by choice because they don't want to do anything
else. About half of the beggars started begging by force of their family. They were begging by means of selling the pens, toys, tissue paper etc. and
feigning as if themselves or their children are diseased. 73%, 51%, 47%, 36%, 21 and 13% of total sample size were using tobacco gutkha,
bidi/cigarettes, alcohol, solution/fumes inhalation, ganja and smack respectively. There is need of planning for elimination of this Conclusions:
problem and beggars could be converted into worthy human capital and workforce for achieving a higher growth rate and ensuring inclusive
development.
EFFECT OF NEBULISED DEXMEDETOMIDINE IN BLUNTING HAEMODYNAMIC RESPONSE TO INTUBATION- A RANDOMIZED DOUBLE BLIND CONTROLLED STUDY
Authors: Bhargavi Chappa Manju , vishnu Vardhan A. , G.V.Sasi Kiran T.
Published: April 2023

BACKGROUND: Dexmedetomidine, an alpha-2 agonist, has been used for attenuation of he- modynamic response to
laryngoscopy but not through the nebulized route. We evaluated the effects of preoperative dexmedetomidine
nebulization on the hemodynamic response to laryngoscopy and intubation. To evaluate the AIM: effects of nebulised dexmedetomidine as a
premedication in Blunting the haemodynamic response to laryngoscopy and tracheal intubation. After MATERIALS AND METHODS:
written informed consent and ethics committee approval, 50 patientsBelonging to ASA status I or II were randomly allocated to two
groups.Patients not Giving consent,predicted airway difculty and uncontrolled hypertension were Excluded. All the patients were monitored by
ASA standard monitors.They were Randomized into two groups- C and D Group C received 5 ml of normal saline and Group D received 5 ml of
dexmedetomidine at a dose of 1 μg/kg as nebulisation 10 mins prior to induction.Then the patients were premedicated and induced with Propofol
and intubated after giving a non depolarizing muscle relaxant. Vital monitoring like HR,SBP,DBP,MAP,SPO2,was noted at baseline, post
nebulization ,post intubation at 1,5,10 minutes. Demographic details and surgery cha RESULTS: racteristics were comparable between the
Groups.Heart rate between the two groups were comparable.The MAP,SBP and DBP values after intubation were lower in group D, which was
statistically Signicant(P<0.05).The mean dose of propofol for induction was also lower in Group D. To conclude,nebulised CONCLUSION:
dexmedetomidine effectively blunts the pressor response To laryngoscopy and intubation with no serious adverse effects
A STUDY ON EVALUATION OF RESULTS OF SURGICAL MANAGEMENT OF FRACTURES OF DISTAL END HUMERUS USING DISTAL HUMERUS PLATES IN A TERTIARY CARE HOSPITAL,
HYDERABAD, INDIA
Authors: M S Swaroop , Thimma reddy Y.
Published: April 2023

Background & objectives: The management of distal humerus is complicated by the complex 3-dimensional anatomy
of the elbow, the limited bone stock for internal xation and often comminuted and osteopenic nature of the articular
segment. Distal humerus locking plates provides higher stability by permitting multiple screws in distal fragment there by addressing some of the
limitation of conventional plates. Objectives of the studies are to assess and score functional outcome based on Mayo elbow performance score
for functional outcome and to study functional outcome of treatment in terms of achieving radiological union and elbow range of movement of
distal humerus fracture managed by distal humerus plating . Methods: A prospective study on 30 cases of distal humerus fractures in the age
group of 18 to 65 years from November 2020 to November 2022 managed with distal humerus plates. Results were evaluated based on time of
fracture union, range of movement and functional outcome by Mayo elbow performance score . Interpretation and Conclusion: Out of 30
patients, 28 patients had fracture union by 24 weeks. Functional outcomes were excellent in 18 patients (60%), good in 7 patients (23.33%), fair in
3(10%) and poor in 2 cases .As per AO principles that early operative intervention with distal humerus bicolumnar plating for these fracture will
result in good functional outcome
NEWLY DETECTED SEVERE RHEUMATIC HEART DISEASE IN ELDERLY AND THE CHALLENGES IN ITS MANAGEMENT—A CASE REPORT
Authors: Biya Fauzan , Soni Pravin , Nirgude Dattarao
Published: April 2023

A 60-year-old man with a history of frequent lower respiratory tract infections presented with symptoms of face pufness,
swelling of bilateral limbs, palpitation, and shortness, but subsequent diagnostic testing at the hospital revealed rheumatic
heart disease with poorly managed atrial brillation, severely enlarged left atrium, and mitral valve area 1.1 cm2. It was determined that replacing
the patient's mitral valve with a mechanical prosthesis would be the best course of action. Our choice was inuenced by the fact that the patient will
require chronic anticoagulation for atrial brillation anyway, despite the common trend of employing bio prosthesis in the elderly. Our case
presentation demonstrates a late-presenting example of RHD with unexpected connections and the difculties in selecting the most effective
treatment.
ROLE OF PREOPERATIVE EMBOLIZATION IN BONE TUMORS- A case control study
Authors: Dutta Parul , Das Bikash , Agarwal Sushant , K. Bhuyan S.
Published: April 2023

Preoperative embolization of bone tumor is a minimally invasive angiographic intervention technique and effective adjuvant
treatment option for bone tumors. In 1975, Feldman was the rst to use the pre-operative arterial embolization technique to
downstage the vascularity of bone tumors, thus reducing blood loss during surgery. Surgery remains the mainstay treatment option for bone tumors.
Embolization reduces tumor vascularity and hence decreases intraoperative blood loss and intraoperative blood transfusion. It enables more accurate
delineation of tissue planes during surgery, resulting in complete removal of the bone tumor. The most frequent bone tumors that typically need
preoperative embolization are those difcult to operate on because of their huge size, high degree of vascularity, proximity to critical tissues, or difcult
surgical access. PVA particles are regarded as a workhorse in preoperative transarterial embolization and thus used commonly as an embolizing agent.
It is safe procedure and therefore can be used as part of the multidisciplinary approach to the management highly vascular bone tumors.
MATERNAL AND FETAL OUTCOMES OF JAUNDICE DURING A COMPLICATED PREGNANCY IN TERTIARY CARE HOSPITAL IN KAKINADA DISTRICT: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Ponnada Mounika , Ponnada Triveni , Palavalasa Srujana , Kumbha Gopi
Published: April 2023

Background: Viral hepatitis is one of the most common and potentially serious infections that can occur in pregnant women.
Liver disease in pregnancy, although rare, can seriously affect the mother and fetus. Physiological changes of a normal
pregnancy can be confounding with the sign and symptoms of liver diseases. But it is an essential medical disorder because it has adverse effects on the
mother and fetus like PPH, preterm labour, IUD, fetal distress, etc. This study aims to analyze the incidence, demographics, obstetric prole, and
causes of jaundice in pregnancy and to know the maternal and fetal outcomes. This is an observational Materials And Methods: study conducted by
the Department of Obstetrics and Gynaecology, Governments General Hospital (tertiary care hospital) Kakinada, East Godavari District, Andhra
Pradesh. 54 antenatal patients with clinical/laboratory evidence of jaundice were selected for the study between January 2020 to December 2020.
Results: The mean (Standard deviation) age of patients was 25.5 ± 5.4. 54 patients had jaundice during pregnancy were analysed. 77% of the patients
were between 21 and 35 years old. Most cases were Primi gravida. The incidence of jaundice was 3.7%. The most common cause of jaundice was
hemolysis, elevated liver enzymes, and low platelets (HELLP). The most common maternal complication was disseminated intravascular
coagulation. The maternal mortality rate was eight. The majority of perinatal outcomes were preterm births. Jaundice in pregnancy has Conclusions:
adverse feto-maternal consequences. Improving health awareness, education, regular prenatal examinations, and early referrals lead to early
diagnosis and treatment of jaundice during pregnancy, thereby reducing maternal and fetal mortality and morbidity.
CLINICAL STUDYING OF ECLAMPSIA IT'S MATERNAL AND PERINATAL OUTCOME
Authors: Kumari Swarna , Kumari Aruna , Ramadevi Ramadevi
Published: April 2023

Eclampsia continues to be a major problem in developing countries like India contributing to signicant maternal and
perinatal morbidity and mortality. We conducted a study to establish the clinical prole and the associated maternal and
perinatal outcomes among eclamptic patients admitted to our center. A prospective study of all women presenting with eclampsia was performed
from January 2022 to August 2022. Forty ve primigravida patients presented with eclampsia out of a total 525 deliveries during the study period.
Majority of the patients were unbooked (63.4%). Antepartum eclampsia accounted for most of the cases (63.4%). Of those cases, 53.4%presented
beyond 36 weeks gestational age. There were a total of 4 maternal deaths and 21 perinatal deaths in the present study. Perinatal deaths were caused
by prematurity and birth asphyxia. The high incidence of eclampsia and its complications during this study indicate the need for early
identication of risk factors and timely intervention to improve maternal and perinatal outcome
PREVALENCE OF POLYCYSTIC OVARIAN SYNDROME AMONG MEDICAL STUDENTS IN SOUTH KARNATAKA
Authors: R Swathi. , H U Bhavya , Doppa Geeta , G.O Ravikant
Published: April 2023

PCOS is the most common endocrine disorder of reproductive age group and the pathophysiology is heterogeneous in
nature which includes metabolic dysfunction, genetic and environmental factors. To de Aim: termine the prevalence and
demographic characters of PCOS among medical students in South Karnataka and to assess the symptomatology of Polycystic Ovarian
Syndrome among the diagnosed PCOS. This is an observational cross-sectional study Materials and Methods: conducted among 184 MBBS
students from different medical colleges in South Karnataka from 01/07/2022 to 14/08/2022.Data were collected using close-ended
questionnaire made in Google forms which analysed multiple parameters including Socio demographic prole and symptomatology among the
participants. The data were analysed using IBM SPSS 28.The analysis included frequencies of discrete variables. The results showed Results:
that the prevalence of PCOS among the participants is 15.13%. Among the participants more than half of the participants 62.7% belong to the age
group 21-23years.More than half of the participants 68.64% had ideal BMI of 18.5 to 24.9 kg/m2. Most common symptom experienced among
diagnosed PCOS in our study was excessive hairfall (44.86%) and the least common symptom experienced among them was hirsuitism
(29.18%) This study revealed that the prevalence of PCOS among medical students in Conclusion: South Karnataka is 15.13%. The prevalence
of PCOS was found to be little higher compared to the other studies done in a similar setting among young female.Among the diagnosed PCOS,
almost 44.86% of students had excessive hairfall followed by irregular menstrual cycle (39.45%) and weight gain. Hence awareness should be
created among young females about the symptomatology of PCOS for early identication of the disease and prevent its progression.
MODIFIED OSWESTRY DISABILITY INDEX (ODI) IN ASSESSING MAGNETIC RESONANCE IMAGING FINDINGS IN LUMBAR DEGENERATIVE DISEASES
Authors: Babu Santhosh , Vamshi Krishna Konakanchi , Rushwender Reddy Kolan
Published: April 2023

INTRODUCTION: Lumbar degenerative disease is one of the common causes for low back pain may cause
debilitation. Mild degenerative changes of spine are physiological and should be considered pathological only if these
abnormalities are causing symptoms and clinical signs. Many structural components of spine are responsible for low backache of degenerative
etiology including the intervertebral disc, vertebral periosteum, facet joints and spinal ligaments. The most frequent and common location of
these changes is lumbar spine due to heavy mechanical stress. The aim of AIM: this study is to establish a relationship between the MRI changes
in established lumbar degenerative disease and the severity of self-assessed modied Oswestry Disability Index in patients. MATERIALS &
METHODS: Study included 120 consenting patients of all age groups irrespective of sex, having low back pain who were referred for MRI
lumbar spine. Standard spine protocol sequences like T1- weighted image T2-weighted image Fluid-sensitive sequence, such as STIR or fat
suppressed T2-weighted image Gradient-echo image Post gadolinium T1- weighted image were performed and the ndings were correlated with
Modied Oswestry Disability Index(ODI). Disc degenerative changes is common RESULTS: among 40 – 60 years age group. Females are
more commonly affected than males. Central is the most type of disc bulge. L5-S1 is the most common level to be affected by disc bulge. Annulus
ssure/ tear is most common in L4-L5 intervertebral disc level. Type I degenerative end plate changes are most common in L5-S1 intervertebral
disc level. Whereas typeII degenerative end plate changes are most common in L4-L5 intervertebral disc level. Facetal Arthropathy changes are
common in L4- L5 levels both in grade I and II. Spinal canal stenosis is common in L4-L5 levels both in grade I and II. Oswestry disability score
is higher in patients with severe spinal canal stenosis. So, there is signicant correlation between spinal canal narrowing and Oswestry disability
index is seen. So ODI score acts as an invaluable tool for assessing patients' functional disability. MRI is better for the CONCLUSION:
identication and grading the severity of lumbar degenerative disease. Oswestry disability index is a better tool for assessing patients' functional
disability.
“A STUDY ON MEDICATION ADHERENCE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS ATTENDING GOVERNMENT HEALTH CARE FACILITIES OF RAIPUR DISTRICT”
Authors: Parveen Nasarin , A Gupta Shubhra , Verma Smita , Verma Nirmal
Published: April 2023

Introduction: Diabetes mellitus is a chronic progressive disorder characterized by high levels of blood glucose. Patient's
role in medication adherence is inversely proportional to the severity & complication of diabetes. Adherence to
medication is essential to obtain a therapeutic benet for diabetes. Hence, this study has been conducted to assess medication adherence among
patients with type 2 diabetes mellitus attending government healthcare facilities of the Raipur district. To nd out the magnitude of Objective:
adherence to prescribed medication among type 2 diabetic patients attending government health care facilities of Raipur district. Material And
Method: A facility based cross-sectional study was conducted in government health care facilities selected by simple random sampling of Raipur
district during November 2020 to November 2022. A total of 460 patients with more than 6 months duration of type-II Diabetes Mellitus were
interviewed by using structured questionnaire after obtaining verbal consent from them. Medication adherence were assessed on Morisky
medication adherence Scale (MMAS-8 scale) from the range of 0 to 8. If patients scored maximum 8 considered as high adherence, if patients
scored 6-7 considered as moderate adherence, if patients scored of <6 considered as poor adherence. Out of 460 study subjects, it was Result:
observed that about 21% were found highly adherent to medications, 28% moderately adherent and 51.1% were showing low adherence for
diabetic medication. Overall medication adherence was very low in study s Conclusion: ubjects. It is clear that there is a serious need for
healthcare professionals to address the problem of adherence to prescribed medications to individuals with diabetes mellitus
STUDY OF OCCURANCE OF GALL BLADDER STONES AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS IN A TERITIARY CARE HOSPITAL
Authors: Rajan Swati , Ahmed Sameer , Haris Irfan , M V Krishna
Published: April 2023

Background: Diabetes could form cholesterol gallstones more frequently because of a reduced gallbladder contraction
and increased biliary cholesterol secretion. A meta -analysis study suggested that there is a strong association between
diabetes mellitus and the occurrence of gallstone disease. The incidence of gallstones is higher in Type 2 Diabetes both in males and females than
the non-diabetics. To study the frequency of gallbladder stones among patients with Objective: Method: type 2 Diabetes mellitus. After
institutional ethical committee approval and obtaining written informed consent from the patients, an observational cross-sectional study was
conducted on patients admitted in Raja Rajeswari medical college and hospital over a period of one and half year on 100 known case of type II
diabetes mellites for more than or equal to 5 years. In the present study, the Results: occurrence of gallbladder stones was 21% among Type 2
diabetes mellitus participants. Even though statistical association could not be proven, a higher HbA1c level was found to be among the study
participants with gall stones when compared with the study participants without gall stones. 21% of the study participants were Conclusion:
diagnosed with Gall stones. 79% of the study participants were not diagnosed with gall stones
BODY STALK ANOMALY IN A 14-WEEK PREGNANCY: A CASE REPORT
Authors: Mukherji Varsha , Ridham Ridham , Sharma Siddharth
Published: April 2023

Body stalk anomaly is an uncommon and dangerous malformation for which there is no recognized cause or precise
etiology. This is a case of a 29-year-old patient whose ultrasound at 12 weeks indicated megacystis and fetal ectopia
cordis. A second sonography was performed on the patient to conrm the diagnosis. The results indicated a short umbilical cord, an angulation
deformity of the spine, the absence of the mid and distal segments of one upper limb, ectopia cordis, a signicant abdominal wall abnormality
consistent with omphalocele and the presence of a cloaca. The ultrasonographic results supported body stalk anomaly. Her dual marker screen was
positive for Trisomy 18/13. Because of serious deformities that were conicting with life, the patient was given the option of terminating the
pregnancy. The suspected anomaly was conrmed on pathologic examination