bluuebunny/crossref_metadata_2025 huggingface dataset:
La relevancia de la investigación cualitativa
Authors: Rojas-Gutiérrez William Jesús
Published: January 2023

En el contexto actual, la investigación de índole cualitativa nos permite asumir procesos de reflexión e implicación que tenemos que ejercer, manteniendo una relación constante e interactiva con los principales actores de la investigación para poder obtener un proceso de recolección e interpretación de los datos que nos permita conocer la realidad que estamos estudiando. Dicho enfoque ayudará a determinar las particularidades de las habilidades investigativas respecto de la producción científica exitosa de los estudiantes universitarios.

La relevancia viene dada, pues, al pertenecer al paradigma interpretativo y el método inductivo y los diferentes diseños que posee permiten estudiar la realidad acercándose a ella para conocerla, comprenderla y analizarla.
Descripción del método Insumo-Producto: caso economía peruana 2012 – 2013
Authors: Saavedra García Jorge Alejandro , Elías Guardián Angela Cecilia
Published: January 2023

El método del input-output (Insumo-Producto), representa una aproximación empírica de las interrelaciones existentes entre los distintos sectores en que puede dividirse una economía nacional, tratadas como piezas de un equilibrio general.

El Instituto Nacional de Estadística e Informática elabora las cuentas nacionales tomando como base el año 2007, y a través del álgebra de matices analiza los sectores de la economía en productores o actividades (unidades productivas) y en sector institucional (porque trata las unidades de financiación). El presente artículo trata de diseñar un instrumento metodológico que demuestre la importancia de la tabla económica en la economía peruana para la enseñanza aprendizaje en las ciencias económicas. También muestra el comportamiento de las relaciones intersectoriales en la economía global, determinando las variables macroeconómicas como grandes agregados de la economía peruana.

Entre los aportes del texto, se presenta una tabla económica para cuatro sectores productivos, determinando la matriz de coeficientes técnicos y la inversa de la matriz de Leontieff (I -C )/ 1; y se obtiene el nuevo cuadro de transacciones económicas. Luego de esto se analizará algunas tablas proporcionadas por el INEI para el periodo 2012-2013, de la economía peruana por departamentos y por actividades productivas.
(Des)infodemia: lecciones de la crisis de la covid-19
Authors: Quian Alberto
Published: January 2023

En esta revisión sobre la desinformación durante la crisis de la covid-19 se hace un análisis teórico, conceptual y exploratorio de la infodemia y desinfodemia en tiempos de crisis de salud pública. En el artículo se intenta precisar qué son la infodemia y la desinfodemia, en el marco del bioinformacionalismo, se reflexiona si hemos llegado tarde para atajarla, se exponen los peligros para la salud pública, las democracias y la vedad histórica por el auge de teorías conspirativas virales, de noticias falsas y de campañas de desprestigio contra las autoridades científico-sanitarias y se analiza el papel comunicativo de científicos y periodistas en la resolución de esta crisis sanitaria.
Dalia Grybauskaitė. „Baltic Iron Lady”, która zmieniła narrację o „państwie małym” w polityce zagranicznej Republiki Litewskiej
Authors: Biersztańska Katarzyna
Published: January 2023

Republika Litewska zaliczana jest do państw małych. Czy państwo małe z krótką historią współczesnej państwowości, 30 lat od rozpadu ZSRR, może być słyszalne i widoczne na arenie międzynarodowej? Co wniosła do polityki zagranicznej pierwsza kobieta Prezydent? Jak zmieniła narrację o Litwie jako państwie małym? W niniejszym artykule podejmuję próbę znalezienia odpowiedzi na powyższe pytania oraz prześledzenia zmian w narracji dotyczącej tylko jednego aspektu tożsamości państwa, czyli identyfikowaniu się Litwy jako państwa małego na arenie międzynarodowej. Badaniu zostały poddane wszystkie oficjalne wypowiedzi Prezydent D. Grybauskaitė od 2009 do 2019 roku. W wypowiedziach poszukiwałam odniesień do „państwa małego” i znaczenia jakie przypisywała Prezydent temu stwierdzeniu. Atutem jest przedstawienie różnic w narracji o Litwie jako państwie małym między byłymi Prezydentami a D. Grybauskaitė.
Służba dyplomatyczna kobiet w II połowie XVII wieku. Inspiracje francuskie w Rzeczypospolitej
Authors: Pietrzak Jarosław
Published: January 2023

Druga połowa XVII wieku przyniosła dla kobiet szansę na zaznaczenie swojej roli w życiu politycznym. We Francji, pod wpływem „sporu o kobiety” oraz doświadczeń wyniesionych z dworów królowych francuskich, arystokratki stały się pośredniczkami w działaniach dyplomatycznych. Damy zaangażowały się w negocjacje pokojowe oraz przybywały na dwory z misjami od króla. Przełomowym stało się nadanie Renée du Bec-Créspin rangi ambasadorowej nadzwyczajnej na dwór polski. Od tego czasu kobiety coraz częściej uczestniczyły w podróżach, nawet do tak dalekich krajów jak Persja. W Rzeczypospolitej, odmiennie niż w Francji, udział kobiet w sferze publicznej był znikomy. Pojawienie się Ludwiki Marii Gonzagi de Nevers i Marii Kazimiery d’Arquien Sobieskiej ośmieliło damy do podjęcia bardziej zaangażowanych działań. W pracy przedstawione zostały przypadki Małgorzaty Kotowskiej i Teresy z Gosiewskich Słuszkowej, które podjęły się tajnych misji na dworach europejskich.
Pengaruh Penyuluhan KB dalam Pandangan Islam terhadap Keikutsertaan Pemilihan Kontrasepsi bagi Calon Akseptor di Dusun Jabung Yogyakarta Indonesia
Authors: Yendena Nelli , Mawarti Retno , Husna Jannatul
Published: January 2023

Based on the Population Growth Rate (LPP) data in 2018, the number of births in Indonesia was 5 million (1.28%) per year. One of the reasons is the lack of knowledge and participation of childbearing-age couples in contraceptive selection. They were given Islamic family planning (FP) counseling because most of Indonesia's population is Muslim. This study aims to determine the effect of FP counseling in the Islamic view on participation in contraceptive selection for prospective FP acceptors in Jabung, Pandowoharjo, and Sleman Yogyakarta. Pre-experimental research methods with on group pretest-posttest design. The Instrument was a questionnaire. The population was 49 childbearing women who did not use any kind of contraception and used total sampling. Bivariate analysis techniques used the Wilcoxon test. The average score of participation of prospective FP acceptors in choosing contraceptives before and after FP counseling in the Islamic view was increased from 57.76% to 82.29%, which showed a difference of 30.53. Wilcoxon test obtained z significance value which showed that FP counseling in the Islamic view was an effect on the participation in contraceptive selection for prospective FP acceptors at 0,000 with p value 0,000 <0.005.
Gambaran Pengetahuan Ibu Hamil Terhadap Konsumsi Tablet Zat Besi Untuk Mencegah Anemia dan Stunting Di Rumah Sakit Puri Bunda Tabanan
Authors: Herliawati Putu Arik , Pratiwi Nanda Agnesia Jati , Hildayanti Rezha Alivia , Ariyanti Kadek Sri
Published: January 2023

Masih tinggi nya angka pravelensi anemia pada ibu hamil di dunia masih tinggi yaitu sekitar 40%. Di seluruh dunia penyumbang angka terbesar berasal dari negara berkembang salah satunya Indonesia. Pemerintah Indonesia telah berupaya menurunkan angka tersebut dengan progam pemenuhan sumplemen gizi salah satunya Tablet Zat besi. Anemia kehamilan disebut berpotensi membahayakan ibu dan dapat menyebakan tingginya angka stunting pada anak di Indonesia. Tujuan penelitian ini adalah untuk pengetahun gambaran pengetahuan ibu hamil dalam mengkonsumsi tablet zat besi untuk mencegah anemia dan stunting. Metode yang digunakan adalah design deskritif analitik , jumlah sampel sebanyak 22 responden menggunakan analisa data univariat. Penelitian ini dilakukan pada bulan Oktober 2022 di Rumah Sakit Puri Bunda Tabanan. Hasil Analisa gambaran pengetahuan ibu hamil terhadap konsumsi tablet zat besi smayoritas responden dengan gambaran pengetahuan yang  kurang yaitu sejumlah 12 responden (54.5%) dan responden dengan gambaran pengetahuan baik sejumlah 10 (45.5%). Kesimpulan dari penelitian ini adalah masih banyak nya kelompok ibu hamil yang memiliki gambaran pengetahuan yang kurang terhadap penting nya konsumsi tablet zat besi untuk mencegah anemia dan stunting.
Analisis Kasus Continuity of Care (COC) di Tempat Praktek Mandiri Bidan Siti Zakiah Tabanan Tahun 2022 : Studi Kasus
Authors: Zakiah Siti , Herliawati Putu Arik , Witari Ni Nyoman Deni , Chania Made Pradnyawati
Published: January 2023

Peningkatan kematian ibu di Bali pada tahun 2021 secara absolut sebanyak 125 memperburuk kesehatan ibu dengan ditambah adanya penyebaran COVID-19 Walaupun pencapaian AKI di Kabupaten Tabanan sesuai dari capaian Provinsi Bali dan target MDG’s kita sebagai tenaga kesehatan harus tetap menjaga penurunan AKI di Indonesia.  Masa kehamilan, persalinan, nifas, neonatus merupakan suatu keadaan fisiologis yang kemungkinan dapat mengancam jiwa ibu dan bayi bahkan dapat menyebabkan kematian. Salah satu upaya yang dapat dilakukan bidan yaitu dengan menerapkan model asuhan kebidanan yang komprehensif/berkelanjutan (Continuity of Care/CoC). Asuhan kebidanan yang komprehensif dapat mengoptimalkan deteksi resiko tinggi maternal neonatal. Penelitian ini bertujuan untuk menganalisis hasil penerapan asuhan kebidanan sesuai standar secara komprehensif, berkesinambungan dan komplementer di TPMB Siti Zakiah.Studi Kasus :  Seorang pasien perempuan berumur 33 tahun multigravida beserta anaknya mulai Trimester III kehamilan hingga nifas 42 hari sesuai Standar, komprehensif  berkesinambungan dan asuhan komplementer dengan penerapan Gentle Birth dan Persalinan Maryam. Hasil studi kasus menunjukkan sebagian besar asuhan telah diberikan seseuai standar asuhan kebidanan.Diharapkan seluruh bidan dapat melakuukan asuhan kebidana secara komperehensif dan berkelanjutan.
Penerapan Etika Perawat Dalam Pelayanan Praktik Home Care
Authors: Cahyani Arinda , Putri Karisma Adiya , Diani Risma Ayu Putri , Melati Putri Sovia
Published: January 2023

Nurses in providing nursing services must always uphold the code of nursing ethics as a form of responsibility both to patients, their responsibilities to colleagues or other professions, as well as their responsibilities to their professional organizations (PPNI). This study aims to determine the form of application of the code of ethics from the aspect of responsibility for nursing services both to patients, colleagues or other professions as well as to professional organizations. This study uses a descriptive method with a quantitative approach to Nursing Services in Homecare. The results drawn from this study are that nurse services have referred to responsibilities and there are no violations in Nursing Ethics so that there is no effect on Nursing Services.
Konsep Pelayanan Keperawatan Komplementer Alternatif Dengan Pendekatan Teori Dorothea Orem
Authors: Santoso Ario Prio Agus , Agustin Cindy Amelia , Azzahra Fatihah Balqis , Efani Hana , Coreia Tito Angelito , Safitri Zalika Hilwa
Published: January 2023

Nurses as health professionals can participate in complementary therapies that patients can do independently. In this case a nurse has a role as an educator. This study aims to determine the concept of alternative complementary nursing with the Dorothea Orem theory approach. This research method is a literature study conducted by reviewing and analyzing several sources of articles. The results of the study show that the application of alternative complementary nursing care to patients can be done independently in accordance with the concept of Dorothea Orem theory, evidenced by the existence of acupressure therapy, hypnotherapy, herbs, and so on.
A CLINICAL STUDY ON SCLERAL FIXATED INTRAOCULAR LENS (SFIOL) WITH SUTURE
Authors: Latif Abdul , Choudhury Leena
Published: January 2023

AIM: To study the visual outcome and complications in patients operated with scleral xated lens with suture, where
capsular support is not adequate. A total of 50 cases of aphakia were included. D MATERIALS AND METHOD: etailed
history was taken and thorough ocular examination was done including visual aquity, slit lamp examination, intraocular pressure measurement,
gonioscopy and indirect ophthalmoscopy . Routine systemic investigations were done as required. The cases were operated with SFIOL
implantation by double suture with four point xation. Post operative visual aquity i RESULT: mproved in all the cases and complications were
seen in 38% cases. We found that implantation of SFIOL using four point xation by doubl CONCLUSION: e suture is an effective method to
treat aphakia with resultant improved vision.
MUSICALITY
Authors: Kathuria Adya
Published: January 2023

The aim of this study is to determine whether a person's music taste has any effect on their personality i.e. People with
same music taste display similar personalities. Music is a part of everyone's lives. People often associate music with pitch,
rhythm, melody, etc. however, psychologists associate music with personality. These days music is even used as a form of therapy. It helps people
cope with stress and promote human wellbeing. Music is said to improve intelligence and enhance the immune system as well as increase selfesteem and condence. Research has shown that music can be very helpful in the management of pain. One study of bromyalgia patients found
that those who listened to music for just one hour a day experienced a signicant reduction in pain compared to those in a control group.
Researchers at the University of Groningen showed in an experiment that listening to sad or happy music could not only put people in a different
mood, but also change what people notice. People may dene their musical identity by wearing particular clothes, going to certain pubs, and using
certain types of slang. Therefore, it is not so surprising that personality can relate to musical preference.
ASSOCIATION BETWEEN ABO BLOOD GROUPS AND REFRACTIVE ERRORS
Authors: Jain Shubhnav
Published: January 2023

Objective: Study Design: To nd out association between ABO blood groups and refractive errors. Descriptive cross
sectional study. This study was conducted in SMS Medical college , De Method: pt of Ophthalmology from 1st July 2022
till 1st August 2022 . A total of 100 patients having age group 15-40 years of both genders were enrolled in the study. The patients having other eye
diseases and blood dyscrasias were excluded from the study. The data was analyzed. Out of 100 patients, 60 patients (60%) of myopia Results:
were presented between 15 to 35 years of age. No hyperopic patient was present between 40 to 50 years of age. 32(32%) out of 50 patients were
having blood group O and myopia while only 24(24%) out of 100 patients were associated with blood group A and B. Only 6(6%) hyperopic
patients were having blood group A and O while 8(8%) were associated with blood group B. Conclusion: Blood group O shows slight predominance to myopia while other blood groups showed no specic association with other refractive errors.
ANAESTHETIC MANAGEMENT OF A PARTURIENT WITH ACUTE VARICELLA INFECTION PRESENTED FOR EMERGENCY CESAREAN SECTION UNDER GENERALANAESTHESIA: A CASE REPORT
Authors: Samhitha Boyina. , Karunaker Somi. , Gnapika Putta Prabhu , Kumar J. Sudheer
Published: January 2023

We report the successful management of a 25year old G2P1L1 with Term gestation age with prior LSCS in active labour with fetal distress with
active varicella zoster infection posted for emergency LSCS under general anaesthesia perioperative course was uneventful with satisfactory
maternal and fetal outcomes.
CASE SERIES OF HYPOKALEMIC PERIODIC PARALYSIS
Authors: Padmanabhan K. , Deepika V.
Published: January 2023

The Periodic paralysis syndrome are described as channelopathies that manifest as abnormal, often potassiumsensitive,muscle-membrane excitability and lead clinically to episodes of accid weakness or paralysis, sometimes in
association with abnormalities of the plasma potassium level. Strength is initially normal between attacks, but progressive myopathic weakness
may develop in up to one-third of patients. Hypokalemic periodic paralysis characterized by attacks that tend to occur on awakening,after
exercise, or after a heavy meal and may last for several days. Patients should avoid excessive exertion. A low-carbohydrate and low-salt diet may
help prevent attacks.An ongoing attack may be aborted by potassium chloride given orally or by intravenous drip, provided the ECG can be
monitored and kidney function is satisfactory. We report a case series of 3 gentlemen with sudden onset paralysis of extremities and laboratory
evaluation revealed a low potassium level. The patient paralysis resolved upon repletion of his low potassium and was discharged with no
neurologic decits.
HOW DID REHABILITATION PROGRAMME AFFECT CARDIORESPIRATORY FITNESS IN MULTIPLE SYSTEM ATROPHY? A CASE REPORT
Authors: Nur Hidayati Evi Rachmawati , Siregar Elda Sari , Alif Wira Lestiani
Published: January 2023

Multiple System Atrophy (MSA) is a progressive neurodegenerative disorder with various symptoms that propose impaired
muscle performance and loss of balance. A male 65 year old complaining of fatigue easily and dizziness when doing activities.
He had walking difculty and limb weakness. The 6-minute walk test (6MWT) showed impaired cardiorespiratory tness with shortened walking
distance and reduced maximal oxygen uptake (VO2max: 5,39, METs: 1,54). Moreover, there was decreasing thorax expansion (2-1.5-2.5), and
balance instability measured by lower Time Up and Go test (17) and Berg Balance test (49). Cardiorespiratory Rehabilitation programs focus on
physical therapy (passive and active strengthening exercise, treadmill aerobic cardiorespiratory exercise) and home program exercises. Three months
after therapy, there were signicant improvement in cardiorespiratory tness characterized by improving VO2max (VO2max 9.07, Mets 2.59),
increased thoracic expansion (2-4-4) and improving balance stability (TUG 11 s) although overall BBS score was reduced (45).
PREVALENCE OF RETINOPATHY IN NEWLY DIAGNOSED DIABETES MELLITUS: EXPERIENCE AT OUR TERTIARY CARE CENTER
Authors: Waris Khateeb Erum , Fatima Tak Sobia , Rashid Wasim , Qazi Ifrah Ahmad
Published: January 2023

Diabetic retinopathy is leading cause of blindness in most of the diabetic population To detect prevalence of diabetic retinopathy at the time of Aim:
diagnosis of diabetes mellitus and to study the relationship of development of retinopathy with various risk factors associated with type II diabetes
mellitus like BMI and lipid prole. It was a cross-sectional study conducte Methodology: d over a period of one year. Patients with newly
diagnosed Type II Diabetes mellitus with age more than 20 years presenting to our department were included in the study. History of blurred vision,
black spots, oaters and sudden visual loss taken. Fundus examination was done. Blood investigations included fasting glucose, Postprandial
glucose, HbA1c levels and urea & serum creatinine levels were done. A tot Results: al of 100 patients were included. Most of patients were
clustered between 31-50 years of age. 41% of the patients were overweight, 27% of the patients were obese. 96% of the patients had no signicant
clinical history pertaining to diabetic retinopathy. 56% of the patients had abnormal lipid prole, among the patients with abnormal lipid prole.
6% of patients had abnormal retinoscopy ndings, of which 4 patients had mild NPDR. Out of 57 patients with HbA1C >7.5% , 6 patients had
diabetic retinopathy. Diabetic retinopathy is associated with vision thre Conclusion: atening complication. It can be made out even at the time of
diagnosis of type II diabetes mellitus.
CASE SERIES: HUMAN ERRORS AND TUBECTOMY FAILURE- REPORT OF FIVE CASES
Authors: Jadhav Balaji , Gomare Mangala , Chandanshive Vaishali
Published: January 2023

Female sterilization is the most common permanent method of contraception in India. Most of those procedures are performed in various levels of
public health facilities. Tubectomy failures due to spontaneous tubo-pertineal stula formation and recanalization is known in the literature. The
human errors are also reported. However, the nature and frequency of human errors leading to failure are addressed in very few reports. This case
series addressed the issues of preventable human errors, which helps physicians to revisit the procedure to prevent litigations.
COLOUR DOPPLER EVALUATION OF CAROTID ARTERIES IN ISCHEMIC STROKE PATIENTS
Authors: Kumar Gaur Arun , Modi Bhoomi
Published: January 2023

Objective: To evaluate common carotid artery (CCA) and internal carotid artery (ICA) to assess the severity of carotid artery stenosis in ischemic stroke patients. Total 72 patients, who were clinically diagnosed as having Materials And Methods: suffered from ischaemic cerebrovascular (CV) stroke, were recruited. Each patient was studied in detail with relevant clinical history and Examination; risk factors like hypertension, diabetes mellitus, smoking & hyperlipidemia were documented. Ultrasound Scan and colour Doppler of carotid arteries was done. Results: Hemiparesis was the most common presenting clinical symptom, 34 (47.2%), followed by hemiplegia 11 (15.2%), giddiness 7 (9.7%), hemisensory disturbances (HSD) 6 (8.3%).44 patients were smokers (61%), 32 patients were hypertensive (44.4%), 28 patients were diabetic (38.8%), 18 (25%) patients had hyperlipidemia and 15 patients had a previous history of stroke (20.8%). Doppler ultrasound, 52 out of 72 (72.2%) patients had some evidence of ipsilateral/bilateral carotid stenosis (plaque + increased CIMT) and 35 out of 72 (48.6%) had plaque ipsilateral/bilateral. Conclusion: Color Doppler of carotid artery plays an important role in identication of plaques and quantication of degree of Stenosis in stroke patients and identication of “at risk” patients who may develop further stroke.
A STUDY OF COMPARISON BETWEEN FERRIC CARBOXY MALTOSE AND IRON SUCROSE IN IRON DEFICIENCY ANAEMIA OF PREGNANCY
Authors: Modi Prerak
Published: January 2023

Anemia is the most common medical disorder in pregnancy
especially in developing countries like India, even in that iron
deciency is the most common type of anemia in pregnancy,
approximately 95%.
STUDY OF LOW BACK PAIN AMONG NURSES WORKING IN A TERTIARY CARE HOSPITAL
Authors: V. Gandham Sudesh , Gupta Anurag
Published: January 2023

Background: Possibility of healthcare personnel to encounter occupational risks varies according to their profession, job and the department in
which they work. Nursing is accepted as a stressful profession with work overload due to several negative factors (overwork, overtime and long
working hours, role conict and ambiguity, problems with shift work etc.) arising from work circumstances. Healthcare workers are at a higher risk
of developing low back pain due to a variety of factors. This problem is associated with major consequences in terms of disability and frequent
absence. LBP might lead to activity limitation and sick leaves for more than 50 % of the nurses. This study aims to assess the prevalence and risk
factors of LBP among nurses in a tertiary care center. 1. To determine the fre Objectives: quency of low back pain and associated factors among
nurses working in a tertiary care hospital 2. To assess the level of functional disability due to low back pain. A cross-sectional study Methodology:
was conducted on 125 nurses, aged between 25 and 60 years, who had been working for at least 1 year at CPR Hospital Kolhapur (Maharashtra).
Both male and female staff nurses were included in the study. Those who were pregnant and who were not willing to participate were excluded from
the study. A self-administered Oswestry Low Back Pain Disability questionnaire which was applied to obtain data from the respondents. Both
descriptive and inferential statistics was used. The baseline characteristics were presented as mean with standard deviation or frequencies and
percentages whichever appropriate. The determinants of low back pain and knowledge on body mechanics were found using Chi-square. P value
<0.05 is considered signicant at 95% condence interval. In the present study, out Results: of 125 participants, 56% were aged 31 to 40 years.
Mean age was 32.68±7.32 years. There was female preponderance with 82.4. 71.2% had LBP. Based on Oswestry LBP Disability (OLBPD) Score,
28.8% were found to be free from any disability, 50.4% had minimal, 18.4%) had moderate and only 3 nurses had severe disability. Association was
signicant between higher age groups, history of caesarian (44.9%), no history of exercise (53.9%), designation of staff nurse (91.0%), physical
exertion during work (92.1%), > 10 years of work experience (43.8%), attending >50 patients per day (22.5%), standing time > 5 hours in duty
hours (82.0%) were found to be signicantly associated with LBP (all p values <0.05).
IRON DEFICIENCY ANEMIA AND HYPOALBUMINEMIA SECONDARY TO A RARE CASE OF RAPUNZEL SYNDROME.
Authors: Fatima Falak , Jaya N.
Published: January 2023

Background: The term '' RAPUNZEL SYNDROME '' was coined by Vaughan and associates in 1968 for unusual manifestation of a trichobezoar
in which the mass extends from the stomach and duodenum through a large portion of small intestine.Bezoars are collection of non-digestible
foreign bodies such as hair that usually accumulate in gastrointestinal tract.Trichobezoar is underdiagnosed entity that has to be considered in
childrens and adolescents especially females, suffering from trichotillomania(compulsion to pull hair) and trichophagia (compulsion to swallow
hair) When undiagnosed, gastric bezoars may also cause severe anemia either due to malabsorption or gastrointestinal bleeding. 1)To Objectives:
emphasize the presentation and focus on prompt diagnostic ndings in a case of Rapunzel syndrome. 2) To explain the need of routine biochemical
investigations like S. Iron, S. Ferritin, S. Albumin, S. Globulin, Total proteins in case of Rapunzel syndrome so as prevent further complications.
Methodology: A 17 year old female presented to casualty with complaints of pain in epigastric region since 4 months which was spasmodic on and
off in nature and non-radiating. History of nausea and vomitings and histrory of strange behaviour noticed by guardians-plucking hair and
swallowing.USG suggested hyperechoic curvilinear dense strip with acoustic shadowing.CT scan shows an intragastric well circumscribed
inhomogenous mass consisting of mottled gas pattern. patient was diagnosed wit Result: h Rapunzel syndrome associated with iron deciency
anemia and hypoalbuminemia. Rapunzel syndrome is a rare entity that can be com Conclusion: plicated with life threatening events.A prompt
diagnosis of trichobezoar so as to prevent deciencies which may lead to complications.
PEDIATRIC SPINAL DYSRAPHISM ON MAGNETIC RESONANCE IMAGING: TRENDS IN A TERTIARY CARE HOSPITAL IN NORTH INDIA
Authors: Khatua Aindrila , Taneja Anil
Published: January 2023

Background: Spine and spinal cord development is governed by intricate genetic mechanisms and any deviation from the normal embryological
cascade during 2-6 gestational weeks causes imperfect fusion of midline mesenchymal, bony and neural structures causing spinal dysraphism.
Imaging plays a pivotal role in their evaluation as many patients present with concurrent anomalies that need to be corrected simultaneously to
avoid repeat surgeries. To demonstrate the spectrum of MRI ndings of spinal dysraphi Aim: Settings and design: sm. A cross sectional
observational study was done in 36 pediatric patients with known or suspected spinal dysraphism on 3T MRI. MRI was Materials And Methods:
performed using Siemens Skyra 3T MRI. In this study comprising of 36 patients, mean age Results: was 37.1months (3 years 1month) with
minimum age of 4 days and maximum age of 18 years. Children of age less than 5 years were maximally affected. A female predominance was
noted with male: female ratio of 0.9:1. Open spinal dysraphism (55.6%) was more common than closed dysraphism (44.4%). The most common
dysraphism was myelomeningocele. Among open dysraphism, we also encountered 1 case each of hemimyelomeningocele and myelocele. Among
closed defects, split cord malformation was most common (19.4%) as it was present with other dysraphic defects (called complex spina bida),
followed by lipomyelocele (11.1%) and dermal sinus (11.1%). Among 7 cases of split cord malformation, type II (6 cases; 85.7%) was more
common than type I (1 case; 14.3%). Other cases of closed dysraphism were lipomyelomeningocele, meningocele, terminal myelocystocele,
intradural lipoma, lar lipoma and caudal regression syndrome. MRI is an excelle Conclusion: nt modality for dening the characteristic imaging
features of each dysraphism to give a composite diagnosis.
MOLAR INCISOR HYPOPLASIA-LITERATURE REVIEW
Authors: Dua Rohini , Gupta Shivani , Agrawal Geetika
Published: January 2023

Molar incisor hypo mineralization (MIH) is dened as hypo mineralization of systemic origin of one to four rst permanent molars, and incisors are
also frequently affected. This disorder is a serious concern in pediatric dentistry. Teeth affected by MIH have many dental problems, such as
hypersensitivity, poor aesthetics, and rapid progression of dental caries.The aetiology of MIH is unclear, but genetic and environmental factors
have been proposed. The purpose of this article is to provide comprehensive overview of MIH, its diagnosis, illustration of various recent advances
in treatment modalities, all of which may update pedodontist role in clinical management of this condition.
DEMAND SIDE MANAGEMENT AND DEMAND RESPONSE FOR OPTIMAL ENERGY USAGE: AN OVERVIEW
Authors: Hijaz Paul Ward Ul , Siddiqui Anwar Shahzad , Kirmani Sheeraz
Published: January 2023

Being more than a decade old idea, the Demand-side management (DSM) is among the most vital part of the modern
smart grid. DSM enables the utilities to minimize the gap between the supply and the demand by optimizing their
pattern of user loads. At the same time, it helps them in achieving economic and energy efficient systems by reducing the
peak to average (PAR). The implementation of DSM programs by the utilities could help them in improving their
reliability, power quality, energy, and system efficiency. On the other hand, customers could be use it to improve their
load profile, reduce the peak demands, save energy, and motivate them use more and more renewable energy. Thus,
both the utilities and the consumers get benefitted by the implementation of DSM program in the smart grid. This study
tries to understand the application of energy efficient policies and the demand response techniques with various DSM
strategies. The study mainly focuses on the various characteristics that would lead to effective implementation of DSM
programs with particular attention of the residential energy demand. Also, there will be a focus on enhancement of
energy efficiency leading to more effective policy responses. The researchers could find this study very helpful as it
could be employed to maximize the utility profits, the total load factor, peak demand and also minimize the consumer
usage bills.
Assessment of Nurses' Knowledge about the Care of Children with Glucose-6- Phosphate Dehydrogenase Deficiency
Authors: Mosa Sadiq Sabhan
Published: January 2023

Background: Glucose-6-phosphate dehydrogenase deficiency is a genetic disorder that affects red blood cells, which carry oxygen from the lungs to tissues throughout the body. In affected individuals, a defect in an enzyme called glucose-6-phosphate dehydrogenase causes red blood cells to break down prematurely. This destruction of red blood cells is called hemolysis.   
Objectives: To assess of nurses knowledge regarding nursing care for children with Glucose-6- phosphate dehydrogenase deficiency at the maternity and child hospital in AL-Amara city to find out the relationship between the nurses knowledge and their demographic characteristics (age, gender, level of education, years of experience and training session.  
Methodology: A descriptive study assessment nurses' knowledge about Glucose-6- phosphate dehydrogenase deficiency in children in child and birth hospital in Al-Amara city the present study was conducted for the period January 10th ,2022 to June 15,2022, the present study purposive sample comprised of (30) patients the questionnaire was a single section consisting of two parts. The first part was related to the demographic characteristics of the patients (age, gender, education level, social status) and the second part contains knowledge about the complications of the Glucose-6- phosphate dehydrogenase deficiency.                                                                              
Results: The analysis of data is performed through the application of description statistic (frequency, percentage and arithmetic mean and standard deviations) and inferential statistical to present the differences between the study sample. Sample were within (21-25 years) ( the table also shows that the most of participants ( 27) 90% were female. Also In regarding to the subjects level of education, The results show that half of them has diploma in nursing in addition, years of  experience years more than three quarters of nurses 25(83.4%) has (1-5 years) in the service. Addition, addition, the most of participants (25) 83.4% have training courses, and their most were number of training courses (1-5 sessions).     
Conclusion: The study concluded that the majority of participants have a high level of Nurses’ knowledge regarding nursing care for children with glucose-6-phosphate dehydrogenase at the study sample. and there was no a significant relationship between nurses’ knowledge regarding nursing care for children with glucose-6-phosphate dehydrogenase and their and age.
Recommendations: The study recommended that continuous education and periodic training programs for all nurses held periodically and continuously so that the aim of these courses is to raise the quality of the nursing services provided, and adoption of brochures that contain key knowledge that nurses should know regarding therapeutic interventions for children with Glucose-6- phosphate dehydrogenase deficiency.
Influence of Equal Channel Angular Extrusion on the Behavior of Lead Alloy
Authors: A Olumoroti, I. , A Adebayo,
Published: January 2023

Equal Channel Angular Pressing (ECAP) is the most promising material processing technique involving severe plastic deformation, and has been extensively employed and analysed. The aim of this work is to examine the influence of ECAP on the behaviour of Lead alloy. The technique was applied to Lead alloy at room temperature using route C, at channel angles of 450, 600, 750, 900 and 1050. The materials were processed up to five ECAP passes. Hardness test, impact test, and microstructural changes of the processed materials were examined. Results show that extrusion force reduces as the strain level increases and that dynamic recrystallization and structural changes reduce the material hardness for all angles of ECAP. All the angles absorbed their least amount of energy at their 5th pass. Analysis of microstructure images also revealed that increasing the strain level leads to break down and dissolution of Antimony rich precipitate.
The Lecture of Father Jungchan Jean Kim during the Mass (Tcheonzamun 001st-016th)
Authors: Kim Sangdeog Augustin
Published: January 2023

French missionary Dallet (1874) wrote about ‘The thousand character essay’. And ‘The thousand character essay’, it is called as Tcheonzamun in Korea. (Park et al, 2021a) and (Park et al, 2021b) translated several Tcheonzamun poems. And there were two methods for the present researcher for the translation of ‘The thousand character essay’. The first one is through Korean pronunciation of Chinese character, and the second one is through the meaning of Chinese character of Tcheonzamun. The range of this study was (Tcheonzamun 001st-016th). The title of this work is ‘The lecture of Father Jungchan Jean Kim during the Mass’. < Number in Tcheonzamun Chinese characters (the pronunciation on Korean language and written in English alphabet)> 013-016 辰(Zin) 宿(Sug) 列(Yeol) 張(Zang) The writer of Tcheonzamun seems to say to me, Augustin. “Please do not be in the indifferent state (列) for the world!” “Please see your wife Hyeonhi! And you also, do as she does your wife! She is interesting for the affairs outside in the world (張)! She has the eyes intelligent, and she has a balanced and powerful attitude in her body, in her feet, and in her hands. And then, for you also, splendid stars will appear in your mind one and two, and more and more (辰). At last, all of your mind and the whole world will become bright (宿). The professor of Tcheonzamum seems to speak to me “Augustin, look on the bright side! Even though you are weak now, I am very proud of you! Be courageous!” These sayings of the writer of Tcheonzamum seems to me Augustin as if my mother Bohwa Maria, my father Ilsoo Joseph, my father in-law Yeonghag, my mother in-law Hilye Sara say to me such a thing!
Our Lord, amen! The Lord of two of us, Hyeonhi and Augustin, thank you so much! At that time you have given the happiness to the original author of Tcheonzamun! It is the great pleasure also for us, the two translators, Augustin and Hyeonhi! (Tcheonzamun 001st-016th)
Authors: Kim Sangdeog Augustin
Published: January 2023

French missionary Dallet (1874) wrote in his book about ‘The thousand character essay’, The thousand character essay is called in Korea as Tcheonzamun (千字文), The range of Tcheonzamun poem in this study is (Tcheonzamun 001st-016th), As a text for this research, the Tcheonzamum book by Han (1583) was utilized, The title is ‘Our Lord, amen! The Lord of two of us, Hyeonhi and Augustin, thank you so much! At that time you have given the happiness to the original author of Tcheonzamun! It is the great pleasure also for us, the two translators, Augustin and Hyeonhi!’, <Number of Tcheonzamun (The thousand character essay) Chinese character (Korean Pronunciation of Chinese character in English alphabet) Transformed phrase on Korean pronunciation in Korean alphabet (Transformed phrase on Korean pronunciation in English alphabet) The meaning in Korean language is as follows.> 013-016 辰(Zin) 宿(Sug) 列(Yeol or Lyeol) 張(Zang or Dyang) 찐 (Zzin) 술 (Sul) 열다! (Yeol-da!) My Darling, my husband! Let us make our matrimonial life happy! It is for me your wife and you my husband, it is greatly joyful for us. It is enough to open the difficult relation between the husband and the wife. At last, it is opened (Yeol-da!) the big bottle or the large sack or the wooden cabin for the boiled (Zzin) Korean wine! (Sul).
The Development of Short Story Creative Writing Teaching Materials in Wetland Environment
Authors: Taqwiem Ahsani , Luthfiyanti Lita
Published: January 2023

This research objective was to design teaching materials containing short story writing material for students taking Creative Writing Courses. Writing short stories is a complex competency, even for undergraduate students. Various problems arise in the creative writing process. One is the lack of learning materials that suit the students’ needs. Therefore, this research aimed at developing materials to solve the lack of teaching materials related to writing short stories. The object of this research and development consisted of students who took creative writing courses at the Indonesian Language and Literature Education study program, Faculty of Teacher Training and Education, Lambung Mangkurat University. This research procedure included (1) conducting needs analysis, (2) developing teaching materials, (3) designing and conducting formative evaluations, (4) revising teaching materials, and (5) conducting summative evaluations or product trials. The material that has been completed has gone through a trial phase for students and showed an increase in students’ knowledge and skills in writing short stories.
Study of Relationship between Location of Ventricular Catheter Tip and Function of the Ventriculoperitoneal (VP) Shunt in Hydrocephalus in Children
Authors: Paul Swapan Kumar , Islam Rakibul , Biswas Prosanto Kumar , Sarker Ashim Kumar , Ali Md. Ayub , Rashid Md. Aminur
Published: January 2023

Objective: To determine the relationship between location of the ventricular catheter tip and functional status of the ventriculo-peritoneal (VP) shunt in children. Methods: This prospective observational study was conducted in Faculty of Paediatric Surgery under the Department of Paediatric Neurosurgery in Bangladesh Shishu Hospital and Institute (BSH&I) from January 2017 to December 2021. The study included 140 patients who underwent ventriculo-peritoneal shunt using free hand technique. Data obtained for each patient included age, sex, diagnosis including site and side of ventricular catheter placement. Postoperative CT scan of brain were done in all cases and followed up over 2½ to 4½ years. Sixty-three patients were available for follow up. The relationship of location of ventricular catheter tip and function of the ventriculo-peritoneal shunt was analyzed in all 63 patients. Results: Number of the patients included in the study was 140. Accuracy of ventricular catheter tip placement were 55(39.28%) using freehand technique. VP shunts function well in 43(68.25%) patients. Among the 43 patients with well-functioning shunts, 19 were in accurate group, 7 were in suboptimal group and 17 were in inaccurate group. Twenty-six (41.27%) patients had good outcome with normal development. Conclusion: Mechanical malfunction and infection are the most significant problems associated with VP shunts for the treatment of hydrocephalus. A significant proportion of shunt failure is due to inaccurate placement of the ventricular catheter tip. Accurate placement of the catheter tip is highly important to reduce the incidence of shunt malfunction.
The New Challenge of the European Leather Supply Chain in the Current Geopolitical Environment
Authors: G. Palumbo , Maria De Clemente Isabella
Published: January 2023

Every year around the world, tanneries valorize and ennoble about 8 million tons of raw hides and skins, a waste material from the agri-food supply chain that would otherwise be destined for disposal in landfills or incineration, resulting in the release of about 5 million tons of greenhouse gases. On the other hand, leather, an extraordinary example of valorization and conversion of a putrescible and polluting material, has a much longer use life than its substitutes and a far more favorable degradative fate for the environment. The war in Ukraine and the consequent repercussions on the international market are likely to further exacerbate the historic need for raw materials (crude and semi-finished) of the European and, in particular, of the Italian tanning industry; and tanneries in non-European (Asian and South American) countries, given the greater availability of raw hides and skins, could take advantage of this to reduce the competitiveness of EU tannery in the markets. So worrisome is the situation that one of the world's most important associations of tanning industrialists, the National Union of the Tanning Industry (UNIC-Unione Nazionale Industria Conciaria), in agreement with the European Confederation of Tanners (COTANCE), has planned, in the first months of the year 2022, to request the European Commission to limit the export of European raw/semi-processed hides and skins outside the EU borders. In such a disturbing scenario, there is a clear need to adopt countermeasures projected over the medium and long term and adequate investments, for the ever-increasing implementation of the principles of circular economy and technological innovation in order to improve the environmental, but also economic, sustainability of the leather industry.
Antibacterial and Toxicity Evaluation of Stem Bark Extract of Kigelia Africana (Lam.) Benth
Authors: SS Said , SM Dambazau , MA Abdullahi
Published: January 2023

The study was to investigate antibacterial and toxicity evaluation of methanolic stem bark extracts of Kigelia africana (SBEKa). The antibacterial activities of the extracts were determined against one Gram-positive (Staphylococcus aureus) and three Gram-negative bacteria (Escherichia coli, Pseudomonas aeruginosa, Salmonella spp). Distilled water was used as negative control and ciprofloxacin was used as a positive control. The SBEKa showed remarkable activity against various bacterial strains as compared to positive control. S. aureus and Salmonella spp were proved as highly sensitive strains while E. coli and pseudomonas were the resistant strain as the extracts formed no inhibition zone against it. These studies determine the phytochemical constituents as well as acute toxicity and sub-chronic toxicity test on plant stem bark. The acute toxicity was evaluated in rats according to the guideline of Organization for Economic and Cultural Development (OECD). The level chosen is the one for which we can expect to see mortality among treated animals. The animals were daily observed for 28 days after treatment and no mortality was observed. The animals were sacrificed. The results showed that the LD50 by oral route in rats was greater than 5000 mg/kg body weight. The extracts were found to contain alkaloids, Saponins, Flavonoids, Anthraquinones, and steroids were present in high amount while Glycosides in moderate amount. Tannins, Cardiac glycosides and Balsams were present in trace amount, while volatile oils were totally absent. At lower concentration SBEKa exhibited antimicrobial and these may justify the medicinal uses of the plants for treatment of microbial infections.
Design and Evaluation of Extended-Release Matrix Tablet of Tramadol Hydrochloride
Authors: Neha Neha , Malik Jitender K
Published: January 2023

The impartial concerning this study was to cultivate extended-release matrix pellet of Tramadol hydrochloride using various combinations of hydrophilic polymers (HPMC, Carbopol, Xanthum Gum). The form tablets were prepared by direct compression method. The pre and post compression description of blend and tablet were judged. The in-vitro dissolution studies revealed that the blend of HPMC and Carbopol in different aggregation showed hinder release of 63% at the end of 12th hour and in addition to 94.24% at the end of 24th moment, thereby appearance good release pattern necessary for ER tablet and shown good kinetic release connected of diffusion and deterioration. Hence hydrophilic polymer HPMC and Carbopol was found to extended release of very water-soluble drug, Tramadol hydrochloride.