bluuebunny/crossref_metadata_2025 huggingface dataset:
CHANGING UROLOGICAL PRACTICE IN AN INDIAN TERTIARY CARE CENTER AMID A PANDEMIC AND ITS AFTERMATH
Authors: Kumar Kaul Naresh , Varma Hegde Abheesh , Gupta Sajal , Vithal Parab Sandesh , Prakash Jain Tarunkumar , Andankar Mukund Ganesh , Pathak Hemant Ranganath
Published: September 2024

Little is known about COVID-19 dangers and its tremendous impact on healthcare systems worldwide. India witnessed
two complete lockdowns, which forced our hospital to be converted into a dedicated COVID Care Centre. Surgical
intervention should not be neglected during urological emergencies. Adaptation to available resources, implementing small changes to the
existing setup, adequate protection measures, and efcient decision-making in terms of surgical intervention help reduce the transmission of the
virus as well as the morbidity and mortality of the patients. Therefore, if managed with precautions, urological emergencies can function
uninterruptedly without compromising patient care. A pandemic like COVID forced us to change our approach to patients, which improved our
level and horizon of education/learning and changed the system of OPD, OTs, and emergencies. If we learn a better way of managing and
organizing patients and their procedures we will be able to nd an improved system of learning, patient care and clinical practices. And in
preparation for future pandemics we will be able to manage things and the health system especially in urology in a more efcient manner.
PRIMARY EDUCATION AMONG TRIBALS IN TELANGANA STATE: PROGRESS AND CONSTRAINTS
Authors: Ramana P. Venkata
Published: September 2024

Prosperity and growth are only possible with education. It helps someone become ready and develops their ability to think
and act dynamically. A knowledgeable person obtains knowledge, which enables him to live a meaningful and purposeful
life and provides him with clarity, knowledge, and the ability to obtain the things he needs. Every citizen must receive an education in order for the
country to prosper in every endeavour. Education is intended to help people develop their character on all fronts. Acquiring knowledge and
experience through education is just as important as developing one's skills, attitudes, and abilities, all of which contribute to a happy and fullling
life.
DIFFERENT POSSIBILITIES OF WBC COUNT MORE THAN 50,000 ON MORPHOLOGICAL BASIS AT TERTIARY CARE CENTER JAMNAGAR IN DURATION OF TWO YEAR.
Authors: P. Trivedi Dhara , Rathod Monik , Chaudhari Jahanvi
Published: September 2024

Background: The term leukemoid reaction describes an increased white blood cell count, which is a physiological
response to stress or infection (as opposed to a primary blood malignancy, such as leukemia). It often describes the
presence of immature cells such as myeloblasts or red blood cells with nuclei in the peripheral blood. It requires Peripheral blood smear and other
methods for correct diagnosis. To determine the difference between leukemia and leukemoid reaction i Aims & Objectives: n patients with WBC
count more than 50,000 leukocytes/mL. Medical records of 140 consecutive patients who presented at t Patients and Methods: he G.G. Hospital,
Jamnagar between January 2021 to December 2023 with more than 50,000 leukocytes/mL blood were reviewed. Clinical cases was recorded and
analysed. Extreme leukocytosis was attributed to leukemoid reaction in 128 cases and advanced malig Results: nancy in 12 cases. Higher
leukocyte counts were associated with malignancy. Most of them are Neutrophilic leukemoid reaction. Mortality is greater in patients with
leukemia rather than patients with leukemoid reaction. Although incidence of leukemoid reaction is much higher than malignancy. Conclusion:
Clinicians should be aware that extreme leukocytosis with a predominance of granulocytes is associated with leukemoid reaction. The presence
of infective etiology increases the likelihood that leukemoid reaction as the cause.
SCAR DEHISCENCE: AN ALARMING CAUSE OF SECONDARY POSTPARTUM HEMORRHAGE CASE REPORT
Authors: Sarkar Portia , Malhotra Vani , Chauhan Meenakshi , Choudhary Sushila , Verma Menka
Published: September 2024

Introduction: Cesarean scar dehiscence is a very rare, but grave cause of postpartum hemorrhage (PPH), in which the
scar tissue of the previous Cesarean Section (CS) is disrupted and separated. We present a case of a 24 years female, who
presented with two episodes of secondary PPH, post cesarean section and on evaluation was found to have uterine scar dehiscence. Case
Summary: The patient reported to the labour room emergency with complaints of excessive bleeding per vaginum. She had an uneventful
antenatal period, and underwent emergency lower segment cesarean section (LSCS) few days ago. Her postoperative period was uneventful and
she was discharged on postoperative day (POD) 3 of LSCS. Examination and investigations did not reveal any abnormal nding and the patient
was discharged after conservative management. She again reported with the same complaints few days later. In view of second bout of
haemorrhage, MRI (magnetic resonance imaging) was done which revealed a focal defect in anterior wall of uterus, at incision site, likely scar
dehiscence, which was surgically managed by laparotomy followed by debridement of scar and re-suturing of uterus. The patient was discharged
with stable vitals, with no further complaints. Cesarean scar dehiscence, although rare, but is a l Conclusion: ethal cause of secondary PPH, and it
is often overlooked. It has many immediate and long term fatal complications. More case series and case reports are needed to frame uniform
guidelines in detecting and early management of such cases.
EFFECT OF OCCUPATIONAL STRESS ON JOB SATISFACTION AMONG WOMEN EMPLOYEES IN IT SECTOR
Authors: Stephen Teresa , P A Mekha
Published: September 2024

One of the common work place problems experienced by all professionals, irrespective of their nature of work is job
stress. Individual's job satisfaction can lead to various consequences such as organizational success, reduced employee
turnover and absence. An extensive review of literature reveals that there is effect of occupational stress on job satisfaction of employees but only a
few studies has been conducted to analyze this relationship in women employees in IT sector. Because of the stress women employees experience
in course of their job it is necessary to nd the stressors and their effect on job satisfaction. The study is intended to ll the literature gap in
understanding the relationship between occupational stress and job satisfaction among women employees in the IT sector. The problem under
study is to measure the level of occupational stress among the women employees and to measure the level of job satisfaction and relationship
between occupational stress and job satisfaction among women employees of Information technology industry in Ernakulam city
ANAESTHETIC MANAGEMENT OF LEFT HEMITHYROIDECTOMY IN SECOND TRIMESTER OF PREGNANCY – A CASE REPORT
Authors: R Hegde Anjali
Published: September 2024

Surgery during pregnancy is complicated by the need to maintain
homeostasis of two patients, hence avoided unless absolutely
necessary for maternal or fetal wellbeing. General anaesthetics cross
the placenta, however, no convincing evidence exists that any
particular drug is teratogenic. We present a patient in the second
trimester with multinodular goitre with compressive symptoms who
underwent left hemithyroidectomy under general anaesthesia.
EPIDURAL FENTANYL AND FENTANYL PLUS MAGNESIUM FOR POSTOPERATIVE ANALGESIA: A COMPARATIVE STUDY
Authors: Priya G Sahithi , Sangeetha S Rani , Devi B Sri
Published: September 2024

Aim: Introduction: To compare and study duration of analgesia, haemodynamic stability and side effects, if any. CSE
block combines the rapidity, density, and reliability of the subarachnoid block with the exibility of continuous epidural
block to extend duration of analgesia. Epidural opioids are proven to be very effective for postoperative analgesia. Materials And Methods: A
prospective, study was undertaken in patients posted for elective lower limb surgeries. 50 patients age 35-45 years with ASA class I and II were
randomly grouped into two groups. Group I – were given epidural fentanyl. Group II– were given epidural fentanyl with magnesium. Results:
Group II patients had prolonged duration of fentanyl analgesia without any signicant side effects. Discussion: The addition of magnesium 50mg
to epidural fentanyl 50µg prolongs the duration thus provides better analgesia and reduces the requirements of rescue analgesics. Conclusion:
Addition of magnesium sulfate (50 mg) to epidural fentanyl (50 µg) for elective lower limb orthopedic surgeries has prolonged the duration of
fentanyl analgesia without any signicant side effects.
EASE OF INTUBATION USING HUGEMED VIDEOLARYNGOSCOPE IN PATIENTS WITH ANTICIPATED DIFFICULT INTUBATION – A COMPARISON BETWEEN CHANNELED AND NON-CHANNELED BLADES.
Authors: Bhale Mansi , Virkar Nilam , Digraje Sunita , Rupwate Kanchan
Published: September 2024

Background: Video laryngoscope is a portable ergonomic design enabling clinician to improve chances of rst attempt
success of intubation. Channeled and non-channeled blade of video laryngoscope may result in different performance. We
compared ease of tracheal intubation using channeled Hugemed video laryngoscope blade with non-channeled blades in patients with anticipated
difcult intubation. A total of 60 consenting patients of either sex, ASA I-III physical status, wi Patients and Methods: th predicted difcult
intubation undergoing surgery in our institute were enrolled in our study with two groups of 30 each. Group C: Intubated with channeled Hugemed
video laryngoscope blade, Group NC: Intubated with non-channelled Hugemed video laryngoscope blade. The t test and the Mann-Whitney U
test were used respectively to compare means. The time required for glottic visualization was comp Results: arable between two groups, but the
time taken for intubation was shorter for channeled group as compared to non-channeled group. Use Conclusion: of Channeled blade reduces
time required for intubation when compared to non-channeled blade in patients with anticipated difcult intubation.
A DIVERSIDADE NA ESCOLA E A IMPORTÂNCIA DAS PRÁTICAS PEDAGÓGICAS
Authors: Brandão André Diniz
Published: September 2024

Objetivo: Verificar as ações pedagógicas no trabalho da inclusão e do respeito à diversidade nas escolas, identificando as estratégias utilizadas que promovem essa diversidade em ambiente escolar, e as principais dificuldades que o docente enfrenta para trabalhar as diversidades como expressões de uma sociedade multicultural. Metodologia: O estudo foi realizado com base em referências teóricas que norteiam a diversidade cultural, bem como a consulta de documentos pedagógicos como: Projeto Político Pedagógico (PPP), a Base Nacional Comum Curricular (BNCC), Lei de Diretrizes e Bases da Educação (LDB), a pesquisa de campo realizada por entrevista com os docentes de diferentes escolas, e a experiência em estágio acadêmico vivenciada pelo autor. Resultados/Discussão: Analisar se existe uma distância considerável entre o que é discutido e a prática diária no cotidiano escolar observando o grau de importância das atividades realizadas frente às diversidades encontradas em sala de aula e como estão sendo trabalhadas as diferentes culturas no ambiente escolar, para que os processos de aprendizagem sejam mais significativos e produtivos. Considerações Finais:  A construção de um novo currículo com base na multiculturalidade ainda não se caracteriza como tarefa fácil aos docentes por mais conhecido que seja o assunto das diversidades, requer novos saberes e novas estratégias por determinados novos assuntos que irão auxiliar no processo de ensino-aprendizagem a partir do momento que o docente conseguir identificar, conhecer e valorizar as demais culturas fazendo a socialização entre elas, onde cada cultura passa a ser entendida e vista não mais de forma pejorativa, proporcionando a construção de um ambiente escolar mais justo, agradável, instigante, acolhedor e inclusivo.
FALHA A FALA. FALA A BALA: TROCADILHO QUE DELIMITA FRONTEIRAS EM CIDADE DE DEUS, ROMANCE DE PAULO LINS
Authors: Fim Luciana Carvalho dos Reis
Published: September 2024

Após viver durante vinte anos em Cidade de Deus, Paulo Lins transforma esse espaço em protagonista de sua narrativa, trazendo à tona uma realidade crua e visceral. O foco da obra, contudo, não recai sobre os trabalhadores comuns da favela, mas sobre aqueles que estão imersos na criminalidade ou que orbitam ao redor dela. Essa escolha narrativa revela uma visão particular da comunidade, onde a visibilidade é majoritariamente dada às personagens masculinas, refletindo uma imposição machista que associa a virilidade à criminalidade e define a dinâmica de poder dentro do espaço da favela. O presente estudo propõe uma análise das fronteiras estabelecidas entre dois mundos distintos: a favela e o "além-favela". Essas fronteiras são tanto físicas quanto simbólicas, sendo delimitadas pelos próprios traficantes que exercem controle sobre o território, mas também pela sociedade em geral, que reforça os estigmas e as exclusões que marcam esses espaços. A análise busca compreender como essas fronteiras são construídas e mantidas, revelando o impacto dessas divisões sobre a identidade e a vida dos moradores da favela. Um ponto central da análise é a linguagem utilizada pelo narrador, que desempenha um papel crucial na construção da narrativa. A linguagem não só descreve os acontecimentos, mas também envolve o leitor de maneira profunda, tornando-o cúmplice e testemunha da barbárie que permeia esse universo. O abismo linguístico entre o narrador e as personagens, que se expressam em uma linguagem marcada pela oralidade e pela gíria, evidencia a desconexão entre os habitantes da favela e as estruturas sociais dominantes. Essa desconexão linguística simboliza a exclusão social mais ampla que os moradores da Cidade de Deus enfrentam, estando à margem tanto da sociedade dominante quanto das suas próprias formas de organização. A "Cidade de Deus" emerge, assim, como um espaço liminar, marcado por uma exclusão brutal, onde seus habitantes são sujeitos fronteiriços, excluídos de um território socialmente dominante e relegados a uma existência periférica. A obra de Lins, portanto, não apenas narra uma realidade violenta, mas também desafia o leitor a confrontar as complexas dinâmicas de poder, violência e marginalização que configuram a vida na favela, convidando a uma reflexão crítica sobre a realidade urbana no Brasil.
MANUEL BANDEIRA: A EVOCAÇÃO DE UM PASSADO RECIFENSE
Authors: Fim Luciana Carvalho dos Reis
Published: September 2024

Manuel Bandeira, renomado poeta brasileiro nascido em Recife, passou grande parte de sua vida na cidade do Rio de Janeiro, mas eventualmente retornou a Recife, onde estabeleceu contato com pessoas humildes, como vendeiros, açougueiros, quitandeiros e padeiros. Esses encontros influenciaram profundamente sua obra poética, marcada por uma sensibilidade aguçada para com as camadas populares e suas realidades. Entre os anos de 1928 e 1929, Bandeira realizou viagens a Minas Gerais e São Paulo, experiências que também enriqueceram seu repertório literário. No ano seguinte, ele publicou "Libertinagem", uma coletânea de poemas escritos entre 1924 e 1930. Essa obra é considerada um marco na literatura brasileira, representando um amadurecimento de sua poética e uma maior liberdade formal e temática. A proposta apresentada aqui visa examinar como, em "Libertinagem", Bandeira projeta seus desejos em uma sociedade idealizada, distinta da realidade que ele vivencia. Esse contraste entre o mundo real e o imaginário é uma característica central na obra do poeta, que frequentemente se vale de uma "sociedade alternativa" para expressar suas angústias, frustrações e aspirações. Em seus poemas, essa sociedade imaginária surge como uma forma de escape, um lugar onde o autor pode explorar suas ideias de liberdade, amor e felicidade de maneira plena, sem as limitações impostas pela vida cotidiana. Essa projeção de desejos em um espaço utópico reflete o inconformismo de Bandeira com as normas e convenções da sociedade real, revelando sua busca por um mundo mais justo e harmônico. Ao analisar essa dualidade entre a sociedade real e a sociedade alternativa nos poemas de "Libertinagem", este estudo pretende contribuir para uma compreensão mais aprofundada da obra de Manuel Bandeira, destacando a importância de sua visão crítica e poética em relação ao contexto social de sua época.
Nature and Forest Management
Authors: Nocentini Susanna
Published: September 2024

In the last years there has been a growing attention towards the need for a more “natural” approach in forest management. The call for a close to nature forest management is certainly not new. The aim of this review is to analyze how the concept of “nature” has evolved in forest management and discuss if “naturalness” is still a viable reference for managing forests ecosystems considering the multiple values which are today attributed to forests. Over a century ago foresters turned to “virgin forests” as inspiration for modeling silviculture. This approach refers to the classic paradigm in ecology, which for a long time was the “balance of nature paradigm”. More recently “disturbance ecology” has recognized the role of natural disturbances in determining the structure, biodiversity and functioning of forest ecosystems, and has inspired forest management approaches based on the natural disturbance regime. The search for a “natural” reference model underlies the belief that through management it is possible to forecast with sufficient accuracy the reaction of the ecosystem and thus bring it to a composition, structure and functioning considered more natural. Both these approaches are based on a deterministic and anthropocentric view of nature, which today is by many considered unable to capture the complexity and unpredictability of forest ecosystems in a changing world. A truly “close to nature” management should instead consider human action as part of the system, recognizing the needs of society, but without forcing the forest in a predefined model, considered more “natural” and aimed at providing specific products or “services”. In this sense a systemic, adaptive management approach, coherent with a forest ethic, is needed.
Evaluasi Penggunaan Terapi Obat Antinyeri pada Pasien Diabetik Neuropatik di Instalasi Rawat Jalan RSU Queen Latifa Kulon Progo
Authors: Rivani Sinta , Faizah Nurul , Hasanudin Muhammad Nurul
Published: September 2024

Diabetik neuropatik adalah nyeri neuropatik yang umum terjadi pada penderita diabetes karena kerusakan pada sistem saraf pusat dan perifer. Prevalensi neuropati perifer pada penderita diabetes cukup tinggi, dengan 50% populasi orang dewasa menderita diabetes tipe 1 dan tipe 2. Penelitian ini bertujuan untuk mengetahui demografi pasien diabetes neuropatik, profil terapi obat pasien diabetes neuropatik menggunakan obat tunggal atau kombinasi, mengevaluasi penggunaan obat antinyeri pada pasien diabetik meuropatik berdasarkan tepat dosis serta untuk mengetahui outcome terapi yang didapatkan oleh pasien diabetik neuropatik.
Penelitian ini merupakan jenis penelitian observasional deskriptif dan dilakukan secara prospektif terhadap pasien DM tipe 2 dengan komplikasi diabetik neuropatik yang memenuhi kriteria inklusi yang dilaksanakan pada bulan Juni – Agustus 2023. Penelitian ini melibatkan 12 pasien diabetik neuropatik yang memiliki keluhan nyeri.
Hasil penelitian ini diperoleh bahwa dari usia pasien tertinggi yaitu 46-55 tahun sebanyak 6 pasien (50%), jenis kelamin pasien perempuan 6 pasien (50%) dan laki-laki 6 pasien (50%). Pasien diabetik neuropatik memiliki penyakit penyerta hipertensi 6 pasien (75%), dislipidemia 2 pasien (25%). Pasien yang menerima terapi obat antinyeri tunggal 5 pasien (41,67%) dan obat antinyeri kombinasi 7 pasien (58,33%), 5 pasien yang diberikan obat antinyeri tunggal mengalami perbaikan kondisi, sedangkan 6 pasien yang diberikan obat antinyeri kombinasi mengalami perbaikan kondisi dan pada 1 pasien yang diberikan obat antinyeri kombinasi tidak mengalami perbaikan kondisi
Sistem Penilaian Kinerja Guru Untuk Mendukung Pengambilan Keputusan Dengan Menggunakan Metode Simple Additive Weighting
Authors: Dede Darsono
Published: September 2024

The performance assessment process for teachers at SMK Bina Sarana Cendikia Bandung currently still using Microsoft Excel. However, this application serves solely as a calculation tool without storing teacher data. Additionally, teacher data input is still carried out with the assistance of Excel functions. This results in difficulties in finding teacher data when needed, leading to reduced effectiveness, efficiency, and an increased risk of human error. The use of this application also does not guarantee accurate results. As a solution, it is proposed to develop Performance Assessment System to Support Decision Making. This system applies the Simple Additive Weighting (SAW) method to select teachers with the best performance based on predefined criteria. The development of this system will employ the Waterfall method. Subsequently, testing will be conducted using the Black Box method, resulting in 100% validity. It is expected that this system will assist in processing teacher performance assessment results, determining the best-performing teachers, and providing relevant decisions for teachers.
Evaluation of the Therapeutic Role of Using the Oil Extract of the Leaves and Stems of the Astragalus Spinosus Plant on Wound Healing in Adult Female Albino Mice
Authors: Mutar Wurood M.
Published: September 2024

Skin wounds are a major disaster in health care due to the more number of traumas and pathological conditions. Natural wound healing involves a well- organized operation, consist of a chain of proceedings like hemostasis, inflammation, proliferation, and extracellular matrix remodeling. Five groups of adult female albino mice were used, and the dorsal region was clipped to a length (1 cm) after hair removal by shaving. She was treated with an ointment extracted from the oil extract of the leaves and stems of the astragalus plant at a concentration of (5% - 10%) for 14 days. The groups were treated for 7 days and half of them were dissected, then the rest of the groups were dissected after 14 days with continued treatment twice daily. The most notable results were wound healing and the return of skin tissue to its normal state, especially in the groups treated with the highest concentration of tree leaf oil extract ointment. The results showed that the skin tissues underwent cellular repair, the cell layers appeared in their natural shape, the keratin threads appeared in the form of ribbons and did not peel, and the dermis also contained fibers. Colloids, sebaceous glands and hair follicles.
Navigating Calciphylaxis as a Complication in Chronic Kidney Disease
Authors: Grecia Chávez-Chavira , Patricia Camacho-Cedeño Laura , Enrique David-Hernández Luis
Published: September 2024

Calciphylaxis is a progressive, inflammatory disease characterized by the calcification of small and medium-sized arteries, leading to thrombotic ischemia. It is commonly associated with patients with chronic kidney disease; however, it can also manifest in patients without uremia. The incidence in patients undergoing dialysis can vary from 0.04% to 4%; it can affect multiple organs including the skin, brain, lungs, and muscle. Hyperphosphatemia, hypercalcemia, and hyperglycemia are common biochemical conditions in patients with this disease that induce the transformation of vascular smooth muscle cells into osteoblast-like cells, thus establishing the mechanism for vascular calcification through the formation of ectopic bone within the vessel wall. Additionally, there is a deficiency of calcification inhibitors in patients with chronic kidney disease. These factors promote the hardening and narrowing of affected arterioles, compromising their structural integrity and fostering an environment conducive to thrombosis. Cutaneous calciphylaxis can present as non-healing nodules, plaques, and ulcers. Currently, biopsy and histological analysis are the methods of choice for diagnosis. Treatment is multidisciplinary and includes early surgical debridement, symptom management, and modification of risk factors. We present the case of a female in her fifth decade of life with a history of chronic kidney disease who developed calciphylaxis with cutaneous manifestations requiring surgical treatment.
Underground Hydrogen Storage: A Critical Review in the Context of Climate Change Mitigation
Authors: Qasim Muhammad , Fatima Arooj , Akhtar Tayyaba , Batool Syeda Fizza E , Abdullah Kashif , Ullah Qudrat , Ashraf Noman , Ullah Ubaid
Published: September 2024

Increasing population and anthropogenic activities are leading to a rise in global temperatures called global warming and climate change. To tackle this crisis, substantial efforts have been made such as renewable energy expansion and implementation of carbon capture and storage (CCS) projects. The Paris Agreement's goal is to limit the increase in global temperature and climate change mitigation strategies are adopted to achieve it. Decarbonization, negative emissions, and radiative forcing geoengineering are important technologies for this purpose because they decrease potential risks. Hydrogen has great potential in clean combustion and reduction of carbon emissions in different sectors like steel production. The cost trends indicate that green hydrogen could become a comparatively more efficient technology as compared to hydrogen generated from fossil fuels in the coming years. There is a need for hydrogen storage to support grid balancing and renewable energy systems. This study highlights the limitations and benefits of underground hydrogen storage mechanisms, including salt caverns, porous rock formations, and depleted hydrocarbon reservoirs. These are sustainable methods because they offer economic feasibility and large-scale storage, but it is important to consider geological suitability, hydrogen embrittlement, and environmental concerns. According to the literature, underground hydrogen storage is a better option than above-ground storage. The future outlook predicts that there will be increased investments in underground hydrogen storage technologies in the global transition to a greener energy paradigm.
Frequency and Comparison of Hyponatremia in Patients Taking ACE Inhibitors and ARB in a Tertiary Level Hospital
Authors: Prodhan Dr. Abid Md. Alef Meem , Arafat Dr. S. M , Ferdausee Dr. Marjana , Kundu Dr. Ripa , Yeasmin Dr. Nilufa , Haque Dr. Rashedul , Uddin Dr. Md. Selim
Published: September 2024

Background: Major electrolyte imbalance during various organ dysfunction is a condition that can be overcome. Unfortunately, some antihypertensive, such as ACE inhibitors and ARBs, can produce silent hyponatremia, which is exceedingly harmful to the human body. Aim of the study: The purpose of this study was to determine the frequency of hyponatremia in patients taking ACE inhibitor and ARB. Methods: From May 2019 to October 2019, this cross sectional observational study was conducted at Department of Medicine, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh. Purposive sampling was used to choose a sample of patients attending the Medicine department who were on ACE inhibitors and ARB medicines. Following that, they were evaluated using eligibility criteria, and 100 patients were chosen. All of the patients had been diagnosed with hypertension. Data on clinical biochemistry and surgical profile were collected. Data were analyzed using SPSS (version 23). Results: Among 50 patients in each group, the highest 19(38%) and 21(42%) belonged to ARB group and ACEi group respectively from age group (61-70 +). The male to female ratio in ARB and ACEi groups were 2.57:1 and 1.77:1 respectively. Among 50 patients in each group 4(8%) and 11(22%) patients in ARB and ACEI group respectively developed hyponatremia. The mean of total 15 hyponatremia patients was 128.73±2.17 mmol/L. Besides ARB group and ACEi group hyponatremia patients had mean serum sodium value like 130.31±1.79 mmol/L and 127.79±2.73 mmol/L respectively which shows statistically significant difference (P=<0.001). Conclusion: Hyponatremia was discovered in 31% of AECI and ARB patients. Though the amount is not excessive, it is disturbing. The incidence of hyponatremia among patients on these two medications varied statistically.
MORTALIDADE DE AIDS NO AMAZONAS: DESCRIÇÃO ANALÍTICA RETROSPECTIVA DE CINCO ANOS
Authors: PORTELA DE AZEVEDO ARIMATÉIA , DE SOUZA RAMOS DANIEL , DE NAZARÉ DA SILVA BENTO MARIA , MARTINS FURUKAUA BICHARA CRISTIANE , SÁ BATISTA IAN VICTOR , DA CUNHA GUIMARÃES LINDA JULYE , SILVA MACIEL KÁTIA SUELLEN , CARNEIRO DA COSTA WILGNER BRENDO , LOPES VIANA VIVIANY , SERRÃO DA SILVA RAMONA
Published: September 2024

Introdução: A infecção pelo vírus da imunodeficiência humana (HIV) é uma infecção viral que pode causar a síndrome da imunodeficiência adquirida (AIDS), que às vezes é chamada infecção terminal por HIV. Objetivo: fazer uma descrição analítica retrospectiva do número de casos de óbitos por Aids no Amazonas nos últimos cinco anos. Metodologia: Estudo retrospectivo, descritivo com abordagem quantitativa de dados públicos notificados pelo Sinan-Net. Resultados: De 2019 a 2023 foram notificados no Brasil 190.060 casos de infecção pelo HIV. Destes, 24.667 foram na região Norte do país, sendo 7.533 somente no Amazonas com 606 internações por manifestação da Aids, com crescimento anual de 8,0%. Manaus, no período investigado, teve um coeficiente médio de mortes de 6,9%, com um crescimento anual de 7,8%. A maioria com idade entre 20 a 39 anos. As principais causas associadas a mortes foram insuficiência respiratória (36,1%), pneumonias (27,0%), tuberculose (19,6%), septicemias (18,6%), toxoplasmose (12,2%), pneumonias. Conclusão: Todo gestor precisa ter a habilidade de produzir e relacionar informações de forma lógica. Ou seja, analisar os contextos completos para tomar as decisões certas.
 
Palavras-chave: Infectologia; Síndrome da Imunodeficiência Adquirida; Epidemiologia clínica;
Sustainable Construction Materials: Innovations and Environmental Impact in Civil Engineering
Authors: Shukla Raghav , Kumar Sunil
Published: September 2024

In a society that is becoming more concerned about the preservation of the environment, the construction sector is a crucial arena for the implementation of revolutionary change. Within the world of sustainable building materials, where innovation and environmental consciousness merge to transform the face of civil engineering, this research study digs into the realm of sustainable construction materials. The purpose of this article is to provide light on the way towards a more sustainable future by investigating cutting-edge materials, building processes, and the tremendous environmental consequences that these have.
The Role of Policy and Innovation in Environmental Sustainability
Authors: Vishvas Rahul
Published: September 2024

In the pursuit of environmental sustainability, the interplay between policy frameworks and technological innovation plays a pivotal role. This paper explores how policies shape environmental outcomes by incentivizing or mandating sustainable practices across sectors. It examines case studies where effective policy interventions have fostered innovation, leading to advancements in renewable energy, waste management, and conservation efforts. Additionally, the paper discusses the challenges in implementing such policies at local, national, and global scales, highlighting the need for cohesive international cooperation. By analyzing the synergistic effects of policy and innovation, this study underscores their collective potential in mitigating environmental degradation and promoting resilience in the face of climate change. Ultimately, it advocates for adaptive governance models that integrate cutting-edge technologies with robust regulatory frameworks to achieve enduring environmental sustainability goals.
Importance of early detection and intervention in Myopia control & strategiesfor prevention & management of Myopia in the post- COVID 19 era.
Authors: Ranita Ray  , Dr. Regidor III Poblete Dioso
Published: September 2024

The COVID-19 epidemic has had a considerable impact on day-to-day living, notably because to the increased amount of time spent in front of screens and the decreased amount of time spent engaging in activities outside. Because of this transition, concerns have been raised concerning the increasing frequency of myopia around the world, a trend that has been made worse by the lifestyle restrictions brought on by the epidemic. in the management of myopia, the significance of early detection and the efficacy of various therapeutic options are both important. This article provides a summary of current results regarding the ways in which pandemic-induced behaviors have influenced the progression of myopia, particularly in younger people. In addition, it investigates complete management techniques, which include developments in optical and pharmaceutical therapies, as well as the effect that changes in lifestyle have in reducing the risk of myopia. the combination of emerging technologies and public health activities with the objective of taking control of the myopia epidemic that has emerged in the aftermath of the pandemic. A multidimensional approach is proposed in order to limit the growing myopia epidemic. This method takes into consideration the crucial need for preventive measures, the possible long-term advantages of early myopia identification, and individualized intervention strategies.
MANAGEMENT PRACTICES ON HUMAN-INDUCED DISASTERS OF PUBLIC SECONDARY SCHOOLS IN LAGUNA: AN INPUT FOR THE FORMULATION AND ADOPTION OF INTERVENTIONS
Authors: Lenie Calamucha Baltar Gimena
Published: September 2024

This dissertation aimed to discover the human-induced disasters management practices of public secondary schools in Laguna and to identify the significant relationship of knowledge, skills, and attitude of teachers on the mitigation, preparedness, response, and recovery management practices of schools on human-induced disasters. Due to lack of previous research studies on human-induced disaster management practices, the researcher would like to nullify the hypotheses and proven that there was really a significant relationship among the knowledge, skills, and attitude of the teachers to the mitigation, preparedness, response and recovery management practices of schools. The mixed-method designs which were the descriptive survey, descriptive correlation and thematic analysis were utilized. The qualitative to quantitative or sequential exploratory mixed-method were used to provide different discoveries of this study. The data gathered were treated statistically for quantitative part. Varied statistical tools were applied for the results from the different portions of research instrument. This investigation found that the human-induced extremely happened in public secondary schools of Laguna are theft, health disasters and pollution. Its causes were lack of CCTVs, lack of facilities with regards to health disaster and lack of information for water sanitation. Expressly revealed that there was a significant relationship among the knowledge of teachers to the mitigation, preparedness, response, and recovery management practices of schools. The gathered information depended on the provision of the accessible data. It was recommended that the public schools must have enough CCTVs surrounding its jurisdiction and have more job orders that would serve as security guards. There should also be enough facilities that would cater health disasters and pollution victim with a designated teacher that would act as focal person of human-induced disaster management practices with a specified plan for action on different human-induced management practices anchored to disaster management cycle which are mitigation, preparedness, response and recovery. It was also recommended that there must be an intensive awareness campaign on the four stages of disaster management cycle with simulations to strengthen and enhance the skills of the teachers so that their attitude towards management practices on human-induced disasters would improve. Future research was suggested for intensive investigation on human-induced disasters management practices of any schools.
Index assessment of periodontal status in patients on the background of administering a drug with circadian activity
Authors: Vasko Maryna Y. , Tkachenko Iryna M. , Vodoriz Yaroslav Y. , Dvornyk Anna V. , Pysarenko Oleh A.
Published: September 2024

Aim: The aim of this study was to determine the effect of application of drug with circadian activity (pioglitazone) for treatment of patients with periodontist.
Materials and Methods: Group I – 18 individuals with healthy periodontium. Group II – 12 participants with stage II, grade B periodontitis treated with a standard treatment protocol. Group III – 12 participants with stage II, grade B periodontitis, treated with a regimen that included the standard protocol along with the administration of pioglitazone prescribed at recommended times of intake. Group IV – 12 participants with stage II, grade B periodontitis treated with the standard protocol and pioglitazone against the recommended intake hours.
Results: The Simplified Oral Hygiene Index in Group I was 0.406±0.034. In Group II, it was 2.5±0.06. In Group III, the hygiene index was 2.633±0.056 and in Group IV it was 2.5±0.059. The Papillary-Marginal-Alveolar Index in Group I was 0.033±0.004. In Group II, it was 0.366±0.011. For Group III, the PMA index was 0.38±0.012 and for Group IV it was 0.378±0.01. The Russell’s Periodontal Index in Group I was 0.111±0.008. In Group II, it was 4.668±0.155. For Group III – 4.708±0.132 and for Group IV it was 4.575±0.089. The Gingival Bleeding Index (GBI) in Group I was 0.031±0.003, while in Group II, it was 0.266±0.009, in Group III, it was 0.273±0.007 and in Group IV it was 0.278±0.006.
Conclusions: The administration of pioglitazone (the drug with circadian activity) according to its circadian stage indeed has a positive effect on the periodontal status changes of patients with stage II, grade B periodontitis.
Physical and Mechanical Properties of Watermelon Rind
Authors: Wan Azman Wan Mohd Fariz Bin , Shahar Asnawi , Azizan Saiful Azwan , Rahim Afiqah Aina
Published: September 2024

Watermelon rind is the toughest part of the whole fruit structure and usually peeled for processing purposes. A study was conducted to determine the physical and mechanical properties of watermelon rind to provide a reference for peeling process parameters to improve the efficiency of the process. A physical examination was conducted to determine the overall watermelon length and width, and rind thickness at different positions. The rind rupture force test was conducted at different penetration angles (0.0°, 22.5°, 45.0°, and 67.6°). The rind thickness was 1.46 ± 0.27cm (P<0.01). Based on visual observation, the differences in watermelon size affect the rind thickness. The rind thickness has a random distribution at different positions of the rind (P>0.01). Meanwhile, the rupture force showed that the direction of penetration angle significantly affects the rupture force value obtained (P<0.01), and it was directly proportional to the increase of penetration angles which ranged between 21.48N to 24.25N. Hence, the watermelon size and penetration angle factors should be considered before conducting the peeling process to ensure the process is run at an optimal level.
PENGARUH PENERAPAN MODEL PEMBELAJARAN PENEMUAN TERBIMBING TERHADAP KEMAMPUAN PEMECAHAN MASALAH MATEMATIS SISWA
Authors: Emilianus  , Jundu Ricardus , Jevianti Serafina
Published: September 2024

Penelitian ini bertujuan untuk menganalisis perbedaan kemampuan pemecahan masalah matematis antara kelompok siswa yang diajarkan menggunakan model pembelajaran penemuan terbimbing dan yang menggunakan pembelajaran konvensional pada materi aritmatika sosial di kelas VII SMPK Immaculata Ruteng. Jenis penelitian ini adalah penelitian eksperimen semu dengan menggunakan Posttest-Only Control Group Design. Populasinya mencakup seluruh siswa kelas VII SMPK Immaculata Ruteng dengan jumlah 211 siswa. Teknik pengambilan sampel yang digunakan yaitu cluster random sampling. Instrumen yang digunakan untuk mengukur kemampuan pemecahan masalah matematis siswa yaitu instrument tes. Perbedaan kemampuan pemecahan masalah matematis siswa dianalisis menggunakan uji t dengan rumus polled varian. Berdasarkan hasil analisis data diperoleh bahwa kemampuan pemecahan amsalah matematis siswa di kelas eksperimen lebih baik dari pada siswa di kelas kontrol. Hal ini berkontribusi kepada literatur dan praktisi untuk mempertimbangkan penerapan model pembelajaran penemuan terbimbing dalam pembelajaran matematika dan studi lebih lanjut disarankan pada materi lainnya.
(This study aims to analyze differences in mathematical problem-solving abilities between groups of students who are taught using the guided discovery learning model and those who use conventional learning on social arithmetic material in class VII SMPK Immaculata Ruteng. This type of research is quasi-experimental research using the Posttest-Only Control Group Design. The population includes all class VII students of SMPK Immaculata Ruteng with a total of 211 students. The sampling technique used is cluster random sampling. The instrument used to measure students' mathematical problem solving abilities is the test instrument. Differences in students' mathematical problem solving abilities were analyzed using the t test with the polled variant formula. Based on the results of data analysis, it was found that the students' mathematical problem solving skills in the experimental class were better than those in the control class. This contributes to the literature and practitioners to consider the application of the guided discovery learning model in mathematics learning and suggested further study on other materials.).
PENERAPAN MODEL PROBLEM BASED LEARNING UNTUK MENINGKATKAN BERPIKIR KRITIS MATEMATIS SISWA SMK
Authors: Apriani Wiwi
Published: September 2024

Penelitian ini bertujuan untuk menganalisis peningkatan kemampuan berpikirkritis matematis siswa SMKN 2 Soromandi Bima Nusa Tenggara Barat yang dalam proses pembelajarannya menggunakan model problem-based learning (PBL). Penelitian ini menggunakan pendekatan deskriptif kualitatif dengankerangka STAR yang mencakup Situasi-Tantangan-Aksi-Refleksi sebagaipanduan analisis. Instrumen yang digunakan untuk mengumpulkan data terdiridari soal tes untuk mengukur kemampuan berpikir kritis siswa.  Hasil analsiismemperlihatkan bahwa penggunaan model PBL dapat meningkatkankemampuan berpikir kritis siswa karena dalam prosespembelajaran siswa lebihbanyak berdisksui, bekerja sama, melakukan presentasi dan menyeelsaikanmasalah secara berulang di bawah bimbingan guru. Pemilihan PBL denganmemanfaatkan teknologi dan ultimedia yang di gunakan oleh guru secaralansung dapat mempermudah siswa dalam mengabstraksi konsep sehinggudapat menudkung kemampuan berpikir kritis mereka. Model PBL direkomendasikan diterapkan dengan mengintegrasikan teknologi dan multimedia sehingga menarik bagi siswa dan membantu memperjelas konsepyang dipelajari.
Delving Deeper: Understanding the Complexities of Plagiarism Prevention in Georgian Higher Education
Authors: Khositashvili Giga
Published: September 2024

The principles of academic integrity were broadly introduced to the Georgian higher education system in recent decade. After being integrated in the Bologna Process, the harmonization of the procedures and mechanisms made it necessary to implement changes to ensure the quality of education. The aim of this study was to explore the current practices for plagiarism prevention in Georgian higher education institutions. For this reason, recent institutional and study program accreditation reports were analysed, and 32 semi-structured interviews were conducted with academic staff representing different fields of study. The report analysis revealed that most academic integrity practices did not fully comply with existing accreditation standards, leading to specific recommendations for universities. The interviews with the academic staff confirmed that the perception of plagiarism differs among the different groups of professors. It was observed that the link with experiences in the Soviet Union still exists. Moreover, some instructors are only focused on detection. The findings of this research showed that the culture of academic integrity is still in the transition phase in the Georgian higher education system.
 
Received: 26 June 2024 / Accepted: 29 August 2024 / Published: xx September 2024
Factors that Affect the Financial Performance of Schools
Authors: Madzinga Yolanda T. , Sitsha Lovemore , Wadesango Newman
Published: September 2024

This desktop study investigated the determinants of financial performance of schools. This study was triggered by the necessity of solutions to financial challenges that schools and their ability to provide quality education to students. The researchers attempted to identify the factors that influence the financial performance of schools and provide possible solutions to this performance. The study examined and explained various factors that affect the financial performance of schools including, enrolment rates, funding sources, operating costs, teaching staff, reputation, cost management, competition, stakeholders’ involvement, state and federal policies, leadership and governance, financial management practices and size and location. The study made use of desktop review approach. The results indicated that financial management, management accounting practices and competency of teaching faculty have significant influence on the financial performance of a school. The researchers recommend that schools adopt management accounting practices such as budgeting and cost accounting, and the inclusion of management in board meetings.
 
Received: 21 March 2024 / Accepted: 15 July 2024 / Published: 05 September 2024
Diversification of Export Markets: A Literature Review
Authors: Ninaquispe Jose Carlos Montes , Arbulú-Ballesteros Marco Agustín , Valle María Guzmán , Paredes Morales Ana Elizabeth , Cruz Salinas Luis Edgardo , Farfán-Chilicaus Gary Christiam , García Juárez Hugo Daniel , Sanchez Julio Ernesto Blas
Published: September 2024

This research examines the pivotal role of export market diversification in promoting sustainable economic growth. The primary objective is to analyze how expanding trade activities into new international markets can mitigate dependence on a limited number of trade partners, thereby enhancing economic stability and resilience to global economic fluctuations. The methodology involves a comprehensive literature review and empirical analysis using a range of econometric techniques to evaluate the impacts of diversification on economic performance. Key findings highlight that countries with diversified export markets exhibit greater economic stability, reduced volatility in export revenues, and enhanced capacity to cope with external shocks. The results demonstrate a correlation between export diversification and economic growth, supported by increased innovation, competitiveness, and access to a wider range of trade opportunities. Furthermore, the study identifies significant challenges in implementing diversification strategies, such as infrastructural deficiencies, regulatory differences, and the necessity for technological advancement. In conclusion, the research underscores the importance of export diversification as a strategic imperative for long-term economic stability and growth. It recommends adopting coordinated trade policies, investing in infrastructure, and fostering innovation to overcome barriers and fully leverage the benefits of diversified export markets. These measures are crucial for developing sustainable and competitive economies capable of withstanding global economic uncertainties.
 
Received: 30 May 2024 / Accepted: 28 August 2024 / Published: 05 September 2024