bluuebunny/crossref_metadata_2025 huggingface dataset:
Karakterisasi Nira Sawit Hasil Penyadapan
Authors: Indraningtyas Lathifa , Yuliandari Puspita , Sari Anungputri Pramita
Published: December 2023

Pemanfaatan tanaman kelapa sawit yang sudah tidak produktif pada proses replanting sangat penting untuk dilakukan. Salah satunya adalah penyadapan batang kelapa sawit untuk menghasilkan nira kelapa sawit. Nira sawit yang diperoleh dapat digunakan menjadi bahan baku produk pangan atau non pangan sehingga meningkatkan pendapatan masyarakat yang hilang selama proses replanting. Penelitian ini bertujuan untuk mengetahui karakteristik nira sawit hasil penyadapan meliputi volume, nilai total padatan (brix), dan pH. Penelitian ini menggunakan dua waktu penyadapan yaitu pagi pada pukul 06.00; 07.00; 08.00; 09.00; dan 10.00; serta penyadapan sore pada pukul 18.00; 19.00; 20.00; 21.00; dan 22.00. Hasil penelitian menunjukkan waktu penyadapan terbaik adalah di pagi hari pada pukul 06.00-07.00 yang menghasilkan karakteristik nira dengan volume 304,67 mL; total padatan 10,47oBrix, dan pH 6,37.
Kinetika Reaksi Esterifikasi Asam Lemak Bebas dengan Metanol Menggunakan Katalis Asam Sulfat dan Adsorben Natrium Sulfat
Authors: Dwi Daryono Elvianto , Kartika Dewi Rini , Ana Anggorowati Dwi
Published: December 2023

Air sebagai produk samping harus segera dipisahkan karena akan menggeser kesetimbangan reaksi ke arah reaktan karena sifat reaksi esterifikasi adalah reversibel. Salah satu cara untuk memisahkan air adalah dengan menambahkan adsorben pada reaksi esterifikasi. Penelitian ini bertujuan untuk mempelajari kinetika reaksi esterifikasi asam lemak bebas pada minyak jarak pagar yang berhubungan dengan waktu reaksi dan % FFA awal dengan penambahan adsorben natrium sulfat. Variabel penelitian adalah waktu reaksi (30, 60, 90, dan 120 menit) dan % FFA awal  (7,54%, 13,65%, 20,45%, dan 28,21%). Kondisi operasi meliputi bahan baku minyak jarak pagar, metanol 99%, rasio berat  metanol/FFA  yaitu 2,25 gr/gr FFA minyak, ratio berat katalis/FFA yaitu 0,05 gr/gr FFA minyak, katalis H2SO4 98%, suhu reaksi 30°C dan jenis adsorben natrium sulfat. Campuran metanol dan H2SO4 dimasukkan ke dalam reaktor sampai mencapai suhu reaksi, kemudian minyak jarak yang telah ditambahkan asam oleat dipanaskan sesuai suhu reaksi juga dimasukkan. Setelah waktu reaksi tercapai, hasil dan sisa reaksi dipisahkan dalam corong pemisah. Lapisan bawah berupa produk hasil reaksi dikeluarkan dari bawah. Dari hasil analisa didapatkan bahwa semakin tinggi kadar FFA awal maka semakin lama waktu reaksi untuk menurunkan % FFA < 2%. Pada % FFA awal 7,54%, konsentrasi FFA < 2% didapatkan pada waktu reaksi 30 menit, untuk % FFA awal 13,65% pada waktu reaksi 60 menit, untuk % FFA awal 20,45% pada waktu reaksi 90 menit dan untuk % FFA awal 28,21% belum tercapai % FFA < 2% pada semua waktu reaksi.
Cultural Values in Idiomatic Expression of Jambi Malay Language Bungo Malay Dialect: Antropholinguistics Perspective
Authors: Oktariza Dodi , Efendi Dedi
Published: December 2023

This research is aimed to describe cultural values that found in the idiomatic expressions of Jambi Malay  Language Bungo Malay dialect Then, the research is conducted through several steps, namely, collecting  data, analyzing, and presenting the result of data analysis. The methods chosen in collecting data were  observational and conversational method, by applying some techniques such as non participant  observational technique, note taking technique, elicitation, and recording technique. Then, in analyzing technique, the writer used descriptive qualitative approach by using contextual  analysis method in order to explain the cultural values from the expressions. Moreover, the writer used  informal method for presenting the result of analysis. The result of research shows that the expressions of idiomatic from the Jambi Malay Language Bungo  Malay dialect contain cultural values that have been developed in the society, especially for Jambi Malay  speakers that categorized into good and bad values. Besides, the idiomatic expressions that used by Jambi  Malay Language Bungo Malay dialect also contains ethics, moral, and politeness
AN OBSERVATIONAL STUDY OF STUDY HABITS AMONG FIRST YEAR MEDICAL STUDENTS, JAIPUR, RAJASTHAN
Authors: Kant Ravi , Jain Srishti , Yadav Rajeev , Chand Soni Suresh
Published: December 2023

Background: To perform well in academics medical students has to acquire good skills and knowledge,
for which study habits are very important. Objective: To assess quality of study habits among rst year
MBBS students and its associated factors. Observational cross-sectional study among 140 MBBS rs Material and Methods: t
year students of SMS Medical College, Jaipur from Mar 2023 to May 2023. The data was collected by using Study habits
inventory questionnaire. Out of all 140 students, 61% were females. 10% had Good, 78% Results: had average and 12% had
poor quality study habits. Various factors are associated with quality of study habits in our study like gender, residence and
source of inspiration to study. Present study found that only 10% students had good Conclusion: quality study habits. Female
gender, home residency and self-motivation among students were found associated with good quality study habits.
ADVANCES IN UNDERSTANDING ATRIAL FIBRILLATION: A NARRATIVE REVIEW
Authors: Salgado Montes Natalia
Published: December 2023

Atrial brillation (AF) risk factors are multifaceted, encompassing hypertensive heart disease, coronary
heart disease, rheumatic heart disease, and more. Hypertension and CHD are prevalent in developed
nations, with hypertension notably increasing AF risk. Classication of AF distinguishes paroxysmal, persistent, long-standing
persistent, and permanent forms, highlighting the progressive nature of the condition. Subclinical or occult AF may lack
apparent symptoms. A comprehensive evaluation of AF includes medical history, associated conditions, and reversible causes,
followed by physical examination and diagnostic tests. Initial management with the ABC pathway involves anticoagulation,
symptom management, and assessing cardiovascular risk. Long-term management includes early follow-up,
thromboembolism prevention, addressing AF recurrence, and rate or rhythm control decisions. Regular follow-up and
monitoring complete the care for AF patients.
ANAESTHETIC MANAGEMENT OF A MORBIDLY OBESE PATIENT WITH MULTIPLE COMORBIDITIES AND POST-BURN COMPLICATIONS: A CASE REPORT
Authors: Uppalapati Vamsi Krishna , Nag Deb Sanjay
Published: December 2023

We present a case report of a 53-year-old woman with multiple comorbidities, including morbid obesity,
severe obstructive sleep apnoea, hypertension, type 2 diabetes mellitus, post-burn complications, poor
intravenous access, and an anticipated difcult airway. The patient underwent elective umbilical meshplasty under general
anaesthesia. This report highlights the challenges encountered during anaesthetic management and the successful outcomes
achieved through a carefully planned approach. The induction, intubation, and intraoperative period were uneventful, and the
patient was extubated on the rst postoperative day. Intermittent non-invasive ventilation support was provided until the fth
postoperative day. This case report emphasizes the importance of considering the unique considerations and potential
contraindications in patients with multiple comorbidities and post-burn complications.
BRACHYTHERAPY AS A TREATMENT ALTERNATIVE FOR RECURRENT CONJUNCTIVAL SQUAMOUS CELL CARCINOMA: A CASE REPORT
Authors: Gupta Anshika
Published: December 2023

Background: Squamous cell carcinoma is a common malignancy of the ocular surface. Surgical excision
of the lesion is the most common intervention used to treat Squamous cell carcinoma of the conjunctiva.
Radiotherapy could provide an alternative for the treatment of Squamous cell carcinoma of the conjunctiva, resulting in
improved cosmetics and functional outcomes. This case study reports on, with informed consent from t Objective: he patient, the
use of brachytherapy for recurrent SCC of the conjunctiva. Follow-up in this case study – evident by Results and Conclusion:
disease control at 3 months post-treatment – provides a unique case to suggest brachytherapy implant as a viable option for the
treatment of suitable cases of recurrent conjunctival squamous cell carcinoma
GAJAPIPPALI AGNIKARMA IN ARDHAVABHEDAKA (MIGRAINE) – A SINGLE CASE STUDY
Authors: B.R Rashmi. , Shivanand Gavimath , Gurumurthy B.
Published: December 2023

Ardhavabhedaka is one of the Shiroroga which is characterized by Bheda (splitting type of pain), Toda
(pricking type of pain), Bhrama (vertigo), Ardhaparshwa Shirashula (pain in right or left of head)
appearing in intervals of either 10 or 15 days. Ardhavabhedaka can be correlated with Migraine having symptoms like
paroxysmal unilateral headache, sometimes associated with vertigo, nausea, photophobia and phonophobia. According to
International Headache Society (I.H.S), Migraine is the most common neurovascular headache. Here a female patient aged
about 23yrs has presented with pain in right half of head along with nausea, vomiting, and sensitivity to light and sound since 1
½ years. The case study has been carried out by Agnikarma using Gajapippali (Scindapsus ofcinalis) and the results were
found to be effective in the management of Ardhavabhedaka (Migraine).
IMPACT OF PELVIC IRRADIATION ON BONE MINERAL DENSITY IN CERVICAL CANCER PATIENTS- A PROSPECTIVE STUDY
Authors: Govindrao More Swapnil , Mahobia Vijay , Kumar Diwan Ashok , Zumbar Pawar Priyanka
Published: December 2023

Background: Cancer treatment induced bone loss has been retrospectively studied as a distinct entity in
gynaecological cancers. Amongst gynaecological cancers, cervical cancer is the leading cause of
mortality and morbidity, majorly in developing countries. Concurrent chemoradiation (CCRT) is considered as the standard of
care in managing these patients. The present research was undertaken to study the impact of pelvic irradiation on bone
mineral density (BMD) in cervical cancer patients visiting Radiation Oncology Department in tertiary care teaching hospital
situated in the central India. A total of 60 patients with histologically proven cervical cancer Method: were studied over a period
of 2 years from October 2020 to September 2022. Most common histological type was squamous Results: cell carcinoma
(95.00%). Stage IIIB (33.33%) was the most frequently FIGO stage. Maximum patients received radical RT (91.67%) through 2-
eld technique (86.67%). At 3- and 6-months follow-up, none of the patients developed fracture. Overall, there was statistically
signicant decrease in BMD (T-Score) of lumbar spine and femur neck between baseline and 3- and 6-months follow up
(p<0.05). The decrease in BMD reached statistically signicant level in 41–50 years (p=0.001), and 51–60 years age groups
(p<0.0001). Also, the decrease in BMD reached statistically signicant level in BMI <18.5 kg/m2 (p<0.0001), 18.5–24.9 kg/m2
(p=0.006), and ≥25 kg/m2 (p=0.033). The decrease in BMD reached statistically signicant level in patients with (p<0.0001),
and without menopause (p=0.004). However, the decrease was greater in patients with menopause. Findings Conclusion:
suggest that patients with cervical cancer undergoing RT have signicant reduction in mean BMD. Proportion of patients with
osteopenia and osteoporosis increases with time.
CONVENTIONAL AYURVEDA RECIPES & PRODUCTS: A REVIEW
Authors: C Akhil , Panja Asit K. , Gupta Nisha
Published: December 2023

Ayurveda enumerates the health benets of millets. About seventy-ve percent of world food supplies are
met from only twelve crops, whereas the three major crops rice, wheat, and maize provide fty percent of
dietary requirements. This review aims to introduce various Ayurveda recipes and products that are produced from the millet
according to the diet regimen and consumer satisfaction. Information on several millet recipes and products is gathered from
books, authentic internet sources, and Ayurvedic texts. Most popular recipes and products such as roti, and dosa based on millet
and Ayurveda principles can bring millet as part of the primary diet of the people. There is a growing use and demand for some
small grains in the Ayurveda medicine and food market for the development of healthy, gluten-free substitutes, and valueadded products with higher shelf lives. The information on popular conventional Ayurveda recipes and products can enhance
the process of developing new technologies that will be useful in the development of healthy millet-based food products of
Ayurveda.
A STUDY ON PREVALENCE OF DRY EYE SYMPTOMS AND ITS RELATION TO DIGITAL SCREEN TIME EXPOSURE IN PATIENTS ATTENDING OPHTHALMOLOGY OPD .
Authors: Chakravorty Shalaka , Nankani Krutika , Sapre Ashwini , Sith Rima
Published: December 2023

Aim: Dry eye syndrome is a chronic disorder of the ocular surface that can substantially affect the quality
of life of an individual. An increased global dependence on digital screen has led to a rise in associated
visual complaints, including eye strain, ocular dryness, burning, blurred vision, and irritation, to name a few. We have
conducted this study to report the prevalence of dry eye symptoms and its relation to digital screen time exposure in patients
attending ophthalmology OPD at our tertiary care centre. It was prospective study conducted in Methods: the tertiary health
care centre, over a period of 2 years. We studied 110 patients of various age group 18 - >60 years with dry eye symptoms. A
detailed history, vision, ocular examination and various dry eye tests were done and they were called on follow ups at 2 and 4
weeks. Maximum number of patients came with complaint of watering(92.7%) followed by redness ( Results- 90%), Foreign
Body Sensation (72.7%), itching (28.2%) and Blurring Of Vision (27.3%). No signicant association between screen time and
symptoms. Females(62.26%) were found to be more involved than males (56.14%). Percentage of patients having dry eye
disease in the age group 18-40 years was maximum (66.4%) followed by 41-60 years (31.8%), >60 years (1.8%). In Conclusionour study, we found out maximum age group with dry eye disease was 18-40 years of age, which is in contrast to other studies
showing more in older age group. This can be attributed to online mode of schooling, frequent gaming and work from home
scenario during covid 19 pandemic.
PEDIATRIC ANAPHYLAXIS: NARRATIVE REVIEW
Authors: Oñate López Daniela Andrea
Published: December 2023

Anaphylaxis is a severe, rapidly occurring allergic reaction that can be fatal. Diagnosis relies on clinical
signs and symptom details, involving skin or mucosal symptoms, respiratory compromise, and reduced
blood pressure. Anaphylaxis can manifest in various ways, and immediate administration of epinephrine is crucial. The primary
pharmacologic treatment is epinephrine, administered as an intramuscular injection. Depending on the patient's age and
weight, various doses are recommended. Other adjunctive treatments include antihistamines, bronchodilators, and
glucocorticoids, but they should not replace epinephrine. Refractory anaphylaxis, unresponsive to initial treatment, poses
challenges and may require additional interventions such as vasopressors or ECMO. Recognizing and treating anaphylaxis
promptly is vital to save lives.
STUDY ON INTRAOPERATIVE COMPLICATIONS OF CATARACT SURGERY IN PATIENTS WITH PSEUDOEXFOLIATION
Authors: Shaikh Misbah , Nisale Sanket , Nisale Uttam , Churi Vaibhavi , Patel Priyanka
Published: December 2023

Background and objective: Pseudoexfoliation syndrome is an age related systemic microbrillopathy
that involves eyes through gradual deposition of abnormal brillar extracellular material in ocular
tissues. The pseudoexfoliative material is deposited on the corneal endothelium, trabecular meshwork, angle structures, iris,
pupillary margins, ciliary processes, zonules, anterior lens capsule, and anterior hyaloid phase. Pseudoexfoliation syndrome
is associated with an increased incidence of nuclear cataracts. This study is done to analyse the intraoperative complications
of cataract surgery in patients with pseudoexfoliation. Materials and methods: It is an observational study conducted in the
department of Ophthalmology in a tertiary care hospital from January 2021 to December 2022. A total of 78 eyes of 78 patients
aged more than 40 years diagnosed with cataract and associated with pseudoexfoliation were included in the study. After
assessing best corrected visual acuity (BCVA), detailed anterior and posterior segment evaluation was done along with
keratometry, contact A-scan biometry. Intraocular lens (IOL) power was calculated. All patients underwent small incision
cataract surgery (SICS) under peribulbar anaesthesia and intraocular lens was implanted. Intraoperative complications were
reported. BCVA was recorded on day 1, 1st week and 6th week. Results: Out of 78 eyes of 78 patients, 42(53.8%) were males and
remaining i.e. 36(46.2%) were females. Out of these 61.5 % had bilateral involvement. The intraoperative difculties observed
during cataract cataract surgery was poor pupillary dilation, which was seen in 41% patients. The intraoperative complications
like rhexis extension, posterior capsular rent, zonular dialysis, vitreous loss were noted. The BCVA of 6/12 and more was noted
in 80.8% patients on post op 6th week. Conclusion: Inadequate mydriasis is one of the major preoperative risk factors in
patients with Pseudoexfoliation syndrome which in turn result in the intraoperative complications. Although Cataract surgery in
patients with pseudoexfoliation is challenging, if the surgeon is aware of the condition pre-operatively and pays meticulous
attention to the surgical technique, the intraoperative complications can be managed and a good outcome can be expected.
TO STUDY THE FUNCTIONAL OUTCOME OF ELDERLY PATIENTS HAVING INTERTROCHANTERIC FEMUR FRACTURE TREATED WITH HEMIARTHROPLASTY
Authors: Ramola Sandeep , Shekhar Chandra , Kumar Singh Aditya
Published: December 2023

Background Among proximal femoral fractures, displaced femoral neck fractures (FNFs) are the most
common (37% frequency), while two-thirds of total FNFs are displaced fractures. Fractures of Hip are one
of the commonest injuries sustained by the aged. These occur predominantly in patients over 60 years of age. Morbidity and
mortality increases with age. Over the years, osteosynthesis has been indicated as the preferable treatment for stable
intertrochanteric fractures and has shown promising results, but high rate of mortality render this option impractical in unstable
intertrochanteric fracture cases. As a result, role of primary hemiarthroplasty in intertrochanteric femur fractures emerged as a
valid choice for treatment of unstable intertrochanteric fractures and has shown promising results with fewer complications.
Hence the present study was done to analyze the role of primary hemiarthroplasty and the functional outcomes in cases of
intertrochanteric femur fractures using Harris Hip Score. A prospective observational stud Methods y was done on 25 patients
with intertrochanteric fractures treated with hemiarthroplasty. Patients with age more than 65 years, consent to participate and
follow up in post-operative rehabilitation were included. There were 20 females and 5 males with an average age of 77.5 years.
After proper assessment, patients were treated using direct lateral approach for hip with monopolar or modular bipolar
hemiarthroplasty. All patients were assessed by Harris Hip score. These scores were used as an outcome measure of functional
recovery in activities of daily living (ADLs). The mean VAS Score at discharge was 5.15±2. Results 26 which improved
signicantly at post-op 1 month (3.52±0.86) and post-op 3 months (2.56±0.57). The difference in VAS score during follow-up
period was statistically signicant as per ANOVA test (p<0.05). The functional daily activities in patients were measured by
Harris Hip Score. The mean Harris Hip Score at discharge was 65.88±8.65 which improved signicantly at post-op 1 month
(72.68±4.57) and post-op 3 months (76.88±5.54). The difference in Harris Hip Score during follow-up period was statistically
signicant as per ANOVA test (p<0.05).
THE ROLE OF ARTIFICIAL INTELLIGENCE IN SHAPING THE CONTEMPORARY WORLD: SITUATING RESEARCH IN THE AI ERA
Authors: Dua Anshula , Jain Neha
Published: December 2023

Modern society is being transformed by artificial intelligence (AI), which has emerged as a powerful force.This essay
examines the varied ways in which AI has influenced contemporary life and emphasizes the significance of
contextualizing research in the AI era.As AI technology develops quickly,it will have a significant impact on a variety of
industries,including healthcare,finance,education,transportation,and more.This article presents a thorough review of
how AI is affecting different industries, stressing the advantages, difficulties, and ethical issues that come with AI
integration. It also emphasizes how important research is to comprehending, utilizing, and properly managing AI's
impact on society.To solve difficult problems and realize the full potential of AI, the era of AI requires interdisciplinary
cooperation as well as cutting-edge methodologies and approaches.To ensure that AI technologies benefit all members
of society equally, researchers are faced with tackling concerns related to bias, transparency, accountability, and
privacy.
FISH, FISH OIL AND DHA IN BRAIN DEVELOPMENT AND FUNCTION
Authors: Hei Abdul
Published: December 2023

From the early time,fish has been thought to be“brain food”in cultures around the world.Generations of children were
raised on a daily spoonful of cod liver oil,because smart parents had a general sense that it was “good for you.”Recent
research has proved this traditional wisdom.One of the most important components in fish oil from fish is DHA.Today,the
scientific community has come to recognize that important compounds contained in fish oils have profound benefits for
human brain health, development, and behavior. One of the major building blocks of the brain, the omega-3 fatty acid
docosahexaenoic acid (DHA) is critical for brain development function and optimal brain health at all ages of life.
Researchers are now finding that DHA provides brain-boosting benefits in infants and aging adults. Better mind gives
better life. So the objective of the paper is to review and discuss the effects of DHA on brain development and function
with enhancement of performance and reduction of neuro-diseases.
SELF-REPORTED FOREIGN BODY IN VAGINA; ACTUALLY, FOUND TO BE INTRAVESICAL - A RARE CASE REPORT.
Authors: Janapriya K. Sai , Sitaramaiah K. , Sreelatha K.
Published: December 2023

Background: Insertion of foreign objects into one or more bodily orifice, otherwise known as polyembolokoilamania,
occurs as a result of a variety of psychosocial and psychiatric states. Such behaviour exposes the affected individual to
the complications of object insertion, surgical removal and its adverse sequelae such as a colovesical fistula. Foreign
body insertion into the vagina mainly involves children and can be associated with premenarchal vaginal discharge or
sexual abuse.Foreign bodies are occasionally reported in the bladder. In the majority of cases, a carefully obtained
history and physical examination will render the diagnosis, although imaging modalities may be required to locate the
misplaced objects. Here, we present 15-year-old girl who presented to emergency OPD of Case Presentation:
gynecology with complaint of accidental slippage of pencil into vagina. As hymen was intact, she was subjected to
radiological evaluation. The pencil was found to be lying in urinary bladder and she was planned for transurethral
cystolitholapaxy to remove the same. But it got expelled transurethrally during micturition. Psychiatry consultation was
put up for this patient and was found to be unremarkable.
A COMPARATIVE STUDY ON THE EFFECTS OF DIFFERENT TRAINING PROGRAMMES ON SYSTOLIC BLOOD PRESSURE OF OVERWEIGHT COLLEGE GIRLS
Authors: Biswas Dilip
Published: December 2023

The World Health Organization (WHO) describes overweight as one of the today's most important public health
problems, which is escalating as a global epidemic. The purpose of the present study was an endeavor to the best
method of handling overweight.Out of 96 selected participants from fluvio coastal zone of west Bengal,India on the basis
of BMI,80 overweight girls (average age:20) were consider for the study.The subjects were divided into four groups (20
for each group) randomly namely Weight Training Group (WTG), Aerobic Training Group (ATG), Graded Circuit
Training Group (GCTG) and Control Group (CG).Separately designed 12 weeks training programme for WTG,ATG and
GCTG was applied on the subjects at morning between 8.00 am to 9.15am for three alternative days per week. After
every four weeks,total load was increased.Pre and post test on the groups were conducted to measure the training effect
on Body systolic blood pressure of the subjects.The collected data were statistically analyzed by using the analysis of
Co-variance (p<0.05) to determine differences, the LSD test was applied as a post hoc test to find out the paired mean
differences. From the obtaining result, it was concluded that weight training, aerobics and graded circuit training are
found to be effective for improvement of Systolic Blood Pressure of overweight college girls.
MULTICENTRIC CROSS-SECTIONAL SURVEY TO ASSESS THE PREVALENCE OF POLYCYSTIC OVARIAN SYNDROME IN COLLEGE GOING FEMALES OF AGE GROUP 18-30 YEARS
Authors: Gupta Chandra Mukhi , Mishra Rolly , Goswami Vijaya , Singh Pallavi , Sharma C. P.
Published: December 2023

Polycystic Ovarian Syndrome is most common endocrine disorder found in women of reproductive age which is
characterized by hyperandrogenism and chronic anovulation. The etiology of the disease remains unclear but nearly 6 to
20 % of women remain effected with it. PCOS is characterized by irregular menstrual cycle, polycystic ovaries, hirsutism,
insulin resistance, dyslipidemia and infertility. There are different diagnostic criteria used to assess PCOS but Rotterdam
criteria are worldwide accepted for adult women. Owing to the complicated pathophysiology, recognizing the inciting
causes is difficult and hence large percentage of females remain undiagnosed even after visiting multiple health care
centers. This review will seek to determine the prevalence of polycystic ovarian syndrome in medical colleges.
The Inconsistent Techniques Adopted in Rendering into English the Arabic Definite Article “al ال” in Hilali & Khan's Thematic Translation of the Holy Quran (Sample translations of Islam-Specific Nouns, modified by “al ال”, in selected Surahs/verses)
Authors: Elimam Fatima
Published: December 2023

The thematic translation of the Holy Quran has been attempted long ago by various translators. And due to the fact that the requirements of the translator of Islamic texts are a bit more complicated, the translation of some Arabic grammatical and rhetorical forms might pose a real challenge for non-native speakers of Arabic. Mastering the Arabic language, being it the Source Language of Islamic texts to be translated into any Target Language, is inevitable for any translator of such text types. The thematic translation of the Holy Quran by some translators having neither the SL nor the TL as their L1, makes their attempt even more challenging. Indeed, Arabic language is the mother tongue of Hilali; yet, not of Khan. This study highlights their rendering into English the definite article “al ال” modifying the Islam-Specific Nouns in selected Surahs: Al-Baqara (2:2), (2:3), (2: 43-45), (2:57), (2:198), al-Imran (3:3), Al-Maida (5: 2), At-Tauba (9:60), and Al-Furqan (25 :38).
Sociological Portrayal of Lagos in Nigerian Cinema: A Multifaceted Analysis
Authors: Maureen Okwulogu
Published: December 2023

Lagos, Nigeria, renowned for its multicultural history, is explored in this article within the context of Nigerian cinema and sociological perspectives. This article investigates how Nollywood films depict Lagos using sociological theory that emphasizes representing society as it is. It begins with the city's historical evolution, emphasizing its role as Nigeria's entertainment capital and its impact on the film industry. The article underlines how Nollywood films influence perceptions of Lagos, advocating for balanced portrayals. It analyzes three Nollywood films to illustrate the city's diverse character. These films represent different facets of Lagos, showcasing its dynamic and diverse character. Findings from the study reveal that while some filmmakers aim to promote Lagos as an attractive and vibrant city, there is a need for a balanced representation of the city's various aspects. The article also addresses the ethical responsibility of filmmakers to inform viewers when a film is purely fictional or contains elements of reality. In conclusion, this article offers valuable insights into the sociological portrayal of Lagos in Nigerian cinema, highlighting the need for a more balanced and responsible depiction of this multicultural city. Ultimately, the article emphasizes the influence of film on society and calls for thoughtful storytelling in a city with a dynamic, multicultural identity.
FIB-4, APRI, and NFS Scores Compared to FibroScan for the Assessment of Liver Fibrosis in Patients with NAFLD
Authors: Bouhamou Fatiha , Salihoun Mouna , Serraj Ilham , Kabbaj Nawal
Published: December 2023

Background: NAFLD is a spectrum of liver disease ranging from fatty liver to steatohepatitis, fibrosis and cirrhosis. Due to the epidemic proportion of individuals with NAFLD worldwide, liver biopsy evaluation is impractical, and noninvasive assessment for the diagnosis of NASH and fibrosis is needed. In this study we aimed to compare FIB-4, APRI, and NFS score to FibroScan for the assessment of hepatic fibrosis in patients with NAFLD. Methods: This prospective study included 103 patients with NAFLD and was conducted in the Hepato-Gastroenterology Unit of Functional Digestive Explorations at CHU Ibn SINA in RABAT MOROCCO and covers the period from 01/2016 to 04/2023. A checklist was used to record the demographic features and biological data of the patients. Then, all patients underwent FibroScan using the FibroScan compact 530 device (Echosens, France). Results: Of the 103 patients with NAFLD included in this study, with a mean age of 54.4 ± 11.4 years, 35(34%) were male and 68 (66%) were female. Based on FibroScan results, 58 patients (56.3%) were classified as F1, 13 (12.6%) as F2, 5 (4.9 %) as F3, and 27 (26.2 %) as F4. A significant correlation was found between FibroScan and FIB-4 (r = 0.365), APRI (r = 0.376), and NFS score (r = 0.356) (P < 0.001). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of APRI at the 0.64 cut-off for the differentiation of F3F4 from F2F1 were 59.4, 84.5, 63.3, 82.2 and 76.7%. FIB-4 at the 1.8 cut-off 68.8, 83.1, 64.7, 85.5, 78.6% and NFS at the 0.89 cut-off 71.9, 69, 51.1, 84.5 and 69.9% respectively. Moreover, the area under the receiver operating curve of APRI, FIB-4, and NFS for the differentiation of F3F4 from F1F2 was 0.782, 0.779, and 0.723, respectively. Conclusions: Based on these results, APRI appears to be the most appropriate substitute of FibroScan for the detection of significant fibrosis in NAFLD patients.
The Implementation of Quality Management Systems in Laboratory, Nursing, Radiology and Their Impact on Patient Care and Safety
Authors: AlHarshan Mahdi Salem Hamad , Aldaghman Ali Saleh Hussain , Aldaghman Mana Mohammed Hussian , AlSuliman Mohammad Saeed Saleh , Alyami Hamad Qassas Hamad , Al-Yami Salem Samran , Yami Wafgh Salem German Al , Faraj Jamilah Mubarak Saad Al , Alyami Mobaise Saleh , gohaifa Mahdi Mohammad Saeed Al
Published: December 2023

Quality management systems (QMS) have been increasingly implemented in healthcare settings to improve patient care and safety. This study aims to explore the implementation of QMS in laboratory, nursing, and radiology departments and their impact on patient care and safety. The implementation of QMS in the laboratory involves the establishment of quality control measures, standard operating procedures, and continuous monitoring of processes to ensure accuracy and reliability of test results. Nursing is at the forefront of patient care, and the implementation of QMS in nursing departments focuses on standardizing care processes, improving communication and collaboration among healthcare teams, and ensuring patient safety through the use of evidence-based practices. Radiology departments also benefit from the implementation of QMS, as it helps to standardize imaging protocols, ensure equipment maintenance and calibration, and improve the accuracy and timeliness of diagnostic reports. The impact of QMS implementation on patient care and safety is significant. Studies have shown that healthcare organizations with robust QMS in place have lower rates of medical errors, reduced patient complications, and improved patient outcomes. Furthermore, QMS implementation can also lead to cost savings by reducing waste, improving efficiency, and minimizing the need for rework.
Exploring Nutritional and Nutraceutical Potential of Wild Moringa peregrina (Forssk) Fiori. of Oman
Authors: Nadaf Saleem Kaseemsaheb , Al-Sabahi Jamal , Al-Mamari Almandhar , Al-Kindi Fatima , Al-Mawali Abdulaziz , Al-Ruqaishi Houda , Al-Ghafri Ahmed , Albusaidi Khalid A. , AlSulaimi Maryam K. , Al-Farsi Amina
Published: December 2023

Since time immemorial medicinal tree plants have been harvested for use in traditional remedies for treating not only common ailments but also serious diseases like diabetes and cancer besides heart diseases. In advanced countries, however, plant-based medicines are purified and modified to use with increased awareness of their medicinal value. Of 65 tree species of medicinal importance reported in Oman, Moringa peregrina (Forssk) Fiori. is often found in either hilly or mountainous areas of Oman on rocky slopes amongst stones and wadi beds and is known for its medicinal use among ethnomedicine practitioners. The present investigations explore indigenous Moringa peregrina of Oman in terms of physical characteristics of seed and kernel, proximate, mineral, and fatty acid composition for plausible nutritional and nutraceutical applications. The soil and plant features, physical characteristics of mature seeds, and proximate and fatty acid composition of mature and immature seeds were recorded following standard procedures. The results indicated that indigenous wild Moringa peregrina trees were 6.8m tall occupying an area of 59.16 m2 with satisfactory chlorophyll content (57.5 at LEAF value). Mature seeds were trigonous and grayish brown and able to give 68.91% of the milky white kernel. Seeds were highest in carbohydrates (36.05%), followed by total fat (33.52%) and proteins (22.21%), and contain more than 10% each of Oleic acid, Palmitic acid, Behenic acid, Eicisenoic acid, Palmitoleic acid, and Stearic acid. Moringa peregrina has been suggested for use for human consumption with caution until after the exclusion of the detrimental effects of phytotoxins possibly present in its products.
Impact of Smoking on Reproductive Health: A Systematic Review
Authors: Z Alanazi Fahad Saad , Alrawaili Yosef Soltan H
Published: December 2023

Background: Several research endeavours have endeavoured to evaluate the impact of smoking on the physiology of male and female reproduction. Encompassing sperm parameters, male reproductive architecture, and the male hormonal axes. However, the outcomes have been conflicting and ambiguous. Objectives: To investigate the published literature on the effect of smoking on female and male reproductive health. Methods: PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Results & interpretation: We included thirteen studies with a total of 10092 participants; 4419 (43.8%) were males, and 5673 (56.2%) were females. Smoking is a risk factor in and of itself for male reproductive health. This is more likely to explain smokers' elevated SHBG levels and differential activity of the seminal antioxidant system. These negative effects included abnormal semen motility, volume, count, and morphology. Additionally, smoking had no discernible impact on women's fertility or ovarian reserve, according to this study. More research is needed to determine whether stopping smoking can treat male infertility caused by these substances and to better understand how cigarette smoke affects both female and male fertility.
Updates on Incidence and Risk Factors of Diabetic Ketoacidosis among Adults with Type 1 Diabetes: Systematic Review
Authors: Alanazi Omer Mohammed L , Alenezi Rahf Mohammed L , Alenezi Shahd Saud S , Alruwaili AfAf Bani H
Published: December 2023

Background: One of the most serious acute metabolic complications of type 1 diabetes (T1D) is diabetic ketoacidosis (DKA), which is characterised by acidosis, ketosis, and frequently hyperglycemia. Objectives: To summarize the recent epidemiological data and risk factors for developing DKA in adult T1D patients. Methods: PubMed, SCOPUS, Web of Science, and Science Direct were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Results & interpretation: We included eleven studies with a total of 104388 participants, and 52733 (50.5%) were males. The incidence of DKA in patients with T1D ranged from 2% to 64.8%. Risk factors for developing DKA included non-adherence, alcohol, higher HbA1c levels, longer-term diabetes, teenage age group, female gender, associated comorbid conditions, and intake of fat and carbohydrates. It's interesting to note that despair, drug misuse, and social deprivation are prevalent among DKA patients who are admitted. Consuming fibre and using freeStyle Libre protected T1D patients from developing DKA. Future research is obviously needed to provide a more comprehensive description of the epidemiology of DKA among adult T1D patients.
Empowering vulnerable Somali Girls and Women - a narrative on the role of education for health and development
Authors: Aden Mohamed Ahmed , Majani Farouk , Aden Jamila , Bile Khalif Mohamud , Lundmark Barbro , Wall Stig
Published: December 2023

Promoting the education of girls and young women is a powerful strategy for empowering them in societies influenced by traditional patriarchal cultural norms. Hawa Aden Mohamed, a Somali educator, has been urging action on women's rights for over twenty years. Following years of exile during civil unrest, she returned to her homeland in 1999 and established the Galkayo Education Centre for Peace and Development, a non-government organisation committed to strengthening the capacity of girls and women to advocate for fundamental human rights such as gender equality in education and health, and protection from abusive practices such as female genital mutilation.

Within this narrative, the voices of Mama Hawa, current and former students and their mothers, school officials and local government representatives connect to tell the compelling story of this inspirational Somali-based Centre.

This may serve as a catalyst for nurturing girls’ education and create an enabling environment for pivotal engagement in Somalia’s national development and the pursuit of human rights. Somali leaders at all tiers of governance, civil society organisations, educational institutions, the private sector, the wider communities, and international partners are urged to work to make gender equality and the empowerment of girls and women through education, a central theme for achieving all the Sustainable Development Goals.
Penggunaan Gadget dan Aktivitas Dalam Menggunakan Media Sosial Terhadap Perilaku PPKN Peserta Didik SMK
Authors: Sembung Misyela Prisilia , Lumapow Harol Reflie , Rotty Viktory Nicodemus Joufree
Published: December 2023

Penelitian ini bertujuan untuk mendeskripsikan hubungan penggunaan gadget dan aktivitas penggunaan media sosial terhadap perilaku belajar PPKN. Guru perlu mengetahui dan memahami metode belajar siswa serta membimbing pendidikan tentang penggunaan media sosial bagi siswa agar tidak berdampak negatif terhadap perilaku belajar siswa. Penelitian ini diterapkan melalui metode kuesioner melalui media kuesioner kepada responden. Responden yang dijadikan sampel adalah siswa SMK se- Kecamatan kelas Nongsa. Teknik yang digunakan penulis adalah penelitian Casual-Comparative. Merupakan teknik penelitian yang permasalahannya ditandai dengan adanya korelasi sebab akibat antara variabel bebas dan variabel terikat (Indriantoro & Supono, 1999). Metode penelitiannya adalah kuantitatif. Setelah mengumpulkan hasil dari responden, selanjutnya penulis melakukan kualitas data dengan bantuan software SPSS24 dan hasil SPSS24 yang penulis gunakan disimpulkan ada hubungan signifikan atau tidak dari variabel yang diteliti. Kesimpulan dari penelitian ini adalah penerapan metode pembelajaran aktif, pedoman pendidikan dan peraturan sekolah tentang penggunaan gadget dan penggunaan media sosial yang baik pada siswa mempunyai hubungan yang signifikan terhadap perilaku belajar pada siswa di PPKn sekolah. Penggunaan gadget mempunyai pengaruh yang sangat besar terhadap perilaku belajar dalam hal sikap mengumpulkan tugas dengan cepat.
Cuidado de la vida un reto para el mundo, investigaciones y experiencias en salud pública
Authors: Monteagudo Piqueras Olga , Contreras Rodríguez Claudia del Rocío , Ávila Ávila María Nieves , Carmona Urueña Sandra Patricia , Bermúdez Niño Yolanda , Rojas Martínez María Victoria , Cantor Caicedo Tatiana Carolina , Dimaté Villalobos Yensy Katherine , Garnica Navarro Danna , Demorest Shanda , Bermúdez Valdés Marcela Alejandra , Martínez Pinzón Floralba , Sánchez Vilma Katherine , Tamayo Ortíz Marcela
Published: December 2023

El marco sanitario de España está determinado por la Ley General de Sanidad (lgs), Ley 14/1986, en la que el primer principio general estipula que: “Los medios y actuaciones del sistema sanitario estarán orientados prioritariamente a la promoción de la salud ya la prevención de las enfermedades” (25 de abril de 1986). Ello supone una concepción integral de la salud, por lo que estos servicios han de incorporar las acciones de promoción de la misma y de prevención de las enfermedades, de igual modo que de las asistenciales, las curativas, las rehabilitadoras o los cuidados paliativos. Así mismo, la lgs establece el Sistema Nacional de Salud (sns) de España, una sanidad pública prestada en condiciones de universalidad, equidad, gratuidad en el acceso so y financiada por los impuestos, conformado por 17 servicios regionales de salud y cuya coordinación general corre a cargo del Estado, a través del Consejo Interterritorial y mediante la elaboración de Estrategias del sns. Estas estrategias abordan di diferentes problemas de salud, la más reciente es la Estrategia de Detección Precoz, Vigilancia y Control de covid-19
Manual silla de ruedas para rugby
Authors: Barrero Malagón Diana Yaquelin , Vargas Cañón Jonathan Steven
Published: December 2023

En el escenario dinámico actual, donde la inclusión y la accesibilidad son valores fundamentales, el rugby en silla de ruedas destaca como un deporte crucial para promover la igualdad de oportunidades, independientemente de las capacidades físicas. Este manual busca proporcionar un enfoque detallado para diseñar sillas de ruedas específicamente adaptadas para el rugby en silla de ruedas, fusionando precisión técnica y creatividad. El diseño debe permitir a los deportistas alcanzar su máximo potencial en el campo, considerando la intensidad del contacto en este deporte. Aspectos clave, como la estructura, las ruedas, el sistema de propulsión y la resistencia, se exploran a lo largo del manual. La seguridad y la ergonomía son prioritarias, asegurando un rendimiento óptimo y minimizando el riesgo de lesiones.
A Health Economic Analysis Exploring the Cost Consequence of Using a Surgical Site Infection Prevention Bundle for Hip and Knee Arthroplasty in Germany
Authors: Saunders Rhodri , Torrejon Torres Rafael , Reuter Henning , Gibson Scott
Published: December 2023

Background: According to the European Centre for Disease Prevention and Control, surgical site infections (SSIs) constitute over 50% of all hospital-acquired infections. Reducing SSIs can enhance healthcare efficiency. Objective: This study explores the cost consequences of implementing an SSI prevention bundle (SPB) in total hip and knee arthroplasty (THKA). Methods: A health-economic model followed a cohort of THKA patients from admission to 90 days postdischarge. The perioperative process was modeled using a decision tree, and postoperative recovery and potential SSI evaluated using a Markov model. The model reflects the hospital payers’ perspective in Germany. The SPB includes antimicrobial incision drapes, patient warming, and negative pressure wound therapy in high-risk patients. SSI reduction associated with these interventions was sourced from published meta-analyses. An effectiveness factor of 70% was introduced to account for potential overlap of effectiveness when interventions are used in combination. Sensitivity analyses were performed to assess the robustness of model outcomes. Results: The cost with the SPB was €4274.32 per patient, €98.27, or 2.25%, lower than that of the standard of care (€4372.59). Sensitivity analyses confirmed these findings, indicating a median saving of 2.22% (95% credible interval: 1.00%-3.79%]). The SPB also reduced inpatient SSI incidence from 2.96% to 0.91%. The break-even point for the SPB was found when the standard of care had an SSI incidence of 0.938%. Major cost drivers were the cost of inpatient SSI care, general ward, and operating room, and the increased risk of an SSI associated with unintended, intraoperative hypothermia. Varying the effectiveness factor from 10% to 130% did not substantially impact model outcomes. Conclusions: Introducing the SPB is expected to reduce care costs if the inpatient SSI rate (superficial and deep combined) in THKA procedures exceeds 1%. Research into how bundles of measures perform together is required to further inform the results of this computational analysis.
A tecnologia digital como mecanismo auxiliador no envelhecimento ativo no século XXI
Authors: Lima Josiane Cardoso , Félis Keila Cristina , Moraes Filho Iel Marciano de
Published: December 2023

Objetivo: Analisar os efeitos benéficos do uso da tecnologia digital no envelhecimento ativo, considerando o contexto pós-pandemia Sars-Cov-2-covid-19. Além disso, pretende-se identificar as vantagens e desvantagens do uso dessas tecnologias pelas pessoas idosas no mundo contemporâneo. Método: estudo descritivo, tipo análise teórico reflexiva, desenvolvido a partir de duas questões norteadoras relacionados à temática, subsidiado por levantamento bibliográfico, considerando publicações pertinentes à temática, disponíveis nas bases de dados do Portal Regional da BVS, Portal de Periódicos Capes, SciELO e Pubmeb. por meio dos descritores controlados DECS /MeSH. Resultados: as TIC’s estão desempenhando um papel crucial na vida das pessoas idosas, melhorando a comunicação, promovendo a saúde, facilitando o aprendizado e proporcionando um acesso mais fácil à informação e aos cuidados médicos. Conclusão: a tecnologia digital é um mecanismo auxiliador no envelhecimento ativo; quando bem implementado pode trazer mais vantagens do que desvantagens.