bluuebunny/crossref_metadata_2025 huggingface dataset:
A Reconsideration of the Human Condition through Tagore’s Red Oleanders: Slavery and the Prospect of Freedom
Authors: Karthik Raja P , Sukumar E
Published: April 2024

The aim of this study is to examine how Rabindranath Tagore’s 1925 play Red Oleanders presents the human situation. Yaksha Town, a made-up community where everyone is a slave to the system, serves as the backdrop for the play. Through a thorough examination of Yaksha Town’s circumstances, the article first highlights how a totalitarian society robs each character of freedom and happiness before looking at how each character bears personal responsibility for their imprisonment within the system. The play’s protagonists’ story of captivity is also a story of humanity as a whole, since Tagore wants to depict the real world through the town’s condition. This essay additionally aims to clarify the playwright’s assertion that nature, not the propinquity of a materialistic system, is the means by which humanity might be freed from all forms of societal and personal bonds. Marxist and Existentialism theories are used to frame the entire conversation.
Examining Family Expectations and Gender Roles in Silence and Subjugation in Shashi Deshpande That Long Silence
Authors: Geerthana A , Jayanthi S
Published: April 2024

This paper aims to attempt readers how to follow their dreams and never give up. In light of gender inequality, the article title That Long Silence aims to portray the predicament of women character, the protoganist Jaya inside a certain societal structure, expectations, and traditions. Furthermore, the That Long Silence which was written by Shashi Deshpande describes the life of a married, educated, writer named Jaya in her novel. She ought to be able to use her writing as a means of providing answers to the issues that women in society confront. Despite her education, Jaya is compelled by society and family to write according to socital frame it means she does not speak out against the injustices that she must submit to in order to fit in. The present research article focus on gender role in Indian society.
Auxiliary Verbs as Building Blocks: Integrating them into Language Proficiency Development Programs
Authors: Gnanapriyadharshini S , Ragupathi K
Published: April 2024

This paper explores the role of auxiliary verbs in English language teaching (ELT) and their impact on language acquisition. It examines how auxiliary verbs facilitate various aspects of language learning, including grammar, syntax, and communicative competence. Analysing the theoretical framework of auxiliary verbs in ELT practically in language teaching, it aims to provide the insights of various effective pedagogical approaches for integrating auxiliary verbs into language instruction. Furthermore, it discusses challenges and strategies for teaching auxiliary verbs to learners of different proficiency levels and linguistic backgrounds, and also underscores the important role of ELT in fostering effective communication skills and promoting intercultural understanding in today’s globalized world.
Reducing the time of hospitalization of patients with the use of clinical and diagnostic parallels in the diagnosis and treatment of cystic formations of the jaws
Authors: Yaremenko A.I. , Chariev R.H. , Kovalev M.I. , Kutukova S.I. , Artemenko K.L.
Published: April 2024

The aim of the study was to study the peculiarities of diagnosis and treatment of cystic formations of the jaws, taking into account clinical and radiation parallels and a comparative analysis of the effectiveness of the treatment according to the criterion of the duration of the postoperative period.
Material and methods. The medical histories of 112 patients of the main and 112 patients of the control groups who were treated at the Clinic of Maxillofacial Surgery of the I.P. Pavlov Moscow State Medical University of the Russian Federation were retrospectively studied. In the main group, cone-beam computed tomography was performed during diagnosis and treatment, extended X-ray parameters and densitometry parameters were studied. In the control group, these indicators were not evaluated.
Results and discussion. In the course of the study, a comparative analysis of the shapes, localization, structure, size of cystic formations of the jaws, the methods of surgical intervention used, as well as an analysis of the effectiveness of the treatment of patients in the main and control groups was carried out using the postoperative period as the main indicator characterizing the wound healing process as a criterion of effectiveness.
Conclusions. The analysis of the clinical course of the disease, the applied treatment methods and X-ray signs carried out during the study made it possible to identify four clinical and radiation forms in the examined patients: granuloma, cystic granuloma, residual cyst, intracinus cyst.
The treatment of patients in the main group with cone beam computed tomography (CBCT) and orthopantomography (OPTG) and a detailed analysis of radiological parameters for patients with cystogranulomas, residual cysts, and intracinus cysts was more effective in terms of the duration of the postoperative period com-pared with the control group. The clinical and radiation form of chronic granulomatous periodontitis did not show a difference in the duration of hospitalization when comparing the main and control groups of the study.
A culinária judaico-marroquina em Terra úmida, de Myriam Scotti, e em Terra da promissão, de Sandra Godinho
Authors: Silva Alessandra Conde da
Published: April 2024

Este artigo discorre sobre o valor poético das referências culinárias judaico-marroquinas presentes em dois romances da literatura da Amazônia: Terra úmida de Myriam Scotti e em Terra da promissão de Sandra Godinho. Na apresentação geral dos dois romances, é possível listar as referências feitas pelos narradores, evocando recordações da infância, como se vê em Terra da promissão ou registros memorialísticos da tradição, como se pode perceber em Terra úmida. Para o desenvolvimento do trabalho utilizaremos os estudos de Rene Girard (1990; 2009), Samuel Benchimol (2008), Umberto Eco (2010), entre outros.
PERSEPSI DAN PERAN PENGUNJUNG TERHADAP PENGELOLAAN HUTAN KOTA PATRIOT BINA BANGSA KOTA BEKASI
Authors: Sihaloho Cristina Lestary , Saroinsong Fabiola Baby , Kalangi Josephus I.
Published: April 2024

This research aims to find out the perception and role of visitors to management in the Patriot Bina Bangsa City Forest (PBBCF) of Bekasi city. The study was conducted from October to November 2021. The selection of respondents was conducted by a simple random sampling method of 97 respondents. The data used is primary data and secondary data. Primary data is collected through questionnaires that have been filled out by visitors who deliberately make visits and visits in 2021. Secondary data was obtained through the Service Technical Execution Unit (STEU) of the PBBCF Bekasi City. Secondary data is also obtained through books obtained from local bookstores and the internet through google scholars in the form of books, journal articles, and thesis related to this research topic, namely the perception and role of visitors to the management of PBBCF Bekasi City. The results of this study showed that the perception of visitors to the management of PBBCF Bekasi City belonged to the category of good (69.62%). This is supported by good activity comfort (73.4%) as well as hard element facilities (66.45%) and soft elements (75.05%) which are good. Visitors already take roles in maintenance roles (81.76%), planning roles (31.6%) as well as roles in development (27.8%).
IDENTIFIKASI PETANI KELAPA DI KELURAHAN BEO TIMUR KECAMATAN BEO KABUPATEN KEPULAUAN TALAUD
Authors: Rompah Joseph Lorens , Manginsela Elsje Pauline , Baroleh Jenny
Published: April 2024

The purpose of this study was to identify the characteristics of coconut farmers in Beo Timur Sub district, Beo District, Talaud Regency. The research was conducted from November 2021 to January 2022, The data used in this study are primary data and secondary data and then analyzed descriptively. The results showed that the coconut farmers in Beo Timur Sub District had an average age of 47 years (81.48 percent). Most coconut farmers have an education level of highscool and Bachelor's as many as 11 people or 40.74 percent. With 5 years of farming experience (59 percent). Coconut farmers have other jobs, namely as fishermen, carpenters and coolies (48 percent), civil servants, shop entrepreneurs, credit counters, motorcycle taxis. Coconut plantations are mostly planted with other crops, namely cloves and nutmeg (67 percent). Some coconut farmers plant rambutan and durian trees as well as seasonal crops such as cassava and chilies.
PERSEPSI MASYARAKAT TERHADAP LAYANAN AGEN46 MITRA PT. BANK NEGARA INDONESIA (PERSERO) TBK DI KABUPATEN MINAHASA UTARA
Authors: Koontud Selly Precillya , Tilaar Wenny , Pangemanan Paulus Adrian
Published: April 2024

This research was conducted to analyze the public's perception of the services of Agen46 Partner of PT. Bank Negara Indonesia (Persero) tbk in North Minahasa Regency. The analysis used in this research is Likert scale analysis. This type of research is qualitative research. The data used in this study are primary data and secondary data. The population in this study is 46 BNI agents in North Minahasa Regency with a total of 50 agents46. The research sample was 11 BNI 46 agents who were taken by purposive sampling method with 55 respondents who used the services. The research time is for 3 months from February to April 2022. The results show that the index number of public perceptions of the services of agents 46 partners of PT. Bank Negara Indonesia tbk is very good at helping people in the North Minahasa district to reach financial services and more and more community groups in various regions in Indonesia including North Minahasa District are using banking financial services.
Examination of load effects of an alternating current synchronous hydraulic drive
Authors: Fekete Tamás
Published: April 2024

Alternating current hydraulic systems can be divided into two large groups based on the electrical analogy: synchronous alternating current hydraulic drives and asynchronous alternating current hydraulic drives. The three main building units of alternating current systems are a hydromotor, a hydrogenerator and a phase space connecting the two main units. The relative angular position of the hydrogenerator and the hydromotor is changed by the loads occurring during operation. In this article I would like to present the load effects.
ADHERENCE TO TUBERCULOSIS PREVENTIVE THERAPY IN PEOPLE LIVING WITH HIV/AIDS.
Authors: Simwaka Miyanda , Chongwe Gershom
Published: April 2024

Introduction: Tuberculosis is one of the leading causes of morbidity worldwide. About 23% of the worlds' population has been estimated to have
latent TB infection (LTBI). Treatment for LTBI with Isoniazid is an important strategy if TB is to be eradicated by 2050.Methods: Afacility based
cross-sectional study conducted in ve urban health clinics in Lusaka between January and April, 2020. HIV positive adults on Isoniazid
systematically selected and interviewed using structured questionnaires. Data entered in excel and imported into STATA version 14 for analysis.
Descriptive statistics and Logistic regression analysis utilised.Results:A total of 320 respondents were included in the study. The seven day selfreported adherence rate was 81·1%. The most frequent reasons for ever missing a pill were that the patient forgot to take their medication (9·69%,
N=31), were away from home and forgot to carry the drugs (9·69%, N=31) or ran out of medication (7·19%, N=23).Those that took isoniazid for 2
to 4 months were less likely to be non-adherent compared to those who had taken it for less than 2 months (aOR:0·31, CI:0·12, 0·74, p=0·011).
Patients who experienced side effects such as vomiting and peripheral neuropathy were more likely to be non-adherent compared to those who did
not have side effects (aOR:11·40, CI:1·95, 66·7, p=0·01) and (aOR:3·73, CI:1·14, 12·17, p=0·03) respectively. Having an excellent social support
reduced the odds of being non-adherent compared to those who had very poor social support (aOR: 0·11, CI: 0·02, 0·72, p=0·02).
Interpretation:Self-reported adherence to INH was high. Factors associated with poor adherence included shorter duration on INH and side
effects. An excellent social support was associated with good adherence
A STUDY ON HEAVY METAL CONTENT IN MAIZE FLOUR IN INDIA
Authors: Mukherjee Ashish , Sharma Manvi , Senapathi Anup K
Published: April 2024

Maize our, a key cereal grain, lacks comprehensive reports on heavy metal content. This study assessed lead (Pb) and copper (Cu) concentrations
in maize our from diverse Indian regions. Among 31 samples, lead ranged from 0.0219 ppm to 1.8102 ppm, with 26 samples below detectable
levels. Five samples met permissible limits set by the Food Safety and Standards Authority of India (FSSAI). Copper ranged from 0.0158 ppm to
8.0121 ppm, with 14 samples below detectable levels. All samples complied with FSSAI's permissible copper limit. Overall, the study concludes
that maize our from various Indian regions is safe for human consumption regarding lead and copper content, aligning with FSSAI guidelines.
CONTRIBUTION OF PATIENT CO-MORBIDITIES IN THE DEVELOPMENT OF TOURNIQUET BULLAE FOLLOWING LOWER LIMB SURGERIES.
Authors: Nwachukwu AC , Nwachukwu CC , Ezeadim SU
Published: April 2024

After total knee arthroplasty (TKA), skin blistering remains a notable but rare complication, with multifactorial causes including patient
characteristics, surgical techniques, and wound dressings. This study aimed to investigate the inuence of patient factors, particularly comorbidities, on blister formation at the tourniquet site during TKA. Methodology: A cohort of 46 consecutive patients underwent lower limb
surgeries with a pneumatic tourniquet, and their demographic, clinical, and surgical data were collected for analysis. Result: The result revealed
that approximately 41.3% of participants experienced blisters, categorized as mild, moderate, or severe. The majority of patients with blisters
exhibited a statistically signicant difference in age, being younger and having higher values in weight and mid-thigh circumference compared to
those without blisters. High systolic blood pressure towards the end of surgery also showed a statistically signicant relationship with blister
formation. Gender distribution, diagnosis, and the presence of known co-morbidities did not show signicance with blister formation.
Conclusion: This study shows that younger age, higher mid-thigh circumference, increased weight, and higher systolic pressure at the end of
surgical procedure predispose to tourniquet blisters in patients undergoing total knee arthroplasty study. It provides valuable insights for clinicians
in optimizing patient outcomes and preventing complications associated with skin blistering in TKAprocedures.
GRANULAR CELL ASTROCYTOMA: AN UNUSUAL CASE AND REVIEW OF THE LITERATURE
Authors: Sonmez omer , Baykal Duru , Fikret Sonmez Osman , Sav Aydın
Published: April 2024

We present a case of a 51-year-old woman with no signicant medical history who presented with seizures and weakness in the left extremities.
Imaging revealed a well-dened mass in the right temporoparietal junction. She underwent an emergency craniotomy, and entire mass was
removed. Microscopic examination revealed a granular cell astrocytoma with focal anaplastic changes. Immunohistochemical staining showed
GFAP (+), EMA (+), CD68(+), S100(+), CD34(+), synaptophysin (-) and NFP that supported the inltrative nature of tumor. Ki-67 proliferative
index was 30%. Mitotic index was 2-3/HPF. No adjuvant therapy was administered. In the follow-up period a tumor mass was resident in the right
frontal lobe, which was evaluated as a residual tumor. The patient underwent a second craniotomy and was started on a chemo-and radiotherapy.
A STUDY ON BREASTFEEDING AWARENESS AMONG POSTNATAL MOTHERS WHO DELIVERED IN CIVIL HOSPITAL, AHMEDABAD
Authors: Minesh Shah Rushita , Mehta Sanchit , Agarwal Shrishti , Patel Vansh , Kalpesh Baxi Rajvi , kumar Devmorari Sahil Kaushik , Bhatt Shailja
Published: April 2024

Anewborn's rst diet should be human milk since it gives them all the nutrients they need and lowers their risk of infection. After the baby is born,
the postnatal period lasts for six months. To gauge postpartum mothers' awareness of breastfeeding. Once informed consent was obtained,
information was gathered for statistical analysis, myths were eliminated, and a questionnaire was given out. Only 42% of women knew how
frequently to breastfeed, and about 45% were aware of expressed milk. In contrast, nearly 98% of women knew how long exclusive breastfeeding
should last. Even if awareness is growing, methods such as health care, media, school curricula, etc. still need to be put into place to further raise the
awareness.
A SERIES OF CASE STUDIES ON KERATOMYCOSIS BY CURVULARIA LUNATA
Authors: Prerna Prerna , Sondhi Aditi , Anand Kavita Bala
Published: April 2024

Purpose: Observations: To know the clinical presentation, laboratory diagnosis, and management of fungal keratitis which is a rare clinical entity.
Fungal keratitis due to Curvularia lunata was diagnosed in three patients with no known comorbidities who presented with complaints of foreign
body sensation and redness of the eye to Ophthalmology OPD. History of trauma was present in only 2 cases. Corneal ulcer with conjuctival
congestion was found on examination in all cases. Lab diagnosis was done using growth characteristics and microscopy. Topical 5% Natamycin
and 1% Voriconazole were effective for treatment resulting in minimal residual scar. Keratomycosis i Conclusion: s one of the major causes of
corneal blindness in tropical and subtropical countries. It is a rare eye infection and can be under-diagnosed, thus, clinicians need to maintain a high
suspicion for it. To avoid severe complications, direct microscopic examination and culture are essential for an early specic diagnosis and
treatment.
SYNTHESIS AND CHARACTERIZATION OF CHITOSAN-COATED Fe2O3-Ag2O-TiO2 NANOPARTICLES AND PHOTOCATALYTIC DEGRADATION OF PESTICIDE RESIDUES IN DIFFERENT PH WATERS UNDER NATURAL CLIMATIC CONDITIONS
Authors: Ramaraju K. , Nageswara Rao Tentu , Manohra Naidu Tentu , Prashanthi Y.
Published: April 2024

The study focuses on the synthesis and characterization of chitosan-coated Fe2O3-Ag2O-TiO2 nanoparticles for environmental remediation.
These nanoparticles have been identied as promising due to their high surface area and reactivity. Chitosan, a biocompatible polymer, is used to
stabilize and enhance the photocatalytic activity of iron oxide, silver oxide, and titanium dioxide nanoparticles. The research, conducted in borosil
glass bottles under sunlight, aims to determine optimal conditions for the degradation of pollutants. The efciency of the process is highlighted by
using a 0.1 percent concentration of catalyst for complete degradation. High-Performance Liquid Chromatography with a Photodiode Array
detector (HPLC-PDA) is used to analyze the thiophanate in different pH waters, allowing for precise calculations of the rate constant and the time it
takes for 50% of the compound to degrade (DT50).
A SYSTEMATIC SUMMARY OF S. NIGRUM PHYTOCHEMISTRY, WIDESPREAD USE AS A FOOD IN MANY COUNTRIES AROUND THE WORLD, EXTENSIVE USES IN TRADITIONAL MEDICINES, PHARMACOLOGICALACTIVITY, AND APPLICATION AND SAFETY AS A FOOD SUPPLEMENT.
Authors: Wakema Michael
Published: April 2024

Within the genus Solanum (Solanaceae family) over 2,000 species
exist which are distributed throughout the world and includes foods
such as tomatoes, potatoes, and aubergines (1,2). The family member,
Solanum nigrum (S. nigrum) the European blackberry nightshade or
black nightshade is native originally to Eurasia and was later
established in the Americas, Africa and Australasia. Whereas the
cooked leaves and ripe berries of edible strains are frequently used as
ingredients in foods, traditional medicine and as food supplements the
plant is sometimes confused with the toxic deadly nightshade (Atropa
belladonna) a member of another Solanaceae genus. The entire plant
of S. nigrum has benecial detoxication effects of detoxication and
has been commonly used for thousands of years (3). Recently, research
has identied that the plant is rich in in steroidal alkaloids and saponins
as well as organic acids, avonoids, polysaccharides, and other
compounds of interest which have been demonstrated to deliver
numerous health benets including likely immunomodulatory,
antitumor, anti-inammatory, antioxidative, neuroprotective and
hepatoprotective effects.
Authors: Ramadhanna Ramadhanna , Sari Yuniva , Ramadhinna Ramadhinna , Safitri Desy Yana , Siswanto Arik , Saefullah Aep , Siregar Fuad Gagarin
Published: April 2024

Tujuan penelitian ini untuk mengetahui pengaruh lingkungan pendidikan dalam mengembangkan kewirausahaan mahasiswa STIE Ganesha. Penelitian dilakukan selama 2 bulan di bulan Oktober dan Novemver 2023 kepada 30 mahasiswa STIE Ganesha. Metode yang digunakan yakni kualitatif deskriptif. Data dikumpulkan melalui studi literatur wawancara dan observasi. Hasil menunjukkan lingkungan kampus dapat menumbuhkan jiwa kewirausahaan di kalangan mahasiswa. Peran institusi dan dosen sangat penting dalam menumbuhkan kembangkan minat bakat wirausaha mahasiswa. Ganesha Lab Prenuer sebagai lembaga pusat kewirausahaan turut berperan meningkatkan miliu kewirausahaan mahasiswa. Strategi yang dilakukan oleh pihak kampus berupa bimbingan dan pendampingan di dalam dan luar kelas, pemetaan mahasiswa, ketrampilan kewirausahaan dan formalisasi komunitas mahasiswa wirausaha.
Authors: Fitria Tifany Anis , Riskayanto Riskayanto , Hisayatullah Maulana Syarif
Published: April 2024

Penelitian ini bertujuan untuk mengetahui pengaruh Inflasi dan Nilai Tukar Terhadap Jakarta Islamic Index. Metode yang digunakan dalam penelitian ini adalah kuantitafif, teknik analisis data dalam peneltian ini mengguanakan analisis regresi linear berganda dan teknik pengambilan sampel menggunakan teknik purposive sampling. Penelitiian ini berfokus pada variabel makroekonomi, khususnya inflasi dan nilai tukar USD/IDR, terhadap JII selama periode Januari 2020 hingga Desember 2022. Hasil penelitian ini menunjukkan bahwa secara parsial, Inflasi (X1) memiliki pengaruh positif signifikan terhadap Jakarta Islamic Index, sementara Nilai Tukar (X2) memiliki pengaruh negatif terhadap Jakarta Islamic Index. Secara simultan, kedua variabel tersebut juga berpengaruh terhadap Jakarta Islamic Index yang dilihat pada nilai signifikan nya sebesar 0,00 < 0,05.
Using Blended Learning with eduAI to Improve Vietnamese University Students' Learning Experiences
Authors: Le Thai Hoang , Tran Hai Son
Published: April 2024

This study investigates how to improve Vietnamese learners' learning experiences by utilizing the benefits of blended learning systems in conjunction with eduAI technology. This paper presents an innovative way to enhance students' learning capabilities and the quality of their education through the implementation of an actual case study. The creation of flexible and efficient e-Course development requires the unwavering backing of information technology. Here, artificial intelligence technology called eduAI has helped teachers by offering a particular eight-part model that will guide and support them as they create e-courses that adhere to the Blended Learning model.
Virtual Dissection Table: A Supplemental Learning Aid for Head and Neck Anatomy in a Physical Therapy Program
Authors: Rosario Martín G.
Published: April 2024

Although cadaver dissection and prosection are considered essential techniques for studying anatomy, their effectiveness is hindered by the use of flat, 2-D structures in didactic portions of anatomy courses. The limitations of this particular method can greatly hinder students' comprehension and grasp of anatomy, ultimately limiting the overall effectiveness and quality of the teaching and learning experience (TLE). In order to enhance the TLE and improve students' understanding of gross human anatomy, there are a variety of tools that can be utilized, including 3-D virtual anatomy applications and anatomical models. These resources provide a visual and interactive approach to learning, allowing for a more comprehensive understanding of the complex structures of the human body. The Anatomage, a virtual anatomy dissection table (VDT), is a highly sophisticated advancement that enables the dissection and prosection of the human body and its segments. The primary objective of this research project is to delve into integrating a VDT into a physical therapy anatomy course for a complex topic like head and neck, with the aim of enhancing the TLE and comprehension of anatomical concepts of said area. The methods encompass the inclusion of the VDT as an extra dissection table within the cadaver lab setting. Each group of scholars was given the responsibility to locate and study the assigned anatomical configurations and dissections on the VDT, specifically for their designated topic. Based on the results of our study, it can be inferred that there have been improvements in knowledge retention among students after the introduction of the VDT in the cadaver dissection segment of the course for head and neck. As a result of our research and analysis, we have come to the conclusion that the VDT is an exceptional tool that should be implemented in anatomy courses to help students understand intricate anatomical structures. The integration of the VDT is an essential and crucial step in the process of assimilating and applying human anatomy knowledge for students pursuing careers in the healthcare field.
Identify Common Risk Factors Associated with Intrauterine Fetal Death (IUFD): A Cross-sectional Study
Authors: Moni Most. Tahera Akhter , Reshma Ismat Jahan , Rumman Reshat
Published: April 2024

Background: The definition of stillbirth recommended by WHO for international comparison is a baby born with no sign of Life at or after 28 weeks gestation. Aim of the study: The study aims to identify common risk factors associated with IUFD in Gaibandha 250 Bedded District Hospital, Gaibandha, Bangladesh. Methods: This Cross-sectional study was conducted at the Department of Gynecology & obstetrics, Gaibandha 250 Bedded District Hospital, Gaibandha, Bangladesh. participant was recruited retrospectively from medical records spanning one year from March, 2023 to Feb 2024. Result: The study involves 75 participants, predominantly aged 21-30 (57.90%) with primary education (55.00%). Most are housewives (65.50%) with average income. Pregnancy experience varies, with 2-3 pregnancies being the most common (36.40%). Most have normal systolic blood pressure (81.80%) and mild anemia (78.40%). Obstetric history includes abortion (18.20%) and IUFD (13 patients). Regular antenatal care (63.60%) is prevalent. Gestational age is >36 weeks for 37% of cases. Birth weights range primarily from 1-2kg (39%). Maternal factors contribute significantly to intrauterine fetal demise (IUFD), including chronic hypertension, pre-eclampsia, and premature rupture of membranes (PROM). Conclusion: The findings underscored the significant impact of maternal, fetal, and socio-demographic variables on IUFD incidence. Maternal factors such as hypertension and pre-eclampsia emerged as significant contributors, alongside fetal and cord-related issues. Socioeconomic disparities and inadequate antenatal care underscored the importance of holistic healthcare interventions to mitigate IUFD risks.
The Outcome of Combined Induction of Labor in Post Dated Pregnancy
Authors: Jebunnaher Jebunnaher , Sultana Raffat , Podder Subarna , Akhter Mst. Sabina , Shammi Tahmina Khan
Published: April 2024

Introduction: Postdated and prolonged pregnancy are accepted terms by WHO and the International Federation of Gynecology and Obstetrics to describe pregnancy beyond dates (expected date of delivery). It complicates up to 10% of all pregnancies and carries an increased risk to the mother and fetus. This study aimed to analyze the outcome of combined induction of labor in post-dated pregnancy. Methods: This prospective interventional study was conducted at the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Bangladesh, from March 2013 to August 2013. A total of 50 patients with post-dated pregnancies were selected as study subjects by purposive sampling technique. In this study, 34.0% of patients' labor induction was given by oxytocin drip followed by ARM, and 20.0% of patients' labor induction was given by ARM followed by oxytocin drip. In 46.0% of patients with an unfavorable cervix, prostaglandin was used followed by ARM. Collected data were analyzed using different methods of statistics. Statistical analyses were carried out by using the Statistical Package for Social Sciences version 20.0 for Windows. Result: It was observed that intrapartum fetal distress occurred in a total of 12 babies. 10 babies needed resuscitation and 40 babies needed no resuscitation. In this series, among the healthy babies majority (20) were born at 40 completed weeks of gestation, 18 babies at 41 completed weeks, and 2 babies were born at 42 completed weeks of gestation. Among the asphyxiated baby 6 babies were borne at 42 completed weeks of gestation, no one at 41 completed weeks, and 2 asphyxiated babies were borne at 40 completed weeks of gestation. All babies with other complications like LBW, birth trauma, and post-maturity syndrome. Conclusion: This study concludes most frequent indication was fetal distress and unfavorable cervix in postdated pregnancy. Abnormal uterine action and asphyxiated baby were the more frequent maternal and fetal complications respectively. A small number of LBW, birth trauma, and post-maturity syndrome were observed but no maternal and fetal death was found in this study.
A Case Report of Successful Treatment of Squamous Cell Carcinoma with Excellent Esthetic Results
Authors: Massnaoui Ayoub El , Amraoui Sami , Sellal Nabila , El Hfid Mohamed
Published: April 2024

This case report describes the successful treatment of a squamous cell carcinoma (SCC) of the lip with brachytherapy in a 36-year-old man. The patient presented with a 03 cm ulcerated lesion on the lower lip classified as T2N0, which biopsy confirmed to be SCC. Due to the location of the lesion and the patient's preference for minimally invasive treatment, brachytherapy was chosen. The patient received 40.05Gray, 4.5 Gray per session in 09 sessions. Follow-up examinations showed complete resolution of the lesion with minimal adverse effects. This case highlights the efficacy, tolerability and good esthetic result of brachytherapy in the treatment of SCC of the lip.
Socio-Demographic Characteristic of Low Back Pain among Nurses Working at a Medical College Hospital in Dhaka, Bangladesh
Authors: Akter Halima , Nasrin Most , Gharami Tumpa
Published: April 2024

Background: Low back pain (LBP) is recognized as a major public health problem around the world and is one of the most frequently discussed health conditions among medical professionals, particularly in the field of nursing. In addition to the nature of nursing work, body mechanics and life style factors, nurses’ socio-demographic characteristics plays a significant role in the causation of this condition. As a result, the purpose of this study was to investigate the socio-demographic characteristics of nurses so that policymakers and healthcare practitioners could gain a better understanding into the mitigation of LBP among nurses. Methodology: This descriptive cross-sectional study was conducted among 80 nurses working at Mugda Medical College Hospital, Dhaka, Bangladesh. Face to face interview was conducted through a self-administered questionnaire which had three parts relatable to socio-demographic profile, screening of musculoskeletal problems and pain intensity. Both descriptive and inferential statistics was applied through SPSS to measure the socio-demographic characteristics of nurses and other major variables. Results: Results showed that the mean age and BMI was 37.53 years and 26.77, respectively. Further, 1.68 person, 82754.72 Bangladeshi taka and 16.17 years were found as the mean number of children, family monthly income and working experiences of nurses, respectively. BMI, marital status, number of children and working experiences were found to be significantly (p<.05) associated with the low back pain. Conclusion: Regardless of socioeconomic status, all nurses experience some level of low back pain. However, BMI, marital status, job years, and the number of children all have an impact on the development of low back pain in nurses.
Gallbladder Diverticula in Chronic Calculous Cholecystitis 15-Year-Old Boy: Case Report
Authors: Alanazi Sulaiman Turki Arfaj , Alenezi Ahmed Tabaan
Published: April 2024

Background: Gallbladder diverticula have the appearance of hernia-like protrusions of the gallbladder wall. This disorder may not be diagnosed until surgically resected because it has no clinical significance unless there are associated diseases. Gallbladder pseudodiverticula have an acquired cause, multiple fundal lesions, an association with gallstones, internal saccular lesions without external hernia-like protrusions, and little to no smooth muscle in the gallbladder wall. Case Presentation: A 15-year-old boy in Saudi Arabia presented with right hypochondrial pain and dyspepsia. Imaging revealed innumerable gallstones in a distended gallbladder, indicative of chronic calculous cholecystitis. Elevated liver enzymes and coagulation abnormalities initially postponed surgery, but subsequent improvement allowed for laparoscopic cholecystectomy. Histopathological examination confirmed chronic calcular cholecystitis without malignancy. Conclusion: This case underscores the importance of recognizing and managing chronic calculous cholecystitis in adolescents promptly especially if associated with complication as pseudodiverticula. Successful treatment with laparoscopic cholecystectomy resulted in a positive outcome for the patient. Further research and case studies in this age group can enhance our understanding of the disease and optimize management strategies.
Phytochemical Profiling and Investigating of Anti-Diabetic Properties of Asparagopsis taxiformis Collected from the Bay of Bengal Bangladesh
Authors: Shohag Sheikh , Akhter Shomaya , Alim Md Abdul , Munshi Md. Farhad , Hossain Mohammad Nazir
Published: April 2024

Diabetes mellitus (DM) is a global health issue due to its prevalence and catastrophic health effects. Synthetic hypoglycemic agents can treat diabetes, but they have side effects. Therefore, natural remedies for diabetes are now gaining popularity. Marine benthic algae are rich in phytochemicals and other bioactive compounds. Inhibition of carbohydrate hydrolyzing enzymes in-vitro and lower blood glucose levels in-vivo during fasting and postprandial testing imply seaweed extracts and their bioactive ingredients may treat diabetes. This study investigated the phytochemical properties of Asparagopsis taxiformis from the southern part of St. Martin Island in Bangladesh and examined the anti-diabetic activity of its 50% ethanolic extracts in-vitro and in-vivo. After establishing traditional phytochemical presence, total phenolic and flavonoid content was estimated, and an in-vitro alpha-amylase inhibitory activity test was performed. In-vitro anti-diabetic investigation shows that 50% ethanolic extract of Asparagopsis taxiformis reduces diabetes less than acarbose. In-vivo anti-diabetic tests also showed similar results compared to the control group when their blood glucose level was measured. After 14 days of treatment with the 50% ethanolic extract of Asparagopsis taxiformis, the treated group of mice didn’t show any considerable lowering activity when their body weight, lipid profile, kidney function, and liver function (SGPT, SGOT) were compared to the control group. Though Asparagopsis taxiformis has manifold benefits, 50% ethanolic extract of this alga didn’t show any antidiabetic properties suggesting more studies in different solvents are required to evaluate the antidiabetic properties.
Evaluation the COVID-19 related posts of the Official Facebook Page of the World Health Organization
Authors: Erinç Zeynep Özün , Gökdemir Özden , Çifçi İsmail , Aygün Olgu , Balcı Umut Gök
Published: April 2024

Objective: This study aims to analyze the COVID-19-related posts on the official Facebook page of the World Health Organization (WHO). Specifically, we aim to evaluate the engagement metrics such as views, comments, shares, and reactions received by categorized posts. Additionally, we seek to identify the topics that generate the highest levels of engagement in terms of comments and sharing reactions.
Material and Methods: This retrospective observational research project was designed to evaluate COVID-19-related posts on the official WHO Facebook Page between March 15, 2020, and March 15 2021. The data was analyzed using IBM SPSS Statistics 25.0.
Result: 2021 COVID-19-related posts on the Official Facebook Page of the WHO (n=877) were examined. 23.7% of the shares were about protective equipment, 22.2% were about the pandemic, 12.6% were about personal protective equipment, 11.5% were about social distancing, and 10.3% were media briefings. It was observed that they were about COVID-19??, 9.9% were about syndemic, 6.5% were about vaccine, 1.9% were about medicine, 0.9% were about mutation. An examination of posts related to drugs, vaccines, and media briefings revealed that the most prevalent response was 'like'. Statistical analysis indicated that the number of 'like' reactions was significantly higher for vaccine-related posts compared to non-vaccine related posts. Conversely, the number of angry reactions was lower for vaccine-related posts than for non-vaccine related posts.
Conclusion: This study provides valuable insights into the engagement patterns of COVID-19-related posts on the official Facebook page of the World Health Organization (WHO). Our analysis highlights the prevalence of topics such as protective equipment, the pandemic, personal protective equipment, social distancing, and media briefings among the examined posts. Notably, vaccine-related posts garnered a significantly higher number of 'like' reactions compared to non-vaccine related posts, underscoring the importance of vaccine-related communication efforts. These findings emphasize the significance of accurate and informative content dissemination by authoritative institutions like the WHO during global health crises such as the COVID-19 pandemic.
An Overview of BMS Technologies in Electric Vehicles
Authors: Jena Chitralekha , Pahadasingh Sunita , Pattanaik Aneek , Das Divya , Jena Smitasree
Published: April 2024

Batteries are used extensively in high-power applications, including hybrid and electric vehicles (EVs), where the proper battery management system (BMS) is essential to the batteries' dependable and safe performance. The purpose of this study is to provide a quick overview of several important BMS technologies, such as battery charging, state estimation, and battery modelling. The most common battery types utilized in EVs are first examined, and then important BMS technologies are introduced. The most crucial step in determining the energetic range of an EV is the valuation of the electrical properties of batteries. It’s vital to apprehend the variability of battery performance characteristics in order to understand battery behavior in several environments. Finally, the performance characteristics of EV charging and batteries are analyzed to raise the demand for electric vehicles globally.
Obesity and psychiatric disorders
Authors: Karoń Katarzyna , Kozakowski Jarosław
Published: April 2024

Obesity and mental disorders belong to the most alarming health concerns in the modern era, and when they co-occur, they can pose a significant threat to patients' overall health and well-being. It has been shown that obesity increases the risk of developing psychiatric conditions, and individuals with mental illness are more likely to become obese. The relationship between psychiatric illness and weight is complex and involves multiple factors, including neurobiological, psycking it challenging for individuals to follow a healthy lifestyle. Another undisputable association between obesity and mental illness is the iatrogenic weight gain caused by psychopharmacological treatment. Managing weight in individuals with mental illness and obesity should involve prescribing weight-neutral medications for managing psychiatric symptoms, evaluation of associated comorbidities and metabolic risk factors, utilization of behavioral weight management techniques, and potentially adding weight loss pharmacotherapy if needed.
Bone metabolism disorders in endogenous Cushing syndrome
Authors: Cylke -Falkowska Karolina , Stelmachowska-Banaś Maria
Published: April 2024

Endogenous Cushing syndrome (CS) leading to an overproduction of cortisol is a major cause of secondary osteoporosis. Bone complications in CS, despite the fact that they not only reduce the quality of life, but also increase mortality, are still underdiagnosed. Hypercortisolemia results, among others,  in a reduced bone mineral density (BMD). However, an increased risk of fracture in CS may occur in bones with only a slight reduction or even normal BMD. The disease is usually insidious, prolonging the period of hypercortisolemia before diagnosis. Therefore, skeletal complications such as reduced BMD, osteoporosis and fractures are common in CS. Osteoporosis has a prevalence of 40-70%, osteopenia 80-85% and fractures 30-70% in patients with CS (1, 2). Fractures usually involve the lumbar and thoracic vertebrae, hips, ribs and pelvis as the trabecular bone is mainly affected. The most common pathogenesis of CS leading to bone lesions remains a topic of researches. Chronic hypercortisolemia leads not only to the reduction of BMD but also to changes in bone microarchitecture. Increased resorption and inhibited bone formation are the main mechanisms described in CS. Reversal of changes in bone mineral density after recovery from CS has been observed. Surgical treatment of pituitary or adrenal tumours should be the first line of treatment. However, vitamin D and calcium supplementation as well as treatment with antiresorptive drugs seems to be also essential. In this paper we presents a review of the current literature on bone complications in endogenous CS.
The consequences of growth hormone deficiency in adults
Authors: Wydra Arnika , Czajka-Oraniec Izabella
Published: April 2024

Adult growth hormone deficiency (GHD) is a result of the decreased growth hormone (GH) production and secretion from the anterior pituitary gland in adulthood, that cannot be explained by the physiological ageing process. GHD is associated with numerous deleterious consequences such as adverse changes in body composition, carbohydrate and lipid metabolism, alterations in the cardiovascular system, and deterioration in the quality of life (QoL). Most of these complications are at least partially reversible during recombinant human growth hormone (rhGH) replacement therapy. Thus, physicians and particularly endocrinologists, should consider GHD diagnosis and select patients who could benefit from rhGH therapy.
INFLUÊNCIA DA DESINFECÇÃO NA ESTABILIDADE DIMENSIONAL LINEAR DE 3 MATERIAIS DE MOLDAGEM. ESTUDO IN VITRO.
Authors: Massambani Amanda Weiss , Sanches Borges Ana Flávia , Oliveira Karla Druzian , Florindo Pereira Letícia , Campos Serra Fábio , Sartori Ivete Aparecida de Mattias
Published: April 2024

Objetivo: avaliar o efeito da desinfecção na estabilidade dimensional de três diferentes materiais de moldagem. Material e métodos: utilizando matriz específica (norma ADA.1933) foram obtidos moldes em silicone de adição, poliéter e alginato (n=60) que foram subdivididos em 6 subgrupos (I- controle (apenas lavados); II- Bacterend OX 0,5%; III- Bacterend OX 1%; IV- Bacterend OX 2%; V- peróxido de hidrogênio 1%- BlueM VI-hipoclorito de sódio 1%). Foram realizadas medidas, por um único operador calibrado, em microscópio comparador (Mitutoyo MFG. Co. Ltd., Japão), da matriz metálica e de cada espécime, em pontos determinados. As medidas foram realizadas 3 vezes e a média foi calculada. Foi utilizada a fórmula (A-B/Ax100) para cada espécime. Os dados foram tabulados e analisados estatisticamente. Para avaliar a diferença entre grupos, a variável quantitativa foi testada para distribuição normal com o teste de Shapiro-wilk. A diferença entre dois grupos foi avaliada pelo teste de Man-Withney (p<0,05) Resultados: Comparados aos grupos controle, os subgrupos II, III e V não mostraram alterações dimensionais nos 3 materiais de moldagem; os subgrupos IV (nos materiais AS e P) e todos os subgrupos VI mostraram alteração dimensional estatisticamente significantes. Conclusão Com base nos dados coletados parece lícito concluir que o ácido peracético em equilíbrio 0,5% ou 1% e o peróxido de hidrogênio 1% não promovem alterações dimensionais nos moldes em silicone de adição (VPS), poliéter (Impregum) ou alginato (Hidrogun). Ácido peracético em equilíbrio na concentração 2% não deve ser utilizado em silicones e hipoclorito de sódio 1% em nenhum dos materiais.
Theoretical studies of obtaining of glass-type finned products by reverse extrusion with active friction forces
Authors: Larin S.N. , Tregubov V.I. , Romanov P.V.
Published: April 2024

The forming process of responsible products made of high-strength alloys, accompanied by significant force loads on the tool is considered. To reduce the technological force of the operation, the forming method of hollow bodies with internal finning in the near-bottom part made of the titanium VT6 alloy under hot deformation conditions is used. The rationale for the rationality of extrusion is carried out taking into account the active friction forces provided by the movement of the die in the direction opposite to the movement of the punch in the manufacture of bodies.
Development of algorithm for selection of heat and sound insulating materials for use in press and heat-treating shops
Authors: Shibakov V.G. , Nikolaev D.Yu. , Sovkov S.A. , Mukhin A.M.
Published: April 2024

A list of the main operational and morphological properties of heat and sound insulating materials (HSIM) is selected, which makes it possible to improve the energy efficiency of production and working conditions for personnel in press and heat-treating shops. From the list properties, taking into account the range of changes in their values, classification codes are formed. The code system is used to form a task for the selection of HSIM, displaying the priority, composition and values of the operational properties required to solve a specific problem of heat and sound insulation design. The structure of the HSIM database is formed as a multi-level table, the inputs of which are also codes of operational and morphological properties of HSIM. The selection of the HSIM required by the conditions of the design is carried out from the database using a specially developed algorithm.
Environmentally friendly die casting method using horizontal pressing chamber machines
Authors: Zarubina O.A. , Zarubin A.M.
Published: April 2024

It is shown that a modern highly automated technological process as die casting is not an exception among the technological processes used in foundry production and requiring the solution of environmental problems. An environmentally friendly die casting method of aluminum alloys is considered, which ensures the reduction of harmful emissions into the environment by lubricating the working surfaces of the tooling at the closed position of the mould at the initial stage of pressing the melt into its moulding cavity.