bluuebunny/crossref_metadata_2025 huggingface dataset:
Vermelhectomia clássica como tratamento substancial para extensa queilite actínica: relato de caso
Authors: López Aline Rocha , Oliveira Mateus Ferreira de , Santos Gabriel Wállace da Silva , Melo Alessandro Antony Gomes Calixto de , Filho Luciano Schwartz Lessa
Published: December 2024

Queilite Actínica (QA) é uma reação inflamatória potencialmente maligna, com etiologia oriunda de exposição solar frequente e prolongada, acometendo majoritariamente o lábio inferior. Homens com idade superior a 45 anos, leucodermas, com atividade profissional predominantemente rural são comumente mais propensos a desenvolverem a QA. Em não havendo tratamento adequado, a condição tende a culminar em malignização. O caso relatado apresenta um paciente do sexo masculino; caucasiano; 59 anos; trabalhador rural, exibindo lesão eritroleucoplásica em toda extensão do vermelhão do lábio inferior. Possuindo como diagnóstico clínico, Queilite Actínica. O tratamento indicado e realizado foi a técnica cirúrgica da vermelhectomia clássica, que consiste na remoção parcial ou total do vermelhão do lábio. A peça coletada foi encaminhada para exame anatomopatológico, revelando como diagnóstico final “displasia epitelial severa”. Devido ao potencial de malignização da QA, é de extrema importância que o cirurgião-dentista chegue ao diagnóstico precoce, a fim de manejar o caso devidamente, evitando uma evolução maligna indesejada.
Clinical features and adherence to a gluten-free diet in patients with celiac sprue in the north-west of Algeria
Authors: Asma Remil , Nabil Bouda , Khireddine Frihi Mohamed , Sihem Ouali , Lallia Amara
Published: December 2024

This study aims to identify the predominant form of celiac sprue and the adherence to a gluten-free diet in northwest Algeria. A retrospective analysis was performed on 128 celiac patients at the Department of Gastroenterology and the association of celiac patients. The results show a female predominance with a sex ratio of 0.4. The most affected age group is the young adults (15-29 years). Lean patients represent 42.2%, normal-weight patients represent 51.6% of the study sample, and 6.3% are overweight. 47.7% of cases have a familial form of the disease. 93% underwent a biopsy for diagnosis. 60.9% of patients were not diagnosed in childhood. The main classic gastrointestinal symptoms such as Diarrhea (89.1%) and bloating (56.3%) were detected. Extraintestinal symptoms included weight loss (64.1%), weakness and fatigue (58.6%). Other biological disorders like anemia (71.1%), thyroiditis (15.6%), and type 1 diabetes (14.8%) were observed. Most celiac patients (84.4%) follow the gluten-free diet but find its application difficult. The adherence of GFD does not depend on any parameter of the study (p>0.05). The classic form predominates through a variety of gastrointestinal symptoms and extra-digestive disorders. The unavailability and high cost of imported gluten-free products are the major barriers to gluten-free diet adherence.
تأثير التدفقات النقدية على القيمة السوقية لسهم البنوك والشركات المساهمة الأردنية
Authors: خريوش حسني علي
Published: December 2024

تهدف هذه الدراسة إلى قياس علاقة التدفقات النقدية بالقيمة السوقية لسهم البنوك والشركات المالية المساهمة الأردنية، وبيان أثر سلوك التدفقات النقدية على الوضع المالي لهذه الشركات وإنجازاتها. ويقتضي ذلك تحديد المتغيرات ذات العلاقة بالتدفقات النقدية والأكثر تأثيراً على سعر السهم السوقي للبنوك والشركات المالية المساهمة العامة. لفحص العلاقة المفترضة غطت الدراسة ست عشرة مؤسسة وشركة مالية مساهمة عامة مدرجة في بورصة عمان للأوراق المالية لعام 2002م والتي سبق تأسيسها عام 1998، وتم التداول على أسهمها لمدة أربع سنوات تمتد من عام 1998م وحتى عام 2001م. وتم بناء نموذج موحد لاختبار جميع الشركات. وبتحليل نتائج هذا النموذج إحصائيًّا باستخدام الانحدار المتعدد توصلت الدراسة إلى النتائج الآتية: عدم وجود علاقة ذات دلالة إحصائية بين القيمة السوقية للسهم من جهة، وبين صافي التدفقات النقدية، وصافي التدفقات النقدية منسوبة: إلى الالتزامات طويلة الأجل و الالتزامات قصيرة الأجل، وحقوق الملكية من جهة أخرى.
دراسة لبعض العوامل المحددة لمواقف العاملين تجاه أخلاقيات العمل في منظمات العمل الكويتية
Authors: محمد علي حسين
Published: December 2024

استهدفت الدراسة اختبار دور العمر والنوع والعوامل الخارجية في تحديد مواقف العاملين تجاه أخلاقيات العمل، وذلك في إطار عينة مكونة من 411 عاملا من 6 منظمات عمل كويتية. وقد افترضت الدراسة أن مواقف العاملين تجاه أخلاقيات العمل ستختلف باختلاف النوع والعمر؛ حيث يتوقع أن يتخذ النساء مواقف أكثر تشددا تجاه سلوكيات العمل غير الأخلاقية، مقارنة بالرجال، كما يتخذ العاملون الأكبر سنًّا مواقف أكثر تشدّدا تجاه سلوكيات العمل غير الأخلاقية مقارنة بأولئك الأصغر سنًّا. كما افترضت الدراسة وجود تأثير تفاعلي بين العمر والنوع في تحديد مواقف العاملين تجاه أخلاقيات العمل. كذلك افترضت الدراسة أيضا اختلاف تأثير العوامل الخارجية على السلوك الأخلاقي للعاملين، وأن هنالك دورا للتفاعل بين العمر والنوع في تحديد تأثير العوامل الخارجية على السلوك ىالأخلاقي للعاملين وقد جاءت نتائج الدراسة مؤيدة للفرضيات، عدا الفرضية الخاصة بـتأثير العمر على مواقف العاملين تجاه أخلاقيات العمل، حيث أظهرت نتائج الدراسة صدق هذه الفرضية بالنسبة للرجال فقط.
Como reter talentos em cargo de liderança? Dimensões relevantes no setor de mineração
Authors: Oliveira João Gabriel Rezende de , Hansch Rosalice Marialia
Published: December 2024

A monografia aborda o tema Retenção de talentos e tem como objetivo identificar quais fatores são relevantes para permanência dos gestores nas empresas. Os gestores exercem papel de liderança, que é crucial para retenção de talentos influenciando o sucesso ou fracasso das organizações A pesquisa foi realizada por meio de questionário enviado a gestores de uma única empresa de mineração, com unidades em diversos estados brasileiros, entre os meses de setembro a outubro de 2024. A coleta de dados obteve 77 respostas válidas. A maioria dos respondentes trabalham em empresa com mais de 500 empregados, são do gênero masculino, com idade entre 40 a 50 anos, ocupa cargo de Supervisor ou Coordenador com mais de 10 anos de experiência. Os resultados demonstram que as dimensões consideradas mais relevantes para permanência dos ocupantes de cargos de liderança no segmento de mineração foram:  Interação pessoal (97,4%), Rotina de trabalho (93,9%), Benefícios econômicos (93,5%). Este trabalho não apenas ressalta a complexidade da gestão de pessoas no contexto de gestão e liderança, mas também fornece “insights” valiosos para gestores e profissionais de RH na formulação de estratégias de retenção de funcionários estes cargos.
Effect of Ononis angustissima extract on the Aluminium alterations in intestinal histology
Authors: Reggad Nawel , Adli Djallal Eddine Houari , Halla Noureddine , Brahmi Mostapha , Kaddour Ziani , Arabi Wafaa , Hemida Houari , Kahloula Khaled , Slimani Miloud
Published: December 2024

Ononis angustissima (Oa) is an endemic desert plant with medicinal qualities. Nevertheless, aluminum (Al) is a poisonous metal found in large quantities in nature. This investigation seeks to assess the impact of an aqueous Oa extract on adult rats intoxicated with AlCl3 at a dose of 100 mg/kg. The findings show that Al significantly reduced organ weight (p < 0.001), perturbed biochemical parameters, and caused histological changes in the intestine, including lymphoid tissue hyperplasia, villi erosion, and an increase in the number of goblet cells. However, treatment with the aqueous Oa extract exhibited anti-inflammatory effects, epithelial regeneration, and control of goblet cells. It is concluded that Al causes structural and metabolic alterations in intestinal tissue, but Oa has limited this damage.
Behind the Screens: Evaluating the Effectiveness of Zoom in EFL Learning and Teaching in Higher Education
Authors: Badah Amjad Mohammad , Mafarja Fatma Mohammad Najeeb , Abuzaid Amira Muhammad Awad , Shehada Suzan Musa Asad
Published: December 2024

This study examines the usage of Zoom platform features and functions in managing EFL classes from the perspectives of students and their instructors. The study used a mixed-method approach. Quantitively, a questionnaire was distributed to undergraduate EFL students enrolled in advanced English courses (B2) in the first semester of the academic year 2023/2024 in a Palestinian university. The questionnaire was complemented by interviewing nine EFL instructors who have utilized the Zoom platform in their EFL classes. The quantitative data were subjected to statistical analysis whereas the interview data were analyzed thematically to obtain qualitative insights.  The findings of the study revealed that Zoom features and functions significantly boost the online language learning experience in the EFL classes according to the students’ views. The students highly appreciate the features of recording, raising hands, screen-sharing, mute/unmute controls, file-sharing, and chat box while learning the English language. The results also indicate that both male and female students have similar views on the efficiency of Zoom features and functions. The analysis of the qualitative data reveals that EFL instructors largely utilize Zoom features and functions in their EFL classes and appreciate the benefits of these tools. Nevertheless, the results demonstrate that the instructors encounter some challenges primarily related to technical issues. The findings provide valuable views to the field of language learning and teaching through building on the experiences of undergraduate students and instructors with the context of EFL.
Understanding Ambiguity in Knowledge, Value and Institutional Structure: A Case Study of Chinese Open Network Community
Authors: Jin Yao
Published: December 2024

Being a space for organizations to realize their value, it is necessary to minimize the structural Uncertainty of the virtual world. The analysis shows structural problems are the internal logical starting point of ambiguity in the network community and the underlying cause of gradual accumulation and precipitation in social tension. Analyzing the structural stain from the dimension of knowledge, value, and institutional structure in the network community, multifarious ambiguity is found in Chinese network governance. A representative survey object is selected to understand Chinese network governance after COVID 2019. The paper choose The Changtze River Cloud community on TikTok as the survey unit to analyze the public space management satisfaction ratio. Through theoretical discussion and case study, specific countermeasures are proposed, such as broadening the channels of expression, constructing cultural diversity in virtual space, and establishing clear specification standardization. It is expected that explicitness instead of ambiguity transmitted by authority can promote existing order to more open, creative, and satisfying institutional design for net citizens in virtual communities.
Max Weber’s Outer World/Inner World and the Principle of Rationality
Authors: Gerardi Steven
Published: December 2024

Max Weber (1864-1920) revealed his major Sociological observation, of the “Principle of Rationality”.
The Principle of Rationality consisted of two social movements, Substantive (traditional culture/inner
world) and Formal Rationality (modern society, Money Economy (Outer world).
Impact of the COVID 19 pandemic on Private Higher Education Institutions in Brazil
Authors: Rezende Aívinis Viana , Brotóns Muró Luis Francisco
Published: December 2024

This research aimed to understand the transformations that occurred in private higher education institutions in Brazil during the pandemic period and the perceived impacts after this period. During the research, a bibliographic search on the subject in question was conducted, and an investigation instrument was applied to 114 educational managers from higher education institutions from all regions of Brazil. This instrument was developed with closed, multiple-choice, direct, and indirect questions and divided into two parts. The first part collected general data to understand the profile of the respondents, and the second part collected specific data on the topic relevant to this research. Descriptive and inferential statistical methods were applied to analyze the data. Qualitative variables were presented by absolute and relative frequency distributions. Quantitative variables were presented by measures of central tendency and variation. The results indicated that there were transformations in areas of the organization such as academic, financial, and planning and management, but the academic area was the one that underwent the most transformations overall. Another point highlighted was the type of academic organization, with University Centers being the most affected by strategic transformations. It was also noted that institutions were impacted in a similar way when compared by region. Finally, when comparing institutions based on the number of enrolled students, smaller institutions were the ones that underwent the most strategic transformations.
Competency Evolution: A Framework for Construction Project Managers
Authors: Rostiyanti Susy F. , Hansen Seng , Vermatasari Riri
Published: December 2024

The effective execution of a construction project heavily relies on a diverse set of human resources possessing various competencies. Competency is a multifaceted concept with varied interpretations depending on its application and development. In this diverse landscape, competencies are commonly understood to encompass attributes such as knowledge, skills, and abilities. These competencies also feature distinct transferable qualities within intrapersonal and interpersonal competencies. This study delves into the crucial role of competencies in managing construction projects efficiently, emphasizing the three primary components. Employing a Systematic Literature Review, the study aims to uncover the nuanced aspects influencing project manager competencies. The primary objective is to unravel the competencies empowering project managers to successfully navigate construction projects. The findings highlight leadership as the paramount skill competency and underscore the importance of responsibility as a key attitude competency. Additionally, the study introduces a framework delineating the evolutionary progression of project manager competencies from intrapersonal to interpersonal over time. This framework serves as a valuable resource for project management professionals seeking to enhance their competencies and effectively address the dynamic challenges inherent in construction projects.
Estimasi Quantity Take Off dan Simulasi Progress Pekerjaan Struktur dengan Pendekatan Building Information Modeling
Authors: Sapitri  , Subagja Rusli , Annisa Bismi
Published: December 2024

Estimating the quantity of take-off and scheduling is crucial in a project life cycle. Errors in the calculation of quantity take-off and scheduling can result in the amount of budget costs incurred and the length of time of the development process. The development of Building Information Modeling (BIM) technology has provided benefits in solving problems faced by the construction industry. This study aims to calculate the Quantity Take-Off and find out the difference from the calculation of costs on building structural components (concrete and rebar volumes), as well as to make simulation for work progress. The BIM software used is Cubicost TAS (Take-off Architecture Structure) to create 3D modeling and Cubicost TRB (Take-off Reinforcement Bar) for Bar Bending Schedule (BBS) calculations. Meanwhile, scheduling simulation is conducted using Autodesk Naviswork. The results showed that the 3D BIM approach resulted in a smaller total concrete volume with a difference of 2.38% (lower 41.11 m3) than the conventional method. Similarly, for rebar material needs, it showed that the difference in rebar volume is 10.83% (30236.42 kg) smaller than conventional methods. The simulation results in 3D form show that using BIM Naviswork can help monitor the work progress between the design and the field according to the planned time based on the 3D model so that it looks more real-time.
Clinical and pathophysiological aspects of reconstructive plastic surgery in patients with different types of breast cancer
Authors:   Omsk State Medical University, Omsk, Russia, Карасев В. Е. , Долгих В. Т. ,   Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia, Исмагилов А. Х. ,   Kazan State Medical Academy – Branch Campus of the Russian Medical Academy of Continuous Professional Education, Kazan, Russia, Вьюшков Д. М. ,   Omsk State Medical University, Omsk, Russia
Published: December 2024

The article presents the results of an open, single-center, prospective, randomized study and
a comparative analysis of clinical examination data. The study included 326 women aged 18 to 40 years who underwent reconstructive plastic surgery after immediate or delayed Madden radical mastectomy for unilateral breast cancer stages I–IIIA with different biological tumor subtypes and 40 healthy women after mammoplasty for aesthetic reasons. Using the BREAST-Q Reconstruction Module one year after reconstructive plastic surgery, the following assessment of the aesthetic results and quality of life indicators was obtained in patients: “excellent” in 249 (68%), “good” in 92 (25.1%), “satisfactory” in 18 (4.5%), and “unsatisfactory” in 7 (1.9%) patients. There is no established results correlation between the timing of surgery and the biological subtype of the tumor. Quality of life indicators in cancer patients rose by 30–60% and matched those of healthy women.
Bilgi İşlemsel Düşünme Kavramının Gelişim Süreci
Authors: Güllü Egin Esma , Sözer Mehmet Akif
Published: December 2024

Bu çalışmada; bilgi işlemsel düşünme kavramının gelişim süreçleri ve eğitime yansımaları incelenmiştir. Derleme yöntemi kullanılarak gerçekleştirilen bu inceleme çalışması; kavramın ortaya çıkışından günümüzün eğitim perspektifinde temel bir beceri olarak kabul edilmesine kadar ortaya konan başlıca çalışmaları sentezleyerek kavrama ilişkin bir bakış açısı oluşturmaktadır. Teknoloji öğretimine yeni bir bakış açısı getiren ve bunu insanın akıl yürütme sistemiyle açıklayan bilgi işlemsel düşünme kavramı, eğitimin tüm dallarına etki eden yeni bir yöntem sunmaktadır. Aynı zamanda bilgi işlemsel düşünme kavramıyla bütünleştirilen beceri setinin dünyanın farklı ülkelerinde eğitim ortamlarına ve uygulamalarına yansımaların üzerinde durularak, öğrencilerin sahip olması beklenen becerileri planlarken dikkate değer önemine de vurgu yapılmaktadır.
Pemanfaatan Software QGIS dan Web Wilkerstat dalam Proses Insert Peta WS untuk ST2023 di BPS Kabupaten Lombok Timur
Authors: Agustina Amalia , Syifa Aulia , Zahro Annisa Syifa , Alfian Muhammad Rijal
Published: December 2024

Quantum Geografic Information System atau biasa disebut dengan QGIS adalah crossplatform perangkat lunak bebas (open source) desktop yang digunakan untuk mengolah dan menyimpan data atau informasi geografis. Sementara itu, Web Wilkerstat dalah web yang dibuat khusus untuk lingkungan kerja Badan Pusat Statistik (BPS), berfungsi untuk mengenali batas wilayah kerja statistik (Wilkerstat) dan untuk melakukan pengambilan Geotagging foto suatu landmark batas wilkerstat maupun landmark infrastruktur. Salah satu pemanfaatan dari kedua teknologi ini adalah dalam proses insert Peta WS di BPS Kabupaten Lombok Timur. Peta Wilkerstat (WS) merupakan peta yang digunakan dalam melakukan pencacahan pada setiap Satuan Lingkungan Setempat (SLS) agar mendapatkan data yang berkualitas. Namun, terkadang peta yang disediakan oleh pihak BPS tidak dapat dengan jelas menunjukkan titik bangunan untuk setiap SLS. Oleh karena itu, perlu dilakukan proses insert Peta WS. Dengan dilakukannya insert Peta WS, letak titik bangunan menjadi lebih jelas, sehingga lebih memudahkan petugas dalam melakukan pencacahan.
Peningkatan Kompetensi Guru Melalui Program Pendidikan Guru Penggerak: Pendekatan Coaching dan Mentoring
Authors: Kurniawan Ade , Sanapiah Sanapiah , Mursali Saidil
Published: December 2024

Lokakarya 1 Program Pendidikan Guru Penggerak (PGP) dilaksanakan pada tanggal 18 Juni 2023 di Aula Dinas Pendidikan Kota Mataram, Nusa Tenggara Barat. Kegiatan ini bertujuan untuk memberikan pemahaman mendalam tentang program PGP, mengidentifikasi kompetensi Guru Penggerak, serta menyusun rencana pengembangan kompetensi diri bagi para Calon Guru Penggerak (CGP). Lokakarya ini melibatkan berbagai pihak yang terkait, termasuk Kepala Dinas Pendidikan, Pengajar Praktik, dan CGP dari berbagai jenjang pendidikan. Pelaksanaan lokakarya mencakup beberapa sesi interaktif yang dirancang untuk meningkatkan pemahaman dan keterlibatan peserta, mulai dari perkenalan, permainan, diskusi kelompok, hingga sesi refleksi. Meskipun terdapat kendala teknis dalam penggunaan sound system, kegiatan ini tetap berhasil mencapai tujuan yang ditetapkan. Evaluasi yang dilakukan menunjukkan perlunya peningkatan fasilitas pendukung dan penyusunan materi yang lebih terstruktur untuk kegiatan selanjutnya. Kesimpulannya, Lokakarya 1 berhasil menciptakan suasana pembelajaran yang produktif dan mendorong CGP untuk lebih siap menghadapi tantangan dalam implementasi pembelajaran yang berpusat pada murid. Saran yang diberikan termasuk peningkatan kualitas fasilitas, pengembangan metode pembelajaran interaktif, peningkatan dukungan pendampingan, serta evaluasi dan feedback berkala. Dengan perbaikan yang berkelanjutan, program PGP diharapkan dapat memberikan dampak positif yang signifikan dalam peningkatan kualitas pendidikan di Indonesia.
Uso de la capacidad de intercambio iónico de zeolitas para la reducción de olores en el compost de gallinaza
Authors:   Universidad Santiago de Cali, González Vargas Iván Andrés , Cuervo Mulet Raúl Alberto ,   Universidad de San Buenaventura Cali, Delgado Ospina Johannes ,   Universidad de San Buenaventura Cali, Balanta Galvis Michel Fernanda ,   Universidad Santiago de Cali, Fernández Daza Fabián Felipe ,   Universidad Antonio José Camacho
Published: December 2024

Las zeolitas han sido utilizadas en la agricultura para la preparación de fertilizantes químicos, mejorando el poder de los suelos para re-tener nitrógeno y promover una liberación controlada del nutriente hacia la zona radicular de las plantas basándose en su alta capacidad de intercambio iónico, selectividad y retención de agua.
PRINCIPLES OF RENEWAL IN CONTEMPORARY UZBEK POETRY
Authors: SABIROVA Zebo
Published: December 2024

The study discusses Uzbek poetry, its modern subject scope and the artist’s skill in creating images. The research deals with the issues of a new expression of philosophical views, individuality, and artistic interpretation of the creative style in today's Uzbek poetry in connection with Eastern philosophy and creative art. The aim of the study is to analyze the philosophical view and modernist interpretation in modern Uzbek poetry, the creative style, the nature of the image, the manifestation and formation of artistic and aesthetic features, and the growth of the creative way of thinking. The issue of figurative-philosophical imagery in Uzbek poetry, the composition of the poem, the scope of expression and thematic direction; Eastern philosophy in poetry, philosophical-social, symbolic-figurative, folk tones, the attitude of the creator to reality and the spiritual world were studied. The study states that in modern Uzbek poetry in the last quarter of the XX century and the first stage of the XXI century, along with the poet’s creative mood, the style of creating an image was somewhat updated, the meaning understood from the individuality inherent in the nature of the image acquired a special feature, carrying a certain meaning, conveying it to the reader’s thinking at a proper level, and at the same time requiring deep thinking. The history of the globalization phenomenon in modern poetry, its impact on the literary process, the fate of national literature and its viability, the impact of the phenomenon on Uzbek poetry, the issue of the balance of form and content in modern poetry are studied as a literary-aesthetic category.
A COMPARATIVE STUDY OF PLATE VERSUS TITANIUM ELASTIC NAIL (TEN) IN THE TREATMENT OF DISPLACED MIDSHAFT CLAVICLE FRACTURES
Authors: Parwez Danish , Verma Gaurav , Narayan Sharda Parth , Choudhary M S , Rathore Abhishek , Aishwarya Arushi
Published: December 2024

Background: As treatment approaches for displaced midshaft clavicle fractures (DMCF) evolve, plating continues to be the standard fixation
method. An appealing alternative is titanium elastic nailing (TEN). However, there is a scarcity of prospective randomized studies that compare
these two fixation techniques. In this study, we evaluated the effectiveness of minimally invasive antegrade TEN versus plating for treating DMCF.
Materials and Methods: 70 unilateral displaced midclavicular fractures operated between September 2022 and September 2024 were included in
nd study. This prospective comparative study was conducted at JNUIMSRC Jaipur, after approval by the ethical committee. Follow-ups were at 2
th and 6 weeks and subsequently at 3,6,12 months postoperatively. Primary outcome was measured by the Constant score, union rate and difference
in clavicular length after fracture union. Secondary outcome was measured by operative time, intraoperative blood loss, wound size, cosmetic
results and complications. Results: In our analysis, there were 32 patients in the plate group and 29 in the TEN group. While there was no
significant difference in Constant scores between the two groups, the TEN group demonstrated faster fracture union, shorter operative time,
reduced blood loss, easier implant removal, and fewer complications. Conclusion: The use of minimally invasive antegrade TEN for fixation of
displaced midshaft clavicle fractures is recommended in view of faster fracture union, lesser morbidity, better cosmetic results, easier implant
removal and fewer complications; although for comminuted fractures plating remains the procedure of choice.
OBSERVATIONAL STUDY ON PRP THERAPY FOR KNEE AND ANKLE OSTEOARTHRITIS: CLINICAL INSIGHTS
Authors: Verma Gaurav , Singh Gurinder , Parwez Danish , Narayan Sharda Parth , Vishnu Yadkikar Shriniwas , Goyal Ankesh , Rathore Abhishek , Choudhary M S
Published: December 2024

Osteoarthritis (OA) is a chronic joint disease characterised by cartilage degeneration, bone remodelling, and inflammation, predominantly
affecting weight-bearing joints. Current treatment strategies focus on symptom management, often necessitating invasive interventions. PlateletRich Plasma (PRP) therapy has emerged as a promising alternative, harnessing autologous growth factors to modulate joint micro-environments
and promote tissue repair. This article provides a comprehensive overview of OA pathogenesis, PRP preparation techniques, and its biological
rationale in OA therapy. PRP is prepared via centrifugation of autologous blood to concentrate platelets and bioactive proteins. These factors,
including TGF-β, PDGF, and VEGF, play critical roles in inflammation modulation and tissue healing. A prospective observational study
conducted at Jaipur National University Institute for Medical Science and Research Centre evaluated PRP efficacy in 58 OA patients (43 knee, 15
ankle). Significant improvements were observed in pain levels (VAS scores decreased from 6 to 2 at 6 weeks post-injection), joint function
(WOMAC scores), and range of motion (ROM), sustained through follow-up assessments up to 12 weeks. Radiographic trends suggested potential
joint preservation benefits. No serious adverse events were reported, affirming PRP's safety profile. Limitations include the absence of a control
group and variations in PRP preparation protocols. In conclusion, PRP therapy demonstrates promising outcomes in managing OA symptoms,
offering potential benefits in pain relief, improved joint function, and enhanced quality of life. Future research should focus on standardisation,
long-term efficacy, and comparative effectiveness against conventional treatments.
A STUDY OF SERUM ALBUMIN, SERUM CALCIUM AND SERUM URIC ACID IN THE PREDICTION OF NEUROLOGICAL SEVERITY IN ACUTE ISCHEMIC STROKE.
Authors: Yogendra Roshan , A R Shoukath , Kumar B P Chethan
Published: December 2024

Background: A stroke is rapidly developing clinical signs of focal disturbance of cerebral function with symptoms lasting 24 hours or longer or
leading to death with no apparent cause other than of vascular origin.Serum albumin increases the collateral perfusion in the ischemic areas has
been suggested as one of neuroprotective mechanism. Calcium ions play a physiological role in the multiple pathomechanisms of cerebal
ischemia.Elevated serum levels of uric acid act as an indicator for tissue infarction. However, serum calcium, albumin and uric acid are rarely tested
in acute ischemic stroke for severity and short-term prognosis. Materials And Methods: prospective observational study was done over a period
of 18 months.The study included 200 individuals who experienced an acute ischemic stroke within 24 hours of onset. Patients with hemorrhagic
stroke, chronic liver, and renal disease were excluded. At admission, serum calcium, albumin, and uric acid were measured along with the National
Institute of Health Stroke Scale (NIHSS) to predict the severity. Results: In our 200 person study, stroke was common among the individuals aged
more than 60. Participants included 127 (63.5%) males and 73 (36.5%) females. Male preponderance of the ratio 1.74:1 was observed. A total of
113 (56.5%) individuals had hypertension, 52 (26%) had diabetes.Hypertension and diabetes did not show a significant correlation.low serum
calcium and albumin and high serum uric acid was found to be significantly correlated with NIHSS sevearity Conclusion: blood uric acid,
albumin and calcium measurement can be an important additional parameter for predicting poor prognosis and recovery in ischemic stroke
patients. From all these, We can conclude that,Ischemic stroke patients with low blood albumin low blood calcium and high blood uric acid levels
had bad prognosis.
CYTOMORPHOLOGICAL SPECTRUM OF CERVICAL PAP SMEARS IN A TERTIARY CARE HOSPITAL IN COASTAL KARNATAKA
Authors: M B Meghashree , Bl Jyothi
Published: December 2024

Background: Cervical cancer is the second most common cancer among women in India, primarily due to limited healthcare access and low
awareness of screening tests. Papanicolaou (Pap) smear is a key method in cervical cancer screening. Effective prevention through HPV
vaccination and regular screening has made cervical cancer highly preventable 1. To study the spectr Objective: um of cervical smear patterns and
clinical profile. 2. To correlate the Pap smear with histopathology wherever possible. This is a retro Materials And Methods: spective
observational study conducted at the Department of Pathology, in the section of Cytology between 01-01-2023 and 31-08-2023 involving the
examination of Papanicolaou (Pap) smears and histopathological correlation done wherever possible. The conventional method of Pap smears was
employed, 2014 Bethesda System for reporting cervical cytology was used for reporting. Results: Over the study period of 8 months, 444 pap
smears were examined in the age group16-86 years. The most common age group was 40-60 years. The most common presentation was white
discharge per vagina followed by bleeding PV. "Negative for intraepithelial lesion or malignancy" being the most common interpretation (61.8%).
Epithelial cell abnormality was seen in 2.91% of cases. ASCUS (1.57%), ASC-H (0.22%), HSIL (1.12%), AGUS (0.22%) were seen. 31 cases were
available for cyto-histopathological correlation. 67.7% were concordant with the cytology. The frequ Conclusions: ency of epithelial cell
abnormality in our set up was relatively low overall, with ASCUS being the most common abnormality. Among the available histopathology cases,
significant number were concordant with Pap smears.
CASE REPORT – MANAGEMENT OF KITIBH KUSHTA WSR GUTTATE PSORIASIS
Authors: Kalia Parul , Sheoran Amit , Khurana Devendra , Mangal P. C. , Khatri Manisha
Published: December 2024

The traditional, ancient Indian health science of Ayurveda has proven its curative and preventive principles worldwide. Hence, Ayurveda means the
science of life, consisting of eight branches providing best qualities of body cells and tissues providing perfect health. Skin the largest organ acts
like a mirror reflecting pathology both internally and externally and thus helps in proper diagnosis. The Contemporary Medicine deals the skin
diseases with topical and oral formulations with period of relapse, which drastically affects the valuable lives of patients and their families, both
physically and psychologically; Thus constituting the principle cause behind social taint. In Ayurveda, diseases associated with skin can be
classified under the broad term of Kushta. Furthur, Kushta ( skin diseases) are classified into two categories Maha Kushtas ( major skin diseases)
and Kshudra Kushta (minor skin diseases). Nowadays, patients with Guttate Psoriasis, also known as Eruptive Psoriasis are frequently observed.
Typically found in young adults, this type of disease is observed over the upper trunk and proximal extremities with lesions measuring about (0.5)
cm to ( 1.5 )cm in diameter. Its characteristic features of small, oval or round erythematous and scaly papules can be correlated with Kitibha
Kushtha in Ayurveda based on clinical observations. Moreover, poor hygiene, challenging lifestyle, inadequate exercise and psychological
conditions of stress and anxiety also proves to be its significant causative factors. Its recurrent nature requires conventional and appropriate
treatment for long duration, which can only be provided through Ayurveda. A 42 years old male patient with complaints of multiple small red
lesions over proximal extremeties approached for Ayuvedic management, after disappointment arose due to Allopathic Treatment he took over past
few years. Patient was given shodhan , shaman chikitsa along with bahirparimarjan chikitsa mentioned in classical Ayurvedic texts.
COMPARISON OF OBTURATOR NERVE BLOCK BY CONVENTIONALAPPROACH IN SUPINE POSITION VERSUS INTER-ADDUCTOR APPROACH IN LITHOTOMY POSITION TO PREVENT ADDUCTOR MUSCLE CONTRACTIONS DURING TRANS URETHERAL RESECTION OF BLADDER TUMOURS
Authors: Singh Pratima
Published: December 2024

Background: Bladder growth is the most prevalent urological malignancy. It is managed by Trans-uretheral resection of bladder tumour
(TURBT). TURBT is often performed under spinal anaesthesia (SA), but it cannot block the obturator jerk reflex. Use of general anaesthesia or
Obturator Nerve Block (ONB) followed by spinal anaesthesia (SA) prevents obturator jerk. [2,4] Objective: To assess and compare the efficacy
and safety of obturator nerve block performed in supine position by conventional approach versus inter-adductor approach in lithotomy position
using Ultrasound and peripheral nerve stimulator after spinal anaesthesia. Materials And Methods: Prospective, randomised, controlled,
interventional, double blind study was done. Total 100 patients of ASA physical status I, II and III, between 45 and 75 years undergoing TURBT
under SAwith ONB were randomly allocated to two equal groups. Group I: ONB by conventional approach in supine position. Group II: ONB by
inter-adductor approach in lithotomy position. After giving SA, ONB was given under ultrasound guidance with the use of peripheral nerve
stimulator to aid the accuracy and precision of block. Patients were studied for adductor spasm, ease of administration, number of needle passes and
the time required to give the block and complications, if any. Result: Statistically significant occurrence of adductor spasm was noted in Group I
compared to Group II (p<0.05). Conclusion: ONB given by inter-adductor approach in lithotomy position was easy to perform and had higher
success rate as compared to ONB given by conventional approach in supine position.
A RARE CASE OF LUMBAR HERNIA WITH CECAL PERFORATION -A DIAGNOSTIC SURPRISE
Authors: Devi A. K. Kalpana , Venkatesan Sree , Lakshmy. S Seetha
Published: December 2024

The clinical presentation of lumbar hernia as acute abdomen due to cecal perforation is very rare. Most common presentations of lumbar hernia are
low backache, weakness or numbness in one leg or foot. But in this scenario patient presented with acute abdomen. This study aims to present a
detailed case report on the infrequent occurrence of lumbar hernia with cecal perforation. In lumbar hernia with descending colon as content which
causes Intestinal obstruction with proximal bowel dilatation further complicated by cecal perforation . The objectives are to describe the clinical
presentation, diagnostic challenges, surgical intervention, postoperative management, and to review relevant literature to highlight the complexity
and rarity of this case.
STUDY OF CERVICAL SPINE ALIGNMENT IN CERVICAL SPONDYLOSIS
Authors: Singh Jaskaran , Shaina Sandeep , Patralekh Mohit Kumar
Published: December 2024

Introduction: The relationship between cervical spine alignment and spondylosis is debatable. This study will examine radiographic parameters
linked with cervical spine alignment in healthy volunteers and cervical spondylosis patients to see if alignment affects the disease. A Methods:
tertiary care hospital in New Delhi did an observational cross-sectional study to compare cervical spine sagittal alignment in cervical spondylosis
and healthy individuals. A hundred cervical spondylosis patients and 100 healthy volunteers had lateral cervical spine radiographs with the neck
neutral. Measurements and statistical analysis were made for the desired radiographic parameters. Results: The mean Occiput-C2 Angle, Cobbs
angle, Saggital vertical alignment and C7 slope in healthy volunteers were 17.2 ± 9.7°, 11.7± 3.5°, 8.5± 2.6 mm, and 16.2± 2.8° respectively
whereas in Cervical Spondylosis group it was 30.8 ± 7.1°, 12.4± 5.6°, 7± 3.7mm, and 18.2± 3.9° respectively. O-C2 angle and C7 slope were
substantially higher in cervical Spondylosis patients. SVA was much greater in healthy people. Conclusion: The study presents normative cervical
spine alignment data for Indians, which should be addressed while performing cervical spine procedures.
COMPARISON OF LIGNOCAINE AND LOW-DOSE KETAMINE INFUSION FOR ANALGESIC EFFICACY IN MODIFIED RADICAL MASTECTOMY SURGERY: A PROSPECTIVE RANDOMIZED STUDY
Authors: Rajvir Kaur , Sarvjeet Kaur , Kewal Krishan Gupta , Mukesh Kumar , Komal Lally
Published: December 2024

Background & Aims: Effective postoperative pain control is important to reduce morbidity, hospital stay and chronic pain syndrome. This study
was designed to evaluate the effect of intravenous lignocaine and ketamine infusion on perioperative analgesic consumptions and analgesia.
Methods: A total of 80 adult female patients, scheduled for modified radical mastectomy, were randomly assigned into the lignocaine (GroupL,
n=40) or ketamine (Group K, n=40) group. Lignocaine(loading dose 1.5 mg/kg, followed by maintenance infusion of 1mg/kg/h) or Ketamine
(loading dose of 0.15 mg/kg, followed by maintenance infusion of 0.1 mg/kg/h) were administrated just before induction. Perioperative analgesic
consumptions, pain scores and adverse effects were recorded for up to 24 hours after surgery. Results: The intraoperative opioid consumption
(fentanyl) was comparable between two groups. Total post-operative analgesic consumption (Diclofenac) in24hours was lower ingroup L
(75.00±0.00mg)compared to group K (93.75±32.9 mg)(P=0.001) with none of patient requiring fentanyl as second rescue analgesic. The mean
verbal numerical rating scale (VNRS) during rest at 7hr, 8hr, 9hr, 12hr, 16hr and 20hr (P<0.001)and24hr(P<0.05) was significantly lower in Group
Lcompared to Group K. Total number of doses of rescue analgesics was less in group L(1.00 ± 0.00) compared to group K (1.25 ± 0.44) (P=0.001),
in 24-hour post-operative period. Nausea and vomiting were seen in two patients of Group K whileGroup Lexperienced no side effects(P=0.152).
Conclusion: Lignocaine has superior analgesic effect with persistently lower pain scores, less need for postoperative rescue analgesic and lesser
incidence of adverse effect in comparison to low-dose ketamine during first 24h after surgery and comparable effect to low-dose ketamine for
intraoperative opioids consumption in patients undergoing modified radical mastectomy under general anaesthesia.
KNOWLEDGE, ATTITUDE AND PRACTICES OF E-CIGARETTES AND VAPING AMONG UNDERGRADUATE DENTAL STUDENTS OF AHMEDABAD CITY, GUJARAT: A CROSS SECTIONAL SURVEY
Authors: Thanki Grishma , Bansal Ankita , Shah Khushi , Sheladia Vatsal
Published: December 2024

Introduction: Nicotine dependence is a significant public health issue, with e-cigarettes gaining popularity as an alternative to traditional
smoking. Despite having fewer harmful chemicals, e-cigarettes still pose health risks, including cancer, asthma, and chronic obstructive
pulmonary disease (COPD). Many young users mistakenly perceive e-cigarettes as less harmful, leading to increased usage. Dental professionals,
including students, play a crucial role in tobacco cessation. This study evaluates dental students' knowledge and attitudes toward e-cigarettes,
proposing that informed students are less likely to use or promote them, emphasizing the need for education in future cessation programs.
Materials And Methods: This cross-sectional study was conducted among 157 undergraduate dental students of Ahmedabad city, Gujarat, using a
self-administered Google form questionnaire. A structured questionnaire was administered, consisting of 12 questions aimed to assess the
knowledge, attitudes, and perceptions regarding e-cigarettes and vaping. Descriptive statistics was used to summarize the results. Results: The
results showed that students demonstrated a strong understanding of e-cigarettes and vaping, with their knowledge, attitudes, and practices
assessed as satisfactory. Conclusion: The survey shows that while dental students are aware of e-cigarettes, many remain uncertain about their
health risks and nicotine content. This underscores the need for enhanced education on the health risks and regulations surrounding e-cigarettes and
vaping.
Smart Construction Work-Zone Safety with V2I Passive Material Sensing
Authors:   University of Illinois Urbana-Champaign, Sakulneya Apidej , Roesler Jeffery ,   University of Illinois Urbana-Champaign
Published: December 2024

This study explored new vehicle to infrastructure (V2I) technology in construction work zones (CWZ), where speeding, unsafe driving behaviors, and drivers' failure to obey traffic signs contribute significantly to elevated accident rates and fatalities. The objective of this research to advance CWZ safety by evaluating the potential of 3-axis magnetometers attached to a moving cart and traversing over a pavement-assisted passive sensing system can improve vehicle lateral positioning and warning in CWZ. Secondly, to develop a process to implement a programmable ferromagnetic oxide material for roadway coatings to interface with vehicles containing magnetometers on a field site. The research testing used a custom-built cart equipped with multiple 3-axis magnetometer to detect EM signals from invisible markings composed of 10% and 20% CrO₂, that were created to alert for speed, lane merges, and lane-keeping. The invisible marking strips were oriented and positioned in various ways to test the repeatability and ability to reliable detect a signal and signature that could be interpreted with automated algorithm. The experimental test results were acquired in a parking and signal-processing technique was established that normalized the raw signals, removed background EM signals not related to the created EM signatures, filtered high- and low-frequency noise, and took the derivative of the EM flux density with respect to the number of points. The V2I signals in the Y and Z-axes occasionally failed to exceed the minimum threshold set for the experiments, but the X-axis signals consistently exceeded the minimum value of ±200nT throughout the testing. The minimum threshold signals were used to calculate the speed of the cart, indicate a lane merge, and determine the lateral lane position of the cart. The detected speed signals closely correlated with the GPS speed measurements on the cart as well as provided accurate cart positioning and maneuvering actions. This pilot study demonstrated the potential of V2I communication specifically EM pavement signatures to enhance CWZ safety and provide detectable and actionable feedback to the vehicle.
IMPACTOS E DESAFIOS DA PASTORAL DA CRIANÇA: UMA AVALIAÇÃO DOS RESULTADOS EM SAÚDE, EDUCAÇÃO, NUTRIÇÃO, CIDADANIA E MOBILIZAÇÃO COMUNITÁRIA
Authors: Soares Gean Souza , Baggio Heloísa da Silva , Torres Julia Kalene Saraiva , Santiago Maria Paula Oliveira , Fermin Yasmin da Silva , Cunha Junior Antônio Sérgio da
Published: December 2024

Introdução: Criada em 1983, a Pastoral da Criança promove saúde, nutrição, educação e cidadania em comunidades vulneráveis. Através de visitas domiciliares, capacitação de líderes e mobilização social, tem melhorado indicadores de saúde e fortalecido a cidadania, apesar de enfrentar desafios como falta de recursos e infraestrutura. Objetivo: avaliar as ações socioeducativas da Pastoral da Criança, analisando sua efetividade nas áreas de saúde, nutrição, educação, cidadania e motivação dos voluntários, bem como os desafios e resultados nas comunidades atendidas, além de identificar a organização para o funcionamento da Pastoral. Metodologia: Trata-se de uma revisão integrativa conduzida nas bases de dados Scielo, Pubmed e Google Scholar, realizada entre setembro e novembro de 2024. Resultados: Os resultados mostraram que a Pastoral da Criança atua em saúde, nutrição, cidadania e educação infantil, com foco na participação comunitária. Suas práticas promovem melhorias no cuidado infantil e na qualidade de vida das famílias, destacando a importância do trabalho voluntário, educação nutricional, e a promoção de cidadania nas comunidades vulneráveis. Conclusão: A motivação voluntária e a integração entre saúde, nutrição e educação são essenciais para garantir a sustentabilidade e impacto duradouro nas comunidades atendidas.