bluuebunny/crossref_metadata_2025 huggingface dataset:
PRÁTICAS PEDAGÓGICAS
Authors: Silva Guilherme Henrique da , Lucini Marizete
Published: November 2024

Este artigo surge de insurgências pedagógicas vivenciadas em uma disciplina do Doutorado em Educação na Universidade Federal de Sergipe. Reflete sobre novas possibilidades no ensino da pós-graduação, desafiando o modelo ocidental que separa corpo e mente, razão e emoção. Com uma abordagem decolonial, explora-se novas maneiras de perceber e habitar o mundo. A partir das experiências de discentes e docentes, destaca-se o movimento "corazonar" como prática disruptiva, rompendo com os sentidos hegemônicos do conhecimento e dialogando sobre sabedorias diversas nas salas de aula e na vida. As aspirações centram-se na construção de comunidades de aprendizagem, onde cada voz é valorizada, promovendo a autonomia do educando e pautando-se pela equidade (hooks, 2017). Conclui-se que é tempo de insurgência em Abya Yala, valorizando as margens nos debates educacionais, desaprendendo conceitos arraigados e reconhecendo a centralidade das sabedorias diversas.
MATEMÁTICA NOS DOCUMENTOS OFICIAIS DA EDUCAÇÃO INFANTIL DOS PAÍSES FUNDADORES DO MERCOSUL
Authors: Warken Clara , Bezerra Renata Camacho , Caetano Richael Silva
Published: November 2024

Este artigo tem como objetivo verificar como e quais noções matemáticas são abordadas nos documentos oficiais da Educação Infantil dos países fundadores do Mercado Comum do Sul (Mercosul): Argentina, Brasil, Paraguai e Uruguai. Nessa etapa, as crianças se relacionam com a Matemática por meio da abordagem de noções matemáticas, respeitando o seu estágio de desenvolvimento. Assim, esta pesquisa documental analisou oito documentos oficiais e verificou que as noções apresentadas são relacionadas ao conceito de número, às medidas, ao espaço e forma e ao tratamento da informação, devendo ser abordadas de maneira integrada. As propostas pedagógicas defendidas devem envolver atividades lúdicas, jogos pedagógicos, experiências infantis, resolução de problemas e exploração de tentativas e erros.
USO CRÍTICO-REFLEXIVO DAS TECNOLOGIAS DIGITAIS NA EDUCAÇÃO BÁSICA
Authors: Santos Juvenicio Jesus dos , Santo Eniel do Espírito
Published: November 2024

Partimos do pressuposto de que a cultura digital está cada vez mais presente nos ambientes escolares, exigindo dos professores o desenvolvimento de competências digitais. Utilizando da pesquisa qualitativa e análise de conteúdo, este trabalho buscou analisar os limites e possibilidades para o uso crítico-reflexivo das tecnologias digitais em contexto educativo. Investigamos quais limitações e possibilidade para uso didático pedagógico das tecnologias em uma escola pública de nível médio da Bahia.  Os resultados apontam que a falta de estrutura sociotécnica e de formação continuada são fatores limitantes para uso didático-pedagógico das tecnologias digitais. Apesar das dificuldades, neste artigo foram explicitadas estratégias de uso pedagógico das tecnologias digitais. Conclui-se que é imperativo transcender o emprego meramente instrumental das tecnologias digitais na prática educativa, promovendo sua reflexão crítica, potencializando o ensino.
GESTÃO ESCOLAR E ENGAJAMENTO DOCENTE
Authors: Cruz Jailson Tavares , Lopes Fátima Maria Nobre
Published: November 2024

O desafio do aprendizado e do abandono escolar no ensino médio é uma preocupação constante afetando a qualidade da educação. Para o conhecimento dessa situação, são utilizadas avaliações internas e externas. Diante desse desafio, surgiu a necessidade de criarmos uma rotina pedagógica colaborativa, baseada no acompanhamento, atendimento individualizado e na valorização dos alunos. Partindo dessas prerrogativas temos como objetivo, neste artigo, relatar uma experiência exitosa realizada na Escola de Ensino Médio Ana Facó, localizada em Beberibe-Ceará, no período de 2016 a 2019, em relação à questão da aprendizagem e da permanência do aluno. Após um esforço conjunto de toda a comunidade escolar, houve um notável resultado. Por fim, destacamos que o trabalho da gestão escolar juntamente com o engajamento docente foram fatores de impactos nos resultados de aprendizagem e de permanência dos alunos na Escola Ana Facó.
Research on the Development Motivation of Marathon Race Blowout in China
Authors: Zhang Haili
Published: November 2024

As a national fitness sports event, city marathon is more and more sought after by people. Marathon is not only a competition for professional athletes, but also enters the life of ordinary people and becomes one of the first choices for national fitness. At the same time, the economic and cultural added value brought by the holding of the city marathon is favored by city managers. So far, the city marathon has shown a rapid blowout development trend, which plays an important role in promoting the strategic layout of Chinese healthy development.
COMPARISON OF ANESTHETIC EFFECT OF PLAIN ROPIVACAINE VERSUS DEXMEDETOMIDINE AS AN ADJUVANT TO ROPIVACAINE IN USG-GUIDED SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES
Authors: MANISH KUMAR  , PUNEETPAL KAUR  , GEETANJALI SINGHAL  , SUMAN KUMARI
Published: November 2024

Objectives: Perioperative pain management is very important to achieve patient satisfaction. The objectives of the current study were to compare the anesthetic effects of dexmedetomidine and plain ropivacaine as an adjuvant to ropivacaine for upper limb surgeries in the supraclavicular brachial plexus block in terms of hemodynamic responses, quality, onset, and duration of sensory and motor block, post-operative pain management and side effects/complications if any.
Methods: Sixty adult patients scheduled for upper limb surgeries were randomized into Group A and Group B of 30 patients each. Patients in Group A received 0.5% Ropivacaine 20 mL+5 mL normal saline and Group B received 0.5% ropivacaine 20 mL+0.5 mL (50 μg) dexmedetomidine+4.5 mL normal saline. The primary objective of our study was to compare the groups in terms of quality of block, onset, and duration of sensory and motor block and post-operative pain management. The secondary objective was to compare the intraoperative hemodynamic changes and post-operative adverse effects.
Results: Time taken in the onset of the sensory as well as motor block in both the groups was statistically significantly more in Group A compared to Group B. The duration of the sensory as well as the motor block was much higher in Group B compared to Group A with a statistically significant difference. The total duration of analgesia was slightly higher in Group A compared to Group B. The mean numerical rating scale was significantly lower in Group B compared to Group A at all-time intervals till 24 h. No major side effects were observed with study drugs.
Conclusion: The study confirmed that dexmedetomidine as an adjuvant to ropivacaine in supraclavicular brachial plexus block hastens the onset of the sensory as well as motor block and prolongs the duration of the sensory as well as the motor block in the upper limb surgeries.
THE PATTERN OF SKIN DISEASES OF PATIENTS ATTENDING THE OUT PATIENTS DEPARTMENT IN A MEDICAL COLLEGE IN A DISTRICT IN WEST BENGAL
Authors: NIRMALYA KUMAR DAS  , MOUSUMI ROY BANDYOPADHYAY  , DIBYENDU BASU  , PINKI BARDHAN  , SUCHIBRATA DAS  , SUJATA SINHA
Published: November 2024

Objective: The objective of the study was to find out the pattern of skin diseases among the patients attending the Dermatology outdoor of a Medical College located in a district in West Bengal.
Methods: This is an observational study. Patients attending the dermatology outdoor were included following the inclusion and exclusion criteria.
Results: In this study, we found that infective diseases (51.09%) were more than non-infective diseases (44.31%). Among the infective diseases dermatophyte infection (15.22%) and Scabies (12.31%) were the highest. Eczema (11.68%) and contact dermatitis (10.07%) were the highest among the non-infective diseases.
Conclusion: This study shows the pattern of skin diseases among the patients attending the dermatology outdoor. This gives a good idea about the skin diseases prevalent in this region. This knowledge will help to formulate policies regarding healthcare. It will also help to have an idea about the medicines and human resources required to deliver service to the people.
BLOODSTREAM INFECTIONS AND ITS ANTIBIOGRAM OF INTENSIVE CARE UNITS IN A TERTIARY CARE HOSPITAL OF CENTRAL INDIA
Authors: SHRUTI ASATI  , MAMTA GAUR  , VIJAYAKUMAR  , SONIA SHARMA BHARTY
Published: November 2024

Objective: To perform bacteriological analysis and to study drug susceptibility patterns of isolates from bloodstream infections.
Methods: This retrospective study was conducted in the microbiology department of NSCB Medical College, Jabalpur, spanning from July 2023 to December 2023. The study included blood culture samples from all adult intensive care unit patients of the medical college. Blood samples were collected with aseptic guidelines and cultured for 7 days. Growths were identified using standard biochemical tests and subjected to sensitivity testing according to Modified Kirby-Bauer’s disk diffusion method. Data for the source of blood collection and duration of incubation were noted and compared.
Results: A total of 100 (21.7%) pathogens were isolated from 460 bacteremia suspect patient blood specimens. Pseudomonas spp. Were predominant organisms recovered followed by Klebsiella spp. and Staphylococcus aureus, coagulase-negative staphylococci, and Acinetobacter spp. were the primary pathogens isolated. Carbapenems, glycopeptides, and aminoglycosides were the most effective drugs for treating bacteremia.
Conclusions: Early diagnosis and proper antimicrobial therapy lead to successful treatment of sepsis and decreased morbidity and mortality. Antibiogram of a particular area helps in rationalizing verified treatment strategies.
STUDIES ON THE ROLE OF DRIED ETHANOLIC EXTRACT OF AGARICUS BISPORUS IN THE TREATMENT OF DEPRESSION IN MICE
Authors: SUSHRUTA CHAKRABORTY  , SANDIPAN SAU  , ABHIK SI  , SOUVIK BASAK  , RIKUROY
Published: November 2024

Objectives: Depression is a widespread mental illness with an estimated 322+million people worldwide and one of the most frequent reasons for medical and physical disability. However, the standard treatments available are having side effects such as addiction, physical dependence, and to overcome the lacuna researchers are looking for natural remedies Thus our study aimed to investigate the anti-depressant effect of Agaricus bisporus (White button mushroom) in mice.
Methods: The anti-depressant action of dried ethanolic extract of A. bisporus (EEAB) was evaluated in the Swiss albino mice by various models. After extraction and standardization of the white button mushroom the dose-dependent anti-depressant effect of the white button mushroom was determined. Further, with the best chosen dose, the chronic anti-depressant effect of the white button mushroom was carried out, and also to further substantiate the data brain bioamine estimation was done.
Results and Discussion: Statistical analysis with EEAB 200 mg/kg and 400 mg/kg showed marked anti-depressant action in dose-dependent manner. The calibration of EEAB extract by high-performance liquid chromatography guided a determination that the presence stigmasterol. Brain estimation of the EEAB with 400 mg/kg dose displayed upregulation of Serotonin in the treated mice. Since Serotonin is a major neurotransmitter which is key role anti-depressant activity. Hence, the upregulation of Serotonin suggests that EEAB is having profound anti-depressant activity.
DIAGNOSTIC EFFICACY OF FNAC IN THYROID LESIONS, CLASSIFIED ACCORDING TO BETHESDA SYSTEM WITH CYTOHISTOLOGICAL CORRELATION
Authors: KIRAN KUMARI MEENA  , SANDHYA BORDIA  , POOJA KANWAT  , SEEMA MEENA  , PRAGYA JAKHAR
Published: November 2024

Objective: The objective of the study is to estimate the diagnostic accuracy (DA) of fine needle aspiration cytology (FNAC) in thyroid lesions with cytohistological correlation.
Methods: The study was a cross-sectional study which was conducted in the Department of Pathology, Rabindranath Tagore Medical College, M.B.G. Hospital, Udaipur, Rajasthan, from December 2022 to December 2023. A total of 201 thyroid aspirations were performed, and the smears were classified according to The Bethesda system. Cytological and histopathological findings were compared in 132 cases that proceeded to surgery. Sensitivity, specificity, negative predictive value (NPV), positive predictive value, and DA were calculated using standard statistical methods.
Results: The distribution of thyroid lesions on cytology was as follows: Non-diagnostic (1%), benign (92%), atypia of unknown significance (1%), follicular neoplasia (3%), suspicious for malignancy (2%), and malignant (1%). The sensitivity, specificity, positive predictive value, NPV, and DA in our study were 78.94%, 100%, 100%, 96%, and 96.9%, respectively.
Conclusion: FNAC’s cost-effectiveness, patient-friendly nature, swift results, and high sensitivity, specificity, and accuracy render it a primary diagnostic tool for assessing patients with thyroid swelling preoperatively. The Bethesda system categorizes thyroid lesions cytologically, aiding in their diagnosis and subsequent management. Histopathological correlation facilitates the assessment of DA and ensures quality assurance.
EXPERIENCE OF CHRONIC LYMPHOPROLIFERATIVE DISORDER CASES IN A NEWLY ESTABLISHED FLOW CYTOMETRY LABORATORY IN A TERTIARY CARE HOSPITAL: A SERIES OF 8 CASES
Authors: RAJANI RAJKUMARI  , VIJAY RAJAK  , GUNJA DWIVEDI  , SWATI AGARWAL
Published: November 2024

Chronic lymphoproliferative disorder (CLPD) represents a heterogenous group of conditions affecting lymphocytes – especially white blood cells crucial for combating infections. The utilization of flow cytometry for immunophenotyping has significantly improved the diagnosis and differentiation between various CLPDs. The diagnosis of CLPD is based on the findings of peripheral blood smear, bone marrow aspiration and flow cytometry examinations. Here, we report a series of eight cases, diagnosed as CLPD by flow cytometry out of a total 78 cases received for flow cytometry analysis for a period from March, 2022 to March, 2024 after the establishment of a new flow cytometry laboratory
FACULTY PERCEPTION TOWARD E-LEARNING IN THE MEDICAL STUDENTS DURING COVID-19 PANDEMIC
Authors: PRAVIN N YERPUDE  , KEERTI S JOGDAND  , MOHINI JOGDAND
Published: November 2024

Objectives: The objective of this study was to assess the perceptions of medical faculty regarding online teaching and learning during the COVID-19 lockdown period.
Methods: A non-probability convenience sampling method was employed to determine the sample size, which was calculated to be 93. Following informed consent, a pre-designed and pre-tested questionnaire was administered to faculty members involved in online teaching. The questionnaire utilized a 5-point Likert scale to gather responses. The collected data were then tabulated and subjected to statistical analysis.
Results: Before receiving orientation on online teaching, approximately 49% of the faculty members demonstrated a very good understanding of online teaching techniques. Overall, 49% of the faculty members reported a positive perception of online teaching during the lockdown period. A notable 61% of faculty members expressed a preference for face-to-face teaching over online teaching.
Conclusion: During the COVID-19 pandemic, online teaching and learning became a crucial component of medical education. Despite challenges, online learning offered significant advantages for enhancing students’ learning experiences and knowledge. It has emerged as a viable and potentially valuable teaching method for the future of medical education.
EVALUATION OF CUTANEOUS ADVERSE DRUG REACTIONS IN A TERTIARY CARE HOSPITAL IN SOUTHERN INDIA: A RETROSPECTIVE ANALYSIS
Authors: ANKITA PANIGRAHY  , ASIYA BEGUM  , USHARANI PINGALI  , MEKALA PADMAJA  , AMAL SAJEEV
Published: November 2024

Objective: This study was undertaken to understand the demographic profile, common causative drugs, and the presentations of cutaneous adverse drug reactions (CADR) among the patients of our hospital.
Methods: This is a retrospective analytical study. All CADR reported to our adverse drug reaction monitoring center from dermatology outpatient department (OPD), other OPDs, intensive care units, and inpatient wards of our hospital from September 2022 to March 2024 was collected from VIGIFLOW (software used by the pharmacovigilance program of India). The data was then analyzed.
Results: A total of 272 CADR were reported over the study period. The median age of presentation was 41 years (Interquartile range=23). Overall 44 (16.18%) serious and 228 (83.82%) non-serious CADR were reported. Erythematous maculopapular rash was the most common clinical presentation (63%). Bullous exfoliative drug eruptions and Stevens Johnson’s syndrome were some of the serious CADR. The most common suspected medications were antibiotics (42.15%) followed by non-steroidal anti-inflammatory drugs (8.92%). In 76% of the cases, the suspected medication was withdrawn. The outcome was reported as “Recovering” in 52% of the cases. On causality assessment, 251 (92%) CADR were classified as “Possible.”
Conclusion: A CADR is a common yet preventable health problem. As seen from our study, most of the suspected medications were withdrawn and subsequently the patients were recovering from the CADR. Hence, early diagnosis, identification, and withdrawal of the implicating drugs help in timely recovery and prevention of complications, which in turn help in decreasing the burden on our healthcare system.
CONGENITAL HYPOTHYROIDISM IN NEWBORN AND ASSOCIATION WITH SOCIODEMOGRAPHIC PARAMETERS AMONG NEONATE DELIVERED AT MILITARY HOSPITAL IN A CITY OF CENTRAL INDIA
Authors: ANISHA BEEGUM  , SRUTI KRITI
Published: November 2024

Objectives: The present study aims to assess the incidence of congenital hypothyroidism (CH) among neonates in a tertiary care hospital in central India, examining its association with various sociodemographic parameters.
Methods: This cross-sectional study, conducted between January and December 2022, included all live births at a tertiary care center in Jabalpur, Madhya Pradesh. Cord blood thyroid-stimulating hormone (TSH) levels were measured for all newborns as part of routine screening. Sociodemographic data, including maternal age, gestational age, birth order, and newborn sex, were collected. Universal sampling was employed, encompassing all consenting parents and their neonates.
Results: Among 388 live births, TSH values ranged from 0.23 to 35.59 mIU/L, with a mean TSH of 8.76±5.92 mIU/L. Of the neonates, 95.9% had normal TSH levels, while 4.1% exhibited elevated levels. Subsequent follow-up identified CH in two neonates (5.2 per thousand live births). Analysis revealed no significant association between elevated TSH levels and maternal age or newborn sex. However, a significant association was observed with gestational age. Birth order also displayed significance, with the third birth order having a higher proportion of neonates with raised TSH levels.
Conclusion: This study highlights the importance of CH screening in preventing long-term complications and the various sociodemographic factors linked to CH, such as maternal age, gestational age, and birth order.
ROLE OF EPIDERMAL GROWTH FACTOR RECEPTOR AND KI67 IN EPITHELIAL OVARIAN TUMOR
Authors: Pathak Ankita , Singh Mahendra , Verma Neelima
Published: November 2024

Objective: The objective of the study was to evaluate epidermal growth factor receptor (EGFR) and Ki67 expression in epithelial ovarian tumors and assess the existence of any correlation between overexpression of these markers and histological grades.
Methods: This prospective study was conducted in the Department of Pathology in a tertiary care hospital of G.S.V.M. Medical College from 2022 to 2024. The study included 50 patients with histologically confirmed epithelial ovarian tumors, whose post-resection specimens were subjected to immunostaining to determine the degree of expression of EGFR and Ki67 proliferation index. Details were noted pertaining to age, tumor type, and histological grade. Statistical analysis included the Chi-square test, which evaluated associations between age, histological grade, EGFR expression, and Ki67 proliferation index.
Results: Most of the participants were below 60 years of age (80%). Most tumors were benign (72%), with serous cystadenoma being the most common (66%). The association between histological grade and age was statistically significant; with benign tumors being more common in patients aged ≤50 years and malignant tumors more frequent in those aged >50 years (p=0.018). EGFR expression was observed in 18% of the tumors, predominantly malignant ones, showing a significant association with tumor malignancy (p<0.001). In addition, the Ki67 proliferation index was significantly higher in malignant tumors (p<0.001), and its levels were associated with EGFR expression (p=0.026).
Conclusion: The study findings suggest that molecular markers such as EGFR and Ki67 may be useful in predicting tumor behavior and guiding tailored treatment strategies for ovarian cancer patients.
CONVENTIONAL TEACHING VERSUS COMPUTER-ASSISTED LEARNING IN EXPERIMENTAL PHARMACOLOGY AMONG 2ND-YEAR MBBS STUDENTS: A QUESTIONNAIRE-BASED STUDY
Authors: NIVEDITA SAHA  , DOLLY ROY  , DEVARSI CHOUDHURY  , PRANAB DAS
Published: November 2024

Objectives: The primary objective was to evaluate the effectiveness of CAL in improving students' understanding of pharmacological concepts. The secondary objective was to assess students' acceptance and preference for CAL compared to traditional teaching methods.
Methods: A prospective cross-sectional study was conducted with 128 second-year MBBS students at Silchar Medical College & Hospital, Assam. Participants were divided into two groups: one group was taught using traditional methods, while the other utilized CAL. Data were collected through post-session quizzes and a feedback questionnaire. Statistical analysis included Chi-square tests to determine the significance of differences between the two groups.
Results: The CAL group demonstrated significantly higher understanding and application of pharmacological concepts, with students reporting greater satisfaction and increased interest in the subject. Key findings include a significant improvement in understanding (χ² = 11.25, p = 0.023) and the ability to relate drugs to basic mechanisms (χ² = 10.54, p = 0.032). However, concerns about the resource requirements of CAL were noted (χ² = 9.98, p = 0.041).
Conclusion: CAL significantly enhances the learning experience in experimental pharmacology, improving student comprehension, application of knowledge, and engagement. Despite its advantages, the implementation of CAL requires careful consideration of resource constraints. The study suggests that a hybrid approach, combining CAL with traditional methods, may offer the most effective strategy for teaching pharmacology.
ASSESSMENT OF MEDICATION ADHERENCE IN BIPOLAR DISORDER PATIENTS USING MEDICATION ADHERENCE TOOL
Authors: SAHA NIVEDITA , DAS PRANAB , DOLLY ROY
Published: November 2024

Objective: The aim of this study was to evaluate the levels of medication adherence among patients with bipolar disorder and to identify the factors associated with low adherence.
Methods: This prospective cross-sectional study was conducted over 6 months at the Psychiatry outpatient department of Silchar Medical College and Hospital, Assam, India. A total of 140 patients with bipolar disorder were recruited using consecutive sampling. Medication adherence was assessed using the Morisky 8-Item Medication Adherence Scale (MMAS-8), and demographic data were collected through structured interviews. Data were analyzed using descriptive and inferential statistics to identify factors associated with adherence.
Results: The study found that 45% of the participants had low adherence (MMAS-8 score >2), 30% had medium adherence (score 1–2), and 25% had high adherence (score 0). Factors significantly associated with low adherence included lower educational levels, unmarried status, and rural residence. Forgetfulness (58%), side effects (22%), and inconvenience (20%) were the primary reasons for non-adherence. Interventions like reminder systems were found to improve adherence rates significantly.
Conclusion: Medication adherence in patients with bipolar disorder remains suboptimal, with nearly half of the study population exhibiting low adherence. Addressing factors such as cognitive impairments, side effects, and lack of social support through tailored interventions could improve adherence and patient outcomes. Further research is needed to develop and implement strategies that address the complex barriers to adherence in this population.
PRESCRIPTION AUDIT AT A TERTIARY CARE HOSPITAL – A CROSS-SECTIONAL STUDY
Authors: Das Pranab , Biswas Nilanjan , Saha Nivedita , Tigga Rohit , Singha Arunima , Gupta Aritra
Published: November 2024

Objective: The aim of this study was to analyze prescribing practices at Silchar Medical College and Hospital (SMCH) through a cross-sectional audit of 600 outpatient prescriptions, adhering to the National Health Mission Prescription Audit Guidelines 2021.
Methods: The audit examined prescriptions of patients who visited the Outpatient department (OPD) of Department of General Medicine, Surgery, Orthopedics, Gynecology and Obstetrics, Pulmonary Medicine, Pediatrics, Dermatology, and Psychiatry. The audit evaluated key aspects such as the completeness of patient information, legibility of prescriptions, documentation of clinical details, and adherence to standard treatment guidelines (STG).
Results: The prescription audit at SMCH revealed high compliance with essential criteria such as OPD registration and patient gender documentation. However, gaps were identified in areas such as allergy status documentation (0%), legible handwriting (75.7%), and follow-up advice (16.9%). In addition, adherence to STG was observed in 75% of prescriptions, with a concerning finding that there was a lack of facility’s Antibiotic Policy.
Conclusion: The study underscores the importance of complete and accurate prescription documentation to ensure patient safety and effective treatment.
MAGNETIC RESONANCE IMAGING IN DIAGNOSIS AND CLASSIFICATION OF MULLERIAN DUCT ANOMALIES: CASE SERIES
Authors: BHAVYA KATARIA  , SHIBANI MEHRA
Published: November 2024

Objectives: Mullerian duct anomalies (MDAs) arise from the aberrant development of the uterus, cervix, and vagina, impacting the potential for successful conception and full-term pregnancy. This category encompasses a diverse range of developmental defects, leading to a spectrum of clinical presentations such as amenorrhea, infertility, recurrent miscarriages, intrauterine growth retardation, malposition of the fetus, preterm labor, and retained placenta.
Case(s): In this study, we present 17 cases of MDA with a wide array of clinical manifestations. The varied symptoms included amenorrhea, infertility, repeated miscarriages, intrauterine growth retardation, malposition of the fetus, preterm labor, and retained placenta. Accurate categorization of these cases is crucial for determining the appropriate surgical intervention. While ultrasonography aids in the initial diagnosis of MDA, our focus on accurate classification necessitates the use of magnetic resonance imaging (MRI).
Conclusion: Our findings underscore the significance of MRI in precisely categorizing MDA, and facilitating effective management strategies. The 17 cases presented demonstrate the diverse spectrum of MDA manifestations, emphasizing the need for tailored surgical interventions for successful conception and optimal pregnancy outcomes. The use of MRI proves instrumental in guiding clinical decisions, offering a comprehensive understanding of MDA, and informing targeted interventions to enhance reproductive success.
A COMPARISON OF 0.5% BUPIVACAINE ALONE VERSUS 0.5% BUPIVACAINE WITH VERAPAMIL AS AN ADJUNCT IN ULTRASOUND-GUIDED SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK
Authors: ASHWIN KUMAR  , SUNEETA DUTTA  , SANGITA YADAV
Published: November 2024

Objective: Supraclavicular brachial plexus blocks are commonly performed for surgeries on the upper limb because they are highly effective for both anesthesia during the procedure and pain control afterward. This method targets the entire brachial plexus, making it a popular alternative to general anesthesia, as it minimizes associated risks while offering better pain relief after the surgery. Bupivacaine, a long-lasting local anesthetic, is often preferred for this block, though its pain-relieving effects eventually wear off. Owing to limitations regarding the duration of analgesia, many adjuncts have been tried since time immemorial to enhance the effectiveness of the blocking properties of these local anesthetics. Verapamil, a calcium channel blocker, has emerged as a promising adjunct that can potentially enhance and prolong the effects of Bupivacaine. This study aims to compare the efficacy of 0.5% Bupivacaine alone versus Bupivacaine combined with Verapamil in ultrasound-guided supraclavicular brachial plexus blocks.
Methods: A randomized clinical trial was conducted on patients undergoing elective upper limb surgeries under ultrasound-guided supraclavicular brachial plexus block. Group A received 30 mL of 0.5% Bupivacaine, whereas Group B received 30 mL of 0.5% Bupivacaine with 5 mg of Verapamil. Primary outcomes included the time of onset of sensory and motor blockade and the duration of analgesia for the same, whereas secondary outcomes included post-operative pain scores and hemodynamic stability.
Results: The addition of Verapamil to Bupivacaine significantly accelerated the onset of sensory and motor blockade in Group B compared to Group A. Group B also exhibited a significantly prolonged duration of both sensory and motor blockade and reduced post-operative analgesic requirements.
Conclusion: Verapamil helps boost the effectiveness of Bupivacaine in supraclavicular brachial plexus blocks, speeding up the onset of its actions and extending its pain-relieving effects. This makes it a useful addition to local anesthetics, making it a valuable adjunct in regional anesthesia.
EFFECT OF DRY NEEDLING ON PAIN AND CERVICAL RANGE OF MOTION IN PATIENTS WITH UPPER TRAPEZIUS TRIGGER POINTS: A SYSTEMATIC REVIEW
Authors: POONAM ROKRI  , PRABHAT KUMAR  , SHARVIL DHAR  , HITANSHU AGNIHOTRI
Published: November 2024

Objectives: This systematic review seeks to provide high-quality evidence on the effect of dry needling on cervical range of motion and pain in patients. The objective of this systematic review was to determine the evidence base for the effect of dry needling on cervical range of motion and pain in patients with upper trapezius trigger points.
Material and methods: A systematic electronic literature search was undertaken utilizing keywords and medical subject heading search phrases in the PubMed/Medline, Cochrane Central, Scopus, and EBSCO databases, as well as Google Scholar. In addition, the reference lists of the systematic reviews included in the study were manually searched. Patient satisfaction and complications were collected from a range of motion prospective and experimental studies that provided the greatest degree of evidence. Articles were evaluated critically, and the methodological index for non-randomized studies scale was used to determine the risk of bias.
Results: This systematic review suggested the use of dry needling to improve pain and functional capacity in patients with chronic neck pain at short- and mid-term intervals. To the interventions, dry needling combined with physical therapy was shown to be effective in decreasing pain, whereas isolated dry needling did not demonstrate significant improvements in the analyzed studies.
Conclusion: Finally, as for pain, dry needling combined with physical therapy was the therapy that showed the most benefits in function in the analyzed studies
PREVALENCE OF NUTRITIONAL DEFICIENCIES IN CRITICALLY ILL PATIENTS ADMITTED TO INTENSIVE CARE UNIT
Authors: T MURALI  , JANANI  , N SELVARAJAN
Published: November 2024

Objective: This study was conducted to assess the incidence of the excisting malnutrition in critically ill patients who are admitted to ICU. So that this can help in improving the nutrition therapy in these critically ill patients. And, to identify the comorbidities which as associated with severe malnutrition.
Methods: All patients who are above 18 years admitted to ICU irrespective of sex, diagnosis and severity of disease are assessed for nutritional status with SGA score within 24 hours of admission.
Results: In males severe malnourishment was noted in elderly age group with mean age of 64.33 ±17.32 compared to patients with < 60 years. In female patients moderately nourished patients were older with mean age of 61.37±12.69. there is no difference between male and female in well-nourished and severely malnourished group. But in moderately nourished group females are more than males(32.09% vs 24.92%). Diabetes mellitus seem to be the most common comorbidity noted. In diabetes mellitus 81.39%  of patients were severely malnourished.
Conclusion: it is shown that most of the patients admitted to ICU presents with pre excisting malnutrition. So nutrition therapy plays import role in management of these patients.
COMPARISON OF ULTRASOUND-GUIDED LUMBAR ERECTOR SPINAE PLANE BLOCK AND TRANSMUSCULAR QUADRATUS LUMBORUM BLOCK FOR POST-OPERATIVE ANALGESIA IN TOTAL HIP REPLACEMENT SURGERIES: A PROSPECTIVE RANDOMIZED STUDY
Authors: SANGEETHA C  , MALATHI ANIL KUMAR  , VIJAYAKUMAR M HEGGERI  , APARNA BATHALPALLI
Published: November 2024

Objectives: The objective of the study is to compare the efficacy of ultrasound-guided lumbar erector spinae plane block (ESPB) and transmuscular quadratus lumborum block (QLB) in providing post-operative analgesia for patients undergoing total hip replacement (THR) surgeries.
Methods: This prospective, randomized, double-blind study compared the efficacy of ultrasound-guided lumbar ESPB and transmuscular QLB (QLB-t) for post-operative analgesia in THR surgeries. Ninety patients were randomized into three groups: ESPB, QLB, and a control group. Primary outcomes included the duration of analgesia, measured by numeric rating scale scores, and secondary outcomes assessed total analgesic consumption and the incidence of post-operative nausea and vomiting (PONV) within 24 h. For statistical purposes, p<0.05 was taken as statistically significant.
Results: This study compared lumbar ESPB and QLB for post-operative analgesia in THR surgeries. At the 1st h, pain scores were significantly lower in the ESPB (1.30) and QLB (1.05) groups compared to the control group (2.15) (p<0.001). Tramadol consumption in the first 12 h was significantly lower in the ESPB (52.3 mg) and QLB (50.1 mg) groups compared to the control group (135.20 mg) (p<0.001). PONV was absent in 60% of ESPB and 63% of QLB patients, compared to only 33% in the control group (p=0.038).
Conclusion: Lumbar-ESPB and QLB-t blocks effectively reduce post-operative pain and analgesic requirements in THR surgeries, showing comparable benefits. Both techniques also lower the incidence of PONV.
Farmers’ Digital Transformation Preferences: Acceptability, Affordability, Accessibility, Awareness, and Availability
Authors: Francisco Joyce Crisia S. , Mamangon Lovely Gill F. , Pagaduan Ellaine E. , Pajarillo Rey Lie C. , Domingo Arjhel V.
Published: November 2024

This research outlines the characteristics and preferences of rice farmers when it comes to incorporating digital advancements in farming practices. The study delves into their attitudes, towards the acceptance and use of technology in agriculture particularly focusing on aspects such as affordability, ease of access knowledge levels, and the availability of solutions. The findings reveal that while farmers recognize the benefits of utilizing tools for enhancing productivity various challenges such, as expenses, limited training opportunities, and constrained accessibility hinder their adoption. Farmers are well informed about technology, like the Palay Check App; however, affordability issues persist in markets while access remains limited. The perceived high costs of investing in solutions hinder their potential impact, on smallholder productivity. The research highlights the importance of improving assistance and making technology more accessible to support use among farmers. This could help them improve crop yield and lower expenses result in, in use of tools to advance agricultural methods.
The Science Behind the Wind: Materials Driving Wind Energy’s Future - Overview
Authors: Panagiotis Charitidis J.
Published: November 2024

The relentless pursuit of renewable energy has driven significant advancements in wind turbine technology, with material innovation playing a pivotal role. This paper explores the intricate relationship between materials and wind turbine performance, exploring the properties, advantages, limitations, and risks associated with traditional and emerging materials, including fiberglass, carbon fiber, bio-based composites, nanomaterials, and hybrid composites. The paper examines the complex interplay between material selection and blade design. Optimized designs can mitigate failure mechanisms like delamination, cracking, and erosion. By analyzing case studies and leveraging advanced simulation techniques, the paper assesses the impact of various materials on blade lifespan, performance, and environmental impact. As we look to the future, sustainability and recyclability emerge as critical considerations. The paper discusses the potential of bio-based materials and innovative manufacturing techniques to reduce the environmental footprint of wind energy. By understanding the materials science, we can unlock the full potential of wind power and accelerate the transition to a cleaner, more sustainable energy future.
Antibacterial, Antioxidant and Cytotoxicity Assessment of Crassocephalum crepidioides Leaf Extract
Authors: Devi Yumnam Asha , Gnanasekaran Prathiba , Devi Haorongbam Joldy
Published: November 2024

The goal of the present investigation was to demonstrate the antibacterial activity of different solvent extracts (methanol, ethanol, cold aqueous and hot aqueous) of Crassocephalum crepidioides against ATCC bacterial cultures of Staphylococcus aureus, Escherichia coli, Methicillin resistant Staphylococcus aureus, Pseudomonas aeruginosa and its antioxidant potential. Furthermore, the chemical constituents present in the extract was perused by Gas chromatography-mass spectroscopy (GC-MS), along with in vitro cytotoxicity assessment. All the extracts were shown to be sensitive against S. aureus, MRSA and P. aeruginosa except for the ethanolic extract which was resistant to P. aeruginosa. Of all the extracts, hot aqueous extract found to be the most effective. It was found that Minimum inhibitory concentration (MIC) value of hot aqueous extract against S. aureus, MRSA and P. aeruginosa were 5 mg/mL, 5 mg/mL and 40 mg/mL, respectively. DPPH results showed that C. crepidioides leaf extract has potent antioxidant activity with IC50 value of 57.9 µg/mL. 22 compounds were detected in hot aqueous extract through Gas chromatography-mass spectroscopy. The results of the cytotoxicity evaluation displayed that the IC50 value of the hot aqueous extract of C. crepidioides on Vero cell lines was 292 µg/mL. This study concludes that C. crepidioides leaf extract is non-toxic, has various bioactive components and strong antibacterial and antioxidant activities, thus making it a promising therapeutic agent for various biomedical applications.
Microbial Bioremediation of Petroleum Contaminated Soil: Structural Complexity, Degradation Dynamics and Advanced Remediation Techniques
Authors: Kakde Pratik , Sharma Jaigopal
Published: November 2024

Soil contamination with petroleum hydrocarbons poses a significant environmental challenge, necessitating effective remediation strategies to mitigate ecological risks. This review paper systematically examines the current state of knowledge regarding soil contamination with petroleum hydrocarbons, focusing on diverse sources and the extent of contamination. The investigation encompasses a range of hydrocarbon compounds, including aliphatic and aromatic fractions, emphasizing the dynamic nature of the contamination scenarios. A thorough review of bioremediation techniques, which have shown promise and sustainability as methods for cleaning up soil contaminated with petroleum hydrocarbons are also involved in order to solve these issues. Each of the three microbial processes, biodegradation, bioaugmentation, and biostimulation, is covered in detail in the paper, along with the complex mechanics underlying each technique. The report also emphasises new developments in genetics and molecular biology that add to our understanding of the metabolic pathways and microbial interactions involved in hydrocarbon breakdown. The effectiveness of plant-assisted bioremediation coupled with bioaugmentation and stimulation, specifically phytoremediation, is also explored, emphasizing the potential of certain plant species to enhance the removal of petroleum hydrocarbons from contaminated soils through rhizosphere interactions and plant-associated microbial activities. Furthermore, the paper evaluates the influence of environmental variables including soil composition, temperature, and moisture content on the effectiveness of bioremediation techniques, offering valuable perspectives on enhancing remediation efficiency through optimal conditions. The possibility for enhancing conventional bioremediation techniques through the incorporation of cutting-edge technology like nano-remediation is also explored.
A Review on Medicinal Importance of Tridax Procumbens
Authors: Wagh Ashvini A
Published: November 2024

Nature has provided plentiful plant sources which provides various medicinal properties. The plant of Tridax Procumbens is belongs to the family Asteraceae and it is also known as Jakham judi, Kambarmodi, Tantani, Gaddi chemanthi etc. These medicinal plants are the rich sources of various natural remedies for the treatment of pathogenic and other diseases. It Consists of Various secondary metabolites in the plants are Alkaloids, Flavonoids, saponins, Tannins, Anthocynins, phenol steroids, proteins, amino acids and carbohydrates have been used for important pharmaceutical compounds .This review paper is attempt to understand the phytochemical constitution of T. Procumbens and it’s antilithiatic action. Kidney stones are the major life style disorder in present era and there is wider need scope for the research of better Lithotripsic and antilithiatic drug alternatives. It gives various pharmacological action like antilithiatic, anti-inflammatory, antihypertensive, antimicrobial, antifungal, wound healing, insects repellent activity, hepatoprotective, anticancer, antidiabetic. T. Procumbens known as JAYANTI VEDA in ayurvedic pharmacopoeia is commonly called as coat button
Unlocking Financial Services with Generative AI and Converged Infrastructure
Authors: Tambe Ashwin
Published: November 2024

Generative Artificial Intelligence (Gen AI) is poised to revolutionize financial services by empowering institutions to unlock the true potential of their data, driving a wave of innovation in risk management, personalized customer experiences, improved financial analytics, secure AI model training, and optimized high-frequency trading. Unleashing this potential necessitates a converged infrastructure that integrates cloud and on-premise resources with high-performance computing (HPC).Given Gen AI's demanding nature, the immense computational power offered by HPC is critical. This paper explores the crucial role of HPC in supporting Gen AI workloads within financial services, along with considerations for converged infrastructure, potential challenges, and a roadmap for successful Gen AI implementation.
Scalable AI Workflow Solutions with Cloud and Micro-services
Authors: Patel Mahi
Published: November 2024

This research explores an AI-driven automation solution that streamlines operations by integrating cloud and microservices architecture [1], [9]. By connecting to widely used platforms (Discord, Google Drive, and Notion) [13], [14], we physically perform daily tasks, manage information, and commu- nicate, eliminating human intervention. The solution uses APIs for instant integration, task tracking, and reporting to facilitate team collaboration [5]. Designed for small to medium-sized teams, this automation system is scalable for future integrations and can adapt to changing business conditions [2]. Evaluation of the effectiveness of the system regarding improvements in operational efficiency, data consistency, and error reduction by focusing on product improvement through smart technology [6]. The framework aims to analyze performance management, enabling teams to focus on profitable activities while driving business growth [7].
Optimization of Fiber-Polymer Ratios for Enhanced Mechanical Properties in 3D-Printed Composites
Authors: S R Swamy
Published: November 2024

The ratio of fiber to polymer is significant for improving the mechanical properties of fibrous polymers that are used for 3D printers’ applications in aerospace, automobile and Biomedical industries. This research on the behavior of fiber reinforced polymer composite material compares the impact of different fiber content on tensile strength, flexural strength, and impact resistance of 3D printed fiber reinforced polymer composites. From a range of fiber contents of 10%, 20%, and 30%, efficiency rises progressively with increasing fiber ratios, with the composite’s maximum tensile strength and flexural strength reached 60 and 55 MPa, respectively at the 30% fiber ratio. Nevertheless, if a structure exceeds the maximum of averaged values, one can meet more severe problems that have been described as brittleness and limited versatility in this study, which means that an optimal use of composites should imply a subtle balance between these parameters. Fiber-matrix adhesion is also a significant factor discussed in the study, which is a key parameter that defines the ultimate strength and life of the developed composites. These results do not only contribute to the knowledge of using 3D-printed composite materials but also provides benefits for proposing specific ideas in industries which attempt to introduce lightweight and high strength parts in their production lines. Some areas for further investigation are the effect of using other fiber orientation and the use of the hybrid fiber-polymer composites to achieve better mechanical properties and overcome problems arising from high fiber content. More specifically, this work helps to enrich the existing knowledge on the nutritional values of fibers and polymers with the aim of achieving optimal fiber-polymer ratios for enhancing the technique of three-dimensional printed composites
Survey Paper on IoT-Enabled Seed Dispensing Robot
Authors: Chandekar Sakshi
Published: November 2024

As a result, the IoT-Enabled Seed Dispensing Robot is used to automate the seed planting process with precision technologies. Based on real time environmental conditions such as soil moisture and temperature it optimizes seed placement through GPS tracking and IoT sensor data. Remote monitoring and control of the robot is via a cloud-based platform resulting in significant reduction in labour cost and superior farming efficiency. Having the ability to handle terrain and obstacle mapping, it is well suited for any agricultural application and is a reliable, scalable way to meet the challenges of modern farming.
Survey Paper on Recipe Finder Website
Authors: Khan Azlaan
Published: November 2024

This paper focuses on the development of a Recipe Finder Website that will help the user to type in the foods that he/she has and get a list of foods that can be prepared with such foods. The system includes a number of filters that help use define a list of restaurants by the type of cuisine, diet, or time needed for cooking. From various recipes carefully collected, a database guarantees strictly unique relevant recommendations. It also recommends Indian recipes cooked on a daily basis in Indian households.