bluuebunny/crossref_metadata_2025 huggingface dataset:
Issues and Challenges: The Development of Fair and Equitable Health Policy
Authors: Hendricks-Sturrup Rachele
Published: September 2021

Public health policy/law is a discipline that seeks to identify opportunities and implement mechanisms to achieve justice in the public health sector. Several public health policies and programs have been implemented by virtue of the Affordable Care Act (ACA), and these policies and programs seek to decrease America’s “paradox of excess and deprivation” and address socioeconomic barriers that exist in the U.S. healthcare system. Private healthcare market interests have accused the ACA of intruding heavily into the professional autonomy of the medical profession, eroding healthcare market competition, and driving up national healthcare spending. Counter-arguments defending the ACA state that the law exposes the limitations to such professional autonomy of the medical profession, primarily because the U.S. healthcare system is currently ridden with excess, waste, and social injustice. This review article outlines the types of policies and laws governing healthcare, unique healthcare issues faced by particularly vulnerable populations, and future challenges and opportunities under the ACA. Lastly, the article provides recommendations to address future challenges and opportunities under the ACA, so as to balance the scales between private market interests and public health equity.
Use of the KAWA Model for Teambuilding with Rehabilitative Professionals: An Exploratory Study
Authors: Lape Jennifer , Scaife Brian
Published: September 2021

Purpose: The KAWA model, a culturally-sensitive model of occupational therapy practice, can enhance patient-provider collaboration, but its use as a tool for teambuilding and collaboration among an interprofessional group has not been studied. Teambuilding has been positively correlated with job satisfaction, and quality of client care. The purpose of this exploratory qualitative study was to identify potential uses of the KAWA model and areas for future research related to teambuilding. Method: Trainings on the model, including a review of model components, its potential utility with clients, and an interactive activity, were provided to two rehabilitative teams (N=26) within two skilled nursing facilities. Results: Focus groups were conducted and analysis of the discussions revealed 4 potential applications of the model: (1) as a teambuilding tool to build team cohesiveness/morale; (2) as a tool to address performance issues with individual team members; (3) as a tool for conflict resolution among multiple team members; and (4) as a means to address workplace challenges external to the team itself. Conclusions & Recommendations: Teambuilding in healthcare settings can benefit both clients and rehab professionals, and the KAWA model may be an effective tool for this purpose. Limitations include a modest sample, and interpreter bias; however, this study provides a foundation for future research on the KAWA model related to teambuilding and interprofessional collaboration.
Perforación videocolonoscópica. ¿Es factible suturar?
Authors: Schlain Sergio , Pérez Domínguez Rocío , Colman Melina Sofía
Published: September 2021

INTRODUCCION: La perforación videocolonoscópica del colon es una complicación poco frecuente, aunque su riesgo se ha visto incrementado debido al enfoque en la prevención, diagnóstico y tratamiento de lesiones colorrectales. Pueden ocurrir durante la endoscopía diagnóstica o terapéutica con una frecuencia del 0.019-0.8% y 0.1-0.3% respectivamente  y pueden estar relacionadas a varios mecanismos.  El manejo puede ser conservador, endoscópico o quirúrgico y existe debate sobre el enfoque más adecuado. Presentamos un caso de nuestra experiencia en el que mostramos una colorrafia laparoscópica.

 

DESCRIPCION: Se presenta el caso de una mujer de 65 años que concurre para realizarse una videocolonoscopía de Screnning para cáncer de colon, con buena preparación intestinal. La perforación ocurre a nivel del ángulo rectosigmoideo  y fue visualizada e inmediatamente diagnosticada por el endoscopista. Suspendido el estudio la paciente presentó leve dolor abdominal por lo que fue llevada a la sala de operaciones dentro de las 4 horas posteriores a la videocolonoscopía y realizandose una exploración laparoscópica. 

Se utilizaron dos trocares de 5 mm y uno de 10mm. La perforación se identificó fácilmente, presentaba una extensión de 30x30 mm a nivel la unión recto-sigmoidea con escaso líquido libre. La perforación fue reparada en dos planos con poliglactina 910 continua 3-0. La cavidad peritoneal se lavó en todos los cuadrantes y  se utilizó un drenaje abocado al fondo de saco de Douglas que se exteriorizó por uno de los orificios portales. Prueba neumática negativa. El tiempo operatorio completo fue de 60 minutos. La paciente evolucionó favorablemente, otorgándose el alta médica al 4° día postoperatorio con dieta general y buena función intestinal.  

 

CONCLUSIONES: El cierre primario laparoscópico es un enfoque mínimamente invasivo seguro para el manejo de perforaciones colonoscópicas en ausencia de inflamación extensa o contaminación fecal. En manos experimentadas, permite evitar una laparotomía y otorga los beneficios de la cirugía miniinvasiva. La colorrafia laparoscópica debe considerarse en el tratamiento selectivo de las perforaciones colonoscópicas.
Book Review: Bula, A. (2020). Poetry as Throne for Sentimental Reticulation: A Review of Andrew Bula's Turns of Thoughts. Abuja: Old Press
Authors: Gogo Iorwuese
Published: September 2021

This review article is a critical inspection of Andrew Bula's collection of poems, Turns of Thoughts (2020). As such, critical searchlights are thrown on poems as “Turns of Thoughts”, “Who Knows”, “Keeping Vigil”, “Love to Love”, “Wall Gecko”, “Far Out to the Woods”, “King on Fours in the Wilds”, “Trekking Home on a Windy Night”, ‘Presence and Space”, “Neighbour, Let’s Hate Hatred”, "Much Minuses & Little Pluses", "To Illumine our Rich, Fine World". In investigating these pieces, the aim really is to uncover the message and artistry of Bula's poetry. There are, of course, other pieces in the anthology that are simply mentioned in this review, without depth analyses. In such circumstances, the tendency is to liken them to other piece(s) or, quite simply, to take a cursory view of them. And then there is a showcasing of dominant literary devices as found in the poems as Rhetorical Questions, Paradox, Simile, Metaphor, Personification, Allusion, and Code Mixing. In the end, it is made out that Bula’s poetry is one of emotional elation and it reveals high moral awareness of, and gratitude to, important members of the public who have positively impacted society. Likewise, it is discovered that the poems also explore nature, love, and philosophical themes, while employing literary devices such as have already been mentioned.
A poluição visual e seus impactos no espaço urbano em Palmas- TO: uma década de transformação
Authors: Cecchin Hareli Fernanda Garcia , Teixeira Irenides
Published: September 2021

A poluição visual é um fenômeno que deve ser discutido, visto que afeta diretamente a qualidade de vida do cidadão, a paisagem e a memória urbana. O objetivo da pesquisa foi mapear a poluição visual, no espaço urbano, em Palmas-TO e comparar com a poluição visual existente em 2010. O estudo foi realizado por meio de registro fotográfico das peças publicitárias presentes nas 10 quadras do centro simbólico, em localidades de maior concentração de mídia externa. Os resultados apontam que outdoors de madeira e de metal, pequenas placas e faixas foram retiradas. Em algumas localidades onde o poder público conseguiu retirar os outdoors, a iniciativa privada incorporou a publicidade a sua estrutura predial. Os outdoors de metal sem anúncio continuam sendo uma problemática ainda não resolvida na cidade. Não foram encontrados painéis digitais nas localidades monitoradas. Ao longo dos 11 anos de comparação observou-se maior fiscalização por parte dos órgãos públicos. Aos gestores públicos e a sociedade civil sugere-se o contínuo monitoramento da poluição visual. Aos pesquisadores sugere-se estudos que considerem a influência da poluição visual nas ocorrências de acidentes de trânsito. O estudo permitiu uma reflexão do contexto histórico recente da cidade de Palmas-TO.

 

Visual pollution is a phenomenon that should be discussed, as it directly affects the quality of life of citizens, the landscape and urban memory. The objective of the research was to map the visual pollution in urban spaces in Palmas-TO and compare it with the existing visual pollution in 2010 and 2021. The study was carried out through a photographic record of advertising pieces present in the 10 blocks of the symbolic center, in locations with a higher concentration of external media. The results show that wooden and metal billboards, small signs and banners were removed. In some places where the government managed to remove the billboards, the private sector incorporated advertising into its building structure. Ad-free metal billboards remain an unresolved issue in the city. No digital panels were found in the monitored locations. Over the 11 years of comparison, greater inspection by public bodies was observed. Public managers and civil society are encouraged to continuously monitor visual pollution. Researchers are encouraged to carry out studies that consider the influence of visual pollution on the occurrence of traffic accidents. The study allowed a reflection on the recent historical context of the city of Palmas-TO.
recurso humano asociado a la productividad de la microempresa
Authors: González Herrera Karina Concepción , Hernán Negrón Noh José Jesús , Castillo Gallegos Aurea Licet
Published: September 2021

El presente trabajo de investigación se realiza con la finalidad de identificar como se asocia el recurso humano con la productividad en las micro y pequeñas empresas (Mipes) desde el punto de vista de la cultura organizacional, la evaluación del desempeño, el liderazgo y la importancia de las políticas y reglas de la organización. El método utilizado es cuantitativo y descriptivo derivado de un proyecto de investigación con la Red Latinoamericana de Administración y Negocios (RELAYN), los sujetos de estudio son directivos o responsables de las unidades económicas de todos los sectores económicos en Mérida, Yucatán.

Abstract

The present research work is carried out in order to identify how human resources are associated with productivity in micro and small companies (mypes) from the point of view of organizational culture, performance evaluation, leadership and importance of the policies and rules of the organization. The method used is quantitative and descriptive derived from a research project with the Latin American Business and Administration Network (RELAYN), the study subjects are managers or responsible for the economic units of all economic sectors in Mérida, Yucatán.
Influencia de la edad de los directivos con el uso de las TICS en las MyPE’S de Atlautla, Ozumba y Amecameca Estado de México
Authors: Sánchez Granados Juan Demetrio , Ortega Camacho Juan Manuel , Alonso Reyes Abigail , Ramos Yáñez Angélica María
Published: September 2021

El objeto de este trabajo es analizar el comportamiento de las variables edad de los directivos y el uso de las tecnologías de la información y la comunicación (TIC) en las Mype’s de la región Atlautla, Ozumba y Amecameca Estado de México, para conocer si existe una relación de correspondencia entre dichas variables. Mediante el análisis de regresión lineal de los datos obtenidos en la investigación de tipo cuantitativa coordinada por Peña, N. B., Aguilar, O. C., & Posada, R. y realizada en 2018 a través de la Red Latinoamericana de Administración y Negocios (RELAyN) en Mype’s de México y Colombia se encontró una r2 de 0.0498, con lo cual se rechaza la hipótesis, concluyendo que no existe correlación entre las variables edad de los directores y el uso de las TIC para administrar a las empresas de la región.

Abstract

The purpose of this paper is to analyze the behavior of the variables the age of the managers and the use of information and communication technologies (ICT) in the region of Atlautla, Ozumba and Amecameca State of Mexico, to know if there is a relationship of correspondence between said variables. Through linearregression analysis of data in quantitative research coordinated by Peña, NB, Aguilar, OC, and Posada, R. and carried out in 2018 through the Latin American Business and Administration Network (RELAyN) in Mype's of Mexico and Colombia found a r2 of 0.0498, which rejects the hypothesis, it is concluded that there is no correlation between the age variables of the directors and the use of ICT to manage the companies in the region.
influencia de la edad de los directivos con el uso de las TIC en las mypes de Atlautla, Ozumba y Amecameca Estado de México
Authors: Sánchez Granados Juan Demetrio , Ortega Camacho Juan Manuel , Alonso Robles Abigail , Ramos Yáñez Angélica María
Published: September 2021

El objeto de este trabajo es analizar el comportamiento de las variables edad de los directivos y el uso de las tecnologías de la información y la comunicación (TIC) en las Mype’s de la región Atlautla, Ozumba y Amecameca Estado de México, para conocer si existe una relación de correspondencia entre dichas variables. Mediante el análisis de regresión lineal de los datos obtenidos en la investigación de tipo cuantitativa coordinada por Peña, N. B., Aguilar, O. C., & Posada, R. y realizada en 2018 a través de la Red Latinoamericana de Administración y Negocios (RELAyN) en Mype’s de México y Colombia se encontró una r2 de 0.0498, con lo cual se rechaza la hipótesis, concluyendo que no existe correlación entre las variables edad de los directores y el uso de las TIC para administrar a las empresas de la región.
Abstract
The purpose of this paper is to analyze the behavior of the age variables of managers and the use of information and communication technologies (ICT) in the Mypes of the Atlautla, Ozumba and Amecameca State of Mexico region, to know if there is a correspondence relationship between these variables. Through the linear regression analysis of the data obtained in the quantitative research coordinated by Peña, NB, Aguilar, OC, & Posada, R. and carried out in 2018 through the Latin American Business and Administration Network (RELAyN) in Mype's from Mexico and Colombia a r2 of 0.0498 was found, which rejected the hypothesis, concluding that there is no correlation between the age variables of the directors and the use of ICT to administer to companies in the region.
Análisis del impacto del régimen de incorporación fiscal en las Pyme de la Ciudad de Piedras Negras, Coahuila
Authors: Vásquez Hernández Aidé , Ballesteros Medina Laura Lorena , Espinoza Torres Roberto , Nagay Aguirre Jorge
Published: September 2021

El objetivo de este trabajo fue analizar el impacto de la incorporación al régimen fiscal en el cumplimiento de las obligaciones tributarias en las pequeñas y medianas empresas de la ciudad de Piedras Negras, con el fin de lograr su permanencia en el mercado del sector económico al que pertenecen. Para ello se aplicó un instrumento de campo diseñado por docentes adscritos al Departamento de Ciencias Económico-Administrativas del Instituto Tecnológico de Piedras Negras a una muestra representativa de los contribuyentes registrados como REPECOS (Régimen de Pequeños Contribuyentes). Dentro de los resultados másrelevantes son: aumento en la carga fiscal y financiera, y la necesidad de contar con profesionales para cumplir con las obligaciones fiscales.

AbstractThe objective of this paper was to analyze the impact of the incorporation of the fiscal regime in the fulfillment of the tax obligations in the small and medium enterprises of the city of Piedras Negras, with the purpose of achieving its permanence in the market of the economic sector to which they belong To this end, a field instrument designed by professors assigned to the Department of Economic-Administrative Sciences of the Technological Institute of Piedras Negras was applied to a representative sample of taxpayers registered as REPECOS (Small Taxpayers Regime). Among the most relevant results are: increase in the fiscal and financial burden, and the need to have professionals to comply with fiscal obligations.

KeywordsTax burden, SMEs, REPECOS, RIF
Requerimientos de exportación de piñatas para pymes de Acolman, estado de México a España
Authors: Estrada Chavira María Eugenia , Arredondo Villanueva Guillermo , Hernández Velázquez Maribel , Guerrero García Sylja Viridiana
Published: September 2021

En el presente trabajo el objetivo principal fue investigar los requerimientos de exportación para piñatas de Acolman a España, con beneficio del tratado de libre comercio existente con Europa (TLCUEM). Los principales requerimientos fueron: Registro Federal de contribuyentes, análisis del entorno nacional e internacional, selección del mercado meta, descripción del producto que se desea comercializar y documentos necesarios para exportar. La conclusión fue que la industria piñatera del municipio de Acolman, Estado de México tiene un gran potencial de exportación para el mercado de España ya que ofrece una gran accesibilidad para poder adquirir las piñatas provenientes del mercado mexicano.
AbstractIn The present work the main objective was to investigate the export requirements for piñatas from Acolman to Spain, with the benefit of the existing free trade agreement with Europe (EU FTA). The main requirements were: Federal taxpayer Registry, analysis of the national and international environment, selection of the target market, description of the product to be marketed and documents necessary for export. The conclusion was that the Piñatera industry in the municipality of Acolman, State of Mexico has great export potential for the Spanish market because it offers great accessibility to be able to buy the piñatas from the Mexican market.
Implementación de acciones de responsabilidad social en las empresas micro y pequeñas de los municipios Atlautla, Ozumba y Amecameca
Authors: Ramos Yáñez Angélica María , Torres Ramos Elizabeth , Alonso Reyes Abigail , Segundo Gil Laura
Published: September 2021

La investigación descriptiva simple de corte transversal se realizó en una muestra de 401 unidades económicas con el objetivo de conocer el grado de implementación de acciones de responsabilidad social en las empresas micro y pequeñas de la zona Atlautla, Ozumba y Amecameca, para identificar áreas de oportunidad que permitan generar estrategias enfocadas al fortalecimiento de la apropiación de dichas acciones en su modelo de gestión; se encontró que más del 50% de las empresas encuestadas, tienen un grado de implementación de alto a medio y la principal área de oportunidad son las acciones inherentes al desarrollo comunitario.
Abstract
The following research is based on a simple descriptive cross-sectional design and was sampled on 401 economic units with the objective of establishing the extent of social responsibility implemented in micro and small enterprises in the areas of Atlautla, Ozumba and Amecameca which allowed us to identify windows of opportunity that will permit us to generate strategies focused on strengthening the adoption of said actions in their management model; we found that more than 50% of the enterprises surveyed possess a high to medium degree of implementation and the main window of opportunity has to do with the actions inherent to the development of their community.
Impacto del factor escolaridad como obstáculo para la dirección femenina en la micro y pequeña empresa mexicana. Un estudio en 18 estados
Authors: Peña Ahumada Nuria Beatriz
Published: September 2021

El aumento constante de la participación de la mujer en el mercado laboral ha estimulado la generación de diversas investigaciones, hoy en día alrededor del 40% de la micro, pequeña y mediana empresa (MIPYME) en el mundo, son operadas por mujeres. Con base en este contexto y bajo la perspectiva de género, el objetivo de la investigación de la cual deriva este artículo es analizar cuáles son los obstáculos a los cuales se enfrentan las mujeres que dirigen una MYPES en México, si bien el resultado presenta una gama de ocho factores,  este trabajo se enfocará particularmente en el factor nivel escolaridad. Los datos presentados provienen de una investigación con enfoque cualitativo donde se analizaron 1000 casos de empresarias en 20 municipios de 18 estados de la República Mexicana, se lleva a cabo el análisis de este fenómeno al cual se enfrentan estas mujeres, quienes en su mayoría, no se perciben a sí mismas como directivas.
Abstract
The constant uptick in women’s participation in the labor market, has prompted the production of several research projects. Nowadays, around 40% of the micro, small and medium enterprises (MSMEs) in the world, are operated by women; based on this context the aim of this research is to analyze from a gender perspective, what are the obstacles faced by women who run a MSE in Mexico. Although we found eight factors, this paper will focus on the educational level factor. The data presented comes from an investigation with a qualitative approach where we analyzed 1000 cases of businesswomen in 20 municipalities of 18 states of the Mexican Republic in which we analyze what these women face day to day, who, for the most part, do not they perceive themselves as directors.
BUDAYA BEREQE SASAK LOMBOK SEBAGAI UPAYA MELESTARIKAN NILAI RELIGIUS DAN JATI DIRI MASYARAKAT MONTONG BAAN KECAMATAN SIKUR LOMBOK TIMUR
Authors: Kamarudin Lalu , Jayadi Usman
Published: September 2021

Budaya Bereqe merupakan salah satu budaya yang ada di Indonsia khususnya di Pulau Lombok, Nusa Tenggara Barat. Karya sastra ini tercipta dari hasil karya, karsa, imajinasi serta pengalaman yang dimiliki oleh penyair-penyair yang masyhur pada zamannya maupun orang-orang yang berimajinasi semata. Karya sastra yang tercipta di bumi nusantara ini banyak ragamnya, baik yang bernuansa politik, romantik, hingga yang bernuansa kritik. Begitu halnya dengan kebudayaan. Bereqe yang merupakan rangkaian dari pra acara sunatan atau khitanan. Dalam prosesi adat Bereqe Sasak Lombok ini, tidak hanya menunjukkan adat dan budya Sasak semata, melainkan terdapat nilai-nilai yang bermakna bagi masyarakat. Nilai–nilai yang dimaksud diantaranya nilai sosial, religius dan jati diri bangsa Indonesia. Nilai sosial ini nampak dari sikap saling membantu antara yang satu dan lainnya. Dalam persiapan acara Bereqe ini, ada yang bertugas sebagai pengatur, pujangga (tukang pace tembang), Inen bubus sampai petugas pembawa pesaji atau dulang. Dilihat dari nilai religinya tembang yang dibaca oleh pujangga tersebut berisikan cerita awal masuknya agama Islam. Masyarakat suku Sasak Lombok berpandangan bahwa kalau anak yang sudah dikhitan baru dikatakan suci dari kotoran yang terdapat diujung kemaluannya dan anak tersebut boleh melaksanakan ibadah sholat dengan orang tua. Sedangkan jati diri sebagai bangsa Indonesia, dilihat dari kegigihan mempertahankan identitas dan adat-istiadat untuk mempersiapkan pelaksanaan acara khitanan yang sudah ditentukan. Budaya bereqe ini merupakan salah satu diantara bukti faktual bahwa bangsa Indonesia kaya akan budaya dan tradisi. Tradisi atau adat-istiadat suku Sasak Lombok banyak yang positif yang memiliki nilai-nilai luhur yang patut dikaji, dibanggakan, dan dilestarikan sebagai warisan budaya, penguat dan jati diri masyarakat Montong baan khususnya dan bangsa Indonesia pada umumnya.
Screening of Biological Effectiveness of Endophytic Fungi Associated with Plectranthus amboinicus: A focus on Aspergillus terreus
Authors: H.K Tejaswini , M Jayashankar , Saeed Mohammed Ali
Published: September 2021

Endophytic fungi produce a diverse range of bioactive molecules, which aids to produce a rich source of different types of medicines.
The present study aims to evaluate the antimicrobial, antioxidant, and antidiabetic activity of fungal endophytes associated with
edible leaves Plectranthus amboinicus (Indian borage). The results of preliminary screening of antibacterial activity showed inhibition
against all tested pathogens similarly, crude ethyl acetate extract of all the isolates in the secondary screening of antidiabetic activity
showed a good zone of inhibition with minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). The antioxidant activities were also determined by using the TPC, FRAP, and DPPH assay, which showed considerable variations
concerning their positive control. The correlation among antioxidant assays indicated a strong correlation between TPC and DPPH.
Also, the antidiabetic activity by alpha-amylase inhibition assay showed good inhibitory activity in different concentrations. Thus, the study suggested that endophytes from this edible plant could be potential source for the production of broad-spectrum antimicrobial, antioxidant, and antidiabetic compounds.
Comparison of Different Solubility Enhancement Techniques for Clopidogrel
Authors: Vishwanayani Degala. , Sundari Dr. P.Tripura
Published: September 2021

The present study is aimed to formulate and evaluate various formulations to enhance the solubility of poorly aqueous soluble drug Clopidogrel. For this we have selected different techniques like solid dispersion, Nanosuspension and cyclodextrin complexes. As a
part of it we prepared solid dispersions of drug employing PVPk30 and PEG 4000. Beta cyclodextrin complexes are prepared by
kneading and solvent evaporation methods. Whereas nanosuspension are prepared by employing polaxomer as polymer. The prepared formulations were evaluated for drug Content and drug release studies.
Diabetes Mellitus: A Predisposing Factor of Necrotising Fasciitis
Authors: V Dr Reshna , V Dr Reshna
Published: September 2021

Necrotizing fasciitis with secondary necrosis of the subcutaneous tissues is a rapidly progressive inflammatory infection of the fascia.
The propagation velocity is directly proportional to the thickness of the subcutaneous layer. Necrotizing fasciitis travels around the
plane of the fascia. These are primarily two types, i.e., respectively, mono microbial and poly microbial infections. The most common
comorbidity associated with necrotizing fasciitis is diabetes mellitus. Up to 44.5 percent of patients with this disorder are diabetic.
Diabetes patients normally have a type I poly microbial disease. Diabetic patients who, due to poor immunity, are more vulnerable
to such an infection. Diabetic patients show delayed healing of cutaneous wounds and increased susceptibility to infection.
Hepatoprotective Potential of Mimusops elengi L leaf Extracts against Paracetamol Induced Hepatotoxicity in Rats
Authors: Jose B. Edwin , Manikandan S. , Jebaseelan S. , Meera Dr.R. , Kalirajan Dr.R.
Published: September 2021

Many traditional systems of medicines employ herbal drugs for the hepatoprotection. The aim of the study is to investigate the
hepatoprotective activity of Mimusopselengi L leaf extracts extracts against paracetamol induced hepatotoxicity. However, herbal
plants are the windfall for the humankind providing solution for most of the wellness breakdowns. Mimusopselengi L is one of such
plants with enormous therapeutic and nutraceutical potencies. The main aspiration of the current investigation is to evaluate the
hepatoprotective ability of methanolic and aqueous extract of Mimusopselengi L leaves against paracetamol induced hepatotoxicity using wistar rats through biochemical parameters and histopathological findings. The phytochemical screening was carried on the leaves extracts of Mimusopselengi L revealed the presence of some active ingredients such as Alkaloids, Tannins, Sponginess, Phenols, glycosides, steroids, terpenoids and flavonoids. Leaves of Mimusopselengi L was successively ethylacetate fraction with methanolic and aqueous extract against paracetamol (2 ml/kg.p.o) induced hepatotoxicity using Standard drug Liv 52 (5 ml/kg). There was a significant changes in biochemical parameters (increases in serum glutamate pyruvate transaminase (SGPT), Serum glutamate oxaloacetate transaminase (SGOT), alanine phosphatase (ALP), serum bilirubin in paracetamol treated rats, which were restored towards normalization in Mimusopselengi L methanolic and aqueous extract (200 mg/kg and 200 mg/kg) treated animals. Thus, the present study ascertains that the leaf extract of Mimusopselengi L possesses significant hepatoprotective activity.
Application of Novel Drug Delivery System for Herbal Formulations
Authors: Verma Alka , Sharma Kiran
Published: September 2021

Novel Drug Delivery System (NDDS) is defined to the approaches, formulations, technologies, and system which provide a therapeutic
amount of drug to the appropriate site in the body. If the novel drug delivery technology is applied in herbal actives and extracts. It
may help in increasing the efficacy and reducing the side effect of variety of novel herbal formulation like polymeric nanoparticle,
nanocapsules, liposomes, nanoemulsion, phytosomes, microsphere and ethosomes has been reported using bioactive and plant
extracts. These novel formulations have advantage over the conventional formulations. NDDS include enhancement of solubility,
bioavailability, protection against toxicity, enhancement of pharmacological activity and stability, improve tissue macrophage
distribution and protection against chemical degradation. The most important aim to design alternative drug delivery technologies is
to increase efficiency and safety of drug in the process of drug delivery and provide more convenience for the patients. The present paper includes more information regarding novel formulation of herbal formulation.
Survey and Comparative Study on Treatment of Psoriasis
Authors: Madhav Aishwarya , Sawant Rohan , Desai Pratik , Mhapsekar Harish , Minat Sagar , Shinkar Dr. Dattatraya , Jagtap Dr. V. A.
Published: September 2021

Psoriasis is autoimmune chronic inflammatory disease which has affected 2% of total population but varies according to region. The
main purpose of this work to conduct survey and comparatively study of various antipsoriatic drugs for their therapeutic dose ,
potency & their side effects . so that it will help in correct choice of medication to treat it. Different classes of drugs have been
compared such as biologic & non biologic etc. Now a days combination therapy is also used which is also compared in this article. A survey-based study was conducted amongst the patients, pharmacists, & physicians in March 2021. A questionnaire was prepared. For the patient survey we had focused on various parameters and prepared a questionary. Later we had taken the print out and we asked that questions to patient, pharmacists and physicians. Our main aim for conducting the survey was to segment the patient on the basis of their age, gender, also treatment they have been taking. From this survey we conclude that the maximum number of peoples suffering from psoriasis was above 40 years & also it was found that more number of females patients are suffering from psoriasis. We found that people suffering from psoriasis was undergoing with allopathic treatment. We had looked for medication of both allopathic as well as ayurvedic in the market & studied the market segment on the basis of which fomulation has been prescribed by physician, so we found that allopathic treatment has been prescribed by doctor. Plaque psoriasis was most common in patient & also from this survey we found that biologic therapy was most costly than other therapies and this therapy mostly prescribed by doctor. From above one can conclude that, most of the treatment, methods and drugs available in the market gives symptomatic relief or are effective towards only one of the causes of psoriasis which fails in treating psoriasis. The combination therapy are used nowadays for treating psoriatic arthritis, but if these
Correlation of Direct LDL Versus Friedewald’s, Modified Friedewald’s and Anandraja’s Formula for Estimating LDL Cholesterol Levels along with LDH and Troponin I in Coronary Artery Disease Patients
Authors: Krishna Barla , Tejaswi P.S.P. , Krishna Dr. N. Rama , Dhas Dr. Priya K. , Sree Dr. K. Sathya , Ilanchezhian T.
Published: September 2021

The objective of the study is to compare the Friedewald formula, Modified Friedewald formula, and Anandaraja formula with direct
homogeneous assay for low- density lipoprotein cholesterol (LDL-C) levels in CAD patients. Study Design is Cross-sectional study.
Healthy subjects of both the gender, aged 18 - 75 years were included in this study. Lipid profile, LDH and Troponin I of both the
controls and patients sample were collected from OPD of Central Hospital laboratory of Gayatri Vidhya Parishad Institute of Health
Care and Medical Technology, Visakhapatnam. LDL-C estimation was done by direct homogenous assay and also calculated by using
the Friedewald’s Formula, Modified Friedewald’s Formula and Anandaraja’s Formula for assessing and validity of the LDL cholesterol.
LDH were measured kinetically UV method by Chem Ultra reagent system Pack and Cardiac Troponin I by JusCheck Rapid card test.
One hundred samples were analyzed in this study, Out of that 50 are Known CAD patient samples and 50 are controls. The comparison
of Lipid profile of Variable versus group. The P value also > 0.05 statistically significant. The Mean value for LDH in Case (Patients) is
486.2, whereas for control, it was 328.3. It shows highly significant for this parameter. The association between Case (Patients) and
Control for Troponin I was highly significant in this study. In our study, we conclude that, modified friedewald’s formula was closure
to the direct method. The performance of calculated methods was not uniform at different TG levels. Even though, Modified
Friedewald’s formula is closure to Direct LDL, For laboratory setup, Novel and Innovative direct homogeneous assays are most reliable
and accurate for the analysis of LDL cholesterol.
Tokophobia: An Unsolved Dread of Childbirth
Authors: Anuj Sugreev Dwivedi , Sinha Prity Raj , Borah Bhaskar Jyoti , Raj Rahul
Published: September 2021

Pregnancy is a life-changing event for every woman in her lifetime. In many women, due to various factors like psychology,
environment, social, and etc., certain unwanted clinical manifestations arise which further develops into fear of pregnancy and childbirth. When a psychiatric disorder is associated with or exacerbated by breastfeeding, the topic requires expert experiences from several areas in medicine. This essay examines the relationship between pregnancy, depression, eating disorders, and irrational fear
of childbirth, known altogether as tokophobia. Although literature in this area is scarce, an attempt is made to collect what is available
and compile them together.
Questionnaire Based Mental Health Survey During Covid 19 Outbreak
Authors: Goud Mallam Meghana , Devi Dr. Ch. B. Praveena
Published: September 2021

The study is conducted among 279 people in Telangana and Andhra Pradesh. This study is done during the lockdown collected the
information by having a source of google form survey. This google form is created based on the GAD 7 questionnaire which consists
of 7 questions related to mental health during this covid 19 pandemic. Most probable results were collected and listed out.
Throughout the planet, the general public is being informed about all the physical effects of SARS COV 2 infection and steps taken to
require and to stop the exposure to coronavirus and also to manage symptoms of COVID 19. However, the consequences of this
pandemic on the person’s psychological state haven’t been studied, and still not known. As the efforts are focused on understanding
epidemiology, clinical features, transmission patterns, and management of the COVID 19 outbreak, there has been little or no concern expressed over the consequences on one’s psychological state and on strategies to stop stigmatization. People’s behaviour may greatly affect the pandemics dynamic by altering the severity, transmission, disease flow and repercussions. This situation requires raising awareness publicly, which may be helpful to affect this calamity. This clinical study provides in depth overview of the
consequences of the COVID 19 outbreak on the psychological state of an individual.
Mars mit nachhaltigeren Verpackungen
Authors: Sachs Melanie
Published: September 2021

Mars Wrigley testet von Februar bis November 2021, wie der Balisto-Riegel in einer papierbasierten Verpackung abschneidet. Verpackt in 9er-Multipacks sind die Riegel in mehr als 500 Märkten von Edeka Minden-Hannover erhältlich. Bei den rund 100.000 Multipacks der Variante Honig-Mandel bestehen die Verpackungen des Einzelriegels sowie des Umkartons zu mehr als 90 Prozent aus Papier. Allein im Testzeitraum reduziert der Süßwarenhersteller nach eigenen Angaben den Einsatz von Verpackungsplastik so um rund 440 Kilogramm. Was gibt es sonst an Neuheiten? Die Redaktion von packREPORT hat nachgefragt.
Eine Frage der Ehre!
Authors: Isensee Till , Bähr Sonja
Published: September 2021

Wann haben Sie das letzte Mal ein Geschäft per Handschlag besiegelt? So richtig bildlich ist das sicher schon eine Weile her – schon wegen Corona –, aber rein rechtlich kommt so ein gültiger Vertrag zustande.
Das süße Steigerungspotenzial
Authors: Röhl Thomas
Published: September 2021

Um wettbewerbsfähig zu bleiben, sind die Hersteller der Süßwarenindustrie auf schnelle, flexible, wirtschaftliche und sichere Fertigungsanlagen angewiesen. Minebea Intec versteht sich als Partner für Technologien und Lösungen rund um eine gesteigerte Effizienz und Produktivität.
Neues von den Automatisierern
Authors: Sachs Melanie
Published: September 2021

Zehn Jahre Industrie 4.0. Auf der Hannover Messe fing alles an. Vieles hat sich getan, vieles muss noch getan werden. Drei Automatisierer und ihre Neuheiten.
Nachhaltige Logistik fördert den Erfolg
Authors: Röhl Thomas
Published: September 2021

Im Interview erläutert Andreas Koch, Head of Standard Solutions bei SSI Schäfer, wie wirtschaftliche und nachhaltige Unternehmensziele im Rahmen von Logistikprojekten erfolgreich in Einklang gebracht werden.
Kompakte IBC-Performance
Authors: Röhl Thomas
Published: September 2021

Unterschiedliche Anforderungen in der Supply Chain erfordern größtmögliche Flexibilität und ein vielfältiges, stetig den Kundenwünschen angepasstes Sortiment an Verpackungslösungen. Schütz ergänzt nun seine Produktpalette mit dem neuen Ecobulk MX 560.
Mehr Abfall und weniger Recycling?
Authors: Röhl Thomas
Published: September 2021

Experten aus Industrie, Politik und Wissenschaft beobachten schon länger den Trend zur Substitution von reinen Kunststoffverpackungen durch Papierverbunde kritisch – immer im Blick ist das Recycling. Doch ebenso kritisch wird auch das Kunststoffrecycling betrachtet.
Da muss Luft raus!
Authors: Kattner Stefan
Published: September 2021

Der Onlinehandel boomt. Durch standardisierte – und dadurch oft zu große – Kartonagen wird leider auch jede Menge Luft transportiert. Um diese Luft zu reduzieren, entwickelte Opitz Packaging Systems gemeinsam mit SEW eine pfiffige technische Lösung.
Gallus bleibt bei Heidelberg
Authors: Geiger Michaela
Published: September 2021

Nach dem geplatzten Verkauf der Gallus-Gruppe durch die Heidelberger Druckmaschinen AG, D-Heidelberg, an die Stanser Benpac Holding AG bleibt Gallus Teil der Heidelberg-Gruppe und soll als Spezialist im Etikettenmarkt weiterentwickelt werden. Gegen Benpac prüft der deutsche Druckmaschinenhersteller unterdessen rechtliche Schritte.
Mit «Hero»-Produkten zum Erfolg
Authors: Geiger Michaela
Published: September 2021

Andreas Kopp AG hat 2020 mit der originellen «Lällekönig»-Verpackung den Swiss Packaging Award Publikumspreis gewonnen. Welche Strategien verfolgt das Unternehmen, um auch in Zukunft erfolgreich zu bleiben? PACKaktuell fragte nach bei Monica Malonni und Yanick Grenal, beide Mitglied der Geschäftsführung.
Ein Massanzug für den Osterhasen
Authors: Geiger Michaela
Published: September 2021

Wie kommt der Osterhase eigentlich in sein schickes Mäntelchen, um im Regal zu glänzen? Der Trend geht zu nachhaltigen, massgeschneiderten Hüllen, die einfach in der Handhabung sind und per 3D-Technologie entstehen.
Nachhaltig mit weniger Kunststoff
Authors: Geiger Michaela
Published: September 2021

Premiere in den Schweizer Kühlregalen: Die Bigler AG Fleischwaren führt neu eine innovative wiederverschliessbare und recycelbare MAP-Verpackung für aufgeschnittene Fleisch- und Wurstwaren ein. Eine Besonderheit ist der Einsatz des Produktträgers aus FSC-Karton – eine echte Innovation bei aufgeschnittener Rohwurstware.
Dynamisch nachhaltig
Authors: Geiger Michaela
Published: September 2021

Ökologische Verhaltensweisen hängen eng mit nachhaltigen Verpackungen zusammen und können von jedem Einzelnen umgesetzt werden. Wie, zeigt Marcus Assmann, Projektleiter Verkauf und Fachmann zum Thema Nachhaltigkeit bei Hohlflex AG im Interview.
Frische Impulse für das «neue Normal»
Authors: Geiger Michaela
Published: September 2021

Spannende Keynotes erleben, Kontakte vertiefen und ausgiebig netzwerken: Erstmals ist dies nach der Pandemiezeit wieder live möglich an der Rendez-Vous Emballage am 7. September in Ecublens und an der Rendez-Vous Verpackung am 9. September in Emmenbrücke. Jetzt registrieren und profitieren!
Das sind die Gewinner!
Authors: Geiger Michaela
Published: September 2021

Verpackung hat ihren eigenen Wert und will klug geplant sein: Dies zeigte sich beim 52. Swiss Packaging Award mehr denn je. Die Themen Nachhaltigkeit und Kreislaufwirtschaft standen dieses Jahr bei mehr als der Hälfte der 45 Einsendungen im Mittelpunkt. Die 52. Preisverleihung fand am 17. August 2021 im Kursaal Bern statt.
Viel Abwechslung im Beruf
Authors: Geiger Michaela
Published: September 2021

Verpackungstechnologen EFZ brauchen handwerkliches Geschick, die Fähigkeit Abläufe zu überblicken, technisches Verständnis und ein gutes räumliches Vorstellungsvermögen. Dominik Baumli bringt all diese Fähigkeiten mit und hat jüngst seine Ausbildung mit einem exzellenten Abschlussdurchschnitt von 5,9 abgeschlossen. PACKaktuell fragte nach.
Varicocele and male infertility: Historical, anatomical and urological perspectives – a mini review
Authors: Kalpana Ramachandran , Krishnamoorthy Sriram
Published: September 2021

Varicocele is defined as an abnormal dilatation of the pampiniform plexus of the spermatic cord. This is seen in 10 to 20% of general population and is one of the most common correctable causes of male infertility. The history of varicocele dates back to the era of Ancient Greeks to about 600 BC, who had sculptured varicocele in their statues as a tortuous bag of wormsin the scrotum. It was Ambrose Pare who gave a poetic description to the pooling of blood in the spermatic cords and subsequently Curling coined the term Varicocele The intricacy of the venous drainage of the scrotum and its contents and the criss crossing of the veins makes the thermo-regulatory mechanism regulating spermatogenesis, even more complex. The Cremaster and Dartos greatly aid in facilitating the thermo-regulatory mechanism of scrotal wall, which forms the anatomical basis of oligospermia in patients with varicocele. Apart from a visible change in seminal parameters, the benefits of varicocelectomy have extended on to an improvement in serum testosterone and enhancement of erectile and ejaculatory functions. With a greater knowledge of the pathophysiology of varicocele and with better understanding of the roles of gene polymorphisms and reactive oxygen species, the indications for varicocelectomy gain more support and evidence. A sound anatomical knowledge and an in-depth understanding of the events that take place at molecular level might shift the treatment focus in future from varicocelectomy to molecular targeted therapies.
HYALURONIC ACID FILLER INJECTION FOR COSMETIC PURPOSE: SKIN NECROSIS COMPLICATION AND TREATMENT - CASES REPORTS
Authors: Ngoc Lam Vu , Quang Duc Nguyen , Diep Linh Le , Thi Thu Hai Le
Published: September 2021

Background: Hyaluronic acid (HA) fillers for aesthetic are generally considered safe and the use of dermal fillers for soft tissue augmentation has become a very popular technique in aesthetic practices. Dermal fillers temporarily remove the appearance of rhytids and reduce the depth of skin folds. This is one of the most effective method for facial improvement used in Viet Nam nowadays.  However, complications such as skin necrosis, blind... may happen and hence any filler injection practitioner need to be aware of such side effects, contraindications and precaution to be adopted while using fillers. Even with the most experienced of injectors, adverse effects can and do occur ranging from mild bruising to severe injection necrosis. Aims: HA filler injectors should be able to prevent and treat the severe complication of skin necrosis and detect impending necrosis after injection of a augmentation filler. Materials and Methods: Cases report of 3 patients who were HA filler injection for nose augmentation and had suffered from skin necrosis. These patients were followed for 3-6 months from time of injection of hyaluronic acid filler to complete healing of wound. Results: Complete wound healing were achieved with early recognition and institution of treatment, surgical procedures applied in some severe cases. The functional of the noses are remained but  most of the patients have bad scar on the nose. Discussion: We review cases report of injection necrosis and methods used to prevent and treat this complication. Conclusion: Early recognition of vascular necrosis with specific protocol for treatment after injection necrosis with hyaluronic acid fillers improves the outcome of wound healing.
ACUTE MYELOID LEUKEMIA AFTER CHEMOTHERAPY: REPORTING CLINICAL CASE SERIES IN THE DEPARTMENT OF CHEMOTHERAPY - CENTER OF ONCOLOGY - 103 MILITARY HOSPITAL AND RETROSPECTIVE LITERATURE REVIEW
Authors: Viet Hoanh Ho , Van Ba Nguyen , Van Ha Tran , Van Tri Ha
Published: September 2021

Recently, Secondary cancers, particularly acute myeloid leukemia after chemotherapy have been significantly concerned. Our team at the Department of Chemotherapy - Center of Oncology - 103 Military Hospital reports clinical case series diagnosed with acute myeloid leukemia after breast, colon, stomach cancer treatments and retrospective literature review.
RESEARCH ON ACETABULAR PARAMETERS, FEMORAL AND COMBINED ANTEVERSION ANGLES ON COMPUTED-TOMOGRAPHY SCAN
Authors: Xuan Khoa Ngo , Le Dinh Duy Tran , Sinh Vuong Tran , Van Hoat Nguyen , Van Hong Hoang , Thai Ha Duong Nguyen
Published: September 2021

54 computed-tomography scans of 54 Vietnamese adults with at least 1 non-pathological hip at Hanoi Medical University Hospital are used on our research. The results are: Acetabular inclination angle: 37.48 ± 4.95o; Acetabular anteversion angle: 17.2 ± 5.81o; Femoral anteversion angle: 12.03 ± 7.32o; Combined anteversion: 29.23 ± 9.07o.
ANATOMICAL CHARACTERISTICS OF THE TEMPOROFACIAL NERVE BRANCH WITHIN THE PAROTID GLAND IN VIETNAMESE ADULTS
Authors: Ngoc Minh Pham
Published: September 2021

Objectives: Describe anatomical characteristics of the temporal branch of the facial nerve within the parotid gland in Vietnamese adults. Study population: The study was conducted in 12 hemifaces (right: 7; left: 5) of Vietnamese adult cadavers (5 cadavers with both hemifaces and 2 cadavers with only hemiface). Gender: 4 male (57.1%) and 3 female (42.9%). The average age was 73.0 ± 13.39 years (52-88 years). Method: Descriptive cross-sectional with analysis. Result and Conclusion: Most of the temporofacial trunks were located within the parotid gland (81.8%); 18.2% were located behind the parotid gland. The length of the facial nerve within the parotid gland was 8.88 ± 3.55 mm (4.62 - 16.96mm). The distance from the division point of the temporofacial trunk into the temporofrontal branch and the orbital nerve branch to the line (d) [crossing through the lateral canthus (A) and the point that root of the helix intersecting with the face] and (d2) [crossing the lateral canthus and the upper point of the tragus, just above the upper edge of external auditory canal] was 36.06 ± 7.50mm (19.26- 45.34 mm) và 21.94 ± 6.28 mm (11.52- 37.20 mm).