bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGEMBANGAN MEDIA KARTU HURUF BERGAMBAR (FLASHCARD) UNTUK MENTIMULASI PERKEMBANGAN BAHASA BERBASIS BAHASA IBU UNTUK ANAK USIA 5-6 TAHUN DI TKK OLAEWA
Authors: Baghe Martina Simplisia , Meka Marsianus , Dhiu Konstantinus Dua Dhiu
Published: June 2024

Penelitian ini bertujuan untuk menghasilkan media kartu huruf bergambar (flashcard) untuk meningkatkan kemampuan aspek bahasa berbasis bahasa ibu dengan tema buah-buahan untuk anak usia 5-6 tahun di TKK Olaewa. Pengembangan media kartu huruf bergambar (flashcard) ini menggunakan model ADDIE. Model ini terdiri atas lima langkah, yaitu: (1) analize, (2) design, (3) development, (4) implementation, (5) evaluation. Metode untuk pengumpulan data yaitu metode observasi, metode, wawancara, metode dokumentasi. Berdasarkan hasil penelitian dan pembahasan sebelumnya dapat disimpulkan bahwa kriteria kelayakan media kartu huruf bergambar (flashcard) yang dikembangkan sebagai berikut: 1) validasi ahli materi memperoleh skor rata-rata 95,5% dengan kriteria (sangat valid); 2) Validasi ahli media  memperoleh skor rata-rata 86,6% dengan kriteria (valid); 3) Validasi ahli desain memperoleh skor rat-rata 82,5% dengan kriteria (valid); 4) ) Validasi ahli bahasa Indonesia memperoleh skor rata-rata 95,7% dengan kriteria (sangat valid); 5) Validasi ahli bahasa daerah memperoleh skor rata-rata 94% dengan kriteria (sangat valid); 6) Uji coba kelayakan perorangan memperoleh skor rata-rata 97,14 denga kriteri (sangat valid);  Uji coba kelayakan kelompok kecil memperoleh skor rata-rata 100% dengan kriteria (sangat valid); 7)  Uji coba kelayakan kelompok kecil memperoleh skor rata-rata 100% dengan kriteria (sangat valid).
PENGEMBANGAN MEDIA FISHING UNTUK MENINGKATKAN KEMAMPUAN ASPEK FISIK MOTORIK KASAR PADA ANAK USIA DINI 4-5 TAHUN DI PAUD TERPADU CITRA BAKTI
Authors: Sila Sinfrosa Odu , Ngura Elisabeth Tantiana , Meka Marsianus
Published: June 2024

Penelitian ini diambil dengan tujuan antara lain : (1) untuk mengetahui desain alat permainan papan pasak untuk meningkatkan kemampuan kognitif anak usia 5-6 tahun di TKK Negeri Harapan Bangsa Koeloda, (2) untuk mengetahui tingkat kelayakkan media papan pasak dalam meningkatkan kemampuan kognitif anak usia 5-6 tahun di TKK Negeri Harapan Bangsa Koeloda. Jenis penelitian yang digunakan adalah penelitian pengembangan ini disebut juga dengan istilah Development research. Model desain pembelajaran yang sifatnya lebih generic yaitu model ADDIE (Analysis, Design, Development, Implementation, Evalution). Salah satu fungsi dari ADDIE adalah menjadi pedoman dalam membangun prangkat dan infrastruktur program pelatihan yang efektif, dinamis dan mendukung kinerja pelatihan itu sendiri. Metode pengumpulan data yang digunakan oleh peneliti adalah metode hasil observasi, wawancara, dokimentasi dan angket. Hasil penelitian menunjukkan sangat valid dan layak untuk digunakan dengan rincian: 1) ahli materi 93,3 % valid, 2) ahli media 83,3 % valid, 3) ahli desain 93,3 %  sangat valid, 4) uji coba perorangan 85 % valid, 5) uji coba kelompok kecil 100 % sangat valid, dari hasil tersebut artinya media ini layak digunakan pada anak usia dini.
PENGEMBANGAN MEDIA SEGI DELAPAN BERPUTAR UNTUK MENINGKATKAN KEMAMPUAN KEMAMPAN ASPEK FISIK MOTORIK HALUS PADA ANAK USIA 5-6 TAHUN DI PAUD TERPADU CITRA BAKTI
Authors: Wea Maria Rosari , Meka Marsianus , Ngura Elisabeth Tantiana
Published: June 2024

Penelitian ini bertujuan 1) menghasilkan media segi delapan berputar untuk meningkatkan aspek fisik motorik halus pada anak uisa 5-6 tahun di PAUD Terpadu Citra Bakti, 2) untuk mengetahui kelayakan penggunaan media segi delapan berputar untuk meningkatkan aspek fisik motorik halus pada anak usia 5-6 tahun di PAUD Terpadu Citra Bakti. Jenis penelitian ini adalah penelitian dan pengembangan (reaearch & development). Penelitian ini menggunakan model ADDIE. Dalam tahap penelitian ini terdiri dari: 1) tahap analisis, 2) tahap desain, 3) tahap perencanaan, 4) tahap analisis, 5) tahap evaluasi.teknik pengumpulan data yang digunakan adalah observasi, wawancara, dokumentasi dan angket.Hasil penelitian pengembangan ini berupa produk media segi delapan berputar yang telah diuji kelompok kecil. Hasil penelitian menunjukan sangat valid dan layak untuk digunakan dengan rincian: 1) ahli materi 88,8% sangat valid, 2) ahli media 96,6% sangat valid, 3) ahli desain 82,5% valid, 4) uji coba perorangan 97,14% sangat valid, 5) uji coba kelompok kecil 97,47% sangat valid artinya media ini layak digunakan pada anak usia dini.
PENGEMBANGAN MODEL LATIHAN BACKHAND DRIVE DBO TENIS MEJA PADA SISWA SMP
Authors: Meo Audentina , Wani Bernabas , Bile Robertus Lili
Published: June 2024

Tujuan dari penelitian ini adalah untuk mengembangkan model latihan backhand drive tenis meja untuk siswa SMP Citra Bakti. Penelitian ini merupakan jenis penelitian pengembangan yang berfokus pada perancangan model Latihan backhand drive tenis meja. Tempat dan subyek penelitian yaitu siswa SMP Citra Bakti Ngada. Analsis data menggunakan teknik analisis deskriptif kualitatif dan kuntitatif. Hasil penelitian adalah sebuah model Latihan yang dikembangkan oleh peneliti yaitu model latihan backhand dari  yang terdiri dari lima model Latihan yaitu: (1) Model Latihan servis backhand tanpa bola, (2) Model Latihan servis backhand menggunakan bola, (3) Model Latihan memukul dan mengembalikan bola ke dinding, (4) Model Latihan memukul dan mengembalikan bola ke dinding berpasangan, (5) Model Latihan modifikasi game timang-timang bola berpasangan. Model latihan backhand drive DBO tenis meja memenuhi kategori layak (sesuai) untuk digunakan sebagai bentuk latihan dalam aktivtas pembelajaran penjas pada materi permainan tenis meja setelah melalui dua kali validasi ahli yang dilengkapi dengan simulasi dalam bentuk uji coba lapangan.
EFEKTIVITAS MODEL LATIHAN SPAT-DESAIN BOLA VOLI UNTUK MENINGKATKAN HASIL BELAJAR PASSING BAWAH BOLA VOLI PADA SISWA SMA
Authors: Tekla Rikarda Lengi  , Tapo Yohanes Bayo Ola , Robertus Lili Bile
Published: June 2024

Penelitian ini bertujuan untuk mengetahui efektivitas model latihan SPAT-Desain bola voli untuk meningkatkan hasil belajar passing bawah bola voli pada siswa kelas X SMA Citra Bakti. Jenis penelitian ini menggunakan penelitian pra-eksperimen time series dengan desain one group pretest-posttest. Sampel dalam penelitian ini adalah siswa/i kelas X SMA Citra Bakti yang berjumlah 22 orang. Data dari penelitian diambil dari tes dan pengukuran untuk hasil belajar menggunakan lembar evaluasi yang dinilai oleh dua orang penilai. Berdasarkan hasil analisis yang dilakukan menunjukkan perubahan rata-rata nilai hasil belajar siswa selalu cenderung meningkat ke arah yang lebih baik. Dengan demikian dapat disimpulkan bahwa model latihan SPAT-Desain bola voli efektif untuk meningkatkan hasil belajar passing bawah bola voli pada siswa kelas X SMA Citra Bakti.
Evaluating the Performance of Vapor Compression Cycle by Adding Nanoparticle
Authors: patil Utkarsh , Tomake Rhutuja , Mali Shreeram , Jankar Karan , Mengane Aniket , Mirjkar Shubham
Published: June 2024

The discusses the improvements in refrigeration systems using nano-refrigerants or nanofluids.It explores the compatibility, stability, and feasibility of using nanofluids in refrigeration systems, and how the performance of Al2O3 nanoparticle-based nanofluids can enhance the efficiency of vapor compression refrigeration systems. Additionally, it discusses a study on the impact of polyester oil-based multiwalled carbon nanotube nano lubricants on both the evaporator's heat dissipation and the compressor's power consumption in a refrigerator. One ofthe potential heat transfer fluids in refrigeration systems is nano refrigerant, which can significantly improve the performance of vapor compression refrigerator systems. The study found that including nanoparticles in the refrigerant increases viscosity, thermal conductivity, and density, leading to enhanced heat transfer coefficients of performance and a reduction in power consumption.
Design Information Security in Electronic-Based Government Systems Using NIST CSF 2.0, ISO/IEC 27001: 2022 and CIS Control
Authors: Tanjung Dio Febrilian , Dwi Nurhayati Oky , Wibowo Adi
Published: June 2024

This study explores the application of three cybersecurity frameworks: NIST CSF 2.0, ISO/IEC 27001:2022, and CIS Control v8, resulting in the synthesis of 22 key components: Organizational context, Risk management processes, Assignment of security roles, Security policy implementation, Governance, monitoring, Third-party risk management, Inventory and management of assets, Risk identification and analysis, Continuous improvement, Access control, account management, Security awareness and training, Data protection, encryption, Configuration and maintenance management, Network and software security, Continuous monitoring, anomaly detection, Incident detection and analysis, Incident response planning, Incident analysis and prioritization, Incident response communication, and Incident mitigation. These syntheses serve as recommendations and information security controls applicable to government agencies. The frameworks provide guidance for developing information security measures, preparing necessary documents, and implementing technical steps to enhance information security.
Program Development for Online Art Classes
Authors: Xi Tian , E. Sakay Lani
Published: June 2024

With the continuous advancement of technology, taking courses online has gradually attracted attention as an emerging mode of providing education. This study aimed to explore the offering of online art classes based on the analysis of children’s creativity, aesthetic awareness, interactivity, and feedback mechanisms. It explored whether family environment, self-motivation, and self-engagement affect child art performance using quantitative and qualitative methods through observation, evaluation, and questionnaires. Research results showed that online art courses play a positive role in promoting children’s drawing skills and these criteria have significant differences based on their age, gender, and grade level. The role of teachers, teaching strategies, educational technology, and technology applications impact their drawing skills, artistic expression, and creativity. All of these were used as a basis for the development of a program to offer art classes online.
A Study on Detecting Blood Pressure Dynamics in Different Age Groups: A Community Health Intervention in Ranipet Village, Mahabubnagar Dist., Telangana
Authors: Subhashini Konakondla , Nikhita K. , . Saniya , . Narmada
Published: June 2024

This research paper presents the findings of a comprehensive survey conducted in Ranipet village, Mahabubnagar district, with the primary aim of raising awareness about blood pressure (BP) fluctuations and overall health conditions among its residents. The study encompassed 554 individuals aged 19 and above, segmented into three age groups (19-40, 41-60, and 61 & above) and categorized by gender. BP levels were classified into Low, Normal, and High BP. The results revealed that the majority of the population maintained Normal BP, with 89.34% of males and 89.01% of females falling within this category. High BP prevalence increased with age, especially among females aged 41-60, where 14.29% exhibited High BP compared to 5.75% of males in the same age group. Conversely, Low BP occurrence was consistently low across all demographics. These findings underscore the importance of regular BP monitoring and tailored health strategies to improve health outcomes in small communities.
Artificial Intelligence in Software Testing
Authors: Kulkarni Yogeshwar
Published: June 2024

The integration of Artificial Intelligence (AI) in software testing is revolutionizing the field by enhancing efficiency, accuracy, and coverage. This paper explores the impact of AI-driven techniques on software testing, contrasting them with traditional methods. AI advancements such as machine learning, deep learning, and predictive analytics facilitate automated decision-making, intelligent test case generation, and adaptive test execution, streamlining routine tasks and reducing human intervention. Despite these benefits, challenges such as data quality, algorithmic bias, and ethical concerns need to be addressed. The paper also discusses the potential for human-AI collaboration, leveraging the strengths of both to improve testing practices. By examining empirical evidence and case studies, this research aims to provide valuable insights for industry professionals, researchers, and stakeholders, highlighting future research avenues and opportunities in AI-driven software testing. --- This abstract synthesizes the key points from the provided document, presenting a concise overview of the study's objectives, findings, and implications.
Teaching in “The “Land of Smile”: Anecdote of Filipino Substitute Teachers in Thailand
Authors: S. Morales Jesusa
Published: June 2024

This study explores the experiences of Filipino substitute teachers in Thailand, also known as the Land of Smile. The study focuses on the challenges and rewards faced by these teachers while teaching abroad. The research involved seven participants who were substitute teachers. The study used in-depth interviews, both virtual and limited face-to-face, while strictly adhering to health protocols. Thematic content analysis was used to analyze the data. The experiences of Filipino substitute teachers in Thailand were found to include good compensation, less paperwork, and a low cost of living. However, the challenges they faced included language barriers and a lack of professional development opportunities. Based on these experiences and challenges, the study suggests that teachers should develop adaptability and flexibility skills and actively participate in training and seminars to promote professional growth. The study aims to contribute new insights to enhance the competence of Filipino teachers and improve programs for their welfare, in line with the MATATAG agenda of the education department.
Trait Emotional Intelligence Anger Management and Professionalism of Police Officers
Authors: P. Esquibel Jay Mhar , C. Nabe Nestor
Published: June 2024

This study measured the influence of trait emotional intelligence and anger management on the professionalism of police officers in Davao City. Further, the study sought to establish which exogenous variables best predict professionalism. A total of 296 police officers were selected using simple random sampling and participated in the study. Data were collected through a survey using a standardized instrument through Google Forms. Data were analyzed using mean, Pearson product-moment correlation coefficient, and Multiple Linear Regression Analysis. The study's findings disclosed that emotional intelligence and anger management are at a moderate level among police officers; however, in contrast, the professionalism of police officers in Davao City is rated very high. Also, there is a correlation between the trait of emotional intelligence and professionalism and between anger management and the professionalism of police officers. The correlation was evident between trait emotional intelligence and professionalism; the result also disclosed a correlation between anger management and professionalism of police officers; and indicators of the use of emotion for facilitating thinking and caring and empathy of trait emotional intelligence as well as indicators of self-awareness and calming strategies of anger management significantly influence professionalism of police officers.
Tensile Behaviour of Short Glass Fiber Reinforced PA66/PTFE Blend Composites: Effect of Strain Rate
Authors: . Basawaraj , S M Pushpavathy , S M Jayadev , B M Rudresh
Published: June 2024

The effect of strain rate and short glass fiber loading on tensile and flexural properties of Polyamide 66 and Polytetrafluroethylene (PA66/PTFE) blend based composites was studied. Thermoplastic blend of 80 wt. % PA66 / 20 wt. % PTFE has been used as the matrix. The composite was prepared by reinforcing the matrix with different weight fraction percentage of short glass fibers (5, 10, 20 and 30 wt. %). These material systems were developed using melt mix method using twin screw extrusion technique followed by injection molding. The effect of different strain rates (5, 25 and 50 mm/min) on tensile properties was evaluated as per ASTM D630 respectively. The experimental results revealed that tensile properties of SGF reinforced PA66/PTFE composites vary as a linear function of strain rates. Increase in tensile strength was noticed because of increase in strain rate. This can be attributed to increase in strain energy of a material. The fractured surfaces were studied using Scanning Electron Microscope (SEM) images.
Policy, access, and resource factors as correlates of functionality of secondary education in rural communities
Authors: Okunlola John Olayemi
Published: June 2024

Educational stakeholders are concerned about the functionality of secondary education, as many second­ary school graduates, particularly in rural areas, lack basic skills for work and daily life. Therefore, this study investi­gated the contributions of policy, access, and resource fac­tors to the functionality of secondary education in rural communities of Southwestern Nigeria. The study was con­ducted within a positivist paradigm and employed a de­scriptive survey design. A multi-stage sampling technique was used to select 600 secondary school graduates for the study. Two hypotheses were formulated and tested. Four research instruments, namely the Secondary School Gradu­ate Aptitude Test (SSGAT), Policy Factor Questionnaire (PFQ), Secondary School Graduate Access Questionnaire (SSGAQ), and Resource Factor Questionnaire (RFTQ), were utilised with reliability coefficients of 0.715, 0.733, 0.753, and 0.853, respectively. Data were analysed using inferen­tial statistics such as multiple regression. The policy, access, and resource factors made significant joint contributions to the functionality of secondary education (F (3, 597) = 266.740; Adjusted R2 = 0.571) and accounted for 57.1 per­cent of its variance. The policy factor (?= 0.451) and resource factor (?=0.374) made relative contributions to the functionality of secondary education, while the access factor (?= 0.084) did not. The study suggests that urgently addressing policy and resource issues is critical for restoring the functionality of secondary education and improving access to it in rural areas.
Willmore-type variational problem for foliated hypersurfaces
Authors: Rovenski Vladimir
Published: June 2024

After Thomas James Willmore, many authors were looking for an immersion of a manifold in Euclidean space or Riemannian manifold, which is the critical point of functionals whose integrands depend on the mean curvature or the norm of the second fundamental form. We study a new Willmore-type variational problem for a foliated hypersurface in Euclidean space. Its general version is the Reilly-type functional, where the integrand depends on elementary symmetric functions of the eigenvalues of the restriction on the leaves of the second fundamental form. We find the 1st and 2nd variations of such functionals and show the conformal invariance of some of them. For a critical hypersurface with a transversally harmonic foliation, we derive the Euler-Lagrange equation and give examples with low-dimensional foliations. We present critical hypersurfaces of revolution and show that they are local minima for special variations of immersion.
Lost in Translation? The Terminology and Practice of Islamic Gifts in Early Modern Travel Accounts in English
Authors: Niayesh Ladan
Published: June 2024

Symbolic performance and rhetoric of service are part and parcel of the meaning and function of gifts in any given culture. Exploring the specificity of Muslim Orient’s gift terms such as pīshkash and khil‘at, which entered the English language in the wake of trade and diplomatic interactions with the Ottomans, Safavids and Mughals in the seventeenth century, this article looks into the protocols and rituals accompanying each term, as a basis for understanding their community-building value. My case studies on the contextual uses of gift terms in travel narratives from the period include Thomas Herbert’s A Relation of Some Yeares Travaile, Begvnne Anno 1626 (1634), and the first English translation by John Phillips of Jean-Baptiste Tavernier’s Six Voyages (1677). In each case, I argue, practiced uses of terminology illustrate the visitors’ cultural and linguistic attempts, but also their failures, at understanding the host system and infiltrating it.
The Queen and the Sultana: Early Modern Female Circuits of Diplomacy and the Consumption of Gendered Luxury Items Between East and West
Authors: Alazraki Mathilde
Published: June 2024

Between 1593 and 1599, Queen Elizabeth I of England corresponded with the Ottoman Sultana Safiye (c. 1550-1606), favorite concubine of Sultan Murad III and mother of Sultan Mehmed III. Of this exchange, only the Sultana’s letters and mentions of the expensive and undeniably gendered gifts sent between London and Constantinople (such as English cosmetics, Ottoman female dresses and jewelry…) remain. And yet, these fragments give us a glimpse of how two royal women of the early modern period, at a crossing between East and West, established a transcultural female circuit of exchange, not only to promote efficient diplomatic relationships but also to enable the transit of specifically female objects of status and power between the English court and the Ottoman harem. A close study of Elizabeth and Safiye’s correspondence, as well as the role of the Jewish kira (the Ottoman equivalent of a lady in waiting) Esperanza Malchi in relaying the correspondence between the royal harem and the English embassy, will help shed light on the often-overlooked roles that female friendship and material culture played in foreign diplomacy, a subject that is only recently coming under attention in gender, global and material studies of the early modern period.
« [T]o write and Lyme in Gold and Colours certain Letters » : correspondance diplomatique enluminée dans l’Angleterre de la première modernité
Authors: Dulac Anne-Valérie
Published: June 2024

Le présent article démontre comment les lettres échangées entre la cour britannique et les « princes d’Orient » au cours de la première modernité (le terme « Orient » étant ici calqué sur le terme anglais utilisé aux XVIe et XVII e siècles) s’apparentent à des dons et contre-dons diplomatiques, dans la mesure où ces missives en répliquent les subtilités dans leur manufacture, leurs cérémoniels et leurs ambitions de bonne entente. La première partie est consacrée à l’avènement de cette correspondance richement ornementée dans l’Angleterre élisabéthaine avant sa pérennisation et sa codification sous le règne de Jacques Ier. La deuxième partie de l’article propose une analyse matérielle et visuelle de ces lettres et des cérémonies au cours desquelles elles étaient remises afin de les rapprocher d’autres cadeaux diplomatiques. Dans un dernier temps, l’article revient sur l’identité des enlumineurs responsables de la garniture de ces lettres, ainsi que sur les techniques employées par eux, afin de comprendre comment leur art se prête particulièrement bien à cette conversation internationale nourrie et ces pratiques de don et contre-don par voie épistolaire.
Gifts, Sovereignty and Power: The British and French Trading Companies in Mughal India, 1735-65
Authors: Ivermee Robert
Published: June 2024

This article focuses on the gifts awarded by Indian powers to the British and French trading companies and their representatives in Mughal India in exchange for services rendered – notably the provision of military support. As the Mughal Empire disintegrated, Indian powers solicited the military backing of the British and French to secure their positions of power. When this support was delivered, the companies and their agents were handsomely rewarded with payments and gifts, the awarding of which was part of the performance of sovereignty by the rulers concerned. Beneath this appearance of sovereignty, however, real world power was increasingly vested in the British and French companies, which, confident of their military superiority, exercised more and more control over the rulers that they claimed to serve. What role did the gifts offered by Indian rulers to their European collaborators play in these changing power relations? What do the gifts reveal about how these relations changed? Can a distinction be maintained between gifts and payments? And can objects obtained coercively really be considered gifts? These questions are explored in relation to the political ascent of the British and French companies in the Carnatic and Bengal between 1735 and 1765.
La diplomatie botanique : don, troc et échange d’objets végétaux au XIXe siècle
Authors: Bellégo Marine , Bru Thérèse
Published: June 2024

« Voici des fruits, des fleurs, des feuilles et des branches », écrivait Paul Verlaine en 1874. Discursivement et concrètement, les végétaux occupent une place de choix dans les pratiques quotidiennes de don. Au plan politique, de nombreux exemples témoignent de l’usage fréquent d’objets végétaux comme cadeaux diplomatiques. Au cours du long XIXe siècle, les circulations de plantes vivantes, de graines et de spécimens sont nombreuses et massives à l’intérieur des empires européens et entre ces derniers. Ces transactions se situent le plus souvent hors du domaine monnayable, ressortissant plutôt au troc et au don. Produits dans les institutions économiquement centrales que sont alors les jardins botaniques, les objets végétaux, artefacts fragiles dont la valeur souvent incertaine relève à la fois du symbolique et de l’économique, se trouvent au cœur d’un ensemble de liens complexes entre les sphères savante, marchande et politique. Ils témoignent de l’ambiguïté des relations scientifiques inter-impériales, marquées par une tension constante entre la coopération et la rivalité. Le cas des dons réalisés dans les années 1820 par le botaniste Nathaniel Wallich (1785-1854) à partir des collections du jardin botanique de Calcutta illustre les tensions et les difficultés liées à l’usage d’objets végétaux comme monnaie d’échange contribuant à la constitution d’un capital symbolique. Cette étude poursuit ainsi la recherche sur la « diplomatie fragile » que constitue la circulation non monnayée d’objets convoités dont la valeur est soumise à d’imprévisibles fluctuations.
Afterword: On Diplomatic Gifts and their Meanings
Authors: Meersbergen Guido van
Published: June 2024

This afterword addresses some of the key insights emerging from the articles in this issue as ways of reshaping our understanding of diplomatic gifts in a global context. These include the multiplicity of registers of diplomatic communication, the versatility of gifts as floating signifiers whose meanings were shaped by a diverse array of actors, and how the wider contexts and afterlives of gifts affect and illuminate questions of value and agency. Together, they stress the importance of examining political and material exchanges between Britain and the Islamicate world from the late sixteenth to the early twentieth century within a comparative and connected framework. The afterword concludes with a call to look for transformations and continuities that do not align with the conventional narrative of the modern international system as shaped exclusively in and by the West, and above all to better account for the roles that non-Western communities and concepts played in the development of the global diplomatic system.
Prevalence and Severity of Central Sensitization in Post-Polio Syndrome: Associations with Clinical Measures and Quality of Life
Authors: On Arzu Y. , Latifoglou Emre , Çınar Ece , Tanıgör Göksel
Published: June 2024

Objectives:

To investigate the presence and severity of central sensitization (CS) and its associations with clinical measures and quality of life (QoL) in individuals with a history of paralytic poliomyelitis with and without post-polio syndrome (PPS).

Methods:

In this cross-sectional study, we included 98 individuals with a history of poliomyelitis, in whom 82 (83.6%) met the criteria of PPS. We used CS Inventory (CSI) to evaluate the presence and severity of CS. We evaluated the severity of fatigue, pain, polio-related impairments, and QoL using a Numerical Rating Scale in addition to Fatigue Severity Scale, Self-reported Impairments in Persons with late effects of Polio rating scale (SIPP), and Nottingham Health Profile (NHP).

Results:

CS was present in 52.4% of patients with PPS, of which 63% are classified as severe to extreme. Those with CS reported more severe symptoms, more polio-related impairments, and worse QoL than those without CS. Severity of CS showed significant positive correlations with severity of fatigue, pain, SIPP, and NHP scales in those with PPS. CSI did not indicate CS in any of those without PPS.

Conclusion:

CS was present in more than half of the individuals with PPS and correlated with more severe pain, fatigue, and more polio-related impairments, in addition to poorer QoL. These findings suggest that CS may contribute to the clinical picture in a subgroup of individuals with PPS. Thus, identification and appropriate management of CS patients may potentially help alleviate their symptoms and improve their QoL.
Stability of Anticoagulation Following Acenocoumarin in Stroke Patients: Role of Pharmacogenomics and Acquired Factors
Authors: Dubey Ashish Kant , Kalita Jayantee , Nizami Mohammad Firoz , Kumar Surendra , Misra Usha Kant
Published: June 2024

Objective:

Pharmacogenomics plays an important role in drug metabolism. A stable anticoagulation is important for primary and secondary prevention of cardioembolic stroke and cerebral venous sinus thrombosis (CVST). We report the role of cytochrome P450 (CYP2C9*2/*3) and vitamin K epoxide reductase subunit 1 (VKORC1) genotypes and acquired causes in maintaining stability of anticoagulation following acenocoumarin in cardioembolic stroke and CVST.

Methods:

The study comprised 157 individuals with cardioembolic stroke and CVST who were on acenocoumarin. Their comorbidities, comedication, and dietary habits were noted. Prothrombin time and international normalized ratio (INR) were measured during follow-up, and the coagulation status was categorized as stable (>50% occasions in therapeutic range) and unstable (>50% below and above therapeutic range). Genotyping of VKORC1, CYP2C9*2, and CYP2C9*3 was done by polymerase chain reaction-restriction fragment length polymorphism. Bleeding and embolic complications were noted. The predictors of unstable INR were evaluated using multivariate analysis.

Results:

INR was stable in 47.8% and unstable in 52.2% of patients. Patients with mutant genotypes required low dose of acenocoumarin. The predictors of unstable INR were metallic valve (odds ratio [OR] 4.07, 95% confidence interval [CI] 1.23–13.49, P = 0.02), use of digoxin (OR 0.031, 95% CI 0.13–0.74, P = 0.09), proton pump inhibitor (OR 0.23, 95% CI 0.06–0.91, P = 0.037), sodium valproate (OR 0.22, 95% CI 0.05–0.85, P = 0.029), and CYP2C9*2 genotype (OR 5.57, 95% CI 1.19–26.06, P = 0.02).

Conclusions:

Variant genotypes of VKORC1, CYP2C9*2, and CYP2C9*3 required lower dose of acenocoumarin, and CYP2C9*2 was associated with unstable INR. Comedication is a modifiable risk factor that needs attention.
A comparative longitudinal study between bilateral and unilateral totally extraperitoneal repair among patients with unilateral inguinal hernia at a tertiary care hospital in eastern Nepal
Authors: Sah Bikash Kumar , Goel Jatin , Sah Vijay Pratap , Khanal Bhawani , Kumar Abhijeet , Gupta Rakesh Kumar
Published: June 2024

INTRODUCTION:

It has been reported that there is a significantly high chance of contralateral concurrent occult or subsequent inguinal hernia in patients with unilateral inguinal hernia. The objective of this study is to investigate the feasibility of bilateral laparoscopic exploration for all unilateral cases followed by laparoscopic bilateral total extraperitoneal repair and to compare complications, recurrence rates, postoperative pain, and operative duration with prospectively performed unilateral repairs.

MATERIALS AND METHODS:

A total of 60 patients were included in this prospective longitudinal study from March 2018 to March 2019. Patients attending the outpatient department for unilateral inguinal hernia were counseled about the trial. Patients who gave consent for bilateral inguinal exploration and repair were kept in group A, and those who did not consent to bilateral exploration and underwent unilateral repair were kept in group B. The patients were divided into two groups of 30 patients each.

RESULTS:

The mean age of patients in group A was 36.57 ± 11.80 years and in group B was 43.03 ± 13.106 years (P = 0.049). The incidence of occult contralateral hernia is 26.7%, with the most common on the left side (33.3%). It was found that the duration of surgery for group A (82 ± 4.74 min) was longer than that for group B (66.30 ± 6.27 min) with a P value of 0.001. Intraoperative blood loss in the case of group B was 16.63 ± 2.341 ml, and for group A, it was 20.03 ± 2.671 ml (P < 0.001). No major complications were observed. There was no significant difference in pain upto a 1-month follow-up in both groups. No recurrence or pain was noticed in either group at 3 and 6 months.

CONCLUSION:

There is no significant difference in pain, complications, and recurrence between both groups, with one-fourth of patients having OCH. Young to middle-aged patients can easily tolerate the longer operative time at the cost of slightly more blood loss. Thus, selected patients with unilateral hernias can be given the option of bilateral repair with no added risk associated with surgery.

Trial registration:

ClinicalTrials.gov, identifier NCT06380621.
Biosynthetic mesh in hernia repair: A systematic review and meta-analysis
Authors: Al-Bustami Iyad S. , Clements Thomas , Ferguson Dalya , Harmouch Alamin , Olavarria Oscar A. , Holihan Julie L.
Published: June 2024

INTRODUCTION:

Biosynthetic mesh is the latest class of hernia mesh. It is a slowly absorbable synthetic mesh and promises to reduce hernia recurrence and other complications, such as mesh infection, erosion, adhesions, and chronic pain. This study aims to systematically review the literature on biosynthetic mesh in ventral hernia repair.

MATERIALS AND METHODS:

A search of MEDLINE, Cochrane, and Scopus databases was conducted to identify studies using biosynthetic mesh in ventral hernia repair. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was utilized to assess study quality. The primary outcome assessed was hernia recurrence. Secondary outcomes included surgical site infection (SSI), surgical site occurrence (SSO), and reoperation. Heterogeneity was assessed using I
2, and a random effects model was used for meta-analysis.

RESULTS:

Thirty-six studies were included, all of which were observational. Follow-up ranged from 1 to 98 months postoperative. Hernia recurrence was reported in 35 studies, yielding a pooled recurrence rate of 10% (95% CI, 8%–12%). SSI was reported in 30 studies, with a pooled recurrence rate of 8% (95% CI, 6%–11%). SSO was reported in 29 studies and ranged from 1% to 56%. Reoperation was reported in 26 studies, with a pooled reoperation rate of 9% (95% CI, 6%–11%).

CONCLUSIONS:

This review underscores the paucity of high-quality studies on biosynthetic mesh. While observational studies of hernia repair using biosynthetic mesh suggest it may be safe with acceptable outcomes, high-quality trials with long-term follow-up are necessary before widespread implementation of these mesh types.
Comparison of the Efficacy of Rubber Band Ligation and Injection Sclerotherapy for 2nd Degree Hemorrhoids
Authors: Khan Uzma , Khan Yasir Naseem
Published: June 2024

ABSTRACT

Background:

There are different treatment options for hemorrhoids including rubber band ligation (RBL), sclerotherapy, and hemorrhoidectomy. Variable success rates have been reported for these procedures. The aim of this study was to compare the efficacy of RBL and injection sclerotherapy for 2nd degree hemorrhoids in a large group of samples from an unexplored population.

Methodology:

It was a randomized controlled trial. The study was conducted at the Department of Surgery, Khafji General Hospital, Khafji, Saudi Arabia, over the period of 14 months, from August 2014 to September 2015. Patients diagnosed with 2nd degree hemorrhoids were enrolled in the study and detailed medical history was taken. The patients were assigned to one of the two predesigned groups. One group was subjected to RBL for 2nd degree hemorrhoids and the other group was treated with injection sclerotherapy. The effectiveness of procedures was recorded on a postprocedure follow-up visit three months later.

Results:

A total of 720 patients were included in this study, 360 each in band ligation and sclerotherapy groups. Overall, relief of symptoms was observed in 504 (70%) patients. In band ligation group, 272 (75.56%) patients reported relief of symptoms and 232 (64.44%) patients reported relief of symptoms in the sclerotherapy group (P = 0.001).

Conclusion:

This study showed that band ligation treatment options lead to a significant relief of symptoms and bleeding per rectum in patients with 2nd degree hemorrhoids.
Mucocele of Appendix
Authors: Alur Sunilkumar B. , Siva Sangeetha , Rehman K. Almaz , Mishra Suniti
Published: June 2024

ABSTRACT

Mucocele of the appendix is rare and does not have a specific clinical presentation, and hence, preoperative diagnosis is difficult, but it is important to plan the right surgery to avoid morbidity and mortality secondary to pseudomyxoma peritonei. We present the case of mucocele of the appendix which was suspected on preoperative imaging.
Redkar’s Technique for Rectal Biopsy
Authors: Redkar Rajeev , Sharma Rahul Deo , Achugatla Sushma , Singh Surendra , Thakur Sonia
Published: June 2024

ABSTRACT

Background:

Rectal biopsies are a common procedure used to diagnose various conditions and diseases in children and full-thickness rectal biopsy (FTRB) is the gold standard to diagnose the case of Hirschsprung disease. The traditional method of performing rectal biopsy involves the use of a Langenbeck or Deaver’s retractor to retract the anal canal. This method is ineffective in exposing the surgical site due to the large size of the retractor and the constraints of space, and it can also cause serious complications if not applied carefully.

Methods:

Sixteen patients were included in the study, who all underwent FTRB. Redkar’s technique was applied to all for ease of retraction and visualization. Technique was standardized and procedure time was noted in all cases.

Results:

Of all 16 cases that were enrolled, the male-to-female ratio was 1:1. The mean age of patients was 91.87 months, and the average time taken for surgery was 5.062 min. The average cost involved for the retractor was <50 INR, i.e., <1 USD.

Conclusions:

It improves the accuracy and safety of the procedure, reduces discomfort and trauma for young patients, reduces cost burden on families, and improves the efficiency of the biopsy procedure.
Anal Reconstruction in a Rare Case of Perianal Extragastrointestinal Stromal Tumors
Authors: Borkar Ajitkumar Shripad , Kulkarni Ulhas Yashwant , Jog Vinayak B. , Borkar Sushrut Ajitkumar
Published: June 2024

ABSTRACT

Gastrointestinal stromal tumors (GISTs) are rare (10/15 cases per million worldwide). Anal GIST is still rarer (16 cases reported in journals). Extra-GISTs form only 1% of GISTs. Perianal extragastrointestinal stromal tumors (EGISTs) are uncommon among EGISTs with hardly any reported cases. The authors are presenting a case of recurrent perianal EGIST which was treated by wide local excision leaving a defect involving half of the circumference and full length/thickness of anal canal and anal sphincters anteriorly. As against the common practice of reconstruction with dynamic muscle transfer, usually gracilis or gluteus, the defect was repaired with levatoroplasty and Limberg skin flaps. Anal sphincter remnants were pulled and opposed esp. at the cephalic end or anchored onto the levators. The patient achieved full anal continence in a year. The authors would like to suggest it as a method of choice for anal GIST and perianal EGIST.
Temporary Anchorage Device Misplaced into Infratemporal Space - A Case Report
Authors: Kumar R Mahesh , Dutta Subham , Handique Swadhinata , Sateesh CP
Published: June 2024

Introduction:

During orthodontic treatment, temporary anchoring devices (TADs) are used to restrain tooth movement. They are a relatively recent addition to the dental toolkit.

Aim:

As TADs have limitations, Dr. Eric Lieu of Taiwan developed Infra Zygomatic Crest (IZC) screws which are placed between the maxillary second premolar at the bony crest.

Treatment Planning:

The goal of this case study is to emphasize the value of anatomy, site selection, and IZC retrieval in the event of an accident. Cone beam computed tomography was used as a diagnostic tool for the precise location of the displaced IZC and immediate surgical retrieval was done under local anesthesia from the infratemporal space to prevent further complications.

Take-away Lessons:

Orthodontists knowledge of soft tissue and hard tissue anatomy and precise positioning is crucial for successful TAD implantation.
Index of Caries Experience – A Composite System for Recording Dental Caries
Authors: Bhat Sreevidya , Bhat Meghashyam
Published: June 2024

Introduction:

Measurement of dental caries is imperative for its prevention and control. The present study was conducted with the aim of developing a dental caries index that is reliable, reversible, and valid. A cross-sectional study was designed and conducted at the outreach dental clinics of a dental school in India.

Methods and Material:

A total of 219 patients visiting outreach centres participated in the study. Patients attending outreach dental clinics aged 15 years and above, who were dentate and affected by dental caries, were included. Clinical examination was done under clinical conditions with dental chair lighting. Decayed Missing and Filled Teeth (DMFT) and Index of Caries Experience (ICE) were recorded using the visuo-tactile method according to the index criteria.

Results:

The relationship between the DMFT and ICE was determined. Results showed that the DMFT from ICE had good correlation. The decayed teeth index (DTI) score varied from decayed teeth (DT) according to age and sex. DTI was significantly higher for females than for males and higher among younger age groups than older ones, but DT did not exhibit the differences.

Conclusions:

ICE is a new system in which the proviso is to measure the non-cavitated lesions and health of permanent dentition. DMFT and ICE have good correlation. DTI is more sensitive than the DT score.
Efficacy and Viability of Subgingival Application of Probiotics as an Adjunct to Scaling and Root Planing in Periodontitis
Authors: Poulose Mariam , Gujar Dnyaneshwari , Panicker Suneeta , Rokade Shreya , Guruprasad Meghana , Gopalakrishnan Dharmarajan
Published: June 2024

Aim:

This study aimed to compare the efficacy of subgingivally applied probiotics as an adjunct to scaling and root planing (SRP) vs SRP alone in patients with periodontitis.

Materials and Methods:

Patients diagnosed with periodontitis, with probing pocket depth (PPD) of 5–7 mm on at least two teeth on contralateral sites, were selected for the study and randomly allocated to the test group (n = 31) who underwent SRP along with subgingival application of probiotic paste and the control group (n = 31) who underwent only SRP. Clinical parameters were evaluated in both groups at baseline and after 12 weeks. The viability of probiotic bacteria was evaluated in the test group at baseline, day 4 and day 8.

Results:

All clinical parameters showed a statistically significant difference between baseline and 12 weeks on intragroup and intergroup comparison, with a greater improvement in the test group. Microbiological evaluation showed that the mean colony-forming units (CFUs) in the test group were 38.39 ± 7.76, 7.25 ± 2.72 and 1.57 ± 1.29 at baseline, day 4 and day 8, respectively. The mean CFUs significantly reduced with an increase in time from baseline to 8-day time interval.

Conclusion:

It was seen that the probiotic bacteria remained viable in the periodontal pocket for up to 8 days after placement, but stable improvements were seen in all clinical parameters even at 12 weeks, indicating its prolonged efficacy. Thus, commercially available probiotics can prove to be an inexpensive method to treat periodontitis when combined with SRP.
Smokeless Tobacco Use and Quit Behaviour Assessment in a Middle Aged to Elderly Population in a Rural Setting - An Evaluative Study
Authors: Sharma Hunny , Yunus G.Y. , Verma Swati , Agarwal Rohit , Chevvuri Ramakrishna , Vasant Balasubramanyam
Published: June 2024

Introduction:

Expanding knowledge on tobacco use and quitting outcomes in Chhattisgarh, India, is crucial. Limited data hinder the assessment of tobacco use prevalence and quitting outcomes in the region. This household-based cross-sectional study aimed to assess smokeless tobacco (SLT) use and quit behaviour among village dwellers aged 35–44 and 65–74 years in Jamul, Chhattisgarh.

Materials and Methods:

A survey was conducted among 450 participants, utilising a pretested questionnaire and data analysis using IBM Statistical Package for the Social Sciences (SPSS) v23.

Results:

The study revealed that among the survey participants, 61.1% were males and 38.9% were females. The prevalence of SLT use was found to be 67.8%, with 59.1% of current SLT users reporting daily use. Middle-aged individuals predominantly chose gutkha, while khaini was more common among the elderly. Tobacco and paan with tobacco were also commonly used forms. Gudakhu, a popular SLT product for oral hygiene and easy defecation, was reported by 71.34% of participants. Television warnings and SLT packages proved to be successful methods for disseminating information about the dangers of SLT use. However, SLT users who attempted to quit independently reported encountering one or more withdrawal symptoms, which posed significant obstacles to quitting SLT.

Conclusion:

Community-based awareness programmes are implemented via regional television (TV) channels, coupled with cessation initiatives, including professional counselling, pharmaceutical interventions and support of peer. Changing attitudes against SLT use and promoting tobacco-free environments are prioritized. These strategies will effectively address SLT use and improve quitting outcomes in Jamul, Chhattisgarh, fostering a healthier community.