bluuebunny/crossref_metadata_2025 huggingface dataset:
De Vienne à Bruxelles. La manifestation du pouvoir habsbourgeois à Bruxelles au temps du gouvernement de Charles de Lorraine (1744-1780)
Authors: Vidal Clara
Published: January 2025

L’étude porte sur les cérémonies organisées à Bruxelles au temps de Charles de Lorraine (1744-1780), présentées comme systèmes et espaces d’informations complexes. Dans la continuité de celles développées depuis l’époque des ducs de Bourgogne, elles s’attachent au spectacle du pouvoir et à ses pratiques spatiales dans un cadre urbain qui se renouvelle autour du quartier royal, réaménagé après l'incendie et la destruction du vieux palais du Coudenberg. Cette continuité de la ville des cérémonies est un résultat du système de communication et d’information des Habsbourg de Vienne vis-à-vis des Pays-Bas autrichiens et permet de faire « monstration » de la légitimité de la dynastie sur ses provinces belges. L’organisation et les aspects rituels de ces « monstrations » interrogent les moyens déployés par le pouvoir viennois pour maintenir le lien entre les sujets et leurs souverains absents du territoire, comme le cas se posait déjà pour les rois d’Espagne avant 1700. L’attention est d’abord portée sur les célébrations liées à l’actualité des membres de la maison de Habsbourg-Lorraine depuis la cour de Vienne. À partir de la diffusion de l’information dynastique à travers les cérémonies, sont ensuite analysés les procédés de légitimation du pouvoir habsbourgeois, puis la façon dont le pouvoir investit l’espace urbain dans ces moments de célébration et y imprime sa marque.
Entre exclusif et transit. Perspective de relance du commerce extérieur des départements belges
Authors: Antoine François
Published: January 2025

Par suite de l’invasion de son territoire par les troupes françaises, la Hollande dut signer en 1795 un traité de paix impliquant la libre navigation sur Rhin, la Meuse, l’Escaut, le Hondt et toutes leurs branches jusqu’à la mer pour les nations française et batave. Les vaisseaux français et des Provinces-Unies devaient indistinctement y être reçus, aux mêmes conditions. La réouverture du fleuve et la réunion des anciens Pays-Bas autrichiens à la France, puissance européenne capable de contrebalancer Hollande et Angleterre, laissaient entrevoir aux négociants belges des perspectives prometteuses. Cette volonté d’échapper à ces deux puissances maritimes n’était pas neuve. Déjà, les gouvernants autrichiens avaient tenté d’empêcher les conséquences dues à la fermeture de l’Escaut en développant le port d’Ostende. Ils profitèrent de la situation géographique privilégiée des Pays-Bas méridionaux, carrefour du nord-ouest de l’Europe, pour accroître un commerce de transit. Dans cette optique, l’impératrice Marie-Thérèse et son fils Joseph II y améliorèrent l’infrastructure routière et fluviale. Un réseau de canaux reliait directement à la mer Bruges, Gand, Bruxelles et Louvain que les bateaux de haute mer pouvaient dès lors atteindre sans rompre charge. Ces villes dotées d’entrepôts devinrent de véritables plaques tournantes commerciales. Le statut d’entrepôt dotait ces villes de privilèges douaniers leur permettant à moindres frais d’écouler sur le marché intérieur les marchandises importées ou de les réexpédier vers l’étranger. Les Pays-Bas autrichiens devenus français, les négociants de ces villes craignirent la mise en application de la mesure prise par la Constituante de rejeter les douanes aux extrêmes frontières. Elle fut mise en application par l’arrêté du 3 thermidor an X (23 juillet 1802) fixant les droits à percevoir sur les denrées et les productions coloniales françaises et étrangères.
Écouter et voir : identifier et analyser des connaissances musicales lors de transcréations visuelles avec un outil numérique
Authors: Chatelain Sabine , Trajanoski Antonio , Chapuisat Florence
Published: January 2025

Les pratiques informelles d’écoute musicale via internet impliquent des liens entre le sonore et le visuel, notamment dans des animations visuelles d’œuvres musicales disponibles sur YouTube. Afin de tirer profit de ces pratiques dans le cadre scolaire, une situation d’écoute musicale permettant aux élèves de 11 à 16 ans de créer leurs propres animations vidéo par un outil numérique a été co-conçue par trois enseignants et une équipe d’enseignants-chercheurs. Dans une démarche de recherche-action itérative, ces situations ont été observées et analysées dans trois classes de la scolarité obligatoire et post-obligatoire en Suisse romande. Dans cet article, nous présentons une partie de cette étude en répondant à la question : comment identifier les connaissances musicales mobilisées par les élèves dans un dispositif d’écoute musicale de transcréation visuelle via un outil numérique ? En référence aux recherches sur l’interprétation des liens entre le sonore et le visuel à travers les concepts d’analogie et d’homologie, nous proposons une analyse qualitative des interactions verbales récoltées en classe. Les résultats montrent que le lien avec le visuel peut soutenir l’identification d’éléments musicaux selon les catégories d’analogie et d’homologie. Dans certains cas, les analogies établies écartent les élèves des apprentissages musicaux visés. La conception de l’outil semble jouer un rôle dans cette interprétation. Le concept d’homologie d’expérience permet d’identifier les références au ressenti corporel comme élément de compréhension musicale. Quelques implications de notre cadre d’analyse pour l’activité enseignante dans une situation d’écoute musicale en lien avec le visuel seront discutées.
La dimension culturelle dans l’aménagement du milieu au sein des processus ethnodidactiques mis en œuvre dans la transmission de musiques afro-brésiliennes au Brésil et en France
Authors: Guillot Gérald
Published: January 2025

En France, depuis les années 1990, un dispositif didactique de pratique musicale collective, la batucada, a été introduite dans un certain nombre de classes d’enseignement secondaire. Des difficultés didactiques affectant l’apprentissage ont été observés, questionnant directement l’éducation interculturelle dans le domaine musical. Initialement identifiées comme le produit d’un double filtrage cognitif et culturel opéré inconsciemment par le sujet face à certains savoirs, ces difficultés sont à présent analysées selon un point de vue anthropo-didactique ; une hypothèse de travail formule qu’une situation didactique en lien avec l’enseignement-apprentissage de la musique est susceptible d’être perturbée par le différentiel entre les arrière-plans culturels respectifs des protagonistes de la relation didactique. Ces perturbations s’exprimeraient dans les formes d’aménagement du milieu didactique initial et dans les régulations subséquentes. Plusieurs brèves études de cas (en France, au Brésil) alimentent la réflexion.
How Machine Learning and Generative AI Are Enabling the Autonomous Supply Chain
Authors: Chickermane Hemant
Published: January 2025

To achieve Resilience in their Value Chains, organizations are looking to drive greater speed in decision making, agility in responding to changes and cross-functional collaboration and move away from the siloed and linear processes that are common today. As organizations strive towards driving digitalization of their operations and processes, what started as exploration of ML and Gen AI in Supply Chain management, is now a reality and gaining adoption. As companies experience manpower and talent shortages, they are looking at ML and AI to drive greater automation and productivity improvements.This chapter will cover three primary areas in-depth with examples from the supply chain area: 1) What are Autonomous Supply Chains and why they are important 2) Applications of ML and Gen AI in Supply Chain Management, and how this is a key enabler to Autonomous Supply Chains 3) The Evolution of AI and ML powered by the rapid advancements in computing technology, and its supply chain and its geo-political implications
Journey to the Autonomous Supply Chain
Authors: Abielmona Ayoub
Published: January 2025

This chapter presents an in-depth analysis of the evolution of supply chains in response to the increasing frequency and severity of market disruptions. The author envisions a future where supply chains transcend their reactive nature to become autonomous, self-driving networks that are not only efficient but also capable of learning, adapting, and operating with minimal human intervention. GenAI is presented as a game-changing technology that can help supply chains shift from rigid, linear systems to resilient ecosystems. The author cites several real-world implementations of GenAI in supply chains, including the automation of supplier negotiations, AI-driven drug discovery, and the streamlining of logistics operations. These examples demonstrate the transformative potential of GenAI, paving the way for a future where adaptability and resilience are embedded into the very fabric of supply chains.
Data-Driven Supply Chain Revolution
Authors: Mathur Kshitij , Sinha Satyam
Published: January 2025

In an era where data is the new oil, supply chains are undergoing a fundamental transformation. The chapter ” Data-Driven Supply Chain Revolution: Metamorphosize through Science” aims to provide a deep understanding of the synergy between AI/ML and supply chain management. This chapter will explore the strategies, technologies, and best practices necessary for organizations to harness generative AI and ML for Supply Chain Innovation projects. This chapter starts with the reference of the five core SCM processes of the SCOR model and then elaborates how gen AI and ML solution can address the key challenges in each area. Applying these solutions to Forecasting, Inventory Optimization, Production Planning and Logistics have been shared in detail. An approach to adopt the solution in an organization is explained. Key challenges faced to implement the solution and efficient Change Management approach will be defined.
AI in Skill Development, Critical Thinking, Digital Literacy, and AI-Driven Job Preparation
Authors: Pandit Satyabrata , Sarkar Saptarshi Kumar , Barik Sreya , Sahu Sutapa
Published: January 2025

Thus, the chapter aims to unravel the role of AI in skill enhancement with reference to critical thinking ability, problem-solving skills, and digital skills. With AI technologies gradually progressing to redefine employment situations in different parts of the world today, it has become essential to train the learners for the arising complex employment scenario. The first part of the chapter explores how critical thinking and problem solving can be improved by AI, such as using adaptive learning systems, simulation, and data analysis. It then goes further to illustrate how the use of AI tools in the teaching of digital literacy is conducted, with a focus on how the use of AI in learning makes it possible for a learner to be taught based on his/her specific needs and the acquisition of the fundamental skills needed in the digital competency. The last part looks at the ways of teaching education to prepare students for jobs with artificial intelligence, balancing between technical and humanities, ethics, and retraining.
AI Integration in Education 5.0
Authors: Dey Snehasis , Sahoo Barsha Baishali
Published: January 2025

Education 5.0 is still in its infancy. After covid-19, the education sector has propelled a milestone by integrating virtual means of education. Though it was not completely successful in the covid era but impact of virtual education has opened a new dimension to the reality of integrating the most successful technology into its field.AI is the new research topic in every field. AI integration to the education sector will enhance the productivity and effectiveness amongst learner and educator. Different AI enabled services may be integrated in the education so that the challenges in providing a sustainable environment towards education will definitely be achieved. As education is diversified to learner and educator or student and teacher so the technological implementations may be done from grass roots level. This chapter dives into the education 5.0 basics and the means of AI integration to Education 5.0. It also provides a design structure of AI integrated education, it's possible challenges and research scope for future ahead.
Transforming Higher Education Through Technology
Authors: Mupaikwa Elisha
Published: January 2025

This chapter analyses recommended journal articles to explore the impact of AI in Education 5.0. These reviews indicated that the establishment of intelligent tutoring systems, personalized learning, curriculum development and evaluation, research support, learning analytics, and gamification of learning were the main uses of artificial intelligence in Education 5.0. The key findings from the chapter are the transformative role that artificial intelligence has played in education by creating a more independent, student-centred and student-directed learning environment that enables learners to demonstrate their innovative skills. The main obstacles to the adoption of Education 5.0 were concerns about ethics, security, and finances as well as legislation. The chapter went on to suggest investments in infrastructure development, user training, and policy initiatives.
Mitigating Food Waste and Loss in Malaysia's Food Service Industry
Authors: Arsat Aliffaizi , Zulkifly Muhammad Izzat , Zahari Mohd Salehuddin Mohd , Majid Mohd Aliff Abdul , Majid Hairul Nizwan Abd
Published: January 2025

Malaysia is confronted with substantial obstacles regarding food waste, which amounts to 23,000 tonnes per day. Fresh food accounts for 44.5% of this total. This results in economic losses, environmental damage from methane emissions, resource depletion, and exacerbates food poverty. Alternative solutions are required because conventional waste management methods, such as landfilling and incineration, are unsustainable. This chapter investigates methods for decreasing food waste in Malaysia's food service sector, such as enhancing supply chain infrastructure, implementing technology, and influencing consumer behaviour. Community-based initiatives, including food banks and composting, public-private collaboration, incentives, and stronger regulations are among the key actions. Innovative packaging and transparent food labelling can also contribute to the reduction of waste, thereby assisting Malaysia in addressing environmental, economic, and social challenges.
Menu Hybridization Development
Authors: Nor Nik Mohd Shahril Nik Mohd , Zahari Mohd Salehuddin Mohd
Published: January 2025

The evolving landscape of food consumer preferences and dietary trends has necessitated a paradigm shift in the food business, leading to the emergence of hybridization as a strategic approach to menu development. This chapter discusses the concept of menu hybridization, which combines diverse culinary traditions and innovative ingredients to create unique dining experiences that cater to a broad spectrum of tastes and dietary needs. It centrally delves into the development of menu hybridization through the familiarization of recipes, ingredients, methods of cooking, and decorum as well as an adaptation that acts as a precursor toward food business performance. Ultimately, this chapter posits that embracing hybridization not only fosters creativity and differentiation in menu offerings but also positions food businesses to thrive in an increasingly competitive environment. Through a comprehensive examination of these dynamics, it provides actionable insights for food entrepreneurs and industry stakeholders seeking to leverage hybridization as a catalyst for growth and innovation.
Rethinking Global Food Governance From Historical Perspectives for a Sustainable Future
Authors: Abbass Mahapara , Abbas Uzma , Wani Sana Abass , Akhai Shalom
Published: January 2025

The world food system faces climate change, biodiversity loss, poverty, and malnutrition. This chapter examines global food governance's history to inform a sustainable transition. Analyzing institutions, policies, and initiatives from the 20th century onward, it identifies key issues and lessons. Dominant approaches prioritized production and trade over equity, environment, and rights. Alternative models like cooperatives, agroecology, and local food systems offer solutions. A new paradigm integrating sustainability, human rights, and justice is proposed, emphasizing policy reforms, agroecology, cooperation, and stakeholder engagement. A transformative shift in values and power is necessary for a just and sustainable food future.
The Effect of Technological Development on Renewable Energy
Authors: Avşar Diyar , Temiz Dilek , Gökmen Aytaç
Published: January 2025

Renewable energies have an essential role in the reduction of external dependency of countries by meeting their energy needs from domestic resources, sustainable energy use as a result of diversification of resources and minimizing the damage to the environment from energy consumption. The study aims to measure technological developments' impact on Turkey's renewable energy production. Therefore, this study uses annual time series data on Turkey from 1980-2022 to investigate the causal link between technology and renewable energy production. This study applies Augmented Dickey-Fuller (ADF) (1981), Phillips-Perron (PP) (1988), Kwiatkowski-Phillips-Schmidt-Shin (KPSS) (1992) and Ng-Perron (2001) tests for data analysis. In the long run, it has been found that there is a significant positive relationship between technological development and renewable energy; in addition, it has been found that there is a bidirectional causality relationship between renewable energy production and economic growth in the short term.
Self Automated Borewell Barrier with Child Safe Guard Using Iot
Authors: Swaranambigai R. , Anish Ansari M. , Madhavan S. , Mohan P. , Mohana Swetha M.
Published: January 2025

Toddler safety is paramount, particularly in situations such as a toddler falling into a borewell, which can be extremely perilous. This study introduces a novel IoT-based approach to ensure prompt and successful child rescue in such emergencies. By automating the process, it reduces hazards associated with traditional rescue methods and eliminates the need for physical intervention. This IoT-driven borewell child rescue system integrates early detection, intelligent response, and preventative measures, significantly enhancing the chances of a successful rescue operation and safeguarding children in dangerous circumstances.
Automotive Multi-Leaf Spring Design and Optimization through FEA
Authors: Sabarish R. , Hariharan R. , Nimal R. J. Golden Renjith , Sangamaeswaran R.
Published: January 2025

As a result of the high strength-to-weight ratio, the automobile industry is becoming increasingly interested in replacing steel springs with composite leaf springs. The task at hand is to swap out some steel springs for alloy springs. The car's suspension impacts how comfortable it is to drive and how much damage it sustains. The leaf spring group's primary role is to support the suspension element's vertical load. The contact between the blades makes adjusting the crossbow's action more difficult. The goal of this article is to replace steel multi-disc springs with single joint springs that have a higher load carrying capacity and are more stiff. This alloy offers a greater strength-to-weight ratio and a more elastic corrosion energy storage capacity than steel. The crossbow's weight can be lowered without sacrificing the crossbow's load capacity or stiffness. The stress and displacement are controlled by the barrier design.
Design and Development of a Wi-Fi-Enabled Helping Robot for Enhanced Human Assistance
Authors: Ayyappan S. , Gokul J. , Priyadharshini J. , Santhiya S. , Santhosh M.
Published: January 2025

In recent years, vicinity of robotics has made considerable evolves, resulting in an assortment of robots that can assist and collaborate with people in a variety of situations. The integration of robotics into human environments offers the potential to address challenges and provide assistance in scenarios where human intervention may be limited or impractical. Various challenges faced by different demographic groups require specialized solutions. For example, the elderly may need assistance with mobility, while differently-abled individuals may require support with daily tasks. The robot will be designed to navigate through indoor environments, recognize objects, and respond to user commands through natural language processing. To design and implement a human-helping robot that can provide support in daily activities, enhancing the quality of life for individuals.
Design of Wearable Textile Antenna for Medical and Wireless Application
Authors: Anand Kumar A. , Kathirvelu M. , Bharathiraja C. , Guruprasath G. , Karthickprasad P. , Navinya D.
Published: January 2025

Wearable antenna design is becoming a growing subject of study because of its numerous applications. Patch antennas are the major focus of the Wireless Body Area Network (WBAN) application since they are affordable, lightweight, and have a straightforward design. With wearable uses in mind, we will be using a microstrip patch antenna. The planned antenna has measurements of 60 X 60 X 1.6 mm and a fr4 dielectric constant substrate with value of 1.6. Resonance frequency of the antenna is 2.45 GHz. It is possible to use this proposed antenna in military jackets, and it has a gain of 2.96 dBi. Due to its advantages, such as compatibility, flexibility, excellent designs, and shapes, as well as excellent performance under various conditions, safety, low power consumption, miniaturization, and accommodating bending angles, the SAR value is kept at a low level.
Knowledge and attitude of allied health science students towards COVID-19 vaccination from a leading Sri Lankan university - A cross-sectional study
Authors: Falilah M. I. F. , Fernando T. , Iqbal B. N. , Bowatte G. , Noordeen F.
Published: January 2025

Vaccine hesitancy has been a major challenge in attaining the herd immunity to combat Coronavirus disease – 2019 (COVID-19) pandemic. Therefore, the study investigated the knowledge and attitude towards COVID-19 vaccination in a sample of Sri Lankan Allied Health students. This descriptive cross-sectional study was carried out among 253 undergraduate students from the Faculty of Allied Health Sciences, University of Peradeniya. A pre-tested questionnaire prepared as a Google form was used to collect data from the participants. The participants’ responses were recorded and assessed by an established scoring system. The associations between categorical variables and, knowledge and attitude towards COVID-19 vaccination were analysed using Pearson Chi-square and Fisher’s Exact tests at 95% confidence interval. Of the study participants, only 10% (25/253) had ‘satisfactory’ knowledge scores and 69% (174/253) had ‘satisfactory’ attitude scores regarding COVID-19 vaccination. The study participants’ exposure to clinical training significantly associated with their knowledge on COVID-19 vaccines (p = 0.003). Similarly, study participants’ exposure to clinical training (p = 0.018) and their gender (p = 0.035) significantly associated with their attitude towards COVID-19 vaccination. The females had significantly positive attitude towards COVID-19 vaccination. The finding reflects inadequate knowledge but more positive attitude towards COVID-19 vaccination among Allied Health Science students. Thus, indicating the need to educate the Allied Health Science students regarding COVID-19 vaccination to overcome the vaccine hesitancy and to improve the vaccine acceptance rate.
Optimizing Agro-Voltaic Systems: Enhancing Agricultural Productivity and Energy Generation through Transparent Solar Arrays
Authors: Bandara S. B. G. M. , Fernando H. H. D. , Herath H. M. P. Y. C. B. , Nayomi M. D. R. , Samaranayake B. G. L. T. , Ekanayake J. B. , Mohotti A. J.
Published: January 2025

This study introduces an innovative strategy for dual land use that simultaneously enhances water availability for year-round agriculture and generates electricity. This approach aligns with the United Nations’ Sustainable Development Goals (SDGs) related to food security and sustainable energy. The proposed method involves developing an agro-voltaic system featuring transparent solar arrays coupled with a solar-powered water pumping mechanism. Crop yields under varying water and irradiance conditions were simulated using the DSSAT (Decision Support System for Agrotechnology Transfer) agricultural simulation software. Additionally, power generation was predicted by adjusting the arrangement of photovoltaic (PV) panel strips to achieve the desired level of translucency. The solar water pump was designed and validated using commercial software. Our economic analysis revealed that employing two-strip and three-strip PV panels, as opposed to the conventional PV panel layout, yields optimal results in terms of both agricultural productivity and energy generation. This creative integration not only achieves a balance between energy production and crop development but also offers farmers a stable income source while providing eco-friendly energy to the grid. The study also conducted a cost analysis, assuming the initial cost of solar panel installation would be met with a 15-year bank loan. The analysis included the calculation of interest and monthly payments over the 15-year period, demonstrating the financial viability of the project.
A Theory of Planned Behaviour (TPB) Based Study on the Reluctance of Sri Lankan IT Undergraduates in Pursuing a Software Quality Assurance Career
Authors: Asanka P. P. G. Dinesh , Rajapakshe Chathura , Wickramaarachchi Dilani
Published: January 2025

Despite the growing demand worldwide, the popularity of the Software Quality Assurance (SQA) profession has always been questionable. Technology is increasingly being adopted in the SQA process. Still, the prospective entrants to the profession seem to doubt various aspects such as career progression, learning opportunities, social recognition, etc. This research aims to study why SQA is not a popular career choice among computing undergraduates. Specifically, it aims to unveil the critical factors that affect the reluctance of undergraduates to pursue a career in SQA. The research was conducted in Sri Lanka, a popular offshore outsourcing destination for software development. Over 500 undergraduates who follow computing degrees in state and non-state universities in Sri Lanka were surveyed using a questionnaire developed based on the theory of planned behaviour. The results were analysed using qualitative and quantitative approaches and verified at a forum of experienced quality professionals. The findings confirm that the SQA profession is perceived less favourably than other career paths, such as software development and project management in computing. The study explores different attributes related to the undergraduates' attitudes, subjective norms, and perceived behavioural control, likely impacting their reluctance to choose an SQA career. Additionally, the study explores the impact of gender, internship status, and the type of educational institution. The study concludes that 1) Lack of awareness about the SQA profession, 2) Possible inferiority complexes and ill-treatment at the workplace, 3) Effects of the negative messages the senior students carry to their juniors after internships, and 4) The impact of the alumni who work as SQA professionals are the potential areas that the industry and the academia need to work on individually as well as collaboratively to mitigate the risks stemming from the undergraduates' reluctance to join the SQA profession.
Impacts of elevated carbon dioxide on the development and reproductive biology of Choristoneura fumiferana (Lepidoptera: Tortricidae)
Authors: Findlay Shelby , Zaman Rashaduz , Ishangulyyeva Guncha , Ullah Aziz , Erbilgin Nadir
Published: January 2025

Rising atmospheric carbon dioxide (CO2) concentrations are a major driver of climate change, posing a significant challenge to global ecosystem functions. This challenge is compounded by the potential effects of elevated CO2 on forest pest insects like the eastern spruce budworm (Lepidoptera: Tortricidae), a major mortality agent in Canadian boreal forests. To better understand these impacts, this study investigates how elevated (1000 ppm) and ambient (469 ppm) CO2 concentrations affect budworm development across different life stages. In vitro experiments revealed that budworms exposed to the elevated CO2 concentration exhibited accelerated development, with increased larval weight gain from third to sixth instars, faster pupation and adult emergence, and earlier oviposition compared to those exposed to the ambient condition. However, elevated CO2 concentration led to reduced realised fecundity. These findings highlight the direct impact of elevated CO2 concentrations on budworm biology, with important implications for its role in forest ecosystems under climate change.
Emergence of Mpox and new epidemics: psychological and social impact of stigma in communication and prevention
Authors: Fiacco Giacomo , Grandinetti Antonietta
Published: January 2025

Emerging viral epidemics are increasingly being studied and monitored. In addition to the strictly virological and symptomatic aspects, there is a growing recognition of the need to address the psychological dimension of the patient. The humanization of care should now be an integral part of clinical practice. However, the risk of stigmatization associated with infections that cause epidemics is more real than ever. This is of particular concern as it can negatively impact the prevention and management of the infection due to perceived judgment from healthcare providers and society. An integrated and targeted approach that considers the psychological aspect and the mental fragility of patients can improve screening and prevent the potential risk of stigmatization.
Dengue fever presenting with cerebellitis: A case report
Authors: Sathees Santhirasekaram , Amarasekara Deepa , Jayasekara Pubudu , Rajapakse Peumini , Sumaiya L.F.
Published: January 2025

Rationale:

Dengue fever is a mosquito-bome viral infection, which commonly presents as an acute febrile illness. As the number of cases increases, rare manifestations including neurological manifestations are occasionally encountered.

Patient concerns:

A 20-year-old female presented with fever for 3 days with slurring of speech and unsteady gait, which were developed from the third day of illness. On examination, she had bilateral cerebellar signs. Dengue non-structural protein 1 antigen and dengue IgM in serum were positive. Her cerebrospinal fluid analysis and magnetic resonance image brain were normal.

Diagnosis:

Dengue cerebellitis.

Intervention:

Supportive management with fluids including oral rehydration solutions and intravenous fluids and paracetamol.

Outcome:

Cerebellar symptoms and signs completely resolved by the 20th day of illness.

Lesson:

Dengue cerebellitis is an unusual neurological manifestation of dengue infection.
Ivermectin as a Treatment Modality in COVID-19 Patients: A Systematic Review and Meta-Analysis of Up-To-Date RCTs
Authors: Maddukuri Raghava Kalyan , Desimalla Madhavi Latha , Banavathu Reshma , Arepalli Sai Pavan Kumar
Published: January 2025

The objective of this systematic review and meta-analysis is to assess the efficacy and safety of Ivermectin compared to placebo or standard of care for the treatment and prevention of COVID-19 disease. Literature search was carried out in PubMed, Scopus, and google scholar. Clinical trial registries (clinical trail.gov) and preprint servers (Medrxiv) were also searched for registered and preprint data respectively. Mortality, Clinical recovery, Clinical worsening, duration of hospital stay, and adverse events were considered as primary outcomes while viral clearance is considered as a secondary outcome. Revised Cochrane risk of bias assessment tool was used to assess the risk of bias. Random effect meta-analysis was carried out for all the outcomes. GRADE was used to rate the certainty of evidence. A total of 19 RCTs with 1111 patients were included in the analysis. Ivermectin use did was not associated with a reduction in the incidence of mortality, duration of hospitalization, clinical worsening, and incidence of adverse events nor it was associated with an increase in clinical improvement compared to either placebo or standard of care. Ivermectin also did not show any reduction in viral clearance compared to both placebo or standard of care and this was associated with substantial inconsistency. The overall certainty of the evidence was very low to low. Based on the very low to low certainty of the evidence, we consider Ivermectin ineffective in the management of COVID-19 disease, both as treatment and prophylaxis.
Flexi-Bar Training for Restoring Muscle Strength in Postpartum Women: A Pre-Post design
Authors: Sonwane Aishwarya Nitin , Shetty Shrajal , Shekhar Sakshi
Published: January 2025

The postpartum period is characterized by physiological changes, and maintaining core and pelvic floor muscle strength is crucial for overall health. Flexibar (FB) training, involving oscillating vibrations, shows promise for postpartum muscle strengthening. This study aimed to assess the effectiveness of FB training in restoring muscle strength in postpartum women. Eighteen postpartum women, who had given birth within 2 months to 1.5 years prior, participated in a two week FB training program consisting of four sessions per week. Core muscle strength was evaluated using manual muscle testing for trunk flexion, and pelvic floor muscle strength was assessed using the two finger test. Descriptive statistics analysed demographic data and pre/post treatment measurements. Statistical analysis included the Wilcoxon test and non parametric inter quartile range test. The results showed improvements in core and pelvic floor muscle strength after the 2 week FB training program. Participants demonstrated increased muscle strength, as indicated by positive ranks and significant mean rank differences in both manual muscle testing (P < 0.001) and the two finger test (P < 0.001). This study provides statistical evidence supporting the effectiveness of FB training in restoring core and pelvic floor muscle strength in postpartum women. The dynamic movements and proprioceptive feedback of FB exercises contribute to improved muscle coordination and whole body integration. Further research with larger samples and longer follow up periods is needed to determine optimal training protocols and explore the potential benefits of FB training. These findings enhance our understanding of effective interventions for postpartum muscle strengthening and provide a foundation for future investigations.
A Cross-Sectional Epidemiological Study of Abortions in a Rural Area of Delhi
Authors: Yadav Priyanka , Meena Gajendra S. , Kumar Rajesh , Sharma Nandini
Published: January 2025

Background:

Abortions in India are increasing despite the laws to legalize them. Many abortions are conducted through unsafe practices and are underreported. To determine the prevalence of abortions in women of a reproductive age group in a rural area of Delhi and to determine associated factors.

Methodology:

A cross-sectional study was conducted among married women in the reproductive age group residing in Barwala village, Delhi/NCR. An interview schedule was used to interview 315 women, and information was obtained for socio-demography, use of contraceptives, medical history, and history of abortions. Chi-square and Fisher’s exact test were used for analyzing the association of abortions with other variables.

Results:

Of all 315 women, 47% had a history of one or more abortions. Of all pregnancies (n = 953), 25.6% ended in abortions (n = 244). Of the total number of abortions reported, 60.7% (n = 148) were induced, while 39.3% (n = 96) were spontaneous. Of induced abortions, only 35% were safe, while 65% were unsafe abortions. Age of mother, age at marriage, history of contraception use, and gender of first child were significantly associated with abortions. However, no significant association was found with socio-economic status, education, and occupation of women and their spouses. Only 1.3% women knew that abortions are legal in India.

Conclusion:

A high proportion of women are going for induced abortions, of which a greater proportion is that of unsafe abortions. There is also lack of knowledge about the legalisation of abortions in India.
Assessing Quality of Sensitization Programs of State-Wide Youth Mental Health Promotion Program – An Indian Example
Authors: Medhi Upashana , Banandur Pradeep S. , Arvind B A , Sukumar Gautham M. , Rajeshwari  , Velu Sathya , Naik Vani , Therat Sonia , Devyani Azad
Published: January 2025

Background:

Sensitization plays a pivotal role in raising awareness about critical youth issues and encouraging them to access support services, contributing to the success of programs like Yuva Spandana, a youth-centric mental health promotion initiative in Karnataka, India. For youth to access support within YSKs, the quality and effectiveness of sensitization programs (SPs) are crucial. A standard quality assessment through indicators for SPs is required to provide recommendations for improvement. To enlist quality indicators and assess the quality of SP conducted under Yuva Spandana (YS) program across Karnataka.

Material and Methods:

We performed secondary data analysis (utilizing data available within the computerized management information system over 5 years; 2017-2022) and direct/in-person observation of SPs (by the researcher and the core team of YS between June and July 2022 using a specifically developed checklist). Quality indicators were developed using a process of consensus building. Each attribute within the checklist was scored, and a composite mean score and mean percentage scores for quality were calculated.

Results:

Overall, 33257 SP reports and 31 in-person SPs were assessed. A total of 36 quality indicators (10 quality indicators based on SP reports and 26 based on in-person observation) were developed. The average quality score of report-based SPs was 10.93 (±2.59; range 1-20) and in-person assessment was 63.06 (±6.61; range 50-73).

Conclusion:

The study emphasizes the importance of addressing all youth issues, including sensitive topics like gender, sex, and sexuality, to ensure a holistic approach to youth mental health. Challenges faced during program execution and the distribution of Information, Education, and Communication (IEC) materials also contribute to program quality. This research offers valuable insights for improving the conduct of SPs, enhancing youth access to services, and guiding future community-based health promotion initiatives.
Growing Concerns on Antimicrobial Resistance – Past, Present, and Future Trends
Authors: Saxena Deepak , Gwalani Richa , Yadav Aarti , Shah Ragini
Published: January 2025

Antimicrobial resistance [AMR] is a global problem that affects multiple domains including healthcare, agriculture, aquaculture, and many more. Every year, 700,000 people die from it. AMR is predicted to claim 10 million lives by 2050 if immediate action is not taken. Thus, to halt the spread of AMR it is important to understand what contributes to its emergence and transmission across borders and domains. The burden is disproportionately higher in Low middle income countries (LMICs) due to multiple factors such as environmental, social, healthcare, and cultural barriers. This review paper describes the comprehensive analysis of the past, present, and future trends in AMR, focusing on the complex interconnectedness of the factors contributing to this issue. Historical trends reveal antibiotic discoveries, resistance periods, resistance genes, and multidrug-resistant pathogens, providing insights into crisis evolution and the emergence of multidrug-resistant pathogens. The present trends reflect the current state of AMR in India and emphasize the negative consequences of AMR for clinical medicine and healthcare systems. It identifies the factors driving the global pandemic surge and examines current global and country-level policies and actions to mitigate its impact. The future trends anticipate the trajectories of AMR and discuss innovative approaches to combat resistance, including the exploration of alternative therapies and the implementation of stewardship programs. Thus, by synthesizing existing knowledge and identifying emerging gaps, this review paper presents a holistic perspective on the evolution of AMR.
Relevance of ‘Lentiform fork sign’ on MRI in definitive early diagnosis of uremic encephalopathy
Authors: Lahel Ranjit Singh , Vohra Gaurav , Chail Amit , Kumari Anju
Published: January 2025

Introduction:

Uremic encephalopathy (UE) is a metabolic and neurological disorder related to end-stage renal disease (ESRD) and is frequently associated with metabolic acidosis. Typical imaging findings in the form of Lentiform fork sign under the gamut of ‘Central posterior reversible encephalopathy syndrome’ have been considered specific in early diagnosis of UE.

Methods:

This descriptive hospital-based cross-sectional study was done including 23 patients with ESRD who were diagnosed as having UE over a period of 2 years, with a review of their clinical presentation, biochemical profiles, and imaging findings.

Results:

In patients with metabolic acidosis due to ESRD on irregular treatment, the Lentiform fork sign is characteristic and representative of a definitive diagnosis of UE.

Conclusion:

The affliction of the basal ganglia to severe metabolic acidosis and uremia makes the Lentiform fork sign a characteristic sign to diagnose UE in patients with ESRD on irregular treatment. Characteristic imaging findings contribute to establish a definitive diagnosis of UE and help institute early treatment to curtail mortality in such cases.
Estimation of level of knowledge in young adult women about the postmenopausal osteoporosis
Authors: Obulapathi Devarakonda , Pulikallu Madhusre , Pulaganti Madhusudana
Published: January 2025

Background:

Postmenopausal osteoporosis and its complications cause significant morbidity and mortality, in elderly women. Having knowledge about bone health in young adult women is crucial to gain good bone strength and maintain it at an optimal level after menopause. The level of knowledge about postmenopausal osteoporosis in young adult women in diversified Indian society is largely unknown.

Aims and Objectives:

The aim of this study is to know the level of knowledge and awareness in young adult women, about postmenopausal osteoporosis.

Materials and Methods:

82 women of childbearing age attending the orthopedic outpatient department were studied during the month of December 2016 as cross-sectional study. Answers were recorded for a pre-structured questionnaire. Responses were recorded, and the results were analyzed and presented.

Results:

As per the individual total scores, the levels of knowledge and awareness of postmenopausal osteoporosis were low in 21.96%, moderate in 60.97%, and high in 17.07% of the women. 23.18% of the women had no knowledge about bone health, and 24.39% did not know any measures to maintain optimal bone strength. 80.49% of the women did not know what osteoporosis medically means. 92.68% did not know there is a risk from osteoporosis after attaining menopause.

Conclusion:

Education and health providers contributed considerably to the individual levels of knowledge and awareness of postmenopausal osteoporosis. Introducing knowledge of bone health and osteoporosis from high school level will be more effective. Media, posters, and SMS on mobile phones are the fields to be fully utilized for swift escalation of results.
A rare case of median nerve schwannoma in the cubital fossa
Authors: Mohan A. Ravi C. , Poldas Jyostna , Thobbi Vaibhav
Published: January 2025

Schwannoma is a tumor that develops from the nerve sheath. The authors report an unusual case of schwannoma of the median nerve (MN) that presented with a swelling over the left elbow with symptoms of median neuropathy for a period of 2 years. The diagnosis was based on the location of the tumor, associated clinical symptoms, and signs coupled with magnetic resonance imaging and fine needle aspiration cytology results. Schwannomas are indolent tumors that can go undiagnosed for extended periods of time owing to their slow-growing nature and low propensity for malignancy. Schwannomas are most commonly observed in the MN, the commonest location being the carpal tunnel.
Pulmonary sequel of covid-19 infection – 6 month follow-up observational cohort study
Authors: Devi Yellapu G. , Rao Pudi D. , Kotana Kanaka L. , Koyyana Preethi
Published: January 2025

Background:

Covid19 is still an ongoing global pandemic that has significant morbidities and long term effect on one’s health. Post covid complications also known as post covid sequalae or long covid is a wide clinical spectrum that not only causes health concern but also has impact on mental and daily living leading to poor quality of life.

Aim:

To study about long term effects of covid 19 infection.

Methods:

A prospective observational study from a tertiary care hospital ,visakhapatnam. Laboratory confirmed COVID-19 who presented to Govt chest hospital between April 2021 and May 2021 were enrolled. All patients were followed up at three and six months.

Results:

A total of 322 cases were followed for 6 months. Mean age of the patients was 47.48 (+/-) 14.58. Mild and Moderate cases were clubbed as one group, severe and critical cases clubbed into one group. At 3 month follow up functional impairment was observed in both the groups but at 6 months follow up mild restrictive impairment (FVC-77.08 (±) 6.813) was observed only in severe, critical group. In severe, critical group the pulmonary sequel observed were, lung fibrosis in 24/108 (22%) cases, bacterial infections in 4/108 (2.7%) cases, Tuberculosis in 4/108 cases , Mucor mycosis in 2/108 cases, and 8/108 (7.4%) cases succumbed to death.

Conclusion:

In severe, critical group post covid pulmonary sequel was observed. Appropriate and necessary work up and management to be done during follow up of cases with severe covid19 infection for better quality of life.
A 2-year comparative study of prevalence and antimicrobial resistance pattern of nonfermenting gram negative bacilli in ICU vs other units in a teaching hospital in Telangana
Authors: Vara Aarthi , Kalyani K , Swarajya M Lakshmi , Rekha Koppala , Anisha Cheriyaveetil Kozhukunon , Mansoor Ali Kodugade
Published: January 2025

Background:

Nonfermenter bacteria which were previously considered as contaminants have now emerged as major cause of life-threatening healthcare-associated infections and as multidrug-resistant pathogens. Infections caused by them are predominantly secondary to some predisposing conditions like immunosuppression, burns, long-term antibiotic usage etc.

Aim:

The aim of this study was to determine the frequency and antimicrobial resistance pattern of Pseudomonas and Acinetobacter spp. by comparing the results from ICUs to other units at a teaching hospital in Telangana.

Methods:

A retrospective study over a 2-year period where all the nonfermenter GNBs isolated from various clinical samples sent to bacteriology section of microbiology department between 2022 and 2023 were collected.

Results:

During the period of study, a total of 263 nonfermenter GNBs were obtained out of 1792 IP-positive cultures accounting for 14.6% of their prevalence. Pseudomonas aeruginosa (182/263) 69% was the common NFGNB isolated followed by Acinetobacter baumanii (81/263) accounting to 31% of NFGNB. Most common culture specimen received from ICU was endotracheal aspirate (33%), whereas from other units, pus was the common specimen (45%). Overall antimicrobial resistance rate was less toward carbapenems 15% and 32% in both Pseudomonas aeruginosa and Acinetobacter baumanii, respectively.

Conclusion:

Our study shows high rate of NFGNB which raises the concern for rapidly emerging multidrug resistance. This requires the control of hospital environment and strict adherence to hand hygiene practices as well as rationale use of antibiotics by formulating the local antibiogram.