bluuebunny/crossref_metadata_2025 huggingface dataset:
ЕФЕКТИВНІСТЬ ПЕРФОРМАТИВНИХ ТА ІГРОВИХ МЕТОДИК У ПСИХОТЕРАПІЇ ТРИВОЖНОСТІ СТУДЕНТСЬКОЇ МОЛОДІ
Authors: Карповець Максим , Скляр Оксана
Published: December 2024

The analysis of modern research shows that anxiety is one of the most common emotional problems among students, which significantly affects their mental health, academic achievement, and social adaptation. Many stress factors, including academic demands, economic instability, and social isolation, cause an increased level of anxiety among students. This problem becomes particularly relevant in the conditions of the existential threat caused by the war, which increases the psycho-emotional burden on young people. In this regard, the use of effective methods of psychotherapeutic influence aimed at reducing the level of anxiety becomes essential. The article examines the effectiveness of performative and game techniques in treating students’ anxiety. The use of the GAD-7 technique for screening generalized anxiety made it possible to identify the dynamics of changes in the psycho-emotional state of students after the implementation of the training program. The study is based on an experimental sample of 30 students who were tested before and after applying the techniques. It has been proven that integrating approaches such as role-playing, drama therapy, and art therapy contributes to reducing anxiety levels and improving students’ social and academic skills.
The empirical data obtained using хі-square statistical analysis confirmed the significance of the impact of the implemented methods (χ² = 12.88, p < 0.05). The proportion of students with clinically significant anxiety levels decreased from 25% to 20%, while the number of people without symptoms increased from 15% to 20%. The methodological basis of the study also allowed us to assess the positive impact of the training program on the development of emotional self-regulation, increased self-esteem and strengthened social ties among the participants. The study confirms the importance of a performative approach that focuses on bodily-emotional involvement, creative activity, and interactivity, which creates a safe space for emotional expression and adaptation to stressful situations.
Further research should aim to study the long-term impact of performative techniques on students' mental health and integration into the educational process. One should be paid attention to their impact on the development of emotional intelligence, motivation for learning, self-reflection, and the formation of value orientations. The results indicate the significant potential of performative games and drama therapy for developing innovative strategies for supporting the mental health of student youth in the face of modern challenges
ПРОБЛЕМА ДЕВІАНТНОЇ ПОВЕДІНКИ ПІДЛІТКІВ У ДІЯЛЬНОСТІ ШКІЛЬНОГО ПСИХОЛОГА
Authors: Гордійчук Катерина
Published: December 2024

The article reveals the essence of deviant personality behavior, reveals the content of criteria and indicators of the formation of deviant behavior in adolescence. The main factors of its occurrence are singled out, the peculiarities of its manifestation in adolescence are indicated, as well as effective means of prevention, which can be applied by a school psychologist through the prism of psychological and pedagogical research, are identified. A generalization was made regarding the adolescent's propensity for deviations.
Effective methods that a school psychologist can use in preventive work to neutralize the manifestations of adolescent deviant behavior are lectures, conversations, speeches at parent meetings, pedagogical councils, aimed at improving the psychological and pedagogical culture of parents and teachers, group trainings of resistance to negative social influence, development emotional self-regulation. The peculiarity of deviant behavior is that it is accompanied by various manifestations of social maladjustment. It has been investigated that psychological and pedagogical work with adolescents prone to deviant behavior involves planning and organizing preventive programs that include various forms and methods of activity, which must be carried out with preventive, diagnostic and corrective purposes.
The article pays special attention to the focus of preventive work on the elimination and prevention of deviant behavior within the tasks and competencies of the psychological service.
ПСИХОЛОГІЧНІ МЕХАНІЗМИ МОТИВАЦІЇ ПЕРСОНАЛУ ОРГАНІЗАЦІЇ В УМОВАХ КРИЗИ
Authors: Березюк Тетяна
Published: December 2024

The author conducts a comprehensive analysis of the psychological factors influencing the motivation of participants in organizational processes under crisis conditions. It has been determined that challenging circumstances, driven by socio-economic, political, and organizational changes, significantly impact employees' psycho-emotional states and their professional performance.
The article examines employee motivation within the context of occupational psychology as a complex dynamic process that contributes to the achievement of organizational goals and ensures professional performance at both the individual and collective levels. In particular, it focuses on theoretical approaches to motivational processes in crisis conditions, highlighting key aspects such as cognitive, emotional, motivational, and behavioral factors.
The main theories of motivation are considered, including those that define the hierarchy of needs from basic physiological levels to higher levels of self-actualization, as well as the processes that explain the relationship between decision-making and motivational determinants.
The work examines the impact of crisis conditions on employee motivation, particularly the role of psychological resilience and the ability of managers to make effective decisions to prevent destabilizing processes in the organizational environment. It also emphasizes the importance of leadership and team support during wartime.
The publication underscores the relevance of a value-oriented approach to motivation during crises, specifically the importance of considering individual employee values for effective engagement in the work process. Additionally, the article analyzes the combination of material and non-material incentives, as well as the significance of open communication, feedback strategies, and psychological methods of self-regulation to enhance the effectiveness of employee motivation in today’s environment.
ОСОБИСТІСНІ ДИСПОЗИЦІЇ МАЙБУТНІХ ПСИХОЛОГІВ ЯК ДЕТЕРМІНАНТИ ГОТОВНОСТІ ДО РОБОТИ ЗІ СХИЛЬНИМИ ДО ДЕВІАНТНОЇ ПОВЕДІНКИ ПІДЛІТКАМИ
Authors: Луцик Галина
Published: December 2024

The article analyses the personal dispositions of future psychologists in the context of preparation for work with adolescents prone to deviant behaviour. Based on the analysis of theoretical sources, it is established that the personal qualities of future specialists significantly affect the formation of readiness to work in the chosen speciality and determine the success of professional activity. 
Factorization of personal characteristics of the research participants made it possible to obtain a factor model of personal dispositions of future psychologists. The complex of integral dispositions (factors) of future psychologists, which includes “personal self-control”, “personal openness”, “personal self-acceptance”, “personal independence”, has been determined.
We believe that the structural model of future psychologists' readiness to work with adolescents prone to deviant behaviour is determined by a set of integral structural components (factors) – “creative and practical”, “cognitive”, “value and motivational”, and “regulatory”.
It was found that the dispositions of “personal openness” and “personal self-acceptance” were verified as predictive personal determinants of the formation of the “creative and practical” component of future psychologists' readiness to work with adolescents prone to deviant behaviour, the “cognitive” component – the dispositions of “personal self-control” and “personal independence”, the “value and motivational” component – the disposition of “personal openness”, the “regulatory” component – the disposition of “personal self-control”.
It has been proved that future psychologists' readiness to work with adolescents prone to deviant behaviour is a systemic personal education that is formed during studies in a higher education institution, represented by an appropriate level of development of their mental, emotional and volitional, value and motivational, and operational personal spheres, each structural component of which is determined by a specific system of prognostic personal determinants
ANALYSIS OF BALAGHAT SAHIH IN AL-MUWATTA’ IMAM MALIK IBN ANAS
Authors: Nordin Faris Izwan , Md Ariffin Mohd Farhan
Published: December 2024

The sanads of the hadith that are narrated in balaghat, are usually considered to be daif because the sanad is clearly disconnected. Words from al-balagh derivatives (البلاغ) such as balaghani or balaghahu are not in the category of sighah al-Tahammul which is strong to justify the hadith maqbul, in theory. As a result, it challenged the status of the hadith and its authority as a postulate even though the narration of the balaghat came from a great scholar such as Imam Malik Ibn Anas. This study will be devoted to the Ummah figure, Imam Malik and his work, Al-Muwatta'. This article aims to analyze the status of the balaghat narrations in the book al-Muwatta' Imam Malik, on two selected hadiths. This study is a qualitative study that uses a content analysis design. Information and data were collected from the analysis of documents on the primary hadith books, Syarah hadith, commentaries of Muhaqqiq and hadith scholars, especially involving Al-Muwatta' Imam Malik. Then, it is analyzed inductively and deductively. The results of the study found that the characteristics that justify it as an authentic balaghat in Al-Muwatta' include the presence of a fully connected sanad, Imam Malik did not narrate alone, and it is found in hadith books other than Al-Muwatta'. In conclusion, it shows the uniqueness of Al-Muwatta' Malik who has his own manhaj of writing, although there is little criticism in some parts.
THE SIGNIFICANT IMPACTS OF MASSIVE OPEN ONLINE COURSE ON CONTRACT ADMINISTRATION SUBJECT AMONG QUANTITY SURVEYING UNDERGRADUATES’ STUDENTS
Authors: Judi Siti Suhana , Wan Muhammad Wan Mohd Nurdden , Mohd Zaki Zulkhairy Affandy , Othman Mohd Khairul Fitri
Published: December 2024

This study investigates the significant impacts of Massive Open Online Courses (MOOCs) on the Contract Administration subject (Professional Practice) among Quantity Surveying undergraduates at Universiti Teknologi MARA (UiTM) Shah Alam. The research employed a quantitative methodology, distributing 100 questionnaires to final-year students, with 67 valid responses obtained. Data analysis was conducted using SPSS software, focusing on dimensions such as course relevance, content delivery, and professional development impact. The results reveal high levels of student satisfaction, indicating that MOOC effectively meets educational expectations and significantly enhances students' understanding of contract administration principles. Specifically, students reported that the course content was relevant and directly applicable to their professional practice, contributing to improved academic performance and career readiness. The interactive and flexible nature of the MOOC platform facilitated a more engaging learning experience, accommodating diverse learning styles and schedules. In conclusion, the MOOC demonstrates the transformative potential of MOOCs in Malaysian higher education, particularly in the field of Quantity Surveying. By enhancing the accessibility and quality of education, MOOCs can play a crucial role in supporting lifelong learning and professional development. The findings advocate for continued investment in digital infrastructure and learner support to overcome existing challenges and maximize the benefits of MOOCs in higher education.
EFFECTIVENESS OF INTERACTIVE E-LEARNING USED BASED ON QUIZIZZ APPLICATION FOR GLOBAL COMMUNITY NORMS TOPIC AMONG FORM FIVE MORAL EDUCATION
Authors: Simon Suzan Christina , Simon Salomi
Published: December 2024

The interactive e-learning method is a learning strategy that could assist with the Effective Learning and Facilitation Process (PdPc) in the classroom. Quizizz is a learning tool that enhances PdPc by providing engaging and interactive ways for teachers and students. This study aims to explore how an interactive e-learning strategy based on the Quizizz application might help student’s learning processes. The study used an action-oriented research methodology, with fifth-grade secondary school students from Batang Padang District contributing as study participants. Data is collected using questionnaire surveys, observations, and tests. This study analysed data in relation to the topic of global social norms. The findings of this study imply that the Quizizz application utilised in the interactive e-learning process can capture students’ attention and interest while also assisting them in meeting the teacher’s learning objectives. Finally, this study demonstrates that interactive e-learning using the Quizizz application can assist teachers in effective teaching and learning processes consistent with 21st-century learning.
STRENGTHENING EDUCATIONAL SYSTEMS THROUGH DATA INTEGRITY: INSIGHTS FROM THE MINISTRY OF EDUCATION MALAYSIA’S DATA CENTER
Authors: Ramli Azlin , Darus Mohamad Yusof , Talib Othman , Yacob Azliza
Published: December 2024

It examines the factors that affect data integrity in the Data Center of the Ministry of Education Malaysia (KPM) and analyzes the effectiveness of existing security measures. By ensuring data integrity, educational systems can be strengthened, leading to more reliable and effective decision-making processes. This, in turn, supports the overall goal of enhancing educational outcomes. This study uses a qualitative research approach by interviewing five civil servants related to the management of government data centers. The findings of the study show that there are several weaknesses in the management of cyber security in data centers, including lack of training and security awareness, insufficient monitoring and periodic audits, as well as lack of support and commitment from superiors. In addition, this study also found that the existing cyber security policy is not strict and clear enough, and investment in security technology is still low. Based on these findings, the ENSTEK Data Center Data Security and Integrity model has been developed to overcome these weaknesses. This model contains the components of security training and awareness, regular monitoring and audits, investment in security technology, strict and clear cyber security policies, and support and commitment from the top. This model is expected to improve the security and integrity of data in government data centers as well as provide important guidance for further research in the field of cyber security.
CONSTRUCTING A FRAMEWORK TO EXPLORE OFFICER CADETS’ COMMITMENT IN OFFICER CADET SCHOOL, DEFENCE ACADEMY, ROYAL BRUNEI ARMED FORCES
Authors: Ash’ari Zuraihi , Zainol Abidin Zahimi , Salleh Daud Mohamed , Mohd Zainol Noor Azmi
Published: December 2024

This article proposed a framework to explore the commitment of officer cadets, specifically those in the Royal Brunei Armed Forces (RBAF). The unique socio-cultural context of Brunei and RBAF provides a distinctive perspective for exploring organisational commitment. Secondly, no study has been conducted on the organisational commitment of officer cadets in Brunei. Hence, the objective of this article is to address this gap through the proposed framework that will utilise existing research on commitment. This study adopted a qualitative research methodology by reviewing documents related to the subject. The proposed framework considered job satisfaction, perceived organisational support, and career development opportunities to influence officer cadets’ organisational commitment. It is anticipated that this framework can be applied to explore the commitment of officer cadets, thus providing valuable insights into the factors that influence officer cadets’ commitment levels. These insights can potentially lead to significant improvements in the design and implementation of military training, contributing to the broader discourse on understanding commitment in this context. Lastly, this framework has a limited generalisability as it was tailored to the specific military context of the Royal Brunei Armed Forces
FOUNDATION STUDENT PERSPECTIVES ON ACCOUNTING PROGRAMME OFFERINGS
Authors: Hj. Mohaiyadin Norlaila Mazura , Mat Nawi Hafizah , Abdullah Mohammad Noor , Jusoh Mohd Abdullah
Published: December 2024

In the past five years, research exploring accounting programs from the perspective of Social Cognitive Theory (SCT) has been scarce, particularly in Malaysian contexts. Existing studies often focus on settings outside Malaysia. The predominant methods employed were quantitative, with fewer instances of qualitative approaches. In practice, there is a high demand for professional accountants in Malaysia, as the government aims to have 60,000 professional accountants by 2030. However, the number of certified accountants currently falls below 70%. Due to the theoretical and practical gaps, this study aims to identify reasons accounting programmes should be offered at the National Defence University of Malaysia (NDUM) through the lens of SCT. This study employed qualitative methods aligned with an interpretive research philosophy, utilising surveys as a research strategy, supporting documents and observations. The sample of this study consisted of 28 foundation students following the Introduction to Accounting course during Semester 1, 2023/2024, using a purposive sampling technique. In the behavioural element, findings showed two factors in this element, including interest in accounting and hard work. Meanwhile, three factors in the cognitive element were revealed, which comprised fostering knowledge on financing, possessing basic accounting knowledge, and the nature of the accounting subject. In the environmental element, two factors were observed in this element, consisting of the influence of parents, role models and lecturers, as well as the high demand for employment. Theoretically, this study contributes to adding value to the existing literature and theory development. Practically, it contributes to the potential that accounting programmes can be offered at NDUM.
PENYULUHAN TENTANG PENDIDIKAN SEKS PADA ANAK USIA DINI UNTUK ORANG TUA
Authors: Putri Dwi Khalisa , Lulianthy Eliyana , Putri Puja Usmiati
Published: December 2024

Background Sexual abuse of children is a threat to the nation that can damage children, both physically, in their mindset, mentally and psychologically. According to data from the Ministry of Women and Child Protection (KPPA) in 2019, there were 1,500 reports of child sexual violence and abuse in Indonesia and the impact that could occur from this was physical, psychological damage and death. The aim is to determine parents' knowledge about sex education in early childhood. Method The targets in this activity are parents who have toddlers in the Posyandu working area of the Sungai Burung Village Health Center, Segedong District. The form of activity carried out is that first, at the posyandu, the mothers who attend are given a pretest questionnaire before being given health education counseling regarding sex education to children, then they are given a posttest questionnaire to assess the increase in knowledge among respondents. After the data processing was carried out, there were 33 respondents. The results of knowledge before counseling showed that the majority of respondents had good knowledge, namely 20 people (61%), while knowledge after counseling showed that the majority of respondents had good knowledge, namely 32 people (97%). The conclusion was that there was an increase in respondents' knowledge after being given counseling about early childhood sex education.
Biomimetic Design Concepts in African Textile Prints: Embracing Nature's Influence on Fashion and Textiles
Authors: Boamah Frederick , Tawiah Benjamin , Howard Ebenezer
Published: December 2024

Purpose: The purpose of this study is to provide a comprehensive review of biomimetic-inspired concepts in surface African printed textiles and fashion products and analyse their cultural and philosophical significance.
Methodology/Design: An integrative review was adopted using the constrained snowball approach. Google Scholar was the main database used for this review. Eight seed articles were identified after which bibliography coupling was done to identify important articles worthy of inclusion based on the main terms in the topic. The co-citation functionality in Google Scholar was used to further identify and select recent articles that meet the inclusion criteria set out. Subsequently, the second, third and fourth-generation co-citation articles that meet our inclusion criteria were reviewed after which local and international news portals and blogs about African print design and fashion were searched.
Findings: A design concept is an idea behind what we see and appreciate aesthetically. The concept may be inspired by physical objects or situations, values, or beliefs in the case of African settings. It is also established in their research that every single element of a given African pattern has a distinct meaning and is purposely presented to represent some values in a society. The African textiles' surface designs are inspired by different sources. These include a wide range of natural to artificial objects, cultural symbols, values, proverbs, and beliefs. The Indigenous designs were made up of designs from nature while the contemporary African designs are comprised of designs inspired by technology.
Practical and Social Implications: Practically, integrating biomimetic design into African textiles can enhance sustainability in the fashion industry, promoting eco-friendly production methods. Socially, this approach fosters cultural pride and community engagement, as it highlights the rich heritage of African designs while encouraging collaboration among local artisans.
Originality: The article explored the incorporation of biomimetic design concepts in African textile prints, showcasing how deeply nature influences fashion and textiles. It provides a fresh viewpoint by linking traditional African designs with contemporary practices, helping to enhance our appreciation for cultural heritage. Ultimately, this will be a valuable resource for designers, researchers, and industry professionals who want to merge creativity with a commitment to environmental sustainability.
The European Union energy transition in the context of the Fit for 55 and REPowerEU strategies
Authors: Klecha-Tylec Karolina , Pach-Gurgul Agnieszka , Ulbrych Marta
Published: December 2024

RESEARCH OBJECTIVE: The aim is to present the conditions, assumptions and concept of the Fit for 55 and REPower EU strategies, and subsequently evaluate their progress.
THE PROBLEM AND RESEARCH METHODS: The fundamental justification for the EU’s energy transformation, as the leader in this area so far, was climate protection. After Russia’s invasion of Ukraine, the urgent need for increased energy security turned out to be. In seeking answers to the possibilities of implementing both tasks, the study used a number of research methods, including primarily critical literature analysis and descriptive statistics methods.
THE PROCESS OF ARGUMENTATION: Firstly, the essence of the modern energy transition and a review of the literature in this field are presented. Then, an attempt is made to address the dilemma: the EU energy transformation – progress or regression? The next part presents the importance of Fit for 55 and REPowerEU. Finally, the key energy figures and analyzed strategies progress were presented.
THE RESEARCH RESULTS: In response to the events in Ukraine, the EU launched the REPowerEU plan to reduce dependence on Russian fuels by cutting energy consumption, diversifying supplies, and boosting clean energy production. It accelerates the Fit for 55 plan, which aims to cut CO2 emissions by 55% by 2030 and reach net zero by 2050. While the plan originally included a gradual shift from Russian hydrocarbons, the invasion has prompted the EU to fast-track decarbonization, though short-term energy security concerns may slow the energy transition.
CONCLUSION, INNOVATIONS, AND RECOMMENDATIONS: The analysis carried out made it possible to conclude that the war in Ukraine has not caused a retreat from the green energy transition, on the contrary, it has further motivated the EU to take several actions including decarbonization as defined in the Fit for 55 and REPowerEU strategies.
“As a Shadow” – the Experiences of a Support Teacher of Students With Autism Spectrum Disorders (ASD)
Authors: Kądziołka Danuta
Published: December 2024

RESEARCH OBJECTIVE: The objective of this article is to explore the experiences, challenges, and pedagogical strategies employed by teachers who co-facilitate the education of students with Autism Spectrum Disorder (ASD).
THE RESEARCH PROBLEM AND METHODS: The central research question addresses the experiences and challenges faced by teachers who co-facilitate the education of students with ASD. Data were gathered through in-depth narrative interviews with three active teachers working with ASD students.
THE PROCESS OF ARGUMENTATION: The study’s objective and research question are addressed through a structured argument, consisting of an introduction to inclusive education for students with ASD and the role of support teachers. This is followed by a comparative presentation and analysis of the teachers’ experiences in co-facilitating ASD education.
RESEARCH RESULTS: The analyses reveal that teachers co-facilitating the education of students with ASD are aware of the unique needs of each student, developed through direct experience. Their role involves tailoring their approach to the changing needs of students at different educational stages, ranging from supporting daily activities to assisting with learning and social skills development.
CONCLUSIONS, RECOMMENDATIONS, AND APPLICABLE VALUE OF RESEARCH: There is a need to implement concrete measures for expanding psychological support for parents of children with ASD. Given the rising prevalence of this disorder, it is essential to enhance the knowledge, skills, and competencies of society, especially educational staff – to better support individuals with ASD.
Teacher Perspectives on Supporting Students With Stuttering in Schools and Preschools
Authors: Michalczyk Anna , Ślusarczyk Aleksanda
Published: December 2024

RESEARCH OBJECTIVE: The purpose of the research presented in this article was to explore the opinions of kindergarten and elementary school teachers on supporting students with stuttering in their functioning within educational institutions.
THE RESEARCH PROBLEM AND METHODS: This study aimed to evaluate teachers’ knowledge about stuttering and their approaches to supporting students with this condition. A diagnostic survey was conducted using a structured questionnaire, gathering responses from 155 kindergarten and elementary school teachers. The survey focused on assessing their general understanding of stuttering in children.
THE PROCESS OF ARGUMENTATION: The argumentation process involves identifying the problem, presenting the survey results, drawing generalized conclusions from the findings, and extrapolating these conclusions to provide actionable recommendations for teachers working with students who stutter.
RESEARCH RESULTS: The study results indicate that the level of knowledge among preschool and elementary school teachers about stuttering and methods to support affected students is insufficient. Teachers expressed a need for additional training, which highlights the necessity of systematic educational efforts in this area.
CONCLUSIONS, RECOMMENDATIONS, AND APPLICABLE VALUE OF RESEARCH: A critical first step to increasing teachers’ awareness of stuttering is incorporating evidence-based content into the Integrated Learning Platform. Promoting current, research-backed knowledge through training sessions and mentoring programs would also prove highly beneficial. Practical applications of this research include implementing teacher training programs at both local and national levels and creating initiatives such as InterACT to reduce stigma and exclusion. These measures would better prepare educators to support students with stuttering, contributing positively to their emotional and social development.
SHARPNESS IMPROVEMENT OF MAGNETIC RESONANCE IMAGES USING A GUIDED-SUBSUMED UNSHARP MASK FILTER
Authors: AL-ABAJI Manar , AL-AMEEN Zohair
Published: December 2024

Magnetic resonance imaging (MRI) is a key method for imaging human tissues and organs. The accuracy of medical diagnosis is greatly affected by the quality of MRI images. Sometimes, MRI images are obtained blurry due to various inevitable constraints related to the imaging equipment, which affects the detection of important features in the image. Several sharpening methods were introduced, but not all were successful in this task, as artifacts may be introduced, contrast may be changed, and high complexity may be involved. Thus, this paper introduces a guided-subsumed unsharp mask filter (GSUM) to improve the sharpness of MRI images. The GSUM utilizes an improved guided filter instead of the low-pass Gaussian filter and a dynamic sharpening parameter. The improved guided filter employs a hybrid procedure instead of the mean filter in the smoothing process and relies on an adaptive regularization parameter. The applied modifications eliminated the overshooting and halo effects of the original unsharp masking and the guided filter, resulting in better-quality images. The GSUM was tested with real-blurry MRI images, evaluated using three no-reference metrics, and compared with six other algorithms. The metric scores indicate that the proposed filter can surpass existing methods, as it produced better results with average readings of 24.2074 in PIQE, 0.6878 in BLUR, and 5.7944 in FISH. It also scored a fast computation time, averaging 0.3384 seconds.
COMPARISON OF CLINICAL OUTCOME OF INTRANASAL DEXMEDETOMIDINE VERSUS INTRANASAL MIDAZOLAM AS PREMEDICATION IN CHILDREN UNDERGOING MRI: A RANDOMIZED DOUBLE BLIND STUDY
Authors: Lalwani Jaya , Jain Shah Pratibha , Tandan Manjulata , Jain Anamika
Published: December 2024

Background: Providing anaesthesia to children undergoing MRI is challenging. Adequate premedication administered noninvasively, would
make the process smoother. Material And Methods: Hundred paediatric patients between 3-8 years scheduled for MRI under sedation were
divided into two groups of 50 each. Group I received Intranasal Midazolam (0.2 mg/kg) and Group II received Intranasal Dexmedetomidine (1
mcg/kg). Patients were observed for ease of parental separation (primary outcome), onset & level of sedation as well as hemodynamic parameters
and occurrence of any side effects. Results: Intranasal midazolam had early onset than intranasal dexmedetomidine (15.72±11.45 mins vs
19.42±7.93 mins). The sedation score at induction in Group I was 4.06±1 and in group II it was 3.0 ±1.28 (p<0.001, significant). The mean
difference in parental separation anxiety score was highly significant in group II as compared group I. None of the patients in either group had any
significant adverse effects. Conclusion: Intranasal dexmedetomidine is a more effective option for paediatric premedication during MRI than
intranasal midazolam because it provided successful parental separation, improved hemodynamic stability and higher sedation levels with
minimal side effects.
CASE REPORT: ANESTHETIC MANAGEMENT OF A PATIENT WITH THYROTOXICOSIS POSTED FOR THYROID SURGERY UNDER GENERAL ANESTHESIA
Authors: Biswas Tanmoy , Chatterjee Tarit
Published: December 2024

Graves associated thyrotoxicosis is a condition which is very much challenging for an anesthesiologist. It mainly manifests as a hypermetabolic
state resulting in sympathetic stimulation. If the patient is not made euthyroid preoperatively then it can easily turn into a serious condition
intraoperatively. Here we will report anesthetic management of a thyrotoxicosis patient posted for thyroid surgery under general anesthesia.
ASSESSMENT OF PROGNOSTIC PERFORMANCE OF HDP-GESTOSIS FOR PREECLAMPSIA PREDICTION IN PREGNANT WOMEN : A PROSPECTIVE ANALYSIS STUDY
Authors: Soni Monica , Goyal Gunjan , Choudhary Himani , Soni Arti
Published: December 2024

Background: Pre-eclampsia is a critical hypertensive disorder in pregnancy that can lead to severe maternal and fetal complications. Early
identification of at-risk pregnant females is essential for effective management and improved outcomes.Assessment of risk factors and scoring
them using the HDP gestosis score is claimed to identify the “at risk” patients so as to provide special attention and care. Methods: A total of 300
pregnant women were included in this prospective cross sectional observational study which was conducted in the Department of Obstetrics and
Gynaecology PBM Hospital Bikaner, over a period of 1 year. Participants were categorized into two groups based on their HDP-Gestosis score:
Group A (score <3) and Group B (score ≥3). Follow-up evaluations were conducted at multiple gestational weeks to monitor the development of
pre-eclampsia and related complications. Statistical analyses were performed to compare outcomes between the two groups. Results: Statistical
analysis indicated that the HDP-Gestosis score effectively stratified the risk of pre-eclampsia, with significant differences in maternal and fetal
outcomes observed between the two groups. In our study, group B exhibited significantly higher systolic and diastolic blood pressure, greater
incidence of albuminuria, and a higher incidence of preeclampsia and increased rate of incidence of cesarean deliveries . Conclusion: The HDPGestosis score is a valuable tool for predicting pre-eclampsia risk in pregnant women. By identifying high-risk individuals, healthcare providers
can implement timely interventions, thereby enhancing maternal and fetal health outcomes.
AVOIDING TUNNEL CONVERGENCE IN LATERAL FEMORAL CONDYLE DURING SIMULTANEOUS ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION AND POSTEROLATERAL CORNER RECONSTRUCTION: A REVIEW ARTICLE
Authors: Wade Roshan , Samant Vinay , Chitnawis Swapnil , Somani Vasav
Published: December 2024

Background- The tunnels for PLCR and ACLR occupy the lateral femoral condyle where collision is expected to occur during simultaneous
reconstructions. A review of available studies was undertaken to find the safe arc while drilling PLC tunnels. 5 similar studies that Methodologyused CT scan-based evaluation of tunnels in cadaveric/ synthetic/ 3D developed knee models were included. Anteromedial (AM) portal with centre
of anatomic ACL remnant as entry was used for ACL tunnel in all studies. Tunnel orientation in form of coordinates is presented as (coronal plane
angle, axial plane angle) The convergence for FCL tunnel in complete neutral position (0,0) was repo Results- rted to be as high as 100% in 2/5
studies and 86% in one. Safety arc for FCL tunnel ranges from 0-20⁰ proximally and 20-40⁰ in anterior direction with 3/5 studies reporting 0%
convergence while 5% risk was reported in one study with 30⁰ anterior directed tunnel. 2/5 studies involved PLT tunnels, for which the
recommended orientation is that of 0⁰ or 30⁰ proximally and 30⁰-35⁰ directed anteriorly with 0 tunnel convergence. (0,0) orientation of ConclusionFCL tunnel is always to be avoided. The recommended FCL tunnel orientation to minimise tunnel convergence risk is (0⁰,30⁰-40⁰) which also leaves
a safe inter-tunnel distance of an average of 4.4 mm if tunnels don't converge. Similar recommendation for PLT tunnel is (0⁰, 30⁰-35⁰) which
primarily avoids the breach of intercondylar notch. For a small LFC (<35mm), FCL tunnel drilling in recommended (0⁰,20⁰-40⁰) is even more
important to avoid convergence.
ASSESSING THE RISK OF HYPOCALCEMIA FOLLOWING TOTAL THYROIDECTOMY: A PROSPECTIVE STUDY
Authors: Jhansi Gurrala , Rehman Mohd Abdul , Srinivas Margam
Published: December 2024

Introduction: Hypocalcemia is a major post-thyroidectomy complication. Early detection via serum calcium measurement is crucial to prevent
severe symptoms and prolonged hospitalization. This study aims to assess the severity, incidence, and timing of hypocalcemia in total
thyroidectomy patients. Methods And Objective: This prospective study enrolled 30 patients undergoing total thyroidectomy. Preoperative and
postoperative (days 1-3) serum calcium levels were measured. Hypocalcemia (<8.0 mg/dl) was treated with IV calcium gluconate and oral
supplementation. The degree of calcium drop was correlated with hypocalcemia development. Results: This study analyzed 30 patients,
predominantly middle-aged women with multinodular goiter. Forty percent developed postoperative hypocalcemia, most commonly on the third
postoperative day. Preoperative and postoperative serum calcium levels can predict the risk of hypocalcemia. Early detection and treatment can
mitigate severe symptoms and complications. Conclusion: Postoperative hypocalcemia remains a significant complication following total
thyroidectomy. Meticulous surgical technique, including careful identification and preservation of parathyroid glands, is crucial to minimize this
risk. Preoperative and postoperative serum calcium monitoring can help identify patients at risk and initiate timely intervention. Early detection
and appropriate calcium supplementation can effectively manage hypocalcemia and prevent severe complications.
ENHANCING AWAKE FIBEROPTIC NASOTRACHEAL INTUBATION: A COMPARATIVE STUDY OF NEBULIZATION WITH ORAL CLONIDINE VERSUS PREGABALIN PREMEDICATION IN ORAL CANCER SURGERIES
Authors: Lakra Smriti , Sahu Sonali , Jain Shah Pratibha
Published: December 2024

Background: Awake fibreoptic intubation (AFOI) is recommended for managing an anticipated difficult airway. The study aims to compare the
effectiveness of clonidine versus pregabalin as oral premedication for awake fiberoptic nasotracheal intubation in oral cancer surgeries. Materials
And Methods: The study involved forty patients undergoing oral cancer surgeries under general anesthesia who were randomly divided into
Group 1 (n=20) and Group 2 (n=20). Group 1 patients received oral clonidine 200 µg and Group 2 patients received oral pregabalin 150 mg 90
minutes before fiberoptic intubation. The hemodynamic parameters, levels of anxiety, and sedation were assessed and recorded at baseline and then
sequentially at 30 minutes, 60 minutes, 90 minutes after premedication, and post-intubation. Cooperation for nebulization was observed 15
minutes before intubation. The intubation condition was assessed during intubation and the tolerance to intubation was assessed after the
placement of the tube in the trachea. The patient satisfaction was assessed and recorded at the end of the surgery. Result: Group 2 showed
significantly higher tolerance to intubation (p=0.04), better intubation conditions (p=0.02), and higher satisfaction scores compared to Group 1
(p=0.018). Group 2 patients also had lower levels of anxiety, and higher levels of sedation compared to Group 1 but these differences were
statistically non-significant. Group 1 exhibited better control of hemodynamic stress response to intubation with better control of post-intubation
heart rate (p=0.007), systolic blood pressure (p=0.01), diastolic blood pressure (p=0.02), and mean blood pressure (p=0.04). Conclusion:
Clonidine 200 µg and pregabalin 150 mg both are equally effective and safe as an oral premedication for awake fiberoptic nasotracheal intubation.
Oral pregabalin improved intubating conditions and tolerance to intubation while oral clonidine offered better control of the pressor response to
laryngoscopy and intubation, with comparable effects on anxiety and sedation levels.
IMPACT OF COMPUTED TOMOGRAPHY ON DIAGNOSIS, CLASSIFICATION, AND
TREATMENT APPROACH OF ACUTE PANCREATITIS USING THE REVISED ATLANTA CLASSIFICATION AND MODIFIED CT SEVERITY INDEX: A CROSS-SECTIONAL STUDY IN THE PUDUCHERRY POPULATION
Authors: Gupta Rohit , Shrinuvasan Shrinuvasan
Published: December 2024

Background: Acute pancreatitis is one of the most common causes of gastrointestinal tract that leads to hospital admission. Imaging, particularly
CECT helps to confirm the diagnosis, assess the severity of the disease and complications. Revised Atlanta classification was introduced to
standardize the imaging technologies and expedite better treatment. Current study is conducted to classify patients with acute pancreatitis and
guide management using Revised Atlanta classification and Modified CT severity index with help of Computed Tomography. Aims & Objectives:
To evaluate the Role of CT imaging in the diagnosis and assessment of severity of pancreatitis using revised atlanta classification and Modified CT
severity index. To correlate the revised atlanta classification radiological findings with clinical and lab findings in determination of method of
management. A cross-sectional study was conducted on 86 patients presenting with clinical suspicion Methods: of acute pancreatitis with
requisition for CT abdomen were interviewed and details of the patients like name, age, sex, detailed clinical history were obtained along with the
details of clinical examination. Cases of acute pancreatitis were classified according to the Revised Atlanta classification with the help of MDCT.
A PROSPECTIVE OBSERVATIONAL STUDY OF POST OPERATIVE SURGICAL SITE INFECTIONS IN EMERGENCY ABDOMINAL SURGERIES IN A TERTIARY CARE HOSPITAL
Authors: Meena Ramgopal , Agarwal Kalpana , Sagar Poornina , Sagar Chitresh
Published: December 2024

Introduction : Surgical Site Infection (SSI) continues to be a major problem associated with any operative procedure. The problem gets more
complicated in case of emergency surgeries, where the surgeon has the least scope to prevent Surgical Site Infection pre-operatively due to urgency
of surgical intervention. Aims & Objectives: To study the incidence, associated factors and micro organisms causing post-operative
surgical site infection. Material And Methods : A prospective observational study included 100 patients undergoing emergency abdominal
surgeries and of >12 year of the age in the Department of General Surgery, JLN Medical College & Associated Group of Hospitals, Ajmer
(Rajasthan) between January 2023 to December 2023. Results : Overall incidence of SSI was 18%. SSI rates ranged from Acute appendicitis
(5.56%) to ileal perforation (28.57%) across different emergency abdominal operations. It was highest on POD 5 (33.33%). The most common
causative organism was E. coli in 50% cases. Conclusion : Multiple host, environmental and infective organism related factors determine the
outcome of surgery.
WILLIAM OSLER : THE VISIONARY WHO SHAPED MODERN MEDICAL PEDAGOGY
Authors: Krishnamoorthy Ashwin
Published: December 2024

Sir William Osler, 1st Baronet (July 12, 1849 - December 29, 1919) was a pioneer in the field of medicine with humble beginnings in a small West
Canadian village. He would later go on to have an illustrious career spanning across 5 decades at some of the most prestigious medical institutes in
the current era. He is rightly regarded as the 'Father of Modern Medicine' for shaping the modern medical educational and organisational structure.
Sir William Osler, born in Canada was a pioneer in the field of medicine whose works transcends various domains of the field. His meteoric rise to
the pinnacle of medicine was down to his obsession to learn - a true bibliophile. A fascinating career that spans across 5 decades and the setting up of
illustrious institutions in North America and Europe. The modern structure of medical education was shaped in his vision and this is testament to his
genius. This article chronicles his story from a small town in West Canada to Oxford University, leaving behind an ever lasting legacy like no other.
APPRAISAL OF FLUORIDE CONTAMINATION IN GROUND WATER: A REVIEW ON BIRBHUM DISTRICT, WEST BENGAL, INDIA
Authors: Roy Shuvrodeb , Bhattacharyya Pradip
Published: December 2024

This study represents the comprehensive report of ground water fluoride contamination status in the Birbhum district of West Bengal. People from
at least ten districts are observed to suffer from dental and skeletal fluorosis duo to regular consumption of highly fluoride contaminated ground
water. Reduced IQ (Intelligent Quotient) level is observed in the children population of the fluoride affected areas in Md. Bazar and Mayureswar-I
block. Dissolution of fluoride bearing minerals of the host rocks, cation-anion exchange process, semi-arid climate and application of fluorine rich
phosphate-fertilizer are considered as the major factors behind the elevated fluoride level in ground water of Birbhum district. Fluoride
accumulation in paddy and leafy vegetable is also noticed in Rampurhat-I block due to irrigation with fluoride contaminated water. Continuous
ground water monitoring for pollutants, household supply of safe drinking water and rainwater harvesting seem to be long-term visible solutions
for the study area.
Drawings, artifacts and anatomical preparations: the collections of the Senese Museums for teaching Anatomy yesterday as today
Authors: Orsini Davide , Martini Mariano , Ottoboni Stefano , Aglianò Margherita , Franci Daniela , Lorenzoni Paola , Saverino Daniele
Published: December 2024

The scientific museology highlights the importance of the specialized museum collections of anatomy as tools for teaching and scientific communication. The cultural heritage, deriving from research and study activities, have been preserved over the centuries They are not simple goods to be exhibited, but are dissemination means of scientific culture and specialized teaching at university level. In fact, anatomical tables, models and preparations of the Senese museums are still used for teaching anatomy, as well as for dissemination activities to a large non-specialized audiences. The anatomical collections and the musealization of new findings are proposed as active means of communication and teaching, of health education and research on the biological history of man. Through their collections, the universities museums of anatomy allow to carry out empirical studies of a historical nature. In addition, the evolution of technologies can help the knowledge of the human body. The historical re-reading of anatomy by means of the goods present in the museums of human anatomy, the study of the technical and practical knowledge at the base of such finds, the possibility of using them for educational purposes alongside the most up-to-date tools that technology allows us to have available, are producing a new interest in the discipline that, overcoming the limits of a specialized knowledge, can acquire the value of a form of historical communication of the human body that can also be communicated to an inexperienced audience, as well as to students of medical degree courses and health professions.