bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGENALAN APLIKASI MICROSOFT WORD KEPADA MASYRAKAT RT 11 RW 04 KELURAHAN CEMAPAKAI PERMAI
Authors: Haryanto Igor Felix , Ardinata Mikho , Sunardi Dandi
Published: June 2023

Kelurahan Cempaka Permai adalah Kelurahan yang berlokasi di Kecamatan Gading Cempaka Kota Bengkulu. Adapun permasalahan yang di hadapi oleh masyarakat Cempaka Permai minimnya pengetahuan tentang aplikasi komputer pada masa modern, salah satu contohnya masyarakat disini masih minim sekali tentang cara menggunakan aplikasi Ms Word dan fitur fitur di dalamnya. Ms Word itu sendiri adalah program aplikasi dari microsoft office yang sering di gunakan untuk pengolahan texs, pengolahan dokumen, laporan dan lain sebagainya. Salah satu program yang di terapkan pada masyarakat kelurahan Cempakai Permai yaitu pengenalan atau mengajarkan masyarakat tentang teknologi komputer, dan aplikasi aplikasi di dalamnya. Kegiatan yang di lakukan di kelurahan Cempaka Permai dengan melakukan kegiatan sosialisasi, wawancara pada masyarakat di Kelurahan Cempaka Permai. Hasil yang di dapat : 1). Masyarakat rt 11 rw 04 Kelurahan Cempaka Permai lebih memahami tentang Aplikasi Ms Word. :2). Masyarakat rt 11 rw o4 Kelurahan Cempaka Permai sudah bisa lebih mengetahui dan memahami beberapa Fitur Fitur di aplikasi Ms Word.
Kata Kunci: word, aplikasi, masyarakat.
PEMANFAATAN MEDIA SOSIAL UNTUK EFEKTIVITAS KOMUNIKASI
Authors: Putra Perssela Rangga , Mahendra Rajab , Rahmadianti Winda
Published: June 2023

Kegiatan pengabdian ini dilaksanakan di Kelurahan Rawa Makmur Kota Bengkulu. Kegiatan ini bertujuan membuka pola pikir remaja untuk menggunkan media social dengan seefektivitas untuk berkomunikasi. Dengan menggunakan metode survei dan sosialisasi. Dari hasil pengabdian di Kelurahan Rawa Makmur RT 08. Dari hasil kegiatan sosialisasi Pemanfaatan Media Sosial Untuk Efektivitas Komunikasi yaitu : Memberikan informasi tidak lengkap, mendapat informasi tidak benar atau berita hoax dan media sosial sering kali tidak digunakan sebaik mungkin. Banyaknya jumlah pengguna media sosial di Indonesia tentu saja memunculkan kesempatan untuk mengoptimalkan kehadiran media sosial sebagai media komunikasi, sehingga kemudian memunculkan pertanyaan, bagaimana penggunaan media sosial untuk mengefektifkan cara berkomunikasi di dalam masyarakat, baik dalam bidang pemasaran, bidang politik maupun dalam bidang pembelajaran. Bagaimana manfaat sosial media sebenarnya tergantung bagaimana individu-individu itu sendiri dalam memanfaatkannya dalam kehidupan mereka.
Kata Kunci: media social, efektivitas dan komunikasi
PEMANFAATAN PELET KULIT JENGKOL (Archidendronpauciflorum) PADA RANSUM TERNAK DOMBA DAN PENGARUHNYA TERHADAP NH3 DAN POPULASI PROTOZOA
Authors: Raindri  , Nurhaita Nurhaita
Published: June 2023

This study aims to know the effect of adding jengkol peel pellets containing bio-active substances of tannins and saponins in sheep ration on NH3 and Protozoa population. This study used a randomized block design (RBD) with 3 treatments and 5 replications. The treatment given P1 = concentrate (40%) + natural grass (60%), P2 = concentrate (40%) + field grass (45%) + jengkol peel (15%) P3 = concentrate (40%) + field grass ( 37.5%) + Jengkol peel (22.5%) The parameters observed were NH3 and the Protozoa population. The data were analyzed by using anova variety analysis. The results of this study showed that the use of jengkol peel pellets (15% - 22.5%) in sheep rations has very significant effect (P <0.01) on NH3 and protozoa population. In this study, there was an increase in NH3 and a decrease in the rumen protozoan population. The conclusion of this study is the best use of jengkol peel pellets is in the level of 22.5% can increase NH3 and reduce the population of rumen protozoa.

Keywords: Jengkol Peel Pellets (Archidendron Pauciflorum), NH3, and Protozoa Populations.
PENGARUH PENAMBAHAN BUAH MANGGA TERHADAP KADAR LEMAK, KADAR PROTEIN, DAN pH PADA YOGHURT DRINK MENGGUNAKAN STARTER KOMERSIL
Authors: Erlando Megi , Malianti Lezita , Suliasih Suliasih
Published: June 2023

Susu merupakan bahan yang mudah sekali rusak  rentan dengan kontaminasi bakteri sehingga membutuhkan penanganan khusus untuk meningkatkan nilai manfaat dan daya simpan yang lebih lama, untuk itu peng. Yoghurt merupakan salah satu produk hasil dari fermentasi susu dengan penambahan kultur bakteri asam laktat yaitu Streptococcus thermophilus, dan Lactobacillus bulgaricus.

Percobaan dilakukan dengan menggunakan Rancangan Acak Lengkap (RAL) dengan 4 perlakuan dan 4 ulangan . Sari buah mangga dibuat dengan penambahan A = 0%, B = 3%, C = 6% dan D  =9%. Parameter yang diamati adalah kadar lemak, kadar protein, dan pH. Hasil penelitian memperlihatkan penambahan sari buah mangga  berpengaruh nyata (p<0.05) terhadap kadar lemak, tingkat kadar protein dan pH. Hasil penelitian dapat disimpulkan bahwa semakin tinggi penggunaan sari buah mangga yang digunakan semakin menurunkan kadar lemak, ph dan meningkatkan kadar protein.

 

Kata kunci : Susu, Yoghurt, Mangga, Streptococcus thermophilus, dan Lactobacillus bulgaricus.
PEMANFAATAN PELET KULIT JENGKOL (Pihecellobium Lobatum Benth) DALAM RANSUM DOMBA DAN PENGARUHNYA TERHADAP PH DAN TOTAL VFA
Authors: Haryono Yogo , Nurhaita Nurhaita
Published: June 2023

This study aims to evaluate the use of jengkol peel pellets in sheep rations and their effect on pH and total VFA. This research was conducted in May - July 2019 at the Block B Field Laboratory, Department of Nutrition and Feed Technology, Faculty of Animal Husbandry, Bogor Agricultural University (IPB). This study used a randomized block design (RBD) with 3 treatments and 5 replications. The treatments used were P1 = Concentrate (40%) + Field Grass (60%), P2 = Concentrate (40%) + Field Grass (45%) + Jengkol Peel (15%), P3 = Concentrate (40%) + Grass Field (37.5%) + Jengkol peel (22.5%). The results showed that the addition of 15% and 22.5% jengkol peel pellets containing tannins and saponins had no significant effect (P> 0.05) on pH, it is still under normal conditions, but decreases (P <0.01) at total VFA production. The total VFA production averaged 68.90 - 103.23 mM, decreased in the range of 19.90% - 33.26%. It can be concluded that the use of jengkol peel pellets in sheep rations does not affect pH and can reduce total VFA production, the best level of use is at the level of 15% jengkol peel pellets.

Keywords: Jengkol Peel Pellets, Tannins, Saponins, Sheep, pH and Total VFA
Analisis Perbandingan Metode Dempster Shafer Dan Certainty Factor Dalam Mendeteksi Penyakit Anemia
Authors: Salamah Umniy , Richi Ramadhan
Published: June 2023

Anemia is one of the nutritional disorders that are still often found in Indonesia. The Household Health Survey found that around 57% of Indonesian adolescent girls aged 10-14 years and 39.5% of women aged 15 years and over still suffer from anemia. From the high cases of anemia sufferers, researchers aim to help the community in preventing and treating patients by providing information related to the symptoms of anemia, so that researchers will create an expert system that can diagnose anemia. An expert system is a computer-based system that uses knowledge, facts, and reasoning techniques to solve problems that can usually only be solved by an expert in a particular field. The purpose of developing expert systems is actually not to replace the role of humans, but to transfer human knowledge into the form of systems, so that they can be used by many people and are not limited by time. In this study, researchers want to build an expert system that can detect anemia, where in this study the researcher will compare the Dempster-Shafer method and Certainty Factor, where the system is built using PHP programming language and MySQL database that can be accessed anytime and anywhere so as to make it easier for patients to diagnose anemia without the need to meet directly with experts.
PERANCANGAN SISTEM SELEKSI PETUGAS SENSUS PENDUDUK MENGGUNAKAN METODE PROFILE MATCHING
Authors: Sonita Anisya , Yurika Sari Ika
Published: June 2023

Sensus penduduk merupakan keseluruhan proses pencacahan (Collecting), pengumpulan (Compiling), penyusunan (Tabulating) dan penerbitan (Publishing) data demografu. Badan Pusat Statistik (BPS) merupakan lembaga yang melakukan kegiatan tersebut, salah satunya yaitu Badan Pusat Statistik Kota Bengkulu. Permasalahan dalam penelitian ini proses pengambilan keputusan akhir masih dilakukan secara manual dengan menyeleksi satu persatu kandidatbcalon petugas sesnus dan belum adanya sebuah system khusus yang dapat memberikan hasil seleksi petugas sensus secara matematis. Tujuan dari penelitian ini, yaitu membuat sebuah sistem pendukung keputusan yang dapat membantu untuk menyeleksi kandidat atau calon petugas sensus penduduk dengan menggunakan metode profile matching. Metode profile matching digunakan untuk membandingkan profile kandidat dengan profile yang dibutuhkan oleh posisi yang akan diisi. Dalam penelitian ini, Sistem seleksi dengan menggunakan metode profile matching dapat digunakan sebagai sebuah sistem untuk mempermudah dalam proses seleksi calon petugas sensus penduduk. Ini dibuktikan pada hasil presentase yang didapatkan setelah melalui perhitungan semua nilai dengan mendapatkan hasil 84,4%, dengan hasil yang dianggap sudah memenuhi kelayakan sesuai dengan interpretasi skor. Tujuan pada penelitian ini sudah dianggap telah tercapai, mengingat tingkat akurasi dan presentase yang sudah didapatkan dan sudah dibuktikan.
Analisis Manajemen Layanan E-Learning Thatquiz Pada SMK Negeri 5 Palembang Menggunakan Framework ITIL
Authors: Sri Tari Utami  , Sutabri Tata
Published: June 2023

Perkembangan teknologi yang sangat pesat didunia pendidikan menuntut sekolah menerapkan teknologi berupa sistem yang mendukung pembelajaran seperti E-learning. SMK Negeri 5 Palembang merupakan salah satu sekolah yang telah menggunakan E-learning yang bernama Thatquiz namun belum pernah dilakukan pengukuran tingkat kematangan terhadap layanan yang disajikan ke pengguna, sehingga belum diketahui apakah manajemen layanan E-learning  ini sudah sesuai dengan visi misi yang ingin dicapai oleh pihak sekolah. Penulis melakukan pengukuran tingkat kematangan menggunakan kerangka ITIL Versi 3 dengan domain Service Operation. Dengan menyebarkan kuesioner ke 100 responden terdiri dari siswa dan guru didapatkan hasil analisis bahwa tingkat kematangan E-learning SMK Negeri 5 palembang berada pada level 3 yaitu defined. Sedangkan tingkat kematangan yang diharapkan adalah level 4 yaitu managed, GAP analisis bernilai 1.34. rekomendasi diberikan kepada pihak sekolah untuk dapat mencapai level harapan.

Kata kunci: E-Learning, SMK Negeri 5 Palembang, Tingkat Kematangan, ITIL V3, Domain

                    Service Operation
COMPARISON OF THE QUALITY OF LIFE BETWEEN TWO TREATMENTS (PERITONECTOMY PLUS PROGESTINS VS ELECTROFULGURATION PLUS GNRH AGONISTS) BY LAPAROSCOPY FOR PELVIC ENDOMETRIOSIS, IN A PRIVATE HOSPITAL IN MEXICO CITY USING THE EHP-5 QUESTIONNAIRE
Authors: Ximena Montes de Oca Meza María , Ernesto Gallardo Valencia Luis , Gómez Cardoso Rodrigo , Astrid Pinto García Karen , de los Andes Riveralainez Ríos Xaviera
Published: June 2023

Objective: Compare quality of life in two group of patients with endometriosis Material and methods: Observational, analytical and cross-sectional study. We included 60 women between 20-40 years with endometriosis who underwent surgical and pharmacological treatment with two different schemes, at Angeles Pedregal Hospital from 2019-2022. Group A was treated with peritonectomy + progestin (desogestrel 0.075 mg orally every 24 h) for 3 months, and group B with electrofulguration + GnRH agonist (leuprorelin 3.75 mg intramuscularly every 28 days) for 3 months. EHP-5 was applied prior and 6 months after treatment. Results: When comparing scores before and after treatment in the overall series of patients, both groups signicantly improved all items of EHP-5. Conclusions: Both groups had an improvement in quality of life at 6 months of follow-up
A STUDY TO COMPARE THE CLINICAL EFFICACY OF PLATELET-RICH PLASMA (PRP) AND PLATELET RICH PLASMA (PRP) WITH MINOXIDIL IN PATIENTS WITH ANDROGENETIC ALOPECIA (AGA)
Authors: Saharan Ankita , Singh Shreya , Ronibala Kshetrimayum , Bhardwaj Shivani
Published: June 2023

Pattern or androgenetic alopecia is a genetically dened condition caused by an overreaction to androgens that affects up to 50% of boys and girls. It is distinguished by gradual loss of terminal hair on the scalp at any point after puberty, with a distinct pattern in both men and girls. Hair loss is most noticeable in the vertex and frontotemporal areas of men, although the frontal hairline is usually spared in women, with diffuse apical hair loss seen as a broader anterior section of 1,2 the hair. With age, the extent of hair loss becomes obvious.
EXTENDED SPECTRUM BETA LACTAMASE PRODUCING UROPATHOGENIC ESCHERICHIA COLI AND THEIR ANTIMICROBIAL SUSCEPTIBILITY PATTERN IN A TERTIARY CARE HOSPITAL
Authors: Bansal Shakshi , Srivastava Bajpai Ila , Mutha Anita , Priya Prachi
Published: June 2023

Urinary tract infection (UTI) due to extended spectrum beta-lactamase (ESBL)-producing bacteria including Escherichia coli has become widespread and also there is a changing trend in the antibiotic susceptibility pattern to the conventional drugs used in the treatment of urinary tract infections due to the production of extended-spectrum beta-lactamases (ESBLs).This study was done to nd the percentage of ESBL producing Escherichia coli and to study the antibiotic resistance prole of the ESBL and non-ESBL producing Escherichia coli. Urine samples were processed and identication of bacterial growth was conrmed by standard microbiological procedures. Antimicrobial susceptibility and ESBL detection were performed using Clinical and Laboratory Standards Institute (CLSI M100 2022) guidelines, ESBL detection was done by combined disc method using cefotaxime (30 ug) versus cefotaxime plus clavulanate (30+10 ug). Out of total 1238 urine samples 549 were found to be culture positive. Escherichia coli (36.2%) was the most frequently isolated uropathogen followed by Klebsiella pneumoniae (23.6%). Among the isolated Escherichia coli 44.2% were ESBL producers which were found highly resistant in comparison to non-ESBL producers.
ORAL HEALTH, QUALITY AND ACCESSIBILITY OF DENTAL CARE SERVICES IN PEOPLE WITH DISABILITIES
Authors: Gigineishvili Elene , Sirbiladze Lika , Nikoleishvili Elza
Published: June 2023

Dental Education has an essential impact on providing comprehensive dental care services to people with disabilities (PWD). The World Health Organization (WHO) recognizes disability as a priority issue for global public health, human rights and development. Based on the aims and objectives of the research, a cross-sectional study was selected as a research design with quantitative, qualitative and observational methods. The research was conducted in Georgia, sample size was selected based on the data from the Social Service Agency, 740 respondents took part in the research. 370 of them were PWD, while 370 - a control group. The DMFT index in people with disabilities is signicantly higher (12.0) than in the control group (5.8). It was found that 90% of the clinic managers do not have information about the specic needs of people with disabilities, 66% of the dentists do not provide complete dental services to people with disabilities, and only 5% of the dentists participated in specic training courses in order to improve the quality of dental care services for PWD. Based on the specics of dental care services for people with disabilities, to assess and develop personalized treatment plans, it is necessary to establish an evidence-based concept in dental clinics. The oral health and comprehensive dental care services for people with disabilities are signicantly unsatisfactory in Georgia. Within the framework of continuous medical education, dentists need constant training in order to provide complete dental care services to people with disabilities.
A RARE CASE OF A GIANT VULVAL MASS - CASE REPORT OF VULVAL CELLULAR ANGIOFIBROMA
Authors: Chennu Maitrayee , Lawania Tanuj
Published: June 2023

Background- Cellular Angiobroma is rare benign tumor of mesenchymal origin. They have a predilection to the genitourinary region and are present in both sexes (Male - scrotum, Female - vulva). Case presentation- A 45-year-old female presented with complaints of painless swelling in the Right vulva which has progressively increased in size over the past 4 years. On examination, a large solid pedunculated tumor of 20 x 15 cm was noted arising from the right labia. Ultrasonography showed a well-demarcated, supercial, solid tumor located on the right vulva. The lesion was excised under all aseptic precautions with a rim of normal tissue. The resected mass was 20 x 15 cm in size and weighed 2750 grams. Histological examination shows broadipose tissue with the presence of angiomatoid vascular proliferation with areas of myxoma type. No signs of malignancy. The patient is on regular follow-up since the surgery and there have been no signs of recurrence for 6 years. Vulval cellular angiobroma are very rare and knowled Conclusion- ge about these is very important for a gynecologist. It should be considered as a differential diagnosis for a painless swelling in the vulva. Every person should have an individualized approach and a multidisciplinary approach is required for these complex cases
VERTEBRAL TUBERCULOSIS FOLLOWED BY TRAUMATIC SPINE FRACTURE IN A CHILD -RARE CASE REPORT
Authors: Gupta Sahil , Dasari Amarnath , CD Deepak , Subramanya BS Shiva
Published: June 2023

Background Vertebral tuberculosis following a spinal trauma is a rare identity presenting as extrapulmonary TB associated with high degree of morbidity in a growing children. The objective of this report is to describe a paediatric case of traumatic spine fracture on the lower thoracic spine with tuberculosis disease. And thus show the importance of identifying the disease as soon as possible, because it is a rare and severe condition that can leave to serious sequelae. Case summery A adolescent boy presents to the orthopaedic OPD with the complaints of unable to walk, evening raise of temperature, loss of weight, deformity of spine since 3 months. Upon detail history, 3 months back child had a traumatic event following which he developed weakness of both the lower limbs. In the subsequent time he started developing evening rise of temperature, lethargy and loss of weight. His mother observed postural alteration, with constant pain in the middle back region with a deformity formation, unable to walk, inability to ex the lumbodorsal spine and pain on touching surrounding skin area. Clinical examination revealed that the child was pale, emaciated and afebrile with weight of 25 kgs. A tender gibbus was present over the dorso-lumbar region. Sensation of perianal region was intact with spasticity of both lower limbs. The bladder and bowel function were spared. No other external signs of inammation were detected. The rest of the physical examination was non-contributory. No prior history of contact with the tuberculosis patient. Mantoux test and Sputum examination was done. Radiologic evaluation done in the form of radiograph and magnetic resonance imaging. ConclusionSpinal tuberculosis is haematogenous in origin, and usually follows pulmonary tuberculosis. The two conditions may occur concomitantly, as is commonly seen in young children. Spinal tuberculosis is usually associated with a poor nutritional status and a depleted immune response. In our patient the source of infection might have been from a latent focus in the hilar nodes of the lung, although the patient denied any previous history of tuberculosis. Possibly after severe trauma the patient's immunity was lowered this has led to spread of the tuberculosis infection and the vertebral fracture hematoma could have provided a nidus for infection.
MANAGEMENT OF PRE-ECLAMPSIA: ISSUES FOR ANAESTHETISTS
Authors: Sangvikar Ghansham , Patil Bhagwan , K. Karande T.
Published: June 2023

The role of anaesthetist for anaesthetic management for preeclamsia is very crucial. Anaesthetist's responsibility starts before the surgery at the moment of stabilizing patient's hemodynamic status and guiding to an obstetrician about administration of antihypertensives and seizure prophylaxis. The anaesthetic problems in these may be due to the effects on the cardiovascular, respiratory, neurologic, renal, haematologic, hepatic and uteroplacental systems. Labetolol, hydralazine, diazoxide and nifedipine is considered as the most common used drugs. Magnesium sulphate is the most effective agent for seizure prophylaxis. Platelet transfusion threshold is determined as 50000/mm3 in acutely bleeding patient. Cerebral haemorrhage remains the commonest cause of death in this group and hence rapid and effective treatment of hypertension to prevent haemorrhagic stroke is needed in these patients. As aetiology is largely unknown, preventative measures and screening tools are lacking and management is directed at the control of clinical manifestations. Delivery remains the only denitive treatment.
INCIDENCE OF BACKACHE AFTER SPINAL ANAESTHESIA COMPARING GENDER, AGE AND NUMBER OF ATTEMPTS.
Authors: J. Karthiga R. , Sree Vidya Palempalli , Reddy Susmitha Yaram , Lakshmi R.
Published: June 2023

INTRODUCTION Back pain is often reported as a common complaint after surgery following spinal anaesthesia. Many studies showed that the incidence of back pain after spinal anaesthesia is high and its magnitude is considerable in developing countries. It is highly related to reduced quality of life, loss of work productivity, burden of health care costs, and satisfaction regarding health care service; therefore, measures should be taken to reduce or prevent post spinal back ache. The aim of this prospective observational study is to asses the incidence of backache after spinal anaesthesia comparing gender, age and number of attempts. METHODS An institutional based prospective observational study was conducted from March to May 2022 in Saveetha Medical College Hospital, Thandalam, Chennai. A total of 100 participants were enrolled in this study. A convenience sampling technique was used to get the study participants. STATISTICAL ANALYSIS Both univariable and multivariable logistic regression were used to identify factors associated with postspinal back pain. Variables with a p value less than <0.2 in the bivariable analysis were tted into the multivariable analysis. In the multivariable analysis, a variable with a p value of <0.05 was considered statistically signicant. RESULTS The incidence of post spinal back pain was positively correlating with increase in number of attempts and increase in number of bony contacts during the spinal anaesthesia procedure and was higher in females and younger age group. DISCUSSION The overall incidence of back pain is high. Number of attempts and number of bone contacts are signicantly associated with the incidence of back pain following spinal anaesthesia. Post spinal back pain is of mild type and it manifests in rst two to six hours after surgical procedure when the local anaesthetic effect wears off. Fear of back pain in post spinal anesthesia is the main reason for patient refusal and it accounts for a rate of 13.4%. CONCLUSION This study conrms that overall incidence of backpain is high when the number of attempts, bone contacts are high .Hence, health professionals should minimize the number of attempts and bone contacts during lumbar puncture to reduce the incidence of post spinal back pain. Finally, conducting a similar study to assess the long term occurrence of postspinal back pain is recommended.
ANKLE ARTHRODESIS USING TTC (TIBIOTALOCALCANEAL) NAIL IN THE TREATMENT OF NEGLECTED TRIMALLEOLAR FRACTURES OF ANKLE WITH EARLY ARTHRITIS; CASE REPORT
Authors: Shakil Jamadar Sohel , G. Tapadiya D. , Rodge Shubham , Sirsat Prashik
Published: June 2023

Introduction: Patients rst consult traditional healers and it is when the signs persist that they consult the surgeon for a swollen and painful ankle. Initially we always performed anatomical repairs with osteosynthesis, but the majority of patients still complained of pain and disability. We therefore performed an arthrodesis on neglected post-traumatic ankles. The objective of our study was to describe the result of arthrodesis ankle using TTC (tibiotalocalcaneal) nail on a neglected post-traumatic ankle and to propose a therapeutic indication in the face of any neglected ankle fracture. This was a case of 38/m with 3 months old neglected trimalleolar ankle fr Material and Method: acture with early arthritis treated with ankle arthrodesis using ttc nail. Follow up taken over 3 months by serial x-rays and clinical evaluation. The average follow-up was 3 months and our results were satisfactory radiologically and Results: clinically. Discussion: Arthrodesis with ttc nail appears here as an important alternative in the treatment of neglected ankle fractures with early changes of arthritis
“A COMPARATIVE STUDY OF 0.2% ROPIVACAINE VERSUS 0.2% ROPIVACAINE PLUS TRAMADOL FOR EPIDURAL POSTOPERATIVE ANALGESIA FOR ORTHOPAEDIC SURGERIES”
Authors: Krishna Uppala Sai , Shankar R.B Ravi
Published: June 2023

Background And Objective: Postoperative analgesia can be achieved by various modalities. Out of which epidural analgesia offers a good reliable pain relief. Addition of opioids enhances the onset of analgesia and prolongs the duration. This study aims in comparative evaluation of 0.2% ropivacaine versus 0.2% ropivacaine plus tramadol for postoperative analgesia. Methods: 60 patients of age 18-70 years with ASA grade I & II, undergoing elective lower limb surgeries under epidural anaesthesia were randomly taken into each of the 2 groups. For post operative pain management 0.2% ropivacaine 10ml in group R and 0.2% ropivacaine 9ml plus tramadol 1 ml (50mg) total of 10ml in group RT. Patients were monitored for onset, duration and quality of analgesia, hemodynamic stability and for any side effects. Results: The groups were similar with respect to age, sex, ASA, HR, SBP, DBP and Spo2. VAS after top up signicantly lower in the group N (p<0.001). Anti-emetic therapy use was signicantly lower in the group R (p<0.001). Rescue analgesic use was signicantly lower in the group RT (p<0.001). Mean time interval between top ups was signicantly higher in group R (p<0.001). Duration of analgesia is signicantly higher in Group RT (p<0.001). Conclusion: Addition of tramadol to 0.2 % Ropivacaine in epidural route for post operative pain managementprovidesbetter pain relief and patient satisfaction than 0.2 % Ropivacaine alone.
PERIOPERATIVE ANXIETY IN CHILDREN: NARRATIVE REVIEW
Authors: Felipe Rojas Vásquez Andres
Published: June 2023

Preoperative anxiety in children is common and can have negative effects on their overall surgical experience. Several factors, such as age, personality traits, and past medical experiences, can contribute to increased preoperative anxiety. Behavioral interventions, such as distraction techniques, parental presence at induction of anesthesia, and preoperative preparation programs, can be effective in reducing anxiety. Behavioral family preparation programs have been found to reduce the number of children requiring preoperative sedation, but they may not be practical for all centers. Anesthesiologists and child life specialists can play an essential role in reducing anxiety in children by interacting with them in an age-appropriate way, providing therapeutic play experiences, and offering developmentally appropriate language. Distraction techniques, such as non-procedural distracting talk, electronic devices, music, stories, and guided imagery, can also help children cope with anxiety. Pharmacological interventions, such as sedative premedication, should be used with caution, especially for children with neurodevelopmental disorders, due to potential drug interactions and increased risks of upper airway obstruction.
A PROSPECTIVE OBSERVATIONAL STUDY OF THE FUNCTIONAL OUTCOME OF SURGICAL MANAGEMENT OF INTRA-ARTICULAR CALCANEUM FRACTURE BY CLOSED REDUCTION WITH PERCUTANEOUS PINNINGS
Authors: Kumar Sonkar Deepak , R. Koichade M. , Mendhe Chittanand
Published: June 2023

The calcaneum is the greatest bone of the foot and is the major weight-bearing structure of the foot and the most common tarsal bone to fracture. Many treatment techniques are described in the literature but indications for specic techniques are undened. This study analyzes the outcome of the treatment of intra-articular tonguetype calcaneum fractures treated by Essex-leproesti technique. Methods- This prospective observational study aimed to evaluate the functional outcome of tongue-type intra-articular fracture by closed reduction with a percutaneous Steinmann pin. 16 patients with intra-articular tongue-type fracture were treated in Indra Gandhi government medical college and hospital, Nagpur from December 2020 to December 2022 with a minimum follow-up of 6 months. the functional outcome was assessed by the AOFAS Score. Most common cause for injury is fall from height. All patients were managed surgically and out of 16 patients, 4 cases(25%) had excellent, 9 cases (56%) had good and 5 cases (19%) had fair results. None of the patients in this series had poor results. As per our experience, the time for surgery is short and it can easily be performed even in the presence of swelling in the period immediately after injury also the risk of infection is very low.
SERUM VITAMIN D LEVELS IN PREMATURE ANDROGENETIC ALOPECIA- A CASE -CONTROL STUDY.
Authors: B M Shashikumar , M R Harish , K Deepadarshan , P K Madhurya
Published: June 2023

Background: Androgenetic alopecia is a hereditary, androgen-dependent disorder characterized by a gradual conversion of terminal hair into miniaturized hair and causes progressive hair loss. Studies have showed lowered vitamin D levels in patients with androgenetic alopecia, which also correlated to their severity. The purpose of this study is to determine the association and correlation of Serum vitamin D levels in premature onset of androgenetic alopecia Methods and methodology: A total of fty males clinically diagnosed with androgenetic alopecia and fty age matched healthy controls were recruited. Serum Vitamin D levels of the cases and controls obtained were assessed. The data was analysed statistically. Results: In this study the mean levels of serum vitamin D were signicantly decreased in cases, compared to controls (13.90 vs. 28.4 nmol/L; P ≤ 0.001). Eighty seven percent of the cases had deciency of vitamin D (<25 nmol/L), while 13% had insufcient vitamin D levels (25-75 nmol/L). However, there was no correlation between severity of androgenetic alopecia and serum vitamin D levels. (P value =1.65). Conclusion: This study shows that majority of cases with early onset androgenetic alopecia had deciency of vitamin D levels. However, there was no correlation between severity of androgenetic alopecia and serum vitamin D levels
AN INTERESTING CASE SERIES OF SMA VASCULAR INSUFFICIENCY IN BEHCETS SYNDROME PATIENTS
Authors: Thangamani P. , Ashiq Ahmed A. , Shree B.
Published: June 2023

Behcets disease is DEFINED as an auto-inflammatory systemic vasculitis of unknown etiology. It is characterized by
mucocutaneous manifestations, including recurrent oral and genital ulcerations, ocular manifestations, especially
chronic relapsing uveitis, and systemic vasculitis involving arteries and veins of all sizes. Behcets disease usually affects
young adults 20 to 40 years of age and is also seen in children less frequently.Both genders are equally affected by the
disease although slight male preponderance is seen in japan[7] .we would like report a rare case series on Behcets aka
silk road disease presenting in a 16 year old female complicated with SMA vascular insufficiency
STUDY ON COMMON ORGANISMS AND NUTRITIONAL DEFICIENCIES IN CKD PATIENTS WITH CELLULITIS
Authors: Grey Bernard MS F. , Gowdham S.
Published: June 2023

Skin and soft tissue infections cause increased morbidity and mortality to chronic kidney disease patients.
Ÿ Hence finding out the common organisms and nutritional deficiencies in these patients will provide us an
institutional protocol for treatment of these patients who are already immunocompromised.
Ÿ In this study population of seventy patients common organism causing cellulitis in CKD patients were klebsiella
species followed by acinetobacter.
Ÿ More than half of these patients were anaemic and malnourished
Ÿ Due to the immune-compromised and malnourished status of Chronic Kidney Disease patients any infection should
be treated initially with broad spectrum anti biotics.
Vigilant monitoring of renal parameters and anemia correction to be done. Renal diet should be prescribed to avoid
malnourishment and volume overload
MANAGEMENT OF ASRIGDARA – A CASE REPORT
Authors: Sekhar S Jinu , Chandramouli Jamunadevi
Published: June 2023

Asrigdara is a condition, were excessive, irregular and intermenstrual bleeding per vagina has been described mainly as the symptoms. The mode of approach through oral treatment acts as vatapitta shamaka, amapachaka, stambhaka, Hridya, Grahi, soolahara, stambhana actions. So viparita lajjalu ksheerapaka was selected to manage Asrigdara. METHODOLOGY: A patient aged 40 years with complaints of increased flow and duration of menstruation with clots since one and a half years, came to OPD Aswini Ayurveda specialty clinic Omalloor, Pathanamthitta ,Kerala diagnosed by clinical examination and ultrasonography which shows endometrial hyperplasia. Past history revealed the recurrent similar complaints for which she took hormonal treatment,but didn't get relived and hence treated with viparita lajjalu ksheerapaka morning and evening in empty stomach and musalikadiradi kashayam 30ml + 45 ml lukewarm water morning and evening before food for 3 months. RESULTS: There was reduction in amount of bleeding and duration of menstrual flow, without clots. And patient remained, fully asymptomatic in an observation for total 3 months. Duration starting from the 30th day of intervention. CONCLUSION: Viparita lajjalu ksheerapaka and Musalikadiradikashyam can be considered as a safe and convenient option in Asrigdara as it helps to tones up the uterine musculature and corrects excessive bleeding.
A REVIEW :THE ELDERLY PATIENTS IN DENTISTRY
Authors: Kaplan Mehmet , Dişçioğlu Feridun
Published: June 2023

The aim of this review is to determine the factors that cause oral and dental health problems in the elderly.Maintenance
of a natural, healthy and functional dentition is as important for healthy aging as maintaining physical and mental
abilities.Over the past century,scientific progress has significantly increased life expectancy,people's living standards
are improving and people are paying more attention to hygiene conditions. The role of oral and dental health on the
general health status of the elderly population is too great to be ignored.In a number of cases,in addition to the effects of
Aging on the orofacial region,acquired systemic diseases and the medications used in their treatment cause unpleasant
changes in the oral cavity.Tooth loss,abrasions,periodontal diseases,dental caries,lesions in the oral mucosa,etc.cause
elderly patients to be unable to perform oral functions well enough.Speech difficulties,muscle atrophy and changes in
taste can also be observed. Elderly people need to be treated in cooperation with medical doctors and dentists who
monitor the general health of the elderly and ensure good dental care
STUDY ON EFFECTIVENESS OF LATERAL ANAL SPHINCTEROTOMY AS AN OUT PATIENT
PROCEDURE USING DIATHERMY UNDER LOCAL ANAESTHESIA FOR CHRONIC ANAL FISSURE
Authors: Grey Bernard F. , V. Satheesh K.
Published: June 2023

Anal fissure is one of the most common surgical disorders of the anal canal, ranking next to hemorrhoids and chronic constipation. The incidence of anal fissure has been increasing since the last two decades due to irregular foot habits as well as improper modern lifestyle habits. The prevalence of anal fissure in general population is probably much more higher than that is seen in clinical practice. This is because ,most of the patients do not seek medical attention or resort to some form of native treatment. In early stages, it can be managed by increasing intake of dietary fibres, stool softeners and Sitz baths .But chronic fissure in ano needs surgical treatment, as the underlying pathology is increased internal anal sphincter tone. Lateral anal sphincterotomy is the procedure of choice, which is usually performed under regional anaesthesia. This procedure can also be performed under local anaesthesia as a day care procedure with similar results. This study aims to determine the feasibility and efficacy of lateral anal sphincterotomy for chronic anal fissure under local anaesthesia using diathermy as an outpatient procedure.
A STUDY OF CLINICAL PROFILE OF LEPTOSPIROSIS IN A TERTIARY CARE HOSPITAL
Authors: Kumar A Lokesh , V K Abiramasundari , Surapaneni Devipriya , Mohanan Jagadeesan
Published: June 2023

Introduction: Leptospirosis is a zoonotic infection that can be lethal and is common in many tropical areas. It often
spreads through huge epidemics following periods of high precipitation and floods. Exposure to infected reservoir host
animals either directly or indirectly transmits infection. To study the clinical profile of leptospi Aim: rosis patients
admitted in a tertiary care hospital. The present electronic record based retrospective study was co Methods nducted
among eighty patients admitted with a diagnosis of leptospirosis at the Saveetha Medical College Hospital for the period
of one year between January 2022 and December 2022. A total of 80 patients were included in the study Results . Among
the study population 53.75% of the patients were males. The median age of the patients was 41.5 years. Most of the cases
presented in the rainy season. In our study. most common symptom was fever (90%). Other symptoms were myalgia
(87.5%), headache (41%), Abdominal pain (35%), Vomiting (25%), Loose stools (20%) and Dyspnea (10). Comorbidities
in our study population include diabetes mellitus(n=8), systemic hypertension (n=6), coronary artery disease (n=1),
hypothyroidism (n=2) and asthma (n=3). Complete hemogram revealed leucocytosis in 60% (n= 48) of the patients
leucopenia in 2.5% (n=2), thrombocytopenia in 60% (n= 48) of the patients. Electrolyte abnormalities include hypokalemia (60%) , hyponatremia (40%) and hyperkalemia (n=2). Liver function tests (LFT) was deranged in 47.5% of the patients. Acute kidney injury was found in 27.5% patients (n=22) among which dialysis was needed for six patients. Liver was the most common organ affected followed by kidney. Bleeding manifestations occurred in 20% of the patients. Other complications include septic shock (18.75%) , acute respiratory distress syndrome (15%), encephalopathy (6.25%) and myocarditis (5%). Death occurred in 6.25% (n= 5) of the patients. Eventhough case fatal Conclusion: ity rate in leptospirosis is low, incidence of complications are higher. severe thrombocytopenia is associated with worse outcomes. Hypokalemia and hyponatremia are the most common electrolyte abnormalities. Liver and kidney are the most common organs affected. Incidence of cardiac and pulmonary manifestations leads to fatal outcomes.
TO STUDY THE PREVALENCE OF ANEMIA DUE TO NUTRITIONAL DEFICIENCY IN STUDENTS OF BAKSON HMC & HOSPITAL, OF AGE GRP 18 - 22YRS- AN OBSERVATIONAL CROSS SECTIONAL SURVEY
Authors: Mukhi Gupta Chandra , Goswami Vijaya , Parul Parul , P. Sharma C.
Published: June 2023

Anaemia is a serious global public health problem that particularly affects young children and pregnant women and is commonest hematological disorders. The most common causes of anaemia include nutritional deficiencies, particularly iron deficiency, vitamins B12 and A are also important causes; haemoglobinopathies; and infectious diseases, such as malaria, tuberculosis, HIV and parasitic infections. The main objective of the study was to assess the prevalence, awareness and knowledge of anaemia among adolescence and was carried at Bakson Homoeopathic Medical College & Hospital, Greater Noida. In a study 170 students were screened through random sampling methodology for anaemia out of which 116 were found to be Normal (68%), 31 having mild (18%), 23 having moderate (14%) and no one was found having severe anaemia. Early detection is important so that proactively regulate the severe condition. India has launched Anaemia Mukt Bharat (AMB) strategy in 2018, to deal with the high burden of anaemia in the country. This scheme has led to 3% reduction in anemia cases in India . Point-of-care testing (POCT) of anaemia using digital hemoglobinometers and treatment is one of the primary interventions under AMB.
A RARE TREATABLE CAUSE OF ADULT ONSET SPASTIC PARAPARESIS
Authors: Kumar A Lokesh , Kumar Mallikarjuna Sathish , Surapaneni Devipriya , Mohanan Jagadeesan
Published: June 2023

pastic paraparesis refers to weakness and stiffness of both lower limbs caused by lesions affecting the Pyramidal tract. It could be due to genetic or acquired etiology. Genetic causes include leukodystophies, Heriditary Spastic Paraplegia (HSP), metabolic disorders etc,. Acquired causes include B12 and folate deficiency , infections like HTLV-1 virus, HIV, neurosyphilis , vascular malformations and so on. Here we encounter a rare treatable cause of spastic paraparesis. A 28 year old male born out of 3o Consanguinous parents with normal developmental history came with insidious onset slowly progressive spastic paraparesis for the past 4 years. Initially at onset he noticed difficulty in getting up from squatting position, which was associated with stiffness of lower limbs. Then he noticed there was slippage of slippers while walking and he was aware about it. Physical examination revealed marfanoid Habitus ,increased tone and exaggerated reflexes involving both lower limbs .Motor power was MRC Grade 4/5 in both lower limbs in both proximal and distal muscles. Ocular Examination revealed Ectopia Lentis. MRI Spine screening was normal. MRI Brain revealed symmetric T2/FLAIR hyperintensities involving periventricular and deep white matter of bilateral frontoparietal region. Possibilities of Primary demyelinating diseases and genetic/degenerative leukoencephalopathies were considered. CSF examination was normal and oligoclonal bands were absent. Clinical Exome sequence testing was done in suspicion of Adult onset leukodystrophy which showed Homozygous MTHFR gene mutation on exon4. Plasma Homocysteine levels were elevated ( 60 µmol/L).Patient was started on Oral Vitamin B12 1500mcg/day, Folic acid and pyridoxine supplementation. Patient showed symptomatic improvement and is under follow up. MTHFR deficiency in adults is a mimicker of leukodystrophies and other white matter disease. It is a potentially treatable disease. Before considering degenerative diseases like HSP, treatable diseases should be considered.
Data Mining Implementation of Organic Vegetable Sales Using Apriori Algorithm
Authors: Fauzi Ahmad , Yanto Andika Bayu Hasta , Indriyani Novita
Published: June 2023

In the modern organic vegetable sector, the author observes that there is very tight business competition. Therefore, an effective approach is essential to attract buyers, although restricted sources of new information are one of the hurdles in establishing this business.Association rules are expressed with numerous features that are commonly referred to as (affinity analysis) or (market basket analysis. It was discovered that if consumers buy curly red chilies, they are also inclined to buy cayenne pepper with a 100% confidence level. Likewise, if people buy kale and red curly chiles, they are more likely to buy cayenne pepper with a 100% confidence level. This also applies if consumers buy tomatoes and curly red chilies with a 100% confidence level. In addition, other associations were also observed, such as if consumers buy curly red chilies, they prefer to buy tomatoes with a confidence level of 86%, or if they buy tomatoes and bird's eye chilies, they tend to buy curly red chiles with an 86% confidence level.Likewise, if people buy both cayenne pepper and red curly chili, they are more likely to buy tomatoes with an 86% confidence level. Finally, if customers buy kale and cayenne pepper, they are also likely to buy red curly chilies at an 83% confidence level. Based on the data acquired from this study, it is intended to obtain information about combinations of organic veggies that consumers typically buy together in each transaction, with the intention of improving organic vegetable yields and devising appropriate sales tactics.
CONHECIMENTOS DE ACADÊMICOS DE ENFERMAGEM SOBRE A INFECÇÃO PELO PAPILOMAVÍRUS HUMANO
Authors: Beserra Machado Ana Luiza Linhares , Catunda Melo Dilene Fontinele , Andrade Matheus Gomes , Melo Francisca Nellie de Paula , Veríssimo Francisco Arlysson da Silva , Cavalcante Rosângela Souza , Moreira Lima Lidiana Ximenes Servulo , Marinho Feitosa Amanda Luiza
Published: June 2023

Objetivo: objetivo identificar o conhecimento dos acadêmicos de enfermagem relacionados à temática do Papiloma Vírus Humano. Método: Trata-se de um estudo descritivo com abordagem quantitativa, desenvolvida em uma faculdade de cunho privado. Participaram da pesquisa ocorrida no período de setembro de 2022 um total de156 acadêmicos de enfermagem. Resultados: O estudo demonstrou que 70,5% (110) dos alunos são mulheres, fato este que demonstra ser uma realidade na profissão. Diante dos questionamentos sobre Papiloma Vírus Humano, 94,9% (148) afirmaram que o Papiloma Vírus Humano é uma infecção sexualmente transmissível, ainda assim afirmaram em sua maioria que as mulheres são público alvo do vírus, como também, confirmam que é através do contato com lesões 42,3% (107) que o vírus é transmitido. Conclusão: Dessa forma, após avaliações dos dados obtidos foi possível notar que os acadêmicos ao se matricularem na faculdade já possuem conhecimentos empíricos e ao passarem pelas disciplinas na universidade esse conhecimento tornam-secientíficos.
Uji Aktivitas Antiinflamasi Ekstrak Etanol Mahkota Bunga Seroja (Nelumbo nucifera G.) Pada Tikus Yang Di Induksi Karagenan
Authors: Fitri Khairani , Khairani Tetty Noverita , Shufyani Fahma , Fransisco Benny M
Published: June 2023

Pendahuluan: Mahkota bunga seroja (Nelumbo nucifera Gaertn) merupakan salah satu tanaman yang digunakan sebagai bahan obat tradisional oleh masyarakat. Mahkota bunga seroja mengandung senyawa metabolit sekunder yaitu flavonoid, alkoloid dan tannin. Flavonoid senyawa yang memiliki aktivitas antiinflamasi. Tujuan: Penelitian ini bertujuan untuk mengetahui uji aktivitas antiinflamasi ekstrak etanol mahkota bunga seroja pada tikus yang diinduksikan karagenan. Metode penelitian yang digunakan adalah eksperimental. Sampel dalam penelitian ini adalah tikus putih jantan. Uji aktivitas antiinflamasi dilakukan terhadap hewan uji yang dibagi 5 kelompok, masing-masing berjumlah 3 ekor dengan kelompok uji suspensi Ekstrak Etanol Bunga Serjoa (EEBS) dosis 100, 150, 200 mg/kg bb, kelompok kontrol negatif adalah suspensi CMC Na 1% dan kontrol positif adalah Na diklofenak 2,25 mg/kg bb. Pengamatan dilakukan selama 6 jam kemudian data dianalisis dengan uji one way annalissys of variance (ANOVA). Hasil: ini menunjukkan aktivitas antiinflamasi EEBS dosis 100, 150 dan 200 mg/kg bb berbeda signifikan dengan kelompok kontrol negatif CMC Na 1%, namun tidak berbeda secara signifikan dengan kelompok kontrol positif Na diklofenak 2,25 mg/kg bb. Kesimpulan: dalam penelitian ini adalah dosis ekstrak etanol mahkota bunga seroja (Nelumbo nucifera gaertn) yang paling efektif dalam penurunan antiinflamasi pada tikus putih jantan adalah dosis ekstrak mahkota bunga seroja 200 mg/kg bb.
Vibration monitoring of the state of the ПO-3 mobile neutron reflector of the ИБР-2 research reactor using methods of discriminant and correlation analysis
Authors:   Sokolova A.G. Balitskiy F.YA. Sizarev V.D.
Published: June 2023

The effectiveness of vibration monitoring and diagnostics of incipient and developing defects in rotary machines is shown using discriminant analysis of vibrations and the correlation method for estimating the stochastic relationship between signatures of S-discriminants and spectra.

Keywords: vibration monitoring, technical state, machinery, vibration diagnostics, S-discriminant, defect. vibro@nikiet.ru