bluuebunny/crossref_metadata_2025 huggingface dataset:
EKSPLORASI FAKTOR PENGHAMBAT DALAM MENGADOPSI GREEN MARKETING PRACTICES PADA IKM RENDANG DI KOTA PADANG
Authors: Nadya Aulia  , Maruf  , Hafiz Rahman
Published: November 2024

The purpose of this study is to explore the inhibiting factors in the implementation of green marketing practices in rendang SMEs in Padang City. This study uses a qualitative method that aims to obtain a clear picture of a problem, which will be focused on collecting data or information on the object. The results of the research findings and the results of the NVivo 12 plus Project Map analysis, various obstacles felt by SMEs actors to implement green marketing practices, namely government regulations, resources, organizational management, costs and awareness. This is due to the lack of involvement in long-term environmental concerns when producing products. In general, SMEs in rendang businesses focus more on the taste of food, product durability and good quality to reach consumers. In this case, there is no involvement in environmental aspects to minimize environmental impacts ranging from products, production sites, and price to product promotions.
Effectiveness of Mango Gedong Gincu Peel Extract Gel (Mangifera indica L.) on Cut Wounds in Male Wistar White Rats (Rattus norvegicus)
Authors: Fathunnisa Firda , Marfuati Sri , Fitriani Hikmah
Published: November 2024

Background: A wound is an injury to a part of the body where the skin and the underlying tissue lose continuity. The wound healing is a complex process consisting inflammatory phase, proliferation phase, and maturation phase. Open wounds often occur in everyday life and if left behind and untreated can potentially lead to bacterial infection. Mango gedong gincu peel extract (Mangifera indica L.) contains flavonoids, tannins, phenols, triterpenoids, steroids, alkaloids, and saponins which have roles in wound healing.
Aims: To analyses the effectiveness of mango gedong gincu peel extract gel (Mangifera indica L.) against the healing of cut wounds in male wistar white rats (Rattus norvegicus).
Methods: The study was an experimental study with a post-test only control group design using 25 male wistar white rat as the subject and was carried out in the FK UGJ Research Laboratory. The study used five groups : negative control group, positive control group, and treatment group using mango gedong gincu peel extract gel (Mangifera indica L.) with concentrations of 5%, 10%, and 15%.
Results: The results of the study revealed that mango (Mangifera indica L.) gedong gincu peel is a source of various phytochemical such as flavonoids, tannins, phenols, triterpenoids, steroids, alkaloids, and saponins. This study showed that the 5% and 10% concentration treatment groups had the same average length measurement wound of 0.86 cm. The fastest observation of erythema was the 5% concentration group with a healing rate of 8 days, in the observation of edema the 10% concentration group was the fastest of 6 days, and the observation long of healing time was 5% and 10% concentration had the same rate of 11 days.
Conclusion: Mango gedong gincu peel extract gel (Mangifera indica L.) was effective against wound healing with optimum concentrations of 5% and 10% which gives the best healing effect against wounds in male wistar white rats (Rattus norvegicus).
Received: 25 September 2024  |  Reviewed: 22 October 2024  |
Revised: 05 November 2024  |  Accepted: 09 November 2024.
Strategy implementation practices and Performance of State Corporations: Case of National Health Insurance Fund, Nairobi City County, Kenya
Authors: Katsenga Ivy Dzame , Njuguna Videlis Njeri
Published: November 2024

Many organizations in developed and developing countries and more specifically in Kenya are striving to perform, it is noted that issues of strategy implementation has continued to be uncertain in the Kenyan public sector. Many state-owned corporations are grappling with management problems which have led to their poor performance outcome. The National Health Insurance Fund is a state corporation through National Health Insurance Fund Act No. 9 of 1998. The Fund’s core mandate is to provide social medical insurance cover to all its members and their declared dependents (spouse and children). But according to National Health Insurance Fund Performance Report 2017- 2018, the National Health Insurance Fund has continued to implement social health strategies with a view to achieving Universal Health Coverage for the benefit of all Kenyans. The aim of the study was to examine the strategy implementation practices influencing the performance of state corporations in Kenya, specifically the National Hospital Insurance Fund. The study was grounded on Organizational Higgins’s Eight S Model, the Balanced Scorecard model, and Resource Based View theory. The study employed a descriptive research design. The study population consisted of 411 employees, managers, and patients from the National Health Insurance Fund headquarters. Questionnaires were used to collect primary data, and a pilot test was performed to assess the reliability and validity of the questionnaire. Cronbach’s Alpha coefficient was employed to determine the reliability of the research instrument. Data analysis involved the use of descriptive statistics, supported by the Statistical Package for Social Sciences (SPSS), to calculate frequencies, percentages, means, and standard deviations. A Multiple Linear Regression model was used to determine the influence of independent variables on the dependent variable. The study findings revealed that technological innovation, strategic resource planning, strategic leadership and strategy monitoring had positive and significant effects on the performance of the National Health Insurance Fund in Kenya. This study concluded that strategy implementation factors, including technological innovation, strategic resource planning, strategic leadership, and strategy monitoring, play a significant role in firm performance. The study recommends that the management of the organization should emphasize strategy implementation to improve the performance of their organization. Additionally, continuous investment in technological innovation, effective strategic resource planning, strategic leadership development, and robust strategy monitoring practices should be prioritized to enhance overall organizational performance.
Risk Management Strategies and Performance of Selected Insurance Companies in Nairobi City County, Kenya
Authors: Agola Everlyne , Ndegwa Priscilla
Published: November 2024

The insurance industry plays a vital role in the management of risk and therefore helps to support and facilitate business activities. The performance of insurance companies is impacted by various challenges related to their risk management strategies. These challenges can arise from both internal and external factors, and they can have significant implications for the financial stability and profitability of insurance companies. Changes in regulatory requirements can impact the risk management strategies of insurance companies, requiring them to adapt their practices and systems to remain compliant. Therefore, this study seeks to investigate the influence of risk management strategies on the performance of selected insurance companies in Nairobi City County, Kenya. The study was guided by the balanced scorecard model, agency theory, portfolio theory, risk aversion theory, and prospect theory. A descriptive research design was employed. The study targeted 95 respondents, comprising 10 senior-level managers, 30 middle-level managers, and 55 departmental heads from the insurance companies operating in Kenya. A census of 95 respondents was conducted. The study used a structured questionnaire. A pilot group of 9 individuals was selected from the target population. Content validity was applied to the study. Cronbach’s Alpha coefficient was computed for all components of the questionnaire, and their assessment was provided. Descriptive analysis was computed using mean, frequencies, and percentages. Regression analysis tested the relationship between the study variables. The regression model assessed the relationship between the independent variables and the dependent variable. The findings were presented using tables and figures. Through regression analysis with a linear model result showed a strong relationship between risk management strategies and performance. The resulting value of regression coefficient at .000 (p<0.05) indicated existence of relationships that were relatively strong. The study thus concluded that performance of insurance companies is dependent on the careful choice or selection of risk management strategies. It is expected the results will benefit various stakeholders, including the government policy makers, Insurance sector players, and academia. Further studies exploring more strategies to manage risks in other entities including other sectors such as the finance sector could be undertaken by scholars.
Tópicos de gestion ambiental: Enlazando ciencia, sociedad y educación
Authors:   Universidad Santiago de Cali, Freire Tigreros María Eufemia
Published: November 2024

El presente libro es una compilación de trabajos de investigación realizados por estudiantes y docentes que hacen parte del programa de Maestría en Educación Ambiental y Desarrollo Sostenible
Cambios biofísicos y socioeconómicos en la Ciénaga el Conchal, Buga, Colombia (1989 - 2000 - 2016): retos de gestión ambiental
Authors:   Corporación Autónoma Regional del Valle del Cauca (CVC), Prado Cartagena Fredy , Quintero Ángel Mauricio ,   Universidad del Valle, Cuadros Gutiérrez Diego Gerardo ,   Universidad Santiago de Cali, Rodríguez Perafán Carlos Andrés ,   Universidad Santiago de Cali
Published: November 2024

Las transformaciones en cobertura vegetal y el espejo de agua en la ciénaga El Conchal, Buga (Colombia), se analizaron utilizando imágenes satelitales Landsat (1989-2000-2016) y sistemas de información geográfica; así mismo en el 2017 se realizaron entrevistas a informantes clave de la zona para conocer los cambios causados al ecosistema por la presión antrópica. Los resultados mostraron que las actividades humanas han causado una reducción de 230.3 ha en el área correspondiente al humedal, desde el inicio hasta el final del período de estudio, durante las épocas de menor precipitación. El área cultivada, especialmente de caña de azúcar, evidenció un aumento significativo, lo que pone de manifiesto que en la región hay un interés particular por ampliar principalmente la frontera agrícola, a diferencia de la frontera pecuaria que se ha extendido en una proporción menor; ambos procesos han sido los factores más importantes para la pérdida y la degradación del humedal. Los principales resultados son discutidos en términos de manejo del ecosistema, para resaltar la importancia de establecer un adecuado balance entre los objetivos de conservación y de uso del humedal.
Impactos ambientales de la industria química: análisis de un estudio de caso y propuesta de manejo frente a derrames ácidos y/o básicos
Authors:   Universidad Santiago de Cali, Pelegrín Ramírez Jonathan , Suárez Galíndez Jairo Roberto ,   Universidad Santiago de Cali
Published: November 2024

El impacto ambiental del sector industrial ocasionado por derrames accidentales de ácidos y de bases genera la necesidad de proponer soluciones químicamente amigables, que permitan mitigar este tipo de percances y contribuyan así a procesos industriales más sostenibles. En este contexto, se plantea una alternativa de solución empleando una mezcla anfótera de neutralización. El análisis de caso se realizó en la empresa Quimicol S.A., en la cual se caracterizó la ocurrencia de los derrames de sustancias líquidas peligrosas para conocer los contextos y percepciones de los trabajadores frente a los mismos, encontrando conocimiento significativo en el personal técnico. Sin embargo, se detectó exceso de confianza en el manejo de siniestros por parte de operarios de transporte, pero no un manejo correcto en muchos casos. Asimismo, es evaluó la eficacia de diversas combinaciones con potencial de neutralización frente a ácidos (HCl) y bases (NaOH). Se determinó que la concentración más eficaz fue la mezcla 5 constituida por un 40% de MgSO4 y 60% de MgO. Igualmente, las pruebas con materiales mostraron también que los paños poliméricos resultan ser los materiales más eficaces en contención de derrames. Finalmente, este trabajo plantea una alternativa económica, viable y asequible para la mitigación y prevención de los derrames químicos.
La educación como factor de entendimiento del ambiente y su relación con la salud humana. Estudio de caso: diagnóstico del programa de formación en buenas prácticas de manufactura de los concesionarios expendedores de alimentos adscritos a la Universidad Santiago de Cali. Sede Pampalinda. Cali, Colombia
Authors:   Universidad Santiago de Cali, Guevara-Fletcher Carlos , Salazar Lozada Alejandra ,   Universidad Santiago de Cali
Published: November 2024

La presente investigación tiene como propósito diagnosticar el cumplimiento del programa de formación en buenas prácticas de manufactura (BPM) en los manipuladores de alimentos correspondientes a los establecimientos adscritos a la Universidad Santiago de Cali. De acuerdo con lo establecido por la Resolución 2674 de 2013, se elaboró un instrumento aplicativo contentivo de 23 preguntas relacionadas el cual fue aplicado a 62 manipuladores de alimentos de 20 establecimientos expendedores de alimentos. Los resultados evidencian que el nivel de cumplimiento es medio, de acuerdo a las horas de capacitación que han tenido estos empleados (38% para 10 horas). Finalmente, se diseñó un folleto propulsor para el fortalecimiento del Programa de Formación en Buenas Prácticas de Manufactura para su respectiva socialización a la comunidad universitaria y sus autoridades, así como a los administradores de los establecimientos expendedores de alimentos y sus colaboradores.
Intervención ambiental en una institución educativa de la ciudad de cali para generar una cultura de reciclaje
Authors:   Universidad Santiago de Cali, Quijano Pérez Silvia Andrea , Jiménez Enríquez Gina ,   Universidad Santiago de Cali
Published: November 2024

La sociedad actual enfrenta grandes retos frente a los problemas ambientales generados por el crecimiento acelerado de la población y el proceso de industrialización que ha llevado a un consumismo en aumento. Desde las instituciones educativas se tiene el reto de abordar el Proyecto Ambiental Escolar (PRAE), para fomentar una cultura ambiental; esto se logra sensibilizando a la comunidad educativa en etapas tempranas para que se dimensione el impacto de problemáticas como el manejo de residuos. La investigación tuvo por objetivo fomentar una cultura de reciclaje implementando estrategias de intervención en la Institución Educativa Llano Verde del municipio de Santiago de Cali. La población de estudio se dividió en dos grupos, el primer grupo conformado por todas las dependencias de la institución y el segundo grupo por estudiantes de 4° a 11°. Un test pre y post fue aplicado en el Grupo 1 para evaluar sus conocimientos y actitudes ambientales, mientras que al Grupo 2 se le determinó el grado de apropiación de la cultura del reciclaje. Durante el desarrollo de la investigación se sensibilizó a la comunidad educativa a través de vídeos, capacitaciones ambientales, talleres teórico-prácticos sobre residuos sólidos y a su vez se realizó un acompañamiento durante la caracterización de los residuos sólidos y campañas ambientales, así como la participación y difusión del proyecto por medio de la red social Facebook.
Salud, subjetividad y estudios cualitativos. Aproximaciones a la salud sexual, física y mental
Authors:   Universidad Antonio Nariño, Moncayo Quevedo Jorge Eduardo , Orejuela Johnny ,   Universidad Eafit, Reyes Sevillano Wilmar ,   Universidad Cooperativa de Colombia, Pérez Arizabaleta María Del Mar ,   Universidad Antonio Nariño
Published: November 2024

El objetivo de este libro es presentar los resultados de la investigación Sentidos construidos alrededor del uso y no uso del condón en mujeres transgénero y hombres que tienen sexo con hombres (HSH) en las ciudades de Cali y Medellín. Se presentan también resúmenes extendidos de los resultados de los trabajos de posgrado que se apoyaron en la investigación desde diferentes disciplinas (psicología y sociología). Las investigaciones son de corte cualitativo y se ocupan de la subjetividad y la salud desde diferentes perspectivas teóricas y metodológicas. Estos se ocupan de la salud sexual y reproductiva, la salud mental y la salud física.
Preámbulo de un camino recorrido e (in)acabado
Authors:   Universidad Antonio Nariño, Moncayo Quevedo Jorge Eduardo , Orejuela Johnny ,   Universidad Eafit, Reyes Sevillano Wilmar ,   Universidad Cooperativa de Colombia, Pérez Arizabaleta María Del Mar ,   Universidad Antonio Nariño
Published: November 2024

El proyecto de investigación denominado Sentidos construidos alrede-dor del uso y no uso del condón en “relación con el VIH” en “población cla-ve”, mujeres Transgénero y hombres que tienen sexo con hombres (HSH) en las ciudades de Cali y Medellín, contó con la financiación de Colcien-cias hoy Minciencias, en el marco de la Convocatoria para proyectos de ciencia, tecnología e innovación en salud 2018 y fue llevado a cabo durante los años 2019-2021. El título del proyecto fue redactado en correspondencia con la nece-sidad planteada por Minciencias, en ese momento, a saber, abordar estudios desde análisis cualitativos sobre el uso del condón en pobla-ciones clave: mujeres tránsgenero, hombres que tienen sexo con hom-bres, habitantes de calle, personas que se inyectan con drogas, mujeres trabajadoras sexuales; lo anterior, enmarcado en el subtema Infección por VIH/SIDA de la temática Enfermedades transmisibles e infecciosas.
Salud sexual y subjetividad: sentidos construidos alrededor del uso y no uso del condón
Authors:   Universidad Antonio Nariño, Moncayo Quevedo Jorge Eduardo , Orejuela Johnny ,   Universidad Eafit, Reyes Sevillano Wilmar ,   Universidad Cooperativa de Colombia, Pérez Arizabaleta María Del Mar ,   Universidad Antonio Nariño
Published: November 2024

El objetivo principal de la investigación desarrollada fue: Analizar los sentidos construidos alrededor del uso y no uso del condón en relación con el VIH en población de mujeres transgénero y hombres que tienen sexo con hombres en las ciudades de Cali y Medellín. En la primera fase del estudio se llevó a cabo la búsqueda de estrate-gias para el acercamiento y la construcción de vínculos de confianza con la población. De esta forma, por medio de la participación acti-va en eventos de la comunidad LGBTI, se inició el proceso de acer-camiento para favorecer la confianza; dicho acercamiento permitió, con relación a la población de mujeres trans, el establecimiento de vínculos que a partir de la confianza y el respeto permite la posibili-dad de hacer observación participante, lo cual se convirtió en una de las etapas más relevantes del trabajo de campo para el establecimien-to del vínculo. Con los HSH, el ejercicio de acercamiento se realizó por medio de conversaciones informales.
Subjetividad y salud mental el caso de un hospital público
Authors:   Universidad Antonio Nariño, Moncayo Quevedo Jorge Eduardo , Pérez Arizabaleta María Del Mar ,   Universidad Antonio Nariño
Published: November 2024

Antecedentes: En la última década los estudios realizados alrededor de tratamientos psiquiátricos en el marco de hospitalizaciones no han centrado su atención en los desdoblamientos de producciones subjetivas que estos espacios traen tanto para el personal del servicio de salud como para pacientes. Objetivo: Describir las producciones subjetivas emergentes del personal de salud y pacientes sobre el servicio de hospitalización en una unidad de salud mental de la ciudad de Cali. Método: Cualitativo, constructivo- interpretativo, llevado a cabo en una Unidad de Salud Mental de la ciudad de Cali por medio de la observación participante, escritura de diarios de campo y la reali-zació n de diná micas conversacionales y complemento de frases a cin-co personas del servicio en salud y cinco pacientes. Resultados: Los hallazgos dan cuenta de la Unidad de Salud Mental como un espacio de producción y transformación de subjetividad respecto al servicio de hospitalización, tanto para el personal del servicio de salud como para pacientes. También permiten discutir las expresiones recursi-vas del personal frente a políticas neoliberales y con ello la ausencia de cuidados del sistema de salud sobre sus trabajadores y pacientes. Conclusiones: El trabajo con la salud mental desdobla sentidos subje-tivos alrededor de la enfermedad mental, es por esta razón que el per-sonal promueve tratamientos que son vistos por los pacientes como “cálidos y humanos”. Estas personas que prestan el tratamiento, por medio de sus acciones diarias impiden que las dificultades del siste-ma de salud (que se reflejan en la USM a manera de lentitud en los procesos administrativos) afecten a los pacientes. Por esta razón se afirma que la humanización de los servicios recae en el personal del servicio, sirviendo estos de “pararayos” ante todos los obstáculos ad-ministrativos con el fin de que no se vea afectado el paciente.
Entre médicos y pacientes. Una entrada etnográfica en la atención en salud a sujetos diabéticos
Authors:   Universidad Antonio Nariño, Moncayo Quevedo Jorge Eduardo , Orejuela Johnny ,   Universidad Eafit, Reyes Sevillano Wilmar ,   Universidad Cooperativa de Colombia
Published: November 2024

La enfermedad crónica entraña un padecimiento de orden subjetivo que es preciso conocer, comprender y explicar, pues redefine en alto grado el posicionamiento de los sujetos dentro de la estructura social. El presente es un estudio sobre la experiencia subjetiva del padecimiento de la diabetes, en el que se tienen en cuenta su cronicidad, su cualidad de degenerativa, las numerosas exigencias anudadas a su tratamiento y lo que todo ello implica para la cotidianidad de la vida tanto del enfermo como de su círculo más cercano.
ASSESSMENT OF PREVALENCE OF SELECTED DEVIANT BEHAVIOR AMONG ADOLESCENTS IN SELECTED SENIOR SECONDARY SCHOOLS: A DESCRIPTIVE STUDY
Authors: Mendhe Asmita , Barbatkar Siddheshwari , Azad Suman
Published: November 2024

Introduction: Deviant behavior is dened as activities or conduct that differs from social norms or
expectations. Social norms are unwritten rules that a group or culture deems to be appropriate. Any
activity that violates accepted social norms or legal restrictions is considered to be deviant behavior. Objective: To assess the
prevalence of selected deviant behavior among adolescents in selected senior secondary schools. Methodology: The study
evaluated the assessment of prevalence of selected deviant behavior among 9th to 12th senior secondary school students
using a descriptive study. Conducted at a senior secondary school with 105 students (experimental group), the study employed
a quantitative approach. Participants included 9th to 12th class students, selected via non probability convenient sampling.
Data collection involved a self-administered questionnaire for demographics, and a modied deviant behavior rating scale.
Reliability of the tool was conrmed with the Karl Pearson correlation coefcient for the rating scale reliability score (0.932) and
the Inter-Rater Form method for the rating scale, which produced reliability score of (0.9648) both exceeding the acceptable
threshold of 0.8. Results: The study assessed the prevalence of selected deviant behavior among adolescents who are 9th to
12th class students by comparing post test scores in experimental group. The experimental group showed 79.05% of
adolescents had mild deviant behavior, 19.05% of them had moderate deviant behavior score and 1.90% of them had severe
deviant behavior score. Minimum deviant behavior score was 1 and maximum deviant behavior score was 49. Mean deviant
behavior score was 17.88± 8.44. Mean percentage of deviant behavior score 27.09 ± 12.79. statistical analysis with unpaired ttest revealed experimental group, with t-value (6.70) exceeding the critical value of 1.98 and f-value (3.19) exceeding the critical
value of 2.68 demonstrating the association of behavior. Conclusion: The assessment of selected deviant behavior in
adolescents (9th to 12th class) students, with the experimental group showing deviant behavior. Statistical analysis conrmed
the assessment of association of level of deviant behavior.
PHOTOTHERAPY IN THE TREATMENT OF DIABETIC FOOT ULCERS
Authors: Sajid Shaik
Published: November 2024

Foot ulcers are a disabling complication that affect 15% to 25% of people with diabetes mellitus (DM) at
some point in their lives. The nature of diabetic foot ulcers makes them difcult to manage and treat. A
dynamic management plan is required to treat diabetic lower limb ulcerations. This involves a strategic approach, including
mechanical ofoading, wound debridement, wound dressing, patient education and surgical intervention. Phototherapy is a
relatively new, non-invasive, and pain-free treatment method, which promotes the ulcer repair process through multiple
mechanisms such as increased cell growth and vascular activity. Phototherapy can be used as an alternative approach to
conventional wound management, for the treatment of foot ulcers in people with diabetes (DM). Phototherapy, or low-level laser
therapy (LLLT), is a therapeutic treatment modality that has been found to enhance wound healing, decrease the level of
secondary complications, improve wound regeneration, and ultimately improve patient quality of life. To assess Objectives:
the effects of phototherapy for the treatment of foot ulcers in people with diabetes. A randomized Methodology: cross sectional
study was conducted among 80 patients with diabetic foot ulcer. They were divided into two groups A and B, each consisting of
40 patients. Group A were subjected to phototherapy and Group B to conventional wound dressings. Patients were followed up
to observe for change in ulcer size, complications and hospital stay. The wounds in subjects treate Results: d with LLLT
contracted signicantly more than the wounds in the Group B (37.2% for the LLLT group versus 15.12% for the control group, p <
0.001), which indicates that LLLT is an effective modality to facilitate wound contraction in patients suffering from diabetes and
can be used as an adjunct to conventional mode of treatment for healing of diabetic wounds.
PREVALENCE OF HYPERTENSION IN PREGNANCY AND ITS ASSOCIATED FACTORS AMONG ANTENATAL MOTHERS AT SELECTED HOSPITALS: A CROSS SECTIONAL STUDY
Authors: Diwate Priya , Salve Hemlata
Published: November 2024

Introduction: Hypertension is the most common medical problem encountered during pregnancy,
complicating up to 10% of pregnancies. Hypertensive disorders during pregnancy are classied into 4
categories, as recommended by the National High Blood Pressure Education Program Working Group on High Blood Pressure
in Pregnancy. Chronic hypertension Preeclampsia-eclampsia, Preeclampsia superimposed on chronic hypertension,
Gestational hypertension (transient hypertension of pregnancy or chronic hypertension identied in the latter half of
pregnancy). Methodology the study of evaluate prevalence of hypertension in pregnancy and its associated factors among
antenatal mothers using Cross sectional study. Conducted at selected hospitals, 100 Antenatal mothers the study employed a
quantitative approach. Participants included all antenatal mothers between age group of 18 to 49 years. Non probability
convenience sampling technique was used. Data collection involved a semi-structured questionnaire for demographics and
clinical parameter and self-structure checklist for assess associated factors of hypertension in pregnancy. Reliability of the
tools was conrmed with the Karl Pearson correlation coefcient for the questionnaire (0.978) and Test Retest form method of
reliability, it is found to be 0.9888 both exceeding the acceptable threshold of 0.8. Result The study assessed prevalence of
hypertension in pregnancy and its associated factors among antenatal mothers at selected hospitals. The prevalence of
hypertension in pregnancy was 36 %. The occurrence rise with age with age peak were 35 year. Majority in risk factor was 91.7%
of the mothers had stress, 36.1% of the mother had family history, 38.9% of the antenatal mothers had blood disorder, 55.6% of
the mothers had diet contain high in fatty foods.72.2% of the mothers had diet contain high in salty food.41.67% of antenatal
mothers had mild risk, 58.33% of them had moderate risk of hypertension in pregnancy. Minimum score was 6 and maximum
score was 14. Mean score was 7.88 ± 1.54 and mean percentage score was 21.91 ± 4.29. Conclusion The prevalence of
hypertension in pregnancy was high that other similar studies. Risk factors proling of antenatal mother is of utmost
importance to identify those who may be likely to develop hypertension in pregnancy
EXPRESSION OF IMMUNOHISTOCHEMISTRY MARKERS (BCL 2 AND CD 34) IN THE PLACENTA OF IRON DEFICIENCY ANAEMIA.
Authors: Dokuru Sneha Reddy , Gupta Smriti
Published: November 2024

Background: The most common haematological disease that occurs during pregnancy is anaemia.
Apoptosis, or programmed cell death, is crucial for the placenta's formation and for the regulation of its
ageing throughout pregnancy. Bcl2 an antiapoptotic protein that is essential to cell survival and proliferation. Anaemic
women's placentas may have different degrees of its expression, which might affect the viability and functionality of the cells. A
marker for endothelial cells, which line blood arteries, is CD34. Examining the CD34 expression in the placenta may show
changes in blood ow and oxygen delivery in the setting of anaemia, as well as insights into the formation and function of
placental blood vessels. Methods: A prospective observational study was conducted in the Department of Obstetrics and
Gynaecology, Subharti Medical College, Meerut, U.P. from 2022-2024 which included 100 study participants (50 tests and 50
controls). Results: Among the non-anaemic group mean age (58% women) were % women were of less than 20 years age, 78%
women were between 21-30 years age group expression of IHC markers CD 34 was diffuse strong CD 34 positivity was seen
100% of very severe anaemia and 60% of severe anaemia and in 51 % of moderate anaemic women. Results indicate a higher
incidence of diffuse strong BCL2 positivity was seen 100% of very severe anaemia and 60% of severe anaemia and in 51 % of
moderate anaemic women Conclusions: Bcl-2 and CD34 could serve as valuable IHC markers for early detection of placental
dysfunction associated with IDA. This could pave the way for timely interventions to improve pregnancy outcomes in women
with anaemia.
EFFECTIVENESS OF NEUROBIC EXERCISE ON MEMORY ENHANCEMENT AMONG ELDERLY PEOPLE IN SELECTED OLD AGE HOMES: A QUASIEXPERIMENTAL STUDY
Authors: Dhomne Shruti , Barbatkar Siddheshwari , Azad Suman
Published: November 2024

Introduction: Aging is a natural process of our lives. As we age, we experience gradual changes to our
brains and bodies. Some of these changes affect our physical and mental abilities, and may increase our
risk of disease. So that the neurobic exercise is one of brain exercise is based on our day-to-day activity which helps improving
our cognitive functions. Methodology: the study evaluated the effectiveness of neurobic exercise on memory enhancement
among elderly people in selected old age homes using a quasi-experimental pre test post test design. Conducted at a nursing
institute with 60 elderly people, the study employed a quantitative approach. Participants included elderly people in old age
home, selected via non probability convenient sampling technique. Data collection involved a semi-structured questionnaire
for demographics, a standardized mini-mental status examination scale. Reliability of the tools was ( 0.084). Result: The study
assess the impact of neurobic exercise on memory enhancement among elderly people by comparing pre-test and post-test
scores. The study reveals mean pretest level of memory score was 18.70 ( SD= 3.62) and mean posttest level of memory score
was 23.16 (SD= 3.04) the calculated t- value is 16.51 are much higher than table value 2.00 at 0.05 level of signicance. Hence it
is statistically interpreted that neurobic exercise on memory enhancement among elderly people from selected old age home
was effective. Thus, H1 is accepted and H0 is rejected. The analysis also reveals that there is association posttest memory score
with educational status and number of children while none of other demographic variable were associated with level of
memory score. Conclusion: The intervention signicantly improved memory score in elderly people in selected old age home.
Statistical analysis conrmed the effectiveness of the neurobic exercise.
COMPARISON OF APACHE II & IV SCORING SYSTEM IN PREDICTING THE OUTCOME OF PATIENT ADMITTED IN CRITICAL CARE UNIT
Authors: Badtiya Vinita , Rajpal Arjit Singh , Khanam Bushra
Published: November 2024

Background: Prognostication of critically ill patients in the Intensive Care Unit (ICU) is vital for highquality care. Severity of illness scoring systems, such as APACHE II and APACHE IV, have been
developed to enhance objectivity in predicting outcomes. This study aimed to evaluate the performance of APACHE II and
APACHE IV in predicting mortality risk among critically ill Indian patients with respiratory issues. Methods: A prospective
observational study was conducted in a multidisciplinary ICU, including 100 adult patients. Data were collected on
demographics, comorbidities, and clinical parameters. APACHE II and APACHE IV scores were calculated within the rst 24
hours of admission. Discrimination and calibration of the scoring systems were assessed using area under the receiver
operating characteristic curve (AUC) and the Hosmer-Lemeshow goodness-of-t test, respectively. Results: The mean APACHE
II score was 19.5 ± 8.3, and the mean APACHE IV score was 59.2 ± 27.1. The study population had a crude hospital mortality
rate of 17%. Both scoring systems were signicantly higher in non-survivors. The correlation between APACHE II and APACHE
IV scores was strong (Spearman's rho = 0.802, P < 0.001). APACHE IV demonstrated better discrimination (AUC = 0.81)
compared to APACHE II (AUC = 0.74). However, both models showed poor calibration, with APACHE II exhibiting better
calibration than APACHE IV. Conclusion: Both APACHE II and APACHE IV are reasonably effective in discriminating between
outcomes in our ICU but show poor calibration. Larger multicenter validation studies tailored to the Indian context are needed
for effective application.
CHRONIC TONSILITIS WITH CHORISTOMA: A RARE ENTITY
Authors: Banchhor Abhinav , Singh Anjali , Narang Sanjeev , Jain V K , Srivastava Romi
Published: November 2024

Introduction: Choristoma is defined as the presence of cells in abnormal locations resulting from defects during
embryological development. These lesions consist of aggregates of normal cells or tissues that are misplaced in unusual
locations. Literature reports various types of choristomas, including cartilaginous ones found in the cervix,
endometrium, breast tissue, and oral cavity. In the oral region, cartilaginous choristomas are particularly rare, occurring
more frequently on the tongue and less often on the soft palate and gingiva. Case Reports:In this case series, we present
three instances of cartilaginous choristomas discovered incidentally during the microscopic examination of excised
tonsil tissues. Histopathological analysis revealed islands of mature hyaline cartilage surrounded by areas of lymphoid
hyperplasia. Choristomas can complicate the differential diagnosis of true neoplasms due to their ra Conclusion: rity
and potential for growth. Consequently, pathologists must include cartilaginous choristomas in the differential diagnosis
of cartilaginous lesions, as these are uncommon and may be overlooked. Awareness and careful examination are
essential to distinguish these rare entities from other more common neoplasms.
REVISITING FOETAL HEAD ENGAGEMENT, CLINICAL SCORES AND LABOUR OUTCOMES IN INDIAN RURAL PRIMIGRAVIDAE
Authors: Gupta Aankury , Gupta Prakhar
Published: November 2024

Background: Childbirth, a complex physiological process, involves critical events such as foetal head engagement.
This study focuses on the clinical assessment of foetal head engagement and its impact on labour outcomes in Indian
rural primigravidae.Primigravidae,experiencing their first pregnancy,present unique challenges due to the significant
changes in uterine and pelvic structures.The study aims to bridge the gap in existing knowledge by investigating the
engagement status and its implications on labour outcomes in this demographic. Methods:The study was conducted at
a tertiary care centre in Northern India, utilizing patient records from September 2023 to February 2024. The study
included 140 primigravida patients from rural areas,with a gestation period of at least 37 weeks.Clinical examination of
foetal head engagement was assessed using per abdominal and Bishop's scoring methods. Patients with obstetric
complications or gestation beyond 40 weeks and peripartum complications were excluded. Results: Of the 140
patients,the mean age was 22.94 years and mean gestation period was 39 weeks.Foetal head engagement before labour
was noted in 85 patients,during labour in 23,and unengaged in 32.Engagement status significantly influenced the mode
of delivery, with unengaged heads more likely to result in caesarean sections. Lower Bishop's score and higher perabdomen scores were found to be statistically significant predictors of adverse labour outcomes.Younger patients were
also more prone to caesarean sections. Statistically significant differences were observed in mean baby weight and
gestation period between vaginal deliveries and caesarean sections. Conclusion:Foetal head engagement is a crucial
predictor of labour outcomes, with unengaged heads at labour onset being more likely to necessitate caesarean
sections. Clinical scores like Bishop's and per abdominal scores are valuable tools for predicting delivery mode,
especially in resource-limited rural settings.Early and accurate assessments can improve labour outcomes by enabling
timely interventions and referrals. Addressing the disparities in maternal healthcare between rural and urban areas
through education and clinical practices is essential for better pregnancy outcomes.
COMPARISON OF DEXMEDETOMIDINE - PROPOFOL VERSUS FENTANYL -PROPOFOL ON INDUCTION DOSAGE AND INTUBATION RESPONSE
Authors: Inturi Srikanth , Venkata Satya Sri Pasumarthi Devi , Gunupuru Bharat , Padeti Divya , Sankara Rao D. V. G.
Published: November 2024

Background and Objective: Laryngoscopy and endotracheal intubation during general anesthesia can provoke
noxious stimuli, leading to laryngosympathetic stimulation, characterized by hypertension, tachycardia, and
arrhythmias. This study aims to compare the effectiveness of dexmedetomidine and fentanyl in mitigating the
hemodynamic stress responses associated with laryngoscopic endotracheal intubation in adult patients undergoing
surgeries under general anesthesia. Materials and Methods: Sixty adult participants aged between 18-55 years of
diverse gender representation,, scheduled for elective surgeries under general endotracheal anesthesia, were divided
into two groups, each comprising 30 patients. - Group D (Dexmedetomidine):Patients received intravenous (IV)
dexmedetomidine at a dose of 1 mcg/kg body weight, diluted to 20 ml of normal saline (NS) IV over 10 minutes using a
syringe pump. Group F (Fentanyl Group):Patients received intravenous fentanyl at a dose of 1 mcg/kg body weight,
diluted to 20 ml of NS IV over 10 minutes using a syringe pump. Anesthesia induction was accomplished with IV Propofol
2mg/kg and IV vecuronium at a dose of 0.1 mg/kg body weight to facilitate endotracheal intubation. Anesthesia
maintenance was achieved with a combination of oxygen, nitrous oxide, 1-2% sevoflurane, and IV vecuronium. Heart rate
(HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were recorded at
various time intervals. In group F, one minute after laryngoscopy and intubation, there was a rise i Results- n heart rate
(HR) by 14 beats per minute (bpm) and an increase in systolic blood pressure (SBP), diastolic blood pressure (DBP), and
mean arterial pressure (MAP) by 2 mmHg each compared to baseline values. Conversely, in group D, HR, SBP, DBP, and
MAP decreased significantly by 4 bpm, 23 mmHg, 25 mmHg, and 24 mmHg respectively, compared to baseline values,
with a high level of statistical significance (p=0.0001). Both IV Dexmedetomidine at a Interpretation and Conclusiondose of 1 mcg/kg body weight administered over 10 minutes and IV Fentanyl at a dose of 1 mcg/kg body weight administered
over 2 minutes prior to induction effectively mitigate the hemodynamic stress response to laryngoscopy and intubation without
notable side effects. However, Dexmedetomidine exhibits greater efficacy and superiority over Fentanyl in attenuating
the hemodynamic response to laryngoscopy and endotracheal intubation .Group D experienced faster recovery and
required less propofol for induction, highlighting a more efficient sedation profile in this group compared to Group F.
INFLUENCE OF COLLEGE LIBRARY SERVICES ON USER SATISFACTION: A CASE STUDY AT MADURAI KAMARAJ UNIVERSITY, MADURAI
Authors: N Manimekalai. , Sivakumar C. , Kumar P. Sampath
Published: November 2024

To ensure sustainable growth, emerging nations must provide diverse university services, particularly through
educational libraries that meet user needs.This study examines the services and facilities influencing user satisfaction
at Madurai Kamaraj University College Library. Primary data were collected from library users, focusing on resources
such as scanning, printing, reading desks, personal computers, and electronic brochures. Statistical analysis revealed
that printing and scanning significantly impact user satisfaction. An impact model was developed to measure these
factors,offering insights for enhancing service quality and customer loyalty at the library.
EFFECT OF TOPICAL NEPAFENAC VS TOPICAL DEXAMETHASONE ON CENTRAL MACULAR THICKNESS IN PATIENTS WITH DME
Authors: Khajuria Vipul , Gupta Divyanshu , Kapoor Kanavdeep , Hashia Dhar Renu
Published: November 2024

A prospective longitudinal study was conducted to compare the efficacy of Topical Nepafenac and Topical
Dexamethasone on Central Macular Thickness in Patients with Diabetic Macular Edema. Total of 22 patients were
enrolled in the study who attended the Outpatient Department and were randomly divided into two groups.Group A was
administered Topical Nepafenac and Group B were administered Topical Dexamethasone over a period of 3 weeks.The
study found that after 3 weeks that in both cases Central Macular Thickness decreased.Another finding was that the IOP
rise in Group A was negligible but in Group B the IOP rise was significant.
UTILIZATION OF PROTON PUMP INHIBITORS AND PROMOTING THE QUALITY USE FOR ASSESSMENT.
Authors: Babu. T Eswar. Ganesh. , Sakunthala G. , Mastan S. A. , Nammi Srinivas , Sahithi M. , Mounika K.
Published: November 2024

PPIs irreversibly inhibit the gastric H+-ATPase pump also known as proton pump and reduce both basal and stimulated
gastric output. Inhibition of the proton pump in the parietal cells has been established as the main therapeutic principle
in the treatment of acid-related diseases, such as peptic ulcer and gastro-esophageal reflux. They accumulate in the
target cell and are activated by acid and bind strongly to the specific target - the proton pump, inappropriate PPI use
results in increased healthcare costs and unnecessary exposure to potential adverse effects. Ideally, PPI therapy should
be personalized, based on indication, effectiveness, patient preference, and risk assessment.
LAAPATAA LADIES: KEY LESSONS AND REMINDER ON SOCIO-CULTURAL, ECONOMIC AND GOVERNANCE ASPECTS OF WOMEN EMPOWERMENT
Authors: K. Bhadra Kausik
Published: November 2024

Kiran Rao's “Laapataa Ladies” is a story to tell beyond its screen-time! This article aims to objectively assess about the
movie that offers profound message on deep-rooted socio-cultural and economic aspects of women empowerment as
well as socio-cultural orthodoxy-driven governance issues in sub-urban India.Within this ambit,specifically,this article
emphasizes on critically discussing the issues,challenges and evidence regarding societal pressure-driven conformity
to early marriage, opportunities of education and low female labour force participation rate, incidence of dowry with
increase in amount to get 'economically stronger' husband, cultural orthodoxy through practice of veiling, women's
participation in household decision making, protection of agricultural labourers as well as productions without
sacrificing their nutritional values, considerable trust deficit in societies, and governance issues relating to women
empowerment.All of these possess a big reality check to Indian societies.
AN OBSERVATIONAL STUDY OF EVALUATION OF HYPERBILIRUBINEMIA AS A DIAGNOSTIC MARKER FOR ACUTE APPENDICITIS AND ITS ROLE IN THE PREDICTION OF APPENDICULAR PERFORATION
Authors: Kakarla Hima Bindu , Gudipati Pradeep , Indu Muvva , Shaheena Shaik , Navya P , Tharun V , Likhitha Madanapalli , Rao P Rama
Published: November 2024

Background: One of the most frequent causes of abdominal pain necessitating immediate treatment is
appendicitis.There are many other conditions that can cause right iliac fossa discomfort, particularly in women.
Additional testing may help achieve an accurate diagnosis. Delay in diagnosis can result in appendiceal perforation with
higher morbidity.The purpose of this study was to assess hyperbilirubinemia as a potential diagnostic indicator for
Acute uncomplicated appendicitis and perforated appendix. To determine the role of hyperbilirubine Aim: mia in the
early diagnosis of patients with Acute uncomplicated appendicitis and perforated appendix. Methodology: It is a
hospital based analytical cross-sectional study carried out in Dept. of General Surgery, Dr.Pinnamaneni Siddhartha
Institute of Medical Sciences & Research foundation between Result And Conclusion: It appears that serum bilirubin
levels may aid in the diagnosis of a perforated appendix as bilirubin readings above the normal range should be
considered at a higher risk of appendiceal perforation.
MUSIC AND ANXIETY CONTROL: AN EXPLORATORY APPROACH TO COMPETIVE SPORTS PERFOMANCE
Authors: Acharya Ashutosh , Hari Sandesh , Krishnan Dan , Sanu Jais De
Published: November 2024

The aim of this study was to investigate the impact of music intensity on anxiety control and physiological responses in
athletes. Ten male district football players, aged 18-24 from Lakshmibai National College of Physical Education in
Thiruvananthapuram, India, participated in the research. The study focused on independent variables such as music
tempo (slow, medium and high) and anxiety level (medium, low), with galvanic skin response and heart rate as
dependent variables.Participants were divided into low and medium anxiety groups based on the Sport Anxiety Scale2.Physiological data were collected using BioComp Infinity software,examining the effects of music intensity on anxiety
and physiological responses.The results showed no significant differences in heart rate variability or skin temperature
between low and high anxiety groups,ultimately rejecting the research hypothesis
NON-HEREDITARY HYPERDONTIA: A REPORT OF TWO UNUSUAL CASES
Authors: P Malini , P Nitheash
Published: November 2024

Supernumerary also known as hyperdontia is the presence of one or more teeth in the dentition than the usual number.
Their presence may be association with syndromic routinely or non-syndromic_rarely. Their designation is based on the
location in the arch and their morphology also varies. The management is based upon proper clinical intraoral
examination and history.