bluuebunny/crossref_metadata_2025 huggingface dataset:
Laparoscopic Nephrectomy in Benign Renal Diseases- A Tertiary Hospital Experience
Authors: Yaqoob Muhammad Mansoor , Arif Ali  , Suhail Dilawar  , Shahzad Ali  , Saeed Ahmed Khan  , Shahid Hussain
Published: February 2023

ABSTRACT:

 

 Objectives:  The purpose of our study is to share experience of performing simple laparoscopic nephrectomy in benign cases.

  Study Design: Descriptive study.

 

 Place &

Duration of

Study:    Department of Urology, Jinnah Postgraduate Medical Center (JPMC) Karachi, between Jan 2015 to Dec 2019 with minimal one and half year follow-up.

 

Methodology: Our inclusion criteria were benign symptomatic nonfunctioning kidneys requiring nephrectomy. Laparoscopic nephrectomy was performed under general anesthesia with oblique position with three or four port technique was used. The demographic data, operative and post- operative details were carefully noticed and recorded in SPSS software version 20.

 

 Results: Total 40 patients were included in the study. Twenty four were females and 16 were males. Age ranges from 20 to 62 years with mean age of 44.64 + 11.04 years. Left sided were 24 patients (60%) while the right sided in 16(40%). Flank pain was the most common presenting complaint seen in 92.50% patients. Renal stone disease representing the most common indication for nephrectomy (40%) followed by ureteric stone (22.5%), chronic pyelonephritis (17.5%) and PUJO (15%). Our mean operative time was 200.29+47.98. Six patients (15%) were converted to open surgery because of intraoperative complications in 10% of patients including hilar vascular injury and gut injury and failure to progression in two (5%). Among the post- operative complications, early included low grade fever (10%) and wound infection (7.5%) while late included port site hernia (5%) and abscess at renal bed (2.5%). Chronic pyelonephritis was the most common histopathological report representing 45% of total cases. Our success rate was 85%.

 

Conclusion: The role of laparoscopic nephrectomy in benign non-functioning kidneys is a better alternate to open nephrectomy in terms of pain, post-operative recovery and cosmetic results. The operative time and conversion rate can minimize after passing through adequate learning time and experience
Learning Styles and Preferred Teaching Methodologies of Medical Students In Relation To Year of Study
Authors: Muhammad Zafar Iqbal Hydrie  , Syed Muhammad Zulfiqar Hyder Naqvi  , Syed Imtiaz Ahmed Jafry
Published: February 2023

Objective: To assess learning styles and preferred teaching methodologies of medical students in relation to year of study.

Methods: A cross-sectional study was carried out among 523 medical students of Baqai Medical College, Baqai Medical University, Karachi, from May 2019 to October 2019. All male and female students from first to final year, who attended the undergraduate MBBS program in the medical college, were included in the study. The study questionnaire was administered to all enrolled undergraduate medical students, from first to fifth year, on the campus out of which 523 forms were collected. The study instrument was a questionnaire containing students’ demographic details, David Kolb’s Learning Style Inventory 4.0 and their preferred teaching methodologies scored using a 5 point Likert scale. The association of various learning styles and preferred teaching methodologies with year of study was assessed by using Pearson chi-square test.

Results: Out of 523 students who returned the form 518 had completed the questionnaire. A majority of the students had imagining or experiencing learning style. No change in learning style was observed between years of study. The top three teaching methodologies with highest mean scores were small group discussion (3.58±1.12), problem based learning (3.56±1.11) and demonstration on models (3.54±1.20). A significant association between some preferred teaching methodologies and year of study was found such as interactive lecture (p=0.011), problem based learning (p=0.026), small group discussion (p=0.024), and one way lecture (p=0.028) while a highly significant association was noted in case of student presentation (p=0.001).

Conclusion: The present study showed that different years of study at medical schools did not significantly affect students’ learning styles, although the students did change their preferences to some teaching methodologies. Longitudinal studies are necessary to reveal whether there is an effect of learning styles over time in medical education.
Effect of Ascorbic Acid on Methylphenidate Induced Decreased Spermatogenesis in Albino Rats
Authors: Iqbal Sadia , Hameed Uzma , Kamran Muhammad , Faisal Lubna , Moeen Sara , Huda Nasarul
Published: February 2023

Objectives: This study aimed to evaluate the anti-oxidative potential of ascorbic acid on methylphenidate induced decreased spermatogenesis and decreased testosterone levels in male Albino rats.

Methods: This experimental study was performed on twelve-week-old Albino male rats selected through randomized sampling technique divided into three groups. Only healthy male rats of the same age and weighing between 180 to 200 gms were included, and any rat was appearing sick or had less weight than 180gms and aged less than 12 weeks were excluded. Control group A received 2 ml of normal saline for 50 days. Group B was given 2mg/day methylphenidate per oral for 50 days, and Group C received 2mg /day methylphenidate for 50 days, then ascorbic acid 50mg/day for 10 days. After 60 days, rats were dissected, testes were removed and histologically examined for spermatogenesis by Johnson's scoring, and blood samples were collected to evaluate testosterone levels.

Results: On histological examination, the testes of animals of Group B showed a statistically significant decrease in Johnson's score (p-value < 0.001) with disruption of germinal epithelium and absence of mature sperms. These findings were associated with reduced levels of serum testosterone in this group. Administration of Ascorbic acid (AA) to group C showed statistically improved Johnson score and testosterone levels compared to group B.

Conclusion: It has been concluded that administering Ascorbic Acid can improve decreased spermatogenesis and serum testosterone levels induced by methylphenidater
Age Related Homocysteine Serum Levels Elevate in Men with Epilepsy
Authors: Hussain Zahir , Ahmed Shabbir , Serafi Abdulhalim S. , Abdulfattah Attia Samir Mohammed , Sohail Sumera , Zia Nuvair
Published: February 2023

Objective: The purpose of the present study was to determine the correlation of age with serum homocysteine (Hcy) levels in male nonobese epilepsy (Ep) patients and nonobese male control (C) subjects.

Methods: This case-control study was conducted in non-obese male epilepsy patients (Ep; n: 44; age: 26-40 years) having predominant grand mal (generalized tonic-clonic) seizures, and in control subjects (C; n: 42; age: 26-40 years). The Ep and C subjects were further subdivided into age-based subgroups: 26-30, 31-35, 36-40 years. Determination of serum Hcy was carried out by enzyme linked immunosorbent assay (ELISA). SPSS software version 24 was used for the purpose of data entry/ statistical analysis.

Results: The mean± SD values for serum Hcy (?mol/L) in male Ep (n:44) and male C subjects (n:42) were 12.34±3.34 and 9.16±3.38 respectively, that showed highly significant increase in the level of Hcy (p< 0.001) in Ep compared to C subjects. Serum Hcy levels showed significant increased serum levels of Hcy, and positive linear correlation in all age groups (26-30, 31-35, 36-40, 26-40) in Ep subjects compared to control subjects. However, significantly elevated serum Hcy and lesser association (though significant) of Hcy with age in Ep group as compared to C subjects was found in the present report.

Conclusion: Present study provides evidence of the significant impact of age on serum homocysteine levels in nonobese epilepsy patients. However, it is essentially required to carry out well controlled studies comprising wider age range data, and large number of samples in each age subgroup to have better idea about the potential impact of Hcy in epilepsy, and to investigate the comparative effects of AEDs and dosages of AEDs on serum levels of Hcy and vice versa.
Results of Medicolegal Autopsies Conducted At A Tertiary Care Hospital, Sukkur, Pakistan
Authors: Waheed Abdul , Ahmed Khan Iqbal , Waheed Abdul , Ram Hari , Nezam Shahid , Alam Perwez
Published: February 2023

Objective: To describe the results of medicolegal autopsies conducted at mortuary of Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan during a specific period.

Methods: Present study is a retrospective descriptive analysis of medicolegal autopsies conducted in the mortuary from a period of January 2018 to December 2020 after acquiring ethical approval from the hospital. A total of 297 medicolegal autopsies were performed during this specific period. Their significant findings such as gender, age, caste, area of residence, cause & manner of death were collected from Post-mortem registers/records, Inquest papers and Post- mortem reports and entered on SPSS version 22 for analysis. Frequency and percentages were calculated for all categorical variables.

Results: It was observed that out of 297 medicolegal deaths, maximum number of autopsies conducted were in third decade of life (n=133 cases, 44.78%) followed by 66 (22.22%) in 2nd decade of life. Male cases predominated over female cases, which were (n=193, 65%). Majority of the cases were resident of local areas of Sukkur. Mughals were in majority with 79 cases (26.59%) followed by Sheikhs with 62 cases (20.87%), Baloch 44 (14.81%). Maximum number of deaths were due to road traffic accidents (n=103, 34.68%) followed by firearm injuries (n=73, 24.57 %) and asphyxial deaths (n=11, 3.70%). Accidental was the most common manner of death (n=192, 64.64%) followed by homicidal (n=40, 13.46%).

Conclusion: It is observed that majority of cases were in 3rd decade of life and preponderance of male sex is seen over female sex , could be due to more exposure of males to outer world. Most common cause of death found was road traffic accidents probably due to increased frequency of transportation and decreased regulation of traffic control.
Pengaruh Metode Pembayaran Cash On Delivery Terhadap Kepuasan Pelanggan Pada J & T Express Drop Point Jatiwangi
Authors: Riani Elisabeth Christine , Muna Khairiyah Tazkia
Published: February 2023

Cash On Delivery merupakan metode pembayaran dimana pembeli membayar pesanan secara tunai saat barang diterima. Tujuan penelitian untuk mengetahui sebarapa besar fitur cash on delivery terhadap kepuasan pelanggan J&T Express Drop Point Jatiwangi sebagai bahan evaluasi. Metode penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif. Populasi dalam penelitian ini adalah pelanggan J&T Express Drop Point Jatiwangi yang melakukan transaksi cash on delivery berjumlah 70 orang. Teknik penentuan sampel yang digunakan dalam penelitian ini yaitu Teknik Insidental Sampling. Hasil penelitian menunjukkan bahwa Ha diterima, berarti variabel metode pembayaran cash on delivery berpengaruh signifikan dan arah pengaruh positif terhadap variabel kepuasan pelanggan.
Quelle est la signification taxonomique d’un caractère morphologique particulier des chabots (Scorpaeniformes: Cottidae: Cottus sp.) du bassin versant de la Garonne ?
Authors: DEFONTAINES Pierre
Published: February 2023

La taxonomie des chabots (Cottus spp.) du territoire français n’est pas définitivement fixée, les caractères morphologiques utilisés pour différencier les espèces étant souvent variables et ne correspondant pas toujours avec les variations moléculaires. C’est particulièrement vrai dans le bassin versant de la Garonne où plusieurs espèces sont répertoriées, mais avec beaucoup d’incertitude sur leur répartition et leur taxonomie. Un caractère particulier a été découvert chez certains chabots de ce bassin : ils ont trois rayons aux nageoires pelviennes, contre quatre rayons chez toutes les espèces européennes décrites aujourd’hui. Cet article étudie la répartition et l’écologie des Chabots de ce morphotype pour les comparer à celles des chabots du morphotype habituel à quatre rayons aux nageoires pelviennes. Les Chabots à trois rayons occupent essentiellement des rivières de basse altitude en terrain karstique. Leurs populations peuvent être réunies en un seul ensemble par l’aval du bassin-versant, ce qui suggère une origine géographique unique. Ceux à quatre rayons ne semblent pas inféodés à un habitat particulier et se trouvent fréquemment sur terrain cristallin ou magmatique dans des rivières prenant naissance en altitude. Ces différences biogéographiques et écologiques suggèrent que le caractère « trois rayons aux nageoires pelviennes » est un caractère permettant de définir une lignée phylogénétique particulière, possible nouvelle espèce. Des études morphologiques et génétiques sont nécessaires pour vérifier cette hypothèse. Si le Chabot à trois rayons est bien une nouvelle espèce, elle nécessiterait alors des niveaux de protection spécifiques compte tenu de ses faibles effectifs, du fractionnement de ses populations et des menaces auxquelles elle est confrontée.
Negotiating Societal Crises through Eschatological Narratives in Yoruba gospel music: Notes from Evangelist J. A. Adelakun’s “Amona tete maa bo”
Authors: Ajose Toyin Samuel
Published: February 2023

Scholars have discussed how gospel music offers a framework for responding to the religious, social, and economic experiences of people in society. Beyond performing religious and evangelistic purposes, how gospel music illuminates societal crises–politics and ecology–is yet to be known. This study examines the role of gospel music as a tool to facilitate religious experience while articulating social concerns. Specifically, it discusses the approaches employed by Yoruba gospel musicians in evoking spirituality in their discourse on societal problems. Reference is made to the musical performance of a popular Yoruba gospel music album titled “Amona Tete Maa bo” by Evangelist J.A. Adelakun which was accessed on YouTube. Further information is gathered from other internet sites including blogs, social media as well as periodicals which provided the secondary sources of data for the study. Through textual and musical analyses of the first and longest track in the album, and relying on critical discourses from musicology, religion, and cultural studies, this paper demonstrates how gospel musicians deploy musical and theological approaches to reference and negotiate their social, political and environmental ‘salvation’ through eschatological narrative. The article explains the extent to which these approaches in gospel music and by extension Yoruba gospel musicians are evocative of the general spiritual dimension to almost every social, political and ecological crisis in Africa.
MABADILIKO YA KIMAANA KATIKA METHALI ZA KIJINSIA: MIFANO KUTOKA JAMII YA WANYANKOLE
Authors: Annensia Arinaitwe , Kandagor Mosol , Wafula Magdaline
Published: February 2023

Makala hii inachunguza mabadiliko ya kimaana katika methali za kijinsia katika jamii ya Wanyankole. Lengo kuu la makala hii ni kubaini athari ya mabadiliko katika jamii katika ufasiri wa maana na matumizi ya methali za kijinsia miongoni mwa Wanyankole nchini Uganda. Mbinu za mahojiano zilitumika katika ukusanyaji wa data. Utafiti huu ulihusisha methali kumi na tano za kijinsia katika jamii ya Wanyankole. Uteuzi huo ulifanywa kimaksudi kwa sababu utafiti ulilenga kuchanganua methali zilizohusu jinsia za kike na kiume katika jamii ya Wanyankole. Nadharia ya Udenguzi ilitumika katika uchanganuzi wa data. Matokeo ya utafiti huu yalibainisha kuwa kadri ulimwengu unavyobadilika ndivyo jamii ya Wanyankole inavyobadilika hivyo basi mabadiliko haya yameathiri ufasiri wa maana katika methali za kijinsia za Wanyankole. Vilevile ilibainika kuwa jamii ya jadi inafasiri na kuzitumia baadhi ya methali tofauti na jamii ya kisasa. Makala hii inapendekeza kuwa baadhi ya methali zinafaa kurejelewa upya kiufasiri, kimuundo na kimatumizi ili uamilifu wake uwiane na jamii ya kisasa.
How Journalists and Civil Society View Gender Portrayal in Editorial Cartoons in Kenya’s Daily Nation and Standard Newspapers
Authors: Masinde Moses Wanyama , Lumala Masibo , Obuya Jared
Published: February 2023

Diverse views by scholars, policy makers as well as readers of newspapers and magazines, point to one critical issue that the media have of late become conduits for gender stereotyping not only in Kenya but the world over. This fact has been affirmed by public uproar against specific media houses in recent years after publishing cartoons that appeared offensive to sections of society. In some cases, such protests and reactions were very violent and claimed lives besides causing the destruction of property. Hinged on the Agenda setting theory, this paper refers to Kenya’s Daily Nation and Standard newspapers cartoon column in seeking to highlight what journalists and civil society consider to be the position of gender portrayed in editorial cartoons and whether by extension these cartoons subtly or unconsciously promote gender bias and stereotypical overtones. The qualitative case study was guided by the interpretivist philosophical paradigm. Besides the secondary data drawn from the two dailies, semi-structured interviews that targeted cartoonists, human rights, and gender activists from six purposely selected organizations were applied and analysed. The study finds bias and increased stereotypical overtones occasioned by a lack of resolve by the two media houses to adequately embrace gender sensitivity focus in the manner editorial cartoonists portray both men and women in the news. To cure the gender portrayal bias in the selected cartoons, there is need for specific in-housed editorial guidelines that will guide its creators.
THE PLACE OF CORPORAL PUNISHMENT IN SECONDARY SCHOOLS IN KENYA IN THE 21ST CENTURY
Authors: Okinyi Bonface Otieno , Claude Zigama Jean
Published: February 2023

In the recent past, corporal punishment administration on both primary and secondary school learners was an effective corrective measure for instilling and maintaining discipline among children. This custom was generally accepted by all stakeholders in the education system. Over the years, this practice has been disputed by most legal ministries, employers, and parents who view it as harsh and inhumane. This paper examines the relevance of corporal punishment in secondary schools in Kenya. The paper focuses on the role of corporal punishment in the process of instilling positive values and eradicating vicious personality development among learners. It also examines reasons for the sudden rise in indiscipline cases in schools and rots in society since the prohibition of corporal punishment. Most learners exhibit extreme moral decay in schools and even back home. Most parents have neglected their parental role of raising morally upright children, a burden that is then tossed to the teacher to deal with even when corporal punishment which functioned best at this obligation is out of the equation. Children are left untamed since the teacher who should be the disciplinarian is faced with challenges such as laws on the rights of children, parents’ accusations and insults, employers’ threats of dismissal, and even extreme disrespect by young learners.
Total Uterine Necrosis-A Case Report with Review of Literature
Authors:   Assistant Professor 4. Postgraduate. Department of Obstetrics and Gynaecology, MVJ Medical College and Research Hospital, Hoskote, Bengaluru, India, Bulusu Ratna , M N Dharma Vijaya , A Chandra Mouli , Choudhury Kumari Suruchi
Published: February 2023

The use of compression sutures in cases of massive postpartum haemorrhage uncontrolled by med-ical management gives an option to the women for future child bearing and menstrual function. A case is being reported wherein patient was referred in prolonged second stage of labour with failed forceps and intrapartum fetal demise. Emergency caesarean section was done and Hayman’s sutures were placed for massive atonic PPH with failed medical management. Patient developed subinvolution of uterus with py-operitoneum. Patient refused surgical intervention and later presented with necrosed uterine wall hanging through the introitus. Exploratory laparotomy showed total uterine necrosis with pyoperitoneum. A total hysterectomy with right salpingo-oophorectomy was done. Keywords: postpartum haemorrhage, uterine compression sutures, pyoperitoneum, uterine necrosis
Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
Authors:   Associate Professor, Department of Pharmacology, Sreevalsam Institute of Medical Sciences, Naduvattom-Edappal, Malappuram, Kerala, India, R Selvaraj
Published: February 2023

Background: Widespread and irrational use of antibiotics has caused microbials to acquire re-sistance and is an important public health problem to be urgently addressed. Hence there is a need to con-stantly monitor the prescription practices through audits and to initiate corrective measures. Objectives: To asses the antibiotic prescription practice in a teaching hospital. Materials and Methods : The prescrip-tions originating from medicine out patient department on one day in a week for five months were assessed for appropriateness in dosage, duration of treatment and use of fixed dose combination drugs (FDCs). The clinical diagnosis and patients details were recorded in a structured proforma. Results: Out of 650 patient prescription studied 180 patients (27.6%) received antibiotics. Among them 25.3% patients were pre-scribed one antibiotic and (18.8%) were prescribed antimicrobial FDCs. Out of the 180 prescriptions, 47% were irrational. The most commonly prescribed antibiotic categories were β-lactam antibiotics (35.1%), followed by fluoroquinolones (18.8%) and combinations of antibiotics from different groups (13.8%). Con-clusion: Higher frequency of irrational antimicrobial prescriptions suggests that antibiotic restriction poli-cies and a multidisciplinary effort to reduce usage are urgently required. Keywords: prescription practice, antibiotics, FDCs
Lymphatic Filariasis: Progress Towards Elimination
Authors:   Professor & Head, Department. of Community Medicine. Sri Devaraj Urs Medical College, SDUAHER, Kolar-563101, India, BG Ranganath
Published: February 2023

Preventive chemotherapy (PC) is now a widely used strategy to treat populations at risk of helmin-thic diseases to prevent its transmission and to reduce morbidity among those affected by it. PC is now elim-ination/control strategies for lymphatic filariasis (LF), soil-transmitted helminthiasis (STH) namely, hook worm infestation, ascariasis and trichuriasis, onchocerciasis, schistosomiasis and also trachoma a bacterial infection. Mass drug administration (MDA) and morbidity management are the major public health measures required for elimination of LF. Annual progress on elimination interventions of LF is submitted by the endemic countries to the WHO. Notable progress and achievements have been made by few countries in LF elimination. Many countries are on a path towards LF elimination by 2020. Few countries are yet to initi-ate campaigns towards elimination. Countries claiming LF elimination are to be validated by the WHO and should meet the eligible requirements. Sustenance of the claim post-elimination assessed by transmission assessment surveillance (TAS) is a challenge. For those countries that are still in the earlier phase of elimi-nation campaign, alternative faster approaches to achieve it are an immediate need and a challenge to the programme strategists. Key words: Lymphatic filariasis (LF), elimination, transmission assessment surveillance (TAS), mass drug ad-ministration (MDA), preventive chemotherapy (PC), morbidity management and disability prevention (MMDP)
Rolling Non Reducible Intra Thoracic Gastric Hiatus Hernia causing Cardiogenic Shock
Authors:   PG Resident, Department of Radiodiagnosis, Sri Devaraj Urs Medical College, SDUAHER, Kolar, Karnataka, India., A Naba Kumar Singh , Naik Bukke Ravindra
Published: February 2023

Para oesophageal (type II) hiatus hernia is a rare anatomical condition and is differentiated from the more common sibling (type I) hiatus hernia. Patients with clinical symptoms associated with para oesophageal hiatus hernia should undergo operative repair as there is a risk of developing life threatening complications in these hernia. We report a case of symptomatic rolling hiatal hernia in a middle aged wom-an, who developed a life threatening volvulus resulting in cardiogenic shock. Keywords: Non reducible gastric fundal and part of the greater curvature hernia, rolling hiatus hernia, para oesophageal hernia
Benign Soft Tissue Lesions of Oral Cavity: A Histopathological Study
Authors:   Assistant Professor, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Masamatti Smita S , Gosavi Alka V
Published: February 2023

Background: To describe the histopathological types and frequency of the most common benign tumours of oral cavity reporting to the government referral hospital at Miraj in Maharashtra state. Materials and Methods: A retrospective analysis was made of the five year records of reports of oral biop-sy samples of patients maintained by the department of pathology. The data obtained was compiled for age, gender, site of the lesion and the histopathology features of the lesions. Results: Seventy of the 642 biopsy samples of the oral lesions reported in this five year period were categorised as benign oral tumours. Fibro-ma (48.6%) followed by squamous papilloma (28.6%) were found to be the commonest benign tumours. The buccal mucosa was the most commonest site of these benign tumours (44.3%). Conclusions: Fibroma is the commonest benign tumour of the oral cavity reporting to the referral government hospital at Miraj in Maharastra state. Keywords: Benign oral tumour, fibroma, oral cavity, soft tissue lesion, histopathology
Knowledge, Attitude and Practice of Blood Donation in a Field Practice Area in Chennai – A Cross Sectional Study
Authors:   Undergraduate, Institute of Community Medicine, Madras Medical College, Chennai, India., S Kaleeswaran , A Chitra , S Poongodhai , M Pavithra Devi , S Prabha Devi
Published: February 2023

Background: Blood is an important resource, helps patients suffering from life-threatening condi-tions and have a life-saving role in maternal and perinatal care. Ensuring safe and sufficient blood supplies requires the development of a nationally coordinated blood transfusion service based on voluntary non-remunerated blood donations. This study was undertaken to assess the knowledge, attitude and practice of blood donation among residents in an urban field practice area of a government medical college in Chennai. Materials and Methods: A cross sectional study was undertaken among the randomly selected 150 resi-dents in the field practice area, Chennai. Data was collected using a semi-structured, self-administered ques-tionnaire, after getting informed consent. The responses were verified twice, entered and analysed using IBM SPSS version 16.0. The descriptive and inferential statistics of the responses to the questions were cal-culated. Results: Among 150 participants, 77 were males and 73 were females. Around 70% of the partici-pants knew their own blood group status. Almost half of the participants had acquired the knowledge about blood donation through media. Only about 28% participants had donated blood previously. Among those who had donated blood, 79.8% had donated as an act of altruism. Nearly 40% said that they had no time to donate blood. Conclusions: From our study, we conclude that people had better knowledge about blood donation. Many people had positive attitude towards blood donation practices. Though they had good knowledge and attitude, the practice of donating blood was found to be far less. Keywords: Blood, Voluntary blood donation
A Parietal Wall Desmoid Tumour with Primary Mesh Repair: A Case Report
Authors:   Post graduate, Department of General Surgery, Sri Devaraj Urs Medical College., A Varsha , Hongaiah Deepak , PN Sreeramulu , D Srinivasan
Published: February 2023

Desmoid tumours are rare benign tumors which are locally aggressive. They develop from muscular aponeurosis. They are mostly sporadic, usually developing from a previous surgical scar. We report a case of 24 year old lady who presented with an abdominal mass of 2 years duration, following her caesarean section 2 years back. The tumor was excised in toto with parietal wall and was reconstructed subsequently with mesh. Patient recovered well with no complications. Desmoid tumours are rare mesenchymal neoplasms which are occasionally associated with FAP/ Gardeners syndrome. Treatment includes complete resection. If adjacent structures/ parietal wall are involved, then en bloc resection with apt reconstruction with biolog-ical and/or synthetic mesh should be performed. Regular follow up is of importance as these tumors are notorious for local recurrence. Key words: Abdominal wall, Desmoid Tumour, Prolene mesh
Evaluation of Superficial and Deep Specimens for Isolation and Identifi-cation of Bacterial Isolates from Diabetic Foot Infections.
Authors:   Assistant Professor, Department of Microbiology, Sri Devaraj Urs Medical College., N Savitha , BM Gokul , PM Beena , K Bhaskaran
Published: February 2023

Worldwide, Diabetic foot infections (DFIs) are a major medical, social, and economic problem reaching epidemic proportions carrying the increased risk of complications.[1,2] About 25% of the diabetics have the risk of developing foot ulceration which is one of the leading cause of mortality and morbidity in developing coun-tries.2,3,4The most feared complication of in-fected diabetic foot ulcers is gangrene which results in amputations and occurs 10-30 times more often in diabetics. About one major am-putation in 30 seconds worldwide in diabetics and the elevated mortality at follow up, rang-ing from 13% to 40% at 1 year to 39% – 80% at 5 years requires urgent strategies towards prevention of foot ulceration and amputations.[3,5] Once the protective layer of skin is bro-ken, the deep tissues are exposed to bacterial infection that progresses rapidly.
Social Connectedness Through Therapeutic Riding: A Case Series
Authors: Bouthillier Shelby A. , Achtem Elizabeth , Meldrum John , Temple Viviene A.
Published: February 2023

Τhe present study examined how therapeutic riding contributed to social connectedness among children with disabilities and their families using a sequential mixed-method design. Administration of the quantitative Connectedness to Setting Scale questionnaire preceded semi-structured in-person interviews. Participants were 12 parents and 3 instructors at a therapeutic riding centre. Parents indicated their children felt highly socially connected; reflecting a sense of comfort and safety, feelings of protection, understanding, acceptance, and connection to both the people and setting. Two major themes arose from the face-to-face interviews, communication as social connectedness and social connectedness as a mediator. Feelings of social connectedness appeared to mediate the relationship between adverse factors preceding a therapeutic riding lesson and the experience of that lesson. Parents explained that their child’s feelings of social connectedness helped them deal with daily obstacles that could adversely affect their therapeutic riding experience such as upsets at school, cold weather, and changes to staffing and horses. Our findings revealed that parents had high expectations of communication and social connectedness, and that the context of therapeutic riding can be more than a place to ride a horse, it can be a place of belonging.
Selective Reconciliation: The Rapprochement Between Israel and the Gulf Monarchies
Authors: Barany Zoltan
Published: February 2023

The September 2020 Abraham Accords between Israel and the United Arab Emirates, and Bahrain was the culmination of a multi-year process. Later two other Arab monarchies, Morocco, and Jordan jointed them in improving their relations with the Jewish State while the remaining Gulf Cooperation Council members opted not to join the Accords. This article focuses on Gulf Kingdoms and argues that the improvement in Israeli-Arab relations is explained by a growing realization that in Iran, both sides have a common enemy; the failings of America’s Middle East policy; the anticipated economic and security benefits to be gained from improved relations; and the diminished importance of the Palestinian issue for Arab societies and governments.
The Impact of Türkiye and Israel’s Rapprochement on the Maritime Delimitation Dispute in the Eastern Mediterranean
Authors: Kırval Levent
Published: February 2023

Türkiye and Israel relations have recently improved with ambassadors’ mutual appointment to the respective countries. This recent rapprochement between the two essential states of the Middle East also influences the ongoing political disputes in the seas of this region. As is well known, Türkiye, Greece, and Cyprus (North and South) have been in conflict regarding the delimitation of maritime borders in the Eastern Mediterranean. In this conflict, Greece and Southern Cyprus have developed strong alliances with western countries, the most important ones being the U.S. and the EU. The recent rapprochement between Türkiye and Israel may change the game in the region and improve Türkiye’s hand with regard to the Eastern Mediterranean dispute.
Haul road design optimisation approach following technological constrains in open pit mining
Authors:   University of Mining and Geology “St. Ivan Rilski”, Terziyski Danail , Kaykov Dimitar ,   University of Mining and Geology “St. Ivan Rilski”
Published: February 2023

Modern mining practices rely to a great extent on the application of numerical methods for establishing design alternatives, leading to significant economic benefits. In the current article mine haul road design and construction are treated as two interconnected problems – 1) selection of a suitable optimisation for haul road design and selection of an optimal pit design solution; 2) selection of a suitable technology for haul road construction. Based on previous research, the main factors which determine haul road design feasibility have been identified. They are used for the purpose of establishing the key performance parameters which define the optimality of a haul road design solution. An optimisation problem is defined, which relies on different design solutions and the alternatives for a feasible ultimate pit design. Solutions of this optimisation problem are expected to maximise the mine’s long-term profit. Furthermore, statistical parameters were obtained providing insight into affirming why a certain design solution is more dominant to others in a more robust way.
Penerapan Model Pembelajaran (LAPS) – Heuristic Berbantuan Worksheet Untuk Meningkatkan Hasil Belajar Kognitif Peserta Didik SMA Negeri 3 Pasuruan
Authors: Nofiyanti Alfin , Mohammad Zaky Tatsar
Published: February 2023

penelitian ini bertujuan untuk mengetahui Bagaimana Peningkatan hasil belajar kognitif peserta didik setelah diterapkan model pembelajaran (LAPS) – Heuristic Berbantuan Worksheet Metode penelitian yang digunakan adalah Metode Kuantitatif dengan Desain penelitian Quasi Eksperimen Non equivalent Control Group Design dengan populasi 105 siswa. Teknik sampel penelitian dengan teknik purposive sampling. Kelas X MIPA 1 dan MIPA 2 model (LAPS)-Heuristic, kelas X MIPA 3 tanpa model pembelajaran (LAPS)-Heuristic. Instrument yang digunakan adalah tes pilihan ganda dan uraian untuk mengetahui hasil belajar kognitif peserta didik. Teknik analisis dengan uji-t, setelah uji normalitas dan uji homogenitas. Hasil penelitian menunjukkan bahwa Terdapat peningkatan hasil belajar kognitif peserta didik yang signifikan (thitung7,26> ttabel,1,67 (Eksperimen I) dan thitung 8,02> ttabel 1,67 (Eksperimen II)
Una reflexión sobre las investigaciones arqueológicas en los espacios represivos de nuestra catástrofe, dictadura chilena (1973-1990)
Authors: Fuenzalida Bahamondes Nicole
Published: February 2023

Nos proponemos aportar elementos para considerar a los centros clandestinos de detención y tortura, donde se desarrollaron prácticas de violencia política vinculadas al terrorismo de Estado, como recurso reflexivo. Exponemos el análisis de la dictadura chilena (1973-1990) como geografía del horror, paradigmática por la ubicuidad que adquirió. Con la noción de catástrofe y pasado que duele, aplicado a su materialidad y espacialidad, presentamos casos de investigación arqueológica como acompañamientos a los procesos de memoria. Los estudios corroboran un sentido de lugar de carácter efímero y complejo, con la reconfiguración de funciones, prácticas de borradura y ocultamiento posteriores.
La Junta de Calificación, Valoración y Exportación de Bienes del Patrimonio Histórico Español: Un estado de la cuestión sobre sus orígenes y funcionamiento
Authors: Ruiz Santana Ángel Yenisei , Hernández Socorro María de los Reyes , De Luxán Meléndez Santiago
Published: February 2023

En este artículo nos proponemos realizar un análisis sucinto de la Junta de Calificación, Valoración y Exportación de Bienes del Patrimonio Histórico Español, un órgano consultivo del Ministerio de Cultura que desempeña importantes funciones en la gestión del patrimonio histórico español, como decidir sobre la conveniencia de adquirir determinados bienes culturales para museos y colecciones públicas o examinar solicitudes de objetos muebles protegidos que pretendan exportarse del país. Es un organismo poco conocido, por lo que resulta inexorable la publicación de una monografía completa y específica sobre sus orígenes y competencias.
On the Implementation of the Principle of Dualism of Intellectual Law in Co-authorship
Authors: Akhramkina Kira Anatol'evna
Published: February 2023

The relevance of the conducted research is conditioned by the absence of legislative stipulation of the procedure and criteria of evaluation of the creative contribution of co-authors in the single result of their creative activity, as well as by the inconsistency of some cited court arguments, including the impossibility to create a photograph by several authors. In fact, the legislative definition of the notion of co-authorship, given in art. 1258 of the Civil Code of Russian Federation, is not substantial and functional: it lacks the essential and distinctive features and does not reflect the essence of this phenomenon, which makes it difficult to determine the contribution of each author and to evaluate it. In this paper we explore the notion of co-authorship, both in terms of its semantic meaning and in terms of the creative process. Co-authorship is examined using the example of the creation of a photograph as an object of copyright. In fact, the subject of the study is the relationship of established co-creation in photography and exclusive rights to it. The methods of analysis, inductive and comparison with the legislation of foreign countries were used. The main attention is paid to the analysis of judicial practice in the settlement of disputes on the violation of exclusive rights to photographic images, judicial explanation concerning the co-authorship and other similar in nature relationships arising in the process of creating an intellectual creative product (photography). Conclusions are drawn on the relationship between court-established infringement of exclusive rights and the recognition of copyright, legal dualism as the relationship between exclusive and copyright in the court's recognition of co-authorship or lack thereof.
Analytics and iGaming
Authors: Naraine Michael L. , Bradish Cheri
Published: February 2023

Analytics has become quite the buzzword, but its application to discover, interpret, and communicate meaningful patterns from voluminous, velocitous, and varied data still resonates in the sport industry, and has an incredibly important place in modern sports betting. Specifically, big data and analytics (BDA) can help address marketing issues as iGaming in North America enters its infancy and attempts to establish a mature marketplace. This article is dedicated to unpacking the iGaming model and uncovers where BDA could and should be applied to derive greater insights on sports betting consumer behavior.
Analytics on Service Quality in Spectator Sports
Authors: Ozkul Ahmet , Duman Gazi
Published: February 2023

Spectator sport events are made possible by the contributions of many different participants ranging from fans and players to coaches, managers and sponsors. Through the lens of co-creation of value in the spectator sports, we discuss how sport analytics can relate to spectator sport service quality by collecting and analyzing data from each participating actor.
Progressive Analytics Diffusions: Rewiring our Software
Authors: Wanless Liz
Published: February 2023

The sport industry is no stranger to the pursuit of innovation (Slack & Thurston, 2021). The sport analytics realm represents the continual emergence of innovation diffusion curves. This essay shows how innovating both research and education in response to diffusion curves in sport analytics, we can create the space to not only keep but also generate pace.
Associations of genetic and infectious risk factors with coronary heart disease
Authors: Hodel Flavia , Xu Zhi Ming , Thorball Christian Wandall , de La Harpe Roxane , Letang-Mathieu Prunelle , Brenner Nicole , Butt Julia , Bender Noemi , Waterboer Tim , Marques-Vidal Pedro Manuel , Vollenweider Peter , Vaucher Julien , Fellay Jacques
Published: February 2023

Coronary heart disease (CHD) is one of the most pressing health problems of our time and a major cause of preventable death. CHD results from complex interactions between genetic and environmental factors. Using multiplex serological testing for persistent or frequently recurring infections and genome-wide analysis in a prospective population study, we delineate the respective and combined influences of genetic variation, infections, and low-grade inflammation on the risk of incident CHD. Study participants are enrolled in the CoLaus|PsyCoLaus study, a longitudinal, population-based cohort with baseline assessments from 2003 through 2008 and follow-up visits every 5 years. We analyzed a subgroup of 3459 individuals with available genome-wide genotyping data and immunoglobulin G levels for 22 persistent or frequently recurring pathogens. All reported CHD events were evaluated by a panel of specialists. We identified independent associations with incident CHD using univariable and multivariable stepwise Cox proportional hazards regression analyses. Of the 3459 study participants, 210 (6.07%) had at least one CHD event during the 12 years of follow-up. Multivariable stepwise Cox regression analysis, adjusted for known cardiovascular risk factors, socioeconomic status, and statin intake, revealed that high polygenic risk (hazard ratio [HR] 1.31, 95% CI 1.10–1.56, p=2.64 × 10−3) and infection with Fusobacterium nucleatum (HR 1.63, 95% CI 1.08–2.45, p=1.99 × 10−2) were independently associated with incident CHD. In a prospective, population-based cohort, high polygenic risk and infection with F. nucleatum have a small, yet independent impact on CHD risk.
Mimicking genuine drought responses using a high throughput plate assay
Authors: Gonzalez Stephen , Swift Joseph , Xu Jiaying , Illouz-Eliaz Natanella , Nery Joseph R. , Ecker Joseph R.
Published: February 2023

Simple, soil-free assays that can mimic drought conditions are incredibly useful for investigating plant stress responses. Due to their ease of use, the research community often relies on polyethylene glycol (PEG), mannitol and salt treatments to simulate drought conditions in the laboratory. However, while these types of osmotic stress can create phenotypes that resemble those of drought, it remains unclear how they compare at the molecular level. Here, using transcriptomics, we demonstrate that these assays are unable to replicate drought signaling responses in the
Arabidopsis
root. Indeed, we found a significant number of genes that were induced by drought were in fact repressed by such treatments. Since our results question the utility of PEG, mannitol and salt, we designed a new method for simulating drought. By simply adding less water to agar, our ‘low-water agar’ assay elicits gene expression responses that compare more favorably to drought stress. Furthermore, we show our approach can be leveraged as a high-throughput assay to investigate natural variation in drought responses.
Asymmetric, biraphid diatoms from the Laurentian Great Lakes
Authors: Reavie Euan D.
Published: February 2023

This taxonomic account of light micrographs from the coastal Laurentian Great lakes contains taxa from the diatom genera Amphora, Halamphora, Cymbella, Cymbopleura, Delicatophycus, Encyonema, Encyonopsis, Reimeria, Gomphonema, Gomphosphenia, Gomphonella, Gomphosinica, and Gomphoneis. A total of 207 samples of surface sediment and periphyton collected from 106 wetland, high-energy, embayment, and deeper nearshore locales are represented. Light micrographs of 154 taxa are presented. Of these, 76 could not be fully identified as known taxa from the existing literature and so are given tentative names, numbers or conferred assignments. Lake and habitat specificity, modeled autecological optima for phosphorus and chloride, and tolerance to anthropogenic stressors are described for 39 of the more common taxa.
Effect of a Nurse Led Multi-intervention Program on Quality of Life, Subjective Well-being and Level of Thyroid Hormones among Patients with Hypothyroidism- A Quasi-experimental Double arm Study
Authors: Salina S , Leena KC
Published: February 2023

Introduction: Hypothyroidism is a leading public health concern, affecting one in ten Indians. Along with conventional treatment with supplemental Thyroid Hormones (TH), problems associated with hypothyroidism can be managed with complimentary nursing interventions. Aim: To assess the effect of a nurse-led multi-interventional program on Quality of Life (QoL), Subjective Well-Being (SWB), and level of TH among patients with hypothyroidism. Materials and Methods: A quasi-experimental double arm study was conducted from August 2021 to October 2021, at selected endocrinology clinics on patients with hypothyroidism were divided into interventional (n=39) and control group (n=38) non randomly. Information related to socio-demography, QoL, SWB, and TH levels were collected and followed by the implementation of a nurse-led multi-intervention program for the intervention group. The intervention was done individually, which consisted of a demonstration of yoga asana, yoga mudra, and neck exercises. Two-way repeated measures Analysis of Variance (ANOVA) was performed, to check if there is any significant difference in the average QoL/SWB/level of TH across different time points as well as between the experimental and control group. Results: A total of 77 participants 64 (83.1%) males and 13 (16.9%) females were included in the study with maximum participants belonged to the age group of 18-28 years. It was observed that after the implementation of multi-intervention program QoL was significantly improved among the experimental group (F=31.53, <0.001), and SWB also significantly improved (F=36.615, <0.001). Thyroid Stimulating Hormones (TSH) were significantly reduced among the experimental group (F=3.39, p=0.022) and Thyroxine (T4) levels were statistically significant among the experimental group (F=3.151, p=0.030). Conclusion: Patients with hypothyroidism require holistic care. Patients with hypothyroidism could be intervened with programs like yoga, neck exercise, pranayama, and yoga mudras.