bluuebunny/crossref_metadata_2025 huggingface dataset:
SKUBIOSIOS MEDICINOS PAGALBOS SLAUGOS SPECIALISTŲ PERDEGIMO SINDROMO IR EMOCINIŲ KOMPETENCIJŲ SĄSAJOS
Authors: Birbalaitė Eglė , Skarbalienė Aelita , Skvarciany Zdislavas , Istomina Natalja
Published: April 2023

Kritinių situacijų metu sudėtingiau kontroliuoti savo bei kitų emocijas. Skubiosios medicinos pagalbos slaugos specialistai (SMPSS) savo darbe kasdien susiduria su kritinėmis situacijomis, kurios veikia psichoemocinę ir fizinę šių darbuotojų būklę, o kartu ir pacientų svei­katos priežiūros kokybę. Emocinių kompetencijų (EK) ugdymas gali turėti įtakos ne tik kokybiškesniam mani­puliacijų atlikimui kritinių situacijų metu, bet ir fizinei, psichoemocinei SMPSS būklei.

Tyrimo tikslas – nustatyti SMPSS perdegimo sindromo ir EK sąsajas.

Tyrimo metodika. Kiekybinis tyrimas, taikant apklausos metodą. Naudotos priemonės: R. Vimantaitės (2006) perdegimo sindromo rizikos veiksnių modifikuotas klau­simynas ir A. Skarbalienės ir kt. (2019) validuotas EK klausimynas. Taikytas statistinis duomenų apdorojimo metodas. Imtį sudarė: 241 SMPSS.

Tyrimo rezultatai. 1. Penktadalis SMPSS patiria perde-

gimą. Pusė visų apklaustųjų po darbo jaučiasi psicho-logiškai pavargę. Net keturi penktadaliai respondentų skundėsi sveikatos sutrikimais. 2. SMPSS potencialūs perdegimo sindromo rizikos veiksniai yra jaunas amžius (iki 35 m.); nepakankamas poilsio ir laisvalaikio laikas; fiziškai, emociškai bei psichologiškai nepalankios, eks­tremalios darbo sąlygos; laisvalaikio praleidimas rūpi­nantis tėvais. 3. SMPSS savo EK dažniausiai vertino vidutiniškai, pakankamai gerai supranta savo emocijas. 4. Neperdegę SMPSS geba žymiai geriau valdyti savo emocijas nei patiriantieji perdegimo sindromo rizikos veiksnius. Psichologiškai pavargę sunkiau atpažįsta, su­pranta, valdo ir reiškia savo emocijas, jiems sunkiau se­kasi suvaldyti kitų emocijas.

Išvada. SMPSS, kurie aukštai įsivertino EK, rečiau pa­tyrė perdegimo sindromo rizikos veiksnius. Siekiant di­dinti asmens sveikatos priežiūros specialistų atsparumą stresui ir perdegimui, būtina ugdyti ir tobulinti emocines kompetencijas.
VEIKSNIAI, TURINTIEJI ĮTAKOS NAMUOSE SLAUGOMŲ PALIATYVIŲJŲ PACIENTŲ GYVENIMO KOKYBEI
Authors: Mickevičienė Viktorija , Istomina Natalja , Čiurlionis Marius
Published: April 2023

Viena iš Pasaulio sveikatos organizacijos (PSO) veiklos krypčių yra siekis pagerinti paliatyviosios pagalbos ir ją gaunančių pacientų bei jų artimųjų gyvenimo kokybę. Didėjantis sergamumas nepagydomomis ligomis, be­sikeičianti, senstanti visuomenė yra priežastis gerinti, plėsti ir formuoti naują požiūrį į paliatyviosios priežiūros paslaugas, į sergančiojo gyvybei pavojinga liga ir jo ar­timųjų gyvenimo kokybės gerinimo priemones ir teikti pacientams bei jų šeimos nariams visavertes ir kokybiš­kas sveikatos priežiūros paslaugas namuose.

Tyrimo problema – pacientų, kurie gauna paliatyviosios pagalbos paslaugas namuose, gyvenimo kokybei įtakos turinčių veiksnių identifikavimo poreikis.

Tyrimo tikslas – aptarti, kokie veiksniai daro įtaką palia­tyvių pacientų, gaunančių paliatyviosios pagalbos pas­laugas namuose, gyvenimo kokybei teoriniu aspektu.

Metodai. Publikacijų paieška buvo vykdoma mokslinėse duomenų bazėse PubMed, Google Scholar ir eLABa. Atlikta literatūros turinio analizė.

Tyrimo metu paaiškėjo, kad vertinant paliatyviosios pagalbos paslaugas namuose, svarbus vaidmuo tenka socialinės paramos lygiui, materialiesiems ištekliams, išsilavinimui, šeiminei padėčiai, medicinos paslaugų prieinamumui ir kokybei, fiziniams, dvasiniams, bei psi­chologiniams veiksniams. Nerimas, stresas ir depresija yra viena dažniausių gyvenimo pabaigos problemų ir šie simptomai neturėtų būti vertinami, kaip įprastiniai nepagydomos ligos simptomai. Svarbus veiksnys, kuris turi įtakos paliatyvių pacientų gyvenimo kokybei, yra geri šeiminiai santykiai. Dauguma pacientų namuose yra slaugomi savo artimųjų, kurie susiduria su tokiais sunku­mais, kaip blogėjanti fizinė, psichologinė būklė, socialinė ir finansinė sveikata, bei žinių, reikalingų veiksmingai paciento priežiūrai, trūkumu.
PAGYVENUSIŲ IR VYRESNIO AMŽIAUS ŽMONIŲ, GAUNANČIŲ PASLAUGAS NAMUOSE, PROBLEMOS, SUSIJUSIOS SU SLAUGOS POREIKIAIS
Authors: Buračaitė Emilija , Urbanavičė Rita , Istomina Natalja , Jakavonytė-Akstinienė Agnė
Published: April 2023

Demografinio senėjimo pokyčiai Europoje didina pagy­venusių ir vyresnio amžiaus žmonių slaugos paslaugų namuose poreikį. Lietuvoje atliktų tyrimų, kuriuose ana­lizuojami pagyvenusių ir vyresnio amžiaus žmonių, gau­nančių paslaugas namuose, slaugos poreikiai, yra labai mažai. Tyrimo tikslas − apžvelgti pagyvenusių ir vyresnio amžiaus žmonių, gaunančių paslaugas namuose, proble­mas, susijusias su slaugos poreikiais.

Metodai. Pasirinktas tyrimo tipas – tiriamoji literatūros apžvalga. Mokslinių publikacijų ieškota PubMed duo­menų bazėje. Pritaikius visus atrankos kriterijus, rasti 765 straipsniai. Literatūros analizei atrinkti 8 moksliniai straipsniai. Rezultatai: bendravimas – vienas iš svarbiau­sių pagyvenusių ir vyresnio amžiaus žmonių poreikių. Sergantiems lėtinėmis ligomis svarbu, kad personalas, teikiantis slaugos paslaugas namuose, nepažeistų jų pri­vatumo, orumo ir savarankiškumo – tai lemia pacientų pasitenkinimą gaunamomis slaugos paslaugomis na­muose. Šias paslaugas teikiantys slaugytojai turi skatinti pagyvenusių ir vyresnio amžiaus asmenų savarankiškumą bei profesionaliai atlikti paslaugas. Analizuojant moksli­nes publikacijas, pastebėtas didelis tokių tyrimų poreikis, siekiant tobulinti sveikatos priežiūros paslaugų teikimą namuose pagyvenusiems ir vyresnio amžiaus žmonėms.
IŠPLĖSTINĖS PRAKTIKOS SLAUGYTOJŲ LŪKESČIAI PROFESINIŲ KOMPETENCIJŲ TOBULINIMO KONTEKSTE
Authors: Juškevičiūtė Greta , Kielė Viktorija , Kučinskienė Almeda
Published: April 2023

Per pastaruosius tris dešimtmečius slaugytojo profesija labai pasikeitė. Sudėtingesniųgydymo metodųtaikymas ir nuolat tobulėjančios technologijos reikalauja didesnės slaugytojųkompetencijos. Sveikatos apsaugos reformos kelia vis daugiau iššūkių, o slaugytojųkompetencijųplė­trą diktuoja augantys visuomenės lūkesčiai bei poreikiai. Lietuvos sveikatos apsaugos sistemai išgyvenant poky­čius, į sveikatos priežiūros specialistų gretas pradeda įsilieti išplėstinės praktikos slaugytojai. Šie specialistai pradėti ruošti Lietuvoje 2015 metais.Norėdamas atitikti keliamus sveikatos apsaugos reikalavimus ir pratęsti li­cencijos galiojimą, slaugytojas privalo tobulinti profe­sines kompetencijas, nepriklausomai nuo to, kokias stu­dijas yra baigęs.

Tyrimo tikslas – išanalizuoti išplėstinės praktikos slaugy­tojų lūkesčius profesinių kompetencijų tobulinimo kon­tekste. Tikslui pasiekti buvo atliktas kokybinis tyrimas – tikslinės grupės (angl. Focus group). Tyrime dalyvavo 6 išplėstinės praktikos slaugytojai: 3 pirminės sveikatos priežiūros ir 3 anestezijos ir intensyviosios terapijos. Ty­rimo metu buvo užduoti 4 diskusiniai klausimai apie pro­fesinių kompetencijų tobulinimą ir slaugytojų lūkesčius profesinių kompetencijų tobulinimo kontekste. Tyrimo metu nustatyta, kad daugiau nei pusė tyrime dalyvavu­sių išplėstinės praktikos slaugytojų, siekdami tobulinti ir gilinti profesines kompetencijas, dalyvauja įvairiose konferencijose, kurios yra skirtos gydytojams. Atskleista, kad 4 iš 6 informantų teigė, kad išplėstinės praktikos slaugytojai turi ne tik platesnes kompetencijas, bet ir didesnę atsakomybę, todėl ir kursai turėtų skirtis. Ty­rimo metu nustatyta, kad dauguma informantų norėtų tobulinti lyderystės, vadybos ir psichologijos profesines kompetencijas, o atsižvelgiant į įgytą specializaciją, ir klinikinio darbo praplėstas kompetencijas. Išplėstinės praktikos slaugytojų lūkesčiai profesinių kompetencijų tobulinimo kontekste yra didesni, nei profesinių kompe­tencijų tobulinimo galimybės.
PACIENTŲ SVEIKATOS MOKYMAS PRIĖMIMO – SKUBIOSIOS PAGALBOS SKYRIUJE
Authors: Šmyt Rita , Misiūnienė Oksana , Šuminienė Jurga , Kutkauskienė Jelena , Kučinskienė Almeda
Published: April 2023

Sveikatos mokymas užima svarbią vietą šiandieninės sveikatos priežiūros sistemoje. Pagrindinis vaidmuo orga­nizuojant sveikatos mokymą dažniausiai tenka slaugyto­jui. Slaugytojo sveikatos mokymo užduotis – padėti paci­entui tapti nepriklausomu ir pasirūpinti savimi sveikimo metu. Pastaruoju metu priėmimo – skubiosios pagalbos skyrius tampa pirmąja pacientų kreipimosi vieta, jų skai­čius nuolat didėja, tad priėmimo – skubiosios pagalbos skyrius yra tinkama pacientų sveikatos mokymo vieta.

Darbo tikslas – išnagrinėti pacientų sveikatos mokymą priėmimo – skubiosios pagalbos skyriuje, atsižvelgiant į naujausius mokslinės literatūros šaltinius.

Mokslinės literatūros paieška buvo vykdoma tarptautinėje duomenų bazėje PubMed, naudotasi mokslinių publi­kacijų paieškos sistema Google Scholar. Pagal atrankos kriterijus rastos 7 viso teksto mokslinės publikacijos, paskelbtos nuo 2017 m. Duomenų apdorojimui taikytas aprašomosios kokybinės turinio analizės metodas.

Analizuojant mokslines publikacijas išsiaiškinta, kad sveikatos mokymas yra svarbus ir būtinas priėmimo – skubiosios pagalbos skyriaus pacientams, tačiau dėl dau­gybės kliūčių jis šiame skyriuje nevyksta arba vyksta tik iš dalies. Atliktos literatūros apžvalga parodė pacientų sveikatos mokymų algoritmų naudojimo svarbą. Efek­tyviam pacientų mokymo užtikrinimui, priėmimo – sku­biosios pagalbos skyriaus slaugytojai turi reguliariai at­naujinti profesines žinias ir įgūdžius.
SCHROTH METODIKOS EFEKTYVUMAS ESANT PAAUGLIŲ IDIOPATINEI SKOLIOZEI
Authors: Belickienė Vaida , Šidlauskienė Aurelija , Sinkevičius Romualdas , Raistenskis Juozas
Published: April 2023

Tyrimo tikslas. Įvertinti Schroth metodikos efektyvumą paauglių idiopatinės skoliozės gydymui. Sisteminė li­teratūros apžvalga buvo parašyta laikantis PRISMA (Prefered Reporting Item for Systematic Review and Meta-Analyses) sisteminės literatūros apžvalgos rengimo reikalavimų. Atlikus atranką pagal sisteminės literatūros apžvalgos įtraukimo ir atmetimo kriterijus, į sisteminę literatūros apžvalgą buvo įtrauktos 13 publikacijų. Efek­tyvumo įvertinimo tikslui pasiekti visų atrinktų mokslinių publikacijų duomenys buvo susisteminti į vieną tyrimų rezultatų lentelę, kurioje pateikiamas tyrimų eksperimen­tinės ir kontrolinės grupių skirtingų vertinimo rodiklių vidurkis ir standartinis nuokrypis prieš ir po Schroth ir ki­tos intervencijos taikymo. Paauglių idiopatinės skoliozės gydymui taikant Schroth metodiką, nustatytas statistiškai reikšmingas Cobb kampo sumažėjimas, liemens rotacijos kampo ir gyvenimo kokybės vertinimo rezultatų pagerė­jimas. Lyginant Schroth metodikos taikymą su pacientų stebėjimo metodu, kai Cobb kampas yra mažesnis nei 250, Schroth metodo taikymo atveju nustatytas statistiškai reikšmingas Cobb kampo sumažėjimas. Nustatytas statis­tiškai reikšmingas skoliozės vertinimo rodiklių pagerė­jimas paauglių idiopatinės skoliozės atveju pacientams, kurių Cobb kampas yra tarp 250 – 450, kai koreguojamieji įtvarai derinami kartu su Schroth metodikos taikymu.
VIRTUALI REALYBĖ PEDIATRIJOJE: POVEIKIS SKAUSMUI IR NERIMUI
Authors: Mikėnaitė Karolina , Rašimaitė Odeta , Raistenskis Juozas , Aukštikalnis Tomas
Published: April 2023

Šiuolaikinėje visuomenėje sparčiai populiarėja techno­logijos, naudojamos tiek pramogoms, tiek atlikti įvairius darbus. Mokslininkai, inžinieriai ir toliau bando išrasti, pato­bulinti techniką, galinčią palengvinti žmonių būtį, pagerinti gyvenimo kokybę. Taip atsirado ir virtuali realybė (VR), kurią bandoma pritaikyti įvairiose srityse, tarp jų ir medi­cinoje. JAV nacionalinės medicinos bibliotekos PubMed duomenų bazėje kiekvienais metais didėjantis VR taikymą medicinoje nagrinėjančių mokslinių straipsnių skaičius rodo, jog susidomėjimas VR galimybėmis nepaliaujamai auga.

Tyrimo tikslas – įvertinti virtualios realybės efektyvumą malšinti vaikų patiriamą skausmą ir nerimą medicininių pro­cedūrų metu.

Išvados. VR tyrimai pediatrijoje daugiausia buvo skirti dėmesio atitraukimui. Dideli poveikio dydžiai rodo, kad VR yra veiksminga dėmesio atitraukimo priemonė, skirta sumažinti skausmą ir nerimą vaikams, kuriems atliekamos įvairios medicininės procedūros.
A COMPARISON OF OTOENDOSCOPY WITH OTOMICROSCOPY FOR DIAGNOSTIC AND SURGICAL EVALUATION
Authors: Bano Gulistan , Angral Sumeet , chandra Kamlesh
Published: April 2023

Introduction: The tympanic membrane is the window into the middle ear, yet simply looking at it with the naked eye is insufcient to identify
every condition. To visualize and document middle ear diseases, otologists now use an otomicroscope and an otoendoscope, which are required for
surgical treatment [1]. Chronic Otitis Media is one of the common causes of hearing impairment and disability. The microscope revolutionized the
surgical management of ear diseases, but the basic optical properties of the microscope have remained the same for the last 30 years [2]. The
present study was intended to evaluate and compare the visualization of middle ear structures using an otomicroscope and 0 and 30-degree angled
endoscopes in cases of Chronic Otitis Media (mucosal type) and also to make a surgical comparison in terms of advantages and disadvantages of
the endoscope with the microscope in myringoplasty. Aims And Objectives: To visualize the middle ear structures by 0- and 30-degree angled
endoscope and otomicroscope and to compare the results of endoscopic myringoplasty with that of myringoplasty done by using an operating
microscope. Material And Methods: This was a comparative prospective study in which 100 patients, above the age of 15 years were examined
by otomicroscopy and otoendoscopy. The visualization of various middle ear structures and the results of myringoplasty done with an endoscope
and microscope were compared and statistically analysed. 30-degree angled endosc Results: ope provided better visualization of middle ear
structures than with the microscope. Endoscopic myringoplasty showed good results in terms of accessibility, duration of surgery, postoperative
pain, and cosmesis. Otoendoscopy provided better visualization of various middle ear Conclusion: structures as well as showed good outcomes in
surgical aspects. Thus, endoscopes can be utilized for better diagnosis, and it can be a good alternative to microscopic myringoplasty
EPIDEMIOLOGY, TREATMENT STRATEGY & OUTCOME IN PATIENTS WITH TRAUMATIC BASIFRONTAL CONTUSION- A RETROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA
Authors: Shanmugaiah Anand , Jayakumar Jayakumar
Published: April 2023

Background: Frontal contusions especially basifrontal region is quite common brain injury following road trafc accidents. The management of
these basifrontal contusions depends upon various factors and appropriate management is important as these patients can deteriorate anytime
during the hospital stay. The aim of this study is to analyze the epidemiology of basifrontal contus Objective: ions in head injury and assess the
outcome following conservative vs. surgical treatment and to identify risk factors involving poor outcome in patients with traumatic basifrontal
contusions. This study is a retrospective study from January 2022 to December 2022 conduc Material & methods: ted in institute of neurosurgery
, madras medical college. Total 310 patients with CT ndings of basifrontal contusion admitted between jan 2022- dec 2022 were studied. Results:
Initial surgical decompression was done in 50 patients of which 10 patients having contusion volume >50cm3 and 40 patients having contusion
volume > 35cm3< 50cm3 . 10 patients were seen having increase in contusion volume & were undergone delayed surgical intervention after 48
hours. Of 310 patients treated , 74 patients died of which 38 deaths were in post operative period and 10 death in patients who were managed
conservatively , 26 deaths in those patients whose admission GCS was 3. Seven patients died due to rapid deterioration within 24 hours of
admission having GCS 9 to 13 with contusion volume 20cm3 – 35cm3. Three patients died after 7 days with GCS 13-15 who were conservatively
managed with contusion volume < 20 cm3. Both sudden & delayed deterioration complicated the clinical course of this disease with both increased
mortality & morbidity in bilateral lesions. Basifrontal contusion remains a Conclusion: challenge for the treating neurosurgeon when compared to
contusions of other areas of brain as the basifrontal region is a silent area of brain and it is difcult to interrupt the quantum of injury and to elicit the
features of increased intracranial pressure. Early surgical intervention might be appropriate in patients with contusion volume >35cm3 with GCS
<9. Close observation with hourly GCS monitoring is essential in patients who are managed conservatively.
URINARY BLADDER LEIOMYOSARCOMA --- A RARE CAUSE OF HEMATURIA
Authors: Kumar Abhay , Goel Gourab , Chatterjee Amvrin , Roy Subhadra
Published: April 2023

Cases of bladder leiomyosarcoma represent 0.1% of all nonurothelial
tumours. Nonurothelial neoplasms of the bladder account for <5% of
all bladder tumours. Urinary bladder leiomyosarcoma is a very rare
entity with few cases reported in the literature. Given its scarcity, little
is known about its etiology and consensus lacking on therapeutic
management. Here we present the case of a 36year old female patient
diagnosed with bladder leiomyosarcoma and then treated with partial
cystectomy of the bladder and bladder reconstruction with bilateral
pelvic lymph node dissection..
CARBON MONOXIDE, THE SILENT KILLER – A CASE REPORT
Authors: Yashwanth Kumar A , Subhedar Abhijit
Published: April 2023

A 36 years old female committed suicide in sealed washroom by closing the door and covering air entries and exits with cement, and then burnt
charcoal. She left a suicide note. The deceased body was brought to Mortuary, Osmania General Hospital at 04:00 PM on 11/06/2022 by the I.O and
requested for postmortem examination under section 174 CrPC.
COMPARISON OF INTRATHECAL MIDAZOLAM VERSUS INTRATHECAL FENTANYL AS AN ADJUVANTS IN SPINALANAESTHESIA TO BUPIVACAINE FOR INFRAUMBILICAL SURGERIES, A RANDOMIZED INTERVENTIONAL CLINICAL STUDY
Authors: Singh Meena Vikram , Chand Meena Satish , Chand Suresh
Published: April 2023

Background- This study is regarding the use of non-opioid adjuvants to intrathecal local anesthetics. Opioids are commonly used as an adjuvant;
however, the use of opioids is associated with potential respiratory depression and other side effects. The purpose of this study is to nd out nonopioid alternative as an adjuvant to local anesthetics for analgesia in spinal anesthesia. Methods- This study was conducted in SMS Hospital,
Jaipur, Department of Anaesthesiology. 72 patients, scheduled to undergo different infraumbilical surgeries were chosen randomly and preanesthetic check-ups was done same day. Patients of either sex, age ranging between 20-60 years, belonging to ASAgrade 1 and II were chosen for
study. Informed consent was obtained from each patient. Results- Mean duration of sensory and motor block in Group A and group B was
278.92,194.14 and 194.42,52.17 respectively(P<0.001S). Total duration of analgesia(min) was not signicant (P=0.137NS). Maximum number of
the cases 91.67% in Group Awere observed in the 4score followed by 8.33% in 5 score. As compared to in other group B, maximum number of the
cases were observed 61.11% in the 4. And followed by 30.56in5 and rest 8,33% were in score 6. this observation was statistically. Hypotension
cases were observed in 13.88% of Group Aand lower 11.11% in Group B (p value = 1.00NS); Bradycardia cases were observed in 5.55% of Group
A and 2.78% in Group B, also statistically not signicant (P = 1.000NS). Pruritis was observed only in group B (13.88%) also statistically
signicant. Conclusion- Our study concluded that midazolam cause longer duration of motor and sensory block and visual analogue score is also
lower postoperatively in initial hours, however, there was no difference in the total duration of effective analgesia between adjuvant intrathecal
midazolam as compared to intrathecal fentanyl for patients undergoing infra umbilical surgery
AWARENESS OF BLOOD BORNE INFECTIONS AND THE BURDEN OF OCCUPATIONAL EXPOSURE TO BLOOD AND BODY FLUIDS AMONG HEALTH CARE PERSONNEL IN A TERTIARY CARE TEACHING HOSPITAL
Authors: P V Dinesh , Labeeb Mohammed , K G Namratha
Published: April 2023

Introduction Exposure to blood and body uid pose a serious risk to health care professionals and they are most often underreported. The present
study aimed to assess the awareness of blood borne infections and to quantify the burden of exposure among the health care personnel. Materials
and Methods This cross sectional study was conducted among 180 health care professionals of a tertiary care teaching hospital. The participants
were divided into two groups. Aself administered questionnaire was used to assess the awareness level and burden of exposure over a period of one
year. Results There were 90 participants in Group A consisting of consultants, residents and medical interns. Another 90 participants in Group B
consisted of Lab technicians, Staff nurses, Nursing students, Nursing Interns and Nursing Assistants. Awareness level regarding universal
precautions was good, however awareness regarding post exposure prophylaxis was poor. Also awareness regarding the place of availability of
post exposure prophylaxis was poor. The proportion of health care personnel exposed was 45.5%. Conclusion Even though the awareness
regarding universal precautions was good, it did not translate into practice and this is the reason for the high exposure rate among the health care
professionals. There is an urgent need to create awareness regarding the occupational exposures in health care settings and ways to prevent them.
Regular reinforcement of such training is also essential
AN OBSERVATIONAL STUDY OF FIBROID UTERUS UNDERGOING HYSTERECTOMY AT TERITARY CARE CENTRE.
Authors: Kotha Preethi , Kumar Pavan , Ratna Ganti
Published: April 2023

BACKGROUND: Due to their wide spectrum of clinical symptoms such as irregularities of menstrual cycle, pelvic tenderness and infertility were
represent incredible public health burden on women and economic costs to the society. They assume importance particularly in developing
countries such as India as they are an important cause of anemia. So strategies are needed to prevent the formation, to limit the growth and to treat
non surgically. :The present study was done to evaluate the clinical and pa AIMS AND OBJECTIVES thological spectrum among women with
uterine broids at department of obstetrics and gynaecology in Dr.PSIMS &RF, chinnoutpalli,Andhra pradesh and to recognize the pattern of
presentation, mode of treatment and correlated conditions treat non-surgically Thi METHODS: s study was conducted in the Department of
Obstetrics & Gynecology .All the patients who were undergoing hysterectomy after diagnosis with uterine briods in Dr.PSIMS &RF,
chinnoutpalli,Andhra pradesh.The current study was a prospective observational study.100 patients were allocated consecutively.The present
study was conducted during the period of December 2019 to October 2021. A prospective observat RESULTS: ional study was done among 100
patients diagnosed with broid uterus satisfying the inclusion & exclusion criteria and underwent hysterectomy in the department of obstetrics and
gynecology, Dr.PSIMS &RF, chinnoutpalli,Andhra pradesh during the study period of December 2019 to October 2021 after obtaining informed
consent.In present study, majority of patients (42%) belong to age group of 31 to 40 years followed by 40% of patients belong to age group of 41 to
50 years, 11% of patients belong to age group of 51 to 60 years and 7% of patients belong to age group of 21 to 30 years with mean age of 42.06 ±
7.21 years and a range of 25 years to 60 years.. It was concluded from the study that;Ut CONCLUSION: erine broids are the most common benign
tumors in pelvis of women.There is increased incidence of uterine broids among women with reproductive age group particularly in 3rd decade of
life with seldom occurrence before puberty and cessation of growth after menopause.Although uterine broids are most common in women of low
parity, the present study ndings showed higher incidence among women with multiparous women.The incidence of asymptomatic patients was
very low (1%) and infertility was observed in 16% of cases
POST SURGICAL STIFFNESS OF KNEE JOINT IN PIGMENTED VILLONODULAR SYNOVITIS: A RARE CASE REPORT
Authors: Sufyan Nabeil , Kapoor Srijan , Gupta Ayush
Published: April 2023

Introduction: Post-surgical knee stiffness is a debilitating complication and its treatment ranges from simple arthroscopic adhesiolysis to more
extensive Quadricepsplasty. Physiotherapy rarely sufces in most cases. We are presenting a case of surgically intervened pigmented villonodular
synovitis (PVNS) with stiff knee treated by open intraarticular adhesiolysis and a modied V-Y quadricepsplasty and extensor mechanism release,
a rst of its kind. An Indian male in his 20s, a surgically intervened case Case Presentation: of PVNS lost to follow-up due to COVID-19
Lockdown presented with a stiff knee with movement of 0-30o exion in early 2022. An open adhesiolysis of the joint arthrobrosis using the
previous incision was performed, and a separate full thickness V-shaped incision at proximal Musculo-tendinous junction of quadriceps tendon
was given to achieve exion of 130°.The tendon was repaired in its lengthened position, giving the appearance of a V to Y. Post-operatively,
muscles strengthening, and Range of motion (ROM) exercises including continuous passive motion (CPM), were included following a specic
physiotherapy protocol immediately after surgery. 10 weeks post-op, the patient has 0-120° active and passive ROM of the knee with an extensor
lag of 7°. A planned and proper surgical approach targeting the primary cause of sti Conclusion: ffness augmented with direct extensor mechanism
lengthening procedures (quadricepsplasty) if needed, can achieve good per-operative knee ROM. Aggressive surgery specic postoperative
physiotherapy and rehabilitation play a major role in achieving satisfactory results
AN ANALOGY OF HRCT CHEST AND ANTIGEN ASSAY WITH RT- PCR TEST IN THE DIAGNOSIS OF COVID-19
Authors: Moorthy Janani , Kumar Vasantha , Thangam Vinoth , Radhan Prabhu , Ayyadurai Saranya , Gadiraju Balasubramanyam , Rajani Rajani
Published: April 2023

Introduction We aim to compare Rapid Antigen Test and HRCT chest with Reverse Transcriptase-Polymerase chain reaction (RT-PCR) for
diagnosis of COVID-19. MethodsThis observational cross-sectional analytical study included patients tested with RT- PCR and at least one Rapid
Antigen test or HRCT chest, which was conducted at ACS Medical college Chennai, from June 2021 to June 2022 after obtaining the ethical
clearance. Data analysis was done using statistical packages for social sciences version 16. Results 315 of 755(41.7%) patients had positive RTPCR and 18.4% of 733 patients had positive antigen tests. Of 600 patients, 106(14.0%) were found to have CO-RADS 1,152(20.1%) had CORADS 2, 77(10.2%) had CO-RADS 3, 18(2.4%) had CO-RADS 4 and 247(32.7%) had CO-RADS 5 score on HRCT. Rapid Antigen Test was
found to have 43.6% sensitivity, 98.6% specicity, 95.6% Positive predictive value (PPV), and 72.1% negative predictive value (NPV).CO-RADS
scoring system was able to distinguish between RT-PCR positive and RT-PCR negative results with an average Area under curve 0.787. CO-RADS
5 had a sensitivity of 71.6%, specicity of 85.1%, PPVof 80.6%, and NPVof 77.6% for a positive RT-PCR result. Acombination of CO-RADS 1 in
HRCT chest and a Negative Antigen test can predict PCR negative results with 23.6% sensitivity, 97.3% specicity, 90.5% PPV, and 54.0% NPV.
Conclusions Rapid Antigen Test is a better tool for conrmation rather than screening for COVID-19. HRCT chest with higher CO-RADS can be
useful to diagnose COVID-19 in suspected patients, even if RT-PCR is negative.
DUMBBELL-SHAPED HYPOGLOSSAL SCHWANNOMA- A RARE CASE REPORT FROM NORTHEAST INDIA WITH REVIEW OF LITERATURE
Authors: Borah Nabajyoti , Haque Inamul , Barua Navanil , Barman Ananya , Gang Sneha , Akhtar Shabnam
Published: April 2023

Background: Hypoglossal nerve schwannomas are uncommon, benign, and slow growing tumors arising from Schwann cells of the peripheral
nerve sheath. They are well-documented in adult population. To the best of our knowledge, dumbbell-shaped hypoglossal schwannomas are rare
and only 40 cases have been described in literature till date. They are managed surgically which poses signicant challenges including preservation
of facial nerve. A 57 year old female presented with periodic spells of headache Case presentation: , imbalance while walking, trouble swallowing,
right-sided tongue atrophy, and chronic chest infection. She was subsequently diagnosed with right cerebello-pontine (CP) angle hypoglossal
schwannoma with extracranial extension. The tumor was managed by surgery and was performed in two stages: Stage one involved right
retromastoid-sub occipital (RMSO) craniectomy with gross total excision of the lesion in the right CP angle followed by endoscopic assisted
transoral-transpharyngeal excision of the tumor in the neck. Post-surgery, the patient showed gradual improvement. She could walk independently,
her headache sub-sided and she showed slow improvement of lower cranial nerve function. However, during last follow up, it was observed that
atrophy on the right side of the tongue still persisted. This case highlights t Conclusion: he importance of accurate diagnosis and treatment of
hypoglossal schwannoma. Complete surgical excision is the recommended treatment for hypoglossal schwannoma which subsequently lowers the
risk of recurrence and gives a good prognosis
Analysis of Ukrainian potato breeding lines using the DNA marker for the H1 potato cyst nematode gene
Authors: Kyrychenko S. , Sozinova O. , Bondar T. , Sozinov I. , Kozub N. , Borzykh O.
Published: April 2023

Goal. Molecular identification of carriers of the H1 gene among potato varieties of the Polish research department of the Institute of Potatoes of the National Academy of Sciences (IC) and comparison of these data with the results of the biotest analysis for resistance to Globodera rostochiensis.

Methods. The use of molecular markers that indicate the detection of the resistance allele in the genomic of the variety. The PCR method was used. The lines were also analyzed by a biotest method.

Results. Screening of allele of the molecular marker H1 gene in a selection of 70 cultivar samples showed that 67 (95.7%) samples have the allele associated with resistance, and 3 — the allele for susceptibility. The paper presents the results of the study of the resistance of potato breeding lines of the Ukrainian breeding of 1—2 years of testing, provided by the Polish Research Station. 60 resistant variety samples were established by the biotest method. 10 variety samples were noted, in which the results of analysis by the molecular methods and bioassay did not match.

Conclusions. Therefore, a comparison of the bioassay method and molecular studies showed a coincidence of results in 60 (85.7%) resistant breeding lines in the study.
The development of harmful organisms in corn crops depending on tillage and protection system
Authors: Snizhok O. , Shevchenko T.
Published: April 2023

Goal. Determine the impact of tillage and protection system on weed species and the development of diseases and pests of corn on grain in the Western Polissia zone.

Methods. The research is based on field experiments using methods: visual — to determine phenological phases of growth and development of culture; calculation — to determine the development of diseases, pests, parameters of the structure of crop and harvest capacity of culture; chemical — to determine the content of nutrients in the soil; mathematical and statistical — to assess the reliability of research results; calculation-comparative — for the analysis of economic efficiency.

Results. It has been established that tillage has a significant impact on the accumulation of harmful organisms. First of all, this is clearly observed by the number of weeds. For example, with overdeep tillage, the number of weeds was 277.1 pcs./m2, while with soil loosening it was 2.0 times higher (545.6 pcs./m2). The number of weeds, depending on the tillage, when spraying with herbicides, was in the range of 12.5—53.5 pcs./ m2, which is 22.2—10.2 times lower than in the variants without herbicides. A slightly smaller difference in the influence of soil cultivation was monitored on the development and spread of diseases and pests.

Conclusions. Under tillage and spraying with herbicides, the number of weeds was 96.8% lower compared to the control. Technical efficiency fungicide Retengo, k.e. (pyraclostrobin, 200 g/l) (0,5 l/ha) against fusarium was at the level of 87.1—90.0%, gray rot — 78.3—80.1% and helminthosporiosis 79.4—81.4%, depending on the tillage. Against them, the main deterrent was still chemical protection. In the variants without an insecticide, the population of maize hairy aphids was 85%. The use of Belt 480 SC, k.s. (flubendiamide 480 g/l) (0.15 l/ha) made it possible to reduce the plant population by the pest by 3.5 times. The 20—22 cm overdeep tillage and 10—12 cm shallow tillage ensured corn yields of 6.90 and 6.28 t/ha of grain, respectively, compared to the 6—8 cm soil loosening (5,36 t/ha). However, the combination of tillage with an intensive protection system allowed to increase the yield to 11.83 and 10.63 t/ha.
Harmfulness of cryptid and cabbage pod mosquito of the Steppe zone of Ukraine
Authors: Bashchenko M. , Shyta O. , Bondar T. , Fedorenko А. , Chelombitko A.
Published: April 2023

Goal. To specify the species composition of phytophages and to investigate their harmfulness in winter rapeseed crops.

Methods. The research was conducted in the Steppe zone in 2022 (Odesa region, Odesa district, Khlybodarske settlement, «Odesa State Agricultural Research Station of the Institute of Water Problems and Land Reclamation of the National Academy of Sciences»). Clarification of the species composition and the dynamics of the number of phytophages was carried out according to generally accepted methods.

Results. During the surveys, insects belonging to 6 orders (Coleoptera, Heteroptera, Hemiptera, Diptera, Hymenoptera and Lepidoptera) were found, of which 47,3% were direct pests of winter rape, 10.8% were pests of grain crops (there were fields nearby, and research plots of grain and ear crops), and 41.9% are entomophages. At the time of research, there were an average of 46 rapeseed plants per 1 m2, with 36.7 ± 2.19 pods per plant. During visual inspections before harvesting, characteristic damage by the cabbage stem borer (Ceutorhynchus quadridens Panz.) was noted on the rape stalks — 31.0% of plants/ m2, and the plants were broken near the root neck. During the growth of the stem, the larval stages of this pest were found, which penetrated into the middle, biting the petiole of the leaf, then moved to the root neck, where they fed on the tissues of the plant for a long time, causing its fragility. It was found that damage to pods per 1 m2 was 21.9%. Of them, the seed gnat (Ceutorhynchus assimilis Payak.) — 18.0%, the cabbage pod mosquito (Dasyneura brassicae Winn.) — 3.9%. Total crop losses from the above-mentioned pests on winter rapeseed crops amounted to — 52.9%.

Conclusions. It was established that the share of pests in the entomocomplex of rape agrocenosis was — 47.3%. Damage to winter rapeseed crops by cabbage seed borer was — 18.0%, cabbage pod mosquito — 3.9%, and cabbage stem borer — 31.0%, which in total resulted in 52.9% yield loss.
¿Virus o bacteria? esa es la cuestión
Authors: Montaño Icedo Mónica Lizeth
Published: April 2023

Los virus y las bacterias pertenecen a diferentes reinos biológicos; sin embargo, comparten las características de ser microscópicos, ser letales para la salud humana y ser capaces de vivir en ambientes extremos. A pesar de estas similitudes se debe aclarar que no son lo mismo. Las bacterias son organismos unicelulares y los virus son partículas que contienen ADN o ARN. Después de la pandemia por Covid-19 se han creado especulaciones y confusiones sobre los virus. Se realizó una encuesta digital abierta para evaluar el conocimiento de público general. Se encontró que el 97.6% de los encuestados no consideran a los virus y las bacterias como lo mismo y el 90.5% considera que se debería de profundizar el tema desde la primaria. Aunque la mayoría de los encuestados conocían la diferencia entre virus y bacteria, contrario a lo que se había previsto, se obtuvo un resultado esperado en que se debería...
The Understanding of Economic Development of India Through The National Planning Commission of India and The Niti Aayog: An Analysis
Authors: - Vanamala Srinivas , - Sahitya Parthasarathy , - Jumana Raja
Published: April 2023

The Indian Constitution, the wealth of knowledge from our civilizational history, and the current socio-cultural-economic contexts must form the basis upon which the institutions of governance and policy must adapt to new challenges if they are to reflect the spirit and altered dynamics of the new India. To achieve India's and its people's aspirations, institutional reforms in governance and dynamic policy modifications that may seed and foster remarkable transformation are required. The government of India has formed NITI Aayog (National Institute for Transforming India) in place of the Planning Commission in order to adapt to current times and suit the needs and aspirations of the Indian people. This article examines the contributions of the National Planning Commission and the National Institution for Transforming India (NITI) Aayog to the development of the Indian economy.
Acceleration of Digital Banking in India
Authors: - Tarun Sharma , - Anjoo Chauhan
Published: April 2023

Post Independence of India in 1947, Digital Banking in India was straggled behind many developing nations. The major reasons behind this was increased use of legacy systems, huge costs of running branches, and outmoded technology that could not be upgraded. Since then, India witnessed gradual yet strong growth in Digital banking. Digital banking involves the digitalization of all established banking products, processes, and activities to provide services to the customers using online channels. With the help of digital banking, any bank branch services are available and approachable 24/7 on mobiles, computers, and appropriate smart devices. In this article Researcher have reviewed the digital banking scenario in India and recent developments and upcoming schemes related to digital banking in India.
Fate of Common People During Partition in the Novels of Bapsi Sidhwa's Cracking India
Authors: - D. Bharathi , - P.Krishnaveni
Published: April 2023

This paper focuses on the fate of common people during the Partition of India. Indian sub-continent is a conglomeration of many religions. Each religion has its own culture. The paper not only focuses on the role of Communal riots in the Partition but also how women in all communities were used as a play material in the Partition play ground. Socio-religious and political disparities and the importance of greed during the partition.
Marketing Strategies of Coca-Cola India
Authors: - Mohd Amaan siddiqui , - Ashish Singh
Published: April 2023

Coca-Cola with its rich history and legacy of exceptional marketing strategies and a supreme over 500 beverages such as Sprite, Thumps U and mineral water brand like Kinley known Coca-Cola Beverages (HCCB) has been in Ind Catering to the thirst and cravings of million contributing a significant amount to the India investments and employment opportunities. long way using aggressive mass marketing pioneers in the field of
Consumer Behaviour Towards Parle
Authors: - SIDDHANT SINGH , - MUKUL KUMAR SHRIVASTAVA
Published: April 2023

One of the goals of the current research is to determine why Parle biscuit sales increased during the pandemic. The current study is named "Consumer Demand for Parle Biscuits." A few of the many variables influencing customer preference, which varies from brand to brand, include advertising, peer pressure, quality, price, taste, and other elements. The interests of customers must be recognized and respected by modern companies. The demand for biscuits has considerably increased as a result of the nationwide lockdown brought on by COVID-19 in March 2020. The study's goal is founded on a partial assessment of Parle's products, programs, and business practices in relation to the calibre of Parle Biscuits and other companies currently operating in the market. The poll aims to ascertain retailers' preferences for biscuits as well as their familiarity with and satisfaction with Parle services. The material was primarily gathered from 200 people. In Kolkata, screening of city residents and business owners was done simultaneously. Most patrons of Parle cookies choose to eat the glucose, cream, and puff varieties. Consult with your pals. The research discovered that factors affecting customer satisfaction were largely unaffected by demographic factors like age, gender, and occupation. The research discovered that Britannia Good Day biscuits outperformed Parle's Parle-G biscuits in terms of customer preference after adjusting for all other variables.
Reviving the Soul of Ganga: A Comprehensive Review of the Development of River Front Ghats
Authors: - Apoorva Swaroop , - Sangeeta Sharma , - Keshav Kumar
Published: April 2023

This paper presents a comprehensive review of the impact of the Ganga River front Ghats on spirituality and temple architecture, as well as their development over the years. The Ganga River holds immense religious significance for Hindus, and the Ghats serve as places for spiritual and religious practices such as bathing, worship, and rituals. This paper delves into the different types of Ghats, their architectural styles, and their significance in the religious and cultural life of the people living along the river. The paper also analyzes the historical development of the Ghats, from their initial construction during the Mauryan Empire to their current state of disrepair and neglect. Furthermore, the paper assesses the impact of the Ghats on spirituality and the architectural evolution of temples built around them. It also explores recent efforts made by various organizations and government agencies to restore and develop the Ghats, including the use of modern technology and sustainable practices. The aim of this review is to provide an in-depth understanding of the impact of Ganga River front Ghats on spirituality and temple architecture and to evaluate the progress made in their development over the years.
Big Data Analytics & Visualization From Google Form Data For Placement
Authors: - Vishnu P , - Lokesh M , - Kishore M , - Ashwin S , - Castro S
Published: April 2023

A data analytics model for Educational institutions can help to predict the outcome of student’s results in the Campus Placement drives. It shows the progress of the students and can point out the students who need improvement and the institution can take further measures to improve the results of the students.
Effect of Creativity in Language Education on Academic Achievements
Authors: - Dr Bhimappa Rangannavar
Published: April 2023

Creative ability of the human being is both inherited as well as acquired. But as the human being can not have any control over heredity as a factor influencing creativity; at least the environment can be made conducive for enhancing the creative talents of the individual. The school environment is supposed to play a very determining role in unfolding the creative talents of the learners. School is a platform where ample opportunities are created for promoting creative thinking of the learners as well as their achievements in different fields of life. In this Research papers language education covers the ability of achievements in creativity through different dimensions for the better academic achievements through experiments.
QUAD and the Adversarial Drift in Sino-Indian Relations: An Analytical Study
Authors: - Nikita Raj
Published: April 2023

The study has been undertaken to investigate the main reason for the adversarial drift in relations between neighbors in the Indo-Pacific region. This region, for which Quad has been formed, has become the centre of gravity of world politics and economy. The study aims to understand how China views Quad with suspicion, leading to an adverse drift in relations between India and China. It also explores how a new strategic policy has been formulated in this region through the Quad, which is creating problem for china. To achieve this, the paper moves forward to examine these questions in the context of a wide range of research paper analysis methods and synthesize the previous research. It involves more detailed findings drawn from their research experience using descriptive and analytical methods to investigate the relevance of the questions.
A Role of Social Media in B2B Marketing and Branding: A Case of UK Fashion Industry with Reference to Zara, UK
Authors: - Anish Bainsla , - Shivendra Singh Choudhary
Published: April 2023

The current study focuses on the topic, THE ROLE OF SOCIAL MEDIA IN B2B MARKETING AND BRANDING : A CASE OF UK FASHION INDUSTRY WITH REFERENCE TO ZARA, UK. The study aims to analyse the role of the social media platform as funded by British small and medium fashion houses through their B2B marketing and branding activities. The researcher used the second research method in this study, in
which all important information was obtained in a second, that is, published sources. To gain valuable insight into the research topic, the researcher relied entirely on statistical data published by the Office of National Statistics (ONS). In line with that, newspaper publications and other reports are published by market research firms. In order to analyze Zara's role in B2B advertising and social media platforms, a recent annual report was used in this study. Studies have shown that in contrast to the usual marketing and promotion mode, branding activities, when done through social media, generate significant gains both in terms of business growth and sales volume.
As the UK is a world-famous fashion destination, fashion lovers from all over the world are gathering in this nation to face the latest trends. As a result, fashion retailers are taking advantage of this opportunity to grow their business. In this context, B2B marketing through popular social media channels such as Facebook, Twitter, Instagram and YouTube proves to be very profitable for this purpose. these forums not only help companies like Zara stay in touch with their trading partners but also engage in active partnerships with customers and partners alike. However, webbased advertising also has a few dark spots and Zara should be aware of those issues. The company can use 27 * 7 Cabot to better communicate which can be used by both clients and customers to provide feedback. In this way, the current study presented a complete account in the case of-of
B2B marketing and branding as practiced by fashion brads in UK through social media channels.
Study on Physical and Mechanical Properties of GBF Slag Reinforced Carbon Polymer Composites
Authors: - Mailapilli Kumar Raja , - Kannuru supraja , - Gowsiya shaik , - Shaik Sameer , - Kasimkota Sai Sunanda
Published: April 2023

This research was done out to enhance the mechanical properties of polymer composites using industrial waste as a potential reinforcement in a carbon fibre polymer composite. Polymer composites possess good mechanical properties and high durability. They also have good frictional and wear performances after reinforcement. Blast furnace slag is one of the industrial wastes in steel industries which consists aluminos,silicates and calcium in different forms. This GBF slag was crushed and milled to 64μm size powder and introduced in carbon fibre polymer matrix. Carbon fibre is significantly stronger than steel in terms of strength to weight ratios. Carbon fibres are around 5–10μm in diameter. These features create the desired composites flexible in many Automobiles structural applications. Composites are fabricated successfully by hand layup technique. Physical and mechanical characterization like SEM, Hardness, tensile and Impact studies done, and results shows that 15% weight of GBF Slag has high strength compared with other composites in Automotive and Aerospace Applications.