bluuebunny/crossref_metadata_2025 huggingface dataset:
Tindakan Komuniti dalam Pengurusan Bencana Banjir: Sorotan Naratif
Authors: Mohd Yusof Noorus Sarahaqilah , Md. Akhir Noremy , Rajaratnam Surendran
Published: August 2024

Pengurangan risiko menjadi fokus dalam menghadapi bencana secara global oleh Persidangan Antarabangsa (World Conference on Disaster Reduction, WCDR) di Jepun sejak tahun 2005. Hasil daripada persidangan tersebut telah mewujudkan Kerangka Hyogo untuk Tindakan 2005-2015 (Hyogo Framework for Action, 2005-2015). Kerangka Hyogo ini diperbaharui dengan Kerangka Sendai (2015-2030) dengan bertujuan memperkasakan komuniti untuk bertindak dalam mengurangkan keterancaman terhadap bahaya bencana. Namun kebanyakan pengalaman kes bencana di Malaysia, komuniti menggunakan pendekatan dengan menunggu bantuan yang dihulurkan berbanding mengambil inisiatif menyelamat dan menyelesaikan isu dihadapi terlebih dahulu. Ini kerana, komuniti tidak seharusnya dipandang sebagai golongan pasif sebaliknya mereka merupakan first-responder yang perlu diperkasakan dengan penglibatan aktif dari bawah ke atas (bottom – up). Walau bagaimanapun, kajian mengenai pengurusan bencana bagi memperkasakan komuniti dalam pengurusan bencana masih terhad di Malaysia. Oleh itu, ulasan artikel ini berkaitan dengan tindakan komuniti dalam pengurusan bencana banjir. Artikel ini turut memfokuskan pemerkasaan komuniti, tindakan komuniti, serta daya tahan komuniti dalam mengendalikan bencana. Metodologi yang digunakan adalah melalui carian literatur daripada pangkalan data seperti Scopus, Web of Science, Research Gate, Sciencedirect dan Google Scholar. Bilangan akhir artikel jurnal yang terpilih sebanyak 10 kajian. Tema-tema yang wujud daripada ulasan ini ialah pengetahuan komuniti, pengalaman dalam menghadapi bencana, kepimpinan jawatankuasa komuniti dan penglibatan komuniti. Oleh itu, komuniti seharusnya mempunyai panduan tindakan dalam pengurusan bencana yang komprehensif bagi mengurangkan kesan daripada krisis bencana dan dapat mengembalikan kefungsian hidup mereka selepas bencana.
Lelaki Itu Aku: Meneroka Faktor Kecurangan Lelaki Dengan Wanita Berkahwin
Authors: Mohd Yusof Noor Syahirah , Nen Salina
Published: August 2024

Meneroka faktor-faktor asas yang mendorong lelaki untuk terlibat dalam kecurangan dengan wanita sudah berkahwin adalah penting bagi memahami dinamika kompleks hubungan ini. Mengenalpasti faktor-faktor ini dapat memberi pencerahan yang lebih mendalam terhadap tingkah laku kecurangan. Objektif kajian ini ialah untuk mendalami dinamik psikologi dan sosial yang mendorong lelaki memilih wanita berkahwin sebagai teman wanita walaupun ianya adalah satu perbuatan yang salah di sisi agama dan perundangan. Dengan menggunakan pendekatan fenomenologi, kajian ini membuat temubual mendalam dengan empat (4) informan dalam lingkungan usia 30an dan 40an yang pernah atau sedang menjalinkan hubungan cinta dengan wanita yang telah berkahwin. Data temubual dianalisis menggunakan analisis bertema untuk mengenalpasti secara mendalam pengalaman peribadi informan kajian ini. Hasil kajian menunjukkan bahawa motivasi utama lelaki curang bersama wanita yang berkahwin antaranya ialah perkahwinan/hubungan sedia ada yang bermasalah, perwatakan wanita berkahwin, rasa ingin tahu, penerimaan orang sekeliling, serta peluang untuk berinteraksi samada secara bersemuka mahupun interaksi digital moden. Dapatan kajian ini menyumbang kepada perbincangan berterusan akan kepentingan kestabilan perkahwinan dan kompleksiti hubungan manusia. Implikasi kajian ini menekankan keperluan untuk intervensi dan kaunseling yang disasarkan bertujuan mengukuhkan ikatan perkahwinan dan menangani punca kecurangan.
Approaches to Optimization of Spiking Neural Network Hardware Implementation
Authors:   Saint Petersburg Electrotechnical University ", Andreeva N.V. ,   LETI",   , Professora Popova St. 5, Saint Petersburg, 197376, Russian Federation, Ryndin E.A. ,   Saint Petersburg Electrotechnical University "LETI", Professora Popova St. 5, Saint Petersburg, 197376, Russian Federation, Mavrin I.A. ,   Saint Petersburg Electrotechnical University "LETI", Professora Popova St. 5, Saint Petersburg, 197376, Russian Federation
Published: August 2024

The neuromorphic approach to hardware implementation of neural networks is usually considered separately from in-memory computing. In this case, we mean the hardware execution of spiking neural networks (SNN), which are the most biologically realistic compared to deep neural network algorithms. The operation principle of SNN is that the information propagates in form of spikes (voltage pulses) and the network weights (in the training mode) is updated using the time delays in the spike sequences according to the spike time-dependent plasticity rule (STDP). This results in asynchronous operation of the networks, which significantly improves their energy efficiency. In this article optimization approaches for the architecture of SNN classifiers have been proposed. The suggested optimization approaches aimed at improving the performance of neuromorphic devices based on memristive crossbars as well as minimizing the training cost. The integration of the spiking convolutional layer and implementation of dendritic computing principles in analog feedforward SNN architectures has been considered in this paper. It was shown that both approaches allow significantly facilitating the procedure of the network training. To evaluate the performance, analog circuits of the optimized SNN-architectures were modeled and designed. The functionality of one of the architectures under study is demonstrated on an experimental prototype implemented on commercial electronic components. The cost of processing a data packet by developed SNNs was estimated. The obtained results indicate that modification of SNN architectures using the principles of dendritic computing allows not only to significantly reduce the consumption of synaptic and neuronal resource in the hardware design, but also to reduce training costs. The research performed at the Saint Petersburg Electrotechnical University was funded by the grant FSEE-2020-0013 of the Ministry of Science and Higher Education of the Russian Federation.
Cooperative Business Development Model in the Digital Era: A Theoretical Approach
Authors: Suparno Suparno , Saptono Ari , Effendi Mohammad Sofwan , Wibowo Agus , Lestari Fitra Dila , Mukhtar Saparuddin , Fei Wang , Geminastiti Kinanti , Khalik Rahmatul , Murniawaty Indri , Narmaditya Bagus Shandy
Published: August 2024

This research aims to develop theoretical prepositions of cooperative business development in the digital era as part of the education and development of cooperatives. The problem studied is the low competitiveness of cooperatives, on the other hand, the high public interest in various cooperative products so modeling solutions is needed in managing cooperatives competitively in the digital era. The cooperative needs to be studied and developed based on superior work performance so that it has a professional management process. This research examines performance theory, with a digital innovation approach. The method used is qualitative with literature and literature studies, theoretically and historically analyzing the development of cooperatives globally and their competitiveness. The results show that employee digital skills, service quality, and member loyalty with active participation predict cooperative business development in the digital era. This study also explains the theoretical measurement factors for future researchers and describes, explains, and measures cooperative business development based on the theoretical study. For future researchers to be able to develop this research empirically with exploratory factor analysis or confirmatory factor analysis, with a wider population and sample. Keywords: Cooperative business, Business development, Digital era, Innovative performance, Service quality
Factors Affecting Live Streaming Commerce Purchase Behavior
Authors: Harrianto Felix Leonard , Anandya Dudi , Ardiansyahmiraja Bobby
Published: August 2024

Online shopping provides various benefits to customers, but it has a fundamental limitation, which is direct interaction with the product. The growth of live streaming commerce (LSC) is a new way for people to reduce their concerns in online shopping. This study identifies the factors that can influence purchase intention in LSCs. The present study used a quantitative approach. The population of this study is all Indonesians who have shopped in LSC in which a sample of 102 respondents was obtained through online distribution of a questionnaire. The data was analyzed descriptively and through Partial Least Square Structural Equation Modelling (PLS-SEM). The results of this study show that physical characteristic similarity has a significant effect on product fit uncertainty. Value similarity has a significant effect on trust. Access to online information has a significant effect on trust but not purchase intention. Trust has a significant influence on product uncertainty and purchase intention. Likewise, product uncertainty has a significant effect on purchase intention. Price has a significant effect on hedonic motivation but not purchase intention. Hedonic motivation has no significant effect on purchase intention. E-commerce platforms and merchants who utilize LSCs can use the findings in this study to improve their business.Keywords: Live streaming commerce, Product uncertainty, Purchase intention, TikTok
Big Five Personality Traits and Employee Performance: Evidence from Mediation and Moderation Analysis
Authors: Desaili David , Anjaningrum Widiya Dewi , Viloria Vivien Amor
Published: August 2024

In response to heightened university competition, Institut Teknologi dan Bisnis Asia Malang has witnessed a decline in students' enrollment. To navigate this challenge, the institution aims to establish a competitive edge by adopting the resource-based view theory. This strategic approach emphasizes the unique qualities of the institution's resources, with human capital emerging as the most pivotal. This study involves 120 respondents, exploring the influence of Big Five personality traits, organizational commitment, and attitude toward digital work on employee performance. Using the partial least square structural equation modelling (PLS-SEM) method, the findings indicate that the Big Five personality traits insignificantly impact employee performance. The Big Five personality traits significantly impact organizational commitment, and organizational commitment significantly impacts employee performance, in which the organizational commitment serves as a complete mediation. In addition, attitudes towards digital work as quasi-moderating can strengthen the influence of the Big Five personality traits on employee performance. Further research is recommended to analyze the relationship between the dimensions of each variable in more depth. Keywords: Big five personality traits, Organizational commitment, Attitude toward digital work, Employee performance
IMPLEMENTATION OF THE 5E LEARNING CYCLE MODEL THROUGH MAGIC CARD LEARNING MEDIA ON CRITICAL THINKING SKILLS
Authors: Masruroh Nanik Rujiyah , Wulandari Siska Ayu , Santoso Agus
Published: August 2024

This study aims to determine: (1) the implementation of learning using the 5E learning cycle model through magic card learning media, (2) the development of critical thinking skills, and (3) student responses after receiving the lessons. This research uses a pre-experimental design. The study was conducted with 8th-grade students at Sugio 2 Middle School. The research design was a one-group pre-test post-test design. The sample consisted of 64 8th-grade students selected through purposive sampling. To measure critical thinking skills, a critical thinking ability test with 10 essay questions was used. The observation results yielded an average value of 3.95 using the Ricketts scale. Student responses showed an average percentage of 92.24. Data analysis was performed using the N-gain test with a score of 0.292. Based on the results of applying the 5E learning cycle model through magic card learning media, students' thinking skills are categorized as effective.
Development of PBL-Based LKPD on the Topic of the Circulatory System Humans for Class VIII Students
Authors: Prasetyo Laras , Fardhani Indra , Hamimi Erti
Published: August 2024

Learning objectives can be achieved if students are diligent in learning activities. Student activeness can be assessed through their involvement in study groups, responsibility, and how they express their opinions. Therefore, problem-based learning materials are necessary to train students' thinking skills and to ensure they are active in learning activities. The aim of this research is to develop a student worksheet product based on problem-based learning on the human circulatory system material, to test the product's validity, and to assess the product's practicality. The mechanism used in this research is Research and Development (R&D). Data collection involved respondents from 8th-grade students (n = 130) and science subject teachers (n = 6) for practitioner validation and readability tests. The scope of this research is limited to the feasibility assessment of the Problem-Based Learning student worksheet by material experts, media experts, practitioners, and student readability tests. The teaching materials developed by the researchers include factual problems in daily activities, making them easy for students to understand and supported by videos and articles to comprehend the material. Data analysis shows that (1) the assessment criteria by material experts indicate a valid category with an average of 80.83%; (2) it is considered very valid as evidenced by an average of 90% for media expert assessments; (3) student responses to the worksheet are very good with an average of 95.37%; (4) based on practitioner expert tests, it is stated to be very valid with an average of 94.7%.
Análisis del Área de Almacenamiento Siderúrgico Mediante un Modelo Simulado
Authors: Gómez-Rada Evelyn , Troncoso-Palacio Alexander
Published: August 2024

Toda empresa debe contar con un área de almacenamiento ya que juega un papel vital en la cadena de suministro, lo que garantiza buenos tiempos de entrega y reduce las pérdidas de almacenamiento, permitiendo ofrecer un mejor servicio, sin embargo, nos encontramos ante una problemática en el área de almacenamiento de una empresa dedicada al sector del acero, donde el 40% de sus clientes se quejan por su mal servicio, debido a la demora generada a la hora de entregar sus pedidos. Donde esto se debe en gran media por el alto inventario que manejan, pero, sobre todo, la mala distribución de los materiales en el área de almacenamiento, lo que retrasa el proceso de alistamiento, es por ello que el objetivo de este proyecto es implementar las herramientas de simulación de sistemas como lo son métodos y aplicaciones que buscan imitar la operación del proceso en dicha empresa, para esta ocasión se propuso hacer uso del software Arena donde se pudo analizar los procesos del área de almacenamiento y se evaluaron las posibles propuestas de mejora que ayudarán a optimizar sus servicios
Aplicación de Gráficos de Control X-R con R Studio para el Monitoreo Estadístico del Peso Neto en la Producción de Golosinas
Authors: Acevedo María-Fernanda , Mendoza-Salas Melissa , Ahumada-Granados Sebastian , Becerra-Torres Melvin
Published: August 2024

En el laboratorio, se llevó a cabo una experiencia práctica con el objetivo de aplicar herramientas de Control Total de la Calidad, utilizando los programas RStudio y Microsoft Excel, para analizar una metodología de implementación del control del peso neto en una golosina de comercialización nacional. La actividad consistió en simular el control de calidad del producto mediante la variable peso, utilizando una balanza analítica para pesar cada muestra. Los datos recolectados se registraron en Excel, simulando subgrupos, y posteriormente se procesaron en RStudio para generar resultados gráficos. Estos resultados permitieron identificar los principales problemas de calidad en los productos, mediante el análisis de datos y representaciones gráficas realizadas en RStudio.
Un Diseño Experimental Taguchi para Evaluar la Eficacia de Algunos Jabones Antibacteriales
Authors: González-Galindo Diana , Cervantes-Morales Laura , Coronado-Castrillón Luisa , Barbur-Fontalvo Linda , Ortega-Mendoza Lizneys , Troncoso-Palacio Alexander
Published: August 2024

Este estudio se enfocó en comparar la efectividad de tres jabones antibacteriales comúnmente utilizados en la remoción de carga microbiológica en cuatro manipuladores de alimentos de la línea productiva de una empresa de alimentos. La investigación se llevó a cabo mediante un diseño experimental que implementamos en el modelo Taguchi con apoyo del software estadístico Minitab®, para el cual fue necesaria la recolección de muestras microbiológicas antes y después del lavado de manos con cada uno de los jabones seleccionados para este experimento. Estos son: Soft-care® Diversey, Tusica® y Forza®. La toma de muestras se realizó en cuatro horarios diferentes, para este experimento fue necesario contar con 4 operadores escogidos de manera aleatoria que se encuentran en contacto directo con el producto, debido que es aquí donde existe mayor riesgo de contaminación. Los resultados obtenidos permitieron estimar que el jabón Soft-care® Diversey tiene un porcentaje de remoción de carga microbiológica mayor que los otros dos jabones experimentados, en especial para recuento de coliformes, donde espera ausencia en los manipuladores de alimentos. Esto proporciona información crucial sobre la capacidad de los diferentes jabones para reducir la carga bacteriana en las manos de los manipuladores. Este análisis comparativo contribuyó a mejorar la comprensión de la efectividad de los jabones antibacteriales aplicados en un entorno de alimentos, lo que podría tener implicaciones importantes para mejorar las prácticas de higiene y seguridad alimentaria en la línea productiva estudiada
Un Estudio de Casos Sobre el Impacto de la Fatiga Laboral en Conductores de Camiones Pesados
Authors: Abad Iriarte Liliana , De Aguas Karine , Gonzalez Rodriguez Miguel , Suarez Salguedo Jesús , Mojica-Herazo Julio
Published: August 2024

La fatiga laboral de los conductores de camiones pesados es un factor crítico que puede afectar significativamente el servicio al cliente en la industria de distribución de lubricantes. Este estudio se centra en investigar el impacto de la fatiga de los conductores en la calidad del servicio al cliente dentro de empresas de distribución de lubricantes. Se utilizó una metodología mixta que incluyó encuestas a conductores, entrevistas con gerentes de logística y análisis de datos de rendimiento de entrega. Los hallazgos principales indican que la fatiga de los conductores está asociada con retrasos en las entregas, errores en los pedidos y una disminución en la satisfacción del cliente. Las conclusiones sugieren que la implementación de políticas de gestión del descanso y la optimización de rutas de entrega pueden mitigar los efectos de la fatiga, mejorando así el servicio al cliente y la eficiencia operativa.
Caracterización de los Riesgos Asociados al Cargue y Descargue de Gases Comprimidos en Centros Hospitalarios de Alta Complejidad
Authors: Díaz Brandon , Hoyos Quintero Miguel , Consuegra Rodríguez Kevin , Mojica-Herazo Julio
Published: August 2024

La manipulación de gases comprimidos en centros hospitalarios de alta complejidad es una actividad crítica que presenta múltiples riesgos para la seguridad y la salud del personal que realiza las operaciones de cargue y descargue. En la actualidad, gran parte de las emergencias obedecen a la falta de conocimiento de los factores de riesgos asociados a la manipulación y control de cilindros. Los principales hallazgos indican que los riesgos más comunes incluyen explosiones, incendios, fugas, errores en la administración de gases, factores contribuyentes como la falta de formación y procedimientos de seguridad deficientes. El presente estudio se centra en identificar y caracterizar estos riesgos, y proponer medidas de mitigación efectivas que contribuyan a la seguridad y salud del personal que realizan las operaciones de cargue y descargue. Se utilizó una metodología de investigación de tipo descriptiva y transaccional con diseño no experimental, con técnica de observación directa basados en la NTC 2880 y el análisis y procesamiento de los datos, con el fin de identificar cada riesgo, conductas realizadas por el personal y métodos y/o procedimientos empleados en el cargue y descargue de cilindros. Los resultados han permitido conocer la falta de cultura preventiva del personal que realiza las actividades de cargue y descargue, necesidades de implementar protocolos estrictos de seguridad, adoptar tecnologías avanzadas para minimizar estos riesgos y la mejora de procedimientos, planes y programas de capacitación, garantizando así un entorno hospitalario más seguro y eficiente.
Mapping the Landscape of Accounting Education Quality Research: A Bibliometric Review
Authors: Darmawan Rahmat , Rahmawati Dewi
Published: August 2024

Research aims: This study aims to map the literature on accounting education quality worldwide through bibliometric analysis..
Design/Methodology/Approach: Data were obtained from the Scopus database and then bibliometrically analyzed using Bibliometrix's R package, Biblioshiny. This analysis focused on studies on accounting education quality published in the form of English articles with the query used, namely TITLE-ABS-KEY (“accounting education" AND "quality") AND (LIMIT-TO (DOCTYPE, "ar")) AND (LIMIT-TO (LANGUAGE, "English")). The research sample contained 142 scientific articles from 78 journals from 1983 to 2024.
Research findings: Based on the bibliometric analysis, the results of the study could map the literature on accounting education quality, which includes the most cited research trends, namely research on factors of students' intention to major in accounting and non-accounting science studied by Tan and Laswad (2006); Watty K became the most influential author; the most searched keyword is "accounting education"; the network of collaboration on accounting education quality remains minimal; and research topics have been mapped in four main themes (motor, niche, emerging or declining, basic). Future research themes in accounting can focus on curriculum development, the impact of technology, professional ethics, and the effectiveness of online/blended/hybrid learning, considering graduate work readiness and the quality of accounting education.
Theoretical contribution/Originality: This research guides other researchers in exploring potential topics on accounting education quality.
Practitioner/Policy implication: The results of this study can be used to identify the development of accounting education quality, become the basis for policies and initiatives that support the growth of international collaboration, and create opportunities for collaboration between researchers.
Research limitation/Implication: The limitation of this research is that it only analyzed articles published in the Scopus database.
Identifying the frequency of mismatch repair deficiency in endometrial carcinoma in a tertiary care hospital
Authors: Khatoon Farhana , Begum Shirin Akter , Dey Bishnu Pada , Islam Jannatul , Akter Naznine , Nihar Fatema , Ara Rowson , Alam Babrul
Published: August 2024

Background: Mismatch repair deficiency (MMRd) is a pivotal genetic defect that significantly contributes to the pathogenesis of various cancers, particularly colorectal and endometrial cancers. The mismatch repair (MMR) system is essential for maintaining genomic stability by correcting base-base mismatches and insertion-deletion loops that occur during DNA replication. The aim of the study was to investigate the frequency and patterns of MMR protein deficiency in endometrial cancer and their association with clinical and pathological characteristics.
Methods: This cross-sectional observational study was conducted at the Department of Gynecological Oncology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from March 2022 to February 2023. The study included all patients admitted with histologically confirmed endometrial carcinoma, diagnosed via endometrial fractional curettage or diagnostic D&C, who were admitted for surgical management.
Results: In this study of endometrial cancer, 49 participants were analyzed for mismatch repair (MMR) protein status. MMR deficiency (MMRd) was observed in 16 cases (32.7%). Among 16 MMR deficient EC, isolated single protein loss was in 5 (31.25%) and multiple loss was in 11(68.75%) cases.  Family history of malignancy often correlated with MSH2 loss. MMRd was significantly associated with higher cancer stages. Immunohistochemistry proved effective for identifying MMR status, facilitating Lynch syndrome screening and subsequent clinical management. These findings underscore the importance of MMR testing in endometrial cancer for prognosis and treatment decisions.
Conclusions: This study underscores the importance of mismatch repair (MMR) protein status in the prognosis of endometrial cancer (EC).
Seasonal variation of human semen parameters: a retrospective study in Chennai, Tamil Nadu
Authors: D. Shiny Jenefa , Shankar Kundavi , Asokan Yamini , Veerasigamani Geetha , Vittal Rashmi Gingade , Naaram Nithya M. , K. R. Hema Niveda , Devarajan Sandhya
Published: August 2024

Background: Infertility in humans is a prevalent disorder that arises from several primary or secondary reasons. Regarding the latter, many seasonal and meteorological trends have been proposed as potential contributors. This study set out to determine whether the functional properties of semen samples kept in a secondary centre database showed any signs of a potential seasonal trend.
Methods: Retrospective analysis was performed on the 1830 consecutive sperm analysis reports that were gathered at the Institute of Reproductive Medicine and Women's Health over the course of a year (2020-2024). Microscopic, macroscopic examinations were included in the reports. Season of sample collection was used to examine data for various parameters. The assessment of continuous variables should be done using the ANOVA test. Additionally, a regression analysis and chi-squared will be carried out to determine the significant variation caused by season on semen parameter.
Results: Seasonal variations significantly impact sperm concentration and total sperm count, with temperature changes across seasons being a key factor. However, motility, morphology, and defect parameters remain stable and unaffected by temperature. Environmental factors like temperature should be considered in fertility assessments and treatments.
Conclusions: In conclusion, this thesis demonstrates that semen quality is significantly influenced by seasonal variations, with cooler temperatures associated with improved sperm concentration and total count, as indicated by statistically significant p values (p<0.05) for these parameters. The p values for sperm concentration (p=0.0280) and total sperm count (p=0.0363) confirm a significant relationship with seasonal temperature changes. In contrast, parameters such as motility and morphology remain relatively stable across seasons, as evidenced by non-significant p values (p>0.05).
Association between before and during early pregnancy hypertension with the gestational diabetes mellitus prevalence: a prospective observational study
Authors: Nisa Zeenat U. , Farooq Sofia , Khan Ishtiyaq Ahmad
Published: August 2024

Background: Type 2 diabetes mellitus and hypertension are both components of the metabolic syndrome and commonly occur together in individuals. It has been found that blood pressure (BP) predicted the development of incident type 2 diabetes independent of body mass index (BMI) and other known risk factors.
Methods: All the women with preeclampsia from 30 weeks onwards were enrolled in the study. The umbilical artery (UA) systolic-diastolic (S/D) ratio >2 standard deviation (SD) or UA-pulsatility index (PI) and UA-resistive index (RI) >2SD were taken as abnormal. The middle cerebral artery (MCA) was visualised and cerebroumblical PI ratio calculated. MCA-RI<2SD was taken as abnormal.
Results: The prevalence of GDM in this study was found 13.4 (%). Prevalence of GDM was found to be almost two-fold higher in hypertensive and pre hypertensive patients as compared to normotensive patients (p- 0.009) emphasizing upon the fact that diabetes and hypertension may be connected by the common pathogenic pathways of insulin resistance and endothelial dysfunction.
Conclusions: The results of this study are quite indicative of this fact that patients with older age >30 (years) and with history of hypertension and prehypertension should be strictly screened for GDM as GDM was found twice more common in pre-hypertensive and hypertensive group and GDM prevalence markedly increased as the age advanced.
An observational study on causes of female infertility
Authors: Thatipelli Ravi Chander , Parunandi Yashaswini , Nousheen Syed , Shenkeshi  , Fathima Hijazi , A. Anitha
Published: August 2024

Background: Infertility is characterized by the inability to conceive after 12 months or more of consistent, unprotected sexual activity. It can be caused by a variety of abnormalities of the female reproductive system. The aim is to study the causes of female infertility. The main objective is to identify the common causes and risk factors causing infertility in females.
Methods: The study population consisted of 383 infertile women. The study was conducted at Laxmi Narasimha hospital, Hanamkonda, in Warangal region for a period of 6 months. The tool used for the study was specifically designed questionnaire, which included the demographic data, and questions concerning the causes of infertility.
Results: Through our study it is observed that polycystic ovarian disease (PCOD), hypothyroidism, ovarian cyst, tubal damage, uterine abnormality, uterine fibroids, endometriosis are the causes of female infertility. The highest prevalence of infertility was found in patients with PCOD (30.5%), followed by patients with PCOD with other conditions (24%) (mostly PCOD with hypothyroidism). Highest prevalence of infertility in females was observed in the age group between 21-30 years. It is noticed that some patients were with infertility for unknown cause (16%).
Conclusions: In our study, we concluded that the PCOD is the major cause in both primary and secondary infertility in females. Higher prevalence of infertility was seen in age group of 21-30 years. Certain patients were having unexplained infertility. Infertility is now a widespread problem, and understanding the causes is the first step toward resolving it.
Efficacy and safety of ferric carboxymaltose in Indian pregnant women with iron deficiency anemia
Authors: Gupta Mahesh , Gupta Aditya , Suryawanshi Sachin , Kulkarni Ketan
Published: August 2024

Background: Ferric carboxymaltose (FCM) is a third-generation intravenous dextran-free, intravenous iron formulation that can be given in a single dose over a small duration. The study assessed hematological parameters before and after FCM administration in pregnant women for whole population and according to gestational age, severity of anemia and gravida status.
Methods: This was a single centre, prospective, observational, open label, clinical study at real life scenario with 4 weeks follow up. Thirty pregnant women with IDA and visiting to the Pushpam Maternity Hospital, Ahmedabad for antenatal care were enrolled for the study. I.V. FCM was administered as a single dose of 1000 mg. Change in the haemoglobin (Hb), ferritin, other hematological parameters at baseline and after 4 weeks of completion of parenteral iron therapy was noted.
Results: A significant increase in the haemoglobin (Hb) of 2.08 gm/dl and ferritin of 92.89 ng/ml was recorded at 4 weeks. There was also a significant rise in Hb, ferritin, MCV, MCH, RBC count, MCHC as compared to the baseline in patients with moderate anemia. There was significant increase in Hb, hematocrit, ferritin and MCV as compared to baseline in primi and multigravida women and also in gestational age ≤ and >28 weeks. No adverse effects were observed throughout the duration of the study.
Conclusions: FCM infusion prior to delivery significantly increased hemoglobin levels and improved ferritin levels and other haematological parameters at 4 weeks in whole population and also in moderate anemia, primi and multigravida, gestational age ≤ and >28 weeks.
Thoraco-omphalopagus conjoined twin: a rare case report
Authors: Jain Reema , Makhija Nishi
Published: August 2024

Conjoined twins also known as Siamese twins, is a rarely seen congenital anomaly with an incidence as low as 1 in 50000 to 1 in 100 000 live births. Among various types of conjoined twin, commonest type is the thoracopagus type, where the fusion is anterior, at the chest, and involves the heart. There is a high rate of stillbirth and neonatal deaths resulting in very few cases surviving long enough for surgical separation. case report. We reported one case of multi gravid woman, admitted to our hospital with an ultrasound report of conjoined thoracopagus twin at 19 weeks gestation. Surgical termination of pregnancy was done. Conclusion. Making an early diagnosis with ultrasonographic examination gives the parents a chance to elect pregnancy termination and avoid life threatening neonatal complications.
Hysterectomy as a life saving measure in choriocarcinoma: a case report
Authors: Prasanna Venugopalan  , Vattaparambil Fathima , Nair Vidhu Venugopalan , Kutty Sathiamma Puthuvilayil
Published: August 2024

Choriocarcinoma (CC) is a highly malignant tumour originating in the trophoblastic tissue. Typically occurring following molar pregnancies, its occurrence after full-term pregnancies is exceptionally uncommon. Hysterectomy has a limited role in the management of gestational trophoblastic neoplasia because of the high effectiveness of chemotherapy and the young age of patients. We present a case report of a 31-year-old patient who was referred to our hospital with massive vaginal bleeding, 20 days following evacuation of molar pregnancy.
A comparative evaluation of ultrasound guided dual transversus abdominis plane block versus erector spinae plane block for postoperative analgesia in patients undergoing laparoscopic cholecystectomy: A randomised prospective study
Authors: Angral Rajesh , Gupta Aleesha , Kalsotra Sanjay Kumar , Chander Anshuman Mahesh , Sharma Raj Rishi
Published: August 2024

: Effective pain control after laparoscopic cholecystectomy (LC) is crucial for early patient mobilization, facilitating a speedy recovery and avoiding several complications. Ultrasound (USG) guided bilateral dual transversus abdominis plane block (DTAPB) and erector spinae plane block (ESPB) are effective for providing postoperative pain relief after LC.

A prospective randomised, study comprising of 100 patients posted for elective LC.

To compare the effectiveness of USG-guided DTAPB and ESPB for providing postoperative pain relief in patients undergoing LC.

A total of 100 patients aged 18-70 years, were included in the study and divided into two groups of 50 patients each. Group DTAPB received bilateral DTAPB and group ESPB received bilateral ESPB, using 50 ml of 0.25% ropivacaine with 8 mgs of dexamethasone. Post operative visual analogue score (VAS) score, time to first analgesia request, total number of analgesic doses required in 24 hours (hrs) and complications if any were noted.

VAS score was higher in DTAPB group than ESPB group at 1,2,6,8 and 14 hrs. In DTAPB group patients requested analgesia after an average of 8 ±2.0 hrs, whereas in ESPB group they requested after 12 ± 3.16 hrs. In ESPB group 45 patients needed single analgesic dose and only 5 needed second analgesic doses. However, in DTAPB group 35 patients received single and 15 patients received second analgesic dose. Side effects were comparable in both the groups.

USG-guided bilateral ESPB with 50 ml of 0.25% ropivacaine plus dexamethasone is an effective approach in reducing postoperative pain following LC.
Comparison of dexmedetomidine versus nalbuphine in ketamine based procedural sedation for pediatric cathlab procedures: A prospective double blinded randomized trial
Authors: Sharma Karuna , Bhiwal Anil Kumar , Patel Pooja Mitkumar , Meena Pinki , Chhabra Alka
Published: August 2024

: The aim of the current study was to compare the effects of nalbuphine and dexmedetomidine as premedication sedative agent for ketamine based deep sedation on hemodynamics, sedation level and need for additional boluses of ketamine, and recovery time in pediatric patients undergoing various cardiac catheterization procedure.

: Sixty pediatric patients undergoing cardiac catheterization were enrolled in the current study. Patients were randomly distributed to two equal groups of 30 patients each: Group D and Group N. Patients randomized to Group D received a bolus of dexmedetomidine at 1 μg/kg over 10 min and Group N received a bolus of nalbuphine 0.1 mg/kg over 10min. In both the groups patients were induced with Inj ketamine 2mg/kg. After induction dose inj ketamine 0.5mg/kg boluses were given to achieve and maintain the target Ramsay Sedation Score (RSS)≥ 4. Mean arterial pressure (MAP), heart rate (HR), peripheral oxygen saturation (SPO2), and sedation scores were recorded. Recovery time, perioperative adverse events, and total ketamine consumption required for anesthesia maintenance were also recorded.

: There was significant decreased in HR from baseline in group D at 10, 20, and 30min of the procedure with no significant difference as regards the MAP between the two study groups. Ketamine consumption in group N was significantly lower than in group D to maintain RSS in desired range. The recovery time was significantly shorter in group N when compared with group D. Respiratory variables were maintained in both the groups with two patients reported airway obstruction which was partial. No significant difference was found in intra and postoperative adverse effect between the groups.

: The nalbuphine was found to be superior to dexmedetomidine as a premedication sedation for pediatric cathlab procedure in terms of reduced consumption of ketamine for adequate intraoperative sedation to conduct the procedure with better hemodynamic control and the shorter recovery time.
An observational study to compare the efficacy of intravenous dexmedetomidine versus intravenous esmolol for attenuation of pressor response during laryngoscopy and endotracheal intubation
Authors: Ghetiya Sujay B , Shah Pooja Arpan , Tailor Richa Mukeshbhai , Thomas Sara Mary
Published: August 2024

Laryngoscopy and endotracheal intubation during general anaesthesia is an invasive stimulus associated with release of circulating catecholamine leading to hemodynamic and cardiovascular responses resulting in tachycardia, hypertension and arrhythmias. Many prophylactic drugs have been used to decrease cardiovascular response to laryngoscopy & intubation. Aim of this study is to compare effectiveness of Dexmedetomidine 1μg/kg and Esmolol 1 mg/kg intravenously in attenuating cardiovascular response during laryngoscopy and intubation during general anaesthesia.

This randomised double blinded prospective study was conducted on 50 patients, of either gender between age group 18-60 years and American Society of Anaesthesiology (ASA) classification I & II, undergoing various surgeries under General anaesthesia requiring intubation. Patients were randomly divided into 2 groups of 25 patients each.

Group D patients received intravenously Inj. Dexmedetomidine 1 mcg/kg as an infusion in 100ml Normal Saline over 20 minutes before induction of general anaesthesia.

Group E patients received intravenously Inj. Esmolol 1 mg/kg diluted with normal saline to volume of 10ml given just before induction of general anaesthesia.

Hemodynamic parameters such as Heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at baseline, after study drug administration, after induction, at laryngoscopy and intubation and 1, 3, 5 and 7 min after Endotracheal intubation.

: Comparison of two groups reveals that dexmedetomidine shows less rise in heart rate (P-0.0003) and mean arterial pressure (P-0.0106) at the laryngoscopy and intubation. It also shows less rise in systolic and diastolic blood pressure after induction and after intubation (P< 0.05) than Esmolol.

This study suggests that Dexmedetomidine 1µg/kg was more effective in attenuating the stress response to laryngoscopy and intubation as compared to Esmolol 1mg/kg.
Preoperative chewing gum versus pericardial p6 point acupressure for attenuation of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy – A comparative evaluation
Authors: Mehrotra Shreesh , Ahuja Chirag , Asthana Veena , Dhasmana Dilip Chander
Published: August 2024

: Preoperative use of non-pharmacological agents like chewing gum and acupressure at Pericardial p6 point in prevention on postoperative nausea and vomiting in patients posted for laparascopic cholecystectomy under general anaesthesia.

The primary objective of the study was to compare the efficacy of preoperative chewing gum and pericardial P6 acupressure point application in reduction of postoperative nausea and vomiting. Secondary objective was to assess the anxiety and satisfaction scores of the patients in the study.

In this Quasi experimental study,3 groups of 62 patients each, with intact mental status in the age group of 18-60 years of either gender posted for laparoscopic cholecystectomy under general anaesthesia, after obtaining written informed consent were included in the study.

Group 1 patients received standard treatment, group 2 patients received standard treatment plus Wrigley’s extra sugar free chewing gum, group 3 patients received standard treatment plus bilateral p6 point acupressure by pressure right drug free single use pressure sensitive wrist strip."  Patients were assessed for anxiety in preoperative period, before and after the intervention. In postoperative period patients were assessed for nausea and vomiting, requirement of rescue antiemetic and patient satisfaction.

The Chi-square test or Fischer’s exact test, as applicable was employed to compare the postoperative incidence of nausea and vomiting.

Highly significant decrease in Amsterdam anxiety score in chewing gum group (p<0.001), followed by significant decrease in acupressure group (p=0.005). No significant change in nausea in all the groups, but in context of vomiting, both chewing gum and acupressure showed significant decrease in number of episodes in first 6 hrs (p=0.013). For rescue antiemetics in nausea, there was no significant variance in usage among the groups. However, for vomiting, a substantial decrease was found. Group 2 required significantly less (p=0.001) amount of antiemetics followed by group 3.

The patients in the chewing gum group scored more in the satisfaction scoring index and this was found to be statistically significant (p = 0.010). 

Bothchewing gum and acupressure reduced nausea and vomiting and the need for rescue antiemetics. However, chewing gum proved to be better among the two.
Parasacral ischial plane block for lower limb surgeries: A case series
Authors: Pandya Parth , Shah Sudha , Bharad Yatin
Published: August 2024

The para-sacral ischial plane block (PIP block) is a novel fascial plane approach targeting the sacral plexus. This technique simplifies the process as direct visualization of the sacral plexus or sciatic nerve is unnecessary.

This retrospective case series includes ten patients with American Society of Anesthesiologists (ASA) physical status II-IV, aged over 18 years, undergoing elective or emergency lower limb surgeries such as debridement and below-knee amputation between May 2023 and November 2023.

The block was performed in ≤ 6 minutes for all patients. Onset of subjective analgesia was almost immediate in those presenting with pain. Sensory loss occurred within 9 to 12 minutes. Motor block in the sciatic nerve distribution did not reach Grade 2 in any patient. Hemodynamic stability was notably maintained in all high-risk cases. Intraoperative supplementation with ketamine was required for one patient.

The PIP block is a quick, easy-to-perform technique that offers satisfactory surgical conditions and hemodynamic stability in high-risk patients undergoing lower limb surgeries. It also provides prolonged postoperative analgesia and early resumption of oral intake with minimal procedural discomfort.
To study the pulmonary function changes in post-COVID-19 discharged patients and their correlation with disease severity
Authors: Hussain Junaid
Published: August 2024

The study aimed to assess pulmonary function changes in post-COVID-19 discharged patients and their correlation with disease severity. A single-center, hospital-based, observational, cross-sectional study was conducted on ICMR laboratory-confirmed non-critical COVID-19 cases. The study assessed pulmonary function using EasyOne® Air with TrueFlow™ Technology at one-month and three-month intervals after clinical recovery. Results showed that moderate and severe cases had significant pulmonary function impairments. Notably, 43.8 of mild cases and 68.8 of moderate cases demonstrated improved outcomes. The study highlights the importance of monitoring pulmonary function in post-COVID–19 patients for appropriate management and rehabilitation.
Are Long Hospitalizations Substituting Primary and Long-term Care?: Evidence from Brazil and Mexico
Authors: Aranco Natalia , Bauhoff Sebastian , Schwarz Natalie Vanessa , Stampini Marco
Published: August 2024

Prolonged hospital stays, or hospital stays that are longer than medically necessary, are a major concern for patients, payers, and providers. We conceptualize and empirically estimate the prevalence and cost of prolonged stays among elderly hospital patients (65 years and older) in Brazil and Mexico. We develop a continuum-of-care conceptual framework based on prior literature and insights obtained through interviews and focus group discussions with experts from Mexico, Argentina, and Colombia. In this framework, hospitals are part of a wider system. This system involves both pre-admission and post-discharge medical and social care services. There are three main sources of prolonged stays: (i) lack of appropriate primary healthcare that leads to more complex admissions; (ii) hospital inefficiency; and (iii) lack of rehabilitation, social, and long-term care at discharge. We estimate the count and share of inappropriate hospital days due to prolonged stays overall and for each source. This estimation is based on administrative records on discharges from public sector hospitals in 2019. Our results show that hospital days due to prolonged stays account for approximately half of all hospital days. Although most of the inappropriate days can be attributed to hospital inefficiency (36% in Brazil and 49% in Mexico), an important share is linked to the lack of rehabilitation, social, and long-term care. Lack of these services accounts for 12% of total hospital days in Brazil and 7% in Mexico. In a back-of-the-envelope calculation, we estimate that providing six weeks of long-term care services to address the care needs brought about by only thirteen causes of admission would generate annual net savings of approximately US$174 million per year in Brazil and US$45 million in Mexico.