bluuebunny/crossref_metadata_2025 huggingface dataset:
An In-Situ Mössbauer Study of the High-Temperature Behavior of Siderite under Reduction Conditions
Authors: Kądziołka-Gaweł Mariola , Adamczyk Zdzisław , Dulski Mateusz , Gębara Piotr , Nowak Jacek , Wojtyniak Marcin
Published: January 2024

The thermal decomposition of siderite and its decomposition products in a vacuum atmosphere was investigated for the first time using in situ high-temperature transmission Mössbauer spectroscopy. These measurements were supported by X-ray diffraction, Raman spectroscopy, X-ray fluorescence, and magnetic measurements. In situ Mössbauer spectra were collected from room temperature (RT) to 750 oC with a temperature step of 50 oC. After that, the sample was cooled down to RT with step 100 oC. Raw siderite samples contain siderite as the only iron-bearing mineral, and after heating the samples at high temperatures, hematite and magnetite are only Fe-bearing phases. In the temperature range of 300 oC - 500 oC, siderite decomposition occurs. The analysis shows that siderite transforms directly into magnetite, and then hematite generation occurs as long as siderite is present in the sample. Changing hyperfine parameters like isomer shift, quadrupole splitting, or hyperfine magnetic field versus temperature were obtained for siderite and iron oxides (hematite, magnetite). The measurements also show that magnetite formed during the decomposition of siderite is a composition of particles of various sizes and a low degree of crystallization.
Analysis of the Optical Properties and Electronic Structure of Semiconductors of the Cu2NiXS4 (X = Si, GE, Sn) Family as New Promising Materials for Optoelectronic Devices
Authors: Nematov Dilshod
Published: January 2024

In this work, the optoelectronic characteristics of kesterites of the Cu2NiXS4 system (X = Si, Ge, Sn) were studied. The electronic properties of the Cu2NiXS4 (X = Si, Ge, Sn) system were studied using first-principles calculations within the framework of density functional theory. For calculations, ab initio codes VASP and Wien2k were used. The high-precision modified Beke-Jones (mBJ) functional and the hybrid HSE06 functional were used to estimate the bandgap, electronic and optical properties. Calculations have shown that when replacing Si with Ge and Sn, the band gap decreases from 2.58 eV to 1.33 eV. Replacing Si with Ge and Sn reduces the overall density of electronic states. In addition, new deep (shallow) states are formed in the band gap of these crystals, which is confirmed by the behavior of their optical properties. The obtained band gap values are compared with existing experimental measurements, demonstrating good agreement between HSE06 calculations and experimental data. The nature of changes in the dielectric constant, absorption capacity and optical conductivity of these systems depending on the photon energy has also been studied. The statistical dielectric constant and refractive index of these materials were found. The results will help increase the amount of information about the properties of the materials under study and will allow the use of these compounds in a wider range of optoelectronic devices, in particular, in solar cells and other devices that use solar radiation to generate electric current.
Lossy Compression of Individual Sequences Revisited: Fundamental Limits of Finite-State Encoders
Authors: Merhav Neri
Published: January 2024

We extend Ziv and Lempel's model of finite-state encoders to the realm of lossy compression of individual sequences. In particular, the model of the encoder includes a finite-state reconstruction codebook followed by an information lossless finite-state encoder that compresses the

reconstruction codeword with no additional distortion. We first derive two different lower bounds to the compression ratio that depend on the number of states of the lossless encoder. Both bounds are asymptotically achievable by conceptually simple coding schemes. We then show that when the number of states of the lossless encoder is large enough in terms of the reconstruction

block-length, the performance can be improved, sometimes significantly so.

In particular, the improved performance is achievable using a random-coding ensemble

that is universal, not only in terms of the source sequence, but also in terms

of the distortion measure.
Comparison between ANTERION and IOL MASTER 500 in Cataract Surgeries
Authors: Gkoumas Evangelos , Maniateas Apostolos , Papadopoulos Alexandros , Ziakas Nikolaos , Papadopoulos Pantelis , Tsinopoulos Ioannis
Published: January 2024

This research aimed to compare the measurements recorded by a traditional PCI technology biometer (Partial Coherence Interferometry) and by a SS-OCT (Swept Source Optical Coherence Tomography) technology machine in preoperative screening of patients with age-related cataract. Optical biometry was performed with the IOLMaster 500 (version 5.5, Carl Zeiss Meditec, Germany) and the ANTERION (Heidelberg Engineering, Germany) in a total sample of 144 eyes, from 80 patients, (37 men and 43 women), with a mean age of 70.54 ± 0.739 years (range: 45-89 years) and the values of the Axial Length (AL), two meridians of the cornea (Kf, Kflat and Ks, Ksteep), astigmatism (Ast) as well as the Anterior Chamber Depth (ACD) were compared with the program IBM SPSS Statistics 27. The IOLMaster500 and ANTERION devices did not have statistically significant differences in terms of axial length and flat corneal meridian Kf, while they differed statistically significantly in terms of steep corneal meridian Ks, astigmatism and anterior chamber depth. This study suggests that a thorough pre-operative check must be performed, sometimes with more than one device, aiming at greater accuracy in the measurements of the ocular biometrics, so that we achieve more successful postoperative outcomes and ultimately more satisfied patients.
Democratizar a permanência estudantil e minimizar as desigualdades: reflexões sobre as políticas de assistência estudantil
Authors: Lima Maria Janete de
Published: January 2024

Neste artigo desenvolvo apontamentos sobre a Democratização e permanência estudantil no sentido de minimizar as desigualdades dos estudantes no ensino universitário. Aspectos estes perpassados pelas políticas educacionais de assistência estudantil, os desafios da governamentalidade neoliberal do estado brasileiro, sob o enfoque sobre o biopoder e a biopolítica e suas ações de intervenção da assistência dos estudantes na universidade brasileira em especial na Universidade Federal de Campina Grande, no campus do Centro de Formação de Professores, a influência da governamentalidade neoliberal nas diretrizes destas políticas de assistência, para tanto foi utilizado suporte teórico bibliográfico da teoria de Michael Foucault e seus interpretes. O objetivo é aproximar as reflexões sobre os programas desenvolvidos na universidade pública brasileira e suas formas de atuação, implementação, acompanhamento e revisão no tocante a política de assistência estudantil do Plano Nacional Assistência Estudantil. Este texto tem como base primária a tese de Doutorado em Educação da autora apresentada na Universidade Federal de Sergipe no Programa de Pós graduação na qual obteve o título de Doutora com o tema das políticas de assistência estudantil.
The LOB STROKE MODEL IN LEARNING BADMINTON GAME FOR ELEMENTARY SCHOOL STUDENTS CLASS V
Authors: Indira Fauzalina
Published: January 2024

The purpose of this study was to obtain information about the process of implementing badminton game learning, practice the learning process with the badminton lob model for elementary school students in grade V, and obtain empirical data about the effectiveness, efficiency, and student interest in the learning process of badminton lob stroke for elementary school students. grade 5. This research was conducted at SDN Makasar 05 Pagi, East Jakarta, with 31 students as the research object. This study uses the ADDIE learning development model, which starts at the Analysis, Design, Development, Implementation, and Evaluation stages. From the results obtained, this badminton lob learning model turned out to be very effective when applied to learning. This can be seen from the increase in the results of the skills assessment of students at SDN Makasar 05 Pagi Class VA.
EVALUATION STUDY MENPORA CUP WOMEN’S U-17 TIERED LEAGUE COMPETITION
Authors: Adam Angga Muhammad , Moch. Asmawi  , Hernawan  , Suharto Taufik Hidayat
Published: January 2024

The purpose of this study was to evaluate the 2019 Menpora Cup Women’s U-17 Tiered League Competition Program. This study used a qualitative technique with an evaluation approach using the Context, Input, Process and Product (CIPP) model. The method of collecting data is triangulation using questionnaires, interviews, document studies and observation. The result of the research show that in: (1) Context Evaluation: has a very strong legal basis and government policy, with good intentions and goals, but not yet targeted. (2) Input evaluation: participants, organization, financing and committee have not been carried out properly and need to be improved in accordance with the development of the Menpora Cup Women’s U-17 tiered league competition every year. (3) Process Evaluation: sporting competition rules that must always be updated in accordance with football developments, competition implementation still needs to be maximized properly. (4) Product Evaluation: increasing public participation and interest in organizing the Menpora Cup Women’s U-17 tiered league competition every year, the role of the media in publication and promotion of sports to the community is increasingly being expanded, and efforts to find potential sports athletes from the community that need to be developed optimized. However, athletes’ achievements have not contributed much to world-class achievements.
Determinan Kejahatan Siber (Cybercrime) di ASEAN Tahun 2015-2020: Pendekatan Panel Data Regression with Random Effect
Authors: Daffa Dhiaulhaq Hafsha , Siskarossa Ika Oktora
Published: January 2024

The use of information and communication technology in ASEAN is massive and growing. This development not only has a positive impact, but also a negative one. In addition to advancements in various fields, criminality is also increasing. ASEAN is the fastest growing digital market in the world. As digital technology becomes more integrated into our lives, cybercrime will increase exponentially. This study aims to determine the overview and variables that affect cybercrime in ASEAN in 2015-2020. This research uses secondary data from ITU, World Bank, UNDP, and Transparency International the Global Coalition Against Corruption. Through descriptive analysis, it is found that the value of the Global Cybersecurity Index (GCI) in ASEAN has increased, but there is still a cybersecurity gap between countries in ASEAN. Through the panel data regression equation formed, it is found that economic growth, mobile broadband users, and average years of schooling significantly affect the GCI in ASEAN in 2015-2020. Meanwhile, the variables of mobile cellular users, technology exports, and corruption perception index do not have a significant effect. Therefore, governments in ASEAN countries are also expected to continue to increase economic growth and allocate budgets for technical implementation of cybersecurity. In addition, the government should maintain the stability of the number of mobile broadband users, and increase the average number of mobile broadband users.
ASSESSING THE IMPACT OF THE COVID-19 PANDEMIC ON THE SYSTEM OF ACTIVE TB DETECTION IN THE RUSSIAN FEDERATION
Authors:   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Mikhaylova Yuliya , Sterlikov Sergey ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Mikhaylov Aleksandr ,   Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation, Moscow, Russian Federation
Published: January 2024

Significance. The COVID-19 pandemic has disrupted the system of active detection of many diseases, including tuberculosis (TB). However, the assessment of this effect based on the decreased TB incidence alone is not correct, since the regiment to fight COVID-19 has created conditions for preventing the spread of other infectious diseases. The purpose of the study was: to assess dynamics in active TB detection, as well as the number of late detected TB cases due to the COVID-19 pandemic. Material and methods. The study analyzed statistical observation forms # 8 and #33. The excess number of newly diagnosed cases of fibrous-cavernous pulmonary tuberculosis (FCPTb) was calculated as multiplied by the number of newly diagnosed TB cases to the difference in the average share of fibrous-cavernous pulmonary tuberculosis cases in 2016-2019 and the share of fibrous-cavernous pulmonary tuberculosis cases in the year under study (2020, 2021, 2022). The excess number of TB patients diagnosed postmortem was calculated as multiplied by the number of newly diagnosed TB cases to the difference in the average share of TB cases detected postmortem in 2015-2019 and the share of TB cases detected postmortem in the year under study (2020, 2021, 2022). Results. In 2020, the population coverage with preventive medical examination for TB decreased to 66.7%, which is close to the 2015 level (68.1%) followed by a growth to 70.6% in 2021 (the 2017 level) and further to 73.6% in 2022 (the 2019 level). The share of newly diagnosed fibrous-cavernous pulmonary tuberculosis cases in 2016-2019 equaled to 1.1%, increased to 1.4% in 2020, to 1.5% in 2021, and 1.4% in 2022. The share of TB cases detected postmortem equaled to 1.6-1.8% in 2008-2019; to 2.7% in 2020, and to 2.9% in 2021 and 2022. The excess number of newly diagnosed fibrous-cavernous pulmonary tuberculosis cases equaled to 109 in 2020, 188 in 2021, and 128 in 2022. The excess number of TB cases detected postmortem equaled to 480 in 2020, 566 in 2021, and 540 in 2022. Conclusion. The impact of the COVID-19 pandemic on the system of active TB detection in the Russian Federation was strong, yet rather short-run. However, the three years of the COVID-19 pandemic has resulted in the delay in detection of 2011 TB patients (1.5% of the total number of newly diagnosed TB cases)
DENTAL CARE IN HIV-INFECTED PATIENTS: ANALYTICAL REVIEW
Authors:   N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation, Denyushenkov Vadim , Zagdyn Zinaida ,   N.A. Semashko National Research Institute of Public Health, Moscow, Russian Federation
Published: January 2024

Significance. One of the directions for achieving the goal of eliminating HIV as a global epidemic by 2030-2035 is to intensify the delivery of all types of care to HIV-infected patients, including dental care, the organizational aspects of which, both in Russia and the world, are currently understudied. The purpose of the analytical review is to evaluate dental health of patients with HIV. Material and methods. The study used an information-analytical method with the search for relevant foreign and national publications in the following systems: e-Library, Ciberleninka, PubMed, Medline for the last 5 or more years by keywords; regulatory legal acts were obtained from the “ConsultantPlus” and “Garant” systems, information from the form of federal statistical observation # 61 was used as well. Results. Out of 145 publications offered by scientific search systems, 55 were selected; according to the selected publications there is a high demand for dental care in patients with HIV (96.0-100.0%). Thematic studies have elaborated on the clinical structure of lesions of the oral mucosa and maxillofacial area associated with HIV infection, as well as the epidemiological safety of medical staff and patients of dental clinics, are well studied (48 publications). The dental status of HIV-infected patients is somewhat less represented: the “caries-filling-removal” index, frequency of odontogenic interventions not related to HIV, stigmatization of patients, including by medical staff, etc. (11 sources). Organizational and methodological approaches to the organization of dental care delivery to HIV-infected patients have been investigated the least and are hardly developed: 2 studies by foreign authors, and 1 study by the national ones. Discussion. A high demand for dental care, stigmatization and lack of developments in organizational and methodological approaches to provision of dental care to HIV-infected patients result in a postponed dental care seeking and deteriorated dental status of these patients. Conclusion. The lack of a unified guideline, including legal provisions, makes the relevant specialists on the spur of the moment solve organizational issues and indicates the need to conduct appropriate scientific and practical research with the development of organizational and methodological approaches to providing dental care to HIV-infected patients, the results of which will contribute to improving the HIV control system both in Russia and abroad.
Buku Ajar Pemeriksaan dan Pengukuran Fisioterapi Muskuloskeletal
Authors:   Universitas Muhammadiyah Sidoarjo, Arti Widi
Published: January 2024

Dengan rasa syukur dan bangga, kami mempersembahkan buku ini kepada para mahasiswa Fisioterapi di seluruh Indonesia. Buku Ajar Pemeriksaan dan Pengukuran Fisioterapi Muskuloskeletal ini disusun sebagai bahan ajar dalam Mata Kuliah Pemeriksaan dan Pengukuran Fisioterapi. Seiring dengan perkembangan ilmu dan teknologi dalam bidang fisioterapi, pengetahuan tentang pemeriksaan dan pengukuran muskuloskeletal merupakan dasar yang penting bagi setiap fisioterapis. Buku ini hadir sebagai panduan yang komprehensif untuk mempelajari dan memahami konsep, teknik, dan metode yang terkait dengan pemeriksaan dan pengukuran pada masalah muskuloskeletal.
La cirugía del escombro | Dimas Prychyslyy, Málaga, El Toro Celeste, 2021, 96 pp.
Authors: Castro Martín Carla
Published: January 2024

Reseña: La cirugía del escombro» | Dimas Prychyslyy, Málaga, El Toro Celeste, 2021, 96 pp.
La Biblia y los humanistas. Un viaje a la cultura del siglo XVI | Francisco Javier Perea Siller (ed. y coord.), Córdoba, UCO Press, 2022, 226 pp.
Authors: Requena Millán Andrea María
Published: January 2024

La Biblia y los humanistas. Un viaje a la cultura del siglo XVI | Francisco Javier Perea Siller (ed. y coord.), Córdoba, UCO Press, 2022, 226 pp.
Poéticas de la autoficción en la patografía femenina en España
Authors: González Cabeza Inés
Published: January 2024

Durante la última década, un buen número de autoras españolas ha plasmado su enfermedad y otras vivencias sanitarias en sus cómics, participando del auge de un género que los investigadores en medicina gráfica han convenido en llamar “patografía”. A la hora de realizar esta tarea, muchas de ellas marcaron una deliberada distancia entre su experiencia biográfica y los hechos narrados en sus obras, convirtiéndolas así en relatos autoficcionales. En el presente texto, analizamos cuatro novelas gráficas —Alicia en un mundo real; Que no, que no me muero; Yo, gorda y Comiendo con miedo— cuyas autoras se enfrentan desde el extrañamiento a su propia vida y su propio cuerpo a la hora de narrar sus enfermedades. Asimismo, conectamos los mecanismos autoficcionales a los que recurren con el propósito divulgativo y universalizador propio del género de la patografía.
Cartas desde la isla sin puentes. Correspondencia de Ángela Figuera Aymerich a Jacques Comincioli
Authors: Perez Luciana
Published: January 2024

Este artículo presenta y transcribe una selección del epistolario (inédito hasta el momento) de Ángela Figuera Aymerich a Jacques Comincioli. Las cuatro cartas, fechadas entre 1972 y 1982, se centran en el traslado al francés del poemario Belleza cruel (1958) por el traductor y crítico suizo. Su valor descansa en el rol de exégeta y traductora que la bilbaína adopta en ellas. La breve presentación aspira a destacar estos aspectos y vincularlos con el trabajo crítico en torno a Figuera Aymerich.
La invención romántica de la Edad Media. Representaciones del Medievo en el siglo XIX | Mercedes Comellas (coord.), Sevilla, EUS, 2022, 381 pp.
Authors: Mylonás Ojeda Ioannis
Published: January 2024

Reseña de La invención romántica de la Edad Media. Representaciones del Medievo en el siglo XIX. Mercedes Comellas (coord.), Sevilla, EUS, 2022, 381 pp.
El vicio color de rosa. Novela fantástica | Álvaro Retana, ed. Noël Valis, Sevilla, Renacimiento, 2023, 170 pp.
Authors: Martínez Rubio José
Published: January 2024

Reseña de El vicio color de rosa. Novela fantástica | Álvaro Retana, ed. Noël Valis, Sevilla, Renacimiento, 2023, 170 pp.
Ángeles Vicente, Libre de espíritu | Sara Toro Ballesteros (ed.), Córdoba, Almuzara Universidad, 2022, 514 pp.
Authors: Cabello Estefanía
Published: January 2024

Reseña de Ángeles Vicente, Libre de espíritu | Sara Toro Ballesteros (ed.), Córdoba, Almuzara Universidad, 2022, 514 pp.
Celestiales desatinos: Antología de almanaques literarios del siglo XVIII (1733-1767) | Eva María Flores Ruiz (ed.). Gijón, Ediciones Trea, 2022, 198 pp.
Authors: Mombelli Davide
Published: January 2024

Reseña de Celestiales desatinos: Antología de almanaques literarios del siglo XVIII (1733-1767), Eva María Flores Ruiz (ed.). Gijón, Ediciones Trea, 2022.
Vertientes del diario. Representaciones del “yo” en la cultura contemporánea | David González Ramírez y María Ángeles González Luque (coords.), Granada, Comares, 2023, 188 pp.
Authors: Havassy Réka
Published: January 2024

Reseña de Vertientes del diario. Representaciones del “yo” en la cultura contemporánea, David González Ramírez y María Ángeles González Luque (coords.), Granada, Comares, 2023.
RISC TAMER Framework : Resilient Installation Support Against Compound Threats Analysis and Mitigation for Equipment and Resources Framework
Authors: Richards John , Nallar Melisa , Rinaudo Christina , Mitchell Mary Margaret , Richards James , Callaghan Caitlin , Larsen Peter
Published: January 2024

Every day, decision-makers must allocate resources based on the best available information at the time. Military installations face a variety of threats which challenge sustained functionality of their supporting and supported deployable systems. Considering the compounding and interdependent impacts of the threats, both specified (what is known) and unspecified (what is not known) and the investments needed to address these threats adds value to the decision-making process. Current risk management practices are generally evaluated via scenario analyses that do not consider compound threats, resulting in limited risk management solutions. Current practices also challenge the ability of decision-makers to increase resilience against such threats. The Resilient Installation Support against Compound Threats Analysis and Mitigation for Equipment and Resources (RISC TAMER) Framework establishes a decision support structure to identify and categorize system components, compound threats and risks, and system relationships to provide decision-makers with more complete and comprehensive information from which to base resilience-related decisions, for prevention and response. This paper focuses on the development process for RISC TAMER framework to optimize resilience enhancements for a wide variety of deployable systems in order to implement resilience strategies to protect assets, to increase adaptability, and to support power projection and global operations.
A Comparative Study of Epidural Butorphanol and Fentanyl as Adjuvants with 0.5% Bupivacaine for Postoperative analgesia in Lower Abdominal Surgeries
Authors:   Senior Resident, Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India., Mallikarjuna Swathi , Sirsat Vinayak ,   Associate Professor, Department of Anesthesiology, Government Medical College, Latur 413512, Maharashtra, India.
Published: January 2024

The pain is considered as sixth vital sign. Achieving adequate peri-operative and post -operative analgesia is of paramount importance to the anesthesiologist. This can be done by multiple approaches. One such technique is use of Epidural opioids. This study evaluates the analgesic efficacy of epidural fentanyl and butorphanol in lower abdominal surgeries for post -operative analgesia. Aims: To compare the degree of post-operative analgesia using butorphanol and fentanyl administered by epidural route. Settings and Design: Study setting: Tertiary care Hospital Study Design: A Prospective Double Blinded Randomised Clinical Study Methods and Material: A total of 60 Patients posted for elective lower abdominal surgeries were randomly selected for the study. The patients aged 20-60 years of ASA grade one and two posted for elective lower abdominal surgery were selected for the study. Drugs used were explained to the patients and also educated about Verbal numerical scale for assessment of pain. Patients were divided into two groups: Group A: receives Butorphanol 1mg mixed with 15 ml Bupivacaine 0.5%diluted upto 20 ml. Group B: receives Fentanyl 100 microgram mixed with 15 ml Bupivacaine 0.5% diluted upto 20 ml. Statistical analysis used: Statistical data was analysed using • Chi-square test • Student t-test (Paired and unpaired t-test) • A P value of < 0.05 is significant and >0.05 is not significant Results: The demographic variables were comparable in both groups. Both inj. Butorphanol 1 mg and Inj. Fentanyl 100 mcg given epidurally with Inj. Bupivacaine 0.5% as a single shot provided excellent operative conditions and satisfactory post-operative analgesia in both the groups. However, the duration of post-operative analgesia was much longer in the butorphanol group than Fentanyl group and was statistically significant. No serious side effects were noted in both groups. The method is economical, safe, convenient and acceptable and also poly pharmacy is avoided. Conclusions: Both fentanyl and butorphanol are safe and effective as epidural agents for postoperative analgesia with little side effects.
Utility of Pre-operative Glasgow Coma Scale and SKALE Scoring System to Predict need for Post-operative Ventilator Support in Intracranial Tumour Patients
Authors:   Junior Resident, Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai 400022, Maharashrta, India., S Meghana. , Karnik Hemangi ,   Junior Resident, Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai 400022, Maharashrta, India., Nair Aparna ,   Junior Resident, Department of Anesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai 400022, Maharashrta, India.
Published: January 2024

Objective: To evaluate the feasibility of GCS and SKALE in predicting post-operative requirement of ventilator support in intracranial tumour patients. Methods: Seventy patients undergoing intracranial tumour resection surgery were assessed pre-operatively using GCS and SKALE scoring systems to predict their post-operative requirement of ventilator support. The data was analysed using SPSS software and ShapiroWilk test and Chi-Square tests were apllied to compare the obtain data. Results: The study included 70 patients, of whom 88.6% had good GCS of 13-15 and 72.9% had good SKALE score of >8. We found that all patients with poor GCS ≤8 required post -operative ventilator support, while only 4 out 62 patients with GCS 13-15 required ventilator support post-operatively (p value <0.05). Patients with SKALE score ≤8 also had higher incidence of post-operative ventilator requirement (31.6%) as against those with SKALE score >8 (11.8%). Conclusion: GCS is a good predictor of post-operative ventilator requirement. SKALE scoring system requires further studies to prove its utility.
Strychnine Poisoning: Literature Review
Authors:   Senior Resident, Department of Critical care Medicine, Bharti Vidyapeeth Hospital, Pune 411043, Maharashtra, India., Nair Ashish
Published: January 2024

Strychnine poisoning is an quite unusual but a serious poisoning in which convulsions are the major threat to life. Convulsions are predominantly noted at the spinal level, and the key to recognizing this poison is observation of convulsive activity in the awake patient without a postictal phase. Successful treatment requires aggressive airway control and treatment of seizures with benzodiazepines or barbiturates. Neuromuscular blockade may be required. Gastrointestinal decontamination is usually indicated in recent acute ingestions but may precipitate convulsions. Recovery from strychnine poisoning is usually complete and rapid if treatment is aggressive.
Estimation of Uric Acid Level for the Assessment of the Severity of Diseases with Clinically Diagnosed Sepsis
Authors:   Department of Emergency Medicine, Gujarat Adani Institute of Medical Science, Bhuj, Kutch-370001, Gujarat, India., Navlekar Madhav , Shah Rikhav ,   Assistant Professor, Department of Emergency Medicine, Gujarat Adani Institute of Medical Science, Bhuj, Kutch-370001, Gujarat, India.
Published: January 2024

Background and Aim: The incidences of sepsis and septic shock depend on how acute organ dysfunction and infection are defined as well as on which data sources are studied. Hence this study was conducted to bring out the correlation between hyperuricemia in clinically diagnosed sepsis patients and morbidity and mortality. Material and Methods: Total of 150 patients was included in the study. For the uric acid estimation of the included patients; blood samples were taken from the patient. For the biochemical estimation of the uric acid level the collaboration was done with the department of biochemistry, medical college and hospital. Results: Among the 150 study participants, 64 patients had elevated uric acid levels which constitutes about 42.7%, whereas 86 patients constituting 57.3% had normal uric acid levels. It can be inferred that among the study population, patients had type 2 diabetes mellitus as the most common comorbidity at 40%. The most prevalent comorbidities among the patients with hyperuricemia were diabetesmellitus type 2 and type 1, decompensated liver disease and cerebrovascular accident. Patients without any comorbidities about 36% of the study population also developed sepsis. Conclusion: This study demonstrates that Serum Uric acid may be potentially used as a marker of severity of illness as well as predictor of mortality and morbidity in patients with clinically diagnosed sepsis in the IMCU. This study recommends further studies on a large basis to confirm the observations.
Nursing Approach and Nursing Care Plan in Breastfeeding Mother
Authors:   Senior Nursing Officer, Department of Emergency Medicine, Max Hospital, Shalimar Bagh 110088, New Delhi, India., Kaur Amandeep , Datta Kishalay ,   Director and HOD, Department of Emergency Medicine, Max Hospital, Shalimar Bagh 110088, New Delhi, India.
Published: January 2024

Breastfeeding is a natural phenomenon which is showing a global decline in the last few years. Young, new generation mothers are more inclined towards the use of artificial milk for their newborn rather than breastfeeding. Exclusive breastfeeding is not practiced in the Indian sub continent. In this study, we will report 3 incidents of failure of breastfeeding and the role of healthcare providers, especially nurses, in imparting knowledge and education to the young mothers.
Dengue Fever Complicating Term Pregnancy Leading to Postpartum Hemorrhage
Authors:   Emergency Medicine Resident,Department of Emergency Medicine, Max super speciality Hospital, Shalimar Bagh- 110088, New Delhi, India., Kumar Pintu , Govil Priya ,   Senior Consultant, Department of Emergency Medicine, Max super speciality Hospital, Shalimar Bagh- 110088, New Delhi, India., Datta Kishalay ,   Director and HOD, Department of Emergency Medicine, Max super speciality Hospital, Shalimar Bagh- 110088, New Delhi, India.
Published: January 2024

Dengue infection during the peripartum period is always a challenging situation for the obstetrician as well as other clinical departments involved in the management for these patients. The risk increases to a greater instant if the infection occurs during the third trimester as it possesses the risk of serious bleeding during parturition. In this case report, we will see the incidence and management of dengue fever in a peripartum female.
Right Middle Cerebral Artery Infarct after Minor Head Trauma in an Infant
Authors:   Final year, Department of Emergency Medicine, Medica Super Speciality Hospital, Kolkata 700099, India., Tripathi Shubham , Nag Arnab ,   Senior consultant, Department of Emergency Medicine, Medica Super Speciality Hospital, Kolkata 700099, India., Das Indranil ,   Consultant and Head, Department of Emergency Medicine, Medica Super Speciality Hospital, Kolkata 700099, India.
Published: January 2024

Ischemic stroke (IS) in the pediatric population is extremely rare. In this age group, the occurrence of IS often concurs with underlying congenital heart disease, haematological, metabolic or immunological conditions. In contrast, the association between IS and minor head injury in children has been sparse. The authors report a case of a healthy 10 yrs 8 months old male who was found to have a right middle cerebral artery territory infarct. An extensive medical workup was performed, and it was negative for any previously undiagnosed comorbidities. Given the paucity of such cases, the condition and its management are discussed in corroboration with current literature.
The Forgotten Thyroxine Medication
Authors:   Postgraduate trainee, Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, New Delhi, India., Leshiini Josephine , Datta Kishalay ,   Director and HOD, Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, New Delhi, India.
Published: January 2024

Hypothermia is a rare finding in the Indian subcontinent. Hypothermia may be a presentation of Myxedema coma, which needs prompt diagnosis and emergency management. In this case report, we discuss an elderly female with symptoms of Myxedema coma, the difficulty in diagnosis and management in the emergency department of our hospital.
Evaluation of Errors in Medico Legal Records in the Emergency Department of a Tertiary Care Hospital in North India, New Delhi
Authors:   Senior Consultant,Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India., Rawat Anita , Govil Priya ,   Senior Consultant,Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India., Datta Kishalay ,   Director and HOD, Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India.
Published: January 2024

Medicolegal cases (MLC) are injuries or medical conditions which require additional input from law enforcement agencies to help in the diagnosis and determining the nature of injury sustained by the patient. Any incorrect input or incomplete documentation may lead to delay in the legal proceedings and thus, patient rights will be violated. In this article, we will enlist the errors in the medicolegal records over the period of 3 years in our institute and guide the doctors in the emergency department for proper documentation of the medicolegal cases.
Effectiveness of Educational Nurturing Regarding Birth Preparedness on Knowledge and Application of Birth Preparedness among Primi Mothers & Their Caretakers During Delivery
Authors:   M.Sc. Nursing Student, Department of Obstetrics and Gynecology, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India., . Vandna , Bhowmik S Roy ,   Assistant Professsor, Department of Obstetrics and Gynecology, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India., S Pandey ,   Clinical Instructor, Department of Obstetrics and Gynecology, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India., R Sachan ,   Professor, Department of Obstetrics and Gynecology, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India.
Published: January 2024

Abstract Introduction: Birth preparedness is a practice that helps pregnant mothers, their family members, and communities to deal effectively for childbirths and how to overcome with the emergencies. It is a core component of healthy motherhood service that are worldwide practiced. Aims: To assess the effectiveness on educational Nurturing regarding Birth Preparedness on knowledge and Application of Birth Preparedness among primi mothers & their caretakers during delivery. Settings and Design: Tertiary care hospital and quasi experimental design was adopted. Methods and Material: In this study 50 primi mothers and 50 caretakers of those primi mothers were selected by purposive sampling technique. The study group received pamphlet regarding birth preparedness and control group followed the hospital routines. Data related to knowledge collected before and after the study intervention from both the study groups by self structured questionnaire (r=0.84%) anddata related to application from caretakersafter the study intervention is by checklist (r=0.84%) Statistical analysis used: In this study chi square, t test and p test are adopted for this study. Results: There was signifeicant difference found in knowledgeamong primimother(p=0.00001) and caretakers (p=0.0002) in study group before and after the intervention. The results also showed that in study group there was significant difference in application (p=0.0004) among caretakers regarding birth preparedness. Conclusions: This study suggests that study group of primiwomen and caretakers having good knowledge after the intervention. So educational nurturing increased the knowledge and application among primi mothers & their caretakers.
Effectiveness of Breast Massage on Amount of Milk Production in Mothers who are not Actively Breast Feeding Preterm Babies
Authors:   M.Sc Nursing Student, Department Medical Surgical Nursing, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India, Patel Pooja , Roy Bhowmik Suchana ,   Assistant Professor, Department Medical Surgical Nursing, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India, Asnani Mona ,   Associate Professor, Department Obstetric and Gynaecological Nursing, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India, Dubey Sarita ,   Clinical Instructor, Department Obstetric and Gynaecological Nursing, Queen Mary Hospital, KGMU Lucknow 226003 Uttar Pradesh, India
Published: January 2024

ontext: Breastfeeding to premature baby is often challenging for the postnatal mothers. In case of preterm labour milk synthesis is poor due to insufficient sucking reflex and poor mother baby bonding, if baby is admitted in neonatal unit. Breast massage is a technique to improve milk production in lactating mothers. Aims: To assess the effectiveness of breast massage on amount of milk production in mothers who are not actively breast feeding preterm babies. Settings and Design: Setting was postnatal ward Queen Mary Hospital, Lucknow. Research design was quasiexperimental (time series one group pre test post test). Methods and Material: Data were collected with the help of demographic profile and assessment of breast milk tool from 26 samples using purposive sampling technique who met the inclusion criteria. The pretest data collected before intervention and post test data collected after each intervention consecutively for 3 days. Statistical Analysis used: Mean, mean difference, standard deviation, t-test and chi-square. Results: The result revealed that on day 1, the post intervention milk production was found to be more (12.34±3.83) than pre intervention (3.03±1.98), t =16.68. On day 2, the post intervention milk production was found to be more (60.61±20.52), than pre intervention (17.07±6.73), t= 15.62 . On day 3, the pre intervention milk production was 25.15±7.13, which increased to 81.92±21.10 after intervention, t=20.16 at 0.05 level of significance. Conclusions: The findings of the study conclude that breast massage was found to be effective in increasing the amount of milk production among mothers who are not actively breast feeding preterm babies.
Changing Trends in Etiology of Infertilty and Their Prevalence at A Tertiary Care Centre
Authors:   Resident, Department of Obstetrics and Gynecology, Bharati Vidyapeeth (Deemed to be University), Pune 411043 Maharashtra, India, Agarwal Neha , Wagh Girija ,   Professor, Department of Obstetrics and Gynecology, Bharati Vidyapeeth (Deemed to be University), Pune 411043 Maharashtra, India
Published: January 2024

Bearing and raising of children are important endeavours in every Woman’s life.It is critically related with completeness, happiness and family integration. Human existence reaches completeness through a child and satisfies the individual’s need for reproduction. Causes of infertility change according to local demographics and thus it’s important to find local causes to direct management strategies. This study was aimed at studying the changing trends in aetiology of infertility, proportion of individual causes and highlighting the growing prevalence of non-communicable diseases in infertile couples. A cross sectional, observational and descriptive study was executed amongst 500 couples attending the infertility clinic at our tertiary hospital. Our study showed that 74.1% of participants had primary infertility. Female factor was nearly 61.9%, male factor was seen in 18.2%,2.2% had both male and female factors and 17.7% had unexplained causes of infertility. Of the study population, 16.2% women had non communicable diseases.
Correlation Between Endometrial Histopathology, USG Findings and Clinical Symptoms in AUB
Authors:   Post Graduate Student, Department of Obstetrics and Gynecology, Bharati Hospital, Pune 411043, Maharashtra, India., Gupta Surbhi , Wagh Girija ,   Professor, Department of Obstetrics and Gynecology, Bharati Hospital, Pune 411043, Maharashtra, India., Kumari Gitanjali ,   Senior Resident, Department of Obstetrics and Gynecology, Bharati Hospital, Pune 411043, Maharashtra, India.
Published: January 2024

Abstract Background: Correlation between endometrial histopathology, ultrasound findings and clinical symptoms in patient of abnormal uterine bleeding. Aim: To study the histopathology report of endometrial tissue in patients with abnormal uterine bleeding who all underwent dilatation and evacuation. Objectives: (a) To compare the histopathology report with the ultrasonography findings and clinical symptoms. (b)To categorize Patients into benign and malignant disease. Settings and design: This observational study was carried out in a tertiary health care center of Pune. Materials and method: A retrospective observational study was conducted in 30 women having abnormal uterine bleeding, who presented to the department of obstetrics and gynecology, Bharati Vidyapeeth deemed university, Pune between Jan 2021 to October 2021. Histopathology reports were traced for all the patients who underwent dilatation and curettage. The relevant clinical symptoms were noted. Patients were categorized into benign and malignant disease based on their histopathology report and ultrasonography findings. Results: In this study, 6.6% of cases were confirmed to be of endometrial carcinoma. The maximum score of 16 in ultrasound was suggestive of malignancy. Keywords: Endometrial histopathology; Ultrasound; Clinical symptoms; Dilatation and curettage; Abnormal uterine bleeding.
Study of Women Presenting with Leiomyoma in Terms of Symptoms, Age of Presentation and Location
Authors:   Residnt, Department of Obstetrics and Gynecology, Bharati Hospital, Pune 411043, Maharashtra, India., Bharambe Rupali , Kumari Gitanjali ,   Senior Resident,  Department of Obstetrics and Gynecology, Bharati Hospital, Pune 411043, Maharashtra, India., Kakade Aniket ,   Consultant, Department of Obstetrics and Gynecology, Bharati Hospital, Pune 411043, Maharashtra, India.
Published: January 2024

Abstract Aim and objective: To Categories women presenting with leiomyoma with respect to: • Age • Most common symptom • Location of leiomyoma Settings and Design: This was an observational study carried out in a tertiary health center for a period of 1 year from September 2019 to September 2020. Materials and Methods: A retrospective observational study was conducted in 35 women having pain in abdomen, abnormal uterine bleeding, who were presented to the department of obstetric and gynecology, Bharati Vidyapeeth deemed university, Pune between sept 2019 and sept 2020. All the patient presented with above mentioned symptoms were studied after obtaining consent from participant. Ultrasound was done and location of leiomyoma was studied. Fibroid were studied in terms of its, location and most common presenting symptoms and age of occurrence of symptoms. Results: In our study, themost common age group of presentation was 36-40 years (reproductive age group.) Most common type of fibroid was intramural (62.8 %) Most common symptoms was menorrhagia (57.1%). Most commonly associated with nulligravida (49.5%). Keywords: Ultrasound; Clinical symptoms; Abnormal uterine bleeding.
A Comparative Study of International Ovarian Tumor Analysis Simple Ultrasound Rules and Risk of Malignancy Index in Differentiating benign from Malignant Ovarian Masses Coming to Tertiary Care Hospital
Authors:   Senior Resident, Department of Obstetrics and Gynecology, Government Medical College, Surat, Gujarat 395001, India., Goyal Parul , Desai Dhwani ,   Associate Professor, Department of Obstetrics and Gynecology, Government Medical College, Surat, Gujarat 395001, India.
Published: January 2024

Aims and Objectives: The main objective of our study was to determine the sensitivity and specificity of International Ovarian Tumor Analysis (IOTA) Simple Ultrasound Rules and Risk of Malignancy Index (RMI) in differentiating benign from malignant ovarian masses and to compare the results generated with histological diagnosis. Materials and Methods: A total of 50 consenting patients with ovarian mass coming to the Department of Obstetrics and Gynecology of our college in reproductive and menopausal age group were enrolled over a period of nine months. Data was collected using a standardized pretested proforma. Detailed examination of the subjects was done following which ultrasonographic assessment was done by gynecologists. In the subsequent visit or post admission blood investigations including CA-125 was done. Patient management as per departmental protocol was continued. Results: The sensitivity, specificity, Positive Predictive value and Negative Predictive Value of RMI 2 in our study was 75.75%, 64.7%, 80.6% and 57.8% respectively. The sensitivity, specificity, Positive Predictive value and Negative Predictive Value of IOTA Simple Ultrasound rules in our study was 96.96%, 71.4%, 88.8% and 90.9% respectively. Conclusion: In the present study we have seen that IOTA Simple USG Rules had better Sensitivity, Specificity, Positive Predictive Value and Negative Predictive Value than Risk of Malignancy Index (RMI 2). Though both the scoring systems have their own set of limitations IOTA Simple USG rules in our study seems to be a better scoring system; still we need to have a larger sample size, more Indian populationbased studies to extrapolate the same results to Indian populations.