bluuebunny/crossref_metadata_2025 huggingface dataset:
CONCEPTUAL STUDY ON GURU GUNA AS HETU IN STHAULYA
Authors: Bathar Shyamoli , Dev Choudhury Neelakshi
Published: October 2023

Dravya is the substratum for the guna and karma. Guna are the energy of Dravya and karma are
execution of this energy. Among all the gunas, guru guna is the rst guna described. The worldwide
percentage of non-communicable disease is increasing day by day. There are many non-comunicable disease among them
sthaulya (obesity) are vastly increasing due to change in lifestyle (Ahaar and vihaar) which further leads to many other diseases.
It also decreases the quality of life and life span. In Ayurveda, Sthaulya is mentioned as santarpanjanya vyadhi.
NEGLECTED DOUBLE-J STENT AND ITS MANAGEMENT DURING COVID ERA IN A TERTIARY CARE CENTRE
Authors: Mahesh Shivajirao Shinde , Bharath Kumar Reddy K , Manohar G , Aslam Md , S B Siraj
Published: October 2023

Introduction : Double-J stents (DJS) have been widely used in urological practice and offers a
suitable mean of drainage for the upper urinary tract . Despite their frequent use, DJ stents are
often retained or forgotten for different reasons and leads to serious complications such as migration, fragmentation,
encrustation, stone formation, urosepsis, and renal failure. A retrospective obser Methods : vational study of cases with
neglected DJ stents over a period of two years from April 2020 to March 2022 is carried out in Guntur General
Hospital. All the patients presented to the urology outpatient clinic with polyurethane ureteral stents for more than six
weeks, irrespective of the age, gender were included in the study. All patients were evaluated for stent complications
by abdominopelvic ultrasound, plain X-ray KUB, non-contrast spiral CT abdomen and pelvis. All cases were Results:
successfully managed endourologically (including simple cystoscopic removal , CLT , URS , PCNL) except one patient
required open pyelolithotomy for Dj stent removal and open nephrectomy was done in other patient with
nonfunctioning kidney at a later date. A Neglected DJ stent affects patients havi Conclusion: ng low literacy level in
particular and its increased incidence noted in recent times, due to loss of follow up particularly in initial days of
covid-19. Endourological procedures are quite successful in managing a forgotten DJ stent, provided the treatment
options are selected judiciously and meticulously.
LIFESTYLE DISORDERS AND ITS MANAGEMENT WITH SPECIAL REFERENCE TO GRAMYA AHARA: A SURVEY STUDY
Authors: Garg Sakshi , Barman Niten , Sarma Rituraj
Published: October 2023

The purpose of Ayurveda is maintaining health of the healthy and curing the diseased. The equilibrium of
health if distorted and there is a continuous rise in lifestyle disorders by the changing diet and lifestyle of
modern era, caused by factors like poor diet, stress and lack of exercises. Gramya ahara refers to the unwholesome dietary
habits and behavioural patterns which has the capacity of vitiating all the doshas in the body. Lifestyle disorders like obesity,
diabetes, cardiovascular issues, digestive problems etc are believed to arise when the doshas are disrupted. By embracing the
approach of gramya ahara and aligning our diet with the rhythms of nature, we have the potential to prevent dosha imbalances
and lifestyle disorders, fostering a state of equilibrium and vitality.
AN EVALUATION OF POSTERIOR MALLEOLUS FRACTURE FIXATION WITH LOW PROFILE T -PLATE
Authors: Kaur Harjinder , Singh Jaspal , Kumar Dinesh , Singh Vikramjit , Kumar Vipan
Published: October 2023

Background: Most of the research indicates the requirement for xation since the posterior malleolus
fracture is an intra-articular fracture of the ankle joint. On the best xation strategy, there is not any
consensus in the literature. The study's goal is to evaluate the functional, radiological, and clinical results of low-prole T plate
xation of a posterior malleolus fracture. To evaluate the xation of posterior malleolus fracture w Aim: ith low prole T plate.
Objectives: To investigate the clinical, radiological, and functional outcomes of posterior malleolus fracture xation with plate.
Method: This prospective study comprised 20 patients who visited the orthopaedic department with ankle fractures involving
posterior malleolus fractures. The Haraguchi classication method was used to classify the posterior malleolus fractures using
computed tomography. The posterior malleolus fragment was xed with a T plate using a posterolateral technique. The
American Orthopaedic Foot and Ankle Society (AOFAS) score is used for a follow-up of 24 weeks for clinical assessment.
Results: Most cases presented were in the age range of 31 to 51 years, and out of 20 cases, 80% were of the posterolateral type
and 40% were medial extensions on CT scans. All the cases achieved union, none of the patients had intra-articular defects
after xation. At 24 weeks, the mean AOFAS score was 84.39.75. The outcomes according to the AOFAS Ankle-Hindfoot scale
were excellent in 14 (70%) of the cases, good in 5 (25%) of the cases, and fair in 1 (5%) of the case based on the criteria utilised.
Conclusion: To achieve anatomical reduction, absolute stability and rigid xation, direct visualisation of the fracture fragment
with minimal wound complications is needed. These factors all show the benet of xing posterior malleolus fracture with T
plate using a posterolateral approach.
EVALUATION OF ISOCITRATE DEHYDROGENASE 1 MUTATIONS IN CNS TUMORS
Authors: khan Venus , Panthi Rashmi , singrol Meena , S Yerawar Mrudula , Gulfam Shaikh Raja
Published: October 2023

Introduction:
The annual global age-standardized incidence of primary malignant brain tumors is ~3.7 per 100,000
for males and 2.6 per 100,000 for females [1, 2] Central nervous tumors are the tumors which constitute about 1%–2% of all the
neoplasm.[3]
Aims and Objectives:
Ÿ To study the association of IDH mutation with the WHO grading system of CNS tumors.
Materials & Methods:
Ÿ This study was conducted in the Department of Pathology, Mahatma Gandhi Memorial Medical College and M.Y. Hospital,
Indore Madhya Pradesh, India. IDH1 mutation was analyzed by IHC in 100 patients of CNS tumors.
Results - Out of 100 CNS tumors 42 cases were gliomas and IDH1 mutation were absent in grade! Glioma (out of 02 cases), in
grade II gliomas IDH1 mutations were observed in 12/14 cases, in grade gliomas all cases are showing IDH1 mutation (p4
cases) in grade IV glioma. 08/22 cases show IDH mutation, Increased glioma grades are associated with increased age and
Ki67 index Other 58 tumors include meningioma, medulloblastoma, metastatic and others IDH1 mutations Conclusion - are
associated with the progression of grade of gliomas and the presence or absence of IDH mutations can help to predict the
prognosis
PATIENT'S SATISFACTION ABOUT SERVICES IN TERTIARY CARE CENTER, JAIPUR, RAJASTHAN
Authors: Charawandya Suman , Nandani Pathak Hem , Kumar Yadav Virendra
Published: October 2023

Background: Patient's satisfaction is very important factor for health care providers. Their aim is to
provide the best quality of health care service to the patient. The purpose of health care services is to
improve the health status of the population. Hospital based cross-sectional observational study car Methods: ried out among
patients attending tertiary care center Jaipur, Rajasthan,during the period from 01/01/2022 to 31/03/22. Most affected Result:
participants are Hindu and low socioeconomic status. Most of participants replied average and good condition of clinic.
Conclusions: Most of respondents showed overall satisfaction was average & above based on their experience related to skill
and medical expertise of health care providers whereas it was poor for environmental factors and amenities at hospital.
COMPARISON OF CLINICO-LABORATORY PROFILE AND OUTCOME IN MULTISYSTEM INFLAMMATORY SYNDROME AND DENGUE INFECTION IN CHILDREN AND IN A TERTIARY CARE CENTER.
Authors: Kattamanchi Deepthi , Sruthi Ratakonda , Karumbaiah Prarthana , Ramanan Apoorva
Published: October 2023

Objective: To identify clinical and laboratory features that distinguish children with dengue fever from
MIS-C and predict their outcomes. Methods: A retrospective study was done on children aged more than
1 month of age who presented to the pediatric department in a tertiary care hospital. Data was collected from case records of
children admitted and diagnosed with Dengue/MIS-C from May 2022 to November 2022. A structured proforma was used to
document clinical and laboratory data. Results: In this study, a total of 36 MIS-C cases and 54 Dengue cases were included. A
mean age of 8.7 years was found in the Dengue group, while a mean age of 7.17 years was found in the MIS-C group. Children
with MIS-C were younger than those with dengue fever (P=0.0027). Predominant complaint of abdominal pain was seen in
dengue fever and headache in MIS-C . The mean C reactive protein level was higher in MIS-C children [5.26 vs 73.63 mg/dL]
(P<0.001). In the MIS-C group, anemia was observed, while thrombocytopenia and leukopenia were seen in the Dengue group.
As compared to the Dengue case group, the MIS-C case group had a longer length of PICU stay (3.03 vs 1.89; p <0.001) and
hospital stay (8.64 vs 5.17 days; p<0.001). Conclusions: In order to diagnose MIS-C early and to distinguish it from dengue,
clinical and laboratory parameters are required. Early initiation of appropriate treatment reduces mortality and morbidity.
“ASSESSMENT OF QUALITY OF LIFE AMONG CAREGIVERS OF PERSONS WITH MENTAL ILLNESS ATTENDING PSYCHIATRIC OPD IN SELECTED HOSPITALS: A DESCRIPTIVE STUDY”
Authors: Palaspagar Nikita , Barbatkar Siddheshwari , Azad Suman
Published: October 2023

Introduction: Caring for someone with a mental illness is a complex and demanding role and it is normal
for caregiver to experience a range of feelings about it. Initially, caregivers may experience disbelief.
Background of the study: In today's world, psychiatric patients receive relatively short inpatient care and early discharge from
the hospital, which adds to the important role of a caregiver. In India, the role of the family becomes more important while caring
mentally ill persons. Need of the study:As per data from procured by the Indian express, 5,877 patients with mental illness have
been abandoned by their relatives in the four regional mental hospitals, Pune, Thane, Raigad and Nagpur. Methodology: A
Descriptive Design used for the study, it was conducted over 100 caregivers of persons with mental illness by using NonProbability Convenient Sampling Technique. Standardized scale of WHO BREF quality of life were used. Result: The study
ndings reveals mean assessment of quality-of-life of among caregivers of persons with mental illness was 61.03±13.23 and
range of quality of score was 39-107. Study also reveals that 12% of caregivers had low quality 56% of caregivers had moderate
quality of life and 32 % caregivers had high quality of life. Analysis also reveals that there is association of quality of life with
age, gender, educational qualication, Relationship with person with mental illness, family income per month, marital status,
occupation. Conclusion: Thus, it was concluded that assessment of caregivers of persons with mental illness attending
psychiatric OPD in selected hospitals of the city was average.
A DESCRIPTIVE STUDY TO ASSESS THE LEVEL OF MOTIVATION IN ANATOMY AND PHYSIOLOGY AMONG NURSING STUDENTS
Authors: Deepthi Jyothsna , Joseph Ann , Valsalan Wilma
Published: October 2023

Nursing students need to acquire core anatomical knowledge to build a strong foundation for future clinical
encounters and professional practice, yet many students have difculty successfully negotiating the large
volume of content and the complex concepts in these subjects. Students need to be motivated to learn the material, practice the lab
activities, and engage in the course discussions. Studies have shown that academic motivation predicts academic performance in
college students and includes course grades, course attendance, and persistence in the program of study. Thus, study was taken to
assess the level of motivation in anatomy and physiology among Nursing students and to develop strategies to improve
appreciation and empowerment for anatomy and physiology among Nursing students. A descriptive survey design was used for
the study on B.Sc. Nursing I year semester I students(n=29). Institutional approval, permissions and verbal consent of participants
was obtained. A MUSIC Inventory (College Student version) was used to obtain data. The questionnaire was administered to
participants as a google form and they responded online. The average score of the empowerment component was found to be 126
and for usefulness was 161.5 the average score of success was found to be 144.8. Interest scored 134.3 and caring scored 149. It can
be concluded that MUSIC Model is a comprehensive scale to identify students Empowerment, Usefulness, Success, Interest and
Caring level and develop early strategies to bring change in the learner's outcome.
SECRECY OF SARS-COV-2 AND MITOCHONDRIAL DYSFUNCTION
Authors: Rao M.V Raghavendra , Pavani G. , Kumar Srinivasa , Aswani Kumar Panigrahi , Krishna Reddy S. , Somasekhara Reddy P. , Shalini Reddy V. , Satyaprasad R. , Ram Gopal G. , Rajabhushanam M. , Seetha NandaGopal J. , Sanath Reddy P. , Avanthi S. , V. S. L. N. Sarma D. , Vasudevan Ramesh , Madan Reddy Soma , Kumar Khulbay Sanjeev , V. Nagabhushanam M. , Kudari RajKumar. , Vijay Kumar Chennamchetty
Published: October 2023

Mitochondria are known as power houses and energy suppliers for our cells, but they also contribute to
safeguard against pathogens. They can take action in immune responses. Viable mitochondria are
critical for cellular function and homeostasis.Functional mitochondria are a key to normal physiological processes. Conversely,
dysfunctional and defective mitochondria are linked to various human diseases including viral infections, cancer, and
metabolic disorders. Mitochondrial dysfunction in the respiratory muscle in the lung may have relevance that may explain the
respiratory failure in COVID-19 patients as an outcome and may serve as indirect evidence of mitochondrial dysfunction and
COVID-19 outcome. The SARS-CoV-2 membrane protein can directly cause mitochondrial apoptosis, which may lead to
enhanced lung injury.Viruses affect mitochondrial functions and impact mitochondrial metabolism and innate immune
signaling. Mitochondria are closely involved in SARS-CoV-2 replication. Mitochondrial dysfunction and associated oxidative
stress drive the production of pro inammatory cytokines that, in turn, play an important role in the immune response. FGF-21
was proposed as a biomarker of mitochondrial dysfunction, and many diseases are characterized by alterations of myokine
secretion
TRENDS OF GLOBALIZATION AND ITS IMPACT ON DISABILITY
Authors: Gautam Mukesh
Published: October 2023

This comprehensive article explores the trends of Globalization and its profound impact on disability.
Globalization has been instrumental in shaping disability discourse and policy frameworks, with
international agreements like the United Nations Convention on the Rights of Persons with Disabilities (CRPD) reecting a
growing global consensus on disability rights. Economic trends brought about by Globalization have created both
opportunities and challenges for individuals with disabilities, inuencing employment opportunities in various sectors.
Technological advancements driven by Globalization have led to the widespread adoption of assistive technologies,
empowering people with disabilities to overcome barriers and participate more actively in society. However, the digital divide
remains a concern, and efforts are needed to ensure equitable access to these technologies. Globalization has also inuenced
access to healthcare and rehabilitation services for people with disabilities, with positive and negative effects. Collaboration
among countries and a commitment to universal healthcare are crucial to ensure equal access to quality services. Furthermore,
the cultural and social dimensions of disability have been inuenced by Globalization, leading to a more inclusive
understanding of disability rights. Nevertheless, navigating cultural complexities and promoting cross-cultural dialogue are
essential in promoting disability inclusion globally. To harness the full potential of Globalization, concerted efforts are required
to address challenges, bridge gaps, and ensure that disability rights are upheld, and individuals with disabilities can thrive in
a more inclusive world.
MASSIVE BLEEDING AND MASSIVE TRANSFUSION: NARRATIVE REVIEW
Authors: Diego Montoya Garzon Juan , del Mar Castellanos Romero Silvia
Published: October 2023

Massive transfusion varies by patient population. Cardiac and vascular surgeries account for about 40%
of cases, while trauma, gastrointestinal hemorrhage, and obstetric catastrophes, though important,
make up a smaller percentage. Timely assessment and lab tests are crucial for optimal patient care. Historically, massive
transfusion meant ten or more units of blood in 24 hours, but it's an arbitrary denition. Alternatives like "ultra-massive
transfusion," Critical Administration Threshold for 1 hour (CAT-1), and Resuscitation Intensity (RI) Score provide more context. In
volume and blood replacement, crystalloids are suitable for moderate blood loss, but severe trauma favors blood components
like plasma, platelets, and packed red blood cells (PRBCs) in a 1:1:1 ratio. Continuous monitoring of hemoglobin, hemostasis,
and metabolic parameters is vital. Lab testing helps assess coagulation, but point-of-care platforms provide quicker results.
TO ASSESS EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE REGARDING HARMFUL EFFECTS OF SOFT DRINK CONSUMPTION AMONG HIGH SCHOOL CHILDREN IN SELECTED SCHOOLS: A QUASI EXPERIMENTAL STUDY
Authors: S. Meshram Bhagyashree , K. Ponnachan Bincy , Kherkar Anagha , Gajbhiye Amrapali
Published: October 2023

Background: Soft drinks are frequently substituted for milk in children and teenagers, depriving them of
vital nutrients for growth and development. Eating foods with a lot of sugar and acid can have a bad
impact on your health. These impacts include being overweight, being obese, having type 2 diabetes, getting cavities, and
losing your teeth. Objective: To assess the effectiveness of structured teaching programme on knowledge regarding harmful
effects of soft drink consumption among high schools children in selected schools. Material and Methods: A Quasi
experimental study with one group pre-test post-test design was carried in selected high schools children. 70 samples were
drawn by non-probability convenient sampling technique. Tool was consisting of Section A: It consists of semi-structured
questionnaire to collect demographic data. Section B: Self-Structured Knowledge Questionnaires. Result: The comparison of
pretest and post-test knowledge scores of high school children regarding harmful effects of soft drink consumption from
selected high school. Mean was 10.24, standard deviation was 1.22 and mean difference values are compared and student's
paired 't' test is applied at 5% level of signicance. The tabulated value for n=70-1 i.e. 69 degrees of freedom was 1.98. The
calculated 't' value i.e. 70.18 are much higher than the tabulated value at 5% level of signicance for overall knowledge score of
high school children which is statistically acceptable level of signicance. Conclusion: The knowledge of high school children
on harmful effects of soft drink consumption is inadequate. The use of structured teaching programme is effective in improving
knowledge of high school children on harmful effects of soft drink consumption
MINIMALLY INVASIVE REPAIR OF SEVERE ISOLATED TRICUSPID REGURGITATION AND MASSIVELY ENLARGED RIGHT ATRIUM
Authors: Theodore Sanjay , Palanivel M.P.T Omprakash , Subramani Sudha
Published: October 2023

Untreated, severe tricuspid regurgitation is catastrophic. Existing literature describes tricuspid
regurgitation treatment options. However, long-term research on which technique to use when and under
what circumstances is rare. This report describes the etiology, structural, and functional aspects of isolated severe tricuspid
regurgitation in our 14-year-old female patient, and we also discuss the successful TV repair and right atrial reduction through a
mini-thoracotomy
COMPARATIVE STUDY OF LASER LATERAL INTERNAL ANAL SPHINCTEROTOMY VERSUS OPEN LATERAL INTERNAL ANAL SPHINCTEROTOMY
Authors: N. Vaghasiya Govardhanlal , Kachhadia Ramesh , Bhalodiya Rajesh
Published: October 2023

Background: In surgical Practice Fissure-in-Ano is commonest and most painful anorectal benign
conditions found among the patients. The Ischemia of anal lining caused due to elevated sphincter
pressures are responsible for pain & failure to heal. Despite availabilities of several conservative treatment options, surgical
treatment in the form of Lateral Internal Spincterotomy (LIS) remains the gold standard of treatment for chronic anal ssure. In
this study we compare Laser lateral internal anal sphincterotomy with Open lateral internal anal Sphincterotomy focusing
more on better postoperative pain relief and lesser complications. Aim: Comparative Study of Laser lateral internal
Sphincterotomy versus open lateral internal anal sphincterotomy in the treatment of anal Fissures. Materials And Methods:
The study was conducted on 50 cases of Laser lateral internal anal sphincterotomy compared with 50 cases of Open lateral
internal anal sphincterotomy in Madhav Surgical Hospital, Rajkot between September 2021 to February 2023. Results: In our
study in Group A 8% were fall in 16-20 years, 50% in 21-30 years, 16% in 31-40 years, 16 % in 41-50 years and 10% in 51-60%
years and in Group B 4% in 16-20 years, 32% in 21-30 years, 36% in 31-40 years, 18% 41-50%, 10% in 51-60 and 4% in >60. In
Group A mean postoperative VAS pain score in 6 hours 5.10±0,326, 12 hours 4.30±0.768, 20 hours 3.72±0.777, 36 hours
2.75±1.378 and 48 hours 2.3±1.417. In Group B mean postoperative VAS pain score in 6 hours 5.2±0.451, 12 hours 2.7±1.742,
24 hours 1.76±1.452, 36 hours 0.58±0.970 and 48 hours 0.28±0.670. Group A 46% presented with Perianal swelling, 42% Prutis
Ani and 24% atus incontinence. In Group B 0% presented with amount of blood loss, 18% Perianal swelling, 6% infection, 18%
atus incontinence. The mean postoperative pain score was signicantly less in Group B at 12 to 48 hours. Conclusion: Laser
lateral Internal Spincterotomy is much better than open Lateral Internal Spincterotomy with respect to less postoperative pain
and less postoperative complications in the treatment of anal ssure.
VOGT-KOYANAGI-HARADA DISEASE AND PRIMARY CUTANEOUS ANAPLASTIC LARGE CELL LYMPHOMA: A CASE REPORT
Authors: Shkodrani Entela , Vasili Ermira , Xhaja Alert , Sinanaj Englantina , Shkodrani Barbara
Published: October 2023

Vogt Koyanagi Harada Disease VKHD is a rare central nervous system condition that specically affects
vision and hearing. The disease, with not established etiology, presents with signs and symptoms of a loss
of immune tolerance to melanocytes within the meninges, eyes, skin, hair and ears. VKHD is associated with other autoimmune
disorders, but still, we don't know an association between VKHD and Primary Cutaneous Anaplastic Large Cell Lymphoma. We
present here a case with such association.
WEBINAR TRAINING OF EARLY DETECTION OF CONGENITAL HEART DISEASE FOLLOWED BY ECHOCARDIOGRAPHY SCREENING IN BANYUWANGI, EAST JAVA, INDONESIA
Authors: Hidayat Taufiq , Abdur Rahman Mahrus
Published: October 2023

Introduction: The prevalence rate of congenital heart disease (CHD) is considered high. The survival
rate at 28 days of life decreased by almost 70% in newborns with CHD. Delayed diagnosis of CHD is
believed to be the major reason why this congenital abnormality remains a heavy disease burden worldwide. Banyuwangi is
one of the cities in Indonesia which has no pediatric cardologist. This study's aim is to improve the healthworkers's knowledge
about early detection of CHD, and to provide the data about CHD's epidemiology in Banyuwangi. Methods: Webinar training
was delivered through zoom meting by pediatric cardiologists as an intervention. To gauge the knowledge of healthworkers
about CHD, we used a pre-posttest design. Paired-sample T-test was used to analyze the score, with p value <0.05 was
considered signicant. Echocardiography screening was conducted in Banyuwangi by pediatric cardiologists. Participant's
gender, age, chief complaints, and type of CHD were obtained. Results: 77 participants were attended the webinar training, 43
of them were general pediatriciants (55.8%). The mean of pretest and postest score respectively was 9.75/15 and 12.81/15.
There was a statistically signicant improvement of mean score (p <0.001). From the echocardiography screening we obtained
total 17 children. 12 children were diagnosed with acyanotic CHD, 4 children with cyanotic CHD, and 1 child was normal. ASD
was the most comon lesion with the total of 5 (29.41%). Shortness of breath and recurrent acute respiratory infection were the
most chieft complaints found among screened children (29.41%). Conclusion: Webinar training can be an alternative method
to improve the basic knowledge among health workers about early detection of CHD. In Banyuwangi, ASD was the most
common CHD lesion
SUGAR CANE COST AND PRICE POLICY IN SELECTED SUGAR INDUSTRIAL UNITS IN BAILHONGAL TALUKA
Authors: K Madawal B
Published: October 2023

The sugar industry plays a vital role towards socioeconomic development in the rural areas by mobilising rural
resources and generating higher income and employment opportunities. Abort 7.5 per cent of the rural population
covering about 45 million sugarcane farmers, their dependents and a large number of agricultural labourers are
involved in sugarcane cultivation, harvesting and ancillary activities. About half a million skilled and semi-skilled
workers, mostly from the rural areas are also engaged in the sugar industry. In India, the sugar industry is the second
largest agro-based industry,next only to textiles.As sugarcane is labour-intensive crop and labour cost account for more
than 50 percent share in total cost of sugarcane cultivation, mechanization is important for improving yield and
profitability of the sugarcane farming given increasing wage rate. Prices of sugar should be ideally determined by
supply and demand situations.When FRP of sugarcane is increased, the MSP of sugar also needs to be appropriately
revised to balance the interests of all stakeholders concerned.The study evaluates the sugar cane cost and price policy
in selected sugar industrial units in bailhongal taluka.
PROSPECTIVE RANDOMIZED STUDY ON COMPARISON OF SUBLINGUAL MISOPROSTOL VERSUS OXYTOCIN TO INDUCE LABOR IN TERM PREMATURE RUPTURE OF MEMBRANES IN PREGNANT WOMEN
Authors: Pranavi Vamanagunta , Vani Challa
Published: October 2023

Objective The aim of this study was to compare maternal and neonatal outcomes between sublingual misoprostol and
oxytocin on stimulating labor in term premature rupture of membranes (PROM) in pregnant women. Materials and
method. This Prospective Randomized Study was conducted in the Department of Obstetrics and Gynaecology,
Government Medical College,Ongole ,from Oct2022 to July 2023.Subjects were term pregnant women who had PROM
and came to Labor room for delivery.Participants were allocated into study (misoprostol) and control (oxytocin) groups.
The study and control groups were, respectively, administered sublingual misoprostol and intravenous oxytocin to
induce labor. Induction time and second stage of labor were recorded. Neonatal outcomes and maternal and fetal
complications were also recorded and analyzed. Result A total of 170 women were enrolled and equally divided into
study and control groups.Mean maternal age,body mass index,parity,gestational age,and bishop score of both groups
were comparable. Induction time of the study group was statistically shorter than the control group. Duration of active
phase and the second stage of labor between study and control groups were not significantly different.Cesarean section
delivery rate of study was lower than the control group (13.3 and 28.8%,p = 0.002).Intrapartum complications,neonatal
outcomes,and intra- and postpartum complications among both groups were not significantly differentiated.There was
no instance of postpartum hemorrhage or uterine rupture in the present study.Conclusion Induction time and cesarean
section rates of sublingual misoprostol group were significantly lower than the intravenous oxytocin group infull-term
PROM pregnancy.
De sonhos e fracassos: a influência do cenário externo sobre o Plano de Metas
Authors: Thomé Eduardo Moreira , Salomão Ivan Colangelo
Published: October 2023

O governo de Juscelino Kubitschek (1956-1961) e, em especial, o Plano de Metas, guardam lugar de destaque no desenvolvimento da economia brasileira no século XX. Em que pese a relevância do plano para o aprofundamento do processo de substituição de importações, o ônus do crescimento acelerado daquele período extrapola a espiral inflacionária e o descontrole das contas públicas. Este trabalho tem por objetivo jogar luz sobre os problemas que a conjuntura externa, e o consequente impasse do balanço de pagamentos, trouxeram para a economia brasileira a partir dos anos 1960, procurando evidenciar as bases frágeis sobre as quais o Plano de Metas foi erigido.
POLÍTICAS ECONÔMICAS RECENTES E AS CARACTERÍSTICAS DO MERCADO DE TRABALHO NA REGIÃO NORDESTE DO BRASIL
Authors: Mendonça Italo Do Nascimento , Neves Otávio Junio Faria , Batista Carolina Rocha
Published: October 2023

O presente estudo buscou analisar as características recentes do mercado de trabalho da Região Nordeste do Brasil nos primeiros trimestres de 2019 e 2020. O processo metodológico foi realizado em duas etapas: uma análise descritiva de algumas taxas que caracterizam o mercado de trabalho nordestino no período mencionado; e, em segundo lugar, identificaram-se mudanças na composição do desemprego no Nordeste, de acordo com a metodologia de Corseuil et al (1997). Através da análise descritiva, verificou-se que todos os grupos analisados aumentaram sua taxa de desocupação nos trimestres analisados. Os indivíduos negros, mulheres, jovens e os trabalhadores com ensino fundamental e médio foram aqueles que mais sofreram pelos problemas do mercado de trabalho da região. Os fatores relacionados à demanda por trabalho foram os que mais tiveram impacto nesses indivíduos, quando se analisa a composição do desemprego nesse território.  Como considerações finais, sugere-se que a Região Nordeste seja alvo de uma agenda de políticas que incentivem a demanda e que busquem a diminuição da desigualdade entre gêneros e que permita que os grupos mais fragilizados desse mercado de trabalho possam ser reinseridos em suas atividades econômicas e socias, desfrutando de uma vida digna já no curto prazo, finalizada a parte mais crítica da pandemia no Brasil.
COMPETITIVIDADE DAS EXPORTAÇÕES BRASILEIRAS DE CELULOSE
Authors: Schwertner Johannes José Gottseling , Lisbinski Fernanda Cigainski , Araújo Júlia Carvalho Vermonde de , Coronel Daniel Arruda
Published: October 2023

O objetivo deste trabalho consistiu em analisar o desempenho das exportações de celulose brasileira no período de 2000 a 2018. Neste sentido, utilizou-se os Índices de Vantagem Comparativa Revelada Simétrica (IVCRS), Taxa de Cobertura (TC) e Orientação Regional (IOR), e, além desses, um modelo gravitacional do comércio foi estimado para analisar o impacto de algumas variáveis (PIB, Distância, Desmatamento, Grau de Liberdade Econômica, Taxa de Câmbio e População) no fluxo comercial de celulose com os principais importadores do produto. Os resultados obtidos por meio do modelo estimado indicaram que o PIB do país exportador e importador apresentaram impactos positivos, a distância impacto negativo, e que as variáveis grau de liberdade econômica, taxa de câmbio e população do país exportador impactam positivamente no fluxo comercial bilateral de celulose brasileira. Por fim, a variável de desmatamento da Amazônia Legal Brasileira (ALB) não se demonstrou significativa, apesar de apresentar impacto negativo.
Habitat quality assessment based on InVEST model - Zhengzhou, China
Authors: Liu Manshu , Kollányi László , Wang Xinyu , Shi Zhen
Published: October 2023

Human activities and global urbanisation have affected the integrity and continuity of ecological land, and resulted in the fragmentation of natural habitats and worldwide ecological security issues. Some ecological functions of landscape patches have been degraded or even lost. We need to study the impact of land use changes on natural habitats that are caused by urbanisation. As the research area, we selected Zhengzhou, a city in central China that has undergone rapid urbanisation in the early 21st century. By using the InVEST-habitat quality model and ArcGIS geographical analysis, we evaluated changes in land use and habitat quality in Zhengzhou from 2000 to 2020. The results show that: The area of construction land increased sharply by 806.76km2 from 2000 to 2010, while during 2010-2020 the growth rate slowed to 33km2 per year, and most of it was converted from arable land. The area of forest and grassland was also greatly reduced in 2000-2010, but did not change significantly in 2010-2020. This indicates that urban expansion gradually shifted from the acceleration of 2000-2010 to a period of stability in 2010-2020, and construction land has taken over a large amount of arable land. Habitat quality was higher in the mountain forests to the west and the south, while the low habitat quality areas in the eastern plain gradually expanded with the development of urban construction. The Yellow River, the most important river in China, was also negatively affected by urbanisation in the north of Zhengzhou, but its habitat quality gradually improved during 2010-2020. In the central urban area, habitat quality was improved in some places due to the creation of green spaces and artificial lakes in recent years, and also through with the improved maintenance of green spaces. However, it is worth continuing to explore whether artificial lakes and large-scale green spaces are the optimal solutions to improve habitat quality. In the future, we will be able to seek the best cost-effective ecological protection methods in terms of economic investment and ecological benefits.
Exploration of Urban Subsystem Coupling Coordination Based on Resilience in Luohe City
Authors: Wang Xinyu , Shi Zhen , Kollányi László , Yang Yang , Liu Manshu , Zhang Xiaoyan
Published: October 2023

With urbanization, the uncertainties faced by urban areas continue to increase, and in response, China's urban planning is transitioning from a focus on quantity to quality. Promoting system coupling and coordination helps to make urban areas more resilient to risk. This paper uses data from Luohe City (China) in 2022 as an example to calculate the inter-system coupling coordination degree (CCD), find the factors that obstruct resilience construction, and further explore the spatial heterogeneity of the obstacle factors. The synthetic evaluation model, coupling evaluation model, and obstacle diagnosis model are used to evaluate and analyze each subsystem. The results are as follows: According to the synthetic evaluation, the mean urban development value is 0.48, with high-value regions clustered in the Southeastern built-up zone. Mean value of urban coupling coordination is 0.66, the coordination level is 7 (Moderate Coordination). Urban development degree is positively correlated with CCD. Globally, the economy is the main factor obstructing resilient growth, but the core obstacle areas of the ecosystem are larger and have a wider impact. This study contributes to understanding the internal action of urban systems and provides data for balance development and urban resilience enhancement.
Changes in Green Space Intensity in Budapest’s 14th district
Authors: Jombach Sándor , Üsztöke Laura , N. Hassan Yaseen
Published: October 2023

This research used the ”Green Space Intensity” (GSI) index to describe the changes in green space within Zugló, Budapest’s 14th district, from 1992 to 2020. The GSI index is based on the NDVI (Normalized Difference VegetationIndex), but the values have been revised and adjusted to high-resolution ortho imagery and validated by VHR satellite images. It has been developed over the last two decades, it is well known and has been used in the last ten years in research to analyze green spaces within the towns and cities of Hungary. Analysis of green space changes provides reasonable decision-support in urban planning and city development. It helps to define the drivers of change and the effects of changes on the urban climate, paved and built-up areas, the urban habitat of wildlife species and the role of endemic, invasive and ornamental plant species in the city’s green infrastructure. From an urban ecology perspective, this research supports better and more sustainable planning and design solutions.
Fahr's Syndrome and Neuropsychiatric Manifestations: A Case Report
Authors: Azraf F. , Tounsi A. , Laboudi F. , Ouanass Abderrazak
Published: October 2023

Fahr's syndrome is characterized by bilateral and symmetrical intracerebral calcifications, primarily affecting the basal ganglia, and is often associated with phosphocalcic metabolism disorders. In this study, we present the case of a 50-year-old man diagnosed with hypoparathyroidism revealed by Fahr's syndrome and neuropsychiatric symptoms. This case highlights the importance of investigating phosphocalcic metabolism disorders in neuropsychiatric manifestations to detect hypoparathyroidism or other causes of Fahr's syndrome, and to adopt appropriate therapeutic measures.
Diabetes, Vision & Homoeopathy
Authors: Tripathy Tridibesh , Kumar Deepak , Deshmukh Sujit , Das Shankar , Singh Dharmendra Pratap , Prusty Umakant , Mishra Madan Mohan , Pattanaik Jeevan Krushna , Pradhan Pramod Bihary
Published: October 2023

Treating the eye of a diabetic patient is a challenging task for an ophthalmologist as they deal with Diabetic Retinopathy (DR). Uncontrolled sugar levels further leads to complications making the challenge tougher for the ophthalmologist. To meet these challenges, the current article examines the role of homoeopathy on a large scale at the national level [9]. The article delves into the current status of DR at nation at global & national level. Thereafter moves to epidemiology of DR, diagnosis of DR, management of DR & the burden of DR in India. It sees what the homoeopathic system of medicine can offer to deal with DR cases & the burden of DR. On a large scale, the blindness prevention in public health centers on vitamin A prophylaxis or vitamin A prevention. All these efforts are done for the younger age group. Currently, vitamin A prophylaxis starts from the age of 9 months & goes on till the children complete 5 years of age. From the age 9 months one dose of vitamin A is given to the children every 6 months till they complete 5 years of age. So in all, 9 doses of vitamin A are given to U5 children [9, 10]. Other diseases like DR, cataract, refractive error & glaucoma also contribute to blindness, In recent times, there has been a rise of such cases of vision loss & it is essential to understand the cause. There is a clear link between uncontrolled sugar levels & retinopathy. This phenomenon leads to masking of vision related symptoms thus resulting in unexpected blindness cases. These are actually Diabetic Retinopathy cases [9, 10, 26].
Assessment of Silver Sulfadiazine Dressing in the Non-Operative Management of Omphalocele
Authors: Morshed G. M. , Islam Shahnoor , Das Bipul Bhusan , Rashid Mohammad Syfur
Published: October 2023

Background: Non-operative management of omphalocele, a congenital abdominal wall defect involving abdominal viscera protrusion through the umbilical cord base, poses significant neonatal care challenges. Silver sulfadiazine dressing, renowned for its antimicrobial and wound-healing properties, is emerging as a potential adjunctive therapy for omphalocele. Aim of the study: This study aimed to assess the effectiveness of silver sulfadiazine dressing in the non-operative management of omphalocele. Methods: This prospective interventional study was carried out at Dhaka Medical College and Hospital (DMCH), Dhaka, Bangladesh, from March 2018 to June 2020. The study included 10 neonates with omphalocele who received silver sulfadiazine dressing. Random sampling was employed for participant selection, and data were collected using a pre-designed data collection sheet. Analysis and presentation of data were done using the MS Office suite. Results: The average age of the participants was 1.0±1.15 years, and 60% of them were male. Participants with omphaloceles showed diverse sac sizes, with 10% having sacs ≤5 cm, and 90% >5 cm (mean 7.30 cm ± 2.58 cm). Eschar formation took 7.70±2.62 days. Initial hospital stays averaged 9.10±1.91 days. Epithelization commenced in 18.90±3.60 days. Full epithelization across participants averaged 103.30±16.74 days. Conclusion: Eschar formation and initial hospital stays are as expected, but complete epithelization is significantly prolonged, highlighting the need for ongoing care. Our recommendation for medical practitioners is to tailor care to omphalocele patients, especially regarding epithelization management, considering individual needs and optimizing the process.
Impact of α-Tocopherol and Ascorbic Acid Pre-Treatment on Paracetamol Induced Liver Injury in Wistar Albino Male Rats
Authors: Khan Saidul Islam , Begum Mahmuda , Chowdhury Rama , Rahman Md. Mizanur , Asaduzzaman Muhammad , Akter Hasina , Nazmin Shehrina
Published: October 2023

Background: Liver injury may occur by toxic dose of paracetamol administration where liver function markers are elevated and centrilobular hepatic necrosis is visible under a microscopic observation in hepatic lobule configuration. α-tocopherol and ascorbic acid are known antioxidant and they may have hepatoprotective effect against paracetamol induced liver damage. Aim of the study: The aim of this study was to evaluate the effects of α-tocopherol and ascorbic acid on paracetamol induced liver damage in Wistar albino male Rats. Methods: This was an animal model experimental study which was conducted in the Department of Physiology, Sir Salimullah Medical College, Dhaka, Bangladesh from 1st January to 31st December, 2017. Although primarily healthy Wister albino male rats, 90-120 days old, weighing from 160 to 200g were selected for this study, finally data were analyzed on 30 rats. Finalized 30 samples were divided into three groups Group I (baseline control group, n=10), Group II (paracetamol treated control group, n=10) and Group III (combined α-tocopherol with ascorbic acid pretreated & paracetamol treated group n=10). The dose of α-tocopherol 100 mg/kg Body weight and ascorbic acid 200 mg/kg Body weight per day orally were selected as pre-exposure prophylaxis. The statistical analyses were done by one-way ANOVA and Bonferroni test, paired ‘t’ test and Fisher’s Exact test as applicable. Results: The mean serum total bilirubin, ALT and AST were significantly increased in group II and III in comparison to that of group I except the serum levels of total bilirubin and ALT of group III which were increased than that of group I but it was not statistically significant. Again, the mean MDA concentration in liver was significantly increased in group II in comparison to that of group I whereas though this level was increased in group III than that of group I but it was statistically not significant. Furthermore, the mean serum levels of total bilirubin, ALT, AST and ...
Frequency of Appendectomy in Children after Conservative Treatment of Uncomplicated Acute Appendicitis
Authors: Rashid Mohammad Syfur , Hossain Mitali , Morshed G. M. , Islam K. M. Shaiful , Islam Md. Majedul , Tablu Abdul Hanif
Published: October 2023

Background: Acute appendicitis, frequently seen in children, involves an inflamed appendix. Conventionally, surgical removal (appendectomy) has been the go-to treatment. Recently, interest in a conservative approach, utilizing antibiotics and close monitoring, has grown, particularly for uncomplicated cases. This shift aims to reduce surgical intervention, reflecting a changing understanding of the condition. Aim of the study: The aim of the study was to assess the frequency of appendectomy in children after conservative treatment of uncomplicated acute appendicitis. Methods: This prospective observational study spanned from July 2017 to March 2019, conducted at the Department of Paediatric Surgery, Dhaka Medical College Hospital, Bangladesh. It involved 62 children admitted for uncomplicated acute appendicitis. Data collection employed purposive sampling, and MS Office tools were used for data analysis. Results: In this study, the mean age of the total participants was 8.95±2.10 years within a range from 4 years to 12 years. The male-female ratio was 1.6:1. The frequency of appendectomy among the total participants was 4.9% (n=3). After taking conservative treatment, 95.1% (n=59) of patients were successfully discharged. Within six months, 13.0% (n=8) experienced recurrence, and the average hospital stay was 5.26±0.63 days. Conclusion: The frequency of appendectomy in children after conservative treatment of uncomplicated acute appendicitis. So, by using conservative treatment physicians can save a huge number of paediatric patients from the hassles and sufferings of surgery for uncomplicated acute appendicitis.
Pupillary Block Glaucoma after Nd: YAG Capsulotomy
Authors: Lina Lahlou , Omar Bengebara , Mohamed Filali Sadouk , Ahmed Bennis , Fouad Chraibi , Meriem Abdellaoui , Idriss Benatiya Andaloussi
Published: October 2023

A 65-year-old-woman presented following neodymium: YAG capsulotomy for posterior capsular opacification with acute glaucoma. Cataract surgery had been done with good outcomes. Cornea edema obscured detail of the anterior chamber, but the edge of the lens could be seen clearly within the pupillary space and the acute angle-closure glaucoma was due to vitreous prolapse in the anterior chamber. We believe this case demonstrates the possible complications of the Nd: YAG capsulotomy even if it is an effective tool to treat an opacified posterior capsule after cataract surgery.
Diagnostic Usefulness of Tru-Cut Needle Biopsy in the Diagnosis of Palpable Breast Lump
Authors: Khatun Mahbuba , Rahman Md. Mustafizur , Islam Md. Rafiqul , Hossain Md. Moktar
Published: October 2023

Introduction: Tru-cut biopsy is now one of the useful means of obtaining early and accurate histopathological diagnosis. It is easy and can be performed on an outpatient basis. It also avoids unnecessary excisional biopsy. Objective: To correlate findings of trucut biopsy in Diagnosis of Palpable Breast Lesions. Material and Methods: A cross sectional, observational study of one years conducted in Dept. Of Surgery, Shaheed Suhrawardy Medical College & Hospital, Dhaka, Bangladesh from January to December 2017. The study includes 100 patients of palpable breast lump. Trucut biopsy was performed using a Tru-Cut gun BARD MAX-CORE with an 18-gauge needle by means of 4 successive insertions with different angulations of the needle into the lesion’s core. Results: The study includes 100 patients, Trucut Biopsy findings correlated with the histopathological findings in 97 of 100 cases (97.2%), which included 27 of 28 (96.4%) of the benign lesions and 71 of 72 (98.6%) of the malignant lesions. Conclusion: The results of this study suggest that TCB is an accurate, reliable and a safe method of establishing the diagnosis of cancer in patients with breast lesions. Our results yielded a high sensitivity of 95.65% with 96.88% specificity when compared with FNAC in the diagnosis of breast cancer especially when radiology is not diagnostic. Thus, trucut biopsy should replace fine needle aspiration in the preoperative assessment of suspicious breast lumps.