bluuebunny/crossref_metadata_2025 huggingface dataset:
Las redes sociales en la salud mental de los adolescentes: ¿un problema existente?
Authors: Medina Gamero Aldo , Tolentino Escarcena Rodolfo , Luy Montejo Carlos , Cárdenas de la Cruz Sebastián , Muñoz Rojas Josselyn
Published: January 2023

La presente investigación tiene como propósito determinar cómo afectan las redes sociales en la salud mental de los adolescentes. En la actualidad, los usuarios que utilizan estas plataformas virtuales son los más jóvenes, quienes se encuentran en una etapa de muchos cambios psicológicos, por lo cual son más propensos a desarrollar una adicción. El objetivo de la investigación es analizar los estudios teóricos y empíricos respecto de la afectación negativa que tienen las redes sociales en los adolescentes. Se realizó una revisión de artículos en bases de datos como Scielo, Redalyc y repositorios con respecto del impacto de las redes sociales en la salud mental de los adolescentes de Lima con el fin de que los usuarios conozcan las consecuencias que trae el uso constante de las redes sociales. En síntesis, se concluye que el uso excesivo de redes sociales tiene un efecto negativo en los jóvenes, provocando problemas psicológicos, sociales y físicos.
Destrukce gotických kamen na zámku v Pardubicích
Authors: Drnovský Pavel , Kypta Jan , Thér Richard
Published: January 2023

Studie je koncipována jako komplexní vyhodnocení mimořádně objemné destrukce gotických kamen, nalezené v roce 1997 při archeologickém výzkumu zámku v Pardubicích. Kamna zanikla patrně následkem požáru na přelomu 15. a 16. století. V destrukci převažují komorové a nádobkové kachle běžné tvarové škály. Početně výrazně jsou zastoupeny i jiné kamnové konstrukční prvky, ponejvíce desky několika tvarových a metrických formátů. Soubor keramických desek je z dvojího pohledu (dočasně) unikátní, což platí i v mezinárodním měřítku. Nemá obdobu ani co do celkového množství, ani co se týče druhové pestrosti. Zatím ale scházejí vodítka pro bližší funkční interpretaci desek. Hodnocení nálezu končí diskusí nad sociálním kontextem. Odpověď na klíčovou otázku, zda se do podoby předmětných kamen promítlo společenské postavení vrchnostenského rodu, však není možné jednoznačně zformulovat, vyznívá spíše záporně.
Meios de Comunicação, Extensão, Escapismo e Isolamento social
Authors: Dugnani Patricio
Published: January 2023

El uso de los medios digitales, en comparación con los medios masivos, ha influido en el desarrollo del aislamiento y la fragmentación social, más que en la unificación de las culturas, como esperaban los autores de las teorías de los medios. Una de las consecuencias de este proceso ha sido el rescate de una visión utópica del pasado, que ya se palpaba en la Posmodernidad, y que se ha acelerado a raíz de la crisis provocada por la pandemia del Covid-19. Este artículo se propone observar este fenómeno, que además de conducir al aislamiento social, aumenta la sensación de incertidumbre, lo que ha favorecido el resurgimiento de ideas escapistas, reveladas en el discurso pospandemia como una huida de la realidad a través de la voluntad de mantenimiento social. aislamiento, reforzando la fragmentación de la sociedad.
Why have there been no Founding Mothers of Europe?
Authors: Cianciara Agnieszka K.
Published: January 2023

Women seem strangely absent in the process of European integration, or rather, in the dominant narratives that shape our understanding of how a united Europe was created. The historiography of European integration is populated by founding fathers, but there are hardly any founding mothers in sight. Drawing on the famous essay by feminist art historian Linda Nochlin (Why have there been no great women artists? 1971), this article makes a threefold contribution to the literature: first, it outlines the pitfalls of the feminist urge to ‘(re)discover’ women; second, it investigates the ‘founding fathers’ as a social construct; and, finally, it highlights the key role of institutional opportunity structures for women’s participation in politics.
Kim Jŏ-dzŏng – najważniejsza kobieta w Koreańskiej Republice Ludowo-Demokratycznej
Authors: Gajos Dawid
Published: January 2023

Koreańska Republika Ludowo-Demokratyczna jest państwem o patriarchalnym charakterze. Od trzech pokoleń rządy sprawują w niej niemal wyłącznie mężczyźni. Dopiero na początku XXI wieku władzę zaczęła tam zdobywać kobieta – siostra Kim Dzong Una – Kim Jŏ-dzŏng. Celem artykułu jest przedstawienie drogi jaką przeszła pierwsza kobieta, która znalazła się oficjalnie w najściślejszych kręgach władzy w Korei Północnej, jak i ścieżki jej kariery w polityce KRLD. Wykorzystanie metody historycznej oraz instytucjonalnej pozwoliło na wykazanie w jaki sposób Kim Jŏ-dzŏng wchodziła po kolejnych szczeblach władzy w państwie, by ostatecznie stać się drugą osobą w Korei Północnej. Stała się również pierwszą kobietą, która uzyskała realny, potwierdzony w oficjalnie sprawowanych urzędach, wpływ na politykę wewnętrzną i zagraniczną  KRLD.
La donna fascista – narodowa służebnica, żona i matka
Authors: Wotlińska Anna
Published: January 2023

The subject of this article is the attitude of Italian fascism towards women. It outlines the  social roles that were announced to  women in  propaganda texts and to which they were supposed to submit. The author describes the position of Italian women, referring to the specific decalogues of women and families that appeared in the fascist press in the 1920s. A woman-mother was the basic and most important figure that bound the family together but also built the power of  the  state. Bearing children and raising them to  be righteous members of the nation and submitting to the will of men were to ensure women universal respect and recognition. According to fascist ideology, reproduction was also a precondition for recognising a union as a family, a man and a woman staying together. The next part of the article is devoted to this issue. It describes the obligations imposed by  fascist ideologues also on  men. Both sexes were stripped of individualism, personal needs and desires in this political reproductive puzzle, albeit unevenly and with the preservation of patriarchal patterns. The state and its leader – Benito Mussolini – became a god and a source of laws.
Pengembangan Alat Peraga Edukatif Gerakan Sholat Dari Kain Planel Pada Mata Pelajaran Fiqih Kelas II Di MI Tarbiyatul Islamiyah
Authors: Kumala Sari , Hafizh H. Abdul , Ansari Muhammad Iqbal , Arifa Tutus Rani , Jumiati Jumiati
Published: January 2023

Materi pembelajaran fiqih di Madrasah Ibtidaiyah syarat dengan nilai nilai bagi pembentukan pribadi muslim,tantangan terbesar seorang guru adalah bagaimana agar peserta didik mampu memahami isi dari pembelajaran tersebut dan tercapai tujuan pembelajaran. Untuk itu diperlukan alat peraga edukatif yang dapat mendukung untuk mencapai tujuan pembelajaran tersebut. Di Sekolah Madrasah Ibtidaiyah dalam proses pembelajaran Guru belum pernah menggunakan alat peraga dalam pembelajaran terutama pada mata pelajaran Fiqih. Maka salah satu usaha untuk mengatasi keadaan demikian maka peneliti mencoba melakukan penelitian pengembangan yang  di latar belakangi oleh adanya potensi dan masalah yang ada. Penelitian ini dilakukan untuk mengetahui bagaimana Pengembangan Alat Peraga Edukatif Gerakan Sholat dari kain Planel pada Mata Pelajaran Fiqih Di Kelas II Madrasah Ibtidaiyah. Penelitian ini menggunakan metodologi penelitian Research and Development (R&D), dengan Prosesdur pengembangan model ADDIE (Analysis, Design, Development, Implementation, and Evaluation). Angket, wawancara dan dokumentasi kemudian diolah menjadi dua jenis data yaitu data kualitatif dan data kuantitatif untuk kemudian digunakan sebagai penentu kelayakan alat peraga edukatif gerakan sholat dari kain planel dan mengetahui respon peserta didik di Kelas II Madrasah Ibtidaiyah. Alat Peraga edukatif gerakan sholat dari kain planel telah divalidasi oleh tiga validator ahli dengan kriteria layak dan mendapatkan respon sangat positif  dari peserta didik.
Proper Implementation Of Therapeutic Communication In Nursing Care
Authors: Yani Fitri , Wilantara Kristian Galu , Yuliasih Saryanti Nur Putri , Ximenes Tome Justino , Nureliza Vivi , Santoso Aris Prio Agus
Published: January 2023

Nurses are those who have the ability and authority to carry out nursing actions based on the knowledge they have acquired through nursing education and therapeutic communication is the ability or skill of nurses to help clients adapt to stress, overcome psychological disorders and learn how to relate to others and help patients to explain their health problems so that they can reduce the burden of feelings and thoughts and can take action to change the existing situation if the patient believes in what is needed. The method used is literature review, namely by analyzing books and journals related to the implementation of appropriate nursing care in therapeutic communication. In carrying out proper nursing care in therapeutic communication, nurses must know what the nurse's authority is in providing nursing care and also good communication to help patients so that patients can be helped so that patients feel satisfied with nursing services. Examples of therapeutic communication techniques are: acceptance, silence or silence, offering, rewarding, active listening, open communication, asking the patient to sequence events according to time, seeking clarification, making observations, confrontation.
Mutu dan kepuasan terhadap pasien
Authors: Karunia Melita , Azizah Nurul , Rahayu Oktaviana , Melati Putri Sovia , Santoso Aris Prio Agus
Published: January 2023

Mutu dan kepuasan pasien adalah salah satu faktor yang membuat pasien untukdatang kembali berobat karena perasaan puas yang diterimanya atau bahkan tidakakan pernah datang lagi. Tujuan penelitian ini adalah untuk mengetahui kepuasanpasien terhadap mutu pelayanan keperawatan berdasarkan harapan dan persepsipasien. Disain digunakan adalah deskriptif analitik dengan pendekatan crosssectional. Penelitian ini akan mengukur kesenjangan (gap) antara pelayanan yangtelah diberikan oleh rumah sakit / puskesmas terhadap pasien itu sendiri. Daripengukuran tersebut akan diketahui tingkat kepuasan terhadap mutu pelayanankeperawatan yang diberikan oleh rumah sakit/ puskesmas tersebut. Hasil daripenelitian ini menunjukkan pasien puas terhadap mutu pelayanan keperawatan padadimensi, reliability assurance dan empaty, dan tidak puas pada dimensi tanggible danresponsiveness. Hal ini menunjukkan bahwa pelayanan keperawatan yang diberikanRumah sakit/puskesmas telah memenuhi harapan pelanggan, diharapkan kepadaperawat terus memberikan pelayanan yang baik sehingga meningkatkan citra positifrumah sakit/puskesmas. Kepuasam pasien merupakan tingkat keunggulan pelayanankesehatan yang dapat memenuhi kebutuhan pasien yang diberikan oleh tenaga medis,paramedis, dan penunjang medis. Keunggulan pelayanan kesehatan yang diberikanmeliputi aspek reliability, responsiveness, assurance, empathy dan tangible.Sedangkan kepuasan merupakan respon atau tingkat perasaan (senang atau kecewa)pasien yang diperoleh setelah pasien menerima produk jasa layanan kesehatandengan membandingkan antara kinerja atau hasil yang dirsakan dengan kebutuhandan harapan pasien. Jadi kepuasan pasien terhadap pelayanan yang diterima olehpasien akan mempengaruhi tingkat kepuasan pasien. Jika mutu kepuasan pasien yangdiberikan bagus maka pasien akan merasakan kepuasan, sebaliknya jika pelayanandiberikan pada pasien buruk maka pasien akan kecewa karena mereka tidakmendapatkan apa yang dibutuhkan atau tidak sesuai dengan harapan mereka .Berdasarkan hasil penelitian dapat disimpulkan bahwa Mutu dan kepuasan terhadappasien akan mempengaruhi kondisi kepuasan pasien itu sendiri. Pada akhirnyadisarankan kepada pihak rumah sakit/puskesmas supaya tetap mempertahankan danmeningkatkan kualitas pelayanan yang baik agar kepuasan pasien dapat terwujuddengan lebih baik.
PEMBERIAN TEKNIK DISTRAKSI MENGGAMBAR DAN MEWARNAI UNTUK MENURUNKAN ANSIETAS SELAMA HOSPITALISASI PADA ANAK DBD DI RUMAH SAKIT
Authors: Jawiah Jawiah , Rehana Rehana , Martadinata Umar Hasan , Elviani Yeny , Amelia Jenny
Published: January 2023

Background: Children with Dengue Hemorrhagic Fever must immediately receive treatment with hospitalization (hospitalization), the most common main response when children undergo hospitalization is anxiety (anxiety). Children's anxiety levels can be overcome by offering therapies that are able to create a sense of security and comfort for children, one of which is by presenting drawing and expressing distraction techniques. Drawing and aims aim to make children happy, feel not afraid and can be used as one of the entertainments when children are hospitalized. Methods: This case study design is a descriptive design in the form of a case study with a process approach consisting of assessment, diagnosis, planning (intervention), implementation (implementation), evaluation and documentation. The subject of the case study again was two DHF pediatric patients who experienced the same problem, namely anxiety. This case study was conducted at Siti Fatimah Hospital Palembang in 2022. The data collection technique was by means of observation, interviews and filling out case study instruments for 3 days in the treatment room. Result : The implementation given is in the form of drawing distraction technique and it worsens the anxiety experienced by pediatric patients during hospitalization. Scores decreased significantly after the drawing and storytelling techniques were applied. Conclusion: The drawing distraction technique can reduce anxiety in children who experience hospitalization, the anxiety score after the drawing distraction technique decreases.
“A STUDY OF MATERNAL FACTORS INFLUENCING VERY LOW BIRTH WEIGHT BABIES”
Authors: Kumar Ajay , Rekha Sasi , Suneetha Suneetha , Sravani Sravani
Published: January 2023

Background: In developed countries, because of improvement in health care facilities and increased funds spent for
health ,the problem of VLBW has been reduced. But in developing countries like India, where lacunae in health care
facilities and funds, the survival and long term complications of very low birth weight babies still remain the challenge. 1.To study Objectives:
the inuence various maternal factors like age, parity, occupation, obstetric history etc on the outcome of birth weight babies. Materials And
Methods: Study design: Study area: Prospective case control study Government general hospital, siddhartha medical college, vijayawada,
Krishna district, Andhra pradesh. January 2019 to July 2019. All newborn babies with birth w Study period: Study population: eight <1500 gms
irrespective of gestational age Study consisted of 100 newborns (50 cases and 50 control Sample size: Sample method: s). Simple random
sampling method. All newborns less than 1500 gms irrespective of gestational age, examined and det Study tools and data collection: ailed
antenatal, natal history was obtained and recorded. The incidence of very low birth Results: weight newborn was found to be 2.08%, and the most
common cause is preterm delivery. There is NO relation found between family structure, mother occupation, antenatal visits and incidence of
very low birth weight. As the literacy rate of mothers increases, the weight of the baby increases. Birth weight of babies has Conclusion:
signicant association with maternal factors like parity, birth interval and previous bad obstetric history. Literacy rate of mothers had a positive
correlation.
A COMPARATIVE STUDY ON KHO KHO AND KABADDI MALE PLAYERS OF MANGALORE UNIVERSITY INTER COLLEGIATE TEAM
Authors: Kh Shubha
Published: January 2023

Physical Education is that phase of education concerned with the
teaching of skill, acquisition of knowledge and development of
attitudes through human movement most public schools, colleges and
universities recognize the importance of physical education by making
it as part of the required curriculum. This reorganization is accorded to
physical education by many nations of the world. In schools, physical
education programs provides each person with rural opportunities to
access tness level and consequently select activities that will
strengthens personal weakness and promote the development of life
time skills and understandings, thus enabling the student to have a full
and productive life, while in school and afterwards in a broad view of
education. Physical educations uniqueness lies in its contribution to
physical (tness) and psychomotor (skill) development.
THE IMPORTANCE OF DEPROTEINIZATION IN DENTAL REHABILITATION
Authors: Estrada Esquivel Blanca Estela , Perea González Patricia , Gómez Sánchez Jeseida
Published: January 2023

There is many studies and literature that demonstrates that the objective of deproteinization is to increase adhesion to
enamel. Deproteinization of enamel prior to acid etching allows phosphoric acid to enhance its action on the enamel
surface by increasing etching, generating greater retention, marginal sealing, and excellent long-term clinical results. This new procedure should
be added to the enamel adhesion treatment protocol. NaOCl denaturants proteins and does not cause changes in the mineral structure of the
enamel. In addition, it increases the quality of the etching pattern by removing organic matter and the lm acquired from the enamel surface. This
clinical procedure is an indispensable tool that optimizes the results of the conventional etching technique, to achieve greater morphological
conditioning and generalized undercut areas on the enamel surface, by allowing an increase in the retention of resin-based materials. The success
of a good adhesion is achieved through the retentive capacity achieved during a correct etching of the enamel, for which it is required that the entire
surface of the enamel have an adequate etching pattern that allows optimal etching
SINGLE CENTRE RETROSPECTIVE STUDY COMPARING MAGNETIC RESONANCE-TRANSRECTAL ULTRASOUND (TRUS) FUSION TARGETED AND SYSTEMATIC BIOPSY VERSUS CONVENTIONAL TRUS SYSTEMATIC BIOPSY FOR DETECTING PROSTATE CANCER
Authors: EL Hajj Houssein , Silva Tania Oliveira E , Mohamad Fadi Dalati , Ibrahim Biaou , Cedric Entezari , François Thibeau Jean , Valentine Tollet , Nicolas Sirtaine , Razvan Gutu , Kim Entezari
Published: January 2023

Purpose: The aim of this retrospective study is to compare the results of MRI-TRUS fusion targeted and systematic
prostate biopsy (TSPB) versus conventional systematic prostate biopsy (SPB), in biopsy naïve patients with available
MRI results at time of biopsy. Between January 1, 2018, and May 31, 2022, patients with Materials And Methods: clinical suspicion of
prostate cancer based on abnormal PSA level and/or abnormal Digital Rectal Exam (DRE) who were scheduled for prostate biopsy, were
included. All patients had undergone multiparametric (mp) MRI before biopsy, and the results of this scan were known to the urologist
performing the biopsy. Patients were classied according to whether they had undergone MRI-TRUS fusion targeted + systematic biopsies
(TSPB, group 1) or standard TRUS systematic biopsies (SPB, group 2). We compared cancer detection rate (CDR), clinically signicant cancer
(ISUP≥2) detection rate, rate of upgrading or downgrading in radical prostatectomy treatment group and prostate biopsy complications.
Results: There was no statistically signicant difference in global CDR between group 1 (TSPB) and group 2 (SPB), CDR 59.7% (43/72) and
54.8% (102/186), (p< 0.48), respectively. Prostate cancer prevalence was 56.2% (145/258). There was 3 times higher risk of PCa detection in
patients with MRI-visible lesions comparable to those with no MRI-visible lesions, CDR 66% (110/166 patients), and 38% (35/92 patients), OR
3.2 CI [1.9-5.4], (p<0.001), respectively. Rates of upgrading and downgrading on whole-mount histopathological analysis were 23.5% and
17.6% respectively. There was no increased risk of complications rates post prostate biopsy in both groups. In this single centre Conclusion:
retrospective study we found no differences in CDR across combined MRI-TRUS fusion + systematic prostate biopsies versus systematic
prostate biopsies in men having undergone mpMRI. Knowledge of the anatomical location of the index lesion may benet CDR in patients
undergoing standard systematic biopsies. Our study investigated the results of pros Patient summary: tate biopsy strategy in patients suspected
of having prostate cancer based on their abnormal PSA level and/or DRE. The results showed that there was no signicant difference between the
prostate biopsies done systematically or those done using MRI-TRUS fusion (targeted and systematic) even when there is MRI-visible lesion.
A PRE-EXPERIMENTAL STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE REGARDING NOMOPHOBIA AND ITS PREVENTION AMONG THE STUDENTS AT SELECTED GOVT. DEGREE COLLEGE OF DISTT. SHIMLA H.P.
Authors: Poonam Poonam , Arpana Arpana
Published: January 2023

Background- Nomophobia or no mobile phone phobia is used to describe a psychological condition when people have
fear of being detached from mobile phone. The term Nomophobia is constructed on denitions described in the DSM-IV;
it has been labelled as a “phobia” for a specic / particular thing. various psychological factors are involved when a person overuse the mobile
phones. To show the effectiveness of STP on knowledge regarding nomophobia and its pre Aim - vention among the degree college students in
selected government degree college at distt. Shimla, H.P. Quantitative Material and Method- approach was used, and Pre - experimental
research design was adopted for this study. The study was conducted among the 90 college students selected by convenient sampling technique at
selected degree college in distt. Shimla, H.P. Data were collected by using 30 structured knowledge questionnaires regarding knowledge and
prevention of nomophobia. The data was presented in the form of tabulation and analysed by descriptive and inferential statistics. The nding
revealed that out of 90 samples, maximum study sample 54.4% were in age group of 20 year, followed by 33.3 % in age group of 19 year and only
12.2% of 18 year. with regard of gender 65.6% were female and 34.4% were male. in term of stream 35.6% were commerce students, while
highest 64.4% from arts stream. Result- The study nding revealed that before administration of STP most of the students 85.6% of the college
students had poor knowledge, 14.4% of the students had average knowledge, 0% of the students had good knowledge. thus, it states that majority
85.6% of degree college students had poor knowledge regarding nomophobia and its prevention.while there was tremendous increase in
knowledge in post-test 1.1% of students had poor knowledge, 37.8% college students had average knowledge and 61.1% of college students had
good knowledge regarding nomophobia and its prevention shown by difference in Pretest score 11.69 +-2.155 and post-test knowledge score
22.43 +-3.243 with 35.82% of mean difference On the basis of result nding the study concluded t Conclusion- hat structured teaching
programme is an effective way to show tremendous increase in knowledge regarding Nomophobia and its prevention.
GASTROINTESTINAL STROMAL TUMOUR – EXPERIENCE OF A PERIPHERAL TERTIARY CARE INSTITUTE
Authors: Das Chaitiparna
Published: January 2023

Introduction- GIST is a generally a rare tumour but it is most common mesenchymal malignancy of gastrointestinal tract
. this malignancy originates from the interstitial cells of Cajal, the pacemakers of GI tract. Management of GIST is
associated with difculties at diagnosis, proper immunohistochemical categorisation, completeness surgical excision,resistance to available
TKIs. Aim of this study was to share the experience of treating GIST case AIMS - Methods- s from a peripherally located tertiary level hospital .
In this retrospective observational study all the histology and immunohistochemistry proved cases of GIST attending Department of
Radiotherapy of Midnapore Medical College between 2016 to 2017 were accrued and evaluated. 12 Cases were evaluated for their Result -
demographic character, clinical presentation , treatment history, response pattern. M:F ratio was 1.4:1.Age range was 37 years to 58 years. Eleven
cases were postoperative and 1 case was advanced inoperable. All the cases were positive for KIT stains .All the patients received treatment with
Tyrosine Kinase inhibitor Imatinib Mesylate. At the end of 2 yrs of treatment and follow up 10 patients were disease free , two patients
developed progression of disease. Introduction of Imatinib Mesylate and other TKIs have Conclusion - revolutionised the management of
GISTs. Still the management is associated different obstacles like early diagnosis, proper immunohistochemical and genotypic categorisation,
resistance to available TKIs , lack of large scale studies . Further long term studies with larger study population is needed to improve the treatment
outcome of patients suffering from this mysterious disease.
“TO STUDY PATTERN OF DRUG USE AND SAFETY OF MEDICATION USED IN LIVER DISEASE PATIENT AT TERTIARY CARE TEACHING HOSPITAL.”
Authors: Kareliya Madhvi , Kamejaliya Dinesh , Pillai Ajita
Published: January 2023

Background and objectives: Liver disease is one of the major non communicable diseases which leads to change inpharmacokinetics of many
drugs requiring monitoring and dose adjustment to improve the efcacy and safety of the patients. Hence present study is undertaken to evaluate the
drug usage pattern and its safety prole in liver disease patients. Patients and method:An observational and cross-sectional study was conducted
in department of medicine in a tertiary care teaching hospital from January 2020 to January 2021 after getting approval from ethics committee. All
the 100 patients including male and female (age group ≥ 12 years) diagnosed with liver disease were included. Demographic data, clinical details,
drugs prescribed, WHO prescribing core indicators and adverse drug reactions were analyzed using descriptive statistics. Results: Non-alcoholic
fatty liver disease was the most common form of liver disease seen in the study population (n=100). Males (74%) between age group 41-50 years
were more prone to liver disease. Average number of drugs prescribed was 8.17 and 77% patients received antibiotics. Gastroprotectives were more
mostly prescribed class of drugs (23.9%) followed by antibiotics (17.25%). Among the antibiotics cefotaxime was highly prescribed (79%)
followed by metronidazole (32%). Majority of adverse drug reactions reported were due to the antibiotics like diarrhea, nausea, skin rashes and
AKT induced hepatitis. Conclusions:As liver is the principal organ for metabolism of many drugs, possible disease -drug interaction may follow
with indiscriminate use of many drugs.
BLOODSTREAM INFECTIONS AND ANTIMICROBIAL PROFILE IN PEDIATRIC PATIENTS WITH ASSOCIATED RISK FACTORS IN A TERTIARY CARE HOSPITAL
Authors: Mohan Daiji Gogoi , Kumar Sarkar Sanjay , Rahman Kutubur
Published: January 2023

Background- Blood stream infections are very common (up to 20–50 %.) in the pediatric age group in developing countries. The choice of
empirical antimicrobial requires the knowledge of the epidemiology of common pathogens which constantly changes necessitating periodic
review to their sensitivity prole to formulate an antibiotic policy. This Method- retrospective observational cross sectional study was conducted
in Tezpur Medical College & Hospital, Tezpur, Assam from October 2020 to September 2021 among 138 samples from Pediatric cases (Day one to
14 yrs of age) with clinically suspected sepsis. Out of 138 studied blood sample Result- s 36% (50/138) were culture positive. Out of 50 positive
cases, 45(90%) of were in Neonatal group and 5(10%) were the non-neonatal group .Isolates were Gram positive cocci 56% (28/50), Gram
negative bacilli 36% (18/50) and Candida albicans 8% (4/50). Isolates were Staphylococcus aureus 50% (25/50), Klebsiella pneumoniae 26%
(13/50), Acinetobacter species 8% (4/50), Enterococcus species 4% (2/50), Coagulase negative Staphylococci 2% (1/50) and Escherichia coli 2%
(1/50). S. aureus were sensitive to Vancomycin 100%, Linezolid 84%, Clindamycin 80%, Gentamicin 60%, Amikacin 60%, Cotrimoxazole 44%,
Doxycycline 44% and Ampicillin 24%. MRSA among S. aureus was 28% (7/25). Only one of the isolates of CoNS, 1/2 (50%) was resistant to
Ampicillin, Cotrimoxazole and Doxycycline whereas it showed 100% sensitive to vancomycin, Linezolid, Clindamycin, Gentamicin and
Amikacin., All Gram positive isolates in this study were 100% sensitive to vancomycin. Klebsiella pneumoniae were found to be resistant to
Cefuroxime 100%, but susceptible to meropenem 100% and imepenem 100% followed by amikacin 77%, gentamycin 69%. All of Gram-negative
bacilli were susceptible to meropenem and imipenem. Maternal risk factors were PROM (Premature rupture of membrane) 17(37.7%), MSAF (
Meconium stained amniotic uid) 15 (33.3%), Prolonged labour12 (26.6%) and UTI 6(13.3%). Maternal febrile illness3(6.6%) and foul smelling
liquor 3(6.6%). Among neonatal risk factors low birth weight 26(57.7%), Prematurity (42.2%), Perinatal asphyxia 17(37.7%) and Mechanical
ventilation 3(6,6%). Patients were presented with refusal to feed 46.6% (21) ,Jaundice37.7% (17) Respiratory distress31.1% (14) and
Convulsion28.8% (13). - S. aureus and Klebsiella pneumoniae, were the leading cause of pediatric se Conclusion psis and resistant to multiple
antibiotics. Risk factors identied were Premature Rupture of Membrane, Meconium Stained Amniotic uid, Prolonged labour, LBW ,
Prematurity and Perinatal asphyxia .Commonest presentation were Refusal to feed, Jaundice and Respiratory distress.
ROLE OF IMAGING IN EVALUATION OF SALIVARY GLAND TUMORS
Authors: Pankaj Amin Urvi , S. Shah Dharita , Shah Sahil N.
Published: January 2023

Salivary gland tumours are a common clinical dilemma and imaging plays a useful role in establishing diagnosis, differentiating benign from
malignant tumors, evaluating extent of local and distant involvement and thus providing a rm aid to the clinician for the management of these
tumors. Ultrasonography is the rst line imaging modality for localization and characterization of lesions in the major salivary glands. CT /MRI
help to identify spread of tumor in inaccessible areas like para-pharyngeal spaces , dene the tumor's size and extent better and give more detailed
information about the involvement of surrounding structures.
EFFECT OF NEGATIVE PRESSURE WOUND THERAPY ON SKIN GRAFT TAKE
Authors: Sinha Aparna
Published: January 2023

For the skin grafting to have favourable outcome in wounds it is very important that the graft has a constant adherence to the wound base without
any shear. Moreover, there should not be any exudative uid or blood in the base of the skin graft. Conventionally limb immobilization is done by
using splintage which causes discomfort to the patients. it is essential to know about effect of negative pressure wound therapy on take of skin graft
when no splintage is provided and its effect on regrafting. 120 patients with different traumas were treated with NPWT with skin graft without
splint application. Hospital stay was noted. The Percentage of patients with >90% graft take was noted and compared to previous studies. 112
patients had more than 90% graft take. 8 patients had 70-90% graft take. None of the patients require regrafting. NPWT is a method to secure graft
without the need for splintage. It optimises the wound environment. The skin graft uptake rate is excellent. The need for reoperation is minimal.
EFFECT OF VARICOCELECTOMY ON SEMEN ANALYSIS AND CLINICAL PARAMETERS
Authors: Pathak Varun , Goswami Prakriti , Sunda Urmila
Published: January 2023

To determine changes in semen and clinical parameters following varicocelectomy. Prospective comparative study conducted on 30 Methods:
patients at Santosh Medical college and hospital, Ghaziabad., undergoing varicocelectomy. Study aimed at comparing the semen analysis and
various clinical parameters (pain VAS score and size of the swelling) postoperatively, at 3 month and 6 monthly follow up. Semen pH Results:
value and total semen volume did not show any statistically signicant improvement postoperatively. Post operatively statistically signicant
improvement was seen in total sperm count, motility as well as sperm morphology. The improvement was more when preoperative parameters
were in lower range compared to normal range parameters. 7 patients who were oligospermic preoperatively showed marked improvement in their
sperm count at 3 and 6 months respectively(p value 0.001); which is more signicant improvement than preoperatively normospermic patients (p
value 0.003). Postsurgery sperm motility showed signicant improvement, better results were seen when preoperative motility was < 28% versus
when motility was >28%. Signicant improvement in sperm morphology postoperatively(p value 0.001)was seen, with better results in patients
with preoperative sperm morphology <3% versus >3%. Mean VAS score showed statistically signicant decrease at 3 months and at 6 months
postoperatively (p value 0.001).83.3% patients were relieved of pain at 6months follow up post surgery. Of the 12 patients who presented with
swelling, 11 patients showed signicant decrease in swelling size at 6 months follow up postoperatively. We advice varicocelectomy Conclusions:
in all patients of varicocele who are either clinically symptomatic with scrotal pain and swelling, and also in asymptomatic patients with subnormal
semen parameters.
A Study on Women Blaming Victims: Awareness of the Seriousness of Online Female Hatred and Moderated Mediating Effect of Exposure Level on Female Hatred Expression
Authors:   Korean Association of Victimology, Kim Ka-Eun , Kim Yeon-Soo
Published: January 2023

A study was conducted regarding the question, “Why do the same women (even though they can be victims) blame victims of online sexual harassment and violence?”. To this end, this study examined the effect of 'belief in a just world', one of the main variables in the victim accusation study. The results of this study revealed that perceptions of female hatred online are significantly influenced by the degree to which an individual is exposed to female hatred expressions.
In this study, data from the ‘Online Sexual Harassment, Sexual Violence, and Female Hatred Survey’ conducted by the National Human Rights Commission of Korea was analyzed. First, the partial mediating effect of the online female hatred seriousness perception was confirmed in relation to the effect of belief in a just world on the attitude of criticism toward the victim. The second finding confirmed that the level of exposure to online female hate expression affects the perception of the seriousness of online female hatred in a just world belief system.
Moreover, it was found that the level of exposure to online female hatred expression regulated the mediating path of belief in a just world * recognition of the seriousness of online female hatred * criticism attitude toward the victim. Specifically, Johnson-Neyman analysis and BootStrap in this pathway confirmed that indirect effects were not significant for groups exposed to high levels of female hatred expression.
Indirectly, this could be interpreted as the effect of desensitization of female exposure to hatred expression online. This study concluded that countermeasures against hate speech on the Internet need to be taken.
I, Your Wife, Hope That the Honor (譽) of My Husband Will Increase more and more (馳). So I, Your Wife, Will Not (┴) Take Two (二) Husbands. I Will Serve My Only One Husband (主) (Tcheonzamun 593rd-608th)
Authors: Kim Sangdeog Augustin
Published: January 2023

French missionary Dallet (1874) wrote in his book that ancient Chinese people in Tchi’n country had used ‘The thousand character essay’ for their children. ‘The thousand character essay’, it is called Tcheonzamun in Korea. For the present researcher, there are two methods for the translation of Tcheonzamun (The thousand character essay). The first one is the translation of Tcheonzamun through Korean pronunciation, and the second is through the meaning of Chinese characters of Tcheonzamun poem. And the range of the poem is (Tcheonzamun 593rd-608th). In addition, the present researcher deleted the similar or same part of Chinese character. And then, the translation was done with the remained parts. The title of this study is ‘I, your wife, hope that the honor (譽) of my husband will increase more and more (馳). So I, your wife, will not (┴) take two (二) husbands. I will serve my only one husband (主).’ < Number of Tcheonzamun (The thousand character essay) Chinese character (Korean Pronunciation of Chinese character in English alphabet) Transformed phrase on Korean pronunciation in Korean alphabet (Transformed phrase on Korean pronunciation in English alphabet)> 601-604 宣 (Seon) 威 (Ui) 沙 (Sa) 漠 (Mag) 손 위 (Son-ui) 삼아! (Sam-a!). You must make me your wife to be your senior! You! Make me (Sam-a!) your superior! (Son-ui) < Number in Tcheonzamun Chinese characters (Pronunciation of Korean language in English alphabet)> 597-600 用 (Yong)-月=I 軍 (Gun) 最 (Tchoe) 精 (Zeong)-月=米主 I, your wife, want that my husband (軍) will be good at everything (I). So I will give to my husband (主) the food (米) the most delicious (最). 601-604 宣 (Seon) 威 (Ui) 沙 (Sa)-水=少 漠 (Mag)-水=莫 I, your wife, want that the power of my husband (威) will develop the more (宣). Therefore, I will decrease my mistakes (莫) the less (少). 605-608 馳 (Tchi) 譽 (Ye) 丹 (Dan)-П=┴ 靑 (Tcheong)-П=主二 I, your wife, hope that the honor (譽) of my husband will increase more and more (馳). So I, your wife, will not (┴) take two (二) husbands. I will serve my only one husband (主).
A Short Review on COVID-19
Authors: Lakshmi Kakunuri , Sowmya Adapa , Rao Dr. G. Subba , Kavya Chinnam , Rani Kodali Shoba , Sabeeha Shaik , Kumari Dola Vasantha , Ramya Kareti
Published: January 2023

Coronavirus disease 2019 (COVID-19) has made a global impact on the daily lives of humanity, devastating health systems and ultimately affecting the world’s economy. The coronavirus disease 2019 (COVID-19) is a highly contagious respiratory disease caused by the SARS-CoV-2 virus. SARS-CoV-2 is thought to spread from person to person through droplets released when an infected person coughs, sneezes, or talks. It may also be spread by touching a surface with the virus on it and then touching one’s mouth, nose, or eyes, but this is less common. There are four trusted source subtypes of coronavirus - alpha, beta, gamma, and delta and scientists use these classifications to categorize the various species. Among all the corona viruses, seven have affected humans. Four of these are common and cause mild illnesses in the upper and lower airways, nose, sinuses, throat, and lungs. The remaining three can cause more severe illness. This article provides a comprehensive review of this subject with a focus on the history, clinical manifestations, and complications including new insights into the pathophysiology, diagnosis, Management stategies and treatment.
Clinical and Pathological Profile of Urinary Tract Infection in Children and Adolescents; A Hospital Based Study
Authors: Alam Dr. Hossain Sahid Kamrul , Hoque Md. Aynal , Ferdush Tania , Mamun A.B.M. Mahfuj Hassan Al
Published: January 2023

Background: Urinary tract infections (UTIs) encompass a wide array of infections, accounting for a vast number of community as well as hospital-acquired infections. Aim of the Study: The aim was to analyse the clinical presentation of UTI in children and Adolescents between 6 year to 18 years of age and to analyse the causative microorganism and their drug susceptibility in urinary tract infection in children and Adolescents of the above age group. Methods: This retrospective was conducted at the Department of Pediatrics in Bangladesh Shishu Hospital, Dhaka, Bangladesh. A total of 51 patients were enrolled and analyzed in this study based on culture-positive urine isolates. The study duration was September 2021 to August 2022. The ethical committee of the institution approved the study protocol. Antimicrobial susceptibility was done for positive urine culture by the Kirby-Bauer disk diffusion method. Statistical analysis was done using Statistical package for social sciences (SPSS) software version 16. Result: This is a retrospective study; 98 children were enrolled and analyzed. The majority of the study population was aged 6-10 years (62.75%), 11(21.57%) patients were from the age group 11-15 years, and 8(15.69%) patients were from the age group 16-18 years. Conclusion: The most common clinical presentations of UTI in admitted patients are fever, dysuria and abdominal pain. Gram-negative bacilli were found to be responsible for UTI, and the most frequently isolated bacteria were E-coli.
Clinicopathological Evaluation of Endobronchial Ultrasound Guided Transbronchial Needle Aspiration (EBUS-TBNA) in Diagnosis of Mediastinal Lesions
Authors: M Parvez , M Khair , A Haque A K M , F Arjuman , A Azim M
Published: January 2023

Background: The diagnosis of mediastinal lesions is not easy. Special techniques are indicated for evaluation and confirmation of diagnosis. Objectives: The aim of the study is the endobronchial ultrasound guided transbronchial needle aspiration (EBUS TBNA) is an important tool for clinicopathological evaluation as well as diagnosis of different mediastinal lesions. Materials and Methods: It was an observational study. EBUS-TBNA was done in eighty six patients. All these individuals have mediastinal pathology. Endobronchial aspiration was done from the lesions seen by ultrasonography and its cytomorphological analysis was done. Tissue morphology was also examined from cell block preparation. Immediate post procedure complications were monitored. Results: In the study, total eighty six (86) cases with adequate material were included. Fifty one (51) cases were granulomatous lymphadenitis, necrotizing granulomatous lymphadenitis were identified in 20 cases and 28 had non-necrotizing granulomas and only three cases are granuloma with suppuration. Tuberculosis was diagnosed in 23 patients (26.7% of granulomatous) and sarcoidosis was found in twenty eight cases (32.6% of granulomatous). Seventeen (19.8%) patients had malignant disorders. Out of 17 cases of malignancy, adenocarcinoma was the predominant (07cases), five cases were non-small cell carcinoma, small cell carcinoma was four cases and non-Hodgkin lymphoma was only one. Eighteen cases (20.9%) had cytological features of reactive lymphadenitis. During procedure no complications developed. Conclusions: For diagnosis of different mediastinal pathology and collection of adequate cytological as well as tissue material (cell block), EBUS TBNA is an important diagnostic procedure with minimal invasion.
Impact of Innovativeness Dimension of Entrepreneurial Marketing on the Financial Performance of Small and Medium Scale Enterprises in Nigeria
Authors: L Fiiwe J. , E Egele, A. , U Ozo, J. , L Komene, G.
Published: January 2023

This paper interrogates the impact of innovativeness dimension of entrepreneurial marketing on the performance of small and medium scale enterprises in Nigeria. It showed that effective and efficient entrepreneurial marketing especially innovativeness would go a long way to improve on the overall performance of the small and medium scale enterprise. The meaning of this is that any enterprise (be it small or medium) that effectively invest in product innovation, process innovation, marketing innovation, value innovation, technological innovation among others would grow its market share, sales, turnover, return on investment and more importantly its profitability. More so, innovativeness which enhances the satisfaction of consumers who are referred to as "sovereign" in a free enterprise economy by making varieties of new products available for them facilitates growth and development of the business. It also gives enterprises competitive advantage in the business environment as it increases the gamut of their operation through diversification and quality service delivery. Recommendations made were that: the managers of SMEs should review their strategy for product innovation in relation to the sales growth, turnover, market shares, profitability and return on investment in order to keep their businesses afloat and competitive; the managers are advised to put more emphasis on process innovation in order to develop a more improved strategy that would improve on their performance in the business environment; it is expedient for managers of SMEs to train all employees on entrepreneurial innovativeness especially on strategies for marketing innovation to boost financial and non-financial performance; value innovation needs to be encouraged as it seeks novel ways to create value for customers and fulfill organizational business goals.
Microorganism in the Linen of Public and Private Hospital in Bangladesh
Authors: Happy Nazmunnahar , Akter Halima , Islam ANM Shamsul
Published: January 2023

Background and Aims: Hospital linen is widely acknowledged to be a potential reservoir for microorganisms and a vector of disease transmission. There are many types of microorganisms and they can be found in different types of hospital linen. This study attempted to investigate the types of hospital linen microorganisms and their distribution in hospital linen. Methods: This descriptive cross-sectional study was conducted in a public hospital namely Sher-E-Bangla Medical College Hospital (SBMCH), and in a private hospital namely Rahat Anower Hospital in Barishal district, Bangladesh. 64 (34 from public hospital and 30 from private hospital) swab samples were selected purposively from various wards and departments for microbiological test. Data processing and analysis were done using SPSS (Statistical Package for Social Science) version 23. Results: Public hospital’s sample illustrated the higher microbiological growth 19 (56%) than private hospital’s sample 10 (33%). Of these, public hospital showed 42% and 36.84% cocci and bacilli group, respectively. On the other hand, 50% and 40% cocci and bacilli group microorganism was found in the private hospital linen. The highest 4 (80%) positive microbiological growth was found in the Gynae operation theater, male surgery ward and female orthopedic ward of public hospital. In contrast, about 6 (40%) positive microbiological growth from the linen store of linen department of private hospital was noticed. Conclusions: It is concluded that different types of microorganisms such as cocci and bacilli can be found in every department and ward of both private and public hospital.