bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of Udar Vyadhi with Ayurveda with Special Reference to Ascites
Authors: Shivasgar Mishra Reena
Published: November 2023

Udara roga means any etiology-related generalized abdominal distension or hypertrophy. Ascites is the most prevalent sign of liver malfunction, and despite the use of sophisticated medical equipment, there is still no proven method of curing ascites in patients as mentioned in Acharya if it is not treated the patient will die soon. Modern therapies only offer temporary relief with time-dependent recurrence, yet fluid continues to build up in the abdominal cavity. Jalodara is one of the eight types of Udar roga described in Ayurveda. It is mentioned in all three brihatrayee texts(Charaka Samhita, Susruta Samhita, and Ashtanga Hridaya). In Ayurveda, Udara roga covers conditions such as gaseous distension, hepatosplenomegaly of various etiologies, intestinal blockage, and intestinal perforation in addition to ascites and fluid buildup in the peritoneal (common presentation is abdominal distension throughout). Its pathophysiology is thought to be primarily caused bymandagni. Udakavaha srotas and Ambu vaha srotas are mentioned in relation to Jalodara pathology in all three sources. Talu and kloma make up the moola (base) of Udakavaha srotas. In Ayurveda, kloma is a contentious subject. Some writers liken it to the pancreas. Jalodara is said to be caused by the dusti (fault) of udakavaha srotas or (kloma).Ayurvedic medicine offers relief in such circumstances without causing any negative side effects. Ayurvedic care of Udar (ascites) with medications such as provocation of digestion daily therapeutic purging, stimulants for hepatic function, and only milk diet that operates on the basis of the pathophysiology of ascites and by splitting down of pathogenesis produces good results in management. Cirrhosis of the liver is the most frequent cause of ascites in the developed world. Other causes include pancreatitis, TB, cancer, heart failure, and hepatic vein blockage. The highlighted mechanism in cirrhosis involved elevated portal blood pressure and blood vessel dysfunction. The true cause and severity of ascites have a significant impact on a person’s prognosis. This article discusses several Acharya treatments from an Ayurvedic perspective.
A Review of Sudarshan Kriya Yoga for Improving Antioxidant Status and Reducing Anxiety in Adults
Authors: Dhanurkar Santosh , Pandey Vipin , Shelke Vandna , Patel Ritu , Singhai Vivek
Published: November 2023

Breathing exercises are frequently advised to promote improved organ function, stress reduction, relaxation, and control over psychophysiological states. It has been demonstrated that yogic breathing, which is the control of breath movement, improves immunological function, autonomic nervous system imbalances, and illnesses linked to stress or psychology. This study aimed to evaluate and present a thorough analysis of the physiological mechanisms, the mind–body connection, and the advantages of Sudarshan Kriya Yoga (SKY) in various therapeutic settings. Medline, PsychINFO, EMBASE, and Google Scholar were among the many internet resources that were looked up. Articles on SKY were chosen after a thorough screening of all the results. We looked through these articles’ references to see if there were any more, perhaps pertinent articles. A variety of cyclical breathing rhythms, from slow and soothing to fast and invigorating, are used in SKY, a special kind of yogic breathing technique. An increasing body of research indicates that SKY may be an advantageous, low-risk, low-cost supplement to the treatment of stress, anxiety, depression, post-traumatic stress disorder, medical conditions linked to stress, substance misuse, and the rehabilitation of criminal offenders.
Entre margens, águas e rejeitos: o desastre da Samarco e as afetações na territorialidade ilheira na bacia do rio Doce
Authors:   , Sousa Filipe Fernandes de
Published: November 2023

Em novembro de 2015 ocorreu um dos maiores desastres socioambientais do mundo, quando houve o rompimento da barragem da Samarco na bacia do rio Doce, derramando toneladas de rejeitos de minério no curso do rio e fazendo diversas vítimas ao longo do percurso. Entre essas vítimas se encontram os ilheiros, lavradores/pescadores que tinham nas águas e ilhas do rio Doce a base material para reprodução social, econômica e cultural. Este trabalho analisa os efeitos socioambientais e territoriais ocasionados para os ilheiros após a chegada dos rejeitos em seus domínios. Têm-se como lócus de pesquisa uma população situada no município de Galiléia, região Leste de Minas Gerais. Os resultados evidenciam ruptura abrupta na rotina, na apropriação material do território, no lazer e na manutenção dos laços sociais e afetivos, acompanhados do processo de desterritorialização. Esses processos se desdobram em efeitos socioeconômicos que geram mudanças sociais importantes, a partir da necessidade de se reestabelecer novas atividades que possibilitem a reprodução da vida no território. Além disso, o conjunto de ações instituídas no âmbito da gestão do desastre ocasionou uma série de constrangimentos, especialmente no que tange o reconhecimento desses sujeitos enquanto sujeitos de direitos, em função da própria condição de “informalidade” territorial. Além disso, o processo de enquadramento dessas pessoas se mostra insuficiente para abarcar a complexidade do modo de vida ilheiro. Por outro lado, após o reconhecimento enquanto “impactados”, esses sujeitos também passaram a conviver com as consequências do deslocamento social e cultural, especialmente com os conflitos e estigma erigidos no âmbito das interações sociais, fatos que aprofundam o sofrimento social dessas vítimas. Conclui-se que o desastre causou efeitos irreversíveis na vida desses sujeitos, em função da impossibilidade de apropriação material do território, bem como pela entrada forçada no processo burocrático instituído para a gestão do desastre, que se mostra pouco transparente e efetivo. Esses efeitos deixam clarividentes os desafios postos para a política de gestão, haja vista as profundas afetações provocadas na vida dessas pessoas que transcendem a dimensão estritamente material passível de objetivação e mensuração econômica. Palavras-chave: Neoextrativismo. Mineração. Território.
Dependencia de los polinizadores como determinante de la susceptibilidad a la fragmentación del hábitat de Mucuna mutisiana (Kunth) D.C. Fabaceae en el bosque seco tropical del Caribe colombiano
Authors: Rebolledo Contreras Meriele , Bohórquez Mieles Juan Carlos , Palacio Luis Gabriel
Published: November 2023

Las respuestas de las plantas a la fragmentación del hábitat vienen determinadas por su sistema reproductivo y el nivel de especialización de su sistema de polinización. Una forma de entender las posibles respuestas es a través del éxito reproductivo, el grado de autocompatibilidad y la susceptibilidad a la polinización. Mucuna mutisiana, una liana típica de bosques secundarios y asociada a las riberas de los ríos en los Bosques Secos Tropicales (BsT) del Caribe Colombiano, florece durante todo el año, aunque más frecuentemente en la época lluviosa; la mayoría de las visitas a sus flores son causadas por murciélagos nectarívoros, principalmente Glossophaga soricina y Glossophaga longirostris. Describimos que la especialización de la polinización aumenta esta susceptibilidad a la fragmentación debido al efecto negativo que tiene sobre el éxito reproductivo de las plantas al limitar la cantidad o calidad del polen que reciben. Utilizando métodos de polinización controlada, se evaluó la susceptibilidad reproductiva a la limitación de polen a través del éxito reproductivo de Mucuna mutisiana. Realizamos un experimento factorial de polinización artificial consistente con diferentes niveles de limitación de polen que nos permitió estimar la producción de frutos y semillas. Reportamos que M. mutisiana es parcialmente autocompatible, con un ISI = 0,776 y un éxito reproductivo de 34,04% cuando es visitada por sus polinizadores efectivos. Un análisis de varianza mostró que existe diferenciación en la producción de frutos entre los distintos niveles de polinización controlada, siendo mayor en polinización natural y polinización con polen propio, a diferencia de la polinización cruzada, donde los resultados no fueron significativos. Además, no se encontraron diferencias entre la producción de semillas por polinización natural y por autopolinización, observándose una mayor producción de semillas en la polinización cruzada. Esto confirma que M. mutisiana tiene afinidad por su propio polen, dependiendo de sus polinizadores. Es evidente que son xenógamas facultativas con apareamiento mixto, lo que les da seguridad reproductiva con ventajas para la aptitud de sus poblaciones. Se trata de un objetivo especialmente claro para desarrollar estrategias de restauración y conservación de hábitats autóctonos.
Valoración económica de los bienes y servicios ambientales del humedal San Antonio de Padua en Popayán
Authors: CHACON PAJA JULIETH ALEXANDRA , Penagos Pillimue Jazmin , DURAN CARLOS ANDRES
Published: November 2023

La valoración económica ambiental establece los beneficios o costos asociados al deterioro o conservación de los Bienes y Servicios Ambientales - BSA. El presente trabajo tiene por objetivo realizar la valoración económica de los BSA provistos por el humedal San Antonio de Padua en el municipio de Popayán. Metodológicamente inició con la aplicación de encuestas a la comunidad para valorar su percepción sobre los BSA, mediante la Valoración Integral de los Servicios Ecosistémicos - VIBSE, luego se hizo la estimación del valor económico de los BSA, mediante la valoración contingente; después se identificó el estado, tendencia y factores de cambio en los BSA, teniendo en cuenta los impulsores que inducen dichos cambios. La oferta de BSA que representa mayor preferencia son los servicios de regulación (46%), culturales (29%), y por último servicios de abastecimiento (25%) en las coberturas de tierra: humedal, franja de protección, quebrada y potrero. La valoración económica indica que, respecto a la Disponibilidad a Pagar - DAP en dinero, el 18% de los hogares pagaría entre $1000 y $5000 mensuales y 93% realizaría pago en mano de obra; además, el 80% de los encuestados estaría Dispuesto a Aceptar – DAA, entre $1000 y $5000 mensuales, mientras que el 20% no aceptaría ninguna compensación. Finalmente, entre los servicios de abastecimiento predominan el estado bajo con tendencia a empeorar, mientras que los servicios culturales se encuentran en estado alto con tendencia a mejorar; asimismo, los servicios de regulación se encuentran en estado alto con tendencia a mejorar, cuyos impulsores de cambio son: explotación intensiva, cambios en el uso del suelo y contaminación.
La tierra del corcho también es tierra de serpientes: fauna ofídica del municipio de Neira, Caldas, Colombia
Authors: Zúñiga Baos Jorge Alberto
Published: November 2023

Uno de los grupos de fauna menos estudiados en el municipio de Neira (Caldas) son las serpientes. Con el objetivo de presentar un listado actualizado de serpientes para el municipio, se realizaron muestreos diurnos y nocturnos entre el 15 de octubre de 2022 y el 30 de marzo de 2023. Se registraron un total de 33 individuos pertenecientes a 18 especies, 15 géneros y cuatro familias. La mayor representatividad de especies corresponde a la familia Colubridae con 16 spp. Con estos resultados, la riqueza de especies para el municipio de Neira - Caldas está representada actualmente por 24 especies.
Improvement of agrotechnical conditions of growing paulownia in the Forest Steppe of Ukraine
Authors: Humentyk M. Ya. , Bordus O. Yu.
Published: November 2023

Purpose. The purpose of the study was to improve the agrotechnical conditions for growing paulownia and its artificially bred variety Clone in vitro 112 in the Forest Steppe zone of Ukraine.

Methods. Field, laboratory, visual, measuring and weighing, mathematical and statistical.

Results. The article presents the results of research on the improvement of agrotechnical growing conditions and establishment of indicators of growth and development of paulownia plants in the Central Forest Steppe of Ukraine. The methods of planting, the optimal width between the rows, and the options for caring for the plantation of plants have been substantiated. It was established that in the first year of vegetation, the root system of paulownia plants is intensively formed. In order to obtain high-quality wood, after the first year of vegetation, it is necessary to make a technical cut at a height of 2–3 cm from the surface of the ground and remove young newly formed shoots (tillers). The highest trunk height of Clone in vitro 112 was formed in the first and second year of vegetation and reached 5–6 m. The optimal planting density is 625 plants per hectare. Conclusions. It was established that paulownia seedlings in vitro should undergo adaptation to the temperature conditions of the growing area for two to three weeks before planting in open ground.
Winter wheat seed treatment
Authors: Polishchuk V. V. , Konovalov D. V.
Published: November 2023

Problem statement. The article presents the results of research on the peculiarities of post-harvest and pre-sowing winter wheat seed treatment using a modern technological line.

Methods. Laboratory, measuring and weighing, mathematical and statistical.

Results. Pre-sowing seed treatment is carried out in three stages: primary cleaning of small and large impurities and small seeds of the main crop, pre-sowing preparation — calibration of seeds by size, aerodynamic properties and specific weight in order to improve seed quality and final treatment with insecticides, fungicides and other substances for protection seddlings from pests and diseases. The technological line for the preparation of seeds of agricultural crops, which was installed at the Research Agricultural Production Institute of the Institute of Plant Physiology and Genetics of the National Academy of Sciences of Ukraine, provided a yield of conditioned winter wheat seeds of 84–92.4%, depending on varietal characteristics. Seed yield differed by variety. The highest yield was obtained by pre-sowing seed treatment of the ‘Darynka Kyivska’ variety — 92.4%, and the lowest with Horodnytsia’ and ‘Novosmuhlianka’ varieties — 84.0%. Conclusions. Pre-sowing seed treatment on the technological line with a small waste, which was an average of 13.3% for varieties, ensured obtaining of five batches of seeds, which in terms of germination rate exceeded the requirements of the current standard by 4%, as well as an increase in the 1000 kernel weight to 44.0 grams.
Yield structure of safflower under the influence of row width and seeding rate
Authors: Kalenska S. M. , Hordyna N. Yu.
Published: November 2023

Purpose. To establish the peculiarities of the productivity formation of different safflower varieties under the influence row width and seeding rate in the Right Bank Forest Steppe of Ukraine.
Methods. The research was carried out in typical chernozem at the agronomic research station of the National University of Life and Environmental Sciences of Ukraine in 2021–2022 as a three-factor field experiment. Factor A (variety): ‘Dobrynia’ and ‘Soniachnyi’; factor B (row width): 19, 38, and 57 cm; factor C (seeding rate): 100, 200 and 300 thousand seeds/ha.
Results. In the experiment, plant height of the variety ‘Dobrynia’ varied between 100.7 and 114.3 cm and 'Soniachnyi' between 93.5 and 108.9 cm.  The number of heads per plant was 15.5–20.6 and 7.0–19.8, 1000-kernel weight 40.6–45.4 g and 38.8–47.7 g, respectively; number of seeds per plant 148–513 and 145–508, seed weight per plant 6.9–22.5 and 6.9–22.7 g/plant. As for plant height, in both varieties, its indicators increased with an increase in the seeding rate for all variants of row widths, reaching maximum values with a row width of 19 cm and a seeding rate of 300,000 seeds/ha. The rest of the biometric parameters, on the contrary, showed a clear regularity to decrease along with an increase in the seeding rate. At the same time, the highest number of heads and the seed weight per plant were in variants with a row width of 38 cm; the highest 1000- kernel weight was for the row width of 57 cm; the highest number of seeds per plant was for the row width of 19 cm. The biological yield of seeds in the experiment ranged from 1.25 to 2.55 t/ha in ‘Dobrynia’ and from 1.21 to 2.52 t/ha in ‘Soniachnyi'. In both varieties, biological yield increased with an increase in the seeding rate, reaching maximum values at a row width of 38 cm.
Conclusions. Both studied varieties demonstrated the highest yield for the row width of 38 cm and a seeding rate of 300,000 seeds/ha: 2.55 t/ha ‘Dobrynia’ and 2.52 t/ha ‘Soniachnyi’. Despite the fact that these safflower varieties are recommended for the cultivation in the southern regions, they are quite adaptive for the cultivation in the north of Ukraine as well, taking into account the gradual increase in average annual temperatures and high soil fertility.
Role of Innovation Management Practices in Enhancing Firm Agility and Adaptability during Times of Crisis in Turkey
Authors: Azra Aydin
Published: November 2023

Purpose: The study sought to investigate the role of innovation management practices in enhancing firm agility and adaptability during times of crisis in Turkey.

Materials and Methods: The study adopted a desktop methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library

Findings: The study found that Turkish firms embracing innovation management practices exhibited enhanced agility and adaptability during crises. These practices included nurturing an innovative culture, investing in research and development, and embracing digital solutions. Leadership commitment and external collaborations were identified as crucial enablers. Additionally, the research underscored the importance of tailoring strategies to Turkey's specific context to effectively bolster firm resilience during challenging times.

Unique Contribution to Theory, Practice and Policy: The study recommends Turkish firms should formulate agile innovation strategies that emphasize flexibility and rapid response to changing market conditions. This involves regularly assessing customer needs, market trends, and emerging technologies. By continuously adapting their innovation strategies, firms can remain responsive and agile during crises. This recommendation contributes to theory by emphasizing the integration of agility principles into innovation management frameworks, highlighting the need for dynamic and iterative approaches. Encourage cross-functional collaboration within organizations to facilitate innovation.
Developing a Practical Nomological Framework on Cyber loafing and Job performance for the Global Apparel Manufacturing Sector by Identifying Research Gaps
Authors: Jayasuriya D. C. P. , Perera G. D. N. , Padukkage A.
Published: November 2023

The purpose of this article is to identify current research gaps on cyber loafing and job performance in the apparel manufacturing sector and to develop a Nomological framework for the same. This review adopted Callahan’s (2014) Six W’s and “Five C” characteristics proposed for systematic reviews. This review enclosed articles from 2002 to 2022 in the field of cyber loafing and job performance. Altogether 252 articles were reviewed and a sample of the most relevant are noted herein. The review has recognized three major gaps related to cyber loafing and job performance in the apparel manufacturing sector. Theories used are conservation of resources and social exchange that are linked to cyber loafing and job performance respectively. This review is limited to highlighting gaps that exist in the extant research and to the development of a Nomological framework. However, there is an extensive scope for testing this model empirically in global apparel manufacturing contexts and it is especially valuable where apparel manufacturing is an industry that contributes to the national economy. The identification of gaps and the model developed is an important contribution to future investigations on cyber loafing and job performance in the selected sector as it is linked to the fashion industry globally. This review contributes to the existing body of knowledge on human resources management (HRM) as cyber loafing is a phenomenon that is said to impact employee performance negatively.
Phonological Competence and Performance of Second Language Learners: Production of ed-ending Verbs by English Students in Public Tertiary Institutions in Gombe State
Authors: Abubakar Bashir , Usman Maikudi , Bello Maryam Mukhtar
Published: November 2023

The study aims to investigate the production of English verbs ending in -ed by English students in tertiary institutions. Thus, it describes regular past tense verbs are produced by English learners from different native languages. In the process, each participant will be individually audio-recorded reading a passage with regular past tense verbs and will be given a questionnaire which contains items testing three manifestations of ‘ed’ morpheme in terms of pronunciation. Thus, the instruments to be used in data collection are closed-ended questionnaires and sound recordings of participant reading of prepared passages. The participants will be individually audio recorded using a digital audio-recorder. The participants may have demonstrated English pronunciation knowledge when responding to the questionnaire but missed the pronunciation while reading. This may be attributed to the difference between language learners’ competence and performance. Consequently, the study attempts to add to the field by investigating regular past tense verb productions by English learners from different first language backgrounds. Thus, it may have pedagogical suggestions for teaching pronunciation particularly that of verbs ending with –ed so teachers and authors of pronunciation manuals should take into account the target-like voicing assimilation processes as well as possible syllable simplification strategies manifesting in second language learners’ production of the target language.
Exploring the Determinants of Resilience and Hope in the Medical Field: The Role of Age, Gender, and Job Occupation
Authors: Wapaño Mary Rachelle R
Published: November 2023

This study examined the influence of demographic and job-related factors on resilience and hope scores among medical professionals. Regression analyses and ANOVA tests were employed, focusing on age, gender, job occupation, and specific job roles such as Doctor, Nurse, and Medical Technician, No significant difference was found in resilience scores across job roles. Age and gender did not notably impact hope scores. Furthermore, specific job occupations and age demographics (Young Adult vs. Middle Aged Adult) showed no significant influence on resilience and hope scores, respectively. The regression models exhibited minimal predictive power. The examined variables might not be strong predictors for either resilience or hope scores among medical professionals. These findings underscore the importance of holistic well-being and mental health support for all medical professionals, irrespective of demographic or job-related factors. Future research is recommended to incorporate a broader set of predictors, focusing on personal experiences, training paradigms, and support systems.
INTELIGÊNCIA ARTIFICIAL E SEUS IMPACTOS NA EDUCAÇÃO: UMA REVISÃO SISTEMÁTICA
Authors: Ramos da Silva Keila , Sergio de Oliveira Barbosa Luiz , Lira Botelho Wendrews , Mateus Barbosa Pinheiro João , Dos Santos Peixoto Isabelle , Vitoria Coimbra Borges de Menezes Itala
Published: November 2023

Este estudo analisa o impacto da inteligência artificial (IA) na educação, destacando a personalização da aprendizagem como um benefício. O objetivo deste artigo é analisar de forma abrangente o papel da IA na transformação do ensino e da aprendizagem. A metodologia empregada é a revisão sistemática da literatura, conduzida de maneira  formal e estruturada. Foram realizadas pesquisas bibliográficas em plataformas científicas de renome, com critérios de inclusão bem definidos. Foram selecionados 20 artigos que demonstraram consistência e alinhamento com os objetivos da revisão. A abordagem qualitativa, embasada em evidências da literatura científica, permitiu uma compreensão aprofundada do tema. Os resultados revelam que a Inteligência artificial na educação tem um impacto substancial. A personalização da aprendizagem é destacada como um dos principais avanços, adaptando o ensino às necessidades individuais dos alunos. No entanto, são discutidas preocupações éticas, como a precisão das respostas geradas pela IA e a proteção da privacidade dos dados dos alunos. A integração eficaz entre a IA e a supervisão humana é enfatizada como crucial para garantir uma educação de alta qualidade. Em conclusão, a pesquisa aponta para um cenário promissor na educação impulsionado pela IA. A personalização da aprendizagem é destacada como um benefício significativo. No entanto, são ressaltadas preocupações éticas que devem ser cuidadosamente consideradas. A colaboração entre a IA e a orientação humana é vista como a chave para maximizar os benefícios dessa revolução educacional em andamento.
An Assessment of the Current Trends of Antibiotic Resistance of Salmonella Typhi Against 1st Line Antimicrobial Agents in Metropolitan City of Karachi
Authors: Maria Haider  , Sobia Jamil  , Sakina Fatima  , Aylia Mazhar  , Hussain Abidi
Published: November 2023

Objectives: To assess current trends of antibiotic resistance against S. typhi in Pakistani population.
Methodology: This was a cross-sectional, observational descriptive research conducted in various diagnostic facilities in Karachi-Pakistan from January 2019 to November 2020.  A data of 1223 patients, who were reported positive for typhoid fever, was collected from various diagnostic facilities with in the area. Clinical isolates were examined for culture sensitivity by using BACTEC™ and Versa TREK™. Isolates of the Salmonella typhi and para typhi were recovered from blood of the patients. The collected data was analyzed using SPSS version 22.0.
Results: Among all isolates, 92.7% (n=1134) isolates were identified as S. typhi and the remaining 7.3% (n=89) as S. paratyphi.  Study population suffering from typhoid fever were 58.5% (n=716) male trailed by 41.5% (n=507) female. Similarly, among 1223 clinical isolates, 14.2% (n=174) were non-resistant, 5.4% (n=66) were multi-drug resistant (MDR), 56.4% (n=690) were extensive drug resistant (XDR), 12.7% (n=155) were moving towards multi-drug resistant species trend and 5.7% (n=70) were heading towards XDR. A further 5.6% (n=68) were moving towards ESBL positive typhoid fever. Moreover, 49.1% of the S. typhi isolates were found to be resistant to all the first line antibiotics agents (ampicillin, chloramphenicol and co-trimoxazole) with only 15.2% found to be sensitive to all first line antibiotics drugs.
Conclusion: Strains of Salmonella typhi in Karachi are resistant to most of the drugs recommended by local infectious disease society for treatment of typhoid. This is alarming for healthcare policy makers because of lack of newer drugs discovered for treatment of typhoid fever and pathogens isolated for this highly infectious disease being resistant to most of the recommended anti-microbial agents.
Keywords: Typhoid fever, Drug resistance, XDR, Salmonella typhi
Comparison of Laryngoscopic Glottic Views Obtained via Macintosh vs Miller Blade in Adults Undergoing General Anesthesia with Endotracheal Intubation
Authors: Zulfiqar Hassam , Hashaam Ghafoor  , Muhammad Haroon Anwar  , Jawad Zahir  , Farzana Mazhar Bokhari  , Inam Ul Haq
Published: November 2023

Objective: To compare the glottic views obtained through Miller and Macintosh blade laryngoscopy in adults undergoing general anesthesia with endotracheal intubation.
Methodology: This quasi-experimental study was conducted at Holy Family Hospital, Rawalpindi, from June 2022 to September 2022. Sixty patients scheduled for elective surgery under general anesthesia with endotracheal intubation were enrolled. Patients were randomly assigned to two groups: Miller blade group (n=30) and Macintosh blade group (n=30). The anesthesiologist conducting the intubation recorded the Cormack Lehane grade obtained. Data analysis utilized SPSS version 27.0, employing independent-sample t-tests, Mann-Whitney U tests, chi-square, or Fisher's exact tests as appropriate. A p-value <0.05 was considered statistically significant.
Results: In the Miller blade group, comprising 30 patients, the mean age was 44.60+13.310 years, and 53.3% were male. Cormack-Lehane grades were distributed as follows: 76.7% grade I, 20.0% grade II, and 3.3% grade III. In the Macintosh blade group, with 30 patients, the mean age was 40.93+12.798 years, and 46.7% were male. Cormack-Lehane grades were distributed as follows: 30.0% grade I, 50.0% grade II, 13.3% grade III, and 6.7% grade IV.
Conclusion: The study concluded that Miller blade laryngoscopy provides superior glottic views compared to Macintosh blade laryngoscopy. However, the ease of intubation and the time taken for intubation were not investigated, suggesting areas for exploration in future studies.
Comparison of Tramadol Versus Bupivacaine as Local Anesthetic in Pain Control in Inguinal Hernia Surgery
Authors: Muhammad Sheraz  , Manzer Mehmood  , Hannan Sajid  , Basit Mukhtar  , Burhan Ul haq  , Aatif Inam
Published: November 2023

Objective: To compare the outcomes of local infiltration of tramadol versus bupivacaine for postoperative pain control and time to mobilize patients out of bed with less intravenous analgesia consumption in inguinal hernia surgery.
Methodology: This randomized controlled trial was conducted at the Department of General Surgery, Pakistan Institute of Medical Sciences (PIMS), Islamabad September 2018 to August 2019. A total of 122 patients who were randomly allocated to either Group A (tramadol) or Group B (bupivacaine).
Data on postoperative pain scores (VAS at 3, 6, 12, 24 hours), time to first analgesia, and time to mobilization were collected using a structured proforma and analyzed with SPSS version 26.
Results: In the bupivacaine group, mean age was 34 ± 9 years; in the tramadol group, 31 ± 8 years. At 24 hours post-surgery, mean pain score was 5.2 ± 1 in bupivacaine and 2.7 ± 0.5 in tramadol. Tramadol showed significantly lower mean pain at 3rd, 6th, 12th, and 24th hours (p < 0.001). Time to first analgesia was 10 ± 7 hours in bupivacaine and 13.5 ± 5.6 hours in tramadol, indicating a statistically longer duration for tramadol (p < 0.05). Mobilization time was 9 ± 4 hours in bupivacaine and 6 ± 4.5 hours in tramadol, with tramadol showing significantly lower time to mobilize (p < 0.001).
Conclusion: Tramadol local infiltration is effective in reducing pain, delaying analgesia need, and promoting earlier mobilization compared to bupivacaine. Consideration of tramadol at wound closure for inguinal hernia repair may enhance outcomes and patient satisfaction
Correlation Between Perceived Stress and BMI Among Obstructive Sleep Apnea Individuals
Authors: Faisal Asad  , Fasih-Ur-Rahman  , Madiha Moin  , Saif-Ur-Rahman  , Ubedullah  , Safa Fatima
Published: November 2023

Objective: To investigate the potential association between higher perceived stress levels and elevated Body Mass Index (BMI) in patients with obstructive sleep apnea (OSA).
Methodology: This prospective study was conducted at the Pulmonology Department of Dow University Hospital, Dow University of Health Sciences, from July to October 2020. The study included adults aged 18 and above, of both genders, diagnosed with OSA through clinical evaluation and sleep studies. BMI was calculated using the formula BMI = kg/m², and the Perceived Stress Scale (PSS) was utilized to assess participants' perceived stress levels. The PSS questionnaire, comprising 10 items, was completed by participants, with each item rated on a 5-point Likert scale (ranging from 0 to 4). Higher scores indicated higher perceived stress. Relevant clinical data were recorded, and the Pearson correlation coefficient was calculated to determine the direction of the relationship.
Results: The study included 160 OSA cases, with an average age of approximately 50.29 years. The majority of participants were male (59.4%), while females constituted 40.6% of the sample. BMI categories revealed that 13.8% were overweight, 85.0% were obese, and only two individuals had a normal BMI. Concerning stress levels, 41.3% experienced low stress, 45.6% reported moderate stress, and 13.1% reported high perceived stress. Importantly, the study found an insignificant association between BMI and perceived stress (p-value < 0.278).
Conclusion: The study identified a predominant occurrence of obesity among OSA patients. A positive correlation between elevated BMI and perceived stress was observed. The limited number of similar studies and the acknowledged limitations of the current study underscore the necessity for further research and interventions to explore the impact of BMI on stress in OSA.
Assessment of Mean American Knee Society Scorefor Complex Plateau Fractures with Llizarov External Fixation
Authors: Fahad Hassan  , Abdul Qadeer Khan  , Wazir Ahmed  , Nadeem Ahmed  , Suresh Kumar  , Najmuddin Fazlani
Published: November 2023

Objective: To determine clinical outcomes based on the AKSS (American Knee Society Score) in patients with complex tibial plateau fractures treated using Ilizarov external fixation.
Methodology: This descriptive case series study was conducted at the Department of Orthopaedics, Pakistan Institute of Medical Sciences (PIMS), Islamabad, from November 2020 to November 2021. The study included patients aged 20 to 55 of both genders with Schatzker type V or VI tibial plateau fractures who underwent Ilizarov external fixation and surgery within one week of the injury. Informed consent was obtained from all patients before undergoing Ilizarov external fixation. Pin tract infections were monitored weekly, and radiological assessments were performed monthly. The decision to remove the fixator was based on evidence of bone healing from two different angles, along with a successful stress test after removing the rods between the first two rings. After the fixator was removed, patients wore a removable brace for 3 to 5 weeks to protect their limbs during weight-bearing. Six weeks after external fixation, patients were assessed for pain levels, knee and ankle range of motion, limb alignment, and functional status according to the AKSS. Data were collected and analyzed using SPSS version 20.
Results: The mean age of the patients was 32.4±8.7 years. Out of all the patients, 66.5% were male, and 33.5% were female. The AKSS score averaged 82.5±11.2, the mean duration of surgery was 41.5±9.3, and the mean range of motion (ROM) was 22.1±4.8. Clinical outcomes were classified as excellent in 47 (27.2%) patients, good in 57 (32.9%), while 48 (27.8%) and 21 (12.1%) had fair and poor clinical outcomes, respectively.
Conclusion: The Ilizarov external fixation technique appears to be a reasonably effective method for treating complex tibial plateau fractures.
SOMUT OLMAYAN KÜLTÜREL MİRASLARA YÖNELİK YARATICI TURİZM UYGULAMALARI: PASİNLER LAVAŞI ÖRNEĞİ
Authors: Akdu Uğur , Boztoprak Bedrettin
Published: November 2023

Günümüz turizm faaliyetlerinde deniz, güneş ve kum üçlemesini kapsayan klasik tatil anlayışının yerini yavaş yavaş deneyimsel faaliyetlerin yoğunluk kazandığı uygulamalar almaktadır. Özellikle 2020’li yılların güncel ve önemli bir araştırma konusu haline gelen deneyime dayalı tatil anlayışı turizm literatüründe yaratıcı turizm olarak girmiştir. Katılımcıların çeşitli uygulamalarla ziyaret ettikleri destinasyona özgü değerleri deneyimlemelerini ve daha kalıcı turizm deneyimi elde etmelerini amaçlayan yaratıcı turizm faaliyetleri gün geçtikçe daha önemli hale gelmektedir. Bu araştırma somut olmayan kültürel miraslar ile yaratıcı turizm uygulamalarının nasıl entegre edilebileceğine odaklanmaktadır. İnce ekmek yapımı ve paylaşımı geleneği somut olmayan kültürel miras listesinde yer alan önemli bir gelenektir. Bu kapsamda Erzurum, Pasinler lavaşının yaratıcı turizm uygulamalarına dahil edilmesinin uygunluğu yarı yapılandırılmış mülakat tekniği ile ilgili katılımcıların görüşü alınarak saptanmaya çalışılmıştır. Araştırma sonucunda alt yapı eksikliklerinin tamamlanmasıyla birlikte ince ekmek yapımı sürecinin yaratıcı turizm uygulamalarına dahil edilebileceği ve bölge turizmine olumlu katkı sağlayabileceği, katılımcıların bu konuda istekli olduğu sonucuna ulaşılmıştır.
Microbial contamination of eye make up product: Herbal Mascara a concern
Authors:   Department of Microbiology, Shriram Institute for Industrial Research 19, University road, Delhi.-110007, India, Gaurav Dimri Amita
Published: November 2023

Eyes are one of the most importantfeatures when it comes to beauty. Variouscosmetics are used to enhance their level ofattractiveness like mascaras, eyeliners, eyeshadow among many more. Out of theseabove products mascara is the one whichamplifies the eyelashes to look thick andlong thus providing people with glamorous look to the eyes. But these cosmetic products must be safe to use by the consumers. In our study different brands of 15 mascara samples were randomly purchased from various cosmetic shops from suburbs of Delhi and examined microbiologically as per Indian Standard on cosmetics. Quantitativeresults of total microbial count ranged from 102 to 108 cfu g-1, whereas, in case of Yeast and Mould it was from 60 to 107 cfu g-1. Presence of microbial contamination in all examined mascara samples was found to be very highas compared to fungal count. Total microbialcount, yeast & mould count exceeded theexpected standard by considerable margin.Out of the 15 samples Pseudomonasaeruginosa was found in 6 samples whereasStaphylococcus aureus was found in 4samples. However, none of the mascarasamples were contaminated with Escherichiacoli. The presence of Pseudomonasaeruginosa, Candida albicans andaureus was found to be 40%,47% and 27% respectively. Staphylococcusaureus is an organism associated withcommon infections caused due to anydamage to the eye balls. Whereas,Pseudomonas aeruginosa is one of the mostcommon agent in eye infections likeconjunctivitis, keratitis and opthalmitis. Contamination in mascara may be a result ofpoor hygiene, contaminated raw materials orthe susceptibility of the ingredients present inthe cosmetic eye preparations.
Mentalization, emotional dysregulation and attachment to alternative attachment figures in retrospectively defined earned secure adults
Authors: Jańczak Monika Olga
Published: November 2023

Background

Researchers have tried to identify mechanisms through which an individual overcomes negative life experiences, proposing earning security as one of them. Retrospectively defined earned secures are recognized as individuals exhibiting secure attachments to their parents while evaluating the quality of their childhood care as low. This study aimed to examine at-tachment, mentalization, and emotional dysregulation in this group. We hypothesized that earned secures will report better mentalizing, lower emotion dysregulation, and more secure attachment to figures other than parents than insecure individuals.

Participants and procedure

A female adult sample (N = 272) completed the Experiences in Close Relationships–Relationship Structures questionnaire, Parental Bonding Instrument, Difficulties in Emotion Regulation Scale, and Mental State Task. The time devoted to psycho-therapy and demographics were also controlled as contextual variables.

Results

We identified an ‘earned secure’ group (14% of the sample), exhibiting secure attachment to mothers in adulthood despite reported inadequate care during childhood, along with the continuously secure, insecure, and ‘lost secure’ groups. People from the earned secure and secure groups reported better emotional regulation and some aspects of mentalization than those in the insecure and lost secure groups. They equally frequently reported the presence of an adult other than parents who were important to them in childhood, but the attachment to them was more secure. We did not find evidence of differ-ences between the groups in the duration of psychotherapy.

Conclusions

Secure attachment to alternative attachment figures, along with some mentalization and emotional regulation aspects, may be considered significant factors for earning security.
Ein Blick zurück
Authors: Dietz Gregor
Published: November 2023

Zum Ende des ersten Jahrzehnts im neuen Jahrtausend wurde mit der Ökodesignrichtlinie der Europäischen Union das erste große Umweltpaket in der Gesetzgebung verabschiedet. Das ist jetzt annähernd 15 Jahre her.
„Wir reden nicht mehr über ungelegte Eier“
Authors: Giuri Maurizio
Published: November 2023

Mit KI-Lösungen versuchen Händler, weitere Effizienzsteigerungen zu erzielen und weiten den Einsatz auf immer mehr Bereiche aus. Laut Ulrich Spaan vom EHI wird das den Arbeitsalltag stark verändern.
Branche schränkt Vielfalt der Sortimente ein
Authors: Sachsenröder Delphine , Adelhardt Andrea , Brück Mario
Published: November 2023

Die Zahl der unterschiedlichen Produkte im deutschen Handel sinkt je nach Vertriebsform laut Auswertungen von NielsenIQ um bis zu 5,5 Prozent. Warum diese Entwicklung vor allem den Mittelstand in Gefahr bringt.
Österreich sieht Brüssel in der Pflicht
Authors: Bender Hanno
Published: November 2023

Die österreichische Bundeswettbewerbsbehörde hat die Marktstrukturen und Margenentwicklung in der Lebensmittelbranche analysiert. Die Behörde sieht Handlungsbedarf zum Lieferanten- und Konsumentenschutz.
Bei Trends weisen Eigenmarken häufig den Weg
Authors: Motyka Werner
Published: November 2023

Hersteller mit Fokus Handelsmarke wachsen signifikant stärker als Markenartikler, Unternehmen mit hybridem Geschäftsmodell liegen dazwischen, nennt Studienmitautor Werner Motyka ein zentrales Ergebnis.
Wiesbauer investiert trotz hoher Betriebskosten
Authors: Hillemeyer Judit
Published: November 2023

Mit seinem Umsatzschub im vergangenen Jahr könnte Wiesbauer zufrieden sein. Allerdings stehen der Ertragssituation hohe Kosten in der Produktion gegenüber.
Grünfutter für die Kühe
Authors: Hillemeyer Judit
Published: November 2023

Die traditionelle Heuwirtschaft ermöglicht mehr Artenvielfalt. Die Wiesen speichern mehr CO₂ als andere Böden. Davon ist die Arge Heumilch überzeugt.
Käserebellen investieren in Modernisierung
Authors: Hillemeyer Judit
Published: November 2023

Die Käserebellen haben ihren Standort Reutte in Tirol umgebaut. Technische Anlagen wurden erneuert. Auf der Agenda stehen Energielösungen aus erneuerbaren Quellen.
Sonnenblumenöl aus der Ukraine
Authors: Hillemeyer Judit
Published: November 2023

In ukrainischer und österreichischer Kooperation ist Sonnenblumenöl der Marke Vieno auf dem deutschen Markt. Die Gespräche mit dem Einzelhandel laufen auf Hochtouren.
Tante Fanny steigert den Absatz
Authors: Hillemeyer Judit
Published: November 2023

Ein Absatzplus im ersten Halbjahr kann Tante Fanny auf dem deutschen Markt erzielen. Ausgezahlt habe sich ein breites Angebot an Frischteig. Weitere komfortable Lösungen für die Küche sollen mehr Kunden ansprechen.
Ölz ermöglicht Mitarbeitern Sozialstunden
Authors: Hillemeyer Judit
Published: November 2023

Die Großbäckerei Ölz hat auf Hühnereier aus Freilandhaltung umgestellt. Es ist der erste Markenproduzent Europas, der diesen Prozess vorgenommen hat.
Kotányi reduziert Kunststoffanteil der Verpackungen
Authors: Hillemeyer Judit
Published: November 2023

Mit dem Export nach Deutschland zeigt sich der Gewürzhändler Kotányi zufrieden. Das Unternehmen investiert kontinuierlich in umweltfreundliche Verpackungsmaterialien.
Ergebnis von Baywa bricht ein
Authors: Schultz Olaf
Published: November 2023

Frankfurt a.M. Der Münchner Konzern bekräftigt nach neun Monaten der aktuellen Geschäftssaison erneut das geplante Ebit-Ziel. Auch die Jahresprognose wird in München bestätigt.
„Künftig Teil eines nachhaltigen Pflanzenbaus“
Authors: Schaal René
Published: November 2023

Frankfurt a.M. Im Interview mit der agrarzeitung spricht Jörn-Fried Johannsen vom Industrieverband Agrar (IVA) über das Marktpotenzial von Biostimulanzien – und die Erwartungshaltung der Landwirte.
Monocular Depth Estimation Using a Deep Learning Model with Pre-Depth Estimation based on Size Perspective
Authors: Asano Takanori , Yasumura Yoshiaki
Published: November 2023

In this paper, For the task of the depth map of a scene given a single RGB image. We present an estimation method using a deep learning model that incorporates size perspective (size constancy cues). By utilizing a size perspective, the proposed method aims to address the difficulty of depth estimation tasks which stems from the limited correlation between the information inherent to objects in RGB images (such as shape and color) and their corresponding depths. The proposed method consists of two deep learning models, a size perspective model and a depth estimation model, The size-perspective model plays a role like that of the size perspective and estimates approximate depths for each object in the image based on the size of the object's bounding box and its actual size. Based on these rough depth estimation (pre-depth estimation) results, A depth image representing through depths of each object (pre-depth image) is generated and this image is input with the RGB image into the depth estimation model. The pre-depth image is used as a hint for depth estimation and improves the performance of the depth estimation model. With the proposed method, it becomes possible to obtain depth inputs for the depth estimation model without using any devices other than a monocular camera be forehand. The proposed method contributes to the improvement in accuracy when there are objects present in the image that can be detected by the object detection model. In the experiments using an original indoor scene dataset, the proposed method demonstrated improvement in accuracy compared to the method without pre-depth images.