bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategi Pemanfaatan Limbah Padat Kelapa Sawit Di Provinsi Jambi
Authors: HARKENI ASTI HARKENI 
Published: December 2024

Potensi perkebunan sawit di Provinsi Jambi sangat besar. Luasnya areal lahan sawit yang tersebut selain memiliki potensi juga menimbulkan permasalahan tersendiri.Efek samping yang ditimbulkan yaitu berlimpahnya limbah padat yang dihasilkan sawit baik berupa pelepah, batang, tandan kosong, dedaun beserta lidi. Melimpahnya limbah sawit padat menjadi masalah tersendiri terutama bagi lingkungan. Melalui penelitian ini akan dianalisis bagaimana pemanfaatan limbah sawit di areal perkebunan sawit milik masyarakat sehingga dapat memberi tambahan penghasilan bagi masyarakat. Penelitian ini menggunakan pendekatan deskriptif dengan metode mixed methods (penelitian gabungan kualitatif dan kuantitatif) dengan menggunakan alat analisis AHP (Analitycal Hierarchy Process) merupakan suatu metode pengambilan keputusan dengan menyederhanakan suatu permasalahan kompleks yang tak terstruktur, strategis dan dinamik dalam bentuk suatu hierarki.Hasil penelitian menunjukan bahwa alternatif inovasi teknologi pengolahan limbah padat yang ramah lingkungan merupakan alternatif dengan bobot terbaik yaitu sebesar 0.425 dan hal ini merupakan alternative ranking pertama yang dapat dilakukan. Sementara itu, pada urutan kedua yang dapat dilakukan adalah pengembangan regulasi dengan bobot 0.232. Selain itu, pada alternatif ketiga yang memiliki bobot 0.220 adalah dukungan pihak swasta/perusahaan kelapa sawit dan yang terakhir adalah adalah sosialisasi bagi masyarakat petani kelapa sawit dengan bobot sebesar 0.123.
Sposare una Z23: feticizzazione del passato e antropomorfismo moe a sfondo storico nel videogioco
Authors: Caselli Stefano , Toniolo Francesco 
Published: December 2024

L’articolo vuole riflettere su alcuni videogiochi pseudostorici, e in particolare su casi d’analisi che abbinano l’antropomorfismo moe a meccaniche gacha. Tali casi specifici rendono accessibili a community di appassionati estremamente nutrite degli immaginari in cui la feticizzazione del passato diventa l’unico modo possibile per rivisitare la storia. Riflettere su queste precise declinazioni è occasione per notare come la mercificazione del passato, messa nella prospettiva di meccaniche ludiche collezionistiche, possa da un lato stimolarne lo studio quanto, dall’altro, implicare una serie di rischi da un punto di vista storiografico, afferenti a processi di ‘consunzione’ della storia influenzati dalle sottoculture in cui questi videogiochi vengono prodotti e circolano.
Mutation screening of α-crystallin mutations in congenital cataract patients
Authors: Kumar Manoj , Dada Rima , Agarwal Tushar , Khokhar Sudarshan 
Published: December 2024

Purpose:
To screen α-crystallin (CRYAA) gene in congenital cataract patients and controls.

Methods:
Fifty clinically diagnosed congenital cataract cases below 3 years of age from northern India, presenting at Dr. R. P. Centre for Ophthalmic Sciences (AIIMS, New Delhi, India) were enrolled in this study. Genomic DNA was extracted from peripheral blood, all coding and exon/intron regions were amplified using PCR and direct sequencing was performed to detect any nucleotide variation.

Results:
The mean age of the patients was 1.75±0.19 years. The age of onset was recorded as the age at which the disease was first noticed by the child’s parents or first documented by a cli-nician. All cases were sporadic and 32 were males and 18 were females. None of the cases were product of consanguineous marriage and all patients had bilateral lens opacification. The degree of opacification showed variability among patients as 58% (29/50) of patients had nuclear cataract, 28% (14/50) with lamellar/zonular cataract and 8% (4/50) had anterior polar cataract and 6% (2/50) had total cataract.

Conclusion:
This study shows that the pathogenesis of the majority of congenital cataract cas-es in North India seems not to be accounted for mutations by the coding exons of α-crystallins. It is also possible that currently unidentified genes may be a more significant cause of cataract than previously thought. Based on this study CRYAA has no role in congenital cataract in north Indian population.
A Study of Improvement in Quality of Life in Patients with Vernal Keratoconjunctivitis
Authors: Jadeja Jagruti N , Garasiya Tejal R. , Patel Vaibhavi G. 
Published: December 2024

Purpose:
This study aimed to assess the effect of treatment of vernal keratoconjunctivitis (VKC) on the quality of life (QoL) in individuals across different age groups, including children, adolescents, and adults. This was achieved by utilizing questionnaires administered pre- and posttreatment.

Materials and Methods:
This was a prospective study conducted during July 2019–September 2021 at a tertiary eye care center in Western India. The study evaluated 39 patients with VKC for QoL with the aid of a questionnaire before and after the treatment at 3rd and 6th months of follow-up. The questionnaires were made with domains such as ocular health perception (0–36), activities of daily life (0–28), activities related to school life (0–40), social interaction (0–20), visual function (0–20), and associated allergies (0–16).

Results:
The symptom score of ocular health perception improved from 17.08 at the initial visit to 15 in the 3rd month and 12.28 in the 6th month of follow-up. Similarly, the symptom score for daily life activities improved from 11.08 to 9.18 and 6.78, academic performance improved from 5.95 to 5.39 and 3.91, sports performance improved from 4.16 to 3.33 and 1.78, extracurricular activity performance improved from 2.88 to 2.56 and 1.55, social functioning improved from 4.47 to 3.86 and 2.78, and visual function improved from 4 to 3.12 and 1.78 at the time of presentation, in the 3rd and 6th month of follow-up, respectively.

Conclusion:
QoL of patients suffering from VKC improved remarkably significantly from pre- to posttreatment.
Single Sitting Same Site Sutureless Phacotrabeculectomy Without Scleral Punch
Authors: Singh Shakeen , Chawla Khushboo , Bhatti Anubha , Kaur Divnoor 
Published: December 2024

Background:
The incidence of glaucoma and cataract increases with age but the combined disease has become more common due to an increase in life expectancy. As combined phacotrabeculectomy has become the treatment of choice for coexisting cataract and glaucoma in recent years, we have introduced a new technique of single sitting same site suture less phacotrabeculectomy without the scleral punch in patients with comorbidity of cataract and glaucoma. It is quite safe and effective procedure for the control of intraocular pressure and visual rehabilitation in these patients with both diseases together. This combined surgery does not require any additional equipment and is economical, with lesser complications and faster visual recovery.

Aim:
To study the effectiveness, and conplication of single site combined phaco-trabeculectomy procedure in eyes with glaucoma.

Material and Method:
Interventional study on 25 patients with advanced glaucoma and cataract underwent single site Phaco-trabeculectomy surgery under local anaesthesia. Postoperative Followups done on day 1, 5,15,30 2months and 6months for vision, IOP control and any post operative complications was done.

Results:
An average IOP drop of 25% was noted at 1month follow up with a maintance of IOP at long term 6 month follow up. NO intraoperative complications were seen,however, low IOP was seen in 3 out of 25 patients in the initial 1 week followup which recovered spontaneously.

Conclusion:
This technique being simpler can be adopted in routine by all as a primary surgical procedure in patients with combined cataract and glaucoma.
Color Vision Deficiency Prevalence among NEET-UG Aspirants: A Medical Examination Analysis in Meerut
Authors: Singh Kirti , Gussain Priyanka , Qamar Ayesha , Gupta Alka 
Published: December 2024

Background:
Color vision deficiency (CVD), a genetic disorder affecting the cones in the retina, is prevalent across human populations. It is a sex-linked recessive trait, occurring predominantly in males and transmitted through females. Studies in Eastern India have shown a significant prevalence of CVD, emphasizing the need for heightened awareness and screening, especially in fields where color discrimination is crucial, such as medicine.

Objective:
This study aimed to determine the prevalence of color vision defects in NEET-UG medical aspirants at our medical college, Meerut, and to raise awareness about this condition.

Materials and Methods:
A descriptive cross-sectional analysis was conducted from July 15 to August 15, 2023, on 2000 students (1124 males, 876 females). A detailed questionnaire assessed visual acuity, familial medical history, ocular health, and Vitamin A supplementation. Color vision was evaluated using Ishihara pseudoisochromatic color plates.

Results:
The mean age of participants was 20.4 years. Color blindness prevalence was 2.6% (52/2000), exclusively in males. Among these, 45 were partially color blind and 7 were totally color blind. Surprisingly, 75% of the affected group were previously unaware of their condition. In addition, 21% had a family history of color blindness.

Conclusion:
The study underscores the lack of awareness of color vision defects among future medical professionals. It advocates for early screening and counseling, with an emphasis on students before they embark on specialized educational paths. This approach is vital for the timely detection and management of CVD in medical training and practice.
Procedural pain management in neonates: A Narrative review
Authors: Khanna Sukul , Alhyan Pinki , Batra Prerna , Bhaskar Vikram 
Published: December 2024

ABSTRACT
Over the past three decades, awareness regarding pain management in neonates has risen significantly. It has been very well established that neonates can perceive, feel, and react to stimuli that cause pain and discomfort to them. Neonates admitted to neonatal intensive care units (NICUs) are repeatedly subjected to invasive treatments, most of which are painful. These procedures, nevertheless, are still performed, sometimes without sufficient analgesia. Exposure to frequent traumatic and painful procedures has been associated with several adverse effects such as altered brain growth and signs of internalization. Both inadequate and excessive analgesia during this period of rapid development may lead to profound neurodevelopmental outcomes. Ensuring the avoidance of pain in NICUs is a crucial obligation from both ethical and medical standpoints. Despite established international criteria, there is currently insufficient adherence to this criterion, highlighting the need for additional development in uniformly providing effective pain management to newborns in NICUs.
Evaluation of a novel serum marker, interleukin 27, in comparison to procalcitonin and C-reactive protein in the diagnosis of early-onset neonatal sepsis in a tertiary care center in north India
Authors: Rautela Apurva , Garg Jaya , Agarwal Jyotsna , Raj Nikhil , Das Anupam , Sen Manodeep 
Published: December 2024

ABSTRACT

Background:
Neonatal sepsis is a significant cause of mortality in children under 5 years of age globally, with the highest incidence reported in India. The challenges in diagnosing neonatal sepsis often result in the irrational use of antibiotics. The aim of the study was to determine the diagnostic efficacy of interleukin 27 (IL-27) as a novel biomarker for the early diagnosis of neonatal sepsis.

Methods:
This prospective cohort study was conducted at a tertiary care hospital in North India from May 2019 to April 2020. Eighty neonates suspected of sepsis were enrolled based on the sepsis screen criteria approved by the National Neonatal Forum of India. Blood samples were collected for culture and biomarker analysis, with C-reactive protein (CRP), procalcitonin (PCT), and IL-27 levels measured. The diagnostic performance of IL-27 was compared to that of CRP and PCT.

Results:
Out of 80 neonates, 56% were male and 44% were female. Blood cultures were positive in 51.2% of cases. The most common pathogens isolated were Gram-negative bacteria (41%), fungi (34%), and Gram-positive bacteria (25%). IL-27 demonstrated a sensitivity of 78.05%, specificity of 61.54%, positive predictive value of 68.09%, and negative predictive value (NPV) of 72.73%. In comparison, PCT showed the highest sensitivity (82.93%), and CRP had the highest specificity (79.49%). IL-27 levels were notably higher in blood culture-positive cases.

Conclusions:
IL-27 is a promising biomarker for the early diagnosis of neonatal sepsis, showing comparable sensitivity and NPV to PCT, but with lower specificity than CRP.
Effectiveness of various physical and psycho-behavioral interventions for patients of chronic nonspecific low back pain: An evidence-based narrative review
Authors: Singh Vithika , Goel Deepak 
Published: December 2024

Abstract:
Low back pain (LBP) is the most disabling condition worldwide. The point prevalence of LBP in a given adult population is 12% and the overall lifetime prevalence is about 40% and the most common is chronic nonspecific LBP (CNSLBP). Nonpharmacological interventions are the first-line therapies for its treatment. Since there is now long list of different physical and psychological interventions for patients of CNSLBP, the important question is how to select better modality of intervention for a given patient? A variety of studies on nonpharmacological therapies for chronic low back pain (CNSLBP) and chronic low back pain in people older than 18 years old were searched for on Google Scholar, the Cochrane Library, and PubMed between 2014 and 2023. The studies chosen, included outcome criteria of pain intensity and disability. A total of 40 systematic reviews, Cochrane reviews, and meta-analyses were analyzed for various physical and psychobehavioral interventions. Various interventions reviewed were: (1) aerobics exercises, (2) resistance training, (3) motor control exercises (MCE), (4) stabilization techniques, (5) sling, (6) McKenzie, (7) pilates, (8) yoga, (9) traditional Chinese exercises (TCE), (10) manual therapy, (11) massage therapy, (12) global postural re-education, (13) cognitive behavioral therapy, (14) mindfulness-based stress reduction, (15) cognitive functional therapy, and (16) pain education-based therapy. Findings in our review suggested that at present, physical interventions (among aerobic exercises, MCE, Pilates, and TCE) with combination of psychological interventions based on individualized parameters can be the best option for the patients having CNSLBP.
Effect of physiotherapy on menopausal symptoms in females – A systematic review
Authors: Rangey Priyasingh Bhagirathsingh , Shah Nehal 
Published: December 2024

Abstract:

OBJECTIVES:
Several studies have concluded the benefits of various physiotherapy interventions such as pelvic floor muscle training, aerobic exercises, and strength training on urinary incontinence and physical, sexual, and psychological symptoms related to menopause. Physiotherapy provides an inexpensive, nonpharmacological alternative to hormone replacement therapy which forms the current mainstay of management of menopausal symptoms. Among physiotherapy interventions, land-based exercises are rather convenient to perform for the subjects. The objective of the systematic review was to study the effect of land-based exercises on these menopausal symptoms.

METHODS:
Search was made on electronic databases such as PubMed, Cochrane Central Register of Controlled Trials, EMBASE, PEDro, CINAHL, HINARI, and ClinicalTrials.gov for a period extending from June 2005 to March 2022. Randomized controlled trials comparing exercise with no active intervention were included.

RESULTS:
Four studies were found suitable to be included in the review. A total of 493 participants were analyzed across studies. The Risk of Bias (RoB) tool 2.0, PEDro, and GRADE were used to assess the quality of the included studies. The evidence was found to be insufficient to draw out any major conclusions. The studies were of poor methodological quality except one. According to RoB 2.0, one study had some concerns, two had low RoB, and one had high RoB. According to PEDro, three studies had good and one study had excellent quality. According to GRADE, there seemed to be no reporting bias in either of the studies and the overall grade of evidence was moderate.

CONCLUSION:
The results suggest a need for high-quality randomized controlled trials.
Impact of exercise intervention on cancer-related fatigue and functional capacity among cancer patients
Authors: Satish Madhavan Sasidharan , Vidhubala E. , Veeraiah Surendran , Vijay Srinivasan , Krishnamurthy Arvind 
Published: December 2024

Abstract:
Cancer-related fatigue (CRF) and shifts in functional capacity are common side effects of cancer treatments among the cancer population. Considering the extent to which it influences quality of life (QOL), there is an urgent need to understand the magnitude of this concern. The aim of this review was to comprehend the influence of exercise intervention on the management of CRF, functional capacity, and QOL. This study also aimed to determine the association between CRF, functional capacity, and QOL. CINAHL, Medline, ScienceDirect, Knowledge genie, Research Gate, Ovid, Google Scholar, and Oncology Journals at the Cancer Institute (WIA) library were searched. There were 55 studies included in the study, involving 4722 patients. Most studies demonstrated a reduction in CRF and improvements in QOL and functional capacity. When CRF decreases, QOL was found to improve along with functional capacity. Promising evidence exists regarding the benefits of exercise interventions in the alleviation of CRF and the improvement of functional capacity and QOL. More research is required on the mechanisms underlying CRF and gains in functional capacity due to exercise interventions. By doing so, health-care professionals can optimize exercise interventions as required for their patients.
Role of electrical stimulation on constipation among young children: Systematic review
Authors: Aman Ifra , Yadav Sapna 
Published: December 2024

Abstract:

INTRODUCTION:
Constipation frequently has multiple causes and could be an indication of an underlying medical illness. In addition, lesions or anatomical abnormalities within the colon may be the cause of constipation. Numerous therapeutic approaches, including physiotherapy methods, abdominal massage, electrical stimulation, biofeedback, exercise, connective tissue manipulation, and Kinesio Taping, are effective in treating constipation in children. Transcutaneous electrical nerve stimulation (TENS), a non-invasive, safe, and simple-to-use interference current used to stimulate nerves, is one of the most widely utilized methods. Transcutaneous electrical stimulation enhanced the frequency of defecation and decreased soiling in children.

METHODOLOGY:
Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were formed for this review. The following electronic databases were explored for the review and experimental study that took place between 2004 and 2024: Search engines such as Google Scholar, PubMed, Cochrane library, Scopus, Cinahl, and the WoS.

RESULTS:
Before being submitted to the Rayyan website for selection, the records that were obtained were analyzed by Zotero. Initially, 160 articles were screened for the study out of which only n = 6 articles were included in the after screening on the basis of eligibility criteria.

CONCLUSION:
It has been concluded that electrical stimulations such as TENS and interferential therapy have a beneficial effect in treating constipation among children of the age group of 2–18 years.
Effect of short duration high-intensity plyometric training combined with dynamic stretching on speed in male cricketers
Authors: Jawalkar Sejal Ashish , Thodge Kirti Anil , Jerome Albin 
Published: December 2024

Abstract:

BACKGROUND:
Cricket is a very popular sport played in several countries and has undergone drastic changes with years. In modern day cricket, sprinting speed is considered to be an essential athletic quality and needs to be focused on while training these players. Plyometric training (PT) helps to enhance muscle power and a long training duration has shown to improve sprint performance. Dynamic stretching is demonstrated to enhance performance in subsequent dynamic concentric external resistance, power and sprint time. However, little evidence is available on effects of short duration high-intensity PT on speed in cricketers. Previous research has focused on interventions lasting 4–8 weeks, whereas our intervention spans just 2 weeks.

AIM:
The aim is to study the effect of short duration high-intensity PT combined with dynamic stretching on speed in male cricketers.

SUBJECTS AND METHODS:
Forty male cricketers were selected and randomly divided into two equal groups – Group A (PT group) and Group B (Conventional training group). Group A underwent PT protocol combined with dynamic stretching for 2 weeks (3 sessions/week) whereas Group B underwent conventional training for speed given at clubs.

STATISTICAL ANALYSIS USED:
Paired and unpaired t-test was used for intra-group and inter-group comparison of data, respectively.

RESULTS:
Subjects of Group A showed statistically significant improvements in speed post intervention. However, Group B did not show any statistically significant increase in speed.

CONCLUSION:
A short duration high-intensity PT protocol combined with dynamic stretching has a significantly positive effect for enhancing speed in young male cricketers.
Effects of low-level diode laser therapy as an adjunct to modified Widman flap in subjects with Stage III periodontitis: A clinical study
Authors: Varshney Shailesh , Kelvin Rajkumar , Siddharth M. 
Published: December 2024

ABSTRACT

Background:
A growing body of research indicates that low-level laser therapy’s (LLLTs) biostimulatory action benefits both hard and soft tissues, increasing collagen and promoting bone repair.

Aim:
This study was designed to assess the clinical effects of 810 nm low-level diode (GaAlAs) laser therapy as an adjunct to modified Widman flap (MWF) surgery in subjects with Stage III periodontitis.

Materials and Methods:
The study included 10 patients who were diagnosed with Stage III periodontitis. The contralateral control side received MWF treatment along with a placebo laser application, the test side received MWF along with LLLT. Following surgery, clinical measures including the papillary bleeding index (PBI), plaque index (PI), clinical probing depth (CPD), and relative attachment levels (RALs) were measured at 1, 3, and 6 months intervals.

Results:
Participants had a mean age of 35.3 years. The postsurgical intervention showed significant improvement (P < 0.05) only in PBI scores at 1 month (0.1 ± 0.31) and 3 months (0.10 ± 0.32) in intergroup analysis. Similar significant improvements were not observed with the measurement of other clinical parameters such as PI, CPD, and RAL.

Conclusion:
Biostimulatory effect of 810 nm LLLT was restricted to soft tissues only leading to improvement in PBI Scores. Its effect on other clinical parameters remains controversial during MWF surgery.