bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mesenteric Cyst Masquerading as Ovarian Cyst
Authors: Kirti Divya , Lamba Ramesh , Phalgune Deepak Sadashiv 
Published: August 2024

Abstract
Mesenteric cysts are rare benign abdominal lesions that possess the risk of malignant transformation in 3% of reported cases. Most cysts are asymptomatic and can affect practically any abdominal quadrant. They are diagnosed incidentally or during the management of their complications. Ultrasonography, computed tomography scan, magnetic resonance imaging and histopathology are needed for the diagnosis. They can mimic multiple other cysts; hence, their timely diagnosis is of utmost importance. The mainstay of treatment is surgical excision of the cyst, which is essential to prevent the recurrence of malignant transformation. We present a rare case of a 40-year-old female patient with no known comorbidities who started feeling weakness with gradual onset and was increasing. We successfully removed a mesenteric cyst of size approximately 10 cm × 6 cm × 5 cm. This article aims to educate the readers and to make fellow surgeons well aware of this condition for better diagnosis and treatment.
Green Approach for Water Treatment
Authors: Ng Karno , Alston Samuel , Castro Samantha , Santiago Eric 
Published: August 2024

The common first step for water treatment is removing the particulate impurities by coagulation and flocculation. The conventional treatment uses polyvalent salts such as aluminum sulfate, iron (III) chloride, and synthetic polymers as coagulating agents which leads to potential toxicity. The purpose of this study is to identify environmentally friendly natural products as coagulant agents for water treatment. Four plant seeds (Amaranth, chia, quinoa, and wheat germ), corn cob, orange peel, and avocado peel were tested. Turbidity measurements were conducted with a wireless, portable turbidity sensor. Data was collected on a smartphone. The performance of the turbidity sensor was evaluated by preparation of a calibration curve (r2 = 0.9928). Results show that all four plant seeds and avocado peel demonstrated the ability to decrease the turbidity of the water sample. Among the four seeds that were studied, Amaranth and chia were identified as the top two natural coagulant agents. Inter-day and Intra-day studies were performed for the turbidity measurements. The relative standard deviation (RSD) was found to be less than 10%, indicating the method has good precision. The method can serve as a point-of-use water treatment in remote areas of developing countries with limited resources.
Effect of Chitinase-3-Like Protein 1 (YKL-40) Levels in the Plasma of Babylon Women with Breast Cancer
Authors: Shemran Khawla A. , Najm Zainab Mohsen , Abbass Ali Zinah , Kadhim ‎Hawraa Mudheher 
Published: August 2024

Background: Breast cancer (BC) is a kind of cancer that starts in the breast. patients in addition to doctors are disturbed by survival prognosis. Besides, the prognostic factor has been the clinic pathological parameter linked to tumor consequences. Also, this cancer type possesses the biggest uprising rate of frequency as well as number two in rates of mortality in female’ cancers. migration of cancer cells starting the primary tumor and the invasion of cancer cells in the adjacent tissue are the primary steps in cancer metastasis. The present education aims to evaluate Chitinase-3-Like Protein 1 (YKL-40) levels in Babylon women with breast cancer and control groups. Material and methods: The case-control group was made up of 60 subjects, presumably healthy women, whereas the sick group was made up of 60 women with breast cancer. A study was conducted in Marjan Medical City, Imam Al-Sadiq Hospital, and AL-Hilla Teaching Hospital in Hilla City, between 2/11/2023 and April 29/4/2024. An ELISA was used to calculate the plasma concentrations that referred to Chitinase-3-Like Protein 1 (YKL-40). SPSS software was used to conduct the statistical analysis. Results: Despite a considerable increase in Chitinase-3-Like Protein 1 levels, with patients comparing it together with the control group (p < 0.05). Conclusion: women with breast cancer had considerably increased serum levels of Chitinase-3-Like Protein 1 levels. Based on the results of this investigation, this indicates the part of Chitinase-3-similar to Protein 1 as a prognostic marker within females with BC disease.
Somatic Cell Count Evaluation in Early Lactation Betweenprimiparous and Multiparous Bos indicus Cows (SDG'S)
Authors: Guamán-Rivera Santiago Alexander , Salgado Myriam Valeria Ruiz , Ortiz-Naveda Nelson Rene , Herrera-Feijoo Robinson J. , Tapia Maria Fernanda Baquero , Soldado Geovanny Marco Soldado 
Published: August 2024

Objective: A study examined the relationship between somatic cell count (SCC) and milk yield Theoretical Framework: The sustainable development of dairy farms will be key to stopping the growing agricultural frontier. In comparison to breeds from temperate regions, tropical bovine production is low in terms of milk kilos, composition, or udder health. Method: We enrolled one hundred fifty cows (Primiparous, PM, 75 and Multiparous, MP 75) in early lactation (days in milk, PM =134 ± 3; MP = 136 ± 5), milk production (9,88 kg/d, on average) of the creole breed Gyr lechers. Prior to the assignment to each treatment, the SCC values were lower than 220,000 cells/mL, on average. All cows were maintained to graze daily on Megathyrsus maximus and supplemented with Morus alba ad libitum, being hand-milking at 0700 daily. Before analysis, the SCC was logarithmically trans-formed (log10). Then, PROC Mixed from SAS version 9.4 was used to evaluate all measurements. Results and Discussion: The MP had higher milk yields than PM cows (10.83 vs. 9.18 ± 0.38 kg/d; P = 0.003). Similar results were observed for fat-corrected milk (8.26 vs. 6.80 ± 0.34; P = 0.002), although the fat values did not differ between both groups (P = 0.86) being lower than referential values for these breeds (2.46 ± 0.16, on average). Additionally, no differences were observed in the other milk components (P = 0.65 to 0.85). Despite that, the somatic cell count (SCC) values indicated a statistical tendency in PM than in MP (1.89 vs. 2.13 ± 0.05; P = 0.07). Research Implications: Low-fat contents were observed in both groups, possibly due to the low quality of foods used in ruminant feeding. Correspondingly, the parity and advanced lactation conditioned the SCC contents. Therefore, further studies may be relevant in order to identify complementary factors that possibly could be more determinants. Originality/Value: The relevance and value of this research are very importance due to the main activity in this zone is livestock cattle.
Employment Discipline And the Threat of Dismissal Asregulators of the Labor Market in Kazakhstan (SDG)
Authors: Turlykhankyzy Kuralay , Buribayev Yermek A. , Khamzina Zhanna A. 
Published: August 2024

Objective: This study investigates the role of unemployment as a mechanism of labor discipline in Kazakhstan. It analyzes the relationships between the official unemployment rate and the labor legislation reforms regulating labor discipline that have occurred since Kazakhstan gained independence. The manuscript outlines the developmental stages of labor legislation concerning labor discipline.

Method: The research is based on a comprehensive analysis of statistical data, legislative acts, and judicial practices in Kazakhstan. Data sources include official statistics on unemployment and labor disputes, an analysis of changes in the Labor Code of Kazakhstan, and a review of judicial decisions related to disciplinary sanctions and dismissals.

Results: The study reveals that strengthening disciplinary responsibility and expanding the powers of employers have significantly contributed to the decline in unemployment in Kazakhstan. These results support the hypothesis that strict labor discipline and pressure on employees can positively impact the overall labor market. However, this impact is not isolated but part of a broader set of measures.

Contribution: This research provides a detailed comparative analysis of the number of labor disputes and the evolution of Kazakhstan's labor discipline legislation. Key observations include the correlation between stringent disciplinary norms and reduced unemployment, the influence of judicial practices on labor discipline, and the necessity of balancing strict discipline with fair treatment to prevent legal disputes. The findings offer valuable insights for optimizing labor policies to support sustainable labor market development in Kazakhstan. These insights align with the goals of SDG 8, which promotes sustained, inclusive, and sustainable economic growth, full and productive employment, and decent work for all.
Sarampo no Brasil
Authors: Pereira L. F. G. , Fernandes M. O. , Monteiro L. V. P. , Costa L. D. , Meireles A. C. , Costa L. R. 
Published: August 2024

O sarampo é uma doença exantemática viral, cujo o agente causador é um vírus de RNA do gênero Morbilivirus. Esta patologia encontra-se descrita nas literaturas desde o século X, apresentando-se em epidemias a cada 3 a 4 anos, demonstrando seu elevado contágio. A frequência destas epidemias sofreu redução somente após a introdução da vacina contra o vírus do sarampo, sendo os Estados Unidos da América, pioneiros em sua aplicação. No Brasil, a vacina foi introduzida no Calendário Nacional de Vacinação na década de 1960 pelo Ministério da Saúde (MS) através das vacinas tríplice e tetra virais. Sua implantação foi altamente eficaz resultando na obtenção do certificado de eliminação da transmissão autóctone do vírus no país pela Organização Pan-Americana da Saúde. No entanto, como estão surgindo novos surtos, principalmente nos estados de Roraima e Amazonas, este trabalho tem por objetivo explanar a situação epidemiológica da doença, correlacionando a efetividade da prevenção vacinal aos surtos da doença, em especial no ano de 2018. A partir do levantamento dos dados epidemiológicos do sarampo disponibilizados pelo MS (Informe n° 30 – Situação do Sarampo no Brasil 2018), em paralelo com dados de cobertura vacinal do Sistema de Informações do Programa Nacional de Imunizações, observou-se queda importante da porcentagem da abrangência vacinal nos últimos 10 anos – tríplice e tetra viral – em todo país, particularmente na região norte, principal responsável pelos novos surtos de sarampo. A meta mínima de vacinação proposta pelo MS é de 95% da população; os melhores índices foram alcançados pela região nordeste (90,3%) e piores pela região norte (81,76%). Destaca-se o fato que o melhor índice alcançado ainda se encontra abaixo da meta proposta. Alguns dos possíveis fatores desencadeantes para a atual reemergência do vírus em território brasileiro é a presença maciça de imigrantes venezuelanos – país que sofre com surtos da doença – e a queda, concomitante a esse fato, da cobertura vacinal, propiciando um meio ideal para a atual epidemia da doença. Além desses fatores ainda há a falta de informação por parte dos pais e responsáveis, desconhecimento do calendário vacinal do PNI, receio que o número elevado de vacinas sobrecarregue o sistema imunológico e a falta de tempo para ir as Unidades Básicas de Saúde (UBSF). Todos os seguintes motivos citados são plausíveis e possivelmente atuam em conjunto; no entanto estas não foram ainda estudadas pelo MS. Faz-se necessário, portanto, novos planos para contingência desta epidemia, além de estudos que visem esclarecer os reais motivos da queda da imunização no país.
Sífilis Congênita
Authors: Faria I. R. G. , Osugui A. T. S. , Mendonça A. S. , Moura B. B. , Faria I. R. G. , Fonseca J. C. G. , Freitas M. G. T. 
Published: August 2024

A sífilis congênita ainda ocupa um espaço importante entre os desfechos negativos durante a gestação e é também uma das causas básicas de óbito infantil. Para efeito de classificação, apresenta dois estágios: precoce, diagnosticada até dois anos de vida e tardia. É uma doença infecciosa, sistêmica e hematogênica, transmitida por via transplacentária, de progressão crônica e de âmbito mundial, causada pelo Treponema pallidum. Está presente em um contexto de causa perinatal evitável, pois é possível realizar o diagnóstico precoce, bem como o tratamento durante a gestação. Segundo dados do Ministério da Saúde, a transmissão vertical da sífilis é a que possui uma das maiores taxas durante o ciclo gravídico puerpural. A identificação e a qualidade da assistência à gestação e ao parto são fundamentais na redução da transmissão vertical, bem como importantes indicadores de saúde e atenção materna. Embora a sífilis seja uma doença conhecida há séculos, de tratamento eficaz e barato, é grande o número de gestantes que não estão sujeitas às ações propostas pelo Programa de Humanização do Pré-Natal e Nascimento em relação ao controle e prevenção da transmissão vertical. Apesar de não ser uma doença restrita às camadas sociais mais baixas, o cenário nacional demonstra significativa prevalência intimamente relacionada com fatores socioeconômicos e baixa escolaridade. Assim, o presente trabalho tem como objetivo identificar as vias transmissórias e investigar os desafios que dificultam a adesão ao tratamento. A transmissão transplacentária pode ocorrer em qualquer estágio da gestação e pode ser determinada pelo estágio clínico em que a mãe se encontra (primária, secundária, latente tardia e terciária), e pela duração da exposição no útero. Ainda, se houver lesões genitais maternas, há possibilidade de transmissão na hora do parto. Ainda, durante o aleitamento, o risco se dá somente se houver lesões mamárias. Entretanto, as chances de contágio, mediante tratamento, caem de 70 a 100% para 30% mesmo nas fases tardias de infecção. Em crianças infectadas a partir de mães não tratadas, ocorre aborto espontâneo, natimorto ou morte perinatal em aproximadamente 40% dos indivíduos. Se a sífilis é adquirida na gravidez poderá haver infecção assintomática ou sintomática nos recém-nascidos. Essa qualidade da doença fez com que Carrara (p. 46) dissesse que "se a sífilis se propaga tão amplamente é em grande parte por ser invisível". Mais da metade das crianças infectadas são assintomáticas ao nascimento, podendo apresentar os primeiros sintomas nos 3 meses de vida. Para ser evitada a descoberta tardia, é conduzida na maternidade a triagem sorológica.
Panorama do Sarampo no Brasil
Authors: Nascimento M. A. , Silva N. G. , Silva M. C. P. , Oliveira M. C. P. , Cardoso M. D. T. 
Published: August 2024

INTRODUÇÃO: O sarampo é uma doença infecciosa aguda, de natureza viral, grave, transmitida por aerossóis ao falar, tossir ou espirrar, é extremamente contagiosa, mas pode ser prevenida pela vacina. As complicações infecciosas contribuem para a gravidade da doença, particularmente em crianças desnutridas e menores de um ano de idade. Em 2016, o Brasil recebeu o certificado de eliminação da circulação do vírus do sarampo. Atualmente, o país enfrenta dois surtos, em Roraima e Amazonas, mas já é visível o aumento do número de casos em outros estados do país. OBJETIVO: Avaliar a prevalência, caracterizar sintomas e identificar aspectos individuais e sociais relacionados à ocorrência dos surtos. METODOLOGIA: Coleta e análise de dados acerca da incidência de casos de sarampo pelo Ministério da Saúde e DATASUS, além de revisão de literatura usando as bases de dados Scielo, Pubmed e Google Acadêmico para a contextualização do presente trabalho. DISCUSSÃO: Devido ao reaparecimento de casos de sarampo após período de remissão, torna-se imprescindível retomar o estudo sobre o tema. Atualmente, segundo último boletim informativo publicado pelo Ministério da Saúde, além dos surtos de sarampo nos estados do Amazonas e Roraima, nove Unidades Federadas também confirmaram casos de sarampo, totalizando 10.302 casos confirmados no ano de 2018. Em relação à caracterização viral foi identificado o genótipo D8, idêntico ao que está circulando na Venezuela, em todos os estados com casos confirmados de sarampo, com exceção de dois casos: um caso do Rio Grande do Sul, que viajou para a Europa e importou o genótipo B3, e outro caso de São Paulo com genótipo D8, com história de viagem ao Líbano, sem qualquer relação com os surtos da Venezuela e Brasil. CONCLUSÃO: A crise política e econômica da Venezuela e, por consequência, a imigração de uma parcela de sua população para a região de fronteira com o Brasil, juntamente com o isolamento do vírus de genótipo D8 colaboram com a epidemiologia do surto brasileiro estar interligado com o surto venezuelano. Casos importados, apesar de raros, ocorrem pela globalização e facilidade de locomoção, sendo indispensável a vacinação.
Pharmaceutical Standardization of Amritamanjari Rasa Prepared with Two Different Purification Media of Hingula
Authors: Bhutia Subrat Kumar , Bramhankar Rakesh , Das Arun Kumar 
Published: August 2024

Ayurveda is one of the traditional systems of medicine. A number of medicinal preparations are developed to maintain the health and curing ailments by maintaining the balance state of Doshas and Dhatus. It is possible by Ousadhi Kalpana having herbal, animal, and metalo-mineral origin. Rasa Aushadhis are unique formulations mainly from metals and minerals and having the qualities of small dose, quick action, palatability, and longer shelf life. Amritamanjari Rasa is mentioned in Bhaishajya Ratnawali, 5th chapter, Jwara Chikitsa Prakaranam, which is best indicated in Jwara roga (Sadyojwara). Amritamanjari Rasa contains Suddha Hingula (Cinnabar), Suddha Vatsanabha (Aconitum ferox), Suddha Tankana (Borax), Pippali (Piper longum), Maricha (Piper nigrum), and Jatikosa (Jatiphala - Myirstica fragrans). The pharmaceutical procedures adopted in this study are Shodhana, Churna Nirmana, and preparation of Vati of Amritamanjari. In this study, importance is given to standardize hingula with two purificatory media i.e jambhira nimbu swarasa having strong acidic in nature and Meshi dugdha(sheep milk) having alkaline in nature. Ayurveda provides quality life to the human beings by giving emphasis on the preventive aspect of the diseases. The individuals of the later part of the 21st century are not so sound in their physical or mental health due to different adversities of life. Naturally, this physical and mental imbalance reflects in the form of various anomalies pertaining to the human body. Jwara or Fever is one of them. Fever is described as a separate illness, a symptom, and a complication of many ailments in Ayurveda classics. Despite the advancement of contemporary science, fever remains the first and foremost symptom of almost all clinical consultations. In Ayurvedic Shastras, Jwara is considered as the “king of all the diseases.” Here, living beings not only suffer physically but also mentally causing stress, worry, and anxiety.[1] It affects at any point of time throughout the life time, from birth to death.
Evaluating the Efficacy of Sudarshan Kriya Yoga in Health Care: A Systematic Review of Randomized Controlled Trials
Authors: Giridharan S , Soumian Soni , Sudharsan Srinivasan 
Published: August 2024

Background: Sudarshan Kriya Yoga (SKY) is an advanced yogic breathing technique developed by the Art of Living Foundation. Given its widespread use in diverse therapeutic settings, a systematic review of randomized controlled trials (RCTs) was conducted to assess its efficacy in health care. Methods: This review followed the PRISMA guidelines and used the PECO framework. We searched databases such as the Web of Science, Cochrane Library, PubMed, and Scopus from the year 2000 to 2023 using a combination of MeSH phrases and free-text keywords. The inclusion criteria were restricted to RCTs involving any demographic, with SKY as the primary intervention. The risk of bias was assessed using the Cochrane Collaboration’s Risk of Bias 2.0 tool. Results: We included 15 RCTs and synthesized the results using quantitative analysis and qualitative narrative synthesis. The findings demonstrate significant improvements in psychological well-being, especially in stress reduction and emotional regulation across different populations. In addition, SKY also showed potential in managing symptoms of post-traumatic stress disorder and physiological markers such as blood pressure and heart rate variability. Conclusion: SKY effectively improves mental health and physiological parameters, highlighting its potential utility as a non-invasive therapeutic option. Despite its benefits, the studies varied in methodological rigor, indicating the need for further high-quality research to solidify these findings. Yoga, an ancient practice originating from India, has evolved over thousands of years into a popular holistic discipline that unifies body, mind, and spirit.[1] Initially focused on spiritual development and tranquillity, yoga is now globally recognized for enhancing physical flexibility, mental clarity, stress reduction, and overall well-being. As yoga has integrated into Western culture, a variety of styles have emerged, each emphasizing different elements such as physical postures (asanas), meditation (dhyana), and breath control (pranayama). Among these, Sudarshan Kriya Yoga (SKY), developed by the Art of Living Foundation, stands out for its unique use of rhythmic breathing
Ayurvedic Management of Juvenile Spondyloarthropathy
Authors: Sharma Narinder , Sharma Suresh , Mahajan Amit 
Published: August 2024

Spondyloarthropathies, chronic inflammatory diseases of the spine and peripheral joints, and juvenile spondyloarthropathies are inflammatory arthritis before the age of 16 years and are characterized by the involvement of both synovium and enthesis leading to spinal and oligoarticular peripheral arthritis, principally in genetically predisposed (HLA-B27) individuals. In this case study, 14-year-old boy with a chief complaint of inability to stand and walk due to pain and swelling in large joints of the body for the past 1 month with swollen left knee and bilateral hip joints with severe muscle atrophy of thigh, pelvic girdle muscles. He was prescribed at the first visit with Rasnadi Guggulu, 250 mg twice a day (alleviates pain, reduces joint stiffness, and lowers joint inflammation). Lakshadi Guggulu, Simhnad Guggulu 250 mg each and Dashmoolarista 15 ml with equal quantity of water twice daily after meals for a period of 1 week. Shankh vati 250 mg and Kamdudha Ras 250 mg twice daily and Panchkarma, i.e., Vishgarbha tail twice a day followed by baluka Swedana (sand poultice) for local application were added in the treatment for the next (02) 2 weeks. At the 3rd and 4th weeks, there was very good symptomatic relief but general weakness still there, so Ashwagandha preparation (Churna) was started as 1 g twice a day for another 2 weeks. By the end of course of treatment, there was marked decrease in bilateral knee effusion on inspection with no signs of inflammation in any joints of body. The patient was able to walk freely without pain. The use of Ayurvedic (Herbal) formulations and panchakarma procedures are helpful in reducing pain and swelling in patients of spondyloarthropathy. The diseases collectively referred to as spondyloarthropathies include ankylosing spondylitis, psoriatic arthritides, arthritis accompanying inflammatory bowel diseases, and chronic reactive arthritis. Estimates of the prevalence of juvenile ankylosing spondylitis range from 11 to 86/100000 children and psoriatic arthritis from 10 to 15/100000 children. JAS occurs most frequently in older boys, adolescents, and young adults. Human leukocyte antigen – HLA – B27 is strongly associated with JAS (more than 90%) and is found in increased frequency in person having spondyloarthropathies with inflammation of axial skeleton.[1] The principal clinical entities are enthesitis-related arthritis, undifferentiated spondyloarthritis, ankylosing spondylitis, reactive arthritis, psoriatic arthritis, and enteropathic arthritis.[2]