bluuebunny/crossref_metadata_2025_split huggingface dataset:
Emphysematous pyelonephritis: An assessment of prognostic factors and the role of early pigtail drainage
Authors: Choudhury Sunirmal , Gaur Shantanu 
Published: May 2024

Abstract

Introduction:
The management of emphysematous pyelonephritis (EPN), a necrotizing renal infection, has shifted from more invasive to less invasive approach in due course of time with decrease or reduction in mortality rate.

Aim:
To analyze the clinical spectrum, prognostic factors, different management strategies, and the outcome of the patients of EPN with the role of early pigtail drainage.

Materials and Methods:
The study was carried out at a tertiary care hospital from January 2016 to December 2021 and included patients who were diagnosed with EPN. The data on the demographic profile, clinical features, biochemical parameters, imaging studies, management, and outcome of patients of EPN were recorded.

Results:
A total of 51 patients of EPN were studied and were divided into two groups, responders (40 patients) and nonresponders (11 patients), based on their clinical progression and outcome. Among responders and nonresponders, a significant difference was seen in terms of age, presentation of altered consciousness and shock, average hemoglobin, average serum creatinine, and presence of thrombocytopenia. Out of total 51 patients, 13 (25.49%) showed a response with antibiotics only, DJ stenting was done in five (9.8%) patients, and pigtail catheterization in 33(64.7%) patients. There was a significant difference seen in the response with early pigtail drainage. Nephrectomy was needed in eight (15.68%) patients, and the mortality rate was 9.8%, with the death of five patients.

Conclusion:
Advanced age, lower hemoglobin levels, thrombocytopenia, raised serum creatinine levels, altered mental status, and presence of shock can be used as a score for poor prognosis. With the use of broad-spectrum antibiotics and early pigtail drainage, a large number of patients with EPN can be managed effectively. Nephrectomy should be reserved for patients who fail to respond to conservative management or those with advanced disease with the presence of multiple risk factors.
Effectiveness of BCG in recurrent non-muscle invasive bladder tumor: A 10 year retrospective study from a tertiary care centre
Authors: Gupta Naveen Kumar , Gupta Piyush 
Published: May 2024

Abstract

Introduction:
Cancer-a term a word used to be so rare five decades back that people didn’t even know about this but now it has become so common and rampant and interestingly can be compared to a devil whose size seems to be increasing progressively. Even after so much advancement in medical science we have not been able to catch its tail. Urinary Bladder one of the very common cancer in our urological domain with its subtype non-muscle invasive bladder cancer (NMIBC) having high recurrence and progression rates has become very interesting subject for research.
Such features led investigators to study the use of drugs to prevent this, out of which Bacillus Calmette–Guerin (BCG) has been successfully used as an intra vesical therapy to prevent recurrence and progression in NMIBC for more than four decades.

Materials and Methods:
In our study we have analyzed 111 patients retrospectively with only recurrent urinary bladder tumor irrespective of treatment received in the past. After completion Trans Urethral resection of bladder tumor (TURBT) and re-staging TURBT to substantiate the stage, induction and maintenance course of intravesical BCG was given according to Lamm protocol & the impact of this therapy was studied in regards to recurrence free, progression free, cystectomy free & overall survival rates.

Result:
Out of 111 patients, sixty percent of patient remained disease free, 19 patients had stage progression, nine patients underwent radical cystectomy and there was three cancer specific death.

Conclusion:
Despite BCG being the gold standard treatment for NMIBC, still intense research is required as there is a wide dark area of BCG failure.
Coexisting pseudoaneurysm and arteriovenous fistula following percutaneous nephrolithotomy
Authors: Dey Pankaj Kanti , Gupta Naveen Kumar 
Published: May 2024

Abstract
Percutaneous Nephrolithotomy (PCNL) is a common and safe treatment for large kidney stones.Though several complications are reported.Renal hemorrhage is the most common complication after PCNL with a incidence of 11.2% to 17.5%.There have been reports of post PCNL bleeding attributable to AV fistulas and pseudoaneurysms. Massive bleeding can occur in the early postoperative period (2 to 14 days after PCNL), and arteriovenous fistula formation as a late complication usually 6 weeks after PCNL. A 45 yrs old gentleman presented with bilateral flank pain,right sided prone PCNL done. Then presented with post PCNL hematuria, angioemblosation done twice but again developed hematuria and diagnostic angiography done, and diagnosed as A-V fistula and coiling done. No post operative complications were seen. Angiography is the preferred method and has advantages as it can detect vascular lesions and immediately treated once they are detected.Early diagnosis and treatment of post PCNL hematuria is warrented to reduce morbidity and a successful outcome.
Thyroid-like follicular carcinoma of kidney
Authors: Tripathi Chandranshu , Gupta Naveen Kumar , Pal Dilip Kumar 
Published: May 2024

Abstract
Renal cancer resembling thyroid-like tumor of the kidney is extremely rare. This type of renal tumor shows the morphologic features that resemble follicular carcinoma of thyroid. In our case, a 62-year-male patient presented with flank pain with all blood parameters in normal range. Chest X-ray were normal, contrast enhanced computed tomography report showed well defined hyperdense lesion of size 26 mm × 21 mm showing homogenous enhancement (hu 46–126 from pre to post contrast) noted in lower pole of right kidney. Patient underwent radical nephrectomy, histopathological examination suggestive of thyroid-like follicular carcinoma with IHC markers as TTF1-negative, CK7-negative, and PAX8-negative. Patient was referred to Department of Radiotherapy for further management. Immunohistochemical staining studies in the literatures showed that this tumor consistently expressed the transcription factor PAX-8 but did not express the thyroid-specific antibodies TG and TTF-1. Most tumors with diameters of more than 4 cm or associated with invasive growth or distant metastasis are treated mainly with radical nephrectomy, combined with the corresponding regional lymph node dissection. Surgical treatment is still the preferred therapeutic method. The disease seems to have a good prognosis.
Selective Attention to Environmental Justice by International Cooperative Initiatives for Biodiversity and Climate
Authors: Bragadóttir Ester Alda Hrafnhildar , Lehmann Ina , Grosinger Julia , Negacz Katarzyna 
Published: May 2024

Abstract
The relevance of environmental justice in global biodiversity and climate governance has increased as stakeholders’ unequal affectedness by environmental action is becoming ever more obvious. International Cooperative Initiatives (ICIs) play an ever increasing role in addressing global environmental change and biodiversity loss. Yet, the consideration of demands of environmental justice by these non-state or hybrid actors is still under-explored. Informed by a three-pillar environmental justice framework comprising distributive, procedural, and recognition justice, we use content analysis to identify if and how these different pillars are presented on the websites and in the key publications of a sample of 53 ICIs. A majority of these ICIs include references to environmental justice and its different pillars in their description of their work. But environmental justice seems to be neither a central concern nor are the references very nuanced. Distributive justice receives the most attention, whereas aspects of procedural and recognition justice receive less attention. To better anchor environmental justice within global biodiversity and climate governance, we encourage ICIs to thoroughly integrate environmental justice in operational work and to integrate and establish ongoing dialogues with marginalised groups.
A Comparative Cross-sectional Study to Evaluate Thyroid Imaging Reporting and Data System and Fine-needle Aspiration Cytology in Predicting Benign and Malignant Nature of Thyroid Nodules
Authors: Harikrishnan M. , Kumar Sampath 
Published: May 2024

Abstract

Introduction:
Thyroid ultrasound (US) should be performed in the initial assessment of the gland. The fine-needle aspiration cytology (FNAC) is an inexpensive and useful tool for detecting thyroid cancer. In the management of thyroid nodule patients, recommending who should be submitted to FNAC is still controversial.

Aim:
The aim of the study was to evaluate whether the US-based Thyroid Imaging Reporting and Data System (TI-RADS) scoring system is reliable in differentiating between benign and malignant thyroid nodules when compared to FNAC and its practical application in clinical decision-making.

Materials and Methods:
A total of 59 patients having solitary thyroid nodules were studied over 20 months. Thyroid function tests, US and FNAC of the thyroid were done. Using US, the thyroid nodule was evaluated for five sonological features: internal composition, echogenicity, margins, presence and type of calcification and shape of the lesion. The nature of the lesion was assessed based on the TI-RADS score calculated from the five US parameters. This result, along with FNAC, which was reported using The Bethesda System for Reporting Thyroid Cytopathology was finally compared with the histopathology reports.

Results:
When the suspicious sonological features were evaluated, the presence of solid components and taller-than-wide shapes was found to be maximum sensitive but less specific. Specificity, positive predictive value and negative predictive value were found to be maximum for the presence of microcalcification and presence of hypoechogenicity. The sensitivity of TI-RADS to detect malignancy was higher (100%) than FNAC (66.7%). The specificity of TI-RADS to detect malignancy was lower (36.2%) as compared to FNAC.

Conclusion:
TI-RADS can be used to avoid unnecessary fine-needle aspirations. It helps in decreasing confusion and assists in deciding when FNAC should be performed. TI-RADS is cost-effective and has a vital role in the initial evaluation and investigation of patients presenting with solitary nodules of the thyroid. Moreover, it is simple to use, reliable and easily reproducible.
Spontaneous Perinephric Abscess with Atypical Mycobacteria: An Entity to Ponder
Authors: Boda Bharath Kumar , Gurugubelli Krishna Rao , Darsan S Lal , Krishnamoorthy H. 
Published: May 2024

Abstract
Although chronic pulmonary disease due to atypical mycobacteria also known as non-tuberculous mycobacterial (NTM) infections are recognised with increasing frequency, very few cases of primary urinary involvement with this organism have been reported. It is important to distinguish between simple colonisation by these organisms and actual infection caused by them. Differentiation between NTM infection and urinary tuberculosis is also important in determining the therapeutic regimen. We present the report of a case of perinephric abscess produced by NTM in a healthy male individual.
Legalitas Dan Produk Halal Bagi Wirausaha Muda
Authors: Erlina Een , Isa Muhammad , Ishak Khodijah , Shirotol Ahmad , Khoirin Kurniatul Fil , Ashuri Baharuddin , Helmina Sri , Akmal Muhammad , Nisalae Ritdawan , Melviyani Nur , Nisha Aulia Chairun 
Published: May 2024

Di masa sekarang ini, perkembangan dalam bidang perekonomian yaitu pada bidang industri dan perdagangan nasional telah menciptakan berbagai bentuk produk yang dapat dikonsumsi. Hal ini bagi konsumen berarti kebutuhannya akan barang dan jasa yang diinginkan dapt lebih mudah unntuk terpenuhi dan mereka bisa lebih leluasa memilih barang dan jasa dari berbagai jenis dan kualitas sesuai dengan kemampuannya. Sertifikat halal sangat penting bagi konsumen Muslim karena mencakup prinsip agama dan hak konsumen. Saat ini, tidak semua makanan bersertifikat halal. MAN 1 Plus Keterampilan Bengkalis merupakan salah satu lembaga pendidikan yang melaksanakan program berwirausaha kepada para wirausaha.Kegiatan pembinaan untuk menumbuhkan jiwa wirausaha sudah dilaksanakan. Salah satu bentuk kegiatan tersebut adalah dengan adanya market day dimana penjual dan pembelinya adalah para siswa MAN 1 Plus keterampilan itu sendiri. Dengan demikian sangat diperlukan pengetahuan berkaitan legalitas dan produk halal bagi wirausaha muda.
Pengembangan Lembar Kerja Peserta Didik (LKPD) Teks Eksplanasi pada Pembelajaran Bahasa Indonesia Kelas XI SMK
Authors: Dewi Saskia Komala 
Published: May 2024

AbstractThe aim of this research is related to the problem formulation, namely, to produce a student worksheet (LKPD) with explanatory text that suits the needs of class XI students at the Cirebon City Tourism Vocational School. The method used in this development research uses a 4-D model, namely defining, planning, developing, and disseminating, but the dissemination stage was not carried out. This research was carried out from January to March 2023. The results of this research are the Student Worksheet (LKPD) for explanatory text consists of a cover, foreword, table of contents, introduction, competency mapping, explanatory text material, a summary of the material, assignments (individual, group, and evaluation), answer key, glossary, and bibliography. The material expert validator assessment 1 obtained a result of 86% and was included in the very feasible category. The assessment results from material expert validator 2 were in the decent category with a percentage of 75%, and material expert validator 3, namely the Indonesian language teacher, got a percentage score of 77% in the Decent category. Tujuan penelitian ini berdasarkan rumusan masalah yakni, menghasilkan lembar kerja peserta didik (LKPD) teks eksplanasi yang sesuai dengan kebutuhan peserta didik kelas XI SMK Pariwisata Kota Cirebon. Metode yang digunakan pada penelitian pengembangan ini menggunakan model 4-D yakni pendefinisian (define), perencanaan (design), pengembangan (develop) serta penyebaran (disseminate), tetapi tahap disseminate tidak dilakukan. Penelitian ini dilaksanakan pada bulan Januari hingga Maret 2023. Hasil penelitian ini menyebutkan Lembar Kerja Peserta Didik (LKPD) teks eksplanasi terdiri dari sampul, prakata, daftar isi, pendahuluan, pemetaan kompetensi, materi teks eksplanasi, rangkuman materi, tugas (individu, kelompok dan evaluasi), kunci jawaban, glosarium, dan daftar pustaka. Penilaian validator ahli materi 1 mendapatkan hasil 86% dan termasuk kategori sangat layak. Hasil penilaian dari validator ahli materi 2 termasuk kategori Layak dengan persentase 75%,dan validator ahli materi 3 yaitu guru Bahasa Indonesia mendapatkan nilai persentase 77% dengan Kategori layak.
Moral Wewayangan pada Novel Hati Suhita Karya Khilma Anis
Authors: Setiawan Ifan 
Published: May 2024

AbstractWhen writing a literary work, it is closely related to culture. Therefore, it is not uncommon for authors to incorporate cultural elements into the literary works they create. One of them is the novel Hati Suhita by Khilma Anis. This novel presents the wayang side of the story not only in history, but also in the symbols or meanings in the form of morals implied in the wayang story. The aim of this research is to describe moral wayang based on moral studies in works of fiction which are very closely related to Javanese culture. The approach used is an intertextual approach with the method used in this research being a qualitative descriptive method, which is an objective research method, based on existing data. The data in the novel is described so that moral imagery is obtained in the novel Hati Suhita by Khilma Anis. Based on the analysis carried out, through Hati Suhita, Khilma Anis succeeded in adopting characters and taking morals from wayang plays to play the characters in the novels she wrote. Dalam penulisan sebuah karya sastra, sangat erat hubungannya dengan kebudayaan. Oleh sebab itu, tak jarang pengarang memasukkan unsur-unsur budaya ke dalam karya sastra yang diciptakannya. Salah satunya adalah novel Hati Suhita karya Khilma Anis. Novel ini, menyajikan cerita wayang bukan hanya pada sisi historis saja, melainkan pada simbol atau makna berupa moral yang tersirat pada cerita wewayangan. Tujuan penelitian ini adalah mendeskripsikan moral wewayangan berdasarkan kajian moral pada karya fiksi yang sangat erat hubungannya dengan kebudayaan Jawa. Pendekatan yang digunakan adalah pendekatan intertekstual dengan metode yang digunakan pada penelitian ini adalah metode deskriptif kualitatif, yang merupakan metode penelitian yang objektif, didasarkan atas data yang ada. Data yang ada pada novel dideskripsikan sehingga, diperoleh moral wewayangan pada novel Hati Suhita karya Khilma Anis. Berdasarkan analisis yang dilakukan, lewat Hati Suhita, Khilma Anis berhasil mengadopsi tokoh dan mengambil moral pada lakon wewayangan untuk menggambarkan karakter tokoh pada novel yang ia tulis.
Une routine combinant discours motivationnel et imagerie mentale ameliore la performance du service
Authors: Dominique Laurent , Robin Nicolas 
Published: May 2024

Cette étude avait pour objectif de tester les effets d’une routine de pré-performance au service, composée de discours interne motivationnel combiné à de l'imagerie mentale centrée sur la trajectoire de la balle et la zone cible à atteindre, dans le carré de service, sur la performance de joueurs de tennis de niveau expert. Vingt-sept joueurs masculins (M = 17.5 ans) de seconde série, jouant au tennis depuis plus de 10 ans, étaient volontaires pour participer à cette expérience. Les participants étaient répartis en 3 groupes (contrôle, discours et discours + imagerie) et ont réalisé 3 phases : Pré-test (20 services en condition de jeu), Acquisition : 16 séances (échauffement + 20 services + super tie-break), Post-test (20 services en condition de jeu). Le pourcentage de réussite, la vitesse et l’efficacité des services étaient mesurés aux Pré- et Post-tests et servaient de variables dépendantes pour des analyses statistiques (ANOVAS à mesures répétées). Les résultats de cette étude montrent une amélioration supplémentaire de la performance des services quand le discours interne motivationnel est combiné à l’imagerie mentale. Nous recommandons aux coaches et joueurs de tennis expérimentés d’utiliser le discours interne ainsi que l’imagerie dans leurs routines de pré-performance au service.
Power Flow Analysis Using Fuzzy for Single Phase Transformer Less PV System Connected with a Nine-Level Converter
Authors: B Mohan Rao  
Published: May 2024

Power electronics technology advancements and growing environmental concerns worldwide have made photovoltaic (PV) systems more visible in distributed generation systems. Photovoltaics, or solar PV, is an important component of solar energy for generating electricity. Grid-connected inverters must be able to regulate the amount of power they inject into the grid, track maximum power points, be highly efficient, and inject currents into the grid with minimal harmonic distortion. Two step-down converters were used to construct an inverter without a single-phase transformer. This study investigates two multi-sequence inverter types that use different voltages and are based on single-phase grid-connected photovoltaic (PV) technology. A new nine-level grid-connected transformer-less photovoltaic converter was proposed in this study. MATLAB was used to construct the complicated FFT simulation using fuzzy logic controls. Analyzing efficiency through simulation in order to enhance efficiency. This work aims to replace PI controllers with fuzzy controlled systems so that single-stage operation can be improved with reduced switches in an economic manner. An improvement of 10% over the existing system is achieved by implementing fuzzy computing.
Light Weight Concurrent Scheduling of Mobile Sink routing protocol towards Minimization of Propagation Delay against Spatial and Temporal Uncertainties of Cluster based Wireless Sensor Network
Authors: Manjula G. Hegde  
Published: May 2024

Wireless Sensor Network highly exposed to certain security attacks due to various uncertainties of the network which lead to node compromise. Hence considerable attention has been made by researcher during scheduling of the mobile sink to data collection of sensed information from the sensor nodes. Many secure data aggregation mechanism has been proposed to withstand the network against these kind of attack. Despite of many advantageous, those architectures will lead to several limitations such as large propagation delay and high energy consumption and spatial and temporal uncertainties. In order to mitigate those challenges, Light Weight Concurrent Scheduling of Mobile Sink routing protocol towards Minimization of Propagation Delay against Spatial and Temporal Uncertainties of Wireless Sensor Network is designed. It should be capable achieving energy efficiency and collision avoidance due to uncertainty in transmission and reception. Proposed model eliminates the packet collision and poor channel utilization challenges. Initially, node is partitioned and cluster head is selected based on the highest energy density of the node in the particular location. Employing Full duplex channel easily examines the spatial and temporal characteristic of the node through utilization cache information of routing table. It further helps to build the light weight scheme with behavioral strategies of the nodes for secure propagation of the sensed data to the mobile sink. Light weight scheme deployed in mobile sinks estimate the node trustworthiness and simultaneously collects the secure aggregated data packets of the sensor node through cluster head against dynamic time slots concurrently .Comparing with traditional secure routing architecture, simulation results demonstrates that proposed architecture can reduce the propagation delay against various uncertainties and maximizes the life time of the network on increasing the networking performances with respect to packet delivery ratio, throughput and propagation delay. Finally proposed model obtains the cooperative communication of sensor node information to the base station through mobile sink on heterogeneous wireless sensor network environment.
DOI: https://doi.org/10.52783/pst.387
Deviant Behaviour and Students’ Academic Activities in Oyo State, Nigeria
Authors: Oladipo Ileola Elizabeth , Udoh-Emokhare Christine Ekojoka , Oladipo Temidayo David 
Published: May 2024

Education remains one of the tools for the transformation of individuals and society. It is a powerful instrument of social change, which also plays a crucial role in nation-building. The rate of involvement of in-school adolescents in deviant behaviour is however of great concern to stakeholders. Indiscipline in schools has reached an alarming rate; a situation which could be traced to the home, society and the attitude of students towards schooling. The result is poor academic performance of many in-school adolescents. This study becomes necessary in the light of anti-social deviant behaviours among in-school adolescents in Nigeria. The main purpose of the study was to investigate the influence of deviant behaviour on academic activities and identify the strategies for managing deviant behaviour among in-school adolescents using Oyo State, Nigeria, as a case study. The findings show that there was a significant relationship between deviant behaviours and students’ academic activities. There was also a common consensus of high incidences of physical, verbal, and academic related deviant behaviours. Results of the study revealed three factors- parent, society and school- that contribute to deviant behaviour. To address the effect of deviant behaviour affecting the educational system in Nigeria therefore, the study identified administrative advancement, parental influence/control as well as counselling as measures that government, parent and other stakeholders can adopt to improve educational outcomes.