bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALYSIS OF PROBLEMS ARISING DURING REGISTRATION UNCLAIMED LAND SHARE
Authors: Khvostov Nikolay , Provalova Elena , Tsapovskaya Olga , Ermoshkin Yuri , Erofeev Sergey , Bannikova Elena 
Published: April 2024

This paper analyzed the problems that arise when registering unclaimed land shares, and also proposed rational options for solving them. Currently, in modern agricultural land use, the process of involving unclaimed land shares into agricultural circulation has been going on for more than 10 years. We are talking about the “work” carried out by local government bodies together with the courts to transfer into the ownership of municipalities land shares that were allocated to employees of agricultural enterprises during the land reform, but which, due to certain circumstances, did not dispose of them.
The current mechanism for the circulation and use of agricultural land is aimed at stimulating participants in shared ownership to transfer such lands to efficient agricultural producers, or to allocate a plot of land to them for agricultural production. In our opinion, the procedure for allocating a land plot is aimed at providing land to the most efficient land users, that is, those persons who will use agricultural land more efficiently and rationally.
SPECIALLY PROTECTED NATURAL AREAS IN THE CONTEXT OF URBAN PLANNING OF PERM: FUNCTIONS AND ISSUES
Authors: Semyonov Vladislav , Popova Yana 
Published: April 2024

This article is a study using GIS technologies aimed at assessing and analyzing changes in the areas of types of plant communities under the influence of oil and gas industry facilities on the island. Sakhalin.
Purpose (Object): The purpose of this study is to assess the degree of change in the areas of types of plant communities under the influence of oil and gas indus-try facilities on the island. Sakhalin.
Methods: Methodology for assessing changes in the areas of plant communi-ties under the influence of oil and gas industry facilities on the island. Sakhalin in-cludes 7 stages, consisting of spatial reference of a raster image (vegetation map of the island) to a base map, as well as the subsequent creation of polygonal objects based on the received data and conducting spatial analysis in ArcGIS software. The final stage involves determining the degree of change using specified criteria.
Findings: Most of the types of plant communities on Sakhalin Island belong to the conditionally unmodified class with the percentage of the territory occupied by oil and gas industry facilities less than 0.5%. We assigned the following types of plant communities to this class: white birch-larch grass-shrub forests in place of dark coniferous forests (0.00%); reed grass communities in place of green moss and grassy dark coniferous forests (0.17%); etc. The weakly modified class in-cludes 4 types of communities: larch mid-taiga lichen forests with dwarf cedar (0.75%); thickets of wild rosemary in place of larch green moss-ledum forests (0.74%); larch mid-taiga green moss-ledum forests (0.69%); thickets of dwarf ce-dar and alder (0.59%). None of the existing types of plant communities on Sakhalin Island belongs to the moderately or highly modified class, since the area of land occupied by oil and gas industry facilities does not exceed 2%.
Conclusions: Assessment of the degree of change in areas occupied by various types of plant communities under the influence of oil and gas industry facilities on the island. Sakhalin makes it possible to determine the most disturbed types of communities and classify them according to the degree of change.
This information is useful in view of the relevance of the issue of environmental pollution by oil and gas industry facilities, as well as from the point of view of the possibility of developing measures to protect and protect the environment. In addi-tion, based on the data obtained, it is possible to predict further changes in the de-velopment of Sakhalin shelf projects and the construction of new onshore infra-structure.
Role of Procalcitonin Levels in Patients with Sepsis in Medical Intensive Care Unit
Authors: Sarkar Dattatreya , Chatterji Rajeev 
Published: April 2024

Introduction: Sepsis has a death rate of ∼25% globally and its clinical treatment presents an important clinical challenge. The Acute Physiology and Chronic Health Evaluation II (APACHE II) is the standard method for assessing sepsis. Serum PCT level can be increase in case of sepsis. With this background, the present research is aimed to study the survival among the sepsis cases and correlate them with serum procalcitonin levels, APACHE II Score and other risk factors.
Methodology: The study was conducted among 75 cases diagnosed having sepsis admitted in medical ICU. APACHE II score, serum procalcitonin (PCT) and other investigation were carried out along with clinical history and examination. Data were analysed using epi-info software.
Results: The cases fatality rate of sepsis cases in medical intensive care unit in our hospital was 37.3%. The mortality rate was significantly higher patients with comorbidities, especially cases with respiratory or CNS involvement. The serum PCT levels were significantly higher in the group of non survivors as compared to group of survivors. Higher APACHE II score associated with higher mortality. Serum PCT levels go on increasing along the spectrum of sepsis. A PCT level was significantly hire in culture positive cases compare to sterile cases.
Conclusion: From this study we conclude that serum PCT level is useful investigation in sepsis cases to predict mortality.
Comparison of Two Drug Combinations in Total Intravenous Anaesthesia: Propofol-Ketamine and Propofol-Fentanyl
Authors: Arya Jeet R , Sojitra Bhavna H , Pandya Malti J. 
Published: April 2024

Introduction: TIVA has many advantages over inhalational anaesthesia such as minimal cardiac depression, decreased oxygen consumption, avoids postoperative diffusion hypoxemia, decreases the incidence of postoperative nausea and vomiting etc. This study was conducted to evaluate and compare two TIVA drug combinations using propofol- ketamine and propofol-fentanyl, and to examine the characteristics of induction of anaesthesia, maintenance, and recovery.
Method: 34 patients of ASA grading 1,2 and 3 aged between 20 to 65 years of either sex undergoing short surgical procedures were included in the study. According to Comparison of systolic blood pressure of both the groups at intubation time of anaesthesia in group I and group II. Patients in group I received propofol and ketamine intravenously (IV) to induce anaesthesia. For group II, fentanyl and propofol were administered as IV bolus doses. All the results were tabulated and analyzed statistically.
Result: Propofol-fentanyl combination produced a significantly greater fall in pulse rate and in both systolic and diastolic blood pressures as compared to propofol-ketamine during induction of anaesthesia. Propofol-ketamine combination produced stable hemodynamic during maintenance phase while on the other hand propofol-fentanyl was associated with a slight increase in both PR and BP. During recovery, ventilation score was better in group I while movement and wakefulness score was better in group II.
Conclusions: Both propofol-ketamine and propofol-fentanyl combinations produce rapid, pleasant and safe anaesthesia with only a few untoward side effects and only minor hemodynamic effects.
Outcome of Patients with Sepsis Admitted in Intensive Care Unit of a Tertiary Care Hospital in India
Authors: Patel Rashmi R , Karagatharavm Vinayak H , Dudhrecha Bhavin 
Published: April 2024

Introduction: Sepsis has a death rate of ∼25% globally and its clinical treatment presents an important clinical challenge. The rapid progression of sepsis requires correspondingly swift adjustments in therapy, and accurate identification of disease severity is therefore vitally important for predicting prognosis, treatment, preventing complications, reducing complication and mortality. With this background, the present research is aimed to study the relation of serum procalcitonin levels in cases with sepsis, to calculate APACHE II scores and to correlate the levels of serum PCT levels with APACHE II Score with the outcome.
Methodology: This was a prospective observational non interventional cohort study was conducted in the Clinic of Intensive Care unit of a tertiary care hospital and medical college in western India from May 2020 to December 2020.
Results: A total of 75 patients, admitted to the ICU with the diagnosis of sepsis, were included in this prospective observational study. Of them 47 (62.7%) were males and highest cases were aged between 60 to 69 years. Of the total 75 patients, 47 (62.7%) patients were survivors. Age, gender and involvement of system were not associated with mortality while lower APACHE II score and presence of co-morbidities were significantly associated with mortality.
Conclusion: From this study we conclude that the lower APCHE II score and presence of co-morbidity significantly increases the mortality in ICU patients admitted with sepsis.
STUDY OF HYPOMAGNESEMIA IN PATIENTS ADMITTED IN MEDICAL ICU AND ITS CORRELATION WITH FINAL OUTCOME
Authors: Gosalia Harshil , Patel Om , Doctor Nilesh M , Shah Hemant 
Published: April 2024

Introduction: Magnesium is second most common intracellular cation found in the human body that is required as cofactor in numerous enzymatic reactions, important for smooth functioning of cardiac and neurological systems. Magnesium deficiency is a condition that is often overlooked in critically ill patients. Magnesium deficiency is linked with risk of electrolyte imbalance, difficulty to wean off ventilator, sudden cardiac death and ultimately poorer outcome of critically ills patients.
Objective: To assess prevalence of magnesium deficiency in critically ill patients admitted to Medical ICU and its association with requirement & duration of mechanical ventilation, ICU stay, APACHE-II & mortality.
Methods: This Prospective descriptive study was conducted on 69 critically ill patients admitted in medical ICU of Department of Medicine in Tertiary health care center of South Gujarat. Pretested proforma was used to collect data after taking informed consent. Serum magnesium level of admitted patients were collected and entered in spreadsheet and Final analysis has been done with the help of Open EPI and SPSS software.
Results: It was concluded that patients having hypomagnesemia were at increased risk of electrolyte abnormalities, longer ventilatory support, longer hospital and ultimately poorer outcome stay as compared to patients who had normal magnesium levels.
Conclusion: Magnesium remain an important but often side-lined cation in the critically ill patient. However, Hypomagnesemia is a repeated finding seen in critically ill patients and is significantly associated with a higher mortality rate and more frequent need for mechanical ventilation.
STUDY OF STRESS HYPERGLYCEMIA AS AN IN-HOSPITAL PROGNOSTIC FACTOR IN ACUTE ST ELEVATION MYOCARDIAL INFARCTION PATIENTS
Authors: Nagocha SureshKumar , Gagiya Ashok , Gurjar Vivek 
Published: April 2024

Introduction: According to the American Diabetes Association and American Association of Clinical Endocrinologists' consensus on inpatient hyperglycemia, any blood glucose level higher than 7.8 mmol/l (140 mg/dl) without symptoms of preceding diabetes is considered stress hyperglycemia or hospital-related hyperglycemia.
Methodology: all patients admitted with acute onset of ST-elevation myocardial infarction within 12 hours of onset, age more than 18 and less than 80 years at tertiary care hospitals were included in this study
Result: In the case group mean age was 55.4 years while in the control group mean age 57.5 years was In case group mean Hba1c 5.6 and SD 1.0 was while in control group mean Hba1c 5.3 and SD was 1.1 with p value 0.234.
Conclusion: Mortality was commonly noted in the stress hyperglycaemic groups. 5(25%) deaths were noted in group, while in euglycemic group 4(11.4%) death were noted in group.
HOW THYROID PROFILE IS AFFECTED BY DIABETIC MELLITUS: A CROSS SECTIONAL STUDY
Authors: Sharma Rajesh , Sharma Richa , Patel Jitender Kumar 
Published: April 2024

Background: Diabetes mellitus and thyroid illnesses are the two endocrine conditions that are seen in clinical practice the most frequently. Patients frequently have a tendency to suffer from both diabetes mellitus and thyroid dysfunction at the same time. This article illustrates why it is important to recognize the interdependent relationship that exists between thyroid illness and diabetes.
Method: Present study was conducted among 193 T2DM patients. Patients’ last three month glucose level was measured by HBA1c and thyroid dysfunction evaluated by thyroid profiling. Association and prediction of different variables for developing thyroid dysfunction among diabetic patients was calculated using chi-square, t test and ROC curve.
Result: Out of 193, 47 patients had thyroid dysfunction, majority 22(11.4%) had subclinical hypothyroidism. 13(6.7%) had Hypothyroidism, 6(3.1%) had subclinical Hyperthyroidism, 3(1.5%) had Hyperthyroidism and 3(1.5%) patients were euthyroid. The prevalence of established thyroid disease was higher in females 32 (68.1%). Out of 47 patients with thyroid dysfunction, 39(82.9%) patients had HBA1C >6.5%.
Conclusion: Age >50 years and female gender played as risk factor for developing thyroid dysfunction among patients with T2DM. HBA1C >6.5% and TSH more than 3.65mIU/L was independent risk factor for predicting thyroid dysfunction in T2DM.
Diagnostic Ability of Nerve Conduction Study, Ultrasonography and Magnetic Resonance Imaging in Diagnosis of Carpel Tunnel Syndrome
Authors: Sekhon Anurag Singh , Kulkarni PN 
Published: April 2024

Introduction: Current diagnostic criteria for Carpel Tunnel Syndrome (CTS) include a patient's medical history, physical exam results, and electrophysiological findings. The purpose of the study is to evaluate the diagnostic ability of nerve conduction study, ultrasonography and magnetic resonance imaging for the diagnosis of carpal tunnel syndrome with the use of clinical findings as the gold standard.
Methodology: The study was conducted among 30 patients clinically diagnosed having CTS based on the criteria given by American Academy of Neurology and American Academy of Physical Medicine and Rehabilitation. All patients included in the study were underwent USG of affected wrist joint, CT scan as well MRI of the same.
Results: Out of total 30 participants, 14 (46.7%) were found moderate severity followed by 11 (36.7%) were found mild severity. Only 5 (16.7%) were found severe carpel tunnel syndrome. Amongst all three investigation methods, nerve conduction study having the lowest sensitivity (83.33%). The sensitivity of the ultrasonography and MRI was 90% each.
Conclusion: It is clear from this study that the sensitivity of the parameters utilized in NCS (maximum observed 83.33%) is lower than that of the median nerve cross-sectional area detected on USG (90%) and MRI (90%). The most sensitive, practical, and cost-effective metric of all those seen in the research turned out to be the median nerve cross sectional area evaluated at the wrist crease by USG.
First Trimester Maternal Body Mass Index and Ges-tational Weight Gain and Their Association with Feto-Maternal Outcomes
Authors: Patil Sanjay , Yatam Sravya 
Published: April 2024

Introduction: Women of reproductive age have also been impacted by the significant rise in the prevalence of obesity. A significant predictor of poor outcomes for the health of the mother and the newborn is excessive gestational weight increase. The study was conducted with an objective to study first trimester maternal Body Mass Index and gestational weight gain and their association with maternal and perinatal outcomes.
Methodology: This was a prospective observational clinical study conducted in 196 primigravida patients presenting in a tertiary care hospital in central India. BMI of women were recorded during the first trimester and followed up to assesses gestational weight gain. Early pregnancy BMI and gestational weight gain were compared with various feto maternal outcome.
Results: The mean of First trimester BMI was 21.3 kg/m2. In Overweight category, 65.2% had high weight gain (WG) while in obese, 26.1% had High WG. Type of delivery and NICU admission rate significantly differ in BMI categories (p <0.05). LSCS rate were higher in overweight and obese category. Preterm babies and post-partum hemorrhage were higher in higher WG categories; however, the difference was non-significant (p>0.05).
Conclusion: This study conclude that First trimester underweights and overweight/obesity is associated with higher antenatal, intra-natal and postnatal complications as well as neonatal complications. Caesarian rate and instrumental deliver are also common in First trimester overweight and obese women. Preeclampsia is associated with extreme of First trimester BMI.
Effects of Antenatal Steroids with Magnesium Sulphate on Intraventricular Hemorrhage and Periventricular Leukomalacia in Neonates Born below 32 Weeks of Gestation
Authors: Patel Dhaval , Vora Asit , Goyal Parth , Dubey Pankaj 
Published: April 2024

Introduction: The most important acquired brain injuries in very and extremely preterm infants born in developing Country are periventricular-Intraventricular haemorrhages and diffuse white matter injury. Antenatal corticosteroids play a crucial role in its development. A study was conducted to determine effects of antenatal steroids along with magnesium sulphate on Intraventricular Hemorrhage and Periventricular Leukomalacia in preterm neonates.
Methodology: A retrospective prospective cohort study conducted among premature newborn babies admitted in the hospital. Based on the antenatal medication subjects were divided in to three groups: Group 1: No Steroid and No MgsO4 in antenatal period; Group 2: Received complete and incomplete course of antenatal steroid; and Group 3: Received complete course of antenatal steroid and MgSO4. The Occurrence of IVH and/or PVL in the neonates during hospital stay in all 3 groups.
Results: Among the 144 cases, 8 patients had IVH and 1 had PVL. No intervention group (No antenatal steroids/ antenatal MgSo4) had highest chances of development of IVH/PVL. Significantly lower rate of IVH/PVL recorded in ‘Steroid and MgSO4’ group compared to only ‘Steroid’ group. The chances of development of RDS, BPD and NEC in no intervention group (No antenatal steroids and antenatal MgSo4) was significantly higher compared to steroid and and MgSO4 group and Steroid only group.
Conclusion: This study confirmed that antenatal steroids when used along with antenatal magnesium sulphate to deliver preterm babies reduce IVH and white matter brain injury significantly.
Pengaruh Kompres Air Hangat Dengan Jahe (Zingiber Offcinale) Terhadap Penurunan Nyeri Osteoarthtritis Pada Lansia Di BPSTW Kecamatan Ciparay Kabupaten Bandung 2022
Authors: Ida Widyanti  , Deni Arisandi  
Published: April 2024

: WHO estimates that 40% of the population over 70 years of age suffer from osteoarthritis and 80% had limitations. Figures Osteoarthtritis total reached 36.5 million people. In general pravelensi joint disease in Indonesia is very high at 30.3%. Traditional medicine to reduce pain osteoarthtritis lot of one with a ginger compress. The purpose of this study is to determine the effect Compress With Warm Water Ginger (Zingiber Offcinale) Decline Against Pain Osteoarthtritis On Elderly In 2016 Bandung Ciparay Bpstw type used in this research is the Pre- Experimental Design, with a research design using pretest and posttest one group design , Sample was 31 elderly people were selected by purposive sampling. Data collection was conducted test for normality using the Shapiro-Wilk test continued with univariate and bivariate analysis using mean using test T-test. The results showed no significant decrease in pain relief before being given a warm water compress of ginger with a value of 3:16 and after given a warm water compress ginger into 1.97 with a p-value of 0.000 or a≤0,05. Concluded that the provision of warm water compress with ginger for 4 days in Bandung Ciparay BPSTW shows the influence of the reduction in pain in the elderly who suffer osteoarthtritis. In the researchers suggested a non pharmacological therapy is expected to be applied by the elderly in addressing osteoarthtritis pain
Régimen microempresarial y financiero en las construcciones
Authors: Núñez-Torres Vicente Atahualpa , Tigua-Moreira Sonia Jacqueline 
Published: April 2024

El objetivo de esta investigación se basó en analizar el régimen empresarial y financiero de las empresas de construcción, a través de una metodología con un enfoque cualitativo, con un alcance descriptivo orientado a detallar el régimen empresarial y financiero de las empresas de construcción, a través de una investigación documental basado en la búsqueda de información por medio de páginas de organismos oficiales, así como también en revistas de corte científico y tesis, que permitieron sustentar la información recopilada para el desarrollo de este artículo. Las microempresas del sector construcción forman el 3% del Producto Interno Bruto del país, sin embargo a nivel financiero y contable no existe un registro adecuado en la documentación correspondiente lo que puede llegar a genera altos niveles de evasión de impuestos, así como la creación de empresas fantasmas, por lo tanto, lograr que las microempresas cumplan sus obligaciones tributarias es un reto, pero para ello es necesario comprender el funcionamiento de estas obligaciones y de las reformas tributarias existentes en Ecuador. Se puede concluir que el Régimen Impositivo Simplificado Ecuatoriano, permitió legalizar empresas y negocios que obtienen ventas hasta $60.000 dólares, este régimen trae consigo ventajas como la no cancelación de costos por honorarios profesionales o por declaraciones de ingresos provenientes de actividades económicas lícitas, aspecto importantes para poder optar por créditos a través de entidades financieras. De igual manera es necesario que el sector microempresarial de la construcción cuente con una educación tributaria adecuada para que pueda obtener los mayores beneficios tributarios existentes en el país, para ellos es importante y necesario que posee una planificación tributaria adecuada, para poder cubrir sus responsabilidades con eficiencia