bluuebunny/crossref_metadata_2025_split huggingface dataset:
Taylor Spatial Frame versus Ortho SUV for Correction of Lower Limb Deformities: A Comparative Study
Authors: Dhawan Manish , Sharma Anant , Chauhan Ravi , Vig Varun , Prasad Manish 
Published: October 2023

Background:
Deformity of long bones of lower limb leads to frequent gait and joint problems, in addition to the esthetic problems. Correction of such deformities proves to be a challenge due to spatial and soft-tissue considerations. Taylor Spatial Frame (TSF) and Ortho-SUV Frame (SUV) are two six axis correction devices which utilize the Ilizarov methods and allow easier correction of complex deformities. This study was performed to compare the efficacy of TSF and SUV for correction of lower limb long bone deformities.

Materials and Methods:
The Study was held at Sir Ganga Ram Hospital, New Delhi between January 2015 and November 2019. Twenty patients were included for each correction group. Assessment of correction was done in terms of rate and accuracy of deformity correction, lengthening index, total lengthening achieved, time in frame, assessment of ability to perform Activities of Daily Living, functional outcome using Association for the Study and Application of the Method of Ilizarov (ASAMI) score, and complications during treatment.

Results:
Both groups showed excellent correction of deformity in all planes and good functional outcomes. TSF group showed lesser incidence of joint stiffness as well as a shorter time in Frame. Pin site infection was the most common complication followed by major residual deformity.

Conclusion:
Both TSF and SUV provide excellent outcome in correction of complex spatial deformities of lower limb with high accuracy and good functional outcome. The TSF provides an advantage over SUV with reduced time in Frame, lesser joint stiffness and increased patient compatibility due to smaller frame size and reduced bulk as compared to SUV.
Prospective Audit of Requisitions for Transfusion at a Rural Tertiary Care Hospital in Central India as a Step to Improve Transfusion Practices
Authors: Vaidya Vihanka Devchand , Deshmukh Abhay Vilas , Shivkumar Vitaladevuni Balasubramanyam , Meshram Manish Arun 
Published: October 2023

Introduction:
A blood requisition form is the sign of final clinical decision for the transfusion. It provides all the clinical details of the patient. The missing and incorrect information in blood request form can be the cause of error and transfusion reactions. This study was aimed to evaluate blood transfusion request form for its correctness and completeness. Based on its findings and results, the clinicians will be asked to take corrective measures.

Methods:
The blood requisition forms were evaluated in the blood centre at central India during the period of October 2019 to June 2021 and were analysed.

Results:
15022 blood requisition forms were received for 19904 units of blood and blood products during the study period. Majority of the requisitions were for single unit. 10.75% forms were without demographic details, 14.58% were without priority, 18.91% were without mentioning of blood group, 32.69% were without mentioning of indication, 24.23% forms were without history of previous transfusion and 23.47% forms were without proper clinical history.

Conclusion:
The requests for whole blood was much more than packed red cells. More than 60% forms were not properly filled and without proper clinical information. The indication for transfusion of blood and blood components were not mentioned in 33% of the forms. The forms in which indications were mentioned, more than 30% had inappropriate indications. Thus, it is important to sensitize the clinicians about the importance of correctness and completeness of blood transfusion request forms to ultimately improve the clinical practices.
Novel versus Traditional Serum Biomarkers in Predicting the Response to Anti-tubercular Therapy in Pulmonary Tuberculosis Patients: A Prospective Study
Authors: Mangal Vishal , Singhal Anuj , Vohra Gaurav , Karade Santosh , Menon A S , Kaur Kaminder Bir 
Published: October 2023

Background:
India ranks first in the global share of tuberculosis (TB). Active TB is also associated with elevated levels of B-Cell growth factors like B-cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL). We aimed to study the circulating levels of ferritin, high-sensitivity C-reactive protein (hsCRP), BAFF, and APRIL in sputum-positive and sputum-negative active pulmonary TB (PTB) patients.

Materials and Methods:
We enrolled 90 sputum positive and 90 sputum-negative newly diagnosed PTB patients. All the patients underwent estimation of serum ferritin, hsCRP, BAFF, and APRIL before initiation of f Anti-Tubercular therapy (ATT), after 1 month of ATT, and after 2 months of ATT. We compared the change in the cytokines mentioned above in PTB subjects at baseline, after 01 and 02 months of the intensive phase of standard anti-tubercular therapy.

Results:
There was a significant difference between the serum BAFF levels at all times between the sputum-positive and sputum-negative groups (P < 0.001). There was a considerable increase in the APRIL level 2 months after initiation of ATT in both the groups (sputum positive group P = 0.004) (sputum negative group P < 0.001). There was a significant decrease in serum ferritin level and hsCRP after 2 months of ATT compared to baseline (P < 0.001) in both sputum positive and negative groups.

Conclusion:
Serum ferritin, hsCRP, and APRIL levels can be used to assess the treatment response in both sputum-positive and sputum-negative cases. Serum BAFF levels >587 pg/ml at baseline implies high probability of sputum smear positivity in a patient with PTB.
Assessment of Peripheral Vestibular Apparatus in Patients with Peripheral Vestibular Symptoms using Videonystagmography in Tertiary Care Center
Authors: Reddy Lakku V. Manohar , Naga Rahul , Gupta D K , Mathews Sunil 
Published: October 2023

Introduction:
Vertigo, dizziness, giddiness, and unsteadiness are all quite frequent symptoms that affect a large proportion of the population. Due to the challenges associated with effectively diagnosing and documenting vestibular illnesses, figures on their prevalence, frequency of occurrence, and social impact vary greatly. Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo of vestibular origin. Positional nystagmus is most frequently seen in benign paroxysmal positional vertigo (BPPV) associated with peripheral vestibular diseases. Videonystagmography (VNG) tests are an excellent diagnostic tool for distinguishing peripheral from central vestibular abnormalities, provided they are conducted and interpreted by doctors rather than technicians. The current study utilized VNG to evaluate vestibular apparatus function in patients with peripheral vestibular symptoms (dizziness/imbalance/giddiness/vertigo).

Methods:
Prospective observational study comparing efficacy of assessment of vestibular apparatus using clinical vestibular assessment versus VNG in patients having vestibular symptoms.

Results:
With clinical vestibular assessment test, 13 out of 50 symptomatic patients had no nystagmus. When VNG was performed on these patients, 10 out of these 13 patients had shown positive findings, whereas only three patients had negative findings. Our study finds that VNG along with clinical evaluation is more effective in diagnosing vestibular disorders when compared with clinical evaluation alone and this was statistically significant.

Conclusion:
Based on our results, VNG is the better modality for the assessment of vestibular apparatus in patients with peripheral vestibular symptoms for diagnosis and treatment.
Quiz in PG Teaching: Are we Adapted to New Methods in Learning?
Authors: Shukla Rajat , Singhal Anuj , Shaw Subash Chandra , Manthene Mahesh , Sahoo Shrimukta , Singhal Aditya 
Published: October 2023

Introduction:
Traditional methods of teaching residents in medicine are lectures, symposiums, case presentations and CMEs. Students have different levels of attitude about learning and responses to specific environments. A sound understanding of the changing trends in medical education is crucial to the accurate implementation of adequate training protocols which helps in good perception of subject by students. Novel ideas and concepts must pave way for modern methodologies of teaching.

Methodology:
We administered the peer validated questionnaire to 30 Junior residents(JRs) who participated in the quiz on Diabetes. JRs were informed about quiz 10 days prior and adequate material was shared with them.

Results:
More than half of the students (56.7%) responded that the quiz was better enjoyed than discussing the similar topic in class room teaching, maximum students (86.7%) responded that the quiz should be inculcated in postgraduate curriculum.

Conclusion:
This kind of novel methods helps the students to have good understanding and perception of the subject rather than routine teaching methods and helps to make an impact.
Factors Contributing to the Pre-Elimination of Malaria from Hainan Island, China, 1986–2009
Authors: Sun Dingwei , Jiang Hongwei , Wang Guangze , Hu Ximin , Wang Shanqing , Chen Yan 
Published: October 2023

ABSTRACT.
Malaria was endemic in Hainan Island, China, for a lengthy period before its elimination. Here, we aim to gain a better understanding of malaria elimination by assessing and quantifying the relative effects of longitudinal changes in specific antimalarial interventions, socioeconomic development approaches, and malaria vectors on malaria prevalence in Hainan during the 1986–2009 pre-elimination period. Annual data were collected on the incidence of malaria, the number of residents protected by drugs (RPD), the number of residents protected by vector control, the presence of Anopheles minimus and Anopheles dirus, the annual per capita income of rural residents, major cash crop (rubber plantation) areas, the literacy rate of adult rural residents, and the rate of reinforced concrete house construction in rural areas. Backward stepwise multiple linear regression models were developed to identify the factors associated with the annual malaria incidence (AMI). The AMI declined from 20.3 to 0.8 per 10,000 population from 1986 to 2009; this decrease was significantly associated with an increase in the number of RPD and improved literacy rate among rural adults. The results of this study implied that the sustained distribution of antimalarial drugs and increase in education levels in risk areas significantly impacted the reduction and elimination of malaria infection in Hainan. We suggest that these findings could be applicable to malaria-endemic areas in Southeast Asia with similar natural and socioeconomic environments to Hainan and where malaria incidence has decreased to a low level.
Amantes de la Patria. La red socio-comercial Viniegra-Cambronero.
Authors: Salguero Hernández Leiby Susana 
Published: October 2023

Las «tertulias patrióticas» llevadas a cabo por personalidades del ámbito político, económico y sector ilustrado en Guatemala, lograron llevar a la práctica ideas de la Ilustración, gracias a la participación de individuos que, por una u otra razón, fueron entretejiendo una red socio-comercial, influenciada por lazos familiares, ideas políticas y relaciones de amistad .. Los socios Viniegra y Cambronero, formaron una estructura socio-comercial en el país gracias, en parte, a ser socios de la Sociedad Económica.
Pertanggungjawaban Pidana Terhadap Pelaku Eksibisionisme
Authors: Jaranmassa Delton Geisberth , Pasalbessy John Dirk , Latumaerissa Denny 
Published: October 2023

Introduction: In the development of modern times there are many changes that occur, both in technology, crime, even due to sexual deviation, in the Criminal Code in article 281 it reads that whoever intentionally and in front of other people who are there against his will violates decency. They are threatened with imprisonment for a maximum of two years and eight months, but in reality there are cases of crimes against decency, namely exhibitionism, which are not subject to punishment or acquittal.Purposes of the Research: The purpose of this research is to study and analyze exhibitionism acts that can be qualified as pornographic acts and to analyze the criminal liability of exhibitionism acts.Methods of the Research: The research method in this study is normative legal research, using a law approach, a case approach related to this research.Results of the Research: Based on research results. Exhibitionism can be qualified as action porn because the act of exhibitionism fulfills the elements of action porn where the act is carried out in a public place not through the media, so that exhibitionism acts are classified as a crime of decency but exhibitionism acts cannot be held criminally accountable, some can indeed be punished and there are also those who cannot be held criminally responsible because they fulfill the elements of article 44 of the Criminal Code, in which anyone who commits an act that cannot be held accountable to him because his soul is disabled in growth or disturbed by disease cannot be punished.
Keabsahan Proses Pembuktian Perkara Pidana Dalam Persidangan Yang Bersifat Online
Authors: Latupeirissa Tirza Gloria , Hehanussa Deassy Jacomina Anthoneta , Latupeirissa Julianus Edwin 
Published: October 2023

Introduction: Writing with the title: "The Validity of the Process of Proving Criminal Cases in Online Trials", has a problem formulation whether the process of proving criminal cases carried out online is accepted according to the Criminal Procedure Code and how to prove criminal cases ideally.Purposes of the Research: This writing is intended to analyze and explain the process of proving criminal cases in online courts and ideally proving criminal cases.Methods of the Research: This writing uses a normative juridical research method, the legal materials used are secondary legal materials obtained through library research on primary, secondary and tertiary legal materials. Legal materials are discussed with a statutory approach, a concept approach and a case approach.Results of the Research: That in principle the process of proving criminal cases conducted online can be accepted according to the Criminal Procedure Code as an effort to fill the legal vacuum in the case of "certain circumstances" which are determined as emergencies or other circumstances. Whereas a criminal case evidence is said to be ideal, both in direct/normal trial and electronic/online trial, if it has fulfilled the evidentiary parameters, namely: implementation of proof principles/theory; evidence; submission of evidence; burden of proof; power of proof; and minimal evidence.
Analysis of the Final Energy Use by Sectors in City of Vidin
Authors: Kostova-Ivanova Daniela 
Published: October 2023

According to the initiative "The Covenant of Mayors for Climate and Energy (CoM)" and within the framework of the EU-funded "Positive Energy Areas Project", the Municipality of Vidin should establish a "Sustainable Energy and Climate Action Plan". The city's sustainable energy development plans aim to reduce CO2 emissions by 40% up to 2030 and develop a comprehensive climate change adaptation strategy at the local level or integrate it into existing plans. The initiative envisages actions both for mitigating climate change and also for climate adaptation at the local level.
This paper presents the results of the first part of the process for establishing the "Sustainable Energy and Action Plan of the Municipality of Vidin", including the assessment and calculation of the final energy use in the city by the different sectors. The research aims to present the main data sources necessary for СО2 emissions inventory at the city level and to process, validate, and analyze used statistical data for defining the final energy use by different sectors in one Bulgarian municipality.
The purpose of this assessment is to determine final energy use by different sectors and by types of energy sources. The results from the analysis and evaluation of the final energy use in the sectors "Residential buildings", "Municipal buildings", "Industry", "Tertiary buildings", "Public lighting" and "Transport" will serve to conduct a baseline of CO2 emissions inventory, which is a part of the “Sustainable Energy and Climate Action Plan”. These results also could help the local authorities and key energy players to identify and implement the most suitable measures and actions for climate change adaptation and mitigation.
Managing Creative Skills to Increase the Economic Efficiency of Industrial Organizations
Authors: Jasim Haider Mohammed , Bisheen Ali Saud , Almrshed Sattar Kadim Hachim 
Published: October 2023

Economic variations have generated the need for the request of innovative management and management methods and approaches that would advance employees’ different thinking "problem solving ability" and mobilize their original potential. Creativity becomes one of the main managerial abilities. Therefore, the article deals with the concept of creative skills management systems of industrial enterprises. The main goal and tasks in the management of creative skills, and the ways of management decisions .also, the model of an industrial enterprise's creative skills management subsystem is presented. In order to evaluate the administrative system of creative skills in the Iraqi Cement state Company, management, Management Functional Assessment Model (MFAM) was used, and the sample was 173 employees. We also consider the main indicators for evaluating the effectiveness of the creative skills management system in order to ensure efficiency growth in the conditions of innovative economic development. After conducting the tests, it became clear the importance of creative skills management in order to increase the economic efficiency of companies and its role in developing the performance of employees. Also, companies gain a continuous and increasing competitive advantage by owning innovative employees. In addition, the study recommends paying attention to creative skills and developing them in order to increase the performance of employees and raise the economic efficiency of companies and possess a competitive advantage.
A Study on Convergent Action at the Grassroots during COVID-19 Pandemic
Authors: Guha Ushnish , Kumari Kiran 
Published: October 2023

The ongoing COVID-19 Pandemic brought certain circumstances which were never witnessed at such a scale. The response to this Pandemic was with strategically choreographed convergent action across different levels of both the government sector and non-government sector. This paper examines and documents the experiences of field functionaries like Anganwadi Workers, ASHA workers and Field Functionaries of State Rural Livelihood Mission during this Pandemic. This paper is based on Qualitative Research conducted with the tool of Narrative Analysis where the experiences of respondents from Fatehabad District, Birbhum, and Uttar Dinajpur Districts in West Bengal were documented. The sampling process done to select specific respondents was done purposively (purposive sampling). Anganwadi Workers and ASHA Workers under usual circumstances do practice convergent action among themselves but during the process of institutional quarantine in rural settings, the inter-departmental convergence was evident because field functionaries of various in-line departments have proven to be a significant success. Moreover, the service-delivery component under different schemes has been modified relatively. SHG Groups which has been primarily viewed concerning micro-finance or credit has played a role in multiple domains with service delivery, market production. Convergence has been a contemporary highlighted concern in social work and development practice.
Stroke Community Rehabilitation Centre (SCORE): A community transformation program
Authors: Beh Wen Fen , Abdul Latif Lydia 
Published: October 2023

Stroke is the second most prevalent disease in Malaysia, so promoting awareness of stroke is essential as it is preventable and treatable if action is prompt. Long-term rehabilitation at the community level is also crucial to reducing congestion in acute care hospitals. Hence, establishing an evidence-based community rehabilitation centre would help educate the community and support the welfare of stroke survivors.
This article discusses a community-engagement initiative launched by experts from University Malaya Rehabilitation Medicine in partnership with Pusat Pemulihan Kesihatan (PERKIM), a religious and social welfare organisation in Malaysia, to transform an existing non-functional community centre run by PERKIM into the Stroke Community Rehabilitation Centre (SCORE). This was achieved through the provision of expert input into how to improve service provision, knowledge transfer to the community, and implementation of more thematic and creative components to the model of care currently offered. Importantly, under this new model, stroke survivors and the wider community would be considered learners and active participants in their own care, not mere passive recipients of charity.
Since its inception in 2016, the number of patients has almost doubled, increasing to over 100. Thus, the Stroke Community Rehabilitation Centre benefits the stroke community by providing resources and education to facilitate recovery at a reduced cost to hospital-based care. With its adherence to the recommended features of the community-based rehabilitation model, as outlined by WHO, the success of SCORE is an exemplary model for future stroke community rehabilitation centres in Malaysia.
O LUGAR DA ESPIRITUALIDADE NO PROCESSO TERAPÊUTICO À LUZ DA GESTALT-TERAPIA
Authors: Silva Fabiana Barbosa da , Lemos Vanessa de Freitas da Costa , Vargas Thamyres Bandoli Tavares 
Published: October 2023

O presente trabalho possui caráter qualitativo, exploratório e propõe-se compreender como a Gestalt-terapia entende a dimensão espiritual na constituição do indivíduo, e como manejá-la dentro do processo terapêutico, para que as experiências de contato do indivíduo com essa dimensão possam resultar em awareness. Para tanto, se fez necessário observar a percepção da Gestalt-terapia sobre como o indivíduo se constitui, como ele se relaciona com a espiritualidade e como ele modifica e é modificado por esta relação. Para um maior entendimento do tema, diferencia-se religiosidade de espiritualidade, uma vez que, são termos diretamente associados, mas, que possuem conceitos e significados que diferem um do outro. Para isso, utilizou-se como método de pesquisa a revisão bibliográfica narrativa, cujos artigos foram selecionados pelo critério de relevância, nas bases de dados: Google Acadêmico, PePSIC e Scielo. Ao predispor-se sobre a escuta da espiritualidade e a regligiosidade que atravessa a existência do ser no mundo, o psicoterapeuta se abre para o acolhimento e zela pela confiança que o cliente deposita no processo terapêutico, desvelando suas demandas únicas e particulares.
FINTECH: APPROACHES TO DEFINITION
Authors: КАРТАШОВ А.В. 
Published: October 2023

Автор в представленной работе исследует российские и зарубежные подходы к определению финансовых технологий (Fintech). В работе обосновывается возможность использования категории Fintech для обозначения видов используемых участниками финансового рынка финансовых технологий, финансового по- средника, финансового актива, обращающегося на финансовом рынке, финансовой услуги, сферы финансо- вого рынка, вида финансовых активов.
The author in the presented work examines Russian and foreign approaches to the definition of financial technologies (Fintech). The paper substantiates the possibility of using the Fintech category to designate the types used by participants in the financial market of financial technologies, financial intermediary, financial asset circulating in the financial market, financial services, financial market sphere, type of financial assets.