bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efforts to Overcome Reading and Writing Difficulties in Providing Study Guidance for Class II Primary School Students
Authors: Umayah Urip 
Published: February 2024

The aim of this research is to determine the extent of teachers' efforts to overcome difficulties in learning to read and write in class II students at SDN Slarang 03. This research uses a qualitative descriptive writing approach. The data obtained in this research include: efforts made by class IV teachers to overcome difficulties in learning to read and write experienced by students and supporting factors and factors inhibiting teachers in overcoming difficulties in learning to read and write. Data was taken by observing the process of teaching and learning activities, interviews with class II teachers and documentation.
This research finds out that the efforts made by class II teachers to overcome the difficulties in learning to read and write experienced by students are by using varied learning methods, creating a conducive and creative learning atmosphere, and tutoring. Supporting factors for teachers in overcoming difficulties in learning to read are teachers' patience in teaching, the principal who always provides support for the efforts made by the teacher. Meanwhile, inhibiting factors are students' experiences at school, students' experiences at home, attention from parents and the influence of television and cell phones. With the efforts made by students who were unable to read and write when they first entered, they are now able to read and write by regularly providing study guidance.
Diseño de Modelo de Gestión Socio Ambiental de la Microcuenca de la Quebrada El Guadual de Rivera Huila, 2023 – 2024
Authors: Quimbaya Lina Maria 
Published: February 2024

La crisis ambiental global con sus manifestaciones de perturbaciones climáticas y el daño ecológico son motivo de trabajo para la educación ambiental y su propósito de transformaciones de conciencia y conductas en las generaciones jóvenes son la base para proponer: Objetivo: Diseñar de modelo de gestión socio ambiental para la microcuenca de la quebrada El Guadual de Rivera Huila, 2023 – 2024. Metodología: Mixta con diseño anidado concurrente, de alcance exploratorio, con una muestra intencional de 6 maestros y 98 estudiantes, para aplicar encuestas, grupo focal, observación participante, más la revisión documental y revisión bibliográfica. Los softwares de apoyo SPSS y Atlas-ti. Resultados esperados: Replantear los mecanismos de trabajo eco pedagógico a través de los Proyectos de Educación Ambiental vinculados al servicio social para dotarles de continuidad e indicadores de avance en su materialización, derivado de una labor que aúna los recursos teórico y empíricos con ajustes que corresponde a la atención de la realidad específica que tiene lugar en la Quebrada El Guadual en Rivera-Huila. Conclusiones: La conciencia ambiental obligatoriamente debe verse reflejada en el cambio de conductas del ser humano hacia un ser amigable con el ambiente, capaz de rehabilitar los daños ecológicos, pero, sobre todo proteger el equilibrio de la naturaleza, y preservar las fuentes de agua potable para el bienestar de todos los seres que constituyen la vida terrestre.
PEMBENTUKAN KARAKTER MAHASISWA MELALUI WIDE GAME DALAM KEGIATAN PRAMUKA DI BUKIT WOLOSASA
Authors: Fono Yasinta Maria , Malo Martha , Bhara Maria A. K. , Beru Valensia Ota , Dongi Maria Platonia , Dongi Maria Platonia 
Published: February 2024

Kegiatan pendampingan pramuka oleh dosen dan mahasiswa semester V di Bukit Wolosasa terdiri dari berbagai kegiatan yang merupakan implementasi langsung dari matakuliah Pramuka. Kegiatan pramuka yang dilakukan berupa penjelajahan di bukit Wolosasa. Kegiatan ini bertujuan untuk memperluas pengetahuan mahasiswa, melatih mahasiswa untuk menerapkan secara konkrit teori tentang wide game yang telah dipelajari mahasiswa di tengah masyarakat, menjadikan mahasiswa lebih bertanggung jawab, berani menanggung resiko serta belajar membangun kerja sama dalam tim yang solid. Salah satu kegiatan yang dilakukan adalah pendampingan mahasiswa dalam kegiatan wide game. Metode pelaksanaan melalui demonstrasi langsung di mana tim abdimas menunjukkan secara langsung cara bermain wide game yang telah disusun. Jumlah peserta yang mengikuti kegiatan wide game sebanyak 70 orang yang dibagi dalam 10 kelompok. Setiap kelompok terdiri dari 8, 9 hingga 10 peserta. Hasil kegiatan pengabdian ini adalah memberikan pengalaman dan menambah pengetahuan mahasiswa terkait dengan wide game
L’instauration d’une « technopolice » administrative en milieu urbain : cadre et enjeux juridiques
Authors: Medard Inghilterra Robin 
Published: February 2024

En septembre 2019, un conglomérat d’associations conduit par La Quadrature du Net lançait l’initiative « Technopolice » avec pour ambition d’alerter sur un phénomène : le développement d’une surveillance de l’espace urbain par des dispositifs numériques à des fins policières. La présente contribution prend au sérieux le concept employé et le décline dans le champ de la police administrative. Les rapports prospectifs ou évaluatifs des juridictions, Conseil d’État et Cour des comptes en tête, comme les sanctions et prises de position récurrentes de la CNIL, ainsi que les contentieux et les débats législatifs récents, attestent, en effet, que le phénomène va au-delà de la simple préoccupation associative. Il correspond à un objet juridique moderne. Le présent article envisage dès lors certaines conséquences normatives de l’équipement et de la mobilisation croissante de dispositifs technologiques, en particulier numériques, aux fins d’exercice des missions de police administrative.
Il <i>referral</i> del paziente internistico in cardiologia riabilitativa - Position paper FADOI, ITACARE-P
Authors: Dentali Francesco , Fattirolli Francesco , Gnerre Paola , Mastroianni Franco , Mureddu Gian Francesco , Ambrosetti Marco 
Published: February 2024

Introduzione
La medicina interna e la cardiologia riabilitativa
Il referral in cardiologia riabilitativa
Lo scenario attuale
Il paziente cardiovascolare in medicina interna
L’organizzazione della rete assistenziale dopo sindrome coronarica acuta
La moderna epidemiologia degli eventi cardiovascolari in Italia
Moderne prove di efficacia dell’intervento di cardiologia riabilitativa
Gruppi di accesso alla cardiologia riabilitativa nell’evoluzione delle raccomandazioni
Modificazioni della rete dei centri di cardiologia riabilitativa
Evoluzione della normativa nazionale
Raccomandazioni operative per il referral del paziente internistico in cardiologia riabilitativa
Conclusioni
Bibliografia
Infective Endocarditis Induced – Decompensation of Chronic Liver Disease Presenting as Hepatic Encephalopathy
Authors: Singh Amritpal , Raina Rohit , Kant Ravi 
Published: February 2024

Abstract
Infective endocarditis (IE) occurs in people of older age, with artificial or damaged heart valves, immunocompromised states, and intravenous (IV) drug abusers as major risk factors. This case report describes a rare presentation of IE in a patient with chronic liver disease (CLD). A 38-year-old female with a history of decompensated CLD due to hepatitis C, presented with high-grade fever with chills, abdominal pain, shortness of breath, melena, and altered mental status. On examination, she had signs of hepatic encephalopathy and a systolic murmur in the aortic area. Imaging studies revealed an aortic valve vegetation with moderate aortic regurgitation, and blood cultures were negative. Treatment with meropenem and teicoplanin was started which resulted in clinical improvement. This case highlights the importance of considering IE in patients with CLD presenting with decompensation and suggests that early diagnosis and treatment are crucial in improving outcomes.
Effect of Video-assisted Teaching on Knowledge and Practice of Preterm Care Bundle amongst Mothers of Preterm Babies
Authors: Joy K. Anju , Vincent Reena , Divakaran Dhanya 
Published: February 2024

Abstract

Background:
Preterm is defined as all births before the completion of 37 weeks of gestation. The complications of preterm birth are the largest direct cause of neonatal deaths, responsible for 35% of the world’s 3.1 million deaths per year.

Aims:
The aims of the study were to assess the effect of video-assisted teaching on knowledge and practice of preterm care bundle amongst mothers of preterm babies.

Methods:
Pre-experimental one-group pre-test–post-test design with purposive sampling was used to collect data from 30 samples admitted in level I neonatal intensive care unit of a tertiary care hospital in Kerala. The pre-test was done using a structured knowledge questionnaire and observational practice checklist, followed by video-assisted teaching on the preterm care bundle and reinforced with a demonstration of skills. Post-test was done on the 5th day.

Results:
In the pre-test, 21 (70%) of the samples had inadequate knowledge and 17 (56.67%) had inadequate practice, while in post-test, 29 (96.67%) had adequate knowledge and 30 (100%) had adequate practice on preterm care bundle. The calculated paired t-test value on pre- and post-test knowledge score was 29.24 and calculated paired t-test value on pre- and post-test practice score was 56.63, which was higher than the table value (t29 = 2.04, P < 0.05). There was a significant positive correlation (r = 0.771, P < 0.001) between knowledge and practice of preterm care bundle. There was a significant association (P < 0.05) between pre-test level of knowledge on preterm care bundle with selected socio-demographic and clinical data variables such as area of residence and a highly significant association (P < 0.001) between pre-test level of knowledge on preterm care bundle with parity. There was a significant association (P < 0.05) between pre-test level of practice on preterm care bundle with selected socio-demographic and clinical data variables such as education, area of residence and a highly significant association (P < 0.001) between pre-test level of practice on preterm care bundle with parity. During the study, an investigator found that video-assisted teaching was effective in improving knowledge and practice of preterm care bundle amongst mothers of preterm babies.

Conclusion:
Therefore, video-assisted teaching is an effective method for improving the knowledge and practice amongst mothers of preterm babies as a supportive measure in the NICUs.
A Study of the association of neurocognition with relapse and quality of life in patients of alcohol dependence
Authors: Rure Daisy , Shakya Makhan , Singhal Akanksha , Varma Akshat , Mishra Nimisha , Pathak Umesh 
Published: February 2024

Background:
Alcohol is a widely consumed substance associated with around 5.6% of all causes of death. Alcohol use disorder (AUD) is a chronic relapsing and remitting illness and has been known to be associated with impaired executive functions, processing speed, memory, attention, and fluency. It is also associated with impaired quality of life (QoL), which in turn can affect overall prognosis.

Aim:
To assess neurocognition in patients with alcohol dependence and correlate it with QoL and relapse.

Materials and Methods:
This study was a prospective, longitudinal study of sixty alcohol dependence patients from January 2020 to June 2021 after appropriate ethical approval. Participants were assessed for baseline alcohol dependence, neurocognition (focused, sustained and divided attention; processing speed; verbal and category fluency; working memory; response inhibition; verbal comprehension; verbal learning and memory; visuospatial construction; visual learning and memory) and QoL using Alcohol Use Disorders Identification Test (AUDIT), National Institute of Mental Health and Neurosciences (NIMHANS) battery for neurocognition and WHO-BREF (WHO-Quality of Life-short-form scale) World Health Organization-scale, respectively. A follow-up was conducted in three months to assess relapse in the patients. Statistical analysis was conducted by International Business Machines Statistical Package for the Social Sciences (IBM SPSS) v16.

Results:
Mean age of the study participants was 41.3 ± 5.03 years, mean age of onset of alcohol use was 20.88 ± 4.27 years, mean duration of alcohol use of 16.6 ± 7.92 years, and average 14.55 ± 4.86 drinks per day. The mean AUDIT score of the study population was 25.21 ± 7.18. There was significant positive correlation between duration of use and CTT-2; 37 out of 57 participants relapsed to alcohol (three participants had died in follow-up) with mean 37.48 ± 23.27 days of relapse, mean 3.32 ± 1.2 drinking days per week, and mean 6 ± 1.2 drinks per drinking day. There was negative and positive correlation between neurocognition and relapse and between neurocognition and QoL.

Conclusion:
Alcohol use also resulted in impaired cognitive function of the study participants. There was also significant difference in score for neurocognition test between relapse and abstinent group. The significant correlation between neurocognition and QoL as well as neurocognition and relapse proves the deleterious effect of alcohol in every aspect of life.
Super-resolution of Retinal Optical Coherence Tomography Images Using Statistical Modeling
Authors: Jorjandi Sahar , Amini Zahra , Rabbani Hossein 
Published: February 2024

Abstract

Background:
Optical coherence tomography (OCT) imaging has emerged as a promising diagnostic tool, especially in ophthalmology. However, speckle noise and downsampling significantly degrade the quality of OCT images and hinder the development of OCT-assisted diagnostics. In this article, we address the super-resolution (SR) problem of retinal OCT images using a statistical modeling point of view.

Methods:
In the first step, we utilized Weibull mixture model (WMM) as a comprehensive model to establish the specific features of the intensity distribution of retinal OCT data, such as asymmetry and heavy tailed. To fit the WMM to the low-resolution OCT images, expectation–maximization algorithm is used to estimate the parameters of the model. Then, to reduce the existing noise in the data, a combination of Gaussian transform and spatially constraint Gaussian mixture model is applied. Now, to super-resolve OCT images, the expected patch log-likelihood is used which is a patch-based algorithm with multivariate GMM prior assumption. It restores the high-resolution (HR) images with maximum a posteriori (MAP) estimator.

Results:
The proposed method is compared with some well-known super-resolution algorithms visually and numerically. In terms of the mean-to-standard deviation ratio (MSR) and the equivalent number of looks, our method makes a great superiority compared to the other competitors.

Conclusion:
The proposed method is simple and does not require any special preprocessing or measurements. The results illustrate that our method not only significantly suppresses the noise but also successfully reconstructs the image, leading to improved visual quality.
Clinical and laboratory profile of pediatric metachromatic leukodystrophies in a tertiary care center from Southern Part of India
Authors: Gowda Vykuntaraju Kammasandra , Suryanarayana Srividya G , Srinivasan Varunvenkat M , Shivappa Sanjay K , Benakappa Naveen , Bhat Maya , Muthane Yasha 
Published: February 2024

AbstractBackground:Metachromatic leukodystrophy (MLD) is an autosomal recessive lysosomal disorder due to the deficiency of arylsulfatase A enzyme.Materials and Methods:This is a retrospective analysis of all clinically suspected MLD cases and confirmed by genetics, enzyme assay, and/or nerve biopsy between June 2015 and May 2020 at a tertiary care center. The clinical profile, enzyme levels, nerve conduction studies, MRI of the brain, and variants ofARSAgene causing MLD were analyzed.Results:Out of the 19 cases of MLD, four were juvenile, and the rest were late infantile variants. Eleven were male. The mean age of presentation in the late infantile variant was 28.4 months, and that of the juvenile variant was 44.5 months. The clinical features of the late infantile variant were developmental delay (30.75%), neuroregression (100%), spasticity (66.6%), dystonia (66.6%), small head (60%), whereas the juvenile variant presented with gait difficulties and neuroregression in all (100%), and seizures in 3 (75%). MRI of the brain showed bilateral symmetrical confluent white matter T2 hyperintensities with sparing of subcortical-U-fibers in all cases. The tigroid pattern was seen in two cases. Normal enzyme level was seen in one, but this child had a pathogenic variant PSAP gene resulting in saposin B deficiency. The targeted next-generation sequencing was done in 11/19 cases and showedARSAgene variant in 10 andPSAPgene in one child. Nerve conduction studies were done in 12 children, and all showed features suggestive of demyelinating motor polyneuropathy. Nerve biopsy showed metachromatic granules in four children.Conclusion:MLD can present with a developmental delay with or without regression, with or without seizures, with normal or small head. MRI and nerve conduction studies are helpful in diagnosis. Normal enzymes do not rule out MLD. Nerve biopsy may be useful in non-affordable families.
Role of Diagnostic Laparoscopy in Non-specific Abdominal Pain
Authors: Balachandran M. Malavika , Pai B. Srinivas , Patil Sharanabasappa 
Published: February 2024

Introduction:
Non-specific abdominal pain is a prevalent and noteworthy health issue that results in healthcare utilisation and affects individuals’ quality of life. The primary focus of treatment approaches is to alleviate the symptoms and address any underlying factors if determined.

Aim of the Study:
This study aimed to assess the effectiveness of diagnostic laparoscopy in diagnosing individuals with non-specific abdominal pain and identifying the root cause of their discomfort.

Patients and Methods:
A retrospective selection was made of 60 patients presenting with non-specific abdominal pain. Clinical examinations, medical histories and details of the diagnostic workup were documented and analysed.

Results:
The age of the patients included in the study ranged from 18 to 65 years, with an equal representation of both males and females. A majority (43.3%) of the individuals experienced diffuse pain. Amongst the patients with normal ultrasound reports, a definitive diagnosis was established in 21 out of 23 cases. Diagnostic laparoscopy proved to be valuable in diagnosing 36 out of 37 patients with inconclusive ultrasound reports. Acute appendicitis was identified as the most frequent diagnosis. At the 1-month follow-up, pain subsided in 83% of the individuals.

Conclusion:
In the modern era, diagnostic laparoscopy offers a preferable alternative to exploratory laparotomy, as it enables us to provide a diagnosis with minimal invasiveness and improved quality of life for the patients.
Estimation of Salivary Bone Specific Alkaline Phosphatase as a Biomarker for Assessing Skeletal Maturity Indicator
Authors: Prakash N , Suma S , Devananda D , Raghunath N 
Published: February 2024

ABSTRACT

Background:
Evaluation of skeletal maturation plays a substantial role in selection of orthodontic treatment strategies. Recently, new noninvasive methods of assessing biological mediators have been introduced to assess skeletal maturity. There is a marked rise in the value of these mediators during pubertal growth spurts. When these mediators emerge as the assessment tool for skeletal maturity determination, it can reduce radiation exposure and beneficial to the patient. Hence, the goal of this study is to validate the calculation of salivary alkaline phosphatase (ALP) as a noninvasive skeletal maturity indicator by estimating the Bone Alkaline Phosphatase (B-ALP) level in whole unstimulated saliva at different stages of skeletal maturity and correlating B-ALP level with different stages of skeletal development using cervical vertebral maturation index (CVMI) and hand-wrist MP3 (third finger middle phalanx).

Materials and Methods:
The test group included 90 subjects aged between 8 and 18 years requiring orthodontic treatment. The salivary samples were collected and examined by ALP kit following the manufacturer’s instructions and assessed using photo-spectrometer at 405 nm. The skeletal age was assessed using handwrist radiographs; skeletal age was determined by modified MP3 staging. Lateral cephalograms of each individual were also collected and tracing done for assessing skeletal age with CVM staging. The collected data were analyzed statistically with analysis of variance for intergroup comparison of ALP levels and Kruskal–Wallis test for intergroup comparison of CVM and MP3 stages.

Results and Conclusion:
Salivary ALP activity during the peak pubertal period was markedly increased when compared to pre- and post-peak values. Salivary ALP activity was in correlation with the cervical vertebral maturation and MP3 stages showing peak values at the pubertal stages. Thus, salivary B-ALP can serve as a noninvasive method of skeletal maturity assessment as an adjunct to conventional skeletal maturity indicators.
A Study on the Evaluation of Serum Uric Acid in Patients with Essential Hypertension
Authors: Chandrika Tabitha R. J. , Dara Chennakeshavulu , Sandepogu Triveni Sagar , Darivemula Surendra Babu , Namrata Gogineni Sai , Vijayalakshmi N , Swetha Sivakumar 
Published: February 2024

ABSTRACT

Background:
Hyperuricemia can lead to nephrolithiasis and gout. It is an essential indicator of diseases like metabolic syndrome, cardiovascular disease, diabetes mellitus, and chronic renal disease. It indicates that hyperuricemia is associated with the risk of cardiorenal disease and new-onset hypertension. In older hypertensive patients, hyperuricemia is an essential indicator of cardiovascular risk for the development of hypertension.

Methodology:
A facility-based case-control study to identify the relationship between serum uric acid levels and hypertension, the relation between severity and duration of hypertension and the serum uric acid levels, and the relation between duration of hypertension and serum uric acid levels at tertiary care hospital. Sample size: 400; 200 cases and 200 controls. Adult male and female patients >18 years of age diagnosed as hypertensive according to JNC VII classification for hypertension were included. Patients with comorbidities are excluded. The method of uric acid estimation was done by the VITROS URIC Slide method.

Results:
The mean total cholesterol of cases was 159.18 ± 20.16, and controls were 125.21 ± 21.12. The mean high density lipoproteins (HDL) among cases was 36.33 ± 5.08, and controls were 45.64 ± 5.90. The mean low density lipoproteins (LDL) among cases was 124.99 ± 20.03, and controls were 104.48 ± 12.48. The mean triglycerides among cases was 172.58 ± 31.40, and controls were 131.21 ± 21.50. The mean serum uric acid level among males in the cases group was 6.1 ± 1.79, and among males in the control group, it was 5.2 ± 1.3. The mean serum uric acid level among females in the case group was 6.2 ± 1.92, and among the control group, it was 5.3 ± 1.1. The unpaired t-test was used and was statistically significant with a P value < 0.0001 among the above parameters.

Conclusion:
The study had a direct relationship between hyperuricemia and hypertension. Also, there is a positive correlation between the severity of hypertension and serum uric acid levels and higher hypertension of longer duration when compared to lesser duration.