bluuebunny/crossref_metadata_2025 huggingface dataset:
SERUM PROSTATE SPECIFIC ANTIGEN LEVEL IN FEMALES WITH UNEXPLAINED INFERTILITY
Authors: Sam Simi , Kumar Ajay , A Geetha , Benny Cukku Sara
Published: February 2024

Introduction Prostate-specic antigen (PSA) is a serine protease produced primarily by the prostate gland and its assay is widely accepted for
prostate diseases. But the PSA has been detected in some female tissues (periurethral gland, breast, ovarian, and endometrial tissues) and body
1
uids (amniotic uid, milk, and breast cyst uid). With the advent of highly sensitive methods for measuring trace amounts of PSA in serum, it
2
proves that it indeed represents PSA and not immunoassay noise. Detectable levels of PSA is considered to be the effect of hyperandrogenism in
3
females. In this study we would like to estimate the serum levels of PSA in a group of females with fertility issues. Materials and MethodsIn this
cross sectional study, we have included 57 females who attended the fertility clinic in a tertiary care hospital for fertility problems. Following the
clinical diagnosis of infertility, the serum PSA level was estimated in all the participants using fully automated immunoassay analyser. Results
Among 57 females included in this study, 26 females were having detectable levels of serum PSA (46%) and the mean PSA value was found to be
4
0.011 ng/ml which is signicant when compared to the normal value of serum PSA in females (less than 0.004ng/ml). And another important
5
observation is that out of the 26 females detected to have serum PSA levels, 6 were clinically diagnosed as unexplained infertility and others with
various diagnosed causes of infertility. Since the detectable levels of se Conclusion rum PSA is considered to be the effect of hyperandrogenism in
females, it may be benecial to consider this serine protease as an indicator for androgen excess, especially in females diagnosed with unexplained
infertility.
COMPARISON OF ULTRASOUND GUIDED MARKING FOR PARAMEDIAN APPROACH VERSUS MIDLINE APPROACH AT L5-S1 ON THE SUCCESS OF SUBARACHNOID BLOCK
Authors: Vemulapalli Sridivya , Patel Rajendra , Borse Saheel
Published: February 2024

Background and Aims: Introduction of ultrasound for central neuraxial blockade has been revolutionary in the eld of regional anaesthesia. It not
only helps in identifying the specic level easily but also avoids unanticipated difculties and improves patient's comfort. We hypothesised that the
routine use of pre-procedure ultrasound-guided marking may reduce the number of passes and attempts. Eighty consenting Material & Methods:
patients scheduled for elective general surgeries were randomised into two groups by seal envelope method, and pre-procedure ultrasound-guided
marking was used for paramedian approach in Group P, and midline approach was used in Group M at L5-S1 interspace. We found that the Results:
rst pass success rate (primary outcome) was signicantly greater in the midline approach group (Group M) (29, 72.5 %) than in paramedian
approach (group P) (19, 47.5%; p <0.05). We also found in the group with midline approach total 38 (95%) participants had successful procedure
and in group with paramedian approach only 24 (60%) participants had successful procedure in the rst attempt, this difference was statistically
signicant. In view of pre-procedure ultrasound marking guided number of passes, attempts a Conclusion: nd complications at L5-S1, the midline
group is found to be better than the paramedian group.
SEE THE UNSEEN : BRONCHOGENIC CYST
Authors: Singh Prerna , Gupta Vijay , Jain Ankit , Gupta Rohan , Swarnkar Mayank
Published: February 2024

Bronchogenic cyst is foregut derived malformation mostly detected incidentally. Also can be seen in adults until the pressure symptoms occur. As
in our case, patient reported in 5th decade of life which was causing him respiratory distress. Patient was managed by surgical excision of cyst and
was discharged in a stable condition.
A COMPARATIVE STUDY OF GLOTTIC VISUALIZATION AND EASE OF INTUBATION WITH DIFFERENT HEIGHTS OF OPERATING TABLES
Authors: Satish Borse Saheel , Nadkarni Manali , Vemulapalli Sridivya
Published: February 2024

Background and Aim: Management of airway is one of the most important responsibilities of an anaesthesiologist as it has to be secured,
preserved and protected during induction, maintenance and recovery from anaesthesia. Studies have shown that the workload of the
anaesthesiologist is maximum at the time of intubation . Ergonomics play an important role in making things easy during intubation as it is
associated with complications ranging from milder ones like post operative sore throat, damage to lips, teeth to severe life-threatening
complications like failure to ventilate and intubate. Newly promoted trainee anaesthesiologists and tend to look closely into the mouth while
intubating and in an attempt to do so end up stooping. Constant following of such practices results in back problems in the future as the back
undergoes a lot of strain. The purpose of this study was to analyze the effect of table height on direct laryngoscopic view and subsequently ease of
intubation. Methodology:After obtaining Institutional Review Board approval, a total of 100 patients were divided randomly into 2 groups of 50
each, and patients were intubated with the operating table height set at the umbilicus of the anaesthesiologist in one group and the operating table set
at the level of 4th intercostal space of the anaesthesiologist. Visualization of the laryngeal inlet (CL grading), ease of intubation and need for
external laryngeal manipulation were the parameters observed. Results: Demographic data showed that all patients posted in the study were
comparable at baseline. CL grade scores were better with the higher table height (p = 0.028) and need for External Laryngeal Manipulation was
reduced at a higher table height (p = 0.014). Ease of intubation was not affected by the table height (p = 0.766). Conclusion: From this study it is
evident that there was an improvement in the CLgrading when the table height is set at the 4th intercostal space and the need for External Laryngeal
Manipulation is reduced.
A RARE CASE OF AN ADULT ONSET PARAPHARYNGEAL BRANCHIAL CLEFT CYST
Authors: H Shaikh Aftab , Jagdale Saurabh , Tandur Amarjeet , Jadhav Ratnaprabha , C G Abhinav
Published: February 2024

Branchial cleft cyst is a rare congenital anomaly which presents usually within the rst 20 years of life. The presentation is normally in the form of a
discharging sinus, stula or a mass. Sinus, stula present faster due to the associated discharge and recurrent infections which ensues. Cysts have an
epithelial lining without external openings, and as such, may be asymptomatic and only noticed incidentally. Branchial cleft stulae are true
communications connecting the pharynx or larynx with the external skin. A mass on the other hand, even if present since birth, presents only when it
has grown to considerably larger dimensions. In the case report, we study the case of an adult onset branchial cleft cyst, with xanthogranulomatous
changes which presented as a mass in the left carotid triangle of the neck.
A COMPARATIVE ANALYSIS OF FRACTIONAL CO LASER PLUS PLATELET RICH 2 PLASMA VERSUS FRACTIONAL CO LASER ALONE FOR SKIN REJUVENATION
Authors: Gupta Nidhi , Kothiwala Rajkumar , Gupta Ajay , Kumar Bansal Sachin
Published: February 2024

Introduction: This study was conducted to compare the efcacy of two new therapies i.e fractional CO laser + platelet rich plasma (PRP) and 2
fractional CO laser alone in treatment of skin rejuvenation and investigate whether the combination of PRP and fractional CO2 laser had a 2
synergistic effect for facial rejuvenation and reduced occurrence of adverse reactions. Methodology: This hospital based observational study was
conducted for a period of 14 months at a tertiary care facility, Ajmer, Rajasthan. Total 60 patients of 18 years and above age, diagnosed with skin
aging receiving both treatment regimen was selected by simple random method and enrolled into study groups. In group A patients who were
receiving Fractional CO laser alone and in group B, patients were treated with both Fractional CO laser and intradermal injections of platelet rich 2 2
plasma were included. The effectiveness of treatment was assessed at regular intervals of 1 month, 2 months and 3 months. Results: Improvement
in wrinkles, texture, and elasticity in CO laser + PRP group is signicantly higher than CO laser group (p value<0.05). Similarly, improvement in 2 2
terms of improved glow, more even complexion and improved facial contour was proportionately more in CO laser + PRP group than CO laser. 2 2
Although this improvement was statistically insignicant (p value>0.05). Conclusion: PRP and fractional CO laser had a synergistic effect on the 2
therapy for facial rejuvenation and provides better overall clinical improvement so PRP should be considered as an adjuvant therapeutic option for
skin rejuvenation along with fractional CO2 laser.
ACUTE VIRAL HEPATITIS FOLLOWED BY PROLONGED CHOLESTASIS
Authors: Rana Krunal , Sharma Shashi , Agarwal Ankit , Gulati Jyoti , Balhara Kirtika
Published: February 2024

This article discusses a rare case of Hepatitis A progressing to prolonged cholestasis in a 14-year-old. Despite conventional treatment, persistent
symptoms led to the introduction of oral prednisolone, resulting in a rapid reduction of bilirubin levels and relief from pruritus. The patient
completed an eight-week steroid course, leading to the normalization of bilirubin within seven weeks post-discharge. This case underscores the
infrequent complication of prolonged cholestasis in Hepatitis A and suggests oral corticosteroids as a potential effective intervention, offering
insights into the management of resistant case
Comunicação, informação e conselhos de saúde: um estudo em dois municípios de Minas Gerais
Authors: Diniz Berenice de Freitas
Published: February 2024

Esse trabalho propõe analisar a comunicação e informação para o controle social no Sistema Único de Saúde. Os objetos empíricos desse estudo são dois conselhos de saúde. Objetivou-se analisar até que ponto há um uso efetivo da comunicação e informação para o controle social. Utilizou-se a pesquisa qualitativa com o método de análise documental, desse modo, foram analisados relatórios de conferências de saúde, atas e pautas das reuniões dos conselhos de saúde. Os resultados nos mostram que há poucos debates sobre o tema no interior dos conselhos e que as decisões das conferências de saúde são pouco pautadas para a atuação do órgão.
Apoio a Repositórios de Dados em Infraestruturas de Pesquisa para Ciência Aberta
Authors: Rocha Rafael Port da , Gularte Amanda de Abreu
Published: February 2024

Os repositórios abertos de dados de pesquisa desempenham um papel fundamental no compartilhamento de dados na Ciência Aberta. Este artigo tem como objetivo investigar o suporte a repositórios de dados de pesquisa na perspectiva de que estes fazem parte de infraestruturas de pesquisa em Ciência Aberta. Analisa o apoio da União Europeia a uma infraestrutura de pesquisa que tem repositórios de dados como membros. Conclui que a União Europeia estabelece estratégias e ações eficazes para apoiar estas infraestruturas de pesquisa. Traz recomendações que apoiam o desenvolvimento das mesmas. O apoio a estas infraestruturas de pesquisa deve fazer parte de programas estratégicos; num espaço integrado de investigação; e ser conduzido por fóruns e programas de incubação específicos. Para operar em projetos estruturantes e ambientes de nuvem de Ciência Aberta, essas infraestruturas devem ter natureza e missão claras, constituição legal, sustentabilidade financeira, governança e prestação responsável de serviços. Recomenda-se o desenvolvimento de programas ou roteiros de incubação específicos para estas infraestruturas.
الزخارف الهندسية في فخار العصر البابلي القديم- تل أبو عنتيك أنموذجاً
Authors: جابر علي
Published: February 2024

أوضحت الدراسات الاثارية الحديثة الخاصة بالفخار بلاد الرافدين بان الزخرفة الهندسية المنفذة على فخار العصر البابلي هي امتداد المرحل السابقة التي عبر فيها عن مضامين فكرية و فنية متوارثة التي استخدمها للتعبير عما يدور في ذهن الفنان بزخارف هندسية مختلفة منها المثلثات والمربعات والمعينات فضلاً عن الخطوط المنكسرة، وان هذه الاشكال نفذت بالألوان المستخرجة من المصادر الطبيعية والكيميائية منها الاسود والاحمر والبني المخضر، وقد ابدع الفنان في اختيار المادة الاساسية المتمثلة بالطينة وما تضاف اليها من مواد لغرض التقوية جعلها مادة أكثر متماسكه وقابلة لا ظهار الجمالية الفنية والمطاوعة في مرحلة صناعتها على دولاب سريع الدوران وطريقة التشكيل والتلوين و دقة الزخرفة المنفذة على اسطح الانية الفخارية، وان هذه الزخارف كانت تتناسب مع شكل وحجم الانية واستخداماتها والمرحلة التاريخية التي ترجع اليها .
المحاسن للباحث في الرسائل أو الأطاريح العراقية من عام 2000 – 2020م- عرض وتقويم
Authors: العبودي عبد الحسن , محمد حسين
Published: February 2024

اشتمل البحث على ثلاث رسائل جامعية قد صدرت من الجامعات العراقية وهي كالآتي:

(علل التعبير القرآني عند الإمام سعيد النورسي (ت1379هـ /1960 م) عام 2002

(علل التعبير القرآني في آيات الظلم دراسة في ضوء علم لغة النص) 1438 - 2017

(علل التعبير القرآني في كتاب فتح الرحمن بكشف ما يلتبس في القـرآن لزكريا الانصاري (ت 926 هـ)) 1439 - 2017

وكان ترتيبها بحسب التسلسل الزمني حيث ذكر البحث محاسن هذه الرسائل وإبداع الباحث في ذكر المواضيع النحوية والبلاغية والدلالية والصرفية مع ذكر الأمثلة من القرآن الكريم واستخراج العلة للألفاظ من خلال وردها في مكان معين دون ألفاظ أخرى تؤدي إلى نفس المعنى, وأيضاً أبداع الباحث في ذكر الآراء للعلماء القدامى أو استعمال التفاسير المتنوع
جهد العلامة الطباطبائي في مبحث إعجاز القرآن الكريم في تفسيره (البيان في الموافقة بين الحديث والقرآن)
Authors: أسد حسن , زغير هشام
Published: February 2024

يعد الإعجاز من البحوث الوثيقة الصَّلة بوحيانية القرآن الكريم، ودليلاً قاطعاً على صدق مدَّعي المناصب الإلهية، ولهذا أكدت الآيات القرآنية حقيقة مجيء المعجزات على أيدي الأنبياء (ع) في العديد من القصص القرآني؛ لتكون شاهداً لا يقدر عليه إلا من كان متصلاً بالسماء الدَّال على أحقيتهم في الدعوة إلى الله ، وقد ختمت معجزات الرسل والأنبياء (ع) بالمعجزة التي جاء بها النبي محمد (ص) لتبقى حية خالدة إلى يوم القيامة، وقد تعرض لبحث مطالبه المتنوعة جملة من علماء المسلمين، منهم العلامة محمد حسين الطباطبائي (ت1402ه)، إذ أشار إلى المهمات من مسائله المستفاد فهمها من القرآن الكريم؛ وذلك في كتابه التفسيري الأول (البيان في الموافقة بين الحديث والقرآن).
التداعيات السياسية والأمنية للتواجد الأجنبي في العراق والمنطقة الإقليمية
Authors: الموسوي اسحاق , عباس فاطمة
Published: February 2024

مع انتهاء الحرب الباردة عام 1991، وتحول العلاقات الدولية الى القطب المهيمن الوحيد، شنت الولايات المتحدة حربا على العراق لأسباب واهداف معلنة، ولأخرى غير معلنة، اتضحت مع بدء الألفية الثانية بإعلان الولايات المتحدة حربها الأخرى على العراق واحتلاله وفق سياستها الهادفة الى تكريس تواجدها العسكري، في المنطقة الاقليمية والعراق خصوصا. واذ كانت لهاذين الحربين نتائج وتداعيات خطيرة، لم يقتصر تأثيرها على العراق فحسب، وانما شمل كل المنطقة العربية ودول الجوار الاقليمي. اضافة الى ان تلك التداعيات تنوعت وتعددت مستوياتها فمنها ما كان سياسيا، بحيث طال بنية الانظمة السياسية بالتغيير، او ما كان يمثل تهديدات لشعوب المنطقة وأمنها.
واقع النقل الحضري في مدينة الكوت
Authors: عنوز احمد , عبيد ماهر
Published: February 2024

ان تسيير حركة النقل الحضري في مدينة الكوت تسييرا عقلانيا يتطلب التحكم في عدة عناصر أهمها اختيار المسارات بدقــة وبالتوافق مع مخطط التعمير للمدينة، وكذا الاختيار الأمثل لكل من أماكن التوقف والمحطات تفاديا للاختناق المروري والنقاط الساخنة المفضية إلى الحوادث. والتحكم في هذا العامل، يتطلب تسخير أداة قانونية وتقنية هي مخطط الحركة والتنقل المدروس بعناية فائقة ولتحقيق ذلك ينبغي الاعتماد على النماذج الرياضية المعروفة للتحكم في سيولة الحركة وانتظامهــــا، والاقتصاد في الجهد والوقت والتكلفة، مع ضمان الحد الأدنى من الراحة للمستعملين وفي نموذج الدراسة نقترح الاعتماد على طريقة التنبؤ السكاني التي تقوم على اعتبار السكان أهم عنصـــر والأكثر ديناميكية في تحليل المؤثرات على الرحلات المتولدة في المدينة. وتقوم الطريقة على حساب التوقع السكاني في منظور ما لتقدير حاجاتهم للرحلات اليومية مستقبلا باستخدام قيم معينة من معدلات الانحدار الخطي لبيانات سنة الأساس.
Optimizing Basil (Ocimum basilicum L.) Planting Densities and Row Arrangements in Tomato-Basil Intercropping System
Authors: Chala Midekesa , Nebiyu Amsalu , Lulie Belistie
Published: February 2024

A field experiment was conducted at Wondo Genet Agricultural Research Center under irrigated conditions during 2018, to evaluate the performance of tomato yield and yield components under an intercropping system with different basil planting densities and row arrangements. it was arranged in a 2 × 4 factorial arrangement in randomized complete block design with three replications each consisting of ten treatments: two basil row arrangements (one tomato row alternating with one basil row (1T:1B) or with two basil rows (1T:2B)) and four basil population densities (66666, 50000, 33333 and 16666 plants ha -1). Results of the study indicated that intercropping system significantly (p<0.05) affected the yield and yield components of tomato. Inter-cropped tomato with basil had the highest yield (36657.8 kg ha-1) as compared to sole cropped tomato (31004.3kg ha-1) and inter-cropping with basil increased its yield by 15.42%. Therefore, basil with a density of 33,333 plants ha-1and intercropped with tomato with 1T:1B row arrangement could be recommended for the wondo genet and similar agroecology area. However, the effect of tomato-basil intercropping on the incidence and severity of major tomato insects and diseases needs further study.
The Structures of Finite Clauses in English for Students at the University of Transport and Communications Campus in Ho Chi Minh City
Authors: Loan Trần Thị Thanh
Published: February 2024

In terms of syntactic and functional analysis on Finite clauses, English language acquisition has been a long and hard road. During their learning a foreign language, students are often influenced by their native language, even its grammatical and functional rules in organizing and expressing their ideas in a foreign language. This paper employs the advantageous perspectives of corpus analysis (discourse discussion) to categorize clauses clearly and theoretically so that students can enhance and understand all the theoretically and practically functional and syntactic valuation of features and use these structures correctly and effectively.
Impact of Sudden Sit-Stand Postural Switch on Electroencephalogram
Authors: Adeniyi Mayowa Jeremiah , Ayoola Awosika , Idaguko Anna Chika
Published: February 2024

Postural changes are inevitable motor behavior and physiological phenomenon. The study recorded electroencephalographic findings characterizing sudden switch from sitting to standing posture. 15 young adult males who satisfied inclusion criteria were recruited for the study. Baseline electroencephalographic tracings were obtained using Powerlab 26T at sitting position using scalp electrodes and during sudden switch from sitting to standing. The results of the study revealed sudden switch from sitting had no significant effect on alpha wave amplitude, beta wave amplitude and beta wave frequency. However, both alpha wave frequency and alpha/beta ratio decreased with sudden switch from sitting to standing position. The findings of the study indicated that sudden sitting to standing posture caused reductions in alpha wave and alpha/beta ratio.
Fetal Death in Utero Associated with a Double Circular Umbilical Cord Tight on Full-Term Pregnancy about a Case at the Lac Tele De Bamako Clinic
Authors: Seydou Fane , Nouhoum Simpara , Mahamadou Sissoko , Amadou Bocoum , Cheickna Sylla , M Sima , Siaka Sanogo Amara , Youssouf Traore , Ibrahima Teguete , Hamadoun Cisse Garba
Published: February 2024

Introduction: The circular umbilical cord corresponds to a winding of it in one or more turns of the whorl around the fetal neck. Case observation: She is a 25-year-old primigeste, married, a nurse by profession with no known medical-surgical history, who consulted for painful uterine contractions on pregnancy of 38 weeks of amenorrhea (AS). This is a pregnancy well followed by a gynecological-obstetrician with 06 quality antenatal consultations. The clinical and biological monitoring parameters were well documented in the antenatal diary and show no abnormalities. Conclusion: Fetal death in utero is a common pathology but association with umbilical cord circulars is rare. When the umbilical cord circular is double and tightened around the neck like a knot of the cord. It could be the cause of unexplained fetal death. It is always a tragedy for the parents and a failure for the obstetrician. It is necessary to reassure the woman and her family about the prognosis of subsequent pregnancies.
PENETAPAN KADAR FLAVONOID EKSTRAK KULIT BUAH NYIRIH (Xylocarpus granatum) BERDASARKAN VARIASI PELARUT DENGAN METODE SPEKTROFOTOMETRI UV-VIS
Authors:   Program Studi Farmasi, Sekolah Tinggi Ilmu Kesehatan Samarinda, Hidayah Elgi Nurul , Ansyori Achmad Kadri , Nurhasnawati Henny
Published: February 2024

The plant Nyirih (Xylocarpus granatum) has medicinal benefits. The selection of solvents should consider the characteristics of the secondary metabolites to be extracted. The objective of this study is to determine the flavonoid content in Nyirih fruit extract using 70% methanol and 70% ethanol solvents using UV-Vis spectrophotometry. The results of the moisture content test showed 24% for methanol extract and 28.5% for 70% ethanol extract. Phytochemical screening of Nyirih fruit extract in methanol and 70% ethanol solvents tested positive for flavonoid content. Thin layer chromatography (TLC) results showed an rf value of 0.88 for both solvents, while the reference compound, quercetin, had an rf value of 0.90. The highest flavonoid content was found in the 70% ethanol extract at 1.4345 Â± 0.2182% and in the methanol extract at 1.3530 Â± 0.2280%. The t-test results indicated a significant difference in the flavonoid content value.
PERBEDAAN AKTIVITAS ANTIOKSIDAN PADA KOLANG KALING SEGAR DAN KOLANG KALING SERBUK
Authors:   Prodi D3 Anafarma, Sekolah Tinggi Ilmu Farmasi Yayasan Pharmasi Semarang, Hanhadyanaputri Eka Susanti , Wulan Ariani Hesti , Sulistyarin Indah , Cahyani Intan Martha
Published: February 2024

Kolang kaling (Arenga pinnata) is one of the results of the palm tree. The process of processing palm fruit into and fro can affect the quality of the fruit and fro produced.Â The purpose of this study was to determine the physico-chemical characteristic, IC 50 value of fresh fruit and fro, the powder was dried in the microwave at low temperature (40oC) for 5 days, medium (53oC) for 4 hours and high (78oC) for 2 hours, and to find out whether there are effect of difference in fresh fruit and fro treatment on antioxidant activity. Â Fresh fruit and fro were tested for phytochemical screening and FTIR, physicochemical characteristics and antioxidant, Antioxidant testing used the DPPH (1,1-diphenyl-2-picrylhidrazyl) method. The results of phytochemical screening and FTIR showed the presence of galactomanan compounds. Â The antioxidant test results obtained the IC50 value of fresh fruit and fro, the powder was dried in the microwave at low temperature, medium and high respectively 104.8488; 25.2963; 90.0155 and163.4381 ppm. The statistical test results showed a value of 0.000<0.05,Â there is a difference IC50 between groups
Efektivitas latihan range of motion (ROM) terhadap gangguan otot pada pasien stroke di lingkungan desa Kotasan Galang
Authors: Butar-butar Maria Haryanti , Saputra Heri , Bangun Herianto , Zebua Arianus , Maryanti Endang
Published: February 2024

Latar Belakang: Penderita stroke mengalami gangguan otot yang tidak dapat digerakkan yang merupakan dampak dari perdarahan otak. kontraksi otot yang diperlukan untuk menjalankan aktivitas sehari-hari dan adanya penurunan suplai darah ke otak akibat stroke. Tujuan: fungsi system musculoscletal dengan efektivitas latihan range of motion (rom) terhadap gangguan otot pada pasien stroke di lingkungan Desa Kotasan Galang. Metode: Jenis penelitian yang dilakukan adalah quasi - eksperiment, dengan melakukan pendekatan one group pretes and posttest design. Intervensi penelitian yang dilakukan adalah dengan melakukan latihan ROM (Range of motion). Populasi pasien stroke yang mengalami gangguan otot pasien dengan menggunakan uji Wilcoxon sebanyak 22 pasien. Hasil: Gangguan otot sebelum dan sesudah melakukan Tindakan ROM didapatkan nilai minimal gangguan otot yaitu pada skala 2 dan nilai maximal gangguan otot pada skala 4 dengan nilai rata rata 3.20. sedangkan gangguan otot sesudah dilakukan latihan ROM didapatkan nilai minimal gangguan otot yaitu pada skala 2 dan nilai maksimal gangguan otot pada skala 5 dengan nilai rata rata 3.80. Kesimpulan: ada efektivitas latihan range of motion (ROM) terhadap gangguan otot pada pasien stroke di lingkungan Desa Kotasan Galang.
A IMPORTÂNCIA DA REANIMAÇÃO CARDIOPULMONAR NO ATENDIMENTO PRÉ-HOSPITALAR
Authors: Varão Fillype da Silva , Ribeiro Ana Clara Mazzini , Sampaio Lucas Pitol , Júnior Severino Paulino de Lyra Vieira , Pinotti Maria Laura Alves , Morais Ana Vitória Nunes , Costa Lucas Soares , Borba Wharlley , Soares Gustavo Parente da Silva , Figueredo Bruno Abrantes Santana , Sanches Ian Moura de Oliveira , Morais Isadora Camilo , Cardoso Carlos Daniel Lima , Silva Leticia Morais
Published: February 2024

Este artigo tem por objetivo frisar a importância da reanimação cardiopulmonar no atendimento pré-hospitalar, visando à melhora do prognóstico do paciente vítima de para cardiorrespiratória, caracterizando o primeiro atendimento como essencial para minimização das sequelas ao paciente. Foram utilizados como motores de busca os indexadores Google Acadêmico, Scielo, Emergência da Sociedade Brasileira de Cardiologia e Arquivos Brasileiros de Cardiologia para seleção dos artigos, através dos descritores “Parada Cardíaca; Reanimação Cardiopulmonar; Cardioversão; Taxa de Sobrevida”. Conclui-se que a sobrevivência até a admissão hospitalar é um resultado inicial da ressuscitação cardiopulmonar no primeiro atendimento.
MINI COURSE IOT-MQTT DAN DEMO APLIKASI URSMARTECOSYSTEM (USE) DI UNIVERSITAS LOGISTIK DAN BISNIS INTERNASIONAL
Authors: Fauzan Mohamad Nurkamal , Adam Erdito Nausha , Ridwan Auliana Fahrian Bani
Published: February 2024

Pengabdian masyarakat ini bertujuan untuk memperkenalkan konsep Internet of Things (IoT) dan protokol Message Queuing Telemetry Transport (MQTT) melalui penyelenggaraan Mini Course dengan judul "Pengenalan IoT-MQTT dan Demo Aplikasi URSmartEcosystem (USE)". Kegiatan ini bertujuan untuk meningkatkan pemahaman masyarakat terhadap teknologi IoT dan penerapannya dalam kehidupan sehari-hari. Metode pelaksanaan melibatkan penyelenggaraan Penyampaian materi singkat, praktik langsung menggunakan simulator IoT dan demonstrasi aplikasi URSmartEcosystem sebagai implementasi nyata konsep tersebut. Hasil kegiatan mencakup peningkatan pengetahuan peserta mengenai konsep IoT-MQTT, serta kemampuan mereka dalam merancang dan mengimplementasikan solusi berbasis IoT. Diharapkan bahwa Mini Course ini dapat memberikan kontribusi positif terhadap pemberdayaan masyarakat dalam menghadapi perkembangan teknologi di era digital.
Pensamiento de diseño centrado en la persona: Una opción estratégica para atender la diabetes mellitus
Authors: Mora Romo José Fernando , Montero-López Lena María
Published: February 2024

La diabetes mellitus tipo 2 (DMT2) es un conjunto de desórdenes metabólicos que aumenta el riesgo de afecciones multisistémicas. En México se han propuesto Guías de Práctica Clínica (GPC) para la atención de la salud en personas con DMT2, que van desde la prevención hasta la rehabilitación. Sin embargo, a pesar de enfatizar la participación activa de los pacientes en sus tratamientos para mejorar la adherencia al tratamiento, no cuenta con procedimientos claros. Por ello, el objetivo de este trabajo es proponer el pensamiento de diseño centrado en la persona (PDCP) como una estrategia para esta meta. Se describen los pasos que integran esta metodología, así como los resultados observados en la literatura internacional. Se discute la coherencia del PDCP con las recomendaciones de las GPC mexicanas, y la importancia de la claridad metodológica que brinda este modelo para mejorar la adherencia al tratamiento en personas con DMT2.
Conflict of interests in high-tech investment advisory
Authors: Favoretto Daniel
Published: February 2024

What are the potential sources of conflict of interests in investment advisory services and how should the law design legal tools of retail investor protection? These are the questions addressed by this book, which explores the new legal challenges of investor protection in the context of digital investment platforms and genAI advisors. The author analyses the investor protection tools provided by competition law, regulatory and private law frameworks, taking Brazil as case study, where investment advisory experienced a unique market change and a major regulatory reform. This book addresses a worldwide audience and concludes with a set of policy recommendations.
Management of stage III non-small-cell lung cancer: rays of hope
Authors: Kim Floryane , Borgeaud Maxime , Addeo Alfredo , Friedlaender Alex
Published: February 2024

Lung cancer remains the most common cause of cancer death across the world. Non-small-cell lung cancer (NSCLC) represents the most frequent type of lung cancer and is frequently diagnosed at an advanced stage. Stage III NSCLC, which encompasses 30% of cases, refers to a state between localized and metastatic disease, and is associated with poor prognosis. As highlighted in this review, stage III represents a heterogenous group, whose complex management includes multimodal treatment, discussed below, and requires discussion in multidisciplinary teams. The goal of this approach is a maximalist attitude in these patients with locally advanced and non-metastatic disease. However, many issues remain under debate including the optimal sequences of treatment between different treatment modalities, patient selection particularly for surgery, the duration of perioperative treatments and the identification of biomarkers to determine which patients might benefit of specific treatment like immunotherapy and targeted therapies. This review describes the current landscape of management of stage III NSCLC, discussing the critical issue of resectability, and highlighting the recent advancements in the field, particularly the incorporation of immune-checkpoint inhibitors (ICIs) and targeted therapies in this setting.
Exploring the function of myeloid cells in promoting metastasis in head and neck cancer
Authors: Okwuone Dakota Dike Dimegwu , Morgan Deri , Gan Gregory N.
Published: February 2024

Head and neck cancer (HNC) is a challenging disease that lacks effective treatment, particularly in the cases that spread locoregionally and metastasize distantly, dramatically reducing patient survival rates. Expanding the understanding of the mechanisms of the metastatic cascade is critical for creating more effective therapeutics that improve outcomes for HNC patients. A true grasp of cancer metastasis requires the consideration of all cell types that contribute to the inflammatory HNC microenvironment as drivers of this process. More emphasis now is being placed on exploring the roles of the different immune cells in cancer control, tumorigenesis and metastasis. Myeloid cells are the most numerous immune cell types in the body, and they are actively recruited and reprogrammed by tumor cells to behave in a variety of ways. These cells are remarkably diverse in phenotype and function, and the part they play in tumor spread greatly differs based on the cell type. This review will focus on summarizing the roles of macrophages, neutrophils, myeloid derived suppressor cells (MDSCs), and dendritic cells (DCs) in driving HNC metastasis by examining the current knowledge base and offering potential new routes through which to target and treat this deadly process.
Intra-abdominal esophageal duplication cyst. An infrequent entity.
Authors: Ruiz Pardo J , Sánchez Fuentes PA , Vidaña Márquez E , Teruel Lillo I , Reina Duarte Á
Published: February 2024

Los quistes de duplicación esofágica suponen el 0,5-2,5% de las tumoraciones esofágicas y hasta el 20% de todos los quistes de duplicación.

A su vez, los quistes de duplicación esofágica pueden localizarse a nivel cervical, torácico, toracoabdominal e intraabdominal, siendo las localizaciones más frecuentes la torácica y la toracoabdominal. Sin embargo, la localización de los quistes de duplicación esofágica a nivel intraabdominal exclusivamente es extremadamente rara.

Debido a su infrecuencia, se presenta el caso de un paciente con un quiste de duplicación esofágica exclusivamente intraabdominal.
The Role of Digital Technologies in Increasing the Students’ Involvement in the Educational Process
Authors: Karabin Oksana , Bielova Viktoriia , Hladun Tetiana , Makarenko Lesia , Bozhkov Andrii
Published: February 2024

The level of students’ professional education can be increased through motivation. This study aims to determine the role of digital technologies in increasing students’ involvement in the educational process. The aim of the work was achieved by conducting a pedagogical experiment before and after training, a general theoretical method of observation, and a sociological survey. The efficiency ratio, the comparison coefficient, and the standard deviation coefficient were also calculated. The results showed that the highest level of motivation was achieved due to the perception of the general learning process (29%), and the development of creative skills (25%). It was established that digital technologies had a greater influence on knowledge of laws and methods of practical application of theoretical information (0.96). High results are associated with a variety of interactive technologies that were used during training. It was found that motivation in training influenced the in-depth study of the topic (1.6), and the search for new digital technologies for training (1.2). The use of non-standard approaches in education (1.5), structuring of material when doing homework (1.1), and participation in university knowledge contests (1.8) also had an impact. The academic novelty of the work consists in increasing the interest of future teachers in the educational process due to the combination of various digital technologies, which are aimed at the development of theoretical and practical skills, as well as creative thinking. The practical significance is the creation of new learning mechanisms (development of creative thinking using Emaze, and Storyjumper applications) for the development of student motivation using digital technologies. The prospects for further research may be related to the comparison of the achieved level of motivation among students and schoolchildren because of using the developed approaches to learning.
Untersuchung des Faserfreisetzungspotenzials von asbesthaltigen bauchemischen Produkten/Examination of the fibre release potential of asbestos containing construction chemicals
Authors: Petrausch Jan , Hönig Martin , Jüstel Thomas
Published: February 2024

Die Einteilung nach der Rohdichte für asbesthaltige Produkte in „schwachgebunden“ und „festgebunden“ gibt keine eindeutigen Gefährdungshinweise beim Umgang mit diesen Produkten. Eine Alternative bildet die Bewertung für einzelne asbesthaltige Materialien nach dem Faserfreisetzungspotenzial. Dazu wurde in dieser Studie mithilfe einer Staubungsapparatur das Faserfreisetzungspotenzial von asbesthaltigen bauchemischen Produkten mit bekannten Asbestmassegehalten zwischen 0,01 und 1 % untersucht. Das zerkleinerte Material wurde durch ein Fallrohr gegeben und der entstandene Staub über Filter gesammelt. Nach einer Präparation wurden diese Filter mittels Rasterelektronenmikroskop auf Asbestfasern untersucht. Die Ergebnisse zeigen ein Faserfreisetzungspotenzial von ca. 10 000 bis > 1 000 000 Fasern/m³ in den angefertigten bauchemischen Produkten. Perspektivisch lassen sich mit weiterführenden Versuchen und Methodenoptimierung Ergebnisse erzielen, mit denen man im Zuge der Gefährdungsbeurteilung asbesthaltige Produkte gezielter einstufen kann.
Entwicklung und Demonstration geeigneter Maßnahmen zur Emissionsminderung von Anlagen zur Silikonverarbeitung mit besonderem Fokus auf PCB/Teil 2: Einsatz von Kälte- bzw. Kondensationsstufen sowie technischer Sorbentien zur PCB-Emissionsminderung, Ableitung von HandlungsempfehlungenDevelopment and demonstration of suitable measures for emission reduction of silicone processing plants with special focus on PCBsPart 2: Use of cooling and condensation stages and technical sorbents to reduce PCB emissions, deduction of recommendations for action
Authors: Bittig Margo , Hugo Achim , Kube Christine , Haep Stefan , Wittwer Matthias
Published: February 2024

Der Beitrag befasst sich mit der Minderung von polychlorierten Biphenylen (PCB) aus industriellen Abgasen. Bei Verwendung von chlorhaltigen, peroxidischen Vernetzungsmitteln entsteht diese Schadstoffgruppe bei der Vulkanisation von Silikonkautschuk und der anschließenden Temperung der silikonhaltigen Produkte und wird mit dem Abgas in die Umwelt freigesetzt. In dem ersten Teil dieser zweiteiligen Veröffentlichung wurde über die Ergebnisse berichtet, die durch Einsatz von Wäschersystemen sowie von Filtrations- und Elektrofiltrationsverfahren erzielt werden konnten. Mit dem vorliegenden zweiten Teil werden die Ergebnisse zur Minderung der PCB unter Einsatz von Kälte- bzw. Kondensationsstufen sowie von Aktivkohle vorgestellt. Auf Basis der Ergebnisse konnten Handlungsempfehlungen abgeleitet und weiterer Forschungsbedarf identifiziert werden. Die Aktivitäten waren Bestandteil des Forschungsvorhabens PCBMinTech.
Corporate Governance Practices and Performance of Deposit Money Banks in Nigeria
Authors: Eze-Anya Richard Eze , Okwo Ifeoma Mary , Inyiama Oliver Ike
Published: February 2024

Performance of deposit money banks in Nigeria. The specific objective of the study was to critically appraise the relationship between size of board of directors, composition of board members, frequency of board meetings and return on assets of deposit money banks in Nigeria. The data were sourced through secondary sources from annual reports and accounts of sampled deposit money banks in Nigeria. The stated Null Hypotheses were tested through data analysis by using the correlation analysis as analytical tool. The research findings reveal that board size has a positive and strong relationship with return on assets while board composition has a positive but moderately strong association with return on assets. Furthermore, frequency of board meetings has a negative and very weak relationship with return on assets of deposit money banks in Nigeria. The implication of the findings is that increased board size could result in the improvement of financial performance of deposit money banks. The research found that such increase in number of members of the board will generate the desired outcome if it centers on independent nonexecutive directors with wealth of corporate governance experience, sound and profitable contacts, good and relevant education. The negative relationship with frequency of board meetings implies that banks should begin to trim down on number of board meetings as research has found that frequent meetings signal a crisis or distress situation with perceptions of going concern issues and bank failure. The study recommends that new independent non-executive professionals with critical governance and management attributes could be introduced into the board to improve the quality of decisions, earnings and general performance. Frequency of Board Meetings should be reduced to save cost and time while virtual meetings should be called more often than physical meetings as distance is no longer a barrier.
Inclusión de Estudiantes con Discapacidad Auditiva: PIAR en San Juan del Cesar, La Guajira
Authors: Cuello Díaz Samuel Oseas
Published: February 2024

Este artículo examina la implementación del Plan Individual de Ajustes Razonables (PIAR) como una estrategia clave para la inclusión de estudiantes con discapacidad auditiva en la Institución Educativa Normal Superior de San Juan del Cesar, La Guajira. El objetivo Analizar los aportes de la implementación del plan individual de ajustes razonables (PIAR) como estrategia de inclusión en estudiantes del décimo grado con discapacidad auditiva en la Institución; se aplica una metodología de investigación cualitativa de tipo documental; se evalúa su efectividad en términos de rendimiento académico, participación social y bienestar emocional de los estudiantes. El estudio destaca las prácticas exitosas y los desafíos enfrentados durante la implementación, ofreciendo aportes valiosos para mejorar la inclusión educativa en contextos similares. Este análisis contribuye al cuerpo de conocimientos sobre la inclusión de personas con discapacidad auditiva y proporciona orientación práctica para entornos educativos afines, dando importancia de enfoques inclusivos y adaptativos en la educación y proporcionan perspectivas meritorias para informar futuras investigaciones y prácticas inclusivas.
Spatial and Temporal Water Pattern Change Detection through the Normalized Difference Water Index (NDWI) for Initial Flood Assessment: A Case Study of Kuala Lumpur 1990 and 2021
Authors: Kamran Jafarpour Ghalehteimouri  , Faizah Che Ros  , Shuib Rambat  , Tahereh Nasr
Published: February 2024

Surface water pattern changes in terms of quantity and directions is caused by many hydrological hazards such as flooding. Rapid urbanization in Kuala Lumpur has destroyed urban forest trees as the most valuable urban green infrastructure (UGI). Then surface, vegetation changes and land transformation, concrete roads, covered roofs, and climate changes impacts changed the water pattern and hydrological system in Kuala Lumpur. Satellite data used to collect data from 1990 and 2021 to show how significant has been these changes. To demonstrate the spatial and temporal changes of hydrological changes in Kuala Lumpur The Normalized Difference Water Index (NDWI) applied for a 30 years assessment. Remote sensing (RS) and Geographical Information Systems (GIS) have helped us detect dynamic changes on the Earth's surface. The mean NDWI of one year was calculated in this study using Kuala Lumpur NDWI from 1990/01/01 to 1990/12/30. The extracted image is larger than the study area and extends beyond Kuala Lumpur's city limits. This image only detected water bodies on the surface of Kuala Lumpur, which is represented in grey or white, such as lakes, rivers, ponds, or any degree of wetness. Because urban forest covered more than 15% of Kuala Lumpur in 1990, surface water was naturally controlled and saved by forest tree and forest soil. Image data for 2021 was taken from Landsat 8, which uses different bands and the same algorithm to visualize NDWI based on the availability of satellite data. The data was averaged over a one-year period between 2021/01/01 to 2021/12/30; as a result, the NDWI in Kuala Lumpur was depicted using the same algorithm from Landsat 8 with different bands. The researchers discovered that urban surface water bodies have increased over the last 30 years, rising from 0.383635 and -.0593184 in 1990 to 0.593288 and -0.44379 in 2021. This indicates that the NDWI index has increased the most in Kuala Lumpur. As previously stated, rapid changes in land use and land cover in the last 30 years have had a negative impact on Kuala Lumpur's NDWI.
Unsteady Free Convection Dusty MHD Flow with Dissipation Effect Over Non-Isothermal Vertical Cone
Authors: Hajar Hanafi  , Hanifa Hanif  , Sharidan Shafie  , Fazillah Bosli  , Mohd Rijal Ilias
Published: February 2024

The implications of suspended particles on MHD flow in a viscous fluid over a non-isothermal vertical cone with dissipation effect was investigated in this recent research. To maximise process efficiency and avoid equipment failure, it is important to thoroughly investigate the complex and dynamic behaviours that might result from the interaction between the fluid and the dust particles inside the cone. The Crank-Nicolson method will be used in the study to analyse the mathematical model quantitatively. MATLAB software was used to compute the discretization equations and depict the numerical outcomes. The velocity distribution, temperature distribution, skin friction and Nusselt number affected by Prandtl number, magnetic, mass concentration of particle phase, viscous dissipation and fluid-particle interaction for particle and fluid phases are presented graphically as well as in a table and are thoroughly analysed. The outcome indicated that the fluid and dust phase velocity decreases when magnetic, mass concentration of particle phase and fluid-particle interaction parameters are escalated while viscous dissipation parameter shows an opposite behaviour. Moreover, the temperature and velocity profiles for the fluid phase are consistently greater than those for the dust phase in every result that was examined.
Restoration the kinematics of mandibular movements by the method of hardware mechanotherapy in the protocol of functional rehabilitation for patients with TMJ’s diseases and myofascial pain syndrome
Authors: Шипика Д.В. , Баговиев А.Д. , Попова К.А. , Дарханова А.Е. , Дробышев А.Ю.
Published: February 2024

Цели — разработка алгоритма восстановления кинематики движений нижней челюсти методом аппаратной механотерапии, оценка эффективности его применения у пациентов с заболеваниями височно-нижнечелюстного сустава (ВНЧС) и миофасциальным болевым синдромом. Методом аппаратной механотерапии проведено лечение 34 пациентов с болью в области ВНЧС, с ограничением открывания рта до 39 мм при физиологической норме 40—45 мм и внутренними нарушениями ВНЧС по данным МРТ. До лечения и на 7-е, 14-е и 21-е сутки измеряли выраженность болевого синдрома, величину открывания рта, по данным электромиографии вычисляли индекс IMPACT (гипертонус жевательной мускулатуры). На 21-е сутки открывание рта увеличилось на 12,2±2,3 мм (38,75%) от исходных значений, индекс IMPACT снизился на 502±292 мкВ (11,2%) мкВ, выраженность болевого синдрома по ВАШ уменьшилась на 5,0±0,5 балла (99%). Аппаратная механотерапия способствует скорейшему восстановлению физиологической кинематики движений нижней челюсти, купированию болевого синдрома и нормализации биоэлектрической активности жевательной мускулатуры. Предложенный метод можно рекомендовать к применению при лечении пациентов с ограничением открывания рта, миофасциальным болевым синдромом, заболеваниями ВНЧС.

Objectives — design an algorithm for restoring the kinematics of lower jaw movements by the method of hardware mechanotherapy, to evaluate the effectiveness of its use in patients with TMJ diseases and myofascial pain syndrome. . Thirty-four patients diagnosed with TMJ pain, limited mouth opening of up to 39 mm (the physiological norm is 40—45 mm), and internal TMJ disorders based on MRI data were treated with apparatus mechanotherapy. Pain syndrome severity, mouth opening value, and the IMPACT index (masticatory muscle hypertonicity) were measured before treatment and on the 7th, 14th, and 21st days using EMG data. . On the twenty-first day, there was a 38.7% increase of 12.2±2.3mm in mouth opening when compared to initial values. Additionally, there was an IMPACT index reduction of 502±292 μV (11.2% reduction) and a decrease of 5.0±0.5 points (99% decrease) in the severity of pain syndrome according to VAS. . Based on the research’s results we can recommend the method of hardware mechanotherapy to using in the protocol of treatment of patients with reduced mouth opening, myofascial pain syndrome, TMJ diseases. Hardware mechanotherapy promotes to the speedy restoration of the physiological kinematics of the movements of the lower jaw, relief of pain syndrome and normalization of the bioelectric activity of the chewing muscles.