bluuebunny/crossref_metadata_2025 huggingface dataset:
Maiden Experience in Processing, Preservation and Banking of Aortic Homograft from Human Cadaver in Bangladesh
Authors: Rahman CM Mosabber , Hoque Rezwanul , Adhikary Asit Baran , Shanta Tania Nusrat
Published: December 2024

Background: In Bangladesh, the prospect of using homograft is immense. However, homograft banking is not available in this country until now. The aim of this study was to evaluate the processing, preservation and banking of aortic homograft from human cadaver in Bangladesh. Material & Methods: This observational study was conducted in Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh from July 2016 to June 2018. The study included 30 procured hearts from adult unclaimed deceased individuals, who underwent autopsy within 24 hours of death at the Department of Forensic Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh, were categorized into two groups: group-A: 15 homograft valves prepared as Aortic Sleeve (AS), and group-B: 15 homograft valves prepared as Aortic Conduit (AC). Results: The Mean ± SD age in Group-A and Group-B was 34.27 ± 8.16 years and 34.20 ± 8.22 years, respectively. Gender distribution in Group-A included 11 (73.33%) males and 4 (26.67%) females, while Group-B had 12 (80%) males and 3 (20%) females. Morphological abnormalities were minimal, with 1 (6.67%) valve in Group-A and 2 (13.33%) in Group-B showing leaflet incompetency. Microbiological analysis revealed statistically significant differences in contamination rates before antibiotic treatment (p<0.05), while after antibiotic treatment, both groups demonstrated effective decontamination. Cryopreservation exhibited a 100% success rate in maintaining sterility, with no instances of contamination in both groups (p>0.05). Conclusions: The current study concludes that it is possible and effective to procure aortic homograft from human cadaver for aortic replacement surgery.
Study of Clinical Profile of Patients with Surgical Site Infections in Operated Cases of Perforation Peritonitis
Authors: Rampal Kapil , Sandhu Parampreet Singh , Mal Garima , Singh Pargat , Sharma Meghna , Khichy Sudhir
Published: December 2024

Background: Surgical site infections (SSIs) are defined as infections occurring till 30 days after surgery (till one year after surgery in patients having implants) and involving the incision or deep tissue at the surgical site. SSIs are an important clinical issue and contribute to both post operative mortality and morbidity. The incidence of SSIs has been reported to be high as 20%. Material & Methods: It is a retrospective observational study conducted in our surgical unit of a tertiary care centre. A total of 520 patient records were analyzed. Out of these 98 patients were found to have SSI and were included in the study. Results: SSI patients presented with various clinical attributes. Discharge from the wound was present in 100% patients out of which 51% patients had discharge from infra umbilical area and 36.7% had discharge from only supra umbilical area. Fever was present in 28.6% of patients and pain was present in 33.7% patients 30% patients had history of alcohol intake and 22.4% had history of intravenous drug abuse. 46.9% patients of SSI had small intestine as the site of perforation and 40.9% had stomach and duodenum as the site of perforation.67.3% patients had BMI above 30kg/m2. 75.5% patients were from lower socioeconomic status(as per modified Kuppuswamy scale 2021). 56% patients were female and 44% were male. 55% patients were from urban areas whereas 45% were from rural background 28.6% patients were less than 30years of age and 22.4% were above 60 years of age. Conclusions: Many of the risk factors for SSI are modifiable and a concerted effort by the patient and physician surgeon can improve outcomes.
Assessment of IL-6, Serum Ferritin Levels and their Co-relation with Severity of Carcinoma Breast
Authors: Rampal Kapil , Singla Heena , Sandhu Parampreet Singh , Kumar Manish , Mal Garima , Singla Akshit , Sharma Meghna , Khichy Sudhir
Published: December 2024

Background: Carcinoma Breast is the second most common carcinoma in females. The incidence of carcinoma breast is 19-34%. There are various inflammatory markers which have shown prognostic value in cancers. Interleukin-6 is a pro-inflammatory cytokine that plays role in tumour progression by promoting tumour cell growth via up-regulating anti-apoptotic and angiogenic proteins. Ferritin is a positive acute phase reactant which is synthesised in liver. Higher serum ferritin levels in carcinoma breast are associated with poor outcome. Material & Methods: The present study was conducted in the department of General Surgery, GGS Medical College and Hospital, Faridkot for a period of 18 months on 60 female patients diagnosed with carcinoma breast. Results: In our study maximum patient i.e 14 (23%) belonged to stage IV of carcinoma breast. Raised serum IL-6 was associated significantly with metastasis. It was observed that the levels of IL-6 progressive increased in each stage of carcinoma breast. It was observed that there was significant rise in serum ferritin with metastasis, however, serum ferritin did not follow any specific trend from stage to stage. Conclusions: Serum IL-6 levels provides a simple, convenient objective test that can be used to determine the extent of carcinoma disease and thus may be used as a prognostic indicator in patients of carcinoma breast. Serum ferritin levels can be used as a marker to determine advanced metastatic carcinoma breast.
Laparoscopic Appendicectomy the Gold Standard; Study of 200 Cases of both Open and Laparoscopic Appendicectomy at TMMCH
Authors: Mollah Abu Sayed , Sayem Md. Abu , Begum Makshoda
Published: December 2024

Background: Laparoscopic appendectomy (LA) is widely performed in many countries around the world. It is popular for mainly the complicated appendicitis, which includes perforated or gangrenous appendicitis with or without localized or disseminated peritonitis. Another option, Open appendectomy has been the treatment of choice for more than a century since its introduction by McBurney in 1894, and the procedure is standardized among surgeons. The purpose of this study is to evaluate LA compared with open appendectomy (OA) for complicated appendicitis. Material & Methods: This study has retrospectively analyzed the clinical records of 245 patients who had undergone appendectomy for complicated appendicitis within the time period of June 2021 to June2023. Among the 200 patients, 111 had undergone LA, 84 had conventional open appendectomy (OA), and 5 patients had conversion to the open procedure after laparoscopy. The total LA group was subdivided into ‘‘early experience group consisting cases 1 to 200’’ and ‘‘late experience consisting LA: case 201 to 245.’’ We defined the early LA group as the comparison group to minimize selection bias. Results: Patient demographics were found similar between the early LA and OA groups (P<0.05). Wound infection was significantly more frequent in the OA group (P< 0.05) than LA. Intra-abdominal infection was equally common in the two groups. The overall rate of postoperative complications was significantly higher in the OA group (32.1%) in comparision with the early LA group (18%; P< 0.05). This incidence was 12.8% in the total LA group. In terms of hospital stay, the early LA group (10.6 ± 3.9 days; P< 0.05) had significantly shorter stay than 8.9 ± 3.7 days in the total LA group. Conclusions: This study found that, LA is comparatively safe and successful even for the treatment of complicated appendicitis than OA if performed by an experienced surgeon.
Endoscopic Management of Foreign Bodies in the Upper Gastrointestinal Tract: Experience from District Level Hospital of Bangladesh
Authors: Islam Md. Ariful , Maniruzzaman Md. , Jalal Khondokar Muhammad Abu , Hasan Md. Tariq , Ali Mohammod
Published: December 2024

Background: Ingestion of Foreign body and impaction of food bolus are common emergency scenario. This scenario often needs endoscopic support or removal. Majority of foreign bodies can pass spontaneously, few of them like 10-15% may require endoscopic intervention. In this type of problem most widely recommended therapeutic measure is flexible endoscopy because it has minimal complications. The aim of this study is to report our clinical experiences in the endoscopic management of foreign bodies in the upper gastrointestinal tract in both children and adults. Material & Methods: We have reviewed cases of foreign body ingestion admitted in emergency of Kushtia Medical College hospital from October 2020 to October 2022. Apart from demographic data like age, sex data like type of FB, its location in gastrointestinal tract, treatment and outcome were also evaluated. Results: The study included a total of 56 participants. The majority of the participants (48.2%) were children within the age group of 0-16 years. Only a small proportion (8.9%) belonged to the age group of 17-40 years. The most common foreign body ingested is food particles, with a frequency of 26 (46.4%) of all cases. There were 40 (71.4%) cases where the foreign body was lodged in the esophagus. In 24 cases (42.9%), the foreign body was lodged in the upper part of the body. Conclusions: Considering the excellent treatment outcome, flexible endoscopy can be used as definitive treatment option for FB removal in district level hospital because it has excellent safety profile.
Seropositivity, Sociodemographic Status and Risk Factors of HBV& HCV among Rohingya-Forcibly Displaced Myanmar Nationals and Their Accompanying Relatives
Authors: Mazid A H M Tharakul , Chy M A Hassan , Mazid A.H.M. Thafikul , Hoque Minhazul , Faruq Md , Paul Nirnoy , Biswas Parijat , Sabrin Rubaiat , Akter Afsana
Published: December 2024

Background: Forcibly displaced Myanmar nationals (FDMN) migrated popularly known as Rohingya migrated to Bangladesh which has become an overburden for an already overpopulated country like Bangladesh. On the other hand, Hepatitis B, Hepatitis C infections are major health problems globally. Every year many new infections are being reported worldwide. This study aimed to assess the seropositivity, sociodemographic status, and risk factors of HBV& HCV among Rohingya-forcibly displaced Myanmar nationals and their accompanying relatives. Material & Methods: This cross-sectional observational study was conducted in the Department of Medicine, Surgery and Gynecology, Chittagong Medical College Hospital, Chattogram, Bangladesh, from May 2017 to January 2018. A total of 200 patients were selected as study subjects by purposive nonprobability sampling method. Data were collected in a preformed questionnaire. A descriptive analysis was done in this study. Data was analyzed using SPSS –IBM version 20. Results: A majority of the patients (111, 55.5%) were in the 25-50 years of age group. The median age of the study subjects was 29.50 years (range 8-80 years) (Mean 33.1±14.83 years), with a male-to-female ratio of 4.26:1. Regarding the presence of risk factors for getting HBV, HCV infections, the most prevalent factors were H/O circumcision (81%) and ear pricking (11.5%). Only 1.5% and 1% of patients had a history of unsafe sexual exposure and blood transfusion respectively. All of the 200 subjects were tested for HBV and HCV. Results showed that 13 patients (6.5%) and 15 patients (7.5%) were seropositive for HBV and HCV, respectively. Conclusions: This study concludes that forcibly displaced Myanmar nationals have a high frequency of seropositivity for Hepatitis B and Hepatitis C. Among them Hepatitis B virus is the most prevalent infection. This study also indicates that a history of unsafe sexual exposure and a history of unhygienic blood transfusion possess statistically significant associations with HBV and HCV seropositivity respectively.
Outcome of Surgical Treatment of Subtrochanteric Femoral Fracture with Proximal Femoral Nailing in a Tertiary Hospital in Bangladesh
Authors: Hussain Muhammad Raquib , Alam Md. Jahangir , Sarker Manash Chandra , Huq Md. Sanaul , Hasan Mohammad Zahid , Ahmed Ashiq , Hasan Neyamul , Rahman Sajeeb Imtiazur
Published: December 2024

Background: Subtrochanteric fractures of the femur remain one of the most challenging fractures confronting orthopaedic surgeons. Bearing all the advantages of PFN, the present study was carried out to observe its efficacy on subtrochanteric fracture management in a tertiary level hospital like NITOR. The aim of this study was to evaluate the outcome of surgical treatment using proximal femoral nailing for subtrochanteric femoral fractures in patients treated at a tertiary hospital in Bangladesh. Material & Methods: This prospective observational study was conducted at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) in Dhaka, Bangladesh, from January 2019 to December 2020. Employing purposive sampling, 31 cases were selected due to availability constraints. Data were collected using a structured questionnaire covering history, clinical examination, laboratory investigations, and follow-up findings. Inclusion criteria comprised individuals above 18 years with closed subtrochanteric fractures. Statistical analysis was performed using SPSS 23.0. Results: In our study of 31 subtrochanteric femoral fracture cases, 38.7% of patients were aged 60 to 79 years. According to Seinsheimer classification, 22.6% of fractures were type IIA. Among the cases, 48% were reduced by closed method, while 52% required open reduction. No complication occurred in 26 (83.9%) cases. 18 (58%) cases had no pain at last follow up. Out of 31 cases, 21 (67.7%) were excellent at the final outcome. Conclusions: Treatment of subtrochanteric fracture by proximal femoral nailing is an effective and safe method without any significant complication.
Evaluation of Non-traumatic Recurrent Chronic Headache among adult Patients Using Computed Tomography
Authors: Kolade-Yunusa Hadijat Oluseyi , Moddibo Raji Muhammed
Published: December 2024

Background: Headache is a common symptom encountered in clinical practice and may be a manifestation of an underlying neurological diseases. Although many headaches may be benign, however a large number of patients presenting with recurrent chronic headache may require radiological investigations to rule out underlining brain pathology. Neuroimaging with skull x-ray, CT and MRI are common imaging modalities to investigate patients with recurrent headache. However, should all patients with recurrent chronic headache be referred for brain CT and MRI? The objective is therefore, the aim of our study is to document the pattern of Computed tomographic findings among adult patients who presented with non-traumatic recurrent chronic headache with neurological features and compare with patients without neurological features. Material & Methods: This descriptive cross-sectional study comprises of 89 adult patients who presented with history of non-traumatic recurrent chronic headache and referred for brain CT at the Radiology department of University of Abuja Teaching Hospital, Gwagwalada from January 2017 to June 2018. Results: Majority of the patients with chronic headache with neurological features had more abnormal findings representing 35(76.1%) with cerebral atrophy being the commonest. Normal head CT was the commonest finding among patients without neurological features accounting for 25(58.1%) with sinusitis the commonest abnormal CT finding. The difference in the spectrum of CT findings among patients with chronic headache with and without neurological features was statiscally significant with p=0.004. Conclusions: Evaluation of patients who present with headache using neuroimaging should be with caution especially for patients who do not have any neurological symptom.
Demographic and Environmental Factors Associated with Skin Disorders
Authors: Haque Md. Ashraful , Uddin Md Nazim , Sarwar Sadia , Miah Sazib
Published: December 2024

Background: Skin disorders are prevalent worldwide, influenced by a myriad of demographic and environmental factors. Understanding these associations is crucial for effective prevention and management. This study explores the complex interplay between demographics, environmental exposures, and skin disorders to inform targeted interventions and public health strategies. Material & Methods: This observational study employed a cross-sectional design to capture data from a diverse population at Central Medical College & Hospital, Cumilla, Bangladesh, spanning from January 2023 to January 2024, with a total of 109 participants. The primary variables include the type and incidence of skin disorders, demographic information (age, gender, ethnicity), environmental factors (exposure to allergens, pollutants, sunlight), lifestyle factors (diet, hygiene practices), and family history of skin disorders. Data is collected using standardized data collection forms and instruments to ensure consistency and comparability across participants. Data were analyzed by SPSS version 20.0. Descriptive statistics were used in this study. Results: The study revealed varying prevalence rates of skin disorders across demographics and environmental factors. Acne vulgaris was more prevalent among females and urban residents, while eczema was notably higher among manual laborers. Psoriasis exhibited significant associations with ethnicity. These findings underscore the complex interplay between demographic factors and environmental influences on skin health. Conclusions: The comprehensive analysis of demographic and environmental factors in this study sheds light on the complex dynamics underlying skin disorders. By elucidating these associations, our findings underscore the pivotal role of demographics and environmental influences in shaping the prevalence of skin disorders. This understanding is paramount for crafting tailored interventions and public health strategies aimed at mitigating the burden of these conditions.
Case Report of Intraoperative Anaphylactic Shock and Post Operative Methemoglobinemia –Cetrimide Induced During Hepatic Hydatid Cyst Surgery
Authors: Nehme Patricia , Choueifaty Nouhad , Bitar Jad el , Nader Perla
Published: December 2024

Hydatid cyst is a parasitic infection most commonly localized in the liver. They may not be diagnosed early because they remain asymptomatic at small sizes and may reach large sizes at the time of diagnosis. In this situation, compression symptoms may occur and they may present with serious complications such as rupture and anaphylactic shock, which are rare. Treatment methods are determined by classification according to the imaging techniques used in the diagnosis.
Management of Temporomandibular Joint Dysfunction Syndrome by Occlusal Splint Therapy and Facial Muscles Exercise-A Comparative Study
Authors: Islam Md Jakirul , Mridha Md Khairul Islam , Rahman Mohammad Lanzur , Hosen Md Ikbal
Published: December 2024

Background: Temporomandibular joint (TMJ) dysfunction syndrome is a type of degenerative musculoskeletal conditions associated with morphologic and functional deformities. It includes abnormalities of the intra-articular discal position and/or structure as well as dysfunction of the associated musculature. This study aimed to compare the role of night guard as a simple soft occlusal splint therapy and facial muscular exercise therapy for the treatment of patients having myofascial pain dysfunction syndrome. Material & Methods: This comparative study was conducted at the Department of Oral and Maxillofacial Surgery, Military Dental Centre, Combined Military Hospital (CMH), Dhaka and Dhaka Dental College and hospital, Bangladesh, from January 2014 to December 2015. A total of 40 patients were selected as study subjects following the convenience sampling technique. Patients were divided into two groups; Group A was treated with an occlusal splint and Group B was treated with facial muscular exercise. Each group consisted of 20 patients. Data were processed and statistically analyzed by the template of SPSS version 16.0. Results: During the follow-up period, there was a consistent reduction in pain scores, muscle tenderness, TMJ (Temporomandibular joint) clicking, and tenderness associated with various jaw movements, along with a significant enhancement in mouth opening observed in patients from both groups. Notably, the improvement in Group A reached 80%, surpassing that of Group B, which achieved a 65% improvement and this difference was statistically significant (p-value ≤ 0.01). Conclusions: Occlusal splint therapy of TMJ using a soft night guard has better and long-term improvement in reducing the symptoms of MPD (Myofascial pain dysfunction) syndrome.
Pattern of Differentiated Thyroid Carcinoma and Their Management Plan
Authors: Shahrear Md. Khaled , Haque Muhammad Mahmudul , Iqbal Ashik , Nafis Ali Azim Muhammad , Khatun Mst. Romena
Published: December 2024

Background: Carcinoma of the thyroid gland is an uncommon cancer, 0.6% and 1.6% of all cases of malignant neoplasms in men and women respectively. But is the most common malignancy in the endocrine system. This study aimed to analyze the pattern of differentiated thyroid carcinoma and its management plan. Material & Methods: This cross-sectional observational study was conducted at the Department of Otolaryngology, Rajshahi Medical College Hospital, Rajshahi, and Department of Otolaryngology Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2011 to Jun 2012. A total of 40 patients were selected as study subjects by simple random sampling technique. A descriptive analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. Results: The highest number of cases were found in the 3rd and 5th decade of life in papillary and follicular carcinoma respectively. The male-to-female ratio was 1:2.5 in papillary, and 1:5 in follicular carcinoma, with a majority (55.0%) from rural areas. Most of the cases (35, 87.5%) suffered from papillary carcinoma, followed by (5,12.5%) follicular carcinoma. The commonest symptom for seeking medical admission was swelling in the neck (Lymph node swelling included), which was present in 39(97.5%) cases. Symptoms of distant metastasis and dyspnoea were present in 3(7.5%) and 1(2.5%) case respectively. Through FNAC 38 (95.0%) cases were diagnosed or suspected preoperatively. Conclusions: The majority of the patients present in the 3rd and 5th decade of life in papillary and follicular carcinoma respectively, with a female preponderance. Moreover, papillary carcinoma is more common than follicular carcinoma, which commonly presents with unilateral tumors. Concerning the symptoms, swelling of the neck (including lymph node swelling) is the most common feature. It can be emphasized that nodal metastasis needs total thyroidectomy, and neck dissection with radio-iodine ablation. Distant metastasis needs total thyroidectomy, surgical resection of the metastatic mass, radio-iodine ablation (if the radio-iodine scan is positive), and/or radiotherapy with thyroxine.
Incidence and Maternal Outcome of All Caesarean Hysterectomy in Tertiary Level Hospitals
Authors: Sultana Tahmina , Sultana Tayeba , Paul Nilaxi
Published: December 2024

Background: Cesarean hysterectomy is a significant obstetric intervention, often performed in life-threatening circumstances. Understanding its incidence, demographic patterns, and associated complications is essential for improving maternal and neonatal outcomes. Material & Methods: This observational study was conducted at a tertiary level hospital, analyzing cesarean hysterectomy cases over a six-month period. The study employed purposive consecutive sampling, including all patients undergoing the procedure during the study period. The methodology focused on examining the incidence, patient demographics, indications for surgery, and subsequent maternal and neonatal outcomes. Results: Among 9205 total deliveries, cesarean hysterectomies constituted 0.39%, increasing to 1.05% of the 3441 cesarean deliveries. The majority of patients were aged 27-33 (50%), primarily from low-income backgrounds (75%). Major indications included major degree placenta previa (41.67%) and fetal distress/oligohydramnios (38.89%). Significant complications were observed, with all patients experiencing massive obstetric hemorrhage, 86.11% requiring blood transfusions, and severe outcomes like stillbirths and neonatal deaths recorded at 13.89% and 2.78%, respectively. Conclusions: The study offers critical insights into the incidence and outcomes of cesarean hysterectomy in a tertiary hospital setting. The findings emphasize the importance of effective management strategies and comprehensive care to address the complexities and risks associated with the procedure, aiming to enhance maternal and neonatal health outcomes.
Tipologías urbanas de relación entre humedal y espacio público:la dimensión social, espacial y ambiental en el Humedal Vasco Da Gama, Hualpén, Chile
Authors: Silva-Villarroel Gricel , Fernández-Covarrubias Andrea , Villouta-Gutiérrez Daniela
Published: December 2024

Durante los últimos años, la expansión urbana ha perjudicado la integridad ecológica de los humedales urbanos. Específicamente en el caso del Área Metropolitana de Concepción, los humedales han sido encapsulados y desconectados de su entorno, afectando su valoración social. El estudio se presenta como herramienta para vincular estas problemáticas urbanas y comprender sus relaciones de manera sistémica según las condiciones geográficas en que se encuentra inserto un determinado humedal. El objetivo es analizar la relación espacial, ambiental y social entre el espacio público y el humedal Vasco Da Gama. La metodología empleada es de enfoque cualitativo para analizar la integración espacial mediante Space Syntax y su relación con lo socioambiental sobre la base de entrevistas a actores clave y cartografías ambientales. Finalmente, se identifican tipologías de relación entre el humedal y el espacio público urbano circundante que surgen del cruce de las dimensiones espaciales, sociales y ambientales y que pueden ser utilizadas para localizar áreas a intervenir mediante proyectos de inversión pública.
Factors Affecting Human Resource Information Systems’ Effectiveness in the South African Public Health Sector
Authors: Udekwe Emmanuel
Published: December 2024

Systems for managing human resources such as Human Resource Information Systems (HRIS) are thought of as change enablers that help organisations gain a competitive edge. The health sector has a significant need for efficient HR practices, which often stimulates several research projects. It is interesting to note that despite the focus of researchers and practitioners on the advantages of using an HRIS in the health sector, it is still not clear how this system can be used to its full potential to support workforce sustainability and retention in South Africa's public health sector. Based on this, the research seeks to determine why South Africa's public health sector has not yet adopted a successful HRIS. A partially integrated mixed-method research was conducted through a qualitative and a quantitative examination of the information gathered from four (4) selected hospitals in the Western Cape Province of South Africa. The questionnaire was completed by forty-six (46) persons, while forty-one (41) people were interviewed. According to the findings, an outdated HRIS named Persal is the HRIS used in the South African public health sector while organisational structures obstruct the system's complete deployment. The requirement of significantly addressing these organisational structural limitations in order to increase system utilisation and employee engagement is a key conclusion of our results with suggested ideas.
ANALISA SYSTEM USABILITY SCALE (SUS) TERHADAP APLIKASI SISTEM INFORMASI KEGIATAN KAMPUS BERBASIS ANDROID
Authors: Adijaya Indra Yudha , Fauzi Chamdan , Kacung Slamet
Published: December 2024

Uji penerimaan SUS untuk sistem informasi kegiatan kampus berbasis Android merupakan sebuah aplikasi yang dirancang untuk mempermudah mahasiswa dan civitas akademika dalam mengakses informasi mengenai berbagai kegiatan yang diselenggarakan di kampus. Aplikasi ini bertujuan untuk menyediakan platform yang efisien dalam penyebaran informasi tentang seminar, workshop, kuliah tamu, serta berbagai acara lainnya yang diadakan oleh fakultas, organisasi mahasiswa, dan lembaga kampus. Dengan menggunakan teknologi Android, aplikasi ini dapat diakses kapan saja dan di mana saja, mempermudah pengguna dalam mencari informasi, mendaftar acara, serta berinteraksi dengan pengumuman terbaru. Penggunaan sistem informasi berbasis Android diharapkan dapat meningkatkan partisipasi mahasiswa dalam kegiatan kampus dan memperlancar aliran komunikasi antara pihak kampus dengan mahasiswa. Hasil uji penerimaan SUS sistem sistem ini menghasilkan skor 70.63 dengan kategori accepted,   penelitian juga menunjukkan bahwa aplikasi ini berhasil meningkatkan partisipasi mahasiswa dalam kegiatan kampus sebesar 30% dalam periode uji coba. Selain itu, lebih dari 85% pengguna melaporkan bahwa aplikasi ini mempermudah mereka dalam menemukan informasi acara, mendaftar kegiatan, dan menerima pengumuman terkait kegiatan kampus. Dengan demikian, penggunaan sistem informasi berbasis Android ini dapat diandalkan untuk memperlancar aliran komunikasi dan penyebaran informasi kegiatan kampus, serta meningkatkan keterlibatan mahasiswa dalam berbagai aktivitas kampus
Įtinklinta tapatybė: vientisumo problema
Authors: Savicka Aida
Published: December 2024

A much debated question in recent sociological and psychological literature is whether virtual communication experience brings any fundamentally new quality into the
process of identity formation; whether virtual groups and communities can become
a source of identity for its members. These discussions especially emphasize the importance of individual choice. As it is claimed, the Internet, unlike previous means
of communication, does not direct people into a clear path, but requires individual
choice and creativity. Therefore, the Internet is open to permanent reconstruction
of information. At the same time, it gives consumers the opportunity to appear and
disappear in a number of spaces, times, social roles, etc.
Hence, when discussing identity formation, it becomes fashionable these days to use
the concept of multiple identities. Others still offer to conceptualize personal identity as comprising of a core, which is rather stable substance resistant to change, and
a number of mobile personal identities that relate to those aspects of personality
which are easily refused under changing circumstances, when it becomes more interesting or more profitable to be someone else. But here it is worth stopping and
considering once again if, in principal, identity may have something to do with the
accidental? How, in such case, mobile identities differ from social roles which an individual really takes more or less consciously?
There is no doubt that people living in the modern world are facing more difficulties consistently aligning their different expertise into one whole, if only because they
have much broader spectrum of possible life styles and projects. But this is hardly
a sufficient basis to talk about personal identity as if it was an amalgamation of unrelated selves: we can talk about the various manifestations of the individual self, but
not about his/her multiple identities. Therefore, a radically new conceptualization of
identity notion is needed.
Gender-based risk analysis of vehicle control loss due to localized water puddles: An analytical approach
Authors: Erişkin Ekinhan
Published: December 2024

Adverse weather conditions significantly increase the risk of traffic accidents, yet most studies focus on uniform conditions across all tires. This study investigates the impact of asymmetric drag forces when only one tire encounters a local water puddle, causing potential vehicle control loss. Using analytical methods, we calculate drag forces and their transmission to the steering wheel, accounting for variations in water film thickness, vehicle speed, and driver gender. The results indicate that female drivers face higher risks of control loss, with critical speeds decreasing as water film thickness increases. The study highlights that localized water puddles, especially at low speeds and water depths exceeding 3 cm, pose significant risks. These findings can inform road safety guidelines and vehicle design standards to mitigate accident risks in adverse weather conditions.
A Conceptual Framework for The Use of Artificial Intelligence in Education
Authors: Beloev Hristo , Voinohovska Valentina , Smrikarov Angel
Published: December 2024

With the increasing integration of artificial intelligence (AI) across all
aspects of life, it has the potential to address some of the biggest challenges in today's
education. Recognizing this potential, an interdisciplinary team at the University of
Ruse has developed a conceptual framework that outlines a new and innovative way
to integrate AI into the educational process. The aim of this framework (program)
is to familiarize educators with AI systems to ensure their effective use in teaching
and research activities, thereby accelerating the digital transformation of education.
This publication presents an overview of the innovative approach, highlighting
key components aimed at revolutionizing teaching and learning practices and
introducing innovations in education. The framework postulates that by integrating
AI, the aim is not only to enhance educational experiences but also to provide a new
perspective for promoting an individualized approach to improve the efficiency of
the learning process.
Application of zSpace Technology in the Disciplines of the STEM Cycle
Authors: Ivanova Boyana , Shoilekova Kamelia , Atanasova Desislava , Rusev Rumen
Published: December 2024

The innovative zSpace technology allows students to learn through holographic content and simulation experiments using Virtual and Augmented Reality (VR/AR). zSpace combines hardware, software, and learning content focused on various STEM disciplines. zSpace features a combination of VR/AR and 3D interactivity. The main advantages of the technology lie in three main aspects: the way of assimilation of knowledge, acceptance of information, and application in practice. The use of zSpace leads to some significant improvements in knowledge acquisition: it activates several sensory functions, resulting in higher levels of engaging learning experience; achieves a high level of realism, which guarantees the memorization and more effective learning of the learning content; motivates students; improves achievement in science, math, career, and technical education.
Pre-Service Teachers’ Perceptions of AI and Its Implementation in the Foreign (English) Language Classroom
Authors: Harakchiyska Tsvetelina , Vassilev Tsvetomir
Published: December 2024

The potential for using artificial intelligence (AI) systems in education (including foreign language teaching and learning) poses new demands on 21st century pre-service teachers who need to be prepared to integrate it successfully in their classrooms. The current paper, therefore, aimed to examine the attitude and readiness of 52 Bulgarian pre-service foreign language teachers on using AI in English language instruction. Based on the data obtained, it was established that the pre-service teachers demonstrated a general positive disposition towards using AI tools in their foreign language lessons and declared their readiness to implement AI technologies in the foreign language classroom but lacked the skills and competencies needed to do so. The results also showed that teacher training institutions and policy makers on national level have to define the AI knowledge, competencies and skills of prospective teachers so that they could actively engage with AI ethically and meaningfully in their profession.
Harmonising minds and culture: Exploring the role of music in mental health awareness through activism in Nigeria
Authors: Adebisi Oluwafemi Daniel , Tamuno-Opubo Addah Temple , Abeeb Yusuf Temitope , Josephine Ayorinde Ayomide , Olugbenro Agbara Clement
Published: December 2024

Mental health issues in Nigeria are pervasive, yet the stigma surrounding them limits open discussions and access to care. Music artists, activists, and therapists have emerged as key advocates, using music as a platform to raise awareness and challenge misconceptions. This study explored the role of Nigerian music and activism in shaping mental health discourse, highlighting their contributions to public awareness and understanding. Additionally, the study examined how music and activism could influence mental health policies in the country. A qualitative approach was used, involving in-depth interviews with seven participants, including Nigerian musicians and therapists engaged in mental health advocacy. Thematic analysis was employed to identify key themes related to mental health awareness, advocacy, and the intersection of music and activism. Findings revealed that while music is a powerful tool for raising awareness and fostering emotional expression, it has had limited impact on policy change. Themes of resilience, inclusivity, and advocacy emerged as significant, showing how music influences public perceptions. However, participants emphasized the need for government involvement to translate public awareness into effective mental health policies. While music has proven effective in generating awareness and reducing stigma, its ability to drive policy changes remains limited.
ZONEAMENTO BIOCLIMÁTICO DO PANTANAL
Authors: Neto João Batista Ferreira , Pereira Gabriel , Silva Rosa Helena da , Oliveira Maxwell da Rosa , Damasceno Júnior Geraldo Alves
Published: December 2024

A percepção térmica humana, ou conforto térmico, é uma variável crítica que influencia diretamente a saúde, a produtividade e o bem-estar das populações. No entanto, estudos específicos sobre o conforto térmico no Pantanal e suas sub-regiões são escassos. Este estudo analisa a distribuição das classes de conforto térmico no Pantanal e suas sub-regiões utilizando o Índice Universal de Clima Térmico (UTCI), no período de 1979 a 2023. O objetivo principal foi avaliar o desconforto térmico na região, identificando as classes de conforto e examinando a influência dos eventos El Niño-Oscilação Sul (ENOS) sobre esse índice. A análise, baseada em dados climáticos de reanálises e técnicas estatísticas, mapeou as áreas mais suscetíveis ao estresse térmico. As regiões centrais e sul do Pantanal, como Porto Murtinho, destacaram-se como as mais desconfortáveis devido ao calor, enquanto sub-regiões ao norte, como Cáceres e Poconé, apresentaram menores níveis de estresse térmico. Além disso, observou-se que os meses de outubro e novembro apresentam os maiores valores de UTCI, indicando desconforto térmico extremo para o calor durante a primavera. O verão foi identificado como a estação mais desconfortável para o calor, enquanto o inverno apresentou desconforto moderado para o calor. A investigação dos eventos ENOS revelou uma tendência de maior desconforto térmico durante os anos de La Niña. Conclui-se que há um aumento progressivo do desconforto térmico por calor na região do Pantanal, com uma tendência particularmente acentuada na primavera.
Margaret Bonds’ Four Songs: A Rediscovered Classic
Authors: Zavracky Gregory
Published: December 2024

Abstract: Margaret Bonds’ cycle Four Songs (1960) examines difficult romantic relationships and the emotional chaos that can ensue for those involved, illuminated by sublimely complex and challenging music, which, like the relationships it describes, combines moments of beauty, conflict, and passion. This article contains detailed information on the cycle, including biographies of Margaret Bonds and poet Edna St. Vincent Millay, characteristics of Bonds’ overall compositional style in Four Songs , performance/assignment considerations, poem synopses, and in-depth compositional analyses of each song.
Remembering Barbara Honn: Reflections from Her Students and Colleagues
Authors: Hoch Matthew
Published: December 2024

Abstract: In this article, former students and colleagues reflect on the life, career, and impact of Barbara Honn (1944–2023), who passed away August 3, 2023, after a brief illness. After an accomplished career as an operatic soprano, Honn taught at Wichita State University and the University of Texas at Austin before settling into a twenty-five-year career at the University of Cincinnati College-Conservatory of Music. Alumni from her studio are currently singing all over the world and many are active teachers of singing—as well as members of NATS. This article captures the life, pedagogy, personality, and legacy of Honn through the recollections of her students, offering a glimpse into the studio of one of the most impactful voice pedagogues of her generation. The biographies for Honn’s former students and colleagues quoted in this article are also included.
Performance Anxiety: Tools for the Singer
Authors: Monti Elisa , Bianchi Stephanie
Published: December 2024

Abstract: Performance anxiety impacts multiple levels of the nervous system and can affect singers’ ability to be joyfully present with their artistry. In this article, the authors discuss some of the mechanisms behind the stress response singers may experience when dealing with performance anxiety. Importantly, some modalities related to approaching performance anxiety are discussed and exercises to help mitigate the effects of performance anxiety are suggested.
Recent Research in Singing
Authors: Simonson Donald
Published: December 2024

Abstract: This article chronicles three academic documents. Dissertations authored in 2024 by Stevie J. Hirner, “(Trans)itioning Voices: Gender Expansive Vocal Pedagogy and Inclusive Methodologies for Choral Directors and Teachers of Singing,” Emily Garlen Milius “Vocal Timbre and Sexual Trauma in Women’s Popular Song,” and in 2018 by Clinton Matthew Huntington Weinberg, “Video Self-Modeling Experiences of Undergraduate Applied Voice Students Regarding Self-Efficacy and MPA.” Each includes a complete bibliographic citation and an Author/ProQuest abstract.
Tartaric Acid: An Analysis of Its Halal Status in Islamic Dietary Laws
Authors: Mat Jubri Shamsuddin Mustafa
Published: December 2024

This study examines the halal status of tartaric acid in Islamic dietary laws, focusing on four objectives: identifying sources, production methods, and effects; assessing ethanol content and intoxication potential; analysing the application of istihalah and istihlak principles; and establishing parameters for halal certification. The research employs a qualitative approach, utilizing library research to review fatwas, contemporary halal food science studies, and scientific literature on tartaric acid. Data analysis involves comparative, thematic, and interpretative techniques. Key findings reveal that tartaric acid's halal status is significantly influenced by its source and production method, with wine industry by-products being particularly contentious. While tartaric acid itself doesn't cause intoxication, potential ethanol contamination is a concern. The application of istihalah and istihlak principles in determining halal status is debated among Islamic scholars. The study establishes parameters for halal certification, including source, production method, ethanol content, and intended use. This research contributes to standardizing halal certification processes for tartaric acid and similar substances in the global halal food industry.
Kajian ini meneliti status halal asid tartarik dalam undang-undang pemakanan Islam, dengan memberi tumpuan kepada empat objektif: mengenal pasti sumber, kaedah pengeluaran, dan kesan; menilai kandungan etanol dan potensi memabukkan; menganalisis aplikasi prinsip istihalah dan istihlak; dan menetapkan parameter untuk pensijilan halal. Penyelidikan ini menggunakan pendekatan kualitatif, memanfaatkan penyelidikan perpustakaan untuk mengkaji fatwa, kajian sains makanan halal kontemporari, dan literatur saintifik mengenai asid tartarik. Analisis data melibatkan teknik perbandingan, tematik, dan interpretatif. Penemuan utama mendedahkan bahawa status halal asid tartarik dipengaruhi secara signifikan oleh sumber dan kaedah pengeluarannya, dengan produk sampingan industri wain menjadi isu yang sangat kontroversi. Walaupun asid tartarik sendiri tidak menyebabkan kemabukan, potensi pencemaran etanol menjadi kebimbangan. Aplikasi prinsip istihalah dan istihlak dalam menentukan status halal diperdebatkan di kalangan ulama Islam. Kajian ini menetapkan parameter untuk pensijilan halal, termasuk sumber, kaedah pengeluaran, kandungan etanol, dan tujuan penggunaan. Penyelidikan ini menyumbang kepada penyeragaman proses pensijilan halal untuk asid tartarik dan bahan-bahan serupa dalam industri makanan halal global.
HUBUNGAN BEBAN KERJA ADMINISTRATOR DENGAN KEPATUHAN PENGISIAN REKAM MEDIS RSUD RATU ZALECHA
Authors: Normadinah Siti , Raziansyah Raziansyah , Hidayat Taufik
Published: December 2024

Pendahuluan: Beban kerja dapat menjadi keluhan bagi administrator dalam menjalankan kinerja terutama dalam pengisian rekam medis termasuk di Rumah Sakit karena berbagai faktor. Hal ini berdampak kepada kinerja adminstrator tidak sesuai dengan SOP. Tujuan: penelitian ini telah menganalisis korelasi antara beban  kerja dengan kepatuhan administrator dalam mengisi rekam medis di RSUD Ratu Zalecha Martapura. Metode: Desain penelitian ini analitik korelasional dengan pendekatan Cross-sectional study. Populasi dan sampel dalam penelitian ini sebanyak 47 responden dengan total sampling. Varibel penelitian yaitu beban kerja administrator dan kepatuhan pengisian rekam medis. Instrumen menggunakan kuesioner dan analisa menggunakan uji spearman. Hasil: Secara ketegorik beban kerja administrator mayoritas sedang sebanyak 33 responden (70,2%) dan kepatuhan dalam pengisian rekam medik patuh 34 responden (72,3%). Uji statistik didapatkan hasil   p value = 0,787, sehingga Ho diterima dalam arti tidak ada hubungan antara beban kerja dengan kepatuhan administrator dalam mengisi rekam medis. Kesimpulan: Tidak ada hubungan antara beban  kerja dengan kepatuhan administrator dalam mengisi rekam medis di RSUD Ratu Zalecha Martapura.
HUBUNGAN RESPONS TIME DAN KOMUNIKASI TERAPEUTIK PERAWAT TERHADAP TINGKAT KECEMASAN KELUARGA PASIEN KECELAKAAN DI INSTALASI GAWAT DARURAT
Authors: Limaras Yohani , Julianto Julianto , Daud Izma
Published: December 2024

Pendahuluan: Pelayanan pasien IGD harus mendapatkan respons time < 5 menit dari petugas kesehatan. Petugas kesehatan khususnya perawat IGD harus dapat berkomunikasi dengan baik kepada pasien dan keluarganya, sehingga mengurangi kecemasan mereka. Tujuan: Penelitian ini bertujuan menganalisis hubungan respons time dan komunikasi terapeutik perawat terhadap tingkat kecemasan keluarga. Metode: Penelitian ini menggunakan desain penelitian analisis korelasi dengan pendekatan cross sectional. Variabel pada penelitian respon time, komunikasi terapeutik dan kecemasan keluarga pasien. Sampel penelitian berjumlah 30 orang yang terdiri dari keluarga pasien kecelakaan. Instrumen menggunakan lembar observasi respon time, kuesioner komunikasi terapeutik perawat, dan Zung-Self Rating Anxiety Scale (SAS). Analisis statistik menggunakan uji Spearman Rho. Hasil: Penelitian menunjukkan respon time perawat < 5 menit (83,3%) dan perawat melaksanakan komunikasi terapeutik (76,7%) sedangkan tingkat kecemasan keluarga sebanyak berada pada kategori sedang (60%). Ada hubungan respons time dan komunikasi terapeutik dengan tingkat kecemasan keluarga, p value 0,047 dan 0,00 < 0,05 dan nilai r 0,365 dan 0,676. Kesimpulan: Respons time dan komunikasi terapeutik yang baik dari perawat, merupakan suatu tindakan yang diperlukan dalam mengontrol tingkat kecemasan keluarga yang anggota keluarganya mengalami kecelakaan lalu lintas