bluuebunny/crossref_metadata_2025 huggingface dataset:
A Multimodal Analysis of Tokopedia X BTS Advertisement
Authors: Salsabila Sherania Rahmah , Suparto Suparto
Published: September 2023

One of the texts with nuanced meanings is an advertisement. When discussing how to effectively convey messages in advertisements, the complexity of meaning encompasses both written and visual components. In order to understand the power and meaning of a text that contains multiple modes, such as verbal, visual, and aural, a multimodal analysis of an advertisement is necessary in order to understand the complexities of meaning. The research aims to examine the multimodal resources in the Tokopedia X BTS advertisement on YouTube based on five semiotic multimodal systems proposed by Anstey & Bull (2018). This research employs a qualitative method and a descriptive approach. The data were taken in the form of an image that was taken from a screenshot of the Tokopedia advertisement. The result shows that there are five aspects of the multimodal system contained in this advertisement, namely linguistic, visual, audio, gestural, and spatial. These five aspects are mutually sustainable to convey messages from the Tokopedia application and also advertise and introduce this sophisticated application.
Translation of the Word 'Do' in the Novel Anne of Avonlea from English into Indonesian
Authors: Rahmawati Gema Ariani , Lestari Indah
Published: September 2023

The purpose of this research is to find out the translation of the word ‘do’ from English into Indonesian and also its function. This research focuses on the translation of the word ‘do’ in an English novel entitled Anne of Avonlea and its translation in Indonesian. The researcher uses mixed method namely qualitative and quantitative method. To collect the data, purposefully random sampling is used. The 150 difficult data were purposefully chosen, which then the researcher chose 75 random data to be analyzed. To analyze the data, the researcher uses strategies of translation by Chesterman (2016) and principles of translation by Duff (1990). The result of this research shows that there are a lot of forms and functions of ‘do’ that makes the translation of the word ‘do’ various. There are 7 out of 30 strategies found, namely literal translation (7), unit shift (7), transposition (25), emphasis change (16), cohesion change (16), scheme change (3), and synonymy (1). Lastly, there are 2 out of 6 principles of translation found, namely meaning (6 strategies) and style & clarity (1 strategy). Thus, it can be seen that the most used strategy and principle of translation in translating the word ‘do’ are transposition and meaning.
Equivalence and Translation Strategies of English-Indonesian Circumstances in a Novel The Kite Runner
Authors: Shabrina Gina Fitri , Setiarini Ni Luh Putu
Published: September 2023

In the clause structure, circumstantial constituents are an important part because their role is to provide an explanation of the environment or circumstances that accompany a process in the clause. To translate this, it is required to determine the appropriate translation strategies. This research analysed translation strategies that are used to translate English circumstances in The Kite Runner novel. The aims of this research is to clarify, define the translation strategies made used for the circumstances that are shown in the target text in conjunction with the source text, and to serve as answers to the questions regarding the types of translation strategies the translator employs and why they are used in the target text by using qualitative research by making use of Halliday and Matthiessen’s (2013) Systemic Functional Linguistics circumstance classifications and Chesterman’s (2016) translation strategies. The data for this research was taken from the circumstances found in the English version of The Kite Runner novel, which serve as the source language and the Indonesian version as the target language that shows the translated circumstances as the primary data. The findings of this research showed that there are eight types of circumstances in The Kite Runner novel and nine translation strategies that the translator of the novel used to translate the circumstances found in the Indonesian version of this novel. The results also showed that the most prevalent translation strategy for translating the circumstances in The Kite Runner novel is literal translation by translating them completely and accurately.
The Effects of Acute Vibration with Exercises Applied to the Lower Extremities on Balance Performance
Authors: ÖKMEN Mehmet Şerif , ŞİMŞEK Emre
Published: September 2023

This study was conducted to investigate the effects of exercises with acute vibration applied to the lower extremities on balance performance. The study included 68 voluntary participants, consisting of 34 male and 34 female athletes specializing in different branches who were students at the Faculty of Sport Sciences at Erciyes University. The participants were randomly divided into three groups, and different protocols were applied in each group. These groups were the exercise (E) group, the vibration + exercise (VE) group, and the control (C) group. Dynamic squats, standing calf raises (static surface), and right and left lunge exercises were performed for 30 s in the E and VE group, while no intervention was made in the C group during the same time. The VE group performed the exercises on the DKN XG10 vibration platform with vibration at 30 Hz, while the E group performed the same exercises on the same platform without vibration. The static and dynamic balance performance levels of the participants were measured using the Biodex Balance System (BBS) before and after the protocols, and the results were statistically compared. In the intragroup comparisons, there were significant differences between the pretest and posttest static balance parameters of the E group regarding their OSI and APSI values (p<0.05). Moreover, in terms of dynamic balance parameters, the OSI and MLSI results (p<0.01) of the VE group and the OSI (p<0.01), APSI (p<0.01), and MLSI results (p<0.05) of the E group varied significantly between the pretest and the posttest. In further studies, it is recommended to investigate the effects of different exercise types, acute vibration applied at different frequencies or durations on balance performance.
IMPACTO DOS TRATAMENTOS COM ALINHADORES EM ORTODONTIA: UMA REVISÃO NARRATIVA
Authors: Suarez de Los Rios Joel , Bustillos Torrez Willy , Silva Sousa Katiane , Retamal-Valdes Belen
Published: September 2023

Os alinhadores ortodônticos passaram por grandes mudanças ao longo do tempo, sendo inicialmente confeccionados de forma analógica, com modelos de gesso, para o que é hoje, com o uso de ferramentas digitais 3D em software. O objetivo desta revisão narrativa da literatura é descrever e discutir as evidências científicas disponíveis sobre a terapia com alinhadores em Ortodontia nos últimos anos, analisando seu planejamento e diagnóstico, software, movimentos dentários, limitações e novas tendências de trabalho. Para esta pesquisa, foram utilizadas as bases de dados PubMed e Scielo com artigos de até 8 anos em espanhol, inglês ou português e publicados em revistas indexadas. Os resultados obtidos são que os tratamentos realizados com alinhadores próprios ou de empresas têm se mostrado eficazes na movimentação dentária, gerando uma alta predição na obtenção de resultados favoráveis ​​com esse método de terapia ortodôntica. Ao mesmo tempo, o diagnóstico e planejamento desses casos apresentam benefícios para os ortodontistas, porém é necessário treinar os profissionais para o uso de softwares odontológicos e mais estudos relacionados aos alinhadores impressos diretamente, pois as evidências são insuficientes para recomendações clínicas. É possível mostrar que há benefícios da realização de tratamentos com alinhadores em ortodontia no planejamento, diagnóstico e eficiência do movimento, obtendo impacto dos tratamentos ortodônticos.
COVID E HEPATITES VIRAIS NA TRANSAMAZÔNIA: UM MAPEAMENTO DA RELAÇÃO DOS EFEITOS DA COVID EM PACIENTES PORTADORES DE HEPATITE B E C, ATENDIDOS EM UM HOSPITAL REGIONAL DO XINGU, AMAZÔNIA BRASILEIRA
Authors: Briana Janete , Marceliano Nunes Heloisa , Fernandes Sampaio Karen Adriely , Paiva Albarado Kaio Vinícius , Correia Damasceno Osvaldo , Damasceno Helane Conceição , Luz Cavalcante Rosiane , Batista Ferro Daniela
Published: September 2023

As infecções por coronavírus geralmente causam doenças respiratórias leves a moderadas, semelhantes a um resfriado comum, podendo evoluir ao óbito em alguns casos. No período de pandemia, percebeu-se que os casos de maior vulnerabilidade a essas evoluções graves estavam ligados a indivíduos com doenças crônicas prévias, destacando-se as hepatites virais. Objetivo: Analisar o desfecho da COVID-19 em indivíduos atendidos no Hospital Regional da Transamazônica, portadores de hepatites virais B e/ou C, na região do Xingu, Amazônia Brasileira. Material e Métodos: Foi realizada a comparação das variáveis clínicas-epidemiológicas e de desfecho dos portados de hepatite B ou C expostos ao COVID-19 hospitalizados e os expostos ao COVID-19 e não hospitalizados. Resultados: Análise do banco de dados do período de 2020 a 2021,  dados do e-SUS Notifica de pacientes com COVID-19 não hospitalizados e ao banco de dados do Sivep-Gripe de pacientes hospitalizados em Altamira-PA. Conclusão: Quanto ao desfecho dos portadores de hepatite B e C com infecção pelo COVID-19, o estudo evidenciou um desfecho favorável, aos pacientes que foram vacinados contra o novo coronavírus, os 3 óbitos que ocorreram não receberam nenhum tipo de vacina contra COVID-19, isso nos evidencia que a prevenção utilizando a imunização é eficaz.
EXERCÍCIOS PARA PACIENTES COM HANSENÍASE EM FORMA DE CARTILHA: UMA REVISÃO DE LITERATURA
Authors: Maria Aparecida Ximenes Barros Sandy , Ferreira Santos Ana Gabriela , Vieira da Silva Ana Caroline , Joana Sampaio Guerra Thaynara Kalyne , Mayumi Lourenço Mutou Fernanda
Published: September 2023

A Hanseníase é conhecida como a doença mais antiga do mundo, afetando a humanidade há pelo menos 4000 anos. Gerhard Armauer Hansen médico bacteriologista e dermatologista norueguês realizou a grande descoberta do microrganismo causador da patologia Mycobacterium Leprae. Este trabalho tem a finalidade de apontar estudos e conhecimento sobre como a fisioterapia pode auxiliar na prevenção com exercícios, em forma de cartilha para pacientes. A cartilha é uma forma didática e ilustrativa que possui a intenção de informar e auxiliar os portadores da patologia sobre a importância do exercício diário como cuidados paliativos para a doença. Foi elaborada de uma forma prática e de claro entendimento, com figuras ilustrativas dos alongamentos e exercícios, com explicações objetivas.
ACHADOS PATOLÓGICOS EM RADIOGRAFIAS PANORÂMICAS DE PACIENTES DE UMA CLÍNICA ESCOLA DE ODONTOLOGIA EM MINAS GERAIS
Authors: Ferreira Pâmela Carolina Caixeta , Queiroz Natália Alves de , Caixeta Stella Diniz , Andrade Rodrigo Soares de , Carvalho Thiago de Amorim , Ribeiro Karina Alvarenga
Published: September 2023

A radiografia panorâmica se destaca como exame de triagem mais comumente prescrita no campo da odontologia, mesmo apresentando limitações, é possível por meio dela encontrar importantes achados patológicos e incidentais, contribuindo para um eficaz diagnóstico e plano de tratamento. Esse estudo tem como objetivo catalogar os principais achados radiográficos encontrados nas radiografias panorâmicas de pacientes de uma clínica escola em Minas Gerais. Foram selecionadas, após aplicação dos critérios de inclusão e exclusão, 375 radiografias, em 150 delas havia alguma alteração. As alterações apresentaram-se mais prevalentes no gênero feminino, em uma proporção de 2:1. A dilaceração radicular, a giroversão e a agenesia foram as anomalias dentárias mais encontrados nas radiografias panorâmicas, dentre os achados patológicos, a radiolucidez periapical teve destaque e acerca dos achados incidentais o ateroma carotídeo esteve presente em duas radiografias. Apenas giroversões apresentaram prevalência maior para o gênero masculino, ao contrário das dilacerações radiculares e das agenesias, as demais alterações não apresentaram predileção. Esses achados, no entanto, são hipóteses diagnósticas, visto que para confirmar o diagnóstico é necessária a associação com a entrevista clínica e o exame clínico. Portanto, foi possível concluir que a radiografia panorâmica é um excelente exame complementar na detecção de alterações importantes durante o diagnóstico. Dessa forma, sugere-se mais estudos de rastreamento para ampliar o banco de dados sobre alterações patológicas importantes do complexo maxilomandibular e achados incidentais.
OS BENEFICIOS DO ÁCIDO HIALURÔNICO NO REJUVENESCIMENTO
Authors: Ferreira Soares Tânia , Tabosa Santos Bárbara Iara , Silva de Oliveira Caroline , De Moraes Jacinto Matheus , Amaral do Nascimento Verônica , Lourenço Mutou Fernanda Mayumi
Published: September 2023

O ácido hialurônico, é um componente importante na matriz extracelular e tem um papel fundamental na produção de colágeno. Com o tempo, o corpo sofre alterações consequentes do envelhecimento devido à redução de colágeno, elasticidade. No rejuvenescimento são utilizados procedimentos e técnicas na estética com o intuito de melhorar o aspecto da pele, fazendo com que a aparência fique livre de sinais de envelhecimento. Este trabalho teve como objetivo geral verificar as alterações cutâneas no rejuvenescimento; o benefício do ácido Hialurônico associado aos demais meios interventivos na reepitelização e o seu uso na Dermatofuncional. Métodos: Foram utilizados para a elaboração deste estudo, revisão de literatura, que se baseou em um levantamento temático sobre o uso do ácido Hialurônico na Dermatofuncional. A coleta de dados, partiu de buscas bibliográficas na plataforma da Scientific Eletronic Library Online (SciElo), Google acadêmico, Pubmed. Os artigos analisados seguiram os seguintes critérios de inclusão: artigos publicados entre o ano de 2013 e 2023 que respondem aos objetivos desta pesquisa, apresentando como temática principal o ácido hialurônico, rejuvenescimento e cicatrização. Como critério de exclusão: teses e monografias, documentos de projetos e artigos que não se encaixassem nos objetivos do estudo e que não atendessem aos critérios de inclusão, artigos que não abordavam assuntos relacionados ao tema (ácido hialurônico, rejuvenescimento, cicatrização), sites e artigos de base duvidosas e, cientificamente, pouco embasados.
ESTUDO COMPARATIVO DA PREVALÊNCIA DE INTERNAÇÕES DE PACIENTES COM IDADE ENTRE 1 E 9 ANOS POR DOENÇAS DO APARELHO RESPIRATÓRIO EM EXCEÇÃO À COVID-19 NA MACROREGIÃO OESTE DO ESTADO DO PARANÁ ENTRE 2019 E 2020
Authors: Henrique Stockmanns Thiago , Osório Cavalli Luciana
Published: September 2023

Doenças respiratórias impactam especialmente crianças de áreas urbanas de baixa renda, sendo a pneumonia bacteriana a principal causa de mortalidade infantil. Com a COVID-19, os diagnósticos clínicos variaram, levantando questões sobre o impacto nas internações por doenças não relacionadas. Objetivo: Este estudo tem como objetivo comparar as internações pré-pandemia e no primeiro ano da pandemia para afecções respiratórias. Método: Esta abordagem descritiva e retrospectiva baseou-se em fontes do DATASUS. A população alvo compreendeu pacientes de 1 a 9 anos, excluindo casos de COVID-19, entre janeiro de 2019 e dezembro de 2020. Análise e discussão dos resultados: Como resultados, nessa população, houve uma redução de 64,91% nas internações ao comparar os anos de 2019 (n = 3.639) e 2020 (n = 1.275). Portanto, várias hipóteses podem ser elencadas para explicar tal redução. É possível que as medidas de isolamento durante a pandemia possam ter contribuído para conter a disseminação de patógenos respiratórios, resultando em uma marcante diminuição nas internações. Em contrapartida, vale destacar a possibilidade de subnotificação das afecções respiratórias não relacionadas à COVID-19. Considerações finais: Por fim, sugere-se que pesquisas futuras possam se aprofundar na análise das razões e implicações associadas a essa redução, conforme demonstrada neste estudo.
O TRABALHADOR RURAL: A QUALIDADE DE SEGURADO PERANTE A AUTARQUIA PREVIDENCIÁRIA E A LACUNA JURÍDICA
Authors: Costa Ribeiro Marcelo , Da Motta Paes Ana Carolina , Pereira Maciel Rayssa , Antonio Pereira Batista Thiago
Published: September 2023

O artigo aborda as dificuldades dos trabalhadores rurais em obter a qualidade de segurado perante a Autarquia Previdenciária, decorrentes da falta de registro, ausência de documentação formal e sazonalidade das atividades rurais. Com o objetivo de destacar a importância da valorização do labor rural para a subsistência humana, especialmente quando a renda familiar necessita ser complementada. Foi realizado um levantamento bibliográfico baseado em fundamentação teórica, utilizando fontes primárias para compreender as características principais do tema. O artigo conclui sugerindo a adoção de medidas que facilitem a comprovação da qualidade de segurado social, como a flexibilização das exigências documentais nas relações de trabalho no campo, reforçando assim a proteção previdenciária devida ao trabalhador rural.
A holistic mathematical cyber security model in fog resource management in computing environments
Authors: Shetty Dasharathraj , Gangadharan Syam Machinathu Parambil , Arumugam K. , Islam Shaziya , Sagar K. V. Daya , Cotrina-Aliaga Juan Carlos , Kumar Surendra
Published: September 2023

Now a days Cloud computing isn’t common sense for some Internet of things applications, fog enrolling is every now and again used. Its proper methodology keeps an eye on the necessities of IoT and present-day IoT, as well as the enormous proportion of splendid data sensors and IoT gadgets, produce, which would be extreme and drawn-out to send off the cloud for dealing with and examination. Fog enrolling diminishes the information move limit required and reduces the unstable correspondence among sensors and the cloud, which can antagonistically impact IoT execution. Fog is exceptionally conveyed and comprises a wide number of independent end gadgets, which add to the handling. In any case, the range of gadgets presented across various clients is not examined. Consequently, the security of fog computing is a main pressing issue that ought to come into thought. Thusly, to give the vital security to fog computing, there is a need to comprehend what the security concerns are with respect to fog. Fog computing is a decentralized enlisting establishment where data, handling, storing, and applications are seen as some place near the data source and the cloud. Like edge enrolling, murkiness figuring brings the advantages and power of the cloud closer to where data is made and circled back to. With fog computing, close-by data amassing and examination of time-delicate data become more direct. With this the aggregate and the distance of data passed to the cloud are diminished, thus lessening the impact of well-being and security issues.
A study of e-learning security system and its impact on educators
Authors: Garg Tanya , Goyal Ruchi , Goyal Dinesh
Published: September 2023

E-Learning is the process of learning which includes interaction between teachers and learners, with comparison to traditional method of education. Plus, it is dependent on the web applications and internet technology. But, the environment of network is considered as a honey pot as it attracts many hackers; also, it is prone to many security risks like, malicious attacks, hackings, etc. Network security is one of the major concerns of the teachers, learners, instructors, etc., as they are not able to foresee risks and do not know the prevention as well. The aim of this study is to investigate the security issues associated with e-learning and effective countermeasures to prevent or mitigate these risks.
Operating system security with discrete mathematical structure for secure round robin scheduling method with intelligent time quantum
Authors: Kumar Anil , Gupta Amit Kumar , Panwar Deepak , Chaurasia Sandeep , Goyal Dinesh
Published: September 2023

These days, the problems of scheduling and security are increasingly pressing as a result of the rapidly growing number of implementations that are operated in operating systems. Process scheduling and scheduling security is the most effective methodology of operating a system which can improve and degrade the performance of the computer system. The performance of scheduling algorithm in operating system can be measured by scheduling principles like average waiting time, average turnaround time, response time, throughput etc. Much research carried out over operating system security and round robin scheduling used in time sharing operating system in previous years to resolve the issues regarding to improvement in the performance of round robin (RR) scheduling and improving the security in the scheduling approach. This study discussed the security issues in operating systems, scheduling security and discrete structure of a new approach for RR scheduling. The researcher has suggested a list of policy for scheduling method security and proposed a new approach for RR scheduling and investigated the scheduling principles. The proposed methodology covers distinctive strategy for selection manner of process from ready queue than RR and used diverges time quantum. The proposed methodology has been validated experimentally by comparing with a numerous scheduling algorithm namely as Round Robin (RR), Adaptive Round Robin (ARR), Round Robin Remaining time (RRRT), improved Round Robin (IRR), an additional improvement on the improved Round Robin (AAAIRR), and an Enhanced Round Robin (ERR). Numerous simulations have been conducted to validate the effectiveness of the proposed algorithm to compelling the performance of system. At the conclusion the performance of computing system is dependent on security of operating system as well as secluding methods.
Blockchain-based framework for secure and efficient exchange of electronic medical records on mobile cloud environments
Authors: Patil Vaibhav Nivrutti , Kalmani Vijay H.
Published: September 2023

The maintenance of Electronic Medical Records (EMRs) on mobile cloud platforms, in which mobile devices are incorporated with cloud computing to ease healthcare information exchange between healthcare providers and patients, has become a paradigm shift in latest days. This cutting-edge strategy makes it possible to provide medical care at a low overhead expense, with a high level of flexibility, and with electronic health record access. Furthermore, this new approach also expresses concern over the confidentiality of patient data and the safety of the networks that support e-health systems. It is a tough problem to figure out a way to effectively share EMRs amongst mobile users while also maintaining maximum security measures in mobile cloud environments. In this research, a novel framework is presented for the sharing of EMRs that integrates blockchain technology and the decentralized Interplanetary File System (DIFS) on a mobile cloud. The empirical results suggest that the concept offers a useful method for ensuring the reliability of data transfers on mobile clouds, while also preserving important patient data from any potential dangers that may arise. Comparing the results of this performance assessment and security analysis to those of previously implemented data sharing models reveals significant performance enhancements in areas such as lightweight access control method, minimal network latency, maximum security levels, and data privacy protections.
Cloud computing security in health cyber physical systems
Authors: Morolong Mamoqenelo P. , Shava Fungai Bhunu , Gamundani Attlee M.
Published: September 2023

The health industry as one of the Critical Infrastructures has rapidly grown in adopting the use of new ubiquitous technologies in advancing its critical services. The industry because of its high need and usage of new technologies is encountering a myriad of challenges including cyber-attacks. Among the technologies adopted by the health industry is the use of cloud computing services for managing Electronic Medical Records (EMR) on the cloud environment. Today’s medical devices use sensors that collect data from the diverse environments such as the human heart and such data is sent to the cloud for better analysis, monitoring, or management. However, attackers exploit every single development to advance health or medical services like all the other cyber systems. The scope of this paper is to investigate how cloud computing services adopted in Health Cyber Physical Systems can be secured from the prevalent cybersecurity challenges. The study followed a systematic literature review, where data was collected from online databases with set search constraints such as language, date of publication and specific keywords. This paper presents how cloud computing integrated with the medical cyber physical systems can impeccably securely manage the health systems. More specifically the collection, monitoring, and management of real-time data and as a result of this integration, different cyber-attacks are escalating.
Secure group key agreement protocol with elliptic curve secret sharing for authentication in distributed environments
Authors: Sairise Raju M. , Limkar Suresh , Deokate Sarika T. , Shirkande Shrinivas T. , Mahajan Rupali Atul , Kumar Anil
Published: September 2023

Secure communication is crucial in today’s increasingly interconnected world, especially in distributed contexts where several parties must cooperate while maintaining confidentiality and authenticity. In order to overcome these difficulties, this work introduces a novel Secure Group Key Agreement Protocol (SGKAP) strengthened with Elliptic Curve Secret Sharing (ECSS).The proposed SGKAP uses the strength of elliptic curve cryptography to provide a shared secret key across participants, assuring data transmission confidentiality. Contrary to conventional methods, SGKAP integrates ECSS as a second layer of security to verify participant identity, thus boosting the protocol’s resistance to malevolent adversaries.To create a shared group key, members exchange their elliptic curve public keys at the start of the protocol. During this stage, ECSS is used, and participants create distinctive authentication tokens using their personal secrets. Participants exchange and verify these tokens among themselves, ensuring that only those with the proper permissions have access to the group key.In addition to guaranteeing data confidentiality, SGKAP also verifies the group members’ participation. Furthermore, by mandating secret-sharing-based authentication, ECSS strengthens the protocol’s resistance to insider attacks.We carried out a comprehensive set of simulations and experiments in various distributed contexts to assess the performance and security of SGKAP with ECSS.
A mechanism to ensure identity-based anonymity and authentication for IoT infrastructure using cryptography
Authors: Limkar Suresh , Ashok Wankhede Vishal , Singh Sanjeev , Singh Amrik , Wagh Sharmila K. , Ajani Samir N.
Published: September 2023

The spread of the Internet of Things (IoT) has caused a variety of devices to communicate with one another, producing enormous volumes of data and nurturing a linked ecosystem. However, the privacy of users, the integrity of the data, and secure authentication are seriously jeopardised by this link. In this context, we suggest a unique technique that makes use of identity-based anonymity and cryptographic authentication in IoT infrastructure in order to solve these problems.In order to facilitate safe communications between IoT devices, users, and service providers, our proposed mechanism creates a third-party authenticated protocol. This anonymity protection reduces the danger of unauthorised tracking and data exploitation by securing user names and usage patterns from possible attackers.The proposed system ensures the integrity and confidentiality of data transmitted between IoT devices and service providers by utilising sophisticated encryption algorithms. Additionally, it simplifies the authentication procedure, improving system efficiency overall without sacrificing security. The proposed technique into practise and assessed it using real-world IoT infrastructure scenarios, showcasing how well it protects user privacy and ensures safe communication. The findings show that the mechanism has a low computing cost and can withstand a range of security threats, making it a viable option for identity-based anonymity and authentication in IoT networks. Our approach makes a significant contribution to protecting user data and encouraging trustworthy interactions in IoT infrastructure as the IoT environment continues to grow.
Quantum Digital Signatures (QDS): A novel approach to safeguarding electronic health records
Authors: Saini Bhavna , Verma Vivek Kumar , Tiwari Pradeep Kumar , Varma Mudunuri Venkata Chaitanya
Published: September 2023

Electronic Health Records (EHRs) form the backbone of modern healthcare, ensuring seamless access to a patient’s medical history and fostering effective patient-doctor relationships. Their digital nature, however, exposes them to myriad security threats, including unauthorized access, tampering, and fraudulent alterations. Traditional cryptographic techniques, while effective in the current digital landscape, might not stand robust against future threats, especially those posed by quantum computers. This paper introduces Quantum Digital Signatures (QDS) as a cutting-edge approach to address this burgeoning concern. QDS leverages the principles of quantum mechanics to provide an additional layer of security, making it computationally infeasible for adversaries to forge or alter signed messages, including sensitive EHR data. Unlike conventional digital signatures that depend on the presumed difficulty of certain mathematical problems, the security attributes of QDS stem from the fundamental laws of quantum physics, ensuring a higher level of integrity and authenticity. We present a comprehensive overview of the QDS protocol and its integration into current EHR systems. Our comparative analysis with existing cryptographic techniques illuminates the advantages of QDS, especially in preventing undetected alterations and ensuring non-repudiation. Practical deployment challenges, including quantum device imperfections and potential integration bottlenecks, are also addressed. The adoption of Quantum Digital Signatures in safeguarding EHRs ushers in a new era of medical data security. While the large-scale implementation of such quantum technologies is still in its infancy, proactive research and early adoption are pivotal in preparing healthcare systems for future challenges. Through this research, we advocate for the broader integration of quantum cryptographic techniques, such as QDS, to uphold the sanctity and trustworthiness of electronic medical data in the face of evolving digital threats.
Sensibilidad y especificidad de las escalas diagnósticas en la apendicitis aguda. Estudio prospectivo
Authors: Castro Pinto Andrea
Published: September 2023

La Apendicitis Aguda se manifiesta cuando existe inflamación del apéndice cecal, representando una de las más notables causas de abdomen agudo con pronóstico quirúrgico en el mundo. Existen sistemas de puntuaciones que se han generado para su comprobación, mediante técnicas no invasivas, de fácil aplicación y reproducción; destacando entre ellas las escalas de ALVARADO, RIPASA, AIR, entre otras. Objetivo: Evaluar el uso de las escalas AIR Vs. RIPASA para el diagnóstico de la Apendicitis Aguda en el Hospital General Nacional “Dr. Ángel Larralde”, período enero 2020 – diciembre 2022. Materiales: Muestra fue intencional no probabilística, cumpliendo con los criterios de inclusión. Para la recolección de datos, se empleó la observación directa como técnica y como instrumento las escalas AIR y RIPASA. Resultados: Muestra conformada por 192 pacientes, sin predisposición de géneros. Sensibilidad, especificidad, valor predictivo positivo, valor predictivo negativo y exactitud diagnóstica AIR: 70%; 58,33%; 73,68%; 53,84%; 65,62%; RIPASA: 88,88%; 42,85%; 66,66%; 75%; 68,75%. Conclusiones: La exactitud diagnóstica para la escala de RIPASA fue ligeramente mayor que para AIR (68,75% vs. 65,62%), permitiendo afirmar que, en el grupo de estudio, resultó más conveniente la aplicación de la escala de RIPASA en pacientes sanos para el diagnóstico correcto de Apendicitis Aguda.
Hernia diafragmática traumática derecha en paciente geriátrico. Reporte de un caso infrecuente
Authors:   Cirujano General. Adjunto del Servicio de Cirugía General “Dr. Rommel Mota”, Hospital General Nacional “Dr. Ángel Larralde”., Padrón Sanabria Johnny Alexander
Published: September 2023

Introducción: La hernia diafragmática surge como resultado del movimiento de los órganos abdominales hacia el tórax a través de un defecto del diafragma resultante de varios tipos de lesiones, que a menudo representan un desafío diagnóstico y terapéutico. La hernia diafragmática traumática es una enfermedad infrecuente. El trauma diafragmático rara vez es aislado, la mayoría de las veces se acompañan de otras lesiones toracoabdominales, cerebrales o musculoesqueléticas, siendo estas comorbilidades más graves responsables del mal pronóstico y aumento de la mortalidad.Caso clínico: Anciana de 90 años de edad, hipertensa, quien inicia cuadro clínico 48 horas previas a su ingreso, cuando posterior a caída del plano de bipedestación presenta disminución del estado de consciencia, náuseas, vómitos y disnea en reposo. Rx de tórax evidencia asas intestinales en hemitórax derecho. Se realiza laparotomía exploradora. Conclusión: Las hernias diafragmáticas traumáticas son infrecuentes (3% de incidencia), de sintomatología inespecífica y relacionada con lesiones asociadas al trauma. Siempre se debe sospechar de una HD ante un paciente con antecedente de trauma cerrado de alto impacto o penetrante, en función de la cinética y mecanismo de lesión. El diagnóstico supone un reto para el cirujano, debiendo apoyarse en una firme sospecha y estudios radiológicos. Su tratamiento es quirúrgico, debiendo ser individualizado, con abordajes torácicos o abdominales en función del caso. La técnica a emplear dependerá de las características del defecto y de la fase del diagnóstico.
¿Neoplasia de células de Hürtle o de células oncocíticas? Denominación actual y su manejo. Reporte de caso
Authors:   Cirujano General. Adjunto del Servicio de Cirugía General “Dr. Rommel Mota”, Hospital General Nacional “Dr. Ángel Larralde”., Padrón Sanabria Johnny Alexander Padrón Sanabria
Published: September 2023

Introducción: Las células de Hürtle fueron descritas por Max Askanazy en 1898, aunque su denominación inapropiada ha permanecido en el léxico. Pueden observarse en una amplia variedad de lesiones tiroideas, desde afecciones no neoplásicas hasta francamente malignas. Caso clínico: Femenina de 62 años de edad, asmática e hipertensa controlada, alérgica al yodo y a la penicilina, quien inicia enfermedad actual 1 año previo al presentar aumento de volumen en región anterior del cuello. Ecografía tiroidea reportó glándula aumentada de tamaño, con nódulo tiroideo derecho, complejo de 4 cm; y nódulo tiroideo izquierdo, complejo de 2 cm, TI-RADS 4C. Tomografía computarizada reportó lesión ocupantne de espacio del lóbulo tiroideo derecho de 6 cm y nódulos tiroideos izquierdos de 3 y 2 cm. Pruebas tiroideas sin alteraciones. Se realizó tiroidectomía total. Diagnóstico histopatológico: adenoma de células de Hürtle. Conclusión: En la actualidad, el término correcto es neoplasia de células oncocíticas, bien sea para el adenoma o para el carcinoma. Este tipo de tumores se presenta con mayor frecuencia en mujeres de mediana edad y con un tamaño considerable al momento del diagnóstico. Es necesario establecer un protocolo de acción ante el diagnóstico presuntivo mediante punción por aspiración por aguja fina, debido a la dificultad para diferenciar entre patología benigna y maligna, con la finalidad de garantizar una conducta terapeútica adecuada.
Técnica de reconstrucción de ligamentos pélvicos según la Teoría Integral
Authors:   Hospital Dr. Miguel Pérez Carreño, Piñango Luna Silvia M.
Published: September 2023

La patología de piso pélvico es una entidad multifactorial con un conjuntos de síntomas ginecológicos, urinarios, fecales y de sensibilidad pelviperineal. La Teoría Integral de la Continencia propone un tratamiento holístico con la reconstrucción de los ligamentos del piso pélvico.La presente técnica propuesta constituye una alternativa quirúrgica que permite dar respuesta de forma global a los síntomas que refieren las pacientes. Método: Reconstrucción de los ligamentos pubouretrales, cardinales y úterosacros con acortamiento de su longitud y colocación de cinta de malla de polipropileno que permita la formación de colágeno y mejore los resultados a lagro plazo. Resultados: Se incluyeron 15 pacientes con prolapso de órganos pélvicos, incontinencia urinaria, vulvodinia, nocturia, alteración del vaciamiento vesical y nocturia. Se realizó seguimiento al 1, 3 y 6 años. Se obtuvo diferencia estadísticamente significativa al año en la incontinencia urinaria de esfuerzo, dolor pélvico, alteración del vaciamiento y nocturia y prolapso ( p = 0,33, 0,033, 0,002 y 0,001 respectivamente). En el seguimiento a 6 años se evaluó el 20 % de la muestra inicial, 2 pacientes con recidiva de la alteración del vaciamiento y la incontinencia urinaria, ninguna con recidiva de prolapso. Vulvodinia: Se incluyeron 2 pacientes las cuales no tuvieron el síntoma a los 3 años de seguimiento. Conclusiones: La técnica propuesta es una alternativa para el tratamiento de la patología del piso pélvico y requiere aumentar el tamaño de la muestra para aumentar el aprendizaje de la técnica y tener mayor evidencia estadística de sus resultados a corto y largo plazo.
Correlación ultrasonográfica entre volumen tiroideo y Ti-rads. Estudio prospectivo
Authors: Bocaranda Jiménez Debora
Published: September 2023

La comunidad científica se ha preocupado por cuantificar el volumen tiroideo según variables como sexo, edad y deficiencias de yodo asociadas, sin embargo, pese al uso globalizado de TI-RADS para estimación de riesgo de malignidad en la patología tiroidea, no existe suficiente información en relación a si el tamaño de la glándula guarda o no relación con esta escala. OBJETIVO: comparar el Volumen Tiroideo con TI-RADS en pacientes atendidos en la unidad de ecografía diagnóstica del Centro Clínico Naguanagua en el período enero 2022 - enero 2023. METODOS: estudio observacional-descriptivo de nivel comparativo, con diseño transversal y prospectivo. Muestra no probabilística censal, abarcando la totalidad de los pacientes a los cuales se les efectuó ecografía tiroidea en el período establecido. Se efectuó un registro en cuanto a la cuantificación del volumen de: lóbulo tiroideo derecho, lóbulo tiroideo izquierdo y total de tiroides, TI-RADS, edad y sexo del paciente. Se utilizó el estadístico ANOVA y se empleó el programa Statistical® de licencia libre. RESULTADOS: muestra de 126 pacientes, con edad promedio de 51,71 años ± 1,44, mediana de 53 años. Cuando se comparó el Volumen Total de Tiroides con TI-RADS, se constató que el mayor promedio lo registraron aquellos pacientes clasificados como 4B (p <0,05). CONCLUSIÓN: aun cuando se registran mayores promedios de volumen total glandular en pacientes con hallazgos nodulares, llama la atención que entre los datos registrados existan pacientes con valores muy similares a lo reportado en la literatura como volúmenes normales en presencia de patología nodular tiroidea.
Relación localización-tipo histológico del adenocarcinoma gástrico en pacientes del IAHULA Mérida Venezuela. Repercusiones quirúrgicas
Authors: Ricciardi Vásquez Juan
Published: September 2023

El cáncer gástrico es una neoplasia común en el mundo, su patrón anatómico cambió, con diferencias entre grupos poblacionales. Es importante establecer la relación entre la localización de la lesión y su histología, planteando exigencias quirúrgicas diferentes. Objetivo: describir el comportamiento de la patología en Mérida Venezuela y los procedimientos quirúrgicos empleados en su manejo. Método: investigación observacional transversal en pacientes del IAHULA con adenocarcinoma gástrico, durante el periodo enero 2016 hasta diciembre 2020, Resultados: en relación a su localización anatómica la distribución fue: 47 antro pilórico, 33 cardias y el resto en el cuerpo gástrico. Las lesiones difusas o con células en anillo de sello predominaron en las 3 ubicaciones del estómago, pero con cifras similares para aquellas en el cardias/fundus, a diferencia de las lesiones de la región de antro/píloro donde hubo 36 de tipo difuso y 11 de tipo intestinal. Las lesiones antro pilóricas se asociaron con la resección oncológica mediante gastrectomía subtotal (p 0,000). No se detectó asociación entre la localización de la lesión y la clasificación propuesta por Laurent (p 0,073). Conclusión: a pesar de la importancia de la ubicación de la lesión y el tipo histológico para fines quirúrgicos, no se encontró la referida relación, lo que resalta la heterogeneidad en la presentación del adenocarcinoma gástrico en la localidad.
Cierre primario diferido en pacientes laparotomizados de emergencia con índice SENIC mayor o igual a 3 puntos
Authors:   Servicio  de  Cirugía  Hospital  Universitario  de  Los  Andes,  Mérida,  Venezuela, Rojas Rivas Susan
Published: September 2023

Las infecciones del sitio operatorio representan un desafío en el entorno hospitalario. El cierre primario diferido ha surgido como técnica para prevenirlas. Esta investigación busca explorar los beneficios del cierre primario diferido en la reducción de infecciones, estancia hospitalaria y costos, mejorando los resultados clínicos en cirugías abdominales. Objetivos Evaluar el cierre primario diferido en pacientes laparotomizados de emergencia que acuden Hospital Universitario de Mérida –Venezuela, con índice SENIC mayor o igual a 3 puntos. Métodos Se llevó a cabo un estudio experimental prospectivo para evaluar los efectos del cierre primario diferido en comparación con el cierre primario en laparotomías exploradoras. La muestra consistió en 160 pacientes. Se analizaron la presencia de infecciones, la duración de la estancia hospitalaria y la evolución temporal de las infecciones como desenlaces del estudio. Resultados Se encontró que el cierre primario diferido redujo la presencia de infecciones en comparación con el cierre primario. La limpieza trans-operatoria y el diagnóstico de abdomen agudo quirúrgico infeccioso fueron factores beneficiosos. La antibioticoterapia continua en el postoperatorio también fue más efectiva. Se observó una disminución del riesgo de infección en el grupo experimental en un 37% en comparación con el grupo de control. Conclusiones El cierre primario diferido de la herida reduce significativamente la probabilidad de infección del sitio operatorio en cirugías abdominales con heridas contaminadas. Es una técnica beneficiosa para pacientes con abdomen agudo quirúrgico infeccioso. Además, el cierre primario diferido resulta rentable al disminuir tanto la incidencia de ISO como la duración de la estancia hospitalaria.
Caracterización microbiológica y fenotipificación de la resistencia bacteriana en las infecciones intraabdominales en el Instituto Autónomo Hospital Universitario de los Andes, 2014-2017
Authors: Sulbarán-Rodríguez Natalia Patricia
Published: September 2023

Objetivo: caracterizar los microorganismos involucrados en las infecciones intraabdominales, y fenotipificar sus perfiles de resistencia al uso de los antibióticos en el Servicio de Cirugía General del Instituto Autónomo Hospital Universitario de Los Andes, entre los años 2014 al 2017. Metodología: enfoque cuantitativo; tipo descriptivo, diseño no experimental de estudio de casos y transversal, a través de toma de muestras de secreciones abdominales en quirófano a las cuales se les realizó cultivo en medios de agar sangre y McConkey, tinción Gram, contaje de leucocitos, y prueba Kirby-Bauer de sensibilidad antimicrobiana. Muestra de 211 pacientes mayores de 16 años que acudieron a la institución con el diagnóstico de abdomen agudo quirúrgico infeccioso. Resultados: el abdomen agudo quirúrgico infeccioso por apendicitis aguda fue la infección intraabdominal más común, grupo etario que acudió con más frecuencia: <26 años. Agentes etiológicos más frecuentemente aislados: bacilos Gram negativos, especies más frecuentes: E. coli (57,3%), K. pneumoniae (10,9%) y P. aeruginosa (6,16%). De todos los microorganismos aislados 57,6% expresaron al menos un fenotipo de resistencia. Fenotipo más común: betalactamasa de espectro extendido y bomba de eflujo de quinolonas (18,8%). Microorganismos con mayores porcentajes de resistencia: Staphylococcus sp. y Enterococcus sp (~100%). Los mejores porcentajes de sensibilidad de la E. coli, K. pneumoniae y P. aeruginosa fueron hacia al colistin, carbapenémicos y amikacina (100%). Conclusión: Los carbapenémicos y los aminoglucósidos seguirán siendo los fármacos de elección en las infecciones intraabdominales del Instituto Autónomo Hospital Universitario de Los Andes.
Airline Reservation and Flyer Management System
Authors: Raj Kumar S  , Prof. Sanila S
Published: September 2023

Airline reservation and flyer management system is a web-based application designed for a specific airline company. It provides a platform for frequent fliers to register and manage their flights, including the utilization of miles earned through the airline's frequent flyer program. The application allows frequent fliers to log in and input all the necessary details related to their travel within the airline company. The airline offers a range of domestic services to various locations, and users can easily search for available flights and book seats on their preferred flights. The payment for the bookings can be conveniently made online. Upon successful payment, users receive a ticket with a unique ticket number and comprehensive travel details. It is important to note that the airline company exclusively offers booking and ticketing services to individuals who have registered with their frequent flyer program. In case of any changes or cancellations, the system provides a ticket cancellation feature. Users can cancel their booked tickets, and this functionality also extends to travelers who are associated with a registered user. This ensures flexibility and convenience for all parties involved. Overall, the Magical travels streamlines the flight booking and management process for frequent fliers, while offering a secure and user-friendly interface for accessing and utilizing the airline's services.The website may utilize various technologies and frameworks, such as React, HTML, CSS, JavaScript, and server-side languages, to create a seamless and engaging user experience.
Health Empire
Authors: Karthik J  , Prof. Redhya M
Published: September 2023

“Health Empire” project is your go to web application platform for all the things related to your health, wellness and physical fitness. Whether you are a fitness enthusiast, a beginner in your fitness journey or want to lead a healthier lifestyle then you have come to the right place as this website will empower you on your path to achieve your fitness goals. In this project we will use technology to facilitate training from home and motivate people to begin and maintain an active lifestyle and how it can be effective on achieving results such as better strength and balance. Our application includes workout videos, Yoga Videos, Nutritional Plans, Trainers and Doctors for assistance and user can also search for gyms and their contact info. This project aims to create a community for people who can help each other to be the best version of themselves. The website utilizes various technologies and frameworks of MERN such as React, NodeJS, Express, MongoDB