bluuebunny/crossref_metadata_2025 huggingface dataset:
Multiple Inflammatory Fibroid Polyps in a Female; A case Report
Authors: IFTIKHAR AYESHA
Published: April 2023

The inflammatory fibroid polyp (IFP) usually presents as a solitary benign polyp that arises from the submucosa of the gastrointestinal tract. It occurs more commonly in males and stomach is the favored site followed by ileum, colon and duodenum. Multiple inflammatory fibroid polyps (IFPs) is a rare occurrence, so we thought of presenting a case of a 40 years old female with multiple inflammatory fibroid polyps (IFPs). She presented with abdominal pain and abdominal fullness. Her C.T. abdomen showed multiple lobulated soft tissue masses causing intussusception. Surgical resection was done, and histopathological examination of these polyps showed features of IFPs. A literature review of 9 cases (including ours) between 2000-2022 is also presented. To our knowledge this is the third female patient with multiple IFPs.
EARLY WEIGHT BEARING MOBILIZATION AFTER SURGICAL FIXATION OF UNSTABLE ANKLE FRACTURES– PROSPECTIVE STUDY
Authors: Babu M Sathish , Ganesh A. , Babu M B Sathik , Kumar Kar Sunil
Published: April 2023

Objective:The purpose of the study is to clarify outcomes of early weight bearing in lower extremity fractures treated operatively and advantage of
Immediate-Early weight bearing over LWB mobilization Prospective study A total of 136 skeleta Design: Materials and methods: lly mature
patients underwent ankle surgery, 33 of which were allowed immediate weightbearing as tolerated (IWBAT) in the acute postoperative period was
taken into study At the scheduled follow-up, patients had wound assessment, radiogra Outcome Measures: phic analysis of fracture reduction
maintenance and healing, clinical fracture healing evaluation, and complications requiring further surgery. After 6 months the patients were
individually assessed using a Modied American Academy of Orthopaedic Surgeons Foot and Ankle Scale (MAAOSFS) This study Results :
demonstrates that IWBAT in a certain subset of patients with stable osteosynthesis following an ankle fracture is a safe alternative to a period of
protected weight-bearing. Earlier weight-bearing is associated with earlier return to full weight bearing without a reduction in functional outcome
scores. IWBAT in a certain subset of patients with stable osteosynthesi Conclusions: s following an ankle fracture is a safe alternative to a period of
protected weight-bearing. Earlier weight-bearing has been associated with better mobility, shorter hospital stays, and earlier return to work.
Potential candidates for IWBAT are patients with closed ankle fractures, without syndesmotic disruption, and with no involvement of the tibial
plafond and in whom stable xation has been achieved. Conict of Interests The authors declare that there is no conict of interests regarding the
publication of this paper
A STUDY ON STRESS AMONG RESIDENT DOCTORS IN A TERTIARY CARE HOSPITAL, VIJAYAWADA, ANDHRA PRADESH
Authors: Suma Tatikonda , Divya Reddy B. , Rehaman Shaik Mujibur , Nageswara Rao R.
Published: April 2023

Background: Resident doctors have heavy workload and have to deal with a large number of patients having different health conditions and the
health risks faced by the doctors puts them under lot of stress. There is a growing concern about stress among doctors working in hospitals, so
present study was carried out to assess the prevalence of stress and factors inuencing among them at a tertiary care hospital, Vijayawada.
Methodology: A cross sectional study was conducted in Siddhartha Medical College, tertiary care hospital in Vijayawada from August 2021 to
January 2022. The perceived stress scale of 10 items self administered questionnaire was used to assess the level of stress and data entered in excel
sheet and analysis was done using SPSS Version 24(trial). Results: A total of 300 resident doctors were interviewed, all were above the age of 24
years, Out of all residents 39.1% had stress, among them 45% were females, 49.1% were males. Out of 47 married residents 72.3% had stress. In
present study stress among the rst year residents had more than second and third year residents. Conclusion: Providing support and improving
working conditions, adequate resources and psychological counselling and therapy, conducting stress management programmes can help in
combatting the stress
STUDY OF INFANT WEANING PRACTICES IN A TERTIARY CARE HOSPITAL
Authors: Sindhuri Vasipalli , Kumar Nagendra , Manisha Banswada
Published: April 2023

Background: Complementary feeding is extremely essential from six months of age, while continuing breastfeeding, to meet the nutritional
demands of the growing baby. Hence this study was intended to determine various factors inuencing weaning in infants.
Objectives:
1. To study weaning practices in infants of age between six to twelve months. To know the status of nutrition of the child in relation to weaning
practices and socio-demographic prole.
2. To know the age of weaning and its impact on a child's growth.
Materials and methods: Data was collected using a self-administered, semi-structured questionnaire with the mothers regarding practices of
weaning.200 mothers were interviewed with infants, 6-12 months of age attending OPD in Narayana medical college and hospital, Nellore, Andhra
Pradesh. Participants: Mothers with infants of age 6 months to 12 months who were attending OPD for minor illness or immunisation. Results:
Among 200 mothers, practices of weaning were evaluated. seven months is the average age of weaning. Only a small number of health
professionals had accurate information. 40% of mothers started on processed foods. Weaning is more likely to occur later in female children,
mothers who lack literacy, people from lower socioeconomic status. There is no relationship between parity, occupation and residence(p>0.05).
Children that were underweight, stunted, or wasted made up 46.7%, 43.4%, and 36.6% of the population. There is a strong correlation between a
child's malnutrition and delayed weaning. Conclusions: Most of the mothers were unaware of current standards regarding weaning time. Due to
incorrect knowledge, wrong ideas and attitudes, illiteracy, low socioeconomic position, the average age of weaning is delayed, which causes the
infant to become malnourished. Therefore, in order to prevent malnutrition and enhance the health of the children, proper information and
education about timely weaning, weaning foods, preparation, and practices should be provided to mothers and caregivers
ROLE OF MULTIDETECTOR CONTRAST ENHANCED CT IN CORRELATION OF BIOCHEMICAL AND RADIOLOGICAL FINDINGS IN ACUTE PANCREATITIS, CASE SERIES
Authors: Baisoya Rinkey , B. Shahu Sanjay. , Mahmud Shadab
Published: April 2023

Hyperglyceridemia (HTG) can result from a variety of causes, with gallstones, alcoholic consumption, and HTG being the most common
etiologies in order. Type 1 and type 4 hyperlipidemia or type 2 diabetes mellitus (T2DM) are familial forms of HTG, while excessive alcohol
consumption, certain drugs, hypothyroidism, and obesity can also lead to HTG. HTG is a relatively uncommon cause of acute pancreatitis (AP),
accounting for only 10-15% of cases. In a study of 25 patients admitted with AP, 5 were found to have HTG as the cause. These patients, who were
aged 30-45 and included equal numbers of male and female patients, had high triglyceride levels at admission and responded to treatment with
intravenous insulin and dextrose. This suggests that HTG should be considered as a potential cause of AP in patients with T2DM and that measuring
triglycerides is an important step in the evaluation of all patients with AP
PATTERNS AND DEMOGRAPHIC DISTRIBUTION OF HEMOGLOBINOPATHIES DIAGNOSED ON HPLC IN A TERTIARY CARE HOSPITAL OF NORTH EASTERN INDIA
Authors: Choudhury Manjula , Ali Hazarika Nakib
Published: April 2023

Introduction: Hemoglobinopathies are the most common genetic disorders reported in the World. According to WHO, 5% of the world population
is a carrier for hemoglobin disorder. The aim of the study was to determine the Aims and objective: prevalence and demographic prole of
hemoglobinopathies in a tertiarty care hospital. During 1 year period, a cross-secti Materials and Methods: onal study was carried out on 150
microcytic hypochromic anaemic patients samples (Hb <11g/dl) of age 1-18 yrs. All the samples were tested for complete blood count and sent for
HPLC study. Out of 150 cases, 114 cases were diagnosed as having hemoglobinopathies Results: by HPLC with its prevalence being 76%. With a
slight male preponderance was seen (52.6%). The most common hemoglobinoapthy being detected was HbE trait (28%) followed by HbE disease
(26.67%). While β thalassemia trait was 13.33%, β thalassemia major was 0.67% and HbE with β thalassemia was 7.33%. The most affected
community are the Tribal community with a prevalence of 21.05% followed by the Tai Ahom community (17.54%). Assam is a rich Conclusion:
reservoir of hemoglobinopathies as nearly 60% of all cases of anemia coming for investigations may show some form of this disorder. Since there is
no effective treatment for this disease, so carrier detection and awareness programmes have to be conducted at community level for its control and
prevention
NON DESCENT VAGINAL HYSTERECTOMY IN BENIGN UTERINE CONDITIONS -RETROSPECTIVE ANALYSIS
Authors: Monica Parkuru , Prasuna Narra , B. Gayathri K.
Published: April 2023

Introduction: Hysterectomy is commonly performed gynaecological surgery for various indications. It can be done by abdominal, vaginal or
laproscopically. NDVH is removal of the uterus through vaginal route without uterine descent. Aim: To study the ability of nondescent vaginal
hysterectomy done for benign uterine conditions. Objectives: 1. To study the intraoperative and post-operative complications encountered during
NDVH and their management. 2. To assess the operative time, intraoperative blood loss, and post-operative hospital stay. Material And
Methods: 65 cases were analysed from OT records. All relavent information regarding menstrual history, obstetric history and details regarding
clinical examination was collected from casesheets from record room and cases were analysed regarding indication for hysterectomy, size of
uterus, mode of delivery(NVD,LSCS). Intraoperative and post-operative complications were analysed. Duration of postoperative hospital stay
was analysed. Patients were asked to come for follow up 15 days after discharge. Results: 90.7%(59) of NDVH cases were discharged without
complications suggesting low morbidity associated with the procedure. Hemorrhage requiring blood transfusion was found in 4.6 % of cases.
conversion to emergency laparotomy due to bladder injury is seen in 1.5% cases. Conversion to TAH due to difculty in opening pouch of douglas
is seen in 3.07%. Post-operative complications such as vaginal discharge seen in 7.6%, fever was seen in 6 % of cases. 80% of patients postoperative hospital stay was 3 to 4 days. Conclusion: The present analysis conclude that patients requiring hysterectomy for benign non prolapsed
cases can be offered option of non descent vaginal hysterectomy which has quicker recovery, shorter hospital stay and lesser postoperative
complications.
PROFILE OF TUBERCULOSIS PATIENTS IN PERSON LIVING WITH HIV (PLHIV) AND THEIR RELATIONSHIP WITH CD4 COUNTS
Authors: Pandey Sourabh , Dave Lokendra , Mishra Vikas , Jain Sourabh
Published: April 2023

Background- This study aims to observe prole of TB in PLHIV patients and their correlation with CD4 counts. Methods- This is a crosssectional observation study done from January 2021 to June 2022 in department of respiratory medicine GMC Bhopal. PLHIV patients between
12-60 years of age with clinico-radiological and microbiological evidence of TB were included. Patients with history of TB treatment with
currently no evidence of active TB and with any chronic ailments were excluded to avoid bias. Results- Out of 100 patients, 53 patients had only
pulmonary TB, 18 patients had only EPTB and 29 patients had disseminated TB. Pleural effusion was the most common EPTB (31.9%). In this
study HIV-TB coinfection is more prevalent in male (70%) with maximum 40 cases in 30-40 year age group. According to CD4 counts 68 patients
were in CD4 counts <200 cells/mm3. Most common clinical feature was cough (89%) followed by decrease appetite (88%), fever (85%), loss of
weight (85%), expectoration (73%), dyspnea (46%) and night sweats (31%). Out of 100 cases, 31 cases detected by CBNAAT among which 16
cases also had positive sputum microscopy. Chest x-ray among 100 patients showed inltrates in 82 cases with maximum (70.7%) in CD4
counts<200 cells/mm3.Also chest x-ray showed inltrates with cavity in 14 patients with maximum (71.4%) in CD4 counts >500 cells/mm3.
Conclusion- In this study, severity of clinical feature, radiological ndings, EPTB & disseminated TB cases increase as CD4 counts decrease.
Overall pulmonary TB is still more common presentation. Also microbiological diagnosis is poor in lower CD4 counts due to paucibacillary
disease. Presentation of TB become more atypical as CD4 counts decreases. .We recommend that special attention has to be given to all patients
with low CD4 counts as they are more prone to atypical features, EPTB & disseminated TB.
PRESENCE OF PERIPHERAL EOSINOPHILIA IN CUTANEOUS DERMATOPHYTOSES IN WESTERN MAHARASHTRA- AN OBSERVATIONAL STUDY
Authors: S Khade Asha , Borah Liza , Kulkarni Medha , Gosavi Alka
Published: April 2023

Introduction: Dermatophytosis is a supercial fungal infection of the skin, hair and nails. The clinical and pathological features of
dermatophytosis have been extensively reported in literature but its association with peripheral eosinophilia has not received any attention. Aim:
The aim of the study is to report peripheral eosinophilia in patients with supercial cutaneous fungal infections. Materials and methods : Total
305 patients attending a Dermatology OPD suffering from cutaneous fungal infection were included in this study. Peripheral blood sample was
collected in all patients to estimate absolute eosinophil count. Patients with eosinophil count more than 500 cells/μL were considered as having
eosinophilia. Results : In a study of 305 cases of cutaneous fungal infections, dermatophytosis was found to be the most common fungal infection
accounting for 282 (92.45%) cases. Absolute eosinophil count (AEC) more than 500 cells/μLwas observed in 76 (26.95%) cases, out of which Six
(2.12%) patients had marked eosinophilia (AEC >1500 cells/μL). No peripheral eosinophilia was observed in remaining 23 (08.15%) cases of
other cutaneous fungal infections. Conclusion : The presence of peripheral blood eosinophilia is a signicant nding in dermatophytosis
particularly in chronic, long standing cases. One should be aware of this nding so as to avoid over investigating eosinophilia
ADJUNCTIVE USE OF CLONIDINE OR DEXMEDETOMIDINE WITH 0.25% ROPIVACAINE IN PNS GUIDED FEMORAL NERVE BLOCK FOR POST OPERATIVE ANALGESIA AFTER LOWER LIMB PROCEDURES : A RANDOMISED COMPARATIVE CLINICAL TRIAL
Authors: Mali Priyanka , Dalal Shital , Ingale Leena
Published: April 2023

Background: The quality and duration of analgesia is improved when a local anesthetic is combined with alpha 2 adrenergic agonist. Though, the
effects of clonidine on local anesthetics have been extensively studied, there are limited studies demonstrating the effects of epidural dexmedetomidine
on local anesthetics. The aim of our study is to compare the effect of clonidine and dexmedetomidine when used as an adjuvant to ropivacaine for post
operative analgesia after lower limb surgeries. Materials and Methods: Primary anesthetic technique in all the patients was spinal anesthesia.
However femoral nerve block was placed at the completion of surgery by randomizing patients in two groups:Group C (20ml 0.25% Ropivacaine
+1mcg/kg Clonidine) and Group D (20ml 0.25% Ropivacine +1mcg/kg Dexmedetomidine ) both containing 35 patients Onset of analgesia , duration of
analgesia(It is time interval between administration of FNB & demand of rst resue analgesic ,total no of Rescue analgesics required in 24 hrs and
quality of analgesia ,hemodynamic stability, post operative sedation scoring ,failure rate of technique and complications were recorded. Results: We
found signicant difference in onset(9.41 ±0.73 mins) and duration(7.69±0.69 mins) of analgesia in group C as compared to onset(3.08 ±0.61 mins)
and duration(11.16±0.58 mins) of analgesia in group D. No signicant complications were seen in either of the group.Conclusion: Dexmedetomidine
at doses of 1 μg/kg is an effective adjuvant to ropivacaine for post operative analgesia after lower limb procedures .
Performance Analysis of Gasoline Engine with Different Ethanol Blends
Authors: Kumar Venktesh
Published: April 2023

please read the data and assign them as formet
Evaluation the Role of Vitamin C in the IUI-Treatment of Female Infertility
Authors: Hashim Batool Abdulwahid , Al-Ghazali Basima Shamkhi
Published: April 2023

Background: the prevalence of female infertility ranges between 7% to 28% depending on the age of the woman, however ovulatory disorder can be seen in fifths of infertile women. In a healthy body, ROS (Reactive Oxygen Species) and antioxidants remain in balance, when the balance is disrupted towards an overabundance of ROS; Oxidative stress (OS) occurs. Oxidative stress markers have been localized in follicular fluid of subfertile women undergoing assisted reproduction, Low intrafollicular oxygenation has been associated with decreased oocyte developmental potential. Vitamin C (ascorbic acid) is required for the synthesis of collagen, for the synthesis of steroid and peptide hormones, and it protects tissues of oxidative damage. There is an abundance of ascorbic acid in the ovary, which is consistent with its known roles in hormone synthesis and synergism with neurotransmitters in stimulating hormone secretion.
Objective: The aim of our study is to evaluate the role of Vitamin C  in the treatment of female infertility, with outcomes measured by total number of follicles, follicular size, endometrial thickness, and pregnancy outcome.
Methodology: Randomized, controlled, group- comparative study by taking two groups and observe them to study the effect of adding vitamin C on infertility treatment of half of them. 50 women on induction of ovulation prepared for (IUI) with no vitamin C in their treatment and (50 women) prepared for (IUI) with vitamin C of 500-1000mg daily in their treatment and follow up them by serial ultrasound measurement for number of ovarian follicles, follicular diameter and endometrial thickness and pregnancy outcome.
Result: Follicular diameters, follicular numbers, endometrial thickness at day 10 of cycle, and pregnancy rate in group receiving vitamin C were all higher than group that who are not taking vitamin C.
Conclusion: Vitamin C has a role in female reproduction as it can improve the number, diameter of follicles, endometrial thickness and thereby pregnancy outcome.
Is YouTubeTM the right address to get information on providing hygienic care for dental prostheses users?
Authors: Ulusoy Habibe Öztürk , Alan Raif
Published: April 2023

Objective: Patients increasingly use social media platforms such as YouTubeTM to get information about health issues. However, the effect of the videos on YouTubeTM on oral health care is still controversial. This study aimed to analyze the content quality of the videos on YouTubeTM about the oral hygiene care of various dental prostheses.
Material and Methods: YouTubeTM videos were searched utilizing operators and keywords: «* (denture OR prosthesis OR implant) hygiene OR care OR cleaning OR brushing OR maintenance». The videos were ordered by "relevance". The video's source, origin, and content; duration; the number of likes, dislikes, comments, and views; the number of days since upload; viewing rate and viewer interactions were recorded for each video. In addition, videos were scored for the usefulness of their content: poor (0), moderate (1), or excellent (2).
Results: 200 videos were screened, and 82 videos that met the criteria were analyzed in the study. It was found that most of the videos (72.2%) were uploaded from the USA, and the popular video topics were about complete dentures and implant-supported fixed dentures (48.8% and 43.9%, respectively). It has been observed that the usefulness score of the videos, which ranges from 0 to 2 and has an average of 1.06, had a positive and significant correlation with the number of likes and viewer interactions separately.
Conclusion: Social media usage can be an effective tool for patients to learn about oral hygienic care for dental prostheses. However, it should be noted that YouTubeTM may also contain misleading information due to its dynamic nature. Healthcare professionals can be important in directing patients to videos with correct and qualified content.
ANALISIS TREN KONTEN PADA VTUBER INDONESIA MENGGUNAKAN LATENT DIRICHLET ALLOCATION
Authors: Akdeas Oktanae Widodo  , Septiadi Farhan , Nur Aini Rakhmawati
Published: April 2023

YouTube merupakan bukti dari perkembangan teknologi digital terbaru dalam bidang media dan hiburan. Tidak semua youtuber atau orang yang membuat konten video di YouTube melakukan ekspresi diri secara langsung, ada yang menggunakan perantara karakter virtual dua dimensi atau tiga dimensi yang dibuat dengan bantuan perangkat lunak computer untuk berinteraksi dengan penonton yang kedepannya biasa disebut sebagai Virtual Youtuber (VTuber). Tren vtuber ini mulai terkenal pada tahun 2016 di jepang  makin tahun makin meningkat diseluruh dunia, Kemudian Semakin banyak orang-orang menyukai konten yang dibawakan oleh Vtuber dan tidak sedikit yang tertarik untuk menjadi bagian dari vtuber juga. Untuk membantu hal tersebut penelitian ini membantu untuk mengetahui topik konten yang ditayangkan oleh Vtuber Terkenal menggunakan metode Latent Dirichlet Allocation (LDA). Analisis dilakukan setelah menjalankan proses text mining terhadap 4312 video dari 10 channel vtuber Indonesia teratas. Penentuan topik yang optimal dari LDA yang diterapkan dapat melihat hasil nilai perplexity dan topic coherence. Dari implementasi metode LDA didapatkan hasil berupa lima topik yang sering ditayangkan oleh vtuber antara lain gim Minecraft dan reading donation, gim Apex Legend disertai collaboration dengan vtuber lain, tayangan siaran langsung video game,  cover dari lagu penyanyi lain dan terakhir tayangan gim multiplayer lain seperti Raft atau Phasmophobia.
INVISIBLE WATERMARK PADA VIDEO DIGITAL MENGGUNAKAN METODE DINAMIC CELL SPREADING (DCS)
Authors: Muhammad Ikhsan  , Sriani  , Br tarigan Shania perida
Published: April 2023

Menggunakan video digital tidak hanya mudah dalam hal distribusi, tetapi juga dalam proses penggandaan (copy) dan penyimpanannya untuk digunakan dimasa mendatang.Dampak kemudahan ini lah yang di salah gunakan tanpa memperhatikan aspek hak cipta (Intelectual Property Right), sehingga perlu dipikirkan adanya perlindungan terhadap hak cipta. Digital watermarking adalah solusi dan teknologi perlindungan hak cipta untuk penyematan informasi rahasia di media digital seperti gambar, teks, audio dan video.Informasi yang akan disisipkan harus dapat diambil kembali meskipun data di distribusikan secara digital. Pada penelitian ini untuk melindungi kepemilikan sebuah video digital akan dibangun sebuah aplikasi yang dapat memberikan watermark yang tak kasat mata. Proses pemberian watermark tersebut akan dilakukan menggunakan metode Dynamic Cell Spreading(DCS). Dynamic Cell Spreading (DCS) merupakan metode yang menggunakan model penyisipan  yaitu menyembunyikan pesan (semua data elektronik)dimedia digital seperti video. Penelitian ini dikembangkan dengan software Android Studio menggunakan XML dan bahasa pemrograman Java Sehingga hasilnya dapat digunakan secara mobile pada perangkat android serta  membangun sebuah aplikasi yang dapat menerapkan watermark tak kasat mata pada sebuah video digital yang dapat melindungi video hak milik.
ANALISA PERBANDINGAN TEKNIK OVERSAMPLING SMOTE PADA IMBALANCED DATA
Authors: Cosmas Haryawan  , Yosef Muria Kusuma Ardhana
Published: April 2023

Data tidak seimbang atau lebih sering disebut imbalanced data, adalah kondisi pada saat data memiliki rasio yang tidak seimbang antara satu kelas dengan kelas yang lain, sehingga terdapat kelas mayoritas dan kelas minoritas. Sulit untuk membuat prediksi pada dataset yang tidak seimbang karena pengklasifikasi cenderung mendeteksi kelas mayoritas daripada kelas minoritas. Teknik resampling  menjadi salah satu yang paling efektif dalam menyelesaikan permasalahan imbalanced data ini.  Salah satu kategori dari teknik resampling adalah oversampling.  Metode oversampling diantaranya adalah SMOTE dan K-Means SMOTE.  Penggunaan oversampling akan meningkatkan hasil measurement klasifikasi.  Penelitian ini menggunakan data wine yang memiliki 11 fitur serta 1 atribut target dan bertujuan untuk membandingkan hasil measurement antara penggunaan data sintetis hasil SMOTE dan K-Means SMOTE dengan hasil measurement penggunaan data nyata dalam kondisi data seimbang.  Pembuatan data imbalance dilakukan dengan menghapus secara random salah satu kelas dengan ambang 25%, 50%, 60% dan 75%.  Hasil penelitian menunjukkan bahwa dibandingkan penggunaan data nyata, penggunaan K-Means SMOTE cenderung menghasilkan nilai lebih tinggi untuk akurasi, sensitivitas dan spesifisitas sedangkan SMOTE meskipun memperoleh nilai yang lebih baik dibandingkan K-Means SMOTE tetapi juga terdapat beberapa kondisi imbalance yang memiliki nilai lebih tinggi dibandingkan penggunaan data nyata.
ANALISIS KEAKTIFAN MAHASISWA TERHADAP SKEMA PEMBELAJARAN MENGGUNAKAN KOMBINASI METODE MANN WHITNEY DAN ANALYTICAL HIERARCHY PROCESS (AHP)
Authors: Anggraeni Silvia , Atiqah Meutia Hilda
Published: April 2023

Proses perkuliahan sebagai bentuk keaktifan pembelajaran merupakan suatu kegiatan yang bersifat fisik dan berfikir yang perlu dilakukan secara periodik ketercapainnya. Program Studi Teknik Informatika Universitas Muhammadiyah Prof. Dr. HAMKA melakukan proses pembelajaran secara Offline, Online dan Hybrid. Tujuan penelitian ini perlu dilakukan peninjauan apakah ada perbedaan keaktifan proses pembelajaran dan melakukan pengujian tingkat keaktifan pembelajaran dari ketiganya. Metode Mann Whitney digunakan untuk mengetahui tingkat keaktifan dan sebagai sistem pendukung keputusan yang tepat menggunakan metode Analytical Hierarchy Process (AHP) untuk menguji tingkat keaktifan. Hasil perolehan akhir dari metode Mann Whitney dengan menggunakan SPSS adalah H0 ditolak dan H1 diterima. Hal ini menunjukkan adanya perbedaan antara aktifitas pembelajaran Offline, Online Dan Hybrid. Pengujian dengan Metode Analytical Hierarchy Proses (AHP) yang mempergunakan aplikasi expert choice, menghasilan peringkat keaktifan pembelajaran diurutan pertama yaitu pembelajaran offline (47.5%), dilanjutkan dengan pembelajaran hybrid (28,8%), dan peringkat akhir adalah pembelajaran online (23,8%)
DESAIN DAN ANALISA CLOSED LOOP BOOST CONVERTER TERINTEGRASI SOLAR PV BERBASIS FUZZY LOGIC CONTROLLER
Authors: Rahma Nur Amalia  , Wijaya Kusuma  , Hikmah Ariq Yuniq
Published: April 2023

Kecenderungan harga penggunaan solar PV (photovoltaic) telah mendorong porsi penggunaan sumber energi matahari. Penggunaan PV surya konvensional yang menyebabkan tegangan keluaran cenderung berfluktuasi. Untuk mengatasi masalah ini, diterapkan rangkaian elektronika daya yang disebut konverter DC-DC step-up. Pemodelan desain boost converter dilakukan secara closed loop. Terdapat feedback dengan menambahkan fuzzy logic controller untuk mengatur duty cycle sebagai fungsi menghidupkan atau mematikan MOSFET agar tegangan output sesuai dengan yang diinginkan (setpoint) dan menyesuaikan dengan kebutuhan beban. Perancangan dimulai dengan menentukan desain dan parameter rangkaian, spesifikasi komponen serta dasar penetapan membership function fuzzy logic controller. Desain rangkaian kemudian dimodelkan pada simulink library MATLAB R 2013a yang selanjutnya dilakukan pengujian dengan running simulasi rangkaian untuk memperoleh hasil analisa data tegangan keluaran serta respon transien. Pada rangkaian konverter boost loop tertutup dengan beban konstan 129,96 ? dengan nilai duty-cycle yang bervariasi, tegangan keluaran rata-rata sebesar 36,082 Volt dan stabil pada setpoint yang diinginkan 36 Volt. Penggunaan kontroler logika fuzzy meningkatkan respon transien dengan mempercepat atau menurunkan waktu pengendapan rata-rata (ts) menjadi 30.50281 ms, waktu naik (tr) menjadi 1.3761 ms, waktu puncak (tp) menjadi 4 ms, dan dapat menurunkan maksimum overshoot (Mp) menjadi 64,55142%.
EFFECT OF PHYSIOTHERAPY TREATMENT IN THORACIC OUTLET SYNDROME
Authors: George Sony , Paul Jibi , V S Ayana
Published: April 2023

Introduction: Thoracic outlet syndrome (TOS) comprises a group of disorders that result in compression of the neuro vasculature exiting the thoracic outlet and was first described in 1956. TOS is usually subclassified into neurogenic TOS (nTOS), venous TOS (vTOS), and arterial TOS (aTOS), depending on the appropriate etiology upon presentation. It has been classified as Venous thoracic outlet syndrome and Neurogenic thoracic outlet syndrome. Causes: Sometimes, a congenital (from birth) abnormality can cause thoracic outlet syndrome, but it is more likely to occur after injury or bodybuilding. A cervical rib is an extra rib that grows from the cervical spine. Abnormal muscle or first rib formation, some people may have an extra or aberrant scalene muscle his condition is related to abnormalities of bony and soft tissue in the lower neck region. Symptoms: Patients with thoracic outlet syndrome will most likely present pain anywhere between the neck, face and occipital region or into the chest, shoulder and upper extremity and paresthesia in the upper extremity. The patient may also complain of altered or absent sensation, weakness, fatigue, a feeling of heaviness in the arm and hand. The skin can also be blotchy or discolored. A different temperature can also be observed. Management: Medical Management include Thrombolytic medications are given to dissolve blood clots. Anticoagulant medications decrease the blood’s ability to clot. Surgical Management include chest (thoracic surgery or blood vessel (vascular) surgery perform the procedure. Thoracic outlet syndrome surgery has risks of complications,such as injury to the brachial plexus. Physiotherapymanagement can decrease symptoms of pain and increase muscle strength, improve Postural correction and return to near normal function of upper limb.
STRESSORS AND COPING MECHANISM OF BPED STUDENTS DURING THE PANDEMIC
Authors: Percival T. Donato  , Jeniffer L. Amaranto
Published: April 2023

This research study is all about the Stressors and Coping Mechanisms of BPEd Students during the Pandemic at Nueva Ecija University of Science and Technology.
The descriptive research design was used. Descriptive studies are usually the best methods for collecting information that have been demonstrated the relationship and described the world as it exists. An online survey questionnaire was used in collecting the data that needed to make the research study successful.
Researchers adopted the study of Shannon E. Ross, Bradley C. Niebling and Teresa M. Heckert (2008) about the four factors of stress that affects the students in an International School. In this research study we have the Interpersonal, Intrapersonal, Academic and Environmental Factors that affect the students, and each factor have five questions provided.
As a finding in the study, the Bachelor of Physical Education Students were stressed mostly on intrapersonal factors particularly in scenario of change in sleeping habits. Whilst students are never stress in the scenario of Serious argument with Teacher/Instructor under the academic factor.
KEYWORDS: stressors, interpersonal factor, intrapersonal factor, academic factor, environmental factor
Gobierno electrónico en los municipios del estado de Sonora 2016-2021
Authors: Romandía Matuz José Enrique , Ordaz Álvarez Arturo
Published: April 2023

En el trabajo se reflexiona acerca de las acciones de transparencia municipal en Sonora, a partir del estudio de los portales de internet, de acuerdo con el marco normativo. El trabajo se sustenta en el análisis documental y estadístico de la información generada durante poco más de cinco años. Se realiza un análisis comparativo del cumplimiento que en materia de transparencia realizan los ayuntamientos, destacando el antes y el durante de esta labor en el tiempo de la pandemia del COVID-19. Con el objetivo de analizar el cumplimiento normativo de los gobiernos municipales se observaron los portales de transparencia y rendición de cuenta de los 72 municipios de sonora, permitiendo así calificar de manera puntual el nivel de cumplimiento, generando así información de la situación actual con la que se cuenta en dichas administraciones.
New insights into chronic pain management based on biopsychosocial model
Authors: Fedorovna Turovskaia Ekaterina , Ivanovna Alekseeva Lyudmila
Published: April 2023

The biopsychosocial model of pain dominates the scientific community’s understanding of chronic pain. Chronic pain is considered a different form of depression. In this study, pain relief was explored in chronic pain patients with different neurological disease, accompanied by comorbid symptoms, depression, and insomnia. Twenty-three chronic pain patients aged 26–79 years with comorbid symptoms were included in a prospective 12-week treatment using 10 mg vortioxetine. Different types of chronic pain were represented in this study: low back pain (13 patients), headache (four patients); neuropathic mechanism-induced pain (six patients) – spinal stenosis (two patients), radiculopathy (two patients), and trigeminal neuralgia (two patients). Efficacy of vortioxetine treatment was monitored after 1 week, 3 weeks, and 12 weeks. Visual analog scale (VAS) was used for pain intensity value. Dynamic of pain relief was assessed in accordance with comorbid depression and insomnia. Most patients with chronic pain actively reported depression (65%) and insomnia (74%). Depression was statistically rare in patients with neuropathic pain (33%) compared to patients with nociceptive pain (82%; P < 0.05). Incidence of insomnia was lower, although not statistically, in patients with neuropathic mechanism-induced pain (50%) compared to patients with nociceptive pain (82%, P = 0.129). Patients younger than 65 years reported pain reduction, according to VAS, after 1 week and 3 weeks vortioxetine therapy. The mean pain relief was 1.1 cm in young patients versus 0.16 cm in patients aged >65 years (P < 0.01) after 1-week treatment, and it was 2.35 cm in young patients versus 1.7 cm in patients aged >65 years (P < 0.05) after 3-week treatment. Vortioxetine therapy was effective in different types of chronic pain, accompanied by comorbid depression and insomnia. At early stage of treatment, pain relief was lower in old patients aged >65 years. Regardless of age, all patients had significant pain relief after the 12-week treatment.
Vibration Reduction in Passenger Vehicle by Optimization of Propeller Shaft Design
Authors: V. Sundarayya  , R. Yoganand  , M. Kalidasan
Published: April 2023

In Passenger segments, vehicles floor vibration is one of the major cause which leads to discomfort for passengers. There are several locations for vibration, one of the location is Floor of the bus where passengers will feel the vibration directly while sitting on the seats and while standing on the Gangways. So acceleration levels in passenger segment should be as per AIS 153 standard. The objective of this paper is, of all the available causes for vibration, we will discuss about the middle floor vibrations raised by Propeller shaft and how to mitigate the problem by various focused design proposals on Propeller shaft. Here, we will be reviewing the Bus segment which has a Double Piece Propeller shaft design configuration.
Effect of Gas Content on Mechanical behavior of Case Hardened Boron Steel
Authors: M. K. Krishnamoorthy  , G. K. Sivakumar  , Dr. Koorella Krishna
Published: April 2023

Boron containing steels are widely used in gear and shaft application. Addition of Boron to case hardened steel enhances hardenability resulting in good impact strength and wear resistant properties. In this present study, the influence of 100 and 150 PPM Nitrogen gas on Boron steel has been analyzed. The microstructure, hardenability, hardness, and impact strength has been evaluated. The Impact test was carried out as per standard and Fractography analysis has been done. Fine grain structure was observed in the higher Nitrogen content samples indicates better mechanical properties. The impact strength has been improved nearly 9% in the higher Nitrogen containing samples because of fine grain structure. Combination of intergranular with dimple mode of fracture was observed in the high Nitrogen containing samples.
Application of the cost-effectiveness method in improving the pharmacotherapy of multiple myeloma
Authors: Luchinin E. A. , Zhuravleva M. V. , Shelekhova T. V. , Bogova V. S. , Luchinina E. V.
Published: April 2023

Multiple myeloma (MM) accounts for 1 % of all cancers and about 10 % of all hemoblastoses. The use of innovative technologies with the inclusion of targeted drugs leads to a significant improvement in the quality of pharmacotherapy and the achievement of overall survival (OS).

The aim of the work is to conduct a pharmacoeconomic analysis of the most used MM therapy regimens with the use of targeted drugs and to determine the dominant treatment regimens using a costeffectiveness analysis.

Materials and methods. To determine the cost of a course of treatment, we summed up the costs of drugs included in the pharmacotherapy regimen, taking into account taxes, marginal trade markup and duration of the course. 

Dosing of the targeted drug included in the regimen was determined according to the official instructions for the drug. Progression-free survival (PFS) was adopted as the main criterion for the effectiveness of treatment. Information on PFS of targeted drugs was obtained from data from international phase III RCTs — ASPIRE, TOURMALINEMM1, POLLUX and ELOQUENT2.

Results. Based on the results of the pharmacoeconomic analysis, the dominant treatment regimen for MM was determined — daratumumab / lenalidomide / dexamethasone, which has the best cost-effectiveness ratio. The combination of elotuzumab / lenalidomide / dexamethasone was recognized as the least effective technology.
Audits and inspections of pharmacovigilance systems in Russia
Authors: Taube A. A. , Romanov B. K.
Published: April 2023

The implementation of pharmacovigilance activities is impossible in isolation from compliance with the quality requirements of medicines and the activities of pharmaceutical and medical organizations throughout the pharmaceutical practice, as well as without access to sales plans, sales results and full relevance of information on drug conditions in all markets and in all cases of application. Properly conducted audit or inspection evaluation of the pharmacovigilance system makes it possible to identify and prevent drug safety problems at all stages of its life cycle.

The aim. Development of a risk-based strategy for planning and passing audits and inspections of the pharmacovigilance system for the subsequent creation of effective programs for assessing the pharmacovigilance system on its basis.

Material and methods. The study used structurallogical, empirical methods, general logical methods of scientific knowledge, methods of generalization and extrapolation.

Results. The plans and results of audits and inspections of pharmacovigilance systems of Russian and foreign pharmaceutical organizations and their pharmacovigilance vendors were analyzed. A risk-based strategy and a checklist for planning internal and external audits of pharmacovigilance systems of Russian pharmaceutical organizations and their vendors for pharmacovigilance have been developed and recommendations for training internal auditors of pharmacovigilance systems and audit teams have been developed for them.

Conclusion. Risk assessment indicators adapted for Russia have been developed, according to which Russian pharmaceutical organizations and their pharmacovigilance vendors can assess the likelihood of the risk of priority inclusion in the plan of Russian inspections of pharmacovigilance systems for compliance with the requirements of the good pharmacovigilance practice of the Eurasian Economic Union. Recommendations were prepared for the executive management and pharmacovigilance specialists of Russian pharmaceutical organizations in terms of assessing regulatory risks for the quality system of the pharmacovigilance system, planning and conducting audits; evaluating the relationship of pharmacovigilance with other good practices and with information from the plans and results of the organization as a whole. The indicators adapted for Russia for assessing the compliance of the pharmacovigilance system with the rules of the NPF EAEU are given.
Neuer Dreh für die E-Mobilität
Authors: Georgi Tina , Zimmermann Tobias
Published: April 2023

Die Zerspanung des Statorgehäuses umfasst die Innenbearbeitung mit verschiedenen Absätzen, die Bearbeitung der kleineren Mittenbohrung sowie die Bearbeitung der Außenseite mit ihren Kühlrippen – gezeigt wird eine Prozesslösung mit passenden Werkzeugen.
Schmierstoffüberwachung 4.0
Authors: Haassengier Ralf
Published: April 2023

Im Zuge von Industrie 4.0 und der „smarten Fabrik“ steuern intelligente Systeme selbständig den eigenen Produktionsprozess. Das Ziel ist die maximale Betriebseffizienz durch möglichst umfassende Automatisierung – inklusive des Fluidmanagements.
Experiencia de los Estudiantes de Enfermería sobre el Cuidado Espiritual en Tiempos de Covid 19
Authors: Barreto Zúñiga William Wladimir , Becerra Tena Karen Vanessa , Vásquez Velásquez María Guadalupe
Published: April 2023

La aparición de la pandemia del COVID -19, fue un fenómeno que dejo pérdidas humanas, sistemas de salud colapsado, evidenciando las falencias de la gestión hospitalaria mundial y el cuidado, a pesar de aquello aparecen las necesidades psicosociales entre ellas las espirituales, lo cual favoreció la incorporación al cuidado enfermero dado por los estudiantes de prácticas preprofesionales de la Universidad de Guayaquil. quienes experimentaron la oportunidad de brindar el cuidado holístico logrando demostrar el profesionalismo a la comunidad científica. Cuyo objetivo fue analizar la experiencia de los estudiantes de enfermería sobre el cuidado espiritual en tiempos de COVID-19. Metodología: Estudio de tipo cualitativo-etnográfico, que se enfoca en el análisis de las experiencias de los estudiantes de prácticas preprofesionales de enfermería, sobre los cuidados espirituales, Resultados: Los cuidados espirituales sirvieron como instrumento para fortalecer la paz interior en los profesionales de salud, los estudiantes de prácticas preprofesionales y los pacientes. Y este estudio concluye que a pesar de ser importante los cuidados espirituales ellos no sabían cómo llevarlos a cabo y pedían a la academia se enseñe con claridad que son y como brindarlos.
Metodologías aplicadas a las necesidades educativas especiales en el proceso de aprendizaje
Authors: Calderón Álvarez Carolina Stefanie
Published: April 2023

El presente trabajo de investigación tiene como objetivo, identificar la práctica de metodologías aplicadas a las necesidades educativas especiales en el proceso de aprendizaje, las cuales han podido ser detectadas, mediante la observación directa del fenómeno en las aulas de clase, de 5 instituciones educativas aleatorias de la ciudad de Guayaquil- Ecuador, con una muestra aleatoria de 52 estudiantes de educación inicial 1 y 2. Se aplicó una metodología cualitativa y cuantitativa, el tipo de investigación es de carácter descriptivo.   Encuesta estructurada y fichas de observación con las cuales, se pudo observar de primera mano, las metodologías utilizadas en el proceso de aprendizaje. Se pudo determinar, que  el 100% de los docentes conoce y aplica una o varias metodologías en beneficio de los estudiantes con NEE (asociadas y no asociadas a la discapacidad) en cuanto a los padres de familia o representantes legales de los estudiantes,  el enfoque de las diferentes metodologías, demanda el cumplimiento de diversos factores que inciden en la práctica escolar, pues no basta solo con conocer de manera memorística los contenidos curriculares, el docente requiere de la preparación pedagógica y continua, para abordar y suplir las diversas necesidades cognitivas y socioafectivas de los educandos.
Las historietas como recurso para mejorar el aprendizaje de la matemática en el nivel secundario
Authors: Guacán Tandayamo Rocío Consuelo , Mosquera Tigse Miriam Elizabeth , Aguilar Sánchez Giovanna Monserrath , Méndez Tacuri Edisson Adrian , Montero Díaz Segundo Víctor Manuel
Published: April 2023

La implementación de las historietas resulta ser un método efectivo que le permite al estudiante desarrollar la capacidad de elaborar sus propios conocimientos fomentando a su vez la motivación en cuanto a los conocimientos matemáticos. Por ello, el objetivo primordial de este estudio es identificar la necesidad de los estudiantes del 10mo EGB, para la implementación de historietas como recurso en el mejoramiento del aprendizaje de la matemática, en la unidad educativa “NN” año lectivo 2022-2023. La metodología utilizada fue de enfoque cuantitativo, de tipo descriptiva lo que permitió ampliar la cosmovisión del tema de investigación. Por su parte, la población de estudio estuvo constituida por un total de 1108 personas, obteniendo como resultado que el 82% les gustaría combinar las historietas con la tecnología de la computadora, por lo que desean hacer uso de nuevas herramientas de aprendizaje durante la impartición de la enseñanza de la matemática basado en historietas con personajes de ficción.
El diseño universal de aprendizaje como estrategia de aprendizaje para el desarrollo lógico matemático en niños con autismo.
Authors: Espinoza Pesántez Luz Carmita
Published: April 2023

El aprendizaje significativo dentro de las aulas con estudiantes que presentan TEA es un gran reto para los docentes, ya que al pretender generar una mayor inclusión se hace un poco más difícil poder integrar estrategias útiles en donde todos puedan adquirir y desarrollar las habilidades necesarias para su desarrollo integral. Por ello, el objetivo principal es determinar el Diseño Universal de Aprendizaje como herramienta principal para el aprendizaje lógico-matemático en niños que presentan TEA en el segundo de básica de la Unidad Educativa Agustín Cuesta Vintimilla. La metodología utilizada fue de tipo descriptiva y documental. Se aplicó a una muestra no probabilística de diez docentes los cuales respondieron una encuesta para poder medir el nivel de aprendizaje de los estudiantes y evidenciar si los docentes utilizan estrategias de algún tipo para desarrollar el aprendizaje lógico-matemático en sus estudiantes con TEA. Los resultados obtenidos fueron que el nivel de aprendizaje en los estudiantes con TEA en el ámbito lógico-matemático fue bajo, evidenciando dificultades para desarrollar las destrezas necesarias, por lo que es indispensable que se empleen estrategias de inclusión y adaptación de currículo para poder desarrollarlas, por esta razón se aportó el DUA como herramienta para planificar el currículo de una forma más inclusiva.
TEACHING AND STUDY OF VEDAS FOR QUALITY IN HIGHER EDUCATION
Authors: Shubha Dr. L.N. , Prashant Ms. Manjiri
Published: April 2023

Education has always been highly valued in India. The earliest educational system to emerge in ancient India was the Vedic system. In ancient India, education was intended to educate pupils for either life in this world or life beyond, which is self-realization. The purpose of this essay is to discuss the value of studying the Vedas in raising the standard of higher education. The study of the Vedas continues to inspire people today despite the rapid pace of information creation and application in the realms of science and technology. Vedic education is entirely capable of fostering students' intellectual and moral growth. Vedic education may be used to instil Satyam, Shivam, and Sundaram (truth, goodness, and virtue).