bluuebunny/crossref_metadata_2025 huggingface dataset:
Constraints to Sustainable Tourism Development in Bojonegoro Regency
Authors: Megawati Suci , Al Amin Noer Falaq , Hidayat Melda Fadiyah , Mashita Hety
Published: November 2023

The development of sustainable tourism must provide economic, social, and cultural benefits to the communities around the destination. In developing countries, tourism development is still an obstacle that does not follow the principles of sustainable tourism development. This research aims to examine the constraints of sustainable tourism development in Bojonegoro Regency. This research used a mixed method approach with participants using the purposive sampling method and respondents using the slovin method conducted at the Tourism Office and eight Tourism Villages in Bojonegoro Regency. Data collection techniques using Desk Study, Observation, Survey, FGD and Indepth Interview. Data analysis techniques using descriptive statistics and grounded theory analysis. The results showed the constraints of sustainable tourism development in Bojonegoro Regency in terms of; (1). Ecological aspects show the highest average answer neutral/middle results in this case neither good nor bad at 48.87%; (2). Aspects of macroeconomic sustainability showed the highest average answer was good at 69.47%; (3). The social and cultural sustainability aspect shows the highest average answer is good by 65.80%; (4). The political aspect shows the highest average answer was good by 60.44%; (5). The defense and security aspect showed the highest average answer was good by 60.33%. It is recommended to improve ecological sustainability by providing guarantees in maintaining the integrity of the environmental order, sustainability in utilizing existing resources, and environmental management that prioritizes the balance of the surrounding ecosystem.
Development Of Curriculum Of Anatomy For BDS Students In UZ, Harare: A Survey-Based Study
Authors: Khan Maimoona
Published: November 2023

Objective: To evaluate and optimize the anatomy curriculum for BDS students in UZ. Study design: It is a survey-based study. Place and duration of study: A six-month study was carried out in the Anatomy Department, College of Health Sciences, University of Zimbabwe, Harare (March to August 2020). Material and Methods: A survey-based study was conducted in UZ, College of Health Sciences.  To collect the data, two separate structured questionnaires were prepared. The structured questionnaires were then administered to medical faculty, BDS students of 3rd, 4th & 5th yr and practising dentists & internees, respectively.  The sample size of the study was 70. Results: The data collected via the two structured questionnaires was analyzed.  Analysis showed that all the stakeholders thought that the core dentistry subjects should be introduced earlier to the BDS students.  Moreover, it was recommended that CBL/PBL be added to the curriculum to make the overall BDS curriculum more effective. Conclusion: The majority of the faculty members, BDS students, dentists and internees thought that the content of Anatomy for BDS students should be concise, specific and pertinent. The respondents supported the incorporation of CBL/PBL in the existing curriculum to make it more worthwhile.
Clinico-Laboratory Profile And Drug Sensitivity Pattern In Urinary Tract Infection Of Children In A Tertiary Care Hospital
Authors: Bilal Muhammad , Nadeem Muhammad Tariq , Adnan  , Jalal Abdul , Ahmad Ishfaq , Samad Abdul
Published: November 2023

Background: Any component of the urinary system can get infected with bacteria, which is known as a urinary tract infection (UTI). It is one of the most common bacterial diseases in children. The study's objectives included identifying the clinical symptoms of UTI in children between the ages of one month and fifteen, as well as the bacteria responsible for the illness and their sensitivity to various medicines.Methods: This cross-sectional study was conducted at the CMH Rawalpindi, Pakistan, from January to June of 2022. Our analysis comprised 137 strongly suspected instances of UTI in children (1 month to 15 years old).Results: A total of 137 urine samples from paediatric patients suspected of having UTI were obtained in which the 93 samples (67.88%) generated significant bacteria. The two most common clinical symptoms of UTI patients in our research were fever and dysuria. E. coli was the most prevalent isolate in cases with paediatric UTI. Ampicillin, cephalosporins, and co-trimoxazole were the medications that were most effective against E. coli and Klebsiella, respectively.Conclusions: The age range between 1 and 5 years old was the one most usually affected by UTI. We must be aware of the need of doing a urine culture sensitivity test before to starting antimicrobial medicine in order to detect UTI early, avoid recurrent UTI, and reduce paediatric morbidity and mortality.
Demonstration of Urea Treatment Technology in Selected Kebeles of the Western Zone of Tigray
Authors: Markos Shishay
Published: November 2023

The study aimed to demonstrate the effect of urea treatment on the utilization of sorghum stover and farmers' perception. It was conducted in four kebeles of Kafta Humera district with one farmer group per kebele. Farmers and agents trained on urea treatment procedures before the experiment. The participating farmers were provided with urea, heavy plastic sheets, and guiding manuals for urea treatment preparation. Weekly meetings were held with group members to address issues and propose solutions. During field visits, data on feed intake, milk yield of cows, and farmers' perception were collected. The results showed that urea treatment technology significantly increased the average daily milk yield of milking cows from 2.39 to 3.85 liters, with an average daily increment of 1.46 liters (61.1%). The analysis indicated that each additional unit of one birr per cow's cost increment resulted in a 1.84 birr benefit from feeding urea-treated sorghum stover as a supplement. Urea treatment also increased sorghum stover intake, reduced wastage, and improved the milk yield and body conditions of lactating local cows. Therefore, it is recommended to introduce urea treatment technology, along with affordable improved feed choppers, to wider areas for further popularization and scaling up of the technology.
PATH SELECTION OF SPATIAL ECONOMETRIC MODEL FOR MASS APPRAISAL OF REAL ESTATE: EVIDENCE FROM YINCHUAN, CHINA
Authors: Zhao Yu , Shen Xuejia , Ma Jian , Yu Miao
Published: November 2023

Urbanization, national economic growth, and China’s changing population structure have elevated the importance of real estate assessment in various contexts, including mortgage financing, secondary housing market transactions, and real estate tax reform. To address this need, this study employs a time-spatial double-fixed spatial cross-section data model as a mass appraisal tool to analyze the transaction price data of 429 ordinary residential houses in Xixia District, Yinchuan, China on April 1, 2022. Specifically, this study analyzes 7 spatial cross-section data models, discerning their interconnections. It devises an assignment technique that merges distance and characteristic variable rank into a unified indicator. The results explore spatial lag effects in real estate transaction price generation and assess the descriptive capabilities of different spatial cross-section data models.
A Dark Siren Measurement of the Hubble Constant with the LIGO/Virgo Gravitational Wave Event GW190412 and DESI Galaxies
Authors: Ballard W. , Palmese A. , Hernandez I. Magaña , BenZvi S. , Moon J. , Ross A. J. , Rossi G. , Aguilar J. , Ahlen S. , Blum R. , Brooks D. , Claybaugh T. , de la Macorra A. , Dey A. , Doel P. , Forero-Romero J. E. , A Gontcho S. Gontcho , Honscheid K. , Kremin A. , Manera M. , Meisner A. , Miquel R. , Moustakas J. , Prada F. , Sanchez E. , Tarlé G. , Zhou Z. ,   DESI Collaboration
Published: November 2023

We present a measurement of the Hubble Constant H
0 using the gravitational wave event GW190412, an asymmetric binary black hole merger detected by LIGO/Virgo, as a dark standard siren. This event does not have an electromagnetic counterpart, so we use the statistical standard siren method and marginalize over potential host galaxies from the Dark Energy Spectroscopic Instrument (DESI) survey. GW190412 is well-localized to 12 deg2 (90% credible interval), so it is promising for a dark siren analysis. The dark siren value for

H

0

=

85.4

−
33.9

+
29.1

km s−1 Mpc−1, with a posterior shape that is consistent with redshift overdensities. When combined with the bright standard siren measurement from GW170817 we recover

H

0

=

77.96

−
5.03

+
23.0

km s−1 Mpc−1, consistent with both early and late-time Universe measurements of H
0. This work represents the first standard siren analysis performed with DESI data, and includes the most complete spectroscopic sample used in a dark siren analysis to date.
Chapitre 7. L’âme et le corps à travers le droit romain et le droit canon
Authors: Comiti Vincent-Pierre
Published: November 2023

Au sein de ce travail sont abordés quelques éléments historiques sur l’histoire de l’évolution de la perception des liens entre l’âme et le corps et la modification de la place de l’âme au sein des droits canon et romain.
Become a Better Leader: Start a “Stop List”
Authors: Trepanier Sylvain
Published: November 2023

“To be the best leader I can be.” It appears every leader is aspiring to be the best they can be. In fact, the literature is filled with books and articles offering various tricks to better yourself as a leader. In most cases, it's about adding something to your to-do list. In this column, we offer the opposite idea. We suggest that you stop doing certain things. After all, everyone deserves to experience you at your best.

[
J Contin Educ Nurs
. 2023;54(12):549–550.]
Applications of conjunctive complex fuzzy subgroups to Sylow theory
Authors: Imtiaz Aneeza , Alolaiyan Hanan , Shuaib Umer , Razaq Abdul , Liu Jia-Bao
Published: November 2023

Sylow's theorems are fundamental theorems in classical group theory that are of paramount importance. The extension of these theorems into diverse fuzzy contexts emerges as a compelling area of exploration. This study introduces the novel concept of the conjunctive complex fuzzy conjugate element within the conjunctive complex fuzzy subgroup of a group, elucidating numerous crucial properties of this concept. Additionally, it propounds the notion of the conjunctive complex fuzzy p-subgroup within the conjunctive complex fuzzy subgroup (CCFSG) and delineates various indispensable characteristics associated with this construct. Additionally, the paper formulates the conjunctive complex fuzzy version of the Cauchy theorem for finite groups. Lastly, it defines the concept of the conjunctive complex fuzzy Sylow p-subgroup for a finite group and conducts a generalization of Sylow's theorems within a conjunctive complex fuzzy environment.
Two-grid finite element method with an H2N2 interpolation for two-dimensional nonlinear fractional multi-term mixed sub-diffusion and diffusion wave equation
Authors: Zhang Huiqin , Chen Yanping
Published: November 2023

In this paper, we studied the two-grid method (TGM) for two-dimensional nonlinear time fractional multi-term mixed sub-diffusion and diffusion wave equation. A fully discrete scheme with the quadratic Hermite and Newton interpolation (H2N2) method was considered in the temporal direction and the expanded finite element method is used to approximate the spatial direction. In order to reduce computational time, a dual grid method based on Newton iteration was constructed with order $ \alpha\in(0, 1) $ and $ \beta\in(1, 2) $. The global convergence order of the two-grid scheme reaches $ O(\tau^{3-\beta}+h^{r+1}+H^{2r+2}) $, where $ \tau $, $ H $ and $ h $ are the time step size, coarse grid mesh size and fine grid mesh size, respectively. The error estimation and stability of the fully discrete scheme were derived. Theoretical analysis shows that the two grid algorithms maintain asymptotic optimal accuracy while saving computational costs. In addition, numerical experiments further confirmed the theoretical results.
Voltage controlled Fabry–Perot modulator
Authors: Kamarauskas Andrius , Staišiūnas Laurynas , Seliuta Dalius , Šlekas Gediminas , Kancleris Žilvinas
Published: November 2023

Here we propose a voltage-controlled Fabry–Perot modulator made of two overlapping graphene sheets separated by a hafnium oxide layer, manufactured on a silicon substrate. The applied voltage shifts the Fermi level in both layers thus changing the total surface conductivity. This in turn changes the optical parameters of the system. Due to the architecture of the modulator, ≈50% of THz power is absorbed and the applied voltage controls the ratio between the reflection and transmittance. At the resonance frequency of 414 GHz, the transmission through the Fabry–Perot modulator can be doubly reduced in a voltage range of –1.5 to 10 V. In DC measurements, it is revealed that the electrical properties of graphene sheets dramatically depend on the technological process. The proposed multilayer structure can be manufactured on any THz-transparent substrate, compatible with photolithography and atomic layer deposition (ALD) processes.Voltage-controlled surface conductivity could find its application in sensing or modulation of electromagnetic waves.
CAD Complications in Existing With COVID-19 Infections
Authors: Aminabee Shaik
Published: November 2023

The emergence of the COVID-19 pandemic has brought to light a complex interplay between viral infections and pre-existing medical conditions. Among these, individuals with existing coronary artery disease (CAD) have been identified as a particularly vulnerable population. Amid the evolving landscape of healthcare, exploring the interconnection between coronary artery disease (CAD) and COVID-19 is of paramount significance. This work delves into the aggravated complications of CAD when coupled with COVID-19. It scrutinizes the multifaceted interplay, encompassing cardiovascular, immunological, and inflammatory facets. The chapter navigates through management challenges, treatment considerations, and preventive strategies while citing case studies. The chapter illuminates the symbiotic relationship, shedding light on research insights, future implications, and possible interventions. As CAD remains a global health burden, understanding its intersection with the pandemic aids in comprehensive patient care.
The Clinical Practices and Post-Treatment Care for COVID-19 Patients With Heart Complications
Authors: Kumar Sumit , Dolma Tenzin , Das Gupta Sonali
Published: November 2023

Heart complications are a major cause of mortality and morbidity in both developed and developing countries, and they pose a significant global concern from both medical and financial perspectives. The World Health Organization (WHO) has designated COVID-19 as the sixth international public health emergency. The worldwide spread of COVID-19 has brought about substantial challenges in various aspects including health, economy, environment, society, and mental health, resulting in significant disruption to the world's order. In this chapter, the authors discuss the correlation between COVID-19 and heart complications. There is a comprehensive discussion on the clinical practices and post-treatment care including cardiac complications and its effect by or due to COVID-19.
Managing a Breast Cancer Crisis Through Innovation, Community Engagement, and the Expansion of Fisheries Management Education Programs
Authors: Burrell Darrell Norman
Published: November 2023

Cancer is a health crisis that has long been plaguing the United States and the world. According to the World Health Organization (WHO), breast cancer is the most common cancer among women worldwide, with nearly 2 million new cases diagnosed in 2018. In the U.S. alone, the American Cancer Society estimates that in 2020, there will be 276,480 new cases of invasive breast cancer and 48,530 deaths from the disease. As a result, breast cancer is a global crisis. Globally, breast cancer is the leading cause of cancer death among women, with an estimated 627,000 deaths in 2018. This chapter will discuss the prevalence of trauma and PTSD among cancer patients and survivors, and the risk factors associated with its development. Additionally, the chapter will discuss the psychological impact of trauma and PTSD on cancer survivors, and the interventions that are available to help manage these issues through a fly-fishing support group for female breast cancer survivors that can be offered as community education programs from state fisheries.
Cloud Solutions for Smart Parking and Traffic Control in Smart Cities
Authors: Syamala Maganti , Malathi J. , Singh Vikash , G. S. Hari Priya , Uma Maheswari B. , S. Murugan
Published: November 2023

Urban mobility trends include 5G connectivity, autonomous vehicles, electric and sustainable modes, AI and machine learning, drones, and air mobility. These technologies enable real-time data exchange, reduce congestion, enhance safety, optimize road capacity, and optimize infrastructure planning. AI and machine learning algorithms provide accurate predictive analytics, adaptive traffic control, and personalized services. Cloud computing, IoT, and data analytics enable predictive modeling for mobility planning, traffic flow forecasting, demand forecasting, and behavioral analysis. MaaS platforms facilitate seamless integration of modes, while shared mobility services like car-sharing and ride-hailing grow, reducing private vehicle ownership and promoting efficient resource use. Mobility data transforms urban planning, infrastructure optimization, mixed-use development, and smart city integration, guiding transportation layouts, traffic signal placements, parking facilities, and neighborhood design.
YOLO Models for Fresh Fruit Classification From Digital Videos
Authors: Xue Yinzhe , Yan Wei Qi
Published: November 2023

Identifying food freshness is a very important; it is a part of a long historical actions by humans, because fruit freshness can tell us the information about the quality of foods. With the advancement of machine learning and computer science, which will be broadly employed in factories and markets, instead of manual classification. Recognition of the freshness of food is rapidly being replaced by computers or robots. In this book chapter, the authors conduct the research work on fruit freshness detection, we make use of YOLOv6, YOLOv7, and YOLOv8 in this project to implement fruit classifications based on a variety of digital images, which can improve the efficiency and accuracy of the classification incredibly; after the classification, the output will showcase the result of fruit fresheness classification, namely, fresh, or rotten, etc. They also compare the results of different deep learning models to discover which architecture is the best one in terms of speed and accuracy. At the end of this book chapter, the authors made use of the majority vote method to combine the results of different models to get better accuracy and recall scores. To generate the final result, the authors trained the three models individually, and also propose a majority vote to get a better performance for fresh fruit detection. Compared with the previous work, this method has higher accuracy and a much faster speed. Because this one uses the clustering method to generate the final result, it will be easy for researchers to change the backbone and get a better result in the future.
O IMPACTO DA INCONTINÊNCIA URINÁRIA NA QUALIDADE DE VIDA EM MULHERES NULÍPARAS.
Authors: Celeghim Mundo Luana , Ferreira da Silva Jaqueline , Rafael Ognibeni Luciana Cristina
Published: November 2023

A incontinência urinária atinge predominantemente as mulheres e interfere na saúde física e mental, podendo gerar um impacto na qualidade de vida. Para a realização desse estudo foi aplicado o questionário King’s Health Questionnaire (KHQ) em 32 mulheres nulíparas estudantes da Faculdade Ingá – Uningá, com idade entre 18 e 30 anos. Destas, 78,1% cursavam Fisioterapia e 21,9% Biomedicina. 65,7% possuiam idade entre 20 e 23 anos. Em relação ao estado civil, a maioria eram solteiras (81,2%). Quanto a perda de urina, 62,5% não perdiam urina e 37,5 perdiam urina de forma leve ou moderada. Evidenciou-se apenas 2 casos em que o impacto da IU foi considerável. Concluiu-se que, a IU não teve um impacto significativo na qualidade de vida das mulheres nulíparas.
DESENVOLVIMENTO DE UM APLICATIVO MÓBILE DE ERGONOMIA PARA PREVENÇÃO DE LESÕES DE MEMBROS SUPERIORES EM TRABALHADORES DE ESCRITÓRIO
Authors: Jesus Esqueda Castellano Samuel , Dei Tos Débora , Catarim Fabiano Lilian
Published: November 2023

Os Distúrbios Osteomusculares Relacionados ao Trabalho comprometem o sistema musculoesquelético devido a atividades laborais repetitivas e esforço constante associado a um insuficiente tempo de recuperação. Sua incidência tem aumentado à medida que as empresas evoluem, necessitando de abordagens principalmente com foco preventivo. Nosso objetivo foi criar um protótipo de aplicativo para celulares Android e iOS para ser disponibilizado às empresas administrativas. Foi realizado busca literária no Pubmed, SCIELO e sites oficiais do Ministério da Saúde e Ministério do Trabalhador que abordassem a temática, favorecendo desta forma a elaboração do aplicativo com embasamento. Após levantamento dos dados foi possível elaborar um aplicativo com abordagem preventiva e promissor para essa população.
AVALIAÇÃO SENSÓRIO-MOTORA E ASPECTOS DERMATOLÓGICOS DOS PÉS DE PACIENTES PORTADORES DE DIABETES MELLITUS
Authors: Almeida Silva Beatriz , Gabrielly de Amorim Groff Fabiana , Rebeca da Silva Mattos Lorayne , Catarim Fabiano Lilian , Dei Tos Débora
Published: November 2023

A Diabetes Mellitus é uma doença identificada pela hiperglicemia decorrente da deficiência de secreção de insulina e/ou ação da insulina. O objetivo deste estudo foi avaliar a sensibilidade plantar, a força muscular e os aspectos dermatológicos dos pés de pacientes portadores de DM. Trata-se de um estudo transversal e quantitativo, realizado com 16 voluntários. Para isso, empregou-se um formulário dividido em inspeção dos pés, testes de sensibilidade e testes motores, que demonstraram que 37,5% dos pacientes apresentam perda da sensibilidade protetora plantar. A prevalência da DM é maior em mulheres (75%) e 56,25% dos pacientes sofrem de HAS. Os sinais e sintomas prevalentes foram dormência e formigamento, com uma incidência de 62,5%. Avaliar o pé diabético é extremamente importante para a prevenção e tratamento de suas complicações.
Independência funcional em amputados que utilizam dispositivos auxiliares de locomoção
Authors: Passos Nayara Larissa , Vattos Joana , De Abreu Da Silva Lavynia Lohanna , Dei Tos Débora , Catarim Fabiano Lilian
Published: November 2023

A amputação de um membro é uma experiência profundamente impactante que pode afetar a qualidade de vida de um indivíduo. A perda da capacidade de locomoção e a necessidade de adaptação a uma prótese podem resultar em dependências nas atividades diárias e piora na qualidade de vida. Nesse caso, a reabilitação fisioterapêutica desempenha um papel fundamental na vida de um paciente amputado. No entanto, para que a reabilitação seja eficaz, é crucial compreendam as dificuldades enfrentadas por esses indivíduos. Nosso objetivo foi avaliar pacientes amputados de membro inferior que fazem o uso de dispositivo auxiliar para locomoção, evidenciar quais as dificuldades enfrentadas por esses indivíduos no momento de desempenhar as atividades do dia a dia.
PERFIL EPIDEMIOLÓGICO DOS PACIENTES PÓS ACIDENTE VASCULAR CEREBRAL ATENDIDOS NO SETOR DE FISIOTERAPIA NEUROFUNCIONAL DA UNINGÁ
Authors: Ruiz Merchi Lucas , Bezerra de Moura Kaíque , Cordeiro Vilar Mendes Fernando
Published: November 2023

O acidente vascular cerebral (AVC) é uma das principais causas de óbitos no mundo, e sua incidência é maior após os 65 anos. Trata-se de um estudo transversal observacional, cujo objetivo foi identificar o perfil epidemiológico do paciente pós AVC atendido no setor de fisioterapia neurofuncional da Uningá. Analisou-se 48 fichas avaliativas, das quais 17 atendiam os critérios pré-estabelecidos. O gênero mais presente foi o masculino (64,7%), a faixa etária mais prevalente foi a de 60 a 69 anos (52,9%), e a patologia mais frequente foi a hipertensão arterial sistêmica (HAS), com 70,6%. Com isso, traçou-se o perfil das pessoas mais propensas a precisar de tratamento fisioterapêutico pós AVC, isso permite criar objetivos e condutas para evitar a ocorrência do AVC em suas vidas.
NÍVEL DE ATIVIDADE FÍSICA E QUALIDADE DO SONO COMO FATORES DE RISCO PARA O DESENVOLVIMENTO DE DOENÇAS CARDIOVASCULARES EM ESTUDANTES DO CURSO DE FISIOTERAPIA
Authors: Da Costa Sereia Marla Caroline , De Araújo Delfino Thayane , Do Prado Ferreira Letícia Salete
Published: November 2023

Estudo com objetivo de verificar o nível de atividade física (AF) e qualidade do sono (QS) em acadêmicos de Fisioterapia. Estudo transversal, envolvendo universitários de Fisioterapia de todas as séries e turnos de uma instituição privada de ensino superior. O nível de AF foi verificado pelo Questionário Internacional de Atividade Física (IPAQ); e a QS pelo Índice de qualidade do sono de Pittsburg (PSQI-PT). Participaram 199 universitários, 74,9% mulheres, 20 [21-22] anos e IMC 23 [23-25]kg/m2. 34% foram classificados como sedentários e 54% insuficientemente ativos; 26,1% apresentaram qualidade do sono boa, enquanto 73,9% ruim. Os participantes do estudo são, em sua maioria, sedentários e insuficientemente ativos, bem como apresentam qualidade do sono ruim.
AVALIAÇÃO DA QUALIDADE DE VIDA DE MULHERES COM INCONTINÊNCIA URINÁRIA DE ESFORÇO
Authors: Silva Ferraza Ananda , Tunes Teodoro Ana Flavia , Cristina Rafael Ognibeni Luciana
Published: November 2023

É comum a incontinência urinária em atletas, fato que pode ser explicado pelo desequilíbrio entre as forças do abdômen e assoalho pélvico, resultando em grandes pressões à bexiga, culminando em perda urinária. A qualidade de vida de mulheres com IU é afetada, interferindo nos aspectos emocionais, sociais e econômico. O objetivo do estudo foi avaliar a qualidade de vida de mulheres com incontinência urinária de esforço, praticantes de academia e do método pilates. Trata-se de um estudo transversal, quali-quantitativo descritivo, baseado na aplicação de questionários em mulheres com IUE. Conclui-se que as participantes apresentaram variação de frequência e quantidade de urina que perde e com relação a qualidade de vida não houve impacto significativo na maioria dos domínios avaliados.
A RELAÇÃO ENTRE A HIPEREXTENSÃO DA COLUNA VERTEBRAL E A RESISTÊNCIA ABDOMINAL EM BAILARINAS DE JAZZ
Authors: Geovana da Silva Severino Hellen , Teixeira Ceccato Giovana , Rogério Campos Golias Andrey
Published: November 2023

O objetivo desse estudo foi conhecer a relação entre a hiperextensibilidade em extensão da coluna vertebral e a resistência abdominal, através de um estudo descritivo e de caráter quantitativo, realizado em uma turma de Jazz, composta por 10 bailarinas maiores de 18 anos, a qual a coluna vertebral das mesmas é estimulada de forma intensa no movimento de extensão. Para isso, foi realizado um teste de extensibilidade de extensão da coluna, o qual consiste em mensurar o comprimento da coluna e um teste de resistência abdominal, durante o período de 60 segundos. Foi possível verificar que as bailarinas da amostra apresentaram hiperextensibilidade muito acentuada da coluna vertebral, e uma resistência abdominal de médio a fraco, ou seja, um desequilíbrio entre mobilidade e resistência de tronco.
Vincenzo Tiberio, interspecies competition and infection control strategies
Authors: Tocco Martina , Venditto Alessandra , Gasperoni Emmanuel , Rinaldi Elisabetta , Russo Emanuele
Published: November 2023

The following paper sums up the history of Dr. Vincenzo Tiberio, a military physician from Italy, who lived around the second half of the past century. His life was dedicated to clinical research, particularly in the context of microorganism competition and mechanisms of transmission of infections. His scientific work, though significant and innovative, was adequately appreciated just many years after his death; a great loss for the scientific world since his discovery could have laid the groundwork for the development of antimicrobial drugs that can be used nowadays in the infection control strategies.
Spatial heterogeneity in relationship between district patterns of HIV incidence and covariates in Zimbabwe: a multi-scale geographically weighted regression analysis
Authors: Birri Makota Rutendo , Musenge Eustasius
Published: November 2023

A study was conducted to investigate the district-level patterns of incidence of the human immunodeficiency virus (HIV) in Zimbabwe in the period 2005-2015 and explore variations in the relationship between covariates and HIV incidence across different districts. Demographic health survey data were analysed using hotspot analysis, spatial autocorrelation, and multi-scale geographically weighted regression (MGWR) techniques. The analysis revealed hotspots of the HIV epidemic in the southern and western regions of Zimbabwe in contrast to the eastern and northern regions. Specific districts in Matabeleland South and Matabeleland North provinces showed clusters of HIV incidence in 2005-2006, 2010-2011 and 2015. Variables studied were multiple sex partners and sexually transmitted infections (STI) condom use and being married. Recommendations include implementing targeted HIV prevention programmes in identified hotspots, prioritising interventions addressing the factors mentioned above as well as enhancing access to HIV testing and treatment services in high-risk areas, strengthening surveillance systems, and conducting further research to tailor interventions based on contextual factors. The study also emphasizes the need for regular monitoring and evaluation at the district level to inform effective responses to the HIV epidemic over time. By addressing the unique challenges and risk factors in different districts, significant progress can be made in reducing HIV transmission and improving health outcomes in Zimbabwe. These findings should be valuable for policymakers in resource allocation and designing evidence-based interventions.
To be seen, heard, and valued. Active engagement as the next frontier for global health conference equity: a view from the global South
Authors: Alayande Barnabas
Published: November 2023

No abstract available.
Comments on "Comparison of immediate withdrawal and stepwise reduction in duration of non-invasive ventilation in chronic obstructive pulmonary disease patients presenting with acute hypercapnic respiratory failure"
Authors: Rathi Vidushi
Published: November 2023

Dear Editor, The recent study published by Purohit et al. provides new evidence on the safety of immediate withdrawal of non-invasive ventilation (NIV) in chronic obstructive pulmonary disease (COPD) patients admitted with acute hypercapnic respiratory failure (AHRF) after recovery...
Cytokine Release Syndrome after Chimeric Antigen Receptor Transduced T-Cell Therapy in Cancers: A Systematic Review
Authors: Taheri Saeed
Published: November 2023

Patients with refractory or relapsed malignant disorders are in desperate condition, with few therapeutic options left, if any. Chimeric antigen receptor (CAR) transduced T-cell transplantation is a novel approach that has shown promising results as well as serious adverse events. This study aimed to systematically review the current data on the cytokine release syndrome (CRS) as a major side effect of CAR therapy. A systematic literature review was conducted to find reports of CAR T-cell therapy in the context of cancer patients and to extract reports of severe CRS. The factors that could significantly affect the incidence of CRS were investigated. Mortality rates were also compared regarding the occurrence of CRS. The incidence of severe CRS was 9.4% (95% confidence interval: 8.3–10.5) in the reviewed studies. Younger and older patients (vs. adults), higher doses of CAR T-cell infusions, lymphodepletion (LD) before CAR T-cell infusions, specific LD regimens, the source of allogeneic cells for the construction of CAR, chronic lymphocytic leukemia as the tumor type (vs. lymphoma), and CD28 as costimulatory domain in the structure of CAR were significantly associated with CRS events. Patients experiencing severe CRS had a significantly higher mortality rate within 2 and 3 months after transplantation. In conclusion, this study found many factors that could predict severe CRS and future clinical trials could reveal the relevance of appropriate interventions to the incidence and outcomes of CRS in cancer patients undergoing CAR T-cell transduced infusions.
Challenges in Management of a Patient Presenting with Obsessive–Compulsive Disorder after Head Injury
Authors: Naskar Chandrima , Gupta Surabhi , Sahoo Swapnajeet , Mehra Aseem , Grover Sandeep
Published: November 2023

In a subgroup of patients, obsessive–compulsive disorder (OCD) is associated with organic conditions such as head injury. In general, different studies evaluating the efficacy and effectiveness of nonpharmacological and pharmacological interventions in patients with OCD exclude patients with OCD associated with organic conditions. Hence, there is little information about the difficulties faced in managing these patients. In this report, we present a young male who presented with OCD after the head injury, in whom it was not possible to carry out exposure and response prevention (ERP) therapy, as recommended due to the poor insight and associated cognitive impairment. We managed the patient with a combination of psychoeducation, ERP, using positive reinforcement and supportive therapy.
Comparative Evaluation of Teeth Displacement and Stress Generated with Orthodontic Mini-Implant and Infra-Zygomatic Crestal Implant during Intrusion in the Maxillary Arch − A Three Dimensional Finite Element Analysis
Authors: Sethia Aarti , Badavannavar Anand , Hattarki Rohan , Pradhan Tejashri , Sadhunavar Trupti
Published: November 2023

Introduction: This study aims to evaluate and compare the stress distribution in bone and sutures surrounding the mini-implant and the teeth displacement pattern in the maxillary arch during full arch intrusion using a mini-implant, IZC implant, and an IZC implant with a mini-implant. Materials and Methods: Three individual finite element models of the craniofacial complex were generated for full arch intrusion with mini-implants and IZC implants using ANSYS 12.1 software. For group 1, five titanium mini-implants of 1.5 × 8 mm and 1.5 × 6 mm were placed 14 mm above the occlusal plane between the second premolar and the first molar, lateral incisors, canine, and between two central incisors, respectively, with forces application of 150 g posteriorly and 80 g anteriorly using a NiTi coil spring. For group 2, two stainless steel IZC implants of 2 × 14 mm were placed 16 mm above the occlusal plane between the first and second molars with a force application of about 300 g using a NiTi coil spring. In group 3, the placement of the IZC implant was similar to that in group 2, with an additional anterior mini-implant of 1.5 × 6 mm between two central incisors. An evaluation of the stress distribution and tooth displacement was carried out. Results: An increased amount of teeth displacement was observed in group 3 (IZC implant with mini-implants). Significant anterior intrusion was achieved in group 1 (mini-implants) whereas anteriors in group 2 (only IZC implants) experienced extrusion. A high amount of stress was observed in group 2. Conclusion: Therefore, IZC implants can be useful in cases of vertical maxillary excess where full arch intrusion is recommended. The anterior mini-implant helps to counteract the unwanted movement (extrusion) caused by the clockwise rotation of the maxilla. High stress levels are associated with an IZC implant without an anterior min-implant but they are within the confines of the physiologic limit of the bone.
Effect of light-curing silver diamine fluoride on microtensile bond strength of primary carious dentin restored with glass ionomer cement: In vitro study
Authors: Zaineb Haradwala F. , Winnier J. Jasmin , Arwa Soni M.
Published: November 2023

Introduction: Silver diamine fluoride (SDF) has been used as a caries arresting agent. The application protocol of SDF is unclear. Some clinicians prefer to light cure SDF to accelerate the hardening of SDF; however, the effect of the same on bond strength of the restoration is unknown. This study aimed to determine the effect of light-curing SDF on microtensile bond strength (µTBS) of primary teeth restored with glass ionomer cement (GIC). Materials and Methods: Seventeen carious primary molars were sectioned through the middle of the carious lesion and allocated randomly to three groups. Group 1—SDF application followed by GIC restoration, group 2—SDF application followed by light cure of SDF and restored with GIC, group 3—control: GIC restoration without SDF application (n = 11). The samples were stored in artificial saliva; evaluated for µTBS under universal testing machine until failure. The failure mode was evaluated using stereomicroscope at 40× magnification. Results: µTBS of the groups were compared using Kruskal–Wallis test, which showed a statistically significant difference between the groups (P < 0.05). Dunn’s post hoc test revealed a significantly higher bond strength with group 2 (4.15 ± 2.51) compared to group 1 (1.40 ± 0.49) (P value 0.022). The failure modes for each group were carried out with chi-square test which revealed no statistically significant difference. Conclusion: Light-curing SDF prior to application of GIC resulted in significantly greater bond strength when compared to non–light-cured SDF.
Childhood obesity: A cross-sectional study among children aged 6–12 years attending pediatric outpatient department of a tertiary care teaching hospital in Kolkata, India
Authors: Ray Kuntala , Basu Mausumi , Mishra Ankita , Shukla Vineeta , Saha Ripan , Mandal Murari M
Published: November 2023

Background:

Children who develop obesity in the early years of their lives tend to remain so in their adolescence and adulthood and are at a higher risk of developing non-communicable diseases.

Objectives:

The present study was conducted to estimate the prevalence of overweight and obesity among children attending a pediatric outpatient department (OPD) of a tertiary care teaching hospital in Kolkata and to identify the factors associated with overweight and obesity among them.

Materials and Methods:

An observational study, cross-sectional in design, was conducted among children aged 6–12 years attending a pediatric OPD of a tertiary care teaching hospital in Kolkata from October to December 2021. Data were collected from 223 participants using a predesigned, pretested, and structured schedule by face-to-face interviews with their guardians, spot observation, and anthropometric measurements. We summarized the data with the help of suitable descriptive statistics. Multivariable binary logistic regression was performed to find the factors associated with overweight to obese nutritional status. All statistical analyses were performed using Statistical Package for the Social Sciences software (SPSS) version 25.0.

Results:

Out of 223 participants, 48% belonged to the age group of 6–8 years. The proportion of male-to-female children was nearly equal. About 22% of the study population were overweight to obese. The factors associated with overweight to obese nutritional status were less duration of outdoor play, frequent intake of processed meat, and the occasional intake of green leafy vegetables.

Conclusion:

A significant proportion of the children attending pediatric OPD were overweight to obese. Children must be motivated by parents and teachers for adequate physical activity and avoid consuming too much fast food.
A SPART missense mutation causes Troyer syndrome in two siblings
Authors: Alotaibi Maha A , A Almutairi Hamaed , Alsharkawy Ali A
Published: November 2023

Troyer syndrome, a rare autosomal-recessive disorder, manifests with complex spastic paraplegia. In Ohio, Amish families were the first to be reported with this syndrome. The neurological and musculoskeletal symptoms include short stature, dysarthria, distal amyotrophy, and spastic paralysis. A mutation in the SPGP20 gene, located on chromosome 13q13, results in the loss of the Spartin proteins, the source of pathogenicity. Spartin is a multifunctional protein thought to be crucial for neuron viability. Here, we report the clinical and molecular diagnostic findings of Troyer syndrome in two siblings from a consanguineous family in Saudi Arabia. The clinical phenotypes of the patients showed short stature and intellectual disability. The molecular genetic test, including whole-exome sequencing, was performed to identify and confirm the causative variant. A homozygous missense mutation in the SPART variant c.988A>G p.(Met330Val) was identified through molecular analysis. According to HGMD Professional 2021.1, this variant has previously been described as a disease-causing intellectual disability and Troyer syndrome.
Comparison of preemptive analgesic efficacy of tapentadol and tramadol on postoperative pain in patients of lumbar laminectomy
Authors: Gajbhare Manojkumar N , Mane Ajit A , Kamble Neha P
Published: November 2023

Background:

Preemptive analgesia is a treatment modality initiated before surgery as a part of multimodal analgesia for optimum treatment of postoperative pain. It accelerates the time to achieve recovery milestones, reduces the length of hospital stay, and improves patient satisfaction.

Materials and Methods:

It is a prospective, randomized, observational, cross-sectional study. Sixty patients posted for lumbar laminectomy were randomly assigned into two groups to receive tapentadol 100 mg (group A) or tramadol 100 mg (group B) orally 60 min before surgery. Intraoperative fentanyl and isoflurane requirement was recorded. Postoperatively, pain and sedation were assessed at 0, 2, 4, 6, 12, and 24 h; time of first analgesic requirement, paracetamol requirement, time to first rescue analgesia, number of patients requiring rescue analgesia, and morphine requirement were noted.

Results:

There was a significant reduction in the intraoperative isoflurane (P < 0.05) and fentanyl requirement (P 0.036). The mean postoperative pain scores at all-time points were less in group A compared with group B (P < 0.05), leading to a highly significant reduction in the mean paracetamol dose (P < 0.001) and time to first analgesic requirement (P = 0.047) in group A. The number of patients requiring rescue analgesia (P = 0.0098), time first to rescue analgesia (P = 0.048), and the mean rescue analgesic requirement (morphine) (P = 0.023) were less in group A compared with group B. The incidence of vomiting was significantly higher in group B (P = 0.0385).

Conclusion:

Tapentadol is more effective preemptive analgesia than tramadol and has a better side effect profile.
A Deep Survey on Human Activity Recognition Using Mobile and Wearable Sensors
Authors: Jameer Shaik , Syed Hussain
Published: November 2023

Activity-based wellness management is thought to be a powerful application for mobile health. It is possible to provide context-aware wellness services and track human activity thanks to accessing for multiple devices as well as gadgets that we use every day. Generally in smart gadgets like phones, watches, rings etc., the embedded sensors having a wealth data that can be incorporated to person task tracking identification. In a real-world setting, all researchers shown effective boosting algorithms can extract information in person task identification. Identifying basic person tasks such as talk, walk, sit along sleep. Our findings demonstrate that boosting classifiers perform better than conventional machine learning classifiers. Moreover, the feature engineering for differentiating an activity detection capability for smart phones and smart watches. For the purpose of improving the classification of fundamental human activities, upcoming mechanisms give the guidelines for identification for various sensors and wearable devices.
Regularity results of solutions of quasilinear systems having singularities in the coefficients
Authors: Giannetti Flavia , Moscariello Gioconda
Published: November 2023

We consider non-degenerate elliptic systems of the type

-\operatorname{div} A(x,D u)=g(x)\quad\text{in }\Omega\subset\mathbb{R}^n,

where

u:\Omega\to\mathbb{R}^N

,

g\in L^2(\Omega,\mathbb{R}^N)

and

x\to A(x,\xi)

has derivatives in the Marcinkiewicz class

L^{n,\infty}(\Omega)

with sufficiently small distance to

L^{\infty}(\Omega)

. We prove that every weak solution

u\in W^{1,p}_{\operatorname{loc}}(\Omega,\mathbb{R}^N)

of the system is such that the nonlinear expression of its gradient

V_{\mu}(D u):=(\mu^2+|Du|^2)^{\frac{p-2}{4}}Du

is weakly differentiable with

D(V_{\mu}(Du))\in L^2_{\operatorname{loc}}(\Omega)

. Then, we deduce higher differentiability properties for

u

itself and some higher integrability results for its gradient.
Об одном методе решения смешанной краевой задачи для уравнения гиперболического типа с помощью операторов $\mathbb{AT}_{\lambda,j}$
Authors: Trynin Alexandr Yurevich
Published: November 2023

Решена смешанная краевая задача с произвольными непрерывными, необязательно удовлетворяющими граничным условиям, функциями в начальных условиях и неоднородности уравнения. Предложен метод нахождения обобщенного решения с помощью модификации операторов интерполирования функций, построенных с помощью решений задач Коши с дифференциальным выражением второго порядка. Найдены способы нахождения коэффициентов Фурье вспомогательных функций с помощью интеграла Стилтьеса или резольвенты дифференциального оператора Коши третьего порядка.
Библиография: 39 наименований.
Implicações silviculturais das épocas de plantio de quatro espécies florestais nativas em áreas ciliares alagadas
Authors: Rondon Neto Rubens Marques
Published: November 2023

O objetivo do presente trabalho foi avaliar as implicações silviculturais do plantio de mudas de quatro espécies florestais nativas durante as estações seca e chuvosa em área ciliar alagada. O experimento foi instalado em uma área ciliar degradada sujeita ao alagamento durante a estação chuvosa, situada no município de Alta Floresta, MT. Os tratamentos testados constituíram-se nos plantios de quatros espécies florestais nativas, sendo o primeiro em pleno período da estação chuvosa e o segundo no início da estação seca. As espécies arbóreas estudadas foram: Hevea brasiliensis (Willd. ex A. Juss.) Müll. Arg., Bixa arborea Huber, Inga laurina (Sw.) Willd. e Genipa americana L. Aos oito meses após o plantio, foram realizadas as seguintes avaliações: taxas de sobrevivência, altura total, diâmetro do colo e número de folhas das plantas. Os indivíduos de B. arborea sobreviveram apenas quando plantados na estação seca. As épocas de plantio praticamente não afetaram os índices de sobrevivência e os crescimentos vegetativos de H. brasiliensis, I. laurina e G. americana. O plantio na estação seca foi favorável às quatro espécies florestais, não havendo implicações silviculturais negativas quanto à sobrevivência e crescimento vegetativo.
ALTERATION IN BIOCHEMICAL AND HAEMATOLOGICAL PARAMETERS ON EXPOSURE TO HOUSEHOLD DETERGENT (TIDE) OF THE ASIAN SNAKEHEAD FISH CHANNA PUNCTATA
Authors: Singh Preeti , Kumar Pandey Rakesh
Published: November 2023

Using a 96-hour static bioassay, authors looked at the effects of household Tide detergent on the blood parameters and energy metabolism of Asian snakehead fish (Channa punctata). The median 96-hour lethal dose (LC ) of HHD was 60.0 mg/L. The control group received a non- 50 detergent-treated standard meal. RBC count and haemoglobin considerably decreased; however, WBC count level noticeably increased at sublethal of dose 12.00 mg/L. There was a substantial up regulation of total protein. Organcholesterol and triglycerides rose, but total lipids decreased. Overall, the results showed that fish's biochemical and hematological parameters were significantly altered after exposure to detergent