bluuebunny/crossref_metadata_2025 huggingface dataset:
Tuberculosis Diagnosis Delays and Associated Institutional Barriers Among Tertiary Hospitals in Tharaka Nithi County, Kenya
Authors: B.K Linda , T.N Onchangwa , L.K Gitonga
Published: March 2024

Globally, delayed diagnosis of Tuberculosis (TB) is a significant contributor to spread of TB despite avaiability of diagnostic aligorithm and advanced diagnostic machine. Kenya is still grouped among high TB burden nations and has the highest TB incidences in East Africa. This has been associated with delays in diagnosis, resulted to either individual or community health and economic challenges. The purpose of this study was to assess health system related factors influencing timely diagnosis of TB in Tharaka Nithi County. A descriptive crossectional survey study design was adopted among 154 randomly selected patients and 12 purposively selected key informants in selected hospitals in Tharaka Nithi County. A self administered questionaire and key informant guide were used to collect data among patients and key informants respectively. Descriptive and inferential statistics were used to analyse data. Bivariate analysis was used to test the strength of association between health system related factors and duration of TB before diagnosis. Qualitative data was analysed thematically. Study findings revealed that most (70.86%, n=107) respondents delayed in diagnosis. Bivariate regression results revealed that multiple visits (OR=3.24;95%CI:1.55-6.76,p=0.002), long turnarround time (OR=2.38 ;95% CI:1.06-5.30;p=0.035), cash payment (OR=4.53;95%CI:1.82-11.23; p= 0.001), far diagnostic centers (OR=3.86;95%CI:1.71-8.73;p=0.001),lack of prior TB health education (OR=2.71; 95%CI: 1.29-5.64;p=0.008) and long laboratory results turnarround time (OR=2.49; 95% CI: 1.29-5.64; p=0.016) as significants associated with delayed diagnosis. Machine breakdown, misdiagnosis, and inadequate counselling on TB were identified as precipiators of diagnostic delay within a hospital. The study recommends empowerment of community based-hospital referral system, strengthening of collaboration between County government and independent service providers, equiping health facility and continuous training on TB diagnosis and care.

Key words: Timely diagnosis, Health System Related, Tuberculosis, Delay, Barriers
Effectiveness of Application of Transparent Film Dressing on Level of Pain During Removal and Incidence of Phlebitis Among Adult Patients with IV Line
Authors: Raveena R. , Chitra A. Felicia , Jalajarani A.
Published: March 2024

Background: Peripheral venous catheter (PVC) is a common application that is used for care of millions of patients across the world. The aim of the study was to evaluate the effectiveness of application of transparent film dressing on level of pain during removal and incidence of phlebitis among adult patients with IV line, in IGGGH&PGI, Puducherry.
Methodology: The research approach and design selected for this study was quantitative approach and quasi-experimental non-equivalent post-test only control group design. The study setting was IGGGH&PGI, Puducherry. The sample size was 100 (50 in Experimental group and 50 in Control group) which was selected by adopting convenience sampling technique. The level of Pain was assessed by using Modified FLACC Scale and the incidence of phlebitis was assessed by using Observational check list on the day of IV-line removal.
Results: The study results revealed that out of 100 adult patients, majority 27(54%) were female and 26(52%) were in the age group of 51-60 years, 52% of adult patient with transparent film dressing experienced no pain during removal and 66% had no incidence of phlebitis in experimental group. The chi square value χ2=17.606 at p= 0.000 and χ2= 19.878 at p= 0.001 revealed that there was statistically significant difference in the Level of Pain and Incidence of Phlebitis between the Experimental and Control Group respectively, indicating that the Level of Pain and Incidence of Phlebitis were not similar among Adult patient with IV line in both the groups. There was a statistically significant correlation between the Level of Pain and Incidence of Phlebitis among Adult Patient with IV line and there was a significant association between level of pain with clinical variables such as indication and site of IV line insertion in experimental group and no. of IV line in control group and there was a significant association between incidence of phlebitis with clinical variables such as indication and site of IV line insertion in experimental group.
Conclusion: The findings of the study revealed that the level of pain and incidence of phlebitis was reduced on removal of transparent film dressing. Thus, study concludes that transparent film dressing is an effective approach for fastening intravenous lines, minimizing pain when changing or removing the dressing, and also being a cost-effective method by lowering the risk of patient complications.

Key words: transparent film dressing, level of pain, incidence of phlebitis, IV line, adult patient.
Early Predictors of Recurrence and Long-Term Results of Clubfoot Treated by Ponseti Method
Authors: Kumar Maurya Pankaj , Sahu Alok , Varghese Mathew
Published: March 2024

Background: Congenital Talipes Equino Varus (CTEV) or Clubfoot is one of the most common congenital deformities of foot. Ponseti cast treatment is considered as the standard method for management of idiopathic club foot with better short term as well as long term outcomes reported. It is important to evaluate the results of Ponseti method in treatment of clubfoot and cause for early recurrence along with long term result of this technique.
Material and methods: Retro-prospective observational study regarding short term as well as long term follow up for result of Ponseti treatment method was done during period of September 2015 to June 2017. Short term results and early predictors of recurrence were assessed with data regarding initial Pirani scores, number of casts needed for correction, need of tenotomy, bracing follow up and treatment of recurrence. Long term outcomes were also noted in children older than 5 years after completion of treatment with performance outcomes like sports activity, squatting, shoe comfort, external rotation of foot, dynamic supination and parent satisfaction scores.
Result: A total of 54 patients (80 club feet) were part of the study. Early recurrence (below 5 years) and late recurrence (after 5 years) was observed in 19% and 10% clubfeet respectively. Poor compliance with the foot abduction brace (Steenbeek brace) was thought to be the main cause of early recurrence. While brace bearing more than 5 hours is essential to prevent recurrence; early Achilles tendon tenotomy was noted to favor long term maintenance of correction and prevent recurrence. Long term result shows that clubfoot treated by Ponseti method had 97% supple feet with ability to squat in most of the patients with better clubfoot Disease Specific Instrument (DSI) score, external rotation and ankle dorsiflexion.
Conclusion: Ponseti treatment method is a safe and satisfactory method for congenital idiopathic clubfoot with long term effectiveness. Recurrences mainly occurred due to non-compliance with foot abduction brace. Recurrences can also be treated by same method.

Key words: Recurrence in clubfoot, Congenital tali-pes equinovarus (CTEV), Ponseti Treatment, Idiopathic CTEV, Steenbeek brace compliance
Artificial Intelligence in Enhancing Physiotherapy Treatment: Brief Review
Authors: Rathod Arpita , Tiku Rajkiran
Published: March 2024

The rapid advancement of artificial intelligence (AI) has revolutionized various aspects of society, mirroring the transformative impact of the steam engine on human socio-economic systems. AI technologies enable the recognition of intricate patterns within vast datasets, profoundly influencing fields such as social, economic, educational, medical, legal, and moral systems. This paradigm shift may arguably surpass the impact of the mechanical revolution brought about by the steam engine. Looking ahead, healthcare professionals, including physiotherapists are poised to leverage AI within expansive information networks to enhance patient care. This article explores the profound implications of AI on physiotherapy practice, highlighting the imperative for evolving Physiotherapy education to prepare professionals for the complexities of 21st-century healthcare.

Keywords: Artificial Intelligence, Patient Care, Physiotherapy
REZULTATELE ARHEOLOGIEI BULGARE ÎN ANII '80 AI SECOLULUI TRECUT PRIN PRISMA DEPARAMENTULUI SECURITĂŢII STATULUI DIN ROMÂNIA
Authors:   Conf. univ. dr., Universitatea „Valahia” din Târgovişte, Departamentul de Istorie, Marian Cosac
Published: March 2024

The 80' are marked by a broad nationalist in historical research in Romania, a situation similar to that in Bulgaria. A large number of Romanian archaeologists have chosen to collaborate with the Department of State Security (DSS). There is a great diversity of notes made available to the DSS by them, but the ones discussed in this study draw attention to the concern of the DSS towards the results of archaeological research in Bulgaria and their use as arguments in possible future territorial claims. The case of Bulgaria is not unique in ACNSAS documents; the Hungarian archaeological research was equally focused, with the same arguments.
THE CONTEMPORARY EDUCATIONAL SIGNIFICANCE OF HISTORIC EUROPEAN RESIDENTIAL COLLEGES: A STUDY OF SPANISH COLEGIOS MAYORES
Authors:   Universidad Complutense de Madrid, Faculty of Education, C. del Rector Royo Villanova, 1, Madrid, Spain, María José Ibáñez Ayuso , Cristina María Ruiz-Alberdí ,   Universidad Francisco de Vitoria, Faculty of Psychology and Education, Carretera de Pozuelo-Majadahonda, María del Rosario Limón Mendizabal ,   Universidad Complutense de Madrid, Faculty of Education, C. del Rector Royo Villanova, 1, Madrid, Spain
Published: March 2024

The European residential colleges, which originated in the Middle Ages, are institutions that had a major impact on the evolution of the Western university. Throughout the centuries, and especially in the Modern Age, they played a decisive role in educating many who went on to occupy important political, ecclesiastical, and academic positions. Vestiges of these residential colleges still survive today in institutions such as the Italian Collegi di Merito, the Hungarian Szarkollegiums, the Spanish Colegios Mayores Universitarios, or the Portuguese republicas de estudantes. However, despite their great historical importance, the educational value of these institutions is largely unknown. This research investigates the educational value of historic Spanish Colegios Mayores and their differential value compared to other residential alternatives. To this end, a cross-sectional quantitative study was carried out with the participation of 393 students using the validated CUEVU questionnaire. The results indicate that students in Colegios Mayores perceive greater educational opportunities regarding comprehensive education than those in other types of accommodation. The effect size was also larger when students attended public universities. No significant differences were found according to the type of Colegios Mayores in which the students resided. To sum up, centuries after their creation, the Colegios Mayores continue providing much more than mere accommodation, offering valuable educational space to those living there.
DYNAMICS OF MECHANICAL MACHINING
WITH END MILLS ON CNC MACHINE
Authors: POPOK N. , ANISIMOV V.
Published: March 2024

Increasing the productivity of processing complex-profile surfaces of parts is considered and power efficiency of

CNC machine drives by using end mills with steep cutting edges. Dependences of changes in cutting forces on time and

processing modes using milling cutters from various manufacturers are given.
Inteligencia artificial generativa: determinismo tecnológico o artefacto construido socialmente
Authors: López del Castillo Wilderbeek Francisco Leslie
Published: March 2024

El presente artículo analiza la inteligencia artificial generativa aplicando el modelo de construcción social de la tecnología, con el cual se observan los actores sociales afectados por esta tecnología con influencia para decidir su futuro. Los resultados obtenidos señalan que el éxito de la inteligencia artificial generativa no tiene un origen neutral, sino que está condicionado por los intereses de diferentes actores sociales. Este resultado, sin embargo, también indica que esta tecnología se encuentra en una fase de flexibilidad interpretativa. Es decir, que los grupos afectados por esta tecnología todavía están decidiendo su postura sobre la inteligencia artificial generativa y cómo podría ser en un futuro.
Diarrea da antibiotico e probiotici: un matrimonio di scarsa utilità clinica. I risultati di un RCT
Authors: Gruppo di lettura di Reggio Emilia
Published: March 2024

Antibiotic-induced diarrhea and probiotic: a marriage of little clinical utility. The results of an RCT The use of probiotics for the prevention of antibiotic-associated diarrhea (AAD) is an intervention of questionable efficacy. This blinded randomized controlled trial carried out on more than 300 children between 2018 and 2021 with a multi-species probiotic did not demonstrate a reduction in the risk of antibiotic-associated diarrhea when outcomes were analysed according to the strictest definition. It also highlighted that how AAD is defined has a significant effect on clinical trial outcomes and interpretation.
“Crazy Yourself!”: Eugene O’Neill’s Letters to Djuna Barnes (August 25, 1924, and Spring 1931)
Authors: Eisenhauer Drew
Published: March 2024

An evaluation of the evolution of the relationship between Eugene O’Neill and Djuna Barnes based on two letters from O’Neill to Barnes (1924 and 1931). This article also touches on the little-known history of Barnes’s attempts to have two dramas, Ann Portuguise and Biography of Julie von Bartmann, produced by the Experimental Theatre, Inc. (O’Neill, Kenneth Macgowan, and Robert Edmond Jones). This group ran the Provincetown Playhouse after the demise of Jig Cook’s original Provincetown Players, with whom Barnes had previously staged three short plays.
“The Realm of Our Invention”: On the Role of Parody in Nietzsche’s Thought
Authors: Wall Caroline
Published: March 2024

In the first edition of The Gay Science (GS), Nietzsche proposes that we treat knowledge as unconditionally valuable and life as a tragic quest for truth. In the second edition of GS, he seems to retract this proposal, suggesting that we substitute “incipit parodia” for “incipit tragœdia.” But Nietzsche does not say what he means by “parody,” or what role he believes it should play in our evaluative lives. This article proposes that by introducing parody into GS, Nietzsche intends not only to correct the original text by mocking his earlier treatment of science as tragic, but also to designate parody as a basis for new tasks, duties, and values beyond what science can offer. This article speculates that parodic value creation might consist in the imitation of behaviors and practices associated with preexisting values without the reproduction of the beliefs and feelings corresponding to those practices.
تكافؤ القياس في اختبار كاتل للذكاء لدى البالغين في ضوء الجنس باستخدام التحليل العاملي التوكيدي متعدد المجموعات
Authors: العيدان * خلود بنت خالد , زراع** د. نسرين بنت محمد
Published: March 2024

هدفت الدراسة الحالية إلى التحقق من تكافؤ القياس على مستوى البنية الكامنة لاختبار كاتل للذكاء المتحرر من أثر الثقافة بين طلاب وطالبات جامعة القصيم في مدينة بريدة من خلال اختبار أربعة نماذج رئيسية، هي: التكافؤ الشكلي، والتكافؤ المتري، وتكافؤ التدريج، وتكافؤ تباين الخطأ، وذلك باستخدام الأسلوب الإحصائي: التحليل العاملي التوكيدي متعدد المجموعات. بالإضافة لذلك، هدفت الدراسة إلى التحقق من عدم وجود فروق في المتغيرات الكامنة بين الطلاب والطالبات في الاختبار بعد التحقق من تكافؤ قياسه وذلك باستخدام الأسلوب الإحصائي: متوسطات المتغيرات. وقد اعتمدت الدراسة على المنهج الوصفي – المقارن، وطبقت اختبار كاتل للعامل العام مقياس الذكاء المتحرر من أثر الثقافة (المقياس الثالث) الصورة (أ) من إعداد العالم كاتل Cattell على عينة قوامها (681) طالبًا وطالبةً، اختيروا بالطريقة العشوائية. وقد أسفرت النتائج عن الوصول إلى تكافؤ القياس التام من خلال تحقق نماذجه الأربعة، وتطابق البنية الكامنة بين طلاب وطالبات جامعة القصيم وعدم وجود فروق بين الجنسين في السمات الكامنة للذكاء. وبناءً على ما توصلت إليه الدراسة من نتائج قدمت مجموعة من التوصيات.
Decomposition of Reinforcement Learning Deficits in Disordered Gambling via Drift Diffusion Modeling and Functional Magnetic Resonance Imaging
Authors: Wiehler Antonius , Peters Jan
Published: March 2024

Gambling disorder is associated with deficits in reward-based learning, but the underlying computational mechanisms are still poorly understood. Here, we examined this issue using a stationary reinforcement learning task in combination with computational modeling and functional resonance imaging (fMRI) in individuals that regular participate in gambling (n = 23, seven fulfilled one to three DSM 5 criteria for gambling disorder, sixteen fulfilled four or more) and matched controls (n = 23). As predicted, the gambling group exhibited substantially reduced accuracy, whereas overall response times (RTs) were not reliably different between groups. We then used comprehensive modeling using reinforcement learning drift diffusion models (RLDDMs) in combination with hierarchical Bayesian parameter estimation to shed light on the computational underpinnings of this performance deficit. In both groups, an RLDDM in which both non-decision time and decision threshold (boundary separation) changed over the course of the experiment accounted for the data best. The model showed good parameter and model recovery, and posterior predictive checks revealed that, in both groups, the model accurately reproduced the evolution of accuracies and RTs over time. Modeling revealed that, compared to controls, the learning impairment in the gambling group was linked to a more rapid reduction in decision thresholds over time, and a reduced impact of value-differences on the drift rate. The gambling group also showed shorter non-decision times. FMRI analyses replicated effects of prediction error coding in the ventral striatum and value coding in the ventro-medial prefrontal cortex, but there was no credible evidence for group differences in these effects. Taken together, our findings show that reinforcement learning impairments in disordered gambling are linked to both maladaptive decision threshold adjustments and a reduced consideration of option values in the choice process.
Isolation and Screening of Pigment Producing Bacteria from Soil and Study of Antimicrobial Activity of Pigments
Authors: P. Nanaware Jayashri , K.S. Shah , G.R. Pathade
Published: March 2024

Pigments are colored compounds that play important roles in various biological systems, such as photosynthesis, vision, and signalling. Pigment-producing bacteria are a diverse group of microorganisms that can produce a wide range of pigments with different colors and properties. The present study is aimed to isolate the pigment-producing bacteria from the soil with the antibacterial activity of pigments. Soil samples were collected from nearby Karad city. All eight different pigmented colonies were isolated that produced the pigments like Yellow, Red, Golden Yellow, and Orange and they were designated as YP-I, YP-II, YP-II, GYP-I, GYP-II, RP-I, RP-II, and OP. The isolated organisms were characterized with the help of Bergey’s Manual of Determinative Bacteriology. The pigments were extracted with a solvent like chloroform and the antibacterial activity of the extract was tested against E. coli, Pseudomonas aeruginosa, and Staphylococcus aureus. The extracted pigments had an inhibitory effect on both Gram-positive and Gramnegative bacteria. The pigments of isolates designated as YP-III, GYP-I, GY-II, and RP-II showed the highest antibacterial activity against E. coli.
Effect of Organic Manures and Inorganic Fertilizers on Growth, Flowering and Corm Yield in Gladiolus (Gladiolus grandiflorus L.) cv. Nova Lux
Authors: Dixit Shivam , Kumar Pandey Ashok , Tiwari Harendra , Trivedi Himanshu , Bhadauria Ankit Singh
Published: March 2024

A field experiment was conducted at the Department of Horticulture, Janta College, Bakewar, Etawah, India, during 2021-22. The experiment was conducted in a randomized block design with 10 treatments in three replications. Different combinations of Vermi-compost, F.Y.M., and NPK were used as treatments. The results revealed that, amongst all the treatments, the application of N.P.K. 120:80:80 kg + V.C. 10 t/ha in treatment (T8 ) produced significant results. height of plant in 66.91 cm, number of leaves per plant 8.56, length of longest leaf in 48.14 cm (final stage), number of sprouts per corm 2.43, Number of days for emergence of spike 103.84, length of spike in 87.70 cm (full blooming stage), number of florets per spike 15.62 (full blooming stage), diameter of florets in 9.33 cm (full blooming stage), diameter of corms 7.50 (cm), number of corms per plant 4.80, weight of corms per plant 150.51 (g), corm yield per plot 1.90 (kg).
Influence of Integrated Nutrient Management on Nitrogen and Phosphorus in Soil under MaizeBlackgram-Groundnut Cropping System
Authors: Ushasri Bellary
Published: March 2024

In order to investigate the immediate effects of integrated use of inorganic and organic sources of N and P on the performance of the maize-blackgram-groundnut cropping sequence in terms of yield, a field experiment was conducted at S.V. Agricultural College Farm, Tirupati during the rabi (maize), summer (blackgram), and kharif (groundnut) seasons of 2019-20. Ten treatments were applied to maize, including the control, fertilizers administered at 50%, 75%, and 100% of the recommended dose (NPK), N240 only, P80 only, FYM (@ 5 t ha-1) applied alone, and in combination with 100%, 75%, and 50% of the recommended NPK. These interventions were contrasted with the manure and no-fertilizer control. Blackgram was produced after maize without the use of fertilizer or manure. It was allowed to mature and expand for two pickings, the stover was incorporated into the soil. In the following rabi season, black gram was grown on the same field, and each main plot treatment of RBD was divided into three sub plot treatments with S1 (control), S2 (75% RDF), and S3 (50% RDF), yielding ninety treatment combinations replicated three times in split plot design .–increased fertilizer-N addition rates resulted in increased soil concentrations of ammonia, nitrate, and alkaline KMnO4 oxidisable (available) N. Similar to this, greater Olsen-P and total inorganic P values led to higher fertilizer-P dosages. It was discovered that applying FYM @ 5 t ha-1 and inorganic N together helped to keep the levels of all these types of soil N stable until groundnut harvest. Organic P revealed an inverse relationship with the Inorganic P content at all the growth stages of the three crops under study
HUBUNGAN FAMILY CENTERED CARE DENGAN STRESS HOSPITALISASI PADA ANAK USIA PRA SEKOLAH DI RSUD AJIBARANG BANYUMAS
Authors: Yoga Prasetia  , Tin Utami  , Atun Raudotul Ma’rifah
Published: March 2024

During the process, children can experience various events in the form of experiences that are very traumatic and full of stress. The group of children who are very vulnerable to the stress of hospitalization is pre-school children. Hospitalization reactions in pre- school age children show non-adaptive reactions which can be in the form of refusing to eat, frequently asking questions, crying and being uncooperative with officers. Another impact of hospitalization stress is that it can cause children to experience short-term and long-term negative effects, generally in the form of lethargy behavior, sleep disturbances. This study aims to determine the relationship between Family Centered Care and the stress of hospitalization for pre-school children at the Ajibarang Hospital, Banyumas. This study uses quantitative research methods with a cross-sectional approach. Respondents in the study were pre-school children who were being treated in the children's room at Kepodang Atas Hospital Ajibarang Banyumas as many as 30 respondents. The sampling technique used non-probability sampling. Data analysis used univariate analysis and bivariate analysis. The results of this study indicate that the majority of Family Centered Care in the Kepodang Atas pediatric care room at Ajibarang Banyumas Hospital is in the sufficient category (50%). The most dominant stress of hospitalization of pre-school age children in Ajibarang Hospital is mild hospital stress (63.3%). There was a relationship between Family Centered Care and the stress of hospitalization at Ajibarang Hospital with a p value of 0.000. This research is recommended for parents who are expected to be able to use and improve all sources that can improve family center care.
PLATO'S PHILOSOPHY OF POLITICAL EDUCATION AS A WAY FOR CANDIDATES FOR INDONESIAN LEADERS
Authors: Siti Umroh
Published: March 2024

This study aims to review the formulation of an educational program to prepare prospective leaders with Plato's political philosophy of education in the midst of the problems of learning in Indonesia which is limited to rote practice so that it pays less attention to students' reasoning. Especially in this democratic regime, students lack moral role models because many state officials commit corruption. The type of research used in this research is descriptive qualitative with the type of literature study (library research), so that the source of the data obtained comes from the text. Data sources are divided into two, namely primary data and secondary data. Primary data is The Republic Plato, while secondary data includes books, journals, magazines, mass media, and articles relevant to the title of the discussion. Data from various sources will be processed analytically descriptively regarding Plato's political education philosophy, then integrated with the 2013 curriculum, then conclusions are drawn. The result of this research is that the main target of Plato's philosophy of political education is the soul, so the educational program (paideia) to prepare future leaders implies an artificial (mimesis, imitation) obtained through mousike and gymnastics to direct thumos. The soul always follows what is directed. Mousike, gymnastics, and dialectics are a paidia (game) which is a combination in the educational process.
Green Trademarks and Sustainability
Authors: Todorova Silviya
Published: March 2024

The new generations of consumers are increasingly aware and demand more and more sustainable products that are friendly to the environment and health in general. Nowadays, most companies know that using trademarks that are associated with the nature, sustainable or healthy goods or services could increase their sales and profit. In recent years, there has been a growing trend in companies using environmentally conscious branding to highlight their commitment to sustainability. This involves terms like “organic”, “green”, “eco”, “eco-friendly”, “sustainable” or related words in the trademarks, including in logos, or slogans to convey their dedication to environmental responsibility. (Palacio 2023) These so-called Green Trademarks could bring sustainability to the company. Green Trademarks could be a way for companies to distinguish their products or services in the market by emphasizing their eco-friendly attributes.
Tradisi Tatu Dayak Sebagai Simbol Strata Sosial
Authors: Aryanti Dewi Raihan , Sumawinata Shiska , Fathiraini Nurdiani
Published: March 2024

Indonesia merupakan sebuah negara yang terdiri dari berbagai suku bangsa. Pada masa ini, Indonesia direkodkan mempunyai 1,340 suku yang tersebar dari Sabang hingga Merauke, dan dari Miangas hingga Palau Rote. Salah satu suku ini ialah Suku Dayak. Suku Dayak mendiami wilayah Kalimantan, khususnya Kalimantan Timur, Kalimantan Tengah, dan Kalimantan Barat, dan dianggap sebagai suku asli tertua dan terbesar di Kalimantan. Selain itu, banyak suku Dayak mendiami kawasan pinggir sungai dan hutan pedalaman. Kehidupan seharian suku Dayak tetap terikat dengan budaya dan ketentuan adatnya. Salah satu budaya unik suku Dayak ialah tradisi tatu. Tatu adalah lukisan atau lukisan pada bahagian tubuh manusia yang bagi sesetengah orang Indonesia adalah pantang larang atau dilarang. Namun, bagi suku kaum ini, kewujudan tatu berkait rapat dengan falsafah. Tatu digunakan sebagai medium komunikasi untuk menyampaikan identiti mereka. Pendirian tatu Dayak menjadi penegasan kekuatan, kepakaran, pengembaraan, dan simbol strata sosial. Bahan yang digunakan untuk membuat tatu berasal dari alam semula jadi, jadi warna yang terhasil adalah hitam. Suku Dayak percaya bahawa tatu di badan mereka akan bertukar warna menjadi emas dan akan menerangi jalan keabadian selepas mereka mati. Untuk menghuraikan lebih lanjut mengenai tradisi tatu Dayak, para penyelidik menggunakan teori daripada Clifford Geertz.
Diabetes mellitus de novo en pacientes hospitalizados durante la pandemia en un hospital de cuarto nivel en Bogotá
Authors: Barrios Laverde David , Adams González Natalia , Flórez Romero Andrés
Published: March 2024

Contexto: la diabetes mellitus tiene una alta prevalencia a nivel mundial y constituye un factor de riesgo para discapacidad y muerte. A nivel intrahospitalario puede llegar a tener un alto impacto en los desenlaces.
Objetivo: describir las características sociodemográficas y clínicas de los pacientes a los cuales se les realizó diagnóstico de diabetes mellitus de novo durante su estancia hospitalaria, durante la situación de pandemia por SARS-CoV-2.
Metodología: estudio observacional descriptivo retrospectivo, cuya población fueron pacientes mayores de 18 años, hospitalizados en el Hospital Universitario Mayor Me?deri, en el periodo de junio a noviembre del año 2020.
Resultados: se diagnosticaron 219 casos de diabetes mellitus de novo, donde la edad promedio fue de 63 años y con una proporción mayormente masculina (65?%). Entre los antecedentes, el más común fue la hipertensión arterial (39?%) y solo el 4?% tenía conocimiento que padecía prediabetes, donde el 1,83?% de ellos eran usuarios de metformina. El 36?% tenía peso adecuado y el 46?% de los pacientes tuvieron diagnóstico de infección por SARS-CoV-2, de los cuales el 49?% requirió corticoides. Entre las complicaciones más comunes estuvieron la lesión renal aguda (LRA) con un 32?% y las complicaciones cardiovasculares (CCV) con un 21?%. En total, la mortalidad fue del 12?% y al evaluar las variables, la LRA presento? diferencia en el grupo de fallecidos con un 81?% y en sobrevivientes con un 26?%. Los pacientes con CCV presentaron más LRA y más infecciones intrahospitalarias comparados con los pacientes sin CCV (52?% vs. 27?% para LRA) y (26?% vs. 10?% para infecciones intrahospitalarias).
Conclusiones: a pesar de los avances en su tratamiento, la diabetes mellitus persiste como una enfermedad subdiagnosticada a nivel intrahospitalario y se requieren ampliar los estudios para determinar los factores de riesgo que se enfocan en su detección temprana.
A medicina tradicional Amazônica: uma revisão sistemática da literatura
Authors: Menezes Layla de Cassia Bezerra Bagata , Brasileiro Tania Suely Azevedo
Published: March 2024

O objetivo inicial das buscas era identificar estudos que tratassem da medicina tradicional amazônica (MTA) na formação inicial de enfermeiros. A partir disso, foram sendo elaboradas as combinações de palavras-chave que poderiam atender às demandas dessa revisão sistemática de literatura (RSL); no entanto, as diferentes estratégias de buscas utilizadas não resultaram em nenhum achado. Com isso, optou-se por realizar esta RSL com os dados identificados através da palavra-chave “Traditional Amazonian Medicine”. Desse modo, este artigo tem por objetivo conhecer o que está sendo produzido na literatura científica acerca da Medicina Tradicional Amazônica. O tipo de estudo adotado é uma revisão sistemática da literatura, a partir do método Systematic Search Flow (SSF). O portfólio é composto por 77 artigos, que abordam uma variedade de temas, incluindo o uso de plantas medicinais, práticas terapêuticas indígenas, efeitos terapêuticos de substâncias psicoativas como a ayahuasca e tratamentos para diferentes condições de saúde. Além disso, há um interesse crescente na integração da MTA com a medicina alopática, como é o caso de estudos que investigam o uso de substâncias psicoativas em terapias para toxicodependentes e para transtornos mentais. O estado do conhecimento da medicina tradicional amazônica revela que as pesquisas desenvolvidas nessa temática se centram na etnofarmacologia e etnobotânia, fator que pode ser atribuído pelo interesse da indústria farmacêutica em descobrir novos ativos e desenvolver novos medicamentos. Estas pesquisas são importantes também para validar o conhecimento tradicional sobre plantas medicinais. Contudo, esse tipo de estudo não é suficiente para abarcar a complexidade de tratamentos, rituais e técnicas empregadas na MTA, tampouco aos diferentes aspectos culturais que constituem esse saber.
Excastra albopilosa, a remarkable new genus and species of Lamiinae (Insecta: Coleoptera: Cerambycidae) from southeastern Queensland, Australia
Authors: Tweed James , Ashman Lauren , Ślipiński Adam
Published: March 2024

A new genus and species of Cerambycidae from the subfamily Lamiinae is described from subtropical rainforest in southeastern Queensland, Australia. Excastra albopilosa gen. et sp. nov. is easily distinguished from all other Australian Lamiinae by its dense covering of short adpressed white setae and the long erect white setae forming twisted spires. A modification to the key to Australian Lamiinae genera is provided to accommodate Excastra gen. nov.
COMPARISON OF THE VARIABILITY OF RECOVERY PROFILE AND HEMODYNAMIC EFFECTS OF NEUROMUSCULAR BLOCKADE WITH CISATRACURIUM VERSUS ATRACURIUM
Authors: SIDDIQUI A , RAZA S , SHAFQAT S , ZEHRA S , BOZDAR S , MUNIR MN
Published: March 2024

A randomized controlled trial was conducted at the Main Operation Theatre of Jinnah Postgraduate Medical Centre (JPMC) in Karachi to compare the recovery profile and hemodynamic effects of cisatracurium and atracurium among patients undergoing laparoscopic cholecystectomy. The study was conducted from 20th July 2019 to 19th January 2020 and included 68 patients aged between 20 to 50 years undergoing elective laparoscopic cholecystectomy under general anesthesia. Patients with a history of allergy to the study drugs, neuromuscular, pulmonary, renal, or hepatic diseases, smoking, pregnancy, or breastfeeding, and those on preoperative medication such as antipsychotics, aminoglycosides, steroids, or neuroleptics were excluded. The patients were randomly divided into two groups. In Group 1, comprising 34 patients, cisatracurium (0.2 mg/kg) was administered, whereas in Group 2, also with 34 patients, atracurium (0.5 mg/kg) was given. Neuromuscular blocking agents were administered three minutes before intubation. The primary outcomes measured were the recovery profile and hemodynamic effects. In Group 1 (cisatracurium), the baseline mean arterial pressure (MAP) was recorded as 98.40 ± 8.02 mmHg, which increased to 112.20 ± 8.88 mmHg before intubation, resulting in a change of 13.56 ± 5.59 mmHg. In contrast, in Group 2 (atracurium), the baseline MAP was 94.10 ± 7.91 mmHg, which rose to 109.07 ± 8.35 mmHg before intubation, indicating a change of 16.50 ± 4.38 mmHg. The study concluded that cisatracurium is more effective in exhibiting neuromuscular blocking properties than atracurium in patients undergoing laparoscopic cholecystectomy under general anesthesia.
PERANCANGAN SISTEM INFORMASI BERBASIS WEBSITE DESA CIBADAK MENGGUNAKAN METODE WATERFALL
Authors: Setiawan Ayub , Yulisa Geni Bias , Laple Satria Putra Rani
Published: March 2024

This research aims to design an information system based on a website for the village of Cibadak, using the Waterfall methodology. The website-based information system is envisioned to enhance communication and accessibility of vital village-related information for residents and stakeholders. The Waterfall methodology provides a structured approach to the development process, encompassing sequential phases from requirements gathering, design, implementation, testing, and maintenance. By employing this methodology, the study seeks to ensure systematic and comprehensive development, addressing the specific needs and challenges faced by the village of Cibadak. The outcome of this research is expected to offer insights into the effective application of the Waterfall methodology in developing information systems tailored to the requirements of rural communities, thus contributing to improved governance and service delivery at the village level.
An Intelligent Fusion Framework for Risk Assessment of Notarial Activities in the Digital Era: Balancing Speed and Legal Security with ICT
Authors:   Universidad Regional Autónoma de Los Andes Riobamba. Ecuador., Luis Luis ,   Universidad Regional Autónoma de Los Andes Puyo. Ecuador.,   Universidad Regional Autónoma de Los Andes Ibarra. Ecuador.,   Department of Corporate Economics and Management, Tashkent State University of Economics, Uzbekistan, .. Luis R. Miranda Ch� , .. Carlos J. Lizcano , Abdurashidova Marina
Published: March 2024

The integration of Information and Communication Technologies (ICT) into notarial activities has revolutionized the way procedures are processed by significantly enhancing speed and legal security, which are key aspects for user satisfaction. This shift responds to the growing demand for fast and secure notarial services, where efficiency and legal protection are priorities. Through the analysis conducted with the neutrosophic RAFSI method, risks derived from digitalization have been identified and classified, proposing effective solutions for their mitigation. Among these, the need to update regulations to adapt them to the digital context and the importance of training notaries in digital competencies and cyber security stand out. These measures are focused not only on streamlining notarial procedures but also on reinforcing trust in notarial services, marking a significant advance toward the modernization of notarial practice in the digital era. In conclusion, the fusion of ICT with notarial activities, supported by risk control and supervision, has effectively balanced service speed with legal security, meeting the current expectations of users.
Application of the Neutrosophic TOPSIS for the Analysis of the Violation of Due Process in Ecuadorian Adolescents
Authors:   Universidad Regional Autónoma de Los Andes. Ibarra. Ecuador, Teresa Teresa ,   Universidad Regional Autónoma de Los Andes. Babahoyo. Ecuador,   Universidad Regional Autónoma de Los Andes. Puyo. Ecuador, .. Katherine T. Troya , Llerena Erick M. Vásquez
Published: March 2024

Due to the increase in violence in Ecuador involving juvenile offenders, an analysis of the situation is proposed from a neutrosophic approach to address the violation of due process in adolescents in Ecuador, highlighting the importance of considering the complexities and ambiguities of the juvenile penal system. Challenges are identified and classified through the PESTEL technique related to legal deficiencies, economic constraints, and socio-environmental factors contributing to juvenile delinquency, which are processed hermeneutically in a TOPSIS that uses single-valued neutrosophic numbers. The processing's main outcome is the influence of legal and economic aspects, thus the need to promote legal reforms, strengthen institutional capacities, invest in preventive programs, and support social reintegration and the responsible use of information technologies. The conclusions emphasize the importance of a comprehensive and coordinated approach to improve juvenile justice in Ecuador, ensuring respect for due process and the rights of adolescents.
The Effect of Concomitant Biceps Tenodesis on Revision Surgery Rates After Primary Rotator Cuff Repair
Authors: Pearson Zachary C. , Haft Mark , Agarwal Amil R. , Rupp Marco-Christopher , Mikula Jacob D. , Ahiarakwe Uzoma , Best Matthew J. , Srikumaran Uma
Published: March 2024

Introduction:

We aimed to use a national database to compare the 4-year revision surgery rates after rotator cuff repair (RCR) in patients with concomitant biceps tenodesis (BT) versus those without BT.

Methods:

A retrospective cohort analysis was conducted using the PearlDiver database from 2015 to 2017. Patients undergoing primary open and arthroscopic RCR with and without BT were identified. Demographic variables, 90-day complications, and 2- and 4-year revision surgery rates were analyzed, and a multivariable logistic regression was conducted.

Results:

Of the 131,155 patients undergoing RCR, 24,487 (18.7%) underwent concomitant BT and 106,668 (81.3%) did not. After controlling for comorbidities and demographics, patients with concomitant BT were associated with lower odds of all-cause revision (OR; P-value [0.77; P < 0.001]), revision BT (0.65; P < 0.001), revision RCR (0.72; P < 0.001), and shoulder arthroplasty (0.81; P = 0.001) within 4 years when compared with those without concomitant BT.

Discussion:

In our analysis, patients undergoing primary RCR with concomitant BT had 35% reduced odds of revision BT and 23% reduced odds of any all-cause revision within 4 years when compared with those without concomitant BT. This suggests that tenodesis at the time of primary RCR may be associated with a reduction in the utilization of ipsilateral shoulder revision surgery rates.
Pemanfaatan Sosial Media Instagram sebagai Alat Promosi Layanan Informasi Perpustakaan
Authors: Kartini Kartini , Kumala Anggi , Afzah Amirah Ummi , Roziqna Damanik M. Olga , Rosari Hikmah
Published: March 2024

Studi ini menyelidiki penggunaan Instagram sebagai alat pemasaran untuk layanan informasi perpustakaan. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana sebuah perpustakaan menggunakan Instagram untuk memasarkan layanan informasi. Studi literatur adalah metode penelitian yang digunakan untuk mengetahui lebih lanjut tentang berbagai tindakan yang terkait dengan pengumpulan data pustaka, membaca, mencatat, dan mengelolah bahan penelitian (Zed, 2008:3). Secara umum, studi literatur adalah pendekatan yang digunakan untuk menyelesaikan masalah dengan melihat sumber-sumber tulisan yang telah ditulis sebelumnya. Sumber-sumber yang diperlukan untuk penelitian ini dapat diperoleh dari sumber-sumber pustaka. Studi literatur tidak perlu turun ke lapangan dan berbicara dengan responden. Studi ini menunjukkan bahwa Instagram adalah platform media sosial yang sangat efektif untuk mempromosikan perpustakaan dalam kaitannya dengan pemasaran layanan informasi yang disajikan.
The Efforts of Implementing the 21st Century Learning in English Education
Authors: Kurniati Kurniati , Ervina Vina , Ainatasya Nabila , Jailani Ahmad
Published: March 2024

This research aims to reveals the efforts of implementing 21st century learning and the challenges faced by respondents in applying 21st century learning in English Education Study program at STAIN Bengkalis. This study was a survey research. The findings indicated that several efforts to implement 21st century learning conducted by lecturers in the English Education Study Program at STAIN Bengkalis included: 1) In general, the lecturers have implemented 21st century learning models such as Collaborative Learning, Project Based Learning, and Problem Based Learning; 2) Lecturers employed student-centered learning methods; and 3) Digital literacy was utilized by lecturers in the teaching processes. Meanwhile, some challenges faced are: 1) Inadequate facilities and infrastructure; 2) Many students still lack proficiency in digital literacy; 3) Students face difficulties in mastering the 4C skills (Critical Thinking and Problem Solving, Communication Skills, Creativity and Innovation Skills, and Collaboration Skills); and 4) The concept and principles of 21st century learning are not fully understood by lecturers and students. In order to support better implementation of 21st century learning, institution should provide enough facilities and a workshop about how to implement 21st learning.
Major clinical approaches of dental treatment in cancer patients: a systematic review
Authors: Silva Mylena Gabrielly Neves , Moreira Rosimeire soares Mendes , Groto Laura Padoan , Buchala Carlos Alberto Costa Neves
Published: March 2024

Introduction: According to the National Cancer Institute, a total of 16,290 new cases of oral cancer were estimated in Brazil in 2017, with 12,370 new cases of oral cavity cancer in men and 4,010 in women corresponding to an estimated risk of 11.54 cases new for every 100 thousand men and 3.92 for each 100 thousand women. In this sense, oral cancer therapy is associated with a multitude of head and neck sequelae including hyposalivation, increased risk of tooth decay, osteoradionecrosis of the jaw, radiation fibrosis syndrome, mucositis, chemotherapy-induced neuropathy, dysgeusia, dysphagia, mucosal lesions, trismus, and infections. Objective: It was to present the main clinical approaches to dental treatment in cancer patients through a systematic review. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from November 2023 to February 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 156 articles were found, 58 articles were evaluated in full and 29 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 32 studies with a high risk of bias and 20 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=61.8%>50%. It was concluded that preparing a comprehensive treatment plan for cancer patients is essential to help minimize the risks of developing these oral and dental complications. Additionally, dentists should consider the patient's ongoing oncology therapy for those patients who see the dentist while receiving cancer treatment.
Enhancing Latex Compounds and Vulcanized Rubber Properties with Silver Nanoparticles
Authors: Artchomphoo Jutatip , Rattanapan Suwat , Masaesa-i Irfun , Taengphan Weerasak , Saijun Diew
Published: March 2024

The production process of latex products requires the preparation of latex compounds by mixing latex with chemicals in a dispersion state. This experiment investigated the influence of added zinc oxide and silver nanoparticles on the properties of latex compounds and vulcanized rubber. It was found that increasing the amount of zinc oxide in the rubber compound resulted in a rise in the viscosity of the latex over the storage period. Increasing the zinc oxide content also led to a higher degree of crosslink noticed by a faster chloroform number determination of the vulcanization level and the opposite effect on the swell value of the rubber film with reduced swelling. The amount of 2.0 phr of ZnO as an activator gave the highest value of the tensile strength. The increasing amount of silver nanoparticles caused a decrease in the viscosity and exhibited a slower chloroform number with a decrease in the swelling of the rubber film. The amount of silver nanoparticles in the study period (0.0010-0.0022 phr) had little effect on mechanical properties but a significant effect on antibacterial activity. The 0.0010 phr of silver nanoparticles showed sufficient potential in inhibiting Staphylococcus aureus and Escherichia coli.