bluuebunny/crossref_metadata_2025 huggingface dataset:
Viscoelastic and mechanical properties of repair epoxy mortar from modified poly(ethylene terephthalate) waste
Authors: Phetphaisit Chor. Wayakron , Singthong Wanwisa , Hemavibool Saranagon , Ruamcharoen Polphat
Published: May 2023

The idea of sustainable and circular use of difficult to decompose plastics is pursued to add value to other products. New epoxy mortars suitable for construction repair made from epoxy oligomer amine and modified PET waste hardeners mixed with sand were prepared. Three types of carboxyl terminated PET (CTPET) were used as co-hardeners together with an amine to prepare new combination linkage epoxy mortars. Investigation of the viscoelastic properties has shown that the CTPETs affect both the storage modulus at glassy state and the rubbery plateau, which refer to interfacial adhesion between the epoxy matrix and sand aggregates. In addition, the damping behavior and glassy temperature were increased with the addition of CTPET. Furthermore, the combination linkage of ester groups from the CTPET may contribute to the improvement of compressive strength and flexural strength of an epoxy mortar. The results of absorption and flexural change after immersion in solution and interfacial flexural bonding strength with ordinary cement-based material were also investigated.
Outcome domains and measurement instruments of patient- relevant improvement of structure and processes as a new set of outcomes for evaluating and approving digital health applications: systematic review
Authors: Scheibe Madlen , Knapp Andreas , Harst Lorenz , Schmitt Jochen
Published: May 2023

Background: In October 2020, digital health applications (DiGAs) became part of standard care in Germany. For approval, DiGA manufacturers must demonstrate medical benefit or patient-relevant improvement of structure and processes (PISP). PISP refers to an innovative outcome core area in terms of proof of benefits and reimbursement decisions. These are subdivided into 9 outcome domains, including health literacy, facilitating access to care, and coping with illness-related difficulties in everyday life. Their implementation aims at empowering patients, encouraging shared decision-making, and increasing patient-centeredness in healthcare delivery. Given the novelty of PISP, no standardized set of outcomes and outcome measurement instruments currently exists to operationalize the domains. Learning from previous evaluation studies can help operationalize and standardize PISPs for evaluation studies of digital health applications.
Therefore, we investigated the outcomes and outcome measurement instruments, used in controlled trials to assess DiGA-compliant applications, published before the Digital Health Applications Ordinance of April 2020.
Methods: We conducted a systematic review of studies published between 01/2015 and 04/2020, via MEDLINE and Embase, complemented by forward/backward searches. Controlled trials assessing interventions adhering to the definition of DiGA were eligible, if they applied a validated outcome measurement instrument, and if results were presented in German or English. Title-abstract screening, full-text screening, data extraction and qualitative synthesis were conducted independently by two researchers.
Results: Out of 2,671 references identified, 6 studies collecting a total of 48 outcomes were included. 14 outcomes (29.2%) addressed PISP by using 13 different measurement instruments. The outcomes corresponded to 5 of 9 PISP outcome domains with health literacy beeing the most common (7/14, 50.0%).
Conclusions: This review provides an overview of the characteristics of PISPs used in previous evaluation studies of DiGA-compliant applications. It shows which outcomes and validated outcome measurement instruments can be used to measure PISP and where knowledge is still lacking. These results serve as a starting point for operationalizing and standardizing PISPs and help to increase the outcome measurement quality of PISPs.
How do clinicians use electronic health records for respiratory support decisions? A qualitative study in critical care
Authors: Zhang Tianyi , Mosier Jarrod , Subbian Vignesh
Published: May 2023

Background The selection of respiratory support in critical care is complex, and some decisions require information that may be unknown at the time when treatment assignment is necessary. Digital technologies such as electronic health records (EHR) are essential components in critical care medicine to support respiratory support care delivery and the management of patients with respiratory failure. However, there are limited studies on EHR use that enables clinical decisions related to respiratory support. The objective of this study is to understand how critical care physicians seek and use information through EHRs and other means for their decision-making related to respiratory support.Methods Using the socio-technical systems approach, we conducted nine observations with nine different care teams for a total of 35 hours at two intensive care units (ICUs) within a large academic hospital system. We created a journey map to illustrate clinicians’ respiratory support decision-making processes. We identified barriers related to decision-making processes within the ICU socio-technical work context and characterized them based on macro-cognitive functions to derive themes that can capture the decision-making patterns associated with EHR use.Results Our analysis identified three overarching themes that represent clinicians’ use of EHR for their respiratory support decisions: (1) fragmented information and tasks for individual sensemaking; (2) EHR workarounds for collaborative decision-making; and (3) interruptive order entry and order execution. These three themes represent three major sequential stages (i.e., before, during, and after morning rounds) related to clinicians’ respiratory support decision-making processes, and their interaction with EHR significantly varies between stages.Conclusions The findings of the study reflected different EHR use patterns before, during, and after morning rounds for decision-making related to respiratory support. These findings indicated potential opportunities for a diagnostic clinical decision support (CDS) to facilitate respiratory support decisions. Integrating a diagnostic CDS before morning rounds may be useful to clinicians’ information seeking and sensemaking. By doing so, it conforms to clinicians’ EHR use workflow and decision-making processes while mitigating unintended impacts like interruptions.
Real-Time Speech Emotion Recognition Using Deep Learning and Data Augmentation
Authors: Barhoumi Chawki , Ayed Yassine Ben
Published: May 2023

In human-human interactions, detecting emotions is often easy as it can be perceived through facial expressions, body gestures, or speech. However, in human-machine interactions, detecting human emotion can be a challenge. To improve this interaction, the term 'speech emotion recognition' has emerged, with the goal of recognizing emotions solely through vocal intonation. In this work, we propose a speech emotion recognition system based on deep learning approaches and two efficient data augmentation techniques (noise addition and spectrogram shifting). To evaluate the proposed system, we used three different datasets: TESS, EmoDB, and RAVDESS. We employe several algorithms such as Mel Frequency Cepstral Coefficients (MFCC), Zero Crossing Rate (ZCR), Mel spectrograms, Root Mean Square Value (RMS), and chroma to select the most appropriate vocal features that represent speech emotions. To develop our speech emotion recognition system, we use three different deep learning models, including MultiLayer Perceptron (MLP), Convolutional Neural Network (CNN), and a hybrid model that combines CNN with Bidirectional Long-Short Term Memory (Bi-LSTM). By exploring these different approaches, we were able to identify the most effective model for accurately identifying emotional states from speech signals in real-time situation. Overall, our work demonstrates the effectiveness of the proposed deep learning model, specifically based on CNN+BiLSTM, and the used two data augmentation techniques for the proposed real-time speech emotion recognition.
Examining acute pelvic pains among patients in two selected hospitals in in the western Region of Ghana
Authors: Acquaye Rosemary , Gyamfi Abraham
Published: May 2023

The main objective of the study was to examine acute pelvic pains among patients in the Effia-Nkwanta and European hospitals in Takoradi. Descriptive survey was employed for the study. The population of the study comprises all patients who were undergoing pelvic ultrasound at Effia-Nkwanta and European hospitals in Takoradi as part of their management plan for pelvic disease or pain. A purposive sampling technique convenience sampling were used to select 400 patients for the study. Inventory was used as the main instrument for the study for acquisition of data. The study employed the collection of previous pelvic ultrasound reports and reports obtained during the time of the study to obtain the data from the Radiologic Department at select hospitals with the SAL-30 A (Toshiba, Japan) and Philips Clear Vue real time ultrasound machines. Ethical clearance was sought from the UCCIR and research protocol review committee of the imaging board of the allied health sciences of Klintaps University College. Frequencies and percentages were used to analyze data on the research questions. The study found out that females are prone to pelvic pain than males, the most common presenting pathologies that cause pelvic pain are uterine fibroid, PID, Ectopic pregnancy, follicular cyst, BPH, Cystitis, colitis and Appendicitis and the organs that are mostly affected in cases of pelvic pain are uterus, ovaries, prostate, colon and bladder. It was therefore recommended that patients should be educated and encouraged to report to the hospital when there is any sign or symptom of pelvic pain.
Natrium-abhängige Kaliumkanäle im sensorischen System
Authors:   , Flauaus Cathrin
Published: May 2023

In Vorarbeiten wurde gezeigt, dass der Kaliumkanal Slack an der Verarbeitung neuropathischer Schmerzen funktionell beteiligt ist und dass das klassische Neuroleptikum Loxapin Slack-abhängig neuropathisches Schmerzverhalten im Mausmodell lindert (Lu et al. 2015). Ausgehend von Loxapin als Leitstruktur wurden in der vorliegenden Arbeit im FluxOR™ Kaliumkanal-Assay an Slack-transfizierten HEK-Zellen insgesamt 68 neue Loxapin-Derivate gescreent. Hierbei wurden 23 Substanzen mit Slack-aktivierenden Eigenschaften identifiziert, von denen VHP93, VH408 und VH425 weiter in vivo untersucht wurden. Dabei zeigten Mäuse nach systemischer Gabe von VHP93 ein reduziertes Verhalten in einem Modell für neuropathische Schmerzen. Dem gegenüber wurde durch VH408 das Verhalten im neuropathischen Schmerzmodell nicht beeinflusst. Des Weiteren konnte in dieser Arbeit gezeigt werden, dass durch eine Slack-Aktivierung nicht nur neuropathisches Schmerzverhalten gehemmt wird, sondern auch die Kratzreaktionen im Chloroquin-Modell des Histamin-unabhängigen Juckreizes reduziert werden können. Neben Slack wurde in dieser Arbeit auch die Gewebsexpression und funktionelle Bedeutung des eng mit Slack verwandten Kaliumkanals Slick charakterisiert. Expressionsanalysen ergaben, dass Slick überwiegend in dünn myelinisierten A-delta-Fasern und inhibitorischen Interneuronen im Dorsalhorn des Rückenmarks lokalisiert ist. Tierexperimentelle Untersuchungen zeigten, dass Slick-Knockout-Mäuse ein erhöhtes Schmerzverhalten nach thermischer Stimulation aufwiesen. Außerdem wurde bei Slick-Knockout-Mäusen in der späten Phase des Capsaicin- und Formalin-Tests ein signifikant erhöhtes Leckverhalten verzeichnet. Die Ergebnisse dieser Arbeit liefern somit Hinweise auf eine funktionelle Beteiligung von Slick bei der Detektion von Hitzeschmerzen und bei der TRPV1- und TRPA1-vermittelten Schmerzantwort. Zusammengefasst zeigen diese Daten, dass Slick vorrangig an der Verarbeitung thermischer und chemischer Noxen beteiligt ist und dabei eine antinozizeptive Funktion ausübt.
Growth Responses of Potted Vitis vinifera Cultivars Differ to a Mycorrhizal Inoculant and Phosphorus Fertilizer
Authors: Cifizzari KC P. , Moyer Michelle M. , Cheeke Tanya E.
Published: May 2023

Biological amendments, such as arbuscular mycorrhizal (AM) fungal inoculant products, are increasingly incorporated into agricultural management plans as a way to improve plant productivity. However, the effects of mycorrhizal inoculants on plant growth are context-dependent and can vary with soil fertility and among plant cultivars. To optimize the use of mycorrhizal inoculant products on wine grapes at the nursery stage, we tested the effect of a mycorrhizal inoculant product with and without the addition of phosphorus (P) fertilizer on the growth and tissue nutrients of two popular Vitis vinifera cultivars, Merlot and Chardonnay. We rooted dormant cuttings in the following respective treatments: no AM fungal inocula or P fertilizer; AM fungal inocula; P fertilizer; and co-amendment of AM fungal inocula and P fertilizer. We grew the grapevines in pots for 5 months in a greenhouse. Growth responses to treatments differed between cultivars. ‘Merlot’ vines had a stronger growth response to the mycorrhizal inoculant product than ‘Chardonnay’, especially when no P fertilizer was added. The co-amendment of AM fungi and P fertilizer resulted in larger root biomass for ‘Merlot’, but there was no effect of any treatment on the root biomass of ‘Chardonnay’. ‘Merlot’ vines grown with the AM fungal inoculant product also had higher tissue P than uninoculated vines, but there was no effect of inoculation on tissue nutrients of ‘Chardonnay’. This study provides evidence of grapevine cultivar-specific responses to an AM fungal inoculant product in a greenhouse, which may be useful when planning nursery management strategies for the incorporation of biological amendments into grapevine production.
Malaysian Muslimah Activists’ Modes of Thought: Rereading Islamic and Alternative Sources of Knowledge
Authors:   Department of Sociology, University of North Carolina, Chapel Hill, North Carolina, USA, Alatas Syed Imad
Published: May 2023

This article focuses on the modes of thought of female Muslim (Muslimah) activists in Malaysia towards Islamic and alternative sources of knowledge and how these modes of thought inform their understanding of gender justice for the Muslimah. The Islamic sources of knowledge can be divided into the Quran and the Hadith (recorded sayings of the Prophet Muhammad). Western feminism, on the other hand, can be deemed an alternative source of knowledge as it approaches gender issues from a non-religious point of view and typically does not refer to religious texts when discussing gender justice. When the activists refer to the Quran and Hadith as their main sources of women’s issues, they acknowledge the importance of contextualising them to modern society. Next, they show an appreciation of alternative sources of knowledge such as Western feminism when talking about women’s issues in Islam. While being critical, they are generally not antagonistic towards Western feminism. Nevertheless, there are activists who cannot reconcile between Islamic and Western feminist discourses on women’s issues. Data for this article was gathered from in-depth interviews with seven Muslimah activists from six NGOs. Utilising Manheim’s sociology of knowledge framework, this article elaborates on how the modes of thought of the activists generally resemble one that is neo-modernist.
TRIPS scale as a predictor of outcomes in newborns requiring medical evacuation: оbservational cohort retrospective study
Authors: Mukhametshin Rustam F. , Kovtun O. P. , Davydova N. S. , Kurganski A. A.
Published: May 2023

INTRODUCTION: Assessment of the patient’s condition and prediction of outcomes is critically important during pre-transport stabilization and remains the most complex challenges of the activities of transport teams. A significant variety of scales and different requirements for their application indicates that there is no consensus on the choice of a specific scale and predictive tool. OBJECTIVE: To study hospital outcomes in transported newborns, depending on the assessment on the TRIPS scale (Transport Risk Index of Physiological Stability for Newborn Infants). MATERIALS AND METHODS: The оbservational, cohort, retrospective study included data from 604 trips of the transport team to newborns consulted by resuscitation and consultative center from August 1, 2017 to December 31, 2018. The total sample was divided into groups depending on the assessment of the score, followed by a comparison of characteristics and outcomes in these groups. RESULTS: There is a significant difference in birth weight and gestational age between TRIPS groups. An increase in the TRIPS score in transported newborns is associated with an increased risk of death with a maximum relative risk of 21.4 (3.35–136.72) (between 6 and 1 groups). For other outcomes, there are significant differences between groups with minimum and maximum TRIPS scores. CONCLUSIONS: The TRIPS scale allows to stratify newborns requiring inter-hospital transportation by the risk of developing a fatal outcome and complications at the upcoming hospital stage.
MUCOEPIDERMOID CARCINOMAOF THE EXTERNAL AUDITORY CANAL (EAC)
Authors:   Radiation Oncology Department, Oncology University Hospital Hassan II, Fes, Morocco., G. Chrifi , K. Soussy ,   Radiation Oncology Department, Oncology University Hospital Hassan II, Fes, Morocco., K. Maasaoui ,   Radiology Department, Hassan II University Hospital, Fes Morocco., W. Hassani ,   Radiation Oncology Department, Oncology University Hospital Hassan II, Fes, Morocco., F.Z Farhane ,   Radiation Oncology Department, Oncology University Hospital Hassan II, Fes, Morocco., Z. Alami ,   Radiation Oncology Department, Oncology University Hospital Hassan II, Fes, Morocco., M. Maaroufi ,   Radiology Department, Hassan II University Hospital, Fes Morocco., T. Bouhafa ,   Radiation Oncology Department, Oncology University Hospital Hassan II, Fes, Morocco.
Published: May 2023

Strategies used for treatment of mucoepidermoid carcinoma remain controversial due to its rarity . We present a case of a patient with a mucoepidermoid carcinoma of the left external auditory canal (EAC) treated with concurrent chemoradiotherapy given the inoperability of the patient . Radiotherapy was performed with the intensity-modulated radiation therapy technique in order to the overcome anatomical complexity of the region, cover the tumor bed, and preserve the organs at risk.Chemotherapy (cisplatin) was used as a radiosensitizer witch providedreasonable locoregional control with tolerable toxicity.
A CROSS-SECTIONAL STUDY OF ARTIFACTS IN CONE BEAM COMPUTED TOMOGRAPHY IMAGES OF PATIENTS IN A HOSPITAL
Authors:   Professor, Dept. of Dentistry, GMC Doda., Yunis Saleem Bhat Mohd. , Sharma Dheeraj ,   Senior Resident, Dept. of Dentistry, GMC Doda., Zargar Atoofa ,   Senior Resident, Dept. of Dentistry, GMC Doda., Iftikhar Shapoo Moin ,   Senior Resident, Trauma GMC Doda., Sharma Alpna ,   Reader & Head, Dept. of Paediatric Dentistry, IDS Jammu.
Published: May 2023

Introduction:In the field of dentistry, cone beam computed tomography is frequently used as a method of research. Although it provides a three-dimensional image of the head and neck structures, there are drawbacks in the form of artifacts that reduce image clarity and force the patient to undergo another radiograph, increasing their exposure to radiation. The purpose of this research was to determine the prevalence of artifacts in cone beam computed tomography images of patients who were visiting a hospital. Methods:All cone beam computed tomography radiographs of patients between June 2020 and March 2023 were included in a descriptive cross-sectional study on patient cone beam CT images in the dental radiology archives at the Department of Dentistry. There were 780 patient images in the research. When present, the artifacts were recorded and classified as inherent, procedure-related, introduced, and patient motion artifacts. Calculations included a point estimate and a 95% Confidence Interval. Results:There were artifacts in 665 (85.25%) (82.76-87.74, 95% Confidence Interval) of the 780-cone beam computed tomography image subjects. Conclusions:Patients cone beam computed tomography images typically contain artifacts, which is consistent with research conducted in related environments.
STUDY OF FUNCTIONAL OUTCOME OF TOTAL HIP REPLACEMENT VERSUS HEMIARTHROPLASTY IN FRACTURE NECK OF FEMUR
Authors:   Professor and HOD, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India., Choudhari Pradeep , Mahoviya Mohit ,   Assistant Professor, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India., Mehta Deepesh ,   PG Resident, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India., Patidar Manish ,   PG Resident, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
Published: May 2023

Introduction:Inelderlywithdisplacedfemoral neck fractures(FNFs),choicebetweenhemiarthroplastyandTHRhasalwaysbeenadifficultone,boththetreatmentmodalitieshavingtheirownproponents.Hemiarthroplastyisalesscomplexsurgeryandhasbeenassociatedwithreducedcomplications andlowerinitialcosts while THRontheotherhandhasbeenassociatedwithbetterpostoperativefunction. MaterialandMethods:Thisstudy wasconductedonpatientswithdisplacedFNFswithagemorethan65years,operatedeitherwithTHRorhemiarthroplastyon40patients(20ineachgroup).SouthernMooreapproachwasusedforexposureofthehipjoint.Thefollowupwasdoneat1,3and6monthsduringwhichfunctionalassessmentwasdoneusingHarrisHipScore(HHP)andassociatedcomplicationswerealsoanalyzed. Results:ThemeanHHPwashigherinTHRgroupthroughoutthestudyperiodbutitwasnotstatisticallysignificant.ThecomplicationsinhemiarthroplastyGroupwereInfectionin10%,PulmonaryEmbolismin5%ofpatients.ThecomplicationsinTHRGroupwereInfectionin5%,LLDin15%,Dislocationin5%ofpatients. Conclusion:THRprovestobesuperiorintermsofhigherincreaseinHHP.DislocationratesandLimblengthdiscrepancieswerehigherintheTHRgroupbutcanbepreventedwithadequatemeasureswhilethe other complicationswerecomparableinboththegroups.THRshouldbepreferredmethodofmanagementofdisplacedFNFsinactiveelderlypatientswithacceptableratesofcomplications.
HEMOBILIA DUE TOVITAMIN K ANTAGONISTTHERAPY: ACASE REPORT AND REVIEW OF LITTERATURE
Authors:   Surgical Emergencies Department p33, IBN ROCHD University Hospital Casablanca, Maroc., Zerhouni A. , Ellouadghiri A. ,   Surgical Emergencies Department p33, IBN ROCHD University Hospital Casablanca, Maroc., Farji D. ,   Surgical Emergencies Department p33, IBN ROCHD University Hospital Casablanca, Maroc., Khaleq K. ,   Surgical Emergencies Department p33, IBN ROCHD University Hospital Casablanca, Maroc., Bouhouri M.A. ,   Surgical Emergencies Department p33, IBN ROCHD University Hospital Casablanca, Maroc., Elharrar R. ,   Surgical Emergencies Department p33, IBN ROCHD University Hospital Casablanca, Maroc.
Published: May 2023

Haemobilia is the result of a pathological communication between the bile ducts and the intra- or extra-hepatic vessels. Iatrogenic haemobilia is a rare complication of oral anticoagulants. The classic symptomatology consists of three signs or the Sandbloom triad, which combines hepatic colic, jaundice and GI bleeding. We report the clinical case of a patient who presented with hemobilia after introduction of anticoagulant in a field of valve disease.
REACTION LEUCEMOIDE EOSINOPHILE AU COURS DUN LYMPHOME DE HODGKIN
Authors:   Service De Pneumologie, HÃ´pital Moulay Youssef, CHU Rabat, Maroc., Diani S. , Marc K. ,   Service De Pneumologie, HÃ´pital Moulay Youssef, CHU Rabat, Maroc., Bourkadi J.E. ,   Service De Pneumologie, HÃ´pital Moulay Youssef, CHU Rabat, Maroc.
Published: May 2023

Leukemoid reaction is defined as a reactive leukocytosis in excess of 50000/mL. It is seen in response to infection, inflammation, or therapeutic agents and is less commonly caused by malignancy. Milder elevations in leukocyte count are common both in carcinoma and Hodgkin lymphoma.However, although mild leukocytosis is common in Hodgkin lymphoma, leukemoid reactions are rare. A review of the literature reveals only a handful of documented cases of Hodgkin-associated leukemoid reactions, most of which involve eosinophilia. We report a new case of leukemoid reaction hodgkins lymphoma.
PERCEPTIONS OF LEARNERS AND EDUCATORS ON THE IMPACT OF USING INSTRUCTIONAL RESOURCES IN HIGH SCHOOL CHEMISTRY TEACHING
Authors: Anthony Asiyai Asiyai
Published: May 2023

In the interest of investigating the implications about using educational materials in teaching and learning chemistry in Bayelsa State secondary schools from the viewpoints of both students and instructors, this study used an ex-post-facto research approach. Two hypotheses were investigated, and four research questions were addressed. A sample of 123 respondents from all 43 secondary schools in the Central Senatorial District that offer chemistry instruction was polled. A three-part survey was utilized for collecting the data, and the findings indicated that there was little utilization of teaching aids during chemistry lectures. The utilization of instructional materials in class, according to the students, helped them learn chemistry in a variety of ways.The mean scores of students who studied chemistry using instructional resources as opposed to those who did not differed significantly as well. The studys conclusion included a suggestion that the Bayelsa State government supply sufficient instructional resources in all secondary schools for effective chemistry teaching and learning.
A LITERATURE REVIEW ON RASAYANA IN GERIATRIC MENTAL HEALTH CARE
Authors:   Dept. - Kayachikitsa., Shah Sonal , Ghatage Aishwarya ,   Dept. - Kayachikitsa.
Published: May 2023

Ageing is a multidimensional process of physical, psychological and social change. Ayurveda Rasayana therapy has given powerful contribution to overcome age related disorders and act essentially on nutrition dynamics and rejuvenate the body and the mind.Rasayana is an ancient Ayurvedic therapy that aims to rejuvenate and revitalize the body and mind. The term Rasayana comes from the Sanskrit words rasa and ayana, which mean essence and path respectively. According to Ayurvedic theory, Rasayana therapies are designed to promote the production and circulation of vital fluids, such as blood and lymph, and to remove toxins from the body.The use of Rasayana therapies in geriatric mental health care is based on the idea that as we age, our body and mind becomes less efficient at producing and circulating vital fluids, and more susceptible to the effects of toxins and stress. This can lead to a wide range of mental health issues, including depression, anxiety and dementia. By promoting the production and circulation of vital fluids, and removing the toxins from the body, Rasayana therapies are believed to help prevent and alleviate these conditions, Result of the study revealed that improvement in the signs and symptoms of Agnibala, Dehabala and Sattvabala on elderly individuals.
OUTCOME EVALUATION OF SURGICALLY TREATED PROXIMAL HUMERUS FRACTURES USING SHOULDER FUNCTION INDEX SCORING SYSTEM
Authors: Shukla Rajeev , Pingle Pravishi , Negi Aseem , Soni Aayush , S. Keshav Abhishek , Singh Verma Nishant , Kawde Amol , Khande Sourabh
Published: May 2023

Proximal humeral fractures are amongst the most common fractures. Functional recovery is often slow and many people have ongoing disability during activities of daily life. Unidimensional measurement of activity limitations is required to monitor functional progress during rehabilitation. However, current shoulder measures are multidimensional incorporating constructs such as activities, range of motion and pain into a single scale. Psychometric information of these measures is scarce in this population, and indicate measurement issues with reliability. Therefore, the aim was to develop the clinician-observed Shoulder Function Index (SFInX), a unidimensional, interval-level measure of shoulder function based on actual performance of activities, reflecting activity limitations following a proximal humeral fracture.
ASSESSMENT OF POSTOPERATIVE ANAESTHETIC INCIDENTS IN THE RECOVERY ROOM
Authors:   Surgical Intensive Care Unit, University Hospital Ibn Rochd., A. Erragh , L. Benaddi ,   Surgical Intensive Care Unit, University Hospital Ibn Rochd., Bouhouri Khaleq K. A. ,   Surgical Intensive Care Unit, University Hospital Ibn Rochd., A. Nsiri ,   Surgical Intensive Care Unit, University Hospital Ibn Rochd., R. Alharrar ,   Surgical Intensive Care Unit, University Hospital Ibn Rochd.
Published: May 2023

The awakeningperiodis a critical phase duringwhich a large proportion of anesthetic accidents can occur. Following a therapeutic or diagnostic procedureperformedundergeneral, locoregional or sedationanesthesia, the patient isexposed to risks of complications related to the residualeffects of the drugsadministered, the consequences of the procedureperformed, and patientscomorbidities.
OCCIPITAL BONE METASTASIS REVEALING A PAPILLARY THYROID CARCINOMA: CASE REPORT
Authors:   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco., Soussy Kaoutar , Biyoud Maroua ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco., Slassi Noureddine ,   Medical Physics Unit, Hassan II University Hospital, Fes, Morocco., Ait Erraisse Mohammed ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco., Hassani Wissal ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco., Zahra Farhane Fatima ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco., Alami Zenab ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco., Bouhafa Touria ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital, Fes, Morocco.
Published: May 2023

A 45-years-old manwas diagnosed with occipital bone metastasis of papillary thyroid carcinoma. He presented an eight cm occipital bone mass with two years of evolution. The CT scan showed an81,3 x 52,7 x 61 mmtumour of occipital bone with meningeal, brain and soft tissue invasion. The biopsy confirmed thyroid origin of the mass.Three other osteolytic lesions were noted: left ischium, D4 and L1 with medullary canal invasion.He received a total dose of 20Gy of conformal 3D radiotherapy in 5 fractions, at a daily dose fraction of 4Gy over one week to the four lesions.
BREAST SARCOMA: ABOUT TWO CASES AND REVIEW OF THE LITERATURE
Authors:   Department of Gynecology-Obstetrics, Mohammed IV University Hospital., Bellejdel Ibtissam , Lamzouri Oussama ,   Department of Gynecology-Obstetrics, Mohammed IV University Hospital., Bouyabla Hind ,   Department of Gynecology-Obstetrics, Mohammed IV University Hospital., Taheri Hafsa ,   Department of Gynecology-Obstetrics, Mohammed IV University Hospital., Saadi Hanane ,   Department of Gynecology-Obstetrics, Mohammed IV University Hospital., Mimouni Ahmed ,   Department of Gynecology-Obstetrics, Mohammed IV University Hospital.
Published: May 2023

Breast sarcoma is a rare and aggressive form of cancer that is often difficult to diagnose and treat due to its rarity and lack of consensus on management. This case series presents two cases of breast sarcoma in women with no notable medical history, highlighting the importance of early detection and proper management in improving patient outcomes. The first case involves a 45-year-old woman who presented with a rapidly growing mass in her right breast, which was later diagnosed as a malignant phyllodes tumor. The second case involves a 26-year-old woman who underwent multiple surgeries for a recurrence of a high-grade phyllodes tumor in her right breast. The rarity of breast sarcoma makes it challenging to establish standardized treatment protocols, and further research is needed to determine the most effective treatment options. In this context, multidisciplinary collaboration and specialized centers for sarcoma management play a critical role in providing optimal care to patients with breast sarcoma.
DIAGNOSTICANTENATAL ET FACTEURS PRONOSTIQUES DE LA HERNIE DE COUPOLE DIAPHRAGMATIQUE
Authors: Bellejdel Ibtissam , Bouyabla Hind , Lamzouri Oussama , Taheri Hafsa , Saadi Hanane , Mimouni Ahmed
Published: May 2023

Levaluation prenatale du pronostic postnatal des nouveau-nes porteurs de hernie de coupole diaphragmatique (HCD) sest amelioree au cours des cinq dernieres annees. Bien que les facteurs pronostiques utilises ne fassent pas lunanimite, il semble important que toutes les equipes utilisent les memes mesures afin de pouvoir comparer et ameliorer nos pratiques. Levaluation du pronostic se fera souvent a laide du Lung over Head Ratio (LHR) entre 22 et 28 SA ou du LHR observe/attendu (LHR o/a) quels que soient le terme, la position du foie et la mesure du volume pulmonaire a lIRM. Ces facteurs permettent de definir un groupe de fÂœtus porteurs de HCD de mauvais pronostic. Lorsque le LHR est inferieur a 1 ou le LHR o/a est inferieur a 25 % et le foie est dans le thorax, les chances de survie en periode neonatale sont de moins de 20 %. pour ce groupe, un traitement in utero peut etre propose. Un ballonnet peut etre place, entre 28 et 30 SA, par voie endoscopique dans la trachee fÂœtale et Il est retire vers 34 SA. Les premiers resultats montrent que le taux de survie de ces enfants passe de moins de 20 % a environ 50 %. Cette technique ne semble pas entraÃ®ner une majoration de la morbidite, mais cela est en cours devaluation.
THE MOST COMMON TYPES OF HEMODIALYSIS MACHINE DAMAGE AND THE FACTORS THAT INFLUENCE THEM
Authors:   Mongolian National University of Medical Sciences, School of Nursing., Tsanligrenchin Dashdulam , Boldbaatar Odgerel ,   Mongolian National University of Medical Sciences., Enkhjargal Enkh-Urel ,   Mongolian National University of Medical Sciences.
Published: May 2023

Hemodialysis, or kidney replacement therapy, has been introduced in our country since 1975. Research ways to maintain the hemodialysis machine in good condition, minimizing damage to the apparatus. The study included a total of 52 medical devices from hospitals such as The First Central Hospital, Second State Central Hospital, and State Central Third Hospital named after P.N.ShastinandThe National Center for Maternal and Child Health of Mongolia.Chlorine test liquid, chlorine testing strip, Neo2 analyzer at The First State Central Hospital, chlorine testing liquid at the Second State Central Hospital, chlorine testing liquid at the State Central Third Hospital named after P.N.Shastin, analyzers and chlorine test strips in hospitals, chlorine testing liquid at the National Center for Maternal and Child Health, flow setting damage, filter clogging, pressure loss, filtration loss, and damage to a heparin pump are all common issues. Influencing factors include load, cleaning, operating conditions, and electricity fluctuations. The load and cleaning were the elements that influenced the hemodialysis equipment of the majority of previously named hospitals according to the study. Cleaning is responsible for the majority of the damage to the hemodialysis machine, accounting for 40 percent or more of it.
Potential Application of Membrane Obtained from Sisal Bagasse in the Removal of Inhibitors from the Fermentation Process
Authors: Xavier Franklin , Silva Aleir , Lima Marcos , da Fonseca Maria , da Conceição Marta
Published: May 2023

Annual world production of sisal is estimated to be 400,000 tons, but the processing of sisal fiber generates around 160,000 tons of waste per year. The sisal bagasse is discarded, even though it is about 60% carbohydrates in its structure. Therefore, this work seeks to add value to sisal bagasse through the production of cellulose acetate membranes aimed at removing inhibitors from the fermentation process. The membrane was developed using a cellulose acetate polymer synthesized from cellulose isolated from sisal bagasse. Alkaline and acid pre-treatments resulted in 90% pure cellulose. The obtained cellulose acetate was confirmed by infrared spectroscopy. In the synthesis of the membranes, the influence of agitation time and temperature of the bath on the selectivity and porosity were evaluated in four tests, the third condition stood out with porosity of 26.23% and selectivity of 94.51% in the removal of the furfural and 36.62% of the acetic acid.
Symbiosis of Mutualism in the Transformation of Islamic Law into National Law in Indonesia
Authors: Baehaqi Ja'far
Published: May 2023

The transformation of Islamic law into national law in Indonesia became a trend after the issuance of the Marriage Law and the Religious Courts Law. The transformation of Islamic law is not synonymous with Islamization. If Islamization can occur unilaterally by Islamic law, then this is not the case with transformation. Transformation needs to involve national law as a legal system that overshadows and legitimizes it. Thus there is a dialectical relationship, namely the relationship and interaction between Islamic law and national law in harmony or conflict followed by a settlement in the form of assimilation, accommodation/amalgamation or adaptation. This study finds that philosophically the transformation of Islamic law into national law is closely related to the intersection of the two, namely the transformation of enforcement and regulatory authorities, institutionalization of Islamic law, internal uniformity (unification), Islamization of national law, construction of state law based on non-state law, and legal instrumentalization in national development.Transformasi hukum Islam ke dalam hukum nasional di Indonesia menjadi kecenderungan setelah lahirnya UU Perkawinan dan UU Peradilan Agama. Transformasi hukum Islam tidak identik dengan islamisasi. Jika Islamisasi bisa terjadi secara sepihak hukum Islam, maka tidak demikian halnya dengan transformasi. Transformasi perlu melibatkan hukum nasional sebagai sistem hukum yang menaungi dan melegitimasinya. Dengan demikian terjadi hubungan dialektika, yaitu hubungan dan interaksi antara hukum Islam dan hukum nasional secara harmonis atau konflik yang diikuti penyelesaian dalam bentuk asimilasi, akomodasi/amalgamasi atau adaptasi. Kajian ini menemukan bahwa secara filosofis transformasi hukum Islam ke dalam hukum nasional erat kaitannya dengan persinggungan keduanya, yaitu transformasi penegakan dan otoritas pengatur, pelembagaan hukum Islam, penyeragaman secara internal (unifikasi), Islamisasi hukum nasional, konstruksi hukum negara berbasis hukum non negara, dan instrumentalisasi hukum dalam pembangunan nasional
The Legal Basis of Information Technology Based Cofinancing Services in Indonesia
Authors: Noor Afif , Maskur Ali
Published: May 2023

The rapidly growing information technology-based co-financing service (LPBBTI) in Indonesia requires a forceful legal basis for the parties involved in information technology-based financial services. As a rule-of-law country, Indonesia must make the rule of law the commander in chief and guide behavior. This research seeks to find the legal basis of LPBBTI in the laws and regulations of Indonesia, which is carried out by document study and uses a statute approach. The data obtained were then analyzed qualitatively. This research did not find any legal basis for LPBBTI in the law, but there are several laws related to LPBBTI, such as the Civil Code and Law No. 11 of 2008. The legal basis for LPBBTI specifically only exists in the Financial Services Authority Regulation No. 10/POJK.05/2022 and  No. 13/POJK.02/2018.Layanan Pendanaan Bersama Berbasis Teknologi Informasi (LPBBTI) yang berkembang pesat di Indonesia memerlukan landasan hukum kuat sebagai panduan para pihak yang terlibat dalam layanan keuangan berbasis teknologi informasi tersebut. Indonesia sebagai penganut negara hukum harus menjadikan hukum sebagi panglima dan pedoman dalam bertingkah laku. Penelitian ini berusaha menemukan landasan hukum LPBBTI dalam peraturan perundang-undangan di Indonesia yang dilakukan dengan studi dokumen dan menggunakan pendekatan statute. Data yang diperoleh kemudian dianalisa secara kualitatif. Penelitian ini tidak menemukan landasan hukum LPBBTI dalam undang-undang tetapi ada beberapa undang-undang yang terkait dengan LPBBTI seperti Kitab Undang-Undang Hukum Perdata dan Undang-Undang No. 11 tahun 2008. Dasar Hukum LPBBTI terdapat dalam Peraturan Otoritas Jasa Keuangan No. 10/POJK.05/2022 dan No. 13/POJK.02/2018.
Review of Fiqh and Statutory Law Concerning Wakaf Land Exchange Affected in the Semarang - Demak Toll Road Project
Authors: Baehaqi Ja'far , Khoirin Nur
Published: May 2023

Replacement of waqf land is a problematic issue. This study aims to find answers to problems regarding mechanisms and procedures for replacing waqf land affected by the Semarang-Demak Toll Road project as well as an analysis from the point of view of fiqh and law. With research on normative law/doctrinal law as optical and field data as a basis for analysis, this research finds that the many stages taken and the involvement of many parties in the process of replacing waqf land is an effort and legal engineering to guarantee benefit, both in the form of immortality of waqf land and designation. Engineering carried out is an act/action that is not prohibited according to sharia. Therefore, engineering to replace waqf land is permissible and legal. Legal engineering, as stated in various laws and regulations, is a manifestation of functional legal instrumentation. Various laws and regulations, especially the Waqf Law and its implementing regulations have become a means of achieving development goals. In fact, the Waqf Law, unlike other laws and regulations, is able to penetrate so deeply in reaching theological matters. This is reasonable because the Waqf Law is nothing but the result of the positivization of Islamic law/fiqhPenggantian tanah wakaf merupakan masalah yang problematik. Penelitian ini bertujuan untuk menemukan jawaban atas permasalahan mengenai mekanisme dan prosedur penggantian tanah wakaf yang terkena proyek Jalan Tol Semarang-Demak serta analisis dari sudut pandang fikih dan hukum. Dengan penelitian terhadap hukum normatif/doktrin hukum sebagai optik dan data lapangan sebagai dasar analisis, penelitian ini menemukan bahwa banyaknya tahapan yang ditempuh dan keterlibatan banyak pihak dalam proses penggantian tanah wakaf merupakan upaya dan rekayasa hukum untuk menjamin kemanfaatan, baik berupa keabadian tanah wakaf maupun peruntukannya. Rekayasa yang dilakukan merupakan perbuatan/perbuatan yang tidak dilarang menurut syariah. Oleh karena itu, rekayasa untuk menggantikan tanah wakaf diperbolehkan dan sah. Rekayasa hukum, sebagaimana tertuang dalam berbagai peraturan perundang-undangan, merupakan perwujudan dari instrumentasi hukum fungsional. Berbagai peraturan perundang-undangan, khususnya UU Wakaf dan peraturan pelaksanaannya telah menjadi sarana pencapaian tujuan pembangunan. Padahal, UU Wakaf, tidak seperti peraturan perundang-undangan lainnya, mampu menembus begitu dalam hingga menyentuh persoalan teologis. Hal ini wajar karena UU Wakaf tidak lain merupakan hasil positivisasi hukum/fiqh Islam.
К 80-летию со дня рождения доцента кафедры гистологии, эмбриологии, цитологии КГМУ Г.Г. Язевой
Authors: Никишина Н.А. , Иванов А.В. , Лапшина А.А.
Published: May 2023

Статья посвящена краткой научной и личной биографии к.м.н., доцента кафедры гистологии, эмбриологии, цитологии Курского государственного медицинского университета Галины Григорьевны Язевой. Показан её вклад в крупные научные направления исследований ХХ века; в развитие Курского государственного медицинского института; в методологию и методику преподавания гистологии. Особое внимание уделяется научному генеалогическому древу Г.Г. Язевой и результатам её научных исследований в области патоморфологии центральной нервной системы.
Организация самостоятельной работы студентов в процессе изучения дисциплины «Биоэтика»
Authors: Немеров Е.Н. , Пыжова О.В.
Published: May 2023

В статье рассматривается организация самостоятельной работы в процессе изучения биоэтики, сформулированы ее цели и задачи в контексте преподаваемой дисциплины. Особое внимание уделено видам и формам самостоятельной работы, приведены примеры их использования на семинарских занятиях, а также предложены возможные пути совершенствования.
Comparative Assessment of the Human Capital Impact on the Population Income in the European and Asian Regions of Russia
Authors: Aletdinova A. A. , Koritskiy A. V. , Shadrintseva A. N.
Published: May 2023

The relevance of the study is explained by the link between economic growth and investment in human capital.

The purpose of the study is a comparative analysis of the dynamics of the return of physical and human capital in the European and Asian regions of Russia.

Materials and methods. In the article, the authors use the extended Cobb-Douglas production function and conduct a regression spatial analysis based on data of the official Russian statistics.

Results. There are estimates of the relationship between the income of the population of regions with the number of employed, with the volume of fixed assets of regions and human capital; the wage fund of the population of regions with the number of employed, with the volume of fixed assets of regions and human capital, the elasticity coefficients are justified. The authors analyzed and interpreted the values of the elasticity coefficients. In particular, the coefficients of elasticity of household income by fixed assets for Asian and European regions tend to decrease; the authors explain this by the low level of investment in the renewal of fixed capital at enterprises. The coefficients of elasticity of income of the population by the number of people employed in the economy of the regions are noticeably higher and tend to increase. At the same time, human capital has a stronger impact on the income of the population than fixed assets and the number of people employed in the economy of the regions. There is a decrease in the influence of human capital on the income of the population in the group of European regions of Russia at the end of the period under review and the relative stability of its returns in the Asian group of regions.

Conclusion. The impact of human capital on the income of the population differs significantly in the European and Asian regions of Russia. The authors identified efficiency trends and features of the use of the main factors of production in different groups of regions of the Russian Federation in the period under review. Scientific significance is the generalization of knowledge about the role of human capital in economic development, technology transfer and increasing the investment attractiveness of settlements and regions due to it; obtaining statistically significant models for assessing the economic return of human capital.