bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH (INISIASI MENYUSU DINI) IMD TERHADAP JUMLAH PERDARAHAN KALA IV DI KLINIK PRATAMA TANJUNG KECAMATAN DELI TUA TAHUN 2023
Authors: Hadi Milvan , Siregar Ripai , Tamimi Aisyah
Published: May 2024

One of the MGDS global targets is to reduce MMR and IMR. The maternal mortality rate in Indonesia is still high at 390 per 100,000 live births. Referring to the link between birth management and various countermeasures for the biggest cause of AKI is postpartum hemorrhage. Efforts have been made in problems related to bleeding, even several studies have carried out IMD in treating bleeding problems considering that the presence of IMD can affect the hormone oxytocin which is associated with bleeding. The purpose of this study was to see how IMD influences the amount of bleeding in the fourth stageThis research is a quasi-experimental study using control and experimental groups. The population and sample were all mothers who gave birth as many as 16 respondents using the Purposive Sampling method. The data were analyzed univariately and bivariately using the Mann-Whitney test.The results showed that there was a significant effect between IMD on the amount of bleeding in the fourth stage. The average number of bleeding in the fourth stage of respondents who underwent Early Breastfeeding Initiation was 4.50 with a standard deviation of 12.683. Meanwhile, respondents in the control group averaged the amount of bleeding in the fourth stage was 12.50 with a standard deviation of 19.291. In the statistical test, the value of P = 0.001 <a0.05 was obtained With this study, it was found that there was an effect of IMD on the amount of bleeding in the fourth stage of labor. It is hoped that midwives and doctors will implement IMD in order to reduce morbidity and mortality of mothers and babies.
HUBUNGAN ANTARA KELELAHAN KERJA DENGAN STRES KERJA PADA TENAGA KERJA DI LABORATORIUM PCR RSU BUNDA THAMRIN TAHUN 2023
Authors: Linggom Tampak , Prima Armanda , Anggita Rizliana
Published: May 2024

This research was conducted on workers at the PCR Laboratory of Bunda Thamrin  in 2020-2021 to determine the relationship between work fatigue and work stress in workers.
Work fatigue is a process of decreasing efficiency, work performance, and reduced endurance or physical strength of the body to continue the activities that must be done. Work stress is a pressure that cannot be tolerated by individuals both from within themselves and from outside themselves.
This type of research was an analytic observational study with  cross sectional approach. The time of the study was carried out in December 2020-July 2021. The population in this study were all workers who worked at  PCR Laboratory of Bunda Thamrin, totaling 30 workers. Sampling was done by total sampling technique. Data collection methods were obtained from primary data and secondary data. The results of this study were processed by using Fisher's exact test.
From the results of  chi-square test, the relationship between work fatigue and work stress in the workforce at  PCR Laboratory of Bunda Thamrin, it can be seen that  18 respondents who stated that they were tired, 13 of them had a level of work stress, stress (72,2%), while of the 12 respondents who said they were tired, 13 of them had work stress levels. stated that they are not tired 9 of them have work stress levels, not stress (75,0 %). With the P-value obtained from the output table, namely the Exact Fisher Test (P = 0,024), which is smaller than = 0,05. Based on these results, it can be concluded that there is a relationship between work fatigue and work stress on the workforce in the PCR Laboratory Bunda  Thamrin.
There is a relationship between work fatigue and work stress at  PCR Laboratory of Bunda Thamrin  in 2023 with a P-value = 0,024 < = 0,05. It is expected that workers do not force themselves to do their work and stretch their muscles or take a short break if they feel tired.
MONITORING DAN EVALUASI PENGGUNAAN OBAT PADA PASIEN TERAPI GAGAL GINJAL KRONIK DI RUMAH SAKIT UMUM SEMBIRING DELI TUA
Authors: Batubara Saiful , Tarigan Palas , Chantika Ike
Published: May 2024

Chronic kidney failure is an interventional disease, which means that the patient only maintains existing kidney function and this disease is irreversible, meaning it cannot return to normal. Thus, chronic kidney failure is closely related to a rational treatment process and a healthy lifestyle. Therefore, it is necessary to study patterns of monitoring and evaluating drug use in patients with chronic kidney failure therapy at Sembiring Deli Tua General Hospital. This study aims to determine the lifestyle of second chronic kidney failure patients to determine the effect of chronic kidney failure patients' lifestyle on further improvement of kidney function. To determine rational drug use at Sembiring Deli Tua General Hospital using four aspects, namely right drug, right patient, right indication and exact last dose to see and know the distribution of chronic kidney failure to patient characteristics in the form of age, sex, disease complications, complaints and stage of chronic kidney failure patients at Sembiring General Hospital. Lifestyle monitoring was carried out in April-May 2023 in the hemodialysis room using a sample questionnaire that was taken as many as 30 respondents using a descriptive method. Then, an evaluation of drug use was taken from the medical record data of chronic kidney failure patients from September to December 2022 using a retrospective method. A sample of 30 patients according to the study inclusion criteria. The lifestyle of chronic kidney failure patients is in accordance with the provisions, and there is a relationship between the lifestyle of chronic kidney failure on the improvement of kidney function indicators are blood pressure, hemoglobin, urea and creatinine. Evaluation data on drug use in patients with chronic kidney failure in terms of four aspects including (100% right patient), (43.33% right drug), (83.33 place of indication), (80% right dose). patient characteristics in the form of age at most 46-55 years, the dominant sex is Male, complications of diseases namely hypertension then diabetes sequence When COPD, the most common complaint is lower abdominal pain, and the most common stage of chronic kidney failure patients is stage 3 at Sembiring General Hospital.
AVALIAÇÃO DA QUALIDADE DE VIDA EM CORREDORES DE RUA AMADORES
Authors: Severo Ribeiro Joane , Bündchen Cristiane , Da Trindade Flores Priscila , Edler Macagnan Fabrício , Peres Alessandra
Published: May 2024

Fundamentação teórica: A prática de exercício físico, incluindo a corrida de rua, vem conquistando cada vez mais espaço na rotina dos indivíduos, na busca de bem-estar, melhora e /ou manutenção da saúde e na conquista de desafios pessoais. Objetivo: Analisar a qualidade de vida de corredores de rua. Métodos:  A amostra consiste em 76 atletas (idade 36±10 anos, IMC 23,75±2,80 Kg/m2), sendo 47 homens (34±11 anos, IMC 24,64±2,70 Kg/m2) e 29 mulheres (38±12 anos, IMC 22,37±2,37 Kg/m2), que praticam corrida de rua há 11 anos em média com volume semanal de 35,22 quilômetros. Neste estudo descritivo, exploratório e transversal, a qualidade de vida foi avaliada pelo questionário WHOQOL-bref e os dados gerais de saúde e de treino foram coletados através do google forms. Os dados foram analisados com Wilcoxon, Friedman e pós teste de Bonferroni Resultados: Verificou-se melhores resultados nos domínios psicológico e social quando comparados ao domínio físico. Nas mulheres o domínio social foi maior quando comparado ao domínio físico, enquanto para os homens não houve diferença entre os domínios. Conclusão: Corredores de rua apresentam boa qualidade de vida geral, mas foram registradas pontuações menores no domínio físico e relato de dor, desconforto, necessidade de medicações e tratamento relacionados diretamente com a prática esportiva. Estes dados sugerem a necessidade de atenção à etiologia por trás dos sinais e sintomas relatados pelos atletas amadores que voluntariamente se expõem às demandas físicas da corrida de rua.
A IMPORTÂNCIA DA AVALIAÇÃO PRÉ-OPERATÓRIA NA PREVENÇÃO DE COMPLICAÇÕES PÓS-OPERATÓRIAS: ESTRATÉGIAS E ABORDAGENS CLÍNICAS
Authors: Ramon Neto Fleitas Costa  , Paloma Vanessa Coelho Campos Leitão  , Keylane Rios Spode  , Wyliver Barkyn Saunders Rocha Tavares  , Juliana De Carvalho Pires  , Francisco Rafael Monte Moreno  , Talitha Karoline Eufrazio Reis Dantas  , José De Carvalho Reis Neto  , Paulo Ricardo Quaresma Nazion  , Romero Carvalho Santos De Araújo  , Gustavo Cavol Erbert  , Amélia Faria Dias  , Gabriel Luiz Ferreira  , Camila Cardoso Guimarães  , Islenne Martins Almeida Guimarães
Published: May 2024

A cirurgia, como uma jornada épica, exige preparo meticuloso para enfrentar os desafios que se apresentam. A avaliação pré-operatória, nesse contexto, assume o papel de bússola crucial, guiando a equipe médica na tomada de decisões precisas e na prevenção de complicações pós-operatórias, garantindo um retorno tranquilo e seguro à vida cotidiana. A avaliação pré-operatória se configura como uma luz que ilumina os riscos potenciais que cada paciente enfrenta antes, durante e após a cirurgia. Através de uma análise abrangente do histórico médico, do estado físico atual e de exames complementares, a equipe multidisciplinar identifica fatores de risco como:Diabetes, hipertensão arterial, doenças cardíacas e pulmonares exigem cuidados específicos para minimizar o risco de complicações.A avaliação pré-operatória é um componente fundamental do processo cirúrgico, servindo como bússola para a equipe médica na prevenção de complicações e na promoção de uma recuperação segura e tranquila. Através de uma análise abrangente do histórico médico, do estado físico e de exames complementares, a equipe multidisciplinar identifica e maneja os riscos potenciais, otimizando o estado de saúde do paciente antes da cirurgia e garantindo um retorno tranquilo à vida cotidiana. Investir em uma avaliação pré-operatória completa e individualizada é investir na segurança, na qualidade de vida e na satisfação do paciente, transformando a jornada cirúrgica em uma experiência mais serena e positiva.
ANÁLISE DAS COMPLICAÇÕES DA CIRURGIA BARIÁTRICA: DESMISTIFICAÇÃO DE UM PARADIGMA
Authors: Lais Ponte Pimentel  , Francisco Rafael Monte Moreno  , Juliana de Souza Lima  , Sávio Euclides Tôrres Araújo  , Paulo Ricardo Quaresma Nazion  , Giovanna Barros de Oliveira Mendes  , Letícia Ibiapina Rodrigues  , Gabriel Luiz Ferreira  , Camila Cardoso Guimarães  , Patrícia Liane Coelho Campos  , Islenne Martins Almeida Guimarães  , Sara Cavalcanti Alves
Published: May 2024

A intervenção cirúrgica para redução de peso tem se destacado como uma maneira eficaz e duradoura de combater a obesidade, resultando não apenas em uma significativa perda de peso, mas também em melhorias notáveis em problemas de saúde como diabetes e pressão alta. Esta análise examina diversos estudos recentes que reforçam a eficácia da cirurgia bariátrica na obtenção de uma perda de peso significativa e duradoura, trazendo benefícios estéticos e melhorias na saúde metabólica, inclusive a reversão de condições como o diabetes tipo 2. No entanto, é importante considerar os desafios e complicações associadas a este tipo de cirurgia, como deficiências nutricionais, complicações cirúrgicas e adaptação psicológica. O acompanhamento pós-operatório multidisciplinar, envolvendo profissionais de diversas áreas da saúde, é essencial para garantir o sucesso a longo prazo da intervenção e o bem-estar integral dos pacientes. Este estudo busca fornecer uma visão abrangente e equilibrada sobre os efeitos da cirurgia bariátrica, reconhecendo benefícios e desafios, com o intuito de orientar a prática clínica e oferecer um cuidado personalizado aos pacientes que passam por este procedimento.
Portrayal of Jammu-Kashmir in Bollywood Narrative
Authors: - Chinmoyee Das , - Pankaj Kumar
Published: May 2024

Bollywood often shows the amazing beauty of Jammu-Kashmir. However, the region is also shown as a place of socio-political conflict and complexity. The portrayal of Jammu Kashmir in Bollywood serves as a visual and narrative backdrop that both celebrates its natural beauty and raises awareness of the ongoing issues in the area. This study explores the representation of the Jammu Kashmir region in the context of Bollywood. This research goes through the portrayal of Jammu Kashmir over the decades. The aim and objective of this study are to understand the complex relationship between Bollywood and this beautiful area. The methodology of this research is an in-depth examination of how Bollywood has depicted Jammu Kashmir. The study identifies themes and stereotypes associated with Jammu Kashmir in cinemas. It would contribute to our understanding of the representation of Jammu Kashmir in Indian cinema. It would provide insights into how filmmakers show sensitive socio-political issues within their storytelling in cinemas. The research findings will offer a glimpse into Bollywood's engagement with this part of India.
Zoram People's Movement: The New Government Of Mizoram
Authors: - John Francis Chawnghmingsanga , - Sucharita Sen
Published: May 2024

This thesis explores the emergence and evolution of ZPM, an alliance initially formed by six regional parties under the leadership of MLA and former IPS Officer Lalduhoma. With a focus on secularism and the protection of religious minorities, ZPM has challenged the traditional political powerhouses in Mizoram by advocating for a new, corruption-free governance model
An Experimental Investigation Use of Waste Plastic and Waste Glass Together as Coarse Aggregate in Paver Block
Authors: - Gayatri Chityal , - Ambika Alkunte , - Shrutika Miral , - Vaibhavi Khobare , - Swati Maniyal
Published: May 2024

Waste has become a major problem these days. Glass and plastic are found in municipal solid waste (MSW), and are of the most used daily materials. The amount of glass and plastics consumed annually has been growing steadily. Its low density, strength, user- friendly design, fabrication capabilities, long life, lightweight, and low cost are the factors behind such phenomenal growth. As waste plastic and waste glass is non-biodegradable material it blocks drains, pollutes rivers and streams have on the environment. This project focus on partially replacement of waste plastic and waste glass together as coarse aggregate in concrete paver block. To evaluate the effects of including these wastes, mechanical test like compressive strength test is conducted. The aim of the project is to recycle the waste plastic and waste glass into a paver block and to reduce the cost of paver block. This can serve as environmental friendly.
The Implementation of the Modulalar Learning Modality Among the Public Secondary Schools in Sto. Domingo, Albay
Authors: - Nerissa Balinquit Baltar-Balbin
Published: May 2024

Modular Learning Modality (MLM) sustained continuity of Philippine education on COVID 19 pandemic that endangered lives; banned travel in January 2020. The President, in March 2020, declared Philippines in calamity state; schools’ closure; learners’ mandatory promotion; vaccines’ interventions. DepEd Sulong Edukalidad, re-opened classes in SY 2020-2021; empowered schools of enrollment and learning modalities. SMEA/EMIS reported: PM inhibited teachers assessing students objectively; effected quality instructions’ decline; students’ academic performance; interventions recommended. This research secured database for analysis throughout 2 SYs MDL implementation. Mix-method treated 645 respondents; used stratified, actual enumeration, purposive sampling; with fittest model: exploratory sequential - convergent parallel designs; thru questionnaire-assessment survey instruments; interview; focus group discussions in gathering data. Aimed to assess its operation level among schools’ understudy; analyze such variables and prepare intervention measures; grounded theory generated new concepts; recommended valuable interferences. Findings confirmed principals, teachers and parents’ assessment level is 3- Satisfactory; students: 4-Very Satisfactory; General Average (GAtwm): Satisfactory. Grounded Theory Data revealed MLM has both its worth and feebleness. Researcher laid valuable intervention measures out of interviews and RRL to avoid rebuffs on unexpected lockdown ahead. DepEd has the power to persuade its development intrusions for the beneficiaries favorably.
Exploring The Differences : A Comparative Analysis of Pharmaceutical Quality of Different Brands of Metformin Hydrochloride Tablets
Authors: - Simarjeet Kaur , - Jaya Verma
Published: May 2024

Type 2 diabetic patients can regulate their increased blood sugar levels using metformin, an antidiabetic medicine approved by the FDA. It decreases the quantity of glucose produced by the liver, lessens the glucose absorption from the intestines, and raises insulin sensitivity. For best effects, metformin should be used in conjunction with dietary modifications and physical activity. The first-line oral hypoglycemic medication for type 2 DM(Diabetes Mellitus) is thought to be metformin. The recommended medication for obese people is MET. AMPK- Adenosine monophosphate-activated protein kinase, a liver enzyme crucial to insulin signaling, is triggered by metformin. Metformin’s inhibitory effect on hepatic cell glucose synthesis necessitates AMPK activation. This study aims to compare the pharmaceutical quality of three different brands of metformin hydrochloride tablets. All the three brands were evaluated for uniformity of weight, friability, hardness, dissolution, disintegration and assay was performed. All the brands tested were within the specification, thus all the tablets passed the pharmaceutical quality test, however, variations exist between brands, which could be due to differences in excipients, pressure during compression, manufacturing procedure etc.
Temperature Fluctuations in Power conductors: Analysis and Overcurrent Relay Adaptation Strategies for Mitigation
Authors: - Lakhyahira Baishya , - Purobi Patowary , - Dhritika Saikia
Published: May 2024

In electrical networks, the efficient flow of energy faces constraints primarily associated with the conductor’s temperature. By assessing transmission infrastructure, identifying critical geographical and climatic zones, one can compute the line’s temperature. Focusing on the importance of maintaining optimal conductor temperature for efficient power transmission, this paper evaluates the critical role of conductor temperature in overhead transmission lines and explores its dynamic variations influenced by various ambient conditions. Emphasizing the significance of maintaining optimal conductor temperature, the study delves into mitigation strategies and adaptive protection mechanism, with a focus on overcurrent relays, with specific emphasis on the efficacy of current-time graphs. By addressing these factors, the research aims to enhance the reliability and efficiency of power transmission systems, ensuring sustained performance under diverse environmental scenarios. Overall, the paper contributes valuable insights to optimize the flow of energy in overhead transmission lines, thereby enhance the robustness also, improving the resilience and functionality of electrical networks.
MediChain - Ensuring Authentic Pharmaceuticals with Blockchain Traceability
Authors: - Rhea M Thomas , - Shekamoori Pavithra , - Soundarya Samrat , - Shyamali bharti , - N P Nethravathi
Published: May 2024

A method for authentic pharmaceutical traceability, comprising the utilization of blockchain technology, user authentication systems, integration of additional data sources, and alert systems. The method ensures the authenticity of pharmaceutical products throughout the supply chain, safeguards patient safety, and upholds industry integrity. Compliance with regulatory standards is assured, while the method expedites traceability adoption, minimizes workflow disruption, and facilitates integration with existing systems.
Portable Household Vegetable Dehydrator
Authors: - Divya Shelke , - Sandeep  Jadhav , - Shravasti salve , - Siddhesh  Mengane , - Prashant Waghmode
Published: May 2024

Vegetable storage and preservation are issues in many nations, including India. Particularly, certain veggies are safe to consume and fresh during a particular season. Drying is one method of vegetable preservation that has been around for a while. However, sun drying veggies is not feasible due to small kitchens or houses. The goal of this initiative is to find a solution for households. The electric vegetable dryer can be used sparingly and takes up less room. It takes care of the problem of how to store green vegetables, which are best kept fresh and healthy in the winter and go bad even when kept in the refrigerator for three to four days. The project's goal is to enable people to keep veggies at home for their own personal consumption.
Découverte fortuite d’un Fibroélastome Mitro-aortique
Authors: - Z. BENNOUI
Published: May 2024

Papillary fibroelastoma is a rare, benign primary tumor that can remain asymptomatic for a long time. The clinical presentation can include embolic events (ischemic stroke, mesenteric ischemia, limb ischemia) or valvular obstruction. The diagnosis is made using transthoracic and transesophageal echocardiography, as well as cardiac MRI. Surgical treatment is the only curative therapeutic option, preventing the risk of embolic recurrence. We report the case of a 65-year-old diabetic female patient hospitalized in neurology due to a hemorrhagic stroke, who was referred to cardiology for an etiological workup. The patient had untreated, previously unknown hypertension, which was the cause of the cerebral hemorrhage. In the echocardiogram, we found two masses : one on the anterior mitral valve and the other on the anterior right aortic sigmoid valve. A mitro-aortic fibroelastoma was suspected and confirmed by cardiac MRI. This is a serendipitous discovery of this benign tumor. We will review this rare entity, its diagnostic modalities, and therapeutic approaches.
Reading Engagement Strategies in Blended Learning Context
Authors: - Sharon R. Contaoi
Published: May 2024

Blended learning has increasingly become a key educational practice, integrating online digital media with traditional classroom methods to offer flexible and active learning environments. This study explores the effectiveness of various reading engagement strategies within a blended learning framework, emphasizing teachers' perceptions and experiences. Through a qualitative, phenomenological approach, the research examines how different strategies—ranging from gamified quizzes to multimedia tools—affect reading engagement. Key findings indicate that teacher-student interactions, feedback mechanisms, and the use of technology play crucial roles in enhancing reading motivation and comprehension. This study contributes to the body of knowledge by providing fact-based recommendations for instructional strategies that effectively support diverse learner needs in blended learning settings.
A Comparative Study to Evaluate Postoperative Analgesia with USG Guided Unilateral Adductor Canal by using Combination of Bupivacaine with Dexamethasone or Morphine After Total Knee Replacement
Authors: - Dr Preeti Badiger , - Dr saurabh tandon , - Dr  R S rajput
Published: May 2024

TKR surgery refer to surgical intervention in the knee joint to replace diseased joint and many studies investigated post operative pain control, Adductor canal block is a newer alterative to femoral block after TKR with better multimodal analgesia and better quadriceps muscle strength, Many studies investigated the prolongation of analgesic duration when adjunct is added to a local anesthetic. A prospective randomized ,double blind, parallel- two group trial. A total of 78 ASA 1 and ASA 2 patients undergoing total knee replacement were included in the study. Seventy eight patients undergoing TKR were randomly allocated into two groups and received block as per the study protocol and the main outcome measure was the duration of postoperative analgesia. The result revealed that at equal volumes Bupivacaine 0.5% with 30mcg/kg of morphine has an advantage over Bupivacaine 0.5% when combined with 8mg of dexamethasone. We conclude that adductor canal block with 0.5% Bupivacaine with 30mcg/kg of morphine has better outcome over conventional intravenous paracetamol analgesia
User Satisfaction on Library Resources and Services in BMS College of Law, Bangalore-A Study
Authors: - Mala D
Published: May 2024

The main motive of this study was to examine and analyze the users’ satisfaction with library resources and services among the faculty members and students of BMS College of Law, Bangalore. The present study demonstrates the satisfaction levels of users towards various library resources and services provided by the college library. The result of the study found that a large number of respondents were satisfied with library resources and services. It also finds that the books had become a most widely used resources and circulation services was emerged most preferred service. Some suggestions have been given by the respondents to make about the library resources and services more effective and efficient manner.
Complementary Fashion Recommendation using Compatible Modelling
Authors: - Deepthi Das V , - Adithi Shankar , - Shwetha S K , - Shruthi S K , - Kruthika R , - Archana VR
Published: May 2024

The last two years of COVID-19, repeated lockdowns, and plain fear of stepping out of the house have fast-paced the adoption of eCommerce by many decades. Total online spending in May 2020 hit $82.1 billion (about $210 per person in the US), up 77% year-over-year. Even though it is good news for retailers as they do not need to invest in numerous brick-and-mortar stores, they face the conundrum of serving an invisible customer. They cannot see the customer, do not have any insight into customer preferences, and might have a limited transaction history for the customers as well as the product sales. Walking into a store, salespeople see the customer and can recommend clothes based on the customer's looks. Our motivation is to create a cold start recommendation engine that does not need any knowledge of user preferences, user history, item propensity, or any other data to recommend products to the customer. In this paper we are trying to solve two problems, given a product, what are the similar products and what are the complementary products that will complete the outfit.
Creating Engaging Chatbot Experiences by Tailoring Personalities in Text-Based Interactions
Authors: - DIVYA CHARDE , - MANJIRI DHAVTODE , - ANIKET NIMJE , - GAURI BHARATE , - SHWETA PIDURKAR , - Mrudula Gudadhe , - Harshad Kubade
Published: May 2024

Our expressive AI software is driven by creativity fused with technology. This transformative platform allows users to generate various content easily and augment their creative capacities. Through the merger of modern human-computer interaction artificial intelligence tools, people and artificial intelligent work together to come up with creative innovations. Our goal is not only about generating content but also creating avatars that have memories to foster active involvement. Expressive AI introduces digital companions with distinct personas, which enhance interactions while offering innovative ideas. Such a journey does not just change the digital content creation field. it also demonstrates how people and smart technologies can work together and create what had never been expected in terms of intelligent creativity.
Smart Handling of Biomedical Waste using Intelligent Deep Learning and IOT
Authors: - Najiya Hannath , - Athira Bose
Published: May 2024

Hospitals create an enormous volume of potentially hazardous trash. Currently, bandages, plastic papers, wasted pus, syringes, glucose drip bottles, other dangerous medical wastes, and containers are separated by hand, resulting in long-term health consequences such as tuberculosis, cancer, and infectious diseases. Rag pickers are currently responsible for the majority of waste separation. Efficient management of medical waste demands not only precise segregation but also real-time monitoring and notification systems to ensure timely intervention and optimized waste handling. This project proposes an integrated solution combining deep learning, image processing, Embedded Systems hardware and Internet of Things (IoT) technologies. Medical waste will be detected using the Deep Learning technique; A deep learning model is trained on a diverse dataset to classify medical waste items, and image processing techniques are utilized to enhance the accuracy of the classification process.
This holistic approach offers an efficient and automated system for medical waste management integrating waste segregation, waste level monitoring, and timely notifications, thereby ensuring a sustainable and responsible waste management process in healthcare facilities.
Smart Agriculture Using IoT
Authors: - Rhea Pinto , - Damayanti Patil , - Nathan Joseph , - Chryselle Barreto , - Shamsuddin Khan
Published: May 2024

The project focuses on physical components and sensors to leverage the Internet of Things (IoT) for smart agriculture, presenting a myriad of applications with the potential to revolutionize the agricultural sector. By connecting various physical objects, sensors, and machinery to the internet, IoT facilitates data collection and exchange for more effective agricultural management. The project introduces an in-house, user-friendly smart farming device designed to streamline farming operations, integrating essential information and communication technology with sensing technologies to provide efficient agricultural services. The goal is to acquire real-time data on temperature, humidity, water level, and soil moisture for environmental monitoring. Through the utilization of IoT technologies, farmers can enhance decision-making, increase output, and promote sustainable farming practices and effective agricultural systems.
An Efficient Multi-level Vending Machine FSM using Kintex-7 FPGA
Authors: - Bommidi Sridhar , - Bapuji Banothu , - Prahas Surabhi , - Ashangari Rakesh
Published: May 2024

The need for efficient multi-level product vending machines is in high demand. In this paper, we propose a multi-level effective vending machine design using a finite state machine (FSM), with the targeted FPGA being Kintex-7. The proposed design was developed in Verilog HDL to achieve better performance in terms of speed, power and area. The proposed design efficiency is validated using XILINX ISE 13.2.
Shape Optimization of Heavy Vehicles Chassis
Authors: - S. PRAVEEN REDDY , - R. SACHIN , - Y MANOJ KUMAR , - A. Venkata Swami
Published: May 2024

The main objective of this project is to modify the design to decrease the deformation of chassis.
शहरी एवं ग्रामीण क्षेत्र के शासकीय उच्चतर माध्यमिक विद्यालय के विद्यार्थियों की शैक्षिक अभिरूचि के मध्य तुलनात्मक अध्ययन
Authors: - Shivam yadav
Published: May 2024

शैक्षिक रूचि एसा मानवीय स्रोत है जो कि राष्ट्र के विकास में अत्यन्त सहायक है। शैक्षिक रूचि का सही चयन व्यक्ति बालक को जीवन भर संतुष्टि या असंतुष्टि प्रदान करता है। यह कहना अतिशयोक्ति न होगा कि शैक्षिक रूचि व्यवसायिक योजना का चयन करने में महत्वपूर्ण भूमिका निभाता है। उद्देश्य 1.शहरी एवं ग्रामीण क्षेत्र के शासकीय उच्चतर माध्यमिक विद्यालय के विद्यार्थियों की शैक्षिक अभिरूचि का अध्ययन। 2.शहरी एवं ग्रामीण क्षेत्र के शासकीय उच्चतर माध्यमिक विद्यालय के विद्यार्थियों की शैक्षिक अभिरूचि के मध्य तुलनात्मक अध्ययन। परिकल्पना शहरी एवं ग्रामीण क्षेत्र के शासकीय उच्चतर माध्यमिक विद्यालय के विद्यार्थियों की शैक्षिक अभिरुचि के मध्य कोई सार्थक अंतर नहीं है। प्रस्तुत शोध अध्ययन हेतु शोधार्थी द्वारा वर्णनात्मक सर्वेक्षण विधि के अंतर्गत तुलनात्मक विधि का प्रयोग किया गया। न्यादर्श हेतु ग्वालियर नगर के शहरी एवं ग्रामीण क्षेत्र के मध्य प्रदेश बोर्ड, भोपाल से मान्यता प्राप्त शासकीय उच्चतर माध्यमिक विद्यालयों के कक्षा 11 के 1200 छात्रों को ही सम्मिलित किया गया। अध्ययन के संदर्भ में कुलश्रेष्ठ, एस.पी. द्वारा निर्मित शैक्षिक अभिरुचि मापनी परीक्षण का प्रयोग किया गया। शहरी तथा ग्रामीण क्षेत्र के उच्चतर माध्यमिक विद्यालयों के विद्यार्थियों की शैक्षिक अभिरुचि की तुलना हेतु सांख्यकीय विश्लेषण के उपरांत प्राप्त परिणामों के आधार पर स्पष्ट होता है कि शहरी तथा ग्रामीण क्षेत्र के उच्चतर माध्यमिक विद्यालयों के प्रत्येक समूह की शैक्षिक अभिरुचि में पर्याप्त भिन्नता है। इसका संभावित कारण उनको मिलने वाला वातावरण, अवसर तथा सुविधाएं हो सकते है।
Exploring the Learning Analytics of Skill-based Course using Machine Learning Classification Models
Authors: - A.Vinitha , - M.Madhusudhan
Published: May 2024

This study explores learning analytics of a skill-based course using various machine learning classification models, including Random Forest, Logistic Regression, CatBoost, Support Vector Classification (SVC), and Naïve Bayes. The objective is to categorize student outcomes into four classes: Pass, Distinction, Withdrawn, and Fail. The research contributes to the growing body of knowledge in learning analytics and machine learning applications in education. The findings from this investigation offer educators and academic institutions a robust framework for early identification of students at risk of underperformance or withdrawal, thereby enabling timely intervention to enhance student success in skill-based courses
Improving Women’s Representation in Politics through Gender Quotas
Authors: - Ratandeep Sain
Published: May 2024

Gender quotas for women in local government bodies can improve women’s representation in politics, increase provision of public services, and improve perceptions of women as leaders. Gender quotas are one policy tool designed to increase women’s representation in politics. Women hold fewer than 25 percent of parliamentary seats worldwide, and just 12 percent of the world’s heads of state and government are women. In many countries this imbalance extends to local governments. Countries are taking action In 2013, 118 countries were implementing a form of gender quotas for an elected office. Women's empowerment and their full participation on the basis of equality in all spheres of society, including participation in the decision making process and access to power ,are fund a mental for the achievement to fequality , development and peace. One way to implement gender quotas is by reserving a certain number of leadership positions for women. A review of eleven randomized evaluations in India, Lesotho, and across 28 states in India found that reservation quotas influenced women’s political participation and policy outcomes and increased the provision of public goods aligned with female voters’ preferences. Further, quotas improved men’s perceptions of women as leaders, increased the aspirations of girls, and helped women get elected even after quotas were removed. Most of the rigorous research drawn on in this insight comes from India comparative conclusions should be drawn cautiously. This evidence largely suggests that governments seeking to improve women’s representation in politics should consider reservation quotas for local leadership positions.
overview of the three main types of quota policies reserved seats, party quotas, and legislative quotas. These are found in all major world regions in countries with a broad range of institutional, social, economic, and cultural characteristics. At the same time, the mere advent of gender quotas has not resulted in uniform increases in the percentage of women in parliament worldwide some countries have witnessed dramatic increases, while others have seen more modest changes or even setbacks in the number of women elected to national assemblies.
Despite the rapid international diffusion of these measures, most research has focused on single countries or, at most, the presence of quotas within one world region. Consequently, explanations for the adoption and impact of gender quotas derived from one study often contradict .
Traceability of Fruits and Vegetables Agricultural Products using Blockchain
Authors: - Amreen Anjum , - Reba Maheen , - Sahifa Nida , - Tuba Nazish Maniyar , - Zainab Mujahed Khan
Published: May 2024

This study explores the implementation of traceability systems utilizing blockchain technology in the agricultural sector, specifically focusing on fruits and vegetable products. Traceability is crucial for ensuring food safety, quality control, and supply chain transparency. Blockchain offers a decentralized and immutable ledger that enables the recording of every transaction or movement of agricultural products from farm to fork. By leveraging blockchain, stakeholders along the supply chain can access real-time, transparent, and tamper-proof information regarding the origin, cultivation, harvesting, processing, and distribution of fruits and vegetables. This enhances trust between consumers and producers, facilitates regulatory compliance, improves efficiency in recall management, and enables swift identification and resolution of food safety issues. Through case studies and analysis, this report evaluates the benefits, challenges, and future prospects of integrating blockchain-based traceability solutions into the agricultural industry, ultimately aiming to enhance food safety and consumer confidence.
Non-Markovian Feedback Retrial Queue with Two Types of Customers and Delayed Repair Under Bernoulli Working Vacation
Authors: S Sundarapandiyan , S Nandhini
Published: May 2024

This paper deals with an M/G/1 feedback retrial G-queue and delayed repair incorporating Bernoulli working vacation. Arrivals of both favorable and unfavorable consumers are two independent Poisson processes. The server is subjected to breakdown during the regular busy period due to the arrival of unfavorable customers and then the server will be down for a short period of time. Further, the concept of delay time is also discussed. After the fulfillment of regular service, the dissatisfied consumer may re-join the orbit to receive another service as a feedback consumer. During the working vacation period, the server provides the service to consumers at a reduced rate. By applying the supplementary variable technique (SVT), we have analyzed the steady-state probability generating function (PGF) for the system size and orbit size. In addition, we have presented the system performance, reliability indicators, and stochastic decomposition property. Finally, we provided numerical examples to illustrate our model’s mathematical results.
Stryphnodendron adstringens have a modulatory effect on inflammatory cytokines markers of in vitro activated macrophages
Authors: da Cruz Ivana Beatrice Mânica , Teixeira Cibele Ferreira , Pellenz Neida Luiza , Mastella Moisés Henrique , Azzolin Verônica Farina , Ribeiro Euler Esteves , Barbisan Fernanda
Published: May 2024

Aim: The purpose of this study is to conduct a comprehensive investigation into the modulatory effects of Stryphnodendron adstringens (Mart.; S. adstringens), a Brazilian wound-healing plant, on the expression of inflammatory cytokines. This will be achieved using an in vitro protocol with the commercial macrophage cell line RAW 264.7. Methods: The macrophage inflammatory response was induced by the natural antigen phytohemagglutinin (PHA), with and without supplementation of different concentrations of S. adstringens extract. The effects on cell proliferation rate and the concentration and production of transcripts of pro-inflammatory cytokines interleukin 1β (IL-1β), IL-6, tumor necrosis factor-alpha (TNF-α), and interferon-gamma (IFN-γ), as well as the anti-inflammatory cytokine IL-10, were assessed using spectrophotometric, immunoassay, and quantitative reverse transcription-polymerase chain reaction (qRT-PCR) techniques. Results: S. adstringens extract at all concentrations tested here reduced the cellular proliferation rate of activated macrophages. Extracts at concentrations of 0.49 mg/mL and 0.99 mg/mL decreased the protein and gene expression of pro-inflammatory cytokines, exhibiting the opposite effect concerning IL-10. Conclusions: The findings suggest that the wound-healing action of S. adstringens may encompass differential modulation of inflammation associated with tissue injury.
Selective internal radiation therapy segmentectomy: A new minimally invasive curative option for primary liver malignancies?
Authors: Inchingolo Riccardo , Cortese Francesco , Pisani Antonio Rosario , Acquafredda Fabrizio , Calbi Roberto , Memeo Riccardo , Anagnostopoulos Fotis , Spiliopoulos Stavros
Published: May 2024

Transarterial radioembolization or selective internal radiation therapy (SIRT) has emerged as a minimally invasive approach for the treatment of tumors. This percutaneous technique involves the local, intra-arterial delivery of radioactive microspheres directly into the tumor. Historically employed as a palliative measure for liver malignancies, SIRT has gained traction over the past decade as a potential curative option, mirroring the increasing role of radiation segmentectomy. The latest update of the BCLC hepatocellular carcinoma guidelines recognizes SIRT as an effective treatment modality comparable to other local ablative methods, particularly well-suited for patients where surgical resection or ablation is not feasible. Radiation segmentectomy is a more selective approach, aiming to deliver high-dose radiation to one to three specific hepatic segments, while minimizing damage to surrounding healthy tissue. Future research efforts in radiation segmentectomy should prioritize optimizing radiation dosimetry and refining the technique for super-selective administration of radiospheres within the designated hepatic segments.
Construction of a nomogram model to predict technical difficulty in performing laparoscopic sphincter-preserving radical resection for rectal cancer
Authors: Zhou Xiao-Cong , Guan Shi-Wei , Ke Fei-Yue , Dhamija Gaurav , Wang Qiang , Chen Bang-Fei
Published: May 2024

BACKGROUND

Colorectal surgeons are well aware that performing surgery for rectal cancer becomes more challenging in obese patients with narrow and deep pelvic cavities. Therefore, it is essential for colorectal surgeons to have a comprehensive understanding of pelvic structure prior to surgery and anticipate potential surgical difficulties.

AIM

To evaluate predictive parameters for technical challenges encountered during laparoscopic radical sphincter-preserving surgery for rectal cancer.

METHODS

We retrospectively gathered data from 162 consecutive patients who underwent laparoscopic radical sphincter-preserving surgery for rectal cancer. Three-dimensional reconstruction of pelvic bone and soft tissue parameters was conducted using computed tomography (CT) scans. Operative difficulty was categorized as either high or low, and multivariate logistic regression analysis was employed to identify predictors of operative difficulty, ultimately creating a nomogram.

RESULTS

Out of 162 patients, 21 (13.0%) were classified in the high surgical difficulty group, while 141 (87.0%) were in the low surgical difficulty group. Multivariate logistic regression analysis showed that the surgical approach using laparoscopic intersphincteric dissection, intraoperative preventive ostomy, and the sacrococcygeal distance were independent risk factors for highly difficult laparoscopic radical sphincter-sparing surgery for rectal cancer (P < 0.05). Conversely, the anterior-posterior diameter of pelvic inlet/sacrococcygeal distance was identified as a protective factor (P < 0.05). A nomogram was subsequently constructed, demonstrating good predictive accuracy (C-index = 0.834).

CONCLUSION

The surgical approach, intraoperative preventive ostomy, the sacrococcygeal distance, and the anterior-posterior diameter of pelvic inlet/sacrococcygeal distance could help to predict the difficulty of laparoscopic radical sphincter-preserving surgery.
Salivary metabolites are promising noninvasive biomarkers of drug-induced liver injury
Authors: Yu Si-Miao , Zheng Hao-Cheng , Wang Si-Ci , Rong Wen-Ya , Li Ping , Jing Jing , He Ting-Ting , Li Jia-Hui , Ding Xia , Wang Rui-Lin
Published: May 2024

BACKGROUND

Drug-induced liver injury (DILI) is one of the most common adverse events of medication use, and its incidence is increasing. However, early detection of DILI is a crucial challenge due to a lack of biomarkers and noninvasive tests.

AIM

To identify salivary metabolic biomarkers of DILI for the future development of noninvasive diagnostic tools.

METHODS

Saliva samples from 31 DILI patients and 35 healthy controls (HCs) were subjected to untargeted metabolomics using ultrahigh-pressure liquid chromatography coupled with tandem mass spectrometry. Subsequent analyses, including partial least squares-discriminant analysis modeling, t tests and weighted metabolite coexpression network analysis (WMCNA), were conducted to identify key differentially expressed metabolites (DEMs) and metabolite sets. Furthermore, we utilized least absolute shrinkage and selection operato and random fores analyses for biomarker prediction. The use of each metabolite and metabolite set to detect DILI was evaluated with area under the receiver operating characteristic curves.

RESULTS

We found 247 differentially expressed salivary metabolites between the DILI group and the HC group. Using WMCNA, we identified a set of 8 DEMs closely related to liver injury for further prediction testing. Interestingly, the distinct separation of DILI patients and HCs was achieved with five metabolites, namely, 12-hydroxydodecanoic acid, 3-hydroxydecanoic acid, tetradecanedioic acid, hypoxanthine, and inosine (area under the curve: 0.733-1).

CONCLUSION

Salivary metabolomics revealed previously unreported metabolic alterations and diagnostic biomarkers in the saliva of DILI patients. Our study may provide a potentially feasible and noninvasive diagnostic method for DILI, but further validation is needed.
Artificial intelligence in detection of small bowel lesions and their bleeding risk: A new step forward
Authors: Cocca Silvia , Pontillo Giuseppina , Grande Giuseppe , Conigliaro Rita
Published: May 2024

The present letter to the editor is related to the study with the title “Automatic detection of small bowel (SB) lesions with different bleeding risk based on deep learning models”. Capsule endoscopy (CE) is the main tool to assess SB diseases but it is a time-consuming procedure with a significant error rate. The development of artificial intelligence (AI) in CE could simplify physicians’ tasks. The novel deep learning model by Zhang et al seems to be able to identify various SB lesions and their bleeding risk, and it could pave the way to next perspective studies to better enhance the diagnostic support of AI in the detection of different types of SB lesions in clinical practice.
Research on the language and folklore of “polar Russians”: history and achievements
Authors: Николаева А.М.
Published: May 2024

Проживающие в арктических районах Якутии русские старожилы представляют собой самобытное этническое сообщество, отличающееся оригинальными элементами языка, культуры, быта, хозяйственной деятельности. Их осталось совсем мало. В настоящее время численность русскоустьинских старожилов, проживающих в низовьях реки Индигирки в Аллаиховском районе Якутии, составляет 127 человек, а их сородичей – походчан (колымчан) из Нижнеколымского района – около 300. В статье сделан обзор истории исследования языка, культуры, особенностей говора «полярных русских» – русскоустьинских старожилов.

The Russian old-timers living in the Arctic regions of Yakutia represent an original ethnic community, distinguished by original elements of language, culture, way of life, and economic activity. There are very few of them left. Currently, the number of Russian-Ustya old-timers living in the lower reaches of the Indigirka River in the Allaikhovsky district of Yakutia is 127 people, and their relatives, the Pokhodshans (Kolymchans) from the Nizhnekolymsky district, is about 300. The article provides an overview of the history of research on the language, culture, and the peculiarities of the dialect of the “polar Russians” – Russko-Ustye old-timers.