bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of Gummy Smile Using Esthetic Crown Lengthening Technique
Authors: Parthasarathi Subbulakshmi , Devika G. , Pooja R.
Published: October 2024

Excessive gingival display is a major concern for a large number of patients visiting the dentist. It is a multifactorial condition that needs to be managed in a sequential manner in order to reach proper treatment technique that targets and resolves the underlying etiologies. There are different etiologies of a gummy smile, such as vertical maxillary excess, short and hyperactive upper lip, altered passive eruption, anterior dentoalveolar extrusion, or a combination of these causes. Many techniques have been used to restore the dentogingival relation for the management of gummy smile. The various treatment modalities for Excessive Gingival Display includes gingivectomy, modified lip repositioning, orthognathic surgery, orthodontic therapy, hyaluronic acid infiltration, botulin toxin injections. This case report deals with the correction of Excessive Gingival Display using conventional gingivectomy.
Assessment of Autogenous Tooth Dentin Graft with Allogenic Bone Graft in the Preservation of Alveolar Ridge: A Clinicoradiographic Study
Authors: Dubey Sandeep Kumar , Bhowmik Shreya , Bose Mayur , Pal Pritish Chandra , Rajaram Savan Sunari , Bali Ashish , Sen Uttam Kumar , Nisha Swet
Published: October 2024

Background:

Alveolar ridge is dynamic in nature. Preservation of residual alveolar ridge is always desirable. Bone grafts and platelet concentrates can be used for socket preservation. Maintenance of bone volume is essential and various ridge augmentation techniques are used for desirable functional and esthetic outcomes.

Aim:

Evaluation and comparison of the efficacy of autogenous dentin block versus allograft block in preserving alveolar ridge dimension with 6-month follow-up.

Materials and Methods:

Twenty subjects indicated for tooth extraction were randomly divided into three groups. In Group I, autogenous dentin graft with platelet-rich fibrin (PRF) membrane was used as socket filling material, Group II: allogenic bone graft with PRF membrane, or Group III: control group (socket left ungrafted). Clinical and radiographic examinations were done using periodontal probe and cone-beam computed tomography.

Results:

On intragroup comparison of socket size, the mean for Group I was found to be 33.270 mm2 at baseline and 25.358 mm after 12 months for Group II was found to be 53.250 mm2 at baseline and socket fill was 41.875 mm2 at 12 months. Group III was found to be 43.483 mm2 at baseline, and socket fill was 15.063 mm2 at 12 months. On intergroup comparison, the values were found to be statistically nonsignificant both at baseline (12 months postoperatively. The crestal bone loss was 0.975 for Group I, 1.075 for Group II, and 2.925 mm for Group III. Crestal bone loss was seen highest in Group III and lowest for Group I. The mean percentage of socket fill was found to be 80.01% for Group I, 76.13% for Group II, and 34.03% for Group I.

Conclusion:

A significant amount of radiographic socket fill was appreciated over 12 months in all the three groups. The percentage of socket fill in Group I was 80.01% and in Group II was 76.13% and the difference between them was statistically nonsignificant. Statistically significant socket fill was seen for both Group 1 and Group 2.
Decoding Cystic Lesions in Mixed Dentition through Step-by-step Diagnosis
Authors: Sharma Arushi , Singh Namita , Sharma Winnie , Jindal Mehak
Published: October 2024

Radicular cysts are the most often documented inflammatory cysts in the adult population, although their incidence in children is regarded as unusual. This study presents a 12-year-old female patient, who had an asymptomatic radicular cyst along with a retained and decayed deciduous tooth in the left posterior mandibular area, the cyst. The patient underwent cystic enucleation after a clinical and radiographic evaluation which led to a provisional diagnosis that was corroborated by the histological findings. In this article, the differential diagnosis and treatment of a radicular cyst in a pediatric patient is discussed.
Assessing Emotional Intelligence among Dental Undergraduate Students: An Institutional Insight from Western India in the Postpandemic Context
Authors: Maraimalai Nivedhitha , Chettiankandy Tabita Joy , Trimukhe Akshay Chandrakant , Tiwari Saumya , Yen Chein Chai Aaron
Published: October 2024

Background:

Emotional intelligence (EI) plays a pivotal role in academic success, especially in challenging fields such as dentistry. The COVID-19 pandemic has revolutionized education, necessitating a fresh examination of EI among dental students in the postpandemic era.

Materials and Methods:

This cross-sectional study involved undergraduate dental students and employed a structured questionnaire comprising 21 questions to assess EI, gather demographic data, and explore learning behaviors. The gathered data underwent rigorous statistical analysis using SPSS, including Chi-square tests.

Results:

Among the 525 students, 168 participated, representing a 32% response rate. Notably, the majority of respondents were female (67%) and exhibited EI scores predominantly in the moderate range. Significantly, the study revealed noteworthy correlations between EI and family income (P = 0.03*) and study hours (P = 0.00*). However, no substantial link was identified between EI and work completion behavior.

Discussion:

This study illuminates the intricate relationship between EI, socioeconomic factors, and study habits within the context of dental education. It implies that greater family income and increased study hours positively influence EI. The practical implications extend to tailored EI programs and addressing educational disparities.

Conclusion:

This study significantly advances our comprehension of EI among dental students. It underscores the relevance of EI in dental education and advocates for equitable educational strategies in a post-COVID landscape.
Clinical Perspective of Antimicrobial Drugs in Pediatric Dentistry- An Update
Authors: Goel Dhirja , Chaudhary Seema , Manuja Naveen , Goel Gaurav Kumar
Published: October 2024

This review highlights the importance of judicious antibiotic prescribing practices for orofacial infections in pediatric patients. It emphasizes the need to adhere strictly to guidelines to mitigate the rising threat of antibiotic resistance. Antibiotics, alongside analgesics, are commonly prescribed by dentists due to their efficacy in treating infections. However, a significant portion of antibiotic prescriptions are unnecessary, contributing to the development of microbial resistance. Research indicates a concerning trend of low adherence to professional clinical guidelines among dental students, dentists, and pediatric dentists regarding antibiotic prescriptions. Despite the historical success of antibiotics in dental treatments, their overuse poses a risk to this achievement. Therefore, it’s crucial to limit antibiotic use to reduce the risk of resistance development. Insufficient knowledge about significant clinical indications for antibiotic prescriptions among pediatric dentists exacerbates the problem, leading to overuse and contributing to antibiotic resistance in children. Addressing this knowledge gap and promoting adherence to guidelines is essential in preserving the effectiveness of antibiotics in pediatric dental care.
Clinicians Perspectives of Linagliptin Monotherapy and Linagliptin + Dapagliflozin Combination Therapy in the Management of Type 2 Diabetes Mellitus with Chronic Kidney Disease in Indian Settings
Authors: Manjula S. , Kumar M. Krishna
Published: October 2024

Objective:

The objective of the study was to gather clinician’s perspectives on the use of linagliptin monotherapy and the linagliptin + dapagliflozin fixed-dose combination (FDC) in the management of patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) in the Indian clinical settings.

Methodology:

The cross-sectional study employed a 25-item, multiple-response questionnaire to collect expert opinions from specialists experienced in managing T2DM with CKD. The survey covered topics such as current prescribing practices, clinical observations, preferences, and experiences regarding the use of linagliptin monotherapy and linagliptin + dapagliflozin FDC in routine settings. Data analysis was conducted using descriptive statistics.

Results:

Overall, 1848 participants were included and the majority (77%) of them preferred linagliptin as the dipeptidyl peptidase-4 inhibitor (DPP4i) of choice, while 65% observed improved estimated glomerular filtration rate (eGFR) with linagliptin in their practice. Nearly 44% of the respondents noted that 11%–25% of patients needed multiple drugs alongside metformin for glycemic control. Nearly 76% favored linagliptin when combined with dapagliflozin, and 61% preferred the dapagliflozin + linagliptin FDC for elderly diabetic patients with obesity or cardiac/renal issues. Approximately 68% of the clinicians reported a 3–6 mmHg reduction in blood pressure with dapagliflozin. About 60% of the clinicians stated the occurrence of urinary tract infections with the DPP4i and sodium–glucose co-transporter-2 inhibitor combination, and approximately 42% indicated effective synergy between dapagliflozin + linagliptin.

Conclusion:

The study findings indicated that linagliptin monotherapy and linagliptin + dapagliflozin FDC were preferred in managing T2DM with CKD due to their potency, minimal side effects, and efficacy. The study has also underscored the additional benefits conferred by linagliptin, including improved eGFR and reduced blood pressure.
Outcome of autologous bone marrow transplant in patients with relapsed and refractory diffuse large B-cell lymphoma in relation with prognostic factor: A single-center experience
Authors: Yousif Fawaz Salim , Matti Bassam Francis , Al-Bakri Zina Ali , Faraj Safa A. , Mohammed Mazin A. , Shakir Zahraa S. , Khalid Mahmood W. , Al Hlali Saba H. , Saeb Sarah M. , Khanjar Kareem K. , Humadi Maryam R.
Published: October 2024

BACKGROUND:

Currently, about 50% of diffuse large B-cell lymphoma patients are relapsed following their complete response to first-line therapy. The treatment strategy for fit patients with relapsed refractory diffuse large B-cell lymphoma (R/R DLBCL) has been done with salvage therapy with non-cross resistant combination chemo-immunotherapy regimens followed by high-dose chemotherapy and autologous stem cell transplantation (ASCT).

OBJECTIVES:

The aim of study was to evaluate the outcome of ASCT for R/R DLBCL in relation to certain prognostic parameters.

PATIENTS, MATERIALS AND METHODS:

This is retrospective study, conducted from May 2014 to December 2022, at Hematology and BMT Center of Medical City Complex in Baghdad. Thirty-six patients with R/R DLBCL were investigated pre- and post-ASCT; the recorded data included patient disease status pre-transplant, early mortality rate, and type of response at day 100 post-transplant and, survival rate, relapsed rate, and mortality at the end of the study were documented accordingly.

RESULTS:

The mean age of DLBCL patients in this study was 41.3 (14–65) years, post-ASCT at day 100; there were 33 (91.6%), 2 (5.5%), and 1 (2.7%) patients in complete remission, relapsed progressive disease, and death, respectively, At 3-year posttransplant, the overall survival (OS) was 71%, whereas the event-free survival (EFS) was 59%. According to disease status pre-ASCT, the OS was 62%, 80%, and 66% with P = 0.7, whereas the EFS was 66%, 60%, and 50% with P = 0.5 for CR, UCR, and PR, respectively.

CONCLUSION:

Iraqi bone marrow transplant center data showed acceptable OS and EFS results in the treatment of R/R DLBCL patients in areas where there is no more option in terms of better OS and EFS but with insignificant relation to the available prognostic factor.
Profile of women with retained placenta at a tertiary care hospital
Authors: Maheswari Gaddameedi Sai , Shah Sangeeta , Kumari Rani , Rachana Mamidi
Published: October 2024

The placenta is said to be retained when it is not expelled from the uterus even 30 min after the delivery of the baby. The occurrence of retained placenta following vaginal birth is estimated to be 1%–3% of deliveries. It can lead to severe bleeding, infection, and other adverse outcomes, making it a significant concern in obstetric care. Hence, the present study was carried out to study the profile of women with retained placenta. This was a descriptive study among 97 women with retained placenta. The incidence of retained placenta was 97 (1.8%). The most common characteristic feature was postdated pregnancy in 29.8%. Eighty women responded to medical management alone, whereas 17 women required manual removal. The most common complication was postpartum hemorrhage in 33.3%. We conclude that a retained placenta can be a source of significant hemorrhagic and surgical morbidity to the mother. In considering ways to lessen morbidity, the clinician should have a knowledge of the clinical profile of retained placenta.
Perceived stress and coping strategies among undergraduate nursing students in the psychiatric practicum during the COVID-19 pandemic: A cross-sectional quantitative study
Authors: Lu Shiou-Fang , Chiang Shu-Wan , Hsu Ya-Chuan
Published: October 2024

ABSTRACT

Objectives:

This study aimed to explore perceived stress and coping strategies among undergraduate nursing students in the psychiatric practicum during the pandemic.

Materials and Methods:

A cross-sectional quantitative design was employed in this study. Data were collected through self-administered questionnaires consisting of demographic variables, the Perceived Stress Scale (PSS), and the Coping Behavior Inventory (CBI).

Results:

Of the 73 participants, 82.2% were women. The mean age was 21.25 ± 0.69 years. The overall mean score of PSS was 1.45 ± 0.48, and that of CBI was 1.93 ± 0.31. The major sources of perceived stress were taking care of patients (1.72 ± 0.54) and assignments and workload (1.72 ± 0.75). The major coping strategies to deal with stress were problem-solving (2.66 ± 0.52) and staying optimistic (2.43 ± 0.73). Pearson’s correlation analyses revealed that participants who utilized the avoidance strategy (r = 0.416) reported high-stress levels, whereas participants who utilized problem-solving (r = −0.306) and staying optimistic (r = −0.527) reported low-stress levels.

Conclusion:

The nursing students perceived moderate stress mainly from taking care of patients as well as assignments and workload. Problem-solving and staying optimistic were the most frequently used coping strategies. Compared with findings from other studies, our data suggested that the impact of the COVID-19 pandemic on perceived stress was not apparent possibly due to well-established approaches and education for infection prevention and control in our hospitals and schools. Our findings may provide valuable information to maximize students’ learning opportunities.
Diagnosis of Glioma, Menigioma and Pituitary brain tumor using MRI images recognition by Deep learning in Python
Authors: Ghoreishi Mokri Seyed Masoud , Valadbeygi Newsha , Grigoryeva Vera
Published: October 2024

Medical image processing is a very difficult and new field. One thing they do in this field is analyze pictures of people's brains to look for signs of tumors. They use a special computer program to help with this. This paper talks about a new way to use the program to find brain cancer early by looking at the texture of the tumor. This paper explains how we can find and understand brain tumors using special pictures called MRI scans. We use computer programs to help us do this. First, we find the tumor, then we separate it from the rest of the brain, and finally we measure how big it is. We can also figure out how serious the tumor is by looking at different kinds of tumors. To make it easier for people to use, we made a special program in a computer language called COLAB for python codes about using CNN network for deep learning. We tested this program on 8 patients and learned a lot about their tumors.
Relationship between mode of delivery and the development of allergic rhinitis: a systematic review and meta-analysis
Authors: Hoang M P , Seresirikachorn K , Samuthpongtorn J , Chitsuthipakorn W , Snidvongs K
Published: October 2024

Background: Delivery mode can influence infant microbial diversity, cause immune dysregulation, and potentially increase the risk of allergic rhinitis (AR). Methodology: A systematic review and meta-analysis were performed to assess the association between distinct modes of delivery and the development of AR in childhood and adulthood. The primary comparison was vaginal (VD) versus cesarean delivery (CD). Secondary comparisons were specified CD (elective, emergency) versus specified VD (spontaneous, abnormal) and nonmicrobiota- exposed versus microbiota-exposed deliveries. The outcomes were subsequent risks of AR presenting as odd ratios and 95% confidence intervals. Results: Thirty-seven studies were analyzed. Compared to VD, CD, and its specified modes were associated with higher subsequent risks of AR in the population under age 18. The quality of evidence supporting these effects is rated as very low to low following GRADE. Spontaneous VD was associated with lower AR risk compared to CD, but there was no significant difference between abnormal VD and CD. The distinction between non-microbiota-exposed and microbiota-exposed deliveries did not affect AR risk significantly. Conclusions: The estimated odds ratios demonstrated a positive association between cesarean section and AR up to 18 years of age. A comprehensive categorization of delivery mode is necessary to interpret the existing evidence thoroughly.
Environmental Control Systems (ECS) for Unmanned Aircraft (UA)
Authors:   AC-9 Aircraft Environmental Systems Committee
Published: October 2024

This document provides guidance for ECS design for UA primarily by reference to existing applicable SAE AC-9 documents with indication of how they would apply and how they may need to be adapted for UA. This document provides guidance related to environmental control for onboard equipment, cargo, animals, and passengers. This document cannot provide detail design guidance for all potential types of UA. Limited information is available for ECS requirements for UA that may carry passengers, but it should be expected that the same comfort and safety standards would be applied to UA as prescribed in current civil aviation authority rules and military specifications. Additional requirements unique to UA can be expected for totally autonomous UA operation with no provision for flight or ground crew monitoring and intervention in the event of ECS failures or malfunctions. This document does not pertain to the related ground stations that may be controlling the UA.
Polytetrafluoroethylene (PTFE) Moldings General Purpose Grade, As Sintered
Authors:   AMS P Polymeric Materials Committee
Published: October 2024

This specification covers virgin, unfilled polytetrafluoroethylene (PTFE) in the form of molded rods, tubes, and shapes. This specification does not apply to product over 12 inches (305 mm) in dimension parallel to the direction of applied molding pressure, rods under 0.750 inch (19.05 mm) in diameter, and tubes having wall thickness under 0.500 inch (12.70 mm).
Aluminum Alloy, Extrusions 4.0Cu - 1.3Mg - 0.60Mn (2026-T3511) Solution Heat Treated and Stress Relieved by Stretching
Authors:   AMS D Nonferrous Alloys Committee
Published: October 2024

This specification covers an aluminum alloy in the form of extruded bars, rods, and profiles (shapes) with a maximum cross-sectional area of 25 square inches (161 cm2), a maximum circle size of 12 inches (305 mm), and a nominal thickness up to 3.250 inches (82.54 mm), inclusive (see 8.6).
Sri Kartarpur Sahib: nexus among religion, identity, and tourism
Authors: Girish V.G.
Published: October 2024

Conflict between countries (in this study, India and Pakistan) occasionally leads to permanently closed borders that restrict trade, recreation, and pilgrimage across them. Despite their differences, India and Pakistan opened the Kartarpur corridor, creating an avenue for people-to-people contact between the two countries. A qualitative study was conducted to determine the underlying factors associated with the visit to Sri Kartarpur Sahib Gurudwara from different stakeholders’ perspectives. The results reveal that this type of special agreement paves the way toward peace in the region, thereby strengthening the economy and religious tourism.
Konflikt żydowsko-palestyński. Historia i współczesność
Authors: Izak Krzysztof
Published: October 2024

In this article, the author presents the causes and course of the Jewish- Palestinian conflict from the second half of the 19th century to the events of 2024. The main research problem concerns explaining the essence of this conflict and indicating the reasons why, in the author’s opinion, a two-state solution and life side by side for the two Jewish and Palestinian nations is impossible. The author has primarily used the historical method to show the chronology of the conflict with its pivotal moments. He considers that a lasting peace is currently unattainable because it is not wanted by the fanatical groups on both sides of the conflict, which adopts the religious motivation of the parties and thus becomes increasingly cruel and unpredictable. In his conclusions, the author points out, among other things, the deepening mutual hatred between Jews and Palestinians, which has fuelled the spiral of violence and made a political end to the conflict impossible and will continue to be so. This is also confirmed by the attempts made so far to resolve it with the involvement of third parties. The war currently being fought in Gaza will fade, but the conflict will continue and strengthen the radical factions on both sides, namely militant Islam (Hamas and Hezbollah) and the Jewish nationalist and ultra-orthodox right. The involvement of other actors in this war, notably Iran, Hezbollah and the Yemeni Houthi (Ansar Allah) movement, poses the danger of its escalation and the transfer of terrorist acts to Europe.
How to efficiently share counterterrorism knowledge? Lessons learned, best practices and NATO DEEP eAcademy recommendations
Authors: Szlachter Damian , Gawliczek Piotr
Published: October 2024

Experience in recent years, including intense technological development and the COVID-19 pandemic, has led to an increased interest in web-based training. E-learning allows learners to absorb knowledge at a pace that is tailored to their abilities and teachers to be more flexible in their delivery. The same circumstances that have created new forms of learning and working in a technologically developed society have triggered the rise of hybrid threats and given terrorists modern tools. In response to this trend the North Atlantic Alliance established, among others, NATO DEEP eAcademy – an entity from the sphere of education and training, whose task is to develop optimal solutions for implementing the assumptions of NATO Defence Education Enhancement Programme, i.e. a programme supporting the transformation of the military education systems of NATO partner countries. The director of this institution, Prof. Piotr Gawliczek, talks about what NATO DEEP eAcademy offers these countries and the Polish contribution to this project.
A Descriptive Study to Assess the Anxiety Level among Caregivers of Cancer Patients Admitted to the Medical Oncology Department of SKIMS Soura
Authors: Zamir Sana , Amin Noorul , Guru Faisal Rashid , Wani Sadaf Shafi
Published: October 2024

Introduction: Family caregivers for cancer patients may experience severe strain, worry, and sadness as a result of their work, which may affect their mental and physical health. There is little data on the degree of stress, worry, and depression experienced by cancer caregivers, as well as their involvement in helping patients and other factors that may help or worsen the prognosis. With an emphasis on patient and caregiver-related characteristics, this study examined the prevalence of depression, anxiety, and caregiving stress among cancer family caregivers. Aim: To assess the anxiety level among the caregivers of cancer patients admitted to the medical oncology department at SKIMS Soura, using the anxiety rating scale. Methodology: A quantitative approach and descriptive research design were adopted to assess the anxiety levels among caregivers of cancer patients admitted to the medical oncology department of SKIMS Soura Srinagar Kashmir. The demographic variables were age, gender, educational background, per capita income, marital status, number of children, duration of caregiving, and relation with the patient. The permission for data collection was accorded by Medical Superintendent SKIMS Soura, who guided and forwarded the application to all concerned for needful. The sample size was 30 caregivers selected using the purposive convenience sampling technique. The tool used for the study was the Anxiety Self Rating scale, with 10 items, each with five responses ranging from never (0) to always (4). Results: The study revealed that 7 (23.3%) of the study subjects depicted moderate anxiety, equal number 7 (23.3%) of the study subjects also showed high anxiety, 6 (20%) of the study subjects depicted mild anxiety, and 0 (0.0%) of the study subject showed extreme anxiety. The calculated (Mean ± SD) score of the anxiety level of 30 subjects was (15.4 ± 8.6). The study revealed that there is no significant association between anxiety levels among study subjects with selected demographic variables viz age (p=0.21), educational background (p=0.10), per capita income (p=0.13), marital status (p=0.19), number of children (p=0.10) and duration of caregiving (0.39), relation with the patient (p=0.19) at 0.05 level of significance except for gender (p=0.02). Conclusion: The study concluded that caregivers always suffer from some form or level of anxiety that affects them as an individual and their families as a whole. The caregivers are prone to other mental health issues that can be explored, anxiety being the leading cause and symptom of the same.
PLAN DE FORMACIÓN 2011 DEL INSTITUTO ANDALUZ DE ADMINISTRACIÓN PÚBLICA
Authors:   INSTITUTO ANDALUZ DE ADMINISTRACIÓN PÚBLICA
Published: October 2024

Plan de Formación del año 2001 para el Instituto Andaluz de Administración Pública.
FS900284 Survey of the Microbiological Contamination of Cull Ewes and Prime Lamb at Slaughter in England and Wales
Authors:   Animal and Plant Health Agency
Published: October 2024

The aim of this FSA-funded survey was to determine microbial contamination on sheep carcases in abattoirs in England and Wales as the last survey of healthy sheep at slaughter in England and Wales was undertaken 20 years ago. This project was run in conjunction with surveys funded by Defra and the PATH-SAFE research programme aimed at determining prevalence of caecal carriage of pathogens and levels of antimicrobial resistance in sheep at slaughter.

Twelve out of 132 abattoirs in England and Wales were recruited, covering 28% of the annual national sheep slaughterhouse throughput. In total,1282 carcase swab samples were collected over a 12-month period from February 2023 to January 2024. All samples were tested for the isolation and quantification of Salmonella, 366 were tested for Campylobacter and 103 were tested for Enterobacteriaceae and E. coli.

Salmonella was only detected in 7 (0.55%) of carcase swabs. Five isolates were confirmed as S. enterica subsp. diarizonae serotype 61:k:1:5, a sheep-adapted type with no confirmed association with human disease. The other two isolates were confirmed as S. Typhimurium. Campylobacter contamination was detected on 76 (20.8%) of carcases tested. Prevalence of E. coli (88.4%) and Enterobacteriaceae (75%) was as expected in freshly slaughtered meat, with 81.6% and 84.5% of these samples, respectively, presenting low levels of contamination

The contamination detected on sheep carcases was significantly lower than that found in caecal samples examined in the Defra study suggesting that slaughtering processes are effective in reducing carcases being contaminated with pathogens. Correct cooking and hygienic handling and preparation of sheep meat will reduce/eliminate surface microbiological contamination further and reduce the risk to consumers. These results provide valuable baseline data that will help inform risk assessments and risk modelling and will inform future decisions by Government and the meat industry.
The Importance of Determining The Legal Relationship In Civil Cases
Authors: Tiku Taru Padang Paulus
Published: October 2024

In the realm of land disputes, where ownership and covenants are often at the core of the conflict, identifying the correct legal relationship between the parties involved is crucial for the proper application of the law.  This research aims to examine the legal considerations behind the court's decision and its conformity with applicable legal principles. This research utilizes normative legal research methods, focusing on primary legal materials to explore the judicial process. The results showed that the judge's decision in Makale District Court case No. 41/Pdt.G/2012/PN.MKL was incorrect. The judge treated the dispute as an inherited land dispute, whereas the core of the dispute was a dispute over the redemption of mortgaged land. This dispute occurred between the Plaintiff who had entered into a land pawn agreement with A.P. Limbong Allo and the Defendant who redeemed the land, even though they did not have a legal relationship with A.P. Limbong Allo. According to Article 1338 of the Civil Code, legally binding agreements only apply to the parties involved. Thus, the court should declare the Plaintiff's claim inadmissible (Niet Onvankelijk Verclaard) for lack of proper parties, as A.P. Limbong Allo was not included as a party. Limbong Allo was not included as a Defendant. This research implies the need for accurate identification of legal relationships in the civil litigation process, which impacts on court decisions and procedural justice.
Determinants of Outcomes for Acute Myeloid Leukemia Patients Treated in a Community-Based Specialized Versus Non-Specialized Hospital Setting
Authors: Battiwalla Minoo , Chao Ju-Hsien , Cox Tonya , Cruz Jose Carlos , Donnellan William B. , Eghtedar Alireza , Kambhampati Suman , Malik Shahbaz , Maris Michael B. , Rotta Marcello , Slovick Frank T. , Ramakrishnan Aravind , Bhushan Vikas , Sears Lindsay , Martin Casey , Holder Jared , Junglen Angela , Majhail Navneet , LeMaistre Charles F.
Published: October 2024

The treatment setting influences acute myeloid leukemia (AML) outcomes. Most cancer patients receive care in the community, yet few studies have evaluated the effectiveness of clinical programs outside of academic or National Cancer Institute (NCI)-designated cancer centers. This was a multi-level, case-controlled study of real-world outcomes for initial AML treatment in a community-based network for 1,391 patients with AML between 2011 and 2018. We benchmarked survival within our network against the Surveillance, Epidemiology, and End Results (SEER) database. Coarsened exact matching was performed against 17,186 chemotherapy-treated patients in the SEER database. Cox proportional and accelerated failure time multivariable modeling were performed to identify patient, disease, therapy and center characteristics associated with the risk of AML mortality. Within the network, 799 patients were treated at six specialized blood cancer centers and 592 at 63 other hospitals. Patients receiving high-intensity induction at specialized centers had improved median survivals of 31 months versus 18 months [P<0.001] at non-specialized centers. Median survivals were 13 for non-specialized centers versus 10 months for SEER [P<0.001], and 18 for the entire network versus 10 months for SEER [P<0.001]. Multivariable modeling showed significant impacts from age (HR = 1.025), high-intensity induction therapy (HR= .695), diagnosis year (HR= .937), neighborhood income (HR = .997; P<0.01), higher acuity (HR = 1.002) and Charlson comorbidity score (HR = 1.117).

AML treatment may be effectively delivered in the community hospital setting, with specialized centers producing better outcomes for higher intensity treatments.
Composición corporal y nivel de actividad física en la población de Milagro (Body composition and level of physical activity in the population of Milagro)
Authors: Medina Guillermo , Zambrano Reyes María Isabel , Morán Bajaña Joaquín Teodoro
Published: October 2024

El objetivo fue caracterizar a la población de Milagro en cuanto a la composición corporal y el nivel de actividad física. Para ello se ha propuesto una investigación de campo con un enfoque cuantitativo, diseño descriptivo, no experimental. Se empleó el registro de talla y peso, y a través de estos se obtuvo el IMC, además del Cuestionario IPAQ corto de 7 preguntas referidas a actividad vigorosa, moderada y caminata a los últimos 7 días. La muestra fue de 384 personas residentes habitualmente en Milagro entre hombres y mujeres entre 18 y 65 años. Se aplica el coeficiente de correlación de Spearman para determinar la relación entre la composición corporal y los niveles de la actividad física identificándose relaciones muy bajas y bajas e incluso negativas. Se encuentra la presencia de condiciones de sobrepeso y tendencia a obesidad en los diferentes grupos etarios tanto en hombres como mujeres por lo que se destaca la importancia de la actividad física en niveles adecuados según las condiciones de las personas.
Palabras clave: Sobrepeso; obesidad; índice de masa corporal; sedentarismo, consumo energético.
Abstract. The objective was to characterize the population of Milagro in terms of body composition and level of physical activity. To do this, a field study with a quantitative approach, descriptive, non-experimental design has been proposed. The height and weight record was used, and through these the BMI was obtained, in addition to the short IPAQ questionnaire with 7 questions referring to vigorous, moderate activity and walking in the last 7 days. The sample was 384 people who usually live in Milagro, including men and women between 18 and 65 years old. The Spearman correlation coefficient was applied to determine the relationship between body composition and levels of physical activity, identifying very low and low and even negative relationships. The presence of overweight conditions and a tendency to obesity is found in the different age groups in both men and women, which is why the importance of physical activity at adequate levels according to the conditions of the people is highlighted.
Keywords: Overweight; obesity; body mass index; sedentary lifestyle, energy consumption.
Relación entre la proporción 2D:4D, variables de rendimiento físico y composición corporal en atletas de lucha libre élite (Relationship between the 2D:4D ratio, physical performance variables, and body composition in elite wrestling athletes)
Authors: Monterrosa Quintero Armando , Montenegro Arjona Oscar Alfredo , Méndez Rodríguez Juan Pablo
Published: October 2024

Antecedentes: La proporción 2D:4D en varios deportes ha revelado relaciones significativas entre este indicador digital y el rendimiento deportivo, pero pocos estudios se han centrado en luchadores de élite. Por lo tanto, el presente estudio tiene dos objetivos principales: primero, presentar datos descriptivos comparándolos entre géneros, y segundo, identificar correlaciones significativas con la proporción 2D:4D. Métodos: Un total de 22 luchadores participaron en el estudio, y se compararon sus variables antropométricas, proporción bilateral 2D:4D, potencia muscular (CMJ), fuerza de tracción isométrica y fuerza de agarre manual. Resultados: Los hallazgos muestran correlaciones significativas entre la proporción 2D:4D derecha y la masa residual (r = .46; p < .05); Z-Score del tórax transversal (r = .61; p < .01); inversamente con el ectomorfo (r = -.46; p < .05) y la fuerza de agarre manual (r = .43; p = .042); y la proporción 2D:4D izquierda con el Z-Score de las circunferencias del pecho (r = .45; p < .05) y el Z-Score de peso (r = .43; p = .042). Conclusiones: Se concluye que la proporción 2D:4D podría ser un indicador predictivo de componentes de la composición corporal, así como una medida del rendimiento de la fuerza de agarre manual y la capacidad respiratoria en atletas de lucha olímpica.
Palabras clave: proporciones digitales, antropometría, peso y medidas corporales, examen físico, tamaño corporal
Abstract. Background: The 2D:4D ratio in various sports has revealed significant relationships between this digit indicator and sports performance, but few studies have focused on elite wrestlers. Thus, the present study has two main objectives: firstly, to present descriptive data comparing it between genders, and secondly, to identify significant correlations with the 2D:4D ratio. Methods: A total of 22 wrestlers participated in the study, and their anthropometric variables, bilateral 2D:4D ratio, muscle power (CMJ), isometric traction strength, and handgrip strength were compared. Results: The findings show significant correlations between the right 2D:4D ratio and residual mass (r = .46; p < .05); Z-Score transverse thorax (r = .61; p < .01); inversely with ectomorphy (r = -.46; p < .05) and handgrip strength (r = .43; p = .042); and the left 2D:4D with Z-Score chest girths (r = .45; p < .05) and Z-Score weight (r = .43; p = .042). Conclusions: It is concluded that the 2D:4D ratio could be a predictive indicator of body composition components as well as a measure of handgrip strength performance and respiratory capacity in Olympic wrestling athletes.
Keywords: digit ratios, anthropometry, body weights and measures, physical examination, body size
Design and validity of an instrument - run cross hopping throw and catch (rcht&c) test for assessing motor competence in athletics
Authors: Lopes Nataniel , Monteiro Diogo Manuel Teixeira , Matos Rui Manuel Neto , Godoy Sergio José Ibáñez
Published: October 2024

The aim of this study was to design and validate a tool for assessing motor competence (MC) and detecting talent in children aged between 6 and 10 years in athletics. Ten experts were carefully selected to collaborate in the validation. Cronbach's alpha and intraclass correlation coefficient (ICC) were used, respectively, to check for construct's validity and to reliability. Lin's Concordance Correlation Coefficient (CCC) was calculated as a complementary test. Additionally, the Aiken's V value was used to validate the tool. ICC (0.855) and Cronbach's alpha (0.922) showed acceptable reliability and consistency, respectively, and Lin's CCC (0.786) indicated excellent reproducibility, thus proving stability and consistency over a two-week period. Aiken's V value was 0.92, confirming the validity of the test. By parameter, univocity had Aiken's V of 0.92, relevance of 0.91, and importance of 0.91. Therefore, we conclude that this tool can be a valid test for assessing MC in athletics.
Keywords: Validation, Instrument, Motor Competence, Talent, Children and Athletics
Designing an innovative learning model for fundamental throwing and catching skills using the teaching games for understanding (tgfu) approach in elementary education
Authors: Ritonga Irwan , Gusril Gusril , Kiram Yanuar , Lanos Muhsana El Cintami , Festiawan Rifqi
Published: October 2024

This research focuses on enhancing elementary school students' fundamental throwing and catching skills through an engaging and effective learning model grounded in the Teaching Games for Understanding (TGFU) approach. Traditional physical education methods often fail to engage students, particularly those with underdeveloped motor skills, resulting in lower participation in physical activities. This study aimed to design and validate a TGFU-based learning model specifically for fifth graders, following Borg and Gall's development process, which includes iterative testing and refinement stages. Instruments used to measure throwing and catching skills included performance assessments and observational checklists. The study involved three stages: initial testing with 20 students, main product testing with 100 students, and effectiveness testing with 36 students. Content validation reached 91%, and media expert validation was 85%, with practicality and student engagement questionnaires scoring 92.5% and 95%, respectively, in small-scale trials, and media interest reaching 96% in large-scale trials. Data normality and homogeneity were confirmed through normality (p > 0.05) and homogeneity tests (p > 0.05), indicating that the data were normally distributed and homogeneous. The paired t-test results (sig. 0.000) demonstrated a significant improvement in students' throwing and catching skills, confirming the effectiveness of the developed learning model. These findings validate the TGFU-based approach as a superior method for engaging students and enhancing their motor skills in physical education.
Keywords: Physical Activity, The Teaching Games for Understanding, Learning Model, Basic Movements, Throwing, Catching.
Risk Analysis of Mortgage Loan Default for Bank Customers and AI Machine Learning
Authors: Hung Ming-Tsung , Lo Huai-Chun
Published: October 2024

Abstract

Risk Analysis of Mortgage Loan Default for Banks is a crucial issue. On one hand, it concerns the quality of the bank's credit decisions, and on the other hand, it affects the rights of homebuyers to obtain financial support. In 2008, the U.S. subprime mortgage crisis sparked a global financial meltdown. What began with the collapse of the housing market quickly spread throughout the global financial system, resulting in the failure of numerous banks and a widespread economic recession. Recently, the banking sector has increasingly leveraged Artificial Intelligence (AI) and Machine Learning (ML) to enhance decision-making processes, particularly in assessing the risk of mortgage loan defaults. This paper aims to explore the application of ML techniques to predict and analyze the risk of default among bank customers, thereby enabling financial institutions to make more accurate and informed lending decisions.

Keywords: Mortgage Loan Default Risk Analysis AI ML K-MANS LTV.
PERAMALAN KUNJUNGAN RAWAT JALAN TAHUN 2023-2024 MENGGUNAKAN EXPONENTIAL SMOOTHING DI RS MEDIKA PERMATA HIJAU
Authors: Mauren Ferlina , Nurmalasari Mieke , Hosizah Hosizah , Qomarania Witri Zuama
Published: October 2024

ABSTRAK
 
Kebutuhan akan sumber daya manusia di fasilitas pelayanan kesehatan harus sejalan dengan peningkatan kunjungan pasien yang sering kali sulit diprediksi. Berdasarkan data historis kunjungan pasien di RS Medika Permata Hijau dari tahun 2017 hingga 2022, tercatat peningkatan kunjungan pasien rawat jalan sebesar 8%, meskipun sempat mengalami penurunan drastis sebesar 85% selama pandemi COVID-19. Untuk menghadapi tantangan ini, peramalan kunjungan pasien menjadi sangat penting. Penelitian ini bertujuan untuk memprediksi jumlah kunjungan pasien rawat jalan di poliklinik RS Medika Permata Hijau. Data yang digunakan merupakan data sekunder dari kunjungan pasien rawat jalan di 15 poliklinik selama periode Januari 2017 hingga Desember 2022. Metode yang digunakan dalam peramalan ini adalah exponential smoothing. Hasil prediksi menunjukkan bahwa pada tahun 2023, kunjungan di poliklinik penyakit dalam diperkirakan mencapai 4.135 kunjungan dengan tingkat akurasi 55%, dan di poliklinik saraf mencapai 3.925 kunjungan dengan tingkat akurasi 40%. Temuan ini diharapkan dapat membantu rumah sakit dalam mempersiapkan kebutuhan sumber daya manusia yang kompeten dan mendukung penyediaan sarana serta prasarana yang memadai.
DESAIN SARANA KERJA BERDASARKAN ANTROPOMETRI PETUGAS REKAM MEDIS DI RSUD PANDAN ARANG BOYOLALI
Authors: Nugraheni Sri Wahyuningsih , Qurrota’ayun Inna Rahmattika , Wardaya A.Eka
Published: October 2024

Sarana kerja yang sesuai dengan antropometri petugas berperan dalam peningkatan produktivitas petugas. Sarana kerja petugas rekam medis terdiri dari meja, kursi dan loket pendaftaran pasien.  RSUD Pandan Arang Boyolali pada tempat pendaftaran terdapat meja dan kursi kerja yang tidak sesuai dengan antropometri petugas sehingga menyebabkan ketidaknyaman dalam bekerja. Tujuan penelitian ini untuk mengetahui desain sarana kerja dan loket pendaftaran pasien berdasarkan antropometri petugas di RSUD Pandan Arang Boyolali. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif dengan rancangan cross sectional. Subjek 5 petugas pendaftaran. Instrumen penelitian pedoman observasi, tabel antropometri, kalkulator, pedoman wawancara, meteran. Analisis data yang digunakan analisis deskriptif. Ukuran antropometri petugas loket pendaftaran pasien lebar bahu persentil 5 yaitu 34 cm, lebar pinggul persentil 95 yaitu 43cm, jangkauan tangan kedepan persentil 5 yaitu 62 cm, panjang depa persentil 5 yaitu 139 cm, tinggi siku persentil 5 yaitu 19 cm, tinggi lutut persentil 95 yaitu 64 cm, panjang tungkai atas persentil 5 yaitu 32 cm, panjang tungkai bawah persentil 5 yaitu 32 cm, tinggi bahu persentil 5 yaitu 47 cm. Desain ulang meja pada penyesuaian tinggi dan lebar, kursi pada tinggi, panjang, lebar alas duduk, tinggi dan lebar sandaran. Loket pendaftaran desain ulang pada loket pendaftran rawat inap dengan luas 9,37 m2. Saran meja pendaftaran menyesuaikan antropometri petugas, kursi petugas yang dapat disetel tinggi rendahya, loket pendaftaran rawat inap mempertimbangkan penataan kembali area kerja.
Trajetória e Desafios: A Evolução do Mercosul na Integração Regional da América Latina
Authors: FRANCO FERREIRA MARAISA
Published: October 2024

Este artigo aborda a evolução do Mercosul desde a ALALC e a ALADI até os marcos contemporâneos, com foco no Tratado de Assunção como ponto inicial para a integração regional na América Latina. Utilizando abordagem histórico-analítica, o estudo se baseia em fontes primárias, como tratados e protocolos do Mercosul, e em análises acadêmicas. A análise aborda marcos históricos, impactos de políticas e protocolos, enfatizando o Protocolo de Ouro Preto (1994) como divisor de águas que conferiu status internacional ao Mercosul. Examina a criação do Conselho do Mercado Comum e da Tarifa Externa Comum, destacando a harmonização econômica e coesão externa. Aborda o Protocolo de Ushuaia (1998) como resposta à crise democrática no Paraguai, destacando a cláusula democrática e discutindo sua aplicação prática, notadamente no Paraguai em 2012, com ênfase nos desafios. Explora o Protocolo de Olivos (2002) como avanço na solução de controvérsias, introduzindo o Tribunal Permanente de Revisão. Avalia a eficácia do tribunal na consolidação da segurança jurídica e resolução de disputas comerciais, considerando mudanças no sistema. Investiga crises econômicas dos anos 90, analisando estratégias coordenadas, reformas institucionais e cooperação entre membros. Destaca como essas estratégias superaram desafios imediatos e moldaram o desenvolvimento futuro do bloco. Conclui destacando a trajetória complexa, mas crucial, do Mercosul na busca pela integração regional, com perseverança, diálogo e adaptação contínua fundamentais para enfrentar desafios contemporâneos.