bluuebunny/crossref_metadata_2025 huggingface dataset:
Fertility preservation by conservative approach in a primiparous woman with placental adherence
Authors: Dsouza Lovline M. , Murali Akshaya , Thomas Annamma
Published: September 2023

Placenta accreta spectrum (PAS) describes a group of disorders in which all, or part of the placenta remains adherent to the uterine wall. Early identification of risk factors, accurate diagnosis and treatment in accordance with the resources available are essential and can help in reducing maternal morbidity and mortality. In the absence of risk factors, placental adherence is a rare entity, and conservative management becomes essential, especially in primiparous women to preserve future fertility. A primigravida in her late twenties presented in labour at 35 weeks of pregnancy to deliver a live baby of 2200 gm. The placenta did not separate with uterotonics and multiple attempts at manual removal of placenta under general anaesthesia. Medical management to conserve the uterus was decided, and two doses of methotrexate (50 mg) were given intramuscularly a week apart. Placental products were expelled after 2 months and the patient resumed her normal menses. She conceived spontaneously 8 months later. PAS is a possibility, though rare, in low-risk primigravidae and preparedness to confront such situations is of utmost importance. Intramuscular single dose or multiple dose methotrexate can be considered as a viable option in stable patients who wish to retain their fertility.
Satisfactory level of Hiperskin TR® transparent film dressings in post-operative patient: a primary hospital Indonesia experience at Tebet District general hospital
Authors: Rosadi Bramastha , Lawanto Terry , Paula Astrid , Jupri
Published: September 2023

Background: Post operative wound always be a burden, especially in tropical countries. The needs of extra care, avoidance from water/liquid, and routine changing of the dressings were the main concerned of the patients. The invention of waterproof dressings could decrease the hustle of wound care and increasing the comfort of the patients. This study aims to present satisfactory experience using transparent film dressing for post operative cases in primary care hospital Indonesia
Methods: A descriptive study, total population of clean post operative wound from September to November 2022. Hiperskin TR®, a transparent film dressing was applied after cleaning the remaining debris. A questionnaire based on Bluebell wound healing questionnaire® was given at day 1 and day 7, to measure the satisfactory level of patients, and wound healing process experience.
Results: 54 participants qualified for this study, but 6 were drop out. All of them were grouped by gender, age, and satisfactory level. Mostly were female (58%), with age ranging from 15-68 years old. The overall satisfaction of wound healing was good (66%), they felt secured (83.33%) and more comfortable using transparent dressing (83.33%). 12 patients (25%) needed to be changed before day 7 by health workers due to detachment of the dressing related to excessive/vigorous activities. 8 patients felt discomfort, 6 (12.5%) complained reddish and 2 patients (4.16%) have significant exudate within 1 week of follow up.
Conclusions: The use of transparent film dressing for clean post operative wound at tropical country could be recommended, as it may decrease the patient’s disability in doing their daily activity and increasing patient’s satisfactory level.
Comparison of serum 25-hydroxy vitamin D amongst black African prostate cancer patients with non-aggressive versus aggressive disease using the Gleason score
Authors: Akhaine Julius O. , Ramyil Venyir M. , Dakum Nuhu K. , Isichei Christian O. , Shuaibu Samaila I. , Ofoha Chimaobi G.
Published: September 2023

Background: Black men of African descent have higher risk for developing prostate cancer and present at a younger age with advanced disease and a poorer prognosis. Limited number of studies directly linking serum vitamin D with either prostate cancer prognosis or measures of prostate cancer aggressiveness have been done. The objective of this study is to compare serum 25 hydroxy vitamin D levels in patients with non-aggressive and aggressive prostate cancer using the Gleason score in black Africans in Jos.
Methods: A cross sectional study conducted among fifty patients who presented to the urological surgical out-patient clinic of the Jos University Teaching Hospital who had clinical diagnosis of prostate cancer and were scheduled for prostate biopsy. Blood samples for serum 25-hydroxy vitamin D assay was analysed using the enzyme linked immunosorbent assay (ELISA) technique, patients with histologically confirmed prostate cancer were analysed. Data was collected in a proforma, statistical analysis done using statistical package for the social sciences (SPSS)(R) version 23 and t-test was used for comparison with a p value <0.05 considered significant.
Results: Fifty patients were studied whose age ranged from 50-89 years. The mean level of serum 25-hydroxy vitamin D was 37.90 ng/ml±17.92. The mean serum 25-hydroxy vitamin D of patients with non-aggressive disease (GS≤6) and aggressive disease (GS≥7) was 48.44±17.09 and 34.57±17.08 respectively with a p value of 0.018.
Conclusions: This study showed that black African prostate cancer patients with high grade tumors (Gleason score ≥7) had significantly lower 25-hydroxy vitamin D levels compared to those with low grade tumors (Gleason score <7).
Nigam’s standardization of manual anal dilatation (Lord’s procedure)
Authors: Nigam Vinod K. , Nigam Siddharth
Published: September 2023

Background: Standardisation of manual anal dilatation. It was a quality improvement study. Patients were admitted in various hospitals of Gurgaon, Haryana, India.
Methods: Two hundred thirty-six patients of fissure in ano were treated by manual anal dilatation (Lord’s procedure) as per Nigam’s standardization between January 2010 and January 2022. Informed consent was obtained from each patient. All patients were evaluated for post procedure for complications. Two hundred thirty-six patients of fissure in ano were treated by manual anal dilatation (Lord’s procedure).
Results: No patient developed faecal incontinence. Pain subsided immediately in all patients. No patient had non healing of anal fissure. Two patients had mild gas incontinence which resolved after 3-4 days. None of the patients required lateral sphincterotomy or fissurectomy. Most of the patients healed completely within three weeks.
Conclusions: If manual anal dilatation is performed slowly, gently with controlled force for four minutes, as per Nigam’s standardisation then results are very good. This study includes patients of acute and chronic fissure in ano. The study excludes cases of anal cancer, stage III and IV haemorrhoids and inflammatory bowel disease.
An intramuscular lipoma in the medial head of triceps brachii muscle simulating nerve sheath tumour of ulnar nerve: a rare case report
Authors: Bhat Tanveer A. , Alokaili Hisham , Alkadi Renad O. , Altamimi Abdulla S. , Mirza Mohammed Y.
Published: September 2023

Lipomas are the most frequent benign mesenchymal neoplasms of mature fat cells found commonly on the back and upper extremities usually occupying the subcutaneous plane. Intramuscular lipomas are rare and may mimic malignant lesions. Magnetic resonance imaging can not only identify and localise these tumours but also differentiate them from malignant liposarcomatous lesions. Here we present a case of intramuscular lipoma of the medial head of Triceps brachii in a 70 year old male clinically mimicking as nerve sheath tumour of the ulnar nerve.
Insulinoma in the primary care: a case report
Authors: Teixeira Delfim , Félix Tavares Rita , Rodrigues Alexandra , Moreira Patrícia
Published: September 2023

Insulinoma is an uncommon neuroendocrine tumor that can cause unspecific signs and symptoms. In this case report is presented a 79-year-old man with a history of diabetes and alcohol abuse. He presented several episodes of hypoglycemia with associated symptoms. Considering the alcoholic habits and the fact that he did not take hypoglycemic medication, it was considered that the alcohol abuse was the most probable cause. However, hypoglycemia didn’t stop after he stopped drinking and the hypothesis of an insulinoma has occurred. He was referred to hospital consultation, but due to the COVID-19 pandemic, he lost follow-up for almost 2 years. He had new episodes of hypoglycemia and was hospitalized. A nodule in the uncinate process of the pancreas was detected on CT scan and he was subjected to an elective cephalic duodenopancreatectomy. Hypoglycemia can be a manifestation of several diseases. Insulinoma can mimic several pathologies, making it a challenging diagnosis. This case intends to report the importance of the family doctor in the diagnosis of pathologies with nonspecific signs and symptoms, as well as the orientation for secondary health care.
Fibroadenoma of axillary supernumerary breast evaluation and treatment
Authors: Saini Vikram , Kataria Kamal , Yadav Rajni , Rathore Yashwant Singh
Published: September 2023

Supernumerary breast is a congenital anomaly of the breast and found in 2% to 6% of the general population. The most frequent site of a supernumerary breast is the axilla (60-70%). We are discussing a case with fibroadenoma in axillary supernumerary breast in a 40 year multiparous lady with history of fibroadenoma in opposite breast. There was diagnostic dilemma due to unusual presentation of common benign breast finding in supernumerary breast. Diagnosis of fibroadenoma confirmed with excision and tissue histopathology. Supernumerary breast tissue may undergo all pathologic changes that occur in normally positioned breasts. Fibroadenoma has been rarely described in supernumerary breast tissues. Any lump in axilla must be evaluated with suspicion as carcinoma arising in the ectopic breast tissue has poorer prognosis due to difficult evaluation, early lymph node involvement and more difficult surgical excision. Fibroadenoma of axillary supernumerary breast is rare condition but its evolution and excision in case for confirm diagnosis is necessary to rule out any malignancy.
Completion of a simple technique for the repair of a complex case of exomphalos major
Authors: K. Bedi Nandini , G. Grewal Alka
Published: September 2023

In 2014 we published a procedure, the Kaul-Bedi technique, by which we used the epithelized covering of a giant exomphalos major, or hepato-omphalocele, to reduce the herniated organs and replace them into the abdominal cavity in stages. We published our technique when we were able to cover the defect with a dual PROVISC prolene mesh. We anticipated a long period of time before we would be able to bring about a primary closure of the abdominal wall defect. Contrary to our expectations, we were able to achieve a primary, complete, muscular closure of the defect within the next three years with removal of the mesh. We are presenting the stages of repair, discussing the complications encountered and the result achieved. We also discuss the advantages and the drawbacks of this procedure.
Complex duplication anomalies of the gall bladder
Authors: Kapoor Atul , Kapur Aprajita , Mahajan Goldaa , Gupta Dinesh
Published: September 2023

We discuss two patients of complex duplication of gall bladders with variants which have not been described earlier so far. The duplication of gall bladder is an uncommon type of anomaly with incidence of 1 in 4000 patients. Two classification systems by Harlafti and Gross are used to describe the type of anomalies. In this paper we describe two types of duplications of gall bladder one having left double sided gall bladder and the second with asymmetric small size gall bladder with absent cystic duct both of which pose not only diagnostic but surgical implications. The knowledge of both these types is important to both the diagnostician as well as the surgeon in order to prevent complications and obtain accurate results.
Parental experiences of procedural pain in children during hospitalization at a tertiary hospital, Kaski district
Authors: Sah Indu , Paudel Pramila , Soti Harikala , Gautam Nitu S.
Published: September 2023

Background: Pain experiences are very common during childhood as they are frequently exposed to minor medical interventions such as venipuncture, immunization and common accidental injuries in their everyday life. The objectives of the study were to explore the lived-in experiences of parents of procedural pain in children during hospitalization and describe the various dimensions of the lived-in experiences of parents towards painful procedures in children during hospitalization.
Methods: This was a qualitative descriptive phenomenological study conducted among 15 dyads receiving treatment in the pediatric unit of Gandaki Medical College and Teaching Hospital, Nepal recruited through purposive sampling technique from 15th June to 14th July 2023. Data was collected using a semi-structured interview guide through one-to-one in-depth interviews. Colaizzi's approach was adopted to analyze the data. Themes and sub-themes were generated and the findings were presented.
Results: Parental lived-in experiences included experiences related to their child's pain, means of distraction, the role of the healthcare provider, and effective pain management skills by self. Emotional experiences of the parents and child during the invasive procedure were frequently recorded which reflected their anxiety, fear, and nervousness to the extreme level. Parents also expressed a lack of knowledge regarding the management of pain during the procedure which could have been facilitated by the healthcare professionals.
Conclusions: Parents had to deal with anxiety and nervousness arising during invasive procedures carried out as a part of their child's treatment. There is a need for an adequate explanation of the procedure by healthcare professionals to minimize the physical and psychological discomfort experienced by the dyads.
Rate of early initiation of breast-feeding among mothers delivered in a tertiary care maternity centre: a descriptive cross-sectional study
Authors: Sunil Priyanka , S. Geethakumari , Gopalan Swapna K. , P. Namitha
Published: September 2023

Background: Breastfeeding is the first step to the path of a healthy future for a child. The aim of the study was to estimate the rate of early initiation of breastfeeding in a tertiary care maternal and children’s hospital.
Methods: This was a descriptive cross-sectional study conducted among 370 postnatal mothers delivered in a tertiary care maternity centre. Consecutively selected willing mothers having a live baby were included. Early initiation of breastfeeding, socio-demographic, clinical, neonatal and other variables were collected using a validated, structured questionnaire, checklist and record review.
Results: The rate of early initiation among the mothers were 80.8 (95%CI 76.4 to 84.6) and the delay was found among 71 participants. The main reasons for delay were baby shifted to ICU, maternal complications during intra-natal and immediate postnatal period ad baby not given to mother following delivery. Mean time of initiation of breastfeeding was 49 minutes (IQR 46.3 to 55 minutes).
Conclusions: The rate of early initiation of breastfeeding in the setting is very good, but it can still be improved. Nurses are the major group of health workers giving antenatal counselling, but the part of antenatal breast examination need to be improved. They can be empowered as trained lactation managers.
A study of plasma proteins (serum total protein, serum albumin), and thyroid function in children with protein-energy malnutrition
Authors: Chatterjee Rachita , Sethi Anuj S. , Verma Manisha , Verma Rajeev , Sethi R. S. , Singh Mayank
Published: September 2023

Background: The study's objective was to evaluate and compare total serum protein, serum albumin, and thyroid hormones in children with PEM (protein-energy malnutrition) and healthy controls.
Methods: In this cross-sectional study, 100 children with PEM served as cases, while an equal number of age and gender-matched healthy children served as controls. 4 ml of venous blood were taken (3 ml in a plain vial and 1 ml in an EDTA vial) and immediately submitted for further investigation. SPSS software (version 25) was used to analyze the data. A p value of ≤0.05 was considered statistically significant.
Results: PEM children have lower serum total protein, albumin level, total T3 (TT3), and total T4 (TT4) levels compared to healthy controls (p<0.0001). Mean TSH levels in cases and controls were nearly similar. There was no significant difference between serum TSH concentrations in PEM children and the controls. Grade I PEM had the highest mean total protein, serum albumin, T3, and T4 levels, followed by grades II, III, and IV. When mean total protein, serum albumin, T3, and T4 levels of each grade of PEM were compared to controls, mean total protein, serum albumin, T3, and T4 levels were substantially lower in each grade of PEM (p<0.0001).
Conclusions: PEM children have low serum total protein and albumin levels. This is probably due to decreased oral intake of proteins and reduced biosynthesis. Serum TT3 and TT4 levels are lower in children with PEM than in healthy controls, which is most likely due to reduction in circulating plasma proteins.
Progressive multifocal leukoencephalopathy in an adolescent child infected with human immunodeficiency virus: a case report
Authors: Philiip Angel Cham , Kariyappa Mallesh , Jose Shilpa , Ajith Paravathy , Biju Mariya
Published: September 2023

Progressive multifocal leukoencephalopathy (PML) is an AIDS-defining neurologic disease caused by the JC polyoma virus. It typically occurs in immunocompromised individuals and without treatment, patients have a relentless downhill course. Early detection may improve the prognosis. A 12-year-old male child, a known HIV positive case with abdominal tuberculosis on ATT for 15 days, was brought to us in status epilepticus. After controlling seizures with phenytoin, the child was intubated and mechanically ventilated. Antiretroviral therapy (ART) was withheld temporarily and Anti-tuberculous therapy (ATT) was modified. Plain computerised tomography of the brain showed atrophy of brain parenchyma. Five days after the patient was shifted out of ICU, he again developed multiple episodes of convulsions. All reversible causes were investigated for and ruled out. MRI brain revealed features suggestive of PML with diffuse cerebral and cerebellar atrophy which was disproportionate to age. At present, the incidence of PML in children affected with HIV is still rare. There is still limited information regarding this spectrum of patients, especially their further management following diagnosis. Precise treatment protocols would help guide clinicians in regard to diagnosis and management of these complex cases.
A prospective observational study to assess peripheral neuropathy in patients receiving weekly paclitaxel chemotherapy
Authors: Pansari Nishtha , Diwan Arundhati , Rajbhoj Ashwin
Published: September 2023

Background: Peripheral neuropathies are disorders of peripheral nerve cells and fibres. Chemotherapy-induced peripheral neuropathy (CIPN) is a common side effect of anticancer treatment, and it can affect the patient's long-term survival. The prevalence of CIPN is around 38%. Peripheral neurotoxicity (PN) is a side effect of paclitaxel that can lead to treatment discontinuation. The intensity and severity of neuropathy is more with patients receiving weekly paclitaxel chemotherapy.  
Methods: 60 patients of CA breast receiving weekly paclitaxel monotherapy who fulfilled inclusion and exclusion criteria were enrolled in the study. Clinical examination and grading of neuropathy was done according to NCI-CTCAE version 4.0. All patient had undergone nerve-conduction studies at baseline and 3 months after baseline.  
Results: 50% of patients, developed signs symptoms of peripheral neuropathy, out of which tingling sensation was the most common symptom (40%). The incidence of grade 1 peripheral neuropathy at 3 and 6 months were 35%, and 31.66%, while grade 2 neuropathy was noted in 18.33%, and 14.75% of patients, respectively. There was a significant difference in the SNAP value between baseline and 3 months for right ulnar nerve, right and left sural nerve and CMAP for right median nerve, right ulnar nerve, right and left tibial nerves which suggests development of neuropathy during 3 months of paclitaxel chemotherapy.
Conclusions: This study provides information on the incidence and severity of peripheral neuropathy in patients receiving weekly paclitaxel chemotherapy, which can help physician in further management.
Chain ratio and product estimators for population mode using two-phase sampling scheme
Authors: Kumar Sanjay , Yadav Akhilesh
Published: September 2023

Background: For skewed datasets, the mode is utilized as a more appropriate measure of location. We formed chain ratio and product estimators for the population mode using two types of auxiliary information under the two-phase sampling scheme.
Methods: Expressions for biases and mean square errors for the formed estimators up to the first order of approximation are obtained. The confidence intervals of the estimators are obtained and the aspects related to fixed cost and fixed variance are also studied. A simulation study is performed to support the theoretical outcomes. A real dataset is also provided which was collected from the department of agriculture, United States.
Results: The simulation results for the fixed first-phase sample size  and the second-phase sample size  show that the mean square error is 0.035, the bias is 0.012, the confidence interval is 2.67-3.15, and the cost of the survey under the fixed variance is ₹ 194.67 of the proposed estimator , which is lower than 0.039, 0.055, 2.70-3.20, and ₹ 247.37 of the ratio estimator  and 0.078, 0.041, 2.57-3.31, and ₹ 268.73 of the naive estimator .
Conclusions: The simulation results show that the proposed estimator  performs better than the ratio estimator  and the naive estimator .
LC16m8: long term immunity is the way to eradicate monkey pox
Authors: Shahid Ahmad , Khan Maheera , Mubeen Manahil , Abid Affan
Published: September 2023

Another addition to the trend of infectious epidemic diseases instituted by Corona Virus is the monkey pox virus, a concept endemic to the nations of Africa but now globalized in the 2022-2023 epidemic.
Lateral and crestal sinus lift complications: a retrospective comparative study
Authors: Stoichkov Biser B.
Published: September 2023

Background: To explore the relationship between the operative methods for sinus lifting and related intra-and postoperative complications.
Methods: 47 cases of sinus lift were traced, with 118 implants placed. 83 of them after lateral sinus lifting and 35 with a crestal approach. Presence of bone septum, thickness of the sinus membrane, bone density, and the height of residual bone were tracked out preoperatively, as prerequisites of complications during and after implant placement in the distal parts of the maxilla.
Results: In eight cases (17.02%), sinus membrane perforations occurred. The most common location of the tearing was close to the lower medial edge of the bone window. After fixing perforation, a total of 37 implants were placed under these conditions. In three of them (5.41%), poor osseointegration was found after six mounts. Statistically significant impact of the thickness of the sinus membrane in cases of membrane tearing was found.
Conclusions: Increasing the height of the available bone in the distal areas of the maxilla by elevating the maxillary sinus floor is a safe and predictable procedure. Both the crestal and lateral approaches have a high success rate. All possible complications during the operation need to be analyzed in advance, and when they occur, it is mandatory to fix them adequately. Therefore, a careful consideration of the local and systemic conditions affecting implant survival is essential for successful implant treatment.
Bajo presión: efectos, impactos y adaptación al cambio climático en operadores de agua de América Latina y el Caribe
Authors: Solis Ben , Serebrisky Tomás
Published: September 2023

El cambio climático es uno de los mayores desafíos a los que nos enfrentamos como sociedad en la actualidad. Desde inicios del siglo XX, la temperatura mundial viene en constante ascenso y la mayor intensidad y frecuencia de eventos climáticos extremos representan hoy una amenaza creciente para las ciudades. El cambio climático afecta a los servicios de infraestructura y, dentro de estos, muy especialmente a los servicios de agua potable y saneamiento, debido a la estrecha relación que tiene el cambio climático con el ciclo del agua. Las actividades cotidianas de los operadores de agua se ven seriamente afectadas por los incrementos en la temperatura del aire y de las fuentes de agua, las sequías, las lluvias intensas, el derretimiento de glaciares y la elevación del nivel del mar, entre otros. Esta monografía realiza un recuento de los distintos impactos que el cambio climático tiene en la provisión de los servicios de agua y saneamiento, así como de las opciones de adaptación que están a disposición de los operadores de agua. Con información de la base de datos de DesInventar, el documento analiza qué eventos tienen una mayor prevalencia en las sub-regiones de América Latina y el Caribe y cuáles afectan particularmente más a los sistemas de agua y saneamiento. Finalmente, presenta los resultados de una encuesta realizada a 61 operadores de agua en 11 países de la región, cuyo objetivo es conocer los impactos del cambio climático que más los afectan y las medidas que están adoptando para enfrentar el cambio climático y garantizar la resiliencia en la provisión de los servicios que prestan.
Development of a Malicious Network Traffic Intrusion Detection System Using Deep Learning
Authors: Isife Olisaemeka F. , Okokpujie Kennedy , Okokpujie Imhade P. , Subair Roselyn E. , Vincent Akingunsoye Adenugba , Awomoyi Morayo E.
Published: September 2023

With the exponential surge in the number of internet-connected devices, the attack surface for potential cyber threats has correspondingly expanded. Such a landscape necessitates the evolution of intrusion detection systems to counter the increasingly sophisticated mechanisms employed by cyber attackers. Traditional machine learning methods, coupled with existing deep learning implementations, are observed to exhibit limited proficiency due to their reliance on outdated datasets. Their performance is further compromised by elevated false positive rates, decreased detection rates, and an inability to efficiently detect novel attacks. In an attempt to address these challenges, this study proposes a deep learning-based system specifically designed for the detection of malicious network traffic. Three distinct deep learning models were employed: Deep Neural Networks (DNN), Long Short-Term Memory (LSTM), and Gated Recurrent Units (GRU). These models were trained using two contemporary benchmark intrusion detection datasets: the CICIDS 2017 and the Coburg Intrusion Detection Data Sets (CIDDS). A robust preprocessing procedure was conducted to merge these datasets based on common and essential features, creating a comprehensive dataset for model training. Two separate experimental setups were utilized to configure these models. Among the three models, the LSTM displayed superior performance in both experimental configurations. It achieved an accuracy of 98.09%, a precision of 98.14%, an F1-Score of 98.09%, a True Positive Rate (TPR) of 98.05%, a True Negative Rate (TNR) of 99.69%, a False Positive Rate (FPR) of 0.31%, and a False Negative Rate (FNR) of 1.95%.
A Multi-Round Zero Knowledge Proof Algorithm for Secure IoT and Blockchain Environments
Authors: Rani Deebakkarthi Chinnasame , Janakiraman Sai Ganesh , Chandra Kommula Serath , Thangavel Elambharathi Padmavathi , Kothamasu Ganga Abhirup , Bhaskaran Krithika Latha , Jayabalasamy Guruprakash
Published: September 2023

Presented herein is a novel algorithm for multi-round, zero-knowledge proof (ZKP), devised specifically for authenticating factorisation proofs within a variety of cryptographic applications. This advanced algorithm, while maintaining computational complexity within acceptable bounds, offers a secure and proficient solution. The functionality of the algorithm is marked by multiple rounds of interaction between the Prover and Verifier. Initially, the Prover generates a random value and calculates a commitment. Subsequently, the Verifier issues a random challenge, eliciting a computed response from the Prover. To validate the proof, the Verifier verifies the equality of the commitment and the computed response. Efficaciousness of the proposed multi-round ZKP algorithm is demonstrated across diverse input sizes and parameters. Results indicate a success rate exceeding 90% on average, showcasing the robustness of the method. The recurring interaction between the Verifier and Prover enhances the Prover's authentication, thereby improving the algorithm’s reliability. Implementation of the algorithm, achievable through standard cryptographic tools and protocols, can fortify the security of multiple cryptographic applications. A significant application can be found in Digital Identity Management Systems (DIMS). Currently, these systems are vulnerable to a myriad of threats, including identity spoofing, data breaches, and internal security risks. The application of the ZKP algorithm can simultaneously augment security and withhold sensitive information, potentially transforming the DIMS security landscape. Future research may focus on improving the efficiency and scalability of the multi-round ZKP algorithm. There also remains a vast potential for exploring additional applications of this technique within various cryptographic domains.
POLÍTICAS PÚBLICAS INERENTES À ESCUTA QUALIFICADA DE MULHERES EM SITUAÇÃO DE VIOLÊNCIA
Authors: Ghisloti Araujo Letícia , Martins de Paulo Cândido Nathália , Almeida Forini Pedro , Barboza da Silveira Bettieli
Published: September 2023

Com intuito de compreender a efetividade das políticas públicas inerentes às mulheres em situação de violência, esta pesquisa analisou como a escuta qualificada desta população é realizada nos principais serviços de acolhimento da rede. Para tanto, produziu-se uma revisão sistemática da literatura, norteada pelo protocolo PRISMA, nas bases de dados BVS, Scielo, Lilacs e Pepsic. Aplicados os filtros de seleção e com os dados apreciados por análise temática, resultaram dez artigos, subdivididos em três categorias temáticas: prática profissional acerca da escuta qualificada; relações sociais e políticas públicas, interface com a saúde. Houve dificuldade de busca pela alternância de nomenclatura do termo, variando entre escuta qualificada e escuta significativa. O intervalo temporal utilizado para busca dos artigos percorreu de 2006 até 2022. Os artigos selecionaram possuem predominância de publicação nos últimos quatros anos, origem de escrita do estado de São Paulo e de Goiás. Evidenciou-se que os principais resultados encontrados estão centrados nas temáticas relacionadas a dificuldade de implantação das políticas públicas e sua posterior efetivação, na não articulação em rede dos centros de saúde e, somado a isso, resistências na capacitação de profissionais da área. Por fim, observou-se que os resultados sobre a não formação específica para atuação na escuta qualificada de mulheres em situação de violência potencializa ocorrências de revitimização institucional, pouca sensibilidade e, dificuldade em prestar devido encaminhamento.
ESTUDO E TRATAMENTO DO EFLUENTE LÍQUIDO ORIGINADO DO PROCESSO DE PINTURA DE ARTEFATOS EM MADEIRA
Authors: Junges Tailene
Published: September 2023

O presente trabalho estudou a eficiência dos testes de coagulação/floculação/sedimentação dos coagulantes cloreto férrico, sulfato de alumínio, tanino de acácia negra e aquafloc AST, em um efluente coletado diretamente da cabine de pintura de uma empresa do ramo de fabricação de artefatos em madeiras. Os ensaios foram realizados de acordo com um planejamento experimental 2² com ponto central, onde as variáveis modificadas foram a concentração e a velocidade de agitação na floculação, as variáveis fixas foram velocidade de coagulação, tempo de decantação, de floculação e de coagulação, e os parâmetros de resposta foram cor e DQO. Todos os resultados foram analisados mediante comparação com os padrões estabelecidos pela Resolução CONSEMA nº 355/2017. Em relação ao parâmetro cor, os coagulantes inorgânicos mostraram-se mais eficientes na remoção quando comparados com os coagulantes orgânicos. A DQO obteve melhores eficiência de remoção com os coagulantes cloreto férrico e tanino. Apesar do alto percentual de eficiência obtido, todos os resultados ficaram acima do que estabelece a legislação.
INDICADORES DE RISCO PARA O DESENVOLVIMENTO INFANTIL (IRDI) E A LEI 13.438 SOB O VIÉS DA PSICANÁLISE
Authors: Duarte José Lucas Marques , Penteado Charqueiro Leslie Tuane , Dos Santos Carvalho Letícia , Dos Santos Souza Marcos Rogério
Published: September 2023

Este estudo em sua temática versa sobre os Indicadores de Risco para o Desenvolvimento Infantil (IRDI) como instrumento utilizado na prevenção de riscos psíquicos na perspectiva escolar. Tem por objetivo descrever os benefícios da aplicação dos Indicadores de Risco para o Desenvolvimento Infantil (IRDI) previstos na Lei 13.438, com vistas à prevenção de riscos para o desenvolvimento psíquico das crianças. Sua justificativa se atrela ao número expressivo de brasileiros que são considerados pessoas com deficiência, e que com a aplicação do IRDI, como prevenção a riscos psíquicos podem haver mudanças a longo prazo nesta estatística. Ainda, este estudo ancora-se nos autores/as Kupfer e Bernardino para o conceito de indicadores de risco infantil (2018), Jerusalinsky e Bernardino no termo maleabilidade psíquica (2005) e Winnicott no que se refere à maternagem suficientemente boa.  A metodologia corresponde a uma pesquisa qualitativa descritiva de revisão de literatura com a busca de periódicos na plataforma científica Google Acadêmico Scholar com o descritor “IRDI e Psicanálise”. Os resultados indicam que, por meio da aplicação do protocolo IRDI e observação dos 31 indicadores de risco com vistas aos 4 eixos, torna-se possível estabelecer um roteiro de intervenções precoces quanto à prevenção. E ainda, sua aplicabilidade na área educacional possibilita que crianças e suas famílias tenham os devidos encaminhamentos para intervenções mais eficientes reduzindo os riscos de desenvolvimento infantil com prejuízos psíquicos.
Web 3 vs Web 2: Konceptualne in tehnološke razlike
Authors: Turkanović Muhamed , Keršič Vid , Šestak Martina
Published: September 2023

Članek se osredotoča na konceptualne in tehnološke razlike med razvojem dveh paradigem spletnega razvoja Web 2 in Web 3. Web 2 prevladuje, vendar prinaša Web 3 inovacije kot decentralizacijo, uporabo pametnih pogodb, nezamenljive žetone itn. Predstavljene so tudi ključni trendi Web 3, kot so decentralizirane identitete in metaverzum. Za namen primerjave Web 2 in Web 3, smo le to izvedli na primeru razvoja in uporabe spletne platforme za zbiranje daril. Predstavili smo tudi izzive Web 3, ki vključujejo skalabilnost in uporabniško izkušnjo, pri čemer se pojavljajo nove rešitve za boljšo usklajenost s tradicionalnimi standardi in koncepti. Kljub izzivom Web 3 prinaša le ta nove priložnosti in dviguje ozaveščenost o spremembah v spletnem razvoju.
Guía de estructuración en diseño y costos para la construcción de edificios mixtos con certificación sostenible a fin de mejorar la viabilidad económica de proyectos inmobiliarios de oficinas en el distrito de Miraflores
Authors:   , Herrera Cruz Leslie
Published: September 2023

Los diferentes hechos, nacionales e internacionales, ocurridos en los años 2020 y 2021, significaron un fuerte impacto negativo en el rubro inmobiliario, especialmente en el mercado de oficinas. En un panorama incierto, protagonizado inicialmente por la crisis sanitaria del covid-19 y acompañada de las medidas restrictivas para contener la propagación del virus, el aumento del teletrabajo, la incertidumbre política y las presiones inflacionistas globales, estos proyectos inmobiliarios de inversión se sitúan en un escenario preocupante. Más aún para aquellos promotores que aún no están seguros de destinar sus recursos en el desarrollo de proyectos de oficinas, a pesar de la mediana recuperación que se presentó en el año 2022. Debido a ello, la presente tesis se enfoca en la elaboración de una guía simple, rápida y fácil de aplicar, para que los desarrolladores puedan conocer las oportunidades de negocio que pueden significar la contemplación de edificios mixtos (viviendas y oficinas) bajo parámetros de sostenibilidad de cara a la obtención de una certificación internacional y con el fin de hacer goce de los beneficios urbanísticos que otorga la municipalidad de Miraflores. Esto permitiría al promotor entender que, bajo el panorama actual, sí es posible apostar por las oficinas boutique como un producto inmobiliario rentable, siempre que se acompañe de la seguridad que brinda el producto de vivienda, así como del incremento del área máxima construible permitida que se puede obtener por diseño sostenible. Para la validación de la propuesta, se tomaron 3 proyectos del distrito de Miraflores, a los cuales se les analizó y comparó sus resultados económicos al ser contemplados como proyectos de oficinas en su totalidad, y al ser contemplados como proyectos mixtos sostenibles después de la implementación de la guía. Los resultados que se mostrarán al final de la tesis, por un lado, pretenden fomentar el desarrollo y construcción de edificios sostenibles, los cuales se consideran un ejemplo de innovación, eficiencia y responsabilidad social. Si bien suponen mayores costos, la tesis demuestra cómo los incentivos municipales logran compensar estos costos adicionales y generan una mejora en la viabilidad del proyecto. Esto no solo beneficia al promotor inmobiliario, sino que ofrece a la zona un producto que mejora la calidad del espacio público y la reposición de áreas verdes. Por otro lado, también se promueve el desarrollo de proyectos de uso mixto, considerándolos un objeto arquitectónico más integrador y duradero, de cara al desarrollo urbano.
Centro comunitario para jóvenes en Chiclayo
Authors:   , Vasquez Culqui Nora Lurdes
Published: September 2023

El presente trabajo de investigación propone un centro comunitario para la ciudad de Chiclayo, con énfasis de la permeabilidad. Por lo cual, se estudió la realidad actual de dicha ciudad, infiriendo así que, los niños, adolescentes y jóvenes constituyen a más de la mitad de los habitantes de la zona a diagnosticar, Chiclayo. Sin embargo, muchos de ellos padecen a diario de diversas carencias y problemáticas que afectan a su desarrollo personal, social, cultural y educativo. Entonces, debido a la expansión de la ciudad sin una planificación urbana, la misma no posee equipamientos que la abastezcan, como consecuencia, existen problemáticas en el ámbito educativo y social. Además, se analizaron centros comunitarios a nivel global, latinoamericano, nacional y local, con ello se establecieron el estado actual de estos y los programas que poseen. Asimismo, se estudiaron libros y proyectos referenciales de la tipología y énfasis. Esto con el objetivo de adquirir conclusiones sobre su mejor ubicación, la posibilidad de formas que tendría la tipología para ser permeable, su función y los aspectos tecnológicos más apropiados para ser aplicados.
Modelo para identificar el perfil de contramedidas para fuga de información en organizaciones financieras
Authors:   , Lecca Revilla Belther Leonardo , Zarria Burga Harry Fabrizio
Published: September 2023

La fuga de datos se ha considerado el ataque informático más frecuente en América Latina en los últimos cinco años, afectando principalmente al sector bancario. Debido a que, esta problemática genera daños legales, reputacionales y financieros, e incluso la inversión en ciberseguridad para proteger los datos en entidades financieras no es la suficiente. Por tal motivo, se genera el problema de que las empresas tienen limitaciones para asegurar que las inversiones en la implementación de controles de protección, detección y respuesta frente a eventos de fuga de datos sean eficientes y oportunos. El objetivo de este proyecto es implantar un modelo de madurez de los controles de seguridad de la información en una institución financiera utilizando la metodología del NIST, identificar el perfil actual de los controles de seguridad de la información y compararlo con un perfil objetivo ideal de controles que haya sido verificado por profesionales de la ciberseguridad. La finalidad es establecer el camino a través de consejos y recomendaciones basados en estándares de seguridad para llegar del perfil actual hacia el perfil objetivo propuesto. Además, este proyecto logra la mejora continua de la seguridad de la información, mediante la supervisión, revisión y eficacia de los procesos implantados, asimismo permite medir y diagnosticar el problema más frecuente que se presenta en las entidades financieras.
Representaciones étnico-raciales y de género como instrumentos generadores de humor en el Perú
Authors:   , ​​Vasquez Quispe Pierina Isamar​
Published: September 2023

El presente artículo analiza la construcción del humor en el programa de sketch “JB en ATV”, que se emite todos los sábados por las noches, gozando de gran popularidad. Se presentan los resultados de un estudio descriptivo acerca de las representaciones étnico-raciales y de género que se usan en el programa a fin de generar humor. La investigación es de paradigma interpretativo con enfoque cualitativo. Se usó el análisis de contenido y la observación como técnica de obtención de datos. Se aplicó una guía de análisis de contenido a 14 sketches de la secuencia del programa “El casting de la tía Gloria”. Los criterios de selección fueron el número alto de visualizaciones en el canal oficial de YouTube y la representación cómica de mujeres, afrodescendientes y personas pertenecientes a la comunidad LGBT. Además, se aplicó una ficha de análisis de contenido que consideró como categorías a las dimensiones psicológicas, fisiológicas y sociales de los personajes, a fin de identificar estereotipos, conductas y rasgos característicos. Se concluye que en este tipo de programas los grupos estudiados no llegan a obtener un grado real de pertenencia, pues solo aparecen para generar humor aprovechando sus rasgos físicos y su torpeza analítica y verbal. Además, cada personaje cumple un rol establecido, hecho que refuerza estereotipos y distorsiona la imagen de los grupos a los que pertenecen. El presente trabajo aporta al estudio del humor en los medios de comunicación y los estereotipos en representaciones étnico-raciales y de género. Asimismo, abre nuevas líneas de investigación que se enfoquen en la alfabetización mediática de las audiencias que consumen estos programas.
Percepción de las competencias parentales de padres no custodios de la ciudad de Lima
Authors:   , Risco Rodríguez Mariana
Published: September 2023

El presente estudio tiene un abordaje cualitativo fenomenológico interpretativo, haciendo uso de la entrevista semiestructurada como técnica de recolección de datos. Tuvo como objetivo interpretar la percepción de las capacidades parentales de padres no custodios de hijos mayores de tres años en la ciudad de Lima. Los participantes fueron 10 padres entre 30 a 50 años, no custodios, con un régimen de visita con horas y días prefijados. Los hallazgos de este estudio ilustran la manera en la que los padres participantes perciben sus competencias parentales tras la separación, evidenciando que las percepciones sobre su rol paterno y sus competencias parentales comprenden un conjunto de creencias y valoraciones sobre su experiencia personal que se ve modificada tras el divorcio. A su vez, destaca que los elementos contextuales como la reducción del tiempo que comparte con el hijo y las interferencias parentales influyen en el despliegue de las competencias parentales, evidenciando un reajuste en las pautas educativas e involucramiento en la crianza y una implicación en la percepción de su rol paterno como agente protagonista, vinculado con sentimientos de tristeza, culpa y preocupación.
Mercado con usos mixtos en Magdalena del Mar
Authors:   , Flores Comeca Emmanuel
Published: September 2023

La tesis del Mercado de usos mixtos en Magdalena del Mar, se proyecta en el mismo terreno del mercado existente, ocupando toda la manzana de 10.162.947 metros cuadrados, rodeada por la Plaza Túpac Amaru, calle Bolognesi, Leoncio Prado, Castilla y la calle peatonal -Comercial Valencia ubicado en el distrito de Magdalena del Mar, Lima, Perú. La propuesta consiste en proyectar un edificio de usos mixtos, cuyo objetivo es integrar los usos esenciales del distrito, para promover un estilo urbano multifacético. De manera que la edificación sea un componente, cuyas actividades animan el sector urbano de Magdalena del Mar. En cuanto al énfasis, se aplican los principios de permeabilidad, que incide en la integración del espacio arquitectónico interno con el exterior (ambiente urbano), a través de relaciones físicas y formales. Por ello, se decide intervenir en la reconstrucción del Mercado de Magdalena del Mar, cuya infraestructura se encuentra en estado de deterioro. Si bien existen diversas actividades comerciales, de vivienda y financieras adyacentes al edificio, están segregadas entre sí. Sin embargo, es necesario mejorar la dinámica urbana, para incentivar el tránsito peatonal de los usuarios. Por tanto, dinamizar económicamente el distrito. Por las razones antes mencionadas, el proyecto integra en su programación tres usos: mercado de abastos, oficinas coworking y vivienda multifamiliar. Cabe mencionar que, de acuerdo con la normativa distrital, se permite diseñar un edificio con una altura máxima de 31 metros, de modo que, con el fin de potenciar su máxima rentabilidad, el proyecto se eleva al nivel mencionado anteriormente. Como resultado se obtiene una composición de 3 volúmenes diferenciados, donde confluyen diversas actividades atractivas, cuyo efecto será generar un entorno urbano multifacético y potenciar el sector inmobiliario-comercial del distrito.
Voçoroca no Brasil: uma abordagem espaço-temporal entre os anos 2000 e 2020
Authors: Marchioro Eberval , Ribeiro Lorena
Published: September 2023

Este artigo propõe realizar uma revisão bibliométrica da produção científica da temática voçoroca, abordando os aspectos conceituais, metodológicos, dimensionais e sua distribuição espacial no Brasil. Para tal, utilizou-se apenas o banco de dados disponível no site https://rbgeomorfologia.org.br/rbg/index na Revista Brasileira de Geomorfologia (RBG) e os trabalhos completos, resumos expandidos e simples do Simpósio Nacional de Geomorfologia (http://lsie.unb.br/ugb/sinageos). O período de análise dos dados é para a RBG de 2003 até 2020 e para o Sinageo de 2000 até 2018. De maneira geral, a maior concentração dos trabalhos é na região Sudeste, abordando os processos hidrológicos que contribuem para a formação de voçorocas. Quanto às definições, existe uma considerável diversidade, desde aquelas que valorizam apenas o critério dimensional, a forma e dimensão juntas ou a conectividade com a rede de drenagem. Também, evidencia-se uma mudança nas técnicas de monitoramento, sendo atualmente, utilizados Veículo Aéreo Não Tripulado (VANT) e Laser Scanner Terrestre (LST) e imagens de satélites/fotografias aéreas, que por vezes são utilizadas combinadas, possibilitando conhecer a evolução espaço-temporal e, o estágio evolutivo atual das voçorocas. Por fim, os trabalhos salientam que a ocorrência das voçorocas em áreas rurais e urbanas, são oriundas do desequilíbrio do balanço entre a energia e a matéria disponível no sistema.