bluuebunny/crossref_metadata_2025 huggingface dataset:
AN ESSENTIAL APPROACH TO MITIGATING EXPATRIATE CHALLENGES: EXAMINING EFFECTIVE SELECTION AND TRAINING STRATEGIES FOR EXPATRIATES
Authors:   , Banasthali Vidhyapith (Faculty of Management Studies), WISDOM, Rajasthan, India, Mary Rose
Published: November 2024

Many companies face challenges with expatriate success, often resulting in early returns or less-than-ideal job performance. In today’s interconnected world, multinational corporations (MNCs) increasingly rely on expatriates to manage their subsidiaries, as these professionals often bring a deeper familiarity with the company’s techniques and processes compared to local staff. The struggles faced by expatriates highlight areas of improvement needed in both the selection process and pre-departure training. This study aims to explore how well MNCs implement effective selection and training strategies for expatriates, and to assess how they evaluate these methods. It draws on the concept of culture shock alongside established models for expatriate selection and training, particularly Ronen’s Model for selection and Black and Mendenhall’s Framework for training. The research involved expatriates currently working in MNC subsidiaries. Interestingly, the findings revealed a discrepancy between theoretical ideals and actual practices. While many MNCs fell short of the recommended selection and training methods, there were proud exceptions that truly excelled in these areas. Additionally, respondents shared a wealth of perspectives regarding the selection and training processes, which adds valuable insights into how these practices can be refined for better success in the future.
EFFECTS OF MERGERS AND ACQUISITIONS ON COMPETITION IN INDIA
Authors:   Maharaj Vinayak Global University, Jaipur, Rajasthan, India., Vasishta Monica , Jangir Mahendra Kumar ,   Maharaj Vinayak Global University, Jaipur, Rajasthan, India
Published: November 2024

Competition law typically considers those merger cases where the main concern is that the merging parties would become so dominant in the market that they will increase the rates they charge the customers. This happens, mostly, because the merged entity has now gained a dominating position, as a consequence of the merger, to manipulate the market. Some mergers, on the other hand, minimize competition thus dropping rates that vendors demand. Thus, mergers and acquisitions have the capacity to hurt competition at both ends- from where the merged entity buys, and where it sells and this they can do in varied ways. Merger and Acquisitions can be anti-competitive where they include trends like limiting output or imposing price, fixing prices between competitors, or sale or supply terms on down the stream intermediaries. Merger and acquisition activity has been on a rise in India, and their impact on competition has led to many changes in the competition law. In this article we would be exploring how the merger and acquisition activity hurts competition and how the law in India has had to change to combat its damaging effects.
Algunas aportaciones sobre la decoración excisa en el mundo pastoril peninsular
Authors: González Casarrubios Consolación
Published: November 2024

La materia prima del arte tradicional son los diversos materiales de origen vegetal o animal que el pastor encontraba en su entorno inmediato. La autora parte de este hecho para analizar las decoraciones de estos objetos, muy simples y esquemáticas, que tomaban la línea rayada o incisa como patrón fundamental, aunque en menor medida también se utilizaba la técnica excisa. Buscando cubrir la totalidad del objeto y sin continuidad entre las escenas representadas, estos trazos elementales enmarcaban las imágenes relacionadas con las creencias, los gustos personales o las propias vivencias de los autores, sobre todo en aquellos objetos de mayor valor sentimental, destinados a ser presentes para otras personas o meros objetos decorativos, aunque sin buscar un alto rigor estilístico.
¿Existe una joyería vaccea?
Authors: Cuesta Gómez José Fabián , Delibes de Castro Germán , Esparza Arroyo Ángel
Published: November 2024

Partiendo de la premisa de la existencia de una joyería celtibérica sin concepto étnico, desarrollada en el espacio prerromano meseteño, los autores llegan a la conclusión de la inexistencia de características específicas de subestilos para el valle medio del Duero. Se apoyan para ello en las evidencias materiales que parecen establecer que los artesanos orfebres vacceos no desarrollaron diseños, motivos y decoraciones originales, distintos de los recogidos en los pueblos vecinos, que los convirtieran en indicadores de etnicidad. Para llegar a esta conclusión se repasan los tesoros encontrados en Palencia, Roa de Duero, Arrabalde, Arcillera, San Martín de Torres, Padilla de Duero, Cerezo del Río Tirón y Monasterio de Rodilla y se extraen diversas conclusiones obtenidas con arreglo al tradicional procedimiento cartográfico. No obstante, se reconoce la pujanza de la orfebrería vaccea, pese a que no se trate de una zona que cuente con depósitos minerales de oro o plata, y la existencia de morfotipos específicos propios, fruto de la reelaboración de modelos astures o meridionales importados, que se difundieron fuera de las fronteras vacceas.
El poblamiento y el urbanismo vacceos
Authors: Sacristán de Lama José David
Published: November 2024

Descripción de la ocupación del territorio situado en el valle medio del Duero durante la segunda Edad del Hierro. No obstante la articulación en poblados y ciudades en emplazamientos de fácil defensa, en la mayoría de ellos se han detectado restos de murallas y fosos. Las ciudades dominaban amplias extensiones de territorio que aseguraban un desempeño económico sostenible en el tiempo, que incluso garantizaban un excedente de producción que se dedicó al comercio de intercambio. De esta forma, el tránsito a la civitas romana pudo realizarse sin alteraciones importantes en el modo de vida.
Los vacceos a través de las fuentes: una perspectiva actual
Authors: Sánchez Morenoi Eduardo
Published: November 2024

Resumen de los principales hitos de la historiografía vaccea, refundada como resultado de las investigaciones arqueológicas desarrolladas a finales del siglo XX, singularmente desde la creación, ya en 2001, del Centro de Estudios Vacceos Federico Wattenberg.
Developing an Understanding of Artistic Imagery through the Analysis of Character Systems in Literary Works
Authors: Ganbarova Nurida
Published: November 2024

This article explores the importance of a systematic analysis of characters in literary works for a deeper understanding of the content and the author’s intent. Various approaches to classifying characters (main, secondary, episodic) and their roles in creating the philosophical, social, and psychological dimensions of the text are examined. Using examples from Russian classical literature, the study analyzes how the character system helps to reveal central themes and conflicts, highlighting the layers and depth of the work. Recommendations are provided for employing character system analysis in educational settings, promoting critical thinking and analytical skills among students.
Diagnóstico de la gestión de la calidad educativa en los centros educativos de la República Dominicana
Authors: Merejo Medrano Ynosencia , González Duquesne Ihosvanni
Published: November 2024

La gestión de la calidad en los centros educativos es esencial para asegurar una educación de alto nivel y equidad en la República Dominicana, que busca implementar una cultura de mejora continua en los centros educativos. En este contexto y a la luz de los resultados de las aplicaciones de las pruebas PISA y TERCE 2023 esta investigación tiene como objetivo la caracterización del estado inicial de la gestión de la calidad educativa en los centros educativos de la República Dominicana. Se realizó una sistematización teórica y empírica, utilizando un estudio mixto, aplicando encuesta y entrevista a cinco grupos de estudio compuesto por directores, equipo de gestión, administrativos y docentes de 13 centros del Distrito Educativo 06-05 La Vega Este y del Distrito 16-01 de Cotuí. Los instrumentos aplicados contemplaron categoría de muy acuerdo, bastante de acuerdo, de acuerdo, poco de acuerdo y NO acuerdo; con medida de tendencia centra- Moda. Los resultados revelaron una deficiencia en la comprensión teórica de la gestión de la calidad educativa, así como la necesidad de abordarla de manera interconectada y con una visión integradora, desde la perspectiva de la comunidad educativa. Se evidenció un desconocimiento en relación con los modelos de gestión de la calidad, en particular el Modelo CAF, para la autoevaluación y mejora continua de los centros educativos, asumido por el MINERD. Además, se observó la carencia de una metodología que posibilite la acción práctica del modelo y una escasa participación de los colaboradores y grupos de interés de las instituciones.
UMA ANÁLISE JURÍDICA SOBRE A RESPONSABILIDADE CIVIL DOS FILHOS PARA COM OS PAIS NA TERCEIRA IDADE
Authors: Feitosa Hiara Wannessa Pinto
Published: November 2024

Analysis of the phenomenon of emotional abandonment and family neglect from the perspective of civil liability. This work aims to examine the necessity of emotional and material support from children to their elderly parents, emphasizing the importance of family bonds in old age. The methodology employed involves qualitative research, including a review of relevant literature and an analysis of case law that highlights the application of the principle of family solidarity. The investigation concludes that the civil responsibility of children is a crucial instrument for ensuring the dignity and well-being of elderly parents, as the lack of adequate care can lead to legal consequences for the children. This underscores the need for a more attentive approach to family relationships and the promotion of a culture of respect and appreciation for the elderly. This analysis is relevant for understanding rights and obligations within the family context, contributing to the creation of a healthier and fairer environment for all family members
IMPACTO DA MUCOSITE ORAL EM PACIENTES TRANSPLANTADOS DE MEDULA ÓSSEA AUTÓLOGO E O PAPEL DO CIRURGIÃO DENTISTA
Authors: Prado Stefany da Silva , Assunção Isabella Vieira , Folhes Júlia Ferreira , Carvalho Vanessa Reinaldo
Published: November 2024

The Haematopoietic Stem Cell Transplantation (HSCT) is a form of treatment used for some types of hematological cancers in which the patient is both a donor and recipient. The most relevant side effect of this therapy for dentistry is oral mucositis, which in addition to causing mucosal irritation, delay and interruption of the chemotherapy cycle, can be a gateway to opportunistic infections and lead to a death outcome. As a dental surgeon increasingly active in the multidisciplinary team, the importance of dental care in the trans-HSCT phase has been widely reported in the literature. Thus, the general objective of the present work was to carry out a literature review on the impacts of oral mucositis in autologous bone marrow transplant patients, as well as the specific objective of highlighting the importance of the dental surgeon in the care of these patients. Thus, for the design of the research, the descriptors Stomatitis, Hospital Dental Team, Hematopoietic Stem Cell Transplantation, Autologous Transplantation, through DeSC; PubMed, Scielo and Lilacs databases and the Boolean operators AND, OR and NOT were used as a search strategy in the time period from 2004 to 2022. Concluding that the impacts of oral mucositis in patients undergoing auto-HSCT are pathophysiological, of morbidity, mortality and financial loss. However, the presence of the dental surgeon in the multidisciplinary team brought clinical relevance to reduce the impacts caused by oral mucositis, acting, even in a preventive way, with qualitative and quantitative reduction of the condition.
RESPONSABILIZAÇÃO CIVIL DE PROVEDORES DE INTERNET A LUZ DA LEGISLAÇÃO BRASILEIRA
Authors: Rodrigues Roger de Oliveira , Carvalho Maria Beatriz Sousa de
Published: November 2024

O tema da responsabilidade civil de provedores de internet é uma pauta que requer maiores esclarecimentos em caso de dano ao consumidor ou ao usuário das plataformas digitais que se encontra lesado perante atos de terceiros. Partindo dessa importância pode-se problematizar a seguinte questão de pesquisa: como a lei brasileira adequa o instituto da responsabilidade civil aos provedores de internet nos casos de discurso de ódio, pornografia ilegal e relações de consumo? Objetiva-se apresentar quais os fundamentos legais e jurisprudenciais para haver responsabilização civil de provedores de internet por atos cometidos por terceiros que gerem algum tipo de dano ou prejuízo a pessoa ofendida. Procede-se com os seguintes métodos de pesquisa qualitativa: pesquisa de natureza básica, objetivo exploratório e descritivo, com revisão bibliográfica e apresentação da jurisprudência contendo o fundamento para a concessão de reparação por dano ao usuário de internet que tenha sofrido algum tipo de dano ocasionado por terceiro sob a omissão do provedor de internet. A partir dos resultados encontrados na lei, na doutrina e na jurisprudência observa-se que só haverá responsabilização dos provedores de internet quando deixarem de cumprir ordem judicial para retirada de conteúdo no caso concreto. Permite-se concluir que a responsabilização civil dos provedores de internet é possível, que doutrinariamente e legalmente há uma aplicação simultânea das principais leis que regem o tema, mas que ainda assim o Marco Civil da Internet não consegue abranger todas as situações jurídicas que lhe são colocadas a análise.
COLABORAÇÃO PREMIADA: VALORAÇÃO DA PROVA E PRISÃO CAUTELAR
Authors: Pereira Filho Marco Antônio
Published: November 2024

O objetivo geral do estudo é investigar a complexa interação entre a colaboração premiada, a valoração da prova e o uso da prisão cautelar na justiça penal brasileira. Utilizando uma abordagem qualitativa e uma revisão bibliográfica abrangente, o trabalho foi estruturado em cinco seções principais que exploram, respectivamente, a natureza e a importância da prova no sistema jurídico, os fundamentos e operacionalidade da colaboração premiada, a delação como um subtipo de colaboração premiada, a ética e eficácia do uso da prisão preventiva como meio de indução à colaboração e, por último, uma análise comparativa com os sistemas legais da Itália e dos Estados Unidos. O estudo revela dilemas significativos, especialmente no que diz respeito ao equilíbrio entre a eficácia processual e o respeito aos direitos fundamentais do acusado. Aponta, ainda, que o uso de mecanismos coercitivos como a prisão cautelar para incentivar a colaboração levanta sérias questões éticas, comprometendo a integridade e a legitimidade do processo legal. A pesquisa contribui de maneira significativa para o debate acadêmico e jurídico, sugerindo a necessidade de uma revisão contínua e criteriosa do sistema de colaboração premiada.
Examining the Impact of Financial Literacy on Investment Behaviour and Demographic Factors in Bangalore
Authors: Ms. Supraja S.  , Dr. Kanagaraj K.  , Dr. M. R. Jhansi Rani
Published: November 2024

This study investigates the relationship between financial literacy, investment behavior, and demographic factors such as age, gender, education, and marital status among individuals in Bangalore. Utilizing a quantitative research design, data were collected through a structured questionnaire from 78 respondents. Descriptive statistics summarized demographic profiles and financial literacy scores, while inferential statistics, including ANOVA and chi-square tests, were used to test hypotheses. Results indicated significant relationships between age and savings, education and savings, financial literacy and investment returns, and education and investment returns. However, no significant differences were found in financial literacy scores across different investment behaviors, marital statuses, and savings levels. These findings underscore the critical role of financial literacy in shaping investment behavior and highlight the need for targeted financial education programs to enhance financial decision-making among diverse demographic groups in Bangalore.
“Red Flags”: Case Report of Cardiac Amyloidosis with Significant Coronary Artery Disease
Authors: Gabayeron Loren D.C , Zulueta Cesar Antonio V , Cortez Carlo , Pabelico Christie Anne , Villanueva Allen Richard , Aludino Marianne , Reyes Czarina Mae
Published: November 2024

BACKGROUND: Cardiac Amyloidosis is a disorder of protein misfolding and metabolism in which insoluble fibrils are deposited in the myocardial extracellular matrix causing organ dysfunction and eventually death. It can exhibit cardiac signs and symptoms, or it can be identified through screening in patients who exhibit extracardiac symptoms of amyloidosis. As there were no clear clinical signs of cardiac amyloidosis and a biopsy is required to show amyloid deposition, the condition has been historically challenging to diagnose. Thus, a high index of suspicion based on the clinical presentation and the outcomes of the preliminary testing arecrucial to determine the approach to diagnosis.

CASE SUMMARY: We outline a case of 75-year-old Filipino male who was admitted due to progressive exertional dyspnea. Cardiac Amyloidosis was considered due to evaluation findings of heart failure with preserved ejection fraction with restrictive type of cardiomyopathy. This was subsequently confirmed through extracardiac fat pad biopsy, echocardiographic strain analysis and Technetium (99mTc) Pyrophosphate (PYP) single photon emission computed tomography scan (SPECT).

CONCLUSION: This case report discussed the red flags of clinical manifestations of cardiac amyloidosis and highlighted the use of non-invasive diagnostic modalities to diagnose the disease. Cardiac amyloidosis remains a rare entity and with emerging therapies that have the potential to improve patient outcomes, early diagnosis is really important. Having high index of suspicion based on signs and symptoms can lead to early detection and an increased number of patients being referred for treatment.
Clip It or Let It: The Efficacy of Mitral Valve Transcatheter Edge-to-Edge Repair Versus Conservative Treatment in Reducing Mortality Among Patients With Ischemic Mitral Regurgitation
Authors: Vista Giovanni A , Vestal Marivic V , Tenorio Von Jerick B
Published: November 2024

BACKGROUND: Despite revascularization and optimal medial therapy (OMT) residual ischemic mitral regurgitation (IMR) continues in a self-aggravating vicious cycle to affect prognosis and survival adversely. Mitral valve surgery in combination with coronary artery bypass graft remains a subject of debate due to the absence of a net overall benefit. Mitral valve transcatheter edge-to-edge repair (M-TEER) has been gaining grounds as a viable option from observational studies, but results from randomized controlled trials (RCTs) have yielded mixed results. Thus, this study was conducted to determine whether the current collective data support the efficacy of M-TEER with OMT versus OMT alone in patients with clinically significant IMR.

METHODS: A literature search from PubMed/MEDLINE, Cochrane Review Central, Clinical Trials Registry, ResearchGate, Mendeley, and Google Scholar for relevant RCTs and observational studies was conducted and reviewed independently by three reviewers. Published and unpublished studies indexed from inception until 2023 were included. The pooled estimates for the primary outcome of all-cause mortality and secondary outcomes of cardiac mortality and heart failure hospitalizations were measured using R Studio statistical software (R Foundation forStatistical Computing, Vienna, Austria).

RESULTS: Seven eligible studies (five observational and two RCTs) allocated 1610 IMR patients to M-TEER + OMT (n = 942) or OMT alone (n = 668). The effect estimate using random-effects model demonstrated M-TEER with OMT to significantly reduce 1-year (odds ratio [OR], 0.67; 95% confidence interval [CI], 0.52–0.86; P = 0.002) and 2-year (OR, 0.50; 95% CI, 0.38–0.67; P < 0.00001) all-cause mortality. Cardiac mortality (OR, 0.58; 95% CI, 0.27–1.23; P = 0.15) and heart failure hospitalization (OR, 0.45; 95% CI, 0.18–1.13; P = 0.09) did not reach statistical significance between the treatment arms.

CONCLUSION: In patients with IMR, M-TEER on top of OMT was able to afford a 2-year allcause mortality advantage.

KEYWORDS: ischemic mitral regurgitation, mitral valve transcatheter edge-to-edge repair, optimal medical therapy
Assessment of Oral Bacterial Microflora in Patients with Stable Chronic Obstructive Pulmonary Disorders
Authors: B T Dr. Kavya , Khan Dr. Mubeen , Gudagunti Dr. Ashok Kumar
Published: November 2024

Background & Objectives: Chronic obstructive pulmonary disorder is an inflammatory disease characterized by the progressive deterioration of pulmonary function and increasing airway obstruction, includes chronic bronchitis and emphysema. The oral cavity has been considered a potential reservoir for respiratory pathogens. Oral bacteria may play a vital role in the exacerbation of chronic obstructive pulmonary diseases. Hence, we intend to study the bacterial microflora of oral cavity in stable COPD patients.
Methods: In this study 20 patients aged between 20 to 60 years diagnosed with stable COPD and 20 normal healthy controls were selected based on the set inclusion and exclusion criteria. A detailed case history, physical examination and investigations and all the subjects were examined for gingival and periodontal status by recording the Oral hygiene which comprises debris index and calculus index and periodontal index and Quantitative oropharyngeal cultures were obtained by oral washing using isotonic saline as the collecting fluid.
Results: A significant higher score of OHI(S) and PI was observed in COPD patients. There is a direct correlation between periodontal pathogens with the severity of COPD.
Conclusion: The predominant organisms found in the oropharyngeal secretions were porphyromonas gingivalis and haemophilus influenza, in COPD patients.
Perinatal Outcome in Women with Perception of Reduced Fetal Movements at Term Pregnancy - A Prospective Observational Study
Authors: Arunachalam Rajasulochana , Antonysamy Esther Ruby , Vaidyanathan Usha , Kadirvel Karthikeyan
Published: November 2024

Background: A significant reduction or sudden alteration in fetal movements is a potentially an important clinical symptom for induction, caesarean section, low neonatal Apgar score at delivery. In this context this study was conducted to evaluate the association between perception of reduced fetal movements and perinatal outcome in pregnant women with singleton term gestation.
Methods: The present study was a prospective observational study done to evaluate the pregnancy outcomes in women presenting with perception of decreased fetal movements (PDFM). 154 women were enrolled out of which 77 were cases (with PDFM) and 77 were controls (without PDFM).
Results: IUD was reported in 1.3% of the cases and none in controls. Induction of labor (IOL) was done in 78% cases and 41.6% controls and need for NICU admission was high in cases when compared to controls but not statistically significant.
Conclusion: Decreased fetal movements warrant immediate evaluation as obstetric and perinatal outcomes are poor.
Exploring The Relationship Between Body Mass Index and Body Fat Percentage Across Age and Gender: A Cross – Sectional Study
Authors: Vijayan Dr. Vineetha , Panchu Dr. Pallavi , Bahuleyan Dr. Biju , Rajaratnam Dr Sanjay Andrew , Dayalan Dr Dheebika
Published: November 2024

Background: In today’s fast-paced world, the prevalence of non- communicable diseases (NCDs) is rising due to work, academic and personal pressures. Obesity, a preventable disease, is often underestimated in clinical settings. The ‘obesity paradox’ where NCDs occur in individuals with normal body mass index (BMI), complicates health assessments. This study evaluates the relationship between BMI and body fat percentage (BFP) by age and gender and assesses if BMI alone is a good predictor of body adiposity. Methods: A cross-sectional observational study was conducted on 385 normal healthy subjects aged 18-67 years, attending an annual temple festival in Kerala during 2016. Subjects were selected based on the inclusion and exclusion criteria, after obtaining the ethical clearance. Using an Omron Body fat analyser, we measured BFP. Statistical analysis was done using Independent T test, ANOVA and Chi square test on SPSS version 20. Results: A significant increase in BMI and BFP with age in both genders, with BFP changes starting at a younger age. Females showed higher increases in both BMI and BFP. Among participants, 34% had normal BMI. 29% had normal BFP and only 20% had both normal. We also found many ‘invisible’ obese individuals within the normal BMI group and some ‘muscle obese’ individuals in the overweight BMI group.  Conclusions: To conclude, as BMI and BFP increase with age, the quality of fat free mass likely deteriorates. BFP is a better predictor of adiposity compared to BMI. For early NCD detection, both BMI and BFP should be included in routine clinical screenings.
Consumption of Milk a Probable Risk Factor of Hypertension in India: A Study Based on National Family Health Survey-5
Authors: Medhi Dhanmani , Basumatary John , Sarmah Ankumon
Published: November 2024

Introduction: Chronic high blood pressure, often known as hypertension, can cause a number of cardiovascular issues due to its higher blood pressure levels. A growing body of research points to a possible link between the use of dairy products and a higher risk of hypertension. Objectives: The present study aims to provide information regarding a probable association between dairy consumption and hypertension among the population of India. Methodology: The current study uses data from the fifth series of the National Family Health Survey (NFHS-5) 2019–21 in order to examine this association. The sample size is 724115 in total. This study included eight factors in total: systolic and diastolic blood pressure, age, religion, ethnicity, education, wealth index, and frequency of milk/curd consumption. IMB-SPSS version 26.0 was used for all data analysis. Results: It was found that those consuming milk products daily and weekly have very strong chances of having stage 1(95.3% and 93.2%, respectively in 95% CI) and stage 2 hypertension (92.4% and 90.4%, respectively in 95% CI). daily consumption of milk products also significantly increases 80.3% the chance of having stage 3 hypertension as well (95% CI). Conclusion: It is abundantly obvious from the current study that consuming milk and curd on a daily and weekly basis considerably raises your risk of developing stage 1, stage 2, and stage 3 hypertension. Given that India consumes the most milk globally and that the bulk of it is unpasteurized, it is crucial to consider the connection between milk consumption and hypertension discovered in the current study.
Binocular Diplopia as Ocular Manifestation in Pediatric Miller Fisher
Authors: Zhafira Dinda , Prastyani Reni , Gunawan Prastiya Indra , Noviandi Riza , Sunny Mariana Samosir
Published: November 2024

Miller Fisher Syndrome (MFS) is a rare variant of neuropathy spectrum of Guillain-Barré syndrome that occur less frequently in children. 11 years old suffered from weakness of limbs with walking and posture bearing difficulty for 3 days before admission. Patient also had complaint of double vision with gaze restriction and difficulty while chewing or swallowing. During admission patient had respiratory failure that inquired intubation and ventilator support. Clinical improvement was achieved after patient was intravenous immunoglobulin (IVIG) for 5 days. First ophthalmology examination showed 15 degrees exotropia of left eye with 30 prism dioptres (PD) at near and far distance. The Worth four dot test revealed crossed diplopia, along with gaze restrictions in all directions. Follow-up 2 months after admission, the patient's symptoms had resolved. Miller Fisher Syndrome (MFS) is diagnosed clinically, characterized by the triad of ataxia, areflexia, and ophthalmoplegia. Treatment for MFS primarily involves supportive care, including respiratory support and immunotherapy if required. The prognosis for MFS is generally favorable. Recovery usually starts in two until four weeks after onset and generally completing within six months.
Assessing the Medical Student’s Knowledge and Awareness of MONA Protocol and Oxygen Therapy in Acute Myocardial Infarction: A Cross-Sectional Study
Authors: Qureshi Ghania Shehzad Alam , Khemissa Madjda , Sabri Ganna Amr Ibrahim , Imran Dr Rangraze , Patni Dr Mohamed Anas , Dr B K Manjunatha Goud
Published: November 2024

Introduction: The mnemonic "MONA," comprising Morphine, Oxygen, Nitroglycerin, and Aspirin, has been a cornerstone in the initial treatment of Acute Myocardial Infarction (AMI) and has been ingrained in the education of medical students for generations. The inclusion of oxygen in this mnemonic is rooted in the concept that AMI arises from a disparity between myocardial oxygen demand and supply. This study aimed to assess the knowledge of medical students regarding AMI, the MONA mnemonic, and the specific role of oxygen in patients experiencing Acute Myocardial Infarction. Material and Methods: A cross-sectional study was conducted involving 188 medical students selected through purposive sampling. Participants were provided with a pretested structured questionnaire, and the gathered data was analyzed using SPSS 23. Results: The study showed satisfactory understanding among students regarding the presentation of AMI, its ECG findings, and the components of the MONA mnemonic was observed. Only 47% of participants were cognizant of the purpose of MONA, primarily for initial pain control. Moreover, a notable 23% of students were aware that oxygen does not contribute to the treatment of AMI in normoxemic patients. Conclusion: The study underscores a significant gap in the awareness of medical students concerning the role of oxygen in normoxemic patients with AMI.
Sex Education in the Prevention of Teenage Pregnancy in Lambayeque
Authors: Gonzales Huamanchumo , Angélica Maria , Prieto Dr. Rafael Damián Villón
Published: November 2024

Comprehensive sexual education (CSE) seeks to prepare adolescents for a safe and healthy life. This study evaluated the effectiveness of sexual education programs in preventing adolescent pregnancy in Lambayeque, with a focus on their impact on reducing the rate of adolescent pregnancy, barriers and opportunities to improve sexual education in the region, the methodology, a bibliographic review was carried out and public health statistics were analyzed, the results eighty-five percent of students said their understanding of STD prevention and contraceptive techniques had significantly increased. This result is in line with research that demonstrate how well-designed educational initiatives can greatly increase young people's awareness of and ability to abstain from harmful sexual conduct. Additionally, 70% of respondents showed more positive attitudes toward contraceptive use, compared to 50% before the program was implemented. This change in attitudes is consistent with research indicating that comprehensive sexuality education can change attitudes toward contraception and promote safer sexual behaviors, disparities in the implementation and reach of sexual education programs in Lambayeque explain the differences in students' knowledge and attitudes. Improving coverage, ensuring the quality and comprehensive content of programs, providing adequate training to educators, and obtaining greater institutional and cultural support are crucial steps to increase the effectiveness of sexuality education in the region.
Adult Asymmetrical Tonsils: Case Series
Authors: S Haritha. , Sudarsan Shyam Sudhakar , Ramachandran Niveda , Prithviraj Shravanthi Mantra
Published: November 2024

Asymmetrical tonsil enlargement in adults may stem from various underlying pathologies, including infectious, inflammatory, and neoplastic processes. Differential diagnoses may include but are not limited to, chronic tonsillitis, peritonsillar abscess, tonsillar hypertrophy, lymphoma, and squamous cell carcinoma. Each differential presents unique clinical features, diagnostic challenges, and management considerations, highlighting the need for a comprehensive approach to patient assessment. This case series will explore the clinical presentations, diagnostic workup, and therapeutic interventions employed in managing adult patients with asymmetrical tonsil enlargement. We aim to facilitate early detection, appropriate treatment, and optimal outcomes for affected individuals by emphasizing the importance of considering a broad range of differentials.
Public Acceptance on the Benefits and Risks of DNA Profile Storage in Forensic DNA Databases: A Lesson from Malaysia
Authors: Nawani Sharifah Binti Mohd , Udin Mashitah Mohd , Yaacob Che Mohd Aziz Bin , Zakaria Zaherawati
Published: November 2024

In December 2015, the Forensic DNA Databank of Malaysia (FDDM) was formally established to help in crime prevention and justice. Government activities are boosting public awareness, yet some misconceptions and concerns remain about the collection, storage, and use of Forensic DNA databases. The study's aim is to raise awareness about the benefits and risks of profile storage in forensic DNA data banks. A small number of public informants were selected using the qualitative technique. These included ten public informants and the study employs thematic analysis, and the results are somewhat unexpected. The findings of Focus Group Discussions (FGDs) show that informants' understanding of the benefits and risk of storing DNA profiles in forensic DNA data banks remains low. If the public is unclear and has limited understanding of the benefits and risks involved, it can have an impact on public health in general, and informants continue to blame practitioners in the relevant authorities for a lack of information. It raises the question of how the Malaysian forensic DNA database can be considered sustainable by the public. In recommendations, the government can collaborate with all key government agencies, including the judicial system, the attorney general's office, and the department of chemistry, to raise public acceptance of the benefits and risks of preserving DNA profiles in forensics DNA databanks. Future research is expected to involve additional stakeholders and use a variety of methodological approaches to cover a broader scope.
The Influence of Causal Factors in Women's Decision-Making to Undergo Cosmetic Surgery in Chiang Mai Province, Thailand
Authors: Rapeepongpatana Dr. Nuttapanita , Cruthaka Dr. Chomsupak , Suksod Dr. Pornkul , Mungkung Dr. Peerayut , Ractham Dr. Arichai
Published: November 2024

Women and beauty go together. Plastic surgery is one method that women use to enhance their appearance. Improve yourself to be more beautiful. Affects reliability and career opportunities, research objectives To study the causal factors that influence women's decision to undergo cosmetic surgery. Sample group of Thai women aged between 20 and 60 years.ai Province who Province, ergone cosmetic surgery at least 1 time, a toonce 360 people were systematically randomly selected. The instrument was a 5-level estimation questionnaire, 1 copy, with a reliability value of the questionnaire equal to .964. Resto.964esults It was found that 1) trust in entrepreneurs Service quality The marketing mix and decisions for cosmetic surgery are at a high average level and 2) level,t in enttrustneurs Service quality and the marketing mix has a directhavefluence on the decision to have cosmetic surgery among women in Chiang Mai Province, Thailand. Therefore, beauty business entrepreneurs must build trust. Providing quality service reasservice andproducts and prices To make more Thai women decide to have cosmetic surgery.
Awareness of the General population about Influenza Vaccine in Tabuk, Saudi Arabia
Authors: Alasmari Metab Ali , Sheikh Mohammed , Alrasheed Tariq , Alanazi Mansuor A.
Published: November 2024

Objectives: Increasing national influenza vaccination rates continues to be a challenge for Saudi Arabia. Therefore, the purpose of this study was to explore the Saudi public perceptions toward seasonal influenza vaccination and their association with the rate of vaccination. Methods: This is a descriptive cross-sectional study. The study includes the general population in Tabuk, Northern Saudi Arabia. The study includes Saudi and none Saudi who speaks Arabic or English, from any age group (18-60 years), male or female, any level of education (from primary to university or more) and low, moderate or high socioeconomic level. Results: Regarding to gender, the study showed that the largest percentage of the study members are male with a percentage of (63.3 %), while there is a percentage of (36.6%) females. According to” Received influenza vaccine” there are (63.3%) of the respondents chose (Yes) and (36.6%) of the respondents chose (No). according to” Influenza vaccination is effective in preventing influenza infection” there are (53.3%) of the respondents chose (Yes), (26.66%) of the respondents chose (No) and (20%) chose (Don’t Know). Conclusion: The findings of this study suggest that the rate of seasonal influenza vaccination is moderate among the Saudi population, which necessitates the launching of public awareness campaigns about the importance of the seasonal influenza vaccine.
Local Body Election in Tamil Nadu - A View
Authors: Senthilkumar K. , Jayakumar Dr. S.
Published: November 2024

This article examines the evolution and current structure of local governance and election practices in Tamil Nadu, tracing back to the historical Uravai system of village councils, where community-elected elders adjudicated local disputes. With roots in ancient Tamil society, local self-governance evolved significantly under the reign of Tamil kings, particularly during the Chola period, where the Kudavolai system—a forerunner to modern democracy—allowed villagers to select council members for self-administration. Following independence, the Indian government initiated reforms to decentralize governance, notably through the Balvantrai Mehta and Ashok Mehta Committees. These committees advocated for a three-tier rural governance model, later enshrined in the 73rd and 74th Constitutional Amendments. Tamil Nadu, aligning with these democratic principles, enacted the Panchayat Act in 1994, establishing a modern framework for local elections with distinct advancements, including reserved seats for women to enhance political inclusion. The article highlights how Tamil Nadu’s local governance structure, blending historical customs with contemporary democratic reforms, promotes public welfare through elected municipal bodies, demonstrating progressive strides in gender representation and local political participation.
The Role of Socioeconomic Factors in Shaping Health Outcomes among Vulnerable Populations
Authors: Raghav Dr. S. Venkat , SM Padmavathi
Published: November 2024

Socioeconomic factors, including income, education, employment, and social support, play a pivotal role in shaping health outcomes, particularly among vulnerable populations. This paper examines how these determinants interact to influence physical and mental health disparities. Drawing on data from multiple studies, the paper highlights the compounded impact of socioeconomic deprivation on access to healthcare, exposure to stressors, and lifestyle choices. Vulnerable populations, such as low-income families, ethnic minorities, and individuals with limited educational attainment, experience disproportionate health risks. This review underscores the need for targeted interventions to address socioeconomic inequalities, which are essential for improving public health and reducing disparities. Emphasis is placed on policy implications, including the need for accessible healthcare, education, and employment opportunities, to promote health equity across socioeconomic groups.
Microplastic Contamination in Landfill Leachate and Surface Water: Assessment of Wastewater Treatment Efficiency at the Nonthaburi Waste Management Center, Thailand
Authors: Koonmee Panuwat , Vibhatabandhu Pathompong , Srithongouthai Sarawut
Published: November 2024

Microplastics (MPs), plastic particles smaller than 5 mm, have emerged as a significant environmental concern, particularly as contaminants originating from landfills. Landfills can serve as a major source of MPs, potentially releasing them into surface water through leachate. This study aims to investigate the contamination of MPs in leachate and surface water, as well as to evaluate the efficiency of landfill wastewater treatment in removing these particles. The research was conducted at the Waste Management Center of the Nonthaburi Provincial Administrative Organization, Thailand, with samples collected in June 2023. Sampling included two leachate sources, influent and effluent from the treatment system and surface water. The abundance and characteristics of MPs in each sample were analyzed. Results indicated a significant presence of MPs in leachate, with an average concentration of 173.98 pieces/L, while concentrations in influent, effluent and surface water were 38.40 pieces/L, 10.80 pieces/L and 11.33 pieces/L, respectively. MPs in all samples were predominantly in the size range of 16-100 µm, corresponding to 71.28-93.75% of the total particles. Polypropylene was the dominant polymer in leachate (69.66%) and effluent (48.94%), whereas acrylate copolymer (96.53%) and polytetrafluoroethylene (44.12%) were the major types found in influent and surface water, respectively. The wastewater treatment system of the landfill demonstrated an overall removal efficiency of 71.88% for MPs in leachate. These findings highlight the extent of MP contamination in landfill environments and the importance of improving treatment processes to mitigate their release into surrounding ecosystems.
Silent Devastation: Acute Marchiafava-Bignami Disease Unmasked by Chronic Alcoholism in a 24-Year-Old Male: A Case Report
Authors: Rita Dr. M. Isabella , Anandan Dr. P. , Ramineni Dr. Saketh
Published: November 2024

Marchiafava-Bignami disease (MBD) is an uncommon condition that is mainly linked to prolonged alcoholism and nutritional deficits. It is characterised by necrosis and demyelination of the corpus callosum. Due to its rarity and vague clinical signs, this disorder can frequently be misdiagnosed. It manifests as a range of neurological symptoms, from altered awareness to motor impairments. We present a 24-year-old man in this case report who has a history of intravenous drug use, chronic alcohol intake, and recent binge drinking.He presented with a 10-day history of constipation, vomiting, and a high-grade continuous fever. Over two days, the patient’s condition deteriorated into a drowsy state with abdominal pain.On examination, the patient was drowsy but arousable, with stable vital signs except for hypertension. Neurological findings indicated reduced deep tendon reflexes, hypotonia, and neck stiffness. A systemic workup revealed normal brain CT findings, however, diffusion limitation was seen in the corpus callosum's splenium on MRI, along with mild oedema and T2/FLAIR hyperintensity. The lumbar puncture showed lymphocytic predominance, low CSF glucose, and elevated protein levels suggestive of a possible CNS infection. The differential diagnosis included Marchiafava-Bignami disease (MBD) and cytotoxic lesions of the corpus callosum (CLOCCs).The patient was managed with intravenous steroids, empirical antitubercular therapy (ATT), broad-spectrum antibiotics, and supportive care, including airway protection via intubation. Despite the late diagnosis, the clinical history of chronic alcoholism, recent binge, and imaging findings confirmed MBD. Early recognition and treatment of this disorder can improve neurological outcomes. The present study emphasises how crucial it is to take MBD into account when making a differential diagnosis for alcohol-related encephalopathies, especially in individuals who have neurological decline and prolonged alcohol consumption.
Classification of Cancer Stages Using Machine Learning on Numerical Biomarker Data
Authors: Sunny Md Nagib Mahfuz , Amin Md Minhajul , Akter Mst Hasna , Hossain K M Shihab , Nahian Abdullah Al , Atayeva Jennet
Published: November 2024

Cancer staging is a crucial aspect of determining appropriate treatment strategies and predicting patient outcomes. Traditional diagnostic methods rely heavily on invasive procedures and qualitative assessments, which can be time-consuming and prone to subjective errors. This research aims to address these limitations by leveraging machine learning (ML) techniques to classify cancer stages using numerical biomarker data, such as C-reactive protein (CRP), tumor mutation burden (TMB), and lactate dehydrogenase (LDH). By applying models like Random Forest, Support Vector Machines (SVM), Gradient Boosting, and Multi-Layer Perceptron (MLP), we aim to improve the accuracy of cancer stage classification. Feature selection through Recursive Feature Elimination (RFE) was performed to enhance model efficiency by identifying the most significant biomarkers. The results show that ML models can effectively predict cancer stages, with Random Forest achieving the highest accuracy at 85%. This method offers a non-invasive, rapid, and scalable alternative to conventional diagnostic approaches, potentially improving clinical decision-making and patient care.
Gender and Job Satisfaction: Examining the Role of Leadership Behavior and Gender Congruence Over Time
Authors: Westover Jonathan
Published: November 2024

This article examines the longitudinal relationships between leader gender, leadership style, gender congruence between leaders and followers, and employee job satisfaction over time. Drawing on gender stereotype and role congruity theories, it reviews how communal attributes ascribed to females can initially disadvantage women in leadership roles by compromising their perceived competence. However, evidence indicates such bias may fade as individuals gain experience observing a leader's actual behaviors, values and competencies through ongoing interactions. Specifically, a five-year longitudinal field study found women leaders initially received marginally lower evaluations than men but ended with equal or higher ratings as preconceptions diminished. Additionally, demonstrating a transformational leadership style emphasizing inspiration and development associated positively with follower well-being across genders and leader-follower gender alignments. Practically, organizations that implement regular assessment and mentoring activities appear most effective at fostering truly inclusive cultures where talent, not attributes, drive satisfaction and career outcomes long-term.
Dismantling Discrimination: Breaking Down Systemic Inequities in Our Communities and Workplaces
Authors: Westover Jonathan
Published: November 2024

This article explores the author's emotional reaction and reflections following the 2024 U.S. presidential election, in which an incumbent candidate secured both the electoral college and popular vote. As an educated, upper-middle class, straight, cisgender white man, the author grapples with his own privilege and the implications of the election result for marginalized communities. The piece delves into the concepts of "disparate impact" and "disparate treatment" discrimination, examining how these forms of systemic bias manifest not just in the workplace, but also in public policy and the legislative process, with examples provided across domains such as voting rights, criminal justice, environmental regulations, and education funding. The author outlines alternative policy, legislative, and legal approaches that could help address these complex issues of discrimination and inequality, concluding with a call to self-reflection and an urging of readers to consider their own complicity in perpetuating disparate impacts and to take concrete steps towards dismantling systemic inequities in society.