bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Kinerja Jaringan GSM di Daerah Urban dan SubUrban
Authors: Simanjuntak Jams , Sitompul Jody
Published: April 2023

The rapid advancement of technology development in terms of mobile communication make the current cellular card provider such as GSM strive to provide better service to its customers. Good service that can  be expressed by its performance that meets the Performance standards base Key Performance Indicators (KPI ). For that we need a form of meausurement reserach and analysis to determine the performanceof the GSM system in urban and sub urban areas which aims to look at the area where the GSM system performance better. The research was conducted at P.T Axiata tbk by taking 6 BYS as a sample of 3 BTS in urban ( 2 in Padang Bulan and 1 in Pringan) and 3 BTS in Suburban (in Tembung). From research conducted, then it can be data required to calculate and analyze the standard KPI based performance parameters, namely Call Setup Success Ratio (CSSR), Call Drop Ratio (CDR), Handover Success Ratio (HOSR) and TCH Failures Congestion Ratio (TCHFCR). Then calculate and analyzed the percentage of errors each parameter of the performance. Results of calculations and analysis in comparison with standard GSM performace under the terms of KPI. Based on the calculation/analysis of data and analysis of the percentage of errors need that the performance of GSM in Urban area s are better than in the Suburban area. This is indicated by the value of CSSR, CDR, HOSR and TCHFCR in Urban areas closer to the  standard value of performance based KPI     compared with the results in Sub urban areas. So also is based on the analysis of the percentage of errors in Urban areas are better yhan in the Su urban areas, because in Urban areas have a percentage errors is smaller.
Simulasi Sistem Pengendalian Lampu Penerangan Berbasis Program Komputer (PC)
Authors: Sianturi Libianko , Hutauruk Febrianre
Published: April 2023

In every high-rise building there must be an ON or OFF switch to turn the lights on and off in the building, so turning off or turning on the lights will take time and effort. A simulator was created to provide a solution to turn on and turn off the light in question. This simulator will work by using a Personal Computer as a controller for all lights attached to the relays located on the legs of the microcontroller. The simulator will function to turn on or turn off the lights using a Visual Basic program display that is connected to an ATMEL AT89C2051 type microcontroller via serial communication using a DB9 cable.
Desain Sistem Buka Tutup Pintu Rumah Otomatis Menggunakan E-Ktp Berbasis Arduino Uno
Authors: Manihuruk Jonner , Manik Tety Gamristi
Published: April 2023

The current door lock system is still dominated by the use of conventional keys, making it less efficient for houses with many doors because there are too many keys to carry, besides that conventional locks are easily opened by thieves, so a more practical and efficient key is also safer and not easy to duplicate by thieves. From this problem, the author has an idea to produce a safe and practical RFID-based door opening tool by utilizing e-KTP as an RFID tag. Design and build and open the door using Arduino Uno as a circuit controller. Based on the test results, it can be concluded that the simulation of the door safety device can operate properly, according to the design made. The RFID reader used has a frequency of 13.56MHz which is attached to black acrylic with a thickness of 3 mm and can read e-KTP ID with a maximum distance of 1 cm. The selenoid will actively unlock the door and the servo motor will actively open the door if the e-KTP ID matches the Arduino Uno memory. Then it will close the door and lock it again within 15 seconds. If the door of the house is tried to be opened with an e-KTP ID that is not registered in the Arduino memory, the buzzer will sound and the red LED will light up as an alarm and the solenoid remains in the locked position. The design is also equipped with manual operation using a button placed on the inside of the door, making it easier to open the door when you want to leave the house.
Lurbinectedin (Zepzelca)
Authors: CADTH
Published: April 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses lurbinectedin (Zepzelca) for injection, lyophilized powder, 4 mg/vial, IV infusion.

Indication: Treatment of adult patients with stage III or metastatic small cell lung cancer who have progressed on or after platinum-containing therapy.
Economic contraction and inequality of two provinces with coastal characteristics in Sumatra: what are the causes?
Authors: Ridwan Mochamad
Published: April 2023

The aim of this research is to find the causes of the problem of economic contraction and economic inequality in the Bengkulu and Kepulauan Riau provinces. The type of data collected is only sourced from secondary data, namely from the Indonesian Central Bureau of Statistics (2022) and data from literature or libraries through the documentation method and literature study. Data analysis was carried out through statistical analysis methods and qualitative descriptive analysis methods. The results showed that the Pearson Correlation between economic growth and economic inequality was 0.696 (in Bengkulu) and 0.689 (in the Kepulauan Riau). The trend of economic growth and economic inequality in both provinces is decreasing. Bad influence (backwash effect) in the form of a global economic recession (economic downturn) and the case of the Covid-19 pandemic (2019 – 2020) are considered to be the cause of economic contraction in the form of a decrease in economic growth (the extreme occurred in 2020, with -0.02 in the provinces of Bengkulu and -3.80 in Kepulauan Riau province). The trend of economic inequality (measured by the Gini index) which has decreased from year to year is considered a form of an anomaly because it is considered contrary to the decline in economic growth at the same time.
ПСИХОЛОГИЧЕСКИЕ АСПЕКТЫ ПРОФЕССИИ СТУДЕНТОВ В ОБРАЗОВАТЕЛЬНОМ ПРОЦЕССЕ
Authors: Saliyeva D.A. , Nietbayeva G.B. , Rakhmonova O.O.
Published: April 2023

The article provides information on the psychological aspects of guiding students to a profession and professional training, interest in professional activity, adaptation to the profession, professional enlightenment, professional consultation, professional diagnostics, and training sessions on career orientation. Key words: professional training, interest in professional activities, adaptation to the profession, professional enlightenment, professional consultation, professional diagnosis, career orientation, career choice, professional knowledge, professional counseling, professional diagnosis, professional training

В статье представлена информация о психологических аспектах ориентации учеников на профессию и профессиональную подготовку, заинтересованности в профессиональной деятельности, адаптации к профессии, профессиональном просвещении, профессиональном консультировании, профессиональной диагностике, тренингах по профориентации.

Мақалада оқушылардың мамандыққа және кәсіптік даярлыққа бағдарлануының психологиялық аспектілері, кәсіптік қызметке қызығушылық, мамандыққа бейімделу, кәсіптік білім беру, кәсіптік кеңес беру, кәсіптік диагностика, кәсіптік бағдар беру бойынша тренингтер туралы ақпарат берілген.
ОРТАЛЫҚ ҚАЗАҚСТАННЫҢ БІЛІМ БЕРУ ҰЙЫМЫН КАДРЛАРМЕН ҚАМТАМАСЫЗЕТУДЕГІ АРНАЙЫ ЖӘНЕ ИНКЛЮЗИВТІ БІЛІМ БЕРУ КАФЕДРАСЫНЫҢ ҮЛЕСІ ТУРАЛЫ
Authors: Rymkhanova A.R.
Published: April 2023

The article is devoted to the history of the formation of the Department of Special and Inclusive Education of the Karaganda University. E.A. Buketov, as well as the issue of training defectologists /special teachers according to the qualification characteristics of a teacher, taking into account modern requirements of the labor market. The relevance of the profession and the trend of increasing demand for personnel associated with the intensive introduction of inclusive conditions in the educational field are noted.

Статья посвящена истории становления кафедры специального и инклюзивного образования Карагандинского университета им. академика Е.А. Букетова, также вопросу подготовки дефектологов/специальных педагогов согласно квалификационной характеристики педагога с учетом современных требовании рынка труда. Отмечена актуальность профессии и тенденция роста востребованности в кадрах, связанных с интенсивным внедрением инклюзивных условий в образовательной сфере.

Мақала академик Е.А. Бөкетов атындағы Қарағандыуниверситетінің арнайы және инклюзивті білім беру кафедрасының қалыптасу тарихына,сондай-ақ,еңбек нарығының заманауи талаптары менмұғалімнің біліктілік сипаттамаларына сәйкес дефектологтарды/арнайы мұғалімдерді даярлау мәселесінқарастыруға арналған. Білім беру саласына инклюзивті жағдайларды қарқынды енгізумен байланысты атаулы мамандықтың өзектілігі мен кадрларға деген сұраныстың өсу тенденциясы атап өтіледі.
FORMATION OF PROFESSIONAL COMPETENCE OF A TEACHER IN THE CONDITION OF INCLUSIVE EDUCATION AND SOCIAL PARTNERSHIP
Authors: Махмудов Х.Ш.
Published: April 2023

Бұл мақалада қазіргі Өзбекстанда инклюзивті білім беруді енгізу мәселесі қарастырылған. Әлеуметтіксеріктестік жүйесін қалыптастыруға ықпал ететін кәсіби-педагогикалық құзыреттіліктерді дамытуға көпкөңіл бөлінеді, бұл өз кезегінде тиісінше мұғалімдер мен балаларға қолайлы жағдай жасайды. Ферғана облысы Қоқан қаласындағы «Әлеуметтік қызмет көрсету кешені» мекемесінің «Соглом бала» мекемесінің мысалында түрлі мүмкіндігі АбайатындағыҚазҰПУ-ніңХабаршысы,«Арнайыпедагогика»сериясыNo4(71)2022 ж.32шектеулі балаларға кезең-кезеңіменпсихологиялық-педагогикалық қолдау көрсету қарастырылған

This article considers the problem of the implementation of inclusive education in modern Uzbekistan. Much attention is paid to the development of professional and pedagogical competencies that contribute to the formation of a system of social partnership, which in turn creates a favorable

В данной статье рассмотрена проблема реализации инклюзивного образования в современном Узбекистане. Уделяется большое внимание развитию профессионально-педагогических компетенций, способствующих формированию системы социального партнерства, которая в свою очередь создает благоприятную среду для педагогов и детей, соответственно. На примере учреждения «Соглом бола» Комплексного центра социального обслуживания города Коканда Ферганской области рассмотрено поэтапное психолого-педагогическое сопровождение детей с различными нарушениями.
ҚОҒАМДАЖОҒАРЫ ИНКЛЮЗИВТІ МӘДЕНИЕТ ЖОЛЫНДА ТОЛЕРАНТТЫЛЫҚҚА ТӘРБИЕЛЕУ
Authors: Esengulova M.N. , Sagat S.A. , Dikhanbai A.K. , Sagingali G.M.
Published: April 2023

This article discusses thetasks in the field of inclusive education for the formation of a culture of educational organization corresponding to the goals of inclusion. This sets a requirement for the educational environment: it must be prepared for inclusion in the educational relations of adults and children with special educational needs. And it is the school that should promote the creation of an inclusive culture, involving all participants in the educational space to the problems of fostering tolerance in society.

Мақалада инклюзия мақсаттарына сәйкес келетін білім беру ұйымының мәдениетін қалыптастыру үшін инклюзивті білім беру саласындағы міндеттер қарастырылған. Бұл білім беру ортасына қойылатын талаптарды белгілейді: оны ересектер мен ерекше білім беру қажеттіліктері бар балалардың білім беру қатынастарына қосу үшін дайындау керек. Мектеп білім беру кеңістігінің барлық қатысушыларын қоғамдағы толеранттылыққа тәрбиелеу проблемаларына тарта отырып, инклюзивті мәдениетті құру.

В данной статье рассмотрены задачи в области инклюзивного образования для формированиякультуры организацииобразования, соответствующей целям инклюзии. Это задает требование к образовательной среде: она должна быть подготовлена для включения в образовательные отношения взрослых и детей с особыми образовательными потребностями. И именно школа должна пропагандировать создание инклюзивной культуры, привлекая всех участников образовательного пространства кпроблемам воспитания толерантности в обществе.
КОРРЕКЦИЯ ДЕТЕЙ С ДЕТСКИМ ЦЕРЕБРАЛЬНЫМ ПАРАЛИЧОМПУТЕМ ОКАЗАНИЯ ПЕДАГОГИЧЕСКОЙ ПОМОЩИ
Authors: Книсарина М.М. , Есекешова М.Д. , Төлепберген Д.Ө. , Тулегенова А.Б. , ҚаңгерейК А.
Published: April 2023

Мақалада дефектолог-мұғалімнің сал ауруы бар балалардыңтүзету-педагогикалық жұмысының жалпы бағыттары, педагогикалық көмек көрсету жолдары, сондай-ақ тірек-қимыл аппараты бұзылған балалардың ата-аналарына уақтылы психологиялық-педагогикалық қолдау көрсету қажеттілігі қарастырылған.

В статье рассмотрены общие направления коррекционно-педагогической работы учителя-дефектолога детьми с детским церебральным параличом, пути оказания педагогической помощи, а также необходимость своевременной психолого-педагогической поддержки родителям детей с нарушением-опорно двигательного аппарата.

The article discusses the general directions of correctional andpedagogical work of a defectologist teacher with children with cerebral palsy, ways of providing pedagogical assistance, as well as the need for timely psychological and pedagogical support to parents of children with musculoskeletal disorders.
ВОЗМОЖНОСТИ ЦЕНТРА НЕПРЕРЫВНОГО И ИНКЛЮЗИВНОГО ОБРАЗОВАНИЯ «DANA BALA»В ПОДГОТОВКЕ ПЕДАГОГОВ ВОСТОЧНО-КАЗАХСТАНСКОЙ ОБЛАСТИ К ВНЕДРЕНИЮ ИНКЛЮЗИВНЫХ ТЕХНОЛОГИЙ
Authors: Radchenko N.N. , Sakharieva S.G. , Alipova A.K.
Published: April 2023

This article reveals the main directions, content of activities and opportunities of the Center for Continuing and Inclusive Education "Dana bala" of the Sarsen Amanzholov East Kazakhstan University in the field of teacher training for the introduction of inclusive technologies

В данной статье раскрываются основные направления, содержание деятельности и возможности центр непрерывного и инклюзивного образования«Dana bala» НАО «Восточно-Казахстанский университет имени Сарсена Аманжолова» в сфере подготовки педагогов к внедрению инклюзивных технологий.

Бұл мақалада педагогтерді инклюзивті технологияларды енгізуге дайындау саласындағы "Сарсен Аманжолов атындағы Шығыс Қазақстан университеті" КЕАҚ "Dana Bala" үздіксіз және инклюзивті білім беру орталығының негізгі бағыттары, қызметінің мазмұны мен мүмкіндіктері ашылады
Intensity fluctuations in Hurricane Irma (2017) during a period of rapid intensification
Authors: Torgerson William , Schwendike Juliane , Ross Andrew , Short Chris J.
Published: April 2023

Abstract. This study aims to understand the fluctuations observed in Hurricane Irma (2017), which change the tangential wind speed and the size of the radius of maximum surface wind and therefore affect short-term destructive potential. Intensity fluctuations observed during a period of rapid intensification of Hurricane Irma between 4 and 6 September 2017 are investigated in a detailed modelling study using an ensemble of Met Office Unified Model (MetUM) convection-permitting forecasts. Although weakening and strengthening phases were defined using 10 m wind, structural changes in the storm were observed through the lower troposphere, with the most substantial changes just above the boundary layer (at around 1500 m). Isolated regions of rotating deep convection, coupled with outward propagating vortex Rossby waves, develop during the strengthening phases. Although these isolated convective structures initially contribute to the increase in azimuthally averaged tangential wind through positive radial eddy vorticity fluxes, the continued outward expansion of convection eventually leads to a negative radial eddy vorticity flux, which halts the strengthening of the tangential wind above the boundary layer at the start of the weakening phase. The outward expansion of the azimuthally averaged convection also enhances the outflow above the boundary layer in the eyewall region, as the convection is no longer strong enough to ventilate the mass inflow from the boundary layer in a process similar to one described in a recent idealised study.
How Do Fitness Club Members Differentiate in Background Characteristics, Exercise Motivation, and Social Support? A Cross-Sectional Study
Authors: Gjestvang Christina , Tangen Elene Mauseth , Arntzen Miriam Basma , Haakstad Lene A. H.
Published: April 2023

Fitness clubs are one of the largest exercise arenas worldwide. Still, membership withdrawal and exercise dropout rates are 40-65% in the first six months. One important approach to retaining members may be to create an environment that feels inclusive, and clusters members with mutual needs and interests. Increased knowledge in this field can provide valuable information that leads to more effective exercise promotion strategies and better retention rates, important to the long-term success of the gym and public health. Thus, we aimed to compare background factors, motivation, and social support between members of multipurpose (wide range of exercise concepts/facilities, middle to high membership fee), fitness-only (low membership fee), and boutique (one or two specialized exercise concepts, high membership fee) fitness clubs. A total of 232 members from multipurpose (n = 107), fitness-only (n = 52), and boutique gyms (n = 73) were recruited for this cross-sectional study. Data included background variables (age, gender, body weight and height, smoking, total household income, occupation, education, and general health), exercise behaviour, exercise motivation, and social support. A one-way between-group ANOVA with Bonferroni correction or a chi-square test was used as appropriate. Multipurpose and fitness-only members were older (mean diff: 9.1 years, p = <0.001) and exercised less (mean diff: 1-1.2 sessions/week, p = <0.001) than members from boutique clubs. Compared with multipurpose and fitness-only members, members from boutique clubs reported the highest autonomous motivation (intrinsic regulation: mean diff: 0.3, p = 0.030), and perceived greater social support from family/friends (mean diff: 6.4 to 6.6, p = <0.001). Boutique members were younger, exercised more, and reported higher autonomous motivation and social support than multipurpose and fitness-only members. Our results suggest that exercise enjoyment and a social community, the “philosophy” of boutique gyms, may be important for regular exercise.
Design of Safe and Quality Potato Chips Product Packaging Using Quality Function Deployment Method
Authors: Harahap Azwar , Zakaria Muhammad , Syukriah Syukriah , Fadilla Meutia
Published: April 2023

Packaging serves as a food storage system that protects food and goods from natural processes and facilitates ease of transportation. This study aimed to address the problems related to cassava chip packaging, such as inappropriate sizes and packages that are prone to breaking, by applying Quality Function Deployment (QFD) in designing packaging that meets food safety and quality. Through interviews with customers, the study confirmed the existence of packaging problems and the dissatisfaction expressed by customers regarding the product packaging. QFD was employed to determine consumer needs and desires for a product design that conforms to quality characteristics and technical requirements. The study also used a consumer assessment questionnaire to identify the most important product attributes and design requirements that meet consumer expectations. The study found that rectangular packaging shapes, bright colored primary packaging colors, polypropylene plastic packaging materials, the location of the logo on the packaging in the middle of the package square, four, light color, and an image of sweet potato chips on the logo are factors that influence product packaging design that meets food safety and quality. This study's findings can be useful for practitioners and researchers in designing packaging that meets consumer expectations, as well as for promoting food safety and quality.
Experimental Study on Utilizing Polyethylene Terephthalate Waste as a Substitute for Coarse Aggregate in the Production of Lightweight Concrete
Authors: Alkhaly Yulius Rief , Chandra Yovi , Ayu Widari Lis
Published: April 2023

Concrete is a building material that consists of a mixture of aggregate and paste. Normal concrete has a unit weight of 2200 kg/m3 to 2500 kg/m3. In addition to normal concrete, lightweight concrete is also known which has a unit weight of less than 1900 kg/m3. The research was conducted to produce lightweight concrete by using aggregate from polyethylene terephthalate (PET) plastic waste as a substitute for coarse aggregate. This study used 40 cylindrical samples of 150 mm x 300 mm with variations in the use of PET aggregates of 25%, 50%, and 100% of the volume of coarse aggregate. The results show that the use of PET aggregates produces concrete with a decrease in compressive strength of 26%–39% and a decrease in water absorption of 2%–32% from normal concrete. Ultrasonic Pulse Velocity (UPV) testing showed that the concrete with PET aggregates had a lower wave propagation velocity compared to normal concrete. Moreover, Schmidt hammer and splitting tensile test showed that concrete with PET aggregates had lower rebound number and split tensile strength compared to normal concrete. PET substitution percentages of 25% and 50% resulted in unit weights of 2218 kg/m3 and 2102 kg/m3, respectively, which rule out the use of lightweight concrete. However, 100% PET substitution has a unit weight of 1855 kg/m3 with a compressive strength of 14.16 MPa, which can be categorized as moderate structural lightweight aggregate concrete.
Role of Absorptive Capacity for E-learning and Organizational Culture on Job Performance: An Empirical Study from Pakistan
Authors: Moula Bakhsh Maryam , Aziz Atif
Published: April 2023

Employee job performance is a critical topic of interest and concern for the organization. In order to evaluate the factors that may impact employee job performance in the context of COVID-19 pandemic, this study aims to explore the impact of absorptive capacity for e-Learning on the job performance of teaching faculty. Additionally, the study explored how organizational culture may act as a mediator. The COVID-19 pandemic calls for a transformation in the educational system from the physical to the virtual, which requires teaching faculty to increase their E-learning proficiency. It was necessary to assess each faculty member's effort in this situation. An analytical cross-sectional study design was used to collect data from the teaching faculty of higher education institutions in Karachi, Pakistan. The sample size was 377. Data was collected through reliable and valid self-administered tools. SPSS 23.0 and the PROCESS macro were used to conduct data analysis. Empirical findings from the study demonstrate the significant positive effect of knowledge recognition, assimilation, transformation, and exploitation on job performance. Furthermore, organizational culture significantly mediates the effect of knowledge recognition, assimilation, transformation, and exploitation on job performance. The findings have important implications for managers and policymakers besides employees in creating opportunities for their employees to develop high absorptive capacity and recommend managers to create an appreciative climate within their organizations, which may influence job performance.
Adverse Possession of Art
Authors: Lazerow Herbert
Published: April 2023

Some cases and commentators have argued that the doctrine of adverse possession, which gives title to a long-term possessor of property, should not be applied to personal property, especially art. This Article concludes that it is impossible to determine whether adverse possession applies to personalty in California. It then looks at the doctrine, policy, and practicalities of the statute of limitations, laches, and adverse possession, focusing on the practical effect of the increased cost of litigation. It concludes that most objections to applying adverse possession to personalty are, in fact, objections to barring the claiming owner through the statute of limitations. As a theoretical matter, once suit is barred by the statute of limitations, the application of adverse possession is appropriate, but adverse possession seems less important to successful litigants for personal property than it does for realty because there are few effective gatekeepers for personalty.
Plunder and Provenance: Using Restitution to Correct a Market Defect
Authors: Keim Steffanie
Published: April 2023

The secondary art market is experiencing a market failure caused by Nazi-looted art without legal title. Legal and market responses are inadequate and create illiquidity. The prevailing methodology entrenches existing inefficiencies by not utilizing the potential to rehabilitate Nazi-looted art. Economic research does not address Nazi-looted art, and the legal, ethical, and moral discussions are not considering the economic effect of Nazi-looted art on the market. Existing proposals lack a distributive aspect and are inefficient as they remain anchored in the bilateral structure of current possessor versus original owner and a zero-sum framework. This Article closes the existing gap in the literature and recommends compensated restitution as a market solution to the toxic asset of Nazi-looted art. The Article’s central contribution to the restitution debate is the proposed creation of the Holocaust Expropriated Art Restitution Fund (HEAR Fund), which removes Nazi-looted art from the market and increases liquidity through restitution. The HEAR Fund captures and utilizes currently ignored private information, allowing it to contribute to social utility. Uncertainty is eliminated, and the artwork reenters the market with legal title. The Fund has two functions: a database and efficient information infrastructure for provenance research and acquiring works for restitution. It creates an efficient solution to the Nazi-looted art problem by increasing the utility of all art market actors and implements the long-standing executive policy of the United States government on Nazi-looted art bringing justice to the victims of Nazi dispossession. Restitution is structuralized by treating comparable situations equally, adding fairness and justice to the process, and compensation ensures the participation of current possessors.
Acquired Bartter Like Syndrome in a Patient of Multi Drug Resistant Pulmonary Tuberculosis Secondary to Kanamycin Nephrotoxicity – A Case Report
Authors: Bhargude Devesh , Rajadhyaksha Anjali , Vaidya Meghna
Published: April 2023

India has the highest estimated burden of tuberculosis infection (TBI) globally caused by Mycobacterium Tuberculosis , with nearly 35-40 crores Indian population having TBI, of which 26 lakhs people (18-36 lakh) are estimated to develop Tuberculosis (TB) disease annually. An integrated and comprehensive ‘cascade of care’ approach and new advances in National Tuberculosis Elimination Program provided us with definitive management of tuberculosis infection and an active tuberculosis disease. Aminoglycosides are one of the cornerstones of drug resistant tuberculosis. Although highly effective they are very notorious for their dose dependent and independent nephrotoxicity . Our experience denotes a rare diagnosis of acquired Bartter like syndrome, in a 60-year man with long standing symp-tomatic pulmonary tuberculosis who received Kanamycin for a period of 5 months and subsequently presented with life threatening elec-trolyte imbalance. Subsequent prognosis showed improvement with conservative treatment and he was discharged in stable condition. It also highlights the importance of adherence to the standard guidelines under National Tuberculosis Elimination Program (NTEP) and the importance of the routine monitoring of electrolytes in Multi-Drug Resistant Tuberculosis (MDR-TB) patients receiving treatment that includes Kanamycin.
Concept Proposal for Nationalised Formative and Summative Assessments to Enhance the Preparedness of Medical Students for the National Exit Test (NExT) and Solution for Low Resource Countries: Insights from NBME Examinations in the USA
Authors: Kuppili Satwik , Madala Eshika , Kant Ravi , Tiwari Lokesh Kumar , Edara Lokesh
Published: April 2023

The National Exit Test (NExT) is planned to have a nationalised uniform assessment system for Indian medical graduates. This, being a new concept in India, the preparedness of students for such assessment needs to be under consideration. USMLE is a time-tested model in the United States of America. NBME test scores in the USA are intended for summative assessment of medical students and closely mimic the USMLE scores. We propose a model of nationalised formative and summative assessments as a preparedness tool for NExT that can be adapted by the NMC to have uniform and high-quality holistic assessment tools for Indian medical graduates.
A Beginners Guide to Approaching a Patient with a Perforated Tympanic Membrane
Authors: MP Manoj
Published: April 2023

Perforations of the tympanic membrane are among the most everyday presentations to an otolaryngologist. Whilst many heal without treatment, there are some which need surgical closure. There have been so many ways to do this, and overall can be bewildering to a young Otologist. The article summarizes the most pertinent do’s and don’t’s to achieve a good result and how to maintain that over the years. The article is the result of many years work of by the author, a busy practising otologist for the last three decades.
Acute Pancreatitis as a Complication of Moderate Covid-19
Authors: Sailaja N Sesha , Gopal Rahul , R Shravan
Published: April 2023

Covid-19 mainly causes pulmonary disease, but involvement of other major systems – CVS, CNS, Renal along with gastrointes-tinal and hepatobiliary system has been reported. We present a case of acute pancreatitis in a 28-year-old patient with moderate covid-19 pneumonia. After excluding other medical and surgical causes for acute pancreatitis, SARS-COV-2 virus has been impli-cated to be the causative factor in this patient for acute pancreatitis. So, any patient presenting with acute pancreatitis during this pandemic needs to be screened for SARS-COV-2 and vice versa. Early recognition and medical management save the patient and protects surgeons from risk of viral transmission
Surgical Approach to Eagle’s Syndrome: Our Experience
Authors: Reddy D Sekhar , Rao G.V.S
Published: April 2023

Aim: To describe our experience of intraoral surgical management of patients with Eagle’s syndrome. Materials and Methods: Twenty patients with elongated styloid processes were treated between January 2016 to December 2020. Intraoral digital palpation of tonsillar fossa and Lateral skull X-ray was done in those with symptoms suggestive of the diagnosis of eagle’s syndrome and patients with styloid processes longer than 30 mm were treated by intraoral surgical resection.Results: We have included 20 patients in the study. The mean age was 46.6 + 8.4 years with a range of 31 years to 63 years. Female: male ratio was 4:1. 13(65%) cases left side lesion seen 5(25%) cases right side 2(10%) cases bilateral elongated seen. The most common presenting symptom was hemicranial pain on swallowing, 92% of subjects were symptom free by third week. No perioperative complications were encounteredConclusion: Eagle’s syndrome is most frequently a diagnosis of exclusion. Delay in proper management exposes patients to long-term struggle with pain and cancerophobia that cause great deal of emotional distress. The intraoral Styloidectomy approach is a simple minimally invasive approach that provides a satisfactory results.
Post Coivd-19 Effects and Remedial Measures
Authors: Rao J Vijay
Published: April 2023

This paper describes post COVID 19 effects and the necessary remedial measures to be implemented to eradicate this pandemic. COVID-19 is a unique and novel infection that has already demonstrated a range of perplexing clinical syndromes. Its legacy will be felt long after the pandemic has passed. It is vital that the respiratory community is primed to detect and manage the long-term consequences of the infection and has sufficient resources to deliver it. COVID-19 is a highly contagious virus that mainly attacks the lungs. It is transmitted through droplets created from sneezing and coughing from those infected. The virus enters the body via the nose, mouth and eyes.Post-COVID conditions can occur in patients who have had varying degrees of illness during acute infection, including those who had mild or asymptomatic infections. Medical and research communities are still learning about these post-acute symptoms and clinical findings. As we march ahead facing the challenges of COVID-19 Pandemic, health systems and health care providers were stretched to the limit to give more and more and often at great personal risk. COVID-19 Pandemic has had a serious impact on each and every one in general and society in particular. The need of the hour is to compliance towards achieving 100% vaccination and follow COVID appropriate behaviour i.e. physical distancing, wearing mask, frequent hand wash/sanitization
Stress Management – VUCA
Authors: Rao J Vijay
Published: April 2023

VUCA describes a world that has Volatility – recreated rate of change, Uncertainty – an unclear future, Complexity - decisions have multiple factors and Ambiguity – lack of clarity about meaning. This situation was prevailing in the world before COVID-19 pandemic which could be described broadly in terms of the present, Near and Far change. In the similar fashion COVID-19 pandemic post period can be described as Now, in the short term what the world needs to look is – Pre-vaccine - to achieve our vision, Near, medium term focus on the immediate impact of a vaccine and on what will it mean to us? and finally the Far change which is a long term phenomenon include describing optimistically the future post vaccine, stress responses to change and if change is perceived negatively the way we fight, the threat or flight run away from the threat freeze, not be able to respond to the threat flood, be overcome by emotion and by threat, fawn –submit to the threat and the fatigue which is the feel exhausted by the threat. So, the result could either be endings or beginnings. The endings are ambers, anxiety, shock, confusion, anger, fear, frustration and/or cynicism. Then we will find the neutral zone – i.e., preparation soon, valley of despair. Whereas the new beginnings are enthusiasm, trust, excitement, relief, hope / scepticism, acceptance, and curiosity. It can thus be summarized that leading change in VUCA world is not easy and developing a vision of Now, Near & Future may be helpful. Understanding the role of erection in change is very essential and mindset and mood contagion of the leader are also equally important. Developing leadership agility helps in leading change. This paper explains the benefits of VUCA implantation for future growth and prosperity
Multi Modality Dementia Imaging
Authors: Shaikh Sikandar , Nasirabadi Minhajzafar
Published: April 2023

Imaging of the Dementia has undergone lot of advancements due to the availability of the newer techniques, newer modalities and the newer applications of the already existing contrasts, biomarkers, and newer software. The use of the various focussed agents for the diagnosis has led to the earlier and more precise diagnosis of the subclinical diseases which can prevent lot of the morbidi-ties leading to the concept of the precision medicine. To add this the concept of the hybrid functional imaging has revolutionized leading to the basis of the molecular imaging. This article will show the use of newer multiple modalities for the early and better diagnosis.
Rare Case of Tetanus from Snakebite Wound
Authors: Vijaykumar Godla , Sreenivas Kanakam
Published: April 2023

Venomous snakebites are common occupational and domestic threats which can lead to significant morbidity and mortality. Secondary bacterial infections like tetanus may complicate snake bites further adding to the disability. Early and prompt recogni-tion and treatment of tetanus is important to reduce the disability caused by it. Here, we present a case of 21-year-old male who was brought with a history of snake bite and was given anti snake venom and started on antibiotics. He later developed tetanus complications after 2 days and was treated with anti-tetanus serum and tetanus toxoid after which his condition was stable and recovered fully
Multiple Lesions of Pyoderma Gangrenosum as a Rare Manifestation of Ulcerative Colitis - A Case Report
Authors: Farishta Faraz
Published: April 2023

Pyoderma Gangrenosum is a dermatologic extra intestinal manifestation more commonly seen in Ulcerative colitis than Crohn’s colitis.It is usually associated with severe disease and sometimes difficult to treat and may require IV antibiotics, IV glucocorticoids, azathioprine, thalidomide, IV cyclosporine.We report a case of a 50-year-old female with Type 2 diabetes mellitus and ulcerative colitis in remission phase with recent onset active proctitis followed by development of expanding ulcers with violaceous edges over the lower extremity and stomatitis.
Ureterocele Presenting as Vaginal Mass in a Pregnant Woman
Authors: Sreelatha B  , Reddy G Sunil
Published: April 2023

A 21-year-old pregnant presented with vaginal mass. On examination a cyst was noted in anterior wall of vagina. On evaluation it is diagnosed as ectopic ureterocoele inserting in to vagina. As patient has no other complaints conservative management is advised and patient is doing well.
Development of Organisation and Leadership
Authors: Reddy K Jayaprakash
Published: April 2023

With able leadership comes good success. Indian Medical Association, Neelagiri branch in Nalgonda town grew from rags to riches. From dues in payments to getting a plot for separate building construction, forming a separate SHE team and gaining so many rewards and awards shows that a good strong foundation to the branch with limited members organised perfectly with passion to serve IMA has resulted what it is today. It shows how a person taking charge as a leader can make an organization flour-ish to reach great heights.
Adolescent Health...Future Gen...Needs Attention...
Authors: Kumar Laxman
Published: April 2023

Adolescence is a phase of rapid growth and development during which physical, physiological and behavioural changes occur. Morbidity and mortality occurring in this age group is mostly due to preventable causes. Adolescent health programmes are fragmentary at present and there is no comprehensive programme addressing all the needs of adolescents. Access and availability of health care services are severely limited. Lack of accurate information, absence of proper guidance, parent’s ignorance, lack of skills and insufficient services from health care delivery system are the major barriers. Interventions should focus on provid-ing psychological and mental health services and behaviour change communication towards leading a healthy lifestyle, restrict-ing advertisements related to junk food products, awareness creation about reproductive and sexual health, educating parents to prevent early marriage, teenage pregnancy and to counsel their children on nutrition and reproductive health.
INTOXICACIÓN AGUDA SEVERA POR PLAGUICIDA TIPO FUMIGANTE DE FOSFURO DE ALUMINIO HOSPITAL SANTA BÁRBARA, 2014 A PROPÓSITO DE UN CASO CLÍNlCO
Authors: Carvajal Oviedo Hugo , Arancibia Andrade Boris , Leaño Palenque Enrique , Estrada Vedia Oscar
Published: April 2023

La intoxicación aguda por fosfuro de aluminio es letal y su componente tóxico es un gas denominado fosfín. Esta sustancia es un fumigante utilizado para la conservación de los granos de las cosechas, el cual es altamente tóxico para los insectos en todos sus estadios.

Su ingestión voluntaria es con intención suicida. En el humano la muerte ocurre como resultado de un profundo estado de choque, miocarditis, arritmias letales y falla orgánica múltiple. Las dosis fatales de este veneno van desde 50mg a 500mg. Incluso una dosificación menor a ésta es capaz de condicionar la muerte. La tasa de mortalidad reportada en la literatura oscila entre 40% y 80%, ha condicionado el mayor número de defunciones comparado con todos los venenos usados. Este veneno ha sido usado frecuentemente como un método de autoagresión en el intento suicida en adolescentes y jóvenes en medio rural. Por su alta letalidad es imperativo conocer su presentación clínica.

Se presenta el caso de una paciente de sexo femenino de 15 años de edad procedente del municipio de Yamparáez con antecedente de ingesta intencionada de plaguicida, llegando al servicio de emergencias 1 hora posterior a su ingesta, presentando a su ingreso alteración del estado de conciencia, con franca insuficiencia respiratoria, hipotensa, taquicardia, taquipneica. Tras haber realizado todas la medidas de descontaminación y soporte hemodinámico durante 9 horas, la paciente falleció.
LA IMPORTANCIA DEL CHEF HOSPITALARIO EN LA ACTUALIDAD
Authors: Escobar Saire Ximena
Published: April 2023

El recurso humano con el que cuenta cualquier institución, y de manera particular la Unidad de Nutrición y Dietética en cualquier hospital, es un pilar fundamental para satisfacer la atención compleja que implica un paciente, ya que no sólo se deben tomar en cuenta las necesidades nutricionales, contemplar gustos y hábitos, sino que también debe adecuarse a la situación fisiopatológica.

Estos factores obligan a reflexionar sobre la alimentación hospitalaria y a desarrollar estrategias que coadyuven al tratamiento del paciente; en este sentido se valora el rol del profesional en gastronomía, "chef hospitalario", que al ser incorporado en la Unidad de Nutrición, en este caso del Hospital Univalle, ha mejorado el servicio de atención al paciente hospitalizado a través del ofrecimiento de una alimentación más agradable, apetitosa y de acuerdo a normas nutricionales establecidas.
DETERMINACIÓN DEL ÍNDlCE DE DISCREPANCIA DENTARIA EN ESTUDIANTES DE 4to y 5to AÑO DE LA CARRERA DE ODONTOLOGÍA DE LA UNIVERSIDAD DEL VALLE, GESTIONES 2010-2012-2013
Authors: López Virguetti Marcelo
Published: April 2023

Discrepancia dentaria es la diferencia positiva o negativa que existe entre el espacio disponible del perímetro del hueso alveolar y el espacio requerido para la erupción y alineación adecuada de los dientes. Es dada por la sumatoria de los anchos mesio distales, de mesial del primer molar permanente a mesial del lado opuesto.

En la Clínica Odontológica Univalle Cochabamba se realizó un trabajo de investigación de tipo prospectivo y descriptivo con el objetivo de determinar el índice de Discrepancia Dentaria existente y el tipo de tratamiento para la resolución de la misma, en 50 estudiantes de 4to y 5to año de la carrera de Odontología de la Universidad del Valle, gestiones 2010, 2012, 2013. Se confeccionaron modelos de yeso de las arcadas dentarias de cada uno de los estudiantes donde se realizaron las mediciones para determinar la discrepancia.

Los principales resultados fueron: discrepancias negativas mayores a 8 mm en 12 estudiantes, discrepancias negativas menores a 8 mm en 34 estudiantes y discrepancias positivas en 4 estudiantes. Los tratamientos de mayor requerimiento fueron alineación y nivelación dental seguida de desgaste dental.

El 100% de los casos estudiados presentó discrepancia y el sexo más afectado fue el femenino a diferencia de la investigación realizada en Cuba donde solo el 44% presentó discrepancias y no existía diferencia significativa en cuanto al sexo, esta diferencia puede deberse a factores biotipológicos, hereditarios y raciales.
CRANEOTOMÍA PTERIONAL PASO A PASO
Authors: Gonzalo Párraga Richard , Vargas Gutiérrez Lolita , Lozada Lamas Emily
Published: April 2023

La craneotomía fronto-témporo-esfenoidal, que es denominada de pterional; permite la exposición del opérculo fronto-témporo-parietal y la fisura Sylviana, por lo que constituye el abordaje más utilizado en la neurocirugía actual. Constituye uno de los marcos iniciales del advenimiento de la microneurocirugía.

A lo largo de las últimas décadas la craneotomía pterional fue modificada por varios autores, y también dio origen a craneotomías más amplias, entre las cuales se destacan la craneotomía supra-orbitaria y la craneotomía órbito-zigomática.

El presente artículo realiza la descripción detallada de la técnica que se emplea actualmente para su realización, con las modificaciones propias realizadas por nuestro equipo quirúrgico.
QUISTE GINGIVAL DEL RECIÉN NACIDO: SEGUIMIENTO CLÍNlCO POR CINCO AÑOS Y NUEVE MESES EN LA CLÍNlCA ODONTOLÓGICA UNIVALLE - LA PAZ, JUNIO 2009 A MARZO 2015
Authors: Flores Ramos Janeth Liliam , Mollo López Judith Rocío , Strauss Quintela Manfred , Vidal Chavarria Dalma , Jiménez Humeres Sergio , Krings Arratia Johann
Published: April 2023

Los quistes gingivales del recién nacido son quistes del desarrollo que se presentan en rebordes alveolares de neonatos, como pequeñas pápulas, múltiples y blanquecinas. Derivan de los remanentes de la lámina dental.

Estos quistes son alteraciones benignas de la mucosa oral, se dan de forma natural y desaparecen gradualmente, sin ningún tipo de tratamiento. Es importante que los profesionales involucrados en el cuidado de los recién nacidos puedan identificar rápidamente estos quistes para evitar procedimientos terapéuticos innecesarios y proporcionar información adecuada a los padres.

El objetivo del presente artículo fue describir el seguimiento clínico de un paciente con quistes gingivales del recién nacido, realizado en la Clínica Odontológica de la Universidad del Valle La Paz; al cual se le hizo el seguimiento durante 5 años y 9 meses, evidenciando la desaparición de manera gradual de los quistes y algunas complicaciones a nivel de la mucosa oral.
USO DE LA SILICONA ACÉTICA COMO ALTERNATIVA PARA EL ESTUDIO MORFOLÓGICO DE LA REPLECIÓN ARTERIAL EN CADÁVER EN LA UNIDAD DE MORFOLOGÍA DE LA UNIVERSIDAD PRIVADA DEL VALLE DURANTE LA GESTIÓN 2014
Authors: Escobar Hemán
Published: April 2023

El uso de la silicona en el estudio morfológico es ampliamente conocido, sin embargo el alto costo de los disolventes que se utilizan normalmente dificulta su uso, por lo que la búsqueda de nuevos disolventes es una permanente preocupación de los científicos que trabajan en el área anatómica.

El presente estudio de tipo experimental presenta los resultados obtenidos en la observación de la repleción arterial utilizando silicona acética pigmentada, mezcla donde el solvente es la gasolina en una proporción de 1:1, lográndose una buena elasticidad de la silicona, facilidad en la repleción arterial y permitiendo después de su fraguado y corte se pueda conocer con mayor exactitud la trayectoria y dimensiones de las arterias y arteriolas, además de observarse una contracción mínima de la silicona una vez fraguada y curada.

La aplicación de este método en el estudio de la anatomía humana permitirá a los profesionales y estudiantes de la rama médica establecer con mayor precisión la morfología de las arterias y venas, de variaciones que pueden existir y explicar mejor el funcionamiento del organismo humano.