bluuebunny/crossref_metadata_2025 huggingface dataset:
Beyond Borders: Shedding Light on Foreign Bribery through an Islamic Legal Lens
Authors: Sauni Herawan , Fernando Zico Junius , Putra David Aprizon , Virdaus Saivol , Hardinanto Aris
Published: December 2024

This research examines the urgency and challenges of eradicating foreign bribery in Indonesia, utilizing the perspective of Islamic law as an ethical and moral framework. Although Indonesia has committed to the eradication of corruption through ratification of the United Nations Convention against Corruption (UNCAC) and participation in the G20 Anti-Corruption Working Group, the persistence of a stagnant Corruption Perception Index (CPI) score and the absence of specific regulations on foreign bribery indicate a gap between international commitments and domestic implementation. Through a normative legal method, this research analyzes the legal framework and corruption eradication practices in comparison to the principles of fairness, transparency, and accountability in Islamic law. The results show that there are significant gaps in the regulation and practice of combating corruption, especially in relation to combating foreign bribery. This research recommends reforming regulations that not only meet international standards but also accommodate ethical and moral values from Islamic law, as well as emphasizing the importance of international cooperation based on the principle of solidarity in goodness. Efforts to eradicate foreign bribery in Indonesia require a comprehensive approach, combining legal reform, integration of Islamic values, and strengthening international cooperation, to increase the effectiveness of the fight against corruption and strengthen integrity and public trust.
Diversity of Beautiful Beetles in the Suranadi Nature Tourism Park Area
Authors: Ilhamdi Mohammad Liwa , Idrus Agil Al , Santoso Didik , Raksun Ahmad , Kusuma Anindita Suliya Hangesti Mandra
Published: December 2024

Beetles exhibit unique shapes and color variations and play important ecological roles in the environment. Suranadi Nature Tourism Park (TWA Suranadi), a nature-based tourism area, has the potential presence of beautiful beetles. This study aims to examine the diversity of beautiful beetles in TWA Suranadi to support its tourism appeal. Sampling was conducted in May 2024 by surveying predetermined paths. The beetles collected were identified using identification books, relevant articles, and taxonomic name verification through websites. Thirteen species were identified, belonging to six families (Cerambycidae; Chrysomelidae, Erotylidae, Eucnemidae, Hydrophilidae, Scarabaeidae). The Chrysomelidae and Scarabaeidae families were species-rich and exhibited diverse shapes and colors. Beetles found along the forest edge path showed greater diversity (H’=2.3842) compared to the other two paths, namely the water path (H’=2.2893) and the middle path (H’=1.9804). The diversity (H’) of beautiful beetles in TWA Suranadi was 2.3532.
Pengelolaan Sampah Organik Terpadu untuk Mendukung Pertanian Berkelanjutan di Desa Huluduotamo Kabupaten Bone Bolango
Authors: Solihin Angry Pratama , Iswati Rida , Dama Hasna
Published: December 2024

Pengelolaan sampah organik merupakan salah satu langkah penting dalam mendukung pertanian berkelanjutan. Di Desa Huluduotamo, Kabupaten Bone Bolango, masyarakat menghadapi permasalahan minimnya kesadaran dan keterampilan dalam mengolah sampah organik menjadi pupuk yang dapat dimanfaatkan untuk pertanian. Selain itu, ketergantungan petani pada pupuk kimia menjadi tantangan tersendiri bagi keberlanjutan pertanian. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat dalam mengolah sampah organik menjadi pupuk organik yang dapat mendukung pertanian berkelanjutan dan menciptakan peluang ekonomi baru. Metode yang digunakan dalam kegiatan ini adalah pelatihan dan pendampingan kepada masyarakat setempat dalam pengolahan brangkasan jagung, jerami padi, dan sampah rumah tangga menjadi pupuk kompos dengan bantuan jamur Trichoderma sp., serta pengolahan sampah rumah tangga menjadi pupuk kompos dan pupuk cair menggunakan lalat Black Soldier Fly (BSF). Kegiatan ini diikuti oleh 20 peserta yang menunjukkan antusiasme tinggi dan mampu mengaplikasikan teknik-teknik yang telah diajarkan dalam pengolahan sampah organik menjadi pupuk organik. Hasil dari pelatihan ini diharapkan dapat mengurangi permasalahan sampah, mengurangi ketergantungan terhadap pupuk kimia, serta membuka peluang ekonomi baru bagi masyarakat desa Huluduotamo.
Recognize and Prevent Diabetes Mellitus with CERDIK at Mangunsari Health Center, Salatiga
Authors: Raswandaru Marsela Riska , Karuhgair Juan Christianto , Asyiqinnur Ahmad , Khoirunnisa Dian , Kulka Gisteryana , Uropmabin Tokon
Published: December 2024

Diabetes mellitus is a chronic condition in which the body cannot produce or use insulin effectively, causing high blood sugar levels. Non-pharmacological therapy is one option to prevent and treat diabetes mellitus, for example "Diabetes Diet." Diabetes diet can be done by regulating carbohydrate intake, increasing consumption of fruits and vegetables, avoiding foods high in sugar, and maintaining an active lifestyle. The purpose of this community service is to provide health promotion related to diabetes mellitus and diabetes diet so that the community understands how to treat and prevent diabetes. The method of implementing health promotion is carried out using two techniques: 1) Delivery of material, 2) Demonstration related to diabetes diet. The results of community service showed an increase in participant knowledge about diabetes mellitus and how to treat and prevent it. Participants showed high involvement and enthusiasm during the activity. Evaluation of community service was carried out through oral questions and pre-post tests related to the health promotion material provided. Health promotion related to diabetes mellitus is very important for the community so that they can gain positive knowledge to improve their health.
Evaluación de la percepción de docentes universitarios tras la implementación de un fondo de pensiones para garantizar la estabilidad del sistema de pensiones en una universidad pública de México
Authors: Ortiz Gil Miguel Ángel , Maravert Alba Myrna Iselda , Reyes Montúfar Claudia Lizbeth , Cardona Alvarado Mónica Irasu
Published: December 2024

La Universidad de Guanajuato (UG), para hacer frente al pago de pensiones, toma el 40.61% de la nómina, que equivale a 500 millones de pesos anuales. Debido a lo anterior, se implementó una reforma llamada, Fondo Auxiliar Solidario para el Apoyo al Pago de Complemento de Pensiones de la Universidad de Guanajuato (FAS). El objetivo de esta investigación fue Determinar el grado de satisfacción en cuanto a la estabilidad laboral después de la entrada de esta reforma. Los resultados muestran que más del 40% consideró estar totalmente de acuerdo en una mejora, en aspectos como: la seguridad de recibir su pensión; en que se previno una crisis financiera en la institución; satisfacción en participar en la aportación al fondo de pensiones. Se concluye que la existencia de ese fondo puede disminuir el subsidio que actualmente cubre la institución, con lo cual se da solidez a la universidad y que el personal académico está conforme con su creación y funcionamiento por el bienestar de la estabilidad laboral.
Importancia de los estilos de aprendizaje como estrategia en la enseñanza en una universidad privada en México
Authors: Noguez Ortiz Juan Carlos
Published: December 2024

Esta investigación busca identificar los estilos de aprendizaje predominantes para proponer las mejores estrategias de enseñanza que promuevan el aprendizaje significativo y mejore el rendimiento académico, mediante la identificación de los estilos de aprendizaje de una muestra de estudiantes universitarios de primer semestre, a los cuales se les aplica el Cuestionario Honey – Alonso de Estilos de Aprendizaje (CHAEA). La muestra consta de 24 participantes. El enfoque del estudio es cuantitativo y cualitativo. Los datos obtenidos fueron analizados utilizando las herramientas estadísticas de Microsoft Excel. Luego del procesamiento de los resultados, se determinó que el estilo de aprendizaje predominante es el reflexivo con 42%, con una preferencia moderada. En segundo lugar, el estilo pragmático con 21%; en tercer lugar, el estilo activo con 12.5% y en último lugar el estilo teórico con 4%. Con un porcentaje de 79%, los participantes mostraron un estilo de aprendizaje único y un 21% un estilo combinado. Todos los estilos de aprendizaje están presentes en la muestra de estudiantes. También se identificó que un estudiante con estilos de aprendizaje menos desarrollados puede obtener promedios de calificaciones más altos que aquellos estudiantes con estilos de aprendizaje más desarrollados. Con estos resultados, se proponen algunas estrategias didácticas (mapas conceptuales, trabajo de investigación y método de casos, para el caso del estilo reflexivo), para que sean implementadas según las características de aprendizaje de los estudiantes y se mejore su rendimiento académico. Para futuras investigaciones se recomienda entrevistar a docentes, incrementar el tamaño de la muestra y trabajar con muestreo probabilístico.
El proceso de enseñanza–aprendizaje de la práctica quirúrgica: Una visión desde la gestión de la calidad
Authors: Delgado Galindez Blanca , Padilla Raygoza Nicolás
Published: December 2024

La investigación titulada “El proceso de Enseñanza-aprendizaje de la práctica quirúrgica: una visión desde la Gestión de la Calidad” se enfocó en el estudio detallado de la gestión de la calidad en la educación quirúrgica en la enseñanza superior. Su objetivo primordial fue explorar y analizar cómo la gestión de la calidad influye en la enseñanza y el aprendizaje de la práctica quirúrgica. La Metodología se llevó a cabo utilizando un diseño descriptivo y documental, se realizó una revisión bibliográfica exhaustiva en Google Scholar, Biblioteca Digital UNAM (BiDi-UNAM) y la plataforma ERIC. La selección de muestras incluyó artículos, libros, y documentos, y se llevó a cabo un análisis crítico y categorización de las ideas clave. La revisión reveló una diversidad de enfoques sobre la enseñanza-aprendizaje en la práctica quirúrgica. Se identificaron categorías temáticas como "Enfoques Pedagógicos", "Gestión de la Calidad", "Reforma en la Educación Quirúrgica", y "Análisis Crítico", que reflejaron una complejidad y multifacética naturaleza en la gestión de la calidad. Los hallazgos resaltaron la importancia de la integración entre educación y práctica quirúrgica, y la necesidad de cambios significativos en la formación. Se destacó la relevancia del análisis crítico y la reflexión personal en el proceso educativo, y la interpretación adecuada de los indicadores de calidad. Estos resultados ofrecen una panorámica comprensiva de la enseñanza-aprendizaje de la práctica quirúrgica desde la gestión de la calidad, subrayando la necesidad de abordarla desde múltiples perspectivas.
Avaliação da estabilidade de tensão com a presença da geração eólica
Authors: Macena Cristian Kelvin Arruda de , dantas João Pedro Lima , Medeiros Ariel Souza , Tavares Marley Fagundes
Published: December 2024

A crescente participação da energia eólica na matriz energética brasileira traz desafios para a estabilidade do sistema elétrico. Este trabalho analisa o impacto da integração de energia eólica na estabilidade de tensão e na margem de segurança de tensão, utilizando um sistema elétrico de 30 barras como modelo. Os resultados mostram que a energia eólica aumenta a margem de estabilidade de tensão em 14,73%, mas não eleva a tensão da barra crítica para dentro dos limites operacionais. O estudo evidencia a necessidade de análises de estabilidade de tensão em sistemas com alta penetração eólica para garantir a confiabilidade e sustentabilidade do sistema.
SOCIOEDUCAÇÃO NO MEIO ABERTO: A PORTA “FECHADA” DA POLÍTICA PÚBLICA DE EDUCAÇÃO
Authors: GOUVEIA FELIPE DE OLIVEIRA
Published: December 2024

A presente pesquisa tem como finalidade discutir a negativa de vagas escolares a adolescentes e jovens em cumprimento de medidas socioeducativas em meio aberto na cidade do Guarujá - SP. Trata-se de u
A socio-epistemological approach articulated with problem-solving in higher education: Teaching of integral calculus
Authors: López-Leyton Cristhian , Aldana-Bermúdez Eliécer , Flórez-Laiseca Adriana-María
Published: December 2024

The training of mathematics teachers in universities in Colombia has as a transversal axis the resolution of problems based on their social and cognitive mission pillars. In this sense, this study relates to the re-signification and construction of the concept of definite integral (DI) (integral calculus) through socio-epistemological studies, action researches, and the typology of didactic situations. The results are obtained through content analysis, didactic sequences (GeoGebra), and a discussion group. The above allows us to conclude that the validation of meanings, historical contexts, and associated social practices leads to the construction of the concept of DI as a model of mathematical analysis. This structuring of knowledge from its epistemological framework enables the exploration of mathematical objects from the basic notions that emerge in the history of humanity and didactic processes that reconstruct the evolution of the concept in society.
Conversational Discourse Analysis Turn- Taking on an English Podcast
Authors: Saadah Halimatus , Yuli Setyaningrum Erma , Khoirot Daulay Irma
Published: December 2024

The use of turn-taking strategy is crucial in understanding the dynamics of conversation. This study aims to find out the turn-taking strategy used and how it impacts the communication process in English podcast video. This research uses descriptive qualitative and the object of research is a video podcast with analysis using Stenstroom theory. The results showed that taking over strategy was used the most, followed by promoting and appealing strategy. Other strategies such as starting up, overlapping, filled pauses & verbal fillers, and repetition of words were also recorded with lower frequency of use. However, no use of interrupting, repair, and giving up strategies in the conversations were observed. Based on the results of this study, it indicates a preference for the smooth flow of conversation in the communication process.
Using Whatsapp for Learning to Enhance Students’ Vocabulary Achievement
Authors: Chusnatayaini Arina , Nafi’yah Siti
Published: December 2024

The aims of research were to know the effectiveness of using WhatsApp to enhance students’ vocabulary achievement, and the challenges faced in implementing this technology. The design of this research followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to ensure a structured and transparent review process.The inclusion and exclusion criteria were determined in this study.Nineteen of the one hundred chosen articles met the inclusion requirements after further evaluation.The data were synthesized to provide a comprehensive overview of WhatsApp's influence on vocabulary learning. The synthesis highlighted the benefits, challenges, and implications of using WhatsApp in the context of language learning, managing distractions, ensuring material relevance, safeguarding privacy, and employing strategic teaching methods.As WhatsApp offers a platform for individual study outside of the classroom and peer-to-peer immediate feedback, it also encourages students' motivation and involvement in the learning process. The analysis of these results demonstrates that incorporating WhatsApp into the curriculum can create an engaging and dynamic learning environment. However, in order to fully utilize this technology for learning, this study also identified a number of obstacles that must be addressed, including problems with technological access, distractions, and managing study groups.It is clear that WhatsApp has great potential as an effective educational tool in improving EFL students' vocabulary learning. Educational institutions should consider formally integrating WhatsApp into their language learning curriculum and learning activities.
Costos de transacción en los proyectos ambientales
Authors: Tabares Peralta Daniel
Published: December 2024

It is based on the need to analyze the scope of transaction costs (TC) in the development and use of instruments in environmental policies, as well as their effects on social welfare. Investigating the causes of TK and their dimensions is essential for the design, selection and evaluation of environmental policies. Studying the influence of TK throughout the development, implementation and administration of environmental policies, as well as their distribution among different stakeholders, provides a deeper understanding to environmental policymakers, enabling them to more efficiently manage environmental resources and public goods. Lack of knowledge about TK limits the information available to environmental policy decision-makers, affecting their ability to address ex ante and ex post issues in relation to environmental projects.
Reflexión crítica en la juventud: una mirada a la interrelación entre la subjetividad política, la socialización política y el proyecto de vida
Authors: Ospina Ramírez David Arturo , Lozada Pulido Martha Isabel , Espinosa Lozano Sergio Andrés , Osorio Julián Andrés
Published: December 2024

This article presents the results of a research study that aimed to understand the relationship between political subjectivity, political socialization, and the construction of individual and collective life projects among four young Colombians from the city of Bogotá, aged 20 to 27, who generate impact within their communities (2023). The qualitative study employed the hermeneutic-political ontological method, involving the participation of young individuals through the snowball sampling strategy and in-depth interviews. The findings highlight that critical reflection emerges as a key process through which young people recognize the precarities in their environments, which, in turn, drives their ability to plan life projects oriented toward collective benefit. From this perspective, young people understand politics in two dimensions—established and instituting—and it is through the tension between these dimensions that they construct their political subjectivity. Furthermore, their participation in various political socialization settings enables them to define and consolidate their beliefs and perspectives. Regarding life project planning, the young participants emphasize that uncertainty, combined with clarity about their objectives, plays a significant role in generating a positive impact on their communities. Finally, the interaction between political socialization settings and reflective processes is central to understanding how young people construct their life projects and develop their political subjectivity.
دیل سپاقلېغی او۟قۉو کتابی¬نېنگ فونیتیک آیراتېنلېقلارېنا غېسغا سېن
Authors: Yawar Mohammad Bashir
Published: December 2024

دیل سپاقلېغی آتلی او۟قۉو کتابی، تۆرکمن تۆرکچه¬سی¬نینگ بیرینجی گرامر کتابی¬دېر. 1926 -نجی یېلده چاپ ادیلن بو کتاب، تۆرکمن دیلچیسی محمد گلدیف و تاتار دیلچیسی غوبیدالله آلپارو۟ف طرفېندان تیارلانېلېپدېر. دیل سپاقلېغی او۟قۉو کتابی¬نېنگ چاپ بو۟لان تارېخېنا چنلی تۆرکمن دیلی¬نینگ گرامرینا دگیشلی هیچ بیر اثر چاپ ادیلمأندیر. بۉ سببدن آدی گچن کتاب، اصلېندا تۆرکمن چاغالارېنی شۉ کتابېنگ ایکینجیسی بو۟لان تۆرکمن دیلی¬نینگ گراماتیکاسی آتلی کتابا تیارلاماق اوچین تؤرت یېللېق او۟قۉو دؤرینی اؤز ایچینه آلان بیر او۟قۉو کتابی¬دېر. جمعی 109 صفحه¬دان و 20 بؤلیمدن او۟رتا گلن بۉ کتابېنگ بیرینجی چاپی 1924 -نجی یېلده تاشکندده و ایکینجی چاپی بوْلسا 1926 -نجی یېلده تۆرکمنستان دؤلت نشریاتی طرفېندان پو۟لتاراتسکی¬ده (عشق¬آباددا) چاپ ادیلیپدیر. بۉ مقاله¬ده، کتابېنگ ایکینجی چاپی گؤز اؤنگینده تۉتېلدی.
مقاله¬ده، اثرینگ دو۟غرېسېندا غېسغا معلومات بریلیپ، کتابېنگ فونیتیک آیراتېنلېقلارېنا غارالېپ گچیلدی. تحقیق¬ده، فونولوژی تایدان تۆرکمن دیلی¬نینگ اساسی موضوعلارېندان بو۟لان چکیملیلر و او۟لارېنگ آیراتېنلېقلاری، چکیملیلرینگ تو۟پارلاره بؤلینشی؛ چکیمسیزلر و او۟لارېنگ آیراتېنلېقلاری، چکیمسیزلرینگ تو۟پارلارا بؤلینشی یالی موضوعلار اله آلېندی.
The effect of curcumin after high-intensity exercise (HIE) on blood glucose levels
Authors: Sabila Camelia Hidayat  , Sundari Indah Wiyasihati  , Lina Lukitasari  , Lilik Herawati
Published: December 2024

Background: After high-intensity exercise (HIE), which is widely used because it can build muscle mass more quickly, muscles use a lot of energy, leading to significant gluconeogenesis, and an increase in glucose production. Curcumin, the active compound in turmeric, is well-known as an anti-inflammatory agent that can potentially to regulate blood glucose. This review aims to determine the impact of curcumin consumption after HIE on glucose levels.
Method: This literature review use searching strategy for articles, journals, and books in research journal database. The database were taken from Pubmed and MDPI. The keyword were curcumin, HIE, and glucose. This literature review using 24 scientific articles as online data sources which were then further analyzed.
Results and Discussion: Curcumin may help lower the rise in blood sugar after high-intensity exercise by blocking NF-κB, which lowers TNF-α levels. However, curcumin did not effectively manage short-term blood sugar changes in overweight or have prediabetes or metabolic syndrome populations.
Conclusion: Curcumin potentially regulate blood glucose after HIE.
Overweight and Age of Menarche in Early Adolescents
Authors: Ranindya Dwi Noviyanti  , Didien Ika Setyarini  , Innas Tiara Ardhiani
Published: December 2024

Background: Overweight has become a global epidemic, particularly in Indonesia. The prevalence of overweight in elementary school children continues to rise every year, posing a pressing health concern that requires immediate attention. Epidemiological studies reveal that the age of menarche is decreasing globally. This phenomenon reflects improvements in nutrition and overall health. Additionally, it is a consewuence of changes in socio-economic circumstances and human lifestyle. This study aimed to investigate the relationship between overweight and the age of menarche in early adolescent.
Methods: The study was analytical observation with a Cross-Sectional research approach conducted at Islamic Elementary School 1 Malang city, with data collection taking place from February to March 2023. The research population consisted of 42 overweight adolescents, and a total sampling technique was utilized. The variables under investigation are the age at which adolescents first experience menarche and the body weight of adolescens. Data was analyzed using the Spearman Rank correlation test.
Results: The result of Spearman Rank correlation test, yielded a p-value of 0.408 (>0.05) indicating that there was no significant relationship observed between overweight and the age of menarche among early adolescents at Madrasah Ibtidaiyah Negeri 1 in Malang City.
Conclusion: There is no significant relationship between overweight and the age of menarche among early adolescents. It is crucial to monitor balanced food intake to uphold a healty nutritional status. Insufficient nutrition can impair both body and reproductive funcitons.
A review article on PH- sensitive Hydrogel
Authors: Gayatri J khanderao  , Jitendra A Kubde  , Pooja R Hatwar  , Ravindra L Bakal  , Vaishnavi G Karule
Published: December 2024

Hydrogels are a type of hydrophilic network that can be cross-linked through physical or chemical means. They are a three-dimensional network. Hydrogels are also known as hydrophilic gels due to their significant water absorption capacity. Hydrogels are known for their swelling, mechanical qualities, biodegradability, elasticity, biocompatibility, ease of modification and flexibility, among other attributes. This article discusses general hydrogels knowledge, including its significance, preparation process, synthesis, chemical and physical properties, features, benefits, and drawbacks. Hydrogels that are sensitive to pH have advanced significantly in the last few years. The creation of novel hydrogel systems with higher sensitivity has made this possible. Up to 10−5 pH units of sensitivity have previously been determined. Applications for hydrogen in medicine include tissue engineering, contact lenses, wound dressings, and the release of medicinal agents. We talk about hydrogels, their varieties, their qualities and their uses in medicine.
Optimizing digital experiences with content delivery networks: Architectures, performance strategies, and future trends
Authors: Anuj Tyagi
Published: December 2024

This research investigates how CDN can help improve the digital experience when consumers expect to access an online resource as quickly, efficiently, and effortlessly as possible. CDNs play an important role in reducing latency, enhancing scalability, and improving the delivery mechanism, and this is evident up to date across distinct platforms and regions. The work focuses on CDN core areas of concern, namely elementary and contemporary CDN architectures, the edge computing concept, the hybrid CDN, and the multi-CDN strategies. It also covers more specific topics related to performance improvement, including caching, load balancing, and novel features of HTTP/3 and QUIC.
Current trends, such as integrating CDNs with 5G networks, serverless architecture, and artificial intelligence traffic management, are then used to show how this technology will likely progress. Other issues answered in the study include security, cost, and global regulations. Examples from E-Commerce, streaming, and gaming sectors are used to explain how enhanced CDNs are changing the world.
The conclusions underline the need to extend the utilized CDN tactics to fulfill constantly escalating user expectations and the requirements of a shifting digital environment. Lastly, this paper indicates prospects for future research about QC’s impact, improved AI services, and sustainability of CDN services were identified. Therefore, this research situates architectural design, performance strategies, and trends to mitigate the gaps in creating an efficient and fortified approach for enhancing digital experiences.
Epidemiological, clinical and prognostic factors in diabetic foot amputations at Souss Massa Agadir University Hospital
Authors: Oumaima Mandari  , Fatima Akioud  , Ikram damoune  , Farida Ajdi  , Abdelmjid Chraibi
Published: December 2024

Introduction: The diabetic foot is a real public health problem whose prognosis is dominated by a still high rate of lower limb amputation, even in countries with a high socioeconomic level.We conducted this study with the aim of describing the clinical, paraclinical, therapeutic and evolutionary aspects of the diabetic foot hospitalized in our department and also to define the prognostic factors influencing the progression to amputation.
Materials and method: This is a retrospective descriptive and analytical study spread over a period of 11 months (June 2022-May 2023) involving 60 diabetic patients admitted for diabetic foot at the Department of Diabetology and Metabolic Diseases Endocrinology at the Souss Massa Hospital.
Results: The mean age was 62.45 years, and the sex ratio was 5. The majority of our patients had type 2 diabetes (93.3%), with a mean duration of diabetes of 14 years. The mean glycated hemoglobin (HbA1c) was 10.10%.The average consultation time was 36.5 days. All patients had associated risk practices (barefoot, inappropriate footwear, poor hygiene, etc.).The starting point of the foot lesions was trauma, which resulted in a superinfected wound in 43% of cases. Damage to the forefoot predominated (45% of cases). Gangrene was the main lesion found (53%). Neuropathy was the main etiopathogenic factor (83%). The majority of lesions (67%) were Wagner grade 4 and 5. 28.3% of patients underwent surgical debridement and 63.3% underwent amputation as follows 51.7% were minor amputations (toe regularisation in 19% of cases and forefoot amputation in 32.7% of cases). Major transtibial amputation was performed in 7 patients (11.7%). There were no deaths in the study.
In our study, factors favouring amputation were: patient age > 70 years (p=0.01), glycaemic control: HbA1C>8% (p=0.03), lack of diabetes control (p=0.03), presence of arteriopathy (p=0.003), osteitis (p=0.019), Wagner stage 4 and 5 (p<0.001), previous foot amputation (p=0.005), infection (p=0.004).
Factors not associated with amputation were (male) sex (p=0.749), nephropathy (p=0.476), hypertension (p=0.457), retinopathy (p=0.274), neuropathy (p=0.400), heart disease (p=0.902), dyslipidaemia (p=0.096).
Conclusion: The majority of our patients are unattended, unbalanced, late seekers with advanced lesions and a high amputation rate. This may be related to patient ignorance, illiteracy and lack of knowledge about diabetes and its complications, as well as difficulties in accessing care and low socio-economic status. The fight against diabetic foot is based on prevention: education of patients and caregivers on the one hand, and multidisciplinary, concerted management on the other.
Case report: Lactococcus lactis Bacteremia in an Infant with Kasabach-Merritt Syndrome
Authors: CHOUIKH Meryem  , BENHAMOU Ibtissame  , BENHOUMICH Taoufik  , LAMRANI HANCHI Asmae  , SORAA Nabila
Published: December 2024

Lactococcus lactis is a Gram-positive coccus typically non-pathogenic in humans. Here, we present the case of a 2-month-old infant hospitalized in the neonatal intensive care unit for management of Kasabach-Merritt syndrome, treated with chemotherapy. During hospitalization, the infant developed clinical signs suggestive of severe sepsis alongside abnormal laboratory findings, including a disrupted blood workup (CBC, CRP, etc.).
In light of this clinical presentation, blood cultures were performed, revealing Lactococcus lactis bacteremia. The species was identified in two separate blood cultures taken two days apart, confirmed through mass spectrometry analysis (MALDI-TOF). Based on the antibiogram results, treatment with ceftriaxone was initiated and continued for 14 days, resulting in significant clinical improvement.
This case highlights the diagnostic and therapeutic challenges encountered in the neonatal setting and underscores the need for heightened awareness of atypical pathogens, particularly in complex clinical situations such as immunocompromised infants.
Luxury travelers in Thailand: A study of preferences and trends
Authors: Aphisavadh Sirivadhanawaravachara
Published: December 2024

This comprehensive study deals with a wide range of issues and themes, vigorously exploring the ever-changing trends and developing preferences of luxury travel to Thailand-a very important and influential segment in such a dynamic tourism field. With a record 10.8 million high-end travelers visiting Thailand's shores in 2015, deep insight into the special needs and wants of such customers is an absolute necessity for the elevating service delivery to matchless standards and optimizing marketing strategies to unbeatable degrees of success. The study also carefully investigated a wide range of key issues, from demographic profiles to travel habits, and factors that greatly influence their important decisions to travel and, importantly, their aspired-to and favored experiences, with unmatched domains of awareness of personalized and authentic experiences. Using an original combination of qualitative and quantitative methods, we gracefully disclose a set of amazing findings that clearly show the current trend and pronounced orientation of the luxury travelers toward eco-sustainability, cultural authenticity, and the magic of tailored services. Our findings, which have turned out to be invaluable, remarkably indicate that any marketing endeavor, if it is to genuinely succeed and make an indelible mark on the minds and hearts of these high-net-worth individuals, must be ruthlessly tailored to their distinctive and unparalleled characteristics. This will be duly and truly realized in Thailand only when tourism stakeholders take the crafted luxury experience to remarkable new heights with tailor-made experiences that perfectly fit each one of their preferences, skillfully and seamlessly. Undoubtedly, this pioneering study enriches and expands the existing academic literature on the intriguing subject of travel indulgence, while unequivocally furnishing invaluable and actionable insights for all ardent tourism stakeholders in the mesmerizing lands of Thailand fervently seeking to unlock new dimensions and elevate the overall luxury travel experience to mesmerizing realms of greatness.
Sustainable practices in low carbon tourism: A case study of Thailand
Authors: Aphisavadh Sirivadhanawaravachara
Published: December 2024

Environmental challenges emanating from the impacts of climate change in Thailand's tourism sector remain serious for one of the important pillars. These underpin the need for low-carbon tourism that is based on sustainable practices to guarantee the long-term well-being of the country's natural resources and communities. This case study investigates the low-carbon initiatives current situation in the Khaosok Tourism Cluster, with a focus on community-based tourism, government policies, and private sector participatory approaches to sustainable development. It enumerates the main benefits derived from embracing low-carbon practices through a qualitative multi-method approach: environmental protection, economic growth, and the social development of the local community. The study also highlights various significant challenges that the Khaosok Tourism Cluster face, including financial constraints, general lack of awareness about low carbon tourism among its stakeholders, and a regulatory shortfall that works to inhibit the adoption of sustainable measures. The addressing of such challenges is crucial to the successful integration of low carbon practices in the tourism industry. Outcomes of this research also point to the importance of multi-agency coordination and collaboration across government agencies, private operators, and the communities. These players should be working hand in hand in the development of mechanisms that give way to a low-carbon tourism community. This study proposes some recommendations; the first of these relates to improving incentive policy mechanisms that encourage and ensure compliance with low-carbon practices. Involvement of comprehensive policies and guidelines which will inspire integration of sustainable measures in the tourism sectors. Second, educational programs should be established to boost the understanding and awareness of low carbon tourism among all stakeholders, including tourists themselves, local communities, and tourism operators. A well-informed community stands a better chance of actively participating and supporting such sustainable initiatives. It is also important in the final analysis to institute effective monitoring systems that will help in successful implementation of low carbon practices. This will help in regular monitoring and evaluation to know what needs adjusting in pursuit of sustainability in practice, measure performance, as well as track progress through set targets. It will also provide valuable data for future research and policy development in sustainable tourism. By applying these recommendations, Thailand will set the standard toward low-carbon sustainable tourism to meet global climate goals. The holistic approach will preserve the beauty and resources of the country, while communities of the country will experience economic growth and social well-being.
Pattern of cancellation of elective cases
Authors: Michael Abiodun Adeyanju  , Edwin Edwin Okon
Published: December 2024

Introduction: Elective surgical procedures are cancelled in different parts of the world for various reasons, ranging from patient factor, surgeon factor and also facility related factors. Irrespective of the reason for cancellation, the effect is debilitating on the affected patients with resultant emotional trauma, waste of time, money and resources, and loss of productivity at work. It also causes a longer waiting list thereby putting pressure on surgeons in the outpatient department. There is inadequate use of resources and loss of revenue to the hospital. Eighty percent of the reasons for cancellations have been found to be avoidable while only 20% are unavoidable. The generally accepted cancellation rate is less than 5%, but there have been rates as high as 49% in some places.
This study was designed to determine the rates of, and reasons for, cancellation of elective cases in our centre and to find out the overall pattern and suggest ways to reduce it.
Materials and Methods- This retrospective study was from April 2019 to March 2023. The data of patients whose cases were cancelled in the study period were extracted from the ‘Cancelled Cases Register’. The data was filled into questionnaires for each patient. In cases of insufficient information in the register, the electronic medical records of the patients were accessed to confirm the details and fill in the missing details.
The data was analyzed using Statistical Package for the Social Sciences (SPSS) Version 27.
Results: We found that a total of 417 elective cases were cancelled, out of 5,729 scheduled cases, with a female: male ratio of 1.1:1. The cancellation rate was 7.3%. Patient-related factors (72.2%) constituted the main reason for cancellation while Facility -related reasons accounted for 15.6% of the cancelled cases. Surgeon -related factors accounted for 12.2% of cancelled cases. Sixty percent of these reasons were avoidable while 40% were not avoidable. General Surgery (31.6%) had the highest number of cancelled cases while Ophthalmology (1%) had the least. Reason for cancellation (patient-related factors, surgeon-related factor and facility-related factors) was significantly associated with elective procedure cancellation (p<0.05). Patient-related factors and Surgeon-related factors are 8 times and 2.42 times respectively more likely to result in cancellation of elective procedures than facility-related factors.
Conclusion: More needs to be done to reduce the rate of cancellation to the barest minimum by addressing the reasons for cancellation. This will reduce patient dissatisfaction, reduce the waiting list and curb wastages in the system.
The effect of milk types on enamel density in primary teeth: Research articl
Authors: Luthfiyah Nadhira  , Soegeng Wahluyo  , Prawati Nuraini
Published: December 2024

Background: Early Childhood Caries (ECC) is a condition affecting primary teeth, caused by enamel demineralization due to bacterial acids from sugar metabolism. Remineralization, supported by calcium and phosphate, is crucial for repairing damage. Milk, rich in these minerals, may aid enamel remineralization and improve dental health.
Purpose: To analyze the effects of various bovine milk types on the enamel density of primary teeth.
Methods: Twelve extracted primary incisors were divided into four groups: distilled water (control), pure bovine milk, UHT bovine milk, and low-fat bovine milk. Teeth were immersed for 21 days, and enamel density was evaluated using a scanning electron microscope (SEM-EDX) and ImageJ software. The data were analyzed using One-Way ANOVA and Tukey HSD tests.
Results: Significant differences were observed between treatment groups (p = 0.006). The highest enamel density was found in the low-fat bovine milk group (0.83±0.64 µm), followed by UHT milk (0.95±0.16 µm), and the lowest in pure bovine milk (2.09±0.19 µm). Tukey HSD results showed significant differences between the control and UHT milk groups (p = 0.11) and the control and low-fat milk groups (p = 0.09).
Conclusion: Milk consumption positively affects enamel density in primary teeth, with low-fat and UHT bovine milk showing the most significant impact.
Machine learning for chronic kidney disease progression modelling: Leveraging data science to optimize patient management
Authors: Foluke Ekundayo
Published: December 2024

Chronic Kidney Disease (CKD) is a progressive condition that affects millions globally, often leading to severe complications such as kidney failure and cardiovascular diseases. Early detection and personalized treatment plans are crucial for mitigating the progression of CKD and improving patient outcomes. Traditional methods of predicting CKD progression rely on clinical expertise and static risk assessment tools, which may not effectively leverage the wealth of patient data available today. Machine learning (ML) offers a data-driven approach to predict disease progression by analysing complex relationships within heterogeneous datasets, including laboratory results, demographic information, and comorbidities. ML models such as Random Forests, Gradient Boosting, and Support Vector Machines have demonstrated efficacy in predicting CKD progression. These algorithms excel in handling high-dimensional data and capturing nonlinear patterns, enabling accurate risk stratification and identification of key predictors. For example, ML models can analyse glomerular filtration rates (GFR), albumin levels, and other biomarkers to predict the likelihood of CKD progression or the onset of end-stage renal disease (ESRD). Additionally, these models facilitate personalized treatment recommendations by integrating patient-specific data, optimizing therapeutic interventions, and improving adherence to care protocols. However, challenges such as data quality, model interpretability, and ethical concerns regarding algorithmic bias must be addressed to ensure reliable and equitable deployment of ML solutions in clinical settings. This study explores the potential of ML in CKD progression modelling, highlighting case studies, model development, and validation techniques. It emphasizes the need for interdisciplinary collaboration to integrate ML-based tools into existing healthcare frameworks, ultimately enhancing CKD management and patient care.
Predicting implant success: How Artificial intelligence models are transforming peri-implant bone loss assessment
Authors: Pedram Pakravan  , Sheida Behazin  , Mahsa Mohammadpour  , Ava Bararzadeh Soorati  , Elaheh Rahimipour
Published: December 2024

Peri-implant bone loss significantly impacts the longevity and success of dental implants, which are pivotal in restoring oral function and enhancing the patient’s quality of life. Traditional methods for predicting implant success often rely on subjective assessments and static data, limiting their accuracy and early detection capabilities. This paper explores how artificial intelligence (AI) models are transforming the assessment of peri-implant bone loss and improving implant success predictions. By analyzing complex datasets—including clinical records, imaging, and genomic information—AI technologies such as machine learning and deep learning offer enhanced predictive accuracy. These models enable early detection of risk factors, personalized treatment plans, and greater efficiency in clinical workflows. We discuss the mechanisms of peri-implant bone loss, the limitations of conventional prediction methods, and the implementation of AI models in predictive modeling. While highlighting the advantages of AI, the paper also addresses challenges such as data privacy, technical limitations, and the need for clinical integration. Future perspectives include advancements in AI technologies, integration with other emerging technologies, regulatory efforts, and the importance of long-term clinical studies. The integration of AI into dental practice holds the potential to revolutionize implant care, leading to improved patient outcomes and a transformation in dental healthcare delivery.
Polyherbal dentifrice: A review of literature
Authors: Sanika Manoj Karale  , Kashish Shabbir Patel  , Priti Dnyandev Gadge  , Ajinkya Tukaram Darade  , Prachi N. Padwal  , Shubham Chandrakant Gadge
Published: December 2024

Overall well-being depends on one's oral health. It impacts not just our general health but also our capacity to eat; speak; and smile with assurance. Numerous systemic disorders; Poor oral health has been linked to conditions including diabetes; heart disease; and respiratory infections. Toothpaste is essential for preserving dental health. Plaque and germs are eliminated; cavities are avoided; foul breath is lessened; and gum disease is avoided. Certain toothpastes have components that can help whiten teeth and get rid of surface stains. Growing knowledge of natural components: People are looking for natural substitutes for synthetic chemicals as they become more aware of the substances in the items they consume. Concerns about chemical exposure is the Many people are concerned about the potential long-term health effects of exposure to chemicals found in conventional toothpastes. Polyherbal toothpastes; composed of a blend of natural herbs; offer a range of pharmacological activities that contribute to oral health. People are trying to replace these products with safe; affordable; and natural alternatives that have notable effects. The effectiveness of natural excipients as teeth-whitening agents was the main topic of this paper.
Analisis Spam Komentar Instagram menggunakan Support Vector Machine dengan Variasi Hyperparameter
Authors: Haqimi Nur Azizul , Roshinta Trisna Ari
Published: December 2024

Instagram (IG) is a web and mobile-based social media application where users can share photos or videos with the available features. These features include captions, tagging, adding locations where photos or videos were taken, editing and filtering photos or videos before they are uploaded from the smartphone application and certain tags so that the photos can be seen by many people. Instagram as social media is not only a medium for communication but also for developing brands and selling products. Spam that often appears in spam comments is a barrier to getting appropriate information. When identifying spam and non-spam comments, a challenging problem is that the number of spam comments is less than non-spam comments, thus causing an imbalanced dataset problem. Imbalanced data sets can affect the performance of classification algorithms. Support Vector Machine (SVM) to classify comments between two classes (spam or nonspam) which is the maximum distance between the hyperplane and the closest item from both classes. Analysis of related research that has been carried out with feature variations states that the addition of 90 different features to the data used to increase classification accuracy on imbalanced data.  Other related research discusses Complementary Naïve Bayes which can be used to balance dataset classes. This research describes the selection of Support Vector Machine hyperparameters, especially for unbalanced data where the level of similarity is almost the same, so hyperparameter experiments are needed for the best accuracy
Evaluation of antifungal activities of the ethalolic extract of the macrofungus Suillus collinitus against dermatophytes
Authors: Akkoyunlu Ayşegül , Dulger Gorkem , Dülger Başaran
Published: December 2024

In this study, the ethanolic crude extracts obtained from the macrofungus Suillus collinitus (Fr.) O. Kuntze (Suillaceae, Bolatales) were investigated for their antifungal activities against dermatophytes such as the isolates Microsporum gypseum, Trichophyton rubrum and Epidermophyton floccosum by the agar well diffusion method as well as tube dilution method. The ethanol extracts have a strong effect with mean values zone of inhibition at different concentrations and a wide zone of inhibition was determined at 1500 mg/mL (20.8 mm) for M. gypseum, (18.2 mm) for T. rubrum and (16.8 mm) for E. floccosum. MIC of M. gyspseum at 50 µg/mL, MIC of T. rubrum at 60 µg/mL and E. floccosum at 70 µg/mL were observed, respectively. Terbinafine as the comparison antifungal agent gave MIC values between 10 µg/mL for E. floccosum and T. rubrum and 20 µg/mL for M. gypseum. These findings against dermatophytes support our observations regarding the use of this macrofungus among the public. Besides, the findings of this screening study are a preliminary step to further pharmaceutical researches on the relevant macrofungus in the future.