bluuebunny/crossref_metadata_2025 huggingface dataset:
Sosialisasi Aktivitas Zona Hambat Daun Pirdot (Sauraia vulcani Korth.) terhadap Candida albicans
Authors: Romauli Anna Teresia Marbun  , Yanna Rotua Sihombing
Published: October 2024

Pendahuluan : Penyakit akibat infeksi jamur menjadi penyakitdominan iklim tropis. Indonesia yang beriklim tropis memilikilingkungan dengan penduduk banyak dan tingkat sosial ekonomi yangrendah. Candida albicans merupakan jamur penyebab kandidiasis danpenyebab sariawan, vulvavaginistis, dan kandiduria. Daun ini menjadikandidat tumbuhan berpotensi antijamur.
Metode : Metode pengujian menggunakan metode difusi denganmenggunakan pencadang kertas. Penelitian yang dilaksanakan tersebutmenggunakan ketokonazol sebagai pembanding. Hasil dari pengujiandilakukan disosialisasikan kepada mahasiswa Farmasi.
Hasil : Manfaat dari pirdot menjadi perhatian di pandemic sekarangini. Budidaya tumbuhan pirdot dapat dilakukan sendiri sehingga dapatdigunakan untuk terapi komplementer. Melihat hasil uji aktivitasantibakteri yang termasuk antibakteri kategori sedang.
Kesimpulan : Daun pirdot dapat menjadi tumbuhan berpotensiantijamu ke depana dan menjadi kandidat obat tradisional. Hal inimenjadi penting untuk landasan penelitian selanjutnya untukmenghasilkan penelitian terkait produk antijamur ke depan
PEMERIKSAAN KADAR GULA DARAH, KONSELING TENTANG DIABETES MELLITUS DAN KOMPLIKASINYA DI PUSKESMAS JATIBENING
Authors: Arifah Rakhmawati  , Abdul Khamid  , Achmad Fauzi
Published: October 2024

Pendahuluan : Indonesia merupakan Negara terbanyak ke empatdi dunia untuk jumlah penderita terbanyak diabetes mellitussetelah India, Cina dan Amerika Serika. Diabetes melitusmerupakan suatu kumpulan problema anatomik dan kimiawiyang merupakan akibat dari sejumlah faktor. Pasien denganDiabetus Mellitus biasanya datang ke pelayanan kesehatandengan komplikasi.
Metode : Metode penelitian dengan pemeriksaan kadar guladarah dan penyuluhan tentang diabetes mellitus, komplikasi danpenatalaksanaannya
Hasil : Pada kegiatan ini di dapatkan hasil pemeriksaan kadargula darah 9 orang (20,5%) dalam kategori bukan DM, 26 orang (59%) dalam kategori belum pasti DM, dan 9 orang (20,5%)dalam kategori DM. Berdasarkan hasil dari pemeriksaan kadargula darah diharapkan lansia dan masyarakat sekitar panti dapatlebih menerapkan pola hidup sehat seperti mengontrol polamakan, melakukan aktivitas fisik sesuai kemampuan dan jugabisa mengontrol kadar gula darahnya dengan pemeriksaan yangteratur.
Kesimpulan : Bagi yang sudah terdeteksi menderita Diabetusmellitus diharapkan untuk selalu memeriksakan diri ke petugaskesehatan minimal 1 bulan sekali.
Hubungan antara Ibu Preeklampsia dengan Kejadian Kelahiran Prematur di RSUD Kabupaten Bekasi Tahun 2018
Authors: Mariyani  , Khairiah Rahayu
Published: October 2024

Berdasarkan Surver Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 angka kematian neonatal (AKN) di Indonesia sebesar 19 kematian/ 1000 kelahiran hidup, angka kematian bayi (AKB) sebesar 32 kematian/1000 kehiran hidup. Dengan target Milenium Development Golds (MDGS) pada tahun 2015 AKB 15% per 1000 kelahiran hidup (SDKI, 2012). Diperkirakan terdapat 12.870 persalinan prematur per 1000 persalinan di seluruh dunia (9,6%), di Asia kelahiran prematur sebanyak 6.907 per 1000 kelahiran (9,1%). kejadian kelahiran prematur pada bayi di Kabupaten Bekasi tahun 2018. Desain penelitian menggunakan metode analitik dengan pendekatan Cross Sectional. Populasi seluruh ibu bersalin yang mengalami preeklamsia dan yang tidak mengalami preeklamsia di RSUD Kabupaten Bekasi priode 2017 sebanyak 1079 responden. Analisis menggunakan univariat dan bivariate dangan uji chi square. Distribusi Ibu bersalin dengan Preeklamsia80 responden (33,3%) dan Prematur 65 responden (27,1%), dan hasil P value =0,00 yang artinya ada hubungan yang bermakna antara preeklamsi dengan kejadian persalinan prematur. Didapatkan hubungan yang bermakna dengan jadian persalinan premature. Hendaknya tenaga kesehatan khususnya bidan untuk meningkatkan pelayanan kesehatan dalam penyuluhan atau promosi kesehatan tentang pentingnya pengetahuan tanda bahaya pada ibu hamil dan risiko terjadinya persalinan premature.
Hubungan Pengetahuan dan Sikap terhadap Kepatuhan Minum Obat pada Pasien Hipertensi di Poliklinik RS UKI Tahun 2018
Authors: Herawati Ita , Anggraini Nofa
Published: October 2024

Hipertensi disebut sebagai “silent killer” yang dapat menimbulkan komplikasi. Agar terhindar dari komplikasi hipertensi yang fatal, perlu dilakukan tindakan preventif yang baik (menghentikan tekanan darah tinggi) yaitu dengan terapi farmakologis. Demi terkontrolnya hipertensi diperlukan kepatuhan pasien dalam meminum obat hipertensi. Pengobatan hipertensi umumnya perlu dilakukan pasien seumur hidup. Kepatuhan harus dilandasi oleh pengetahuan dan sikap positif penderita hipertensi. Sikap individu terhadap program pengobatan dipengaruhi oleh tingkat pengetahuan individu. Semakin tinggi tingkat pengetahuan maka sikap individu semakin terbuka dengan menerapkan kepatuhan minum obat hipertensi. Mempelajari dan mengetahui hubungan pengetahuan dan sikap terhadap kepatuhan minum obat pada pasien hipertensi di poli klinik Rumah Sakit Umum Universitas Kristen Indonesia Tahun 2018. Metode analitik, Sampel dalam penelitian ini adalah seluruh pasien yang terdiagnosis hipertensi klinik dipoli RSU Uki, Jakarta sebanyak 64 responden. Jadi metode pengambilan sampel dalam penelitian ini adalah random sampling, Pengolahan data dilakukan dengan bantuan program komputer SPSS versi 24 yang disajikan dalam bentuk distribusi frekuensi. Dari hasil uji Chi Square yang telah dilakukan peneliti diperoleh p-value < 0,05 artinya ada hubungan pengetahuan dan sikap terhadap kepatuhan minum obat. di Poli Klinik RSU UKI agar memberikan pengetahuan kepada pasien dan keluarga melalui penyuluhan tentang penyakit hipertensi dan pengobatannya agar pasien hipertensi mengetahui resiko jika tidak melakukan pengobatan sampai tuntas.
Papiloma en el conducto auditivo externo: una localización infrecuente
Authors: Acosta Gil Laura Vanessa , De Armas Crisson Diego Armando , Isaza Ochoa Juan Sebastian , Medina Tejeda Delfina Leonor , Padilla Londoño Silvana P. , Zapata Gonzalez Jessica Eugenia
Published: October 2024

Los papilomas escamosos del conducto auditivo externo (CAE) son tumores benignos poco frecuentes, causados por el virus del papiloma humano (VPH), que presentan proliferación epitelial. El síntoma principal consiste en plenitud ótica y el signo de una lesión irregular con múltiples digitaciones en el CAE. En este caso, se llevó a cabo una resección de la lesión, seguida de biopsia y cauterización química con nitrato de plata. La tomografía axial computarizada (TAC) de peñascos reveló afectación de la porción cartilaginosa del conducto. Posteriormente, se realizó una resección adicional con técnica fría, curetaje, y electrocoagulación de la zona afectada, complementada con curaciones con imiquimod. Se indicó la vacunación anti-VPH nonavalente para reducir el riesgo de recidiva. La detección temprana y el tratamiento adecuado son esenciales para prevenir complicaciones como la proliferación de la lesión o su transformación maligna, y es crucial educar al paciente sobre la vacunación para evitar recurrencias.
Faktor Penyebab dan Dampak Psikologis Pernikahan Anak ( Studi Kasus UPTD PPA Lombok Timur )
Authors: Hasmi Nurmaida
Published: October 2024

Pernikahan dini bukanlah fenomena baru di masyarakat Lombok Timur. Pernikahan dini adalah pernikahan yang dilakukan oleh remaja yang usianya masih dibawah 19 tahun yang belum menyampai taraf yang ideal. Metode penelitian yang digunakan dalam artikel ini adalah metode penelitian kualitatif, teknik pengumpulan data yang digunakan dalam penelitian ini adalah wawancara, observasi dan dokumentasi yang akan menggali tentang faktor-faktor dan dampak pernikahan dini. Hasil penelitiam faktor penyebab pernikahan dini yang dominan terjadi adalah faktor hamil diluar nikah, faktor ekonomi keluarga, faktor pergaulan bebas, faktor media sosial, perceraian orang tua atau broken home, faktor lingkungan dan faktor pendidikan orang tua. Pernikahan dini jika tidak dicegah akan berdampak pada ekonomi, kesehatan dan pendidikan.
Peran Musik Religi Dengan Kesehatan Mental Pada Mahasiswa
Authors: Raudhatul Jannah Angel Cahya
Published: October 2024

Tujuan penelitian mengulas peran  musik religi dengan kesehatan mental pada mahasiswa Bimbingan dan Penyuluhan Islam UIN Syarif Hidayatullah Jakarta. Jenis penelitian yang akan digunakan ialah menggunakan metode penelitian kualitatif deskriptif atau pertanyaan yang melalui link google form. Penelitian ini melibatkan beberapa sampel - sampel terdiri dari mahasiswa dengan berbagai tingkat dan latar belakang yang berbeda. Data yang sudah diperoleh oleh penulis akan dikumpulkan melalui survei yang berbasis kuesioner, kuisioner tersebut akan mencakup indikator-indikator mengenai kesehatan mental dan pola preferensi musik bagi mahasiswa bimbingan dan penyuluhan islam di UIN Syarif Hidayatullah Jakarta. Pada tahap analisisakan dilakukan dengan cara menggunakan teknik statistik, termasuk analisis kualitatif deskriptif. Hasil penelitian ini, menunjukan bahwa adanya peran musik religi dengan kesehatan mental mahasiswa
Peran Konseling Sex Education Sebagai Upaya Pencegahan Kekerasan Seksual pada Anak Usia Dini
Authors: Azizah Nurholik
Published: October 2024

Penelitian ini bertujuan untuk memberikan pengetahuan tentang (1) pentingnya sex education untuk diberikan kepada anak sejak usia dini sebagai upaya menghindari kekerasan seksual , (2) dampak negatif yang dapat ditimbulkan kekerasan seksual baik bagi pelaku dan korbannya. Penelitian ini menggunakan penelitian kualitatif dengan metode wawancara dan observasi di X. hasil dari penelitian ini adalah X melakukan sosialisasi tentang sex educatioan pada siswa/siswi dan masyarakat yang dikemas dalam tema kesehatan reproduksi sebagai upaya yang dilakukan X dalam menekan angka kekerasan sesksual di Lombok Timur.
Student-Led Language Learning Community: The Journey of a Leader
Authors: Marzin Emily , Raluy Diane
Published: October 2024

This study examines the role of a leader in a French language learning community at a Japanese university’s self-access center. Based on a previous study that focused on exploring the impressions of the members of this student-led community (Marzin & Raluy, 2023), results indicated the core role of the leader in enhancing motivation, (intercultural) communication skills, and sense of belonging. The present narrative study documents the experiences and reflections of the community leader, utilizing a range of reflective tools. The findings suggest that the leader’s regular introspection enabled him to assess his feelings, evaluate his decisions based on the community’s needs, and provide guidance to other members, with a focus on exploring World French and francophone cultures.
Successful Anesthetic Management for Mandibular Neoplasm Resection in a Patient with Osteogenesis Imperfecta: A Case Report
Authors: Indriani Andi Riza Mirda , Addi Saputra  , Novita Anggraeni
Published: October 2024

Background: Osteogenesis imperfecta (OI) is a rare genetic disorder characterized by bone fragility and deformities. Patients with mandibular neoplasms and suspected OI require careful anesthetic management to avoid complications. This case report describes the successful anesthetic management of a patient with a mandibular neoplasm and suspected OI.
Case presentation: A 33-year-old man presented with a large mandibular tumor causing airway obstruction and difficulty eating. He had physical features suggestive of OI, including short stature, bone deformities, and abnormal tooth growth. Preoperative evaluation revealed a difficult airway due to the tumor and potential cervical spine instability. Anesthesia was induced with propofol and atracurium after securing the airway via ultrasound-guided tracheostomy under local anesthesia. The tumor was resected successfully, and the patient recovered without complications.
Conclusion: Anesthetic management in patients with suspected OI and mandibular neoplasms requires careful planning and execution. A multidisciplinary approach, including preoperative evaluation, airway management strategies, and close postoperative monitoring, is crucial for successful outcomes.
Enabling EV Charging at varied locations using Smart Meters
Authors: Ankith Rama  , Dr. D. Hari Krishna  , Shreya Gampa  , Jhanavi Puli
Published: October 2024

Electric vehicles primarily run on stored electrical energy, which needs to be replenished at regular intervals of time. Commercially, EVs are charged at charging stations, however they can be charged anywhere whether it be at home, public charging stations or even at workplaces. The commercial charging stations are highly costly and require huge setup. The main aim of this paper is to enable charging at any commercial and non-commercial establishment and optimize the cost of charging and grid usage by using an IOT (Internet of Things) device for bill generation and grid usage analysis.The charge enabling process is based on a QR based activation of the device. The user scans the QR code and registers his details, this enables the charge cycle. The bill is generated based on the start time and the end time of the charge cycle and the energy consumed in that cycle and a text message is sent to the consumer. The effect of charging load is also analyzed and hence an appropriate action is taken to optimize the peak load or demand.
Keywords: Internet of Things (IoT), Electric Vehicles (EVs), Smart Energymeter, QR-based activation
A Comprehensive Review of Recent Developments on the Natural Fiber Reinforced Polymer Matrix Composites for Automotive and Sports Application: Materials, Processes and Properties
Authors: H V Sunil  , E. Basavaraj
Published: October 2024

Now a days, the world has been evolving and adapting to advance technology; as a result, the development and expansion of Composite materials have been growing day by day.. Natural fibres are a feasible and eco-friendly alternative to synthetic fibres for polymer composite reinforcing. Materials are attractive because they are economical, environmentally friendly, abundant in nature, and have mechanical properties[60]. Natural fibres are given first priority above all other types of fibres due to their appealing qualities include biodegradability, minimum cost, environmental friendliness, high strength-to-weight ratio in engineering goods, and low health risks. An overview of recent trends in physio mechanical characteristics, thermal properties, morphological behaviour, surface treatment, design optimisation with the ANOVA technique, the effect of Mercerization and SEM analysis, microstructural interfacial adhesion, and the various methodologies used to measure these properties.
Keywords: Natural fiber polymer composites, Physio mechanical properties, SEM Analysis, Thermal properties, ANOVA technique, Applications.
Pengembangan Big Book Moderasi Beragama Berbasis Konsep Pratyaksa Pramana di Taman Kanak Kanak
Authors: Septiari Dewi Putu Ayu , Wiranata I Gusti Lanang Agung , Tria Ariani Nyoman Wiraadi , Jayadiningrat Made Gautama , Saraswati Dewi Ida Ayu Putu Putri
Published: October 2024

This research highlights the importance of introducing the concept of religious moderation from an early age. Even though its implementation already exists in children's play activities, children are not yet fully aware of the concepts of tolerance, sharing and helping each other. Therefore, the Big Book of Religious Moderation based on the Pratyaksa Pramana concept was developed as a learning medium that introduces the concept of moderation through children's direct experience. This Book contains material on the concept of religious moderation based on the concept of Pratyaksa Pramana, which is knowledge experienced by children through direct experience. This research aims to introduce the concept of moderation to children, describe the development of the Book, and analyze the feasibility of its use through expert validation. The ADDIE development method was used in this research, involving teachers and children at the Taman Kurnia Denpasar Kindergarten as data sources. Data collection techniques using observation and checklist instruments. Data analysis was carried out using Lawshe's descriptive qualitative content validation formula, namely Content Validity Ratio (CVR). The research results show that this book is suitable for use, with a high CVI value of 0.5 and the final CVI calculation (average CVR) is 0.916667 indicating good content validity. The conclusion of the research in accordance with expert validation is that the use of the Big Book Religious Moderation media is very relevant and suitable for use with PAUD children because the material available in it is appropriate to the child's age development.
Conservation of Hindu Religious Lontar Manuscripts Through Lontar Digitization Website Information System in Tabanan Regency
Authors: Sudarsana I Made
Published: October 2024

Lontar as a cultural product is rich in meaning and raised the image of balinese traditions in the world civilization. The existence of lontar tradition nowadays in Tabanan Regency has a long and old history complemented by historical, religious, philosophical, medicinal, literary, and other great scientific values. This research aims to 1) conserve and digitize lontar in Tabanan Regency, and 2) create a website information system for digitizing lontar in Tabanan Regency. The research methods employed are palm conservation, system analysis, system planning, system design and system testing. The results of the research showed that 1) the conservation and digitalization of lontar was carried out in Tabanan can save the lontar, to keep it in a good condition, not damaged by termites or rodents, so it can continue to be passed on to the next generation as a reflection of the past about the medicine, ceremonies, religion, arts, and culture. 2) The lontar digitization website information system can be used as a guide for the public regarding lontar information and contents. In conclusion, the saving of Hindu religious lontar manuscripts through the lontar digitalization website information system in Tabanan Regency is carried out in the form of conservation and the creation of a lontar digitalization website information system, to make it accessible for the entire community online. In terms of culture, it can be passed down to the next generation as a form of cultural and religious preservation including medicine, ceremony, religion, art, and culture. The development of information system for the lontar digitization website is very good and important to save Hindu religious lontar manuscripts.
Analisis Teologi Sosial Dalam Pemertahanan Identitas Kultural Kesamen Masyarakat Hindu Di Desa Sembiran Buleleng
Authors: Miarta Putra I Nyoman
Published: October 2024

Kesamen, as a local wisdom passed down through generations, is preserved and maintained by the Sembiran community as a core part of their identity. From a social theology perspective, Kesamen represents efforts to uphold ancestral values that emphasize equality and unite the community in a socio-religious framework, while also preventing conflicts of interest. This study aims to examine the Kesamen system in the Sembiran community through the lens of social theology, particularly as a form of cultural identity preservation. The research uses a qualitative approach with data collection methods including observation, interviews, literature studies, and documentation. The findings show that Kesamen values align with the concept of social theology, reflected in daily practices such as Tri Hita Karana, Karma Phala, Tat Twam Asi, and Menyama Braya. Sembiran village is known for its rich traditions and culture, with moral values integrated into various aspects of social life, from individual relationships to community interactions. The preservation of Kesamen holds significant meaning, especially in maintaining religious values, fostering togetherness, ensuring social and cultural sustainability, and stabilizing society. In conclusion, Kesamen plays an essential role in strengthening social cohesion, preserving the cultural identity of the Sembiran community, and resisting external cultural domination. These values also boost the community's confidence in safeguarding their identity and solidarity.
Nevelődés, beavatás, mese
Authors: Baranyai Norbert
Published: October 2024

This paper attempts to reinterpret Áron Tamási’s most significant novel, Ábel a rengetegben (Abel in the Forest). The interpretation approaches the text from genre reading, according to which the analysis understands the text’s exemplary meanings based upon the genres of Bildungsroman, tale and initiation story. The paper sets out to demonstrate that the text’s poetic achievement can be best understood as the polyphony of meanings in themes, motifs as well as in linguistics–rhetoric, regardless its understanding as wish fulfilment in tales, or as successful educational process filled with tests, or as the parable of minority fate.
contratos especiales de operación de litio (CEOL) en el marco de la nueva estrategia nacional del litio en Chile
Authors: Rojas Calderón Christian
Published: October 2024

SUMARIO: 1. INTRODUCCIÓN.— 2. LA ESTRATEGIA NACIONAL DEL LITIO (ENL); 2.1. Los fundamentos; 2.2. El detalle: A) Involucramiento del Estado en todo el ciclo industrial; B) Creación de capacidades; C) Asociación Público-Privada (PPP); D) Marco institucional; E) Sostenibilidad social y territorial: involucramiento de comunidades;3. LA MINERÍA Y EL RÉGIMEN JURÍDICO DE LAS SUSTANCIAS MINERALES EN CHILE: 3.1. Antecedentes; 3.2. Fundamento normativo del dominio público minero (DPM) a nivel constitucional; 3.3. Fundamento a nivel legal; 3.4. El régimen jurídico de las sustancias minerales no concesibles; 3.5. Las consecuencias evidentes: A) Un procedimiento concesional general (judicializado); B) Un conjunto de sustancias concesibles como regla general; 3.6. Lo no tan evidente: A) Hay un régimen concesional especial (administrativo);B) Tienen un régimen jurídico “delegado”.—4. EN ESPECIAL RÉGIMEN JURÍDICO DEL LITIO: 4.1. Antecedentes; 4.2. Régimen jurídico: A) Regulación básica disponible; B) Modalidades: a) Contratos Especiales de Operación; b) Convenios de Servicios; C) Término.— 5. CONCLUSIONES.
Amasra Çeşm-i Cihan Yemekler
Authors: Şık Merve , Yılmaz İlkay , Güney Servet Kazım
Published: October 2024

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Financial Arrangement by Employees in Formal Workplace Environment in Nigeria: Case of Cooperative Societies in Obafemi Awolowo University, Ile-Ife, Nigeria
Authors: Moshood A. A , Agbaje Y. T.
Published: October 2024

Individual savings in the current day business world and work place have been channelled on a self-arranged/self-managed platform in the nomenclature of cooperatives irrespective of social class and or income group. Cooperatives have become household name in every organisation: its significance is ringing more than bank name now rings. This research analysed the criteria for being a member in cooperatives as well as the extent of satisfaction that members in the cooperatives perceived they had as a result of their membership subscription. Primary data were collected with the aid of structured questionnaire from 396 respondents who are staff of the Ohafenu Awolowo University, Ile-Ife. Results indicated that there was no constraint to being a member inasmuch as the potential applicant is on the University payroll and such a potential member has not violated the floor of limit of take home pay. Method of monthly contribution into cooperative purse is deduction from source through the bursary department. It was also indicated that monthly contribution is based on a member's capacity in terms of how much a person cares to contribute. Eight major areas of members’ investment horizon were identified as having been promoted by cooperative assistance. Eighteen propositions were raised in terms of members’ belief, identification, and satisfaction with their cooperative, six of such propositions had strong support by respondents. Four variables also indicated significant difference among members when tested on t-test scale. Lastly, nine variables were significant in influencing value added for members. In the overall, members were very satisfied with their cooperatives for saving purposes.
Foramen Oval Estado del Arte y Revisión de la Literatura sobre su Abordaje
Authors: Velásquez Quiroga María Alejandra , Vargas Vargas Vanya Esther , Salas Hine Ingrith , Cárdenas Moya María Fernanda , Barón Martínez José Miguel , Ballesteros López Cristian Camilo , Zurek Duran Nicolas , Vasquez Castro Jonatan Ferley
Published: October 2024

El foramen oval permeable (FOP) es una anormalidad común que afecta entre el 20% y el 34% de la población adulta. Para la mayoría de las personas, es un hallazgo benigno; sin embargo, en algunas personas, el FOP puede abrirse ampliamente para permitir que el émbolo paradójico pase de la circulación venosa a la arterial, lo que se asocia con accidente cerebrovascular y embolización sistémica. El cierre percutáneo del FOP en pacientes con accidente cerebrovascular criptogénico se ha llevado a cabo durante varios años y se han comercializado varios oclusores septales para fines específicos. Ensayos controlados aleatorizados recientes han demostrado que el cierre del FOP en pacientes con accidente cerebrovascular criptogénico se asocia con tasas reducidas de accidente cerebrovascular recurrente. Después de una breve descripción de la anatomía de un FOP, este artículo considera la evidencia del cierre del FOP en el accidente cerebrovascular criptogénico. El artículo también aborda otras posibles indicaciones para el cierre, como la embolización arterial sistémica, la enfermedad por descompresión, el síndrome platipnea-ortodesoxia y la migraña con aura. El artículo establece las investigaciones previas al procedimiento y la preparación del procedimiento. Finalmente, el artículo brinda una descripción general del procedimiento en sí, incluida la discusión de los dispositivos de cierre.
Seroconversion Toxoplasmosis as a predictor for gestational diabetes mellitus among pregnant ladies in Iraq
Authors:   Southern Technical University, College of Health and Medical Techniques, Basrah, Iraq, Abd Alredha Zainab A. , Mahdi Dawood S. ,   Southern Technical University, College of Health and Medical Techniques, Basrah, Iraq, Altemimi Mahmood Th. ,   Thi Qar Specialized Diabetes Endocrine and Metabolism Center (TDEMC), Thi Qar Health Directorate, Thi Qar, Iraq
Published: October 2024

Background. Toxoplasma gondii (T.g.) can reach many host organs including the pancreas and pancreatic tissue may be directly attacked and compromised by the organisms. Aim. This study aimed to evaluate the risk of toxoplasmosis infestation as a predictor of gestational diabetes mellitus (GDM) among pregnant ladies in Thi-Qar, Southern Iraq. Methodology. A case-control study was conducted on 151 pregnant ladies classified (61) with GDM and (89) healthy pregnant ladies attending a tertiary Endocrine Center. All patient data were gathered from direct interviews and the digital records of the tertiary center, which used an internal network system and Microsoft Access program. Each pregnant woman was diagnosed with new GDM according to the American Diabetes Association (ADA) definition criteria. Results. The mean ages of the whole participants were 28 ±6 years old and more than half of them were in the second decade of life, their mean weight was 75.38±13.29) kg and their body mass index was 29.82 ± 5.23 (Kg/m2). Family history of DM, history of toxoplasmosis infestation, and positive serological test of IgG for toxoplasmosis was significantly predominant among women with GDM rather than those without (p-value= 0.007, 0.002, 0.004 respectively). Conclusions. The second decade of age is the independent risk factor for developing new GDM, while toxoplasmosis infestation and positive IGG were additive-dependent risk factors for developing new GDM in collaboration with other patients' profiles. Pregnant women with GDM were significantly older, heavier in body weight, and obese than those without GDM making them at higher risk factors for getting hyperglycemia.
A rare presentation of hemophagocytic lymphohistiocytosis
Authors:   Department of General Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil Nadu, India, Rangan Abinaya Srinivasa , Ramesh Nithesh Babu ,   Department of General Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil Nadu, India, Reddy Keesari Sai Sandeep ,   Department of General Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil Nadu, India, Raghunathan E. G. ,   Department of General Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil Nadu, India, Suthakaran Prasanna Karthik ,   Department of General Medicine, Sri Venkateswaraa Medical College Hospital, Red Hills, Chennai, Tamil Nadu, India
Published: October 2024

Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening multisystem disorder characterized by immune system dysregulation, hypercytokinemia, and hyperinflammation. This excessive inflammatory response is triggered by the uncontrolled activation of macrophages and T-lymphocytes, leading to widespread tissue damage. Systemic Lupus Erythematosus (SLE), a chronic autoimmune disease, involves the immune system’s loss of tolerance to nuclear self-antigens, resulting in the production of damaging autoantibodies that can affect multiple organ systems. In this case report, we describe a rare presentation of HLH in a young female patient with a known history of SLE. She initially presented with acute respiratory distress syndrome (ARDS), an uncommon but serious manifestation of HLH. The patient, who had discontinued her lupus medications two years prior, developed high-grade fever, generalized myalgia, and progressive respiratory distress, necessitating mechanical ventilation. Her condition rapidly deteriorated despite aggressive supportive measures, with laboratory investigations revealing pancytopenia, hyperferritinemia, and elevated inflammatory markers, ultimately leading to the diagnosis of HLH. This case highlights the diagnostic challenges and the importance of early recognition of HLH in patients with underlying autoimmune conditions, such as SLE, who present with severe systemic inflammation and respiratory failure. Timely intervention is crucial, as delay in diagnosis and treatment can result in fatal outcomes. The case underscores the need for heightened clinical suspicion of HLH in similar presentations, as well as a multidisciplinary approach to management to improve patient prognosis.
CFD Modelling and Optimization of Solid Waste Combustion in a 1 MW Fixed Bed Combustion Chamber
Authors: Ahmed Ashraf , Pavel Pavel Alekseevich Trubaev , Rafshan Rafshan Salmanovich Ramazanov
Published: October 2024

The global population and energy consumption grow each year. Therefore, the tendency to use biofuels instead of fossil fuels assist the global requirement. Also, enhancing of the combustion efficiency and minimizing pollutant emissions during the combustion of municipal solid waste (MSW). The present study employed a CFD model to simulate solid fuel combustion in a grate combustion chamber which was commonly used in small-capacity boilers. computational fluid dynamics technique was used to simulate complex solid fuel reactions where 1 MW boiler was supposed for wood and coal combustion. The achievements found that 10%-dried MSW was used as fuel. The results of the study were related to the average gas flow temperatures and composition in the furnace outflow section, as well as the high combustion temperatures of fossil fuels. The results for the average temperature and average chemical molecular fractions (CO, O2, CO2, H2O, and N2) generated at the exit of the combustion process were positive. Thus, it was found that the thermal efficiency of the boiler was significantly affected by the amount of air supplied to the system at a temperature of 273 K and atmospheric pressure.  We observed variations in flame morphology, temperature profiles, and corresponding numerical values.
Leveraging AI Algorithms to Combat Financial Fraud in the United States Healthcare Sector
Authors: Oladokun Pelumi , Yetunde Adekoya , Osinaike Temidayo , Obika Ikenna
Published: October 2024

Financial fraud is a major problem in the healthcare industry because it causes large financial losses and compromises the integrity and trust of healthcare systems. The intricacy and sophistication of contemporary fraudulent operations make conventional fraud detection techniques which rely on manual audits and rule-based systems increasingly inadequate. AI algorithms have become a viable way to improve financial fraud detection and prevention. Hence, this paper examines how AI algorithms can be used to detect and stop fraud in the healthcare industry, emphasizing how these algorithms could revolutionize fraud control procedures. This study suggests that AI algorithms greatly improve the identification of financial fraud in the healthcare industry by spotting intricate patterns and abnormalities frequently overlooked by already existing techniques. Machine learning models have proven to be highly accurate in predicting fraudulent claims and transactions. However, while AI provides numerous opportunities to improve fraud detection skills, its effective application necessitates resolving important issues, including ethical considerations, data governance, and model interpretability.
Concentrated Growth Factor (CGF): A Potential New Player in Periodontal Regeneration
Authors: Anarthe Raju , Mani Amit , Jagtap Pranjali , Sonawane Prajwal , Vikhe Shweta
Published: October 2024

Regenerative procedures have become a key focus in contemporary rehabilitation therapies. In dentistry, research on growth factors for bone regeneration has identified autologous growth factors as the most effective stimuli for tissue regeneration and healing. These bioactive proteins play a crucial role in wound healing. Concentrated growth factor (CGF) is a recent advancement in 2 nd generation platelet concentrates. The use of different centrifugation speeds helps to obtain a significantly dense fibrin. Also, it contains more amount of growth factors than the other platelet concentrates available.
Minimizing Carbon Emissions by Improving Water and Energy Use Efficiencies in AI Servers: A Green Cloud Computing Strategy for Sustainable Artificial Intelligence Systems
Authors: Saklani Sumit , Singh Devendra
Published: October 2024

The advent of Artificial Intelligence systems, in particular of generative models like ChatGPT, has resulted in one more area requiring heavy computational resources which in turn consumes a lot of energy and water. By estimations, one interaction with ChatGPT for instance will take an estimate of 2.9 watt hour, which is ten times higher than the amount of energy consumed to conduct an ordinary googling task that is 0.3 watt hours. This stands as a call for action toward improving the water to energy ratio of the AI systems and therefore the recent carbon emissions. This paper explores the energy efficiency patterns of AI languages such as chatbots compared with the other means of searching the internet like Google and how the effects of the AI machines on the environment can be reduced. In this connection, green cloud computing methods have been suggested as possible solutions that can be effectively combined with the principles of clean energy use; on this list are both advanced systems for maintaining low temperatures and the optimization of AI systems. Finally, using of resources could also play a crucial part in the ultimate decrease in the adverse effects that the AI industry has on our environment.
Epidemiological Determinants and Risk Factors Contributing to the Rise in Neonatal Morbidity and Mortality in Liberia: A Quantitative Analysis
Authors: FORKPAH SACKEY GARMAI , OWINO OUKO VINSAM
Published: October 2024

Background: Neonatal mortality has remained a significant public health challenge in Liberia, necessitating a thorough understanding of factors contributing to adverse neonatal outcomes. This study aimed to investigate demographic and clinical factors associated with neonatal mortality among infants admitted to the Neonatal Intensive Care Unit (NICU) in Liberia.  Objectives: The primary objective was to identify demographic and clinical factors associated with neonatal mortality in NICU admissions. Secondary objectives include assessing the impact of antenatal care and the follow-up, mode of delivery, gestational age at birth, and multiple births on neonatal mortality rates.  Methods: A retrospective analysis was conducted using data from NICU admissions in Liberia. Demographic and clinical variables, including sex of neonate, ANC follow-up, mode of delivery, multiple births, and gestational age at birth, were analyzed for their association with neonatal mortality using logistic regression models.  Keyresults: The study included various neonatal admissions to the NICU. While male neonates constituted a slight majority of admissions, gender did not significantly influence neonatal mortality rates. Lack of ANC follow-up emerged as a significant risk factor for mortality, with neonates whose mothers did not receive ANC showing a substantially higher risk. C-Section delivery was correlated with a significantly increased risk of neonatal mortality compared to spontaneous vaginal delivery. Preterm birth was also identified as a significant risk factor for mortality, highlighting the vulnerability of preterm neonates. Multiple births presented unique challenges but did not significantly impact mortality rates after adjustment.  Conclusion: This study underscored the critical importance of ANC follow-up, appropriate delivery practices, and specialized care for preterm neonates in reducing neonatal mortality rates in Liberia. Findings provided informed valuable insights for policymakers and healthcare practitioners to develop targeted interventions aimed at improving neonatal health outcomes and reducing mortality rates in the country.
De werking van willekeur. Over de rol van toeval in ongelijkheid
Authors: Bol Thijs
Published: October 2024

Hoe maakbaar is succes? In zijn oratie gaat Thijs Bol in op de rol van willekeur en toeval in het ontstaan van ongelijkheid in de samenleving.
The Effect of Edmark Reading Program Functional Words Series Presented with Tablet Computer in Acquiring Functional Reading Skills for Students with Intellectual Disabilities
Authors: AKARSU Ersan , ATBAŞI Zehra
Published: October 2024

This study aims to examine the effect of the Edmark Reading Program Functional Words Series, which is presented with a tablet computer, on the acquisition of functional reading skills by three high school students with moderate intellectual disabilities. The design of the study is a multiple-probe model with an inter-subject probe phase, which is one of the single-subject research models. While the dependent variable is identified as functional reading skill, the independent variable of the present study is the Edmark Reading Program Functional Words Series offered via a tablet computer. The participants of the study are three male students with moderate intellectual disability. The starting level of the experimental process of the research, the implementation of the Edmark Reading Program Functional Words Series consisted of monitoring and generalization stages. The data obtained in the research were analyzed and interpreted graphically. As a result of the research, it was found that the Edmark Reading Program Functional Words Series, which was tested with a tablet computer, was effective in acquiring functional reading skills of students with moderate intellectual disability. In addition, the participants of the research were able to generalize the 10 target words that were taught in the real environment as well as in the teaching environment, and they were able to continue reading one and three weeks after the teaching. The interviews conducted to determine the social validity of the research revealed that parents, teachers and participant students expressed positive opinions about the program offered via tablet computer.
The Attitudes of 8th Grade Students Towards the Republic of Turkey Revolution History and Kemalism Course
Authors: ÇELİK Selami , ÖZDEMİR Nevin
Published: October 2024

This study is quantitative research that aims to examine the attitudes of 8th graders towards the T.R. History of Revolution and Kemalism Course. The study population consists of 6.650 students studying in the 8th grades of Samsun province central district secondary schools in the 2022-2023 academic year, while the sample consists of 1424 students. A stratified sampling method was used in sample selection, and simple random sampling was used to draw units from the sub-populations of the sample. A survey form, the first part of which includes demographic information of the participants and the second part of which provides for the T.R. History of Revolution and Kemalism Course Attitude Scale, was used as a data collection instrument. Descriptive statistics and hypothesis tests were used in data analysis. The range width of the scale was interpreted based on the formula "range width/number of groups.” Whether the scale scores showed significant differences between demographic groups was tested with hypothesis tests, an independent sample t-test was used to compare independent demographic variables with two groups, and a one-way ANOVA test was used for independent variables with more than two groups. The difference in test scores between these groups was interpreted using the post hoc test, Scheffe. As a result of the study, it was found that the attitude scores of the study sample towards the course were undecided. There were significant differences between participants' attitudes towards the course and the variables of gender, nationality, school type, parental educational status, place of residence, number of people in the household, and course achievement.
Investigating the Relationship between Attachment and Marital Satisfaction in Couples Marital Experiences
Authors: GİDER Büşra , BUDAK Hatice
Published: October 2024

This study aimed to examine the relationship between attachment and marital satisfaction in couples' marital experiences. The study included 601 married individuals selected by criterion sampling method, one of the purposive sampling methods, and fifteen married couples were interviewed separately. This research was designed using Creswell's simultaneous triangulation design, one of the mixed method designs. The data were collected using the Personal Information Form, Relationship Scales Questionnaire, Marital Life Scale, and Semi-structured Interview Form prepared by the researchers. The findings of the study revealed that the participants' gender, educational status, type of marriage, fearful attachment, and preoccupied attachment styles did not predict marital satisfaction. In contrast, secure attachment styles positively predicted marital satisfaction, whereas dismissing attachment styles negatively predicted marital satisfaction. In the study, it was concluded that the type of marriage has no effect on marital continuity and satisfaction and that the character traits of the spouses and the way they behave towards each other, the presence of understanding, love, interest, happiness, and peace between the spouses and having children are more determinant. The findings obtained from the study were discussed in line with the relevant literature, and suggestions were made for research and practice.
Do you have feet in your shoes? Innovation and resilience in a footwear industrial district in Brazil
Authors: Viana Luiz Fernando Câmara , Hoffmann Valmir Emil , Pinto Hugo , Diez Vial Isabel
Published: October 2024

is study examines innovation as a shock reaction in the process of regional economic resilience, focusing on a footwear industrial district in southern Brazil during the COVID-19 pandemic. e results show that innovation, a mechanism of adaptability, emerged in the industrial district not only to support economic recovery, but also to mitigate the adverse eﬀects. Firms implemented novel marketing and sales processes, and some also had to change their information and communication systems or organisational structure to support e-commerce. As such, this study highlights the inﬂuence of adaptability on economic resistance.
Will the post-neoliberal era represent a renaissance of industrial districts as we knew them?
Authors: Asheim Björn
Published: October 2024

We have now entered a post-neoliberal era, characterised by deglobalisation and reindustrialisation to obtain resilience and security in value chains and increase manufacturing capacity in Europe and the US. Europe has not to the same extent suﬀered from deindustrialisation as the US. Typical examples of the industrial structure in Europe are the ’hidden champions’ of Germany and the industrial districts of the Third Italy. The industrial districts have been exposed to globalisation, resulting in the brake up of the original complete regional value chains through outsourcing in some sectors. However, in general the industrial districts have been surprisingly resilient during the 40 years period of neo-liberalist globalisation illustrating the ‘many possible world view’ of Sabel and Zeitlin (1985). In this contribution we ask what will the new tendencies of deglobalisation, regionalisation and Industry 4.0 digital technology mean for the future of the industrial district model? Will it imply a strengthening of the original form of industrial districts so that this model of (re)industrialisation once again takes on a position as a role model for developed economies. The intention of this letter is to introduce a discussion about this fascinating topic.
Implications for Galactic Electron Density Structure from Pulsar Sightlines Intersecting H ii Regions
Authors: Ocker Stella Koch , Anderson Loren D. , Lazio T. Joseph W. , Cordes James M. , Ravi Vikram
Published: October 2024

Recent radio surveys have revealed pulsars with dispersion and scattering delays induced by ionized gas that are larger than the rest of the observed pulsar population, in some cases with electron column densities (or dispersion measures, DMs) larger than the maximum predictions of Galactic electron density models. By cross-matching the observed pulsar population against H ii region catalogs, we show that the majority of pulsars with DM > 600 pc cm−3 and scattering delays τ(1 GHz) > 10 ms lie behind H ii regions, and that H ii region intersections may be relevant to as much as a third of the observed pulsar population. The fraction of the full pulsar population with sightlines intersecting H ii regions is likely larger. Accounting for H ii regions resolves apparent discrepancies where Galactic electron density models place high-DM pulsars beyond the Galactic disk. By comparing emission measures inferred from recombination line observations to pulsar DMs, we show that H ii regions can contribute tens to hundreds of parsecs per cubic centimeter in electron column density along a pulsar line of sight. We find that nearly all pulsars with significant excess (and deficit) scattering from the mean τ–DM relation are spatially coincident with known discrete ionized gas structures, including H ii regions. Accounting for H ii regions is critical to the interpretation of radio dispersion and scattering measurements as electron density tracers, both in the Milky Way and in other galaxies.