bluuebunny/crossref_metadata_2025 huggingface dataset:
Incidence and Risk Factors for Concurrent Syndromic Diagnosis in Presumed Idiopathic Developmental Dysplasia of the Hip
Authors: Gettys F. Keith , De La Rocha Adriana , Ramo Brandon A.
Published: June 2022

Background:

Infants referred for developmental dysplasia of the hip (DDH) may have a previously unidentified concomitant diagnosis of syndromic pathology. Our purpose was to examine the incidence of syndromic pathology in infants referred to a tertiary center with presumed idiopathic DDH and identify risk factors and difference in treatment courses between idiopathic and nonidiopathic cohorts.

Methods:

A retrospective analysis of a prospective cohort of infants younger than 3 years who were evaluated for DDH between 2008 and 2013 with a minimum 2-year follow-up. The clinical history and treatment were noted to determine the incidence and nature of concomitant syndromic diagnoses, after a confirmed diagnosis of DDH.

Results:

There were 202 patients: 177 were females (87.6%). Thirteen patients (6.4%) were later diagnosed with a neurologic/syndromic diagnosis. The workup leading to additional diagnosis was initiated by the orthopaedic surgeon in 8 of 13 patients (61.5%). Half of the referrals (4 of 8) made to other specialists were because of an abnormal treatment course (three—failure of typical DDH treatment and one—relapsed clubfeet). 7 of the 8 referrals were made because of developmental delays and decreased tone. 5 of the 13 nonidiopathic patients had other orthopaedic problems. The syndromic diagnoses included three cerebral palsy, two Kabuki syndrome, one Down syndrome, one myopathy, and one neuropathy. The diagnosis was made at an average of 2.3 years (0.04 to 4.7). No notable difference was observed in the incidence of the four known risk factors for DDH in syndromic patients compared with the idiopathic group. The syndromic patients required more open reductions (P = 0.002).

Discussion:

By the age of 3 years, 6% of the patients treated for DDH were found to have a syndrome or neurologic abnormality, and the referral for workup was made by the treating surgeon greater than 60% of the time.
A Comparative Analysis to Advancing the National Cybersecurity Strategy in Saudi Arabia
Authors: Alghamdi Abdulrahman
Published: June 2022

Cyberspace has dramatically expanded due to technological advancement. Nowadays, cyberspace is part of daily life experiences and socio-economical activities. Countries all over the world need to have their own National Cybersecurity Strategies (NCSS) to be protected from cyber risks and threats. NCSS states the strength of a given country’s cybersecurity strength concerning the objectives, aims, vision, and cybersecurity mission of a country in question. Previously, many researchers have conducted studies on NCSS by contrasting the National Cybersecurity Strategy between different nations primarily for intercontinental teamwork and coordination of cybersecurity challenges globally. Purposefully, one of the main objectives is to evaluate and assess policy frameworks in various countries to combat the prevailing cyber threats. As a result, from the comparison of many policy frameworks on NCSS of many countries, it was discovered that more effort should put into National Cybersecurity of Saudi Arabia. This paper compares the cybersecurity strategy of Saudi Arabia with the NCSS of other fifteen countries such as the United States of America, Singapore, India, Japan, Malaysia, Kuwait, Canada, UK, China, Egypt, Bahrain, Hong Kong, Russia, Korea, and France. Saudi Arabia rank in cybersecurity has risen to be in the second rank in 2020. Compared to other developed countries, the results found that Saudi Arabia appears to be on the right track in ensuring the safety of its cyberspace.
Devise and Adopt a Technique to validate Digital Healthcare System using Finite State Machine
Authors: Aldriwish Khalid
Published: June 2022

Several countries struggle to deliver cost-effective, quality healthcare services to their patients and citizens. The growth of healthcare services has rapidly increased for both health organizations and industries. The challenge of setting healthcare services remains to increase as system structure needs to satisfy several specifications and requirements of ever serious design scenarios. The industry of healthcare is progressing as the ability of producing a high value quality of service to the community, and this leads to the growth of information technology (IT) which has presented several significant solutions to healthcare services using high quality speed of network communication, mobile and digital technology which should facilitate an accessible to achieve medical services. Hence, this paper proposes and adopts a technique to proof and validate digital healthcare services which illustrates a technological method to produce health services and benefits available by using a distributed system, thus the proposed system will provide Electronic Health Records (EHR) which is using and applying several client technologies such as, web, mobile and personal computer to have a variety of services in the system. Therefore, the EHRs are managed by system modules in different criteria of health records which is shown and applied along with a typical transmission protocol to tame interconnecting between system services and modules.
Impact of Time Delay Margin on the Stability of Load Frequency Systems with Electric Vehicle Aggregator
Authors: Jawahar A , Ramakrishnan K
Published: June 2022

Open channel communication is a major prerequisite for next generation power networks in which time delays are inevitable. Due to unforeseen variations in the load demand, the mismatch between power generation and demand occurs. If this situation is not properly tackled, it may induce some unintended consequences like fluctuations in the tie-line power and system frequency which are highly undesirable. To ensure grid reliability, the frequency should always stay within its stipulated range. This is accomplished by load frequency control (LFC) technique. In networked LFC systems, load frequency regulation signals are transferred via communication networks, causing time delays in the feedback paths that can destabilize the power grid. As a consequence, for ensuring stability, the stable delay margin must, therefore, be determined. In this paper, the delay-dependent stability problem of two area LFC systems combined with electric vehicle aggregator (EVA) is addressed. The conducted Lyapunov based analysis yields a stable delay margin within which the closed loop system remains asymptotically stable. Moreover, the analytical delay margin values are validated using the simulation studies. In the sequel, the effect of participating factors on the system stability is also investigated.
A Fully MOSFET Voltage Reference with Low Power Consumption and High Power Supply Rejection Ratio for IoT Microsystems
Authors: Rayat Hosein , Dastanian Rezvan
Published: June 2022

In this work, a fully MOSFET voltage reference (FMVR) circuit with a current consumption of 7.6 nA and a supply voltage of 1 V is proposed. To generate the complementary to absolute temperature (CTAT) voltage, the voltage of a PN junction generated by a PMOS transistor - which is part of the bias circuit - is used. Generation of proportional to absolute temperature (PTAT) voltage is carried-out by utilizing three stages of self-cascode transistors biased in the sub-threshold region. A fraction of the CTAT voltage is added to the PTAT voltage without using an additional circuit to enable acquiring an output reference voltage of about 0.648 V with minimal temperature dependence. The proposed voltage reference is simulated in 0.18 μm of CMOS process and its area occupation is 0.0023 mm2. The obtained post-layout simulation results demonstrate that the proposed FMVR has a temperature coefficient equivalent to 12.9 ppm/°C under the temperature variation from -25 °C to 120 °C. Moreover, the line regulation under supply voltage variation from 0.9 V to 2 V is found to be equal to 0.02 %/V, and a power supply rejection ratio of 44 dB is acquired. Comparing the main parameters of the proposed FMVR - to the state-of-the-art circuits - shows that it has higher efficiency with smaller area and lower power consumption.
Design and Optimization of Infinite Impulse Response Full-Band Digital Differentiator Using Evolutionary and Swarm Intelligence Algorithms
Authors: Ababneh Jehad , Khodier Majid
Published: June 2022

In this paper, the design and optimization of infinite impulse response full-band digital differentiator (DD) using evolutionary and swarm intelligence algorithms is investigated. Different objective functions based on the absolute error, the squared absolute error and the min-max optimality criterion are investigated. The optimal DD parameters that result in the best minimum value of the investigated objective functions are obtained using differential evolution, particle swarm optimization, genetic algorithm and cuckoo search optimization methods. These algorithms are used due to their simplicity, efficiency and robustness in solving general multidimensional optimization problems. The investigation outcomes show that minimizing the absolute error gives the most flat magnitude response, and minimizing the squared absolute error gives almost the lowest mean error of the designed DD. In addition, a new objective function is proposed to improve the linearity of the phase response of the designed infinite impulse response full-band DD. It is found that the design of the DD using the differential evolution outperforms or at least is comparable to similar designs reported in the literature using other optimization methods.
The Role of Educational Content in Raising the Skill of Media Students in Detecting False News on Digital Platforms: A field Study on a Sample of Students from Media Colleges and Departments in Arab Universities
Authors: Badr Amal , Ali Nasreddin
Published: June 2022

The study aimed to test the hypothesis of the relationship between the rates of interest of media education courses in the component of "critical thinking" (at the two levels: knowledge and skill) and the rates of media students' benefit from mechanisms for verifying the credibility of news content on social media platforms, both internal evaluation mechanisms for methods of content delivery, based on An individual's cognitive experiences, or external validation mechanisms through critical comparisons of content. The study relied on the survey method, in addition to the comparative method. Using the questionnaire tool in the process of data collection, the study sample consisted of (150) students from media colleges in Arab universities using the available sample method. The results of the study showed that social media platforms are a basic information and knowledge resource for students of media faculties and departments, and this intensity of use is an important factor that prompted media faculties and departments to include critical thinking courses and media or digital education within the educational content system that they rely on in preparing and the development of a number of basic knowledge and concepts among students. The students seemed affected in their assessment of the types of information most likely to be falsified on communication platforms by their rates of use of these platforms, and it was proven that there are differences between students in evaluating the types of information most likely to lie according to the degree to which they benefit from different types of digital platforms. Evaluate visual information as the most likely information to lie. Students use a number of mechanisms to ensure the credibility of content on social media platforms, especially the comparison mechanism. Then comes the content writing language testing mechanism. It has been proven that the students’ resort to the linguistic verification mechanism of content credibility has a significant relationship to the degree of students’ comprehension of knowledge related to critical thinking, and that resorting to the “comparison” mechanism in verifying the credibility of the content is related to the degree of students’ comprehension of the elements of critical thinking.
Kur’ân’ın Filolojik Tefsiri Bağlamında Abdullah bin Abbas’ın Yeri ve Önemi
Authors: CAN Süleyman , SEBER Abdulkerim
Published: June 2022

Peygamber’in (a.s.) vefatının ardından Kur’an’ın yorum ve tefsiriyle ilgili bir kısım problemler yaşanmış ve problemlerin çözümü konusunda sahabe (r.a.), var gücüyle çalışmaktan geri kalmamıştır. Bu çalışanlar içinde, genç yaşına rağmen, Kur’an’la ilgili bilgisi bizzat Rasûlullah (a.s.) tarafından onaylanan ve ashabın da fikirlerinden istifade ettiği Abdullah b. Abbas gelmektedir. İbn Abbas’ın Arap diline hakimiyeti ve Kur’an’la ilgili açıklamaları birçok kaynakta zikredilmekte sonra gelen müfessirlerin kitaplarında da görüşlerine daima yer verilmektedir.

Çalışmada, öncelikle İbn Abbas’ın hayatı, şahsiyeti, ilim hayatı, siyasi durumu, hocaları, ilmi kişiliği, öğrencileri ve ders metodu ele alınmış, peşinden “filoloji” ve “filolojik tefsir” kavramı ele alınarak incelenmiştir. Daha sonra da İbn Abbas’ın Kur’an ayetleri hakkında yaptığı tefsir ve yorumlarla ilgili örnekler eşliğinde incelenmiştir. Kur’ân-ı Kerim’i rivayet ve dirayet metoduyla tefsir eden ve genel kabule göre lugavî tefsirin kurucusu olarak bilinen İbn Abbas, aynı zamanda Kur’ân müfredatının tefsirinde Cahiliye şiirini delil olarak kullanan, Kur’ân’daki garip lafızlarının tefsirinde şiirden faydalanan ilk müfessir olarak görülmektedir. Rivayet ve dirayet yöntemiyle tefsir yapan ve bu alanda en önemli kaynak olarak kabul edilen İbn Abbas, tefsir kaynakları ile ilgili farklı yöntemleri kullanmıştır. O, Kur’an’da herhangi bir ayetteki anlaşılmayan kelimeleri, kimi zaman başka bir ayetle açıklamış, bazen de konuyla ilgili bir hadis yardımıyla çözüme ulaşmıştır. Konumuzla ilgili Türkiye’de “Ali Bulut’un Kur’an Filolojisine Dair İbn Abbâs’a Nisbet Edilen Üç Eser”, İsmail Aydın’ın İbn Abbas: Filolojik Tefsirin Öncüsü”, “Saida Saipova’nın İbn Abbas (68/687) ve Kur’ân Yorumlamaları ve “Mehmet Ali Durur’un, Dilbilimsel Tefsirin Gelişimi ve İbn Abbâs’ın Dilbilimsel Tefsîre Etkisi” gibi makale çalışmaları bulunmaktadır. Yapılan çalışmanın amacı, İbn Abbas’ın tefsir kaynaklarından örnekler ışığında, İbn Abbas’ın filolojik tefsirdeki konumu ve öneminin ortaya konarak hem Tefsir hem de Arap dili ve Belagatı alanına katkıda bulunmaktır.
IoT Challenges and Future Directions
Authors: Journal IJSREM
Published: June 2022

The development potential for the enterprises in the modern era is huge as they invest in diverse technologies. Internet of Things is a leading technology that has immense growth opportunities. It is predicted that 41.6 billion IoT devices will be operational in 2025. Typically, with the Internet of Things (IoT) expanding at large, there are numerous technical challenges that are encountered. Given the ongoing advancements in the IoT sector, it is quite obvious that IoT may penetrate all the sectors like finance, healthcare, agriculture, smart wearables, to name a few. The IoT has a potential to introduce a major revolution amongst the various sectors. This paper presents an overview on the IoT advancements and discusses the Future applications and investigation Challenges. Keywords- Internet of Things, IoT Applications , future technologies, IoT Challenges, IoT Future.
Big Data using Cloud Computing: Security Issues and Approaches
Authors: Journal IJSREM
Published: June 2022

Big Data is a data analysis methodology made possible by current technological and architectural advancements. However, big data requires a significant investment in hardware and processing power, making it prohibitively expensive for small and medium-sized firms to implement. Small and medium-sized enterprises can benefit from cloud computing promise of big data implementation. The MapReduce programming paradigm is used to process large amounts of data. The MapReduce paradigm typically necessitates networked connected storage and parallel computation. The computing requirements of MapReduce programming are frequently beyond the capabilities of small and medium-sized businesses. Cloud computing is network access to computing resources on demand, given by a third party Hardware cost reduction, processing cost reduction, and the flexibility to verify the value of big data are three significant reasons for small and medium-sized organizations to embrace cloud computing for big data technology implementation. Security and loss of control are two main concerns with cloud computing. Key Words: Big data, MapReduce, cloud computing, private cloud, public cloud, and hybrid cloud.
Review of various Models in the Field of Sentiment Analysis
Authors: Journal IJSREM
Published: June 2022

This article provides a case study of all sentiment analysis-based deep learning models. One of the most important studies in natural language processing is sentiment analysis, which is frequently employed in politics, news, and other sectors. Given the large number of products purchased through ecommerce websites, it makes sense to drive clients to web pages that showcase the greatest products with the highest ratings and reviews. The notion of sentiment analysis aids in the translation of feedback into numbers, but it also aids in determining whether feedback is favourable or negative in deep learning models. The SLCABG model, for example, combines a large vocabulary with the advantages of deep learning methods. To begin, sensory vocabulary was employed to improve the review's emotional features. It then applies attention to weights and extracts fundamental emotion and contextual data from the review using CNNs and Gated Recurrent Units (GRUs). The SLCABG model improves on the inadequacies of classic sentiment analysis models for product reviews by using sensory vocabulary and deep learning techniques. This approach can also be used to enhance the surfing experience, particularly for websites that track user sentiment. Keywords: SLCABG model, CNN, BIGRU, GRU, Sentiment analysis
A Computer in Digital Forensic: Computer Forensic
Authors: Journal IJSREM
Published: June 2022

The report focuses on computers' roles in digital forensics. All of these industries are implementing digitalization into their operations as the globe progresses toward digitalization. As a result of digitalization, working methods are becoming more productive and convenient. To employ digitalization, all we need is a computer or a system. Some forensics software tools are available, but they must be loaded on computers in order to complete the operation. It gives us the advantage of being able to operate quickly. Crimes committed have grown increasingly frequent in electronic or digital worlds, particularly cyber. Technology is being used by criminals to commit crimes, providing new obstacles for law enforcement agents, lawyers, magistrates, army members, and security experts.
Applications of Robotics in Healthcare
Authors: Journal IJSREM
Published: June 2022

This paper investigates the expanding relevance of robotics in personal health care and associated industries, with an emphasis on suggesting critical research strategies for robotics throughout healthcare. The major purpose of the robot is to decrease human-to- human contact in the hospital while also providing cleanliness, hygiene, and support. This research intends to emphasize the importance of simple healthcare robotics and link their applications to enhance the quality, health, and wellbeing, and reduce medical errors while also providing patients with preventive and tailored therapy. Encourage them to inquire about long-term care and advertise its availability. For those who need it. "I utilize the robot to assist patients that have been informed that conventional surgery is out of the question." DANIEL EUN, M.D. Healthcare robotics is a new business that is expected to grow in response to population trends, projected personnel shortages, and desires to improve the well-being of the old and handicapped, hence the need for even relatively high treatments, such as high-precision treatment. All of these characteristics promote innovation in healthcare robots. Several robotics research groups and networks are already working on healthcare applications. Key Words: Healthcare, Robots, Patients, Medical Professionals.
PAYMENT APPLICATIONS AND CHANGING TRENDS OF BANKING
Authors: Journal IJSREM
Published: June 2022

E-payment can be defined as the collection of tools or methods by which transfer of funds or money takes place between the two parties, payer and the payee through all the electronic channels other than physical modes like cash & cheques. According to Hsiao-Cheng, Kuo-Hua and Pei-Jen (2002), there are four major categories of electronic payment systems: online credit card payment, electronic cash, electronic cheques and small payments. They further stressed that each of these systems has its own advantages and disadvantages. They further stressed that each type could be assessed through these four distinct qualities viz: Technological aspect, Economic aspect, Social aspect and Institutional and law aspects Digital payment systems are steadily becoming a promising mode of payment in today’s world because of its features like convenience, timeliness and efficiency. It is the payment system that has been majorly adopted by the developed countries & gradually being adopted by the developing countries with a view to simplify & ease payments in business transactions. These modes of payment have a great potential to make the economy of a country cashless which, in return can make the country a superpower. Amongst the fixed consumers, the young and educated are the early users of the digital payment apps. Consumers with college graduate degrees are evenly split between users and non-users, whereas the lower qualifications show lower usage rates.
MEDICAL & HEALTHCARE INDUSTRY RESOURCE ALLOCATION USING DATA MINING
Authors: Journal IJSREM
Published: June 2022

In the health sector, a large number of people need and approach the health center for their attention.Most patients do not receive enough care in the health sector, for example data such as medicines,operation theatre, instruments ready to use, rooms, wards and medical products to all humans in hospitals In certain conditions, some patients have a critical stage or emergency where the resource will not be accessible, in such circumstances people may need to move the hospital or any home where they can get the resources they need most. Previous model utilized in healthcare sector is Support Vector Machines; supports a direct learning model for classification, regression and edge detection.When the difficulty of the data and their classification increases, our previous model fails to satisfy the preferred condition. So we propose a neural network model, which is a series of algorithms that endeavors to accept the underlying relationships in a dataset through a process that copies the operation of human brain likewise, our suggestion algorithm helps to attribute data in our health process. By achieving systematic resource allocation, our patients get what they need when they need it most Key Words: Neural network model and Support vector machines
Software Testing Techniques: A Study
Authors: Journal IJSREM
Published: June 2022

The concept of software product strains represents a paradigm shift in the software development industry since it calls for the adaptation and implementation of business manufacturing practices. This paradigm places a significant emphasis on reusing materials and enhancing the level of traceability that exists between the many artifacts produced along the line. They define the best practices for software development in an environment that is controlled flawlessly by using software engineering methodologies a do so in the context of describing these best practices. This article presents a thorough analysis of the previous research on analyzing software program product strains. The goal of this project is to investigate important challenges in this area of knowledge, unanalyzed primary approaches currently used for assessing software program product lines and present a current state of the art that might potentially serve as a foundation for revolutionary research projects. The study also investigates how SPL studies may be of use when evaluating software programs and how
A STUDY ON PRODUCT POSITIONING BY USING STP MODEL WITH REFERENCE TO GR ENGINEERING
Authors: Journal IJSREM
Published: June 2022

The main aim of the study is to determine the Product positioning by using STP model. Segmentation, targeting and positioning are tools of marketing used in gaining competitive advantage by a firm in the market. Businesses may not be in a position to satisfy all of their customers, every time. It may prove difficult to meet the exact requirements of each individual customer. People do not have identical preferences, so rarely does one product completely satisfy everyone. Many companies may usually adopt a strategy that is known as target marketing. This strategy involves dividing the market into segments and developing products or services to these segments. A target marketing strategy is focused on the customers’ needs and wants. This study established that market positioning strategies can help the company to build their image and can help them to create proper appeals in the minds of the target market. Analysis done by using SPSS software. KEYWORDS: Segmentation, Targeting, Positioning.
Promethee for Detecting Cancer in Wireless Body Area Network
Authors: Journal IJSREM
Published: June 2022

Whenever thought about mass deaths of people, it was either from a flood, drought, or an explosion caused by a missile or bomb, but these days the significant risk to the human lives from the disease named “Cancer”. Cancer is largest cause of death in the world . To prevent the Cancer Disease from disseminate, regular identifying and monitoring of infected patients is needed. In this regard, Wireless Body Area Network (WBAN) can be used in conjunction with the Internet of Things (IoT) and Multi-Criteria Decision- Making Method (MCDM) for identifying and monitoring the human body for health-related information, which in turn can aid in early diagnosis of diseases. WBAN makes use of the biosensors in, on or around the body, to ensure the measurement of the biological specifications of the human body, which are designed for the healthcare application. This paper proposes a novel WBAN framework for detection of an early stage of Cancer which based on IoT to receive the biosensor signals from the patient and evaluate symptoms of disease and help healthcare professionals to improve and enhance cancer treatment . Due to resemblance of Cancer symptoms with several other diseases, this paper also presents the Promethee MCDM to help medical professionals identify the disease that the patient might be suffering from or suffer without Cancer. This methodology relies on collected information from the proposed WBAN framework, and it can deal with the complexity of imprecision and confusion arising from the relative priority scales of various disease symptoms. Keywords: Cancer; Wireless Body Area Network; Internet of Things; Multi-Criteria Decision-Making; Preference ranking organization method for Enrichment Evaluation
Nghiên cứu đặc điểm xạ hình xương với 99mTc-MDP trong bệnh u nguyên bào thần kinh tại Bệnh viện Nhi Trung ương từ tháng 1/2018 - 03/2020
Authors: Hoàng Văn Tám , Phạm Văn Thái , Vũ Thị Dinh , Nguyễn Thế Mạnh , Nguyễn Văn Đoàn , Nguyễn Văn Hùng
Published: June 2022

Mục tiêu: Xác định tỷ lệ di căn xương và đặc điểm hình ảnh xạ hình xương (XHX) với Technetium-99mDimercaptophosphonate (99mTc-MDP) trong bệnh u nguyên bào thần kinh (UNBTK) ở trẻ em.Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả, hồi cứu kết hợp tiến cứu trên 86 bệnh nhân dưới 15 tuổi,được chẩn đoán xác định là UNBTK theo tiêu chuẩn của hội nghị các nhà ung thư nhi khoa năm 1988 và được chụp xạ hìnhxương với 99mTc-MDP tại Bệnh viện Nhi trung ương từ tháng 1 năm 2018 đến tháng 3 năm 2020.Kết quả: Tỷ lệ phát hiện di căn xương là 33,7%. Có 55,2% bệnh nhân được phát hiện di căn xương khi chưa có biểu hiện lâmsàng (chưa có đau xương). 100% các trường hợp di căn xương trên xạ hình xương đều có hình ảnh tăng hoạt độ phóng xạ (HĐPX).Di căn xương phần lớn gặp ở tuổi 2-4 tuổi 58,6%, vị trí chi dưới 62,1%, tổn thương đa ổ 72,4%, trong đó 58,6% di căn ≥ 5 ổ.Kết luận: Xạ hình xương với 99mTc-MDP là kỹ thuật có giá trị giúp phát hiện di căn UNBTK vào xương sớm khi chưa cóbiểu hiện lâm sàng của di căn xương.
Tương quan giữa hình ảnh cắt lớp vi tính, nội soi với mô bệnh học sau mổ trong phân giai đoạn T ung thư thanh quản
Authors: Nguyễn Bảo Minh Triết , Trần Trần Thị Mai Thùy , Lâm Lâm Thanh Ngọc , Huỳnh Ngọc Vân Anh
Published: June 2022

Mục tiêu: Tương quan giữa CLVT, nội soi với bệnh học sau mổ trong phân giai đoạn T ung thư thanh quảnĐối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang các bệnh nhân ung thư thanh quản có CLVT đầucổ trước khi phẫu thuật thanh quản. Đọc mù phân giai đoạn T trên CLVT kết hợp với nội soi, đối chiếu với kết quả mô học sauphẫu thuật. Phân tích độ nhạy, độ đặc hiệu của CLVT, nội soi đối với việc phân loại giai đoạn T.Kết quả: Nghiên cứu thu được 105 trường hợp gồm 96 nam và 9 nữ. Bệnh nhân có tuổi từ 38 đến 87 (trung bình 61 tuổi).16 bệnh nhân (15%) có ung thư thượng thanh môn và 89 bệnh nhân (85%) có ung thư thanh môn. 42 trường hợp phân độ T1, 23 trường hợp T2, 20 trường hợp T3, 19 trường hợp T4a và 1 trường hợp T4b. Độ nhạy, độ đặc hiệu, giá trị tiên đoán dương, giá trị tiên đoán âm, độ chính xác của CLVT trong phân giai đoạn T lần lượt là 68%, 93%, 70%, 92% , 88%Kết Luận: CLVT là một phương pháp hỗ trợ tốt cho việc xác định giai đoạn T của ung thư thanh quản, đặc biệt là giaiđoạn T3, T4. Kết hợp thông tin từ CLVT và nội soi làm tăng độ nhạy, độ đặc hiệu trong phân giai đoạn T.
Không có động mạch phổi phải: nhân 2 trường hợp khám và điều trị tại Bệnh viện Phổi Trung ương
Authors: Hoàng Văn Lương
Published: June 2022

Không có động mạch phổi phải (Absence of right pulmonary artery – RPA) là một bất thường bẩm sinh hiếm gặp, với tỷlệ hiện mắc ước tính là 1 trên 200.000 thanh niên. Bệnh có thể không có triệu chứng lâm sàng hoặc có thể có các triệu chứngkhông đặc hiệu như ho, khó thở hoặc đau ngực. Đối với trẻ em có thể có suy hô hấp hoặc tăng áp động mạch phổi nặng. Bệnhcó thể có kết hợp với các bất thường bẩm sinh khác như thông liên thất, thông liên nhĩ, còn ống động mạch, tứ chứng Fallot….Chúng tôi trình bày 2 trường hợp RPA khám và điều trị tại Bệnh viện Phổi Trung ương vì viêm phổi tái phát nhiều lần. Haitrường hợp này đều không có kết hợp các bệnh bẩm sinh, trong đó một trường hợp có tăng áp động mạch phổi. Hai bệnh nhânđều được điều trị nội khoa và có kết quả tốt.
MÔ TẢ KẾT QUẢ ĐIỀU TRỊ NHÂN NÓNG TUYẾN GIÁP BẰNG PHƯƠNG PHÁP ĐỐT SÓNG CAO TẦN
Authors: My Lê Thị , Thông Phạm Minh , Lưu Vũ Đăng
Published: June 2022

Đặt vấn đề: một số bệnh nhân có nhân nóng tuyến giáp không phù hợp với phương pháp điều trị bằng phẫu thuật hoặc liệu pháp phóng xạ. Vì vậy phương pháp điều trị can thiệp tối thiểu như phá huỷ bằng cồn tuyệt đối hoặc đốt sóng cao tần là cần thiết.Phương pháp: nghiên cứu này có 17 bệnh nhân (7 BN có nhiễm độc giáp và 10 BN tiền nhiễm độc giáp), tỷ lệ nam: nữ = 1:7.5; tuổi trung bình 46.47 ± 13 (28-66) . Tất cả bệnh nhân đều có hình ảnh nhân nóng trên xạ hình tuyến giáp bằng 99mTc. RFA được tiến hành và sử dụng kim 18G với hệ thống làm mát trong kim. Các chỉ số về thể tích nhân tuyến giáp, chức năng tuyến giáp, xạ hình, điểm triệu chứng, xếp loại điểm thẩm mỹ và biến chứng được đánh giá trước điều trị và theo dõi sau điều trị ở thời điểm sau 1 tháng, 3 tháng, 6 tháng và 2 năm.Kết quả: thể tích trung bình của nhân tuyến giáp 13.07 ± 8.44 (2.2 – 35.5 ml). Mức độ giảm thể tích trung bình sau điều trị 1 tháng, 3 tháng, 6 tháng, 2 năm lần lượt là 42.77 % , 63.13% , 78.3 % và 95.65%. Các chỉ số xét nghiệm hormone T3, FT4, TSH ở thời điểm ban đầu trước điều trị 2.59 ± 1.19 nmol/L, 16.3 ± 5.78 pmol/L, and 0.101 ± 0.178 mU/mL và có sự cải thiện đáng kể sau điều trị RFA 1 tháng (T3: 2.18 ± 0.753 nmol/L, p = 0.001; FT4: 14.78 ± 2.86 pmol/L, p = 0.001; TSH: 1.464 ± 0.844 mU/mL, p = 0.001), sau 06 tháng (T3: 2.07 ± 0.614 nmol/L, p = 0.012; FT4: 15.12± 2.0 pmol/L, p = 0.001; TSH: 1.269 ± 0.398 mU/mL, (p <0.001), ổn định sau 24 tháng ( T3: 2.05 ± 0.523 nmol/L, p = 0.016; FT4: 16.43 ± 1.39 pmol/L, p = 0.001; TSH: 1.69 ± 0.654 mU/mL, (p <0.001). Xạ hình tuyến giáp sau điều trị 3 tháng, cả 17 bệnh nhân tiến triển từ nhân nóng thành nhân lạnh tuyến giáp. Sau 02 năm điều trị, điểm triệu chứng giảm từ 3.47 ± 1.9 xuống 0.06 ± 0.25 (p = 0.001) và điểm thẩm mỹ giảm từ 3.59 ± 1.1 tới 1.19 ± 0.403 (p <0.001). Không gặp biến chứng nặng nào.Kết luận: RFA cho thấy tính hiệu quả và an toàn trong điều trị cho nhân nóng tuyến giáp.
NGHIÊN CỨU GIÁ TRỊ CỦA X-QUANG CẮT LỚP TRONG CHẨN ĐOÁN UNG THƯ VÚ Ở BỆNH NHÂN CÓ VÚ ĐẶC HOẶC BẤT XỨNG KHU TRÚ
Authors: Thu Hà Nguyễn Thị , Nhung Lưu Hồng , Hương Lại Thu , Thông Phạm Minh
Published: June 2022

Tổng quan: Ung thư vú là bệnh ung thư chiếm tỷ lệ cao nhất ở nữ giới. Nhiều phương pháp chẩn đoán hình ảnh giúp chẩn đoán, sàng lọc với các ưu, nhược điểm khác nhau. X-quang tuyến vú cắt lớp (DBT) có nhiều ưu điểm so với X-quang tuyến vú kĩ thuật số (DM) đặc biệt ở những bệnh nhân mà tổn thương khó phát hiện khi có vú đặc hoặc bất xứng khu trú.Mục tiêu: đánh giá vai trò trong chẩn đoán ung thư vú của DBT ởnhững bệnh nhân có vú đặc, bất xứng khu trú.Đối tượng và phương pháp nghiên cứu: số liệu về hình ảnh chụp X-quang tuyến vú và Xquang cắt lớp được tiến cứu trong năm 2020-2021 và hồi cứu trong năm 2015-2016, được đọc độc lập bởi 2 bác sĩ chẩn đoán hình ảnh. Phân tích các đặc điểm hình ảnh theo hệ thống dữ liệu và báo cáo hình ảnh vú (BI-RADS) của hiệp hội hình ảnh học Hoa Kỳ (ACR), tính độ nhạy, độ đặc hiệu và các giá trị chẩn đoán. Tính chỉ số đồng thuận (Cohen’s kappa) cho phân loại BI-RADS của hai phương pháp và của hai người đọc.Kết quả: DBT có độ nhạy, độ đặc hiệu, giá trị dự báo dương tính và giá trị dự báo âm tính cao hơn so với DM ở các trường hợp vú đặc, bất xứng khu trú với kết quả là 95,12%, 82,35%, 93,33%, 89,33% trên DBT và 68,29%, 35,29%, 56%, 48%. Độ phù hợp trong phân loại BI-RADS trên DM và DBT ở mức độ kém (Cohen’s kappa = 0,040). So sánh giữa hai người đọc, độ đồng thuận mức độ trung bình trên DM (Cohen’s kappa = 0,449) và mức độ cao trên DBT (Cohen’s kappa = 0,782).Kết luận: DBT cải thiện chẩn đoán so với DM trên cả độ nhạy và độ đặc hiệu do giảm sự chồng hình nhu mô tuyến ở bệnh nhân vú đặc hoặc bất xứng khu trú đồng thời khắc phục hạn chế phụ thuộc vào kinh nghiệm đọc của bác sĩ chẩn đoán hình ảnh. DBT nên là chỉ định kết hợp hoặc thay thế DM trong chẩn đoán và sàng lọc các tổn thương vú.
Partisipasi Masyarakat Dalam Pembangunan Di Desa Tinggede Kecamatan Marawola Kabupaten Sigi
Authors: Nuraisyah Nuraisyah , Syukur M , Sussanti Sussanti
Published: June 2022

Penelitian ini bertujuan untuk mengetahui partisipasi masyarakat dalam pembangunan di Desa Tinggede Kecamatan Marawola Kabupaten Sigi. Analisis data mendasarkan teori Ericson yang terdiri dari tiga aspek, yaitu partisipasi dalam tahap perencanaan, partisipasi dalam tahap pelaksanaan dan partisipasi dalam pemanfaata. Berdasarkan hasil penelitian yang dilakukan, bahwa partisipasi masyarakat yang ada di Desa Tinggede relatif masih sangat rendah, Faktor penyebab sehingga masyarakat kurang berpartisipasi dalam pelaksanaan pembangunan, karena masyarakat belum dilibatkan secara penuh dalam memutuskan kegiatan yang akan dijadikan prioritas untuk diusulkan ke jenjang yang lebih tinggi. Perencanaan belum sepenuhnya mengacuh pada masalah dan kebutuhan masyarakat. Pengetahuan dan pendidikan masyarakat yang relatif masih rendah, serta pekerjaan masyarakat yang banyak menyita waktu yang membuat masyarakat belum maksimal terlibat dan berpartispasi dalam tahap pelaksanaan. Akibat dari rendahnya partisipasi masyarakat untuk memanfaatkan hasil pembangunan sesuai dengan fungsinya sehingga mengakibatkan program hasil pembangunan tersebut mudah rusak. Secara keseluruhan terkait dengan partisipasi masyarakat dalam hal pemanfaatan hasil pembangunan yang dilihat dari pemanfaatan dan pemeliharaan hasil pembangunan disimpulkan belum menunjukkan hasil yang relatif belum maksimal, karena masih terdapat kelompok masyarakat yang kurang memiliki kesadaran dalam menjaga dan memelihara hasil pembangunan meskipun hasil pembangunan tersebut dimanfaatkan oleh masyarakat umum.
Implementasi Kebijakan Alokasi Dana Desa Di Desa Lende Kecamatan Sirenja Kabupaten Donggala
Authors: Nasrullah Nasrullah , Irma Ade , Jisman Jisman
Published: June 2022

Tujuan penelitian ini adalah untuk mengetahui bagaimana Implementasi Kebijakan Alokasi Dana Desa Di Desa Lende Kecamatan Sirenja Kabupaten Donggala. Dasar penelitian yang digunakan dalam penelitian ini adalah metode penelitian kualitatif dan tipe penelitian dengan menggunakan pendekatan deskriktif kualitatif. Teknik penarikan informan dalam penelitian ini adalah secara purposive. Teknik pengumpulan data dilakukan dengan dua cara yaitu studi pustaka dan studi lapangan yang terdiri dari, observasi, wawancara dan dokumentasi. Metode yang digunakan dalam penelitian ini yaitu menggunakan metode analisis kualitatif.

Berdasarkan hasil penelitian yang diperoleh peneliti bahwa dari aspek/ dimensi Komunikasi, Disposisi, dan Struktur Birokrasi sudah berjalan dengan baik, namun dalam aspek Sumber Daya  hasilnya masih kurang baik, sehingga penulis berkesimpulan berdasarkan hasil informasi dari informan dan sesuai dengan fakta empirik dilapangan, bahwa pelaksanaan program Alokasi Dana Desa (ADD) di Desa Lende Kecamatan Sirenja Kabuapten Donggala sudah cukup baik. Adapun faktor pendukung program tersebut, yaitu terjalinnya komunikasi yang baik antara pelaksana program dengan kelompok sasaran, komitmen serta bertanggung jawab, serta koordinasi yang baik dengan lembaga terkait dalam melaksanakan program tersebut sesusai dengan harapan masyarakat.
การนวดพื้นบ้านในการบริบาลหญิงหลังคลอดของอำเภอเมือง จังหวัดยะลา
Authors: มาหะมะ ไฟศอล , นิแว อานิตา
Published: June 2022

การศึกษาเชิงคุณภาพนี้มีวัตถุประสงค์ศึกษาการนวดพื้นบ้านในการบริบาลหญิงหลังคลอด ผู้ให้ข้อมูล คือ กลุ่มผดุงครรภ์โบราณ จำนวน 2 คน และกลุ่มหญิงหลังคลอด จำนวน 3 คน ด้วยแนวทางการสัมภาษณ์ ใช้วิธีการสัมภาษณ์เชิงลึก และการสังเกตแบบไม่มีส่วนร่วมวิเคราะห์ข้อมูลด้วยวิธีการวิเคราะห์เนื้อหา และใช้วิธีการตรวจสอบข้อมูลสามเส้าเก็บข้อมูลตั้งแต่วันที่ 1 เมษายน ถึง 31 มิถุนายน 2563 ผลการศึกษา พบว่า ผดุงครรภ์โบราณได้รับการสืบทอดองค์ความรู้จากบุคคลในครอบครัวและยังไม่มีการถ่ายทอดองค์ความรู้ให้แก่ผู้ใด ทั้ง 2 คนทำการนวดผู้ป่วยช่วงหลังการคลอดแล้วอย่างน้อย 1 วัน เป็นระยะเวลา 3 วันติดต่อกันประกอบด้วย 1. ก่อนการนวด มีการซักประวัติและตรวจร่างกาย 2. การนวดมี 3 ลักษณะ คือ 1) การนวดตัว คนที่ 1นวดจากส่วนล่างขึ้นยังส่วนบนคนที่ 2 นวดจากส่วนบนลงส่วนล่าง    2) การนวดกระตุ้นเต้านม ทั้ง 2 คน นวดจากส่วนอกสู่ฐานนมและ3) การนวดยกมดลูก มีคำแนะนำ ได้แก่ การรับประทานขิง และเบญกานี การงดอาหารแสลงที่มีรสเย็น รสเปรี้ยว และรสหวาน อย่างน้อย 100 วัน จากผลการศึกษา พบว่า ท่านวดที่เสี่ยงต่อการบาดเจ็บ เช่น การเหยียบอวัยวะเพศ ควรมีการปรับปรุงเพื่อให้มีความปลอดภัยมากขึ้น และสามารถนำไปใช้ บูรณาการร่วมกับการบริบาลแผนปัจจุบันต่อไป
Keterlibatan Karyawan Sebagai Variabel Pemediasi Pengaruh Persepsi Dukungan Organisasi Terhadap Kesiapan Untuk Berubah (Survei Pada Kantor Pos Pusat Purwokerto)
Authors: Rizky Rendy , Pujiastuti Ratna , Setiawan Heri
Published: June 2022

This study examines employee involvement in mediating the effect of perceived organizational support on organizational readiness to change. Testing using multiple linear regression analysis and Sobel test. The research shows that perceived organizational support has a significant effect on employee engagement. Perceived organizational support has a significant effect on organizational readiness to change. Employee involvement has a significant effect on organizational readiness to change. Employee involvement mediates the effect of perceived organizational support on readiness to change. Referring to these conclusions, it can be implied that as an effort to continuously improve organizational readiness for change, the Purwokerto Central Post Office management needs to implement appropriate policies related to perceptions of organizational support and employee involvement. The results of this study indicate that the role of employee involvement in encouraging organizational readiness to change is very important.
Pengaruh Struktur Modal, Profitabilitas Dan Likuiditas Terhadap Nilai Perusahaan
Authors: Artati Dwi , Sasongko Akbar Tendi
Published: June 2022

Penelitian ini bertujuan untuk mengetahui pengaruh Struktur Modal, Profitabilitas, dan Likuiditas, terhadap Nilai Perusahaan. Populasi dalam penelitian ini adalah perusahaan sektor batu bara yang terdaftar di Bursa Efek Indonesia (BEI) pada tahun 2016-2019 sebanyak 25 perusahaan dengan sampel sebanyak 19 perusahaan. Teknik analisis  yang digunakan dalam penelitian ini adalah analisis regresi linear berganda. Hasil penelitian menunjukkan bahwa Struktur Modal  berpengaruh terhadap Nilai Perusahaan (PBV), Profitabilitas (ROE) berpengaruh terhadap Nilai Perusahaan (PBV), dan Likuiditas (CR) tidak berpengaruh terhadap Nilai Perusahaan (PBV). Artinya bahwa Struktur Modal  dan ROE menjadi salah satu pertimbangan dalam melakukan investasi sementara likuiditas tidak diperhitungkan oleh  investor dalam berinvestasi.
Narrativa breve de Fernanda García Vilches
Authors: García Vilches Fernanda
Published: June 2022

- El aleteo de la paloma.
The Model of Human Resources Performance Development on the Leader Organization of Regional Devices at Salatiga Government
Authors: Kuncoro Wuryanti , Adi Fajar Nugroho , Santoso Bedjo
Published: June 2022

The purpose of this research is to test and analyze the impact of transformational leadership and the religiosity values to the knowledge sharing and the performance of human resources. This is an explanatory research that emphasized on the relation between research variable by testing the hypothesis. To get the complete data and accurate also accountable the scientific truth used the questionnaire and interview. Instrument used in this research are questioners in Likert scale 1 to 5. Total of the respondents in this research are 141 SCAs in Salatiga Government. Researcher collects online quest data using Google form which send directly to the respondents, until the exact amount fulfilled. Data analysis in this research use Partial Least Square (PLS). Result of this research shows that Transformational Leadership has significant positive effect to the Knowledge Sharing. The Transformational Leadership has positive effect to the performance of human resources. Religiosity values have positive effect to the Knowledge Sharing but found that Religiosity Values do not have any significant effects to the performance of human resources. Knowledge Sharing doesn’t have significant effect to the improvement performance of human resources. So that the performance of human resources can be improved by implementation of Transformational Leadership. Knowledge Sharing in the organization can be improving by Transformational Leadership and Religiosity values implementation.
LIERATURE REVIEW TEKNIK PEMERIKSAAN RADIOLOGI MOLAR PADA KLINIS IMPAKSI DENGAN MENGGUNAKAN MULTIMODALITAS
Authors: Hartati Sri , Pusptasari Maya
Published: June 2022

Background: Dental tooth impaction is a state of latent or not erupted or partly erupted after a normal eruption time, Impacted teeth can be estimated clinically and can be confirmed by radiographic examination.

Methods: This study aims to determine the radiological examination technique of molars in clinical impaction using multimodality based on a literature review. This research is library research. The data collection method used in this research is the method of theory study/literature study/library study.

Results: Based on studies from several journal literatures, there are several radiological techniques that can be performed in clinical molar impaction such as periapical intraoral radiography, panoramic, CBCT, and MRI. On periapical intraoral radiology, the molars and panoramic radiographs do not clearly show molars impacted with the mandibular canal and inferior alveolar nerve, but on CBCT and MRI they are clearly visible using existing sequences and techniques. However, with the use of CBCT modalities, the radiation obtained is very high. Therefore, the use of a radiation-free MRI modality is a highly invasive examination for clinically impacted molars.

Conclusions: With a variety of available modalities for clinically impacted molars, it is recommended to use intraoral periapical and panoramic if the case or clinical can still be seen in that modality, if not or less visible in that modality with certain cases or clinical can be used CBCT examination but do not overuse of these modalities because the ionizing radiation emitted is very high/dangerous. It is suggested that the use of dental MRI modalities could be increased in an important step towards being radiation free, improving intervention planning and thereby increasing the overall patient benefit.
การยืนยันตัวตนจากประสบการณ์ “ความเป็นแม่” ผ่านแนวคิดปรัชญาสตรีนิยมของอิริกาเรย์
Authors: เสริมสาธนสวัสดิ์ วัจนา
Published: June 2022

บทความชิ้นนี้เป็นงานศึกษาประเด็นแม่และความเป็นแม่โดยการประยุกต์ใช้วิธีวิทยาการศึกษาอัตชีวประวัติชาติพรรณวรรณา (auto-ethnography) มรรควิธีการศึกษาหนึ่งที่สำคัญในการต่อสู้ทางการเมืองของนักสตรีนิยมในฐานะที่เป็นหนทางของการสร้างความรู้ใหม่จากจุดยืนของเจ้าของประสบการณ์ที่ไม่เพียงแค่นำมาซึ่งการวิพากษ์สังคมในมุมมองที่ลึกซึ้งและแตกต่าง ทว่ายังสร้างความท้าทายและข้อถกเถียงใหม่ในทางญาณวิทยาของการศึกษาวิจัยทางสังคมศาสตร์อีกด้วย รอยทางการเติบโตที่เริ่มจากการกลับไปอ่านและสำรวจประสบการณ์ที่ธรรมดาสามัญของแม่และตนเอง ในฐานะลูกสาว ผู้หญิงและผู้ศึกษาที่เติบโตมาในครอบครัวที่มีความรุนแรง จากการพยายามทำความเข้าใจแม่ของตนเองมาสู่เส้นทางการเป็นแม่ด้วยตนเอง สะท้อนให้เห็นความรักความผูกพันธ์อันลึกซึ้งทั้งทางร่างกายและจิตใจระหว่างแม่ลูก แต่ทว่าในอีกมุมหนึ่งจิตวิญญาณของแม่ยังคงถูกจองจำและดำรงอยู่ในความเงียบงัน สับสน โดดเดี่ยวจากรูปแบบความสัมพันธ์ที่รายล้อมในชีวิตผู้หญิง ก่อให้เกิดการตกผลึกทางความคิด ความเข้าใจ และรับรู้อย่างลึกซึ้งต่อการตระหนักรู้ในองค์ประธานแห่งตน การเดินทางเรียนรู้ตัวตนผ่านความสับสน การตั้งคำถาม ความไม่เข้าใจ มาสู่การเรียนรู้ในการเคารพตนเอง การตระหนักรู้ในสิทธิ เนื้อตัวร่างกายของตนเองเป็นฐานเริ่มแรกที่มั่นคง ซึ่งในท้ายที่สุดจะขยายต่อไปสู่การตระหนักรู้ในตัวตนและสิทธิของผู้อื่น กล่าวได้ว่า การค้นพบและตระหนักรู้ซึ่งองค์ประธานแห่งตนเป็นจุดเริ่มต้นของการบ่มเพาะสังคมแห่งความเท่าเทียม และการดำรงอยู่ร่วมกันอย่างสันติจากฐานคิดแห่งการเคารพความเป็นมนุษย์กันอย่างแท้จริง
Implementation of the Jigsaw Type Cooperative Learning Model on Improving Achievement and Learning Motivation of Muhammadiyah in Mu'allimin Madrasah Muhammadiyah Yogyakarta
Authors: Yul Fanani Istiqlal , Prakoso Riyan Dwi Yulian , Bissessar Charmaine , Gligorovic Milica
Published: June 2022

This research aims to determine the enhancement of students ' achievement and motivation after action, to know the difference in achievement and motivation to learn in the subjects of the youth through the cooperative learning model of the jigsaw type, describing the constraints of teachers in using the kind of unified learning model in Class 3 A Madrasah mu'allimin Muhammadiyah Yogyakarta. This research is a collaborative class of action research. The subject of the study was a Grade 3 student of A Madrasah Tsanawiyah mu'allimin Muhammadiyah Yogyakarta 2021/2022, with as many as 31 students. This research focuses on the achievement and motivation to learn the Kemuhammadiyahan after implementing a cooperative learning model. Data collection techniques using observation, documentation, and tests. The data analysis techniques in this study used quantitative and qualitative descriptive. Based on the research achievements and motivation in learning, Kemuhammadiyahan, through the application of a jigsaw type cooperative learning model, experienced a significant increase. Thus the jigsaw type cooperative learning model can be applied to Kemuhammadiyahan subjects.