bluuebunny/crossref_metadata_2025 huggingface dataset:
Immediate Use of Local Flaps in Surgical Treatment of Facial Epidermoid Carcinoma
Authors: B Dembélé , B Daou M , F Niaré , M Haïdara T , L Diarra , K Konaté , C Sogodogo , K Touré M , Z Saye , A Samaké , N Poudiougou Y , T Dembélé B
Published: August 2024

Non-melanocytic skin cancers, which include basal cell carcinomas (basaliomes) and squamous cell carcinomas (squamous cells), are the most frequent neoplasms in populations with fair skin. Squamous cell carcinoma also called squamous cell carcinoma or squamous cell carcinoma; is a malignant skin neoplasia, derived from cells of the epidermis or its appendages; of rapid growth, which can metastasize to regional lymph nodes and other organs. The treatment of facial lesions is eminently surgical. Although there are a wide variety of surgical techniques to reconstruct skin coverage, in some cases the reconstruction of defects produced by the removal of facial malignancies presents a real challenge for the surgeon. The main goal of surgical treatment of skin tumours is the absence of recurrence, whether local or distant. We report 4 cases of squamous cell carcinoma in the face with satisfactory results and without recurrence. In most cases (three), we used one or more advancement flaps and the nasolabial flap in one case.
Mesenteric Desmoid-Type Fibromatosis Presenting as Obstructing Mesenteric Bands: A Rare Case
Authors: Kulkarni Dr. Apoorva Achyut
Published: August 2024

Mesenteric Fibromatosis (MF) is a proliferative fibroblastic lesion of the small intestinal mesentery. It is a rare type of desmoid tumour. It can occur sporadically or in association with familial adenomatous polyposis (FAP). It is generally seen in females in reproductive age group and is a locally aggressive benign tumour. Patients present with abdominal mass or other abdominal symptoms such intestinal obstruction, intestinal perforations, ureteral obstruction, etc. We describe a case of a 7 year old girl who presented with intestinal obstruction due to distal ileal mesenteric bands. Exploratory laparotomy and adhesiolysis of mesenteric bands was done and the excised band was sent for histopathology, which suggested mesenteric desmoid-type fibromatosis. As there is a chance of local recurrence, patient has been kept under regular follow up with ultrasound of abdomen and for any abdominal symptoms. According to our literature search, this is the only reported case of such a presentation of mesenteric fibromatosis presenting as localised mesenteric bands without any mesenteric or retroperitoneal abdominal mass in a child.
Mammary-Type Myofibroblastoma of the Prostate: Case Study
Authors: Mukamarakiza C. , Alami R. Ouaddane , Ndayikengurutse S. , Niyonsaba A. , Combe M. , Lopez J. G. , Sanzalone T. , Alexandra M. , Beschet I. , Meeus P. , Polo G. , Ahsaini M. , Mellas S. , Ammari J. El , Tazi M. F. , Fassi M. J. , Farih M. H.
Published: August 2024

Mammary-type myofibroblastoma is a very rare and benign spindle cell lesion, histologically identical to myofibroblastoma of the breast. This entity can occur in other extramammary sites. The diagnosis is based on a range of clinical and radiological arguments and is confirmed by meticulous histological and immunohistochemical analysis. Management depends on the location of the myofibroblastoma, and for those occurring in the prostate, it involves a radical prostatectomy.
Fetal-Placental Hydrops on Syndromic Abnormality: Salla’s Disease: A Case Report
Authors: Bahous E. , Kabbaj K. , Sellouti M. , Ayad A. , Saghir S. , Abilkassim R.
Published: August 2024

A case report and review of the literature on a lung cystic hydatid that reaches the dorsal vertebral area and has an intramedullary extension. Occasionally, the Echinococcus species that causes hydatid diseases can affect the spine and have significant neurological consequences. The young male patient in this case study had a hydatid lung cyst which extended into the intramedullary space and dorsal vertebral region reaching an intra dural space. The cyst had been treated with an anterolateral approach, requiring costectomy, decompression, and dorsal spine stabilization. The patient showed an important improvement after the procedure. The uniqueness and complexity of this case are highlighted by integrating a thorough literature analysis on the epidemiology, pathophysiology, clinical presentation, diagnostic difficulties, and therapy of spinal hydatid disease.
Hydatid Cyst of the Lung Extending to the Dorsal Vertebral Area with Intramedullary Extension: A Case Report and Review of the Literature
Authors: Ibrahim Mehfoud , Mohamed Khoulali , Hamid Khay , Mohamed Dahamou , Noureddine Oulali , Fayçal Moufid , Brahim Housni
Published: August 2024

A case report and review of the literature on a lung cystic hydatid that reaches the dorsal vertebral area and has an intramedullary extension. Occasionally, the Echinococcus species that causes hydatid diseases can affect the spine and have significant neurological consequences. The young male patient in this case study had a hydatid lung cyst which extended into the intramedullary space and dorsal vertebral region reaching an intra dural space. The cyst had been treated with an anterolateral approach, requiring costectomy, decompression, and dorsal spine stabilization. The patient showed an important improvement after the procedure. The uniqueness and complexity of this case are highlighted by integrating a thorough literature analysis on the epidemiology, pathophysiology, clinical presentation, diagnostic difficulties, and therapy of spinal hydatid disease.
Cervicofacial Cystic Lymphangioma: About A Case Report
Authors: Taoufiki S. , Auhmani S. , Ahmmana C. , Zouita I. , Basraoui D. , Jalal H.
Published: August 2024

Cystic lymphangioma is a congenital malformation of the lymphatic system, usually occurring before the age of one. We report a clinical observation of a cervico-facial cystic lymphangioma in a newborn.
The Effect of Imagery and Concentration Training Regarding the Shooting Results of Yogyakarta Special Region Water Polo Athletes
Authors: Puspita Meiliana Dwi , jana Suhar , Yulianto Wahyu Dwi
Published: August 2024

Still many Yogyakarta water polo athletes experienced problem moment do shot or shooting, especially problem lies in the player's mentality. Study This aim for know-how influence between method Internal imagery and external imagery training for water polo shooting among Yogyakarta water polo athletes. Study This use method experiment with 2x2 factorial design with use technique collection of pre-test and post-test data on imagery exercises (internal and external) and level concentration (high and low). Population study is player DIY water polo team. Sample study this determined with purposive sampling technique consisting of 30 athletes. For know level concentration done test measurement with using test grid concentration. Internal imagery and external imagery exercises were carried out each exercise is done 6 times for 30 minutes. Ability athlete's shooting accuracy done with use 5 meter penalty shooting test. Data analysis techniques using two way Analysis of Variance (Anova) at level significance (α) 0.05. Research result show that: 1) exists difference between internal imagery and external imagery training (p = 0.010 < 0.05) then method more internal imagery exercises Good rather than external imagery. Group players who have concentration tall more appropriate if trained with internal imagery, meanwhile group players who have concentration low more Good If trained with external imagery.
Thematic Progression of Education Passages in CET-4 “Careful Reading”
Authors: Yan Chu Yan x , Jing Yichen
Published: August 2024

Education passages are a frequent focus in the “Careful Reading” section of CET-4, posing significant challenges for examinees. As an important aspect of sentence structure and discourse analysis, thematic progression patterns are crucial for understanding passages and solving test questions. This article, using the six thematic progression patterns proposed by Huang Guowen as a framework, explores the distribution characteristics, ways of their realization, and practical assistance of these patterns for examinees in education passages in the CET-4’s “Careful Reading”. This article finds that: (1) centralized pattern and extending pattern appear with higher frequency in education passages of CET-4’s “Careful Reading”, making them the two primary patterns; (2) the realization of thematic progression patterns in these passages are diverse and often used in combination, enhancing the coherence and logic of the passage, enriching expression, highlighting key points, and improving the overall quality and readability of the passage; (3) this study uses examples of detail question and inference question to demonstrate that thematic progression patterns can help examinees efficiently solve questions, aiming to provide targeted reading and answering strategies for examinees, thereby improving their reading comprehension and exam performance.
पराशर झील में तैरते द्वीप टहला का रहस्य
Authors: बाली शरदेंदू
Published: August 2024

प्राचीन काल में हिमाचल के मंडी जिले में, समुद्र तल से 9000 फुट की ऊंचाई पर स्थित, पराशर ॠषि की तपोस्थली रही पराशर झील में एक तैरता हुआ द्वीप है। ऊंचे पहाड़ों के मध्य में स्थित इस झील पर आने वाले पर्यटक इस तैरते हुए द्वीप को देखकर हैरान रह जाते हैं, क्योंकि ये द्वीप झील में अपनी जगह लगातार बदलता रहता है। हालांकि, ज्योतिष, आयुर्वेद, वनस्पति विज्ञान, भूविज्ञान, जल-विज्ञान और कृषि सहित, ज्ञान के चौदह क्षेत्रों के विशेषज्ञ महान ॠषि पराशर के लिए इस तैरते हुए द्वीप का निर्मांण करना कोई कठिन काम नहीं रहा होगा। आज भी श्रीनगर की विशाल डल झील में बहुत से ऐसे तैरते हुए द्वीप बनाए जाते हैं और उनका उपयोग सब्जियाँ उगाने के लिए किया जाता है। सम्भव है कि प्राचीन ऋषियों ने, जो ऋषि पराशर के समकालीन रहे होंगे, कश्मीर में तैरते हुए सब्जियों के खेत बनाने की लंबे समय से चली आ रही कला का आविष्कार किया होगा। प्राचीन ऋषियों ने न केवल अपने आश्रमों और स्थलों में तैरते द्वीप जैसी रहस्यमय कलाकृतियों का निर्मांण किया, बल्कि उन्होंने इन स्थलों को रहस्यमय नाम भी दिए जो आने वाली पीढ़ियों के लिए सुराग या संकेत के रूप में काम करते रहें। पराशर झील में तैरते हुए द्वीप का नाम टहला है, जो राजस्थान के अलवर जिले की उस बस्ती का नाम भी है, जहाँ से सरिस्का टाइगर रिजर्व के कठिन पहाड़ी क्षेत्र में प्रवेश करने का मुख्य मार्ग हो कर गुजरता है। जब पांडवों को अपने निर्वासन के अंतिम वर्ष के दौरान अज्ञातवास में छिपे रहना था, तो सरिस्का जंगल के उबड़-खाबड़ इलाके ने उन्हें सुरक्षित आश्रय प्रदान किया था। इस सफल प्रयास में पराशर ॠषि ने तथा उनके पुत्र और वेदों के रचेता मुनि वेद व्यास ने पांडवों की सहायता की थी, तथा महर्श्री पराशर का धाम भी सरिस्का के प्रवेश मार्ग पर टहला के समीप ही स्थित है।
Phytochemical Profil, Hypoglycemic and Antihyperglycemic of Two Medicinals Plants of Cameroon, Anthocleista vogelii (Loganiaceae) and Hallea stipulosa Leroy (Rubuaceae)
Authors: Christian Ngoulé Charles , Lidwine Ngah , Caroline Ngo Nyobe Judith , Benjamin Fouda , Antoine Manaoda , Gisele Etame Loe
Published: August 2024

Anthocleista vogelii (Loganiaceae) is a plant used in traditional medicine in the Cameroon, Ghana, Togo, Nigeria and Guinea for the treatment diabetes. Hallea stipulosa (Rubuaceae) is a plant used in traditional medicine for the treatment of several illnesses such as hernia, metrorrhagia and dysmenorrhea, colic, psychosomatic disorder and diabetes. This study aims to determine the level of toxicity following the protocol of OECD guideline 423 after phytochemical analysis by using screening, High performance thin layer chromatography (HPTLC) and quantitative analysis of the extract’s total polyphenol contents (TPC) and total flavonoids contents (TFTs)were done using folin-ciocalteu and aluminiun trichloride test respectively. The evaluation of the hypoglycaemic activity and a hypoglycaemic activity of the aqueous extracts of the bark of Haleas stipulosa and Anthocleista vogelii. Combined at the concentrations 250mg / kg and 500mg / kg each at the respective proportions 50/50; 30/70; 70/30 using as a method the measurement of blood sugar every 30min for 3 hours. We obtained a yield of 11.65 for the extract of Hallea stipulosa and 10.2 for the extract of Anthocleista vogelii. The analysis of the phytochemical screening revealed the presence of tannins, flavonoids, antocyanins and terpenoids, alkanoids and phenols. The Haleas stipulosa and Anthocleista vogelii fractions have a relatively high TPC of 95,78 ± 0,02 (mg EAG/g de ES), 169,66 ± 0,03 (mg EAG/g de ES), respectively and the TFTs of 62,93 ± 0,06 (mg EQ/g d'ES), 73,45 ± 0,05 (mg EQ/g d'ES) respectively. Acute toxicity tests in female rats at doses of 2000mg / kg and 5000mg / kg revealed no behavioral disturbances and no death. The administration of the combination of the aqueous extracts of the bark of the trunks of Hallea stipulosa at the concentrations of 250 mg / kg BW and 500 mg / kg BW produced a significant hypoglycaemic effect (P ˂0.05) in rats compared to the batches of rats positive controls. These results suggest that the combination of the aqueous extracts of the bark of the trunks of Haléas stipulosa and Anthocleista vogelii exhibits hypoglycemic and antihyperglycemic activity at certaines concentrations.
The Economic Significance of Animal Products and Methods Used in Leather Protection
Authors: Abdulhusein Haider Sabah , Kadim Baidaa Mezher
Published: August 2024

Since ancient times, humans have used animal skin in their daily lives to create shelters and clothing. They have also developed special techniques to preserve animal hides for a long time after slaughter, such as salting and cooling. Skin is an ideal environment for microorganisms to inhabit due to its temperature and moisture content. According to our knowledge, many factors, including pH, temperature, salt concentration, nutrition, etc., influence bacterial growth. Therefore, many bacteria can thrive in a wide range of NaCl concentrations, from 1% to 20%, and are classified accordingly. Despite the high concentration of NaCl in the soak liquor used in the preparation of leather, numerous bacterial species can readily grow and produce lipolytic and proteolytic enzymes as a form of metabolic activity. Lipolytic and proteolytic enzymes have negative effects on leather and leather products, including spotting, disagreeable odor, discoloration of the resultant leather, and consequentially significant economic losses. To overcome this obstacle, a variety of preventative measures have been implemented, including salting, the use of antibiotics, plant extracts (essential oils), and, more recently, electric currents.
Case Report of a Young Patient with Zirconia Prosthesis to Create Facial Symmetry
Authors: Dira Mohammed Saeed Al , Dira Hajar Saeed Al
Published: August 2024

This report aimed to discuss aesthetic rehabilitation utilizing monolithic zirconia restorations to produce a homogeneous and pleasing smile in a patient with facial asymmetry. A patient had a previously failed root canal treatment RCT for maxillary anterior teeth, resulting in midline shift and slightly stained teeth, with many remaining roots causing functional and aesthetic concerns. The treatment plan involved monolithic computer-aided designed/computer-aided manufactured zirconia restorations to enhance his natural teeth appearance. Excellent aesthetic satisfaction was observed during the follow-up visits, resulting in self-happiness, self-esteem, and confidence.
PENGARUH UKURAN PERUSAHAAN, FINANCIAL DISTRESS, DAN INTENSITAS MODAL, TERHADAP AGRESIVITAS PAJAK DENGAN KINERJA KEUANGAN SEBAGAI VARIABEL MODERASI (STUDI EMPIRIS PADA PERUSAHAAN PERBANKAN YANG TERDAFTAR DI BEI PERIODE 2018-2022)
Authors: Alya Lutfia  , Hidayati Wahyu Nurul
Published: August 2024

Pajak berpotensi mengurangi laba bersih suatu perusahaan, maka manajemen termotivasi untuk mengurangi kewajiban perpajakan perusahaan sehingga manajemen termotivasi untuk mengurangi beban pajak perusahaan harus dibayarkan oleh perusahaan semaksimal mungkin. Penelitian ini bertujuan untuk mengetahui pengaruh Ukuran Perusahaan, Financial Distress dan Intensitas Modal terhadap Agresivitas Pajak dengan Kinerja Keuangan sebagai Variabel Moderasi pada perusahaan Perbankan periode 2018-2021. Jenis Penelitian ini adalah penelitian kuantitatif dengan menggunakan data sekunder yang diperoleh dari Bursa efek Indonesia (BEI) dan web masing-masing perusahaan dan teknik analisis yang digunakan dalam penelitian ini menggunakan analisis regresi linear berganda dengan bantuan E-views versi 12. Penelitian ini dilakukan pada perusahaan Perbankan. Teknik sampling data menggunakan purposive sampling, yang dijadikan sampel penelitian adalah 20 perusahaan dengan pengamatan selama 5 tahun 2018-2022. Berdasarkan metode pusposive sampling, total sampel yang didapatkan adalah 100 data. Hasil penelitian menunjukkan secara simultan Ukuran Perusahaan, Financial Distress dan Intensitas Modal berpengaruh terhadap Agresivitas Pajak.
PENGARUH FEE AUDIT, ROTASI AUDIT DAN REPUTASI AUDITOR TERHADAP AUDIT REPORT LAG DENGAN KUALITAS AUDIT SEBAGAI PEMODERASI
Authors: Girsang Sri Dwita , Damayanti Riska
Published: August 2024

Ada beberapa faktor yang yang mempengaruhi audit report lag yakni fee audit berupa imbalan, rotasi audit berupa pergantian auditor maupun reputasi auditor dalam menjalankan perannya. Penelitian ini bertujuan untuk mengetahui pengaruh fee audit, rotasi audit dan reputasi auditor terhadap audit report lag dengan kualitas audit sebagai variabel moderasi pada perusahaan sektor perbankan yang terdaftar di Bursa Efek Indonesia (BEI) periode 2018-2022. Sampel pada penelitian ini adalah 17 perusahaan dengan pengamatan selama 5 (lima) tahun, sehingga total observasi adalah 85 perusahaan. Berdasarkan hasil pengujian, ditemukan secara simultan bahwa fee audit, rotasi audit, reputasi auditor berpengaruh terhadap audit report lag.
The Inca Philosophy of 10
Authors: Moscovich Viviana
Published: August 2024

In his Gramática y arte nueva de la lengua general o lengua del Inca, Gonçalez Holguín ([1607] 1842:217) describes the unique Quechua arithmetical system and presents the names of the numbers in Quechua in a decisively decimal outline, beginning in ‘1’ and finishing in the ‘infinite’—that is, a list of positive integers (Z+) that does not include ‘zero.’
In his list, each numeral in Quechua appears with its translation into Spanish and a representation in western Indo-Arabic numerals. However, even though the systems would be seemingly identical (i.e., decimal), the representation of Quechua numerals in Western ones reveals, in fact, an essential cultural discrepancy, as the graphic representations of the Western numerals, from 0 to 9, and their combinations used to construct numbers higher than 10, did not exist in Inca culture, and their decimal system, as will be shown below, was based on utterly different concepts, structures and visualization means.
Among these concepts, the ‘count by 10’ and powers of ten, building on other basic concepts (such as hanan-hurin, for example), turns out to be an inherent element of Inca thought applied by these to structure and manage the Tawantinsuyu’s[1] territory and society.
 
[1]     Tawantinsuyu is the original Inca name of the so-called ‘Inca Empire.’
SPECIAL ISSUE „INCA NEWS" Editors’ Preface
Authors: Moscovich Viviana , Szemiński Jan
Published: August 2024

Editors’ Preface
An investigation into the Practice of socialization at workplaces in Bangladesh: Human Resource Departments and Employees point of view
Authors: Siddiqur Rahman
Published: August 2024

The purpose of this study is to examine the human resource departments’ and employees’ point of view regarding socialization process at workplace in context of Bangladesh. Socialization is a primary process to facilitate work adjustment for new employees or employees taking new roles. It typically includes early learning and adjustments after organizational entry. This process is entirely controlled neither by the organization, nor by the individual. This paper considers the effectiveness of socialization related to employees’ commitment to their organizations, their level of satisfaction, negative turnover ratio, and performance and productivity. With reference to research evidence, that we have studied both from Human Resource Departments’ (HRDs’) and employees’ point of view on the basis of a questionnaire survey, we have found that socialization has impact on employees’ performance and productivity, motivation, negative turnover ratio, and organizational stability.
Factors Shaping the Customer’s Choice of Brands in Mobile Telecommunication Sector in Bangladesh:
Authors: Masud Ibn Rahman , A. S. M. Tareq
Published: August 2024

This paper investigates the crucial factors that are responsible in determining the customer’s choice in the growing competitive telecommunication sector in Bangladesh through some statistical analysis. By investigating the service of one of the fast growing mobile companies, it addresses the preference of the customers as well as the limitation of the service providers. Statistical significant association was tested by tools like chi-Square test, correlation analysis, and descriptive analysis etc. to investigate the relationship of the considered variables. The perception of mobile users has been analyzed to see the status, problems and prospects of mobile service providers with Aktel GSM Bangladesh as a case
Eugene O’Neill’s Wavering Estimation of Dreams and Illusions in The Hairy Ape, The Iceman Cometh and Long Day’s Journey into Night
Authors: Mohammad Kamal Hossain
Published: August 2024

Eugene O’Neill seems to have fostered a wavering estimation about the self- annihilating dreams and illusions of his characters. This particular characteristic of O’Neill has changed significantly during the progress of his career as a dramatist. The present study intends to show how far this attitude of O’Neill has changed. The study will examine three of O’Neill’s masterpieces and will try to trace the degree of change observable in his view of dreams and illusions of his characters. In The Hairy Ape O’Neill has handled the issue of dreams and illusions with a view to bringing the characters back to reality. In The Iceman Cometh his approach to dreams changes and this play portrays his characters as more inclined towards such dreams and it also marks the beginning form where O’Neill has changed his strategy. Finally, in Long Day’s Journey into Night O’Neill deals with the issue of dreams and illusions differently. At the beginning of his career his attitude towards such illusions and ‘pipe dreams’ was one of disapproval but towards the end of his career we notice that his understanding has changed and he acknowledges the necessity of such dreams and illusions as props and crutches in the lives of ordinary human beings
Credit Card Market in Dhaka City:
Authors: Nitai Chandra Debnath , Hemanta Bahadur Gurung
Published: August 2024

Information technology (IT) has changed most of the functions in banking business. Now-a- days, most of banking activities are being conducted based on electronic banking. E-banking such as the use of credit card has changed banking habit of the customers and activities of the bankers. The present study provides a brief idea about credit card facility of the banks in Dhaka, the different aspects of credit cards and customer satisfaction from existing credit card users and problems faced by cardholders and merchants in order to get a clear picture about overall credit card market in Dhaka City. Primary data have been collected from 122 cardholders, 25 merchants and 8 card offering organizations. Problems and prospects of this study have been identified from their views. The findings reveal that card market is in booming condition and it has high potentiality in Bangladesh. Recommendations have been drawn for issuers and merchants so that they can sustain existing cardholders, increase prospective cardholders and expand the overall market.
Inflation Targeting Through Short Term Interest Rate:
Authors: Nisar Ahmed , Samiul Parvez Ahmed
Published: August 2024

The article is based on empirical data from Australian Economy. It made an attempt to evaluate the success of Reserve Bank of Australia (RBA) in controlling inflation by aggressively using cash rate. The main objective of the research is to find out the relationship of RBA’s monetary policy with Taylor Rule; whether it follows the Taylor Rule mechanically or uses a different form (e.g. forward looking) or depends on other factors as well. Other models have been used for estimation and the results are analyzed subsequently. The evidences from the test results suggest the successful implementation of interest rate rule by the Reserve Bank to stabilize the inflationary pressure in terms of forward looking perspective
Distinctiveness of Aspiration in Bangla
Authors: Dr. Binoy Barman
Published: August 2024

Aspiration plays an important role in the pronunciation of Bangla words. It not only brings variety in pronunciation, but also distinguishes meanings in words. Some pairs of similar-sounding words are differently recognized in Bangla only because of the aspiration trait. Hence it is claimed that aspiration is a distinctive feature in Bangla. In this paper the distinctiveness of Bangla has been tested with minimal pairs, in order to establish the distinct linguistic fact in question. Examples have been drawn widely from contemporary Bangla language in sufficient number with utmost care and contemplation. Phonemic and phonetic transcriptions, as necessary, have been provided beside the words along with meanings for a better grasp of the contrast in minimal pairs. The relevant aspects of phonetics and phonology of Bangla have also been compared with those of English to bring into focus the aspirational characteristics. The elaboration of the concept ‘intonation’ at the beginning of thesis will be helpful for a clear understanding of technicalities involved in the Bangla-specific analysis of the subject.
Performance analysis of Insurance Companies in Bangladesh:
Authors: Rehana Fowzia
Published: August 2024

Credit rating is an independent third-party evaluation that subjects all companies to the same rigorous criteria, providing a valuable benchmark for comparing companies, regardless of their country of domicile. Credit rating first originated in the financial market of the United States since the beginning of the 19th century and this service is now offered to the financial and capital market of all developed and almost in all developing economies of the world. This paper is an attempt to conceptualize credit rating of insurance companies’ procedure in Bangladesh and its importance. It has emphasized the comparative performance analysis between general insurance companies and life insurance companies in Bangladesh applying credit rating. The findings reveal that life insurance companies are in better position than general insurance companies. Finally it suggests some measures for eradicating the problems of credit rating.
E-cash:
Authors: Nesa Jannatun
Published: August 2024

In the age of modern technological improvement, banking industry of Bangladesh has stepped into a new horizon for banking, namely Electronic Banking. ATM (Automated Teller Machine) is one of the most demanding and latest technologies introduced in Electronic Banking system. A shared ATM / Point of Sale (POS) switch is of significant convenience to customers of its member banks by providing anytime, anywhere banking. This paper focuses on different aspects, problems, prospects and development of E-cash, a shared networking of ATM used by six banks in Bangladesh and maintained by Electronic Transactions Network Ltd (ETN). Strategies and directions for the development of this ATM network in Bangladesh are also highlighted here.
The Use of Visuals in Teaching EFL Classes in Bangladesh
Authors: Mohammad Mustafizur Rahman
Published: August 2024

This paper explores the importance of using visual devices in teaching EFL classes and tends to identify its limitations at the tertiary level in Bangladesh. In order to bestow the students’ with satisfactory exposure to English, we have to minimize the limitations and find out effective ways of using visuals in EFL classes. With reference to research evidence that has been studied on the basis of a questionnaire survey, both from the teachers’ and students’ point of view, this paper focuses on the effectiveness and limitations of using visual aids in EFL classes in fostering learners’ progress in English language skills.
Job Satisfaction of Bank Employees in Bangladesh:
Authors: Masud Ibn Rahman , Hemanata Bahadur Gurung , Sampa Saha
Published: August 2024

This paper attempts to identify the job satisfaction factors of bank employees in Bangladesh. Factor analysis was used to identify the job satisfaction factors. Results show that there are seven (7) job satisfaction factors associated with bank employees such as remuneration and reward, job security, relationship with co- workers, recognition, pride in work, bureaucracy and talent utilization. Regression between job satisfaction factors and the overall job satisfaction of bank employees identified that remuneration and reward, recognition, pride in work, and talent utilization are significant factors for determining the job satisfaction of bank employees. These findings of the study have important implication for improving the job satisfaction of bank employees in Bangladesh.
Review artikel: analisis faktor yang mempengaruhi kejadian pneumonia pada bayi dan balita
Authors: Sholih Mally Ghinan , Mulki Munir Alinu , Julianti Nurlia , Jannah Roudotul , Indriyani Yuni Lili
Published: August 2024

Pneumonia adalah infeksi pada saluran napas bagian bawah yang menjadi sebab utama kematian pada balita dan anak-anak. Meskipun sudah banyak informasi tentang faktor risiko pneumonia, terdapat informasi yang tidak disajikan terperinci dan spesifik. Tujuan dari review artikel ini adalah untuk memberi wawasan tentang faktor risiko penyebab pneumonia pada bayi dan balita, menjadikan kita lebih waspada dan menyadari pentingnya mencegah dan mengobati pneumonia, terutama pada bayi dan balita. Metode review artikel ini adalah literatur review. Basis data berasal dari jurnal nasional dan internasional melalui database google scholar dan pubmed yang diterbitkan rentang tahun 2013-2023. Hasil dan diskusi review ini mencakup informasi tentang pneumonia, faktor risiko pneumonia, dan faktor penyebab pneumonia pada bayi dan balita. Berdasarkan artikel yang telah direview, menunjukkan bahwa faktor yang memengaruhi kejadian pneumonia adalah paparan asap rokok, BBLR, status gizi, jenis kelamin, dan riwayat pemberian ASI eksklusif.
ELEVAÇÃO ATRAUMÁTICA DO SEIO MAXILAR UTILIZANDO A TÉCNICA DE SUMMERS: ANÁLISE DAS VANTAGENS E RESULTADOS CLÍNICOS
Authors: Araújo Waléria Pinheiro de , Bella Ana Paula Granja Scarabel Nogueira , Ferreira Marcio Salles , Carvalho Daniel Rey de , Fernandes Tândara Pereira , Santos Ana Letícia Gonçalves dos , Alencar Maria Idaiana Carvalho , Costa Gabriel da Silva , Oliveira Pedro Nardson Avelino de , P. Moerbeck-filho , Oliveira Moisés de , Silva Jade Santana da , Chaves Gheyza Torres , Calvalcanti Roberto da Silva Locio , Filho Eduardo Luna Soliz , Storck Itamar Júnio Vilhena , Costa Davidson Leandro Peres da , Valim Olavo Quintino Candido Mariotini , Teixeira Ana Luiza , Vasconcelos Juliana Menezes de , Pereira Ismael Rodrigues , Lopes Ana Cecília Simões
Published: August 2024

O presente estudo possui como objetivo revisar os resultados clínicos e biológicos associados à A elevação atraumática do seio maxilar utilizando a técnica de Summers, abordando evidências atuais disponíveis na literatura científica.  Realizou-se uma revisão da literatura para identificar estudos relevantes acerca da proposta do presente estudo. Bases de dados eletrônicas, como PubMed, Scopus, SciELO e Google Scholar, foram consultadas para obter artigos publicados. A elevação atraumática do seio maxilar utilizando a técnica de Summers tem se destacado como uma abordagem eficaz e minimamente invasiva para a reabilitação na implantodontia. Este artigo visa analisar as vantagens desta técnica e seus resultados clínicos. Através de uma revisão da literatura e da análise de dados clínicos de pacientes submetidos a esse procedimento, foram identificadas as principais vantagens e resultados associados a essa abordagem. A técnica demonstrou alta eficácia, menor taxa de complicações e recuperação mais rápida, destacando-se como uma opção preferível na prática clínica. Em última análise, este estudo contribui para o avanço do conhecimento científico, fornecendo uma base para o desenvolvimento de protocolos clínicos mais eficazes e personalizados. A elevação atraumática do seio maxilar descrita por Summers é uma abordagem que oferece vantagens significativas, incluindo alta taxa de sucesso, menor taxa de complicações e recuperação rápida. A preservação da membrana de Schneider contribui para a eficácia e a segurança do procedimento. No entanto, é necessário possuir uma habilidade especializada e pode não ser adequada para todos os casos, especialmente em situações anatômicas complexas. A contínua pesquisa e a prática clínica aprimorada são essenciais para otimizar os resultados e expandir a compreensão sobre a sua aplicação.
ASPIRAÇÃO ENDOTRAQUEAL: INSTILAÇÃO DE ÁGUA DESTILADA OU SORO FISIOLÓGICO? EVIDÊNCIAS OU CONTROVÉRSIAS
Authors: Andrade Arleane Oliveira , Felix Elzanice de Fátima Brandão Falcão , Pereira Laryssa Martins , Correia Letícia Fernandes e Silva , Santos Mileia Silva
Published: August 2024

Introdução: A técnica de aspiração endotraqueal é um procedimento onde tem por objetivo fazer remoção de secreções pulmonares acumuladas. Destina-se a pacientes na Unidade de Terapia Intensiva (UTI), traqueostomizados ou intubados. Por necessidades ao longo do tempo foram desenvolvidas estratégias como instilação de soro fisiólogico (0,9%) ou água destilada associada a execução na prática.Objetivos: Revisar a literatura tangente ao uso de água destilada ou soro fisiológico (0,9%) na aspiração endotraqueal.Método: Trata-se de uma revisão bibliográfica, onde realizaram-se pesquisas nas seguintes bases de dados: SciELO, Google Acadêmico e LILACS. Os critérios de inclusão foram: artigos publicados mais recentes no período de 2020 a 2022. Foram encontrados no total 7 estudos, que corresponderam aos critérios de inclusão previamente estabelecidos. Utilizaram -se os seguintes descritores: Aspiração endotraqueal, Soro fisiológico 0,9%, Água destilada.  Resultados e discussões: O estudo analisou sete artigos sobre o uso de soro fisiológico e água destilada para aspiração endotraqueal, encontrando concordância na preferência pelo soro fisiológico devido à eficácia na remoção de secreções e à melhor aceitação pelos pacientes. No entanto, foram levantadas preocupações com o potencial deslocamento de bactérias patogênicas e possíveis efeitos adversos. Contudo,embora alguns artigos tenham mencionado benefícios da água destilada, como disponibilidade e custo, alertaram para riscos como desequilíbrio eletrolítico e contaminações bacterianas. Com isso, o resultado desta pesquisa conclui-que o soro fisiológico é a melhor escolha. Conclusão: Apesar disso, a pesquisa concluiu que o soro fisiológico é a melhor opção para a aspiração endotraqueal, pois o mesmo mostra uma versatilidade que é frequentemente utilizada em tratamentos de saúde, devido a sua segurança e compatibilidade com os tecidos biológicos devido à sua composição simples.
Estratégias Terapêuticas para o Transtorno do Espectro Autista: Abordagens para o Desenvolvimento Infantil
Authors: Rodrigues de Lima Freire Ellen Vitória , Amorim Araujo Jaine , Barros Braga Renan , Teixiera de Lima Sampaio Carlos Antonio , Pinheiro Borges Neta Beatriz , Furtado Rua Gabriela , De Brito Melo Victória , Cavalcante de Moura Anna Clara , Oliveira dos Santos Mayla Daiane , Pereira de Oliveira Isabel , Lourenço Bittencourt Aline , Da Silva Willian Cassiano
Published: August 2024

Este estudo tem por objetivo realizar uma revisão integrativa da literatura sobre abordagens terapêuticas para o manejo do Transtorno do Espectro Autista (TEA) no desenvolvimento infantil em ambientes educacionais e clínicos. A questão principal é: "Quais abordagens terapêuticas são mais eficazes para o manejo do TEA no desenvolvimento infantil em ambientes clínicos?" Foram incluídos estudos sobre intervenções terapêuticas para TEA, considerando tipos de intervenções, eficácia clínica e metodologias de implementação. As buscas foram feitas na Biblioteca Virtual em Saúde, abrangendo publicações de 2019 a 2024, com descritores como "TEA", "Abordagens terapêuticas", "Desenvolvimento infantil", "Terapia comportamental", "Terapia ocupacional", "Terapia Nutricional" e "Tratamento Farmacológico"  em inglês e espanhol. Foram excluídos estudos com intervenções não específicas, alta probabilidade de viés e artigos não disponíveis em inglês, espanhol ou português. Os estudos destacam a necessidade de tratamentos personalizados e multidisciplinares. A colaboração entre profissionais de saúde e a atualização constante dos métodos são cruciais para uma assistência de qualidade.
Preenchimentos Labiais com Maiores Complicações de Edema Tardio Intermitente Persistente (ETIPS) : Uma Revisão de Literatura
Authors: Fernandes Mota Luisa , De Oliveira Nalini Martins Clara , Andrade Almeida Drumond Rafaela , Gonçalves Ferreira Eduarda , Winter Laura
Published: August 2024

As complicações tardias associadas ao uso de preenchimentos labiais, particularmente o Edema Tardio Intermitente Persistente (ETIP), representam um desafio significativo no campo da estética. A análise das referências sugere que os preenchedores de ácido hialurônico, embora amplamente utilizados e valorizados por sua segurança e resultados estéticos, não são isentos de riscos. A resposta imunológica alterada, como observada em pacientes pós-COVID-19, pode intensificar a probabilidade de reações adversas, como ETIP, destacando a necessidade de uma avaliação médica criteriosa e uma abordagem personalizada para cada paciente.
​Os relatos de casos e estudos revisados indicam que a escolha do preenchedor, a técnica de aplicação e a compreensão das condições imunológicas do paciente são fundamentais para minimizar complicações. Por exemplo, a utilização de Restylane e Juvederm, embora eficazes em muitos aspectos, requer uma atenção especial à técnica de injeção para evitar o desenvolvimento de nódulos e inflamações. A prática de uma administração correta e precisa é essencial para garantir não apenas a eficácia estética, mas também a segurança a longo prazo.
​Além disso, a possibilidade de reações adversas tardias sublinha a importância de um acompanhamento pós-procedimento contínuo. Estudos mostram que mesmo anos após a aplicação inicial, complicações como ETIP podem surgir, exigindo intervenções rápidas e eficazes, como o uso de hialuronidase para dissolver o preenchedor ou corticosteroides para controlar a inflamação. Essa abordagem é vital para a manutenção da saúde do paciente e para a gestão de qualquer desconforto ou complicação que possa ocorrer.
​Em conclusão, a literatura revisada ressalta a importância de protocolos rigorosos de segurança e uma avaliação médica detalhada antes de realizar procedimentos de preenchimento labial. A combinação de uma escolha cuidadosa de produtos, técnicas de aplicação adequadas e um acompanhamento atento pode reduzir significativamente o risco de complicações como ETIP. À medida que a demanda por procedimentos estéticos continua a crescer, é crucial que os profissionais de saúde estejam bem informados e preparados para manejar potenciais complicações, garantindo a segurança e a satisfação dos pacientes.
Análise do perfil epidemiológico brasileiro por hemorragia pós-parto
Authors: Queiroz Chaves Sibalszky Sophia , Silveira Caixeta Maria Clara , Silveira Caixeta Cátia Aparecida
Published: August 2024

A hemorragia pós-parto (HPP) é definida pela perda de sangue superior a 500 ml após parto vaginal ou 1.000 ml após cesariana nas primeiras 24 horas, ou por qualquer perda que cause instabilidade hemodinâmica. Este estudo analisou o perfil epidemiológico das internações de urgência por HPP no Brasil de 2019 a 2023. Realizado um estudo transversal, descritivo e quantitativo com dados do SIH/SUS via DATASUS, analisados em Excel. Foram registradas 10.746 internações por HPP no período, com 2021 tendo o maior número de casos (25,2%). A região Sudeste teve 40,3% das internações, com São Paulo responsável por 19,7%. Mulheres de 20 a 29 anos foram as mais afetadas (45,8%). Houve 102 óbitos, com 2021 e 2020 registrando os maiores números. A região Sudeste liderou em óbitos, com São Paulo tendo o maior número. Portanto, houve um aumento nas internações e óbitos por HPP em 2020 e 2021. A região Sudeste e a faixa etária de 20 a 29 anos tiveram os maiores percentuais de casos, destacando a necessidade de melhorar as intervenções e cuidados para prevenir e tratar HPP.
Prevalência do infarto agudo do miocárdio em mulheres e fatores de risco associados
Authors: Monteiro Rodrigues Caires Osmar , Cristina Batista Silva Amanda , Ioris Almeida Andressa , André dos Reis Ursulino Soares Carlos , Ribeiro Xavier Guilherme , Rodrigues Cardoso Santos Goulart Jaína , Garcetes Machado Kaillany , Pietrzack de Oliveira Késsila , Ribeiro Maia Dos Santos Lucas , Henrique Franco Pael Zanolla Luis , Helena Galindos Klein Luisa , Eduarda Ribeiro Leão Barroso Maria , Mesquita Leite Mariana , Fernandes Lima Matheus , Felipe Sampaio Moreira Renan , Amorim da Silva Ruany , Cândida de Sousa Machado Lara
Published: August 2024

Este artigo tem por objetivo analisar os fatores de risco associados ao infarto agudo do miocárdio em mulheres. O estudo se trata de uma Revisão Integrativa de Literatura baseada em um estudo transversal retrospectivo de caráter descritivo e abordagem qualitativa dos dados. A pesquisa foi realizada em seis etapas: elaboração da questão de pesquisa; busca e amostragem – estabelecimento de critérios de inclusão e exclusão; extração de dados; avaliação e análise crítica dos dados obtidos; análise e síntese dos estudos com interpretação dos resultados; apresentação da revisão. Para a questão norteadora da pesquisa, foi considerada a estratégia PICO. A seleção dos artigos foi feita nas bases de dados PubMed, Medical Literature Analysis and Retrievel System Online (MedLine), Science Direct e Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs). Na estratégia de busca foram consideradas combinações de descritores conforme as indicações de cada base de dados, sendo eles os Descritores em Ciências da Saúde (DeCS) da  Biblioteca Virtual em Saúde (BVS) e Medical Subject Headings (MeSH). Os fatores de risco mais prevalentes associados ao infarto agudo do miocárdio em mulheres são: idade avançada, terapia de reposição hormonal, uso de anticoncepcionais orais, predisposição genética e sobrecarga emocional. Dessa forma, é importante o estímulo da educação em saúde relacionada a estratégias de busca que visem o diagnóstico precoce dessa condição clínica no sexo feminino. A anamnese direcionada é fundamental para o quadro supracitado a fim de se obter bom prognóstico.
Efficacy of Azithromycin and Meropenem in Pediatric XDR Salmonella Typhi: A Retrospective Study from Abbottabad, Pakistan
Authors: Muhammad Khyal , Kalsoom Kalsoom , Khan Amna , Rehman Anis Ur , Bibi Khadija
Published: August 2024

Objective: To evaluate the efficacy of azithromycin as a first-line therapy and the combination of meropenem and azithromycin as the second-line therapy in treating pediatric patients with extensively drug-resistant (XDR) Salmonella Typhi in Abbottabad, Pakistan. Methods: This retrospective cross-sectional study was conducted at Department of Pediatrics, Abbottabad International Medical Complex, Pakistan from May 2022 to January 2024. Children aged 1-15 years clinically diagnosed with typhoid fever were enrolled if subsequent blood cultures confirmed XDR Salmonella Typhi infection. Initial treatment comprised azithromycin. If there was no response to azithromycin, patients received a combination therapy of meropenem alongside continued azithromycin. Primary outcomes were clinical recovery, recurrence within 30 days post-treatment, and treatment-related adverse effects. Results: Of total 67 pediatric patients, the mean age of the patients was 10.02 ±2.76 years. The overall mean duration of defervescence was 6.01 ±2.98 days. Initially, all patients were treated with azithromycin alone. Most patients recovered clinically 57 (85.1%). For the 10 (14.9%) who did not respond, meropenem was added to azithromycin, resulting in recovery for all. The mean duration of defervescence found significantly low in patients who received azithromycin monotherapy as compared to patients who received combination therapy i.e., 4.80 ±0.58 days vs. 12.90 ±1.10 days (p-value <0.001). Mild nausea was the only adverse event observed in 29 patients (43.3%) during treatment. Conclusion: Azithromycin monotherapy demonstrated a high clinical recovery rate, with a significant reduction in fever duration compared to combination therapy with meropenem. Mild nausea was the only treatment-related adverse effect observed.
Objectivity in a Subjective Field: The Current State and Future Directions of “Objective” Diagnostics in Psychiatry
Authors: Ram Adith V , Storch Eric A
Published: August 2024

Even in its most evidence-based practice, medicine is often an inherently subjective field, both in terms of self-reported symptoms on the patient side and clinical reasoning on the provider side. There is arguably no area of medicine as subjective as psychiatry, a specialty which often focuses on emotions, experiences, and realities that are difficult to quantify or “objectively” analyze. Historically, this subjectivity limited progress and treatment options in psychiatry in many ways. Until the mid-20th century, psychiatry was rooted in anecdotal cases within institutions, followed by a largely psychoanalytic framework supported by evidence which was tenuous at best.
ПОДХОДЫ К РАЗРАБОТКЕ СИСТЕМ ОТСЛЕЖИВАНИЯ ОШИБОК ТЕХНОЛОГИЧЕСКИХ ПРОЦЕССОВ
Authors: Артемьев М.С. , Минакова О.А.
Published: August 2024

Отсутствие систематизированного подхода к отслеживанию ошибок и управлению задачами может привести к задержкам в разработке, увеличению времени на исправление проблем и снижению качества конечного продукта. В связи с этим проведен анализ систем отслеживания ошибок применительно к автоматизации технологических процессов. Определены требования к разработке собственной системы оперативного анализа надежности производственных линий. Разработана модель данных на основе FMEA. Показано, что разработка системы отслеживания ошибок технологических процессов важна и зависит от множества факторов, специфичных для отдельных производственных процессов. Централизованные системы могут обеспечить единое пространство для координации и анализа данных, в то время как децентрализованные подходы могут быть более гибкими и масштабируемыми. Накопление данных об инцидентах, их оперативный анализ с использованием статистических методов и машинного обучения позволяет снизить потери производства.