bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengelolaan Komunikasi Pariwisata dalam Meningkatkan Kunjungan Wisatawan Pantai Koneng Medang Kampai Kota Dumai
Authors: Saputri Aisyah Aldi , Nurjanah Nurjanah
Published: May 2024

Pantai Koneng adalah salah satu objek wisata tepi laut di Kecamatan Medang Kampai, Kota Dumai. Daerah yang berhadapan langsung dengan negara Malaysia dengan potensi wisata perairan yang menarik. Dimulai dari tahun 2017 pantai koneng sudah berhasil dikunjungi oleh ratusan ribu pengunjung dengan daya tarik alamnya, pelaksanaan komunikasi pariwisatanya, hingga seluruh fasilitas penunjang yang mendukung wisatawan untuk mengunjungi Pantai Koneng. Tujuan penelitian ini, untuk menganalisis komunikasi pariwisata dan manajemen komunikasi pengelola dalam meningkatkan kunjungan wisatawan Pantai Koneng Medang Kampai Kota Dumai. Penelitian ini menggunakan pendekatan kualitatif. Teknik pengumpulan data melalui wawancara, observasi dan dokumentasi. Teknik pemeriksaan data menggunakan trianggulasi. Hasil penelitian ini menunjukkan bahwa dalam kegiatan komunikasi pariwisata yang dilakukan dalam meningkatkan kunjungan wisatawan Pantai Koneng Medang Kampai Kota Dumai melibatkan Pengelola, pemerintah dan juga wisatawan sebagai komunikator. Pengelolaan pesan bersifat informatif dan komunikatif, dengan menggunakan media sosial seperti Tiktok dan Facebook, media online seperti website resmi DISKOPAR serta menggunakan media cetak berupa brosur dan spanduk Masyarakat umum dilibatkan sebagai komunikan dengan feedback wisata pantai koneng menjadi dikenal. Pengelolaan dalam pengembangan destinasi wisatanya sangat baik dalam meningkatkan kunjungan wisatawan.
Pengaruh Metode Demonstrasi terhadap Motivasi dan Hasil Belajar Siswa Kelas XI SMA
Authors: Onny Fariha
Published: May 2024

The problem of Biology learning at SMA Negeri 11 Semarang, namely that learning still uses conventional methods, where teachers talk more, ask questions and tell stories to inform all the facts and concepts of learning, the low number of positive activities that students remember is due to the learning techniques used by The teacher does not facilitate students to be more active in receiving the material presented by the teacher. This affects the low motivation and learning outcomes of students. To overcome this problem, the demonstration method is used. This research is an experimental research with a non-equivalent groups pretest-posttest design which aims to determine the effect of the demonstration method on the motivation and learning outcomes of class XI students at SMA Negeri 11 Semarang. The population of this study was all class XI SMA Negeri 11 Semarang with a total of 141 students. Sampling was carried out using a purposive sampling technique with class XIF as the experimental class and class XIE as the control class. The independent variable in this research is the demonstration method and the dependent variable, namely motivation and student learning outcomes. Data on student motivation results were analyzed descriptively and results were obtained at the first meeting with a percentage of 50% and categorized as low, then at the second meeting with a percentage of 62.5% categorized as quite high, because there was an increase at each meeting, it was concluded that the use of the demonstration method could improve Learning motivation of class XIF students at SMA Negeri 11 Semarang. Data on student learning outcomes were analyzed using a two-party t-test with the polled variance t-test formula. At a significance level of 5%, the degrees of freedom (dk=43) obtained tcount > ttable (3.280 > 2.014), so Ha is accepted and H0 is rejected. So from the results of the analysis of learning outcomes it can be concluded that the use of the demonstration method influences the learning outcomes of class XI students at SMA Negeri 11 Semarang.
Glomangiopericytoma of the Nasal Sinus Mimicking Dacryocoele: A Case Report and Literature Review
Authors: Chettibi F. , Matouk M. , Doudi T. , Naidji M. , Benbouzid S. , Amari A. , Kaabouche B.
Published: May 2024

Introduction: Glomangiopericytoma (GPC) of the nasal sinus is a rare mesenchymal tumor that can mimic various benign pathologies in this anatomical region. We report an unusual clinical case and describe the diagnostic and therapeutic challenges encountered. Case Presentation: A 62-year-old woman presented with swelling of the left inner eye angle, tearing, and ipsilateral nasal obstruction. Clinical examination and imaging initially suggested chronic dacryocystitis. A polypoid nasal sinus mass was detected on endoscopy and computed tomography. Complete excision was performed via endoscopic nasal sinus surgery. The histopathological analysis confirmed the definitive diagnosis of glomangiopericytoma. Discussion: Nasal sinus GPC is a rare tumor, typically benign, derived from perivascular cells. Its clinical presentation is nonspecific and can mimic more common pathologies. Diagnosis is based on imaging and histopathological analysis with immunohistochemistry. The treatment of choice is complete surgical excision, preferably via minimally invasive endoscopic approach. Long-term close monitoring is recommended due to the risk of local recurrence. Conclusion: This clinical case highlights the importance of considering glomangiopericytoma in the differential diagnosis of nasal sinus masses, even in cases of initial benign presentation. A multidisciplinary approach, involving imaging, surgery, and histopathological analysis, is essential for optimal management.
Deep Learning Algorithms for Skin Disease Classification
Authors: R Pradeepa , V Punitha , R Senthamil Selvi
Published: May 2024

Skin diseases are a serious concern of public health worldwide, and successful treatment needs a correct and timely diagnosis. Traditional diagnostic methods mostly depend on dermatologist’s visual observation and this leads to subjective interpretations coupled with time-consuming processes. Deep learning algorithms have lately been known as powerful means for automated medical image analysis that present more accurate and quicker results at the same time. This study analyses the usage of state-of-the-art deep learning algorithms like YOLOv8, Deep CNN, and ResNet50 used for classification of skin diseases using dermatological images. Classifying the skin conditions relies heavily on the ability to identify and extract essential features. Different skin conditions were covered under large dataset thus providing a comprehensive foundation for training and validation aimed at ensuring that the models could generalize well across different diseases. Each algorithm also employs transfer learning techniques by utilizing pre-trained models based on large image datasets in order to improve adaptability and generalization over new data types. The use of deep learning algorithms in classifying skin diseases represents a significant method to achieve efficient and accurate diagnosis with benefits to both patients and healthcare professionals as is the trend in medical image analysis. The advanced deep learning models introduced in this paper excel at classifying complex skin diseases, outperforming the machine learning approaches in performance.
Lungs Tumor Classification using Convolutional Neural Network
Authors: Praveena R. , T.R. Ganesh Babu  , Reddy A. Harish , Dinesh CH. Venkata , Bharath S Mahesh
Published: May 2024

The research focuses on classifying lung cancer using the VGG-19 architecture. The datasets were sourced from Iraq-Oncology Teaching Hospital with 70% of the data allocated for training and 30% for testing. Performance metrics were computed to evaluate the effectiveness of the classification method. Python is utilized for designing the algorithm and executed using Goggle Colab. The lung tumor classification using VGG-19 offers an accuracy of 95%, sensitivity of 88.79%, specificity of 98.25 %, and F1-Score of 93.28%. However, the low sensitivity value indicates that the VGG-19 architecture is not accurately predicting benign and malignant cases.
Avaliação epidemiológica de novos casos de Chikungunya no Sudeste (2017-2024): um estudo ecológico
Authors: Magalhães Lorena Pereira , Ambrósio Marcos Flávio Spínola , Salaroli Robson
Published: May 2024

O estudo teve como objetivo mostrar a incidência de casos de Chikungunya no sudeste do Brasil no período compreendido entre os anos de 2017 e primeiro trimestre de 2024. Trata-se de um estudo descritivo e quantitativo, utilizando dados de domínio público e acesso irrestrito, cujo levantamento ocorreu por meio do Sistema de Informações de Agravos de Notificação (SINAN), disponibilizados pelo Departamento de Informática do Sistema Único de Saúde (DATASUS). Observaram-se aumentos significativos tanto na quantidade absoluta de casos quanto nos coeficientes de incidência por 100 mil habitantes em diversos estados, especialmente no primeiro trimestre de 2024 em comparação com o ano de 2023. Sendo assim, é crucial que as autoridades de saúde intensifiquem os esforços de prevenção, educação da população e monitoramento da doença, além de investir em pesquisa para entender melhor os fatores que contribuem para o aumento da incidência e desenvolver medidas eficazes de controle.
Angina de Ludwig: Uma revisão de escopo.
Authors: Almeida Cleiton Luiz , Gonçalves Lourenço Mariella Agostinho
Published: May 2024

O presente trabalho se propôs, por meio de uma revisão sistemática da literatura, a apresentar a Cirurgiões-Dentistas e acadêmicos as principais características clínicas e epidemiológicas da Angina de Ludwig bem como os métodos de diagnóstico e tratamento dessa patologia. A revisão sistemática da literatura foi desenvolvida com base em uma busca de artigos científicos na base de dados PubMed com os descritores “Ludwig’s Angina”, “La Angina de Ludwig”, “Angina de Ludwig”, “Odontogenic Infections”, “Infecciones Odontogenicas” e “Infecções Odontogênicas”. Nos nove artigos selecionados, 1044 casos foram analisados. Em relação ao gênero, a maior prevalência foi no masculino (57,1%) e a faixa etária mais acometida foi a de 20-40 anos (54,9% do total de casos) com uma média de idade de 33,4 anos. Quanto ao fator etiológico, infecções odontogênicas foram os focos primários mais comumente encontrados (60,1%). A Antibioticoterapia mais empregada foi a associação de amoxicilina com clavulanato de potássio associada ao metronidazol. Sreptococus Sp. e Staphylococus Sp. foram os microrganismos mais encontrados. Diabetes mellitus foi a comorbidade sistêmica mais comumente encontrada. Os estudos relataram que inchaço no pescoço (90%), dor no pescoço (89%), trismo (50,4%), febre (42,3%), disfagia (40,1%) e dispneia (17,5%) foram os sintomas mais encontrados. No que diz respeito ao tratamento, a grande maioria (84,08%) combinou procedimentos cirúrgicos e não-cirúrgicos. A taxa de mortalidade variou de 11,8 a 0% com uma média de 4,74%. Concluiu-se que a Angina de Ludwig é uma celulite facial séptica de evolução rápida que, se não diagnosticada e tratada adequadamente, pode levar o indivíduo ao óbito. Sua principal etiologia é odontogênica e o diagnóstico precoce é fundamental para evitar graves complicações sistêmicas. Dessa forma, é fundamental que o Cirurgião-Dentista conheça sua etiologia, fisiopatologia, meios de diagnóstico e tratamento.
Assistência de enfermagem no período pós-parto: prevenção e controle das infecções puerperais
Authors: Medeiros de Souza Iraniula , Monteiro de Oliveira Luciele , Costa de Souza Pâmela , De Souza Nascimento Rosenira , Pereira Carvalho Moreira Viviane , Pereira Pabloena
Published: May 2024

A Infecção Puerperal (IP) ocorre no período pós-parto estando associada geralmente aos cuidados de saúde atribuídos a essas demandas, instigando as internações prolongadas e consequentemente o aumento do risco para morbidade e mortalidade materna. Tem como objetivo analisar as referências bibliográficas sobre a assistência da enfermagem nos cuidados de prevenção e controle da infecção puerperal. O estudo trata-se do tipo revisão integrativa. Foram utilizados artigos científicos das bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Medical Literature Analysis and Retrieval Sistem online (Medline) e Scientific Electronic Library Online (SciELO), além da Biblioteca Virtual de Saúde (BVS). Os tipos de estudos selecionados apresentam uma média de 57% de estudos do tipo descritivo, e 43% são estudos exploratório-descritivos. Quanto a abordagem metodológica, 71% são estudos qualitativos, enquanto 29% dos artigos são quantitativos. As infecções puerperais atingem em grande parte as mulheres no período pós-parto, e se caracterizam como um problema grave de saúde. Nesse sentido, a atuação dos profissionais de enfermagem é imprescindível, pois são agentes atuantes na prevenção de tais infecções, dada a assistência direta no parto, puerpério e pós-parto.
Artrite reumatoide: perspectivas atuais da imunopatogênese e implicações terapêuticas
Authors: Cavalcante Calheiros de Melo Gabriel , Vytor Cardoso Nobre Paulo , Acioli Lima de França Daniella , Farias Mota Marcos , Tenorio Costa Nelson , De Araujo Medeiros Pereira Martha , Gabriel Oliveira Almeida Erik , De Oliveira Santana Almeida Sarah , De Carvalho Moreira Juliana , Suellen Vieira Gonçalves Jéssica , Clark de Carvalho Barbosa Lydio , Adrielle Oliveira Teodozio Maria , Da Matta Monteiro Costa Pinheiro Rafaela
Published: May 2024

Introdução: A artrite reumatoide (AR) é uma doença autoimune crônica, caracterizada por uma inflamação persistente das articulações sinoviais, que eventualmente leva à destruição do tecido articular e incapacidade funcional. Objetivo: Avaliar a imunopatogênese e implicações terapêuticas da artrite reumatoide. Metodologia: Trata-se de uma revisão bibliográfica que incluiu artigos originais e revisões sistemáticas em inglês e português, que abordaram os aspectos imunopatogênicos e o manejo da AR, publicados entre 2011 e 2024, selecionados nas bases de dados PubMed, Scopus e SciELO. Após a seleção criteriosa, foram escolhidos 23 artigos para compor esta revisão bibliográfica. Resultados: Há diversos fatores patogênicos que contribuem para o advento da AR, como infiltração de células imunes adaptativas, a interação entre linfócitos T CD4+, células Th17 "patogênicas", e células reguladoras T (Treg) e células B. O manejo do quadro apresenta algumas medidas não farmacológicas, como exercícios físicos e terapia ocupacional. Dentre as intervenções farmacológicas, a primeira linha é composta pelos DMARDs, bem como o uso de AINEs e corticoides no controle da dor. Considerações: A compreensão da patogênese da AR avançou consideravelmente, infiltração de células imunes adaptativas revelando a complexidade dos mecanismos imunológicos subjacentes à doença. Apesar dos avanços terapêuticos, persistem desafios, como a identificação de marcadores precoces da doença e o desenvolvimento de intervenções terapêuticas mais eficazes.
MULTIPLE RESIDUAL ROOTS EXTRACTIONS AND ETIOPATHOGENESIS OF ASSOCIATED PERIAPICAL LESION: A SURGICAL CASE REPORT
Authors: Jesus Oliver Renê Viana de , Alves Rebecca Lineker da Silva , Cardoso Allana Vieira , Santos Juliana Maria Fernandes , Silva Gliciane Santana da , Figueiredo Maria Thysbe Lima de , Oliveira Letícia de Andrade , Monteiro Emanuele Souza , Guerra Cecília Bezerra de Meneses Corbal
Published: May 2024

Before any surgical intervention in dentistry, it is necessary to plan each case correctly, to induce a positive prognosis for patients, always enabling the functionality of the stomatognathic system. Men tend to have more teeth extracted than women, with more posterior teeth extracted in patients in more advanced age groups due to periodontal disease. The case presented leads to a discussion of the periapical lesions removed surgically. The etiology and study of the evolutionary process of pulp pathology and the supporting tissues of the dental element are substantial. The endo-periodontal interrelationship is unique and can be considered a single continuous system or biological unit with multiple forms of communication. In summary, this article seeks to highlight and report a surgical case of a patient diagnosed with periapical lesions associated with residual tooth roots, which were removed during the common exodontia protocol with the aim of total rehabilitation of the patient. The patient authorized all the images and information used in this study.
Blood Urea Nitrogen-Serum Albumin Ratio As a Predictor of Clinical Outcome in Acute Ischemic Stroke
Authors: Suseno Endy , Akbar Muhammad , Bintang Andi Kurnia , Soraya Gita Vita , Lotisna Mimi , Sompa Andi Weri
Published: May 2024

Stroke is a global health issue with high morbidity and fatality rates. Treatment decisions for ischemic stroke rely on clinical outcome prediction. The NIHSS score is commonly used to predict the AIS's clinical outcomes. However, its use is hindered by its complexity, which requires the assessment of many variables. Therefore, there is an urgent need to develop a simpler yet still effective evaluation tool in assessing the AIS’s clinical outcome. The study aimed to predict AIS outcomes using the blood urea nitrogen to albumin serum ratio (RBA). This study was a prospective cohort study design, with subjects being first-time AIS patients hospitalized at RSUP Dr. Wahidin Sudirohusodo and several hospitals in Makassar from December 2022–April 2023. Demographic and clinical data were collected, assessing RBA and comparing it according to the good (mRS 0-2) and poor (mRS 3-6) outcome groups. RBA performance was assessed by receiver operating characteristic curve (ROC) analysis to assess the AIS's clinical outcome. The study's findings on 62 participants meeting the criteria revealed a significant association between RBA and the AIS's clinical outcome (p-value=0,0004). The mean RBA differed significantly between the good and poor AIS outcome groups (p-value =0,006). In the ROC analysis, the area under the curve (AUC) was 0,75 with an optimal cut-off value was 2,05, yielding a sensitivity of 41,67%, a specificity of 98%, and a likelihood ratio of 20,83 (p-value=0,007). In conclusion, RBA can be used as a simple and objective tool to determine the clinical outcome predictors of AIS.
Nursing Burnout to Infection Prevention and Control Measures Inpatient
Authors: Widyani Yeni , Hutahaean Serri
Published: May 2024

Health is very important for a person’s life to be able to carry out daily activities comfortably. Hospitals as health service providers for the community play an important role in maximizing the level of health of a community, but conditions in the field show that not a few people who seek treatment at hospitals have the opportunity to get new diseases that have not been suffered before or HAIs (Healthcare Associated Infections). The purpose of this study was to determine the relationship between nurse burnout to infection prevention and control measures inpatient room of X Kuningan Hospital. This research used a descriptive-analytic research method with a cross-sectional approach. Total sampling was 75 subjects. The results of the chi-square test obtained a p-value <0,05 (0,002), which means that there was a relationship between nurse burnout and infection prevention and control measures. The recommendation from this study is that hospital managers need to improve the quality of nurses by supervising and preventing burnout on nurses to take proper infection prevention and control (PPI) measures.
Giving Moringa Leaf Noodle and Eel Formulations on Body Weight as an Effort to Prevent Stunting in Toddler
Authors: Usman Usman , Sulaiman Zulkarnain , Suherman Suherman , Umar Fitriani
Published: May 2024

The issue of stunting continues to pose a threat to the future generation of Indonesia. Local plants with high nutritional content include moringa leaves. Apart from moringa leaves, eels also have high nutritional value. Innovation in the formulation of noodle combining moringa leaves and eels is highly needed as a functional food for stunting prevention. The research aimed to determine the level of acceptance of subjects towards the formulation of moringa leaf and eel combination noodles and to assess the effectiveness of the noodle formulation in increasing or changing the weight of toddlers. A pure experimental study with an RAL design was conducted in July-August 2023, involved 30 toddlers and 30 mother-toddler subjects selected through purposive sampling. Data analysis included organoleptic tests to measure the subjects' preferences for the noodle formulation and Paired sample t-test to assess the impact of the noodle formulation on changes in toddlers' weights. The research findings indicated that on average, mothers' preferences for moringa leaf and eel noodles, particularly in terms of color and texture, received positive ratings, while aroma and taste were rated moderately positive. The toddlers' weights before consuming moringa leaf and eel noodles was 9,73 kg, and after consumption, the average weight increased by 0,48 kg to 10,21 kg. The research conclusion confirms that the moringa leaf and eel noodle formulation are potential to have a positive impact on increasing toddlers' weights.
LESÃO CENTRAL DE CÉLULAS GIGANTES EM GESTANTES: CASO DUPLO
Authors: Thalles Moreira Suassuna  , Maria Taywri Almeida Costa  , Sabrina Sousa Fontenele  , Marianne Sobral de Oliveira  , Larissa Pinheiro Silva  , Maria Clara de Carvalho Silva  , Édson Lucas Parente Soares  , Roberta Oliveira Volponi  , Anna Luiza Bezerra Tavares  , Adriana Salete Cecon  , Xênia Rejane de Almeida Gomes  , Jayne Manuelle de Oliveira Rodrigues
Published: May 2024

Introdução: A lesão central de células gigantes (LCCG), é uma condição benigna que afeta principalmente os ossos da mandíbula, embora as lesões centrais de células gigantes sejam geralmente benignas, elas podem causar sintomas como dor, inchaço e fragilidade óssea. O tratamento varia dependendo do tamanho, localização e gravidade da lesão, mas pode incluir cirurgia para remover a massa, radioterapia ou terapia medicamentosa. Este estudo tem como objetivo apresentar dois casos clínicos de LCCG agressivo em gestantes, discutindo sua relação com a gravidez e as opções terapêuticas mais indicadas. Relato de caso: Duas mulheres gestantes foram encaminhadas ao ambulatório de Cirurgia Buco-Maxilo-Facial do Hospital Getúlio Vargas (HGV), queixando-se de um aumento progressivo de volume na mandíbula, após exames radiográficos e a realização da biopsia incisional, foram diagnosticadas com (LCCG). Optou-se pelo tratamento cirúrgico com a remoção completa da lesão em ambas. Conclusão: Essa área de pesquisa tem recebido cada vez mais atenção, à medida que novas técnicas e abordagens permitem uma análise mais detalhada dos fatores hormonais envolvidos na patogênese da LCCG. Estudos adicionais são necessários para elucidar completamente essa associação.
USO DE ANTIPSICÓTICOS DE AÇÃO RÁPIDA NO MANEJO DE CRISES PSIQUIÁTRICAS AGUDAS
Authors: Guilherme Cerqueira Martins Moraes  , Isadora Fontenelle Carneiro de Castro  , Gustavo Moreira Marques  , Laís Albuquerque Borges  , Sindy Maria Menezes Dourado  , Gabriel Maia da Silveira Leão  , Saul Felipe Oliveira Véras  , Renato Rego da Silva  , Maria das Graças Gazel de Souza  , Mariana Carla Santos Rossini  , Renata Bovi Borba  , Ivo Gabriel de Souza Machado  , Gabriel Moreira Lima Bomfim Macedo  , Ana Carolina Almeida Mauadié
Published: May 2024

Pacientes em crise psiquiátrica correm perigo de causar prejuízos a si mesmos e aos outros, requerendo um atendimento de urgência eficaz e apropriado. Objetivo: Este estudo teve como propósito revisar as diretrizes no Brasil para lidar com crises psiquiátricas em situações de emergência e discutir a conduta apropriada após a crise. Métodos: Realizamos uma pesquisa bibliográfica em bases de dados online, utilizando termos como “crise psicótica”, “situação de emergência psiquiátrica”, “diretrizes”, “tratamento” e “cuidados pós-crise”. Resultados: As diretrizes brasileiras recomendam o uso de antipsicóticos de segunda geração durante a crise aguda, juntamente com medidas de contenção física e cuidados de suporte. Após a crise, é indicado acompanhamento psiquiátrico, terapia ocupacional e apoio social e familiar. Conclusão: Lidar de forma apropriada com crises psiquiátricas é essencial para evitar danos e promover uma melhor qualidade de vida aos pacientes. O tratamento deve ser personalizado e seguir as diretrizes brasileiras, com ênfase especial nos cuidados pós-crise. As crises psiquiátricas, como episódios de psicose, mania ou depressão grave, podem ser momentos turbulentos e perigosos tanto para o indivíduo que as vivencia quanto para aqueles ao seu redor. Nesses momentos, a necessidade de um atendimento de urgência eficaz e apropriado torna-se crucial para garantir a segurança e o bem-estar do paciente.
COMPLICAÇÕES DA ANESTESIA GERAL EM PACIENTES PEDIÁTRICOS
Authors: Donini Nathalia Gomes , Nava Flores Kevillyn Maria , Araujo Henrique Sandy Hevelyn , Felipe Freire Vieira Damasceno  , Caloi Lóss Marina , Borges Coimbra Rafael , Dias Cury Anny Sibelly , Pereira da Silva Marcos Antônio , Gonçalves Costa Osvaldo , Junior Nivaldo do Nascimento , Camatti Sarah , Reis Tupinanba Thaís , Tavares Scharff Maria Eduarda , Costa da Silva Hutt João Guilherme , Mirielly Santos Maracaipe  , Nava Flores Kimberlly
Published: May 2024

O efeito da anestesia geral em pacientes pediátricos é uma área crucial da medicina, pois envolve considerações especiais devido às diferenças fisiológicas e psicológicas das crianças em comparação com os adultos. A anestesia geral em crianças é frequentemente necessária para procedimentos cirúrgicos ou diagnósticos. No entanto, ela pode apresentar riscos, como comprometimento respiratório, efeitos cardiovasculares e neurológicos adversos, especialmente em bebês e crianças muito jovens. Portanto, é essencial uma avaliação cuidadosa do paciente, escolha adequada dos agentes anestésicos e monitoramento rigoroso durante todo o procedimento para garantir a segurança e o bem-estar das crianças submetidas à anestesia geral.
THE NUANCES AND DYNAMICS OF THE FILIPINO EXPRESSION BAHALA NA AS AN EXPERIENCE OF CULTURE AND FAITH
Authors: Patrick Meryll J. Garcia  , Reginaldo M. Mananzan
Published: May 2024

In the face of challenging situations, Filipino Catholics manifest, through the expression of bahala na, certain cultural traits that portray Christian values, such as an attitude of undying faith in God. However, at some point, the same expression also reveals attitudes that are inconsistent with the Christian message and practices. Through the review and analysis of different literatures that have studied bahala na, the paper articulates the contrasting nuances that give the expression ambivalent dynamics while, at the same time, presenting its significant influence on the faith of Filipino Catholics. So, in terms of the expressions negative cultural nuances, the paper examines some distortions that could perpetuate Filipino Catholics interpretation of the Gospel message, particularly on their understanding of Divine will, Divine providence, and Christian discipleship, which, consequently, affects how some of them treat their personal freedom and responsibilities as somewhat insignificant in alleviating themselves from suffering, and in attaining salvation.
KEYWORDS: culture, experience, suffering, bahala na, Filipino
The Effect of Learned Helplessness and Self-Efficacy on Academic Motivation Among Mizo young Adults
Authors: - Vanhluzuali Chhangte , - Babita Prusty
Published: May 2024

This research dives into studying the correlation between self-efficacy, academic motivation and learned helplessness among Mizo young adults, And to examine the significant level of differences between Mizo female and young male adults. The study intends to examine how these psychological factors interact and affect academic motivation within distinct cultural setting of Mizoram, drawing on theoretical framework from psychology.
Pedagogical Content Knowledge: Analysis of Pancasila and Citizenship Education Teachers on Bhinneka Tunggal Ika Material
Authors: - Aqshal Arlian Raya , - Rima Vien Permata Hartanto , - Rusnaini
Published: May 2024

The aim of this research is to reveal whether to analyzing the pedagogical content knowledge abilities of PPKn Teachers at SMA Negeri 5 Metro on Bhinneka Tunggal Ika material. This research uses a qualitative method using Danielson's observation sheet which consists of 3 components, namely: 1) teaching knowledge; 2) student knowledge; 3) content knowledge. The objects of this research were 2 class XII PPKn teachers. Data analysis used in this research used Miles interactive method based on observation sheets, interviews and documentation studies. The research results concluded that: 1) the first teacher demonstrated pedagogical content knowledge with good criteria; 2) the second teacher shows pedagogical content knowledge with good enough criteria.
The Miasmatic Approach in the Management of Bronchial Asthma in Homoeopathy
Authors: - Dr. Rudrakshi Dey
Published: May 2024

Bronchial asthma is a chronic obstructive disease of airways affecting bronchi, resulting in bronchoconstriction, tightening of chest and airway inflammation. Asthma remains a disease with clearly unsatisfactory therapeutics. With the mounting evidence in support of asthma being an inflammatory illness, anti-inflammatory agents have now become prerequisite for the long-term management of asthma. Along with anti-inflammatory agents, there is a need to search for other effective therapies to treat every aspect of the disease. Although asthma is a global disease, there are important differences in epidemiology, clinical spectrum and management practices in India.
A Silent Battle: Uncovering the Prevalence of Polycystic Ovarian Disease (PCOD) among Students in Schools and Colleges
Authors: - Athul H , - Jeeva Elizabeth Thomas , - Lidiya Anna Kuriyan , - Shalet Sara Shaji , - Sofy Binu
Published: May 2024

PCOD/PCOS stands out as a prevalent endocrine and metabolic disorder frequently observed in women of reproductive age. This condition, characterised by symptoms of androgen excess and ovarian dysfunction in the absence of other diagnoses, presents a varied profile. While its exact cause remains unclear, emerging evidence suggests it as a complex condition influenced by multiple genes and significant epigenetic and environmental factors, including dietary and lifestyle elements. Menstrual irregularities and reproductive issues are primary manifestations of PCOS, often leading to infertility. Moreover, PCOS patients face a heightened risk of cardiovascular disease, hypertension, lipid metabolism disorders, and endometrial cancer, with incidences two to six times higher compared to the general population. Fortunately, PCOS diagnosis and management are straightforward, involving the prudent use of established diagnostic tests and targeted interventions to address hyperandrogenism, ovarian dysfunction, and associated metabolic irregularities.
Exploring the Gut-Brain Axis: A Comprehensive Review of Interactions Between the Gut Microbiota and the Central Nervous System
Authors: - Ishaan Bakshi , - Sandeep Dey , - Arya J. Raut , - Shreyas Katta , - Prashant Sharma
Published: May 2024

The gut-brain axis represents a complex network of interactions among the gut microbiota, the enteric nervous system (ENS), the autonomic nervous system (ANS), and the central nervous system (CNS), exerting profound influences on both digestive and mental health. Dysfunction within this axis has been implicated in a spectrum of disorders ranging from irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) to depression, anxiety, and neurodegenerative conditions. While early observations of the relationship between emotions and gastrointestinal function date back to the early 20th century, recent decades have witnessed significant strides in understanding this intricate interplay, fueled by advancements in molecular biology, microbiology, and neuroscience. Key milestones include the discovery of the enteric nervous system, elucidation of gut hormone functions, and recognition of the pivotal role played by gut microbiota in shaping brain function and behavior. The gut microbiota, comprising trillions of microorganisms residing within the gastrointestinal tract, actively contribute to gut-brain communication by producing an array of metabolites, neurotransmitters, and immune modulators. This communication pathway underscores the critical importance of comprehending the intricate interplay between gut microbiota and the central nervous system for devising innovative therapeutic interventions targeting a broad spectrum of psychiatric and neurological disorders. Furthermore, lifestyle factors such as diet, stress, and antibiotic usage wield significant influence over the composition and functionality of gut microbiota, thereby emphasizing the pivotal role of lifestyle interventions in fostering and preserving gut-brain health. This abstract encapsulates the current understanding of the gut-brain axis, highlighting its multifaceted implications for health and disease management, and underscores the pressing need for continued research to unlock its therapeutic potential.
Daytime Sleepiness and Affect in Middle-aged Adults Who Engage in Daytime Sleep Practice
Authors: - Aman , - Dr. Zuby Hasan
Published: May 2024

This study examines how daytime sleepiness and negative emotions relate in middle-aged adults who nap during the day. Surprisingly, we found a slight negative link between daytime sleepiness and feeling down, suggesting daytime naps might help regulate emotions. However, more research is needed to fully grasp this connection. Our findings highlight the complexity of mood regulation and stress the importance of looking at the bigger picture when it comes to emotional well-being. We suggest future studies use longer-term observations and broader assessments to uncover the full story. Ultimately, understanding these links could lead to targeted strategies for improving sleep quality and emotional health in our modern lives.
A Study On: Taxation as a Major Source of Government Fundings - Special Reference to Implementation of GST
Authors: - Soundarya R
Published: May 2024

Taxation is the major source of funding for the government in India. The total revenue obtained by the government is used for the nation’s expenses such as railway, road construction, health and
education etc. this research paper provides quantitative and qualitative analysis regarding whether taxation is the major source of government funding or not. It is worth noting that the government requires funding in order to conduct its operations in an efficient manner. This can be related to
how a human requires money in order to fulfil their needs and desires. However, in this case the government will require the funds for its activities such as health care, transportation, defenses etc. tax is generally considered to be a reliable and viable source of finance for the Indian government. Additionally, this research paper provides a thorough understanding on the role the GDP plays in this context.
Tobacco Cessation: A Review
Authors: - Pooja J Shetty , - Nusrath Raeesa Fathima A
Published: May 2024

Tobacco use is one of the biggest public health threats. Tobacco use is clearly a big hazard in terms of its magnitude and use in different forms. There is no safe level of exposure to tobacco, as users can experience health consequences at any age. Globally, it accounts for 8 million deaths every year, among which 1.3 million are due to second-hand smoking. It also has heavy social and economic burdens. Tobacco is the most important preventable cause of death and disease among adults. The burden of tobacco-related illness and death is heaviest in low- and middle-income countries, due to a lack of public awareness, inadequate healthcare infrastructure, and weak regulatory interventions. Most of the tobacco users who become aware of the dangers of tobacco-use want to quit. However, the nicotine present in tobacco products is highly addictive and makes it difficult to quit. Without proper cessation support, hardly 4% of users who attempt to quit tobacco use will succeed. Tobacco cessation in the adult population is essential to accelerate the reduction in smoking-related morbidity and mortality.
Analytical Study of Deori Ethnic Identity Living in Assam
Authors: - Samujjal Saikia , - Uttam Kumar Chutia , - Bhakti Changmai , - Rupjyoti Phukan , - Bonashree Borah
Published: May 2024

Like every tribe living in the north-east of India, the Deori community too has its own cultural identity. Deori culture has contributed immensely in giving a diverse and perennial look to the larger Assamese culture. The Deoris, who mainly live in Assam and Arunachal Pradesh, belong to the Assamese-Burmese branch of the Tibeto-Burmese region of the Sino-Tibetan language-family in anthropological considerations and in linguistic terms. Not all Deori people use Deori because of the geographical location of the Deori people living in different parts of Assam and are influenced by different language speakers. There are four faids of the Deori tribe. These are: 1) Dibangia Faid 2) Tendapania Faid 3) Bargaya Faid and 4) Patargaya Faid. Out of these four faids, only among the Dibangiya Fayeds is the present Deori language. The people of these Dibangiya Faids are living in the districts of Lakhimpur, Dhemaji, Jorhat, Tinsukia, etc. in Assam. In formal activities, these people speak Assamese language. In the past, the language was prevalent among all the elders of the Deoris, though the Bargiya and It is not known when the people of Tengapaniya Faid abandoned their language and adopted Assamese as their mother tongue. It is possible that due to contact with the Assamese language, it can be thought that these Faizs stopped speaking their language. Our research article attempts to discuss the Deori tribal history of Assam in a holistic manner.

Key word - Deori Caste Introduction, Deori Caste History, Deori Caste, Culture
Relevance of Fakir Mohan Senapati’s Children Literature In the Present Context: An Overview
Authors: - Anita Mishra
Published: May 2024

Children have a unique perspective to look at the world. Their learnings and their experiences often give a new direction to the literature produced for them. They through challenges to the literary world to come up to a level where they can be comfortable and they can utilize their world of imagination to the best of effects to enjoy a literary piece meant for them. Children literature is often produced by adult with an assumption to touch the aesthetics of the target audience. In most of the cases this type of literature is meant to give a message or educative purpose. Children today are smarter than they were before. For today’s children the condition is totally different. They are exposed to various advanced systems of entertainment with a gentle touch on the screen. To get them back to reading is a tough task. In such a challenging situation we can turn to the masters of the art of story-telling. Fakir Mohan Senapati, the grand master of story telling has created a few powerful and enchanting pieces of Children literature in form of poems. Just like his timeless novels in Odia language, his children literature has a special appeal. The precious pieces can lead the literary world of the present day to approach the target audience in the best possible way. The present paper tries to study the children literature produced by Fakir Mohan in the present context.
Impact of Cobra Effect in Education
Authors: - Madhumita Baidya , - Priyanka Das
Published: May 2024

Education is dynamic in nature, serving to develop individuals in accordance with the ever-changing world. Consequently, governments often introduce new educational policies or decisions to enhance the quality of education. However, the inclusion of such policies or initiatives into the education system can sometimes lead to unintended consequences at both micro and macro levels within the educational ecosystem. Policy makers play a significant role in addressing these educational challenges. However, there are instances where their solutions exacerbate issues at the macro level of education. Conversely, at the micro level, teachers and parents wield substantial influence in resolving educational challenges among children. Therefore, they must exercise caution and remain mindful of the "cobra effect," wherein attempts to solve problems through simplistic and illogical means can inadvertently exacerbate them. Indeed, addressing educational issues is seldom as straightforward as it may initially appear. The cobra effect is not confined to the realm of education; it can manifest across various fields, including social issues, the economy, and administrative decision-making. This study aims to elucidate the concept of the cobra effect within the context of education, delineating its impact and proposing potential remedies to mitigate its effects within the educational sphere.
Implementation of Smart Blind Shopping Trolley
Authors: - KAVANA G S , - INCHARA P , - GAGANA B S , - SANGEETHA V
Published: May 2024

Recently researches and many developments were going in the field of automation and embedded systems to develop and reduce the work of the manpower in industry as well as in public domain areas like Railway station for automatic ticket collection, Metro bus, Flight etc. This system can be used to develop more automation in and to help the blind people, old age and handicapped person we proposed a technique named as automatic trolley carrier navigation and the billing system. This method can be implemented in all shopping malls, big clothing shop, house hold appliances shops etc. It avoids the people to stand in a big queue and automatic billing can be done. Moreover, it helps blind people, old age people, Handicapped Persons in the shopping malls make them to purchase in shopping malls by informing about the product, quantity, price and automatic billing etc. The use of RFID reader is to scan the RFID tag of all products to Identify the name, price, quantity of the products. Depending on the RF signal from the RFID - reader, it passes the information to the micro - controller and from that it identifies the product and, quantity, price of each product. The ultrasonic sensor is used to detect the any obstacles as well as the object.
Analysis of Market Entry Strategies for Foreign Multinational Corporations in India A Market Research Study
Authors: - Kritika Prakash , - Mahendra Singhai
Published: May 2024

This research paper explores market entry strategies for foreign multinational corporations (MNCs) in India, aiming to provide actionable insights for navigating the complexities of this dynamic market landscape. Through a qualitative research design, semi-structured interviews were conducted with key industry experts and executives of foreign MNCs operating in India. The findings reveal that joint ventures are the preferred entry mode, with factors such as access to local knowledge, regulatory requirements, and cultural compatibility influencing entry mode selection. Performance evaluation metrics primarily focus on revenue growth, market share, and customer satisfaction, while adaptation strategies include product localization, marketing customization, and supply chain optimization. Challenges faced by foreign MNCs in market entry include regulatory compliance, cultural differences, and competition. Overall, this study contributes to filling the identified literature gap by providing a nuanced understanding of market entry strategies and their effectiveness in the Indian context. The implications of these findings extend to both academia and practice, offering opportunities for further research and guiding strategic decision-making for MNCs seeking to establish and expand their presence in India.
Boosting Performance and Recovery: a Comprehensive Review of Energy and Recovery Drinks in Different Types of Sports
Authors: - Ankit Singh , - Dilip Tirkey
Published: May 2024

It explores the increasing demand for performance optimisation in sports and the pivotal role of nutritional supplementation in achieving enhanced athletic outcomes. Methodology: A systematic review of literature was conducted, encompassing studies on energy and recovery drinks, their formulations, and their impact on athletes in diverse sporting contexts. The analysis delves into the specific nutritional components, hydration strategies, and ergogenic effects of these beverages. Furthermore, the paper addresses the nuances of recovery in different sports and evaluates the practical implications for athletes. Insights from this study contribute to a nuanced understanding of the role of energy and recovery drinks in maximising performance and expediting recovery across a spectrum of sports.
Renal Hydatid Cyst
Authors: - Zineb Oudrhiri , - Khalid Khatalla , - Othmane Alaoui , - Abdelhalim Mahmoudi , - Bouabdellah Youssef
Published: May 2024

Renal hydatid cysts are a rare manifestation of echinococcosis, especially in pediatric cases. Diagnosis can be challenging, and delayed diagnosis may lead to larger cysts, increasing the risk of complications and the potential need for nephrectomy. Here, we present a case of a renal hydatid cyst in a pediatric patient, emphasizing the rarity of such cases in this age group. We discuss the diagnostic approach, highlighting the importance of early recognition and treatment to avoid the need for nephrectomy and to improve patient outcomes
Status of Biogas Programmes in India
Authors: - VINOD HARIDAS , - NILEENA C.B.
Published: May 2024

The study makes an attempt to enquire into the strengths and weaknesses in implementing the programme. Another relevance of the study is that biogas programme is popularly believed to have deeply influenced energy and agricultural sectors. This study provided an opportunity to verify the basis of such popular notion. Looking at biogas programme as an activity of local change, the study makes an effort to find out the options of replicability and scaling up of the biogas programme. It is hoped that the study will bring forth useful clues that can go a long way in improving agriculture in Kerala, especially in the highranges of Kerala.
Ayurveda is on the Way to Open the Golden Door of Indian Tourism through Panchakarma - A Review
Authors: - Dr Avijit Das
Published: May 2024

ABSTRACT
Over the years, Ayurveda, the science of healing and regeneration, has become increasingly popular throughout the world. Numerous Ayurvedic centres are expanding nowadays, as they are one of the primary tourist attractions in the southern region. India is becoming a popular destination for medical tourism due to a number of draw factors, including easy accessibility, affordable and high-quality medical care, beautiful vacation spots, etc. The best place is in South India, which is also the nation's centre of health. The boundaries and opportunities of Ayurvedic tourism have undoubtedly expanded with the recognition of Ayurvedic healing on a national and worldwide level. With any fortunate, India will be the world's top choice for high-quality medical facilities within the next several years. Ayurveda was supposedly bestowed upon humanity by the gods to enable us to live long, healthy lives free from illness. Nearly every tribe in India swiftly embraced ayurveda, and it soon started to spread to nations like Afghanistan, China, and Iran. Panchakarma can provide a long-lasting or permanent treatment for multi-system disruptions. Panchakarma is becoming a vital component of medical travel. Therefore, the government ought to actively support the growth of Panchakarma travel. This review discusses the many facets of ayurvedic travel to India, including Panchakarma, its development, and current trends.
Keywords-Ayurveda, Tourism, Panchakarma, health .