bluuebunny/crossref_metadata_2025 huggingface dataset:
Anti-Virus Tempering Methodologies
Authors: Dharati Dholariya  , Dixit Panchal  , Dr.Pallavi Singhal
Published: May 2024

In this paper, we will discuss antivirus tampering methodologies and various techniques to bypass them, focusing specifically on static and dynamic engine bypasses and their respective methods. The study is centered around antivirus and malware tampering methodologies, with the main objective being to research various aspects of antivirus evasion and bypassing methods. The emphasis lies in understanding how antivirus software operates, exploiting its limitations, and overcoming these restrictions.
Multilevel modelling of the assessment of confidence in the healthcare system in residents of municipalities of the Arkhangelsk region and the Komi Republic
Authors: Mordovsky Edgar A. , Baranov Alexander V. , Sannikov Anatoly L. , Monogarova Yulia Yu. , Losev Vladimir R. , Shalaurova Elena V.
Published: May 2024

Introduction. The list of factors determining the confidence in the healthcare system, the vector and the strength of their influence are mediated by the social circumstance (place of living).
The purpose of the study is to quantify the level of confidence in the healthcare system in residents of the Arkhangelsk Region and the Komi Republic and to determine its territorial determinacy.
Materials and methods. A sociological survey was conducted in a group of one thousand seventy five residents from 20 municipalities of two northern regions. The multilevel modelling was used to confirm the hypothesis on the combined impact of factors of individual and group (municipal) levels on the confidence of citizens in healthcare system.
Results. The average “index” of confidence in the healthcare system of residents of the Arkhangelsk Region and the Komi Republic was 40.8 points (95% CI: 38.8–42.8) and 47.1 points (95% CI: 44.7–49.5), respectively (p < 0.001). The average values of the index of confidence in the healthcare system differ statistically significantly in the groups of residents in municipalities. Health Literacy is the most important determinant of the confidence in the healthcare system. Other major determinants are the respondents’ age, self-assessments of health status and well-being. Health Literacy, age and self-assessment of the well-being of Northerners living in different municipalities have a different impact on their confidence in the healthcare system.
Limitations of the study are due to the peculiarities of its design, — the lack of the possibility of verifying the respondents’ answers to the questions.
Conclusion. The confidence in the healthcare system of residents of the municipalities of the Arkhangelsk region and the Komi Republic is determined not only by their personal qualities, but also by the social (territorial) circumstance (place of living).
Expert assessment of the competencies of interpersonal interaction between specialists involved in the implementation of the rehabilitation process
Authors: Nikishina Vera B. , Petrash Ekaterina A. , Simonenko Irina A. , Orlova Ekaterina S.
Published: May 2024

Introduction. The need to study the interaction between specialists involved in the implementation of the rehabilitation process is due to the fact that already at the initial stages of the rehabilitation process, effective interpersonal interaction allows identifying patients at risk for medical complications and readmission, and determining the amount of necessary interventions that will be focused on solving various tasks (medical, physical, cognitive, emotional, social, psychological) facing specialists in the process of rehabilitation.
Purpose of the study. Assessment of the competences of interpersonal interaction between specialists (medical and non-medical profile) included in the implementation of the rehabilitation process.
Materials and methods. The total sample size was two hundred forty six people aged of 25–52 years (mean age 31.4 ± 5.18 years). All study participants were employees of rehabilitation centers and were divided into two groups: medical specialists and non-medical specialists.
The study was carried out using assessment technology and included individual and group forms of work.
Results. About 90% of the functionality of a modern specialist, both medical and non-medical, included in the implementation of the rehabilitation process, is functional, determined by managing competencies and competencies of interpersonal interaction. Depending on the rehabilitation case, the volume of functional and competence content is determined individually. Non-medical specialists have a higher level of formation of interpersonal interaction competencies in comparison with medical specialists.
Research limitations. Excluded from participation in the study were medical and non-medical specialists who were not employees
of rehabilitation centers, as well as employees of rehabilitation centers over 55 years of age.
Conclusion. A necessary condition for the functioning of the rehabilitation direction in the management is an increase in the proportion of medical and non-medical specialists involved in the implementation of the rehabilitation process, with a high level of development of interpersonal interaction competencies and a decrease in the proportion of demotivated employees with a low level of formation of interpersonal interaction competencies.
Quality attributes of Meat Alternative Menus Affecting the Perceived Value, Attitudes and Behavioral Intentions among Restaurant Managers: Moderating Roles of Personal Innovativeness
Authors:   The Foodservice Management Society Of Korea, Kim Jaewon , Cho Meehee
Published: May 2024

This study was designed to explore roles the quality attributes of meat alternative menus play within the VAB framework. Our results revealed that two quality attributes, environmental protection and animal protection, significantly improved the perceived value of meat alternative menus, and further shaped positive attitudes, thereby increasing behavioral intentions among restaurant managers. More importantly, this study focused on the personal innovativeness of restaurant managers by applying its two-dimensional concept(incremental vs. radical). The impact of perceive value on attitudes towards meat alternative menus was found to be more positive within the high-incremental innovativeness group than the low-group. However, the effect of perceived value on attitudes toward PBMAs was not significantly different between the high- and low-radical innovativeness group. Based on these findings, some useful implications from theoretical and managerial perspectives were offered.
CHALLENGES IN BASIC STATISTICS: IMPLICATIONS FOR RESEARCH ACCURACY AND RELIABILITY
Authors: FELIX CRISELDA S. , MOCNANGAN JOANA T. , LARTEC CEASARIA L. , HUGO ISRAELIZA G. , PINAS ADAMSON C.
Published: May 2024

The study explores the degree of seriousness of problems encountered in utilizing basic statistics in educational research. Data from 86 respondents at Baguio Central University revealed that these problems were moderately serious, with an average weighted mean of 2.76. The primary issues included poor mathematical skills, inadequate application of statistical knowledge in research, lack of content knowledge in statistics and research, and insufficient textbooks on statistics. These findings suggest that graduate and postgraduate students lack sufficient knowledge and skills in basic statistics necessary for their research endeavors. While the identified problems are moderately serious, addressing them is crucial for successful research outcomes. To mitigate these issues, various resources and strategies can be employed. Online platforms offer opportunities for students to enhance their mathematical and statistical proficiency. Additionally, statistical software such as SPSS, R, MATLAB, Excel, SAS, GraphPad Prism, and Minitab provide tools for data analysis and interpretation, catering to diverse research needs. The study confirms the moderately serious nature of problems encountered in using basic statistics in educational research. Addressing these challenges is imperative to equip students with the necessary skills for successful research endeavors.
Assessing Weekly Wellness Sessions: Cordillera Administrative Region's Social Welfare Impact
Authors: Ponasen Shamah S.
Published: May 2024

This literature review examines the efficacy of workplace wellness initiatives, focusing on the Weekly Wellness Sessions (WWS) conducted by the Department of Social Welfare and Development (DSWD) Field Office Cordillera Administrative Region. The study evaluates staff participation rates, the effectiveness of wellness programs, and challenges encountered in availing the WWS. Primary and secondary sources materials were used in the analysis of this literature review. Casual observations were also integrated. Findings reveal coffee sessions as the most popular activity, while limited facilities and costs hindered participation in other activities. The WWS were perceived as highly effective across multiple dimensions of well-being, with minimal variation based on gender or age. However, differences in effectiveness were noted among different positions and offices/divisions. Common challenges included time constraints, financial limitations, and personal barriers. Recommendations include enhancing financial accessibility, tailoring interventions, offering flexible scheduling, promoting awareness, and cultivating a culture of health and wellness. Addressing these recommendations can optimize the impact of the WWS and contribute to a healthier, more productive workforce within DSWD FO CAR.
Effect of Audit Quality on Financial Performance of Quoted Conglomerates in Nigeria
Authors: Onwubiko Chibunna Onyebuchi , Nwankwo Henry Arinze
Published: May 2024

This study was embarked on to ascertain the effect of audit quality on financial performance of quoted conglomerates in Nigeria. The study specifically investigates the effect of audit size, fee and tenure on return on asset of selected conglomerates in Nigeria. Purposive sampling technique was used to select the conglomerates in the study. The study involves a time series data between 2011-2021 involving 12 years. Data was excerpted from their financial summaries. The study adopted Ordinary least square regression technique, and also applied econometric estimations such as Augmented Dickey Fuller (ADF) and Johanson Cointegration tests. The study therefore concludes that audit tenure affects a propensity to disclose key audit matters. However, audit size and fee are not strong drivers of financial performance. The Study recommends that organisations should ensure credibility and transparency in audit; this will enhance the quality of audit report. There must be willingness of management to communicate with the auditor while also enlarging the audit size to improve audit reports and minimize the adverse impact on the company, the management should make the auditor more aware of the intended disclosure and the company’s position and communicate with the auditor more actively.
Socioeconomic Status and Children’s Math Proficiency Development: The Role of Parental Math Expectation, Investment, and Involvement
Authors: Kobra Mst. Khadezatul , Uddin Md. Emaj , Wahab G. M. Abdul , Kabir Md. Awal
Published: May 2024

Parental investment mechanisms underlying the relations between socioeconomic status (SES)and primary math proficiency are not well-understood. Using the lens of parental expectation, parental investment and parental stress model, present study narratively reviewed relevant literature on parental math expectation, math investment and math involvement that mediates the relations between SES and primary math proficiency. Evidence suggests that compared to high-SES parents, low-SES parents have low math expectation, poor math investment and math involvement by which low-SES influences poor math proficiency development over the primary schooling. Further research is necessary to confirm the parental investment pathways by which low-SES compared to high-SES influences children’s poor math proficiency during primary grades.
Transfer Pricing and Organizational Performance of Multinational Corporations in Nigeria: A Mediating Effect of Audit Quality
Authors: AWOTOMILUSI Niyi Solomon , OBAMOYEGUN Oluwapomile Joseph , AJIBOLA Omobolanle Abike
Published: May 2024

Aim: The relationship between the enforcement of transfer transaction prices and organisational success is getting more complex. Hence, the primary aim of this study is to examine the effects of transfer pricing on the financial performance of Nigerian-listed multinational companies (MNCs), while also considering the potential moderating effect of audit quality. Methodology: The research design used for this study was ex post facto. The study used a sample of 10 Multinational Corporations that were listed on the Nigeria stock market as of December 2023. The research used panel regression analysis to investigate the influence of transfer price on the overall performance of multinational companies (MNCs), with a particular focus on the mediating effect of audit quality. Findings: The research found that, when taking into account the effect of audit quality, the exchange rate has a positive influence on the financial performance of multinational firms, as measured by return on assets (ROA). Furthermore, the analysis of the impact of audit quality on effective tax rates demonstrates a statistically significant negative relationship with the financial success of multinational corporations, as assessed by return on assets (ROA). Conclusion: The performance of multinational corporations in Nigeria is highly influenced by transfer pricing, especially when considering factors such as exchange rate and effective tax rate, which are regulated by audit quality. Recommendation: It is recommended that multinational corporations undertake appropriate measures to enhance their effective tax rate in order to enhance performance and mitigate expensive errors via the implementation of high-quality audits in the context of transaction transfer pricing rules.
Limitation of Aligners and How to Overcome Them
Authors: Chakraborty Arunima , Mishra Sumita , Panda Ananya
Published: May 2024

Aligners are a popular choice for many people seeking Orthodontic treatment due to their aesthetic appeal and convenience. They offer a more discreet alternative to traditional braces, as they are difficult to notice when worn. Along with that it provides an excellent substitute in the era of three-dimensional treatment planning. Clear aligners gradually exert gentle forces on the teeth, moving them incrementally until they reach the desired alignment. The aligner trays are designed to apply pressure to specific areas of your teeth, gradually shifting them into the correct position. The treatment process continues until all the teeth are properly aligned and bite is optimized. Earlier clear aligner treatment was considered to be utilized for the simpler cases, but with advancements it is proved that aligners can be one of the many possibilities for extraction cases, open bite, deep bite, interceptive and even for hybrid approaches. However, aligners may not be suitable for all Orthodontic treatment modalities, especially those requiring significant jaw alignment or complex tooth movements. This review focuses on the limitations and constraints of the type of movements provided by the clear aligners. Furthermore, this will assess the possibilities to overcome these obstacles for better performances in the near future.
Agile HR-Based Employee Management Practices for Improving Hospital Service Delivery
Authors: Wilson CD  , Balasundaram Sathiyaseelan
Published: May 2024

The effective management of the human resources of a hospital is essential for the delivery of high-quality healthcare services, a task that has become incredibly challenging in the wake of the COVID-19 pandemic in India. The efficient management of employees is a top priority in healthcare organisations, which is why human resources (HR) plays a pivotal role in their functioning. It includes strategies for improving employee engagement, productivity, motivation, adaptability to change, welfare, and overall health in addition to traditional HR concerns. As part of this process, conducive working conditions must be created, talent management practices must be implemented, and flexibility must be provided to meet the evolving needs of healthcare professionals. The adoption of Agile HR practices is gaining momentum among hospitals in response to the dynamic challenges they face. In the Agile approach, the development cycle of 'Plan, Do, Check, and Act (PDCA)' enables real-time responsiveness. Through a qualitative research design with in-depth interviews conducted through purposive sampling, this study explores the implementation of Agile HR practices in hospitals located in Kerala and Karnataka. The research presents a novel human resources operating model, termed the 'Agile HR Model,' which advocates the integration of Agile principles into the management of healthcare employees. A key objective of this model is to enhance hospital service delivery by embracing agility and adaptability. The study provides HR managers and healthcare professionals with insights into enhancing the delivery of healthcare services
Cloud Intrusion Detection Using Hybrid Convolutional Neural Networks
Authors: Mahalakshmi SB  , Karnan Lokanayaki Karnan , Nayana KV  , Thirunavukkarasu V
Published: May 2024

Instead of storing data on a hard drive, cloud computing is seen as the best option. The Internet is used to deliver three different kinds of computing services to users all over the world. One advantage that cloud computing provides to its customers is greater access to resources and higher performance while at the same time increasing the risk of an attack. Intrusion detection systems that can handle a large volume of data packets, analyse them, and generate reports based on knowledge and behaviour analysis were developed as part of this research. As an added layer of protection, the Convolution Neural Network Algorithm is used to encrypt data during end-to-end transmission and to store it in the cloud. Intrusion detection increases the safety of data in the cloud. In this paper demonstrates the data is encrypted and decrypted using a model of an algorithm and explains how it is protected from attackers. It's important to take into account the amount of time and memory required to encrypt and decrypt large text files when evaluating the proposed system's performance. The security of the cloud has also been examined and compared to other existing encoding methods
Estimating R, L and C in Arithmetic Circuits using ML
Authors: Saravanakumar C  , Bhanu N Usha
Published: May 2024

In Very Large Scale Integration (VLSI) circuits, the estimation techniques for resistors (R), inductors (L), and capacitors (C) heavily rely on segmented circuit analysis, which involves usage of complex mathematical simplification models. These methods have been conventionally applied to estimate the behavior of circuits, but when faced with systems featuring unique circuit architectures, they often encounter inaccuracies and limitations. The significance of adders as fundamental building blocks in intricate circuit design cannot be overstated. In such complex circuits, various parameters, including parasitic resistances, inductances, and capacitances, engage an indispensable effort in the analysis of delays and performance. However, the conventional estimation methods fail to address the complexities of these systems and the impacts of parasitics accurately. To overcome these challenges, this paper proposes a novel approach that harnesses the potential of machine learning algorithms. By integrating machine learning into the estimation process, the research aims to achieve specific and precise analysis methods that can cater to the needs of modern VLSI circuits. The proposed methodology involves collecting a comprehensive dataset using different adder circuits. From each individual adder circuit layout, the relevant information on resistors, capacitors, and inductors is carefully extracted and compiled. This dataset serves as the foundation for training the machine learning models. Three standard machine learning models are employed in this study: adaboost, Tree, and k-Nearest Neighbors (kNN). Their task is to predict the values of resistors, inductors, and capacitors based on the input data from the adder circuits. Among these models, adaboost proves to be the most effective, exhibiting superior performance by achieving a reduced root mean square error of about 0.008. When compared to the Tree and kNN models, adaboost stands out as the optimal choice for accurately estimating the R values in VLSI circuits.
Exploring the Preferences of Female Entrepreneurs for MUDRA Yojana: A Statistical Analysis
Authors: Khan Hiba , Husain Firoz , Mazhar Syed Shahid
Published: May 2024

The study examines the preferences of female entrepreneurs for the MUDRA Yojana, a government scheme that supports small and micro-businesses owned by women. The analysis uses statistical tools such as Cross Tabulation and the ChiSquare Test to explore the relationship between MUDRA Yojana awareness and the status of women entrepreneurs in their businesses. The results indicate a preference for the MUDRA Yojana among female entrepreneurs, with statistical significance. Although the study has limitations such as reliance on self-reported data and a cross-sectional design, it provides valuable insights into female entrepreneurs' preferences for government schemes. To enhance understanding and implementation of such schemes, it is important to encourage knowledge exchange and stakeholder participation. The findings emphasize the significance of promoting awareness of financial inclusion through the MUDRA Yojana, which can contribute to policy formulation and women's economic empowerment initiatives. Further research could explore sectorspecific preferences and the long-term impact of the MUDRA Yojana on women entrepreneurs' financial inclusion and empowerment, while addressing emerging challenges and opportunities in entrepreneurship
Impact of Social Networks on Learning Activities
Authors: Mbaiossoum Bery Leouro , Mahamat Atteib Doutoum , Batouma Narkoy , Cherif Ali Ouchar , Dionlar Lang
Published: May 2024

Chad learning system is one of the least modernized in central Africa. But with the social network tools proliferation, we see that students use these tools. This work aims to see if students really use social networks in their learning activities and how they appreciate them. Also, we wonder if social networks are well used by students and what are their repercussions on students' learning activities. A survey of students from public and private higher education establishments in the city of N’Djamena, capital of the Republic of Chad, was carried out using a questionnaire from 13 March to 18 April 2023. 202 students have taken part. The age of the population studied is between 16 and 30 years old. The results show that almost students (99,5% of those interviewed) is aware of social networks and 86% use them with high frequency among those aged 20 to 25 (89.3%). 93.6% of learners find that social networks help them in their studies but 31.7% find that social networks disrupt them in their learning activities (courses and revisions). Like all users, learners are exposed to social divisions, scams, harassment and other harms of social networks. This study gives a comprehensive understanding of the impact of social network on students learning activities in Chad. It can help decision-makers to reconsider educational policy in order to integrate social media tool to promote not only the success of learners but also to ensure living cohesion which could be undermined through social networks.
Geriatric Health Care Utilization in Selected Rural Area of Assam
Authors: Saikia Kaberi , Deori Doli
Published: May 2024

Health care utilization is a critical aspect reflecting the effectiveness and accessibility of services, shaped by factors such as proximity, waiting times, privacy, affordability, and treatment efficacy. To delve into this realm, a community-based cross-sectional survey was undertaken, focusing on the geriatric population. Employing a multi-stage random sampling technique, 350 individuals aged 60 years and above were selected from two Community Development Blocks in Kamrup district, Assam. Data collection involved a structured interview schedule, incorporating socio-demographic profiles through Pareek and Trivedi's socio-economic Rural scale and an additional 25 items to assess health care service utilization among the elderly. The results highlighted a higher percentage of females (61.28%) compared to males (48.63%), with a significant portion being widows, illiterate, and unemployed. Socio-economic class-IV accounted for the majority (62.57%) of the participants. Notably, 65.71% of the elderly moderately utilized health care services, while 24.57% inadequately accessed them. Marital status, family type, occupation, and socio-economic class exhibited varying impacts on health care service utilization. The study underscores the pressing need to enhance the overall wellbeing of rural elderly individuals. Proposing community-based geriatric health care services, leveraging existing rural health infrastructure, emerges as a viable solution to address the needs of this demographic group.
Simpatectomía torácica percutánea por radiofrecuencia en el tratamiento de la hiperhidrosis esencial
Authors: Novicki Francisco Alexandre
Published: May 2024

Simpatectomía torácica percutánea por radiofrecuencia en el tratamiento de la hiperhidrosis esencial
Múltiples blancos en la cirugía de trastornos obsesivo-compulsivos
Authors: Sacchettoni S.A. , Del Corral JF , Teneud L , Rojas R , Rada P , Guerrero F , González E , Bifano M , Yazawa J , Hernández L
Published: May 2024

Múltiples blancos en la cirugía de trastornos obsesivo-compulsivos
Tratamiento quirúrgico del trastorno obsesivo compulsivo
Authors: Zamboni T Renzo
Published: May 2024

Tratamiento quirúrgico del trastorno obsesivo compulsivo
Microencapsulation: an updated review article
Authors: Bhardwaj Sahil , Rani Ritu , Kumar Rajesh , Singh Ajeet Pal , Singh Amar Pal
Published: May 2024

This overview covers microencapsulation classification, process, drug release mechanism, methods& applications as they are applied n medicines and other field applications. Microencapsulation is essentially an interaction or approach that allows thin coatings to be applied reproducibly on small particles of solids, droplets of liquids, and dispersion, so forming microcapsules. The reason for this is that microcapsules are not a finished product, but rather a process to overcome measurement restrictions.
Phytosomes in herbal formulation: an updated review
Authors: Mehta Gagandeep , Rani Ritu , Singh Ajeet Pal , Singh Amar Pal
Published: May 2024

Phytosomes, a phospholipid-based self-assembled delivery system, can improve oral bioavailability of polyphenolic compounds. These systems, prepared by reacting polyphenolic phytoconstituents with phospholipid, can enhance the passage of lipophilic herbal constituents across the lipid membrane. Phytosomes are used in various herbal drugs like Ginkgo biloba,Camellia sinensis. Recent advancements in phytosomes technology have led to the development of transdermal routes for delivering phytoconstituents. These products are increasingly used in dietary supplements for homeostatic management of inflammation, toxicities, cancers, and weight loss. This technique increases the hydrophilicity of highly lipophilic drugs, making them suitable for drug delivery and allowing hydrophilic phytoconstituents to cross biological membranes. Researchers are exploring the transdermal route as a potential way to deliver phytoconstituents, which are increasingly being used in dietary supplements for homeostatic management of various diseases. We will explore an updated review of  Phytosomes in herbal formulation.
Phytosomes:An Overview
Authors: Mehta Gagandeep , Rani Ritu , Singh Ajeet Pal , Singh Amar Pal
Published: May 2024

Phytosome is a patented technology that incorporates standardized plant extracts into phospholipids to create lipid-soluble molecular complexes with improved bioavailability and absorption. These phyto-constituents are increasingly important due to their nutritional and medicinal properties, but their bioavailability remains poor. Phytosome drug delivery is a method developed to enhance their bioavailability and is compatible in-vivo. Preparation methods are easy and can be characterized using techniques like FTIR, PXRD, DSC, SEM, TEM, and HNMR. Phytosomes can be used to augment the bioavailability of plant constituents and treat incurable diseases with less side effects. Phytosomes are formed by reacting a stoichiometric amount of phospholipid with standardized herbal extract or polyphenolic constituents in an aprotic solvent. Phosphatidylcholine molecules in phytosomes have hepatoprotective activity and nutritional value.  In this article, we are going to keep an eye on  Phytosomes Overview.
Fecal incontinence risk factors and pregnancy
Authors:   Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine, Vasyliuk Serhii , Cheredarchuk Andrii , Rymarchuk Mariana , Bondarev Rostislav , Proshchenko Olha , Mykytyuk Artem
Published: May 2024

Materials and methods: We conducted an analysis on 231 pregnant women. A proctologist examined the patients three times: in the 1st trimester (within the first 15 weeks), in the 3rd trimester (29–40 weeks), and 12 months after childbirth. Results: The total number of fecal incontinence observations among women included in the study was 66 cases (28.6%), detected at the final visit. Risk factors for fecal incontinence with a high probability were age over 36 years (P = 0.001), low physical activity (P = 0.034), three or more pregnancies resulting in childbirth (P = 0.022), history of hemorrhoids (P = 0.027), perianal discomfort on the first visit (P = 0.045), and constipation on the first visit (P = 0.006). Factors such as being overweight, marital status, education, living conditions, living area, and infant size did not have significance for fecal incontinence. Discussion: Pregnancy- and obstetric-related risk factors contributing to fecal incontinence are multifactorial, including factors such as multiple childbirths with trauma to the pelvic muscles or anal sphincter muscles, chronic constipation, age, and vaginal deliveries. However, currently, there is no clear concept for the prevention of fecal incontinence in pregnant women. Conclusion: The prevalence of fecal incontinence among pregnant women is 12.9%, which increases to 28.6% one year after childbirth. The most common complaint was involuntary passage of intestinal gas. Risk factors for fecal incontinence with a high probability included being over 36-years old, low physical activity, three or more pregnancies resulting in childbirth, a history of hemorrhoids, perianal discomfort, and constipation in the 1st trimester of pregnancy. Key words: pregnancy – childbirth – fecal incontinence – constipation – risk factors
Interprofessional cooperation with a dermatovenerologist – specifics of hidradenitis suppurativa management in gynaecological practice
Authors:   Clinic of Dermatovenerology UN L. Pasteur, Košice, Slovak Republic, Ivanková Barbara , Kampe Tomáš , Baloghová Janette
Published: May 2024

Hidradenitis suppurativa is a chronic immune-mediated inflammatory disease that is manifested by formation of painful nodules, abscesses and suppurating fistulas, primarily in the intertriginous spaces. This painful, often under-diagnosed disease affects much more women. They are also exposed to certain specific challenges in the management of this disease, especially during menstruation or pregnancy. The treatment requires the interdisciplinary cooperation of a dermatologist, gynaecologist, obstetrician and last but not least an algesiologist and psychotherapist. Above all, early and correct diagnosis, initiation of therapy in the early stages of the disease, is a key, which also plays a fundamental role in controlling inflammatory activity, preventing complications and further prognosis. Key words: hidradenitis suppurativa – autoimmune inflammation – specifics in the female population – early diagnosis – comprehensive management
Peritumoral stroma and systemic inflammatory response in cervical cancer
Authors:   Service of Radiotherapy, Federal University of Triângulo Mineiro, Uberaba, Brazil, Santana Otano Sérgio , Mendes Melo Anelise , Ferreira Souza Fernanda Beatriz , Souto Morlin Jéssica , de Castro Côbo Eliangela , Macêdo Barcelos Ana Cristina , Misson Rua Micheletti Adilha , Prata Jammal Millena , Candido Murta Eddie Fernando , Simões Nomelini Rosekeila
Published: May 2024

Objective: To compare cervical stroma in advanced cervical cancer with the control group; to compare, in the pre-treatment period, hemogram parameters in patients with advanced cervical cancer with the same parameters as the control group; and to verify if there is an association of stromal markers with prognostic factors in cervical cancer. Materials and methods: We prospectively evaluated 16 patients diagnosed with advanced invasive cervical cancer. A control group of 22 patients was used (uterine leiomyoma). Immunohistochemistry was performed to verify the stromal immunostaining of alpha-smooth muscle actin (SMA) and fibroblast activation protein alpha (FAP). Immunostainings and hemogram parameters were compared using Fisher's exact and Mann-Whitney Test, respectively. Results: Strong FAP immunostaining was more frequent in patients with cervical cancer when compared with patients with leiomyoma (P = 0.0002). Regarding SMA, strong immunostaining was also found more in the group of cancer patients compared to the control group (P < 0.00001). The neutrophil-lymphocyte ratio (NLR) values were higher in the cancer patient group compared to the control group (P = 0.0019). There was no association of the parameters studied with prognostic factors. Conclusions: Strong FAP and SMA immunostaining was found more in patients with cervical cancer when compared to the control group. NLR values were also higher in cervical cancer. Key words: uterine cervical neoplasms – alpha-smooth muscle actin – fibroblast activation protein alpha – blood cell count
Robotic pancreatic surgery in the Czech Republic – first experiences
Authors: Rousek Michael , Záruba Pavel , Pohnán Radek
Published: May 2024

Robotic surgery is experiencing considerable development across surgical disciplines worldwide. The increasing number of robotic centres, as well as the expansion of the spectrum of robotically assisted minimally invasive procedures contribute to the increase in the number of performed procedures. Compared to laparoscopy or open surgery, robotic surgery offers several advantages, while maintaining adequate safety and oncological radicality of the operations. Pancreatic surgery is currently a hot topic in robotic surgery worldwide. Czech Republic is also following this trend. Robotic surgery is gradually being introduced to established pancreatic centres. The Department of Surgery of the 2nd Faculty of Medicine of Charles University and the Central Military Hospital in Prague ranks among the pioneers of this industry. In this communication, we present a summary of our first experiences with robotic pancreatic surgery. Keywords robotic pancreatic surgery, miniinvazivní chirurgie, robotic surgery, robotic pancreatoduodenectomy, robotic distal pancreatectomy
Development of indications for liver transplantation
Authors: Trunečka Pavel
Published: May 2024

Summary: Liver transplantation has been considered the standard treatment method for patients with life-threatening liver disease for more than 40 years. In the initial period, it was mainly indicated for patients with a clearly unfavorable prognosis. Longer survival of recipients was thanks to the improvement in surgical techniques, intensive care, and immunosuppression leading to the targeting of patients with the perspective of long-term survival, i.e. shift away from oncological indications to patients with cirrhosis. The growing disparity between the need for transplantation and the number of donor organs has brought about the necessity of a stricter selection, which, in addition to purely medical considerations, also includes ethical issues of equal access to transplantation and the need to achieve the greatest possible transplant benefit for the widest possible range of recipients while utilizing limited resources. Changes in the epidemiology of liver diseases as well as advances in their treatment affected the development of indications. There has been a significant decrease in the representation of previously dominant viral hepatitis C. Worldwide, the number of patients transplanted for non-alcoholic steatohepatitis and alcoholic liver cirrhosis is increasing. Great development has been noted in the last decade in the field of liver cancer, especially for the indications of hepatocellular carcinoma, which is currently the most common indication in many programs. For about a decade, liver transplantation has been performed standardly for hilar cholangiocellular carcinoma and experimentally for unresectable liver metastases of colorectal cancer. These indications are closely related to the dynamics of the local waiting list. Key words: liver transplantation – indications – liver cirrhosis – viral hepatitis – hepatocellular carcinoma – MASLD – acute alcoholic hepatitis
Technical Blog
Authors: Mr. V. Shanmugam  , P. Priya  , G. Indira  , K. Kalyani  , Ch. Bhuvanchandra  , A. Badrinath
Published: May 2024

A blog is an online repository of experience, knowledge, and data that users post and share with other users in the form of text, video, or image files. Any experience, understanding, or knowledge that the user feels like sharing with other blog community members in order to disseminate information and other materials can be found on a blog website. He or she is free to publish anything they like, but they also have to abide by some regulations around disciplinary content that shouldn't be made obvious to other members of the community. Here "Build A Healthy and Interactive Community which will be on Benefit for Everyone" is our most essential motto. This project is an all-inclusive web portal offering a vast array of technical information topros, amateurs, and students alike. Using simple navigation and interactive tools, users can study articles, tutorials, and debates spanning a variety of technical subjects. Users may create, edit, and share insights with the help of content management systems, and strong user authentication and role-based access guarantee secure interactions. Thanks to robust search features and a lively community-driven environment, users can easily locate and engage with pertinent material. Using efficient moderating tools, administrators uphold the integrity of the platform, promoting a secure and cooperative atmosphere. With scalability, performance, and security as our top priorities, our TechBlog initiative aims to stimulate learning, make information sharing easier, and encourage creativity in the tech community
Bus Pass Management System
Authors: Netaji Sai Prasad Meka  , S Gokul Krishna  , Teja Malleshwari B  , Hameed A  , Prof. Ashwath Narayana
Published: May 2024

The main objective of our project is to secure the use of bus pass in public transportation using RFID authentication. In olden days, conductor will be available in every public transportation and used to collect money for ticket and provide them printed tickets. This case is even followed in many developed cities too, in order to overcome the labour and securing ticketing system we had proposed “Bus Pass Management System Using RFID Card”. In this model we will be placing RFID reader in public transportation while peoples get in and out of our system. With the help of this system, we will be capturing the RFID Card details and verify the validity of it by connecting the cloud server via GPRS System. If the RFID card is the valid one the person is allowed to get into the public transportation or else, they have to login to the ticketing portal and by the pass instantly. Admin will notify the incoming request and approve it after payment successful and if it is an old user their RFID card will be activated immediately or new user, they must get the RFID card from the depot
The Absolute Man of Sri Aurobindo`s Philosophy
Authors: Aainpal Singh
Published: May 2024

Sri Aurobindo's philosophy, known as conscious evolution, holds that humans are active participants in their own transformation rather than passive beneficiaries of external circumstances. The Absolute Man, according to Aurobindo, is the culmination of this developmental journey: a being who has transcended the constraints of ego-centric consciousness and realised his connection with the Divine. Aurobindo believes that the Absolute Man is distinguished by a harmonious blending of the spiritual and material, the individual and the general. Unlike traditional spiritual paradigms that preach renunciation and isolation from the world, Aurobindo promotes holistic yoga, which embraces life in its fullness. The Absolute Man is not an ascetic recluse, but an engaged participant in global affairs, guided bya higher spiritual consciousness.Aurobindo emphasises the necessity of collective progress, picturing a future in which humanity as a whole strives to realise its divine potential. As a result, the Absolute Man is not a singular phenomenon, but rather the precursor to a new paradigm of collective awakening and transformation. In today's world, Aurobindo's concept of the Absolute Man provides profound insights into humanity's most serious concerns, including environmental degradation, social injustice, and existential crisis. By nurturing a greater awareness of our interconnectivity and inherent divinity, we can strive to realise the Absolute Man within ourselves and contribute to the creation of a more enlightened and harmonious world
Eye Surgical Equipment Sensor Board Testing Kit
Authors: R Mithun Nitheesh Rogan  , Lokesh A  , S Elangovan
Published: May 2024

The Eye Surgical Equipment Sensor Board Testing Kit utilizes Microcontroller and Raspberry Pi to diagnose PCBs, focusing on detecting Eye Surgical Sensor Board defects impacting signal integrity. With Microcontroller’s advanced features like high-speed ADCs and flexible GPIOs, it generates and processes signals accurately. Raspberry Pi enables real-time visualization of test results. This portable and cost-effective solution is suitable for industrial applications, empowering engineers and technicians to efficiently address Eye Surgical Sensor Board defects. By leveraging the computational power of both platforms, it offers a scalable approach to Sensor Board testing, enhancing reliability and performance in high-speed digital communication systems.
The effects of vitamin D supplementation on disease activity and fatigue in Libyan rheumatoid arthritis patients
Authors: Elfituri Sarah
Published: May 2024

Objectives

This study aimed to investigate the effect of vitamin D supplementation therapy on disease activity and fatigue in rheumatoid arthritis (RA) patients.

Material and methods

A prospective randomized clinical trial was conducted at rheumatology clinics in Tripoli Central Hospital, Libya. The eligible patients received disease-modifying antirheumatic drugs (DMARDs) and were divided into two groups: group A received 50,000 IU of vitamin D once a week; while group B received conventional DMARDs without vitamin D supplementation. The groups were monitored for 12 weeks.

Results

The study included 68 RA patients, with the majority being female (75%). There were no significant differences in parameters such as age, sex, duration of illness, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), calcium, and vitamin D levels, as well as DAS28 (Disease Activity Score with 28-joint count) and Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) levels between these two groups at baseline. After 12 weeks, group A showed a significant improvement in mean vitamin D levels and FACIT-F scores compared to group B. The increase in vitamin D levels in group A (24.21 ±4.81 nmol/l) was higher than that in group B (5.76 ±3.36 nmol/l). Furthermore, the FACIT-F score in group A was in the normal range (mean: 39.36 ±6.15), whereas group B still exhibited “abnormal” FACIT-F < 27.75 ±4.41. Correlation analysis indicated a positive correlation between FACIT-F and vitamin D levels, suggesting that higher vitamin D levels were associated with improved fatigue. Additionally, a weak inverse correlation was observed between DAS28 and vitamin D levels though the difference was not statistically significant (p > 0.05). Finally, the correlation between DAS28 and FACIT-F was positive (R = 0.557, p = 0.000).

Conclusions

The results of the recent study indicated that vitamin D3 (50,000 IU of cholecalciferol) supplementation had a positive impact in RA patients compared to conventional DMARDs drugs, as was clear from the significant FACIT-F.
Analisis Faktor-Faktor Yang Mempengaruhi Lama Mencari Kerja Perempuan Lulusan S1 Prodi Ekonomi Pembangunan FEB Universitas Riau
Authors: Aulia Rahmi , Budiartiningsih Rahmita , Utami Bunga Chintia
Published: May 2024

There are various factors that cause women to experience difficulties in getting work, even though they already have a bachelor's degree. Some of them are influenced by age, salary, work experience and GPA. Therefore, researchers conducted an analysis of the factors that influence the length of time looking for work for women graduates of the Development Economics Study Program, FEB, Riau University, which aims to determine the influence of age, wages and work experience on the length of looking for work for educated female workers who graduated from the FEB Development Economics Study Program. Riau University. The analytical model used in this research is multiple linear regression data. The sample used was 78 students from a total population of 781 female students who graduated from the S1 Development Economics Study Program, Riau University from 2013 to 2018. The results of this research show that the most influential thing is the length of time looking for work for women who graduated from the Development Economics Study Program, FEB Riau University. is choosing too many jobs with the desired wage standard. Meanwhile, the factors of age, work experience and GPA have a significant influence.
BIẾN CHỨNG HÔ HẤP SAU PHẪU THUẬT CẮT THỰC QUẢN NỘI SOI ĐIỀU TRỊ UNG THƯ THỰC QUẢN
Authors: Nguyễn Văn Tiệp , Thái Khắc Thảo , Nguyễn Trọng Hòe , Nguyễn Quang Nam
Published: May 2024

Biến chứng hô hấp sau phẫu thuật nội soi (PTNS) cắt thực quản triệt căn điều trị ung thư thực quản là một trong những biến chứng hay gặp nhất, làm tăng tỉ lệ tử vong trong bệnh viện. Có nhiều yếu tố trước và trong mổ được dự đoán có liên quan đến biến chứng hô hấp sau phẫu thuật, tuy nhiên mối liên quan này vẫn chưa rõ ràng. Mục tiêu: Mô tả các đặc điểm biến chứng hô hấp sau phẫu thuật cắt thực quản, phương pháp điều trị, và một số yếu tố liên quan đến các biến chứng đó. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả, hồi cứu + tiến cứu, 113 bệnh nhân được chẩn đoán xác định ung thư thực quản bằng giải phẫu bệnh được phẫu thuật nội soi cắt thực quản triệt căn tại Bệnh viện Quân y 103 giai đoạn từ 02/2010 đến 8/2023. Kết quả: Tuổi trung bình 54,8 ± 8,6 (32-75). Nam: 97,3%, nữ: 2,7%. Biến chứng hô hấp: 31 bệnh nhân (27,4%) trong đó: viêm phổi 11 bệnh nhân (9,7%); viêm phổi + tràn khí màng phổi 1 bệnh nhân (0,9%); tràn dịch màng phổi 15 bệnh nhân (13,3%); viêm mủ màng phổi 2 bệnh nhân (1,8%); rò khí quản – thực quản 1 bệnh nhân (0,9%); tràn khí khoang màng phổi 1 bệnh nhân (0,9%). Trong số 31 bệnh nhân gặp biến chứng, có 1 bệnh nhân được điều trị bằng phẫu thuật (3,2%); 30 bệnh nhân được điều trị bằng nội khoa (96,8%). Các yếu tố: chức năng hô hấp trước phẫu thuật, BMI, thời gian phẫu thuật là những yêu tố có ý nghĩa liên quan đến biến chứng hô hấp. Kết luận: Biến chứng hô hấp hay gặp nhất sau phẫu thuật nội soi cắt thực quản điều trị ung thư thực quản là viêm phổi và tràn dịch màng phổi. Một số yếu tố liên quan đến biến chứng hô hấp bao gồm chức năng hô hấp trước phẫu thuật, BMI, thời gian phẫu thuật.