bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role Of The Press In Shaping Public Opinion During The Freedom Struggle
Authors: - Ravi Prakesh
Published: November 2024

The role of the press during the freedom struggle was instrumental in shaping public opinion and galvanizing the masses against colonial oppression. As India sought independence from British rule in the late 19th and early 20th centuries, newspapers, journals, and pamphlets emerged as vital tools for disseminating nationalist ideas and fostering political awareness. The press not only reported on events but also provided a platform for political discourse, allowing voices from diverse communities to contribute to the independence narrative. Great figures such as Bal Gangadhar Tilak, Mahatma Gandhi, and other leaders utilized the press to articulate their visions for a free India, framing the struggle in terms of justice and self-determination. Newspapers like "The Hindu," "The Times of India," and "The Tribune" played crucial roles in informing the public about the injustices of colonial rule, inspiring a collective consciousness among various strata of society. Editorials, articles, and letters to the editor encouraged civic engagement and mobilized support for protests, strikes, and other forms of resistance. The press faced significant challenges, including censorship and repression from colonial authorities, which often sought to suppress dissenting voices. Despite these obstacles, many journalists and editors risked their safety to publish revolutionary ideas and expose the realities of British exploitation. This resilience illustrated the press's commitment to truth and justice, fostering an environment where public sentiment could coalesce around the freedom movement.
The emergence of vernacular publications further broadened the reach of nationalist sentiments, ensuring that the message of independence resonated across linguistic and cultural divides. These publications played a crucial role in educating the masses and instilling a sense of pride and identity that transcended regional differences. The press was not merely a bystander but a catalyst in the freedom struggle, shaping public opinion and uniting diverse groups against colonial rule. Its influence extended beyond immediate political outcomes, contributing to the formation of a national consciousness that would endure long after independence was achieved. This study highlights the indispensable role of the press in the socio-political landscape of the freedom struggle, illustrating its enduring legacy in contemporary society.
Centralized Data Warehouse vs. Data Mesh: A Comparative Analysis of Modern Data Management Paradigms
Authors: - Santhosh Gourishetti
Published: November 2024

This comprehensive article explores the evolving landscape of enterprise data management, focusing on comparing traditional centralized data warehouses and the emerging data mesh paradigm. As organizations grapple with exponential data growth, projected to reach 180 zettabytes by 2025 [1], the choice of data architecture has become increasingly critical. The article examines both approaches' core principles, advantages, and challenges, highlighting how centralized data warehouses offer strong consistency and governance [2, 8] but face scalability issues [3]. In contrast, data mesh provides enhanced flexibility and domain-specific optimization [4] at the cost of more complex governance [5]. Through a detailed comparative analysis, the study investigates the impact of these architectures on organizational control, scalability, adaptability to business needs, and data quality management. Furthermore, it explores the potential of hybrid approaches that aim to leverage the strengths of both paradigms. The research considers various factors influencing the selection of data management strategies, including organization size, data complexity, and industry-specific requirements. By synthesizing current literature and industry trends, this article provides data professionals and decision-makers with a nuanced understanding of modern data management paradigms, enabling them to make informed choices aligned with their specific business contexts and long-term data strategies.
Heroism in Malaysia's History: An Analysis of the Curriculum Standard Textbook for Form Three Secondary School (KSSM)
Authors: - Aisyah Kamaruddin , - Nurul Huda Ibrahim
Published: November 2024

The importance of the subject of History can be seen through the efforts of the government via the Ministry of Education Malaysia (KPM) which made it a requirement to pass History to qualify students for obtaining the SPM certificate starting in 2013. Then, in 2014, the subject of History was introduced into the Primary School Standard Curriculum (KSSR) for Year 4 students. Because History is chronological and narrative in nature, the content of the syllabus is often seen as repetitive and overlapping with events and figures, causing students to fail and become confused in terms of mastery of learning. In line with technological advancements and mainstream currents, the names of figures studied in school such as Tok Janggut, Rentap, and others have 'faded' away. Conversely, today's youth increasingly idolize Western superheroes such as Superman, Marvel, and Spiderman from imaginative film adaptations. Therefore, in the context of nation and state-building, local heroic figures (Malaysian heroes) are essential actors in strengthening national sovereignty, defending the homeland, resisting colonizers, and instilling the spirit of nationalism. Local heroic figures can be identified in two categories: the royal group and the local community. This study aims to analyse the content of KSSM History textbooks and the extent to which these figures are used as drivers of nationalism through the appreciation of local heroes in KSSM History textbooks. This study uses a fully qualitative method with content analysis of textbooks related to aspects of heroism in local history. The findings of the study show that the heroic elements applied can produce Higher Order Thinking Skills (KBAT) in students and are important as preparation for students to master more challenging learning at the upper secondary level.
Ergonomics in Management of Stress amongst the Night Shift Workers: A Preliminary Review
Authors: - Titlee Majumder , - Nilanjana Mitra , - Subrata Ghosh
Published: November 2024

Working on night shift is basically going against the circadian rhythm. Biological clock inside the human insists to fixed working status on daytime and rest/sleep at night. Ergonomics deals with providing a healthy relation between man machine and environment, where man fits to the job generates ultimate productivity. People in the east who are compromised to adjust in low to middle income are the main sufferers of not having optimum sleep. The population of security services, drivers, loco-pilots, nurses, tele-sales, IT professionals, various millworkers etc. often have shift based jobs and tries to accustom in it by compromising the biological clock. Many research evidences have been showed that alterations in biological clock lead to cause severe insomnia & shift work sleep disorder leading in disturbing occupational health as well as safety. Even sudden alterations in the biological clock lead cause accident, injuries alike from common health distresses. Alteration in the work rest cycle, taking sufficient rest in between the works, getting sufficient scopes in changing postures by arrangements of refreshments in the work place can help in optimizing productivity in the work place. Rotational shift with dynamic posture based work may lower the tendencies of accident and risk associated with night shift based work.
ПРИОБЩАВАНЕ НА ДЕЦАТА КЪМ ОБЩОЧОВЕШКИТЕ НРАВСТВЕНИ ЦЕННОСТИ
Authors: - Yordanka Georgieva
Published: November 2024

Practice in kindergarten shows the expediency in the application of the situational approach in organizing the work for the perception of the art work. This approach creates rich opportunities for organizing the process of perception of the literary work as a communicative process, as an aesthetic activity. The variety of methodological techniques provokes children's creative initiative and creates conditions for the child's active attitude to the literary work both in the process of perception and in the moments of independent creativity. The child's imagination is unlocked, thinking activity is activated, resulting in a whole chain of associations and emotions. Fiction satisfies the pre-school child's need to act, to take part, albeit imaginatively, in interesting and appealing events, identifying his or her personality with the characters of the work.
Digital Divide: Examining Socioeconomic Inequalities in Internet Access and Usage
Authors: - Deepak Kem
Published: November 2024

The term "digital divide" refers to the disparity that exists between those who have access to digital technologies, most notably the internet, and those who do not have such access. This disparity is caused by several socioeconomic, regional, and demographic reasons. The digital gap not only exacerbates existing disparities but also creates challenges for marginalized communities. This is because the Internet is becoming an increasingly vital instrument for education, communication, employment, and social involvement. The purpose of this review article is to analyze the underlying factors that contribute to these disparities, such as income, education, geographic location, and age, and to investigate the influence that uneven access to the internet has on different elements of contemporary life. In addition to this, it examines the policies and activities of the government, as well as the technical advancements that are being made to narrow this gap. Although attempts have been made to bridge the difference, the results imply that there is still a great deal of work to be done, especially in tackling structural inequities that continue to interfere with development. In conclusion, the article makes recommendations for comprehensive methods that aim to overcome socioeconomic obstacles and encourage fair access to Internet resources.
Analysis of the Availability and Utilization of Green Open Space (GOS) in Kahayan Hilir Subdistrict, Pulang Pisau Regency Using the DPSIR Approach
Authors: - Yanto Ranan , - Herwin Sutrisno , - Vera Amelia
Published: November 2024

This study aims to analyze the availability and utilization of Green Open Space (GOS) in Kahayan Hilir Subdistrict, Pulang Pisau Regency, utilizing the DPSIR (Driving Forces, Pressures, States, Impacts, Responses) approach and the Indonesian Green Blue Index (IHBI) model. This research addresses the growing demand for adequate GOS due to rapid urbanization and economic development. The study identifies the driving forces behind GOS changes, pressures arising from land conversion and population growth, the current state of GOS, and the public's perception of GOS utilization. Data collection involved interviews with stakeholders, systematic field observations, and a comprehensive analysis of regional planning documents. The results indicate that the availability of GOS in Kahayan Hilir is still below government standards, resulting in environmental issues such as declining air quality, biodiversity loss, and increased urban heat island effects. Public perception indicates an awareness of the importance of GOS for health and recreation, although accessibility and facilities remain limited. This study recommends increasing both the quantity and quality of GOS through stricter policies, community participation, and public-private partnerships to support environmental quality and the well-being of residents in Kahayan Hilir Subdistrict.
High Availability Database Infrastructure with Galera and HAProxy
Authors: - J Kevin Terence , - Veera Nagaiah Maddikayala
Published: November 2024

High Availability (HA) is crucial in the cloud environment to render the services according to the Service Level Agreement (SLA) to the customers. This paper provides an novel solution for 99.99% high availability and scalability of database infrastructures using Galera Cluster, along with HAProxy. The Galera Cluster delivers synchronous multi-master replication over multiple nodes, guaranteed data consistency while in real-time and for each transaction, high
availability through automatic failover. HAProxy strikes a balance here by distributing the traffic across nodes and achieving optimal load distribution with less or minor effect on downtime. Real-time monitoring and alerts are also enabled by using Prometheus & Grafana to monitor cluster health as well performance.
IPv6 Era Routing Protocol Evolution: Challenges and Innovations
Authors: - Ankita Sharma
Published: November 2024

The shift from IPv4 to IPv6 has been accelerated by the Internet's explosive growth brought on by the development of linked objects. Reacting to the depletion of IPv4 addresses and to manage the growing number of networked devices, IPv6 was published with enhanced addressing capabilities and design improvements. But the significant challenges in IPv6 implementation have required current routing systems to adapt with IPv6 capabilities. This paper analyzes recent advancements designed to enhance the security, scalability, and efficiency of the protocols as well as the primary challenges to change routing protocols for IPv6. We examine protocols like OSPFv3, EIGRP for IPv6, and BGP-4+ and propose methods to improve protocol approaches to meet problems including growing address space, security, mobility, and routing table management. Furthermore suggested are prospective routes of development for routing technology in an IPv6-dominated Internet environment.
Predictive Health Monitoring of Palm Trees: Techniques and Applications for Enhanced Processing
Authors: - Prakhar Gupta , - Sendhil Kumar K. S , - Kashish Raghuwanshi , - Aditya. K , - Omkar
Published: November 2024

This paper presents new framework for predictive health monitoring in palm trees using advanced deep learning methods. The system then selects the YOLOv8 method for the detection of the health of palm trees and further divides them into their real-time classification. Here, the model will, after training on its dataset, classify the palm tree as healthy, diseased, and stressed trees, keeping all the influential factors of the growth of the palm tree in consideration. It makes provision for the profiling of health status by way of early intervention, reducing risks and preventing diseases with a view to optimizing crop yields within palm plantations. The proposed model leverages state-of-the-art methodologies in object detection to process images of the palm tree with identification of key indicators of health issues. This approach has great implications for agricultural productivity in view of the maintenance of plant health through early detection. Further, the paper discusses challenges presented during the training and validation of the model, their strategies for overcoming such obstacles, and goes further into relating details to the technical architecture of the model. Further details on the works related to plant disease detection, image-based classification, and further applications of deep learning in agriculture have inspired the research work. Based on the obtained results, it can be observed that the proposed system provides a scalable and efficient solution for continuous monitoring and assessment of the health conditions of palm trees, hence enabling sustainable agricultural practices.
A Study on the Overview of Work Life Balance
Authors: - MOAMMAR JAMAL AYYUBI , - S.K. SINGH , - JYOTI
Published: November 2024

In this modern and fast changing world, it is going to be difficult to manage and make balance between personal and working life and it has also become a big challenge for all the organizations.
And no doubt, without the presence of work life balance, it may affect negatively to the performance of the organization. life balance has consistently been a focus regarding the quality of working life and its impact on overall quality of life. In this article preview of the work life balance has been described. This article is of explanatory in nature and covers literature review, reasons of not managing of work life balance, theories of WLB and factors which affects the work life balance etc. the aim of this article is to focus on all to aspects which try to make suitable explanation about work life balance.
AI in Data Analysis
Authors: - Adish A
Published: November 2024

AI in Data Analysis

Abstract:
Welcome to the inaugural issue of AI Insights, a groundbreaking journal at the forefront of exploring the symbiotic relationship between artificial intelligence (AI) and data analysis. In this inaugural edition, we embark on a journey to unravel the transformative potential of AI-driven approaches in extracting actionable insights from complex datasets. Through a combination of theoretical discussions, practical applications, and visionary outlooks, this journal aims to chart a new course in the field of data analysis.
Dual Benefits of Tirzepatide: Anti-Obesity and Antidiabetic Efficacy: A Mini review
Authors: Praveen Sriram , Sarma Ananya
Published: November 2024

Background: Diabetes mellitus and obesity are two linked conditions that have reached epidemic proportions globally. According to a study published in 2023 by the Indian Council of Medical Research (ICMR) , India has 10.1 crore people with diabetes. The prevalence of obesity, especially abdominal obesity is increasing continuously due to the intake of foods that are high in carbohydrates and processed foods. Obesity can cause inflammation, insulin resistance, and pancreas overload which lead to diabetes mellitus.
Main Body: The present - review focuses on the medicinal chemistry, organic chemistry and pharmacological aspects of trizepatide. Trizepatide is a new chemical moiety that shows dual agonist activity of glucagon-like peptide-1(GLP-1) receptors and glucose-dependent insulinotropic polypeptide(GIP).Trizepatide is a synthetic peptide that constitutes 39 amino acids. Trizepatide has a potent hypoglycemic effect , and it has antiobesity effects because of its adverse effect.
Conclusion : Trizepatide's capacity to lower blood sugar and promote weight loss makes it an effective treatment for these conditions. Further research will confirm its safety and long-term advantages.
 Keywords :  Trizepatide , Diabetes mellitus , Obesity, Hypoglycaemia
Comparative Analysis Using the SCAPS-1D Software on the Stability and Toxcity of the Perovskites FAPbI3, and FASnI3
Authors: Touré Sékou  , Amal Bouich  , Youssouf Doumbia  , Bernabé Marί Soucase
Published: November 2024

Hybrid organometallic perovskites such as FAPbI3 (formamidinium lead iodide) and FASnI3 (formamidinium tin iodide) are recognized as promising materials for the next generation of high-efficiency solar cells. FAPbI3 is particularly valued for its stability and excellent optoelectronic properties. However, the toxicity of lead and the resulting environmental concerns drive the search for alternatives like FASnI3, where tin, a less toxic and more abundant element, replaces lead, which is the objective of this study. The lead-free structure simulated using SCAPS-1D software is as follows: FTO/TiO2/FASnI3/Spiro-OMeTAD/Ag. The research presented here shows that optimizing several parameters can achieve a power conversion efficiency (PCE) of 22.49%. We opted for TiO2 as the ETL due to its wide bandgap (~3.2 eV for the anatase phase), which effectively blocks holes and prevents their recombination with electrons, thus promoting better charge separation. Moreover, the favorable energy level alignment of TiO2 with the perovskites facilitates the transfer of electrons to the silver (Ag) electrode. For the HTL, we chose Spiro-OMeTAD, whose valence band level is well aligned with that of the perovskites, making it easier to extract holes to the upper silver electrode. Using the SCAPS-1D simulator, we then compared the electrical and optical properties of the devices, focusing on key parameters such as short-circuit current density (Jsc), open-circuit voltage (Voc), fill factor (FF), and power conversion efficiency (PCE). The best results obtained after optimizing the aforementioned parameters are Jsc of 30.65 mA/cm2 , Voc of 0.8469 V, FF of 86.63%, and PCE of 22.49%. Additionally, the structure studied in this article could be a good candidate for future research on lead-free perovskite solar cells.
Reliable Computational Method for Systems of Fractional Differential Equations Endowed with ψ-Caputo Fractional Derivative
Authors: Al-Mazmumy Mariam , Alyami Maryam Ahmed , Alsulami Mona , Alsulami Asrar Saleh
Published: November 2024

This study develops a highly convergent computational method, the ψ-Laplace Adomian Decomposition Method (ψ-LADM), for solving coupled systems ofψ-Caputo Fractional Differential Equations (FDEs). The effectiveness of the proposed method has been assessed using various numerical test examples, including a real-world application for atmospheric convection models utilizing Lorenz chaotic dynamical systems. Notably, the method consistently produced solutions that matched the true solutions of the governing models. In the case of the Lorenz chaotic system, the obtained solutions accurately portrayed the characteristic phase portraits of a true chaotic system.
Analysis of a Markovian Queue of Single Server Performing in MultiPhase Subject to Disaster, Recovery and Repair
Authors: Pravina C.T Dora , Kamala P. , Sreelakshmi S.
Published: November 2024

In this paper, we can study about Markovian single-server queue with servers in distinct phases of disaster and repair. The server can stay in full-active Phase or passive Phase randomly and alternately. The server is set to serve in two Phases, such as the full active Phase and passive Phase. When the server operates in full active Phase, the customers arrive and served in First Come: First Serve (FCFS) queue discipline. However, when the server switches from full active to passive Phase, it can only offer to provide service at a rate lower than that of the server in full active Phase. During passive Phase, customers are not allowed to join the system. The server moves to repair Phase immediately after the last customer is served, irrespective of the Phase. The customers will be restricted from joining the queue in repair Phase. After the repair Phase, the server will enter the full active Phase. The server remains in the system for a random period of time. In the event of a disaster, in full active and passive Phases, all customers in system aredropped out, and system moves to repair Phase. The expressions for the steady state probabilities and some key performance metrics are obtained. A numerical illustration is made to study the effects of server shifting from full active phase to passive phase that affects the customers in the system and the occurrence of disaster which has an adverse effect on the customers in that phase.
Complex Information Filter and Complex Kalman Filter Comparison: Selection of the Faster Filter
Authors: Polyzos Athanasios , Tsinos Christos , Adam Maria , Assimakis Nicholas
Published: November 2024

Complex Kalman filters are used in complex signal processing. A comparison between the complex Kalman filter and the complex Information filter is presented in the general case of discrete-time widely linear models. The complex Kalman filter and the complex Information filter compute iteratively the same estimations. The computational burdens of these complex filters are determined and a method is derived to decide which filter is the faster one, taking into account only the model dimensions.
Res judicata and consumer protection in the EU: the dialogue between the Courts (and the legislator)
Authors: Morotti Marco
Published: November 2024

The case law of the European Court of Justice (CJEU), despite confirming in theory the importance of res judicata, has regularly affirmed the need to overcome stability of national judges’ opinions formally qualified as final if that is needed to ensure effective consumers protection. Against this scenario, the Italian Supreme Court (Cass., sez. un. 6 April 2023, n. 9479), seems to have initiated a dialogue with the CJEU, mainly aimed at giving actuation of the principles enacted by the European Court but nevertheless with some apparent revindications of autonomy. The variety of solutions adopted by national judges and the creative effort of the Italian Supreme Court seem to confirm that an intervention by European or national legislators could be required at this point on the matter.
Factors Affecting the Motivation of Prospective Waqifs to Endow Insurance in Indonesia
Authors: Putri Regina , Eliyanora  , Rosita Irda , Ihsan Hidayatul , Dwiharyadi Anda
Published: November 2024

This study aims to examine the factors that influence the motivation of prospective waqifs to endow through insurance products. The research method used is a survey method with a quantitative approach. The population in this study are individuals who have the potential to be involved in insurance waqf, namely people who have income. The data type used is primary data and the data collection technique is done by distributing questionnaires through Google Forms. The sampling technique used convenience sampling, with the number of respondents obtained as many as 185 people. The data analysis method uses a Structural Equation Model (SEM) with a Partial Least Square (PLS) technique. Data processing was carried out using SmartPLS 4.0 software. The results of this study indicate that sens of self-worth and moral obligation have a positive effect on the motivation of prospective waqifs to endow insurance. Meanwhile, face concern and perceived donor effectiveness have no impact on the motivation of prospective waqifs to endow insurance. Theoretically, this study contributes to developing waqf insurance literature in Indonesia.
The Impact of Environmental Knowledge, Green Brand Image, and Religiosity on Green Cosmetics Purchase Intention Mediated by Attitude
Authors: Harahap Wardyatul Fuady , Amri  , Halimatussakdiah
Published: November 2024

The research investigates how environmental knowledge, green brand image, religiosity, and personal attitude can affect green cosmetics purchase intention. The study involved 230 participants who had not previously purchased green cosmetics and were located in Banda Aceh city and Aceh Besar district. The PLS-SEM method with SmartPLS software was used for data analysis. The result concluded that significantly Environmental knowledge and Religiosity affect attitude toward green cosmetics, while insignificantly Green brand image affects attitude towards green cosmetics. Furthermore, significantly Environmental knowledge and attitude affect green cosmetics purchase intention, but insignificantly Green brand image and Religiosity affect green cosmetics purchase intention. For the indirect effect, significantly attitude mediates the environmental knowledge and religiosity impact on green cosmetics purchase intention, however, insignificantly attitude mediates the green brand image impact on green cosmetics purchase intention. The attitude here functions as partial mediation for environmental knowledge impact on green cosmetics purchase intention and as full mediation for religiosity impact on green cosmetics purchase intention. Thus, these findings explain that the model of increasing green cosmetics purchase intention is a function of increasing environmental knowledge, strengthening, strengthening religiosity, and depends on the suitability of people's attitude towards green cosmetics.
Recent advances in transition-metal-free arylation reactions involving hypervalent iodine salts
Authors: Mamgain Ritu , Sakthivel Kokila , Singh Fateh V
Published: November 2024

Diaryliodonium salts have become widely recognized as arylating agents in the last two decades. Both, symmetrical and unsymmetrical forms of these salts serve as effective electrophilic arylating reagents in various organic syntheses. The use of diaryliodoniums in C–C and carbon–heteroatom bond formations, particularly under metal-free conditions, has further enhanced the popularity of these reagents. In this review, we concentrate on various arylation reactions involving carbon and other heteroatoms, encompassing rearrangement reactions in the absence of any metal catalyst, and summarize advancements made in the last five years.
Quantum potential energy: Adaptive facades in architecture
Authors: Kadhim Batool Mowafaq , AL-Maamory Abdulla S. , AL-Ghaban Ahmed M.
Published: November 2024

This paper addressed the topic of creating quantum architecture through human awareness to transform the formal and spatial elements of architecture according to its environmental sustainability compatible with nature. The research emphasizes the creation of a built environment that uses natural resources to enhance the psychological and physical comfort of humans, relying on the quantum energy inherent in the interaction of particles, which is called “kinetic energy” in quantum mechanics, and it can be considered energy due to motion.
The research aims to determine the recommended standards for use in designing the building facade according to the magnetic field lines. It focuses on the classification of smart interfaces in particular. The complexity of evaluating adaptive or dynamic facades is related to evaluating the performance of the facade elements and systems, the overall performance of the building, as well as the behavior and satisfaction of the occupants.
The research seeks to present a conceptual and cognitive framework by linking the concept of potential kinetic energy and quantum theory with architecture and then presents a group of literary studies that will enrich and build the theoretical framework and then apply it to the groups of projects selected for practical study and then reach the final conclusions.
Employing topology optimization method to create optimum telecommunication tower design structure
Authors: Sahib Amjed Yousif , Assad Ali , Mohammed Osamah Malik , ALRikabi Haider TH. Salim
Published: November 2024

Recently, the employment of topology optimization (TO) in structural engineering design has gained a significant structural performance, also, TO is employed by designers for developing aesthetically and efficient buildings.  In this work, TO is employed to design novel and rigged structures of communication towers. The way that the TO algorithm works is to intelligently create the 3D model by preserving architectural features with tradeoffs between the stiffness and weight ratio. The present work focuses on the investigation of creating optimal self-supported communication towers. Results concerning the prime observation of optimization analyses and the potential benefits of TO in designing telecommunication tower lattices are drawn.
Diode laser light and sclerotherapy in the treatment of venous malformations in the maxillofacial region
Authors: Kamilov Sh. T. , Grishin A. A. , Nagaychenko A. M.
Published: November 2024

Objective: to compare outcomes after treatment of venous malformations (VM) in the maxillofacial region using diode laser light and sclerotherapy with 3 % Aethoxysclerol foam.Materials and methods. 40 patients with venous malformations of the maxillofacial region were enrolled in the study. Patients were divided into two equal groups of 20 individuals each: in Group 1, patients were treated with diode laser light; in Group 2, patients had sclerotherapy with 3 % Aethoxysclerol foam. For laser therapy, Lachta-Milon diode laser (Russia) with an optical light guide having a flat end of 0.4–0.6 mm, wavelength 980 nm, pulse-periodic mode with interval 0.1–0.25 seconds at power 3.5–5.5 was used. In Group 2 VM sclerotherapy by L. Tessari’s technique (2000) in the maxillofacial region consisted of injection of microfoam made of 3 % Aethoxysclerol solution into the malformation lumen.Results. In all patients, management was successful without intraoperative or postoperative bleeding. The performed study revealed that sclerotherapy with Aethoxysclerol foam is most effective for treating large and medium-sized malformations resulting in significant reduction in formation size. To treat malformations located in difficult anatomical areas, such as peri-orbital or hard and soft palate, diode laser with wavelength 980 nm and power ranging from 3.5 to 5.5 W turned to be the most effective.Conclusion. Endovascular laser obliteration is an effective and safe technique for treating venous malformations in the maxillofacial region. It is also a method of choice for malformations located in the peri-orbital area.
The effectiveness of laser sculptural uvaloplasty in a patient with ronchopahty and severe obstructive sleep apnea syndrome
Authors: Knyazkov V. B.
Published: November 2024

Objective. To present a clinical case of successful application of laser sculptural uvulopalatoplasty in a patient with ronchopathy and severe obstructive sleep apnea syndrome.Materias and methods. The article describes a clinical case of successful application of soft palate surgery – laser sculptural uvulopalatoplasty – in a patient with ronchopathy and severe obstructive sleep apnea syndrome.Results. After the described surgical intervention, rehabilitation stage was wihtout complications. A complete relief from night snoring and apnea in the patient has been achieved. The obtained results and the absence of complications after surgery were registered in the patient for the next 5 years and more.Conclusion. Laser sculptural uvulopalatoplasty is a safe and effective method of treating patients with ronchopathy and obstructive sleep apnea syndrome, even severe one, which provides a stable and complete relief from night snoring and its complications.
Methodological notes on physical parameters of low-level laser irradiation. Part 2. Light dosage at laser therapeutic sessions
Authors: Rogatkin D. A. , Tarasov A. P. , Shtyflyuk M. E.
Published: November 2024

Purpose. The general goal of this methodological article, consisting of two parts, is to provide a unifying theoretical approach to the still debated problem on determining the depth of laser light penetration into biotissues and the dosage of laser therapeutic effect from the standpoint of modern medical physics. The purpose of the second part of the article is to demonstrate that calculation of the absorbed dosage at laser therapy sessions is similar to the calculation of classical doses in radiobiology and radiation therapy.Materials and methods. The authors reviewed current state of terms and definitions related to the calculation of doses in ionizing and non-ionizing radiation. The Monte Carlo method was used to simulate the soft tissue volume in which 95 % of radiation energy is absorbed. A classical absorbed dose measured in Grays was estimated. Numerical simulation of absorbed doses for various typical laser therapy procedures was performed.Results. It has been shown that the effective irradiated volume of tissues, despite of small variations in soft tissue density between patients, allows to calculate the absorbed radiation dose in Grays, similar to radiobiological doses. Comparative findings on a single local absorbed dose for various percutaneous therapeutic procedures do not contradict the known clinical data, and even more, make the relationship of different doses for different therapeutic purposes more clear. As it has been found, typical doses range from 0.7 Gy for intravascular blood irradiation to 106 Gy for destructive photodynamic therapy and UV therapy procedures in dermatology.Conclusion. The proposed methodological approach proposes a new look at both the problem of the depth of laser light penetration into biotissues and the problem of laser light doses during therapeutic and diagnostic procedures from a unified medical and physical standpoint.
FRATURA DO BOXER
Authors: Ramos Thays de Freitas , Ramos Filho Ricardo Luiz , Freitas Ramos Fernando Henrique de , Appelt Arthur Lanna , Uzuelli Giovanni de Paula , Guimarães Roberta Pergoraro Monteiro
Published: November 2024

Objetivo: Relatar um caso de fratura do colo do 5º metacarpo tratado de forma conservadora com gesso em formato de luva de boxe e analisar resultado clínico com o tratamento proposto. Materiais e Métodos: Paciente com dor na mão direita após deferir um soco. Foram feitas radiografias e diagnosticada fratura do colo do 5º metacarpo. Como tratamento foi realizado redução da fratura por meio da manobra de Jahss e em seguida feita imobilização com gesso em formato de luva de boxe. Resultados: Após 12 semanas o paciente estava assintomático, com amplitude de movimento e força restauradas, comparável ao lado contralateral. Conclusões: A fratura do boxer não tolera desvios rotacionais, porém com deformidades angulares de 30º a 45°, encurtamento de até 5 mm, pode ser tratada de modo não-cirúrgico e apresentar um desfecho funcional adequado.
COLITE PSEUDOMEMBRANOSA
Authors: Carneiro Gabriel Gifford , Evangelista Patricia Gonçalves
Published: November 2024

O objetivo desse estudo é descrever através dos achados literários a colite pseudomembranosa e as suas principais características, diagnósticos e tratamentos. Foi realizado por meio de busca da Biblioteca Virtual em Saúde (BVS), sendo utilizadas principalmente as bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Eletronic Library Online (SciELO), Medical Literature Analysis and Retrieval System Online (Medline) e PubMed. A colite pseudomembranosa é um padrão inespecífico de lesão resultante da diminuição da oxigenação, dano endotelial e fluxo sanguíneo prejudicado à mucosa, que pode ser desencadeado por vários estados da doença, é causada pela bactéria anaeróbica gram-positiva Clostridium difficile (C.difficile). Para o diagnóstico uma história cuidadosa e completa é crucial; qualidade e duração dos sintomas, histórico de exposição, problemas médicos crônicos (incluindo condições que causam um estado imunossuprimido) e uma lista de medicamentos ajudarão a restringir o diagnóstico diferencial. O tratamento é específico da etiologia subjacente e será individualizado. A consulta com um gastroenterologista deve ser considerada no início do curso da doença. Como ainda não existe uma vacina disponível medidas preventivas são preconizadas como a lavagem estrita das mãos, as precauções entéricas e o uso criterioso de antibióticos são imperativos e continuam sendo os meios mais eficazes de impedir a propagação do organismo e da doença.
ÓBITOS EM UNIDADE DE TERAPIA INTENSIVA NEONATAL NO HOSPITAL E MATERNIDADE DONA IRIS
Authors: Santos Simone Carrijo , Castro Lourenzo Lorena Cabral de , Lima Midiã Fonseca , Evangelista Patrícia Gonçalves , Ramos Bruna Abreu
Published: November 2024

Introdução: Atualmente, sabe-se que a mortalidade neonatal esta associada à qualidade de assistência de saúde, é o principal fator da mortalidade infantil. A unidade de terapia intensiva neonatal (UTIN) surge como expectativa e um dos fatores mais eficaz para tentar diminuir a mortalidade neonatal no país. As principais causas de óbitos de são a prematuridade, a malformação congênita, a asfixia intraparto, as infecções perinatais e os fatores maternos. Objetivo: Descrever o perfil de incidência das causas encontradas em óbitos na UTIN do Hospital e Maternidade Dona Iris (HMDI) no período de janeiro de 2016 a dezembro de 2018. Métodos: Trata-se de estudo transversal, onde foi analisado o número e o perfil da mortalidade na UTIN do HMDI, Goiânia, Goiás, no período de 2016 a 2018. Foi realizada uma revisão do prontuário eletrônico. Resultados: Número total de 126 óbitos ocorridos na UTIN do HMDI, sendo em 2016 foram constatados 45 óbitos, sendo a maior incidência em RN prematuro extremo (idade gestacional < 28 semanas). Sendo o total de número de óbitos menor que 28 semanas igual a 20, entre 28 semanas e 33 semanas e 6 dias 13 óbitos, 34 semanas a 36 semanas e 6 dias 4 óbitos. Foram registrados entre os recém nascidos termo (RNT- 37 semanas a 41 semanas e 6 dias) 8 óbitos e recém nascidos pós termo (>42 semanas) não houve óbito. Em 2017 foi registrado 34 óbitos, sendo 14 destes em RN menor que 28 semanas de idade gestacional, 12 óbitos entre 28 semanas e 33 semanas e 6 dias, 1 óbito entre 34 semanas e 36 semanas e 6 dias, 7 óbitos em RNT e não ocorreu óbito em recém nascido pós termo. E em 2018 foram registrados 47 óbitos, sendo 24 óbitos nos RNs menores de 28 semanas, 12 óbitos entre 28 semanas e 33 semanas e 6 dias, 4 óbitos entre os 34 semanas e 36 semanas e 6 dias, 7 óbitos nos RNT e não foi registrado óbito em recém nascido pós termo. Conclusão: Em 2016 foram constatados 45 óbitos, sendo a maior incidência em RN prematuro extremo (idade gestacional < 28 semanas). Foram registrados entre os recém-nascidos termo (RNT- 37 semanas a 41 semanas e 6 dias) 8 óbitos e recém-nascidos pós termo (>42 semanas) não houve óbito. Em 2017 foi registrado 34 óbitos, sendo 14 destes em RN menor que 28 semanas de idade gestacional, 12 óbitos entre 28 semanas e 33 semanas e 6 dias, 1 óbito entre 34 semanas e 36 semanas e 6 dias, 7 óbitos em RNT e não ocorreu óbito em recém-nascido pós termo. Em 2018 foram registrados 47 óbitos, sendo 24 óbitos nos RNs menores de 28 semanas, 12 óbitos entre 28 semanas e 33 semanas e 6 dias, 4 óbitos entre as 34 semanas e 36 semanas e 6 dias, 7 óbitos nos RNT e não foi registrado óbito em recém-nascido pós termo.
RECÉM-NASCIDO DE RISCO
Authors: Da Silva Ludymilla Cândida Ribeiro , Da Silva Igor , Saidah Tárik Kassem , Evangelista Patrícia Gonçalves
Published: November 2024

Introdução: As mortes dentro do ambiente hospitalar passaram a responder pela maior proporção dos óbitos infantis. Várias são as situações pré ou perinatais que levam o RN a ser considerado de risco e necessitar de um acompanhamento mais especializado, exigindo, algumas vezes, a internação em uma unidade de tratamento intensivo neonatal. Objetivos: Descrever os fatores que levam os recém-nascidos para Unidade de terapia intensiva. Métodos: Estudo transversal descritivo quantitativo e retrospectivo, desenvolvido numa maternidade pública de referência em Goiânia-GO. Resultados: O período analisado foi de janeiro a dezembro de 2017 com um total de 259 RNs que passaram pela UTI do Hospital neste período. O perfil materno é de mulheres entre 18 e 30 anos com 65% (167), primigesta 44% (115), sem pré-natal 47% (121) e das que fizeram foram menores que 7 consultas com 44% (114), a via de parto foi a cirúrgica (cesárea) com 54% (140), com Doença hipertensiva gestacional foi o fator de risco mais incidente com 19% (50) seguido das infecções do trato urinário também com 19% (49). Já o perfil dos Rns é do sexo masculino com 56% (146), com idade gestacional menor de 36 semanas 77% (199), com apgar do primeiro minuto menor de 7 com 57% (147) e apgar do quinto minuto maior do que 8 com 81% (2009), como fatores de riscos apresentam icterícia 88% (228), infecção respiratória aguda com 77% (199) e infecções neonatais em 70% (181), com apresentação AIG EM 80% (205) e com peso menor de 2.500 gramas 72% (182). Conclusão: O perfil materno é de mulheres entre 18 e 30 anos, primigesta, sem pré-natal, nascido por cesárea, com Doença hipertensiva gestacional como principal fator de risco. O perfil dos Rns é de meninos, com idade gestacional menor de 36 semanas, com apgar do primeiro minuto menor de 7 e apgar do quinto minuto maior do que 8, ictérico, com infecção respiratória aguda e infecção neonatal, AIG e com peso menor de 2.500 gramas.
PRÉ-ECLÃMPSIA GRAVE
Authors: Rodrigues Juliana Lopes , Saidah Tárik Kassem , Evangelista Patricia Gonçalves , Amaral Waldemar Naves do
Published: November 2024

Introdução: Pré-eclâmpsia (PE) é definida como o aparecimento, após a vigésima semana de gestação, de hipertensão arterial sistêmica (Pressão Arterial Sistólica – PAS - maior ou igual a 140 mmHg ou a Diastólica – PAD - maior ou igual a 90 mmHg aferidas em duas ocasiões com 4 horas de intervalo) associada a proteinúria diária superior a 300 miligramas (mg). A gravidade deste quadro envolve falência de diversos órgãos associado a pico pressórico podendo ocasionar efeitos deletérios de múltiplos sistemas, principalmente o vascular, o renal, o hepático e o cerebral. Objetivo: Estabelecer o perfil clínico e epidemiológico de gestantes portadoras de pré-eclâmpsia grave. Métodos: Trata-se de um estudo observacional retrospectivo analítico com pacientes atendidas na emergência de janeiro a junho de 2017, no total de 12.712. Sendo selecionadas aquelas com idade gestacional maior que 20 semanas, apresentando crise hipertensiva no momento da internação no HMDI totalizando 81 pacientes. Resultados: Este grupo limitou-se ao estudo de gestantes que apresentam apenas a pré-eclâmpsia grave. O número de gestações deste grupo foi de multíparas com 58% e de primíparas de 32%. Em relação a idade gestacional foram selecionadas mulheres acima de 20 semanas. Em relação ao uso de medicação prévia domiciliar 59% não utilizaram nenhuma medicação. Em relação ao quadro clínico 60% não apresentava sinais iminentes para a pré-eclâmpsia. A interrupção de gravidez foi prescrita em 51% das pacientes, sendo a 68% por parto cesáreo. Não realizaram o sulfato em 84% das pacientes e naquelas que ficaram internada também não realizou em 78% das pacientes. Conclusão: A frequência de eclampsia iminente dentro de um grupo de pacientes com pré-eclâmpsia grave foi de 39,5%. A frequência do uso de sulfato em pacientes com pré-eclâmpsia grave apresentados neste estudo foi de 16%. A via de parto preferencial foi a cesariana com 68% e a taxa de letalidade fetal foi de 5%.
PERFIL EPIDEMIOLÓGICO DAS PARTURIENTES ATENDIDAS NO CENTRO DE PARTO NORMAL EM UM HOSPITAL DE REFERÊNCIA EM GOIÂNIA
Authors: Silva Chaves Pedro Luiz da , Ximenes Ana Carolina Bosch , Evangelista Patricia Gonçalves
Published: November 2024

Objetivo: Descrever o perfil epidemiológico das parturientes atendidas no Hospital e Maternidade Dona Íris em Goiânia, Goiás. Materiais e Métodos: Estudo epidemiológico, retrospectivo, transversal, descritivo de abordagem quantitativa. Foram incluídos os dados do livro do parto normal das gestantes atendidas no período compreendido entre 01 de setembro de 2018 a 29 de julho de 2019 que realizaram parto normal. As variáveis estudadas foram idade, tipo de gravidez, agravos à saúde, idade gestacional, tipo de parto, sexo e peso do recém-nascido, além dos escores de Apgar no 1º e 5º minuto. Resultados: A idade média das parturientes foi de 24,25±6,01 anos. 51% eram multíparas e 99% com gestação única. A prematuridade esteve presente em 11,2% da amostra e a taxa de prematuridade extrema na faixa etária de adolescentes a adultas jovens foi de 36,6%. Dos agravos à saúde, 1,3% foi devido à hipertensão arterial e 0,3% à Diabetes Mellitus. A maioria dos recém-nascidos era do sexo masculino (51,2%) e com peso maior do que 2500 g (90, 9%). O Apgar ≥ 7 esteve presente em 92% dos recém-nascidos e 98,5% no 5º minuto. Conclusões: A maioria das parturientes estava na faixa etária de 22 a 29 anos, eram multíparas, com gestação única e idade gestacional acima de 37 semanas. A prematuridade extrema esteve presente em 1,7% das parturientes e 9,6% estavam na faixa de prematuridade. A maioria dos recém-nascidos era do sexo masculino (51,2%) e Apgar no 1º e 5º minuto maior ou igual a 7 esteve acima de 90%.