bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Gender Stereotypes and Self-Efficacy on the Glass Ceiling Phenomenon in the Religious Affairs Office of Purwakarta Regency
Authors: Kurniasih Nia , Hayati Neuneung Ratna
Published: November 2024

This study aimed at gender stereotypes and self-efficacy as determinants of the glass ceiling effect. Data was collected through questionnaires distributed to employees in the office. The linear regression analysis method is used to analyze the data. Office of the Ministry of Religious Affairs of Purwakarta District.  The results showed that Gender Streotypes  partially had a significant influence on Glass Ceiling, Self-Efficacy had a significant influence on Glass Ceiling. The implications of these findings are discussed in the context of the Importance of addressing Gender Stereotypes in the workplace: Organizations need to be aware of the impact of Gender Stereotypes on the Glass Ceiling and take steps to reduce or eliminate those stereotypes
The Influence of E-Wom on Tiktok Accounts of Brand Tenue De Attire on Brand Awareness
Authors: Kunto Ayla Balqiya Vietrandita  , Indria Angga Dianita  , Chairunnisa Widya Priastuty
Published: November 2024

This study aims to analyze the influence of Electronic Word of Mouth (e-WOM) on the TikTok platform on the Brand Awareness of the Tenue De Attire brand. The methodology used in this research is a quantitative method with data analysis using SPSS23 software and a survey approach involving 385 active TikTok users who have been exposed to content from the brand through a questionnaire. Based on the study titled “The Influence of e-WOM on the TikTok Account of the Tenue De Attire Brand on Brand Awareness,” a strong relationship and positive influence were found between Electronic Word of Mouth (e-WOM) and Brand Awareness. The correlation coefficient analysis yielded a value of 0.800, indicating a very strong relationship. The R-Square (R²) value of 0.641 indicates that e-WOM explains 64.1% of the variability in Brand Awareness. Simple linear regression results show that each one-unit increase in e-WOM increases Brand Awareness by 0.479. The T-test results show a significance level of 0.000 < 0.05 and a t-value of 26.124 > t-table value of 1.9663, indicating that e-WOM has a significant impact on Brand Awareness.
Access to Justice for Women: A Comparative Study between Subarnachar and Begumganj Upazila of Noakhali District
Authors: Ety Nazmun Sakib , Mia Badsha
Published: November 2024

Access to justice is the first step towards justice in the current legal system and is recognized as a fundamental human right in both the Constitution of Bangladesh and several international conventions. Despite this recognition, many Bangladeshi citizens, particularly women, face significant barriers to accessing justice due to gender and other factors. Access to justice is an important human right, but women in rural areas often face significant challenges in exercising this right. This study compares women's access to justice in two upazilas of Noakhali district: Subarnachar and Begumganj. By examining the sociocultural, economic and institutional elements that influence women's ability to seek and pursue legal remedies, this study highlights the differences between the two regions. Data obtained through interviews, questionnaires and focus group discussions with women, lawyers and community leaders. The study shows that while both upazilas face challenges such as patriarchal norms, lack of legal awareness and limited access to legal representation, the intensity and nature of these challenges differ significantly between Subarnachar and Begumganj. The findings highlight the need for targeted interventions that address the specific barriers faced by women in each upazila and promote equal access to justice. This study contributes to the broader discourse on gender and justice in Bangladesh and provides insights for policymakers, legal practitioners and civil society organizations working to reinforce the legal empowerment of women in rural areas.
'O Rei da Vela': reflexão social e renovação no teatro brasileiro entre as décadas de 1920 e 1930
Authors: Galon da Silva Moronari Joyce
Published: November 2024

A partir de pesquisadores que defendem a importância do contexto histórico para a interpretação de obras e fundamentado na crítica da dramaturgia de Oswald de Andrade, este artigo propõe uma leitura sucinta da peça O rei da vela (1933), em diálogo com os problemas enfrentados na época de sua criação, dentro do panorama do teatro brasileiro nas décadas de 1920 e 1930, já sob a perspectiva modernista. Para essa análise, foram consideradas técnicas de compreensão de peças propostas por estudiosos do texto dramático, destacando alguns elementos estéticos da obra, como a paródia e a sátira. Além de explorar esses aspectos estéticos, a pesquisa sublinha a relevância seminal da obra como uma inovação no teatro brasileiro e seu impacto na reflexão sobre as contradições e desigualdades da sociedade da época.
Creación de ambientes de aprendizaje en escuelas rurales del municipio de Buga
Authors:   Corporación Universitaria Minuto de Dios, Palacios Mazabel Natalia
Published: November 2024

Las instituciones educativas que se encuentran ubicadas en las zonas rurales a lo largo del territorio colombiano no solo se ven afectadas por las condiciones socio políticas que ha vivido el país durante años sino también por la poca motivación de los niños, niñas, docentes y familias, que al ver en la mayoría de casos, el deterioro en sus instalaciones, deciden no volver a los salones de clase abandonar sus estudios y dedicarse a las labores del campo. Esta situación problema, ha llevado a la implementación de una es-trategia pedagógica que permita darles un nuevo ambiente de apren-dizaje a las comunidades educativas de las zonas rurales de Guadala-jara de Buga, creando espacios significativos que permitan mantener la permanencia, la motivación, el contacto con la realidad, el entorno social y cultural de la población infantil.
La educación ambiental en actividades de extensión como la Semana Ambiental en la Universidad Santiago de Cali, Sede Pampalinda, Colombia
Authors:   Universidad Santiago de Cali, Guevara Fletcher Carlos Eduardo
Published: November 2024

Las actividades de extensión como formas de difusión y divulgación de la ciencia y la cultura, permiten la capacitación o intervención comunitaria y son esenciales para promover actitudes de cuidado, apropiación, entendimiento, comprensión, cambios de percepción y hábitos de diversos grupos poblacionales. Por tanto son vitales para reconocer el territorio y con ello, entender la relación de este, con el contexto regional y global. De entre las múltiples actividades que se pueden realizar, se encuentran las estrategias de apro-piación social del conocimiento donde la difusión y divulgación del conocimiento científico, tecnológico y de innovación son fundamen-tales para impactar el desarrollo socioeconómico de una sociedad, contribuyendo así a la generación de cultura científica. Específica-mente, la educación ambiental como estrategia de implementación de procesos pedagógicos-cognoscitivos para generar apropiación de un entorno y pensamiento ecosistémico y con ello, promover cam-bios de hábitos, es hoy una de las actividades primordiales a desarro-llar dentro de una comunidad. Es por ello, que en la comunidad de la Universidad Santiago de Cali (USC), se promueve la realización de actividades de extensión para generar espacios de intercambio de co-nocimiento en el marco de las Ciencias Ambientales (CA), entre los que se destaca la Semana Ambiental.
Las responsabilidades en tiempo de pandemia
Authors:   Universidad Santiago de Cali, Roa Piedrahita Adriana Rocío
Published: November 2024

El presente capítulo pretende contextualizar al lector sobre la situación a la que debe responder el Estado como garante del dere-cho a la salud y como máxima autoridad sanitaria para la vigilan-cia en salud pública. La incertidumbre que generó en Colombia la pandemia de la COVID-19, en donde, los cálculos eran insospe-chados, no solo, frente a los posibles contagios y sus contactos, sino ante la debilidad del Sistema General de Seguridad Social en Salud (SGSSS) que viene tratando de fortalecer la salud pública desde la expedición de las Leyes 1122 y 1438 de 2007 y 2011 respecti-vamente; aunque tienen la pretensión de modificar la prestación de servicios de salud pasando de un modelo curativo a un mode-lo preventivo basado en estrategias de atención primaria en salud, gestión del riesgo, cuidado de la salud y enfoque diferencial. No obstante, solo se evidencia la formulación de la Política de Atención Integral en Salud (PAIS) en 2016 y el Modelo de Acción Integral Territorial (MAITE) en 2019 del cual, no se ha dado mayor cuenta de su implementación y cuyos resultados corresponden a algunas actividades de su antecesor, el Modelo Integral de Atención en Sa-lud (MIAS) como son: la priorización de problemas de salud y la habilitación de redes prestadoras de servicios por parte de los entes territoriales. Sin embargo, lo que se demuestra es la dificultad para afrontar la atención de las personas con COVID-19 en condiciones de calidad y seguridad, sin vulnerar el derecho a la salud.
A CLINICAL STUDY OF FUNCTIONAL OUTCOME OF ALLARTHROSCOPIC ROTATOR CUFF REPAIR
Authors: Peddi Susmita , Mamillapalli Sivakumar
Published: November 2024

Introduction: Rotator cuff tears are among the most common shoulder injuries and are usually accompanied by shoulder pain, disability and
dysfunction over the past decade rotator cuff repairs are shifted from mini-open rotator cuff repair to all arthroscopic rotator cuff repair, as the
arthroscopic technique is less invasive approach which has advantage of early post operative rehabilitation and good outcome. The purpose of the
study wasto evaluate the functional outcome of arthroscopic rotator cuffrepairin rotator cufftear patients.MaterialsAndMethods:This prospective
study included 15 cases of Rotator cuff tear patients of eithersex fitting the inclusion criteria from October 2023 to September 2024.patientsincluded
were between 18 to 75 years of age with MRI proven Rotator cuff tear who underwent all Arthroscopic rotator cuff repair and willing to participate in
study. patients will undergo detailed history, clinical and radiological evaluation, all arthroscopic rotator cuff repair by single row or double row
technique using suture anchors by single trained surgeon. post operative rehabilitation done as per standard protocol and post operative evaluation
done at 3rd month,6th month and 1year.Range of motion, UCLAandASES Scoring done at pre operative and post operative follow-ups. Results:A
prospective study with 15 patientsis undertaken to study the functional outcome ofArthroscopic rotator cuff repair,the mean age in ourstudy is 59.8
Years,majority are in the age group of 40 to 70 years.out of 15 patients,7 were male,8 were female. Major part of our study contained partial thickness
tears(60%)raterthan full thickness tears(40%).73.3%(11) patientsin ourstudy had traumatic tears and 26.7%(4) patients had degenerative tears.there
is significant improvement of flexion from 121.9 degrees preoperatively to145 degrees postoperativelyat 1 year,abduction from125 degrees to 150
degrees,external rotation from 60 to 80 degrees,internal rotation from 40 degrees to 65 degrees.in our study according to UCLA score,out of 15
patients,3 patients had poor outcome,3 patients had average outcome,6 patients had good outcome and 3 patients had excellent outcome.Mean UCLA
score increased from 15.91 preoperatively to 42.40 postoperatively at the end of 1st year.Mean ASES score improved from 37.16 preoperatively to
92.17postoperatively. Conclusion:Arthroscopic rotator cuff repair is as good as mini open rotator cuff repair in outcome.Advantages of arthroscopic
rotator cuff repair include less post operative pain,smallscar and ability to diagnose othershoulder pathologies. patients need preoperative and post
operativephysiotherapytoachievegoodrangeofmotionfor betterfinaloutcome.
STUDY TO EVALUATE CT CALCIUM SCORE IN POST-COVID 19 PATIENTS: RETROSPECTIVE COHORT
Authors: Bali Nirvin , Singhal Saurabh , Verma V D , Agarwal Sachin , Sharma Abhijeet
Published: November 2024

Background: The COVID-19 pandemic has had significant long-term health implications, including potential cardiovascular complications such
as accelerated coronary artery disease (CAD). This study investigates the relationship between COVID-19 severity and coronary artery calcium
(CAC) scores, which measure calcified atherosclerotic plaque in the coronary arteries, a key predictor of future cardiovascular events.
Understanding this relationship can inform cardiovascular risk management in post-COVID-19 patients. This study aims to Aims & Objectives:
evaluate CT calcium scores in post-COVID-19 patients and determine the association between COVID-19 severity and coronary artery
calcification. Additionally, it seeks to assess the impact of age, comorbidities, and respiratory support on CAC scores. This retrospective Methods:
cohort study involved 60 post-COVID-19 patients from CSS Hospital, Subharti Medical College, Meerut. Data on demographic, clinical, and
laboratory variables were collected, and CT calcium scores were measured using computed tomography (CT) angiography. Statistical analyses
were conducted to evaluate the relationships between CAC scores and COVID-19 severity, age, comorbidities, and respiratory support. A Results:
strong positive correlation (r=0.808, p<0.001) was found between severe COVID-19 and higher CAC scores, especially in patients over 50.
Comorbidities such as T2DM and HTN did not significantly influence CAC scores. Higher calcium scores were associated with ICU admissions,
though not with hospitalization. No significant gender differences in CAC scores were observed. Sever Conclusions: e COVID-19 is associated
with elevated CAC scores, indicating higher cardiovascular risk in these patients. Further research is needed to explore the long-term
cardiovascular implications in post-COVID-19 patients.
TROCAR SITE HERNIAS IN MINIMALLY INVASIVE SURGERY: A SYSTEMATIC REVIEW OF PREVENTION AND TREATMENT STRATEGIES
Authors: Jain Niral , Saxena Gourav , Dipakbhai Shah Parth
Published: November 2024

Trocar site hernia (TSH) remains a notable complication following laparoscopic surgery, yet data on its incidence and contributing factors are
limited, particularly from retrospective studies with short follow-up periods. Both surgical techniques and patient-related factors, such as comorbidities, have been suggested as risks for TSH development. This systematic review, conducted at Index Medical College from June 2022 to
2023, aimed to assess the incidence of TSH and explore associated risk factors. A total of 19 adult studies and 3 pediatric studies were included,
covering 30,568 adults and 1,098 children. The overall incidence of TSH was reported to be between 0% and 5.2%, with most hernias (96%)
occurring at trocar sites of 10 mm or larger, primarily in the umbilical region (82%). The data suggested that unsutured trocar site fascia and
laparoscopic procedures in pre-school children were associated with a higher incidence of TSH. The findings recommend closing trocar incisions
of 10 mm or more to reduce the risk, particularly in pediatric cases.
A RARE CASE OF TRAUMATIC BILATERAL IDENTICAL CORONOID AND TROCHLEA FRACTURE.
Authors: Saidapure Sumit , Pundkare Gopal , Patil S N , Dev Jaidev Kailash Pati , Gursale Amey
Published: November 2024

Elbow is a complex joint and gets involved in both atheletic and non-atheletic injuries. Among the emergency department visits for upper limb
injuries each year, it has been estimated that 15% involve the elbow joint (1). Injuries of coronoid process and trochlea, though uncommon, are
usually accompanied with associated elbow injuries (3) whereas isolated coronoid process of ulna fractures are seen in only 2-5% cases.(2)
Trochlea fractures are even more rare due to the inaccessibility of the fragment to direct traumatic force.(3) Furthermore, complications in a
traumatic injury of elbow, like stiffness, heterotrophic ossication, instability or subluxation of elbow joint & post-traumatic arthritis (4) suggest
the need for proper management of such injuries. We present a rare case of traumatic bilateral identical coronoid and trochlea fractures which were
managed with Herbert screw xation with good functional and radiological outcome.
STROMAL CD10 EXPRESSION IN BREAST CARCINOMA AND ITS CORRELATION WITH KNOWN PROGNOSTIC MARKERS
Authors: A Panjvani Vishal , Karandikar Manjiri N , Bharadwaj Reena
Published: November 2024

Background – The incidence of breast carcinoma is on rise and currently it is most common cancer in many countries. A CD10 enzyme, which is
present on cell membrane is now found to be benecial in many malignancies. This research will compare CD10 with established prognostic
markers in order to determine utility of CD10 in breast cancer. The study aimed to investigate the s Aim - tromal expression of CD10 in breast
carcinoma and compare it with known prognostic markers like ER, PR, HER2neu, histologic group grade, molecular subtypes, T stage of TNM
staging and lymph node status wherever possible. All the breast carcinoma specimens comprising of mo Methods – died radical mastectomy
(MRM), lumpectomy and trucut biopsy received from 2020 to 2023 in pathology department of tertiary care hospital and attached medical college
were included in study. H&E staining was done followed by IHC. All details like age, histologic group grade, ER, PR, HER2neu, molecular
subtypes, T stage of TNM, lymph node status (wherever possible) and CD10 were collected and noted in Excel for further analysis. Results –
Maximum cases consisted of Inltrating Duct Carcinoma, NOS. There was statistically signicant correlation of CD10 with molecular subtypes as
more percentage of CD10 positive cases were present in Basal and HER2neu enriched subtypes. While more percentage of CD10 negative cases
were present in Luminal A subtypes. However no statistically signicant correlation was obtained comparing CD10 expression with individual ER,
PR and HER2neu and also with group grade, T stage of TNM and lymph node status. It is noteworthy that when CD10 stromal reactivity was strong,
the tumors were either histologic group grade III, T4 stage of TNM and lymph nodes with metastasis. Conclusion – The association between CD10
positivity and molecular subtypes was statistically signicant. Although it was seen that CD10 positive cases were more in poor prognostic cases
like group grade III, lymph node metastasis positive case and T3/T4 cases of TNM, but statistically signicant P value wasn't obtained. Many of
available studies including the present study regarding CD10 status in breast carcinoma are done on relatively small sample size. A large sample
size is necessary to determine the efcacy of CD10 as prognostic marker in breast cancer. CD10 may prove to be a reliable prognostic marker in the
future.
A CASE REPORT ON SUCCESSFUL MANAGEMENT OF SEVERE ACUTE MALNUTRITION IN A CHILD WITH HYPERKERATOSIS AND DERMATOSIS
Authors: M Vasanthakogilam , Konduru Rajesh Kumar , N Murugan , Vendhan. R Sengadhir , Dhanasekar Elanchezhian , Navilson. E Binoth
Published: November 2024

Severe acute malnutrition (SAM) continues to pose significant health risks to children under five, contributing to mortality and morbidity globally.
This case report highlights the successful management of a 3-year-old boy from the Union Territory of Puducherry, who presented with grade 3
SAM, dermatosis, and hyperkeratosis, and weighed only 9 kg at diagnosis. The intervention spanned 11 months and included comprehensive
dietary adjustments, improved hygiene practices, and socioeconomic support to elevate the family's living conditions. A male Case Selection:
child aged 3 years was identified during routine health surveys in urban Puducherry, displaying classic signs of SAM along with skin
complications. Methods: 1) Clinical Assessment: Initial assessments confirmed SAM without complications as per WHO criteria. 2) Dietary
Assessment: A deficit of essential nutrients was addressed by introducing a tailored diet plan. 3) Socioeconomic and Environmental Assessment:
The child's poor health was linked to inadequate family income, poor sanitation, and suboptimal use of local health services. Intervention:
Nutritional rehabilitation was supported by local health services, incorporating home-based, nutrient-rich recipes. Simultaneously, efforts were
made to improve family income and educate the parents about nutrition and hygiene. The child's growt Measurements: h was meticulously tracked
through regular monitoring of weight, height, and other anthropometric data, alongside the resolution of dermatosis and hyperkeratosis.
Results:The child experienced significant weight gain, reaching a healthy weight for his age within 11 months. Alongside this, notable
improvements in skin health and overall physical condition were observed, with the child's developmental milestones aligning with his age group.
Enhanced cooperation from the family and better utilization of community health resources further contributed to the child's sustained health and
recovery. Conclusion: This case illustrates the efficacy of a multidimensional approach in managing SAM, emphasizing the importance of
addressing both medical and socioeconomic factors. Continued efforts are necessary to reduce the prevalence of SAM, aligning with Sustainable
Development Goals to ensure health and well-being for all children
ASSESSMENT OF TUMOUR PROLIFERATION BY USE OF THE MITOTIC ACTIVITY INDEX, Ki67, AND PHOSPHOHISTONE H3 EXPRESSION IN INFILTRATING DUCTAL CARCINOMA OF BREAST
Authors: Fathima Zubiya Suha , Suresh TN , Sreeramulu PN
Published: November 2024

Introduction: Inltrating ductal carcinoma (IDC) of the breast is the most common subtype of breast cancer, necessitating precise prognostic
markers. Phosphohistone H3 (PHH3) is a novel marker of mitotic activity that may offer superior prognostic information compared to traditional
markers like Ki67 and the mitotic activity index (MAI). Despite the widespread use of proliferation markers like Ki67 and the Mitotic Activity
Index (MAI) in breast cancer prognosis, their low reproducibility and subjective interpretation limit their usefullness. Phosphohistone H3 (PHH3)
has shown promise as a more reliable marker due to its specicity for mitotic cells, yet its relationship with traditional markers like Ki67 in breast
cancer remains underexplored. This study is needed to clarify the potential of PHH3 in improving prognostic accuracy, particularly in inltrating
ductal carcinoma, and to establish its role in enhancing breast cancer grading and guiding personalized treatment decisions. Aims: To assess PHH3
and Ki67 expression in inltrating ductal carcinoma of the breast and correlate it with mitotic activity index. Additionally, to investigate their
association with histological grade and TNM stage of the carcinoma. Objectives: The study aims to evaluate PHH3 expression in IDC and
compare its effectiveness with Ki67 and MAI in correlating with histological grade and tumor staging. Specically, it seeks to:
1. To assess PHH3 expression levels in IDC.
2. To correlate PHH3, Ki67, and MAI with histological grade and TNM stage of IDC.
Results: PHH3 expression was observed in 40.3% of cases and showed a stronger correlation with MAI compared to Ki67. High PHH3 expression
was more consistently associated with higher histological grades and advanced tumor stages, demonstrating its superior prognostic value over
Ki67 and MAI. Conclusions: PHH3 is a superior biomarker for assessing proliferation in IDC compared to Ki67 and MAI. Its stronger correlation
with histological grade and tumor staging underscores its potential to enhance prognostic accuracy and guide treatment decisions, leading to
improved patient outcomes.
A STUDY TO ASSESS THE KNOWLEDGE, ATTITUDE AND AWARENESS OF ORGAN DONATION AMONG THE PREFINAL YEAR STUDENTS OF G.R. MEDICAL COLLEGE, GWALIOR (M.P.)
Authors: Tiwari Ranjana , Dubey Gunjan , Lilhore Shiwani , Bansal Manoj , Diwan Priyanka , Asok Anjitha
Published: November 2024

Introduction: Despite the pressing need for organs in India, where organ failure causes nearly one lakh deaths annually, the country faces a severe
shortage of available organs, with only 905 deceased donors in 2017 against a demand for approximately 5 lakh organs. Material and Methods: A
Cross-sectional study was carried out from July to September 2023 and included 150 students using a pre-structured, pre-designed and validated
questionnaire. Percentages were calculated and appropriate statistical tests were applied. Results: In the present study, 93.33% students were
aware of the concept of word of organ donation, and showing the maximum awareness regarding kidneys (85.33%) as an organ used for organ
donation. Only (41.33%) knew about the organ donation policy of college. Television [105 (70%)] and books [92 (61%)] were the predominant
sources of information. 96 (64%) of students strongly agreed that organ donation should be encouraged, but only 36 (24%) were willing to take a
pledge for organ donation. Conclusion: The ndings highlighted the need for targeted educational interventions to enhance the knowledge and
willingness of medical students regarding organ donation.
EFFICACY OF PHYSIOTHERAPY IN BPPV PATIENTS IN TODAY'S WORLD: A REVIEW
Authors: Sangwan Preeti , Jagga Vinay
Published: November 2024

Objective: To study the effect of vestibular exercises and repositioning maneuvers on balance, dizziness and quality of life in BPPV patients.
Methodology: Several studies have been taken from google scholar, pubmed , springer link, Physiotherapy Evidence Database(PEDro) and
Taylor and Francis. Selection of study, extraction of data and assessment of methodological quality and clinical relevance were carried out
independently by reviewers. Result: In order to synthesize the results, the data extraction is done through trials that are incorporated in the review.
Therefore on the basis of incorporated articles the results are laid down. Conclusion: Although there are several procedures that can be used to
treat BPPV. Physiotherapy especially vestibular exercises effectively used in alleviating symptoms and thus in improving quality of life. and was
well tolerated by patients.
INTEGRATING RULE BASED CHATBOT IN LEARNING MANAGEMENT SYSTEM OF UNDERGRADUATE STUDENTS
Authors: K Venkatesh
Published: November 2024

Introduction: E-learning platforms, such as learning management systems (LMS), can enhance teaching learning outcome in medical education.
Rule-based chatbots, designed to simulate human-user interaction, can be integrated in LMS. Objectives: The study aimed to study the efcacy of
a rule-based chatbot after a teaching-learning session as an effective adjunct teaching tool in preclinical competency based medical education
(CBME) curriculum. Material and Methods: The study employed a cross-sectional design to examine the correlation between performance on
formative assessments before and after the implementation of a rule-based chatbot in the LMS. The study comprised 110 rst-year medical
students. Data collection involved acquiring written responses for formative evaluation about the key subject matter addressed during Physiology
lectures. Statistical Data Analysis: A statistical t-test was conducted to analyse students' formative assessment scores before and after deploying a
rule-based chatbot in a LMS. Results: The mean values of formative assessment scores obtained after the implementation of rule-based chatbots
were signicantly higher than those obtained before the implementation. Conclusion: Overall, the integration of chatbots in learning management
systems has shown promising results in improving student engagement and academic performance.
A Prospective Study On Serum D–Dimer Level At The Admission For Prediction Of Severity Of Acute Pancreatitis
Authors: U. D Manoranjan , R. M Manachandrahas , Anurag Anurag
Published: November 2024

Background: Acute pancreatitis is an inammatory condition with a variable clinical course, ranging from mild to severe forms that can lead to
signicant morbidity and mortality. Early prediction of disease severity is crucial for appropriate management. Serum D-dimer, a brin
degradation product, may serve as a predictive biomarker for the severity of acute pancreatitis due to its association with coagulation and
inammatory processes. Methods: This prospective observational study was conducted at the General Surgery department of Victoria Hospital,
BMCRI, Bengaluru, from April 2024 to July 2024. A total of 60 patients diagnosed with acute pancreatitis and admitted within 24 hours of
symptom onset were enrolled. Serum D-dimer levels were measured at admission, day 3 and 5. Patients were assessed for complications, including
acute pancreatic uid collection, acute necrotic collection, organ failure, pancreatic necrosis, and persistent organ failure. Statistical analysis was
performed using SPSS version 22, with a p-value of <0.05 considered signicant. Results: The mean serum D-dimer levels were signicantly
higher in patients with severe complications such as pancreatic necrosis and persistent organ failure compared to those with no complications . A
signicant correlation was found between elevated D-dimer levels and the severity of complications, with the highest levels observed in patients
with pancreatic necrosis. Age and sex did not signicantly inuence the occurrence of complications. The study ndings suggest that serum Ddimer levels at admission are a reliable predictor of the severity of acute pancreatitis. Conclusion: Serum D-dimer levels at admission are
signicantly associated with the severity of acute pancreatitis and may serve as a valuable prognostic marker for early identication of patients at
risk for severe complications. Incorporating D-dimer testing into the initial assessment could improve clinical management and patient outcomes.
COMPARITIVE EVALUATION OF INTRAORALAND EXTRAORAL DIGITIZATION OF MALOCCLUSION- AN INVIVO STUDY
Authors: S S Deepiga , Aiswarya Sandra , Priya Sagaya Mary , Devadoss Poorna , M K Karthikeyan
Published: November 2024

Aim: To evaluate and compare the Intraoral and Extraoral digitization of malocclusion with the greatest accuracy, in terms of trueness and
precision in vivo. Materials And Methods: Twenty patients with different skeletal patterns were enrolled for this study. Each participant was
subjected to both Intraoral scanning and elastomeric impression (Sample Aand sample B) respectively. Intraoral scan was performed using ITERO
ELEMENT intraoral scanner for both the samples. ORTHOANALYSER 3M Software was used to compare both the sample Aand B. The ITERO
3D scanner captured the samples and ORTHO ANALYSER SOFTWARE evaluated various parameters including dentoalveolar measurements,
distance from 11 to the line joining 6-6, overjet and scanning time. Results: The current study indicates a substantial agreement in terms of
accuracy in the anteroposterior length of the lower dental arch between the two groups. It signifies a high level of consistency in the inter-canine
distances of the upper arch between groups A and B. It suggests an almost perfect agreement in the intermolar distances of the lower dental arch
between the two groups. It shows a high degree of agreement in overjet measurements between groups A and B. Conclusion: To summarize the
differences between various dental measurements for the two groups, Significant differences are observed in certain measurements, while others
show no significant discrepancies. Thus the dimensional accuracy of intraoral scan data may differ significantly according to the type of scanner,
with the amount of error in terms of trueness being clinically significant.
Ricerca e formazione sul Service-Learning per lo sviluppo delle competenze dei docenti nel curricolo di educazione civica
Authors: Kulberg Taub Mikol
Published: November 2024

The contribution describes an exploratory study, part of a broader doctoral research, in which a training experience on the Service-Learning (SL) approach for implementing the civic education curriculum was carried out. The intention was to analyse whether and how the proposed training proved transformative for teachers (n=200). The study involved thematic analysis (TA) of the data obtained through a QUAL-Quant questionnaire proposed to the teachers. The results from the 58 respondents showed that the training increased the teachers' acquisition of both new professional skills, including teaching and methodological skills, and personal skills, such as communication skills and motivation.
Heritage education e pedagogia del patrimonio culturale: per un approccio olistico e globale
Authors: Di Rosa Marianna
Published: November 2024

The contribution explores the development of educational research on cultural heritage in Italy, comparing it with the European context and focusing on heritage education as an academic discipline. Starting from the semantic variability of cultural heritage, the research highlights the educational potential of a holistic interpretation of cultural heritage—an approach embraced by the italian expression of ‘pedagogia del patrimonio culturale’, a more comprehensive term than the commonly used ‘educazione al patrimonio’. The study outlines a theoretical foundation for heritage pedagogy, emphasizing the role of the university and prospects for future development, promoting a global strategy to reduce the misalignment between theory and practice.
Structural Bioinformatics Study Revealed Inhibition of Acute Myeloid Leukemia through Targeting Inhibition BTG2 Gene by Using Herbal Medicine
Authors: Hassan Amr , Hassanein Sameh E. , Elabsawy Elsayed A.
Published: November 2024

Acute myeloid leukemia (AML) is responsible for more than 40% of adult patients suffering from adverse effects leading to death around the world. The B-cell translocation gene 2 (BTG2) gene work as a tumor suppressor. In this study, a list of medicinal herb compounds and drugs was investigated for their pharmacokinetic properties and cytotoxicity by applying the SwissADME, pkCSM, and Molsoft LLC websites. The molecular docking between the medicinal herbs and AML-standard drugs against the human BTG2 gene was carried out by Auto-dock Vina. Furthermore, protein-protein interactions, gene ontology, and gene enrichment analysis were investigated to display the biological pathways related to BTG2. Also, molecular dynamics simulation was examined to study the behavior of the BTG2 protein and the protein-ligand complex. The present work exhibited that hesperidin displayed the highest binding affinity of −7.0 kcal/mol when interacting and docked against the BTG2 protein, while Cytarabinee and daunorubicin had binding affinity of 5.0 and 5.8 kcal/mol, respectively. The PPI highlighted 101 interactions with P-values less than 10 e-16., and the highest similarity score of 0.13 was found in P53 transcriptional gene network pathways. Interestingly, gene enrichment analysis illustrated that RNA degradation was the most significant enrichment pathway. Also, BTG2 contributes to the P53 signaling pathway in chronic myeloid leukemia. Via GADD45A gene. Molecular dynamics simulations were carried out for the highest binding docking (BTG2-hesperidin) complex, and the results revealed conformational alterations with more pronounced surface residue fluctuations in BTG2. The direct interaction of hesperidin with various crucial amino-acid residues like HIS 49, CYS 67, ARG 69, ASN 71, ASP 75, ARG 112, and THR 101 causes modifications in these residues, which ultimately attenuate the activity of the BTG-2 protein. The molecular dynamics determine the four numbers of H-bonds for executing the interaction between BTG2 and hesperidin. The best residue with high energy around all poses is Arg69. Finally, the present work highlighted that hesperidin was the highest phytochemical compound binding to BTG2 protein.
A Review of Marketing Stratergies for Promoting Sustainable Tourism Destinations in India
Authors: Fatima Dr. Zertaj , Aboghebra Mona Yahya , Banu Bilquis , Nazneen Ruhiya
Published: November 2024

Sustainable tourism for Indian destinations is promoted and marketed by utilizing marketing strategies to gain interest from travelers. However, the promotion of sustainable tourism destinations is achieved in a manner that does not jeopardize the environment or community conservation. Sustainable tourism is promoted by increasing the destination's visibility, which includes social media marketing, search engine optimization, and content marketing, one such example is the scheme of Swadesh Darshan, which was launched by the Indian tourism and it aims for the development of sustainable tourism destinations. Furthermore, enhancing cultural and community features in marketing might help to attract and retain tourists' interest, thereby strengthening sustainable tourism. To entice people to visit sustainable tourist places, the tourism sector is focusing on proper selling factors, physical improvements to attractions and accessibility, and proximity to other tourist sites. Overall, the current study reveals that a comprehensive Destination Management action plan can help accelerate India's green tourism transition. This study aims to understand some of the marketing strategies employed by Indian Tourism Industry on environmentally sustainable vacation spots. The Indian travel industry is impacted by sustainable tourism, one of the topics discussed in this article. This study is descriptive and relies only on books and periodicals covering a wide range of topics that are relevant to sustainable tourism destinations in India. Moreover, the present study also highlights, the importance of online marketing strategies for marketing sustainable Indian travel destinations which is discussed to have a better understanding of the future of the tourism sector in India. The particulars of the study are emerging from the SWOT analysis model for the assessment as well as the scrutinization of the potential of the Indian tourism industry.
Lost in Lost Highway: A Psychoanalytic Reading of Lynch’s Lost Highway
Authors: George Kevin
Published: November 2024

This review article provides a thorough psychoanalytic exploration of David Lynch's Lost Highway, a film celebrated for its intricate narrative and surreal imagery. Utilizing Freudian and Lacanian theories, the analysis investigates the film's themes of identity, trauma, and the unconscious. The protagonist's disjointed journey through fragmented realities serves as a case study in the manifestation of repressed desires and fears. By examining the interplay of memory, perception, and selfhood, this article reveals the deeper psychological currents that drive the narrative and influence character motivations. Furthermore, the discussion situates Lost Highway within Lynch's broader oeuvre, highlighting the director's fascination with the subconscious and the complexities of human experience. Ultimately, this psychoanalytic reading positions Lost Highway as not merely a cinematic puzzle but also a profound commentary on the nature of reality and the psyche, inviting viewers to confront their own unconscious landscapes.
An Advancement in Postharvest Biology and Fresh-Keeping Technology of Kiwifruit (Actinidia spp.): A Review
Authors: Hafeez Ameer Hamza , Iffat Atika , Fatima Sara , Ayesha Ayesha , Safdar Hina , Kanwal M Amna Jamil , Safdar Hifza , Usama Muhammad
Published: November 2024

Kiwifruit is a climacteric fruit that may decay rapidly and softens after harvest if not stored properly. How to expand the storage time of kiwifruit to maintain the quality, is a critical challenge for the kiwifruit industry development. Kiwifruit’s post-harvest life is tied closely to post-harvest management, such as scientific harvesting, green preservation, ethylene management, and low-temperature storage, as well as texture and quality. This study focuses on the advancement of related research from four perspectives and explores their impacts on kiwifruit storage in order to give a theoretical foundation for breeding varieties with superior storage capacity, and the development of storage and preservation technologies. Hayward and Hort16A varieties of kiwifruit had been cultivated largely in past but now, yellow-fleshed Sun Gold, Gold 3 and Gold 9, Hongyang, Maohua Cuixiang, Xuxiang, etc. are becoming significantly famous in international commerce. For the best postharvest quality, kiwifruit must be stored at low temperatures. Fruit quality, harvesting maturity, ethylene production, storage life, green preservation, and pathology are the priorities in breeding projects. To take advantage of adequate germplasm resources, reproductive biology understandings are needed.
Preoperative vs. Postoperative Functional and Pain Status in Arthroscopic ACL Reconstruction Using Quadriceps Tendon
Authors: Hossain Dr. Md. Saklayen , Chowdhury Dr. Abu Zafor , Mahmud Dr. Chowdhury Iqbal , Hossain Dr. Silvia , Alam Dr. Md. Shamsul
Published: November 2024

Introduction: Anterior cruciate ligament (ACL) injuries significantly impact mobility and overall quality of life, necessitating prompt and effective intervention. The purpose of this study was to assess preoperative versus postoperative functional and pain status in arthroscopic ACL reconstruction using the quadriceps tendon. Aim of the study: The aim of the study was to evaluate preoperative versus postoperative functional and pain status in arthroscopic ACL reconstruction using the quadriceps tendon. Methods: This prospective interventional study was conducted in the Department of Orthopaedic Surgery at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from March 2020 to August 2022, enrolling 30 patients with isolated anterior cruciate ligament (ACL) injuries. Informed consent was obtained, and diagnoses were established through X-rays and MRI. Outcome measures were evaluated using the Lysholm score, Tegner score, and Visual Analogue Scale (VAS) at follow-up intervals, with statistical analysis conducted using SPSS version 26.0. Result: The study of 30 patients (mean age 29.73 ± 7.00 years, 90% male) found significant improvements post-surgery: Lysholm scores rose from 48.57 to 89.63, Tegner scores from 3.03 to 7.10, and VAS pain scores dropped from 0.90 to 0.20 (all p < 0.001). Conclusion: Arthroscopic ACL reconstruction using the quadriceps tendon led to significant improvements in knee function, enhanced activity levels, and reduced pain, demonstrating its effectiveness in restoring pre-injury status.
Effect of Intravitreal Bevacizumab (Anti VEGF) Injection on Renal Function
Authors: Sultana Dr. Naznin , Faridi Dr. Jamsed , Bhuyan Dr. Md. Mahboobur Rahman , Alam Dr Md Mahfuzul , Khaleque Dr. Md. Abdul , Ali Dr. Tariq Reza
Published: November 2024

Background: Vascular endothelial growth factor (VEGF) plays an important role in the development of both Proliferative Diabetic Retinopathy (PDR) & Diabetic Macular Odema (DMO). An intravitreal anti-VEGF agent is an effective new modality of treatment. Some studies have dealt with systemic effects of intravitreal injection of anti-VEGF. However, decreasing renal function has been reported recently. Aims: To investigate the effect of intravitreal bevacizumab (anti VEGF) injection on renal function. Methods: This quasi-experimental study was carried out in the Department of ophthalmology, Bangabandhu Sheikh Mujib Medical University, Dhaka, during March 2019 to August 2021. A total of 40 patients with retinopathy treated with intravitreal injection bevacizumab were included in this study, out of which 20 patients having diabetic kidney disease (DKD) and rest 20 patients without diabetic kidney disease (No DKD). The patients having Diabetic Kidney Disease (DKD) whose Urinary Albumin Creatinine Ratio (UACR) > 30 mg/g or Effective Glomerular Filtration Rate (eGFR) < 60mL/min/1.73m2, No Diabetic Kidney Disease (No DKD) whose UACR < 30 mg/g or eGFR > 60mL/min/1.73m2. Patients of both sexes and age above 18 years were enrolled in this study. Pre- injection and 1 month after 3rd dose of intravitreal injection of bevacizumab, UACR, Serum Creatinine and eGFR were measured and compared. Results: It was observed that half (50.0%) of the patients in DKD and more than half (65.0%) in No DKD belonged to age group 50-59 years. Male was predominant in both the groups. The mean pre-injection of serum creatinine was 1.23±0.53 mg/dl in DKD and 0.87±0.22 mg/dl in No DKD. The mean post-injection of serum creatinine was 1.19±0.45 mg/dl in DKD and 0.87±0.16 mg/dl in No DKD. The mean pre-injection of UACR was 1294.9±968.26 mg/g in DKD and 13.8±5.99 mg/g in No DKD. The mean post-injection of UACR was 1142.11±1024.06 mg/g in DKD and 13.01±6.87 mg/g in No DKD. The mean difference of serum creatinine, eGFR and UACR were not significant (p>0.05) between pre-injection and post-injection in both groups. Conclusion: Serum creatinine, eGFR and UACR were almost similar between pre-injection and post-injection in patients with diabetic kidney disease (DKD) and patients without diabetic kidney disease (No DKD).
The Influence of Parents' Knowledge Level on the Behavior of Paracetamol Syrup Use in the Community and Health Service Facilities in the City of Bandung
Authors: Sutrisno Entris , Anggriani Ani , Sodik Jajang Japar , Putri Nabila , Apriliani Ajeng
Published: November 2024

This study aims to determine the analysis of the influence between the level of knowledge on the behavior of using paracetamol syrup in parents in the community and health care facilities in the city of Bandung. The research method used was analytic-correlation in a cross sectional approach. The sampling technique used was accidental sampling. Data collection was carried out using a questionnaire with data analysis using the Spearman Rank correlation test. The results showed that the level of knowledge of parents or guardians in the community (community) and three health care facilities in Bandung City (Pharmacy, Clinic, Puskesmas) the majority had high knowledge (65.13%). The behavior of using paracetamol syrup in parents or guardians in the community (community) and three health care facilities (Pharmacies, Clinics, Puskesmas) the majority had very good behavior (67.58%). In this study, the level of knowledge affects the behavior of paracetamol syrup use in the community (community) and three health care facilities in Bandung City (Pharmacies, Clinics, Puskesmas). So that the better the knowledge, the better the behavior of using paracetamol syrup.
CIÊNCIA CIDADÃ E O ENSINO DE CIÊNCIAS: REFLEXÕES PARA BOAS PRÁTICAS A PARTIR DE UM CURSO DE FORMAÇÃO.
Authors: Pessoa Rodrigo , Moreti de Sousa Rosa Marllon , Bologna Soares de Andrade Mariana Aparecida
Published: November 2024

Scientific Literacy (SL) aims to develop students' and teachers' knowledge of Science and Technology for civic education. In this sense, numerous teaching approaches have emerged seeking to promote SL aspects in the classroom. Citizen Science (CS) is an emerging approach involving the school community in research problems, allowing students to engage in scientific practices through experimental protocols. Thus, this study aimed to identify and analyze, using Social Representations Theory (SRT), the representations of a group of teachers from the Paraná State public school system participating in a CS training course, focusing on their role in CS practices and reflecting on training for good CS practices. We used a questionnaire with the Free Word Association Technique (FWAT) to identify SR, inducing terms related to 3 axes: Scientific Knowledge, Citizen Science, and Science Teaching through Protocols. The group's evocations were analyzed using Bardin's content analysis, and organized into categories and subcategories. In the Scientific Knowledge axis, there is a predominance of generalist representations; for the Citizen Science axis, representations focus on participation, but more general notions still prevail; and in the Science Teaching through the Citizen Science axis, teachers present representations of a technical and pragmatic protocol. Therefore, we understand that for more meaningful training, it is necessary to involve teachers in building practices, allowing greater participation and engagement in CC concepts.