bluuebunny/crossref_metadata_2025 huggingface dataset:
Fiber Bragg Grating-Based Tunable Wavelength Orbital Angular Momentum Beam Generation with Varying Polarization
Authors: Koley Avijit
Published: December 2024

This paper introduces and theoretically analyze the generation of orbital angular momentum (OAM) modes with different polarization in a few-mode optical fiber using short-period gratings (Bragg gratings) at telecommunication wavelengths. The modal characteristics of the supported modes have been studied using a full-vector true-mode analysis. Additionally, a appropriately designed raised-cosine apodized grating is employed to couple the HE11 core mode to the counter-propagating cladding mode. In contrast to the long-period grating based OAM mode generation, the present scheme is free from periodic back-coupling of optical power into the fundamental core mode which drastically enhances the OAM mode purity. The ±1-order OAM beam has been generated by combining the first higher order core modes with a π/2 phase shift between them. This paper also shows that by combining different higher order modes, it is possible to obtain a linearly polarised OAM mode or a circularly polarised OAM mode. Finally, I also report that in fibers with larger core radius, the higher order OAM mode of topological charge ±2 or higher can also be generated using similar approach of using short-period gratings. The topological charge of the OAM mode is verified by observing both the coaxial and off axial interference fringes.
 
Received: 13 March 2024 | Revised: 3 June 2024 | Accepted: 25 November 2024
 
Conflicts of Interest
The author declares that he has no conflicts of interest to this work.
 
Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.
 
Author Contribution Statement
Avijit Koley: Conceptualization, Methodology, Software, Validation, Formal analysis, Data curation, Writing - original draft, Writing - review & editing.
Analisis Penerapan Digital Marketing Pada Platform TokoPedia di PT. Bangunan Jaya Prima (BJ Home)
Authors: Fadillah Ajeng Ismil , Hadithya Riyan
Published: December 2024

Pemasaran digital telah menjadi salah satu pilar utama dalam strategi bisnis modern , menyatukan teknologi dan internet untuk menjangkau konsumen secara lebih efektif dan efisien. pemasaran digital menawarkan berbagai alat dan teknik untuk membangun hubungan yang lebih personal dan interaktif dengan konsumen. Hal ini bisa dicapai dengan adanya digital marketing. Kondisi teknologi yang berkembang semakin pesat menimbulkan hal-hal baru terjadi dalam kehidupan sehari-hari.
Penelitian ini menggunakan metode kualitatif dengan menggunakan analisis deskriptif , dengan populasi nya yaitu konsumen yang pernah berbelanja di Tokopedia BJ Home dan sampel nya  50 orang. Untuk mengumpulkan data dari responden dilakukan penyebaran kuesioner yang berisikan pernyataan yang berkaitan dengan 5 indikator digital marketing yaitu aksessibilitas, interktivitas, kepercayaan, kejengkelan, dan informatif.
Hasil penelitian menunjukan bahwa tingkat capaian responden (TCR) rata rata pada indikator digital marketing adalah 37,86 dengan nilai rata-rata sebesar 3,786 atau di bulatkan jadi 3,8 yang termasuk kedalam kategori baik, menandakan bahwa penerapan digital marketing di platform Tokopedia BJ Home termasuk baik. Hasil penelitian ini memberikan pemahaman yang lebih dalam, tentang bagaimana penerapan pemasaran digital yang efektif dapat meningkatkan pengalaman pengguna dan kepuasan pelanggan dalam konteks e-commerce.
Acute parkinsonism secondary to SARS Cov 2 infection
Authors: Kediha Mohamed Islam
Published: December 2024

SARS Cov 2 or Corona virus is a respiratory virus, responsible for a new pandemic since 2019. Main symptoms revolve around respiratory manifestations. Nevertheless, many extra-respiratory attacks are attributed to it. Among these impairments, neuropsychiatric disorders are frequently reported. They are manifested by cerebral vascular accidents, myelitis and mainly Guillain Barré syndromes. We report in this work the case of a patient who presented an acute Parkinsonian syndrome following COVID 19 infection. Brain MRI objectified lesions of the basal ganglia. The evolutionary consequences were favorable after treatment targeting covid 19 infection’s encephalopathy and Parkinsonian symptoms. This extremely rare clinical case enriches the very broad spectrum of neurological manifestations of SARS Cov 2 infection.
Nasopharynaeal adenoid cystic carcinoma, a rare disease. A case report and literature review
Authors: Bechairia Wafa
Published: December 2024

Nasopharyngeal adenoid cystic carcinoma is a rare tumor. Compared with other nasopharyngeal tumors, it is characterized by its slow evolution but is locally aggressive and has a high tendency to recurrence. Due to the rarity of cases, no consensus exists about treatment approaches. We report the case of 42-year-old man with a locally advanced adenoid cystic carcinoma. The patient received concurrent chemoradiation and had a good response. After one year, he developed lung metastasis and received platin-based chemotherapy. The aim of this work is to review the literature concerning this rare malignancy and discuss treatment approaches, both for initial management and locoregional/metastatic relapses.
Eyelid sebaceous carcinoma, from diagnosis to reconstruction, a case report
Authors: HAMMA Amine
Published: December 2024

Sebaceous carcinoma is the third malignant eyelid tumor in terms of frequency. Very often, its confusion with benign pathologies worsens its prognosis. We report the case of a 65-year-old male patient who consulted at our level for the management of an eyelied swelling wrongly labeled as a chalazion and treated surgically by curettage. The latter recurs and invades the free edge of the upper left eyelid. His attending physician decides to refer him for specialized care in oculoplasty. The ophthalmological examination found a good visual acuity corrected to 10/10 in both eyes. The slit lamp examination noted an upper left eyelied tumor developed at the expense of tarsus, mesuring 13 mm by 14 mm, extended to the free edge of the eyelid,
ulcerated in its center with a loss of eyelashes opposite. The rest of the
ophthalmological examination was normal. The undertaken action consisted in a biopsy of the tumor which confirmed the presence of a sebaceous carcinoma, followed by a complete removal of the tumor with safety margins of 5 mm and reconstitution by a Cutler-Beard myocutaneous flap whose aesthetic and functional results are very satisfactory. The oncological opinion as well as the extension assessment were negative and no adjuvant treatment was necessary apart from clinical monitoring. Eyelid sebaceous carcinoma remains a very debilitating pathology, difficult to diagnose resounding to both visual and vital prognosis. This raises the interest of a close multidisciplinary collaboration between ophthalmologists, oncologists, pathologists and radiotherapists.
Oral candidiasis in diabetic patients
Authors: Hamouda Ouanassa
Published: December 2024

Introduction. Oral candidiases are affections of the oral cavity induced by yeasts of
the genus Candida, which develop in patients with a fragile ground and more
particularly immunocompromised patients, including diabetics. Our study is
prospective descriptive, carried out at the University Hospital of Batna, the main
objective of which was to determine the prevalence of oral candidiasis in diabetic
patients hospitalized in different departments, to describe the risk factors and the
involved species. Material and methods. We included in our study 78 diabetic
patients, oral samples using sterile swabs were taken for each patient and an
information sheet was established, including demographic, clinical, therapeutic and
biological data. Samples were cultured. The identification of Candida species was
made by the Auxacolor kit. Results. The prevalence of oral candidiasis in our study
was 63%. We noticed the predominance of the male sex (53%). Most patients were
hospitalized in the pediatric department with a frequency of 40%. The most
incriminated species was Candida albicans. The main risk factors contributing to the occurrence of this disease were: antibiotic therapy, diabetic ketoacidosis and the wearing of dental prostheses. Conclusion. Systemic health is linked to oral health,
especially in people with diabetes, who require rigorous management and the
involvement of health professionals in strategies for recognizing, preventing and screening their disease. Therefore, the inclusion of an oral examination for diabetic patients has become essential, in order to avoid infectious complications including oral candidiasis.
Disruption of renal balance sheet in Covid-19; experience of the home hospitalization unit (HHU) Covid-19 during the third wave
Authors: Righi Nora
Published: December 2024

The main target of SARS-CoV-2 would be the pulmonary alveolus. Nevertheless, this coronavirus can affect other organs, including kidneys, either directly or indirectly. Acute renal failure (AKI) during SARS-CoV-2 infection is frequent and multifactorial involving mechanisms more specific to COVID-19 (viral invasion, endotheleitis and thrombosis, activation of the renin angiotensin aldosterone system, and elevation of pro-inflammatory cytokines) as well as indirect mechanisms (haemodynamic failure, effect of mechanical ventilation and iatrogenics). Objective. To describe the frequency of renal failure during SARS-CoV2 infection in patients admitted to the expanded
Covid-19 home hospitalization unit (HHU) in EPH Batna. Materials and methods. Our work consisted of a longitudinal and exhaustive prospective study having focused on symptomatic patients evoking covid-19 infection listed by the triage centers at EPH and CHU Batna as well as their family circle admitted at the HHU unit, over a period from June 1st to August 31, 2021. Results. Among the 669 patients collected, which corresponded to 669 households with 1853 contact cases at the family level, 45 patients (6.7%) had a disturbance of the renal evaluation whose mean age was 69.8
years with a male predominance (sex ratio: 1.4). History of Covid-19 infection was found in 7% of cases. 71% of patients were confirmed cases, 13% probable cases and 15% remained suspect. Among the patients with renal impairment, 10 (22.4%) were already in stage 3 RI, the rest divided respectively into stages 1 and 2 (53.3% and 24.4%). 40 patients (89%) in ARI had progressed to a moderate to severe form, 46.7% were transferred to hospital. It was noted that 8% of patients who had a moderate form
were vaccinated, the evolution was favorable in 51.2% of cases. On the other hand, we only deplored one death (2.2%). The risk factors associated with ARI in our patients were: advanced age > 65 years in 75.6% of cases as well as comorbidities 62.2% (diabetes 46.4% hypertension 25% and cardiovascular disease 17.9%). Conclusion. Studies are still needed to follow the outcome and impact of Covid 19 on kidney damage and its long-term effects on the kidneys.
Delayed two stage breast reconstruction with acellular dermal matrix
Authors: Chotárová Martina , Mitevová Dominika , Čaniga Filip , Trška Rastislav , Palenčár Drahomír
Published: December 2024

Introduction: The aim of this study was to assess the long-term impact and potential effectiveness of our specialized acellular dermal matrix (ADM) in a two-stage breast reconstruction process. Objective: Opinions regarding the use of ADMs are currently divided. While their positive contribution to reconstructive breast surgery is evident, the results of studies vary depending on specific procedures, patient selection, and techniques employed. Material and methods: In a retrospective study conducted between January 2015 and October 2023, it was examined a cohort of patients who underwent delayed two-stage breast reconstruction with the addition of ADM prepared by Central Tissue Bank (CTB) the Burn and Reconstructive Surgery Department University Hospital Ružinov. Our primary focus was on the occurrence of significant postoperative complications during both the initial and subsequent reconstruction periods, taking into account patients’ medical history, comorbidities, and adjuvant therapy. Results: We examined a total of 46 patients (49 breasts) who underwent two-stage breast reconstruction. The average age of the patients was 46 and the average BMI was 23.1. The average length of outpatient follow-up for female patients was 32 months. We observed a total of 4 cases of capsular contracture, ranging from grade I to grade III, with 2 cases requiring surgical revision through capsulotomy and implant exchange. Postoperative complications, such as infection and dehiscence leading to expander/implant loss, occurred in one case. The occurrence of seroma was noted in 3 cases. Complications were more frequently observed in the group of patients with post-radiation chest changes and comorbidities such as diabetes or hypertension, and in patients with a lower BMI than the group’s average (23.1). In the group of patients who were smokers, we did not observe an increased rate of complications, with the exception of wound dehiscence in cases where there was no expander exposure. Conclusion: In experienced hands, ADM prepared by CTB and used in delayed two-stage breast reconstruction, can be beneficial as an adjunct to prosthetic breast reconstruction while also reducing costs.
Limberg flap for previously recurrent complex sacrococcygeal pilonidal sinus surgeries
Authors: Aljarrah Jehad , Alrawashdeh Ibrahim , Debian Mohammad , Harahsheh Taher , Aldurgham Ala , Alshehabat Laith , Alrabadi Anas , Abu Anzeh Abdallah , Alhalahlah Trad , Abual’anaz Mohammad
Published: December 2024

Objective: Limberg flap, is a rotational rhomboid flap. A procedure done for people who have either complex or recurrent pilonidal disease. This study has been performed to determine effects of the Limberg flap for sacrococcygeal pilonidal sinus, regarding the wound infection rate, seroma formation, postoperative pain relief, recurrence rates, return to work, its cosmetic final result and patients’ satisfaction. Methods: A total of 10 patients were operated from January 2022 to March 2023. Patients were selected according to the disease complexity and recurrence, so that the patients selected were classified as complex and at least of a second recurrence of the disease. Results: Patients successfully underwent surgery, with mild to moderate postoperative pain, stayed in hospital for 3 days in average, returned to work after 6 weeks, with 5 patients having flap oedema, 1 patient had wound infection, no one had flap necrosis, and there were no recurrences so far for an average follow-up time of about 3 months. Patients with flap oedema took 2–3 weeks to heal with regular dressing only. Patient satisfaction and final cosmetic result were well accepted. Limberg flap for sacrococcygeal pilonidal sinus was found very useful in terms of recurrences. Conclusion: Better patients’ acceptance and satisfaction despite the increased risk in postoperative pain, infection rates, and longer return to work in comparison to the open procedures.
An extremely rare case of absent extensor digitorum communis of the right index finger
Authors: Patil Surendrakumar B. , Doshi Sukhen , Bhasin Mayank
Published: December 2024

The hand is a unique structure in human body performing complex activities of daily life making it prone to injuries. While operating on zone VI extensor tendon injury, a surprising entity was observed. The extensor digitorum to the right index finger was absent. This is an extremely rare entity in the literature. Also, all previous studies on the extensor digitorum are cadaveric. Our findings are first of its kind intraoperative, incidental, and confirmed on MRI. Thus, it becomes a case report of special worth mentioning in literature.
Analysis of 5G with Wi-Fi Analyzer
Authors: Mohd Hakimi Zohari  , Azlina Bahari  , Mohd Fadly Razak
Published: December 2024

Currently, 5G is widely implemented in many countries especially developed countries. It is important for many users in their daily routines. 5G enables a new kind of network that is designed to connect virtually everyone and everything together including machines, objects, and devices. The 5G connection gives higher performance and improved efficiency for empowering new user experiences and connecting new industries.
KEGIATAN KONSELING PADA PENDERITA HIPERTENSI DI RT 02 RW 03 DESA SUKAMULYA KECAMATAN SINGAPARNA KABUPATEN TASIKMALAYA TAHUN 2023
Authors: Sri Rahayu Ratna Ningsih
Published: December 2024

Kesehatan merupakan salah satu unsur penting dan mendasar yang harus dipenuhi guna tercapainya keberlangsungan hidup yang produktif baik secara ekonomi maupun sosial. Dalam mewujudkan derajat kesehatan masyarakat yang optimal, tentu ada beberapa faktor yang mempengaruhi kualitas derajat kesehatan itu sendiri. Menurut data dari Badan Kesehatan Dunia (WHO) tahun 2018, penyakit ini adalah penyebab nomor satu kematian di dunia dalam setiap tahunnya. Sebanyak 1,13 miliar orang di dunia menderita hipertensi, artinya 1 dari 3 orang di dunia terdiagnosis menderita penyakit tersebut.Tujuan kegiatan ini adalah untuk melaksanakan Kegiatan konseling Mengenai pola hidup sehat bagi penerita hipertensi. Metode yang digunakan pada kegiatan  ini adalah sosialisasi kegiatan, persiapan media, pemetaan kasus hipertensi dan pelaksanaan kegiatan konseling. Sasaran dari kegiatan ini  adalah 5 orang penderita hipertensi dengan rentan usia 45-54 tahun ke atas 2 diantaranya berjenis kelamin laki-laki dan 3 perempuan, dan kegiatan ini diikuti oleh 3 orang. Hasil dari kegiatan ini didapatkan hasil temuan kasus Hipertensi di RT 02 RW 03 terdapat 5 orang penderita hipertensi dengan rentan usia 45-54 tahun ke atas 2 diantaranya berjenis kelamin laki-laki dan 3 perempuan. Dari ke 5 orang penderita terdapat faktor risiko seperti: faktor keturunan, usia dan gaya hidup, dilaksanakan konseling dan adanya komitmen atau pengambilan keputusan yang akan dilakukan oleh 3 sasaran penderita hipertensi yaitu merubah pola hidup lebih sehat dengan melakukan olahraga rutin, mengurangi rokok, mengurangi minuman yang berkafein, mengkonsumsi makanan yang lebih sehat dan akan rutin mengontrol kesehatan ke fasilitas kesehatan terdeka.Disarankan kepada masyarakat untuk dapat meningkatkan pemahaman masyarakat dan mendorong untuk merubah perilaku hidup yang lebih sehat seperti CERDIK: Cek kesehatan secara rutin, Enyahkan asap rokok, Rajin berolahraga, Diet seimbang, Iatirahat cukup, Kelola stres.
Corrosion Behavior of Weathering Steel in Atmospheric Environment Containing Fine Particulate Matter and the Influence of Stabilization Treatment
Authors: Guo Tieming , Zhao Shuaijie , Zhou Guiyi , Wu Weihong , Hu Yanwen , Yi Xiangbin
Published: December 2024

The corrosion behavior of weathering steel Q345qENH exposed to an atmospheric environment rich in fine particulate matter Northwest China for 3 y was studied. The effects of stabilization treatment (treatment method to accelerate the formation of stable rust layer on the surface) on the kinetic curves of the sample, the structure and physical phases, and the electrochemical properties of the rust layer were analyzed. The long-term corrosion tendency of the two samples was predicted by the kinetic model. The results show that the corrosion rate of stabilized samples is greater than that of the untreated before 1 y, and the result is opposite after 1 y. In addition to α-FeOOH, γ-FeOOH, Fe2O3, and Fe3O4, the rust layer also contains a large amount of SiO2. The resistance of the rust layer of the stabilized sample is 1.25 and 1.06 times higher than that of the untreated sample at 12 and 36 month of corrosion, respectively. In that environment, corrosion products nucleate with SiO2 as the base and encapsulate the soil dust to form particles of different sizes, which leads to poor bonding within the rust layer. The stabilization treatment improves the physical barrier effect of the rust layer, reduces the adhesion of SiO2 inside, and promotes the formation of a dense rust layer.
ANTIBIOTICS RESISTANCE PATTERNS IN GRAM POSITIVE UROPATHOGENS IN CHILDREN
Authors: Tahir Madiha , Anwar Huma , Khalid Hareem , Batool Raza Afsheen , Choudhary Saadia
Published: December 2024

Background:Children and infants are commonly infected with UTIs due to several anatomical reasons and hygiene measures. This study was conducted to see antibiotic-resistant patterns in Gram Positive Uropathogens in children in Children's Hospital, Lahore. The most common organisms causing UTI in children are gram-negative pathogens but some gram-positive pathogens.Materials &Methods:Urine samples obtained from 200 children taken with non-probability,convenient method presenting with UTI were cultured on CLED agar and then drug sensitivitytesting of isolated gram positive bacteria (n=25) was performed using Disk diffusion (Kirby Bauer)method on Muller Hinton agar plates as per standard laboratory guidelines.A descriptive study(cross-sectional)was conducted to assess sensitivityagainst Ampicillin, Cotrimoxazole,amoxicillin, cefotaxime, Ceftriaxone, tobramycin, amikacin, Sulbactam, Nitrofurantoin, andPolymixin B.Results:The mean age of children in this study was 2.4 years from 0 to 5 years. Among Gram positive uropathogens Staphylococcus aureus (65%) was the commonest organism isolated. Enterococci were isolated in 25% of cases. Coagulase-negative staphylococci were 10%. Gram positive cocci included Methicillin Sensitive Staphylococcus Aureus (MSSA) (50%) and Methicillin Resistant Staphylococci (MRSA) (50%). The highest resistance was noted against Ampicillin (68%). The lowest resistance was noted against tobramycin (24%).Conclusion:Emerging antibiotic resistance has rendered many first-line drugs ineffective against UTI-causing organisms and treatment regimens need to be revised.Keywords: Urinary Tract Infection, Urinalysis, Gram Positive Uropathogens, Antibiotic sensitivity, Resistance
RELATIONSHIP OF PERIPHERAL BLOOD LYMPHOCYTE/MONOCYTE RATIO WITH CLASSICAL HODGKIN’S LYMPHOMA STAGE AT THE TIME OF DIAGNOSIS AND ITS UTILITY AS PROGNOSTIC FACTOR
Authors: Saleem Umera , Maab Rafeeda , Syndeed Pal Hajrah , Naveed Muhammad Asif
Published: December 2024

introduction:Hodgkin lymphoma, a prevalent neoplasm in our part of the world requires the simplest investigations that can overview prognostic features.The objective of this study is to examine the lymphocyte-monocyte ratio (LMR) in various stages of classical Hodgkin’s lymphoma (cHL) as defined by Ann Arbor Staging System and to study the relationship of LMR with the overall survival of the patients.Materials & Methods:A prospective cohort study was done attheDepartment of Pathology, King Edward Medical University, Lahore from June 2019 to June 2024.Eighty patients were enrolled after informed consent.Clinical parameters included age, gender, and clinical stage. Laboratory parameters included histology, serum albumin, Hemoglobin (Hb), Total leukocyte count, ALC, and AMC with 3-year overall survival. LMR was calculated from the EDTA sample taken and overall survival in each stage was recorded.Results:Out of eighty patients, 78.8% were males. The mean age was 40.9±14.8 years. LMR was highest in stage I and lowest in stage IV. Lower LMR was associated with inferior overall survival.Conclusion:LMR at diagnosis is inversely related to disease stage in cHL and patients with low LMR have a poor disease outcome. This relationship with stage can be used to predict the clinical outcome in patients with cHL in resource limited countries.Keywords: Classical Hodgkin lymphoma, absolute lymphocyte count, absolute monocyte count, lymphocyte/monocyte ratio, and survival rate.
EFFECTS OF GENETIC & ENVIRONMENTAL FACTORS ON THE PHARMACOKINETICS OF CEFUROXIME FOLLOWING INTRAMUSCULAR ADMINISTRATION IN HEALTHY ADULT MALES FROM PAKISTAN
Authors: Shouket Saima , Rashid Memoona , Ur  Rehman Muhammad  Haseeb , Yaqub Sulaman , Ijaz Qazi  Amir , Rasheed Shahzad
Published: December 2024

Background:Cefuroxime is an extensively prescribed broad-spectrum beta-lactam antibiotic employed to treat a wide range of bacterial infections. Variability in drug response and pharmacokinetics due to genetic and environmental variations among population subsets during clinical trials necessitate the need for a comprehensive study of the drug’s pharmacokinetics in the Pakistani population.Materials & Methods:The pharmacokinetic study was carried out on eight adult male healthy volunteers at the dose of 10.7 mg/kg/intramuscular. Samples of blood were taken at predetermined time intervals 0, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, and 6 hours. High performance liquid chromatography (HPLC) was used to measure the cefuroxime concentration in plasma. Pharmacokinetics of cefuroxime, in the Pakistani population, were determined by plasma concentration time curve using two compartment open model without lag time.Results:Pharmacokinetic parameters (mean±SD) were calculated and came out to be; maximum plasma concentration (Cmax) 31.35±0.90μg/ml, time to reach maximum plasma concentration (Tmax) 0.75±0.02h, volume of distribution (Vd) (0.28±0.02l/kg, half-life (t1/2) 1.4±0.1h, area under curve (AUC) 78.7±3.56μg h/mL.Conclusion:In the Pakistani population it is suggested that minimum inhibitory concentration can be achieved by 1.5μg/mL of plasma level. The optimum dosage regimen of 7.31 mg/kg of body weight for the primary dose, and 7.16 mg/kg of body weight as the maintenance dose, to be repeated every 8 hours.Keywords: Cefuroxime, Pharmacokinetics, Metabolism, Genetic Polymorphism, Environmental Factors
ELUCIDATING THE EFFECT OF MULTIMODAL THERAPY (MMT) ALONE AND MMT ALONG WITH COGNITIVE BEHAVIORAL THERAPY (CBT) ON DISABILITY IN PATIENTS OF CHRONIC LOW BACK PAIN (CLBP).
Authors: Alam Muhammad Mahmood , Chandran Suriyakala Perumel , Alam Saiem
Published: December 2024

Background: Low back pain (LBP) is considered one of the leading global public health issues. It contributes to significant disability and limits participation in regular work activities and the social life of people. The World Health Organization (WHO), stated an estimate that people around 619 million all around the globe have been or are going through low back pain. Most individuals hold the capability to recover within 12 weeks while a significant number of people progress towards chronic low back pain which is further marked by persistent pain and disability. Material & Methods: A randomized controlled trial involved two intervention arms which was performed at the Akhtar Saeed Physiotherapy Clinic in Lahore, Pakistan. The people who participated in the study were split into two groups: Group A received only Multimodal Therapy (MMT), whereas Group B was treated with a combination of MMT and Cognitive Behavioral Therapy (CBT). Each group included equal participants.Results: The mean difference in MODI scores was 8.66 (95% CI = 6.20-11.12, P < 0.001) for Group A and 17.24 (95% CI = 15.15-19.32, P < 0.001) for Group B which highlighted the effectiveness of the combination treatment of CBT & MMT in reducing disability than MMT alone.Conclusions: The results indicated a significant mean difference in group B. The mean difference suggests that the combination of CBT & MMT is more effective in reducing disability as measured by MODI than MMT alone.KEYWORDS: Cognitive behavioraltherapy, multimodal therapy, Low back pain, Keel start back tool
New nurse orientation
Authors: Mulligan Maureen
Published: December 2024

Use this simple checklist to guide nurses from the classroom to the bedside.
FORMAÇÃO DOCENTE EM EDUCAÇÃO FÍSICA E LUTO
Authors: Soares Rodrigo Lemos , Goulart Pinto Gustavo , Santos Pedro Dalcin , Martins dos Santos William Martins dos , Souza Mauren Assis de
Published: December 2024

O câncer é constituído por mais de 100 doenças ligadas ao crescimento desordenado de células e o tratamento pode variar entre, cirurgia, quimioterapia, radioterapia e/ou transplante. O diagnóstico de uma neoplasia significa acessar um campo de possibilidades vinculadas a transformação físico-emocional, principalmente do sujeito acometido, porém a rede de pessoas que o circula, também é afetada. A questão da escrita é: estaria o currículo contemplando uma formação que respalda relações com a frustração humana, como por exemplo o luto? O objetivo geral é a ação de narrar as memórias de uma experiência, a partir de atividades com pacientes oncológicos e seus cuidadores. A metodologia decorreu do uso do diário de bordo, produzido a partir de uma intervenção com 15 sujeitos da AAPECAN. Consideramos que a Educação Física ao recorrer a rotina de práticas de atividades físicas aliadas a expressividade, ludicidade e afetividade produz respostas positivas no tratamento de pacientes oncológicos.
Stage Adaptation and the Theatre as a Medium : The Impact of Filmed Performances on Audience Reception and Experience in the Case of Gregory Doran’s and Lyndsey Turner’s Hamlet Adaptations
Authors: Bariz Evelin
Published: December 2024

During the Covid-19 pandemic, humanity had to deal not only with the lifethreatening dangers of the disease, but also with the changes it brought to everyday life:
lockdowns took place almost everywhere, dramatically affecting the world of work, business,
commerce, and even entertainment. Theatres were among the first to be affected by the
pandemic, and to mitigate the negative effects of the lockdown, online platforms were set up,
allowing people to buy “tickets” to see filmed versions of stage productions. However, the use
of a wide range of medium, including the recording of a performance, was not triggered by
Covid-19. Several plays had already been adapted for film or used as the basis for various
series before the outbreak of the pandemic. In addition, the Royal National Theatre of Great
Britain had already launched the National Theatre Live which broadcasts various UK theatre
productions live to many cinemas around the world. Such initiatives, online platforms and the
increasing number of various mediums give a wider audience access to theatrical productions
but watching filmed versions of stage adaptations may manipulate the audience’s perception
more than seeing traditional theatre performances or reading the written text of the original
play. The present paper seeks to examine how recordings of stage productions affect audience
reception and experience, using two contemporary stage adaptations of William
Shakespeare’s Hamlet as examples: Gregory Doran’s 2009 version for the Royal Shakespeare
Company and Lyndsey Turner’s 2015 version for the Barbican Theatre.
Storytelling: Adaptability and Expansion of American Indian and Indigenous Culture
Authors: Kodó Krisztina
Published: December 2024

Storytelling is a basic feature of American Indian and Indigenous culture, which is a
form of educational knowledge transmission that dates back thousands of years, to the
beginnings of Indigenous culture and tradition. Storytelling is common to all Indigenous nations
and tribes regardless of nation and tribal belonging. The creation stories may be considered as
the first stories that were told, however, each nation and tribe has its own specific tales and
creation stories with its own set of symbolism which have been told and retold countless times
since time immemorial.
When a story is retold, it turns out to be different as the storyteller adapts and alters the story to
suit its current environment. The method commonly used in storytelling is to adapt and expand
the story being told without altering its meaning or the symbolic significance of its characters.
Thomas King in The Truth About Stories (2003) expounds on the meanings and significance of
storytelling which his countless short stories testify, from which the best known is The One
About Coyote Going West (1993). Deborah Miranda in Bad Indians (2013) illustrates how
storytelling defines and expands their Indigenous heritage, and ensures their survival and
capacity for resilience.
Plantas medicinales para uso etnoveterinario en dos mercados locales de la zona Suroriente del Estado de México
Authors: Reyes Carcaño Melissa , Espinosa Ayala Enrique , Chávez Mejía María Cristina , Marquéz Molina Ofelia , Hernández García Pedro Abel
Published: December 2024

El uso de plantas medicinales en la producción animal es una práctica vigente, la etnoveterinaria es una alternativa sustentable en términos económicos, culturales, ambientales y para la inocuidad alimentaria. A partir de estos saberes se atienden malestares digestivos, respiratorios y golpes o heridas en caballos, vacas, aves de corral, borregos y conejos. Las plantas medicinales son comercializadas en mercados locales, espacios donde convergen conocimientos bioculturales. El objetivo fue documentar el conocimiento etnoveterinario en mercados locales de la zona Oriente del Estado de México, con el propósito de identificar si se conservan conocimientos bioculturales sobre el uso de plantas medicinales en la producción pecuaria de traspatio. Se trata de un estudio cualitativo, se realizaron entrevistas semiestructuradas a comerciantes de los mercados locales de Amecameca y Ozumba, Estado de México. Resalta el uso de plantas medicinales para atender malestares frecuentes, entre ellos los digestivos como dolor de estómago y diarrea; respiratorios como gripe y para el tratamiento de golpes o heridas. Destaca el uso del epazote (Dysphania ambrosioides (L.) Mosyakin & Clemants) para desparasitar borregos y conejos; y Matricaria recutita L., para el dolor de estómago en conejos, borregos y caballos según lo mencionado por las vendedoras. Se concluye que el uso de plantas medicinales visibiliza prácticas etnoveterinarias vigentes, permite conservar conocimientos bioculturales que forman parte del corpus que pervive en la memoria de los comerciantes de la zona oriente del Estado de México, además, la etnoveterinaria es una opción en términos económicos, ambientales y de inocuidad en la carne.
Optimizing urban mobility with multi-modal transportation solutions: A digital approach to sustainable infrastructure
Authors: Samuel Jesupelumi Owoade  , Abel Uzoka  , Joshua Idowu Akerele  , Pascal Ugochukwu Ojukwu
Published: December 2024

Urban areas worldwide face significant transportation challenges due to increasing population density, traffic congestion, and environmental concerns. This study explores multi-modal transportation as a solution to optimize urban mobility, reduce congestion, and lower emissions. Multi-modal transportation combines various modes—such as buses, trains, bicycles, ride-sharing, and pedestrian pathways—enabling seamless and efficient travel within urban spaces. Through an integrative analysis of existing multi-modal systems, this research identifies key success factors, including infrastructure integration, data-sharing platforms, and real-time journey planning. Additionally, we examine the role of emerging technologies, such as artificial intelligence (AI), the Internet of Things (IoT), and blockchain, in enhancing multi-modal transit efficiency. These technologies improve route optimization, traffic management, and user experience by enabling real-time data exchange and flexible scheduling. The study includes case studies from cities that have successfully implemented multi-modal systems, illustrating practical challenges and opportunities. Findings suggest that, with strategic investments and policy support, multi-modal transportation can significantly enhance urban mobility, decrease environmental impact, and improve accessibility. The study provides recommendations for city planners, policymakers, and transportation providers on adopting and scaling multi-modal transportation solutions to meet urban mobility demands sustainably.
Keywords: Urban Mobility, Traffic Congestion, Sustainable Transport, Blockchain, Smart City Planning.
Developing a leadership and investment prioritization model for managing high-impact global cloud solutions
Authors: Omoniyi Babatunde Johnson  , Jeremiah Olamijuwon  , Emmanuel Cadet  , Yodit Wondaferew Weldegeorgise  , Harrison Oke Ekpobimi
Published: December 2024

The adoption of cloud solutions has become crucial for enterprises seeking to scale operations, enhance agility, and drive innovation in a global marketplace. However, the rapid evolution of cloud technologies presents complex challenges for organizations trying to prioritize investments and align them with strategic objectives. This review proposes a leadership and investment prioritization model tailored for managing high-impact global cloud solutions, focusing on optimizing decision-making and resource allocation. The model integrates strategic leadership principles with robust financial analysis to guide enterprises in identifying and executing cloud initiatives that maximize return on investment (ROI) and operational efficiency. Key elements of the model include a framework for assessing cloud readiness, prioritizing high-value projects, and aligning cloud investments with long-term business goals. By leveraging a data-driven approach, the model helps leaders balance cost management with innovation, ensuring that cloud projects not only reduce expenses but also enhance organizational agility and scalability. The study also addresses risk management strategies, such as multi-cloud deployments and redundancy, to safeguard business continuity and mitigate potential disruptions. Through real-world case studies, this research illustrates best practices in cloud leadership, highlighting successful implementations across industries. The review also explores emerging trends, including AI-driven cloud management, predictive analytics for investment decisions, and sustainable cloud strategies. By adopting the proposed model, enterprises can optimize their cloud portfolios, accelerate digital transformation, and strengthen their competitive edge in an increasingly digital and interconnected global environment. This framework serves as a blueprint for organizations seeking to navigate the complexities of cloud investments while driving continuous growth and innovation..
Keywords: Leadership, Prioritization model, Global cloud solutions, Review.
Glacier surge monitoring from temporally dense elevation time series: application to an ASTER dataset over the Karakoram region
Authors: Beraud Luc , Brun Fanny , Dehecq Amaury , Hugonnet Romain , Shekhar Prashant
Published: December 2024

Abstract. Glacier surges are spectacular events that lead to surface elevation changes of tens of meter in a period of a few months to a few years, with different patterns of mass transport. Existing methods of elevation change estimate of surges, and subsequent quantification of their mass transported, rely on differencing pairs of digital elevation models (DEMs) that may not be acquired regularly in time. In this study, we propose a workflow to filter and interpolate a dense time series of DEMs specifically for the study of surge events. We test this workflow on a global 20-year dataset of DEMs from the optical satellite sensor Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER). The multi-step procedure includes linear non-parametric Locally Weighted Regression and Smoothing Scatterplots (LOWESS) filtering and Approximation by Localized Penalized Splines (ALPS) interpolation. We run the workflow over the Karakoram mountain range (High Mountain Asia). We compare the produced dataset to previous studies for four selected surge events (surges of Hispar, Khurdopin, Kyagar and Yazghil glaciers). We demonstrate that our workflow captures thickness changes at monthly scale with detailed patterns of mass transportation. Such patterns includes surge front propagation, changes in dynamic balance line, and slow surge onset among others, and allows an unprecedentedly detailed description of glacier surges at the scale of a large region. The workflow preserves most of the elevation change signal, with underestimation or smoothing in a limited number of surge cases.
Large interannual changes in supraglacial drainage basin areas and channels that flow downstream uphill: lessons from field surveys of moulin-connected streams on the Greenland Ice Sheet
Authors: Mejia Jessica , Gulley Jason , Trunz Celia , Breithaupt Charles , Covington Matthew
Published: December 2024

Abstract. Internally drained catchments (IDCs) define the ice surface area draining into a moulin. IDCs are thought to be controlled by the influence of basal topography on the ice surface, which should produce IDCs with static, topographically-defined catchment areas. Our observations of lakes overtopping drainage divides, fluvial incision through those drainage divides and connection of previously isolated adjacent lake basins suggests that supraglacial drainage basins are more complicated. Here, we document interannual variability in the size, shape and density of IDCs in a 31.7 km2 area by mapping supraglacial streams within three mid-elevation catchments on the Paakitsoq Region of the Greenland Ice Sheet in 2017 and 2018. In two of the three catchments, snow-infill of the previous year's incised streams diverted meltwater flow away from relic moulins, which rerouted flow over topographic divides and created new incised channels that flowed downstream against the surface topographic gradient and drained to different moulins than in the previous year. Catchment consolidation resulted the growth of our central catchment from 8.2 km2 in 2017, to 27.8 km2 in 2018, and 31.7 km2 in 2019, an area increase of 387 % that was coincident with a decrease in the number of catchments, and moulins, decreasing from 3 to 1 within this area. Our results highlight that wintertime snowplug formation in supraglacial channels can change catchment-scale supraglacial hydrology and potentially impact hydrodynamic coupling across large areas of the ice sheet by turning moulins on and off.
Organic Carbon, Mercury, and Sediment Characteristics along a land – shore transect in Arctic Alaska
Authors: Giest Frieda P. , Jenrich Maren , Grosse Guido , Jones Benjamin M. , Mangelsdorf Kai , Windirsch Torben , Strauss Jens
Published: December 2024

Abstract. Climate warming in the Arctic results in thawing permafrost and associated processes like thermokarst, especially in ice-rich permafrost regions. Since permafrost soils are one of the largest organic carbon reservoirs of the world, their thawing could lead to the release of greenhouse gases, further exacerbating climate warming. To enhance predictions of potential future impacts of permafrost thaw, we studied how soil characteristics change in response to permafrost landscapes affected by thermokarst processes in an Arctic coastal lowland. We analysed six sediment cores from the Arctic Coastal Plain of northern Alaska, each representing a different landscape feature along a gradient from upland to thermokarst lake and drained basin to thermokarst lagoons in various development stages. For the analysis, a multiproxy approach was used including sedimentological (grain size, bulk density, ice content), biogeochemical (total organic carbon (TOC), TOC density (TOCvol), total nitrogen (TN), stable carbon isotopes (δ13C), TOC/TN ratio, mercury (Hg)), and lipid biomarker (n-alkanes, n-alkanols, average chain length (ACL), 𝑃𝑎𝑞, 𝑃𝑤𝑎𝑥, carbon preference index (CPI), higher plant alcohol index (HPA)) parameters. The results showed highest TOC contents in samples of the thermokarst lake and the drained thermokarst lake basin. Lowest TOC contents were measured in the samples of the semi-drained thermokarst lagoon. The comparison of unfrozen and frozen deposits showed significantly higher TOCvol and TN in the unfrozen deposits. Indicated by the ACL, δ13C and the 𝑃𝑎𝑞, 𝑃𝑤𝑎𝑥 we found a stronger influence of aquatic organic matter (OM) in the OM composition in the soils covered by water, compared to those not covered by water. Moreover, it was indicated by the results of the δ13C, TOC/TN ratio, and the CPI that the saline deposits contain stronger degraded OM than the deposits not influenced by saltwater. Additionally, we found positive correlations between the TOC and TOCvol and the Hg content in the deposits. The results indicate that thermokarst-influenced deposits tend to accumulate Hg during thawed periods and thus contain more Hg than the upland permafrost deposits that have not been impacted by lake formation. Our findings offer valuable insights into the dynamics of carbon storage and vulnerability to decomposition in coastal permafrost landscapes, reflecting the interplay of environmental factors, landform characteristics, and climate change impacts on Arctic permafrost environments.
Sea ice and mixed layer depth influence on nitrate depletion and associated isotopic effects in the Drake Passage – Weddell Sea region, Southern Ocean
Authors: Servettaz Aymeric Pierre Marie , Isaji Yuta , Yoshikawa Chisato , Jang Yanghee , Khim Boo-Keun , Ryu Yeongjun , Sigman Daniel M. , Ogawa Nanako O. , Jiménez-Espejo Francisco J. , Ohkouchi Naohiko
Published: December 2024

Abstract. The regions near the Antarctic Peninsula in the Southern Ocean are highly productive, with notable phytoplanktonic blooms in the ice-free season. The primary productivity is sustained by the supply of nutrients from convective mixing with nitrate-rich subsurface waters, which promotes rapid phytoplankton growth as the sea ice melts in spring and summer. Surface waters are marked by the contrast between the warmer Drake Passage and the colder Weddell Sea, and seasonal duration of sea ice cover varies accordingly. Sea ice exerts multiple controls over primary production, by shading the light entering the ocean and stratifying the upper ocean with freshening by ice melt. However, the interaction between sea ice and productivity remains poorly characterized because satellites are unable to quantify biomass in partially ice-covered ocean, and direct measurements are too scarce to characterize the seasonally varying productivity. Here we evaluate productivity by assessing removal of nitrate from surface waters by biological nutrient utilization, and study the associated change in δ15N of nitrate. We use a combination of bottle samples and in situ nitrate measurements from published databases, completed by two transects with isotopic measurements. The timing of sea ice melt date conditions the initiation of nitrate drawdown, but the annual minimum of nitrate only weakly correlates with sea ice concentration. As previously reported, we observe that δ15N of nitrate increases with nitrate depletion. Interestingly, the lowest nitrate depletion and δ15N values are found in the central region of N-S transects, where intermediate temperature and sea ice conditions prevail. Deeper mixing in waters that passed through the northern Bransfield Strait may explain higher nitrate concentration due to both a greater nitrate resupply and reduced productivity under light limitation in deeply mixed waters, confirmed by isotopic fractionation effects during nitrate uptake and nitrogen isotope modelling. This highlights the importance of oceanographic controls on productivity patterns in sea-iced regions in the Southern Ocean.