bluuebunny/crossref_metadata_2025 huggingface dataset:
Voiding Lower Urinary Tract Symptoms due to a Large Epidermoid Cyst of Mesorectum - A Rare Presentation
Authors: Parmar Riddhi A. , Dave Rushang Mukeshbhai , Patel Keval Arvindbhai , Kumar Vinod
Published: August 2024

ABSTRACT

Epidermoid cysts usually occur in the regions of face, neck, and trunk. Pararectal epidermoid cysts are rare with very few cases reported in literature. We present a case of 43-year-old male who presented to us with voiding lower urinary tract symptoms and constipation. He was diagnosed to have a large mesorectal cyst and underwent robot-assisted laparoscopic excision of the cyst which proved to be epidermoid cyst on histopathology.
A Study on Psychological Distress among Pregnant Women during COVID-19 Pandemic in a Rural Area of West Bengal
Authors: Chattopadhyay Biswadip , Paul Bobby , Bandyopadhyay Lina , Bhattacharyya Madhumita , Ghosh Pritam , Banerjee Ankush
Published: August 2024

Background and Objectives:

Pregnancy, an altered physiological state, is specifically vulnerable to psychological distress (PD), more so during the coronavirus disease 2019 (COVID-19) pandemic. This can impart detrimental consequences to both mother and child. This study assessed the magnitude of PD and associated factors among pregnant women in rural West Bengal. The proportion of pregnant women with COVID-19 symptomatology and its relationship with PD was also determined.

Methods:

This cross-sectional study was done among 130 pregnant women availing antenatal care in health centers during August–October 2020. Patient Health Questionnaire (PHQ-4) was used to assess PD and a “Perception on COVID-19 Pandemic” (PCP) Scale was used to assess the perception of the COVID-19 pandemic (Cronbach's alpha = 0.75). Statistical analyses were done in SPSS Inc., SPSS for Windows, Chicago, USA.

Results:

The proportion of study participants with PD was 49.2%. Unsatisfactory antenatal care (AOR = 19.4, CI = 2.5-152.7), COVID-19 case within family/neighborhood (AOR = 6.3, CI = 1.2-34.9), strenuous spousal relationship (AOR = 7.3, CI = 1.1-50), increasing score in perceived susceptibility domain of PCP Scale (AOR = 1.3, CI = 1.1-1.6), and decreased daily sleep duration (AOR = 2.8, CI = 1.6-4.9) were found to be associated with PD. 38.5% of participants reported COVID-19 related symptoms.

Conclusion:

The magnitude of PD among pregnant women in the study area is high. Thus, proper counseling of pregnant mothers during antenatal visits by public health nursing personnel to alleviate fears about the pandemic would go a long way to reduce the negative impact of PD on mother and child.
Positive Outcomes of Communication Skill Training to Medical Resident Doctors
Authors: Kanitkar Shubhangi , Thomson Ben George , Rathod Hetal
Published: August 2024

Introduction:

Communication skills are an important component in building a good doctor − patient relationship. Imparting knowledge on it to medical students, during their formative years of training, help to overcome issues that arise due to communication gaps with patients.

Materials and Methods:

Twenty-four 1st-year postgraduate resident doctors in the department of medicine in a tertiary care teaching hospital were evaluated regarding their communication skills. Residents were taught how to communicate properly with patients when taking their informed consent prior to a procedure.

Results:

Competency of residents and patient satisfaction, evaluated using the Kalamazoo Essential Elements Communication Checklist and Interview Satisfaction Questionnaire, respectively, showed improvements following such training.

Conclusion:

Formal assessments and training in communication skills for medical residents aid significantly to improve physician competence and patient satisfaction.
Awareness Regarding Substances of Abuse and Related Laws among Medical Students in Pune Region
Authors: Band Rahul M. , Patel Jemi H. , Ghangale Ajay L. , Lakhute Sadhana V.
Published: August 2024

ABSTRACT

Background:

Awareness about substance abuse is very less among students. Education on alcohol and drugs for students remains a crucial but under-provided part of the undergraduate medical curriculum.

Material and Methods:

An observational cross-sectional study done on medical students studying in MBBS medical colleges in the Pune region of Maharashtra State. A google form link of a questionnaire of 25 questions (20 MCQs and 5 True/False questions) was sent to willing participants. After completion of the survey a detailed answer sheet was provided to participants to increase awareness.

Results:

Exposure to substances of abuse is significantly higher among medical students in contrast to less awareness regarding their effects, complications, and legal implications after their use. Out of 20 MCQs, very few questions have correct responses from more than half participants; similarly out of 5 questions with True/False only three questions got correct responses from majority participants.

Conclusion and Recommendations:

Efforts should be made to alter the substance abuse favorable environments at medical institutes to discourage these activities. Mentors assigned to the students must make sure that the latter is transparent to them and help them with overcoming their hardships.
Clinicopathological, Hematological, and Hepatorenal Function Tests in People Affected with Esophageal Cancers at the Time of Diagnosis: Observations from an Oncology Center
Authors: Kudva Avinash K. , Rao Suresh , Prasad Krishna , Hegde Sanath Kumar , Chandran Supreeth Kakkaje , Achar Pavan Kumar , Baliga Manjeshwar Shrinath
Published: August 2024

ABSTRACT

Objective:

Oesophageal cancer (OC) is the sixth most widespread cancer in the world. It has low prognostic rate and hence associated with high mortality. There are very few studies that have compared the clinical parameters between healthy individuals and OC patients. In this study, an attempt was made to understand the variations in the hematological, liver, and kidney function parameters in these patients who were yet to begin their treatment.

Materials and Methods:

This study was undertaken with a group of healthy and OC diagnosed individuals from both genders (male and female). The blood was collected using a vacutainer and various hematology parameters were ascertained using a fully automated three-part differential cell counter. The liver and kidney function tests for various targets were analyzed using the commercial diagnostic kits as per the manufacturer’s protocols.

Results:

When compared to healthy individuals, the results showed considerable increase in the white blood cell counts especially neutrophils and monocytes. These results were correlated with previous reports where similar observations were made. Furthermore, from the analysis of liver and kidney function test, it was concluded that these vital organs were working with lowered efficacy.

Conclusion:

This study provides evidence that there is marked variation in the blood, hepatic, and renal parameters among individuals with OC as compared to healthy ones and hence has prognostic value.
Gone without a Trace: A Rare Case of Pericardial Effusion Resolving after Cardiopulmonary Resuscitation
Authors: Shaikh Wasim Shabbir , Syed Fahimuddin , Awad Ahmed , Alrais Zeyad Faoor , Alrais Ghaya Zeyad
Published: August 2024

Pericardial effusion is collection of fluid in pericardial space. It is commonly seen as a part of multisystem infections, malignancy, and renal failure. It can progress to life-threatening pericardial tamponade, leading to cardiac arrest. Cardiopulmonary resuscitation (CPR) is well-established protocol for all types of cardiac arrests. CPR serves as a therapeutic intervention, reversing cardiac arrest and providing time to address the underlying cause. However, CPR can involve multiple complications, including thoracic skeleton and organ injuries. In this case report, we present a case of massive pericardial effusion in a male patient who was admitted to our hospital with abdominal pain and a medical history of diabetes, hypertension, ischemic heart disease, acute kidney injury, and coagulopathy. Massive pericardial effusion was identified using point-of-care ultrasonography (POCUS) of the heart. While his coagulation abnormalities were being corrected, he had a cardiac arrest in intensive care unit before any invasive intervention could be performed for pericardial effusion. Return of spontaneous circulation was achieved, and surprisingly, post-CPR POCUS of the heart did not reveal much evidence of pericardial effusion. The resolution of pericardial effusion was also confirmed with computed tomography of the chest once the patient was stabilized. We observe that the pleural effusion, initially minimal, increased following CPR. Thus, we report this interesting case to highlight the unintended therapeutic effect of CPR on pericardial effusion. In addition, we emphasize the importance of POCUS during critical care situations as it assisted us in avoiding blind pericardiocentesis and the potential traumatic complications associated with such a procedure.
The Knowledge and Training Needs of Disaster Medicine among Health-care Professionals and Medical Students in Makkah City: A Cross-sectional Study
Authors: Dairi Mohammad Saleh , Altirkistani Bsaim Abdulsalam , Bahha Reeman Shaker , Babkier Ahad Saeed , Khizanah Ruba Hussain Abu , Alabdulwahab Saleh Ahmed , Alsulimani Loui Kamel , Masri Taha Mohammed
Published: August 2024

Background:

Disasters are a serious public health concern with increasing frequency and intensity worldwide. Health-care professionals are expected to be well-prepared for disasters, but those in low-to-middle-income countries may not have adequate training. Medical students also have critical gaps in disaster management knowledge. Despite major investments by the Saudi government to prevent and manage disasters, Makkah city, a pilgrimage site for millions of Muslims, continues to experience disasters during the season.

Aims:

The aim of this study was to assess the knowledge level, preparedness, and the training gaps regarding disaster medicine among health professionals and medical students/interns in Makkah city.

Subjects and Methods:

This is a cross-sectional study conducted in Makkah. Physicians, nurses, and medical students/interns were included. A previously utilized survey tool was adopted for this study. Data were analyzed by Chi-square and ANOVA tests as appropriate. P < 0.05 was considered statistically significant. Statistical analyses were performed using the JMP statistical software.

Results:

There were 651 participants in the study. The mean age was 27.69 (95% confidence interval [CI]: 28.13–27.24) with 360 (55.30%) males. With 16 as the full score, the mean score of disaster medicine knowledge was 7.90 (95% CI: 8.29–7.51) for medical students/interns, 8.12 (95% CI: 8.77–7.47) for nurses, and 4.85 (95% CI: 5.21–4.49) for physicians (P < 0.0001). Most participants selected “first aid skills” and “triage and evacuation” as crucial aspects to be covered in learning disaster medicine: 406 (62.4%) and 373 (57.3%), respectively.

Conclusion:

This study demonstrates a concerning gap in the level of knowledge of healthcare providers regarding disaster medicine. These gaps should be addressed considering the possible huge impact and consequences of disasters. All disaster responders, especially frontliners, must be competent and well prepared to respond to the wide array of disasters.
Clinical profile, prognostic factors, and outcomes of rhino-orbital-cerebral mucormycosis in the setting of COVID-19: A retrospective study
Authors: Hanumappa Swetha M. , Karuppannasamy Divya
Published: August 2024

PURPOSE:

The purpose was to study the demographics, clinical and radiological presenting patterns, prognostic variables, and outcome of management of rhino-orbital-cerebral-mucormycosis (ROCM) in coronavirus disease (COVID-19) patients.

METHODS:

We retrospectively analyzed COVID-19 patients with proven ROCM from April 2021 to November 2021. All included patients were given systemic antifungal therapy depending on clinical response and underwent functional endoscopic sinus surgery (FESS) with orbital wall decompression. Administration of transcutaneous retrobulbar amphotericin B (TRAMB) injection, exenteration, and maxillectomy was done when indicated as per a novel algorithm.

RESULTS:

A total of 64 patients with ROCM were included in the study. The mean age of 54.5 (standard deviation [SD] - 10.6) years with a male predominance (male: female = 55:9) was observed. Pre-existing diabetes mellitus (DM) was the most common comorbid state, 47 (73.4%). The most common ophthalmic presentation was proptosis (n = 40) (62.5%). Bulky extraocular muscles (n = 64) (100%) and intraorbital fat stranding (n = 41) (64%) were the most common radiological findings. Twenty-eight patients received TRAMB, while 11 patients underwent exenteration with FESS. Our study had a mortality rate of 18.7% (n = 12). The mean glycated hemoglobin of 13.5% (SD - 1.1) and a higher serum ferritin value of 976.25 (SD - 592) were observed in the deceased group. Vision was preserved in 38 (73.7%) patients in the survived group.

CONCLUSION:

ROCM has a wide array of presentations, with proptosis as the most common clinical finding. Bulky EOM and intraorbital fat stranding were the most common radiological findings. Thorough surgical debridement with systemic and local antifungal therapy results in reasonable outcomes for ROCM in COVID-19 patients. Older age, intensive care unit admissions, uncontrolled DM, central nervous system involvement, and shorter duration of antifungal treatment are poor prognostic factors associated with mortality.
Isolated noncaseating granulomatous inflammation of the lacrimal sac masquerading as a malignancy
Authors: Singh Swati , Gandhi Arpan , Modiwala Zarin
Published: August 2024

Idiopathic orbital granulomatous inflammation has been reported before, but isolated involvement of the lacrimal sac is extremely rare. The authors report the case of granulomatous inflammation in a 47-year-old-female limited to the lacrimal sac, nasolacrimal duct (NLD), and adjacent inferior meatal mucosa without any identifiable cause. She presented with rapidly progressive swelling involving the left medial canthal region and a palpable, nontender, nonregurgitant firm mass lesion extending above the medial canthus. The lacrimal irrigation was patent, and imaging showed a heterogeneous mass lesion involving the lacrimal fossa and extending into the NLD. The clinical presentation was suggestive of malignancy arising from the lacrimal sac, but histopathological findings of noncaseating granulomas, multinucleated giant cells, and scattered lymphoplasmacytic infiltrate involving the lacrimal sac and inferior meatal mucosa were suggestive of granulomatous inflammation. Her immunological workup was negative. She responded to oral steroids with complete clinical resolution maintained till 9 months of follow-up.
Oxaliplatin-induced papilledema: Rare case report
Authors: Jayasri P. , Stephen A. M. , Harigaravelu P. J.
Published: August 2024

Papilledema is the presence of bilateral optic disc edema in the presence of raised intracranial pressure and often is symmetric. We report a case of a 70-year-old male with rectal carcinoma on chemotherapy presented with minimal drop in visual acuity. The patient has bilateral disc edema and investigations including computed tomography and cerebrospinal fluid opening pressure were normal and no evidence of brain metastasis has been found. The patient was on oxaliplatin regimen and literature search has shown very few cases of platinum chemotherapy agents-induced papilledema. So far to our knowledge, oxaliplatin-induced papilledema has not been reported and knowing this condition can be sight saving for ill patients.
Bowman’s membrane lenticule tuck-in: A new approach for the management of neurotrophic ulcers
Authors: Choudhary Dharamveer S. , Verma Gargi , Kumar Kishor , Choudhary Pratibha , Kalal Bhuvanesh S. , Chaudhary Anamika
Published: August 2024

PURPOSE:

To evaluate a new surgical method for managing nonhealing neurotrophic ulcers using a novel technique of tucking-in Bowman’s membrane lenticule in the ulcer defect.

METHODS:

A total of 22 eyes of 22 patients with neurotrophic ulcers of various etiologies and stages were included and underwent a surgical process where a donor Bowman’s membrane lenticule was harvested and fashioned according to the lesion and tucked inside the ulcer after making a recess in anterior one-third of stroma all around 360 degrees. The primary outcomes measured were healing (stable epithelialization at 12 months) and best-corrected visual acuity (BCVA) improvement.

RESULTS:

Twenty-two eyes of 22 patients with neurotrophic ulcers underwent Bowman’s membrane lenticule tuck-in procedure. Complete re-epithelialization was achieved in 21 eyes (95.45%). The average healing time was 2.77 ± 0.79 weeks. The mean corneal thickness improved from 267.36 ± 94.56 mm preoperatively to 435.9 ± 47.71 mm at six months postoperatively. The mean BCVA also improved from 0.05 ± 0.07 preoperatively to 0.24 ± 0.24 postoperatively one year. One patient (4.54%) showed recurrence after one month, and the epithelial defect persisted till the end of the study.

CONCLUSION:

Donor Bowman’s membrane lenticule tuck-in for neurotrophic ulcers is a safe and highly effective treatment and requires minimal instruments and expertise.
Herb Pair of Glycyrrhiza Radix–Platycodonis Radix Alleviates Respiratory Syncytial Virus Pneumonia in Mice by Modulating Lipid Metabolism and Inhibiting Inflammation
Authors: Tang Yu , Shi Chen , Sun Ling , Yang Bin , Ji Jian-Jian , Xie Tong , Wang Shou-Chuan , Lin Li-Li , Shan Jin-Jun
Published: August 2024

Objective:

The objective of this study is to explore the optimal ratio of Glycyrrhiza Radix (GR, Glycyrrhizae radix et Rhizoma) and Platycodonis Radix (PR, Platycodon grandiflorum A. DC) and its potential mechanism for treating respiratory syncytial virus (RSV) pneumonia in mice.

Materials and Methods:

Aqueous extracts of GR-PR with different ratios (1:1, 2:1, and 1:2 w/w) were prepared and analyzed using ultra-performance liquid chromatography coupled with a linear ion trap quadrupole Orbitrap mass spectrometry (UPLC/LTQ-Orbitrap-MS). The effects of various ratios of GR-PR were investigated in BALB/c mice. Changes in body weight were recorded, histopathology was evaluated, and relative mRNA levels of inflammatory mediators were measured. In addition, lipidomic analysis was performed to investigate the effects of GR-PR on lipids and related signaling pathways.

Results:

The aqueous extracts of GR-PR improved body weight and reduced lung inflammation compared to the RSV group, with the optimal therapeutic effect achieved with a 1:2 ratio of GR to PR. RSV infection disrupted several serum lipids, particularly sphingomyelin (SM) and ceramide (CER), which were partially restored by GR-PR administration. Overall, GR-PR significantly improved the metabolic disorder of SM-CER-induced inflammation and apoptosis, along with decreased mRNA levels of caspase-1, nucleotide-binding domain, leucine-rich repeat, and pyrin domain-containing protein 3 (NLRP3), and toll-like receptor 3 (TLR3), and protein expression of NLRP3, pro-caspase-1, apoptosis-associated speck-like protein containing a caspase-recruitment domain (ASC), interleukin-1β (IL-1β), IL-18, gasdermin D (GSDMD), nuclear factor kappa-B (NF-κB), Bcl2-associated X protein (BAX), caspase-3, and caspase-8. The involvement of the TLR3-NF-κB-NLRP3 signaling pathway in this process was confirmed.

Conclusions:

The aqueous extracts of GR-PR, particularly at a ratio of 1:2, demonstrate potential therapeutic benefits for RSV-induced pneumonia by improving lipid metabolism and inhibiting the activation of TLR3-NF-κB-NLRP3 signaling pathway.
A Review of Inorganic Solid Electrolytes for All-Solid-State Lithium Batteries: Challenges and Progress
Authors: Choi Seul Ki , Han Jaehun , Kim Gi Jeong , Kim Yeon Hee , Choi Jaewon , Yang MinHo
Published: August 2024

All-solid-state lithium batteries (ASSLBs) are receiving attention as a prospective next-generation secondary battery technology that can reduce the risk of commercial lithium-ion batteries by replacing flammable organic liquid electrolytes with non-flammable solid electrolytes. The practical application of ASSLBs requires developing robust solid electrolytes that possess ionic conductivity at room temperature on a par with that of organic liquids. These solid electrolytes must also be thermally and chemically stable, as well as compatible with electrode materials. Inorganic solid electrolytes, including oxide and sulfide-based compounds, are being studied as promising future candidates for ASSLBs due to their higher ionic conductivity and thermal stability than polymer electrolytes. Here, we present the challenges currently facing the development of oxide and sulfide-based solid electrolytes, as well as the research efforts underway aiming to resolve these challenges.
Группы изометрий формальных языков относительно обобщенных метрик Левенштейна
Authors: Yankovskiy Vladimir Olegovich
Published: August 2024

Данная статья представляет собой частичный ответ на вопрос, какие группы могут быть представлены в виде групп изометрий формальных языков относительно семейства обобщенных метрик Левенштейна. А именно, доказывается, что для любого языка модуль разности длин его слов и длин их образов при изометрии относительно произвольной обобщенной метрики Левенштейна, удовлетворяющей условию, что вес операции замены меньше удвоенного веса операции удаления, ограничен сверху константой, зависящей только от самого языка.
Из этого, в частности, следует, что группы изометрий формальных языков относительно таких метрик всегда вкладываются в группу $\Pi_{n=1}^\infty S_{n}$.
Также строится ряд примеров, показывающих, что эта оценка в некотором смысле неулучшаема.
Библиография: 8 названий.
Насыщение в кнезеровских графах
Authors: Vakhrushev Stepan Viktorovich , Zhukovskii Maksim Evgen'evich , Skorkin Arkadij Yur'evich
Published: August 2024

Кнезеровский граф $\operatorname{KG}(n,2)$ - это граф, вершинами которого являются пары элементов $\{1,…,n\}$,
а ребра проводятся между непересекающимися парами.
В данной работе мы установили,
что число насыщения треугольниками кнезеровского графа
равно $(3/2)n^2+O(n)$, а также нашли его точные значения при малых $n$.
Библиография: 10 названий.
Уточнение теоремы о двух радиусах на гипергруппе Бесселя-Кингмана
Authors: Volchkov Vitalii Vladimirovich , Krasnoschyokikh Gleb
Published: August 2024

В работе изучается уравнение вида
$$
\int_{0}^{r}T^\alpha_yf(x)x^{2\alpha+1} dx=0,
\qquad |y|< R-r,
\quad 0<r<R,
$$
где $\alpha>-1/2$, $T^\alpha_y$ - оператор обобщенного сдвига Бесселя и $f$ - четная
локально суммируемая по мере $|x|^{2\alpha+1} dx$ функция на интервале $(-R,R)$. Получено описание решений этого уравнения в виде ряда по специальным функциям. На основе этого результата полностью исследован вопрос о существовании ненулевого решения системы из двух таких уравнений.
Библиография: 21 название.
Асимптотические представления решений $(n \times n)$-систем обыкновенных дифференциальных уравнений с большим параметром
Authors: Kosarev Alexey Pavlovich , Shkalikov Andrei Andreevich
Published: August 2024

Рассматривается $(n \times n)$-система обыкновенных дифференциальных уравнений
$$
y'-By-C(\cdot, \lambda)y=\lambda Ay,
\qquad y=y(x),
\quad x \in [0, 1],
$$
где $A=\operatorname{diag}\{a_1(x), …, a_n(x)\}$, $B=\{b_{jk}(x)\}_{j, k=1}^n$, $C= \{c_{jk}(x, \lambda)\}_{j, k=1}^n$. Все функции в этих матрицах комплекснозначные и суммируемые по $x \in [0, 1]$, а $\|c_{jk}(\cdot, \lambda)\|_{L_1} \to 0$ при $\lambda \to \infty$. Теоремы, доказанные в работе, дополняют и обобщают результаты классической теории Биркгофа-Тамаркина-Лангера об асимптотических представлениях фундаментальных решений в секторах и полуполосах комплексной плоскости при $\lambda \to \infty$. Акцент делается на минимальность требований к гладкости коэффициентов.
Библиография: 25 названий.
Геометрия и вероятность на некоммутативном $2$-торе в магнитном поле
Authors: Hounkonnou Mahouton Norbert , Melong Fridolin
Published: August 2024

Описаны геометрические и вероятностные свойства некоммутативного $2$-тора в магнитном поле. С помощью операторного метода возмущения магнитного лапласиана внутренним дифференцированием исследована инвариантность относительно данного возмущения объема некоммутативного $2$-тора, а также его интегральной скалярной кривизны и формы объема. Проведен анализ магнитного случайного процесса, описывающего движение частицы в однородном магнитном поле на некоммутативном $2$-торе, и обсуждаются его основные свойства.
Computer-Aided Engineering Approach to Optimize Hydroformed Exhaust
Gas Recirculation Tube under Thermal Load
Authors: Munde Ganesh , Chattaraj Sandip , Hatkar Chandan , Godse Rushikesh
Published: August 2024

This study emphasizes the importance of computer-aided engineering (CAE) approach
in optimizing exhaust gas recirculation (EGR) tube under thermal load. With
exhaust gases generating high temperatures, the EGR tube experiences increased
stress and strain, posing challenges to its structural integrity. Moreover, the
cyclic heating and cooling cycles of the engine imposes thermal fatigue, further
compromising the tube’s performance over time. To address these concerns, the
paper introduces a comprehensive CAE methodology for conducting factor of safety
analysis. The nonlinear thermal analysis is performed on the assembly as due to
high temperatures the stresses cross the yield limit. The strain-based approach
is used to calculate the factor of safety. Moreover, a comprehensive case study
is presented, illustrating how design modifications can enhance the thermal
fatigue factor of safety. By adjusting parameters such as thickness and routing,
engineers can mitigate thermal stresses and improve the tube’s fatigue life.
This approach allows analysts to thoroughly evaluate whether the tube design can
endure thermal fatigue for a specified number of cycles. By utilizing advanced
simulation tools and techniques, engineers gain valuable insights into the
tube’s behavior under varying thermal conditions. This enables informed
decision-making regarding design modifications aimed at enhancing durability and
reliability. Ultimately, the integration of CAE in the optimization process
empowers automotive manufacturers to develop EGR tubes that meet stringent
performance requirements while minimizing the risk of premature failure due to
thermal stresses and fatigue. The tool used for simulation of the EGR tube
assembly is ANSYS 2023R1.
Credit-financed household consumption and the debt service ratio: tackling endogenous autonomous demand in the supermultiplier model
Authors: Avritzer Joana David , Brochier Lídia
Published: August 2024

We develop a supermultiplier model where debt-financed household autonomous consumption drives growth. We assume autonomous consumption growth to be partially endogenous depending on households’ debt service ratio. We define a consumption function that allows for: (i) workers’ demand for credit to depend on the burden interest payments have on their income and for (ii) credit conditions to affect the pace of household expenditures. The model has two equilibria, with the steady state one (two) combining a lower (higher) household debt ratio with a higher (lower) growth rate. However, only the steady state one is locally stable for the chosen set of parameters. After an external percentage shock to the first steady state, the system converges back to it. We find that the wage share has a positive effect, while the interest rate has a negative effect on the steady state growth path. These results show that the supermultiplier model can account for the permanent effects of both real and financial variables on the long-run growth rate.
Implementation of Classical Guidance at SMP Bina Satria Medan
Authors: Prasetyo Wahyu
Published: August 2024

The purpose of this study is to find out: 1) How is the implementation of classical guidance at SMP Bina Satria Medan; 2) What are the obstacles encountered in implementing classical guidance at Bina Satria Middle School Medan; 3) What are the results achieved in the implementation of classical guidance at SMP Bina Satria Medan. The type of research used is a type of qualitative research with field research methods. Data collection techniques are interviews, observation and documentation. Furthermore, the analysis technique used is an inductive qualitative data analysis technique. The results of this study are the implementation of classical guidance at SMP Bina Satria Medan, namely the implementation of classical guidance at SMP Bina Satria Medan does not have special hours; the tools used are in the form of AUM and LKPD questionnaires; its implementation has not been carried out routinely, its implementation includes the initial, core and closing stages; the material used comes from the internet, books and training; The method used is the lecture method, discussion and question and answer. Obstacles experienced in the implementation of classical guidance include the lack of interest in student learning in following classical guidance; inadequate time in implementing classical guidance; lack of active counseling staff in the implementation of classical guidance. The results achieved in the implementation of classical guidance are the achievement of guidance goals for students; evaluation of students after carrying out classical guidance with evaluation of processes and results.
PEMANFAATAN TEKNOLOGI KOMUNIKASI DAN INFORMASI PEMASARAN BTN LAPPA MAS SINJAI
Authors: Wirawan Raden , Andi Nurul Faizah  , Nurul Akbar
Published: August 2024

Pemanfaatan teknologi komunikasi dan informasi telah memberikan dampak kemajuan terhadap dunia marketing, salah satu contoh dengan memanfaatkan teknologi augmented reality sebagai alat promosi yaitu aplikasi katalog berupa brosur 3 dimensi. Tujuan dari penelitian ini adalah untuk mengetahui manfaat teknologi komunikasi dan informasi pada sistem pemasaran BTN Lappa Mas Sinjai. Metode penelitian menggunakan metode Rapid Application Development (RAD) adalah model proses pengembangan perangkat lunak yang bersifat incremental terutama untuk waktu pengerjaan yang pendek. Metode ini memiliki langkah-langkah antara lain: (1) Requirements, (2) Analisis, (3) Design, (4) Implementasi, dan (5) Testing. Hasil dari penelitian ini adalah pemanfaatan teknologi komunikasi dan informasi berupa teknologi augmented reality dapat membantu seorang marketing dalam memasarkan perumahan pada BTN Lappa Mas Sinjai, konsumen dapat melihat secara langsung bentuk rumah secara 3D dalam brosur atau ARTALOG. Dan sesuai hasil pengujian sistem informasi diperoleh melalui System Usability Scale (SUS) didapatkan bahwa nilai hasil akhir yaitu : 73,4 yang berarti memiliki Grade Scale B dan termasuk dalam kategori Good.
Analisis Hukum Kausalitas Menggunakan Metode Social Explanation: Studi Kasus Kasus Kopi Sianida Mirna Salihin
Authors: E.P. Sembiring Maekel , Hadi Purnomo
Published: August 2024

Penelitian ini bertujuan untuk mendalami penerapan teori kausalitas dalam hukum pidana pada kasus keracunan kopi sianida yang melibatkan Jessica Wongso dan Mirna Salihin. Metode penelitian yang digunakan adalah analisis konten dengan mengacu pada sumber literatur yang relevan terkait teori kausalitas dalam hukum pidana. Hasil penelitian menunjukkan bahwa konsep hukum kausalitas menjadi fokus utama dalam menentukan tanggung jawab pidana, di mana pentingnya suatu tindakan sebagai sebab dari akibat yang melanggar norma hukum menjadi perhatian utama dalam analisis dan penilaian perbuatan yang bersangkutan. Dalam konteks kasus keracunan kopi sianida, analisis hukum kausalitas menggunakan metode Social Explanation memberikan pemahaman mendalam tentang penerapan teori kausalitas dalam hukum pidana. Dengan demikian, penelitian ini memberikan wawasan mendalam tentang konsep kausalitas dalam ranah hukum pidana, khususnya dalam kasus yang melibatkan peristiwa keracunan yang terkenal dan melibatkan unsur sianida.
Real-time Quantitative Polymerase Chain Reaction (RQ-PCR) using the LightCycler: A Rapid, High-throughput Method for Detecting and Quantifying Fusion Transcripts in Childhood Leukaemias for Disease Stratification and Prognostication
Authors: Loh LH , Chen SP , Quah TC , Yeoh AEJ , Ariffin H
Published: August 2024

Cancer is a genetic disease. Its uncontrolled growth is driven by underlying genetic mutations that prevent differentiation and cause relentless cell divisions and apoptotic death. The genetic basis for leukaemogenesis is well elucidated and specific mutations can be found in up to 50% of patients.
Intrauterine Stem Cell Therapy
Authors: Fisk NM , Chan J , O’Donoghue K
Published: August 2024

Stem cells are found in embryonic, fetal and most adult tissues, and are characterised by two properties: the ability to self renew and to differentiate into multiple discrete tissue types. They offer great promise for tissue regeneration, cell replacement and gene therapy against a range of human diseases, but, with the exception of haemopoietic stem cells, clinical application at present remains largely speculative. Recent success with stem cell transplantation in adults and children, together with advances in stem cell biology and gene manipulation now render intrauterine correction of genetic defects using stem cells a realistic prospect.
History of Psychiatric Education in Singapore
Authors: Kua EH
Published: August 2024

Psychiatry was largely a forgotten discipline in the first 75 years of the medical school. In the last 2 decades, there has been steady progress in the extension of teaching time and clinical postings. The focus of psychiatric education has shifted from the mental institution to the general hospital and primary care. Psychiatric teaching emphasises not just clinical skills, but also, the importance of communication skills in the doctor-patient relationship.
The Medical Students’ Societies and Medical Students’ Publications
Authors: Lim KH
Published: August 2024

The rich corporate life of the medical student and the medical students’ societies at our medical school (at the present National University of Singapore) is generally unappreciated by its graduates and regrettably, even more unknown to the medical student of today. The present generation of medical students of NUS do not know of their rich history. We have published documentation of student activities from the founding of the medical school in 1905 till the establishment of the then University of Malaya in 1950, reviewed herein. Materials presented after 1950 were gathered from personal communications from key players in the students’ societies and from editors of the medical students’ publications.
The Founding of the Medical School in Singapore in 1905
Authors: Lee YK
Published: August 2024

This article traces briefly the origins of medical education in the early years of the Straits Settlements (Singapore, Penang and Malacca), which culminated in the founding of Medical School in Singapore in 1905. The first attempt was made in the early 19th century, when boys were recruited from local schools as Medical Apprentices to be trained as “assistant doctors”. They were to assist the British doctors and doctors from India in running the medical services. This scheme was not successful. There are 3 landmark years in the evolution of medical education in the Straits Settlements, namely 1852, 1867 and 1904. In 1852, the Governor, to relieve the shortage of staff in the Medical Department, instructed the Principal Civil Medical Officer to organise a proper course of training for Medical Apprentices and to establish a local Medical Service. This scheme was also unsuccessful and the Straits Settlements continued to rely on doctors recruited from India. In 1867, the Straits Settlements were transferred from the India Office to the Colonial Office and became a Crown Colony. The Indian Government requested that all its doctors be sent back. This would have led to the collapse of the Straits Settlements Medical Service. As a stop-gap measure, the Governor offered the Indian doctors appointment in the new Straits Settlements Medical Service, and at the same time arranged with the Madras Government for boys from the Straits Settlements to be trained in its Medical Colleges. The first 2 boys were sent in 1869. In 1889, the Principal Civil Medical Officer proposed to the Governor that a Medical School should be founded in Singapore, but not enough candidates passed the preliminary entrance examination. The plan was shelved and boys continued to be sent to Madras for training. In 1902, the Committee on English Education proposed that a Medical School should be started in Singapore, but senior British doctors opposed this. On 8 September 1904, Mr Tan Jiak Kim and other local community leaders petitioned the Governor to start a Medical School, raised enough funds to establish the School and the Straits and Federated Malay States Government Medical School (predecessor of the King Edward VII College of Medicine, and the Faculties of Medicine, University of Singapore and University of Malaya) was founded on 3 July 1905.
The Teaching of Pathology
Authors: Chong SM
Published: August 2024

A/Professor Chong Siew Meng relates the teaching of Pathology in the Medical School since 1905. The Pathology Department of the College of Medicine is closely associated with the Department of Pathology of the Government Medical Service. Pathologists in the Government Medical Service taught medical students till 1955 when the chair of Pathology was filled by Professor R Kirts. Undergraduates and postgraduate teaching and research in the department are described briefly. [The Editors]
Hubungan Aktivitas Menggunakan Gawai Dengan Dimensi Responsif Pada Mahasiswa Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember
Authors: Susilowati Suster , Suryaningsih Yeni , Komarudin
Published: August 2024

Gawai adalah perangkat elektronik kecil dan canggih yang dibuat dengan berbagai aplikasi yang dapat menyediakan berbagai berita media, jejaring sosial, hobi, hiburan bahkan mempermudah komunikasi. Tujuan dari penelitian ini adalah untuk menganalisis hubungan aktivitas menggunakan gawai dengan dimensi responsif pada mahasiswa Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember. Desain penlitian ini menggunakan metode analisis korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini berjumlah 153 orang dengan jumlah responden 111 orang diambil dengan teknik simple random sampling. Untuk menentukan Hipotesis peneliti menggunakan uji Spearman Rho (α = 0,05) didapatkan nilai ρ value sebesar 0,008 artinya H1 diterima Atau ada hubungan Aktivitas Menggunakan Gawai Dengan Dimensi Responsif Pada Mahasiswa Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember. Penelitian ini dapat digunakan sebagai memberi informasi yang berkaitan dengan masalah kesehatan tentang akibat penggunaan gawai secara berlebihan dan diharapakan menciptakan lingkungan belajar serta sarana komunikasi dengan memanfaatkan gawai secara benar.
Institucionalização, qualidade de vida e autoestima de mulheres idosas: um estudo qualitativo
Authors: Gonçalves Larissa Madeira , Lopes Lindôso Zayanna Christine
Published: August 2024

Introdução: As mulheres brasileiras ao longo de suas vidas possuem muitas questões que influenciam na qualidade de vida e autoestima, e na velhice não seria diferente. Dentre os fatores que podem influenciar na qualidade de vida está a institucionalização, que gera uma ruptura de vida e de ocupações. Diante disso, o terapeuta ocupacional é o profissional habilitado para intervir e, consequentemente, melhorar a qualidade de vida e a autoestima das mulheres idosas. Objetivo: Compreender o impacto da institucionalização na qualidade de vida e na autoestima de idosas residentes em uma Instituição de Longa Permanência para Idosos na cidade de Pelotas, Rio Grande do Sul. Métodos: Estudo transversal de caráter qualitativo, com utilização de entrevista semiestruturada como instrumento e, para análise de dados, a metodologia proposta por Gibbs. Resultados: Através das respostas das entrevistadas analisou-se que: as participantes do estudo, em grande maioria, possuem percepções negativas sobre velhice e envelhecimento; deixaram de desempenhar alguns papéis e ocupações depois da institucionalização; os resultados não demonstraram relação entre o tempo de institucionalização com a percepção de qualidade de vida e autoestima; e que a percepção que as idosas possuem acerca da autoestima e qualidade de vida é influenciada por experiências passadas. Conclusão: A institucionalização poderá ser um fator com impacto positivo ou negativo, de acordo com a vida pregressa e experiência de cada idosa
Contribuição de um programa de exercícios visuais para idosos: corporeidade e Terapia Ocupacional
Authors: Silveira Tavares Grasielle , Reis Gebrael Capanema Tatiana Luísa , Oliveira Dantas Letícia , PORTO ESTER
Published: August 2024

Introdução: O envelhecimento é um processo natural e à medida que o indivíduo envelhece ele se torna passível no desenvolvimento de complicações oftalmológicas, uma delas é a catarata senil que consiste no comprometimento da nitidez da visão devido ao uma opacidade no cristalino. O Programa Olhos de Águia inclui uma série de exercícios visuais e corporais que promovem a recuperação da qualidade visual dos seus participantes. Objetivo: Avaliar e compreender pelas narrativas de pessoas idosas com catarata senil quais os resultados que os exercícios propostos no Programa Olhos de Águia trouxeram para sua saúde visual e corporeidade. Métodos: Pesquisa qualitativa do tipo exploratória, utilizou o Discurso do Sujeito Coletivo (DSC) para análise dos dados apresentados no período de abril a outubro de 2022. Nove idosos foram acompanhados por meio de 21 encontros grupais em plataformas digitais e entrevista individual no início e final do estudo. Resultados: Houve influência positiva da atividade grupal na vida dos participantes, com promoção de autocuidado na rotina, contribuindo com melhora na consciência corporal. Conclusões: Os exercícios visuais propostos pelo programa fizeram parte de uma mudança na postura do autocuidado dos indivíduos contribuindo para a melhora da qualidade de vida global, tendo melhoras visuais e corporais que contribuíram para a realização de atividades cotidianas com maior autonomia.
INTERPERSONAL RELATIONSHIP BUILT BY WHO’S OFFICIAL COVID-19 ADVERTISEMENT: A MULTIMODAL ANALYSIS
Authors: Mulia Vilya Lakstian Catra , Rahayu Riana Dwi , Salsabila Sheila Shalihaila , Sabihah Arfi
Published: August 2024

Covid-19 pandemic outbreak experienced people into unpredictable moment. At that time, it is required to know what they should do. World Health Organization (WHO) released official public advertisement including this requirement. Using Systemic Functional Linguistics (SFL) approach integrated with multimodal analysis, the authors try to find the interpersonal relationship built in the advertisement. The research is done with qualitative paradigm descriptively towards multimodal document, as the data source, containing the transcription of spoken and written language resources along with camera positions and shots. The results are taken from applying domain, taxonomy, componential, and cultural theme analyses. The domination of voice over talent implies being informative and inspiring. The analysis of camera position and shots signifies proximity between the participants and audiences. This research finally reveals the interpersonal strategy practiced by the advertisement.
TRANSLATION STRATEGIES FOR IDIOMATIC EXPRESSIONS IN LITERARY WORKS
Authors: Baihaqi Akhmad
Published: August 2024

It is challenging to produce the translation of idiomatic expressions since these are common to use in any kind of literary works. In translating those expressions, the translators may encounter several problems since they cannot be translated literally. To solve the problems, an appropriate translation strategy is required. Therefore, the objective of this current work is to get in-depth information of the translation strategy of idiomatic expressions used in literary work. To achieve such an objective, qualitative content analysis was used for this study. Data of the research were collected from the idiomatic expressions used in The Maze Runner novel. The original novel was written by James Dashner (published in 2009) and its Indonesian Language version was translated by Yunita Chandra (published in 2011). The data collecting technique used for this study was documentation. The result of the study proves that the translation strategies used by the translator for the novel are (1) similar meaning but with dissimilar form (29%), (2) translation by paraphrase (57%), and (3) translation by omission (14%). The uses of those strategies are required to result in the translation versions of idiomatic expressions which focus on the context equivalent and the acceptability of nuances of meaning.
Presuposisi: Representasi Sosial dalam Pidato Presiden Jokowi di Sidang Umum PBB ke-76
Authors: Idul Rahmatan , Danial Haris
Published: August 2024

Penelitian ini bertujuan untuk menginvestigasi pemanfaatan presuposisi dalam pidato virtual Presiden Jokowi di Sidang Umum PBB ke-76 dalam merepresentasikan berbagai peristiwa sosial. Data dalam penelitian ini terdiri atas kalimat-kalimat hasil transkripsi pidato Presiden Jokowi yang bersumber dari situs resmi Sekretariat Kabinet Republik Indonesia (www.setkab.go.id).Â Dengan menggunakan konsep presuposisi Yule, data tersebut kemudian diklasifikasi ke dalam enam jenis dan dianalisis dengan pendekatan kritis untuk mengetahui representasi setiap peristiwa sosial di dalamnya. Hasil penelitian menunjukkan bahwa terdapat lima jenis presuposisi yang digunakan oleh Presiden Jokowi dalam pidatonya, yakni presuposisi struktural, eksistensial, leksikal, faktif, dan kounterfaktual. Presuposisi-presuposisi ini dimanfaatkan oleh Presiden Jokowi untuk menyoroti empat isu utama global, yaitu pandemi covid-19, pemulihan dan inklusivitas ekonomi, ancaman perubahan iklim, dan terorisme serta perang. Presuposisi-presuposisi ini juga dimanfaatkan oleh Presiden Jokowi untuk menegaskan komitmen Indonesia untuk terus berpartisipasi dalam setiap usaha menyelesaikan permasalahan-permasalahan tersebut.
Karang Taruna Candu Bahasa sebagai Upaya Peningkatan Kualitas Berbahasa di Masyarakat Desa Jenalas
Authors: Al Mustofa Nasirudin
Published: August 2024

Permasalahan penggunaan bahasa di masyarakat adalah permasalah umum yang menimpa hampir seluruh masyarakat di Indonesia terutama remaja. Salah satu desa yang menjadi sasaran permasalahan kualitas berbahsa adalah Desa Jenalas. Program ini adalah solusi untuk mengatasi permasalahan bahasa yang digunakan dalam masyarakat. program karang taruna candu bahasa merupakan sebuah ide yang mengimplementasikan semboyan Trigatra Bangun Bahasa. Metode pelaksanaan yang digunakan pada pengabdian ini menggunakan metode pelatihan dan pembinaan bahasa. Program karang candu bahasa dilaksanakan selama satu bulan dengan jadwal kegiatan pelatihan seminggu dua kali. Hasil dari pengabdian ini adalah meningkatnya keterampilan berbahasa dan menulis. Selain itu, kegiatan ini juga memunculkan kader-kader bahasa yang nantinya akan menjadi pembawa acara maupun pranata adicara di lingkungan masyarakat.