bluuebunny/crossref_metadata_2025 huggingface dataset:
Item Layout for Building Materials Management with Apriori Algorithm
Authors: Wati Afrina
Published: March 2023

The initial stage of opening a business is one of the business activities that can have an impact on the economy. TB. Jasa Manis is a trading business that sells various kinds of building materials, electrical equipment, materials and others. A sales strategy is needed to maintain business and marketing. Data Mining answers this problem by analyzing customer transaction data, then creating a certain rule, pattern or model. Products that are frequently purchased by customers will be used as a reference point in viewing consumer spending patterns. The association technique that can be used is an a priori algorithm designed to find item combinations. The a priori algorithm is guided by the min support and min confidence values. The combination pattern of sales transaction data itemset for two months on TB. Jasa Manis, it can be found that with a combination pattern the minimum support value is 14% and the minimum confidence is 40%. The rules for the highest association or goods that are often purchased together by customers are found in the Lotus Geese/LBR and Roof Nails. Through the analysis of customer shopping habits obtained, the layout of building materials can be adjusted to the customer's shopping pattern. With the data mining socialization rules, patterns of consumer shopping behavior can be identified and can increase sales at TB. Sweet Service
Diagnosis of Facial Skin Problems with the Forward Chaining Reasoning Method and Tracing Certainty Factor Beliefs
Authors: Esa Putra Jordi
Published: March 2023

Most people's dream is to have white, healthy, clean and well-maintained facial skin. However, the treatment does not pay attention to skin type, causing new problems such as acne, dry skin and others. Before carrying out skin care, determining the type of facial skin is very necessary because the determination of skin care must be adjusted to the type of facial skin. The role of a skin specialist is highly expected in determining the type of facial skin care according to skin type. The limited number of dermatologists , doctor's office hours , and the very long queue process and long travel distances result in obstacles that are often experienced. In order to make it easier for the public to recognize skin problems on the face, we need a system that can assist doctors in the initial diagnosis of facial skin problems. In this study, the forward chaining method and certainty factor were used in diagnosing facial skin problems to calculate the accuracy of the types of problems experienced based on the symptoms felt by the user. From the test results obtained in dealing with facial skin problems with an accuracy rate of 99.99 % . The resulting expert system can assist patients in consulting to deal with facial skin problems
The Politics of Transforming Education in Peru: 2007-2020
Authors: Bruns Barbara , Schneider Ben Ross , Saavedra Jaime
Published: March 2023

Peru is one of a relatively small number of middle-income countries whose education strategy to raise student learning has involved significant reforms of teacher policy sustained over a sufficiently long period (more than 10 years). Global experience shows that core reforms of the teaching career are both politically and technically challenging. The focus of this paper is the content and implementation of reforms to raise teacher quality in Peru in the period 2007-2020 in the hope that other countries facing the same challenges can benefit from this experience. We conclude with some reflections on how education policy and education politics have contributed to the post-pandemic landscape.
What Problem Should Skills Solve? Interrogating Theories of Change Underpinning Strategies and Interventions in Vocational Education and Skills in LMICs
Authors: Allais Stephanie , Marock Carmel
Published: March 2023

The aim of this paper is to understand the ‘theory of change’ underlying interventions to support vocationalisation of general education as well as vocational education and training (VET) and skills development. The focus is on interventions supported by development agencies and donors, although national policies are also considered, as the agencies work with governments and are both guided by, and influence, their priorities. The first aim is to interrogate what problem VET is seen as the answer to, and how VET is seen to solve that problem (their theory of change). The second aim is to understand the extent to which, and ways in which, vocationalising education is supported and VET favoured, as compared to other components of the education system such as early childhood development, early primary education, or university expansion, as an educational intervention. We found that while some organisations have explicit theories of change—generally multiple theories of change addressing different aspects of the overarching system—many are currently in the process of developing these theories of change. A few state that they do not have a theory of change but rather focus on the development of targets for different components of the system.
Diseño y generación de inmunógenos basados en baculovirus para la prevención de la fiebre hemorrágica argentina
Authors:   , Arrías Paula Nazarena
Published: March 2023

La fiebre hemorrágica argentina (FHA) es una enfermedad endemo-epidémica de la República Argentina cuyo agente etiológico es el virus Junín. La población en riesgo de contraer esta enfermedad es de aproximadamente 5 millones de personas que habitan el área endémica. Desde la década de los ‘90 se cuenta con una vacuna para la prevención de la FHA producida de manera local, denominada Candid#1, basada en una cepa atenuada del virus. Sin embargo, dada la naturaleza de la formulación, los elevados costos productivos y los posibles efectos adversos asociados a su administración, es de interés nacional la investigación y el desarrollo de alternativas a esta vacuna. Los baculovirus son virus que infectan insectos, que han sido ampliamente utilizados y estudiados como herramientas de biología molecular por más de 40 años. En la actualidad, existe un sistema de expresión de proteínas heterólogas basado exclusivamente en los baculovirus y células de insectos (denominado BEVS), que constituye una plataforma biotecnológica eucariota, de costos de empleo reducidos y de bajo riesgo biológico. En la presente tesis se exploró la generación de inmunógenos para la prevención de la fiebre hemorrágica argentina mediante el uso de la plataforma BEVS. En el capítulo I se exploró el display superficial de las glicoproteínas de los arenavirus (GPC) en la envoltura de los viriones brotantes de baculovirus recombinantes. En el capítulo II, se buscó generar una línea celular de insecto transgénica, que exprese una enzima esencial para el correcto plegamiento de GPC en el sistema BEVS. Esto se debe a que los anticuerpos neutralizantes responsables de la protección otorgada por Candid#1 reconocen epítopes estructurales de la espícula viral. Luego, en el capítulo III, se evaluó la generación de virus-like particles del virus Junín. Estas partículas son inmunógenos atractivos pues son capaces de exponer los antígenos virales de la misma manera que lo hacen los viriones de los cuales derivan, pero no poseen genoma, por lo cual no son replicativas, y resultan más seguras. Por último se provee de una discusión general de los resultados y la proyección de perspectivas futuras.
Aksaray İli Marka Değeri Araştırması
Authors: KARADAL Himmet , AKÇİ Yavuz , SEPETÇİ Tülin , DİNÇER Evren
Published: March 2023

Marka kavramının ortaya çıkışı birbirine benzeyen ürünleri daha kolay ayırt etmeyi kolaylaştırmak amacıyladır. Zamanla marka kavramı farklı ve özel anlamlar kazanmaya başlamıştır. Marka ilk zamanlar mal ve hizmetler için kullanılmıştır. Fakat zamanla markanın kapsamı genişlemiş ve bu kapsam içine fikirler, kişiler, kentler, ülkeler, bölgeler, yerler gibi farklı unsurları da kapsamaya başlamıştır. Bugün artık sadece işletmelerin ya da malların değil, ülkelerin veya kentlerin de marka değerleri oluşmuş ve bunlara ilişkin insanların zihinlerinde imajlar bulunmaktadır. Bu imajlar, insanların o kentte ticaret, yatırım yapma ve kenti ziyaret etme tercihlerini etkilemektedir. Bu durum komşu şehirler arasında rekabet alanı oluşturmuştur. Bu yüzden birçok kent mevcut kent imajlarını ve kentlerinin marka değerlerini belirleme ve bunları daha iyi hale getirme çabasına girmektedirler.

Bu çalışmada Aksaray’ın marka değeri, bu şehirde ikamet eden insanların bakış açılarıyla belirlenmeye çalışılmıştır. Aksaray’da yaşayan insanların görüşleri hazırlanan anket formu ile belirlenmeye çalışılmıştır. Anket formu il merkezindeki insanlara yüz yüze olarak uygulanmış ve toplam 2.272 geçerli anket verisi elde edilmiştir. İstatistik programı aracılığıyla istatistiki analizler yapılmıştır. Yapılan analizler sonucunda Aksaray için ilk çağırışım yapanlar Malaklı Köpeği, Ihlara vadisi ve Hasan dağı olmuştur. Katılımcılar Aksaray’ın marka değerinin olması gerekenden daha düşük olduğunu, spor aktiviteleri, uluslararası tanıtım aktiviteleri, konaklama yerlerinin marka değeri, alternatif turizm etkinlikleri, halkın davranışları, sosyal kültürel aktiviteler, üst yapı yatırımları ve şehir içi ulaşım açısından yetersiz olduğu görülmüştür. İnanç merkezleri, tarihi eserler ve kentin konumunun yeterlik açısından daha iyi olduğu görülmüştür. Ayrıca şehri ziyaret edenlerin memnun ayrıldığı ve arkadaş edinmenin kolay olduğu görülmüş, toplu taşıma ve sosyal faaliyetlerin yetersiz olduğu görülmüştür. Aksaray’ın marka değerinin iyileştirilmesi için ilk olarak daha fazla ulusal ve uluslararası tanıtım etkinliklerinin yapılması, sosyal, kültürel ve sportif etkinlikler için daha fazla girişimde bulunularak ev sahipliği yapılması önerilmektedir. Ayrıca Aksaray için kent logosu tasarlanıp bu logonun şehirle ilgili kurum, kuruluş ve ürünlerde kullanımının teşvik edilmesi önerilmektedir.
Assessment of Microplastics in the Surface Water of Sitio Pulo, Navotas, Metro Manila
Authors: Galicia Mark Lester C. , Flestado Carl Luis P. , Magalong Jeff Ryan S. , Rivera Ronald Benz L. , Villacorte Kim M. , Sarmiento William Peter G. , Deocaris Chester C.
Published: March 2023

Microplastics are synthetic polymer particles with a length of 5 mm or less with no well-defined lower boundary. These debris particles are known to affect marine and aquatic organisms which poses a threat to biodiversity and marine resources. In this study, the isolated microplastic from the coastal and lagoon surface waters of Sitio Pulo is described. Sitio Pulo is a barrier island mangrove sanctuary located at Brgy. Tanza I, Navotas City surrounded by Manila Bay. The samples collected last July 4 and 25, 2019, were isolated, profiled, and analyzed. A total of four hundred forty-nine (449) microplastic fragments were isolated from the surface water samples with a median length of 1.096 (IQR 0.809–1.578) mm. The isolated microplastics exhibit roundness, whiteness, and yellowing indicating signs of mechanical, chemical and photodegradation. It is also noted the putative effects of the weather disturbances in accelerating the discharge of nascent microplastics in Manila Bay. The isolated microplastic composition includes the commodity polymers polyethylene (PE) and polypropylene (PP). The presence of microplastics in the surface waters of Sitio Pulo reflects the worsening plastic pollution problem in Metro Manila.
A Framework for Assessing Environmental Incidents in Coastal Areas: A Case Study in the Southeastern Coastal Area of Vietnam
Authors: Tan Cuong Le , Van Phuoc Nguyen , Hong Quan Nguyen , Thi Diem Loan Tran , Thanh Minh Tran
Published: March 2023

As developing dynamic regions, coastal areas have a high potential for environmental incidents, especially chemical spills, which may permanently threaten livelihoods and coastal ecosystems. Establishing an appropriate methodological framework for assessing environmental incidents in coastal areas, ensuring increased predictability and minimising potential consequences is a trend of interest to scientists. In this study, the environmental risk assessment model was applied to develop a framework for assessing environmental incidents in coastal areas due to chemical spills from the mainland based on hazard, exposure and vulnerability factors (i.e., sensitivity and adaptability). Using the multiple criteria decision-making (MCDM) method approach, suitable criteria, their optimal weights and the risk factors were determined. Modelling, remote sensing, and geographic information system (GIS) methods were used simultaneously for data collection, evaluation, and mapping. A case study was conducted in the coastal area of southeastern Vietnam, which comprises 27 subregions. These were classified into four environmental incident levels: low, medium, high, and extreme. Their prevalence was 70.37%, 3.70%, 7.41%, and 18.52% in the rainy season, and 74.07%, 7.41%, 7.41%, and 11.11% in the dry season, respectively. Based on analysis results and consultation with managers and experts, pertinent and practical solutions were proposed to reduce the risk of environmental incidents in subregions with high and extreme incident levels. Our results are expected to support policymakers in decision-making related to the sustainable development of the study area and complete the methodology framework for assessing environmental incidents in coastal areas due to multiple hazards.
An Urban Tree (Tabebuia argentea) Exhibits Higher Sensitivity to Environmental Conditions than an Urban Palm (Ptychosperma macarthurii) Growing in the Same Roof Garden: An Implication for Sustainable Urban Water Use
Authors: Ampornpitak Ratchanon , Khobpee Prangwilai , Unawong Weerapong , Leksungnoen Nisa , Tor-ngern Pantana
Published: March 2023

Roof gardening is popular for increasing green space in cities due to the restricted urban areas. However, when watering plants on a roof garden, one should consider loading capacity of the roof, which may limit water supply to the plants therein. To improve the efficiency in irrigating trees in a roof garden, we evaluated plant water status, represented by midday leaf water potential (ΨL), and leaf gas exchange parameters including stomatal conductance (gs) and net photosynthesis (An) of a tree (Tabebuia argentea, Ta) and a palm (Ptychosperma macarthurii, Pm) species, which dominate the garden. The ΨL mediated responses of gs and An, regulating plant water use and growth, to soil moisture. Results showed that ΨL of Ta significantly varied with changes in soil moisture, being low at low and high soil moisture. Nevertheless, gs of Ta linearly decreased when ΨL increased, suggesting a stronger response of gs to atmospheric demand. In contrast, no significant responses among the study variables were observed in Pm. For both species, An initially increased with gs and saturated after gs reached 200 mmol m-2 s-1, indicating similar stomatal regulation on atmospheric carbon dioxide absorption. The limited space for root growth and the location with surrounded building walls contributed to unconventional response patterns observed in Ta. Nonetheless, our results suggested that Ta was more sensitive to changing environments, especially the atmospheric demand, than Pm. Additionally, Ta should be irrigated during daytime and when atmospheric vapor pressure deficit is less than 2.6 kPa to allow high photosynthesis and evaporative cooling while Pm may be watered less frequently to reduce the roof’s loading and save water. This initial investigation implied that maintaining urban trees using appropriate irrigation that is specific to tree species is the key to maximize benefits from urban trees and optimize urban water use.
Penyuluhan Program SBM (Save Breast Milk) Untuk Meningkatkan Kesadaran Asi Eksklusif Pada Ibu Nifas
Authors: Sherllia Sofyana
Published: March 2023

Breast milk (ASI) is an ideal source of nutrition and the safest food for babies for 0-6 months of life. Exclusive breastfeeding can fail due to several factors, including working mothers. The SBM (Save Breast Milk) program is aimed at working mothers who have explained the importance of exclusive breastfeeding for mothers and babies as well as an explanation of good and correct breastfeeding techniques for breastfeeding mothers so that when breastfeeding, mothers and babies can feel comfortable. The aim is to increase mothers' knowledge about exclusive breastfeeding and how to store breast milk. The method is providing education through counseling for one day using a leaflet and other devices. Participants totaled 18 breastfeeding mothers. This activity was carried out in Loru Village. Based on the results of the health education provided, there is an increase in knowledge about the importance of exclusive breastfeeding and how to save breast milk for working mothers to meet their babies' nutritional needs. Working mothers are motivated to breastfeed even though they are busy working, thanks to this SBM program. The conclusion is that there is an increase in the knowledge and attitudes of breastfeeding mothers who work after being given health education about the importance of breast milk for babies and how to store breast milk to meet the nutritional needs of infants.
Las especies crípticas un reto para los estudios modernos de sistemática, descripción de la biodiversidad y conservación de las especies
Authors: Pérez Ponce de León Gerardo , Solórzano García Brenda
Published: March 2023

La Taxonomía es la disciplina que se encarga de identificar, describir, nombrar y clasificar a los seres vivos; la Sistemática incorpora la información generada por los taxónomos para inferir las relaciones evolutivas entre los organismos; representan un marco de referencia para cualquier estudio biológico. El uso de marcadores moleculares en las últimas décadas revitalizó a la sistemática permitiendo desarrollar no solo hipótesis filogenéticas entre taxa, sino también criterios más precisos para delimitar especies. A través de estos marcadores se ha reconocido la existencia de las Especies Crípticas (aquellas morfológicamente indistinguibles, pero genéticamente distintas). El reconocimiento y delimitación de las especies crípticas representa un reto para el conocimiento de la biodiversidad, para la descripción de patrones macroecológicos, biogeográficos y evolutivos y para los estudios sobre la conservación de las especies.
Paratrigeminal Neuralgia that Improved with Treatment of Hypertension in a Patient with Raeder’s Syndrome After Carotid Artery Stenting
Authors: Sato Hitoaki , Ueno Kyohei , Motoyama Yasushi , Uozumi Yoichi , Mizobuchi Satoshi
Published: March 2023

BACKGROUND: Although there have been reports of Raeder’s syndrome developing after carotid artery dissection, to our knowledge, no case of Raeder’s syndrome occurring after carotid stenting has been reported. CASE REPORT: A 46-year-old man was urgently treated with a self-expanding stent for idiopathic right carotid artery dissection. However, the patient complained of moderate oppressive pain in the right orbit and forehead immediately after stent placement. Further examination revealed a right eye miosis and right ptosis. No anhidrosis was noted. A diagnosis of Raeder’s syndrome was made based on partial Horner’s syndrome and pain in the first branch of the trigeminal nerve. We noticed that he had hypertension and started antihypertensive medication. After starting the antihypertensive medication, his blood pressure stabilized, and his periorbital pain disappeared dramatically as his blood pressure fell. However, Horner’s symptoms (miosis and ipsilateral ptosis) were still present. CONCLUSION: We experienced a case of Raeder’s syndrome that occurred after stenting of the carotid artery. Neuralgia improved by treatment of hypertension. It should be noted that the paratrigeminal neuralgia of Raeder’s syndrome after carotid stenting can be caused by hypertension. KEY WORDS: Antihypertensive medication, Horner’s symptoms, Raeder’s syndrome, stenting of the carotid artery
Epidural Abscess Following a Spinal Cord Stimulator Trial: A Case Report
Authors: Nam Gabriel , Gugger Douglas
Published: March 2023

BACKGROUND: Spinal cord stimulators (SCS) are used in the management of numerous chronic pain conditions. Prior to implantation, SCS trials determine whether patients are candidates and would benefit from neuromodulation therapy. Complications associated with these trials have been previously loosely discussed in conjunction with permanent implantation outcomes. CASE REPORT: In this case report, we present a patient who developed an epidural abscess requiring emergent surgical intervention and inpatient management following a SCS trial. CONCLUSIONS: Complications associated with SCS implantation have been well-described, but literature delving into significant complications following short-term trials are uncommon and less specified. SCS trials can result in complications including epidural abscess and should be managed promptly and appropriately to prevent major patient comorbidities. KEY WORDS: Spinal cord stimulator, neuromodulation, complication, surgical site infection
Subthreshold Peripheral Nerve Stimulation with a High Frequency Electric Magnetic Coupled (HF-EMC) Powered Implanted Receiver: A Case Series
Authors: Chahadeh Hassan , Rich Brian , Wiederholz Matthias , Herschkowitz Daniel , Stone Carissa , Manzi Suzanne , Satija Pankaj , Vanquathem Niek
Published: March 2023

BACKGROUND: Peripheral nerve stimulation (PNS) is an effective alternative for the management of neuropathic peripheral chronic pain, but the high incidence of adverse events such as lead and battery erosion, migration, lead fracture, disconnection, and infection have limited the widespread use of PNS. Neuromodulation technology that does not include implantable pulse generators (IPGs) but a 4- or 8-contact electrode array with embedded electronics and a small, externally worn rechargeable transmitter reduces the complications related to the implant of an IPG. PNS has traditionally been performed with a tonic stimulation protocol. This case series describes a wireless PNS device at subthreshold frequencies for the treatment of neuropathic pain of peripheral nerve origins. CASE REPORT: No adverse events were reported, and no complications were encountered during implantation. All patients reported more than 50% pain relief during the one-week trial period, sustained pain relief with various placements and number of electrodes, and an important improvement in quality of life and sleep. Mean VAS scores decreased 78% at one month (n = 11) and remained stable at 6 months with 91% reduction (n = 5) and 76% reduction (n = 1) at 12 months. Mean PGIC at 6 months was 7 of 7. CONCLUSION: Percutaneous placement of an externally powered neurostimulation device adjacent to the affected peripheral nerve(s) is an effective, minimally invasive, and reversible method of pain control in patients with neuropathic pain. PNS using subthreshold frequencies effectively controls neuropathic pain from multiple peripheral nerve targets. KEY WORDS: High frequency, peripheral nerve stimulation, peripheral neuropathic pain, externally powered
“A STUDY OF CLINICAL, MYCOLOGICALAND TRICHOSCOPIC FEATURES OF
TINEA CAPITIS IN CHILDREN”
Authors: Manangi Sowmya , V T Veena , Reddy Suga
Published: March 2023

Background: Tinea capitis (TC) is a common supercial fungal infection seen predominantly in children. The etiological factors vary from one
region to the other. The clinical microbiological and trichoscopic features of the same were studied in children attending dermatology department
of JJMMC Davangere. Aims: To delineate the various patterns of TC observed in central karnataka and to assess the clinical, microbiological and
trichoscopic ndings in children. Methodology: Retrospective study was conducted between November 2020 - November 2021, medical records
were analysed for the clinical-epidemiological, mycological and trichoscopic features of TC in children. Results: Out of 25 children, 14(56%)
were male and 11(44%) were female. 13(52%) were aged between 5-10 years. Hair loss was the commonest presenting symptom in 100% followed
by itching in 7(28%) of cases. Most of the children were living in crowded conditions 22(88%). Grey patch variety was the commonest 9 (36%)
followed by black dot 7(28%), kerion 4(16%) and agminate folliculitis 5(20%). KOH mount was positive in 80% and culture in 40% of cases.
T.violaceum was the commonest 4(40%) species isolated followed by T.mentagrophyte and T rubrum. Comma hair was the most common
trichoscopic nding noted in study. Conclusion: In the present study, clinical examination microscopic and trichoscopic ndings along with
epidemiological factors were considered which attributed that the most common group affected is the lower socioeconomic population. Though the
causative fungi was found to vary between different regions and time, T.violaceum was the most common organisum isolated in our study. Comma
hair and broken hair was most common trichoscopic ndings in our study
ROLE OF INNOVATIVE BALLOON TAMPONADE IN ATONIC POST PARTUM HAEMORRHAGE
Authors: Singh Vishakha , Kaur Parneet , Pal Kaur Satinder , Singh Beant
Published: March 2023

Introduction: Postpartum hemorrhage is the major cause of maternal deaths, especially in the developing world. Uterine atony is the most
common cause of PPH and when the hemorrhage is not controlled with medical management then Intrauterine balloon tamponade is one method
that proves very effective and reduces the need for further surgical interventions. T Aims & Objectives: o evaluate the effectiveness of balloon
tamponade in the management of atonic PPH. This prospective study was conducte Materials & Methods: d in the Department of Obstetrics &
Gynaecology at Government Medical College and Rajendra Hospital, Patiala. We included 50 cases of atonic PPH in the study where medical
management failed. Uterine tamponade was achieved by an innovative condom balloon catheter The success rate of balloon tamponade Results:
in controlling bleeding came out to be 94%. We concluded that Uterine balloon tam Conclusions: ponade is effective, non-invasive, simple to use,
easily available, and cost-effective method for the management of PPH. If we are unable to control bleeding with this method, it provides a
temporary tamponade effect to gain time for surgical procedures or referral to a higher center if facilities are not available
A COMPARATIVE EVALUATION OF SURGICAL VERSUS CONVENTIONAL METHOD IN THE TREATMENT OF MANDIBULAR CONDYLAR FRACTURES
Authors: Rani Ruma , Lal Ash Hira
Published: March 2023

INTRODUCTION: Mandible is one of the prominent bones in the facial skeleton. Since the condyle is the weakest portion of the mandible, it is
one of the commonest sites of fractures in the mandible which is a protective mechanism as well. Condylar process fractures occur by the impact of
an indirect traumatic force on the chin and seldom arise from direct trauma unless accompanied by fracture of the zygoma. Injury to the condylar
region deserves special consideration apart from the rest of the mandible because of anatomical differences and healing potential.AIM OF
STUDY: This is a prospective randomised study aimed to evaluate the functional outcome following non-surgical and surgical methods in the
treatment of condylar process fractures. This study was conducted on 20 patients who MATERIALS AND METHOD: visited the Department of
Dentistry, Darbhanga Medical College and Hospital, and who fullled the inclusion criteria were selected for the study after taking written
informed consent and obtaining clearance from institutional ethical committee. We can conclude that if the condylar fracture is CONCLUSION:
managed by closed reduction, there is more incidence of deviation of mandible towards fracture side as compared to cases managed by open
reduction and internal xation. we can conclude that in cases of un-displaced condylar fracture, conservative treatment is preferred and we advice
surgical treatment in cases of deviated or displaced condylar fracture.
“COMPARISON OF POST OPERATIVE ANALGESIC EFFECT OF INTRAARTICULAR BUPIVACAINE AND ROPIVACAINE IN DAY CARE ARTHROSCOPIC KNEE SURGERY.”
Authors: A. Prajapati Ravi , J. Pandya Malti
Published: March 2023

Purpose: Intra-articular administration of local anesthetic drugs provides analgesia after arthroscopic knee surgery. Study was comparison of the
analgesic effect of intraarticular injection of ropivacaine and bupivacaine in patients undergoing arthroscopic surgery. Double- Type of Study:
blind, randomized prospective clinical study. The study included patients schedul Methods: ed for knee meniscus repair under arthroscopy divided
into 2 groups to receive, intra-articularly, 30 mL of bupivacaine 0.5%(150mg), or ropivacaine 0.75%(225) solutions at the end of surgery.
Postoperatively, pain was measured using a visual analog scale (VAS). Paracetamol was given when patients complained of pain. VAS Results:
scores were higher in the bupivacaine group compared with the ropivacaine group. Duration of postoperative analgesia and paracetamol
administration was shorter in the bupivacaine group compared with the ropivacaine group. Paracetamol consumption was signicantly lower (P <
.004) during the rst 24 hours in the ropivacaine group (4.00 ± 1.37) than in the bupivacaine groups (6.89 ± 1.711) : This study Conclusions
documents that intra-articular ropivacaine 0.75% provides better analgesia than bupivacaine 0.5% after knee arthroscopic surgery
COMPARISON OF NFI SCORE WITH LRINEC SCORE FOR THE EARLY DIAGNOSIS OF NECROTIZING FASCIITIS IN PATIENTS WITH SOFT TISSUE INFECTIONS
Authors: Sowbarnika P , GN Prabhakara , Babu N Sathish , CH Pranusha
Published: March 2023

Necrotizing fasciitis (NF) is an infection of skin and soft tissues which spreads rapidly through fascia causing tissue destruction at a rate of 2-3
cm/hr. Early phases of cellulitis and NF have a clinically similar presentation leading to confusion. Laboratory Risk Indicator for Necrotizing
Fasciitis (LRINEC) score devised by Wong et al, score of ≥ 6 indicates a high likelihood of NF. A modied LRINEC score was proposed by
Borschitz T et al but the parameters such as pain, signs of Acute Kidney Injury(AKI) are subjective. We proposed a new score – the NFI
(Necrotizing Fasciitis Indicator) score, a value of ≥ 8 is suggestive of strong suspicion for NF. In this study, we found that the specicity, positive
predictive value (PPV), negative predictive value (NPV) of NFI score is better than LRINEC score.
ASSESSMENT OF FUNCTIONAL OUTCOME OF SACRO-ILIAC BLOCK IN PATIENTS WITH SACROILIAC JOINT DYSFUNCTION: A PROSPECTIVE STUDY
Authors: Shaival Kalpesh Shah , Babu Sathik , Prabhakar Selvin
Published: March 2023

The study aimed to investigate the therapeutic efcacy of sacroiliac joint (SIJ) blocks with triamcinolone acetonide in patients with SI Joint
dysfunction. Numerous studies have demonstrated that SIJ blocks with corticosteroid provide long-term pain relief in seronegative spondyloarthropathy.We conducted a prospective observational study of patients at Chettinad Hospital and Research Institute. The above mentioned SIJ
blocks were performed in 30 patients, and functional outcome was evaluated with NRS pain scale and Oswestry Disability Index. 30 patients
(66.7%) experienced signicant pain reduction for more than 6 weeks; the overall mean duration of pain reduction in these responders was 36.8 _
9.9 weeks. SIJ blocks with triamcinolone acetonide are benecial for patients with SIJ pain
EFFECT OF DYNAMIC HINDFOOT VALGUS DEFORMITY FOLLOWING INTRAMEDULLARY FIXATION OF TIBIA AND CONSERVATIVELY MANAGED PROXIMAL AND MIDDLE 1/3RD FIBULAR FRACTURES ON ANKLE FUNCTION RETROSPECTIVE STUDY
Authors: Arun S Daniel , Babu M B Sathik , Kumar K Prem , Ganesh A.
Published: March 2023

Objective: Evaluate Effect of dynamic hindfoot valgus deformity following intramedullary xation of tibia and conservatively managed proximal
and middle 1/3rd bular fractures on ankle function Retrospective study The study involve Design: Materials and methods : d 20 patients who
had undergone conservative management for proximal to middle one-third (except distal one-third level) bular fracture and who had unilateral
middle and distal one-third tibial fractures treated by anatomic reduction and interlocking intramedullary nail xation. The Outcome Measures:
Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Foot and Ankle Disability Index Score were used to calculate functional outcome
ratings for each patient. In addition, Mean Length of bula and Mean hindfoot valgus was observed. 20 patients were studied The mean Results:
KOOS score was 86.5, and the mean FADI score was 89.4. [8,9] The statistical difference in FADI and KOOS in cases of operated side and the
contralateral side were statistically insignicant leading to the conclusion that the occurrence of the hindfoot valgus angulation does not cause any
functional impairment of the ankle. The increase in calcaneal valgus on the clinical hindfoot examination was a mean of 6 compared to that of the
other extremity. Fibular shortening was identied in 14 cases and mean bular shortening was found to be 1.1 cm. Dynamic hindfoot Conclusions:
valgus deformity is a foreseen complication in cases of distal diaphyseal fractures of tibia treated with intramedullary nailing along with
conservatively managed concurrent proximal and middle third bular fractures. This deformity is predominantly seen in cases where bular
shortening occurs but its effect on the ankle function is almost unhindered.
ROLE OF COMPUTED TOMOGRAPHY IN THE EVALUATION OF HEPATIC MASSES
Authors: Govind Tembhekar Narendra , Zafir Waqui Syed , Mahajan Sandeep , Vaidya Deshpande Anagha , Tahoora Sayed
Published: March 2023

Hepatocellular carcinoma (HCC) is the most common cancer in liver .
HCC is more common in males and incidence is higher than other
hepatic masses.
HUNGRY FOR HAIR - RAPUNZEL SYNDROME: A CASE REPORT
Authors: Hashmi Mahin , Nusrath Farees Syed , Fahad Mohiuddin Mohammad
Published: March 2023

Rapunzel syndrome is a rare condition where bezoar made of ingested hair is found in stomach or intestine. Incidence is <18% (In patients with
trichotillomania). Small bezoars can be removed endoscopically whereas large ones require surgery. The medical & psychiatric treatment of
Trichotillomania should not be underestimated & early diagnosis & treatment play's a major role in saving patient's life. We describe a case of 14yr
old girl with Trichophagia and Trichotillomania who presented to our surgery op with history of pain abdomen and vomiting. Clinical examination
& Investigations showed the presence of a Trichobezoar causing Gastric Outlet Obstruction requiring immediate surgical intervention
Towards a Transparent and an Environmental-Friendly Approach for Short Text Topic Detection: A Review of Methods for Performance, Transparency and Carbon Footprint
Authors: Al Sulaimani Sami , Starkey Andrew
Published: March 2023

Online social media platforms have contributed significantly to the dissemination of user-generated information. Many studies have proposed various techniques to analyse the publicly available short texts to automatically extract topics. The majority of these works have mainly focused on the competitive performance of the proposed approaches. In this paper our main focus is on how to tackle this problem by incorporating two other important qualities: Transparency and Carbon Footprint. These two pillars are cornerstones to fulfil the emerging international demands and to adhere to the new regulations, such as “Right to Explanation” and “Green AI”. Based on these three qualities, this paper compares the most prominent algorithms in this field, such as: Latent Dirichlet Allocation, Non-Negative Matrix Factorization and KMeans as well as two most recent approaches, such as: BERTopic and Contextual Analysis. By using two different corpuses, the methods were evaluated for Performance. On average, the results show that BERTopic is the best performing approach overall in terms of Performance. However, Contextual Analysis achieves the best Performance in one of the two corpuses used. When considering the three qualities together, the results demonstrate the effectiveness and the benefits of the Contextual Analysis method towards a more transparent and a greener approach for the topic detection task.
The State of AI-Empowered Backscatter Communications: A Comprehensive Survey
Authors: Ahmed Manzoor , Hussain Touseef , Ali Khurshed , Mirza Muhammad Ayzed , Khan Wali Ullah , Ihsan Asim , Xu Fang , Han Zhu
Published: March 2023

This paper brings these two technologies together to investigate the current state of AI-powered BC. 

We begin with an introduction to BC and an overview of the AI algorithms employed in BC. Then, we delve into the recent advances in AI-based BC, covering key areas such as backscatter signal detection, channel estimation, and jammer control to ensure security, mitigate interference, and improve throughput and latency. We also explore the exciting frontiers of AI in BC using B5G/6G technologies, including backscatter-assisted relay and cognitive communication networks, backscatter-assisted MEC networks, and BC with RIS, UAV, and vehicular networks. Finally, we highlight the challenges and present new research opportunities in AI-powered BC. This survey provides a comprehensive overview of the potential of AI-powered BC and its insightful impact on the future of IoT.
Temporal and Spatial Behaviors of CBRS
Authors: Chakraborty Abhishek , Rao Ramesh
Published: March 2023

The recently established Citizens Broadband Radio Service (CBRS) has attracted attention because it accommodates incumbents, auctioned license holders, and unlicensed users. Incumbents retain unconstrained transmission rights, but when inactive, the unused spectrum is shared between the Primary Access License (PAL) users and the General Authorized Access (GAA) users. The spectrum sharing is controlled by a cloud-based centralized administrator, Spectrum Access System (SAS), which uses an environmental sensing capability network to establish transmission rights for PAL and GAA users without hindering the incumbents. This paper reports findings from GAA CBRS Devices' (CBSDs') deployments in California's San Diego county, which has numerous incumbents, and characterizes the temporal and spatial impact of CBRS. Based on measured data, a Markov model is developed to capture the temporal behavior of the system's state and is shown to be effective in estimating the steady state and hitting time probabilities for spectrum availability. We also recorded the availability of the CBRS spectrum, advertised by the SAS at various locations in San Diego, and found evidence of undisclosed obfuscation in the reporting of spectrum availability. We then developed two strategies that maximize the entropy of the Markov Chain's hidden states and provide more significant obfuscation than the undisclosed actions of the SAS.
PENGARUH PROFITABILITAS, LEVERAGE, FIRM SIZE, EARNINGS POWER, DAN TAX AVOIDANCE TERHADAP MANAJEMEN LABA
Authors: Yuliastuti Defina , Nurhayati Ida
Published: March 2023

The purpose of this research is to examine and analyze the effect of profitability, leverage, firm size, earnings power, and tax avoidance on earnings management in manufacturing companies listed on the Indonesia Stock Exchange in 2019-2021. This study uses a purposive sampling method in taking predetermined criteria. Where there are 420 sample companies that meet the criteria in this study. The analysis technique in this study used multiple linear regression analysis with the SPSS version 21 application. The results showed that profitability and tax avoidance had no effect on earnings management, while leverage, firm size, and earnings power had a significant positive effect on earnings management.
ANALISIS KEPUASAN KERJA PEGAWAI BPJS KETENAGAKERJAAN CABANG BALIKPAPAN
Authors: Arywibowo Imam , Yuliani Tutik , Putri Wanda
Published: March 2023

The purpose of this study was to determine the effect of compensation, leadership, and work discipline on job satisfaction of employees of the Balikpapan Branch of Employment BPJS, with 43 respondents, this research method uses quantitative methods. Data collection by distribution of google form questionnaires. The data analysis technique used is multiple linear analysis by conducting instrument tests, classical assumption tests, and partial hypothesis testing (t-test). The results showed that the variables of compensation, leadership, and work discipline had a positive and significant effect on job satisfaction of the Balikpapan Branch of Employment BPJS.
Psychological Stress-related Angina Pectoris among Adult Patients in Kirkuk City (Comparative study)
Authors: Muhe AL-deen Abbas Lateef
Published: March 2023

Objective: The purpose of this study was to assess the psychological stress-related angina pectoris among adult patients (male and female) and find out relationship between patients' stress and some socio-demographic characteristics such as age, marital status, level of education, occupation, socioeconomic status and BMI.
Methodology: A comparative (descriptive) study was carried out at two hospitals (Kirkuk general and Azadi teaching) in CCU and medical ward in Kirkuk city for a period of the 1st of May 2014 and up to the 1st of January, 2015. A non-probability (Convenience) sample of (50 male) and (50 female) definitely diagnosed angina pectoris patient. To achieve the objectives of the study a constructed questionnaire conducted for the purpose of the study, which consisted of three parts: the demographic characteristics; medical data and assessment of stress which includes (24) items. The data were collected through the use of the interview. They were analyzed through the application of descriptive statistical analysis (Frequency, Percentage%) and inferential statistical (T-Test and ANOVA) data analysis.
Results: The majority of the study sample were male aged (50-59) years while, the female aged (40-49) years old. 90% of the male and (62%) of the female were married. The majority (20%) of the male was graduated of primary school, while (42%) of female were graduated of the institute. Both male (36%) and female (46%) had (1-3) child. Most of the study sample was employed, had moderate socioeconomic status and mostly of urban residency. Regarding to the medical data, finding of the study indicated that (38%) of them were no history of chronic disease. 58% of the male and (82%) of the female were no smoking, Majority (42%) of the male and (38%) of females was overweight
Conclusions: the study was detected as a gender difference between male and female with psychological stress. In the study sample were found a significant relationship between psychological stress between male and female and ages. As the study concluded that most of the study sample were to have moderate psychological stress. Also founds a significant relationship only in female patients with angina and level of education, occupation, BMI and psychological stress.
Recommendations: Routine screening patients who attending to the hospital and primary health care center , for psychosocial vulnerability, current feelings and state of stress, with the use of reliable and valid measures.
Assessment of Feeding Patterns Children Under Two Years at PrimaryHealth Care Center
Authors: Baqer Hassan Mohammed
Published: March 2023

Objectives: To assess feeding patterns for children under two years at primary health care center.
Methodology: A Descriptive study is carried out at Al-Najaf AL-Ashraf City. In February 10th to May 19th 2015. Sample consisting of (50) children were selected randomly of the Primary Health Care Centers. Data collected by used questionnaire, which includes the first parts was about demographic characteristics of mother (age, occupational, educational levels, residence area, socio economic). Second part about demographic characteristics of children, Third part about information about normal and artificial feeding, Fourth part about information mother for breast feeding and fifth part about causes of reject of breastfeeding. Data was analyzed by using the application of descriptive and inferential statistical approaches.
Results: The finding of the present study indicate that there are mother with age group is highly (25 -33) were 44%. women using the mixed of feeding were higher 68% than the normal breast feeding 31.1%. No find any relationship between maternal age and has information about breastfeeding and feeding grounds for refusal of the child.Conclusion present study concluded that more than half of the study are mixed feeding. The study indicates that are the mother age has relation with her information about breast feeding .
Recommendation: Breastfeeding educational programs for mothers. Recommended mother about cleaning of equipment's artificial feeding and good formula of milk. infants should be breast fed exclusively for the first six months of life .
Assessment of Patients Satisfaction Regarding Nursing Care Provided at General Hospitals in Al-Najaf City
Authors: Khaleel Muna A. , Abed Al-Hussein Riyadh A.
Published: March 2023

Background: Patients are considered to be the best source of information about a hospital system's communication, education, and pain-management processes. Patients' satisfaction has become an important indicator in measuring the quality of care rendered to the patients while in hospitals.
Objectives: 1. To assess level of satisfaction of the patients with different dimensions of nursing care provided in selected general units i.e. (medical, surgical). 2. To determine the relationship between the satisfaction level of patients with their demographic variables.
Methodology: A Non Probability "purposive" sample of (150) patients are included in the present study. The data is collected in Jan. 10th, 2015 to March 10th, 2015 through the utilization of a developed questionnaire (Arabic version) and by means of interview with each patient who is included in the present study the study instrument rated as (strongly agree, agree, undecided, disagree, and strongly disagree). The final copy of the questionnaire consists of the following parts: the first part is composed of patient's demographic data sheet. Second part includes the Patient's Satisfaction form. Validity of the study instrument was determined through the panel of (14) experts, and the reliability of the study questionnaire through the pilot study. Descriptive and inferential statistical analysis procedures were used to data analysis.
Results: The results showed that there was an accepted satisfaction (54%) among the nurses-patient's communication, also more than half of the study sample (56.7%) were satisfied with nursing care domain. In addition, the study subjects (56%) were satisfied with overall satisfaction with nursing care domains.
Conclusions: The study concludes that majority of the study sample were satisfied with nursing care provided in medical and surgical wards.
Recommendations: The study recommended that the nursing administrators and nurses can utilize the findings of the present study to recognize the strengths and weaknesses of nursing care services and adopt necessary measures in enhancing quality of nursing care to increase patient satisfaction. Moreover emphasis to be put on importance of patients satisfaction especially with nursing care in the curriculum of medical and nursing colleges as well as health institutes and nursing schools