bluuebunny/crossref_metadata_2025 huggingface dataset:
PENERAPAN EARLY WARNING PADA LAYANAN ON CALL UNTUK EFISIENSI LAYANAN TERHADAP WAJIB PAJAK (STUDI KASUS UPTB UPPD TALIWANG)
Authors: DARMANSYAH ANDRI , UMAR UMAR , KHADAFIE MUAMMAR
Published: December 2024

This research aims to evaluate the implementation of the Early Warning system in on call services to improve service efficiency for taxpayers at UPTB UPPD Taliwang. The method used is a mixed method between quantitative and qualitative approaches (Mix Methods) with data collection through questionnaires distributed to taxpayers and interviews conducted with several informants. Data were analyzed using descriptive statistics to see trends in perception and to test the validity, reliability and correlation of the relationship between Early Warning implementation and service efficiency. The research results show that the implementation of the Early Warning system significantly increases the efficiency of on call services at UPTB UPPD Taliwang. Taxpayers involved in this study felt an increase in timeliness, quality of communication, and handling of problems related to their tax obligations. In conclusion, the Early Warning system plays an important role in increasing the effectiveness and efficiency of on call services, so it is recommended that relevant agencies continue to develop and expand the implementation of this system to support improved public services.
REFORMASI KEMENTERIAN NEGARA (TINJAUAN YURIDIS DAN IMPLEMENTASINYA DALAM PEMERINTAHAN PRESIDEN PRABOWO SUBIANTO)
Authors: SUPRYADI ADY , FAHRURROZI FAHRURROZI , MANTIKA AESTHETICA FIORINI , AMINWARA RENA , AMALIA FITRIANI
Published: December 2024

This research aims to examine the reform of state ministries as an effort to improve the organizational structure of the Indonesian government in order to increase the effectiveness and efficiency of government performance in carrying out state functions. In the context of President Prabowo Subianto's government, related to efforts to optimize government management, as well as improving national development policies, it can provide an overview of how the reform of this state ministry will be implemented. Reform of state ministries in Indonesia is generally related to restructuring efforts to improve bureaucratic performance. Since the beginning of the post-New Order reforms, the structure of state ministries has undergone various changes. Among the significant changes that occurred, was a reduction in the number of ministries to create a more efficient and focused government. This state ministry reform process is carried out based on academic studies and evaluations of the effectiveness of existing ministries and state institutions. The main aim is to improve the quality of public services, speed up the decision-making process, and ensure that state ministries can carry out their main tasks and functions optimally.
ANALISIS KINERJA MANAJEMEN KONSTRUKSI PADA PROYEK PEMBANGUNAN GEDUNG PELAYANAN KESEHATAN IBU DAN ANAK RSUP PROF. DR. I GOESTINGOERAH GDE NGOERAH
Authors: INDRAMANIK IDA BAGUS GEDE , SILVI NI PUTU , WIRADNYANA I GEDE OKA , CUNHA FRANSISKA YOSEFINA CLARITA DA
Published: December 2024

Construction management is a field of study that focuses on the application of various managerial and innovative practices in the construction industry. It covers the principles of Planning, Organizing, Driving, and Controlling (POAC) to effectively manage construction projects and achieve desired results. The nature of construction work often presents potential challenges and obstacles that can impact the overall success of the project. Because of this, it is very necessary to implement construction project control measures, such as quality control, cost control, and time control, throughout the planning, organizing, driving, and process control stages. This research focuses on the Prof. Maternal and Child Health Services Building Construction Project. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, highlighted the problem of adding a new floor which was not initially included in the detailed engineering design (DED). The main objective is to examine various factors that influence construction management performance in this project. This research uses a quantitative approach, utilizing Microsoft Excel software for analysis. Findings revealed that the Planning factor, with a mean value = 3.97, was the most significant factor influencing construction management performance in this particular project.
“BERTAHAN DI MASA SULIT” (MOTIVASI DRIVER TAKSI KONVENSIONAL KOPTAX NGURAH RAI DI TENGAH GENCARNYA TRANSPORTASI ONLINE)
Authors: DEWI ADELIYA PUSPITA , GORDA ANAK AGUNG NGURAH OKA SURYADINATHA
Published: December 2024

The emergence of online transportation, especially online taxis, has created intense competition between conventional taxis and online taxis which has a direct impact on drivers. To survive at work in the current era, motivation is needed that can encourage conventional taxi drivers to persist in their work amidst the dilemma of the advantages and disadvantages of being a conventional taxi driver. This research aims to determine the motivation for staying with conventional taxi drivers in one of the taxi cooperative organizations in Bali, namely Koptax Ngurah Rai. This research uses qualitative and quantitative data types, using data collection techniques through interviews, observation, and documentation processes. Primary data was obtained through interviews and direct observation with Koptax Ngurah Rai conventional taxi drivers to determine the drivers' motivation to survive. Secondary data in this research is in the form of literary studies such as theory and previous research related to the research discussion. Based on the analysis of the data from this. research, it can be concluded that the motivation for staying with Koptax Ngurah Rai conventional taxi drivers is due to the need, encouragement, and goals to be achieved. From the results of the research, it was found that the motivation to persist in one's job as a conventional taxi driver comes from within the taxi driver (intrinsic), such as the need for income, lack of competence, a feeling of gratitude and there is something that comes from outside the taxi driver (extrinsic), such as the existence of organizational assistance in terms of licensing taxi vehicles.
PROBLEMATIKA PERUBAHAN HAK GUNA BANGUNAN MENJADI HAK MILIK PADA KAWASAN WISATA (STUDI DI KABUPATEN LOMBOK BARAT)
Authors: RAHMAN ARIEF , WAHYUNINGSIH WIWIEK , ANDRIYANI SHINTA , MULADA DIMAN ADE
Published: December 2024

This research aims to examine and analyze the mechanism for increasing building use rights to property rights for land in the Gili Gede Sekotong tourism area, West Lombok and the obstacles faced. The type of research used in this article is normative and empirical research using the statutory regulatory approach, conceptual approach, case approach, and sociological approach.The results of the research show that the mechanism for increasing building use rights to ownership rights for land in the Gili Gede Sekotong tourist area, West Lombok, is: Submitting a written application for documents to the local National Land Office by attaching: several requirements, Submitting the application to the counter officer for research. completeness of the documents which are a requirement in the application for an increase in land rights. After the required documents are complete, then make payment for registration, measurement and land inspection fees. Carrying out measurements and inspection of the land plot, BPN follows up process of applying for an increase in building use rights to ownership rights, the applicant pays the BPHTB, and the Land Office will record the rights and issue a land certificate.  The obstacle faced is that in submitting an application for an increase in rights, the applicant cannot complete the required documents for a Building Construction Permit (IMB) because even though several bungalows have been built on the land he purchased, even though the condition of the bungalows is currently in disrepair, this has not been followed up by obtaining a building construction permit ( IMB), so that when applying for an increase in file rights the document is rejected because it does not have an IMB as one of the conditions that must be met and is a cost factor.
Bone resorption marker RANKL in the diagnosis and treatment of patients with maxillary sinus cysts
Authors: Shkorbotun V.O. , Nachesa Y.S.
Published: December 2024

Background. RANKL (Receptor Activator of Nuclear Factor Kappa-B Ligand) is a protein belonging to the tumor necrosis factor superfamily serving as a specific marker for osteoclast activation and osteolysis.

Aim. To determine RANKL levels in the homogenates of Maxillary Sinus Cysts (MSC) at the time of their removal, investigate the correlation of these indicators with the presence of pathology in the upper row of projection teeth in the respective patients, and refine the timing for potential dental implantation or sinus lifting after sinusotomy based on these findings.

Materials & Methods. The study included 25 patients aged 20–65 years who underwent surgical treatment for MSCs located on the inferior wall of the sinus. The research methods comprised general clinical, otorhinolaryngological, radiological, and pathohistological techniques and Enzyme-Linked ImmunoSorbent Assay (ELISA) for RANKL in the tissues of the removed cysts. Pathohistological examination revealed retention cysts in 11 patients and pseudocysts in 14 patients. The presence of dental pathology and active odontogenic processes at the time of cyst removal was established based on prospective clinical and radiological evaluations. The dynamics of mucoperiosteal defect regeneration in the MSC, considering RANKL levels, were assessed 3–6 months post-surgery.

Results. In the postoperative period, 8 (32%) out of 25 patients exhibited odontogenic alteration processes in the tissues of the maxilla adjacent to the cysts. The RANKL concentration in these patients was [80.65±34.22] pg/µg of protein, while in the other 17 patients without signs of bone damage, it was [33.10±4.35] pg/µg of protein (p<0.05). The threshold RANKL concentration distinguishing these groups in this study was 51.50 pg/µg of protein.

Conclusions. In patients with peri-apical bone changes in the maxilla in the projection area of the cysts (alveolar recess), the RANKL level in their homogenates is higher compared to patients without such pathology. Measuring RANKL levels in the homogenates of cysts removed during endonasal maxillary sinusotomy can serve as an additional indicator for planning postoperative dental treatment in these patients.

Keywords: ENT-pathology, endoscopic rhinosurgery, histology, postoperative period, paranasal sinus x-ray, treatment.
Creation of a dataset for the study of spatial and temporal dynamics of housing construction based on state information system of housing and communal services data and remote sensing data: principles, tools, results
Authors: Logvinov Ilia , Lachininskii Stanislav , Nureev Timur
Published: December 2024

The study was conducted in order to describe the methodology for creating a dataset on residential buildings based on GIS data.housing and communal services and analysis of the resulting dataset. This study presents a methodology for creating a dataset on residential buildings based on information from the State Information System of Housing and Communal Services (GIS.Housing and communal services). The main initial data were the register of housing stock GIS.housing and communal services, and data on urban development (built-up) from the laboratory of the Department of Geographical Sciences of the University of Maryland, the Global Land Analysis and Discovery (GLAD) project. To obtain the data, methods of automated collection of information from Internet sites (web scraping) were used. The resulting dataset is more accurate and has more information about buildings compared to the analogues. The classification of residential buildings, including apartment buildings and individual residential buildings was carried out, as a result clusters of the residential buildings compaction and clusters of new territory development were obtained. Despite its effectiveness, the developed methodology has limitations, such as inaccuracies in the source data and possible restrictions on access to information from GIS.housing and communal services in the future. However, it represents an important step towards improving the methods of analyzing urban residential development and can serve as a basis for further research in this area. The developed methodology allows creating reproducible results and is applicable not only for the St. Petersburg agglomeration, but also for other territories of Russia. The algorithms of obtaining and processing urban development data covered in the work can be used by the urban environment researchers, local authorities, organizations engaged in territorial planning and urban planning.
Land of cultural heritage sites in the city of Kazan: geoinformation accounting and safety problems
Authors: Safina Guzel , Fedorova Victoriya
Published: December 2024

Objects of cultural and historical heritage represent an important component of the educational, social and economic development of cities. In modern conditions, it is necessary to take care of existing cultural heritage sites in order to preserve the identity of the urban environment and the possibility of its cultural and economic development. The purpose of the work is to study existing problems in the field of geoinformation recording and preservation of cultural heritage sites in the city of Kazan, as well as to propose ways to solve them for the preservation of historical heritage. The authors created 2 registers: cultural heritage objects registered in the cadastral register and lost objects; maps of the location of lost cultural heritage sites, as well as the modern use of vacated land plots, were made. In the city of Kazan (European Russia), according to open data from the Department of Architecture and Urban Planning, there are 601 cultural heritage sites (CHSs). To date, 23 CHSs are considered lost as a result of anthropogenic and natural causes. A spatial analysis of lost CHSs in the city of Kazan showed that most of them were located in the historical part of the city, which is attractive to developers. Analysis of geographic information systems (public cadastral map) showed that land plots cleared of CHSs are actively involved in the urban planning activities (in 70 % of cases, the territory is allocated for the construction of various real estate objects). The authors revealed that not all cultural heritage sites are subject to total cadastral registration and, accordingly, they are not represented in the existing geographic information system. The public cadastral map reflects only 26 % of the cultural heritage sites of Kazan, which in modern economic realities creates a certain threat to the existence of the overwhelming number of objects. Improving and expanding the content of the geographic information system, consisting in a total accounting of cultural heritage sites and adjacent territories (protection zones of cultural heritage sites) will ensure their safety and prevent destruction.
Monitoring of chemical pollution of atmospheric air in the cities of Stavropol Region using geoinformation technologies
Authors: Skripchinsky Andrey , Bondar Elena , Movsesova Victoria
Published: December 2024

In order to obtain a reliable assessment of the state of the urban environment, it is necessary to analyze the quality of atmospheric air in the process of monitoring. Currently, geoinformation analysis allows identifying spatial patterns of atmospheric air pollution. The purpose of the study is to analyze the level of chemical pollution of atmospheric air in the cities of Stavropol, Nevinnomyssk, Pyatigorsk using geoinformation technologies. Space images and vector data were used to prepare the map basis for residential and industrial settlements zones. A geodatabase was created to build geoinformation models of maximum concentration of substances and complex index of atmospheric pollution. The geodatabase includes attribute data on concentration of substances in the vector layer of “sampling points”. It has been processed in QGIS program, using the weighted distances method. For the integrated analysis, a map of the index dynamics was created and mapping work was carried out in order to assess the integrated air pollution index for each year under study. The article presents the analysis of priority contaminants for 2019–2021 in large and actively developing industrial centers of Stavropol Region, including Stavropol, Nevinnomyssk and Pyatigorsk. As a result of the study, it was established that between 2019 and 2021 the level of chemical pollution of atmospheric air in the cities of Stavropol, Nevinnomyssk, Pyatigorsk was assessed as low. At the same time, a steady trend towards an annual increase in the complex atmospheric pollution index was registered. In Stavropol, phenol and nitrogen dioxide make the major contribution to the chemical pollution of the city’s atmosphere. Increased concentrations of substances were noted in the industrial zone of the city as well as along main transportation routes. In Nevinnomyssk, the main contaminants are: carbon oxide, nitrogen oxide, nitrogen dioxide, ammonia and phenol. Phenol and nitrogen dioxide make the greatest contribution to the chemical pollution of the atmosphere of Pyatigorsk. The resulting geoinformation models allow clearly identifying the main areas of air pollution and providing a basis for calculating indicators of the quality of life in cities.
Faktor–faktor yang Memengaruhi Kejadian Epilepsi pada Anak dengan Riwayat Kejang Demam
Authors: Peleh Sicilia V. , Salendu Praevilia , Umboh Valentine
Published: December 2024

Abstract: Epilepsy is the fifth most common neurological disorder and it can affect anyone, especially children. It is allegedly caused by disturbance in the balance of neurons in the brain during the prenatal, perinatal and postnatal periods. One of the causes is febrile seizure. Risk factors for febrile seizures and epilepsy include neurological disorders, complex febrile seizures, family history of epilepsy, and repeated simple febrile seizures. This study aimed to determine the risk factors for epilepsy in children with a history of febrile seizure at Prof. Hospital. Dr. R. D. Kandou Manado. This was a retrospective and analytical study with cross-sectional design through evaluation of medical record data of pediatric patients. Data were analyzed using the chi-square test. The results showed that age, gender, and birth history did not have significant effects on epilepsy. However, genetic history had a significant influence (p=0.031), especially in males with a history of term birth at the age of 6-24 months. In conclusion, the incidence of epilepsy in children with a history of febrile seizures was found mainly in males born at term, aged 6-24 months, and genetic history factors had a significant influence on the incidence of epilepsy in children with a history of febrile seizures.
Keywords: epilepsy; febrile convulsion; risk factors
  
Abstrak: Epilepsi dapat menyerang siapa saja, terutama anak-anak, dan merupakan kelainan neurologis paling umum kelima. Diduga penyakit ini disebabkan oleh gangguan keseimbangan neuron di otak pada masa prenatal, perinatal, dan postnatal. Salah satu penyebabnya ialah faktor kejang demam. Faktor risiko kejang demam terhadap epilepsi diantaranya, kelainan neurologis, kejang demam kompleks, riwayat epilepsi pada keluarga, dan kejang demam sederhana yang berulang. Penelitian ini bertujuan untuk mendapatkan faktor risiko kejadian epilepsi pada anak dengan riwayat kejang demam di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah analitik retrospektif dengan desain potong lintang melalui evaluasi data rekam medik pasien anak. Analisis data menggunakan uji chi-square. Hasil penelitian mendapatkan bahwa usia, jenis kelamin, dan riwayat kelahiran tidak berpengaruh bermakna terhadap epilepsy, namun, riwayat genetik memiliki pengaruh bermakna (p=0,031), terutama pada anak laki-laki dengan riwayat kelahiran aterm di usia 6-24 bulan. Simpulan penelitian ini ialah kejadian epilepsi pada anak dengan riwayat kejang demam didapatkan terutama pada anak laki-laki yang lahir aterm, di usia 6-24 bulan, dan faktor riwayat genetik memiliki pengaruh bermakna terhadap kejadian epilepsi pada anak dengan riwayat kejang demam.
Kata kunci: epilepsi; kejang demam; faktor risiko
Hydrogel Plus as Alternative Technology In Sustainable Palm Oil Agricultural
Authors: Mahmudin  , Batubara Muhammad Ilham
Published: December 2024

Palm oil (Elaeis guineensis Jacq.) is one of the most important plantation crops in the agricultural sector. However, during the dry season the production of palm oil is decreasing, due to the reduced availability of water especially on peatlands. One way to overcome this problem is by the use of Hydrogel Plus technology (Hydrogel based bagasse with the addition of Pseudomonas fluorescens). This study aims to determine the role of Hydrogel Plus (Hydrogel with the addition of Pseudomonas fluorescens) to the growth and production of palm oil on the peat during the dry season. The method used in this research is the experimental method using Completely Randomized Design. Treatment was done by 4 treatments and each treatment was repeated 5 times. So the experimental unit amounted to 20 units. The treatments include (P1) Control, (P2) Hydrogel application (P3) Application of Pseudomonas fluoresces suspension and (P4) Hydrogel Plus applications. Based on the result of the research, it can be concluded that Hydrogel administration with the addition of Pseudomonas fluorescens bacteria tends to have a significant effect on leaf diameter, leaf number and height of plant at each treatment and only at plant height on treatment of Pseudomonas fluorescens and only hydrogel treatment which has no effect real utilization of Hydrogel Plus can provide the effect of palm oil plant growth and production to be a specific effort as an alternative technology in sustainable palm oil management in peatlands during the dry season.
Intercropping Land Kale on Hypopodium Leftover Oil Palm Fronds Pruning
Authors: Ramadhan Ardian , Nasution Dwiky Ardiansyah
Published: December 2024

The horticultural consumption of land kale in Indonesia is still quite high due to its complete nutritional content. However, limited cultivation land is an obstacle to the production of land kale. On the other hand, Indonesia has a very large area of oil palm plantations because it is a superior commodity as a foreign exchange earner. But it is unfortunate that the output obtained is only oil palm fresh fruit bunches (FFB). Therefore, it is necessary to create an integrated agricultural model such as intercropping so that the output obtained is more and profitable economically and environmentally sustainable. Intercropping is a method of agricultural cultivation by planting two or more commodities in the same area to maximise land use and maximise productivity. Intercropping in oil palm is not carried out in producing crops (TM) due to constraints on cultivation land area. However, by using a new agricultural cultivation method, namely cultivation on the hypopodium of the remaining leaf pruning, oil palm producing plants (TM) can still be intercropped. Hypopodium is the tip or base of the leaf that connects to the plant stem. The hypopodium area that is already wide enough in producing plants (TM) can be used as a place for kale plant growth. In addition, the content of organic matter in the hypopodium can be used as a source of nutrients and as an organic substrate. This type of primary research with qualitative methods shows the results that the intercropping method of kale with oil palm on the hypopodium of the remaining pruning of oil palm leaves can be done so that the output out of the farm is more.
Product Marketing Strategies and Consumer Purchase Intentions: A Case of Sports Betting Companies in Nairobi City County, Kenya
Authors: Micheni Clara Kagwiria , Kinyuru Dr. Reuben Njuguna
Published: December 2024

Consumer behaviour within the betting company is changing at a faster rate evidenced in purchase and consumption pattern. Additionally, internet and globalization have expanded opportunities to the bettors making organizations to expand their marketing beyond their geographic locations in search of consumers. Despite the growth of betting companies, research has been centered on risky behaviour and disorders in gambling with less research on the bettors’ purchase intentions. The purpose of this study was to determine the effect of product marketing strategies on consumer purchase intention, case of Sports Betting Firms in Nairobi City County. Theories of reasoned action, social learning and social marketing guided the research. Descriptive research design was used with a target population of 204 employees of 12 betting firms in Nairobi City County. Yamane sampling formula was used to generate 135 respondents where systematic random sampling assisted with identification of respondents. Semi-structured face to face questionnaire enabled data collection. Pilot study was done in Kiambu County, while content and expert validity assisted in determining the instruments’ validity. Cronbach alpha was used to achieve study’s reliability. Descriptive and inferential statistics were considered in analysing quantitative data while content analysis supported the analysis of qualitative data. Ethical considerations such as confidentiality, voluntary participation and data protection was upheld. The findings showed that product strategy had positive and strong relationship with purchase intention. Product strategy also demonstrated positive and significant effect to purchase intention. It was concluded that product positively affect purchase intention. The study recommended investment in image building to enhance consumer trust in sports betting firms, provision of products and services in line with changing consumer behavior and system improvement to enhance accessibility of betting firms’ products and services. This will lead to positive consumer behavior thereby result to improved purchase intention.
Rutas turísticas gastronómicas con potencial de desarrollo en el Valle del Cauca
Authors:   Universidad Santiago de Cali, Olarte Montaña Stephania , Perdomo Jacanamejoy Jesús David ,   Universidad Santiago de Cali, Saavedra Cerqueira Yurany Alejandra ,   Universidad Santiago de Cali, Suárez Macedo Neicy Johana ,   Universidad Santiago de Cali
Published: December 2024

La diversidad cultural del Valle del Cauca le permite generar una oferta turística variada.
Influencia de la Inteligencia Emocional en el Rendimiento Académico de los Adolescentes: Una Revisión Sistemática de la Literatura
Authors: Pérez Gómez Gustavo , Araujo Muñoz José , Blanquicett Roberto , Vidal González Mayra
Published: December 2024

La inteligencia emocional ha sido relacionada de forma positiva con el desarrollo de ciertas habilidades que pueden ser de gran beneficio en el área de la educación. De forma particular, el fortalecimiento de la inteligencia emocional en adolescentes tiene un impacto significativo en la forma en la que regulan sus emociones y se relacionan con sus semejantes, lo cual ayuda a que estos se sientan más motivados para estudiar y realizar sus actividades escolares y así mejorar su rendimiento académico. Teniendo esto presente, este estudio tiene como objetivo principal realizar una revisión de las últimas investigaciones que tratan sobre la influencia que tiene la inteligencia emocional en el rendimiento académico de los adolescentes, analizar los resultados obtenidos en estas investigaciones y obtener información que pueda ayudar a padres y educadores de adolescentes a entender el comportamiento de ellos y a contribuir en su mejoramiento escolar. Para esto, se realizó la revisión sistemática de 30 estudios publicados entre los años 2018 y 2023 que relacionan las variables inteligencia emocional, rendimiento académico y adolescentes. Los resultados obtenidos en estos estudios demuestran que, aunque la inteligencia emocional en adolescentes se relaciona de forma positiva con su rendimiento académico, esta relación no es del todo significativa ni concluyente. No obstante, se demuestra que son muchos los beneficios que se pueden obtener con programas que impulsen y desarrollen la inteligencia emocional de los adolescentes, y por lo tanto se hace necesario que las instituciones educativas le den a este aspecto la importancia que merece.
Variables y Factores que Afectan el Proceso de Aprendizaje, a la Luz de la Neuroeducación: Una revisión de la Literatura
Authors: Bayona Niño Pedro , Domínguez Potes Olga , Vargas Amézquita Sonia
Published: December 2024

La neuroeducación es una estrategia que prueba con sus resultados su efectividad en el proceso de enseñanza-aprendizaje, sin embargo, aún faltan muchos actores educativos en incursionar en este paradigma y de esta manera alejarse de las metodologías tradicionales. Este artículo de revisión se enfoca en describir las variables y factores que afectan el proceso de aprendizaje a la luz de la neuroeducación y conocer posibles soluciones a dichos problemas, implementando una metodología sistemática de rastreo en bases de datos, como Google Académico, Redalyc, Scielo, Dialnet; posteriormente, se seleccionaron 30 artículos que cumplieron los criterios de inclusión como la fecha de publicación, el idioma y el tipo de producción escrita, y se agrupó la información por criterios de aprendizaje, problemas de aprendizaje y la neuroeducación como estrategia para la solución a dichas dificultades, ya que ésta comprende la transformación del cerebro y su adaptación para desarrollar el aprendizaje, hace que trascienda el simple traspaso de conocimientos entre docente y alumno, fortalece su relación y genera cambios biológicos, cognitivos y emocionales; la neuroeducación otorga estrategias novedosas y eficaces para el aprendizaje, utilizando como herramienta principal la motivación y el interés de los alumnos.
El diseño de Fundamentos del Modelo de Pedagogía Comprensiva Restauradora: Revisión de la Literatura
Authors: Carmona Becerra Sara , Lozano Pulido Esteban , Marriaga Manjarrez Ismael
Published: December 2024

Este documento plantea una revisión de la literatura sobre los fundamentos del modelo de pedagogía comprensiva restauradora, con un enfoque cualitativo, a través de revisión descriptiva, en abril de 2023 se consultan las bases de datos Google Scholar, Dialnet, Scielo, EBSCO, identificando 35 documentos cuyo contenido se relaciona con los fundamentos del modelo de pedagogía estableciendo como categorías de búsqueda fundamentos filosófico, epistemológico, pedagógico, didáctico, metodológico, psicológico, sociológico y legal y criterios de inclusión o exclusión, a saber, según se relaciona la literatura con los fundamentos del modelo de pedagogía, o aquellos que aunque poseen palabras relacionadas a las categorías,  su contenido no se relaciona con la temática. Los resultados permiten ver el avance de la literatura de los fundamentos, a su vez se plantean opciones para seguir ampliando el modelo de pedagogía y la literatura disponible sobre los modelos pedagógicos, que hagan frente al reciente protagonismo de los ambientes virtuales y nuevos aspectos de los roles de los actores educativos.
Medicina/Educación (XXVII Congreso)
Authors: Médica Colombiana Acta
Published: December 2024

SIMULACION VIRTUAL MEDIANTE EL USO DE REDES DE PETRI DEL SISTEMA CELULAR DE LA COAGULACION IMPLEMENTANDO LA TRIADA DE VIRCHOW
A COMPARATIVE STUDY OF HYSTEROSCOPY AND TRANSVAGINAL ULTRA SONOGRAPHY IN THE EVALUATION OF ABNORMAL UTERINE BLEEDING IN REPRODUCTIVE AGE GROUP
Authors: Pophale Sandeep , Deshmukh Sonali , Kurude Vilas , Pophale Aditi
Published: December 2024

Background: Abnormal uterine bleeding (AUB) is a common gynecological condition which signicantly
affects reproductive health and a woman's lifestyle. The precise assessment of AUB is necessary for
allowing the clinicians to select the best treatment methods and ensure better health outcomes. The goal of this research was to
assess the diagnostic accuracy of hysteroscopy versus transvaginal sonography (TVS) for the diagnosis of AUB among women
of reproductive age. Objectives: The basic target of this research work was to evaluate the reliability of hysteroscopy and TVS
to identify intracavitary abnormalities that are associated with AUB. Besides the primary objective of dening the clinical
picture of women who present with AUB, other objectives included an assessment of the prevalence of different uterine
pathologies. Methodology: The prospective cohort study was conducted from July 2022 to March 2023 at JJ Hospital, including
65 reproductive-aged women with AUB. The patients went through both hysteroscopy and TVS to diagnose the problem.
Clinical history, demographic data, and radiology ndings were recorded. Diagnostic performance parameters like sensitivity,
specicity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated for hysteroscopy and
TVS. Findings: Women aged 35-49 years with menorrhagia constituted the primary study population, with menorrhagia being
the most common symptom. Hysteroscopy showed a higher diagnostic accuracy as compared to TVS, showing its superiority in
the identication of intracavitary irregularities like endometrial polyps, submucous broids, and intrauterine connections. TVS
demonstrated a greater precision in differentiating between endometrial hyperplasia. Anemia was a common diagnosis in the
study group, which is evidence of the systemic consequences of AUB on women's health. Conclusion: Our study thus
emphasizes the synergistic roles of hysteroscopy and TVS in the diagnostic work up of AUB. Hysteroscopy is the technique of
choice for detection of intracavitary pathologies, but TVS remains a crucial tool for the rst screening. The obtained results
have clinical implications in which the sequential diagnostic approach is regarded as a central issue of clinical practice and
patient care optimization as well as clinical outcomes improvement in women with abnormal uterine bleeding.
CAUDAL REGRESSION SYNDROME ASSOCIATED WITH RECURRENT URINARY TRACT INFECTION: A CASE REPORT
Authors: Nelakurthi Srilaxmi , Bheemireddy Vijayalakshmi , Reddy G V Sujith
Published: December 2024

Caudal Regression Syndrome (CRS) is a rare congenital malformation of the lower spine and spinal
cord. It can range from absent coccyx without neurological sequelae to lumbosacral agenesis, leading to
a spectrum of clinical presentations. Genitourinary and gastrointestinal abnormalities are prevalent, including neurogenic
bladder and bowel incontinence. Neurogenic bladder can lead to reux of urine and frequent urinary tract infections (UTIs),
damaging the kidneys. Early diagnosis and treatment are the key to preventing irreversible kidney damage. Here we are
presenting a 2-year, 8-month female child with recurrent UTIs with left hydroureteronephrosis (HUN) with bladder and bowel
incontinence. On evaluation, we diagnosed caudal regression syndrome. The diagnosis was conrmed with an MRI of the spine,
and further management was planned.
AN ANALYSIS OF MEDICOLEGAL AUTOPSIES CONDUCTED AT PATNA MEDICAL COLLEGE, PATNA (BIHAR)-A MORTUARY-BASED STUDY.
Authors: Ranjan Ashish , Kumar Pankaj , Verma Ashish
Published: December 2024

Medicolegal autopsy, a statuary work is scientic examination of a dead body, it's organ and structure in
determining the cause, manner, and time since death in sudden suspicious, unnatural, unexpected, and
unexplained deaths. The present retrospective study aims to nd out incidences of fatal deaths and its causation and proling
of these death helps to understand the pattern of deaths and aid the investigating agencies. Thereby, guiding the government
authorities for its prevention and health promotion. It is an attempt to provide information regarding the type of causes of
unnatural deaths and directs measures of prevention in these respects. The present study is a retrospective study conducted in
department of forensic medicine Patna medical College; Patna brought to the mortuary from Jan 2022 to Nov 2023 for
medicolegal autopsy. The required information was sourced from relatives of diseased and I.O. of the case. Brief facts and
history of the case along with inquest paper and mortuary departmental records. Out of total autopsies during this period
among the unnatural deaths, road trafc accidents followed by railway accidents, burn injuries, hanging, strangulation,
poisoning, smothering, fall from heights, gunshot injuries, decapitation, drowning, etc. was the order of occurrence. Males were
commonly affected. Majority belonging to age group 21 to 30 years followed by 31 to 40 years. Death from road trafc accidents
injuries is preventable with proper safety, trafc rules if observed by all. Majority of the cases in unknown cause of death was
from lung, heart disease, liver disease, septicaemia, and poisoning. It is a major challenge and task of government to
implement strict safety trafc rules and railway safety measures and in train and platform to avoid illegal trafcking and
programs directed towards awareness by public and mental health and improving socio-economic conditions in public and
legislation for strict implementation of caution in sell and purchase of poisons.
EXTENSIVE ABDOMINAL SURGERY AFTER MASSIVE CAUSTIC INGESTION: A CASE REPORT
Authors: Mohamed Essarghini , Mohamed Tarchouli
Published: December 2024

Introduction: After caustic ingestion, extension of corrosive injuries beyond the esophagus and stomach
to the duodenum, jejunum, or adjacent abdominal organs is an uncommon and imposes surgery without
delay. A 40-year-old man was referred to our hospital after swallowing and inhalation of drain clea Case Report: ner. Due to
clinical diagnosis of peritonitis and endoscopic digestive necrosis with acute dyspnea by inhalation, he underwent emergency
intubation and rapid surgery. During the surgery, necrotic parts, including the esophagus, stomach, duodenum, head of the
pancreas, and initial part of the jejunum, were resected. The patient spent 48 hours in intensive care before his death with fatal
respiratory distress syndrome. This observation recalls the complexity of the therapeutic managemen Conclusion: t of caustic
ingestions on the surgical level and the seriousness of the associated complications which can darken an already poor
prognosis.
YOGA AND DIET FOR MANAGING PREMENSTRUAL SYNDROME: AN EDUCATIONAL INTERVENTION STUDY AMONG NURSING STUDENTS IN BHOPAL
Authors: Kimtee Siddharth , Bansal Madhav
Published: December 2024

Introduction: Premenstrual Syndrome (PMS) refers to physical, behavioural and emotional symptoms
and signs that tend to occur in predictable pattern during menstrual period. The prevalence of PMS in
women of reproductive age has been reported to be more than 47.8%. The frequency and severity of PMS varies from female to
female and is affected by lifestyle, social factors as well as dietary factors. It is believed that yoga and dietary modication
signicantly relieves the symptoms of PMS. The present study aimed to assess the prevalence of pre-menstrual syndrome and
its severity among girls of a selected college of Bhopal, to assess their perception and knowledge about measures to reduce
PMS followed by an educational intervention session to promote yoga and healthy diet to reduce severity of PMS.
Methodology: An educational intervention study done in the selected college of Bhopal. All female students present on the day
of study were included in the study. The participants were asked to ll the shared google form was followed by an educational
session consisting of presentation and video to promote healthy diet and yoga to reduce PMS symptoms. Collected data was
analysed using MS excel. Results: Premenstrual syndrome is very common among young females (70%). 48.5% of the
respondents had physiological symptoms majority having abdominal cramps (75%) and least being nausea and vomiting
(18%). 38.25% of the respondents faced psychological and behavioural symptoms, maximum being restlessness (67%) and
least being forgetfulness (10%). More than 40% of the students believed that Yogic practices could reduce PMS symptoms but
only 26% among them practiced yoga regularly. Conclusion: There was a signicant gap in knowledge and action about Yogic
practices. The average PMS score of the girls doing yoga regularly was lower (88) compared to girls not doing yoga (100).
OUTCOME OF RADICAL CHEMORADIOTHERAPY (CRT) IN UNRESECTABLE N3B HEAD AND NECK SQUAMOUS CELL CARCINOMA
Authors: Roopali Roopali , Jain Mohit , Arya Ashok Kumar , Malik Shivani , Samani Tabassum , Kumar Yadav Arun
Published: December 2024

Background: Radical CRT has its established role in unresectable locally advanced head Neck
Squamous Cell Carcinoma (LAHNSCC). Its effect has been seen collectively over N1, N2 and N3. None of
the studies have been done to see its role solely in N3 patients. Aim: With the present study we want to see the actual outcome of
this treatment modality in unresectable N3 disease. Method: We retrospectively evaluated 17 patients' who took CRT in cobalt60 teletherapy unit between period of 1st January 2020 to 31st December 2023. Their data regarding sociodemographic details
and tumour characteristics were collected. Primary outcome in terms of remission period after CRT and overall survival was
seen. Data was statistically analyzed. Result: All the 17 patients were of N3b. T4 staging was present in 64.7% patients. Median
remission period was 4 months and median overall survival was 7 months. During CRT, mucositis (Grade III/IV) was present in
41.2% patients and dermatitis (Grade II/III) in 76.5% patients. Conclusion: Radical CRT in cobalt-60 teletherapy unit has poor
outcome in unresectable N3b LAHNSCC. Palliative radiotherapy with or without palliative chemotherapy can be given to such
patients.
ADDISON'S DISEASE: A COMPREHENSIVE NARRATIVE REVIEW OF PATHOPHYSIOLOGY AND CLINICAL MANAGEMENT
Authors: Molina Alvear Francisco Antonio
Published: December 2024

Addison's disease, or primary adrenal insufciency, is a rare yet life-threatening condition resulting from
the inadequate production of cortisol and aldosterone by the adrenal glands. This disorder is primarily
due to autoimmune destruction of adrenal tissue, though other etiologies like infections, genetic mutations, and cancer
metastasis may contribute. Patients with Addison's disease typically present with nonspecic symptoms, including fatigue,
weight loss, hypotension, and hyperpigmentation, which can delay diagnosis. Timely diagnosis is essential to prevent adrenal
crises, which require immediate corticosteroid administration. The gold standard for diagnosis involves an ACTH stimulation
test, supplemented by basal cortisol measurements. Management centers on lifelong glucocorticoid and mineralocorticoid
replacement, with dosage adjustments during physical stress to prevent adrenal crises. This review discusses the epidemiology,
pathophysiology, clinical features, diagnostic process, and management strategies, aiming to improve early recognition and
treatment of Addison's disease.
THE DUODENAL GIST CONUNDRUM – NAVIGATING THE CHALLENGES OF EARLY DETECTION AND EFFECTIVE MANAGEMENT
Authors: Santhi B. , Devi A. K. Kalpana , Deepalakshmi N.
Published: December 2024

GISTs are rare mesenchymal tumors arising from the Interstitial Cells of Cajal, the pacemaker cell of the
GIT due to mutations in the c-KIT, PDGFR- or wild type mutations and are more common in the
stomach(50%). The behaviour of GISTs vary widely based on their size, mitotic rate and location. Small bowel GISTs(25%
incidence) metastasize early and tend to have poor prognosis. Duodenal GISTs are less frequently encountered and their
management poses difculty owing to their complex anatomy. Here, we encountered 2 such cases each posing diagnostic
difculty by imaging and required different strategy for management though situated in the same location. To diagnose GISTs,
high index of suspicion is required and early decision-making is necessary to prevent metastasis especially in duodenal GISTs.
EFFICACY OF BILATERAL ILIOINGUINAL AND ILIOHYPOGASTRIC NERVE BLOCK FOR POSTOPERATIVE ANALGESIA IN CAESAREAN SECTION
Authors: Sarkar Sayantika , Lakhanpal Mahima
Published: December 2024

Objective: To evaluate the efcacy of bilateral ilioinguinal and iliohypogastric nerve blocks (IINB and
IHN) in providing postoperative analgesia following a cesarean section. Methods: In this Observational
type study, 60 women selected by computer generated randomized no.s undergoing elective cesarean section under spinal
anesthesia were assigned to two groups. The experimental group (Group A) received bilateral ilioinguinal and iliohypogastric
nerve blocks at the end of surgery, while the control group (Group B) received no nerve block. Postoperative pain was assessed
using the Verbal numeric rating scale(VNRS) at 0,1,2,4 6, 8, 12, and 24 hours after surgery. The requirement for supplemental
analgesics, incidence of postoperative nausea and vomiting (PONV), and any complications related to the nerve block were
also recorded. Results: Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 21.0.
Observations were described in terms of proportions, and statistical analysis was performed using chi-square tests and
Student's t-tests where applicable Group A demonstrated signicantly lower VNRS scores compared to Group B at all time
points (pvalue 0.002). The total consumption of rescue analgesics was also signicantly reduced in Group A. The incidence of
PONV was lower in the nerve block group, although the difference was not statistically signicant. No major complications or
adverse effects related to the nerve block were observed. Conclusion: Bilateral ilioinguinal and iliohypogastric nerve blocks
provide effective postoperative analgesia following cesarean section, with reduced opioid consumption and improved pain
control compared to the control group. This technique may be a valuable addition to the multimodal analgesia regimen in
cesarean section patients, offering enhanced pain relief and fewer opioid-related side effects.
COMPARISON BETWEEN NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO AS PREDICTORS OF MORTALITY IN FOURNIER'S GANGRENE
Authors: R Pudakalkatti Sanjay , Kumar S Praveen , R Keshavmurthy
Published: December 2024

Background: Fournier's gangrene (FG) is a severe, rapidly progressing form of necrotizing fasciitis primarily affecting
the perineal and genital regions, associated with high morbidity and mortality rates ranging from 20-40%. Early
identification of prognostic factors is crucial for improving patient outcomes. Objective:This study aims to evaluate the
effectiveness of the Neutrophil-to-Lymphocyte Ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) as predictors of
mortality in patients with Fournier's gangrene. Methods: We conducted a single-center retrospective cohort study
involving 106 patients diagnosed with FG at the Institute of Nephro Urology, Bangalore, from 2018 to 2023. Data on
demographics, comorbidities,laboratory results, and outcomes were collected.The NLR and PLR were calculated from
initial admission laboratory data,with cutoffs set at NLR ≥8 and PLR >140. Statistical analysis was performed using IBM
SPSS Stats 25.0, with p < 0.05 considered significant. Results: Thirteen patients (12.27%) died during hospitalization.
Significant differences in temperature, heart rate, and comorbidities were observed between survivors and deceased
patients. High NLR (≥8) was found in 76.92% of deceased patients (p = 0.013), and elevated PLR (>140) was seen in
84.61% (p = 0.027). Multivariate analysis indicated that diabetes mellitus, high NLR, and high PLR were significant
predictors of mortality (p < 0.05). Conclusion:Elevated NLR and PLR are significant prognostic factors for mortality in
patients with Fournier's gangrene. Patients with high NLR, high PLR, and diabetes mellitus require proactive
management to improve outcomes. Further multi-institutional prospective studies are warranted to validate these
findings.