bluuebunny/crossref_metadata_2025 huggingface dataset:
Integrating Quantitative and Qualitative Risk Assessment Models for Mega Infrastructure Ventures
Authors: Journal IJSREM
Published: January 2024

This research paper delves into the critical domain of risk assessment for mega infrastructure ventures by proposing and evaluating an integrated approach that harmoniously combines quantitative and qualitative models. The study recognizes the multifaceted nature of risks in large-scale projects and addresses the limitations of singular assessment methodologies. Through an exhaustive literature review, the paper establishes the necessity of a holistic risk management strategy and outlines the methodology for integrating both quantitative and qualitative models. Drawing upon real-world case studies, the paper demonstrates the application of the proposed approach in diverse mega infrastructure settings. Results indicate a synergistic effect, offering a comprehensive understanding of risks that traditional methods might overlook. The integrated model not only enhances the accuracy and reliability of risk assessments but also provides valuable insights for effective decision-making. This innovative approach contributes to the advancement of risk management practices in the field, providing a solid foundation for future research and practical applications in the realm of mega infrastructure development. Keywords: Risk Integration, Holistic Risk Management, Mega Infrastructure Projects, Quantitative Metrics, Qualitative Factors, Decision Support Systems.
The Development of the Ability to Solve Mathematical Problems and Academic Achievement Decimal Problem of Prathomsuksa6 Students Through Cooperative Learning Management STAD and KWDL Technique
Authors: Heebkaew Chanwit , Seehamongkon Yannapat
Published: January 2024

The research aimed to achieve the following objectives: 1)Assess the effectiveness of cooperative learning management utilizing the STAD technique and KWDL technique among PrathomSuksa6 students in solving decimal problems, with a target of achieving a 75/75 criterion. 2) Enhance the problem-solving abilities of grade 6students in mathematics by implementing cooperative learning management using the combined STAD technique and KWDL technique, compared to a 75 percent criterion. 3) Improve the learning achievement in mathematics of grade 6 students in solving decimal problems through cooperative learning management, employing the STAD technique and KWDL technique, in line with a 75 percent criterion. The research was conducted with a selected group of 33 students from Prathomsuksa6/1, first semester, academic year 2022, at Ban Chiang Yuen School. The research tools employed were: 1) a cooperative learning plan incorporating the STAD and KWDL techniques, 2) a mathematics problem-solving ability test, and 3) a mathematics learning achievement test. Data analysis involved the use of percentage, mean, standard deviation, and efficiency (E1/E2).

The findings of the study indicated the following: Cooperative learning management using the STAD technique and KWDL technique exhibited an efficiency of 76.14/75.45, satisfying the 75/75 criterion. The average mathematics score post-intervention was 75.76 percent, surpassing the 75 percent criterion. Mathematics learning achievement, as measured by the average score post-intervention, reached 75.45 percent, fulfilling the 75 percent criterion.
Exploring the Educational Potential of Immersive New Media Art in Urban Commercial Spaces in Dalian City, Liaoning Province, China
Authors: Sui Guanglong , Yodmalee Boonsom
Published: January 2024

Contemporary Chinese art has witnessed a transformative evolution in the realm of installation art, particularly in the context of immersive new media installations within urban commercial spaces. This study explores the educational potential of immersive new media art in urban commercial spaces in Dalian City, Liaoning Province, China. The research journey spans various stages of Dalian’s installation art development, from its early emergence in the 1980s to the prosperous period in the 1990s and its diversification in the 21st century. Key themes explored include the evolution of artistic expression, the impact on education, and the integration of new media in urban commercial spaces. The research site primarily focuses on Dalian’s cultural and commercial landscapes, with a spotlight on the Xiongdong Street project. The study employs a qualitative research methodology, combining field research, interviews, multimedia elements, and data analysis to offer comprehensive insights into the subject matter. Key informants include artists, scholars, and experts within the field of installation art. The research results reveal the dynamic evolution of Dalian’s installation art, its educational significance, and its integration into urban commercial spaces. The study suggests that immersive new media art has the potential to enrich art education, engage the public, and foster cultural and commercial development.
Comparison of the Expansion and End of The World in The Qur'an and New Science
Authors: Ashna Asadullah
Published: January 2024

Comparison of the expansion and end of the world in the Qur’an and new science is one of the important issue and this comparison is quite vital to be considered. In this article, according to the scientific information of the Quran, which corresponds to the findings of contemporary scientists, we have investigated black holes. Black holes form when a star uses up all its fuel. A black hole is a point of space with so much gravity and density that even light cannot escape. This attraction is so strong that it compresses all matter into a small space. According to the theory of general relativity, matter that is compressed enough can bend space-time and form a black hole. The black hole's point of no return is called the event horizon. Black holes do not reflect any light. But they can be identified based on the effects they have on the materials and objects around them. Fourteen centuries ago, when science and astronomy were still very primitive, the fact that the sun and the stars will one day lose their light has been stated in numerous Quranic verses.
Bladder Adenocarcinoma: A Case Report
Authors: Al-Bayaty Sabbar Shukri , Abbas Ali Amer , Al-saffar Mohammed Abdulridha Mahdi , Al-Qadasi Shahbaa Ahmed , Hammoodi Mustafa Hafudh , Al-Salihi Sarmad Qahtan
Published: January 2024

Background: Bladder adenocarcinoma (AC) is a rare histological variant and research on the best ways to treat it is scant.

Clinical Case: We present the case of a 70-year-old woman who has had hematuria for the past month with no history of serious illness. She visited a urologist, who performed a cystoscopy on her as a result. A urinary bladder adenocarcinoma was discovered in a biopsy. Complete investigations revealed no metastasis. The patient was considered for a partial cystectomy, according to the results of the MRI. She underwent the surgery, which was followed by concurrent chemo-radiotherapy. She underwent multiple reevaluations, and her case was stable after about a year of follow-up.

Conclusions: With the best surgical outcomes, the choice to perform a partial cystectomy was appropriate given the tumor's location. However, a lengthy follow-up is required.
Rancang Bangun Handle Forklift Berbasis Sistem Aktuator Linear Electrical Kapasitas 40kg
Authors: Burhanuddin  , Miner  , Alif Darmawan B.  , Andi Sulaeman
Published: January 2024

Forklift adalah sejenis truk yang dioperasikan untuk mengangkat, memindahkan, dan menurunkan barang dari satu tempat ke tempat lain. Pengoperasian forklift bisa dilakukan di dalam ruangan maupun luar ruangan. Dengan adanya forklift bisa meningkatkan efektivitas serta efisiensi dalam kegiatan operasional. Penggunaan forklift juga bisa meringankan beban karyawan khususnya dalam hal memindahkan barang. Adapun tujuan dari perancangan ini adalah untuk merancang dan membuat forklift dengan sistem aktuator linear electrical 40 kg. Proses awal pengoperasian alat ini yaitu menyambungkan kabel dari switch ke accu kemudian dorong alat handle forklift kearah benda atau media yang akan diangkat lalu  dorong tuas switch ke atas sesuai tinggi yang diinginkan (perlu diketahui tinggi maksimal pengangkatan alat ini yaitu 1.700mm dan beban maksimal 40kg. Setelah benda atau media terangkat dorong alat tersebut ke tempat yang ditujuh, lalu turunkan alat tersebut dengan mendorong tuas switch ke bawah lalu tarik perlahan handle forklift. Hasil pengujian alat menunjukkan alat ini mampu mengangkat beban dalam waktu lama dengan berat beban maksimal 40kg dan ketinggian maksimal 1.700mm. Kesimpulan pembuatan tugas akhir ini cara merancang dan membuat handel forklift berbasis aktuator linear electrical yang terdiri dari rangka, aktuator, dinamo dengan daya 120 Volt dan arus baterai 12 A dengan kemampuan pengangkatan 40kg. Aplikasi yang digunakaan untuk desain alat ini yaitu sketchup. Spesifikasi alat tegangan kerja 12 volt, maksimal tinggi pengangkatan 1700mm, beban angkat 40 kg, pengoprasian menggunakan saklar ON OFF ON, dan sumber listrik Accu 12 volt. Untuk memaksimalkan kinerja alat, forklift ini dapat menggunakan sistem hidrolik.
Rancang Bangun Rangka (Chasis) Mobil
Authors: Alfian Muhajrin  , Nirwanpaliki  , Ricaldin  , Saddang  , Sudarsono  , Prinop Askar
Published: January 2024

Mobil listrik merupakan mobil yang digerakkan dengan motor listrik dan menggunakan energi listrik yang disimpan dalam baterai. Penggunaan mobil listrik dirasa efektif selain tidak menimbulkan polusi udara dan kontruksi  mesin  yang lebih sederhana. Pada penggunaan mobil listrik tentunya membutuhkan sebuah rangka yang berfungsi  sebagai  penopang  semua  beban  yang  ada   pada kendaraan. Sebuah kontruksi rangka itu sendiri harus memiliki kekuatan, ringan dan mempunyai nilai kelenturan. dalam rangcangan rangka (chasis) mobil listrik memiliki tujuan yaitu bentuk rancangan rangka (chasis) mobil listik dan kekuatan rangka (chasis) mobil listrik dengan metode uji bending. dalam penggunaan konstruksi rangka digunakan jenis rangka tangga (H), untuk bahan rangka sendiri menggunkan bahan logam non-ferro yaitu Aluminium. Dalam prose penyambungan digunakan proses pengeboran untuk paku keeling, dari hasil rancangan rangka (Chasis) mobil listrik dengan ukuran panjang 223,5 cm, lebar depan 47,5cm, lebar tengah dan belakang 33 cm dan berat rangka 24,40 Kg. Proses pengujian bending disini menggunkan 2 beban driver 45 kg dan 82 kg. Pengukuran dilakukan melalui titik keseimbangan pada rangka yang telah di dapatkan, sehingga pada pengujian bending didapatkan nilai lendutan 0,3 cm dengan berat driver 45 kg dan 0,6 cm dengan berat driver 82 kg, pada posisi sebelum di berikan beban dan setelah di berikan beban lendutan kembali pada posisi awal 15,4 cm. Dengan demikian rangka (Chasis) mobil listrik sudah memenuhi persyaratan rangka kendaraan yaitu mempunyai nilai kelenturan atau fleksibilitas serta ringan dan kuat.
Examining the Insight Impacts of Indian Ocean Pressure on Autumntime Precipitation Variability over Tasmania through Singular Value Decomposition Analysis
Authors: Khan Kamran , Rehman Saqib-Ur- , Siddiqui Muhammad Zulqarnain , Elahi Atia , Khan Abdul Jameel
Published: January 2024

This study explores further the impacts of the relationship between autumntime mean sea level pressure (MSLP) over the Indian Ocean and autumntime precipitation over Tasmania. We employ a combination of cross-correlation analysis, Singular Value Decomposition (SVD), and covariance measures to unravel this intricate connection. Our results reveal that MSLP over the Indian Ocean significantly influences Tasmania’s autumn precipitation, particularly in the region extending from 125°E eastward and from 35°S southward. This MSLP-precipitation link is statistically significant, characterized by a Pearson’s coefficient of correlation of 0.63 (p < 0.05). In addition, we calculate the Root Mean Square Covariance (RMSC) to gauge the strength of this association. The RMSC value, calculated at 0.33, surpasses the threshold of 0.1, emphasizing a robust and significant connection between autumntime MSLP and precipitation in Tasmania. Our results emphasize that the first leading mode of SVD accounts for 84% of the variability in both MSLP over the Indian Ocean and precipitation in Tasmania. These results contribute to a more profound understanding of the factors governing autumn precipitation in Tasmania and offer valuable insights for meteorological and climate science.
Effective Implementation of Environmental Laws in Pakistan
Authors: Asghar Ali , Umer Muhammad , Afzal Afzaal
Published: January 2024

This research paper examines the environmental laws in Pakistan and the various impediments faced in their implementation and subsequently puts forward various solutions for proper enforcement of laws pertaining to the environment as well as towards the prosperity of the environment. Pakistan suffers from various environmental problems, and one of the major reasons for these problems is the non-implementation of the laws and legislation concerned. Despite there being proper legislation regarding environmental laws in Pakistan, the enforcement of relevant legislation is an issue. Various solutions are discussed in this study, which overcome the barriers and aid in the successful implementation of the environmental laws in Pakistan.
Análise de estratégias de manutenção em infraestruturas de refrigeração integrando aspectos técnicos e orientados a negócios
Authors: Guimarães Almir Pereira
Published: January 2024

Os Sistemas de Data centers são a espinha dorsal da economia moderna proporcionando suporte a serviços como computação em nuvem, acesso às redes sociais, ao comércio eletrônico e ao armazenamento de informações, o que forçou a disponibilização destes sistemas 24 horas por dia, 7 dias por semana sob pena de grandes prejuízos financeiros. Desta forma, para um funcionamento correto e contínuo, além de técnicas de redundância de hardware aplicadas a seus componentes, é de grande importância a adoção de estratégias adequadas para políticas de manutenção. Nosso estudo propôs uma abordagem analítica composta de modelos, métricas junto com uma metodologia permitindo a escolha da estratégia mais adequada para as políticas de manutenção considerando aspectos técnicos e de negócios em arquiteturas da infraestrutura de refrigeração. Os aspectos técnicos referem-se à métrica de indisponibilidade e os aspectos orientados a negócios referem-se à métrica de custo total de mão-de-obra. Estas métricas estão relacionadas a cada estratégia de manutenção das arquiteturas da infraestrutura de refrigeração. Nosso estudo de caso utilizou uma infraestrutura de refrigeração em arquiteturas com níveis crescentes de redundância para a aplicação da metodologia, das métricas e dos modelos propostos. Em cada arquitetura/infraestrutura foi realizada tanto a seleção da estratégia de manutenção mais adequada como uma análise objetiva da viabilidade de mudanças entre diversas estratégias. Os resultados mostraram que a estratégia mais adequada não possui necessariamente a menor indisponibilidade, mas adequa conjuntamente a menor indisponibilidade e os menores custos.
O impacto da diabetes tipo 01 no desenvolvimento do cérebro em crianças
Authors: Sá Larissa Ferreira , Guimarães Maitana Alcantara , Brito Raquel De Oliveira , Gomes Pedro Barbosa , Faria Talitha Araújo
Published: January 2024

O diabetes é um distúrbio metabólico que gera apreensão em qualquer faixa etária. Nesse sentido, estudos demonstram que a DM1 em crianças pode impactar o desenvolvimento cerebral na primeira infância. Método: Trata-se de uma revisão de literatura baseada em consulta às bases de dados PUBMED, Google Acadêmico e Scielo. Utilizaram-se os descritores "Diabetes Mellitus tipo 1", "Desenvolvimento do cérebro infantil e diabetes", “Relação hipoglicemia/hiperglicemia e desenvolvimento cognitivo“. Como critérios de inclusão houve a preferência por artigos completos; e como exclusão, a não adequação ao tema e estudos incompletos. Revisão: Avaliou-se que tanto a hiperglicemia quanto a hipoglicemia podem prejudicar o desenvolvimento das funções cognitivas na infância, persistindo na fase adulta. Estudos comprovaram que crianças com episódios graves de hipoglicemia tiveram desempenho inferior em testes de memória e de cognição geral, em relação a crianças sem o quadro. Outros estudos observaram associações entre a hiperglicemia e funcionamento executivo, capacidade de aprendizado e memória, como também uma relação entre a velocidade de processamento e a hiperglicemia controlada. Conclusão: Muito embora já existam evidências do impacto dos extremos glicêmicos sob o desenvolvimento cognitivo durante a primeira infância, e até mesmo sua persistência na vida adulta, carecem mais estudos relacionados ao tema.
Perfil epidemiológico dos casos de Meningite em idosos no Brasil no período de 2018 a 2023
Authors: Dos Santos José Victor Dantas , Assunção Micaella Berticelli , Massotti Maria Eduarda Bagnol , Vieira Fernanda Carvalho Camargos , Cartaxo Higor Braga
Published: January 2024

A meningite é uma doença inflamatória que acomete as meninges, que envolvem o sistema nervoso central. Dentre os grupos etários mais acometidos estão os idosos. Conhecer o quadro epidemiológico é essencial para melhor prevenir a meningite.
Alterações dos parâmetros hematológicos e bioquímicos associados à infecção por helicobacter pylori em crianças: a anemia ferropriva como implicação principal
Authors: Silva Paloma Freitas , Barcelos Bruna Rezende
Published: January 2024

A infecção por Helicobacter pylori em crianças constitui uma infecção de caráter crônico, que acomete a mucosa gástrica e que está fortemente associada a outras doenças gastrointestinais, bem como a patologias resultantes de distúrbios hematológicos, sobretudo a anemia ferropriva.
Deficiência e corporeidade: impactos da participação no Coletivo Feminista Helen Keller de Mulheres com Deficiência
Authors: Constantino Carolini , Zwirtes Tcheice Laís , Barth Michele , Renner Jacinta Sidegum
Published: January 2024

O objetivo deste estudo foi compreender a percepção de mulheres com deficiência sobre a interferência do Coletivo Feminista Hellen Keller de Mulheres com Deficiência na vivência da sua corporeidade. Esta pesquisa se caracteriza como aplicada, observacional descritiva e com relação aos procedimentos, é um estudo de caso. O problema foi abordado sob o paradigma qualitativo. O campo do estudo foi o Coletivo Feminista Helen Keller de Mulheres com Deficiência. O instrumento de coleta de dados foi uma entrevista semiestruturada, sendo a amostra composta por oito colaboradoras. A análise e discussão dos dados ocorreu através da categorização e triangulação de dados. Os resultados apontaram que o Coletivo se configura como um ambiente de ressignificação do feminismo, deficiência e corporeidade das integrantes e contribui para o protagonismo dessas mulheres na luta pelo reconhecimento de seus corpos e conquistas de direitos. Desta forma, este estudo poderá incentivar mais discussões sobre deficiência e gênero, bem como servir de apoio à construção de políticas públicas de inclusão às mulheres com deficiência.
Law Enforcement in Handling Narcotics Abuse Cases Based on Justice Values
Authors: Hamid Imran , Rahman Sufirman , Pawennei Mulyati , Qamar Nurul
Published: January 2024

Introduction: The development of narcotics abuse crimes currently tends to increase, both in quality and quantity, so it can be predicted that crimes of distribution and abuse of narcotics in the future will continue to increase along with the development of society.
 
Objective: This research aims to: Understand, analyze and discover the essence of law enforcement in handling narcotics abuse cases based on the value of justice in the South Sulawesi Regional Police.
 
Method: The research method uses sociological empirical legal research and normative legal research.
 
Result: The results of the research show that the essence of law enforcement against perpetrators of narcotics abuse at the South Sulawesi Regional Police has been implemented by the criminal provisions in Articles 59 to Article 111 of Law Number 35 of 2009 concerning Narcotics. Law enforcers, in this case, the police, prosecutors, judges and advocates, really determine whether the law is implemented or not as it should be.
 
Conclusion: Law enforcement against perpetrators of narcotics abuse at the South Sulawesi Regional Police has been carried out by the criminal provisions in Article 59 to Article 111 of Law Number 35 of 2009 concerning Narcotics.
Policy Evaluation of the Land Registration System in Malang City
Authors: Abidin Alie Zainal , Sumartono  , Suryadi  , Mindarti Lely Indah
Published: January 2024

Purpose: This research aims to discover, explain, and analyze the phenomenon under investigation in-depth, which is related to the land publication system in Malang City. This research employs a qualitative approach and is conducted at the Malang City Land Office, involving various parties directly engaged in the land registration process.
 
Theoretical Framework: Land registration plays an essential role in the social structure, with various countries adopting different registration systems, such as positive and negative publication systems. The positive system establishes land registry data as incontrovertible evidence, providing legal protection even if the data may not be accurate, while the negative system, practiced in Indonesia, does not guarantee absolute legal protection by the government to landowners (Chekole et al., 2020; El-Hallaq & Eid, 2020; Rubasinghe, 2010; Van der Molen & Tuladhar, 2006).
 
Method: Primary data is obtained through interviews with various informants, including Land Office employees, legal practitioners, community leaders, and the general public. Secondary data is derived from documents, ministerial regulations, government regulations, as well as archives of the Malang City Land Office, accessible both offline and online. Data collection involves the researcher, interview guidelines, and other supporting tools.
 
Result: The research findings indicate that the policy evaluation of the land publication system aims to achieve legal certainty, which has not been fully realized.
 
Conclusion: The main issues include disputes over land ownership between land buyers and original landowners. Furthermore, the implementation of programs and activities within the land publication system has not reached its full potential. The current land publication system requires evaluation, focusing on effectiveness, efficiency, sufficiency, equity, responsiveness, and accuracy. There is insufficient legal protection for land certificate holders, leading to recurring agrarian conflicts every year. Additionally, in this positive-leaning negative publication system, certificates possess only relative strength, rather than absolute authority.
An Unusual Presentation of Sarcoidosis Mimicking Metastatic Peritoneal Carcinomatosis A Case Report and Review of the Literature
Authors:   Department of Obstetrics and Gynecology, Zucker School of Medicine at Hofstra/Northwell., Scanlon Lauren
Published: January 2024

Sarcoidosis is a multi-organ system autoimmune disorder characterized by the presence of non-caseating granuloma formation within one or more organ systems [1]. The majority of cases present with lung involvement, however 30-50% of cases have extra-pulmonary involvement at the time of clinical presentation [2]. These extra-pulmonary manifestations typically involve the skin, lymph nodes and eyes. Rarely sarcoid can manifest in the abdomen; however, this is typically noted in the liver and spleen [3]. Peritoneal sarcoidosis is a rare manifestation of the disease with less than 50 reported cases and it can rarely mimic ovarian or primary peritoneal carcinoma with elevated CA125 levels. There are 5 reported cases reported in the literature.
Living with yoga in everyday life
Authors:   PhD Scholar, Faculty of Health & Wellness, Sri Sri University, Cuttack, Odisha, India., Saha Sudipta
Published: January 2024

Yoga practices have been recognized over time to bring positive effects to all parts of the complex human organism to make them work optimally and also to be useful for the wellbeing of mental faculties as well. Today’s life is much occupied with diverse engagements in household, educational, professional and social fronts. It seems not easy for all people to dedicate time to practice their interest or doing activities like yoga, physical exercises and other hobbies even periodically, in spite of having willingness to do so. However, it is to ponder that our lives are not only based on yoga, it is something which we are living with knowingly or unknowingly. In this context the eight limbs of Patanjali Yoga Sutra (PSY) of Maharshi Patanjali who has given the most reflective explanation of yoga have been referred to see how they are echoed in our lives. A few literatures with research publications have been studied to write this article. It has been thoughtfully explored with the aim to suggest how yoga practices can be synchronized with daily activities with the conclusion that the yoga practices may be incorporated in our life along with day-to-day activities without spending further time.
Gastro gastric intussusception in the setting of unclear lead point Radiological imaging
Authors:   Radiology registrar Royal Liverpool University Hospitals, UK., Mahmoud Ahmed
Published: January 2024

Intussusception is defined as telescoping or invagination of the proximal part of the gastrointestinal tract (intussusceptum) into an adjacent section (intussuscipiens) which results in obliteration of the lumen [1-2]. It is considered as a form of bowel obstruction as it accounts for only 1-5% of cases of bowel obstruction [3]. Intussusception in children can occur at any site in the GI tract, and it often presents similar clinical and radiographic features at all sites. These characteristic features are the key to diagnose intussusception even at unusual sites [4]. While Intussusception is a common diagnosis among children, it is in fact a rare condition in adults with the incidence of approximately 2-3 per 1,000,000 per year [5-6]. Adult intussusception is usually presented with vaguely unusual symptoms where the use of EUS and CT is extremely useful to aid in diagnosis [1-7]. Our case presents an even rarer type of Intussusception called Gastro-gastric Intussusception. According to multiple sources it consists of only 10% of the adult Intussusceptions [7-8].
Ramsay hunt syndrome in an immunocompromised patient
Authors:   School of Medicine, University of California San Diego, La Jolla, California, USA., Kern Jessica
Published: January 2024

A 37-year-old male presented to the emergency department with headache, confusion, right-sided facial droop, and painful rash. One month prior, he underwent staged resection of an intraventricular neurocytoma and was placed on a postoperative dexamethasone taper. Examination revealed weakness in the right cranial nerve VII distribution (Figure 1A), clustered vesicles with erythema in the right ear canal and conchal bowl (Figure 1B), and scattered vesicles on the preauricular cheek. The right anterior third of his tongue had clusters of pustulovesicles (Figure 1C). The patient was diagnosed with Ramsay Hunt Syndrome (herpes zoster oticus) and urgently started on IV acyclovir. Confirmatory PCR was positive for varicella zoster virus. The patient was discharged with improved mental status. Skin lesions resolved after a 2-week course of IV acyclovir and valacyclovir, but at his 2-year follow-up the patient had persistent facial weakness, vestibular symptoms, and photophobia. Recognizing Ramsay Hunt Syndrome early is crucial as antiviral therapy is most effective when initiated within the first three days of facial paralysis onset. Early treatment may prevent long-term sequelae including permanent facial muscle weakness, hearing loss, corneal scarring, postherpetic neuralgia, tinnitus, vertigo, and taste perception changes. Even with prompt recognition and treatment, immunocompromised patients are likely to have a more severe disease process and less complete recovery.
Evaluation of results of anterior cervical discectomy and fusion by standalone peek cage for the treatment of double level cervical spondylotic myelopathy
Authors:   Professor & Division Head of Spine Surgery, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Islam Anowarul
Published: January 2024

To evaluate the results of Anterior Cervical Discectomy and Fusion by Stand-alone PEEK cage for the treatment of double level cervical spondylotic myelopathy.
Illustration of skin diseases in the Unani clinical research OPDs
Authors:   Colocation Research Centre, RRIUM, Mumbai, J.J. Hospital, Byculla, Mumbai, India., Bano Humaira
Published: January 2024

These are the nine Figures taken in Unani research OPDs related to skin disease as Unani System of medicine has significant result in dermatology and cosmetics fields. Patients who had taken treatment from the specialist did not cure moved to Unani treatment. Here the purpose is only to present the cases of skin diseases with special peculiarities what met in the Unani Research Centre.
Cerebellar Abscess A rare case
Authors:   Junior Resident, Department of Pediatrics, Rural medical college, Loni, Maharastra, India, Pandey Amit Kumar
Published: January 2024

Paediatric brain abscess is a rare disease with a high risk of morbidity and mortality. Brain abscess seems to occur most commonly in the age group of 4-10 years, with the least frequent sites being the cerebellum and brainstem. A cerebellar abscess is characterized by headache, nystagmus, ipsilateral ataxia, dysmetria, and vomiting [1]. Advanced diagnostic modalities such as MRI and CT scans and early administration of antimicrobial agents have drastically reduced the mortality and morbidity associated with brain abscesses.
Discharge education and sepsis re admission An integrative review
Authors:   Johns Hopkins School of Nursing, Johns Hopkins University, USA., Thomas Prasuna
Published: January 2024

Hospital readmission has long been a threat to our country’s healthcare system. Sepsis has recently become the number one disease condition resulting in readmissions following an initial inpatient hospital discharge. Increase in the number of sepsis survivors causes a huge burden to the healthcare system secondary to increased morbidity, mortality, utilization of health care resources, and transition to hospice. This integrative review explored the existing literature on the effect of post sepsis care education on reducing all cause readmission among sepsis survivors.
La pandemia de covid–19 y el estrés como factor de riesgo laboral
Authors: Castillo-Castillo Andrea Elizabeth , Hidrovo-Pacheco Tatiana , Castro-Jalca Alexander Dario
Published: January 2024

Estrés es un concepto que define el estado de fenómenos que impiden la autorregulación y el mantenimiento de la constancia en las propiedades del medio interno de un organismo influenciado por agentes exteriores, lo cual produce el fracaso al adaptarse a las demandas de su entorno inmediato; al prolongarse en el tiempo e intensidad imposibilitan la adecuada adaptación desembocando en un cuadro de agotamiento psicobiológico originando riesgo laboral y amenazas a la salud. La pandemia del COVID-19 llevó al personal de salud a situaciones estresantes que representan riesgo laboral. Objetivo: Examinar artículos originales elegibles que aporten evidencia sobre el nivel de estrés por la pandemia de COVID–19 en el personal de salud. Metodología: revisión bibliográfica sistemática documental retrospectiva, analítica, descriptiva, aplicando técnicas de análisis de contenido en idiomas español e inglés. Resultados y discusión: se localizaron 200 artículos de los cuales el 79% fueron excluidos al no estar relacionados con el tema; se recuperaron 42 artículos, evaluados 38 y seleccionados 18. Conclusión: Los estudios sobre el estrés laboral exponen como el COVID–19 afecta al personal de salud; las consecuencias de sufrir estrés a causa de su ocupación son muy graves y en algunos casos difíciles de manejar.
Propuesta de un programa de meditación y ejercicio aeróbico para mujeres víctimas de violencia de género basado en MAP Training
Authors: Pérez Martínez Raquel , Chacón Sevilla Alex Esaú
Published: January 2024

La futura intervención intentará dar respuesta al Trastorno de Estrés Postraumático (TEPT), ansiedad y depresión que muchas mujeres adultas y mayores presentan al vivir situaciones      o sucesos de violencia dentro de la pareja. El plan va dirigido a mujeres mayores de 55 años, pertenecientes al Instituto Andaluz de la mujer (IAM) del Ayuntamiento de Dos hermanas, que presenten TETP, ansiedad o depresión. El programa de intervención es una combinación de ejercicio mental y físico basado en la Capacitación Mental y físico (MAP) y consta de una duración de 12 semanas con dos sesiones a la semana y una sesión sin supervisión. Cada sesión consta de una meditación inicial sentados de 20 minutos, una caminata de meditación de 10 minutos y una parte de ejercicio aeróbico de 30 minutos al 60- 80% de frecuencia cardiaca máxima, dividiendo el programa en tres fases: la fase de acondicionamiento, la fase de mejora y la fase de mantenimiento. Con este programa se busca sembrar la resiliencia y el empoderamiento en cada participante, enriqueciendo la calidad de vida y el bienestar físico y mental de estas mujeres incidiendo con la actividad física sobre su TEPT, ansiedad y depresión.
Desarrollo de la inteligencia emocional a través de actividades lúdicas en estudiantes de primaria
Authors: Zambrano Berrones Lissette
Published: January 2024

El desarrollo de la inteligencia emocional en estudiantes de primaria a través de actividades lúdicas es vital para su crecimiento personal y académico. En este escenario, las actividades lúdicas promueven habilidades enfocadas al manejo y comprensión de las emociones, autoestima y relaciones interpersonales. En el presente trabajo se reconoció la importancia del desarrollo de la inteligencia emocional a través de actividades lúdicas mediante la búsqueda sistemática en diversas bases de datos de artículos científicos vinculados al tema, siendo este un artículo de revisión. Los resultados evidenciaron la necesidad de potenciar programas de desarrollo de inteligencia emocional en primaria mediante la aplicación de actividades lúdicas, como juegos cooperativos, tradicionales, recreativos, uso de material didáctico, entre otros, en diversas asignaturas y desde edades tempranas, ayudando a la formación integral de los niños y su desarrollo en habilidades socioemocionales. Concluyendo que el rol del educador es fundamental para mejorar sus relaciones interpersonales, autoestima, manejo y comprensión de sus emociones y la de los demás, asegurando su bienestar y éxito personal.
Work climate in teachers of a public educational institution in Northern Lima
Authors: Asencios-Trujillo Lucia , Asencios-Trujillo Lida , Piñas-Rivera Livia
Published: January 2024

This research allows to observe the work environment present in teachers, since there are different factors that can compromise the emotional well-being of teachers, therefore the objective of the research is to determine the work environment in teachers of a public educational institution in North Lima. It is a quantitative, descriptive, cross-sectional, non-experimental study, with a total population of 115 participants who completed a questionnaire of sociodemographic aspects and the work climate test. In their results, 5,2 % (n=6) have a very unfavorable work climate, 2,6 % (n=3) unfavorable, 54,8 % (n=63) average, 32,2 % (n=37) favorable and 5,2 % (n=6) very favorable work climate. In conclusion, training programs should be carried out for teachers, since this will allow them to develop continuously and thus have a good work environment.
Gallery tax in florencia Caquetá: legality and collection behavior
Authors: Tovar-Cardozo Ginna , Facundo-Vargas Guineth , Joven-Santanilla Velmar
Published: January 2024

This article is part of the project Analysis of the payment behavior of the Industry and Commerce Tax and Gallery Fee in the La Concordia Market Square in Florencia, department of Caquetá, which is recognized as the city's historical and cultural heritage. This paper addresses matters related to the gallery rate, through a descriptive design study, using the survey applied to vendors in the Concordia market place as a primary source to capture information. Among the results obtained, it is found that the gallery rate does not have a legal basis or reservation of Law and additionally the current municipal regulations are not applied, in relation to the times stipulated for their respective payment. And as conclusions, it is recommended to review the regulatory framework to appropriate the corresponding legal figure and advance campaigns to promote the culture of payment of obligations and commitments for the use of public space.
Impact of informality on formal businesses in the textile sector of the Gamarra Commercial Emporium – 2022
Authors: Díaz-Díaz Blanquita , Garrido-Ligas Maricielo , Zarate-Ruiz Gustavo , Meneses-Claudio Brian
Published: January 2024

The objective of this study was to analyze the impact of informality on the formal businesses of the Gamarra Commercial Emporium - 2022. Thus, the methodology used in the research was a basic type with a qualitative approach, using an approach that is based on case studies, it is worth mentioning that the level is descriptive and the interview was used as a data collection tool. Regarding the interview guide, it was applied to five micro-entrepreneurs from the Damero Gallery, which is located in Gamarra, and the documentary analysis that was achieved thanks to the interviews that the owners of each business gave us. All this set of elements has contributed to reaching the conclusion that informality does have a negative impact on the businesses of formal merchants, since on repeated occasions they were forced to have to reduce the prices of their garments to make it more accessible for customers so they can buy it. Likewise, they believe that it is quite unfair that there are no drastic sanctions for street vendors and consider it appropriate that they receive training with the intention of guiding them to contribute accordingly, it was evidenced that many of these are submerged in informality due to lack of knowledge. Persuasion was also contrasted and the good treatment they give to consumers is a fundamental piece, because with this they can display their products correctly and indicate the quality of each garment.
The quality educational service and learning by competencies of the students of the Productive Technical Centers of the UGEL N. 01, district of Villa el Salvador, Lima, 2019
Authors: Medina-Altamirano Naara , Enriquez-Gavilan Nerio , Tenorio-Molina Gladys , Quispe-Solano Monica , Ticona-Larico Wilver , López-Gómez Cynthia
Published: January 2024

The present investigation called “The quality educational service and the competence learning of the students of the Technical Production Centers of the UGEL N. 01, district of Villa El Salvador, Lima, 2019” had as a general objective, to determine the relationship between the service quality education and competence learning of the students of the CETPROS of the UGEL 01- Villa el Salvador- 2019. The method used was the hypothetical-deductive, the design was non-experimental correlational cross-sectional level. The population was about 200 students; the sample was not probabilistic. To collect the data, a questionnaire on quality education service was applied, which consisted of 21 questions on the Likert scale (Never, Almost Never, Sometimes, Almost Always, Always). In the case of the other variable, the minutes of notes of the teachers of the CETPROS were taken as reference. The investigation concludes that there is evidence to affirm that quality educational service and competence learning are correlated because the Spearman Rho correlation coefficient showed a value of 0,820, which means that if the educational service is excellent, students of CETPROS of UGEL 01 will have an outstanding achievement in competency learning.)
MOHS MICROGRAPHIC SURGERY FOR BASAL CELL CARCINOMA: A REVIEW OF TREATMENT RESULTS
Authors: Nguyen Hong Son , Le Van Duc , Pham Ngan Giang , Vu Nguyen Binh , Nguyen Dinh Quan , Nguyen Huu Quang , Vu Dinh Tam , Nguyen Canh Tung , Le Thi Thanh Hien
Published: January 2024

Objectives: To evaluate the results of Mohs Micrography Surgery (MMS) in the treatment of basal cell carcinoma (BCC).
Materials and methods: We used the database of PUBMED and EMBASE to evaluate the results of MMS in treatment of BCC.
Results: Nine studies with the total number of 5845 BCC cases were included in this review, the follow-up time varied from 12 to 42 months. The overall cumulative probabilities of recurrence after MMS were 2.4%. The cumulative probability of recurrence for the primary BCC group and the recurrent BCC group was 2.9% and 7.2%, respectively. In the recurrent BCC group, the cumulative probability of recurrence after MMS was lower than after standard surgical excision (SSE) (3.9% vs 13.5%, p < 0.05). In MMS group, 52% of patients required one round of excision to achieve complete removal of BCC, 34% needed two rounds and 14% needed three rounds. The size of final skin defect after MMS was 1.34 times larger than that of the primary tumor (p < 0.05).
Conclusion: MMS is superior to SSE in BCC treatment, with lower recurrence rate and better normal skin-sparing. Therefore, MMS is strongly recommended for surgical treatment of BCC, especially in high-risk BCC.
Received 28 June 2023Revised 26 September 2023Accepted 29 November 2023
NASAL RECONSTRUCTION AFTER MOHS SURGERY: MANAGEMENT OF DEFECTS ACCCORDING TO ANATOMICAL UNITS AND DIMENSIONS
Authors: Nguyen Huu Quang , Vu Dinh Tam , Ta Thi Ha Phuong , Nguyen Canh Tung , Nguyen Huu Sau , Nguyen Hong Son , Nguyen Dinh Quan , Vu Nguyen Binh , Le Thanh Hien
Published: January 2024

Objectives: Skin cancer frequently affects the nose, particularly in sun-exposed areas such as the ala, apex, root, and bridge. Even minor nasal lesions can pose aesthetic and psychosocial challenges for patients, necessitating nasal reconstruction tailored to anatomical units and defect size. The primary goal of reconstructive surgery is to restore the original shape, emphasizing three-dimensional space, symmetry, color, and compatibility with surrounding tissue structures. Despite numerous options for post-cancer surgery reconstruction, establishing a gold standard for nasal defect management remains elusive.
Materials and Methods: A retrospective study was conducted in 41 patients following Mohs surgery for basal cell carcinoma. Defects are approached based on rhinoplasty principles, considering anatomical units, defect size, and location to select appropriate reconstruction methods.
Results: Among the patients, 17 (41.5%) had nasal alar defects, 5 (12.2%) had nasal apex defects, 4 (9.8%) had nasal root defects, 7 (17.1%) had nasal bridge defects, and 9 (22%) had complex defects involving multiple anatomical units. Patients with nasal alar defects <1.5cm underwent reconstruction using the nasolabial flap, while those with larger defects (>1.5cm) underwent forehead flap reconstruction, including auricular cartilage grafts for nasal alar defects. Complex lesions (22%) were reconstructed using a combination of forehead flap and rotation or V-Y flap. Nasal root defects (7.3%) were reconstructed using the glabellar flap.
Conclusion: Nasal reconstruction, employing local or regional flaps, consistently yields positive functional and aesthetic outcomes due to the similarity in color and skin flap thickness with adjacent structures. The forehead flap, with its constant blood supply, vitality, and versatile design, is particularly effective for complex nasal lesions.
Received 29 June 2023Revised 27 September 2023Accepted 29 November 2023
SENTINEL LYMPH NODE BIOPSY IN THE MANAGEMENT OF PATIENTS WITH MALIGNANT MELANOMA
Authors: Nguyen Canh Tung , Nguyen Huu Quang , Nguyen Hong Son , Nguyen Dinh Quan , Vu Nguyen Binh , Le Thanh Hien , Ta Thi Ha Phuong , Vu Dinh Tam , Nguyen Huu Sau
Published: January 2024

Objectives: To evaluate the efficacy of sentinel lymph node biopsy in the treatment of malignant melanoma.
Materials and Methods: Thirty-two melanoma patients without distant or clinical lymph node metastasis underwent preoperative lymphoscintigraphy using Tc99m and a handheld gamma probe to identify sentinel lymph nodes for biopsy. In cases with detected sentinel lymph node metastasis, the patient may require total complete lymph node dissection, combined with optional systemic therapy. Follow-up was performed to evaluate the efficacy of this procedure.
Results: In 32 melanoma patients, the most common site of primary tumors was the extremity, accounting for 90.6%, with a mean Breslow index (thickness of the primary tumor) of 1.84 mm. The incidence of microscopic lymph node metastasis was 34.4%. For cases with no detected sentinel lymph node metastasis, 100% of patients had a stable condition, and no recurrence or metastasis was detected. In 11 cases with occult nodal metastasis: 2 deaths, 4 patients were treated with chemotherapy, and 5 cases without chemotherapy. The mean duration of hospitalization for the group with sentinel lymph node metastasis was greater than that of the group without sentinel lymph node metastasis, 25.1 ± 3.1 days and 13.5 ± 1.3 days, respectively.
Conclusion: Our results suggest that sentinel lymph node biopsy is a less invasive technique for melanoma patients with no clinically detectable lymph node and distant metastases. This procedure has shown initial outcomes, but it is necessary to conduct a study with a larger sample size and a longer follow-up time, as well as comparing it with a control group for accurate evaluation.
Received 23 June 2023Revised 22 September 2023Accepted 27 November 2023
MALIGNANT SWEAT GLAND TUMOURS: A CASE SERIES
Authors: Hoang Quoc Tuan , Le Thi Hai Yen , Nguyen Hong Son , Nguyen Huu Sau
Published: January 2024

Objectives: Malignant sweat gland tumor is a very rare skin cancer with variable presentations. The objectives of this study are to examine the clinicopathological and immunohistochemical features of malignant sweat gland tumors and to discuss the treatment and follow-up for postsurgical recurrence rates.
Methods: Six patients diagnosed with sweat gland carcinoma at the National Hospital of Dermatology and Venereology between 2018 and 2023 were carefully reviewed.
Results: The cases occurred in four men and two women, ranging in age from 31 to 78 years (mean 59.3). Four of the lesions were from the scalp, one from the nose, and one from the right arm. There were three cases of Eccrine Porocarcinoma, two cases of Hidradenocarcinoma, and one case of Syringoid Eccrine Carcinoma. All of them were treated with surgery, five cases with wide local excision, and one case with Mohs micrographic surgery. Only one case had a recurrence.
Conclusion: Malignant sweat gland tumors demonstrate significant variability in clinicopathology and immunohistopathology. Surgery is the mainstay of treatment.
Received 28 June 2023Revised 26 September 2023Accepted 29 November 2023
RETINOIDS IN SKIN CANCER CHEMOPROPHYLAXIS AND TREATMENT
Authors: Tran Thi Quyen , Nguyen Huu Sau
Published: January 2024

Skin cancer is the most common type of cancer in the United States. There are 2 main types of skin cancer: melanoma and non-melanoma. The 2 most common types of non-melanoma skin cancer are called basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Some other less common non-melanoma cancers including cutaneous T lymphoma (CTCL), Kaposi sarcoma (KS),…1 Factors that increase the risk of skin cancer include ultraviolet radiation, skin type, gene factor, virus infection, immunodeficiency, and chemical substance,… Among them, ultraviolet radiation is one of the most emphasized factors.
Received 28 June 2023Revised 26 September 2023Accepted 29 November 2023