bluuebunny/crossref_metadata_2025 huggingface dataset:
Otitis aguda en pediatría: Una revisión para atención primaria
Authors: Saborío Cervantes Ishtar E. , Mora Valverde Mónica
Published: October 2024

Resumen La otitis media aguda es una patología que se caracteriza por la inflamación del oído medio, la cual en la mayoría de los casos resulta ser una afección secundaria a un proceso infeccioso de la vía respiratoria superior de origen viral, incrementando de esta forma su incidencia en los infantes que presentan una mayor predisposición a contraerla debido a sus variantes anatómicas. La colonización bacteriana secundaria provocada por Streptococcus pneumaniae, Haemophilus influenzae y Moraxella catarrhalis se ha mantenido constante durante los últimos años, en una era en donde la vacuna contra el Streptococcus pneumaniae (conocido como neumococo) forma parte de los esquemas de vacunación alrededor del mundo, entre los cuales se encuentra el costarricense. Las manifestaciones clínicas son, en muchos casos, variadas e inespecíficas entre los diferentes grupos etarios, por lo que se convierte en un reto diagnóstico en el cual la sospecha clínica y el conocimiento de los criterios diagnósticos son fundamentales para su correcta atención. Ante la gran variedad de manifestaciones clínicas presentes, surge la atención especial que debe otorgársele a su respectivo tratamiento; para este caso en específico el tratamiento antibiótico es esencial en su manejo, debido a la coinfección bacteriana que forma parte del proceso patológico, lo cual ha llevado a incrementar su uso. El propósito de este artículo es ofrecer una revisión de fácil y rápido acceso, útil y eficiente de las manifestaciones y las opciones de tratamiento de la otitis media aguda para los médicos que realizan labores en atención primaria, con el fin de proporcionar un diagnóstico, tratamiento y prevención adecuados.
Manejo del hipotoroidismo subclínico
Authors: Rojas Bermúdez Christopher
Published: October 2024

Resumen El hipotiroidismo subclínico es un hallazgo de laboratorio muy común en la práctica médica. Su manejo puede variar según el grupo poblacional con que se esté tratando. De estos grupos, los más importantes de tener en cuenta son las mujeres con deseo de procreación, embarazadas y la persona adulta mayor. Como aspecto práctico se recomienda valorar en todos los pacientes el riesgo de recurrencia, niveles de TSH y los beneficios /efectos adversos del tratamiento. Los principales factores de recurrencia son el nivel de TSH y la presencia de anticuerpos contra peroxidasa tiroidea positivos. En la población general adulta, la elevación de TSH debe ser sostenida por más de 3 meses antes de iniciar tratamiento. Son claros el beneficio y la evidencia de tratar a pacientes con TSH mayor de 10 mlU/L con dosis de 25-75 μg día si no existe enfermedad cardiovascular; si fuera así, las dosis son menores. La meta es alcanzar rangos normales de TSH. En pacientes con valores de TSH por encima del rango superior normal hasta 10 ml/L existe mucha controversia sobre el manejo, aunque la tendencia y evidencia más recientes recomiendan el manejo expectante. De manera general en los casos en que no se decida tratar, se debe evaluar los niveles hormonales en 6 meses – 1 año. La excepción a estas recomendaciones son las mujeres embarazadas y con deseos de procrear, debido a que representan casos particulares que dependen de otros factores.
Seguimiento de 4 años de radioterapia intraoperatoria con electrones en el tratamiento conservador del cáncer de mama en el Hospital Clínica Bíblica, San José, Costa Rica
Authors: Loría Ruíz Rolando , Blanco Saborío Alejandro
Published: October 2024

Resumen Objetivo: Describir la experiencia de la radioterapia intraoperatoria (RIO) aplicada para cáncer de mama (CM), estadio temprano, en el Hospital Clínica Bíblica. Materiales y métodos: Se realiza una revisión retrospectiva del registro médico, entre enero de 2014 y diciembre de 2015; 28 pacientes fueron tratadas con cirugía conservadora (CC) y RIO para el CM temprano. Resultados: No hemos documentada recidiva local, con 28 casos tratados, ni eventos adversos crónicos en piel o pared torácica; 26 de ellas cumplían los criterios según las recomendaciones para irradiación parcial de la mama de la ASTRO y GEC-ESTRO para RIO. Conclusiones: La RIO con haz de electrones en CC para el CM es una opción adecuada para pacientes de bajo riesgo, con excelente control local sin eventos adversos a piel o pared torácica.
Síndrome neurocutáneo: Sturge Weber
Authors: Gómez Cerdas Marco Tulio
Published: October 2024

Resumen El síndrome de Sturge Weber se define por la presencia de un nevus facial con coloración en vino de oporto en territorio del nervio trigémino; en su forma completa, existe la asociación de anomalías cerebrales (angioma leptomeníngeo o pial), cutáneas (angioma facial) y oculares (angioma coroideo). Por sus afectaciones anatómicas se puede presentar: epilepsia, retraso mental, hemiparesia, hemianopsia o glaucoma. Es un trastorno congénito poco común, que forma parte de los síndromes neurocutáneos conocidos como facomatosis. Tiene una incidencia de alrededor de 1 entre cada 20-50 000 nacimientos. Por la presencia de lesiones en la piel al nacimiento, se sugiere que podría relacionarse con un origen embrionario, principalmente en el primer trimestre de la gestación y se ha asociado con la persistencia del plexo vascular cefálico del tubo neural. Recientemente, se ha encontrado la presencia de una mutación activadora de un mosaicismo somático en el gen GNAQ en el cromosoma 9 (9q21.2). El síndrome se divide en tres subgrupos: Sturge Weber tipo I, incluye angiomas faciales y cerebrales, y glaucoma; Sturge Weber tipo II, incluye solo angiomas faciales y puede ocurrir glaucoma; Sturge Weber tipo III, incluye solo angiomas cerebrales. El tratamiento se basa en el manejo sintomático, enfocado al control de las crisis epilépticas con anticonvulsivantes, terapia con láser para angiomas cutáneos y tratamiento para disminuir la presión intraocular en casos de glaucoma.
Experiencia en terapia con plasma convaleciente en pacientes con COVID-19
Authors: Ortiz Leitón Fabián , Castillo Peña Karol Dayanna
Published: October 2024

Resumen La enfermedad del coronavirus (COVID-19) representa una de las mayores epidemias en el mundo y está desencadenando una crisis de salud global. Comenzó en el año 2020 y hasta la fecha, no existe una terapia dirigida para esta enfermedad. El plasma convaleciente se presenta como una opción de tratamiento interesante contra COVID-19. Este ha sido utilizado con éxito en otros brotes virales en el pasado en distintas regiones del mundo. La terapia consiste en recolectar plasma con anticuerpos de individuos recuperados de la enfermedad viral. Se considera la única estrategia, a corto plazo, para dar inmunidad inmediata a los individuos susceptibles. Esta revisión aborda el posible mecanismo de acción del plasma restaurador, con recomendaciones de quienes pueden ser donadores y se describe las características de seguridad y administración del plasma. Además, se brinda una descripción general sobre COVID-19 y los procedimientos necesarios para implementar la terapia.
SIX ELEMENTS AFFECTING LANGUAGE LEARNER SYSTEMS
Authors: Masruri Muhammad Zen
Published: October 2024

There has been a lot of discussion about understanding and describing second language acquisition. This document offers a summary of error analysis in the field. It presents a new and intriguing angle on learner English in comparison to previous studies on second language acquisition. Research on mistakes made by child language learners focuses on the cognitive and linguistic processes involved in learning a language. When acquiring a second language, there are six factors that can impact and define the systems of the language learner, such as universal hierarchy of difficulty, intralingual interference, sociolinguistic context, modality, age, successions of approximative systems. Viewing the rough language systems of learners not as issues to be eliminated, but as important phases in learning the target system, could lead to a better comprehension of language overall and a more compassionate method of teaching it.
Mengoptimalkan Penggunaan Teknologi untuk Pemasaran Aksesoris HP Anggota ONC Melalui Platform Digital
Authors: Sholeh Muh ibnu sholeh
Published: October 2024

This Community Service (PKM) project aims to optimize the use of technology in marketing cellphone accessories carried out by members of the Ngunut Community Outlet (ONC) via digital platforms. ONC, as a local business forum, has great potential to utilize advances in information technology to increase product visibility and competitiveness in an increasingly digital market. Through an Asset-Based Community Development (ABCD) approach, the project engages ONC members in intensive training to improve their technology skills, especially in managing social media and e-commerce platforms. Project stages include identifying community needs and potential, technology skills training, market analysis, digital platform development, and marketing of attractive digital content. By utilizing collaboration with local digital marketing experts, this project aims to achieve a significant increase in sales of HP accessories through digital platforms. The results of this project are expected to not only include ONC business growth but also have a positive impact on the economic empowerment of local community members. Through technology integration and active participation of community members, this project seeks to realize digital marketing that is sustainable and competitive, in line with developing business trends in the digital era.
Rationale for selecting organizational and technological solutions
Authors: Oleynik Pavel , Doroshin Ivan , Kazaryan Ruben , Avetisyan Robert
Published: October 2024

Two approaches to choosing the optimal solutions are considered – the mathematical approach and the applied approach. The mathematical approach is presented as determining the extremum of a function on the considered segment. The applied approach is presented in the form of existing various assessments of organizational and technological solutions. A list of the main, local and individual indicators used for this, along with their combinations, is given. The paper substantiates the fundamental differences in the processes of optimization of organizational and technological solutions in the mathematical and applied approaches with the conclusion that it is inappropriate to use the term “optimization of organizational and technological solutions” in applied research. Synonyms for this term are proposed and the concept of “optimization of organizational and technological solutions” is adjusted. The paper highlights the current practice of conducting a thorough evaluation of organizational and technological solutions, which has proven to be effective in coordinating the construction of specific entities and their interconnected systems. This approach aids in creating a unified project for managing tasks within a construction company's production program, as well as in crafting documentation for operational and production planning purposes.
Factors affecting mobility of harmonic symbols
Authors: Osman Osman Abdalla Adam
Published: October 2024

In this paper, we have illustrated the Bergmann domains and the Toeplitz operators with their symbiotic symbols in some special domains in order to clarify the properties that correspond to the fixed values. And we characterize the bounded harmonic functions for which the Toeplitz operators Bergman space are essentially commuting.
The elasticity of taxes to GDP in Bangladesh: Implications for policy
Authors: Hossain B M Sajjad , Islam Md. Taufiqul , Khan Shibli Ahmed
Published: October 2024

This study investigates the relationship between economic growth and the elasticity of taxes in Bangladesh from 2007 to 2018. The study used the exponential smoothing OLS method to estimate the elasticity of the tax system in Bangladesh. The data has been collected from the secondary sources. The paper represented a model to analyze the data and find the expected values of income tax, VAT, import and export duty, and GDP to provide guidelines for policy implication and improvement options. The study found a df increase of 1% in import has a relatively positive impact on the import volume regression model.
Impacts of displacement: Conflict and violence in Quibdó and Caucasia, Colombia
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

olombia is one of the countries most affected by internal displacement. Conflict and violence have forced people from their homes for decades. Despite the peace agreement signed in 2016 by the government and the Revolutionary Armed Forces of Colombia (FARC), the country’s largest armed group, nearly five million people were still displaced at the end of 2020, many of them requiring urgent support. IDMC conducted a study in August 2021 to inform the humanitarian response and bridge a knowledge gap on the impacts of displacement on the security, livelihoods, housing conditions, health and education of internally displaced people (IDPs) and host communities in Quibdó, the capital of Chocó department, and Caucasia, a municipality in the subregion of Bajo Cauca Antioquia. This report presents its key findings.
Disability, disasters and displacement
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

This paper is a first step towards bridging the knowledge gap on how men, women and children with disabilities are disproportionately affected in disaster settings. It explains why better data disaggregated by disability is essential to fostering more inclusive responses. It also emphasizes the key role people with disabilities can play in improving disaster planning, risk management and data collection on displacement, and highlights examples of tools and promising practices to guide governments and aid providers.
Disaster displacement: Vanuatu country briefing
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

The island nation of Vanuatu has the highest disaster risk worldwide from natural hazards ranging from cyclones to volcanoes. Human activities, including rapid urbanisation, increase people vulnerability to displacement. Vanuatu's efforts to prevent and respond to the issue, however, are an example of good practise. This paper outlines the drivers, scale and risk of disaster displacement in Vanuatu; its financial impact; and the country's capacity to prevent and respond to the issue. It also includes a case study on the impacts of displacement on housing, livelihoods, education and health linked with the 2017/2018 volcanic eruptions on Ambae Island.
When canals run dry: Displacement triggered by water stress in the south of Iraq
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

The Internal Displacement Monitoring Centre (IDMC) embarked on a new research programme in December 2018 to investigate internal displacement associated with slow-onset environmental change. This report explores the displacement triggered by water scarcity in the south of Iraq. Findings are based on quantitative and qualitative data collected between June and July 2019 among both displaced and non-displaced people from Basra, Missan, and Thi-Qar governorates.
Protecting and supporting internally displaced children in urban settings
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

At the end of 2018, over 17 million children were internally displaced by conflict or violence, and millions more by disasters or other causes. Within a global context of increasing urbanisation, towns and cities are becoming a major refuge for displaced populations, including children. Displaced children and their families in urban settings may find it difficult to access basic services, including housing, protection and education. Yet urban areas also present opportunities for the displaced, as well as host communities, to thrive when the right policies are in place. Critical to addressing the challenges faced by internally displaced children and youth are local investment and policies that explicitly include them in local and national plans and budgets for services. This policy brief, co-authored with UNICEF, explores the specific challenges internally displaced children face in urban areas and provides recommendations for actors at the local, national and international level.
Assessing the severity of displacement situations: data gaps and ways forward
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Internally displaced people (IDPs) account for more than half of the world’s forcibly displaced population, but there is relatively little information on the conditions they face. Our assessments are intended to go beyond the numbers to better understand the severity of internal displacement. We have started to fill this knowledge gap, calling attention to situations of particular concern, highlighting some of the main threats to IDPs’ safety and wellbeing and helping to measure their progress in achieving durable solutions. A revised methodology in this report was designed to improve the reliability, comparability and validity of our previous assessments. Despite improvements, significant data gaps remain. Given the absence of reliable data on standardised global-level indicators, the exercise remains predominantly qualitative, drawing upon a combination of our expertise and rigorous desk research. This stocktaking report outlines possible ways forward to overcome the challenge of data scarcity.
Advancing disability-inclusive action on internal displacement
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

A record 59.1 million people were internally displaced as a result of conflict, violence and disasters at the end of 2021. How many were living with disabilities is unknown, but the global disability prevalence rate of 15 per cent suggests the figure could be nearly nine million. IDMC has led the production of the first collaborative report on internally displaced persons (IDPs) with disabilities in situations of conflict, violence and disasters. The report brings together inputs from CBM, the European Disability Forum, Humanity & Inclusion, the Inclusive Data Charter, IMPACT Initiatives, Ruhr University Bochum - Institute for International Law of Peace and Armed Conflict, the Stakeholder Group of Persons with Disabilities and UNHCR. This report represents a first step toward addressing the paucity of data on IDPs with disabilities. Its findings highlight the differentiated and multi-dimensional impacts of displacement on the lives of persons with disabilities and the intersecting challenges they face before, during and after displacement. It also includes a Spotlight on IDPs with disabilities in Ukraine.
Sex Matters - A gender perspective on internal displacement
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Internal displacement impacts the livelihood, health, access to housing, infrastructure and education, security, social life and environment of all people affected by it. Yet men, boys, women, girls and people from sexual minority groups suffer from uneven repercussions in each of these areas. Building on a review of nearly 1,000 publications, this paper presents some of the most frequently reported gender inequalities linked with internal displacement and calls for better disaggregation of all related data and research. Bridging this knowledge gap is essential to propose tailored solutions for internally displaced men, women, boys, girls and people who identify as lesbian, gay, bisexual, transsexual, intersex or queer (LGBTIQ), to mitigate the damages caused by internal displacement on society as a whole.
They call it exodus: Breaking the cycle of distress migration in Niger
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Niger has the world’s lowest human development index ranking, indicating below-average life expectancy, poor education levels and low per-capita income. The bulk of the country’s economy is dependent on rain-fed agriculture, and periods of drought and associated drops in crop yield fuel recurrent food security crises. Niger suffered severe droughts in 1973 and 1984, and unreliable rainfall continues. IDMC embarked on a new research programme in December 2018 to investigate internal displacement associated with slow-onset environmental change. This study, based on more than 100 interviews conducted in the Maradi region of Niger, attempts to explore the patterns, drivers and impacts of phenomenon.
Disaster displacement: Papua New Guinea country briefing
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Papua New Guinea (PNG) is one of the most at-risk countries in the world for natural hazards. Weather-related and geophysical events—including floods, storms, landslides, earthquakes, and volcanic eruptions—cause thousands of displacements each year. Most of the displacement goes unreported. This paper outlines the drivers, scale and risk of disaster displacement in Papua New Guinea; its financial impact; and the country's capacity to prevent and respond to the issue.
Twice invisible: Accounting for internally displaced children
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Internally displaced children are twice invisible in global and national data. First, because internally displaced people of all ages are often unaccounted for. Second, because age-disaggregation of any kind of data is limited, and even more so for IDPs. This report presents the first estimates of the number of children living in internal displacement triggered by conflict and violence at the regional and national levels. It also presents some of the impacts of internal displacement children experience more often than adults, and it looks at policies and practices from around the world to identify options for supporting and protecting internally displaced children.
Lost production due to internal displacement - The 2017 earthquake in Mexico
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Beyond the losses caused by a disaster’s destructive force, less direct consequences can also impact the economy. One is the inability of people displaced by the disaster to continue their habitual work. By disconnecting people from their productive activity for days, weeks, months or even years, internal displacement reduces economic production. In the case of the 2017 earthquake in Mexico, internal displacement led to an estimated reduction in economic production of $160 million, or 0.01 per cent of Mexico’s GDP. This paper is part of IDMC's thematic series "The ripple effect: economic impacts of internal displacement". The series aims to measure the effects of internal displacement on the economic potential of internally displaced people, host communities and societies as a whole, bridging the knowledge gap through innovative research, partnerships with experts and practitioners from a wide range of disciplines and consultations with policy stakeholders concerned with economic development.
Measuring the costs of internal displacement: Eswatini, Ethiopia, Kenya and Somalia
Authors:   Internal Displacement Monitoring Center (IDMC)
Published: October 2024

Sub-Saharan Africa is the region with the most people living in internal displacement associated with conflict or violence, with nearly 16.5 million at the end of 2018. It is where most new displacement associated with conflict and violence occurred in 2018. Disasters also led to more than 2.5 million new displacements in 2018, a historical record. This report presents estimates of the economic impacts of internal displacement on displaced people and host communities in Eswatini, Ethiopia, Kenya and Somalia. These estimates are based on the first standard survey developed to measure the financial consequences of internal displacement on livelihoods, housing, health, education and security.
PREVALENCE AND ASSOCIATED FACTORS OF NECK AND SHOULDER PAIN AMONG MEDICAL STUDENTS IN A MILITARY MEDICAL SCHOOL IN THAILAND
Authors: Udombhakdibongse Sirada , Phongamwong Chanwit
Published: October 2024

Background: Medical students often face intense coursework and prolonged study hours, contributing to stress and potential neck and shoulder pain. The integration of technology in learning further increases this risk. Neck and shoulder pain (NSP) can decrease learning efficiency and well-being. Previous studies have reported varying prevalence rates globally, but specific data for Thai medical students are lacking.
Objectives: This study aimed to determine the prevalence and associated factors of NSP among medical students in Thailand.
Methods: A cross-sectional study was conducted among medical students at Phramongkutklao College of Medicine, Thailand, from December 2022 to November 2023. Data was collected using an online self-reported questionnaire adapted from the Nordic Musculoskeletal Questionnaire. The questionnaire included demographic data, neck and shoulder pain symptoms, pain intensity (Numeric Rating Scales - NRS), pain-related factors, and stress levels (Srithanya Stress Scale - ST-5).
Results: Of 500 medical students, 360 completed the questionnaire with a 72% response rate. The prevalence of significant NSP (NRS ≥ 4) was 38.33% (95% CI: 33.42%-43.43%). Multivariable analysis revealed significant associations between significant NSP and factors such as having experienced these symptoms in the past year (AOR: 7.73, 95% CI: 2.60-22.98), being female (AOR: 1.72, 95% CI: 1.06-2.77), adopting rounded shoulder and forward head postures (AOR: 2, 95% CI: 1.0 -3.80), and high-stress levels (ST-5 score ≥ 8) (AOR: 2.14, 95% CI: 1.27-3.59).
Conclusion: NSP is common among medical students, especially females. Key risk factors identified include a history of neck and shoulder pain, poor posture, and elevated stress levels. Medical schools are recommended to implement ergonomic interventions and stress management programs to reduce those risks.
Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 9
Authors: Grey Erica
Published: October 2024

Reviewer Acknowledgements for Global Journal of Health Science, Vol. 16, No. 9, 2024.
The Educational Attainment of Black Americans and Gender, 2012 and 2022: Resilience, Factors, Implications and Recommendations
Authors: Kaba Amadu Jacky
Published: October 2024

Utilizing the concept of resilience, this paper examines the attainment of bachelor’s degrees or higher by Black Americans in 2012 and 2022. In 2012, 3.668 million Black Americans aged 18 and over had at least a bachelor’s degree, with women accounting for 58.5% and men accounting for 41.5 percent. In 2022, that figure increased to 5.547 million (57.3% for women and 42.7% for men). Among the factors presented for this achievement are: paying for their own education, grants and loans, and athletic scholarships. Among the factors presented for more Black women with bachelor’s degrees or higher are: 2.811 million more of them aged 18 and over than their male counterparts, more Black males in the United States military where they enlist as teenagers, and more Black males drop out of school. Some of the implications presented because of the 5.547 million Black Americans aged 18 and over with at least a bachelor’s degree are: an increase in the net worth of the Black population from $2.58 trillion on December 31, 2000 to $5.05 trillion on December 31, 2023; an increase in the number of Black millionaires and billionaires, with 1.79 million Black millionaires in 2022; and an increase in the overall number of Blacks in the United States Congress, the election of Barack Obama as president, and Kamala Harris as vice president of the United States. A major recommendation presented in the paper is that the Black American population must establish a $500 billion Black World Development Initiative – a Belt and Road initiative for the Black World.
Relationship Between Aflatoxins Occurrence in Brazil Nuts and the Good Management Practices
Authors: Vinhote Maria L. , Pereira Henrique dos S. , Rubem Eriton G. , Kluczkovski Ariane M. , Barroncas Janaina , Barros Heloisa , Vinhote Eirie G. , Guimaraes David F. S.
Published: October 2024

Combining sustainable development with the conservation of the Amazon Forest is a challenge, and one of the strategies could be the strengthening of production chains, such as Brazil nuts. In this context, good practices can be applied to promote the sanitary quality of the seed, in which the presence of a carcinogenic contaminant, aflatoxin, is a continuous issue as it can cause economic embargoes on the product. So, the study aimed to analyse the relationship between several variables for 3 harvests that affected the production of aflatoxin. The results were statistically significant for all extrinsic variables and indicated that treatments with and without good management practices, and interaction between factors influenced the greater occurrence of aflatoxin. Moisture content, as an intrinsic variable to the food, indicated a significant association with Brazil nut contamination
RISK FACTORS AND OUTCOMES IN PATIENTS WITH SEVERE NECROTIZING FASCIITIS ADMITTED TO SURGICAL INTENSIVE CARE UNIT: A RETROSPECTIVE COHORT STUDY FROM PAKISTAN
Authors: Khan Muhammad Faisal , Mistry Akbar Azizullah , Usmani Ayesha Shabbir , Shamim Faisal
Published: October 2024

Background: Necrotizing fasciitis (NF) is a debilitating condition that has high mortality and morbidity even in specialized centres. This study aims to determine risk factors in our local population and identify variables that contribute to mortality in the necrotizing fasciitis patients treated in the surgical intensive care unit of a tertiary care hospital Methods: This retrospective cross-sectional study included 39 patients admitted to the surgical ICU from January 1, 2015 to June 30, 2019. They were analyzed for comorbidities, symptoms at presentation, predisposing factors, location of the infection, microbiological analysis and mortality. Results: There were 27 (69.2%) males and 12 (30.8%) females while the age was distributed as 47.44±15 years. Pain was the most frequently reported symptom (89.7%), followed by swelling (79.5%) and tenderness (77%). Significant predisposing factors included trauma in 14 (35.9%) and  Intramuscular injections (IM) in 10 (25.6%) patients. On univariate and multiple logistic regression, patients with chronic kidney disease (AOR:1.27, 95% CI: 0-691.22) and ischemic heart (AOR: 1.55, 95% CI: 0.02-153.26) disease had higher odds of mortality than those with no comorbidity. The overall mortality was 12/39 (30.8%). Conclusion: Intramuscular injections without aseptic measures in our local population are a significant predisposing risk factor for severe necrotizing fasciitis. High laboratory risk Indicator for necrotizing fasciitis and acute physiology and chronic health evaluation II scores at admission were associated with increased mortality.
Enhancing Cloud Scalability with AI-Driven Resource Management
Authors: Choudhury Amit , Madheswaran Yuvaraj
Published: October 2024

This research paper aims at analyzing the factors that can help improve scalability of cloud by incorporating different machine learning algorithms in management of resources. Since controlling and managing cloud resources is becoming more challenging with compounded base requirements, the majority of conventional resource management solutions may not prove adequate. This research assesses the performance of five state-of-art machine learning techniques namely Reinforcement Learning, Long Short-Term Memory, Gradient Boosting Machines, Autoencoders and Neural Architecture Search in minimizing operational cost and enhancing resource utilization and overall system efficiency for improving business outcomes. The findings reveal that the use of RL-based approaches to optimize operational cost reduction and minimizing provisioning delay by 20% and 30% respectively and LSTM network to increase the accuracy of demand forecasting by 12% and overall efficiency of resource utilization by 22%. The use of GBM models in forecasts results in 30% error reduction in costs that drop by 20% while service improves by 25%. Using autoencoders, the models achieve 97% accuracy in detecting anomalies and infinityai1411@gmail.com in turn increasing the efficiency of allocation by 15 percent. The NAS-optimized models yield increased accuracy by a percentage point of 18 % as well as a 25% faster computational speed. Altogether, these theoretical developments demonstrate the ability of AI-based methodologies to enhance the cloud scalability promising and provide practical recommendations for improving resource management approaches in the cloud environment.
THE FREQUENCY OF COMPLICATIONS AFTER THE INSTALLATION OF PARTIAL REMOVABLE DENTURES
Authors:   Assistant Department of orthopedic dentistry, Samarkand State Medical University, Samarkand, Uzbekistan, Khusanovich Chakkanov Fakhritdin
Published: October 2024

Tooth loss can negatively affect the aesthetics of the face, affect the functions of speech and chewing. Removable prosthetics is a common type of treatment for partial adentia. Based on the physiological, anatomical and psychological needs of the patient, diagnosis and subsequent manufacture of a dental prosthesis can significantly improve the quality of life of patients and positively affect the life expectancy of the elderly population. Nevertheless, some patients are dissatisfied after the treatment and cannot use their removable dentures. The most common problems include increased salivation in the first 72 hours, pain and discomfort, as well as lack of stability and retention.
Redes de intercambios migratorios de la población de nacionalidad española en el exterior
Authors: De Miguel-Luken Verónica , Recaño Joaquín
Published: October 2024

En el siguiente trabajo se parte de la perspectiva teórica de los sistemas migratorios para explicar la evolución y las dinámicas de los flujos de españoles y españolas en el exterior, flujos entre países que no incluyen España ni como origen ni como destino. Para ello, se emplean datos del Padrón de Españoles Residentes en el Extranjero, desde 2011 hasta 2022, y se aplican los modelos dinámicos DyNAM, del análisis de redes, distinguiendo por lugar de nacimiento (fuera o dentro de España). Los resultados descriptivos muestran una tendencia hacia redes de flujos migratorios cada vez más complejas y diversas en los nodos emisores y receptores. Los modelos señalan una tendencia a la reciprocidad y a la inercia en los flujos. Además, los destinos escogidos en el pasado siguen siendo lugares de referencia para la emigración más actual de españoles, sobre todo aquellos que son fronterizos al país de origen, con elevados valores del producto nacional bruto, bajas tasas de desempleo, alta presencia de españoles, mayores tamaños poblacionales e inglés o español como lenguas oficiales. Los coeficientes estimados, en general, manifiestan una mayor fuerza explicativa en el modelo de emigrantes de nacionalidad española no nacidos en España.
Implementasi Kebijakan Program Pembinaan Anak Jalanan di Kota Serang
Authors: Refa Refa Arta Sari
Published: October 2024

Dari latar belakang masalah, peneliti memfokuskan penelitian ini pada bagaimana Implementasi Kebijakan Program Pembinaa Anak Jalanan di Kota Serang. Belum optimalnya dalam pelaksanaan program pembinaan anak jalanan karna masih banyak nya aktivitas anak jalanan khususnya di Kota Serang. Tujuan penelitian ini adalah untuk mengetahui bagaimana Implementasi Kebijakan Program Pembinaan Anak Jalanan di Kota Serang. Penelitian ini menggunakan teori Van Horn and Van Metter bahwa keberhasilan implementasi dipengaruhi oleh impelementasi suatu kebijakan dipengaruhi oleh karakteristik agen pelaksana yang mencakup struktur birokrasi, norma-norma, dan pola-pola hubungan yang terjadi dalam birokrasi pemenuhan sumber daya baik sumber daya manusia maupun sumber daya non-manusia sikap atau kecenderungan implementor mencakup respon, pemhaman, dan preferensi nilai yang dimiliki oleh implementor, komunikasi anatarorganisasi terkait dalam artian koordinasi; serta kondisi lingkungan ekonomi, soisal dan politik.  Metode yang digunakan dalam penelitian ini ialah metode kualitatif. Teknik pengumpulan data menggunakan wawancara, obervasi atau pengamatan dan studi dokumentasi. Informan penelitian ini adalah Dinas Sosial Kota Serang, SATPOL PP (Satuan Polisi Pamong Praja) Kota Serang, PSA (Pekerja Sosial Anak) Kota Serang, KPJ (Komunitas Penyanyi Jalanan) Kota Serang, Anak Jalanan dan Keluarga Anak Jalanan. Mengguji validitas peneliti menggunakan triangulasi sumber dan Teknik. Dapat dikatakan hasil penelitian dalam Implementasi Kebijakan Program Pembinaan Anak Jalanan di Kota Serang belum berjalan optimal.
 
 
Kata Kunci: Anak jalanan, Implementasi Kebijakan Program Pembinaan Anak Jalanan di Kota Serang.
PENGARUH PEMBELAJARAN KEWIRAUSAHAAN DAN PRAKTIK KERJA LAPANGAN (PKL) TERHADAP MINAT SISWA UNTUK BERWIRAUSAHA DI SMK NEGERI 4 PANDEGLANG
Authors: Kurnia Entin , Sonjaya Trisna
Published: October 2024

Pendidikan pada tingkat Sekolah Menengah Kejuruan (SMK) memang dibuat dan di desain oleh Pemerintah dalam hal ini Kementrerian Pendidikan Republik Indonesia dibuat berbeda dengan Sekolah Menengah Atas (SMA). Pada tingkatan SMK para siswa dibekali dengan program Praktik Kerja Lapangan (PKL) dengan tujuan agar siswa mampu bersaing di dunia industri ataupun dunia usaha. Selain itu di SMK diajarkan pula materi Kewirausahaan yang bertujuan agar siswa memiliki minat berwirausaha di kemudian hari.
Penelitian ini bertujuan untuk mengetahui seberapa pengaruh materi pembelajaran kewirausahaan dan kegiatan praktik kerja lapangan (PKL) terhadap minat untuk berwirausaha pada siswa di lingkungan SMK Negeri 4 Pandeglang, terutama pada siswa program keahlian Manajemen Perkantoran & Layanan Bisnis/MPLB kelas XI dan XII yang berjumlah 135 orang.
Dengan menggunakan metode penelitian deskriftif dengan pendekatan kuantitatif, didapat hasil penelitian sebagai berikut: 1). Pembelajaran kewirausahaan dengan Minat berwirausaha sebesar 0,692 menunjukkan mempunyai hubungan yang kuat antara kedua variabel tersebut. Sementara berdasarkan berdasarkan nilai KD, pembelajaran kewirausahaan (X1) mempengaruhi Minat berwirausaha (Y) sebesar 47.88%. Sedangkan sisanya sebesar 52.11% dipengaruhi oleh faktor lain; 2). Praktik Kerja Lapangan (PKL) terhadap minat berwirausaha di dapat nilai korelasi sebesar 0,577, yang  menunjukkan terdapat hubungan antara Praktik kerja lapangan dengan Minat berwirausaha, dengan hubungan yang terjadi adalah kuat dan positif. Sementara berdasarkan nilai KD, praktik kerja lapangan (X2) mempengaruhi Minat berwirausaha (Y) sebesar 33.29%. Sedangkan sisanya sebesar 66.71% dipengaruhi oleh faktor lain; 3). Berdasarkan hasil perhitungan program SPSS versi 27.0.1 diperoleh nilai R2 sebesar 0,541 dengan nilai Fhitung sebesar 77.734 sedangkan Ftabel dengan tingkat signifikansi 5% diperoleh derajat pembilang k = 2 dan df =n-k-1 = 135-2-1 = 132, maka diperoleh nilai Ftabel sebesar 0.32629. Hasil Fhitung (77.734) > Ftabel (3.06), dengan demikian Ha diterima dan Ho ditolak. Selain dari tabel di atas, dapat dilihat nilai probability value sebesar 0,000 yang berarti angka ini lebih kecil dari tingkat signifikansi (0,000 < 0,05). Maka dengan demikian bahwa pembelajaran kewirausahaan dan praktik kerja lapangan secara  bersama-sama signifikan terhadap minat berwirausaha pada SMK Negeri 4 Pandeglang.
Pengaruh Harga, Promosi, dan Kualitas Produk terhadap Keputusan Pembelian pada E-Commerce Lazada Indonesia
Authors: Maftuhah Tatu , Raharjo Joko S Dwi
Published: October 2024

Perilaku konsumen merupakan hal-hal yang mendasari konsumen untuk membuat keputusan pembelian. Kegiatan memikirkan, mempertimbangkan, dan mempertanyakan barang sebelum membeli merupakan atau termasuk kedalam perilaku kosumen. Salah satu perilaku konsumen yang banyak diteliti ialah tentang faktor-faktor yang mendorong terjadinya keputusan pembelian. Beberapa penelitian sebelumnya terkait pengambilan keputusan pembelian mendapatkan hasil positif yang simultan antara harga, promosi, dan kualitas produk terhadap keputusan konsumen dalam menentukan pembelian. Artikel ini mereview beberapa jurnal terkait korelasi Keputusan Pembelian dengan Persepsi Harga, Promosi, dan Kualitas Produk, literature review manajemen pemasaran. Berdasarkan hasil penelitian ini menghasilkan secara simultan bahwa Harga, Promosi, dan Kualitas Produk terhadap Keputusan Pembelian. Oleh sebab itu, pentingnya perusahaan memahami perilaku konsumen. Agar bisa menentukan manajemen pemasaran untuk mendapatkan hati para konsumen.
Implementasi Peraturan Bupati Tapin Nomor 22 Tahun 2018 Tentang Kebijakan Dan Strategi Daerah Dalam Pengelolaan Sampah Rumah Tangga Dan Sampah Sejenis Sampah Rumah Tangga Di Kabupaten Tapin (Studi Kasus Di Kelurahan Bitahan)
Authors: Arlan Agus Sya’bani
Published: October 2024

The problem phenomenon that occurs is that the Bilahan sub-district does not have the facilities and infrastructure to manage household waste and household-like waste, there is a lack of socialization from the sub-district and district governments to the community, and there is a lack of public awareness regarding the cleanliness of the community environment. In Article 8 paragraph 2, the Regent is responsible for procuring land, facilities and infrastructure for managing household waste and similar types of household waste in accordance with the provisions of statutory regulations. This research aims to find out how implementation is, the factors that influence implementation and what efforts are made to overcome inhibiting factors in implementation. This research uses a qualitative descriptive research method. Data collection techniques are observation, interviews and documentation. The data source was taken through a sampling technique, namely purposive sampling, totaling 12 people. The data analysis techniques used are data reduction, data presentation, and drawing conclusions. And using data credibility tests is carried out, among other things, by extending observations, increasing persistence in research, triangulation, negative case analysis, using reference materials and holding member checks. The results of the research show that the implementation of Tapin Regent Regulation Number 22 of 2018 concerning Regional Policies and Strategies in the Management of Household Waste and Waste Similar to Household Waste in Lokpaikat District, Tapin Regency (Case Study of Bilahan Subdistrict) is not yet good, there are 6 sub-variables and 14 indicators, 10 indicators are not yet good and 4 indicators are quite good. The indicators that are quite good are goals, coordination, economic conditions and social conditions. Meanwhile, indicators that are not good are measures of success, human resources, budget resources, implementer time resources, formal organization, informal organization, implementor response, problem cognition, cooperation, and political conditions. The driving factors are goals and coordination. Inhibiting factors are the absence of waste management facilities, lack of socialization and lack of public awareness. The researcher's suggestion to the Head of the Land and Environment Service is to carry out regular outreach through the sub-districts and sub-districts/villages, the head of the Bitahan Village, Lokpaikat District, Tapin Regency so that they can allocate the budget for waste management facilities and the community is expected to have awareness and cooperation regarding waste management.
Analisis Perhitungan Harga Pokok Produksi Dark Chocolate Italian Pada UMKM Chocotalie’s di Sidoarjo
Authors: Wicaksono Achmad , Hariyanto Widia Eka , Praciana Yuvi Arinta
Published: October 2024

Penelitian ini bertujuan untuk menganalisis perhitungan harga pokok produksi dan menentukan harga jual es coklat varian Dark Chocolate Italian pada UMKM Chocotalie’s Sidoarjo. Penelitian ini dilakukan dengan memakai metode kualitatif. Untuk mengumpulkan informasi peneliti menggunakan dokumentasi, observasi dan wawancara sebagai metode pengambilan data. Narasumber yang diwawancarai ialah pemilik usaha dan karyawan yang bekerja pada usaha yang diteliti. Hasil riset menunjukkan bahwa pemilik usaha selama ini menghitung biaya produksi secara manual dan tidak memperhitungkan penyusutan dalam menghitung biaya produksi. Pemilik melakukan penambahan biaya tenaga kerja langsung, biaya bahan baku, dan biaya-biaya lain yang berhubungan pada pembuatan es coklat. Perhitungan tersebut menjadi acuan pemilik dalam menentukan harga jual produk.
In silico analysis of Cucumis pubescens Willd. fruit extract phytocompounds and its activity against anti-diabetic targets
Authors: SUNDARI Thirumalaisamy , KAVITHA Ramasamy , AARTHI Manoharan
Published: October 2024

Diabetes mellitus is a chronic disease which causes complications in a large population worldwide. Traditionally, medicinal plants possess numerous bioactive compounds to treat chronic diseases. In this study, the bioactive compounds in Cucumis pubescens Willd. were screened computationally to treat diabetes. Ten ligand molecules from C. pubescens Willd. plant fruit were selected from GC-MS analysis. The target proteins like Lipase-related Protein 2 (2OXE), α – amylase (2QV4) and β – Glucosidase (2ZOX) were retrieved from the PDB databank. The proteins have been selected based on their role in anti-diabetic activity. All ten ligands were docked with all three proteins to identify the suitable ligand possessing high binding energy. The ligand (4H-Pyran-4-one, 2,3-Dihydro 3,5-Dihydroxy-6-Methyl) had a maximum binding energy of -4.3 kcal/mol and -4.4 kcal/mol with the targets 2OXE and 2ZOX respectively. The ligand molecule 1,4-dimethyl-2,3-diazabicyclo[2.2.1]hept-2-ene produced the highest binding energy of -4.7 kcal/mol with 2QV4. The predicted active phytochemicals can be used as natural drug molecules to treat diabetes mellitus in future.
Response of the flag leaf for Moroccan bread wheat varieties in the field, highlighting its biochemical composition in its resistance mechanism against yellow rust
Authors: DEHBI Ilham , EL JARROUDI Moussa , EL HAMIDI Chaimae , EL HAMSS Hajar , EZZOUGGARI Rachid , BOURAK Kaoutar , BELABESS Zineb , LAASLI Salah-Eddine , MAZOUZ Hamid , LAHLALI Rachid
Published: October 2024

This investigation aimed to assess the responsiveness of fourteen Moroccan bread wheat varieties to yellow rust induced by Puccinia striiformis tritici (Pst) in comparison with a susceptible variety ‘Amal’ through natural inoculation in the field, employing a Randomized Complete Block Design (RCBD). A comprehensive evaluation, encompassing 20 variables related to epidemiological, phenological, morphological, and physicochemical parameters, was conducted. In elucidating the role of the leaf in wheat resistance to stripe rust, the mineral and organic composition was scrutinized using sophisticated molecular detection techniques—Fourier Transform Infrared Spectroscopy (FTIR) and Atomic Absorption Spectroscopy (AAS). These two methodologies, recognized for their efficacy, facilitated the measurement of varying concentrations of lipids and carboxylic esters in the epicuticular wax on the adaxial flag leaf. Additionally, the quantity of essential minerals was determined. The outcomes revealed distinct responses among bread wheat varieties to stripe rust, with ‘Faiza’, ‘Bandera’, and ‘Resulton’ demonstrating heightened resistance, manifesting severity values below 15%. Conversely, ‘Amal’ exhibited the lowest level of resistance. Furthermore, lipid concentration reached its pinnacle in ‘Faiza’, ‘Bandera’ and ‘Resulton’ while ‘Amal’ displayed the lowest lipid levels. Severity exhibited a very weak correlation with Zn, weak correlations with Cu, and moderate correlations with Ca and K (p<0.05). This study provides valuable insights guiding future research endeavours aimed at enhancing the genetic traits of these elite cultivars for integration into Morocco’s cereals program.