bluuebunny/crossref_metadata_2025 huggingface dataset:
Afectaciones Ocasionadas por el COVID-19 en el Ámbito Laboral en México
Authors: Gutiérrez García Juan Javier , Méndez González José Emilio , Caro Lazos Luis Ever
Published: January 2024

Derivado de los estragos generados del virus SARS-CoV-2 (COVID-19) en las empresas a nivel mundial, el sector laboral en México no quedó exento de verse afectado, sin embargo, las personas quienes día a día están desempeñándose laboralmente son las que tuvieron que, a pesar de los contagios, salir adelante de esta situación histórica en el mundo. El objetivo de esta investigación fue analizar las afectaciones ocasionadas por el COVID-19 en el ámbito laboral en México. La metodología utilizada para el desarrollo del presente fue documental con apoyo bibliográfico y explicativo. Se realizó un análisis profundo de distintos autores que aportaron sobre el tema, así como la generación y aplicación del conocimiento. Los principales resultados encontrados indican que México se encuentra posicionado como uno de los países con un nivel de productividad muy bajo en proporción al producto interno bruto (PIB), por otro lado, se tiene que las horas perdidas en el año 2020, donde México registró el mayor número de horas, y en el 2021 disminuyó de manera importante, impactando de manera positiva en beneficio de los distintos sectores laborales.
Implementación de Inventarios ABC en Almacén de Grupo Spring
Authors: Serrano González Sergio , Maturano Maturano Benito Armando , Castellanos Lopez Liliana Yadira
Published: January 2024

Esta investigación se orienta en la implementación de la técnica de inventarios ABC para el control y clasificación de materiales en el almacén de producto terminado de Grupo Spring S.A. de C.V. El estudio plantea que la implementación eficiente de un sistema de administración de inventarios ABC en el almacén de producto terminado de Grupo Spring llevará a una optimización sustancial de la administración de recursos al identificar y priorizar los productos con impacto financiero significativo y alto volumen de movimiento. El sistema propuesto categoriza los productos A, B y C en función de su costo y volumen, lo que permite una gestión estratégica. Los resultados indican una mejor asignación de recursos, una reducción de los costos de manipulación de materiales y una mayor eficiencia operativa general. Además, el sistema ABC influye en la organización, limpieza y seguridad del lugar de trabajo, contribuyendo a un entorno laboral seguro y eficiente. Este estudio subraya el impacto transformador de la implantación de un sistema de inventario ABC, no sólo en la gestión de inventarios, sino también en aspectos organizativos más amplios, ejemplificados a través del exitoso caso de Grupo Spring S.A. de C.V.
Principales Lesiones Deportivas Atendidas en Hospital Regional Pedro Juan Caballero-Paraguay, 2022
Authors: Guedes Haase Alexandre , Díaz Cuevas Cristian Basilio
Published: January 2024

La creciente conciencia sobre la importancia de la actividad física para la salud y la estética ha llevado a un aumento significativo en la práctica deportiva. Sin embargo, este incremento también ha resultado en un aumento de las lesiones deportivas, generando preocupación en profesionales de la salud. Con el objetivo de identificar y comprender las principales lesiones deportivas, se llevó a cabo una investigación en el Hospital Distrital Coronel Bogado entre enero de 2019 y septiembre de 2022. El propósito central de esta investigación fue determinar las lesiones deportivas más comunes atendidas en el Hospital Distrital Coronel Bogado. Se buscó analizar factores demográficos, áreas corporales más afectadas, tipos de lesiones predominantes, gravedad y mecanismos de trauma asociados. Se empleó un diseño de estudio observacional descriptivo de corte transversal. La muestra consistió en 46 pacientes de ambos sexos y sin límite de edad, atendidos por lesiones deportivas en el servicio de Ortopedia del Hospital Regional de Pedro Juan Caballero. Se recopilaron datos demográficos y clínicos, centrándose en áreas corporales afectadas, tipos de lesiones, gravedad y mecanismos de trauma. Los resultados destacan que el sexo masculino fue más propenso a sufrir lesiones deportivas, con una concentración significativa en la franja etaria de 15 a 18 años. La rodilla fue la región corporal más afectada (35%), y el esguince fue la lesión más frecuente (39%). En cuanto a la gravedad, las lesiones de tipo moderado predominaron (63%), sin casos de re-lesiones. Las lesiones de moderada a grave representaron la mayoría, y el mecanismo de trauma más común fue el trauma directo. Esta investigación resalta la importancia de comprender las características de las lesiones deportivas atendidas en el Hospital Distrital Coronel Bogado. Los hallazgos proporcionan información valiosa sobre la prevalencia, gravedad y características demográficas asociadas a estas lesiones. Este conocimiento puede orientar estrategias de prevención y tratamiento, así como mejorar la atención y el manejo de pacientes con lesiones deportivas en este contexto hospitalario.
Frecuencia de Aborto en el Servicio de Ginecología y Obstetricia del Hospital Regional de Caazapá, 2020 a 2021
Authors: García Carneiro Talita , Díaz Cuevas Cristian Basilio
Published: January 2024

El objetivo del estudio es determinar la frecuencia de aborto en el servicio de Ginecología y Obstetricia del Hospital Regional de Caazapá, 2020 a 2021. Se basó en un enfoque cuantitativo, diseño no experimental, corte transversal, observacional y descriptivo. La población estuvo constituida por 2.798 mujeres con una muestra de 148 pacientes por conveniencia en el 2023. Las variables medidas fueron tipos de aborto, su prevalencia, grupo etario y el periodo de gestación con más predisposición. El instrumento utilizado fue fichas clínicas y los datos recorridos en los cuadernos atas de la maternidad. Los resultados obtenidos fueron: 62,16% de las mujeres presentaron aborto incompleto, 24,32% missed abortium, 9,46% aborto inevitable, 42.57% entre 31 hasta 40 años abortaron. Asimismo, en relación a las semanas de la gestación el 20,95% con mayor índice del aborto en la 8º semana. Con este estudio se puede concluir con los resultados obtenidos que mismo teniendo una baja porcentaje de aborto aun es un numero bastante significativo llevando en consideración la área demográfica de la colección de los datos, además de eso fue posible observar que el riesgo está íntimamente ligado con la edad de las pacientes.
Resignificando las Prácticas Pedagógicas de la Orientación Escolar Huilense
Authors: Lugo Mosquera Shinllerly Tatiana , Rivera Santacruz Alex Adrián
Published: January 2024

El objetivo es analizar en qué manera se resignifican las prácticas pedagógicas de los docentes en correspondencia con los conceptos, sentidos y significados de la orientación escolar huilense, con  un enfoque de investigación desde la comprensión holística de la ciencia, usando el método Holopráxico. Las técnicas son las entrevistas inestructuradas y observación  no participante, técnicas de análisis de datos cualitativos categorización y triangulación. Los resultados profundizan seis categorías, organización de la orientación escolar desde la funcionalidad de proyectos, la interrelación con la comunidad en colectividad y la educación con sentido humano de resarcimiento, la mediación para reconciliar, la carga emocional del cuidador, y finalmente, el servicio de orientación escolar centrado en la credibilidad,  se concluye que las prácticas pedagógicas de los orientadores surgen desde planear, partiendo de identificar riesgos y diseñar estrategias, en la relación con la comunidad a partir de participaciones colectivas y la humanización de la educación comprendiendo tres elementos: acompañamiento, sensibilización e intervención, se profundiza las cargas emocionales que impactan el bienestar, dando importancia de cuidar al cuidador, finalmente, la percepción del orientador e imperante necesidad de credibilidad del servicio de orientación, existiendo correspondencia entre las prácticas pedagógicas de los orientadores y sus conceptos, sentidos y significados.
Discourse Analysis Applied in Audiovisual Tran slation
Authors: Amador García Rubí , Morales Vázquez Eleazar , Ruíz Cornelio Mario Rubén
Published: January 2024

The importance of Discourse Analysis can be seen from different perspectives. Each one contemplates distinct benefits related to applied linguistics, both for the teaching-learning of languages and for translation and interpreting, but also as a human. For this reason, in the context of the Bachelor's Degree in Languages at the Universidad Juárez Autónoma de Tabasco, in which training for teaching and translation and interpretation is provided, we intend to emphasize the importance of Discourse Analysis for a Language Graduate, especially when practicing Audiovisual Translation. This work aims to identify different aspects of a real and spontaneous conversation to analyze several of the characteristics of oral discourse that are implicit in a dialogue and that can cause complications when transmitting the oral message in written form in the subtitling of audiovisual products.
Telepresencia como Herramienta Didáctica para el Desarrollo de Procesos Metacognitivos en Educación Superior. Telepresencia es Posible Otra Escuela
Authors: Rodríguez Hernández Lay Aracely , Cortés Tobar Dario
Published: January 2024

El presente artículo tiene como propósito identificar el desarrollo de procesos metacognitivos en diversos escenarios educativos a partir del uso del Holograma – Telepresencia. Con el propósito de orientar a los lectores partiremos de la definición de Holograma y metacognición, los cuales han sido utilizados en diferentes escenarios educativos y presentaremos la propuesta de integración como estrategia de enseñanza – aprendizaje con el propósito de hacer uso del holograma – Telepresencia como estrategia para desarrollar procesos metacognitivos para vincular el aprendizaje desde una visión innovadora donde el estudiante sin importar el contexto en el que se encuentra pueda acceder a su proceso educativo garantizando  cobertura, calidad y evitando la deserción.  Como docentes interesados en la adquisición del conocimiento de calidad y del desarrollo cognitivo de los estudiantes consideramos que nuestra propuesta traspasa los límites del aula generando en el estudiante el desarrollo de aprendizaje autónomo, el cual revierte en la responsabilidad, compromiso y en general el enriquecimiento intelectual y personal de los estudiantes en cualquier escenario, convirtiéndolo en gestor de su propio aprendizaje.  Por tanto, a lo largo del documento nos permitimos presentar el tema como modelo para docentes y estudiantes en general. El artículo está dividido en tres partes que se presentan de la siguiente manera: inicialmente una breve introducción a la definición de metacognición con el propósito de aclarar y justificar nuestra propuesta, en segundo lugar el rol que juega el maestro como dinamizador de la propuesta Holograma - telepresencia  en un escenario innovador y por último el rol que desempeñará el estudiante como gestor de su proceso cognitivo en relación con el desarrollo de actividades cotidianas hacia el aprendizaje significativo.
Methods for solving the problems of strength analysis of materials of machine and mechanism parts under various external influences
Authors: Патрина Т.А. , Степанов С.К.
Published: January 2024

Авторами предложена методика выявления оптимальной модификации механизма для создания высококачественных полупроводниковых приборов на основе выполнения проектировочных и проверочных расчетов передач, используя численные методы теории машин и механизмов и методы компьютерного моделирования в пакете Компас 3D и модуле APM FEM. Требуется разработать порядок действий для выбора оптимальных геометрических параметров деталей механизмов с допустимыми значениями контактных напряжений и напряжений при изгибе зубьев элементов кинематической пары, с соблюдением передаточного числа с заданным значением вращающего момента на выходе и частоты вращения выходного вала.

The authors proposed a method for identifying the optimal modification of the mechanism for creating high-quality semiconductor devices based on design and verification calculations of transmissions, using numerical methods of the theory of machines and mechanisms and methods of computer modeling in the Compass 3D package and the APM FEM module. It is necessary to develop a procedure for selecting the optimal geometric parameters of the parts of the mechanisms with permissible values of contact stresses and bending stresses of the teeth of the kinematic pair elements, in compliance with the gear ratio with the specified value of the output torque and the speed of rotation of the output shaft.
About torsion of the sector of a thick-wall pipe
Authors: Миронов Б.Г. , Миронов Ю.Б.
Published: January 2024

Данная работа посвящена исследованию напряженного и деформированного состояний сектора толстостенной трубы из идеального жесткопластического изотропного материала, в предположении, что он закручивается вокруг оси параллельной оси z. Кручение идеально пластических стержней из изотропного, а также анизотропного материалов рассмотрено в работах [1–6]. В [3] рассмотрено также кручение сектора кругового кольца из изотропного материала. В работах [8], [9] исследовано кручение сектора кругового кольца, находящегося под действием линейного давления.

In this work, we study the stress-strain and state of the isotropic sector of a thickwalled pipe made of an ideal rigid-plastic material, under the assumption that it twists around an axis parallel to the z-axis. Torsion of ideally plastic rods made of isotropic and anisotropic material is considered in [1–7]. In [3], the torsion of a sector of a circular ring made of an isotropic material was also considered. In [8], [9], the torsion of a sector of a circular ring under the influence of linear pressure was studied.
Do-re-mi Self Motivation in Breast Cancer Patients: A Qualitative Study
Authors: Padoli Padoli , Hasanah Nur , Adinata Ach Arfan
Published: January 2024

BACKGROUND: In Indonesia, breast cancer is the most prevalent type of cancer and a leading cause of cancer-related deaths. It is important to motivate the patients to fight the disease and to adapt to the illness and the treatments. This active sense of motivation helps them to feel secure and keeps the thoughts of death at a safe distance. AIM: The aim of this study was to explore the emotions that motivate breast cancer patients. The study was qualitative in nature. METHODS: This study involved 16 participants who were selected through purposive sampling at the Shelter House East Java Branch in Surabaya, Indonesia. The researchers used in-depth interviews to collect the data and the Colaizzi method was employed for the data analysis. RESULTS: Seven themes emerged from the data: Drive/Self-Motivation, respect yourself, precious self, facts of success, solutions taken to overcome problems, next strategy, and supportive situation. CONCLUSION: Positive attitudes and strategies that help breast cancer patients cope with their illness, include self-motivation, self-respect and valuing oneself, focusing on personal achievements, and seeking support, abbreviated as Do-re-mi. These findings could be used as self-talk content to develop self-affirmation strategies for breast cancer patients to help them accept their situation and reduce stress. The purpose of his study aims to explore self-motivation response of breast cancer clients. The type of research used in this study is a qualitative description.
Factors Influencing Recurrence Rate and Survival of Patients with Colorectal Metastases after Liver Resection
Authors: Petrovski Stefan , Serafimov Aleksandar , Adzi-Andov Ljubica , Joveva Elena , Karakolevska Marija , Milev Ilija
Published: January 2024

BACKGROUND: Early recurrence implies low percentage of long survival, whereas the opportunity for re-resection in selected patients represents optimal treatment with long survival. The total 5-year survival rate after hepatectomy is up to 50%, with a number of factors that are independent clinical predictors of long survival.
AIM: This study aims to analyze the patient’s data from the clinic of general and hepatobiliary surgery in Aleksandrovska Hospital in Sofia, Republic of Bulgaria, in the treatment of patients with colorectal metastases of the liver and to determine the survival factors in those patients.
MATERIALS AND METHODS: A retrospective study was conducted between of January 1st, 2006 and December 31st, 2015. A total of 239 patients were included: 179 patients were treated with radical operation, 5 with palliative intervention, while 55 operative explorations were performed.
RESULTS: The type and the extent of resection do not affect the occurrence of local recurrence. The size, number, and metastase localization do not affect the occurrence of intrahepatic recurrence but showed characteristics of significant predictors in cumulative and mean survival.
CONCLUSION: Metastases type, number and localization and metastases in lymphatic nodes and other organs were determined as predictors of long survival of patients with colorectal metastases after resection.
Understanding Coping Strategies Adults Adopted to Survive During COVID-19 and Post-COVID-19 Pandemic
Authors: Olore Amos A. , Olawande Tomike I. , George Tayo O. , Jegede Ajibade , Egharevba Matthew , Emmanuel Amoo
Published: January 2024

BACKGROUND: Understanding the coping strategies adopted during the COVID-19 and post Covid-19 pandemic is one way to understand the critical impact that COVID-19 poses on adults.
AIM: Therefore, the aim of this study is to understand the coping strategies adults adopted during the COVID-19 pandemic and post Covid era in the Alimosho Local Government area of Lagos State.
METHODS: The study used a quantitative method. A total of 250 copies of the questionnaire were distributed, out of which 218 copies were retrieved.
RESULTS: The result shows (53.3%) respondents tried to avoid thinking and problem solving during COVID-19. About 51% of respondents were able to connect with family and friends through social media during COVID-19. In the same manner, 47.3% of respondents were able to control their exposure to news during and after COVID-19. About 66.5% of respondents tried to adapt to the new normal during and after the COVID-19 pandemic; 59.7% of respondents tried to avoid over-crowded places during and after the pandemic; 62.4% of respondents also tried doing new things during COVID-19; and 62.4% of respondents followed still safety guidelines during and even after COVID-19. However, doing what I love and living a positive lifestyle during COVID-19 were all considered as predominant coping strategies used. The result shows the relationship between reality of COVID-19 and nothing to look forward to was examined using the Chi-square and cross-tabulation. There is a significant positive relationship between the variables.
CONCLUSION: The study concluded that coping strategies are very important strategies to adopt in in some similar situation. There is a need to understand the relationship between social and psychological skills that people use to manage and endure trauma. The coping mechanisms were used by adults that kept them alive and safe from COVID-19 trauma. Emotionally oriented and seeking to solve a problem or modify the status quo, adults seek to alleviate emotional pain caused by stressful events by sharing feelings through activities. The study recommends that there is a need to keep the mind at rest and stress free from any anxiety and trouble. People should do more of their hobbies, learn a new skill or take an online professional course.
Conservative Management of Large Post-Intubation Tracheal Laceration
Authors: Vlahou Athanasia , Ampatzidou Fotini , Bismpa Kalliopi , Karaiskos Theodoros
Published: January 2024

Tracheal rupture is a very rare but life-threatening complication of endotracheal intubation. It is more common in women and patients older than 50 years old. Overinflation of endotracheal tube cuff and tracheal wall weakening are the most important pathogenetic mechanisms. Laceration sites are located in the posterior membranous wall in most cases. Subcutaneous and mediastinal emphysema and respiratory distress are the most common manifestations. A 55-year-old female presented with postoperative subcutaneous and mediastinal emphysema without dyspnea because of a tear in the posterior tracheal wall. The diagnosis was based on clinical manifestation, chest computer tomography scans (CT), and endoscopic findings. A conservative approach by broad-spectrum antibiotic therapy was decided because of patients’ vital signs stability and the absence of esophageal injury. The follow-up showed that there was no lesion in the posterior tracheal wall. Our case showed that in clinically stable patients without mediastinitis and with spontaneous breathing, conservative management of tracheal tears is a safe procedure.
Quadricuspid Aortic Valve: Interesting Images
Authors: Singh Ajmer , Mukati Ravina
Published: January 2024

The quadricuspid aortic valve is a rare congenital anomaly, usually associated with aortic regurgitation requiring surgical intervention. It may be associated with other congenital anomalies such as coronary anomalies, patent ductus arteriosus, ventricular septal defect, pulmonary stenosis, and subaortic stenosis. The diagnosis is generally established by either transthoracic or transesophageal echocardiography. Herein, we report a case of a 52-year-old woman who was diagnosed to have quadricuspid aortic valve by intraoperative transesophageal echocardiography.
Comparative Effect of High-Frequency Nasal Cannula and Noninvasive Ventilation on the Work of Breathing and Postoperative Pulmonary Complication after Pediatric Congenital Cardiac Surgery: A Prospective Randomized Controlled Trial
Authors: Goel Alisha , Kumar Bhupesh , Negi Sunder , Mahajan Sachin , Puri Goverdhan D. , Khan Waseem A.
Published: January 2024

Background:

Various forms of commonly used noninvasive respiratory support strategies have considerable effect on diaphragmatic contractile function which can be evaluated using sonographic diaphragm activity parameters.

Objective:

To compare the magnitude of respiratory workload decreased as assessed by thickening fraction of the diaphragm and longitudinal diaphragmatic strain while using high-flow nasal cannula (HFNC) and noninvasive ventilation (NIV) modes [nasal intermittent positive pressure ventilation (NIPPV) and bilevel positive airway pressure (BiPAP)] in pediatric patients after cardiothoracic surgery.

Methodology:

This prospective randomized controlled trial was performed at a tertiary care surgical intensive care unit in postcardiac surgery patients aged between 1 and 48 months, who were randomly allocated into three groups: 1) HFNC (with flows at 2 L/kg/min), 2) NIPPV via RAMS cannula in PSV mode (pressure support 8 cmH2O, PEEP 5 cmH2O), and 3) BiPAP in nCPAP mode (CPAP of 5 cmH2O). Measurements were recorded at baseline after extubation (R0) and subsequently every 12 hourly (R1, R2, R3, R4, R5) at 12, 24, 36, 48, and 60 hours respectively until therapy was discontinued.

Results:

Sixty patients were included, with 20 patients each in the NIPPV group, HFNC group, and BiPAP group. Longitudinal strain at crura of diaphragm was lower in the BiPAP group as compared to HFNC group at R2-R4 [R2 (-4.27± -2.73 vs - 8.40± -6.40, P = 0.031), R3 (-5.32± -2.28 vs -8.44± -5.6, P = 0.015), and R4 (-3.8± -3.42 vs -12.4± -7.12, P = 0.040)]. PFR was higher in HFNC than NIPPV group at baseline and R1-R3[R0 (323 ± 114 vs 264 ± 80, P = 0.008), R1 (311 ± 114 vs 233 ± 66, P = 0.022), R2 (328 ± 116 vs 237 ± 4, P = 0.002), R3 (346 ± 112 vs 238 ± 54, P = 0.001)]. DTF and clinical parameters of increased work of breathing remain comparable between three groups. The rate of reintubation (within 48 hours of extubation or at ICU discharge) was 0.06% (1 in NIPPV, 1 in BiPAP, 2 in HFNC) and remain comparable between groups (P = 1.0).

Conclusion:

BiPAP may provide better decrease in work of breathing compared to HFNC as reflected by lower crural diaphragmatic strain pattern. HFNC may provide better oxygenation compared to NIPPV group, as reflected by higher PFR ratio. Failure rate and safety profile are similar among different methods used.
Continuous Bilateral Transversus Thoracicmuscle Plane Block: An Analgesia Boon for Scoliotic Patients Undergoing Cardiac Surgery
Authors: Singh Avneet , Indumati  , Kapoor Dheeraj , Dhillon Suman , Narula Jasmine K. , Garg Sidharth
Published: January 2024

A person with thoracolumbar scoliosis for cardiac surgery presents with problems of restrictive lung disease with the additional risk of reduced lung compliance and respiratory complications compared to the other patients. Post-operative analgesia in the form of continuous bilateral transversus thoracic muscle plane block (TTMPB) may help such patients in early respiratory rehabilitation by decreasing the time to extubation, reducing the opioid requirement, and early initiation of physiotherapy decreasing the risk of complications.
Coronary Artery Aneurysm with Fistula Associated with Tricuspid Valve Regurgitation
Authors: Donoo Farooq A. , Alghamdi Faris , Mir Abdul Basit , Alkhedhairi Fahad
Published: January 2024

Aneurysmal dilation of coronary arteries is a rare condition detected during coronary angiography. Due to their poorly elucidated underlying mechanisms, their variable presentations, and the lack of large-scale outcome data on their various treatment modalities, coronary artery aneurysms, and coronary ectasia pose a challenge to the managing clinician. This case presentation provides insight into the challenges regarding the management of the coronary artery aneurysm during the perioperative period.
Curious Case of Pediatric One-Lung Ventilation with Two Endotracheal Tubes: A Case Report
Authors: Jha Lalit , Naaz Shagufta , Paul George , Kumar Sanjeev
Published: January 2024

One-lung ventilation is indicated during thoracic surgery for visualization and exposure of surgical site. It is achieved with bronchial blockers, double-lumen endobronchial tube, single-lumen endotracheal tubes and Univent tube for infants and children. Fibreoptic bronchoscope is required for placing and confirming the correct position of these tubes. We report a perioperative management of safe conduct of one lung ventilation for a 6-year child undergoing left lower lobe lobectomy through C-MAC video laryngoscope guided two single lumen tubes in limited resource settings where paediatric-sized fibreoptic bronchoscope is unavailable.
Confounding Factors Responsible for Elevated Lp(a) Levels in Patients with Coronary Artery Disease
Authors: Amin Navaneeth , Devasia Tom , Kamath Shobha Ullas , Paramasivam Ganesh , Shetty Prasad Narayana , Singh Ajit , Prakash Ganesha N. S.
Published: January 2024

Background:

Cardiovascular diseases (CVDs) are a leading cause of global mortality, motivating research into novel approaches for their management. Lipoprotein(a) (Lp(a)), a unique lipoprotein particle, has been implicated in atherosclerosis and thrombosis, suggesting its potential as a therapeutic target for CVDs.

Aim:

This study aimed to investigate the association of Lp(a) levels with various cardiovascular parameters and events among patients with confirmed cardiovascular disease.

Methodology:

A prospective study was conducted, enrolling 600 participants, predominantly comprising males (79%), with a mean age of 52.78 ± 0.412 years diagnosed with cardiovascular disease. The follow-up was done for 18 months. Patient demographics, blood investigations, and occurrence of major adverse cardiac events (MACE) were collected. SPSS version 21 was used to statistically analyze the relationships between elevated Lp(a) levels and factors such as age, glycated hemoglobin, mortality, MACE, cardiac death, target vessel revascularization, and stroke.

Results:

The study revealed significant (P < 0.05) associations between elevated Lp(a) levels and advanced age, increased glycated hemoglobin levels, as well as occurrences of all-cause mortality, MACE, cardiac death, target vessel revascularization, and stroke. Notably, a significant (P < 0.05), association between high Lp(a) levels and acute coronary syndrome (ACS) emerged, suggesting Lp(a)’s role in advanced cardiac events.

Conclusion:

The findings highlight the potential significance of Lp(a) as a notable risk factor in cardiovascular health. The observed associations between elevated Lp(a) and adverse cardiovascular events, including ACS, underscore its pathogenic role. Consequently, this study supports the rationale for further research into Lp(a)-specific therapeutic interventions, offering substantial promise in refining the management strategies for cardiovascular diseases.
Delayed Paraparesis: An Unusual Complication Following Coarctation of Aorta Repair
Authors: Arasu Thanigai , Kumar Rupesh , Khajuria Udit , Komal T
Published: January 2024

Paraparesis following cardiac surgery is a manifestation of spinal cord injury (SCI). It can occur in any aortic surgery from the aneurysm to the coarctation of the aorta (CoA) where the cross-clamp of the aorta is applied. Though the incidence of paraplegia is low, its occurrence affects the morbidity and mortality of the patient. There are only sporadic case reports on the development of paraplegia following recurrent and technically challenging repair of CoA. However, the spontaneous development of paraplegia has also been reported in cases of unoperated CoA. The present report describes the case of delayed SCI in which paraparesis developed 5 days post a coarctation repair. The risk factors and strategies to protect the spinal cord during aortic surgeries are emphasized.
Building prescribed quantitative orbit equivalence with the integers
Authors: Escalier Amandine
Published: January 2024

Two groups are orbit equivalent if they both admit an action on a same probability space that share the same orbits. In particular, the Ornstein–Weiss theorem implies that all infinite countable amenable groups are orbit equivalent to the group of integers. To refine this notion between infinite countable amenable groups, Delabie, Koivisto, Le Maître and Tessera introduced a quantitative version of orbit equivalence. They furthermore obtained obstructions to the existence of such equivalence using the isoperimetric profile. In this article, we offer to answer the inverse problem (find a group being orbit equivalent to a prescribed group with prescribed quantification) in the case of the group of integers using the so called Følner tiling shifts introduced by Delabie et al. To do so, we use the diagonal products defined by Brieussel and Zheng giving groups with prescribed isoperimetric profile.
Comparison of nasal valve dysfunction treatment outcomes for temperature-controlled radiofrequency and functional rhinoplasty surgery: a systematic review and meta-analyses
Authors: Han J K , Perkins J , Lerner D , Yim M T , Ishii L E
Published: January 2024

BACKGROUND: Nasal valve dysfunction (NVD) is a substantial contributor to nasal airway obstruction. Minimally-invasive temp-erature-controlled radiofrequency (TCRF) treatment of the nasal valve is available and comparison with surgical techniques is warranted. METHODOLOGY: Databases: Medline (PubMed), Embase, Cochrane Library. Population: adults with preprocedural nasal obstruction symptom evaluation (NOSE) score ≥45. Treatment effects were derived from a random effects model and reported as weighted mean difference in NOSE score between baseline; 3, 6, and 12 months postprocedure. RESULTS: Of 2529 initial articles, 5 studies describing TCRF treatment and 63 studies describing functional rhinoplasty were included. Pooled effect sizes for TCRF treatment and functional rhinoplasty were comparable in all analyses. CONCLUSIONS: TCRF treatment of the internal nasal valve for NVD was associated with sustained effects comparable to functional rhinoplasty addressing the nasal valve only, rhinoplasty without concomitant turbinate treatment, and all rhinoplasty.
Two-year outcomes of radiofrequency device treatment of the nasal valve for nasal airway obstruction
Authors: Silvers S L , McDuffie C M , Yen D M , Rosenthal J N , Davis S E , Han J K
Published: January 2024

BACKGROUND: Temperature-controlled radiofrequency (TCRF) device treatment of nasal valve dysfunction (NVD) was superior to a sham procedure control in reducing the symptoms of nasal airway obstruction (NAO) in this randomised controlled trial (RCT). METHODOLOGY: Two-year outcomes for 108 patients actively treated in a prospective, multicenter, patient-blinded RCT were used to determine treatment effect durability and changes in medication/nasal dilator usage. A responder was defined as ≥20% reduction in NOSE score or ≥1 reduction in severity class. RESULTS: The mean (SD) age of patients was 48.5 (12.3) years; 66 (61.1%) women. Baseline NOSE score was 76.3. The 2-year responder rate was 90.4% and NOSE score treatment effect was −41.7; 54.7% improvement. Of 57 patients using medications/nasal dilators at baseline, 45 (78.9%) either stopped all use (33.3%) or stopped/decreased (45.6%) use in ≥1 class at 2 years. Concurrent septal deviation, septal swell body, or turbinate enlargement did not significantly affect the odds of exhibiting a NOSE score of ≤25 at 2 years. CONCLUSIONS: TCRF device treatment of NVD resulted in significant and sustained improvements in the symptoms of NAO at 2 years, accompanied by a substantial reduction in medication/nasal dilator use.
EPOS2020/EUFOREA expert opinion on defining disease states and therapeutic goals in CRSwNP
Authors: Fokkens W J , De Corso E , Backer V , Bernal-Sprekelsen M , Bjermer L , von Buchwald C , Chaker A , Diamant Z , Gevaert P , Han J , Hopkins C , Hox V , Klimek L , Lund V J , Lee S , Luong A , Mullol J , Peters A , Pfaar O , Reitsma S , Toppila-Salmi S , Scadding G K , Sedaghat A R , Viskens A-S , Wagenmann M , Hellings P W
Published: January 2024

Severe chronic rhinosinusitis with nasal polyps (CRSwNP), a form of diffuse bilateral (usually type 2) CRS, is a debilitating disease with a significant impact on quality of life (QoL). With novel knowledge and treatment options becoming available, there is a growing need to update or revise key definitions to enable communication across different specialties dealing with CRS, and to agree on novel goals of care in CRSwNP. The European Forum for Research and Education in Allergy and Airway diseases (EUFOREA) and EPOS expert members discussed how to measure treatment responses and set new treatment goals for CRSwNP. In this paper a consensus on a list of definitions related to CRSwNP is provided: control, remission, cure, recurrence/exacerbation, treatable traits, remodeling, progression, and disease modification. By providing these definitions, the involved experts hope to improve communication between all stakeholders involved in CRSwNP treatment for use in routine care, basic and clinical research and international guidelines aimed to harmonize and optimize standard of care of patients with CRSwNP in the future.
Prevalence of smell and taste dysfunction in different clinical severity groups of COVID-19 patients
Authors: Vento S I , Taskila I , Martola J , Kuusela L , Kurdo G , Lyly A , Hästbacka J
Published: January 2024

BACKGROUND: Studies on the long-term prevalence of smell and taste impairment concerned with severe disease in the acute phase of COVID-19 are limited. The aim of our study was to assess and compare psychophysical testing and self-reported smell and taste disturbances and recovery between three patient groups suffering from critical, severe, or mild COVID-19 in a follow-up at six-months after the acute phase. METHODOLOGY: The prospective controlled study of 227 participants comprised 72 intensive-care-unit-treated (ICU-treated), 53 pulmonology- or infectious-diseases-ward-treated (WARD-treated), and 48 home-isolated patients (HOME) with preceding COVID-19, and 54 individuals with no history of COVID-19 (CONTROL). All participants visited a follow-up clinic for a sense-of-smell screening and underwent Magnetic Resonance Imaging (MRI) of the brain, olfactory bulbs and sinonasal area at six months after acute disease. Before the follow-up visit, the participants received a questionnaire concerning smell and taste function. We sent a supplementary questionnaire including questions about phantosmia and parosmia and taste recovery at a median of 502.5 days after the acute phase. RESULTS: We found no statistically significant differences between the groups in the incidence of smell and taste dysfunction, recovery, or the occurrence of parosmia or phantosmia. There were no statistically significant differences in semi-objective smell performance across the different study groups and controls. The olfactory bulb volume was normal in all patients and controls. Mucosal thickening in paranasal sinuses was rare. CONCLUSIONS: We found no difference in a six-month follow-up in the subjective or semi-objective senses of smell and taste between three severity groups of COVID-19 and controls.
Deep reinforcement learning for base station switching scheme with federated LSTM‐based traffic predictions
Authors: Park Hyebin , Yoon Seung Hyun
Published: January 2024

To meet increasing traffic requirements in mobile networks, small base stations (SBSs) are densely deployed, overlapping existing network architecture and increasing system capacity. However, densely deployed SBSs increase energy consumption and interference. Although these problems already exist because of densely deployed SBSs, even more SBSs are needed to meet increasing traffic demands. Hence, base station (BS) switching operations have been used to minimize energy consumption while guaranteeing quality‐of‐service (QoS) for users. In this study, to optimize energy efficiency, we propose the use of deep reinforcement learning (DRL) to create a BS switching operation strategy with a traffic prediction model. First, a federated long short‐term memory (LSTM) model is introduced to predict user traffic demands from user trajectory information. Next, the DRL‐based BS switching operation scheme determines the switching operations for the SBSs using the predicted traffic demand. Experimental results confirm that the proposed scheme outperforms existing approaches in terms of energy efficiency, signal‐to‐interference noise ratio, handover metrics, and prediction performance.
Resolving the Palestine-Israel Conflict: The Role and Challenges for the United Nations
Authors: Tadj Lotfi , Sidiq Fahmi , Abbas Yakubu Usman
Published: January 2024

The conflict between Israel and Palestine has become an important issue in international politics. International organizations such as the United Nations (UN) are trying to resolve this conflict through various resolutions and peace efforts. However, various factors, including differences in views, the influence of the Jewish lobby in the United States, and political obstacles, have hindered significant progress. Israel's separation wall in the West Bank has also become the focus of international legal debate and contention. This article presents an overview of the UN's role in resolving the Palestinian-Israeli conflict and the impact of its policies. The UN, especially the Security Council, has a central role in maintaining international peace, but the difficulties in dealing with these conflicts reveal its limitations.
Legal and Criminological Analysis of Money Politics Crimes: Prevention Strategies in the Context of General Elections
Authors: Najeeb Al-Matar  , Fahmi Sidiq  , Asnee Malee
Published: January 2024

The crime of money politics is a serious challenge in the election system, affecting the integrity of democracy and public trust. This article analyzes the phenomenon of money politics from a legal and criminological perspective, and identifies the driving factors and their impact on the political process. Apart from that, the article also offers prevention strategies that involve strict regulations, law enforcement officials with integrity, fair trials, the active role of the Election Supervisory Agency (Bawaslu), and comprehensive political education. It is hoped that these steps can help overcome and prevent criminal acts of money politics to ensure clean and democratic general elections
Law Enforcement Efforts by the Police in Eradicate Action Criminal Gambling on Line
Authors: Hapsari Gemala , Sidiq Fahmi , Sufyan Bature Sani
Published: January 2024

The new crimes brought about by the development of technology are wrong one of them is online gambling. With the development of information technology This online gambling does not require a place or arena to gamble different with gambling in a way conventional Which need something place For get together and gamble. In online gambling, players only need to visiting gambling places on online gambling sites that can be found online easy in Internet and anyone can access it easily. The specifications of this research are analytical descriptive. Data source used is data primary And data secondary. Data primary is data Which obtained directly from the field or from the first source and has not been processed by party other. Whereas data secondary obtained from study literature Which consisting of materials law primary, material law secondary And material law tertiary.The results of the research and discussion can be concluded Indonesia itself already has a legal basis regarding online gambling, namely as stated in Article 27 paragraph 2 of the ITE Law Number 19 of 2016. Meanwhile, threats against This violation is regulated in Article 45 paragraph 2. When conducting a police investigation have authority do arrest, detention, foreclosure And search. Before 2011, the person dealing with online gambling crimes was Subdit III Unit I Tipidum Bareskrim Police Headquarters. Since 2011 in charge online gambling crime is the Cyber Crime IT Unit Sub-Directorate in collaboration with Subdit III Unit I Tipidum which specifically handles online gambling crimes. By reality, implementation enforcement law by cyber National Police to practice Online gambling has complex obstacles because it looks at the game circle gambling on line This very narrow For prosecuted in a way physique to perpetrator Because implications these are factors technological sophistication
Modelling Volatility in the Commodity Market Amidst Russia- Ukraine War
Authors: Imandojemu Kingsley , Sule Abubakar
Published: January 2024

We pursue two noteworthy effects of the Russia-Ukraine war on commodity market volatility. First, we construct a Russia-Ukraine war index while modelling commodity market volatility. Second, we explore the relationship between the Russia-Ukraine war and commodity market volatility using various estimators. We find consistent patterns in the volatility models of the selected estimators. Our results show that the Russia-Ukraine war triggered commodity market volatility.
Pengaruh Sektor-Sektor Ekonomi Prioritas dan Variabel Demografis Terhadap Konsumsi Energi Listrik di Provinsi Nusa Tenggara Barat
Authors: Qodariah Lailan , Nurjihadi Muhammad
Published: January 2024

Electrical energy has become the main pillar in modern human activities. Electrical energy consumption continues to increase from time to time, including in the Province of West Nusa Tenggara (NTB), whose economy is heavily supported by the tourism sector and the mining industry. Previous studies have proven that the increase in electrical energy consumption is triggered by various factors, both demographic and economic factors. This research aims to find out what factors determine the amount of electrical energy consumption in NTB Province. This quantitative research uses secondary data in the form of time series data from 2000-2022. The data in this study was analyzed using a multiple linear regression model. The results of this research conclude that the development of the tourism sector, industrial sector and population simultaneously have a significant influence on electrical energy consumption in West Nusa Tenggara Province. However, partially the development of the tourism sector and the development of the industrial sector have no effect on electrical energy consumption, while the population partially has a significant effect on electrical energy consumption in NTB Province.
COMMUNITY SATISFACTION INDEX IN THE LIVABLE HOME PROGRAM BY EXXONMOBIL CEPU LIMITED (EMCL) IN BOJONEGORO, EAST JAVA, INDONESIA
Authors:   Civil Engineering Study Program, Faculty of Science and Engineering, Universitas Bojonegoro, Jl. Lettu Suyitno No. 2 Bojonegoro, East Java, Indonesia, Rodhi Nova Nevila
Published: January 2024

Bojonegoro Regency is one of the regions in the East Java province of Indonesia. The Bojonegoro Regency government has 17 main priority programs, one of which is related to renovating poor people's houses to become livable houses. To achieve this program, of course, cooperation from all parties is needed, including the private sector, to contribute to accelerating program implementation, in this case EMCL contributes to the community empowerment program in the form of a livable housing program. This research uses descriptive research. Descriptive research is research that examines a group of people, objects, conditions, systems of thought, or an event in the present. Meanwhile, the approach in this research uses a quantitative approach. From the results of analysis based on data from questionnaires that have been distributed to 30 respondents who are beneficiaries of the program, data on score values per element of community satisfaction can be obtained. and it can be explained that 6 elements have a weight value of A with the SS criteria (Strongly agree) which shows the meaning of satisfaction is very satisfied. Based on the results of the analysis of community satisfaction index beneficiaries of the habitable housing program by EMCL in partnership with PC Fatayat NU Bojonegoro, the 6 indicator elements show that The community is very satisfied with the existing program.
HARNESSING HOME-GROWN TECHNOLOGY FOR NATIONAL DEVELOPMENT: A REVIEW
Authors:   Department of Vocational and Industrial Technology Education, Bamidele Olumilua University of Education, Science andTechnology, Ikere-Ekiti, Ekiti State, Sunday Olojuolawe, Rufus , Olusola Osuntuyi Edward ,   Department of Vocational and Industrial Technology Education, Bamidele Olumilua University of Education, Science andTechnology, Ikere-Ekiti, Ekiti State
Published: January 2024

This paper aims to examine the potential of homegrown technology in promoting national development in developing countries. The paper argues that while technology produced in the developed world has brought certain benefits to developing countries, harnessing homegrown technology for national development in developing countries can bring more lasting and meaningful benefits. Specifically, the paper makes a case for using homegrown technology to facilitate economic development, strengthen local governance, and provide access to healthcare and education. The paper begins by discussing current trends in technology diffusion in developing countries. It then goes on to provide an overview of the advantages of domestic technology for national development. Next, the paper outlines some of the challenges associated with using homegrown technology. Finally, the paper concludes with a review of recent initiatives that have been successful in harnessing homegrown technology for national development. the paper highlights that homegrown technology can be an effective tool for promoting national development. It argues that national governments should encourage local technological development and use homegrown technology to facilitate economic growth, strengthen local governance, and provide access to healthcare and education. Further research is needed to assess the impact of homegrown technology and devise strategies for maximizing its potential to drive national development in developing countries.