bluuebunny/crossref_metadata_2025 huggingface dataset:
PENERAPAN MDLC DALAM APLIKASI PEMBELAJARAN INTERAKTIF “MENGENAL HEWAN” SDN CIMONE 3
Authors: Arizka Indah Dwi Nugraheni  , Haryoko
Published: August 2024

Modernisasi mengubah cara bermain dan belajar anak, yang kini lebih suka menggunakan gadget.Anak mudah bosan, namun orang tua sering tidak mengawasi penggunaan gadget, sehingga anakbisa mengakses konten yang tidak sesuai umur. Untuk itu, penulis membuat aplikasi interaktif"Mengenal Hewan" menggunakan metode Multimedia Development Life Cycle (MDLC). Datadikumpulkan melalui wawancara di SD Negeri Cimone 3, dengan target pengguna guru dan siswakelas 1 dan 2. Aplikasi ini membantu pembelajaran pengenalan hewan. Pengujian menunjukkanaplikasi memenuhi kebutuhan fungsional dengan skor 93% dari ahli multimedia dan 93.7% daripengguna umum, menunjukkan hasil "Sangat Baik".
SISTEM INFORMASI SEKOLAH PADA SMP NEGERI 2 MENGWI BERBASIS WEBSITE
Authors: I Made Suryana Dwipa  , Putri Agung Permata Sari
Published: August 2024

Sistem informasi sekolah merupakan suatu sistem yang memberikan layanan informasi khususnya dalamhal administrasi sekolah dan data kepegawaian. Keberadaan sistem informasi sekolah ini sangatlahpenting karena dapat membantu dalam pengelolaan administrasi dan kepegawaian sekolah. Dalam halini, SMP Negeri 2 Mengwi sebagai tempat penelitian, karena sistem yang sedang berjalan pada sekolahtersebut masih konvensional sehingga sering terjadi kesulitan dalam pengelolaan data administrasi,seperti arsip surat masuk dan surat keluar serta arsip dokumen kepegawaian PNS. Tujuan penelitian iniadalah untuk memberikan kemudahan dalam pengelolaan data surat masuk dan surat keluar,mempermudah pengelolaan dokumen kepegawaian dan meningkatkan keamanan data sehinggakeamanan data administrasi lebih terjamin.Metode penelitian yang digunakan dalam penelitian ini adalah metode SDLC (System development LifeCycle) dengan model waterfall. Adapun hasil dari penelitian ini adalah sebuah website sistem informasisekolah SMP Negeri 2 Mengwi yang dibuat untuk mempermudah dalam pengelolaan administrasi dandata dokumen kepegawaian pada SMP Negeri 2 Mengwi.
EVALUASI TINGKAT KEPUASAN PENGGUNA APLIKASI PELATIHAN DIGITAL ASURANSI MANULIFE DENGAN MENGGUNAKAN METODE EUCS DAN IPA
Authors: Desak Putu Ayu Aprilia  , I Komang Dharmendra  , Ni Kadek Mesi Damayanti  , Nyoman Ayu Nila Dewi
Published: August 2024

Manulife Indonesia menawarkan berbagai layanan keuangan termasuk asuransi jiwa,asuransi kecelakaan dan kesehatan, layanan investasi dan dana pensiun kepada konsumen individumaupun pelaku usaha di Indonesia. Dalam upaya untuk memenuhi kebutuhan pelatihan bagiagennya, pada tahun 2020 lalu Manulife Indonesia mengembangkan aplikasi pelatihan digital untuktenaga pemasar baik agen maupun finansial spesialis Manulife. Aplikasi MiLearn digunakan sebagaialat bantu untuk para agen dalam melayani nasabah dan dapat membantu meningkatkanketerampilan serta pengetahuan tentang asuransi dengan cara mengakses aplikasi yang dapatdilakukan dimana saja tanpa harus bertatap muka dengan trainer di ruang kelas. Tujuan daripenelitian ini adalah melakukan pengukuran tingkat kepuasan pengguna aplikasi MiLearnmenggunakan metode End User Computing Satisfaction (EUCS) dengan lima variabel yaituContent, Accuracy, Format, Ease of Use dan Timeliness. Kemudian metode IPA (ImportancePerformance Analysis) merupakan suatu teknik yang digunakan untuk mengukur tingkatkepentingan dan tingkat kinerja atribut. Pengumpulan data pada penelitian ini menggunakankuesioner yaitu google form dengan 59 responden dari agen MGM Bali yang menggunakan aplikasiMiLearn, data yang terkumpul diolah menggunakan software SPSS dan Excel. Kemudian hasilperhitungan nilai Indeks Kepuasan Pengguna (IKP) diperoleh hasil sebesar 80,41% yang berartiagen MGM Bali cukup puas dengan kinerja aplikasi MiLearn
IMPLEMENTASI FRAMEWORK LARAVEL PADA SISTEM INFORMASI WISATA BERASIS WEB UNTUK DESTINASI NUSA PENIDA
Authors: Made Pradnyana Ambara  , I Nyoman Suraja Antarajaya
Published: August 2024

Nusa Penida merupakan salah satu destinasi wisata populer di Bali yang menawarkan berbagai atraksialam dan budaya. Pulau Nusa Penida juga memiliki banyak tempat wisata yang indah dan menarik untukmendatangkan wisatawan mancanegara maupun domestik. Namun, informasi mengenai destinasi inimasih tersebar dan kurang terstruktur, sehingga menyulitkan wisatawan dalam merencanakan kunjunganmereka. Para wisatawan juga mendapatkan informasi dari berbagai media sosial dimana sebaraninformasi masih sedikit, sehingga potensi memperkenalkan tempat wisata di Nusa Penida menjadi tidakoptimal. Dari permasalahan tersebut dikembangkan sistem informasi wisata berbasis web yangterintegrasi dan mudah diakses dengan pemanfaatan framework laravel untuk memberikan gambarandestinasi yang ada di pulau Nusa Penida. Framework Laravel dipilih karena keunggulannya dalamkemudahan pengembangan, keamanan, dan manajemen basis data yang efisien. Sistem informasi wisatayang dibangun menyediakan fitur-fitur utama seperti informasi destinasi wisata, rute perjalanan,booking, rekomendasi penginapan dan restoran, serta ulasan dari wisatawan. Penggunaan framework inisudah menggunakan konsep kerja MVC sehingga memudahkan didalam proses pengkodean didalamproses implementasi program. Tampilan dari sistem sudah responsive karena menggunakan template bootstrap, sehingga nyaman untuk digunakan. Metode penelitian yang digunakan meliputi analisiskebutuhan, perancangan sistem, implementasi, dan pengujian. Sistem informasi wisata sudah diujimenggunakan metode black box testing menghasilkan sistem yang berkerja sesuai denganfungsionalnya, serta mampu memberikan informasi yang akurat dan up-to-date yang meningkatkanpengalaman pengguna dalam merencanakan perjalanan ke Nusa Penida. Sistem ini juga mendapatrespons positif dari pengguna uji coba terkait kemudahan navigasi dan kelengkapan informasi yangdisediakan.
KLASIFIKASI PELANGGARAN UU ITE PADA TIKTOK MENGGUNAKAN ALGORITMA NAIVE BAYES
Authors: Yogiswara Dharma Putra  , I Putu Sugi Almantara  , I Made Bagus Wahyu Mahendra  , Ida Bagus Paalakaa RNB
Published: August 2024

Permasalahan serius yang muncul akibat perbuatan dilarang atau kejahatan dalampenggunaan teknologi informasi telah menjadi perhatian utama di beberapa negara.Meskipun media sosial seharusnya menjadi lingkungan virtual yang nyaman bagi semuaorang, kenyataannya banyak kasus pelanggaran hukum terjadi di dalamnya. UU ITE hadirsebagai upaya perlindungan bagi pengguna internet, meskipun proses menetapkan sanksiuntuk pelanggaran membutuhkan ahli dan memakan waktu yang cukup lama. Olehkarena itu, diperlukan pendekatan untuk mengotomatisasi klasifikasi pelanggaranberdasarkan pasal-pasal dalam UU ITE. Penelitian ini bertujuan untukmengklasifikasikan pelanggaran tersebut menggunakan algoritma Naive Bayes, denganstudi kasus terfokus pada analisis komentar di platform media sosial TikTok. Dalameksperimennya, penelitian ini mengelompokkan pelanggaran ke dalam lima kategoriutama: pornografi, pencemaran nama baik, ujaran kebencian, teror online, dancyberbullying. Hasil dari percobaan ini menunjukkan bahwa model klasifikasi denganalgoritma Naive Bayes mencapai tingkat akurasi sebesar 0.83 atau 83%. Dengandemikian, sistem temu kembali informasi ini diharapkan dapat memberikan kemudahanbagi pengguna media sosial dalam mengidentifikasi pelanggaran UU ITE yang terjadidalam komentar di TikTok.
Financing Trends of Trade and Logistics Sector in Developing Countries: the Case of Azerbaijan
Authors: Museyibov Ayaz , Satiji Ayhan
Published: August 2024

The banking sector of Azerbaijan plays an important role in the stimulation of the economic development with a special accent to the sphere of the trade and logistics. This study touches on how the area augments economic growth largely through the adoption of the smart governmental interventions with the integration of digital advancements. Applying the mixed-method approach, which entails both qualitative and quantitative research techniques, and taking data ranging from 2010 to 2022 from State Statistical Committee of Azerbaijan, World Bank and other financial reports and documents, the study set out to reveal main financial flows in sectors of overall economy of Azerbaijan. It tests the banking sector's finiding through the calculation of amount loaned to GDP, prudential lending with the ability to identify risks and thus contribute to the stability of the financial system and the subsidization of some financial services, especially in the rural areas. The evaluation follows this up with an assessment of the performance of the private sector financing in this context, and how once substantial credit programs can be used in the betterment of the transport and logistics sector, among other things. The research which merges macroeconomic factors with sector-specific details puts the emphasis on more favourable financing mechanisms to catalyse the exceptional growth in this township and suggests that we look constantly for pathways through complexities of economic development, logistics, and complexities.
In Between Deterring and Threatening War: Russia-NATO Strategic Interaction
Authors: Andrei Adelina
Published: August 2024

Russia’s full-scale invasion of Ukraine in 2022 marked a significant turning point in the post-World War II history of Europe, with the realist and idealist views on international relations offering contrasting interpretations of its underlying sources. While each perspective provides valuable insights, neither captures entirely the complex dynamics of foreign affairs, which frequently straddle a middle ground between the conflictual and cooperative states of nations. This paper takes on a game theory approach to bridge the gap between the realist and idealist views on international relations, with the analysis of two scenarios: a limited deterrence game, viewing the conflict as a proxy war between NATO and Russia, and an extended deterrence game, seeing the conflict as a direct war between Russia and Ukraine with potential help from NATO. The findings offer a nuanced understanding of the dynamics between Russia, Ukraine, and NATO with practical significance, suggesting that NATO should have employed a strategy of decisive support for Ukraine, as anything less allowed Russia to underestimate the consequences of the full-scale invasion.
PENGARUH TINGKAT PENDIDIKAN FORMAL, PENGALAMAN KERJA, TINGKAT KUALIFIKASI PROFESI DAN COUNTINUING PROFESSION DEVELOPMENT TERHADAP KUALITAS AUDIT DI INSPEKTORAT PROVINSI BENGKULU
Authors: Reza Tuwlah Ilham , Eka Pertiwi Dinal , Diah Khairiyah
Published: August 2024

This research aims to find out how the level of formal education, work experience, level of professional qualifications and counting professional development affect audit quality at the Bengkulu Province Inspectorate. The problem discussed in this thesis is the quality of audits at the Bengkulu Province Inspectorate. The population of this research is the auditors of the Bengkulu Province Inspectorate which consists of 95 auditors in the Bengkulu Province Inspectorate. The sample used in this research was all of the population, namely 95 Bengkulu Province Inspectorate auditors. The research method used is descriptive qualitative. The data collection method uses a questionnaire using multiple linear regression analysis. The results of this research show that, (1) the level of formal education has an effect on audit quality, (2) work experience has an effect on audit quality, (3) the level of professional qualifications has no effect on audit quality, (4) continuous professional development has an effect on audit quality, ( 5) level of formal education, work experience, level of professional qualifications, and continuous professional development together influence audit quality.
Keywords: Formal Education Level, Work Experience, Professional Qualification Level, Continuous Professional Development, Audit Quality
PENGARUH MODAL DAN E-COMMERCE TERHADAP PERKEMBANGAN USAHA MIKRO KECIL DAN MENENGAH (UMKM) (STUDI KASUS PADA USAHA MEUBEL DI KABUPATEN KAUR)
Authors: Handayani Satiya , Khair Ummul
Published: August 2024

This research aims to determine the influence of business capital and E-Commerce on the development of furniture MSMEs in Kaur Regency. The type of research carried out in this research is quantitative research. The data used in this research uses primary data, namely by distributing questionnaires to business actors. The sampling technique is because the population is not greater than 100 people, the author took 100% of the population in the furniture business in Kaur Regency, namely 45 business actors. In this way, the entire population without having to draw a research sample as a unit of observation is called a census technique. The analysis method used is multiple linear regression analysis. The research results show that there is an influence of capital (X1) on the development of MSMEs (Y) of 0.009, thus Ho is rejected and Ha is accepted and there is an influence of E-Commerce (X2) on the development of MSMEs (Y) of 0.003, thus Ho is rejected and Ha is accepted.
Keywords: Capital, E-Commerce, MSMEs, Furniture Business
LITERATURE REVIEW : RASIO KEUANGAN PADA PERBANKAN KONVENSIONAL DI INDONESIA
Authors: Selvi Selvi Marni putri , Rahma Beva Nopiana  , Levia Roza
Published: August 2024

Financial ratios are analytical tools used to convey the financial performance of a company or business entity. Therefore, this research aims to find out how much influence CAR, NIM and BOPO have on banking profitability. The technique used in this research uses the Systematic Literature Review (SLR) method. In this research, the articles obtained were 30 Sinta indexed articles for being published between 2020-2024. Sinta journal articles were analyzed. The findings showed that the CAR and BOPO variables had an effect on profitability, whereas the NIM variable had no effect and not significant to Profitability.
Keywords: Financial Ratios, CAR, NIM, BOPO, Profitability
PERAN AKUNTANSI PADA TINGKAT PENGGUNAAN INFORMASI AKUNTANSI BERBASIS DIGITAL DAN KINERJA UMKM
Authors: Annisa Annisa Tiara Rahmawati , Irzan Irzan , Ramadan Rebi Rahmad
Published: August 2024

The role of accounting in utilizing all information and knowledge related to digital-based accounting information and technology is very necessary, especially for business actors who will run digital-based businesses in the future. So this research aims to find out how big the role of accounting is in the level of use of digital-based accounting information and the performance of MSMEs. The technique used in this research uses the Systematic Literature Review (SLR) method. In this research, the articles obtained were 30 articles indexed by Sinta. The results of the analysis show that the role of accounting and the use of digital-based accounting information systems has a positive influence on the performance of SMEs and the performance of SMEs has a positive influence on the use of accounting information.
Keywords: Role of Accountants, Digitalization, MSME Performance
PERAN ENTERPRISE RISK MANAGEMENT DALAM MEMEDIASI HUBUNGAN ANTARA TATA KELOLA PERUSAHAAN TERHADAP NILAI PERUSAHAAN
Authors: Syihabudin Al Bustomi  , Mubarika Natatsa Rizqina , Gilang Pradata Bramastyasa
Published: August 2024

This study aims to examine the effect of corporate governance on company value in manufacturing sector companies listed on the Indonesia Stock Exchange (IDX) in 2017-2019. This study examines the influence of Enterprise Risk Management (ERM) as a mediating variable in the relationship between corporate governance and company value. The population in this study are manufacturing companies listed on the IDX in 2017-2019. The sampling method used was purposive which ultimately obtained 435 samples. The analytical tool used in this research is structural equation modeling (SEM) - Partial Least Square (PLS). The test results show that corporate governance which includes the number of boards of commissioner’s meetings has no effect on company value and the financial expertise of the risk management committee shows a positive influence on company value. Indirect testing revealed that ERM affects the relationship between the board of commissioners' meetings and the financial expertise of the board of commissioners on company value. ERM mediates corporate governance with corporate values.
Keywords: Enterprise Risk Management, Risk Management Committee Financial Expertise
ANALISIS KINERJA KEUANGAN PERUSAHAAN SEBELUM DAN SAAT PANDEMI COVID-19 PADA SUB SEKTOR HOTEL YANG TERDAFTAR DI BURSA EFEK INDONESIA 2019-2020
Authors: Anang Anang , Setiorini Hesti , Marini Marini
Published: August 2024

The purpose of this study is to find out 1) the companies' financial performance seen from the profitability ratio using the calculation of return on assets, 2) the companies' financial performance seen from the liquidity ratio using the calculation of the current ratio, 3) the companies' financial performance seen from the solvency ratio using the debt to calculation equity ratio, 3) companies' financial performance seen from the activity ratio using asset turnover calculation. This research was conducted on hotel sector companies listed on the Indonesia Stock Exchange for the 2019-2020 period from 2 January 2023 to 2 February 2023. The hotel companies studied consisted of 21 companies with the 2019-2020 observation period so that the sample became 42 financial reports using the purposive sampling technique. The data collection techniques were in the form of documentation of financial reports. The data was analyzed using the descriptive quantitative by testing the Wilcoxon signed rank test. The results show that there are significant differences in financial performance before and during the Covid- 19 pandemic for the hotel sub-sector companies listed on the IDX in 2019-2020 with an Asymp value. Sig (2-tailed) on the variable return on assets 0.009 <0.05; at variable current ratio 0.021 <0.05; debt to equity ratio (DER) of 0.058> 0.05; total asset turnover (TATO) of 0.001 <0.05.
Keywords:  Return On Assets, Current Ratio, Debt To Equity Ratio, Total Asset Turn Over
EXPLORING STAKEHOLDERS' PERCEPTION AND EXPERIENCES IN BIOMEDICAL INSTRUMENTATION EDUCATION IN A HEALTH SCIENCES FACULTY
Authors: Chunkhare Milind
Published: August 2024

Biomedical instrumentation is integral to the functioning of medical equipment and directly impacts patient diagnosis and treatment. Ensuring the
competence of healthcare professionals is imperative for patient safety (1–5). Inaccurate or inadequate knowledge in this area could lead to
incorrect readings, misdiagnoses, or equipment malfunctions, jeopardizing patient well-being (6–8). Feedback of students' studying allied health
programs is crucial for creating an effective and engaging learning experience and enhancing educational content, teaching pedagogies and
assessment methodologies in education (9). The research paper presents a comprehensive exploration of the training and knowledge assessment of
allied healthcare professionals (AHPs) in biomedical instrumentation domain. Approximately 290 study participants provided their experiences,
thoughts and insights related to biomedical instrumentation education. Key areas explored were course materials, instructional strategies and
methods for evaluating students' knowledge and abilities. In summary, the research highlights the signicance of stakeholders' perspectives as a
catalyst for positive change in the ongoing development of biomedical instrumentation education.
A PROSPECTIVE RANDOMIZED CONTROLLED DOUBLE BLINDED STUDY COMPARING THE EFFICACY OF HYPERBARIC BUPIVACAINE V/S HYPERBARIC ROPIVACAINE IN SUBARCHANOID BLOCK FOR LOWER LIMB SURGERIES
Authors: Manisha Manne , Pujari Shraddha , Sahitya M. Naga , Fultambkar Gajanan
Published: August 2024

Background: The most popular regional anesthesia method is spinal anesthesia because it is simple to administer, affordable, and results in rapid
onset of anesthesia and total muscle relaxation. Materials And Methods:Atotal of 60 ASAGrade 1 and 2 patients undergoing lower limb surgeries
under spinal anaesthesia were randomly divided into two groups (30 each). Group B received 3ml of 0.5% hyperbaric bupivacaine intrathecally.
Group R received 3ml of 0.75% hyperbaric ropivacaine intrathecally. Using a 26G/25G Quincke spinal needle and aseptic precautions, a
subarachnoid block was administered between the L3 and L4 space following a clear and free ow of CSF while seated. Hemodynamics, side
effects, effectiveness and length of action were observed. Statistical analysis was performed by using SPSS Version 21.0 and P < 0.05 was
considered to be signicant. Results: Current results show that, BMI, age, sex, weight did not signicantly differ between the two groups. We
found that when using Bupivacaine instead of Ropivacaine, the mean onset of sensory block was faster (3.56 vs 4.22 mins), and the duration was
longer (267.83 vs 218.17 mins). In comparison to Ropivacaine, the mean onset of motor block was faster (4.73vs5.2mins) and the duration was
longer (191.68 vs 165.17 mins) with bupivacaine. Conclusion: Hyperbaric Ropivacaine is a safe substitute for Bupivacaine in lower limb
surgeries, particularly those that are shorter in duration and that aid in early ambulation. It also reliably produces spinal anaesthesia with less
hypotension than Bupivacaine.
KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICAL INTERNS REGARDING BIOMEDICAL WASTE MANAGEMENT
Authors: Prakasa Rao Salla Surya , Ramani Salla Sweta , Bharathi Konapurkar , Shravani Reddy Narwa , Vignatha Alluri , Virajitha Vurutha Divya
Published: August 2024

Objective: The present study was undertaken to assess the knowledge, attitude and practices of medical interns regarding biomedical waste
management. Methods: A total of 100 Interns of ESIC Medical College, Hyderabad, were randomly selected by simple random sampling using
random numbers generated by computer. A survey was conducted with the help of questionnaire to assess the knowledge and attitude of medical
interns regarding the biomedical waste management. The Interns of ESIC Medical College and Hospital Results: (Under the Ministry of Labor and
Employment , Government of India ),Hyderabad., have very good knowledge about the variables associated with waste management. Medical
Interns have high positive attitude regarding all variables of biomedical waste management. From th Conclusion: is study, we are able to identify
the knowledge and attitude of medical interns towards the biomedical waste management.
CLINICAL OUTCOMES AND TREATMENT MODALITIES OF MANDIBULAR FRACTURES: AN INSTITUTIONAL RETROSPECTIVE STUDY
Authors: Haldar Palash , Banerjee Rajarshi , Sahu Sudipta , Sarkar Aniket
Published: August 2024

Aims And Objectives: The variability of pattern, aetiology, gender predisposition, treatment plan and outcome of mandibular fractures occurred
in the district of East Midnapore and surrounding areas is discussed here. The signicance of this study is to understand the pattern and mechanism
of mandibular injury that would appear to facilitate choosing the most ideal treatment. A retrospe Method: ctive study of 72 cases treated in the
department of oral & maxillofacial surgery at our institution in between July 2019 and June 2022 was carried out to determine mandibular trauma
pattern and distribution. Data on age, gender, cause of injury, anatomic location, alcohol inuence, treatment modality, and postoperative
complications were collected from both inpatients and outpatients treated in the operating room and outpatient department. This Conclusion:
paper not only discusses the relation of mandibular fractures with age, gender, aetiology and anatomic location but also enriches our experience in
treating a case-series of mandibular trauma and presents an overview of techniques evolved and employed in addressing such fractures. The ideal
treatment facilitate the early return of the patients to function and improved quality of life.
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON KNOWLEDGE REGARDING PHYSICAL EXERCISES FOR MENOPAUSAL SYMPTOMS AMONG POSTMENOPAUSAL WOMEN IN NEHRU NAGAR, TIRUPATI.
Authors: Hemalatha G. , Victoria J.
Published: August 2024

Menopause, also known as the climacteric, is the time in women's lives when menstrual periods stop permanently, and they are no longer able to
bear children. Menopause usually occurs between the age of 45 and 55 years. According to National Institutes of Health, the prevalence of
menopausal symptoms in India was found to be 87.7% . According to Global Reproductive health “International federation of fertility societies”,
almost 63.5% of postmenopausal women are unaware of menopausal symptoms.
Study conducted to assess the level of knowledge regarding menopausal symptoms and to assess the effectiveness of structured teaching program
on physical exercises for menopausal symptoms among post menopausal women. Quantitative research approach, one group pre test post test
design was used to assess the effectiveness of STP on physical exercises among 50 post menopausal women selected by purposive sampling. Data
collected using a structured questionnaire and analysed using descriptive and inferential statistics. The results showed that 74% had average
knowledge, 26% had poor knowledge and 0% had good knowledge on physical exercises. But after STP 58% had good knowledge, 42% had
average knowledge and 0% had poor knowledge. The study concluded that there was a signicant relationship between level of knowledge and
demographic variables like previous knowledge about exercises and the source of previous knowledge which emphasizes the need for educational
programs on physical exercises for postmenopausal women.
A PROSPECTIVE STUDY ON EARLY VERSUS LATE ENTERAL FEEDING IN GASTRO INTESTINAL SURGERIES IN TERTIARY CARE CENTRE
Authors: Rehman Mohd. Abdul , Priyanka Arra , Teja B. Ravi
Published: August 2024

Aim: Study of early versus late enteral feeding in gastro intestinal surgeries. Objectives: To study whether early enteral feeding within 48 hours of
bowel surgeries is tolerable to the patient irrespective of bowel sounds To study whether early enteral feeding within 48 hours of bowel surgeries is
benecial to the patient irrespective of bowel sounds To study complications associated with early and late feeding in bowel surgeries. Materials
& Methods: Patients who underwent gastrointestinal surgeries in Osmania general hospital and Nizam institute of medical sciences both in
emergency and elective setup like anastomoses, primary repair or modied grahams patch repair or Cellan jones repair, hemicolectomy, Frey's
procedure, whipple's procedure, stoma reversal were selected who met the inclusion criteria. Subjects were divided randomly into cases and
control group. Patients in cases group were started oral sips of uids within 48 hours of surgery initially with clear liquids, fruit juices, tender
coconut water, milk later gradually increased the feeds then started on soft diet after 24 hours of starting oral sips of uids then high protein diet.
Ryles tube removed after 24 hours in study group and enteral feeds given through oral route in sitting position. Patients in control group were given
maintenance uids with dextrose, normal saline and ringers lactate and also TPN in some cases. Conclusion: In this study rate of surgical site
infection , pulmonary infections, fever is less in the early feeding group. Duration of the hospital stay is reduced, appearance of bowel sounds,
passage of atus and stools is early in the early feed group when compared to the patients who were on conventional feeds. There is no signicant
difference between the two groups in terms of anastomotic leak, emergency and elective type of operation, benign or malignant pathology,
mortality, ileus and distension, nausea and vomiting and presence of gangrenous gut.
ACUTE RESPIRATORY DISTRESS SYNDROME FOLLOWING SCRUB TYPHUS : A RARE CASE STUDY IN WESTERN UP
Authors: Kashish Kashish , Singh Tushar , Tyagi Lalit , Kumar Ashok
Published: August 2024

A case report to discuss a case of scrub typhus complicated with acute respiratory distress syndrome (ARDS) in a 28-year-old male who presented
with acute febrile illness, developed respiratory distress. Scrub typhus is an acute infectious illness, distributed throughout the Asia Pacic rim. In
India, it has been reported from northern, eastern, and southern India. However, cases of scrub typhus have not been well-documented from
Ghaziabad, Western Uttarpradesh.
EVALUATING EARLY CARDIOVASCULAR DISEASE RISK: THE ROLE OF AGE AND GENDER IN CORONARY ARTERY CALCIUM SCORES
Authors: Ragupathi Siddharth , Velmurugan Senthil , Rohit Rohit , Ragupathi Ashwin , Madarapu Rao Alekhya
Published: August 2024

Cardiovascular disease (CVD) continues to be a leading cause of death globally, stressing the importance of early risk evaluation and prevention
methods. In this research, we explore the relation between Coronary Artery Calcium (CAC) scores, age, and gender in assessing CVD risk. We
examined information from 76 patients (54 males, 23 females) who had undergone a coronary CT angiography for evaluation of typical/atypical
angina. Our results show a signicant association between CAC scores, age, and gender. It was observed that men consistently displayed higher
CAC scores in all age groups, with both genders experiencing a noticeable increase in scores after reaching 45 years old. These ndings emphasize
the potential of CAC scoring as a valuable tool for early detection of CVD risk and emphasize the signicance of calcium scoring in preventive
cardiology
THE ROLE OF ARTIFICIAL INTELLIGENCE IN HOMOEOPATHIC SYSTEM OF MEDICINE: A REVIEW
Authors: Subhra Patra Shankha , Roy Titli , Dalal Poulami
Published: August 2024

Articial Intelligence (AI) has penetrated various medical domains, such as homoeopathy, with notable progress. The present review delves into
the existing and prospective utilizations of AI in the realm of homeopathic medicinal studies, with a specic focus on diagnosis, customization of
treatment, and exploration. Through the utilization of AI tools, homoeopathy stands to augment its effectiveness, enhance patient results, and
propel scientic comprehension. The discourse examines recent research, instruments, and advancements that demonstrate the amalgamation of
AI within the domain of homeopathic health care.
PARATHYROID CARCINOMA MASQUERADING AS ADENOMA
Authors: Preethi Preethi , Selvaraj Karthikeyan , Barathiraja Barathiraja , Thanka J , Shobana Shobana
Published: August 2024

Although parathyroid neoplasms are common and cause primary hyperparathyroidism (PTH), parathyroid carcinoma (PC) is a rare entity. At
times, it can be difcult to diagnose, and it is commonly made after surgery. However, there are some clinical/biochemical features that should raise
suspicion of parathyroid carcinoma, namely markedly elevated serum calcium and parathyroid hormone levels and a large parathyroid lesion with
suspected ultrasonographic features of malignancy, that damages the kidney and bones. Rather than the tumor spreading, the majority of the
clinical characteristics are caused by the impact of increased PTH secretion. It is not always simple to distinguish between parathyroid cancer and
adenoma; nevertheless, even in typical situations, these features can mislead the practitioner and have a negative effect on treatment strategies and
approaches. Patients will not get the best chance of recovery if a less-than-optimal method is taken. The best chance of cure is the complete surgical
resection with the en-bloc excision at the initial operation, and they have a lower recurrence rate with a survival rate as high as 90% at 5 years and
67% at 10 years. Unfortunately, many patients do not receive a full resection, and a large percentage do not receive a diagnosis at the time of initial
surgery. We are reporting a rare case of parathyroid carcinoma, highlighting the diagnostic challenges.
A CLINICAL STUDY ON RELATIONSHIP BETWEEN ELEVATED GAMMA GLUTAMYL TRANSPEPTIDASE (GGT) LEVELS AND CEREBROVASCULAR STROKE.
Authors: Prakasa Rao Salla Surya , Sweta Ramani Salla , Bharathi Konapurkar , Shravani Reddy Narwa , Urvija Padmini Kunapareddy , Meghana Chinni Sai , Chawda Lakshya
Published: August 2024

Background: In this study we aimed to examine the association between Elevated Gamma Glutamyl Transpeptidase [GGT] levels and
Cerebrovascular stroke. This study was conducted at ESIC Medical College, Sanathnagar, Hyderabad fr Materials and Methods: om December
2023- May 2024. The study population included 50 patients admitted in our Hospital with stroke history of 24-72 hrs. The clinical and Result:
laboratory prole of 50 patients were evaluated. GGT is more strongly associated with ischemic stroke patients with a (P value: 0.0418 -
Signicant). Risk factor of Hypertension in stroke showed signicantly elevated GGT levels. Elevate Conclusion: d Serum GGT levels is an
independent risk factor for stroke, even in the presence of other risk factors such as Diabetes, HTN, Dyslipidemia, and Age. It is a Novel Biomarker
for predicting Stroke.
ISOLATED CERVICAL INTRADURAL ROSAI-DORFMAN'S DISEASE – A VERY RARE ENTITY
Authors: Gautam Abhishek , Patil Abhishek , Desai Teena , S. Goudar Pradeep
Published: August 2024

Rosai-Dorfman disease (RDD) is an idiopathic histiocytic proliferative disorder characterized by sinus histiocytosis and massive
lymphadenopathy. Extranodal and central nervous system (CNS) involvement is unusual. We describe a rare case of isolated intradural RDD of the
spine without cervical lymphadenopathy. RDD should be considered in the rare differential diagnosis of a spinal disease. Resection of the lesions is
an effective treatment choice to relieve spinal compression symptoms. The efcacy of the adjuvant therapy to control the disease is unknown.
HIDROGÊNIO VERDE COMO VETOR ENERGÉTICO LIMPO: EXPLORAÇÃO EDUCACIONAL E EXPERIMENTAL DA ELETRÓLISE
Authors: Oliveira Daniel Machado de , Lucas Diogo Miguel Pereira , Gomes João Vitor Soares , Oliveira Marcos Vinícius Santos , Gomes Victor Silveira , Oliveira Leandro José Dias Gonçalves de
Published: August 2024

O presente artigo aborda a obtenção de gás hidrogênio por eletrólise, destacando seu potencial como vetor energético limpo e sua relevante transição para uma fonte de energia sustentável. Com uma abordagem qualitativa e de natureza básica, centrada em uma revisão bibliográfica, a pesquisa tem como objetivo explorar os aspectos teóricos e práticos dessa tecnologia. Neste cenário destaca-se a produção do chamado hidrogênio verde, o qual é produzido de forma sustentável, utilizando fontes de energia renováveis. Ao contrário do hidrogênio produzido a partir de combustíveis fósseis, que gera emissões de gases de efeito estufa, o hidrogênio verde é obtido por meio da eletrólise da água, utilizando eletricidade proveniente de fontes renováveis, como energia solar, eólica ou hidrelétrica. Além disso, pode ser armazenado e transportado, servindo como um meio eficaz de armazenar energia renovável e fornecer uma fonte de energia limpa e sustentável para diversas aplicações. Destaca-se aqui o protagonismo estudantil na realização dos experimentos, despertado pela curiosidade sobre o tema, o que permitiu aprofundamento nas fontes e estudos existentes sobre o processo de eletrólise, suas aplicações e benefícios ambientais. A pesquisa revelou que a eletrólise da água, utilizando energia de fontes renováveis, é uma alternativa viável e promissora para a produção de hidrogênio verde. Os experimentos conduzidos foram bem-sucedidos, demonstrando na prática os conceitos teóricos estudados e fomentando o interesse dos participantes pelo tema. Além disso, os resultados evidenciaram a importância de integrar atividades práticas no processo educacional, promovendo o engajamento e a autonomia dos estudantes na busca por soluções inovadoras para os desafios energéticos contemporâneos. A implementação de atividades experimentais no contexto educacional não apenas enriquece o aprendizado, mas também motiva os alunos a explorarem novas fronteiras científicas, contribuindo para a formação de uma nova geração de cientistas e inovadores comprometidos com a sustentabilidade.
Psychopathological Profile of Moroccan Women with Substance use Disorders: Case Series
Authors: Bahetta S. , Elmoussaoui N. , Sabir M. , Omari F. El
Published: August 2024

Introduction: This study examines the socio-demographic and psychopathological profiles of Moroccan women with substance use disorders (SUDs). Materials and Methods: A descriptive and analytical study was conducted on 177 female patients at Ar-Razi Salé Hospital from March 2009 to June 2021. Data were analyzed using IBM SPSS Version 20. Results: • Average age: 31 years. • Majority single (67%) with secondary (52%) or higher education (40%). • High inactivity rate (83%). • Significant exposure to physical (16%) and sexual violence (20%). • Common substances: cannabis (68%), tobacco (52%), and alcohol (40%). • Multiple detox attempts and high premature discharge rate (53%). • High prevalence of psychiatric comorbidities (73%), particularly depression (42%) and personality disorders (58%). Conclusion: The study highlights the need for targeted, gender-sensitive treatment approaches for Moroccan women with SUDs, addressing both addiction and underlying mental health issues.
Evaluation of Caudal Epidural Analgesia for Relieving Post-Operative Pain in Paediatric Surgical Patients
Authors: Jagtap Dr. Pradnya
Published: August 2024

Post-operative pain poses major problem in children undergoing surgery. The use of caudal epidural analgesia as an adjuvant to general anaesthesia reduces intraoperative requirement of analgesics and post-operative pain relief. Caudal epidural analgesia in children is safe and effective in hands of experts. Materials & Methods: This study was conducted in children from age group 1month to 12 years undergoing umbilical and infra-umbilical surgeries after taking permission from institutional ethics committee. Out of 150 operated patients, 100 Patients were posted for umbilical and infra-umbilical surgeries. Caudal epidural analgesia was used along with general anaesthesia. Patients with sacral anomalies, skin infection, poor bony land marks, movements and previous operation were not included in study. 1% lignocaine hydrochloride without adrenaline with 0.25% Sensorcaine was used. Children were observed for pain as well as for any untoward effects in post-operative period. Results: In this study caudal block was successful in 98 (98%) cases. The duration of pain relief ranged from 240 minutes to 360 minutes. The average duration was 300 minutes. Blood in epidural tap were observed in 2% cases. Pain at injection site was complained by 6% cases. Conclusion: Caudal epidural analgesia is an efficient and safe method for achieving pain relief of reasonable duration in postoperative period in children.
Constructing New People Following Ho Chi Minh’ Idea
Authors: Ngọc M. A. Nguyễn Thị
Published: August 2024

Cultivating people is an objective requirement of the revolutionary cause, both urgent and long-term, with strategic significance. Cultivating people is a focus, an integral part of the country's development strategy, closely related to the task of political, economic, cultural and social construction. On that basis, the article refers to Ho Chi Minh's thought on constructing a new human to meet the reality of industrialization, modernization and international integration.
Arctic and Antarctic Sea Ice Extent Forecasting using Hybrid LSTM Technique
Authors: Sureja Spandan
Published: August 2024

Recent changes in global climate patterns have triggered the accelerated melting of polar sea ice, especially in Arctic regions. A much faster rate of decrease in the sea ice extent (SIE) is observed at than previously expected. The Antarctic region, on the other hand, has shown a stable sea ice pattern throughout the last few decades. However, the southern polar region is not completely unaffected. Recent studies of the Bellingshausen and Amundsen Seas have shown a downward trend in sea ice. The SIE is crucial for regulating global climate patterns, ocean circulation, and human activities, including shipping and fishing. Hence, forecasting sea ice extent is vital for global economic planning and climatological studies. In this proposed study, time-series forecasting of five Antarctic and Arctic regions are evaluated using a hybrid convolutional long short-term memory (ConvLSTM) and a bidirectional long short-term memory (BiLSTM) and compared with a standalone long short-term memory (LSTM). This study uses regional sea ice extent data rather than considering the extent across entire hemispheres. With lower and stable RMSE scores across all lead times, the proposed hybrid BiLSTM model shows better performance in regional sea ice forecasting than does the standalone and ConvLSTM. The study also indicated that the climatic conditions of a particular region play a crucial role in forecasting efficiency, especially at longer lead times.
A RELAÇÃO ENTRE OS DISTÚRBIOS NEUROCOGNITIVOS E O DESENVOLVIMENTO MATERNO-FETAL DURANTE A GESTAÇÃO
Authors: De Moura Fernandes João Paulo , Carvalho Pereira Luís Felipe , Oliveira Véras Raul Felipe , Andrade Moraes Paloma Júlia , Açunção de Assis da Silva Fernando , De Moura Fernandes Daiane Mayara , Gomes Ribeiro Tatianne Régia , De Andrade Esmeraldo Pereira Liana
Published: August 2024

O desenvolvimento embriológico compreende estágios, de períodos variados, em que o embrião irá desenvolver determinados aspectos morfofisiológicos até alcançar a forma humana, sendo denominado, posteriormente, de feto. Nesse sentido, a relação materno-fetal é um condicionador importante para o desenvolvimento cognitivo do bebê, haja vista que os prejuízos durante a terceira e a quarta semana do desenvolvimento repercutem em diversas alterações morfofuncionais no concepto que se manifestam subsequentemente em distúrbios cognitivos-comportamentais. O presente estudo objetivou traçar uma relação plausível entre o surgimento de distúrbios neurocognitivos, após o nascimento do bebê, e as alterações vivenciadas no decorrer da gestação que ratificam tal teoria. Desse modo, a pesquisa buscou explorar os aspectos fisiopatológicos que cercam a relação materno-fetal durante o período da formação embrionária, reunindo aspectos analíticos dessas condições clínicas, bem como apresentar os desafios vividos pelos indivíduos neurodivergentes no contexto socioeducacional, sobretudo, no que diz respeito ao espectro de ensino-aprendizado. Para isso foi necessário revisitar conceitos específicos sobre a teratogenicidade e o neurodesenvolvimento humano, sendo realizada uma revisão integrativa com moldes qualitativos e quantitativos nas seguintes bases de dados: o Portal de Periódicos CAPES, Latindex, bem como a Biblioteca Virtual em Saúde (BVS), utilizando os Descritores em Ciências da Saúde (DeCS) “Fetal Alcohol Spectrum Disorders”, “Neurocognitive Disorders” e “Fetal Development”, sob recorte temporal de 2014 a 2024. Dada a pesquisa, ficou notório a correlação entre o uso de teratógenos, a exemplo do álcool, do tabaco e de canabinóides no desenvolvimento de lesões encefálicas e de malformações congênitas que promovem distúrbios funcionais do cérebro, culminando, portanto, em dificuldades de comunicação, de expressão, de raciocínio e de interação social. Conclui-se, por fim, que o aumento da neurodiversidade, no país, está intrinsecamente ligada ao aparecimento de distúrbios durante o pré-natal e que tais transtornos neurocognitivos ainda são enxergados como um impasse no processo de ensino-aprendizado seja questões metodológicas, seja pela falta de capacitação dos profissionais no manejo adequado para com essas apresentações.
PANCREATITE AGUDA: MECANISMOS FISIOPATOLÓGICOS E DIAGNÓSTICOS
Authors: Andrade Vinícius Azevedo Araújo de , Lira Aarão Gonçalves de , Alves Aline de Sousa , Alves Iara de Sousa , Leite Júllia Raissa Souza , Pimenta Mariana Severo , Souza Amanda Silva , Costa Edna da Silva , Crispim Elane de Castro , Soneto Fátima Wonene , Ulica Silma Claudina Salvador , Segovia Liz Fernanda Ortiz
Published: August 2024

A pancreatite aguda, doença inflamatória que destrói os tecidos peripancreáticos, está entre as doenças mais comuns entre os distúrbios gastroenterológicos, sendo cálculos biliares e álcool as principais etiologias. Esta revisão tem como objetivo explorar dados relativos aos mecanismos fisiopatológicos e diagnósticos da pancreatite aguda, reunindo e analisando as informações mais recentes sobre o assunto. Este estudo consiste em uma revisão bibliográfica de caráter descritivo, em que foram analisados trabalhos científicos disponíveis nas plataformas: Pubmed, BVS e Scielo, a pesquisa foi conduzida com base nos artigos publicados entre 2019 e 2024, em inglês ou português e com acesso ao conteúdo integral. Como critérios a seleção envolveu artigos completos e livres nos bancos de dados, excluiu-se os artigos que não se encaixaram nos critérios supracitados. No total, 10 artigos foram incluídos na revisão. Sendo utilizados os termos-chave em inglês “acute pancreatitis”, “pathophysiology” and “diagnosis” e seus correspondentes em português. Através desta revisão destacam-se a compreensão dos mecanismos subjacentes à pancreatite aguda, sendo possível compreender que além de um tratamento oportuno para reduzir o risco de complicações graves na PA é necessário verificar essencialmente os resultados clínicos e a qualidade de vida dos pacientes afetados.
BRAIN TUMOR AND EPILEPSY IN CHILDREN: CLINICAL COMPLICATIONS AND SURGICAL TREATMENT
Authors: Oliveira Gabriel Nojosa , Amaro Lara Lacerda , Amaro Lara Lacerda , Cruz Rayane Alves , Rodrigues Matheus do Carmo , Correa Stefanny Machado , Martins Pedro Felipe Rezende , Oliveira Melissa Meireles Coelho de , Câncio Vítor Emídio , Nabuth Filipe de Araújo , Silveira Juliana Quirino da , Silva Marielly da , Martins João Pedro Barros Costa
Published: August 2024

Introduction: Brain tumors in children often present a complex intersection with epilepsy, creating significant challenges for diagnosis and treatment. The presence of brain tumors can lead to the development of epilepsy, which may manifest in various forms depending on the tumor's location and type. Clinical complications include refractory epileptic seizures, neuropsychomotor development impairment, and deterioration in quality of life. Surgical treatment can be crucial for both tumor removal and seizure control, offering the possibility of seizure remission and improving overall prognosis. Objective: The systematic literature review aimed to evaluate the relationship between brain tumors and epilepsy in children, focusing on clinical complications and surgical treatment strategies. Methodology: The methodology followed the PRISMA checklist to ensure a comprehensive and rigorous review. Databases such as PubMed, Scielo, and Web of Science were consulted using descriptors like "pediatric brain tumor," "epilepsy in children," "clinical complications," "surgical treatment," and "pediatric neurosurgery." Inclusion criteria were studies on brain tumors in children, research addressing epilepsy as a symptom or complication, and articles describing surgical treatment. Articles not available in full text, studies outside the pediatric scope, and publications prior to 2014 were excluded. Results: The review revealed that brain tumors can cause epilepsy due to cortical irritation and neural dysfunction. Surgical treatment is often effective in reducing or eliminating epileptic seizures but can be challenging due to the tumor's location and characteristics. Additionally, the results showed that complete tumor resection is associated with better clinical outcomes in terms of seizure control. The literature also highlighted the importance of postoperative monitoring to detect and manage complications. Conclusion: Brain tumors in children frequently lead to epilepsy, and surgical treatment is essential for seizure control and improving quality of life. Complete tumor removal is crucial for positive outcomes, and ongoing monitoring is necessary to manage potential complications. The review highlighted the importance of a multidisciplinary approach to optimize clinical outcomes and patient quality of life.