bluuebunny/crossref_metadata_2025 huggingface dataset:
CORRELATION BETWEEN ANXIETY LEVELS AND THE DISTANCE LEARNING APPROVAL DURING PANDEMIC ON BACHELOR OF NURSING STUDENTS AT THE AISYAH UNIVERSITY OF PRINGSEWU IN 2021
Authors: Sandi Meyl , Agustriyani Feri , Kusuma Anggi
Published: July 2023

One of the lessons learned during the COVID-19 pandemic is the distance learning process. This process has an impact on students, namely experiencing anxiety. Severe anxiety experienced by students is caused by the occurrence of culture shock. Distance learning causes social isolation because there is no social and physical interaction. The research objective was to determine the correlation between anxiety levels and the distance learning process on bachelor of nursing students at the Aisyah University of Pringsewu in 2021. This type of research is a quantitative analytical survey with a cross-sectional approach. The sample in this research was 73 students. The implementation time has been carried out from April up to May 2021. The technique used simple random sampling. The research instrument used the HARS questionnaire with spearman rank test analysis. The results of data analysis show that there is a correlation between anxiety levels and the distance learning process at the Aisyah University of Pringsewu with the Spearman rank test, obtained p-value of 0.000 (<0.05), it is expected that respondents will always take something positive from the learning process during a pandemic like this. Improve the understanding of the material by looking for their references to support understanding of the material presented.

Keywords: Distance Learning Approval; Anxiety; Covid-19
THE USE OF ANDROID-BASED SIMADU (POSYANDU INFORMATION SYSTEM) APPLICATION IN BEJI
Authors: Abd Rahman La , Handiyani Hanny , Rachmi Shanti Farida , Friska Friska , Ayu Vergeina , Rizaldi Fakhri M
Published: July 2023

Thriving technology, information, and communication drive mobile health development to induce changes in health service delivery. The Android-based SIMADU application is a substitute for the manual and conventional administration system. It encourages Posyandu cadres to use the android-based application, which is considered more productive, and thereby making Posyandu activities more efficient. This research is discussing the Android-based SIMADU application. Method used is a descriptive survey, carried out in Posyandu Flamboyan, Mawar, Cempaka, and Kenanga, all addressed in Kukusan Beji Depok West Java. Data collection techniques are observation and questionnaire distribution. The sample is 25 cadres from Posyandus in Kukusan Beji. The results is 78.1% of Posyandu cadres advocate the use of the SIMADU application. 68.8% of Posyandu cadres entail an engineer who can assist them to use the SIMADU application. The SIMADU application features are attested to be effective to elevate Posyandu cadres’ confidence by 71.9%. The conclusion, use of technology and information in Posyandu may breed a significant change in health service delivery. The SIMADU application can help Posyandu cadres in Posyandu activities, e.g., recording and documenting the data of families, pregnant women, babies, toddlers, and fertile couples.

 Keywords: Posyandu Information System Application; Android
THE CORRELATION BETWEEN THE FEEDING PATTERNS AND THE STUNTING PREVALENCE IN TODDLERS AGED 24-59 MONTHS IN THE WORKING AREA OF LUMBI-LUMBIA HEALTH CENTER
Authors: Ludong Rian , Lubis Dina Putri Utami
Published: July 2023

Background: Stunting is one of the nutritional problems occurring in Indonesia. It had an impact not only for those who experiences it but also for the economy and development of the country. Human resources with stunting have lower quality than the normal one. Based on data from the World Health Organization (WHO) in 2017, Indonesia was in the fourth position with the highest prevalence of stunting in the world. Research Objectives: To determine the relationship between feeding patterns and the prevalence of stunting in toddlers aged 24-59 months in the working area of ​​Lumbi-lumbia Health Center. Research Methods: This type of research was quantitative using an analytical survey with a cross sectional approach. The population in this study were 118 parents who had stunted toddlers aged 24-59 months with the sample of 95 respondents who were taken based on purposive sampling technique. The data was collected using a questionnaire on feeding patterns and toddlers, the data was measured using microtoise and then was converted into a standard value (z-score). The data analysis used chi square test with a significant α = 0.05. Research Results: The results showed that the respondent's inappropriate feeding pattern was 71.60% and the right feeding pattern was 28.40%. While the prevalence of stunting in the short category was 73.70% and the one in the very short category was 26.30%. Conclusion: There is a relationship between the feeding patterns and the prevalence of stunting in toddlers aged 24-59 months in the working area of ​​the Lumbi-lumbia Health Center with ρ value of 0.034.

 

 

Keywords: stunting; feeding pattern; toddler
High temporal resolution measurement of the curing process of nanometer-thick photocurable liquid films using the fiber wobbling method
Authors: Itoh Shintaro , Aratani Kohei , Lin Fengchang , Fukuzawa Kenji , Azuma Naoki , Zhang Hedong
Published: July 2023

We established a method for assessing the curing process of a nanometer-thick photocurable liquid film by monitoring changes in shear viscoelasticity at a high temporal resolution. The originally developed nano-rheometry method (the fiber wobbling method) was applied for the viscoelastic measurements. We succeeded in measuring the curing process of a 100 nm thick liquid film with a time resolution of 1 ms. The experimental results suggested that the confinement effect in the nanogap suppresses liquid curing. Thus, the proposed evaluation method can be used for developing nanoimprint lithography and high-precision 3D printing.
Manajemen Pemberian ASI Eksklusif Sejak Dini Pada Ibu Hamil Sebagai Upaya Pencegahan Kejadian Stunting
Authors: Puspitasari Maharani Tri , Nawangsari Harnanik , Romli Leo Yosdimyati
Published: July 2023

Munculnya masalah terkait resiko kejadian stunting pada balita di masyarakat salah satunya disebabkan akibat rendahnya pengetahuan masyarakat khususnya ibu hamil terkait pentingnya pemberian ASI Ekslusif. Target pelaksanaan program pengabdian kepada masyarakat ini adalah mengoptimalkan manajemen ASI Ekslusif sejak dini pada ibu hamil sebagai upaya pencegahan kejadian stunting. Jenis luaran yang akan dihasilkan sesuai dengan rencana kegiatan adalah perubahan manajemen kesehatan masyarakat dengan indikator peningkatan pengetahuan terkait pentingnya pemberian ASI Ekslusif. Pendekatan metode yang digunakan untuk menyelesaikan persoalan mitra program pengabdian kepada masyarakat adalah dengan menggunakan pendekatan survei data ibu hamil melalui kader kesehatan. Pengumpulan datanya bersifat prospectif study, selama 2 minggu yaitu pada bulan oktober 2022 dan dilakukan analisis data secara deskriptif. Hasil kegiatan menunjukkan bahwa setelah diberikan sebuah manajemen terkait ASI ekslusif sejak dini didapatkan hasil bahwa terdapat peningkatan atau perubahan pada pengetahuan ibu hamil terkait pentingnya pemberian ASI esklusif dalam rangka pencegahan kejadian stunting. Hasil kegiatan menunjukkan bahwa sebagian besar responden memiliki pengetahuan yang baik sebesar 64 % (16 responden). Kesimpulan dari hasil pengabdian kepada masyarakat yang telah dilakukan adalah manajemen pemberian ASI ekslusif sejak dini pada ibu hamil sangat berperan dalam meningkatkan pengetahuan ibu hamil khususnya pentingnya pemberian ASI ekslusif dalam rangka upaya pencegahan kejadian stunting.
Penyuluhan dan Pemeriksaan Gula Darah Sewaktu pada Lansia Produktif sebagai Upaya Pencegahan DM di Desa Panglungan Wonosalam Jombang
Authors: Erawati Erawati
Published: July 2023

Pengabdian Masyarakat adalah kegiatan yang bertujuan membantu masyarakat dalam aktivitas seperti pencegahan penyakit Diabetes Melitus (DM). DM merupakan penyakit yang berhubungan dengan sindrom metobolik dengan ciri meningkatnya kadar glukosa darah. Orang dengan sindroma metabolik yang memiliki resiko diabetes mempunyai kondisi gula darah puasa yang meningkat, obesitas abdominal, kadar kolesterol yang tinggi, serta hipertensi. Kegiatan Pengmas pada topik ini bertujuan memberikan informasi Penyuluhan Dan Pemeriksaan Gula Darah Sewaktu (GDS) Pada Lansia Produktif Sebagai Upaya Pencegahan DM Di Desa Panglungan Wonosalam Jombang. Metode: Kegiatan pengmas dilakukan menggunakan penyuluhan, diskusi, dan pemeriksaan GDS. Pengmas dilakukan pada ibu PKK di Desa Panglungan Wonosalam Jombang sejumlah  30 orang. Hasil dari pemeriksaan GDS 20% ibu memiliki kadar Gula darah tinggi dan 80% ibu kadar gula darah menunjukan normal. Hal ini terjadi karena ibu-ibu dengan kadar gula tinggi sebelumnya sudah dinyatakan Penderita DM oleh pihak Kesehatan dan melakukan pengobatan. Hasil evaluasi menunjukkan bahwa sebagian peserta memiliki tingkat pengetahuan yang tinggi mengenai DM terbukti dengan nilai evaluasi yang baik. Ibu dengan gula darah tinggi sudah melakukan pengobatan dan rutin control serta ibu-ibu di kegiatan sehari-hari melakukan aktifitas untuk mencegah DM.
Peningkatan Pengetahuan Melalui Edukasi Pada Ibu Hamil Tentang Stunting dan Wasting di Desa Dapur Kejambon Kabupaten Jombang
Authors: Fatimah Siti , Gemilang R Ayu Mayhesa , Aulia Nadila
Published: July 2023

Awal masa kehamilan sampai usia anak dua tahun merupakan priode 1000 Hari Pertama Kehidupan (HPK) dimasa priode tumbuh kembang   menentukan perkembangan kecerdasan dan   pertumbuhan tubuh yang membutuhkan asupan gizi seimbang. Anak yang mengalami stunting akibat kekurangan gizi protein secara kronis dan anak mengalami wasting akibat penurunan berat badan yang akut dapat dimasukkan dalam kriteria anak kurus. Masalah dalam pengabdian masyarakat ini adalah kurangnya pengetahuan ibu hamil tentang gizi yang dibutuhkan ibu hamil dapat mengakibatkan resiko terhadap kejadian stunting dan wasting pada balita. Target kegiatan adalah ibu hamil di Desa Dapur Kejambon kehamilan trimester 1, 2 dan 3. Luaran yang dihasilkan adalah adanya peningkatan pengetahuan ibu hamil tentang gizi ibu hamil sebagai upaya pencegahan stunting dan wasting. Metode atau bentuk kegiatan yang digunakan memberikan penyuluhan penyampaian materi dengan media poster dan leaflet,diskusi diakhiri evaluasi. Penilaian mengenai pemahaman ibu hamil tentang gizi ibu hamil sebagai upaya pencegahan stunting dan wasting dengan tiga tahap (diawali dengan pretest, penyampaian materi penyuluhan,evaluasi post test). Hasil kegiatan menunjukkan bahawa terdapat peningkatan pengetahuan ibu hamil setelah post test sebesar  85% pengetahuan baik. Kesimpulan dari hasil kegiatan bahwa terjadi peningkatan pengetahuan pada ibu hamil tentang pencegahan stunting dan wasting sehingga bisa merubah prilaku dan sikap dalam pemenuhan gizi kehamilan.

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Sistem Pencatatan Skripsi Berdasarkan Rencana Induk Penelitian (RIP) di Universitas Trunojoyo Madura
Authors: Jamilatul Aisyiah  , Laili Cahyani  , Muhlis Tahir  , Nuke Sephiana
Published: July 2023

Perguruan tinggi negeri yang berada di wilayah Madura salah satunya adalah Universitas Trunojoyo Madura. Sebagai Lembaga Pendidikan tinggi Universitas Trunojoyo Madura terus berupaya untuk meningkatkan kemampuan literasi bagi mahasiswa salah satunya melalui peningkatan kualitas skripsi. Seiring berkembangnya zaman, banyak topik skripsi yang bisa diangkat menjadi tema skripsi. Namun, topik utama dalam skripsi tersebut juga harus menjadi pendukung terlaksananya Rencana Induk Riset Universitas (RIP) maupun Rencana Induk Riset Nasional (RIRN). Sehingga untuk mendukung hal tersebut dan guna mempermudah mahasiswa dalam mencari referensi skripsi yang sesuai dibutuhkan sebuah sistem yang bisa memenuhi kebutuhan tersebut. Penelitian ini bertujuan untuk menghasilkan sistem pembukuan skripsi berdasarkan RIP di Universitas Trunojoyo madura. Dengan harapan bisa mendukung tercapainya RIP universitas serta mempermudah pengguna khususnya mahasiswa dalam mencari sumber untuk bahan skripsi mereka. Metode yang digunakan pada penenelitian ini ialah metode Research & Development (R&D) yang mana model dalam pengembangannya memakai pendekatan waterfall. Tahapan yang terjadi pada model dengan pendekatan waterfall yakni meliputi analisis, desain, pengembangan, pengujian, dan implementasi. Tes black box dan tes kuesioner mahasiswa/masyarakat digunakan dalam pengujian sistem ini. Hasil pengujian oleh ahli sistem untuk mengetahui kesesuaian fungsional sistem memberikan hasil persentase 100% yang berarti semua fungsi berjalan dengan baik. Pengujian pengguna dengan 20 pengisi kuisioner memperoleh 84,7% yang masuk kedalam kategori “sangat layak”.
Building a Digital Village to Improve Services and Independence of Village Communities After the Covid-19 Pandemic
Authors: Moch. Lutfi  , Gourab Nath
Published: July 2023

Bakalan Village is one of the villages initiated by the government of Pasuruan Regency to become a digital village. To build a digital-based village, it is necessary to have a system that can help and facilitate this work. One of the team's dedication efforts in realizing this digital village is to provide assistance fund training to the community and Bakalan village government employees regarding online marketplace management, service systems, and village administration systems. The purpose of this activity is to increase community knowledge and skills in managing online marketplaces, service systems, and village administration systems through an Android application. This service activity is carried out through the stages of planning, implementing, and evaluating activities. From this activity the service team develops and builds an Android-based mail service application, a village website application, and an online buying and selling system application as a media promotion Village-Owned Enterprise products.
Usaha Ayam Kampung Sistem Intensif dan Pemanfaatan Pakan Lokal Untuk Meningkatkan Pendapatan di Kelurahan Malotong Kabupaten Tojo Una-Una
Authors: Adam Rosida P. , Sarjun Sri , Suardi Suardi , Lahay Mahmud , Faris Erwan Satrawan
Published: July 2023

Tujuan penelitian ini yaitu (1) Meningkatkan   Kemampuan Peternak dengan sistem intensif (2) Meningkatkan pendapatan peternak dan (3) memanfaatkan pakan lokal dengan memanfaatkan potensi jagung. Adapun target yang dicapai dalam pengabdian masyarakat yaitu : (1) Meningkatnya  kemampuan pterenak dalam usaha peternakan ayam kampung sistem intensifol  (2)  Meningkatnya pendapatan, dan (3) termanfatnya pakan lokal sebagai efisensi pakan harga pakan pabrik yang tinggi. Metode yang digunakan dalam mencapai tujuan dan target program pengabdian pada masyarakat yaitu: pendampingan teknologi dengan eksperimen  pada sistem pemeliharaan yang  intensif. Hasil pengabdian menunjukkan  bahwa(1) Kemampuan peterenak dalam usaha peternakan ayam kampung sistem intensif meningkat terutama pada kemampuan menyerap teknologi pemeliharan setiap fase pertumbuhan; (2)  Bahwa usaha peternakan ayam kampung super layak untuk diusahakan dimana R/C > 1 artinya sangat menguntungkan sehingga pendapatan peternak meningkat, dan (3) dan forumulasi yang digunakan dalam ransum lebih mengutamakan pakan lokal dengan perbandingan 70 % pakan lokal (jagung, dedak) dan 30 %  konsentrak (pabrikan), sehingga   sehingga biaya produksi lebih efisens.
An Experimental Examination of Mobile Cloud Computing and IOT: Application, Techniques and Issues
Authors:   Asst. Prof., Dept. of Computer Science, Mata Gujri College, Fategarh Sahib, Panjab, India, Kaur Taranpreet
Published: July 2023

A technology in which voice, video and data can transfer through a computer or any wireless device is known as mobile computing. There is no need to connect to a fix physical link in mobile computing. By using the cloud computing mobile computing the powerful mobile applications can build. The approach of mobile cloud computing allows the developers to design the applications especially for mobile users. And the applications are not bounded with the memory capacity, computing process and operating system of Smartphone. From a remote web server through mobile browser the mobile cloud computing centered simply accesses. On the recipient Smartphone it is not necessary to install the client application.
La supervisora supervisiona, non supervede!
Authors: Thornton Anna M.
Published: July 2023

Diverse lettrici e alcuni lettori chiedono come ci si debba riferire a una donna che ha un compito di supervisione, ovvero quale sia la forma femminile corrispondente a supervisore, in particolare nel campo della psicoterapia e della didattica universitaria.
PROFILE OF METABOLIC SYNDROME AMONG PATIENTS OF KNEE OSTEOARTHRITIS: A HOSPITAL BASED CROSS-SECTIONAL, OBSERVATIONAL AND PROSPECTIVE 1 YEAR STUDY
Authors: Kour Prabhjeet , Gupta Surabhi , Singh Ametashver
Published: July 2023

Introduction: The prevalence of metabolic syndrome is high in India. It is frequently associated with comorbidities like diabetes mellitus, cardiovascular abnormalities and hypertension. Osteoarthritis is also commonly associated with diabetes mellitus, dyslipidemia and hypertension. Our study was an observational Materials and methods: single centre study done in the Department of Medicine of Government Medical College, Jammu. The study aimed to nd the point prevalence of metabolic syndrome among patients of knee osteoarthritis and to study epidemiological, demographic, clinical prole of metabolic syndrome among patients of knee osteoarthritis. The study was done on outpatients who fullled the criteria for osteoarthritis. A total of 129 patients were included in the Results: study. Mean age of the patients was 64 yrs with no gender difference. There was urban preponderance in the patients. Duration of disease was less than 10 yrs in 93% patients.19% of the patients had a BMI of more than 30kg/m2. Hypertension was present in half of the patients. Diabetes Mellitus was present in 41.9% of the study population group. The point prevalence of metabolic syndrome was 57.4%(n=74) among the study population. There is high prevalence of individual components of metabolic syndrome in pa Conclusion: tients of Osteoarthritis knee
URETERAL WALL THICKNESS (UWT) AS A PREOPERATIVE INDICATOR OF IMPACTED STONE UNDERGOING URSL : A PROSPECTIVE STUDY
Authors: Chauhan Abhishek , Kumar Jain Nilesh , Goyal Shailendra , soni Amit , Jhanwar Ankur
Published: July 2023

Objective: Evaluation of ureteral wall thickness (UWT) to predict the presence of impacted stones in patients with
ureteral stones undergoing ureteroscopic lithotripsy (URSL). Prospective study has be Materials and Methods: en
carried out in a tertiary care hospital at Govt. Medical College, Kota (Raj.) between March 2021 to October 2022 . A Total of 80 patients above 15
years of age with ureteric calculus in whom URSL and preop NCCT done included. Patients with ipsilateral side preop DJ stent in situ and
ipsilateral side ureter stone surgery in past were excluded. CT scan images have been used in the study to measure maximum ureteric wall
thickness at the stone impaction site. Clinical predictors of impacted stones were assessed using the chi-square test and Receiver-operating
characteristic (ROC) curve analysis was applied to determine the UWT cut-off value and evaluate its accuracy in predicting impacted stones.
Ureter wall thickness (UWT) of 3.55 mm was taken as a cut-off value for dividing patients into impacted and non-impacted stone groups. We
evaluated the association between UWT and endoscopic ndings, as well as surgical outcomes. 31 (38.8 % ) patients out of 80 cases Results:
had impacted stones in our study. Signicant differences in stone location, stone burden, hydronephrosis, and UWT in patients with and
without impacted stones were seen using Chi-Square Test. ROC analysis showed that UWT 3.55 mm was taken as a cut-off value for dividing
patients into impacted and non-impacted stone groups. Mean UWT of 3.99 mm and 1.78 mm were noted for the impacted and non-impacted
stones, respectively. High UWT is associated not only with a higher risk Conclusions: of impacted stones but also with poor endoscopic
clearance and adverse surgical outcomes and postoperative complications in patients with ureteric stones undergoing URSL.
CROSS-SECTIONAL DESCRIPTIVE STUDY OF CORRELATION BETWEEN DELAY IN DIAGNOSIS OF PULMONARY TUBERCULOSIS AND PULMONARY FUNCTION IN PREVIOUSLY TREATED PATIENTS IN A TERTIARY CARE CENTRE
Authors: Nallathambi Abirami , Sreekaanth S , Varghese Jereen , I Rathoon Ajay
Published: July 2023

Aim: To assess the lung function and the factors associated with a change in lung function among patients who were
previously treated for pulmonary tuberculosis (PTB). To nd out the relationship between Delay in Diagnosis of pulmonary
tuberculosis (interval between onset of PTB symptoms and diagnosis of disease) with the Severity of lung function. It is a Materials And Methods:
cross-sectional descriptive study conducted in a tertiary care center over 1 year after attaining the ethical clearance. The study population of 85 patients
presenting in Respiratory Medicine OPD with clinical and radiological features of pulmonary tuberculosis sequelae. The data collected were
statistically analyzed. A total of 85 patients were Results: included in the study as the study population. Among the study population, the most
common type of lung disease was Mixed pattern - 33 (38.8%) followed by obstructive pattern 20 (23.5%) and restrictive pattern 19 (22.4%) and the
least common 13 (15.3%) was Normal pattern. Diagnostic delay (days) had a negative correlation with FVC (Forced Vital Capacity)-restrictive
pattern, FEV1(Forced Expiratory Volume)-obstructive pattern, FEV1/FVC ratio, MEF 25-75%(Maximal Expiratory Flow)-small airways
obstruction, and DLCO (Diffusing capacity of Lung for Carbon Monoxide). PTB has a signicant effect on Conclusion: lung function even after the
successful completion of treatment. Patients with diagnostic delay in pulmonary tuberculosis will have a high chance of ending up with chronic lung
disease in the post-treatment phase of PTB. Routine use of spirometry and early identication of these patients will decrease the burden of postTuberculosis sequelae in India and also around the World. This will also improve the quality of life in sequelae patients.
ROLE OF LOW DOSE ASPIRIN THERAPY IN RECURRENT PREGNANCY LOSS
Authors: Gupta Veena , Singh Tanvi , Jain Shakti , Saxena Somya
Published: July 2023

Background: Recurrent pregnancy losses are a big concern for women's health. Aspirin at a low dose is an antiplatelet
drug that irreversibly inhibits platelet cyclooxygenase and lowers thromboxane A2 synthesis. Understanding the role of
low-dose aspirin in preventing recurrent pregnancy loss and prescription at early gestation, is necessary. This study was aimed to Objectives:
evaluate the role of low dose aspirin in prevention of recurrent pregnancy loss and to evaluate maternal and fetal outcomes in patients with low
dose aspirin therapy for management of recurrent pregnancy loss. This observational prospect Material and Methods: ive study was carried out
in the Department of Obstetrics and Gynaecology, Swaroop Rani Nehru Hospital, Moti Lal Nehru Medical College & Kamla Nehru Memorial
Hospital, Prayagraj from 2021 to 2022 after obtaining ethical clearance and informed consent from patients presenting to antenatal OPD with
history of two or more recurrent pregnancy loss. A total of 100 patients were enrolled as per inclusion and exclusion criteria. Out of 100 Results:
women, in A1 group which took aspirin out of 50 patients, 44 ( 88%) were live births and on the other hand in patients which didn't take aspirin
B1 group only 24(48%) live births took place.The incremental benet in outcome of pregnancy can be attained through the use of aspirin as the
women who took low dose aspirin live births rate was almost double as compared to the women who didn't take aspirin and this was true
regardless of the number of miscarriages they had experienced in the past. The  Conclusion: ndings of this study assisted us in determining the
current standard of care, which continues to suggest that aspirin should be prescribed and taken by women who have history of recurrent
pregnancy loss
A RARE CASE OF SPONTANEOUS SUBDIAPHRAGMATIC ABSCESS
Authors: Dungarpurwala Mohammad , Gupta Kanchan , Bandekar Prarthana , Kumar Meena , Mahadik Abhishek
Published: July 2023

We report a case of a 34-year-old male who presented with a productive cough, fever, weakness, reduced appetite, and sleep for 15 days. On examination, a soft palpable lump was identied in the epigastric region, and a large thick-walled lesion was noted in the left para-cardiac region extending caudal to the heart. The patient was diagnosed with subdiaphragmatic abscess, which was suspected to be arising due to chronic liver disease and a history of recurrent ascites and multiple tapping. The causative organism was identied as E. coli, and the patient underwent on ct scan a diagnostic laparoscopy followed by exploration with subdiaphragmatic abscess drainage. The pus samples were sent for histopathological evaluation, which conrmed the presence of occasional pus cells and gram-negative bacilli. The patient was discharged and advised to follow up with regular check-ups.
PROLOTHERAPY TREATMENT FOR MYOFASCIAL PAIN ( INTRAMUSCULAR TRIGGER POINT ) CAUSED BY INTRAMUSCULAR HEMANGIOMA.
Authors: Sonawane Vikram , Shribalkrishnarao Sheshrao Jagdambe , Kothari Kailash
Published: July 2023

Intramuscular hemangioma is an infrequent but important
cause of musculoskeletal pain (intramuscular trigger point ),
which is often difficult to diagnose clinically.Prolotherapy is a
technique that involves injection of an irritant usually a
hyperosmolar dextrose solution typically in the treatment of
chronic painful musculoskeletal conditions.
A CLINICAL STUDY OF VARIOUS PRESENTATIONS OF ABDOMINAL TUBERCULOSIS, EVALUATION AND MANAGEMENT
Authors: Padvi Tushar , Gaykavad Mittal , Shah Jignesh
Published: July 2023

Introduction: Abdominal tuberculosis includes tuberculous infection of gastrointestinal tract, mesentery, lymph nodes and omentum, peritoneum and solid organs like liver and spleen. The initial clinical presentations are nonspecific and no single laboratory investigation is pathognomonic. Abdominal tuberculosis with an acute abdomen presents as an enormous challenge to the surgeon. This is a two-year retrospective observational study of 30 Materials And Methods: Patients who presented with abdominal tuberculosis at the department of General surgery, New Civil Hospital and Government Medical college Surat from June 2019 to December 2021 were selected. The relevant clinical information (history & examination), laboratory results (ESR &CBNAAT), microbiological and radiological (CECT abdomen) investigations were recorded. Histopathological examination of all the resected / excised specimens was done. Results: Out of 30 Patients with Abdominal Tuberculosis, the average age of the participants was 30.7 years with a slight male predominance (Male: Female =2.75:1). Abdominal pain (90%) was the most common presenting symptom followed by vomiting (46.66%) and fever (36.66%). The Mesenteric lymph node is the most commonly affected site of involvement. The commonest operative findings adhesion of bowel (26.6%), followed by tubercle over peritoneum / bowel (20.0%), perforations (13.33%) stricture. All the 15 resected / excised tissue specimens (7 cases of intestinal resection and 8 cases of intestinal, omental and lymph nodes biopsies) showed epithelioid granulomas. All patients were put on anti-tubercular treatment and majority showed good response to therapy. Abdominal tuberculos Conclusion: is is a major public health concern. Vague symptoms lead to diagnostic delay. A high index of suspicion, proper evaluation and therapeutic trial in suspected patients is essential for an early diagnosis, in order to minimize complications.
RETRACTION CLEFTS IN INVASIVE CARCINOMA BREAST- CORRELATION WITH
HISTOPATHOLOGICAL FACTORS AND HORMONAL STATUS
Authors: Shrivastava Shachi , C K Rao Anuradha , Papaiah Supriya
Published: July 2023

Retraction clefts (RCs) in breast neoplasm have recently piqued pathologists' interest owing to the ease of identification in hematoxylin-eosin (H&E) stained sections wherein they can be further classified. It can be a predictor of nodal metastasis in breast carcinomas. RCs are defined as the cavity in tumour sections with no endothelial cell lining around tumour glands or nests. Some of the studies proposed that the RC can be a marker of disease progression and nodal metastasis. We studied the amount of RCs in 50 invasive breast cancer specimens, as well as their relationships with histopathological factors. Objectives of the study was 1.To assess the relationship of RC with histopathological factors. 2.To determine the relationship of RC with hormonal status. Materials and methods: 50 formalin-fixed paraffinembedded samples of Invasive breast carcinoma no specific types were included. Conventionally stained H & E sections of 4 μm and 2μm thick were studied for RC, and compared with histopathological factors and hormonal status. Results: Out of 50 cases included in this study,42 cases showed presence of RC. It showed significant correlation with the size of tumour (p-0.001), Lymphovascular invasion (p-0.004), Perineural invasion (p-0.010), stage (p-0.001), Lymph node metastasis (p=0.03) and HER2 positive status (p-0.03).No statistically significant association was identified between the RCs and tumor grade (p-0.667),ER (p-0.643), PR status (p–0.345), Ductal carcinoma in situ (DCIS) (p-0.0.775), Necrosis (p-0.804). Conclusion: Retraction clefts in invasive breast carcinoma can be an important histopathological marker for detecting cases with poorer outcome based factors
A RARE CASE REPORT ON SPONTANEOUS NECROTIZING FASCITIS OF ANTERIOR ABDOMINAL WALL
Authors: Kumar Kalyan , V Yuvarani. , Vijayalakshmi V. , S. Shanthi. P.
Published: July 2023

Necrotizing Soft-Tissue Infections (NSTI) are a dreaded form of infections of the layers within the soft tissue compartment (dermis, subcutaneous tissue, superficial fascia, deep fascia, or muscle) that are associated with necrotizing changes and systemic toxicity. These spread rapidly and carry high mortality (16%-24%). These infections can present with trivial features like small ulcers or mild cellulitis. our patient presents with spontaneous necrotizing fascitis of anterior abdominal wall without any trauma or surgery which is very rare, associated Immunocompromised status, diabetes can add on to the infection, extensive debridement was done, Gram staining is important for empirical treatment and specific treatment starts after culture and sensitivity of the toxic fluid according to the organisms isolated. Even after the advancements of antibiotics, adequate surgical debridement remains the mainstay in limiting the spread of the infection. Novel therapeutic management like hyperbaric oxygen, Intravenous immunoglobulin have been developed but with limited success. Various prognostic scoring systems are present to predict the morbidity and mortality associated with these infections which help to identify high-risk patients who may benefit from the new therapeutic strategies. Care for patients with NSTIs requires an approach with expertise from critical care, surgery, reconstructive surgery, and rehabilitation specialists.
A REVIEW: ORAL CARE IN THE ELDERLY
Authors: Kaplan Mehmet , Discioglu Feridun , Yasinoglu Evgin
Published: July 2023

Dentists and patient care staff have to adapt to the growing and changing group of elderly patients and develop new concepts for their oral care. In general, dental care for elderly and very elderly people should be according to their daily lives. One of the most important conditions for healthy aging is to preserve a natural, healthy and functional oral and dental structure as much as possible. Poor oral hygiene can lead to tooth decay, gingivitis, periodontitis, tooth loss, halitosis (bad breath), fungal infections, dry mouth and gum disease. These problems impair the elderly person's functions such as chewing, speaking, swallowing and tasting and may affect their nutritional habits. Good mechanical and chemical oral hygiene can overcome these problems, especially prevent pneumonia, which can develop due to poor oral hygiene. In the elderly, oral motivation and dental plaque control are very important The use of a toothbrush is the most important factor for oral hygiene. The use of fluoride toothpaste is essential for daily oral hygiene. The correctuse of dental floss and interdental brushes should be demonstrated by health professionals. In addition, solutions containing antiseptics such as chlorhexidine or triclosan support oral care by reducing the amount of bacteria in the mouth. Daily cleaning of prostheses is very important for oral hygiene. This article is for the elderly oral dental health care and recommendations will be discussed.
A Quantum Beta Distributed Multi-Objective Particle Swarm Optimization Algorithm for Twitter Fake Accounts Detection
Authors: Aboud Ahlem , Rokbani Nizar , Mirjalili Seyedali , Hussain Amir , Chabchoub Habib , Alimi Adel M.
Published: July 2023

Fake account detection is a topical issue when many Online Social Networks encounter several issues caused by the growing number of unethical online activities. This study presents a new Quantum Beta-behaved Multi-Objective Particle Swarm Optimization (QB-MOPSO) algorithm for machine learning based Twitter fake accounts detection. The proposed approach aims to improve the learning process of deep neural networks, random forest, through minimizing simultaneously the feature dimensionality and the classification error rate. The main contribution consists in proposing a quantum beta MOPSO to handle the training phase of neural and deep architectures. The QB-MOPSO is used to perform a multi-objective training of the random forest algorithm. The QB-MOPSO has two optimization profiles: the first one uses a quantum-behaved equation for improving the exploratory behaviour of PSO, while the second one uses a beta function to enhance PSO’s exploitation. An extensive experimental study is carried out using two open Twitter datasets with 1982 and 928 accounts. The new proposal is a random forest QB-MOPSO. Results showed that random forest QB-MOPSO accuracy is about 99.19% and 97.52% accounts on datasets 1 and 2. Comparative analysis of the prosed architecture toward the original architecture showed that the use of QB-MOPSO for learning enhances the random forest algorithm which perform then the original ones.
On Delay Performance in Mega Satellite Networks with Inter-Satellite Links
Authors: Dakic Kosta , Chan Chiu Chun , Al Homssi Bassel , kandeepan sithamparanathan , Al-Hourani Akram
Published: July 2023

Utilizing Low Earth Orbit (LEO) satellite networks equipped with Inter-Satellite Links (ISL) is envisioned to provide lower delay compared to traditional optical networks. However, LEO satellites have constrained energy resources as they rely on solar energy in their operations. Thus requiring special consideration when designing network topologies that do not only have low-delay link paths but also low-power consumption. In this paper, we study different satellite constellation types and network typologies and propose a novel power-efficient topology. As such, we compare three common satellite architectures, namely; (i) the theoretical random constellation, the widely deployed (ii) Walker-Delta, and (iii) Walker-Star constellations. The comparison is performed based on both the power efficiency and end-to-end delay. The results show that the proposed algorithm outperforms long-haul ISL paths in terms of energy efficiency with only a slight hit to delay performance relative to the conventional ISL topology.
Resolving the extra dimensions for gravity
Authors: Boyd Michael
Published: July 2023

The weakness of the force of gravity compared to the electromagnetic force and the other fundamental forces has been referred to as the hierarchy problem. If gravity propagates in several additional spatial dimensions that are large compared to the Planck scale, the hypothesis is that gravity is stronger close-up, e.g., below a certain interaction distance the force of gravity is magnified. In the hard disk drive assembly, the magneto-resistor (MR) read sensor in the head assembly operates within 100nm of the spinning disk surface. Fourteen variable size nano-bumps and nano-pits were fabricated on a magnetic disk platen’s surface designed to be less than the Planck mass 21.77 μgrams. These nano-features were measured over the spinning disk with both piezoelectric and MR sensors. The data was validated using both atomic force microscope (AFM) and magnetic force microscope (MFM) measurements. Results are reviewed and theoretical implications are discussed. The results suggest that the force of gravity is magnified and there are two forms of gravitation. Implications to modified spacetime are discussed.
Modulation of Point Spread Function for Super-Resolution Imaging
Authors: Lu Jian-yu
Published: July 2023

A four-dimensional (4D) general super-resolution imaging method (called PSF modulation method) was developed via modulation of an arbitrary point-spread-function (PSF) of an imaging system such as an ultrasound and optical system. The highest image resolution achievable will only be limited by the noises in the images. Theory, computer simulations, and experiments were presented.

A pulse-echo image of a super-resolution (0.65 mm versus a two-way diffraction-limited resolution of 2.65 mm, or 4.08-fold improvement) and 31-dB signal-to-noise ratio (SNR) was obtained with an ultrasound experiment using a 0.5-mm diameter modulator and 1.483-mm wavelength. Another ultrasound experiment shows that a wave source was imaged at a super-resolution (0.5 mm versus a one-way diffraction limited resolution of 3.63 mm, or 7.26-fold improvement) at about 30-dB SNR, using the same modulator size and wavelength.

In addition, a PSF-weighted super-resolution imaging method based on the PSF modulation method was developed. This method is easier to implement but may have some limitations. With a proper choice of a modulator (e.g., a quantum dot) and imaging system, nanoscale (a few nanometers) imaging is possible using the methods developed. 
Modeling, Analysis, and Design for Small-Signal Stability in Sequence-Decomposed Grid-Forming Control
Authors: Awal M A , Cen Siye , Rachi Md Rifat Kaisar , Yu Hui , Schröder Stefan , Husain Iqbal
Published: July 2023

Fast and accurate detection of symmetrical components is critical for ride-through of asymmetrical faults in grid-forming (GFM) inverter based resources (IBRs). Sequence-decomposed GFM control enables to emulate the behavior of a synchronous machine by an IBR in both positive- and negative-sequences, where current references are generated separately in each sequence from the extracted symmetrical components of the terminal voltage. Cross-coupled dynamics between the stationary frame components attributed by the symmetrical component extraction (SCE) complicates the analysis and design process. In this work, a small-signal model is developed for the analysis and design of such sequence-decomposed GFM control.  It is demonstrated that by virtue of its overall structure, sequence-decomposed GFM control enables simplified analysis eliminating the cross-coupled dynamics characteristic to SCE. Subsequently, comparative analysis is presented between delay based and filter based SCE methods focusing on their impact on small-signal stability. Design guidelines are provided along with supporting experimental evidence using a laboratory inverter prototype.
Journal of Social Inclusion Launch April 26, 2010
Authors: Kirby Michael
Published: July 2023

Speech by the Honourable Michael Kirby AC CMG
We are able to make music together! Workshops with musicians with severe disabilities
Authors: Tiszai Luca
Published: July 2023

Social isolation, inequality and poverty are frequently understood as secondary consequences of different disabilities. People with severe disabilities usually experience various direct and indirect forms of social exclusion that also affect their family-members. Their participation is extremely challenging since it seems difficult to involve them in any kind of social activity. The present article describes the methodology of disabilityawareness workshops in which musicians with severe disabilities play together with other workshop participants. The aim of these workshops is to involve participants without disabilities in fruitful mutual cooperation with adults with severe disabilities. It is essential to prepare people when they first meet individuals with severe disabilities. During the workshops participants are prepared for the encounter as it is crucial to overcome the embarrassment that many experience when meeting people with disabilities. The Consonante Method allows individuals with limited intellectual and motor skills as well as people without previous musical training to experience the joy of active participation in a music performance. Shared music can be a platform for socialization through a joyful activity. The community building power of music allows participants to experience joy, community, equality and mutuality. These well-prepared encounters promote mutual understanding and thus can serve as a positive model for inclusion.
Migration background and educational affordability amongst Pacific Islander migrant learners in Melbourne’s western region
Authors: Paulsen Irene Kmudu
Published: July 2023

High cost is a major barrier to the attainment of educational goals of many learners, especially those from economically-disadvantaged backgrounds. In Australia, this cohort includes Pacific Islander (PI) learners for whom low family income and ineligibility to access Government assistance for tertiary education costs may prohibit some learners from pursuing Higher Education (HE) studies. Whilst cultural barriers such as unfamiliarity with the education system, low language competence, and poor institutional support for non-traditional learners have consistently dominated the discourse on Pacific Islander learner’s low levels of achievement in education, less attention has focused on the effects of migration background, economic, and social adjustment patterns on their schooling outcomes. This article proposes that migration history, socio-economic background, and financial challenges affect PI migrant learners in two distinct ways: for those who have motivation and capability to enroll in tertiary level study, their aspirations are constrained by the high cost of tuition fees; while those learners who have the financial means and support to enroll in HE study are sometimes constrained by long-term poverty, which affects their motivations to study at the tertiary education level.This qualitative study involved working with a small group of PI learners from Melbourne’s western region from 2012 to 2015. Information was gathered from semi-structured interviews conducted with learner participants, and their parents and teachers. Learners were interviewed three or four times, while their parents and teachers were interviewed either once or twice over a four-year period. The collected data was sorted and categorized using NVivo software, and later categorized into broad themes, which were then cross matched with individual learner case stories to refine emerging finding and themes.The study revealed that migration background has an important influence on the social and economic settlement patterns of PI learners and their families and these in turn significantly affect learners’ schooling and post school outcomes.
‘I would call it a social capital building exercise’: the nature of networks that enable women with a refugee background to access sustainable employment in regional Australia
Authors: Whitaker Louise , Hughes Mandy , Rugendyke Barbara
Published: July 2023

Securing sustainable employment is an important factor in the successful settlement of women from refugee backgrounds into regional Australia, however, the path to its attainment is complex. Work that takes advantage of the breadth of their untapped skills or offers sustainable careers is not readily available. Further, having to seek refuge suggests that women bring embodied memories of trauma which may, in turn, continue to impact on their health. A pilot program was funded to support women from refugee backgrounds as they navigated the employment pathway. This paper reports the findings from an action research study which was associated with the pilot program. As social capital enables people to be “hired, healthy, happy and housed” (Woolcock, 1998, p. 154), the study investigated the form and function of the networks that enabled these women. Findings revealed the women engaged in building a network that increased the number of people that they knew as both friends and professional paths to employment. Program participants were also keen to be embedded in the geographical and cultural landscape. Further this social, cultural and physical engagement provided opportunities to mobilise and further develop their skills. This interwoven web of connections fostered women’s safety and enabled them to discover their unique pathways to potential employment.
Ethical considerations when conducting research with people with nonverbal autism: A commentary on current processes and practices
Authors: Hills Karenne J , Clapton Jayne , Dorsett Pat
Published: July 2023

People with severe (nonverbal) autism are significantly under researched. Physical, communication and social limitations have created misconceptions concerning their ability to engage in meaningful communication and to participate in collaborative research. Those who are nonverbal often communicate by use of a specialised device that requires the assistance of a personal facilitator. This process, while representing the preferred and frequently only method of communication for people with nonverbal autism, is subject to significant criticism by some scholars. Therefore, ethical and practical considerations concerning authenticity, capacity and consent require careful attention when conducting research with this population. These factors however, must be held within a methodological design that provides space for the inclusion, respect and empowerment of research participants to ensure their voices are authentically represented. This commentary provides a response to these considerations as they were addressed within a research study that used interview as a method of data collection for people with nonverbal autism.
Are we making a difference? Rural university students’ perceptions of diversity and inclusion
Authors: Ho Henry , Browers Catherine
Published: July 2023

Recent demographic trends indicate that the evolving workforce will increasingly comprise a variety of cultures, belief systems, and ethnic populations. As future professionals in a global environment, post-graduate business students must understand the increasing importance of differences they will encounter. The purpose of this study is to understand business students’ perceptions of diversity and inclusion during their academic experience in a rural university in west-central Michigan, USA. The research design was descriptive, and the research was conducted using a quantitative method of surveying. Any students currently pursuing their qualification at College of Business comprised the target population. A total of 349 students responded to the survey. The respondents ranging in age from 18-24 years responded to Likert scale and nominal questions regarding their perceptions on diversity and inclusion. Although mostly positive, business students shared that some of the current programs could be improved. These perceptions provide constructive data for use in evaluating and amending current diversity and inclusion programs and suggestions for future research are offered based on the study’s findings.