bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring Risk Factors of Type 2 Diabetes Mellitus Using Decision Tree and Random Forest Models: Baseline Data From Kharameh Cohort Study
Authors: Jalali Maryam , Niazkar Hamid Reza , Ghoddusi Johari Masoumeh , Saem Amir Hossein , Rezaianzadeh Abbas
Published: November 2024

Background and aims: Identifying subjects that are at risk of type 2 diabetes mellitus (T2DM) and predicting the associated risk factors are highly important. Thus, this study aimed to explore the risk factors and find the prediction model for T2DM using decision trees (DTs) and random forest (RF) models. Methods: This cross-sectional study is a part of the Kharameh Cohort Study. Kharameh Cohort is a part of the Fars Cohort, which started in 2014 with 10663 people aged 40–70. In this study, the risk factors of T2DM were explored using two data mining methods. Accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) were applied to evaluate the models. The data were statistically analyzed using R software. Results: The DT modeling showed that age, triglycerides (TG), physical activity, systolic blood pressure, low-density lipoproteins (LDL), and body mass index (BMI) were the most associated factors in D2MT, while applying RF revealed that fasting blood sugar, cholesterol, creatinine, TG, gamma-glutamyl transferase physical activity, BMI, and LDL were the most effective on T2DM. The RF model was superior to the DT based on the applied criteria. Sensitivity, specificity, accuracy, and AUC for the RF were 73.4, 70.10, 73.5, and 79.1. These findings for the DT were 63.8, 69.7, 62.8, and 66.8, respectively. Conclusion: Based on the inferences, a strong association was found between several risk factors and the risk of T2DM. Therefore, predictive analytics using the RF model can be applied to identify the risk factors of other chronic diseases.
Association Between Gallstone Disease and Kidney Stone Disease: A Systematic Review and Meta-analysis
Authors: Beigi Faramarz , Salehifard Jouneghani Alizamen , Heidari-Soureshjani Saeid , Sherwin Catherine MT , Rahimian Ghorbanali
Published: November 2024

Background and aims: Gallstone disease (GSD) and kidney stone disease (KSD) have increased due to lifestyle in recent decades. This systematic review and meta-analysis aimed to investigate the association between these two diseases. Methods: A comprehensive electronic database search was conducted before August 25, 2024. This systematic review and meta-analysis included observational studies. The meta-analysis employed a random-effects model to compute the overall summary estimates of the association between GSD and KSD using risk ratios with 95% confidence intervals (CIs) as the primary measure of the effect size. Heterogeneity was evaluated using chi-square tests, the I² statistic, and forest plots. Publication bias was assessed through Begg’s and Egger’s tests. A P value of less than 0.05 was considered statistically significant, and all analyses were performed using Stata 17 software. Results: The meta-analysis included 9 studies encompassing 982847 participants. The pooled analysis revealed a statistically significant association between GSD and KSD, with a risk of 1.78 (95% CI: 1.572.03, P≤0.001). Begg’s and Egger’s tests demonstrated no significant bias (Begg’s test P=0.835, Egger’s test P=0.812). Variables such as study year, sample size, mean age of participants, mean follow-up, and study quality as determined by the Newcastle-Ottawa Scale (NOS) were examined, but none could significantly impact heterogeneity (P>0.10). Conclusion: This systematic review and meta-analysis provide evidence of a significant association between GSD and KSD. Therefore, further investigation into the underlying mechanisms and potential risk factors is necessary.
ATYPICAL PERFORATED CHOLECYSTITIS COMPLICATED BY INTRA-ABDOMINAL BLEEDING
Authors: С.Б. Имангазинов , Н.К. Андасбеков , М.О. Шамгунов , Н.К. Ардабаев , Е.А. Жагапаров , К.К. Жусупов
Published: November 2024

В хирургической практике могут наблюдаться различные варианты течения перфоративного холецистита, не соответствующие типичным его проявлениям. В статье описан клинический случай атипичной перфорации желчного пузыря, осложненной кровотечением в свободную брюшную полость. Применение ультразвукового исследования органов брюшной полости и диагностическая лапароскопия позволили установить диагноз и выбрать адекватную хирургическую тактику.

In surgical practice, various variants of perforated cholecystitis, which do not correspond to its typical manifestations, can be observed The article describes a clinical case of atypical perforation of a gallbladder, complicated by bleeding into a free abdominal cavity. The use of ultrasound examination of an abdominal cavity and diagnostic laparoscopy made it possible to establish the diagnosis and select an adequate surgical tactic.

Хирургиялық тәжірибеде өт қабының тесілуінің белгілеріне сәйкес емес тесілген холециститтің әртүрлері кездеседі. Бұл мақалада құрсақ қуысына қанап асқынған өт қабының өт қабы тесілуіне тән емес өзгеше клиникалық жағдайы жазылған. Құрсақ қуысын ультрадыбыстық зерттеу мен лапароскопияны қолдану дұрыс диагноз қойып, керекті хирургиялық тәсілді таңдауға мүмкіншілік еткен.
Workshop Perawatan dan Perbaikan Air Conditioner (AC) Bagi Remaja Putus Sekolah Di Desa Kuala Alam
Authors: Syah Khairudin , Faizi M. Nur
Published: November 2024

Desa Kuala Alam adalah salah satu Desa di Kabupaten Bengkalis, hingga saat ini masih bisa dan terus berupaya untuk eksis dalam mendukung terwujudnya visi Kabupaten Bengkalis salah satunya adalah terwujudnya Kabupaten Bengkalis sebagai Model Negeri Maju dan Makmur di Indonesia.  Sampai saat ini Desa Kuala Alam terus melakukan kolaborasi di berbagai bidang dengan kampus Politeknik Negeri Bengkalis demi terwujudnya visi Kabupaten Bengkalis. Melalui koordinasi bersama Direktur BUMDes Kuala Alam ada beberapa program yang harus dijalankan salah satunya menciptakan SDM Desa Kuala Alam yang komperhensip dalam berfikir dan selalu mengantisipasi tuntutan di masa depan, memiliki sikap positif, berperilaku terpuji, dan berwawasan, serta memiliki kemampuan, keterampilan, dan keahlian yang sesuai dengan kebutuhan diberbagai bidang serta sektor pembangunan.  Tujuan dari kegiatan pengabdian kepada masyarakat yang dilakukan adalah menciptakan SDM yang minim ilmu pengetahuan dalam hal ini adalah pemuda Desa Desa Kuala Alam yang putus sekolah dengan cara melatih dan mengasah keterampilan pemuda tersebut dibidang perawatan dan perbaikan Air Conditioner  (AC)  sehingga dapat mengubah mindset, mempunyai hard  skill  dan  soft kill  yang baik dan membuka peluang  usaha dibidang pelayanan dan jasa bagi pemuda tersebut.
The Effect of Dry needling and Muscle energy technique on Pain in Myofascial Trigger Point Syndrome (MTRPS) M.Upper Trapezius
Authors: Siti Sarah Bintang  , Dani Hafiz Utomo  , Simson Sinuhaji  , Sabirin Berampu
Published: November 2024

Background: Myofascial Pain Syndrome is a common health problem where the main cause is repetitive injury. Various interventions can be performed to reduce pain and symptoms from MTrPs, one of which is dry needling (DN) and muscle energy technique (MET). Purpose: of this study is to determine the effect of DN, MET, and combination of DN+MET on pain at MTrPs m.upper trapezius. Research method quantitative three groups pre and post test design. Sample was taken using total sampling technique and total of 48 people with MTrPs m.upper trapezius obtained. Numeric Rating Scale (NRS) used to measure pain intensity. The statistical tests used are Wilcoxon signed ranked test and the Mann-Whitney U. Results and discussion: effect of DN intervention with P-Value= 0.000 (P<0.05), MET P-Value= 0.000 (P<0.05), Combination of DN+MET P-Value= 0.000 (P<0.05). Comparison of DN with MET P-Value= 0.001 (P<0.05), DN with combination of DN+MET P-Value= 0.030 (P<0.05), MET with a combination of DN+MET P-Value= 0.000 (P<0.05). Conclusion: based on statistical result DN, MET, and the combination of DN+MET had the same effect on reducing pain at MTrPs m.upper trapezius, where the DN+MET combination proved to be more effective and more recommended in the treatment of MTrPs m.upper trapezius. Keywords: Myofascial Trigger Point Syndrome; Dry Needling; Muscle Energy Technique.
Effectiveness of Intradialytic Exercise on Muscle Strength and Fatigue Score in Chronic Kidney Failure (CKF) Patients in the Grandmed Hemodialysis Room
Authors: Purba Anita Gandaria , Sagala Deddy Sepadha Putra , Ali Sabela Hasibuan  , Yuni Suharnida Lubis
Published: November 2024

Chronic kidney failure is a progressive and irreversible kidney dysfunction in which the body's ability to maintain metabolism, fluid and electrolyte balance is disrupted, resulting in uremia or azotemia. Hemodialysis is a form of treatment for patients with chronic kidney failure, in which the patient's blood is diverted out of the body through a dialyzer, which occurs through diffusion and ultrafiltration, after which the blood is returned to the patient's body. Several methods to maintain muscle strength and reduce fatigue scores, namely intradialytic exercise is an exercise program developed that can increase muscle strength, muscle endurance and physical activity. The general objective of this study was to determine the effectiveness of intradialytic exercise involvement interventions on muscle strength and fatigue scores in hemodialysis patients at GrandMed Lubuk Pakam Hospital. This research method is a quantitative study, using a quasy experiment with a one group pre-test post-test design. The population in this study were all patients with Chronic Kidney Failure who were recorded at the Medical Records Hospital Grandmed Lubuk Pakam from October 2021 to December 2022. With inclusion criteria: respondents experienced movement disorders, muscle cramps, and weakness. The number of samples was 22 respondents. The sampling technique used in this research is non-probability sampling, namely purposive sampling. The statistical test used is the Wilcoxon test. The Wilcoxon test results obtained significant results from the intradialytic exercise technique on muscle strength and fatigue scores with a p value of 0.00 each. So that it can be concluded that there is an effect of giving good intradialytic exercise interventions on muscle strength & fatigue scores in chronic kidney failure patients undergoing hemodialysis
El aprendizaje: experiencia sensorial práctica y entendimiento
Authors:   Universidad Santiago de Cali, Hernández Díaz John Fredy , Portilla Portilla Mónica Gabriela ,   Universidad Santiago de Cali
Published: November 2024

En este texto se aborda el tema de la experiencia sensorial práctica; su propósito es presentar una aproximación al análisis de cómo se provee de ideas o pensamiento abstracto el entendimiento, desde la perspectiva de la neurociencia y la filosofía del empirismo moderno, particularmente con los aportes de George Berkeley, Eric Kandel, John Locke y Oliver Sacks, que permita relacionar la acti-vidad sensorial práctica con el proceso de aprendizaje. Actuar es aprender, el cerebro es eminentemente un órgano práctico y cada estímulo a los órganos de los sentidos proveniente de la experiencia discurre a través de estos hasta las neuronas, para ubicarse en la me-moria, producto del perfeccionamiento práctico. Esto se relaciona con las cualidades subjetivas de los objetos asimiladas por el enten-dimiento como experiencia sensorial, que modifica la arquitectura neuronal a partir de la reflexión interna de las ideas sobre otras en la mente. La metodología seleccionada es de carácter documental, mediante una selección preliminar de estudios realizados por las neurociencias y la filosofía, basados en un proceso lógico inductivo, para analizar el objeto de investigación.
Desarrollo de las emociones a través de la educación ambiental compleja
Authors:   Universidad Santiago de Cali, Cabezas Sánchez José Armando , Flórez Millán César Luis ,   Universidad Santiago de Cali, López Muñoz Kely Alejandra ,   Universidad Santiago de Cali, Leal Castro Alejandro ,   Universidad Santiago de Cali
Published: November 2024

Este artículo tiene como objetivo presentar una propues-ta de enseñanza para potenciar el desarrollo de las emociones de ni-ños con Síndrome de Down (SD) en la Fundación Asopanid, a par-tir de actividades de educación ambiental, desde la perspectiva de la complejidad. Para esto, se implementó una metodología de tipo cualitativo, a partir de seis fases. En la primera, se seleccionó y di-señó el enfoque metodológico, en la segunda se aplicaron y valida-ron los instrumentos de investigación, en la tercera se identificaron las emociones en los niños con SD, en la cuarta se realizó un análisis de las emociones a partir de las categorías establecidas, en la quinta fase se fundamentó teóricamente la propuesta de enseñanza y, por último, se diseñó dicha propuesta. De este modo, se realizó una pro-puesta de enseñanza con actividades ambientales que tuvieron como tema el “reciclaje” con el propósito de fortalecer aspectos emociona-les que permitan la interacción del entorno y los estados de ánimo de los estudiantes, para potenciar el desarrollo emocional en niños con SD. Para concluir, se evidenció la importancia que pueden tener las actividades ambientales en el fortalecimiento de las emociones propiciando la integración de la población de niños con SD en la sociedad.
Captación de rutas neuronales y generación de sinapsis utilizando procesos metacognitivos en la adolescencia
Authors:   Universidad Santiago de Cali, Garzón Ortiz Miguel Antonio , Correa Agredo María Fernanda ,   Universidad Santiago de Cali, Arenas Belalcázar Claudia Jimena ,   Universidad Santiago de Cali
Published: November 2024

Este proyecto de investigación busca captar las rutas neuronales de una persona que se encuentre en la adolescencia media (entre 14 a 17 años), con el fin de generarlas en otra persona que se encuentre en la misma etapa del ciclo vital, el proyecto será desarrollado utilizando herramientas pedagógicas y científicas que permitan la generación de condiciones óptimas para una persona en su proceso de aprendizaje. Este proyecto es desarrollado en la Institución Educativa Técnica Ciudadela Desepaz, ubicada en la ciudad de Cali-Colombia, con estudiantes entre los 14 y 16 años que se encuentran en bachillerato; se seleccionarán seis estudiantes con un desempeño académico entre 3.0 a 5.0, es decir, que cuenten con un desempeño medio y alto; se seleccionarán tres estudiantes “modelo” con rutas neuronales a captar y otros tres “aspirantes” que generen una sinapsis similar a las de los tres primeros. Los instrumentos a utilizar son entrevistas y evaluaciones relacionadas con las funciones cognitivas, tales como: memoria de trabajo, atención y razonamiento. Por último, se desglosará el proceso de aprendizaje que tuvieron los estudiantes “modelo”, para que posteriormente los “aspirantes” simulen dicho proceso, generando de esta forma rutas neuronales similares, esto para analizar y evaluar procesos cognitivos en los adolescentes, implementarlos en los aspirantes y generar una sinapsis. Se aplicará el diseño cuasi experimental para que los estudiantes optimicen sus métodos de aprendizaje captando rutas neuronales y generando sinapsis utilizando las funciones cognitivas.
La escuela rural y la práctica pedagógica
Authors:   Universidad Santiago de Cali, Orozco Muñoz José Julián , Portilla Portilla Mónica Gabriela ,   Universidad Santiago de Cali
Published: November 2024

Desde 1970 la introducción de políticas neoliberales, la estandarización en las políticas educativas colombianas, los conflictos político-militares, conflictos sociales y económicos, la creación de la escuela nueva en los 70, las políticas de alfabetismo y escritura de los años 60 en adelante, el desplazamiento de la población rural y, en general, la violencia rural, ha propiciado continuidades, discontinuidades, rupturas, nuevas identidades en las comunidades. El presente documento tiene como finalidad reflexionar sobre la ruralidad y la escuela rural, exponiendo algunos condicionantes para analizar nuevos horizontes de los sujetos, la educación y las poblaciones, que surgen de los saberes y discursos académicos y de políticas educativas, que se articulan a las transformaciones y a los desafíos de la sociedad actual. En términos metodológicos, proponemos la práctica pedagógica como un enfoque para analizar la escuela y estudiar los sujetos, los discursos y los saberes, a partir de las relaciones de saber, poder y subjetividad. Se construirá el archivo pedagógico y se usarán estrategias como análisis documental, análisis de correspondencias y diferencias, observación, indagación, relatos pedagógicos, conversaciones, entrevistas, fotografías, notas de campo, etc.
Propuesta para el desarrollo de actividades realizadas por la Agrupación Damas Grises de la Cruz Roja Colombiana durante la pandemia mediante el uso de herramientas digitales
Authors:   Universidad de Santander, Romero Sara María , Rojas Gómez Alejandra ,   Cruz Roja Colombiana
Published: November 2024

Resumen. El presente proyecto lo realizó la Agrupación Damas Gri-ses de la Cruz Roja Colombiana, Unidad Municipal de Cúcuta, quie-nes por la pandemia generada por el virus Covid 19 suspendieron sus actividades, solo que desde sus inicios buscaron la forma de reacti-varse, dando origen al desarrollo de la presente propuesta. La metodología utilizada es un estudio de carácter exploratorio, de tipo cualitativo por tratarse de un tema sin abordar dentro de la Ins-titución, debido que parte de una situación atípica. Además la orga-nización no estaba preparada para afrontarla; se aplica la técnica de recolección de información empleando herramientas como entrevis-tas y encuestas para la identificación de los programas y actividades que se podían reactivar. El desarrollo del trabajo inicialmente se da con el diagnóstico del pro-ceso, donde se ejecutan programas antes de iniciar la pandemia que con llevan a conclusiones del mismo; finalmente, se lleva a cabo la propuesta que consta de un plan de acción conformado por las pre-sentaciones con características de reactivación dadas por el manejo de las TICS, la elaboración de los instructivos y videos de apoyo que explican la forma de utilizar la herramienta de aprendizaje colabora-tivo y la puesta en marcha de las actividades.
Proyecto integrando comunidad: Experiencia significativa del proceso de enseñanza-aprendizaje
Authors:   Fundación Universitaria Comfamiliar, Vargas Cortés Paola Andrea , Duque Arroyave Jhon Faber ,   Fundación Universitaria Comfamiliar
Published: November 2024

El Proyecto Integrando Comunidad es una experiencia significativa en el aula de clase en donde se integra la academia y el sector productivo, con la participación de estudiantes y docentes en el desarrollo de una práctica educativa, en la que se conjugan los conocimientos adquiridos en tres módulos financieros (contabili-dad de costos e inventarios, investigación de mercados financieros y simulación financiera) que corresponden al ciclo de Tecnología en Gestión Financiera de la Fundación Universitaria Comfamiliar Ri-saralda, con la práctica laboral en la modalidad de proyecto real o simulado, atendiendo las necesidades identificadas en la comunidad de La Pradera en el municipio de Dosquebradas. Con dicha propuesta, los estudiantes logran llevar la teoría a la prác-tica, empleando los conocimientos de los módulos directamente involucrados y los aprendizajes previos que sirven de base para con-vertirse en consultores de diferentes unidades de negocio, y generar documentación, análisis, estrategias y recomendaciones que puedan ser la base para que los microempresarios de la comunidad anterior-mente mencionada tomen decisiones apropiadas, con base en crite-rios financieros sustentados. Además, este proceso de enseñanza-aprendizaje se integra con las bases de la filosofía institucional, ya que se apropia de la misión y va-lores de la Fundación Universitaria Comfamiliar. Risaralda, bajo la premisa de formar profesionales integrales que respondan a las ne-cesidades de la sociedad, a través de la investigación aplicada y el em-prendimiento, y posibilita que los estudiantes fortalezcan y evidencien los valores de trabajo en equipo, liderazgo, equidad, inclusión, responsabilidad social y sostenibilidad.
Atención en la Comisaría Los Mangos de Cali a mujeres víctimas de violencia intrafamiliar años 2018 y 2019
Authors:   Universidad Santiago de Cali, Angulo Rivera Manuela Elizabeth , Astudillo Villegas Ricardo ,   Universidad Santiago de Cali, Valencia Gil Olmedo Antonio ,   Universidad Santiago de Cali
Published: November 2024

Esta investigación tuvo como objetivo evaluar el impac-to psicosocial de aquellas acciones afirmativas tendientes a eliminar las formas de violencia como la violencia intrafamiliar, y en particu-lar evaluar el impacto de la Política Pública para las mujeres caleñas adoptada en el municipio mediante el Acuerdo 292/10. Así, la investi-gación evalúa la calidad de la atención recibida por mujeres víctimas de violencia intrafamiliar en una Comisaría de Familia de la ciudad, frente a las garantías y derechos con que ellas cuentan en el marco de la Política Pública. Para responder a esto, se divide en seis partes de las cuales cinco contienen lo referente al problema de investigación y, una sexta parte donde se desarrolla el contexto de la Política Pública, se presenta información recopilada sobre las denuncias de los casos de violencia intrafamiliar y se corrobora el restablecimiento de derechos de las mujeres víctimas de violencia intrafamiliar.
Casos en derecho médico
Authors: Murillo Amaris Edwin , Marín Ordóñez Jennifer Stella , Rincón Andreu Gerard
Published: November 2024

La generación de conocimiento en la confluencia de dos áreas del conocimiento, la medicina (salud) y lo jurídico, permite ampliar el horizonte de sentido del ejercicio investigativo y, por ende, formativo en todos los campos. Precisamente, este es el producto que una vez más la Maestría en Derecho Médico de la Facultad de Derecho de la Universidad Santiago de Cali entrega a la comunidad académica y a la sociedad en general
"Percepción frente a los servicios de salud recibidos por niños entre los 0 a 6 años y adultos mayores en una institución de salud de primer nivel de complejidad Estudio de caso"
Authors:   Universidad Santiago de Cali, Revelo Obando Myriam Alejandra , Ordoñez Edward Javier ,   Universidad Santiago de Cali, Tovar Erazo William Hernán ,   Universidad Libre
Published: November 2024

Los adultos mayores y los menores de 6 años, tal y como está consagrado en la constitución política de Colombia, representan sujeto de especial protección dada su vulnerabilidad con respecto a los servicios de salud recibidos por este grupo poblacional. Son evidentes las fallas en dicho sistema ya que, si bien es cierto, estas personas por su avanzada edad presentan ciertas limitaciones. Por este mismo hecho, deben ser tratadas como tales, es allí donde re-sulta importante conocer su percepción frente a los servicios que reciben en una institución de primer nivel de complejidad, teniendo en cuenta que, según la normatividad vigente en cuanto a habili-tación, estas entidades prestarán servicios como: medicina general, odontología general y atención de urgencias, servicios en los cuales nos centraremos para realizar nuestro estudio.
Percepción del entorno social caleño sobre la aplicación de la eutanasia en pacientes terminales frente a la legitimidad
Authors:   Universidad Santiago de Cali, Neira Fajardo Moisés , Zapata Bonilla Gilberto Hernán ,   Universidad Santiago de Cali
Published: November 2024

La dignidad humana en Colombia es fundamento, valor, prin-cipio, derecho fundamental y fin del estado social de derecho, este principio se erige como barrera de la intromisión del estado en la autodeterminación del individuo, la cual debe ser respetada duran-te el transcurso de la vida y también al momento de morir. En ese sentido la constitución ha consagrado que hay derechos inherentes a la persona humana que sin estar escritos no se pueden negar; el derecho a morir con dignidad es un derecho inherente a la persona humana, así como la muerte es inherente a la vida y es la última etapa de la misma. En tal sentido, mediante este trabajo se analizan las categorías: “percepción que tiene el entorno social caleño”, “los pacientes terminales de la misma población” y “sus familias”, con respecto a la eutanasia, enfrentado a la legitimidad. Se ha utilizado el método de investigación cualitativa – fenomenológica-herme-néutica a través de muestras no probabilísticas por conveniencia, mediante el cual se evidenció que la sociedad caleña, tiene una percepción favorable hacia la eutanasia, ello permitió concluir que la eutanasia en la población de Cali goza de legitimidad jurídica por la amplia aceptación de esta por parte de sus habitantes.
DEVELOPMENT OF A LINGUISTIC DATABASE FOR SENTIMENT ANALYSIS
Authors: ALLANAZAROVA Sabokhat
Published: November 2024

Sentiment analysis is a field of research that uses NLP/Artificial Intelligence techniques to determine thoughts, emotions, and attitudes expressed about an object or event. This means analyzing the tone or mood of the text, feelings and thoughts. Many sentiment analysis studies and linguistic resources have been developed for the English language. However, there are a limited number of studies on the Uzbek language. The reasons for this are insufficient data collection, direct translation of existing English language resources not being compatible with the Uzbek language, differences in the grammatical structure of the two languages, and regional, religious, and mental differences. The study aims to identify emotional-expressiveness units that express emotional evaluation and to develop a linguistic database for emotional analysis. It deals with the issues of developing the linguistic support for sentiment analysis of Uzbek language texts; the study of context-dependent factors in emotional analysis; and determining the best style for the Uzbek language. Attention is paid to the analysis of expressing emotional evaluation means specific to the Uzbek language levels.
TO STUDY THE CLINICO-PATHOLOGICAL CORRELATION OF BENIGN BREAST DISEASES IN TRIBAL REGION OF SOUTHERN RAJASTHAN
Authors: Bhanwaria Rahul , Nagar Devwrat , Gopal Sharma Krishna , Kalyani Kalyani
Published: November 2024

Background: Benign Breast Disease are growing public awareness and have increased referral to hospitals, clinics for breast symptoms and are 10
times more common than malignant disease. The overall objective is to compare age distributions, mode of clinical presentations, side of lesion and
two evoulate the various treatment management of Disease. Methods: A prospective observation study conducted at RNT medical College
Udaipur with 60 patients. Detailed clinical history and examination done and compared with result obtained. Result: Out of 60 patient most
common was fibroadenoma which was 48 percentage and mostly managed surgery, followed by fibroadenosis mostly managed conservatively. In
study Most common age group was 21 to 30 years. Benign breast disease was common problem in female of reproductive age group. Conculsion:
Benign Breast disease is common problem of reproductive age group in which fibroadenoma and fibroadenosis is most common.
COMPARATIVE ANALYSIS OF OUTCOMES FOLLOWING ILEOSTOMY AND COLOSTOMY CLOSURE
Authors: Sharma Ashish , Yadav Gaurav , Jashvantbhai Patel Akash
Published: November 2024

A study conducted at Index Medical College, Indore, compared the short-term outcomes of ileostomy and colostomy closures to determine which
procedure is preferable for diversion based on stoma reversal. The study involved two groups of 32 patients each, with Group 1 consisting of
ileostomy patients and Group 2 including colostomy patients, further divided into those who underwent the Hartmann procedure or had a simple
loop colostomy. Results showed that intraoperative blood loss was highest in the Hartmann group due to severe adhesions, while the ileostomy
group had less blood loss and fewer postoperative complications, such as wound infection, anastomotic leakage, and ileus, which were easier to
manage. Overall, ileostomy closure was found to be superior, requiring a simpler, less invasive procedure compared to colostomy closure, which
often necessitated exploration.
CORRELATION OF THE SIZE OF LIVER ABSCESS AND LIVER FUNCTION TEST: AN EXPERIENCE AT TERTIARY CARE CENTRE, UDAIPUR (RAJASTHAN)
Authors: Nagar Devwrat , Bhanwaria Rahul , Gopal Sharma Krishna
Published: November 2024

Introduction: Liver abscess is collection of pus within the liver parenchyma, rst described by Hippocrates, especially prevalent in tropical
regions. It includes three types: pyogenic, amoebic, and fungal. Pyogenic abscesses, accounting for 80% of cases, are often polymicrobial, while
amoebic abscesses result from Entamoeba histolytica. Diagnosis is challenging due to overlapping symptoms, requiring imaging and cultures.
Objective: To analyse correlation of size of liver abscess with Liver function test (LFT) and TLC . Methods: The study is a hospital based
descriptive epidemiological study collecting dataon LFT and liver abscess size from patients diagnosed with liver abscess based on radiological
investigation. Results: In this study of 50 patients, the majority were male (84%) with a mean age of 42.66 years. Common symptoms were fever
(92%) and abdominal pain (90%). Hepatomegaly (80%) and abdominal tenderness (60%) were frequent ndings. This study revealed TLC, SBT,
SGOT, SGPT, ALP and INR have positive correlaation with abscess size while negative correlation between serum albumin and abscess size .
Treatment involved ultrasound-guided aspiration (80%), with a mortality rate of 6% due to complications like MODS and septicemia .
Conclusion: The size of liver abscess have positive correlation with TLC , SBT, SGOT, SGPT, ALP, INR and negative correlation with Serum
albumin .
Influence of Information and Communication Technology-Based Training on Livestock Production Efficiency in Bwari Area Council, Abuja
Authors: Eleke Ugochinyere Princess , Lai-Solarin Winifred Ifeoma , Bamidele Joseph , Joel Oluwamayowa Joseph , Joel Ayoola Faith , Sennuga Samson Olayemi
Published: November 2024

This study examines the influence of ICT-based training on livestock production efficiency among farmers in Bwari Area Council, with a focus on socio-economic characteristics, ICT knowledge post-training, productivity impact, effectiveness factors, and preferred ICT tools. Using a multi-stage sampling approach, 250 livestock farmers were selected. Primary survey were collected and analyzed with descriptive and inferential statistics to meet the research objectives. The socio-economic analysis reveals a farming population primarily composed of middle-aged individuals (mean age 41.7 years), with 72% male and 64% married. Education levels varied, with 38% having secondary education. Post-training evaluations indicated that 80% of farmers were proficient in SMS alerts for disease management, 72% confident in mobile applications, and 70% experienced productivity gains using ICT tools. ICT training was found to positively impact areas like increasing awareness of government programs and subsidies (3.4), scheduling vaccinations accurately (3.3), disease prevention (3.2), and record-keeping (3.1) and feeding practices (3.0), preparing and storing livestock feeds (2.9), etc. Logit regression analysis identified significant factors influencing ICT effectiveness, including educational level (p=0.010), cooperative membership (p = 0.012), household size (p=0.032), contact with extension agents (p=0.011), and access to credit (p = 0.002), while gender, marital status, and farm size were non-significant. Kendall’s Coefficient of Concordance analysis ranked mobile applications, SMS alerts, and radio broadcasts as the most effective ICT tools, demonstrating high consensus. Partnerships with telecommunication companies and government initiatives is recommended to address connectivity barriers, ensuring that all farmers can fully utilize digital tools in their livestock management practices.
Relationship between Abnormal CTG Findings and Perinatal Outcome
Authors: N Rahman , N Siddiquee , S Chisty , A Akter , Z Paul
Published: November 2024

Background: Continuous monitoring of fetal well-being through cardiotocography (CTG) is a standard practice in antenatal care, aiming to detect and manage potential complications. However, interpreting CTG patterns requires expertise and understanding, especially in diverse clinical settings such as those in Bangladesh. Objective: To assess normal and abnormal CTG patterns and their implications for perinatal outcomes in a tertiary level hospital in Bangladesh. Methods: A cross sectional study was conducted on CTG recordings of pregnant women admitted to the antenatal unit of a tertiary level hospital in Bangladesh from January 2024 to June 2024. CTG pattern was abnormal based on established criteria. Perinatal outcomes including fetal distress, neonatal outcomes, and obstetric interventions were recorded and analyzed in relation to CTG findings. The aims of the study were to evaluate the abnormal cardiotocography (CTG) patterns during the antenatal period and their impact on perinatal outcomes at a tertiary level hospital in Bangladesh. Results: The incidence of fetal distress was significantly higher in cases with abnormal CTG patterns compared to normal patterns (p<0.05). Furthermore, neonatal outcomes such as Apgar scores <7 at 1 minute and 5 minutes were more prevalent in pregnancies with abnormal CTG patterns. Among the abnormal CTGs groups, who had more risk factors abnormal outcomes were more. Most of the patients in both the normal and abnormal CTGs groups were associated with DM. In abnormal CTGs groups pre-eclampsia, PROM Many pregnant women had other risk factors associated with DM. Conclusion: This study highlights the importance of accurately assessing CTG patterns in the antenatal period for predicting perinatal outcomes. The identification of abnormal CTG patterns can aid in timely interventions to prevent adverse outcomes for both the mother and the newborn.
The Impact of Laparoscopic Treatment on Fertility Outcomes in Patients with Severe Endometriosis
Authors: Islam Dr. Farhana , Hossain Dr. Shahid , Afzal Md. Nur , Haider Dr. Rina , Akhter Dr. Kulsum , Akhter Dr. Ruma
Published: November 2024

Background: Endometriosis, a prevalent gynecological disorder affecting women of reproductive age, is a significant cause of infertility, especially in severe cases involving extensive adhesions, endometriomas, and deep infiltrating lesions. In Bangladesh, the delay in diagnosis and limited access to advanced treatments, including laparoscopic surgery, poses challenges to improving fertility outcomes for women with severe endometriosis. Objective: This study aimed to assess the impact of laparoscopic treatment on fertility outcomes in patients with severe endometriosis, particularly in a resource-limited healthcare setting in Bangladesh. Methods: This retrospective cohort study included 78 women with severe endometriosis from tertiary hospitals in Dhaka and Khulna, Bangladesh. All participants had previously experienced unsuccessful in vitro fertilization (IVF) attempts and subsequently underwent laparoscopic surgery between 2015 and 2024. Data collection involved reviewing primary and secondary data from these tertiary hospitals, including medical records and operative reports, and was supplemented by follow-up interviews for comprehensive analysis. Variables such as patient age, infertility duration, previous IVF cycles, operative findings, and postoperative fertility outcomes were analyzed using SPSS, with statistical significance set at P < .05. Results: The mean age of patients was 34.3 years, and the average duration of infertility was 52.9 months. Post-laparoscopic surgery, 42.3% (33/78) of women successfully delivered, with 7% achieving spontaneous conception. Younger age, fewer prior IVF cycles, and a normal uterine appearance on transvaginal ultrasound were significantly associated with improved fertility outcomes. Salpingectomy was more common among those who delivered (70%), though the removal of ovarian endometriomas did not significantly impact fertility success. Conclusion: Laparoscopic treatment significantly improves fertility outcomes in Bangladeshi women with severe endometriosis, even in a resource-limited setting. Age, normal ovarian function, and uterine appearance were key factors influencing reproductive success. These findings underscore the importance of timely surgical intervention for endometriosis-related infertility, highlighting the need for improved access to laparoscopic surgery in low-resource healthcare systems.
SÍFILIS CONGÊNITA UM PANORAMA GERAL
Authors: Sousa Maria Vitalina Alves de , Pereira Francisca Jéssica Mesquita , Lopes Ana Claudia Coelho , Gomes Cristiane Coelho Timbó Ferreira , Lima Cyntia Batista , Martins João Guilherme de Sousa , Soares Olga Maria Araújo , Cunha Antonia Thays Araújo , Freitas Jacqueline Cristina Matos de , Farias Maria Divina dos Santos Borges , Oliveira Hitalo Ramon Assunção , Lima Italo Santiago Dias Barbosa , Silva Avelar Alves da
Published: November 2024

A pesquisa teve como objetivos descrever o perfil epidemiológico da sífilis congênita no Brasil, considerando a incidência, prevalência e distribuição geográfica, além de analisar as tendências temporais na sua ocorrência, observando variações ao longo dos anos. Trata-se de um estudo quantitativo, retrospectivo e descritivo dos casos de sífilis congênita notificados no Brasil. Foram utilizadas bases de dados secundários (SINAN), no período de janeiro de 2013 a novembro de 2023. Entre 2013 a 2023, foram identificados 251.659 casos de sífilis congênita no Brasil. De 2013 a 2018, houve um aumento de aproximadamente 90,22% no número de casos. Maior número de casos na região Sudeste. 94,88% dos casos eram de RN com até 6 dias. Além disso, foi notório que a maior parte foi composta por Sífilis Congênita Recente, e 93,85% na evolução foram vivos. A população entre 20-24 apresentou o maior número de casos de sífilis gestacional. Um número expressivo informa não ter realizado o pré-natal (33.860), e 54,94% dos parceiros não realizaram o tratamento. Mesmo com os esforços do Ministério da Saúde, das associações, das entidades profissionais e da sociedade civil para diminuir os casos de sífilis gestacional e congênita no Brasil, os dados analisados revelam que ainda há um grande desafio a ser enfrentado para atingir a meta nacional de controle desse relevante problema de saúde pública.
Cultivation conditions and their impact on yerba mate ecophysiology and antioxidant potential
Authors: Zanotto Gabriel Scherner , Montes André Luiz , Touguinha Luciana Bavaresco Andrade , Silvestre Wendel Paulo , Branco Cátia dos Santos , Schwambach Joséli
Published: November 2024

This work aimed to evaluate the effect of light and shading on yerba mate's ecophysiology and antioxidant potential. To this end, an experiment was carried out in an entirely randomized design, with three treatments, being cultivated in full sun (Ts), in agroforestry (Ta), and in native forest (Tm). Photosynthesis activity and chlorophyll, phenolic compounds, flavonoids, and tannins  , and antioxidant activity were analyzed to determine the best cultivation environment that influences the ecophysiology and antioxidant potential of Yerba mate. Ts environment yielded higher concentrations of phenolic compounds, flavonoids, and tannins. Shaded environments showed greater antioxidant activity. Chlorophyll and photosynthesis indices differed in shaded environments, with Tm having higher concentration and photosynthetic activity and Ta having lower concentration and photosynthetic activity. The results show that PAR positively influenced the biochemical parameters. Shading was more efficient for antioxidant activity, and agroforestry contributed to greater antioxidant activity. The highest concentrations of chlorophyll and highest photosynthetic activity were found in yerba mate in native forests.
A Study on the Role of Physical Education and Sports in Promoting Social Skills of High School Students
Authors: - Vijayakumar Mahaveer Siddagoud , - Manjunath Sindhe
Published: November 2024

This research analyses the importance of physical education and sports in fostering social skills. Few high school students have empathy, leadership, teamwork, and communication the most. This offers them an opportunity to sharpen those qualities and more when they are practicing sports through physical education. The present study employed a descriptive design, and 200 high school students from Dharwad, Karnataka, were selected to fill out a structured questionnaire related to the demographic data and the extent of attitudes toward physical education as well as social skills. Results showed that 70% had moderate and 14% scored high in social skills (predicate) but were not low. Still, 16% of students were in the very low social skills category, so these results suggest a need for targeted social skills training during physical education. The findings highlight the importance of an aspect usually linked to physical health. However, when implemented effectively, it can also positively impact a wider variety of social and emotional results, which is crucial for the overall development of students. In light of this, the study recommends that schools introduce broad physical education curricula with a substantial focus on social skills training along with trained educators and improved sports facilities to ensure a rounded social and emotional development among students.
Uncontrolled Diabetes Mellitus Type II Prevalence among Young, Middle, and Old-Aged Adults in Perambalur District Population of Tamil Nadu, India.
Authors: - Dr.B.N.Arudhradharasenam , - M.Jansirani Sivasubramanian
Published: November 2024

This study is aimed to approximate the prevalence of uncontrolled diabetes mellitus among Perambalur District population of South TamilNadu. Diabetes mellitus (DM) is a chronic metabolic disorder due to insulin deficiency or resistance which can affect multiple organs of the body such as heart, kidneys and eyes. Uncontrolled diabetes mellitus (DM), refers to having high blood sugar levels (hyperglycemia). Uncontrolled diabetes is at a greater risk of diabetic complications and a significant health concern in Perambalur District of Tamil Nadu, Southern India, India. A study conducted in Dhanalakshmi Srinivasan Institute of Medical Sciences & Hospital, Perambalur district of Tamil Nadu, Southern India, India. The study included 454 uncontrolled diabetes mellitus subjects of which 60.35% uncontrolled diabetes mellitus in female population and 39.65% uncontrolled diabetes mellitus in male population. The study included 274 female subjects was further divided into three age groups, age group I (25 to 44 years) of 23.38% uncontrolled diabetes mellitus population, age group II (45 to 60 years) of 47.46% uncontrolled diabetes mellitus population, and age group III (61 to 85 years) of 29.20% uncontrolled diabetes mellitus population. The 180 uncontrolled diabetes mellitus male subjects was further divided into three age groups: age group I (25 to 44 years) of 32.22% uncontrolled diabetes mellitus population, age group II (45 to 60 years) of 42.22% uncontrolled diabetes mellitus population, and age group III (61 to 85years) of 25.56% uncontrolled diabetes population. This uncontrolled diabetes mellitus was confirmed by estimating glycated hemoglobin (HbA1C) in these diabetes mellitus population. Our study confirmed that there may be a significant burden of diabetes mellitus related both micro vascular and macro vascular complications in this Perambalur district region of Tamil Nadu, Southern India, India.
The Effect of Teaching Strategies on English Language Learning in Libya
Authors: - Khald A.H. Aldbea
Published: November 2024

This study examines the impact of teaching strategies on English language learning in Libya, focusing on the challenges Libyan teachers face in secondary schools. The research investigates the effectiveness of different teaching methods and explores innovative strategies, including interactive technologies, in the classroom. The primary aim is to assess how these strategies influence student engagement, language proficiency, and overall learning outcomes.
A mixed-method approach was employed, incorporating a quantitative analysis of survey data from ten high school English instructors in Hoon. The results indicate that educators frequently employ supportive techniques, including offering comments and encouraging task completion. The study reveals substantial deficiencies in self-assessment and contemporary evaluation techniques, suggesting a dependence on conventional pedagogical methods. The absence of modern methodologies, such as student reflection and peer assessment, may restrict students' active engagement and impede their linguistic advancement.
This research paper also identifies differences in teaching practices based on teacher demographics, including gender and years of experience. More experienced teachers were found to employ a broader range of strategies, suggesting the need for mentorship and professional development for newer educators. The study emphasizes integrating technology-enhanced tools and reflective assessment techniques to foster a more effective and engaging learning environment. The conclusions drawn from this research paper recommend that targeted professional development programs be implemented to support teachers in adopting more reflective and modern teaching methods. These programs should focus on enhancing teachers' skills in self-assessment techniques, peer evaluation, and technology integration in the classroom. By doing so, English language instruction in Libya can be significantly improved, contributing to better student outcomes and excellent English proficiency.
Overall, the study underscores the need for a dynamic and adaptable approach to teaching English, where traditional methods are supplemented by innovative strategies that actively engage students and equip them with the necessary skills to succeed in a globalized world.
Online Marketing through Consumers: A Study of Effectiveness of Tools and Techniques Across Industries
Authors: - Dr.Ruchi Gupta
Published: November 2024

This study aims to examine how consumers' perceptions of brands and their purchasing decisions are influenced by various online marketing tools used in different industries, such as Word of Mouth (WOM), online chat assistance, and email advertising. The purpose of this research was to explore the relationship between these online marketing tools and their impact on brand perception and consumer purchasing decisions. While there are many factors that influence consumer purchasing decisions and brand perception, the most significant ones are word of mouth, online chat, and email. Our findings indicate that internet-active residents of India prefer word of mouth over online chat and email advertising. Many companies use word of mouth as an online marketing strategy to attract potential customers and influence their purchasing decisions and brand perception. There are no universal factors that affect consumer decisions in India but word of mouth, being cost-effective, is widely used by consumers and has proven to be effective. In India, the cultural emphasis on personal recommendations holds significant influence over consumer behavior. This preference has led to a growing trend where brands are leveraging the power of influencers to promote and market their products. This strategy allows brands to tap into the trust and authority that influencers hold within their respective communities, ultimately enhancing their reach and impact in the market.