bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving Bicycle and Motorcycle Helmet Design to Prevent Traumatic Brain Injury
Authors: Chalamgari Anjalika , Liu Annika , Dave Akanksha , Lucke-Wold Brandon
Published: September 2024

Traumatic brain injury (TBI) from bicycle and motorcycle-related accidents continues to be a major medical and financial burden in the United States. The complex management and debilitating consequences of TBI demand greater attention to its prevention, of which much relies on helmet use and structure. Conventional helmets today rely on an expanded polystyrene (EPS)-liner, which works to mitigate the linear acceleration experienced by the brain during impact. However, recent evidence suggests that it is not the linear acceleration but the rotational acceleration of the impact that most contribute to TBI development. This has led to the development of novel helmet designs that aim to mitigate rotational kinematics in addition to linear kinematics. The objective of this study was to overview limitations in current helmet design and discuss two of the most well-studied novel prototypes: WaveCels and Multi-Directional Impact Protection Systems (MIPS). Though both ultimately reduce the rotational acceleration of injury, they differ in mechanism and efficacy. Given the importance of helmet structure in the prevention of TBI, we find that more work is needed directly comparing these and other new designs.
Till death do us part? The inconspicuous impact of subarachnoid haemorrhage on conjugal status
Authors: Hoz Samer S. , Alfawares Yara , Ismail Mustafa , Al-Kishawi Fatimah , Andaluz Norberto
Published: September 2024

A patient’s partner plays a significant role in providing care and support after an aneurysmal subarachnoid haemorrhage. After such events, it is observed that conjugal status tends to change, improving in some cases and worsening in others. Despite this, little research exists on its progression after subarachnoid haemorrhage. In this letter, we provide a brief summary of the studied sequelae of subarachnoid haemorrhages, such as fatigue, cognitive decline, and personality changes, and discuss the potential interplays between those and conjugal status. We also report the primary author’s series of aneurysmal subarachnoid haemorrhage cases in Iraq as an example of the observation of conjugal status changes after subarachnoid haemorrhage. The hope is to shed light and encourage further research on this topic, considering its significant impact on patient well-being and outcomes.
Neurosurgery-centred multidisciplinary team-based decisions
Authors: Alaraji Zainab A. , Al-Ageely Teeba A. , Alaraji Zinah A. , Abdulrazaq Huda , Atallah Oday , Ismail Mustafa , Hoz Samer S.
Published: September 2024

A multidisciplinary team (MDT) brings together a group of healthcare professionals from different fields at a specific time to discuss a case. People in an MDT can contribute to the decisions and plans for diagnosing and managing the patient. [1].
MDT in healthcare settings is essential; the main aim is to bring together a group of healthcare professionals from different fields and combine their inputs—this assistance in discussing patients’ presentations and findings, determining comprehensive treatment plans, and treatment side effects. The physical and psychological effects of impaired of these functions can significantly impact patients' quality of life and social well-being. [1].
In war-torn countries with limited resources and complex specialities like neurosurgery, MDT-based decisions may significantly impact the treatment process and outcome. In this paper, we try to highlight the differences in MDT-based work environments compared to the paucity of such organized decisions in war-torn regions of Iraq.
Microsurgical excision of intracranial arteriovenous malformation
Authors: Sankar Mathan S. , A. Dhanasekar , R. Raghavendran
Published: September 2024

Objectives: Brain Arteriovenous malformations are high-flow cerebrovascular lesions with dysplastic vascular nidus, fed by arteries and drained by veins without intervening capillaries. Prevalence is 0.2% and is an important cause of intracerebral haemorrhage in about 38% of young adults. The objective of this study is to analyze surgically managed Intracranial AV malformations with respect to their demographic features, varied clinical presentations, imaging features Spetzler Martin grading and outcome.
Methods: A study of 48 patients with Intracranial Arteriovenous malformations who underwent microsurgical excision at the Institute of Neurosurgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai over a period of 5 years from July 2018 to June 2022 and extracted their data including demographic characteristics, clinical presentations, Spetzler-Martin (SM) grades, complications and outcome were assessed.
Results: Of the 48 patients treated with microsurgery, the most common 51% belongs to the age group between 21 to 40years, left-sided is slightly more common with headache major symptom, involving Parietooccipital lobe 33% commonly, 28 (62.2%) patients initially presented with haemorrhage.
Anterior circulation artery feeders was common 68.8% and mostly drainage involving superficial venous drainage system. Based on the Spetzler-Martin (SM) grading system, the patients were graded as follows: 6(13 %) Grade I, 10(21%) Grade II, 25(52%) Grade III, 3 (6%) Grade IV and 4(8%) Grade V. Overall, 35(73%) patients had a favorable outcome, most commonly seen in Grade I, II and Grade III. Almost complete obliteration of the AVMs were achieved in all favorable outcome cases.
Conclusion:  Microsurgical excision is the gold standard treatment of choice for low grade AVMs and certain high-grade AVMs with increased risk of rupture. The Spetzler-Martin grading system is a simple and effective method to estimate the risk of surgery and to evaluate the prognosis.  Proper patient selection combined with appropriate preoperative evaluation, meticulous surgical technique and postoperative care all lead to reduced mortality and morbidity.
The future of spine surgery: technological innovations and advancements
Authors: Jehanzeb Muhammad
Published: September 2024

Spine surgery has witnessed remarkable advancements in technology, techniques, and patient outcomes. The future of spine surgery holds even greater promise as technological innovations continue to shape the field. This comprehensive review explores the role of various technological advancements in the future of spine surgery, focusing on robotic-assisted surgery, augmented reality and virtual reality, 3D printing and custom implants, artificial intelligence and predictive analytics, biomaterials and tissue engineering, nanotechnology, and telemedicine.
Robotic-assisted surgery offers enhanced precision and improved outcomes through real-time guidance and surgical manoeuvre assistance. Augmented reality and virtual reality technologies provide valuable tools for preoperative planning, intra-operative navigation, and surgeon training. 3D printing and custom implants enable personalised treatment approaches with improved fit and alignment. Artificial intelligence and predictive analytics offer decision support, precise diagnostics, and real-time monitoring. Biomaterials and tissue engineering approaches facilitate tissue regeneration and targeted drug delivery. Nanotechnology holds promise for precise diagnostics, real-time monitoring, and targeted therapies. Telemedicine and remote monitoring enhance postoperative care and improve accessibility to specialised care.
These technological advancements have the potential to revolutionise spine surgery by improving surgical outcomes, enhancing patient experiences, increasing accessibility to specialised care, and optimising healthcare delivery. However, challenges such as cost, training, regulatory approvals, privacy, and ethical considerations must be addressed for successful implementation.
Future research directions include further exploration of robotic-assisted surgery, advancement of augmented reality and virtual reality technologies, development of advanced biomaterials and tissue engineering strategies, exploration of nano-materials, and ongoing evaluation of telemedicine and remote monitoring. Collaboration among surgeons, engineers, and scientists is crucial to advancing these technologies and optimising their clinical applications.
In conclusion, the future of spine surgery is shaped by technological advancements that offer improved precision, personalised treatment approaches, and enhanced patient outcomes. While challenges exist, ongoing research and innovation will drive the field forward, improving patient care and advancing the field of spine surgery as a whole.
The extended post spinal surgery syndrome (EPSS)
Authors: R. Ramnarayan , Chaurasia Bipin
Published: September 2024

Pain can occur after any spinal surgery. Despite this, there are other many signs and symptoms of neurological deficits that can occur in patients with varying severity. Our aim is to find some of the main neurological deficits that can occur after any spinal surgery. We searched the literature based on some of the important keywords like neurological deficits after spine surgery, foot drops, cauda equina syndrome, epidural hematoma, and nerve and dural injury. Based on this we analyzed the most important and widely read articles. The problems associated with spine surgery have been published in the literature but are much more than the failed back surgery syndrome and cause more discomfort to patients with varying degrees of neurological deficits. We have coined a new term “Extended Post-spinal Surgery Syndrome (EPSS)” for these conditions. We propose this to include the other complications after lumbar surgery including nerve injury, dural injury, cauda equina syndrome and epidural haematoma.
Pre-rupture syndrome
Authors: Manisor Monica , Coltea Petru , Cindea Cosmin-Nicodim , Breazu Alexandru , Kerekes Tamas , Saceleanu Vicentiu
Published: September 2024

Oculomotor nerve palsy can be a strong indicator of an internal carotid artery aneurysm, specifically of the posterior communicating artery, due to the anatomical positioning within the basal cisterns of the subarachnoid space, which allows for nerve compression. This condition can predict an acute subarachnoid haemorrhage, associated with a high mortality rate, often presenting with sudden, severe headaches, with or without deficits. The pathophysiology theories include direct mechanical compression by the aneurysmal sac, arterial pulsations, and nerve tissue oedema from venous obstruction. In cases of unruptured aneurysms, nerve irritation is less common. This palsy occurs in about one-third of cases.
Aneurysmal orientation can vary (lateral, superior, inferior, medial, posterior), and due to the nerve’s anatomical position, aneurysms in the postero-lateral-inferior position are more likely to cause nerve damage. Treatment opinions vary from observation to intervention, with options including traditional neurosurgery and endovascular embolization. The latter is increasingly preferred due to its efficacy and lower risk profile.
A clinical case involves a 56-year-old female presenting with ptosis, diplopia, and ipsilateral mydriasis. Imaging confirmed a posterior communicating artery aneurysm with a maximum diameter of 5.3 mm and a 3 mm bleb. Endovascular coiling was performed successfully, excluding the aneurysm from circulation without complications. Post-treatment, the patient was discharged in good condition with recommendations for periodic monitoring.
In conclusion, while no single best treatment exists for posterior communicating artery aneurysms with oculomotor nerve palsy, early intervention (surgical or endovascular) and patient monitoring are crucial for preventing complications and ensuring quality of life.
Clinical outcomes of tubular microdiscectomy with 18mm diameter tubular retractor for lumbar disc herniation
Authors: Tripathi Praveen Kumar
Published: September 2024

Introduction: Tubular microdiscectomy is one of the minimally invasive techniques for spine surgery.  This prospective study aims to evaluate the clinical outcomes of using a tubular microdiscectomy with an 18 mm dilator for the treatment of lumbar disc herniation over a 2-year period.
Methods: A prospective observational study of 57 patients who had undergone a first-time, single-level lumbar discectomy presented with single-sided radiculopathy with or without backache was done. Perioperative and postoperative results were assessed by documenting operative time, estimated blood loss, length of stay, rate of wound infection, neurological deficits in post-op period, rate of cerebrospinal fluid leak and resumption of work. Pain assessment was done with VAS score at admission, at discharge and in follow up.
Results: A total of 57 patients were included in the study. The average duration of surgery was 64 minutes. The average duration from surgery to discharge was 35.5 hours. The average time for complete resolution of radicular symptoms was 8.5 days. The median time for return to work was 20 days. Two patients experienced cerebrospinal fluid (CSF) leak due to inadvertent durotomy. The mean Visual Analog Scale (VAS) value at admission was 9.5087, which significantly reduced to 1.49 at discharge.
Follow-up assessments at 15 days, 1 month, 3 months and 1 year revealed sustained improvements in clinical outcomes.
Conclusion: Tubular microdiscectomy with an 18 mm dilator demonstrates favourable clinical outcomes for patients having single-level lumbar disc prolapse intervertebral disc causing radiculopathy and low backache, less blood loss intraoperatively, small scar, lesser hospital stay and early return to work.
Intestinal perforation due to a ventriculoperitoneal shunting catheter
Authors: Rojas Urrea Alejandro , Arias Mariño Daniela , García Agudelo Lorena , Rojas Gutierrez Marco Antonio
Published: September 2024

Introduction: The ventriculoperitoneal (VP) shunt allows the drainage of excess cerebrospinal fluid; among its gastrointestinal complications are intestinal volvulus, pseudocyst, and perforation, the last of which is rare but potentially serious, with a frequency between 0.1% and 0.7% and a mortality rate around 15%. We present the case of a male child who required VP shunt colocation and suffered GI tract perforation with transanal protrusion.
Case report: A three-year-old male with a long clinical history of pilocytic astrocytoma in the posterior fossa that was partially resected in February 2022 and with VP shunt placement since March 2022. He was diagnosed with an intestinal perforation and anal externalization due to a VP shunt. He required surgery and management with combined antimicrobials.
Discussion: Although the aetiology of GI tract perforation due to a VP shunt is not fully established, some risk factors have been described, including the use of abdominal trocars, rigid distal catheters, silicone allergies, and children's thin intestine walls. Treatment must be individualized, with some principles including external drainage of the proximal part until the CSF fluid reaches a biochemically near-normal state and becomes sterile on culture; secondly, the administration of intravenous antibiotics; and finally, the removal of the perforating section of the catheter.
Conclusions: Bowel perforation due to a VP shunt is an extremely rare entity whose aetiology is not fully established, primarily affects children and may be mostly related to chronic-irritative gastrointestinal distress. Individualizing treatment is the cornerstone of the therapeutic approach that includes VP shunt replacement, antimicrobial therapy, and management of life-threatening complications.
An exceptional presentation of pituitary apoplexy in thyrotoxicosis
Authors: Chaulagain Dipak , Smolanka Volodymyr , Smolanka Andriy , Havryliv Taras
Published: September 2024

Pituitary apoplexy (PA) is a rare and potentially life-threatening condition characterized by severe headaches, vomiting, visual disturbances, ophthalmoplegia, altered mental status, and possible pan-hypopituitarism. A macroadenoma-induced pituitary haemorrhage is the primary cause. Various factors such as systemic hypertension, altered intracranial pressure, head trauma, anticoagulation, and pregnancy can trigger PA. A 35-year-old non-smoking male presented with headaches and an enlarged thyroid gland. Initial imaging revealed a haemorrhage in the sellar area, prompting a clinical diagnosis of pituitary apoplexy with T3 thyrotoxicosis. Despite the absence of visual impairment, conservative management was chosen, including anti-hypertensive therapy and follow-up MRI after three months. PA diagnosis can be challenging without prior identification of a pituitary tumour. Imaging modalities like MRI are crucial for diagnosis, and radiological follow-up is recommended. The relationship between PA and hyperthyroidism remains unclear, necessitating further investigation in patients presenting with PA symptoms.
Spinal arachnoid cysts
Authors: Velivela Kiran Chand , Thotakura Amit Kumar , Marabathina Nageswara Rao
Published: September 2024

Objectives: Spinal arachnoid cysts (SAC) are rare lesions. There are many uncertainties regarding details about Intradural and Extradural SAC. We present a series of 12 cases of  SAC along with a comprehensive review of the literature. In this review, we discussed the differences between Intradural and Extradural SAC pertaining to demography, pathogenesis, surgical procedures and outcomes.
Methods: We retrospectively collected the data of 12 patients of SAC treated at our Institute from 2012 to 2023. The age, gender, clinical, radiological, surgical data and outcome were noted. An extensive review of the literature was done to analyse and note the differences between Intradural and extradural SAC and their surgical management.
Results:  In our series of 12 patients, 7 had Extradural SAC(58.3%), 3 had Intradural SAC(25%) and 2 had Intramedullary SAC(16.7%). . Of the 12 patients, 4 were males and 8 were females (1:2). Age range was 9 to 64 years and the mean age was 34.42 ± 17.71 years. There were four paediatric patients in the series. The most common symptoms reported at presentation are weakness of limbs(81.9%),back pain(36.4%), sensory symptoms(36.4%), radicular pain (18.2%), and bladder disturbances(9.1%). Out of the 12 patients, surgery was done in 11 patients and one patient was managed conservatively.
Conclusions: From the review of the literature, intradural SAC was twice as common as extradural SAC. Ventrally located SACs are more common in Intradural locations as compared to Extradural. The intradural SACs were more commonly located in the thoracic and cervical regions when compared to extradural SACs which were located commonly in the thoracolumbar, thoracic and lumbar regions. Extradural SACs were mostly Primary and the mainstay of treatment is complete or partial excision of the cyst with identification and ligation of the communicating pedicle. Selective laminectomy, partial excision of the cyst and wide fenestration to sustain CSF flow is the recommended treatment in Intradural SAC.
Acute synchronous bilateral extradural hematoma, a scarcely reported, rare entity
Authors: Parashar Vibhu Shankar , Arora Pankaj , Garg Ritesh , Aswal Priyanka
Published: September 2024

Objective: Extradural hematomas (EDHs) are contact injuries resulting from blunt trauma to the skull. It may be unilateral or bilateral. Bilateral acute extradural hematoma (EDH) was rarely reported before the advent of computed tomography. Mortality rates vary from 10.0%-40.0% and are an index of alertness and efficiency of health care and hospital set-up. EDH is an injury with preventable mortality in most cases. Bilateral acute extradural hematomas no longer confer high mortality of pre-CT era because of early diagnosis on CT, and prompt neurosurgical intervention. We present our experience with Bilateral EDH cases with an aim to investigate clinical, GCS score, and radiological features and also to analyse outcomes in these patients.
Material and methods: We analyzed cases of EDH who presented at our centre from January 2023 to December 2023 and further investigated ten cases of bilateral EDH. All the patients were examined clinically and a plain computerized tomography scan of the head was performed. The clinical details of all patients, GCS at admission and discharge, radiological findings on CT and neurosurgical intervention performed, and GOS (Glasgow outcome score) were noted.
Results: Road traffic accident was the reason for traumatic brain injury in all the cases. The GCS at admission was between 13–15 in 2 patients, 8–12 in 6 and 3–7 in 2 patients. Bilateral EDH was found in all of our patients .9 out of 10 cases were males. On CT head underlying fracture was seen in all cases. The localization of epidural hematomas in CT scans was bifrontal in four of the cases. All cases were treated with surgical management. The GOS Score was 5 in eight of the patients.
Conclusion: Posttraumatic bilateral acute extradural hematoma is a rare entity, but now does not show the high mortality previously seen in the preCT era. This is due to early radiological diagnosis on CT and profuse monitoring combined with expeditious operative procedures.
Colloid cyst of the third ventricle
Authors: Kaif Mohammad , Kumar Abhishek , Yadav Kuldeep , Singh Deepak Kumar
Published: September 2024

Background: In the past, microsurgical resection was considered the gold standard treatment for colloid cysts. The endoscopic approach is gaining popularity and has been recognized as a safe and effective alternative to open surgery.
Aims: To evaluate our results, safety and efficacy of the endoscopic approach
Materials and methods: This retrospective study included seven patients with colloid cysts who underwent endoscopic resection between May 2020 and April 2022. Patient records, radiological images, and surgical notes were assessed. Follow-up data, including clinical and radiological details, were retrieved. Postoperative Computed tomography (CT) was performed, and magnetic resonance imaging (MRI) was performed in all patients.
Result: Seven patients aged range 27-56 years 4 males and 3 females underwent endoscopic resection of the tumor during the study period. All patients presented with headaches. The mean diameter of the cyst was 10.6(range 8 -14mm), and the mean operating time was 126(range 100 -180 min). All patients underwent the single burr hole and single port technique. Six patients underwent transforaminal surgery and one patient underwent trans-septal corridor. GTR was achieved in six patients. One patient underwent near-total resection with coagulation of the capsule. None of the endoscopic procedures was converted to open resection. No patient had a recurrence, and the mean follow-up period was 24.3 (range 16 to 36 months). There were no deaths during the follow-up period. No residual cysts were observed on postoperative MRI in any patient.
Conclusion: Endoscopic excision of colloid cysts is an effective and safe alternative method. Although the follow-up time was short, the residual cyst wall remained asymptomatic without any evidence of growth after near excision and coagulation of the wall.
Liderazgo directivo en instituciones de educación básica y media: Revisión sistemática
Authors: Pino Pillco Haydy Zamira , Challco Corrales Néstor
Published: September 2024

En el contexto educativo, el líder directivo tiene una función importante como parte de la estructura educativa, ya que tiene la capacidad de liderar, implementar, apoyar, motivar y transformar procesos y estrategias organizacionales. De esta manera el objetivo se basó en realizar un análisis sobre el liderazgo directivo en instituciones educativas mediante investigaciones de revisión sistemática, donde las fuentes de búsqueda fueron Scopus, Redalyc, Dialnet, Scielo y Journal Academic. En el proceso de la selección tuvo una inicial de 139 artículos, simplificado con los criterios inclusión y exclusión, obtuvo un resultado de 49 artículos. Como parte de las conclusiones, la gestión educativa no solo se determina únicamente por los resultados del trabajo de cada docente en el aula, sino también porque el líder directivo apoya y no limita a la administración educativa.
NUMERICAL INVESTIGATION OF THE MONOLITHIC BEAMLESS SLAB CONNECTION WITH A STEEL CONCRETE COLUMN USING SHEAR BEAM CONNECTION, CONSIDERING THE JOINT WORK OF CONCRETE AND STEEL
Authors: Timofeev P.
Published: September 2024

The presented study conducts a comprehensive analysis of the performance of a monolithic slab-column connection utilizing a shear key. Utilizing the finite element method in the ANSYS software suite, a detailed geometric model of the structure is developed, facilitating complex numerical simulations. Special attention is paid to the interaction between concrete and steel within the structure, as well as the transfer of forces through the shear key. The obtained results include a detailed assessment of stress and deformation distribution in various components of the structure, enhancing the overall understanding of its mechanical behavior. The aim of the study is not only to analyze the effectiveness of employing a shear key to ensure the strength and stability of the slab-column connection, but also to generate practical recommendations for optimizing the design to improve the interaction between materials and enhance the reliability of construction projects. The presented research is significant for engineers and designers seeking to improve the processes of design and construction in the modern industry, as well as for developers of regulatory documents in the field of construction and infrastructure. The findings of the study can be applied in the development of new construction technologies.
EFFECT OF COMPOSITION PECULIARITIES OF SHUNGITE FROM VARIOUS DEPOSITS ON STRUCTURE FORMATION OF POLYMER MODIFIED BITUMEN BINDER
Authors: Lebedev M. , Yadykina V. , Vyrodova K.
Published: September 2024

For reduction the amount of expensive polymers and improving the technological, physico-mechanical, thermophysical and other properties of road materials fillers are introduced into polymer modified bitumen binders (PBB). Therefore, in recent years the interest in natural materials that are similar in composition and have comparable characteristics to synthetic products has been increased. In relation to graphene structures used to modify bitumen and polymers, shungite is seems to be a good alternative, the rock that is essentially a composite material from mixture of shungite carbon and mineral phases. When shungite powder using as PBB modifier the distinctive features of the shungite composition should have a positive effect on the structuring of a bitumen matrix in the presence of a polymer. Since the most important structural component of the rock is carbon, the purpose of this work is to study the effect of shungite carbon from rocks of various deposits on the structure formation of the polymer modified bitumen binder. A set of studies (differential scanning calorimetry, Raman spectroscopy, energy dispersive spectroscopy based on a scanning electron microscope) has established that carbon from samples from seven deposits of Karelia is characterized by varying degree of ordering of graphite-like (sp2-carbon) structures depending on the sampling location. An increase in the amount of carbon in the composition of shungite powder and a decrease in the degree of ordering of its structure determine higher values of the specific surface area and a greater effect from modification when adding fillers into the polymer modified bitumen binder. Samples from the Zazhoginsky deposit are the most active fillers with a high modifying effect, which maximally improve the cohesive strength of the composite organic binder and structure the system by the best way. The powders from rocks from other deposits also have the positive effect relative to the base PBB, but with less efficiency. All this indicates the prospects of the proposed modification.
Analisis Dampak Pembangunan Infrastruktur Terhadap Kemiskinan Di Kawasan Teluk Tomini
Authors: Rachman Fadilla Garini , Arham Muhammad Amir , Dai Sri Indriyani S , Santoso Ivan Rahmat
Published: September 2024

The purpose of this study was to determine the effect of road, water and electricity infrastructure development on poverty in the Tomini Bay area. The type of research used is quantitative with multiple linear regression analysis methods. From the results of multiple linear regression analysis, it can be concluded that road infrastructure has a positive and significant effect on poverty. This means that every 1 percent increase in road infrastructure will increase poverty in the Tomini Bay area. Electricity Infrastructure has a negative and significant effect on Poverty. This means that every 1 percent increase in Electricity Infrastructure will reduce Poverty in the Tomini Bay Area. Water Infrastructure has a positive and significant effect on Poverty. This means that every 1 percent increase in Water Infrastructure can increase Poverty in the Tomini Bay Area.
Implementasi Strategi Employe Engagement Dalam Meningkatkan Retensi Pegawai
Authors: Kurniawati Marenda , Wiharti Wiharti , Purnamasari Pupung
Published: September 2024

Institusi harus mempunyai terobosan dan strategi agar dapat bertahan dan terus berkembang dalam situasi yang penuh tantangan saat ini. Salah satu strategi yang penting dilakukan adalah menguatkan employee engagement karena hal ini merupakan faktor yang dapat meningkatkan retensi pegawai. Tujuan penelitian ini adalah untuk menjelaskan implementasi startegi employee engagement pada Al Binaa IBS. Penelitian ini menggunakan pendekatan kualitatif. Teknik pengambilan data dilakukan dengan cara pengamatan langsung di lapangan dan wawancara dengan bagian personalia. Berdasarkan hasil penelitian diperoleh bahwa strategi employee engagement yang diterapkan Albinaa memberikan dampak yang baik dalam meningkatkan retensi pegawai. Penerapan program employee engagement di Al Binaa meliputi 1) Kegiatan membangun spiritual pegawai; 2) Pemberian reward kepada tenaga yang berprestasi baik pencapaian masa kerja dan kinerja pegawai; 3) Program benchmarking dan pelatihan berkala; 4) Program kebersamaan (bonding); 5) Komunikasi internal; 6) Kesejahteraan pegawai.
Finding the Gaps: Littoral Obstacles during Operation Galvanic
Authors: Scott Matthew
Published: September 2024

The scale of U.S. casualties during Operation Galvanic has made the operation controversial, yet losses would likely have been far worse if not for the U.S. Fifth Amphibious Force’s successful efforts to mitigate littoral obstacles. The seizure of the Gilbert Islands demonstrated that by exploiting effective intelligence to take calculated risks, even the most complex and well-developed littoral defenses could be defeated. Unable to select a different objective or to secure additional forces, Rear Admiral Richmond Kelly Turner instead exploited Joint force intelligence, surveillance, and reconnaissance (ISR) to find the weakest parts of the Japanese defenses.
Las destrezas lingüísticas y su importancia en el fortalecimiento de competencias comunicativas
Authors: González-Cali Nelly Rocío
Published: September 2024

El objetivo principal del presente artículo fue comprender cómo las personas perciben el impacto de sus habilidades lingüísticas en su capacidad de comunicación efectiva. Como metodología, se acudió al enfoque cualitativo empleando el método fenomenológico, el cual permitió explorar cómo los docentes y aprendices perciben el proceso de desarrollo de sus destrezas lingüísticas. Para ello, se realizaron entrevistas abiertas a dos docentes y tres estudiantes universitarios. También se llevaron a cabo sesiones de observación para analizar el comportamiento comunicativo en situaciones reales. Los resultados muestran que las destrezas lingüísticas juegan un papel crucial en el fortalecimiento de la competencia comunicativa, no solo desde un punto de vista técnico, sino también emocional y social. El estudio concluye que las destrezas lingüísticas enriquecen la interacción social, promoviendo una mejor comprensión entre individuos y facilitando la cohesión en grupos de trabajo o entornos sociales diversos.
Desafíos éticos en la integración de tecnologías emergentes en la auditoría financiera
Authors: Rosales-Troya Erika Andrea , Ordóñez-Parra Yanice Licenia
Published: September 2024

La integración de tecnologías emergentes en la auditoría financiera plantea desafíos éticos significativos que impactan en el accionar de los auditores. Este estudio se propuso analizar estos desafíos para proporcionar una visión integral del tema. Se empleó una metodología no experimental basada en una revisión documental en bases de datos indexadas. Los resultados destacan desafíos como el impacto en el juicio profesional, la necesidad de actualización constante de habilidades, la transparencia en los informes financieros y el cumplimiento de regulaciones éticas y legales. Se concluye que los auditores deben recibir formación continua en nuevas tecnologías y ética, establecer estándares éticos claros, fomentar la transparencia en el uso de tecnologías emergentes y colaborar con reguladores y organismos profesionales para garantizar el cumplimiento normativo y ético.
Programas educativos de seguridad y salud laboral en empresas de prefabricación de materiales de hormigón
Authors: Flores-Almendáriz Milena Valeria , Delgado-Guamán Nidia Karina , Silva-Caicedo Rommel Fernando
Published: September 2024

El objetivo de este estudio consiste en evaluar la efectividad de los programas de seguridad y salud ocupacional (SST) y su impacto en la prevención de incidentes laborales en empresas de fabricación de componentes estructurales y materiales prefabricados al norte de Guayaquil, Ecuador. La metodología incluye encuestas a trabajadores, abordando temas como comunicación, capacitación, uso de equipos de protección personal, inspecciones de seguridad, y disposición para aceptar cambios. Los resultados reflejan una cultura de seguridad variada, destacando la importancia de mejorar la comunicación, fortalecer la capacitación específica, y condiciones laborales inseguras. La mayoría de los colaboradores no experimentó accidentes de trabajo y enfermedades profesionales durante el 2023, se evidencia la necesidad de revisar los antecedentes de los eventos ocurridos para prevenir futuros incidentes, así como fomentar su participación en el desarrollo e implementación de los programas educativos para generar un sentimiento de pertenencia.
Estrategias de marketing relacional: integrando experiencias de usuario coherentes en todos los canales
Authors: Moreno-Narváez Verónica Paulina , Álvarez-Gavilanes Juan Edmundo
Published: September 2024

Las empresas consideran importante mejorar sus estrategias de marketing para retener a clientes actuales y atraer a nuevos. El objetivo es analizar el marketing relacional segmentado a profesionales del sector automotriz en Ambato para mejorar la experiencia del usuario en la adquisición de capacitaciones. Se empleó una investigación de tipo descriptivo. Se identificó que aspectos como la atención, la confianza y precios competitivos son vitales para cultivar relaciones duraderas con usuarios. La mayoría de los encuestados calificaron su experiencia como satisfactoria y dispuestos a invertir más por una capacitación de calidad y aspectos más valorados incluyen el contenido, la metodología de enseñanza y la calidad de instructores. Estos hallazgos subrayan la importancia de adaptar estrategias de marketing relacional para satisfacer las expectativas específicas de este segmento.
Optimización fiscal a través de la digitalización para el cumplimiento de impuesto a la renta
Authors: Álvarez-Guamán Christian Fernando , Torres-Negrete Azucena de las Mercedes
Published: September 2024

La investigación tiene por objetivo analizar la optimización fiscal a través de la digitalización para el cumplimiento de impuesto a la renta. La metodología empleada es descriptiva transversal. Los resultados revelan una variedad de experiencias con la digitalización, destacando percepciones positivas en cuanto a la facilidad de uso y la seguridad de los datos fiscales. Sin embargo, persisten desafíos en materia de protección de datos y optimización de procesos. Las conclusiones recalcan la importancia de la colaboración público-privada, la seguridad de la información y la mejora continua para maximizar los beneficios de la digitalización fiscal en Ecuador
La modernización de la contabilidad gubernamental en los gobiernos autónomos descentralizados parroquiales rurales en Azuay
Authors: Bermeo-Vargas Gina Paola , Montero-Cobo Miryam Alejandra
Published: September 2024

El objetivo consiste en analizar los desafíos específicos que enfrenta la contabilidad gubernamental en Ecuador durante su proceso de modernización y explorar las oportunidades disponibles para mejorar la eficiencia y transparencia en este contexto. De tipo descriptivo, se empleó una encuesta estructurada para recopilar datos de 31 contadores. Los resultados destacan la falta de capacitación del personal, la necesidad de medidas para promover la rendición de cuentas y la importancia de la tecnología en la eficiencia contable. Las conclusiones resaltan la urgencia de modernizar los sistemas contables, superar desafíos como la corrupción y la resistencia al cambio, y promover la transparencia y la rendición de cuentas. Se enfatiza la importancia de la capacitación del personal y el uso adecuado de tecnologías como la computación en la nube para mejorar la eficiencia y la confianza ciudadana en la gestión gubernamental.
Adopción de normas internacionales de información financiera en empresas bananeras: desafíos y estrategias de implementación
Authors: Montoya-Gutiérrez Michelle Andrea , Narváez-Zurita Ximena Elizabeth
Published: September 2024

El objetivo general de este estudio es identificar los desafíos específicos que surgen durante la adopción de las NIIF y proponer estrategias viables para su implementación.
Se utilizó un tipo de investigación descriptiva. Los resultados mostraron que la falta de capacitación del personal fue identificada como el principal desafío, con un 75% de los encuestados señalándolo. Además, se destacó la importancia de la transparencia financiera, con el 97,50% de los encuestados considerándola importante. A pesar de los desafíos, hubo una percepción positiva sobre el impacto de las NIIF, con la mayoría esperando mejoras en la competitividad 72,50% y una reducción del riesgo financiero 82,50%. Se concluye en la necesidad de programas de capacitación y apoyo externo para facilitar la adopción efectiva de las NIIF, junto con un interés generalizado en actividades de intercambio de experiencias y buenas prácticas para mejorar la implementación de estas normativas
تعزيز مفهوم الاستدامة في تصميم عبوات المياه البلاستيكية
Authors: الجار الله خلود
Published: September 2024

إن سلسلة من الأزمات التي تهدد الاستدامة تضع البشرية في مأزق بين المخاطر البيئية والمخاطر المجتمعية المرتبطة بالاستخدامات اليومية. ولمواجهة احد التحديات الروتينية في الحياة اليومية، بحثت هذه الدراسة في حل الاحتكاك بين استدامة الاقتصاد الأخضر والحفاظ على البيئة من خلال مقارنة تجربة استخدام زجاجات المياه البلاستيكية ذات الاستخدام الواحد والزجاجات العادية بين فئات عمرية مختلفة.
وهدفت الدراسة تسليط الضوء على التحول من النهج الانتقائي الموجه نحو الكفاءة للاقتصاد الخطي إلى الاقتصاد الدائري المتكامل الذي يركز على الفعالية للتعويض عن الآثار السلبية لخيار الزجاجة المفضل على البيئة ودعم سهولة الاستخدام للجميع بشكل عام وفئة كبار السن بشكل خاص.
ولتحقيق هدف الدراسة ومعالجة المشكلة البحثية فقد اتبعت الدراسة المنهجين الوصفي التحليلي وذلك من خلال عرض بعض الدراسات السابقة التي تناولت اشكال من صعوبات استخدام عبوات المياه البلاستيكية كما ذكرنا مسبقاً والمنهج التجريبي لوضع بعض المعايير التصميمية في تصميم العبوة الجديدة نفسها أو الأدوات المساعدة في هذا الغرض وايضاً المنهج التطبيقي لأجراء دراسة تحليلية لأكثر من تصميم لاحدي العبوات البلاستيكية الموجودة في الأسواق والمقترحة (التصميم الجديد) ومواصفات ومدى سهولة استخدام كل عبوة  وهل تلبي احتياجات المستخدم ام لا ؟.
وتمت الدراسة التطبيقية من خلال تحليل الاستبيان الذي تم توزيعه على مجموعة مستجابة للتجربة مكونة من 72 شخص كعينة عشوائية من أصل111 شخص تم قصدهم من الفئات العمرية المختلفة من الجنسين (ذكور- اناث) أي بنسبة استجابة تقارب 65%، وأظهرت النتائج ان النموذج المقترح حقق نسب مختلفة باختلاف اماكن التوزيع طبقاً لأهداف وعناصر تحسين تجربة المستخدم.
وتؤكد نتائج الدراسة عدم الرضا الكثير من المستخدمين بشكل يومي لتلك العبوات البلاستيكية المتاحة عند بعض الفئات وان كانت بشكل كبير عند فئة كبار السن والشباب في سن الحركة الكثيرة والرياضة وذلك ضمن تحديد سمات معينة للزجاجات بمواصفاتها المختلفة لتعزيز قابلية وسهولة الاستخدام وفتح الزجاجة او حملها او التنقل بها لتكون كافية لديهم بكمية المياه المعبئة.
وانتهت الدراسة بتوصيات ويتمثل أهمها في انه يجب أن يحدد مجتمع الصناعة والتصميم التي تدعم التعايش بين البشر والطبيعة على الأرض من خلال منظور استكشافي وإزالة الحواجز، مثل الجمود الصناعي. كمطورين ومصممين للمنتجات، فمازال لدينا القدرة على سد الفجوات بين السياسات التقليدية والضرورات البيئية والتحديات المرتبطة بصعوبة الاستخدام لمثل تلك المنتج (زجاجات المياه البلاستيكية) لخلق مستقبل أفضل للأشخاص المحاطين بمنتجات مختلفة وخاصةً عند كبار السن والشباب في سن الحركة الكثيرة والرياضة.
Directing treatment of the chase scenes in the American film
Authors: SafaUldeen Hasan Marwan
Published: September 2024

مثلت مشاهد الحركة احد المصادر الاساسية في صناعة الفيلم السينمائي لما تتضمنه من خصوصية في بناء اللقطات وطبيعة الانتقالات والربط المونتاجي وغيرها من مصادر الحركة داخل بنية اللقطة السينمائية، وهذا ما لفت انتباه الباحث في تحديد موضوعة البحث التي حملت عنوان: (المعالجة الاخراجية لمشاهد الحركة في الفيلم الروائي) ، الذي استند على مهاد تنظيري من خمسة فصول ، جأت بالنحو الاتي:تناول الفصل الاول (الاطار المنهجي للبحث) وقد اشتمل على عرض لموضوع مشكلة البحث المتمثلة بالسؤال الأتي : ما هي المعالجة الاخراجية لمشاهد الحركة في الفيلم الروائي؟ ووضعت اهمية الموضوع و الهدف الذي يسعى الى تحقيقه مع سعة الحدود التي يتحرك فيها و من ثم قام الباحث بتحديد المصطلحات.اما الفصل الثاني (الاطار النظري والدراسات السابقة) فتكون من مبحثين: المبحث الاول: مشاهد الحركة في الفيلم الروائي، اما المبحث الثاني: اشتغال العناصر الصورية و الصوتية في مشاهد الحركة، ثم استخراج نتائج ما اسفر عنه الاطار النظري من مؤشرات.الفصل الثالث: (اجراءات البحث): تعامل فيه الباحث مع العناصر الاتية: منهج البحث، أداة البحث، مجتمع البحث، وحدة التحليل، صدق الاداة، عينة البحث، ومن ثم خطوات تحليلها . ثم تحليل العينة.اما الفصل الرابع (النتائج والاستنتاجات): وقد قام الباحث فيه بكتابة النتائج والاستنتاجات اخيرا قائمة المصادر .
variables affecting the structure of commercial advertising design (analytical study)
Authors: naama lafatuh Maha
Published: September 2024

ان الدراسات التصميمية للإعلان التجاري تشكل رافداً حياً من روافد الثقافة ، لأنها تمثل الواقع وترسم ابعاد المستقبل من اجل تثبيت نوازع الانسان من مختلف ميادين الحياة التي يطرق ابوابها الاعلان التجاري ، ومن خلال هذه النوازع يتم الكشف عن التصورات الذهنية سواء أكانت سلباً ام ايجاباً . حيث يمثل فن الاعلان الجانب الابتكاري في العملية التصميمية ، ويتوقف عليه مدى نجاح الجهود الاعلانية التي تقوم بها المنشأة المعلنة باعتبار ان الابتكار هو قلب الاعلان ، وان الاعلان هو التعبير الابتكاري عن الافكار الجديدة الخلاقة .
Exploring the differences between an Omani traditional and renaissance jewelry from the perspective of an old generation of Omani women
Authors: Al-Ismaili Amal
Published: September 2024

يحاول البحث اكتشاف تاريخ المجوهرات النسائية في عمان ومعرفة الاختلافات بين المجوهرات التقليدية والمعاصرة من وجهة نظر نساء الجيل القديم. اعتمد البحث في الوصول إلى النتائج على المقابلات الميدانية لنساء عمان من مختلف المناطق والمحافظات، تم التعرف على القصص الخفية وراء اقتناء قطع معينة من المجوهرات القديمة التي كانت تمتلكها المرأة العمانية، وعلى الرغم من أن المجوهرات قد انتقلت إلى اتجاهات وأنماط الموضة الحديثة على مر القرون، إلا أن النساء يحتفظن بمجوهراتهن القديمة بسبب تفردها وتميزها. تم تصنيف الاختلافات بين المجوهرات القديمة والحديثة تحت أربع فئات رئيسية هي الاختلاف في صانع المجوهرات، والوزن مقابل التكلفة، وأماكن ارتداء بعض القطع، والإلهام في التصميمات التقليدية. إن فهم السياق التاريخي ومصدر قطعة المجوهرات في عصر معين يوفر سياقا مميزا للتعرف على الثقافة والتقاليد العمانية. إضافة على ذلك فإن جمع المعلومات عن المالكين السابقين للمجوهرات العتيقة يمكن أن يقدم أدلة قيمة حول عمر المجوهرات ويعكس قيمة هذه القطع التي تتعدى من كونها عناصر جمالية لزينة المرأة.
Epistemology and its implications in designing the cover of Popular Heritage magazine
Authors: Muhsen Habeeb Riyadh
Published: September 2024

الابستمولوجيا حقيقية تستحق المتابعة والاعتناء لدورها المنطقي والموضوعي فيما تدره على البشرية لتوفير المعلومة الصحيحة نظرا لدقتها وصلابتها في إظهار وفرز واقع معرفي متداول يساعد في تفسير التلاؤم بين افكارنا الذاتية والعالم الخارجي الطبيعي لتحديد معاني الاشكال، وذلك من خلال الجهد والأداء الذي يقدمه المصمم لينعكس على غلاف المجلة، مشكلة البحث التي تجلت بالتساؤل الآتي: كيف انعكست الابستمولوجيا في تصميم اغلفة مجلة التراث الشعبي؟ فيما حُدد هدف البحث في تعرف (الابستمولوجيا) وانعكاسها في تصميم اغلفة مجلة التراث الشعبي، وتضمن الإطار النظري في المبحث الاول (المفاهيم الفكرية للأبستمولوجيا)، فيما كان المبحث الثاني (المكونات البنائية لغلاف المجلة)، وفي الفصل الثالث تم وصف وتحليل (3) عينات بحثية، أما عرض النتـــائج والاستنتاجات:
- الابستمولوجيا تبدأ بأداة للإحساس مرجعها معارف لاتصف تركيباً داخلياً وانما تقوم على مفاهيم ومعانٍ يمكن امتحانها على وفق سياقات ونظم معرفية تترتب عليها نتائج تؤثر في مظاهر السلوك الانساني يمكن اثباتها او ابطالها.
- تتحقق الابستمولوجيا بفعل ملائمة تصاميم غلاف المجلة لاعتبارات المتلقي وتفضيلاته الأدائية التي ترتكز في تجميع الصور والاشكال على وفق تداولي يحفز الادراك المعرفي لدى المتلقي ويزيد من نسبة التفاعل مع مضمون المجلة
دراسة تحليلية لأساليب توظيف المساحة السلبية في تصميم الشعارات
Authors: فيصل  سروجي عبدالله
Published: September 2024

المساحة السلبية تلعب دورًا محوريًا في تعزيز الإدراك البصري وإضفاء الوضوح والتوازن على الشعارات. تسمح المساحة السلبية بإنشاء تباين بين العناصر، مما يجعل الشعار أكثر جاذبية ومعززاً لعملية الاتصال مع القارئ. فالشعارات التي توظف المساحة السلبية بشكل استراتيجي تتمكن من إنشاء عناصر مخفية قد تثير الفضول والاهتمام، مما يعزز عملية إيصال المعنى. أن استخدام المساحة السلبية بشكل مبني على مبادئ الاتصال البصري يمكن أن يكون أداة فعالة للمصممين لتعزيز التصميم العلاقة التفاعلية بين الشعار والقارئ. حيث يعتبر توظيف مبادئ (جشتالت)، مثل القرب والإغلاق، والشكل مقابل الخلفية طريقة فعالة لاستغلال المساحة السلبية بشكل يعزز نقل الرسالة البصرية. تتميز المساحة السلبية بكونها أداة تعمل على ربط العناصر المختلفة بالشعار وتبسط المعاني المعقدة. يعتمد هذا البحث على دراسة مختارات من الشعارات التي وظفت المساحة السلبية لمعرفة تأثير استخدامها وأساليب توظيفها في تصميم الشعارات.
Expert System for Pregnancy Risk Diagnosis Using Decision Tree and Dempster-Shafer Method
Authors: Wiharto  , Azizah Setia Mukti , Hendrasuryawan Brilyan
Published: September 2024

The high Maternal Mortality Rate (MMR) remains a severe concern in maternal healthcare. One of the reasons is the delay in recognizing early danger signs during pregnancy. To address this issue, there is a proposed solution in the form of developing an expert system aimed at swiftly and efficiently diagnosing pregnancy risks in pregnant women using the Decision Tree and Dempster Shafer methods. The Decision Tree method is employed for symptom classification, while Dempster Shafer provides confidence values for existing facts. This research collects data from the dataset, the Poedji Rochjati Score Card (KSPR), and qualitative data through expert interviews. From the collected data, knowledge acquisition processes are then carried out to extract knowledge using the ID3 Decision Tree and combine all symptoms from the gathered data. The processed data is then represented as a decision tree and assigned confidence values. The development of this expert system utilizes the Laravel framework with PHP language and MySQL database. System validation involves patients as participants and midwives as experts and testers. Testing was conducted on March 13 and 16, 2024, involving 16 patients at the Gatak Community Health Center. The system evaluation results show an accuracy rate of 93.75%. This value indicates that the system can operate effectively. Thus, it can be recommended for use in diagnosing pregnancy risks.