bluuebunny/crossref_metadata_2025 huggingface dataset:
PENCEGAHAN STUNTING MELALUI PENYULUHAN KESEHATAN REPRODUKSI DAN GIZI PADA ANAK REMAJA DI SMKM WELERI
Authors: Ardiyanti Yulia , Kusuma Triya Ulva , Mardliyah Mardliyah , Sulastri Sulastri
Published: May 2024

One of the efforts to reduce and prevent stunting is to prepare adolescents with knowledge related to pre-marital preparation with an understanding of reproductive health and healthy nutrition. Nutritional intake in adolescents can also affect fertility, which is the optimal functioning of the reproductive system in both men and women. One of the problems of adolescent reproductive health is having free sex or premarital sex where one of the effects is that it can give birth to children at risk of stunting. The methods used in this community service activity include lectures, question and answer, and interactive discussions. The activity was carried out on December 17 2022 in the multipurpose room/hall of SMK Muhammadiyah 1 Weleri which was attended by a number of representatives from class X to XII with a total of 102 students. Presentation of material was given by Wynne Frederica, S.E,.BBA as the national stunting reduction ambassador regarding the ins and outs of stunting, adolescent reproductive health by Yulia Ardiyanti, and nutrition in adolescents by Triya Ulva Kusuma. This Community Service activity provides youth with an understanding of the importance of maintaining reproductive health and healthy nutritional intake as an effort to minimize underage pregnancies to prevent stunting.
PENYULUHAN GIZI ANAK SEKOLAH ”PELAYANAN GIZI DAN TUMBUH KEMBANG ANAK” SD PURIN MUHAMMADIYAH KENDAL
Authors: Sulastri Sulastri , Mustikaningrum Ardian Candra
Published: May 2024

The Problem of nutritional status that usually afflicts school children is the problem of being short, thin and fat. In addition, school children also often experience problems in choosing inappropriate and safe snacks, eating disorders and infectious diseases (Dyah, 2018). Based on data from the Basic Health Research (RISKESDAS) in 2010 nutritional status with indicators of BMI/U children aged 6-12 years in the category of very thin 4,6%,thin 7,6%, normal 78,6% and obese 9,2%,while the nutritional status (indicator of TB/U) children with stunting prevalence (very short 15,1%,short 20%) and normal 64,5%. As many as 26,4 % of school children have anemia (Ministry Of Health,2010).
Purin Muhammadiyah elementary School (SD) is an elementary school that has a nutrition service program and growth and development in schools,this program is held because it is to maintain helath and baalnce nutritional needs. Because some children still haven’t gotten used to having breakfast and according to an initial survey,many children don’t like vegetables.Most of the snacks consumed are snacks with lots of MSG. Optimal nutritional and health status in this group is important and maintained to help the process of growth and development, thinking,optimal physical activity, and maintaining body endurance so that it can support learning activities at school. So we at UMKABA try to be agents of change, one of which is by providing education about the importance of balanced nutrition needs for school children.
Type 2 Diabetes in the Elderly in Obuasi: Management Strategies and Effect on Nutrition and Health
Authors: Kwame Yiadom Boakye , Kwaku Edusei Anthony , Boatema Akua Boakye , Adombor Emmanuel
Published: May 2024

Type 2 Diabetes Mellitus (DM) is a chronic non-communicable disease which requires effective management strategies, especially in the elderly, in order to maintain good nutrition and ensure optimal health. The main objective of the study was to assess the management strategies of Type 2 DM in the elderly as well as the effects of Type 2 Diabetes Mellitus on the nutrition and health of persons aged 60 years and above in Obuasi Municipality. Using a cross sectional study design 100 respondents comprising Type 2 diabetic patients were selected purposively to respond to the research instruments. Questionnaire and a mini nutritional assessment tool were the main instruments for the study. The findings of the study indicated that majority of the respondents were within the age range of 60-65 years and were females. Also, most of the respondents had pharmacotherapy and diet therapy as their treatment options for the management of the type 2 diabetes. Again, majority of the patients were on anti- diabetic medications while few were on insulin. Furthermore, half of the respondents had physical activities as part of their management. About half (45%) of the respondents had hypertension as additional chronic disease. Most (52.7%) of the respondents aged 60-65 years had normal nutritional status. Also, majority (45.8%) of the female respondents were malnourished. There is the need for health authorities to develop local- specific diabetes management guidelines for the patients. Dietitians/Doctors should intensify awareness and education diabetes to reduce the prevalence of diabetes and improve outcomes for the persons with the disease.
Health CNN-SMO: To Secure and Enhance the Medical Healthcare System by using Convolution Neural Network
Authors: Partole Sandeep , Shelake Vijay
Published: May 2024

Now a day machine learning & deep learning and artificial intelligence has major important impact on the medical healthcare and pharma industry. Which useful for identifying, monitoring and treatment of the concern medical patients. By activating the diagnosis, individual therapies, this technical methodology is significantly improvising healthcare research methodology and outcome. An improvising trend in most famous culture and traditional healthcare involves remote monitoring of patient’s health. Now a day most of the people are using advance smart devices like smart watches to track the fitness trackers, blood oxygen levels, heartbeat rate variability using different optimization and classification techniques. To collect and aggregates patients’ health information or data from the different healthcare hospitals, healthcare-based research Centre, and healthcare smart devices users a fog computing and edge computing model that are going to implemented to enhance the early prediction of the deceases. To request and reply system series is provided by our research model to obtain and analyses medical based patients data remotely by the patient’s doctors and physician.
Detecting Environmental Conditions in Cultivation Lands Using Bionic Devices
Authors: Sadhana Kota , Charanya Kotaparthi , Varshith Kundarapu , Abbas Ahmed Shaik
Published: May 2024

Climate change has an impact on crops, fruits, vegetables, and pest infestation, hence agricultural output is a top priority for most nations. As a result, professional growers have the problem of reaching maximum output results, and greenhouses have emerged as an excellent choice for ensuring these results. Farmers can employ innovative technologies inside greenhouses to prevent insect damage to plants and increase indoor growth through climate management. However, in order to manage agricultural fields and greenhouses successfully, farmers must now use Industry 4.0 technology such as robotics, Internet of Things devices, machine learning software, and so on. In this setting, sensor deployment is critical for gathering data and obtaining knowledge to help farmers make decisions. As a practical option for small farms, this research proposes an autonomous robot that drives along greenhouse crop paths with previously specified routes and can collect environmental data provided by a wireless sensor network when the farmer has no prior knowledge of the crop. An unsupervised learning method is used to cluster the optimal, standard, and deficient sectors of a greenhouse in order to identify improper crop development patterns. Finally, a user interface is built to assist farmers in planning the robot's route and distance while gathering sensor data to monitor crop conditions.
Artificial Intelligence in Neurology: Current Applications and Future Prospects
Authors: Boubga Taoufik , Bentaher Amine , Taous Abdellah , Ait Berri Maha , Boulahri Tarik
Published: May 2024

Artificial intelligence (AI) is reshaping the field of neurology, enhancing diagnosis, treatment, and management of neurological disorders. This article explores AI's role in neurology, highlighting its ability to process vast amounts of data to improve diagnostic accuracy and personalize treatments. AI applications, from neuroimaging to clinical decision support, have shown promising results in enhancing patient care. However, challenges such as data security, ethical concerns, and the need for stringent regulatory frameworks remain significant. The potential of AI in neurology continues to grow, promising revolutionary changes in patient outcomes and healthcare practices, provided these challenges are effectively managed.
Homogeneous and Heterogeneous Multicore Systems
Authors: Bheemaraju Srinath , Venkat Saidhar Movva Teja Sri , S Priyadharshini , Nair, Engineer Gayathri , Kuluru Chandravardhana
Published: May 2024

Multicore systems have gained significant importance in the Automotive industry due to data- intensive applications, such as image processing, high- speed process, and GPS application. It enables manufacturers to build smaller chips, simplifying board architecture and routing, reducing power consumption and cost and increasing programmability. Multicore platforms are segregated into two categories namely Homogeneous (symmetric) and Heterogeneous (asymmetric) multicore systems. In Homogeneous systems, all cores are the same, including frequencies, cache sizes and functions. In Heterogeneous systems, different cores operate with different frequencies, cache sizes and functions. In this paper, we are going to discuss various aspects of homogeneous and heterogeneous multicore architectures like number and level of caches, interconnection of the cores, Physical and Temporal isolation, Energy Efficiency, Concurrency, Performance, Reliability and Robustness along with the evaluation of these two architectures for applications based on the above-mentioned aspects.
The Impact of Music on Orchid plants Growth in Polyhouse Environments
Authors: VU Sabu
Published: May 2024

Nature and music, two seemingly disparate elements of human experience, are deeply interconnected in ways that resonate across cultures and time. Both evoke emotions, stir the soul, and inspire creativity, offering profound insights into the human condition and our relationship with the world around us. In essence, nature and music are two expressions of the same universal impulse—the longing to connect with something greater than ourselves, to find beauty and meaning in the world around us. Whether we're listening to the songs of birds at dawn or the symphonies of Beethoven, we are reminded of our place in the vast tapestry of creation, where every note, every sound, is a testament to the wonder and mystery of existence. By carefully considering the environmental factors and designing experiments that account for them, researchers can gain a better understanding of how music influences plant growth and optimize its use in agricultural and horticultural practices. This research paper investigates the potential effects of music on orchid growth within polyhouse environments. Orchids are renowned for their delicate beauty and are cultivated worldwide, often in controlled environments like polyhouses. While studies have explored the influence of various environmental factors on orchid growth, the impact of music remains relatively unexplored. This study aims to fill this gap by examining how exposure to music may affect the growth, development, and overall health of orchids in polyhouse conditions. The research employs a combination of experimental methods, including controlled trials, measurements of plant growth parameters, and analysis of physiological indicators. Additionally, the study considers factors such as the type of music, frequency, volume, and duration of exposure. The findings of this research contribute to our understanding of the complex relationship between plants and their acoustic environment, with potential implications for optimizing orchid cultivation practices in polyhouse settings.
SAFE TRAFFIC PROBLEMS OF ELECTRIC SCOOTER IN LITHUANIA
Authors: Juodvalkienė Edita , Čygas Donatas , Jasiūnienė Vilma
Published: May 2024

The article examines the increasingly prevalent and popular issue of electric scooters, classified as micromobility, participating in traffic in various cities worldwide and in Lithuania. The aim of the research is to present and analyze the experiences of Lithuania and foreign countries in developing infrastructure and legal frameworks for safer electric scooter traffic. It analyzes their benefits, legal regulations governing their use, and the adaptation of infrastructure for electric scooter traffic. Statistics from four years of traffic accidents involving scooters are provided, their primary locations and causes are analyzed, and conclusions and recommendations for improving electric scooter traffic safety are presented. The analysis shows that in Lithuania, the number of traffic accidents with scooters and the number of casualties in them increase annually, while the legal regulation and adaptation of infrastructure for electric scooter traffic vary among different countries.
Lyα Emission at z = 7–13: Clear Evolution of Lyα Equivalent Width Indicating a Late Cosmic Reionization History
Authors: Nakane Minami , Ouchi Masami , Nakajima Kimihiko , Harikane Yuichi , Ono Yoshiaki , Umeda Hiroya , Isobe Yuki , Zhang Yechi , Xu Yi
Published: May 2024

We present the evolution of Lyα emission derived from 53 galaxies at z = 6.6–13.2, which have been identified by multiple JWST/NIRSpec spectroscopy programs of Early Release Science, General Observer, Director's Discretionary Time, and Guaranteed Time Observations. These galaxies fall on the star formation main sequence and are typical star-forming galaxies with UV magnitudes of −22.5 ≤ M
UV ≤ −17.0. We find that 15 out of 53 galaxies show Lyα emission at the >3σ level, and we obtain Lyα equivalent width (EW) measurements and stringent 3σ upper limits for the 15 and 38 galaxies, respectively. Confirming that Lyα velocity offsets and line widths of our galaxies are comparable to those of low-redshift Lyα emitters, we investigate the redshift evolution of the Lyα EW. We find that Lyα EWs statistically decrease toward high redshifts on the Lyα EW versus the M
UV plane for various probability distributions of the uncertainties. We then evaluate neutral hydrogen fractions x
H I with the redshift evolution of the Lyα EW and the cosmic reionization simulation results on the basis of a Bayesian inference framework, and obtain x
H I < 0.79,

, and

at z ∼ 7, 8, and 9–13, respectively. These moderately large x
H I values are consistent with the Planck cosmic microwave background optical depth measurement and previous x
H I constraints from galaxy and QSO Lyα damping wing absorption and strongly indicate a late reionization history. Such a late reionization history suggests that major sources of reionization would emerge late and be hosted by moderately massive halos compared with the widely accepted picture of abundant low-mass objects for the sources of reionization.
Four new inquiline social parasite species in the dolichoderine ant genus Tapinoma (Hymenoptera, Formicidae)
Authors: Cover Stefan P. , Rabeling Christian
Published: May 2024

Four new inquiline social parasites are described in the dolichoderine ant genus Tapinoma from the Nearctic region, and keys are provided for queens and males of the Nearctic Tapinoma species. The new social parasite species represent the first inquiline species in the genus Tapinoma and the first confirmed inquilines known from the ant subfamily Dolichoderinae. The four new species appear to be workerless inquilines that exploit a single host, Tapinoma sessile (Say), and they represent at least two distinct life history syndromes. Tapinoma incognitum Cover & Rabeling, sp. nov. is highly derived morphologically and is a host-queen-tolerant inquiline. In contrast, T. inflatiscapus Cover & Rabeling, sp. nov. shows a lesser degree of morphological modification and appears to be a host-queen-intolerant social parasite. The life history of T. pulchellum Cover & Rabeling, sp. nov. is presently unknown, but its close similarity to T. incognitum suggests that it is also a host-queen-tolerant inquiline. The life history of T. shattucki Cover & Rabeling, sp. nov. is still uncertain. Our findings provide novel insights into the complex biology of ant inquiline life history syndromes.
Bioprospecting Saccharomyces cerevisiae in fruits from Amazonian region for beer brewing
Authors: da Silva Luan Reis Honorato , Fernandes Flávia da Silva , Santos Jocélia Pinheiro , de Souza Érica Simplício , Carneiro Lívia Melo , Silva João Paulo Alves , Batista Jacqueline da Silva , de Souza João Vicente Braga
Published: May 2024

This research aimed to isolate Saccharomyces cerevisiae strains from Amazonian fruits for potential utilization in beer production. Yeast strains were derived from the spontaneous fermentation of Arazá (Eugenia stipitata MacVaught), cocoa (Theobroma cacao L.), and cupuassu (Theobroma grandiflorum Wild. Ex Spreng. Schum) fruits. Identification of the isolated strains was achieved through biochemical assays and ITS rDNA (Internal Transcribed Spacer ribosomal DNA), sequencing, with emphasis on determining their affiliation to S. cerevisiae and assessing phylogenetic ties. Out of the 76 colonies isolated from the fruit fermentations, seven were distinctly identified as S. cerevisiae. Phylogenetic assessments unveiled significant parallels between regional isolates and commercial strains. Notably, beer brewed with the S. cerevisiae AR 03 isolate exhibits physical-chemical attributes characteristics similar to those found in American ale commercial beers. These findings underscore the untapped potential of leveraging Amazonian yeasts in brewing, a step forward for the region's burgeoning bioeconomy.
Navigating the future by fuzzy AHP method: Enhancing global tech-sustainable governance, digital resilience, & cybersecurity via the SME 5.0, 7PS framework & the X.0 Wave/Age theory in the digital age
Authors: Mohammadian Hamid Doost , Alijani Omid , Moghadam Mohammad Rahimi , Ameri Behnam
Published: May 2024

In the rapidly evolving landscape of the digital age, the call for intelligent governance has become paramount. This study offers a nuanced exploration of global sustainable governance, integrating the Seven Pillars of Sustainability (7PS) framework and innovation culture. Utilizing structural equation modeling and data from diverse government organizations, this research empirically established the 7PS framework's pivotal role in enhancing organizational sustainability, supported by a robust 95% confidence level. Notably, it unveiled the transformative influence of innovation culture in amplifying the 7PS's impact. The methodological innovation lies in strategically applying the fuzzy analytic hierarchy process (AHP), assigning priority weights to 7PS criteria, and identifying culture as the linchpin. This approach provided a robust framework for dissecting the complex interplay of emerging technologies, sustainable engineering, and cybersecurity. The study delves into the X.0 wave/age (X.0 = 5.0) theory, offering insights into the intricate dynamics of innovation, sustainability, and governance. Beyond academic discourse, this research informs practical strategies globally, particularly for small and medium-sized enterprises (SMEs) transitioning to SME 5.0/hybrid SMEs. Emphasizing inclusivity and diversity as catalysts for innovation, it scrutinizes contemporary challenges amid technological evolution and cybersecurity threats. Functioning as a visionary compass, the study elucidates the path to a 7PS sustainable future. It signifies a paradigm shift, transcending boundaries between knowledge domains. The fusion of the 7PS framework, X.0 wave theory, and fuzzy AHP navigates global governance, digital resilience, and cybersecurity, offering a transformative roadmap. This research contributes by substantiating the pivotal role of culture in emerging technologies, augmenting global tech-sustainable governance, fortifying digital resilience, and safeguarding cybersecurity.
Green finance for mitigating greenhouse gases and promoting renewable energy development: Case study in Taiwan
Authors: Tsai Wen-Tien
Published: May 2024

In recent years, the tools of green finance have evolved to foster green economic growth like renewable energy and climate change mitigation. Taking a case study of Taiwan not yet reviewed in the literature, the present study aimed to conduct a preliminary analysis for exploring the amazing growth in renewable energy over the past fifteen years (2010–2023) in connection with the achievements of green finance promotion over the past five years (2018–2022). The updated database was accessed on the websites of Taiwan's competent authorities. This work was divided into the following main parts: Taiwan's carbon neutrality policy and sustainable development goals (SDGs) relevant to green finance, the regulatory promotion for green finance action plans in Taiwan, and the status of green finance measures and achievements in Taiwan. The findings supported the idea that the implications of green policies for unlocking green finance and green investment significantly enhanced a positive influence on green energy industry development in Taiwan. In this regard, it showed the amazing growth of renewable energy generation, particularly in solar photovoltaics (PV) power and offshore wind power, since 2010. These findings were similar to those in Asian countries like China and Japan. Responding to Taiwan's SDGs policy by 2030 and the net-zero emissions in 2050, aspects relevant to climate change mitigation and adaptation were investigated in order to focus on the use of green finance tools.
OPTIMIZING ELECTROCHROMIC SMART GLASS WINDOWS PERFORMANCE WITH SOLAR CONTROL FOR SUSTAINABLE OFFICE ENVIRONMENTS IN THE HOT AND HUMID CLIMATE OF SAUDI ARABIA
Authors: Fasi Mohammed Abdul , Budaiwi Ismail Mohammad
Published: May 2024

Energy-saving strategies are of paramount importance, especially in office buildings located in hot-humid climates. This study explores the potential for energy savings and assesses visual comfort in such environments by introducing Electrochromic (EC) smart glass in the window glazing. To bolster credibility and provide essential information, we employ a state-of-the-art building simulation tool. The research focuses on evaluating the energy performance and visual comfort of EC glass windows when controlled by solar controllers. Through meticulous simulations, we pinpoint the optimal setpoint radiation levels for EC glass windows across all building orientations. The results conclusively indicate that deploying EC glass windows with solar controllers, each set to the recommended radiation levels, leads to remarkable energy savings, up to 20%. Importantly, these savings are achieved without compromising visual comfort in any of the building's zones, regardless of orientation.

This research underscores the potential for EC glass windows to significantly improve energy efficiency in office buildings, emphasizing their applicability in hot-humid climates. The findings call for further exploration in different building types and climate zones, as the practical implications of these results could revolutionize energy-efficient building design and retrofits.
Recetas de las Américas: A Case Study in Hugo Static Site Generator for Bilingual Web Publishing
Authors: Tew Sarah , Jerome Melissa
Published: May 2024

This article describes Recetas de las Américas, a static web project for historic newspaper recipes made with the static site generator Hugo. Static sites offer opportunities for robust online publishing without large computational, financial, or technical resources but are not without their own challenges and constraints. This paper presents Recetas de las Américas, discusses the place of static sites in the context of minimal computing, and examines the utility of Hugo for multilingual online publishing, including comparison between Hugo and other static site generators. Static publishing follows minimal computing principles and is a valuable tool for increasing access to digital publishing. Recently, static websites have experienced a renaissance thanks to the development of static site generators such as Jekyll, Hugo, Gatsby, 11ty, and Next.js among others which automate the tedious process of creating each static webpage. Unlike some other popular static site generators, Hugo’s multilingual capabilities are built-in, decreasing dependencies and complexity. This further lowers barriers to multilingual scholarly publishing, potentially increasing participation by historically marginalized communities as publishers and readers. Recetas de las Américas is a valuable case study in using the static site generator Hugo to publish a bilingual Spanish/English website. By sharing our workflow and lessons learned we hope to help others create their own multilingual static websites.
Ambivalence de l’attachement au travail. Le cas de l’élevage laitier
Authors: Boulakia Théo
Published: May 2024

À partir d’une ethnographie du travail d’éleveuses et d’éleveurs de vaches laitières, adossée à des données issues de la statistique publique, cet article explore trois dimensions de l’attachement au travail : l’absence de répit, c’est à dire la continuité du travail et des préoccupations liées au travail ; l’amour du métier, dans ses dimensions routinières, identitaires et statutaires, tel qu’il se dévoile lorsque les personnes sont forcées d’abandonner leur travail ; les obstacles à la fuite, révélés par la trajectoire de celles et ceux qui ont persisté dans un travail insoutenable. Cet article combine donc une ethnographie de l’activité et une reconstitution des carrières, et met en miroir des départs forcés et des fuites empêchées. Deux fils rouges, la santé au travail et l’endettement, permettent d’explorer les déterminations réciproques de ces différentes dimensions de l’attachement. Ainsi, on montre les effets contradictoires des problèmes de santé et de la dette, qui menacent le maintien dans le travail tout en réduisant l’éventail des sorties possibles. Enfin, l’article montre comment l’attachement se transmet, en s’intéressant non pas à la fabrique du goût pour le métier, mais à la dynamique d’enrôlement à l’œuvre dans les crises.
Marteler à coups de peinture. Une analyse des mutations du travail forestier public
Authors: Glinel Charlotte
Published: May 2024

Cet article met en lumière une activité centrale du travail des gardes forestiers français : le martelage. En forêt publique, ces agents à l’interface entre l’État et les opérateurs privés mettent en œuvre la gestion forestière intensifiée qui découle du cadre d’action publique climatique à travers cette activité qui consiste à désigner les arbres à couper ou à conserver. Ils doivent composer avec les incertitudes induites par les changements climatiques dans les forêts qui dépérissent, et avec un contexte de suppression de postes et de réorganisations successives des collectifs de travail. Jusque-là réalisé au marteau, le martelage est depuis une vingtaine d’années de plus en plus réalisé à la peinture et outillé par des appareils numériques de recueil de données. À travers le cas étudié, je propose dans cet article de développer une sociologie du travail écologique pour montrer comment la mise en œuvre de l’action publique forestière s’incarne dans un travail d’exploitation guidé par l’expertise ancrée d’agents de terrain et par la force performative des objets qu’ils manipulent. Leurs gestes matérialisent tant l’emprise de l’État sur le territoire forestier que la valorisation économique de ce dernier.
Les créations curriculaires écologiques dans une école publique au Brésil
Authors: Oliveira Inês Barbosa de
Published: May 2024

Censée être à l’ordre du jour au Brésil depuis plus d’une décennie, l’éducation au développement durable se limite en réalité, dans les documents curriculaires officiels, à quelques compétences et aptitudes prédéfinies, intégrées aux disciplines classiques, mais sans réelle éducation à l’environnement. Il existe toutefois des écoles et des enseignants qui tissent au quotidien des curriculums à partir de valeurs écologiques, afin de former des élèves conscients de leurs responsabilités environnementales et soucieux de construire une société plus durable. L’article présente un projet de pédagogie écologique mis en place dans une école publique de l’État de Rio de Janeiro. Les premiers résultats permettent de comprendre les défis affrontés et les stratégies utilisées.
Optimizing Production Supply Chain With Markov Jump System for Logistics Collaboration
Authors: Liu Rong , Vakharia Vinay
Published: May 2024

This study employs a novel Markov jump system model to address complexities and uncertainties in modern logistics management, particularly in supply chain logistics information networks. It introduces dynamic memory to tackle issues in traditional static networks, enabling modeling and control of this intricate system. By assessing decision node importance, a novel strategy optimization method is devised. Through information exchange and decision adjustments among cooperating nodes, the overall decision system performance is enhanced, resulting in a comprehensive logistics information coordination mechanism for production supply chains based on the Markov jump system. The research demonstrates that this approach considers node interactions and information exchange, using dynamic memory to improve system adaptability and robustness, ultimately enhancing overall decision performance and stability. This has practical value for decision support and system optimization in production supply chain logistics information networks, offering fresh insights into Markov jump system control.
Enhanced potassium use by colored cotton cultivars in the semiarid region of Brazil
Authors: Santos Gisele Lopes dos , Santos Manoel Galdino dos , Silveira Flávio Pereira da Mota , Souza Ênio Gomes Flôr , Lopes Welder  de Araújo Rangel , Silva José Artur , Oliveira Anna Kézia Soares de , Barros Júnior Aurélio Paes
Published: May 2024

Proper potassium (K) fertilization management is crucial for optimizing yield and minimizing environmental impacts in colored fiber cotton cultivars, particularly in semiarid regions. This study aimed to assess the efficiency of K use by colored cotton cultivars under K fertilization in a semiarid region. Two experiments were conducted in 2019 and 2021, representing two agricultural seasons. The experimental design employed randomized blocks with split plots and four replications. The main plots consisted of five randomized K doses (0, 60, 120, 180, and 240 kg ha-1 of K2O), while subplots included four cultivars of colored cotton (BRS Rubi, BRS Safira, BRS Topázio, and BRS Verde). The results revealed that BRS Rubi exhibited superior agronomic efficiency with a dose of 60 kg ha-1 of K2O in both agricultural seasons. The maximum efficiency of K use by colored cotton cultivars was achieved with a dose of 240 kg ha-1 of K2O in the semiarid region of Brazil. The cultivars BRS Rubi and BRS Topázio demonstrated the highest use efficiency. Furthermore, BRS Topázio displayed the highest K accumulation in plant shoots during both seasons.
A candidate projective neuron type of the cerebellar cortex: the synarmotic neuron
Authors: Flace Paolo , Galletta Diana , Bizzoca Antonella , Gennarini Gianfranco , Livrea Paolo
Published: May 2024

Previous studies on the granular layer of the cerebellar cortex have revealed a wide distribution of different subpopulations of less-known large neuron types, called “non-traditional large neurons”, which are distributed in three different zones of the granular layer. These neuron types are mainly involved in the formation of intrinsiccircuits inside the cerebellar cortex. A subpopulation of these neuron types is represented by the synarmotic neuron, which could play a projective role within the cerebellar circuitry. The synarmotic neuron cell body map within the internal zone of the granular layer or in the subjacent white substance. Furthermore, the axon crosses the granular layer and runs in the subcortical white substance, to reenter in an adjacent granular layer, associating two cortico-cerebellar regions of the same folium or of different folia, or could project to the intrinsic cerebellar nuclei. Therefore, along with the Purkinje neuron, the traditional projective neuron type of the cerebellar cortex, the synarmotic neuron is candidate to represent the second projective neuron type of the cerebellar cortex. Studies of chemical neuroanatomy evidenced a predominant inhibitory GABAergic nature of the synarmotic neuron, suggesting that it may mediate an inhibitory GABAergic output of cerebellar cortex within cortico-cortical interconnections or in projections towards intrinsic cerebellar nuclei. On this basis, the present minireview mainly focuses on the morphofunctional and neurochemical data of the synarmotic neuron, and explores its potential involvement in some forms of cerebellar ataxias.
Delayed Hypoparathyroidism Following Thyroidectomy
Authors: Abbas Emad Mir , Harshavardhan R. , Faseeh K. M. , Shivakumar B. R.
Published: May 2024

Hypoparathyroidism is the most common complication following total thyroidectomy, occurring in 7.6% following anterior neck surgeries. The majority (19%–38%) of postoperative hypoparathyroidism is transient, resolving within 6 months, and permanent hypoparathyroidism is observed in 1.5% after total thyroidectomy, increasing to 6.4% in patients undergoing total thyroidectomy with prophylactic neck dissection. A 26-year-old Indian married woman, a mother of a 6-month-old baby currently lactating, presented with complaints of multiple joint pains and fever of 3-day duration with a history of thyroidectomy 8 years back and developed symptoms of hypocalcemia during the hospital stay. Evaluation revealed hypoparathyroidism. The nonspecific nature of hypocalcemic symptoms and lack of continuous follow-up for a long time after thyroidectomy could contribute to a delay in the diagnosis of hypoparathyroidism. However, it is an important diagnosis to consider in any patient with a history of neck surgery.
Prognostic Value of B-Type Natriuretic Peptide in Hospitalized Patients with Pneumonia
Authors: Handargal Nagappa H. , Usman Faisal
Published: May 2024

Background:

Pneumonia is a major medical problem and is foremost infectious cause of death in developed countries. A rapid and reliable predictor might aid physicians in identifying hospitalization, intensive care unit admission, and treatment changes. B-type natriuretic peptide (BNP) has consistently been observed to improve the diagnosis and management of hospitalized patients with pneumonia. This investigation aimed to study the importance of BNP in the assessment of severity of pneumonia in a tertiary care center in South India.

Subjects and Methods:

A hospital-based observational research was carried out on patients admitted during the period of September 2016 to July 2018 with sample size of 108. All patients satisfying the inclusion criteria were enrolled. Detailed clinical history and physical examination findings were noted. Diagnostic criteria symptoms were recorded following the standard protocol. BNP was measured using the double-antibody sandwich enzyme-linked immunosorbent assay. The statistical analyses were done using the statistical software R version 3.6.3 and MS Excel.

Results:

Out of 108 patients, 48 (44.44%) were female and 60 (55.56%) were male. Of these, 45 (41.67%) patients identified with community-acquired pneumonia, 27 (25%) with health-care-associated pneumonia, 26 (24.07%) with aspiration pneumonia, and 10 (9.26%) with pneumonia with comorbid conditions. BNP levels among survivors and nonsurvivors were 193.52 ± 124.93 and 413.08 ± 149.38 pg/ml, respectively. The total mortality was 13/108 (12.04%). Out of 13 patients, 12 (92.31%) nonsurvivors had BNP level ≥200 pg/ml and 1 (7.69%) had 100–200 pg/ml.

Conclusion:

BNP levels could be a useful single prognostic marker for pneumonia. BNP levels correlated with the clinical severity of pneumonia.
Rathke’s Cleft Cyst Presented with Central Diabetes Insipidus in a Young Female
Authors: Das Niladri , Silima Tarenia Subhasnigdha , Baidya Arjun
Published: May 2024

Rathke’s cleft cyst (RCC) is a benign lesion originating from remnant of Rathke’s pouch. RCC presenting as diabetes insipidus is rare. Here we present a case of a 32 year young female presented to our outpatient department with history of polyuria, polydipsia, nocturia with preference to cold liquids and diffuse mild to moderate intensity headache for last 2 months. On investigation, she was found to have partial central diabetes insipidus without other pituitary hormone deficiency. Magnetic resonance imaging (MRI) of sellar region was done which revealed Rathke’s cleft cyst with deviation of the infundibulum and loss of posterior pituitary bright spot. Patient was given a trial of oral desmopressin, and within 2 days patient responded with reduction of urine volume.
Interleukin Levels and Non-Alcoholic Fatty Liver Disease in Chronic Plaque Psoriasis: An Analytical Case Control Study
Authors: Yadav Vidya , Mendiratta Vibhu , Agrawal Aparna , Bisherwal Kavita , Singh Ritu , Meena Amit K.
Published: May 2024

Background:

Psoriasis is a chronic, immune mediated inflammatory condition of the skin and imbalance in inflammatory mediators could result in insulin resistance, metabolic syndrome and facilitate the occurrence and progression of Non-alcoholic fatty liver disease (NAFLD).

Objectives:

Primary objectives:

To study the frequency of NAFLD in cases of chronic plaque psoriasis and controls

To study the interleukin levels in cases of chronic plaque psoriasis and controls.

Secondary objectives:

To study the BMI, lipid profile, waist circumference, FBS (fasting blood sugar), PPBS (post prandial blood sugar) and serum insulin in cases and controls

To study the association of age, duration of psoriasis, PASI (psoriasis area severity index), BSA (body surface area) involved, BMI (body mass index), lipid profile, obesity, waist circumference, FBS (fasting blood sugar), PPBS (post prandial blood sugar) and serum insulin levels with NAFLD in patients of chronic plaque psoriasis

To correlate serum levels of IL1-β, IL6 and TNF-α with NAFLD in patients of chronic plaque psoriasis.

Methods:

50 clinically diagnosed cases of chronic plaque psoriasis with age ≥ 18years, diseases duration ≥ 6 months and 30 age and sex matched controls were recruited. PASI, BSA of cases was calculated and BMI, BP, WC of all subjects was measured. Serum lipid profile, FBS, PPBS, insulin level, IL1- β, IL6, TNF- α, high frequency B-mode ultrasound, LFT and fibroscan were done in all subjects.

Results:

28(56.0%) cases and 2(6.6%) controls had NAFLD with statistically significant difference. Significantly elevated WC, serum insulin, deranged lipid profile, fatty liver, transaminitis, fibroscan score, liver fibrosis, NAFLD and interleukins were found in cases vs controls. There was a significant association of NAFLD in psoriatic patients with increasing duration of psoriasis, BMI ≥23 Kg/m2, high WC, increasing BSA involved, deranged lipid profile, raised total cholesterol levels and increasing number of risk factors. Nonsignificant but positive association of NAFLD in cases was found with high levels of IL1 – β, IL – 6, TNF-α, FBS and increasing PASI.

Conclusion:

Significantly increased interleukin levels and their weak positive correlation with the severity of psoriasis (PASI, BSA) in patients of chronic plaque psoriasis explains the possible role of inflammation in the causation of psoriasis. Screening may be considered in psoriatic patients with increasing duration of psoriasis, high WC, high BSA involved, high BMI, obesity, dyslipidemia and insulin resistance.

Limitations:

Small sample size.

Conflict of Intrest:

NONE.
Segmental Collagenoma in Tuberous Sclerosis – Think Beyond the Skin
Authors: Nagarajan Ashok Kumar , Manoharan Krishnaswamy , Moozhiyil Shreya
Published: May 2024

Collagenomas are connective tissue nevi characterized by an imbalance in the distribution and amount of collagen in the extracellular matrix. Shagreen patch, a collagenoma of tuberous sclerosis, is a classical finding in this genodermatosis (Tuberous Sclerosis). Though the prototypical lesion is a shagreen patch, some individuals manifest only small collagenomas, and these can hinder a diagnosis of tuberous sclerosis and thus mask underlying systemic involvement as was seen in this case we have reported, wherein a 22-year-old male presented with segmental collagenomas over the face and calcified subependymal nodules of the brain on further investigation.
Isolated Pili Torti
Authors: Davis Chinjitha T. , Bhuiya Snuhi , Potom Koge , Das Suchibrata
Published: May 2024

Pili torti or ‘twisted hair’ is characterized by flattened hair shaft twisted through 180 degree around their long axis at irregular intervals. It is inherited or acquired hair shaft disorder with increased fragility. It may be associated with numerous dermatological and systemic conditions or may be drug-induced. An isolated pili torti case is reported which is very rare and the related literature reviewed.
Thiol-Disulphide Homeostasis, Ischemia-Modified Albumin, Trace Elements and Vitamins in Vitiligo Patients
Authors: Oğuz Esra Firat , Hayran Yildiz , Yücel Çiğdem , Eren Funda , Kizilgün Murat , Erel Özcan
Published: May 2024

Background:

Vitiligo, a multifactorial, depigmented skin disease, is characterised by selective loss of functional melanocytes leading to pigment reduction in the affected areas of the skin.

Aim:

We aimed to examine thiol-disulphide homeostasis, IMA, copper, zinc, selenium, vitamin A and vitamin C levels in vitiligo patients.

Materials and Methods:

The study included 83 vitiligo patients and 72 healthy controls. Copper, zinc, and selenium levels were measured by atomic absorption spectrophotometer; vitamin A and E levels were measured by high-performance liquid chromatography. Ischemia-modified albumin and native/total thiol levels were measured by colourimetric method.

Results:

Serum native and total thiol levels were significantly lower in vitiligo patients (P < 0.001, for all). Zn levels were significantly higher in vitiligo patients than in the control group (P = 0.004). There was no statistical difference in terms of Cu, Se, vitamin A and vitamin E levels.

Conclusions:

All thiol-disulphide homeostasis parameters (the most important antioxidant–oxidant system in circulation), trace elements, and vitamins together were evaluated in the present study in vitiligo patients. It can be concluded that vitiligo patients have increased oxidative stress status, and also the increase in the dissemination of the disease also increases the oxidative stress in the body.
A Study of Clinical Manifestations and their Association with Antinuclear Antibodies in Various Autoimmune Connective Tissue Disorders
Authors: Kondeti Rupa D. , Venkatesh K. , Rama Murthy D. V. S. B. , Kameti Swapna , Sri Devi K. , Chandrika K. V.
Published: May 2024

Background:

Autoimmune connective tissue diseases (AICTD) present with a myriad of clinical manifestations, including cutaneous. These disorders occur because of immune dysregulation that produces autoantibodies targeting connective tissue and internal organs. Screening these autoantibodies not only aids in the diagnosis but also in predicting specific organ involvement and the risk of complications related to the disease.

Aims:

This study was conducted (a) to study various cutaneous and systemic manifestations of AICTD, (b) to study the antinuclear antibody (ANA) profile and (c) to determine the association between systemic manifestations and antinuclear antibodies.

Methodology:

Thirty cases of autoimmune connective tissue disease were recruited for the study. A physical examination, clinical profile and ANA profile were done.

Results:

Nonscarring alopecia (83.3%) was the commonest cutaneous manifestation noted, followed by photosensitivity (73.3%). The most common system affected was musculoskeletal (67%), followed by renal (40%). Anti-dsDNA antibodies were significantly associated with musculoskeletal involvement (85%) with a P value of 0.038 and anti-Sm antibodies with neurological involvement (87%), followed by renal involvement (75%) with a P value of 0.018 and 0.001, respectively. Anti-SCL 70 antibodies were significantly associated with lung involvement (75%), with a P value of 0.009 and the presence of anti-SS-A antibodies with cardiovascular involvement (40%) with a P value of 0.014.

Conclusion:

Antinuclear antibodies are diagnostic as well as prognostic biomarkers for AICTD and contribute to precision medicine. These antibodies serve as markers to pursue involvement of organs, which in turn helps the treating physician to choose appropriate preventive measures.
Hidradenitis Suppurativa and Risk of Coronary Artery Disease: A Systematic Review and Meta-Analysis
Authors: Worapongsatitaya Pitchaya , Chaikijurajai Thanat , Ponvilawan Ben , Ungprasert Patompong
Published: May 2024

Background:

Patients with hidradenitis suppurativa (HS) may have a higher risk of coronary artery disease (CAD) due to the excessive inflammatory burden. However, data on this association is still relatively limited.

Aims:

To investigate the association between HS and risk of prevalent and incident CAD by combining result from all available studies using systematic review and meta-analysis technique.

Materials and Methods:

Potentially eligible studies were identified from Medline and EMBASE databases from inception to November 2021 using search strategy that comprised of terms for 'hidradenitis suppurativa' (HS) and 'coronary artery disease' (CAD). Eligible study must be cohort study that consisted of one cohort of patients with HS and another cohort of individuals without HS. The study must report incidence or prevalence of CAD in both groups. The retrieved point estimates with standard errors from each study were summarized into pooled result using random-effect model and generic inverse variance method. Meta-analyses of the prevalent and incident CAD were conducted separately.

Results:

A total of 876 articles were identified. After two rounds of independent review by three investigators, seven cohort studies (four incident studies and three prevalent studies) met the eligibility criteria and were analysed in the meta-analyses. The meta-analysis found a significantly elevated risk of both incident and prevalent CAD in patients with HS compared to individuals without psoriasis with the pooled risk ratio of 1.38 (95% CI, 1.21–1.58; I2 83%) and 1.70 (95% CI, 1.13–2.57; I2 89%), respectively.

Limitations:

Limited accuracy of diagnosis of HS and CSD as most included studies relied on diagnostic codes and high between-study statistical heterogeneity.

Conclusions:

The current systematic review and meta-analysis found a significantly increased risk of both prevalent and incident CAD among patients with HS.