bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Features, Investigative Profile and Association with Metabolic Syndrome in Facial Acanthosis Nigricans: A Case–Control Study in Indian Patients
Authors: Rao T. Narayana , Gopal K. V. T. , Chennamsetty Kavya , Velapati Sai Teja Reddy , Ananditha K. , Adapa Pallavi Sai 
Published: July 2024

Objectives:
The present study was undertaken to study the clinical profile and laboratory abnormalities in patients with facial acanthosis nigricans (FANs). The significance of FAN as a marker of insulin resistance (IR), metabolic syndrome (MS) and its components was determined by comparing with controls without FAN.

Materials and Methods:
Fifty clinically diagnosed cases of FAN of all ages and both sexes were enrolled. Age- and sex-matched obese patients without FAN were included as controls. Waist circumference, blood pressure and body mass index were measured. Venous samples were taken from all patients and controls for measuring fasting glucose level, fasting insulin levels and fasting lipid profile. Statistical analysis was done using the Chi-square test and unpaired t-test.

Results:
The prevalence of hypertension, dysglycaemia, hyperlipidaemia, elevated Homeostatic Model Assessment for IR (HOMA-IR) and MS was significantly higher in cases of FAN than controls (P < 0.05). The mean levels of fasting blood sugar, HOMA-IR, hypertension, high-density lipoprotein and serum triglycerides were significantly higher in patients of FAN than controls (P < 0.05). The odds ratio for FAN cases developing MS was determined to be 5.31.

Conclusion:
FAN may be considered as a significant clinical marker of IR with increased risk for MS and its component when compared to controls. All patients with FAN should be considered for a thorough biochemical workup to rule out MS. In all detected cases, it is prudent to initiate prompt remedial measures including lifestyle changes and pharmacotherapy to prevent long-term morbidity and mortality.
Clinical characteristics and long-term outcome of patients with bioprosthetic mitral valve– Experience from a South Asian country
Authors: Nasir Aiysha , Sultan Fateh Ali Tipoo , Khawaja Rizwan Ali , Tamiz Muhammad Ahmed 
Published: July 2024

Objectives:
Due to rheumatic heart disease, young people are more likely to develop valvular heart disease in developing countries. In countries like Pakistan, surgeons implant more bioprosthetic mitral valves (MVs) in younger patients. However, bioprosthetic valves degenerate rapidly in younger people, leading to bioprosthetic MV dysfunction (BMVD). This study aims to evaluate the clinical characteristics and long-term outcomes of patients with bioprosthetic MV replacement (MVR) at a tertiary care hospital in a South Asian country.

Material and Methods:
This is a retrospective observational study, conducted at a tertiary care hospital. We included a total of 502 patients who underwent bioprosthetic MVR from the year 2006 to 2020. Clinical and surgical characteristics along with transthoracic echocardiographic findings (pre-surgery and recent most follow-up studies) were noted. Follow-up data were also collected.

Results:
Out of 502 patients, 322 (64%) were female, mean age at the time of surgery was 49.42 ± 14.56 years. Mitral regurgitation was more common, found in 279 (55.6%) patients followed by mitral stenosis in 188 (37.5%) patients. MVR was done as an elective procedure due to the New York Heart Association (NYHA) II to IV symptoms at the time of surgery in 446 (88.8%) patients. In the mean follow-up of 6.59 ± 2.99 years, BMVD was observed in 183 (36.5%) patients. However, re-do MV surgery was done in only 49 (9.8%) patients. Patients were divided into two groups based on normal functioning bioprosthetic MV and BMVD. Comparing the two groups, individuals with normal functioning bioprosthetic MV had a mean age of 51.6 ± 14.27 years, while those with BMVD had a mean age of 45.639 ± 14.33 years at the time of index surgery (P = 0.000). There were more long-term complications including heart failure (n = 16, 8.74%), atrial fibrillation (n = 11, 6.01%), and death (n = 6, 3.28%) in the BMVD group which were statistically significant.

Conclusion:
This study is distinct because it demonstrates the outcomes of bioprosthetic valve replacement in a relatively younger South Asian population. Due to rapid degeneration of bioprosthetic valve in younger patients, significant number of patients developed BMVD along with poor long-term clinical outcomes, even at a short follow-up period of <10 years. These findings are similar to international data and signify that mechanical MVR may be a more reasonable alternative in younger patients.
Revistas do Museu Júlio de Castilhos e a exposição Memória e Resistência
Authors: Madeira de Melo Roberta , Possamai Zita Rosane 
Published: July 2024

Neste artigo investigamos as representações sobre os povos originários presentes na Revista do Museu Júlio de Castilhos e Arquivo Histórico do Rio Grande do Sul, publicadas entre os anos de 1952 e 1958, pelo Museu Júlio de Castilhos. Também, analisamos os sentidos atribuídos Ã s revistas ao serem inseridas na exposição Memória e Resistência como documentos históricos do museu. Ainda, refletimos sobre as heranças colonialistas do museu através do conceito de colonialidade do saber e do poder e sobre as rupturas desse processo a partir de ações recentes do museu que busca descolonizar-se. Compreendemos que a exposição Memória e Resistência propôs uma crítica da colonialidade do museu por meio da exposição do conteúdo de suas revistas e ao mesmo tempo evidenciou que os povos Kaingang e Mbya-Guarani, antes compreendidos como objetos de estudo, agora, tornam-se protagonistas do processo de construção de suas próprias representações, ao participarem da elaboração da exposição.
José Saramago, patrimônio e memória
Authors: Coelho Gislene Teixeira 
Published: July 2024

Este artigo objetiva refletir sobre a relação entre a literatura, as representações da memória e o desmonumento, destacando um exercício de crítica e irreverência literária em direção Ã s representações monumentais e monumentalizadas. Para tanto, vale-se de peças imponentes e monumentais do discurso histórico e mnemônico português e das obras Memorial do Convento e Viagem a Portugal, de José Saramago, que recepcionam, em igual medida e valor, a tradição monumental e histórias interditas, menorizadas e esquecidas. Salientar-se-á a herança político-ideológica dos emblemáticos anos 1940, em que identidade, memória e monumento se conjugam para fundamentar um discurso grandiloquente de nação, história e nacionalidade, com notórios eventos político-culturais a fim de preservar, honrar e perpetuar o passado português. Como resposta a esse legado, sobretudo a partir das duas últimas décadas do século XX, a literatura portuguesa contemporânea, representada por Saramago, suspende a autoridade dos registros mnemônicos oficiais, enfrentamento o poder do discurso empreendedor da totalidade, monumentalidade e poder.
“Curadorias do invisível”
Authors: López Garcés Claudia Leonor , Dos Santos Karipuna Suzana Primo 
Published: July 2024

Baseadas na nossa experiência como integrantes da equipe de curadoria da Coleção Etnográfica Reserva Técnica Curt Nimuendaju do Museu Goeldi (2011-2018), o objetivo deste artigo é refletir sobre os desafios de conhecer, documentar, guardar, conservar e divulgar coleções de objetos indígenas musealizados, com base nas pesquisas antropológicas e museológicas, mas também considerando as nossas preocupações sobre como articular e conciliar conhecimentos, percepções, pensamentos e sentimentos indígenas sobre a materialidade, imaterialidade e agencialidade dos objetos, e as nossas expectativas de que estes conhecimentos indígenas possam contribuir para uma gestão intercultural dos objetos indígenas musealizados.
tela digital e a experiência do museu na era da intermediação eletrônica.
Authors: Da Rocha Carlos Matos Carolina 
Published: July 2024

Até o final do século XX, as tecnologias da memoria se limitavam Ã utilização de meios analógicos como suporte para a preservação e transmissão do passado. Com a crescente presença do formato digital no âmbito cultural, a gestão da memória passa a contar com a administração de arquivos numéricos e bases de dados. Nos museus e centros culturais da atualidade, o desenvolvimento veloz de tecnologias destinadas a digitalizar coleções e intermediar o contato do espectador contemporâneo com o patrimônio histórico e cultural suscita uma reconfiguração contundente, tanto nas práticas laborais, quanto nos modelos expositivos atuais. Entre diversos tipos de aparelhos digitais tecnológicos para comunicação e interatividade, a tela tátil dos telefones celulares reclama a atenção e demanda a participação do observador contemporâneo, ao mesmo tempo que gera possibilidades de contemplação e reflexão sobre o conteúdo apresentado que transcendem a materialidade do objeto.
Potensi Ekstrak Etanol Biji Melon (<i>Cucumis melo L.</i>) sebagai Antibakteri terhadap <i>Streptococcus mutans</i> Penyebab Karies Gigi
Authors: Adisty Yasmin Kamila Zalfa , Sulistyorini Ratna , Rakhmawatie Maya Dian 
Published: July 2024

Latar Belakang: Karies disebabkan oleh demineralisasi pada jaringan gigi yang mempermudah invasi mikroorganisme seperti Streptococcus mutans. Karies dapat dikontrol dengan obat kumur. Untuk meningkatkan keamanan, dapat digunakan bahan alam sebagai zat untuk obat kumur, seperti melon yang telah diteliti memiliki aktivitas antibakteri. Penelitian ini bertujuan mengetahui aktivitas antibakteri ekstrak etanol biji melon (Cucumis melo L.) dalam menghambat S. mutans.Metode: Biji melon dipersiapkan untuk ekstraksi dengan pelarut etanol meng-gunakan metode maserasi. Uji kualitatif fitokimia dilakukan untuk me-ngetahui kandungan senyawa aktif antibakteri. Uji daya hambat antibakteri dari ekstrak biji melon dilakukan dengan metode difusi cakram, dan untuk penentukan kadar hambat minimal dilakukan dengan metode mikrodilusi. Konsentrasi ekstrak etanol biji melon yang digunakan adalah 100; 50; 25; 12,5 dan 6,25 µg/mL. Ampisilin digunakan sebagai kontrol obat dan aquades sebagai kontrol negatif.Hasil: Hasil pemeriksaan fitokimia mendeteksi adanya senyawa flavonoid, saponin, dan alkaloid dari ekstrak etanol biji melon. Ekstrak etanol biji melon konsentrasi 100 dan 50 µg/mL dapat menghambat pertumbuhan S. mutans dengan kategori hambatan sedang (zona hambat secara berurutan 19,9 mm, 16,7 mm). Hambatan dari ekstrak lebih kecil dibandingkan kontrol positif ampisilin yang mencapai 21,2 mm (kategori kuat). Untuk nilai kadar hambat minimal ekstrak etanol biji melon dapat ditentukan sebesar 12,5 µg/mL. Kesimpulan: Aktivitas antibakteri ekstrak etanol biji melon dapat dipengaruhi adanya senyawa aktif dari golongan flavonoid, saponin, dan alkaloid. Ekstrak etanol biji melon (Cucumis melo L.) memiliki potensi dikembangkan sebagai antibakteri terhadap bakteri penyebab karies gigi S. mutans.
Global Perspectives on Management Consulting Competitiveness: Analyzing Knowledge Brokers’ Components
Authors: Akaraphan Sirin , Wiriyapinit Mongkolchai , Sinthupinyo Sukree 
Published: July 2024

Bridging a significant gap in knowledge broker research, this study addresses the challenges and difficulties in demystifying the roles and components of Knowledge Brokers (KBs) within the management consulting context. Despite their recognized importance, the specific functions, and components of KBs in this specific sector context, known for its intensive use of knowledge, have been unexplored. This study aims to narrow the research gap by identifying key components of KB that enable the knowledge brokerage process in management consulting. Utilizing a mixed methods approach with Structural Equation Modeling (SEM) and data collection from various geographies from global perspectives, the research offers an in-depth understanding of KBs in management consulting. The research findings confirm Interpersonal Skills and Cognitive Ability, along with sub-components like Interactive Skill, Motivational Skill, Hybrid & Anomalous, Neutrality, Professional Competence and Experiential Knowledge, as critical to KBs. The findings offer original contributions to theoretical implications by narrowing the research gaps within this specific context. On the practical front, this study provides strategic insights for organizations to significantly enhance sustainable innovation by integrating external knowledge into organizational decision-making processes, which could be extendable to other industries. Furthermore, it suggests the potential to evolve traditional knowledge brokerage into technology-driven platforms and enhance the innovation ecosystem. Finally, the research findings offer the foundations for future studies on similar professional and knowledge-intensive settings, contextual influences of KBs, and the interrelationships among KB components. Doi: 10.28991/ESJ-2024-08-03-014 Full Text: PDF
Exploring Factors Influencing Gen Z's Acceptance and Adoption of AI and Cloud-Based Applications and Tools in Academic Attainment
Authors: Taufiq Hail Ghilan Al-Madhagy , Yusof Shafiz Affendi Mohd , Rashid Ammar , El-Shekeil Ibrahim , Lutfi Abdalwali 
Published: July 2024

Generation Z faces diverse challenges in education amidst the swift evolution of technology. This study investigates the factors shaping Generation Z's acceptance and adoption of AI and Cloud-based applications in Oman's higher education sector. Despite limited attention to this area in Oman and the Gulf Cooperative Council countries (GCC), this research addresses the gap by employing the Unified Theory of Acceptance and Use of Technology (UTAUT) framework, recognized for its effectiveness in understanding technology adoption. Through a quantitative approach, Generation Z students in Omani higher education institutions were surveyed, and SmartPLS was utilized for analysis. Results indicate a significant positive relationship between all UTAUT antecedent factors, with Performance Expectancy being non-significant. This study offers novel insights into global understandings of Generation Z's learning trends with AI and Cloud-based applications in higher education, aiming to enhance pedagogical approaches. Notably, it pioneers such efforts within the GCC context. Recommendations for similar research in other GCC countries are provided to enrich regional perspectives. Limitations and future directions are addressed, emphasizing the importance of comprehending Generation Z's interaction with technology to advance educational practices in the digital age. Doi: 10.28991/ESJ-2024-08-03-02 Full Text: PDF
Framing Assessment Questions in the Age of Artificial Intelligence: Evidence from ChatGPT 3.5
Authors: Farooqui Mohammad Owais , Siddiquei Mohd Imran , Kathpal Shashank 
Published: July 2024

With the rise of artificial intelligence (AI), higher education faces a significant challenge in learning assessment. The emergence of tools like ChatGPT raises concerns regarding the potential for cheating and the reliability of assessment outcomes. This paper aims to address these concerns by proposing a methodology for framing questions that effectively measures learning outcomes while reducing the risk of AI-enabled cheating. To achieve this objective, we employ a methodological approach that involves getting responses from ChatGPT 3.5 to various question prompts across different domains. These responses are then evaluated by faculty members specializing in management education. Through this process, we aim to identify question-framing strategies that effectively assess learning outcomes while minimizing susceptibility to AI Cheating. Our analysis reveals several key findings. Certain question Types (Decision Making, Recent Events, and Experiential Learning) demonstrate greater resilience against AI-generated responses, indicating their potential effectiveness in assessing student learning. This study offers original insights into the challenges and opportunities associated with learning assessment in the context of AI integration. The paper tries to provide valuable guidance for Policymakers, educators & students seeking to enhance the integrity and reliability of their assessment practices. Doi: 10.28991/ESJ-2024-08-03-09 Full Text: PDF
Solvability of an Unbounded Operator Equation
Authors: Mohammed Kadhim Karrar 
Published: July 2024

In this work, we will submit the form of the solution of the generalization kind of unbounded operator equation define on Hilbert space which is , where is the bounded operator satisfy the above operator equations and showing this solution via application the semigroup theory, moreover we will discuss some properties of this solution and proved its unique. Also, it was proved that for a locally bounded operator satisfying the equation.
Upaya Peningkatan Kesehatan Masyarakat Pasca Bencana Banjir Melalui Pemeriksaan Kesehatan di Desa Asem Kumbang Kabupaten Katingan Kalimantan Tengah
Authors: Suhin Hermanto , Carolina Putria , Sianipar Siti Santy , Rahayu Septian Mugi , Ningsih Fitriani , Agustian Dwi , Natalia Lensi , Arsesiani Angga 
Published: July 2024

Latar Belakang: Bencana alam adalah suatu kejadian yang tidak bisa di prediksi dan setiap saat bias terjadi. Kalimantan tengah yang memiliki hutan luas, tidak menjadi jaminan untuk bebas dari banjir. Banjir akan menimbulkan dampak terhadap ekonomi dan kesehatan.Musibah banjir di kalimantan tengah khususnya terjadi di desa asem kumbang, kecamatan baringai, kabupaten katingan yang berlokasi di tepian sepanjang sungai memiliki kontur tanah yang rendah sehingga apabila air sungai naik akan menggenangi pemukiman warga. Beberapa masalah kesehatan yang bias muncul adalah diare, gatal-gatal serta kebutuhan makanan yang kurang.
Tujuan: Dengan adanya kegiatan ini masalah kesehatan yang di sebabkan oleh banjir bisa segera di atasi sehingga dapat mengurangi permasalahan yang ada.
Metode: Permasalahan yang ada akan diselesaikan dalam tiga tahapan kegiatan yaitu persiapan, pelaksanaan dan evaluasi, Persiapan dilakukan dengan melakukan survey kondisi di lapangan yang berkordinasi dengan tenaga kesehatan di wilayah asem kumbang, Pelaksanaan dilakukan dengan pemeriksaan kesehatan gratis, pemberian vitamin serta pemberian sembako, Evaluasi kegiatan dilakukan untuk masing-masing tahap dengan mengumpulkan dan menyimpulkan data dari masing-masing tahapan kegiatan. Sasaran dalam kegiatan ini adalah warga masyrakat desa asem kumbang yang terdampak banjir.
Hasil: Kegiatan ini berhasil dilaksakan dan diikuti sebanyak 32 masyarkat yang melakukan pemeriksaan kesehatan baik anak-anak maupun dewasa dengan masalah kesehatan yang dikeluhkan yaitu tekanan darah tinggi, gastritis, batuk pilek dan badan pegal-pegal, serta diserahkan sebanyak 100 paket sembako kepada 100 kepala keliarga warga asem kumbang.
Kesimpulan:Selama kegiatan berlangsung warga sangat antusias hal ini tampak pada keaktifan warga mengikuti kegiatan pemeriksaan kesehatan yang di laksanakan.
Kata kunci: Banjir, Kesehatan, Pemeriksaan Kesehatan, Vitamin
Pengabdian Masyarakat Dosen dan Mahasiswa "Kegiatan Senam Hipertensi pada Kelompok Resiko di RT. 002/RW. 004 Kel. Pahandut, Kec. Pahandut, Kota Palangka Raya"
Authors: Wiyono Henry , Faruk Dwi Agustian 
Published: July 2024

Latar Belakang: Hipertensi merupakan suatu keadaan dimana tekanan systole dan diastole mengalami kenaikan yang melebihI batas normal yaitu tekanan darah systole >139 mmHg, dan diastole >90 mmHg. Hal tersebut dipengaruhi oleh beberapa faktor diantaranya; faktor genetik, riwayat kebiasan merokok terdahulu dan kurangnya aktivitas fisik (olah raga). Akibat peningkatan angka hipertensi yang terjadi pada lanjut usia secara langsung menyebakan tiingginya angka kesakitan dan kematian.Tujuan: Dengan adanya kegiatan pengadian masyarakat ini masalah kurang pengetahuan dan hipertensi yang terjadi dapat teratasi baik melalui penyuluhan kesehatan dan kegiatan senam hipertensi. Metode: Permasalahan yang ada diselesaikan melalui tiga tahap kegiatan yaitu Persiapan, Pelaksanaan dan Evaluasi. Tahap persiapan dimulai dengan melakukan survey lapangan di komunitas lanjut usia untuk mengetahui masalah yang ada dengan berkoordinasi dengan koordinator komunitas lansia, Tahap Pelaksanaan dilakukan dengan pemeriksaan kesehatan gratis, kegiatan senam hipertensi bersama, pembagian makanan dan minuman, dan Tahap Evaluasi kegiatan dilakukan untuk masing-masing tahapan kegiatan pengabdian masyarakat. Hasil: kegiatan ini berhasil dilaksanakan dengan dihadiri 29 lanjut usia yang berpartisipasi dalam pemeriksaan kesehatan dan senam hipertensi. Didapatkan penurunan tekanan dari setelah dilaksanakan senam hipertensi baik yang terindikasi hipertensi maupun tidak hipertensi. Kesimpulan: Selama kegiatan berlangsung partisipasi lanjut usia sangat baik, hal ini dibuktikan dengan keaktifan mengikuti kegiatan dari awal sampai selesai.
Kondisi Kesehatan Masyarakat Berdasarkan Survei dan Observasi di Kelurahan Bukuan, Kota Samarinda
Authors: Adrianto Ratno , Susanti Rahmi , Danu Putra Muhammad Rangga , Eka Dewi Sitepu Abira Ivanca , Fajri Audya Nada , Wahyudi Ayu Huwaidah , Hutauruk Hutauruk , Nauli Ruth Sekar , Jumliana Jumliana , Ulfah Meilida , Nur Syalmitha Auralia , Khotimah Vika Khusnul 
Published: July 2024

Stunting adalah gangguan pertumbuhan linier yang tidak sesuai dengan umur atau panjang lebih dari -2 SD median standar pertumbuhan anak dari WHO. Persentase balita stunting di Kalimantan Timur sebesar 27.6% atau telah berada di bawah rerata persentase nasional 37,2%. Tujuan penelitian ini adalah untuk mengetahui bagaimana kondisi kesehatan masyarakat dinilai dari survei dan observasi yang dapat mempengaruhi kejadian stunting. Penelitian ini dilaksanakan di RT 01 dan RT 02 Kelurahan Bukuan, Kecamatan Palaran, Kota Samarinda, Provinsi Kalimatan Timur menggunakan metode deskriptif dengan pengambilan data secara sekunder dan primer melalui wawancara langsung yang dipandu kuesioner. Penelitian ini menggunakan metode purposive sampling. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan kuantitatif yang memberikan gambaran umum mengenai pengetahuan masyarakat sebelum dan sesudah dilakukan edukasi. Hasil penelitian menunjukkan secara epidemiologi terdapat 64% responden menderita ISPA dan 34% menderita Hipertensi. Dalam dunia kesehatan, ditemukan terdapat 14% responden sering mengonsumsi mie instan, secara kesehatan lingkungan terdapat 31% responden mengolah sampah dengan dibakar, berdasarkan tingkat pengetahuan dan sikap perilaku merokok terdapat 44.9% responden merokok di dalam rumah dan berdasarkan tingkat pengetahuan kesehatan reproduksi remaja terdapat 56.5% remaja tidak menerima informasi tentang kesehatan reproduksi remaja dari orang tua. Dapat disimpulkan bahwa terdapat 6 masalah yang berkaitan dengan penegtahuan dan perilaku hidup sehat sebagai faktor risiko yang mempengaruhi kejadian stunting. Sehingga diharapkan peran tenaga kesehatan dan kader dapat lebih menyebarluaskan informasi pencegahan stunting dengan pengembangan inovasi program pencegahan stunting terbaru.