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Disease Burden, Complications And Treatment Costs Of Poorly Controlled Type 2 Diabetic Patients In Thailand, Nantawut Leeamornsiri, Kasemsan Sarapee, Veerasak Sarinnapakorn

Asian Medical Journal and Alternative Medicine

Background: Type 2 diabetes mellitus (T2DM) presents a major public health issue in Thailand, with increasing prevalence affecting quality of life and economic stability. Traditional management focused on treatment may not meet current healthcare demands.

Objectives: The purpose of this study aimed to illustrate disease burden, complications and treatment costs among T2DM patients.

Methods: A cross-sectional study was conducted among 700 T2DM patients at Rajavithi Hospital. Correlation between risk of complications and treatment cost, and factors influencing treatment cost were evaluated. Data analysis involved descriptive statistics, one-way ANOVA, Pearson’s correlation, and linear regression.

Results: A significant majority (92.6%) of participants …

Editor’S Note, Thana Khawcharoenporn

Asian Medical Journal and Alternative Medicine

No abstract provided.

Car-T Cell Therapy Milestones In Treating Hematologic Malignancies, Dusit Jit-Ueakul, Piyanuch Kongtim

Asian Medical Journal and Alternative Medicine

Chimeric Antigen Receptor T (CAR-T) cell therapy has emerged as a revolutionary treatment modality for hematologic malignancies, including acute lymphoblastic leukemia (ALL), non-Hodgkin lymphoma (NHL), and chronic lymphocytic leukemia (CLL). This innovative approach involves the genetic engineering of a patient's own T lymphocytes to express chimeric antigen receptors (CARs), which enables these cells to specifically recognize and eliminate malignant cells expressing target antigens. Clinical trials have demonstrated remarkable efficacy, with significant rates of complete remission and durable responses observed in patients who have relapsed or are refractory to conventional therapies. As advancements in CAR technology continue, there is potential for …

The Effect Of Pterygium On Corneal Biomechanical Properties Using Corvis St, Tararat Hoopholerb, Kosol Kampitak, Supinda Leeamornsiri, Suntaree Thitiwichienlert, Promporn Patarajierapun, Soyci Tiantanyatip

Asian Medical Journal and Alternative Medicine

Introduction: Pterygium is a growth of fibrovascular tissue that originates from the conjunctiva and extends onto the cornea. It can destroy the Bowman’s membrane layer and superficial stroma of the cornea. Therefore, pterygium may affect corneal biomechanical properties.

Objectives: To compare corneal biomechanical parameters using Corvis ST between eyes with and without pterygium in the same patient.

Methods: A prospective study was conducted on 27 participants (mean age 59.67 ± 12.06 years) with unilateral primary pterygium. Each subject underwent ocular examinations, and pterygium size was measured. Corvis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany) was used to measure corneal biomechanical properties. …

A Randomized Controlled Study On The Acute Impact Of Honey-Sweetened Black Tea On Blood Pressure And Blood Glucose Level In Healthy Female Individuals, Utibeima Godwin Robson, Esther Oluwasola Aluko, Ernest Etim Akpan

Asian Medical Journal and Alternative Medicine

Black tea (BT) is a popular beverage known for its diverse phytochemical composition and potential physiological effects. Honey, on the other hand, is a natural sweetener with a rich history of culinary and medicinal use and has long been used for its potential health benefits. This study was undertaken to determine whether a three-day consumption of honey-sweetened black tea (HSBT) will significantly alter the systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), and blood glucose (BG) levels in young, healthy female adults. The study was conducted over a 3-day period, involving 30 young …

Elucidating The Role Of Pbaf Chromatin Remodeling Subunit Arid2 In B Cell Development, Rachel Paolini

Arts & Sciences Graduate Student Theses and Dissertations

B cells are key components of the adaptive immune system that mediate humoral immunity through the production of antigen-specific antibodies. The generation of functional B cells involves multiple stages of differentiation across distinct anatomical niches, requiring precise regulation of microenvironmental signals and intrinsic transcriptional networks. SWI/SNF chromatin remodeling complexes have emerged as key regulators of B cell lineage commitment by modulating the accessibility of transcriptional programs required for differentiation and maturation. However, the specific roles of individual SWI/SNF subunits and distinct complexes within early B cell differentiation remain poorly understood. In this thesis, I investigated the function of Arid2, an …

How Casino Match Play Promotions Can Hook Gamblers (And Non-Gamblers), Brent Evans, Douglas Walker

UNLV Gaming Research & Review Journal

Casino operators frequently use promotional gambling vouchers, free play and match play. In the case of free play, customers are offered gambling credits that function much like real money and patrons are able to quickly turn their promotional play into cash without risking their own money. Match play, however, can only be employed at table games and their use necessitates gamblers to wager their own funds. We conduct a thorough analysis of how match play can affect gamblers’ individual behavior. First, we assess the value of match play promotions, which we argue is ambiguous. Then, using behavioral economics concepts, we …

Testing For Dice Control At Craps, Stewart N. Ethier

UNLV Gaming Research & Review Journal

Dice control involves “setting” the dice and then throwing them carefully, in the hope of influencing the outcomes and gaining an advantage at craps. How does one test for this ability? To specify the alternative hypothesis, we need a statistical model of dice control. Two have been suggested in the gambling literature, namely the Smith–Scott model and the Wong–Shackleford model. Both models are parameterized by θ ∈ [0, 1], which measures the shooter’s level of control. We propose and compare four test statistics: (a) the sample proportion of 7s; (b) the sample proportion of pass-line wins; (c) the sample mean …

Effects Of Fit Between Promotional Message And Regulatory Focus On Consumers’ Sports Betting Behavior: The Moderating Role Of Consumers’ Familiarity, Koo Yul Kim, Thilo Kunkel

UNLV Gaming Research & Review Journal

The sports gambling industry is an extremely competitive market. To attract more consumers, sports gambling platforms are primarily employing one of two customer acquisition strategies, namely ‘risk-free bet’ or ‘bonus money’ welcome offers. This research is built on regulatory fit theory to investigate the effectiveness of these two welcome offer strategies on consumers’ intentions to act on the offer. We further test the moderating effect of customers’ familiarity with online sports betting on their decision making. Findings of two experimental design studies demonstrate that the presence of regulatory fit between regulatory focus and promotional offers (i.e., message framing) positively affected …

Maritime Trade And Imperial Ambitions: Yemeni Politics And Trade In The Indian Ocean World (626/1228-858/1454), Beck Sjostedt

Theses and Dissertations

This thesis explores the role of Yemen, particularly under the Rasūlid dynasty (626/1228-858/1454) in the medieval Indian Ocean trade. I argue that the Rasūlids attempted to create an “imperial maritime space” wherein Yemen would be the imperial core, and the western Indian Ocean and Red Sea the subjugated peripheries. While the Rasūlids managed to organize state power towards their imperial project via diplomacy, military and naval expansion, and a robust and efficient bureaucracy, they never fully realized their goal of creating a thalassocratic empire in the western Indian Ocean. Nonetheless, medieval Yemen played a significant role in the political, social, …

Lattice Thermal Transport Beyond The Quasiparticle Approximation: Nontrivial Spectral Competition Between Three- And Four-Phonon Interactions, Yi Xia

Mechanical and Materials Engineering Faculty Publications and Presentations

The breakdown of the quasiparticle approximation (QPA) for phonons in strongly anharmonic materials necessitates advanced first-principles frameworks for accurate lattice dynamics and thermal transport predictions. We develop a comprehensive beyond-quasiparticle approximation (BQPA) approach incorporating both three- (3ph) and four-phonon (4ph) interactions and apply it to investigate lattice thermal conductivity (κL) in MgO, PbTe, and AgCl – materials that span a broad spectrum of anharmonicity, from weak to severe anharmonic regimes with overdamped phonons. We reveal that while BQPA consistently increases κL relative to QPA due to phonon softening when considering only 3ph interactions, the inclusion of additional 4ph interactions hardens …

Preface To The Special Issue: Neutrosophy In Artificial Intelligence: Advances And Applications From The Joint Conferences Of Barna Management School (Dominican Republic) And Universidad Del Trabajo Del Uruguay (August 6–8, 2025), Florentin Smarandache, Maikel Yelandi Leyva, Mohamed Abdel‑Basset

Neutrosophic Sets and Systems

This special issue presents the advances and applications of neutrosophy in artificial intelligence, stemming from the joint conferences organized by BARNA Management School and the Universidad del Trabajo del Uruguay in August 2025. The volume explores how neutrosophy—conceived by Dr. Florentin Smarandache—integrates truth, falsehood, and indeterminacy to address the complexity of reasoning in uncertain contexts. It highlights the potential of neutrosophic logic to overcome the limitations of current AI systems, which often struggle with incomplete or contradictory information. The issue also emphasizes the importance of critical thinking as a human strength in the age of intelligent machines and incorporates a …

Artificial Intelligence For Smes In The Dominican Republic: A Strategic Neutrosophic Pest-Swot Analysis To Navigate Uncertainty, Karina Pérez Teruel

Neutrosophic Sets and Systems

This study examines the adoption of Artificial Intelligence (AI) in Dominican Republic SMEs through a PESTLE-neutrosophic analysis. PESTLE stands for Political, Economic, Social, Technological, Legal and Environmental factors. Neutrosophic is the Philosophy of Indeterminacy. Therefore, we focus on the factors relative to AI adoption in the Dominican Republic—specifiers to the benefits and drawbacks, as well as, the unknowns of operating with AI—with the intention of illuminating attention. The findings support a phased approach for SMEs to view indeterminacy as an opportunity for competitive advantage through improved operational efficiencies, enhanced customer experience, and more informed decision-making. Ultimately, the results position AI …

Artificial Intelligence In Cuban Audiovisual Production: An Approach To Technological Sovereignty Evaluated Through Neutrosophic Pest-Foda Analysis, Natalia Del Carmen Díaz Riverón

Neutrosophic Sets and Systems

This article aims to respond to the need to generate a public policy for the regulation of artificial intelligence (AI) use in Cuban audiovisuals from technological sovereignty through a neutrosophic PEST-SWOT analysis. After a theoretical-contextual study composed of the history of AI, its scientific and technological bases and the ethical and regulatory issues of use, international experiences and studies and the current state of affairs in Cuba (comprised of technology based barriers, training impediments and absence of a specific regulatory approach), the research takes place through triangulation via a mixed-methodology where theoretical and empirical approaches are integrated with neutrosophic PEST-SWOT …

Integrating Normative Coherence Into Judicial Hermeneutics Through The Neutrosophic Hierarchical Analytic Process: An Ethical Approach To Justice, Carmen Marina Méndez Cabrita, Josía Jeseff Isea Argüelles, Teresa De Jesús Molina Gutiérrez, Jesús Alfredo Morales Carrero

Neutrosophic Sets and Systems

This article answers the need to ensure normative coherence in hermeneutics exercised by judges and aims to investigate how a judge's decision can be in line with ethical justice values and formal justice values when uncertainty is concerned. This article is significant and timely because the current state of globalized legal systems calls for judges who can render the expected outcome but also an application of law that supports ethical justice values to enhance the legitimacy of any judicial system and community confidence in authority. While other scholarly contributions to the field of legal hermeneutics—from Vigo—credit a great deal to …

A Visual Aid-Based Model For Constructing The Concept Of Probability For Students Aged 9 To 11, Validated Using Neutrosophic Plithogenic Statistics, Nela Del Rocío Sánchez López, Diana Carolina Pérez Duarte, Luis Fernando Pérez Duarte

Neutrosophic Sets and Systems

This article discusses a research endeavor whose intent was to further develop statistical reasoning by formulating probability notions for 9-11-year-old learners. The probability endeavor is formulated through a union of narrative, problem-solving and visual approaches. Action research allowed for formulation and implementation within a school setting, satisfactorily proving success in developing learners' abilities to think logically and critically. Results indicate a statistically significant probability of appropriating the notion of probability based on neutrosophic plithogenic statistics which assessed the degree of truth, indeterminacy, and falsity of student answers which ultimately promote rational decisions in uncertain situations. It's recommended that the union …

Neutrosophic Statistical Analysis Of Temperature And Precipitation Variability Over Four Decades In The City Of Pucallpa, Peru, Noé Klever Guadalupe-Baylón, Edgar Juan Diaz-Zúñiga, Moisés Amancio Cueva-Muñoz, Nadia Masaya Panduro-Tenazoa, Noé Ramírez-Flores, Franz Orlando Tang-Jara, Carlos Ricardo Guerra-Pinedo

Neutrosophic Sets and Systems

This study analyses the spatiotemporal variation of temperature and rainfall in Pucallpa (1984-2024) and its relationship with El Niño and La Niña phenomena and urban expansion. Monthly meteorological data from the UNU-SENAMHI station, weather, ENSO indices, and Landsat imagery were used to calculate the Normalized Difference Vegetation Index (NDVI) as an indicator of vegetation cover. Missing data were processed through interpolation, and linear regression analysis, the Mann-Kendall test, and Spearman correlation adapted to interval-valued data were applied to evaluate trends and statistical associations. Our findings highlight the combined influence of global climatic factors and local transformations on the microclimate of …

Intellectual Capital And Organizational Climate As Predictors Of Scientific Production In A Peruvian University: An Analysis Based On The Neutrosophic 2-Tuple Linguistic Model And Pls-Sem, Vitelio Asencios Tarazona, Jessica Miluska Ríos Salas, Elizabeth Pacheco Davila, Llesica Soria Ramírez, Liliana Huaranga Rivera, Roberth Lozano Tacuri Toribio, Miriam Esther Campos Llana, Giuliana Sherly Cabello Flores

Neutrosophic Sets and Systems

Scientific production is a key performance indicator in higher education, which has motivated the search for factors that may influence its development. This study aims to analyze the impact of intellectual capital and organizational climate on scientific production at the National Intercultural University of the Amazon in Peru. Partial Least Squares Structural Equation Modeling (PLS-SEM) is used, with a sample consisting of 90 professors. Professors were surveyed using the neutrosophic 2-tuple linguistics model. The neutrosophic 2-tuple linguistic method allows teachers to express their opinions linguistically, which is more appropriate in complex decision-making situations. This method maintains accuracy in aggregations. Furthermore, …

Designing Optimal Routes For Mobile Prenatal Care Clinics Using Neutrosophic Cognitive Maps, Mónica Gabriela Chachalo Sandoval, Evelyn Paulina Chacha Ochoa

Neutrosophic Sets and Systems

This manuscript examines the routing of mobile prenatal clinics in Ecuador, focusing on maternal and infant health in vulnerable, hard-to-reach areas. This assessment is significant because even with new developments geographically expanding access to mobile prenatal clinics, there remain accessibility gaps for vulnerable women located in hard-to-reach, topographic regions where it's uncertain if they truly need services or can assess whether they can travel to a clinic. While previous studies sought to assess the potential for newly mobile units and coverage, few studies have been found to assess new routes through accessibility uncertainty and villages with varying demand for access …

Neutrosophic Plithogenic Hypotheses On Bacterial Resistance To Conventional And Laser-Assisted Treatments, Emma Arroyo Lalama, Edison Haro Pujos

Neutrosophic Sets and Systems

Enterococcus faecalis is a common endodontic pathogen that causes unsuccessful treatments because standard methods of debridement cannot remove it from the root canal system. Methods of debridement are effective relative to debriding multifactorial bacterial biofilms in apical pathogens. Therefore, neutrosophic plithogenic hypotheses are proposed to measure the uncertainty and variability of the bacterial response. Therefore, this work attempted to determine the impact of laser treatment (diode and Er:YAG) as an adjunct agent relative to and in conjunction with traditional irrigants in the reduction of E. faecalis. The diode and Er:YAG laser support increased disinfection efficacy over standard irrigants as they …

Triadic Dynamics Of Clinical Decisions In Apical Surgery Based On Neutrosophic N-Alectic, Emma Arroyo Lalama, Edison Haro Pujos

Neutrosophic Sets and Systems

This study explored the creation of a clinical decision-making model in apical surgery via Neutrosophic N-Alectic, blending affirmative (operate), negative (observe), and neutral (retry conventional endodontics) based on equivocal findings to offer potential solutions to the presentation of periapical lesions. The methodology consisted of dialectic considerations of previous surgeries retrospectively, meaning attributable elements such as lesion severity and response to previous treatment were assessed via a neutrosophic approach to assess the degree of truth, degree of falsity and degree of indeterminacy across all treatment options. The main findings are the neutrosophic model assists in determining the best decisions based on …

Neutrosophic Assessment Of Ventilatory Dynamics: A Model For Performance Optimization, Darvin Manuel Ramírez Guerra, Yusleidy Marlie Gordo Gómez, Noel Batista-Hernández

Neutrosophic Sets and Systems

This study expands upon neutrosophics by establishing a novel neutrosophic model for the evaluation of ventilatory capabilities of Peruvian league 1 soccer professionals in response to an urgent need for such scientific studies to accommodate uncertainty associated with generally physiological measurements. The union of neutrosophic statistics principles with spirometric results and cardiopulmonary exercise testing produces a neuto model that effectively operates at 93.2% accuracy measured by 3 factors—(1) identification of asymptomatic ventilatory deficiencies, (2) assessment of respiratory compensatory thresholds reached during play, (3) participant identification for ranking by neutrosophic determination of results and application of aggregation operators. Application of this …

Relationship Between Social Context And Women’S Entrepreneurship From The Asopromaher Artisanal Production Association, Analyzed Using Neutrosophic Cognitive Maps, Arturo Gustavo Benavides Rodríguez, Jacqueline Del Rocío Bacilio Bejeguen, Lorena Gisella Reyes Tomala, Lilia Esther Valencia Cruzaty

Neutrosophic Sets and Systems

The study of women's entrepreneurship has been gaining notoriety in the academic community. This research explores the relationship between social context and female entrepreneurship. It is essential to understand the context in which the entrepreneur developed in an environment, to determine how this context affects entrepreneurship due to various factors. This paper aims to describe the influence exerted by the social context on the entrepreneurship of women from the ASOPROMAHER Artisanal Production Association in Ecuador. Several aspects, such as family, community, and social networks, are analyzed. It is concluded that the social context significantly influences entrepreneurship and that society is …

Failure To Appear In Procedural Courts In The Ecuadorian Oral System: Analysis Of Its Legal Implications Through Multineutrosophic Modeling, Klever Israel Llerena Villacrés, Alex Santiago Páez Maldonado, Leonardo Mario Falconí Cárdenas

Neutrosophic Sets and Systems

This study intends to analyze the impact of not appearing as a legal consequence of the Ecuadorian oral system; in what way does it violate rights of the parties and the possibility of effective judicial protection? The study was developed through a mixed methodology, bibliographic-documentary design and empirical field study. Ultimately, Multineutrosophic modeling was used to limit uncertainty brought forth by establishing not appearing as a condition with lawyer presence, granted extensions or not, socioeconomic problems, etc., through a triangulation of findings from regulatory sources like the General Organic Code of Procedures (COGEP) and professionalizing interviews with judicial actors. The …

Prioritizing Penal Reforms For Adolescents In Ecuador: Using Neutrosophic Topsis And Hausdorff Distance, Mesías Elías Machado Maliza, Oscar Gonzalo Jácome Merino, Luis Ramiro Ayala Ayala, José Milton Jiménez Montenegro, Otto F. Von Feigenblatt

Neutrosophic Sets and Systems

This question builds upon the issue of Ecuador's minors not being liable as growing juvenile delinquents and those between 16-18 not receiving punishment for their actions will only foster more juvenile delinquents and complicate public safety and socio-protective efforts. This question is increasingly urgent given the recent upsurge in juvenile delinquency—grave crimes—and the vulnerable balance that exists between juvenile rights and social equity. While the literature is rich regarding the phenomenon of juvenile crime and delinquency, very few offer a truly feasible methodology that integrates equity, punishment, and social responsibility given the assessed social reality. Therefore, the neutrosophic TOPSIS method …

Identification Of Critical Pollution Factors In The Chibunga River Using Indetermsoft Ensembles And The C4.5 Decision-Making Algorithm, Mesías Elías Machado Maliza, Gabriela Alejandra Rojas Chávez, Karen Andrea Cayancela Arequipa, María José Calderón Velázquez

Neutrosophic Sets and Systems

This dissertation fills a gap by assessing what aspects pollute the Chibunga River of Riobamba, Ecuador, which is becoming increasingly polluted. Pollution is a growing source of concern for ecosystems and human health, so assessing what factors is important. Applicable to an increasingly querulous society where river pollution has led to legal ramifications in Ecuador's Monjas and Machángara Rivers, creating a need for more protections and preventative measures makes this study relevant. The literature review cites established studies that have assessed river pollution occurrences similar to the Chibunga River. Still, none have assessed the concern via a truly indeterminate/incomplete approach …

Technarrative Model (Ntm) For The Symbolic-Emotional Evaluation Of Architectural Space: A Neutrosophic Multiperspectivism Approach, Jesús Rafael Hechavarría-Hernández, Ana María Padrón-Medina, Erika Ascencio Jordán

Neutrosophic Sets and Systems

This research answers the need to evaluate an architectural space from a non-technical standpoint relative to its symbolism/emotion charge that is not taken into account by the design/planning of such public spaces. This research problem is sociologically relevant as today; architecture does not only dictate the layout of the physical world but also the group existence, sensitivity to experiences and modes of social appropriation. Yet the state-of- the-art literature provides purely professional and empirical avenues of investigation driven by economic/aesthetic value with no pathway for understanding appreciation of ambiguity and the multiple perspectives at play. Thus, a Neutrosophic Technarrative Model …

Study Of Victimization And Perception Of Insecurity In Ecuador: Application Of Hybrid Models With Logistic Regression, Machine Learning, And Neutrosophy, Lorenzo Cevallos-Torres, Mauro M. F. Mediano

Neutrosophic Sets and Systems

Given the victim's rising profile in contemporary victimology and criminology, this study examines victimization and the impact of perceived insecurity, paying particular attention to the situation in Ecuador, where reports of crime and violence in urban areas are on the rise. The overarching goal is to create a reliable model for victimization risk assessment that may also serve as an analytical tool for public policymaking and preventative efforts. One step is to build a classic logistic regression model that takes into account variables like age, sex, education level, occupational category, and level of physical activity. The goal is to understand …

Scholarai Scholarly Article Search Strategies With The Ayni Method Multi-Neutrosophic For Ethical Information Management In Ai, Ennio Jesús Mérida Córdova, Elizabeth Esther Vergel Parejo, Raúl López Fernández

Neutrosophic Sets and Systems

In a digital world where scientific articles are published at an unprecedented rate, an additional step in the research process to facilitate discovery is an effective search and filtering for worthwhile articles. Thus, this study aims to solve the following research problem: how to search for scientific articles using artificial intelligence (AI) while applying ethical considerations and ancestral knowledge? The topical relevance is that as AI is a great vessel to seek potentially accessible knowledge, searches can be guaranteed through accuracy, inclusivity, and ethics. While many studies exist on the topic of AI related to searching, few, if any, extend …

Empowering Multigrade Interdisciplinary Assessment Through Plithogenic Offsets And Artificial Intelligence For Dynamic And Personalized Education, Roger Martinez Isaac, Rudy García Cobas, Carlos Roberto Humanante Cabrera, María Andrea Soto Granda, Linda Florangely Soto Torres

Neutrosophic Sets and Systems

This contribution addresses the issue of interdisciplinary assessment in multigrade classrooms: the diverse levels and the assessment path's unclear direction fail to render efficient learning. How can assessment be refined to avoid such discrepancies and establish a better path of equalized and contextualized learning? It's a pressing question for 21st-century learning—more so in rural areas where interdisciplinary attempts can create holistic and connected learning for the learners—but the literature fails to guide systematically, apart from rendering systematic solutions that rely only on tacit, non-explicit, technical interventions. Therefore this research contributes a systematic intervention that combines a Plithogenic Offset—neutrosophic attempts to …