Digital Commons Network^™

Therepairer_Vol17no3_Mar1912

The Repairer

No abstract provided.

Therepairer_Vol17no2_Feb1912

The Repairer

No abstract provided.

Therepairer_Vol17no1_Jan1912

The Repairer

No abstract provided.

Requirements Of The Elderly In Interior Design Based On A Survey As A First Stage Of Smart Interior Design, Girges Sidhom, Christine Ezzat Danial

HBRC Journal

As the number of the aged in the world is expected to rise dramatically, the built environment should be adjusted to accommodate aging in place, and most of the facilities currently available are inadequate in terms of interior design requirements to support the functional and psychological needs of the aged. The purpose of this study is to establish the design needs of the aged by incorporating smart technology in interior architecture to make them safer and self-reliant. The methodology will apply a descriptive methodology by use of literature review and an analytical approach by use of a questionnaire of 153 …

Design And Construction Of Prestressed Concrete Balanced Cantilever Bridges, Ahmed S. Elareshy, Ashraf M. Osman, Ismail. M. Kamal, Amr A. Abdelrahman

HBRC Journal

Balanced cantilever concrete bridges have recently been widely used in mid and long-span bridges. This paper presents a comprehensive review of the development and design of prestressed concrete balanced cantilever (PCBC) bridges, focusing on research related to real case studies of both precast and cast-in-place box-girder bridges investigated through finite element modeling (FEM) or field measurements. The research strategy targeted peer-reviewed journal articles, conference papers, and technical reports published over the last two decades in major engineering databases. Construction methods, design methodology, and structural behavior of this type of bridge are discussed, alongside key findings on long-term response, dynamic performance, …

Connectivity And Tourism Flow In Small Island Developing States, Edmir Luciano Dos Santos Ferreira, João Paulo Madeira

International Journal of Islands Research

Tourism in Small Island Developing States (SIDS) faces unique sustainability challenges, with connectivity emerging as a critical factor. These nations, often situated in remote locations, encounter significant accessibility constraints and limited infrastructure, which restrict tourist flows and adversely affect economic development. The primary aim of this paper is to analyse the relationship between connectivity and tourism flows in SIDS, exploring how connectivity, proxied by geographical and cultural-political distance, influences tourism in these regions. Furthermore, the study seeks to determine whether belonging to different SIDS regions or exhibiting varying levels of development helps destinations attract greater tourist flows, by examining several …

Mencari Hukum Yang Berciri Indonesia, M. Dhany, S.H.

Jurnal Hukum & Pembangunan

Abstract

Jual Beli Tanah Di Bawah Tangan Ditinjau Dari Uupa, Karolus K. Medan

Jurnal Hukum & Pembangunan

Abstract

Beberapa Catatan Peradilan Tata Usaha Negara, Wicipto Setiadi, S.H.

Jurnal Hukum & Pembangunan

Abstract

Bebarapa Landasan Dalam Pelaksanaan Pengawasan Apbn, Safri Nugraha, S.H.

Jurnal Hukum & Pembangunan

Abstract

Masalah Kejahatan Dan Lingkungan Hidup, Drs. Mulyana W. Kusumah

Jurnal Hukum & Pembangunan

Abstract

Pasal 11 Undang-Undang Dasar 1945 Dalam Hubungannya Dengan Loan Agreement, Dedi Soemardi, S.H.

Jurnal Hukum & Pembangunan

Abstract

Perspective In Biomedical Sciences Field: Education And Career, Fitra Adi Prayogo, Mellyaning Oktaviani Sonya Kirana Sari, Isy Royhanaty, Poppy Fansisca Amelia, Heni Wijayanti, Ni Nyoman Maryaningtyas Adinatha, Dyah Wulandari, Anto Budiharjo

Chulalongkorn Medical Journal

Abstract

Background: The biomedical sciences represent a dynamic and multidisciplinary field pivotal to advancing human health through research, education, and innovation.

Objective(s): This review explores the evolving landscape of biomedical education and career pathways, driven by technological advancements, interdisciplinary integration, and global health demands.

Methods: We examine the distinctions between biomedical science, biomedicine, and biomedical engineering, highlighting their historical origins and contemporary roles. The education and career trajectories of biomedical laboratory scientists (BLS) are analysed, emphasising diverse competencies, core curricula, and the impact of regional policies on professional qualifications. Emerging trends and ethical/regulatory challenges are discussed.

Result(s): Key trends include …

Sequential Presentation Of Diabetic Ketoacidosis, Acute Ischemic Stroke, And St-Elevation Myocardial Infarction: A Case Report, Ichlasul Mahdi Fardhani, Putu Aditya Darmawan Kuntadi, Hammam Arif Shabri, Muhammad Isra Rafidin Rayyan, Zarrah Yuniar Qolbi Harris, Tristi Lukita Wening, Azham Purwandhono

Chulalongkorn Medical Journal

Cardio-cerebral infarction (CCI), the simultaneous occurrence of acute ischemic stroke (AIS) and acute myocardial infarction (AMI), is a rare and life-threatening emergency. Management becomes even more challenging when accompanied by metabolic complications like diabetic ketoacidosis (DKA). We report a case of a 45-year-old man with hypertension and a chronic smoking history, found unresponsive with right-sided hemiparesis. He was last seen well six hours before arrival. On examination, he was hypertensive, tachypneic, had a ketotic breath odor, GCS 12, and NIHSS 15. Laboratory results confirmed DKA, with a random blood glucose of 412 mg/dL and metabolic acidosis. Non-contrast brain CT revealed …

Malignant Transformation Of Giant Epidermal Cyst In The Gluteal Region - A Case Report, Xin Zen Ong Dr., Wan Mokhzani Wan Mokhter Mr., Jing Wen Loh Mr., Ruhana Amirah Abdul Halim Dr.

Chulalongkorn Medical Journal

Epidermal cyst is a very common cutaneous lesion. Giant epidermal cyst is defined by its size of more than 5 cm in diameter. Buttock is an unusual site for epidermal cyst. Malignant transformation of epidermal cyst is an exceedingly rare phenomenon. Clinicians should be vigilant of such entity especially in giant epidermal cyst despite a seemingly benign imaging finding. Long term outcome of surgery for such tumor remains an uncertainty.

Artificial Intelligence Decision Support In Automated Breast Ultrasound: Improving Diagnostic Accuracy And Reducing Unnecessary Biopsies, Chayaporn Hasdiseve, Jenjeera Prueksadee

Chulalongkorn Medical Journal

Background: Emerging roles of artificial intelligence support in breast imaging leads to improved radiologists’ performance

Objective: To assess the diagnostic performance of the artificial intelligence decision support in the evaluation of breast masses using automated breast ultrasound (ABUS).

Methods: 182 patients (415 breast masses) who received ABUS were included. Two readers, including the experienced breast radiologist (reader1) and the breast imaging fellow (reader2), separately reviewed the ABUS images and the artificial intelligence decision support according to the ACR BI-RADS 5^th edition.

Results: All of the 415 masses; 395 masses (95.2%) were benign and 20 masses …

Effect Of Music Therapy On Biophysical Profile And Oxygen Consuption In Preterm Babies In A Rural Hospital., Mahaveer Singh Lakra, Roshan Prasad, Ashwini Lakra, Amar Taksande, Revat J. Meshram, Sagar Karotkar, Mayur Wanjari

Chulalongkorn Medical Journal

Introduction: Music therapy in preterm babies helps in early weight gain, stabilization of heart and respiratory rates, and affect the biophysiological profile. It has a beneficial effect on oxygen consumption and hospital stay. Objectives: This study aimed to assess the effect of music therapy on biophysical profile and oxygen requirement in preterm babies. Methodology: The present comparative, observational study was carried out in the department of neonatology, a rural tertiary care hospital, Sawangi Meghe, Wardha, Maharashtra, India, for one year. All the relevant data was collected and analyzed using the prevalidated Performa. Results and observations: The male-to-female ratio both …

Performance And Cost Comparison Of A Rapid Diagnostic Test For Malaria And Microscopy. A Cross-Sectional Diagnostic Study, Abubakar Sunusi Ishak, Habibu U. Isgogo, Abubakar A. Lawan, Yuda Chongpison

Chulalongkorn Medical Journal

Background: The shift from traditional microscopy to rapid diagnostic tests (RDTs) for malaria diagnosis is gaining popularity, especially in resource-limited settings with unstable electricity and limited expertise. However, trust issues arise due to the inconsistent performance of different RDT kits.

Objectives: This study identified the variations in performance and cost of an RDT brand for malaria among different population demographics: pregnant women, young children, and adults, when compared with microscopy as a gold standard.

Method: The research was carried out in northwestern Nigeria and involved 360 participants stratified into 3 groups: children (5–17 years), adults (≥ 18 years), and pregnant …

Clinical Characteristics Of Cystic Biliary Atresia, Kanokrat Thaiwatcharamas, Sinobol Chusilp, Katawaetee Decharun, Pachareeporn Tanming, Nimmita Srisan, Paisarn Vejchapipat

Chulalongkorn Medical Journal

Background & Objective: Cystic biliary atresia (BA) is a unique form of BA. Our objective was to review the clinical characteristics of cystic BA in order to better understand its nature.

Methods: We retrospectively reviewed all infants diagnosed with cystic BA during January 2005 to December 2019. The diagnosis of BA was confirmed in all cases by laparotomy. Clinical data, pre-operative laboratory and imaging, intraoperative findings, and post-operative outcome were recorded. Data were expressed as mean and SD.

Results: There were 14 cystic BA patients out of the 227 BA patients (6.2%) during the studied period. The mean pre-operative ultrasound …

Superior Mediastinal Cut-Off Measurements In Chest Radiographs For Screening Of Silent Thoracic Aortic Diseases, Kantheera Leesmidt, Boonyarit Sintuvikaiwong, Apichaya Sripariwuth

Chulalongkorn Medical Journal

Objective: To determine cut-off values for superior mediastinal width and the mediastinal width-to-thoracic cage ratio from chest radiographs for the early detection of unrecognized thoracic aortic diseases. Additionally, this study aims to enhance diagnostic strategies for identifying aortic abnormalities.

Materials and Methods: This retrospective analysis included 152 subjects who underwent both computed tomography angiography (CTA) of the thoracic aorta and chest radiograph between April 2007 and January 2021. Superior mediastinal width was measured at 3 levels on chest radiographs. Thoracic CTA findings were categorized into normal and abnormal groups, the latter comprising aortic dissection, intramural hematoma, penetrating atherosclerotic …

Aircraft Wastewater Surveillance As A Tool For Monitoring Disease In The Pacific, Carla J. Eaton, Joanne R. Chapman, Brent J. Gilpin

Pacific Journal of Health

Wastewater surveillance is a powerful tool for monitoring infectious diseases within a population. However, as most wastewater surveillance relies on interconnected wastewater networks to provide samples representative of the population, many Pacific Islands have been excluded from benefiting from this tool due to their lack of reticulated sewerage systems. Many diseases of concern for the Pacific are detectable in wastewater even though individuals may be asymptomatic. We investigated whether analysis of wastewater from aircraft arriving in New Zealand from Pacific Island nations could be used as a proxy for in-country surveillance. Flights from the Pacific arrive in Auckland daily, with …

Lowering Of The Lowered: The ‘Spectacular’ Construction Of ‘Humiliation’ In The Indian Prevention Of Atrocities Act 1989, Ashna Singh

National Law School of India Review

The Scheduled Castes and the Scheduled Tribes (Prevention of Atrocities) Act, 1989 is the only law in India that explicitly recognises caste-based insults or hate speech as an offence. In doing so, it captures the distinctive harm of such speech as humiliation. This article focuses on Section 3(1)(r) of the Act and argues that this recognition is significantly qualified by the “public view” requirement. Drawing on socio-political scholarship on humiliation, I show that judicial interpretation of this requirement has produced an extra-legislative condition of spectacularity. Courts tend to read caste-based humiliation through the paradigm of visible, overt, and collective atrocity, …

The Exoneration Of Archie Williams, Dominic R. Graves

SACAD: Scholarly Activities

This poster covers the case of Archie Williams, a man incarcerated for a crime he did not commit. Multiple forensic science and criminalistic strategies were employed to exonerate Williams after years of incarcerations. Fingerprints and false identification were themes throughout the case. Much of the evidence was used in the trial but disregarded, only to be used to appeal the punishment. This poster highlights the case, the issues with repeat line-ups, and the accuracy of fingerprints. The poster also conveys alternative actions that could have prevented this unfortunate outcome. This is but one story of many others who have been …

Integrating Artificial Intelligence Into Fnp/Dnp Simulation To Enhance Clinical Competency, Doris K. Gonzales

SACAD: Scholarly Activities

Abstract  

This poster presents a theoretically grounded, AI-integrated simulation program design structured across 3-4 semesters of Family Nurse Practitioner (FNP) and Doctor of Nursing Practice (DNP) education. This program is designed to support the development of clinical judgment and diagnostic reasoning among FNP students. Guided by Tanner’s Clinical Judgment Model and Roy's Adaptive Model as Theoretical Framework. The program addresses identified gaps in differential diagnosis and role transition from Registered Nurse (RN) to FNP practice. A needs assessment informed the development of a semester-sequenced curricular framework integrating AI-supported simulation across four semesters. The proposed design illustrates how progressive simulation experiences …

Observational Diagnostics And Spectroscopic Detection Of Tropospheric Trace Gases And Oxidation Processes, Callum E. Flowerday

Theses and Dissertations

The troposphere is governed by photochemical and radical-mediated processes that control atmospheric oxidation capacity, secondary pollutant formation, and the chemical lifetime of gases. Quantitative understanding of these processes requires both robust observational frameworks capable of resolving complex precursor–product relationships and instrumentation with sufficient sensitivity and selectivity to detect reactive and low-concentration species. This dissertation advances atmospheric chemistry through the parallel development of quantitative observational methodologies and refined spectroscopic measurement techniques. The first component of this work evaluates atmospheric oxidation systems using long-term monitoring data and empirical diagnostics. Multi-year analyses of ozone and particulate matter trends were conducted to characterize variability …

An International Approach To Homelessness. Part Ii. Slums Demolition Or Upgrading?, Pranit Lanjewar, Jaroslaw Richard Romaniuk

Faculty Scholarship

In search of the best approach to eradicating homelessness in underdeveloped countries with large populations, we conducted interviews with professionals involved in different models of helping the unhoused. Although it has been established that the Housing First model combined with human services is the best model to end homelessness, the cost of housing might be prohibitive for many national governments. In situations where governments are over-whelmed by the numbers of homeless people, communities and organizations develop specific methods and practices to meet the needs of unhoused individuals. For the purpose of this paper, phenomenological research was undertaken to learn how …

Detecting Or Predicting System Faults In Cooling Systems In A Non-Intrusive Manner Using Deep Learning, Han Hu, Hari Pandey, Christy Dunlap

Patents Granted

A computer-implemented method, system and computer program product for detecting or predicting system faults in cooling systems. A model (deep learning model) is built and trained to detect or predict system faults in a cooling system based on acoustic emission signals (both in temporal and frequency domains) and/or imaging signals. Upon training the model to detect or predict system faults in a cooling system, acoustic emission signals may be obtained non-intrusively from the cooling system using acoustic emission sensors, hydrophones and/or microphones. Additionally, upon training the model to detect or predict system faults in a cooling system, imaging signals (e.g., …

Faktor Risiko Perdarahan Gastrointestinal Pada Pasien Dengan Sindrom Koroner Akut: Sebuah Tinjauan Sistematis, Assyadilla Kirana Setyobudi, Amie Vidyani, Jonathan Christianto Sutadji, Lady Aqnes Kurniawati, Kevin Fernando Suhardi

Jurnal Penyakit Dalam Indonesia

Introduction. Gastrointestinal bleeding (GIB) is a serious but potentially preventable condition. Its symptoms include hematemesis, hematochezia, and melena. Risk factors for GIB include medications such as antiplatelets and anticoagulants, which are standard treatments for acute coronary syndrome (ACS). GIB is strongly associated with ACS and represents the most common bleeding complication in these patients. This study aimed to systematically review the factors contributing to GIB in patients with ACS.

Methods. Relevant articles were retrieved from PubMed, ScienceDirect, Springer, and EBSCO databases, covering studies on GIB risk factors in ACS patients published between March 31, 2003, and March 31, …

Skoring Risiko Mortalitas Pada Pneumonia Komunitas Sedang-Berat, Ni Nyoman Indirawati Kusuma, Gurmeet Singh, Vally Wulani, Cleopas Martin Martin Rumende, Fauzar Fauzar, Telly Kamelia, Sukamto Koesnoe, Adityo Susilo, Hamzah Shatri

Jurnal Penyakit Dalam Indonesia

Introduction. Community Acquired Pneumonia (CAP) is a lung parenchyma infection acquired outside of the hospital and is significantly associated with morbidity and mortality rates. Identifying patients with moderate-severe CAP at high risk of mortality through a combination of these variables is expected to serve as a basis for prompt and appropriate intervention, ultimately improving clinical outcomes for CAP patients. This study aimed to develop a scoring system using clinical characteristics, radiological findings, and serum biomarkers to assess the mortality risk in patients with moderate-severe CAP.

Methods. This study employs a retrospective cohort design with moderate-severe CAP patients treated …

Manfaat Latihan Kekuatan Otot Terhadap Kadar Hba1c Pada Orang Dewasa Dengan Prediabetes: Laporan Kasus Berbasis Bukti, Owen Paruhum Simanjuntak, Anna Mira Lubis

Jurnal Penyakit Dalam Indonesia

Prediabetes is a metabolic condition of impaired glucose homeostasis which results in elevated blood glucose levels. Besides the higher risk of developing diabetes, prediabetes is associated with increased risk of cancer, dementia, heart failures, and coronary artery disease. The common first line treatment regimen given to this group are healthy diet and aerobic exercise. However, some conditions might prevent patients from doing aerobic exercises therefore there is a need for alternatives. This evidence-based case report aims to evaluate the benefit of resistance training on HbA1c levels compared to control group (no exercise) in prediabetic adults. Literature search was conducted across …