Clippers (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids)–case report with neuroimaging

Background: CLIPPERS syndrome (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids) is an inflammatory disease process primarily involving the pons and adjacent structures. Clinically, the patient may present with cerebellar signs such as dysarthria, gait ataxia and with cranial nerve palsies. It shows good response to steroids / immunosuppressive therapy. Pathologically, there is infiltration of T lymphocytes into the perivascular spaces of brainstem. The disease follows a relapsing and a remitting course and the earlier the treatment is started with high dose steroids and the more prolonged it is, the better the clinical outcome will be

Analisis Pemilihan Auditor Eksternal pada Perusahaan Transportasi dan Logistik yang Terdaftar di Bursa Efek Indonesia Periode Tahun 2020-2023

The transportation and logistics sector plays a pivotal role in driving economic growth and circulation in the current era, supporting both digitalization and technological innovation. This study aims to analyze the selection of external auditors in transportation and logistics companies during the period 2020–2023. The data analysis technique employed in this study is descriptive analysis. The research population consists of 20 companies, with the sample selected using purposive sampling. The data used are annual financial statements, categorized as secondary data, as they are obtained from the official website of the Indonesia Stock Exchange (IDX). Hypothesis testing is conducted using logistic regression analysis with the assistance of Partial Least Squares (PLS) statistical software. The findings indicate that corporate governance has a significant positive effect on the selection of external auditors. Furthermore, it is concluded that political connections have a significant negative effect on the selection of external auditors

Hybrid Machine‐Learning Framework for Predicting Student Placement

Accurate prediction of the results of college student placement can help institutions detect potential risk students and tailor career-readiness interventions. In this study, using a publicly available dataset of 10,000 students with eight predictors intelligence quotient (IQ), previous semester\u27s performance, cumulative grade point average (CGPA), academic rating, internship or not, extra-curricular score, communication skills, and projects completed, we develop and validate a hybrid stacking ensemble classifier. After numerical feature standardization and binary category encoding, we trained three base learners (support vector machine, random forest, and logistic regression) and combined them with a logistic regression meta-learner. Comparative experiments on an 80/20 train–test split show that the stacking ensemble outperforms individual models, with 100 % accuracy, precision, recall, and F1-score on the test set, whereas logistic regression alone attained 90.4 % accuracy. A correlation analysis declares CGPA and performance in the previous semester as the single best predictors for placement. Receiver operating characteristic (ROC) curves and confusion matrices also confirm the greater discrimination power and stability of the ensemble. All these results confirm that stacking heterogeneous classifiers provides a stable and interpretable approach to student placement prediction, with potential use in academic advising and early warning systems

Role of Local Government in Implementing Low Carbon City in Shah Alam

Low Carbon City Framework (LCCF) provides a guideline for local government to plan new strategies in reducing the carbon footprint to achieve sustainable development goals in Shah Alam, Selangor. This paper aims to examine the local government’s role in reducing carbon emission for the benefit of the community. This study prepares a qualitative approach through semi-structured interviews. The findings found that the success of converting Shah Alam into a low carbon city, requires effective strategies which includes raising awareness, developing an action plans, and implementation and continuous improvements. Through these, the success of local government can be identified in terms of economy, social and health

MULTIPLE ETIOLOGIES OF TEMPOROMANDIBULAR JOINT DISORDERS - A REVIEW

ABSTRACT   Temporomandibular joint (TMJ), is a synovial joint, involves two bones particularly mandible and temporal bone. Since TMJ involve muscles of mastication and jaw movement therefore, its disorders damages surrounding tissues and minimizes its function. The etiology of TMJ disorders is complex and multifactorial including genetic, traumatic, inflammatory, degenerative and idiopathic disorders as well as behavioral factors (parafunctional habits). Generally females are more affected because of increased level of estrogen hormone affecting bone and cartilage; moreover, emotional factors (anxiety, stress and depression) are also higher in females compared to males. Genetic disorders of TMJ include many genes, which contribute in bone formation and inflammation mediation.   This article is focused on etiology of temporomandibular joint disorders and involvement of certain genes and other predisposing factors leading to pathophysiology of its development. Information regarding TMJ disorders was retrieved through PubMed, Medline and other authentic search engines available in the University, information was collected through reviews, research, and epidemiological studies published up to 2016.   This review article concludes urgent management is sought in 1-2% young children, 5% teenagers and 5-12% adults. In order to avoid any iatrogenic injury it is mandatory to do prior extensive and detailed physical examination of TMJ

The Impact of Children on Parental Purchasing Behavior

Children have a major influence on their parents' purchases of similar products. Children are a dominant market for marketers to consider when making strategy choices since they are part of a family unit. This market is active in three ways: first, it is a large market in and of itself; second, it is a key influencer in facilitating purchasing decisions; and third, it is a possible future market. The focus of this research is on children's second position. They become the focal point of family expectations, and parents are more receptive to their recommendations when making purchases. This research study explains the effect of children on parental purchase behavior in the twin cities of Islamabad and Rawalpindi using a survey as a data collection method. Parents are among the participants in this research. The relationship between parental purchase behavior (PPB) and age of child (AOC), importance of child (IOC), product category (PC), communication pattern (CP), and family orientation is revealed by multiple regression analysis (FO). The age of the child (AOC), family orientation (FO), and Product Category (PC) are the three most significant factors that affect parental buying behavior. The paper concludes that children have a major influence on their parents' decisions

Government Official Knowledge About 4K Concept Improving Family Resilience in Bandung

This study aims to describe how the knowledge of government officials of Bandung City, about the 4K concept (family gathering, family interacting, family caring, and family empowerment) can increase family resilience in the city of Bandung. This study uses qualitative research methods, with a social construction of reality approach. The research was conducted in 2 sub-districts that have a very low level of family resilience, namely Cibeunying Kidul District and Kiaracondong District. Data collection was carried out by in-depth interviews with the government officials and community in the selected sub-districts. The results of the study can be concluded as follows: (1) The family resilience in Cibeunying Kidul Subdistrict, represented by Pasir Layung, Sukapada, and Cicadas Villages, and Kiaracondong Subdistrict, represented by Cicaheum, Sukapura, and Kebon Jayanti Villages is still relatively low, meaning that the ability of residents to build independent, prosperous, and harmonious families has not been achieved. Of the 5 dimensions of family resilience, the most prominent problems were in the aspect of communication disharmony and domestic violence, child marriage, malnutrition, stunting, and divorce. (2) The government officials knowledge in Cibeunying Kidul District and Kiaracondong District about the 4K concept in communication family is an effort to increase family resilience only at the level of knowing and understanding. Meanwhile, at the stage of analyzing the aspects contained in the 4K concept (family gathering, family interacting, family empowering, and family sharing) it is still not optimal. Keywords: family communication, 4K concept, family resilience, cognitio

Enhancing tool life of hot isostatically pressed silicon nitride inserts in machining inconel 718 with different susceptors through hybrid microwave post sintering

Hybrid Microwave sintering has become a growing interest for heating and synthesizing ceramic materials due to its capabilities in successfully enhancing densification and improving mechanical and structural properties. Silicon Nitride (Si3N4) based cutting inserts have outstanding properties for machining hard materials such as cast iron, hard steel and nickel based super alloys. This research aims to analyze the effect of different susceptors on the tool life of various Si3N4 inserts (90Si3N4 4Y2O3 2.5MgO 2Al2O3 1.5SiO) that have been synthesized in machining Inconel 718. The Si3N4 inserts have been synthesized by means of Hot Isostatic Pressing (HIP) at 1800°C and followed by Hybrid Microwave (HMW) post-sintering at 200°C for 10 minutes with the aid of three different susceptors; Silicon Carbide (SiC), Graphite (G) and mixture of (SiC + G) powders. Density, hardness, micro structural properties and tool wear were analyzed. HMW post sintering for only 10 minutes using SiC, G and SiC+G susceptors enhanced the density (97-98%TD) and hardness (27-58%) significantly. Finer uniform grains and less porosities were produced particularly for Si3N4 inserts produced by HMW (SiC+G) when compared with HMW (SiC) and HMW (G). Tool life for the Si3N4 inserts were improved by 10-17% HMW(SiC), 20-53 % HMW(G) and 32-88% HMW(SiC+G) for the cutting speeds of 100, 125 and 160 m/min. Hence, the mixture of SiC +G powders as susceptors produced the best outcome for Si3N4 inserts with enhanced densification, hardness, wear resistance, and longer tool life (88% increment at 100 m/min) when compared with the commercial tool (RNGN 6060) in machining Inconel 718

LCC implementation and its benefits towards the community in Shah Alam / Farah Nadia Azhar, Nor Azira Ayob and Zarina Mohd Zain

Low Carbon City (LCC) is a city which comprise of societies that consume sustainable green technology, green practices, and emit relatively low carbon or greenhouse gases (GHG). The concept of LCC is closely related to the sustainable development of a city. With the adoption of sustainability principles, carbon emissions can be reduced significantly through the means and ways in which cities are designed and developed, and the ways resources are consumed. The main objective of this study is to determine the factors in implementing the LCC program and the benefits that the community gain from the program. The factors and the benefits were identified from several past studies. Therefore, a total of 3 respondents were chosen to provide information in order to gather data for this study. The respondents are the officials who in charged directly with the LCC programs. This study found that the factors that contribute to the implementation of LCC is measured through three main areas: 1) environment; 2) transportation; and 3) infrastructure. Whereas the benefits were identified in terms of economy, social and health. This study provides an insight on the importance of having Low Carbon City program in Shah Alam while also indirectly raising the community’s awareness and ensuring their acceptance towards the LCC program. Furthermore, the findings from this research can also be adopted by other local governments for the implementation of the program

Psychosocial experiences of women with vesicovaginal fistula: a qualitative approach.

Abstract Vesicovaginal fistula (VVF) is a condition associated with a number of physical and psychological consequences. In order to gain a deeper understanding of the issues faced by women diagnosed with VVF, a qualitative exploratory study was carried out to explore the experiences of women suffering from VVF. The study included 8 women hospitalized with the diagnosis of vesicovaginal fistula at Kohi Goth Women\u27s Hospital, Karachi, Pakistan. Semi structured interviews of each participant were conducted, recorded, and transcribed. Five major themes were identified, among which all of the participants experienced physical discomforts, psychological disturbances, issues with social and interpersonal relationships and financial constraints. However, concerns with religious practices were experienced by 87.5% of the participants. Pakistani women who are suffering through VVF face many challenges. Combined efforts should be made to offer supportive services to women suffering from this condition