Easy Access Research Articles

BN SO50 - The Resurgence of Veress Needle Insufflation: An Evaluation of Efficacy and Safety of One Surgeon’s Practice

Abstract Background Veress needle insufflation has been established as a safe and effective method of establishing pneumoperitoneum for laparoscopic surgery, with comparable risk profile to open methods. However, the blind nature of the procedure with potential complications such as iatrogenic bowel and blood vessel injury has seen this technique fall out of fashion with general surgeons. This study reviews the safety and efficacy of a single surgeon’s practice using Veress needle insufflation for Laparoscopic surgical procedures. Method A retrospective analysis was conducted on minimally invasive procedures performed between January 2019 and June 2024. In our practice, a standard or bariatric Veress needle is placed in a small incision at Palmer’s point. A manometer test is performed with CO2 insufflation at a low flow rate and raising the abdominal wall. If a low pressure is established, then the flow is increased to achieve adequate pneumoperitoneum before introduction of a midline 5mm camera port. Primary outcomes of this study include rate of conversion to open techniques (either Hasson’s or open cut down) and any complications. Results Of the 702 cases reviewed, five patients (0.71%) required conversion to open insufflation techniques. Two (0.28%) had bleeding from the omentum, and one patient (0.14%) experienced inadvertent bowel insufflation which was managed conservatively with no long-term morbidity. Notably there were no port site hernias. Conclusion This study supports the continued use of the Veress needle as a safe and effective method of insufflation in laparoscopic surgery. It offers minimal incision size, easier access in high BMI patients, and an alternative when adhesions and scarring limit access. Furthermore, adopting this technique can be particularly useful for appropriate port placement in robotic surgery, making it a valuable tool for modern surgical practices.

SURG-35. NEURONAVIGATED INTRAOPERATIVE ULTRASSOUND X SODIUM FLUORESCEIN FOR BRAIN METASTASIS: WHICH IS BETTER?

Abstract BACKGROUND Improve quality of life with a maximum surgical resection is the main goal of neurosurgeons. Brain metastasis are even more prevalent because of patients are living more. The grade of resection and the maintenance of a good performance are fundamental for these patients perform adjuvant radiotherapy. There are several technologies that may help. Considering two of them that have an easier access and are cheaper, we compared a high definition ultrasound (BK 3000) coupled to neuronavigation system (Brainlab) and sodium fluorescein (SF). METHODS Adult patients with main radiological hypothesis of brain metastasis were included in a PhD study previously approved by ethics committee. 3-5mg/kg of SF was administered by intravenous infusion during anesthetic induction. An specific craniotomy transducer was used in all cases with shift correction in real time by neuronavigator. All procedures were guided by the same neurosurgeon. RESULTS High definition ultrasound allows an excellent tumor delimitation. SF helped to increase grade of resection however made confusion about what is infiltration and what is tumor and for this ultrasound were superior. Increased fluorescence is easily detected when compared to ultrasound information’s.. For both technologies, when the surgical site had blood, the evaluation about grade of resection is not accurate because in ultrasound appears a posterior shadow and considering SF it seems that there are not further tumor because blood does not have increased fluorescence. CONCLUSIONS US and SF are different tools which improve brain metastasis resection. In each moment of surgery one technology was superior or not. We used an specific probe for neurosurgery that has high quality and allowed detailed evaluations. These technologies helps surgeons take quick decision and optimized brain tumor removal. The neurosurgeon should be more familiar to US images because provide a real time evaluation with low cost.

SURG-33. INTRAOPERATIVE ULTRASSOUND X SODIUM FLUORESCEIN FOR GLIOMA SURGERY: WHICH IS BETTER?

Abstract BACKGROUND Improve quality of life with a maximum surgical resection is the main goal of neurosurgeons. A better delimitation of intrinsic brain tumors are required for achieving a maximum tumor removal. There are several technologies that may help. Considering two of them that have an easier access and are cheaper, we compared a high definition ultrasound (BK 3000) and sodium fluorescein (SF) during glioma surgeries. METHODS Adult patients with main radiological hypothesis of low or high grade glioma were included in a PhD study previously approved by ethics committee. 3-5mg/kg of SF was administered by intravenous infusion during anesthetic induction. An specific craniotomy transducer was used in all cases. All procedures were guided by the same neurosurgeon. RESULTS High definition ultrasound allows an excellent tumor delimitation in high and low grade tumors. However the gray scale and distinction of brain structures and residual lesion was difficult for surgeons who are not habituated to ultrasound use. SF did not help low grade glioma removal, and in these cases ultrasound were superior. Increased fluorescence is easily detected when compared to ultrasound information’s. For small residual tumor, SF helps more than US. For both technologies, when the surgical site had blood, the evaluation about grade of resection is not accurate because in ultrasound appears a posterior shadow and considering SF it seems that there are not further tumor because blood does not have increased fluorescence. CONCLUSIONS US showed superiority for low grade gliomas resection. Considering high grade, both technologies helps in different moments during the surgery and are complimentary. We used an specific probe for neurosurgery that has high quality and allowed detailed evaluations. These technologies helps surgeons take quick decision and optimized brain tumor removal. The neurosurgeon should be more familiar to US images because provide a real time evaluation with low cost. KEY WORDS: ultrasound; fluorescein; gliomas; brain tumors

Women's Perspectives on the Unique Benefits and Challenges of Self-Injectable Contraception: A Four-Country In-Depth Interview Study in Sub-Saharan Africa.

Implementing self-injection (SI) of subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) is a key self-care strategy for sexual and reproductive health, but SI uptake remains low, and assertions about the potential of SI to increase women's control over contraceptive use lack evidence. We sought to qualitatively explore how women with diverse contraceptive experiences-including those with and without experience using SI-view the benefits and challenges of SI as compared to other methods. We conducted 241 in-depth interviews with women across four sub-Saharan African countries and found alignment between the perceived and experienced benefits of SI across our diverse sample. Through the benefits of privacy, easier access, and self-management, we found SI can promote greater control over the contraceptive experience by facilitating a woman's ability to act on her preferences and control who is involved in or aware of her contraceptive use. Interviews revealed SI's potential is, however, constrained by inherent limitations in the method; for example, it is often not private or accessible enough and many fear injecting themselves. SI has the most potential when implemented with programmatic solutions that mitigate challenges women experience or anticipate and allow more women to benefit from the privacy, easier access, and self-management that SI offers.

Impact of Digital Banking on Traditional Banking Services

Digital banking has quickly become a game-changer in the world of finance, altering the way banks interact with customers and run their operations. With tools like mobile banking apps, AI-driven recommendations, and blockchain technology, consumers now have more control and convenience in managing their finances than ever before. This shift has raised the bar on what people expect from their banks, prompting traditional banking institutions to adapt to stay relevant in a fast-evolving, tech-driven landscape. This paper explores how digital banking is impacting traditional banks in areas like cost savings, data insights, market reach, and consumer habits. While the digital shift opens doors to new efficiencies and easier access, it also brings unique challenges, especially around cybersecurity, privacy, and compliance with new regulations. Additionally, with fewer physical branches and less face-to-face contact, there’s a question of how this transition may affect the trust and service quality that many customers still value in their banking experience. Using real-world examples and industry trends, this paper looks at how traditional banks are responding—whether by creating hybrid models that blend digital and in-person services, forming partnerships with tech innovators, or ramping up cybersecurity. The goal is to explore whether digital banking can coexist with traditional models to enhance the banking experience, or if it’s setting the stage for a future where traditional practices may be left behind. The findings aim to shed light on how banks can strike a balance between adopting new technology and maintaining the personalized, reliable service that has long defined their role in the financial industry.

Phytocannabinoids as Chemotherapy Adjuncts—A Review for Users

Cancer, one of the leading causes of death worldwide, is on the rise. The high toxicity of conventional chemotherapy, often applied as drug cocktails, and the development of resistance limit the use of antineoplastic drugs and reduce the quality of life. With easier access, a growing number of patients are using cannabis (cannabinoids) for alleviation of their symptoms, and in the hope of improving survival. This article summarizes results observed with combinations of phytocannabinoids and standard chemotherapeutic agents in animal tumour models and in patients. It is limited to approved phytocannabinoids. Preliminary preclinical data suggest that conventional antineoplastic agents combined with cannabinoids exert enhanced anti-cancer effects, reduce resistance development and improve survival. Corresponding experiences with patients are still very limited and only concern a few patients with glioblastoma and pancreatic cancer. Benefits of combinations containing cannabinoids have also been reported for chemotherapy-induced nausea and vomiting, loss of appetite (dronabinol), and chemotherapy-induced peripheral neuropathic pain and anxiety (cannabidiol). In addition, phytocannabinoids, particularly cannabidiol, may play a role in protecting organs such as the heart, lungs or kidneys from chemotherapy-related toxicity. Although the results are promising, more research is needed to ensure whether the benefits of adjuvant cannabinoids outweigh the potential risks.

Comparative analysis of the duodenojejunal microbiome with the oral and fecal microbiomes reveals its stronger association with obesity and nutrition

ABSTRACT The intestinal microbiota is increasingly recognized as a crucial player in the development and maintenance of various chronic conditions, including obesity and associated metabolic diseases. While most research focuses on the fecal microbiota due to its easier accessibility, the small intestine, as a major site for nutrient sensing and absorption, warrants further investigation to determine its microbiota composition and functions. Here, we conducted a clinical research project in 30 age- and sex-matched participants with (n = 15) and without (n = 15) obesity. Duodenojejunal fluid was obtained by aspiration during endoscopy. Phenotyping included clinical variables related to metabolic status, lifestyle, and psychosocial factors using validated questionnaires. We performed metagenomic analyses of the oral, duodenojejunal, and fecal microbiome, alongside metabolomic data from duodenojejunal fluid and feces, integrating these data with clinical and lifestyle information. Our results highlight significant associations between duodenojejunal microbiota composition and usual dietary intake, as well as clinical phenotypes, with larger effect sizes than the associations between these variables and fecal microbiota. Notably, we found that the duodenojejunal microbiota of patients with obesity exhibited higher diversity and showed distinct differences in the abundance of several duodenojejunal microbiota species compared with individuals without obesity. Our findings support the relevance of studying the role of the small intestinal microbiota in the pathogenesis of nutrition-related diseases.

Inconsistent decision making in dental caries diagnosis and treatment: A case-based questionnaire survey.

Delayed implementation of new knowledge into clinical practice poses patient safety risks. This study investigates agreement on use of the dental caries interventions, sealing, and stepwise excavation. A cross-sectional questionnaire survey, based on 11 constructed cases with descriptions of patient symptoms, radiographic, and clinical findings. Interrater agreement on dental caries- and pulp diagnoses and interventions were measured with Cohen's and Light's κ. The data collection period was September 28 to November 5, 2021. To explore variations in use and knowledge factors, we examined Danish dentists' attitudes towardcontinuing education. Based on 243 responses, moderate interrater agreement for dental caries and pulp diagnoses and weak agreement on interventions were seen. The agreement with the gold standard for caries was moderate. No agreement was found for dental pulp diagnosis, and for interventions the agreement was weak. No pattern in agreement with the gold standard was seen in relation to case difficulty level. The majority reported knowing of and using stepwise excavation, in conflict with findings that less than half chose stepwise excavation in cases, where considered appropriate. One in four (25%) reported to be unfamiliar with sealing, and half (50%) use sealing regularly. Better access to continuing education and for universities to offer continuing education as alternatives to one-sidedprivate market were requested. Some patients may receive too radical treatment despite available less invasive evidence-based effective treatments. Dentists acknowledge the importance of continuing education. Easier access and perhaps more incentives for seeking out high-quality continuing education from trustworthy sources are needed.

Characterization of Central and Nasal Orbital Adipose Stem Cells and their Neural Differentiation Footprints.

The unique potential of stem cells to restore vision and regenerate damaged ocular cells has led to the increased attraction of researchers and ophthalmologists to ocular regenerative medicine in recent decades. In addition, advantages such as easy access to ocular tissues, non-invasive follow-up, and ocular immunologic privilege have enhanced the desire to develop ocular regenerative medicine. This study aimed to characterize central and nasal orbital adipose stem cells (OASCs) and their neural differentiation potential. The central and nasal orbital adipose tissues extracted during an upper blepharoplasty surgery were explant-cultured in Dulbecco's Modified Eagle Medium (DMEM)/F12 supplemented with 10% fetal bovine serum (FBS). Cells from passage 3 were characterized morphologically by osteogenic and adipogenic differentiation potential and by flow cytometry for expression of mesenchymal (CD73, CD90, and CD105) and hematopoietic (CD34 and CD45) markers. The potential of OASCs for the expression of NGF, PI3K, and MAPK and to induce neurogenesis was assessed by real-time PCR. OASCs were spindle-shaped and positive for adipogenic and osteogenic induction. They were also positive for mesenchymal and negative for hematopoietic markers. They were positive for NGF expression in the absence of any significant alteration in the expression of PI3K and MAPK genes. Nasal OASCs had higher expression of CD90, higher potential for adipogenesis, a higher level of NGF expression under serum-free supplementation, and more potential for neuron-like morphology. We suggested the explant method of culture as an easy and suitable method for the expansion of OASCs. Our findings denote mesenchymal properties of both central and nasal OASCs, while mesenchymal and neural characteristics were expressed stronger in nasal OASCs when compared to central ones. These findings can be added to the literature when cell transplantation is targeted in the treatment of neuro-retinal degenerative disorders.

Massification of Higher Education in Türkiye and Its Challenges

In the last 20 years, the education system in Türkiye has witnessed massive growth and transformation from primary- and secondary education to higher education. Significant improvements have been made in enrollment rates at all levels of education, reaching a level comparable to OECD countries. In this context, this study focuses on the transformation and massification of higher education in Türkiye. The net enrollment ratio in higher education in Türkiye has increased from 10% to 46% during this period. Especially, the establishment of higher education institutions in all cities has contributed positively to women's access to higher education, and for the first time, the enrollment and graduation rates of women have surpassed those of men. The increase in the supply of higher education and easier access has raised the proportion of higher education graduates from under 20% to over 40% in the 25-34 age group during this period. At the same time, the average length of education for the population aged 15 and over is increasing every year. Additionally, this study identifies problem areas and proposes solutions to ensure the sustainability of the expansion in higher education during this period. The evaluation identifies insufficient face-to-face teaching capacity in the higher education system and attempts to compensate for this deficiency with distance education programs as the primary problem area. Especially since 2015, almost half of the students who have enrolled in higher education have been able to enroll in distance education programs. Therefore, increasing face-to-face teaching capacity in higher education and reducing the proportion of distance education in higher education stand out as challenging issues. The second problem area is highlighted as being related to the limitations in scientific knowledge production performance of higher education institutions and the number of doctoral graduates. Despite an increase in the number of doctoral graduates from all disciplines every year, sustaining the growth achieved during this period is highly inadequate. This problem not only negatively affects the capacity for scientific knowledge production but also creates significant challenges, especially in meeting the need for faculty members in newly established universities, thus adversely affecting the quality of higher education. The study also offers some recommendations for addressing these problems.

Liver and pancreas transplantation in adult donor and recipients with situs inversus totalis: a case series and review of the literature

BackgroundSitus inversus totalis is a rare congenital anomaly characterized by a mirror-image orientation of abdominal, and in some cases, thoracic organs. Here, we report our situs inversus totalis transplantation experience and further review liver transplantations in adult recipients and donors with situs inversus totalis.Case presentationWe describe three cases with situs inversus totalis. The first case was liver transplantation in a recipient (a 61-year-old Iranian man) with situs inversus totalis, the second was a liver transplantation from a donor (a 52-year-old Iranian woman) with situs inversus totalis, and finally, for the first time, a simultaneous pancreas and kidney transplantation in a recipient (a 26-year-old Iranian man) with situs inversus totalis. In patient one, hepatectomy could be performed according to the standard method and on the basis of preoperative studies. Hepatic vein and arterial anastomosis were performed as in every other patient without situs inversus totalis. To prevent biliary complications, a Roux-en-Y hepaticojejunostomy was performed. In patient two, implantation time, suprahepatic vein, portal vein, arterial, and biliary reconstruction could be done as in any other case without situs inversus totalis. Plication of the right-sided diaphragm and fixation of the falciform ligament was done for our patient. In patient three, systemic drainage was preferred to portal flow for establishing the outflow drainage of the pancreas compared with otherwise normal patients.ConclusionAlthough situs inversus totalis is a rare condition, our reported techniques are suitable, considering advantages such as easier accessibility, more acceptable placement of the implanted organs regarding vascular variations, and the appropriate location of the allograft in the proximity of other organs.

Microsurgical Treatment of a Giant Thrombosed Basilar Artery-Superior Cerebellar Artery Aneurysm With the Aid of Double Bypass Superficial Temporal Artery-Posterior Cerebral Artery and Superficial Temporal Artery-Superior Cerebellar Artery: 2-Dimensional Operative Video

Giant thrombosed posterior circulation aneurysms are rare lesions with a natural history associated with high morbidity and mortality. 1-6 The treatment has high risk with either microsurgical or endovascular treatment (ET). While ET allows easier access but high recurrence rate, microsurgical treatment has more difficult access but provides more durable lasting treatment. 7-13 A 47-year-old woman presented with left hemiparesis from a right giant thrombosed basilar artery-superior cerebellar artery (BA-SCA) aneurysm buried in the brainstem with surrounding edema. Owing to risk of perforator occlusion and high recurrence rate with ET, we opted for microsurgical clipping with the aid of double protective bypass of superficial temporal artery-posterior cerebral artery (STA-PCA) and STA-SCA. The patient consented to the procedure and publication of her image. Initially, we performed a pterional craniotomy with zygomatic arch removal and exposed the right PCA, right SCA, BA, and aneurysm neck. Then, to perform a safe protective STA-PCA bypass, it was necessary to make a partial temporal lobectomy to avoid injury of a PCA-perforating branch. Subsequently, BA-SCA aneurysm was clipped. After clipping, STA-SCA bypass was performed to prevent possible occlusion of SCA afterward. After initial worsening of left hemiparesis and right oculomotor palsy, the patient recovered with rehabilitation and had no deficits 6 months after surgery. Postoperative imaging confirmed aneurysm exclusion, absence of ischemic lesions, and recovering of brainstem edema. Protective bypasses are a useful technique to improve outcomes in the microsurgical treatment of certain giant posterior circulation aneurysms. This report was approved by the ethics committee of our institution.

Spectroscopic Analysis of the Effect of Ibuprofen Degradation Products on the Interaction between Ibuprofen and Human Serum Albumin.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are one of the most commonly used groups of medicinal compounds in the world. The wide access to NSAIDs and the various ways of storing them due to their easy accessibility often entail the problem with the stability and durability resulting from the exposure of drugs to external factors. The aim of the research was to evaluate in vitro the mechanism of competition between ibuprofen (IBU) and its degradation products, i.e., 4'-isobutylacetophenone (IBAP) and (2RS)-2-(4- formylphenyl)propionic acid (FPPA) during transport in a complex with fatted (HSA) and defatted (dHSA) human serum albumin. The research was carried out using spectroscopic techniques, such as spectrophotometry, infrared spectroscopy and nuclear magnetic resonance spectroscopy. The comprehensive application of spectroscopic techniques allowed, among others, for the determination of the binding constant, the number of classes of binding sites and the cooperativeness constant of the analyzed systems IBU-(d)HSA, IBU-(d)HSA-FPPA, IBU-(d)HSA-IBAP; the determination of the effect of ibuprofen and its degradation products on the secondary structure of albumin; identification and assessment of interactions between ligand and albumin; assessment of the impact of the presence of fatty acids in the structure of albumin and the measurement temperature on the binding of IBU, IBAP and FPPA to (d)HSA. The conducted research allowed us to conclude that the presence of ibuprofen degradation products and the increase in their concentration significantly affect the formation of the IBU-albumin complex and thus, the value of the association constant of the drug, changing the concentration of its free fraction in the blood plasma. It was also found that the presence of an ibuprofen degradation product in a complex with albumin affects its secondary structure.

OrderEats Food Ordering Website

Abstract- The purpose of Online Food Ordering System is to automate the existing manual system by the help of computerized equipment’s and full-fledged computer software, fulfilling their requirements, so that their valuable data/information can be stored for a longer period with easy accessing and manipulation of the same. The required software and hardware are easily available and easy to work with. The Online Food Ordering System’s main purpose is to maintain track of information such as ItemCategory, Food, Delivery Address, Order, and Shopping Cart. It keeps track of information aboutthe Item Category, the Customer, the Shopping Cart, and the Item Category. Only the administrator gets access to the project because it is totally built at the administrative level. The project’s purpose is to develop software that will cut down on the time spent manually managing Item Category, Food, Customer, and Delivery Address. It saves the Delivery Address, Order, and Shopping Cart information. Keywords: Online food delivery, Mobile applications, Culinary industry, Consumer behavior, Technology, Dining experiences.

Trends and practices of weaning in infants across India: A comprehensive review.

Weaning is a critical phase in an infant's life, during which there is a transition from exclusive breastfeeding or formula feeding to consuming solid foods. Weaning is a critical step in determining a child's nutritional status, growth, and general health. India is a multiethnic and culturally diverse nation and has a variety of weaning practices that are affected by local customs, religious beliefs, and socioeconomic concerns. Malnutrition brought on by inadequate weaning methods used in infancy and early childhood may have an impact on cognitive, motor and social, development and productivity of the child, more importantly manifesting in later ages. Weaning customs in India have a long history of being ingrained in both family and cultural traditions. The variety of Indian cuisine is reflected in the meals that are offered to the infant during weaning. Homemade food commonly prepared like mashed fruits and vegetables, lentil soups, and rice porridge are the most popular. However, the inclination by parents toward professionally produced infant foods and formulas has increased because of urbanization and globalization; there have been observable changes in weaning practices over the past few decades because of changing lifestyles and easier access. These foods are frequently thought of as more convenient but may not be as nutrient-dense as homemade alternatives. Not following the medically recommended mandate of an exclusive diet of mother's breast milk to the infant, many parents often begin introducing complementary foods as early as four months. Still most concerningly also the timing of weaning commencement varies significantly across areas and communities. Overall, this review offers valuable insights into the current trends and practices of weaning in infants across India, underscoring the importance of culturally sensitive and informed strategies to ensure the well-being of the nation's youngest population.

ONLINE E-COMMERCE STSTEM

The Online E-commerce System (OSMS) serves as a vital tool in the ecommerce sector, ensuring the efficient management and distribution of various products. This abstract presents an overview of the OSMS, highlighting its functionalities, benefits, and potential impact on ecommerce delivery. The purpose of Online E-commerce System is to automate the existing manual system by the help of computerized equipment’s and full-fledged computer software, fulfilling their requirements, so that their valuable data/information can be stored for a longer period with easy accessing and manipulation of the same. The required software and hardware are easily available and easy to work with. Key Features of the system are: 1) Integration of all records of the order.Top of Form 2) Managing the information of the products. 3) Manage the Delivery address, Customer details, Order details. 4) Shows the information and description of the various products.

Application of Platelet-Rich Plasma as a Stem Cell Treatment - an Attempt to Clarify a Common Public Misconception.

In recent years, there has been a significant increase in the practice of regenerative medicine by health practitioners and direct-to-consumer businesses globally. Among different tools of regenerative medicine, platelet-rich plasma (PRP) and stem cell-based therapies have received considerable attention. The use of PRP, in particular, has gained popularity due to its easy access, simple processing techniques, and regenerative potential. However, it is important to address a common misconception amongst the general public equating to PRP and stem cells due to the demonstrated efficacy of PRP in treating musculoskeletal and dermatological disorders. Notably, PRP promotes regeneration by providing growth factors or other paracrine factors only. Therefore, it cannot replenish or replace the lost cells in conditions where a large number of cells are required to regenerate tissues and/or organs. In such cases, cellbased therapies are the preferred option. Additionally, other tools of regenerative medicine, such as bioprinting, organoids, and mechanobiology also rely on stem cells for their success. Hence, healthcare and commercial entities offering direct-to-customer regenerative therapies should not mislead the public by claiming that the application of PRP is a stem cell-based therapy. Furthermore, it is important for regulatory bodies to strictly monitor these profit-driven entities to prevent them from providing unregulated regenerative treatments and services that claim a broad variety of benefits with little proof of efficacy, safety concerns, and obscure scientific justification.

The Knowledge Transfer Process of Mor Lam Ruang Toh Klon Khon Kaen Style to Prisoners at Khon Kaen Central Prison

The objective of this research was to convey the art of performing Mor Lam Rueang Tor Klon Khon Kaen style, by transferring the singing and performing techniques to prisoners in Khon Kaen Central Prison and evaluate research achievements. The research method included document study and fieldwork, consisting of observation and interviews with experts. The research results were presented through a performance presentation. The data was analyzed using the descriptive analysis method. The results of the study are as follows. In terms of the knowledge transfer process of the performing arts of Mor Lam Rueang Tor Klon Khon Kaen style through the process of transferring the singing and performing techniques to prisoners in Khon Kaen Central Prison, the composer included morals, ethics, and teachings into the song. Prisoners involved in the performance drew lessons from the characters they played. The activities from the research helped prisoners relieve stress. Mor Lum evolved from the palm leaf books into different types of performances, such as Mor Lum Pheun, Mor Lum Klon, Mor Lum Moo, Mor Lum Sing, and Mor Lum Phi Fah. Each type of Mor Lum is presented differently. One common element for all types of Mor Lum is the morals, ethics, teaching, beliefs, and livelihood of Isaan people ingrained within every song. Currently, the type of Mor Lum that both the older and younger generation can gain most access to is Mor Lum Tor Klon. There are many styles of Mor Lum Rueng Tor Klon in the Isaan region, such as the Ubon style, Khon Kaen Style, Kalasin Style, and Mahasarakham style. However, the style that is the most popular today is the Khon Kaen style due to its easy-listening tune, easier access, and easier to perform. Although the Khon Kaen style can be further categorized into various sangwats, or sub-styles, such as Paw Inta style, Paw Rabiab style, or Chumphae style, listeners still prefer the Khon Kaen style. Currently, 90 percent of the popular Mor Lum groups in the Isaan Region are the Mor Lum Rueng Tor Klon groups in Khon Kaen. It can be assumed that when Isaan people hear Mor Lum music, they feel joy in their hearts. Those who work in other regions miss home even more whenever they hear the Mor Lum music. However, there is another group of people who are also from Isaan but their freedom to the outside world has been taken away. We know them as “prisoners”. Prisoners are those who committed crimes and are detained by the Department of Correction. The department is the last department down that judicial line, tasked with overseeing prisoners convicted by the court and rehabilitating them to return to society as good citizens (Jirathitikarn, 2011). Khon Kaen Central Prison is a Northeastern regional prison for prisoners with skills in local performances and Luk Thung and Mor Lum music. There are workshops to provide knowledge in local Isaan music performances, which are used for improving the behaviors of prisoners to be able to adapt themselves as good citizens of society, as well as using the skill to develop their minds or generate income after they are released. From the above statement, the researchers found that whether they are prisoners in prisons or normal people living in society, they all need entertainment to soothe their sorrows. Therefore, the target group of this research consisted of prisoners detained in prison. Although they are physically detained, they should be able to receive the same type of happiness as people living on the outside. Thus, the researchers used an Isaan local performance, Mor Lum Tor Klon, as a tool that provides entertainment, while being embedded with teachings, morals, and ethics. Additionally, prisoners would receive knowledge in singing and participate in a Mor Lum Tor Klon Khon Kaen Style performance. When the prisoners are released, they can use the knowledge and skills in Mor Lum to start their careers and be accepted back into society. The researchers believe that this research will benefit the prisoners in Khon Kaen Central Prison, as well as be used as a tool in preserving the arts and culture of Mor Lum Tor Klon Khon Kaen Style in the future.

Effectiveness of telerehabilitation on pain and function in musculoskeletal disorders: A systematic review of randomized controlled trials

AbstractIntroductionMusculoskeletal disorders are common, causing high hospital and healthcare utilisation. Telerehabilitation (TR) is a new strategy to deliver treatment remotely to patients in their own homes, with lower costs and easier accessibility. This study investigated the effectiveness of TR on pain and function in musculoskeletal disorders.MethodsA literature search of randomised controlled trials (RCTs) in the Medline/PubMed, Cochrane Library, and PEDro databases was conducted by two reviewers on 10 Jan 2023. We included studies that investigated pain and function with TR compared with a control group in any musculoskeletal disorders. The data synthesis included the TR platforms and measured outcomes. Effectiveness was measured based on the pain and function results. The study methodological quality was assessed by the PEDro scale for RCTs.ResultsAfter removing duplicated and irrelevant studies, 200 were initially identified. This review includes seven RCTs of a total of 183 participants with musculoskeletal conditions such as low back pain, fibromyalgia, total knee arthroplasty, shoulder subacromial decompression, knee osteoarthritis, and rotator cuff syndrome. The TR platforms used were smartphone and web apps, video, phone calls, and teleconference sessions. The findings showed no significant differences between the TR and control groups in pain and function. TR showed better improvement with a significant short‐term difference in some variables, but this was not sustained in the long term.ConclusionTR was comparably effective to clinic‐based rehabilitation for treating musculoskeletal disorders. However, it was not superior to conventional rehabilitation. TR showed lower costs and a high level of adherence. We recommend implementing new TR tools to remotely treat patients.Systematic Review RegistrationPROSPERO Registration Number CRD42022375048.

Event Security Using Face Identification

Abstract: One of the latest trends in event planning is incorporating facial recognition technology into the registration experience. Event planners and hosts have realized how convenient and efficient this method compares to traditional registration methods. The purpose of this system is to automate the existing manual system with the help of computerized equipment’s fulfilling their requirements, so that their valuable data/information can be stored for a longer period with easy accessing and manipulation of the same. The required software and hardware are easily available and easy to work with. Event management system, can lead to secure and fast management system. It can assist the user to concentrate on their other activities rather to concentrate on the record keeping. The organization can maintain computerized records without redundant entries.