bluuebunny/crossref_metadata_2025 huggingface dataset:
ENCEPHALITE DE RASMUSSEN CAUSE RARE DE LEPILEPSIE CHEZ LENFANT A PROPOS DUN CAS
Authors:   Department of Neuroradiology Diagnostic and Interventional Cheikh Zayed University Hospital in Rabat Morocco, Abulcasis International University of Health Sciences - UIASS., Ghizlene Laachir , Dounia Najioullah ,   Department of Neuroradiology Diagnostic and Interventional Cheikh Zayed University Hospital in Rabat Morocco, Abulcasis International University of Health Sciences - UIASS., Najat Kabajj ,   Department of Neuroradiology Diagnostic and Interventional Cheikh Zayed University Hospital in Rabat Morocco, Abulcasis International University of Health Sciences - UIASS., Abdeljalil El Quessar ,   Department of Neuroradiology Diagnostic and Interventional Cheikh Zayed University Hospital in Rabat Morocco, Abulcasis International University of Health Sciences - UIASS.
Published: September 2021

Encephalite de Rasmussen est une maladie inflammatoire pediatrique evolutive rare correspond a une atteinte chronique et atrophiante du cerveau, possiblement dorigine auto-immune (anticorps anti-glutamatergiques type 3 ou anti-GLUR3) avec composante virale possible (post herpes, post CMV) chez 40% des cas. Cest une pathologie caracterisee par une perte neuronale et une gliose sur plan anatomopathologique concernant un hemisphere et elle se manifeste par une epilepsie severe et rebelle, et/ou un deficit neurologique hemi corporel. LIRM permet lidentification de cette encephalite afin de beneficier dun traitement adapte (une corticotherapie et une immunosuppression) ou envisager une hemispherotomie.
SYNOVIALOSARCOME INTRA-ABDOMINALE A PROPOS DUN CAS ET REVUE DE LA LITTERATURE
Authors:   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Said Chairi Mohamed , Lemhouer Walid ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Yassin Ilyasse ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Samia Sassi ,   Departement de lanatomopathologie, Universite Mohamed V, Rabat, Maroc., Jebli Salma ,   Departement de lanatomopathologie, Universite Mohamed V, Rabat, Maroc., Bakali Youness ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Sabbah Farid ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Mouna Alaoui ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Hrora Abdelmalek ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Znati Kawtar ,   Departement de lanatomopathologie, Universite Mohamed V, Rabat, Maroc., Raiss Mohamed ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc.
Published: September 2021

Le synovialosarcome abdominal primitifestunetumeurmesenchymateuse rare, qui se presente sous formedune masse intra-abdominale de croissancelente, ayant un aspect heterogene avec des calcifications excentriques. Letudeanatomopathologique de la biopsieou de la piece operatoirepermet de confirmer le diagnostic. Le traitement de referencecest la chirurgie exerese large , Cependant, le risque de recidiveresteeleve, cest pour cela le diagnostic precoceest optimal.
RECOVERING THE SILENCED VOICES: THE PLIGHT AND TRAUMA OF KAIBARTA PARTITION REFUGEES OF SONBEEL, BARAK VALLEY OF ASSAM
Authors:   Associate Professor Deptt. of Political Science Diphu Government College Diphu Karbi Anglong District, Assam., Choudhury Mousumi
Published: September 2021

The historiography of the Partition of India, the creative literature andthe films evoked out of the pangs of Partition are primarily concerned withthe Partition of Punjab and Bengal. Assam as the third site of Partition remained under the veil of silence for nearly six decades. In recent years, academic interventions are forthcoming to unveil the human history of the Partition of Assam which triggered a huge forced migration of population in the Brahmaputra Valley, Barak Valley and the hill areas of Assam. Given the discrimination that the Dalits experienced during and after the Partition of India, they are the triply marginalised group due to their caste, class and refugee identities. As the Dalits lacked agency in the Barak Valley, their plight largely remains unattended. In this context, the present paper is an attempt to recover the plight of the Kaibarta Partition refugees who were the victims of forced migration from Sylhet/ East Pakistan to Sonbeel area of Barak Valley of Assam especially, after the communal violence of 1950 in East Pakistan.
THE IMPACT OF BOARD OF DIRECTORS CHARACTERISTICS ON FINANCIAL PERFORMANCE IN MANUFACTURING COMPANIES ON IDX
Authors:   Master of Management Program, Widya Mandala Catholic University Surabaya, Indonesia., Sudibyo Aris , Wijaya Hendra ,   Master of Management Program, Widya Mandala Catholic University Surabaya, Indonesia.
Published: September 2021

This study aims to determine the impact of the demographic characteristics of the director on the companys financial performance. The demographic characteristics used are age of the director, proportion of female directors, educational background of directors, and tenure of directors. This research begins with data collection. Collected data is in the form of secondary data obtained by downloading from the IDX, the downloaded data is the annual report of manufacturing companies 2017-2019 period. After that, the data were analyzed using multiple linear regression. Age of directors, proportion of female directors, educational background of directors, and tenure of directors were measured using proportions. The companys financial performance is measured using return on assets.
PERCEPTIONS, ATTITUDE AND PRACTICES TOWARD ELDERLY DEPRESSION AMONG PRIMARY HEALTH CARE PHYSICIANS, RIYADH, SAUDI ARABIA 2021
Authors: Ahmed Ghzwany Amal , Al Selihem Ahmed , Sharahili Abeer , Alazmi Alhanouf , Alhwsawi Esra
Published: September 2021

Background: Elderly people need care services in particular to maintain a high quality of life and health status. Managing the health needs of geriatric patients is part of the continuity of care family physicians provide to their patients. Aims: to assess physicians attitude, perception and practice toward depression in elderly in primary care sitting. Methodology: A cross- sectional study to assess primary health care physicians attitude and perceptions and practices toward depression in elderly patients in primary health care centers of King Saud medical city in Riyadh, kingdom of Saudi Arabia using self-administrated questionnaire Results: We received 210 responses to our questionnaire with response rate of 100 % where 51 % of them were females. Furthermore, 37 % of them have experience in PHC less than 5 years while 32 % have experience for more than 10 years. PHC physicians routinely screen for sleep disturbance (79 %), loss of interest or pleasure (79 %), sad mood (72 %), and decreased energy (63 %) in order to diagnosis of depression. Moreover, we found that 56 % of physicians would use clinical guidelines for diagnosis and treatment of geriatric depression where PHQ-9 was the most reported used tool (28 %) followed by geriatric depression scales (24%). Moreover, 71 % of physicians would refer patients with depression to psychiatry and 65 % to CBT instead to prescribe medications including SNRI (29 %), TCA (17 %) and SSRI (2 %). Moreover, the main barriers to adequate diagnosis and treatment of elderly depressed patients were rejection of patients to treatment (22 % of them indicated it as major problem) and difficulty for access to mental health care in our community (19 % of them indicated it as major problem). Conclusion: we found that most of physicians in Riyadh show high positive attitude toward depression of elderly however, there is some limitations in knowledge about symptoms of depression and restriction to guideline. Main barriers to adequate diagnosis and treatment of elderly depressed patients were rejection of patients to treatment and difficulty for access to mental health care in our community.
PREVALENCE OF SUBCLINICAL AND UNDIAGNOSED OVERT HYPOTHYROIDISMIN HABITUAL ABORTION
Authors: Abdulla Mostafa , Mahmoud Elsayed
Published: September 2021

Background:Hypothyroidism is the second most common endocrine disorder in women of childbearing age with an increased risk of pregnancy loss.Pregnancy loss associated with subclinical hypothyroidism (SCH), defined as elevatedthyroid-stimulating-hormone level, with normal free thyroxine. In overt hypothyroidism (OH), the free thyroxine is low. Materials and methods:Cases recruited from those attending high risk pregnancy unit of obstetrics and gynecology department of Benha university hospital Egypt from 2019 till 2020. We examined theprevalence of subclinical and undiagnosed overt hypothyroidism in women with recurrent miscarriage, late miscarriageand stillbirth.Cases with sporadic miscarriages, autoimmune disorders, thrombophilias and known hypothyroidism were excluded. Sample size: Two-hundredwomen were included. Median maternal age was 35 years (range 18-47). Subclinical andundiagnosed overt hypothyroidism was found in 24 cases (12%) of women. Sixteen women (8%) had subclinical hypothyroidism,eight (4%) had undiagnosed overt hypothyroidism. Results were compared to women with ongoing pregnancies. Results: The prevalence of subclinical and undiagnosed overt hypothyroidism in the pregnancy loss population was 12% (24 /200), where 8 %( 16/200) were subclinical, and 4% (8/200) were undiagnosed overt. In the control population, prevalence of hypothyroidism was 1.5% (3/200).
STUDY OF PHYSICAL FITNESS OF RURAL AND URBAN HIGH SCHOOLS OF KASHMIR DIVISION
Authors:   Department of physical education, Shri Venkateshwara University, Utter Pradesh, India., ul Rashid Manzoor , Gupta Sangeeta ,   Department of physical education, Shri Venkateshwara University, Utter Pradesh, India.
Published: September 2021

The Word Physical fitness refers to the body as a contrasted to mind physical education should aim to improve the mass of students and give them as much health struggle and stamina as possible to unable physical education is the process by which changes on the individual or brought about through his movement experience physical education is the some of the changes in the individual caused by experience centered in motor ability. The purpose of the study is found out the A Comparative Study on Physical Fitness of Rural and Urban High School Girls. This study will help coaches and physical education teachers in selecting the good players. This will help physical education teachers and coaches in preparing training program. This will lead to success in future planning. This will reveal which of the two groups possess better physical education. The result of the study will help to students to participate in sports and game. The result of the study will give the clear idea about physical fitness of the rural and urban Girls.
LE SYNDROME DEAGLE: UNE ENTITE RADIO-CLINIQUE RARE: A PROPOS DUN CAS
Authors:   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., El. Assaad Hind , Merzem Aicha ,   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., Elkorchi Ghita ,   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., Belgadir Hasnae ,   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., Moussali Nadia ,   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., Amriss Omar ,   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., El. Benna Naima ,   Service de Radiologie, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., El. Hamid Sami ,   Service de Stomatologie et Chirurgie Maxillo-Faciale, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc., Slimani Faycal ,   Service de Stomatologie et Chirurgie Maxillo-Faciale, Hopital 20 aout 1953, Ibn Rochd, Casablanca, Maroc.
Published: September 2021

Le syndrome dEagle est caracterise par lossification du ligament stylo- hyoidien ou par un processus styloidien trop long. Cest une entite rare peu connue par les cliniciens et les radiologues ayant une large presentation clinique a lorigine dun retard diagnostique. Nous rapportons le cas dune jeune patiente agee de 28 ans, sans antecedents pathologiques particuliers qui consulte pour des otalgies bilaterales resistantes au traitement medical. Nous insistons a travers cette observation et sous la lumiere de la revue de la litterature sur les aspects clinico-radiologiques et le role diagnostic de la tomodensitometrie dans la prise en charge du syndrome dEagle.
RESECTION DU DOME SAILLANT DANS LE TRAITEMENT DU KYSTE HYDATIQUE DE LA RATE A PROPOS DUN CAS
Authors:   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Lemhouer Walid , Yassin Ilyasse ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Said Chairi Mohamed ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Ratbi Amine ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Bakali Youness ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Sabbah Farid ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Mohamed Raiss ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Hrora Abdelmalek ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc., Mouna El Alaoui ,   Clinique chirurgicale C, Universite Mohamed V, Rabat, Maroc.
Published: September 2021

Introduction : La pathologie hydatique primitive de la rate est tres rare et encore plus rare a provoquer (toute complication . . . pancreatite.). Habituellement, les kystes hydatiques spleniques sont secondaires, resultant soit dune propagation spontanee des kystes, soit survenant apres des operations impliquant une hydatidose dans dautres regions. Ici, nous rapportons un cas dun kyste hydatique splenique primaire isole traite avec une approche chirurgicale classique. Ce rapport de cas et cette revue de la litterature decrivent la prise en charge de lenvahissement splenique hydatique. Presentation Du Cas : Il sagit dune patiente de 33 ans, sans antecedent particulier qui nous a ete adresse pour prise en charge dun kyste splenique de decouverte fortuite a lechographie lors dun bilan de routine avec serologie hydatique positive a Eccinochoccus granulosa. Lexamen clinique etait sans particularite. Le scanner abdominal realise objectivait la presence dun volumineux kyste hydatique splenique occupant plus de la moitie de la rate. La patiente a reÃ§u de lAlbendazole pendant 1 mois puis operee par laparotomie avec resection du dome saillant du kyste splenique dont les suites ont ete simples avec 1 mois supplementaire de traitement a lalbendazole Aucune particularite netait notee apres un suivi dun an. Conclusion: Le choix entre chirurgie radicale ou conservatrice reste difficile vu les contraintes de chacune, les complications postoperatoires respectives et la diversite des situations cliniques.
CONTRIBUTION AND CHALLENGES OF MSMES: A CASE OF PAURI DISTRICT OF UTTARAKHAND HILLS
Authors:   Research Scholar, Department of Economics, D.B.S (PG) College, Dehradun., Negi Srishti
Published: September 2021

MSMEs have been considered as the engine of economic advancement especially for the remote and hilly areas like Uttarakhand which have less scope for heavy industriesdue to various reasons like infrastructural gap, inadequate capital, problem of raw material, hilly and difficult terrain, limited access to market etc. The MSME sector has an importantrole to play in Uttarakhand because with rising education and entrepreneurial culture, a growing MSME sector can utilize local youth in creating self-employment in large numberat a lower capital cost. Moreover due to limitations in the hills in generating employment, MSMEs can generate sustainable livelihoods for the community in the hills as well as promote entrepreneurship and use local resourceswhich otherwise would have been left idle to boost the economy.This study which is based on primary data collected from 103 MSMEs in Pauri district is an endeavour to study the contribution of MSMEs in employment generation in Pauri district ofUttarakhand as well as examine the issues and challenges faced by MSME sector of the state. Findings of the study reveal that Micro enterprises account for more employment generation both in case of males and females followed by the Small enterprises in Pauri district of Uttarakhand and the major difficulties faced by these MSMEs were lengthy paperwork, high cost of transportation, bad roads, insufficient demand etc.
COVID 19, AVCI ET EMBOLIE PULMONAIRE : A PROPOS DUN CAS
Authors: M. Abdelali , Z. Lahlafi , D. Faliouni H. Britel , A. Zaimi , N. Mouine , Z. Lakhal , A. Benyass
Published: September 2021

La Covid 19 est une maladie virale due au SARS-COV2 pouvant etre responsable dun syndrome grippal, dune pneumonie, mais egalement daccidents thromboemboliques aussi bien veineux (le plus souvent) quarteriels. Le cas que nous allons presenter est celui dun jeune homme de 48 ans diagnostique porteur de la covid 19, stable sur le plan respiratoire et ayant presente 2 complications thromboemboliques : un accident vasculaire cerebral ischemique et une embolie pulmonaire.
Improving Agricultural Sector: The Role of Mudharabah Financing (Study on Sharia Financing Savings and Loans Cooperatives)
Authors: Syifa Dewi Layyinatus , Ridlwan Ahmad Ajib
Published: September 2021

Abstract: This study aims to determine the role of mudharabah financing in a Financing Savings and Loan Cooperative towards improving the agricultural sector. Data collection techniques used are observation, interviews, and documentation. The study results indicate that cooperatives play a role in improving the agricultural sector with the help of the capital provided. The increase in the agricultural sector can be seen from the adequacy of capital, increased welfare, and increased labor. However, the improvement of cooperatives' welfare and other factors such as natural weather conditions play a role in improving farmers' welfare. As for the suitability of implementing mudharabah financing in cooperatives, there is still a discrepancy between the implementation and the DSN MUI fatwa No. 7 of 2000 concerning Mudharabah Financing, the capital used by cooperative members is not 100% of the cooperative. Members also do not get the opportunity to bargain about the amount of profit sharing.Abstrak: Penelitian ini bertujuan untuk mengetahui peran pembiayaan mudharabah di Koperasi Simpan Pinjam Pembiayaan terhadap peningkatan sektor pertanian. Teknik pengumpulan data yang digunakan ialah observasi, wawancara, dan dokumentasi. Hasil penelitian menyebutkan koperasi berperan dalam meningkatkan sektor pertanian dengan bantuan modal yang diberikan. Adapun peningkatan pada sektor pertanian dapat dilihat dari kecukupan modal, peningkatan kesejahteraan, serta peningkatan tenaga kerja. Akan tetapi, dalam peningkatan kesejahteraan koperasi tidak berperan secara keseluruhan dikarenakan terdapat faktor lain yang dapat mempengaruhi peningkatan kesejahteraan petani yakni kondisi cuaca alam. Sedangkan untuk kesesuaian pelaksanaan pembiayaan mudharabah pada koperasi masih terdapat ketidaksesuaian antara pelaksanaan dengan fatwa DSN MUI No 7 tahun 2000 tentang Pembiayaan Mudharabah, yakni modal yang digunakan anggota koperasi tidak 100% dari koperasi, serta anggota juga tidak mendapatkan kesempatan dalam melakukan tawar-menawar mengenai besaran bagi hasil.
Una perspectiva teórica de la dinamización de la carga de la prueba en el proceso penal colombiano
Authors: Montoya Vallejo Santiago Alejandro
Published: September 2021

La Constitución Política (Art. 29) y el Código de Procedimiento Penal (Art. 7 y 381) establecen como axiomas fundamentales la presunción de inocencia y el in dubio pro reo, otorgando en cabeza de la Fiscalía General de la Nación la carga de demostrar la responsabilidad penal proscribiéndose cualquier inversión y asumen como estándar probatorio el de más allá de toda duda razonable.
La Sala de Casación Penal de la Corte Suprema de Justicia ha teorizado sobre la aplicación de la carga dinámica de la prueba, situación que ha sido tildada como trasgresora de aquellos principios. Sin embargo, luego de un análisis teórico de esa jurisprudencia se concluyó que tal asunto en realidad no desdibuja tales cimentos ni cambia las reglas probatorias, sino que más bien se interesa por las defensas activas y una mayor aportación de elementos cognoscitivos, sin menoscabar las garantías fundamentales del procesado.
La participación de las mujeres en el escenario político, y su reafirmación a través de las acciones afirmativas propuestas en el acuerdo final de paz
Authors: López Agudelo Maria Alejandra
Published: September 2021

El presente artículo pretende abordar el surgimiento de las acciones afirmativas como mecanismos o instrumentos equiparadores de derechos políticos para grupos excluidos, como lo son las mujeres en general, desde lo consagrado en el Acuerdo Final de Paz firmado entre el Gobierno Nacional y las FARC- EP en el año 2016. El foco central del escrito será el Punto Dos: “Participación política: Apertura democrática para construir la paz, y las medidas o acciones afirmativas”, es decir, lo atinente a los espacios de representación y participación política activa en los escenarios de poder y toma de decisiones, del cual se pretende la identificación de las acciones afirmativas, así como verificación de la implementación de estas en el país.
Social change innovations, citizen science, miniSASS and the SDGs
Authors: Taylor Jim , Graham Mark , Louw Adrienne , Lepheana Ayanda , Madikizela Bonani , Dickens Chris , Chapman Deborah V. , Warner Stuart
Published: September 2021

The United Nations Sustainable Development Goals (SDGs) describe a course of action to address poverty, protect the planet and ensure prosperity for all (https://sdgs.un.org/goals). More specifically, SDG 6 clarifies how water quality, quantity and access are crucial to human well-being, and yet human activities are compromising water resources through over-exploitation, pollution, as well as contributing to the spread of disease. Globally aquatic ecosystems are highly threatened and concerted efforts by governments and civil society to ‘turn the situation around’ are simply not working. Human-created problems require human-centred solutions and these require different ways of thinking and acting to those behaviour patterns that are contributing to the challenges. In this paper, we first consider causal approaches to attitude change and behaviour modification that are simply not working as intended. We then explore enabling responses such as citizen science and co-engaged action learning as more tenable alternatives. SDG 6 has a focus on clean water and sanitation for all. The SDGs further clarify how the extent to which this goal can be realized depends, to a large extent, on stakeholder engagements and education. Through stakeholder engagements and educational processes, people can contribute towards SDG 6 and the specific indicator and target in SDG 6.b – Stakeholder participation. Following a three-year research process, that investigated a wide range of participatory tools, this paper explores how the Stream Assessment Scoring System (miniSASS; www.minisass.org) can enable members of the public to engage in water quality monitoring at a local level. The paper continues to demonstrate how miniSASS can contribute to the monitoring of progress towards Sustainable Development Goal Target 6.3, by providing a mechanism for data collection indicator 6.3.2. miniSASS is proving popular in southern Africa as a methodology for engaging stakeholder participation in water quality monitoring and management. The technique costs very little to implement and can be applied by children and scientists alike. As a biomonitoring approach, it is based on families of macroinvertebrates that are present in most perennial rivers of the world. The paper concludes by describing how useful the miniSASS technique can be for addressing data gaps for SDG 6.3.2 reporting, and that it can be applied in most regions of the world.
Reverse flood routing in an open channel using a combined model of genetic algorithm and a numerical model
Authors: Azizipour Ali , Kashefipour Seyed Mahmood , Haghighi Ali
Published: September 2021

Flood impact assessment in a river system is done with the help of flood routing and this process helps to determine the status of sensitive points of the route in terms of flood entry and the resulting risks for urban and rural areas. For flood routing, a hydrodynamic numerical model should be implemented and this model needs upstream and downstream boundaries. In some cases, the upstream boundary, which is usually a hydrograph, is not available due to the lack of facilities and it is necessary to be generated for numerical model implementation. The purpose of this study is to present an integrated method comprising an optimization model and a hydrodynamic numerical model for flood modeling in order to determine the upstream hydrograph using the measured downstream hydrograph along a river. The routing procedure consists of three steps: (1) generating a hypothetical upstream hydrograph using the genetic algorithm method; (2) hydrodynamic modeling using a numerical simulation model for flood routing according to the hypothetical hydrograph, which is generated in the first step; (3) comparing the calculated and observed hydrograph in the downstream by using a fitness function. This recommended procedure was named the Reverse Flood Routing Method (RFRM) and was then applied to Karun River, the largest river in Iran. Comparison of the final generated upstream hydrograph by the RFRM model with the corresponding measured hydrograph at the upstream boundary (here Ahvaz hydrometric station was assumed as an ungauged river location) shows the high accuracy of the recommended model in this study.
Comparision of performance of multi criteria decision making ensemble-clustering algorithms in rainfall frequency analysis
Authors: Debbarma Nilotpal , Choudhury Parthasarathi , Roy Parthajit
Published: September 2021

Non-availability of adequate extreme rainfall information at any place of interest are solved using regionalization where subjective grouping of similar attributes of nearby gauged stations is performed. K-Means and Fuzzy C-Means are commonly used methods in regionalization of rainfall, but application of genetic algorithms is very rarely explored. Genetic algorithms (GA) are highly efficient evolutionary algorithms, and through an appropriate objective function can effectively achieve the purpose of clustering. In the present study, Davies-Bouldin index is considered and validation is performed using a set of validation measures. Taking into account the varied output obtained in each validation measure, an ensemble approach involving multi criteria decision making is applied to obtain optimal ranked solutions, and the procedure is extended to K-Means and Fuzzy C-Means for comparison. From the results obtained, GA-based clustering is found to outperform the other two algorithms in formation of homogenous regions with better performance in leave-one-out cross validation (LOOCV) test and sensitivity analysis. Accuracy of regional growth curves of regions assessed using regional relative bias and RMSE suggest low uncertainty and accurate quantile estimates in GA regions. Further, information transfer index based on entropy evaluated among GA regions is found to be highest and K-Means lowest.
The simultaneous removal of bisphenol A, manganese and ammonium from groundwater by MeOx: the role of chemical catalytic oxidation for bisphenol A
Authors: Guo Yingming , Ma Ben , Huang Jianxiong , Yang Jing , Zhang Ruifeng
Published: September 2021

Iron and manganese oxide filter film (MeOx) was used to research the simultaneous removal of bisphenol A (BPA), manganese (Mn2+) and ammonium (NH4+) in a pilot-scale filter system. We found that 0.52 mg/L of BPA could be removed while consuming 5.44 mg/L of dissolved oxygen (DO). Since the oxidation process of NH4+ and BPA both consume the DO in water, the presence of NH4+ can hinder the removal of BPA. The presence of Mn2+ in water had a synergistic effect on BPA removal. The filter film was characterized by SEM, XRD and XPS. Some substances were generated to block the pores of the oxide film, and a small amount of film was found to crack and fall off. The elemental composition of C and O were both increased by about 9.00%, the composition of Mn was decreased from 63.48% to 44.55%, and the reduced manganese substance might affect the activity of the oxide film. The main chemical forms of MeOx were Mn6O12·3H2O, MnFe2O4 and Mn3O4. The decrease in the removal efficiency of BPA was mainly due to the C-containing intermediate [−CH2C − H(OH)]n covering the surface of the oxide film and blocking the pore size of the film.
The Mediterranean Diets’ Effect on Gut Microbial Composition in
Comparison with the Western Diet: A Literature Review
Authors: Koutelidakis Antonios E. , Elmaliklis Ioannis-Nektarios , Konteles Spyridon
Published: September 2021

Background:

In recent years, the scientific interest about the possible role of dietary
attitudes on gut microbiota modulation has been increasing.

Objective:

The present literature review aimed to analyze the effect of Mediterranean diet
adoption on gut microbial composition, in comparison with the Western diet.

Method:

From an initial number of 38, 21 recent studies were selected using comprehensive
scientific databases and relative keywords, such as microbial composition, dietary attitudes,
and beneficial effects. The selected studies were recently published based on animal models,
human interventional trials, metanalyses and gut microbiome analysis, such as metagenomics.

Results:

According to the basic findings of the present review study, Mediterranean diet adherence
leads to a gut microbial richness and richer diversity as well as a higher abundance of
genera Lactobacillus, Faecalibacterium, Oscillospira, Bifidobacterium, Eubacterium species,
that stimulate the production of total short-chain fatty acids. This diet also leads to a lower
Firmicutes / Bacteroidetes ratio due to the increase of Bacteroidetes and decrease of Firmicutes,
accompanied by a decrease of circulating Trimethylamine N oxide levels and a reduction
in abundance of Ruminococcus, Lachnospiraceae, Proteobacteria and Coprococcus, in comparison
to the Western diet.

Conclusion:

Further understanding of the multifactorial effect of both Mediterranean and
Western diet on gut microbiota could allow the establishment of nutritional educational programs
and nutritional policies with aim to improve human health by modulating gut microbial
composition.
COVID-19 Imaging-based AI Research - A Literature Review
Authors: Chang Shan , Ge Cheng , Zhang Lili , Xie Liangxu , Kong Ren , Zhang Hong
Published: September 2021

Background:

The new coronavirus disease 2019 (COVID-19) is spreading rapidly
around the world. Artificial Intelligence (AI) assisted identification and detection of diseases is an
effective method of medical diagnosis.

Objectives:

To present recent advances in AI-assisted diagnosis of COVID-19, we introduce major
aspects of AI in the process of diagnosing COVID-19.

Methods:

In this paper, we firstly cover the latest collection and processing methods of datasets of
COVID-19. The processing methods mainly include building public datasets, transfer learning, unsupervised
learning and weakly supervised learning, semi-supervised learning methods and so on.
Secondly, we introduce the algorithm application and evaluation metrics of AI in medical imaging
segmentation and automatic screening. Then, we introduce the quantification and severity assessment
of infection in COVID-19 patients based on image segmentation and automatic screening. Finally,
we analyze and point out the current AI-assisted diagnosis of COVID-19 problems, which
may provide useful clues for future work.

Conclusion:

AI is critical for COVID-19 diagnosis. Combining chest imaging with AI can not only
save time and effort, but also provide more accurate and efficient medical diagnosis results.
Anti-Diabetic Effects of Isolated Lipids from Natural Sources through Modulation
of Angiogenesis
Authors: Bahrami Gholamreza , Sajadimajd Soraya , Khosravifar Mina
Published: September 2021

Background:

Aberrant angiogenesis plays a fateful role in the development of diabetes
and diabetic complications. Lipids, as a diverse group of biomacromolecules, are able to relieve diabetes
through the modulation of angiogenesis.

Objective:

Owing to the present remarkable anti-diabetic effects with no or few side effects of
lipids, the aim of this study was to assess the state-of-the-art research on anti-diabetic effects of
lipids via the modulation of angiogenesis.

Methods:

To study the effects of lipids in diabetes via modulation of angiogenesis, we have
searched the electronic databases including Scopus, PubMed, and Cochrane.

Results:

The promising anti-diabetic effects of lipids were reported in several studies. Eicosapentaenoic
acid (EPA) and docosahexaenoic acid (DHA) from fish oil (FO) were reported to significantly
induce neovasculogenesis in high glucose (HG)-mediated endothelial progenitor cells (EPCs)
with neovasculogenesis dysfunction in type 2 diabetic mice. Linoleic acid, mono-epoxy-tocotrienol-
α (MeT3α), and ginsenoside Rg1 facilitate wound closure and vessel formation. N-Palmitoylethanolamine
(PEA), α-linolenic acid (ALA), omega-3 (ω3) lipids from flaxseed (FS) oil, ω-3
polyunsaturated fatty acids (PUFA), lipoic acid, taurine, and zeaxanthin (Zx) are effective in diabetic
retinopathy via suppression of angiogenesis. Lysophosphatidic acid, alkyl-glycerophosphate,
crocin, arjunolic acid, α-lipoic acid, and FS oil are involved in the management of diabetes and its
cardiac complications. Furthermore, in two clinical trials, R-(+)-lipoic acid (RLA) in combination
with hyperbaric oxygenation therapy (HBOT) for treatment of chronic wound healing in DM patients,
as well as supplementation with DHA plus antioxidants along with intravitreal ranibizumab
were investigated for its effects on diabetic macular edema.

Conclusion:

Proof-of-concept studies presented here seem to well shed light on the anti-diabetic effects
of lipids via modulation of angiogenesis.
Orthodontic materials with fluoride have an antimicrobial ability for the prevention of white spot lesions
Authors: Krasniqi Sokol , Toti Çeljana , Aliu Xhevdet , Vasiljev Vanja , Rukavina Tomislav , Starc Andrej , Jukic Tomislav , Stubljar David
Published: September 2021

Aim: Orthodontic brackets during their wear cause demineralization of enamel, which is the initial step in caries development. The prevention of such spots is crucial to ensure healthy teeth, but patients’ compliance is not the most optimal way. The aim of this study was to compare the antimicrobial properties of fluoride-containing orthodontic materials to the materials without additional fluoride. Materials and Methods: Antibacterial effectiveness of orthodontic materials with fluoride – Transbond Plus SEP Bonding agent, Transpond Plus Adhesive agent, Fuji I Band cement, Fuji Ortho LC Adhesive agent, Ortho Solo Bonding agent, and without antimicrobial substances – Transpond XT Bonding agent, Transbond XT Primer were tested with the inhibition on most common causes L. achidophilus (ATCC 4356) and S. mutans (ATCC 10449) and compared to negative control. Antimicrobial effectiveness of each material was measured with the agar diffusion method and expressed with the diameters of inhibition zones around the disk. Results: Materials containing fluoride showed more antimicrobial effectiveness compared to materials without fluoride or negative control (p<0.001), respectively. Materials from the group with no antibacterial substances were not statistically different compared to the negative control (P>0.05). Conclusion: Materials containing fluoride showed more significant antimicrobial effectiveness when compared to the materials without antimicrobial substance and thus might have the potential of antimicrobial properties in vivo.
Utjecaj majčinih i fetalnih faktora na uspješnost medikamentozne indukcije poroda
Authors: Kadivnik Mirta , Kralik Kristina , Lončar Gordana , Teodosić Andrea , Košuta Petrović Maja , Milić Vranješ Iva
Published: September 2021

Labour induction is the process in which labour is induced mechanically or pharmacologically. The percentage of induced labours is between 1.4% and 32% of the total number of births in the world. The aim of this research is to present the number of medically induced labours from 2012 to 2019 at the Clinic for Gynaecology and Obstetrics of the Clinical Hospital Center in Osijek and to present the success rate of medically induced labour and factors, both maternal and/or foetal which may affect it. Materials and methods: In the study 2361 subjects were included whose births were induced by medication regardless of the indication for medically induced labour, gestational age or mother’s age. χ2 test, Mann Whitney U test, Fisher’s exact test, Kruskal Wallis test (Pot Hoc Conover), and the univariate and multivariate logistic regression model were used. Results: The percentage of inductions was 13.8%. 81% of the child births was completed vaginally , while 19% was completed by the caesarean section. The univariate regression analysis found that meconium amniotic fluid increases the risk of the caesarean section after the labour has been induced. Factors decreasing the possibility of the caesarean section after induced labour include multiparity, women age between 25 and 35 years and women bearing female children. The multivariate statistical regression model found that women over the age of 36 are 1.58 times more likely to have the caesarean section. Women with meconium amniotic fluid are 1.47 times more likely to have the caesarean section. Multiparity in the mother and the female sex of the child reduce the probability of the caesarean section after induced labour (odds ratio (OR) 0.20, P=0.02 and OR 0.84, P=0.09, respectively). Conclusion: The study indicates that multiparity and female gender of child increase the probability of the vaginal birth after the induction, while the mother’s age over 36 and meconium amniotic fluid after the induction increase the risk of the caesarean section.
Antioksidativni sinergizam cijeđenog soka aronije i mješavine crnog vina triju sorti grožđa s područja Bujštine
Authors: Mijatović Ela , Broznić Dalibor
Published: September 2021

Cilj: Utvrditi mogući sinergizam antioksidansa iz prirodnih uzoraka soka aronije i crnog vina te ispitati kinetiku reakcija između DPPH radikala i antioksidansa prisutnih u uzorcima. Materijali i metode: Antioksidativna aktivnost u pet metanolnih uzoraka (ARONIJA, VINO, MIX 1 (50 % soka aronije i 50 % crnog vina), MIX 2 (75 % soka aronije i 25 % crnog vina), MIX 3 (25 % soka aronije i 75 % crnog vina)) određena je pomoću DPPH• i TEAC testova i analizirana spektrofotometrijski, dok se kinetika kemijskih reakcija pratila trima monofaznim i jednim bifaznim matematičkim modelom. Rezultati: Prema kvantifikaciji TEAC testa, najjači antioksidacijski kapacitet smjesa, a ujedno i najbolji sinergizam antioksidansa, pokazuje MIX 1 (75 mmol/kg), zatim MIX 3 i MIX 2 (67 i 62 mmol/kg). Gubitak signala DPPH radikala najjači je u uzorku ARONIJA (81 %), dok je najslabiji u uzorku VINO (21 %). Kombinacijom napitaka, kemijske reakcije s radikalom odvijaju se dvjema vrstama antioksidansa čiji se mehanizam djelovanja odvija u dvjema fazama brzine kemijske reakcije. Zaključak: Dodatak soka aronije u crno vino uzrokuje porast njegove antioksidativne aktivnosti. Odnosno, ukoliko se priprema smjesa aronijinog soka i crnog vina, komponente moraju biti u jednakim udjelima (50 : 50) kako bi se postigao što bolji sinergizam ovih dviju vrsta antioksidansa, a time i ostvario jači zdravstveni učinak.
The prevalence of maternal, placental and obstetric pathology in pregnancies and births of very low birth weight infants
Authors: Pušeljić Nora , Milas Vesna , Pušeljić Silvija , Švitek Luka , Perić Luka , Poznić Ema
Published: September 2021

Cilj: Ispitati prevalenciju maternalne, placentalne i porođajne patologije u nedonoščadi vrlo male rodne mase. Ispitanici i Metode: Grupu ispitanika čine sve majke čije su trudnoće završile porodom žive nedonoščadi vrlo male rodne mase u Kliničkom bolničkom centru Osijek od 2015. do 2019. godine. Podatci su prikupljeni iz medicinske dokumentacije i bolnič kog informacijskog sustava te obrađeni računalnim programom R, verzija 3.5. Rezultati: Incidencija poroda nedonoščadi vrlo male rodne mase iznosila je 2,8 %. Među majčinim komorbiditetima ističu se hipertenzivni poremećaji (20,6 %), anemija (8,1 %) i hipotireoza (10,3 %). Najučestalija prethodna ginekološka oboljenja majki bili su miomi (3,3 %). Zabilježene majčine infekcije bile su intraamnijske infekcije (26,5 %), urinarne (10,3 %) te nespecificirane infekcije (10,7 %). Neki oblik abrupcije posteljice imalo je 9,9 % majki. Kod nedonoščadi najčešći patološki stav ploda bio je stav zdjelicom (16,5 % slučajeva). U opstetričkih komplikacija najveću prevalenciju imali su prijevremeno prsnuće vodenjaka (37,1 %), mekonijska plodna voda (18,4 %), oligohidramnion (11,4 %) i predstojeća asfiksija (14,3 %). Zaključak: Ovom studijom istaknute su učestale komplikacije trudnoća i poroda nedonoščadi vrlo male rodne mase. Izdvajanjem najučestalije patologije, ovom presječnom studijom olakšano je generiranje hipoteze za daljnje prospektivne studije koje bi potencijalno utvrdile uzročno-posljedičnu vezu među istaknutim patološkim stanjima.
Akutna ishemija lijeve ruke nakon TEVAR-a zbog anatomske varijante vertebralne arterije
Authors: Figl Josip , Papeš Dino , Šnajdar Irena , Meštrović Tomislav , Pavić Predrag , Halužan Damir
Published: September 2021

Aim: In this case we report acute left arm ischemia after thoracic endovascular aortic repair of the saccular thoracic aortic aneurysm due to a rare anatomical variation of the left vertebral artery. Case report: Thoracic aortic stent-graft was deployed to cover the aneurysm, but six hours later acute left arm ischemia occurred due to a rare form of vertebral artery origin from the aortic arch instead of from the left subclavian artery. This hostile anatomy led to an iatrogenic acute ischemia which was the indication for an emergency left-common-carotid-to-subclavian-artery bypass grafting. Conclusion: Multidisciplinary approach and careful pre-procedural planning should always be the standard procedure in complex cases to avoid this complication.
Jurists against democracy
Authors: Carvalho Alexandre Douglas Zaidan de , Palma Maurício
Published: September 2021

No Brasil, além de formularem discursos e práticas que mobilizam instituições jurídicas, juristas possuem, tradicionalmente, lugar destacado na orientação da política, sendo também capazes de (re)inserir conteúdos normativos particularistas no direito ao criticar agentes públicos e o sistema político, bem como ao incorporar suas próprias visões políticas às práticas profissionais, obtendo, nesta relação, benefícios materiais. Considerando a importância das respostas judiciais na avaliação da legitimação do exercício do poder político após a Operação Lava Jato, evidenciada por pesquisas de confiança na democracia, argumenta-se que, ao se apresentarem como agentes da legalidade e simultaneamente violarem o direito, os juristas aprofundaram a crise político-institucional brasileira. Por fim, aduz-se que a instrumentalização das formas jurídicas incentiva usos não democráticos do direito, reforçando a desintegração democrática no pós-2014.
Apresentação
Authors: Stamford da Silva Artur
Published: September 2021

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Transformational Adaptation in Agriculture under Climate Change: A Case Study in the Dry Zone of Sri Lanka
Authors: Dharmasiri Lal Mervin , Jayarathne Mangala
Published: September 2021

Transformational adaptation defines as 'changes the fundamental attributes of a system in response to climate and its effects.' Farmers deal with the natural environment and its components such as rainfall, temperature, humidity, and soil condition, which have a high range of variability and uncertainty for their cultivation. The present study focused on the impacts of climate change on the settler community who engage in agriculture as their mainstay and respond to the scenario. Quantitative and qualitative methods have been applied. Twenty samples from a village in the NCP have been selected. Primary outcomes of this study are (a) total awareness of perceptions on climate change; (b) the ambient temperature has been increasing and resulting in more heat stress; (c) frequent and severe occurrence of extreme rainfall anomalies and increasing trend of natural calamities. The area farmers have been adopting several strategies to overcome the negative impacts of climate change, such as transforming from intensification to more intensification that can be identified as Climate Smart Agriculture; crop diversification and adaptation of drought tolerance crops; transforming from agriculture to animal husbandry, and out-migration of unemployed or evicted youth from agriculture to non-agriculture. Institutional involvement is essential to strengthening the adaptative strategies of the people by providing an appropriate crop calendar and suitable crop combination and aware of the way of improving the use of the efficiency of available water for improving the living standard of the people.
Hubungan Pengetahuan dengan Sikap Tenaga Kesehatan dalam Tanggap Darurat Bencana Banjir di Puskesmas Bidara Cina Jakarta Timur
Authors: Ranggauni Fathinah , Rismadianti Adella , Buntara Arga , Maharani Fandita Tonyka , Pulungan Rafiah Maharani
Published: September 2021

Abstrak. Tanggap darurat adalah suatu tindakan yang dilakukan dengan secepat mungkin pada saat bencana terjadi untuk mencegah potensi buruk terhadap masyarakat. Dalam tanggap darurat bencana ini, dibutuhkan tenaga kesehatan yang memiliki pengetahuan dan pengalaman pelatihan terkait tanggap darurat bencana banjir. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan dengan sikap tenaga kesehatan dalam tanggap darurat bencana banjir di Puskesmas Bidara Cina. Desain penelitian ini adalah cross-sectional dengan pendekatan kuantitatif dan kualitatif untuk mengetahui peran Puskesmas Bidara Cina 1, 2 dan 3. Sebanyak 32 tenaga kesehatan dilibatkan dalam penelitian ini dengan teknik total sampling. Pengumpulan data dilakukan dengan pengisian kuesioner oleh responden dan wawancara. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara pengetahuan dengan dengan sikap tenaga kesehatan dalam tanggap darurat bencana banjir (p=0,029). Bagi penelitian selanjutnya, disarankan untuk menambahkan simulasi tanggap darurat bencana banjir sebagai variabel tindakan tanggap darurat bencana. Abstact.Emergency Response is an immediate action conducted when a disaster occurs to prevent any potential adverse impact on people. In emergency response, community health workers who have sufficient knowledge and training experience in flood disaster emergency response are required. The purpose of this research was to examine the relationship between knowledge and attitude of community health workers about flood disaster emergency response at Bidara Cina Primary Health Cares (PHC). The design of this research was a cross-sectional design with quantitative and qualitative approaches to know the role of Bidara Cina 1, 2 and 3 Primary Health Cares in flood disaster emergency response. A total of 32 community health workers were recruited in this research by using total sampling technic. Data collection was conducted by questionnaires filling and interviews. The result shows that there was a significant relationship between knowledge and attitude of community health workers about flood disaster emergency response (p=0,029). Further studies which use a flood disaster emergency response simulation as an additional variable are recommended.