bluuebunny/crossref_metadata_2025 huggingface dataset:
Numerical analysis of a concrete foundation under a combination of a dynamic and a seismic load
Authors: Allawi Abduljabbar Adel , S. Mohammed Qassun
Published: February 2022

Improving in assembling technology has provided machines of higher evaluation with better resistances and managed behavior. This machinery led to remarkably higher dynamic forces and therefore higher stresses. In this paper, a dynamic investigation of rectangular machine diesel and gas engines foundation at the top surface of one-layer dry sand with various states (i.e., loose, medium and dense) was carried out. The dynamic investigation is performed numerically by utilizing limited component programming, PLAXIS 3D. The soil is accepted as flexible totally plastic material submits to Mohr-Coulomb yield basis. A harmonic load is applied at the foundation with amplitude of 10 kPa at a frequency of (10, 15 and 20) HZ and seismic load is applied with acceleration – time input of earthquake hit Halabjah city north of Iraq. A parametric statement is completed to evaluate the effect of changing the relative density, embedded depth and frequency of the machine. It has been noticed that the relative density plays an important role in the resistance of settlement, as it increases the resistance of the soil to the applied loads because the dense soil is stiffer. While total stress and displacement of different relative density decrease at the time when increasing the foundations' embedding, the ratio was (15%) at the depths (Df=0 and Df=2). In addition, it has been noticed that there decrease of displacement when the frequency value changes from (10 to 20) Hz.
Evaluation and Development of the (Hilla – Daghara) Rivers System
Authors: Alsaadi Tasen Saleh , AL- Thamiry Hayder Abdulameer K.
Published: February 2022

Shatt Al-Hilla branches from the left of Euphrates River, U/S Hindiyah Barrage, Iraq, and extends about 100 km. It branches at the end into Shatt Al-Diwaniya 112 km and Shatt Al-Daghara 64 km. The study aims to evaluate and develop (Hilla-Daghara) rivers system, which is included Shatt Al-Hilla and Shatt Al-Daghara. Fieldwork began from (26 October until December) 2020. M9, S5 devices, and the installed staff gauges were used to measure discharges and water levels, respectively. A one-dimensional model was developed for the study area by HEC-RAS, after calibration and verification by field measurements; the Manning's n of Shatt Al-Daghara is found to be 0.022. Five Scenarios were simulated to study the reach under the current conditions. It was found that the discharge capacity in Shatt Al-Hilla and Shatt Al-Daghara is 200 m3/s and 50 m3/s, respectively. Four scenarios were conducted for the development to improve the capacity of Shatt Al-Hilla to 303 m3/s and Shatt Al-Daghara to 75 m3/s. Earthworks volume of development Shatt Al-Hilla and Shatt Al-Daghara are about (5.89 and 0.54) Mm³, and its cost is (11.780 and 1.080) billion IQD respectively. Results of applied development show that Shatt Al-Daghara tail can pass discharge more than five m3/s when Shatt Al-Daghara tail cross regulator that causes choking in the last reach of Shatt Al-Daghara is removed.
Public Administration and the Protection of Private Rights: Questioning Its Recognition and Application Under Ukrainian Law
Authors: Brusakova Oksana , Karmaza Oleksandra , Vasylenko Viktor , Moroz Vita
Published: February 2022

Every society needs the recognition and protection of the rights of its citizens, and this becomes more proper for every administration in respecting this protection for the common good of its society. In this article, international experience of protecting private rights in the sphere of public administration has been analyzed. On the basis of the researched information the authors have provided concrete ways of implementing the specified international experience into domestic state and his legal system. The essence and characteristic features of legal ways to protect the legitimate interests of private individuals within public relations have been clarified among other things. The genesis of the development of the ways to protect private rights in the sphere of public administration has been analyzed. Particular attention has been paid to the insufficient capacity of Ukraine to ensure the inviolability of private rights, freedoms and interests of the entities of public legal relations, compared to the developed countries of Western Europe and North America. At the same time, the emphasis has been made on the gradual increase in the level of democracy and the rule of law in Ukraine over the last 20 years. It has been claimed that a special “acceleration” of the indicated reforms took place immediately after two socially important events, namely the Orange Revolution of 2004 and the Revolution of Dignity of 2013-2014. However, the so-called “energy fervor” gained at the beginning of the reform is slowing down in Ukraine.
Nephrectomy – A study of recent trends in a high-volume tertiary care center, exploring the need for screening and preventive strategies
Authors: Vyas Ankit , Singh Kamlesh , Rochlani Tarun , Bhujbal Sachin , Patil Bhushan , Patwardhan Sujata
Published: February 2022

Background: Nephrectomy being one of the most commonly performed procedures, a retrospective study and analysis was done to evaluate, the scope for screening and timely preventive measures that could help to reduce the need for nephrectomy.
Aims and Objectives: The aim of the study was to study indications, demographic-details, clinical-presentations, time delay, comorbidities, operative procedures, and complications of patients undergoing nephrectomies. The study was to identify the high risk groups, assess for feasibility for screening measures, and formulate strategies for nephrectomy prevention for benign etiologies.
Materials and Methods: A retrospective study was done on medical records of 220 consecutive nephrectomies from June 2018 to June 2020.
Results: Out of 220 nephrectomies, 68% were performed for benign conditions, 17% for malignant etiology, and 15% were donor nephrectomies. In the benign group, the most common etiology was renal stones (44.54%), followed by pelvic ureteric junction obstruction (12.72 %), and renal tuberculosis (6.81%). The most common clinical presentations were flank pain (80%), followed by lower urinary tract symptoms (22%), dysuria (25%), hematuria (15%), and fever (7%). In the malignant group, the most common etiology was renal cell carcinoma (14.09%). The most common clinical presentations were flank pain (90%) followed by hematuria (67%). Overall, 24% of the patients presented with acute kidney injury. A pre-operative intervention such as DJ stenting and percutaneous nephrostomy insertion was performed in 13% and 9% of patients, respectively. A laparoscopic approach was used in 76% of the patients out of which 10% were converted to open procedures. Partial nephrectomy was performed in 3% of patients.
Conclusion: There is a difference in nephrectomy indications between Western countries and India, where 68% of nephrectomies are performed for benign conditions especially calculus disease. Nephrectomy for calculus disease is potentially preventable and public education in the form of posters, media and the involvement of the community medicine department could be helpful.
Evaluation of Pregnancy Outcome and Influencing Factors of Microsurgical Tubal Recanalisation as a Reversal of Tubal Ligation in a Tertiary Hospital
Authors: Naskar Animesh , Gharami Somasree , Mandal Aparna Khan , Mandi Bharat Chandra , Das Rupkamal
Published: February 2022

Background: Tubal microsurgical recanalization is a procedure which restores the fertility in women who have undergone sterilization voluntarily, thinking that her family is complete. However due to unforeseen circumstances, 1–3% of these women subsequently demand reversal of sterilization.
Aims and Objectives: This study aims to evaluate the pregnancy rate after reversal surgery and to find out the various factors that influence the success of tubal microsurgical recanalization.
Materials and Methods: The current study was hospital-based retrospective one involving 48 women undergoing reversal of sterilization at the department of gynecology and obstetrics in tertiary hospital, Kolkata, during the period of 3 years, from July 2015 to June 2018. The women were followed up for a period of 1 year by telephonic contact. Women seeking tubal recanalization was in age group of 20–35 years with normal ovulation and normal semen analysis. Women, >35 years old, anovulation, with obvious pelvic inflammatory disease, endometriosis or fibroid were excluded, women with any contraindications to pregnancy or surgery and any male factor infertility also excluded from the study.
Results: Out of 48 study subjects, intrauterine pregnancy was achieved in 27 cases (93.1%)), 2 patients (6.9%) had ectopic pregnancy. Out of 27 intrauterine pregnancies, 4 had abortions (13.8%), 3 (10.3%) are ongoing pregnancies, and 20 patients had live birth (69%).
Conclusion: Tubal microsurgery offers good chances of pregnancy outcome which is favored by the age below 30 years, interval between sterilization and its reversal <4 years, isthmo-isthmic anastomosis, reconstructed tubal length being more than 6 cm, and type of previous sterilization were by Pomeroy’s method.
Reducing skin tears, workload, and costs in the frail aged: replacing showers with bath cloths
Authors: Sharp Catherine , Campbell Julie
Published: February 2022

Background: Two Nurse Consultants, as part of their usual practice of auditing wounds in a 25-bed dementia unit of an aged care facility in Sydney, Australia, reported on skin tears (STs), wounds that occur mainly on the forearms of the elderly and often during showering.
Aims and Objectives: The main aims were to measure and reduce the prevalence of STs; replace showers with HiCare™ bath cloths; reduce the nurses’ workload; reduce costs for laundry and wound dressings and a new regime for showering residents introduced.
Materials and Methods: Bedside training was given to care staff, and data on time taken to bed-bath, HiCare™ bath and shower, were collected, collated and costs estimated.
Results: Three of 25 residents (12%) had a total of six STs. Following the introduction of the HiCare™ bath system the incidence of STs decreased by 96% in 6 weeks and cost savings were $AUD 6.76/resident.
Conclusion: The number of showers performed each day by nurses was reduced allowing nurses more time to feed residents, go for a walk and sit in the garden. These practice changes benefit the residents as well as the nurses.
Prevalence of Vitamin D deficiency among pregnant women and effect of Vitamin D supplementation on maternal and fetal outcomes: A double-blind randomized placebo controlled trial
Authors: Aggarwal Neelam , Singla Rimpi , Dutta Usha , Bhadada Sanjay Kumar , Dutta Sourabh , Dhaliwal Lakhbir , Garg Sukant
Published: February 2022

Background: Vitamin D deficiency (VDD) in pregnancy has been found to be associated with adverse outcome in various observational studies. Evidence from randomized control trials is necessary to change current recommendations.
Aims and Objectives: We conducted randomized controlled trial to assess the effect of Vitamin D supplementation on pregnancy outcome. We also looked for predictors of VDD as universal testing is neither recommended nor available.
Materials and Methods: Consecutive pregnant women at 12–16 weeks of gestation were invited to participate in the study. Eligible women were assessed for potential risk factors for VDD (serum concentration <20 ng/dl). Serum 25-OH Vitamin D levels were checked. At 20 weeks gestation, consenting women (n=297) were randomized to receive either 60,000 IU Vitamin D (n=151) orally daily for 5 days or placebo (n=146). Maternal and fetal outcomes were compared between the two groups by intention-to-treat analysis.
Results: Out of 304 eligible women, 92% had VDD. Mean Vitamin D concentration was 10.04±6.03 ng/dl. Vitamin D concentration was lower among women living in urban areas (P=0.001) and having lower sun exposure time (P=0.013). Vitamin D levels showed negative correlation with socioeconomic score (ρ=−0.131; P=0.023) and BMI (ρ=−0.112; P=0.05). In placebo group, women with VDD had longer duration of labor than Vitamin D replete ones (P=0.031). No significant difference was observed between two groups with respect to maternal and fetal outcomes. No adverse effects were observed.
Conclusion: VDD is highly prevalent among pregnant women. It is associated with significantly longer duration of labor.
A study on alcohol dependence and it’s determinants among male patients attending a tertiary care hospital, Kolkata
Authors: Mukherjee Sumit , Ghosh Sayanti
Published: February 2022

Background: Alcohol intake is one of the major substance abuse and the problems of alcoholism is present throughout the world. There are some fundamental differences regarding socio-demographic profile, age of onset of drinking, and the nature of drinking etc.
Aims and Objectives: This study was conducted to find out the association of several determinants like onset and duration of drinking, family history and role of biomarkers like Gamma-Glutamyl transferase (GGT), Mean corpuscular volume (MCV) with severity of alcohol dependence.
Materials and Methods: It was a hospital based cross-sectional and observational study. Screening and assessment of alcohol dependence was done by using scales like AUDIT and Alcohol dependence scale. Semi-structured questioner was used for assessing sociodemographic data for the total sample of 100 patients. 65 cases were selected finally after screening by AUDIT scale. GGT and MCV estimation was done for the finally selected cases along with healthy controls. Descriptive statistical analysis was done for obtaining results.
Results: Findings suggest that early onset of drinking that is 17.14 years is associated with severe level of alcohol dependence. Study shows that family history of alcohol use is a predictor of developing alcohol dependence. Biomarkers like GGT, MCV had shown significant elevation for cases of severe dependence.
Conclusion: The burden of alcohol use is growing alarmingly in India and before it turns out to be a giant monster encroaching upon youths, we need to focus our attention in curbing this problem by diagnosing and treating alcohol dependent patients and using preventive measures, to not allow development of dependence at all.
An assessment of the frequency of blood transfusion before and after starting hydroxyurea therapy in children of sickle cell anemia
Authors: Gupta Shikha , Chaudhary Prachi , Chauhan Amrita , Malpani Preeti
Published: February 2022

Background: Hydroxyurea therapy is a known effective and safe therapy for the treatmentof sickle cell anemia (SCA). Although it is used worldwide in our Madhya Pradesh basedsetup, it is underutilized due to economic reasons and unaware practitioners about itsuse.
Aims and Objectives: The Objective of the study is to assess the frequency ofblood transfusion year before and after starting hydroxyurea therapy in children of SCA.
Materials and Methods: An ambispective observational study was performed at MGM Medical College Indore over a period of 1 year 8 months. One hundred and ninety patients were enrolled after taking a complete history, then started on Hydroxyurea and followed up every 2 months till 1 year. On follow-up, frequency of blood transfusion was noted along with routine investigations and for any side effects.
Results: Of 190 total recruited patients, 84 were studied at the end because of loss to follow-up due to various reasons. Significant decrease in the need for blood transfusion was observed within 1 year of starting Hydroxyurea (P<0.05).
Conclusion: The use of hydroxyurea in our native population at our setup can decrease the need for frequent blood transfusion in sickle cell patients.
Women as Phenomena and Men as Sensors in Women’s Magazines
Authors: Kandel Mukti Nath
Published: February 2022

This article is an attempt to examine the process of constructing gender roles in society through the women’s magazines. As its title suggests, it examines how female participants, from Nari (e-kantipur publication) have been projected as objects of male gaze (phenomena) and males as the agents of gaze (sensors). Even though such magazines are labeled as “women’s magazines,” the agenda setter and the gatekeeper are certainly the males since the female represented participants are prepared hegemonically to satisfy the male desire. The paper concludes that women are largely depicted and assigned to play four gender stereotyped roles: home decorators, child nurturers, cooks, and persons whose attention is always drawn to their bodies away from their minds.
'परिबन्द’ कथामा सबाल्र्टन
Authors: राजेन्द्र Rajendra गिरी Giri
Published: February 2022

परस्तुत लेख सांस्कृतिक अध्ययनको विषयसँग सम्बन्धित छ । सांस्कृतिक अध्ययनको एक महत्वपूर्ण उपकरण सबाल्र्टन हो । यो साहित्यको नवीन समालोचना पद्दतिसँग सम्बन्धित छ । यसले पहिचान र प्रतिनिधित्व, आवाज र प्रतिरोध र शक्ति केन्द्रसँग सम्बन्धित भएर विश्लेषण गर्नुपर्ने मान्यता राख्छ । प्रस्तुत अध्ययन यही मान्यतामा केन्द्रित छ । यस ‘परिबन्द’ कथामा रहेका पहिचान र प्रतिनिधित्वका आधारमा सबाल्र्टनको खोजी गर्दै तिनको विश्लेषण गरी उक्त कथामा सबाल्र्टन पहिल्याउने कामगरिएको छ ।
Contribution of Science in Gupta dynasty
Authors: Rao Vibha
Published: February 2022

The Gupta dynasty is considered the climax period of science and technology in ancient Indian history. During this period, there was unprecedented progress in various branches of science (physics, chemistry, medicine and biology and metallurgy etc.), which are proving useful in modern society as well. The Gupta dynasty has also made an important contribution in mathematics, astrology, in the field of astronomy, metallurgy and technology, the Gupta dynasty is maintaining its own identity. The invention of zero, the value of pi, the use of metal in medicine and surgery are the unforgettable gifts of the Gupta dynasty. The art of making various ornaments from metals and minting coins had developed during this period. The people of this period were well versed in sculpture making art and architecture. The caves of Ajanta and Ellora, Shiva temple of Bhumra, Dashavatar temple of Deogarh, Dhamekh Stupa of Sarnath are some of the best examples.

Abstract in Hindi Lanaguage:

प्राचीन भारतीय इतिहास में गुप्तकाल को विज्ञान और प्रौद्योगिकी का चरमोत्कर्ष काल माना जाता है । इस काल में विज्ञान के विभिन्न शाखाओ ( भौतिक विज्ञान , रसायन विज्ञान , चिकित्सा व जीव विज्ञान तथा धातु विज्ञान आदि ) में अभूतपूर्व उन्नति हुई जो आधुनिक समाज में भी उपयोगी सिद्ध हो रही है । गणित , ज्योतिष में भी गुप्तकाल का महत्वपूर्ण योगदान रहा है खगोल विज्ञान , धातु विज्ञान व प्रौद्योगिकी के क्षेत्र मे गुप्तकाल अपनी अलग पहचान बनाये हुए है । शून्य का आविष्कार , पाई का मान , चिकित्सा में धातू का प्रयोग तथा शल्य चिकित्सा गुप्तकाल की अविस्मरणीय देन है । धातुओ से विभिन्न आभूषणों का निर्माण व सिक्का ढालने की कला इस काल में विकसित हो चुकि थी । मूर्ति निर्माण कला तथा वास्तुकला में इस काल के लोग पारन्गत थे । अजन्ता व एलोरा की गुफाएं, भूमरा का शिव मन्दिर , देवगढ़ का दशावतार मंदिर , सारनाथ का धमेख स्तूप इसके कुछ उत्कृष्ठ उदाहरण है ।
Environmental Governance in India: A Good Governance Perspective
Authors: Kumar Manish
Published: February 2022

At the outset good governance aims at providing responsive, transparent, clean and people-friendly administration. Implicitly accountability, both political and administrative, is one of essential elements of multi-faceted concept of good governance. This paper attempts to approach and view realization of good governance in environmental governance in India.
The language of women's writing of the twenty first century (with special reference to the story)
Authors: Sharma Shruti
Published: February 2022

The language of a woman is inherently different from that of a man. Female language norms are completely different from male language norms. Whether said on the basis of 'text' or on the basis of colloquial language. If the female text is analyzed properly, then it will become clear that its nature is different from the male text. Generally, female language was analyzed on the basis of the criteria of male language and male language was considered as the ideal of female language, but it is necessary that in female works the female language should be analyzed in a different linguistic structure. It should be read free from the urges and pressures of patriarchal language.

 

Abstract in Hindi Language

स्त्री की भाषा पुरुष की भाषा से स्वभावतरू भिन्न होती है। स्त्री भाषा के मानदंड पुरुष भाषा के मानदंड से बिल्कुल अलग होते हैं। चाहे ‘पाठ’ के आधार पर कहें या बोलचाल की भाषा के आधार पर। स्त्री पाठ का यदि ठीक-ठीक विश्लेषण किया जाए तो यह स्पष्ट हो जाएगा कि इसकी प्रकृति पुरुष पाठ से भिन्न होती है। आमतौर पर पुरुष भाषा के मानदंड के आधार पर ही स्त्री भाषा को विश्लेषित किया गया और पुरुष की भाषा को ही स्त्री की भाषा का आदर्श बताया गया लेकिन यह ज़रुरी है कि स्त्री कृतियों में स्त्री-भाषा को भिन्न भाषिक संरचना में विश्लेषित किया जाए। उसे पितृसत्तात्मक भाषा के आग्रहों और दबावों से मुक्त करके पढ़ा जाए।
A study on the Effectiveness of online mode of education during the covid-19 pandemic through the awareness and attitude of teachers
Authors: Dey Sanjay , Patra Amita , Giri Dillip , Reddy Viswanath
Published: February 2022

Context: Due to the COVID-19 pandemic the schools were shut all across the world. Globally, over 2.5 billion children and 30 million teachers were out of the classroom during the Academic Year, 2019-20 & 2020-21. As a result, the process of imparting education has changed drastically, with the distinctive rise of online learning, whereby teaching is undertaken remotely and on digital platforms. Many previous pieces of research suggested that online learning has been shown to increase the motivation of the learners, and therefore they take less time to understand a concept. Additionally, it is very dynamic in the sense it gives much autonomy to the learners as well as teachers. However, being a new system of teaching and learning has opened many challenges for the stakeholders of education. Objective: The purpose of this study is to explore the System Approach of the online mode of education during the covid-19 pandemic through the awareness and attitude of teachers. Methods: Exploratory Survey Research and a retrospective cohort study design are used to conduct the study. The study population consists of 300 teachers of secondary schools. This research design was opted due to the exploration of various ideas, notions, and thoughts of the respondent of the study. This research study followed standard ethical protocol. Statistical Procedure: The data was arranged, organized, tabulated, and analyzed after the completion of data collection. Mean, SD, t-Test, ANOVA and Tukey’s HSD (Honestly Significant Difference) was computed. Results: It is found that the teachers working in rural area schools are conservative towards the online system of learning. The teachers of English medium Schools/Private Schools are more aware than their counterparts working in the Govt. Schools. The mean awareness score of female teachers is below the male teachers for all cohorts. Across the demographic characteristics, the teachers were demanding more structural training to bring effectiveness into this system. Internet connectivity was found a big issue in the transactional process. Teachers were doubtful about the credibility of assessment through this online system. Conclusion: The study identified many important concerns on the curriculum transaction through online learning during Covid 19 Pandemic. It has been proved very significant research concerning the cognitive and behavioral aspects of the teachers. Another important innovation of this study was the identification of a system approach in teaching and learning through online platforms.
Paradoksy estetyczne w świetle polemik artystów i teoretyków w XX i XXI wieku
Authors: Żak-Szwarc Justyna
Published: February 2022

The article deals with the issue of aesthetic paradoxes, raised in the discourse of aesthetic educators – artists and theorists. The problem seems to be still valid and has been a strong concern for artists and audiences for at least several decades. Most generally, Stefan Morawski explains them with the following statement: “Aesthetic paradoxes, that is an attempt to completely break with traditional categories relating to art, while at the same time being unable to get rid of these categories”. The roots of this dilemma can be traced back to the era of modernism, but in many aspects it is still a sensitive issue, generating many tensions between art and aesthetics, between the artist and the critic or art theorist, as well as between the extraordinary reality beyond the everydayness, related to the uniqueness of the situation aesthetic, and the entanglement of artistic activity in the matters of current life. The paradox may even be a constitutive aspect of the aesthetic crisis and it concerns, in other words, the role of the artist outside the world of art, while being institutionally entangled in this world and promoting anti-aesthetic attitudes by rejecting aesthetic categories, which, however, keep coming back.
Barriers to French language use in the Canadian Armed Forces
Authors: Rubenfeld Sara , Sowinski Carla
Published: February 2022

LAY SUMMARY

Despite the official language status of French in Canada, there are barriers that may limit its use in the Canadian Armed Forces (CAF). This article discusses academic literature on second language learning, group relations, and motivation to describe the dynamics underlying these barriers and provide recommendations to mitigate them. In particular, the concept of ethnolinguistic vitality is discussed to differentiate between minority and majority groups in terms of how second languages are acquired and used. In addition, Communication Accommodation Theory explains how elements of CAF culture — namely, prioritizing operations, team cohesion, and adhering to a chain of command structure — may contribute to Francophone members sensing they are less able than their Anglophone counterparts to use their language of choice in the workplace. Lastly, drawing on Self-Determination Theory, the incentivizing of official language learning is discussed regarding its potential impact on second language proficiency, willingness to use a second language, and continuation of learning. Insights for leadership and second language training approaches are also provided.
Priapismo
Authors: Angulo Moya Luis Carlos , Garita Méndez Erick , Salas Morgan Jose Pablo
Published: February 2022

El priapismo masculino, es una patología que se describe como una erección sostenida, dolorosa y con una duración mayor o igual a cuatro horas. Existen tres tipos de presentaciones clínicas de la patología: i) el priapismo isquémico o de bajo flujo, en este tipo de priapismo el examen físico presenta usualmente una erección rígida muy dolorosa y un glande no endurecido, ii) el priapismo no isquémico o conocido como de alto flujo el cual se asocia con historia de trauma perineal como, por ejemplo, heridas en silla de montar o trauma coital y iii) priapismo recurrente, el cual es común en pacientes drepanocíticos. La utilización de exámenes de laboratorio cuando hay duda sobre el tipo de cuadro priápico es fundamental, se deben tomar los gases sanguíneos cavernosos. Esta prueba es sumamente especifica y se utiliza para poder diferenciar el cuadro por sus valores específicos como es el Ph sanguíneo, CO2, y saturación de oxígeno. Adicionalmente se podrían utilizar estudios de imagenología como el ultrasonido Doppler, este estudio es de gran ayuda para poder diferenciar el tipo de priapismo. Es necesario conocer estos estudios y las diferencias clínicas que presentan los cuadros de priapismo ya que cada tipo de priapismo debe ser tratado de forma diferente y en algunos casos como una emergencia urológica que debe ser resuelta con prontitud.
MIS-C, una enfermedad rara pero grave asociada a COVID-19
Authors: Hernández Chacón José Roberto , Torres Morales Sheirys Arleth , Hernández Chacón Evelyn María
Published: February 2022

La enfermedad por COVID-19 inició en diciembre del año 2019, dándose a conocer como pandemia por la Organización Mundial de la Salud en marzo del año 2020. El Centro para el Control y Prevención de Enfermedades de los Estados Unidos emite alerta sobre un cuadro agudo inflamatorio multisistémico en niños, y lo llamó Síndrome Multisistémico Inflamatorio Pediátrico temporalmente asociado al SARS-CoV-2 o MIS-C. Se manifiesta en  niños y adolescentes de entre los 0 y 19 años de edad, que además presenten fiebre por más 3 días, elevación marcada de reactantes de fase aguda, asociado a inflamación mucocutánea, hipotensión o shock, disfunción cardiaca, coagulopatías o síntomas gastrointestinales agudos. El diagnóstico de esta patología se hace a través de la historia clínica, sintomatología y cambios laboratoriales. Presenta características similares de otras enfermedades que cursan con procesos inflamatorios como lo es la enfermedad de Kawasaki, el síndrome de shock tóxico, y el síndrome de activación macrofraga o síndrome hemofagocitico. Se desconoce el manejo adecuado a seguir, pero se han planteado diversos tratamientos que han mostrado mejoría del cuadro clínico de los pacientes, como la administración de inmunoglobulinas intravenosa, corticosteroides y aspirina, entre otros tratamientos específicos.
The Neutrophil Lymphocyte Ratio (NLR); recycled as Predictor of Angiographic Coronary Artery Disease Severity in stable Ischaemic Heart Disease
Authors: Mustafa Attia , Daoub Mohamed
Published: February 2022

Background: The Neutrophil lymphocyte ratio (NLR) is historically well established in predicting inflammatory process and severity, including atherosclerotic disease. We explore the NLR and how it relates to angiographic coronary artery disease (CAD) severity in patients with stable ischemic heart disease (SIHD). Materials and Methods: We identified 714 patients with SIHD from the local database of Benghazi Medical Centre (BMC) between Jan 2019-June 2020. Exclusion criteria included patients with acute coronary syndromes (ACS), surgical revascularization, moderate-severe left ventricle systolic dysfunction (LVSD) with Ejection fraction less than 45% or New York Heart Association (NYHA) class III-IV. We also excluded patients with significant co-morbidities including chronic kidney disease with glomerular filtration rate (GFR <30), liver cirrhosis, cancer and systemic inflammation requiring long-term steroid therapy. We present a retrospective, cross-sectional study of 427 patients with known SIHD, we explored the relationship between the NLR and the angiographic severity of CAD, using the Gensini score (GS). The association was assessed using correlation analysis and bivariate logistical regression. Results: Patients were categorized into two groups according to the GS, a mild-moderate group (n=178; 41.7%) and a severe group (n=249; 58.3%). A baseline NLR was measured by dividing the Neutrophil count over the Lymphocyte count. In the first group of mild-moderate GS, 160 (89.9%) had an NLR within normal range and 18 (10.1%) demonstrated a high NLR value. However, in the severe GS group 17 (6.8%) showed a normal NLR and 232 (93.2%) demonstrated a high NLR (CI 95%, p=0.0001). Moreover, the distribution of severe GS CAD had a statistically significant overlap with diabetes being the number one risk factor (p=0.0001) when compared to age above 50 (p=0.024). Conclusion: NLR is a valuable independent predictor of the severity of CAD and seems to be a reliable indicator for cardiac risk stratification in patients with SIHD, therefore can potentially be added as a prioritization tool for cardiac angiography.
The Silverway Guidewire: An Observational Study on Successful Crossing when a Conventional J-tip Wire has failed
Authors: Dens Jo , DMF Van Den Buijs , EM Poels , B Ferdinande , D Cottens , M Vrolix , W Holvoet , K Ameloot
Published: February 2022

Aim: The aim of this observational study was to evaluate the Silverway guidewire [Asahi Intecc Co.] that is designed to guide catheters during cardiac catheterization towards the aortic valve when the standard J-tip guidewire fails because of anatomical anomalies. Materials and Methods: A total of 50 consecutive patients, in which the Silverway guidewire was used, were analyzed: procedural characteristics, such as anatomical challenges, crossing of the vessel and deliverability of the catheters were prospectively collected. This sample size was considered reasonable to describe the success, because this was the first observational study on the performance of the Silverway guidewire. Results: In the majority of procedures, transradial access was used (47 cases; 94%). The Silverway guidewire was able to cross the vessel in 98% and to deliver catheters in 92% of patients. Most anatomical challenges occurred at the radial artery level (39 cases). No clinical important complications occurred after use of the Silverway guidewire. Conclusion:The Silverway guidewire is highly successful in overcoming anatomical obstacles without vascular complications during cardiac catheterization when the J-tip guidewire fails to cross the vascular anatomy.
Total Pericardiectomy for Calcific Constrictive Pericarditis with Extracardiac Intrapericardial Caseating Mass via Median Sternotomy (Holman and Willett’s Approach): A Video Presentation
Authors: K. Chowdhury Ujjwal , George Niwin , Sankhyan Lakshmi Kumari , Goja Shikha , Choudhury Arindam , Gupta Shradha , Malik Vishwas , Pandey Niraj Nirmal
Published: February 2022

Pericardiectomy is the only accepted curative treatment for chronic constrictive pericarditis and its efficacy in improving symptoms with normalization of hemodynamic in the majority of cases has been established.
Apakah Instagram lebih penting dibandingkan Inovasi Produk Dan Citra Merek Terhadap Minat Beli Produk Kuliner? Studi Kasus: Kaum Milenial di daerah Jakarta Selatan
Authors: Habibie Fachrul Husain , Mustika Amalia , Nasution Deivy Zulyanti , Arafah Willy , Nurbaeti Nurbaeti
Published: February 2022

In the current era of globalization and the Covig 19 pandemic, it is not only product innovation and brand image that need attention, but how a product is known by the public, especially millennials, thereby increasing their buying interest. This research was conducted to analyze the highest influence of Instagram, Product Innovation and Brand Image on Purchase Intention. The location chosen in this research is South Jakarta. The method used is descriptive correlation which explains the effect of all variables on buying interest. The results of this study indicate that the influence of Instagram is greater than product innovation and brand image of culinary products for millennials during the current Covid 19 pandemic in South Jakarta. It is hoped that the results of this research can be useful for culinary SMEs and other small culinary actors.
POSTBIOTICS AS FACTORS AGAINST DISEASES ALONG METABOLIC AXES
Authors: Lakhtin V. , Lakhtin M. , Melikhova A. , Davydkin I. , Davydkin V. , Klimova E.
Published: February 2022

The review represents an analysis of recent year publications in connection with preventive and therapeutic use of postbiotics (PB). Postbiotics are widely used as immunomodulators, anti-inflammatory agents, protectors and the normalizers of metabolism of the open cavity mucosal biotopes, liver, brain and other organs, tissues and innate immunity cell populations that co-function to intestinal microbial metabolites as a network (cofunction within a number of metabolic axes “intestine-other locations”). They act in combination with other effectors as auxiliary agents prolonging the effect of drugs and supporting them. Prophylactic and therapeutic uses of PB are directed against groups of intestinal infection diseases, hepatitis, tumors, neurodegenerative brain disorders, other metabolic disorders and pathologies. New aspects of research of PB include the study and application of recognizing and binding therapeutic PB according to and in connection with a network of “Probiotic lectins—Glycoconjugates” interactions. The data indicate the prospects of a search and application of the new groups and combinations of PB directed at glycoconjugate exposed targets in accompanying and supportive therapy. Probiotic bifidobacteria, lactobacilli, baker’s yeast and probiotic lectins are perspective resources of synergistic sets of metabolite-cellular PB against diseases, pathologies and groups of infections.
L’accouchement physiologique, un espace de contre-pouvoir pour les femmes ?
Authors: Guilloux R.
Published: February 2022

Issu d’une enquête de terrain auprès de femmes et sages-femmes dans une maternité de niveau 1, cet article analyse comment l’accouchement physiologique, promu comme espace d’autonomie des femmes, peut lui-même produire de la domination. Il identifie la force des discours et pratiques, producteurs d’alternatives à l’accouchement avec péridurale, mais aussi leurs limites en tant qu’idéologies individualiste et naturaliste. Pour finir, il propose l’idée d’une autonomisation relationnelle et critique comme contribution à la libération des rapports de domination.
Analytical Method for Screw Rotor Cutting according to the Cutter Workpiece Engagement Model
Authors: Achmad Arifin , Wu Yu-Ren
Published: February 2022

Abstract: The proper screw rotor cutting process is essential to obtain a precise rotor profile; however, it is a costly and high hazard if studied in a practical method. This study introduces an analytical screw cutting method to ensure the cutting process is running well and acquire the expected rotor profile. Two distinct cutter types, a cutter with a single curve and multiple inserts cutting edge, were applied. The analytical screw cutting method was developed according to the cutter-workpiece engagement model. The result reveals that the analytical screw cutting model using various cutters can generate identical simulated profiles and close to the original rotor profile. In addition, the virtual machining verification using VERICUT software was conducted to evaluate the proposed method. Conclusively, the analytical screw cutting method is reliable and realistic to be applied in screw rotor milling.
RUDOLF STEINER, A PROPHET OR A CHARLATAN? INFLUENCE OF THEOSOPHICAL-ANTHROPOSOPHICAL THOUGHT ON CONTEMPORARIES
Authors: Lazić-Gavrilović Aleksandra
Published: February 2022

The paper seeks to critically present the eccentric philosopher Rudolf Steiner and to point out his influence on famous contemporaries such as Albert Schweitzer, Christian Morgenstern, Hermann Hesse and Franz Kafka. Unlike the ruling positivist approach and scientific rationalism, which he believed could only reach the apparent form of things, this Austrian thinker created his own system, based on a synthesis of Western philosophy of idealism, Christianity and Hindu teachings with Gnosticism, which he called anthroposophy. Above all, he wanted to point out the possibility of overcoming the limits of empirical knowledge and encourage contemporaries to use their latent potentials on the path of spiritual cognition. With this teaching, he managed to attract many supporters, at least for a while, especially those in search of a deeper understanding of reality and prone to self-analysis.
THE ANALYSIS OF TRANSLATION STRATEGIES IN AMATEUR SUBTITLING TRANSLATION BASED ON CULTURE-SPECIFIC ELEMENTS
Authors: Ćuzović Dragana , Cerović Marijana
Published: February 2022

The aim of this paper is to investigate translation strategies that amateur translators use when dealing with culture-specific words and expressions in the context of subtitling translation. Our research focuses on finding the most frequent source-oriented and target-oriented strategies (Pedersen 2011) found in the popular sitcom Still open All Hours. As amateur subtitling is one of the most interesting disciplines in audiovisual translation, it is still one of the most underexplored areas of AVT, which makes it suitable for the present research. Also, cultural references are considered to be one of the most challenging issues when it comes to translation (Nedergaard-Larsen, Pedersen), so exploring these aspects will enable us to come to valid conclusions and insights into the amateur translation process. The translation analysis will be done by taking into account the text-function theory (Nord 2005) and comparing amateur translation solutions with proffesional translation samples. As a result, we hope to find out if amateur translators have in mind a specific target audience when translating or whether the "external" aspect to translate for a specific audience is absent (Cronin 2012). In the same vein, we expect to investigate if these type of translations are just a mere "linguistic exchange" (Orrego-Carmona 2017) and if the translations provided are correct and context-appropriate. By analysing the corpus we will obtain results about the most used translation strategies and see if there are differences between amateur and professional translations, as well as if and to what extent the English language has influenced the Montengrin language.
Operation or systemic therapy in case of resectable metastases?
Authors: Levchenko E.V.
Published: February 2022

The lungs are the most frequent target organ in the generalization of the tumor process. Isolated metastases in the lungs are detected in 6–35% of patients with malignant neoplasms. Currently, the main method of treatment of patients with isolated metastatic lung lesions in accordance with the expanded criteria of N.R. Tomford is surgical. Numerous studies have demonstrated a 5-year survival rate of 30–50% after lung metastasectomy in carefully selected patients. Despite certain criteria for selecting patients for performing metastasectomy, its effectiveness is not always convincing, since repeated development of metastases in the lungs after performing only metastasectomy occurs in 43–66% of patients. In order to increase the efficiency of control over micrometastasis, a technique of isolated lung perfusion (ILP) has been proposed, which requires further study. Currently, surgical methods of metastasectomy and ILP should be considered as part of a combined treatment with systemic chemotherapy after careful selection of patients based on an optimal set of prognostic criteria
Investigating the Use of Singular ‘they’ across Two Social Contexts: A Comparative Study of Iranian and Polish EFL Students
Authors: Ebrahimi Hourieh , Mohammad Hosseini Hamed
Published: February 2022

With the increasing attempts to use gender-fair language, different studies have investigated this issue from different viewpoints. To find an epicene pronoun used as a third-person singular, some research has been conducted investigating them in various contexts, yet few studies have focused on cultural differences. Since how to use language differs among cultures, this study aims to investigate and compare the use of epicene pronouns (he, she, he/she, and singular they) among Iranian and Polish Non-Native Speakers (NNSs) of English with different cultures, social backgrounds, and L1s (in terms of gender markedness; Iran with a genderless-grammar language, and Poland with a grammatical-gender language). A survey containing sentences and questions was given to 64 university learners in 4 contexts (indefinite noun, feminine, masculine, and neutral connotations) to choose the most suitable pronouns while exploring the reasons for choices followed by the source of learning. The results revealed that singular they was the highest deployed pronoun in all four contexts, with no significant difference between Iranian and Polish learners. Furthermore, gender neutrality was mentioned most as the main reason for their selection of choices. Finally, roughly half the Polish students and about a third of Iranian participants had already heard about singular they, with private institutions and schools were respectively mentioned as their main sources of this knowledge.
A Study of the CP-based Model of Metadiscourse Marking across Disciplines and Q1-4 Journals
Authors: Abdi Reza , Saeedakhtar Afsaneh , Teymouri Simin
Published: February 2022

Writing for social engagement in an academic context indicates the authors’ attitude towards the propositional content and the text’s audience through metadiscursive maxims markers employment. This study tried to determine whether there are any differences in metadiscourse marking in research articles across different disciplines and different quartile ranks. To this end, Abdi’s (2010) CP-based model of metadiscourse marking was used to study how writers use metadiscursive maxims markers to see any differences in metadiscourse maxims marking in their writings. To this end, we selected 193 research articles from recently published journals (2018-2020) and balanced them based on size. Then, we carefully went through them and extracted maxims markers manually. The results showed that the cooperation categories of quality, quantity, manner, and interaction were widely used among philosophy writers, which can help understand, study, and teach this critical area of language use. This empirical study of academic writing helps us attend to hidden rhetorical features and strengthen interpretation.
Reflexive Modernisierung des Staates
Authors: Grande Edgar
Published: February 2022

In diesem Beitrag wird gezeigt, wie die soziologische Theorie reflexiver Modernisierung für die Analyse des gegenwärtigen Wandels des modernen Staates genutzt werden kann. Mit Hilfe dieser Theorie wird die These begründet, dass der derzeit ablaufende Wandel von Staatlichkeit epochalen Charakter besitzt; modernen Gegenwartsgesellschaften werden in der Tat konfrontiert mit einem epochalen Bruchs ihrer politischer Herrschaftsordnung. Dabei handelt es sich aber nicht um das Ende des modernen Staates und den Übergang zu einer postmodernen Herrschaftsordnung, sondern um eine innere Transformation des modernen Staates selbst. Dieses Argument wird in drei Schritten entwickelt. Im ersten Schritt werden die Grundannahmen der Theorie reflexiver Modernisierung präsentiert; danach werden jene Aspekte des Wandels moderner Staatlichkeit skizziert, denen aus dieser Theorieperspektive besondere Bedeutung zukommt; und im letzten Schritt werden die politischen Triebkräfte und Mechanismen dieser inneren Transformation des modernen Staates herausarbeitet.
Bureaucracy and its Critics in America and Germany: In Defense of the “Bureaucratic Paradigm”
Authors: Lynn, Jr. Laurence E.
Published: February 2022

Contemporary critiques of traditional government in both America and Germany are based on serious distortions and misunderstandings of the rationale and the dynamics of its creation. This misunderstanding concerns how and why governing institutions evolved, the essential path dependence of national institutional development, and the purposes bureaucracy has and continues to serve on behalf of liberal democracy. The consequence is misguided efforts at administrative modernization that are doomed to failure. The historical reality is that both the American administrative state and the German Rechtsstaat were devised to serve liberal, republican purposes. That such institutions endure is less a reflection of the well-known pathologies of bureaucracy—although such pathologies are always present as institutions evolve—as of their continuing value to the preservation of civil society, an endurance that has accommodated change within flexible frameworks of law and practice.
New Public Management im Staats- und Verwaltungsrecht. Grundlagen und Entwicklungstendenzen in der Schweiz
Authors: Lienhard Andreas
Published: February 2022

Mitte der 1990er Jahre hat das New Public Management (NPM) die Schweiz erfasst. Mittlerweile ist die wirkungs- und effizienzorientierte Verwaltungsführung zum festen Bestandteil der Verwaltungsreformen in Bund, Kantonen und Gemeinden geworden. Die Kantone nehmen dabei eine Vorreiterrolle ein. Auf Gemeindeebene ist der Einführungsgrad stark grössenabhängig. Auf Bundesebene ist das Umsetzungspotenzial noch nicht ausgeschöpft. Der nachfolgende Beitrag beleuchtet diese Reformen aus staats- und verwaltungsrechtlicher Sicht. Er zeigt in geraffter Form auf, inwiefern sich aus den staatstragenden Grundwerten Möglichkeiten und Grenzen einer Umsetzung von NPM ergeben und welche Anforderungen an die Organisation und Steuerung von Parlament, Regierung und Verwaltung zu berücksichtigen sind.