bluuebunny/crossref_metadata_2025 huggingface dataset:
Heating a greenhouse using a solar air collector assisted by thermal storage: a simulation study
Authors: Hasan Mustafa Moayad , Hriczó Krisztián
Published: November 2022

Solar energy has an enormous contributions in numerous sectors. Among these sectors, agricultural greenhouses still receiving more interests to reduce the energy consumption which in turn mitigates the reliance of greenhouses to conventional energy sources and minimizes greenhouse gas emission (GHG). A greenhouse is an enclosed structure made of wood or metal frames covered with transparent materials such as glass, plastic, and fiberglass that allow solar radiation to enter the greenhouse. The primary objective of a greenhouse is to provide a shelter for plants against the harsh weather conditions such as strong winds and heavy rain. Further benefits of a greenhouse are to produce agricultural products out of season for both commercial sales and research purposes and attain better quality and quantity of plants as well. To maintain the microclimate of a greenhouse at an appropriate level which is more favorable for various crop growth, systems such as heaters, coolers, fans, thermostats, and other equipment must be used. However, in cold climates or arears with prolonged cloud cover, a greenhouse can be heated conventionally by burning fossil fuels and using electric heaters or by utilizing solar heaters that convert solar energy into thermal energy. In this study, MATLAB software was used to predict the heating load of a greenhouse using an energy balance method that takes into account the heat gain from soil. This is not considered in conventional methods. The results of heating load obtained revealed good agreement with those obtained from conventional methods when the soil heat gain is included. Two identical collectors in series of total area of 5.4m2 were employed as a heating system. This arrangement provides an air outlet temperature of 30oC with an air mass flux of 0.06 kg/s.m2 at midday in January. In addition, a rock- bed thermal storage system was adopted to store the excess heat which can provide about 58.5% of the total heat demand, while the remaining amount can be supplied by an auxillary heating system.
Geological, hydrogeological and hydraulical investigation of the Hajdúdorog Bath
Authors: Ilyés Csaba , Nyiri Gábor , Tóth Márton , Virág Margit , Madarász Tamás , Szűcs Péter
Published: November 2022

In our work, a preliminary hydrogeological investigation was carried out to identify the thermal bath of Hajdúdorog’s hydrogeological setting and analyze the area which it is in. Literature review was performed to understand the geological, hydrogeological conditions as well as analyzing the production wells of the bath themselves. Based on the analysis a simple hydrodynamic modeling was performed to better understand the magnitude of the volume of water that can be extracted without disturbing the nearby Hajdúnánás Bath. Based on Our results, the Hajdúdorog Bath can produce more water from the aquifer to initiate infrastructural expansion for the future.
On the experience of the first five years of the Electronic Road Traffic Control System
Authors: Varga Zoltán
Published: November 2022

In my study, I summarise the experience of the first five years of the Electronic Road Freight Traffic Control System introduced as a result of digitalization. The five-year interval is because a period ended at the end of 2020, because from 2021 a new regulation came into force, which I will not deal with within the framework of this article. After the brief introduction, I will describe the most important rules of the system in the relevant period. I will also present the experience of on-the-spot and ex-post inspections in the relevant period, as well as the sanctioning and redress issues. And in the concluding thoughts, I present to the reader the quantified results of the system.
Electrical design of a press system
Authors: Subert József , Rónai László , Lénárt József
Published: November 2022

The paper deals with an electrical design of an electrohydraulic system, which is capable to use for rock pressing. The system has three stations, which controlled by programmable logic controller. The electrical design contains the wiring, and the development of a valve controller card, which provides adequate current to a pressure relief valve.
REKONSTRUKSI KEPEMIMPINAN PENDIDIKAN ISLAM YANG KREATIF, INOVATIF, DAN PROAKTIF
Authors: Helmiannoor Helmiannoor
Published: November 2022

Kepemimpinan merupakan ujung tombak keberhasilan dalam pengembangan suatu lembaga pendidikan. Tujuan penelitian ini adalah untuk mendeskripsikan bagaimana membangun kepemimpinan pendidikan Islam yang kreatif, inovatif, dan proaktif. Penelitian ini termasuk jenis penelitian kepustakaan (library research). Sumber data dalam penelitian ini adalah buku-buku maupun karya ilmiah yang membahas tentang kepemimpinan pada lembaga pendidikan. Sedangkan teknik analisis data menggunakan teknik analisis isi (content analysis). Hasil kajian ini menunjukkan bahwa: 1) Kepemimpinan kreatif akan terwujud jika pemimpin tersebut memiliki berbagai kemampuan yang memadai, di antaranya kemampuan sebagai edukator, manajer, administrator, supervisor, leader, innovator dan motivator, 2) Kepemimpinan inovatif akan terwujud jika pemimpin pendidikan mempunyai komitmen yang kuat, program yang jelas, keahlian dan kualitas. Komitmen dalam melakukan inovasi merupakan syarat utama karena keberhasilan inovasi sangat ditentukan oleh kuat atau tidaknya komitmen yang  dimiliki  oleh  pemimpin  pendidikan, 3) Kepemimpinan proaktif akan terwujud manakala pemimpinan tersebut memiliki sikap mandiri, dalam menghadapi dan menyelesaikan masalahnya sendiri tanpa bergantungan kepada orang lain, memiliki sikap yang selalu bertanggungjawab terhadap pekerjaan ataupun tugas yang diberikan kepadanya, memiliki inisiatif untuk melakukan hal-hal yang bermanfaat bagi lingkungan sekitar sebelum orang-orang yang ada disekitarnya melakukan inisiatif tersebut, memiliki sikap tidak mau menyalahkan orang lain, dan memiliki sikap pantang meyerah, peduli dan dan selalu mempunyai semangat yang kuat. Sealin itu, kepemimpinan proaktif juga dapat diwujudkan dengan mengasah kemampuan manajemen konfilk.
Responses to external repeated perturbations vary with time intervals
Authors: Kim Dongwon , Baghi Raziyeh , Hwang Jong-Moon
Published: November 2022

While perturbation training is known to be effective in reducing fall risk, it is unclear whether the interval of perturbations affects motor response. We investigate postural responses that could vary with the interval of perturbations, probably leading to different contributions of relevant learning substrates. A total of 12 male volunteers with no neurological deficits (age: 33.33±3.12 S.D.) experienced two sequences of perturbations. Two sequences of perturbations were designed and administered in turn: the first sequence consisted of 24-time repeated perturbations with an interval of 5 seconds, while the second sequence consisted of ones with an interval of 2.5 seconds. A perturbation of a smaller magnitude was inserted into each sequence as a catch trial. Perturbations were given by a force plate moving in the anterior-posterior direction. The magnitude of the excursions of the center of pressure (COP) and ankle angle in response to perturbations with a longer interval is greater in comparison to that with a shorter interval (P < 0.05). A difference in responses to the perturbation following the catch trial appears in COP (P < 0.05), not in ankle angle (P > 0.05). These results suggest that while contraction of agonist muscles and co-contraction of antagonistic muscle pairs across the ankle joint for stability operate independently of each other, the refinement of the neuromotor system for a newly trained response can be modulated with stimulus intervals. The dependency of postural responses on the interval could imply that the strength of the learning effect varies with stimulus intervals.
Vitamin D Dependent Rickets Type IB as a Rare Cause of Rickets, Case Report and Literature Review
Authors: Ali Amer O. AL , Soeid Mohammed A. , Nami Aiyl H. , Masmali Mohammad Q , Safhi Abdulaziz M. , Majrabi Ahmad A. , Agsam Marwah A. , Alsumm Adil , Mahnashi Mohammed A. , Haltani Norah A. , Muharraq Haitham A. , Mobaraki Mansour A. , Hakami Shemah M. , Hakami Fatimah M. , Gadry Mohammed I.
Published: November 2022

Aim: The aim of this paper to report one case with vitamin D-dependent rickets, type IB. Methods: Diagnosis has been established based on physical examination, laboratory findings and radiological examination and confirmed by positive gentic mutation. Results: Here we report a 3 year old Saudi female who present with valgus deformity of the feet and delayed motor development with biochemical, radiological evidence of vitamin D disorders. Since vitamin D level was low she was assumed and treated as being due to vitamin D deficiency and treated with cholecalciferol / one alpha for 1 year, but there was no improvement, latter on referred to us where we did gentic study which show a positive gentic mutation at CYP27B1 confirming diagnosis of Vitamin D dependent Rickets 1B, and treatment with Calcitriol then patient show great improvement within 4 weeks, Alkaline phosphatase and PTH both drop to normal levels. Clinical and radiological evidence of the improvement was seen after 3 months of Calcitriol. Conclusions: In this paper, we raise the awareness that Rickets with low vitamin D25 level not always mean deficiency, especially if patient fail to improve with cholecalciferol, and in such case, a rare inherited disorder of Vitamin D activation and action should be looked for, and gentic study is helpful in such cases.
Faster-RCNN Based Deep Learning Model for Pomegranate Diseases Detection and Classification
Authors: Makandar Aziz , Javeriya Syeda Bibi
Published: November 2022

India is the largest producer of pomegranates in the world which earns a high profit. However, due to atmospheric conditions such as temperature variations, climate, and heavy rains, pomegranate fruits become infected with various diseases, resulting in agricultural losses. The two most common diseases seen in the Karnataka region are bacterial blight and anthracnose, both of which cause a significant production loss. This paper has detected and classified these two diseases by extracting knowledge from custom trained models using Deep Learning. To overcome the traditional methods, Faster-RCNN helps us to do better object detection. Keyword : Deep Learning, Faster-RCNN, Tensorflow Bacterial blight, Anthracnose, Object detection.
ПЕРЕПЛЕТЕНИЕ ТРАДИЦИЙ И МЕТОД БОРЬБЫ С ПУСТОТОЙ ГОТФРИДА БЕННА
Authors: Келигова Т.Ю.
Published: November 2022

Cогласно мнению немецкой аудитории, Готфрид Бенн не только самая интригующая фигура в немецкой поэзии XX века, но и одна из вершин на поэтическом Олимпе Европы 20 века, наряду с Райнер Мария Рильке, Стефаном Георге, Георгом Траклем.
Почему об этом поэте сегодня вспоминают решительно все? Наверное, во-первых, потому, что Готфрид Бенн – истинная и при всей странности своих поэтических форм, неотразимая личность поэта, номинированная пять раз после своей смерти на Нобелевскую премию. Во-вторых, творчество лауреата премии Георга Бюхнера, поэта-экспрессиониста, эссеиста, новеллиста, врача Г.Бэнна достойно восхищения за его обширную работу, которая представляет собой эпохальное языковое и стилистическое достижение, отражающее как заблуждения, так и блеск, и недостатки прошлого века. Переведенное на русский язык стихотворение «Kommt» («Пойдем») есть характерный пример его поэзии с трудно воспринимаемой читателем рифмой.
ЛИНГВИСТИЧЕСКИЕ ОСНОВЫ ИЗУЧЕНИЯ ТЕМЫ «ИМЯ СУЩЕСТВИТЕЛЬНОЕ» В ШКОЛЕ
Authors: Бахаева Л.М. , Джанаралиева З.К.
Published: November 2022

Статья посвящена изучению имени существительного в школе. Понятие грамматического предмета может служить полным обоснованием для таких разделов грамматики, как синтаксис и морфология. Имя существительное обозначает индивидуальное наименование определенного предмета. Существительное является центральным морфологическим понятием в русском языке. Все существительные можно разделить на собственные и нарицательные, на одушевленные и неодушевленные. Преподавание уроков по теме «Имя существительное» в школьном курсе дает детям возможность распознать богатство русского языка.
A papírtól az 5G-ig : Történelmi áttekintés Kína útjáról a kezdetektől a globális világgazdaságba
Authors: Iványi Márton
Published: November 2022

A kimért stratégiai tervezés birodalmi hagyományai, a civilizációs vívmányok, a befelé fordulás, a stagnálás és a szuverenitáscsorbulás történelmi előzményei után a kontinensnyi Kína néhány évtizede – talán immár visszafordíthatatlanul – belépett a globalizáció világába. Az ázsiai ország abbéli sikere, ahogy a globalizált térben egyes ágazatait, például a digitalizálódó államot és információs társadalmát egyaránt mozgásba hozó saját nemzeti IKT-piacát alakítgatja, a maga nemében kivételes történelmi teljesítmény.
Multiculturalism and Interculturalism As The Basis of Social Values and Economic Policy
Authors: Elene Bregvadze Elene Bregvadze
Published: November 2022

When studying the effectiveness of the real estate market development policy, we share the opinion of scientists on the need to move from the position of multiculturalism to the position of interculturalism.
The purpose of the article is to discuss and analyze the ideas of multiculturalism and interculturalism, which are based on the formation of identity within the boundaries of a single political space (state, region or city). The expansion and development of the sphere of civil self-organization are considered as the main features of the state and municipal policy of managing cultural diversity, which have acquired special significance. Initially, all these trends were considered only within the framework of the multiculturalism paradigm, which was subsequently criticized by scholar Daniel O'Neill and other scholars. The study focuses on the concept of results-based management, which provides a new perspective in the field of political and economic management, as well as the basis for the functioning of various state and public structures in developed countries.
The approach based on the ideas of interculturalism discussed in the article implies a transition from the priorities of economic instruments to the priorities of social value instruments. In the process of sustainable and inclusive development of the country, in exchange for economic subsidies to minorities (including the appointment of various quotas), they provide encouragement for adherence to basic social values. The opinion is expressed that the implementation of the policy of development and support of social values between representatives of minorities and the majority will reduce the conflict of economic interests.
Keywords: multiculturalism, interculturalism, real estate market development policy, economic policy, basic public values.
Penerapan Pendekatan Open-Ended Learning dalam Pembelajaran Matematika Materi SPLDV Pada Siswa SMP Negeri 1 Modayag Barat
Authors: Bin Eli Maudy Amalia , Regar Vivian E. , Sambuaga Oltje T.
Published: November 2022

Penelitian ini bertujuan untuk mengetahui hasil belajar siswa menggunakan Penerapan Pendekatan Open-Ended Learning dalam Pembelajaran Matematika Materi SPLDV Pada Siswa SMP Negeri 1 Modayag Barat. Penelitian ini menggunakan desain Posttest only control design. Subjek penelitian ini adalah kelas VIII C sebagai kelas Eksperimen yang terdiri dari 23 siswa dan kelas VIII A sebagai kelas Kontrol yang terdiri dari 20 siswa di SMP Negeri 1 Modayag Barat. Data yang diperoleh adalah hasil dari posttest pada kelas eksperimen dan kelas kontrol. Dengan rata-rata hasil belajar kelas Eksperimen 87,4 dan rata-rata hasil belajar kelas Kontrol 82,75. Uji kenormalan data terpenuhi dengan data berdistribusi normal. Hasil analisis data dengan taraf nyata 0,05 diperoleh . Berdasarkan hasil penelitian tersebut dapat disimpulkan hasil belajar siswa menggunakan pendekatan Open-Ended Learning dalam pembelajaran sistem persamaan linear dua variabel lebih tinggi dibandingkan dengan hasil belajar siswa dengan menggunakan pembelajaran konvensional.Penelitian ini bertujuan untuk mengetahui hasil belajar siswa menggunakan Penerapan Pendekatan Open-Ended Learning dalam Pembelajaran Matematika Materi SPLDV Pada Siswa SMP Negeri 1 Modayag Barat. Penelitian ini menggunakan desain Posttest only control design. Subjek penelitian ini adalah kelas VIII C sebagai kelas Eksperimen yang terdiri dari 23 siswa dan kelas VIII A sebagai kelas Kontrol yang terdiri dari 20 siswa di SMP Negeri 1 Modayag Barat. Data yang diperoleh adalah hasil dari posttest pada kelas eksperimen dan kelas kontrol. Dengan rata-rata hasil belajar kelas Eksperimen 87,4 dan rata-rata hasil belajar kelas Kontrol 82,75. Uji kenormalan data terpenuhi dengan data berdistribusi normal. Hasil analisis data dengan taraf nyata 0,05 diperoleh . Berdasarkan hasil penelitian tersebut dapat disimpulkan hasil belajar siswa menggunakan pendekatan Open-Ended Learning dalam pembelajaran sistem persamaan linear dua variabel lebih tinggi dibandingkan dengan hasil belajar siswa dengan menggunakan pembelajaran konvensional.
Gestação Ectópica Em Cicatriz De Cesárea Anterior: Relato De Caso
Authors: Roque Gabriela Sangaletti , Sobrino Daniela Silva
Published: November 2022

Introdução: A gravidez ectópica deve ser considerada em qualquer paciente gestante com sangramento vaginal ou dor abdominal inferior quando a gestação intrauterina ainda não foi estabelecida. Mais de 95% das gestações ectópicas ocorrem nas tubas, especialmente a porção ampular, totalizando 70% dos casos. Outros locais relatados para gestações ectópicas, ainda que de acentuada raridade, são o abdome, o ovário e a cicatriz de cesárea anterior. Embora rara, a gravidez ectópica em cicatriz de cesárea anterior aumentou em paralelo ao crescimento das taxas de cesariana. Devido a essa raridade, relatos de casos são importantes para que mais evidências sejam investigadas no intuito de sistematizar o manejo da condição.

Objetivo: Relatar um caso de gravidez ectópica em cicatriz de cesárea anterior, assim como seu manejo e desfecho, com o intuito de auxiliar na condução de novos casos. Método: Trata-se de um relato de caso único atendido no Serviço de Ginecologia e Obstetrícia do Hospital Universitário São Francisco na Providência de Deus – HUSF, localizado na cidade de Bragança Paulista, SP. A paciente em questão autorizou a utilização dos dados contidos em seu prontuário por meio da assinatura de um Termo de Consentimento Livre e Esclarecido, e este trabalho foi aprovado pelo Comitê de Ética em Pesquisa do HUSF.

Conclusão: A descrição do caso permitiu concluir que, devido ao risco significativo de desfechos desfavoráveis acarretados pela gravidez em cicatriz de cesárea anterior, incluindo a ruptura uterina e o óbito da gestante, se faz necessário o diagnóstico imediato da condição, pois sintomas como sangramentos são inespecíficos para casos do tipo. A ultrassonografia é uma ferramenta diagnóstica de grande auxílio em casos de gravidez em cicatriz de cesariana, porém, em alguns casos, o diagnóstico pode não ser confirmado até que seja realizada uma ressonância nuclear magnética. A depender da lesão e das morbidades relacionadas, a histerectomia pode ser a melhor alternativa, conforme foi realizado no caso aqui relatado, evitando, assim, a morte da gestante. Todavia, nos casos em que a paciente ainda deseja ter filhos, é possível evitar tal procedimento, embora exista risco de recorrência e de desfechos desfavoráveis.
Papulose Bowenoide : Relato de Caso
Authors: Bonatto Francisco Roberto , Brisiguelli Neto Attillio
Published: November 2022

Introdução: A papulose bowenoide é uma enfermidade sexualmente transmissível induzida pelo papilomavírus humano (HPV). A doença se caracteriza por lesões múltiplas ou solitárias pequenas em formato de verrugas em região anogenital. A doença apresenta caráter benigno na maioria das vezes, porém pode apresentar evolução maligna para carcinoma espinocelular. O diagnóstico é realizado através da avaliação clínica e exame histopatológico. O tratamento é feito através de remoção cirúrgica ou técnicas clínicas conservadoras. Além do tratamento clínico é importante a orientação sobre relações sexuais e fatores que geram a recidiva das lesões, como por exemplo o tabagismo.
Objetivo: Relatar uma doença ginecológica rara e com sucesso do tratamento com creme dermatológico imiquimod 5%.
Método: O Termo de Consentimento Livre e Esclarecido (TCLE) foi assinado, concordando com a participação voluntária no estudo. A pesquisa foi conduzida dentro dos padrões éticas em Pesquisa do HUSF, sob número de Parecer 5.760.074 (CAAE: 64807922.6.0000.5514) conforme a Resolução do Conselho Nacional de Saúde n.º 466/2012.
Conclusão: Apresenta-se o relato de caso de uma doença ginecológica rara e que pode apresentar evolução maligna. O diagnóstico precoce, com utilização de exames de imagem e anatopatológico, diminui os riscos desta evolução. O tratamento conservador com imiquimod a 5% apresentou bons resultados no paciente estudado.
A Responsabilidade Subsidiária da Empresa Tomadora de Serviços quanto a Correta Aplicação do Compliance Trabalhista nas Empresas Prestadoras de Serviço. Estudo de Caso: Lojas Riachuelo
Authors: Gomes Daniel Das Neves , Rodrigues Luís Augusto Antunes
Published: November 2022

A lei 12.846/2013, responsabiliza objetivamente as empresas por atos lesivos e de corrupção, ampliando assim os programas de compliance trabalhista, aplicando-se a questão da responsabilidade subsidiária nas empresas tomadoras de serviços quanto a correta aplicação nas empresas prestadoras de serviços. Analisar-se-á as regras de compliance identificando a responsabilidade das empresas, visando a adoção de programas e objetivando a correta adequação e o respeito às leis trabalhistas, buscando evitar o dumping social. Verificar-se-á internamente, os benefícios sociais aos trabalhadores, à atividade econômica pela adoção de um sistema efetivo de compliance. Fundamental que o empresário lance o programa de compliance interno, para atingir o pleno êxito nas suas ações. Imprescindível ainda a Due Diligence desde a fase de pré-contratação até o desligamento do empregado. Igualmente, para os prestadores de serviços, evitando situações como das Lojas Riachuelo que foi autuada pela Justiça do Trabalho, porque uma de suas prestadoras de serviços, a Guararapes Confecções, confeccionava peças de roupas explorando seus funcionários. Precisa-se sempre estar aberto às novidades e buscar, sempre, a empatia. O Compliance Trabalhista trata de regular e normatizar relações entre terceiros – no caso, entre empresa e colaboradores visando continuamente a ética e o bem-estar de todos.
SOSIALISASI TOGA PUDING DAUN KELOR SEBAGAI MAKANAN SEHAT KELUARGA DI KELURAHAN PALLEKO
Authors: Charisma Dila , Kiki Nur Ais  , Sutari
Published: November 2022

Tanaman obat memiliki peran yang sangat penting untuk menjaga kesehatan, menjaga stamina tubuh, dan mengobati penyakit. Artikel ini kami buat untuk mengenalkan kepada masyarat terkait dengan tanaman obat keluarga (TOGA) yang merupakan tanaman yang sering kita jumpai bahkan kita gunakan sehari-hari untuk bahan dapur dirumah. Bahkan banyak juga tanaman liar yang dapat digunakan menjadi obat tradisional, adapun tanaman yang baik ditanam di halaman rumah yaitu daun kelor, sirih dan jahe. Namun masih banyak masyarakat yang belum mengetahui manfaat dari setiap tanaman. Pada kegiatan ini kami melakukan sosialisasi TOGA dengan metode secara langsung dimana pada kegiatan ini dihadiri oleh salah satu staf di UPTD Puskesmas Polongbangkeng Utara yang sekaligus menjadi Pemateri pada kegiatan tersebut. Sehubungan dengan program Bupati Takalar gagas satu rumah satu pohon kelor, maka kami juga memfokuskan pada kegiatan sosialisasi ini dalam pembuatan puding daun kelor sebagai makanan sehat keluarga. Seperti yang diketahui, daun kelor tidak hanya dapat dijadikan sebagai sayuran  tetapi dapat dijadikan sebagai makanan dan  cemilan yang enak dan memiliki gizi yang tinggi. Kegiatan sosialisasi TOGA memberikan pengetahuan kepada masyarakat  terkait manfaat tanaman obat keluarga terkhusus pada ibu-ibu di Kelurahan Palleko. Masyarakat di Kelurahan Palleko sangat antusias dengan kegiatan sosialisasi ini karna menambah pengetahuan mereka akan sumber pangan sehat untuk keluarga.
Kata kunci: TOGA, Daun kelor, Puding, Makanan sehat
Reasons for and perceptions of patients with minor ailments bypassing local primary health care facilities
Authors: Visser C. A. , Marincowitz G. J.O. , Govender I. , Ogunbanjo G. A.O.
Published: November 2022

Introduction: Despite having access to several clinics and health centres in their local communities, numerous patients opt to go directly to hospitals for non-emergencies and minor ailments. Reasons for this include their perceptions of the quality of primary health care services, the attitudes and perceptions of health workers, opening hours of clinics, community involvement and participation, and drug and equipment availability as well as the quality of infrastructure. Perceptions of size, a lack of specialty care and limited services were most frequently mentioned as reasons why patients bypassed their local primary health care facilities.Aim: This study aimed to identify the reasons given by patients presenting with minor ailments, for bypassing their local primary health care facilities in the Greater Tzaneen municipal area to Letaba Hospital.Methods: A cross-sectional descriptive study was performed at Letaba Hospital over a three-month period, from 23 June 2008 to 15 August 2008, in which non-referred patients presenting with minor ailments were randomised and entered into the study on a voluntary basis. A preset questionnaire was utilised for data-collection purposes. A total of 293 participants were included in the study. The questionnaire aimed to determine the demographic profile of patients who present with minor ailments at hospital, to explore the reasons why these patients bypass their local clinics and to evaluate their knowledge, perceptions and attitudes regarding their local clinics.Results: Most patients indicated that they came to the hospital because they wanted to be seen by a doctor, followed by the request to see a dentist. The study identified that patients expressed both positive and negative opinions concerning their local clinics.Conclusion: Numerous factors influence the service-seeking behaviour of rural patients. Patients bypass their local clinics due to perceptions regarding the quality of health care services at the hospital. Improving the quality aspects of clinics and enhancing the services rendered will not only increase the utilisation of clinic services, but also reduce hospital overcrowding.
Factors affecting the implementation of nurse-initiated antiretroviral treatment in primary health care clinics of Limpopo Province, South Africa
Authors: Mabelane T. , Marincowitz G. J.O. , Ogunbanjo G. A. , Govender I.
Published: November 2022

Introduction: The implementation of nurse-initiated antiretroviral (ARV) treatment at primary health care clinics was introduced in 2010 as a response to lower the HIV prevalence rate in the community. Aim: The aim of the study was to identify the factors affecting the implementation of nurse-initiated ARV treatment in primary health care clinics referring patients to Dr CN Phatudi Hospital, Limpopo Province. Methodology: A qualitative study was conducted in 2013 with a purposeful sample of nurses from 12 clinics involved in the nurse-initiated antiretroviral treatment (NIMART) programme. Two free-attitude focus groups and two individual interviews were conducted (audio- and video-recorded whilst the researcher took field notes). These interviews were transcribed verbatim and analysed using the colour-coding as well as cut-and-paste methods.Results: Common themes that emerged from the individual and focus-group interviews were: (1) lack of resources, which included health care workers, drugs, stationery, telephones, poor training and inadequate workspace; (2) factors affecting treatment adherence, such as stigma, poverty, poor roads and the restrictions on the ‘one pill’ regime; (3) support from management and the visiting doctor and (4) nurses’ work satisfaction. Conclusion: Two of the themes that emerged acted as barriers to the implementation of the NIMART programme, namely: (1) lack of resources and (2) factors affecting treatment adherence. The two other themes enhanced the implementation of the NIMART programme, namely: (1) support visits and (2) nurses’ work satisfaction.
“Alpha-1, are you in? (C)harlie (O)scar (P)appa (D)elta, over!”
Authors: Muntingh G. L.
Published: November 2022

Chronic obstructive pulmonary disease (COPD) is characterised by chronically poor air flow. Typically, it worsens over time. The main symptoms include shortness of breath, coughing and sputum production. Most people with chronic bronchitis have COPD. Tobacco smoking is the most common cause of COPD. A number of other factors, such as air pollution and genetics, play a smaller role. One of the common sources of air pollution is poorly vented cooking and heating fires in the developing world. Longterm exposure to these irritants causes an inflammatory response in the lungs, resulting in narrowing of the small airways and breakdown of the lung tissue, leading to emphysema. Genetic involvement, i.e. alpha-1 antitrypsin deficiency, is now a recognized cause. The diagnosis is based on poor air flow, as measured by lung function tests. In contrast to asthma, the air flow reduction does not improve significantly with the administration of a bronchodilator. COPD can be prevented by reducing exposure to known environmental risk factors. This includes an eﬀort to decrease the rate of smoking and to improve indoor and outdoor air quality. COPD treatment includes stopping smoking, vaccinations, rehabilitation, and often inhaled bronchodilators and steroids. Some people may benefit from long-term oxygen therapy or lung transplantation. Increased use of medication and hospitalization may be needed in those who have periods of acute worsening. Worldwide, COPD eﬀects 329 million people, or nearly 5% of the population. In 2013, it resulted in 2.9 million deaths, up from 2.4 million deaths in 1990. The number of deaths is projected to increase owing to higher smoking rates and an ageing population in many countries. New treatments are also emerging very slowly.
The role of proprotein convertase subtilisin/kexin type 9 inhibitors in managing cardiovascular risk
Authors: Schellack Natalie , Schellack Gustav , Bronkhorst E.
Published: November 2022

Hypercholesterolaemia and dyslipidaemia, marked by decreased levels of high-density lipoprotein and elevated levels of lowdensity lipoprotein (LDL), increase the risk of cardiovascular disease. Familial hypercholesterolaemia (FH), diagnosed based on the clinical features seen in patients with a positive family history, constitutes a heritable disorder involving a single gene. FH can exist in either the heterozygous or homozygous form, and may be differentiated based on clinical features and genetic studies. A novel drug target, proprotein convertase subtilisin/kexin type 9 (PCSK9), has resulted in the development and subsequent approval of new, targeted monoclonal antibodies in the treatment of FH. Targeting PCSK9 with monoclonal antibodies, i.e. evolocumab and alirocumab, inhibits the degradation of LDL receptors, and against a background of optimised statin therapy, increases the life expectancy of patients with hypercholesterolaemia by reducing the incidence and severity of coronary artery disease.
Fides quaerens intellectum: Un desafío siempre contemporáneo
Authors: Carrasco Rouco Mons. Alfonso
Published: November 2022

El texto recoge una conferencia sobre los desafíos de fondo que se plantean a la teología hoy, situando esta tarea en el marco del magisterio del papa Francisco. El autor presenta la tarea teológica como parte de la vida del Pueblo de Dios, de su dinámica intrínseca de inculturación del Evangelio en la cultura de su tiempo. Desarrolla brevemente esta perspectiva a partir de la primera gran inculturación en las sociedades grecorromanas, subrayando rasgos que manifiestan esta vinculación de la teología con el camino del Pueblo de Dios. Después el autor evidencia algunas exigencias que tiene la teología hoy para mantener tal identidad y realizar su misión: evitar la tentación racionalista que reinterpreta la intervención de Dios en la historia; ensanchar los límites de una razón reducida a lo empírico-matemático; y responder al desafío hermenéutico implicado en afirmar la novedad evangélica presente históricamente en el Pueblo de Dios. Se concluye con la identificación de algunas de estas coordenadas en las enseñanzas en la Veritatis Gaudium de Francisco.
Electric Vehicles Adoption in Nigeria: Prospects and Challenges
Authors: Amadi Hachimenum Nyebuchi
Published: November 2022

With the growing concern of climate change, global warming, and an inconstant supply of petroleum products, the transportation sector globally is developing a capable electricity-based means of transportation. As countries, the world over search for alternatives to traditional petroleum-based transport technologies, electric vehicles offer better promises and favorable technology. Electric Vehicles (EVs) provide emission-free, decarbonisation, and therefore environment-friendly transportation as well as a secure, comprehensive, and balanced energy option that is efficient, especially with the utilization of renewable energies. Electric Vehicles are progressing and are becoming more intelligent, thereby improving traffic safety and road utilization. This has the potential to significantly improve the energy scenario, and the environment and lead to the creation of a new EV sector thus contributing to overall economic development. Though much behind the developed countries like China, the United States, etc. in respect of this technology, a growing number of developing sub-Saharan African countries including Nigeria are adopting the electric vehicle technology to ease urban transportation difficulties. This paper relies on extant literature on the subject matter and investigates the challenges and prospects of adopting electric vehicle technology in Nigeria.
PROCESS MINING IN CANCER PREDICTION OF PROGNOSIS BY USING CLASSIFIERS BASED ON MIXED VARIABLES
Authors: S.Yamuna Rani  , Sumagna Patnaik
Published: November 2022

A healthy decision-making process for health of the individual is a major challenge in this day and age of abundance of information all over the place. Machine learning, data mining and computation statistics have become among the top research areas which enable individuals empowered to make important decisions that will improve the results of any field. A high demand for data handling is evident in the healthcare sector, since the increase in the number of patients is proportional the increase in population and lifestyle changes. Strategies for early diagnosis and prognosis predictions of diseases are of great importance at the present time to offer better healthcare for the entire human population. Data mining is an advantage in the development of high-quality and
effective models for applications to predict health. Since cancer has been everywhere in recent years, information from the cancer registry are being used as medical information in this research. The principal goal of the thesis is to create an efficient and effective classification model for predictions of prognosis for cancer. . The majority of the current system is based on diagnosis prediction model from surveys or screening data since the data is readily available and simple to gather due to the insensitivity of the variables involved in these studies. For prognosis prediction, it requires specific
information about the patients who are receiving treatment for a recognized disease. Hospitals and community registries managed by the state constitute the most important sources for data gathering. Electronic hospital records that are well-maintained that include histopathology data are not accessible in India to researchers. Thus, data on cancer obtained from an US accessible data centre was utilized in this study to conduct all experiments. This research study is a model that improves accuracy of predictions by utilizing the appropriate methods for data mining for each stage. Prognosis refers to the survival percentage of cancer patients generally, but is also a measure of how severe the cancer in the future timeline that the person. The
two-fold goal of this study is to discover the key response variables that are a part of the prediction system used to determine the prognosis as well as enhance the predictive models. .
PENGEMBANGAN STRATEGIS KETAHANAN DAN PERTAHANAN DI ZONA EKONOMI EKSKLUSIF INDONESIA
Authors: Ibrahim Muchtar , Subroto Athor , Yoesgiantoro Donny
Published: November 2022

Penelitian ini mengkaji tentang bagaimana pengemabngan strategi ketahanan dan pertahanan di Zona Ekonomi Ekslusif (ZEE) Indoenesia. Penelitian yang digunakan oleh peneliti adalah penelitian yang mempunyai sifat deskripftif yang didasarkan pada beberapa sumber literatur seperti buku, hasil penelitian, jurnal serta artikel penelitian. Pada penelitian ini dijelaskan bahwasannya adanya potensi konflik di ZEE yang mungkin muncul tidak hanya dari klaim teritorial China yang tegas atas laut tetapi juga dari sesama negara ASEAN. Dengan perairan yang berbatasan dengan Zona Ekonomi Eksklusif (ZEE) Indonesia, maka perlindungan kepentingan nasional Indonesia di kawasan menjadi sangat penting. Namun, tidak jarang kapal patroli Indonesia menghadapi intimidasi oleh kapal negara lain karena melindungi perbatasan negara. Beberapa strategi yang bisa dilakukan adalah dengan memperkuat keamanan maritim dan menjaga Zona Ekonomi Eksklusif (ZEE) dengan memajukan pangkalan militer ZEE Indonesia. Upaya menghilangkan praktik kecurangan yang dilakukan oleh pelaku IUU fishing dilakukan dengan mengadopsi kebijakan penenggelaman kapal, menegakkan hukum yang ketat untuk memerangi penangkapan ikan illegal, memperluas diplomasi bilateral dan regional dengan negara-negara tetangga yang tergabung dalam Perhimpunan Bangsa-Bangsa Asia Tenggara dan negara-negara tetangga lainnya.
Pengaruh harga saham, volume perdagangan, volatilitas saham terhadap bid ask spread pada perusahaan Manufaktur di BEI
Authors: Ningrum Yasinta
Published: November 2022

Penelitian ini bertujuan untuk mengetahui pengaruh harga saham, volume perdagangan, dan volatilitas saham terhadap bid ask spread pada masa sebelum dan sesudah stock split pada perusahaan manufaktur yang terdaftar di Bursa Eefek Indonesia (BEI) tahun 2015-2019. Penelitian ini dilakukan sejak bulan Maret 2022 sampai dengan selesai dan menggunakan data sekunder. Variabel yang diamati dalam penelitian ini adalah harga saham, volume perdagangan dan volatilitas saham, dan bid ask spread. Sampel penelitian ini adalah perusahaan manufaktur yang listing di BEI tahun 2015-2019 dan melaksanakan stock split yang berjumlah 23 perusahaan, data sekunder berupa laporan keuangan untuk masing-masing perusahaan sebanyak 5 tahun, sehingga didapat 115 pengamatan. Uji kualitas data yang digunakan yaitu uji asumsi klasik yang terdiri dari uji normalitas, uji multikolinieritas, uji heteroskedastisitas, dan uji autokorelasi. Metode analisis data yang digunakan adalah Regresi Linier Berganda. Untuk uji hipotesis terdiri dari uji parsial, uji simultan, uji koefisien determinasi. Hasil penelitian ini menunjukkan bahwa secara parsial harga saham tidak berpengaruh terhadap bid ask spread. Sedangkan volume perdagangan dan volatilitas saham berpengaruh signifikan terhadap bid ask spread. Secara simultan harga saham, volume perdagangan dan volatilitas saham berpengaruh signifikan terhadap bid ask spread masa sebelum dan sesudah stock split pada perusahaan manufaktur yang terdaftar di BEI tahun 2015-2019.
Percutaneous Endoscopic Necrosectomy of Walled-Off Necrosis in Post-ERCP Pancreatitis
Authors: Lauri G. , Di Stasi M. , Marinone G. , Arcidiacono P. G. , Russo S. , Conigliaro R. , Aragona G.
Published: November 2022

Introduction: Acute pancreatitis is the most frequent complication in patients who undergo endoscopic retrograde cholangiopancreatography (ERCP), with an incidence rate of 3.5-9.7% [1]. 5-10% of these develop acute necrotizing pancreatitis, which may have a pancreatic or peripancreatic localization in 75-80% [2]. We describe a case report of post-ERCP acute necrotizing pancreatitis with walled-off necrosis (WON) treated with percutaneous endoscopic necrosectomy (PEN) [3]. Case Report: A 60-year-old man with obstructive jaundice and common bile duct stones at abdominal CT scan underwent ERCP to clear the biliary tract. In the following days, due to the onset of severe acute pancreatitis and sepsis, he repeated the abdominal CT scan where multiple necrotic collections were found around the pancreas with extension to the pelvic paracolic gutters. Following a step-up approach, targeted antibiotic therapy was started. After four weeks, it was not possible to perform Endoscopic Ultrasound-Guided drainage because of the distance from the stomach or the duodenum to the WON. Then percutaneous drainage was radiologically inserted into the collections through the left side of the abdomen of the patient to flush with hydrogen peroxide every day. Due to the persistent infection and necrosis in the collections, an esophageal fully covered self-expanding metal stent was temporarily inserted through the percutaneous fistula in order to increase the caliber of the fistula and to perform PEN. Discussion: The step-up approach suggests endoscopic or percutaneous drainage of infected WON as the first interventional method, depending on the location of the WON and the local expertise [1]. PEN is a safe and effective alternative to surgical treatment with a technical success rate of 47-93% and a complication rate of no more than 20% [4]. Conclusion: PEN is an advanced endoscopic technique that is showing promising results but still needs randomized controlled trials to establish safety and efficacy.
Expression of TNF-α in oral cancer: A prospective diagnostic and prognostic molecular biomarker
Authors: Vidya G Doddawad  , Vidya CS  , Shivananda S  , B.M. Gurupadayya  , Divya Rao  , H.Hari Kishore Bhat
Published: November 2022

TNF-α is a multifunctional cytokine that regulates cell proliferation and differentiation, as well as immunological and host defense responses to infection. It also induces angiogenesis, modulates tissue remodeling, and controls apoptosis.TNF-α is a pleiotropic, pro-inflammatory cytokine that has the potential to be both pro-tumorigenic and anti-tumorigenic. TNF-α can be cytotoxic to tumour cells, slowing tumour progression or causing necrosis, and it can also enhance angiogenesis, proliferation, migration, and survival of tumour cells in oral cancer cells. Several research studies clearly imply that TNF-α and its soluble receptors could be effective in detecting, staging, and predicting prognosis in a variety of malignancies, including oral tumours. Well in many studies were conducted to detect the actual response of TNF- α, but lack of knowledge in understanding the true response of TNF-α towards oral precancer and oral cancer
ESTUDO DE CASO PARA IMPLEMENTAÇÃO DE CONTROLE DE PROJETOS VIA SOFTWARE EM PROJETOS ELETROMECÂNICOS
Authors: Oliveira Rios Lucas , Henrique Gião Borges João
Published: November 2022

Este estudo de caso trata da implementação de controle de projetos em uma empresa que tem por área de atuação as construções de subestações de energia elétrica. A necessidade de ter um controle menos complexo fez com que os funcionários elaborassem um Dashboard totalmente interativo, onde é possível obter a visualização de todos as obras em uma única tela. Era muito trabalhosa a obtenção desses dados, sendo necessário navegar por várias páginas do servidor da empresa para visualização dos dados, e essa navegação era feita em inúmeras pastas. Com a implementação do controle de projeto, foi possível ter um controle efetivo das obras, confiabilidade, tomadas de decisões, quantificação dos custos operacionais, como quantidade de horas gastas por cada projetista, custos de materiais eletromecânicos, elétricos, mecânicos e elementos de fixação e ainda ter uma interatividade com o Dashboard. Com o controle de projetos todos os dados podem ser obtidos de forma macro individual.
Phytochemical Analysis of the Antioxidant Compounds of Baper Tea and Its Potential as an Immunomodulatory agent and Candidate for Standardized Herbal Medicine
Authors: Adnyana I Made Dwi Mertha , Sudaryati Ni Luh Gede
Published: November 2022

The antioxidant content of Baper tea was determined using phytochemical testing, and the potential of these contents as immunomodulatory agents and candidates for standardized herbal medications was investigated. A randomized design was used in this experimental study. Phytochemical assays are used to determine the antioxidant content of Baper tea, whereas organoleptic studies are performed using hedonic tests. A literature review was used to assess the content's potential as an immunomodulatory agent and candidate for standardized herbal medicine. The study lasted four months at the Biology and National Food and Drug Agency Laboratory in Bali Province. Data analysis is based on descriptive methods. Baper tea is prepared in a 2.1.1 ratio. According to the hedonic test results, 41 panelists (87.23 %) prefer Baper tea products based on their color assessment, flavor, aroma, community reception, and acceptability. The matrix and security test revealed a water content of 4.43 %, an IC50 of 24.27 ppm, α-glucosidase inhibitors of 12.18 ppm, a total phenolic content of 28.00 %, and a total flavonoid content of 15.57 %. Baper tea raw materials contain components that have the potential to act as immunomodulatory agents and candidates for standardized herbal medications based on local wisdom.

HIGHLIGHTS

There are very few standardized herbal medicinal products that are efficacious as immunomodulators in the market

Shallot skin (Allium Cepa), morel berry leaves (Physalis angulata), and small gooseberry leaves (Phyllanthus urinaria) packaged in Baper Tea preparations contain bioactive compounds that have the potential to be used as immunomodulatory agents and candidate for standardized herbal medicine

Baper tea contains very active antioxidant compounds at a formulation ratio of 2:1:1. With panelists' acceptance of Baper Tea reaching 87.23 %

GRAPHICAL ABSTRACT
Hybrid Encryption Model using One-Time Pad and Route Cipher algorithm with Integrity Check (Using MD5 hashing)
Authors: Niyanth Guruprasad  , Sushanth Ravishankar  , Dr. R. Renuka Devi
Published: November 2022

The world is moving forward in terms of internet connectivity. While this enhances connectivity and strengthens communication, it brings with it its shortcomings. The advent of internet went hand in hand with emergence of hackers. This made businesses vulnerable and prone to malicious attacks by various groups and organizations. The business, to safeguard the data of the clients and consumers had to fool proof their servers and data-centres, hence the need to enhance and tighten security and close various vulnerable points. Cryptography is a technique involving encryption of data and messages so that only the intended audience can decrypt and comprehend it. For enhanced security, a hybrid encryption technique along with integrity check (MD5 hashing) is used. The encryption technique of One Time Pad (OTP - symmetric) and Route cipher (trans- positional) are combined and used.