bluuebunny/crossref_metadata_2025 huggingface dataset:
APPLICATION OF SIGN LANGUAGE RECOGNITION USING MACHINE LEARNING
Authors:   Sreenidhi Institute of Science and Technology  Hyderabad, MEERAVALI SHAIK
Published: December 2022

Many persons with illnesses including those that render them dumb, deaf, or blind are seen daily. Interacting with people is tough for them. Sensor-based approaches that have been previously developed all failed to provide the overall answer. The proposed project's main objective is to develop a system that employs machine learning to give voiceless communication through a system that is both affordable and effective. The recommended technique translates sign language into text by utilizing OpenCV and CNN. There will be easier communication between the two groups as a result.
Videovigilancia de seguridad como prueba de ilícitos laborales ante la sospecha de comportamiento irregular.
Authors: Rodríguez Escanciano Susana
Published: December 2022

La disposición de carteles informativos sobre la instalación de un sistema de videovigilancia de seguridad es suficiente para admitir la validez de la prueba de visionado de imágenes, pues se utilizaron para acreditar un ilícito grave cometido por la persona trabajadora sobre la base de una sospecha indiciaria fundada.

The display of informative posters about the implementation of a security video surveillance system is enough to admit the value of the evidence of image viewing, since they were used to demonstrate a serious illegal act committed by the worker person on the basis of a well-founded presumptive doubt.
Funcionarios interinos y excedencia voluntaria por interés particular.
Authors: García Murcia Joaquín
Published: December 2022

No es discriminatoria la no aplicación a empleados de carácter interino de la excedencia voluntaria por interés particular prevista para funcionarios de carrera que hayan prestado servicios efectivos en las Administraciones Públicas durante un periodo mínimo de cinco años inmediatamente anteriores.

Denying a petition of leave in case of interim employment in the field of public Administration is not discriminatory if according to the statute it is necessary a minimum seniority.
PENERAPAN METODE PROTOTYPE PADA PERANCANGAN SISTEM INFORMASI PENJUALAN MEDIATAMA SOLUSINDO JAMBI
Authors: Meisak Despita , Hendri  , Agustini Silvia Rianti
Published: December 2022

Riwayat Artikel :Diterima : tanggal artikel diterimaDisetujui : tanggal artikel disetujuiMediatama Solusindo merupakan suatu usaha penjualan yang fokus bergerak di bidang penjualan barang yang berhubungan dengan komputer beserta perlengkapannya. Didalam menjalankan usaha perdagangan ini terdapat berbagai masalah yang dihadapi oleh Mediatama Solusindo, seperti permasalahan dalam pengolahan terhadap data transaksi pembelian maupun data transaksi penjualan barang-barang komputer yang masih belum tersistematis dengan baik karena pencatatan transaksi pada Mediatama Solusindo saat ini masih dilakukan dengan cara manual. Berdasarkan penelitian awal yang dilakukan di Mediatama Solusindo, mulai dari kegiatan penjualan barang, pencarian data stok barang suku cadang alat komputer maupun pencatatan data stock barang yang tersedia saat ini proses pengelolaan datanya masih belum terkomputerisasi. Mediatama Solusindo masih menggunakan pencatatan dengan menggunakan media kertas. Selain itu juga terdapat berbagai kendala lainya seperti penyimpanan data transaksi juga masih belum terorganisasi dengan baik, yang menyebabkan terjadinya pencatatan transaksi penjualan secara berulang atau redudansi. Dengan sistem pencatatan manual pada transaksi yang berjalan saat ini pada Mediatama Solusindo, banyak mengalami kesulitan dalam perekapan laporan pembelian, laporan penjualan serta sulitnya untuk mendapatkan informasi terkait stok barang yang akurat. Berlandaskan permasalahan inilah, maka peneliti melakukan penelitian dengan cara membuat sebuah perancangan prototype sistem informasi penjualan pada Mediatama Solusindo dengan model perancangan yang sistematis dan menggunakan usecase yang merupakan permodelan pola atau gambaran berbentuk diagram yang menggambarkan hubungan suatu sistem sehingga mudah dipahami serta memberikan solusi atas permasalahan yang sering dihadapi Mediatama Solusindo.
ANALISIS PENGARUH KEMAMPUAN PROJECT MANAGER MENGHADAPI KONFLIK SOSIAL TERHADAP KESUKSESAN PROYEK (PEMBANGUNAN PABRIK DI KAWASAN INDUSTRI)
Authors: Ladika Ladika
Published: December 2022

Pengembangan  kawasan  industri  berperan  penting  pada  pertumbuhan  ekonomi  nasional. Dalam pelaksaan pembangunan seringkali menghadapi masalah dan konflik sosial yang disebabkan beberapa factor, konflik sosial ini harus dapat ditangani oleh seorang pimpinan proyek sehingga keberlangsungan pembangunan proyek dikawasan industri tidak akan mengalami suatu kegagalan. Penelitian ini betujuan untuk mengetahui pengaruh kemampuan dari seorang proyek manajer dalam menyelesaikan suatu konflik baik itu manajemen konflik yang dilakukan, komunikasi yang dilakukan serta kompetensi menyampaikannya. Hasil dari penelitian ini memberikan gambaran mengenai proses manajemen konflik pada pada proyek pembangunan kawasan industri  yang diukur berdasarkan variabel manajemen konflik, kompetensi dan komunikasi terhadap kesuksesan proyek. Dengan diperlukannya manajemen konflik dan komunikasi seorang proyek manager untuk mensukseskan proyeknya.
Pelatihan Microsoft Excel di Smp Santo Petrus Medan
Authors: Simamora Javerson , Afriani Diana , Hutabarat Gloria Cahaya Julida , Hutabarat Linda Rotua , Gurning Lenny
Published: December 2022

Dalam Pengabdian Masyarakat ini, materi yang diberikan dalam pelatihan ini adalah pengenalan lembar sebar, mulai dari lembar kerja sampai dengan penggunaan fungsi Dn rumus-rumus untuk menyelesaikan masalah. Kegiatan dilakukan berdasarkanberdasarkan pembagian tingkat kemampuan atau skill masing-masing guru. Guru yang telah mahir dikelompokkan tersendiri dari guru yang masih awam tentang komputer supaya pelatihan lebih intensif. Guru yang masih awam dibimbing dan ditemani instruktur mulai dari prosedur menyalakan komputer, membuka file, menyimpan file, menggunakan mouse, mengetik dasar, pengenalan bagian-bagian komputer sampai pada prosedur mematikan komputer. Pengenalan materi lembar sebar diawali dengan menjelaskan lembar kerja, fungsi-fungsi menu, dan cara membuat border, pengenalan cell alignment, serta pengenalan rumus dan fungsi Microsoft Excel untuk menyelesaikan suatau masalah/kasus tertentu.
Pengembangan Usaha Melalui Pendampingan Penataan Layout dan Pemasaran Pasca Pandemi di Kedai Seblak Miss Geugeu Purwakarta
Authors: Puspasari Dewi
Published: December 2022

Dampak yang ditimbulkan akibat pandemi virus Covid-19 yang melanda hampir seluruh wilayah di beberapa Negara khususnya di Indonesia menyebabkan krisis dibidang ekonomi yang berkepanjangan. Banyak sektor yang terkena dampak mulai dari sektor industri skala besar sampai sektor usaha kecil mengalami kesulitan bahkan banyak sekali usaha kecil yang sampai gulung tikar. Pandemi Covid-19 ini juga mengubah perilaku konsumen akibat adanya pembatasan kegiatan yang menyebabkan konsumen lebih banyak melakukan aktivitas di rumah dengan memanfaatkan teknologi digital. Dengan demikian maka pelaku usaha harus bisa menyesuaikan perilaku konsumen dan perlu menyiapkan bisnis nya sesuai dengan kondisi yang sekarang. Perubahan baru tersebut ditandai dengan empat karakteristik bisnis yaitu hygiene, low touch, less crowd dan low mobility. Pelaku usaha yang bisa bertahan pada era pandemi maupun pasca pandemi merupakan pelaku usaha yang bisa beradaptasi dengan perubahan baru tersebut. Metode yang digunakan sesuai dengan latar belakang tersebut adalah (1) Pendampingan cara penataan layout usaha, (2) pelatihan dan pendampingan pemasaran produk secara online. Hasil temuan dari kegiatan yang telah dilaksanakan adalah (1) layout usaha dibuat menjadi layout prasmanan atau buffet service dimana konsumen dapat memilih sendiri menu seblak yang diinginkan, lebih higienis, low touch dan low crowd (2) konsumen bisa memesan produk melalui aplikasi gofood dan menerima pesan antar (delivery order).  Setelah dilaksanakannya pendampingan dan pelatihan penataan layout usaha dan pemasaran pada kedai seblak Miss Geugeu Purwakarta ini menjadikan kedai tersebut ramai dikunjungi dan meningkatkan omset penjualan pasca pandemi.
Pengendalian Kinerja dalam Pembelajaran Daring pada saat Pandemi Covid 19 untuk Guru-Guru TKIT dan SDIT NUUR “ALAA NUUR”
Authors: Parinduri Aina Zahra , Lukito Nico , Dewi Risa Nurmala , Sekarisma Dewi , Intan Diannisa Putri , Ipriani Ipriani
Published: December 2022

Guru adalah pilar pendidikan. Keberhasilan pendidikan di suatu negara sangat dipengaruhi peran strategis para guru. Maka dari itu, seiring berkembangnya zaman, kompetensi guru harus terus ditingkatkan. Guru memiliki beban tugas yang sangat berat, tidak hanya bertanggung jawab kepada para anak didiknya, tapi juga pada negara. Guru bahkan memiliki peran sentral dalam upaya mewujudkan tujuan pendidikan nasional. Guru harus memiliki kompetensi yang akan menunjang tugas profesionalnya. Berdasarkan UU, ada 4 kompetensi yang wajib dimiliki seorang guru, yaitu kompetensi Pendagogil, kompetensi kepribadian, kompetensi profesionalnya, dan kompetensi sosial. Sebagaimana telah disebutkan di atas, bahwa sebagai salah satu syarat guru profesional di era digital, adalah seorang guru yang selain memiliki kompetensi pedagogik, kepribadian, sosial dan profesional sebagaimana telah disebutkan di atas, juga harus memiliki wawasan, ketertarikan, kepedulian, kepekaan, kesukaan, serta kemampuan dan keterampilan dalam menggunakannya Sebagai upaya untuk mencegah wabah Pandemi Covid-19, pemerintah mengeluarkan kebijakan agar sekolah-sekolah meminta siswanya untuk belajar di rumah. Pembelajaran secara daring dianggap menjadi solusi kegiatan belajar mengajar tetap jalan di tengah pandemi tersebut. Dalam pembelajaran secara daring ini menuai banyak kontroversi. Permasalahan uatama bagi guru-guru sistem pembelajaran daring hanya efektif untuk penugasan. Mereka menganggap untuk membuat siswa memahami materi, cara daring dinilai sulit. Kemampuan teknologi dan ekonomi setiap siswa berbeda-beda. Tidak semua siswa memiliki fasilitas yang menunjang kegiatan belajar jarak jauh ini dan pembelajaran secara daring harus terus berlanjut.
POSSIBILIDADES DO PROGRAMA DE MONITORIA PARA A FORMAÇÃO UNIVERSITÁRIA
Authors: Evangelista Brenda Pinheiro , da Silva Cícero Vieira , Amâncio Maria Denise de Lima , de Sousa Edineide Damacena , Sobral Ligia Martins Leite Maranhao , Pereira Vinícius Félix , Vitalino Danillo Paulo da Silva , Soares Emanuela da Silva , Dantas José Cícero Pessoa , do Nascimento Pablo Raylson Delfino , Cavalcanti Edvânia Talles Lima , Targino Liliany Roberto , e Albuquerque David Bezerra Ferreira de Sousa , Lima Carla Emanuela de Melo , Santos Erica Freitas de Paula
Published: December 2022

SEM RESUMO
MORTALIDADE POR CÂNCER DE PRÓSTATA NO BRASIL: ANÁLISE EPIDEMIOLÓGICA ENTRE OS ANOS DE 2015 E 2019
Authors: Neto Pedro Ivo de Sousa , Pinto Vicktor Bruno Pereira , Sousa Ana Paula Manuele Santana , de Souza Jandrey Paulo Julião , Nascimento Maria do Desterro Soares Brandão
Published: December 2022

SEM RESUMO
ANÁLISE DOS PPP'S DAS ESCOLAS PARCEIRAS A PARTIR DOS OLHARES DOS BOLSISTAS DO PIBID SUBPROJETO EDUCAÇÃO FÍSICA
Authors: Cabral Luenes Kelly , Silva Lorrainy Gabriely Barbosa , Silva Eliseu Souza , Paes Priscila Alves de Souza , Bandeira Lílian Brandão
Published: December 2022

SEM RESUMO
POR UM CURRÍCULO PARA A EDUCAÇÃO LINGUÍSTICA DE ESTUDANTES IMIGRANTES
Authors: Eggert Marlene , de Luna José Marcelo Freitas
Published: December 2022

SEM RESUMO
CONTRIBUIÇÕES DA RESIDÊNCIA PEDAGÓGICA PARA UMA FUTURA PROFESSORA DE FÍSICA
Authors: de Oliveira Pamela Karen , Arantes Alessandra Riposati , Ferreira Sérgio
Published: December 2022

SEM RESUMO
EVIDÊNCIAS DE UMA CONTABILIDADE RURAL HISTÓRICA BRASILEIRA: RECONSTITUIÇÃO, LEVANTAMENTO E CORREÇÃO MONETÁRIA DE ATIVOS DE FAZENDAS CAFEEIRAS PAULISTAS NOS IDOS DE 1879
Authors: Mariano Fabricio Fornereto , do Nascimento José Orcélio , Pereira Antônio Nunes , Zittei Marcus Vinicius Moreira , Ozaki Marcos Takao
Published: December 2022

SEM RESUMO
A Study on Consumer Buying Behavior with Special Reference to Maruti Cars
Authors: Mishra Dr. Ashamayee , Rath Ms. Sujata , Soni Mr. Suraj
Published: December 2022

The automobiles produced in the country uniquely cater to the demands of low- and middle-income groups of population which makes this sector stand out among the other automobile producing countries. To meet the future needs of customers (including the electrical vehicles) and stay ahead of competition, manufacturers are now catching up on upgradation, digitization, and automation. The chapter also analyzes India’s national policy in light of these developments and investigates the elements that influence consumer purchasing behaviour and patterns as well as the best ways to comprehend these decisions.
Lexikon des systemischen Arbeitens
Authors:   Carl-Auer Verlag
Published: December 2022

Das „Lexikon des systemischen Arbeitens“ ist in seiner aktualisierten und erweiterten Auflage das Ergebnis der fortgesetzten Zusammenarbeit namhafter systemischer Praktiker:innen, Forscher:innen und Lehrender im deutschsprachigen Raum. Es enthält Erklärungen zu 169 Grundbegriffen aus Praxis, Methodik und Theorie und unterstützt damit als transdisziplinäres, praxisorientiertes Nachschlagewerk die alltägliche Beratungs-, Therapie-, Supervisions- und Erziehungspraxis sowie die Organisationsentwicklung. Der Aufbau der Artikel folgt einem klaren Schema: Jeder Artikel beginnt mit der mehrsprachigen Nennung des Begriffs und einer Kurzdefinition: Was bezeichnet der Begriff bzw. die Methode? Wie kann an das Phänomen systemisch arbeitend herangegangen werden? Wie wird die betreffende Methode in der Praxis angewendet? Es folgen ausführliche Angaben zu den im Text verwendeten Quellen und eine Liste mit weiterführender Literatur. Querverweise verknüpfen die Stichwörter untereinander. Im Anschluss an den Lexikonteil folgt ein Anhang, der deutschsprachige Nachschlagewerke, bedeutende systemische Zeitschriften und aktuelle Internetseiten zum Thema „Systemisches Arbeiten“ verzeichnet. Mit Beiträgen von: Heinz Abels • Falko von Ameln • Eia Asen • Ulrich Auer • Dirk Baecker • Christiane Bauer • Robert Baum • Jürgen Beushausen • Wolfgang Budde • Peter Bünder • Manfred Cierpka • Edwin Czerwick • Hans-Ulrich Dallmann • Markus Dierkes • Elmar Drieschner • Joseph Duss-von Werdt • Andrea Ebbecke-Nohlen • Peter Ebel • Lothar Eder • Andreas Eickhorst • Mohamed El Hachimi • Günther Emlein • Matthias Freitag • Thomas Friedrich-Hett • Frank Früchtel • Andreas Fryszer • Peter Fuchs • Wolfgang Gaiswinkler • Wolfgang Geiling • Stefan Gesmann • Martin Hafen • Kurt Hahn • Stefan Hammel • Reinert Hanswille • Sigrid Haselmann • Margarete Hecker • Thomas Hegemann • Kai-Uwe Hellmann • Johannes Herwig-Lempp • Rainer Hirschberg • Franz Hoegl • Hans-Jürgen Hohm • Boris Holzer • Bettina Hünersdorf • Oliver Jahraus • Roland Kachler • Andreas Kannicht • Rudolf Klein • Heiko Kleve • Björn Kraus • Wolfgang Krieger • Jürgen Kriz • Sabine Krönchen • Barbara Kuchler • Ludger Kühling • Tanja Kuhnert • Isabel Kusche • Helmut Lambers • Anne M. Lang • Maren Lehmann • Albert Lenz • Tom Levold • Sven Lewandowski • Kurt Ludewig • Olaf Maaß • Johann Jakob Molter • Lina Nagel • Matthias Ochs • Gisela Osterhold • Ulrich Pfeifer-Schaupp • Bernhard Pörksen • Sonja Radatz • Janine Radice von Wogau • Corinna Reinhard-Thursfield • Wolf Ritscher • Marianne Roessler • Steffen Roth • Wilhelm Rotthaus • Albert Scherr • Günter Schiepek • Silke Schippers • Roland Schleiffer • Arist von Schlippe • Bernd Schmid • Johannes F. K. Schmidt • Christian Schuldt • Thomas Schumacher • Marcel Schütz • Rainer Schützeichel • Rainer Schwing • Fritz B. Simon • Ingo Spitczok von Brisinski • Liane Stephan • Rudolf Stichweh • Tilmann Sutter • Veronika Tacke • Svenja Uhrig • Manfred Vogt • Gunthard Weber • Wolf Rainer Wendt • Susanne Wengler • Helmut Wetzel • András Wienands • Rudolf Wimmer • Michael Wirsching • Jan V. Wirth.
Adaptive Flood Resilient City Design Strategies: An Exploratory Analysis of the Impact of Flooding on Street Network of Dhaka City
Authors: Ahmed Sazdik , Khakhar Siddharth
Published: December 2022

Flood incidents are becoming a common circumstance all over the world due to rapid urbanization and climate change. The dependence on flood control structures is becoming unsustainable and modern approaches are taking place with improved spatial planning, design strategies, adaptation techniques, and forecasting. All the major cities in developing countries like Bangladesh are facing flooding issue. The immediate impact on the urban environment is found in the street network due to flooding. Most of the previous studies are focused on the topography to understand the flooding or vulnerability of transport networks with traffic issues, but less attention is given to the street network performance during flooding and possible strategies for solving those issues. This research aims to understand the appropriateness of flooding resilience vs flooding prevention from a context-sensitive point of view of Dhaka city by identifying flooding impact on the road network. Spatial network analysis with sDNA and flooding data from World Bank helped to understand the relationship between street networks, and before-after situations during flooding. The circumstantial impact on the street network by flooding was visualized with GIS and sDNA analysis to define its performance and possible alternative solutions. This research will help to dictate future planning policy frameworks of Dhaka city derived from this exploratory study. Also, this research endeavors to help the government and corresponding authorities of flood-prone cities to enhance an inclusive strategic tool for the existing and future planning policy by developing shortterm and long-term strategic vision.
TREATMENT OUTCOMES OF PATIENTS WITH HAIRY CELL LEUKAEMIA; A 16-YEAR EXPERIENCE AT A TERTIARY CARE CENTER IN PAKISTAN
Authors: Muhammad Yousaf  , Ali Khan Mehreen , Iftikhar Raheel , Chaudary Qamar Un Nisa , Shahbaz Nighat , Ahmad Uzair , Javed Hammad
Published: December 2022

Background: Hairy cell leukaemia (HCL) is an uncommon neoplasm of mature B-lymphoid cells which is characterized by cytopenias, commonly of all three cell lines, with typical hairy cells on peripheral smear and/or bone marrow along with organomegaly. Objective was to document the outcomes of HCL patients treated at a tertiary care hospital in Pakistan. Methods: Medical records of patients from 2004 to 2020 were reviewed and data was collected to assess patient's demographics, symptomatology, remission rate and overall survival. The record flies of all patients presenting to AFBMTC with HCL were included in the study. The record file with insufficient data were excluded Results: 26 patients with a mean age of 48.12±11.43 years were diagnosed with HCL and treated at AFBMTC. Out of these, 23 (88.4%) were male and 03 (11.5%) females. The main presenting complaints were generalized body aches (34.6%), fever (15.4%), incidental finding of cytopenias (11.5%) and abdominal discomfort (26.9%). Splenomegaly was found in 76.92% while hepatomegaly was found in 46.15% of patients. A total of 12 (46.15%) patients received Cladribine (either intravenous or subcutaneous) and splenectomy was done in 7 (26.92%) as 1st line treatment. Eleven patients out of 12 (83.33%) who received Cladribine and 05 (71.42%) patients out of seven who underwent splenectomy; achieved complete remission (CR) after 1st line of treatment. One patient received Cladribine as 1st line of treatment but did not respond and CHOP regimen was given as second line. Out of the 26 patients, 5 patients (19.23%) relapsed at a median interval of 5.83±6.6 years. Two patients received Cladribine + Rituximab while 03 patients received cladribine as their salvage therapy. Disease free survival (DFS) of 71.4% among the patients underwent splenectomy while 75.0% among the patients received Cladribine. DFS for combination therapy (included CHOP and CVP) was 66.7% while OS was calculated among patients who received cladribine, splenectomy and combination chemotherapy as 100%, 85.7%, 66.7% respectively. Conclusion: Cladribine has a significant efficacy and encouraging acute and long-term benefits when administered to patients with HCL. A single course of cladribine was able to induce CR in a vast majority of patients. At a median follow up of 4.6 years the OS was 100% with cladribine and 85% with splenectomy. Those who relapsed were successfully retreated with cladribine + Rituximab.
COMPARISON OF ORAL DAPSONE WITH INTRAMUSCULAR MEGLUMINE ANTIMONIATE IN CUTANEOUS LEISHMANIASIS
Authors: Najia Ahmed  , Sadia Malik  , Tahir Moizza , Atiya Rahman  , Ifrah Fayyaz  , Naeem Raza  , Nadia Iftikhar
Published: December 2022

Background: Many drugs are effective are used as second line treatment for cutaneous leishmaniasis. Dapsone therapy is tolerated well and cost effective. The aim of present study is to determine the efficacy of oral dapsone in comparison with intramuscular meglumine antimoniate in patients with cutaneous leishmaniasis and thus find out an effective second line treatment agent. Methods: This randomized controlled trial was carried out at dermatology department, of tertiary care centre Rawalpindi, Pakistan from November 2017 to June 2018. Hundred biopsy proven patients of cutaneous leishmaniasis completed the study with 50 patients in two group. Group A received intramuscular meglumine antimoniate (15 mg/kg/day). Group B received oral dapsone2.5 mg /kg/body weight /day (200 mg per day). Efficacy of therapeutic response was noted at the end of treatment. Data was analyzed with statistical analysis program (IBM-SPSS V22). Chi-square test was applied to compare efficacy, p value of ‰¤0.05 was significant. Stratification of data with respect to age, gender, duration of disease, number of lesions and weight was done to see their effect on treatment efficacy. Post stratification chi-square test for both groups was applied (p‰¤0.05 considered significant). Results: A total of 100 participants took part in the study. Duration of treatment (p-value <0.001) and the efficacy of the drugs (p-value=0.020) were significant. Meglumine antimoniate therapy group displayed a comparatively fast-paced recovery in (21-40 days) whereas Dapsone group showed better recovery in (41-60 days) in their lesions. Conclusion: Dapsone is an effective treatment for cutaneous Leishmaniasis.
Results: A total of 100 participants took part in the study. Duration of treatment (p-value <0.001) and the efficacy of the drugs (p-value=0.020)were significant. Meglumine antimoniate therapy group displayed a comparatively fast-paced recovery in (21-40 days) whereas Dapsone group showed better recovery in (41-60days) in their lesions.
Conclusion: Dapsone  is an effective   treatment for cutaneous Leishmaniasis
EFFECTIVENESS OF PCR POOL TESTING FOR SCREENING OF COVID-19 INFECTION IN PAKISTAN
Authors: Ahmad Nasir , Azra  , Muhammad Hafsah , Khan Ishaq N , Siraj Sami , Ahmad Sajjad , Zakria Muhammad , Asif Ali  , Yasar Mehmood Yousafzai
Published: December 2022

Background: We tested the utility of mini-pool PCR testing for the rational use of PCR consumables in screening for CoViD-19. Methods: After pilot experiments, 3-samples pool size was selected. One-step RT-PCR was performed. The samples in the mini-pool having COVID gene amplification were tested individually. Results: 1548 samples tested in 516 mini-pools resulted 396 mini-pools as negative and 120 as positive. Upon individual testing, 110 samples tested positive and 9 were inconclusive. 876 PCR reactions were performed to test 1548 samples, saving 43% PCR reagents. Centres with low prevalence resulted in most saving on reagents (50%), while centres with high prevalence resulted in more test reactions. Testing of individual samples resulted in delays in reporting. Conclusion: Pooling can increase lab capacity, however, pooling delays results and cause degradation of samples.
THE PREDICTORS OF RE-BLEEDING IN CHRONIC LIVER DISEASE PATIENTS AFTER ENDOSCOPIC VARICEAL
Authors: Khan Tahir Ullah , Khurram Saleem  , Faisal Amin Baig  , Atif Masood  , Arsalan Nawaz  , Wali Khan
Published: December 2022

Background: Variceal bleeding is a key and most fatal complication observed in chronic liver disease patients with portal hypertension and is a major contributor to the high morbidity and mortality seen in these patients. Exploring the predictors of rebleeding in chronic liver disease patients is of paramount importance to alter disease course and impact on morbidity and mortality. Methods: About 50 patients with chronic liver disease who previously had evidence of varices on upper GI endoscopy and had at least one episode of rebleeding after EVBL were included in this study. Patients were assessed for the possible contributors to rebleeding through complete history, clinical examination, coagulation profile and platelet count, ultrasound features (splenic size and portal pressure), and upper GI endoscopic findings (site and grade of varices, red sign). Sample selection was done using non-probability purposive sampling technique and sample size calculated using the standard WHO formula. Data was entered and analyzed using SPSS version 20. Results: In this study, mean age of the patients was 51.34±6.34 years with male predominance (64%). Rebleeding was significantly associated with grade of varices, presence of red sign on upper GI endoscopy, site of varices, splenic size and coagulopathy. Conclusion: Rebleeding in chronic liver disease patients following EVBL is predicted by grade, extent and site of varices, red sign on upper GI endoscopy, splenic size and coagulation disturbances.
EFFICACY OF ALPHA-ADRENERGIC RECEPTOR ANTAGONISTS IN THE TREATMENT OF DISTAL URETERIC STONES: A PAEDIATRIC STUDY
Authors: Brohi Illahi Bux , Bhatti Muhammad Shahid , Siyal Roshan Ali , Ali Farhan , Kaimkhani Zulfiqar , Laghari Hamid Raza
Published: December 2022

Background: European association of urology (EAU) recommended α- blockers for managing distal ureteric stones in the paediatric population. This paper will help to understand the efficacy of Silodosin as a medical expulsive agent for distal ureteric stones in children, along with the required time duration of stone expulsion. Methods: Forty participants were enrolled and evaluated for complaints, pain severity, associated symptoms, and ultrasound was done to confirm the position and size of the distal stone. Follow-ups were scheduled after every 7 days (1 week) for redo ultrasound and assessment of the stone position.  Data was entered and analyzed in the SPSS version 23. To evaluate the significance of data chi-square test was performed, p-value <0.005 was considered significant. Results: The minimum and maximum age limits recorded are 3 years and 18 years respectively with a mean age of 9.5±4.5 years and mean stone size was measured as 0.6±0.1 cm. Distribution of stone size indicated the minimum size of 0.4 cm and maximum of 1.0 cm stone in study subjects. Maximum stone expulsion was reported within 14 days or an initial 2 follow-up scans. Conclusion: The efficacy of Silodosin and medical expulsive therapy evaluated the effect on pain management as pain episodes declined with Silodosin treatment and spontaneous passage of stones were increased within the first 14 days of treatment. This study will be a beneficial contribution in literature especially in a developing country population where paediatric urolithiasis is on expansion and ongoing
TRANSLATION, CROSS-CULTURAL ADAPTATION AND VALIDATION OF POLYCYSTIC OVARIAN SYNDROME QUALITY OF LIFE SCALE IN PASHTO
Authors: Mahjabina S Ghayur  , Kareem Rabia , Wahab Samdana , Inayat Sumaira , Karim Rukhsana , Rauf Sethi Mifrah , Nasr Malik Naila , Irfan Muhammad
Published: December 2022

Background: Cross-cultural adaptation and validation are important for the reliable use of a scale. This study was conducted to translate and validate the polycystic ovarian syndrome quality of life scale (PCOSQOL) in Pashto. Methods: This study was conducted in tertiary care teaching hospitals of Peshawar from August to December 2021 on 333 patients diagnosed with polycystic ovarian syndrome. Using forward-backward method, three bilingual experts translated PCOSQOL from English to Pashto. The exploratory and confirmatory factor analyses, Cronbach alpha reliability and construct validity of PCOSQOL (Pashto version) was found out using SPSS version 25 and AMOS version 26 for data analysis. Results: The mean age of the sample was 25.73±5.89 years.  Majority were married (n=260, 78.1%), uneducated (n=180, 54.1%) and unemployed (n=303, 91%). Factorial validity of the Pashto version showed it to be a five-factor model. Regarding construct validity, the factor loading through Item total correlation scores revealed highly satisfactory correlation coefficients. The Cronbach's alpha reliability of the Pashto version of PCOSQOL was 0.918. The confirmatory factor analysis (CFA) indicated a good fit model with a CFI of 0.91 and a RMSEA value of .08. Poor quality of life (89.98±28.5) was reported in 169 (50.8%) women and this was irrespective of their educational and occupational background (p>0.05) respectively. Pearson coefficient correlation test showed a significantly positive Inter-scale correlation (p<0.05). Conclusion: Pashto version of PCOSQOL is a reliable instrument to measure the quality of life in patients with polycystic ovarian syndrome and can be used in Pashto speaking patients.
COMPARATIVE STUDY BETWEEN INTRALESIONAL INJECTION OF PLATELET RICH PLASMA AND INTRA LESIONAL TRIAMCINOLONE FOR THE TREATMENT OF ALOPECIA AREATA
Authors: Afsar khan Faheema , Majid Hussain  , Bushra Muzaffar Khan  , Saima Afsar  , Mairah Shafique  , Sami ul Haq  , Nadia Akbar  , Adeel Siddique
Published: December 2022

Background: Alopecia areata is an autoimmune disorder of patchy non scarring hair loss. Steroids, either Intralesional, e.g, triamcinolone or potent topical, e.g, clobetasol are the first line treatment. Platelet rich plasma is an autologous concentrated plasma with growth factors which enhances regeneration of hair follicles. It is simple and effective treatment with no major side effects. Objective was to compare the efficacy of intralesional injection of platelet rich plasma and triamcinolone in patients of alopecia areata. It was a randomized controlled trial (open-labelled), conducted at the Dermatology Department, Combined Military Hospital Abbottabad from 1st May to 31st December 2021. Methods: Sixty clinically diagnosed patients of alopecia areata of the scalp were enrolled in the study. They were divided into two groups, A and B. Random numbers table was used to allocate 30 patients into each group. Group A patients were given an intralesional injection of triamcinolone while intralesional platelet rich plasma was given to Group B. Both treatments were repeated at one-month intervals for four months. In the study, Chi-square tests were used to compare effectiveness. It was considered significant when the p-value turned out to be <0.05. Results: There was significant difference in complete response rate between intralesional injection of steroid and intralesional injection of platelet rich plasma. Platelet rich plasma was less effective (p =0.05). Local corticosteroid injection was significantly more effective than platelet rich plasma (p <0.05). Conclusion: Intralesional injection of steroid is an effective and considerable treatment for alopecia areata. This study also proposes intralesional injection of platelet rich plasma as an alternative therapy for alopecia areata as it is not associated with serious local side effects.
ISOLATED PRIMARY HYDATID DISEASE OF THE BREAST
Authors: Shahid Ayesha , Shahneela Manzoor  , Mirza Aazma
Published: December 2022

Our study is relevant because our report adds further light on diagnosing and treating the isolated primary hydatid cyst disease of the breast. The purpose of this case report is to educate physicians and health care workers to keep this condition in the differential diagnosis of the breast lump even though the breast is a rare site of primary hydatid disease even in the endemic areas. Awareness of this entity can help in arriving at a pre-operative diagnosis, even without cytological examination, which is important in the management of the cyst.This is the first of its kind case being reported from Pakistan.
Keywords: hydatid; breast; liver; echinococcus
THE NEW GOLD STANDARD IN LAPAROSCOPIC IMAGING: 3D VS 4K LAPAROSCOPIC NEPHRECTOMY- A SINGLE CENTERED RANDOMIZED CONTROLLED TRIAL
Authors: Kiani Nauman Sadiq , Qazi Sherjeel Saulat , Sheikh Jahanzeb , Awais Ayub  , Hamza Ashraf  , Qadri Syed Saeed Uddin , Mansoor Ejaz
Published: December 2022

Background: Thanks to progressive technology and modern innovations, laparoscopic procedures, being minimally invasive, have now supervened upon most open surgical procedures. Laparoscopic procedures have proven advantages over open procedures. The study was designed to compare the outcomes of laparoscopic nephrectomy between 3D and 4K camera resolutions. Methods: This randomized control trial carried out at Tabba Kidney institute, Karachi, Pakistan from July 2020 to April 2021, to our knowledge was the first of its kind comparative study in Pakistan and internationally. All patients diagnosed to have symptomatic non-functioning kidney on the basis of both renal scintigraphy and CT- KUB were divided through blocked randomization in to two different camera resolution groups, i.e., 3D vs 4K and outcomes in terms of operative time, haemoglobin fall, post procedure complications and in patient stay were recorded. Results: It was observed that the 3D group had a significantly shorter mean total operative time 172.1±36.9 vs 272.5±14.1 respectively (p<0.005). A significant difference was also observed in mean operative time for task 2 was 53.1±21.1 & 101±30.9 mins (p<0.005), and for task 3 was 67.18±18.3 & 112.5±37 mins (p=0.005) for 3D and 4K groups respectively. The mean haemoglobin drops in 3D and 4K groups was 0.51±1.6 & 0.73±1.1 respectively (p=0.7). Moreover, the mean hospital stay was 2.5±0.6 for 3D group & 2.7±0.9 for 4K group (p-value 0.8). Post-operative wound infection was observed in one patient in each group. No case had to be converted to surgery by an open approach. Conclusion: We concluded that despite being the latest technological advancement with a greater zooming capability, when used for performing laparoscopic nephrectomy, 4K imaging system couldn't show any superiority over 3D imaging system, in different operative tasks and in terms of total operative time.
TRACHEO-CUTANEOUS FISTULA: A RARE PRESENTATION DUE TO A FORGOTTEN RUBBER BAND IN NECK OF A YOUNG GIRL
Authors: Amna Ikram  , Idrees Amna , Somia Ilyas  , Sikandar Ali  , Muhammad Ali Shiekh
Published: December 2022

The presence of foreign bodies in a chronic wound is a well-known phenomenon. The common locations are wrist, neck and chest cavity. Retained foreign bodies in soft tissues become reason for formation of sinus which can be superimposed by infection. Most of foreign bodies in soft tissues remain un-detected, becoming the reason for delayed diagnosis. Some of the foreign bodies are inert and stay in the body tissues for prolonged time without causing any deleterious effect but few of them erode into surrounding tissues and cause prolonged illness.  Tracheo-cutaneous fistula secondary to a foreign body in a child is rarely reported.  In this case, the patient had retained foreign body in her neck for almost eight years which remained un-diagnosed while being treated for various diseases.
Transgender achter de deur
Authors: Jacobs P. (Pauline)
Published: December 2022

Transgender achter de deur. Een onderzoek naar en aanbevelingen voor de behandeling van transgender gedetineerden.

De laatste jaren neemt de steun voor het klassieke idee dat geslacht binair is af en is er meer maatschappelijke en politieke aandacht voor transgender personen. In het gevangeniswezen wordt echter nog steeds uitgegaan van binaire geslachten. Transgender gedetineerden zijn kwetsbaar voor mensenrechtenschendingen, onder andere vanwege een verhoogd risico op discriminatie, intimidatie en misbruik. In dit artikel wordt stilgestaan bij recente onderzoeksbevindingen ten aanzien van de grootte van de groep transgender gedetineerden in Nederland, de plaatsing van transgender gedetineerden, de bejegening door medegedetineerden en personeel en de mogelijkheden voor medische zorg in de inrichting.
Het vaststellen van causaal verband als bewijsbeslissing: een pleidooi voor causaal realisme
Authors: Rozemond N. (Klaas)
Published: December 2022

Het vaststellen van causaal verband als bewijsbeslissing: een pleidooi voor causaal realisme

De heersende opvatting in de rechtspraak en de literatuur over causaliteit is dat het causale verband tusssen een gedraging en een gevolg moet worden vastgesteld aan de hand van de leer van de redeliijke toerekening. Die leer heeft in de rechtspraak echter slechts een beperkte rol bij het verwerpen van bepaalde bewijsverweren. In de meeste gevallen uit de rechtspraktijk wordt het causale verband vastgesteld aan de hand van empirisiche ervaringsregels en specialistische deskundigenverklaringen waarin de leer van de redelijke toerekening geen rol speelt.
Comparison of the Multiannual Financial Frameworks in the European Union and its Hungarian Aspects
Authors: VARGA János , GARAI-FODOR Mónika , CSISZáRIK-KOCSIR ágnes
Published: December 2022

The long-term viability of the European Union depends not only on well-defined goals, but also on the financial means behind them. Integration can achieve greater success in areas that nation states would otherwise not be able to do effectively enough on their own. Examples include sustainability and strengthening international competitiveness. There are therefore some tasks that can be more successfully achieved at Community level, but they would require adequate financial support. The EU itself has an annual budget, but even more interesting is the so-called Multiannual Financial Framework, which sets out not only the financial possibilities but also the prevailing economic strategic orientations. Some areas are given priority, while others have to be diverted. Budgeting in this way is a continuous series of choices and dilemmas, which are not easy decisions for the decision-maker. The present study aims to compare the structure of the two most recent Multiannual Financial Frameworks and focuses on Hungary's share of each heading. The study will hopefully make it clear that EU funding is a complex issue and that planning an appropriate budget is not as simple as one might first think.
LAPORAN AKHIR PENYUSUNAN PROFIL SENTRA/KLASTER TAHU DAN TEMPE
Authors: Bayu Harjono  , Agung Riyadi
Published: December 2022

Sektor industri dalam struktur perekonomian saat ini memegang peranan penting. Peralihan dari agriculture sector menjadi industrial sector menjadi keharusan bagi sebuah negara untuk menghadapi persaingan global yang semakin kompetitif. Diperlukan tahapan sistematis untuk menjadikan sektor industri sebagai leading sector. Perencanaan yang bersifat forward looking diperlukan dalam meihat potensi industri yang dapat dikembangkan didaerah.
Sobre la fijación formal y semántica de la locución "de armas tomar"
Authors: Puertas Ribés Elia
Published: December 2022

El presente trabajo se integra en la perspectiva histórica de la Fraseología para ofrecer una descripción semántica, morfosintáctica y discursiva de una locución adjetiva con larga tradición en español: de armas tomar. Para ello, se analizan testimonios recopilados en cuatro bases de datos textuales. Por un lado, el corpus epistolar, compilado por el grupo de investigación XXX de la Universidad XXX, y el Corpus Diacrónico del Español, de la Real Academia Española, reúnen documentos de diferentes tipologías en épocas pretéritas (1400-1974). Por su parte, el español contemporáneo (1975-2020) se examina por medio de otros dos corpus académicos: el Corpus de Referencia del Español Actual y el Corpus del español del siglo XXI. La profundidad histórica y tipológica de los textos contribuye a desentrañar en qué contextos se introdujo preferentemente el sentido figurado de la locución y junto a qué referentes se ha ido empleando a lo largo de la historia. La tarea se completa con la consulta de los diccionarios que alberga el Nuevo Tesoro Lexicográfico para corroborar si el empleo que se hace de la locución en los testimonios recuperados coincide con el significado que se ofrece en estos y, por tanto, si el uso real y el discurso normativo han ido (o no) de la mano a lo largo de la historia.
Aproximación a la desautomatización de los pragmatemas en Twitter
Authors: Ovejas Martín Vanesa
Published: December 2022

Los pragmatemas son enunciados fraseológicos restringidos por la situación extralingüística de uso. ¿De cuánto estás?, Buenos días, Hablando del rey de Roma, por la puerta asoma o Recién pintado son ejemplos de ellos. Puesto que son unidades convencionalizadas, pueden desautomatizarse, esto es, están sometidas a la modificación intencionada y creativa de los hablantes.

En este trabajo estudiamos la desautomatización de los pragmatemas en la red social Twitter. En el análisis de los datos tenemos en cuenta la intención comunicativa con la que los usuarios emplean este fenómeno, los niveles lingüísticos modificados y los recursos utilizados por los hablantes. Para ello, trabajamos con una base de datos de elaboración propia que consta de 155 pragmatemas y un corpus constituido por 165 tuits.

El análisis cualitativo de los datos sugiere que la intención comunicativa más buscada con este fenómeno es la producción de un efecto cómico, si bien, en ocasiones, ello constituye un medio para otros propósitos, como expresar una crítica o persuadir a los interlocutores de comprar un producto. Asimismo, los ejemplos analizados reflejan que existen diferentes tipos de desautomatización, en función del nivel lingüístico afectado: i) el formal, si se sustituyen o se añaden nuevos elementos al pragmatema original; ii) el semántico, si se altera el significado por mecanismos como la metáfora, la ironía o la polisemia; iii) el pragmático-discursivo, si se modifican uno o varios de los elementos lingüísticos que restringen al pragmatema.
Intervención de la presidenta del Consejo de Estado Dª María Teresa Fernández de la Vega en la presentación de la Cátedra Manuel Ballbé de Derecho Global y Seguridad Humana
Authors: Fernández de la Vega Sanz María Teresa
Published: December 2022

Intervención de la presidenta del Consejo de Estado Dª María Teresa Fernández de la Vega en la presentación de la Cátedra Manuel Ballbé de Derecho Global y Seguridad Humana el día 19 de noviembre de 2021 en Barcelona.
La ciencia y el derecho ante el cambio climático
Authors: Lozano Blanca
Published: December 2022

En este estudio que dedico a Manuel Ballbé Mallol, cuya maravillosa amistad perdura indeleble en mi memoria, llevo a cabo una exposición resumida de las conclusiones de los científicos del IPCC y de las principales medidas jurídicas que se están adoptando, a nivel internacional y europeo, para luchar contra el cambio climático.
El cadirat coral de Santa Maria d’Agramunt: història, dispersió i darreres troballes
Authors: Roonthiva Voravit
Published: December 2022

El cadirat de Santa Maria d’Agramunt és un moble que va desaparèixer, parcialment, a partir de 1953. En aquest treball es presenta les darreres troballes dels elements que van sortir de l’església, la fortuna que van tenir i les localitzacions actuals. També s’hi fa una descripció de la topografia i la morfologia del moble abans de ser desmantellat, mitjançant l’anàlisi de l’estructura, la construcció, l’estil i les fonts a través d’un estudi comparatiu amb altres conjunts. D’aquesta manera, s'ha pogut vincular el cadirat de Santa Maria d’Agramunt amb el també desaparegut conjunt de l’església de Sant Joan de les Abadesses.
La alta montaña en las pinturas de Carlos de Haes desde el análisis de algunas creaciones de los Pirineos y/o de los Picos de Europa (1869-1876)
Authors: González Prieto Luis Aurelio , Díaz González María del Mar
Published: December 2022

A Carlos de Haes compete la implantación de la pintura del natural en España. Desde la cátedra de Paisajismo en la Academia de Bellas Artes de San Fernando, se erige en la correa de transmisión del plenairismo a sus discípulos más relevantes, seguidores acérrimos del artista. A pesar de su trascendencia en la renovación del discurso plástico contemporáneo español, en referencia a su figura se mantiene aún hoy cierta opacidad. Desde esta situación incomprensible, se plantea la aclaración de controversias y errores respecto de sus viajes a ambos macizos, Pirineos franceses y Picos de Europa, representados por el maestro a lo largo de su trayectoria. A partir de la consulta exhaustiva de la hemerografía local histórica y el manejo de otras fuentes documentales (catálogos de museos y salas de subastas), esta investigación corrige las atribuciones de siete obras que están desubicadas de la cadena montañosa y otras tres pinturas más que localizan mal los picos representados. Para rastrear los emplazamientos elegidos en su día por el artista, se desencadenó un laborioso trabajo de campo, contando con el conocimiento profundo del montañismo de los dos macizos. La orografía más emblemática e incontrovertible, la botánica y los atuendos y tocados de hombres y mujeres marcan las pautas para la detección de los parajes representados en las obras analizadas. La rectificación fundada de estos equívocos mejora el entendimiento de la figura del maestro hispano-belga y contribuye asimismo a determinar las etapas de su evolución.
Spagna nel cuore di Leonardo Sciascia
Authors: Macaluso Sarina
Published: December 2022

L'amore e l'attrazione di Leonardo Sciascia per la Spagna risalgono alla sua giovinezza e sono ampiamente testimoniati nei suoi scritti. Non c'è aspetto della Spagna che lo scrittore non abbia analizzato con la sua acutezza e lucidità, mettendo spesso in relazione le caratteristiche del Paese iberico e dei suoi abitanti con quelle della Sicilia. Attraverso le sue riflessioni, Sciascia ha sottolineato quei legami storici, culturali e antropologici che testimoniano la speciale affinità tra le due terre a lui particolarmente care.
Mechanika lotu. Manewry samolotów
Authors: Kowaleczko Grzegorz
Published: December 2022

The book analyzes various maneuvers based on a mathematical description of the aircraft's motion. At the beginning, the operational limitations of the aircraft and issues related to overloads and mechanical energy of the aircraft were discussed. Chapter the second contains the derivation and description of the equations of motion of the aircraft, taking into account individual maneuvers. The following chapters deal with various maneuvers. Their short characteristics were made and equations describing the motion of the aircraft were given. The ways to solve these equations are shown below. The material presented in the book is the result of a query of various source materials, which often contain only a fragmentary and abbreviated description of aircraft maneuvers. The author hopes that this publication will be useful for people interested in the issues of flight mechanics, in particular maneuvering flights.