bluuebunny/crossref_metadata_2025 huggingface dataset:
Research of changes hydro-puller device internal cavitie’s geometry for order to improve the thermal state
Authors:   Saint Petersburg State University of Architecture and Civil Engineering, Novikov V.I.
Published: September 2024

The paper is devoted to the study of the influence on changes in their thermal balance during operation by improving the cooling conditions of sections of the drill shaft with contact surfaces of changes in geometric characteristics, such as diameter and length, of the internal cavity for supplying working fluid in high-pressure hydro-puller device for hydro-jet technologies. The axisymmetric simulation not on a full-size transmit-ting device was carried out, but on one-eighth part in order to reduce the time of both creating the model itself and the amount of calculations. A model created in the computing environment «Ansys» with a computational grid for calculating equivalent stresses is shown. The stress distributions calculated by the finite element method for various combinations of the geometry of the transfer device revealed the corresponding boundaries for the rational change in the diameter and length of the internal cavity, allowing to ensure its operability of the structural unit in combination with maximum cooling of the most thermally loaded sections of the shaft. Dimensionless geometric parameters (reduced diameter and reduced length of the internal cavity) are introduced for a general description of the geometry of transmitting devices for hydro-jet technologies. Graphs of the dependences of voltage values on the given values were obtained.
The role of various forms of subjective well being with quality of work life in the aviation industry
Authors:   School of Business, Galgotias University, Greater Noida, India, Agarwal Shivani , Mewarfarosh Rekha ,   Indian Institute of Forest Management, Bhopal, India, Solanki Vijender Kumar ,   Department of Computer Science and Engineering, Stanley College of Engineering and Technology for Women, Hyderabad, TG, India
Published: September 2024

Aim/purpose – This study explores the crucial link between the quality of work life (QWL) and subjective well-being (SWB) among aviation industry employees. By delv- ing into the current state of QWL and its relationship with key aspects of SWB, such as life satisfaction, positive affect, and negative affect, this research aims to offer valuable insights that can help employee well-being and job satisfaction in the aviation industry. Design/methodology/approach – A sample of 350 employees, including front-line execu- tives such as cabin crew, airport staff, cargo handlers, and administrative personnel from the aviation industry, was selected for the study. The path analysis method was em- ployed to develop and evaluate a model that links QWL with SWB and its dimensions, using SEM through AMOS version 20.0. Findings – The study found that six aspects of QWL, namely: (1) support from manag- er/supervisor, (2) freedom from work-related stress, (3) salary and additional benefits, (4) job satisfaction, challenge, use of skills, and autonomy, (5) relationships with col- leagues, and (6) communication, decision-making, and job security, are positively corre- lated with SWB. However, one aspect ‒ involvement and responsibility at work ‒ was found to have a negative association with SWB. The results demonstrated that most of the model’s indicators were appropriate, confirming the model’s fitness. It was conclud- ed that QWL is a significant antecedent that affects SWB. Research implications/limitations – There is a dearth of links between the concepts of QWL and SWB in the aviation industry. The sample is related to NCR (India), and it is recommended that the relationship between QWL and SWB in these findings be extended to other professionals and non-professionals employed in different industries. Originality/value/contribution – The study has formed a comprehensive model con- necting QWL and SWB. This study offers a fresh perspective on best management prac- tices to encourage the implementation of QWL, which further affects SWB in the aviation industry. Keywords: subjective well-being, life satisfaction, positive affect, negative affect, quality of work life, aviation industry. JEL Classification: I3, L2, M1, Z3
Do céu ao inferno com os Fradinhos do Henfil: uma análise sociossemióticamultimodal
Authors: Hohlfeldt Antonio , Zuanazzi Vinícius
Published: September 2024

Henfil was an artist focused on the criticism of customs, opposed to common sense and moralism. This article presents a set of drawings published by Henfil in the Brazilian weekly newspaper O Pasquim, between February and April 1970, where the cartoonist created a series of comics with the characters Fradinhos, experiencing an afterlife, from Heaven to Hell. Henfil’s drawings, characterized by quick strokes, simple scenarios and sensitive lines, seek to expose the artist's political-militant yearnings in a period (1970s) when there was a fever for Brazilian comics, subverting the graphic narratives of traditional comics from the United States. Henfil didn’t make sad drawings, but aggressive ones, which portrayed the reality (perhaps even more aggressive) experienced by the cartoonist and other Brazilians during the military dictatorship (1964 -1985). In deeper layers of multimodal social semiotics analysis, the hope contained in the plots is perceptible, beyond the grotesque. Henfil believed in a changing society, where the oppressed could have revenge on their oppressor. The objective of this work is to provide a rescue of Henfil's work, as well as a multimodal social semiotics analysis of the cartoons-and their grotesque elements -by producing an imaginary about the Catholicism.
Desafios do jornalismo e dos jornalistas no enfrentamento da crise climática: o combate aos problemas socioambientais do RS no JN
Authors: Becker Beatriz , Botelho Jéssica , Vieira Agostinho
Published: September 2024

Based on an analysis of Jornal Nacional's journalistic coverage of the tragedy caused by heavy rain in Rio Grande do Sul, using the theoretical and methodological foundations of News Literacy, and interviews with 15 journalists from traditional media and digital native media outlets, this article reflects on the role of journalism in the face of the climate crisis. It identifies that professionals are aware of their responsibilities and potential to combat socio-environmental problems and disinformation. It reveals the importance of journalistic practices in pointing out solutions for building a more inclusive and sustainable society and for ending the various forms of discrimination that make people and communities vulnerable and predatory actions against other species and the environment.
Quando Gaia irrompe no congresso: enchentes no RS e narrativas do Antropoceno e apesar dele
Authors: De Carli Anelise , Conter Marcelo , Proto Camila
Published: September 2024

The Anthropocene event erupts, causing a series of changes in the onto-epistemological categories from which our discussions about the nature of visual and sound images have hitherto been based. Herewe present the first steps of a collective research program on the narratives of/in the Anthropocene. Initially conceived as a written version of the work produced to be presented at aconference, this essayreportson Gaia's intrusion into that same presentation. At first, we investigate the audiovisual narrative about climate change, but the experience of the floods in Rio Grande do Sul in 2024 went beyond the practices of everyday academic life, damaging the intended production of meaning and bringing out aspects of the imaginary at play in climate change.
Penerapan Metode Behaviorally Anchor Rating Scale (BARS) Berbasis Web dan Management By Objective (MBO) Pada Penilaian Kinerja Karyawan Bagian Produksi CV. Bentala Java Industri
Authors: Apriliani Hia Yayu Clara , Hunusalela Zeny Fatimah , Sinambela Sahat
Published: September 2024

Sumber daya manusia memiliki peranan yang sangat vital bagi sebuah perusahaan. Salah satu kegiatan penting dari manajemen sumber daya manusia adalah penilaian kinerja karyawan (performance appraisal). Dengan dilakukannya penilaian kinerja terhadap karyawan maka akan memberikan gambaran pada perusahaan seperti apa perilaku karyawan berkaitan dengan pekerjaannya. Tujuan dilakukannya penelitian ini adalah merancang sistem penilaian kinerja karyawan agar penilaian tidak cenderung subjektif. Metode yang dapat digunakan dalam penilaian kinerja karyawan ini adalah Metode Behaviorally Anchor Rating Scale berbasis web dan Management By Objective (MBO). Metode BARS diterapkan untuk mengetahui faktor yang mempengaruhi kinerja karyawan. Selanjutnya, sistem berbasis web diterapkan untuk membantu merekap data penilaian kinerja yang dilakukan berdasarkan metode BARS. Kemudian, metode MBO diterapkan untuk membuat target dan sasaran yang ingin dicapai perusahaan dan memberikan umpan balik terhadap kinerja karyawan. Hasil analisis pada metode BARS yaitu penilaian didasarkan pada peristiwa kritis dimana peristiwa kritisnya terdiri atas 2 faktor yaitu perilaku kerja dan kepribadian. Untuk sistem BARS berbasis web hasil yang diperoleh adalah sistem format input data yang secara otomatis akan menyimpan data kedalam database. Sedangkan analisis yang diperoleh pada metode MBO adalah seorang penyelia sebagai pemimpin harus terlebih dahulu menentukan tujuan organisasi lalu menyusun beberapa tujuan departemen khususnya bagian produksi.
Strategi Pengelolaan Limbah Seng Dan Mangan Dari Limbah Baterai Yang Ramah Lingkungan Dengan Metode QSPM
Authors: Ismail Agus , Roswandi Iwan , Alfaruqi Muhammad Hilmy
Published: September 2024

Pengelolaan sampah selalu menjadi permasalahan di banyak negara berkembang, salah satunya adalah di Indonesia. Sampah yang menjadi kendala dan membutuhkan perhatian khusus adalah limbah baterai yang mengandung bahan kimia seperti seng (Zn) atau mangan (Mn) yang biasanya terkubur langsung di dalam tanah karena tidak ada penangan khusus untuk limbah tersebut. Hal ini tentu saja menimbulkan permasalahan lingkungan. Permasalahan limbah baterai tidak hanya terletak pada laju pertumbuhannya yang pesat, namun juga pada keberadaan tempat untuk menampung dan mengolahnya, serta menemukan konsep yang dapat diselaraskan dengan kondisi setempat terkait dimensi sosial ekonomi dan budaya sebagai solusinya. pertimbangan agar kebijakan dapat berjalan efektif. Pada penelitian ini, kami menawarkan solusi yang tidak hanya mengurangi permasalahan lingkungan tetapi juga mengembangkan produk teknologi baterai “ramah lingkungan” dengan memanfaatkan limbah baterai. Metode yang digunakan dalam penelitian ini adalah analisis SWOT yang dilakukan dengan melakukan wawancara terhadap pemangku kepentingan di Kelurahan Meruya Selatan yang terkait dengan pengelolaan sampah. Selanjutnya hasil SWOT dianalisis dengan menggunakan metode QSPM (Quantitave Strategy Planning Matrix) untuk menentukan prioritas strategi dari alternatif strategi yang ada. Strategi yang diperoleh dari hasil pengolahan data menggunakan QSPM (Quantitave Strategy Planning Matrix) dengan memberikan skor tertinggi yaitu penyediaan fasilitas oleh pemerintah untuk mendukung kemandirian dan kemandirian masyarakat dengan usaha mikro daur ulang limbah baterai
COVID-19 Pandemic: A Surgical Perspective from Japan
Authors: Nepal Pramod , Poudel Saseem , Maharjan Narendra
Published: September 2024

Japan reported its first COVID-19 case after a returnee from Wuhan, China tested positive for the virus on 16 January, 2020. On April 8, the Japanese government declared emergency in Tokyo and six other prefectures of the country; a nationwide emergency was declared on April 16. The total reported cases were 15,477 and total deaths 755 as of May 7, 2020.Japan Surgical Society (JSS) and Japanese Society of Gastroenterological Surgery (JSGS) have published recommendations for surgery and appropriate measures of safety. Patients are triaged based on the severity of their disease and level of outbreak. The Elective Surgery Acuity Scale (ESAS) by American College of Surgeons is recommended to triage the patients. The guidelines consider the risk of infection during the interventions that generate aerosol such as tracheal intubation, extubation, tracheostomy, mask ventilation, bronchoscopy,chest drainage, gastrointestinal endoscopy etc.
COVID-19 in the West Indies: Trinidad and Tobago Experience
Authors: Naraynsingh Vijay , Harnanan Dave , Maharaj Ravi , Naraynsingh Roshni
Published: September 2024

Trinidad and Tobago (T+T) is a small twin-island state in the Caribbean, eight miles off the coast of Venezuela. It has an area of approximately 5431 square kilometres and population of 1.4 million. At the present time, there are 116 coronavirus disease (COVID-19) cases and eight deaths, with no new cases or deaths for the last 21 days (May 17, 2020). Its COVID-19 story is one of the prompts, with early control and great success. There has beenno such instance where the health services were stretched or unable to cope. Even before the first case was identified, the T+T Government restricted entry to travelers from China, Japan, Singapore, South Korea and several European countries.The first case of COVID-19 identified in T+T was on March 12, 2020. The patient had returned from Switzerland. The next day, a second positive case was a person who had returned from USA.
COVID-19: Emerging Challenges for Students in Medicine and Schools in the United States
Authors: Babel Shrinit , Jain Surbhi , Conger Lindsey
Published: September 2024

The coronavirus pandemic has changed the world everywhere, including the lives of high schoolers in America. The sudden sharp rise in coronavirus cases forced the closure of schools in Mid-March to curb the further spread of the virus. Several end-of-the-year celebrations, school activities, and examinations were canceled. At the same time, the cancellations gave a chance for the youth to adapt to uncertain situations and learn adifferent perspective of life. Living in Florida, a state that battles hurricanes for almost half a year, school closures have become the norm: it is not rare for students to be reminded to keep their textbooks and notes home for a week or two. Prepared from past closures due to hurricanes, the school district board already had a virtual school platform, and the principal instructed all students to shift to Zoom and alternative eLearning. However, when the coronavirus pandemic led to the indefinite closure of high schools across the country, thiswas something new, different, and unexpected that school communities had to face.
The The Impact of COVID-19 on Immunization Services
Authors: Mathema Smriti
Published: September 2024

There was a time when epidemics were of interest only to historians. In spite of the knowledge of the risks of emergent infectious diseases, Coronavirus disease of 2019 (COVID-19) managed to disrupt the entire world. This new virus has the capacity to evade, adapt, diversify and persist. Human factors such as global travel, human-animal contact, urban crowding and ecological changes have helped favor the rapid spread. Epidemics are known to eventually resolve, whether succumbing to societal action or having exhausted the supplyof susceptible victims. COVID-19 too will be contained but it will leave a trail of devastating health consequences for low- and middle-income countries (LMIC) including Nepal.When governments responded in the hopes of slowing the course of the pandemic and reducing the total mortality, stringent controls were implemented, including school closures, bans on public gatherings, and other forms of isolation or quarantine. In Nepal, a nationwide complete lockdown commenced on the 24th March, 2020. This brought about a drastic decrease in demand for hospital services, mainly due to inaccessibility orthe health care seekersâ€™ apprehension of contracting the virus during a hospital visit. Elective surgeries and procedures were temporarily discontinued and preventive care such as antenatal and well-baby visits came to a complete halt in majority of the institutions nationwide. Although mortality rates for COVID-19 appeared to be low in children and in women in the reproductive age, these groups might be disproportionately affected by thedisruption of routine health services, particularly in LMICs.
COVID-19 in the UK- Experience from The Frontline
Authors: Aryal Kamal
Published: September 2024

Start of the pandemicAt the end of February, I was undertaking a mini fellowship on Trans-anal Total Meso-rectal Excision (TaTME) in Switzerland. The number of cases infected with corona virus disease (COVID-19) and deaths were rising exponentially in Italy. As the virus hit the UK, I was still able to complete â€˜Non-Technical Skills for Surgeons (NOTSS) for traineesâ€™ course at the deanery office at Fulbourn, Cambridge on the 13th of March 2020.
Effect on personal life - self isolationI had operating list on the 17th of March where an 81-year-old male having laparoscopic right hemicolectomy for cancer was listed. This patient was readmitted a week after being discharged from the hospital with collapse and it had become apparent that he acquired COVID-19 in the surgical ward. Fortunately, he recovered from this and remains well till date. The same day, my son had fever with some cough. I needed to self- isolate according to UK government guideline for two weeks as there was no facility for testing whether my son had contracted coronavirus or not. There were a lot of problems in getting food from the supermarket on the way back home as the shelves were empty, online food order was impossible but somehow, we managed with ourfriends delivering food for us at our front door.
COVID-19, Pregnant Women and Their Hard- Wired Worry
Authors: Shrestha Arati , Aryal Shreyashi , Shrestha Deepak
Published: September 2024

In our day to day obstetric practice, we face a number of concerns raised by the pregnant women regarding their health. Some of the frequently asked queries include: if they would develop health problems like high blood pressure and/or diabetes; if they would have a normal delivery or would require an intervention in the form of cesarean section or instrumentation, if they would have the birth experience as they envision and if the stress is harmful during the ongoing pregnancy. Every pregnant woman strives her best to give birth to a healthy child. As every pregnancy is a period of uncertainties and risks, pregnant women are anxious about their well-being and that of their baby. The list of concerns is endless with the addition of corona virus disease (COVID-19).
If we look back into the past, viral infections such as influenza, H1N1, and Severe Acute Respiratory Syndrome (SARS) caused immense maternal and fetal complications during pregnancy. Due to compromised, pregnant women are more vulnerable to being infected. SARS-CoV-2 is a new strain of corona virus that is similar to Middle East Respiratory Syndrome corona virus (MERS-CoV) and Severe Acute Respiratory Syndrome coronavirus (SARS-CoV). These viruses spread primarily by coughing and sneezing or direct contact. Most patients infected with any one of these three strains of corona virus may remain asymptomatic or may develop relatively mild symptoms such as fever, cough and fatigue. However, some may develop severe forms of the disease leading to pneumonia and respiratory failure; requiring oxygen or other respiratory support. Pregnant women infected with MERS-CoV or SARS-CoV were at high risk of developing severe pneumonia; heart failure and other complications which could be life-threatening leading to death in many cases.
Continuous Glucose Monitoring with Geriatric Principles in Older Adults with Type 1 Diabetes and Hypoglycemia: A Randomized Controlled Trial
Authors: N Munshi Medha , Slyne Christine , Adam Atif , Conery Colin , Oladunjoye Adeolu , Neuwahl Simon , Wypij David , Toschi Elena
Published: September 2024

Objective: Continuous Glucose Monitoring (CGM) use in older adults with Type-1 Diabetes (T1D) has shown benefits. However, the impact of CGM use, coupled with simplified treatment regimens and personalized glycemic goals that are better suited for older patients with multiple comorbidities and hypoglycemia, is not known.

Research Design and Methods: Older adults (≥65 years) with T1D with hypoglycemia (≥2 episodes of hypoglycemia <70 mg/dL for ≥20 minutes over 2 weeks) who were CGM-naïve or CGM-users were randomized to intervention and control groups. The intervention consisted of the combined use of CGM with geriatric principles (adjusting goals based on overall health, and simplification of regimens based on CGM patterns and clinical characteristics) over a 6-month period. Control group received usual care by their endocrinologist. The primary endpoint was change in time <70 mg/dL from baseline to 6-months. Cost-effectiveness was calculated using a healthcare sector perspective.

Results: We randomized 131 participants(age 71±5 years; 21% ≥75 years) to intervention (n=68; CGM-users=33) or control (n=63; CGM-users=40) groups. The median change in hypoglycemia from baseline to 6-months was –2·6% in the intervention group and –0.3% in the control group(median difference –2.3%,95%Cl [–3.7%,–1.3%];P<0.001). This improvement was seen in both CGM-naïve(–2.8%,[–5.6%,–0.8%]) and CGM-users (–1.2%,[–2.7%,–0.1%]). The HbA1C did not differ between the groups (7.5% vs 7.3%). The intervention was cost-effective(ICER, $71,623/QALY).

Conclusions: In older adults with T1D and high risk of hypoglycemia, CGM use enhanced by geriatric principles can lower hypoglycemia without worsening glycemic control in a cost-effective fashion.
Impact of self-perceived oral health and socio-economic factors on oral health-related behavior in Estonian adults
Authors: Sinijärv Marjo , Olak Jana , Murakas Rein , Runnel Riina
Published: September 2024

Objective: To identify which socioeconomic factors are affecting oral health-related behavior and to provide suggestions for improving the population’s oral health. 
Materials and methods: The survey includes population groups from age 35 and older from all 15 Estonian counties and major cities (n = 2,376). The study is based on data from a nationwide Estonian Adult Oral Health Survey questionnaire. In addition to analyzing eight aspects of oral health-related behavior and self-perceived oral health variables, the survey also includes participants’ socio-economic and demographic characteristics. The study utilizes frequency tables (including cumulative distributions), means, correlations, and regression analysis as its methods.
Results: The mean number of beneficial behaviors reported by the participant was 4.2 (SD 1.6). The value of the oral health-related behavior index (OHBI, the number of reported behaviors from the eight) is initially determined by the optimal timing between meals, abstinence from smoking, and the choice of drinking water or refraining from any intake between meals. Participants with higher OHBI tended to rate their self-perceived oral health better. Adherence to beneficial dental health-related behavior in Estonian adults is primarily influenced by gender, educational level, type of settlement, and household income level.
Conclusions: In order to significantly improve oral health and related behaviors, it is imperative to integrate dental services into universal health coverage and deliver ongoing oral health education for adults.
Spring-assisted posterior vault expansion in children over 2 years of age with craniosynostosis
Authors: Säljö Karin , Bhatti-Søfteland Madiha , Tarnow Peter , Olsson Robert , Hallén Tobias , Chao Wen-Chih , Kölby Lars , Maltese Giovanni
Published: September 2024

Background: This study evaluated spring-assisted posterior vault expansion (SA-PVE) in children aged > 2 years with craniosynostosis and signs of high intracranial pressure (ICP).
Methods: We retrospectively analysed all consecutive patients aged > 2 years and operated with SA-PVE between 2018 and 2020 at the Craniofacial Center at Sahlgrenska University Hospital, Sweden. During the procedure, a circumferent occipital bone flap extending below the torcula was created and remained attached to the dura. Intracranial volumes (ICVs) were calculated from computed tomography (CT) images, and demographic data and information regarding symptoms and signs of high ICP were collected.
Results: The study included eight patients [Crouzon/Pfeiffer (n = 4), multiple craniosynostosis (n = 3), and secondary synostosis (n = 1)]. Median age at SA-PVE was 3.8 years (range: 2.5–12.8 years), and springs were removed after a median of 5.5 months (range: 2.3–8.3 months). The median operating time was 164 min (range: 102–221 min), and estimated blood loss was 4.5 mL/kg body weight (range: 1.4–59.1 mL/kg body weight), with 50% of patients receiving a blood transfusion. The median increase in ICV was 206 cm3 (range: 122–344 cm3) representing an 18.7% increase (range: 7.9–24.1%; p = 0.01). We observed no major perioperative complications, and symptoms related to high ICP were improved or absent at clinical follow-up.
Conclusion: These results demonstrated that SA-PVE involving creation of a large occipital bone flap including the torcula as a safe and effective surgical treatment in children aged >2 years with craniosynostosis and elevated ICP.
Efficacy of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease and obstructive sleep apnea; a randomized controlled trial
Authors: Shen Honghua , Xu Yiming , Zhang Yin , Ren Lei , Chen Rui
Published: September 2024

Objective: To evaluate the efficacy of pulmonary rehabilitation in the outcomes of patients with chronic obstructive pulmonary disease–obstructive sleep apnoea overlap syndrome patients who used positive airway pressure.
Design: Prospective randomized controlled single- blind trial.
Patients: A total of 79 patients with chronic obstructive pulmonary disease–obstructive sleep apnoea overlap syndrome were randomly assigned to either the intervention group (n = 40) or control group (n = 39).
Methods: All patients consistently adhered to positive airway pressure therapy every night from enrolment in the study, while intervention group patients received additional moderate-intensity aerobic exercise for 20 weeks. Pre- and post-intervention measurements included the 6-Minute Walk Test, Barthel Index, body mass index, fat mass, free fat mass, forced expiratory volume in 1 s (FEV1), FEV1%predicted, modified Medical Research Council, and polysomnography parameters.
Results: After 20 weeks, the intervention group exhibited statistically significant improvements in 6MWD, Barthel Index, body mass index, fat mass, and modified Medical Research Council compared with control group (all p < 0.01). In addition, the intervention group showed a significantly lower percentage of total sleep time with oxygen saturation < 90% (p = 0.013) and higher lowest nocturnal oxygen saturation (p = 0.008) than the control group. However, there was no significant difference in FEV1 %predicted between the 2 groups.
Conclusion: Pulmonary rehabilitation incorporating moderate-intensity aerobic exercise could improve physical endurance and motor abilities in individuals with chronic obstructive pulmonary disease–obstructive sleep apnoea overlap syndrome, while also improving anamnestic dyspnoea, body composition, and sleep-disordered breathing.
Effects of mirror therapy in post-traumatic complex regional pain syndrome type-1: a randomized controlled study
Authors: Özdemir Elif Can , Elhan Atilla H. , Küçükdeveci Ayşe A.
Published: September 2024

Objective: To investigate the effects of mirror therapy applied in addition to routine rehabilitation on clinical outcomes in post-traumatic complex regional pain syndrome type 1.
Design: Single-blind randomized controlled trial.
Subjects: Patients with trauma-induced complex regional pain syndrome type 1 of the hand receiving outpatient rehabilitation.
Methods: Patients were randomized into mirror therapy and control groups. All patients received routine physical therapy and rehabilitation for 20 sessions (5 sessions/week, for 4 weeks). The mirror group received additional mirror therapy at each session. The primary outcome was pain intensity by numeric rating scale. Secondary outcomes were grip/pinch strength, hand/wrist circumference, dexterity, hand activities, and health-related quality of life. All assessments were performed before and immediately after the treatment, and 4 weeks later at follow-up.
Results: Forty patients were enrolled, 20 in each group. Both groups revealed statistically significant improvements from therapy regarding pain, grip/pinch strength, wrist circumference, dexterity, and hand activities (p <  0.05). When groups were compared regarding the improvements in assessment parameters, no statistically significant difference was found between the 2 groups in any of the outcomes (p > 0.05).
Conclusion: Mirror therapy applied in addition to routine therapy in post-traumatic complex regional pain syndrome type 1 did not provide extra benefit to the improvement of pain, function, and other clinical outcomes.
AVALIAÇÃO DOS MUNÍCIPES SOBRE OS SERVIÇOS PRESTADOS PELA PREFEITURA DE PRAIA GRANDE/SP: UMA ABORDAGEM QUANTITATIVA UTILIZANDO O MODELO SERVQUAL
Authors: Martiniano Mauricio Luiz Gonçalves , Machado Junior Celso , Romeiro Maria do Carmo , Maia Laura Cristina Pereira , Rodrigues Rosana Nakajune dos Santos , Martins Raphael Reynier Roale
Published: September 2024

A proposta deste artigo foi avaliar a qualidade dos serviços públicos no município de Praia Grande/SP, sob a ótica dos munícipes, utilizando a ferramenta SERVQUAL. A pesquisa partiu de um levantamento inicial de 1000 cidadãos, que ao fina resultou em uma amostra de 117 cidadãos e que responderam a um questionário apoiado nos parâmetros do SERVQUAL para interpretar as percepções em relação às cinco dimensões do modelo analisados com o auxílio da regressão múltipla na análise da influência das dimensões na percepção da qualidade dos serviços. Os resultados indicaram uma lacuna crítica na dimensão responsividade, com um valor médio de 4,92, apontando uma discrepância significativa entre as expectativas dos cidadãos e a eficiência real dos serviços prestados pela administração local. A análise revelou que a responsividade ou a capacidade de prestar serviços de forma ágil e efetiva é uma área de dificuldade para a prefeitura. A regressão múltipla mostrou que a confiabilidade é o preditor mais forte da qualidade percebida, destacando a importância de cumprir promessas e manter consistência para a avaliação geral dos serviços. Esses achados sugerem que melhorias na responsividade e na confiabilidade são essenciais para alinhar os serviços públicos às expectativas dos munícipes e aprimorar a satisfação geral.
Maré de imagens
Authors: Aranha Dantas Joseane
Published: September 2024

O cinema tem mantido relações muito próximas com as cidades desde sua invenção, e possui um vasto repertório de documentação  no que diz respeito às mudanças na concepção da urbe. Para este artigo contemplamos filmes que colocaram em foco o espaço urbano, as contradições e  disparidades socioespaciais geradas pelo processo de urbanização e pelo descaso político-econômico na cidade de São Luís nos anos 70. A configuração material e simbólica da cidade, as relações de disputas dos espaços urbanos, os conflitos, as  dinâmicas causadas pela urbanização, foram representadas pelas lentes dos cineastas superoitistas maranhenses.
Melancolia Nos Trópicos
Authors: Carvalho Moreira Pedro
Published: September 2024

O presente artigo propõe discutir o papel da melancolia na composição do personagem Carapiru do filme Serras da Desordem (2006), de Andrea Tonacci.
“Orestes”
Authors: Bochi Josué
Published: September 2024

Entre a série de procedimentos empregados no intricado documentário Orestes (2015) para tratar do legado de extermínio de populações marginalizadas que a ditadura civil-militar deixou no Brasil contemporâneo, destaca-se o diálogo tramado com a trilogia da Oréstia, de Ésquilo. Este artigo investiga continuidades e descontinuidades entre as duas obras, tão distantes espacial e temporalmente, na tentativa de avaliar como a histórica dificuldade de se instaurar justiça e democracia em nosso país pode ser pensada sob uma perspectiva da tragédia, e os modos pelos quais o filme Orestes se confronta com essa perspectiva. Por um lado, o filme é expressão de um esforço secular de fortalecimento dos valores e das instituições democráticas. Por outro, observa um mundo em que o impulso arcaico de vingança não pode ser nunca completamente destacado do próprio movimento civilizatório.
Sexualidade e sujeito patético de desejo nas últimas entrevistas de Michel Foucault
Authors: Calçado Thiago
Published: September 2024

O presente artigo apresenta uma reflexão sobre as últimas entrevistas de Michel Foucault e seu olhar sobre a sexualidade em suas relações de constituição de um sujeito patético. Tal sujeito, submetido aos procedimentos de confissão e de poder, oriundos das práticas penitenciais cristãs, emerge à luz dos mecanismos disciplinares de produção discursiva, no qual a subjetividade é produzida. O sujeito de desejo aparece como resultado de práticas de confissão e de poder e instaura sobre os indivíduos o pathos da sexualidade como risco iminente e perene.
Sinergias humanas
Authors: Quirino Araújo Lara Miguel , Cândido Viviane Cristina , Vieira de Araújo Luciano
Published: September 2024

O envelhecimento populacional é um desafio multifacetado que impacta áreas como saúde, economia e qualidade de vida. A integração entre geriatria, gerontologia e filosofia da saúde permite uma compreensão mais abrangente desse fenômeno. Enquanto a geriatria e gerontologia trabalham para promover independência, autonomia e identificar as necessidades de cuidados dos idosos; a filosofia da saúde contribui com uma perspectiva ética, holística e centrada no paciente. Neste contexto, a Inteligência Artificial Generativa pode promover abordagens inovadoras e disruptivas no cuidado do idoso, ao mesmo tempo em que realça a necessidade de uma abordagem integrada e interdisciplinar. Essa integração pode resultar em uma atenção à saúde humanizada e eficaz para os idosos, mesmo com o aumento vertiginoso no número e na proporção de idosos na sociedade, abordando os desafios do envelhecimento de maneira mais completa e empática.
Analyzing the Influence of Non-Performing Assets: A Comparative Study between SBI and HDFC
Authors: Balyan Sneha , Singh Netra Pal
Published: September 2024

Non-performing assets (NPAs) pose an enduring and intricate challenge within the banking sector, carrying far-reaching consequences for both financial stability and broader economic growth. This paper provides an in-depth analysis of NPAs and their impact on the financial performance of HDFC and SBI. Based on the analysis of the NPA data of the two banks, it is found that the NPA ratio for State Bank of India is in the range of 1.02%-5.73%, which is on the higher side in comparison to the NPA of HDFC, which lies between 0.20%-0.64% for the period 2007-8 to 2021-2022. In both cases, NPA has a negative impact on profitability, but it is much higher in SBI. These findings may help SBI reinvent its credit policy and the credited process of its credit business to different customer segments.
NATURAL THERAPEUTICS: CARICA PAPAYA LEAVES AND THEIR IMPACT ON DENGUE FEVER – A REVIEW
Authors: Nag Dr. Riya
Published: September 2024

Every year during the monsoon, there is a high prevalence of dengue, an infectious disease spread by mosquitoes carrying the Aedes aegypti virus. The occurrence and rate of dengue fever (DF) have risen markedly as well as deaths from its complications in Bangladesh, Philippines, Thailand, Brazil, and India in recent years. Lately, dengue had spread like an epidemic throughout the South Asia. Even so, the Many individuals worldwide were impacted by this infection; there is no known treatment with synthetic medications that is targeted and efficient. Within this subcontinent, Malaysia could successfully prevent its occurrences and patient deaths by employing substitute medications therapy are made chiefly from Carica papaya Leaf, combined by appropriate maintenance with proper hospital stay. Papaya leaf juice extract's preparation have long been used in various traditional medicine for the treatment of DF and its complications, often saving the lives of patients. Despite the fact that traditional Papaya leaf juice and other preparations are used by healers and the general population for treating DF, this course of treatment is categorically rejected by the medical professionals providing care in hospitals in Bangladesh since they don't think papaya leaves are beneficial. Thus, the purpose of this work is to evaluate critically the scientific foundation. Preclinical and clinical evidence recommends the efficacy of leaf in curing of DF. The most common symptom for dengue is DF, which is frequently seen in affected patients. Additionally, infection and immunity impairment are related to patients with dengue. Various studies on Carica papaya Leaf are compiled in this review. Its capacity to address few dengue aspects.
BIOCOMPATIBILITY, CYTOTOXICITY AND PHYTOCHEMICAL ANALYSIS OF PLANTAGO LANCEOLATA L. AERIAL EXTRACTS: IN VITRO AND IN VIVO STUDY
Authors: Rahamouz-Haghighi Dr. Samaneh
Published: September 2024

Plantago lanceolata L. is classified as Plantaginaceae family. Its bioactive properties have been documented in scientific literature, suggesting its efficacy in therapeutic interventions across a spectrum of medical conditions, with a particular focus on cancer treatment. The acetonic and alcoholic extracts of P. lanceolata aerial organs were subjected to the MTT technique, Artemia salina, oral acute hemolysis, GC-MS, and phytochemical screening to determine their in vitro cytotoxic impact, in vivo toxicity, biocompatibility, and phytochemical screening, respectively. The P. lanceolata acetonic extracts exhibited the lowest IC50 values on HCT-116 and HEK- 293 cells. Between 185.04 and 123.98 μg/mL. P. lanceolata extracts in methanol and ethanol showed no toxicity against A. salina (LC50: 27.25 mg/mL and 14.42 mg/mL). For four hours, the tested dosages of the alcoholic extract on red blood cells showed no signs of toxicity. One week following treatment, ethanolic and methanolic extracts of P. lanceolata were not deadly when taken orally. On the Hodge and Sterner scale, P. lanceolata extracts showed no indications of toxicity. P. lanceolata's methanolic extract was described by its primary chemical elements, including n-hexadecanoic acid (15.00%); octadecanoic acid (9.80%); cis-vaccenic acid (5.66%), and 2,3-dihydroxysuccinic acid (5.66%). P. lanceolata acetonic extract contained n-hexadecanoic acid(1.53%), oleic Acid (1.34%) and linoleic acid (1.15%). The methanolic and ethanolic extracts did not induce hemolysis and were more cytotoxic against HCT- 116 compared to HEK-293. From a pharmaceutical point of view, if toxic drugs show selective toxicity against cancer cells and are non-toxic against normal cells, it is considered advantageous.
PSEUDO NECROTIZING SCLERITIS FOLLOWING IMPROPER ADMINISTRATION OF POSTERIOR SUB TENON INJECTION: CLINICAL PRESENTATION AND AS-OCT FEATURES
Authors: Kohli Dr. Gaurav
Published: September 2024

We present a case of pseudo necrotizing scleritis (NS,) following inadvertent subconjunctival administration of triamcinolone acetonide. Clinical presentation imitated that of necrotizing scleritis, with features of ulceration and episcleral inflammation. Diagnostic curratge of the lesion ruled out infectious etiology with infiltration of inflammatory cells. Anterior segment optical coherence tomography (AS-OCT) of the lesion was helpul in localizing ruling out true scleritis. Herein we define and highlight the unreported features of pseudo NS as imaged by AS-OCT. A 34 year-old female patient, presented to us two weeks following an intraocular injection performed elsewhere for macular edema. Clinical examination of the anterior segment was suggestive to conjunctivo-scleral necrosis while the fundus examination revealed an active subfoveal choroidal neovascular membrane (CNVM). Taking into consideration the clinical diagnosis and due to the lack of supportive documentation we assumed that the patient had probably received a dose of intra vitreal antivegf. Apresumptive diagnosis of NS following needle prick was made, pathological evaluation of the ulcer alongside the OCT features aided in ruling out true NS. The pathological evaluation of the specimen revealed presence of connective tissue with macrophages and triamcinolone particles. AS-OCT showed involvement of the conjunctiva and episleral tissue with no scleral edema or thickening. Improper administration of peri ocular triamcinolone can cause conjunctival necrosis and can imitate necrotizing scleritis, AS-OCTevaluation of the lesion can be helpful in differentiation from true scleral necrosis.
Lexical and stylistic features of the discourse of telegram channels of military correspondents - women
Authors: Kolobova Svetlana Viktorovna
Published: September 2024

This article analyzes the discourse of the Telegram channels of female war correspondents. The object of the study in a broad sense is the Russian language picture of the world, in a narrow sense - modern Russian military journalism in the system of "new media". Subject of the study: lexical and stylistic features of the discourse of the TG channels of female war correspondents. The relevance of the topic is determined by the increased interest in the activities of professional war correspondents and bloggers - authors of Telegram channels dedicated to covering events around the special military operation on the territory of Ukraine. The aim of the study is to identify the lexical and stylistic features of the discourse of thematic TV channels in order to determine the main directions of the formation of new linguistic behavior in social networks, the creation of a new language of communication, changes in the genre system of journalism, style and methods of work of war correspondents. When analyzing the texts of the authors' messages in the TG channels, the method of qualitative content analysis was used. The texts of five thematic Telegram channels were studied for the period from February 2022 to March 2024, that is, from the beginning of its operation in Ukraine until the moment of writing the article. Using the example of the analysis of posts in Telegram channels, the authors of which are female Russian war correspondents covering events during the military conflict between Russia and Ukraine, the characteristic features of the style and linguistic behavior of representatives of modern Russian military journalism are revealed.
How do pragmatic markers-approximators help to “build” a spontaneous monologue-description in the native and non-native language
Authors: Xiang Yanan
Published: September 2024

The article is devoted to a comparative analysis of the use of pragmatic markers-approximators in monologues-descriptions of the same image - original stories based on the picture. The texts were recorded from 4 Russian and 4 Chinese informants who spoke Russian as their native and non-native language, respectively. The group of informants is balanced by gender, psychotype and level of Russian language proficiency (for the Chinese). All informants describe H. Bidstrup's comic strip “Elixir for Hait” - these are monologues from the corpus of Russian monologue speech “Balanced Annotated Text Collection”: a block of speech of Russian students and a block of Russian interfered speech of the Chinese. The analysis showed that Russian speakers, speaking (within a given communicative scenario) in their native language, hedge (use approximators or other markers of uncertainty) almost 3 times more often than Chinese speakers. The Chinese express their hesitation or their uncertainty mainly through vocalizations ( y , e-m ), vowel extensions ( i-i , chto-o ) and physical hesitation pauses (ɭ), rarely using hedges ( kto-to , gde-nibud' , kazhetsya , etc.) and do not use pragmatic markers-approximators at all ( tipa , kak by , vrode togo , etc.). In addition, the appearance of hedges in Chinese speech correlates with a high level of Russian language proficiency. The results obtained can be useful in communicative linguistics, in colloquialism, in the practice of teaching Russian as a foreign language and in the practice of translating Russian literary texts into other languages (in particular, Chinese).
Astronomy and religion in the Roman temples of Qsar Naous (Ain Akrine, Lebanon)
Authors: Rodríguez-Antón Andrea
Published: September 2024

About 30 kilometres north of Byblos, the two Roman temples of Qsar Naous (Ain Akrine, Lebanon) are situated on a hilltop 700 meters above the sea level along the ridge of Mount Lebanon, overlooking the Al-Koura Valley to the east and the sea to the west. Probably developed over a previous cultic site, the temples of Qsar Naous share architectonical features with several sanctuaries from the same period in modern Lebanon. Furthermore, astral symbology is present in the lintels of the propylaea (entrance gate) of both temples of Qsar Naous, decorated with reliefs of sun disks, are present in further Roman temples in Lebanon like the one at Chhim and could suggest a solar advocation.
Although the high location and a good visibility should have been key factors for the creation of this sacred landscape, an archaeoastronomical analysis suggests interesting results that could relate the sacred complex to astronomical phenomena connected to relevant religious or productive events in the region in Antiquity. This work shows a study on the orientations of the two Roman temples of Qsar Naous and their relation to the surrounding landscape. The data were taken on site in the spring of 2018 and they present interesting connections between the design and location of these temples with conspicuous topographic features and relevant moments of the solar cycle, the religious calendar and the productive activities.
In particular, these temples follow the general pattern of orientations found in Greek and Roman monuments towards the east and face important astronomical events, such as the sunrise in the summer solstice and, tentatively, the first visibility of Pleiades. References to Pleiades appear in Greek sources as well as in other Middle East references and the summer solstice represented a general moment of renewal across the Mediterranean. Interestingly, these results agree with orientations previously found in ancient monuments in the Mediterranean and other Roman temples in the Lebanese Bekaa valley, such as the temple of Bacchus and Jupiter Heliopolitanus in Baalbek and the great temple in Niha, south of Ain Akrine.
In addition, previous surveys in Mount Lebanon reveal various forms of cultic continuity from the Hellenistic to the Roman periods and that Roman monuments may have been built on previous layers. In this sense, the results of this study could provide hints about the nature, but also about the origin, of the cults performed in Qsar Naous, the differences among the divinities worshipped in each temple (if any) or the processes of transformation of the previous rites and beliefs. In conclusion, this is a local approach to better understand the complex religious context of Roman Near East.