bluuebunny/crossref_metadata_2025 huggingface dataset:
New water fractions and their relationships to climate and catchment properties across Alpine rivers
Authors: Floriancic Marius G. , Stockinger Michael P. , Kirchner James W. , Stumpp Christine
Published: September 2023

Abstract. The Alps are a key water resource for central Europe, providing water for drinking, agriculture, and hydropower production. Thus, understanding runoff generation processes of Alpine streams is important for sustainable water management. It is currently unclear how much streamflow is derived from old water stored in the subsurface, versus more recent precipitation that reaches the stream via near-surface quick flow processes. It is also unclear how this partitioning varies across different Alpine catchments in response to hydroclimatic forcing and catchment characteristics. Here, we use stable water isotope time series in precipitation and streamflow to quantify the young water fractions Fyw (i.e., the fraction of water younger than approximately 2–3 months) and new water fractions Fnew (here, the fraction of water younger than one month) in streamflow from 32 Alpine catchments. We contrast these measures of water age between summer and winter and between wet and dry periods, and correlate them with hydroclimatic variables and physical catchment properties. New water fractions varied from 9.6 % in rainfall-dominated catchments to 3.5 % in snow-dominated catchments (mean across all catchments = 7.1 %). Young water fractions were approximately twice as large (reflecting their longer time scale), varying from 17.6 % in rainfall-dominated catchments to 10.1 % in snow-dominated catchments (mean across all catchments = 14.3 %). New water fractions were negatively correlated with catchment size (Spearman rank correlation rS = 0.38), q95 baseflow (rS = -0.36), catchment elevation (rS = 0.37), total catchment relief (rS = -0.59), and the fraction of slopes steeper 40° (rS = -0.48). Large new water fractions, implying faster transmission of precipitation to streamflow, are more prevalent in small catchments, at low elevations, with small elevation gradients, and with large forest cover (rS = 0.36). New water fractions averaged 3.3 % following dry antecedent conditions, compared to 9.3 % after wet antecedent conditions. Our results quantify how hydroclimatic and physical drivers shape the partitioning of old and new waters across the Alps, thus indicating which landscapes transmit recent precipitation more readily to streamflow, and which landscapes tend to retain water over longer periods. Our results further illustrate how new water fractions may find relationships that remained invisible with young water fractions.
INDICATORS OF WEIGHT GAIN OF FIRST-CALF COWS OF BLACK-AND-WHITE, HOLSTEIN BREEDS OF DIFFERENT SELECTION AND THEIR FIRST-GENERATION CROSSBREEDS
Authors: Косилов В.И. , Кадралиева Б.Т.
Published: September 2023

The article presents the indicators of live weight, growth and relative growth rate of cows of the

first heifers of the black-and-white breed, peers of the Holstein breed of German selection, holsteins of

Dutch selection, crossbreeds of ½ holsteins of German selection x ½ black-and-white, crossbreeds of ½

holsteins of Dutch selection x ½ black-and-white. It was found that due to the effect of crossing,

crossbred Holstein animals of groups IV and V outperformed purebred peers of the black-and-white breed

of group I in live weight at the beginning of the experiment by 29.67 kg (6.29%, P<0.01). It is

characteristic that the first heifers of the Holstein breed of the Dutch selection of group III, being inferior

in live weight at the beginning of the experiment to the peers of the Holstein breed of the German

selection of group II, surpassed the purebred animals of the black-and-white breed of group I in their level

by 36.33 kg (7.71 %, P<0.05). The obtained data and their analysis indicate that the rank of distribution of

the first-calf cows of the experimental groups by live weight, established at the beginning of the

experiment, was also noted at the end of the study. The data obtained on the intergroup differences in live

weight at the end of the experiment are largely due, along with its different level at the beginning of the

experiment, to the unequal value of its absolute increase during the observation period. At the same time,

the leading position in terms of the gross increase in live weight was occupied by the first-calf cows of the

Holstein breed of the German selection of group II.
К ВОПРОСУ ЛОКАЛЬНОГО ОТТАИВАНИЯ СЕЗОННО-МЕРЗЛЫХ ГРУНТОВ ДЛЯ УСТРОЙСТВА СВАЙНЫХ ФУНДАМЕНТОВ
Authors: Монтаев Сарсенбек , Шингужиева А.Б. , Джахметов А.А.
Published: September 2023

Аннотация

В статье представлены результаты научно-экспериментальных работ по локальному оттаиванию сезонномерзлых грунтов в условиях г. Уральска. Впервые в условиях в условиях г. Уральска проведены научно-экспериментальные работы по локальному оттаиванию сезонномерзлого грунта с целью устройства свайных фундаментов в зимнее время.

Для локального оттаивания грунта в качестве химического реагента использована  негашеная известь, которая при взаимодействии с водой выделяет тепло за счет экзотермической реакции. Для проведения научно-экспериментальных работ разработан способ локального оттаивания, позволяющий максимально использовать выделяемое тепло из негашеной извести. По результатам научно-экспериментальных работ установлено, что при определённом содержании негашеной извести можно достичь оттаивания сезонномерзлого грунта более 10% от общей глубины промерзания грунта в условиях г Уральска.

Результаты проведенных научно-экспериментальных исследований позволяет исключить процесс предварительного бурения при устройстве свайных фундаментов в зимнее время.
EFEKTIVITAS PENYULUHAN MENGENAI PERSEPSI PETANI TERHADAP PEMASARAN TANAMAN PORANG (Amorphophallus oncophyllus) MELALUI DIGITAL MARKETING SYSTEM
Authors: Rachmat Rachmat , Syaifuddin Syaifuddin , Hamzah Pratiwi , Rizki Alfiandi
Published: September 2023

Penelitian ini bertujuan untuk menganalisis efektivitas penyuluhan tentang persepsi petani terhadap pemasaran tanaman porang melalui digital marketing system dalam hal ini pemanfaatan fitur Marketplace pada aplikasi Facebook. Selain itu identifikasi juga dilakukan terhadap hubungan karakteristik petani dengan persepsi yang didapatkan. Persepsi yang diangkat adalah kemudahan dalam mengamati peningkatan kebutuhan konsumen melalui pemasaran online dalam hal ini media sosial Facebook. Karakteristik yang diambil adalah umur. Kajian telah dilaksanakan dari bulan April sampai bulan Juni yang bertempat di Kelompok Pemuda Tani Lembang Bata, Kelurahan Gantarang, Kabupaten Gowa, Sulawesi Selatan. Sampel ditentukan dengan metode Purposive Sampling. Hasil kajiwidya yang didapatkan yaitu, tingkat persepsi petani dengan interpretasi baik dengan presentase 81,4% dengan hubungan karakteristik tidak nyata serta berarah negatif, dari hasil tersebut maka dapat disimpulkan Petani di lokasi memiliki persepsi yang baik akan tetapi tidak memiliki hubungan nyata antara karakteristik pemuda tani dengan persepsi yang didapatkan. Berdasarkan kriteria penilaian yang telah dilakukan maka nilai efektivitas yang mampu dicapai setelah penyuluhan yaitu 62,10% dan termasuk dalam kriteria efektif.
Pengaruh Kompos Kotoran Hewan terhadap Produksi Tanaman Terung Ungu (Solanum melongena L.)
Authors: Azis H Abd , Rizal Muh , Rivai Iskandar
Published: September 2023

Penelitian ini bertujuan untuk mengevaluasi respon jenis dan dosis kompos kotoran hewan terhadap produksi tanaman terung ungu. Hal tersebut dilatarbelakangi oleh produksi terung ungu yang masih belum optimal karena pemupukan yang kurang efisien. Metode penelitian ini menggunakan desain Rancangan Acak Kelompok (RAK) dua faktor. Faktor pertama adalah jenis kompos kotoran hewan (kotoran puyuh, ayam, dan sapi), sedangkan faktor kedua adalah dosis kompos kotoran hewan (100 g, 150 g, 200 g, dan 250 g per polibag). Data hasil penelitian dianalisis menggunakan sidik ragam dan dilanjutkan dengan Uji Beda Nyata Terkecil (BNT) jika terdapat pengaruh yang signifikan. Penelitian ini dilaksanakan di lahan unit produksi Polbangtan Gowa dari bulan Maret hingga Desember 2022. Bahan yang digunakan meliputi benih terung ungu, kotoran ayam, kotoran puyuh, kotoran sapi, dan pupuk-pupuk lainnya. Alat-alat yang digunakan meliputi cangkul, meteran, timbangan analitik, dan lain-lain. Hasil penelitian pada parameter yang diujikan menunjukkan bahwa jenis dan dosis kompos kotoran hewan memiliki pengaruh yang signifikan terhadap pertumbuhan dan produksi tanaman terung ungu. Jenis kompos kotoran hewan memiliki perbedaan dalam kandungan nutrisi, yang mempengaruhi respons tanaman terhadap pertumbuhan dan produksi buah. Hasil penelitian ini diharapkan dapat memberikan informasi tentang penggunaan kompos kotoran hewan sebagai pupuk organik dan dosisnya sehingga menjadi alternatif yang ramah lingkungan dan ekonomis dalam pemupukan terung.
AI in Cybersecurity: Threat Detection and Response with Machine Learning
Authors: Et al. Nand Kumar
Published: September 2023

Cybersecurity threats are malicious activities or events that pose risks to the confidentiality, integrity, and availability of digital information systems, networks, and data. These threats can encompass a wide range of actions conducted by cybercriminals, hackers, or even insiders with malicious intent. Understanding these threats is crucial in safeguarding digital assets and maintaining the trust and reliability of modern information technology. In the rapidly evolving landscape of cybersecurity, the relentless growth of cyber threats poses a formidable challenge to organizations worldwide. To combat these threats effectively, there is an increasing reliance on Artificial Intelligence (AI) and Machine Learning (ML) techniques. This paper explores the integration of AI and ML into cybersecurity for threat detection and response, shedding light on the transformative impact of these technologies. AI (Artificial Intelligence) and ML (Machine Learning) have the potential to both bolster cybersecurity defences and, paradoxically, facilitate cyberattacks. On the defensive side, AI and ML technologies enhance threat detection and response, allowing organizations to identify and mitigate threats more efficiently. They can analyse vast amounts of data in real-time, spot anomalies, and recognize patterns indicative of potential cyberattacks. However, cybercriminals are also harnessing the power of AI and ML to perpetrate more sophisticated and targeted attacks. Ethical considerations surrounding AI in cybersecurity, including privacy concerns and responsible AI implementation, are also discussed to ensure a balanced and secure approach. The paper underscores the transformative impact of AI and ML in bolstering cybersecurity practices. It advocates for the integration of AI as an indispensable tool to fortify organizations against the ever-evolving landscape of cyber threats, ultimately enhancing their ability to detect, respond to, and mitigate potential breaches.
Advertising as a factor in the development of Kazan city’ commercial press in the second half of the XIX century
Authors: Galanin S. F.
Published: September 2023

The article enlightens the directions of development of the Kazan periodical press of the second half of the 19th century, associated with the growth of economy and trade. The main forms of advertising in Kazan newspapers are presented. The processes of commercialization of periodicals are shown, which are directly related to the transformation of advertising into the most important tool for working with the consumer and increasing the competitiveness of the enterprise. Based on archival sources, the main stages in the development of the Kazan commercial press in the second half of the 19th century are reflected.
Examining the Use of Career Development Curricula in Adolescent Residential Treatment Programs
Authors: Scott David , Gilstrap Jake
Published: September 2023

Research suggests adolescents leaving residential treatment programs have higher levels of unemployment and homelessness than average. This exploratory study examined what types of career development curricula are being used in residential treatment programs. The findings suggest that most residential treatment programs use little to no career development curriculum. The long-term goal is to support the critical need and development of a specialized career development curriculum for adolescents residing in residential group home programs.
Objeción de conciencia
Authors:   Universidad de La Sabana, Prieto Vicente
Published: September 2023

El volumen busca fijar la atención en los aspectos de la objeción de conciencia que pueden suscitar mayor interés en el actual debate jurídico. Después de una capítulo introductorio (I), se aborda (capítulo II) el origen histórico de las libertades de religión y de conciencia, y las diferencias entre la noción clásica de oposición a la ley injusta, por motivos de conciencia, y el moderno concepto de objeción. El capítulo III describe la aguda polémica de los últimos años, especialmente en el ámbito de las profesiones sanitarias, y el fundamento de la objeción de conciencia, que no es otro que la dignidad humana y los derechos fundamentales que de ella se derivan. El capítulo siguiente (IV) intenta sentar las bases de lo que constituye una verdadera objeción de conciencia merecedora de protección jurídica; el modo como la figura ha sido efectivamente regulada, con especial énfasis en la legislación y jurisprudencia colombianas, es el objeto del capítulo V. finalmente en el capítulo VI se busca ofrecer una síntesis conclusiva, en la que se destaca el contraste entre el delicado respeto de la objeción de conciencia en algunos supuestos, frente a las restricciones y límites en otros, que demuestran limitaciones graves en el empeño de alcanzar un reconocimiento pleno y coherente de la libertad de conciencia.
一位42歲男性接受兩階段肝切除術後發燒表現
Authors: 廖婉君 廖婉君 , Wan-Chun Liao 黃敦頌 , Tun-Sung Huang 林俊昌
Published: September 2023

肝癌為國人不可忽視的重要健康議題，其治療方式包括手術治療及非手術治療。接受肝臟切除手術常見的併發症有肝衰竭、出血、急性腎損傷、膽汁滲漏及肋膜積液等，若介入治療時機適當，能減少嚴重併發症而降低生命危險，故術後的照護為重要的目標。本個案是一位42歲男性，為B型肝炎帶原，因診斷為巨大肝臟腫瘤接受兩階段肝切除手術，於第二階段術後第13天出現高燒、引流液呈黃褐色液，相關臆測診斷有腹內感染及肋膜積水等，一一排除後，經由腹部超音波及胸部X光檢查，確立有膽汁滲漏及肋膜積液等複雜性併發症，透過給予胸腔穿刺、腹部引流管置放及抗生素治療一週後病情穩定且併發症獲得控制，照護期間為2020年7月11日至2020年8月10日，期望藉此經驗能做為日後照護此類個案之參考。

 

Hepatocellular carcinoma is undoubtedly a significant health issue. The medical treatments of the dis­ease include operative and non-operative management. The most common complications after hepatic resection are liver failure, hemorrhage, acute kidney injuries, bile leakage, and pleural effusion. How­ever, the possibility of severe complications could be decreased if proper postoperative care is provid­ed. This can, meanwhile, reduce the threats to lives. Thus, careful postoperative care plays a vital role. The case in this study is a forty-two-year-old male hepatitis B carrier. He was diagnosed with giant hepatocellular carcinoma after clinical physical examinations and imaging tests and then received a two-stage hepatectomy. He had a postoperative fever on the thirteenth day after liver resection with brownish-yellow fluid from drainage. Therefore, postoperative intra-abdominal infection with pleural effusion were suspected. After receiving an abdominal ultrasound and chest X-ray, it was confirmed that he had complications of bile leakage and pleural effusion. His condition was well-controlled after a week under the treatment of thoracentesis, abdominal drainage as well as antibiotics. The period of postoperative care was provided from July 11 to August 10, 2020. This case could be a reference for taking care of patients with similar issues.

 
Ecografia renale dopo il primo episodio di infezione delle vie urinarie: risultati di una revisione sistematica e metanalisi
Authors: De Brasi Daniele
Published: September 2023

Kidney Ultrasonography After First Febrile Urinary Tract Infection in Children: A Systematic Review and Meta-analysis The clinical utility of renal ultrasound after the first febrile urinary tract infection (UTI) is much debated, and guideline (LG) recommendations often differ. The objective of this study was to determine the prevalence of urinary tract abnormalities detected by ultrasound after the first febrile UTI in children. Medical research databases were used to search for articles on studies on the use of ultrasound in children with first UTI. Primary outcome was the prevalence of urinary tract abnormalities and clinically important abnormalities detected on renal ultrasound. Twenty-nine studies were included, with a total of 9.170 children studied. Of the 27 studies that reported the sex of participants, the average percentage of males was 60% (range, 11% -80%). The prevalence of abnormalities detected on renal ultrasound was about 22%, while the prevalence of clinically important abnormalities was about 4%. The most detected abnormalities were hydronephrosis, pyelectasis, and ureter dilatation. Urinary tract obstruction was identified in 0.4% of cases, and surgery was performed in 1.4% of cases. No studies reported parent-reported outcomes. The results suggest that 1 in 4-5 children with first febrile UTI have a urinary tract abnormality detected on renal ultrasound and 1 in 32 an abnormality that changes their clinical management. Given the considerable heterogeneity of the studies and the lack of comprehensive outcome measurement, the authors suggest the need for well-designed prospective longitudinal studies to fully evaluate the clinical utility of renal ultrasound after the first febrile UTI.
A influência da assistência pré-natal no prognóstico do recém-nascido com icterícia neonatal
Authors: Mendes Aline Rezende de Souza , Almeida Érica de , Couto Lorena Moreira , Soares Rafaela Marcello
Published: September 2023

Introdução: A icterícia neonatal é uma condição em que o recém-nascido apresenta coloração amarelada na pele e nas mucosas devido ao acúmulo de bilirrubina. No contexto da isoimunização Rh, essa icterícia ocorre devido à transmissão de anticorpos maternos contra as hemácias do feto. O diagnóstico precoce dessa condição por meio do teste de Coombs indireto é essencial para melhorar o prognóstico do recém-nascido, permitindo um planejamento e condutas adequadas. Isso é importante para evitar complicações como a impregnação de bilirrubina no sistema nervoso central (SNC). Objetivo: Realizar uma revisão narrativa da literatura sobre o prognóstico da icterícia neonatal por isoimunização Rh diagnosticada precocemente durante a assistência pré-natal, possibilitando um planejamento terapêutico adequado. Método: Realizou-se revisão narrativa da literatura utilizando-se as bases de dados Scientific Electronic Library Online (SciELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), National Library of Medicine (PubMed) e o Manual de Gestação de Alto Risco do Ministério da Saúde de 2022. Incluíram-se artigos completos publicados entre 2012 e 2022 nos idiomas português, inglês e espanhol, relacionados ao tema. Excluíram-se publicações que não estavam diretamente relacionadas à temática. No total, 12 artigos foram selecionados para leitura na íntegra. Resultados: A isoimunização Rh pode causar várias complicações relacionadas à hemólise fetal, como anemia, hiperbilirrubinemia e disfunções neurológicas. A elevação da bilirrubina pode atravessar a barreira hematoencefálica imatura do feto, resultando em encefalopatia bilirrubínica aguda e kernicterus. A isoimunização Rh ocorre quando uma gestante Rh negativa produz anticorpos contra o fator Rh em um feto Rh positivo. Portanto, é necessário realizar o teste de Coombs indireto durante o pré-natal para garantir uma assistência adequada ao recém-nascido imediatamente após o parto e nas horas subsequentes. Isso inclui a administração adequada de fototerapia e monitoramento rigoroso dos níveis séricos de bilirrubina para promover sua conjugação, excreção urinária na forma de urobilinogênio e excreção fecal na forma de estercobilina, a fim de reduzir a bilirrubina indireta e diminuir as possíveis complicações, evitando intervenções mais complexas e invasivas, como a exsanguineotransfusão, que pode levar ao óbito. Conclusão: A isoimunização Rh é uma doença grave e pouco discutida. O teste de Coombs indireto é facilmente acessível e disponibilizado pelo sistema público de saúde, fornecendo um diagnóstico preciso que orienta a terapêutica e prepara a equipe de neonatologia para receber o recém-nascido com recursos adequados. É fundamental aumentar a visibilidade dessa doença, possibilitando sua detecção precoce e a adoção de medidas preventivas para reduzir o número de ocorrências.
Aleitamento materno de pacientes com lúpus eritematoso sistêmico
Authors: Pinheiro Luísa Jannuzzi Fraga , Jesús Guilherme Ribeiro Ramires de , Lacerda Marcela Ignacchiti , Santos Flávia Cunha dos , Jesús Nilson Ramires de , Monteiro Denise Leite Maia
Published: September 2023

Introdução: A amamentação é uma prática de suma importância para a saúde materna e neonatal. O aleitamento materno exclusivo é recomendado por, pelo menos, 4 meses e está associado, de acordo com a Organização Mundial de Saúde (OMS), a uma redução de 13% na mortalidade infantil até os 5 anos. Apesar dos benefícios, muitas pacientes portadoras de doenças crônicas, como é o caso do lúpus eritematoso sistêmico (LES), são desencorajadas e mal orientadas sobre a realização do aleitamento materno. Objetivo: Descrever a forma e o tempo de aleitamento materno de pacientes com LES acompanhadas em centro terciário. Material e métodos: Estudo transversal realizado com pacientes com LES, com, pelo menos, seis meses pós-parto, no ano de 2022. Realizou-se contato telefônico e entrevista a partir de questionário semiestruturado. Discussão: Coletaram-se dados de 14 pacientes, com média de idade de 29 anos (16–19 anos). Dessas, apenas uma não amamentou, devido à internação de recém-nascido prematuro com duração de 9 meses e 20 dias, período no qual o recém-nato recebeu leite materno e fórmula pela sonda, e aleitamento exclusivo por fórmula após a alta hospitalar. A média de tempo do aleitamento materno entre as 13 pacientes que amamentaram foi de 6 meses, sendo que 5 pacientes ainda estão amamentando e todas iniciaram o aleitamento no hospital. Seis pacientes interromperam o aleitamento materno antes dos 4 meses, sendo uma devido ao uso de medicamentos para LES (MMF), 3 por baixa produção de leite, uma por complicação de mastite e uma por dificuldade na pega do neonato ao seio. Seis fizeram aleitamento materno exclusivo por, pelo menos, quatro meses. Entre as 14 pacientes, 7 relataram que seus filhos receberam leite artificial no hospital. Entre as pacientes que amamentaram e já interromperam a amamentação, a média do tempo de aleitamento materno foi de 5,8 meses (1-10 meses). Das 14 pacientes avaliadas, 11 informaram que foram orientadas sobre a amamentação durante as consultas pré-natais e nenhuma relatou ter recebido orientação sobre não poder amamentar de qualquer profissional da saúde. Conclusão: Observa-se que a maior parte das pacientes iniciou a amamentação, porém quase metade delas não cumpriu os 4 meses recomendados de aleitamento materno exclusivo. Contudo, apenas 2 pacientes das 13 que amamentaram precisaram interromper o aleitamento devido ao LES. Há ainda desafios para a amamentação que afetam pacientes independentemente de doenças crônicas associadas, como baixa produção de leite e dificuldades na pega do neonato. De forma positiva, constatamos que grande parte das pacientes recebeu orientação sobre amamentação durante o pré-natal e nenhuma foi orientada erroneamente de que haveria uma contraindicação à amamentação.
Avaliação dos desfechos fetais e neonatais de paciente com lúpus eritematoso sistêmico que engravidaram em uso de micofenolato de mofetila
Authors: Rocha Maria Eduarda Araujo Machado da , Lacerda Marcela Ignacchiti , Santos Flávia Cunha dos , Jesus Guilherme Ribeiro Ramires de , Jesus Nilson Ramires de
Published: September 2023

Introdução: O lúpus eritematoso sistêmico (LES) é uma doença que afeta principalmente mulheres em idade reprodutiva, e a nefrite lúpica (NL) é uma manifestação frequente, com um aumento do risco de complicações. O micofenolato de mofetil (MMF) é um medicamento imunossupressor e é atualmente considerado o tratamento de primeira linha para NL. No entanto, desde o relato do primeiro caso de malformação congênita associada ao uso materno do MMF na década de 1990, esses imunossupressores têm sido evitados em pacientes que planejam engravidar. Objetivo: Avaliar os desfechos fetais e neonatais em pacientes com LES que engravidaram enquanto faziam uso de MMF, por meio de uma análise retrospectiva dos prontuários médicos. Métodos: Foram analisados todos os prontuários de pacientes com LES em busca daquelas que engravidaram enquanto estavam em uso de MMF, no período de 2009 a 2020. Resultados e discussão: Estudos anteriores sugeriram que a presença de abortamentos ou malformações poderia estar relacionada à dose de MMF e à duração do uso da medicação. Em relação aos casos de abortamento, o tempo de uso do MMF foi de 4, 8 e 16 semanas, e a dose utilizada foi de 1,5 g/dia. No caso em que o recém-nascido apresentou malformações esqueléticas, o tempo de uso do MMF foi de 10 semanas, e a dose prescrita era de 3 g/dia, a maior dose relatada. Das 20 pacientes estudadas, 4 (20%) tiveram abortos espontâneos, e das 16 pacientes que não abortaram, 1 recém-nascido (6,25%) apresentou malformações ao nascer, sendo compatíveis com anomalias ósseas. Estudos anteriores indicaram que anomalias ósseas estavam presentes em 23% dos fetos com embriopatias relacionadas ao MMF. Um pequeno estudo prospectivo de 10 casos relatou que, com a exposição ao MMF no primeiro trimestre da gestação, nenhum dos neonatos nasceu com malformações, mas 40% sofreram aborto espontâneo. Esse estudo sugere que a taxa real de embriopatias associadas ao MMF possa estar entre 4 e 6%, o que se assemelha aos achados do presente estudo. Também é possível que os fetos que sofreram aborto espontâneo tivessem malformações maiores que não foram identificadas. Outro fator que dificulta a análise adequada do impacto do MMF é o fato de que o LES apresenta taxas aumentadas de aborto espontâneo, principalmente em casos de NL e atividade da doença. Conclusão: A presença de nefrite lúpica por si só é um marcador de mau prognóstico materno-fetal. O uso de MMF parece aumentar o risco de aborto espontâneo e teratogenicidade quando usado durante a gestação. Neste estudo, observou-se que, das 20 pacientes estudadas, 4 (20%) tiveram abortos espontâneos e, entre as 16 pacientes que não abortaram, 1 recém-nascido (6,25%) apresentou malformações ao nascer.
Cisto dermoide durante a gestação
Authors: Montuori Jacqueline Assumção Silveira , Vasconcellos Bruna Obeica , Borges Alberto Alves , Marques Marcos Paulo Cardoso , Ventura Walter Palis , Osolins Luciana Furtado , Torrieri Rachel Mendes , Rezende Filho Jorge Fonte de
Published: September 2023

Introdução: Durante o primeiro trimestre da gestação, os cistos simples são os mais comuns, e geralmente não sofrem grandes alterações em tamanho ao longo da gravidez. Após as 16 semanas, os cistos dermoides, também conhecidos como teratomas, tornam-se mais frequentes e representam cerca de 50% dos cistos benignos durante a gestação. Esses cistos podem apresentar complicações, como torção do pedículo, que é a mais comum, ou evolução para malignidade ovariana. Com os avanços na técnica e disponibilidade da ultrassonografia (USG), é possível acompanhar melhor as massas anexiais durante a gestação. A maioria dos cistos funcionais tende a regredir espontaneamente, mas alguns podem persistir como benignos ou, em casos raros, se tornarem malignos. Relato de caso: O caso de A.B.G.S.S., uma mulher de 35 anos, G4P3CA0, ilustra essa situação. Ela estava em acompanhamento ginecológico em uma unidade básica para a colocação de um DIU, quando exames solicitados revelaram uma imagem cística sugestiva de teratoma de 6,4/6,8 cm no anexo esquerdo. Ela foi submetida a um pré-operatório para a remoção do teratoma, e durante esse período descobriu que estava grávida. A paciente iniciou o pré-natal e, durante uma consulta, relatou dor na fossa ilíaca esquerda. Nesse momento, foi observado um aumento significativo do teratoma para 11/10 cm no ovário esquerdo. Ela entrou em trabalho de parto inicial e foi internada. Após a avaliação dos exames, decidiu-se pela via alta e excisão do teratoma. O procedimento foi realizado sem complicações, e a amostra foi enviada para análise histopatológica. A paciente teve uma evolução pós-parto imediato fisiológico e retornou à unidade básica para revisão puerperal e planejamento contraceptivo. Comentários: Devido às possíveis complicações, não há um consenso sobre a conduta ideal a ser adotada nesses casos, o que gera debates entre os obstetras. Muitos autores defendem a realização de cirurgia eletiva durante a gestação, a fim de evitar procedimentos cirúrgicos de emergência. Por outro lado, alguns profissionais sugerem a cistectomia intraparto como o momento apropriado para a remoção do cisto. No entanto, outros autores relatam os possíveis riscos de uma cirurgia eletiva realizada durante a gestação, que podem ter consequências tanto para a mãe quanto para o feto. Portanto, devido à grande discussão em torno dos riscos e benefícios, cada caso deve ser analisado individualmente, levando em consideração as circunstâncias clínicas da paciente.
Latent Comparative Advantages of Turkish Economy in China under the Belt and Road Initiative
Authors: GURBUZ Eren Can
Published: September 2023

This study identifies latent comparative advantages (LCA) of the Turkish economy in China under the Belt and Road Initiative (BRI) China-Central West Asia economic corridor. The LCA of Turkey is anticipated to increase the export volume of Turkey in China, resulting in a decline in Turkey’s foreign trade deficit with China. The growth identification and facilitation framework proposed by new structural economics is implemented with crucial modifications, including PRODY and EXPY calculations and comparisons of EXPY and some product space indicators, to pick the LCA of Turkey in China. Benchmark countries are chosen from BRI's China-Central West Asia economic corridor owing to their similar transportation routes and infrastructure investment by China and themselves. Comparing the Turkish economy to its benchmark countries regarding export diversification reveals that Turkey exhibits LCA in several manufacturing commodities, including machinery and mechanical appliances, loudspeakers, and fire extinguishers. LCA's binding constraints, barriers, and obstacles are examined to facilitate LCA production. The policy recommendations and their instruments are suggested to ease LCA production regarding the determined LCA's binding constraints, barriers, and obstacles.
Post radiofrequency ablation management of complications of osteoid osteoma with Ayurveda
Authors: Sharma Himani , Satputte Kalpana , Mittal Ishan , Khandizod Shivapal , Patwari Prachi Dhananjay , Damle Neena
Published: September 2023

Osteoid osteoma is a benign bone tumour that usually develops in the long bones of the body such as femur & tibia. It causes continuous, deep and severe pain at night, Swelling, joint stiffness. Modalities of management in modern medicine are limited and many patients suffer from post RFA complication like pain, general debility, gait disorder etc. Hence, there is a need of more efficient methods to treat this. Our present study comprises of one such way of dealing post radiofrequency management of Osteoid Osteoma through Ayurveda. A single case study of 18 year old male patient, diagnosed with Osteoid Osteoma of right hip joint who underwent RFA for same but did not get relief. Patient came to us with the complaint of severe pain in right hip joint with muscle lag associated with difficulty in doing daily activities such as walking, cross leg sitting, squatting & Gait disorder from last two years.
A COMPREENSÃO DOS PROFESSORES DA EDUCAÇÃO DE JOVENS E ADULTOS SOBRE A POLÍTICA DE EDUCAÇÃO ESPECIAL DE SANTA CATARINA
Authors: Trentin Valéria Becher
Published: September 2023

Este artigo tem como objetivo analisar a compreensão dos professores sobre a Política de Educação Especial de Santa Catarina no contexto de um Centro de Educação de Jovens e Adultos (CEJA). De abordagem qualitativa, a pesquisa envolveu a participação de três professoras que atuam na modalidade de ensino. A análise de conteúdo das entrevistas semiestruturadas possibilitou reflexões sobre como a Política de Educação Especial de SC é compreendida no contexto da instituição. Os resultados revelaram que a compreensão da Política de Educação Especial de Santa Catarina envolve um processo imerso em conflitos e contradições, o que demonstrou a necessidade de comprometimento no sentido de superar práticas excludentes reproduzidas na escola, bem como promover a superação do caráter exclusivo da Educação Especial em tempos de inclusão.
Literature Review on The Impact of Internet Finance Development on Commercial Bank Profit Model
Authors: Hu Zhuxin , Chen Yijun
Published: September 2023

By diverting customers, squeezing the scale of deposit and loan business and raising the cost of capital, internet finance can reduce the interest rate spread of commercial banks and compete with them in many fields. This paper adopts the method of literature review to comb and study the relevant literature of Internet finance, the profit model of commercial bank, the impact of Internet finance on the profit of commercial bank and the relevant literature of improvement, on this basis, this paper discusses the impact of Internet finance on commercial bank profit model in the future research direction.
Study on the Relationship Between Professional Commitment and Learning Burnout of Undergraduates Majoring in Public Administration
Authors: Xiao Tong
Published: September 2023

In order to understand the relationship between professional commitment and learning burnout of undergraduates majoring in public utilities management, the students majoring in public utilities management in C University were coded, and 100 undergraduates with different gender, household registration and classes were randomly selected to distribute scales, and 97 valid scales were collected. Descriptive statistics, one-dimensional linear regression model and multiple linear regression model were used for empirical research. The results show that the emotional commitment factor in professional commitment has a significant impact on the degree of learning burnout. By studying the relationship between professional commitment and learning burnout of undergraduates majoring in public utilities management, this study aims to help students establish a correct professional concept, enhance their professional identity and reduce their learning burnout. And put forward some suggestions for the development of public utilities management specialty to cope with the development crisis of public utilities management specialty.
La moda combatte la guerra di Mattia Damiano
Authors: Redazione
Published: September 2023

Donazioni, messaggi di denuncia e appelli di pace contro la guerra in Ucraina. Dal gelo di Balenciaga alle calde parole di pace di Gritsfeldt
Production of Gluten–Free Breakfast Cereals Based on Red Rice by Extrusion Process
Authors:   Assistant Professor, Department of Food Technology, Nehru Institute of Technology, Kaliyapuram, Coimbatore, (Tamil Nadu), India., Loganathan Veerapandi , Vijayan Lekhashri ,   Department of Food Technology, Saintgits ollege of Engineering, Kottukulam, Pathamuttom Hills, Kottayam, (Kerala), India., Rinu Riya Mariyam ,   Department of Food Technology, Saintgits college of Engineering, Kottukulam, Pathamuttom Hills, Kottayam, (Kerala), India., Madhu Ahalya ,   Department of Food Technology, Saintgits college of Engineering, Kottukulam, Pathamuttom Hills, Kottayam, (Kerala), India.
Published: September 2023

Ready-to-eat breakfast cereals (RTE-BC) is either extruded product from flour (or) flaked corn, wheat (or) rice commonly used as breakfast in western countries. Cereal fortification helps to eliminate many nutritional deficiencies in various developed nations including United States. Recent techniques used to make bio-available vitamins and minerals in breakfast cereals to overcome the nutritional deficiencies such as iron, calcium etc. The main objective of this study was development of readt to eat foods from cereals for breakfast using extrusion. Trial no.6 because of its Good consistency and sensory properties. Among all other trials the red rice and quinoa 42% is found to be effective in nutritional facts and consistency. Typically, breakfast cereals include flaked, puffed, shredded, granula, extrude and baked product Oryzapunctata (red rice) and Chenopodium quinoa (quinoa seed), two gluten free food grains help to replace the wheat which contains gluten and used for the production of breakfast cereals. Quinoa is good example for the functional food that aims to lower the risk of various debilitating diseases and identify the presence of phyto-hormones of as several advantages for human nutrition over other plant foods. The Orzyapunctata (red rice) with high antioxidant content can be supplemented in the form of breakfast cereal so as to reduce the usage of artificial antioxidant BHT (butylated hydroxyl toluene).
Hearing Loss in Chronic Otitis Media Mucosal Type, Does This Have a Relation with Patient Demographic Profile, a Study in the Third World Country
Authors:   Senior Resident, Department of ENT-HNS, Hamdard Institute of Medical Sciences and HAH Centenary Hospital, New Delhi, Delhi. India. and Research Conducted, Department of ENT, Jawaharlal Nehru Medical College, AMU, Aligarh, (Uttar Pradesh), India., Tayyaba Dr. Zohda , Ansari Dr. Sana ,   Senior Resident, Department of ENT, Jawaharlal Nehru Medical College, AMU, Aligarh, (Uttar Pradesh), India., Aqib Dr.Mohd ,   Senior Resident, Department ofNeurootology, SGPGI, Lucknow, (Uttar Pradesh), India, Chandra Prof. Kamlesh ,   Ex Chairman and Professor, Department of ENT, Jawaharlal Nehru Medical College, AMU, Aligarh, (Uttar Pradesh), India.
Published: September 2023

The study was conducted to establish a relationship between hearing loss withthe demographic profile in patients with chronic otitis media inactive mucosal disease. Patients with chronic otitis media (COM) inactive mucosal disease, of both sexes and different age groups were assessed and grouped based on unilateral or bilateral ear involvement; rural and urban, and based on the duration of discharge. Hearing loss (HL) was measured by calculating the air-bone gap via pure-tone audiometry. The study included 210 ears, a total of 161 patients. The age group of patients ranged from 15 to 55 years. Maximum proportion (53 %) in younger age groups (15-25 years) but no relation with HL was seen. Incidence was higher in females, with significantly greater HL. Greater HL in bilateral involvement. 51% right ear and 49% left ear involvement; 59 % from the rural area, 41 % from urban areas; no significant difference in HL. Duration of ear discharge varied from2 months to several years; maximum proportion (41%) for more than 10 years, with maximum HL (27.18 dB). Hence, it was concluded that high incidence of COM was in patients in the younger age range, in females, in rural areas, and in unilateral ear involvement. HL was significantly higher with bilateral involvement and in the female population. Greater HL was associated with longer discharging ears.
GENERAL ANESTHESIA IN A PATIENT WITH CHARCOT-MARIE-TOOTH DISEASE
Authors: ISLAM S , KHAN MNA , MUSTAFA S
Published: September 2023

General anesthesia organization in patients with Charcot-Marie-Tooth Sickness (CMTD) presents novel moves and contemplations because of the hidden neuromuscular and fringe sensory system association. The main objective of the case report is to establish a safe general anesthesia protocol without triggering malignant hyperthermia in a patient with Charcot-Marie-Tooth disease. A 22-year-old female student presented to the plastic surgery department with a history of progressive bilateral foot drop (more on the left than right). She had been diagnosed with CMTD 10 years previously. No surgical procedure was done previously. There was no problem other than the foot drop. The patient was NKDA and NKFA allergic, and there was no medication previously. This case underscores the complexities of managing CMTD-related symptoms, particularly foot drop, in a young female patient. The multidisciplinary collaboration between plastic surgery, orthopedics, and Anesthesiology offers a holistic approach to improving mobility and enhancing the patient's quality of life through muscle-strengthening exercises and potential surgical interventions.
Analysis Of Passenger Perception On Ferry Port Service Of Mengkapan At Siak District, Riau Province Using Importance Performance Analysis
Authors: Hartanto Hartanto , Alam Kodrat , Dhea Trissa
Published: September 2023

The Ferries Port of Mengkapan, Apit River, Siak District, Riau Province. The port plays an important role in improving the economy, particularly the field of transport for the local population. Based on observations in the field, there are some services that have not run well, soservice users were dissatisfied and uncomfortable while in The Ferries Port of Mengkapan. The method used to analyze the existing problems, ie Customer statisfaction Index and Importance Performance Analysis. Based on the analysis results obtained passenger satisfaction index of 43.9%, and there are nine service attributes that are in quadrant I, which should be improved and enhanced. The suggestions for the Port Authority, namely: (1) held Air Conditioner (AC) 4 pieces of 1.5 PK in the waiting room, repair the damaged chair, and clean the waiting room every day; (2) clean the toilet every day and ensure the availability of clear water; (3) conduct a complete information service facility; (4) expand the parking lot ready for loading and parking shuttle; (5) held a health facility; (6) held an emergency rescue facilities; (7) held CCTV; (8) improve the ticket purchasing process; (9) ensure timely arrival and departure of ships. Keywords: Analysis; Passenger Perception; Importance Performance Analysis.
REVIEW OF LIFE SAFETY EQUIPMENT TOOL AT KMP. PERMATA LESTARI II KAYANGAN TRACK - POTO TANO WEST NUSA TENGGARA PROVINCE
Authors: Mantoro Budi , Khairani Muhammad , Putra Mataram AJi Maspanji
Published: September 2023

Kayangan Crossing Port is organized and managed by PT. ASDP Indonesia Ferry (Persero), this crossing port serves 1 track with 23 Ro-Ro type ships (roll on - roll off) in operation. The high level of demand for crossing services, encourages the government to pay attention to all components related to crossing transportation, such as safety aspects that are one of the important components in crossing transportation. Including life safety equipment on board the ship as a form of anticipation in the event of an emergency. The method used in this study was carried out by comparing the existing state with the expected circumstances under the International Safety Of Life at Sea (SOLAS) Regulation of 1974 Chapter III amendment year 2014. The author tried to analyze the problems that will later be drawn to be a solution or solution to the problem in an effort to increase supervision of the number and condition of passenger safety equipment on board ships operating at the pontoon dock at Gilimanuk Crossing Port of Bali Province.
Implementation Of Safety Equipment Regulations On The Tourism Ship Km. Princess Flower Dadar And Km. From Nature
Authors: Sulistiyono Noor , Diani Oktrianti , Panjaitan Leonardo Anugrah
Published: September 2023

Palembang is the capital city of South Sumatra Province, geographically the city of Palembang is divided by the Musi river into two parts, namely across the ilir in the north and across the ulu in the south. There is the Ampera Bridge which is the icon of the city of Palembang which is in the middle of these two areas. This provides many benefits for the city of Palembang, so the city government tries to maximize the potential of utilizing the Musi river to improve the welfare of the people of Palembang City. Sailing safety is a condition in a safe condition. To achieve this, supervision of ship operators can be carried out, while shipping safety is defined as a condition where safety and security requirements are met when sailing. Safety equipment on the KM tourism boat. Segentar nature is needed both in terms of quantity and condition, because this ship is classified as an old ship that is still operating. And the existing condition of safety equipment on the ship KM.Putri Kembang Dadar currently many have been damaged, and have not been updated, while safety equipment is very important to support the safety of passengers boarding parawista ships.
Analysis Of Container Handling Damage At Makassar Container Terminal
Authors: Komalasari Yeti
Published: September 2023

The purpose of this study was to determine the factors that cause container damage at the Soekarno-Hatta Makassar Container Terminal. This research was conducted at the Container Terminal of Soekarno-Hatta Port, Makassar. This study uses a qualitative descriptive method that uses information about the occurrence of further damage at the container terminal at Soekarno Hatta port, observations, interviews, with employees and the author looking for literature in the library related to the title of this study. The results showed that the factors causing damage to containers at the Soekarno-Hatta Port Container Terminal, Makassar Port were the operation of cranes that were not careful in handling containers so that the containers were damaged and the lack of maintenance which resulted in containers corroding.
Evaluation of Crossing Transportation Services on Ships Operating at the Likupang Crossing Port, North Sulawesi Province
Authors: Priyono Broto , Amanda Monica , Halfani Ranti
Published: September 2023

Likupang Crossing Port is located in Munte Village, North Minahasa Regency, North Sulawesi. Likupang Port has three ships operating, namely KMP. Lohoraung track Likupang-BiaroTagulandang- Makalehi-Siau, KMP. Tarusi trajectories Likupang-Pananaru-Melonguane and KMP. Watunapato trajectory Likupang-Melonguane-Marampit-Miangas which is currently docking. Based on the results of observations in the field, there are some services that have not been carried out properly, so service users feel dissatisfied and uncomfortable while on the ship. The method for analyzing existing problems is the analysis of the percentage of the level of conformity of crossing transportation service standards and the analysis of Importance Performance Analysis. KMP. Lohoraung with a percentage of conformity rate of 48.58% and KMP. Tarusi with a percentage of conformity rate of 51.61%. On kmp vehicle loading service standards. Lohoraung with a percentage of conformity rate of 85.18% and KMP. Tarusi with a percentage of conformity rate of 81.48%. On the standards of service of operating KMP ships. Lohoraung and KMP. Tarusi has a degree of conformity with a percentage of 100%. Based on the results of the analysis, conclusions were obtained, namely the attributes that are in quadrant I, based on the results of research on important service attributes and received the highest assessment of their importance. Attributes that are in quadrant I include, in KMP. Lohoraung facilities for damaged lifeboats, medical rooms that are not used as they function, unavailability of medical devices (stretchers, wheelchairs, oxygen cylinders), toilets that still merge each gender, no prayer rooms and at KMP. There are leaky lifeboats, toilets still joined by each gender, nursing rooms that are not used as they function, lighting that does not comply with the rules.