bluuebunny/crossref_metadata_2025 huggingface dataset:
Structural Design of a Building: A Comprehensive Overview
Authors: Patel Rutvij
Published: November 2023

Abstract: When determining a building's structural design, designers must comprehend the subsequent processes. Building a residential, commercial, or industrial structure that can withstand all applied loads without failing over the course of its lifetime is the primary goal of structural analysis and design. A simplified, step-by-step procedure is used by structural engineers to design a structure that is structurally sound. The structural analysis and design process is facilitated by BIM tools such as Tekla and Autodesk Revit. An architectural piece needs to be both occupant-safe and structurally sound. Typhoon and earthquake resistance should be built in. The maximum shear and moment forces that occur in floor beams, columns, or stresses in steel trusses should be known by architects with sufficient expertise. As a result, the building's components, lifetime, Quality, strength, and other factors are affected by the structural design evaluation's missing sequence. You can follow the instructions in this document to design a building step-by-step: conceptual design, load analysis, structural analysis, system design, and other ideas in this document.
SafeGuard: IOT Based Health and Soldier Tracking System
Authors: Meshram R. S.
Published: November 2023

Abstract: These days, a nation's battleground is essential to its security. The soldiers in the army play a major role. There have been several actions made to protect the soldiers. Therefore, numerous equipment is mounted on horses to monitor their health in order to ensure their safety. Bioprocess systems facilitate low-cost wearable, discreet health monitoring options by combining several biosensor types, transmission technologies, and processing powers. GPS is used to determine latitude and longitude, making it easy to determine the soldier's direction. In order for base stations to be able to monitor their soldiers in real time, these devices are being attached to weapons and clothing. The Israeli Army, for example, is investigating the possibility of embedding GPS trackers inside soldiers' vests and uniforms. Several intelligent sensors that are affixed to a soldier's body are employed in this system. The base station will use a wireless connection to provide connectivity. The GSM module that the soldiers would carry will aid in facilitating their contact with the army station base. The idea of tracking a soldier and learning about his situation during a fight is the focus of the project's proposed system. Software and hardware are integrated to implement the system.
Quedas de idosos e fatores associados: estudo de base populacional no nordeste do Brasil
Authors: Melo Neto Antonio Quaresma de , Oliveira Elton Filipe Pinheiro de , Frota Karoline de Macêdo Gonçalves , Rodrigues Malvina Thais Pacheco , Mascarenhas Márcio Dênis Medeiros
Published: November 2023

A ocorrência de quedas de idosos aumenta após a sexta década de vida. Esses agravos constituem um importante fator causal de dependência e morbimortalidade entre essa população, sendo considerado um importante problema de saúde pública. O artigo objetiva analisar a prevalência e os fatores associados a quedas de idosos. Realizou-se estudo transversal, domiciliar, de base populacional, com amostra por conglomerados em dois estágios, incluindo 218 idosos (≥ 60 anos). Empregou-se o teste qui-quadrado para verificar a existência de associações estatísticas. Realizou-se análise de regressão de Poisson para estimar as razões de prevalência (RP) bruta e ajustada. Os participantes eram, em sua maioria, do sexo feminino (66%), tinham entre zero e sete anos de estudo (64,4%), renda familiar inferior ou igual a dois salários mínimos (54,8%), eram insuficientemente ativos (53,7%), tinham comorbidades (80,7%) e faziam uso de três ou mais medicamentos (64,8%). A prevalência de quedas foi de 44,5%, sendo mais frequente nas mulheres (52,8%). Tal ocorrência foi associada estatisticamente com o sexo feminino (RPa: 189; IC95%: 1,38-2,57; p = 0,001), ter entre zero e sete anos de estudos (RPa: 1,48; IC95%: 1,01-2,20; p = 0,04), tabagismo (RPa: 1,40; IC95%: 1,09-1,80; p = 0,009), dependência para realizar atividades diárias (RPa: 1,72; IC95%: 1,24-2,40; p = 0,002), doença mental (RPa: 1,82; IC95%: 1,19-2,78; p = 0,007), depressão (RPa: 1,56; IC95%: 1,01-2,43; p = 0,04), uso de antidepressivos (RPa: 2,14; IC95%: 1,03-4,45; p = 0,04) e antiparkinsonianos (RPa: 2,29; IC95%: 1,01-5,21; p = 0,04). O uso de antiosteoporóticos mostrou-se protetor para a ocorrência de quedas (RPa: 0,37; IC95%: 0,15-0,90; p = 0,03). A prevalência de quedas foi elevada e esteve associada ao sexo feminino, à baixa escolaridade, ao tabagismo, a doenças mentais e ao uso de medicamentos para o sistema nervoso central.
Promoção da saúde: ações de cuidado produzidas na atenção básica à pessoa idosa
Authors: Silva Letícia Pacheco , Mano Yasmin de Fatima Aragão , Caldart Raquel Voges , Maciel Jackeline da Costa , Azevedo Albert Lengruber de , Silva Paulo Sérgio da Silva
Published: November 2023

O envelhecimento ativo e saudável perpassa pelos cuidados promotores de saúde produzidos na Atenção Básica direcionados à pessoa idosa. O objetivo deste artigo foi identificar ações de promoção da saúde desenvolvidas com idosos na Atenção Básica. Este é um estudo exploratório, com abordagem qualitativa, realizado com vinte profissionais atuantes em cinco Unidades Básicas de Saúde (UBS) de Roraima. A estratégia adotada para produção dos dados foi uma entrevista semiestruturada e os achados foram analisados segundo Bardin. As unidades de registros foram decodificadas em três dimensões: visita domiciliar, orientações em saúde e acolhimento como rota promotora de saúde à pessoa idosa. As ações promotoras do cuidado consideram na visita domiciliar a íntima relação da pessoa idosa com sua família e a realização de visitas regulares a pessoas idosas com maior grau de dependência. As orientações em saúde foram promovidas de forma singularizada, adequadas ao grau de escolaridade da pessoa idosa, ampliadas para familiares e cuidadores, envolvendo principalmente os temas referentes à alimentação e aos riscos de queda no domicílio. Por fim, a ação de acolher foi representada pela formação de vínculos com a equipe de saúde, pela escuta de suas reais necessidades e pela elaboração de planos de cuidados singulares a cada sujeito.
Restrições no acesso às Unidades de Terapia Intensiva Pediátrica antes e durante a pandemia de COVID-19
Authors: Brito Patrícia Meireles , Ribeiro Kátia Suely Queiroz Silva , Goes Paulo Savio Angeiras de , Sarinho Silvia Wanick
Published: November 2023

O objetivo deste artigo foi comparar os motivos das rejeições das solicitações para internação de crianças na Unidade de Terapia Intensiva Pediátrica (Utip), com os períodos antes e durante a pandemia por covid-19 em Pernambuco, Brasil. Foi realizado um estudo transversal com dados do Sistema de Regulação Hospitalar de 2019 a 2020, com informações dos principais motivos de rejeição para Utip. Realizou-se análise descritiva e teste exato de Fisher com significância de 5%. Das 2.501 indicações de encaminhamento para Utip investigadas, encontrou-se 91 (7,7%) rejeições em 2019 e 123 (9,3%) em 2020. Entre os motivos, houve diferença significativa com incompatibilidade do quadro clínico com o recurso requerido (2019: N = 8, 2020: N = 36; p-valor = 0,009) e falta de equipamento e infraestrutura (2019: N = 19, 2020: N = 28; p-valor = 0,007). Assim, constata-se que houve aumento de rejeições para Utip por barreiras organizacionais como a falta de recursos humanos e indisponibilidade de leitos, as quais persistiram durante a pandemia.
O profissional farmacêutico em um laboratório de saúde pública: relato de experiência na imunologia clínica
Authors: Freire Jhullyara Moraes , Matos Helen Regina Silva Sodré de , Moura Daniel , Santos Gleice , Ribeiro Elenice , Santos Carina Carvalho dos
Published: November 2023

O curso de Farmácia da Universidade Federal da Bahia (UFBA) tem como objetivo a formação do profissional farmacêutico generalista humanista, crítico, reflexivo e capacitado para atuar em todos os níveis de atenção à saúde. As análises clínicas e toxicológicas são uma importante área de atuação do profissional na saúde pública. O objetivo deste artigo é descrever as atividades realizadas durante um estágio em laboratório de saúde pública de análises clínicas. Este é um estudo descritivo, do tipo relato de experiência, realizado entre agosto de 2022 e abril de 2023, no Laboratório de Análises Clínicas e Toxicológicas da Faculdade de Farmácia da Universidade Federal da Bahia (LACTFAR/UFBA), especificamente no laboratório de imunologia clínica, onde são realizados testes para o diagnóstico de infecções de importância para a saúde pública. Foi possível reconhecer as atividades desenvolvidas, desde a coleta de amostras biológicas até a dosagem de antígenos e anticorpos. Nesse contexto, as normas de biossegurança são essenciais para minimizar os riscos no ambiente de trabalho. O principal imunoensaio utilizado nesse laboratório é a quimioluminescência. Também são realizadas outras técnicas, como ensaios imunoenzimáticos (ELISA) e imunofluorescência. A junção do conhecimento teórico e prático é importante na formação de um profissional de saúde. Assim, a vivência em um laboratório de análises clínicas por um estudante de Farmácia é essencial, pois gera a oportunidade de acompanhar a rotina laboratorial, de desenvolver habilidades no manejo de instrumentos/materiais laboratoriais, além do entendimento da gestão, da organização e do fluxo dos exames.
Gluing characteristics of Papua New Guinea timber species for various non-structural applications
Authors: Belleville Benoit , Lancelot Kilva , Galore Elaine , Fehrmann Johannes , Ozarska Barbara
Published: November 2023

Papua New Guinea (PNG) has abundant natural forest resources but there are many constraints which need to be addressed to support the development of competitive value-added wood industries. There is a need to develop knowledge and capacity in wood science and processing technologies which support successful domestic value-adding wood processing enterprises. A comprehensive testing program has been developed to assess the glue‐bond strength and performance of selected commercial PNG timber species in various climatic conditions to simulate service conditions in potential market destinations. Two criteria namely shear strength and wood failure have been used to determine if a species can meet the minimum requirements for either dry use or wet use applications. The performance of 24 different PNG commercial timber species has been assessed using a one-component cross-linking polyvinyl acetate emulsion adhesive. The bondability of the selected species has been carefully estimated considering the wood density and wood moisture content for the strength and durability in dry- and wet-use conditions. The testing results show that as the wood density as a wood property factor and moisture content as a service condition factor increase, high shear strength with high wood failure become more difficult to achieve consistently. The highest shear strength and wood failure results were achieved by softwood plantation species and low-density hardwood species. Based on the testing results, the selected species have been classified into bondability classes (bond very well, bond well, bond with difficulty, very difficult to bond).
Effect of Meditation On Self-Control of Mind
Authors: R. Bhagat Dr. Kavita , R. Kale Dr. Deepa , Gupta Dr. Rajkumar , Menon Dr. Sudeep
Published: November 2023

Anxiety neurosis is common due to today's lifestyle challenges. People often cannot handle their emotions and getangry, depressed, and anxious. Meditation Helps to eliminate negative emotions and develop positive emotions, increaseconcentration, enhance memory, give clarity of thoughts, and improve willpower. The current research work discusses the Karmasof Manasa such as Indriyabhigraha and Swasyanigraha (self-control), the Sattvavajaya Chikitsa, anxiety neurosis as a result of abnormalSwasya Nigraha, the utility of meditation for control on self, i.e., Swasyanigraha. The present study was carried out to study theself-control function of the mind and the effect of Twin Heart Meditation in anxiety neurosis subjects. In the present single-armstudy, 114 young adults (aged 18-35 years) with diagnosed anxiety neurosis based on Ayurvedic Sattva Parikshana criteria and theHamilton anxiety rating scale were selected. They were prescribed Meditation or Dhyana for 90 days. Follow-up was taken every30 days to assess anxiety symptoms according to the Hamilton anxiety rating scale. All the 114 participants showed improvement.Moderate improvement was observed in most of the participants. (91%) Based on the results of the present study done throughthe Hamilton Anxiety Rating Scale and Ayurvedic Satva Parikshana Scale, it can be inferred that the Twin–Hearts Meditation forconsecutive 90 days in individuals suffering from mild to moderate anxiety neurosis enhances Swasyanigraha Karma (Self Control).
THE OREL ART GALLERY CREATION IN THE HISTORY OF THE OF REGION CULTURE AND ART DEVELOPMENT
Authors:   Central Russian Institute of Management, Branch of RANEPA, CHETVERIKOVA A.S.
Published: November 2023

The purpose of the article is to consider the history of the Orel Art Gallery creation and its organization features in the middle of the 20-th century. The relevance of the research is due to the fact that the issue of museum construction is studied insufficiently in the postwar period, as well as the specifics of the formation of new art museums and galleries collections. In many ways, the successful functioning of the es-tablished network of new cultural institutions was due to the extraordinary personalities who understand the requirements of the time to lead them. The main task is to identify the role of I.A. Krugly in solving the issues of the organization of the main directions of the gallery in the context of historical, political and social conditions of the 1950s – 1960s. Using the example of the creation of the Orel Art Gallery and the activities of I.A. Krugly, it is possible to trace the features of the development of culture and art in Russia, as well as the role of patrons and local historians in the creation of cultural institutions. The author coms to the conclusion that the study allows a deeper understanding of the cultural and historical significance of this museum and its role in the development of Orel cultural life and Russia as a whole.
THE CHURCH AND THE SCHOOL IN THE RUSSIAN EMPIRE OF THE SECOND HALF OF THE 19th CENTURY– THE BEGINNING OF THE 20th CENTURY
Authors:   Central Russian Institute of Management, Branch of RANEPA, MERKULOV A.V. , FILIMONOV A.V. ,   Central Russian Institute of Management, Branch of RANEPA
Published: November 2023

The purpose of the article is to analyze the Church and the School in the Russian Empire of the second half of the 19th century. The study of this subject is of great importance in understanding the history of Russia and the role of the Church in society. Modern science given quite close attention to the problems of interaction between religion and the state in the process of historical development of Russia. Studying the interaction of Church and the School in Russia at that time can help to better understand the role of religion in society and its impact on education. The conclusions made by the authors help to clarify the system of relations be-tween Church and state in Russia at the end of the 19th – beginning of the 20th century. The problems raised and the ways to solve them can be useful for modern educational and religious institutions facing issues of interaction between religion and education. As a result, the author concludes that the study of this subject can help to better understand the principles and values that were important for Russian society in the late 19th - early 20th centuries.
Determinants and performance accountability: A case study of the regional government
Authors: Kurnia Sri , Setiawan Doddy
Published: November 2023

This paper investigates the determinants of performance accountability in the regional government of the Riau Islands province. Specifically, we explore the influence of clarity of budget targets, internal control, compliance with laws and regulations, and reporting systems on performance accountability. We conducted a quantitative descriptive study using primary data and collected responses from 114 out of 205 regional apparatus organizations (Organisasi Perangkat Daerah, OPD) in districts/cities that had low-performance accountability scores in 4 out of 7 districts/cities. Our results reveal a significant positive correlation between the clarity of budget targets, internal control, and reporting systems with performance accountability in the regional government. However, compliance with statutory regulations was not found to have a significant effect on performance accountability. Our study provides valuable insights for policymakers and practitioners to improve performance accountability in regional governments. In conclusion, this paper emphasizes the importance of enhancing the clarity of budget targets, internal control, and reporting systems in ensuring better performance accountability. We recommend further studies to investigate additional determinants that may influence performance accountability in regional governments.
Medication Adherence for People with Acquired Communication Disorders: A Systematic Review
Authors: Bell Shauna , Sahm Laura , Moriarty Frank , Kelly Helen
Published: November 2023

The aims of the current review were to identify, in the context of
people with acquired communication disorders: factors which influence
medication adherence, current interventions targeting medication
adherence, and how medication adherence is currently measured. This
study was conducted and reported in accordance with both PRISMA and SWiM
guidelines. Two authors independently screened the results of a
literature search, assessed risk of bias, and extracted relevant data.
Eight studies were identified for inclusion. Four of the studies
presented information relating to current interventions which target
medication adherence for people with acquired communication disorders.
Four of the studies investigated factors which influence medication
adherence for people with acquired communication disorders. Seven of
these eight studies outlined methods used for measuring medication
adherence. The results of this review indicate that patient related
factors are most associated with medication non-adherence in a
population with acquired communication disorders, followed by
socio-economic factors and medication-related factors. Despite the
recognised importance of medication adherence, no gold standard of
assessment or intervention currently exist for this population. Half of
the included studies replaced patients with communication difficulties
with caregiver proxies, thus reducing opportunities for patients to
participate meaningfully in research. The term “acquired communication
disorders” encompasses a range of conditions with diverse aetiologies,
presentations, and needs, and future research should be tailored to
specific patient groups most at risk of medication non-adherence, namely
those with aphasia and cognitive-communication impairments. Patients
should be empowered to participate in future research to ensure the
literature accurately represents their lived experience.
Association between COPD and hearing loss with impaired speech recognition: a cross-sectional study.
Authors: Ponte Eduardo Vieira , Belleze Leticia , Burch Monique Olivia , Soares Luciana Aparecida Teixeira , Pandini Viviane Cristina Martori , Prestes Raquel , Bertolino Jessica Regina , Mamoni Ronei Luciano
Published: November 2023

Introduction: Studies have identified a greater risk of loss of the
ability to detect some sound frequencies in individuals with COPD
compared to healthy individuals, but it is unclear whether they are at
increased risk of hearing loss with impaired speech recognition. The aim
of this study was to assess whether COPD is associated with hearing loss
that affects speech recognition. Methods: This is a case-control study.
We screened consecutive individuals attending a scheduled spirometry
test requested by physicians from any of the 42 public health facilities
in the municipality of Jundiai. We enrolled two groups, a test group of
individuals with COPD and an age-matched control group composed of
individuals with asthma. The selected individuals attended an
appointment with a chest physician, responded questionnaires and
underwent tonal and vocal audiometry. Binary logistic regression
analysis adjusted for gender, BMI and comorbidities evaluated whether
COPD was associated with reduced speech recognition Results: We enrolled
36 individuals with COPD and 72 with asthma. Individuals with COPD were
more likely to have a reduced speech recognition compared to asthmatic
individuals [Reduced recognition of three-syllable words: adjusted OR
3.72, 95 CI (1.38 - 10.02)] [Reduced recognition of monosyllable
words: adjusted OR 4.74, 95 CI (1.52 - 14.76)]. Conclusions:
Individuals with COPD from primary and secondary healthcare facilities
have at least 38% greater risk of hearing loss with reduced speech
recognition compared to an age-matched control group of individuals with
asthma.
Numerical Simulation to Performance Enhancement of Staggered Tubes-Bundle With Gradient Pore Density of Metal Foam
Authors: Jasim Noor Mohsin , Majhool Ahmed Abed Al Kadhem
Published: November 2023

At this study, pore density (10PPI and 20PPI) was investigated on
performance of thermal-hydraulic of MFHE. The effect of double-layers of
foam with thickness ratio of 0.43, and gradient of pore density were
investigated. The pore density arrangement is with either increasing or
decreasing pore density towards the heated wall of the tubes bundle
((20/10 PPI) or (10/20PPI) respectively). For double layers copper foam
heat exchanger, the numerical results showed that the single segment of
20PPI have pressure drop higher than specimens double layers with order
increasing (10/20 PPI), or decreasing (20/10PPI), single segment with a
pore density of 10PPI and finned tube with approximately (10%, 15%,
39%, and 201% ) respectively, within the range of Reynold number from
1326 to 6630. Also, it was found that gradient of pore density with
decreasing PPI towards heated wall (10/20) with fixed porosity led to
increase thermal hydraulic performance with 7% -10% compared with
single layer of 10 PPI and 20 PPI respectively.
The τ -symmetries and Lie algebra structure of the Blaszak-Marciniak lattice equation
Authors: Zhang Jian-bing , Chen Qi
Published: November 2023

A general approach is developed for discriminating strong and hereditary
symmetric operators. The recursion operator of the Blaszak-Marciniak
(BM) equation hierarchy is proved to be strong and hereditary symmetric.
As an example of discrete soliton equations related to 3×3 matrix
spectral problems, the τ-symmetries and Lie algebra structure of
the BM equation are built firstly.
Facile chemically activation process of kapok husk as a low-cost biosorbent for removal methylene blue dye in aqueous solution
Authors: Zein Rahmiana , Fathony Hamdhan , Ramadhani Putri , Deswati Deswati
Published: November 2023

This study discusses kapok husk (KH) activated by HNO3 as a biosorbent for methylene blue dye and analyses its adsorption ability. The adsorption capacity of KH is 330.161 mg g-1 with optimum conditions at pH 9, concentration 5500 mg L-1, contact time 15 min, and biosorbent temperature 25?C. The isotherm study followed the Langmuir isotherm model, as seen from the R2 value of 0.9993 and maximum adsorption capacity of 312.5 mg g-1, which indicated a monolayer in the adsorption process. The kinetic data show that KH followed the pseudo-second-order model. The results of the TGA analysis show that thermal stability affects the performance of biosorbents in the adsorption process. FTIR and SEM-EDS characterisation results showed that electrostatic interactions, cation exchange, and pore filling regulate the methylene blue dye adsorption mechanism on the surface of the KH. The reusability of KH through adsorption?desorption cycle analysis was achieved five times. This indicates that the biosorbent can be economically feasible for real wastewater treatment based on its good reusability and simple preparation and activation.
The method for the heat-diffusion equation in analytic number theory
Authors: Yang Xiao-Jun , Alshehri Ahmed , Cui Ping
Published: November 2023

This paper addresses the entire functions via theory of the tempered xi
function. The zeros of the entire functions by the Fourier sine and cosine
integrals are stud?ied in detail. The method for the heat-diffusion equation
is proposed to structure the connection between Fourier analysis and
heat-diffusion equation show the open problems in analytic number theory.
Research on the generation method of manufacturing knowledge capability graph
Authors: Li Hong-Tao , Zhao Gang , Zhang Yi-Chen , Zhang Rui-Xue
Published: November 2023

Manufacturing knowledge can be preserved through knowledge accumulation and
continuous integration. In order to improve the using efficiency of
manufacturing knowledge, these knowledges are stored and used in the way of
Knowledge graph. This paper will study the construction of Knowledge graph
based on manufacturing process methods and the ability of Knowledge graph
to provide services. This kind of manufacturing knowledge capability not
only provides the manufacturing realization method of processing technology,
but also can correspond to the design realization method of design graphics,
providing theoretical support for the integrated realization of design and
manufacturing process.
Afraid to Lose the Client: Client Advocacy Juxtaposed with the AICPA Code of Professional Conduct
Authors: Marshall Leisa L. , Winstead Jack L. , Cao Zhonghua , Varnon Anthony W.
Published: November 2023

Stretching the bounds of the client advocacy role beyond what is sound, credible, and/or reasonable may threaten compliance with the AICPA Code of Professional Conduct (Code) (ET 1.140.010.03). Students evaluate real-life requests of a CPA to determine whether the client advocacy role was stretched and violated compliance with the Code. More specifically, students apply the Code’s principles, select rules of conduct, and threats to analyze and evaluate a CPA’s responses to her client’s requests that she provide bankers with financial and other information and reclassify income as debt. Student perceptions and knowledge pretests and post-tests indicate completion of the case increased students’ knowledge about the Code and required them to apply analytical and critical thinking skills. In addition, students believe the completion of the case was enjoyable and provided a valuable learning experience.

Data Availability: Anonymous data are available upon request.

JEL Classifications: M410; M420.
Bowman capsule rupture in children with myeloperoxidase-antineutrophil cytoplasmic antibody-associated glomerulonephritis predicts poor renal survival
Authors: Zhang Pei , Jia Li-li , Fu Meng-zhen , Shi Kai-li , Gao Chun-lin , Xia Zheng-kun
Published: November 2023

Background: Recent developments indicated that Bowman capsule rupture (BCR) is observed in antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis (AAGN). We aimed to explore the relationship between BCR and clinical manifestations, pathological changes, and prognosis in children with myeloperoxidase (MPO)-AAGN. Methods: A total of 56 children with MPO-AAGN were divided into BCR (+) and BCR (–) groups according to the status of Bowman’s capsule. Results: After retrospective analysis of the data, 24 children (42.9%) were found to have BCR. The results showed that BCR positively correlated with intrarenal immune cell infiltrates, obsolescence and crescents in glomeruli, tubulointerstitial inflammation, tubulitis, and tubular atrophy negatively correlated with normal glomeruli and immunoglobulin G deposition in the kidney. The clinical features and kidney pathological changes were more severe in the BCR (+) group than BCR (–) group, and the renal survival rate was significantly poorer in the BCR (+) group than BCR (–) group (χ2 = 5.45, p = 0.02). Moreover, estimated glomerular filtration rate (≤15 mL/ min/1.73 m2), BCR and ANCA renal risk score (ARRS) were independent risk factors for the development of end-stage kidney disease (ESKD) in children with MPO-AAGN. After combining BCR with the Berden classification and ARRS, our data suggested that the Berden classification + BCR and ARRS + BCR showed better predictive values for ESKD than those of the Berden classification and ARRS, respectively. Conclusion: BCR is an important pathological lesion that correlates with severe clinical manifestations, pathological changes, and poor prognosis in children with MPO-AAGN.
Severe HELLP Syndrome Complicated by Multiorgan Impairment and DIC: The Role of Drain Placement: A Case Report
Authors: Bazoukis Xenofontas , Khristianov Alkistis Victoros , Pavlides Giannis , Chasiotis Athanasios , Kazakos Ioannis
Published: November 2023

Background: Disseminated intravascular coagulation (DIC) can present postpartumly in women with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. This report highlights the importance of drain insertion following emergency cesarean section in anticipation of DIC. This would avoid the need of an open exploratory laparotomy procedure. Case: At 34 weeks of gestation, a P1G4 woman was diagnosed with severe pre-eclampsia and HELLP syndrome and her baby with intrauterine growth restriction (IUGR) and fetal distress. The woman received hydralazine, labetalol, methyl-dopa, magnesium sulphate and an emergency cesarean section was performed. A few hours later, the woman developed DIC. Red blood cells (RBC), fresh frozen plasma (FFP) and platelets (PLTs) were administered and an abdominal CT was performed, revealing intra-abdominal and anterior rectus sheath haematomas. An open exploratory laparotomy was performed to identify areas of bleeding and a drain was inserted to monitor the bleeding. The woman was closely monitored and regained haemodynamic stability. Conclusion: DIC is a common postpartum complication in women diagnosed with HELLP syndrome. Preemptive drain insertion following cesarean section in these women could avoid the need for additional revision surgery should DIC occur. Clear guidelines on the topic are lacking. Teaching Points: Postpartum surgical drain placement in women diagnosed with HELLP syndrome who later develop DIC could avoid the need of additional surgery.
Precis
Preemptively placing a surgical drain following cesarean section in patients with HELLP syndrome may avoid additional surgery in patients that go on to develop DIC.
Serum Lipid Profile in Patients with Lichen Planus
Authors: Shaila Khyrun Nahar , Sikder Md. Akram Ullah , Chowdhury Md. Abu Hena , Nasim Rehnuma , Wahab Farhana , Amin MST Zinat , Layla Khushbun Nahar
Published: November 2023

Background:  Lichen planus (LP) is a chronic inflammatory disease of the skin, mucous membrane, and adnexa. There have been reports of abnormal lipid parameters being increased in patients with LP. This study evaluated the serum lipid profile in patients with LP and the control group. 
Materials and Methods: This case-control study was conducted in the department of Dermatology & Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Patients with LP were taken as cases and patients with skin diseases other than LP were taken as control. Total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were measured by an enzymatic method. 
Results: This study showed higher mean TC (187 vs 168, p-value 0.01), TG (147 vs 117, p-value 0.04), LDL-C (118 vs 105, p-value 0.04) in patients with LP than control. HDL-C level shows no significant differences (38 vs 40, p-value 0.50). Odds ratio (OR) for high TC, TG & LDL-C are 3.6 (95% CI: 1.26-10.56), 2.3 (95% CI: 0.87-6.31) & 4.0 (95% CI: 1.4-11.6) respectively whereas OR for low HDL-C is 0.74 (95% CI: 0.31-1.77). Regarding atherogenic index, LDL-C/HDL-C and TC/HDL-C ratio was significantly higher in LP patients (p-value 0.001 & 0.002 respectively). 
Conclusion: Analysis of lipid parameters reveals significantly higher levels of total cholesterol, triglyceride & LDL-C in LP patients. The atherogenic index is also significantly higher in LP patients which is a sensitive predictor of cardiovascular risk.
Comentario de la Sentencia del Tribunal General de 7 de junio de 2023 (Asunto T-339 / 22)
Authors: Capote Pérez Luis Javier
Published: November 2023

Comentario de la resolución del Tribunal General (Sala Segunda ampliada) de 7 de junio de 2023 (T-339 / 22).
Supercritical Fluid Extracted Chestnut Tannin as Natural Biocide for Soaking Beamhouse Process of Leather Production
Authors: ONEM Ersin
Published: November 2023

Microorganism activity during soaking beamhouse process of leather production is highly dangerous and should be kept under control. Some chemical components are used for this purpose to protect the hides/skins against microbial activities. Because of the banned and restricted substances due to the environmental and health risks in the recent times, natural active ingredients are considered for industrial production as sustainability. Moreover, supercritical fluid extraction as an environmentally friendly technology is applied to isolate biologically active extracts and supercritical extracted natural compounds are reported as potential antioxidant and antibacterial agent for several applications. In this study, supercritical fluid extracted chestnut tannin was used in soaking process of leather production and was determined as potential natural biocide with very good effect against microorganism activity in the process floats.
Keratin Hydrolysate from Wool By-products as an Additive for Dyeing Bovine Leathers
Authors: BERECHET Mariana Daniela , GAIDĂU Carmen , SIMION Demetra , ȘENDREA Claudiu
Published: November 2023

In this research, the aim was to obtain keratin hydrolysate from wool waste from sheep breeders and use it in technologies for dyeing bovine hides. The keratin hydrolysate (KerNa), obtained by alkaline hydrolysis with sodium hydroxide, was physico-chemically analyzed, determining the protein substance in the amount of 80.65%, highlighting the bands specific to peptides and compounds with sulfur by FTIR spectroscopy and particle size by DLS technique, obtaining majority populations at 161 nm and 615 nm. Bovine hides were treated with keratin hydrolysate, in different stages of the dyeing process, and an increase in the dyeing resistance to wet and dry rubbing and the dyeing resistance to water drops was obtained, as well as the improvement of the specific color parameters. Leathers dyed with the use of the KerNa additive showed an increase in the friction resistance of the dyeing (grade 5/5) and brighter colors according to ISO Brightness. Treatments based on protein-rich keratin hydrolysate, applied in various stages of the dyeing process, interact with the leather’s collagen or tanning agents, giving the finished leathers improved properties of shade, shine and softness. The good results obtained in the applications of keratin hydrolysate in the leather industry show that the keratin extract can be the basis for obtaining new biomaterials with various applications. The utilization of wool waste from animal husbandry leads to a decrease in the amount of waste and the prevention of environmental pollution.
Nexus Between Fiscal Policy Mechanism and Stock Market Output in a Growing Economy
Authors: Omodero Cordelia Onyinyechi
Published: November 2023

Fiscal policy methods are critical to a country’s economic stability. However, when fiscal policy changes occur, all economic sectors react either favorably or adversely. The stock market is not spared from this reaction because it is likewise an important aspect of the economy. From 1998 through 2020, the inquiry looks at the link between fiscal policy mechanisms and stock market performance. The Levin, Lin, and Chu test is used to determine data stationarity. At zero latency, all factors remain constant. Other screening tools employed indicate that all datasets and models utilized in this work are of satisfactory quality. Pearson Product Moment Correlation (PPMC) is a statistical method used to investigate the link between fiscal policy plans and stock market results. Correlation coefficients quantify the strength of a link between two variables. The study’s findings indicate that fiscal measures such as tax income, domestic borrowing, government capital, and regular expenditure have a substantial and extremely strong positive relationship with Nigerian stock market returns. The study also indicates that foreign borrowing is harmful to Nigeria’s stock market advancement. Other data indicate that foreign borrowing has a modest to very weak link with other fiscal policy methods when compared to the outcomes of the other instruments. As a result, the report recommends increased tax income collection and a significant reduction in the country’s foreign debt.
A Counterblast to Pessimists and Naysayers – Intelligent Echocardiography Remains the Foundation Stone of Evidence-Based Clinical Cardiology
Authors: Fraser Alan G
Published: November 2023

Provocative comments can entertain and instruct as long as they are used to stimulate a civilized discussion, and it is fun to embrace an opportunity to change one’s mind (and learn). I am therefore delighted to respond to Adrian Ionescu’s comments, although I think he has got it wrong—as I will aim to demonstrate. In the spirit of this debate, please indulge me while I too let off some steam!

I have always disliked the fact that one of the subspecialties within cardiology, which did not exist when I qualified in the 1970s, has come to be known as “cardiac imaging.” Cardiac diagnosis is not about pictures, although some conditions are indeed instantly recognizable. Usually, what we need to know to understand disease is how the heart is functioning, much more than what it looks like. That is true for coronary arteriography as much as for non-invasive imaging. If I am forced to adopt a subspeciality label, then I would much prefer to be considered a clinical pathophysiologist.

Accurate diagnosis is the sine qua non of logical evidence-based clinical practice, yet we often get it wrong. And there remain many patients with disease that we cannot diagnose precisely because we do not understand it sufficiently. Why does this patient with heart failure with reduced ejection fraction have impaired left ventricular function? Why does that patient with normal blood pressure have left ventricular hypertrophy? In this patient in sinus rhythm, which particular aspects of cardiovascular function will influence the development of dementia? Cardiologists who are expert in performing, analyzing, and interpreting detailed echocardiographic and cardiovascular investigations are needed to give us the best chance of answering such questions. They cannot be replaced by an uninterpretable computer algorithm when no-one yet knows the answer—but by staying in control, researchers can use artificial intelligence (AI) to help their thinking.
Diversity of ABO blood groups, ethnic groups, and medical histories of university students in Indonesia
Authors: RIANTI PUJI , MARDLIYAH ZAHRA RODLIYATAM , SOLIHIN DEDY DURYADI
Published: November 2023

. Blood group systems are heritable characteristics controlled by multiple alleles that determine the presence of antigens A, B, or the absence of antigens (O). These systems are crucial in categorizing humans' four main blood groups. ABO blood groups have been identified to correlate with evolution, migration, local adaptations, dietary patterns, and human diseases. Unfortunately, this knowledge is poorly known in Indonesia. Therefore, we initiate this study to record university students' blood groups' diversity through the frequency of ABO alleles, ethnicities, and medical histories through questionnaires. The data analysis involved the responses of 992 students aged 17 to 23 from IPB University. The ABO estimator version 17.3 and Program R ver. 3.6.3 were utilized for data analysis, with the sample size determined using the Slovin formula. Our analysis revealed allele frequencies of 0.19 for IA, 0.20 for IB, and 0.61 for IO. The O blood group exhibited the highest prevalence, while the AB blood group was the rarest. Individuals with the O blood group identified as Javanese and Sundanese were more likely to have histories related to typhoid/typhoid symptoms and dengue fever. Individuals with O and B blood groups from the Sundanese population experienced allergies. In contrast, those with blood group B from the Javanese population were more prone to gastric ulcers and asthma. There are no significant differences between ethnicities for each illness record except asthma. All ABO blood groups for each illness record show significant differences with a weak correlation between the blood groups and type of illness.
An analysis of the international and European Union legal instruments
for holding artificial intelligence accountable
Authors: KGOALE Thupane J. , ODEKU Kola O.
Published: November 2023

Despite being applauded as a great technological breakthrough of the current
century, Artificial Intelligence (AI) technology and its operations keep attracting
condemnations because of the failure by most countries to regulate and hold AI accountable.
This assertion is made against the backdrop that mostly, AI perform functions and activities
just like human beings, as such, AI is prone to make mistakes which might even negatively
impact human beings and violate human rights. Mistake calls for accountability. This paper
accentuates that even if there are no clear provisions in some country’s statute books, there
are existing international and European Union legal instruments for regulating and holding
AI accountable should it erred. Methodologically, using literature review research approach,
this paper highlights and discusses selected but salient international and European legal
instruments which have direct and indirectimpacts on AI, especially pertaining to regulation,
liability and accountability.
A NEW SPECIES OF MEIOGYNE (ANNONACEAE) FROM THE EASTERN HIMALAYAS OF NORTHEAST INDIA
Authors: Page Navendu
Published: November 2023

The genus Meiogyne is distributed throughout South and Southeast Asia and includes approximately 33 described taxa. A new species, Meiogyne arunachalensis, is here described from the state of Arunachal Pradesh, India. This is the third species from India and the first from the Eastern Himalayan and Northeast Indian region. This species shows morphological similarity with Meiogyne maxiflora, a species distributed in Thailand, but it differs in a number of vegetative and reproductive characters. Meiogyne arunachalensis is the largest species of the genus described so far in terms of tree height and girth of the tree trunk. Detailed colour photographs are provided to highlight its morphological distinctness and facilitate identification in the field.
A NEW SPECIES OF SPELAEANTHUS (GESNERIACEAE: DIDYMOCARPOIDEAE) FROM VIETNAM
Authors: Middleton David
Published: November 2023

The species Spelaeanthus vietnamensis D.J.Middleton from Tam Đảo National Park in northern Vietnam is described as new to science, and photographs are provided. The genus now includes two species: one from Vietnam and one from Peninsular Malaysia.
GUEST ESSAY Vive l'Horticulture de Conservation
Authors: Entwisle Tim
Published: November 2023

Conservation horticulture is an emerging and increasingly important function for all botanic gardens, but it is an activity that can be difficult to explain and to promote. Part of that difficulty lies in its name, and a few alternatives are suggested in this Guest Essay – such as Care for the Rare, Raising Rarity, and Plant Rescue and Care Unit – all currently in use at Royal Botanic Gardens Victoria (RBGV) for more narrowly scoped but pioneering projects. In reimagining conservation horticulture at RBGV we want to draw on the public’s intrinsic interest in and affinity with plants, rather than taking a defensive stand against what is often called ‘plant blindness’. Raising Rarity 2.0 is likely to combine commercialisation of rare species, innovative blending of amenity and conservation horticulture, and even stronger partnerships with schools and local government. As I prepare to leave RBGV after 25 years in senior management of botanic gardens, I’m supporting a grassroots push from horticultural and research staff to add conservation horticulture (whatever we call it) to our already potent mix of nature, culture and science.
Korelasi Antara Growth Mindset, Social Support, dan Subjective Well-Being
Authors: Saputra Aryan Muhaimin , Kurniawan Irwan Nuryana
Published: November 2023

Data menunjukkan dampak pandemi COVID-19 terhadap peningkatan pemasalahan kesehatan mental di masyarakat. Terdapat tiga skala yang dibagikan ke masyarakat di Makassar, Maros, dan Gowa yaitu subjective well-being, growth mindset, dan social support. Subjective well-being merupakan evaluasi kognitif dan afeksi yang memiliki korelasi dengan kesehatan mental seseorang. Growth mindset dan social support diukur untuk mengetahui seberapa besar kemampuannya dalam memprediksi subjective well-being . Hasil regresi berganda menunjukkan hanya social support yang dapat memprediksi subjective well-being secara signifikan (F=0,559, P<0,001) dengan sumbangan efektif sebesar 31,2 %. Walaupun demikian, hasil regresi berganda berdasarkan aspek menunjukkan terdapat dua aspek dari growth mindset yang dapat memprediksi subjective well-being yaitu challenge dan adversity, dan dua aspek dari social support yaitu significant person dan family.
Meta Analisis Korelasi Antara Depresi dan Kualitas Hidup
Authors: Prasadhana Marcel Aurelius Wirahadi , Yudiarso Ananta
Published: November 2023

Kualitas hidup merupakan hal yang harus diperhatikan pada tiap individu. Beberapa faktor negatif dari rendahnya kualitas hidup adalah terganggunya kesehatan mental. Kesehatan mental yang terganggu, salah satunya dapat menyebabkan depresi. Penelitian ini memiliki tujuan mengetahui hubungan dari depresi dan kualitas hidup menggunakan metode penelitian meta analisis. Penelitian meta analisis ini menggunakan 14 literatur (2017 - 2021) dengan total n = 3.952. Berdasarkan hasil dari analisa meta analisis dapat diketahui bahwa adanya effect size korelasi antara depresi dan kualitas hidup yang digolongkan ke dalam medium effect size ( r = 0,462, p = 0,0001, 95% CI = -0,7227 - -0,2023).