bluuebunny/crossref_metadata_2025 huggingface dataset:
Achieving Resilience and Business Sustainability during COVID-19: The Role of Lean Supply Chain Practices and Digitalization
Authors: Trabucco Matteo , De Giovanni Pietro
Published: November 2021

This paper investigates how firms can enjoy a sustainable business even during the COVID-19 pandemic. The adoption of lean coordination mechanisms over the supply chain (SC) and lean approaches in omnichannel strategies can guarantee the business sustainability and resilience. Furthermore, we investigate whether business sustainability, along with digitalization through mobile apps, Artificial Intelligence systems, and Big Data and Machine Learning enable firms’ resilience. We first explore the background on the subject, identify the research gap, and develop some research hypotheses to be tested. Then, we present the data collection process and the sample, which finally consists of firms from different sectors, including retailing, electronics, pharmaceutics, and agriculture. Several logistic regression models are developed and estimated to generate findings and managerial insights. Our results show that a lean omnichannel approach is an effective practice to preserve production costs, SC visibility, inventory available over the SC, and sales. Furthermore, lean coordination with contracts can make a business sustainable by preserving quality, ROI, production costs, customer service, and inventory availability. Finally, firms can be highly sustainable through resilience when they engage in sustainable ROI, SC visibility, and sales; in contrast, the adoption of mobile apps worsens firms’ resilience, which is not influenced by Artificial Intelligence and Big Data and Machine Learning.
Access and Benefit Sharing and the Sustainable Trade of Biodiversity in Myanmar: The Case of Thanakha
Authors: Giuliani Alessandra , Undurraga José Tomás , Dunkel Theresa , Aung Saw Min
Published: November 2021

The global demand for biological resources to use as natural ingredients in diverse products is rising rapidly. This creates investment opportunities for nature-based products, creating pressure on and threats to biodiversity and its associated traditional knowledge (TK). Myanmar’s great biodiversity is attractive for scientific investigations searching for natural substances for pharmaceutical, cosmetic, and other uses. Myanmar is amid profound political and economic changes, exposing the country to risks and opportunities. The recent opening to world trade put its rich biodiversity and TK under severe threat. One of the local natural biodiversity products is Thanakha, which is traditionally used for skincare. This study investigates the current and planned regulations and practices managing Access and Benefit Sharing (ABS) in Myanmar, focusing on one of the potential BioTrade products: Thanakha. A qualitative and quantitative survey was conducted through in-depth interviews with 37 key informants and 35 Thanakha farmers. The results show that while the current research and development activities at the Thanakha manufacturing level could trigger ABS obligations, the low awareness about ABS requirements and the lack of traceability raise uncertainties for its potential implementation. The implementation of BioTrade principles and ethical sourcing to promote the sustainable trade of Thanakha, as well as the implementation of ABS, would lead to the protection of biodiversity and TK, and the improvement of local livelihoods.
Secure IIoT-Enabled Industry 4.0
Authors: Hussain Zeeshan , Akhunzada Adnan , Iqbal Javed , Bibi Iram , Gani Abdullah
Published: November 2021

The Industrial Internet of things (IIoT) is the main driving force behind smart manufacturing, industrial automation, and industry 4.0. Conversely, industrial IoT as the evolving technological paradigm is also becoming a compelling target for cyber adversaries. Particularly, advanced persistent threats (APT) and especially botnets are the foremost promising and potential attacks that may throw the complete industrial IoT network into chaos. IIoT-enabled botnets are highly scalable, technologically diverse, and highly resilient to classical and conventional detection mechanisms. Subsequently, we propose a deep learning (DL)-enabled novel hybrid architecture that can efficiently and timely tackle distributed, multivariant, lethal botnet attacks in industrial IoT. The proposed approach is thoroughly evaluated on a current state-of-the-art, publicly available dataset using standard performance evaluation metrics. Moreover, our proposed technique has been precisely verified with our constructed hybrid DL-enabled architectures and current benchmark DL algorithms. Our devised mechanism shows promising results in terms of high detection accuracy with a trivial trade-off in speed efficiency, assuring the proposed scheme as an optimal and legitimate cyber defense in prevalent IIoTs. Besides, we have cross-validated our results to show utterly unbiased performance.
Research on Fast Target Positioning Method of Self-Calibration Manipulator
Authors: Ye Xuhui , Tang Yuxuan , Hu Xinyu , Zhang Daode , Chen Qi
Published: November 2021

Hand-eye calibration and three-dimensional space target positioning are the keys to realize the automatic grasping of the manipulator. Aiming at the problems of a difficult camera manipulator calibration and poor real-time segmentation and positioning of stacked targets in industrial environment, a rapid target positioning method of self-calibration manipulator is proposed. Firstly, the spatial spherical autonomous path planning is carried out based on the quaternion linear interpolation method to calculate spatially symmetric path trajectory of the calibrator. The RGB-D camera mounted at the end of the manipulator is used to obtain multiple groups of RGB and depth images of the calibration plate. Combined with the position and attitude of the manipulator end, the internal and external parameters of the camera and the hand-eye conversion matrix are automatically calibrated. Then, based on KD tree algorithm, the holes in the point cloud are extracted to plan the shooting pose of the complementary image, and the target object is photographed from multiple symmetric angles. Combined with the iterative shooting pose of the manipulator, the rapid registration of the point cloud is realized and the complete outer surface model of the target object is obtained. Finally, the improved double pyramid feature fusion depth image is used to segment the RGB image through Mask R-CNN and mapped to the point cloud space, to achieve fast target segmentation of end-to-end 3D point cloud. The experimental results show that the eye-in-hand manipulator system can be self-calibrated to greatly simplify the calibration process and achieve the calibration accuracy of the traditional calibration method. The average error in each direction of the calibration result is less than 2 mm, which can achieve the acquisition accuracy of the vision sensor. It can also register and reconstruct point clouds for complex scenes in 1 s. The improved Mask-RCNN increases the segmentation accuracy of stacking objects by 8%. Compared with the physical error of hardware, the positioning error is no more than 0.89% and can meet the requirements of practical applications.
Chagas Disease in People with HIV: A Narrative Review
Authors: Clark Eva H. , Bern Caryn
Published: November 2021

Many questions remain unanswered regarding the epidemiology, pathophysiology, diagnosis, treatment, and monitoring of Trypanosoma cruzi infection in people with HIV (PWH). The reported prevalence of T. cruzi infection in PWH living in endemic countries ranges from 1–28% and is likely similar in at-risk US populations. While classic cardiac and gastrointestinal presentations of chronic Chagas disease occur in PWH, PWH are additionally at risk for a severe and often fatal form of T. cruzi-mediated disease called reactivation disease. T. cruzi reactivation typically occurs in PWH with low CD4 counts and poor virologic control. National HIV guidelines in several endemic South American countries recommend that all PWH be screened for T. cruzi infection at the time of HIV diagnosis; however, this recommendation is not widely implemented. The early detection of T. cruzi infection in PWH is critical as the sequelae of Chagas disease, including T. cruzi reactivation, may be preventable through the restoration of robust cellular immunity via the initiation of antiretroviral therapy and the appropriate use of antitrypanosomal therapy.
Inosine Pranobex Deserves Attention as a Potential Immunomodulator to Achieve Early Alteration of the COVID-19 Disease Course
Authors: Beran Jiří , Špajdel Marián , Slíva Jiří
Published: November 2021

Since its licensing in 1971, the synthetic compound inosine pranobex has been effectively combating viral infections, including herpes zoster, varicella, measles, and infections caused by the herpes simplex virus, human papillomavirus, Epstein–Barr virus, cytomegalovirus, and respiratory viruses. With the emergence of SARS-CoV-2, new and existing drugs have been intensively evaluated for their potential as COVID-19 medication. Due to its potent immunomodulatory properties, inosine pranobex, an orally administered drug with pleiotropic effects, can, during early treatment, alter the course of the disease. We describe the action of inosine pranobex in the body and give an overview of existing evidence collected to support further efforts to study this drug in a rigorous clinical trial setup.
In Vivo Modelling of Hepatitis B Virus Subgenotype A1 Replication Using Adeno-Associated Viral Vectors
Authors: Limani Shonisani Wendy , Mnyandu Njabulo , Ely Abdullah , Wadee Reubina , Kramvis Anna , Arbuthnot Patrick , Maepa Mohube Betty
Published: November 2021

The paucity of animal models that simulate the replication of the hepatitis B virus (HBV) is an impediment to advancing new anti-viral treatments. The work reported here employed recombinant adeno-associated viruses (AAVs) to model HBV subgenotype A1 and subgenotype D3 replication in vitro and in vivo. Infection with subgenotype A1 is endemic to parts of sub-Saharan Africa, and it is associated with a high risk of hepatocellular carcinoma. Recombinant AAV serotype 2 (AAV2) and 8 (AAV8) vectors bearing greater-than-genome-length sequences of HBV DNA from subgenotype A1 and D3, were produced. Transduced liver-derived cultured cells produced HBV surface antigen and core antigen. Administration of AAV8 carrying HBV subgenotype A1 genome (AAV8-A1) to mice resulted in the sustained production of HBV replication markers over a six-month period, without elevated inflammatory cytokines, expression of interferon response genes or alanine transaminase activity. Markers of replication were generally higher in animals treated with subgenotype D3 genome-bearing AAVs than in those receiving the subgenotype A1-genome-bearing vectors. To validate the use of the AAV8-A1 murine model for anti-HBV drug development, the efficacy of anti-HBV artificial primary-microRNAs was assessed. Significant silencing of HBV markers was observed over a 6-month period after administering AAVs. These data indicate that AAVs conveniently and safely recapitulate the replication of different HBV subgenotypes, and the vectors may be used to assess antivirals’ potency.
A Review on Extrahepatic Manifestations of Chronic Hepatitis C Virus Infection and the Impact of Direct-Acting Antiviral Therapy
Authors: Mazzaro Cesare , Quartuccio Luca , Adinolfi Luigi Elio , Roccatello Dario , Pozzato Gabriele , Nevola Riccardo , Tonizzo Maurizio , Gitto Stefano , Andreone Pietro , Gattei Valter
Published: November 2021

Extrahepatic manifestations are a feature of chronic hepatitis C virus (HCV) infection. In the course of chronic HCV infection, about 70% of patients have one or more extrahepatic manifestations. The latter are often the first and only clinical sign of infection. Experimental and clinical data support a causal association for many extrahepatic manifestations and HCV infection, which include mixed cryoglobulinemia, non-Hodgkin lymphomas (NHL), cardiovascular disease, insulin resistance, type 2 diabetes, neurological and psychiatric disease and other rheumatic diseases. All these extrahepatic conditions influence the morbidity, quality of life and mortality of HCV-infected patients. Currently, interferon-free therapeutic regimens with direct-acting antiviral agents (DAA) offer the possibility of treatment to almost the entire infected population, irrespective of stage of cirrhosis and associated serious comorbidities, always maintaining a high efficacy and tolerability. Several studies have shown a close association between HCV clearance by DAAs and an improvement or reduction in the risk of extrahepatic manifestations. Patients with HCV after a sustained virologic response (SVR) by DAA treatment have a lower risk than non-responders of developing cryoglobulinemic vasculitis and B-cell non-Hodgkin’s lymphomas. Furthermore, the SVR by DAA also reduces the risk of acute coronary syndrome, cardiovascular disease, insulin resistance and type 2 diabetes, and it improves atherosclerosis. HCV clearance by DAA also improves the quality of life and survival of patients with chronic HCV infection with associated extrahepatic diseases. Thus, DAAs should be initiated as early as possible in HCV patients with extrahepatic manifestations.
Improvement of Log Reduction Values Design Equations for Helminth Egg Management in Recycled Water
Authors: Stevens Daryl P. , Daniel Vivek , Shahsavari Esmaeil , Aburto-Medina Arturo , Soni Sarvesh K. , Khudur Leadin S. , Khallaf Basma , Surapaneni Aravind , Schmidt Jonathan , Keegan Alexandra , Crosbie Nicholas D. , Blackbeard Judy , Hampton James , Deere Dan , O’Connor Nick , Ball Andrew S.
Published: November 2021

Understanding and managing the risk posed by helminth eggs (HE) is a key concern for wastewater engineers and public health regulators. The treatment processes that produce recycled water from sewage at wastewater treatment plants (WWTPs) rely on achieving a defined log10 reduction value (LRV) in HE concentration during the production of recycled water from sewage to achieve the guideline concentration of ≤1.0 HE/L. The total concentration of HE in sewage reaches thousands of HE/L in developing countries and therefore, an LRV of 4.0 is generally accepted to achieve a safe concentration in recycled water, as this will meet the guideline value. However, in many developed countries with good sanitation and public health standards, the HE concentration in sewage is generally <10 HE/L. Therefore, validation of the sewage treatment process relied on to achieve an LRV of 4.0 can be difficult. Because of these limitations, design equations to predict LRVs from hydraulic retention times (HRT), which are geographically non-specific, are commonly relied on to ensure the production of safe quality recycled water with respect to HE. However, these design equations could be further refined by defining the design and management of the treatment process in greater detail and thus be used more effectively for determining the LRV required. This paper discusses the limitations and possible improvements that could be applied to LRV design equations for predicting HE removal at WWTPs and identifies the data requirements to support these improvements. Several options for LRV design equations are proposed that could be validated experimentally or via the ongoing operation of WWTPs. These improvements have the potential to assist the rationalization of the HE removal requirements for specific treatment options, exposure scenarios and use of recycled water in agriculture.
Anthropogenic and Climate-Exacerbated Landscape Disturbances Converge to Alter Phosphorus Bioavailability in an Oligotrophic River
Authors: Watt Caitlin , Emelko Monica B. , Silins Uldis , Collins Adrian L. , Stone Micheal
Published: November 2021

Cumulative effects of landscape disturbance in forested source water regions can alter the storage of fine sediment and associated phosphorus in riverbeds, shift nutrient dynamics and degrade water quality. Here, we examine longitudinal changes in major element chemistry and particulate phosphorus (PP) fractions of riverbed sediment in an oligotrophic river during environmentally sensitive low flow conditions. Study sites along 50 km of the Crowsnest River were located below tributary inflows from sub-watersheds and represent a gradient of increasing cumulative sediment pressures across a range of land disturbance types (harvesting, wildfire, and municipal wastewater discharges). Major elements (Si2O, Al2O3, Fe2O3, MnO, CaO, MgO, Na2O, K2O, Ti2O, V2O5, P2O5), loss on ignition (LOI), PP fractions (NH4CI-RP, BD-RP, NaOH-RP, HCI-RP and NaOH(85)-RP), and absolute particle size were evaluated for sediments collected in 2016 and 2017. While total PP concentrations were similar across all sites, bioavailable PP fractions (BD-RP, NaOH-RP) increased downstream with increased concentrations of Al2O3 and MnO and levels of landscape disturbance. This study highlights the longitudinal water quality impacts of increasing landscape disturbance on bioavailable PP in fine riverbed sediments and shows how the convergence of climate (wildfire) and anthropogenic (sewage effluent, harvesting, agriculture) drivers can produce legacy effects on nutrients.
consumo de alcohol en estudiantes de educación básica superior de una ciudad en Ecuador
Authors: Rivadeneira Díaz Yoder Manuel , Paccha Uchuari Bryan Leonardo
Published: November 2021

Como parte del Proyecto “Factores Psicosociales   de   las   adicciones    y su impacto en el comportamiento infanto-juvenil de los habitantes de la Provincia de Loja”, se ubicó la presente investigación. El objetivo fue identificar las actitudes hacia el consumo de alcohol en estudiantes de la unidad educativa “Pio Jaramillo Alvarado” de la ciudad de Loja. El enfoque fue sociocrítico y ecosistémico. El estudio es descriptivo, de corte transversal. La muestra no probabilística. Los métodos empleados fueron: científico, analítico-sintético, deductivo-inductivo. La técnica utilizada fue la encuesta y  el  test  de  actitudes al consumo de alcohol aplicado a 28 estudiantes. Los resultados señalan la sustancia de mayor consumo al alcohol (68 %); actitudes positivas a la ingesta de alcohol manifiestas en el 64 % de adolescentes; el principal motivo los problemas familiares 71 %. Se concluyó que, con los resultados obtenidos, se diseñará estrategias psicoeducativas para prevención, intervención y tratamiento de comportamientos adictivos.
PENGARUH PEMBERIAN EKSTRAK BAYAM MERAH TERHADAP PENINGKATAN KADAR HB PADA IBU HAMIL DI KLINIK VINA MEDAN
Authors: Bangun Adriana
Published: November 2021

Nutritional anemia is a condition with a blood hemoglobin level that is lower than normal as a result of the inability of the tissues that make up red blood cells in their production to maintain hemoglobin levels at the national level. Red spinach is often found in traditional markets in the city of Medan. However, there are still many pregnant women who do not know that red spinach can increase HB levels in pregnant women, so that so far red spinach is still used by pregnant women for vegetables only. This study aims to help pregnant women obtain food sources that are rich in iron and very easy to obtain in their environment. So that there are no more pregnant women who experience anemia, so that it can reduce maternal mortality through bleeding during childbirth. The design of this study used a Quasi Experiment One Group Pre Post Test. Namely by looking at the increase in maternal HB levels before and after consuming red spinach extract. Sampling was done by total sampling technique, namely as many as 30 pregnant women. Analysis with independent t test statistical test with a confidence level of 95%. The results showed that the average hemoglobin level before giving the red spinach extract was 21.22 g / dL (minimum = 9.0 g / dL and maximum = 10.2 g / dL), the average hemoglobin level after giving spinach extract. red is 41.12 g / dL (minimum = 10.0 g / dL and maximum = 11.7 g / dL), the difference in hemoglobin levels before and after giving red spinach extract has increased hemoglobin levels by 27 people (89.12% ) and there is an effect of giving red spinach extract on increasing hemoglobin levels in pregnant women at the Vina Clinic Medan.
Estimulação neurossensorial e o seu impacto na vida de pacientes com paralisia cerebral
Authors: Almeida Lessa Anna Victória , Santos Pignata Giulia , Carvalho Parry Denis
Published: November 2021

Introdução. A paralisia cerebral (PC) é uma patologia multifatorial, complexa e crônica, que ocorre durante a infância e se prolonga ao longo da vida, tendo como base o comprometimento no desenvolvimento psicomotor e neurossensorial, levando a limitações secundárias que afetam a qualidade de vida dos pacientes. Objetivo. Avaliar o impacto da estimulação neurossensorial na qualidade de vida de pacientes com paralisia cerebral. Método. Pesquisa documental referente a um estudo de caso clínico de caráter qualitativo e retrospectivo, entre janeiro de 2016 e dezembro de 2020. Resultados. O suporte terapêutico ofertado deve englobar o apoio familiar juntamente com uma equipe multidisciplinar, que irão atuar na mobilização precoce, controle motor e postural, incentivo linguístico, sensorial e social. Desta forma, as técnicas de estimulação neurossensorial vêm sendo estudadas e empregadas, a fim de avaliar a resposta dos pacientes e suas perspectivas promissoras. Conclusão. As técnicas de estimulação neurossensorial que atuam nos cincos sentidos além de atividades que melhoram a função motora, ainda não possuem protocolos específicos de avaliação para pacientes com PC. No entanto é notório que as modificações a serem alcançadas com essas metodologias ocorrem de forma gradual, com grande impacto na qualidade de vida desses indivíduos, principalmente com o apoio e cuidado integrado da família com uma equipe multiprofissional.
MEDIASI IN COURT UNTUK MEWUJUDKAN KEPASTIAN HUKUM BERDASARKAN WIN –WIN SOLUTION
Authors: Afriana Anita
Published: November 2021

ABSTRACT Basically, same with the civil settlement in the District Court, peace in thesettlement of bankruptcy cases is required to be implemented. The article of130 of HIR / 154 HIR concerning the obligation to reconcile the two sides havebeen concreted through Perma No 1, year 2016. However, this Perma can’t beapplied to the settlement of bankruptcy cases in the Commercial Court. This study want to know the juridical reasons the peace achieved through Mediation In Court based on Perma no. 1 of 2016 can’t be applied in the settlement of bankruptcy disputes in the Commercial Court and the juridical consequences that distinguish between the peace achieved through mediation in Court and the bankruptcy proceedings and PKPU related to certainty as the purpose of law Peace institutions through Perma No1, year 2016 pursued by means of mediation can not be applied to bankruptcy cases because bankruptcy is included in the volunteer domain whereas mediation in court is implemented in contentiosa case. Therefore, peace in the settlement of bankruptcy cases can’t be executed at the beginning of the investigation of bankruptcy cases in the Commercial Court, as new peace can be applied if the debtor's status is clear as a bankrupt party. Although mediation can’t be implemented in order to achieve peace in the bankruptcy case in the Commercial Court, the concept of a win-win solution remains in the implementation of peace in the Commercial Court is apeace that can provide balanced benefits for both parties as business actors.Keywords: bankruptcy, peace, win-win Solution
Float: Designing for the Rise in Sea Level
Authors:   American University of Sharjah, Cerro Camilo
Published: November 2021

According to the United Nations, presently, about 54% of the world’s population lives in urban areas, with the number expected to increase to 66% by 2050. Urban areas which are ill prepared to deal with their present population needs will have to develop and manage; housing, healthcare, education, transportation, infrastructure and food pro-duction for an additional 2.5 billion people. With three-quarters of the world’s megalopolis by the sea and 80% of people living within 60 miles of the coast, sea level rise will force a new way of thinking about urban development. Managing urban areas has become one of the most important development challenges of the 21st century. In the UAE specifically, there are nearly 1,300 kilometers of coast-line. Approximately 85% of the population and over 90% of the infra-structure are located within several meters of sea level in low-lying coastal areas. This poses a very specific urban problem of relocation. But not all relocation will need to be done inland. The potential for floating architecture is a very real possibility to help solve some of the problems brought on by the rise in sea level. This is why at the American University of Sharjah, we have been studying this issue and other sustainability related opportunities in a series of courses that started in 2014 with a summer studio course set in Cambodia. Students lived with a floating community in the Tong le Sap lake for a month, studying vernacular floatation systems to inform the development of proposals for floating dwelling studies. This semester (Spring 2018), a fifth year architecture studio set up to transfer specific urban functions to the water within protected areas in the UAE. The aim of the studio was to start looking at possible implementation of floating systems within everyday functions to start a discussion of the potential of this technologies and the feasibility of its use at both an industrial and commercial level. The idea was to develop a series systemic interdependent sustainable designs based on the idea of third nature, hybridizing complex relationships between distinct functions in environments above and below water. This paper will cover the methodology implemented to start tackling these subjects in the studio environment with the aim to create awareness for designers and the general public.
Awareness of National Health Insurance Scheme Activities and Service utilization Among Enrolled Employees in Government Institutions in Nigeria
Authors: Ironbar Archibong E. , Agbor Uno Ijim , Iji Mary Eru
Published: November 2021

The study examined awareness of National Health Insurance Scheme activities and service utilization among enrolled employees in government institutions in Nigeria. Adopting the survey research method, data was collected from 1200 samples employed in three federal Government Institutions in Calabar, Cross River State, Nigeria using a structured self-developed questionnaire. The samples were selected using the purposive and proportional sampling technique. Descriptive analysis was used to present result and linear regression was used to check the variable under study at 0.05 confidence level. The result from the descriptive analysis revealed that there was moderate knowledge (48 per cent) that there are drugs not on the NHIS drug list. Result also revealed minimal knowledge (30 per cent) that there is some treatment not on the NHIS treatment List. Regression analysis revealed a moderate correlation (30 per cent) between awareness of NHIS activities and service utilisation (F (1, 1112) = 16.472; p < .000). The study concludes that there is moderate knowledge about the activities of the NHIS and this affects service utilization and satisfaction. The study recommends among others that the operators of the National Health Insurance Scheme should include more drugs on the prescription list to address the health needs of participants. The scheme should be expanded to cover all medical cases of enrollees. The government and the agencies in charge of the health insurance scheme should carry out periodic assessments of clients’ satisfaction with the scheme so as to make future policy decisions for better service delivery
Python for Automating Machine Learning Tasks
Authors: Mshvidobadze Tinatin
Published: November 2021

Machine learning is used in a variety of computational tasks where designing and programming explicit algorithms with good performance is not easy. Applications include email filtering, recognition of network intruders or malicious insiders working towards a data breach. In this article we will focus on basics of machine learning, tasks and problems and various machine learning algorithms. The article discusses the Python programming language as the best language for automating machine learning tasks.
Mengembangkan skenario panen porang satu musim melalui manipulasi tanam lebih awal dan perlambatan waktu dorman fase generatif dengan pemberian asam salisilat organik alami di lahan kering Lombok Utara
Authors: Suparman  , Suwardji  , Kusnarta  , Sukartno
Published: November 2021

The research on the scenario of one-season porang harvest through crop manipulation and delaying dormancy time aims to determine the effect of salicylic acid in breaking the dormancy of porang bulbil seeds during seeding and to determine the effect of slowing down the dormant period of the generative phase, so it is expected to be an alternative porang cultivation technology that is profitable for farmers The method used in this study used a completely randomized design experiment on breaking dormancy and a randomized block design in an experiment with slowing down the dormancy time of the generative phase with four salicylic acid concentrations (0%, 0.5%, 1%, and 2%) with eight replicates were planted under rainfed conditions. The results showed that the concentration of salicylic acid (C7H6O3) 2% was the best treatment in increasing tuber weight (52.25%) compared to the control. Application of Salicylic Acid (2%) was significantly able to increase the vegetative growth of porang plants, which was shown by increasing plant height by 50.38% and breaking seed dormancy 14 days faster than the control (without the addition of Salicylic Acid). Furthermore, the delay in dormancy time occurred 1 month later than the control so that it could prolong the vegetative phase. The concentration of 2% salicylic acid is the best treatment, which can be recommended in the development of one-season porang cultivation technology that can increase farmers' profits.
Analisis strategi peningkatan daya saing pada UKM Anugrah Mina Lestari
Authors: Fidhiani Dayang Diah
Published: November 2021

UKM Anugrah Mina Lestari is an UKM that processes milkfish into smoked milkfish products and millennial milkfish brains, which are very popular, especially children and teenagers. Anugrah Mina Lestari UKM in Malang City plays an important role in national economic growth. The purpose of this study was to obtain a strategy to increase the competitiveness of UKM Anugrah Mina Lestari in Malang City. Technical analysis of this research data using the AHP method with the concept of the house model to determine strategies to increase the competitiveness of SMEs Anugrah Mina Lestari in Malang City. The results of the study show that by increasing product variables, improving human resources and marketing institutions can be a strengthening strategy for sustainable competitiveness improvement in Anugrah Mina Lestari SMEs.
Pengaruh konsentrasi starter dan macam buah terhadap karakteristik kefir air
Authors: Kurniawidi Tri , Utomo Deny
Published: November 2021

Water kefir is a probiotic drink as a result of fermentation by lactobacillus acid bacteria, acetobacter and yeast. Fruits and other ingredients could be added to obtain water kefir with specific flavor and aroma. This research aims to observe the effect of starter concentration and kind of fruit used on the characteristics of water kefir, and to determine the best combination preferred by the panelists. This study used two factorial randomized design with three repetitions. The factors used are the starter concentration (5 %, 8 %, and 11 %) and the kind of fruit used (snake fruit, pineapple, and papaya). Results showed that different starter concentration had an effect on brix, pH, alcohol content and density of water kefir, while different kinds of fruit had an effect on brix. Based on organoleptic test the most preferred water kefir is pineapple water kefir with 8 % starter concentration.
Surveying Healthcare Facilities for Tourists in India
Authors:   Department of Computer Science and Engineering, Manav Rachna International Institute of Research and Studies, Faridabad (Haryana), India., Shandilya Rajat , Acharya Bhagyesh ,   Department of Computer Science and Engineering, Manav Rachna International Institute of Research and Studies, Faridabad (Haryana), India., Mayank  ,   Department of Computer Science and Engineering, Manav Rachna International Institute of Research and Studies, Faridabad (Haryana), India., Garg Monika ,   Department of Computer Science and Engineering, Manav Rachna International Institute of Research and Studies, Faridabad (Haryana), India., Tyagi Shobha ,   Department of Computer Science and Engineering, Manav Rachna International Institute of Research and Studies, Faridabad (Haryana), India.
Published: November 2021

India is quickly becoming one of the most popular tourist destinations in the world. The rise of India as a tourist destination can be attributed to a number of factors. The growth of medical tourism in India is one of the reasons examined in this paper. Healthcare tourism is when people from all over the world fly to another country to receive medical, dental, and surgical treatment when exploring, vacationing, and completely immersing themselves in the attractions of the countries they are visiting. In the medical tourism industry, India is one of the most popular destinations. Medical tourism is experiencing rapid growth in India. Medical tourists cross foreign boundaries in search of medical care. Medical tourism has developed to become a multibillion-dollar industry. It is important to remember that the primary goal of medical tourists is to provide high-quality medical care at an affordable cost. When compared to other developing countries in the world, India has emerged as the most sought-after destination for medical tourists due to the availability of world-class doctors at affordable prices. In addition, India has a wide range of tourist destinations. It has tremendous potential for creating jobs and earning large sums of foreign currency. The paper ends with policy recommendations for advancing the rapidly growing medical tourism industry.
Physician Burnout
Authors: Chundi Vishnu
Published: November 2021

Burnout, as defined by Maslach, is a psychological syndrome seen as a prolonged
response to chronic emotional and interpersonal stressors on the job. These are
characterized by exhaustion, cynicism, and inefficiency. Compared to the general United
States’ working population, physician burnout exceeds other professions. The prevalence
of physician burnout is estimated to be greater than 50% of the workforce, and costs
approximately USD 7600.00 per employed doctor a year. Factors that lead to the epidemic
of physician burnout include change from private practice to an employed model, an
increase in reporting requirements, loss of flexibility and autonomy, and variation in
organizational and cultural values that lead to loss of meaning in work.
Tricobezoar - síndrome de Rapunzel
Authors: Bastidas Goyes Alirio Rodrigo , Calderon Avila Andres
Published: November 2021

Se presentan las imágenes de una adolescente de 15 años de edad con dolor abdominal de un mes de evolución, localizado en región meso y epigástrica, sin respuesta al tratamiento con inhibidor bomba de protones ni analgésico oral durante 20 días, asociado disnea, astenia y nauseas, anemia microcitica hipocromica con requirimiento de trasfusión. Se documenta perturbación emocional derivada de convivencia en hogar disfuncional. Tomografía abdominal simple y con contraste describe masa de densidad heterogénea con dimensiones de 117 mm x 67 mm, desplazamiento esplénico posterior y de la cámara gástrica hacia arriba y adelante con disminución volumen intraluminal (Imagen A). En endoscopia de vías digestivas altas se aprecia tricobezoar el cual ocupa el 70% de la cámara gástrica, múltiples ulceraciones aproximadamente de 8mm en mucosa de cuerpo y antro cubiertas por fibrina (Imagen B). Extracción quirúrgica de tricobezoar a través de gastrectomia anterior (Imagen C). Pieza quirúrgica de tricobezoar (Imagen D), paciente egresa sin complicación e inicia apoyo interdisciplinario psicológico y psiquiátrico.
PANDEMONIUM IN PUBLIC HEALTH GOVERNANCE – A SNAPSHOT ON COVID CRISIS
Authors: Irene M. Madhuri
Published: November 2021

Covid-19 confirmed idiocy of intelligence and perils of
powers exasperating the governance ethics of globe and
castrated canons of human values. Corona blasted derisively
the tenacity and techniques of 'Corona meter' in recording the
victimization of health, wealth, economy, environment,
education, and governance genuflection before the virility
and victory of undaunted virus of SARS genesis. Learned
gentry captioned the proliferation of Corona virus as
'Pandemic' of course with doubtful accuracy. The reference of
pandemic as a term could have been justified in earlier
historical cases of influenza, plague, ebola and SARs etc
gracing the meaning of “a set of mutually exacerbating
catastrophes” (referring to 1918 Influenza episode) but the
present global Corona death dance devastating the material
and mental health of individuals, institutions and society
needs, probably, a better and appropriate word or phrase.
Surprisingly, even before the blink of an eye, health crisis is
transformed into multiple conundrums – economic, research,
medical, political and governance mocking at all public and
private institutions.
SERUM ELECTROLYTE ESTIMATATION AS AN EARLY PREDICATOR FOR GRADING SEVERITY OF HEPATIC ENCEPHALOPATHY
Authors: Kumar Sonu , Singh Anuradha , Kumar Prashant
Published: November 2021

*AIMS AND OBJECTIVES:-
1) Alteration in the level of Serum Sodium,Potassium and Chloride in hepatic encephalopathy.
2) Correlation of these levels with severity of hepatic encephalopathy due to various causes.
3) The role of Serum Sodium,Potassium and Chloride as a predictor for grading of severity of hepatic encephalopathy.
*STUDY-DESIGN:- Prospective observation study
(a) Inclusion criteria:-
All children with clinical and biochemical evidence of liver dysfunction having neuropsychiatric changes were
included.
(b) Exclusion criteria:-
Cases with meningioencephalitis and other cases of encephalopathy will be excluded.
* SETTING:-
Upgraded department of Paediatrics,PMCH,Patna.
*STUDY GROUP:- All children with hepatic encephalopathy, they were admitted in paediatrics ward of Patna Medical
College and Hospital,Patna,during the period of Jan 2018 to Dec-2019.
*PLAN FOR STATISTICAL ANALYSIS:-
Statistical analysis was done by using Descriptive Statistics,Standard Deviation,Standard Error of Mean and using SPSS
Software .
HIGH FLOW NASAL OXYGEN- ALL YOU SHOULD KNOW
Authors: Choudhary Sumer Sanjiv , Sarda Aakansha , Tayade B. O.
Published: November 2021

Respiratory support is applied to maintain adequate
oxygenation and ventilation and hence supplemental
oxygenation is the first line of treatment for hypoxemic
respiratory failure. There are multiple conventional oxygen
support devices. However, in majority of these, oxygen
provided is not humidified and maximum flow rate is 15l/min.
However, high flow nasal oxygen (HFNO) is an alternative to
conventional oxygen therapy. It is a technique that delivers
heated and humidified oxygen with a controlled fraction of
inspired oxygen(FiO2) at a maximum flow rate of 60L/min via
(1) a specialized nasal cannula
Di lessico e altre quisquilie: autopercezione ed eteropercezione linguistica nel social networking
Authors: Gheno Vera
Published: November 2021

Digital writing and handwriting are cognitively different activities; thus, it is interesting to verify what happens to the written language when it is conveyed through a keyboard and no longer a pen. On the Net, where the text is stripped of all non-strictly linguistic clues such as tone of voice, facial expression, proxemics, gestures, etc., written words assume a large part of the communicative burden: in other words, we are what we type. Despite this, it often seems that users are not fully aware of how much their linguistic choices affect the construction of their reputation on the net. In this contribution, we reflect on the current state of the typed Italian, trying to hypothesize some future strategies to improve the condition of millions of novice and unprepared users.
Psychological effects of the course reception of multicomponent herbal blend "Antistress
Authors: Grigoriev P. E. , Nagovskaya V.-V. V. , Melikov F. M. , Tonkovtseva V. V. , Miroshnichenko E. A. , Nagovskaya E.-E. V. , Yarosh A. M.
Published: November 2021

The study of the effectiveness of the course intake of multicomponent herbal blend "Antistress" (rhizomes with roots of valerian officinalis, motherwort grass, hawthorn flowers, peppermint leaf, lemon balm leaf, herba hyperici) was conducted. The subjects were 20 students of a medical university, 45% of them worked with patients with coronavirus infection. The deadline for receiving the herbal blend is 20 days. The psychological state was assessed using the methods "Coping behavior in stressful situations", "Taylor Scale of anxiety manifestations", "Emotional burnout" by V. Boyko. After taking the herbal medicine, the overly emotional response to stress disappeared, anxiety decreased. Initially inflated indicators of emotional burnout have decreased to normal or close to normal: tension has decreased; forced resistance to adverse circumstances that have generally ceased to be perceived as such; emotional reserves that can be spent productively and with pleasure in professional activities have increased. In many respects, this result was obtained due to the combination of medicinal plants in the herbal blend: along with soothing and improving the functional state of the cardiovascular and nervous system components, herba hyperici, which is a natural antidepressant, was also included in the blend.
Damage in Dentistry
Authors: Franjić Siniša
Published: November 2021

Dentistry is one of the clinical disciplines that is closely related to medicine, but also to the technology of making various devices and placing artificial materials that compensate and/or upgrade lost teeth and surrounding structures. Dentistry is also medically responsible for the treatment of patients with diseases of the oral cavity. The main task of dentistry is healthy teeth and oral cavity, ie their preservation and treatment of damaged teeth. Caries is the most common dental disease, and is caused by the multiplication of bacteria inside the oral cavity due to lack of oral hygiene. If not treated in time, caries penetrates deeper tooth structures and destroys them which leading to tooth decay. The most common symptoms of caries are tooth sensitivity and toothache. If these symptoms occur, it is necessary to perform an examination at the dentist in order to prevent the disease immediately at the beginning and to avoid significant consequences for dental health. If caries is not treated in time, there is a high chance that irreparable damage will occur to the teeth and tooth tissue, which can ultimately result in the loss of one or more teeth.
Construction of Hybrid Model for English News Headline Sarcasm Detection by Word Embedding Technique
Authors: Ayyasamy S.
Published: November 2021

People often use sarcasm to taunt, anger, or amuse one another. Scathing undertones can't be missed, even when using a simple sentiment analysis tool. Sarcasm may be detected using a variety of machine learning techniques, including rule-based approaches, statistical approaches, and classifiers. Since English is a widely used language on the internet, most of these terms were created to help people recognize sarcasm in written material. Convolutional Neural Networks (CNNs) are used to extract features, and Naive Bayes (NBs) are trained and evaluated on those features using a probability function. This suggested approach gives a more accurate forecast of sarcasm detection based on probability prediction. This hybrid machine learning technique is evaluated according to the stretching component in frequency inverse domain, the cluster of the words and word vectors with embedding. Based on the findings, the proposed model surpasses many advanced algorithms for sarcasm detection, including accuracy, recall, and F1 scores. It is possible to identify sarcasm in a multi-domain dataset using the suggested model, which is accurate and resilient.
Macrodrenagem urbana: comparativo de hidrogramas gerados pelo método precipitação vazão, Soil Conservation Service (SCS), entre duas equações de chuva de boa confiabilidade
Authors: Carvalho Coelho André , Zuffo Antonio Carlos
Published: November 2021

Este trabalho utiliza duas equações de chuva para calcular a vazão de pico de uma bacia hidrográfica localizada na região leste da cidade de São Paulo, a bacia do córrego Tiquatira. O modelo computacional utilizado, o HEC-HMS, permite realizar as simulações hidrológicas utilizando um método de precipitação vazão muito utilizado, o Soil Conservation Service (SCS). Na região da bacia em estudo, ocorrem frequentes inundações devido ao transbordamento do córrego Tiquatira, então se destaca a importância de utilizar a equação de chuva mais apropriada para a região, a fim de que um novo projeto de drenagem não subestime as estruturas hidráulicas a serem construídas. A equação de chuva desenvolvida por Martinez e Magni (1999) é bastante utilizada para os projetos de drenagem na cidade de São Paulo, portanto é uma equação de boa confiabilidade e consolidada. Porém a equação de chuva desenvolvida por Zuffo (2009), para a cidade de Guarulhos, apresenta maiores taxas de intensidades pluviométricas; ressalta-se que o posto pluviográfico de origem dos dados para o desenvolvimento dessa equação encontra-se próximo à região de estudo. Portanto foi apresentado o impacto que pode representar na vazão de pico utilizando as equações que inicialmente seriam recomendadas em uma bacia hidrográfica da região leste da cidade de São Paulo.
Palavras-chave: Modelos hidrológicos. Urbanização. HEC-HMS. Equações de chuva.
Análise multicritério para avaliar a qualidade de sistemas de abastecimento de água e esgotamento sanitário nos municípios do Curimataú Oriental Paraibano, Brasil
Authors: de Abreu Claudino Cinthia Maria , de Almeida Gomes Beatriz , Souza Ogata Igor , de Sá Sena Thiago
Published: November 2021

Devido ao panorama deficiente de abastecimento de água e esgotamento sanitário das cidades de pequeno porte, o trabalho aplicou modelo de apoio a tomada de decisão multicriterial para avaliar os sistemas em municípios da Microrregião do Curimataú Oriental Paraibano. Para tanto, foram utilizados como critérios indicadores do Sistema Nacional de Informações sobre Saneamento, aplicados no método ELECTRE II. O resultado classificou os municípios quanto às categorias Operacional, Econômico-Financeiro e Administrativo e de Qualidade. Ao analisar as três categorias em conjunto, o município de Solânea apresentou melhor desempenho, enquanto Cacimba de Dentro teve o pior. Esse resultado foi alcançado principalmente pelo desempenho associado à cobertura do abastecimento de água e endividamento dos usuários. Assim, a pesquisa orienta a tomada de decisão para ações prioritárias no local e categorias adequadas, sendo até mesmo possível ser aplicada em outras regiões brasileiras. Palavras-chave: Método ELECTRE II. Municípios de pequeno porte. Sistema de informação sobre saneamento.