bluuebunny/crossref_metadata_2025 huggingface dataset:
Design of 8-Bit Hybrid Current Steering Digital to Analog Converter in a Standard 65nm CMOS Technology
Authors: Adepu Ashok Kumar , Narayanam Balaji
Published: February 2023

A digital-to-analog converter (DAC) in electronics is a device that transforms digital signals into analog signals. There are various DAC architectures, and DAC's usefulness for a given application is determined by factors like resolution, INL, DNL, power consumption, maximum sampling frequency, and others. Because digital-to-analog conversion may damage a signal, a DAC with negligible faults for the application should be used. The current-steered digital-to-analog converter is well suited for high-speed applications because no buffers are needed for current steering architectures and the output is the total current drawn from the supply. In this paper, an 8-bit hybrid current steering digital-to-analog converter is proposed. Four cascode current sources with different weights are used in this architecture. The UMC 65nm CMOS technology was used to design the digital-to-analog converter. The INL and DNL were +0.19/-0.15 LSB and +0.28/-0.11 LSB respectively. The DAC uses roughly 3.25 mW at a supply voltage of 1.2V and a sample rate of 100 MHz. 12.751 mV was the output voltage at full scale. In comparison to earlier reports, the power, INL, DNL, and chip area used by the digital-to-analog converter in this architecture were significantly lower. It is appropriate for use in portable devices.
Towards a Green Energy Transition: REPowerEU Directive vs Environmental Acquis
Authors: Jendrośka Jerzy , Anapyanova Alina
Published: February 2023

The article provides a brief overview and assessment of the proposed measures against the respective political and legal background. It shows that the proposed measures, while generally guided by legitimate objectives, were not properly balanced with the other EU environmental policies. In this context it claims lack of a profound debate regarding the scope and means for such balancing and considers this as a fundamental issue to be addressed before submitting any concrete measures. It then compares the proposed measures with some of the official proclamations in the Europesan Green Deal and shows issues of concern in relation to some of the concrete proposed measures. Finally, it assesses some of the proposed measures as being not controversial and presents proposals for other possible measures to be used for the purpose. The article is based on a presentation given 24th November 2022 in the context of the annual general meeting of the Environmental Law Network International.
Limitations in Current Construction Practices of Public Sector Building Projects in Sindh
Authors: Shaikh Jazib Bashir , Memon Nafees Ahmed , Vighio Anees Ahmed , Memon Aftab Hameed , Ahmed Zubair
Published: February 2023

Undivided attention is being driven by construction productivity in today’s era. The main and the foremost concern of any organization is its construction productivity. The discovery of factors impacting construction productivity has been the subject of much research. For a very long time, research has sought to identify the key elements influencing building productivity in various nations. Continuous work in this approach has led academics to identify a wide range of factors. While the subject of this paper is however has been limited to Sindh province of Pakistan only. The construction industry of Pakistan is swelling with each passing day thus construction productivity is of the major concern. This paper aims at exposing the key weakness in current construction practices being employed in various building projects of Sindh. For this purpose, 135 questionnaires, after a rich literature survey, were distributed among the industry experts and the obtained results were analyzed and then ranked in Statistical Packages for Social Sciences (SPSS). It was revealed through the results that 10 factors chiefly influence the construction productivity which are shortage of unskilled labor, payment delay, less salary, insufficient modern tools, delay in delivery of material at site, material shortage and quality, labor absenteeism, equipment breakdown, experience of contractor and construction technology. At the end of the study, it is recommended that a framework maybe developed based upon the factors given above to improve the construction productivity of the building projects of Sindh.
Detection of Deepfake Video Using Residual Neural Network and Long Short-Term Memory
Authors: Karandikar A. M. , Thakare Yogesh , Sah O. , Sah R. K. , Nafde S. , Kumar S.
Published: February 2023

The appearance of web-based media has implied genuine and anecdotal stories introduced in such a comparative manner that it can now and then be hard to differentiate the two. Similarly, manipulation of real photos, audios or videos with the help of Artificial Intelligence techniques is done such that it is difficult to distinguish between the real and fake thus called Deepfake. It can happen to big celebrities, politicians, and to layman as well for some malicious purpose. Consequently, this procedure can end up being very threat to human culture subsequently expected to identify it appropriately. This paper intends to tackle this issue by proposing a model that uses Residual Neural Network (ResNet50) and Long Short-term Memory (LSTM) to detect video as fake or real. This approach tries to find flaws in the fake data left behind while its creation using neural based techniques like generative adversarial networks (GAN).
SOME APPLICATIONS OF SECTIONAL CURVATURE IN DIFFERENTIAL GEOMETRY
Authors:   Professor Department of Mathematics, Faculty of Education, Omdurman Islamic University, Omdurman, Sudan , Ummah 1University of Science and Technology , Al-Rasheed College of Co-education , Turkey., Abdel  Rahman Abdel  Radi  Abdel  Rahman  Abdel  Gadir , Ishag  Gary Adam  Haroun ,   Department of Mathematics, Faculty of Education, Omdurman Islamic University, Omdurman, Sudan, Elzain Ageeb Anoud  Hassan ,   Department of Mathematics, Gadarif Technologic College, Sudan Technical University, Gadarif, Sudan.
Published: February 2023

The applications of the differential geometry of sectional curvature plays a great role in the field of physics, mathematics and engineering because it paves to knowledge of curves, surfaces, curvature, radius of curvature and sectional curvature . The study aims to explain some applications of sectional curvature. We followed the analytical induction mathematical method. We found the following some result: The sectional curvature indicate to know the behavior of some the functions and also we found that the sectional curvature is the Gaussian curvature.
Supra Orbital Neuralgia a Rare Manifestatoin of Neuritic Hansen's Disease
Authors:   Former Prof of Neurology, Senior Consultant Medicover Hospital, Visakhapatnam., MD, DM Dr. Satya Rao Kolli , MBBS Dr. Likhitha Bammidi ,   Senior Resident, Neurology, Medicover Hospital, Visakhapatnam, Maharaj Dr. Mohan S ,   Director of Critical Care and Pain Management Services .MD(Anaesthesia) , PDCC IDCCM.MBA , AMPH, Medicover Hospitals, Visakhapatnam
Published: February 2023

One of the most common diseases in tropical countries is Hansen's disease. Mainly presents as Tuberculoid and lepromatous leprosy apart from its sub classification. Neuritic Hansen's disease is one of the commonly seen cases by the neurologists. It can present as mononeuritic form or mononeuritis multiplex with or without dermatologic manifestations. Among the peripheral nerves involved most common are greater auricular, ulnar,superficial radial,Median, common peroneal and posterior tibial. It's very rare to involve supra orbital nerve.Here we present a case of Supra orbital neuralgia with thickened nerve associated with erythematous hypoaesthetic patch with raised margins.Tapping over the supra orbital nerve produces severe shock like pain .This patient was not willing for Biopsy and hence basing on clinical diagnosis MDT was started and the patient showed remarkable improvement in 1 month.
How to Preserve the Nipple Erogenous Sensation in Breast Lifting and Reduction Mammaplasties
Authors:   Department of Plastic Surgery, University of Montreal Hospital Center, Montreal, Quebec, Canada, FRCSC Richard Moufarrege, MD, , MD Cyril Awaida, ,   Department of Plastic Surgery, University of Montreal Hospital Center, Montreal, Quebec, Canada, MD Romain Laurent, ,   Department of Plastic Surgery, University of Montreal Hospital Center, Montreal, Quebec, Canada, Gholam Georgio ,   Department of Plastic Surgery, University of Montreal Hospital Center, Montreal, Quebec, Canada, MD Ramy Schoucair, ,   Department of Plastic Surgery, University of Montreal Hospital Center, Montreal, Quebec, Canada, MD Marion Aribert, ,   Department of Plastic Surgery, University of Montreal Hospital Center, Montreal, Quebec, Canada
Published: February 2023

Preservation of nipple sensitivity after breast reduction is an important goal to achieve. However, most breast reduction techniques focus more on breast aesthetics and nipple areolar complex vascularity, ignoring nipple sensitivity particularly nipple erogenous sensation. In fact, the nipple nervous system includes a tactile sensation system and an erogenous sensation system, the latter being less described and commonly overlooked by plastic surgeons performing breast reductions. The erogenous sensation is supplied by the IVth, Vth and VIth intercostal nerves who run laterally on the surface along the muscular aponeurosis. The total posterior pedicle breast reduction technique described by Richard Moufarrege in 1982 consists of dissecting the skin away from the breast tissue offering free access to all breast quadrants. This technique is known for its robust blood supply to the nipple areolar complex, for its preservation of the breastfeeding function and for its low rate of long term complications such as pseudoptosis. In this article, we also demonstrate that the Moufarrege Total Posterior Pedicle preserves the nipple erogenous sensation among women undergoing breast reduction using this technique.
The Validity E-modules of Riau Local Wisdom Based to Enhance Students’ Creative Thinking through Research
Authors:   Faculty of mathematics and Natural Sciences, State University of Surabaya, Indonesia, Fauziah Siti Isnaini , Rahayu Yuni Sri ,   Faculty of mathematics and Natural Sciences, State University of Surabaya, Indonesia, Asri Mahanani Tri ,   Faculty of mathematics and Natural Sciences, State University of Surabaya, Indonesia
Published: February 2023

Good teaching materials in learning need to include facts and phenomena. In addition, it provides opportunities for students to carry out research activities to practice creative thinking skills. The study aims to describe the validity of e-modules that can enhance students' creative thinking skills through utilizing the environment as a learning resource based on Riau's local wisdom to maintain the sustainability of the ecosystem through student research activities. This study uses a development model with research and development (R&D) methods which refer to the 4D development model. The research instrument used in this study is an e-module validation sheet for education expert lecturers and material expert lecturers to be analyzed quantitatively and qualitatively from the aspects of content feasibility, presentation feasibility, and linguistic feasibility. Based on the validation carried out, the average validity score of all aspects was 89,74% with very valid criteria. The validity score includes aspects of content feasibility of 90,71% with a very valid category, 89,17% presentation feasibility with a very valid category and linguistic feasibility of 89,35% with a very valid category. These results indicate that the developed e-module is suitable for use in learning biology on environmental pollution materials. Based on the student response questionnaire, the overall e-module eligibility category was 94%. The presentation feasibility aspect was 94,28%, language feasibility was 92%, and content feasibility was 93,34%, each with a very positive category. This means that e-modules that have been developed can support students to think creatively
Osteoma of the Internal Auditory Canal as a Rare Finding in Imaging: A Case Report
Authors:   Department of Radiology, Mother and Child Hospital, Mohamed VI University Hospital, Faculty of medicine and pharmacy, Cadi Ayyad University Marrakech, Morocco, Abdelwahed Diani , O Benfaddoul ,   Department of Radiology, Mother and Child Hospital, Mohamed VI University Hospital, Faculty of medicine and pharmacy, Cadi Ayyad University Marrakech, Morocco
Published: February 2023

Osteomas are a type of benign tumors that can develop in various bones of the skull. The fronto-ethmoidal region is the most commonly affected site, with over 50% of cases being reported in this location. The temporal bone, particularly the mastoid and external auditory canal regions, is another frequent site of osteoma formation. However, the occurrence of osteomas within the middle ear is relatively uncommon. The presence of osteomas within the internal auditory canal is a rare phenomenon and has been reported infrequently in the medical literature.
Complicated multi-drug resistant typhoid fever with cerebral oedema, diffuse encephalitis, and fungal infection of the oral cavity—a case report
Authors: Raza Muhammad Umar , Shakeel Nimra , Waqar Syed Hamza Bin , Ramsha Shakeel  , Zaidi Syed Muhammad Hussain
Published: February 2023

Enteric fever is a highly fatal infectious disease that can present with extensive symptoms that renders diagnosis quite risky. Multi-drug resistant Salmonella typhi infection has become endemic in third world countries and has been routinely associated with catastrophic complications and even death, with diagnostic and therapeutic impedance. Typhoid fever is known to cause life-threatening cerebral complications. We report the case of a 16-year-old male who presented to us with a high-grade fever, watery diarrhoea, altered level of consciousness, and a mixed dark-coloured crusted oral lesion. Blood workup showed neutropenia, lymphocytopenia, thrombocytopenia, transaminitis, and hyponatraemia. Blood culture grew multi-drug resistant Salmonella Typhi. CT scan of the brain showed diffuse cerebral oedema, while EEG was consistent with the diagnosis of diffuse encephalitis. The patient responded well to culture-sensitive antibiotics, while the oral lesion showed a dramatic response to presumptive antifungal treatment.
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Community-acquired meningoencephalitis due to concomitant infection caused by Naegleria fowleri and Streptococcus pneumoniae from Karachi, Pakistan- A Case Report
Authors: Najia Karim Ghanchi  , Safia Bibi  , Binish Arif Sultan  , Afia Zafar
Published: February 2023

Naegleria fowleri causes acute fatal primary amoebic meningoencephalitis in adults and children with a history of exposure to aquatic activities. However, several cases of Primary Amoebic Meningoencephalitis (PAM) have been reported from Karachi with no history of aquatic recreational activities suggesting the presence of N. fowleri in domestic water. This study reports a case of co-infection of N. fowleri with Streptococcus pneumoniae in an elderly hypertensive male.
Keywords: Naegleria fowleri. PAM, Streptococcus pneumoniae.
Is complete pathological response truly a complete response in breast cancer?
Authors: Rehman Bushra , Sara Rehman  , Sameen Mohtasham  , Toqeer Zahid  , Albash Sarwar  , Muhammad Asad Parvaiz
Published: February 2023

Objective: To check if complete pathological response in breast cancer is a good prognostic factor.
Method: The retrospective study was conducted at the Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan, and comprised data from January 2012 to December 2015 of all patients who received neo-adjuvant chemotherapy and had no distant metastasis at diagnosis. Mastectomy patients were excluded. Complete pathological response was defined as no detectable tumour cell in breast and axilla on pathological examination of the resected specimen. Tumour characteristics and 5-year disease free survival and overall survival were recorded. Data was analysed using SPSS 20.
Results: Of the 353 patients whose data was evaluated, 91(25.8%) had complete pathological response. Mean age at diagnosis was 43+/-10 years. Among them, 62(68%) patients had grade III tumour, 39(42.9%) were negative for oestrogen receptor, 58(63.7%) were negative for progesterone receptor, 25(27.5%) were positive for human epidermal growth factor receptor 2, and 26(28.6%) patients were triple negative. Overall, 28((30.7%) patients had recurrence; 20(71.4%) had distant metastasis, 6(21.4%) had local recurrence, and 2(7.14%) had contralateral cancer. The 5-year disease-free survival and overall survival rates (Kaplan-Meier Survial curve) were 70% (28 patients-recurrence) and 87% (15 patients-deaths), respectively.
Conclusion: Despite complete disappearance of tumour, a significant number of patients developed recurrences.
Key Words: Complete pathological response, Neo-adjuvant chemotherapy, Survival, Metastasis.
Efficacy of pre - operative axillary ultrasonography in excluding nodal disease – can it replace sentinel lymph node biopsy in early stage breast cancer?
Authors: Javed Nida , Sidra Afzal  , Iqbal Ejaz , Aleem Javaria , Parvaiz Muhammad Asad , Abu Bakar Muhammad
Published: February 2023

Objectives: To determine false negative rate, negative predictive value and the factors predicting false negativity of pre-treatment axillary ultrasound.
Method: The retrospective study was conducted at Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan, and comprised data from January 2019 to December 2020 of patients with normal lymph nodes on ultrasound, tumour stages T1, T2 or T3 having invasive cancer who underwent sentinel lymph node biopsy. Ultrasound findings were compared with the biopsy results, dividing the sample into false negative group A and true negative group B. Clinical, radiological, histopathological parameters and therapeutic strategies were compared between the two groups. Data was analysed using SPSS 20.
Results: Of the 781 patients with mean age 49.39±11.51 years, 154(19.7%) were in group A and 627(80.2%) were in group B, with negative predictive value of 80.2%. Initial tumour size, histopathology, tumour grade, receptors, timing of chemotherapy, and type of surgery has significant difference between the groups (p<0.05). Multivariate analysis showed larger, high-grade, progesterone receptor negative and human epidermal growth factor receptor 2 positive tumours were significantly associated with lower false negative rate on axillary ultrasound (p<0.05).
Conclusion: Axillary ultrasound was found to be effective in ruling out axillary nodal disease, especially in patients with high-burden axillary disease, aggressive tumour biology, larger tumour size and higher timour grade.
Key Words: Axillary ultrasound, Sentinel lymph node biopsy, Early breast cancer, False negativity.
Geriatrics emergency medicine – the need of time
Authors: Khan Naheed Habibullah , Kothari Sarah Afzal , Shahan Waheed
Published: February 2023

Madam,
Since the inception of Emergency Medicine (EM) in Pakistan, it has been an ever-growing field, and one such current need is the development of geriatric emergency care. Older patients have a longer Emergency department (ED) stays and more frequent admissions, with an increased risk of special care and intensive care admissions. These patients have unusual presentations and multiple comorbidities, are more prone to complications, are easily affected by their surroundings and require an understanding of their social needs and thorough counselling, complicating their care. The elderly population also termed the ‘silver tsunami’ shares a significant burden of the ED in Pakistan.1 According to the 2017 national census, nearly 13.7 million people in Pakistan, were over the age of 60, accounting for roughly 7% of the total population,2 which is anticipated to double in the coming years, increasing the burden of geriatric patients. This highlights the urgent need todevelop a specialised system for the elderly in acute care settings.
Although several programmes in Pakistan focus  on elderly care under Family Medicine, there remains a huge gap in emergency care, which is crucial in providing 24/7 healthcare service delivery. Geriatrics curriculum must be incorporated in emergency medicine residency programmes to facilitate patient outcomes, decrease mortality, and prevent functional decline in that age group.
The American College of Emergency Physicians (ACEP) certified hospitals as "Geriatric Emergency Departments" (GEDs) in 2018 based on GED guidelines established in 2014. The purpose was to assist in providing more effective care to the elderly population. 3 According to Kaeley et al., a considerably higher number of older people (2965, 54.9%) were hospitalised from the ED, with approximately 651, or 21.9 % admitted to the intensive care unit.4
Geriatric Emergency Medicine Fellowship training provides EDs with expertise to meet the need of a growing geriatric population. (Figure 1) These programmes can serve as a foundation for clinical innovation, research, and education focusing on the elderly population. Work on this is being done globally., Pakistan must play a role in this aspect of emergency medicine, owing to the rapidly increasing older population and advancement in GEM practice worldwide.3,5
A proper healthcare infrastructure at the government level will help geriatric patients cope with limited health resources, financial burdens, and palliative care. A better understanding of geriatric care will assist us in better allocating and utilising the limited resources we have available to alleviate the financial burden.
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Online medical education for international medical students of China; a necessity or a convenience?
Authors: Fatima Maurish , Murad Muhammad Wahaj , Cheema Huzaifa Ahmad
Published: February 2023

Madam,
The primary aim of this letter is to start a conversation around online education for international medical students currently enrolled in medical schools in China. Where Coronavirus (COVID-19) pandemic had significant negative economic impacts, it also led to the emergency imposition of several healthcare policies, including lockdown measures, social distancing and optimum hygienic measures. The closure of medical schools, the suspension of flights, and the disruption in face-to-face learning trajectories have been challenging for international medical students across the globe. This has led to transition from usual face-to-face to current online education system. Several studies have concluded online education to be an effective mode of teaching for undergraduate medical students(1,2). A similar strategy was adopted by several medical universities in China to accommodate the international medical students where, 68,000 international medical students are currently studying in about 100 medical universities (3).  Despite, relaxation in COVID-19 restrictions and lifting of the travel ban, online teaching remains to be the primary learning modality for international medical students studying in China. A recently published study by Li et al.  surveyed 230 international medical students receiving online education in a Chinese university to assess the online education’s quality and student satisfaction (4). The results showed 63.5% of students expressing dissatisfaction with online learning among whom 72% were from clinical years.
Though E-learning is accepted as a more convenient mode of education, it is limited in promoting practical competence. Clinical exposure and in-person interaction with patients have an integral role in the medical curriculum. It is still argued whether tele-rotations or online modules can substitute for these core competencies (5).
Many countries across the globe have resumed on-campus classes, and even the local students in China are returning to their respective colleges. This evokes further uncertainty among international medical students regarding their career and learning outcomes. Factors such as poor internet connection and pandemic induced financial burdens have been found to have negatively influenced the online-learning experience. (4).
There are also serious concerns regarding the quality of education and the online assessment methods employed by various medical schools in China for international medical graduates. One proposed solution to all this could be that medical schools in China should collaborate with overseas medical schools and hospitals, particularly those located in the international medical students’ countries of origin. This can provide alternative experiences locally for the experimental and clinical practice they are missing.
MAVACAMTEN: A door that has opened in the treatment of Hyper-trophic Cardiomyopathy
Authors: Hameed Ishaque , Siddiqui Omer Mustafa , Samad Syed Abdus
Published: February 2023

Not Applicable.
Research based treatment through neuroleptics (antipsychotics) in Pakistan: can it be trusted?
Authors: Muhammad Salih
Published: February 2023

Madam, Schizophrenia is a mental illness where patients observe and interpret reality in an alternate fashion or perspective. The word is derived from Greek 'schizo' (splitting) and 'phren' (mind), with the term initially proposed by Eugen Bleuler (1908)1. The debilitating illness usually has symptoms of hallucinations, delusions, and overall distorted versions of reality. Patients may also exhibit social withdrawal, disordered speech, disorderly movement and behavioral change. Schizophrenia affects less than one per cent of the global population, and not all Pakistani clinics are equipped to manage patients mentioned above. 
Schizophrenia is a psychiatric illness commonly treated with antipsychotics to alessen the patients symptoms. More often than not, second generation antipsychotics (clozapine, asenapine, risperidone etc.) are used to provide a better result and adequately decrease the systematic side effects of these neuroleptics. However, what is a moment of caution for clinicians globally as well as in Pakistan, is that these second-generation antipsychotics may be causing problems bigger than just side effects like weight gain, diabetes, or hypertension. Research conducted by Mitchell et al. confirmed the high probability of second-generation antipsychotics causing metabolic syndrome in patients2 by presenting with abnormal findings that put them at cardiovascular risk.
These findings include visceral adiposity, insulin tolerance, elevated triglyceride levels, and decreased high-density lipoprotein (HDL) cholesterol levels. These drugs are not only affecting first- world countries but are bringing about more significant influence in third- world countries. Pakistan lacks available treatments for schizophrenia, at around 96%, which is comparable to an approximately median of 32.2% globally and 69% in low-income and middle-income countries (LMICs)3.
From 2010 to 2015, there was a progressive rise in the use of antipsychotics in Pakistan, most commonly risperidone and olanzapine4. The onus ultimately falls on inadequate evidence and treatment protocol in first and third- world countries. However, a feasible suggestion could be knowing the minimum effective dosage of second-generation antipsychotics. Research conducted by Leucht et al. mentioned the exact dosages, to minimize lethal side effects of these drugs (aripiprazole 10 mg/1.33, clozapine 300 mg/40, risperidone 2 mg/0.27)5. To date, these drugs are still being prescribed in most countries without proper control on dosages. It is imperative for healthcare workers in Pakistan to implement an accurate administration plan for dosages considering the favourable outcomes in patients with schizophrenia.
STRATEGI PEMERINTAH DAERAH KABUPATEN PACITAN DALAM PENGENTASAN KEMISKINAN
Authors: Nuryanto Nuryanto , Kartiningrum Beti , Primadi Muhammad Prihatislam , Pindi Kristin Ayu Rambu , Nugroho Tri , Widayanti Sri
Published: February 2023

Penelitian ini bertujuan untuk menganalisis masalah-masalah yang timbul selama pelaksanaan strategi pengentasan kemiskinan di Kabupaten Pacitan oleh Pemerintah Daerah Pacitan dilihat dari perspektif Pemerintah Daerah, Pemerintah Desa, dan masyarakat. Penelitian ini adalah penelitian analisis kualitatif deskriptif dengan latar alamiah untuk menafsirkan fenomena yang terjadi dengan berbagai metode penelitian. Penelitian ini menggunakan sumber data primer yang didapat secara langsung melalui wawancara dan observasi dan sumber data sekunder melalui buku dan arsip Pemerintah Daerah Pacitan. Hasil penelitian menunjukkan bahwa upaya Pemerintah Daerah Pacitan dalam mengentaskan kemiskinan memiliki berbagai program kebijakan seperti; SIKAB TAJI PRIMA, Padat Karya Tunai, Gerbang Emas Pacitan, dan Gerbang Intan masih belum matang sehingga terkendala berbagai macam masalah sampai kenihilan realisasi. Manfaat yang dirasakan masyarakat terkait kebijakan pengentasan kemiskinan dari Pemrintah Daerah di Kabupaten Pacitan masih sangat minim sehingga masyarakat banyak yang mengkritisi kebijakan-kebijakan setengah jadi tersebut.
Tata Kelola Pemilu di Daerah Kepulauan (Studi Kasus Pemilu Serentak 2019 di Kabupaten Kepulauan Aru)
Authors: Karatem Caken Zadrak
Published: February 2023

Tulisan ini hendak menjelaskan pengelolaan Pemilu di daerah kepulauan yang sarat dengan problem tata kelola pemilu serta kendala geografis. Menggunakan metode kualitatif dengan bentuk studi kasus yang mengambil lokasi penelitian pada Kabupaten Kepulauan Aru Maluku. Topik ini dipilih karena munculnya beberapa fenomena selama penyelenggaraan pemilu di daerah kepulauan. Penelitian ini bertujuan menganalisis penyelenggaraan pemilu, tantangan yang dihadapi penyelenggara pemilu, serta menata tata kelola pemilu pada daerah kepulauan. Temuan penelitian ini yaitu terdapatnya kendala geografis wilayah yang berimplikasi terhadap pendataan pemilih, pelaksanaan kampanye, distribusi logistik, pemungutan dan penghitungan suara, serta penjemputan kotak suara. Tantangan lainnya berkaitan dengan teknis pemilu yang menggabungkan Pemilu Presiden dan Pemilu Legislatif, sehingga menyebabkan pemilih kebingungan membaca surat suara dan juga penyelenggara pada tingkat KPPS, PPS dan PPK mengalami kendala saat perekapan hasil pemilu. Berbagai kendala tersebut menyebabkan pemilu berbiaya tinggi. Mencermati berbagai persoalan diatas, penulis menawarkan solusi memperbaiki tatakelola pemilu di daerah kepulauan serta membuat strategi baru dengan memanfaatkan teknologi informasi untuk meminimalisir kendala di daerah kepulauan.
COVID-19 E SUA PRIMEIRA ONDA: UMA ANÁLISE RETROSPECTIVA DOS PRIMEIROS CASOS EM UMA CIDADE FRONTEIRIÇA DO BRASIL
Authors: Barbosa Costa Welisson , Chagas de Assis Samuel , Gurgel do Carmo Natalia , Dias Mendoza Arthur , Dos Santos da Silva Rafael , Zarpelon Luis Fernando , Terencio Maria Leandra
Published: February 2023

O objetivo deste estudo retrospectivo, de centro único, é incluir todos os casos da primeira onda de casos de COVID-19 no Hospital Padre Germano Lauck, em Foz do Iguaçu - PR, Brasil, de abril a julho de 2020, confirmados por RT-PCR em tempo real e analisar as características epidemiológicas e clínicas. Descrevemos e analisamos, retrospectivamente, as características clínicas e epidemiológicas dos casos da primeira onda de COVID-19 na cidade de Foz do Iguaçu, no Brasil. Os dados categóricos são descritos por frequência e proporções, enquanto os dados numéricos são descritos pelo desvio padrão (DP) e pelo intervalo interquartil mediano (IQM). A idade média dos pacientes foi de 39 anos, incluindo 415 homens (44%) e 535 mulheres (56%). As comorbidades prevalentes foram diabetes, hipertensão e doença cardiovascular. Tosse, cefaleia e mialgia foram os sintomas comuns associados à COVID-19. A idade foi o principal fator de risco para a morte, assim como a hipertensão e o diabetes. Este estudo encontrou que a primeira onda de COVID-19 em Foz do Iguaçu apresentou características semelhantes aos estudos realizados durante o mesmo período epidemiológico. Quando comparadas com análises posteriores de diferentes cepas do vírus COVID-19, foi observado que houve uma predominância de diferentes sintomas e idades de casos graves entre as infecções causadas pelas variantes Ômicron e Delta.
A New Security Alarm Based on Interaction
Authors:   Iran, Hajiaghai Hamidreza , Rezaei Roghayeh ,   Iran, Gheisari Mehdi ,   China, Liu Yang ,   China, Khodabakhshi-Javinani Naser ,   Iran, Khammar Saman ,   Iran
Published: February 2023

An alarm or an alarm system is a device that warns or detects any violation of privacy in different places by making noise, sound or warning the person in a variety of ways, including via email, SMS, phone call or sounding. Alarms that are currently available in the market have different shapes and types. Generally, they have a common structure and their main purpose is similar to each other. There is another type of burglar alarm in the market, which is used today in certain places to protect property and assets, in certain organizations such as banks, car alarms, etc. This article reviews and presents a different alarm. whose main purpose is to provide possible security in public and private places, especially military places.
Determining the Rate of COVID-19 Infection in Post-Vaccinated Individuals and Its Severity
Authors: Azmat Ali  , Abdur Rahman Butt
Published: February 2023

Objective: To assess the incidence of Covid-19 infection in people who were vaccinated and to categorize disease severity.
Methodology: This cross sectional study was carried out at the Department of Medicine, KRL Hospital, Islamabad from September 2021 to February 2022. Individuals above 18 years of age, and fully vaccinated were included in the study. Using a pre-validated interview based close ended questionnaire data was collected, informed consent was obtained, and data was analyzed using SPSS Statistics 23. The severity of COVID-19 was determined by applying the WHO severity definitions.
Results: The study included 362 individuals. 55.00% were males and 45.00% were females. The minimum age was 20 years and maximum 76 years with a mean of 45.73 Â± 14.919. 27.1% of the participants had co morbidities, of which diabetes was the most frequent (59.18%). Majority (37.84%) individuals received Sinopharm vaccine. This was followed by Pfizer (24.58%) and Moderna (13.82%). 158 patients (43.65%) reported infection with covid-19. Out of 158, 41 (25.94%) had severe infection and 9 (5.70%) had critical infection on WHO criteria.
Conclusion: A substantial proportion of fully vaccinated individuals suffered from Covid-19 infection (43.64%). Pfizer was the most effective vaccine in preventing infection (79.77%). While Sinopharm was the least effective (41.60%). However, vaccination was effective in preventing severe and critical infection in a significant number of patients (86.18%).
Una propuesta de gestión eficiente de comercialización de productos agropecuarios para mejorar el acceso de los consumidores de Bata-Guinea Ecuatorial
Authors:   Universidad Internacional Iberoamericana, MBA MIKUE Consolacion N.B. , ROJO Marco A. ,   Universidad Internacional Iberoamericana
Published: February 2023

Bata, la capital económica de Guinea Ecuatorial, es el escenario de esta investigación. Un país petrolífero sin coordinación agropecuaria dependiente de importaciones. Mientras existen excedentes en el interior, en Bata hay deficiencia. Éstos hacen la comercialización directa en los mercados sin espacios físicos suficientes lo que dificulta el acceso de los consumidores. Esta investigación con el objeto de coordinar las actividades productivas y comerciales agropecuarias nacionales propone la implementación de una cadena de consumo eficiente centrada en el consumidor.
Adopting Continuous Integration Practices to Achieve Quality in DevOps
Authors: Kavita Dhakad
Published: February 2023

DevOps phenomenon is gaining popularity through its ability to support continuous value delivery. Every software process transition, technical practices has its own challenges so as DevOps. The aim of this study is to systematically review and analyse challenges confronted and practices adopted in continuous integration practice of software development to improve quality of software in DevOps. We have done systematic literature review of 44 papers. We conclude 26 challenges and 28 practices which are majorly in the continuous practices, automation, tools, monitoring and pipeline. These practices are having evidences of improving quality through faster release, monitoring performance, reduced risk, reduced testing time and efforts, improved security, fast feedback loop. In further research we have to measure the quality factors by using case study methods on selected software applications to quantify impact of presented practices.
Avaliação de programas públicos de pesquisa, desenvolvimento e inovação (p&d&i) em pequenos negócios: experiência do Brasil
Authors: Fassarella Bruna , Leal Érika de Andrade Silva , Echeveste Márcia Elisa , Boschetti Júlia Nicchio , Fernandes Júlia
Published: February 2023

A primeira década dos anos 2000 foi bastante fértil para a institucionalização e regulamentação de marcos para a política de inovação no Brasil. Um dos instrumentos dessa política, a Subvenção Econômica (SE) à inovação, isto é, o financiamento das atividades de inovação nas empresas com recursos não reembolsáveis, foi utilizada pela Financiadora de Estudos e Projetos (Finep) em parceria com os Governos Estaduais. À medida que os estados ampliavam a execução dos programas de SE, uma demanda latente para as instituições de fomento trata-se da avaliação dos projetos apoiados. Este artigo apresenta um método de avaliação de impactos de programas públicos de Pesquisa, Desenvolvimento e Inovação (P&D&I) contemplando três dimensões: i) cultura de inovação e cooperação; ii) econômica; e iii) social.  Aplicamos o método para avaliar um programa público de SE à inovação brasileiro, denominado TECNOVA-ES voltado para pequenas empresas e executado no estado do Espírito Santo, no sudeste do Brasil. Os resultados mostraram que mais de 85% dos projetos não teriam sido executados sem o apoio público. O Programa foi muito mais efetivo em termos de adicionalidade que substituição dos investimentos em P&D&I. Estimulou o estabelecimento de parcerias com universidades, clientes e fornecedores, tem sido importante para viabilizar a comercialização de novos produtos, e permitiu a geração de em média 3 novos empregos formais por empresa. Nós mostramos que em todas as dimensões avaliadas os resultados estão em consonância com objetivos do Programa, sendo fundamental para a política de inovação brasileira.
El camino para garantizar los derechos de las personas con discapacidad y los grupos en condición de vulnerabilidad en el Perú bajo el amparo de instrumentos de protección internacional
Authors: Solari Escobedo Azucena Inés
Published: February 2023

La implementación de la Convención sobre los Derechos de las Personas con Discapacidad supuso un reto para los países que ratificaron este instrumento internacional. En adición a ello, el Perú ha suscrito las 100 Reglas de Brasilia, las cuales exigen un compromiso de parte del órgano jurisdiccional de los Estados firmantes. A propósito de ello, este artículo tiene por objeto realizar una revisión del cumplimiento de las buenas prácticas respectivas desde las políticas públicas y la inclusión de las Reglas de Brasilia, en sede judicial, para garantizar el bienestar de la población vulnerable, en especial de las personas con discapacidad. Por ello, hemos considerado pertinente revisar el marco conceptual y normativo, así como algunos pronunciamientos de la Corte Interamericana de Derechos Humanos y de tribunales europeos sobre el camino a seguir para garantizar los derechos de las personas con discapacidad.
La interseccionalidad en el acceso a la justicia para mujeres víctimas de violencias
Authors: Oviedo Carolina
Published: February 2023

Abordar las brechas en el acceso a la justicia derivadas de la discriminación interseccional contra las mujeres es fundamental para la construcción de ciudadanía y el fortalecimiento del Estado de derecho. El pleno ejercicio del derecho a una vida libre de violencia en el ámbito doméstico e intrafamiliar requiere repensar estas brechas desde la interseccionalidad. En este contexto, la línea jurisprudencial que ha tomado la Corte Interamericana de Derechos Humanos al incluir la aplicación de la Convención Interamericana para prevenir, sancionar y erradicar la violencia contra la mujer por el homicidio de una mujer trans es el camino que necesitamos recorrer para construir sociedades más justas. Sociedades que no sean ciegas a las experiencias que atraviesan mujeres diversas y plurales para acceder a la justicia.
Reglas de Brasilia y los derechos de la familia, infancia y la adolescencia. Limitaciones en acceso a la justicia de niños, niñas y adolescentes en el ámbito de la violencia familiar
Authors: Rodríguez Chávez Reyler
Published: February 2023

El presente trabajo busca describir las principales limitaciones en el acceso a la justicia a las que se ven expuestos los niños, niñas y adolescentes que se hallan inmersos en situaciones de violencia familiar, donde siendo víctimas directas o indirectas, pero dada su minoría de edad, afrontan como obstáculo la ausencia o imposibilidad de ser representados legalmente en el ejercicio de sus derechos e intereses, sobre todo cuando los padres o personas encargadas de su cuidado están directamente involucrados en los hechos de violencia familiar y como personas legitimadas y con plena capacidad, al desistirse, retractarse o simplemente no seguir con los temas legales en su causa propia, afectan directa o tácitamente la situación de vulneración de los niños, niñas y adolescentes afectados por el conflicto familiar. En ese sentido, analizaremos el tema conforme a las garantías de las Reglas de Brasilia, la Convención sobre los Derechos del Niño y otras normas internacionales, así como las normas de protección del marco normativo nacional, estableciendo la necesidad de construir salvaguardas de tutela reforzada para la protección de los niños, niñas y adolescentes en esta situación.
The use of humates in the technology of spring barley production
Authors: Lupova Ekaterina , Pityurina Irina , Vinogradov Dmitry , Balabko Pyotr , Gogmachadze Guladi
Published: February 2023

The article presents the results of studies on the use of humic preparations - "Potassium Humate" and "Humate +7" in the technology of growing spring barley. The studies were carried out on dark gray forest soils of the Ryazan region in 2021-2022. Agrochemicals had a positive effect on the growth and development of plants, indicators of the structure of the crop and the sowing quality of spring barley seeds. The high mass of a thousand grains and its performance on the variants with the treatment with agrochemicals increased the grain size. In the experiments, the nature of the grain, in relation to the control, increased by 100.8% and 101.4%; grain size was 62.8% and 64.5%, which is 111.5% and 114.5% higher compared to the control. On average, the maximum yield was obtained in the variant with the treatment "Humate +7" (2.36 t/ha), the yield of which is +0.27 t/ha higher than in the control. Keywords: HUMIC PREPARATIONS, GRAIN, SEED QUALITY, YIELD, PLANT GROWTH AND DEVELOPMENT, BARLEY
Modelling Non-performing Loans (NPL) for Small Banks in Indonesia: Are Macroeconomic Matter?
Authors: Umaternate Faiza Fachira , Mongid Abdul
Published: February 2023

This study aims to analyze the effect of macroeconomic and internal bank variables on NPL (Non-Performing Loans) in Non-Foreign Exchange Private Banks. This study uses secondary data obtained through the official FSA covering 18 small Banks in Indonesia. We apply annual data from 2016 to 2021 and use multiple linear regression techniques. The main factors that influence NPL are internal bank or company management factors, while external factors (macro variables) do not affect NPL in this study, namely, factors caused by economic conditions such as inflation and interest rates.In general, the results show that macro economic variables hasno significant effect on NPL. However, internal bank data such as Bank Size and CAR have a significant negative effect on NP. LDR has no significant positive effect on NPL and efficiency (BOPO) has a significant positive effect against NPL.
The Effect of Capital Structure and Profitability of Stock Prices in a Registered Food and Beverage Company on the Indonesian Stock Exchange
Authors: Amrulloh Rifqi , Kadir Abdul , Jayen Fredy , Melania  , Wahyu
Published: February 2023

The purpose of this study is to determine and analyze the significant effect of capital structure and profitability simultaneously or partially on stock prices in food and beverage companies listed in the Indonesia Stock Exchange and to determine and analyze the dominant variables of capital structure and profitability on stock prices. This research is a research design with a quantitative approach. The research data used is secondary data in the form of financial ratio data, while the data source is obtained through the site The population in this study were all food and beverage companies listed on the Indonesia Stock Exchange. The sampling technique used purposive sampling method so that the number of samples that could be taken was 14 companies. The data collection technique is through documentation, while the data analysis technique uses multiple linear regression models. Based on the analysis results indicate that the independent variables, namely capital structure and profitability have a significant effect on stock prices in food and beverage companies listed on the Indonesia Stock Exchange. The partial test results show that the equity structure has a significant negative effect on stock prices in food and beverage companies listed on the Indonesia Stock Exchange. Profitability has a significant positive effect on stock prices in food and beverage companies listed on the Indonesia Stock Exchange. Profitability is a variable that has a dominant effect on stock prices in food and beverage companies listed on the Indonesia Stock Exchange.
Evaluation of the Liquidity Management on Deposit Money Banks’ Performance in Nigeria
Authors: Esther Igwenwanne Isioma , Anayochukwu Ozurumba Benedict , Emmanuel Nwaimo Chilaka , Akujinma Anyanwu Felicia , Promise Ubah Chijindu
Published: February 2023

This study examined the effect of liquidity management on banks' performance in Nigeria for the period of ten (10) years (2012-2021). This is necessitated to respond to the fact that some Deposit Money Banks in Nigeria have some time ago been declared technically insolvent as a result of poor liquidity management, therefore the study is poised to find empirical evidence of the degree to which effective liquidity management affects the profitability of Deposit Money Banks, and how these banks can enhance their liquidity and profitability positions. Four proxies for liquidity management (liquidity ratio, cash ratio, efficiency ratio and loan-to-deposit ratio) were regressed against Tobin's q using Fixed Panel Least Square method in the model estimation. Other preliminary tests carried out include the descriptive statistics test, Levin, Lin and Chu (LLC) unit root and the Hausman Specification tests. The findings of the study indicate that liquidity management and efficiency ratio have a positive and significant relationship with the performance of Deposit Money Banks in Nigeria. On the other hand, the Cash Ratio has a negative and insignificant relationship with the performance of Deposit Money banks in Nigeria. Based on the above findings, the study concludes that there is a significant positive relationship between liquidity management and bank performance in Nigeria. Finally, the study recommends that banks should embrace measures that will make certain or ensure effective liquidity management rather than directing attention, time and resources to the profit maximization concept only. This, therefore, indicate that banks should invest the available excess cash in shortterm instruments of the money market.