bluuebunny/crossref_metadata_2025 huggingface dataset:
Vergüenza y pautas de acción en el encuentro clínico: un ensayo de fenomenología de la vergüenza
Authors: Grecco Daniel
Published: April 2023

El propósito de este artículo es pensar la vulnerabilidad a través de la vergüenza en el encuentro clínico. Deseo sugerir que la vergüenza es un tipo de vulnerabilidad que se revela por la dimensión visible del cuerpo y, más aún, que la conciencia que así se adquiere conlleva el desarrollo de estrategias para aminorar la visibilidad. Para lograr dar cuenta de esta forma de vulnerabilidad (de la que tomo conciencia en la experiencia y que no se reduce a una forma de pasividad), discutiré, en primer lugar, con las perspectivas ontológica y fenomenológica. Así, partiré de las observaciones que hace Judith Butler sobre la vulnerabilidad corpórea, y de las descripciones de los límites de mi capacidad corporal que se han hecho a partir de la fenomenología de Edmund Husserl. La razón de ello se debe a los aciertos que encuentro en cada perspectiva: mientras que las observaciones de Butler hacen aparecer la pregunta por el cómo abordamos nuestra vulnerabilidad, la fenomenología da un rostro a estas descripciones al insistir en su carácter de vivencia. Con base en lo anterior, argumentaré, en segundo lugar, que una fenomenología de la vergüenza (particularmente en lo que respecta al encuentro clínico) hace aparecer la vulnerabilidad como una experiencia que vivo y que me lleva a actuar de ciertos modos para evitar la exposición a la que me somete la visibilidad de mi cuerpo.
Daño, miedo, traición: aspectos de la génesis corporal y significación moral del sentido de vulnerabilidad
Authors: Quepons Ramírez Ignacio
Published: April 2023

El artículo presenta las líneas de una descripción fenomenológica del sentido y la significación moral de la vulnerabilidad. Dicha descripción comienza con una caracterización negativa de acuerdo con los aportes a la fenomenología del cuerpo que encontramos en las obras de Edmund Husserl y Ludwig Landgrebe, para avanzar en un momento ulterior a la caracterización fenomenológica de la noción de la individuación del daño en relación con lo que Heidegger llama “lo perjudicial” en su descripción de la disposición afectiva del miedo. La exposición al daño que revela la comprensión anticipativa del miedo en relación con lo perjudicial, no tematizada explícitamente por Heidegger, es a lo que nos referimos aquí, en sentido amplio como vulnerabilidad. En en segundo momento presentaré una caracterización positiva de la vulnerabilidad en relación con dos niveles de la formación de la significatividad axiológica. Como veremos, vulnerabilidad, incluso la vulnerabilidad corporal, apunta a una comprensión de la exposición a ser heridos como pauta a seguir en la reconstrucción del sentido axiológico revelado a través de la vida afectiva, en concordancia con las indicaciones programáticas de Husserl. En este sentido, es preciso referirse de forma más específica al lugar de la confianza, y su relación esencial con la vulnerabilidad, en la formación del sentido de los valores, en particular, del valor moral.
History Matching of Reservoir Simulation Model: a Case Study from the Mishrif Reservoir, Buzurgan Oilfield, Iraq
Authors: Al-Husseini Ahmed , Hamd-Allah Sameera
Published: April 2023

In petroleum reservoir engineering, history matching refers to the calibration process in which a reservoir simulation model is validated through matching simulation outputs with the measurement of observed data. A traditional history matching technique is performed manually by engineering in which the most uncertain observed parameters are changed until a satisfactory match is obtained between the generated model and historical information. This study focuses on step by step and trial and error history matching of the Mishrif reservoir to constrain the appropriate simulated model. Up to 1 January 2021, Buzurgan Oilfield, which has eighty-five producers and sixteen injectors and has been under production for 45 years when it started in 1976. Reservoir exhibits heterogeneity in porosity and permeability throughout the field, therefore it’s a big challenge to control all reservoir properties during matching process. The historical matching process includes matching field and wells oil and water production rates, water injection rates, water cut, and reservoir static pressure. Finally, the results show that the good matching between simulated model and observed data; oil and water production rates, water injection rates, water cut, and static reservoir pressure which allow for implementing perfect future production forecasting strategies.
Geochemistry of Major and Trace Elements in Recent Balakian River Sediments, Northern Iraq: Evidence for Provenance and Source Rocks
Authors: Ali Abbas , Ali Abdulameer
Published: April 2023

The chemical characterization study of the river sediment contributes to understanding the weathering and transportation trend and their impacts on the nature of the source rocks in the catchment region. Accordingly, sixteen samples of recent stream sediment were collected from the Balakian River, northern Iraq. The significant correlation coefficients for the major oxids (CaO, MgO, K2O, Na2O) with the majority of the trace elements indicate that the abundance of carbonate and clay minerals significantly influenced the concentrations of these elements during the weathering and transport of BR sediments. The average values of the Chemical Index of Weathering (CIW = 57.77%) and Chemical Index of Alteration (CIA = 60.70%) reflect moderately intense weathering in the basin. The Upper Continental Crust and Post-Archean Australian Shale normalized ratios, as well as a comparison between the sediment chemistry and the composition of the source rocks, would suggest that these elements were lost from source rocks during weathering, with Na2O experiencing a significant degree of loss. Moreover, the Fe2O3, MgO, and CaO normalized ratios show that these elements were derived from the closest supplied outcrops of source rocks, which are represented by the Late Campanian carbonate and clastic rocks (Tanjero and Shiranish) formations and the Pliocene (Red Bed Series) in the catchment areas. Available Upper Continental Crust and Post-Archean Australian Shale normalized ratios for trace elements showed high enrichment values of most trace elements and slightly enriched values of Sr. This means that Sr is effectively more solubilized and more mobile than other metals. Thus, this demonstrates how distinct rock sources from different geological formations contributed to an enrichment in the concentration of certain elements in the river sediments.
Evaluation of the Foundation Beds Liquidation by Using Soil Modeling for El-Burullus Power Plant Area, Kafr El-Sheikh, Egypt
Authors: Warshal Reda , Saad Ahmed , Sabry Tarek
Published: April 2023

In this study, the soil has been numerically modeled as the Mohr-Columb model because it is simple to capture essential features of soil behavior. Plaxis 2D software program has been used for modeling. The dynamic analyses depend on some data, such as grain size gradation for materials, stiffness and water level. This data has been used in the calculation process. Simple applications have been chosen to calculate the relations. The program computes entered data automatically. Earthquakes result in dynamic loading on soil which has a significant effect on the soil properties. The model is formed of five soil layers. Sands and mud deposits covered the area and Delta also. Some of the study results can be estimated by using the modeling method. The applied load value is 100 kN/m2. The amplification factor (S %) to the soil in the study area is 108 % when soil is without the foundation load and 150 % when soil with foundation load. Thus, the soil is classified as type – D (Moderate) and no liquefaction is expected in the results, but subduction or landslide, so piling foundations are recommended within the area of study. As well, numerical modeling is recommended in several locations in Egypt to obtain suitable areas for the foundation constructions.
Stratigraphic Analysis and Depositional Environment of the Newly Recorded Umm Er Rhadhuma Formation (Paleocene) from the Borehole K.H12/7, South Anah City, Western Iraq
Authors: Mousa Anwar , Mohammed Ibrahim , Al-Dulaimi Salam , Lawa Fadhil
Published: April 2023

The Paleocene benthic foraminiferal zonation of the Umm Er Rhadhuma Formation from the borehole (K.H 12/7), South Anah City (Western Iraq), has been re-studied and re-analyzed precisely based on the large benthic foraminifera (LBF). They are represented by two biozone Rotorbinella hensoni Partial Range Zone, recorded from the Lower and middle parts of the Umm Er Rhadhuma Formation and Lockhartia praehaimei Partial Range Zone determined Uppermost of this unit, and dated to be the Selandian – Thanetian stage. Almost all the biogenic (micro and macro) and non-biogenic constituents, including large benthic foraminifera, Algae, Echinoderm, Bryozoans, Oyster, Gastropod fragments, and peloids, in addition to lithofacies types, indicate that this succession belongs to the Umm Er Rhadhuma Formation. Furthermore, the Paleocene shallowing upwards succession is recognized from seven identified microfacies (MF1 to MF7), which suggests three significant facies associations. A broad inner ramp represents them and is warm shallow open normal marine water (FA1). In contrast, the second facies association represents by the predominated bioclastic sand shoal facies association (FA2) and finally reaches the semi-restricted lagoon facies associations (FA3). The interaction between the local tectonic disturbance along Rutba high and eustatic sea level mainly controls the development of two sequence boundaries of Type-1 (SB1) that occurred respectively at the Cretaceous /Palaeogene K- Pg boundary and Paleocene /Eocene boundary. The Paleocene depositional system starts with major transgression during the Selandian above a sequence boundary of type one (SB.1), that separates the Late Cretaceous (Maastrichtian) successions of the Tayarat Formation from the overlying Paleocene succession with a significant gap, covering the whole Danian age (That is the top of Tectonic Megasequence AP. 9). The predominance of retrogradation staking tract indicated the transgressive system tract during the late Selandian and early Thanetian as a result of an increase in the sea level rise and expanded accommodation space. The highstand system tracts show aggradational and then change to a progradational stacking pattern by the end of the Thanetian and mark significant sea level drawdown with a new sequence boundary of type one between them.
Determination of Water Drive Mechanism Activation Using Geological Model for Heavy Oil Field in North of Iraq
Authors: Bibani Herish , Al-haleem Ayad
Published: April 2023

Most of the productive oil fields around the world are water drive reservoirs where water influx has the potential to improve oil recovery considerably. Verifications are required to illustrate the aquifer activation and this needs assessment programs to include diagnosis, classifications and aquifer characterization using mathematical models for accurate simulation of the aquifer behavior. In Qaiyarah Oil Field, there is a big lack in subsurface data to confirm the aquifer's level of activity although there are some traces of water production from the wells located at the southwest of the field. Based on this fact, a base case simulation has run through making history match for the production and reservoir pressure to confirm the activation of the aquifer. The results showed a fast decline in the reservoir pressure which mismatched the current measured pressure from the field. This led to adopt the option of modelling a simulated properties aquifer to match the production and pressure from the field in a step to confirm the aquifer activation. The simulation had re-run with multi trials to approve the aquifer strength, geological and reservoir properties. Finally, history match showed perfect matching on production and pressure through selecting edge aquifer model that matched with the available subsurface data from the field. The cumulative production till the end of 2021 was calculated to be 47,142,257 bbls and reservoir pressure was 387 Psi, which almost match the measured cumulative production from the field that was 47,100,000 bbls and reservoir pressure of 389 Psi which was considered a very acceptable match.
LORA COMMUNICATION MAINTENANCE AND SIGNAL PROPAGATION EVALUATION IN OBSTACLE-DENSE INDUSTRIAL ENVIRONMENTS: A WOOD PROCESSING APPLICATION
Authors:   J.J. Strossmayer University of Osijek, Faculty of Electrical Engineering, Computer Science and Information Technology Osijek, Croatia, Keser Tomislav , Blažević Damir ,   J.J. Strossmayer University of Osijek, Faculty of Electrical Engineering, Computer Science and Information Technology Osijek, Croatia, Nožica Damir ,   J.J. Strossmayer University of Osijek, Faculty of Electrical Engineering, Computer Science and Information Technology Osijek, Croatia
Published: April 2023

Using various wireless communication methods to achieve some type of remote monitoring and/or controlling of processes and systems, in general, is a continuously thriving industry. The wood industry is not immune to that but the prevalence of such systems, automated to a certain level, remains low. Their rise and presence, however, are unavoidable and will continue to grow. Wireless devices are used to continuously monitor environmental factors as well as the structural moisture of wood in a wooden plank during the natural aspirated drying process and the forced drying process all in a controlled environment. An exemplary system based on LoRa communication interfaces is configured, adapted, and operationally tuned for the wood processing industry. The selected LoRa communication system operates on an EU compliant RF spectrum. Nevertheless, since such devices must be tightly integrated within a pack of planks, wireless signal propagation is greatly impacted. The pack of planks has an effect on radio signal dispersion because it creates a dense environment hostile to RF propagation. A technique to strengthen measurement devices and receive units for wireless signal propagation is proposed in order to maintain a high-quality communication link. Furthermore, practical procedures for maintaining a desirable signal level and their upkeep suggestions are presented for applications with numerous obstacles in the working environment.
Educational Leadership Management Practices: A Perspective to Educational Transformation
Authors:   Faculty, Institute of Education-Department of Undergraduate Studies Far Eastern University, Manila, Philippines, Mallillin, Phd Leovigildo Lito D.
Published: April 2023

The paper investigates the educational leadership management practices as a perspective to educational transformation. The descriptive correlation research design is utilized in the study to quantify and measure the profile of the respondents, contribution of effective style educational leadership management and practices, and educational transformation perspective of the educational management practices of the respondents. Likewise, purposive quota sampling employs in the study to define the criteria for the sample size. The study comprised fifty (50) respondents only. Results show that the contribution of effective style educational leadership management and practices of the respondents involves democratic leaders where they yield with a high morale environment to generate and motivate creative solutions of effective leadership style in school organization, show that instructional leadership involves on planning practice, coordination, evaluation, and teaching improvement learning, show that authoritative leaders ensure that the systems are in order, and quick in the decision process and control the organization, show that coaching leadership involves behavior, attitude, work performance, evaluation, process of the work, and the policies in the school organization, and show that transformational leaderships is an essential element in the organization to be imposed for good, better, and best because all employees in the school organization are determinant for the process. Hence, educational transformation perspective of the educational management practices of the respondents explores career, advocacy, and policy in pursuing equity in education, contributes to the school system in the organization, reveals significant effect on positive and negative effects of the transformational leadership process, maintains school culture and identity for the diverse and challenging condition strength of school organization and setting, and supports the innovation of learning in the school organization and supports advanced flexible learning technology.
Revisiting Extension Programs: The Key to Sustainability
Authors: Asio, Ph.D. Helen T. , Nerona, Ph.D. Ma. Cristina Lalaine M.
Published: April 2023

The Isabela State University has the mandate to provide effective education and training of the needed manpower resources through its four major functions: research, extension and production. It has been a part of its Core Values to have a consistent engagement with the public by mobilizing all available human resources in all its programs to cater the needs of its clienteles. Hence, the proponents came up with this study, revisiting the Extension Programs of the campus for the past 6 years, from 2014-2019, to better understand its existing situation which will be the basis in planning and formulating measures and strategies to come up with a more responsive extension programs. The proponents performed the Descriptive- Quantitative Research, documentary analysis and interview. The result of the study shows that among the implemented projects, most of them fall under the project category, LGU Capability Building with 28 or 49.09%.; College of Education has the highest number of involvement with 25 or 43.86%; Instructor position are the major proponents, with 43 or 48.31%; LGU is the major partner agency with 12 or 37.48%; majority of the projects last for weeks with 25 or 43.86%; Internal fund is the major source of of fund with 54 or 94.74%; Students are the major participants under internal beneficiaries with 9 or 64.28%; As to External Beneficiaries, majority of the attendees are from different group of people with 19 or 47.5%; Majority of the projects are started and completed, 40 or 70.17%; and along Sustainability, majority are not sustained with 54 or 94.73%. The result implies that the there is a strong partnership between the extension unit of the university and the LGU where it belongs, and the extension programs are responsive to the needs of various clienteles.
Study to Assess the Efficacy of Different Concentration of Nasal Douching on Symptoms and Mucociliary Clearance in Persistent Allergic Rhinitis
Authors: Chandra b c Smitha , Ramashesh Rashmi , G Mohan
Published: April 2023

Introduction: Allergic rhinitis (AR) is acknowledged as a significant health challenge on a global scale affecting 08 – 39.7% of total population. The management of Allergic rhinitis encompasses patient education on avoidance of allergens as well as the use of pharmacotherapy and allergen- specific immunotherapy. Avoidance of allergen may not be practically applicable always and the pharmacological treatment has side effects on long term use. Hence an alternate treatment modality is required to alleviate the symptom for long duration with less side effects.
Materials and Methods: we conducted a randomized double blinded prospective study on 75 patients with allergic rhinitis. They were randomized into 3 groups, 1st group using isotonic saline irrigation, 2nd group using hypertonic nasal irrigation and 3rd group as control. The evaluation was done using SNOT22 score and nasal mucociliary clearance time.
Results: Isotonic Saline Nasal Irrigation was found to reduce overall symptoms better than Hypertonic Saline Nasal Irrigation group. Nasal douching also improved Nasal Mucociliary Clearance. Isotonic Saline Nasal Irrigation restored Mucociliary Clearance better than Hypertonic Saline Nasal Irrigation. Compliance to treatment was found to be good for short term.
Conclusion: Nasal irrigation along with other medications definitely had better outcome in symptom control in patients with AR. However studies to know the effect of nasal douching in AR for longer duration are needed.
Loop drainage in Subcutaneous Head and Neck Abscesses: A Minimally Invasive Procedure
Authors: Pakira Titasa , Dubey Arya Brata , Biswas Subhradev
Published: April 2023

INTRODUCTION: Incision and drainage (I&D) of abscess is the gold standard treatment. The purpose of this study was to compare Loop Drainage Technique (LDT) of subcutaneous Head and Neck abscess with I&D in terms of primary outcome like efficacy and change in abscess diameter and secondary outcome like pain, duration of procedure, duration of healing and patient satisfaction.
MATERIALS AND METHODS: A prospective cohort study was conducted in a tertiary care hospital for one year. Patients were consecutively allocated to I&D and LDT. All patients underwent ultrasonic evaluation of abscess size pre-procedure and 7th  day post-procedure. Both groups received antibiotics at discharge and followed up at regular interval.
RESULTS: A total of 70 patients were selected (35 in each group). Mean(sd) change in abscess diameters between I&D and LDT was not significant (p=0.83). In terms of efficacy or healing both procedures were equivalent (p=0.72). The secondary outcome like Pain (VAS score), duration of procedure was significantly lower in LDT than I&D (p<0.0001). The patient satisfaction score measured by Likert scale was significantly better in LDT than I&D (p<0.0001). However duration of healing was same in both groups (p=0.49).
CONCLUSION: Loop drainage is equally efficacious to standard I&D in abscess resolution but the duration of procedure and pain experienced was less, with better compliance.
IgG4 Related Sclerosing Inflammatory Pseudotumor Simulating Cholesteatoma Of The Temporal Bone
Authors: Dahanukar Mrinmayi , Varty Sangeeta , Chitnis Trishna
Published: April 2023

Introduction
Sclerosing inflammatory pseudotumor of the temporal bone is a rare fibro-inflammatory, benign albeit locally aggressive pathological entity. 
Case Report
We report a case of Sclerosing inflammatory pseudotumor of the temporal bone, simulating a cholesteatoma. A 61-year-old female presented with right otalgia, hearing loss, facial pain and imbalance. Ear microscopy revealed a pulsatile mass in the external auditory canal. HRCT temporal bone and MRI reported soft tissue mass in the right middle ear and mastoid air cells, causing attenuation of the ossicles with erosion through the tegmen and mastoid cortex. The patient underwent canal wall down tympanomastoidectomy. The histopathology with immunohistochemistry was consistent with IgG4 related sclerosing inflammatory pseudotumor.
Discussion
This case report explores the similarities as well as the clinical differences between cholesteatoma and IgG4 sclerosing inflammatory pseudotumor of temporal bone, along with the diagnostic and treatment challenges. It is often mistaken for neoplasm or cholesteatoma, hence should be considered as a differential diagnosis.
Comparision of Efficacy of FNAC with Histopathological Examination of Parotid Swellings
Authors: Gundamaraju Divya vani , Maryada Sravani , Bhogadi Bhavitha , Buddhavarapu Kiranmayee
Published: April 2023

Introduction : Parotid gland swellings are of histologically diverse group. Fine needle aspiration cytology (FNAC) is a rapid, simple, cost effective diagnostic procedure for evaluation of such swellings. The main aim of the study is to determine specificity, sensitivity, accuracy of FNAC in parotid swellings by taking histopathological examination (HPE) as gold standard.
Materials and methods: Retrospective study done from April 2018 – July 2018. Data was collected from medical records of 50 cases who came with parotid swellings. All have undergone preoperative FNAC for swellings followed by surgery and HPE of specimen postoperatively.
Results: In FNAC most of parotid swellings were benign in nature with pleomorphic adenoma most common. The sensitivity, specificity and accuracy of FNAC for parotid swellings in our study are 62.5%; 94%; 84% respectively.
Conclusion: Even though FNAC is rapid, simple, it is may not be completely reliable deciding factor for patient counselling and for further management according to present study as it shows less sensitivity of 62.5%.The FNAC may be considered as a best possible initial investigation but may not be as to provide a definitive diagnosis on which management decisions can be made.
Tinnitus in COVID-19 Era – A Study on its Association with SARS-CoV-2 and its Outcome
Authors: Mukherjee Paroma , Haque Misbahul , Gure Prasanta Kumar , Azgaonkar Sarvesh Premanand
Published: April 2023

Introduction
Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) virus mainly affecting the respiratory and circulatory system. In many, neuro-otological changes have been noted – tinnitus being one of the leading clinical manifestations which has skipped the limelight due to the other deadly complications of the disease. The study aims to assess the relation between COVID-19 infection and tinnitus, its relation with vaccination against COVID-19 and to assess the change in intensity of tinnitus at the end of 10 weeks after medical treatment in the patients with and without a positive COVID-19 RTPCR (Reverse Transcription-Polymerase Chain Reaction) report.
Materials and Methods
An institution based prospective comparative study was done in a tertiary hospital in Kolkata, West Bengal between July 2021 to December 2021. All patients aged between 18 and 65 years, with recent onset of subjective tinnitus since March 2020 (COVID-19 1st wave), were included in this study. Intensity of tinnitus was assessed at the end of 10 weeks after medical treatment with the help of Tinnitus Handicap Inventory (THI).
Results
            Among the 84 patients with tinnitus - 20 had a history of (H/O) COVID-19 infection, 64 didn’t. Among the 20 patients who developed tinnitus post-COVID-19 infection, 2(10%) had been vaccinated while 39 out of the 64(60.9%) patients without a had been vaccinated against COVID-19 disease. At the end of 10 weeks post-treatment, 6 out of 20(30%) patients with a H/O COVID-19 showed an improvement in THI score– of them, 2 were vaccinated while 33 out of 64(51.56%) patients without a H/O COVID-19 showed improvement in THI score – of them 28 were vaccinated against COVID-19.
Conclusion
Our study concludes that the chances of developing tinnitus is more in those who have not been vaccinated against COVID-19 and post-medication improvement of tinnitus in COVID-19 infected patients was much less than those without a history of COVID-19 infection.
Seromucinous Hamartoma of Nasal cavity : A Rare Case Report.
Authors: Suresh Aiswarya
Published: April 2023

Introduction :Seromucinous hamartoma is a rare benign lesion of the sinonasal tract, composed of proliferation of seromucinous glands and ducts within a variable fibrous stroma.Case Report :This report is about a 58 year old female patient who presented with a fleshy mass extending upto the floor of the left nasal cavity. After its endoscopic excision, histopathological examination revealed a seromucinous hamartoma which was confirmed by immunohistochemistry.Discussion: Seromucinous hamartoma is a rare entity of the nasal cavity which arise on the septum or nasopharynx and rarely from lateral wall and sinuses. 19 cases have been reported world wide so far. Hence a correct diagnosis, based on histopathological study along with immunohistochemistry is necessary for appropriate and accurate management. Early intervention with surgery and radiotherapy is required to avoid recurrence.
Unusual Foreign Bodies in the Head & Neck Region
Authors: Saha Jayanta , Biswas Debabrata , Gon Sabyasachi , Roy Uday Shankar
Published: April 2023

Introduction: Injuries in the Head Neck region due to impacted or penetrating foreign bodies are not uncommon in ENT ER or OPD. These injuries carry the risk of retained foreign bodies with dramatic consequences if remain untreated. Therefore, it is mandatory to detect any foreign body during clinical workup. The objective of our study is to evaluate the location of foreign bodies and to plan concerned surgical approach.

Method: A Case Series of 9 patients, presenting with foreign body injury in the Head and Neck region in the Outpatient Department or Emergency of Department of Otorhinolaryngology and Head and Neck Surgery of a tertiary care hospital in Kolkata in a span of 3years, has been presented.

Result: All the foreign objects were retrieved successfully without any surgical complication.

Conclusion: History taking and Clinical examinations are the crucial steps in Investigation. Imaging studies can significantly increase the chance of detecting a foreign body.
Clinical and Radiological Evaluation of Chronic Rhinosinusitis
Authors: Baisakhiya Nitish , Sharma Harshita , Maini Sujata , Batni Gaurav , Pandey Anusha Shukla , Sen Sweety
Published: April 2023

Introduction
The diagnosis of rhinosinusitis is based on clinical grounds having characteristic symptoms, combined with objective evidence of mucosal inflammation. We studied the corelation between the symptoms of the patients, clinical and endoscopic findings with CT scan findings in chronic rhinosinusitis (CRS).
Materials and Methods
Patients above the age of 15yrs fulfilling the criteria of Chronic sinusitis laid by European position paper on rhinosinusitis and nasal polyps (EPOS) 2012 were prospectively studied. Demographic and clinical profile were noted. Diagnostic Nasal Endoscopy was done and findings were recorded. Patients were undergone CT evaluation after giving appropriate medical management. Clinical, endoscopic and radiological findings were compared with similar studies. Data was analysed using IBM SPSS software version 20.
Results
This study included 118 patients of Chronic Rhinosinusitis. Patients commonly male between the age group of 21-30 years presented with nasal obstruction, headache and nasal discharge in order of presentation. Diagnostic Nasal endoscopy revealed Septal deviation in 64.4% and medialize uncinate process in 15.2% of cases. Nasal discharge (48.3%) was commonest finding. CT scan suggested deviated nasal septum (70.4%), concha bullosa (30.5%), blocked osteo-meatal complex (68.6%) in patients of CRS. Presence of Agger Nasi cell (49.2%), Haller cell (12.7%) and Onodi cell (15.7%) seen in these patients.
Conclusion
CT scan and diagnostic endoscopy along with detailed clinical examination are essential component for assessment of a patient with chronic rhinosinusitis. CT scan is considered as gold standard but endoscopy is also a valuable tool for diagnostic evaluation of patients with CRS.
Colonization and Antimicrobial resistance patterns of Potentially Pathogenic Micro-Organisms in tracheostomized patients
Authors: Gure Prasanta Kumar , Ghosh Arunava , Ray Dhrupad , Haque Misbahul , Dutta Manotosh
Published: April 2023

Introduction: Tracheostomy is one of the most common and ancient surgical procedure performed in  the world but it is like a double-edged sword which not only facilitates respiration, but also impairs the natural resistant barrier, therebyaugmenting the colonization of other secondary pathogenic micro-organisms. Hence, it is important to know the patternof microbiological colonizers in tracheostomized patients, so that adequate empiric antimicrobial coverage can preventdevelopment of hospital acquired pneumonia. This study aims to identify various micro-organisms colonizing lower airway in tracheostomized patients.

Materials and Methods: An observational cross-sectional study was conducted in a tertiary based teaching hospital in North Bengal, India during July 2021 to July 2022. A total of 56 patients were included in the study.

Results: Positive Cultures on day 0 were found in 20.8% & 65.6% of patients in wards and ICUs respectively. Out of the positive cultures isolated on day 0, Staphylococcus aureus was the most common organism (80%) obtained from ward patients whereas, Acinetobacter baumannii was most common organism (47.61%) in ICU admitted patients. On day 7, positive cultures were found in 66.6% & 84.4% of admitted patients in wards and ICUs respectively. Staphylococcus aureus was again the most common organism obtained (56.25%) in wards whereas, Pseudomonas aeruginosa was the most common organism (44.44%) obtained in ICU admitted patients followed by Acinetobacter baumannii (33.33%).

Conclusion: Culture positivity rates were higher in patients who were previously intubated in Intensive care unit, which establishes the fact that any procedure which warrants airway manipulations, increases the chance of hospital acquired infections.  Antibiotic resistance is very common in ICU admitted patients and has a tendency to increase over time. Hence, upscaling of antibiotics is recommended only after proper sensitivity check of the tracheal aspirates.
The Low-Skilled Immigrants’ Integration Process:
a Mathematical Analysis
Authors: Ferrentino Rosa , Vota Luca
Published: April 2023

Abstract

In this manuscript, the authors analyze the problem of integrating the low-skilled immigrants by adopting both a quantitative methodology and the marketing perspective. More precisely, they propose a mathematical model aiming at describing the economic consequences of this phenomenon and, after that, try to frame it through the Service Science (SS), the Service Dominant Logic (SDL) and the Viably System approach (VSa). The authors point out actors, steps and outcome of an effective integration process. Their results are particularly useful for policy makers and experts in the field of migration flows management and integration.

JEL classification numbers: C02; C61; E02.
Keywords: Immigration, Marketing, Service Dominant Logic, Service Science, Viable System approach.
Section Artikel Kontribusi Dana Insentif Daerah Berbasis Penghargaan Pembangunan Daerah terhadap Pembangunan Kabupaten
Authors: Pambudi Andi Setyo
Published: April 2023

Otonomi daerah memungkinkan kabupaten untuk mengurangi ketergantungan mereka pada pemerintah provinsi dan pemerintah pusat. Namun, dalam perkembangannya kesenjangan anggaran antar kabupaten masih terus menjadi perhatian pemerintah pusat. Pemerintah Kabupaten dapat memperoleh anggaran Dana Insentif Daerah (DID) melalui jalur Penghargaan Pembangunan Daerah (PPD). Penghargaan yang diselenggarakan oleh Kementerian PPN/Bappenas ini memberikan apresiasi kepada daerah-daerah terbaik dalam bidang perencanaan pembangunan, pencapaian dan inovasi yang salah satu reward-nya adalah DID yang dapat dimanfaatkan untuk tahun anggaran berikutnya. Evaluasi on-going DID pada level kabupaten bertujuan untuk memotret realisasi, menilai efektivitas penggunaan dan menganalisis permasalahan anggaran DID tahun 2021 dari pemenang PPD tahun 2020 sekaligus memberikan rekomendasi yang diperlukan dari sudut pandang pemanfaat (daerah) kepada pemerintah pusat selaku perencana formulasi anggaran DID. Metode pengumpulan data adalah literature review, diskusi terbatas dan pengisian kuesioner google form yang bertujuan menjaring masukan perkembangan realisasi dan permasalahan pemanfaatan Dana Insentif Daerah (DID) Tahun Anggaran 2021. Hasil analisis menggarisbawahi temuan bahwa pelaksanaan desentralisasi dalam beberapa hal justru semakin meningkatkan gap ketidakmerataan atau inequality ketika juara sebuah penghargaan sebagai landasan pemberian DID masih didominasi kabupaten yang sudah mapan secara ekonomi. Dalam kaitannya dengan pemanfaatan, secara umum pemerintah kabupaten menginginkan fleksibilitas penggunaan DID yang langsung menyentuh kebutuhan daerah, bukan kebutuhan pemerintah pusat. Penyempurnaan tata kelola dana transfer secara berkala diharapkan dapat mengurai persoalan desentralisasi fiskal ke depan.
Gagasan Dana Khusus Pemulihan dalam Penegakan Hukum
Authors: Nugraha Andri Setya , Ruhama Tanti Dian
Published: April 2023

Penegakan hukum terutama hukum pidana merupakan bentuk kehadiran negara untuk melindungi individu, masyarakat dan negara. Saat ini telah terjadi pergeseran sistem peradilan pidana dari yang bersifat retributif menjadi restoratif dan rehabilitatif atau berorientasi pada pemulihan. Pendekatan penegakan hukum tersebut berfokus pada pemulihan baik terhadap korban dan pelaku serta kerusakan lain sebagai dampak yang ditimbulkan dari terjadinya tindak pidana tersebut. Untuk mewujudkan hal tersebut, diperlukan sejumlah dukungan kebijakan terutama anggaran di bidang hukum. Pembentukan dana khusus pemulihan merupakan sebuah gagasan untuk mengatasi persoalan dana bantuan korban atau dana pemulihan yang kerap kali mengalami kekurangan dan hambatan lainnya. Melalui dana tersebut, negara dapat memberikan kompensasi terhadap korban tindak pidana untuk pemulihan serta di sisi lain untuk tindak pidana lingkungan dapat mengatasi kerusakan lingkungan yang ditimbulkan akibat dari terjadinya tindak pidana oleh korporasi. Studi ini berbasis pada literatur, analisis peraturan perundang-undangan dan reviu anggaran bidang penegakan hukum. Kajian ini menghasilkan rekomendasi kebijakan untuk pembentukan dana khusus pemulihan di bidang hukum sebagai sebuah terobosan dalam penegakan hukum dan keuangan negara demi terwujudnya penegakan hukum yang lebih responsif dan restoratif.
Perencanaan Obyek Wisata Terintegrasi Pantai Medewi Kabupaten Jembrana
Authors: Wijaya I Made Indra
Published: April 2023

Bali sebagai tempat tujuan wisata dunia terkenal dengan keindahan alam, kesenian dan budayanya. Kabupaten Jembrana yang terletak di ujung barat Pulau Bali menyimpan keindahan alam, seni dan budaya yang tidak kalah menariknya dengan kabupaten lain; salah satunya Obyek Wisata Pantai Medewi. Namun, jumlah kunjungan wisatawan ke tempat ini masih sangat rendah. Policy paper ini bertujuan memperoleh kebijakan atau strategi untuk meningkatkan jumlah kunjungan wisatawan dengan tetap memperhatikan tata ruang. Analisis menggunakan Metode SWOT (strengths, weaknesses, opportunities, dan threats) dan Metode USG (Urgency, Seriousness dan Growth). Hasil yang diperoleh menggunakan Metode SWOT teridentifikasi 3 (tiga) kemungkinan strategi atau kebijakan dan setelah dilakukan urutan prioritas menggunakan Metode USG, maka strategi atau kebijakan yang harus segera dilaksanakan adalah Pembangunan, peningkatan aksesibilitas serta pengembangan spot wisata terintegrasi antara wisata pantai, agrowisata dan wisata sungai. Rencana pelaksanaan strategi atau kebijakan tersebut dijabarkan berupa Rencana Aksi dan Rencana Pelaksanaan dalam kurun waktu 4 (empat) tahun yang dibagi menjadi 3 (tiga) zona yaitu Zona A (Pusat Wisata), Zona B (Pendukung) dan Zona C (Pendukung).
AVALIAÇÃO DA INCIDÊNCIA DE TRANSTORNOS ALIMENTARES EM ESTUDANTES DE MEDICINA NO OESTE DO PARANÁ DURANTE O PERÍODO PANDÊMICO DA COVID-19
Authors: Thaiane Mazarro Bortolini Eliana , Miguel Prata Madureira Eduardo
Published: April 2023

Esta pesquisa teve como objetivo analisar um indicativo de transtornos alimentares durante o período pandêmico em estudantes do curso de medicina em um Centro Universitário particular do interior do Paraná. Estudo transversal, exploratório, descritivo, com foco em levantamento de dados mediante aplicação de questionário semi-estruturado adaptado do EAT-26.  Um total de 103 acadêmicos responderam a pesquisa, sendo 66% do sexo feminino e 34% do sexo masculino. Com relação ao peso durante a pandemia, 10,7% da população manteve o peso, 26,2% registraram emagrecimento e 63,1% da população estudada ganhou peso. A incidência de sobrepeso foi de 22%. Houve 7 participantes a mais que passaram a ser classificados como obesidade grau I e 4 passaram a ser portadores de obesidade grau II. Com relação ao EAT-26, no quesito dieta, 10,3% são candidatos para distúrbios alimentares uma vez que, passaram a se preocupar (incidência de 10,3%) com a ingesta de alimentos e com a forma física após o confinamento. A incidência de participantes com sinais de Bulimia ou preocupação com os alimentos foi de 4,9%. A incidência da população que perdeu o controle oral após o confinamento relacionado a COVID-19 foi de 13,3%. Assim o presente estudo encontrou uma parcela dos estudantes como candidatos a distúrbios alimentares, mais estudos devem ser desenvolvidos no sentido de identificar essa população susceptível de modo que, ações preventivas sejam empregadas com o objetivo de evitar o real aparecimento desta condição.
IDENTIDADE COM O SENTIMENTO DE GOSTAR: VERIFICAÇÃO DOCENTE DO ENSINAR A MATEMÁTICA NOS ANOS INICIAIS DO ENSINO FUNDAMENTAL
Authors: Gomes dos Santos Allan , Ortiz Jimênez Luis , Medeiros Neta Rosa de Lima
Published: April 2023

O presente artigo, resultante de dados finalizados de uma investigação a nível de doutorado, teve como objetivo analisar a identidade docente ao ensinar nos anos iniciais do ensino fundamental, onde buscou-se verificar a identidade docente com a matemática associado ao sentimento de gostar e, portanto, os desafios enfrentados com o lecionar a matemática sem ter afinidade em seu ofício. Por meio de um desenvolvimento descritivo na forma de uma pesquisa de levantamento do tipo não experimental e um enfoque quantitativo com corte transversal, foi utilizado como procedimento de coleta de dados o questionário fechado. A análise dos dados foi desenvolvida com aporte teórico de cinco eixos investigativos, tais como: Saber docente; Competências docentes; Aprendizagem significativa; Conflitos cognitivos e Identidade profissional docente. Os resultados revelaram que dentre os percentuais encontrados nosso público-alvo possui uma falta de identidade e gostar em seu fazer docente e práxis pedagógica e, assim, pensar na construção de uma educação mais identitária é refletir sobre sentimentos que fazem a diferença no motivar uma dinâmica de um ensinar mais significativo, prazeroso e com menos conflitos cognitivos, ponto fundamental para que o enlace entre seus saberes prévios e seus processos de formação fomentem numa caminhada para um ensinar da matemática com mais dedicação, sentimento e amor. Ao mesmo tempo, a pesquisa traz contribuições valiosas para pensarmos no ensino da matemática sem um processo de identidade ou gostar da área, suscitando uma reflexão do pensar o processo de ensino e de aprendizagem da matemática no lado discente.
Evaluación clínica y microbiológica usando tres técnicas de eliminación de tejido cariado
Authors: Cardoso Maria Lorena , Goicoechea Patricia Noemi , Giusiano Gustavo
Published: April 2023

Objetivo: Comparar, la efectividad clínica y microbiológica, entre las técnicas de eliminación tradicional y químico-mecánicas, para el tratamiento de lesiones cavitadas abiertas no penetrantes en dientes primarios en niños de 4 a 8 años, analizándose 57 dientes primarios. Grupo I: técnica tradicional (19 piezas), Grupo II: Brix (18 piezas), Grupo III: Papacarie (20 piezas). Evaluación clínica (necesidad de anestesiar y tiempo de ejecución) los datos fueron asentados en cada historia clínica. Antes y después del procedimiento operatorio, se tomaron muestras de la cavidad con microbrush estéril, transportándolas en tioglicolato para analizar cuantitativamente el total de bacterias presente por mililitro, utilizando cultivos de agar sangre (base Columbia). La información fue tabulada y analizada estadísticamente mediante Análisis de la Variancia, pruebas de Tukey y de Chi Cuadrado, estableciéndose como criterio de significancia p≤0.05. La diferencia significativa en la cantidad de bacterias entre el grupo I (41.22 ± 4.45) y los grupos II y III (65.96 ± 4.33, 83.45 ± 4.57), reveló que el grupo I fue menos efectivo. En los grupos II y III no se requirió la utilización de anestesia, siendo significativa la diferencia en los niños de edad preescolar (4 y 5 años). El tiempo de ejecución para cada técnica manifestó mayor rapidez en elgrupo I (2.12 min ± 0.15) p˂0.0001. Las técnicas que utilizan algún agente químico permiten una mayor eliminación de bacterias durante la remoción de tejido cariado, sin recurrir a anestesia, por lo que pueden ser recomendadas como alternativa al tratamiento tradicional especialmente en niños pequeños.
Date Seed Extract as Green Corrosion Inhibitor for Steel in Hydrochloric Medium
Authors: Alshanqiti Khadijah
Published: April 2023

The date seed extract is considered an effective and environmentally friendly corrosion inhibitor. In this study,the ability to inhibit corrosion of steel in an acidic medium was tested by measuring weight loss, potentiodynamic polarisation, scanning electron microscope techniques, and Fourier Transform infrared spectroscopy. Depending on weight loss, it was observed that inhibition efficiency increased with inhibitor concentration, while the corrosion rate decreased. The maximum inhibition efficiency was 93% for 0.6g/L in0.5M HCl. The results from the polarization curves showed that the
extract behaved as a mixed-type corrosioninhibitor, and the maximum inhibition efficiency was 99% for 0.4 and 0.6g/L in 0.5M HCl. The molecule inhibitor adsorption isotherm plots showed that the adsorption of the extract follows the Langmuir isotherm. Scanning electron microscope techniques emphasized the prevent corrosion of the metal surface due to the adsorption of inhibitor molecules on its surface.
SAFETY INSPECTION OF PRESSURE VESSELS AT AN ENGINE GRINDER IN AGRESTINA-PE
Authors: De Queiroz Feitosa Rômulo , Monaliza Cunha de Sousa Aêda
Published: April 2023

Pressure vessels are critical components in internal combustion engines as they withstand high pressures of oil, air, steam or other fluids. Failure of a pressure vessel can result in loss of containment, personal injury, equipment damage and, in severe cases, even explosions. Therefore, it is crucial to carry out periodic and rigorous inspections of these vessels in an engine overhaul to ensure their integrity and safety. This article discusses the steps of inspection in pressure vessels in an engine grinding plant, including inspection of pressure vessels containing argon gas stored to perform aluminum welding, as well as verification of design specifications, external visual evaluation, dimensional verification, ray inspection, visual inspection on compressors, which is important to extend its useful life and prevent accidents, inspection is performed according to specific standards and codes, such as ASME and API, and can be performed by internal or external inspectors, depending on the complexity of the equipment
COMPUTATIONAL THINKING
Authors: José Raimundo Anderson , Angélica dos Santos Claudinea
Published: April 2023

Technology is present in the world so that its use becomes intuitive. The purpose of the study originated from the perception of people, especially young people who use technology practically all the time, but many of them do not use it to develop. In this case, the need to implement computing teaching in schools increases. The introduction of computing concepts from the early years of basic education gains a lot of importance. Computational thinking instructs people how to think about solving problems through concepts in the field of informatics. The unplugged activity presents great computing concepts, even without the need to use electronic devices, being an effective alternative in teaching. The method used is based on bibliographical reading on the subject and use of resources such as data show, cardboard, markers, cardboard, paper, glue, bond sheets and notebook. The general objective is to present the computer language and its importance by experiencing it in practice through the suggested games. As specific objectives, instigate students to learn by playing, increase interest in subjects such as mathematics, physical education, science, art and the Portuguese language, practice the programming language in known games in an interactive and unplugged way. As expected results are to contribute to computational thinking to become present and worked in schools in order to reframe the school teaching and learning process.