bluuebunny/crossref_metadata_2025 huggingface dataset:
OBJECTIFICATION OF THE DEPTH OF LIMB ISCHEMIA DURING MILITARY MEDICAL COMMISSION DURING MARTIAL LAW
Authors: Kanikovskyi O. E. , Sander S. V. , Bondarchuk O. I. , Hnatyuk Yu. P. , Lopushanskyi O. M.
Published: July 2023

Summary. Aim. The optimization of the method of examination of patients with suspected ischemia of the limbs when conducting a military medical commission during martial law.

Materials and methods. 46 men (25-59 years old) with suspicion of chronic limb ischemia were examined. Examination of each patient was carried out according to both standard and optimized methods. The standard technique included a survey, physical examination, rheovasography, optimized - instead of the latter, it included photoplethysmography, perfusion index, tests with loading and cooling.

Results and their discussion. Chilliness was noted by 14 people, intermittent gait – by 19, pain – by 38. In 7 examined, the pulse on the main arteries was preserved. According to the standard method, ischemia was diagnosed as the leading syndrome in 43 (93.5 %) patients, including compensated – in 18 (39.1 %), subcompensated – in 23 (50.0 %), decompensated – in 2 ( 4.3 %). Alternative pathology was diagnosed in 2 (4.3 %) patients. In 1 (2.2 %) patient, ischemia was assessed as a non-conducting syndrome. According to the optimized technique, ischemia was diagnosed as the leading syndrome in 36 (78.3 %)* patients, including compensated – in 19 (41.3 %), subcompensated – in 13 (28.3 %)*, decompensated – in 4 (8.7 %). Alternative pathology was diagnosed in 6 (12.8 %) patients. In 4 (8.7 %)* patients, ischemia was assessed as a non-conducting syndrome (* – differences are significant). Photoplethysmography, perfusion index, tests with loading and cooling made it possible to more objectively determine the degree of impaired blood flow and functions, which is the main criterion (according to Order No. 402) for determining the degree of suitability for military service.

Conclusion. When conducting VLC in persons with suspicion of chronic limb ischemia, the perfusion index should be used as an objective (quantitative) criterion of the degree of regional blood flow disturbance, in particular, when evaluating the results of functional tests with exercise and with cooling.
MODERN APPROACH TO INGUINAL HERNIA SURGERY
Authors: Shkaraban V. P. , Bulyk I. I. , Vasyliuk S. M. , Prudnikov O. V. , Labyak I. R. , Bitska S. V. , Pavliuk N. M.
Published: July 2023

Summary. The article analyzes modern clinical guidelines for the repair of inguinal hernias. In 2018, the Hernia Surge Group published clinical guidelines for inguinal hernia repair. Experts evaluated the effectiveness, advantages and disadvantages of many currently known methods of hernia repair, and with a high level of evidence recommended choosing two open (Shouldice and Lichtenstein) and two laparoscopic techniques (TAPP and TER). The Shouldice operation is considered the best if it is decided to choose inguinal hernia repair without a mesh. However, modern trends in the repair of inguinal hernias still lean toward tension-free techniques, regardless of the age and gender of the patient. Even in young men with various types of hernias, it is recommended to use a prolene mesh, which reduces the risk of recurrence without impairing sexual function and fertility indicators. The Lichtenstein repair is the standard for open (anterior) inguinal hernia repair. In endoscopic TAPP and TEP repairs, the mesh is inserted into the preperitoneal space, but the techniques differ in access to this space. Due to technical complexity and high cost, laparoscopic and endoscopic repair of inguinal hernias is primarily recommended for recurrent and bilateral hernias, as well as for comorbid operations. Both TAPP and TEP have different and rare but serious complications. The 2018 EHS guidelines recommend open (Lichtenstein) and endoscopic (TEP/TAPP) as equivalent and evidence-based options for primary unilateral inguinal hernia repair.
The Influence of Sustainable Consumption Attitudes and Information Anxiety on The Behavior of Buying Organic Products With Consumer Assessment as a Mediator (In The Context of The Covid-19 Pandemic in Surabaya)
Authors: Purwasono Lakshita Dwita
Published: July 2023

This study aims to determine the influence of sustainable consumption attitudes and information anxiety on consumer assessment and its impact on the behavior of buying organic products in the city of Surabaya. The variables used in this study are sustainable consumption attitudes and information anxiety as a free variable, consumer judgment as a mediating variable and organic product buying behavior as bound variables. The method used is quantitative mediation. The samples used in this study used a non-probability sampling method with a combination technique of purposive sampling and snowball sampling. Data collection techniques in this study were carried out by distributing questionnaires using a Likert scale with 107 respondents of Surabaya residents as the population and residents of Surabaya who have purchased organic products during the Covid-19 pandemic. The results of this study indicate that the attitude toward sustainable consumption has a significant influence on consumer ratings, information anxiety has a significant influence on consumer judgment, consumer judgment has a significant influence on buying behavior, information anxiety has no influence on buying behavior with consumer valuation on organic products as a mediator variable, and sustainable consumption attitudes have an influence on buying behavior with consumer judgment as the mediator variable.
Factors Analysis That Shape Solid Gold Jewelry Purchase Decision In East Java
Authors: Jennifer
Published: July 2023

Since the COVID-19 pandemic, online sales have become a new habit for all businesses in Indonesia. One of the businesses that experience shifting in sales channels from offline to online is gold jewelry stores. For gold jewelry business players themselves, selling gold online is a new thing and requires uneasy adaptation. Not many studies that specifically discuss consumer behavior towards buying solid gold jewelry online have made researcher want to know what are the factors that shape purchasing decisions. The purpose of this study is to test and analyze whether product quality, design, uniqueness, price, brand, social responsibility, free shipping, coupons and discounts, consumer reviews, returns, quick and easy check out, express delivery, loyalty points, social media, eco-friendly products and interest-free installments shape the decision to buy solid gold jewelry online. The method used is quantitative with a descriptive approach. The data collection process was carried out with the help of a questionnaire and Confirmatory Factor Analysis (CFA) as a data analysis method. The results of this study shows that all variables are statistically significant in shaping the gold purchase decision model. The highest contributing factor is interest-free installments and the lowest contributing factor is design.
How to Queer Your (English) Class
Authors: Surmont Jill , Roebben Katrien , Vaesen Joost , Brusselmans Maggy , Verdoodt Matthias
Published: July 2023

Teacher education programs have a big role to play in preparing (future) teachers on gender inclusive education. Especially in urban settings, where many cultures are represented within the same classroom, teachers need to have sufficient competency and sociocultural awareness to ensure gender inclusion does not become a taboo subject. In this chapter, a qualitative study will function as a pilot study by investigating to what extent a series of workshops on gender inclusive education affects material development of pre-service teachers, how they experienced the series of workshops, and how they would implement it into the core curriculum. Results show that students mainly opt for the usualisation approach and that they feel that the workshops have confronted them with their own biases. However, the question of feasibility of implementing topics like this in the initial training is posed, as it is one of the many subtopics of diversity. The authors suggest further research to see what the balance between initial teacher training and further professionalization should be.
Empirical Test of Credit Risk Assessment of Microfinance Companies Based on BP Neural Network
Authors: Lu Hualan
Published: July 2023

In recent years, the chaos of internet finance has occurred frequently, especially P2P, with high risks. As a kind of financial innovation, small loan companies are challenging to avoid alone, and the issue of credit risk is also highly valued. This study selects the loan records of a small loan company (a daily loan record from September 1, 2016 to July 1, 2021 has seven indicators, each of which has 21299 data). It uses MATLAB programming to test the correctness of risk indicator selection and the accuracy of BP neural network classification and identification results. This study obtains the corresponding risk value. According to the corresponding risk value, the newly applied loans are classified, that is, rated, to verify the effectiveness and applicability of this method. Therefore, BP neural network has strong applicability, generalization ability, and portability and is an effective method for small loan companies to guide credit risk assessment.
Preliminary Design of a Highly Efficient VTOL System Based on Tethered Fixed-Wing Aircraft
Authors:   University of Sherbrooke, Bass John ,   Georgia Institute of Technology, Bouchard Étienne , Courtois Nicolas , Marois Francis , Mehanovic Dino , Peloquin Richard-Alexandre , Rancourt David , Bellocchio Andrew , Murphy Arthur , Lacerda Michel , Schrage Daniel
Published: July 2023

The need for highly efficient VTOL aircraft capable of long endurance flight motivated the Vertical Flight Society, in 2016, to form their 34th Student Design Competition around designing an aircraft capable of hovering for a duration of 24 hours with a 176 lb (80 kg) payload. This paper presents the preliminary design of the Swarm, a configuration of the Electric Powered Reconfigurable Rotor (EPR 2) concept, drafted by the joint Université de Sherbrooke and Georgia Tech team. The Swarm, comprised of a central fuselage tethered to three electrically propelled unmanned fixed-wing aircraft flying in a circular trajectory, achieves its goal through rotor reconfiguration. Throughout the flight, the fixed-wing aircraft modify their trajectory and airspeed to optimize performance and minimize fuel burn rate. A hybrid-electric power plant in the fuselage supplies power via conductive tethers to the fixed-wing aircraft. The design and reconfiguration were optimized using a 2-step time-marching optimization. The designed system greatly exceeds the competition requirements by accomplishing 31 hours of hover flight using readily available technologies and COTS components. The Swarm, weighing a maximum of 2,700 lb (1,224 kg), requires only between 62 and 120 hp (46-89 kW) to perform hover out of ground effect. Safety, reliability and maintenance analyses were also conducted, in addition to estimating production and operational costs of the system.
The Rapid Design to Prototype Process of the Hummingbuzz Individual Flying Machine
Authors:   Georgia Institute of Technology, Sequeira Alistair , Huang Zujia , Park Dongjin , Patel Srujal , Schrage Daniel , Lacerda Michel
Published: July 2023

In the history of flight, starting from first gliders of Otto Lilienthal to first powered fixed-wing aircraft designed by Wright brothers or first Vertical Take Off and Landing (VTOL) technology based VS-300 invented by Sikorsky; the notion of human flying machine has always enticed imaginations of the pioneers and observers alike. In the realm of powered VTOL individual flying machines, various inventors have explored several unique and innovative technology concepts (for example tilt rotor, tilting ducted fan, tilt jets, etc.) Georgia Tech Hummingbuzz concept is exploring one such possibility of integrating shrouded coaxial rotors in motorcycle/Jet Ski like configuration to provide a thrilling, quiet and unobstructed view based flying experience. This paper discusses how the concept resulted as a by-product of the Boeing sponsored GoFly competition and Georgia Tech Integrated Product and Process Development (IPPD) methodology used in its Aerospace Design and Systems Engineering program. The paper will also describe in detail the Preliminary Design process used to select the hardware and software required to achieve the design that meets GoFly competition requirements. The paper will discuss the scaled prototype test results and the lessons derived from the tests. In the end, the paper will conclude by providing the future roadmap for the design and development of the full-scale prototype with the end goal of competing in the final phase of GoFly competition in first quarter of 2020.
The Challenges for the Integration of the Drive Shaft in the RACER's Wing Configuration
Authors:   Airbus Helicopters, Blacha Martin , Garcia-Rios Adriana , Schelcher Marc
Published: July 2023

The RACER is a high speed rotorcraft which is currently under development at Airbus Helicopters as part of the European research program CleanSky2. Eye-catching feature of the RACER is its joined wing configuration with an integrated super-critical drive shaft in the upper wing in order to provide power to the lateral rotors located at the wing tips. This wing configuration is the best compromise between different requirements which are partly opposing. As there is no previous experience with such a wing configuration, this paper describes the difficulties, challenges, requirements and limits for integrating the super-critical drive shaft in it. Special attention is given to the structure-mechanical concept and its consequences for the drive shaft's behavior and movement inside the thin wing profile. The paper focuses on identifying and showing the main drivers for sizing, with all individual contributors leading to the final structure-mechanical concept of this unique wing configuration for a vertical take-off and landing vehicle. On top, the integration of the wings including drive shaft, the interaction with the fuselage and other secondary aspects of the wing functions and needs are treated.
Computational Modeling of Trailing Edge Fluidic Actuation for Rotor Blade Vibration Control
Authors:   University of Michigan, Patterson Ryan ,   Georgia Institute of Technology, Tan Yuehan , Friedmann Peretz , Glezer Ari
Published: July 2023

Prior investigations of aerodynamic flow control on rotor blades have focused primarily on manipulation of dynamic stall phenomena using leading-edge actuation. However, it has become apparent that these actuation approaches are ineffective when the base flow is fully (or nearly fully) attached at low to moderate angles of attack. In the present study two modes of fluidic actuation, steady blowing and pulsed jets, are employed to modify the cross-sectional aerodynamic loads of a two-dimensional airfoil at low to moderate angles of attack that are relevant for vibration control of helicopter rotors. Actuation is implemented near the trailing edge of the airfoil in order to affect aerodynamic loads by modifying the Kutta condition. Steady blowing and pulsed jet actuation are simulated using a computational fluid dynamics (CFD) framework. Time-resolved aerodynamic loads from the simulations are used to characterize the periodic shedding of trailing edge vorticity concentrations under steady blowing, as well as the unsteady transient response due to an impulsively started jet. The simulations are complemented by a series of wind tunnel experiments with steady blowing jets integrated on the suction and pressure surfaces of a VR-12 airfoil near the trailing edge. In order to reduce the computational cost of predicting unsteady lift, moment, and drag coefficients by CFD modeling, a surrogate-based reduced-order model is developed to accurately reproduce the CFD solutions based on a limited number of full-order simulations. This approach will be refined in future work and implemented in comprehensive aeroelastic simulations for rotor vibration reduction.
Preparing for Learning and Teaching: Incorporating UDL and Mindset into Teacher Preparation Programs
Authors:   Cabrini University, Gentile Amber L.
Published: July 2023

This conceptual article highlights the use of instructional practices based on the Universal Design for Learning framework and a focus on promoting effective mindsets in two teacher preparation courses (Classroom Management and Introduction to Developmental Psychology & Learning Theory). These practices have anecdotally demonstrated potential to promote students’ understanding and practices in both learning and teaching. A review of research and personal experience as a K-12 teacher, administrator, and teacher educator in a university-based teacher preparation program guided this work.
Challenges in Learning Phonics and Phonemic Awareness: Case Studies of Pre-Service Elementary Teachers
Authors:   Cairn University, Bose Stacey
Published: July 2023

This qualitative multi-case research study explored the experiences of pre-service teachers learning phonics and phonemic awareness (PPA) in a literacy methods course. Data were collected from pre- and post-test scores, literacy life maps, semi-structured interviews, and course questionnaires. Findings suggest pre-service teachers with limited prior knowledge struggled with learning PPA but were able to overcome the challenges. Participants perceived their preparedness and confidence in teaching PPA had grown through the course. Participants noted the benefits of hands-on practice with PPA.
Realistic vs. Effective: An Analysis of Educators' Perceptions of Traditional and Co-teaching Models of Student Teaching
Authors:   Holy Family University, Jorgensen Patricia , Fisler Jennifer L. ,   Messiah University
Published: July 2023

Using the Danielson Framework for Teaching, we compare educators’ perceptions of the effectiveness of traditional and co-teaching student teaching models. This study frames student teaching as a community of practice with Vygotsky’s Zone of Proximal Development as a key feature of the experience. This study uses a mixed methods sequential design. Our data indicate the co-teaching model outperforms the traditional student teaching model on all Danielson components and was preferred by the majority of our participants. Recommendations for teacher preparation and further study of student teaching are discussed.
Undergraduate Research Experiences for Pre-Service Teacher Candidates: Necessary Conditions for Productive Projects
Authors:   Kutztown University, Wolfmeyer Mark , Mohamad David ,   Kutztown University, Mistler Michael ,   Kutztown University
Published: July 2023

Institutions of higher education have increasingly motivated faculty to involve undergraduates in their research. These can be excellent opportunities for education researchers interested in working with pre-service teacher candidates (PSTCs). This article demonstrates the necessary conditions required for successful research experiences and includes two sample projects involving PSTCs.
Determine the Optimal Capital Structure of PT Indofood CBP Makmur Tbk (PT. ICBP)
Authors:   School of Business and Management, Institut Teknologi Bandung, Indonesia, Alfiandi Andro , Sudrajad Oktofa Yudha ,   School of Business and Management, Institut Teknologi Bandung, Indonesia
Published: July 2023

The food and beverage industry is a very large industry both nationally and globally. In Indonesia, the government’s investment realization in the food and beverage industry reached IDR 19.17 trillion. One of the giant food and beverage companies in Indonesia, namely PT ICBP, is one of the largest contributors to Indonesia’s GDP in the food and beverage sector. But the problem occurred in 2020 when the COVID-19 pandemic hit. Apart from the pandemic, in 2022 there was a war between Russia and Ukraine which disrupted the global supply chain. The company’s decision to acquire PCL needs to be questioned because looking at the company’s financial condition, the capital structure of the firm is not in an optimal position. Therefore, this research was conducted with the aim of obtaining optimal capital structure and providing recommendations for strategic steps for PT ICBP. The results obtained are that in 2022 the debt level of the company is not on the optimal capital structure. Therefore, the authors carry out a scenario analysis of the company’s capital structure based on the base scenario where the future financial position will develop, such as the author’s estimation, the best scenario and the worst scenario. The optimal capital structure is obtained if the debt is at the level of 85% for the base scenario, 45% for the best scenario, and 40% for the worst case. With this capital structure, company achieve its maximum firm value. Companies must reduce debt levels according to the framework that Damodaran recommends, namely investing using new equity or retained earnings.
Interrelation of the Psychomotor System and the Cognitive Relational Process on Academic Performance in People with Autism Spectrum Disorder
Authors:   University of Vigo., PhD Manuel Ojea Rúa, , Borrajo Prof. Inmaculada Rodríguez ,   Board of Galicia
Published: July 2023

Autism Spectrum Disorder (ASD) is a highly heterogeneous specific feature of neurodevelopment, whose general characteristics are defined by two basic dimensions: 1) deficits of communication and social interaction and 2) restrictive and stereotyped behaviours. Both dimensions are complemented by empirical evidence of the highly significant relationships of a predictive kind with the psychomotor functioning, which becomes most evident over development. Just, this research tries to answer to the following general goals: 1) examine the application of specific programs relating to development of basic psychomotor skills in students with several levels of ASD, age and sex, and 2) delimit the incidence of cognitive relationships between the concepts and learning categories. A total of 99 students have participated in this study, distributed according to ASD level, age and sex. Data have been analysed through the Univariate ANOVA Between-Subjects Effects Test. Results show that both the intersection of psychomotor and cognitive variables (critical sig: .00), as well variables separately (psychomotricity: .00, and relationship: .00), significantly affect to academic performance of students with ASD. Therefore, it can be concluded that relational cognitive components and psychomotor development are essential to facilitate the development of learning in people with ASD, whose R2 of explicative variance is significantly high: .913, being the adjusted R2 level: 86.3%. The influence of the fixed variables interactions: ASD level, age and sex have also been studied.
Educação Ambiental: referencial teórico para iniciantes
Authors: Pedrini Alexandre de Gusmão , Souza e Silva Marcia Nascimento
Published: July 2023

A educação ambiental (EA) vem se desenvolvendo com eficácia no enfrentamento dos desafios civilizatórios. É necessário que a sociedade seja capacitada em EA. O presente artigo tem como objetivo principal disponibilizar um referencial teórico abrangente e inicial, como roteiro para uma construção conceitual da EA. Esse roteiro tem como objetivo disponibilizar um caminho possível para iniciantes no campo da EA. A metodologia adotada foi a seleção de oito referências para cada uma das onze linhas da EA de trabalhos considerados emblemáticos, sendo em parte obtidos ao acaso pelo “Google Acadêmico”, nos meses de junho de 2022 e 2023. Foram obtidas a partir de palavras-chaves baseadas nos títulos de cada um dos nomes das onze linhas de EA + as palavras conceito + educação ambiental. São propostas 88 referências para o conjunto das onze linhas seguintes: a) Alfabetização Ecológica; b) EA e Ciência, Tecnologia, Sociedade e Ambiente (CTSA); c) EA Critica; d) EA e Complexidade; e) EA Empresarial/Licenciamento; f) EA Freiriana; g) EA na Gestão Ambiental Pública; h) EA no enfrentamento da Emergência Climática; i) EA para a Sustentabilidade Socioambiental; j) EA Vivencial; k) Ecopedagogia. Essa proposta de referencial teórico pode transformar-se em um guia para iniciantes na EA contemporânea brasileira.
Noster Moyses papa. Una metafora teologico-politica nel conflitto fra Sisto IV e i Medici
Authors: Brandodoro Niccolò
Published: July 2023

L’identificazione del pontefice come nuovo Mosè, detentore assoluto del potere politico e spirituale, fu il perno attorno a cui si strutturò l’ideologia del primato papale promossa da Sisto IV.  In particolare, ai tragici eventi che seguirono la congiura dei Pazzi (1478) e che scatenarono il conflitto tra Roma e Firenze si accompagnò una vera e propria “guerra di propaganda” che il papa della Rovere decise di combattere riaffermando il codice teologico-politico di Moyses typus papae – Mosè figura del papa – in una pluralità di documenti (dalla bolla sistina Ad apostolice dignitatis auctoritatem,  alla Dissentio inter sanctissimum dominum nostrum Papam et Florentinos suborta, fino agli affreschi laterali della Cappella Sistina eseguiti da un gruppo di eminenti pittori – tra cui molti fiorentini – probabilmente sotto la direzione del Perugino). Il presente saggio intende dunque descrivere l’impiego della metafora mosaica da parte di Sisto IV mostrandone la centralità all’interno della propaganda pontificia.
The Analysis of Chat GPT Usage Impact on Learning Motivation among Scout Students
Authors: Hanum Siregar Farida , Hasmayni Babby , Lubis Andre Hasudungan
Published: July 2023

Chat GPT is an AI tool that provides users a chat-based answer that comes from their questions. This powerful technology brings numerous benefits to many sectors, including education. The use of AI for students may occur to become their assistants for their learning purposes. This paper explained about the impact of Chat GPT usage among students on their learning motivation. The study collected total of 500 respondents that come from students in Medan, Indonesia which join in a scout community. The study used a quantitative approach, a survey and questionnaire distribution are performed to collect data from the respondents. We adopted previous research instruments to describe the variables used with some modifications. There are 10 items for present the independent variable and 10 items that used for the dependent variable. A linear regression is used to test the hypothesis, while multicollinearity, heteroscedasticity, and normality are performed as the classical assumption test. The descriptive statistic method such mean score is employed to presents the level of Chat GPT usage among students. The result shows that male students are dominant than female regarding the usage level. Surprisingly, the younger students have high level of Chat GPT usage rather than the older students. The study also pointed out that the Chat GPT usage has a positive significant impact on the students’ learning motivation.

Keywords: Chat GPT, Learning Motivation, Student, Artificial Intelligence, Education
ANALISIS LAPORAN ARUS KAS UNTUK MENGUKUR KINERJA KEUANGAN PERUSAHAAN FOOD & BAVARAGE TAHUN 2017-2020
Authors: Alfian Nurul , Rohmaniyah Rohmaniyah , Rahayu Runik Puji , Aina Muslimatul , Kusuma Andriani
Published: July 2023

The statement of cash flows is a summary of cash inflows and cash outflows which in its financial format are divided into groups of operating activities, investing activities and financing activities. The cash flow statement provides information that enables users to evaluate changes in a bank's net assets, financial structure and ability to influence the amount and timing of cash flows in order to adapt to changing circumstances and opportunities.This type of research is descriptive qualitative, namely collecting data. The purpose of this study is to determine the financial performance of Food & Beverage Tbk companies during 2017-2020. The method used is ratio analysis, where the ratios used in this study are the ratio of operating cash flows, the ratio of operating cash flows to interest, the ratio of capital expenditures, the ratio of total debt, and the ratio of cash flows to net income. There are 5 companies that are used as a cash flow ratio analysis, namely PT. Tiga Pilar Sejahtera Food Tbk, PT. Delta Djakarta Tbk, PT. Mayora Indah Tbk, PT. Nippon Indosari Corpindo Tbk, and PT. Ultra Jaya Milk Industry & Trading Company Tbk.
Peter’s anomaly type 2 with cataract
Authors:   Chittagong Eye Infirmary and Training Complex, Chittagong, Bangladesh, Nipa Sarmin Akter , Biswas Sujit Kumar ,   Chittagong Eye Infirmary and Training Complex, Chittagong, Bangladesh
Published: July 2023

Purpose:This study aims to report a case of Peter’s anomaly.Case report:An 18-year-old male came with complaints of white reflexes in the right eye, which had been slowlyenlarging since birth, and no vision in the left eye. On examination, the visual acuity of his right eye was 6/36 withno light perception in his left eye. Slit lamp examination in his right eye revealed nystagmus, micro-cornea, cornealopacification, cataract with cornea lenticular adhesion, and no cornea developed in his left eye. The patient wasdiagnosed with Peter’s anomaly type 2. The patient underwent cataract surgery with intraocular lens implantationand his postoperative best corrected visual acuity was 6/24.Conclusion:Peter’s anomaly is a rare disorder with anterior segment malformation where the visualoutcome is poor.
Implementation of decentralized techniques in e-commercewebsite
Authors:   IILM, Academy of Higher Learning, College of Engineering and Technology, Greater Noida, India, Singh Swati , Bansal Suhel ,   IILM, Academy of Higher Learning, College of Engineering and Technology, Greater Noida, India, Ali Shahbaaz ,   IILM, Academy of Higher Learning, College of Engineering and Technology, Greater Noida, India, Alam Noor ,   IILM, Academy of Higher Learning, College of Engineering and Technology, Greater Noida, India
Published: July 2023

After the coronavirus pandemic struck in 2020, administrative agencies around the globe imposed strict lock down sin every sector. The biggest of them was imposed in India. The only things allowed were the essential services like medical and grocery. But due to the sudden panic of the unknown disease, there was a huge rush to buy and stockpile items. Long queues and crowds were developed, which may have led to rapid transmission of the virus. We, as a team, tried to find a solution by putting their shops online so that they could take orders remotely and distribute them without the risk of long queues and infection. Gromore Shoppe was developed to make these small local shops online. Retail owners can now catalogue their products on the web and take orders from the locality. They can process them quickly and distribute them with minimal risk of contact. This solution will first introduce them to the web and its benefits and make them sufficient enough so that they can even expand easily and effectively.
Are Antidepressants Really Effective? : Selective Serotonin Reuptake Inhibitor (SSRI) Controversy and New Materialist Perspectives
Authors:   The Korean Association for Philosophy of Medicine, Koo Jae Ryoung
Published: July 2023

In South Korea, an increasing number of people are complaining of depression and requesting antidepressants. The most widely prescribed type of antidepressant is selective serotonin reuptake inhibitor (SSRI). This practice is supported by the ‘serotonin hypothesis’― the belief that depression is caused by serotonin deficiency and can be corrected with SSRIs. With skepticism of such reductionist logic and overprescription of these drugs, I ask whether antidepressants are ‘really’ effective, and if so, why that is the case. The paper first analyses studies critical of antidepressants and shows that each provides only a limited perspective on the drug depending on its academic discipline. On the one hand, scientists attempt to determine SSRI’s unadulterated biological efficacy. On the other hand, social scientists tend to emphasize social forces such as marketing that promote SSRI consumption, or advocate patient agency and choice. I argue that these mutually exclusive analyses turn the debate over effectiveness into a political choice between nature and society. To seek a more relational and nuanced approach to understanding SSRIs, I establish a common premise that all parties can agree upon: when an SSRI is consumed, something unexpected may happen, be it beneficial or harmful. Dualisms of intended effect and side effect, as well as body and mind hinder our interpretation of these changes. Two approaches of New Materialism help move beyond binary thinking about antidepressants. The first is the flat ontology of assemblages, which connects disparate elements such as SSRIs, bodily changes, emotions, serotonin theory, and doctors on a flat ontological plane, and regards therapeutic effects as emerging from their interactions. The second is Elizabeth Wilson’s Gut Feminism. Wilson extends the serotonin hypothesis beyond the brain to the peripheral body and argues that SSRIs transverse and relate bodily substances, emotional states, and the social world. These two approaches are similar in distributing the action of SSRIs across a range of components both inside and outside the body. The curative experience that we attribute solely to the pill arises from attaining an alliance and balance between heterogeneous aspects of life.
Noterlere Taşınmaz Satış Sözleşmesi Yapma Yetkisi Verilmesi Üzerine Bir Değerlendirme
Authors: AKİPEK ÖCAL Şebnem , ŞEN DOĞRAMACI Hayriye , ÇAĞLAYAN AYGÜN Gözde
Published: July 2023

Hukukumuzda taşınmaz satış sözleşmesinin geçerliliği resmî şekilde yapılmasına bağlıdır. Bu resmiyeti kazandıracak makam tapu sicil müdürlükleri ve 7413 sayılı Hâkimler ve Savcılar Kanunu ile Bazı Kanunlarda Değişiklik Yapılmasına Dair Kanun ile yapılan değişiklik uyarınca noterlerdir. 1512 sayılı Noterlik Kanunu’na eklenen 61A maddesi ile noterler taşınmaz satış sözleşmesi düzenlemeye yetkili kılınmıştır.
Noterlerin taşınmaz satış sözleşmesi düzenlemesi, bir borçlandırıcı işlem niteliğindedir ve sadece satış sözleşmesinin yapılmasını ifade etmektedir. Dolayısıyla mülkiyet hakkının karşı tarafa devri ancak tasarruf işlemi olan tescil talebi ve tapuya tescil ile gerçekleşmektedir. Getirilen yeni düzenlemeyle taşınmaz satış sözleşmesi, noterlerce tapu bilişim sisteminden yevmiye numarası alınarak bu sisteme kaydedilecektir. Sözleşme, sisteme kaydedildikten sonra tapu müdürlüğünce taşınmazın tapu kütüğüne tescili öngörülmüştür. Noterlere tanınan satış sözleşmesi yapma yetkisinin ayrıntıları, Noterler Tarafından Düzenlenen Taşınmaz Satış Sözleşmelerine Uygulanacak Usul ve Esaslar Hakkında Yönetmelik’te düzenlenmiştir.
Noterlere verilen taşınmaz satış sözleşmesi yapma yetkisi, tapu sicil memurlarının bu hususta mevcut olan yetkisini ortadan kaldırmamaktadır. Öte yandan noterlerin sahip olduğu bu yetki sadece satış sözleşmesi yapmakla sınırlı olup taşınmaz mülkiyetinin devrini amaçlayan diğer işlemleri içermemektedir. Taşınmaz satış sözleşmesinin düzenlenmesi bakımından her iki kurumun da yetkili kılınmış olması, resmî işlemlerde hedeflenen hukuki işlem güvenliğinin sağlanması bakımından uygulamada güçlükler yaratma riskini beraberinde getirmektedir.
Noterlerin yaptığı işlemler sebebiyle hukuki sorumlulukları bulunmaktadır. Noterler, taşınmaz satış sözleşmesinin düzenlenmesinden dolayı oluşan zarardan da sorumludur. Bu sorumluluğun niteliği, doktrinde tartışmalı da olsa, kusursuz sorumluluk olarak kabul edilmektedir. Noterlik Kanunu’nun 162. maddesi uyarınca noter yaptığı hukuka aykırı işlemler nedeniyle vermiş olduğu maddi ve manevi zararlardan sorumludur. Bu zararın Devlet tarafından ödenmesi hâlinde Devlet’in, sözleşmeyi düzenleyen notere rücu etme hakkı bulunmaktadır.
Analysis of RC Multistory Building with and Without Blast Forces
Authors:   Shri Guru Gobind Singhji Institute of Engineering and  Technology, Nanded., Kawtikwar Akshay S
Published: July 2023

Blast resistant and anti-terrorism design is essential in order to save the civil infrastructure and human lives. In the design of structures, a consideration for energy absorbing capabilities to resist the effects of blast loading or other severe dynamic loads it is vital, and structural provision of elements with large plastic deformation capacities is desirable. Structures need to be designed for ductile response in order to prevent partial or total collapse due to locally failed elements. The work in this paper considers theoretical studies to resist the structure against blast loading to understand the basic concept of explosion phenomena, parameters of blast loading, and different types of blast waves. The analysis focuses on the estimation of blast loading on structures and their response to explosions. Design of blast resistant structures requires thorough understanding of the structural dynamics, behaviour of materials under high strain rate of loading, and blast analysis. This paper concludes with an explanation of findings by different researchers using different country codes to simplify the design process for calculating blast load. Keywords: Blast Resistant Design, Blast Load, Explosion, ETABS.
FOOD REQUIREMENT ANALYSIS IN AN AREA
Authors:   Jawaharlal Nehru New College of Engineering, K G Latha
Published: July 2023

Demand forecasting is the process in which historical data is used to estimate the quantity of product customer will purchase. This prediction activity is used in many fields like retailing, food industry etc. In Restaurants, prediction play a vital role as most of the basic ingredients have short-shelf life. The demands depend upon many explicitand hidden context such as season, region etc. In this paper, number of order is used to forecast stock of items, using machine learning with internal and external data. In this we provide an appropriate algorithm for demand forecasting which is capable of overpowering the wastage of short life items. Proposed algorithm like Bayesian Linear Regression, LASSO, XG-Boost algorithm are used that considerably improves the forecasting performance. KEYWORDS: Bayesian Linear Regression, LASSO, Random Forest.
Resposta inflamatória e expressão de antígeno leucocitário humano (HLA) relacionados com a susceptibilidade ou resistência tumoral
Authors: Silva Stephanie von Eye e , Faldoni Flavia Lima Costa , Grignoli Carlos Roberto Escrivão
Published: July 2023

Este trabalho visa pesquisar a relação da resposta inflamatória e a presença de HLA (Antígenos Leucocitários Humanos) específicos com a resposta tumoral, sendo esta benéfica ou não. O objetivo é buscar na literatura revisada a presença de tipos de HLA que possam ser apontados como possíveis marcadores genéticos para a detecção de tumores. O Complexo Principal de Histocompatibilidade (MHC) tem sido descrito quanto a sua ocorrência em tumores humanos. A perda ou diminuição da expressão do MHC-I em células tumorais representa um importante mecanismo de escape do tumor ao sistema imune. Descreve-se também que indivíduos herdeiros de alelos específicos do HLA podem ser resistentes a certos tipos de tumores. A resposta imune gerada a partir da apresentação do antígeno tumoral ao MHC, associada à inflamação aguda, pode estimular malignidade ou metástase das células tumorais iniciais. A extensa variedade de HLA e respostas diferentes em organismos distintos podem gerar um paradoxo no que se refere à evolução tumoral. Dependendo do perfil imunogenético, a presença de HLA de tipos variados pode ser relacionada a reações diferentes a respeito da presença do mesmo tumor. Apesar de a resposta imune preestabelecida pelo organismo ter a função de eliminar células tumorais, a inflamação gerada no tecido acarreta um bom microambiente para o desenvolvimento de tais células. Neste caso, têm importante função a vasodilatação e o infiltrado leucocitário, que, tentando eliminar as células tumorais, libera reativos de oxigênio e citocinas que afetam as células endoteliais no microambiente local, favorecendo o desenvolvimento tumoral, a invasão e a metástase. A metodologia utilizada consistiu no acesso aos bancos de dados Scielo, PubMed, MEDLINE, Bireme e Biblioteca Virtual da FHO|Uniararas, buscando literaturas que foram publicadas entre os anos de 1970 e 2014. Concluiu-se que as associações entre o perfil genético dos indivíduos e a resposta imunológica gerada podem contribuir para a total eliminação do tumor ou fornecer condições favoráveis ao desenvolvimento, crescimento e progressão tumoral.
Reflexologia podal
Authors: Galetti Vanessa Candido , Guerrero Talita Chiari , Beinotti Fernanda
Published: July 2023

As terapias complementares e/ou integrativas estão sendo cada vez mais utilizadas no Sistema Único de Saúde (SUS). Entre essas diversas terapias, destaca-se a Reflexologia, forma especial de massagem que faz uso dos polegares e, em alguns casos, também dos outros dedos para massagear as áreas reflexas situadas nos pés. Assim sendo, este estudo buscou mostrar, por meio de revisão de literatura, a eficácia dessa técnica na prevenção de doenças e manutenção da saúde. A massagem de pontos reflexos dos pés pode tratar diferentes regiões do corpo. Além de ser usada para o tratamento de doenças, também proporciona a sensação de bem-estar, o que promove nos pacientes relaxamento e redução dos níveis de estresse. Considerada medicina complementar que funciona bem em conjunto com a medicina alopática, utilizada para combater a doença e estimular o corpo a se curar, a Reflexologia é uma técnica de tratamento suave e não invasiva, que desintoxica o organismo e relaxa o corpo. Assim como acontece com outras terapias integrativas, tem como principal objetivo tratar o indivíduo como um todo, ajudando-o na busca pelo equilíbrio e colaborando para a melhoria dos efeitos de tratamentos que já são oferecidos em serviços públicos de saúde no Brasil. Por meio deste estudo, concluímos que, apesar de a Reflexologia ser uma técnica muito eficaz, há pouca pesquisa na área, o que mostra a necessidade de mais estudos científicos acerca de seus benefícios.
Efeitos do led azul no tratamento do melasma
Authors: Bordini Kariane Pavan , Oliveira Letícia Rodrigues de , Moreira Juliana Ap. Ramiro
Published: July 2023

O melasma é uma disfunção na pele denominada distúrbio crônico que se apresenta em formas irregulares e pigmentação castanha. Essas hipercromias são vistas geralmente na face, pescoço e na parte anterior do tórax. Ocorre fisiologicamente, em geral nas grávidas, em indivíduos que fazem uso de anticoncepcionais e os possuem predisposição genética, deficiência nutricional, hormônios alterados, e principalmente, quem se expõe muito ao sol. O tratamento retarda a proliferação dos melanócitos, inibindo e promovendo a degradação dos melanossomas. Dentre os protocolos de tratamentos, pode-se associar a fototerapia para fins terapêuticos, tendo, como efeitos anti-inflamatórios, analgésicos e cicatrizantes. Os diodos emissores de luz (LED), de baixa intensidade, não são invasivos, produzem altos níveis de energia com baixa radiação de calor, em que a estimulação decorrente dessa luz atua sobre as células e as mitocôndrias, gerando aumento na síntese de ATP, acelerando os processos cicatriciais e de rejuvenescimento da pele. O mecanismo de ação do LED age através da formação do novo colágeno, como da inibição da atividade da metaloproteinase de matriz, enzima responsável por destruí-lo. O LED emite uma luz monocromática, ou seja, sempre será emitido num único comprimento de onda. O tratamento com LED é feito em uma série de sessões para a melhora dos sinais de dano solar e estímulo do colágeno dérmico. O objetivo deste trabalho foi relatar os efeitos da utilização do LED azul no tratamento do melasma. O presente estudo foi realizado com base na revisão de literatura em artigos e livros nas bases de dados, como Google Acadêmico, Scielo, Lilacse biblioteca da instituição Centro Universitário Hermínio Ometto.
Atuação do enfermeiro no controle de infecções relacionadas a assistência à saúde
Authors: Rampim Carla Roberta Aparecida , Beretta Ana Laura Remédio Zeni , Batistela Ana Carolina T. , Santos Daiana Vieira dos , Bonfante Letícia Basso
Published: July 2023

Nas últimas décadas, a incidência de Infecções Relacionadas a Assistência à Saúde (IRAS) vem crescendo mundialmente, de modo que a Organização Mundial de Saúde (OMS), recentemente, reconheceu essas infecções como uma preocupação mundial devido ao seu impacto negativo sobre as taxas de mortalidade intra-hospitalar e dos custos da assistência à saúde, afetando tanto os países desenvolvidos quanto os em desenvolvimento. O aumento das taxas de IRAS exige medidas para combater o problema, desde tratamentos mais sofisticados até práticas reconhecidamente simples, eficientes como higienização das mãos. Ações específicas para educar profissionais de saúde são necessárias, no entanto, grupos focados surgem como oportunidades educativas de reflexão do processo de trabalho, visando intervenções para melhorias e diminuição do índice de infecções. Apesar de ser um tema amplamente discutido na literatura e na prática assistencial, ainda se observam altos níveis de incidência e prevalência de infecções por bactériasmultirresistentes, repercutindo de forma direta na assistência e qualidade. O presente estudo objetivou com uma abordagem teórica, por meio de pesquisas bibliográficas, avaliar a importância da atuação do enfermeiro e as intervenções da Enfermagem de forma preventiva, minimizando as IRAS. Trata-se de um estudo descritivo, baseado em levantamentos bibliográficos, realizado por periódicos, monografias e teses existentes na Biblioteca Duse Rüegger Ometto do Centro Universitário da Fundação Herminio Ometto/FHO, e em bases de dados eletrônicos – Medline; Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e Base de Dados de Enfermagem (BDEnf). Os profissionais da saúde, especialmente os enfermeiros, são de extrema importância diante do desafio das IRAS, devendo-se tornar os articuladores e motivadores dos saberes e fazeres relacionados ao controle de infecção.
Física e matemática em uma festa junina
Authors: Sabino Marcio Rodrigues , Saggioro Bruno Zaniboni , Oliveira Amanda Prina de , Awano Carlos Miranda
Published: July 2023

Uma das confraternizações populares, mais tradicionais em terras brasileiras, são as festas juninas. Nestes festejos, sob influências caipiras, há danças, comidas, decorações e muitas brincadeiras. Mais que um caráter lúdico, as brincadeiras juninas estão repletas de fundamentos matemáticos e físicos, os quais, na grande maioria das vezes, não se dão importância. O objetivo deste trabalho é apresentar alguns princípios matemáticos e físicos inerentes a alguns jogos e brincadeiras das festas juninas. Espera-se, com isso, exibir aos leitores algumas curiosidades científicas presentes nesses entretenimentos corriqueiros, despertando a consciência de que a ciência nos rodeia.
Auxílio Matemático para o cálculo de dosagem de concreto
Authors: Caetano Stephanie , Sabino Marcio Rodrigues
Published: July 2023

Uma maneira de verificar como as matérias-primas influenciam no concreto é por meio de técnicas de dosagem, as quais, em geral, possuem requisitos como trabalhabilidade, resistência físico-mecânica, permeabilidade, porosidade, condições de exposição e custo. Com isso, é possível obter características importantes dos materiais, como plasticidade, coesão, calor de hidratação, variação volumétrica, consumo de água e de cimento, aderência, resistência, dentre outras. O objetivo deste trabalho é a modelagem matemática do consumo de agregado graúdo e da relação água/cimento por meio de funções facilitadoras apoiadas no método de quadrados mínimos, interpolação de Lagrange e das leis clássicas da tecnologia do concreto. Os resultados foram satisfatórios frente aos dados utilizados e às referencias clássicas existentes.