bluuebunny/crossref_metadata_2025 huggingface dataset:
Analyzing Skin Disease Using XCNN (eXtended Convolutional Neural Network)
Authors: Tripathi Ashish , Singh Arun Kumar , Singh Adarsh , Choudhary Arjun , Pareek Kapil , Mishra K. K.
Published: September 2022

Skin disease is one of the major concerns for clinicians and researchers. Fungus, germs, allergies, and viruses are the main causes of skin diseases. There has always been unsaid competition between conventional and advanced computing-based techniques, and with these new techniques, cost of treatment is also being reduced drastically. In this paper, a deep learning-based model named eXtended Convolutional Neural Network (XCNN) has been proposed to classify three types of skin diseases (i.e., acne, rosacea, and melanoma). XCNN is easy-to-use, economic, and accurate. It will help clinicians to identify and categorize such diseases at the initial stage through automated screening. The proposed work is designed for multi-classification that takes digital images and applies XCNN to identify the type of disease. The model has been built on the dataset of the various skin disease images. It gives 95.67% accuracy in recognizing the diseases with improved recall, f1-score, and precision values compared to other state-of-the-art models.
Improving System Reliability of Secondary Distribution Networks Through Smart Monitoring
Authors: Akinwumi Aderonke Oluseun
Published: September 2022

This paper presents results of studies of the impacts of substation monitoring on reliability indices of distribution systems. It was detected that the fault detecting and repair time was the main cause of the prolonged outages experienced in the system which increases the poor reliability indices of the system. The intelligent monitoring device detect open circuit faults and relay to the base station in 30s compared with 3 to 24 hours it was taking to detect fault. The intelligent substation monitoring device reduced the fault detection time and hence improves the reliability of distribution systems. The system was simulated, and result showed that SAIDI was reduced from 244 hours of outage per annum to just 98 hours of outage per annum while CAIDI was improved from 10 hours of interruption per outage to 5 hours of interruption per outage. This paper demonstrated that the fault detection and reporting time can be greatly reduced by the use of intelligent monitoring system and reliability indices.
Challenges in Promoting Producer Groups among Small Scale Farmers: Evidence from a Community Development Project in Sri Lanka
Authors: Senanayake S. M. P.
Published: September 2022

The Second Community Development and Livelihood Improvement Project (SCDLIP) of the Government of Sri Lanka (GOSL) funded by the World Bank had a component on Public Private People Partnerships (PPP) in which it was aimed to form producer groups in order to solve the marketing problems and improve market access to small scale producers. The Author obtained the existing situation of the Producer Groups in the districts by conducting a Postal Survey of all hub offices (FOUs) operating in the project districts and this paper is based on the response received to that questionnaire, the discussions held at hub/ district offices and field observations. Most of these Producer groups were at the initial stages at the time of writing this paper. The performance of these groups varied widely among various project districts and these groups were confronted with many problems and challenges. Although Monaragala, Polonnaruwa, Badulla, Ratnapura and Hambantota have been pioneering districts under which PPP arrangements were started under the Project from the first batch of the Phase I onwards, these programs also at present are fraught with a number of difficulties. The aim of this paper is to document the experiences of these projects and to provide recommendations with a view to solving the problems faced by these groups.
An exploration of Social and Business Linkages among Micro Enterprises in Post Conflict Communities: Experiences from the Northern Province of Sri Lanka
Authors: Yoosuf Amina , Premaratne S. P.
Published: September 2022

This paper presents a profile of social and business linkages among micro entrepreneurs in the Northern Province of Sri Lanka based on a study of 592 such entrepreneurs conducted from March to December 2014. The objective of the paper is to identify how and to what extent micro entrepreneurs in post conflict communities use their social and business linkages to promote their enterprises. It attempts to discover whether micro entrepreneurs emerging from conflict situations are willing to collaborate with each other and utilise business development services together to develop their businesses. Findings indicate that a majority of these enterprises have commenced in the aftermath of the war as affected communities attempt to regain their livelihoods. The income and investment levels among these entrepreneurs remain low compared to other regions, but they show initiative and commitment to grow as their businesses mature. Social relationships among these entrepreneurs are high as opposed to their business linkages that are comparatively low. They depend heavily on networks within their village for obtaining inputs as well as marketing their products and services. They have been active in social and cultural events but are hesitant to join business networks.
The influence of VICOBA microcredits on women empowerment in Korogwe town, Tanzania
Authors: Magali Joseph
Published: September 2022

This study was conducted to assess the influence of Village Community Bank (VICOBA) microcredits on women clients economic, social-cultural, political and legal empowerment in Korogwe town, Tanzania. The study adopted the descriptive and explanatory research designs where 4 among 11 wards were selected for the survey. The study applied the systematic sampling technique to select 128 VICOBA clients for the study. The SPSS and Stata software were used to enter data. The data were analyzed using descriptive and Canonical correlation analysis. The findings indicate that the contribution of microcredits to economic and political empowerment was insignificant. However, the findings show that microcredits influenced positively and significantly both social cultural and legal empowerment. The study recommends that efforts should be executed to promote the microcredits empowerment of women in economic and political contexts.
Geriatric syndromes among patients with rheumatoid arthritis: A comparison between young and elderly patients
Authors: Niksolat Fatemeh , Zandieh Zhale , Roshani Fatemeh , Larijani Samaneh Saghafian , Mirfakhraee Hosna , Bahadori Farzaneh , Niksolat Maryam
Published: September 2022

BACKGROUND: In the general geriatric population, Geriatric syndromes (GSs) predict greater likelihood of hospitalization, increased health care use and cost. The present study aimed to compare GSs among young and elderly patients with rheumatoid arthritis (RA).METHODS: In a cross-sectional study a total of 98 participants, including 65 elderly (≥60 years) and 33 young adult patients (<60 years) with RA who referred to the geriatric and rheumatologic clinic were enrolled. Patients were categorized into three groups (healthy elderly, n=27; elderly with RA, n=38; and young people with RA, n=33). GSs were assessed using mini-mental state exam (MMSE), five-item geriatric depression scale-15 (GDS-15), mini nutritional assessment (MNA), and asking patients about history of falls in the past year. The RA activity in patients was assessed using disease activity for rheumatoid arthritis score-28 (DAS-28) scale, serum ESR (mm/h) level.RESULTS: There was a statistically significant differences in terms of DAS-28 (2.23±1.01 vs. 0.64±0.97, P=0.025) and ESR (28.10±6.64 vs. 23.09±7.65 mm/h, P=0.042) between healthy elderly and RA elderly patients. Elderly patients with RA were significantly more prone to have cognitive impairment (P=0.002), fall (P=0.005), malnutrition (P<0.001), urinary incontinence (P<0.001), and functional disability (P=0.021) compared to healthy elderlies and young RA patients. The results of binary logistic regression revealed that in elderly RA patients, higher DAS-28 score [odds ratio (OR) = 1.96; 95% CI 1.03, 3.84; P=0.041] was an independent risk factors for the GSs.CONCLUSION: The prevalence of some features of GSs were higher in the elderly RA patients than healthy elderly and young RA patients.
Prevalence, antibiotic resistance and virulence of Enterococcus spp. isolated from traditional cheese types
Authors: Jahansepas Ali , Aghazadeh Mohammad , Rezaee Mohammad Ahangarzadeh , Heidarzadeh Siamak , Mardaneh Jalal , Mohammadzadeh Alireza , Pouresmaeil Omid
Published: September 2022

BACKGROUND: Enterococci are naturally found in the gastrointestinal (GI) tract of animals and humans, as well as animal-derived foods and vegetables. We here aimed to determine the prevalence, antibiotic resistance, and virulence determinants of E. faecium and E. faecalis in traditional cheese in the North-west of Iran.MATERIALS AND METHODS: Fifty specimens of popular traditional cheese from dairy stores of Urmia and Tabriz, Iran, were collected. Identification of the genus and species of enterococci was done using molecular and phenotypic techniques.RESULTS: Forty-eight (96 %) of 50 traditional cheese samples were harboring Enterococcus spp, including Enterococcus faecalis (n= 40; 83.33 %) and E. faecium (n= 8; 16.67 %). The prevalence of enterococci ranged from 1.1×105 to 9.7×104 CFU/g, and 1.1×103 to 9.8×103 CFU/g in Urmia and Tabriz samples, respectively. Rifampicin resistance (n= 38; 79.2 %) was the most common pattern observed in the susceptibility test, which was followed by quinupristin/dalfopristin (n= 33; 68.75 %). Among E. faecalis isolates, cpd (100 %), ace (92.5 %) and gelE (87.5 %), and among E. faecium isolates, gelE (100 %) and asa1 (75 %) were found to have the most common virulence genes.CONCLUSION: E. faecalis was the predominant species, displaying more virulence determinants. It also had high antibiotic resistance, as compared to E. faecium. The enterococci identified here commonly expressed virulence and antibiotic resistance determinants. So, it is required to improve the maintenance and production quality of traditional cheese to avoid enterococci contamination.
Predictors of multiple sexual partners among men in Ethiopia: A multilevel analysis
Authors: Liga Abebe Debu , Jabir Yasin Negash , Wobse Belete Adelo , Bacha Reta Habtamu
Published: September 2022

BACKGROUND:Multiple sexual partnerships were one of the public health issues in the spread of high rates of sexually transmitted infections in sub-Saharan regions. An increase in the number of non-marital sexual partners can lead to a loss of satisfaction as well as other mental health repercussions such as greater rates of anxiety, depression, etc. This study examined the predictors of multiple sexual partners among men in Ethiopia.METHODS: This study used 2016 nationally representative data which was conducted using a multistage stratified cluster sampling method. Multilevel binary logistic regression models were employed to estimate the predictors of multiple sexual partners among men in Ethiopia with the assistance of the STATA software.RESULTS: In this study 6778 participants were considered with an overall prevalence rate of multiple sexual partners of 6.5% during the 12 months preceding the survey. The findings showed that older-age, urban-resident, inconsistent use of a condom, exposure to any media, abuse of alcohol, early-time first-sex, and religion were predictors of multiple sexual partners among men in Ethiopia.CONCLUSIONS: The findings revealed that the prevalence rate of men's multiple sexual partners in Ethiopia was very high. Therefore, the country needs to re-examine the behavioral change strategies periodically to adapt to the contextual realities and engage relevant stakeholders. Specifically, health sectors and religious organizations should develop strategies to create awareness in society on the risk of having multiple sexual partnerships. In addition, we highly recommend stakeholders prepare risk reduction interventions that take the significant predictors of multiple sexual partners.
Incorporating concepts of biodiversity into modern aquaculture: macroalgal species richness enhances bioremediation efficiency in a lumpfish hatchery
Authors: Knoop Jessica , Barrento Sara , Lewis Robert , Walter Bettina , Griffin John N.
Published: September 2022

Aquaculture is one of the fastest growing food producing sectors; however, intensive farming techniques of finfish have raised environmental concerns, especially through the release of excessive nutrients into surrounding waters. Biodiversity has been widely shown to enhance ecosystem functions and services, but there has been limited testing or application of this key ecological relationship in aquaculture. This study tested the applicability of the biodiversity-function relationship to integrated multi-trophic aquaculture (IMTA), asking whether species richness can enhance the efficiency of macroalgal bioremediation of wastewater from finfish aquaculture. Five macroalgal species (Chondrus crispus, Fucus serratus, Palmaria palmata, Porphyra dioica, and Ulva sp.) were cultivated in mono- and polyculture in water originating from a lumpfish (Cyclopterus lumpus) hatchery. Total seaweed biomass production, specific growth rates (SGR), and the removal of ammonium (NH4 +), total oxidised nitrogen (TON), and phosphate (PO4 3-) from the wastewater were measured. Species richness increased total seaweed biomass production by 11% above the average component monoculture, driven by an increase in up to 5% in SGR of fast-growing macroalgal species in polycultures. Macroalgal species richness further enhanced ammonium uptake by 25%, and TON uptake by nearly 10%. Phosphate uptake was not improved by increased species richness. The increased uptake of NH4 + and TON with increased macroalgal species richness suggests the complementary use of different nitrogen forms (NH4 + vs. TON) in macroalgal polycultures. The results demonstrate enhanced bioremediation efficiency by increased macroalgal species richness and show the potential of integrating biodiversity- function research to improve aquaculture sustainability.
Seaweed ethnobotany of eastern Sorsogon, Philippines
Authors: Dumilag Richard V. , Belgica Teresa Haide R. , Mendoza Lynn C. , Hibay Janet M. , Arevalo Abel E. , Malto Mark Ariel D. , Orgela Elden G. , Longavela Mabille R. , Corral Laurence Elmer H. , Olipany Ruby D. , Ruiz Caesar Franz C. , Mintu Cynthia B. , Laza Benilda O. , Pablo Mae H. San , Bailon Jinky D. , Berdin Leny D. , Calaminos Franklin P. , Gregory Sheryll A. , Omoto Annie T. , Chua Vivien L. , Liao Lawrence M.
Published: September 2022

Knowledge on the seaweeds of eastern Sorsogon in the Philippines is uneven. Not only is eastern Sorsogon among the areas of high seaweed diversity but locals there have interacted with seaweeds for ages. Despite seaweeds’ assumed importance to Sorsoganon, ethnobotanical records are missing. In this study, we documented the traditional knowledge on seaweed use and determined the rate of knowledge transmission among the locals of eastern Sorsogon. Vernacular names and modes of preparation were given of the 12 identified species bearing culinary and medicinal importance. Ten species were eaten while three were used therapeutically. Based on ethnobotanical indices, Caulerpa chemnitzia ecad turbinata and Gelidiella acerosa were the most important seaweeds. The least cited was Caulerpa racemosa. Our study demonstrated that most of the seaweed resources in eastern Sorsogon remain largely untapped, as the identified ethnotaxa were only about 5% of the total seaweed species diversity reported for the area. The seaweed knowledge in eastern Sorsogon appeared to be homogenous across age groups with primary sources of knowledge biased towards female relatives (mothers and grandmothers) and to children as inheritors. Cessation of seaweed knowledge may come at a potential cost, as a significant fraction of the population did not transmit their knowledge to others. Our study furthered the interest in providing sophisticated resource management recommendations that consider the relationships of traditional and scientific knowledge of seaweed selection and use in eastern Sorsogon and beyond.
1970’lerin Plüralist Karakteri Bağlamında Yeni İmge Ressamları
Authors: DEMİRCAN Havva
Published: September 2022

Bu makale, 1970’li yılların plüralist ortamında var olan Yeni İmge Ressamları’nın eserlerindeki dönemine göre yeni etkileri postmodernizm bağlamında ele almaktadır. Bu sanatçılar, 1978 yılında açtıkları sergi ile gündeme gelmişlerdir. Makalede, bir nevi geçiş döneminde yer alan sanatçıların, modernden tam olarak kopamayan ama postmodernden de izler taşıyan yönlerinin eserlerine yansımaları incelenmektedir. 60’lardan itibaren sanatta kavramsal temelli yaklaşımlar artmış, figüratif resmin ve anlatının küçümsenmesiyle birlikte sanatın sergilenebilen, alınıp satılabilen meta olma özelliği de sekteye uğramıştır. 70’lerle birlikte bu durum değişmeye başlamış ve özellikle 80’lerin gelişiyle figüratif resim ve anlatı geri dönmüştür. 70’lerin karakteri plüralizmdir. Birçok yazar ve düşünür dönemin bu çoğulcu-plüralist yapısını ‘postmodern’ olarak tanımlamışlardır. Çalışmalarında figüre, gerçekçilikten çok soyutlamacı, indirgemeci bir anlayışla yaklaşan, karikatür estetiğini yadsımayan bu sanatçılar; ‘yeni’ye yaklaşımdaki farklılıkları, sanatta ‘kötü’yü aşağı bir form görmemeleri ve ‘başarıyla tamamlanmış eser’ fikrinden uzaklaşmaya başlamalarıyla 70’lerden 80’lere geçişteki zemin kaymalarını da işaret etmişlerdir. Yeni imajcıların bir yandan da ‘usta sanatçı’, ‘deha’ anlatısının tükenişini haber verdikleri söylenebilir.
Hydropower and climate change concerning to the implementation of the First National Determined Contribution in Ecuador
Authors: Naranjo-Silva Sebastian , Quimbita-Chiluisa Omar Rolando
Published: September 2022

Global warming threatens the world's water supplies, posing a significant threat to hydropower generation, however the continuing increase in energy demand due to world population growth and socio-economic development requires this renewable source. The manuscript aims to analyze the future tendency of climate change in hydropower development in five emblematic plants (Coca Codo Sinclair, Manduriacu, Minas San Francisco, Toachi Pilatón, and Delsintagua) concerning the implementation of National Determined Contribution. The article's methodology is exploratory with information on hydropower development in Ecuador since 20 projects are already working, and it presents two qualitative and quantitative approaches. To project the scenarios, we use data according to the Intergovernmental Panel on Climate Change related to three evolution lines A1, B1, and B2. The results show that climate change constitutes one of the most significant challenges in Ecuador faces in meeting the National Determined Contribution because hydropower energy has an inefficiency of 15.8% in the last 20 years. The scenarios show a reduction A1 up to 1909 MW to 2050, in the medium scenario B1 to 2041 MW, and in the conservative scenario B2 to 2132 MW from the total capacity for the emblematic hydropower projects thinker in 2275 MW initially.
ARBITRAŽA ZA INDIVIDUALNE RADNE SPOROVE
Authors:   Ministry of the Interior RS, Vidojević Boban
Published: September 2022

The primary aim of this paper is to point out a number of advantages of out-of-court settlement of labor disputes over litigation, and above all arbitration, characterized by a meritorious, swift and compromise settlement of labor disputes. Reconciling the interests of the social partners is a starting point in developing this way of resolving labor disputes. The parties resolve the dispute with the assistance of a neutral subject (arbitrator), an expert in the field of labor law, who meets all the statutory criteria, which contributes, among other things, to the prompt and fair resolution of this type of dispute.Arbitration is considered to be an informal "civilized method" that enables social justice to be achieved as it leads to the settlement of disputes for the benefit of both parties. Efficiency, party autonomy, economy, voluntariness, informality and gratuity are just some of the advantages of this method.The paper analyzes the relevant legal sources of the Republic of Serbia, trying to answer why arbitration for individual labor disputes is the most adequate peaceful method of resolving labor disputes, what are its advantages over litigation and the application of pressure methods (strike, lock-out), and what are the disadvantages of comparative solutions.
KUĆNI ZATVOR U SVETLU NAJNOVIJIH IZMENA I DOPUNA ZAKONA O IZVRŠENjU KRIVIČNIH SANKCIJA
Authors:   University of Kragujevac, Faculty of Law, Petrašinović Stefan
Published: September 2022

Art. 3 of the Law on amendments to the Law on Execution of Criminal Sanctions, a new Art. 41a. entitled “Procedure for petition to execute imprisonment in the premises of the convicted person”. This amendment to the Law on Execution of Criminal Sanctions (which is both substantive and procedural in nature) gives the possibility and hope to a large of sentenced persons to imprisonment for up to one year, by their request, by the time they enter the sentence, re-examines the conviction and possibly changes the manner in which the prison sentence is served in one of the penitentiary institutions by executing it in the premises where the convicted person resides (“house arrest”). In this paper, the author will point out the legitimacy and compliance of this novelty with the basic principles of criminal law, the relationship with the certain provisions of the Criminal Code and the Code of Criminal Procedure, the intention of the legislator in its introduction, as well as its nature.
PENGENDALIAN ANTIBIOTIK BERDASAR METODE KONSUMSI ABC DENGAN PENERAPAN MINIMUM-MAXIMUM STOCK LEVEL TERHADAP EFISIENSI PERSEDIAAN FARMASI RUMAH SAKIT
Authors: Pranata Yudha , Banun Agusdini , Hilmy Mohamad Reza
Published: September 2022

Perencanaan dan pengendalian  persediaan obat yang tidak efisien selain dapat menyebabkan kekurangan atau kelebihan stok, juga dapat menyebabkan inefisien dalam biaya operasional rumah sakit. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan metode Minimum-Maximum Stock Level (MMSL) pada efisiensi dan efektifitas persediaan obat di Instalasi Farmasi RSU. Sentra Medika Sanggau. Sampel kelompok obat antibiotik golongan A dari metode konsumsi ABC sebanyak 22 jenis obat diambil secara purposive dari data retrospektif bulan Januari - Juni 2021, dan dilakukan penerapan metode MMSL secara prospektif pada  bulan Oktober - Desember 2021.

Dilakukan analisa data nilai persediaan, month-stock, serta ITOR (Inventory Turn Over Ratio) sebelum dan sesudah penerapan metode MMSL menggunakan uji statistik Wilcoxon Signed Rank Test.

Hasil uji statistik menunjukkan pengaruh penerapan metode MMSL terhadap rasio month-stock kelompok antibiotik sebelum intervensi sebesar 2,87  dan sesudah intervensi 2,03 dengan nilai p = 0,021  (p<0,05).   Sedangkan nilai ITOR sebelum intervensi 13,73 kali/tahun dan sesudah intervensi 19,16 kali/tahun dengan nilai p = 0,006 (p<0,05). Meskipun tidak menunjukkan perbedaan yang bermakna pada nilai persediaan kelompok antibiotik antara sebelum intervensi (Rp. 62.497.441,)-  dan sesudah intervensi (Rp. 54.072.358,-), dengan nilai p = 0,236  (p>0,05), namun menunjukkan efisensi sebesar 13,48%.

Penerapan metode MMSL memberikan dampak positif terhadap meningkatnya efisiensi pengendalian obat di Rumah Sakit dengan menurunnya nilai persediaan dan rasio month-stock, serta meningkatkan  ITOR.
Fetal Anomali Nedeniyle Gebelik Sonlandırılması Sorunları
Authors: DÖLEN İsmail
Published: September 2022

Pek çok ülkede kadınların gebeliği sonlandırma talepleri yasalar çerçevesinde mümkün olmaktadır. Genelde fetüsün doğduğunda yaşayabilir (viable) olmasına kadar bu talep karşılanır. Birkaç ülkede ise viabilite sınırı sonrasında da rahim tahliyesi yasal olarak mümkündür. Yaşamla bağdaşan fetüs hastalık ve sakatlıkları nedeniyle rahim tahliyesi yapılması etik ve yasal olarak tartışılmaya devam etmektedir. İngiltere ve ülkemizde yapılan rahim tahliyesinin dayandığı mevzuat ve uygulama karşılaştırılıp karşılaşılan tıbbi ve diğer sorunlar değerlendirilecektir.
Long–Term Results of Pylorus–Preserving Duodenoplasty in the Surgical Treatment of Perforated Duodenal Ulcers
Authors:   DSc, Professor, Andijan State Medical Institute, A.K. Botirov
Published: September 2022

The authors analyzed the results of surgical treatment of 479 patients with pyloroduodenal ulcer (PDU). Of these, 381 (79.5%) made up the main group (who underwent excision of the PDU with pylorus–preserving duodenoplasty), and 98 (20.5%) – the comparison group, i.e. control (underwent excision of PDU with pylorus–destroying pyloroduodenoplasty). In the long term after the operations performed, 310 patients were studied after excision of the PDU with pylorus–sparing PD and 82 after PDP with destruction of the integrity of the pylorus sphincter. As a result of optimization of surgical tactics and widespread use of techniques and techniques for excision of PDU with pylorus–sparing DP, excellent and good results in the main group were found in 87.7% of patients (in the control group – 64.4%). Satisfactory results in 12 (3.9%) and 9 (11.0%) patients, respectively. At the same time, unsatisfactory results decreased by 7.1% (in the control group – in 11.0%, in the study group – in 3.9%). Thus, the authors, through the widespread use of techniques and techniques for excision of PDU with pylorus–sparing PD with optimization of surgical tactics, have improved the long–term results of surgical treatment in this pathology.
PELATIHAN PEMBUATAN MAKANAN TAMBAHAN IBU HAMIL KEK BERBASIS PANGAN LOKAL SINGKONG DI PUSKESMAS PARUNG PANJANG, KABUPATEN BOGOR
Authors: Harna Harna , Rahmawati Rahmawati , Hosizah Hosizah
Published: September 2022

: KEK merupakan salah satu masalah kurang gizi yang disebabkan oleh asupan gizi yang tidak seimbang sehingga menyebabkan kekurangan energi dalam waktu yang cukup lama. Tujuan kegiatan pengabdian masyarakat ini yaitu meningkatkan daya guna pangan lokal singkong sebagai pangan lokal sebagai alternatif makanan tambahan bagi ibu hamil yang mengalami KEK. Kegiatan ini dilaksanakan di wilayah kerja Puskesmas Parung Panjang, dihadiri 26 peserta terdiri dari bidan dan kader. Metode yang digunakan yaitu metode ceramah, diskusi dan melatih bidan dan kader dalam membuat PMT Cookies untuk ibu hamil yang mengalami KEK. Berdasarkan hasil pengetahuan sebelum dan setelah diberikan pelatihan terdapat peningkatan yang signifikan (p<0.05), dengan rata-rata skor diawal yaitu 38 menjadi 98. Selama kegiatan berlangsung peseta terlihat sangat antusias mengikuti kegiatan ini, yang dibuktikan dengan peserta sangat aktif pada sesi diskusi. Pengetahuan yang meningkat akan mendukung peningkatan keterampilan peserta dalam membuat PMT, keterampilan peserta dalam membuat PMT cookies sudah sangat baik.
ASSISTÊNCIA DE ENFERMAGEM AO PORTADOR DE DOENÇA CRÔNICA – AÇÕES/ESTRATÉGIAS PARA IMPLANTAÇÃO DE UNIDADE DE CUIDADOS PROLONGADOS
Authors: Tavares Marilei de Melo , Costa Gabriele de Carvalho , Pereira Junior Rubens Silva , Teles Victória Ribeiro , Pinheiro Paulo Ricardo dos Santos , Oliveira Marcelo Sttrazzeri , França Brenda da Silva , Rabelo Taís Souza
Published: September 2022

A crescente expectativa de vida em consequência do envelhecimento da população aponta para o aparecimento de doenças crônico-degenerativas, o que tem demandado assistência de enfermagem a pacientes com necessidades de cuidados prolongados. O estudo parte da falta de um modelo de assistência aos pacientes que necessitam de cuidados prolongados. Objetiva-se: identificar benefícios da uma unidade de cuidados prolongados e evidenciar estratégias/ações importantes para implantação de Unidade de Cuidados Prolongados. Trata-se de uma pesquisa tipo exploratória com abordagem qualitativa, tendo por cenário um Hospital Universitário, localizado na região Sul Fluminense, RJ, Brasil. Foram participantes do estudo 20 acompanhantes/famílias de pacientes submetidos à internação devido ao agravo da doença crônica. Com utilização de entrevista com questões relacionadas ao tema. Os resultados apontaram que a família tem um papel fundamental no processo saúde-doença, deve ser ouvida, reconhecida e estimulada a participar em todo o processo, desde o cuidar à reabilitação. Portanto, a família compreende que uma Unidade de Cuidados Prolongados poderá auxiliar aos seus membros a desempenharem novos papéis tão importantes para o paciente. Em síntese, os cuidados prolongados são vistos com uma estratégia de cuidado intermediária entre os cuidados hospitalares e a Unidade Básica de Saúde, incluindo a atenção domiciliar.
Industrial Revolution 4.0 (IR4.0) Readiness Among Industry Players: A Systematic Literature Review
Authors: Saleh Nurul Izzati , Ijab Mohamad Taha
Published: September 2022

The service sector is a key focus of the Fourth Industrial Revolution (IR4.0), a digital revolution that affects all industries. A key component of IR4.0 is the introduction and uptake of new technologies by organizations, including artificial intelligence (AI), big data analytics, the Internet of Things (IoT), cloud computing, augmented reality, simulation, cybersecurity, systems integration, additive manufacturing, and robotics and autonomous systems. According to research, 59% of businesses with expertise in big data and IoT also employ AI technologies. Through the development, adoption, and integration of technology solutions into the workforce and industries, industry participants’ readiness and their use of these technologies will be able to increase productivity growth. According to a survey of the literature, Malaysia in particular still has a low to medium degree of industry readiness for IR4.0. The purpose of this paper is to conduct a systematic literature review in order to comprehend the IR4.0 readiness models that have been discussed in the literature, the driving and impeding forces behind IR4.0 readiness, and the use of self-evaluation tools by industry participants to gauge their own IR4.0 readiness level. Six prominent internet databases, including Scopus, Emerald Insight, IEEE, Springer, Web of Science, and Science Direct, were used in the review. Finally, 55 out of the initially searched 10,428 articles were selected based on the inclusion and exclusion criteria set for the study after rigorous methods of screening the papers. According to the research, readiness models are frequently addressed and framed around a variety of theories and their theoretical constructs, including success models, information systems, acceptance theory, and pertinent maturity and readiness theories. The following factors frequently play a dual role, acting as both a driving and an inhibiting influence. These factors include funding, infrastructure, regulatory, skills and competency, technology, and commitment. This study suggests the IR4.0 Readiness and Implementation Framework for industry based on the synthesized literature. The framework seeks to help industry participants deploy IR4.0 in stages and gradually increase their IR4.0 readiness levels.
O Estado de Bem Estar Social finlandês e seu modelo educacional
Authors: Bello Andrea , Brandão André Augusto Pereira
Published: September 2022

O Objetivo deste artigo é apresentar uma breve análise da historiografia das experiências pioneiras do percurso do Estado de Bem Estar Social, como fenômeno político do século XX, e do sistema educacional finlandês, case mundial no campo da educação. Nossa metodologia apoia-se em pesquisa qualitativa de cunho bibliográfico, recorrendo à literatura do campo da política social, notadamente à tese sobre a emergência e desenvolvimento do welfare state, apresentadas pela tipologia proposta por Gøsta Esping-Andersen (1991,1999), e documentos produzidos por organismos multilaterais e do governo da Finlândia. Primeiro, apresentamos uma análise da nossa base teórica e sua relação com o Estado de Bem Estar Social e o modelo educacional finlandês. Em seguida, os resultados alcançados por aquele país a partir do momento em que situa a educação como estratégia de desenvolvimento elegendo-a como uma das principais políticas sociais para a redução da “herança da pobreza” sobre o desenvolvimento das crianças e jovens, desde as famílias. Afirmamos que a construção do modelo educacional da Finlândia não é obra de fatores isolados ou de missões pessoais de políticos, mas que está relacionada à emergência e ao desenvolvimento do seu Estado de Bem Estar Social e é resultado do conjunto de fatores históricos, culturais, sociais, políticos e econômicos que se conformaram em um novo pacto social. Finalmente, concluímos que é razoável afirmar que tentar reproduzir tal modelo em outros países e nações que não possuam políticas sociais tais como as que existem na Finlândia pode significar assumir um desafio com grandes chances de insucesso.
Constitucionalismo e administração pública digitais: inovação tecnológica e políticas públicas para o desenvolvimento no Brasil
Authors: Sousa Thanderson Pereira de , Cristóvam José Sérgio da Silva , Machado Raquel Cavalcanti Ramos
Published: September 2022

No cenário da revolução tecnológica e de constantes inovações, a investigação tem na condição de objetivo o delineamento da noção de constitucionalismo digital, Administração Pública digital e incentivos normativos de inovação, bem como, igualmente, aborda os desafios da digitalização para políticas públicas de desenvolvimento democrático e sustentável. Constitui problema de pesquisa a necessidade de uma noção consentânea do constitucionalismo digital, seus impactos na Administração Pública federal e as empreitadas que surgem de políticas específicas para transformação dos direitos sociais e serviços públicos no Brasil. Metodologicamente, emprega-se abordagem dedutiva, com técnicas de pesquisa bibliográfica e documental. Conclui-se que o constitucionalismo digital é corrente a tratar da aplicação de normas constitucionais tuteladoras de direitos fundamentais, inclusive acerca da garantia e acesso de direitos por mediação digital. Consequentemente, o constitucionalismo digital reverbera na Administração Pública federal, havendo incentivos de inovação pela eficiência, boa administração e adequação. Há, também, no plano infraconstitucional, inúmeros incentivos que afetam a atuação administrativa. Por último, configura-se como desafio da Administração federal a conformação do Governo Digital, que demanda políticas públicas e diálogo adequado para promoção do acesso à internet e dispositivos tecnológicos universais, inclusivos e igualitários – evitando a distinção entre cidadãos que estejam ou não conectados/digitalizados e garantindo àqueles que têm o maior acesso aos serviços públicos.
Intrauterine left ovarian torsion located in the right abdominal quadrant: Case report
Authors: NARSAT Mehmet Ali , YILDIZ Eren , BİÇER Gülşah , DURAK Özlem , YILMAZ Ayşe
Published: September 2022

In this article, we will share our case of intrauterine left ovarian torsion located entirely in the right half of the abdomen and its features. She was admitted to the pediatric surgery outpatient clinic due to an intra-abdominal mass lesion. In her history, it was learned that she had a known and unclear diagnosis of an intrauterine mass for seven months. Abdominal magnetic resonance imaging was performed for the cross-sectional evaluation of the lesion. In the right lower quadrant of the abdomen, 35x30 millimeter septated T1 hypointense T2 hyperintense nodular lesion without contrast enhancement and a collection of fluid around the lesion were seen, extending posterior to the cecum and inferiorly to the right adnexal region in the right lower quadrant of the abdomen. The mass was excised by performing salpingoopherectomy. Today, more intrauterine problems can be detected thanks to pregnancy follow-ups and fetal imaging, and intrauterine torsion is one of the fetal pathologies that should be considered. Although the common approach is excision, we think that with the development of early postnatal or fetal surgery opportunities in the future, it will be possible to treat these lesions without causing organ loss.
Closure of a pseudo aneurysm developed after trauma in the brachial artery with endovascular stent graft: A case report
Authors: TAMTEKİN Burak , ERSOY Güler Gülsen , DAL İsmail
Published: September 2022

Aneurysm is defined as 50% enlargement of the normal diameter of the artery. The most common cause of true aneurysms is atherosclerosis. Pseudoaneurysms, on the other hand, occur as a result of the blood leaking from the tear in the arterial wall forming a thrombus formation and surrounding it with a fibrous capsule. In pseudoaneurysms, blood pools in a closed area. However, they may enlarge and rupture in the late period. Treatment options are thrombin injection, endovascular graft implantation, surgical ligation, and arterial bypass. In this case report, we present a patient with a stab wound to the axilla. Two years after the injury, a pseudoaneurysm developed in the left brachial artery. The pseudoaneurysm was treated with endovascular stent graft
Localization of rib fractures following blunt thorax trauma and investigating the relationship between these and traumatic hemopneumothorax
Authors: AKBOĞA Süleyman Anıl , AKKAŞ Yücel
Published: September 2022

Background: Thorax traumas form 20-25% of deaths resulting from trauma. In the young population, the most common reason for death resulting from trauma is thorax trauma. The investigation of blunt thorax trauma reveals that the most common reason in the young population is 'in-vehicle motor traffic accidents (IVMTA), while falls take the 1st place in the geriatric population. The relationship between the localization of rib fractures developing due to blunt thorax trauma and the resultant hemothorax, pneumothorax, or hemopneumothorax investigated, and results compared.
Material and Method: Between the dates November 2018 and November 2019, thoracic computerized tomography views of a total of 81 patients who applied with blunt thorax trauma and rib fractures evaluated retrospectively. Rib fractures were divided into three as upper, middle and lower thoracic segments according to their localization.
Results: The most common localization for rib fracture was the middle thoracic segment with 57 (70.3%) patients. The mean hospitalization period was 5.4 (range: 1-24) days. Additional pathological findings were hemothorax, pneumothorax, and hemopneumothorax in 20 (24.7%), 16 (19.8%), and 5 (6.2%) patients, respectively. Among thoracic segments where rib fractures encountered, the upper thoracic segment most commonly led to hemothorax and pneumothorax with 11 (32.3%) and 8 (23.5%) patients, respectively.
Conclusion: The most common localization of rib fractures following blunt thorax trauma is the upper and middle thoracic segment. In the upper thoracic segment, emergency thorax surgery complications like hemothorax/pneumothorax follow posttraumatic rib fractures in the earlier term and are more common when compared to other segments. The segmental localization of rib fractures developing due to blunt thorax trauma is essential in terms of morbidities, and the decision of invasive or conservative treatment depends on this information.
Lung and cardiac ultrasonography in intensive care
Authors: DOĞANAY Zahide , YILMAZ Ayşe , SOYLU Veysel Garani
Published: September 2022

Ultrasonography is an imaging tool that is increasingly used in the diagnosis and follow-up of many lung and heart diseases. Full lung ultrasonography is the examination of both hemithorax and protocols and image definitions have been created to make the examination more systematic and accurate. Cardiac ultrasonography is used to evaluate a moving organ. It requires users to be able to detect and interpret dynamic and variable values. Another feature of ultrasonography is its ability to guide interventional procedures. Ultrasonography will develop in the future and will be used more as a modern diagnostic tool in lung and heart evaluation by specialists.
Zanubrutinib (Brukinsa)
Authors: CADTH
Published: September 2022

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses zanubrutinib (Brukinsa) 80 mg capsules; oral.

Indication: For the treatment of adult patients with mantle cell lymphoma who have received at least 1 prior therapy.
IMAGE CAPTIONING
Authors:   Department of Computer Science and Engineering, Sri Ramakrishna Engineering College, Coimbatore, Tamil Nadu, India, NIVEDA R , PAVITHRA S , RIDDHI D , SAHAYA BRIGHTY S. PRINCE
Published: September 2022

Image captioning using artificial intelligence is a growing trend. This is formally known as automatic image annotation- a process by which a computer system will generate an automatic textual description to a corresponding image by making use of NLP (Natural Language Processing) and Computer Vision. In today’s day and age where visual data is abundant, Image Captioning plays a significant role in various applications and in recent years, it has gained a lot of study attention in the field of cognitive computing. This research paper contains the analysis and comparison of a few common and efficient image caption generation methods.
SMART HOME MONITORING SYSTEM USING ESP32 AND IOT
Authors:   Department of EEE, GATES Institute of Technology, Gooty, Anantapur, Andhra Pradesh, India, Rahiman M. Abdul , Manohar D.
Published: September 2022

In the today’s world the security of the home is the prime concern. The traditional methods of securing our home are very easy to break and lead to theft. To protect the home, we need to install the costly security system. To overcome this problem, we are presenting IoT based solution where we can setup a smart home security system.This chapter covers the installation of our own home security monitoring system. The system is built with Internet of Things modules and an ESP32 microcontroller. The system`s design, hardware components, system integration, security solutions, communication, data collection and monitoring, and cost quantification for the system`s production and deployment are all covered in this chapter. The suggested system safeguards a home by detecting an intruder, activating an alarm, documenting the event with camera photos, and transferring the information to the owner`s smart phone.
STUDY ON CLOUD COMPUTING SERVICES IN THE MODERN WORLD
Authors:   Department of Computer Application, The Bhopal School of Social Science , Bhopal, Madhya Pradesh , India, Emeliya Vineet Kumar , George Jean
Published: September 2022

Cloud computing is playing a vital role in giving their services to the customers on demand and paying only for the service they are using over the internet .cloud computing provides the infrastructure, tools ,applications etc to the customer according to their requirement. In this paper, we study about different type of services offered by cloud service provider. We will discuss about the ranking method in order to choose the best cloud service provider. Application of the cloud computing is also discussed in this paper such as cloud computing in E-learning and healthcare. We believe that in the way cloud is making every business to run smoothly without the installation of infrastructure on premises, it is also very important to know about its advantages and disadvantages and to select them accordingly.
DIGITAL SOBRIETY: SOLUTION FOR DIGITAL POLLUTION ANDA TOOL FOR PROMOTING ENVIRONMENTAL SUSTAINABILITY
Authors:   The Bhopal School of Social Sciences BSSS, Bhopal, M.P., India, Yadav Seema
Published: September 2022

The recent global changes in the environment around us imply that the physical and digital worlds are becoming increasingly impacting. Digital technologies are progressively influencing industrial, agricultural, scientific, medical, educational, and other operations, as more and more aspects of daily life shift online. The application of environmental digital technologies in the context of global and national environmental monitoring, improving the safety of industrial firm operations, and enhancing environmental sustainability is a pressing necessity on the planet. Digital sobriety can be a solution for reducing digital pollution by requiring all digital players, whether customers, industry professionals, or public actors, to adjust their behaviour in order to assure the development of a sober, responsible, and ecologically ethical digital industry.
Updated spectral radiance calibration on TIR bands for TANSO-FTS-2 onboard GOSAT-2
Authors: Suto Hiroshi , Kataoka Fumie , Knuteson Robert O. , Shiomi Kei , Kikuchi Nobuhiro , Kuze Akihiko
Published: September 2022

Abstract. The Thermal and Near-Infrared Sensor for Carbon Observation Fourier-Transform Spectrometer-2 (TANSO-FTS-2) onboard the
Japanese Greenhouse Gases Observing SATellite-2 (GOSAT-2) observes a wide
spectral region of the atmosphere, from the ShortWave-InfraRed (SWIR) to the
longwave Thermal InfraRed radiation (TIR) with 0.2 cm−1 spectral
sampling, and the corresponding spectral resolution (full width at half
maximum, FWHM) of TIR region is less than 0.27 cm−1. TANSO-FTS-2 has
operated nominally since February 2019, and the atmospheric radiance spectra it
has acquired have been released to the public. This paper describes an
updated model for spectral radiance calibration and its validation. The
model applies to the version v210210 TIR products of TANSO-FTS-2 and
integrates polarization sensitivity correction for the internal optics and
the pointing mirror thermal emission. These correction parameters are
characterized by an optimization that depends on the difference between the
spectral radiance of TANSO-FTS-2 and coincident nadir observation data from
the Infrared Atmospheric Sounding Interferometer (IASI) on METOP-B. To
validate the updated spectral radiance product against other satellite
products, temporally and spatially coincident observation points were
considered for the simultaneous nadir overpass (SNO) from February 2019 to March 2021 from the Atmospheric Infrared Sounder (AIRS) on Aqua, IASI on METOP-B, and TANSO-FTS on GOSAT. The agreement of brightness temperatures between TANSO-FTS-2 and AIRS and IASI was better than 0.3 K (1σ) from 180 to 330 K for the 680 cm−1 CO2 spectral range. The brightness temperatures between TANSO-FTS-2 and TANSO-FTS of version v230231, which implemented a new polarization reflectivity of the pointing mirror and was released in June 2021, generally agree from 220 to 320 K. However, there is a discrepancy at lower brightness temperatures, pronounced for CO2 spectral ranges at high latitudes. To characterize the spectral radiance bias for along-track and cross-track angles, a 2-orthogonal simultaneous off-nadir overpass (2O-SONO) is now done for TANSO-FTS-2 and IASI, TANSO-FTS-2 and AIRS, and TANSO-FTS-2 and TANSO-FTS. The 2O-SONO comparison results indicate that the TIR product for TANSO-FTS-2 has a bias that exceeds 0.5 K in the CO2 spectral range for scenes with forward and backward viewing angles greater than 20∘. These multi-satellite sensor and multi-angle comparison results suggest that the calibration of spectral radiance for TANSO-FTS-2 TIR, version v210210, is superior to that of the previous version in its consistency of multi-satellite sensor data. In addition, the paper identifies the remaining challenging issues in current TIR products.