bluuebunny/crossref_metadata_2025 huggingface dataset:
Theologizing “Teing Hang” Ceremony In The Culture of Manggarai, Indonesia
Authors: Pasi Gregorius
Published: July 2021

The Teing Hang ceremony, which is practised by the Manggarai people in East Nusa Tenggara, Indonesia, celebrates local wisdom regarding the relationality of the Manggarai people with the Highest Being, with one’s fellow beings who are still living and with the relatives who have died. The methodology is what I call “critical reading” of the dialectical model, which has been proposed by Stefan Bevans and Daniel Pilario. By using the critical reading method of the teing hang ceremony data (collected through interviews and reviews of related studies), I found that the local wisdom of Manggarai can explain and illuminate the content of the Catholic faith with regard to the communion of saints in three ways. First, the communion of saints is a participation in God's providence. Second, the communion of saints is a participation in the lives of one’s fellow beings. Third, the communion of saints is an intersubjectivity relationship between those who believe in Christ and are indwelt by His Spirit.
Jesus - His Transforming Effect
Authors: Bharathi Paul
Published: July 2021

Transformation of an individual and the society at large is the sole objective of Jesus’ message to his disciples, and in turn, his disciples too preached on the same theme to the believers of Jesus. The first part of the presentation highlights interpreting and understanding Jesus basing on the gospels. The gospels help us to understand Jesus in our own situation and give meaning to our life. As a result, transforming oneself is the most important and meaningful message we learn from the gospels for our life. The second part of the presentation shows how he plays a transformative role in his disciples' lives, and it also gives us an invitation to transform ourselves in our present life. But when we analyze the reality, the believers/disciples are not transformed, rather they remain the same, and their life does not correspond to the teachings of Jesus. They are more preoccupied with observing the rituals and rubrics than following the teachings of Christ in their lives. The third part of the presentation suggests three corrective measures to be taken by every disciple of Jesus, enabling us to transform ourselves and thus live a meaningful life.
Reducing the Acrylamide Concentration in the Potato Chips Product by Using Sea Salt, Green Pepper and Thyme
Authors: Almaaly Raafat A. Abu - , Al-Musawi Adil T.
Published: July 2021

The study was conducted to show the effect of adding different percentages of Sea Salt solution and aqueous extracts of green pepper and thyme individually or in combination, it reduces the Acrylamide content in the potato chips product when exposed to high temperatures during processing, potato slices were treated by soaking before frying with C1 (0.1, 0.2, 0.3) % Sea Salt solution and the aqueous extract of Green Pepper C2 and thyme C3 in proportions (1, 2,3)% and a mixture of the three additives C4, the treatment C was left to be the control, High performance liquid chromatography technology (HPLC) was used to estimate the concentration of acrylamide in the treatments, sensory evaluation to the parameters of taste, color, odor, texture and general acceptance was conducted, the results showed a clear decrease in the acrylamide concentration in the potato chips treatments by increasing the concentration of the additives, C4 treatment with the synergistic action of Sea Salt, thyme and Green Pepper outperformed all other treatments in decreasing the acrylamide concentration, The results were descending C4 > C2- 3% C3- 3% > C1- 3% amounting to 0.013, 0.024, 0.034 and 0.084, respectively, compared to the control treatment 0.522, the results of sensory evaluation recorded the highest degree of receptivity to the treatments by increasing the percentage of additives, and the results were descending C4 > C3> C2 compared to the control treatment.
Deteksi COVID-19 Berdasarkan Hasil Rontgen Dada (Chest Xray) Menggunakan Python
Authors: Pratama Pebri Andhi Herry , Teguh Rony , Sahay Abertun Sagit , Wilentine Valencia
Published: July 2021

Chest X-ray have an important function in the three areas of healthcare, namely diagnosis, treatment and re-examination. Studies from China suggest Chest Radiographs (X-Ray) and Chest Computed Comography (CT) scans can help diagnose COVID-19. Therefore, chest x-rays (x-rays) and chest computed tomography (CT) are appropriate methods for lung infections due to COVID-19. Based on this, the authors tried to make a model for the classification of digital images of Chest X-Ray results with the labels of Normal, Pneumonia, Tuberculosis (TBC), and COVID-19. Through the resulting model, the best model to use will be compared.

The method used to create this model is through training and testing the dataset using the Convolutional Neural Network (CNN) architectural model, namely VGG19, ResNet50, and InceptionV3. The number of images used is 1,000 Chest X-Ray images. The dataset is divided into training and validation datasets in several ratios of 20% : 80%, 50%: 50%, and 80%: 20%. While testing uses 10% from train datset chest x-ray images as a confusion matrix dataset and 4 chest x-ray images as a prediction dataset.

From the results of the research that has been done, the best model is VGG19 at 41 of 61 epoch and a ratio of 20% : 80%. Where the VGG19 model produces 94.44% for accuracy and 0,1084 loss value for training. Whereas at the testing stage with a configuration matrix, 95% accuracy value was obtained. Then for testing the new data prediction produces the best accuracy with 98.97% accuracy for the Normal label, 99.16% for COVID-19, 99.56% for Pneumonia, and 99.79% for Tuberculosis (TBC).
Selection of processing parameters for solving the 3D inverse problem of gravity exploration by the discrete Fourier transform method in GIS INTEGRO
Authors: Pimanova Nadezhda , Spiridonov Viktor
Published: July 2021

In GIS INTEGRO, a program using the discrete Fourier transform is created to solve the 3D inverse problem of gravimetry. The result of its work is a 3D distribution of the effective density. The program allows to use an extended parametrization of the form: fα,β(r,x) = f(r,zα)|z|–β. By changing the parameters α — "depth multiplier" — and β — "exponent at z"— one can obtain various equivalent distributions of effective densities and choose the most appropriate one based on a priori information. The experience of solving the 3D inverse problem by this method with different set values of these parameters allowed us to recommend the optimal values. As a criterion for choosing a solution from a variety of possible solutions, it is proposed to use a comparison of them with the data of seismic studies of the DDS and the CCP.
Study on Comparative Analysis of Polymerization of Pyrrole Using Electrochemical Method and UV Photo Irradiation
Authors:   Department of Physics, Satish Pradhan Dnyanasadhana Collage, Thane, India, Chitte Dr. Hemant K.
Published: July 2021

Polymerization of pyrrole using various methods like pyrrole using electrochemical method and UV Photo irradiation has been investigated. Fourier transform infrared spectroscopy (FTIR), Scanning electron microscopy (SEM), X-ray diffraction (XRD) techniques were used to study the internal structure, material morphology, chemical nature of conducting polymers. The temperature dependence of the electrical conductivity of the Polypyrrole, Their behavior resemble the metallic conductors.
Knowledge, Attitudes and Practices of Hypertension amongst Apparently Healthy Adults in a Rural Setting in Rivers State
Authors:   Department of Radiology, Rivers State University Teaching Hospital, Port Harcourt., Chidinma Wekhe
Published: July 2021

Hypertension is a major risk factor for cardiovascular and cerebrovascular diseases. The prevalence of hypertension is increasing in our environment. The objective of this study is to assess knowledge, attitude and practice of hypertension, which is a crucial element of hypertension control but little information is available from developing countries where hypertension has lately been recognised as a major health problem. Therefore, we examined KAP on hypertension amongst apparently healthy adult population. A cross-sectional study was conducted amongst 107 adults- 80 females and 27 males between the ages of 18years and 80years for a period of 3 months using random sampling. KAP score about hypertension was deduced from a set of KAP related questions/questionnaire. Results show that 74.8%were females and 25.2% were males. About 46.7% of the respondents were self-employed followed by 17.8% unemployed and 6.5% were students. More than half (78.5%) of the respondents had proper knowledge on hypertension. Almost all (90.7%) had positive attitude toward. Hypertension. About 13.1% never checked their blood pressure except for when they get to the hospital for some other reasons, 13.1% also neither exercised nor consulted a health care provider. Most of the participants (51.4%) never consumed alcohol nor smoked (91.6%).
Election Criminal Law Enforcement in the Era of Simultaneous General Election 2019
Authors:   Faculty of Law, Universitas Pembangunan Nasional Veteran Jakarta, RS. Fatmawati Street, South Jakarta City, 12450, Narwanto Narwanto
Published: July 2021

This thesis addressed the issue of election criminal law enforcement in the era of simultaneous general election in 2019. Based on data released by The General Election Supervisory Agency (Bawaslu) there were 2,724 reports and findings of alleged violations of election crimes, which continued with the investigation of 582 cases, closed at the investigation stage there were 132 cases, then closed at prosecuting 41 cases, and ajudicated by the court in 319 cases. Meanwhile, based on the Indonesian Legal Roundtable (ILR) data from the whole cases in electoral crime, 170 cases or 53% were sentenced to conditional or probation. The method of this research is used normative legal research methods (normative juridical). Data research compiled based on suited laws and regulations through statutory approach, case approach, historical approach, comparative approach, and conceptual approach. Furthermore, normatively the data is analyzed based on applicable regulations as positive legal norms by interpreting and constructing statements contained in documents and applicable laws. The results of this study are to reveal and analyze the law enforcement applied in handling election crimes that occurred in simultaneous general elections in 2019. Analyzing the formulation of criminal law in tackling more effective general election crimes for the future through the formulation definite regulations, fair, not multi-interpreted and attend to all parties in equal rights of each individual before the law in order to establish a general election which honest and fair as well as legitimate
Responsibility of Air Transport Companies as Businesses Actors for Theloss of Passengers’ Baggages in Review of Law Number 8 of 1999 Concerning Consumer Protection
Authors:   Faculty of Law, University of National Development Veterans Jakarta, Napitupulu Daniel J
Published: July 2021

Consumer protection law is part of consumer law which contains principles or rules that are regulating and contains properties that protect the interests of consumers, while consumer law is law that regulates relationships and problems between various parties related to goods or services. included in the case of flight. The data collection technique in this research is using the library research method. While the analysis technique carried out on the legal materials that have been collected by the author will be done deductively. The results of the study indicate that there are 9 (nine) consumer rights regulated in Law Number 8 of 1999 concerning Consumer Protection. The responsibility of the airline company for the loss of consumer goods is to compensate the loss suffered by the consumer in accordance with the value experienced. This is based on Article 19 paragraph (1) of Law no. 8 of 1999 concerning Consumer Protection which explains that business actors are responsible for providing compensation for damage, pollution, and/or consumer losses due to consuming goods and/or services produced or traded.
Cartel Performed By Airlines (Study of Kppu's Decision Number: 15/Kppu-I/2019)
Authors:   Master Program of Law, Faculty of Law, State University of Veteran Jakarta, Sulistiono Nur
Published: July 2021

The case regarding the cartel contained in the KPPU's Decision Number: 15/KPPU-I/2019 which was carried out jointly by PT Garuda Indonesia (Persero), Tbk, PT Citilink Indonesia, PT Sriwijaya Air, PT NAM Air, PT Batik Air, PT Lion Mentari, and PT Wings Abadi. The Reported Parties are alleged to have violated the provisions of Article 5 and Article 11 of Law Number 5 of 1999 concerning the Prohibition of Monopolistic Practices and Unfair Business Competition by increasing the price of airline tickets. The data collection technique in this research is using the library research method. While the analysis technique carried out on the legal materials that have been collected by the author will be done deductively. The results of the study indicate that KPPU is only an administrative institution, so that KPPU can only impose administrative sanctions and is not authorized to impose criminal sanctions or civil sanctions. The KPPU Assembly has also decided that the business actors are guilty, but the KPPU Assembly has not imposed any sanctions on the mistakes of the business actors. The absence of sanctions imposed on cartel actors can make the perpetrators repeat their actions and in this case consumers will be harmed again.
Legal Consequences of The Discrepancy on Construction of Land Sale And Purchase Deed Towards The Procedure For Dedication (Analysis of The Jurisdiction of The Supreme Court Number-967k/Pdt/2010)
Authors:   Master Program of Law, Faculty of Law, State University of Veteran Jakarta, Setyawan Didik
Published: July 2021

The purpose of this study was to determine the legal consequences and causative factors which lead the construction of land sale and purchase deed was not in accordance with procedures based on analysis of the Supreme Court's decision number-967K/Pdt/2010. In this case it is known that the factor that cause the land dispute is due to PPAT did not pre-check at the Land Office regarding the suitability of land rights certificate, the construction of PPAT deed was not attended by the parties who carried out the concerned legal act and was not witnessed by at least two witnesses who, according to the provisions of prevailing regulations, and did not read the deed to the concerned parties. With regards to the case that the construction of land sale and purchase deed was not in accordance with related procedure, it is necessary to receive legal consequences in the form of: PPAT can be dishonorably dismissed from his position and subject to administrative sanctions without reducing the possibility of being sued for compensation by parties who suffer losses and resulted in the degradation of the power of proof becomes a private deed because it does not meet the requirements determined by law and or other regulations.
Cita & Impian Masyarakat Karacak Leuwiliang Bogor
Authors: Mariana Lusi , Evinovita Evinovita
Published: July 2021

This community service activity aims to provide opportunities for students to apply knowledge to build public awareness in preventing and overcoming the problem of the Covid-19 pandemic. The activity took place in Karacak Village, Leuwiliang District, Bogor, West Java. The method used is descriptive qualitative analysis based on observation and community participation in the field. The domicile-based thematic KKN was filled with activities for attaching posters, distributing masks, learning assistance, reading aids, work assistance, making hand sanitizers, socializing good hand washing, happy healthy exercise, and teaching assistance at TPQ Barkatul Huda in Kp. Lebak Sirna Rt 04/03 Karacak Village. The positive response given by residents is very diverse. The average citizen gave a good response to the holding of this domicile-based KKN.
MODERN SYSTEMS OF MONITORING THE HUMAN CAPITAL ASSESSMENT LEVEL IN THE HIGH-TECH SECTOR
Authors:   Kazan National Research Technological University, SHINKEVICH Alexey , YAKUNINA Regina ,   Kazan National Research Technological University
Published: July 2021

The article examines and describes the main systems of monitoring the human capital level, under which we represent the leading international organizations (United Nations Development Program, World Bank Analytical Group, World Economic Forum Research Group). The article presents a view on the problems of assessing the level of human capital using the index method of assessment. The purpose of this article is to analyze the systems for monitoring the level of human capital and modernize the index method for assessing the level of human capital, calculated annually by UNDP. As part of the human development index, two new components are proposed that more fully assess the state of the income index — the unemployment index and the wage index. The reason for the change in the calculation method is substantiated, and the final formula for calculating the human development index is derived.
SOME ASPECTS OF MEDICAL AND SOCIAL SERVICES FOR SENIOR CITIZENS IN THE LIVING CONDITIONS IN A BOARDING HOUSE FOR THE ELDERLY AND DISABLED
Authors:   Research Institute of the organization of health care and medical management of Department of health care, KAMYNINA Natalya , AKSENOVA Elena ,   Research Institute of the organization of health care and medical management of Department of health care
Published: July 2021

The article presents the results of a sociological study of the attitude of senior citizens who are on inpatient care in residential institutions for the elderly and disabled to various types of services provided within the framework of medical and social support. To diagnose the problems of providing medical and social assistance to the elderly in the conditions of inpatient social service institutions, we conducted an author's sociological study, some of the results of which are presented in the work.
Pastors and Treasurers: A Case Study of Financial Management in Christian Organization
Authors: Irawan Dadang , Mustikasiwi Anggaripeni , Djap Wylen , Hermawati Oki , Santosa Erwin
Published: July 2021

Prior research has suggested that pastors have difficulty in managing church finances. On the other hand, the involvement of the congregation with knowledge that tends to be pragmatic exposes the pastor to start rubbing against the values ​​contained in this pragmatic understanding, including matters of financial management. In terms of finance, actually the provisions of the Bible are sufficient as guidance, in the form of main values, only requiring an understanding in accordance with the context and the current relevance of the challenges of the church and its congregation. This paper seeks to tell the experience of one of the important actors (informants), a pastor who acts as a ministerial servant of God in pastoral care as well as treasurer in the Indonesian Church Association (PGI). These sources are in the vortex of the tug of interest between idealism as a servant of God and pragmatism, a solution must be sought as soon as possible regarding the sustainability of the church fellowship institution. At the end loyalty, integrity and openness with good intentions to collaborate with various groups (partnering) are the key characters between the roles of pastor and treasurer. This character is preserved in an expression of faith and relying on God. The financial leadership model of a pastor as well as a treasurer with a narrative study approach is described in this article.
Het uitwisselen van onderzoeksgegevens: belangen en barrières
Authors: DEVRIENDT T. , SHABANI M. , BORRY P.
Published: July 2021

Data sharing: interests, impediments and restrictions.

The sharing of data is of increasing importance. Data sharing platforms are currently built, aiming to make data more findable, accessible, interoperable and reusable. These platforms are, however, unable to address non-technical factors that may influence data sharing. Various factors, such as the desire to avoid reputational damage, ensuring a correct interpretation of data, loss of control, short-term grant cycles, the opportunity costs of data sharing, faulty recognition systems that do not reward the production of high-quality data itself, ethical and legal restrictions, can constitute impediments for data sharing. The role that platforms fulfill, will depend on the common vision on the fundamental rules surrounding data sharing and scientific competition. If a system of collective ownership is pursued, including guaranteed access to data under specific circumstances, an appropriate science policy should undergird data sharing platforms.
Стресс ва стресс ҳолатини вужудга келтирувчи сабабларнинг илмий-назарий талқини
Authors: Усманбековна Лола
Published: July 2021

Мақола бугунги долзарб муаммо бўлган соғлиқ, ўзини яхши ҳис қилиш, иш қобилияти – бизнинг қимматли ресурсларимизга бағишланади. Замонавий инсонлар ўзларининг ҳар кунги жисмоний, эмоционал, ақлий зўриқишларига ушбу бадал билан ҳақ тўламоқда ва бу ҳолат стресс ҳолатларининг кучайишига олиб келмоқда. Мақолада стрессни ва стрессга бардошлиликнинг раҳбарларда сурункали кечиши натижасида касбий фаолият ва унга хос бўлган хавф-хатар омилларини вужудга келтирувчи илмий-назарий таъсирлар кўриб чиқилиб, уларни бартараф этиш йўлларига тўхтаб ўтилган.
Navigating the Labyrinth of Integrated Clinical Training in Neurology: a guide for the uninitiated
Authors:   Sheffield Teaching Hospitals NHS Foundation Trust, GB, Islam Majhabin , Banerjee Gargi ,   UCL Institute of Prion Diseases, London, UK
Published: July 2021

The National Institute for Health Research (NIHR) Integrated Academic Training (IAT) programme was introduced following recommendations within a 2005 report made by the Academic Careers Sub-Committee of Modernising Medical Careers and the UK Clinical Research Collaboration.1 This report highlighted the need for a more transparent academic career trajectory for trainees, with clear entry and exit points, and need for flexibility to be built into medical training to allow for research time. Now, more than fifteen years later, the NIHR IAT programme is well established, and arguably the best-recognised route for combining clinical and academic training in a given specialty. The protected research time provided by these posts is invaluable for pursuing scientific projects, acquiring any relevant technical or statistical skills, and for planning next steps, including applications for research funding. In this article, our aim is to demystify the application and interview process for NIHR Academic Clinical Fellowships (ACFs) and Clinical Lectureships (CLs); we will also discuss how these positions fit within the clinical academic pathway. This article is an amalgamation of theoretical facts and our practical experience, written in the context of neurology training, but might also be of relevance and interest for other medical specialties. Whilst we have chosen to focus on NIHR posts in this article, as these are most commonly encountered and advertised, some academic centres also offer locally funded ACF and CL posts; details can often be found on the relevant university website.
ENSURING HUMAN RIGHTS AND FREEDOMS BASED ON THE RELATIONSHIP OF THE PRINCIPLES OF REGULATION AND LEGALITY
Authors: Воробьев С.М. , Лапшин В.Е. , Грунин А.Г.
Published: July 2021

В настоящей научной статье рассматриваются вопросы обеспечения прав и свобод человека, через призму соотношения принципов нормотворчества и законности. В исследовании проведен анализ факторов, влияющих на неуклонное обеспечение законности, освещены основные тенденции нормотворческой и правоприменительной практики в законодательстве России на современном этапе. Кроме того, даны рекомендации, касающиеся ключевых аспектов для дальнейшего совершенствования и развития ключевых демократических подходов.

This scientific article are considered the issues of ensuring human rights and freedoms, through the prism of the relationship between the principles of rulemaking and legality. The study analyzes the factors affecting the steady provision of legality, highlights the main trends in rule-making and law enforcement practice in Russian legislation at the present stage. In addition, recommendations are made regarding key aspects for further improvement and development of key democratic approaches.
READING GEGEL. REFLECTIONS ON THE 200TH ANNIVERSARY OF THE "PHILOSOPHY OF LAW
Authors: Захарцев С.И. , Сальников В.П.
Published: July 2021

Авторы знакомят с результатами анализа «Философии права» Гегеля. Выделяются фрагменты названной книги, которым не уделялось или уделялось недостаточно внимания со стороны философов и юристов. Например, демонстрируются размышления Гегеля о войне, о России, о других народах, анализируются отношения философа и власти. Материал может быть интересен как специалистам, так и широкому кругу читателей.

The authors present the results of the analysis of Hegel's "Philosophy of Law". Fragments of the named book are highlighted, which were not paid or received insufficient attention from philosophers and lawyers. For example, Hegel's reflections on the war, about Russia, about other peoples are demonstrated, the relationship between the philosopher and the authorities is analyzed. The material can be of interest to both specialists and a wide range of readers.
AMEWORK OF STATUS POWERS OF THE HIGHER BODIES OF STATE AUTHORITIES: NEW READING
Authors: Мамитова Н.В.
Published: July 2021

Аннотация. В рецензии на монографию доцента Елены Алексеевны Осавелюк показано, что автор работы, в результате анализа научных исследований, посвященных содержанию и классификации полномочий высших органов государственной власти, обращает особое внимание на то, что статусные полномочия в наибольшей степени способствуют раскрытию особенностей правового положения каждого из указанных органов, их взаимодействия и придают ему системный характер.

Annotation. In the review of the monograph by Associate Professor Elena Alekseevna Osavelyuk, it is shown that the author of the work, as a result of the analysis of scientific research devoted to the content and classification of the powers of the highest bodies of state power, draws special attention to the fact that status powers are most conducive to disclosing the features of the legal status of each of these organs, their interactions and give it a systemic character.
Personalized medicine: Time for One person, one medicine
Authors: Parmar Prithvirajsinh , Patel Himan , Mishra Ashvin , Malaviya Miteshkumar , Parmar Keyur
Published: July 2021

It’s becoming clearer that medicine is not one-size-fits-all. The problem with the traditional or present way of medical treatment is that they are created for and tested on a large group of people. The medicines are prescribed so broadly that they don’t work for everyone. Some drugs work very well for certain people and some not. In ancient times, medicine was practiced according to the signs and symptoms presented by the patient and were solely based on the individual knowledge of the physician and thus were called intuition medicine. Nowadays, medicine is based on the evidence produced by scientific research, including clinical trials, which is designated as evidence-based medicine. In the future, medicine will be practiced according to algorithms that will take into consideration the patient's characteristics, such as their genome, epigenetics, and lifestyle, constituting personalized medicine. Doctors use information about you -- your genes, lifestyle, and environment -- along with the characteristics of your disease to select treatments that are most likely to work for you. Health care has transmuted since the decline in mortality caused by infectious diseases as well as chronic and non-contagious diseases, with a direct impact on the cost of public health and individual health care. The evolution of medicine has increased the life expectancy of humans. Personalized medicine is the new way of thinking about medicines. In this review, we will see how Personalized medicine will transform healthcare, how Artificial intelligence and personalized medicine working together towards better healthcare, personalized medicine in the pharmaceutical industry, its vision for the future, and its application in various diseases.
Formulation and Invitro evaluation of immediate release tablets containing febuxostat
Authors: Billa Srikumar , Ch Saibabu , T Malyadri
Published: July 2021

In the present research work, Febuxostat Immediate Release Tablet was prepared by direct compression method using varying concentrations of Lycoat, Crospovidone& Croscarmellose sodium as disintegrants. The formulations prepared were evaluated for precompression& post-compression parameters. From the drug excipient compatibility studies, we observe that there are no interactions between the pure drug (Febuxostat) and optimized formulation (Febuxostat+ excipients) which indicates there are no physical changes. Post compression parameters were found to be within the limits. Among the formulation prepared the tablet containing 12mg of CCS shows 98.13% of the drug release within 45 min & follows first-order kinetics.
TIROIDECTOMÍA TRANS-ORAL ENDOSCOPICA CON ABORDAJE VESTIBULAR (TOETVA) VERSUS TIROIDECTOMÍA ENDOSCÓPICA: COMPLICACIONES POSTQUIRURGICAS.
Authors: Frías María Isabel , Arias Elva Beatriz
Published: July 2021

Introduction: thyroid gland surgical excision has been performed since the 19th century, which was first employed by Theodor Kocher, this technique since its inception presented certain post-surgical complications and left an aesthetically uncomfortable scar in patients; however a few years ago new techniques have been carried out under laparoscopic approaches which leave less scarring; under this same concept, in 2016 the TOETVA technique (Endoscopic trans-oral thyroidectomy with vestibular approach) is presented, with which fewer postoperative complications have been evidenced. Objective: To identify post-surgical complications, surgical and hospitalization time between TOETVA versus endoscopic techniques. Materials and Methods: a retrospective study of two surgical interventions was carried out, which included patient’s surgery by Endoscopic Trans-oral Thyroidectomy and patient’s surgery by other endoscopic techniques at Hospital General IESS Ibarra in the period between January 2017 - March 2019. Thirty-three patients met the inclusion criteria, 19 patients were tested for Endoscopic Trans-oral Thyroidectomy with TOETVA vestibular approach, and 14 with cervical endoscopic thyroidectomy. Descriptive and inferential statistical analysis was performed using SPSS software. Version 19. Results: the entire studied population was female, with 45.3 years old in average, 42.42% resided in Ibarra, while 15.5% were from Otavalo, these two populations were the most representative. Regarding to the issue, 68.4% patient’s surgery by TOETVA technique and 71.42% % patient’s surgery by cervical endoscopic thyroidectomy technique did not present complications. The surgical time in which it was reported that Endoscopic Trans-oral Thyroidectomy with vestibular approach was also studied, TOETVA had a mean of 129.84 minutes, while the cervical endoscopic had a mean of 131.07 minutes. The hospital stay was shorter for cervical endoscopic thyroidectomy due to complications presented with TOETVA with a mean of 6.32 and 4.14 days respectively. Conclusions: trans-oral Endoscopic Thyroidectomy with vestibular approach (TOETVA) is a technique that is in the process of implementation and learning in Ecuador and that as a result of the present investigation it could be concluded that there are no significant differences regarding post-surgical complications between the techniques studied.
FÍSTULA VESICOSIGMOIDEA EN ENFERMEDAD DIVERTICULAR, REPORTE DE CASO Y REVISIÓN DE LITERATURA.
Authors: Pullupaxi Stefany Belén , Portero Katherine Patricia
Published: July 2021

Introduction Colovesical fistulas (CVF) are pathologic communications between bowel and bladder. They represent 1 in 3000 surgical hospital admissions per year. Imaging studies play a crucial role establishing the site, course and complexity of the fistulas, and in identifying their etiology. The management of CVF depends on the underlying pathology, the site of the intestinal injury, and the preoperative state of the patient. A surgical and non-surgical approach can be performed. Case description A clinical case of an 82-year-old patient with multiple comorbidities is reported, who suddenly presented dysuria, stranguria and fecaluria. The abdominal and pelvic tomography revealed diverticulitis with the presence of a fistulous tract from the colon to the bladder. During his hospitalization, the patient presented septic shock of urinary focus due to colovesical fistula, which required management by intensive therapy. Broad-spectrum antibiotic therapy was started. Once stable, we opted for surgical resolution with partial cystectomy plus fistulectomy and Hartmann-type colostomy. After the procedure, the patient evolved favorably with resolution of the condition. Conclusion The nonsurgical approach may be a viable option in patients with poor preoperative condition, an inability to tolerate general anesthesia, or in cancer patients with a short life expectancy. Spontaneous closure of fistulas occurs in approximately 2% of patients and, since up to 75% may have septic complications, the presence of a FCV is an indication for surgery in all patients without contraindications for it. The most widely used surgical approach consists of resection of the compromised intestinal segment with primary anastomosis, without a protective stoma, and closure of the bladder defect. At present, there is no consensus on which is the best surgical strategy due to the lack of clinical trials. An updated review of the subject and its therapeutic management is carried out.
Dumbo: a trajetória de um atleta como síntese da conexão Brasil-Angola
Authors: Almeida William Douglas de , Ferreira Júnior Neilton de Sousa , Rubio Katia
Published: July 2021

Em cem anos de história no movimento olímpico, o Brasil foi representado por 52 atletas que nasceram em território estrangeiro. Nenhum deles nasceu no continente africano. Em Jogos Paralímpicos, porém, o país contou em 2016 com a presença do jogador Maurício Dumbo, nascido em Angola e naturalizado brasileiro. Este artigo tem como objetivo apresentar a história de vida de um desses imigrantes, mostrando qual o papel que o esporte teve na integração dele à sociedade brasileira. Como metodologia, optou-se pelas narrativas biográficas. Como resultados, vê-se que ainda existe preconceito e diversas barreiras na integração de migrantes vindos da África para o Brasil, todavia, percebe-se que o esporte foi um fator importante na construção de uma rede de socialização de Dumbo e que a adoção da nacionalidade brasileira não significou um rompimento com a sua origem angolana.
A mudança de compreensão de um formando em Educação Física acerca do sentido do componente curricular na escola: uma autoetnografia
Authors: Mallmann Anderson Henrique Rozek , González Fernando Jaime , Borges Robson Machado
Published: July 2021

Esta pesquisa teve como objetivo identificar quais fatores induziram uma mudança conceitual de um formando em Educação Física, em relação à compreensão do sentido desse componente curricular na escola. Por meio de uma autoetnografia, durante 11 meses o autor analisou os trabalhos realizados em tarefas acadêmicas, as anotações em cadernos de disciplinas cursadas, as intervenções efetuadas como trabalho de campo e os questionários respondidos pelos seus alunos. Os resultados indicam que não foi um acontecimento único que induziu a mudança de compreensão, mas vários fatores. O principal deles foi a discussão, em um componente curricular, sobre o direito de aprendizagem dos discentes. Em menor medida, as intervenções nos trabalhos de campo realizadas em virtude de disciplinas acadêmicas, a constatação do interesse dos alunos ao experimentarem temas de ensino distintos dos que estavam acostumados e a testagem de conhecimentos estudados na universidade com seus próprios filhos, tiveram influência na mudança conceitual.
Routing Issues And Challenges for Mobile ad-hoc Networks (MANETs): A Review
Authors:   Computer Science & Engineering, SGT University., Verma Vikas , Lamba Dr. Pardeep ,   Assistant Professor, SGT University.
Published: July 2021

Mobile ad-hoc networks also referred to as MANETs belong to a collaborative collection of different cellular devices from a heterogeneous community, the prolific characteristic is the capability to enroll in and give up the community at any time. This results in a creation of a decentralized community of cell nodes that could connect, talk and bypass messages to each different without the requirement of an intermediate router. MANETs are usually used in numerous sets of packages like military operations, emergency or catastrophe relief operations, commercial enterprise conferences, political conferences, mine site operations. In those forms of networks, the maximum crucial trouble is that of locating the first-class direction available between the 2 nodes consistent with the consumer necessities. Despite many fascinating future programs of cellular ad-hoc networks (MANETs), There are nevertheless a few crucial challenges and open issues to be solved. As a consequence, extensively on this paper, we present an outline of MANETs, and their routing protocols. Then we present numerous tough issues and the future work.
Nursing Students' Perception of the Use of Google Classroom in TOEFL Preparation
Authors: Suryani Nyayu Yayu , Rizal Syamsul , Rifa’at Abdul Aziz
Published: July 2021

In the globalization era, the world has entered a competition to master, build, and introduce new technologies. The article was to classify the responses of students in using of Google Classroom. The population of this research was all the eight-semester students of Sekolah Tinggi Ilmu Kesehatan Siti Khadijah Palembang Nursing Study Program, which consists of 62 students in the academic year 2019/2020. Total sampling was used to collect the sample for this analysis. As a result, There were a total of 62 students in the study. The method of this study was quantitative research. There were 23 items on the questionnaire as the method for gathering the results. The result indicated that using Google Classroom to be useful and were pleased with it as a TOEFL preparation online learning platform. Google Classroom was useful, helpful and they feel pleased with Google Classroom in TOEFL preparation. It was recommended that English lecturers pay more attention to helping students quickly access the Google Classroom method, use Google Classroom for social networking, be more passionate about teaching and explaining using Google Classroom, and provide students’ feedback.

Keywords: Students’ Perception, Google Classroom, TOEFL Preparation
The association between allergic rhinitis and Polymorphism of Toll like receptors 2 & 4 genes
Authors: F. Ghallab Abdelhakim , A. El sayed Rasha , G. Sobhy Mostafa
Published: July 2021

Background: Allergic rhinitis is atopic disorder, 10% to 25% of the population
worldwide are suffering from it, The prevalence is increasing during the last 10 years.
Objectives: To study the relationship among polymorphism of single nucleotide in TLR2
and TLR4 genes and the risk of allergic rhinitis disease. Methodology: This study was
done on 60 patients suffering from allergic rhinitis and 30 healthy subjects as a control
group from April 2019 to March 2020. The patients were collected from
Otorhinolaryngology Department of Benha University Hospital. Test of Skin prick (SPT)
was done to assess atopic state. Blood samples were collected to detect TLR gene
polymorphism by Polymerase chain reaction-Restriction Fragment Length
Polymorphism (PCR-RFLP). Results: The genotypic frequencies of TLR2 Arg753Gln
showed increased frequency of the homozygous (GG) genotype among the controls
(80%) more than the allergic rhinitis patients (30%). The heterozygous (AG) genotype
was increased among the allergic rhinitis patients (62.5%) more than in the healthy
group (15%) with OR =9.4, 95% CI (2.4-37.7) and significant P-value. Also, the
homozygous mutant (AA) genotype has more trend in the patients (7.5%) than in the
control subjects (5%), with OR = 0. 6, 95% CI (0.1-6.7) and non-significant P-value.
The genotypic frequencies Statistical data in TLR4 Asp299Gly revealed that the
homozygous (AA) genotype has more frequency in the controls (70%) than the allergic
rhinitis patients (20%). The heterozygous (AG) genotype was more prevalent among the
allergic rhinitis patients (65%) than the controls (30%) with OR =4.3, 95% CI (1.4-13.8)
and significant P-value. Conclusion: GG genotype of TLR2 and AA genotype of TLR4
are least affected by allergic rhinitis disease and the major allele in both gene is
protective against the disease.
Investigation and management of Klebsiella Pneumoniae Outbreak in Intensive Care Unit of Tanta University Emergency Hospital
Authors: Youssef Maxwell Sara , S. Abd Elghafar Mohamed , A. Shams Eldeen Maii
Published: July 2021

Background: Klebsiella pneumoniae infection is responsible for a wide range of
infections including pneumonia, bacteremia, wound infections, and urinary tract
infections. Objective: To investigate and manage the occurrence of multi-drug resistant
Klebsiella pneumoniae outbreak in Intensive Care Unit of Tanta University Emergency
Hospital. Methodology: The investigation of the outbreak included isolates identification
and typing while management included implementation of infection prevention and
control precautions; establishment of an Outbreak Control Team; epidemiological
investigations; and decontamination of environment. Results: During September 2020,
five patients in the Intensive Care Unit in Emergency Hospital of Tanta University had
multi drug-resistant Klebsiella pneumoniae identified in samples obtained from a variety
of specimens. The fifth case was identified 10 days following confirmation of the first
case. The Microbiology laboratory confirmed the five cases had identical Klebsiella
pneumoniae strains. This suggests that there was a patient-to- patient spread of multidrug resistant Klebsiella pneumoniae. Conclusion: This investigation revealed the
importance of proactive recognition of a possible outbreak, screening of patients
transferred from other hospitals, early identification of any unusual microorganisms and
implementation of early infection control interventions.
Heteroresistance Screening of Pseudomonas aeruginosa Specimens from Hospitalized Inpatients in Cairo, Egypt
Authors: Zakeer Samira , El-Din M.S. Hosny Alaa , A. Abdelrahman Ali , M. Hamed Dalia
Published: July 2021

Background: Heteroresistance described infections with bacterial strains which causes
infections with different levels of resistance to an antibiotic and differs with age and
gender. Objectives: This work determined the variations in the heteroresistance pattern
for the age, gender and site of infection and the statistical analysis was done using (SPSS
version 20.0) for test of significance. Methodology: Out of two hundred and fifty clinical
specimens isolated from different sites from Inpatients admitted to Kasr Al-Aini hospital
and Al-Demerdash hospital from different genders with different ages in the period from
February 2016 to December 2017, Egypt, one hundred and forty five specimens revealed
P.aeruginosa after passing several conventional microbiological methods, the
antimicrobial susceptibility testing and the screening of nht4heteroresistant specimens
were performed. Results: The obtained results showed that the hetesroresistance was
very high in the urine specimens and very high in males more than females. Conclusion:
From the statistical analysis we recommend the use of imipenem, levofloxacin and
ciprofloxacin in the treatment of heteroresistant P.aeruginosa, since they were the highly
significant, effective antibiotics.
Evaluation of the Role of Immunotherapy in Allergic Fungal Rhinosinusitis
Authors: A. Mokhtar Ghada , W. Roman Sylvia , M. Elgendy Aya , A. Gerges Marian , Abdulmageed Alsayed , G. Gebriel Manar
Published: July 2021

Background: Allergic fungal rhinosinusitis (AFRS) is a distinct form of chronic
rhinosinusitis. Type I hypersensitivity to inhaled fungal allergens has been implicated as
key pathogenesis. Immunotherapy as one of the therapeutic options is still controversial.
Objective: to evaluate the role of immunotherapy in the management of AFRS patients
not responding to medical treatment 3 months following endoscopic surgery.
Methodology: A total of 35 patients diagnosed as resistant AFRS were included in this
prospective study. Patients were diagnosed following clinical, radiological, and
endoscopic examination of nose and paranasal sinuses. Specimens were collected during
endoscopy and subjected to microscopic examination and fungal culture. Skin prick test
and assessment of total IgE level were performed for all patients. Sublingual
immunotherapy (SLIT) was initiated for all patients for 6 months. Clinical efficacy of
SLIT was assessed using the 20-item sino-nasal outcome test (SNOT-20) score. Results:
Aspergillus spp. was the most frequent fungus isolated (74.3%) from patients. All
patients were sensitized to mixed fungi. Elevated total IgE (> 100 IU/mL) was found in
all patients with 40% of them had peripheral eosinophilia. A significant improvement (p
< 0.001) was recorded in the SNOT-20 score of examined patients recording a mean of
1.2 ± 0.3, 6 months after SLIT compared to 1.93 ± 0.44 before immunotherapy initiation.
Conclusion: Immunotherapy appears to be a good adjunctive therapy for the
management of resistant cases of AFRS.
The role of T helper 17 cells in Helicobacter pylori associated chronic gastritis
Authors: E. Alrashidi Hanan , M. EL-Ageery Safaa , M. Fawzy Iman , Bahy-Eldeen Ahmad , Mahmoud Rasha , S. Abdelhafez Mona
Published: July 2021

Background: T helper 17 (Th-17) cell, a proinflammatory subset of CD4 T cells, have an
essential role in immunity against Helicobacter pylori (H. pylori) infection. Objectives:
This study aimed to evaluate expression of selected Th-17 cells associated cytokines (IL17, IL-21, IL-22, IL-23, IL-26 and TNF-α) in H. pylori-infected patients and to recognize
their responsibility in H. pylori associated chronic gastritis with different severity.
Methodology: This study is a case control study. The case group included 25 H. pyloripositive patients suffering from chronic gastritis. The control group included 25 age and
sex-matched healthy individuals without any dyspeptic symptoms and negative for H.
pylori. Infection with H. pylori in all participants was determined by detection of H.
pylori stool antigen by enzyme-linked immunosorbent assay (ELISA) kit. Certain
cytokines expression (IL-17, IL-21, IL-22, IL-23, IL-26 and TNF-α) in serum samples
from all participants were tested using ELISA. Results: Comparing the serum cytokines
expression in cases and controls, IL-17, IL-21 IL-23 and TNF-α were significantly
higher in cases while IL-22 and IL-26 were higher in cases but not statistically
significant. Both serum IL-17 and TNF-α expressions were statistically significant higher
in cases with moderate or severe forms of chronic gastritis than in cases with mild form
of chronic gastritis. However, the levels of IL-21, IL-22, IL-23 and IL-26 showed
insignificant variation regarding chronic gastritis severity. Conclusion: Th-17 cells are
responsible for the pathogenesis of H. pylori infection and the severity of gastritis. So,
down regulation of Th-17 cells associated cytokines offers a promising therapy to
diminish H. pylori associated gastritis.