bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimizing the Performance of the Iptables Stateful NAT44 Solution
Authors: Lencse Gábor , Shima Keiichi
Published: April 2023

The stateful NAT44 performance of iptables is an important issue when it is used as a stateful NAT44 gateway of a CGN (Carrier-Grade NAT) system. The performance measurements of iptables published in research papers do not comply with the requirements of RFC 2544 and RFC 4814 and the usability of their results has serious limitations. Our Internet Draft has proposed a benchmarking methodology for stateful NATxy (x, y are in {4, 6}) gateways and made it possible to perform the classic RFC 2544 measurement procedures like throughput, latency, frame loss rate, etc. with stateful NATxy gateways using RFC 4814 pseudorandom port numbers. It has also defined new performance metrics specific to stateful testing to quantify the connection setup and connection tear down performance of stateful NATxy gateways. In our current paper, we examine how the performance of iptables depends on various settings, and also if certain tradeoffs exist. We measure the maximum connection establishment rate, throughput and tear down rate of iptables as well as its memory consumption as a function of hash table size always using 40 million connections. We disclose all measurement details and results. We recommend new settings that enable network operators to achieve significantly higher performance than using the traditional ones.
Jeannette Power e Benedetto Marzolla. Incroci tra eccellenze “geografiche” nel Sud
Authors: Guadagno Eleonora , Manzi Elio
Published: April 2023

Jeannette Villepreux Power (1794-1871) has been an important scientist in the 19th century, primarily a marine biologist. Having lived for a long time in Messina, when the city of the Straits played an important cultural and economic role in the Sicily of the time and throughout the Kingdom, she matured a detailed and, in some regards, original knowledge of the region and translated it into a Guide to Sicily published in Naples at Cirelli’s in 1842. The Guide was accompanied by one of the most valuable chorographic maps, a lithograph work by the great cartographer Benedetto Marzolla, namely, the best that could be displayed at that time. There are also three plans or topographies of archaeological sites, Syracuse, Girgenti/Agrigento and Selinunte, the chalcographic work of Gabriello De Sanctis, a well-known cartographer and publishing operator in the Nineteenth Century. Power’s Guide and Marzolla’s map of Sicily show considerable geographical interest for two reasons: the author’s territorial and cultural observations and Marzolla’s technical skill and cartographic artistry, a combination hard to find elsewhere; and a further indication of the vibrancy and validity of the cartographic, geographical and territorial culture pertaining in Naples and the Kingdom (e.g., Messina) in the Nineteenth Century, trends that were dormant and denied after the Unification of Italy.
Territori in movimento. La comunità srilankese nella spazialità napoletana
Authors: Guadagno Eleonora
Published: April 2023

In considerazione delle implicazioni delle dinamiche della mobilità transnazionale nello spazio urbano, la città di Napoli mostra una fluidità crescente in cui le riconfigurazioni territoriali si intersecano con l’arrivo e la stabilizzazione delle comunità straniere. Tuttavia, emergono anche forme di vulnerabilità socioeconomica, associate ai processi abitativi di filtering, alla differenziazione residenziale e persino alla deprivazione e segregazione spaziale. Da questo caso, è possibile discutere, da un lato, in che modo queste dinamiche socio-spaziali derivanti da processi globali si ripercuotano sul tessuto urbano rimodellando e reinterpretando le sue funzioni, tratti e caratteristiche e, dall’altro, quali tipi di pratiche possano contribuire (o meno) a una coesione sociale dal basso. Questa indagine è il risultato di una micro-analisi qualitativa delle pratiche urbane degli srilankesi nelle aree del Cavone e nel quartiere Stella – zone che presentano la più alta incidenza della comunità all’interno della città – volta ad evidenziare l’evoluzione delle strategie e delle interazioni del gruppo.
A Mass in the Buttock: The Sacral Chordoma, a Rare Primary Bone Tumor. About Two Cases and Review of the Literature
Authors: Badri Y. El , Adegbindin W. , Boutakioute B. , Hajjami A. El , Idrissi M. Ouali , Ganouni N. Cherif Idrissi El
Published: April 2023

Chordomas are rare bone tumors. They represent 2 to 3% of primary bone tumors, affecting the sacral parts in the majority of cases. They are characterized by their insidious evolution. Imaging plays an important role in the diagnosis, particularly with standard radiography and CT scans, allowing an optimal evaluation of bone involvement, while MRI specifies the degree of invasion of soft tissue and neighboring structures. Ultrasound is also used to guide biopsy procedures, and interventional radiology, through the combination of angiography and radiological embolization, can limit the risk of bleeding during surgery. We report two observations illustrating the role of radiology at the diagnostic and therapeutic level in two patients diagnosed with chordoma.
A Case Report of Hirayama Disease Revealed by Upper Limb Weakness and Wasting
Authors: Choukri Ahmanna Hussein- , Adegbindin W. , Benzalim M. , Alj S.
Published: April 2023

Hirayama disease is a rare entity characterized by unilateral or asymmetrical bilateral focal weakness and wasting of muscles innervated by C7, C8, and T1. We report the case of a 20-year-old male who presented with gradual left upper limb weakness and wasting, confirmed by electrophysiological and radiological studies showing detachment of the posterior longitudinal ligament with dilatation of the epidural veins. Anterior displacement with flattening of the medullary cord from C4 to C7 was observed, where there was a T2 hypersignal abnormality involving the anterior horns and producing a "snake eye" appearance. The disease is believed to result from the forward displacement of the cervical dural sac and spinal cord induced by neck flexion, and should be suspected in male patients presenting with unilateral or asymmetrical bilateral lower motor weakness of hands and forearms.
El cognitivismo estético de John Dewey
Authors: Haubert Laura Elizia
Published: April 2023

El presente artículo desarrolla la hipótesis de que existiría en la teoría estética de John Dewey una especie de “cognitivismo suave”. Para alcanzar este objetivo, la investigación se ha dividido en cuatro fases. En la primera de ellas, una breve introducción presenta la cuestión del cognitivismo. A continuación, se analiza cómo John Dewey resignifica los conceptos, posibilitando así la formulación de otra teoría. En tercer lugar, se retoma el duodécimo capítulo de su libro El arte como experiencia, de 1934, donde se explica mejor su postura. Por último, a modo de conclusión, se apunta la importancia de esta perspectiva para el diálogo estético contemporáneo.
Anticholinergic effects of Taraxacum Genus Dandelion Grass consumption: A case report
Authors: Vural Abdussamed
Published: April 2023

Objective: The traditional use of plants and plant-derived products as alternatives to synthetic medicinal and chemical drugs is a well-established practice, and dandelion is commonly used as a herbal remedy. However, it's important to note that the side effects of dandelion can vary depending on the person. In this particular case, a 55-year-old male patient presented with anticholinergic symptoms after consuming dandelion.
Case Presentation: A 55-year-old male was admitted to the emergency room with altered consciousness. While his vital signs were normal, except for a heart rate of 110 beats per minute and a high glucose level of 280 mg/dL, he exhibited confusion and mydriatic pupils. Although his muscle and tendon examinations were normal, tongue fasciculations were observed, indicating anticholinergic symptoms. The patient's symptoms were monitored for 18 hours until they subsided, and he was discharged after a full recovery.
Conclusion: Dandelion grass has potential therapeutic benefits, but its side effects may vary depending on dosage and application. Patients should inform their healthcare providers and only use products from reputable sources to avoid potential interactions or adverse effects.
Bilateral interstitial pneumonia and 2nd degree atrioventricular block as complications after COVID-19 infection
Authors: Delibašić Teodora , Kolbas Jaroslav , Radmilo Borislava , Čikić Anita
Published: April 2023

Objective: The epidemiological and clinical manifestations, pathogenesis, and complications in patients in the acute phase of coronavirus infection are described in detail. On the other hand, the term "prolonged COVID" was introduced in early 2020, representing a multisystemic disease that can occur even after a mild course of acute disease.
Case presentation: We present the case of a 61-year-old woman who reported severe dyspnea and was previously tested positive for coronavirus. The patient experienced worsening of the health condition again, and a chest X-ray showed changes that correspond to bilateral interstitial pneumonia, and high degree atrioventricular block (AV) was verified on an electrocardiographic record (ECG). After treatment with dual antibiotic therapy and implantation of a permanent electrostimulator (pacemaker), her condition significantly improved.
Conclusion: Approximately 10% of patients with COVID-19 may have symptoms persisting beyond three weeks, which presents as post-COVID syndrome. Primary healthcare professionals have a key role in the management of these patients. Research is needed to reveal the pathogenesis, clinical spectrum, and prognosis of post-COVID syndrome.
Pearl Harbor of modern civil law
Authors: Goloskokov Leonid , Santashov Andrey Leonidovich , Onishchenko Irina
Published: April 2023

By analogy with the events of the defeat of the American fleet in Pearl Harbor of December 7, 1941, which by default allowed by the United States itself to obtain a pretext for war and achieve strategic superiority in the world through the expansion of the dollar, in Russian law functionally similar events occurred in the field of law in the form a point change in legislation that allowed a certain group of people to achieve the global goal of redistributing financial flows of profits in their favor, which made it possible for them to buy up property in the form of fixed assets of production, industries and largest enterprises, and in the same way, by small efforts, to solve their problems of the global level.
Crafting Medical Education Differently: An Innovative Pedagogical Approach to Enhance Deep Learning in Obstetrics and Gynaecology
Authors: Gordon Chivaugn , Mitchell Veronica , Doyle Gregory
Published: April 2023

In this article we explore an innovative pedagogical approach initiated during the COVID-19 lockdown period to support student learning in Obstetrics and Gynaecology in the Faculty of Health Sciences at the University of Cape Town. Student isolation and the lack of exposure to clinical cases during this period brought many challenges to the teaching platform. However, the global disruption enabled an ontological opening for imaginative and creative experimentation, an aspect of teaching rarely brought into medical training. We take up the unusual work of a clinician educator and others to describe the process of developing novel video recordings for undergraduate medical students. These videos, used as pedagogical tools, enabled new ways of engaging with core curricular needs in this discipline: for the teacher, new ways of producing teaching materials, and for the students, new ways of learning medical content. The videos drew on a range of creative modes including drawing and acting, to augment student learning. As authors, we suggest that the collision of the clinical content and the performative delivery in the videos fostered deep learning and made the curricular material alive and engaging. The existence of the videos enables a sustainable blended learning approach moving forward. The uploading of the videos as Open Educational Resources onto a YouTube channel and a public website now also contribute to teaching resources extending beyond institutional boundaries.
Relevantes métodos que conservam o suco de laranja e seus engajamentos na qualidade de vida
Authors: Oliveira Laura Jacomo , Santos Amanda Romanini dos , Ferreira Layane Jonas , Marchi Leandro Anselmo Santos
Published: April 2023

A demanda pela busca saudável, no dia a dia, vai de encontro com o hábito de tomar sucos naturais, dentre eles, o mais consumido é o suco de laranja, com isso hoje é procurado meios eficazes e de bom custo benefício para manter o suco conservado por mais tempo no comércio, mantendo o mais próximo de seu natural possível. O método de pasteurização usado em altas temperaturas tem como objetivo eliminar microrganismos, prolongando assim, a validade do produto juntamente com suas propriedades nutritivas e sabor. Já o sorbato de potássio, conservante muito conhecido pelas indústrias, por mais que tenha também a mesma funcionalidade, impedindo fungo/bactérias e evitando esporos, deixa de priorizar o sabor original do suco de laranja.  O objetivo deste trabalho é comprar esses dois métodos por meio de análises da literatura. Fazendo um confronto entre pontos negativos e positivos, ressaltado o bem estar do consumidor, e mantendo os sentidos sensoriais ao máximo de um suco natural, é possível chegar a uma conclusão, que neste caso a pasteurização apresentou resultados qualitativos, preservando a qualidade de vida do consumidor e tendo um maior tempo de prateleira, sendo que o processo não é composto de nenhum composto químico no produto.
Kajian Struktural dan Nilai Edukatif Cerita Rakyat Sumbawa: Lalu Dia Lala Jinis
Authors: Nurjadin Rusmin
Published: April 2023

Penelitian dilakukan untuk mengkaji struktur dan nilai edukatif dari Cerita RakyatSumbawa, Lalu Dia Lala Jinis. Cerita rakyat ini adalah cerita rakyat yang populer ditengah masyarakat Sumbawa yang berkisah tentang romansa muda mudi di tengah normaadat yang berlaku pada masa kerajaan Sumbawa. Cerita rakyat dipilih dengan metodepurposive sampling. Wacana dikaji dengan studi literature dan dianalisa dengan teknikcuplikan (sunting). Data dianalisa dengan pendekatan struktural dan analisis modelinteraktif (interactive model of analysis). Hasil dari penelitiam menunjukkan CeritaRakyat Lalu Dia Lala Jinis memiliki struktur sederhana dengan beberapa amanat yangterkandung. Cerita Rakyat Lalu Dia Lala Jinis juga memiliki nilai edukatif berupa nilaimoral, nilai adat, nilai religi dan nilai sejarah.
ANALISIS KEPUTUSAN INVESTASI SAHAM PADA MAHASISWA SELAMA PANDEMI COVID 19
Authors: Andriani Sri
Published: April 2023

Investasi mampu memberikan dampak positif bagi ekeonomi suatu negara termasuk investasi di pasar modal. Meskipun terjadi pandemi Covid 19, jumlah investor khususnya investor muda mengalami kenaikan, namun jika dibandingkan dengan populasi penduduk Indonesia, jumlah tersebut masih sangat rendah. Riset ini menggunakan metode kuantitatif dengan sampel adalah mahasiswa UTS yang sudah memiliki account saham berjumlah 150 responden yang diperoleh dengan metode non pobability sampling dengan teknik sampling jenuh. Perolehan data dari penyebaran kuisioner, diolah dan dianalisis dengan analisis regresi linier berganda. Untuk menguji hipotesis, peneliti memakai uji t dan uji f serta memakai uji koefisien determinasi. Setelah dilakukan analisis data ditemukan adanya perubahan pola investasi apabila mahasiswa memiliki tingkat pengetahuan dan perilaku keuangan yang baik. Kecenderungan investor akan menghasilkan keputusan yang tepat apabila memiliki pengetahuan dan pelaku keuangan yang baik. Mahasiswa sebagai investor perlu memahami bahwa diperlukan kemampuan mengambil tindakan dan pengambilan keputusan yang tepat dan bertanggung jawab ketika menyusun perencanaan keuangan.
A Note on Some Generalized Curvature Tensor
Authors: Deszcz Ryszard , Głogowska Małgorzata , Hotloś Marian , Petrović-torgašev Miroslava , Zafındratafa Georges
Published: April 2023

For any semi-Riemannian manifold (M, g) we define some generalized curvature tensor E as a linear combination of Kulkarni-Nomizu products formed by the metric tensor, the Ricci tensor and its square of given manifold. That tensor is closely related to quasi-Einstein spaces, Roter spaces and some Roter type spaces.
Pengaruh Motivasi Dan Disiplin Kerja Terhadap Kepuasan Kerja (Study Pada Konsultan Program Nasional Pemberdayaan Masyarakat – Pengembangan Infrastruktur Sosial Ekonomi Wilayah - PNPM PISEW Di Kabupaten Simalungun)
Authors: Siagian Lusman , Siregar Robert Tua , Silalahi Marto , Situmeang Ringkop
Published: April 2023

Pengembangan infrastruktur Sosial Dan Ekonomi Wilayah/Regional Infrastructure For Social And Economic Development (PISEW/RISE) yang kemudian disebut degan PNPM PISEW. Program ini merupakan salah satu upaya pemerintah dalam kerangka program nasional pemberdayaan masyarakat  mandiri (PNPM Mandiri) untuk mengatasi kesenjangan antar wilayah, kemiskinan dan pengangguran melalui pengembangan sosial ekonomi masyarakat. Permasalahan dalam penelitian ini adalah : 1). Untuk mengetahui sejauh mana pengaruh motivasi terhadap kepuasan kerja, 2). Seberapa besar pengaruh disiplin kerja terhadap kepuasan kerja? dan 3). Seberapa besar pengaruh motivasi dan disiplin kerja secara secara serentak terhadap kepuasan kerja. Teori yang digunakan dalam penelitiain ini adalah teori-teori sumber daya manusia, khususnya teori tentang motivasi, disiplin kerja serta kepuasan kerja. Penelitian ini menggunakan pendekatan survey, sedangkan jenis penelitian adalah deskriftif kuantitatif. Jumlah sampel yang digunakan sebanyak 42 orang. Hasil penelitian ini memperlihatkan koefisien determinasi adalah 0,783, sehingga dapat ditunjukkan bahwa 78,3 %  keragaman variabel kepuasan kerja dapat dijelaskan oleh variabel motivasi dan disiplin kerja. Dengan demikian motivasi dan disiplin kerja secara bersama-sama berpengaruh signifikan terhadap tenaga konsultan pendamping Program Nasional Pemberdayaan Masyarakat Pengembangan Infrastruktur Social Ekonomi Wilayah (PNPM-PISEW) di Kabupaten Simalugun dengan tingkat hubungan yang signifikan
Ketersediaan Ruang Terbuka Hijau Publik Dalam Pembangunan Kota Pematangsiantar
Authors: Sihombing Johannes , Siregar Robert Tua , Manullang Marihot , Damanik Sarintan E
Published: April 2023

Penelitian ini bertujuan untuk mengetahui luas Ruang Terbuka HIjau (RTH) Publik yang tersedia saat ini di Kota Pematangsiantar serta mengetahui kebutuhan dan pengelolaan Ruang Tebuka Hijau (RTH) Publik yang sesuai dengan tuntutan Undang - Undang Nomor 26 Tahun 2007 di Kota Pematangsiantar. Penelitian ini menggunakan jenis penelitian yang meliputi data kualitatif dan kuantitatif. Yang mengacu pada data kualitatif, yaitu data yang terbentuk bukan angka atau menjelaskan secara deskripsi tentang kondisi ruang lingkup studi atau data yang tidak bisa langsung diolah dengan menggunakan perhitungan sederhana. Dimana yang termasuk dalam jenis data kualitatif ini adalah, kondisi fisik lokasi studi, kebijakan pemerintah dalam mengelolah RTH Publik, Data kuantitatif, yaitu data yang menjelaskan kondisi penelitian dengan tabulasi angka-angka yang dapat dikalkulasikan untuk mengetahui nilai yang diinginkan dengan menggunakan metode perhitungan sederhana. Dalam studi ini yang termasuk jenis data kuantitatif yaitu, luasan RTH, jumlah penduduk dan perkembangan penduduk. Hasil penelitian menunjukkan bahwa Ketersediaan Ruang Terbuka Hijau Publik menjadi entry point dalam menilai keberhasilan pembangunan suatu wilayah/daerah. Peranan Ruang Terbuka Hijau tidak lepas dari berbagai fungsi yang melingkupinya, yaitu fungsi ekologis, social, ekonomi, dan estetis. Berdasarkan temuan dari penelitian mengenai ketersediaan Ruang Terbuka Hijau eksistng di Kota Pematangsiantar hanya seluas 18,574 Km2 (23,22 %) dari keseluruhan luas Kota Pematangsiantar yang mencapai 79,971 Km2
Prevención de la violencia contra la mujer. Ineficacia de la ley 30364
Authors: Moscoso-Paucarchuco Ketty Marilú , Gutiérrez-Gómez Edgar , Fernández-Jaime Rafael Jesús
Published: April 2023

El libro titulado “PREVENCIÓN DE LA VIOLENCIA CONTRA LA MUJER” resultado de investigación y sometido a revisión por pares, tienen el objetivo de analizar la ineficacia de la Ley 30364, ley para prevenir, sancionar y erradicar la violencia contra las mujeres y los integrantes del grupo familiar en un contexto de la Región Junín, Perú. Se encuentra dividido en VI Capítulos; Capítulo I. Realidad actual de la violencia contra la mujer; Capítulo II. Estudios previos sobre violencia contra la mujer; Capítulo III. Principales conceptos; Capitulo IV. Estudio fenomenológico y hermenéutico en Perú; Capítulo V. Análisis del contexto nacional e internacional; Capítulo VI. Consideraciones finales. En sus líneas se refleja que la ley es ineficaz por el incumplimiento e inconsistencia de la misma; por la falta de celeridad en el otorgamiento de las medidas de protección; por un mal diagnóstico de violencia psicológica, económica, física y sexual; por la ausencia de un equipo multidisciplinar especializado; por la falta de capacidad en recurso humano y logístico de la Policía Nacional del Perú al momento de redactar las denuncias; por la falta de colaboración de la víctima para la realización de los procesos periciales, finalmente por actos de corrupción. Los autores presentan alternativas de solución, sugiriendo a los actores sociales, Policía Nacional, el Ministerio Público, el Poder Judicial, Ministerio de la Mujer y Poblaciones Vulnerables entre otras Instituciones un trabajo conjunto, ordenado con funciones claras y responsabilidades delimitadas. La asignación presupuestal del Gobierno Nacional es vital, ya que los profesionales involucrados no se abastecen, ni cuentan con la logística adecuada para el cumplimiento de sus funciones. Los invitamos a leer el extenso de la publicación, a espera de sus críticas constructivas, que con humildad recibiremos.
Ortaokul Türkçe Dersi Öğretim Programlarında (1924 - 2019) Bilgilendirici Metinler
Authors: GÜZEL Ümmühan , DEMİREL Sener
Published: April 2023

Eğitim faaliyetleri, bireyleri belli bir konu üzerinde yetiştirmek, geliştirmek, onların yeni bilgiler edinmelerini sağlamak amacıyla gerçekleştirilir. Gerçekleştirilen bu faaliyetlerin eğitimde hedeflenen amaçlara hizmet ederek daha verimli olabilmesi için belirli bir program dâhilinde uygulanması gerekir. Söz konusu programlardan biri olan Türkçe Dersi Öğretim Programı aracılığıyla öğrencilere temel dil eğitiminin ve dil becerilerinin kazandırılması için okullarda planlı–programlı uygulamalar yapılır. Bu uygulamalarda kullanılan materyallerin başında ise ders kitapları gelir. Ders kitaplarında yer alan öğretici, heyecanlandırıcı, göstermeye bağlı vb. metinler aracılığıyla öğrencilerin kazanımlarda belirtilmiş olan becerileri edinebilmesini sağlamak amaçlanır. Bu bağlamda gerçekleştirilen bu çalışmayla geçmişten günümüze (1924-2019) kadar uygulanan Türkçe Dersi Öğretim Programlarında yer alan bilgilendirici metinlerin incelenmesi amaçlanmıştır. Bu nitel araştırmada veri toplama tekniklerinden doküman incelemesi yapılarak betimsel analizi yöntemi kullanılmıştır. Kategorisel analiz tekniğiyle elde edilen veriler birimlere ayrılmış, belirli kıstaslara göre kategoriler halinde gruplandırılarak yorumlanmıştır. Analiz sonucunda 1924 Lise Birinci Devre Müfredat Programı’ndan 2006 yılı öncesine kadar bilgilendirici metin türleri kapsamında programlarda sınırlı sayıda tür ve uygulamanın olduğu belirlenmiştir. İlk kapsamlı çalışmanın yapılarak metin türlerine ait detaylı bilgilere yer verilmesi, 2006 Türkçe Dersi Öğretim Programı’nda görülmektedir. 2017 ve 2018 programlarında ise alışılmamış metin türleri adı altında PISA’da yer alan bazı bilgilendirici metin türlerine de programda yer verildiği sonucuna ulaşılmıştır.
Can we estimate the causal effects of diet and sedentary behavior on schoolchildren’s overweight/obesity from observational studies?
Authors: Kupek Emil
Published: April 2023

Aim: To investigate the causal impact of diet and sedentary behavior on Brazilian schoolchildren’s overweight/obesity using the data from observational studies.
Methods: Annual cross-sectional nutritional surveys over the 2013–2015 period, with 26,712 children old 7–12 years in Florianópolis, Brazil, provided the data for this analysis. The surveys applied an online previous-day recall questionnaire on food intake and physical/sedentary activities. Outcome measures were overweight/obesity, whereas exposure variables were daily frequencies of consuming sugary drinks and ultra-processed foods, the total number of dietary items consumed and the total number of sedentary activities per day, and consuming breakfast, mid-morning snacks, lunch, afternoon snack, dinner, and evening snack. Control variables included child age, sex, family income, school shift, survey year, day of the week the questionnaire refers to, metabolic equivalents (METs) of physical activities (PAs), and the quality of dietary and PA reports. Causal effects were estimated by augmented inverse probability weighting.
Results: Daily consumption of sugary drinks, eating ten or more foods, and engaging in three or more sedentary behaviors per day significantly increased the odds ratios (ORs) of being overweight/obese in the range of 3–24% compared to the reference, with 95% confidence intervals in the range of 1–32%. Among 19 ORs with P-value ≤ 0.05, only 3 exceeded 10%.
Conclusions: Under certain conditions, not uncommon in large-scale monitoring and surveillance studies, it is possible to evaluate the causal effects of diet and sedentary activities on overweight/obesity. Daily consumption of sugar-sweetened beverages, eating ten or more foods, skipping breakfast, and engaging in three or more sedentary behaviors per day significantly increased the odds of being overweight/obese.
Complete response to third-line treatment with trifluridine/tipiracil (TAS-102) in stage IV colon adenocarcinoma
Authors: Lara-Morga Celia , Palka-Kotlowska Magda , Custodio-Cabello Sara , Pacheco-Barcia Vilma , Cabezón-Gutiérrez Luis
Published: April 2023

A clinical case of a 61-year-old female diagnosed with stage IV right colon adenocarcinoma (unresectable liver and multiple lymph node metastases at the time of diagnosis), Kirsten rat sarcoma viral oncogene homolog (KRAS), neuroblastoma rat sarcoma viral oncogene homolog (NRAS) and v-raf murine sarcoma viral oncogene homolog B (BRAF) wild-type, proficient mismatch repair (pMMR), in whom a complete response to the third-line of systemic treatment with trifluridine/tipiracil (TAS-102) was obtained. The complete response has been maintained for more than 2 years after its suspension.
Management and treatment of Helicobacter pylori infection in pediatrics.
Authors: Cuadrado Caballero MC , Bello Córdoba D , Gómez Rodríguez BJ
Published: April 2023

La infección por Helicobacter Pylori es una de las causas principales de gastritis crónica y enfermedad ulcerosa, tanto en niños como en adultos. La prevalencia de la infección está disminuyendo en los últimos años, especialmente en países desarrollados, aunque depende de distintos factores. La presentación clínica en la población pediátrica es inespecífica y la mayoría son asintomáticos, no relacionándose con la presencia de H. pylori con dolor abdominal crónico de características funcionales, aunque en ocasiones sí que puede estar relacionada con patologías extradigestivas (anemia ferropénica refractaria y trombocitopenia inmune primaria crónica).

A diferencia de la población adulta, en la infancia el diagnóstico se debe realizar mediante métodos invasivos, precisando endoscopia para la recogida de muestras para cultivo, estudio histológico, test rápido de ureasa y PCR, mientras que los métodos no invasivos se reservan para el control de la erradicación de la infección.

Como novedad en las últimas guías, se unifican los criterios sobre la toma de muestras, siendo necesarias al menos seis biopsias de mucosa gástrica (dos de antro y dos de cuerpo para anatomía patológica y una de antro y una de cuerpo para cultivo) y si es posible, una extra de antro para realizar test adicionales.

El tratamiento, no debe realizarse por la estrategia test and treat, sino que debe ser dirigido según la sensibilidad a los antibióticos en el cultivo, siendo de elección la triple terapia durante 14 días basada en el antibiograma.
PENGARUH KOMPETENSI KOMUNIKASI, KECERDASAN EMOSIONAL DAN BUDAYA ORGANISASI TERHADAP KINERJA PERSONEL POLSEK KEDUNDUNG KABUPATEN SAMPANG
Authors: Map Jurnalmap , Mulisi Ali Sibro , Wibowo Nugroho Mardi , ÔÇì Muninghar
Published: April 2023

ABSTRACT

 

This research was conducted at Kedungdung Sub-District Police, Sampang Regency. with a total sample of 33 people. The objectives of this study are: 1) To find out and describe communication competencies, emotional intelligence, organizational culture and performance of police officers, 2) To find out and analyze whether communication competencies, emotional intelligence and organizational culture simultaneously influence the performance of police officers, 3) To find out and analyze whether communication skills, emotional intelligence and organizational culture partially influence the performance of police officers. The results showed that 1) Simultaneously, communication competencies, emotional intelligence and organizational culture had a very significant effect on employee performance, 2) Partially, communication competencies, emotional intelligence and organizational culture have a significant influence on the performance Police officers.

 

Keywords:  Competence of Communication, Emotional Intelligence, Organizational Culture and Performance of Personnel.
Teenage Pregnancy Patterns and Experience in SidoonTown, River Nile state, Sudan, 2022
Authors: Marium H. Zeyada Idriss  , Faiza Taha  , Ehsan A. Abdallah
Published: April 2023

Background: Teenage is a stage of physical and mental human development that occurs between childhood and adulthood. Teenage pregnancy is a global public health problem that affects the physical and emotional health.Teenage pregnancy is linked with many risk factors that affect the health of the mother and the outcome, as spontaneous abortions, as well as neonatal and maternal mortality and morbidity.Objective: to study issues related to teenage pregnancy patterns and experience. Methodology: This study adopted a descriptive cross-sectional community-based design. The study was conducted among a sample of 205 women using the simple random sampling method of the teenagers living inSidoon Townof the River Nile state. The data required for the purposes of the study were collected using structured face-to-face interviews. The data were analyzed using SPSS, version 23 and suitable descriptive and inferential statistical methodswere used, and P < .05 was accepted for statistical significance. Results: The majority of the participants (78%) were aged between 17-19 years, and those got married and had their first pregnancy between 14-16 years were 79% and 84.4% respectively. About half of the participants (53.2%) didn’t complete their primary level school education. The results also indicated that 40.5% of the participantswere subjected to forced marriage experience, whereas 59.5% had the right to choose. Pregnancy was experienced by 176 (85.9%) of the women, out of whom 159 (86.9%) delivered their babies vaginally, while C/S birth was found among 24(13.1%) of them; abortion was experienced by 25.4% of them, most of which happened without a determined cause. Planning of pregnancy and using of family planning (FP) was found among 78(38.5%) of the participants. The majority of them used hormonal FP without medical advice and 62 (78.8%) used combined pills. Teenage pregnancy associated morbidity wasfound among 59 women (gestational diabetes, pregnancy induced hypertension, preterm labor, post-partum depression and infection: 19,13,24,3 and1 respectively). Significant correlation was found between passive smoking and history of the abortion among women,P = 0.05.Conclusion: Teenage pregnancy is linked with the participants’ morbidity. Early pregnancy interferes with the continuation of the woman’s education, and lack of awareness related to use of FP methods used was seen. Recommendation:Health education for the study community is needed to enhance their health awareness.
Aneurismas aorticos gigantes, tratamiento quirúrgico: reporte de dos de casos
Authors: Morales Javier , Machain Leyva Cyntia , Jiménez Rodríguez Héctor Miguel , Ojeda Aurora , Gómez Coral
Published: April 2023

Los aneurismas aórticos gigantes son escasamente reportados. Se definen como con un diámetro aórtico mayor de 70 mm. El abordaje de esta entidad requiere el uso de distintas modalidades de imagen, aunque el ecocardiograma representa el estudio vital para su diagnóstico inicial. Su manejo requiere la sustitución de la aorta y posible reemplazo valvular. Presentamos dos casos con distintos estudios de gabinete para el  diagnóstico y evaluación del aneurisma aórtico gigante.
Aneurisma de la orejuela izquierda secundaria a insuficiencia mitral excéntrica severa
Authors: Borges-López Jesús Samuel , Arroyo Martínez Esbeidira Aranet , Olivares Sánchez Luis Erik , Moreno Cuevas Lizbeth , Coello Gómez José Rafael
Published: April 2023

El aneurisma de la orejuela izquierda es una condición infrecuente, la cual puede ser congénita o adquirida, siendo la segunda asociada principalmente a cardiopatía mitral reumática y otras condiciones que incrementen la presión auricular izquierda. En este caso el estudio ecocardiográfico es el método ideal para llegar al diagnóstico y ofrecer un tratamiento adecuado. Reportamos el caso de una paciente de 78 años con diagnóstico de cardiopatía reumática inactiva en la que se evidenció un aneurisma de orejuela izquierda secundaria a un jet excéntrico severo de insuficiencia mitral, además de foramen oval permeable.
Direct C2–H alkylation of indoles driven by the photochemical activity of halogen-bonded complexes
Authors: Mamone Martina , Gentile Giuseppe , Dosso Jacopo , Prato Maurizio , Filippini Giacomo
Published: April 2023

A light-driven metal-free protocol for the synthesis of sulfone-containing indoles under mild conditions is reported. Specifically, the process is driven by the photochemical activity of halogen-bonded complexes formed upon complexation of a sacrificial donor, namely 1,4-diazabicyclo[2.2.2]octane (DABCO), with α-iodosulfones. The reaction provides a variety of densely functionalized products in good yields (up to 96% yield). Mechanistic investigations are reported. These studies provide convincing evidences for the photochemical formation of reactive open-shell species.
The Effect of Mechanical Properties of the Capsular-Connected Complex Acetabulum Pedis on Movements in the Two-Segment Foot Model in Normal Foot and Flatfoot
Authors: Liabakh A.P. , Lazariev I.A. , Turchyn O.A. , Piatkovskyi V.M.
Published: April 2023

Summary. The flatfoot remains a poorly defined clinical entity.

Objective: to study the movements that occur in the foot under a single-support load on a two-segment model of the normal foot and flatfoot under different mechanical properties of the  capsular-ligamentous complex acetabulum pedis.

Materials and Methods. A two-segment model of the foot was developed, which consisted of anatomical hindfoot and forefoot. The connection between them was represented by a complex consisting of lig. calcaneonaviculare and the tendon of m. tibialis posterior. A decrease in the mechanical strength of the complex was represented by three types of tendon tissue degeneration according to Z.S. Rosenberg et al.: 0% – the norm, 25% – type І, 50% – type ІІ, and 75% – type ІІІ. The 3D finite element model was created using real foot skeletons from 12 patients with acquired flatfoot, obtained from 3D reconstructions with CT. The model was loaded with a force of 750 N from the plateau of the tibia in the direction of the ground surface. The adequacy of the model was assessed by examining the dependence of the simulation results with the values of the talo-navicular uncovered angle of the same patients.

Results. The mutual movement of the segments forming the foot model progressively increased with a decrease in the strength of the capsular-ligamentous complex from 4.18 mm in the norm to 8.36 mm in type III degenerative changes. The linear nature of the dependence of total displacements on the decrease in the mechanical strength of the capsular-ligamentous complex is confirmed by the assessment of the adequacy of the model.

Conclusions. The decrease in the mechanical strength of the capsular-ligamentous complex acetabulum pedis under a single-bearing load causes the mutual movement of segments of the model twice as large compared to the norm; the calculated dependence of movement/decrease in strength is linear.
Long Bone Fractures and Mineral-Bone Disorders in Patients with Chronic Kidney Disease Treated with Hemodialysis
Authors: Ankin M.L. , Petryk T.M. , Ladyka V.O. , Dudar S.L.
Published: April 2023

Background. At the turn of the 20th and 21st centuries, the world community was faced with a global problem that has not only medical, but also great social economic significance – a pandemic of chronic non-communicable  diseases  that annually claim millions of lives, lead to severe complications associated with disability and the need for high-cost treatment. Among them is chronic kidney disease (CKD), which occupies an important place due to its significant prevalence in the population, a sharp decrease in the quality of life, high mortality of patients, and which leads to the need for expensive methods of renal replacement therapy (RRT).

Objective: to determine the 3-year cumulative fracture rate (proportion of adults with fractures of the femur, forearm, or proximal part of the humerus) at least once during 3 years of follow-up, and the level of calcium, phosphorus, parathyroid hormone (PTH), alkaline phosphatase and vitamin D in patients who are treated with programmed hemodialysis and have long bone fractures.

Materials and Methods: To determine the 3-year cumulative fracture rate (proportion of adults with fractures of the femur, forearm, or proximal part of the humerus) at least once during the 3-year follow-up, 512 patients treated with hemodialysis for more than 3 years were observed. 50 bone fractures were diagnosed during 2019-2022 (femur – 25, tibia – 6, proximal part of the humerus – 6, forearm – 4, pelvis – 2, ribs – 2, vertebrae – 5).

Results. A more detailed study of indicators of mineral metabolism was conducted on 154 patients with CKD stage V who were treated with hemodialysis at the MNPE “Kyiv Regional Clinical  Hospital”  of  the  KCC. Subsequently,  the  patients  were  divided  into 2 groups: (1) patients on hemodialysis with fractures of long bones of the skeleton (n=41: femur – 25, tibia – 6, proximal part of the humerus – 6, forearm – 4) who were treated at the regional trauma center, and (2) patients without skeletal fractures (n=118) in 2019- 2022.

Conclusions. The study showed that the 3-year cumulative fracture rate in a study of 512 patients treated with hemodialysis for more than 3 years was 9.76%. Compared with patients without fractures, patients with fractures of long bones had increased levels of phosphorus and PTH and decreased levels of calcium and vitamin D in the blood serum. The level of alkaline phosphatase in the presence of fractures was twice as high as in the group of patients without fractures (p<0.001). The data indicate that disorders of mineral metabolism are the etiological factors of fractures in patients with CKD who are treated with hemodialysis.
Features of the Occurrence and Development of Infectious Complications in Patients with Combat Injuries of the Musculoskeletal System (according to the Own Experience)
Authors: Hrytsai M.P. , Poliachenko Yu.V. , Tsokalo V.M. , Kolov H.B. , Yevlantieva T.A.
Published: April 2023

Background.  One of the characteristics of a combat injury is the penetration of pathogenic microorganisms, pieces of dirty skin, clothes, dust, etc. into the depth of the wound. The combination of significant defects of bones and soft tissues, vessels and nerves of the affected segment of the limb (musculoskeletal system) causes a high percentage of unsatisfactory treatment results, as well as the development of infectious complications.

Objective: to evaluate the nature of combat wounds in patients who had  infectious complications in the musculoskeletal system during the war in Ukraine  since  2014;  to determine the features of the occurrence and development of such infectious complications.

Materials and Methods. An analysis of case reports of patients with combat wounds with infectious complications (osteomyelitis, septic arthritis, surgical site infection (SSI), purulent- necrotic infection of soft tissues and wounds) who were treated at the Department of Bone- Purulent Surgery of the State Institution “Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine” for the period from 2014 to mid-2022 was carried out.

Results and Conclusions. Infectious complications in combat wounds mostly arise primarily as a result of the wound itself, taking into account the severity, extent of damage to structures and tissues, the type of weapon used to inflict the injury, and a wide spectrum of microorganisms, among  which  Staphylococcus  aureus  plays  a  leading role. In the control group, infectious complications occurred more often than SSI with further progression.
Morphological and phonological origins of Albanian nasals and its parallels with other laws
Authors: Dedvukaj Lindon , Gehringer Patrick
Published: April 2023

The Albanian language is traditionally divided between the Gheg dialect to the geographic north and the now Standard Tosk dialect to the geographic south. Recent literature of the historically isolated dialect of Malsia Madhe (Dedvukaj 2022) has revealed a subdialect which has not undergone the specific phonological sound changes seen in both the Standard Tosk and Modern Gheg dialects. The Tosk dialect is distinct from the dialects of Gheg and Malsia Madhe (Malsia) in that it contains homorganic nasal-stop clusters in positions where they did not occur in various Proto-Indo-European (PIE) reconstructed forms. Three historical processes and the distinct ways in which nasal-stop clusters appear in Tosk are discussed: homorganic nasal assimilation that occurred in the 16th–18th centuries, the insertion of epenthetic stops due to sonority constraints and analogical extension, and constraints on the analogy that can be attributed to the Obligatory Contour Principle (OCP), which restricts Tosk Albanian to one nasal-stop cluster within a single morpheme.
Varieties of wh-exclamatives: A view from the negative wh-expressives in Japanese
Authors: Sawada Osamu
Published: April 2023

Wh-exclamatives are usually considered degree constructions (e.g., Zanuttini & Portner 2003, Castroviejo 2008, Rett 2008). However, Japanese possesses what I call negative wh-expressives, which are unrelated to degree. I argue that unlike typical wh-exclamatives, negative wh-expressive sentences express a speaker’s negative attitude, and their compositional system is similar to that of an interrogative sentence except for the speech act operator. That is, a negative wh-expressive occurs with a speech act operator, which takes a set of propositions Q and (i) presupposes that there is a unique proposition p in Q that is salient, and (ii) conventionally implies that p is unexpected and that the speaker has a negative attitude toward it. In this paper, we also look at cases in which the wh expression is embedded in the complement of omo-tteiru ‘think’ and cases in which nani ‘what’ acts as an adjunct, and show that these cases can also be explained by the core component of the proposed mechanism. This paper shows that wh-related exclamatives have both scalar and non-scalar types, and considers a new typology of exclamatives.
Learning unaccusativity: Evidence for split intransitivity in child Spanish
Authors: Mateu Victoria , Perkins Laurel , Hyams Nina
Published: April 2023

We examine four features of unaccusativity in child-directed and child Spanish to determine what cues children might use to distinguish unaccusative and unergative verbs. Two are cross-linguistic lexico-semantic features: Subjects of unaccusatives are patients so we expect more inanimate subjects with unaccusatives; and unaccusatives tend to have an endpoint, hence may occur more frequently with perfective aspect. The other two are language-specific morphosyntactic features: VS order is grammatical with unaccusatives but not unergatives, and many unaccusative verbs allow/require the anticausative se clitic. We find all four features robustly in children's input and that even 1-2-year-olds show discriminate use of them.
CIERRE DE PROYECTOS DE INVERSION PÚBLICA PARA MEJORAR LA GESTION EN LOS MUNICIPIOS RURALES
Authors: Huallpara Bertha Felicidad Bautista , Pizarroso Soledad Lucia Calle , Romero Flora Magdaline Benitez , Sergio Condori Crispin
Published: April 2023

La inversión pública es el motor impulsor del desarrollo del país. Las Entidades Territoriales Autónomas y el Estado son los responsables de la ejecución de los diferentes proyectos de acuerdo a las diferentes tipologías de proyectos de inversión como ser de Desarrollo empresarial productivo, apoyo al desarrollo productivo, desarrollo social, fortalecimiento institucional, investigación y desarrollo tecnológico, las mismas que se encuentran establecidas en el Reglamento de Inversión Pública y se constituyen en medidas específicas para reducir la pobreza y mejorar las condiciones de vida de las y los bolivianos. Sin duda, los proyectos de inversión son esenciales para la gestión pública. Es importante considerar la manera en la que se formulan y diseñan, ejecutan, evalúan y cierran los proyectos ya que esto determinara el uso eficiente de los recursos públicos y la calidad de los bienes y servicios que se ofrecen a los beneficiarios. En Bolivia se puede identificar muchos proyectos de inversión pública , especialmente de infraestructura que se encuentran abandonados los cuales comúnmente se los conoce como elefantes blancos ( proyectos que no cumple su finalidad y su costo supera el beneficio ) según el medio de prensa Pagina 7 ( publicación 9 de febrero 2020) menciona que 32 mega obras construidas en Bolivia son consideradas elefantes blancos ya que se encuentran abandonadas y en algunos casos les falta mantenimiento, según opiniones de profesionales en proyectos, indican que el problema se identifica a la falta de coordinación y trabajo de campo en el momento de elaborar los proyectos de inversión y al ser ejecutados y entregados no cumplen la finalidad por la que fueron creados, mucho más aún se observa que no todos los municipios y gobernaciones cuentan con un reglamento de cierre de proyectos. Es en este sentido la importancia de realizar la identificación de los procedimientos técnicos, administrativos y legales del proceso de cierre de proyectos de inversión pública para elaborar un modelo que permita mejorar la gestión de los gobiernos municipales, el mismo que se conseguirá a través de la conceptualización a los proyectos de inversión y sus diferentes fases de evaluación, describir los procedimientos técnicos, administrativos y legales de cierre de proyectos de inversión en Bolivia , identificar la normativa legal que sustenta a las Gobiernos Municipales la elaboración de un manual de cierre de proyectos de inversión y caracterizar un modelo de cierre de proyectos para los diferentes municipios de Bolivia.