bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative Analysis of Transradial and Transfemoral Arterial Approach When Performing Diagnostic Coronary Angiography
Authors: Jahic Alan , Mujanovic Emir , Bajric Mugdim , Mirsic Denis , Hasukic Ismar
Published: March 2023

Background: The transfemoral (TF) arterial approach is still the most commonly used approach for performing diagnostic coronary angiography in most centers in the world as well as in Bosnia and Herzegovina. Recently, the transradial (TR) arterial approach has gained more and more supporters among interventional cardiologists. Objective: The aim of the study was to compare the duration of the procedure, the amount of delivered ionizing radiation, the amount of applied contrast agent, the frequency of procedural complications and patient comfort during coronary angiography performed via TR and TF arterial approach. Methods: The total sample of 240 respondents was divided into two groups in such a way that the first group consisted of 121 respondents who underwent coronary angiography using TR arterial approach, and the second group consisted of 119 respondents who underwent coronary angiography using TF arterial approach. The Mann-Whitney U test was used to verify the research objective. Results: The obtained research results showed that the duration of coronary angiography and the amount of radiation was greater when using TR arterial approach compared to TF approach. There is no statistically significant difference in relation to the amount of applied contrast medium and the frequency of complications between the two approaches. Periprocedural and postprocedural comfort was better in patents who underwent TR approach. Conclusion: The findings of this study show that diagnostic coronary angiography performed via the TR arterial approach is as safe for the patient as diagnostic coronary angiography performed via the TF arterial approach. With both approaches, there is no significant difference in the amount of contrast agent used nor in the frequency of complications. Procedure duration and radiation exposure are shorter when TF arterial approach i used, while patient comfort is better when the TR arterial approach is used.
Change for sustainable agricultural business : Addressing business model transformation and sustainable value creation
Authors: Sadovska Vera
Published: March 2023

Society is facing global challenges, such as poverty and climate change, that affect entire ecosystems and human communities. Many sustainability challenges arise from existing production and consumption patterns, and thus many believe that business transformation to sustainability is essential to solving global socio-ecological problems. Understanding how sustainable business models are configured, and why companies adopt them, can be a pathway to system transformation. However, because of the complexity of sustainability challenges, they resist simple solutions and require innovative approaches. This thesis explored the potential for transformation to sustainability from the viewpoint of business model transformation in agri-food businesses, to understand why and how transformation happens, and how it can be facilitated at systems level. The focus on businesses in the agri-food sector was chosen to improve understanding of sustainable value creation in the agricultural and food production sector by transformation of business models to include sustainability. Creation of sustainable value through transformation of agricultural business models for sustainability, which act as a unifying structure for policy implementation by integrating the strategic, procedural and operational activities of a business, was analysed. The results revealed managerial, organisational and inter-organisational processes related to this transformation, which were further conceptualised. Examination of the concept of value in the agri-food sector and the business models of agri-food companies revealed a multiplicity of value creation activities, a range of motives for sustainable business model transformation and interconnectivity between companies and their surrounding environment. Overall, the results showed that sustainability can be placed at the core of an organisation. A novel contribution to the conceptual domain was creation of a new framework for sustainable value creation in the agri-food sector. This framework emphasises the need for simultaneous and equal integration of economic, social and environmental principles of sustainable development in value creation logic. It builds on the open character of sustainable business models and recognises theimportance of inter-organisational interactions to navigate transformation to sustainability. In particular, the framework promotes a more contextualised perspective on business model research, paying particular attention to multi-stakeholder interactions, learning, leadership and individual beliefs of key decision-makers.
An Improved Public Key Infrastructure (PKI)-Based Digital Signature Authentication Service for Higher Key Storage System
Authors:   Department of ECE, Muthayammal Engineering College, Namakkal, India, B Gopi , M Sutharsan ,   Department of ECE, Muthayammal Engineering College, Namakkal, India
Published: March 2023

In general, we quickly forget about boxes with paper archives, and there is not even a single sheet of paper on the desktop. If a paper document is sent to the institution through regular mail, the artifact is immediately scanned and digitized. In fact, it turned out to be quite the opposite. The more a company uses computers for digital workflows, the more it documents and prints. Above all, every document must be authenticated. A document without a signature is only a draft or an information note. To get the signature, the documents are printed and then often scanned, and the original documents are kept on file. It is now clear that the (paperless) workflow cannot be implemented without electronic digital signatures. In this study, an improved public key infrastructure-based Digital Signature Authentication Service is proposed for higher key storage system. In this method, the CAs included in the list provide certificate-based digital identifiers and time stamping services that comply with global regulations, such as the eIDAS standard. Electronic digital signatures are already supported for most popular office document formats. Timestamps are supported, including multi-person document signatures.
Philosophy of the Other in Virginia Woolf’s Between the Acts
Authors:   Liberal Arts Innovation Center, Noh Young Shin
Published: March 2023

Virginia Woolf’s novels largely focused on questions of self and other, intimacy and distance, communication and alienation. In Between the Acts, the final novel published after Woolf’s suicide in 1941, Woolf concerns herself with questions of how other people can be known and understood. Through the crises of faith in the possibility of ultimate knowability and complete understanding that emerge from the war, a prevalent sense of unpredictability saturates and shapes Woolf’s Between the Acts. Such failures of communication are a familiar characteristic of modernist novels. However, I argue that Between the Acts portrays such gaps as the very encounter with alterity that can define the ethics of modernism. The rethinking of ethics focused on responsibility for the absolute other, associated closely with Emmanuel Levinas, enables a more complex understanding of the novel. Focusing on its status as deeply engaged with questions of war, death, and sympathy for others, I suggest that Between the Acts interweaves epistemological, ethical, and political concerns. Reading the novel in dialogue with Levinas helps to clarify the philosophy of the other in Woolf’s Between the Acts.
Representation of Memories or The Way of Embellishing Fictional Memories in SF Films: Focus on the Audio-Visual Expression Style of Film
Authors:   Liberal Arts Innovation Center, Oh Se Seop
Published: March 2023

In science fiction (SF) films where various personalities such as humans, cloned humans, and androids exist, the memory of the characters often plays an important role. Their memories are represented as flashback scenes through cinematic techniques.
In this study, the methods of representing memories are classified into visual imagery, montage, and dialogue, and corresponding SF films are examined. Then I look into how the representation technique of memory works on the audience.
In Before We Vanish (2017) and Oblivion (2013), a method of mixing the truth and fiction of memories was used through visual similarity, and in Paycheck (2003) and Miss Yang (2021), the process of finding hidden memories appears by changing the time when the flashback scene is put in. In Total Recall (1990) and Moon (2009), there are scenes in which memories of the past are recalled through the words of others.
Memories represented in various ways become a criterion for judging selfidentity, progressing an event, or becoming an element of reversal. Ultimately, memories convey the theme the film wants to talk about. Through this study, it is possible to know the expression technique of flashback scenes shown in movies, and to confirm the effect of the completeness of reproduction on the audience's immersion.
Study on the Process of Local Culture Contentization: Based on Record for Dance
Authors:   Liberal Arts Innovation Center, Lim Su Jeong
Published: March 2023

This study examines the process of recording disappearing local culture in the form of dance and explores its meaning. The main purpose is to present a research direction for local culture contents by focusing on the process rather than the results.
‘Record for Dance ’ is a project selected for the individual field of Chungnam Dance and Arts Support conducted by the Chungnam Cultural Foundation. This project differs from existing art work by reflecting the content found in the recording process into the work.
In order to record Hongsan Mosi, which is in danger of disappearing, four interviews were conducted with Choi Byung-hun, chair of the Hongsan Cultural P reservation Society, Jin Soo-beom, chair of Hongsan Peddler Preservation Society, and two weaving masters, Lim Yang-soon and Cho Onsook.
During the interviews, it was found that Choi Byung-hun, chair of the Hongsan Cultural Preservation Society was trying to protect his hometown's culture by making songs of the old Hongsan’s image to preserve and develop the forgotten Hongsan culture. ‘Dance Film ’ was produced based on the Hongsan Mosi story of the local Hongsan people. The content of the dance film symbolically expresses the life of Lim Yang-soon, a master who raised his children alone while weaving a Mosi. In addition, 《Hongsan Mosi Taryeong》 by C hoi Byung-hun was u sed a s a sound source, and costumes made of naturally dyed Mosi, which were woven by a weaving master who participated in the interview, were utilized.
The work of reflecting culture in art is conducted with local people who have experienced and grown up with the local culture, and from this point of view, contentization work is only possible when artists work together, not alone. With this perspective, this study is expected to play a major role in presenting the direction of local cultural research utilizing art.
Regional Status of the 3·8 Democratic Movement for Fostering Democratic Citizens
Authors:   Liberal Arts Innovation Center, Lee Nae Kwan , Lee Young Jo
Published: March 2023

In this study, the spirit of the times and the regional status of the 3·8 Democratic Movement were examined. As is well known, the 3·8 Democratic Movement occupies a very important position not only in the Daejeon region but also in the history of democratization in Korea in that it became the mother of the 4·19 Revolution. Above all, this study discusses that it was a voluntary student movement triggered by students' anger against the Liberal Party regime, and this acted as a premise to create a regional status of the 3·8 Democratic Movement. The peculiarity of the 3·8 Democratic Movement is that it was not just a specific high school in the Daejeon area, but a coalition of several schools.
In addition, the regional status of the 3·8 Democratic Movement is related to fostering democratic citizens. The 3·8 Democratic Movement was not an impromptu movement by high school students at the time, but contained the identity of a planned and voluntary uprising. It is also an incident that implies both the uniqueness of student-led initiatives for freedom, democracy, and justice, and the identity of Daejeon local residents. Based on this regional status, the 3·8 Democratic Movement can be used as an educational source for fostering democratic citizens.
A Study on the Improvement Plan of Fire Safety Index through the Analysis of Fire Statistics: Focusing on the Fire Statistics Analysis of Daejeon Metropolitan City
Authors:   Liberal Arts Innovation Center, Chae Jin
Published: March 2023

Recently , the fire safety index of Daejeon Metropolitan City continues to remain low, so research on ways to improve the fire safety index is needed. Therefore, the purpose of this study is to suggest ways to improve the fire safety index of Daejeon Metropolitan City based on the analysis of fire occurrence statistics in Daejeon Metropolitan City over the past five years. Firstly, as a way to improve the fire safety index, the number of deaths from dwelling fires should be reduced and residential fire fighting equipment should be installed to detect dwelling fires in advance. Secondly, explosion accidents at factory facilities should be prevented, and fires caused by cigarette butts should be prevented. Furthermore, preventive measures against electric fires should be implemented, and experiential fire safety education and training must be conducted continuously. Finally, information activities are needed for effective fire prevention.
Phenomenology Causes of the Low Application of Community-Based Total in Coastal Area, Konawe Island Regency
Authors: Anil Musmina Nila , Azizi Jayadipraja Erwin , Umi Nurlila Ratna
Published: March 2023

Introduction: Community-based total sanitation is a strategy for involving the community in sanitation programs that are carried out to change sustainable hygienic and sanitary behavior. The coastal area of Konawe Kepulauan Regency ranks the 2nd lowest in the implementation of Community-based total sanitation. The purpose of this study was to determine the cause of the low community-based total sanitation Stop Open Defecation and Management of Household Waste in the Coastal Area of Konawe Islands Regency.

Method: This type of research uses qualitative research, a phenomenological approach. Informants consist of key informants as many as 5 people, regular informants 7 people, and people residing in the area of Langara and Lansilowo Health Center. Snowball sampling technique and data analysis using data reduction, data display, and data conclusion techniques.

Result: The results showed thatthere are still many people who have not implemented stop defecation due to a lack of knowledge, housing conditions in coastal areas, lack of latrines, habituation, and the economy. The community does not dispose of waste in its place due to several factors, namely the absence of a temporary disposal site and final disposal site.

Conclusion: The phenomenon that causes people not to apply community-based total sanitation in the Coastal Area of Konawe Islands Regency is due to a lack of community knowledge, economic factors, lack of facilities or infrastructure, and also a habitual factor so that they have not implemented Community-based total sanitation on the coast of Konawe Islands Regency
CHẤT LƯỢNG CUỘC SỐNG CỦA NGƯỜI BỆNH LOÉT HÀNH TÁ TRÀNG CÓ NHIỄM HELICOBACTER PYLORI TRƯỚC VÀ SAU ĐIỀU TRỊ TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI
Authors: Hoàng Anh Tú , Nguyễn Thị Vân Hồng
Published: March 2023

Mục tiêu: Đánh giá chất lượng cuộc sống và một số yếu tố ảnh hưởng trên người bệnh loét hành tá tràng có nhiễm H. pylori trước và sau điều trị tại Bệnh viện Đại học Y Hà Nội. Phương pháp: Nghiên cứu mô tả cắt ngang được thực hiện tại Bệnh viện Đại học Y Hà Nội trên 200 người bệnh loét hành tá tràng có nhiễm Helicobacter pylori trước và sau điều trị với mục tiêu đánh giá chất lượng cuộc sống của người bệnh và mô tả một số yếu tố ảnh hưởng. Kết quả và kết luận: Điểm trung bình chất lượng cuộc sống theo thang điểm SF-36 (thang điểm 100) là 66.66 ± 13.70. Tỉ lệ người bệnh có chất lượng cuộc sống ở mức độ trung bình với tỷ lệ là 70.5%. Tỷ lệ người bệnh có chất lượng cuộc sống ở mức độ thấp là 0.5%. Có mối liên quan giữa chất lượng cuộc sống với nhóm tuổi từ 40 tuổi trở lên, nơi ở. Mức độ thay đổi sức khỏe thể chất, sức khỏe tinh thần, chất lượng cuộc sống ở nhóm có triệu chứng đau thượng vị, đau về đêm lúc trước điều trị cải thiện rõ rệt hơn nhóm còn lại có ý nghĩa thống kê với p < 0,05. Bệnh viện cần nghiên cứu các giải pháp cải thiện triệu chứng đau ở người bệnh loét hành tá tràng có nhiễm Helicobacter pylori để người bệnh có chất lượng cuộc sống tốt hơn đặc biệt là ở người cao tuổi.
MỘT SỐ YẾU TỐ TẾ BÀO TRONG TIÊN LƯỢNG Ở BỆNH NHÂN ĐA U TỦY XƯƠNG CÓ SUY THẬN ĐƯỢC ĐIỀU TRỊ TẠI BỆNH VIỆN BẠCH MAI
Authors: Phạm Phương Thảo , Vũ Minh Phương , Dương Hải Yến
Published: March 2023

Mục tiêu: 1. Mô tả một số yếu tố tế bào ở bệnh nhân đa u tủy xương (ĐUTX) có suy thận. 2. Phân tích mối liên quan giữa yếu tố tế bào với kết quả điều trị nhóm bệnh nhân nghiên cứu. Đối tượng và phương pháp nghiên cứu: thiết kế nghiên cứu: thuần tập hồi cứu. 51 bệnh nhân đa u tủy xương có suy thận tại Trung tâm Huyết học Truyền máu bệnh viện Bạch Mai từ năm 2019 đến năm 2022 được phân tích các chỉ số trước điều trị bao gồm: NLR (tỷ lệ bạch cầu trung tính/ bạch cầu lympho), LMR (tỷ lệ bạch cầu lympho/ bạch cầu mono), NMLR (tỷ lệ bạch cầu trung tính + mono/ bạch cầu lympho), HGB (nồng độ hemoglobin),  SLTC (số lượng tiểu cầu), và đánh giá mức độ lui bệnh, OS (thời gian sống toàn bộ).Kết quả nghiên cứu: Tuổi trung bình của nhóm nghiên cứu là 58,5 tuổi, nam giới chiếm 64,7%, thể bệnh gặp nhiều nhất là ĐUTX chuỗi nhẹ (49,1%). Chỉ số  NLR ≥ 2, LMR < 3,6, HGB <100 g/l, SLTC <150 G/l, là những yếu tố tiên lượng xấu có liên quan đến giảm thời gian sống toàn bộ (OS), và tỷ lệ lui bệnh 1 phần rất tốt (MPRT) trở lên. Kết luận: NLR, NMLR tăng cao, LMR, SLTC, HGB giảm thấp là yếu tố tiên lượng xấu đối với OS và đáp ứng điều trị của bệnh nhân đa u tủy xương có suy thận.
SO SÁNH ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ YẾU TỐ NGUY CƠ Ở NGƯỜI BỆNH HỘI CHỨNG WOLFF-PARKINSON-WHITE CÓ VÀ KHÔNG CÓ CƠN RUNG NHĨ
Authors: Trần Song Giang , Lê Sĩ Hiệu , Chu Dũng Sĩ
Published: March 2023

Mục tiêu: Nghiên cứu (NC) sự khác biệt Đặc điểm lâm sàng (LS), cận lâm sàng (CLS) và yếu tố nguy cơ ở người bệnh (NB) hội chứng Wolff - Parkinson - White (WPW) có cơn rung nhĩ (RN) và không có RN qua thăm dò điện sinh lý học tim (ĐSLHT). Đối tượng và phương pháp nghiên cứu: 49 NB vào điều trị tại Viện tim mạch - Bệnh viện Bạch Mai trong thời gian từ 8/2020 - 8/2021 được chia làm 2 nhóm: Nhóm NC gồm 18 NB hội chứng WPW có cơn RN (trên LS hoặc trong thăm dò ĐSLHT) và nhóm chứng gồm 31 NB có hội chứng WPW điển hình trên Điện tâm đồ (ĐTĐ) khi nhịp xoang. Kết quả: Tuổi trung bình của nhóm NC là 43,8 ± 17,6 năm. Tỷ lệ nam giới trong nhóm WPW có RN cao hơn nhóm WPW không có RN (83,3% so với 48,3%) với p < 0,05, tỷ lệ nữ giới trong nhóm WPW có RN lại thấp hơn so với nhóm WPW không có RN (38,8% so với 51,7%) với sự khác biệt có ý nghĩa thống kê (p < 0,05). Triệu chứng choáng, ngất trong cơn RN gặp ở nhóm RN (27,8%) cao hơn nhóm không có RN (6,5%) có ý nghĩa thống kê (p< 0,05). Tần số tim trong cơn RN trung bình là 205 ± 47 nhịp/phút. Trên ĐTĐ trong cơn RN có khoảng RR ngắn nhất là 246 ± 40ms. Không có sự khác biệt giữa 2 nhóm về các chỉ số CLS (huyết học, sinh hóa, ĐTĐ) và các yếu tố nguy cơ.
Smart Floor Cleaner using Mobile Application
Authors: Patil Rhutuja , Kulkarni Mohini , Mhadgut Sejal , Titare Prashant , Khairnar D.G
Published: March 2023

Automatic floor cleaner is a compact robotics system which provides floor cleaning service in room and big corporate spaces reducing human labor. Basically, as a robot it eliminates human error and provides cleaning activity with much more efficiency. If floor is cleaned manually then there is a possibility that the operator will leave some portion of the floor. Also, due to manual labor involved, floor cleaning becomes time consuming and irritating. Additionally, human errors, leaves by labor may affect the continuity of task. In big corporate places, floor area is very huge, and the people involved there for cleaning purpose cannot clean it with high efficiency. This is where the robot comes as an advantage. The robot is small and compact in size making it easy to carry and place wherever in the house. In industries the robot is very cost effective as compared to manual labor involved. The flexibility, time saving capability and efficiency makes the robot a good choice for cleaning the floor. Along with ease, functionality is also taken into account of. Enabling an app extension to the robot, the user gets access to features such as direction control and potential of many more, as demonstrated in this project. Key Words: Smart Floor Cleaner, ESP8266, Vacuum Cleaner, IoT, Wi-Fi, Controlled motion
Taking Location-Based Alerts to the Next Level with Geofencing 2.0
Authors: Kadri Ayesha , Patil Prof.Gayatri , Sanap Pawan , Gorde Shruti , Kabre Rutwik
Published: March 2023

Location-based services (LBS), also known as geofencing, recently took a proactive turn by sending out intelligent notifications whenever a user enters or leaves a specific geographic area. Therefore, it is impossible to connect several geofences over time. In order to define complex geofencing scenarios as state- and transition-based geofence models, we thus provide a novel method. Such a model considers the temporal links between geofences as well as the time limits for being inside a geofence or moving between geofences. These two elements are essential for handling complex scenarios in which notifications should only be issued when a user passes a certain number of geofences in a specific order or leaves a geofence after a certain period of time. Keywords- Ubiquitous Computing; Location-based Services,Geofencing; Location-based Notifications
Teoría del Caos Aplicada a Series Temporales de Siniestralidad en Seguros (El Caso boliviano 1975-2020)
Authors: Rojas Yanguas Iván Orlando , Rodrigo Guzmán Héctor David
Published: March 2023

The purpose of this research is to determine if the Insurance Claims in Bolivia is characterized as a random series par excellence (as the classical theory establishes), or if such characteristics correspond to processes explained mainly by Chaos Theory. For this, various classical statistical tests have been used, as well as those specifically designed to test chaotic characteristics such as fractal analysis and the presence of attractors. According to the results, it shows that the Insurance Claims in Bolivia, in the study period, meets the necessary and sufficient conditions to affirm that they come from a chaotic order with a single attractor.
Entre o texto e a vida: a formação continuada de professores da educação infantil na região do alto Sertão da Paraíba
Authors: De Oliveira Hellyegenes , Pandini-Simiano Luciane
Published: March 2023

O texto tem por foco analisar as iniciativas e estratégias na formação continuada de professores da Educação Infantil. A pesquisa, desenvolvida em uma perspectiva quanti-qualitativa, foi realizada no âmbito do Mestrado em Educação. Teve como sujeitos treze secretários municipais de Educação que atuam nos municípios da região de Sousa, no Sertão da Paraíba. Como instrumento de pesquisa foi utilizado um questionário contendo perguntas fechadas e uma aberta. A análise do material produzido foi realizada por meio da técnica de análise de conteúdo de Bardin. A partir do diálogo com a legislação educacional brasileira e entre diferentes autores, como Campos, Kramer, Tardif e Lessard, e Dourado, o resultado permitiu observar que, embora todos os municípios relatem desenvolver formação continuada com os professores, ainda se evidenciam lacunas quanto à especificidade da formação na área da Educação Infantil. Do texto à vida, as políticas da Educação Infantil parecem imprimir a garantia do direito à formação continuada de professores nessa etapa da educação básica, contudo seus efeitos no contexto da prática ainda permanecem invisíveis, despercebidos. A organização, a forma e o conteúdo das formações remetem à necessidade de (re)pensar um percurso formativo que possibilite aos professores dialogar, refletir, questionar, ampliar sua leitura da educação e cuidado na primeira infância e de mundo.
Preparação de dados e boas práticas em pesquisas quantitativas
Authors: Santino Bizarrias Flavio , Ferreira da Silva Luciano , Penha Renato
Published: March 2023

Estudos quantitativos são considerados aqueles que recorrem a representações numéricas dos aspectos relacionados ao fenômeno de estudo, de maneira descritiva, ou pode-se ainda se considerar como estudos quantitativos aqueles em que o pesquisador estabelece hipóteses que serão testadas por meio de técnicas estatísticas inferenciais. Em ambos os casos, antes mesmo de se realizar análises sobre os dados coletados, o pesquisador deve inspecionar os dados obtidos de maneira a prepará-los para que as inferências sejam feitas sobre uma base de dados confiável, o mais livre possível de causas de viés que venham a distorcer as análises realizadas. Este comentário editorial tem por objetivo apontar alguns cuidados importantes que os pesquisadores devem ter nos seus estudos quantitativos, antes mesmo de aplicar qualquer teste estatístico. Estas recomendações se iniciam desde a etapa de planejamento da pesquisa, passando pela coleta, alcançando a etapa de preparação dos dados e análises prévias que se recomenda que sejam feitas para a apresentação dos resultados. Portanto, são abordadas recomendações diversas, como por exemplo, o tratamento de vieses do método comum, dados faltantes, multicolinearidade, tratamento de outliers, normalidade dos dados, preparação de variáveis, pressupostos dos testes, entre outras.
Bottoms up down under a Case Report of Emergency Vaginal Breech Delivery using Telehealth in Australian Remote Community
Authors:   Department of Obstetrics & Gynaecology, Mildura Base Public Hospital, Mildura 3500, Victoria, Australia., A Aboda
Published: March 2023

This report describes the use of Telehealth in outback Australia. In this case, an obstetrician could reach out and guide a primary health care worker to successfully resolve an obstructed delivery during the vaginal breech birth of an indigenous woman in a remote regional community. The events occurred in a small community health centre, approximately 300 km from the nearest obstetric service. The mother presented unexpectedly with contractions of active preterm labour leading to precipitant delivery. At the time of the video link, the Obstetrician saw a young aboriginal woman lying supine on a table, her skirt raised and her legs parted. A baby's lower limbs and body lay prone and unmoving, the head and neck still within the vagina. The woman was exhausted, and her care attendants were uncertain what to do. The situation was highly critical. After a moment of summation, the Obstetrician garnered the resources available, including the woman's sister, who was standing by her side, and the primary health care worker and coached them through the required steps of delivery to allow extraction and immediate neonatal resuscitation. The outcome was excellent, a testament to the mother's resilience and the support of her team. The case highlights inequalities faced by regional Australians; the isolation of profound distance, the scarcity of resources and opportunity, the proclivity of disease and risk, and the insatiable attrition of healthcare services inexorably stretched beyond their means. In this setting, it offers hope by acknowledging the success of innovative technologies such as Telehealth which can broaden the reach of virtual, face-to-face communication and allow us to connect in real-time to areas not otherwise accessible.
Challenges in Diagnosing Acute Mesenteric Ischemia in a Patient with COVID 19
Authors:   Department of General Medicine, Royal Hobart Hospital, Hobart, Tasmania., Ekladious Adel
Published: March 2023

Extrapulmonary manifestations of COVID-19 including acute mesenteric ischemia are being increasingly recognized and associated with extremely poorer clinical outcomes. Because of unclear clinical presentation, non-specific early imaging, and laboratory findings, may lead to loss of valuable time. Considering the high thrombotic risk in COVID-19, it is crucial to consider the high suspicion of acute mesenteric ischemia in patients with acute abdominal pain. Here, we present a challenging case of an elderly female who developed an acute superior mesenteric artery thrombosis as a result of COVID 19.
Lacrimal Gland involvement in systemic Sarcoidosis
Authors:   Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, 97239, USA., Khazaei Hadi
Published: March 2023

Lacrimal gland lesions generallypresent as palpable masses in thesuperolateral aspects of the orbits. Approximately 50% of lacrimalgland masses are inflammatory lesions, 25% are lymphoid lesions or lymphoma, and the other 25% are salivary gland type tumors. Although there are overlaps and exceptions, features such as laterality, portion of gland involvement, presence or absence of bony findings, enhancement pattern, andclinical presentation are valuable in differentiating among lacrimal gland lesions. The 3D ultrasound has been used to define lacrimal gland shape, size, density, structural features the pattern of blood supply, as well as the anatomic and topographic position in the orbit. The study was conducted in the B- and 3D-modes of ultrasonography with color and energy Doppler mapping on both sides.
Abernethy Syndrome Type 1B in a Young Male presenting with acute gastrointestinal bleeding: A Case report
Authors:   Department of Gastroenterology and Hepatology, University Hospital of Split, Spinciceva 1, 21000 Split, Croatia., Jukic Ivana
Published: March 2023

Abernethy syndrome is a rare congenital extrahepatic portosystemic shunt (CEPS) in which splanchnic blood flows straightly into the inferior vena cava (IVC). Compared to type 1, in which the intra hepatic portal tree is not developed, in type 2 the portal vein is intact, but forms an anastomosis with the IVC. In the subtype 1a, superior mesenteric and splenic veins do not merge into the portal vein, while in type 1b they anatomically form the portal vein. CEPS can cause a wide spectrum of clinical manifestations including hepatic, pulmonary, metabolic and neurological symptoms and is usually diagnosed before adulthood. The diagnosis is established using the radiological imaging methods. Whileliver transplantation is the treatment of choice for type 1, surgical or minimally invasive endovascular shunt closure are treatment options for type 2 Abernethy syndome.
Posterior lumbar puncture in old orthopedic table: A two case report and two videos
Authors:   Anesthesiologist and Co-responsible for CET-SBA Hospital Clínicas Municipal de São Bernardo do Campo, SP, Brazil. Senior Researcher of INCA, Rio de Janeiro, RJ, Brazil., Imbelloni Luiz Eduardo
Published: March 2023

The purpose of these two case reports was to demonstrate the possibility of using the space between the back and the buttocks for access to the subarachnoid space and injection of spinal anesthesia complementation.
A hyperplastic growth of lip
Authors:   Division of Periodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India., Yadav Vikender Singh
Published: March 2023

A 25- year-old systemically healthy female patient reported with an aesthetic complaint due to a growth in the corner of right upper lip present for 2 months. Clinical examination revealed a solitary spherical-shaped bright red fibrous overgrowth measuring 4x4 mm involving the mucocutaneous line of upper lip (Figure 1A & B). On palpation, it was non tender, smooth in texture, and soft in consistency. Based on the signs and symptoms, a provisional diagnosis of fibroma was made with a differential diagnosis of pyogenic granuloma. After obtaining written informed consent, the lesion was excised in totowith 1 mm of healthy margin by performing two elliptical incisions (Figure 1C). The biopsied tissue was fixed in 10% formalin and sent for histopathological examination. Double-layered microsurgical suturing was done with 7-0 polyglactin suture (Figure 1D) followed by superficial suturing of the wound margins (Figure 1E). Postoperative instructions were given and analgesics were prescribed, as and when required. Healing was uneventful and sutures were removed at 10 days follow-up (Figure 1F). A good cosmetic outcome and high patient satisfaction was achieved at 3 months (Figure 1G & H).
Role of molecular biology in cancer treatment
Authors:   University of North Carolina at Greensboro, Joint School of NanoScience and Nano Engineering, North Carolina, USA., Assefi Marjan
Published: March 2023

Cancer is a genetic disease and essentially emerges because of various reasons incorporate enactment of onco-qualities, glitch of cancer silencer qualities or mutagenesis because of outer factors. Oncogenes are liberated type of typical proto-oncogenes expected for cell division, separation and guideline. The transformation of proto-oncogene to oncogene is caused because of movement, revamp of chromosomes or change in quality because of expansion, cancellation, duplication or viral disease. These oncogenes are focused on by drugs or RNAi framework to forestall expansion of dangerous cells. There have been created various strategies of sub-atomic science used to analyze and treat disease, including retroviral treatment, hushing of oncogenes and changes in growth silencer qualities.
Livestock and climate change: the key actors and the sufferers of global warming
Authors: SINGH VIR , RASTOGI AKANKSHA , NAUTIYAL NANDA , NEGI VRINDA
Published: March 2023

There are many agents of climate change. Livestock are one of them. Livestock contibutes to climate change by adding to greenhouse gases (GHGs). At the same time, livestock are one of the worst sufferers of the climate change. This paper discusses how the GHG emissions from livestock sector are phenomenol for climate change and how the climate change is affecting the performance of this sector and what could be the potential impact of this sector on public health. Livestock are more sensitive to climate change than cropping systems. Crossbred cattle are still more sensitive than their indigenous counterparts. There are strategies of reducing impact of climate change on livestock and improve their overall performance. Improved and effective management of natural resources and livestock sector would be phenomenal for reducing methane emission by changing the physiological processes inside rumen. There is need to formulate a policy to replace livestock products with better and more nutritive alternatives of which there is enormous scope in this world. Imposition of carbon taxes on meat industry would also help reduce carbon emissions from livestock sector.
EVALUACIÓN DE DAÑO POR Spodoptera frugiperda (J.E. SMITH) (LEPIDOPTERA: NOCTUIDAE) Y CARACTERIZACIÓN DE LOS RASGOS MORFOLÓGICOS FOLIARES EN POBLACIONES CRIOLLAS DE MAÍZ (Zea mays L.)
Authors: Ruiz-Sanchez Esau , Caro-Heredia Jaime Alexander , Latournerie-Moreno Luis , Ballina-Gomez Horacio Salomon , Ruiz-Santiago Roberto Rafael
Published: March 2023

Background. The fall armyworm Spodoptera frugiperda is one of the most damaging pests of maize in tropical areas. Objective. To evaluate the damage caused by S. frugiperda and the leaf morphological traits in 15 populations of maize landrace. Methodology. The leaf damage caused by S. frugiperda and four-leaf morphological traits (leaf blade thickness, leaf blade hardness, specific leaf area and trichome density) were evaluated at 20, 30 and 40 days after emergence (DAE) in two seasons, dry (March and April) and rainy (June and July). Spearman correlation between the degree of leaf damage and each leaf morphological trait was also evaluated. Results. Maize populations showed differential response to the damage caused by S. frugiperda among seasons and evaluating date. The leaf morphological traits were different between seasons and among evaluating dates. The trichome density had intermediate negative correlation with the level of leaf damage in rainy season (rs = − 0.32, p < 0.001). Implications. The lower leaf damage may be indicator of resistance against S. frugiperda. Conclusion. The population 2020−M62 had low susceptibility to S. frugiperda, this population may be candidate for maize breeding program.
Prevalence and Disproportionality of Autism Spectrum Disorders Among English Language Learners in Minnesota
Authors: Estrem Theresa , Zhang Shiju
Published: March 2023

The focus of research on disproportionality to date has been culturally and linguistically diverse (CLD) students with emotional/behavioral and learning disabilities and mental retardation. There is a dearth of research on the representation of CLD learners with autism spectrum disorders (ASD). Using data from the Minnesota Department of Education,we explored trends in prevalence rates of children who received autism special education services between 2001 and 2008, with a focus on students whose home language was not English. We found a dramatic increase over the past decade in prevalence rates of all students with autism, including English, Spanish, Somali, and Hmong speakers. Disproportionate representation was evident among students whose primary language was not English, and there were distinct differences among the various home language groups and the ages at which they first received autism services. We discuss the complex interactions between ethnicity, poverty, immigrant status, and historical-cultural issues as factors in the disproportionate representation of CLD learners.
EVALUATION OF SOME DICOTYLEDONOUS SEED EXTRACTS AGAINST COCONUT LEAF BEETLE, BRONTISPA LONGISSIMA (GESTRO) (COLEOPTERA: CHRYSOMELIDAE) AND SUBLETHAL EFFECT TO AN ENDOPARASITOID
Authors:   Department of Biology, College of Science, Bicol  University, Legazpi City, Philippines 4500, Novio Bryan V , Zipagan Mateo B. ,   Philippine Coconut Authority, Don Mariano  Marcos Avenue, Elliptical Road, Diliman, Quezon  City, Philippines1101, Amarga Ace  Kevin S. ,   Institute of Weed Science, Entomology and Plant  Pathology, College of Agriculture and Food  Science, University of the Philippines Los Baños,  College, Laguna, Philippines 4031
Published: March 2023

Aqueous and ethanolic seed extracts of Annona squamosa L. and Mangifera altissima B. were evaluated in the laboratory on adult coconut leaf beetles, Brontispa longissima G. Direct-spray method was employed in delivering the treatments to the test beetles. On the other hand, dip method was used in exposing parasitized pupae to different treatments. Laboratory results revealed that aqueous and ethanolic extracts of M. altissima at 15% w/v and 10% w/v, respectively and A. squamosa at 2%w/v and 10%w/v, correspondingly were comparable to Thiametoxam™. Percentage mortalities observed for all seed extracts used except the aqueous form of M. altissima exhibited a dose-dependent manner. Probit analysis revealed that the trend for LC50 for each seed extracts is M. altissima aqueous extracts (MAAE) >A. squamosa aqueous extracts(ASAE) >M. altissima ethanolic extracts (MAEE) >A. squamosa ethanolic extracts (ASEE). It was also found that based on recorded mean parasitoid emergence, Thiametoxam™ had greater sub-lethal effect than the botanicals on the natural enemy of coconut leaf beetle, Tetrastichus brontispae F. (5.00 ± 3.00). The chemical groups such as phenols, saponins and tannins might be possibly responsible for the observed bioactivities against the hispid beetle. UV-vis analyses of ethanolic fractions further revealed presence of secondary metabolite known to have several biological activities; annonasquacin for A. squamosa and mangiferin for M. altissima. Proper formulation of these materials can be developed as alternative control to B. longissima as they may offer selectivity than conventional insecticide and contain mixture of phytochemicals that can deter development of insect resistance.
Skaitymo skatinimo prоgramų rezultatų ir poveikio vertinimas
Authors: Rimkutė Audronė , Lukoševičiūtė Laura
Published: March 2023

Pastaraisiais dešimtmečiais nacionalinės skaitymo skatinimo programos daugelyje išvysčiusių šalių tapo ypač aktualia švietimo ir kultūros politikos užduotimi, kurios sprendimu tikimąsi prisidėti prie socialinės sanglaudos, gyventojų informacinio raštingumo, pilietiškumo ir kritinio mąstymo ugdymo. Augant šių programų populiarumui, daugėja ir tyrimų apie jų rezultatus bei poveikį, kuriais siekiama tiek sukurti tinkamą šių programų vertinimo metodologiją, tiek ir gauti duomenų, leidžiančių tobulinti jų priemones. Lietuvoje skaitymo skatinimo programos organizuojamos nuo 2006 m., tačiau sisteminis jų rezultatų ir poveikio vertinimas nėra atliekamas, tad nėra ir duomenų, ar šios programos pasiekia savo tikslą, kokie jų rezultatai ir poveikis. Šio straipsnio tikslas – aptarti kultūros projektų vertinimo principų taikymo skaitymo skatinimo programoms ypatumus, pristatyti jų vertinimo konceptualinį modelį bei pagal jį atlikto Lietuvoje vykdomos skaitymo skatinimo priemonės „Vasara su knyga“ tyrimo rezultatus. „Vasara su knyga“ yra didžiausią dalyvių skaičių pritraukianti skaitymo skatinimo priemonė Lietuvoje, galinti turėti žymų poveikį skaitymo populiarumui. Tyrimo metu buvo atlikta kokybinė priemonės dokumentų analizė, priemonės metu perskaitytų knygų kiekybinė bei kokybinė analizės, ir kiekybinė dalyvių apklausa. Dokumentų analizė buvo atliekama siekiant įvertinti priemonę tinkamumo kriterijumi, nusakančiu priemonės ir tų problemų, kurioms spręsti jinai inicijuota, santykį. Analizė parodė, kad skaitymo skatinimo programoje pateiktas skaitymo situacijos Lietuvoje aprašymas akcentuoja tiek skaitančiųjų kiekio, tiek ir skaitymo kokybės mažėjimą, tačiau „Vasara su knyga“ yra nukreipta tik į skaitančių žmonių skaičiaus didinimą, nekeliant su skaitymo kokybe susijusių uždavinių. Šią išvadą taip pat patvirtina priemonės metu perskaitytų ir užregistruotų knygų pavadinimų ir autorių kiekybinė bei kokybinė analizės. „Vasara su knyga“ dalyvių apklausa buvo atliekama siekiant įvertinti šią priemonę efektyvumo kriterijumi, kuris apibrėžiamas kaip priemonei iškeltų tikslų ir pasiektų rezultatų santykis. Ministerijos programoje „Vasara su knyga“ pristatoma kaip priemonė neskaitantiems ir mažai skaitantiems visuomenės nariams, tačiau apklausa parodė, kad priemonė populiaresnė tarp daug skaitančių žmonių, apibrėžiant juos pagal Lietuvoje perskaitomų knygų vidurkį, negu tarp mažai ar visai neskaitančių.
Generation and analysis of whole-genome sequencing data in human mammary epithelial cells
Authors: Park Jong-Lyul , Kim Jae-Yoon , Kim Seon-Young , Lee Yong Sun
Published: March 2023

Breast cancer is the most common cancer worldwide, and advanced breast cancer with metastases is incurable mainly with currently available therapies. Therefore, it is essential to understand molecular characteristics during the progression of breast carcinogenesis. Here, we report a dataset of whole genomes from the human mammary epithelial cell system derived from a reduction mammoplasty specimen. This system comprises pre-stasis 184D cells, considered normal, and seven cell lines along cancer progression series that are immortalized or additionally acquired anchorage-independent growth. Our analysis of the whole-genome sequencing (WGS) data indicates that those seven cancer progression series cells have somatic mutations whose number ranges from 8,393 to 39,564 (with an average of 30,591) compared to 184D cells. These WGS data and our mutation analysis will provide helpful information to identify driver mutations and elucidate molecular mechanisms for breast carcinogenesis.
Análisis de los riesgos por mitigar a través de la auditoría en operaciones electrónicas en Paraguay al 2022
Authors: Zárate Arce Nélida Elena
Published: March 2023

Si bien las operaciones electrónicas en Paraguay habían comenzado un proceso de adopción en el país, con la pandemia, la innovadora práctica experimentó una aceleración hasta acompañar e inyectar dinamismo al mercado. Además, se genera un cambio de hábito en los consumidores, quienes experimentan cada vez más los canales digitales para realizar compras y pagos de servicios, entre otros. Igualmente, las alternativas de pago también son un importante diferenciador en los canales de venta, brindan mayor transparencia y trazabilidad en transacciones y, se caracterizan por ofrecer rapidez e inmediatez al momento de realizar las operaciones, en el país se cuenta con un Marco legal Ley N° 6.822/2021 “De los servicios de confianza para las transacciones electrónicas, del documento electrónico y los documentos transmisibles electrónicos, Ley 4595/12 “Sistemas de Pagos y Liquidación de Valores, Ley N° 1015/1997 “Previene y Reprime los Actos Ilícitos Destinados a la Legitimación de Dinero o Bienes, tipifica el delito de lavado de dinero o bienes”, Resolución N° 6 de fecha 13 de marzo de 2014 que aprueba el reglamento de los pagos electrónicos; asimismo con el aumento de estas operaciones en el sistema financiero digital en nuestro país aún no existe una gestión de riesgos asociados con las implementaciones de Operaciones Electrónicas en general, por lo que surge la siguiente pregunta: ¿Cómo se mitigan los riesgos a través de la auditoría en operaciones electrónicas en Paraguay año 20220? Entre las principales conclusiones a las que llega este estudio, es la importancia que toda entidad que opera a través de la modalidad electrónica identifique los riesgos existentes para reducir el impacto que pudiesen generar en las empresas; también que las operaciones electrónicas requieren que el auditor contable esté consciente que es necesario utilizar la tecnología de información para el desarrollo pleno de la profesión, ya que se considera una herramienta que les ayuda a profundizar su trabajo y a mejorar el alcance en sus procedimientos.
What We Talk About When We Talk About Reincarnation
Authors: Daschle Edward ,   After Dinner Conversation
Published: March 2023

What makes one belief true, and another absurdly false? What does it mean to “be a man” or “be a woman” when biology is changeable? In this work of philosophical short story fiction, two couples have gotten together for a night of drinks. The conversation turns to reincarnation, fortune tellers, the 1980’s AIDS epidemic, and soulmates. Eventually, Jaime, who was born a woman, but transitioned to become a man, reveals to the group she is going to have a baby, “as a man.” The issue comes to a head when Mike, a gay man, questions how Jaime can have a baby yet identify as a man and questions what it even means to be a man, or a woman, if not by the ability to have children.
The House of God
Authors: Greenstein Shannon Frost ,   After Dinner Conversation
Published: March 2023

What do you tell a sick child dealing with the Epicurean “problem of evil?” In this work of philosophical short story fiction, a mother takes her child to Sunday church. Her child is sick and his hair is slowly falling out. She reassures him God still wants him to come to church (even without hair), but a mean-spirited parishioner tells the boy, “Boys who wear hats in church go to hell.” The boy comes home and asks his mother how God can be both all powerful, all knowing, and all good, and yet he can still be sick. Furthermore, he tells his mother, he doesn’t want to go to church again.