bluuebunny/crossref_metadata_2025 huggingface dataset:
Cardiopulmonary Fitness among Nursing Students of Mid-Western Nepal: A Descriptive Cross-Sectional Study
Authors: Pun Dilli Bahadur , Thapa Bobby
Published: January 2023

Background Cardiopulmonary fitness in terms of maximum aerobic capacity (VO2 max) reflects the total physical fitness of a person. Nursing students, who are the future health care workers and a role model, are more likely to encourage their patients to adopt healthy habits. However, there is a gap of evidence about nursing student’s physical fitness. Thus, this study aimed to assess the cardiopulmonary fitness in terms of VO2 max among the nursing students of Nepalgunj Nursing campus, Banke, Nepal.
Methods A cross sectional study was conducted to assess the cardiopulmonary fitness among the nursing students enrolled in Nepalgunj Nursing Campus using a non-probability purposive sampling technique. Queen’s College Step test was conducted along with anthropometric measurements. Descriptive analysis, and chi square test was done using SPSS v20. Ethical approval was taken from the Institutional Review Committee, Institute of Medicine, Tribhuvan University (Ref-99(6-11) 077/078).
Results Total 189 female nursing students participated whose mean age was 21.06±3.41 years. Thirty-six (19%) were overweight and 11 (5.8%) were obese. Out of total, 56 (29.6%) had a high-risk waist hip ratio. Almost half (42.9%) of the respondents had superior level of VO2 max with mean VO2 max value of 43.605±10.686. There was a significant association between VO2 max and BMI (X2 =18.856, p=0.016).
Conclusion There is superior level of cardiopulmonary fitness among the young nursing adults. Since BMI is associated with VO2 max, one should be aware of maintaining a normal BMI.
A Prospective Study of Foreign Bodies in Aero-Digestive Tract at a Tertiary Care Center in Eastern Nepal
Authors: Sah Bajrang Prasad , Chhetri Shyam Thapa , Sah Shankar Prasad , Paudel Deepak , Sarraf Deependra Prasad
Published: January 2023

Background Aero-digestive tract foreign body (FB) is a common emergency dealt by the otolaryngologists. Airways FB have been a major cause of morbidity and mortality. Management of FB depends on the site of impaction and types of it. The study aimed to find out the incidence, types and complications of FB encountered in aerodigestive tract.
Methods A hospital-based prospective study was conducted among the patients with aero digestive FB presented and managed at the department of ENT and HNS from August 2015 to July 2017. A self-designed proforma was used to collect the relevant data. A descriptive analysis was made of the frequency distribution of qualitative variables. The findings were presented as tables and graphs.
Results A total of 276 patients were treated for FB in aero-digestive tract and 158 (57.25%) patients were male. 90 (32.6%) cases of FB occurred in age group of 1-10 years. Ninety six cases of foreign body (34.78%) were chicken bone followed by other bone (20.65%) and coin (18.12%). All cases of coin were seen in children <13 years old and disc Battery in children <10 years old. Out of 276 cases of foreign bodies, 254 (92.03%) were in upper digestive tract and 22 (7.97%) in airways. About 140 (50.72%) were in cricopharynx, 103 (37.32%) in esophagus and 11 (3.99%) in other sites in intestine.Complications were seen in 10 (3.62%) cases and retropharyngeal abscess was the most common (60%).
Conclusion Cricopharynx was the most common site of FB lodgment in the digestive tract. Right main bronchus was the commonest site of lodgment of inhaled FB. Seeds, nuts, whistles, small toys were commonly seen obstructing the airway in children. They need to be trained not to keep these things in the mouth.
Experience of Intimate Partner Violence among University level Female Students in Kathmandu
Authors: Shrestha Radhika
Published: January 2023

Intimate partner Violence is one of the most widespread and may take place in any age, family, community, cultural, ethnical or religious group and religions in different forms and disparately impacts their life. Violence against Women (VAW) by their husband is one of the most common forms of violence in our society. Therefore, cross-sectional survey was conducted among female students studying in bachelors and masters level at Baneshwor Campus using structured and semi-structured questionnaires. A total of 215 participants were randomly selected and data were collected from the 1 December 2020 to 30 January 2021. One-thirds of the respondents were married. Married participants reported about their violence experience perpetrated by their husbands. The prevalence of emotional violence 40% was higher than physical 33% and sexual violence20%. Women with land ownership, employed, members of community groups and those who were married to husbands with the higher level of education were less likely to experience physical violence. Women who did not own land (OR=2.92), unemployed (OR=1.21) were more likely to experience violence than those who owned land and were employed. Similarly, lower level of husband's education (OR=3.35) and unskilled jobs(OR=1.56) were associated with the higher occurrence of violence compared to their husbands having university level of education and government job or working abroad. Women experienced violence by their husband is common among educated girls.
Towards Post-Institutional Individualism: Ralph Ellison’s Invisible Man and the Therapeutic Politics of Dissent
Authors: McIntyre Chris
Published: January 2023

This essay explores Ralph Ellison’s engagement with social psychiatry in Invisible Man as it pertains to psychiatrist Harry Stack Sullivan’s interpersonal theory of psychiatry. The novel renders traumatic experiences of psychiatric violence into a comprehensible form of political expression and dissent. Ellison’s representation of violence, particularly through electric shock, constitutes a deinstitutionalized psychiatric subject that challenges the role of institutionalized psychiatry in adjusting subjects to Fordist production through a form of deinstitutionalized individual therapy of withdrawal and self-regulation. However, this deinstitutionalized therapy would later be appropriated by mental health consumerism in a post-institutionalization era beginning in the 1970s.
Mental Health First Aid Training for Allied Health Clinical Educators: A Pre- and Post-Evaluation
Authors: Lo Kristin , Ahern Geoffrey , Rossetto Alyssia , Farlie Melanie K.
Published: January 2023

Purpose:

Health profession students may experience mental health issues during training, and clinical educators report that they don’t feel confident in supporting students with these issues. This study explored whether a customized Mental Health First Aid (MHFA) training programme changed the knowledge, perceptions, intentions, and confidence of clinical educators in supporting students with mental health issues in the workplace.

Method:

Twenty-four allied health clinical educators from a tertiary health service attended a two-day customized MHFA course. The educators completed assessments before (n = 21) and after (n = 23) the course. Quantitative data was analyzed using independent t-tests. Qualitative data was thematically analyzed using content analysis.

Results:

Knowledge improved significantly (p = <0.001). The confidence to manage students with mental health issues increased significantly (p < 0.001). A significant change in perception was only found with respect to a character in a scenario being dangerous or unpredictable. Intentions to assist co-workers and students with mental health issues improved for all items but not necessarily significantly.

Conclusions:

This programme improved educators’ knowledge of mental health, perceptions of people with mental health issues, intentions of providing help, and confidence to support people with mental health issues.
Bem-estar em equinos hospitalizados
Authors: Melo Ubiratan , De Souza Magna Pereira da Silva , Ferreira Cíntia , Baracho Mariana Tainar de Andrade Rodrigues , De Sousa Renato Fernandes , Assis Daniel Barbosa , Costa Mariana Henrique da Silveira , Da Silva Gabriel Evangelista Lopes , Silva Leanderson Paiva da
Published: January 2023

Horses are complex sentient beings with specific needs that together determine their degree of well-being. The well-being of hospitalized patients has been the focus of increasing interest in veterinary medicine. This article aims to review animal welfare practices that can be applied during the period of hospitalization of horses. Veterinary practice, whether in the field or in a hospital environment, must consider the principles of the five freedoms, seeking to promote positive emotions during patient treatment.
Importância das práticas de bem-estar na performance equina
Authors: Melo Ubiratan , Silva Gabriel Evangelista Lopes da , Sousa Renato Fernandes de , Oliveira Alinne Gonçalves Galvão de , Ferreira Cíntia , Silvestre Anny Carolina da Conceição , Souza Magna Pereira da Silva de , Baracho Mariana Tainar de Andrade Rodrigues , Costa Mariana Henrique da Silveira , De Assis Daniel Barbosa
Published: January 2023

The use of horses to practice sports has shown significant growth in all regions of Brazil, and because of this, attention to the adoption of practices that guarantee the well-being of animals has gained importance in congresses, academic seminars, and in society in general. The set of decisions adopted based on the knowledge of welfare results in a rewarding return both in terms of longevity and the equine's athletic performance in a given modality. This article aims to address the relationship between animal welfare and equine performance, since the approach to the subject is often neglected.
Senciência em cães e gatos: Revisão
Authors: BATISTA KEILA , Mota Dal Pont Ágata Aline , Cardoso Neto Nicolau , Negrão Silvio Luiz
Published: January 2023

Sentience is the ability that an individual has to feel positive and negative emotions and consciously have feelings. The scientific literature confirms that, in addition to humans, vertebrate animals and some invertebrates have neuronal substrates of consciousness. Dogs and cats have indicative behavioral and mental characteristics that lead them to be considered sentient beings. Therefore, this study aims to carry out a bibliographical survey of the last 15 years on sentience, specifically applied to dogs and cats. During the development of the research, it became evident that dogs and cats are sentient beings, as they demonstrate through body language, namely, corporeal, visual, vocalization expressions, as well as through neurological physiology, that they have mental capacity to feel pain and suffering.
Os benefícios do enriquecimento ambiental na dermatite psicogênica: Revisão
Authors: Neto João , Santos Guilherme , Ale Vanessa
Published: January 2023

Animal welfare is defined as the state of balance between the animal and its environment, described by acceptable physical and physiological conditions. It is the guardian's responsibility to ensure the welfare of their animals and adapt the environment to receive them. The growing appreciation of environmental enrichment for companion animals has been gaining prominence in recent years. Having its origin mainly in zoos, spreading to companion animals until arriving in large production animals. Some techniques are used in order to provide and adapt the environment so that these animals have a greater acceptance of the place where they live. Anxiety and stress are very characteristic symptoms of animals that live in impoverished or non-enriched environments, causing discomfort and behavioral disorders. Psychogenic dermatitis can be characterized as a chronic inflammation of the skin, causing undesirable behaviors such as excessive licking of the limbs. Environmental enrichment along with animal welfare will provide quality of life for animals, and thereby rid them of undesirable behavior.
Avaliação do bem-estar e posse responsável de animais de companhia do município de Xinguara, Pará
Authors: Paiva de Sousa Maria Clara , Sousa Maria Clara Laurindo Paiva de , Souza Saura Nayane de , Sousa Sebastiana Adriana Pereira , Santos Amanda Monteiro dos
Published: January 2023

In Brazil, companion animals are present in most Brazilian families, with Brazil being the country with the highest number of dogs -101 animals per 1000 habitants- according to a 2012 study carried out by Euromonitor International. It is estimated that 60% of Brazilian households have at least one pet. The present study has the general objective of evaluating animal welfare and the responsible pet ownership in the urban area of the city of Xinguara, Pará, Brazil, in order to provide subsidies for future educational activities. 112 people were interviewed, 62 women and 50 men. The total of animals in the studied population was 146. In this study, dogs represented the most isolated species, corresponding to almost half of the frequencies with 47.06%. It was observed that most of the interviewees have or already had pets in their homes, however responsible custody was not considered satisfactory for most of the domesticated animals. It was possible to verify that adoption is the main way of acquiring animals and that the vast majority of these animals are not sterilized. Of the total number of dogs and cats, only 11.97% were castrated against 85.21% of non-castrated animals. Most people from Xinguara do not know the meaning of zoonosis. Another relevant data is the perception of the majority of the population regarding the presence of stray animals in the city of Xinguara. From the results, the relevance of adopting educational policies focused on the importance of responsible ownership, as well as the sterilization of animals in the municipality of Xinguara, Pará, is evident.
Effects of Postbiotic from Bacteriocin-Like Inhibitory Substance Producing Enterococcus faecalis on Toxigenic Clostridioides difficile
Authors: Luenglusontigit Pawarisa , Sathapondecha Ponsit , Saengsuwan Phanvasri , Surachat Komwit , Boonserm Panadda , Singkhamanan Kamonnut
Published: January 2023

Objective: To determine the activities of postbiotics, prepared from bacteriocin-like producing Enterococcus faecalis (E. faecalis) against Clostridioides difficile (C. difficile) and its spores, and to assess the safety of postbiotics in vivo. Material and Methods: Bacteriocin production of E. faecalis PK1201 was screened by proteolytic enzyme treatment, and bacteriocin-encoding genes were characterized by whole genome sequencing. A postbiotic of E. faecalis PK1201 was prepared using neutralized cell-free supernatant or bacterial cell lysate, which was then used to screen for antimicrobial activity via agar well diffusion. The lyophilized cell-free supernatant (LCFS) was further determined for its minimum inhibitory concentration (MIC) against C. difficile 630. The morphological changes of C. difficile were observed under scanning electron microscopes (SEM). Subsequently, the LCFS at sub-MIC and MIC were used to evaluate anti-spore germination activity. Finally, the safety of postbiotics was accessed using the Galleria mellonella model. Results: E. faecalis PK1201 carried enterolysin A encoding gene. For postbiotic preparation, only LCFS exhibited antimicrobial activity, and the activity was completely lost after proteinase K treatment; indicating the existence of bacteriocin. LCFS showed anti-C. difficile with MIC of 18.2±6.9 mg/mL. The SEM images demonstrated shorter destruction of C. difficile cells after being treated with LCFS. Interestingly, LCFS at the MIC and sub-MIC revealed anti-spore germination activity against toxigenic C. difficile compared to the control. LCFS showed no acute toxicity in G. mellonella at the tested concentration. Conclusion: The powerful activity and safety of LCFS shed light on the role of postbiotics in pharmaceutical products to control CDI.
Prospectiveness of introduced species of the genus Gleditsia L. for garden protection plantings of the South of Russia
Authors: Melnik K. A. , Khuzhakhmetova A. Sh.
Published: January 2023

The Volgograd region is considered as a southern subject of Russia, with the potential for the active development of horticulture. The ameliorative role of garden protection plantings of openwork design and the experience of introduction work on the selection of adapted woody plants for a given type of plantings are shown. The limiting climatic conditions that determine the effectiveness of the creation and functioning of gardens of various types are identified. The goal is to identify the prospects of introduced species of the genus Gleditsia L. as an assortment for garden protection plantings in the south of Russia. An integrated approach was applied to assess the effectiveness of the introduction of four species and one form of the genus Gleditsia L. under conditions of chestnut soils (collections, forest plantations in the cadastral plots of the Federal Scientific Center for Agroecology of the Russian Academy of Sciences and its branch, Volgograd Region). The natural ranges of Gleditsia L. species were identified with the allocation of USDA frost resistance zones: G. aquatica (VIb - IXb, minimum temperatures from -19 °С to -2.5 °С) and G. texana (VIIb - IXb; from -14 °С to -2,5 °С), G. triacanthos (Vа – IX zones, with temperatures from -28 °С to -5 °С). Ecological and physiological assessment showed drought resistance in conditions of moisture deficiency and high temperatures. The water content of the leaf changed slightly (about 5 %): G. caspica – 67,8 % - 62,3%, G. triacanthos – 67,2 % - 62,0 %, G. texana – 64,5 % - 60,9 %, G. japonica – 61,5 % - 57,9 %. The inventory of the forest belt with the participation of G. triacanthos revealed the differentiation of trees according to the degree of their winter hardiness: the group with winter hardiness of 3 points – 38 % of the total number of registered specimens (280); 2 points – 41 %, 1 point – 21 %. Taxation indicators and high safety (93%) of G. triacanthos plants were obtained under conditions of chestnut soils of medium and light loamy granulometric composition, which are of practical importance for calculating the reclamation effect of plantations. The results of the arealogical analysis, ecological and physiological assessment, and the study of taxation indicators made it possible to isolate the introduced species of North American origin from the Gleditsia L. polymorphic generic complex: Gleditsia texana, G. caspica, and G. triacanthos to create effective blown few-row strips.
Does a negative correlation of heme oxygenase–1 with hematoma thickness in chronic subdural hematomas affect neovascularization and microvascular leakage? A retrospective study with preliminary validation
Authors: Luh Hui-Tzung , Chen Kuo-Wei , Yang Ling-Yu , Chen Yi-Tzu , Lin Sheng-Hsuan , Wang Kuo-Chuan , Lai Dar-Ming , Hsieh Sung-Tsang
Published: January 2023

OBJECTIVE

Chronic subdural hematoma (CSDH) is a common neurological disease among elderly adults. The progression of CSDH is an angiogenic process, involving inflammatory mediators that affect vascular permeability, microvascular leakage, and hematoma thickness. The authors aimed to identify biomarkers associated with angiogenesis and vascular permeability that might influence midline shift and hematoma thickness.

METHODS

Medical records and laboratory data of consecutive patients who underwent surgery for CSDH were analyzed. Collected data were basic demographic data, CSDH classification, CSDH thickness, midline shift, heme oxygenase–1 (HO-1) levels in hematomas, and common laboratory markers. Linear regression analysis was used to evaluate the relationship of CSDH thickness with characteristic variables. The chick chorioallantoic membrane (CAM) assay was used to test the angiogenic potency of identified variables in ex ovo culture of chick embryos.

RESULTS

In total, 93 patients with CSDH (71.0% male) with a mean age of 71.0 years were included. The mean CSDH thickness and midline shift were 19.7 and 9.8 mm, respectively. The mean levels of HO-1, ferritin, total bilirubin, white blood cells, segmented neutrophils, lymphocytes, platelets, international normalized ratio, and partial thromboplastin time were 36 ng/mL, 14.8 μg/mL, 10.5 mg/dL, 10.3 × 103 cells/μL, 69%, 21.7%, 221.1 × 109 cells/μL, 1.0, and 27.8 seconds, respectively. Pearson correlation analysis revealed that CSDH thickness was positively correlated with midline shift distance (r = 0.218, p < 0.05) but negatively correlated with HO-1 concentration (r = −0.364, p < 0.01) and ferritin level (r = −0.222, p < 0.05). Multivariate linear regression analysis revealed that HO-1 was an independent predictor of CSDH thickness (β = −0.084, p = 0.006). The angiogenic potency of HO-1 in hematoma fluid was tested with the chick CAM assay; topical addition of CSDH fluid with low HO-1 levels promoted neovascularization and microvascular leakage. Addition of HO-1 in a rescue experiment inhibited CSDH fluid–mediated angiogenesis and microvascular leakage.

CONCLUSIONS

HO-1 is an independent risk factor in CSDH hematomas and is negatively correlated with CSDH thickness. HO-1 may play a role in the pathophysiology and development of CSDH, possibly by preventing neovascularization and reducing capillary fragility and hyperpermeability.
БЕЗБЮДЖЕТНИЙ МЕНЕДЖМЕНТ ВИТРАТ ТА ДІЯЛЬНОСТІ ЯК ІННОВАЦІЙНИЙ ЕЛЕМЕНТ ЕКОНОМІЧНОГО УПРАВЛІННЯ В МІЖНАРОДНОМУ БІЗНЕСІ
Authors: Stakhiv O. A. , Adamchuk T. L.
Published: January 2023

Досвід функціонування успішних зарубіжних корпорацій в умовах ринку свідчить, що для забезпечення життєздатності підприємства протягом тривалого проміжку часу необхідно впроваджувати нові методи системи економічного управління підприємствами. Безбюджетне управління (Beyond Budgeting) – це сучасний альтернативний підхід до управління ефективністю бізнесу, в межах якого традиційний річний бюджет перестає бути основним інструментом здійснення контролю в компанії.В ньому кінцева мета не цифра, а стратегія дій компанії на вибраний період. Фінансові прогнози в ній ковзають та часто переглядаються залежно від  обставин.
МЕНЕДЖЕРСЬКІ АЛЬТЕРНАТИВИ ТА ДОЦІЛЬНІСТЬ ЇХ ЗАСТОСУВАННЯ У ДІЯЛЬНОСТІ ЗАКЛАДУ ОХОРОНИ ЗДОРОВ’Я
Authors: Beztelesna L. I. , Bielotiel D. O. , Kliukha О. О.
Published: January 2023

У статті відображено роль і наслідки проведення реформ у системі охорони  здоров’я, а саме трансформації організаційно-правової форми лікарень із бюджетних установ у комунальні підприємства органів місцевого  самоврядування. Доведено, що лікарні в нинішній діяльності зобов’язані використовувати інструменти стратегічного планування та управління персоналом. На прикладі КП ««Рівненська обласна клінічна лікарня імені Юрія Семенюка» Рівненської обласної ради проілюстровано розробку топменеджерами заходів у межах стратегічного планування.Проведено детальний аналіз діяльності лікарні, зокрема ресурсного потенціалу (інформації, персоналу, фінансів) та його  використання.Зроблено динамічний аналіз структури операційних витрат, що дав можливість виявити вузькі місця (обмеження) у діяльності лікарні як підприємства. Ними виявилися фізична і енергетична система лікарні. Запропоновано, зважаючи на виклики сьогодення, скористатися теорією обмежень системи Е. Голдратта, виявити фізичні й управлінські обмеження у діяльності лікарні. Виявлено обмеження, що дали можливість запропонувати менеджерські альтернативи до існуючих, які спроєктовані за принципом не розв’язання конфлікту на основікомпромісу, а на основі підходу «виграв» – «виграв». Доведено, що усі заходи, що спроєктовані топменеджментом лікарні, є великими заобсягами реалізації і не сприяють суттєвому зменшенню витрат у майбутньому, а за нинішніх умов їх реалізація є неможливою.Спроєктовано три менеджерські альтернативи на основі підходу «виграв» – «виграв», що є менш витратними у порівнянні з топменеджерськими. Їх впровадження може забезпечити економію ресурсів за рахунок використання альтернативного джерела, економнішого споживання електроенергії та іншого способу застосування потенціалу молодшого медичного персоналу. Реалізація усіх спроєктованих менеджерських альтернатив забезпечить поліпшення економічного і фінансового стану лікарні та потенційно якості медичних послуг.
ФІНАНСОВИЙ МОНІТОРИНГ СУБ’ЄКТІВ ГОСПОДАРЮВАННЯ В УМОВАХ ВОЄННОГО СТАНУ
Authors: Kushnir N. B. , Adamchuk T. L. , Tsaruk D. S.
Published: January 2023

У статті розглянуто аспекти фінансового моніторингу як складової національної економічної та фінансової безпеки. Значну увагу було приділено сучасним тенденціям, які спостерігаються у сфері діджиталізації та інформатизації економіки, та визначено взаємозв’язок інформаційного середовища підприємства із діяльністю  суб’єктів фінансового моніторингу. У статті зазначено, що швидкі темпи  зростання масивів інформації сприяють «тінізації» фінансових операцій та перешкоджають оперативному відслідковуванню діяльності, що може бути пов’язана і відмиванням коштів та фінансуванням тероризму. Наведено  перелік критеріїв оперативного та стратегічного аналізу для фінансового моніторингу операцій, які було розширено в умовах воєнного стану. Розглянуто принципи ризик-орієнтованого підходу, що використовується при виявленні підозрілих фінансових операцій, які можуть фінансувати  терористичну діяльність.
ACCOUNTING AND ANALYTICAL EVALUATION OF INVESTMENT RESOURCES FOR CRITICAL INFRASTRUCTURE
Authors: Levytska S. O. , Osadcha O. O.
Published: January 2023

У статті досліджується термін «критична інфраструктура». Обґрунтовано необхідність формування концепції критичної інфраструктури. На етапах формування концепції критичної інфраструктури важливо системно ідентифікувати її елементи, а саме: державні системи управління, суб’єкти господарської діяльності, виробничі ресурси. Метою даного дослідження є узагальнення факторів, що впливають на оцінку економічної вигоди інвестиційних ресурсів критичної інфраструктури. Розкрито доцільність аналітичного обліку такої економічної вигоди з огляду на її ліквідність: потенціал корисності, майбутня економічна вигода, реалізована економічна вигода. Для суб’єкта критичної інфраструктури важливою є оцінка у створеній ним доданій вартості складових так званої «змішаної цінності»: елементів формування фінансової, соціальної та екологічної цінності для суспільства й економіки, що передбачає компроміси між комерційними та соціальними аспектами. У роботі запропоновано управлінський облік за центрами відповідальності в розрізі: центрів відповідальності за основні показники фінансової діяльності суб’єкта КІ; комплексної оцінкиефективності як управлінських, так і економічних процесів (на основі як фінансових, так і нефінансових показників). Обґрунтовано позитивнуроль аналітичної оцінки для відображення ЕВ залежно від ліквідності активів та систематичного перегляду оцінки в період обліку виробничих фондів.
Enfermedad fúngica invasora por Histoplasma capsulatum y Cryptococcus neoformans: Coinfección
Authors: Geomara Martínez  , María Vidal  , Marlon Cusme  , Violeta Vallejo
Published: January 2023

La enfermedad fúngica invasora (EFI) por Cryptococcus neoformans e Histoplasma capsulatum son características típicas de la fase Síndrome de Inmunodeficiencia Adquirida (SIDA) en pacientes con VIH. Además, se consideran los hongos generalmente aislados y causantes de enfermedad oportunista. No se han evidenciado muchos datos en Ecuador sobre hallazgos de EFI por Histoplasma c. y Cryptococcus neoformans como coinfección. En el presente artículo se detalla el caso clínico de un paciente con VIH de reciente diagnóstico en el que se evidenciaron hallazgos microbiológicos de Histoplasma capsulatum y Cryptococcus neoformans en muestras analizadas simultáneamente, el usuario a la fecha acude a sus consultas médicas en condición estable.
Benthic Macroinvertebrate Multimetric Index for River (BMIR): Development of a multimetric index based on benthic macroinvertebrates for rivers in Türkiye
Authors: KOYUNCUOĞLU Serdar , ÇETİNKAYA Sena , KILINÇ Serhat Fatih
Published: January 2023

Stream types determined according to altitude, slope and alkalinity in six different hydrobiogeographic regions of Türkiye were taken as the basis of the study. In line with the European Water Framework Directive, a macroinvertebrate based multimetric method was tested for Turkish rivers as a potential assessment. In this study, benthic macroinvertebrate data (3502 samples obtained from 1925 stations with reference points) were used to create a multimetric index for all river types in the hydrobiogeographic regions of Türkiye. Nine (9) biological metrics were evaluated and index development criteria were chosen to capture meaningful results at the ecosystem, community and individual levels. The metric combinations were chosen to show the best distinction between areas with no or only very minor anthropogenic disturbances and stressed areas (with discrimination efficiency values). The multimetric index, which includes three different metrics from three different metric categories, distinguishes reference or slightly distorted areas from stressed areas with an efficiency close to 100%. Index values were divided at a five-scale system between one (High) and zero (Bad) for biological evaluation. Further testing and research can be done so that the index will provide a more useful result as a bioassessment tool for decision makers in hydrobiogeographic regions. Also, the index can provide a basis for methods by which river status is assessed based on stress factors.
Association of chemokine (CXC motif) receptor 4 expression with lymphovascular invasion and lymph node metastasis of invasive breast cancer
Authors: Mamonto Lidya , Nelwan Berti J. , Sungowati Ni Ketut , Miskad Upik A. , Cangara Muh. Husni , Zainuddin Andi Alfian
Published: January 2023

BACKGROUND: The histological tumor grade influences the prognosis of breast cancer. In metastatic breast cancer, stromal cells produce chemokine (CXC motif) ligand 12 or stromal cell-derived factor-1 as a chemoattractant, which binds to chemokine (CXC motif) receptor 4 (CXCR4) expressed by breast cancer cells. OBJECTIVE: This study aimed to determine the expression of CXCR4 in invasive breast cancer in relation to lymphovascular invasion (LVI) and lymph node metastasis. METHODS: This observational study retrospectively investigated a paraffin block archived sample diagnosed with invasive breast cancer. The results of immunohistochemical staining with CXCR4 antibody and expression analysis were evaluated using light microscopy. The data were statistically analyzed using the chi-square test and presented in a table using SPSS version 18. P-values of <0.05 were considered statistically significant. RESULTS: The expression of CXCR4 was significantly associated with the incidence of LVI and lymph node metastasis in invasive breast cancer (both p = 0.001). CONCLUSIONS: The results show that the expression of CXCR4 varies and support its decisive role in the incidence of LVI and lymph node metastasis in invasive breast cancer.
Sustainable competitiveness evaluation of regional financial centers with fuzzy number intuitionistic fuzzy TODIM algorithms
Authors: Deng Yu
Published: January 2023

The competitiveness evaluation of regional financial centers is frequently looked as the multiple attribute group decision-making (MAGDM) problem. Based on the TODIM method and fuzzy number intuitionistic fuzzy sets (FNIFS), this paper proposes a new FNIF-TODIM method to evaluate the competitiveness of regional financial centers. First, some basic theories related to FNIFS are briefly introduced. In addition, the weights of the attributes are obtained objectively using the CRITIC weighting method. Then, the traditional TODIM method is extended to FNIFS to obtain the final order of alternatives. As a result, all alternatives can be ranked and the best one for the competitiveness assessment of regional financial centers can be identified. Finally, an example for competitiveness evaluation of regional financial centers and some decision comparative analysis is listed. The results show that the established algorithmic approach is useful. The main works of this work are: (1) the paper constructs the FNIF-TODIM method for the evaluation of the competitiveness of regional financial centers; (2) the established method is illustrated by a case study for competitiveness evaluation of regional financial centers; and (3) some comparisons prove the rationality and advantages.
Novel FDP mechanisms for releasing bipartite graph data on fixed and infinite intervals
Authors: Hou Yongchao , Fei Jingtai , Xia Xiaofang , Cui Jiangtao
Published: January 2023

As data collection increases, more and more sensitive data is being used to publish query results. This creates a significant risk of privacy disclosure. As a mathematically provable privacy theory, differential privacy (DP) provides a tool to resist background knowledge attacks. Fuzzy differential privacy (FDP) generalizes differential privacy by employing smaller sensitivity and supporting multiple similarity measures. Thus the output error can be reduced under FDP. Existing FDP mechanisms employ sliding window strategy, which perturb the true query value to an interval with this value as the midpoint to maintain similarity of outputs from neighboring datasets. It is still possible for an attacker to infer some sensitive information based on the difference between the left and right endpoints of the output range. To address this issue, this article present two solutions: fixed interval perturbation and infinite interval perturbation. These strategies perturb the true query values of two neighboring datasets to the same interval and provide fuzzy differential privacy protection for the dataset. We apply the proposed method to the privacy-preserving problem of bipartite graph subgraph counting and verify the effectiveness by experiments.
Estimation of the improved high-performance concrete’s mechanical characteristics using unique regression methods
Authors: Wu Chun , Yang Liu
Published: January 2023

A unique approach for assessing the compressive strength (CS) of high-performance concrete (HPC) incorporating blast furnace slag (BFS) and fly ash (FA) has been created using support vector regression (SVR) analytics. In order to identify crucial SVR methodology variables that could be adjusted for improved performance, the Henry gas solubility optimization (HGSO) and Cuckoo search optimization (CSO) algorithms were both employed in this study. The recommended methods were developed utilizing 1030 experiments and eight inputs, including the CS as the forecasting objective, admixtures, aggregates, and curing age as the main mix design component. The results were then contrasted with those from related literature. The estimate results suggest that combined HGSO-SVR and CSO-SVR analysis might perform extraordinarily well in estimating. The Root mean square error value for the HGSO - SVR decreased remarkably when compared to the CSO - SVR. As can be seen from the comparisons, the HGSO - SVR that was built beats anything previously published. In conclusion, the suggested HGSO - SVR analysis might be determined as the proposed system for forecasting the CS of HPC improved with FA and BFS.
Computer vision based knowledge distillation model for animal classification and re-identification using Siamese Neural Network
Authors: Ashok Kumar L. , Karthika Renuka D. , Saravana Kumar S.
Published: January 2023

Human-wildlife conflicts in the habitats along the forest fringes are a substantial issue. An automated monitoring system that can find animal breaches and deter them from foraging fields is essential to solve this conflict. However, automatically forefending the intruding animals is a challenging task. In this paper, we propose a deep learning model for elephant identification using YOLO lite with knowledge distillation which could be easily deployed in edge devices. We also propose an elephant re-identification system using Siamese network which is helpful in tracking the number of times the elephant tries to forage the field. This re-encounter information about the same elephant can be used to decide the averting sound for the particular elephant. The proposed system is found to show an accuracy of 89%, which is provides good performance improvement when compared to the state of art models proposed for animal identification. Thus the proposed lite weight knowledge distillation based animal identification model and deep learning based animal re-identification model can be employed in edge devices for real time monitoring and animal deterring to safe guard the farm fields.
Multidimensional heterogeneous data clustering algorithm for power transmission and transformation equipment
Authors: Hu Danhui , Huang Zeqi , Yin Kan , Li Feng
Published: January 2023

Considering that the operation of power transmission and transformation equipment is not timely discovered due to the untimely data integration, a multi-dimensional heterogeneous data clustering algorithm for power transmission and transformation equipment based on multimodal deep learning is proposed. The multi-modal deep learning method is used to mine relevant data and measure the similarity between the data, which can improve the accuracy of subsequent multi-bit heterogeneous data clustering of power transmission and transformation equipment. Set up a clustering center and process data clustering to complete multi-dimensional heterogeneous data clustering of power transmission and transformation equipment. The experimental results show that the method has high clustering accuracy in the clustering of voltage deviation overrun times, voltage harmonic total distortion rate overrun times, and voltage flicker overrun times.
Movie recommendation system via fuzzy decision making based dual deep neural networks
Authors: Aramuthakannan S. , Ramya Devi M. , Lokesh S. , Manimegalai R.
Published: January 2023

The internet and social networks produce an increasing amount of data. There is a serious necessity for a recommendation system because exploring through the huge collection is time-consuming and difficult. In this study, a multi-modal classifier is introduced which makes use of the output from dual deep neural networks: GRU for text analysis and Faster R-CNN for image analysis. These two networks reduce overall complexity with minimal computational time while retaining accuracy. More precisely, the GRU network is utilized to process movie reviews and the Faster RCNN is used to recognize each frames of the movie trailers. Gated Recurrent Unit (GRU) is a well-known variety of RNN that computes sequential data across recurrent structures. Faster RCNN is an enhanced version of Fast RCNN, it combines with the rectangular region proposals and with the features is extract by the ResNet-101. Initially, the trailer of the movie is manually splitted into frames and these frames are pre-processed using fuzzy elliptical filter for image analysis and the movie reviews are also tokenized for text analysis. The pre-processed text is taken as an input for GRU to classify offensive and non-offensive movies and the pre-processed images are taken as an input for Faster R-CNN to classify violence and non- violence movies based on the extracted features from the movie trailer. Afterwards, the four classified outputs are given as input for fuzzy decision-making unit for recommending best movies based on the Mamdani fuzzy inference system with gauss membership functions. The performance of the dual deep neural networks was evaluated using the specific parameters like specificity, precision, recall, accuracy and F1 score measures. The proposed GRU yields accuracy range of 97.73% for reviews and FRCNN yields the accuracy range of 98.42% for movie trailer.
Performance prediction of a textile reverse logistics system using DEA and ANFIS hybrid models
Authors: Sumo Peter Davis , Ji Xiaofen , Cai Liling
Published: January 2023

Due to the growing call to embrace environmentally responsible and sustainable business practices, textile reverse logistics (TRL) and recovery practices, such as reusing, remanufacturing, or recycling, are gaining prominence. Textile recycling companies can simultaneously obtain economic and environmental benefits via more efficient RL practices. However, a system for measuring these efficiencies is paramount, as it is impossible to run a reverse logistics system efficiently without the ability to measure its performance. Studies on performance measurement of TRL firms are completely lacking, and those of the general RL literature use manual systems that require longer time and participation of many workers to complete. In this study, we develop a performance prediction model based on DEA and ANFIS. Data for the ANFIS were derived from the DEA computation. To enhance the model, PSO, GA, and Jaya algorithms were introduced to tweak the ANFIS parameters. Results from the ANFIS hybrid models reveal ANFIS-Jaya to have a better prediction accuracy with R2 of 0.9832 and 0.9851 in training and testing datasets, respectively. This study contributes to the RL performance management literature and the limited research on used clothing collection, textile recycling, and RL performance management measurement.
Factitious Disorder Presenting as the Intentional Swallowing of Foreign Objects
Authors: Gersch Hannah G. , Robinson Fulton A. , Cartwright Jake K. , DeFelice Bryan A. , Kadam Rajesh S.
Published: January 2023

Background: Factitious disorder (FD) imposed on self is a psychiatric disorder characterized by the intentional feigning of symptoms or the self-inflicted production of symptoms in the absence of an obvious external reward. Case: This report describes a severe case of FD imposed on self in a 31-year-old male who frequently presented to several regional Emergency Departments with intentional ingestion of foreign objects, ultimately requiring 32 esophagogastroduodenoscopy (EGD) and 28 gastroscopy procedures over two years. Significant history of frequent suicide attempts via medication overdose and clinical suspicion of drug-seeking behavior complicated the case. Motivating factors for the patient’s behavior, suicidality in FD, and thepatient’s treatment and outcome to date will be discussed. Conclusion: There is no well-established treatment for FD documented in the literature. High-quality studies and additional reports of FD could help clinicians when managing such a challenging diagnosis.
DA’WAH AMONG URBAN MUSLIMS IN INDONESIA
Authors: Setiawati Rini , Rolando Dede Mercy , Putra Robby Aditya , Koroglu Osman
Published: January 2023

The condition of da'wah portraits in the current era of information globalization which is increasingly heavy and complex is certainly a challenge for the development of da'wah. The emergence of problems that target the younger generation is a point of threat to the survival of Muslims, especially in Indonesia. This study aims to look at the portrait of the current da'wah problem and its strategy. The type of research used is a literature review. The results obtained are portraits of the problems faced and become challenges and threats for da'wah activists and da'i namely "silting of faith" due to the progress of the times such as problems related to the erosion of Faith and Manner, shifts in the authority of a single religion, problems of pluralistic, hedonistic, individualistic society. towards a materialistic society associated with rationalistic Muslims. The characteristics of the profile of the Indonesian Muslim community have caused problems both internally and externally. So that this reality requires the application of an effective and efficient da'wah strategy by linking the elements of preachers, messages as well as media in order to compete and maintain Islamic values ​​in the midst of the threat of the times by improving the quality in terms of substantive and methodological competence, increasing the values ​​of rahmatan lil alamin and universal values ​​and the importance of mastering information technology with the use of media up-to-date.
ANALYTICAL AND NUMERICAL SIMULATION FOR THE FORCE OF ADHESION OF REINFORCING ROD WITH CONCRETE
Authors: Kovalchuk V.
Published: January 2023

The purpose of this article is to build a mathematical model for calculating the stress-strain state of structural elements of the road pavement. The model is based on the universal function parameter - the force of adhesion of the reinforcing rod to the concrete along their surface contact. It is proposed to define the specified adhesion force as the solution to the simulated boundary value problem. It is shown that it is expedient to use hyperbolic functions to solve such a problem. For the adhesion force, an analytical dependence is obtained, which is a nonlinear function. The proposed model of analysis of the stress-strain state of the reinforcement in comparison with other models is relatively simple. The results of modeling using Maple for the analytical dependence of the adhesion force on the length of the reinforcing rod are shown. It is established that the empirical parameter of the system significantly affects the distribution function of normal stresses. The developed theory will allow design engineers to solve the problem of optimizing pavement structures.
TECHNICAL AND OPERATIONAL ASSESSMENT OF EXPRESS MODE IMPLEMENTATION FOR BUS TRAFFIC IN DNIPRO
Authors: Litvin V. , Taran I. , Monastyrskyi Y. , Klymenko I.
Published: January 2023

The paper deals with the topical scientific task concerning substantiation of rational parameters of express mode of transportation in terms of city bus routes. That helps reduce passengers’ time spent for travelling, increase a degree of use of transportation modes as well as favour significant cost reduction for fuel and decrease the amount of harmful emissions in the urban atmosphere. Analysis of the available methods and approaches to the organization of express mode of bus traffic in terms of local routes has helped identified that they do not consider to the full extent the interests of all the traffic participants or have narrow range of application. Those are the facts that limit considerably wide implementation of express mode irrespective of its great potential as for increasing the efficiency of local passenger transportation. Conditions of expedient implementation of express mode of transportation for buses on local routes have been identified basing on the parameters of passenger flow. The developed method of the formation of a list of stops to be serviced by buses operating in the express mode, takes into consideration the irregular nature of passenger flow and intervals of daily bus traffic respectively. Basing on the economic, social, and environmental indices of efficiency of a transportation process, the developed method of identifying rational parameters of express mode of traffic on local bus routes considers dynamic distribution of passenger correspondences between the standard and express route depending on the number of buses and a list of express route stops. А technical and operational assessment of the implementation of the express mode of bus traffic on city route #70 in Dnipro was performed.
Relación de las regalías mineras y el desarrollo del cantón Portovelo en Ecuador
Authors: Ulloa Wanner
Published: January 2023

El presente trabajo estudia la relación entre minería y desarrollo en el cantón Portovelo como un proceso de cambio social y económico, resalta la importancia de las regalías mineras dentro de las inversiones para el desarrollo del cantón. La investigación fue llevada a cabo desde la visión del desarrollo sostenible, desarrollo económico y minería, lo que permitió realizar un debate sobre cómo el territorio se reconfigura con los procesos extractivos y argumentos a favor y en contra de la extracción de los recursos naturales. Los datos estadísticos y entrevistas brindan al lector una interpretación lo más cercana a la situación de las rentas del sector minero y los cambios en los territorios en que se realiza. Los principales hallazgos muestran que hay cambios importantes a nivel social y ambiental, pero no se tiene un retorno de recursos por la extracción minera local, es decir, este sector no ha contribuido a la construcción de obras básicas para el desarrollo local. Sin embargo, se han ejecutado obras de gran envergadura, pero con recursos no reembolsables enfocados en programas de desarrollo nacional.