bluuebunny/crossref_metadata_2025 huggingface dataset:
Design a Mobile Application for Children’s Tracking in Crowded Environments
Authors: Alam Tanweer , Hadi Abdirahman Ahmed , Najam Rayyan Qari Shahabuddin , Qamar Shamimul
Published: August 2021

Child Tracking System is a mobile application where the parent can monitor their children location in crowded environments. In addition to children, there is also the elderly people, and the disabled people, so the guidance or the person responsible of them can use this application to track their location. The parent or guidance side will have the application in which they can track, and on the other side, the child or the old person or the disabled person will have device that includes the GPS chip. The main goal of this research is to design an application with system that will help parents to keep track of their children, eventually reducing the cases in which the children or the other mentioned categories of people could be lost. The current used solution to this problem is that the children first have a wearable hand wrist in which they print their parent phone number, so when the child is lost there is a center in which the child is being taken and dealt with care till they contact the parent to come and pick the child up. The problem with the current way that it takes time, and there is a risk that child get totally lost or kidnapped before even reaching to any help, so the new way is better to even prevent them to go far away or to be lost for hours, thus the recovery here will be fast unlike the regular used way nowadays. That goal will be achieved throw systematically objectives starting from studying the existed systems, to planning and analysing, going to designing and implementing, and lastly, testing our own system.
A novel method to improve the spatial resolution of GEM neutron detectors with a stopping layer
Authors: Yang Tao , Zhou Jianrong , Zhou Xiaojuan , Zhu Lin , Zhu Hangyu , Zhou Jianjin , Xia Yuanguang , Wei Yangdong , Jiang Xingfen , Yang Wenqin , Yang Gui'an , Wang Songlin , Xie Yuguang , Sun Zhijia , Ouyang Qun , Zhu Jingtao , Chen Yuanbo
Published: August 2021

This paper proposes a novel method to improve the spatial resolution of ceramic GEM detectors by adding a stopping layer on top of the solid 10B4C neutron converter. This will restrict the emission of the secondary ion products of large angles and consequently improve the spatial resolution. The Monte Carlo program FLUKA is used to validate the method, and the verification experiments are carried out at the beam line #20 (BL20) of the China Spallation Neutron Source (CSNS). The experimental results are approximately in agreement with the simulations. The measured spatial resolution is 1.61 mm for the GEM neutron detector operated at ambient pressure with a 1-μm-thick 10B4C converter, and it is improved to ~0.8 mm by coating a 3-μm-thick titanium on top of the 10B4C converter.
Label-free Classification of Bacterial Extracellular Vesicles by Combining Nanoplasmonic Sensors with Machine Learning
Authors: Kazemzadeh Mohammadrahim , Hisey Colin , Dauros Singorenko Priscila , Swift Simon , Zargar Kamran , Xu Peter , Broderick Neil
Published: August 2021

Bacterial extracellular vesicles (EVs) are nanoscale lipid-enclosed packages that are released by bacteria cells and shuttle various biomolecules between bacteria or host cells. They are implicated in playing several important roles, from infectious disease progression to maintaining proper gut health, however the tools available to characterise and classify them are limited and impractical for many applications. Surface-enhanced Raman Spectroscopy (SERS) provides a promising means of rapidly fingerprinting bacterial EVs in a label-free manner by taking advantage of plasmonic resonances that occur on nanopatterned surfaces, effectively amplifying the inelastic scattering of incident light. In this study, we demonstrate that by applying machine learning algorithms to bacterial EV SERS spectra, EVs from cultures of the same bacterial species Escherichia coli can be classified by strain, culture conditions, and purification method. While these EVs are highly purified and homogeneous compared to complex samples, the ability to classify them from a single species demonstrates the incredible power of SERS when combined with machine learning, and the importance of considering these parameters in future applications. We anticipate that these findings will play a crucial role in developing the laboratory and clinical utility of bacterial EVs, such as the label-free, noninvasive, and rapid diagnosis of infections without the need to culture samples from blood, urine, or other fluids.
An Overview of Generalized Frequency Division Multiplexing (GFDM)
Authors: Tai Ching-Lun , Wang Tzu-Han , Huang Yu-Hua
Published: August 2021

As a candidate waveform for next-generation wireless communications, generalized frequency division multiplexing (GFDM) features several decent properties which make it promising. In this paper, we systematically overview the research about GFDM. We start with GFDM transceivers with their main components, which consist of prototype ﬁlter design, low-complexity transceiver implementation, and symbol detection algorithms. Then, we investigate a couple of non-ideal issues of GFDM, including synchronization issues, channel estimation, and in-phase/quadrature (I/Q) imbalance compensation. Lastly, we study the applications of GFDM-based cognitive radio and full-duplex radio which boast of a high spectral efﬁciency.
A Study of Extinctive Prescription Period for Refund of Insurance Benefit Because the Insurance Contract is Null and Void
Authors: Lee Bo Ram , Jung Hye Jin
Published: August 2021

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TÜRKİYE'DEKİ KELEBEK TÜRLERİNİN BASAMAKLI EVRİŞİMLİ SİNİR AĞLARI İLE SINIFLANDIRILMASI
Authors: ELMAS Bahadır
Published: August 2021

Kelebekler ekosistemdeki değişikliklere hızlı bir şekilde yanıt verebilme özelliğine sahiptir. Ayrıca çoğu kelebek türü larvaları, insan ve hayvanların yaşam ortamını ve gıda kaynaklarını etkileyen tarım ve orman zararlılarıdır. Bu nedenle kelebek türlerinin sınıflandırılması, tür araştırmalarının yanı sıra çevre koruma, tarım ve orman zararlılarının kontrolünde de önemlidir. Bu çalışmada Türkiye’deki 9 aile ve 416 kelebek türünü sınıflandırmak için yedi adet evrişimli sinir ağı transfer öğrenme yöntemiyle kullanılmıştır. Veri seti oluşturmak için 13528 görüntü toplanmış, veri artırma yöntemi ile görüntü sayısı 67640’a çıkarılmıştır. Eğitimde ezberlemenin önüne geçebilmek, ağların performansını ve güvenirliliğini artırmak için Stratified Shuffle Split, K fold cross validation yöntemleri kullanılmıştır. Tür sayısının fazlalığı, türlerin desen ve renk benzerliği nedeniyle ağların düşük başarı oranını artırmak için iki basamaklı ağ modeli kullanılmıştır. Modelde birinci basamakta bir, ikinci basamakta paralel bağlı dokuz ağ vardır. Birinci basamaktaki ailelere göre sınıflandırmada %95.88, ikinci basamaktaki tür sınıflandırmada ise %91.99 ile %100 arasında başarı oranı elde edilmiştir.
EFFECTS OF CALCINATION TEMPERATURE ON HYDROTHERMALLY SYNTHESIZED TITANIUM DIOXIDE SUBMICRON POWDERS
Authors: BULUT Büşra , DUMAN Şeyma
Published: August 2021

This study examines the synthesis procedure of titanium dioxide (TiO2) submicron powders from titanium (IV) isopropoxide initial by combining the hydrothermal method and subsequent calcination. Various calcination temperatures changing from 200 °C to 800 °C were applied after hydrothermal synthesis to understand the effects on the crystalline phase, particle size, and morphology of the powders. Following the calcination procedure, the properties of synthesized powders were assessed by using different characterization techniques. According to the results of morphological analysis, the crystalline structure of submicron powders was affected by increasing calcination temperature. Anatase and rutile phases of TiO2 submicron powders displayed unimodal particle size distribution, respectively.
Furthermore, the particle sizes of synthesized TiO2 submicron powders decreased by the increasing calcination temperature, while the crystallite sizes increased. The results of phase analysis revealed that TiO2 submicron powders have tetragonal structure anatase and rutile phase. In particular, anatase to rutile phase transformation was carried out at low temperatures.
Knowledge, Attitudes And Behaviors of Primary Healthcare Physicians About Vaccines
Authors: Oguzöncül A. Ferdane , Tuncer-Kara Kevser , Deveci S. Erhan
Published: August 2021

Objective: The vaccine is a solution that stimulates the immune system in order to prevent diseases. This study aimed to investigate the knowledge, attitudes and behaviors of family physicians working in primary care about the vaccine.

Methods: The population of this descriptive study consisted of family physicians working in Elazığ provinces and districts. We reached 88.7% of family physicians. A questionnaire including demographic questions, 12 knowledge, 13 attitude and 5 behavior questions was applied to family physicians. The data were evaluated with SPSS 22 program. In statistical evaluations, Chi-square, Mann-Whitney U, Kruskal Wallis and Spearman’s correlation tests were used. Statistical significance was set as p<0.05.

Results: Of the 165 family physicians participating in the study, 66.7% were male, and the mean age was 40.67 ± 8.85. The correct answer rate of the 13 questions about the knowledge was 7.59 ± 2.17 on average. The flu vaccine, of which 15.8% of the participants had the most hesitation in administration, was the vaccine that 52.6% applied to themselves and their relatives most. There was no significant difference between the correct answers of those with and without children (p> 0.05). The attitude score was higher in married people than singles (p = 0.006) and people with children compared to those without children (p = 0.012). The behavioral score of the 46-55 age group was higher than that of married people (p <0.001), those who had no children (p <0.001), and those who did research (p <0.001). A positive correlation was found between age and attitude (p = 0.02) and behavioral score (p = 0.03). There was no significant difference between the self-administered vaccine status and the number of correct answers (p> 0.05).

Conclusions: We determined that family physicians who were primarily responsible for vaccination had misinformation about the vaccine, that the researchers’ behavior score was high, and that age and attitude and behavior score were positively related.
Escrita na Alfabetização
Authors: Buin Edilaine , Ramos Norma , Silva Wagner
Published: August 2021

ESCRITA NA ALFABETIZAÇÃO discute questões atuais e importantes sobre práticas de alfabetização e de letramento nos anos iniciais do Ensino Fundamental I, por um viés da educação científica, abordagem investigativa e pedagógica situada na Linguística Aplicada, a partir da concepção de que o ensino e a pesquisa são práticas indissociáveis que se fortalecem mutuamente na medida em que também empoderam os atores inseridos no contexto educativo. A obra traz questões teóricas e práticas discutidas na mesa on-line Alfabetização em Contexto de Letramento, realizada como um dos eventos comemorativos dos 30 anos da Associação Brasileira de Linguística Aplicada (ALAB), em 09 de julho de 2020. As questões tematizadas estão situadas no contexto educacional brasileiro, mas podem servir como referências para experiências pedagógicas além das fronteiras do Brasil. São problematizadas algumas contribuições das abordagens pedagógicas da alfabetização e do letramento para uma prática investigativa sobre os manuscritos produzidos por crianças, no processo de alfabetização; alguns aspectos importantes da consciência fonológica e de mecanismos gramaticais e de textualidade no processo de alfabetização, pontos essenciais para as crianças compreenderem o funcionamento de propriedades da língua portuguesa e ainda são apresentados dois dados de escrita produzidos em situações diversas de ensino, por duas crianças de 3º ano do Ensino Fundamental, de diferentes escolas. E são ainda sistematizadas atividades didáticas sobre alguns aspectos linguísticos emergentes nos manuscritos analisados que revelam a necessidade das crianças compreenderem a escrita como resultado de uma atividade criativa sendo importante a reflexão sobre elementos responsáveis pelo funcionamento da língua. Destaca-se que os três autores são especialistas na área de ensino de língua materna, com experiência na formação de professores, e representam universidades públicas de regiões distintas: Norte, Centro-Oeste e Nordeste.
Sistem Pakar Menggunakan Metode Certainty Factor dalam Menganalisis Penyakit Karies Gigi pada Manusia
Authors: Andrean Fajri Ilhami , Yuhandri Y
Published: August 2021

Karies adalah penyakit gigi yang kerap ditemukan, yaitu suatu penyakit pada jaringan keras gigi berupa hilangnya ion – ion mineral secara terus menerus pada permukaan enamel gigi yang sebagian besar disebabkan oleh metabolisme bakteri. Tingkat kesadaran yang rendah dalam merawat gigi menyebabkan dampak buruk pada kesehatan gigi dan terhadap kesehatan tubuh. Pada saat sekarang ini umumnya masyarakat belum memiliki pengetahuan dalam menganalisis tentang penyakit karies gigi yang nantinya dapat mengakibatkan kerusakan yang parah terhadap gigi seperti matinya pulpa gigi. Penelitian ini bertujuan untuk menganalisis penyakit karies dengan menggunakan metode Certainty Factor. Dalam penelitian ini diolah data sebanyak 50 data yang diperoleh dari hasil wawancara dengan pakar pada Klinik Rahmatan Lil Alamin Padang Indonesia. Ditemukan beberapa faktor yang menyebabkan penyakit karies gigi pada manusia. Data tersebut diperoleh dari catatan medis pasien yang telah melakukan pemeriksaan di klinik. Data tersebut digunakan untuk menganalisis jenis penyakit karies berdasarkan bimbingan dari pakar tersebut. Tahapan pengolahan yang dilakukan adalah pemecahan rule, menentukan nilai bobot setiap gejala dan menghitung nilai Certainty Factor. Hasil yang didapatkan setelah dilakukan pengujian terhadap metode ini adalah terdapat 94% yang mengidap penyakit karies dengan jenis yang paling sering diderita pasien karies superfisialis. Hasil pengujian dapat menganalisis penyakit karies secara spesifik, dengan demikian sistem pakar yang digunakan telah dapat direkomendasikan untuk membantu dokter gigi menganalisis penyakit karies gigi pada manusia.
Determinan Kesuksesan Implementasi Aplikasi e-Faktur
Authors: Gunawan Gunawan
Published: August 2021

Abstrak

Penelitian ini bertujuan untuk mengkaji dan menganalisis pengaruh persepsi kegunaan, persepsi kemudahan dan persepsi kerumitan terhadap kesuksesan implementasi e-faktur di Kantor Pelayanan Penyuluhan dan Konsultasi Perpajakan Kabupaten Sinjai. Penelitian ini melibatkan 30 responden dari 188 jumlah keseluruhan Pengusaha Kena Pajak baik Wajib Pajak Badan maupun Wajib Pajak Orang Pribadi yang terdaftar di Kantor Pelayanan Penyuluhan dan Konsultasi Perpajakan (KP2KP) Kabupaten Sinjai. Penentuan jumlah sampel menggunakan rumus Slovin. Data dikumpulkan melalui metode penelitian pustaka dan pembagian kuesioner. Selanjutnya, data uji melalui uji instrumen (uji validitas dan uji reabilitas), uji asumsi klasik (uji normalitas, uji multikolonieritas, dan uji heteroskedastisitas), dianalisis menggunakan metode analisis statistik deskriptif, dan dilakukan uji hipotesis (uji regresi linear berganda, uji koefisien determinasi, uji parsial, dan uji statistik f). hasil penelitian menunjukkan bahwa Persepsi Kegunaan berpengaruh positif terhadap kesuksesan implementasi e-faktur wajib pajak orang pribadi untuk menggunakan e-faktur; Persepsi Kemudahan berpengaruh positif terhadap kesuksesan implementasi e-faktur untuk menggunakan e-faktur; dan Kerumitan berpengaruh negatif terhadap kesuksesan implementasi e-faktur.

Kata Kunci: Persepsi Kegunaan, Persepsi Kemudahan, Persepsi Kerumitan, Kesuksesan Implementasi E-faktur

Abstract

This study aims to examine and analyze the effect of perceived usefulness, perceived ease, and perceived complexity on the successful implementation of e-invoicing at the Tax Counseling and Counseling Service Office of Sinjai Regency. This study involved 30 respondents from 188 total Taxable Entrepreneurs, both corporate and Individual Taxpayers, registered at the Tax Counseling and Consultation Service Office (KP2KP) of Sinjai Regency. Determination of the number of samples using the Slovin formula. Data were collected through library research methods and distributing questionnaires. Furthermore, the test data through instrument testing (validity test and reliability test), classical assumption test (normality test, multicollinearity test, and heteroscedasticity test) were analyzed using descriptive statistical analysis methods, and tested hypotheses (multiple linear regression test, coefficient of determination test). Partial test, and statistical test f). the results of the study indicate that perceived usefulness has a positive effect on the successful implementation of e-invoicing for individual taxpayers to use e-invoicing; Perception of convenience has a positive effect on the successful implementation of e-invoicing to use e-invoicing, and complexity has a negative effect on the success of e-invoicing implementation.

Keywords: Perceived Usefulness, Perception of Ease, Perception of Complexity, Successful Implementation of E-invoicing
GENERAL APPROACH TO THE DESIGN OF COMPLEX BAR AND PLATE SYSTEMS ON AN ARBITRARY ELASTIC FOUNDATION
Authors:   BelSUT, Kozunova O.V.
Published: August 2021

This paper generalizes the method of static calculation of complex rod and plate systems on an arbitrary elastic foundation under the action of an external load, when modeling the foundation with various models, ranging from the classical Winkler model to a combined model consisting of the Winkler model and the Kogan two-layer model. The relevance and timeliness of the proposed work lies in the fact that the issues of calculating complex structures on an elastic foundation have not yet been fully investigated and there is no general approach to their calculation. The author knows the works of M.I. Gorbunova-Posadova, I.A. Simvulidi, G. Ya. Popova, S.N. Klepikova, S.D. Semenyuk, in which various approaches were used to study the design of simple rod structures, isolated foundation slabs, including mesh slabs, as well as spatial monolithic foundations, as a system of cross belts on an elastic foundation. The proposed technique is based on the Ritz variational method and the mixed method of structural mechanics using Zhemochkin’s influence functions. To determine the coefficients of the canonical equations and free terms of the mixed method of structural mechanics through the Zhemochkin method, the calculation uses the ratios for the deflections of plates or beams with pinching in their center. To simplify the relations of the Zhemochkin method in hinged-connected beams, it is convenient to introduce pinching with unknown displacements at the beginning or end of each beam. The numerical implementation of the general approach was carried out using the Mathematica computer program.
CALCULATION OF EFFORTS RIPS FOUNDATION BOLTS IN THE BCALCULATION OF EFFORTS RIPS FOUNDATION BOLTS IN THE BASES OF CENTRAL AND ECCENTRIC COMPRESSION COLUMNASES OF CENTRAL AND ECCENTRIC COMPRESSION COLUMN
Authors:   GAU NO ", Svyatoshenko A.E. ,   State expertise Department"
Published: August 2021

An engineering technique for calculating the tearing forces in the foundation bolts in the bases of centrally compressed columns is proposed. The calculation of the forces is based on the calculation of extra-centrally compressed rods, taking into account: the influence of the cross-section shape; the initial curvature of the neutral axis of the column; random eccentricity; nonlinear steel work. The calculation of the attachment forces (Nult and Mfic) of columns on the foundation edge is based on the method of practical calculations of centrally compressed elements using the stability coefficients at central compression φ (longitudinal bending coefficients), which are calculated depending on the flexibility l. The calculation of the attachment forces for rods with different reduced flexibility was performed by FEM in the FEMAP software package, as well as analytically using fictitious forces in centrally compressed rods. To calculate the tearing forces in the foundation bolts, a calculation model is made taking into account the contact interaction of the base and the reinforced concrete base. Graphs of the effect of the flexibility of the centrally compressed rod on the tearing force in the foundation bolts at the stage of exhaustion of the bearing capacity of the column when calculating its stability as an element of a continuous section under central compression are constructed.
Efficacy and safety of acupuncture combined with Chinese herbal medicine in the treatment of primary liver cancer: A protocol for systematic review and meta-analysis
Authors:   Changchun University of Chinese Medicine, Shen Dong , Xiong Zhuang , Liu Yangyang , Leng Yan , Deng Houbo , Wang Song , Meng Xiangtong , Liu Tiejun
Published: August 2021

Review question / Objective: The aim of this systematic review is to valuate the efficacy and safety of acupuncture combined with Chinese herbal medicine in the treatment of primary liver cancer inform clinical practice. To this end, the proposed systematic review will address the following question: Which is the best choice to effective in improving The short-term curative effect is effective, the quality of life is stable, and the survival rate of patients is six months/one year in patients with primary liver cancer, acupuncture combined with Chinese herbal medicine or the best supportive treatment? Information sources: We will search the following databases: PubMed, Web of Science, Embase, AMED, Cochrane Library, CNKI, VIP, CBM, and Wanfang. Additionally, we will manually search all reference lists from relevant systematic reviews to find other eligible studies. We will exclude all conference records, reviews, meta-analyses, newspapers, guides, letters and other documents. When the full text or the required information in the analysis process was missing, the author of the studies was contacted for data.
Imagen de la marca Perú y generación de valor para el turista de Lima Metropolitana, Perú
Authors:   Universidad Privada Norbert Wiener, Cueva Gamboa Karla Mabel , Sánchez Chepe Renzo Gianfranco ,   Universidad Privada Norbert Wiener, Vargas Merino Jorge Alberto ,   Universidad Privada del Norte
Published: August 2021

Desde que se creó la marca Perú en el año 2011, esta ha tenido un crecimiento considerable debido a que Promperú, su principal embajador, impulsa la marca buscando generar orgullo, identidad y autoestima, y resaltar su diferenciación de otros países, para lo cual se procura también que existan propuestas turísticas que logren generar valor dentro de toda la cadena, es decir, una experiencia turística integral. La presente investigación tuvo como objetivo general determinar cómo la imagen de la marca Perú influye en la generación de valor para el turista de Lima Metropolitana, Perú, en el año 2020. Se trabajó con un método hipotético–deductivo, un enfoque cuantitativo, tipo de investigación básica de nivel explicativo y un diseño no experimental de corte trasversal. La muestra objeto de estudio fue de 228 turistas nacionales, el instrumento utilizado fue el cuestionario, el cual obtuvo un alfa de Cronbach de 0,82, por lo cual existe una alta confiabilidad estadística y una validación de contenido del 80% por parte de los evaluadores expertos. De manera general, se concluye que existe una influencia significativa entre la imagen de la marca Perú y la generación de valor para el turista de Lima Metropolitana en el 2020, ya que se obtuvo un nivel de significancia de 0,00 < 0,05 en el estadístico de contraste Chi cuadrado. Esto es, cuando la imagen de la marca Perú se gestiona adecuadamente tiene una influencia directa y significativa en la generación de valor percibido por el turista. La generación de valor es explicada por la gestión de la imagen de la marca Perú de manera significativa.
Correlation between cervical excisional procedures and the risk of preterm birth in subsequent pregnancies
Authors:   “Filantropia” Clinical Hospital, Bucharest, Romania, MUGESCU Cezara Diana , CIMPOCA-RAPTIS Brînduşa Ana ,   “Filantropia” Clinical Hospital, Bucharest, Romania, CIOBANU Anca Marina ,   “Filantropia” Clinical Hospital, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, BOTEZATU Radu ,   “Filantropia” Clinical Hospital, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, GICĂ Corina ,   “Filantropia” Clinical Hospital, Bucharest, Romania, PELTECU Gheorghe ,   “Filantropia” Clinical Hospital, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, PANAITESCU Anca Maria ,   “Filantropia” Clinical Hospital, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, GICĂ Nicolae ,   “Filantropia” Clinical Hospital, Bucharest, Romania,   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: August 2021

Cervical excisional procedures stand as an important risk factor for preterm birth (PTB) in subsequent pregnancies in various articles in the medical literature. We performed an evidence-based review of the obstetrical outcomes succeeding excisional procedures for cervical dysplasia as follows: we reviewed 16 studies published between 2015 and 2020 that assessed whether there is an association between excisional cervical procedures and unfavorable obstetrical outcomes. Nevertheless, there are several other aspects of the problem, taken into account as possibly responsible for increasing the risk of PTB, as the grade of the dysplasia, the effect of depth/length/volume of the excised cone specimen, prophylactic procedures for the prevention of PTB, age, interval conization-pregnancy. The majority of the authors suggested an association between excisional procedures and preterm birth or other obstetrical events. However, some of them did not find statistically significant data in order to strongly affirm a correlation between conization and PTB, or, on the contrary, disproved the given hypothesis. There is no consensus regarding cervical excisions as being an individual risk factor for PTB, therefore more studies need to be conducted in order to come to a strong, universal conclusion.
PROBABLE DEMENTIA WITH LEWY BODY
Authors:   Department of Clinical Neurosciences, “Colentina Clinical Hospital”, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Davidescu Irene
Published: August 2021

V.A. female, 67 years, old admitted in our clinic for neurological assessment because of a parkinsonian syndrome, in association with neurocognitive disorder established in a psychiatric service. Motor disturbances and cognitive disorders are frecquently associated in Dementia with Lewy body (DLB) and in Parkinson Disease (PD). Psychiatric symptoms are difficult to manage as antipsychotics have frequently motor side effects. Criteria for possible and probable diagnosis of DLB according McKeith criteria and Diagnostic and Statistical Manual of Mental Disorders (DSM 5) are discussed.
INDOCYANINE GREEN ENHANCED LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE PATIENTS: DO WE NEED A REVISION OF THE SAFETY PARADIGMS?
Authors:   4th Department of Surgery, Bucharest University Emergency Hospital, Alius Catalin , Gradinaru Eugen-Sebastian ,   4th Department of Surgery, Bucharest University Emergency Hospital, Nica Adriana Elena ,   2nd Intensive Care Unit, Bucharest University Emergency Hospital
Published: August 2021

Introduction. Rapid developments in medical technology have allowed the incorporation of Indocyanine green (ICG) fluorescent cholangyography in the surgical technique armamentarium. The visualization of the biliary anatomy with augmented reality devices during surgery reduces complications and offer the perspective of challenging the safety paradigms which prohibited surgery in certain acute biliary conditions. Materials and methods. 43 consecutive patients were enrolled in a prospective interventional study and randomly divided into a cohort of 19 patients who had ICG injected prior to laparoscopic cholecystectomy and a cohort of 23 patients who received no fluorescent dye prior to surgery. In the ICG lot a Near Infrared Fluorescent System was used for the acquisition of fluorescent data in order to produce real time augmented reality imaging (ICG fluorescent cholangiography). The surgical technique and the indications for surgery were the same for the same in both cohorts of patients. Results and discussion. The cohort of patients receiving ICG had no complications and the mean operating time was 10 minutes less. The biliary anatomy was identified immediately in the ICG cohort with a specificity of 89.4% for the common bule duct and 73.6% for the cystic duct. In the non ICG cohort 21% of the CBDs and 43.4% of the cystic ducts were identified with difficulty during the procedure. Conclusion. We demonstrated in a small cohort of patients that early laparoscopic cholecystectomy is safe and can be performed quicker with the aid of fluorescent dyes. In order to challenge the safety paradigms around the early laparoscopic cholecystectomy a larger study is necessary.
MINIMALLY INVASIVE TREATMENT OF UROGENITAL PROLAPSE USING AMI I-STITCH
Authors:   Department of Urology Faculty of Medicine, “Lucian Blaga” University, Sibiu, Hasegan Adrian , Grigore Nicolae ,   Department of Urology Faculty of Medicine, “Lucian Blaga” University, Sibiu, Pirvut Valentin ,   Department of Urology Faculty of Medicine, “Lucian Blaga” University, Sibiu, Mihai Ionela ,   Department of Urology Faculty of Medicine, “Lucian Blaga” University, Sibiu
Published: August 2021

Introduction. Genital prolapse is a pelvic static disorder, which represents the descending of the vaginal walls and the uterus in the vaginal axis with their exteriorization through vaginal introit. It is a public health problem, with a risk of occurrence of 30-40% in women over 40 years old, of 20-30% in multiparous, of about 20% after surgeries, having as the main cause injuries to pelvic supporting and suspension structures. The objective of this paper is to compare the classic transvaginal surgical technique of mounting the prosthesis to the bilateral sacrospinous ligament with the technique of fixing the mesh to the sacrospinous ligament using the I-Stitch device. Materials and methods. Between 2010 and 2017, in the Sibiu Urology Clinic, there were diagnosed 57 patients (p) with urogenital prolapse who benefited from colpopexy by fixing the polypropylene mesh to the sacrospinous ligament using the I-Stitch device and colpopexy by classically fixing the mesh. Results. In the group using the I-Stich device, mean operative time was 48.5 minutes (between 35 and 110 minutes), mean blood loss was 140 ml (90-300 ml), postoperative pain present in 5 p (8.77%), hospitalization length between 2 and 5 days with an average of 3.2 days. Conclusion. Reconstructive surgery of pelvic floor is a combination of surgical procedures designed to correct multiple defects, is definitive and curative in the treatment of prolapse.
MANAGEMENT OF THE SURGICAL SOLUTIONS FOR FEEDING – A PREVENTION FACTOR FOR NUTRIENT BALANCE IMPAIRMENT
Authors:   Clinica IV Chirugie Digestivă Superioară, Spitalul Universitar de Urgenţă Bucureşti, Tudor Corneliu , Şavlovschi Costel ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Brănescu Cristian ,   Clinica IV Chirugie Digestivă Superioară, Spitalul Universitar de Urgenţă Bucureşti, El-Khatib Ahed ,   Clinica IV Chirugie Digestivă Superioară, Spitalul Universitar de Urgenţă Bucureşti, Dascălu Ana Maria ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Tudor Alina-Simona ,   Hyperclinica Medlife, Bucureşti, Oprescu Sorin Mircea ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Şerban Dragoş ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: August 2021

Aim. The paper aims, thanks to the long-standing practice, to synthesize the clinical experience gained during the surgery for feeding tubes management and highlight the details we had to deal with in order to overcome the local and general difficulties. Materials and method. A retrospective study was carried out over a period of 20 years (1996-2016), on the patients who underwent surgery for placing feeding tubes in our clinic. They were analyzed: the techniques used, the long-term evolution, the complications and the incidents and the way they were solved. Results. A total of 329 patients were enrolled in the study. The surgical techniques used were: classic surgical solutions (300 cases) and percutaneous endoscopic gatrostomy (PEG, 29 cases). For classical interventions, post-operative evolution was good in 219 patients (73%) and was complicated by various accidents and incidents in 81 cases (23%). The study presents the causes that may lead to these complications, the local and general, clinical and paraclinical consequences and the correct surgical attitude, as well as particular cases that required the adaptation of the surgical techniques to local anatomical and functional polymorphism. In the long run, the jejunostomy appears to be relatively inferior to gastrostomy, in terms of toland efficiency. PEG complications were minor and transient, but the reduced number of cases and the limited period of postoperative surveillance did not allow statistically significant conclusions to be drawn. Conclusions. The postoperative management of surgical feeding solutions requires permanent collaboration between surgeon, patient and outpatient nursing services at home and requires knowing and observing of a specific nursing protocol to avoid disturbing the nutrient balance of the patient.
THE EFFECTIVENESS OF USING THE INFRACOCCYGEAL SACROPEXY IN THE APICAL PROLAPSE TREATMENT
Authors:   Department of Obstetrics and Gynecology. Breast Center. “Fichtelgebirge” Klinikum. Marktredwitz, Bayern, Germany, Ionescu Olivia , Bacalbasa Nicolae ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest,   Department of Obstetrics and Gynecology, “Dr. Ion Cantacuzino” Clinical Hospital, Bucharest, Saba Nahedd ,   Department of Obstetrics and Gynecology, “Polizu” Clinical Hospital, Bucharest,   “Alessandrescu-Rusescu” National Institute of Mother and Child Health, Bucharest, Banceanu Gabriel ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest,   Department of Obstetrics and Gynecology, “Polizu” Clinical Hospital, Bucharest,   “Alessandrescu-Rusescu” National Institute of Mother and Child Health, Bucharest
Published: August 2021

Aim. We purpose to present the current literature on the efficacy of the infracoccygeal sacropexy (IS) or the posterior intravaginal slingplasty (PIS) procedure in women with apical prolapse (AP) who opt for a surgical uterine-sparing method. Method. The databases Pubmed and Medline have been researched after introducing the key words “uterine prolapse”, “apical compartment” and ”sacropexy”, “sling suspension”. We chose the articles published in the german and english language selecting systhematic reviews, methanalyses, retrospective and follow-up studies in which the benefits of the the infracoccygeal sacropexy in women with advanced prolapse of the apical compartment and/or anterior and/or posterior compartment. As it is known that the defects in the compartments are frequently not isolated and appear to be associated one with another, procedures used for anterior or posterior prolapse have also been applied when necessary. Only symptomatic women have undergone operation. The grade of the prolapse has been established using the Pelvic Organ Prolapse Quantitation (POP-Q) system. Results. After selecting the relevant articles there is insufficient information to support a benefit of the IS technique in the treatment of AP. The recurrence rate in the apical compartment is estimated to be between 14 and 50%. The most important complication of the technique are the vaginal and rectal erosions and, rarely, rectovaginal or urethra-vaginal fistulas. The 3 -year success rate varies between 65% and 86% while more than two thirds of women report an improvement in the life-quality. The perioperative morbidity rate is very low. Conclusion. IS appears to temporary improve the prolapse associated symptomatology but it associated with a very high rate of recurrence as well as high rate of postoperative complications compared to other vaginal techniques with tapes for apical prolapse.
Ethical Nursing Care Versus Cost Containment: Considerations to Enhance RN Practice
Authors: Kelly Paula , Porr Caroline
Published: August 2021

Registered nurses (RNs) are constantly challenged to provide quality nursing care while resources are chipped away, sometimes along with their energy, pride, and ability to provide holistic patient care. Many experience frustration and a sense of powerlessness to change their circumstances. We discuss working in a restructured healthcare system and demonstrate how the business model of healthcare routinely undermines the professional knowledge of RNs and their ethical mandate to provide individualized patient-centered care, often causing tensions, strains, and ethical conflicts. As such, many RNs experience chafing and displaced aggression that is harmful to themselves and the nursing profession, and offer suffer in silence. We offer a call to speak up and out, and conclude with recommendations to assist RNs to understand the realities of their work life and improve their practice environments.
Potential of Virtual Worlds for Nursing Care: Lessons and Outcomes
Authors: Walia Nitin , Zahedi Fatemeh , Jain Hemant
Published: August 2021

Second Life® (SL) as the exemplar of virtual worlds has become a new platform for simulating real-life experiences and interactions. Educational institutions, hospitals, government and business organizations, and individuals participate in SL. Virtual worlds provide new opportunities for online interactions in 3D platforms for many social and business activities, including some healthcare initiatives. Increasing participation by patients and providers, and an expanding range of activities, have made SL an exciting environment for creativity and innovation. This paper explores the unique aspects of the SL based platform as it might enhance nursing services by functioning as a viable supplement to traditional nursing care delivery systems to further enhance positive patient outcomes. This paper explores the unique aspects of SL based platform to enhance nursing services and to function as a viable supplement to traditional nursing delivery systems. This work is in direction of realizing integration of healthcare and web technologies that promotes use of web tools by actors in healthcare, including nurses, physicians, and patients. Contributions to field of nursing have been discussed.
Advancing Scholarship through Translational Research: The Role of PhD and DNP Prepared Nurses
Authors: Trautman Deborah , Idzik Shannon , Hammersla Margaret , Rosseter Robert
Published: August 2021

Nurses prepared in research and practice focused doctoral programs make important contributions to the development and implementation of the science that shapes nursing practice. This article explores the different, yet complementary roles that PhD and DNP prepared nurses make to the scholarship of discovery within the discipline of nursing. The impact of translational research, implementation science, and improvement science on the quality of healthcare is explored, along with the possibilities presented by big data. Examples of successful collaborations are highlighted, including opportunities for DNP and PhD faculty to advance scholarship and research. The authors consider the context of these roles in both research and practice and academia.
Evidence for Psychiatric and Mental Health Nursing Interventions: An Update (2011 through 2015)
Authors: Bekhet Abir , Zauszniewski Jaclene , Matel-Anderson Denise , Suresky Jane , Stonehouse Mallory
Published: August 2021

This state-of-the-evidence review summarizes characteristics of intervention studies published from January 2011 through December 2015, in five psychiatric nursing journals. Of the 115 intervention studies, 23 tested interventions for mental health staff, while 92 focused on interventions to promote the well-being of clients. Analysis of published intervention studies revealed 92 intervention studies from 2011 through 2015, compared with 71 from 2006 through 2010, and 77 from 2000 through 2005. This systematic review identified a somewhat lower number of studies from outside the United States; a slightly greater focus on studies of mental health professionals compared with clients; and a continued trend for testing interventions capturing more than one dimension. Though substantial progress has been made through these years, room to grow remains. In this article, the authors discuss the background and significance of tracking the progress of intervention research disseminated within the specialty journals, present the study methods used, share their findings, describe the intervention domains and nature of the studies, discuss their findings, consider the implications of these studies, and conclude that continued track of psychiatric and mental health nursing intervention research is essential.
Histoires de campement : un autre récit des Guerres de l’Indépendance de Cuba
Authors: Bouffartigue Sylvie
Published: August 2021

L’auteur se propose de revenir sur un aspect mineur mais néanmoins capital de l’histoire culturelle contemporaine de Cuba. Escamotée par le discours convenu développé dans la tradition romanesque des Guerres de l’Indépendance nationale entre 1850 et 1950, émerge la version très progressiste du projet anticolonial et républicain adossé à l’organisation des pratiques civiques, comme forme précoce d’éducation populaire et révolutionnaire par un peuple insurgé qui lutte pour s’extraire d’un système colonialiste et pour en modifier les rapports sociaux. Ce propos et ce projet seront balayés par le régime établi en 1902, mais il n’est pas infondé de voir se dessiner dans cet imaginaire et cette mémoire la continuité avec les mouvements révolutionnaires cubains du xx e  siècle.
L’intelligence artificielle n’existe-t-elle vraiment pas ? Quelques éléments de clarification autour d’une science controversée
Authors: Vayre Jean-Sébastien , Gaglio Gérald
Published: August 2021

Depuis dix ans et avec le mouvement big data , l’intelligence artificielle a le vent en poupe. Les acteurs politiques et économiques retrouvent ainsi un intérêt à promouvoir activement l’intelligence artificielle dans le même temps que les chercheurs issus de tous les horizons scientifiques orientent de plus en plus leurs travaux vers cet objet d’étude qui, bien souvent et à tort, leur apparaît nouveau. Cet engagement collectif est nécessaire contenu de l’immensité des enjeux humains, sociaux et économiques qui sont associés au développement de l’intelligence artificielle. Le problème est qu’il s’accompagne d’un tapage médiatique qui tend à embrouiller les débats et les travaux. Un exemple frappant est le fait qu’il existe aujourd’hui plusieurs spécialistes renommés qui expriment l’idée que l’intelligence artificielle n’existe pas ! De telle sorte que, même dans la communauté scientifique, il est parfois difficile d’identifier ce qu’est l’intelligence artificielle. Cet article vise à lever le voile sur cette obscurité.
Inferior Oblique Muscle “Overaction” Caused by Inferior Oblique Muscle Shortening, Not by Hypertonicity
Authors: Lagstein Oded , Guyton David L.
Published: August 2021

Purpose:

To determine whether fusional vergence adaptation in patients who can fuse in at least some gaze positions can cause curvature of the non-fixing eye movement paths of patients with apparent “overaction” or “underaction” of the oblique muscles, yielding possibly erroneous evidence of hypertonicity as the cause of the overaction or underaction.

Methods:

The authors retrospectively studied Lancaster red-green plots of patients with oblique muscle “overaction/underaction.” If fusion was present, the plot had usually been repeated after monocular occlusion for at least 30 minutes. Fundus torsion and fusion status were also recorded.

Results:

After a patch test in patients displaying fusion, the non-fixing eye's movement path became more linear.

Conclusions:

Although it has been argued that true overaction of the oblique muscles would show curved eye movement paths on side gazes, in the study patients displaying fusion in at least some directions of gaze, the eye movement paths became more linear after patch testing, favoring the more mechanical explanation. Illustrated cases were consistent with the hypothesis that short inferior oblique muscles simply hold the globes in extorted positions, and the appearance of inferior oblique muscle “overaction” arises from the eyes' following their extorted movement paths on side gazes, not from hypertonicity of the inferior oblique muscle in the adducting eye.

[
J Pediatr Ophthalmol Strabismus
. 2022;59(1):28–34.]
Dose-Response of Primary Bilateral Medial Rectus Resection in Infantile Exotropia
Authors: Farias Lucas B. , Barham Rasha , Costa Ana Luiza , Wang Serena , Weakley David R.
Published: August 2021

Purpose:

To evaluate the dose-response relationship for primary bilateral medial rectus resection in children with exotropia, based on outcomes with this procedure.

Methods:

Dose-response at both distance and near were calculated as prism diopters correction per millimeter (PD/mm) of rectus resection. All surgeries were performed under general anesthesia through a fornix incision, using doubled-armed 6-0 polyglactin sutures. The resection amount ranged from 5 to 8 mm in each eye, according to the surgical dosage based on the largest angle of preoperative deviation.

Results:

The mean surgical dose-response for all procedures was 2.83 ± 1.03 PD/mm of resection at distance and near. The overall success rate was 53% at the final examination after a mean follow-up of 21.9 months. Patients with moderate angles (25 to 45 PD) had a higher success rate than those with 50 PD or greater deviation.

Conclusions:

Primary bilateral medial rectus resection should be considered as a surgical alternative in childhood exotropia, particularly for moderate and constant deviations.

[
J Pediatr Ophthalmol Strabismus
. 2022;59(1):24–27.]