bluuebunny/crossref_metadata_2025 huggingface dataset:
First presentation of metastatic lung cancer as groin necrotizing fasciitis
Authors: Cheong Christopher
Published: April 2023

Introduction: A B is a 64-year-old female who presented to the emergency department with fever, chill, and a swollen tender lump in the groin. She had a high white cell count of 14.0 × 109/L and a C-reactive protein (CRP) of 190 mg/L. She proceeded to have an urgent computed tomography (CT) scan.

Case Report: A B had a past medical history of poorly controlled diabetes (HbA1c = 11%) which she was non-compliant to medication. She also had an 80-pack year smoking history. A CT scan performed showed severe cellulitis with a collection with a suggestion of necrotizing fasciitis. She was taken to theater urgently for debridement. Histological examination of the debrided tissue however showed poorly differentiated adenocarcinoma which was consistent with metastatic lung adenocarcinoma.

Conclusion: This is the first case recorded of lung cancer with metastasis to the groin and presenting as a necrotizing soft tissue infection.
Livelihood vulnerability to climate change in Rural Tripura, India: A Comparative Study of the Tribal and Non-Tribal Households
Authors: Roy Niranjan , Debnath Avijit , Nautiyal Sunil , Sarma Munmi
Published: April 2023

Climate change is a harsh reality that has a significant impact on livelihood strategies in general, and agricultural-based ones in particular. Agriculture is the principal source of livelihood in the majority of North Eastern states, including Tripura. In the absence of alternate employment opportunities and planned activities, people’s livelihoods are likely to suffer as a result of climatic variability. In this context, the LVIIPCC technique has been used to explain the extent of climate vulnerability among tribal viz-a-viz nontribal population of Tripura. A total of 400 respondents from 40 villages of two districts in Tripura are surveyed based on a combination of informal interviews, a questionnaire survey, and Focused Group Discussions (FGD). The findings suggested that tribal households were more exposed to climate change. Furthermore, because of their greater sensitivity and lesser adaptation capacity, they were more likely to be vulnerable to climate change than non tribal households. The findings provide a scientific basis for policymakers in rural Tripura to priorities options to strengthen livelihood capitals and climate change adaptation ability.
Biomecánica en el tratamiento ortodóntico de la mordida profunda anterior
Authors: Aguirre Ortega Jackeline Del Rocio , Espinoza Quiñonez Jorge
Published: April 2023

La mordida profunda es una maloclusión con una etiología multifactorial y se define como una condición clínica donde los incisivos superiores recubren de manera exagerada a los incisivos inferiores, el primer paso para el tratamiento adecuado de este tipo de maloclusión es la identificación de su origen, considerando el grado de compromiso dental, esquelético y funcional, la presente investigación tiene como objetivo: Determinar los principios biomecánicos empleados en el tratamiento ortodóntico de la mordida profunda anterior. La metodología utilizada en este trabajo es mixta de tipo exploratorio, analítico y descriptivo referente a la etiología, características, factores y tratamientos para la corrección de la mordida profunda, se realizó y valido un formulario de encuesta, que se aplicó a 17 ortodoncistas, los mismos que conformaron la muestra de estudio, se concluyó que los principios biomecánicos en la mordida profunda están constituidos mediante la corrección por intrusión de piezas anterior, extrusión de piezas posterior o ambos simultáneamente, los factores que inciden en la mordida profunda son los genéticos (crecimiento y desarrollo craneofacial, patrón neuromuscular, características étnicas, herencia), y los ambientales (hábitos dismorfo funcionales, tales como respiración bucal, empuje lingual), los tratamientos para la corrección mordida profunda más utilizados son los sistemas de Open turbos, Botón de Nance, Micro implantes y Curvas inversas.
Prevalence, Lifestyle Factors and Health Effects of Dysmenorrhea Among Female Students at Private Universities in Osun State, Nigeria
Authors: Ogunyemi Olatimbo Dunsin , Dada Samuel , Oshineye Adeola , Atolagbe James E.
Published: April 2023

Dysmenorrhea is a major gynaecological issue among female students in Nigeria. This study investigated the Prevalence, lifestyle factors, and health effects of dysmenorrhea among female students at private Universities in Osun State, Nigeria. The cross-sectional descriptive study used a multistage sampling procedure to select participants randomly across selected private Universities in Osun State. A validated-structured questionnaire was used to gather data from participants. Data analysis using descriptive and inferential statistics at p<0.05 was done with IBM SPSS Software version 27.0. A total of 365 female students participated in the study, with a mean age of 20.2 ± 1.88 years. The prevalence of dysmenorrhea was 68.8%, out of which 49.4% of the respondents reported they experienced moderate pain and 31.9% reported they experienced severe pain. Up to 58.4% of the participants engaged in some form of exercise, and 61.4% of the respondents have good dietary patterns, whereas close to half (46.8%) of the respondents were sometimes absent from work or school due to pain. There was a significant association between good dietary pattern and dysmenorrhea [X= 18.241; p-value= 0.008]. This study has shown that dysmenorrhea is a public health challenge among the female population. Therefore, a holistic health education intervention must be carried out among female University students on basic coping strategies to minimize menstrual pains.
Keywords: Dysmenorrhea, Female Students, Lifestyle, Menstrual Pain, Prevalence
La terra che non c'è. Orticoltura sociale urbana
Authors: Ferrante Antonio , Bianchessi Elisabetta
Published: April 2023

Il volume descrive un progetto di ricerca-azione nato per rispondere ai bisogni delle nuove povertà che la pandemia del Covid ha messo a nudo nell’area di Via Padova a Milano, quartiere multietnico già marginale della Grande Milano. Come risposta a questo stato di crisi e basandosi su una solida rete territoriale di enti del terzo settore, La terra che non c’è ha usato una serie di terreni abbandonati, sottoutilizzati o inattivi per produrre alimenti freschi, – con il coordinamento scientifico del Dipartimento DISAA-Università degli Studi di Milano – applicando tecniche di coltivo fuori suolo per creare orti-giardini autocostruiti, gestiti con gli abitanti del quartiere. La terra che non c’è ha costruito un’innovativa comunità orticola urbana, composta da giovani studenti, volontari, anziani, disabili, che dona i suoi prodotti a chi ha socialmente più bisogno, agli invisibili del quartiere, realizzando un’economia circolare solidale.
Thyroglossal duct cysts: experience from a series of cases treated in the Oral and Maxillofacial Surgery Clinic of General Hospital “G.Papanikolaou’’ in Thessaloniki, Greece
Authors: Grivas Theodoros , Pappas Ioannis , Pastelli Nikoleta , Skliris James Philip , Paraskevopoulos Konstantinos , Vaxtsevanos Konstantinos
Published: April 2023

SUMMARY: Thyroglossal duct cyst is the most common swelling of fetal origin in the cervix, located predominantly in the frontal neck area. The prevalence of the disease is 7%, while in bibliography there is some controversy regarding the age of diagnosis, since some authors find greater occurrence in children and others in adults.[1-3] Clinically, it usually appears as a mobile, painless mass without tension most commonly located below the hyoid bone (75% of the patients), but if inflammated, it can be accompanied by pain. The indicated therapeutic approach of thyroglossal duct cysts is surgical removal under general anesthesia according to Sistrunk technique, that ensures the full removal of the cyst’s wall including part of the hyoid bone body with which it is usually attached. The aim of the present study which was written based on SCARE 2020 protocol according to EQUATOR[4] is the presentation of a series of 5 cases which were surgically treated in the University Clinic of Oral and Maxillofacial Surgery of G.Papanikolaou General Hospital in a 2.5 years time frame(9/2019-2/2022). Four of the patients were men(80%) (mean age 50.5 years, ranging from 36 to 71 years old) and one was a 63 year old woman(20%). All of the patients presented in the outpatient unit of the clinic with a painless mobile neck mass, that appeared euthyroid from the laboratory tests. All of the patients underwent surgical removal of the thyroglossal duct cyst and part of the hyoid bone at the same time (Sistrunk procedure). No regression was noticed in the frequent postoperative follow-up. In conclusion, thyroglossal duct cyst is a clinically evident entity which although is more often diagnosed and treated surgically in childhood, it can also appear in adults. It may be complicated with inflammation and appear as a painful neck swelling. The treatment of choice is surgical removal according to Sistrunk procedure.
Influence Of Posterior Teeth On The Anatomical Location Of Fracture Line In Condylar Fractures – A Cross Sectional Study Using Digital Panaromic ​ Radiographs
Authors: Jothish M.S. , Srinivasan P. , Janarthanan K. , Manikandaswamy S. , Abdullah Fayeez , Thirumaran D.
Published: April 2023

SUMMARY: Background: Condylar fracture have been probably the most mismanaged fractures throughout history. They were either not treated because of improper diagnosis or were managed minimally using external bandages to immobilise the mandible. If left untreated, condylar fractures lead to temporomandibular disorders like ankylosis, dysfunction, chronic dislocation and chronic pain. Even though many authors classify condylar fractures based on their location, no literature currently exists in determining the exact cause which ascertains the location of the fracture line. In this study we attempted to analyse if the presence or absence of posterior teeth is in any way related to the anatomic level of condylar fractures. Materials and Methods: 200 Orthopantomographic images of patients who presented to the department of oral and maxillofacial surgery with condylar fracture from the year 2017-2021 were collected from the medical records department. Out of these 200 OPGs 170 images where finally selected based on the inclusion criteria. Presence or absence of posterior teeth and the total number of missing posterior teeth were calculated and subjected to statistical analysis. Results: Diacapitular fractures were common in patients with no missing teeth and sub condylar fractures were found in patients with absence of posterior teeth hence validating our hypothesis that the number of missing posterior teeth are indeed associated with the level of condylar fractures and that, missing maxillary posteriors, mandibular posteriors, premolars and molars all statistical significantly independently correlated with the level of condylar fracture. Conclusion: In condylar fractures, the level of fracture line is influenced by the presence or absence of posterior teeth. The teeth are usually neglected as they are considered as an accessory aid and not an integral component of the facial skeleton. Proving that the teeth are involved in a complex mechanism which protects the Temporo- Mandibular joint from traumatic forces on the mandible will further solidify their position as an integral functional component and shift the focus towards preserving rather than removing them whenever possible.
Legalization of Conciliation in Blood Money for Premeditated Murder
Authors: Al-Zahrani Ahmed
Published: April 2023

Study subject: Legalization of conciliation in blood money for premeditated murder. The objectives of the study: clarifying the legal ruling on the issue of restricting what is permissible and presenting the sayings of the jurists on the amount of compromise in the blood money for premeditated murder, the legality of legalizing this compromise by the guardian, and the implications of this matter. Results of the study: This study concluded that the ruler’s authority allows him to restrict what is permissible, but this restriction is dependent on interest, including the issue of reconciliation in blood money. on its release; Whenever there is an interest in legalizing this arrangement, it must be taken into consideration, and this was evident by reviewing a number of effects arranged on the release of the permissibility of conciliation in the blood money for premeditated murder, and the exaggerations seen in our contemporary reality, which authorize the guardian of the legitimacy of codifying this conciliation with what he sees of controls and regulations check the public interest. Recommendations: This study recommends that there be committees formed from the relevant authorities with the issue of premeditated murder. To make a proposed law setting the mechanism of conciliation in premeditated murder, specifying the amount and ceiling of this conciliation, and specifying the parties through which these funds can be collected and disposing of them.
A descriptive analysis of the ethnic/racial composition of texas high school teachers and students: A multiyear study
Authors: Moye Alan K , Slate John R
Published: April 2023

The purpose of this longitudinal, statewide, descriptive analysis was to examine the high school teacher and student ethnic/racial diversity for the 2010-2011 school year through the 2018-2019 school year. Data were obtained from the Texas Education Agency on all student enrollment and on all teacher employment. As such, a causal-comparative longitudinal descriptive research design was present due to the use of archival data. Consistent decreases were observed in the average percentages of both White teachers and White students over the 9 school years of data that were examined. Consistent increases were documented in the average percentages of both Hispanic teachers and students over the 9 school years. Slight but consistent increases were established in the average percentages of Asian teachers and students and of Black teachers. The average percentage for Black students decreased in all school year examined, with the exception of two school years. Inequities existed as several school years of data analyzed revealed greater average percentages for ethnic/racial minority students when compared to ethnic/racial minority teachers. Also provided within this study are recommendations for future research along with implications for local and statewide policy and practice.
Satisfaction Level Undergoing Patients Hemodialysis in Service Nursing in the Hemodialysis Unit Hemodialysis Efarina Hospital Etaham Berastagi
Authors: Pakpahan Romauli
Published: April 2023

Satisfaction patient is results achieved at the time privilege product service health respond need patient so that make you feel happy and comfortable . Study This aim For identify level satisfaction patients undergoing  henodialysis in service nursing in the hemodialysis unit House Sick Efarina Etaham Berastagi. Study done on date July 2022 - August 2022 in the hemodialysis unit House Sick Efarina Etaham Berastagi with use consisting of a questionnaire of 2 parts namely demographic data and level satisfaction patients undergoing hemodialysis in service nursing. The Cronbach Alpha result is 0.85. The research design used is descriptive exploratory with big sample 50 people with method taking purposive sampling. Instruments used is compiled questionnaire with use scale linkert . Characteristics respondent and level satisfaction patient described use analysis descriptive for know frequency and percentage Where aspect satisfaction patient is described with serve average value each aspect. Research results show, characteristics respondent is male 70.0%, age "SI year 48.0%, religion Islamic 50.0%, Batak/Karo ethnicity 56.0%, junior high school education 40%, number Hemodialysis >432 times is 50.0%. satisfaction level patients undergoing hemodialysis in service nursing in a hospital hemodialysis unit Efarina Etaham Berastagi is 56% satisfied. Aspect highest from aspe satisfaction patient on service nursing is dimensions of tangibles deng the average value is 27.36. With thereby action nurse like recipient nurse moment enter room hd, explanation available facilities used, clean Pour, neatness uniform nurse Already Good according to respondents, and aspects ni must maintained and improved again. For increase maid: n nurse expected the Hospital.
Ocularis toxoplasmosis terápiás nehézségei egy esetünk kapcsán a COVID-19-pandémia alatt
Authors: Sándor Szilvia , Smeller Lilla , Tóth-Molnár Edit , Sohár Nicolette
Published: April 2023

Az uveitisek fertőzéses és nem fertőzéses eredetűek lehetnek, gyakran ismeretlen az etiológia. Az infek­ciózus eredetű posterior uveitisek egyik leggyakoribb formája a Toxoplasma gondii protozoa által okozott toxoplasmosis, amely a primer fertőzést követően inaktív állapotba kerül, és főként immunkomprimált egyéneknél kiújulhat. Fiatal férfi betegünk esetében évekkel ezelőtt, iskolai szemészeti szűrővizsgálaton derült fény bal szem toxoplasmosisára. Célzott antibiotikum- és kortikoszteroid-terápiát követően a folyamat inaktívvá vált, majd négy évvel később kiújult. Az alkalmazott általános kortikoszteroid-terápia súlyos mellékhatásai jelentkeztek. További ellátásában gyulladáscsökkentő terápiát kizárólag lokálisan tudtunk alkalmazni, ennek ellenére a folyamat regrediált. Néhány hónappal később, a Covid-19-pandémia során, a folyamat Sars-Cov-2-infekcióval társultan súlyosbodva kiújult. Betegünk kezelése a Covid-19-időszakban használatos Európai Uveitis Ajánlások alapján történt. Látásjavulás mértéke ezen a szemen a klinikai kép alapján igencsak kétesnek tűnt, az alkalmazott terápia hatására viszont állapota jelentősen javult, legjobb korrigált visusa csaknem teljessé (0,9) vált. Esetünk kapcsán szeretnénk felhívni a figyelmet a toxoplasmosissal diagnosztizált páciensek kezelési nehézségeire.
The Application of Information Assay Algorithm in Quality Control, Case Study Research: The Body Making Hall of Peugeot 207
Authors: Khatib Mahan , Hosseini Ghazal
Published: April 2023

This research inspected the requested of information assay algorithm in quality rein, situation research investigation: Peugeot 207 body entrance. Nowadays, human capability for manufacture and group of dataset have been developing swiftly. Most of facture frolic significant figure in this procedure; namely, prevalent utilization of computer capabilities in various body of knowledge, in expansion tools for set information, study and consistent knowledge systems, integrated banking systems, and electronic commerce. The explosive expansion in stored datum has given rise to new technologies and automated tools to transform the vast amount of datum into facts and knowledge, hence information assay is a solution for the obstacle. Information assay is prophesied to utilize of information assay tools in order to realize the templates and reliable interaction which has undisclosed so far. The willing research is requested to announce information assay in a manufacture company of Iran Automotive firm; that the original purpose is to demonstrate the reliable evaluation and some of dependability and precision controllers in the body construction company. In the recent researches, scholar efforts to provide this precision by cent and utilizing CLEMENTINE schedule, and attempts to show that when the researcher warrants a body, to what extent it can be possible to need to be re-diagnosed by the editors' instant response system. In the current research, the primary data of the quality information systems that have been accessed are used to perform calculations by the CLEMENTINE program. The findings of the study showed that the prediction is reliable in 85% of the opportunities. By using data analysis in the process of quality control and predicting the accuracy of people's performance in the bodybuilding salon and preventing the discovery of problems and defects in the reactivity department.
A efetivação das políticas públicas de saúde pela ação civil pública e a atuação do Ministério Público e da Defensoria Pública
Authors: Vieira Felipe Cardoso Rodrigues , Guimarães Jairo de Carvalho
Published: April 2023

O objetivo da presente pesquisa é analisar a admissibilidade da implementação de políticas públicas de saúde por determinação do Poder Judiciário, no caso da inércia estatal e apresentar a Ação Civil Pública (ACP) como um dos principais instrumentos para essa concretização. A justificativa da escolha do tema decorre de sua relevância prática, teórica e atual, especialmente porque as ações coletivas mostram-se como um instrumento eficaz na defesa da saúde. Por meio da pesquisa teórico-bibliográfica da base legal, doutrinária e jurisprudencial sobre o tema com utilização do método dialético, concluiu-se que a atuação do Poder Judiciário na consecução das políticas públicas de saúde ocorre de maneira subsidiária e excepcional, só surgindo devido à inércia estatal. Além disso, a ACP mostra-se como um instrumento processual o qual as instituições Ministério Público e Defensoria Pública fazem uso para a defesa da saúde da população frente à inércia dos entes federativos solidariamente responsáveis.
O sistema climático seguro como direito humano tutelável na ordem internacional: análise a partir da ecologização dos direitos humanos
Authors: Bertoldi Márcia Rodrigues , Corrêa Renata Xavier
Published: April 2023

Neste trabalho defende-se o reconhecimento de um sistema climático seguro como direito humano tutelável na ordem internacional. Inicialmente, apresenta-se o fenômeno das mudanças climáticas, seus impactos na fruição dos direitos humanos e as respostas jurídicas para tutelá-lo. Após, analisa-se a teoria da ecologização dos direitos humanos, que considera o meio ambiente como a lente interpretativa necessária para a compreensão e a efetivação dos demais direitos humanos. Por fim, apresentam-se o conceito de direito ao sistema climático seguro e a maneira como os litígios climáticos servem para tutelar a temática. Conclui-se que um sistema climático seguro deve ser considerado um direito humano protegido pela ordem internacional. O método de pesquisa é o dedutivo, partindo da premissa de que as mudanças climáticas são uma realidade e impactam a fruição dos direitos humanos; e que os direitos humanos devem ser interpretados à luz das mudanças climáticas; a existência de um sistema climático seguro exsurge como um direito humano a ser tutelável na ordem internacional com o objetivo de permitir a manutenção da vida.
A formação da opinião pública nos novos espaços democráticos: ciberespaço, povo e democracia na sociedade da informação
Authors: Da Silva Luis Delcides Rodrigues , Malheiro Emerson Penha
Published: April 2023

O objetivo deste estudo é compreender a atuação do ator social e como estes instrumentos aproximam muito mais o sujeito do representante político. O método escolhido para este estudo é o dedutivo através da pesquisa qualitativo-bibliográfica por meio do levantamento de informações dispostas no banco de dados da internet transversalmente ao fazer a leitura e fichamento de artigos, livros e matérias concernentes ao tema. Como esses atores e instrumentos democráticos atuam nesse contexto digital em meio aos movimentos conflituosos de informação e desinformação? Há a necessidade de um debate e atuação plural dessas pessoas, principalmente em meio as inquietações e os instrumentos novos disponíveis na contemporaneidade.
Application of alternative drive systems in modern special-purpose rail vehicles
Authors: Gallas Dawid , Stobnicki Paweł , Jakuszko Wojciech , Urbański Patryk , Kikut Justyna
Published: April 2023

In response to the market demand for modern special-purpose rail vehicles, an overview of the rolling stock available on the European and world markets was developed, along with an analysis of the scope of works they performed. The need for new alternative forms of propulsion in line with the development directions, taking into account EU and national environmental goals, was discussed. The paper presents a design of a proprietary modern special-purpose vehicle with an alternative drive. It discusses it compared to other special-purpose vehicles regarding their parameters and the viability of different drive systems, including hydrogen fuel cells.
AHMED BURHANEDDİN’İN CUMHURİYET MEFKÛRESİ
Authors: ŞENER Hasan
Published: April 2023

Cumhuriyet Dönemi, Türk milletinin ölüm kalım mücadelesi verdiği bir sürecin sonucunda hem kendi hem de dünya milletleri nezdinde esarete boyun eğmeyeceğini, her türlü zorluğu üstesinden gelebileceğini ispatladığı bir dönüm noktasıdır. Türk milletinin, Kurtuluş Mücadelesini kazanması ve Cumhuriyet yönetimine geçilmesi neticesinde yeni devletin bekasının sağlanması için halkı da topyekûn içine alan birtakım yenilikler yapılır. Bu yeniliklerin ve Cumhuriyet yönetiminin benimsetilmesi amacıyla aydınlar, yazarlar, bilim insanları eserlerinde Cumhuriyet vurgusunu ön plana çıkarırlar. Özellikle 1923-1938 yılları arasında yazılan eserlerde Cumhuriyet neslinin nasıl olması gerektiğine ilişkin rol model örnekler sunulur ve ideal bir gençlik tipolojisi oluşturma çabası içine girilir.

Ahmed Burhaneddin’in 1926 yılında yazdığı ve yer yer nutukvari bir üslup kullandığı Cumhuriyet Mefkûresi adlı eseri de Darülfünun öğrencileri nezdinde ideal Cumhuriyet gençliğinin nasıl olması gerektiğine dair yazılardan oluşmaktadır. Bu makalede, Ahmed Burhaneddin’in Cumhuriyet Mefkuresi başlıklı eserindeki ideal gençlik anlayışı açıklanacaktır.
Spectroscopy and Spectroscopic Analytical Techniques in the United States Pharmacopeia–National Formulary (USP–NF)
Authors: Biba Edmond , Pappa Horacio
Published: April 2023

The U.S. Pharmacopeia (USP) is a non-profit scientific organization whose mission is to improve global public health through public standards and related programs that ensure the quality, safety and benefits of medicines and foods. Vibrational spectroscopy is an analytical tool that is used in the United States Pharmacopeia and National Formulary (USP–NF) and has been since the 1950s. We explain the organization of the documentation within the USP–NF and how vibrational spectroscopy plays an important role in this regulatory document collection.
The Rising Effects of Human-leopard Conflicts in Karnataka: A Review from Media Reports
Authors: Manjunatha M. C. , Swamy Inchara Chamaiah , Prabhavathi M. C.
Published: April 2023

The Indian leopards are widely distributed on the Indian subcontinent and is the smallest of the Big Cats known for its ability to adapt in a variety of habitats. A nocturnal animal, the leopard hunts by night and feeds on smaller species of herbivores found in its range. The present study aims to collect media reports on human-leopard conflicts especially in human habitats of Karnataka State. Leopards were constantly in the news/media in Mysuru region and were increasingly coming into conflict situations with tragic results for both humans and the animal. Since 2018, the data showed that 16 people have been killed in different parts of Karnataka state by leopards. Leopards use neck bites to kill 90% of their prey and may drag up to 400 mts of small prey. The districts of Ramanagara, Mandya, Mysuru, Ballari, Tumakuru, Koppala, Kolara, Davangere and Chikkamagaluru were among those affected by leopard attacks and sightings. 65 leopards were captured/rescued and relocated to protected areas during 2019-22 in Mysuru district.
Managing Sickle Cell Disease in Patients for Whom Blood Transfusion Is Not an Option
Authors: Tabiti Bukky F. , Ozawa Sherri , Mian Arooj , Suri Megha , Yates Haley L. , Hsu Lewis L.
Published: April 2023

Sickle Cell Disease (SCD) is a hereditary blood disorder affecting beta hemoglobin. This disorder causes sickleshaped red blood cells with decreased oxygen-carrying capacity resulting in vaso-occlusive crises. These crises are often treated with analgesics, antibiotics, IV fluids, supplementary oxygen, and allogeneic blood transfusion. This treatment regimen becomes complicated when caring for SCD patients for whom blood transfusion is not an option. Blood transfusion may not be an option due to the patient's religious, personal, or medical concerns and in scenarios where blood is not available for transfusion. Some examples include the patient being a Jehovah's Witness, blood-borne pathogens concerns, or prior history of multiple alloantibodies and severe transfusion reactions. The number of patients in these categories is growing. The patients and their autonomy should be respected during treatment. This review focuses on the currently available modalities to best manage this subgroup of SCD patients without blood transfusion, including new professional guidelines and new therapies to reduce the severity of SCD as approved by the Food and Drug Administration since 2017.
Effect of Deep-Level Workforce Diversity on Group Cohesion: The Moderating Role of Team Leadership
Authors: Ahmed Ishtiaq , Khan Hadi Hassan , Zaman Nadeem Uz , Ahmed Wahab , Nabeel ul Haq SM
Published: April 2023

The purpose of this study is to examine the correlation between deep-level workforce diversity and social cohesion, with team leadership acting as a moderating variable. The functional theory of workplace diversity suggests that effective leadership and group cohesion helps organization leverage the benefits of diversity by ensuring that team members with diverse skills, experiences, and perspectives work together harmoniously towards a common goal, resulting in improved performance and innovation. The sample for this research consisted of 213 employees from public sector universities in Quetta, the capital of Balochistan. The data was collected through a self-administered structured questionnaire and analyzed using the Smart PLS software. The results show that deep-level diversity has a negative relationship with group cohesion, while team leadership has a positive relationship with group cohesion. Additionally, team leadership acts as a moderator in the model, positively moderating the relationship between deep-level diversity and group cohesion. This suggests that team leadership can strengthen the relationship between deep-level diversity and group cohesion among faculty members and administrative staff.
التحليل النحوي في قرينة الرتبة في التقديم على نية التأخير ولا على نية التأخير
Authors: م.د محمد صلال وذاح  , م.د شاكر صاحب علوان
Published: April 2023

يرمي البحث إلى إيجاد أثر قرينة الرتبة في التحليل النحوي، وما يفضي إليه من صور صياغة التركيب في التقديم على نية التأخير والتقديم لا على نية التأخير، وما تؤديه هذه القرينة من المعنى المقصود في ضوء هذين التقديمين، إذ يكشف البحث عن بعض النكت النحوية والدلالية، ويقتصر البحث على هذين الإنمذجين من الرتبة لما يوضحه من تمييز مهم بأنَّ هذين النوعين من التقديم يقعان في الرتبة المحفوظة وغير المحفوظة إلَّا أنَّهما يندرجان تحت مفهوم العامل، وقرينة الرتبة في هذين الموضعين يقعان فيما يكون واجبًا وما يكون جائزًا، إلَّا أنَّ تقلبات المعنى لا تنفك عما هو واجب وما هو جائز، إذ يكشف البحث من أنَّ التقديم الواجب لا يتفرد به إملاء القاعدة النحوية، بل للمعنى الذي يخصٌّه فيذهم قصد المعنى عند المخالفة، ومن ثمَّ تكون إشارة التقديم الواجب إلى عناية في التركيب من جتنب الصحة النحوية والدلالية.
Análise de uma interação conflituosa mediada pelo gênero Live
Authors: Coelho Victoria Wilson da Costa , Goulart Marcele Mendes
Published: April 2023

Este artigo tem como intuito analisar as estratégias de preservação e ataque às faces em uma interação conflituosa realizada entre o presidente Jair Messias Bolsonaro e sua equipe, na live divulgada em seu canal do Youtube no dia 18 de agosto de 2022. Por intermédio do aporte teórico de Goffman (1967, 1980, 2011, 2014) e Recuero (2010,2012), pretendemos apresentar uma breve reflexão teórica a respeito dos rituais interacionais – que envolvem os processos de construção, preservação e desconstrução de face –, além das novas propriedades da conversação em rede, que contribuem para mudanças na forma de interagir virtualmente. O instrumental teórico selecionado oferece, assim, as bases necessárias para fundamentar os procedimentos analíticos, permitindo desenvolver pontos de vista sobre o corpus selecionado.
Um Mecanismo de Rastreamento da Evolução de Cenários Baseado em Transformações
Authors: Bergmann Ulf , Leite Julio Cesar S. do Prado , Breitman Karin Koogan
Published: April 2023

Este artigo tem como objetivo apresentar a utilização da tecnologia transformacional na implementação de um mecanismo de rastreamento da evolução de cenários. Com isso obtemos a atualização automática das informações de rastreamento, através da identificação das mudanças ocorridas entre versões consecutivas dos cenários produzidos e o seu subseqüente armazenamento na forma de transformações. Os benefícios obtidos pelo uso deste mecanismo permitirão: a eliminação dos problemas da falta de atualização das informações de rastreamento e o conseqüente aumento do valor destas informações para o desenvolvedor; a sistematização do processo de rastreamento; e a diminuição do custo para se obter, atualizar e validar as informações de rastreamento. Além destes benefícios, o armazenamento das informações de rastreamento na forma de transformações incorpora um maior conhecimento sobre a modelagem realizada, ao contrário de outros mecanismos que armazenam somente os artefatos e seus inter-relacionamentos estáticos.
Detailing Architectural Design in Requirements Driven Software Development: The Tropos Case
Authors: Silva Carla T. L. L. , Castro Jaelson F. B. , Mylopoulos John
Published: April 2023

Software systems development happens within a context which organizational processes are well-established. Hence, software needs to be built with flexible architectures based in social and intentional concepts to enable software to evolve consistently with its operational environment, as well as, to accommodate new components and meet new requirements. This paper proposes to accommodate within UML-RT the concepts and features used for representing organizational architectures styles defined by the Tropos requirements driven development methodology. In doing so, it allows to provide a detailed representation of both the structure and behaviour of software architectural design using these styles. An ecommerce software system case study is used to illustrate the approach.
Especificação e Verificação Formal de Sistemas Distribuídos
Authors: Dotti Fernando L. , Foss Luciana , Ribeiro Leila , Santos Osmar M. dos
Published: April 2023

Neste artigo utilizamos uma linguagem visual de especificação formal, chamada Gramáticas de Grafos Baseadas em Objetos (GGBO), para especificar sistemas distribuídos. A GGBO é comparada com a linguagem PROMELA (a PROcess MEta LAnguage), usada como entrada pelo verificador de modelos SPIN. Com base nesta comparação, define-se um mapeamento de GGBO para PROMELA. É visto como especificar e verificar propriedades sobre os modelos mapeados para PROMELA. Um algoritmo de eleição em anel é utilizado, no decorrer do artigo, para ilustrar a GGBO, a tradução e a verificação de propriedades.
Uma Extensão do Fluxo de Análise e Projeto do RUP para o Desenvolvimento de Aplicações Web
Authors: Souza Ricardo A. C. de , Vasconcelos Alexandre M. L. de
Published: April 2023

A Internet tem se mostrado como um dos mais efetivos e atrativos meios para realização de transações comerciais, possibilitando tanto a divulgação, quanto a negociação e disponibilização de bens e serviços. Além disto, devido em grande parte a globalização da economia mundial, cada vez mais as empresas estão migrando seus sistemas corporativos para plataformas baseadas principalmente na Web. Diante deste panorama, hoje em dia existe uma demanda bastante significativa pelo desenvolvimento de aplicações para Web. As aplicações Web possuem características específicas que as diferenciam das aplicações tradicionais, e que precisam ser tratadas no processo de desenvolvimento de uma forma disciplinada. Diante deste contexto, este artigo apresenta uma extensão, para o domínio de aplicações Web, do fluxo de Análise e Projeto da metodologia genérica de desenvolvimento de software RUP (Rational Unified Process).
FEATURE FILMS IN LENINGRAD DURUNG THE WORLD WAR THE SECOND
Authors: Вахрушева Ю.А.
Published: April 2023

В статье рассматривается художественная кинематография в годы Великой Отечественной войны на территории Ленинграда.
PROBLEMS AND CONCEPTS OF DEVELOPMENT OF CONSTRUCTION COMPANIES IN MODERN CONDITIONS
Authors: Атюшев Юрий Александрович , Абдрахимов Владимир Закирович
Published: April 2023

Проблемы экономической устойчивости строительных компаний изучены недостаточно. На сегодняшний день отсутствует единый способ определения экономической устойчивости. Проведенный анализ научной литературы приводит к выводу о необходимости развития и обоснования понятия устойчивое развитие компании (предприятия). Данная статья показывает, что от способности хозяйствующего субъекта самостоятельно решать важные проблемы, зависит степень его устойчивого развития.

The problems of economic sustainability of construction companies have not been studied enough. To date, there is no single way to determine economic sustainability. The analysis of the scientific literature leads to the conclusion that it is necessary to develop and substantiate the concept of sustainable development of a company (enterprise). This article shows that the degree of its sustainable development depends on the ability of an economic entity to independently solve important problems.
Deliberative Democracy, Epistemic Injustice, and Epistemic Disenfranchisement
Authors: De Brasi Leandro , Warman Jack ,   Romanian Academy - Iasi Branch
Published: April 2023

In this paper, we explore some links between deliberative democracy, natural testimony, and epistemic injustice. We hope to highlight the exclusionary effects of some cases of testimony-related epistemic injustice within the deliberative democratic framework and, in particular, two subtle ways of epistemic injustice that are not often highlighted in the political domain. In other words, we hope to highlight two specific mechanisms of epistemic exclusion within the democratic deliberative process that are not explicitly noticed in the relevant literature. In section 1, we present the deliberative model of democracy and the deliberative process. We then introduce the notion of epistemic (dis)enfranchisement, which we distinguish from formal enfranchisement, and explain the role that natural testimony plays in establishing citizens‘ epistemic enfranchisement. In section 2, we introduce Fricker‘s notion of testimonial injustice and two further testimony-related forms of epistemic injustice which seem to have been largely neglected in the debate so far, namely, discursive injustice and testimonial void. We also point out negative epistemic consequences of positive identity-prejudicial stereotypes. In section 3, we argue that these testimony-related forms of epistemic injustice can lead to epistemic disenfranchisement, which, we note, is an obstacle to deliberative democracy that warrants serious consideration.
Prejudice, Harming Knowers, and Testimonial Injustice
Authors: Perrine Timothy ,   Romanian Academy - Iasi Branch
Published: April 2023

Fricker‘s Epistemic Injustice discusses the idea of testimonial injustice, specifically, being harmed in one‘s capacity as a knower. Fricker‘s own theory of testimonial injustice emphasizes the role of prejudice. She argues that prejudice is necessary for testimonial injustice and that when hearers use a prejudice to give a deficit to the credibility of speakers hearers intrinsically harm speakers in their capacity as a knower. This paper rethinks the connections between prejudice and testimonial injustice. I argue that many cases of prejudicial credibility deficits do not intrinsically harm speakers. Further, I suggest that prejudice is not necessary for harming speakers. I provide my own proposal on which testimonial injustice occurs when speaker‘s capacity as a giver of knowledge is interfered with in important ways. My proposal does not give prejudice any essential role.
Leaving Naturalism Behind
Authors: Friberg-Fernros Henrik ,   Philosophy Documentation Center
Published: April 2023

The aim of this paper is to encourage liberals to reconsider whether liberalism needs to be compatible with naturalism—as is demanded by public reason liberalism—by showing the comparative cost of that and the advantages of grounding liberalism in theism, which is the main alternative to naturalism. The reason why theism provides better grounds for defending liberalism than naturalism does, is that justifying human freedom and equality—which are core values of liberalism—in a robust way, requires metaphysical assumptions that cohere better within a theistic rather than naturalistic framework. More specifically, I argue that liberals should adopt agent-causal libertarianism (ACL) and favor what I will call an endowment account of equality (EAE). Both ACL and EAE are best supported by postulating theistic and theistic-friendly assumptions about the human nature.
Educational Effects of Stop Smoking in Adolescents in the Covid-19 Pandemic
Authors: Nurhaeni Heni , Supriatin Supriatin , Rosmiatin Mira
Published: April 2023

Smoking not only has an impact on yourself but also has an impact on the people around you. Cigarettes have always been a unique phenomenon worldwide. Stop smoking, but cigarette excise is one of the country's significant foreign exchange. The dangers of smoking can interfere with/inhibit the function of the brain, mouth, throat, lungs, stomach, bones, skin, and reproductive organs. This study aimed to determine the effect of the Covid-19 pandemic on adolescent smoking behavior by providing education through counseling to stop smoking. This study uses a survey methodology and quantitative literature studies. The research locations are in two junior high schools in Jakarta. The sample is 60, with details of each junior high school amounting to 30. The results show that the characteristics of adolescent smokers aged 12 to a maximum of 16 years, there are sources of exposure to smoking most commonly found in their family members. There was no effect found on the characteristics of young smokers on the status of the covid-19 pandemic for young smokers, including stop smoking information sources. This research contributes to providing information about activities of stopping smoking during the Covid-19 pandemic.
ANALISIS SENSORI TERHADAP SIRUP BUAH PEDADA (Sonneratia caseolaris) DI KABUPATEN KETAPANG
Authors: Selvianti Isye
Published: April 2023

Penelitian ini bertujuan untuk mengetahui proses perebusan dengan metode tanpa diblender dan proses pemanasan dengan metode diblender dalam pembuatan sirup buah pedada serta untuk mengetahui tingkat penerimaan konsumen terhadap produk sirup buah pedada.
Proses pembuatan sirup pedada (Sonneratia caseolaris) dengan metode tanpa diblender  yaitu dengan cara buah pedada yang sudah dibersihkan dan di potong beberapa bagian kemudian ditambahkan gula 65% dan air 1000 ml, untuk kemudian dilakukan proses perebusan selama 30 menit dengan suhu kompor ±100°C. Adapun metode diblender dilakukan dengan cara buah pedada yang sudah bersih dihaluskan dan ditambah air 1000 ml kemudian disaring untuk diambil sarinya, setelah itu tambahkan 65% gula, kemudian lakukan proses pemanasan selama 30 menit dengan suhu kompor ±100°C hingga mengental.
Analisa yang dilakukan dalam penelitian ini adalah uji sensori dengan menggunakan 30 panelis agak terlatih.
Hasil analisa Uji sensori sirup buah pedada terhadap parameter warna, rasa, dan aroma, perlakuan yang  terbaik adalah perlakuan buah pedada yang diblender, penilaian uji skoring yaitu berwarna  coklat  kemerahan, uji hedonik aroma khas buah pedada  agak di sukai, serta memiliki rasa yang disukai.
Storytime Evolved: What is the “New Normal” for Storytimes?
Authors: Walsh Shawn D.
Published: April 2023

To talk about how storytime has changed as a result of COVID-19, it’s important to talk about how it has stayed the same. Talking heads drone on about the “new normal,” and I don’t think that this is new. The evolution of storytime was already in motion. At most, COVID-19 accelerated it.Storytime will always be storytime, regardless of whether it’s in person or online. However, how successfully that happens is up to you and your colleagues. And that is my story.
Centralized admission system for advanced level private schools: case of Kilimanjaro region, Tanzania
Authors:   , Fujo Mwapashua
Published: April 2023

This research takes a look at the various challenges facing admission procedures for Advanced Level (A-Level) private schools case of Kilimanjaro Region in Tanzania. A total of 150 questionnaires was distributed to parents, A-Level students and school staffs, to find out procedures likewise the challenges being faced in the course of carrying out admission procedures and their level of satisfaction of the existing admission system. Thereafter, the analysis of the survey results confirms and quantify that 93.5% of admissions into A-Level private schools are performed manually by ink and paper. This manual system has its major problems which include difficulty in locating an appropriate school and subjects an applicant can get admissions, crucial times, wastage of time, and loss of forms and mutilation of forms throughout the entire method for admission. Consequently, the findings determined that, the admission system can only be improved by a new online software tool. To mitigate these challenges a centralized web-based solution, namely a Tanzania Central Processing Admission System (TCPAS) has been developed to resolve the identified admission challenges. The TCPAS tool has indicated outstanding changes towards maintenance of admission costs, control of forgery on entry qualifications, encourage the use of paperless admission, simplify admission process, reach of several geographically scattered candidates, and enhancing centralized data handling capability.
Reducing fragmentation in sharing of information in e-medical recording systems: case of open Mrs and care2x
Authors:   , Rweikiza Geofrey
Published: April 2023

Integration of the Electronic Medical Records (EMR) with clinical research systems has the potential to greatly enhance the efficiency, speed, and safety of medical research. New hypotheses could be generated through mining of EMR data, observational studies may be conducted more rapidly, and clinical trial recruitment and conduct could be greatly facilitated. Such enhancements will be accomplished through secondary use of EMR data for research and the development of automated decision support systems that rely on EMR data. In this study we defined the various types of EMR and clinical research data systems in use and described the goals and rationale for integrating these two types of systems to enhance research as well as quality of care. The various approaches and benefits to integrating EMR and clinical research systems are discussed and data integration was prototyped on Open MRS and Care2X health information systems. Medical Records Exchange System (MRES) prototype was developed for exchange of information on Open MRS and Care2x hospital information systems. While major benefits are conferred by such system integration, many challenges exist as well, such as the need for stringent data quality assurance, appropriate granularity, metadata and person index management, and extremely careful handling of data access and security issues. Furthermore, the movement toward the EMR within Tanzania has been slow to date, hampering these data integration efforts. However, recent legislation to incentivize the adoption of EMRs will make the feasibility and utility of EMR data integration to support clinical research more promising in the near future.