bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluating a Global Soil Moisture dataset from a Multitask Model (GSM3 v1.0) for current and emerging threats to crops
Authors: Liu Jiangtao , Hughes David , Rahmani Farshid , Lawson Kathryn , Shen Chaopeng
Published: September 2022

Abstract. Climate change threatens our ability to grow food for a growing population. There are concurrent droughts and floods happening globally, with the greatest impacts felt in Africa. There is a need for high-quality soil moisture predictions in under-monitored regions like Africa. Yet it is unclear if soil moisture processes are globally similar enough to allow our models to maintain accuracy in unmonitored regions. We present a multitask long short-term memory (LSTM) model that learns simultaneously from global satellite-based and in-situ soil moisture data. This model is evaluated in both random spatial holdout mode and continental holdout mode (trained on some continents, tested on a different one). The model compared favorably to current land surface models, satellite products, and a candidate machine learning model, reaching a global median correlation of 0.792 for the random spatial holdout test. It behaved surprisingly well in Africa and Australia, showing high correlation even when we excluded their sites from the training set, but performed relatively poorly in Alaska where rapid changes are occurring. In all but one continent (Asia), the multitask model in the worst-case scenario test performed better than the soil moisture active passive (SMAP) 9-km product. Factorial analysis shows that the LSTM model’s accuracy with representing impacts of terrain aspect, resulting in lower performance for dry and south-facing slopes or wet and north-facing slopes. This knowledge helps us apply the model while understanding its limitations. This model is being integrated into an operational agricultural assistance application which currently provides information to 13 million African farmers.
Dynamically Coupling System Dynamics and SWAT+ Models using Tinamït: Applications of Modular Tools for Coupled Human-Water Systems Models
Authors: Harms Joel Z. , Malard Julien J. , Adamowski Jan F. , Sharma Ashutosh , Nkwasa Albert
Published: September 2022

Abstract. Participatory water resources management requires modeling techniques that are accurate and flexible, yet stakeholder-friendly. While different modeling frameworks offer advantages and disadvantages, System Dynamics (SD) models have seen sustained use as a stakeholder-friendly approach for water resources modelling. In contrast, physically-based models are more appropriate to model the hydrological components of coupled human-water systems. Proposed as a way to combine the relative strengths of both modelling paradigms, model coupling allows researchers to build participatory SD models with stakeholders, while delegating the hydrological components of the overall model to an external hydrological model. Recently developed to facilitate model coupling, the Tinamït Python package presents an extensible outward-facing Application Programming Interface (API). It allows for the development of extensions (wrappers) that expand compatibility with different physically-based models. However, no watershed hydrological model has yet been connected to this API. In the present study, a socket and JavaScript Object Notation-based communication protocol was developed with the goal of facilitating the coupling of models written in languages such as FORTRAN. This novel protocol served to develop a Tinamït-compatible wrapper for the hydrological model SWAT+, allowing it to be coupled to human-water SD models. The novel coupling protocol was then applied to a case study of Tanzania’s Usa Basin. This approach provides the modeler with the benefits of both physically-based and SD models, thereby allowing the detection of potential far-reaching effects of policy decisions, within a system that remains flexible and easily adaptable to other watersheds.
Variation of outcome reporting in studies of interventions for heavy menstrual bleeding: a systematic review
Authors: Cooper N.A.M. , Papadantonaki R , Yorke S , Khan K.S.
Published: September 2022

Background: Heavy menstrual bleeding (HMB) detrimentally effects women. It is important to be able to compare treatments and synthesise data to understand which interventions are most beneficial, however, when there is variation in outcome reporting, this is difficult.

Objectives: To identify variation in reported outcomes in clinical studies of interventions for HMB.

Materials and methods: Searches were performed in medical databases and trial registries, using the terms ‘heavy menstrual bleeding’, menorrhagia*, hypermenorrhoea*, HMB, “heavy period „period“, effective*, therapy*, treatment, intervention, manage* and associated MeSH terms. Two authors independently reviewed and selected citations according to pre-defined selection criteria, including both randomised and observational studies. The following data were extracted- study characteristics, methodology and quality, and all reported outcomes. Analysis considered the frequency of reporting.

Results: There were 14 individual primary outcomes, however reporting was varied, resulting in 45 specific primary outcomes. There were 165 specific secondary outcomes. The most reported outcomes were menstrual blood loss and adverse events.

Conclusions: A core outcome set (COS) would reduce the evident variation in reporting of outcomes in studies of HMB, allowing more complete combination and comparison of study results and preventing reporting bias.

What is new? This in-depth review of past research into heavy menstrual bleeding shows that there is the need for a core outcome set for heavy menstrual bleeding.
A rare case of extrauterine schwannoma-ike leiomyoma after transvaginal hysterectomy: laparoscopic management
Authors: Medvediev M , Tinelli A
Published: September 2022

Background: Schwannomas (neurilemomas) are encapsulated tumours made entirely of benign neoplastic Schwann cells. They are the most common tumour of peripheral nerves, but very uncommon in gynaecologic practice.

Objectives: The objective is to demonstrate unusual histology mimicking schwannoma in a case of leiomyoma in a woman who had a history of vaginal hysterectomy.

Materials and Methods: We report a case of a 50-year-old hysterectomised patient who was referred with complaints of dull pain in the left inguinal region of the abdominal cavity during the last 3 months. The narrated surgical video article demonstrates the dissection of the left parametrium, tumour removal, colpotomy, specimen extraction, and vagina laparoscopic suturing. Pre-operative CT-scan images of the pelvis with retroperitoneal tumour and macroscopic and histological views of the schwannoma are also provided.

Main outcome measures: Full recovery of the patient after laparoscopic removal of the tumour.

Results: As a result of the surgical treatment, the patient has fully recovered.

Conclusions: Schwannoma-like leiomyomas are rare tumours. They can be extra peritoneally located, without any connection to the uterus and adnexa. They are difficult to diagnose before surgery. The laparoscopic approach is the best option for the treatment of such rare extra organic tumours.
V-NOTES hysterectomy under spinal anaesthesia: A pilot study
Authors: Gündoğdu E.C. , Mat E , Aboalhasan Y , Yıldız G , Başol G , Tolga Saraçoğlu K , Arslan G , Kale A
Published: September 2022

Background: Spinal anaesthesia has not been widely adopted for laparoscopic surgeries until now. There are a few studies that have shown that spinal anaesthesia is at least as safe as general anaesthesia. The need for additional analgesics can be reduced by utilising early postoperative analgesic effects of spinal anaesthesia, and maximum benefit can be obtained from minimally invasive approaches when V-NOTES surgery is performed under spinal anaesthesia.

Objective: Combining V-NOTES with spinal anaesthesia to improve minimally invasive surgical techniques and provide maximum benefit to patients.

Materials and methods: Patients who were found to have benign pelvic organ pathologies, required a hysterectomy and were considered suitable for V-NOTES hysterectomy under spinal anaesthesia were included in this study. Spinal anaesthesia was achieved with 12.5 mg 0.5% hyperbaric bupivacaine in the sitting position. Perioperative events and complications related to spinal anaesthesia were noted. Postoperatively, the pain was evaluated using a visual analogue scale at the 6th, 12th, and 24th hours.

Main outcome measures: To evaluate the feasibility and safety of spinal anaesthesia in VNOTES hysterectomy and to increase the advantages of minimally invasive surgical procedures. Results: No conversion to conventional laparoscopy or laparotomy was required in all six operated patients. Conversion from spinal anaesthesia to general anaesthesia was unnecessary, and no major perioperative incident occurred in any of the cases.

Conclusion: In the current study by our team, we demonstrated that V-NOTES hysterectomy could be performed safely under spinal anaesthesia in well-selected patients. The need for additional analgesics can be reduced by utilising early postoperative analgesic effects of spinal anaesthesia, and maximum benefit can be obtained from minimally invasive approaches when VNOTES surgery is performed under spinal anaesthesia.

What is new? V-NOTES hysterectomy could be performed safely under spinal anaesthesia in well-selected patients.
Centralismo y formas de Estado: identificación, caracterización y vínculo
Authors: Alvarez Mariano
Published: September 2022

En América Latina, los conceptos de centralismo y formas de Estado evolucionaron conjuntamente; pero, si bien tienen vínculos entre ellos, la relación no es determinante. Resulta necesario preguntarse qué implica ser un país unitario o uno federal y cuál es la diferencia entre un proceso de descentralización y uno de desconcentración. A través de una revisión y consolidación bibliográfica, el objetivo general del artículo es determinar qué formas de Estado pueden asumir los países y cómo se vinculan con los procesos de reversión del centralismo. Los objetivos específicos son, primero, identificar cuáles son los procesos de reversión del centralismo y en qué se diferencian; segundo, establecer cuántas formas de Estado existen y qué caracteriza a cada una; y, tercero, observar cómo interactúan ambas tipificaciones. Como conclusión, el trabajo presenta una clara diferenciación y vinculación entre ambas clasificaciones, lo que permite analizar de mejor manera la configuración institucional de los países.
Nueva Gestión Pública en México: Implementación y desaparición del Seguro Popular
Authors: Yllán Ramírez Elisa , De la Garza Montemayor Daniel Javier
Published: September 2022

La presente investigación pretende examinar el funcionamiento de la extinta institución de salud pública mexicana conocida como el Seguro Popular, que funcionó desde el 2003 hasta el 2019. Este sistema se basó en los siguientes principios de la Nueva Gestión Pública (NGP): sistematización, descentralización, profesionalización y orientación a resultados. Esos principios constituyeron las dimensiones de análisis de la investigación, que también tuvo como objetivo reconocer el cumplimiento de metas, los errores y las consecuencias de su desaparición en el contexto de la pandemia del Covid-19. El estudio tuvo un método cualitativo en que se utilizaron las técnicas de análisis de documentos, etnografía y las entrevistas a funcionarios de primer nivel. Se concluye que el Seguro Popular fue una institución que cumplió con varios de sus objetivos tangibles en cuanto a las variables que fueron estudiadas, pero a la vez también dejó un saldo pendiente en materia de rendición de cuentas.
Estrategias gerenciales en empresas contratistas del sector construcción en Barranquilla Atlántico
Authors: Garcia Guiliany Jesús , Paz Marcano Annherys , Boscán Mariby
Published: September 2022

La investigación tuvo como objetivo analizar las estrategias gerenciales utilizadas por empresas contratistas del sector construcción en Barranquilla Atlántico. Metodológicamente, se insertó en el paradigma cuantitativo tipología descriptiva, diseño de campo, no experimental, transeccional. La muestra correspondió a un muestreo intencional, con 25 empresas contratistas, de una población de 58 empresas afiliadas a Camacol, siendo las unidades de información los gerentes. Se aplicó un cuestionario de 18 ítems, validado por tres expertos, calculando la confiabilidad por medio de coeficiente Alpha de Cronbach, con valor de 0.873. Los resultados indican que las estrategias financieras se definen por las estrategias de inversión y de capital. En cuanto a las estrategias de operaciones, destacan las relacionadas con construcción de viviendas multifamiliares, centros comerciales, vialidad, tecnología y asignación de recursos. De las estrategias de cooperación, se consideran las alianzas estratégicas, innovación tecnológica y desarrollo de capacidades. Se concluye que las estrategias financieras, de operaciones y de cooperación son utilizadas con frecuencia contribuyendo al éxito empresarial.
Significados y valor pedagógico de las metodologías activas. Una mirada experta desde la Educación Física
Authors: León- Díaz Óscar , Martínez-Muñoz Luis Fernando , Santos-Pastor María Luisa
Published: September 2022

Introducción. En los últimos tiempos proliferan investigaciones y experiencias sobre la aplicación de nuevos enfoques de enseñanza-aprendizaje centrados en el desarrollo de las competencias clave. Sin embargo, no existe un marco conceptual, terminológico y procedimental consensuado sobre lo que implican en la práctica este tipo de propuestas metodológicas. Este estudio tiene por objetivo analizar los significados y el valor pedagógico existente sobre las metodologías activas en Educación Física. Método. La investigación ha empleado el método Delphi para la consulta de personas expertas. Han participado un total de 25 docentes del ámbito nacional, especialistas en Educación Física. Resultados. Los principales hallazgos de la investigación han permitido elaborar un mapa teórico y conceptual de las metodologías activas en Educación Física, destacando sus potencialidades para favorecer aprendizajes competenciales en el alumnado. Discusión. Las personas expertas coinciden en las posibilidades que ofrecen para lograr una mayor adaptabilidad, vinculación y transferencia de las prácticas escolares a la realidad educativa y social actual. Se concluye que el uso de estas metodologías no solo es un reto deseable sino alcanzable.
Propiedades psicométricas del Cuestionario de Mitos sobre Altas Capacidades Intelectuales en población colombiana
Authors: Gutiérrez Ruiz Karol
Published: September 2022

INTRODUCCIÓN: El presente trabajo muestra el proceso de adaptación y estudio de las propiedades psicométricas del Cuestionario de mitos sobre altas capacidades intelectuales en población colombiana. La versión inicial del cuestionario constaba de una escala dicotómica de 20 ítems estructurados en cuatro dimensiones. MÉTODO: Se realizaron dos estudios cuantitativos de alcance descriptivo mediante una metodología de encuesta de carácter transversal. El cuestionario se aplicó en un primer momento a una muestra de 160 profesores; y en un segundo momento a 424 profesores de instituciones educativas públicas y privadas de diferentes regiones de Colombia. Los datos fueron sometidos a un estudio de consistencia interna y de la estructura factorial mediante análisis factorial exploratorio (AFE) y confirmatorio (AFC). RESULTADOS: Los resultados obtenidos en el AFE permitieron reducir el cuestionario a 18 ítems manteniendo cuatro dimensiones, que se pusieron a prueba mediante el AFC. La versión final del instrumento quedó conformada por 15 ítems y tres dimensiones: Mitos relacionados con el perfil de las altas capacidades intelectuales (ACI) y logros; Mitos relacionados con la adaptación social y aspectos físicos; y Mitos relacionados con la naturaleza de las ACI. DISCUSIÓN: El modelo de tres dimensiones es apropiado con unos índices de bondad de ajuste elevados y fiabilidades altas en las tres dimensiones y escala total. Este cuestionario es una herramienta fiable para la valoración de falsas creencias sobre las ACI en el profesorado colombiano.
Artikel Analisis Intensitas Radiasi Matahari Dan Peningkatan Suhu Lingkungan
Authors: Deqita Almiraj
Published: September 2022

Survey intensitas radiasi matahari dan suhu lingkungan di Desa sempusari Kecamatan yang berjudul Analisis Intensitas Radiasi Matahari Dan Peningkatan Suhu Lingkungan. Penelitian ini dilakukan untuk mengetahui apakah intensitas radiasi matahari mempengaruhi peningkatan suhu pada lingkungan. Sehingga perlu diadakannya survey untuk mengetahui permasalahan tersebut. Pada survey yang dilakukan ini yaitu dengan membahas serta meneliti intensitas radiasi matahari dan peningkatan suhu lingkungannya di desa sempusari kecamatan kaliwates yang dilakukan pada tanggal 15 – 17 mei 2022 yaitu pada hari minggu hingga hari selasa. Selain meneliti tetapi juga mengamati hubungan antara intensitas radiasi matahari dengan suhu lingkungannya. Metode yang dilakukan pada penelitian ini adalah dengan menggunakan metode survey dengan menggunakan bantuan aplikasi BMKG. Penelitian ini menggunakan aplikasi BMKG agar hasil intensitas radiasi matahari dan suhu lingkungan diukur dengan akurat. Setelah melalukan survey dengan menggunakan alat bantu aplikasi BMKG, maka dapat diperoleh hasil dari penelitian yang telah dilakukan. Berdasarkan survey penelitian intensitas radiasi matahari mempengaruhi peningkatan suhu. Berdasarkan pengukuran, suhu lingkungan mengalami peningkatan paling
 banyak pada saat jam 13.00 WIB, dimana pada jam tersebut intensitas radiasi matahari semakin tinggi. Sehingga pada saat intensitas matahari semakin besar maka suhu lingkungan juga akan semakin meningkat.
Analisis Faktor Penentu Gagal Bayar Konsumen Pada Fifgroup Cabang Timika
Authors: Sandy Stepanus , Irfandi Dinda
Published: September 2022

Penelitian ini bertujuan untuk mengetahui faktor penentu gagal bayar konsumen pada Fifgroup Cabang Timika. Metode yang digunakan dalam penelitian ini adalah metode deskriptif untuk menggambarkarn faktor yang terbentuk menjadi penentu gagal bayar konsumen pada Fifgroup Cabang Timika. Tehnik pengumpulan data yang digunakan peneliti yaitu observasi, kuesioner dan dokumentasi, Analisis yang digunakan peneliti yaitu analisis faktor. Hasil penelitian menunjukan terdapat dua faktor yang terbentuk yaitu faktor pertama adalah faktor eksternal sebagai penentu gagal bayar konsumen pada fifgroup cabang timika, yaitu menurunya kegiatan ekonomi dan tingginya suku bunga kredit pemanfaatan iklim persaingan perbangkan yang tidak sehat oleh debitur kegagalan usaha debitur dengan faktor musibah yang terjadi pada debitur, Faktor kedua adalah faktor internal yaitu itikad kurang baik dari petugas, lemahnya system administrasi dan pengawasan kredit Untuk mengatasi gagal bayar itu Fifgroup Cabang Timika hendaknya lebih memperhatikan secara khusus kepada faktor eksternal yang mengakibatkan tinggkat resiko gagal bayar yang merupakan faktor yang paling dominan mengakibatkan tingkat resiko gagal bayar pada Fifgroup Cabang Timika. Untuk menimalisir terjadinya gagal bayar pada faktor internal,hendaknya lebih memperhatikan penerapan proses perkreditan sesuai SOP, memberikan pelatihan anti fraud, meningkatkan SDM secara menyeluruh
Prevalence of hamstrings tightness and its impact on lower extremity function in asymptomatic individuals with prolonged standing hours Authors
Authors: Khalil Elaaf , Tariq Ruhma , Arsalan Hafiz Muhammad , Khalid Amna , Ayaz Sultan , Javed Hassan
Published: September 2022

Background: Hamstrings undergo adaptive shortening. It is common in healthy individuals to have a sedentary lifestyle affecting males (91.8%) more than females (78.7%). Hamstring tightness can interrupt ADL’s predisposing the person to further health problems i.e. plantar fasciitis, sacroiliac joint pain, decreased lumbar lordosis, knee pain, quadriceps malfunction, postural disturbances, overstretched lumbar ligaments, reduced muscle strength. Aims and Objectives: To analyze the prevalence of hamstring tightness and its effects on lower extremity function in individuals with prolonged standing. Materials and Methods: 65 participants were chosen for this cross-sectional study by convenient sampling; all were female nurses. The hamstring tightness was measured by the data collection tools i.e. lower limb task questionnaire, straight leg raise test, and active knee extension test after having the consent forms signed by the participants. The data was collected from three big hospitals in the city. Results: The results of the study conducted to see the prevalence of hamstrings tightness and its impact on lower extremity function in asymptomatic individuals with prolonged standing hours showed that only 15.38% of the sample (n=65) with a mean age of 31-35 years were found with bilateral hamstrings tightness while 84.62% were found with no hamstrings tightness. Conclusion: The prevalence of hamstring tightness in asymptomatic individuals with prolonged standing hours is low.
Hibrit, Asimetrik ve Vekalet Savaşları: 2022 Rusya - Ukrayna Savaşını Üçlü Sacayağı Üzerinde Bir İnceleme
Authors: KARASOY Hasan Alpay
Published: September 2022

Savaşın değişen doğasını anlayabilmek için kullanılan kavramlar arasında hibrit savaş, asimetrik savaş ve vekâlet savaşı kavramları ön plana çıkmaktadır. Savaşın bu gibi farklı perspektiflerden analiz edilmesi, hem savaşın değişen doğasını ve savaş ortamını anlamlandırmada, hem de savunma mekanizmalarının şekillendirilmesinde önem taşımaktadır. Bu nedenle bu çalışmanın amacı, 24 Şubat 2022 günü başlayan Rusya-Ukrayna savaşının Nisan 2022 itibarıyla yaklaşık iki aylık dilimini hibrit, asimetrik ve vekâlet savaşları perspektifinde incelemek ve bir savaş ortamında kamu güvenliğine yönelik tehditler konusunda çıkarımlarda bulunmaktır. Bu inceleme, savaş hakkında yerli ve yabancı basında yer alan haberlerin ve görüşlerin analiz edilmesi ile yapılmıştır. Sonuç olarak Rusya-Ukrayna Savaşı’nın hibrit, asimetrik ve vekâlet savaşlarının özelliklerini yansıttığı görülmüştür. Ayrıca bu savaş ile birlikte uluslararası ilişkiler anlamında sert gücün öneminin yeniden anlaşıldığı; hibrit savaşa karşı en etkili kalkanın devlet organları ve halk arasında etkili bir güven duygusunu tesis etmek olduğu ve savaşın, asimetrik savaş ve vekâlet savaşının özeliklerini yansıtması nedeniyle uzun sürebileceği de altı çizilmesi gereken noktalardandır.
Urban Governance in Turkish Global Competitive Cities: A Study on Right to the City Perspective
Authors: AHSAN Md Moynul
Published: September 2022

Today, the city's values, representation, and reinforcing through the participatory process are turned into an eye by the principle of “governance”. The right to city one of the indicators is represented with the lens of it. On the other hand, the global city concept is strongly connected with fundamental shifts from traditional government structures to a modern governance mode. This study has focused on the theoretical context of urban governance, linkage with urban governance, right to the city and new urban policy, and its application according to the perspective of new urban politics. Application has been viewed from Turkish global competitive city perspectives by highlighting different indexes. The study found that Turkish cities should improve their public participation practices to strengthen their position for global competition. People-based policies should be strengthened and regulated to better fight in the arena of new urban politics; and bottom-up policies can play an effective role in ensuring right to the city.
COMPARE THE EFFECTS OF STRENGTHENING EXERCISES WITH AND WITHOUT SOFT TISSUE MOBILIZATION FOR THE MANAGEMENT OF TENSION NECK SYNDROME IN FEMALES: A RANDOMIZED CONTROLLED TRIAL
Authors:   Institute of Medical Rehabilitation, Islamabad, Pakistan, Javaid Javairia , Malick Wardah Hussain ,   Institute of Medical Rehabilitation, Islamabad, Pakistan
Published: September 2022

Background: Tension neck syndrome (TNS) is a prevalent condition worldwide. Soft tissue mobilization and strengthening exercises are used in physiotherapeutic rehabilitation of the musculoskeletal disorders. Objective: To compare the effects of strengthening exercises with and without soft tissue mobilization (STM) for pain and disability reduction in females with TNS. Methods: A single-blinded, parallel-group randomized controlled trial was conducted at the National Institute of Rehabilitation Medicine, Pakistan, from April to July 2016. A total of n=30 females, aged 30-70 years, were recruited through non-probability convenient sampling technique and randomly allocated to the experimental and control group. The experimental group received STM and neck isometric strengthening exercises, whereas the control group received neck isometric strengthening exercises only. The Numeric Pain Rating Scale (NPRS) was used to assess the pain intensity, while Neck Disability Index (NDI) was used for the neck-related disability. The data was collected at the baseline, after the 4th session and after the 8th session. The repeated measure analysis of variance (RM ANOVA) was used to analyse within the group changes, while the independent t-test was used to analyse the differences between the groups. The data was analysed by using SPSS version 21.Results: The mean age of the study participants was 47.9 ± 8.95 years. Within groups’ changes showed that pain intensity, individual items of NDI and its total score showed significant improvement in both the groups from the baseline to the 8th session (p £ 0.05). After the 8th session, the experimental group showed more significant reduction (p £ 0.05) in pain intensity and neck disability as compared to the control group. Conclusions: Soft tissue mobilization when combined with neck isometric strengthening exercises was more effective than exercises alone for reducing the pain intensity and disability in females with tension neck syndrome. Keywords: Management, neck pain, physical therapy, soft tissue mobilization, strength training
EFFECTS OF ELDOA TECHNIQUE VERSUS MCKENZIE EXTENSION EXERCISES ON NON-SPECIFIC LOW BACK PAIN PATIENTS.: A RANDOMIZED CLINICAL TRIAL
Authors:   Institute of health and management sciences, Islamabad, Pakistan, Shamshad Muniba , Kanwal Raheela ,   College of Applied Medical Sciences University of Hail, Hail, Kingdom of Saudi Arabia, Butt Rizwana ,   Institute of Medical Rehabilitation, Islamabad, Pakistan, Haider Hafiz Muhammad Manan ,   College of Rehabilitation Sciences, Shaheed Zulfiqar Ali Bhutto Medical University. Islamabad Pakistan
Published: September 2022

Background: Low back pain may lead cause disability in the patients. There are several physical therapy protocols used to manage the low back pain including McKenzie exercises. The Elongation Longitudinaux Avec Decoaption Osteo Articulaire (ELDOVA) is novel techniques could help to reduce the pain and disability related to lower back problems. Objective: to determine the effects and compare the McKenzie extension exercise and ELDOA stretch in non-specific low back pain patients. Methodology: A randomized clinical trial was conducted at Railway General Hospital, Rawalpindi and Irada Rehabilitation Center, Buchal Kalan from October 2021 - December 2021. The female participants with the age range of 40-69 years and had chronic non-specific low back pain for more than 3 months were included in the study. The participants were randomly divided into group A which received McKenzie extension exercises while group B received ELDOA stretch. The patient’s outcome measures were assessed through Numeric Pain Rating Scale (NPRS), inclinometer for, flexi curve ruler for lordships angle, and Oswestry Disability Index (ODI) for disability. MANCOVA test was used for controlling the covariates at baseline. Friedman with post hoc Wilcoxon test (non-parametric-within group analysis) for ODI variables RMANOVA was applied to observe pairwise changes with-in the groups for ODI total score, lordosis angle at baseline, and end of second, and fourth week of the treatment. NPRS and range of motion (extension, flexion) at pre and post treatment session. Results: The mean age of study participant was 44.29±3.08. Within group analysis showed that significant improvement (p<0.05) was observed in both groups regarding ODI total score, NPRS, Lordosis angle and range of motion (flexion, extension) from baseline to the end of 4th week and at each level of assessment. The group A (McKenzie extension exercises) was a significantly improved on the combined dependent variables as compared to group B (ELDOA stretch) after controlling for baseline values of BMI, NPRS, lordosis angle and ROMs, F (7, 34) = 55.12, p<0.001, Wilks' Λ=0.018, ηp2=0.49.Conclusion: McKenzie extension exercise showed better result in improving pain, range of motion, angle of lordosis and disability than ELDOA technique. Keywords: disability, low back pain, physical therapy, stretching exercises. ROM
Outcomes of pallidal deep brain stimulation for treating pure blepharospasm
Authors: Jeong Sunjun , Huh Ryoong , Jang Il
Published: September 2022

Objective: Blepharospasm (BSP) is a disease in which the closure rate of the bilateral eyelids increases, mainly due to involuntary contraction of the orbicularis oculi, procerus, and corrugator muscles. The objective of this study was to report postoperative outcomes after deep brain stimulation (DBS) in 10 cases of pure BSP after at least 12 months of follow-up.Methods: Ten patients with pure BSP who underwent bilateral globus pallidus interna (GPi) DBS at The Catholic University of Korea, Incheon St. Mary’s Hospital, between 2019 and 2021 were included. The Burke-Fahn-Marsden dystonia rating scale (BFMDRS), Blepharospasm Disability Index, and Jankovic Rating Scale were used for analysis before surgery, at 6 months of follow-up as short-term outcomes, and at follow-up over 1 year (12–37 months) as long-term results. Results: The median age of patients at surgery was 56.5 years (interquartile range [IQR], 50.5–65.8 years) and the median length of time from disease onset to the time of surgery was 58.0 months (IQR, 46.8–64.3 months). The median postoperative follow-up period was 22.5 months (IQR, 15.3–29.0 months). The median BFMDRS movement subscale scores at the three time points (preoperative baseline, 6 months, and over 1 year of follow-up) were 7.0 (IQR, 6.0–8.0), 4.5 (IQR, 3.9–6.0; 35.7% improvement, p<0.001), and 3.8 (IQR, 2.8–5.3; 45.7% improvement, p=0.002), respectively.Conclusion: Bilateral GPi DBS for pure BSP can be effective if conservative treatment options fail. Its benefit is not only observed in the short term, but is also maintained during long-term follow-up.
Transcutaneous afferent patterned stimulation therapy at the wrist for essential tremor relief
Authors: Lee Myung-Ki
Published: September 2022

Transcutaneous afferent patterned stimulation (TAPS), also referred to as non-invasive peripheral nerve stimulation, at the wrist provides a promising option for the management of essential tremor. This new wrist-worn neuromodulation method avoids the risks of surgical interventions and can be easily used at home. TAPS therapy is indicated to aid in the temporary relief of hand tremors following stimulation in adults with essential tremor. No serious device-related side effects have been reported. Future studies will be needed to determine the optimal parameters of stimulation. This article introduces a wrist-worn TAPS device and reviews the tremor-reducing mechanism and the clinical effectiveness of TAPS therapy for essential tremor.
Successful enucleation of a large sciatic schwannoma with intraoperative neurostimulation-guided dissection: a case report
Authors: Park Young Min , Choi Jin-Gyu
Published: September 2022

Advances in intraoperative neurophysiological monitoring (IONM) have enabled safer peripheral nerve tumor surgery. We report a patient in whom a large sciatic nerve schwannoma was successfully removed using intraoperative nerve stimulation. A 62-year-old male presented with a palpable mass in the right posterior upper thigh, just below the gluteal fold. Magnetic resonance imaging showed an approximately 9-cm encapsulated solid mass in the middle of the sciatic nerve. After a vertical skin incision with a laterally curved upper end extending to the inferior gluteal region, the proximal sciatic nerve was secured laterally to the biceps femoris and the distal nerve medial to the muscle. We avoided causing trauma to the viable nerve fascicles by dissecting through the “safe zone,” as confirmed by monitoring the distal muscle contractions induced by intraoperative nerve stimulation on the tumor surface. In this report, we present the details of our surgical approach to the middle portion of the sciatic nerve and the use of IONM for safe tumor excision.
Microvascular triple decompression for combined simultaneous trigeminal neuralgia, hemifacial spasm, and pulsatile tinnitus due to separate offending vessels
Authors: Choi Yoonsoo , Kim Il-sup , Sung Jae Hoon , Cho Chul Bum
Published: September 2022

Neurovascular compression syndrome is generally caused by vascular compression at the root entry or exit zone of the corresponding cranial nerve. Trigeminal neuralgia is the most frequent syndrome, followed by hemifacial spasm. Despite ongoing debate in the literature, pulsatile tinnitus is also known to be a neurovascular compression syndrome resulting from vascular compression of the vestibulocochlear nerve. Combined manifestations of neurovascular compression symptoms are very rare. We report a case with a simultaneous manifestation of trigeminal neuralgia, hemifacial spasm, and pulsatile tinnitus as neurovascular compression syndrome with separate offending vessels. A 53-year-old female presented with lancinating pain in the left face, left hemifacial spasm, and ipsilateral pulsatile tinnitus for 2 years. Trigeminal neuralgia and hemifacial spasm were diagnosed after a neurological examination, imaging study, and electromyography. Microvascular decompression via a retrosigmoid approach for separate offenders, including the superior cerebellar artery, anterior inferior cerebellar artery, and posterior inferior cerebellar artery was performed using Teflon sponges. The patient’s hemifacial spasm, pulsatile tinnitus, and hemifacial pain improved immediately after microvascular decompression.
VERTICAL DISTRIBUTION OF RADIONUCLIDES IN SOILS OF SEMIPALATINSK TEST SITE
Authors: Panitskiy A. V. , Kunduzbayeva А. Е. , Baygazy S. А.
Published: September 2022

The article addresses the pattern of vertical distribution of the major long-lived man-made radionuclides 137Cs, 241Am, 90Sr and 239+240Pu in soils of the Semipalatinsk Test Site. Areas of different contamination with radionuclides are discussed – places of aboveground nuclear and fusion tests conducted at the ‘Experimental Field’ site, the fallout in the form of plumes within the Semipalatinsk Test Site, areas of radiological warfare agent tests at the ‘4А’ site, areas of meadow ecosystems associated with radioactively contaminated water streams from test adits of the ‘Degelen’ testing site, conventionally ‘background’ areas of the test site, in which no nuclear or fusion tests were conducted. In the course of research, differences were revealed in the vertical distribution of radionuclides of interest in soils of the above areas. Differences are attributed to the pattern of how contamination with radionuclides is formed and to abiotic and biotic factors such as physical and chemical soil properties, moistening conditions, human activity and others. Based upon findings, recommendations were developed, aimed at the optimization of research into the vertical distribution of radionuclides in the soil cover of the former Semipalatinsk test Site. In particular, it was found that when undertaking such research, it was sufficient to confine oneself to dividing a territory by the soil type and restrict the research depth to 30 cm.
CHARACTERIZATION OF NANOCOMPOSITE ZEOLITES FOR MERCURY REMOVAL FROM WATER PRODUCED BY THE FUSION METHOD
Authors: Satayeva A. , Tauanov Zh. , Zhantikeev U. , Baimenov A. , Azat S. , Alan I.
Published: September 2022

The article presents the results of the development of new composite materials obtained from coal fly ash (CFA) by the Fusion method.The composite materials are doped with silver nanoparticles and characterized using advanced characterization methods, namely XRD, SEM-EDS, XRF. In the course of obtaining synthetic zeolites based on CFA, structural modification was carried out to quickly bind zeolites with mercury when it was removed from the aqueous medium and improve the physicochemical properties. The synthesized nanocomposites were used to remove Hg from aqueous solutions with different pH. It was found that the equilibrium of the adsorption capacity for synthetic zeolites occurs after about 2 weeks, while for the original CFA it is reached within a month. Preliminary results show a significantly high removal of mercury from the solution – from 80 to 90% of mercury ions.
Colestasis neonatal: revisión narrativa del grupo de trabajo de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica
Authors: Godoy Marcela , López Carola , Álvarez Chavez Felipe , Borges Pinto Raquel , Botero Osorio Verónica , Dolz Aguilar María Valentina , Higuera Michelle , Michel Aceves Reynaldo de Jesús , Ríos Marcuello Gloria , Rodríguez González Lorena , Rojo Lillo Claudia , Soriano Humberto E , Ciocca Mirta
Published: September 2022

La ictericia neonatal requiere el diagnóstico diferencial entre la hiperbilirrubinemia no conjugada o indirecta y la hiperbilirrubinemia directa o conjugada, característica de la colestasis neonatal, que siempre es patológica. Se recomienda en todo recién nacido de 15 días o más de vida con ictericia realizar bilirrubina diferencial para poder detectarla. La colestasis se define por bilirrubina directa > 1 mg/dl (17 µmol/L) y su frecuencia estimada durante el período neonatal es de 1:2.500 recién nacidos vivos. Las etiologías más frecuentes son: infecciosas, genéticas/metabólicas, obstructivas, endocrinológicas, tóxicas, inmunológicas. La causa más común es la atresia biliar, que se manifiesta clínicamente por ictericia y acolia, por lo que frente a estos signos siempre debe plantearse este diagnóstico como primera opción a descartar.Es fundamental que el diagnóstico de colestasis neonatal sea precoz para optimizar el manejo en las causas tratables y mejorar su pronóstico. Desafortunadamente, no siempre el diagnóstico es precoz. Es por esto que el Grupo de Trabajo de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica realizó esta revisión de diagnóstico, tratamiento y seguimiento de la colestasis neonatal, cuyo objetivo es proporcionar una herramienta útil que permita el diagnóstico temprano y mejorar el pronóstico de los niños con colestasis neonatal.
Devlet Okullarındaki İdari Yöneticilerin Okul Seçimlerinin Bulanık DEMATEL Yöntemi İle İncelenmesi
Authors: GÜLER Abdulkerim , DEMİRKAYA Hüseyin
Published: September 2022

Karar verme, birden fazla seçenek içinden en uygun olanın seçilmesi olarak ifade edilmektedir. Karar verme durumunda; karar vericilerin tecrübeleri, objektif yargıları, stratejik amaçları göz önüne alındığı gibi birden çok nicel ve nitel kriterlerin de bu sürecin içinde olduğu görülmektedir. Bazı durumlardaki karmaşıklıklardan ve çevrede olan belirsizliklerinden dolayı bulanıklık ifadesi kullanılmaktadır. Buna göre bulanık mantık, değişik türlerdeki belirsizliklerin ve bulanıklığın modellenmesine yardımcı olmaktadır. Değişik durumlarda farklı sonuçların elde edilebileceği ihtimalinden dolayı bulanık mantık kullanılmaktadır. Bu çalışmada kriterler arasındaki etkileşimin nicel olarak açıklanması zor olduğundan Çok Kriterli Karar Verme Yöntemlerinden(ÇKKVY) DEMATEL yöntemi bulanıklaştırılarak kullanılmıştır. Bu çalışmanın amacı, Sivas ilindeki Milli Eğitim Bakanlığı’na bağlı Devlet Okullarındaki idari yöneticilerin okul tercihlerinde hangi kriterlere göre seçim yaptıklarının konu ile ilgili uzman görüşleri doğrultusunda Bulanık DEMATEL yöntemi ile ele alarak, kriterlerin öncelik sıralamalarını, etkileyen ve etkilenen ilişkilerini ve önemlerini incelemektir. Uzman görüşleri için Sivas’ta Milli Eğitim Bakanlığına Bağlı Devlet Okullarında idari yönetici pozisyonunda görev yapan okul müdür ve müdür yardımcılarından oluşan 10 uzman görüşlerinden yararlanılmıştır. Verilerin toplanması için, kriterlerin ikili karşılaştırmasının yapıldığı 6x6 matris kullanılmıştır. Çalışmanın sonucunda, kriterlerden en önemli kriterin “Okuldaki mevcut öğrenci sayısı” kriteri olduğu, yani diğer kriterleri etkileyen kriter olduğu, diğer kriterlerin ise sırasıyla, “okuldaki mevcut öğretmen sayısı”, “Okulun ilkokul ve ortaokulun beraber veya ayrı olması durumu”, “Okuldaki eğitimin tam gün eğitim veya ikili öğretim(sabahçı-öğlenci) olması durumu”, “Okulun ikametgâha uzaklığı” ve “Okulun il merkezine uzaklığı” kriterinin takip ettiği sonucuna ve en son kriterin diğer kriterler tarafından etkilenen kriter olduğu sonucuna ulaşılmıştır. Bu sonuçlara göre “Okuldaki mevcut öğrenci sayısı “ kriteri diğer kriterlere göre idari yöneticilerin okul tercihlerinde önemli bir yere sahiptir.
Avrupa Bankacılık Endeksi Volatilitesinin Garch Modelleri Kullanılarak Modellenmesi
Authors: KÖYCÜ Erol
Published: September 2022

Bu çalışmada, Avrupa bankacılık endeksinin Euro para birimi üzerinden fiyatlamasını gösteren Indexstoxx endeksinin (Euro Price-SX7E) volatilite modelinin ve volatilite yapısının belirlenmesi amaçlanmıştır. Bu amaç doğrultusunda, 2015 – 2019 dönem aralığında günlük veriler kullanılarak bir veri seti oluşturulmuştur. Verilerin ilk olarak doğal logaritması alınmış ve sonrasında mevsimsel etkiden arındırılmıştır. Endeksin volatilite yapısını tespit etmek amacıyla asimetriyi ölçen ve ölçmeyen dört farklı model test edilmiştir. Test edilen modeller arasında en uygun model olarak GARCH (1,2) modeli belirlenmiş ve modelin volatilite hesaplamaları ve sınamaları yapılmıştır. Volatilite test sonuçlarına göre, seride volatilite ısrarcılığı yüksek olmakla birlikte, endekse gelen şokların %7’si geçmiş dönem şoklarından gelmektedir. Elde edilen bir diğer önemli sonuç ise bir önceki dönem şoklarının mevcut dönem üzerindeki etkisi %90.8 gibi yüksek bir orandır. Çalışmada son olarak endekse gelen bir şokun kaç gün sürdüğü, diğer bir deyişle dışarıdan gelen bir şoku endeks kaç gün üzerinden atamıyor sorusuna cevap aranmış ve 40.64 gün olarak bulunmuştur.
Relación entre la presión arterial y el control de la hemorragia post-exodoncia en pacientes bajo tratamiento con warfarina
Authors: Pineda Taladriz Edgardo , Santana Vera Ricardo , Pineda Concha Glenda , Olivares Cañon Claudia , Contreras Diez de Medina David , Vilchez Díaz Alejandro
Published: September 2022

Objetivo: Determinar la relación entre el nivel de presión arterial (PA) y la hemorragia post-exodoncia aplicando medidas de hemostasia local en pacientes bajo tratamiento con warfarina.
Materiales y métodos: Este estudio se realizó sobre 30 pacientes (15 hombres y 15 mujeres) bajo tratamiento anticoagulante oral (TACO) con warfarina. Los pacientes concurrían al programa de TACO del Hospital y Centro de Referencia de Salud El Pino (HEP y CRS). Se les realizaron una o dos extracciones dentales (n=38) sin suspensión del anticoagulante oral a pacientes que tuvieran un coeficiente internacional normalizado (INR) del día menor o igual a 3. Se aplicaron medidas de hemostasia local con gasa compresiva y/o sutura en 30 de las extracciones dentales. Los procedimientos quirúrgicos fueron llevados a cabo en el Servicio Dental del CRS y HEP. Se registraron las siguientes variables: 1) PA previa a la exodoncia, 2) PA a los 30 minutos, 3) Presencia o ausencia de hemorragia a los 30 minutos post-exodoncia y 4) PA y presencia o ausencia de hemorragia a las 24 horas post-exodoncia. Se estudió la relación entre el nivel de PA y la hemorragia post-exodoncia.
Resultados: De todos los pacientes evaluados, ninguno presentó hemorragia post-exodoncia en los distintos momentos de evaluación, independientemente de cuál fuera su PA. No se encontraron efectos de la variable PA –considerando valores de PA sistólica (PAS) por debajo de 140 mmHg y de PA diastólica (PAD) menores a 90 mmHg- en relación con la hemorragia post-exodoncia.
Conclusión: De acuerdo con los resultados obtenidos en este estudio, la presión arterial con PAS <140 mmHg y PAD <90 mmHg no es un factor que influya en el sangrado post-exodoncia en pacientes bajo tratamiento con warfarina con ≤3.
Palabras Claves: Coagulación, hemorragia post-exodoncia, presión arterial, warfarina.
Resolusi Konflik Berbasis Teologi Baku Bae Ambon (1999-2002)
Authors: Tidore Burhanudin
Published: September 2022

This paper aims to discuss the pattern of resolution of the Ambon conflict that occurred in 1999-2002 and was caused by various complex factors. This study offers a conflict resolution approach using the so-called BakuBae theology, which is based on religious values and local wisdom. In this qualitative research, the author deals with the theme from the perspectives of theology, history, and culture, and uses convergence as the theme point. This study found that the dynamics of the Ambon conflict had a multi-dimensional background (political, economic, social, and cultural). The pattern of conflict resolution using a top-down approach to the security aspect, namely the role of the TNI-Polri institutions, which tend to be repressive, has caused the division of social and religious identities between Salam-Sarane (Islam-Christian) in Ambon. This actually complicates the process of ending the conflict. On the other hand, the bottom-up approach of the BakuBae social movement has involved civil society and grassroots groups that play a significant role in conflict resolution. The program of BakuBae has become the right pattern for conflict resolution. The findings of BakuBae's work are the key to a solution to the conflict in Ambon.
Relationship between Social Skills and Academic Achievement of Elementary Students in Low Income Urban Areas of Islamabad
Authors: Rehman Huzaifa , Dahar Dr. Muhammad Arshad , Tahir Arfa
Published: September 2022

Social skills have a fundamental role in the academic achievement. Keeping this in view, investigation has been planned out to examine the relationship between social skills and academic achievement of elementary students in low-income urban areas of Islamabad. A descriptive reserch design of correlational type was used in the study. All the students of 6th to 8th grade studying at elementary level in government school live in low-income urban areas of Islamabad constituted the population of the study. Four hundred students were conveniently selected as a sample in the study. Questionnaire was used to measure the social skills of students. To determine academic achievement of elementary level students’ previous results were taken. Five research hypotheses were formulated and tested using Pearson product-moment correlation and multiple linear regression statistics at 0.05 level of significance. The finding revealed that there was no significant relationship between social skills and academic achievement. It was recommended that educational planners, counselors, elementary school teachers and administrators should train student’s positive socials kills and monitor or co-ordinate the activities of the student an ideal environment should be created for better academic achievement.