bluuebunny/crossref_metadata_2025 huggingface dataset:
INTESTINAL INTUSSUSCEPTION SECONDARY TO JEJUNAL ADHESIONS IN ADULT: A RARE CAUSE OF POSTOPERATIVE OBSTRUCTION
Authors: ZL Randimbinirina , F Rasoaherinomenjanahary , CE Solo , ZA Meliny , MLA Ravalisoa , LH Samison
Published: February 2023

Although intussusception is always seen in children, its occurrence in adults is an exceptional situation. Postoperative intussusception is uncommon and few cases have been reported in the literature. We present the case of a 51-year-old woman with jejunal postoperative intussusception.  She underwent gastrojejunal anastomosis for pyloric stenosis two weeks earlier. The symptomatology was a bowel obstruction, which was initially thought to be an early postoperative adhesions. The lack of improvement despite medical treatment led to a surgical exploration that helped to the right diagnosis. Intussusception has been related to  jejunal adhesions. Manual reduction was made with removal of adhesions. Postoperative period was uneventful. Adult intussusception is uncommon, often caused by tumors. Early surgical revision is the rule to avoid nutritional impact of a chronic postoperative subocclusion.
USE OF THE “VERTICAL RECTUS ABDOMINIS MYOCUTANEOUS FLAP” MODIFIED FOR PELVIC RECONSTRUCTION AFTER TRAUMATIC REMOVAL OF THE HEMIPELVIS
Authors: A.r Raherison , M.f Ralahy , V.s Nirinaharimanitra , L.r.c Andriamanarivo , F.a Hunald , m.l Andriamanarivo
Published: February 2023

Reconstructive surgery in case pelvis defect is a technical challenge. It takes into account the etiology, the general condition of the patient; the location and size of the defect. Pedicled musculocutaneous flaps is necessary in case of deep and large defect. The rectus abdominis flap is frequently used. Our observation demonstrates the difficulties and technical particularities of reconstructing a large traumatic defect. It is a rupture of the hemipelvis following a traffic accident, exposing the peritoneum, part of the bladder and the anal canal. The use of  fasciocutaneous flap was doomed to necrosis. Our recourse was the use of the "vertical rectus abdominis myocutaneous flap" (VRAM) by making a technical modification. The muscle was dissected separately from the fascia. This allowed us to spread it out and cover a wider area. Complete cutaneous coverage was provided by using two fasciocutaneous flaps: hypogastric and perineal. Good healing was obtained, and the patient received a prosthesis.
ELECTROCLINICAL ASPECTS OF OCCIPITAL EPILEPSY SEEN IN THE NEUROSCIENCES AND MENTAL HEALTH LABORATORY ANTSAKAVIRO
Authors: Lemahafaka jg  , J Razafimahefa , D Raharimaminjatovosoa , Ad Tehindrazanarivelo
Published: February 2023

Introduction: Occipital epilepsy occurs when the initial site of epileptic discharge involves part or all of the occipital lobe. Occipital epilepsy is the least common of the other types of epilepsy and is rarely described in the literature. However, the manifestation located initially in the occipital cortex, which is a functional zone of vision, leads to its protean aspect. It can be a source of diagnostic wandering. The purpose of this study is to describe the electroencephalographic clinical characteristics of patients seen for occipital epilepsy at the Laboratory of Neurosciences and Mental Health, Antsakaviro, Madagascar. 

Methods: This is a retrospective and descriptive study that took place over a one-year period (January 2016 to December 2016). Included in this study were all patients diagnosed with clinically and EEG-confirmed occipital epilepsy. A correlation between clinical manifestations and electroclinical data is sought.

Results: We retained 66 patients with male predominance (sex ratio: 1.4). The age of the patients ranged from 3 to 55 years with a mean age of 13.77 years. Patients reside in urban areas and the majority are of non-school age. The clinical manifestations of occipital epilepsy are mainly paroxysmal visual hallucinations lasting on average 3 minutes and of variable frequency. EEG signs are predominantly paroxysmal activities with a predominant or occipital starting point. 

Conclusion: The clinical and electroencephalographic manifestations of occipital epilepsy deserve special attention in order to make a proper diagnosis.
INFLAMMATION CHRONIQUE ET HYPERPLASIE BÉNIGNE DE LA PROSTATE: FACTEURS PRÉDICTIFS ET CONSÉQUENCES APRÈS CHIRURGIE OUVERTE CHRONIC INFLAMMATION AND BENIGN PROSTATIC HYPERPLASIA: PREDICTIVE FACTORS AND CONSEQUENCES AFTER OPEN SURGERY
Authors: Andrianisa H Rambel , Nirina MOJ Harioly , F Rasoaherinomenjanahary , AF Rakototiana , HYH Rantomalala
Published: February 2023

Background: Chronic inflammation of the prostate has been observed on prostatic specimen after resection or a biopsy. The aim of this study was to determine the factors that can predict its existence in benign prostatic hyperplasia (BPH) and the consequences after open surgery. Method: We carried out a retrospective, observational, transversal study of patients who underwent prostatic adenomectomy in 2017 and 2018 in our department. Specimen with prostatic adenocarcinoma were excluded.

Results: Of 51 operated patients, 31 (60.78%) had chronic inflammation within BPH. The mean delay between the beginning of symptoms and the surgery was 23.14 ± 35.62 months.

Acute urinary retention was the main reason for consultation (78.43%). The mean duration of bladder catheter wear before surgery was 82.41 ± 220.36 months. Postoperative course was uneventful in 26(50.99%) patients. The mean postoperative stay was 5.86 ± 3.42 days. Surgical treatment delay (p = 0.000001), surgical wound infection (p = 0.002) and the length of postoperative stay (p = 0.002) had a significant correlation with prostatic chronic inflammation.    

Conclusion: The delay in surgical management was the main predictor of chronic inflammation in BPH. This factor increase the risk of surgical wound infection and an extended of postoperative stay.
FACTORS INFLUENCING HIGH CHILD MORTALITY IN KAREMO SUBCOUNTY, SIAYA COUNTY –KENYA
Authors: Kagoiyo Njeru Sammy
Published: February 2023

Study Objective: To determine factors influencing high child mortality rates at Karemo sub-County, Siaya County Kenya

Study Design: A descriptive cross sectional study

Study Setting: Karemo Sub-County, Siaya County Kenya

Study Subjects/participants: Three hundred and twenty six (326) caregivers of children under five years at house hold levels
SURGICAL MANAGEMENT OF TRAUMATIC ARTERIAL OF LIMBS IN ANTANANARIVO
Authors: ZL Randimbinirina , T Rajaobelison , RNAL Rakotorahalahy , AML Ravalisoa , AJC Rakotoarisoa
Published: February 2023

Background: The prevalence of traumatic arterial of limbs in Antananarivo is unknown, and there is not a protocol for management of vascular trauma. The aim of this study was to describe epidemiology and surgical management of traumatic arterial of limbs in Antananarivo.

Material and methods: This was a retrospective and descriptive study for a period of 10 years from January 2008 to December 2017 performed at the Cardiovascular Surgery Unit in JRA Teaching Hospital Antananarivo, including all patients who underwent a surgery for traumatic arterial injury of limbs.

Results: Ninety-two cases of traumatic arterial of limbs has been recorded. The most victims were young (mean age=34.68), male (88.04%). The most mechanism of arterial injury was a civilian liability accident (63.04%) which 53.26% was due to stabs wounds.  There were 82 cases of arterial wounds and 10 cases of blunt arterial trauma. Clinical signs were bleeding (89.12%), pulseless (46.73%) and hematoma (10.86%). Lesion were laceration (n=36), complete transection (n=32), avulsion (n=7), pseudoaneurysm (n=5), arteriovenous fistula (n=2), contusion (n=10). The most involved vessel were the brachial artery (29.34%) in the upper extremity and the femoral artery (15.21%) in lower extremity. Surgical procedure were revascularization (84.78%), ligation (9.78%) and primary amputation (5.43%). The overall limb salvage rate was 96.73% of arterial injuries successfully repaired.

Conclusion: Revascularization is important in traumatic arterial injury of limbs. It must giving early to prevent an amputation of limbs.
EDUCATIONAL IMPACT OF EPILEPSY IN CHILDREN
Authors: Noel Zodaly , jemissair glorien Lemahafaka , Naliniaina robert Randrianantoandro , Andry Rakotondramanana , Alain Djacoba Tehindrazanarivelo
Published: February 2023

Introduction: Epilepsy can interfere with a child's cognitive development and may result in academic difficulty. Our objective is to identify and estimate the link between epilepsy and academic difficulties.

Methods: This is a prospective descriptive and analytical case-control study carried out at the Antsakaviro Laboratory of Neurosciences and Mental Health for the cases and in the four Public Primary Schools of the rural commune of Anjepy for the controls from 1st October 2014 to 31st January 2015. The frequency of school difficulties in epileptic and non-epileptic children, the relationship between epilepsy and school difficulties were evaluated.

Results: The frequency of school difficulty in children with epilepsy was 49.13% compared to 25% in non-epileptic children with an Odds Ratio of 2.90 with 95% specificity and a confidence interval of 1.87 to 4.43. Among the cases, 52.94% of the children had their first seizure before the age of 2 years with a predominance of generalized tonic-clonic seizures at 57.65%, the majority of which were of the idiopathic type (67.06%). The majority of children with epilepsy had a lack of concentration in 43.53% of cases and memory impairment in 31.76%, while memory impairment (38%), lack of concentration in 20% and repetition in 20% of non-epileptic children. 

Conclusion: Epilepsy is a serious illness for the child that can lead to a learning disability.

Therefore, prevention of seizures and early detection are essential.
ETHICAL ROLE OF HEALTHCARE ORGANIZATIONS IN CHANGING BEHAVIORS OF INDIVIDUAL HEALTHCARE PROFESSIONALS IN ATTEMPT TO IMPROVE PATIENT SAFETY
Authors: Mohammad F. Alwehaibi PhD Ayyub
Published: February 2023

In modern society, medicine is one of the domains that have to face great challenges in many aspects. The major challenge in terms of quality in health care is the safety for patients. Besides the negative consequences caused by serious conditions of the diseases, many harmful occurrences are avoidable. The occurrence of avoidable harms sometimes deprive patients’ lives or abilities, which has created great fear for patients of being at risk more than in help.

Such avoidable harms may be resulted by the healthcare professionals’ knowledge, skills, or behaviors. These harms may be caused by either human errors or violations. To prevent these errors from occurring in the future, some measurements need to be enforced on organizational level. Medical errors are unavoidable in every clinical unit as medicine is practiced by human, and human beings are not free from making mistakes. Yet, it does not mean that it is impossible to remedy the issue of medical error. Confronting the mistakes made by individuals are the organizations they work within. Organizations represent their individuals and play substantial roles of not only seeking for the solutions to the incidents but also preventing such incidents from re-occurring in the future. There are two important notions- human error and violations- which thoroughly influence on the strategies of management of unintended adverse incidents
Determination of rugae pattern in non-treated normal angle class I, II and class III mal-occlusion
Authors: Jabbar Abdul , Islam Fizza , Tariq Junaid , Saeed Khuram , Hussain Ghulam , Khatri Muhammad Siddique
Published: February 2023

Background: Palatal rugae are specialized patterns in keratinized mucosa of the anterior hard palate behind incisive papilla tis are unchangeable in their site and form, all over an individual’s lifespan. Occlusion means “closure” which refers to the interaction among upper and lower teeth. Mal-occlusion is improper alignment of teeth when the upper and lower jaws are closed. Objectives: The objectives of this study is to assessment of palatal rugae arrangement in our population and the determination of rugae pattern in non-treated Class-II and Class-III mal-occlusions when related to Class-I normal mal-occlusions. Methodology: It’s observational and cross-sectional study conducted at Orthodontics department, Lumhs jamshoro and Hyderabad. The sample size of study was 135, the Pre-treatment record of those patients who are receiving orthodontic treatment were enrolled as study participants their maxillary dental cast was assessed for assessment of rugae, Maxillary dental casts were assessed and maxillary impression were recorded using Alginate (irreversible hydrocolloid), impressions then were poured using dental stone. The Rugae pattern on the study casts were traced with a black graphite pencil to clarify the pattern.
Literature Review of Psychological Treatments among Victims of Intimate Partner Violence
Authors:   The United States International University-Africa, Ojiakor Francis , Kasande Annet ,   The United States International University-Africa, Arasa Evelyne ,   The United States International University-Africa
Published: February 2023

The paper has provided an extensive review on the subject matter of the psychological treatments that are commonly used among the victims of Intimate Partner Violence. The individuals in the mentioned population are known to experience IPV in the form of physical, psychological and sexual abuse, mostly. In turn, it affects their mental health, and hence the need for them to receive psychological treatment based on specific symptoms being experienced. The review has given consideration to the psychological treatments that are supported by empirical evidence. The psychological treatments included in this review include Interpersonal Psychotherapy, Cognitive Behavioural Therapy, Meta-cognitive Interpersonal Therapy, Cognitive Processing Therapy, Acceptance and Commitment Therapy, and Eye Movement Desensitization and Reprocessing. In addition, in the review, relevant recommendations have been made to ensure that victims of IPV are able to benefit significantly from the psychological treatments. There is also a need for researchers to come up with other interventions or treatment modalities for other none common adverse effects of IPV. Keywords: Intimate Partner Violence, Psychological Treatments, Victims, Sexual Abuse, Psychological Abuse, Physical Abuse, Depressive, Anxiety, Post-Traumatic Symptoms, Post-Traumatic Disorder.
Missiological Perspectives from Germany
Authors: Herbst Michael
Published: February 2023

This article argues for innovation and mission in the Lutheran Churches of Germany. The authors approach this topic by drawing on research on innovative and missional projects in rural areas in Germany. The authors are looking at rural areas where few people would expect innovation. Presenting a study called “Landwards” and the evaluation of exemplary projects in rural areas in Eastern Germany, it is possible to review key factors for innovative and missional church development. One of the most intriguing factors is that, compared to international studies on missional church development (like fresh expressions of church in the Church of England or pioneering places in the Protestant Church in the Netherlands), it can be shown that lay leaders do not play the dominant role in starting the initiatives. However, lay people organized in teams do seem to be the engine of on-going innovative initiatives in rural areas. This raises different questions regarding the training of leaders, for example, or the collaboration of such initiatives with established churches. The “Landwards” study points out the possibilities of innovation in rural areas in and adjacent to the Lutheran structure of being a “Volkskirche.” This is a rather original way to deal with the challenges of being a state-like church in Germany.
University English Teachers’ Teaching Competencies in China: A Literature Review
Authors: Dai Lian , Sihes Ahmad Johari Bin
Published: February 2023

University English teachers in China comprise English as a Foreign Language (EFL) teachers for English-major students and College English (CE) teachers for non-English-major students in China. Teaching competencies of university English teachers have powerful effects on student learning and generally have several dimensions. However, there exist different taxonomies for the dimensions of teaching competencies. The purposes of this literature review are to first explore how researchers have defined teaching competency, secondly explore core dimensions of teaching competencies for the three teacher categories: university teachers, EFL teachers, and CE teachers, and finally investigate the differences in the core dimensions of teaching competencies between EFL teachers and CE teachers. Based on the core dimensions of each teacher category in the literature, the study concluded different three-dimension models of teaching competencies for university teachers, EFL teachers, and CE teachers. It found that CE teachers need to have an additional teaching competency in content knowledge related to their students’ disciplines besides all the required competencies for EFL teachers. EFL teachers are recommended to develop their competency in English language knowledge to meet English majors’ higher and intensive language needs. However, for CE teachers, although they don’t have to be as knowledgeable as EFL teachers in the English language, it would be more challenging for them since they are supposed to gain knowledge of students’ discipline which they might not have learned before.
Methodology for determining coordinate points using automated software and aircraft
Authors: Kuzbakhov Zhassulan , Zharassov Shyngys
Published: February 2023

Engineers are currently facing questions about the use of geographic information systems or software to implement projects in a short time. The problem with using geographic information systems in construction is the relevance of the available data. An example is open sources with satellite images. This problem appeared even before satellite-positioning systems emerged. In this connection, the purpose of this article is to find the deviation of source points when performing photogrammetry with marker detection in Agisoft PhotoScan software. This method of determining coordinates using a single point and its correlation on the ground is applicable in the case of rapid calculations, where the volumes of earth masses are large enough and do not require increased accuracy at the stage of approximate calculations. As a result of the comparison of traditional and automated methods of definition of coordinates on the ground has been found an essential distinction, both in total values and in time spent for the definition of points of coordinates. The considerable difference revealed by the results of the comparison of coordinates is presented in the table as a color gradation. The average deviation between known coordinates and coordinates obtained in Agisoft PhotoScan by axes was: X=0.87%, Y=0.45%, Z=0.12%.
Prevalence of Beggars and Street Children in the City of Sorsogon
Authors: Perena Emma S , Hapin Edna L
Published: February 2023

This study determined the prevalence of beggars and street children in the City of Sorsogon. It focused on the profile of beggars and street children, the determinants for street begging and presence of street children and the problems encountered as perceived by the respondents. The study is both a quantitative and qualitative descriptive method of research. A survey questionnaire is the main instrument in gathering the data. An unstructured interview was also utilized to supplement the interpretation of the results. The respondents of the study were 153 street children and beggars in the city of Sorsogon. They were purposively and conveniently chosen. The street working children have the age range from 5-15 years old, most of them were male, did not finish their elementary grade, have stayed for 1-5 years, physically fit and Bicolanos. Poverty is the common cause of begging and becoming working street children in Sorsogon City. The respondents perceived being prone to hazards and risk in the streets as the most distressing problems. It is recommended therefore that the different institutions, the local government, church and other institutions may collaborate and extend their knowledge and assistance to these street children and beggars. Further, it is recommended that a sustainable rehabilitation scheme should be endeavoured by the local government, that it would encompass the diverse needs of the beggars and street children and promote the upliftment of their social well-being thus, children should be sent back to school and the government may provide educational provisions to support their educational needs. Create and deliver a responsive and sustainable livelihood program that would promote social progress to help these people alleviate poverty. The church may also conduct education to these children and beggars that would inculcate moral values and uplift their social beings. Intensify the implementation of related policies and strengthen the conduct of activities that would discourage street children and beggars from coming back on the streets.
The Effect of Tamsulosin, Dutasteride Monotherapy and Tamsulosin-Dutasteride Combination on Prostate Smooth Muscle Contractility in BPH Model Wistar Strain Rattus Novergicus
Authors: Daryanto Besut , Naim Hamdan , Budaya Taufiq
Published: February 2023

Background: Following the c In the management of BPH, Tamsulosin is an example of a-adrenergic receptor blocker drug that is usually used. In addition, dutasteride is also a BPH drug that works as a group of 5 a reductase inhibitor. However, the weakness of long-term administration of a1-adrenergic receptor antagonists can result in upregulation of prostate smooth muscle cell contractility and expression of a-adrenergic mRNA receptors, resulting in hyperactivity and supersensitivity to a-agonists. Objective: Our study aimed to determine the effect of long-term administration of tamsulosin, dutasteride and tamsulosin-dutasteride combination on the contractility of prostate smooth muscle cells in BPH model rats. Methods: This study was designed using an experimental post test only method, control group design. It measured the contractility of prostate smooth muscle cells from samples obtained from the prostatic stroma of experimental animals adult male Rattus norvegicus Wistar strain induced BPH and administered tamsulosin 1 mg/kg/day, dutasteride 0.5 mg/kg/day, and a combination of continuous administration for 1, 6 and 12 consecutive days. Data were analyzed using one way ANOVA if the data distribution was normal or Kruskall Walis if the data distribution was abnormal. Result: The effect of tamsulosin, dutasteride and the combination of tamsulosin with dutasteride on prostate smooth muscle cell contractility in experimental animals Rattus norvegicus Wistar strain showed that tamsulosin administration for six days, twelve days, and the combination of tamsulosin dutasteride for one day got statistically significant different result (p=0.016; p=0.006; p=0.029) compared to the negative control group. In addition, there was a difference between the tamsulosin and dutasteride combination group for 12 days compared to tamsulosin monotherapy for 6 days and 12 days (p=0.160; p=0.010). Conclusion: Continuous administration of monotherapy tamsulosin has an upregulation effect on the sixth to twelfth day. Decreased contractility of prostate smooth muscle cells occurs on the first day but will increase on the sixth to twelfth day. On the other hand, the results of our study also showed that the combination of tamsulosin and dutasteride gave the effect of reducing contractility and was most effective on day 12.
Effect of Massage Therapy with Lime (Citrus Aurantifolia) Essential Oil on the Recovery of Delayed Onset of Muscle Soreness in Athletes
Authors: Harahap Novita , Manalu Nimrot , Siregar Nurhamidah , Machrina Yetty
Published: February 2023

Background: Physical exercise is a systematic exercise to increase muscle strength achieve goals such as improving the athlete’s physical and preventing injury. Athletes must do is massage therapy to prevent muscle fatigue and pain due to physical exercise or during competition. The increase of lactic acid levels affects the maximum working ability of muscle fibers, decreases physical performance, and is fatigue in which the onset of pain. Lime essential oil as a topical oil contains high ester substances that have pharmacological effects such as natural analgesic effects to relieve pain. Objective: The purpose of this study was to determine the effect of massage therapy with lime essential oil as a topical oil on the recovery of delayed-onset muscle soreness (DOMS) in athletes. Methods: The participants are boxing athletes, 30 men, 20–22 years old, and non-smokers. Participants were divided into three groups. The exercise group (E) was doing exercises and was not given massage therapy; the exercise massage (EM) group, namely, doing exercises and being massaged with ordinary lotion as a topical oil; and the EM lime (EMC) group did exercises and was given a massage with lime essential oil as the topical oil. Results: The results showed that there was a significant difference in the average levels of lactic acid (p = 0.000) and the athlete’s pain intensity (p = 0.000) in the three groups, namely, the exercise group (E), the exercise and massage group (EM), and the exercise and massage with lime essential oil (EMC). Conclusion:This study finds that lime essential oil used as topical massage therapy oil is better for accelerating the DOMS.
Prediction of Surgical Treatment in Acute Pancreatitis Using Biochemical and Clinical Parameters
Authors: Selimovic Azra , Bijedic Nina , Sofic Amela , Selimagic Amir , Vanis Nedim , Jahic Rijad , Kapetanovic Sanja
Published: February 2023

Background: Deep Acute pancreatitis (AP) is an urging cause of hospitalization in the gastroenterology due to different causes and an unpredictable outcome. Known causes are grouped into four main groups: metabolic, mechanical, vascular and infectious. Objective: To determine the role of certain biochemical or radiological parameters as predictors of an involvement of other organs in AP different pathological staging and the surgical outcome in the treatment of AP. Methods: Ninety-seven AP patients hospitalized in General Hospital “Prim.dr Abdulah Nakaš” Sarajevo, in a period between 2016 and 2021 for both sexes, were divided according to the etiological factors of AP into four groups: nutritional factors, biliary concernments, alcohol and morphological changes of the pancreas. Beside laboratory tests, the imaging methods of abdomen (transabdominal ultrasound, abdominal computed tomography) used in determining morphological changes in the pancreas and other organs were analyzed in relation to parameters that predict the need for surgical outcomes.Results: AP etiological factors of patients differ significantly by gender and showed the dominance of dietary factors in female subjects (51%), followed by the presence of concernments in the biliary tract in 36% of cases, and alcohol consumption in male subjects in 28% of cases. The only variable correlated with the indicator of necessity for surgery is the existence of pleural effusion (coefficient of correlation was 0.38; risk ratio was 5.5) resulting that patients with pleural effusion have a 5.5 times higher chance of surgery indication than other patients. Conclusion: The application of simple parameters such as creatinine value with the values of amylases in serum and urine and the presence of pleural effusion confirmed by radiological imaging of the lungs opens the possibility of a simple and effective selection of patients for surgical treatment with a more severe form of AP.
Interprofessional Education Melalui Promosi Kesehatan Keluarga Tentang Hipertensi di Kota Bandung
Authors: Situmorang Roganda , Pasha ED Yunisa Mega
Published: February 2023

Keluarga merupakan sasaran dasar dalam pemeliharaan kesehatan masyarakat untuk mencapai kesehatan nasional di Indonesia. Informasi ditemukan bahwa dalam keluarga wilayah kota Bandung terdapat permasalahan penyakit degeneratif (hipertensi) di keluarga. Tujuan kegiatan ini adalah mengaplikasikan proyek promosi dan preventif kesehatan berbasis kolaborasi antar profesi (interprofessional education) tentang promosi kesehatan hipertensi pada keluarga wilayah kota Bandung. Metode yang digunakan yaitu pemaparan materi, diskusi dan evaluasi kegiatan. Hasil dari pelaksanaan kegiatan ini terjadi peningkatan pengetahuan keluarga tentang hipertensi dari kurang baik menjadi baik dan pengetahuan keluarga tentang pemanfaatan TOGA untuk mengatasi hipertensi. Perlunya sosialisasi secara berkala secara berkala dan melibatkan banyak masyarakat dan kader. Keluarga diharapkan mengaplikasikan dirumah dan disebar luaskan informasi terkait hipertensi dan TOGA untuk hipertensi.
Shabtis of the Egyptian collection on display at the Stibbert Museum, Florence
Authors: Petacchi Simone , Musso Simone
Published: February 2023

The Stibbert Museum hosts a small collection of Pharaonic artefacts bought at the antiquarian market in the second half of the 19th century, in particular a series of six inscribed shabtis dating back to the Late Period. They belonged to priests and important officers of the royal court.
Study on Properties of Intercalated Melt-blown Nonwovens
Authors: Tan Zhi , Wang Luyang , Zhong Junxiao
Published: February 2023

Based on the intercalating melt-blown non-woven material performance control principle, through the single factor analysis of variance, two-factor variance analysis and typical correlation analysis, partial least-squares regression model is established, a multi-objective optimization model, structure parameters and performance parameters of the respectively as sample, using the typical correlation analysis between the two sample data, the paper analyses the inner link, The results show that product thickness has a strong positive correlation with filtration resistance.Then the Pearson correlation coefficients between structural variables and product performance were calculated respectively, and the correlation size was judged by the value of the correlation coefficient. It was concluded that the product thickness and porosity had a strong positive correlation.Finally to filter products of the highest efficiency as objective function and combined with multiple constraints, single objective optimization model is set up, using simulated annealing algorithm to optimization, then the product of the highest filter efficiency and minimum drag as the objective function, combination of conditions such as receiving distance and speed of hot air to multi-objective optimization model is established.Then, according to the priority order of constraints, the multi-objective optimization problem is transformed into two single-objective optimization problems, and the rationality of the results is tested according to the factors such as the initial gas flow rate and the number of superimposed layers. It is concluded that the filtration efficiency and filtration resistance solved in this paper are the optimal solutions.
Optimization Strategy of Ship Speed and Fuel Supply based on SECA and Carbon Tax
Authors: Yang Yuming , Yuan Yuxin , Yang Jiabing , Han Han , Zhou Zejiong
Published: February 2023

At present, due to the unreasonable allocation of resources in waterway transportation, problems such as emissions amplification and serious pollution are caused. This paper considers the impact of carbon tax and SECA on the speed of navigation, and considers the operating costs such as inventory cost, fuel replenishment cost, carbon tax, ship time delay cost, etc., to minimize the total operating costs with the limitation of time window.
Simulation Study of Loess Split Grouting based on Discrete Element Method
Authors: Wang Chong
Published: February 2023

Split grouting is a common method of stratum reinforcement. However, due to the concealment of grouting itself, it is difficult to observe the slurry diffusion of split grouting. Therefore, this paper uses PFC2D software to simulate the split grouting in loess to study the diffusion law of slurry and the change of formation porosity. The research results show that the number of fracturing cracks increases with the increase of time. The porosity of soil mass changes obviously after the first fracturing, and the change rate of porosity increases after the second fracturing. With the increase of the initial grouting pressure, the number of splitting cracks is increasing, and the change rate of soil porosity is also accelerating.
Analysis of Public Opinion on the Network of Burst Events based on the PH-LSTM Neural Network
Authors: Ban Aiying , Zhang Zhiyong
Published: February 2023

Due to the high-speed development of the Internet today, once a burst event occurs, it will attract the general public‘s attention in a short time and spread rapidly on the Internet, which will lead to the formation of large-scale network public opinion on emergencies. We can accurately judge the development trend of bursts and provide a reference for emergency supervisory departments to deal with public opinion crises by predicting the trend of public opinion on the network of emergencies. To address the issues of a single prediction model's low prediction accuracy and the large influence of social media factors on public opinion trend, an opinion prediction method integrating social media influence and LSTM neural network is proposed, and a PH-LSTM (Post Hot-Long Short-Term Memory) neural network is built. Firstly, the influencing factors of online public opinion are introduced, including the posting hotness and user influence of fused social media influence and the growth rate of events. Secondly, the LSTM neural network is improved to design a PH-LSTM prediction model with three hidden layers, and the PH-LSTM model is used in the quantitative prediction of unexpected events. Model’s validity was verified through experiments, and it was confirmed that the model has a good fitting and prediction effect on the trend of online public opinion of unexpected events.
Comprehensive Evaluation of Fire Alarm Systems
Authors: Yang Mengyao , Li Manman , Wang Xuhui , Zhao Xiaocan
Published: February 2023

In this paper, through the methods of Topsis evaluation method, rank and ratio comprehensive evaluation method, and entropy weight method, a relevant model is established to quantitatively evaluate each type of fire detector components, alarm signal authenticity, and the comprehensive management level of fire brigade, and to propose an improvement plan.
Emergency Escape Route Design and Application
Authors: Man Yanmin
Published: February 2023

This paper uses k-means clustering algorithm, single objective optimization model and multisource multi-sink problem shortest path algorithm to obtain the optimal path algorithm for emergency evacuation and the shortest time model.Firstly, a code of conduct for the division of terrorist attacks has been established. The number of casualties in various incidents and the scope of destructive power to public areas are counted. A three-dimensional cluster core is selected. All terrorist at- tacks are classiﬁed into three levels: level 1-3 by the k-means clustering algorithm, and the degree of harm is gradually increasing.Secondly, the optimal path from each venue to the stairway is calculated. The re- lationship between the speed of ﬂow and the number of evacuees is given in the case of three situations. The multi-source multi-sink problem is transformed into a single- source shortest path problem by adding a virtual node to all venues on the second ﬂoor of the Louvre, and the Dijkstra algorithm is called once to obtain the optimal path from the venue to all stairs.The Final step is to establish an emergency evacuation optimization model with the minimum evacuation time as the objective function. The overall evacuation time is divided into the personnel response time, the horizontal road walking time, the time down the stairs, and the waiting time when congestion occurs.  the open number of emergency exits can be judging by different levels of terrorist events, and the optimal evacuation path and the shortest time for different emergency events are given. At the same time, we also analyzed the changing trend of velocity in different cases, which can be adjusted according to the actual conditions.
Descriptive Analysis of Human Emotions Based on Eye pupils
Authors: Muhammad Abdullah Sarwar  , Sajid Ali  , , Muhammad Sharoze khan  , Muhammad Asad mera  , Malik Mubashir Hussain  , Qadri Salman
Published: February 2023

Facial emotional expressions are viewed as the most descriptive way to understand the human’s state of temperament during confronting communication. In this work numerous statistical approaches have been applied on human eye pupil with static images of Chicago face dataset (CFD) to analyze and classify the considered categories for emotions which are Happy, Fear, Anger and Neutral. The aim of this study is to develop the specific architecture for image processing domain after applying different enhancement techniques on human eye pupil for analysis & recognition of the facial expressions. This work is divided into three phases initially in the first phase data preprocessing is performed to prepare according to the requirement of work and also the color images are converted in to negative by applying the pixel intensity controlled mechanism. Second phase define the boundary to compute the feature by using Circular Hough Transform algorithm. Lastly statistical approaches are applied on extracted features to corporate the central point of pupil. This corporation the central point presents the effects of emotions. While comparing peoples of different Age groups it is concluded that pupil constricted on Anger at different levels on different age groups. If further it is discussed about cross cultural and gender wise comparison then Happy Emotion effects most and resulted towards dilated pupil same like that Anger emotion effects most on constricting the pupil size.
Development of an efficient Computational Model for classification of Tissue remodeling
Authors: Nazim Zarsha , Dr.Sajid Mahmood  , Kiran Amjad
Published: February 2023

Tissue remodeling is one of the most important and crucial biological process. Process in which tissue reorganization and renovation takes place is called tissue remodeling. Mean of recovery in human beings is tissue remodeling in which damaged tissue are replaced completely with new tissue or through tissue repairmen types physiological and pathological tissue remodeling are two derivatives of Tissue remodeling. Normal Tissue remodeling is referred to as Physiological tissue remodeling, however abnormal process which may lead to a disease is known as pathological tissue remodeling.

From past till now different techniques like histopathology and chemicals were being used to identify abnormality in tissues. Which is a time taking and costly processes. There is no such computational method which can be used for the identification of the physiological and pathological tissue remodeling. The current article aims to develop a classification model which has ability to classify weather the given sequence is physiological or pathological process. Three classifiers RF, ANN and SVM will be used for practice and evaluation of proposed classification model.
BEIRA UMA CIDADE ENTRE AS MUDANÇAS CLIMÁTICAS E CONSTRUÇÕES RESILIENTES
Authors: Mujovo Marla , Jacob Durão
Published: February 2023

A cidade da Beira é localizada na região centro de Moçambique, sofreu o efeito de uma depressão tropical caracterizada por chuvas intensas que evoluíram num Ciclone Tropical IDAI. O estudo tem como objectivo geral descrever a relação existentes entre as características da cidade da Beira com as inundações, incentivando a construção resiliente do centro urbano.  A coleta de informação realizou-se através da revisão da literatura, inquéritos, observação direta, relato das experiências vividas pelos residentes durante o ciclone IDAI. O estudo constatou que houve perdas de vidas humanas, bens matérias e milhares de pessoas ficaram desalojadas na cidade da Beira. Em termos de doenças de saúde publica houve destaques para diarreias e malária. Para habitação e assentamentos humanos representa uma oportunidade de efectuar uma mudança de paradigma no desenvolvimento do modelo do centro urbano e na construção da resiliência em todos níveis.
OS VESTÍGIOS DO HIGIENISMO EM TERRAS ALAGOANAS: CONSIDERAÇÕES SOBRE O JORNAL DE ALAGOAS (1939)
Authors: Santos Fernanda Lays da Silva , Santana Geovanio da Silva , Dos Santos Ana Paula Teodoro , Da Corrente Ana Maria Carvalho , Santos Edjames Alves , Teixeira Marianne Cássia Carvalho
Published: February 2023

Analisam-se os vestígios do movimento escolanovista e higienista em Alagoas e suas implicações no currículo escolar. Este trabalho faz parte de uma pesquisa realizada no campo do currículo e da História da educação. Tem-se como objetivo investigar como as relações de poder se estabeleceram no âmbito escolar; analisar o discurso de Arthur Ramos e sua influência na construção do currículo escolar em Alagoas. Um dos instrumentos de análise foi o Jornal de Alagoas (1939) que circulou no estado com  seções escritas pelo higienista Arthur Ramos destinando orientações à educação familiar e escolar da  classe popular. No campo da historiografia, utiliza-se a perspectiva da Escola dos Analles, a Nova História Cultural, por compreender ser função do historiador pesquisar e recuperar histórias e personagens tidos como invisíveis. Esta é uma pesquisa de caráter documental e bibliográfico.  Constata-se que Arthur Ramos influenciou no constructo do currículo escolanovista divulgando essas ideias no Jornal de Alagoas (1939), sendo esse um meio de circulação destinado também à educação  escolar e à população em geral.
AVANÇOS E DESAFIOS DO GERENCIAMENTO INTEGRADO DOS RECURSOS HÍDRICOS NO MODELO DE GESTÃO NO EIXO LESTE DO PROJETO DE INTEGRAÇÃO DO RIO SÃO FRANCISCO COM BACIAS HIDROGRÁFICAS DO NORDESTE SETENTRIONAL (PISF)
Authors: Da Cunha Camylla Rebeca Melo , Sobral Maria do Carmo Martins , Melo Maiara Gabrielle de Souza
Published: February 2023

O Projeto de Integração do Rio São Francisco com Bacias Hidrográficas do Nordeste Setentrional (PISF) foi idealizado para mitigar o problema recorrente das secas na região semiárida, com a finalidade de garantir a disponibilidade hídrica, aumentar as chances de crescimento do sertão, diminuir as disparidades regionais e promover a segurança hídrica das áreas beneficiadas. O presente artigo tem por objetivo abordar os avanços e desafios do gerenciamento integrado dos recursos hídricos a partir da perspectiva de seu modelo de gestão. Para este estudo foram analisados os estados de Pernambuco e Paraíba que pertencem ao eixo leste desta integração de bacias. As discussões levantadas mostram que ambos os estados possuem restrições operacionais dos órgãos da administração direta bem como nas dificuldades de acompanhar as mudanças de paradigmas que limitam e fragilizam as ações de instituições de administração pública.
Systematic Review on the Drivers of Coral Bleaching in India
Authors: Basu Subhasis , Soren Rahi
Published: February 2023

Most of the papers on coral bleaching dealt with some basic knowledges which summarises as corals are stressed by changes in conditions such as temperature, light, or nutrients, they expel the symbiotic algae living in their tissues, causing them to turn completely white is called Coral bleaching. Depending on extent of bleaching, this may be categorised as healthy coral, stressed coral, bleached coral etc. Coral and algae depend on each other to survive. Corals have a symbiotic relationship with microscopic algae called zooxanthellae that live in their tissues. These algae are the coral’s primary food source and give them their colour Stressed Coral: If stressed, algae leaves the coral. When, the symbiotic relationship becomes stressed due to increased ocean temperature or pollution, the algae leave the coral's tissue. Bleached Coral: Coral is left bleached and vulnerable. Without the algae, the coral loses its major source of food, turns white or very pale, and is more susceptible to disease. Warmer water temperatures can result in coral bleaching. When water is too warm, corals will expel the algae (zooxanthellae) living in their tissues causing the coral to turn completely white. This is called coral bleaching. When a coral bleaches, it is not dead. Corals can survive a bleaching event, but they are under more stress and are subject to mortality. A cold water temperature causes a coral bleaching event that resulted in coral death. There are several causes of coral bleaching, depending on the location. In this project we have to search the papers where the causes of coral bleaching in that particular location. The extent of bleaching may be concluded on the water Quality index of other global factors. Depending on the nature of finding coral reef in geographical location researchers can conclude the causes of bleaching and vice versa. Depending on the nature of finding coral reef in a oceanic location they can conclude the causes of bleaching and vice versa. Nature of water quality, temperature, fish content etc. of the oceanic water etc. may be also predicted as primary findings without secondary testing. The research work has been carried out at least 10 to 15 arbitrarily chosen oceanic coastal areas in India where coral reefs are generally found in the most of the research papers.
Gesture Recognition Based Virtual Mouse and Keyboard
Authors: Thoutam Naresh , chavan Bhumi , Patole Kabir , Jadhav Sakshi , Bagal Vidhya
Published: February 2023

Today, computer vision has advanced to the point where a machine can recognise its owner by running a straight forward picture processing application. People are employing this in this period of growth because vision in a variety of everyday activities, including Face Recognition, Color Detection, Autopilot Cars, etc. In this project, computer vision, or a camera, is utilised to recognise hand gestures to create a virtual mouse and keyboard. The computer's camera will scan the image of various hand gestures made by a user, and the computer's mouse cursor will move and even carry out various functions using various movements in accordance with the gestures. Similar to how some other motions can be used to access keyboard features.Without a wire or other external devices, it will function as a virtual mouse and keyboard. The project's webcam is its sole piece of hardware, and Python is used to code on the Anaconda platform. This project uses cutting-edge Machine Learning and Computer Vision algorithms to recognise hand movements, and it operates without the need for any additional hardware. Index Terms - Face Recognition, Machine Learning, Virtual Mouse And Keyboard, Anaconda Platform