bluuebunny/crossref_metadata_2025 huggingface dataset:
Survival Following Percutaneous Endoscopic Gastrostomy in Neurology Intensive Care Unit Patients
Authors: BEREKETOĞLU Mehmet Ali , HAKİ Cemile
Published: April 2023

Background: We aimed to determine factors affecting mortality and survival after Percutaneous endoscopic gastrostomy (PEG) in patients who were hospitalized in the neurology intensive care unit during the coronavirus disease-2019 (COVID-19) pandemic Materials and Methods: The clinical and demographic data of 29 patients aged 18 years and older who received PEG tube insertion during hospitalization in the Neurology Intensive Care Unit of XXX Hospital, Turkey, between February 2020 and May 2021 were examined retrospectively. Patients’ demographics, clinical characteristics, and survival status were recorded. Results: We included 29 patients (16 females and 13 males) into our study. Median age was 71 (33–89) years among survivors and 75.5 (48–90) years among those who died. The groups were similar with respect to age (p = 0.119) and sex (p = 0.806). Mortality rate after PEG insertion was 66%. Mean overall survival after PEG tube insertion was 129.49 days (95% CI: 91.21–167.78). Cox regression revealed that having multiple comorbidities increased the likelihood of mortality by 2.822-fold (95% CI: 1.001–7.968, p = 0.049). Conclusions: These findings show that having multiple comorbidities was the most important factor associated with mortality among PEG recipients who were admitted to the Neurology Intensive Care Unit during the COVID-19 pandemic. Since multiple comorbidities cause shorter survival, it appears that the decision to insert PEG tubes must be made extremely cautiously among these patients. However, more comprehensive studies should be conducted to clarify the effect of COVID-19 on mortality rates and survival time after PEG.
PERLINDUNGAN HUKUM BAGI KONSUMEN TERHADAP PRODUK KOSMETIK YANG MENGANDUNG BAHAN BERBAHAYA DALAM JUAL BELI ONLINE (E-COMMERCE)
Authors: Fauzela Dian Sera
Published: April 2023

Keinginan dasar manusia untuk tampil menarik menyebabkan industri kosmetik terus berkembang. Perkembangan industri kosmetik semakin pesat dengan adanya media internet yang menghadirkan jual beli online (e-commerce). Kondisi ini dimanfaatkan oleh oknum-oknum tertentu yang ingin memperoleh keuntungan lebih besar dengan cara menjual produk kosmetik yang mengandung bahan berbahaya melalui upaya jual beli online (e-commerce). Adapun tujuan penulisan jurnal ilmiah  adalah untuk memahami perlindungan hukum pada konsumen terhadap keberadaan kosmetik  yang mengandung bahan berbahaya  dalam  transaksi jual beli online   (e-commerce), faktor-faktor yang mempengaruhi masyarakat  membeli kosmetik menggunakan jasa jual beli online serta faktor yang mempengaruhi peredaran kosmetik berbahaya di masyarakat. Metode yang dipakai pada penelitian ini adalah metode hukum normatif. Hasil yang diperoleh pada penelitian ini adalah adanya proses perizinan dan penegakan  hukum yang dilakukan pemerintah untuk memcegah keberadaan kosmetik  yang mengandung bahan berbahaya. Untuk faktor-faktor yang mempengaruhi masyarakat  membeli kosmetik menggunakan jasa jual beli online  (e-commerce) adalah lebih hemat waktu dan tenaga, kemudahan dalam   transaksi, kelengkapan informasi, perbandingan harga dan  keberadaan produk yang tersedia setiap saat. Sedangkan faktor yang mempengaruhi peredaran kosmetik berbahaya di masyarakat adalah rendahnya tingkat pendidikan masyarakat, masyarakat yang mudah tergiur akan harga murah serta pola fikir masyarakat yang menyukai hasil instan.
PENINGKATAN KOMPETENSI GURU MEMBANGUN BUDAYA LITERASI MELALUI PEMBINAAN PROFESIONAL DENGAN PENDEKATAN KOOPERATIF DI SMAN 1 JATI AGUNG KAB. LAMPUNG SELATAN SEMESTER 1 TAHUN PELAJARAN 2022/2022.
Authors: M.Pd. Noveira
Published: April 2023

Penelitian tentang peningkatan peningkatan kompetensi guru dalam membangun budaya literasi melalui kegiatan pembinaan profesional dengan pendekatan kooperatif di SMAN 1 Jati Agung Kab. Lampung Selatan  pada semester 1 tahun pelajaran 2022/2023.  Jenis penelitian ini adalah penelitian tindakan (action research) dengan 4 tahapan, yaitu perencanaan, pelaksanaan, observasi dan refleksi. Subjek penelitian sebanyak 15 guru SMAN 1 Jati Agung Semester 1  Tahun Pelajaran 2022/2023. Teknik pengumpulan data dilakukan dengan kegiatan observasi dan dokumentasi. Validasi data menggunakan teknik triangaluasi. Analisis data menggunakan teknik deskriptif. Hasil penelitian menunjukkan peningkatan kemampuan guru  dalam pengembangan silabus dan perencanaan pelaksanaan pembelajaran meningkat yakni dari nilai rata-rata dari 50,17 dengan kriteria nilai kurang pada kondisi awal,  menjadi 69,92 kriteria nilai cukup pada siklus pertama dan  menjadi 87,83 kriteria nilai sangat baik pada siklus kedua.  Adapun penjelasan ketuntasan secara individual pada kondisi awal belum ada guru yang dinyatakan tuntas, meningkat menjadi 8 guru (53,33%) pada siklus pertama, dan 15 guru (100%) pada siklus kedua. Kesimpulannya adalah kegiatan pembinaan profesional dengan pendekatan kooperatif terbukti dapat meningkatkan  peningkatan kompetensi guru dalam membangun budaya literasi di SMAN 1 Jati Agung  pada semester 1 tahun pelajaran 2022/2023.
Assessing the Vulnerability of Coastal Buildings to Storm-Surge Flooding: Case Study - Southern Miami Beach, Florida
Authors:   University of Miami, Chao Sonia R. , Ghansah Benjamin ,   Kwame Nkrumah University of Science and Technology-Ghana University of Miami
Published: April 2023

Coastal regions are vulnerable to natural hazards such as storm surge flooding. Increased population growth and wealth in coastal areas have led to swelling costs associated with flood-related damages, as evidence in Miami-Dade County, Florida across the decades. While, various studies have assessed the flood hazard levels in the County, incorporating the FEMA Flood Insurance Rate Maps, no examination has been conducted to determine the vulnerability of individual buildings to storm surge flooding. Inferring from the concept of Papathoma Tsunami Vulnerability Assessment (or PTVA), which employed a multi-criteria evaluation method to assess the vulnerability of buildings to a tsunami in Australia, this study developed the Storm Surge Building Vulnerability (SSBV) model to assess the vulnerability of coastal buildings to storm surge flooding, and utilized Miami-Dade County sites, as case study areas. The study selected SSBV parameters based on FEMA’s report of the observed damages to buildings caused by hurricanes and available literature. Input data included a Category 5 hurricane SLOSH model, GIS floodplains data, and building characteristics. The model was applied to a transversal section of buildings on Miami Beach, which included two historic districts. Validation was performed through a Synoptic Survey, Google Earth images, and existing GIS data. Out of the total of 297 buildings considered in the model, 101 evidenced moderate vulnerability, 73 high vulnerability, and six a very high vulnerability. Of the 79 buildings that exhibited a high and very high vulnerability, 55 (approximately 70%) of them are slab-on-grade buildings. Most of the very low and low vulnerability buildings are high-rise buildings and/or were located behind the tall dune. It can be concluded from this study that the vulnerability of buildings to storm surge flood¬ing is dependent on the nature of the building’s constructive features, its relation to the ground plane, and to contextual features in its immediate vicinity, as opposed to only the flood hazard present within zones.
Atomic layer etching of silicon nitride film by oxygen gas cluster ion beam with acetylacetone
Authors: Takeuchi Masaya , Fujiwara Reki , Toyoda Noriaki
Published: April 2023

The atomic layer etching (ALE) of silicon nitride (SiN
x
) film was demonstrated using an oxygen gas cluster ion beam (O2-GCIB) with acetylacetone (Hacac) as the adsorption gas. A GCIB is a beam of aggregates of several thousand atoms, and it enables high energy density irradiation with little damage. In this study, we characterized the ALE to reveal the etching mechanism. The XPS results indicated the following etching process: (i) O2-GCIB irradiation oxidizes the surface of SiN
x
film; (ii) the oxynitride layer reacts with Hacac vapor; (iii) the reaction layer is removed by the GCIB. The ALE can be executed by the sequential repetition of the processes (i) to (iii). This technique enables highly accurate control of thickness of SiN
x
film with little irradiation damage.
Formation and characterization of ZnS and CdZnS films using open-air chemical vapor deposition for buffer layers of compound semiconductor solar cells
Authors: Kurimoto Yuji , Kobayashi Daiki , Asou Naoki , Okamoto Tamotsu
Published: April 2023

ZnS and CdZnS (a mixed crystal phase of ZnS and CdS) were formed using the open-air CVD method. Cadmium diethyldithiocarbamate (C10H20CdN2S4) and zinc diethyldithiocarbamate (C10H20ZnN2S4) were used as the source materials for CdS and ZnS, respectively. By changing the ratio of source materials, it was found that the bandgap and the lattice constant of the CdZnS film were continuously changing without a miscibility gap. Furthermore, the bandgap of the obtained ZnS films was less than the reported bandgap of ZnS (3.68 eV) due to incorporation of oxygen. X-ray diffraction analysis revealed that the increase of Zn in CdZnS film generated a crystalline disorder. When the substrate temperature was changed from 421 °C to 464 °C, the deposition rate increased fourfold for the CdS and ZnS films. The impact of substrate temperature on the bandgap and lattice constant was found to be less pronounced.
Fabrication of solar cells using Ge–Sn–S thin film prepared by co-evaporation
Authors: Motai Daiki , Tasaki Takeshi , Araki Hideaki
Published: April 2023

In this study, we produced thin-film solar cells using co-evaporated Ge–Sn–S thin film as the light-absorbing layer. The thin films were prepared at different concentrations of Ge and substrate temperatures. We characterized the solar cells and compared their physical properties with those of an SnS thin film fabricated using only Sn and S. The Ge
x
Sn1−x
S (x = 0.27) thin film solar cell exhibited the best performance, with short circuit current density J
sc = 0.66 mA cm−2, curve factor FF = 0.324, power conversion efficiency PCE = 0.036%, and open circuit voltage V
oc = 0.169 V. The band gap of the Ge
x
Sn1−x
S (x = 0.27) thin film estimated by extrapolating the absorption edge of the external quantum efficiency was 1.57 eV, which is larger than that of the SnS thin film. This suggests that Sn (in SnS) is partially replaced by Ge to form a solid solution, thus widening the band gap.
Determination of anisotropic optical properties of MOCVD grown m-plane α-(Al
x
Ga1−x
)2O3 alloys
Authors: Kluth Elias , Anhar Uddin Bhuiyan A F M , Meng Lingyu , Bläsing Jürgen , Zhao Hongping , Strittmatter André , Goldhahn Rüdiger , Feneberg Martin
Published: April 2023

The anisotropic dielectric functions (DF) of corundum structured m-plane α-(Al
x
Ga1−x
)2O3 thin films (up to x = 0.76) grown on m-plane sapphire substrate by metalorganic CVD have been investigated. IR and visible–UV spectroscopic ellipsometry yields the DFs, while X-ray diffraction revealed the lattice parameters (a, m, c), showing the samples are almost fully relaxed. Analysis of the IR DFs from 250 to 6000 cm−1 by a complex Lorentz oscillator model yields the anisotropic IR active phonons E

u
and A
2u
and the shift towards higher wavenumbers with increasing Al content. Analyzing the UV DFs from 0.5 to 6.6 eV we find the change in the dielectric limits ε
∞ and the shift of the Γ-point transition energies with increasing Al content. This results in anisotropic bowing parameters for α-(Al
x
Ga1−x
)2O3 of b
⊥ = 2.1 eV and b
∣∣ = 1.7 eV.
НОРМАТИВНІ ТА ЕТИЧНІ АСПЕКТИ ВИКОРИСТАННЯ ФОТОМАТЕРІАЛІВ УЧАСНИКІВ СОЦІАЛЬНИХ ЗАХОДІВ У ЗВІТНОСТІ ОРГАНІЗАТОРІВ
Authors: Горчинська Ольга , Лютий В.
Published: April 2023

Стрімкий розвиток соціальних мереж, їхня простота та доступність сприяли активному використанню даних платформ як основного каналу комунікації будь-якої соціальної організації із громадою. Саме у стрічці Facebook або у сторіз Instagram представники різних вікових поколінь (і навіть люди поважного віку) знаходять інформацію про діяльність соціальних структур та послуги, які конкретні організації надають населенню. А власне організації, намагаючись простою мовою розповісти як про свої послуги, так і прозвітуватись про поточну діяльність, активно використовують фотографії, зроблені безпосередньо під час роботи із отримувачами послуг, у тому числі під час проведення соціокультурних, навчальних, масових та інших заходів. І переглядаючи подібні фотозвіти, які розміщені у вільному доступі в  мережі Інтернет, з’являються питання: «А чи мають право організатори соціальних заходів на публікацію даних фотографій?» Пропонуємо знайти на нього відповідь у нормативній та етичній площинах.
HARNESSING AI FOR ENVIRONMENTAL RESILIENCE: MITIGATING HEAVY METAL POLLUTION AND ADVANCING SUSTAINABLE PRACTICES IN DIVERSE SPHERES
Authors: Miller Tymoteusz , Cembrowska-Lech Danuta , Kisiel Anna , Krzemińska Adrianna , Kozlovska Polina , Jawor Milena , Kołodziejczak Maciej , Durlik Irmina
Published: April 2023

As the global community faces unprecedented environmental challenges, the application of artificial intelligence (AI) in environmental studies has become an essential tool for mitigating the impacts of human activity. This paper presents an in-depth analysis of the role of AI in detecting, monitoring, and managing heavy metal pollution across various spheres of development. By employing advanced algorithms, predictive modeling, and machine learning techniques, we showcase the potential of AI in identifying contamination sources, assessing risk levels, and guiding remediation strategies. Furthermore, we explore the integration of AI-driven solutions with sustainable practices in agriculture, industry, and urban planning to reduce the future release of heavy metals into the environment. Finally, we discuss the limitations and future trends in AI applications for environmental studies and emphasize the need for interdisciplinary collaboration to address global environmental challenges holistically.
MACHINE LEARNING IN THE TASK OF SELF-CALIBRATION OF MOVING ELEMENTS OF ROBOTIC SYSTEMS USING THE EXAMPLE OF CONTROLLING STEPPER MOTORS
Authors: Kemenyash Yuriy , Khotsianivskyi Volodymyr , Kuleshov Danylo
Published: April 2023

The paper discusses the use of machine learning for self-calibration of moving elements of robotic systems, particularly for controlling two stepper motors, as they are popular in robotics due to their accuracy and control over the angle of rotation.  An algorithm for self-calibration is described, which uses machine learning to improve the accuracy of movement of stepper motors.  An example is presented where the accuracy of movement of stepper motors, which were tuned using self-calibration based on machine learning, was compared. The proposed approach demonstrates that using machine learning for self-calibration of moving elements of robotic systems, particularly stepper motors, can improve their accuracy and help ensure more efficient operation of the robotic system.
КОМПЛЕКСНА ОЦІНКА ВПЛИВУ ЕЛЕКТРОМОБІЛІВ НА БІОСФЕРУ
Authors: Внукова Наталія , Позднякова Олена
Published: April 2023

Метою роботи явилося визначення екологічних наслідків для клімату застосування електродвигунів на транспортних засобах (ТЗ) на прикладі тягачів VOLVO. Визначені позитивні та негативні фактори впливу на довкілля при використанні електродвигунів протягом усього життєвого циклу ТЗ. На прикладі ТЗ VOLVO FЕ проведено порівняльний аналіз впливу на емісію токсичних речовин та витрати природних ресурсів джерел виробництва електроенергії: гідроенергії та вітряної. Проаналізовано вплив джерел виробництва електроенергії в різних країнах на зменшення емісії СО2. Показано, що з урахуванням LCA-аналізу електромобілі на сучасному етапі не являються екологічно безпечними. Визначені інші напрямки зменшення впливу автотранспорту на оточуюче середовище.
METAPHOR AND METONYMY IN SIGN LANGUAGE
Authors: Tovt Oleksandrа
Published: April 2023

The study of sign language developed into a separate linguistic science in the 20th century. Sign language contains many gestures, as well as metaphors and metonymies. Hearing-impaired children and our environment played a major role in the examination of gestures. Furthermore, it is common for scientists to draw a parallel between the sign language gestural components and the phonemes of the spoken language. Metaphors and metonymies play a role not only in spoken language, but also in sign language. The problem of sign language metaphors is also dealt with by Taub's scheme and Grushkin's model.
КІНОРЕЦЕПЦІЯ ЖИТТЯ Й ТВОРЧОСТІ МИХАЙЛА СТАРИЦЬКОГО
Authors: Нікоряк Наталія
Published: April 2023

Окреслено параметри кінематографічного дискурсу на базі творчого доробку Михайла Старицького: від перших екранізацій п'єс “Богдан Хмельницький” (1910) та “Як ковбаса та чарка, то й минеться сварка” (1911) до “Циганки Ази” (1987). Артикульовано досить спорадичне звернення кіномитців до спадщини письменника. Однак наявні кінозразки, будучи самостійним естетичним фактом, маючи чималий успіх у глядача, стали своєрідним продовженням буття літературного першоджерела. Підкреслено, якщо перші екранізації п'єс Михайла Петровича доволі давні, датуються ще 1910-1911 роками, то сам він як ключовий персонаж фільму постав лише на початку ХХІ століття в документальному проекті “Михайло Старицький. Моє серце ножами проймає” (2007).
ПОСТКОЛОНІАЛЬНІ ПІДХОДИ ДО ТЕОРІЇ ТРАВМИ В СУЧАСНОМУ ЛІТЕРАТУРОЗНАВСТВІ
Authors: Данилюк Марина , Бігун Ольга
Published: April 2023

У статті розглядаються історіологічні та міждисциплінарні ракурси теорії травми. Увагу зосереджено на дослідженні природи травми, її трансляції та репрезентації у літературі. Простежено шлях формування  концепцій основних шкіл та методик теорії травми. Виокремлено західну теорію травми, засновану на психоаналізі Зигмунда Фройда та постколоніальну теорія травми. Сьогодні в постколоніальних дослідженнях травма визнається дуже складним явищем. Травма не тільки розуміється як гостра, індивідуальна, але також як колективна і хронічна. Травма може послабити окремі осіби і спільноти, але вона також може призвести до посилення почуття ідентичності та відновлення соціальної згуртованості. Постколоніальні літературні дослідження відображають і реконструюють складність травми в її специфічних культурних, політичних та історичних контекстах.
ВІДТВОРЕННЯ ГУМОРУ В КІНОАДАПТАЦІЯХ СТУДІЇ ДІСНЕЙ УКРАЇНСЬКОЮ МОВОЮ
Authors: Смик Леся , Підгрушна Олена
Published: April 2023

Розвиток сучасної кіноіндустрії тримається на відомих усьому світові компаніях, які постійно змагаються за першість у цій сфері. Одним із таких гігантів є компанія Волта Діснея, яка з 1923 року до сьогодні перетворилась з невеликої анімаційної студії на величезну корпорацію розваг. Щороку студія постачає на глобальний ринок різноманітну продукцію, від телевізійних шоу до друкованих журналів, що орієнтовані на дітей та їхніх батьків. Проте, саме самобутні мультиплікаційні фільми зі знайомими сюжетами та досконалими малюнками стали відмітним знаком компанії. В останні ж декілька років спостерігаємо тенденцію студії Дісней до створення римейків найкасовіших мультфільмів у кінохудожній обгортці.
РОЛЬ ВІРУСУ ПАПІЛОМИ ЛЮДИНИ В РОЗВИТКУ СИНДРОМУ ОБСТРУКТИВНОГО АПНОЕ СНУ
Authors: Дєєва Юлія , Шевчук Юрій
Published: April 2023

Обструктивне апное уві сні (ОАС) є поширеним розладом, що характеризується повторюваними епізодами нічної зупинки дихання внаслідок колапсу верхніх дихальних шляхів під час сну. Ця анатомічна ділянка є місцем розташування аденоїдних, піднебінних та язикових мигдаликів, що складаються з лімфоїдної тканини і можуть гіпертрофуватися  внаслідок різних запальних процесів, таких як вірус папіломи людини (ВПЛ). ВПЛ6, 11 частіше асоціюються з доброякісною проліферацією епітелію ротоглотки, тоді як ВПЛ16 є найпоширенішим підтипом, асоційованим з плоскоклітинним раком ротоглотки. Важлива роль ВПЛ-інфекції у розвитку важчих у порівнянні з хворими без носійства ВПЛ змін епітеліальної тканини ротоглотки з запальним процесом, що може ускладнити подальше лікування синдрому обструктивного апное сну.
ТРОМБОФІЛІЇ В АКУШЕРСТВІ
Authors: Фартушок Тетяна , Пиріг Андрій , Тімеркан Вікторія
Published: April 2023

Тромбофілія ₋ це схильність до тромбозу внаслідок генетичних чи набутих дефектів у системі  гемостазу. Згідно з результатами популяційних досліджень поширеність тромбофілій у медичній практиці становить 15 − 20% . Сама вагітність супроводжується фізіологічною гіперкоагуляцією, і в цей період у 5 − 6 разів підвищується ризик тромбозів, що призводить до появи клінічних проявів раніше безсимптомної тромбофілії. У статті представлено визначення терміну  “тромбофілія”, класифікацію тромбофілій згідно МКХ-11, тести оцінки системного гемостазу, рівні Д-димеру в залежності від терміну вагітності, різницю між Д-димером та РФМК, маркери набутої тромбофілії, ризики тромбозів у вагітних з антифосфоліпідним синдромом. Додавання гідроксихлорохіну до традиційного лікування може покращити результати вагітностей у пацієнток із рефрактерним АФС. Американський коледж ревматології рекомендує при відсутності клінічних проявів антифосфоліпідних антитіл  і позитивності на антифосфоліпідні антитіла використовуємо низькі дози аспірину, необхідності в профілактиці антикоагулянтами немає.
ASSESSMENT OF VOICE FUNCTION AND THE IMPACT OF VOICE DISORDERS ON THE QUALITY OF LIFE IN PATIENTS WITH LARYNX CANCER AFTER SURGICAL TREATMENT
Authors: Runcheva Daria , Sinaiko Iryna
Published: April 2023

Actuality: In Ukraine, according to the 2020 cancer registry, the incidence of laryngeal cancer is 5.2 per 100,000 population (the world standard rate is 3.3). The total number of cases of the disease in 2020 is 1845. Among them, 1763 persons are men, 82 - are women.  [1] 39-42% of patients have tumor, which of the corresponds   , and require organ-keeping surgical treatment.[2,3]  Postoperative period accompanies voice disorders because of inflammatory changes in tissues of larynx and defect in the glottal gap. [4]
EVALUATION OF POLYMYXCIN B IN COMBINATION WITH CIPROFLOXACIN
ANTIBIOTICS AGAINST PSEUDOMONAS AEURUGINOSA
Authors: Sutha P. , Samuel J. , Sasidhar C. , Sergin P. , Sangameswaran B. , Sudhamani T. , Nithyapriya K.
Published: April 2023

The fact that bacteria may resist various antimicrobials because they have various antimicrobial-associated genes makes them the primary cause of human infection.Therefore, this study aimed to determine the bacteria resistance to antibiotics.By using the disc diffusion method,antibiotics were tested for their susceptibility to microbes.Pseudomonas aeruginosa isolates are completely sensitive to Ciprofloxacin and Polymyxin B sulfate.This study investigated the in vitro activity of the combination of Ciprofloxacin with Polymyxin B sulphate (PMB) at different concentrations against multidrug-resistant (MDR) Pseudomonas aeruginosa.The combination effect of Ciprofloxacin and Polymyxin B sulphate antibiotics was evaluated by measuring the zone of inhibition using disc diffusion method. The minimum inhibitory concentration (MIC) of antibiotics was determined using broth microdilution.Our findings suggest that the combination of Ciprofloxacin and Polymyxin B sulphate has a synergistic effect on Pseudomonas aeruginosa. As a result, the synergistic combination reported in this study needs to be tested further in vivo before being used in clinical trials
PRE-EMPTIVE ANALGESIA WITH ORAL GABAPENTIN 300MG GIVEN IN THE MORNING OF SURGERY AND AMOUNT OF POST OPERATIVE ANALGESIC REQUIREMENT
Authors: Chandar. L. K Prem , Devarayasamudr am Gopal Nikila , P Vivekanand , Sagarika Sagarika , Ramakrishnan Lakshmi
Published: April 2023

The study was done to evaluate postoperative benefit in patients administered tablet gabapentin as premedication with primary outcome determining the total analgesic requirements.The duration of analgesia and postoperative sedation scores were secondary outcomes. The study was a prospective randomised observational study in 120 patients undergoing spinal anaesthesia. Patients were randomly assigned into two groups. Group G (n=60) patients received tablet gabapentin 300mg and Group P (n=60) patients received a placebo orally 2 hours before surgery.Postoperative pain was managed with IV Tramadol 2 mg/kg. Postoperative monitoring included pain assessment with NRS and sedation score every 2 hours till 12 hours and then at 24 hours. On comparison, the total opioid requirement was not significant (p value 0.250) between the two groups but the duration of analgesia was significant (0.03) with group G. Sedation scores were higher in Group G at 2 and 4 hours postoperatively.Single dose of 300mg Gabapentin has no effect in reducing the postoperative opioid consumption but has prolonged the duration of analgesia
VIVEKANANDA AND WOMEN EMPOWERMENT: RETROSPECT AND PROSPECT
Authors: Bhattacharjee Swagata
Published: April 2023

As the observance of the 75th anniversary of India's
Independence comes to a close a stock taking is in order with
reference to the dreams cherished by those who first kindled
the fire of national awakening like Swami Vivekananda.While
drawing the balance sheet between what we achieved and
where we lagged, we find that there is a huge deficit in the
sphere of emancipation and empowerment of our women
constituting almost half of the population. The deficit is
manifest in matters of education,health care employment and
personal and social security in an ambience of patriarchy.The
present paper looks back into the history of early national
awakening during late 19th century shaped so majestically by
Swamiji through his life and works. A spiritualist social
reformer, and the philosopher saint, he raised the issue of
women' s freedom from socio cultural bondages, and selfdependence gained through education and outdoor
activities. He raised his crusading voice against dowry, child
marriage, polygamy and bride burning that was rampant
during his time.He considered women as the equal of men in
all respects and focused on flowering of their personhood.
Women to him had their self -identity and autonomy to pursue
the careers of their choice.They were not to be treated merely
as wife, mother, daughter or sister but as persons playing an
autonomous and active agency role in society. He had before
him the examples of his mother Bhubaneswari,Rani Rasmoni,
Sarodamoni and above all Nivedita all of whom excelled in
their personhood and showed the way to true empowerment
of women. This message of Swamiji is no less relevant now
than before and has to be decoded to be properly understood
by the present generation of women in India.)
COMPARATIVE STUDY ON SELECTED PHYSICAL FITNESS ABILITIES BETWEEN KABADDI AND KHO-KHO PLAYERS
Authors: Deb Avijit , Banerjee Amit
Published: April 2023

The main objective of the present study was to comparability the Kabaddi and Kho-Kho players of from Murshidabad
District, who has obtained position at district level sports competition on selected physical fitness Abilities through the
selected test items such as: Speed, Standing Broad Jump, Sit and Reach, Sit-ups, 12 Minutes Run/walk Test between the
players of Kabaddi and Kho-Kho. For the purpose of the present study, finally sixty players were selected as subjects. Out
of total sixty subjects, 30 subjects from the game of Kabaddi and 30 subjects from the Kho-Kho has been selected on
appropriate and random processes sampling basis, who has won medal/position district level sports tournament. All the
subjects were involvedin regular practice as a arrangement for their targeted competition in their respective
tournament. The data were collected in raw from and investigated by calculate the expressive statistical techniques and
't' test were applied. The level of significance was set at 0.05 level of confidence. The Result of the study significant
difference was found in the Speed Ability tested through 50 M Dash Test. There was no significant difference was found in
the Standing Broad Jump, a test of explosive strength in relation to the Kabaddi and Kho-Kho players. The significant
difference was found in the Sit and Reach Test. There was no significant difference was found in the One Minute Sit-ups, a
test to measure muscular strength endurance in relation to the Kabaddi and Kho-Kho players. The significant difference
was found in the 12 Minutes Run/Walk Test of Cardio vascular Endurance in relation to the Kabaddi and Kho-Kho players
A ciclicidade distópica em Sob os pés, meu corpo inteiro, de Márcia Tiburi
Authors: Krüger Luana De Carvalho , De Marques Eduardo Marks
Published: April 2023

Sob os pés, meu corpo inteiro (2018), de Márcia Tiburi, é uma distopia que conta a história de Alice, uma mulher que foi torturada durante a ditadura militar, apesar de não ter envolvimento direto com os movimentos políticos e que vive a sombra da história de sua irmã, Adriana. Alice, ao encontrar com Betina, filha de sua irmã, começa a relembrar o que viveu. Nesse cenário de memórias da tortura sofrida no período da ditadura militar, a personagem também nos apresenta uma São Paulo distópica, em que problemas políticos e ambientais são cada vez mais presentes, tornando insustentável viver lá e se aproximando, em alguns aspectos, de um espaço de repressão social. Esse trabalho procura entender como a relação presente, passado e futuro podem relevar a distopia que é presente, mas por vezes, difícil de ser identificada.
"A misericórdia violenta...”:
Authors: Silva Marcio Gregório Sá da
Published: April 2023

Resumo: Os contos “Amor” (1960), de Clarice Lispector, e “Maria” (2016), de Conceição Evaristo, relatam as incertezas e os perigos impostos às personagens mulheres em transportes coletivos, nos quais suas protagonistas não tem o menor controle nas situações públicas, vivenciando, assim, dilemas específicos e intensificados pelas motivações e limitações históricas impostas ao seus gênero e raça (SAFFIOTI, 2013; SCHWARCZ and STARLING, 2015) num cotidiano cada vez mais violento. Considerando as eventuais similaridades e divergências no tratamento da questão da violência e sua relação com a forma do conto, buscamos refletir sobre as tramas e os desfechos propostos em cada um dos textos escritos numa distância de mais de cinco décadas. Narrados sob planos e signos ora ambivalentes ora concretos de significados e sentidos, tais relatos sugerem instantes de expectativas de ultrapassagem dessas imposições sociais, mas que são solapadas pelas dificuldades e limites estruturais de uma racionalidade burguesa e violenta mentalidade patriarcal. Isso traz para esse ensaio a tarefa de propor uma leitura geral sobre a especificidade da representação da violência nessas narrativas (DAVIS, 2016; DORFMAN, 1970), seu modo de configuração ficcional segundo o gênero conto (PIGLIA, 2004) e, por fim, operar com categorias de "coexistência" e "interação" (BAKHTIN, 2010) e do conceito de "inserção" (SANTIAGO, 2014) nas leituras dos textos de Clarice e Conceição no horizonte de questões concernentes tanto às literaturas afro-brasileira como latino-americana e global.  

Palavras-chave: literatura afro-brasileira; escrita feminina; narrativa; crítica cultural.
AWLloss: Speaker Verification Based on the Quality and Difficulty of Speech
Authors: Liu Qian
Published: April 2023

Speaker verification is a natural and effective biometric authentication method. This method may be more practical when trained using data from real, unconstrained scenarios.  However, although the speech quality from real scenarios varies because of various adverse factors, including extreme noise and the lack of identity information, most models treat all speech samples equally. To tackle this deficiency, we propose adaptive weight loss (AWL), a function that assigns different weights to samples in accordance with their quality and difficulty based on our finding that speech quality is positively correlated with the L2 norm of speaker embedding. AWL directs the model's attention to high-quality difficult speech samples and ignores low-quality difficult samples as much as possible so that the model can learn well from speech data containing a lot of noise. Comprehensive experiments reveal that AWL significantly outperforms existing loss functions on both utilized public and noisy datasets.
Backtesting quantum computing algorithms for portfolio optimization
Authors: Carrascal de las Heras Ginés , Hernamperez Manso Paula , Botella Guillermo , del Barrio Alberto Antonio
Published: April 2023

The development of quantum computers represents a breakthrough in the evolution of computing. Their graceful processing capacity will help to solve some problems impossible until now because the algorithms that calculate their solution require too much amount of memory or processing time.  In portfolio theory, the investment portfolio optimization problem is one of those problems whose complexity grows exponentially with the number of assets.  In this work we analyze the Variational Quantum Eigensolver algorithm, applied to solve the portfolio optimization problem, running on simulators and real quantum computers from IBM. We compare the results with three other classical algorithms for the same problem, running one equivalent condition.  By backtesting classical and quantum computing algorithms, we can get a sense of how these algorithms might perform in the real world. This work explores the backtesting of quantum and classical computing algorithms for portfolio optimization and compares the results.  The benefits and drawbacks of backtesting are discussed, as well as some of the challenges involved in using real quantum computers of more than 100 qubits. Results show quantum algorithms can be competitive with classical ones, with the advantage of being able to handle a large number of assets in a reasonable time on a future larger quantum computer.
Acute Post-Radiation Pneumonitis: A Case Report
Authors: Rjimati Manelle , Biaz Z. , Amara B. , Elbiaze M. , Benjelloun MC. , Serraj M.
Published: April 2023

Acute radiation pneumonitis is a rare cause of pneumonitis. The diagnosis is considered in the presence of respiratory symptoms that appear with recent thoracic exposure. We report the case of a 67-year-old patient followed for mediastinal lymphoma who presented an acute pneumonitis when she started her radiotherapy sessions. Two diagnostics were suspected: radiotherapy toxicity or metastatic origin. Acute post-radiation pneumonitis can be very serious if the diagnostic is delayed. The diagnosis of acute post-radiation pneumonitis constitutes a diagnosis of elimination of any pneumonitis with an unfavorable evolution under antibiotic therapy, in the context of semi-recent thoracic radiotherapy.
Contribution of Fetal MRI in the Antenatal Diagnosis of Alobar Holoprosencephaly: A Case Report
Authors: Bouktib Y. , Hadri K. El , Basraoui D. , Jalal H.
Published: April 2023

Introduction: Holoprosencephaly is a rare cerebral malformation, of multiple etiologies and often associated with other malformations, particularly facial. It results from a defect in the early development of the prosencephalon. The fetal prognosis is extremely poor, especially in the alobar form. Objective: The aim of this work is to illustrate through this observation the contribution of fetal MRI in the antenatal diagnosis of this rare and serious pathology. Case Report: We report the case of a 26-year-old primigravida and primiparous parturient referred for suspected agenesis of the vermis and corpus callosum following a first ultrasound performed in the third trimester of pregnancy. The pregnancy was not followed up and the date of last menstrual period was unknown. A fetal MRI was performed showing: A mono-fetal pregnancy in cephalic presentation with fundial placenta, A single ventricle with posterior cystic expansion and laminated aspect of the cerebral parenchyma at the frontal level, A bilateral pyelo ureteral junction syndrome. Conclusion: Alobar holoprosencephaly is a rare and fatal pathology with a great etiological heterogeneity. It can be part of a polymalformative syndrome. It results from a cleavage anomaly of the prosencephalon into cerebral hemispheres. The antenatal diagnosis is based on obstetrical ultrasound completed by fetal MRI allowing an exhaustive lesion assessment of this pathology with an extremely reserved prognosis.
Simultaneous Volvulus of the Caecum and Sigmoid: Case Report
Authors: Okoue Fryse francois Mve , Habiles Mehdi , Mamadou Diallo , Binta Kébé Fatoumata , H Diallo Djiba D , Boussria Abdesslam , Bouhaddouti Hicham El , Benjellon EL Bachir , Mouaqit Ouadii , Ousadden Abdelmalek
Published: April 2023

Volvulus of the colon is a frequent cause of colonic occlusion, it can sit along the colonic frame when it is abnormally mobile. Sigmoid volvulus is the most common, followed by cecum, transverse colon, and left colic angle. The mechanism of volvulus is torsion or rocking. The clinical picture is nonspecific, most often with an association of abdominal pain, cessation of matter and gas, and meteorism. The reference complementary examination is currently the abdominopelvic scanner, which makes it possible to make the diagnosis and to look for possible complications. Emergency surgical management is the rule in the event of clinical and radiological severity criteria. It is exceptional to encounter two volvulated colonic segments in the same patient. In our study, we describe the case of a patient who presents to the emergency room for acute abdominal pain with cessation of matter and gas, an abdominal pelvic CT scan done in emergency found a volvulus of the sigmoid. His emergency management after failed endoscopy revealed simultaneous volvulus of the sigmoid and cecum. The extremely rare nature of this epiphenomenon leads us to discuss the causes, the clinical modalities and the management of this pathology.
Enhancing Strategic Learning Through the Implementation of Robust Process Improvement in a Specialized Tertiary Care Hospital
Authors: Abdulhamid Alliazer , El Najjar Ghiwa , Alayesh Aljohara , Alghanmi Arwa
Published: April 2023

Introduction

Performance improvement (PI) in healthcare is essential to improve health, patient experience, and reduce costs. PI projects became low, inconsistent and weakly-sustained in our hospital. The low number and low sustainability were scarcely in alignment with our strategic goal to become a high reliability organization (HRO). This was due to lack of standardized knowledge and ability to initiate and sustain PI projects. Therefore, a structured framework was developed, followed by the building of capacity and capability in the use of robust process improvement (RPI) amidst the COVID-19 pandemic.

Methods

A team of healthcare quality professionals collaborated with Hospital Performance Improvement-Press Ganey for hospital-wide quality improvement project. The team received training on RPI from Press Ganey and created the framework to use . This framework is based on the Institute for Healthcare Improvement Model for Improvement, Lean, Six Sigma, and FOCUS-PDSA (Find-Organize-Clarify-Understand-Select-Plan-Do-Study-Act). Thereafter, the team of internal coaches organized an RPI training course that consisted of 6 sessions, for clinical and nonclinical staff , using classroom and virtual sessions during the pandemic. This course was increased to eight sessions to avoid information overload. Process measures were collected using a survey to obtain feedback, whereas outcome measures were from the number of completed projects and their effects related to costs, access to care, waiting time, number of harms, and compliance.

Results

Participation and submission improved after three PDSA (Plan-Do-Study-Act) cycles. This resulted in an increased number of completed and sustained projects from 50 in 2019 to 94 in 2020 and continued to rise to 109 in 2021. There were 140 and 122 certified RPI coaches in 2020 and 2021, respectively. Although there was a decrease in the number of certified coaches in 2021, the number of completed projects was higher than in 2020. The overall effect of these completed projects by the third quarter of 2021 showed improvement in access to care by 39%, compliance to standards of care by 48%, satisfaction by 8%, and reduction in costs by 47,010 SAR, in waiting time of 170 hours, and in the number of harms by 89.

Conclusion

This quality improvement project led to enhanced capacity of staff as seen in the increased number of certified RPI coaches, thereby increasing the submission and completion of projects in 1 year. Its sustainability during the 2 succeeding years continued to enhance project completion and maintenance, bringing quality improvement benefits to the organization and the patients.
KNOT THEORETIC CLOSURE FOR A DEFINITE METRIC IN A FINITE TIME
Authors: Sanjeevan Singha Roy  , Deep Bhattacharjee  , Saptashaw Das
Published: April 2023

Any topological space endowed with a metric (H,g) for a Euler-Poincare^ polyhedral equation RHS of X≡2-2g=0 for the throat ∂ can twist in and out from the genus by making a knot for a time evolution {T↗}≪∞ for a transition from ΛN to NM.
KEYWORDS: Genus,Twist,Closure,Knot
Analisis dampak Bank Sampah Wangun di Desa Batukuwung, Kecamatan Padarincang terhadap kesejahteraan masyarakat dan lingkungan
Authors: Utari Enggar , Yanti Dini Khanifa , Amelia Lisa , Humairoh Mamai
Published: April 2023

Sampah merupakan salah satu masalah besar di seluruh wilayah Indonesia. Salah satu contoh pengelolaan sampah adalah bank sampah. Bank sampah merupakan suatu wadah untuk mengelola sampah dengan efektif yang melibatkan masyarakat. Penelitian ini menerapkan metode deskriptif dan kuantitatif. Penelitian bertujuan untuk mengetahui dampak Bank Sampah Wangun terhadap kesejahteraan masyarakat dan lingkungan di Desa Batukuwung, Kecamatan Padarincang, Kabupaten Serang, Provinsi Banten. Keberadaan bank sampah di Desa Batukuwung berdampak baik bagi kesejahteraan masyarakat karena dapat meningkatkan pendapatan masyarakat, sehingga dapat membantu perekonomian masyarakat. Selain itu juga, keberadaan bank sampah ini dapat mengurangi jumlah angka pengangguran karena beberapa masyarakat menjadi pengelola bank sampah. Dengan berkurangnya tumpukan sampah sumber penyakit juga berkurang. Secara umum, bank sampah mempunyai banyak kesan positif terhadap alam sekitar dan kesejahteraan masyarakat.
Status pengelolaan minyak jelantah di Kota Salatiga dan identifikasi faktor-faktor yang mempengaruhinya
Authors: Juniabela Salomita Rahma , Oktaviana Shalva Dilla , Agatha Claudia , Dewi Citra Anisya , Handayani Widhi
Published: April 2023

Minyak goreng merupakan salah satu kebutuhan pokok yang digunakan oleh seluruh lapisan masyarakat. Penggunaan minyak goreng secara berulang dapat membuatnya menjadi minyak jelantah yang dapat berdampak buruk bagi kesehatan. Pembuangan minyak jelantah ke lingkungan juga dapat berdampak negatif terhadap lingkungan, sehingga minyak jelantah perlu dikelola dengan baik. Studi ini dilakukan untuk menjelaskan pengelolaan jelantah di Kota Salatiga dan mengidentifikasi faktor-faktor yang berpengaruh terhadap kualitas pengelolaan minyak jelantah. Penelitian kualitatif ini menggunakan studi kasus yang melibatkan 12 informan. Studi ini menunjukkan bahwa informan biasanya menggunakan minyak goreng kemasan secara berulang. Perilaku informan kerap membuang minyak jelantah, meskipun ada yang telah mengumpulkan dan menjualnya kepada pengepul. Mereka mengetahui risiko menggunakan minyak jelantah terhadap kesehatan, namun edukasi untuk meningkatkan pengetahuan terkait dampak buruk pembuangan minyak jelantah terhadap lingkungan masih diperlukan. Pengetahuan dan kesadaran masyarakat, ketersediaan infrastruktur, regulasi, serta keterandalan sistem pengelolaan minyak jelantah merupakan beberapa faktor kunci yang diperlukan untuk meningkatkan kualitas pengelolaan minyak jelantah di Kota Salatiga.
Valuasi nilai ekonomi daerah aliran sungai (DAS) Ciliwung dengan contingent valuation method
Authors: Benito Obed Juan , Purbawati Nanda Ayu , Azzahra Naura Yanda , Syamsudin Agita Verlyana , Pangestu Raihan Bayu Aji , Shahniar Surya Taufiq
Published: April 2023

Daerah Aliran Sungai (DAS) Ciliwung merupakan salah satu DAS yang membelah DKI Jakarta. Sungai Ciliwung memiliki fungsi sosial dan ekonomi bagi kehidupan masyarakat di sekitarnya, serta ekosistem bagi berbagai biota sungai. Akan tetapi, fungsi tersebut telah semakin tergerus akibat pencemaran sungai yang sangat parah. Kondisi ini diperparah dengan penggunaan bantaran sungai sebagai pembangunan tempat tinggal, perkantoran, dan area komersial lain yang berkontribusi pada peningkatan polutan. Pengelolaan yang baik pada DAS Ciliwung merupakan salah satu upaya yang penting dilakukan untuk memperbaiki Kota Jakarta. Penelitian ini bertujuan untuk menilai aspek ekonomi dari DAS Ciliwung untuk mendukung upaya pemulihan dan pengelolaan Sungai Ciliwung yang berkelanjutan. Nilai ekonomi dari daerah aliran sungai ini dihitung dengan pendekatan berbasis non pasar dengan metode Contingent Valuation Method (CVM). Berdasarkan valuasi yang dilakukan, estimasi nilai ekonomi daerah aliran sungai Ciliwung adalah Rp 991.000.000.000.
Nilai manfaat ekonomi daerah aliran Sungai Oyo Kabupaten Gunungkidul
Authors: Benito Obed Juan , Purwaningrat Adib Wahyu , Azzahra Naura Yanda , Shahniar Surya Taufiq
Published: April 2023

Keberadaan Daerah aliran Sungai Oyo memberikan banyak manfaat bagi masyarakat di Yogyakarta. Manfaat langsung Daerah aliran Sungai Oyo adalah untuk memenuhi kebutuhan air bersih masyarakat. Manfaat ini dianggap memiliki nilai ekonomis sehingga bisa diukur dengan satuan mata uang dan perlu dilakukan penilaian. Penilaian atas daerah aliran Sungai bertujuan untuk mengetahui nilai ekonomi dari Daerah aliran Sungai Oyo yang mengalir di Kabupaten Gunungkidul, Yogyakarta. Nilai ekonomi dihitung dengan pendekatan berbasis data pasar dengan metode biaya penggantian. Terdapat tiga alternatif pengganti sungai yang digunakan dalam perhitungan yaitu biaya pengganti nilai air berupa air dari hasil produksi PDAM sebesar Rp 177.896.643.185/tahun, biaya air bersih dari mobil tangki sebesar Rp 2.928.668.050.000/tahun, dan biaya air bersih dari sumur bor sebesar Rp 376.291.597.500/tahun. Dari tiga alternatif tersebut diambil biaya yang paling efektif untuk menggantikan keberadaan Daerah aliran Sungai Oyo, sehingga diperoleh nilai ekonomi sebesar Rp 177.896.643.000/tahun (dibulatkan).
STABILIZATION OF AN ANATOMICAL WAX MODEL OF THE COMPLUTENSE VETERINARY MUSEUM WITH THE HELP OF 3D DIGITAL TECHNOLOGIES
Authors:   ", HERNÁNDEZ-MUÑOZ Óscar ,   Complutense University of Madrid, Department of Design and Image, Calle Pintor el Greco, 2, 28040 Madrid, Spain", STERP MOGA Emanuel ,   "Complutense University of Madrid, Department of Painting and Conservation-Restoration Calle Pintor el Greco, 2, 28040 Madrid, Spain", SÁNCHEZ-ORTIZ Alicia ,   "Complutense University of Madrid, Department of Painting and Conservation-Restoration Calle Pintor el Greco, 2, 28040 Madrid, Spain"
Published: April 2023

"Between the 17th and 20th centuries, polychrome beeswax anatomical models played an important role in the transmission of anatomical knowledge thanks to the high degree of accuracy and realism they were able to achieve in the representation of the most delicate structures of the organism. However, due to the fragility of this material, some of these artefacts now survive in a rather precarious state of conservation. Due to the lack of consistency of some of the internal support structures, some of these figures have been damaged or their integrity has been seriously compromised. In this article we show a case of stabilisation using a polymethylmethacrylate support of a model from the Complutense Veterinary Museum, representing the head of a horse, which has suffered the loss of some parts and shows significant cracks and fractures due to the partial collapse of the internal metal framework. The methodology used was based essentially on the use of digital technologies, to minimise the handling of the work. Based on a virtual copy obtained by 3D scanning, a specific support that fits perfectly to the surface of the figure has been designed. Subsequently, some of the pieces were produced using 3D printing in order to subject them to functional and aesthetic tests and, finally, the support was manufactured using numerical control machining. The result meets the requirements of stability and minimum aesthetic impact."