bluuebunny/crossref_metadata_2025 huggingface dataset:
A randomised controlled double blind study to assess the effect of oral tizanidine premedication on intraoperative isoflurane consumption in patients undergoing laparoscopic surgeries under general anaesthesia
Authors: T J Samudyatha , Sanket Bhargavi , Surhonne Nethra S , Kannan Sudheesh , Nagaraj Swathi
Published: June 2021

Tizanidine is an α 2 receptor agonist derived from clonidine with primary central myotonolytic action along with antinociceptive and anticonvulsant action. Unlike clonidine, there are few studies evaluating the role of tizanidine as an effective anaesthetic premedication. Hence this study was undertaken to evaluate oral tizanidine [2 mg and 4 mg] administered preoperatively in decreasing the intraoperative consumption of isoflurane.

This prospective, randomised, double blind control trial was undertaken in 75 adult patients scheduled for elective laparoscopic surgeries. The subjects were randomly allocated into 3 groups with Group A (2 mg tizanidine), Group B (4 mg tizanidine), Group C (sugar pellet). The study drug was administered orally 90 minutes preoperatively. Intraoperative isoflurane consumption and end tidal isoflurane was recorded.

Demographic data was comparable between the 3 groups. We observed a significant fall in isoflurane consumption in the tizanidine groups [Total: group A = 10.24 (2.07) ml, group B = 8.09 (2.17) ml, group C = 15.43 (4.77), p < 0.001; at 30 min: group A = 6.86 (0.91), group B = 5.22 (0.67), group C = 8.10 (1.15), p < 0.001; at 60 min: group A = 9.29 (0.73), group B = 7.92 (1.31), group C = 12.88 (2.45), p < 0.001; at 90 min: group A = 11.13 (0.83), group B = 10.25 (2.63), group C = 17.25 (2.5), p <0.001]. End tidal isoflurane was also significantly low in the tizanidine groups. Intergroup analysis showed no significant variation between tizanidine 2mg and 4mg.

Oral tizanidine [2mg and 4 mg] is as effective and safe anaesthetic premedication in decreasing isoflurane consumption.
Comparative study of ondansetron, granisetron and granisetron with dexamethasone for prevention of postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic cholecystectomy
Authors: Rao Manjula Sudhakar , Kishore Chennupati Prabhu , Kooran Serah Paul , Arora Ravindra Kumar , Roy Alok Basu
Published: June 2021

An assortment of drugs are being used for managing postoperative nausea and vomiting after laparoscopic surgeries. Combination anti-emetic therapy using 5HT3 antagonists with dexamethasone as an adjunct is being tried owing to its improved efficacy for prevention or treatment of PONV.

This was a prospective, randomized, double blind, comparative study conducted on 150 patients aged between 18 to 65 years scheduled for laparoscopic cholecystectomy. Group O received 0.1 mg/Kg IV ondansetron upto a maximum dose of 8 mg, Group G received 0.04 mg/kg IV granisetron upto a maximum dose of 3mg, Group G+D will receive 0.04mg/kg IV granisetron and 8mg Dexamethasone.

The three groups were comparable in terms of demographic data. Our results showed that the patients who had received combination of granisetron and Dexamethasone showed a better complete response as compared to patients who received ondansetron and patients who received granisetron alone. This was seen in all three time periods of 2-6 hours, 6-12 hours and 12-24 hours postoperatively with a p value less than 0.001 making it statistically significant.

: Combination therapy with granisetron and dexamethasone IV used as prophylactic antiemetic is better than granisetron or ondansetron given IV alone. IV granisetron and dexamethasone combination has fewer side effects compared to ondansetron or granisetron. Need for the rescue antiemetic was least in the patients receiving granisetron and dexamethasone combination as compared to in patient receiving ondansetron and granisetron alone.
Direct laryngoscopy versus video laryngoscopy for expected difficult tracheal intubation a prospective study
Authors: Nair Venugopal Achuthan , Devi Brahmanandan Radhika , Mohanan Nair Jagathnath Krishna Kumarapillai , Rachel Cherian Koshy , Kakkolil Munish Palliyalil
Published: June 2021

: Difficult tracheal intubation still contributes significantly to anaesthesia related morbidity and mortality. Poor visualisation of laryngeal structures and multiple attempts at intubation are the leading causes with the conventional laryngoscopes. Though the recently introduced video assisted devices have significantly improved the ease of intubation by their superior laryngeal visualisation, the duration of intubation may vary. Here we compared the ease of tracheal intubation using Macintosh conventional direct laryngoscope (DL) and C- MAC videolaryngoscope (VL) in patients with expected difficult tracheal intubation.

A total of 140 patients undergoing elective surgery under general anaesthesia with Modified Mallampati Class 3 and 4 found during the preoperative airway assessment were included in our study with 70 patients in each group. We compared the duration of tracheal intubation, visualisation of the laryngeal inlet, additional optimising manoeuvres required, and number of attempts at intubation and incidence of oral trauma assessed at extubation between the two groups.

: Analysis done using Statistical Packages for the Social Sciences (SPSS) software; Windows version 11.0 (SPSS Inc., Chicago, IL, USA).

Intubation time was significantly longer in patients with VL than DL (P 0.0001) whereas visualisation of laryngeal inlet was significantly better with VL (P 0.001). Additional optimising manoeuvres (P 0.001) and incidence of oral trauma (P 0.012) were significantly less with VL whereas intubation attempts were found comparable (P 0.586).

: Though VL provided significantly better laryngeal view with less need for optimising manoeuvres and less oral trauma compared to DL, the duration of intubation was significantly more with the former.
Comparative study of thiopentone sodium, propofol, etomidate for anesthetic efficacy & effect on seizure duration in electroconvulsive therapy
Authors: Vansola Reema H , Jamliya Ramila H , Toshaniwal Divya D , Mevada Milind J
Published: June 2021

Electroconvulsive treatment (ECT) is an entrenched mental treatment where seizures are electrically actuated in patients for restorative impacts. ECT can deliver extreme unsettling influences in the cardiovascular framework most generally a transient time of hypertension & changes in the pulse and a stamped increment in cerebral blood stream and intracranial weight. These hemodynamics changes might be adjusted utilizing different sedative medications.

This investigation was attempted to think about the impacts of propofol, etomidate and thiopentone sodium utilized as IV sedative operators in changed ECT as respects, acceptance time & nature of sedation, adjustment of hemodynamics, seizure length & recuperation time.

After authorization acquired from the moral board of trustees for the investigation, composed assent from the patient & family members was taken. This investigation was led in the division of anesthesiology at Civil Hospital, Ahmedabad, which remembered a sum of 90 patients for the 18-60 years age gathering.

In our current investigation, we inferred that each of the three instigating operators had sure more than each other when the examination boundaries were individualized. Propofol had the upside of stable hemodynamic boundaries, smooth enlistment & fast recuperation in contrast with etomidate & thiopentone. Nonetheless, it was related with more limited span of seizure. The benefit of thiopentone sodium of having longer seizure length than propofol of having longer seizure span was brought about at the expense of a generally delayed recuperation period. The clear bit of leeway of a more extended seizure length with etomidate could be utilized for better clinical adequacy. Notwithstanding, it was related with myoclonic jerks during the cycle of acceptance. Further examinations ought to be planned to utilize a stage & mix of medications with the goal that the most ideal impacts of each medication can be sensibly utilized.
Dexmedetomidine versus Lignocaine for extubation in patients undergoing craniotomies
Authors: Vishwanath S , Safneedha
Published: June 2021

Use of lignocaine and dexmedetomidine in terms of causing hemodymaic variation, sedation and pain management remains a question. Hence this was conducted to compare a bolus dose of dexmedetomidine 0.5mcg/kg/hr to a normal dose of 1.5mg/kg preservative free 2% lignocaine for extubation in patients undergoing craniotomies.

This randomized controlled trial was conducted in the department of Anesthesiology at Sri Ramachandra Medical College and Research Institute, Chennai from January 2013 to June 2014. Patients aged between 18-60 years belongs to ASA class I and class II undergoing surgeries were included in the study. A total of fifty cases were included. Statistical analysis was done using SPSS version 17.

Hemodynamic parameters showed significant attenuation of hemodynamic response during extubation when compared to lignocaine group and when the same were analyzed within the groups, the attenuation of extubation response was both clinically and statistically significant in both groups. Extubation and emergence time were similar in both the groups. Sedation and pain scores in dexmedetomidine group were low compared to lignocaine group.

Single dose of dexmedetomidine given 10 minutes before extubation significantly attenuated the hemodynamic and airway response following extubation as compared to lignocaine given before reversal in patients undergoing craniotomy for intracranial space occupying lesions.
Estudio químico del aroma y bioactividad de la fruta del pepino dulce (Solanum muricatum)
Authors: Díaz Karen Nataly , Cuadrado-Silva Carmen Tatiana , Osorio Coralia
Published: June 2021

Los compuestos volátiles activos olfativamente en el aroma de la fruta del pepino dulce (Solanun muricatum) se extrajeron mediante la técnica de extracción de aroma asistido por disolventes (solventassisted flavor evaporation, SAFE), se analizaron por cromatografía de gases acoplada a olfatometría (CGO), y cromatografía de gases acoplada a espectrometría de masas (CG/EM) y se compararon con estándares. Los compuestos con más influencia en el aroma de la fruta se diferenciaron mediante el análisis por dilución del extracto de aroma (aroma extract dilution analysis, AEDA). Con base en el cálculo del valor de la actividad del olor (odor activity value, OAV) se identificaron como compuestos de impacto de la fruta el E-6-nonenal (nota acuosa), el E-2-nonenal (nota verde-pepino), el hexanal (nota verde), el nonanal (nota verde-pepino) y la 1-penten-3-ona (nota etérea). También se estudiaron in vitro algunas de las propiedades biofuncionales de la fruta: la actividad antihipertensiva mediante la inhibición de la enzima convertidora de angiotensina-I (ECA-I) y la actividad antihipercolesterolémica con base en la inhibición de la 3-hidroxi-3-metilglutaril-coenzima A (HMG-CoA) reductasa. Se encontró que la fruta presenta una actividad inhibitoria de la ECA-I promisoria (IC50=3,72 ± 0,19 ppm), ya que se obtuvo un valor mucho menor que el obtenido para el control positivo (lisinopril). También se evidenció con el tiempo que el extracto de la fruta inhibió la actividad de la HMG-CoA reductasa con una cinética comparable a la del control positivo (pravastatina). Con estos resultados, la fruta de S. muricatum se convierte en una candidata potencial para el desarrollo de alimentos funcionales.
Management of Energy and Resource - Saving Innovation Projects at Agri-Food Enterprises
Authors: Semenov Andriy , Kuksa Ihor , Hnatenko Iryna , Sazonova Tetiana , Babiy Lesya , Rubezhanska Viktoriia
Published: June 2021

The concept of innovative projects and effective management of modern enterprises in the world of agri-food sector requires a comprehensive adaptation of the management system to ensure energy and resource consumption in order to achieve competitiveness of enterprises. Since market economy tendencies encourage the spread of active policy of all resources types saving, one of the directions of which is energy and resource-saving strategy for the development of any socially oriented business entity. In this regard, the purpose of the study is to economically model the process of assessing the dynamics of financing measures for the development and implementation of innovative energy and resourcesaving projects in the agri-food sector. Based on the construction of the above model, the main directions of management of innovative energy and resource-saving projects at agricultural enterprises are formulated.
Innovative Methods in Sustainable Urban Development and Water Management
Authors: Agócsová Ágnes , Chodasová Zuzana
Published: June 2021

Innovative methods presently affect all sectors of the national economy contributing to the progress and overall development of the economy, and the living standard worldwide. Innovations are equally necessary both in the private and in public sectors therefore, the original innovative ideas in each sector are greatly accepted. Similar concept is significant for companies dealing with urban water management. New methods are available mainly for capturing and reusing of rainwater in urban areas which leads to a positive impact on sustainable urban water management regarding today's water scarcity problems. This article describes some of the most popular innovative methods and examples used for rainwater harvesting, recycling and reuse. As a result, the evaluation of the most suitable water harvesting techniques related to sustainable water management, and their application in the city of Brno in Czech Republic are described.
Industry 4.0 and Smart Production
Authors: Gerekli İsa , Ziyad Çelik Tarık , Bozkurt İbrahim
Published: June 2021

Industry4.0 is a popular topic in today's ecosystem. Many businesses that have high profitability, sustainable unlimited lifetime and high efficiency will be able to integrate Industry 4.0 technologies, which emerged in Germany in 2011, into their businesses and meet changing customer demands. On the other hand, they will be able to gain competitive advantage with this new technology. The concept is defined as a process in which an advanced level of automation is applied over a virtual network, the machines make decisions by communicating with each other, the data collected with the help of sensors are stored in the cloud system through these virtual networks, and used by all stakeholders integrated into the system when needed. In this study, it is aimed to explain what the Industry 4.0 technologies conceptualized in 2011, the concept of smart production and the benefits of these technologies to businesses.
Dynamic Behavior of a Cylindrical Shell with a Liquid under the Action of Nonstationary Pressure Wave
Authors: A. Antufev Boris , N. Dobryanskiy Vasiliy , V. Egorova Olga , I. Starovoitov Eduard
Published: June 2021

The problem of axisymmetric hydroelastic deformation of a thin cylindrical shell containing a liquid under the action of a moving load is approximately solved. It is reduced to the equation of bending of the shell and the condition of incompressibility of the liquid in the cylinder. The deflections of the shell and the level of lowering of the liquid are unknown. For solution, the Galerkin method is used and the problem is reduced to a system of nonlinear algebraic equations. A simpler solution is considered without taking into account the incompressibility condition. Here, in addition to the deformed state of the shell, the critical speeds of the moving load are determined analytically.
IMPACT OF DIETARY HABITS ON HEALTH STATUS OF COLLEGE GOING STUDENTS IN PUNJAB
Authors: Ashraf Ayesha Shaheen , Amir Rana Muhammad , Syed Farzana Zaheer , Rasheed Muhammad Haroon , Ansar Sadia
Published: June 2021

Purpose of the study: The core objective of this study was to analyze the effect of dietary habits on the health status of college-going students.

Methodology: Two districts of Punjab were selected randomly namely Faisalabad and Rahim Yar Khan. Two public sector colleges were selected purposively from each district i.e. one male and one female keeping in mind low strength and high strength were selected. The population of these colleges was 5372 while the sample size was 189. A well-structured questionnaire was developed on a google form. Collected data were processed through SPSS software for standard deviation, frequency, mean, and weighted score, and rank order.

Main Findings: It was found that most of the respondents were female students and the majority of the student’s family monthly income was Rs. 10,000 – 20,000. The majority of the respondents were not suffering from any disease. The majority of respondents were those who have never eaten snacks in between their meals. Respondents who use to eat breakfast every day were ranked No. 1. Majority of the respondents were using full fat milk, soft drinks, and meat with visible fats. Most of the students were involved with healthy life habits i.e. doing physical activity, consuming fruits and greens.

Application of the study: This study can also be used to determine the dietary habit impact on the health status of college-going students in other districts of Punjab.

Novelty/ originality of the study: This study has provided an overview of different diseases affecting the health of college-going students. In the context of the current portfolio, the results of the current study will create awareness regarding healthy nutrition for improving the health status of the student.
A hypomorphic mutation in the mouse Csn1s1 gene generated by CRISPR/Cas9 pronuclear microinjection
Authors: Smirnov A. V. , Shnaider T. A. , Korablev A. N. , Yunusova A. M. , Serova I. A. , Battulin N. R.
Published: June 2021

Caseins are major milk proteins that have an evolutionarily conserved role in nutrition. Sequence variations in the casein genes affect milk composition in livestock species. Regulatory elements of the casein genes could be used to direct the expression of desired transgenes into the milk of transgenic animals. Dozens of casein alleles have been identified for goats, cows, sheep, camels and horses, and these sequence variants are associated with altered gene expression and milk protein content. Most of the known mutations affecting casein genes’ expression are located in the promoter and 3’-untranslated regions. We performed pronuclear microinjections with Cas9 mRNA and sgRNA against the first coding exon of the mouse Csn1s1 gene to introduce random mutations in the α-casein (Csn1s1) signal peptide sequence at the beginning of the mouse gene. Sanger sequencing of the founder mice identified 40 mutations. As expected, mutations clustered around the sgRNA cut site (3 bp from PAM). Most of the mutations represented small deletions (1–10 bp), but we detected several larger deletions as well (100–300 bp). Functionally most mutations led to gene knockout due to a frameshift or a start codon loss. Some of the mutations represented in-frame indels in the first coding exon. Of these, we describe a novel hypomorphic Csn1s1 (Csn1s1c.4-5insTCC) allele. We measured Csn1s1 protein levels and confirmed that the mutation has a negative effect on milk composition, which shows a 50 % reduction in gene expression and a 40–80 % decrease in Csn1s1 protein amount, compared to the wild-type allele. We assumed that mutation affected transcript stability or splicing by an unknown mechanism. This mutation can potentially serve as a genetic marker for low Csn1s1 expression.
Solar Heat for Cities: The Sustainable Solution for District Heating
Authors: Putz Sabine , Epp Bärbel
Published: June 2021

The brochure contains very useful info charts and general information about large scale SDH as well as several case studies of SDH installations in Denmark, China, Serbia, Austria, France, Latvia and Germany.
LSEVIER paper: Large Scale Solar Thermal Systems in Leading Countries
Authors: Tschoppa Daniel , Tianb Zhiyong , Berberichc Magdalena , Fand Jianhua , Perersd Bengt , Furbo Simon
Published: June 2021

Large-scale solar thermal systems are a cost-efficient technology to provide renewable heat. The rapid market growth in the last decade has been concentrated on a small number of countries, with the outstanding position of Denmark followed by China, Germany and Austria. This paper provides a comprehensive overview of the market and common technological solutions for large-scale solar thermal systems in these countries.
ENRSIM Software
Authors: Lamaison Nicolas
Published: June 2021

Due to their ability to distribute large amounts of renewable energy, District Heating Networks (DHN) are expected to exhibit a considerable development in the coming years. The ENRSIM software, cofounded by the French Renewable Energy Agency (ADEME), aims at providing a simple tool to size DHN production plants with renewable production units and storage.
The future of DH and the role of solar thermal energy
Authors: Schmidt Ralf-Roman , Leoni Paolo , Aghaie Hamid
Published: June 2021

Solar thermal (ST) energy is one of the few renewable heat sources that is available almost everywhere and can bring multiple benefits to district heating and cooling (DHC) networks (on an environmental and systemic level) with very low operation costs and risks. However, the current share of ST in DHC networks is almost zero on a global scale.
Solar DH – network hydraulics and supply points
Authors: Pina Eduardo A. , Serra Luis M. , Lozano Miguel A. , Hernández Adrián , Lázaro Ana
Published: June 2021

The present factsheet summarizes the study ”Comparative Analysis and Design of Solar Based Parabolic Trough - ORC Cogeneration Plant for a Commercial Centre” performed by the Universidad de Zaragoza (Spain) and published in 2020 [1]. Two novel solar based PTC-ORC cogeneration systems, producing power and cooling, were pre-designed, considering commercially available pieces of equipment, to cover the annual energy demands of a commercial centre located in Zaragoza (Spain).
Techno-economic comparison of the collected examples
Authors: Leoni Paolo
Published: June 2021

Subtask A “Network analysis and integration” focuses on the overall aspects of district heating and cooling networks with integrated solar thermal (ST) technologies. Particularly important are the cases in which the solar share is such to significantly influence the operation of the network and the other heat/cold supply units. In the present factsheet, the best-practice examples collected in the factsheet A-D1.1 are analyzed and compared.
Control of large scale solar thermal plants
Authors: Gölles Markus , Unterberger Viktor
Published: June 2021

Overview on the control of large-scale thermal plants, limited to plants feeding into DH networks as well as their key components, i.e. the actual collector circuit and the heat exchanger between primary and secondary circuit.
Solar Heat for Cities: The Sustainable Solution for District Heating - Turkish
Authors: Putz Sabine , Epp Bärbel
Published: June 2021

The brochure contains very useful info charts and general information about large scale SDH as well as several case studies of SDH installations in Denmark, China, Serbia, Austria, France, Latvia and Germany, translated into Turkish.
Application of PC Method to Large Collector Arrays
Authors: Tschopp Daniel , Delmas Pierre , Rhedon Mathieu , Sineux Sacha , Gonnelle Alexis , Ohnewein Philip , Nielsen Jan Erik
Published: June 2021

The Performance Check (PC) method can be used for a simple check of the collector array performance of a solar thermal plant. It has been proposed recently as an input to a new ISO standard. This fact sheet provides an application of the PC method to large collector arrays. The goal of this fact sheet is to evaluate the methodology and provide practical insights for the application of the PC method.
Contemporary Review of Olfactory Dysfunction in COVID-19
Authors: Jung Hwae-Joon , Lee Heung-Man
Published: June 2021

The pandemic of coronavirus disease 2019 (COVID-19) is an extreme threat to international health care, resulting in more than two million deaths. Data reveal that olfactory disorder is a characteristic symptom of COVID-19 and has unique clinical manifestations. The olfactory dysfunction induced by COVID-19 has sudden onset, short duration, and rapid recovery, with anosmia often the only symptom. Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) affects the human body by binding to angiotensin converting enzyme 2 (ACE2) of the olfactory epithelium. However, the etiology of COVID-19-induced olfactory dysfunction is unclear. In many countries, vaccines for COVID-19 in human are beginning to be administered. Conventional conservative treatments are common for olfactory disorders caused by COVID-19. Rhinologists should be aware of olfactory dysfunction to avoid delayed diagnosis of COVID-19. The article reviews the latest scientific evidence of anosmia in COVID-19.
A Case of Auricular Keloid Resulting from Conchal Cartilage Graft in Asian Rhinoplasty
Authors: Jang Dong Hyuk , Kim Ji Sun
Published: June 2021

When planning rhinoplasty, there are several options of grafts for augmentation, especially in relatively short and small Asian noses. Among such grafts, conchal cartilage is one of the most commonly used materials due to its histological similarity to nasal alar cartilage. Keloids and hypertrophic scars are fibroproliferative disorders that can occur after deep cutaneous injury. Since patients who wish to undergo rhinoplasty tend to have a lot of interest in cosmetic appearance, keloid formation can be serious complication to them. This case report presents an 18-year-old man who experienced keloid formation following conchal cartilage graft at 6 months after rhinoplasty. The authors introduce the case and review the considerations in prevention and treatment strategies for keloid scars after conchal cartilage harvest in Asian rhinoplasty.
Selected characteristics of Islamic banking in context of real sphere development
Authors: Mrowiec Paweł , Jurkiewicz Magdalena Wójcik
Published: June 2021

The objective of this study is to analyse the selected characteristics of Islamic banking in the context of real sphere development. It is hypothesised that Islamic economic principles could be applied to some extent to Western banking. To this end, selected features of Islamic and Western banking were analysed for their impact on the real sphere, including analysis of Islamic banks’ assets in the years 2006–2015 and the transposition of these data to assets of ten top commercial banks in the world. A literature review related to the functioning of Islamic banking, content analysis and deduction method was used to achieve this purpose. The authors, as a result of the research carried out, contradict the hypothesis indicating that it is impossible to directly compare Islamic banking to conventional banking, as the scope of services provided, system assumptions and, above all, their complexity, determines a different approach to their management and monitoring. As a result of scientific research, the authors of the paper contributed to opening new research areas in the field of Islamic banking.
 
Keywords: Shari’ah laws, financial crisis, real sphere development, bank profitability.
The reverse causality of social entrepreneurship and organisational performance
Authors: Adelekan Saidi Adedeji
Published: June 2021

The study examined the effect of social entrepreneurship (SE) on organisational performance. The study is premised on the idea there could be a two-directional flow between these two constructs due to their interactions. Employing the survey research design approach, 1,495 questionnaires were distributed to respondents in the service and manufacturing sectors. The PLS_SEM statistical tool for analysis was utilised in the study. The study reveals that a firm’s profitability is a significant predictor of SE while entrepreneurship is a driver of organisational performance. The implication of this is that SE drives organisational performance to the extent to which the firm embarks on entrepreneurial activities. The study recommends that firms invest in research and development to enhance their entrepreneurial capacity while acting as social entrepreneurs to increase their performance through increased market share.
 
Keywords: Entrepreneurship, organisational performance, entrepreneurial capacity, social entrepreneurs
Housing Stability and Transactional Sex among Spanish-Speaking and English-Speaking Transgender Women
Authors: Sauceda John A. , Santiago-Rodriguez Edda I. , Zaragoza Gaspar , Rivas Catherine E. , Venegas Luz , Zamudio-Haas Sophia , Gutierrez-Mock Luis , Bass Sarah B. , Sevelius Jae M.
Published: June 2021

There is evidence for a relationship between housing instability and transactional sex among transgender women. However, less is known about this relationship among monolingual Spanish-speaking transgender women. We compared Spanish- and English-speaking transgender women for differences in ever reporting transactional sex, and if perceived housing stability moderated these differences. Using a cross-sectional design, we surveyed 186 Spanish- and English-speaking transgender women in Philadelphia, Pennsylvania, and the San Francisco Bay Area, California. All variables in this study were from a brief demographic questionnaire in a larger parent study. Using a multivariate regression model for moderation, we tested whether the odds for reporting transactional sex were different between English and Spanish speakers, and whether housing stability moderated these odds. Overall, Spanish and English speakers reporting similar percentages of transactional sex (52.3–53.8%) and similar scores on the housing stability measure. In the moderation regression model, Spanish speakers had 7.9 times the adjusted odds of transaction sex, versus English speakers, but housing stability moderated the probability of transactional sex in the form of a crossover interaction. That is, lesser housing stability was associated with a higher probability of reporting transactional sex among Spanish speakers, yet greater housing stability was also associated with lower probability of reporting transactional sex. Housing stability evidenced both a risk and protective role for Spanish-speaking transgender women, which highlight the importance of this basic health need.
Assessing the Amenability of Rural MSM to Using Telemedicine for Medical and Mental Healthcare
Authors: Hubach Randolph D. , O'Neil Andrew M. , Hamrick Justin , Ernst Campbell , Stowe Mollie , Stone Tanner , Collins Garrett , Camacho Lucy Duran , Giano Zachary , Currin Joseph M.
Published: June 2021

Rural men who have sex with men (MSM) experience numerous barriers to healthcare, including stigma, which impedes medical and mental healthcare engagement. Given this, rural MSM are less likely to be engaged in routine healthcare compared to their urban counterparts. Telemedicine has been advocated for to address these disparities in care access; however, no known studies have explored the amenability of telemedicine for both medical and mental healthcare among rural MSM. In-depth interviews were conducted with a sample of MSM (n = 23) residing in rural Oklahoma and Arkansas. Respondents described a willingness to use telemedicine to engage with medical and mental health providers as it presented a mechanism to overcome identified barriers to care. Removing barriers, notably lack of access to knowledgeable and affirming providers, is one potential method for increasing engagement in routine care which provides opportunities for rural MSM to engage in primary and secondary prevention services.
Accountability Bargains in Pakistan
Authors: Loureiro Miguel , Pracha Maheen , Ahmed Affaf , Khan Danyal , Ali Mudabbir
Published: June 2021

Poor and marginalised citizens rarely engage directly with the state to solve their governance issues in fragile, conflict and violence-affected settings, as these settings are characterised by the confrontational nature of state–citizen relations. Instead, citizens engage with, and make claims to, intermediaries some of them public authorities in their own right. What are these intermediaries’ roles, and which strategies and practices do they use to broker state–citizen engagement? We argue that in Pakistan intermediaries make themselves essential by: (1) being able to speak the language of public authorities; (2) constantly creating and sustaining networks outside their communities; and (3) building collectivising power by maintaining reciprocity relations with their communities. In doing so, households and intermediaries engage in what we are calling ‘accountability bargains’: strategies and practices intermediaries and poor and marginalised households employ in order to gain a greater degree of security and autonomy within the bounds of class, religious, and ethnic oppression.
Hemangioendotelioma de células em Hobnail – relato de caso simulando angiossarcoma
Authors: Lopes Emily Mourão Soares , Soares Érika Belizário , Sena Erica Bezerra de , Bezerra Kalina Ribeiro Fontenele , Dantas Amanda Maria Menezes , Cavalcante Alinne Mota , Accioly Filho José Wilson
Published: June 2021

O hemagioendotelioma de células em Hobnail, que engloba os tipos Dabska e Retiforme é uma neoplasia vascular rara que se comporta como angiossarcoma cutâneo de baixo grau de malignidade. No presente relato, descrevemos o caso de paciente do sexo feminino, de 40 anos, a qual notou o surgimento de placa eritemato-violácea de crescimento progressivo em região têmporo-parietal esquerda, que evoluiu com ulceração e infecção secundária. Internou-se para realizar antibioticoterapia venosa, realizou biópsia de lesão, cuja análise histopatológica e imuno-histoquímica se mostraram compatíveis com hemangioendotelioma de células em Hobnail. O relato apresenta um caso de rara neoplasia vascular com comportamento local agressivo e impossibilidade de ressecção cirúrgica devido às dimensões locais. O diagnóstico diferencial com angiossarcoma apresenta implicações diagnósticas e terapêuticas.
MAPPING SETTLEMENT QUALITY AND HEALTH CONDITION IN COASTAL AREA OF JEPARA DISTRICT 2019
Authors: Feisal Rido , Yusup Yasin , Noviani Rita
Published: June 2021

The research Purposes is 1) Knowing coastal settlement quality at jepara district 2) Knowing coastal health condition level society 3) Knowing the correlation settlement quality between health level condition at Jepara District. The method used in this research is descriptive quantitative with spatial approach, the population in this research is settlement located at coastal area of Jepara District in 5 villages Demaan, Bulu, Kauman, Jobokuto, Ujungbatu. Technical sampling used proportional random sampling. Based on the result of the research the conclusion of the research is (1) settlement quality in coastal is on the good classified and medium classified for 34 settlement block which proportion 8 block is good classified and 26 block medium classified. The methode used is sattelite images interpretation and terrestrial. (2) health level condition in coastal has a various level from high classified and low classified if it is seen from incident rate of 5 diseases, based on administration demaan has the IR of 13,03 (low), Bulu 25,16 (high), Kauman 16,37 (low), Jobokuto 19,35 (normal), Ujungbatu 18,05 (normal) it shows that Demaan village has IR 13,03 it means there are 13 people which has illness out of 100. (3) correlation between settlement quality and health level condition in coastal has same direction but not too significant, with correlation value 0,275 (enough). correlation health level condition not only caused from settlement quality but it caused by many factor in that area.
DEVELOPMENT OF MANGROVE ECO-LITERACY STORYTELLING AS ENVIRONMENTAL EDUCATION LEARNING MEDIA FOR COASTAL CHILDREN IN BANTEN
Authors: Rosyid Novi Utami
Published: June 2021

One of the ecological problems on the Serang Coast is the degradation of mangrove ecosystems. Coastal communities suffer various losses due to damage to mangrove ecosystems. Mangrove degradation is triggered by the people's ignorance in utilizing mangrove ecosystems in a sustainable manner. for this reason, preventive solutions through environmental education are needed to increase the understanding of coastal communities about importance of the mangrove ecosystems through eco-literacy. Eco-literacy is environmental education approach to increase the ecological awareness of the community and create an environmental balance. This study aims to create and develop mangrove eco-literacy storytelling as learning media of environmental education for coastal children at SDN Lontar 2 – Serang. The research method used Research and Development by Borg and Gall (2008). The result of this study was learning media for the mangrove eco-literacy storytelling which has been through feasibility testing and field trials. The feasibility testing resulted 83.34 % with a very good category. Field trials showed that there was a significant effect with the pretest and post-test based on the t-test 0.02 < p = 0.05 which means that users of mangrove eco-literacy storytelling influences to increase of mangrove eco-literacy students. The conclusions show that eco-literacy of mangrove storytelling media is very feasible to use for the learning process and mangrove eco-literacy storytelling is proven to be able to improve the ability of eco-literacy mangroves of students in environmental theme learning at SDN Lontar 2 - Serang.
Implementation of Active Learning Two Stay Two Stray Cooperative Model in Social Studies
Authors: Ajar Seno Budhi , Dawam Nur
Published: June 2021

In the 2013 curriculum, learning is focused on student centers or known as active learning. This study aims to determine the obstacles faced in implementing active learning two stay two stray cooperative model and their effects on social studies outcomes of junior high school students. This research is a classroom action research with research subjects in the form of 8th grade students of Surakarta 9th Junior High School, Surakarta City, Central Java Province. The research method used in data collection is a participant observation method in which the researcher acts as a teacher to find out the obstacles when implementing active learning two stay two stray models and the test method is used to measure the ability of student learning outcomes. The data analysis technique used is comparative descriptive analysis and critical analysis. The results of this study are (1) there are four aspects that become obstacles when applying active learning two stay two stray cooperative model in social studies subjects namely aspects of time management, classroom management, learning resources, and student activity. (2) active learning two stay two stray cooperative model very effective in improving student learning outcomes.

 
Return Migration During Coronavirus Disease (COVID-19) Outbreak in Special Region of Yogyakarta, Indonesia
Authors: Pitoyo Agus Joko , Aditya Bagas , Sumini Sumini , Nugraha Arya , Nurhayati Septi
Published: June 2021

Population mobility during pandemic becomes the concern for government since COVID-19 has known spreading through droplets. Special Region of Yogyakarta is one of the provinces in Indonesia that is dealing with the problem of population mobility, especially in return migration during the pandemic. This study aims to give short analysis on the potency of return migration. This study is essential both for academic and practitioner in managing population mobility during pandemic. The analysis was supported by statistical data from Ministry of Health of the Republic of Indonesia, news, and related journals. This study confirms that return migration during the pandemic plays a role in causing new transmission centers. It means that migrants have a role in carrying the virus, in which the severity of its spread is determined by the interactions between infected migrants and local community and between infected local community and other local community. Lockdown in the local level such as villages is considerably more effective rather than massive travel bans in regional level. Local lockdown is considered to be more effective because it makes easy in controlling and also give little impact to the economic condition. Social capital and grassroot involvement is key to stop this pandemic.
Finite element analysis of quoin block deterioration and load transfer mechanisms in miter gates : pintle and pintle connections
Authors: DeAnna Dixon , Wayne Hodo
Published: June 2021

The U.S. Army Corps of Engineers (USACE) currently operates and maintains approximately 193 commercially active lock sites with 239 locks and dams spanning nearly 12,000 miles. These networks of water channels are used to transport 600 million tons of domestic cargo, generating $405 billion in revenue annually. Nearly 60% of these structures in operation are over 50 years old and have reached design life. A failure of the miter gates could result in a major negative impact on the economy and on the ability to maintain flood control. Administrators need recommendations to better prioritize maintenance and repair of the USACE miter gates. This work investigated the influence of miter gate’s quoin block degradation on load transfer to the pintle and/or pintle connections. Results of finite element analysis are reported for the quoin block degradation simulated levels of 0%, 25%, 50%, and 75%. The parametric study shows the overstressed regions are the pintle neck and bolt-hole regions. To improve pintle designs so they may better mitigate detrimental environmental based deterioration effects, this work recommends (1) increasing the thickness of the bolt-hole connection region and (2) adding ribbing reinforcement around the neck area of the pintle.
Elevation of underlying basement rock, Ogdensburg Harbor, NY
Authors: Wadman Heidi , McNinch Jesse
Published: June 2021

Over six linear miles of shallow acoustic reflection geophysical data were collected in an 800 ft by 300 ft survey region at Ogdensburg Harbor, Ogdensburg, NY. To better accommodate modern commercial vessels and expand the harbor’s capacity, the current navigable depth of -19 ft Low Water Depth (LWD) needs to be increased to -28 ft LWD, and an accurate map of the nature of the riverbed material (e.g., unconsolidated sediment, partially indurated glacial till, or bedrock) is required to effectively plan for removal. A total of 28 boreholes were previously collected to map the stratigraphy, and the effort revealed significant spatial variability in unit thickness and elevation between adjacent boreholes. To accurately map this variable stratigraphy, chirp sub-bottom profiles were collected throughout the region, with an average line spacing of 13 ft. These sub-bottom data, validated and augmented by the borehole data, resulted in high-resolution spatial maps of stratigraphic elevation and thickness for the study area. The data will allow for more accurate assessment of the type and extent of different dredging efforts required to achieve a future uniform depth of -28 ft LWD for the navigable region.
Desarrollo del lenguaje en hijos e hijas de madres adolescentes por área de residencia, Ensanut 100k
Authors: Torres-Sánchez Luisa , Romero Martín , Vázquez-Salas Ruth Argelia
Published: June 2021

Objetivo. Evaluar la asociación entre embarazo en la adoles­cencia y desarrollo del lenguaje (DL), en niños(as) residentes en zonas económicamente vulnerables de México. Material y métodos. Estimación y comparación del puntaje estanda­rizado de lenguaje de niños(as) de 12-59 meses participantes en la Ensanut 100k e hijos(as) de madres que al nacimiento fueron adolescentes (12-19 años) o adultas (>20 años). La asociación se estimó mediante regresión lineal multivariada y probamos una interacción entre condición materna y lugar de residencia. Resultados. Los hijos(as) de adolescentes que residen en áreas urbanas tuvieron un DL menor que los hijos(as) de madres adultas, (ß= -0.33 IC95%: -0.65 a -0.01;p interacción<0.01). Sin embargo, la disponibilidad de libros o apoyo materno al aprendizaje redujeron esta diferencia. Conclusiones. La presión sociocultural hacia las adoles­centes en zonas urbanas podría explicar los resultados ob­servados; no obstante, esta población podría ser susceptible de estrategias dirigidas a mejorar la relación madre-hijo y el apoyo al aprendizaje.
In Vitro Long-Term Cultures of Papaya (Carica Papaya L.).
Authors: González Jose Javier Regalado , Granero Manuel López , Encina Carlos Lopez
Published: June 2021

We present the data on proliferation corresponding to 10 years of continuous incubation in vitro of papaya shoots, and propose a reliable method for long-term micropropagation for papaya, using two types of explants: Microshoots from somatic embryos, and from axillary buds of papaya. Three different media were assayed. The proliferation medium (PPRM) allowed to maintain papaya shoots under continuous proliferation during 20 years, maintaining a consistent behaviour. Most of the shoots developed in PPRM rooted during the incubation, and after acclimated easily, maintaining the morphological characteristics of the parental plants, flowering and setting fruits normally. The PPRM medium consist in MS medium supplemented with NAA (0.1 mg l-1), BA (0.5 mg l-1), GA3 (0.5 mg l-1) and Adenine sulphate (40 mg l-1). The average multiplication rate was higher than 20 shoots per explant along the long-term assay. The elongation medium (PELM), was designed to recover shoots with a poor growth, and allowed the development of high quality shoots ready for rooting, and consist in a MS basal medium supplemented with NAA (0.1 mg l-1), Kin (0.5 mg l-1) and GA3 (1 mg l-1). The rooting medium (PROM) was designed to induce high quality roots from non-rooted shoots and consist in a half strength MS medium plus IBA (1mg l-1). On PROM, agar can be exchanged for expanded vermiculite. Acclimation took place inside an acclimatization tunnel under progressive hydric stress. After 4 weeks, the plant recovery rate was 90% for plants maintained under continuous proliferation during ten years.
A System Dynamic Model of Water-Land-Food-Energy-Ecosystem-Environment-Economic-Social Nexus for Western Lake Erie Basin-USA
Authors: El-Gafy Inas , Apul Defne
Published: June 2021

The concept of water-food-energy nexus has been widely studied in the past decade. In this paper we expand on this concept to Water-Food-Land-Energy-Ecosystem-Environment Nexus with economic and social aspects based on the life cycle assessment thinking. Set of Environment Footprint Assessment (EFA), Life Cycle Assessment (LCA), and Socio-Economic Assessment (SEA) indicators are proposed to apply this approach. Decision Support System for Water-Land-Food-Energy-Ecosystem-Environment-Economic-Social nexus (SD-WLF4ES-Nexus) applying system dynamic model approach for simulating this tackle is utilized. SD-WLF4ES-Nexus is applied to predict the WLF4ES nexus of one of the main crop, corn crop, in twenty counties located in Western Lake Erie Basin (WLEB) in USA for the period 2016-2030. The prediction is based on scenarios for population, planted and harvested land, and yield, crop production use by segments, and crop production costs and returns. A matrix for WLF4ES nexus of corn crop in WLEB is developed. This matrix can help in developing polices and strategies for managing the nexus in the basin.