bluuebunny/crossref_metadata_2025 huggingface dataset:
KẾT QUẢ ĐIỀU TRỊ TÁI TƯỚI MÁU TUẦN HOÀN TRƯỚC Ở BỆNH NHÂN TRÊN 80 TUỔI NHỒI MÁU NÃO CẤP
Authors: Duy Tôn Mai , Đại Việt Đức Nguyễn , Anh Tuấn Nguyễn
Published: February 2023

Mục tiêu: Mô tả đặc điểm lâm sàng, hình ảnh học, nhận xét kết quả điều trị tái tưới máu tuần hoàn trước ở bệnh nhân trên 80 tuổi nhồi máu não cấp điều trị tại Trung tâm Đột quỵ bệnh viện Bạch Mai. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang. Đối tượng nghiên cứu trên 80 tuổi. Bệnh nhân được chẩn đoán nhồi máu não cấp tuần hoàn trước với các dấu hiệu thiếu sót thần kinh rõ ràng và định lượng được dựa trên bảng điểm NIHSS. Bệnh nhân đư điều trị bằng các biện pháp tái tưới máu, điều trị tại trung tâm đột quỵ Bệnh viện Bạch Mai từ tháng 11/2020 đến tháng 5/2022, theo dõi kết cục lâm sàng sau khi ra viện 03 tháng. Kết quả: Tổng số đối tượng nghiên cứu là 83 bệnh nhân, trong đó tỉ lệ nam/nữ = 1/1,075. Tuổi trung bình: 83,75 ± 3,24. Số bệnh nhân nhập viện trước 3 giờ đầu sau khởi phát chiếm 40,96%, trên 6 giờ chiếm tỉ lệ 22,89%. Trong các yếu tố nguy cơ, thường gặp nhất là tăng huyết áp là 72,29%, rung nhĩ 30,12%, đái tháo đường 19,28% và đột quỵ não cũ 19,28%%. Bệnh nhân điều trị can thiệp nội mạch chiếm 63,86% cao gấp hơn 2 lần điều trị bằng tiêu sợi huyết chiếm 31,33%. Điểm NIHSS thời điểm nhập viện có trung vị là 13 điểm. Tại thời điểm ra sau ra viện 03 tháng, bệnh nhân phục hồi tốt có điểm mRS 0-2 chiếm 37,35%, bệnh nhân tàn tật phụ thuộc vào người chăm sóc chiếm tỷ lệ cao 42,17%, có 17 bệnh nhân tử vong (chiếm 20,48%). Kết luận: Kết quả điều trị tái tưới máu tuần hoàn trước ở bệnh nhân trên 80 tuổi nhồi máu não cấp hồi phục tốt mRS 0-2 ở cả nhóm điều trị can thiệp và điều trị tiêu sợi huyết chiếm tỷ lệ là 37,35%. Yếu tố nguy cơ thường gặp là tăng huyết áp, rung nhĩ, đái tháo đường và bệnh nhân có tiền sử đột quỵ não.
CHẤT LƯỢNG CUỘC SỐNG CÔNG VIỆC CỦA ĐIỀU DƯỠNG TẠI BỆNH VIỆN CHỢ RẪY
Authors: Thị Kim Liên Nguyễn , Thị Hà Đỗ , Louise Jarrett Sara
Published: February 2023

Đặt vấn đề: Trong môi trường bệnh viện, Điều dưỡng (ĐD) đóng vai trò then chốt trong công tác chăm sóc, quản lí bệnh nhân (BN). Tuy nhiên chất lượng cuộc sống công việc (CLCSCV) của điều dưỡng còn thấp chưa được quan tâm đúng mức. Mục tiêu: Khảo sát CLCSCV của điều dưỡng lâm sàng tại bệnh viên Chợ Rẫy. Phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả trên 306 điều dưỡng đang công tác tại các khoa lâm sàng bệnh viện Chợ Rẫy, năm 2022. Sử dụng bộ câu hỏi Brooks để khảo sát CLCSCV của ĐD. Thống kê mô tả được sử dụng để phân tích số liệu. Kết quả: Điểm trung bình CLCSCV của ĐD lâm sàng BV Chợ Rẫy là 161.42±12.06, đạt mức trung bình, điểm lĩnh vực cuộc sống gia đình và công việc là 27,62±2,90; lĩnh vực đặc thù công việc là 36,8±4,23; môi trường làm việc và cơ hội phát triển nghề nghiệp là 78,21±7,09; quan niệm xã hội về nghề nghiêp là 18,8±1,92. Kết luận: CLCSCV của ĐD lâm sàng BV Chợ Rẫy ở mức trung bình. Các giải pháp hiệu quả nhằm nâng cao chất lượng cuộc sống công việc của điều dưỡng là cần thiết nhằm nâng cao chất lượng chăm sóc người bệnh và nâng cao chất lượng cuộc sống của điều dưỡng.
Primary labor collective of agricultural enterprises as a human-machine system
Authors:   Azov-Black Sea Engineering Institute of Donskoy GAU, Lipkovich Igor , Ukraintsev Maxim , Egorova Irina , Pjatikopov Sergey , Petrenko Nadezhda
Published: February 2023

The article considers the issues of developing the task for mobile human-machine systems (HMS) included in the primary labor collectives and identifies technical tools to improve the efficiency of the HMS operator. However, the issues of compiling assignments are most pronounced, namely, starting from the primary labor collective with the subsequent transition to hierarchical structures of higher levels. The labor task itself in this case is most developed for a single HMS, which is why it is considered in the system of the labor collective. Keywords: AGRICULTURE MECHANIZATION, PRIMARY LABOR COLLECTIVE, HUMAN-MACHINE SYSTEM, MACHINE-TRACTOR UNIT, HUMAN-OPERATOR, TECHNICAL TOOLS
UPAYA MENINGKATKAN KOMPETENSI GURU MENGELOLA ADMINISTRASI KELAS MELALUI SUPERVISI KLINIS DI SD NEGERI 1 PLATAR
Authors: NAJIHAN NAJIHAN
Published: February 2023

The purpose of the National Education is to develop the competence and potential of students to become human beings who have faith, devotion to God Almighty, have noble character, are knowledgeable, capable, creative, independent, have global insight and become democratic and responsible citizens. Therefore, the performance of teachers needs to be improved as much as possible. Based on the aforementioned provisions, to find out the absorption of a teacher in managing class administration. Classroom administration as a mirror in education or teaching and learning processes. Therefore, teachers must be supervised by management in class administration. This research is a school action research focused on teacher performance. The subject of the study was a class teacher at SD Negeri 1 Platar. The study took place in 2 cycles. The result of this research is that clinical supervision is able to improve teacher performance in making and compiling class administration, which can be seen from the average results of teacher administration preparation with a score of 38.67 with a good category.
ABSTRAKTujuan Pendidkan Nasional adalah untuk mengembangkan kompetensi dan potensi peserta didik agar menjadi manusia yang beriman, bertaqwa kepada Tuhan Yang Maha Esa, beraklaq mulia, berilmu, cakap, kreatif, mandiri, berwawasan global dan menjadi warga negara demokratis serta bertanggung jawab. Oleh karena itu kinerja guru perlu ditingkatkan semaksimal mungkin. Berdasarkan ketentuan tersebut di atas, untuk mengetahui daya serap seorang guru dalam mengelola administrasi kelas. Administrasi kelas sebagai cermin dalam pendidikan atau proses belajar mengajar. Oleh sebab itu guru harus di supervisi manejerial dalam pengelolaan administrasi kelas. Penelitian ini merupakan penelitian tindakan sekolah yang difokuskan pada kinerja guru. Subyek penelitian adalah guru kelas di SD Negeri 1 Platar. Penelitian ini berlangsung dalam 2 siklus. Hasil dari penelitan ini adalah bahwa supervisi klinis mampu meningkatkan kinerja guru dalam membuat dan menyusun administrasi kelas, yang terlihat dari hasil rata – rata penyusunan administrasi guru dengan skor 38,67 dengat kategori sanga baik.
Relative importance of the mechanisms triggering the Eurasian ice sheet deglaciation
Authors: van Aalderen Victor , Charbit Sylvie , Dumas Christophe , Quiquet Aurélien
Published: February 2023

Abstract. The last deglaciation (21000 to 8000 years BP) of the Eurasian ice sheet (EIS), is thought to have been responsible for a sea level rise of about 20 meters. While many studies have examined the timing and rate of the EIS retreat during this period, many questions remain about the key processes that triggered the EIS deglaciation 21,000 years ago. Due to its large marine-based parts in the Barents-Kara and British Isles sectors, EIS is often considered as a potential analog of the current West Antarctic ice sheet (WAIS). Identifying the mechanisms that drove the EIS evolution might provide a better understanding of the processes at play in the West Antarctic destabilization. To investigate the relative impact of key drivers on the EIS destabilization we used the three-dimensional ice sheet model GRISLI (version 2.0) forced by climatic fields from five PMIP3/PMIP4 LGM simulations. In this study, we performed sensitivity experiments to test the response of the simulated Eurasian ice sheets to surface climate, oceanic temperatures (and thus basal melting under floating ice tongues) and sea level perturbations. Our results highlight that the EIS retreat is primarily triggered by atmospheric warming. Increased atmospheric temperatures further amplify the sensitivity of the ice sheets to sub-shelf melting. These results contradict those of previous modelling studies mentioning the central role of basal melting on the deglaciation of the marine-based Barents-Kara ice sheet. However, we argue that the differences with previous works are mainly related to differences in the methodology followed to generate the initial LGM ice sheet. We conclude that being primarily sensitive to the atmospheric forcing, the Eurasian ice sheet cannot be considered as a direct analogue of the present-day West Antarctic ice sheet. However, because of the expected rise in atmospheric temperatures, risk of hydrofracturing is increasing and could ultimately put the WAIS in a configuration similar to the pas Eurasian ice sheet.
UAV-based navigation and grid mapping using semantic observations
Authors:   , Mandel Nicolas
Published: February 2023

This research was a step towards enabling Unmanned Aerial Vehicles to use semantic information for navigation. A navigation framework was established, a method to address constraints that UAVs face during early development stages was introduced and additional steps towards more effective grid maps for semantic navigation were taken by introducing a novel mapping approach and a map representation that respects UAV flying height. This thesis supports UAV autonomy by taking steps towards higher-level navigation using meaningful representations of environments.
retiro temporal remunerado a lo largo del curso vital. Valoraciones de los agentes políticos y sociales españoles
Authors: Alfageme Chao Alfredo , García Pastor Begoña
Published: February 2023

El objetivo de este artículo es presentar las valoraciones, realizadas por los agentes políticos y sociales españoles, del llamado “retiro temporal” (RT). Se trata de una propuesta de política social novedosa, consistente en la posibilidad, siempre voluntaria, de disfrutar de algunos años de retiro remunerado a lo largo de la vida, a cambio de retrasar proporcionalmente el momento de la jubilación. La propuesta se vincula al trabajo remunerado, siendo los años de cotización los que generarían el nuevo derecho. Se han realizado entrevistadas abiertas semiestructuradas a representantes de los principales agentes políticos y sociales (partidos, patronal y sindicatos). Entre los resultados más destacables, se encuentra la amplia aceptación de la propuesta RT, que ha sido valorada positivamente tanto por organizaciones de corte liberal (que ven RT como una vía para incrementar las libertades individuales), como por organizaciones más intervencionistas (que entienden que se trata de un nuevo derecho de las personas que necesitan un empleo para sobrevivir, y con un amplio potencial igualitario). Se concluye que RT es una propuesta viable para la negociación política y social.
El racismo de la nación. El discurso degeneracionista en Bolivia (1880-1910)
Authors: Villanueva Criales Juan
Published: February 2023

Este artículo aborda un momento de la historia boliviana en que se emitieron narrativas arqueológicas que postulaban la degeneración de las poblaciones indígenas, desde el pasado prehispánico cuyo mayor logro visible era la construcción de los monumentos de Tiwanaku, hasta su supuesta decadencia y desaparición. Se correlacionan estas tendencias, marcadas por un inexcusable racismo, con el surgimiento y auge del “estado oligárquico” (1880-1910) que consolida un Estado-nación liberal y eurocentrista, las pugnas entre regiones y la agresión estatal hacia las comunidades indígenas, percibidas como obstáculos para el progreso nacional. Se analiza la obra de siete autores, detectando elementos comunes y variaciones; y se enfoca la narrativa degeneracionista en relación con otras contemporáneas y posteriores, con el fin de alentar la reflexión sobre la relación entre narrativas arqueológicas y políticas e ideologías racistas.
OUR PLASTIC HERITAGE: WHERE ARE WE NOW?
Authors: Böröcz Zsuzsanna , Loader Robert , Naldini Silvia
Published: February 2023

This Docomomo Journal on plastics is the result of collaboration between two Docomomo International Specialist Committees1 (ISCs): the Committee for Technology (ISC/T) and the recently formed Committee for Interior Design (ISC/ID). The two ISCs hosted, together with the Dutch and Belgium Working parties, successive specialist events in October 2017 (TU Delft) and March 2018 (University of Antwerp) which served as a platform for networking, discussion and, subsequently, for dissemination of knowledge on plastics in Modern Movement architecture and design with in-person visits to relevant buildings, institutions and companies.
Étude de la composition chimique des fluoroalkylamines utilisés en agriculture et en médecine dans le cadre de l’incinération par plasma entre 500 K et 20 000 K
Authors: Pafadnam Ibrahim , Kohio Nièssan , Yaguibou Wêpari Charles , Kagoné Abdoul Karim , Koalaga Zacharie , André Pascal
Published: February 2023

Les principes actifs contenant des composés organiques fluorés comme les fluoroalkylamines ou les molécules à base de pyrimidine sont prometteurs dans le domaine de l’agriculture (pesticides et herbicides) et de la pharmacologie (antibiotiques). L’utilisation massive de ces molécules aura pour conséquence une augmentation massive de déchets contenant ce type de molécules. Les pays développés ont des politiques contraignantes en matière de gestion de déchets ce qui n’est pas le cas dans les pays en voie de développement. Dans ces derniers, nous assistons à une prolifération des aires de stockage et des éliminations à l’air libre des déchets parfois issus des pays développés. Ces pratiques ont d’énormes conséquences sur l’environnement comme la pollution de l’air, des sols et de l’eau et par conséquent sur la santé humaine. L’une des solutions déjà éprouvé sur des déchets solides serait l’utilisation de torches à plasma. Ces torches peuvent atteindre des températures élevées (5000 K à 20 000 K). Cependant, l’utilisation de ces moyens de traitement n’est pas sans danger puisque des molécules toxiques ou létales pourraient être produites. Afin d’appréhender ces difficultés nous proposons d’étudier l’influence de l’air sur la composition chimique d’un plasma à base de fluoroalkylamines (trifluoroéthylamine : C2H4F3N, nonafluoropentylamine : C5H4F9N, …), à la pression atmosphérique et à l’équilibre thermodynamique local (E.T.L), dans une gamme de températures allant de 500 K à 20 000 K. Afin d’obtenir la composition chimique du plasma, nous utilisons la méthode de minimisation de l’énergie libre de Gibbs. Les résultats obtenus montrent que des espèces chimiques gazeuses dangereuses et toxiques comme CF2, CO, HCN et HF apparaissent aux basses températures avec de forte concentration.
РОЛЬ ПАМ’ЯТІ У ПРОЦЕСІ УСНОГО ПЕРЕКЛАДУ
Authors: ГЕРАСИМЕНКО О. Ю. , НАЗАРЯН А. М.
Published: February 2023

Представлена стаття присвячена вивченню всеосяжного терміна «пам’ять», його важливості та впливу на якість усного перекладу. Окреслено, що пам'ять, як термін, відноситься до сфер психології та біології, і це поняття є не до кінця сформульованим, оскільки кожнен науковець з поданих сфер по різному формулює та трактує значення пам’яті і на додаток до цього, процес запам’ятовування аналогічним чином є спірним питанням. Авторами статті обґрунтовано вплив та важливість пам’яті у процесі усного перекладу. У роботі проаналізовано наукові праці таких вчених та науковців зі сфери інтерпретування та пам’яті як: Алан Д. Беддлі, Робертс, Фернандес і Кернс, Даніел Гайл, Вейхе Чжун. У статті значної уваги приділено важливості галузі інтерпретування у різних сферах життя сучасного світу та його впливу на міжнародні кооперування та комунікації. Засвідченні фактори, які простежуються при перекладі. Авторами статті акцентована увага на професійні якості та навички перекладачів, відповідно засвідчена важливість обширної пам’яті. Визначена відмінність та особливість короткочасної та довготривалої пам’яті. Сформульовано підґрунтя, чому саме короткотривала пам'ять використовується при інтерпретуванні. Описано, яким саме чином та на котрий час, залишається інформація при кожному з видів запам’ятовування. Автори статті звертаються до робити Робертса, де він формулює кількості блоків інформації, котра запам’ятовується під час STM. Виділені основні теорії, причиною чого є втрата інформації при застосування короткочасної пам’яті. Доповнюючи це, автори звернули увагу на основні вправи для покращення короткотривалої пам’яті. Окреслені різноманітні моделі запам’ятовування, до основних входять: модель пам’яті Кованса, модель зусиль Гайла, модель пам'яті Аткінсона і Шиффріна, модель робочої пам'яті Хітча та Беддлі, модель пам’яті Даро і Фаббро. Розглянуто детальніше модель Гайла та її відмінність від попередніх, також засвідчено етапи та фази, через які проходить перекладач під час перекладу. Висвітлено вплив пам’яті на інші фактори при процесі перекладу. Наведені поради щодо розвитку пам’яті.
Bilateral complete duplication of ureters with upper moiety PUJO and ectopic insertion: A rare case report
Authors:   Department of Urology and Renal Transplant, Kasturba Hospital, MAHE, Manipal, Karnataka, India., Aggarwal Naman
Published: February 2023

Duplication of the ureter and renal pelvis is one of the most common anomalies of the upper tracts with incidence reported to be approximately 2% [1]. An increased incidence of uretero-renal pathology has been documented with duplication anomalies. Here we present a case report of a 27-year-old married male who presented with a bilateral complete duplex system with ectopic insertion into the prostatic urethra. On evaluation he was found to have a non-functioning left upper moiety and a right upper moiety ureteropelvic junction obstruction. In this case report we discuss the complications and therapeutic implications of a duplicated system.
Isolated Salter-Harris type IV distal ulna fracture: A case report
Authors:   Orthopedic Surgery Department, East Tennessee State University, USA., Czulinski Michael
Published: February 2023

Isolated physeal fractures in the pediatric distal ulna are relatively uncommon. While the skeletally immature patient generally has higher remodeling potential than adults, special considerations should be given to the pediatric wrist. We report the case of a 15-year-old male with an isolated Salter-Harris (SH) type IV distal ulna fracture.
Disappearing left atrial thrombus with a hollow core during anticoagulation therapy
Authors:   Department of Cardiology, Koto Memorial Hospital, Higashiomi, Japan., Kimura Masahiro
Published: February 2023

Left atrial thrombi with a hollow core are sometimes detected in patients with Atrial Fibrillation (AF) and Flutter (AFL) by Transesophageal Echocardiography (TEE). In previous studies, this finding at the initial assessment denotes relatively fresh and acute growing thrombus with inner liquefaction [1-3]. However, its significance during anticoagulation treatment is unknown.
The Case Report of an Intra-Abdominal Organized Gossipiboma: An Incidental Subsidiary Finding
Authors: Khattri Yussra , Shayan Ayesha , Altaf Raisa , Siraj Rabiya , Siraj Imran , Mansoor Muhammad Ayub
Published: February 2023

Despite the advances in the medical sciences and increased safety measures taken during surgeries, there are still few unfortunate times when post-procedure complications can occur due to human errors presenting with intraoperative or post operative symptoms. Gossipiboma is a rare complication that can occur due to human negligence. Gossipiboma’s form as a complication of inflammatory reaction to a surgical sponge or a laparotomy pad left mistakenly in the body of the patient after a surgical procedure. The term Gossipiboma is a combination of two words from two different languages; Gossypium a Latin word which mean cotton and boma a Kiswahili word which means plan of concealment. Their incidence is reported to be 1 in 1000 to 1500 surgery. We present here a case of a 67-year-old male who had a history of right-sided Percutaneous Nephrolithotomy (PCNL) five years back. No immediate post procedure complications occurred however the patient presented to the Outpatient Department (OPD) with left flank pain and his Computed Tomography (CT) scan was done which showed an organized Gossipiboma.
ABADÍAS SELMA, A., Justicia juvenil e inteligencia artificial en la era de la cultura touch
Authors: ÁLVAREZ BUJÁN MARÍA VICTORIA
Published: February 2023

Recensión
Frequency, Causative Organisms, Excess Cost and Short-Term Outcomes of Peripheral and Central Line Associated Nosocomial Blood Stream Infection in Adult Patients Admitted in a Tertiary Care Hospital
Authors: Khan Muhammad Owais , Uddin Naseem Salah , Khamisani Aiman Mahmood , Shah Rabeea
Published: February 2023

Background: Hospital acquired Blood Stream Infections is one of the major type of nosocomial infection. As compared to 1.3-2.1 per 1000 central line days in high income nations, CLABSI occurs more frequently in middle- and low-income countries, with rates ranging from 7.4 to 12.2 per 1000 central line days. The incidence of both type of BSI is also reported to be different in different regions. Staphylococcus aureus, E. coli, enterococcus species, and candida species are some examples of common causative organisms. Objective: The primary objective: • To study the incidence of CLABSI per 1000 line days among patients with inserted central line during hospital stay • To study the incidence of PLABSI per 1000 line days among patients with inserted peripheral line during hospital stay The secondary objective: • Frequent pathogens isolated from patients • Additional length of stay in patients with blood stream infection (CLABSI and PLABSI) • Excess cost incurred from excess investigations and medications Material and Methods: Total 250 patients of age ≥15 years and acquired CLABSI or PLABSI during hospital stay after 48 hours of admission were included. Sensitivities of the cultured organism were recorded. Antibiotics and other drugs for management of blood stream infection were recorded with dosage, duration and excess cost. Excess length of hospital stay due to blood stream infection along with total length of in hospital stay was checked. Finally outcome of every patient was analyzed. Descriptive statistics were calculated. Independent T test / Man Whitney U test was applied to compare the length of hospital stay and cost among patients with and without BSI (CLABSI/PLABSI). P value of less than or equal to 0.05 was considered significant. Results: There were 44% male and 56% female patients. Mean hospital stay was 11.30±7.24 days. Mortality rate was 17.2% while 8.8% patients were found with infection. Most common isolated organisms were pseudomonas (31.8%), staphylococcus aureus (18.2%), klebsiella (9.1%), acenatobacter (9.1%) and candida tropicalis (9.1%). Sixteen patients have excess hospital stay from infection acquisition day with average of 9.31±4.97 days. Majority (40.9%) of patients spends more than 35,000 PKR (7,062 PKR to 70,988 PKR) as excess cost in terms of treatment. Mortality rate among infected patients was 50%. Conclusion: Patients had to bear a heavy burden as a result of infections contracted when using central venous catheters, which lengthened hospital stays and raised treatment costs. Keywords: Central line, Peripheral, Blood Stream Infections, pathogens, length of stay, excess cost
Incidence of Acute Kidney Injury (AKI) Secondary to Acute Gastroenteritis in Patients Presenting to Ayub Teaching Hospital, Abbottabad
Authors: Jamal Nighat , Banaras Faizan , Ashfaq Mahnoor , Tahir Tehrim , Jadoon Iqra , Raza Ali
Published: February 2023

Background: Acute kidney injury is a decrease in kidney functions that results in reduced glomerular filtration rate, retention of nitrogenous waste products, and disturbances of extracellular volume and electrolytes. The incidence of acute kidney injury is about 20-200 per million, about 7-18% of patients in a hospital.2 Acute diarrheal diseases are one of the important causes of preventable acute kidney injury. Improper fluid deficit restoration in diarrheal diseases results in acute kidney injury, manifested as decreased renal function and a rise in serum creatinine level with or without reducing urine output. The injury may range from mild to severe renal dysfunction; sometimes requiring renal replacement therapy.4The rapid and effective restoration of extracellular fluid can prevent acute kidney injury. Materials and Methods: An observational cross-sectional Study, among patients with acute diarrheal illnesses presented to all medical units (A, B, C &D) and the emergency department of Ayub Teaching Hospital, Abbottabad. A total of 140 patients presented in 3 months duration from 1st July – 30th Sep 2022. Data were analyzed by using SPSS 16 Results: In the sample size of 140 patients, the minimum age was 14 years and the maximum age was 70 with a mean of 38 years with a standard deviation of +/- 14 y. Among 140, 80 patients were male and 60 patients were female. Out of 140 patients, 47 were having hypertension, 19 were diabetic and 16 were known, cardiac patients. Urine output of 13 (9.3%) patients was less than 100ml/day, while 46 (32.9%) patients were having 100-400ml/day, 37 (26.4%) patients was having 400-1200ml/day and 44 (31.4%) patients had greater than 1200ml/day. The serum creatinine level was greater than 2.8mg/dl (more than 2 times normal) in 35 patients (25%), and 18 patients were having creatinine levels in the range of 1.5-2.8mg/dl (up to 2 times greater than normal) and 87 patients had creatinine levels in the normal range (0.7-1.4mg/dl). Out of 140 patients, 41 (29.3%) presented to the tertiary care hospital in shock (systolic blood pressure less than 90mmhg), 96 (68.6%) were normotensive and 3 (2.1%) patients were hypertensive. Conclusion: The incidence of acute kidney injury in patients presenting with acute gastroenteritis to a tertiary care hospital is 25%, due to hypovolemia caused by fluid losses in acute diarrheal illnesses. It can be prevented by prompt diagnosis and treatment by fluid administration. Keywords: Acute kidney injury (AKI), Acute renal failure(ARF), Eschericia coli (E.Coli) RIFLE (Risk, Injury, Failure, Loss, End Stage kidney disease)
Comparison of Different Methods of Induction of Labour Methods; Khyber Pakhtunkhwa Perspective
Authors: Raees Mahnaz , Zahoor Farnaz
Published: February 2023

Objectives: to compare the mechanical, pharmacological or combination of both in induction of labour. Methods: This comparative observational study was conducted in Department of Obs and Gynae, Lady Reading Hospital, from January 2019 to December 2019. In this study all women presenting to labor room with singleton pregnancy and gestational age > 37 weeks and admitted for induction of labor were included. All those women with multiple pregnancies, premature rupture of membrane, malpresentation, and prior Cesareans section were excluded. Total 300 patients were included in the study period, Patients were divided into 4 groups, Group A (mechanical methods), Group B (prostaglandin E2), Group C (mechanical + PGE2), Group D (misoprostol). Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (IBM Corp., Armonk, NY). Results: In this study 300 patients were included, in mean age of 24.54±12 years, with age range of 16- 40 years. Majority were Primi gravida (167 (55.7%), and 99.7 had poor bishop score. Indication for induction of 109(36.3%) was due to eclampsia / pre-eclampsia, followed by postdate pregnancy 98(32.7%). In majority of cases 123(41%) time from induction to labour was 6-12 hours. prostaglandin group showed good success rate in term of normal vaginal delivery and low adverse effects and good maternal and neonatal outcomes, followed by misoprostol, lowest success rate was recorded in mechanical only group . (p<0.001) Conclusion: Our study concludes that among different methods available for induction of labour, PGE2 is safe, effective and have goof maternal and fetal outcomes Keywords: induction, labour, PGE2, misoprostol
Analyzing the Effects of Low-Dose Isotretinoin on Acne Vulgaris Against the Standard Treatment Protocol
Authors: Jabbar Areeba , Ullah Naimat , Shahzadi Annum , Sagheer Afshan , Aziz Hafiz Muhammad Imran , Asghar Amna
Published: February 2023

Objective: The study's objective was to evaluate the effectiveness and safety of low-dose isotretinoin vs the standard-dose regimen for the treatment of acne vulgaris. Study Design: Randomized controlled trial Place and Duration: This study was conducted at Department of Dermatology, Bannu Medical College and Federal Government Polyclinic Hospital Islamabad in the period from March, 2022 to August, 2022. Methods: Randomization was used to split the total of 190 patients with acne vulgaris who participated in the study into two groups of 95 sample size each. Patients of both sexes were affected with acne vulgaris. Isotretinoin was administered orally to patients in group I at a dose of 20 milligrammes per day for 12 weeks, whereas patients in group II received conventional dosing regimen 80 milligrammes per day. After a total of 12 weeks of therapy, both groups had a final assessment of their effectiveness. SPSS 23.0 was used to analyze all data. Results: In all 190 cases, majority of the cases 110 (57.9%) were females and 80 (42.1%) were male patients. Mena age of the patients in group I was 24.16±10.52 years and in group II mean age was 25.8±9.87 years. We found that efficacy of conventional dosing regimen was higher in 73 (76.8%) as compared to low doze isotretinoin in 50 (52.6%) with p value <0.005. Post-treatment frequency of complication were higher in group II 46 (48.4%) as compared to group I 28 (29.5%). Dry eyes and headache were the common complications in all cases. Conclusion: As a result of this research, we came to the conclusion that the typical dosing regimen for the treatment of acne vulgaris is more effective but poses a greater risk of side effects than the low dose of isotretinoin. Keywords: Efficacy, Safety, Acne vulgaris, low dose isotretinoin
Prevalence of Helicobacter Pylori in Children with Recurrent Abdominal Pain
Authors: Kakar Yousaf , Bushra Sana , Babak Mahdia , Haq Mehboob Ul , Kalsoom Rizwana , Fatima Sumaya , Azhar Muhammad Ahtisham , Naseer Muhammad Awais
Published: February 2023

Background: In children the recurrent abdominal pain is a commonest reason for seeking medical care. In various studies, H pylori and abdominal pain were shown to be significantly correlated in paediatric patients. Objective: To assess the prevalence of helicobacter pylori in children with recurrent abdominal pain Methodology: The current cross sectional study was carried out at the Pediatrics department Sandeman Provincial Hospital Quetta from March 2022 to August 2022. The research included all children with recurrent abdominal pain (according to Rome II criteria) who met the inclusion requirements. Under strict aseptic conditions, five milliliters of blood were taken and sent to the hospital laboratory for ELISA-based H pylori identification. All the information was entered into a predesigned proforma. For the analysis of data, IBM SPSS version 23 was used. Results: In our study, totally 150 children who met the inclusion criteria were enrolled. The male children in our study were 108 (72%) while female children were 32 (28%). The mean age (±SD) was 10 (±4.36) years. Based on ELISA, the helicobacter pylori prevalence was 39 (26%) in children with recurrent abdominal pain. Conclusion: Our study concludes that the in children with recurrent abdominal pain, the helicobacter Pylori prevalence is very high. All the children who visit the pediatrics clinics and having recurrent abdominal pain should be diagnosed for helicobacter pylori. Keywords: Prevalence; helicobacter pylori; children; recurrent abdominal pain
Self-Reflection: A complex Connection among Language, Culture, Identity, and Difference
Authors: Arta Berli
Published: February 2023

The identity-taking process involves a complicated push-and-pull relation from different related aspects like language, culture, and differences. To understand this concept deeper, a self-study is required to explore how one’s life experience of encountering diverse cultures, language barriers, and differences can trigger themselves to define who they are and what relation they have with their surroundings. This is study is a self-reflection based on the author’s personal life experience to ignite the challenges of constructing identity due to cultural barriers, language ownership, and social relations with other people involved.
Rezension von: Blickle, Peter, Die Reformation im Reich
Authors: Kohl Herbert , Blickle Peter
Published: February 2023

Peter Blickle, Die Reformation im Reich (Uni-Taschenbücher 1181), Stuttgart (Ulmer) 2000 (3. Aufl.). 264 S.
Rezension von: Röcker, Bernd, Der Bauernkrieg in Kraichgau und Hardt
Authors: Stihler Daniel , Röcker Bernd
Published: February 2023

Bernd Röcker, Der Bauernkrieg in Kraichgau und Hardt (Heimatverein Kraichgau e. V.; Sonderveröffentlichung Nr. 22), Ubstadt-Weiher (verlag regionalkultur) 2000. l04 S., zahlr. Abb.
Rezension von: Uhl, Stefan, Das Humpisquartier in Ravensburg
Authors: Schulze Ute , Uhl Stefan
Published: February 2023

Stefan Uhl, Das Humpisquartier in Ravensburg. Städtisches Wohnen in Oberschwaben dargestellt am Beispiel des Humpisquartiers und der Gebäude Marktstraße 16, Marktstraße 18 und Burgstraße I in Ravensburg (Forschungen und Berichte der Bau- und Kunstdenkmalpflege in Baden-Württemberg, Bd. 8), Stuttgart (Theiss) 1999. 450 S. mit 392 teilw. farbigen Abb.
Research on the Electrical and Mechanical Properties of Conductive Epoxy Composite
Authors: Okieke U. F. , Odoh F. E. , Ebisine E. E. , Edafiadhe E. D.
Published: February 2023

T his paper reported on the possibility of using organic materials in the production of green epoxy conductive composites. Epoxy composite samples were produced through the hybridization of carbonized coconut fibre filler (CCS), raffia palm fibre (RPF), carbon black (CB), and carbon fibre (CF), using the simple hand lay-up technique. Then the electrical properties (electrical resistivity and electrical conductivity) and the mechanical properties (tensile strength) of the composite samples were tested accordingly, using the ASTM D6343 – 14, ASTM B193 and ASTM D 3039 approved methods. Results obtained from the laboratory tests revealed that both the CCS and RPF (organic materials) have significant influence on the mechanical and electrical properties of the composite samples. It was observed that the electrical conductivity of the composite samples increased (4.34x10-3 S/cm to 4.48x10-3 S/cm) as the CCS loading increased from 3% to 6% (by mass); before it started to decline after 9% (by mass) CCS loading, recording lowest conductivity of 9x10-4 S/cm at 15% CCS volume. The electrical resistivity of the composite samples was noted to decline from 2.90x107 Ωcm to 2.83x107 Ωcm as the CCS content in the composite increased from 3% to 6%, before it started to increase after 9% CCS quantity, with the S5 composite sample (15% CCS quantity) having the highest electrical resistivity of 3.80x107 Ωcm. Regarding the composite’s mechanical properties, the study depicted that the S1 composite sample had the highest tensile strength of 98.3 MPa, while the S5 composite developed the lowest tensile strength of 62.7 MPa, portraying that the CCS and RAF has a substantial effect on the composites samples’ tensile strength. This study’s results portrayed the possibility of producing lightweight, high-tensile strength conductive composite from organic waste materials, which can be utilized in several engineering applications.
Should We Resurrect Institutional Corruption?
Authors: Juarez-Garcia Mario I.
Published: February 2023

Worried that the current paradigm of political corruption (individual corruption: the misuse of public office for private gain) is too narrow to protect democratic institutions from private interests, the political theorist Dennis Thompson resurrects the premodern notion of institutional corruption, which refers to practices that undermine the purpose of political institutions. From the lenses of institutional corruption, practices such as money in political campaigns, lobbying, or wealth inequality are to be condemned and eradicated to protect democratic institutions. The goal of this paper is to provide reasons against resurrecting the notion of institutional corruption in the realm of policy for three main reasons. First, it is baseless: there is no empirical evidence that the sole presence of money alters democratic results. Second, it is unnecessary: individual corruption can be used to condemn and sanction illegal actions that undermine democratic decision making. And third, it is unclear whether policies against money in politics are beneficial or detrimental to electoral competition. In the light of empirical evidence, I conclude, we should not resurrect the unnecessary and potentially misleading idea of institutional corruption. Empirical studies, in fact, show that liberal electoral democracies, at least in developed countries, are more responsive to the voters’ will than Thompson believes.
Perceived Effectiveness of Messages Designed to Promote the Use of Autonomous Vehicles
Authors:   The George Institute for Global Health, University of New South Wales, NSW 2052 Sydney, Australia, Pettigrew Simone , Booth Leon ,   The George Institute for Global Health, University of New South Wales, NSW 2052 Sydney, Australia
Published: February 2023

Autonomous vehicles will be a key component of the sustainable cities and transport systems of the future. However, there is little data available on effective methods of communicating with the public about these benefits to optimise uptake and achieve their sustainability potential. The aim of this exploratory study was to assess outcomes associated with exposure to various messages communicating proposed benefits of autonomous vehicles. Australians aged 16+ years (n = 1053) responded to two online surveys administered two weeks apart. The instruments included items relating to demographic attributes, driving factors, and attitudes to autonomous vehicles. Respondents were randomised to one of five messages referring to efficient travel time, economic savings, saving lives, mobility for the elderly and disabled, and job opportunities. Messages relating to saving lives and providing mobility for the elderly and disabled performed best, especially in terms of presenting a strong argument (62% agreement) and believability (67% agreement), respectively. The results provide initial evidence that public awareness communications could favourably influence attitudes to autonomous vehicles, potentially enhancing uptake rates to yield corresponding benefits. This information will be of value in countries where the roll-out of autonomous vehicles is a strategic priority to achieve sustainable cities and transport systems.
Metaheuristic Optimized Voting Ensemble for Recognizing Daily and Sports Activities
Authors:   Department of Communications and Electronics, Delta Higher Institute of Engineering and Technology, Mansoura, 35111, Egypt, El-Kenawy El-Sayed M. El ,   Computer Engineering and Control Systems Department, Faculty of Engineering, Mansoura University, 35516, Mansoura Egypt,   Department of Computer Science, College of Computing and Information Technology, Shaqra University, Shaqra 11961, Saudi Arabia; Department of Computer Science, Faculty of Computer and Information Sciences, Ain Shams University, Cairo 11566, Egypt,   Electronics and Communications Engineering Dep., Faculty of Engineering, Delta University for Science and Technology, Gamasa City, Mansoura, Egypt,   Faculty of Artificial Intelligence, Delta University for Science and Technology, Mansoura 35712, Egypt, Ibrahim Abdelhameed , Abdelhamid Abdelaziz A. , Saber Mohamed , Eid Marwa M.
Published: February 2023

This research analyzes the effectiveness of several methods for categorizing human actions captured by inertial and magnetic sensor units worn on the chest, arms, and legs. Each device has tri-axial sensors, including a gyroscope, accelerometer, and magnetometer. Voting ensemble classification models, where votes are weighted and optimized with a new optimization technique, are offered as a means to actualize this classification problem. The optimization technique is a combination of the sine cosine and particle swarm optimization algorithms, and the ensemble model is made up of three classifiers: support vector machines, decision trees, and multilayer perceptron. The classifiers are checked for accuracy using three distinct cross-validation strategies. Classifiers' proper differentiation rates and computational costs are compared to help you choose the best one for your needs. When it comes to body location, sensor devices worn on the legs provide the most valuable data. From a comparison of the various sensor modalities, we can deduce that magnetometers, followed by accelerometers and gyroscopes, provide the best classification results when only a single sensor type is employed. Furthermore, the study contrasts three machine learning models—support vector machines, decision trees, and multilayer perceptron —with respect to their usability, controllability, and classifier performance. Results reveal that the suggested method performs well in categorizing both typical daily activities and athletic endeavors.
Borderline personality disorder: Gender bias and diagnostic disparities
Authors: Gorra Nicole
Published: February 2023

Borderline Personality Disorder (BPD) is a DSM-5 Cluster B mental health condition. One of the lesser understood mental health conditions, BPD is marked by a multi-symptom profile such as high levels of emotional dysregulation, distorted self-image, volatile and unstable relationships, emotional instability, and higher levels of suicidality. Symptoms are often intense and enduring, causing significant chaos and stress in an individual’s life as well as those closest to them. Because there is a significant overlap of symptomology and diagnosis with other psychiatric disorders, BPD was at one time a contested diagnosis, thus research and treatment options remained limited. Currently, BPD is one of the more widely researched conditions, which has informed evidenced-based treatment, however, individuals carrying the diagnosis report difficulty accessing treatment and difficulty feeling understood by mental healthcare providers. The development of BPD remains unclear, although consistent with other mental health conditions there is a genetic constituent, and with BPD in particular a history of trauma. This research manual will explore current evidence-based practices and assessment methods to inform best practices when working with BPD.
ORGANIZAÇÕES EMPREENDEDORAS SÃO SAUDÁVEIS? UMA ABORDAGEM UTILIZANDO CONJUNTOS DIFUSOS
Authors: De Souza Vitória Augusta Braga , Lapolli Edis Mafra , Willerding Inara Antunes Vieira , de Fraga Aline Debize
Published: February 2023

Este artigo tem por objetivo estudar o estado da arte do tema organização empreendedora são organizações saudáveis, e para entender essa relação elaborou-se a pergunta: organizações empreendedoras são saudáveis? Foi realizada uma revisão sistemática da literatura nas bases de dados Scopus e Web of Science utilizando da metodologia composta de 8 passos e para selecionar os artigos utilizou-se a metodologia PRISMA. Foram encontrados 205 artigos que foram analisados por meio do software VOSviewer para entender se existia artigos relevantes a pesquisa. Após usar os critérios de exclusão e inclusão, foram selecionados 19 artigos e que foram lidos e analisados em sua totalidade. Pode-se concluir que o tema está sendo estudado a pouco tempo e possui poucas publicações na área que descrevem as caracteristicas de uma organização saudável.
ANÁLISE DE MODELOS DE POLÍTICAS PÚBLICAS À LUZ DO PROJETO RESTAURAÇÃO
Authors: Cavalcanti Ana Cláudia Rocha , Quinzeiro Marinella Geronimo da Silva
Published: February 2023

Apresenta o projeto de Justiça Juvenil Restaurativa denominado Restauração, política pública municipal que ocorre em São José de Ribamar – MA, no âmbito da prevenção e do atendimento socioeducativo a crianças e adolescentes em contexto de violência, pela aplicação e disseminação da cultura de paz por meio de práticas restaurativas. Constata que a política pública analisada é intersetorial, atua em variados espaços restaurativos, como no bairro Vila Sarney Filho, no sistema judiciário e em escolas e associações comunitárias, e trata conflitos por meio do fortalecimento do diálogo e da escuta empática, aprimoramento das relações interpessoais e do senso comunitário, preservando-se a dignidade humana dos envolvidos no conflito, com foco na reparação do dano causado a vítima e na responsabilização do ofensor. Objetiva a análise de modelos de políticas públicas à luz do projeto estudado, quais sejam do ciclo de políticas públicas, incrementalismo, fluxos múltiplos e equilíbrio pontuado, a fim de compreender como este se desenvolve e é aplicado. Voltado para estudo de caso, trata-se de pesquisa exploratória, de abordagem qualitativa e utiliza procedimento bibliográfico e documental.
Experimental Study of the Impact of Various Bio Based Cutting Fluid Using Multiple Machining Characteristics during Shaping Operation
Authors: Gani Md Osman , Konar Arnab , Kundu Manoj
Published: February 2023

In machining, the use of cutting fluids in metal machining has several benefits, including increased tool life, less thermal deformation of the work piece, improved surface smoothness, and flushing away of chips from the cutting zone. - Three distinct vegetablebased cutting fluids, such as rice bran oil, almond oil, and sunflower oil, were used in this study to measure the surface roughness during shaping operations. Mild steel, stainless steel, and EN 8. Vegetable cutting oils have been studied for their potential to enhance surface finish during shaping at various speeds and feed rates. Speed, feed rate, and depth were taken into account as machining parameters in the trials. Cutting fluids; cutting fluids made from vegetables. Feed rate, speed, and depth of cut are all different cutting characteristics that are taken into account. Experimental research into surface roughness values is done after the three components are machined using various settings.
Bhutan’s Employment Conundrum: Challenges and Opportunities
Authors:   The Bhutan Watch, Adhikari I P
Published: February 2023

The increasing unemployment, absence of government action in job creation, small market and lack of entrepreneurial opportunities are causing trouble to the Bhutanese population, especially youths, in recent years. The young and educated population is looking for greener pastures overseas and economy is surprisingly becoming remittance reliant. There are multiple factors within the country that needs government attention in order to improve the employment rate for university graduates. The country has such a small private sector that it hardly can create any new workplaces. The biggest employer is the public sector – that too is shrinking in recent years – in response to costs cutting measures. This study will focus on the historical structure of Bhutanese job market, current trends and future prospects and what it means for the Bhutanese economy in general.
Load analysis of an off-grid hybrid power system using micro-hydro and diesel power technology in the remote areas of Bangladesh
Authors:   Faculty of Engineering and Applied Science (Energy Systems Engineering), Memorial University of Newfoundland St. John’s, Newoundland and Labrador, Canada, Faiyaz Sadman Al , Hossain Habib Tahmid , Mridul Abir Hossain , Hossain Mohammad Ali , Ahmed Kazi Jubaer
Published: February 2023

Hybrid power technology plays an important role in the field of energy systems. This technology can be used with or without a grid by merging renewable and non-renewable sources. This study analyses electricity generation through an off-grid hybrid technology, which is composed of micro-hydro power and diesel generator power in a remote area of Bangladesh. In this investigation, some of the crucial cases will be examined, which are the optimum turbine placement with the aid of fluid flow simulation using the flow parameters, electric power production in a single power unit and hybrid power system unit, and cost analysis of the hybrid power system unit in order to inspect the feasibility of the system.