bluuebunny/crossref_metadata_2025 huggingface dataset:
The female-friendliness of New Zealand's tennis clubs
Authors: Johnston Mel , Naylor Michael , Campbell Amber , Fitzmaurice Jenny , Ferkins Lesley
Published: October 2022

Across an array of contexts, a ‘female-friendly environment’ is increasingly thought to positively impact participation levels for women and girls. The aim of this study is to provide insights on the female-friendliness of New Zealand’s tennis clubs. Both numeric and text data were collected as part of the 2021 National Sport Club Survey. Tennis club representatives agreed more strongly that their club has suitable changing facilities for women/girls and that playing/training times are equally allocated than club representatives across the full sample across every sport. Within a typology of female-friendly clubs, most fit into the disengaged category in which the prevailing view is unfortunately that female-friendliness isn’t an issue and that existing inclusion efforts are good enough. It is suggested that tennis organisations at regional and national level provide information and strategies to clubs that have an aspiration to become more female-friendly.
Empowerment and positive attitude, key to tennis club management
Authors: Irigoyen Miguel
Published: October 2022

In this article I share some of what I have learnt over my years working in social and sports clubs. Recruiting the workforce with a non-traditional methodology, and achieving 80% of those selected, suitable for the position. Achieving a good relationship between employee and employer as the basis of the working environment that should prevail within the Club. I share experiences, which lead us to think that each manager should create their own resources to better train the staff. Finally, I recommend reading various sources on "Empowerment", without losing sight of the fact that attitude is fundamental in the management of clubs and restaurants.
A outorga para o uso dos recursos hídricos na Região do Alto e Médio Curso Paraíba e as implicações quando do uso não autorizado.
Authors:   , Araújo de Morais Edilaine
Published: October 2022

A outorga, definida pela Política Nacional de Recursos Hídricos como um dos instrumentos para gestão das águas, que atua sob a supervisão das Agências Reguladoras em conjunto com instituições, órgãos do poder público, representantes dos usuários e das comunidades, o que traduz uma gestão participativa, democrática e descentralizada. A presente pesquisa tem por objetivo analisar se o processo para liberação de outorgas vêm sendo cumprido na Bacia do Rio Paraíba, limitando-se aos mananciais de Monteiro até o Açude Epitácio Pessoa. Enquanto os objetivos específicos visam, analisar o cumprimento da lei em relação à concessão de outorgas para uso de água; identificar se há relação entre crise hídrica e concessão de outorgas; verificar quais são as pressões antrópicas e as possíveis responsabilizações dentro da delimitação da bacia em estudo. A metodologia adotada para este estudo foi o método indutivo, onde por meio da observação dos fatos, foram adotados os meios de pesquisa através de consultas bibliográficas, dissertações, teses acadêmicas, artigos científicos, análise de ferramentas disponibilizadas no próprio site da AESA, além da observância às normas jurídicas que regulamentam os recursos hídricos, contudo, foi possível identificar problemas relacionados a licença de outorga para uso de água. Isto posto, percebeu-se que inúmeras outorgas encontram-se vencidas em toda Paraíba, cenário esse preocupante e que acende um alerta quanto ao uso indiscriminado das águas da nossa Bacia do Rio Paraíba.
Analisis Simulasi Distribusi Logistik Menggunakan Metode Transportasi
Authors: Cahya Purnomo  , Vivid Dekanawati  , Astriawati Ningrum , Sumardi  , Ganda Syahputra
Published: October 2022

Masalah transportasi pada umumnya terkait distribusi logistik dari beberapa sumber produk dengan kapasitas terbatas menuju beberapa tujuan yang meminta jumlah teretentu agar optimal. Tujuan penelitian ini menganalisis optimalisasi distribusi logistik menggunakan metode transportasi. Metode yang digunakan adalah menghitung data simulasi distribusi produk dari 3 pabrik dengan kapasitas tertentu ke 4 gudang distribusi dengan kebutuhan tertentu metode transportasi, lokasi ketiga pabrik dan keempat gudang berbeda serta biaya transportasi dari masing-masing pabrik ke masing-masing tujuan berbeda. Analisis solusi awal menggunakan Metode Least Cost (LC), kemudian optimalisasi menggunakan Metode MODI. Hasil penelitian menunjukkan bahwa Metode transportasi merupakan salah satu bentuk metode Linear Programming yang terbukti efektif dan efisien dalam menentukan optimalisasi masalah distribusi logistik dari pabrik ke gudang. Metode transportasi LC sebagai solusi awal dan metode MODI sebagai solusi optimalisasi terbukti dapat menjawab masalah transportasi secara sederhana. Hasil kedua metode transportasi sederhana tersebut terbukti dapat menunjukkan optimalisasi  distribusi turunnya biaya distribusi sebesar 8,43 %.
Rancang Bangun Sistem Kontrol dan Web Kamera pada Smart Autopilot Unmanned Ship Berbasis Web Real Time Communications (Web-RTC)
Authors: Khunaifi Moh. A. , Pambudi Dwi S.A. , Arfianto Afif Z.
Published: October 2022

Rancang Bangun Sistem Kontrol dan Web Kamera Pada Smart Autopilot Unmanned Ship (SAUS) Berbasis Web Real Time Communications (Web-RTC) merupakan penelitian yang dilakukan untuk mengembangkan dari hasil penelitian yang pernah diteliti oleh peneliti sebelumnya, serta mengembangkan sesuai saran-saran yang disebutkan oleh peneliti terdahulu, seperti menampilkan data peta dan live camera di web interface serta bisa menyimpan data pergerakan kapal yang ditampilkan pada maps. Dan juga bisa sebagai monitor histori perjalanan yang sudah dilakukan oleh kapal. Dalam melakukan penelitian tersebut, peneliti menggunakan metode web real time communication (Web-RTC) sebagai pengiriman live camea dan MQTT sebagai pengiriman data untuk mengontrol pergerakan kapal yang digerakkan menggunakan motor tempel dengan bantuan aktuator berupa mesin hidrolik untuk membelokkan kapal. Dari hasil serta penjelasan sudah dijabarkan oleh peneliti, diperoleh kesimpulan bahwa untuk membuat penelitian ini diperlukan web server sebagai tempat untuk meletakkan data baik data berupa MQTT Broker, data pengiriman GPS serta data untuk menampilkan web interface. Sedangkan untuk mengirimkan video realtime dari webcam yang tersambung dengan raspberry menggunakan Web-RTC sebagai media penghubung atau yang menjebatani pegiriman data video realtime. Sebagai rekomendasi untuk penelitian selanjutnya, bisa ditambahkan penyimpanan video dari setiap perjalanan kapal, sehingga bisa memantau semua perjalanan kapal tersebut dan dapat dijadikan evaluasi untuk perjalanan kapal selanjutnya.
Исследование зарубежных методических подходов к оценке человеческого капитала
Authors: Кулик Анна Михайловна , Герасимова Наталья Анатольевна , Когтева Анна Николаевна
Published: October 2022

В данной статье представлено исследование зарубежных методических подходов к оценке человеческого капитала. Рассмотрен подход к оценке человеческого капитала американского исследователя Г. Беккера; продемонстрирована классификация методов оценки человеческого капитала с точки зрения литовского политика А. Сакаласа; отмечены исследования Я. Фитц-енца, который предложил простую модель с гибким инструментом для оценки человеческого капитала. Помимо указанного, в работе дана подробная сравнительная характеристика категорий оценки человеческого капитала на основании эксперта в сфере управления знаниями Карла-Эрика Свейби.  Представленные методики дают возможность определить позиции по отдельным показателям, которые характеризуют уровень развития человеческого капитала. Исследуемая совокупность методик оценки человеческого капитала с точки зрения зарубежного опыта не раскрывает в полной мере применение современных факторов, влияющих на формирование и развитие человеческого капитала. Представлен методический подход к группировке регионов на соответствие показателям условий пространственного распределения человеческого капитала.

 

БлагодарностиИсследование выполнено в рамках государственного задания НИУ «БелГУ» FZWG-2020-0016 (0624-2020-0016), тема проекта «Фундаментальные основы глобальной территориально-отраслевой специализации в условиях цифровизации и конвергенции технологий».
Состояние залежных земель и особенности их спектрально-отражательных свойств на территории Среднерусской лесостепи
Authors: Терехин Эдгар Аркадьевич
Published: October 2022

Изучение залежных или оставленных аграрных земель выступает одной из актуальных задач в оценке состояния ландшафтов Среднерусской лесостепи. В статье представлены результаты анализа состояния залежных земель, типичных для региона. Изучены особенности растительного покрова залежей по состоянию на 2020 г., параметры их лесистости, обусловленной процессами естественного лесовозобновления, и спектрально-отражательные характеристики. В большинстве исследованных областей Центрального Черноземья количественно преобладают залежи с доминированием травянистых участков, но с присутствием древесной растительности. Залежи с высокой долей древесной растительности распространены в Орловской и Тамбовской областях. Наименьшую долю составляют травянистые залежи с отсутствием древесной растительности. Средняя лесистость одновозрастных залежей варьирует от 12 % в Воронежской области до 62 % в Орловской области. Высокие внутрирегиональные различия современной лесистости залежей выступают индикаторами пространственной вариации в скорости ее годового прироста. Внутрирегиональные отличия в лесистости оставленных аграрных земель проявляются в их спектрально-отражательных характеристиках красного и части инфракрасного диапазонов. Они находятся в обратной зависимости от величины покрытия залежей древесной растительностью.
Благодарности: Исследование выполнено за счет гранта Российского научного фонда № 22-27-00291.
STUDY OF THE AWARENESS AND READINESS FOR PROTECTION IN CASE OF FLOODS OF THE BULGARIAN CITIZENS FROM THE DANUBE REGION (PLEVEN MUNICIPALITY AND SVISHTOV MUNICIPALITY) - PART 2
Authors:   Department of Hygiene, Medical Ecology, Occupational Diseases and MBS Sector, Medical University, Pleven, Bulgaria., Vasileva Rositza , Georgiev Anton ,   Department of Obstetrics and Gynecology, Medical University, Pleven, Bulgaria.
Published: October 2022

A survey was conducted of 240 Bulgarian citizens from the Danube region, the Republic of Bulgaria, to study their awareness and readiness for protection and proper behavior in floods. The participants in the study were divided into two age groups: young from 18 to 39 years and mature from 40 to 64 years. The respondents live in two municipalities from the Danube region - a small municipality of Svishtov and a larger municipality of Pleven. Assessment of the awareness and readiness for proper behavior and protection of the studied group of 240 persons permanently living in the Danube region: - A small percentage of the two surveyed groups know who organizes and provides assistance to flood victims - 47% of the young and 38% of the mature group. - The percentage of sirens for early warning of danger is small in both groups of bags - 47% from a young group and 30% from an adult group. - The two age groups showed in the survey that they are well informed about the main causes of past dangerous floods in the municipalities where they live (65% correct answer in the adult group and 44% correct answer in the young group). - Below 50% in both groups is the level of awareness about problems related to deforestation, excessive deforestation and long-lasting forest fires. - Half of 50% of both age groups know in advance where to look for information related to floods or other natural threats. - There is a large percentage in both groups, 66% mature and 81% young group, who expressed in the survey a desire to increase their own knowledge and to improve and build the right behavior for protection in case of potential flood or another disaster.
Оценка сердечно-сосудистого возраста у медицинских работников
Authors: Гома Т. В. , Болдырева К. С.
Published: October 2022

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Оценка коагуляционного гемостаза у мужчин с острым коронарным синдромом моложе 45 лет
Authors: Горбачева Н. С. , Веселовская Н. Г. , Николаева М. Г.
Published: October 2022

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Роль холтеровского мониторирования ЭКГ в диагностике лекарственно-индуцированного синдрома удлиненного интервала QT
Authors: Колоцей Л. В. , Снежицкий В. А.
Published: October 2022

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Вклад продольной деформации миокарда левого желудочка в двухлетний прогноз хронической сердечной недостаточности
Authors: Николаева О. А. , Гусева В. П. , Малютина С. К. , Рябиков А. Н.
Published: October 2022

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Использование клинического анализа крови 8-diff для оценки тяжести течения новой коронавирусной инфекции
Authors: Слесарева Т. А. , Груздева О. В. , Тарасова О. Л. , Кузьмина А. А. , Алексеенко А. В. , Дылева Ю. А. , Долинчик Т. Р. , Баздырев Е. Д. , Гофман Л. С. , Барбараш О. Л.
Published: October 2022

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Bifurcation Analysis of a Piecewise Smooth Map with Two Asymptotes
Authors: Makrooni Roya
Published: October 2022

In this paper, we consider a discontinuous piecewise smooth system involving four parameters and two asymptotes, recently introduced as a model in engineering sciences. We classify and investigate its bifurcation behaviour. A local bifurcation analysis of the system in the range of parameters which has not been studied so far is undertaken and then supported by numerical computations. This reveals the existence of a flip bifurcation depends on the power singularity. Moreover, we state that a set of positive measure of points with divergent dynamic behaviour exists.
Tác dụng điều trị đái tháo đường type 2 bằng Metformin kết hợp bài thuốc "Bát tiên trường thọ" trên một số chỉ số cận lâm sàng
Authors: Hằng Vũ Việt , Cường Đặng Văn , Quyên Trần Thị Minh
Published: October 2022

Nghiên cứu nhằm đánh giá tác dụng của Metformin kết hợp bài thuốc Bát tiên trường thọ trong cải thiện 1 số chỉ số cận lâm sàng trên bệnh nhân đái tháo đường type 2 (theo YHHĐ) và Tiêu khát thể Hạ tiêu (theo YHCT). Nghiên cứu tiến cứu trên 30 bệnh nhân, so sánh kết quả trước và sau điều trị. Kết quả cho thấy: Sau 90 ngày điều trị, nồng độ Glucose máu lúc đói, chỉ số HbA1c giảm so với trước điều trị có ý nghĩa thống kê với p < 0,05; các chỉ số Ure, Creatinin, AST, ALT đều nằm trong giới hạn bình thường.
Kết quả của điện châm nhóm huyệt "QT1" trên bệnh nhân bí tiểu sau phẫu thuật chấn thương cột sống lưng - thắt lưng
Authors: Tú Nguyễn Thị Thanh , Trang Nguyễn Tuyết , Quang Tạ Đăng
Published: October 2022

Nghiên cứu nhằm mô tả kết quả của phương pháp điện châm nhóm huyệt "QT1" trong điều trị bí tiểu ở bệnh nhân sau phẫu thuật cột sống lưng - thắt lưng do chấn thương và khảo sát một số yếu tố liên quan đến kết quả điều trị. Nghiên cứu can thiệp, so sánh kết quả trước và sau điều trị. 32 bệnh nhân bí tiểu sau phẫu thuật chấn thương cột sống lưng - thắt lưng được điện châm nhóm huyệt "QT1" gồm các huyệt Quan nguyên, Khí hải, Trung cực, Khúc cốt và Huyết hải hai bên, 20 phút/1 lần/ngày. Kết quả nghiên cứu cho thấy tỉ lệ bệnh nhân rút sonde tiểu thành công là 87,5%. Số lần điện châm trung bình là 6,1 ± 4 (lần). Kết quả điều trị liên quan đến mức độ tổn thương thần kinh theo Frankel, kích thước cầu bàng quang và cảm giác có hoặc không có cảm giác buồn tiểu trước điện châm (p < 0,05).
Báo cáo trường hợp nhiễm nấm Histoplasma lan toả và nhiễm CMV tủy xương ở bệnh nhân không nhiễm HIV
Authors: Họa Lê Thị , Giang Lương Hương , Cường Đỗ Duy , Hương Phạm Thị Thảo
Published: October 2022

Trong bài báo này, chúng tôi báo cáo về một trường hợp đồng thời nhiễm nấm Histoplasma lan toả và nhiễm Cytomegalo virus (CMV) tủy xương ở bệnh nhân không nhiễm HIV được chẩn đoán, điều trị tại Trung tâm Bệnh nhiệt đới Bệnh viện Bạch Mai. Đây là ca bệnh đầu tiên được báo cáo tại Việt Nam. Bệnh nhân nam 52 tuổi tiền sử khoẻ mạnh vào vì sốt kéo dài hơn 1 tháng, gầy sút cân. Bệnh nhân được làm huyết tuỷ đồ và sinh thiết tuỷ xương có hình ảnh nhiễm nấm trong tuỷ xương và hình ảnh mắt cú. Kết quả PCR CMV trong máu và dịch tuỷ xương dương tính, cấy dịch tuỷ xương sau 33 ngày định danh ra Histoplasma capsulatum. Bệnh nhân đã điều trị thành công với Amtrophotret, Ganciclovir nội trú trong 14 ngày và tiếp tục điều trị ngoại trú Itraconazole, valganciclovir. Sự xuất hiện nhiễm nấm Histoplasma lan tỏa tại Việt Nam đã hiếm nhưng lại đồng nhiễm cả CMV ở người có tiền sử bệnh tật khỏe mạnh thì lần đầu tiên được báo cáo tại Việt Nam. Cần có nghiên cứu, tìm hiểu sâu hơn về trường hợp ca bệnh đặc biệt này.
Structuralist Pedagogy, Style, and Composition Studies: Past Paradigms’ Unfinished Possibilities
Authors: Healy Daniel
Published: October 2022

Structuralism as a working method has not come into contact with the body of compositionist scholarship for quite some time, leading writing studies scholars to conclude that its former place of prominence in the discipline was an empiricist reaction to language’s inescapable ambiguity (Crowley), or even a radical mistake counter to the very spirit of hermeneutics (Berthoff). This article takes an archival approach toward excavating composition studies’ institutional forums to better map American structuralism’s once-central role within a discipline that has long since rejected it. Furthermore, it aims to raise the specter that seemingly dead-end structuralist methodologies—A. J. Greimas’ structural semantics (1966/1983, Structural Semantics), Frank DeAngelo’s theoretical bridging of structural linguistics, rhetoric, and case grammar (“Generative Stylistics: Between Grammar and Rhetoric,” “Notes toward a Semantic Theory of Rhetoric within a Case Grammar Framework”)—hold possibilities for linking sentence-level style to whole-text rhetorical meaning in theorizing and teaching writing.
Poet as Literary Cartographer: Literary Cartography in Elizabeth Bishop’s “The Map”
Authors: Yuan Yongdan , Altieri Charles
Published: October 2022

Scholars tend to focus on Bishop’s sense of place, travel writing, and geographical feelings, yet few scholars examine her role as a literary cartographer. This article explores Bishop’s literary cartography considering her obsession with mapping and exploration. But Bishop also carefully revises the mapmaker’s task to define possibilities for imaginative reversals of cartographic practices. We concentrate on the imaginative logic motivating her implicit contrast between “The Map” and “A Map.”
Fatores associados ao desenvolvimento de lesões por pressão em cirurgia eletiva: revisão integrativa
Authors: Dos Santos Karla Prsicilla Paulino , De Lima Suzinara Beatriz Soares , Eberhardt Thaís Dresch , Silveira Lidiana Batista Teixeira Dutra , Soares Rhea Silvia de Avila , Pozzebon Bruna Rossarola
Published: October 2022

Objetivo: Identificar os fatores associados ao desenvolvimento de lesão por pressão (LP) no período perioperatório em indivíduos submetidos a cirurgia eletiva. Método: Revisão integrativa da literatura realizada, em 2021, com o auxílio da Biblioteca Virtual em Saúde (BVS). Resultados: Identificaram-se 135 artigos na base de dados, dos quais 19 foram selecionados para extração dos resultados. Os critérios de inclusão dos artigos foram: serem originais, responderem à pergunta de pesquisa, publicados em português, inglês ou espanhol, apresentarem como população: pacientes cirúrgicos; como exposição: fatores de risco no pré-operatório, intraoperatório ou pós-operatório; e como resultado: desenvolvimento de LP. Dos artigos incluídos, 15,8% foram realizados no Brasil, com predominância do nível de evidência NE=2 (n = 15; 68,2%). Conclusão: Associaram-se ao desenvolvimento de lesão fatores intrínsecos e extrínsecos relacionados com cirurgia, medicamentos em uso, comorbidades, estado clínico pré-cirúrgico, sexo, idade, ser admitido de um outro local que não sua residência, cirurgias abertas, tipo de cirurgia, tipo de anestesia, episódios hipotensivos, transfusão, tempo cirúrgico, uso de coxim, condições da pele, aumento da pressão no intraoperatório, temperatura da pele, hipotermia.
Prevalence of Iron Deficiency Anemia Amongst Patients Infected with Helicobacter Pylori at Tertiary Care Hospital
Authors: Hussain Amjad , Nadeem Muhammad , Khan Radhia , Khalid Muhammad , Iqbal Komal , Ishfaq Muhammad
Published: October 2022

Background: Anemia is a worldwide public health issue, prevalent in both industrialized and developing nations. In recent studies, an infection with H. pylori has been linked to a variety of hematological problems like iron and vitamin B12 deficiencies. Objective: To find out the prevalence of iron deficiency anemia amongst patients infected with helicobacter pylori Methodology: The current study was cross-sectional carried out at the department of medicine, Qazi hussain Ahmad Medical Complex for duration of one year from 20-July 2020 to 30-July 2021. To determine the iron deficiency anemia, blood samples were taken from all the patients and sent to the concerned laboratory of the hospital for the required diagnostic tests. All the analysis of data was done by using IBM SPSS version 23. Results: In this study totally 100 patients were included. There were 48 (48%) males and 52 (52%) females’ patients. The mean age in the current study was 39.11 (±10.12) years. Overall, iron deficiency anemia was observed in 35 (35%) patients. Based on the stratification of iron deficiency anemia with age and gender, no significant association was observed (p˃0.05). Conclusion: Our study concludes that the prevalence of iron deficiency anemia amongst patients infected with helicobacter pylori is high. Our study recommends screening of all iron deficiency anemia patients of unknown cause for helicobacter pylori infection. Keywords: Iron deficiency anemia; Helicobacter pylori; Infection
Health Problems among School Children: A Community Based Cross-Sectional Study at District Swat Khyber Pakhtunkhwa Pakistan
Authors: ullah Naeem , Khan Muhammad Jibran , Khan Sara Jamil , Qazi Nadia , Wahid Muhammad Iqbal , Iqbal Arif , Ishtiaq Muhammad
Published: October 2022

Background: Health status of school children and their school environment plays an important role in the development of physical and mental health, and good personnel behaviors had a significant role in future life of children. Objective: This study was conducted to estimate the frequency of health problems among school children of district Swat, Khyber Pakhtunkhwa Pakistan. Methodology: This study was conducted in district Swat, Khyber Pakhtunkhwa; Pakistan. A total of n=225 school children of age 4-12 years were selected and examined for health problems. A structured questionnaire was used to assess the health status of children regarding health problems. Results: Results showed that 45.56% of children had age < 8 years; 54.44% had age > 8 years; 81.33% of children parents had monthly income < PKR: 45000; 56% children living in mud-made homes; and 46.675 were underweight. Moreover, 15.56% of children had eye discharge; 28.89% backache; 8.44% ear discharge; 16.445 earaches; 47.11% poor oral hygiene status; 60.44% were not using toothbrush; and 22.67% had dental caries. Furthermore, 41.33% had not clean their hair and not took bath within last 48 hours; and 32.89% had poor nail hygiene status for the past one week. Conclusions: It was concluded that school children had several medical health problems and showed relationship with hygiene status of children, tooth-brushing use and its frequency, parents monthly income, and body mass index of children and thus adequate preventive, promotive and behavioral strategies were needed to reduce health problems among school going children. Keywords: School Children, Health Status, Underweight, Eye, Ear, Hygiene, Income, Swat, Kohat.
Etiology of Acute Undifferentiated Fever in Patients Attending the Emergency Department of a Tertiary Care Hospital
Authors: Hussain Amjad , Nadeem Muhammad , Naeem Sobia , Khalid Muhammad , Iqbal Komal , Ishfaq Muhammad
Published: October 2022

Background: The presence of a fever is one of the most often reported symptoms to medical professionals working in emergency department. It may be linked to a variety of clinical diseases, ranging from simple viral infections that go away on their own to sepsis. Objective: To assess the etiology of acute undifferentiated fever in patients attending the emergency department Methodology: This retrospective study was carried out at the medicine department, Qazi Hussain Ahmad Medical Complex, Nowshera for duration of one year from 20-July 2020 to 30-July 2021. All the enrolled patients were diagnosed for different diseases like malaria, urinary tract infection, dengue fever, enteric fever and pneumonia. All the data analysis was done by using IBM SPSS version 24. Results: In this study, the male patients were 108 (60%) while female patients were 72 (40%). Out of 108 diagnosed patients, 48 (44.44%) patients were diagnosed with malaria (79.17% P.vivax and 20.87% P.falciparum) followed by dengue fever in 30 (27.78%) patients, enteric fever in 13 (12.04%) patients (92.31% S.typhi, 7.69% S.paratyphi), urinary tract infection in 11 (10.19%) patients and pneumonia was diagnosed in 6 (5.56%) patients. Conclusion: Our study concludes that the predominant etiology of undifferentiated fever was malaria followed by dengue fever. In about 40% of the cases the laboratory tests were inconclusive. Keywords: Acute undifferentiated fever; Etiology; Emergency
Comparison of Low Back Pain in Working and Non-Working Pregnant Females
Authors: Rizwan Kanwal , Khan Muhammad Yawar Azeem , Mansoor Syeda Rafia , Qadree Muhammad Shahzad , Ahmed Zeeshan , Khan Ibrar Muhammad
Published: October 2022

Background: Pregnancy is the period during which a fetus develops inside the uterus or womb of a female. Low back pain is common during pregnancy, and it can have serious effects on physical, mental, emotional health during daily activities of living. Job routine commitments in working women may have impact on the level of low back pain during. Objective: To compare the low back pain in working and non-working pregnant females. Methodology: This was a descriptive cross-sectional study. The data was collected through validated Oswestry Disability Questionnaire and numeric pain rating scale from 121 pregnant females, 25 working and 96 non-working females, between the ages of 20 to 40 years with having low back pain working or non-working from Fatima Memorial Hospital, Lahore from October 2020 to March 2021 using non-probability convenience sampling. Statistical analysis was performed using SPSS 25.0 software. Result: The mean age of the study is 27.91. Independent t-test showed statistically non-significant difference between back pain of working (n=25, M=5.76, SD=0.413) and non-working (n=95, M=5.78, SD=.186) females, t(120)=.080, p=.936. the 95% confidence interval was -.0798 to 0.865. so, it failed to reject the null hypothesis. Also, there was no statistically significant difference between disability of working (n=25, M=12.68, SD=.8.112) and non-working (n=95, M=15.27, SD=8.350) females. t(120)=-1.390, p=.167. the 95% confidence interval was -6.282 to 1.100. so, it failed to reject the null hypothesis Conclusion: The findings of study concluded that both working and non-working females have a statistically non-significant, equal level of pain and disability due to low back pain during pregnancy. Keywords: Pregnancy, Low Back Pain, Working Women, Non-Working Women, Housewife, Female Job
Analysis of the Prevalence of Fractures Caused by Bicycle Accidents
Authors: Khan Zahir , Ali Asghar , Zia Aimon , Ullah Saif
Published: October 2022

Objective: The purpose of this study is to examine the epidemiological features of fractures that are received in bike accidents. Study design: Retrospective study Place and duration of study: Department of Orthopedic, Mardan Medical Complex, Mardan for the period of one year from January 2021 to January 2022. Methods: There were 210 patients of bike accidents were analysed through severity scoring system. Various bike types, fractures sustained, rate of mortality, helmet usage was analyzed. Detailed demographics of enrolled cases included age, sex, BMI and localities were recorded after taking informed written consent. Outcomes were assessed in terms of fractures sustained during accidents. We used SPSS-21.0 to analyze our data. Results: There were 54.8% males and 45.2% females. The mean age of the patients was 31.8±6.17 years. We found that 192 (91.4%) patients wear no helmet. The presentation of the injuries showed that majority of the cases 100 (47.6%) had lower limb injuries. The majority of patients with multiple injuries also suffered from upper limb, facial, spinal and chest trauma. Overall mortality rate was 22 (10.5%). Conclusion: We concluded in this study that wearing helmets can reduce the severe life threatening injuries caused by bike accidents. Keywords: bike accidents, fractures. Mortality, multiple injuries
Comparison of Histopathological Features of Breast Cancer in Young and Elder Women
Authors: Kour Amika , Khan Ikram Ullah , Sharifi Mohammad Sharif , Hamdard Matiullah , Zia Huma , Khan Pordil
Published: October 2022

Background: One of the major causes of mortality in females worldwide is breast cancer. It is evident from previous studies that breast cancer is significantly different clinicopathologically in young women than in older women. In contrast, other studies have found no such evidence. Objective: The current study's purpose was to compare breast cancer prevalence among young women to that in older patients regarding clinicopathological features and prognostic factors. Material and Methods: All the included patients with lesions in the breast were diagnosed via sonography/mammography and later subjected to histopathological biopsy. Who had undergone mastectomy or surgery for breast conservation, Adjuvant chemotherapy, tamoxifen, and radiation therapy as possible treatment choices. Tumour size, lymph node condition, histological grade, mitotic rate, oestrogen p53, the MIB-1 proliferation index, the prevalence of levels of estrogen receptors, c-erbB2 expression, and these components were analyzed using immunohistochemistry and histopathology. Prognostic comparisons were performed to those for women with this disease 60 years of age and older with a focus on it occurring or appearing again, Results: Clinical and pathological evaluations were performed on 40 patients with operable breast cancer under 40 and 80 patients older than 60 years. Elderly patients with breast cancer had a more aggressive phenotype than younger ones, with larger tumours (with 25 (31.25%) patients diagnosed with tumour size more than 5 cm), more lymph nodes involved, and greater levels of c-erbB2 (42 (52.5%) patients). However, these were typically only present in more advanced stages. Despite higher positive ER (34 (42.5%) patients) and PR (34 (42.5%) patients), additionally, a greater MIB-1 proliferation index (54 (67.5%) individuals) was observed in the elderly group compared to younger patients. Even though tamoxifen treatment and adjuvant chemotherapy became more popular. The rates of setback or re-appearing of the tumour, metastasis (30 (37.5%) individuals), and mortality (30 (37.50%) participants) were still more remarkable in elder patients. Conclusion: It is concluded that in Pakistan, the prognosis associated with breast cancer in young adults is poor. Keywords: p53, MIB Breast cancer, women – 40, fibroadenoma, papilloma
Evaluation of Trace Elements in Patients with Senile Cataract
Authors: Khan Abdul Sattar , Memon Shahida Hassan , Sheikh Shakeel Ahmed , Memon Ali Raza , Kumar Gunesh , Shahani Muhammad Yaqoob
Published: October 2022

Background: Senile cataract is a common cause of blindness among older people. The problem is common among adults of age 40 and older. There are various factors that cause senile cataracts among adults. These factors include protein and lipid variations, genetic role, and the existence of trace elements like magnesium, zinc and copper. Aim and objectives: To evaluate the level of zinc and relationship between copper, and magnesium in patients with senile cataract by comparing with healthy subjects. Material and Methods: This study has a key focus on examining the effect of trace elements on senile cataract patients. We conducted experiments when 100 people (50 patients and 50 non-patients). Absorption spectrometry was used to examine the blood samples of the people who took part in the research. Results: It was noted during the results that most of the patients developed senile cataracts after crossing the age of 50. It was also noted from the results that the concentration of copper and zinc was higher in the patients as compared to the non-patients, while the concentration of magnesium was lower in the patients as compared to the non-patients. Based on these results, it can be stated that an increase in the concentration of copper and zinc increases the chances of senile cataracts. The decline in the concentration of magnesium increases the chances of senile cataracts. Also, out of these patients, a majority of them were females. Therefore, there are chances of biased results in this study that can be improved in future studies with the number of patients and an equal number of males and females. Conclusion: The concentrations of copper and zinc were significantly higher in patients than in the non-patients, whereas the concentration of magnesium was lower in the patients than in the non-patients. Based on these findings, it may be concluded that an increase in copper and zinc concentrations increases the risk of senile cataracts. Keywords: zinc, copper, magnesium, senile cataract, healthy subjects.
Assessment Level of Knowledge about Supplementary Polio Immunization in Mothers Presenting to Pediatric Population
Authors: Ullah Waheed , Khan Sara Jamil
Published: October 2022

Introduction: Humans are the only known reservoir of polio virus. Polio virus infection in humans can cause a crippling paralysis in a fraction of the infected patients. Due to permanent nature of the paralysis, low mutation rate of the virus, restriction of polio virus to human hosts and overall feasibility of polio eradication, the polio virus became the target of aggressive vaccination campaigns via supplemental polio immunization (SPI) across the world for more than two decades. To determine the level of knowledge about supplementary polio immunization in mothers presenting to pediatric Population. Materials and Methods: This study was conducted in the Pediatric Department, OPD, District General hospital Timergara from 29-04-2021 to 29-7-2022. Through a descriptive, cross-sectional study design, 216 mothers of children aged 0-5 years, accompanying their children to the pediatric OPD, were included in the study through a consecutive manner and interviewed using a structured questionnaire. Results: In this study 216 mothers were included. Mean age of the mothers was 30.97 years. Most mothers had average level of knowledge (48.6%) while 30.6% had poor level of knowledge regarding supplementary polio immunization. Most common religion was Islam (96.3%). Illiteracy was the most common educational status (32.9%) followed by secondary (22.7%) and primary (19.4%) education. Majority (58.8%) of mothers were housewives. Pearson Chi Square test for Level of Knowledge wise stratification of Educational Status of the mother gave a value of 2=45.793 and was significant at p<0.05. Level of Knowledge wise stratification of Religion of the mother had 9 cells (75%) with expected count less than 5. Level of Knowledge wise stratification of Occupational status of the mother had 2=10.148 with p=0.11(i.e.>0.05). Finally, the Level of Knowledge wise stratification of Age groups of mothers had 2=2.87 with p=0.94(i.e. >0.05). Conclusion: Level of Knowledge of mothers regarding supplementary polio immunization is significantly associated with maternal educational status Keywords: Polio, supplementary polio immunization, polio drops
India’s Membership of Missile Technology Control Regime: Implications for South Asia
Authors: Ghazala Yasmin Jalil
Published: October 2022

India’s membership of the Missile Technology Control Regime (MTCR) affects strategic balance in South Asia particularly, Pakistan. India’s membership of the group would aid India’s missile and space programmes, providing it access to technologies and missile systems hitherto unavailable to it. This may include Unmanned Aerial Vehicles (UAV) like Global Hawk and Predator, which the US has employed for reconnaissance and counter-terrorism along Pakistan Afghanistan border to strike targets within Pakistan’s territory, violating its sovereignty. India’s acquisition of these systems will pose a threat to Pakistan. The MTCR membership would accelerate India’s missile programme, thereby, exacerbating an arms race in South Asia. It would also further tilt the regional balance of power in India’s favour. However, the bigger threat is the quest to win India a place at the high tables in the world and to build it up as a regional and global power. After looking into the pros and cons of Pakistan joining the MTCR, this article concludes that presently it is not in Pakistan’s favour to join the group since it may help the US and the West to hinder or curtail Pakistan’s missile programme.
Indian Interference in Balochistan: Analysing the Evidence and Implications for Pakistan
Authors: Mir Sherbaz Khetran
Published: October 2022

An Indian serving naval officer, Kulbhushan Yadav got arrested by the law enforcement agencies of Pakistan in March 2016, when he was trying to enter Pakistan from the Saravan region, located in Balochistan, Pakistan. India’s involvement has created serious implications for the national security and economic progress of Pakistan. Furthermore, this may eventually lead to permanent instability in the region. The United Nations (UN) was also provided with the dossiers of the Indian patronage to the insurgent groups in Balochistan by the Government of Pakistan (GoP) regarding terrorist activities being funded and monitored by the Research Analysis Wing (RAW) ─ the Indian intelligence  agency. The paper argues that the Indian interference in the neighbouring countries, particularly in Pakistan, is causing instability. It will try to examine the Indian interference in its neighbouhood in the light of The Arthashastra, a book written by Kautilya during the Chandragupta Maurya’s reign. What choices does a resilient Pakistan have in order to counter the consequences of a hegemonic India in the light of Kautilya’s theory? Suppression of an immediate neighbour (Pakistan) and friendship with the distant neighbours (Afghanistan and Iran) is what the theory suggests.
Presidential Change in the US: Implications for Pakistan
Authors: Sarah Akram
Published: October 2022

The recent Republican win of Donald Trump, as the new President of the US, has raised several questions about what shape the Pak-US relations will take under the Trump administration. Analysts, policy makers and the general public have been sceptical about the new Republican nominee’s stance towards Pakistan, as has been evident from his previous statements. Also, since the US policy has not been a balanced one in recent years, owing to the situation in the region, it is pertinent to note that in recent times, the US has also been largely tilted towards Pakistan’s arch rival ─ India. Moreover, the decisive factors, likely to influence relations between the two countries, are the rise of China and the security situation in Afghanistan through which a not so pro-Pakistan, the Republican presidency will view the country and adjust its strategic interests to this part of the world. Counterterrorism operations are likely to be under constant review, as well as aid to Pakistan. The “do more” phenomenon is expected to reverberate with more enthusiasm from a Republican Congress backed by a Republican president. The most likely implication for Pakistan can be of extreme disengagement in case the Trump presidency decides to isolate the country, but a total cut off is not likely due to Pakistan’s strategic location. This paper attempts to discuss what could be the possible implications for Pakistan while keeping in view that the Trump administration has assumed power recently. The Trump administration has largely been silent on its Pakistan policy, with the exception of a few statements.
Interaction Elements in Full Motion Video Games
Authors: KALENDER Özgür , UÇAN Bahadır
Published: October 2022

Özellikle son yıllar içerisinde artan interaktif medya üretimleriyle birlikte etkileşim teriminin kullanımı da büyük oranda artmıştır. Bu gelişmelerin ışığında multimedya, hipermedya, birleşik medya, bilgi otoyolu ve dijitalleşme gibi terimlerin kullanımında da artışlar gözlemlenmektedir. Tüm bu terimler, üretilen bir interaktif medya tasarımının yapısı olarak incelenebildiği gibi, bu tasarımın kullanıcı ile olan etkileşimi altında da incelenebilmektedir. 1980’lerin başında geliştirilen CD-ROM teknolojisi ile birlikte daha çok alana veri aktarma imkanı bulan tasarımcılar, pasif bir izleyiciyi aktif bir kullanıcıya dönüştüren Tüm Devinimli Video Oyunu üretimlerini arttırmışlardır. 1974 yılında Nintendo tarafından geliştirilen “Wild Gunman” bu tarz oyunların gelişmesi için ilk örnek olma özelliğini taşımaktadır. Özellikle kendi maceranı seç konseptini benimseyen tüm devinimli video oyunları, kullanıcılar ile birebir girdikleri etkileşim sayesinde kişisel seviyede bir deneyim ortaya çıkarmaktadırlar. Bu çalışma; Özgür Kalender’in Yıldız Teknik Üniversitesi İnteraktif Medya Tasarımı Yüksek Lisans Programı bünyesinde Doç. Dr. Bahadır Uçan danışmanlığında hazırladığı “Tüm Devinimli Video Oyunlarında Arayüz ve Anlatı Tasarımı İncelemesi” başlıklı tezinden türetilmiştir ve kullanıcı ile birebir etkileşim içerisinde bulunan ve kendi maceranı seç özelliği taşıyan tüm devinimli video oyunlarının etkileşim unsurlarına genel bir açıklama getirmek üzere düzenlenmiştir.
The Ontological Choice of the Philosopher
Authors:   Sofia University, Kamburov Ivan
Published: October 2022

The text reveals the approaches of the philosopher as a thinker to be in the being. Two possible paradigms for achieving the absolute as a form of philosophizing are presented. One is related to the school-academic historicalphilosophical approach, and the other is related to metaphysical experience as an act. The thesis is asserted that the metaphysical goal is achievable only as an individual practical experience of transcendence through the action of the thinker conceived as a precedent. The understanding is argued that it is in the metaphysical act that the thinker objectifies philosophical wisdom, not just the love of philosophy.
O papel dos fundos setoriais no fomento à pesquisa e à inovação
Authors: Souza Oreonnilda de , Souza Leiraud Hilkner de , Amaral Creusa Sayuri Tahara , Barboza Ricardo Augusto Bonotto
Published: October 2022

O objetivo desse estudo foi compreender a organização do Sistema Nacional de Ciência, Tecnologia e Inovação brasileiro e as fontes de recursos à ciência, tecnologia e inovação (CT&I) para verificar o papel dos Fundos Setoriais, enquanto instrumentos de políticas governamentais e de apoio ao desenvolvimento científico e tecnológico. A estratégia metodológica foi uma revisão de literatura, analisando-se informações registradas em diversas obras, documentos oficiais do governo e de órgãos e entidades de CT&I a partir do ano de 2001; também foi realizado um levantamento sobre o Programa Horizon 2020 da União Europeia. Os resultados demonstraram que o SNCTI brasileiro ainda é incipiente se comparado a outros países quanto ao fomento financeiro à CT&I e que os Fundos Setoriais tornaram-se instrumentos para centralização de gestão, com pouca transparência, dificultando a apuração de seu desempenho e dos impactos por ele gerados, sendo um fator antagônico às propostas e objetivos que justificaram sua própria criação. Todavia não se pode negar que os Fundos Setoriais têm importante papel para disseminação de conhecimentos e implementação tecnológica fomentando, ainda aquém do que deveria, o incentivo à inovação no País.
Estágio supervisionado obrigatório realizado no bojo da pandemia: o que dizem os egressos de um curso de licenciatura em matemática?
Authors: Morais Camila do Carmo , Delaia Maria Margarete , Silva Kátia Regina da , Sabino Elizabeth Rego , Piano Carlesom dos Santos
Published: October 2022

Objetiva-se nesta pesquisa analisar os dizeres dos egressos do curso de Licenciatura em Matemática, da Faculdade de Matemática (Famat), da Universidade Federal do Sul e Sudeste do Pará (Unifesspa) acerca das percepções que têm das práticas que realizam/realizaram em turmas da educação básica da rede pública, municipal e estadual de Marabá, no Pará, no decorrer das disciplinas de Estágio Supervisionado Obrigatório (ESO), no formato remoto. Optou-se pela abordagem qualitativa e os dados foram coletados a partir de entrevistas semiestruturadas. Dentre os resultados, percebeu-se que apesar de apresentar algumas limitações, principalmente, por impossibilitar a inserção e vivência dos estagiários no contexto escolar, o estágio no formato remoto proporcionou muitos aprendizados que podem ter contribuído para o processo de construção da identidade docente inicial nos licenciandos/estagiários. Além disso, é possível inferir, que essas aprendizagens podem ser estendidas para ensino presencial e, assim, contribuir para a melhoria do processo de ensino e aprendizagem.
Assessing the effectiveness of online learning for first year MBBS students during COVID-19 lockdown
Authors: Nagashree M. V. , Raghavendra D. R. , Singh Amar L. , Chandragirish S. , Gireesh Gireesh , Pare Vidyashambhava
Published: October 2022

Background: From last few decades there are many changes taking place in the field of medical education moving from traditional method to more towards online/ e-learning method using internet. The advent of electronic devices like mobile, i- pad, laptops and explosion of social media technology provides opportunities for learners to create their own personalised learning experience. Objective: To assess the effectiveness of online learning among first MBBS students during COVID-19.  Methodology: A Cross sectional study was conducted among 120 MBBS First year medical students for a period of 6 months (May 2020 to November 2020) at KVG Medical College. Informed consent was obtained from all the students prior to the start of the study. The online classes were conducted due to covid-19 lockdown in our institution from May 2020 as per the guidelines from RGUHS.  Results: In the study majority of students had concentration time of 30 min (71.7%), majority of them opined that they had moderate disturbance during online class (53.3%), majority of them opined that they had moderate internet or network issues (53.3%), majority of them used mobile phone for online class (70%).
An extensive work on comparing sentiment patterns in twitter archives between two persons
Authors: Sundravadivelu K. , Thangaraj M. , Gnanambal S.
Published: October 2022

In social media starting from 2006 Twitter gets Major attention because of the text shared via Twitter causes positive or negative impacts. Hence comparing two persons twitter archives is important to analyse the similarity of words they use semantics of the reviews and finding the Trends of words. This study evaluates how the characteristics of tweets are changing over years.  This study finds which words used in tweets cause a number of retweets and also returns the sentiments of tweets.