bluuebunny/crossref_metadata_2025 huggingface dataset:
Severe hypocalcemia as a cause of transient ischemic attack? A debatable case and evidence from literature
Authors: Zufry Hendra , Debbyousha Maulina , Firdausa Sarah , Ekadamayanti Agustia S. , Sucipto Krishna W. , Sari Julia
Published: August 2023

Hypocalcemia and transient ischemic attack (TIA) are different medical disorders; however, limited evidence suggests a possible link between the two. The underlying pathomechanisms by which hypocalcemia may cause cerebrovascular damage are difficult to comprehend. The aim of the study was to present an individual experiencing TIA that possibly due to severe hypocalcemia that associated with hypoparathyroidism after total thyroidectomy; and to explore the available evidence of its cause-effect relationship through available literature. A 68-year-old man presented to Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia with complaints of weakness, especially in the right limbs that had worsened in the last week. The patient experienced unconsciousness for an hour before the admission; disorientation and anterograde amnesia over the time of recovering of consciousness. Other complaints included frequent muscle cramps, numbness in both arms and legs, dizziness, swallowing difficulty, nausea, and vomiting. The patient had a history of total thyroidectomy for a large struma diffuse 18 years ago and was prescribed several medications. However, the patient was overwhelmed by forgetfulness which had become more frequent in recent months resulting in medication nonadherence. The vital sign was stable and Chovsteck's sign was positive. The Montreal Cognitive Assessment (MoCA) revealed impairment in the visuospatial/executive component and delayed memory. Laboratory tests revealed severe hypocalcemia, altered thyroid function, hypomagnesemia, elevated D-dimer and fibrinogen, and vitamin D deficiency. TIA and severe hypocalcemia were proposed as the diagnosis. Prompt initiation of appropriate treatment, including calcium supplementation, anticoagulation, and neuroprotective agents, led to significant clinical improvement. Evidence from available literature suggests that there is a possible link between severe hypocalcemia and TIA that occurred in this patient. However, more studies are warrant to establish this cause-effect relationship.
ОПРЕДЕЛЕНИЕ МОЩНОСТИ НА ПРОЦЕСС СМЕШИВАНИЯ В ШНЕКОЛОПАСТНОМ СМЕСИТЕЛЕ
Authors: Бралиев Майдан , Ведищев С.М.  , Давлетьяров А.Ш.  , Умбеткалиев А.Н.
Published: August 2023

На основании обзора существующих конструкций смесителей для составления рассыпных кормосмесей предлагается тихоходный смеситель периодического действия с неподвижным прямоугольным корпусом и двумя горизонтально расположенными принудительно смешивающими комбинированными рабочими органами с чередующимися участками.

Смеситель состоит из бункера с выгрузными патрубками и заслонками, двух мотор-редукторов, двух рабочих органов, каждый из которых состоит из двух частей, вращающихся в противоположные стороны, на рабочих органах размещены участки шнековой навивки, двух перемешивающе-транспортирующих лопаток и перебрасывающих лопастей. Перемешивающе-транспортирующие лопатки имеют возможность поворота относительно оси вала. Радиусы перебрасывающих лопастей, шнековой навивки, перемешивающе-транспортирующих лопаток первой и второй частей рабочего органа равны между собой.

Смеситель по длине разбит на четыре участка:  участок перебрасывающих лопастей; два участка перемешивающе-транспортирующих лопаток и участок шнековой навивки.

В связи с тем, что смеситель  имеет участки шнековой навивки, перебрасывающих лопастей и перемешивающе-транспортирующих лопаток,  суммарная мощность будет складываться из потребных мощностей каждого участка, определяемых в зависимости от величины полезного объема и средней высоты смеси в бункере, времени цикла, частоты вращения рабочих органов и физико-механических свойств сухих рассыпных мактериалов в процессе смешивания.
Eİ için tasarlanan kafes yapıların yapısal davranışlarının incelenmesi
Authors: AKBULUT Aysu , TOP Neslihan , GÖKÇE Harun
Published: August 2023

Endüstriyel gelişmelerin ışığında, üretilen parçaların hafif, dayanıklı, fonksiyonel ve ergonomik gibi özelliklerindeki artan istekler, üretim teknolojilerinde ve tasarım yaklaşımlarında farklılaşma zorunluluğu oluşturmuştur. Eklemeli imalat teknolojisi ve eklemeli imalata uygun tasarım yaklaşımları, bu farklılığın önemli çıktıları olarak görülmektedir. Eklemeli imalat teknolojileri bu gereklilikleri karşılamak için ideal bir seçenek olarak karşımızdadır. Bu çalışmada, eklemeli imalata uygun tasarım yaklaşımlarından biri olan kafes hücre tasarım yaklaşımı ele alınmıştır. Kübik-tahedron, okta-ocrethedron ve rhombus-dodecahedron kafes yapıları yapısal dayanım ve gözeneklilik özellikleri için sonlu elemanlar analiz metodu kullanılarak incelenmiştir. Elde edilen sonuçlar, kübik-tahedron kafes yapısının diğer kafes yapılarına göre daha yüksek dayanım sağladığını göstermiştir.
Bacterial vaginosis and trichomoniasis: prevalence, associated factors, and performance of diagnostic tests
Authors: Camargo Kélvia Cristina de , Alves Rosane Ribeiro Figueiredo , Saddi Vera Aparecida , Ramos Jéssica Enocêncio Porto , Lima Jamila Pimentel , Souza Camila Lemes de , Baylão Luciano Augusto , Santos Silvia Helena Rabelo dos , Ribeiro Andrea Alves
Published: August 2023

Introduction: Bacterial vaginosis and vaginal trichomoniasis are frequent causes of health care demand. Objective: To estimate the prevalence, identify associated factors, and investigate the performance of diagnostic tests for bacterial vaginosis and trichomoniasis. Methods: Cross-sectional study with participants over 18 years old. All of them were submitted to an interview and gynecological examination with evaluation of vaginal secretion, pH verification, collection of material for Pap smear, wet mount test, Whiff test, bacterioscopy, and polymerase chain reaction for trichomoniasis detection. Logistic regression analysis was applied to identify associated factors with bacterial vaginosis. Diagnostic performance for bacterial vaginosis was evaluated following Amsel criteria, the Ison and Hay score, and the Pap smear, considering the Nugent score as the gold standard. As for trichomoniasis, diagnostic performance was evaluated through the Pap smear and the wet mount test, using the polymerase chain reaction as the gold standard. Results: The prevalence of bacterial vaginosis was 33.7%, and for trichomoniasis, 0.5%. The complaint of abnormal vaginal secretion was associated with the diagnosis of bacterial vaginosis (odds ratio 2.2). The diagnostic accuracy by Amsel criteria, the Ison and Hay score, and the Pap smear was 35.6, 97.0, and 84.2%, respectively. The sensitivity for trichomoniasis through wet mount test was 0.0%, and through the Pap smear, 100%. Conclusion: The prevalence of bacterial vaginosis was high, and trichomoniasis was low. The only associated factor with bacterial vaginosis was the report of abnormal vaginal secretion. The methods with the most accurate diagnostic performance for bacterial vaginosis were the Ison and Hay score and the Pap smear and, for trichomoniasis, the Pap smear.
Design and Development of Neutronics and Thermal Hydraulics Modeling Code for ACP1000 Nuclear Reactor Dynamics in LabVIEW
Authors: Arshad Habib Malik  , Feroza Arshad  , Aftab Ahmad Memon
Published: August 2023

An advanced neutronics and thermal hydraulics nuclear code, called GNTHACP code, is designed and developed in LabVIEW as Graphical Neutronics and Thermal Hydraulics toolkit for 1100 MWe Advanced Chinese PWR (ACP-1000) nuclear power plant.  The reactor neutronics model is developed using a nonlinear point reactor kinetics model, while, the reactor thermal hydraulics model is developed based on nonlinear fuel and coolant temperature dynamics. The heart of the GNTHACP code is the control rod reactivity model. Control rod reactivity banks are comprised of four power compensation banks G1, G2, N1, N2 and one temperature compensation bank R. The reactivity control configuration of these banks is highly nonlinear, complex and challenging in nature. The control rod reactivity model as a function of G1, G2, N1, N2 and R banks is optimized using two distinct techniques. The control rod reactivity model is optimized using Simplex Linear Programming (SLP) technique under constraints of reactor power as safety limit and control rod speed as maximum speed limit in LabVIEW. The control rod reactivity model is also optimized and investigated using nonlinear Sequential Quadratic Programming (SQP) technique under same constraints in LabVIEW. All the models are integrated and the state-of-the-art virtual instruments (VIs) are designed for cost function optimization, configuring models and calibration of model parameters in LabVIEW. The integrated model as graphical coupled neutronics and thermal hydraulics modeling code is optimized and validated against the Final Safety Analysis Report (FSAR) and different parameters of interest are investigated and proved within design limits as reported with CORCA and CORTH benchmark nuclear codes. The proposed code is stable, highly efficient and accurate as compared to other nuclear codes.
Istanbul - the city of Joseph Brodsky and Orhan Pamuk: lyrics of romanticism and postmodernism
Authors: Шишхова Н.М. , Анкудинов К.Н.
Published: August 2023

В статье рассматриваются произведения двух всемирно известных авторов: Иосифа Бродского и Орхана Памука. Исследуются точки соприкосновения их автобиографии и художественной прозы. Обращение к этой тематике объясняется характерным для последних десятилетий «биографическим бумом», увлечением мемуарами. Анализ, проделанный в исследовании, расширяет сферу понимания жизнеописания за счет поиска его новых форм и примеров. Они связаны прежде всего с постмодернистской парадигмой, представленной работами Мишеля Фуко, Юлии Кристевой и Ролана Барта.

The article deals with the works of two world famous authors: Joseph Brodsky and Orkhan Pamuk. The study investigates the meeting points of their autobiography and fiction. The authors address the topic related to the typical of the last decades “biographical boom” and the passion for memoirs. The analysis done in the study expands the scope of understanding a biography by searching for its new forms and examples. They are associated primarily with the postmodernist paradigm represented by the works of Michel Foucault, Julia Kristeva and Roland Barthes.
Thematic group of words with a semantic component "place" in the lexical system of the Hattian and Abkhaz-Adyghe languages: semantic, typological and word-formation aspects
Authors: Абрегов А.Н. , Тихонова А.П.
Published: August 2023

В статье выявляются и описываются структурно-типологические особенности абхазо-адыгских лексем, обозначающих «место». Особое внимание уделяется реализации семантико-словообразовательных средств в данных лексемах. Выявлены и проанализированы суффиксы и суффиксоиды со значением «место», общие для древнего хаттского и современных абхазо-адыгских языков. Сравнительно-исторический анализ материала хаттского и абхазо-адыгских языков подтвердил общность их происхождения, что позволяет использовать современные языки при дешифровке хаттских текстов, не имеющих перевода на хеттский язык.

The lexical material of the thematic group with the semantic component "place" in the Hattian and Abkhaz-Adyghe languages is considered and the semantic and structural-word-formation analysis of words belonging to this group is given. The novelty lies in the fact that the range of this vocabulary has not yet been studied in semantic, typological and word-formation terms. Comparative and comparative-historical methods are used in the work. The theoretical significance lies in the fact that the results of the study will make it possible to comprehend the semantic-word-formation structure of a certain thematic group in the Hattian and Abkhaz-Adyghe languages and will serve as a contribution to the Abkhaz-Adyghe linguistics.
PENATALAKSANAAN TERAPI OKUPASI PADA AN.W DENGAN HALUSINASI PENDENGARAN DI RSJ SOEROJO MAGELANG
Authors: Cicilia Aditya Melinda  , Ita Apriliyani
Published: August 2023

Hallucinations are perceptual disorders in which the patient expresses something that is not actually happening. As a result of untreated hallucinations, unwanted things can also appear, such as hallucinations that instruct the patient to do things such as kill himself or injure others. One of the treatments for sensory perception disorder patients: auditory hallucinations is by means of occupational therapy (drawing). The general objective of this scientific work is to provide mental nursing care to An.W by applying occupational therapy: drawing to control auditory hallucinations at Soerojo Hospital, Magelang. The research design used a case study with a nursing care approach. The sample in this study was An W, a mental patient with a medical diagnosis of Schizophrenia at Soerojo Hospital Magelang. Based on the results of observations of therapy that has been carried out for 3 days in the application of occupational therapy, it shows that occupational therapy has an effect on changes in symptoms in patients with auditory hallucinations. In conclusion, occupational therapy for free time activities such as drawing, coloring, sweeping, making the bed and playing together is done 1-2 times a day for 15-25 minutes can minimize the patient's interaction with his own world and can control the symptoms of hallucinations.
PENGARUH BUDAYA ORGANISASI TERHADAP KOMITMEN ORGANISASI DAN KINERJA KERJA DENGAN KEPUASAN KERJA SEBAGAI VARIABEL INTERVENINGNYA
Authors: Delfi Kurnia Zebua
Published: August 2023

This study aims to examine the role of job satisfaction as a mediation between organizational culture on organizational commitment and work performance. Primary data in this study were obtained from a survey using 89 questionnaires at the BAPEDA in West Sumatra province which produced a sample of 84 respondents. The analysis revealed that organizational culture had a positive and significant effect on job satisfaction, organizational commitment, and work performance. specifically, this study also found that job satisfaction mediates the relationship between organizational culture, organizational commitment and work performance.
Thematic Analysis of President Akufo-Addo’s 2023 State of the Nation Address
Authors: Botchwey Emmanuel , Duah Stephen Kwaku , Adade Douglas
Published: August 2023

This study examines the items given prominence in President Akufo-Addo’s 2023 State of the Nation Address. As a qualitative research with textual analysis design, the study adopted the Theme-Rheme model of Halliday and Matthiessen’s (2014) Systemic Functional Linguistics theory with which the clause is construed as a message.  The findings of the study indicate that (1) topical, interpersonal and textual Themes have their representation and distribution in the text. The most frequent ideational/topical Theme used in English is Participant followed by Circumstance. Process is the least thematised experiential. The textual Theme include mostly conjunctions, followed by conjunctive adjuncts. Interpersonal Theme includes mostly vocatives and few modal adjuncts and very few finite verbal operators. The elements of the topical Theme which present the core content of the message include; Participant such as Actor, Scope, Senser, and Identified – realized by pronouns and nominal group; Circumstantial of Temporal Location, Duration, Manner, Cause, Accompaniment, Role, Angle of Viewpoint. The study could be a significant contribution to scholarship in functional grammar, particularly in Theme-Rheme analysis of English use in ESL context. It demonstrates how a grammatical theory highlights foregrounding of experiences in a discourse and facilitating text composition and comprehension.
Comparison of Various Feature Selection Algorithms in Speech Emotion Recognition
Authors: Kaur Kamaldeep , Singh Parminder
Published: August 2023

Speech Emotion Recognition (SER) plays a predominant role in human-machine interaction. SER is a challenging task because of number of complexities involved in it. For an accurate emotion classification system, feature extraction is the first and important step carried out on speech signals. And after the features are extracted, it is very important to select the best features out of all and reject the redundant and least important features. Feature selection methods play an important role in SER performance. The classifier gets the selected features, so as to reduce the unnecessary overload and perform better to classify the emotions. In this study, a good combination of features is selected from Punjabi Emotional Speech Database. Then a number of feature selection algorithms are explored and experimented upon, to select the best features. 1D-CNN is used for classification purpose. The results are shown and compared on the basis of number of performance metrics. LASSO has shown the best performance results as compared to other feature selection methods.
A comprehensive dataset for aspect-based sentiment analysis in evaluating teacher performance
Authors: Bhowmik Abhijit , Noorhuzaimi Mohd Noor  , Md. Saef Ullah Miah  , Md. Mazid-Ul-Haque  , Debajyoti Karmaker
Published: August 2023

Teacher performance evaluation is an essential task in the field of education. In recent years, aspect-based sentiment analysis (ABSA) has emerged as a promising technique for evaluating teaching performance by providing a more nuanced analysis of student evaluations. This article presents a novel approach for creating a large-scale dataset for ABSA of teacher performance evaluation. The dataset was constructed by collecting student feedback from American International University-Bangladesh and then labeled by undergraduate-level students into three sentiment classes: positive, negative, and neutral. The dataset was carefully cleaned and preprocessed to ensure data quality and consistency. The final dataset contains over 2,000,000 student feedback instances related to teacher performance, making it one of the largest datasets for ABSA of teacher performance evaluation. This dataset can be used to develop and evaluate ABSA models for teacher performance evaluation, ultimately leading to better feedback and improvement for educators. The results of this study demonstrate the usefulness and effectiveness of ABSA in evaluating teacher performance and highlight the importance of creating high-quality datasets for this task.
Una mirada a la Historia a través del tiempo
Authors: Rodríguez Gavilla Arelys
Published: August 2023

El presente artículo muestra una mirada a la Historia a través del tiempo, abordando una breve reseña de la historiografía desde sus inicios en el mundo y en Cuba. Se presentan conceptos sobre en qué consiste el oficio de un historiador y se mencionan los principales historiadores cubanos, además se tratan temas relativos a la Historia como ciencia y su vínculo con la Historia Local, también se introducen consideraciones sobre la Historia de Cuba en el Sistema Educativo Cubano en general. La investigación se desarrolló bajo el paradigma cualitativo, sobre la base de la dialéctica materialista. Se utilizaron métodos teóricos y empíricos, así como técnicas de investigación necesarias para localizar información valiosa. Finalmente, se llegaron a las conclusiones siguientes: el estudio de la Historia como ciencia posibilita comprender mejor los problemas y realidades de hombres y mujeres en su presente histórico. A la par, son los propios hombres quienes escriben la historia y la historiografía es reflejo de los pueblos y de los tiempos vividos en un contexto histórico determinado. Se hace necesario estimular y favorecer el estudio de la Historia Nacional de cada país para conservar sus orígenes, tradiciones y cultura. El Sistema Educativo Cubano tiene la certeza de que el conocimiento de la Historia de Cuba es esencial para expresar una cultura legítimamente nacional. Somos reflejo del pasado y a la vez seres nuevos continuadores y comprometidos con nuestra historia.
MODEL ASORTİ RAPORU HESAPLANMASINA YÖNELİK YAZILIM GELİŞTİRİLMESİ
Authors: ARSOY Raşit , ASLAN Selçuk
Published: August 2023

İşletmelerdeki dikiş ürünleri, ticaret yapan kuruluşların taleplerine uygun olarak üretilmekte ve ürün verileri modelin asorti raporu (MAR) olarak düzenlenmektedir. Manuel olarak yapılan asorti hesaplamaları çoğu zaman büyük sapmalara, dolayısıyla kumaş israfının artmasına neden olmaktadır. Bu çalışmada, MAR hesaplamalarını pratik bir şekilde yapabilecek bir yazılım geliştirilerek kumaş israfının azaltılması amaçlanmıştır. Yazılım, kalıp yerleştirme işlemini verilen beden-ürün sayısına göre minimum pastal dağılım ve serim sayısına ulaşmasına olanak sağlayacak şekilde geliştirilmiştir. Daha sonra yazılımın verimliliğini test etmek amacıyla, manuel olarak MAR yapılmış ve üretimi tamamlanmış ürünler için kullanılan kumaş miktarı yazılımdan elde edilen MAR ile hesaplanan değerlerle karşılaştırılmıştır. Bu işlem sonucunda, geliştirilen yazılım sayesinde serimi gerçekleştirilmiş olan kumaş katlarının sayısının yaklaşık olarak %35 oranında düşürülebileceği ve %3,8 oranında kumaş tasarrufu sağlanabileceği görülmüştür. Sonuç olarak, manuel hesaplamalar yerine geliştirilen yazılımın kullanılmasının hem MAR’ın daha hızlı hesaplanmasına hem de işletmelerin sarftan kaynaklı ekonomik kayıplarının azalmasına neden olacağı görülmüştür. Ayrıca bu iyileştirmelere paralel olarak kumaş serimi için gerekli zaman ve iş gücünün azalmasından dolayı üretim verimliliğinin de artacağı öngörülmektedir.
Impelementasi Manajemen Berbasis Sekolah di SDN 34/I Teratai
Authors: Sari Diana Ayu Puspita , Apriliansyah Aldina , Yantoro Yantoro , Setiyadi Bradley
Published: August 2023

Manajemen berbasis sekolah adalah salah satu usaha guna meningkatkan kreativitas pendidikan. Tujuan penelitian ini yaitu untuk mengetahui proses implementasi menejemen berbasis sekolah. Penelitian ini memakai metode deskriptif, pendekatan kualitatif. Teknik pengumpulan data observasi, wawancara dan dokumentasi. Subyek penelitian ini yaitu kepala sekolah dan guru Sekolah Dasar Negeri 34/I Teratai. Hasil penelitian memperlihatkan bahwa proses perencanaan dalam pengimplementasian manajemen berbasis sekolah meliputi penetapan, visi missi, tujuan dan sasaran yang ingin dicapai dengan melakukan asesmen tentang kekuatan, hambatan, peluang dan tantangan yang dihadapi oleh Sekolah Dasar Negeri 34/I Teratai. Pelaksanaan manajemen berbasis sekolah pada Sekolah Dasar Negeri 34/I Teratai menyusun RAPBS, Kurikulum Tingkat Satuan Pendidikan, mengikutsertakan komite sekolah. Partisipasi masyarakat atau komite sekolah mempunyai tugas dan fungsi guna meningkatkan mutu pendidikan pada satuan pendidikan. Komite sekolah mendukung, memberi masukan, motivasi dan mengawasi kemampuan guru serta mengadakan hubungan kerja sama dengan pihak lain dalam mencari dana dan ekstrakurikuler. Faktor pendukung dan penghambat implementasi manajemen berbasis sekolah di Sekolah Dasar Negeri 34/I Teratai. Warga sekolah, wali siswa dan komite sekolah ikut mendukung kemajuan sekolah. Hal ini terbukti komite sekolah selalu memberi masukan dan membantu program sekolah, warga sekolah dan komite sekolah selalu ikutserta dalam penyusunan program sekolah dan pelaksanaannya.
Bouquet, Olivier. Vie et mort d’un grand vizier: Halil Hamid Pacha (1736-1785). Biographie de l’Empire ottoman. Paris: Les Belles Lettres, 2022. 640 Page. ISBN: 9782251452432
Authors: MASSOT Anais
Published: August 2023

Olivier Bouquet, in this well-documented and illustrated masterpiece, grants us entry into the Ottoman world through the life of Grand vizier Halil Hamid Pacha (1736-1785), a “dignitary navigating between the pole of desire and the principle of totality”. After monographs on pashas and diplomats, Bouquet tackles the highest kul (servant) of the Ottoman sultan, the Grand vizier in this new book.
The evaluation of anterior thalamic radiation with diffusion tensor imaging in children with neurofibromatosis type-1
Authors: Atasoy Bahar , Balsak Serdar , Karabulut Ummuhan , Yabul Fatma , Yurtsever Ismail , Akcay Ahmet , Cesme Dilek , Alkan Alpay
Published: August 2023

To determine whether there is a difference in the apparent diffusion coefficient (ADC) and fractional anisotropy (FA) values of the anterior thalamic radiation (ATR), which are involved in the inhibitory control mechanism, in Neurofibromatosis type-1 (NF1) patients with or without Neurofibromatosis bright objects (NBOs), in comparison to the healthy control group. Thirty children diagnosed with NF1 and 17 age-matched children were included in the study. 30 children with NF1 had a mean age of 10.47±5.43, compared to 11.35±5.43 of the control group. NF1 patients were divided into two groups as those with and without NBOs. The comparison was made by measuring ADC and FA values of ATR in patients with NF1 and a healthy control group. There was a significant difference in terms of ADC and FA values of ATR between the patients with NF1 and the control group. While a significant decrease was seen in FA values of ATR, ADC values were increased. There was a significant difference in ATR ADC and FA values between NF1 patients with and without NBOs and the healthy control group. On the other hand, no major difference was displayed between NF1 patients with NBOs and without NBOs in terms of ATR ADC and FA values. The results of increased ADC and decreased FA values may denote the demyelination process in ATR. We speculate that the onset of microstructural damage in the ATR may result in executive function impairment, particularly in the inhibitory control mechanism.
Sedation-free upper gastrointestinal endoscopy and its cost-effectiveness
Authors: Oztutuncu Kubilay
Published: August 2023

This study aimed to determine the success rate of sedation-free upper gastrointestinal (GI) endoscopy and evaluate the cost-effectiveness of this drug-free approach.The study included patients who underwent gastroscopy between February 2020 and December 2022. Demographic information such as age and gender, along with clinical data including whether the procedure was performed with sedation and the patients' tolerance status, were recorded. Statistical analysis revealed no significant difference between the sedation and sedation-free groups in terms of procedural success. Interestingly, a notable cost difference of 43% was observed between the two groups, with the sedation-free group demonstrating higher cost-effectiveness. Despite the nearly 50% higher cost associated with administering sedation, there was no significant disparity in the successful completion of the procedure between the two groups. The findings of this study indicate that sedation-free upper GI endoscopy can achieve comparable success rates to the sedation-assisted approach. Moreover, the cost-effectiveness analysis highlights the economic advantage of the drug-free alternative, given the substantial cost reduction observed in the sedation-free group. This study underscores the feasibility of implementing sedation-free procedures as a cost-effective and successful option for upper GI endoscopy
Neutrophil–lymphocyte ratio as a diagnostic marker for predicting early-stage diabetic nephropathy in patients attending a tertiary health-care center
Authors: M Karthikeyan , N Veenaa , R Shivapriya , Kumar Arun , S Umamageswari
Published: August 2023

Background: Diabetes mellitus (DM) is a common metabolic disorder leading to microvascular and macrovascular complications. Chronic inflammation accelerates the development of complications associated with DM. Measurement of inflammatory mediators is not practically feasible. Neutrophil–lymphocyte ratio (NLR) serves as a cheap, reliable, and valid marker for assessing inflammatory activity.

Aims and Objectives: (i) To evaluate the correlation of NLR and microalbuminuria in DM patients; (ii) to evaluate the correlation of NLR with HbA1c; and (iii) to evaluate the correlation of platelet count with microalbuminuria.

Materials and Methods: One hundred patients of either sex with DM were evaluated for microalbuminuria, NLR, HbA1c, and platelet count after obtaining institutional human ethics committee clearance. NLR was evaluated for correlation with microalbuminuria and HbA1c. Platelet count was also evaluated for correlation with microalbuminuria.

Results: Mean NLR of male patient was 2.1 and female was 2.33. The mean microalbuminuria level in male patient was 527.03 mcg/mg of creatinine and female was 215.36 mcg/mg of creatinine. There was a moderate degree of correlation of microalbuminuria with increased NLR. The study showed a strong correlation between NLR, microalbuminuria, HbA1c, and platelet count.

Conclusion: NLR has a strong correlation with microalbuminuria and could be used to assess the onset and progression of diabetic nephropathy.
Cardiovascular responses to isometric handgrip exercise in young adults: Does gender matter?
Authors: Champaneri Viral , Kathrotia Rajesh
Published: August 2023

Background: Substantial physiological and morphological differences between the gender may influence the cardiovascular adaptation and adjustment to static exercise.

Aims and Objectives: The aim of the study was to determine gender differences in acute cardiovascular responses to isometric handgrip (IHG) exercise at 30% of maximum voluntary contraction (MVC).

Materials and Methods: An observational and cross-sectional study was conducted on 60 apparently healthy young adults of both sexes (M: 30, F: 30) aged between 18 and 22 years. Participants performed IHG exercise at 30% of MVC for 3 min or till fatigue. Systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse rate and oxygen saturation (SpO2) were recorded at rest, 1st min of exercise, at 3rd min of exercise, and 2 min after the end of exercise. Mean arterial pressure (MAP), pulse pressure (PP), and rate pressure product (RPP) were calculated. To find out gender differences, all pre- and post-exercise parameters were compared between the groups using unpaired Student’s t-test with significant P < 0.05 at 95% confidence interval.

Results: At rest and during IHG exercise, SBP, DBP, PP, MAP, and RPP were significantly higher in males. While heart rate and SpO2 was not affected by gender during IHG exercise.

Conclusion: Research, therapeutic, and diagnostic approaches should take gender differences in physiological cardiovascular adaptation to static exercise into account.
Regional differences in metastatic urothelial carcinoma of the urinary bladder patients across the United States SEER registries
Authors: Cano Garcia Cristina , Tappero Stefano , Piccinelli Mattia Luca , Barletta Francesco , Incesu Reha-Baris , Morra Simone , Scheipner Lukas , Baudo Andrea , Tian Zhe , Saad Fred , Shariat Shahrokh F. , Carmignani Luca , Ahyai Sascha , Longo Nicola , Tilki Derya , Briganti Alberto , De Cobelli Ottavio , Terrone Carlo , Banek Severine , Kluth Luis , Chun Felix K.H. , Karakiewicz Pierre I.
Published: August 2023

Introduction: Despite advances in treatment, metastatic urothelial carcinoma of the urinary bladder (mUCUB) is associated with high mortality and treatment risk. We tested for regional differences in mUCUB within a large-scale, population-based database.
Methods: Using the Surveillance, Epidemiology and End Results (SEER) database (2010–2018), patient (age, sex, race/ethnicity), tumor (T-stage, N-stage, number of metastatic sites), and treatment (systemic therapy, radical cystectomy) characteristics were tabulated for mUCUB patients according to 11 SEER registries. Multinomial regression models and multivariable Cox regression models tested overall mortality (OM), adjusting for patient, tumor and treatment characteristics.
Results: In 4817 mUCUB patients, registry-specific patient counts ranged from 1855 (38.5%) to 105 (2.2%). Important inter-regional differences existed for race/ethnicity (3–36% for others than non-Hispanic Whites), N-stage (28–39% for N1–3, 44–58% in N0, 8–22% for unknown N-stage), systemic therapy (38–54%) and radical cystectomy (3–11%). In multivariable analyses adjusting for these patient, tumor, and treatment characteristics, one registry exhibited significantly lower OM (SEER registry 10: hazard ratio [HR] 0.83) and two other registries exhibited significantly higher OM (SEER registries 9: HR 1.13; SEER registry 8: HR 1.24) relative to the largest reference registry (n=1855).
Conclusions: We identified important regional differences that included patient, tumor, and treatment characteristics. Even after adjustment for these characteristics, important OM differences persisted, which may warrant more detailed investigation.
Knowledge of Sexually Transmitted Infections Among Women of Reproductive Age at Samarinda City
Authors: Nurachma Evy , Siregar Nursyahid , Syamsiah Syamsiah
Published: August 2023

exually Transmitted Infections (STIs) are a significant global health issue that deserves more attention, considering their long-term negative impact on the quality of future generations. Having a good understanding of STIs plays a crucial role in preventing their spread. This study aims to evaluate the knowledge of reproductive-aged women regarding Sexually Transmitted Infections (STIs) in the Loa Bakung Primary Health Center area, Samarinda City, East Kalimantan Province. The research method employed was quantitative, with data collection conducted through interviews and questionnaires. The participants involved in this study are reproductive-aged women visiting the Loa Bakung Primary Health Center. The results of the univariate analysis indicate that the majority of respondents have a higher level of education and a good understanding of STIs. However, there are still some respondents with limited understanding. The majority of respondents also do not experience STIs. Bivariate analysis reveals a significant correlation between the level of knowledge about STIs and the occurrence of STIs. The majority of STI cases occur among respondents with lower levels of knowledge.
论我国上市公司强制要约收购与豁免要约
Authors: 赵 莉丽
Published: August 2023

本文对我国上市公司的强制要约收购必要性进行了分析。同时，本文梳理了豁免要约相关制度的变化以及相关豁免情形的适用。最后，本文分析了强制要约收购制度对大股东及中小股东权益保护的平衡并提出如下建议：对于不会导致控制权变更的股东增持可以扩大豁免要约的适用情形。
R&D and Innovation Map of Turkey: Hybrid Model Approach
Authors: ÇUBUK Muhammed
Published: August 2023

R&D and innovation activities are among the areas of critical importance for a country's national development and pioneering technological developments. R&D and innovation, which is an important field of study in terms of contributing to the evaluation of technical skills and regional specialization, are concepts that aim to achieve goals such as technological development, creation of new products and services, improvement of existing processes and increase in competitiveness. Accordingly, in this study, which focuses on ranking the R&D and innovation potential of provinces in Turkey, DEMATEL, ARAS and COPRAS methods, which are multi-criteria decision-making methods, were used. The weighting of the 12 criteria was done by DEMATEL method and 81 provinces were ranked by ARAS and COPRAS methods using these weight values. Maps were created according to the scores of the provinces from each method. According to the results obtained, most of the 81 provinces in Turkey showed similar results in both methods. A general evaluation was made according to these results and criteria.
Stabilocracy and the Durability of Illiberal Practices in the Western Balkans
Authors: ARMAN Murat Necip
Published: August 2023

The Western Balkans region has been hindered in its development due to a combination of factors, including a lack of democratic principles and increasing competition between Russia and the West. Despite attempts at engagement between the European Union and the Western Balkans dating back to the early 2000s, both the 2008 global economic crisis and the civil war in Syria in 2011 weakened the EU’s focus on the region. At the same time, Russian Federation’s efforts to increase its influence in the region have further encouraged anti-democratic forces and contributed to a rise in Euroscepticism. The populist policies of political leaders seeking to extend their power have further exacerbated the situation, delaying the implementation of EU conditionality principles in the region. While the EU has prioritized stability over democracy to prevent Russian expansion, this stance has been described in academic literature as “stabilocracy”. However, the current research argues that these stabilocratic practices have only further distanced the region from EU standards, thereby deepening illiberal practices and requiring critical examination of their consequences.
A educação ambiental crítica e o empoderamento da comunidade Vila Esperança em Campos Belos–Goiás, a partir da perspectiva dos líderes comunitários
Authors: Bandeira Fábio de Melo , Oliveira Alessandro Silva
Published: August 2023

Este estudo resulta de pesquisa realizada no Programa de Mestrado Profissional em Educação Profissional e Tecnológica (ProfEPT). Foi desenvolvido no município de Campos Belos/GO, localizado no interior do estado goiano. A problemática reside nas adversidades vivenciadas pelas pessoas da comunidade Vila Esperança, que trabalham na coleta de materiais recicláveis, em uma área inapropriada para sua disposição final: o lixão de Campos Belos, em Goiás. Em geral, as pessoas possuem baixo grau de escolarização; nasceram e cresceram vendo seus pais trabalharem no lixo e concretizam a ideia de destino como justificativa para permanecer na mesma condição. Neste contexto pretendemos analisar a partir da visão dos líderes comunitários, as possibilidades de transformações na comunidade pelo empoderamento e a Educação Ambiental Crítica (EAC). Com o propósito de delinear possíveis caminhos para o processo de empoderamento formulamos perguntas aos líderes, que permitiram evidenciar os aspectos favoráveis e desfavoráveis, bem como concluir que a EAC encontra “terra fértil” no desenvolvimento das pessoas a questionar suas próprias condições de sobrevivência.
Padrões éticos a serem observados pelos profissionais de recursos humanos na implementação da Lei Geral de Proteção de Dados - LGPD no teletrabalho
Authors: Ho Giseli Angela Tartaro , Gonçalves Agnaldo , Plombon Anderson , Kubo Edson Keyso de Miranda , De Souza Alexandre , Perrella Fabricio Ricardo , Trefiglio Ricardo Pereira , Da Rocha Edair Canuto
Published: August 2023

O teletrabalho é uma realidade nas empresas, seu avanço nas organizações decorreu do contexto da pandemia e foi favorecido pela alteração da legislação trabalhista em virtude da reforma trabalhista de 2017. Nesse cenário merece destaque a questão dos padrões éticos a serem observados pelos gestores de recursos humanos, ainda mais, pelo fato da vigência da Lei Geral de Proteção de Dados – LGPD que entrou em vigor em 2018, dessa forma, o objetivo do presente artigo foi identificar os padrões éticos a serem observados pelos profissionais de Recursos Humanos na implementação da Lei Geral de Proteção de Dados - LGPD no teletrabalho. O método utilizado teve natureza qualitativa com levantamento bibliográfico e documental. Como principal resultado, notou -se que a mudança de ambiente de trabalho impacta diretamente nas questões relacionadas ao segredo das informações que os empregados têm acesso. Dessa forma, a empresa deve adotar medidas efetivas no controle visando a observância da LGPD em vigor.
QuizX: ferramenta gamificada de apoio ao professor na prática de metodologias ativas
Authors: Silva Ewerton Cardoso , Lima Joselice Ferreira
Published: August 2023

O engajamento dos alunos em sala de aula ou nas disciplinas estudadas é um desafio aos profissionais de educação. Os educadores buscam utilizar metodologias para se trabalhar conteúdos a fim de serem efetivos na construção do ensino-aprendizagem. Neste contexto, as metodologias ativas surgem como alternativa no processo de ensino, na busca de dar um papel ativo ao aluno no processo educativo. Este artigo tem por objetivo o desenvolvimento de um protótipo de software educacional, que por meio de uma plataforma gamificada e quizzes, possa ser uma ferramenta que auxilie os professores na prática de metodologias ativas. O método utilizado é a revisão de literatura e, como resultado, tem-se um protótipo de um software web educacional Open Source, para auxiliar professores na prática de metodologias ativas, por meio de atividades e/ou avaliações, para que possa ser aplicado remoto ou em sala de aula. Além disso, possuir um ambiente para que o aluno possa estudar e praticar previamente o conteúdo proposto.
REDISTRICTING OF ELECTION MAP IN THE DOCTRINE OF SEPARATION OF POWERS IN THE USA
Authors: DEDOV DMITRY I.
Published: August 2023

This message is devoted to the memory of the respected professor of the Department of Constitutional and Municipal Law August Alekseevich Mishin, his approaches to the study of law. These approaches helped students and colleagues to find key factors in assessing trends in the development of constitutionalism in foreign countries, to find shortcomings and assess the merits. On this basis, a message was made and a legal analysis of the approaches and decisions of the Supreme Court of the state was carried out. The Supreme Court of Wisconsin and the Supreme Court of United States in the case of Johnson v. Wisconsin Elections Commission on changing the map of electoral districts due to the fact that the executive branch presented by the governor from the Democratic Party and the representatives of the state legislature dominated by Republicans could not agree on this issue. Based on the results of the analysis, it is concluded that there are no clear standards for the American courts to conduct a comprehensive analysis of all circumstances due to the pressure exerted by those who form the American doctrine of constitutionalism. Thanks to the scientific report, it is possible to take a closer look at the process of involving the courts in political activities, the place of the court in the system of separation of powers and the conditions for the interaction of the court with other branches of power from the point of view of constitutional law.
ASSESSMENT OF THE LAND DEGRADATION NEUTRALITY IN THE SAMARA REGION BY GLOBAL AND REGIONAL INDICATORS
Authors: Belyaeva M. V. , Kust G. S. , Andreeva O. V.
Published: August 2023

The assessment of land degradation neutrality (LDN) is used to characterize the achievement of the UN Sustain-able Development Goal 15 (SDG), Target 15.3 — «to combat desertification, restore degraded lands and soils» by individual countries and regions. The article presents the calculation of land degradation neutrality for agricultural territories of the Samara region using global indicators (dynamics of land productivity, dynamics of land cover, dynamics of soil organic carbon) and regional ones, such as yield, erosion, content of mobile forms of potassium and phosphorus in the soil. The Trends.Earth tool presented on the Quantum GIS was used to calculate the first two global indicators platform. The evaluation of the remaining indicators was carried out using stock data and data from the agrochemical service. According to the results land degradation neutrality was not achieved in the agricultural territories of the Samara region. The indicator of SDG 15.3.1 («the proportion of land that is degraded over total land area») is 78,61%, and the LDN index is –57,22%. The main process leading to a negative LDN index is water erosion, which leads to a decrease in the levels of indicators such as land productivity and humus content.
CARACTERIZAÇÃO DOS ÓBITOS POR LESÕES AUTOPROVOCADAS INTENCIONALMENTE EM MINAS GERAIS NO PERÍODO DE 2017 A 2021
Authors: Saúde Ana Luiza Moreira , De Freitas Camila Melo , David Dara Boa Morte , Cassa Emanuella Ferraz , Vicente Letícia Jacon , Michielin Mariane de Castro
Published: August 2023

Os óbitos por lesões autoprovocadas voluntariamente estão em crescente no Brasil e no mundo. O fenômeno é visto como multicausal e traz consigo prejuízos não apenas à vítima, mas também a sua rede de contatos. Diante deste cenário, com o objetivo caracterizar os óbitos por lesões autoprovocadas intencionalmente (suicídios) ocorridos em Minas Gerais, no período de 2017 a 2021, coletou-se os dados no Sistema de Informações sobre Mortalidade (SIM) do Ministério da Saúde e realizou-se um estudo de revisão, transversal, de base populacional. A partir da causa de morte codificada pela Classificação Internacional de Doenças (CID-10), analisou-se as variáveis, sexo, faixa etária, raça/cor, estado civil, escolaridade, ano e local de ocorrência e método utilizado para provocar a lesão. Viu-se que, em meio aos 8.224 óbitos registrados, a maior parte das ocorrências se deu no grupo do sexo masculino (78,18%). Além disso, houve um predomínio em brancos (48,39%), em solteiros (48%) e em domicílio (58,8%). O método mais utilizado foi o de enforcamento, estrangulamento ou sufocamento (71,7%). Com o crescimento da mortalidade por suicídio em Minas Gerais no período estudado, os resultados do estudo revelam que a caracterização das vítimas fornece informações para qualificar um escopo de análise que ainda carece de meios para definir estratégias de prevenção no estado.
Genetic divergence analysis in turf grasses based on morphological traits
Authors: JANAKIRAM T , NAMITA NAMITA
Published: August 2023

Despite of enhancing interest on turfs in India, all the available varieties of turf grasses in the country are being imported and are often poorly adapted to the prevailing climatic conditions. This prompted to begin a collection activity of turfgrass species, with the ultimate goal of identifying promising materials for further development of lawns suitable for various conditions. The present investigation conducted on eight species and four varieties of turf grasses depicted significant differences in all the growth related traits studied. All turf grasses under study exhibited fine leaf texture except Eragrostis curvula (Schrad.) Nees having medium coarse texture, Paspalum notatum Flugge and Argentine bahia having coarse texture and Poa pratensis L. which exhibited medium fine leaf texture. The Agrostis palustris L. exhibited maximum mean performance for shoot density/25 cm2 (277.33), whereas minimum was exhibited by Cynodon dactylon L. var Panama (57.67). The coefficient of variation was minimum for relative water content (GCV = 13.77, PCV = 14.60) and maximum for root length (GCV = 64.70, PCV = 66.46). Heritability estimates for all the traits were generally moderate to high. High heritability was observed for shoot density per 25 cm2 (98.00), whereas moderate heritability was observed for dry root/shoot ratio (64.12). High heritability along with high genetic advance was observed for shoot density per 25cm2 (h2 = 98.00, GA = 142.02) and germination percentage (h2 = 96.50, GA = 48.16).