bluuebunny/crossref_metadata_2025 huggingface dataset:
Lean office e sua aplicabilidade no setor público para redução do lead time
Authors: Fiuza Sérgio Nogueira , Pacheco Camila Gôdim
Published: June 2021

São considerados serviços públicos aqueles que estão diretamente relacionados às necessidades da população, e se enquadram neste quesito atividades como capina, varrição, limpeza de terrenos públicos, remoção de móveis e eletrodomésticos inutilizados, coleta de resíduos, entre outros. Para melhor atendê-las, o modelo gerencial de administração pública prioriza a eficiência, agilidade, transparência, otimização de recursos e possui foco nos resultados, critérios estes nem sempre atendidos na prática e poucas vezes observados pelo cidadão. Tais critérios convergem com os objetivos do Lean Office, uma metodologia que objetiva analisar ambientes administrativos em busca de identificar e reduzir desperdícios como movimentos, espera, processamento e materiais, produzindo mais com menos recursos. Diante disso, o objetivo desta pesquisa consiste em analisar a contribuição desta filosofia de gestão, quando aplicada em uma secretaria municipal responsável pelo recebimento de demandas de limpeza pública, que possui contato direto com o cidadão. Em consequência, a pesquisa investigou o processo administrativo de solicitação de serviços deste órgão, com o intuito de identificar desperdícios e sua ocorrência, de modo a propor potenciais melhorias, que poderão contribuir agregando agilidade, eficiência e maior satisfação dos usuários. A metodologia da pesquisa consistiu em um estudo de caso, aliado ao levantamento bibliográfico, à observação sistemática planejada, à aplicação da metodologia do Lean Office e o auxílio da Modelagem de Processos, que juntos possibilitaram a realização da modelagem AS IS do mesmo, favorecendo o apontamento dos desperdícios existentes, a classificação das atividades quanto a frequência e agregação de valor e o cálculo do Lead Time. Essa análise favoreceu o mapeamento TO BE, agregando propostas com potencial de melhorias no tempo de execução e de resposta através da eliminação de cinco atividades e do ponto de decisão considerado o gargalo do processo. Os resultados obtidos demonstraram um grande acúmulo de desperdícios e pontos passíveis a aperfeiçoamentos, dentre estes os mais recorrentes foram os estratégicos, de estrutura e de processamento. Em caso de propostas de melhoria implementadas, potencialmente a secretaria ganhará em qualidade e confiabilidade das informações, facilidade de comunicação com o cidadão e com a empresa terceirizada, bem como irá dispor de um atendimento mais efetivo e rápido, culminando no atendimento das demandas do usuário e sua satisfação.
Detection of extended-spectrum β-lactamase (ESBL) producing Escherichia coli in chickens
Authors: RAHMAN Wahidur , HOSSAİN Md. , ALİ Md. , SULTANA Tania , HOSSAIN K. M. Mozaffor
Published: June 2021

Objective: Indiscriminate use of antibiotics in poultry farms increases the chance of antibiotic-resistant and ESBL producing bacteria in Bangladesh. Therefore, the study was undertaken to detect the extended-spectrum β-lactamase (ESBL) producing Escherichia coli (E. coli) in chickens.

Materials and methods: A total of 60 cloacal swab samples (20 from commercial layer, 20 from commercial broiler, and 20 from commercial Sonali chickens) were collected from the Rajshahi district of Bangladesh. The E. coli was isolated from these samples and identified based on cultural, staining, and biochemical characteristics. The disk diffusion method was used to assay the antibiotic-resistant/sensitivity patterns of the isolated E. coli. Phenotypic detection of ESBL producing E. coli was also done.

Results: The prevalence of E. coli in chickens was 61.67% in the Rajshahi district of Bangladesh, where the prevalence was 60%, 60%, and 65% in a commercial layer, commercial broiler, and commercial Sonali chickens, respectively. The antibiotic sensitivity assay of E. coli isolated from commercial layer chickens showed 100%, 80%, 50%, 40%, and 40% resistant to amoxicillin, tetracycline, cefotaxime, ciprofloxacin, and ceftazidime, respectively. E. coli isolated from commercial broiler chickens showed 100%, 100%, 60%, 50%, and 40% resistant to amoxicillin, tetracycline, cefotaxime, ceftazidime, and ciprofloxacin, respectively. E. coli isolated from commercial Sonali chickens showed 90%, 70%, 50%, 50%, and 40% resistant to amoxicillin, tetracycline, cefotaxime, ciprofloxacin, and ceftazidime, respectively. In phenotypic detection, the overall prevalence of ESBL producing E. coli was 43.33%, where 40%, 50%, and 40% in the commercial layer, commercial broiler, and commercial Sonali chickens, respectively in the Rajshahi district of Bangladesh.

Conclusion: These results indicated that chickens are a potential reservoir for ESBL producing E. coli and their antibiotic resistances are obviously significant. These findings will help us to make a proper guideline for the treatment, prevention, and control of E. coli prevalent in chickens in Bangladesh
PENINGKATAN BERBICARA MELALUI PERSENTASI MAKALAH DENGAN METODE TANYA JAWAB TERHADAP PENCAPAIAN HASIL YANG EFEKTIF MAHASISWA STAI JAMITAR LHOKSUKON ACEH UTARA
Authors: Murtadha Murtadha
Published: June 2021

This research is designed to see the extent to which the improvement of learning by using the question and answer method for the effective learning process for STAI Jamiatut Tarbiyah Lhoksukon students, in order to show a display in each direct learning with good potential between students and lecturers during the learning process. Real research in this language is a qualitative field study by examining and looking for a result through the data and theories that the authors collect and the discussion that is studied. The purpose of this oral is, first of all, where the development or improvement of students in terms of active speaking towards the learning process through the Question and Answer Method. The second question and answer method is one way for students to be more active and their learning process is effective and efficient. third academically, it is necessary to see to what extent the benefits of using the Question and Answer Method for students in improving speaking at the percentage of each paper submitted by students through the Question and Answer Method, as well as how effective students are by using the Question and Answer Method pattern in the learning process. The last one is interesting in the form of things that the author has described in the discussion, one of which is to determine the improvement of learning through the question and answer method
PENGARUH DANA PIHAK KETIGA (DPK) DAN PEMBIAYAAN MURABAHAH TERHADAP PROFIT DENGAN NON PERFOMING FINANCING (NPF) SEBAGAI VARIABEL INTERVENING PADA KJKS BMT DI TANAH DATAR
Authors: Anisa Anisa Marseli
Published: June 2021

Pokok permasalahan dalam penelitian ini adalah bagaimana pengaruh Dana Pihak Ketiga (DPK) dan pembiayaan murabahah terhadap profit dengan NPF sebagai variabel intervening dengan tujuan untuk mempertegas dan memperkuat teori yang ada. Total sampel dalam penelitian ini adalah 3 KJKS BMT di Tanah Datar. Teknik pengumpulan data menggunakan studi dokumentasi yaitu laporan keuangan KJKS BMT di Tanah Datar tahun 2013-2018. Teknik analis data  yang digunakan dalam penelitian ini adalah Path Analysis atau analisis jalur. Hasil analisis jalur 1 terdapat pengaruh tidak langsung antara DPK terhadap profit melalui variebel endogen intervening yaitu pembiayaan bermasalah (NPF). Hal tersebut menunjukkan bahwa pengaruh tidak langsungnya lebih kecil dibandingkan dengan pengaruh langsungnya. Hasil analisis jalur 2 antara pembiayaan murabahah  terhadap profit, variabel NPF tidak berperan sebagai variabel intervening. Artinya pembiayaan murabahah  berpengaruh secara langsung terhadap profit.
Les tumeurs de Krukenberg de l'ovaire d'origine rectale
Authors:   Department of Surgery B, Constantine's University Hospital – Algeria, Menoura Raouf , Bouhraoua Rym , Bicha Sofia , Hammoudi Fateh , Delmi Abdelhak
Published: June 2021

Krukenberg tumors (TK) define themselves as ovarian metastases from cancer more often digestive. These are rare tumors that represent 1 to 2% of ovarian tumors. They are characterized by the presence of “kitten ring” cells filled with mucus and a pseudo-sarcomatous proliferation of the ovarian stroma. Their evolution is quickly fatal. We report 1 case of Krukenberg tumor observed and operated on in June 2020 at the surgery Department B CHU Constantine. The symptoms began with a rectal syndrome with transient episodes of pelvic pain. In this regard, we will recall the epidemiological, clinical, and evolutionary characteristics of this disease. Keywords: Krukenberg tumor, rectal cancer, ovarian metastases, synchronous tumors, posterior pelvectomy.
Psychiatrists’ attitude toward religion in clinical practice in Algeria
Authors:   Psychiatre libéral Cité Larbi Benredjem Mila – Algérie, Benmebarek Zoubir , Benaldjia Hanane ,   Faculté de Médecine, Université de Batna 2 – Algérie
Published: June 2021

Objectifs : Étudier la religiosité des psychiatres algériens et leur attitude face aux questions religieuses en pratique clinique. Méthodes : Étude descriptive transversale incluant 87 psychiatres qui ont répondu à un questionnaire anonyme auto administré diffusé via un réseau social. Résultats : Deux tiers des répondants étaient des femmes (67,8 %), l’âge moyen est de 39,3 ans ; la plupart pratiquent la psychiatrie générale (89,7%) avec une moyenne de 9,32 années d’expérience. La majorité des psychiatres (95.4%) sont croyants et les deux tiers (62,1%) sont pratiquants réguliers ; les femmes étant plus croyantes et plus pratiquantes que les hommes. La religion a une importance surtout chez les psychiatres croyants et chez les pédopsychiatres mais en général elle n’influe pas la pratique psychiatrique. La plupart des psychiatres (96,5 %) acceptent volontiers d’aborder les questions religieuses avec les patients. Les psychiatres dans leur majorité (62,1 %) pensent que la religion a, à la fois, un effet positif et négatif sur la maladie mentale ; les psychiatres pratiquants y voient un effet positif. Deux tiers des psychiatres (64,4 %) n’ont pas cherché à gagner des connaissances sur ce thème et la moitié (52,9 %) sont d’accord pour intégrer la religion dans la formation des psychiatres. Conclusion : La croyance et la pratique religieuse ne se traduisent toujours pas par l’intégration de la religion en pratique clinique. Une formation initiale et/ou une formation continue pourrait aider les psychiatres à savoir comment prendre en compte la dimension religieuse lors de l’évaluation clinique initiale et en thérapie. Mots-clés : religion, psychiatre, attitude, pratique, Algérie.
Oncological outcomes of partial nephrectomy
Authors:   Faculté de Médecine, université Ferhat Abbas 1, CHU Sétif, Algérie, Bouras Samir
Published: June 2021

Introduction. Selon les données de l'Organisation mondiale de la santé 2018, le cancer du rein occupe en Algérie le 20eme rang chez les deux sexes. L'objectif de cette étude est d'évaluer nos résultats oncologiques de la néphrectomie partielle. Patients et méthodes. Étude rétrospective mono centrique, de juin 2012 à mars 2020. 50 patients ont bénéficié d'une néphrectomie partielle pour cancer du rein. Parmi ces patients, 37 (74%) cancer ont été confirmés par la pathologie. L'étude statistique a été réalisée à l'aide du logiciel SPSS 20. Résultats. L'âge moyen était de 55,1 ans et les femmes étaient majoritaires 23 (62,2%). Le carcinome à cellules claires prédominait : 21 cas (56,8%). Les marges chirurgicales étaient positives dans 06 cas (16,2%) et le stade pT1 était majoritaire dans 29 (78,3%). Après un suivi moyen de 55,7 mois, nous avons eu un taux de récidive global de 10,8% (04 patients). Aucun facteur de risque probable n’a été statistiquement significatif. Discussion. Nos résultats carcinologiques sont comparables aux données de la littérature (des taux de récidives jusqu’à 10,6%). Malgré un taux relativement élevé de marges chirurgicales positives, 80% des récidives sont survenus sur des marges négatives. En effet, les marges chirurgicales positives ne sont pas considérées comme un facteur de risque de récidive indépendant. Plusieurs facteurs de risque de récurrence ont été rapportés ; cependant dans cette série, nul n’a été identifié. Le cancer du rein est connu pour des récidives très tardives. Conclusion. La néphrectomie partielle est réalisée dans notre service depuis plus de 08 ans en toute sécurité, avec des résultats oncologiques satisfaisants. Mots clés : cancer du rein, néphrectomie partielle, résultats oncologiques.
Prise en charge de la maladie poly artérielle : résultats d’une étude transversale monocentrique à l’est Algérien
Authors:   Cardiology department, Regional Military University Hospital, Ali Mendjeli,, Merghit Rachid , Gueriane Ikhlas , Ait Athmane Mouloud ,   Cardiology department, Annaba university hospital center, Algeria 23,000, Lakehal Abdelhak ,   Epidemiology department, university hospital center of Constantine, Algeria 25,000
Published: June 2021

Introduction. The rates of atherosclerotic disease as well as its multifocal aspects have been increasing significantly. It is important to know these associations to ensure comprehensive management of this category of patients. Aim. To estimate the frequency of the principal peripheral atherosclerotic associations in patients with coronary artery disease referred to cardiology in the University Hospital of Constantine. Methods. Our study is descriptive, cross-sectional, and mono-centric carried out in the unit of cardiovascular investigations of the Regional Military University Hospital of Constantine. The included patients had at least one significant coronary lesion ≥50 in a principal coronary artery. All our patients underwent an ultrasound evaluation (supra-aortic trunk echo-Doppler, Doppler Ultrasound of the aorta and lower limbs). Data were processed using SPSS Statistics V22. Results. The frequency of the association of Peripheral Artery Disease and Coronary Artery Disease was 34.7% representing the most frequent association. A hemodynamic carotid lesion (≥ 50%) and Abdominal Aortic Aneurysm were associated respectively with Coronary Artery Disease in 12% and 4.6% of patients in the current study. The triple association of coronary artery disease, Abdominal Aortic Aneurysm, and hemodynamic carotid disease was observed in 2.67%, whereas the triple association of Peripheral Artery Disease, coronary artery disease, and carotid stenosis≥50% was observed in 6.67%. The frequency of the association of coronary artery disease, Peripheral Artery Disease, and Abdominal Aortic Aneurysm was estimated at 3, 66%. The therapeutic strategy for multi-focal atherosclerotic disease is still discussed, but coronary artery disease dominates the prognosis. Conclusion. Carrying out a comprehensive assessment of patients with coronary artery disease helps significantly in establishing an adapted and pertinent management with an acceptable BenefitCost Ratio. Keywords: coronary artery disease; peripheral atheromatous disease; pan-vascular therapy.
Epidemiological profile of asthmatic children in the wilaya of Sidi Bel Abbes: factors of asthma severity
Authors:   Département de médecine, faculté de Médecine, université Tahri Mohamed, Rue de l’indépendance, BP 8000, Bechar, Algérie, Messafeur Abdelkrim , Belkessam Nafissa ,   Département de pharmacie, faculté de Médecine Taleb Mourad, université Djillali Liabes, Boulevarde Colonel Othmane, BP 22000, Sidi Bel Abbes, Algérie
Published: June 2021

Introduction : L’asthme sévère est un réel problème de santé publique. Le but de notre travail est de mettre en évidence les facteurs influençant la sévérité de l’asthme chez la population jeune. Matériel et méthode : Il s’agit d’une enquête transversale concernant les enfants et adolescents asthmatiques scolarisés âgés de 6 à 19 ans et résidents dans la wilaya de Sidi-Bel-Abbès entre Janvier et Mars 2016. Le questionnaire utilisé reprend les critères d'évaluation du contrôle recommandés par le Global Initiative for Asthma (GINA) 2008. Résultats et discussion : Nous avons colligé 432 enfants et adolescents asthmatiques. La prévalence de l'asthme sévère est de 12,7% et est élevée par rapport à la prévalence de 4% retrouvée dans l’étude de Benallal en 2010 menée en milieu hospitalier. Une relation significative est notée entre la sévérité de l’asthme et le mode de vie urbain de notre population et presque les deux tiers des enfants et adolescents souffrant d’asthme sévère sont exposés au tabagisme passif. Une association très significative est remarquée entre la prévalence relative de l’asthme sévère et le rang dans la fratrie d’une part et la taille de fratrie d’autre part. Dans notre étude, la répartition en fonction du statut pondéral, montre que 22% de nos patients sont en surpoids ou obèses. L’obésité est associée à une inflammation systémique qui module l’inflammation des voies respiratoires et, par conséquent, l’expression de l’asthme chez les obèses. Conclusion : La sévérité de l’asthme peut être causée, déclenchée ou influencée par de nombreux facteurs environnementaux ou liés au patient lui-même. Mots clés : asthme sévère, facteurs influençant, tabagisme passif, obésité.
Digestive and hepatobiliary manifestations of children with cystic fibrosis in Oran, Algeria
Authors:   Laboratoire LMCVGN, Faculté de Médecine, Université Sétif1,19000 Algérie, Boutrid Nada , Rahmoune Hakim , Bouziane-Nedjadi Karim ,   Service de Pédiatrie, Oran, Algérie, Radoui Abdelkrim ,   Service de Pédiatrie, Oran, Algérie
Published: June 2021

Introduction. La mucoviscidose reste une affection potentiellement sévère, responsable d’une morbimortalité élevée dans notre pays en raison du retard diagnostique et de prise en charge des enfants vu l’absence de dépistage néonatal. Objectif. Présenter les signes cliniques digestifs et hépatobiliaires des enfants atteints de mucoviscidose au diagnostic et lors de leur suivi. Patients et méthodes. Etude descriptive, transversale et rétrospective conduite au niveau du service de pneumo-allergologie de l’EHS Canastel « Boukhrofa Abdelkader » à Oran, entre 2000 et 2019, concernant les dossiers des enfants avec un diagnostic confirmé de mucoviscidose. Résultats. Sur 51 dossiers d’enfants colligés (49% de garçons, âge moyen = 6.68 +/- 4.24 années), la triade classique avec diarrhée, dénutrition et atteinte pulmonaire était le premier motif d’hospitalisation avec 41% des enfants. Aussi, à l’admission, la diarrhée chronique avec stéatorrhée était présente dans 82,4% des cas, avec 11.8% de déshydratation. Trente-six pour cent (36%) des enfants présentaient également une dénutrition associée. Concernant le système hépatobiliaire, 10% des enfants présentaient une hépatomégalie clinique, avec une lithiase vésiculaire dans un seul cas. Un seul enfant a présenté un prolapsus rectal. Sur le plan thérapeutique nutritionnel, tous les enfants ont reçu des extraits pancréatiques. L’évolution des diarrhées était globalement favorable ; le pourcentage des enfants diarrhéiques étant passé de 82.4% à 37.25% avec une amélioration de l’index de masse corporelle (IMC) chez 42.55% des malades. Conclusion. Les manifestations hépato-digestives sont au premier plan au cours de la mucoviscidose : dans notre cohorte, tous les patients ont présenté au moins un signe d’appel digestif durant leur suivi. Leur reconnaissance et surtout leur prise en charge précoces sont des étapes essentielles en vue d’améliorer le pronostic des enfants atteints de mucoviscidose. Mots clés : Mucoviscidose, Enfant, Algérie, insuffisance pancréatique exocrine, complications digestives, complications hépatobiliaires.
Parkinson's disease, a neurodegenerative disorder that continues to be a challenge for scientific development
Authors:   Laboratoire de Biologie et Environnement, Faculté des Sciences de la Nature et de la Vie, Université des Frères Mentouri Constantine1, Algérie., Hadjira Sabrina , Bouchouf Bassim ,   Pharmacien Industriel, Secteur privé., Menad Ahmed , Ameddah Souad
Published: June 2021

La maladie de Parkinson est une maladie neurodégénérative chronique associée à une perte progressive de neurones dopaminergiques dans la substance noire pars compacta et au dépôt intraneuronal d'agrégats de protéines insolubles renfermant principalement l'α-synucléine. Les mécanismes pathogènes qui se cachent derrière cette maladie restent insaisissables. Cependant, il est bien admis que les facteurs génétiques et environnementaux contribuent aux processus de la neuro-inflammation et du stress oxydatif jouant un rôle primordial dans la pathogenèse de cette maladie. Étant donné que les thérapies disponibles visent uniquement à soulager les symptômes de la maladie de Parkinson, les scientifiques visent à exploiter la compréhension des processus impliqués dans cette maladie dans le développement de nouvelles pistes pour mieux contrôler sa progression. Mots-clés : La maladie de parkinson, dopamine, stress oxydant.
It's not just the indoor allergen that influences asthma
Authors:   Service de pneumologie, Hôpital Mohammed Seghir El Nekkache. Université d’Alger., Aissani Samia , Zitouni Ali
Published: June 2021

Il est connu depuis longtemps que l’environnement influence l’asthme par effets des allergènes, des irritants et de la pollution atmosphérique sur l’arbre bronchique. De nouveaux facteurs sont de plus en plus décrits dans l’apparition ou l’aggravation de l’asthme mais peu rechercher en pratique. L’environnement interne domestique ou professionnel, dont lequel nous passons plus de temps peut contribuer à l’apparition ou l’aggravation d’un asthme. Cet environnement est complexe. Il est composé d’allergènes, de produits chimiques, de gaz, d’animaux et de produits électriques. Ces facteurs peuvent majorer l’inflammation bronchique et entrainant ainsi un non contrôle de l’asthme. Par ailleurs, en raison du changement du mode de vie, on est moins exposé au soleil ; Ce qui favorise le déficit en vitamine D, qui va majorer l’inflammation bronchique et le risque d’infections respiratoires. La conséquence sera l’augmentation de la fréquence des exacerbations et du non contrôle de l’asthme. Tout récemment, les chercheurs ont démontré l’implication de tous ces facteurs environnementaux dans la perturbation du microbiome respiratoire nécessaire dans la régulation de l’inflammation bronchique. Mots clés : asthme, environnement interne, produits chimiques, vitamine D, microbiome.
Smartphone Operated Elevator
Authors: Philip Prof. Vineeta , Valecha Bhushan , Bhujade Prashik , Kulkarni Chinmay
Published: June 2021

additionally as an interface as a connection among cell phones and lift control boards. Moreover, we'll show the arrangement of the apparatus which animates an effect board for the lift call and interface which can get signals, measure them and send them to the fundamental lift instrument board. The introduced framework may be used in shrewd house projects and, particularly for crippled individuals. The common link change framework includes a long change cycle on the change of level floor, running bends, and including running parts for the lift. Then again, it generally requires close coordination between two agents. So this paper plans a lift remote change framework, including Bluetooth innovation, Android telephone innovation, and microcontroller innovation. The lift remote change framework makes the technique for change natural, decreases the responsibility of the adjustor, and speeds up the lift change cycle. Contrasted to the typical lift change strategy, this procedure makes it conceivable to utilize an Android telephone as a lift change apparatus to troubleshoot the lift with Bluetooth. Other than contrasted and other remote lift change strategies, the remote module is fixed on the regulator for the lift as opposed to the lift regulator, this technique maintains a strategic distance from the restriction of remote distance and subsequently, the adjustor simply should remain inside the lift while changing the boundary of the lift instead of running here and there, the continuous change result's fit to be seen inside the Android telephone. The test has demonstrated the achievability, viability, and dependability of the plan of a lift remote change framework.
The Big Goodbye
Authors: Wasson Sam
Published: June 2021

Sight & Sound's #1 Film Book of 2020

Chinatown is the Holy Grail of 1970s cinema. Its ending is the most notorious in American film and its closing line of dialogue the most haunting. Here for the first time is the incredible true story of its making. In Sam Wasson's telling, it becomes the defining story of its most colorful characters. Here is Jack Nicholson at the height of his powers, embarking on his great, doomed love affair with Anjelica Huston. Here is director Roman Polanski, both predator and prey, haunted by the savage murder of his wife, returning to Los Angeles, where the seeds of his own self-destruction are quickly planted. Here is the fevered deal-making of 'The Kid' Robert Evans, the most consummate of producers. Here too is Robert Towne's fabled script, widely considered the greatest original screenplay ever written. Wasson for the first time peels off layers of myth to provide the true account of its creation. Looming over the story of this classic movie is the imminent eclipse of the '70s filmmaker-friendly studios as they gave way to the corporate Hollywood we know today.
Tweenhood
Authors: Kennedy Melanie
Published: June 2021

A powerful female, preadolescent, consumer demographic has emerged in tandem with girls becoming more visible in popular culture since the 1990s. Yet the cultural anxiety that this has caused has received scant academic attention. In Tweenhood, Melanie Kennedy rectifies this and examines mainstream, pre-adolescent girls’ films, television programmes and celebrities from 2004 onwards, including A Cinderella Story, Hannah Montana and Camp Rock. Her book forges a dialogue between post-feminism, film and television, celebrity and most importantly; the figure of the tween. Kennedy examines how these media texts, which are so key to tween culture, address and construct their target audience by helping them to ‘choose’ an appropriately feminine identity. Tweenhood then, she argues, is transient and a discursive construct whose unpacking highlights the deification of celebrity and femininity within its culture.
The micro-elimination approach - a new way of tackling hepatitis C in paediatric population
Authors: Pluta Magdalena , Pokorska-Śpiewak Maria , Aniszewska Małgorzata , Marczyńska Magdalena
Published: June 2021

Recent advances in antiviral drug development towards the hepatitis C virus(HCV) have revolutionized the therapy and paved the way towards the elimi­nation of chronic hepatitis C (CHC). Difficulties in achieving time-bound elimination targets of the World Health Organization’s Global Strategy on viral hepatitis might be overcome through a novel micro-elimination approach. A new, emerging strategy focuses elimination efforts on high-risk and ignored populations, and therefore allows for quick, efficient targeting of treatment and prevention services. So far, gaps in antenatal and/or paedia­tric care, and a lack of reimbursement and approval of direct-acting antivirals (DAA) in the paediatric population have been a barrier to accessing treatment, leading to marginalization of children and adolescents. Recently approved DAAs for use in children aged ≥ 3 years seem to be the cornerstone of HCV elimination by reducing the risk of future horizontal and vertical transmission, firstly on a national, and ultimately on a global level.
A study of Storage Area Networks and issues in its management
Authors:   Electronics and Communication Dept., R.V College of Engineering, Bangalore, India., Kulkarni Varsha , Bhat Dr. Nagaraj ,   Electronics and Communication Dept., R.V College of Engineering, Bangalore, India.
Published: June 2021

A data center has hundreds of servers and storage devices running on virtual machines that can be deployed and migrated over servers as per the requirement. If each server uses local storage, migration of this storage and restoration is mandatory. An attempt to organize and track storage throughout the data center is quite tedious. Using a dedicated storage system like a storage array, it possible to collectively monitor and manage such a network. A storage area network is essentially a network dedicated to storage devices. A storage area network can interconnect devices in all its layers, therefore improving storage availability. Interconnecting all elements in SAN also reduces the chances of a single point of failure. Using the storage devices collectively improves their utilization. SAN offers to manage and maintain all devices in the network. Although SAN is beneficial, it has drawbacks when configuring, monitoring, and managing components in a large-scale network. This paper consolidates the problems associated with SAN and offers possible solutions to overcome them.
Intradermal mesotherapy versus intravenous dexketoprofen for the treatment of migraine headache without aura: a randomized controlled trial
Authors: Akbas Ilker , Kocak Meryem Betos , Kocak Abdullah Osman , Gur Sultan Tuna Akgol , Dogruyol Sinem , Demir Mehmet , Cakir Zeynep
Published: June 2021

BACKGROUND:

Migraine is a prevalent disabling primary headache disorder that is classified into two major types: migraine without aura and migraine with aura. New therapeutic methods to reduce migraine headaches in the emergency department (ED) include intradermal mesotherapy.

OBJECTIVE:

Compare the efficacy of intradermal mesotherapy versus a systemic therapy in pain control in patients with headache related to migraine without aura.

DESIGN:

Prospective parallel-group randomized controlled trial.

SETTING:

University hospital in Turkey.

PATIENTS AND METHODS:

Patients 18 years of age and older who were admitted to the ED over a 15-month period with headache related to migraine without aura were eligible for inclusion if they had a VAS score of 4 or above. Patients were randomly allocated to one session of mesotherapy or intravenous dexketoprofen. Changes in pain intensity were measured by the score on a visual analog scale (VAS) at 30, 60, and 120 minutes and 24 hours after treatment. Efficacy was also assessed by the need for use of an analgesic drug within 24 hours, by readmission with the same complaint to the ED within 72 hours, and by adverse effect rates.

MAIN OUTCOME MEASURE:

Pain intensity on the VAS scale.

SAMPLE SIZE:

148 patients (154 enrolled and treated; 1 patient in the mesotherapy and 5 patients in the systemic therapy group lost to follow up).

RESULTS:

Pain intensity on the VAS scale decreased from a median score of 8 to 4 in the mesotherapy group and from 8 to 5 in the systemic therapy group. These differences were statistically significant from baseline for all time intervals (P=.001 to 30 minutes,P=.004 to 60 minutes,P=.005 to 120 minutes, andP=.002 to 24 hours). The need to use analgesics and the rate of readmission to the ED were higher in the systemic therapy group (P=.013 andP=.030, respectively). Adverse effect rates were minimal and similar in the study groups during the one-week follow-up period.

CONCLUSIONS:

Mesotherapy is more efficacious than intravenous dexketoprofen in the management of acute attack of migraine without aura in the ED.

LIMITATIONS:

Unblinded. Valid for assessing short-term pain relief, but not sufficient to predict long-term efficacy. Not generalizable because single center and small sample size.

CONFLICT OF INTEREST:

None.

REGISTRATION:

ClinicalTrials.gov(NCT04519346)
Warm distension fluid reduces pain severity in office hysteroscopy: a randomized controlled trial
Authors: Gulucu Selim , Cakmak Bulent
Published: June 2021

BACKGROUND:

Abnormal uterine bleeding (AUB) affects approximately 14% to 25% of women of reproductive age. The most common use of office hysteroscopy is to evaluate pathologies related to AUB and reproductive health, but office hysteroscopy can also be used for the diagnosis and treatment of other intrauterine pathologies.

OBJECTIVE:

Investigate the effects of the temperature of the distension fluid on pain severity in patients undergoing diagnostic office hysteroscopy due to AUB.

DESIGN:

Randomized controlled clinical trial.

SETTING:

Tertiary care center in Turkey.

PATIENTS AND METHODS:

One hundred perimenopausal patients with AUB were randomly allocated according to the temperature of the distension fluid used in office hysteroscopy (37°C or 25°C). Pain intensity was assessed using a visual analog scale (VAS). Six VAS measurements were compared over the course of the hysteroscopy: pre-treatment (VAS-1), at vaginal entry (VAS-2), at the cervical ostium transition (VAS-3), while in the cavity (VAS-4), at the end of the procedure (VAS-5), and 30 minutes after the end of the procedure (VAS-6).

MAIN OUTCOME MEASURE:

VAS

SAMPLE SIZE:

Fifty in each group enrolled, one drop out.

RESULTS:

The VAS-3, VAS-4, and VAS-5 scores were significantly lower for patients in the warm fluid group than in the room temperature group (P<.05), whereas the VAS-1, VAS-2, and VAS-6 scores were similar in both groups.

CONCLUSION:

The application of warm distension fluid in office hysteroscopy reduces pain severity compared with the application of an unheated fluid.

LIMITATIONS:

The main limitations of the study were that a subgroup analysis could not be performed due to an insufficient number of cases, and we were unable to evaluate vasovagal symptoms.

CONFLICT OF INTEREST:

None.
ANALISIS KEMAMPUAN BERPIKIR TINGKAT TINGGI MENURUT TEORI ANDERSON DAN KRATHWOHL
Authors: Syahri Andi Alim , Ahyana Nur
Published: June 2021

Penelitian ini bertujuan untuk mengetahui kemampuan berpikir tingkat tinggi peserta didik berdasarkan teori Anderson dan Krathwohl materi program linear pada level menganalisis, mengevaluasi dan mencipta. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif. Kelas yang dipilih adalah kelas XI MIA 1 semester ganjil yang telah mempelajari materi program linear, kelas tersebut dipilih berdasarkan kelas yang memiliki hasil belajar yang tinggi atau aktif dan berprestasi diantara kelas XI yang lain. Subjek dalam penelitian ini berdasarkan hasil tes yang terdiri dari 2 peserta didik yang memiliki nilai tertinggi. Instumen dalam penelitian ini adalah tes kemampuan berpikir tingkat tinggi dan wawancara. Adapun teknik pemeriksaan keabsahan data pada penelitian ini dilakukan dengan menggunakan triangulasi sumber. Hasil penelitian menunjukkan bahwa subjek dapat memenuhi kemampuan berpikir tingkat tinggi dilihat dari level menganalisis, dimana subjek dapat membedakan hal-hal yang relevan, dapat mengorganisasikan informasi dan dapat menghubungakan informasi dalam suatu konsep. Pada level  mengevaluasi, subjek dapat memeriksa fakta-fakta yang ada dan mengkritisi suatu hal yang kurang tepat dan pada level mencipta, subjek dapat menciptakan dan merancang langkah-langkah pemecahan masalah dan menghasilkan produk baru.
Erken Dönemin Ahlâk Tasavvuru Doğrultusunda Tasavvufun Din Bilimleri Arasına Girmesi
Authors: Gülseroğlu Fatma
Published: June 2021

Ahlâk konusu dinler üstü konuşulan ve tartışılan evrensel bir olgudur. Her toplumun kendi sosyolojik ve psikolojik durumlarına bağlı olarak kabul ettiği ahlâkî değerler mevcuttur. İslam, Arap toplumuna geldiği ilk andan itibaren toplumun sahip olduğu ahlâkî değerleri düzenleme ve yenilemeye başlar. Düzenlenen ve yenilenen ahlâkî değerlerde örnek insan olarak ise Hz. Peygamber gösterilir. Bu çerçevede Hz. Peygamberin vefatından sonra İslam toplumunda oluşan karışıklıkların ahlâkî sonuçları ve toplum içinde bozulmalara tepki hareketi olarak ortaya çıkan sûfilerin eleştirileri meydana gelir. Her ne kadar fıkıh ve kelam alanları teşekkül süreçlerinde farklı konular üzerinde tartışsalar da ahlâk konusuna ait özel bir bölüm fıkıh ve kelam alanında mevcut görünmez. Sûfiler, İslam din bilimlerinde ahlâk alanının göz ardı edilmesini eleştirir ve bu eksiliğin giderilmesi gerektiğini savunur. Erken dönemde yaşamış olan sûfiler ise bu açıklığın kapanması ve İslam düşüncesinin tekâmüle ermesi için çözümün tasavvuf olduğunu iddia ederler. Bu durumu meşrulaştırmak için de tasavvufun kelam ve fıkıh alanı gibi bir bilim olduğunu ispatlama yolunda eserler kaleme alırlar. Bu süreçte ise tasavvuf pratik ve zühd esaslı bir anlayıştan, diğer din bilimleri gibi bilgi çıkartan bir ilme dönüşür.
Post Mortem of Press Releases of the First 300 COVID-19 Deaths in Sri Lanka
Authors: Wijesekara NWANY , Kodituwakku KALC , Bulathsinghe BAMP , Sachinthani JPT , Lakshani MMM
Published: June 2021

Coronavirus Disease 2019 (COVID-19) had massive health, economic, social, and fiscal demands on governments. Communicating about the COVID-19 deaths to the general public by the governments is a challenging task. Department of Government Information (DOGI) communicated about the COVID-19 deaths in Sri Lanka by publishing daily press releases online and in other audio-visual media. The objective of this study was to examine the DOGI press releases of the first 300 COVID-19 deaths in Sri Lanka in retrospect. The information on COVID-19 deaths and associated factors were extracted and analyzed from the press releases. Eighty-nine press releases issued from 25.05.2020 to 30.01.2021 on the first 300 COVID-19 deaths were analyzed. Out of the 300 deaths, the information was available on 271 out of 300 deaths (90.33%) in the DOGI press releases we studied. For the large majority (264, 97.41%) of the deaths, the Director General of Health Services was stated as the source of information. The majority of the persons who died were over 60 (n = 191, 70.48%). Most of the persons who died from COVID-19 were males, n = 168, 61.99%, and were from the Colombo district (n = 165, 60.88%). Most of the deaths (n = 177, 65.31%) have occurred while the patient was taking treatment in a hospital. The most common comorbidity reported among the persons who died of COVID-19 was hypertension (n = 24, 8.86%). Publication of written press releases summarizing the information on COVID-19 deaths in Sri Lanka is a best practice in reporting mortality and communicating risk. The analysis of press releases of COVID-19 deaths can provide useful information about the mortality pattern, which is recommended to be carried out regularly.
UNDETECTED HEPATITIS-C VIRUS INFECTION IN HAEMODIALYSIS PATIENTS: IMPORTANCE OF PCR HCV RNA AND ELIZA METHOD
Authors: Yasir Hussain  , Anjum Roshina , Nazish Munawar  , Zahra Fatima  , Saba Naz  , Adil Mehmood
Published: June 2021

Haemodialysis (HD) is one of the most common type of renal replacement therapy (RRT) used for end stage kidney disease (ESKD). Hepatitis-C is the most frequent infection in haemodialysis. Early detection of this viral infection can lead to early treatment, lesser morbidity and mortality. PCR test is being used instead of Elisa in centres where HCV infection is more prevalent as PCR for HCV RNA is considered more reliable than Eliza in haemodialysis patients.

Objective: To assess the accuracy of Eliza and PCR method for the detection of Hepatitis-C viral infection in haemodialysis patients.

Study design: Cross-sectional Study.

Settings: Dialysis centre of DHQ hospital Sheikhupura, Punjab, Pakistan in January 2018.

Materials and Methods: All patients who were on maintenance haemodialysis for more than six months were included in the study. Patients with acute kidney disease and on dialysis less than six months were excluded. All patients were tested by enzymes linked immune-sorbent essay (ELIZA) and polymerase chain reaction (PCR) method for HCV status.

Results: Out of 152 haemodialysis patients tested, 94 (61.84%) cases were positive by both ELIZA and PCR methods while 6 (3.94%) cases with negative ELIZA were PCR positive. Number of dialysis, blood transfusions and serology were important risk factors with significant p value. (<0.05)

Conclusion: In centres where Hepatitis-C is more prevalent, PCR for HCV RNA should be preferred over ELIZA method for early detection of HCV viral infection.
A Study of Stylistic Features of Cricket Commentary: A Discourse Analysis
Authors: Naveed Hamid , Umar Hazrat
Published: June 2021

This study is based on the analysis of language practices and features that different cricket commentators use in international cricket matches. This study explores that cricket commentary forms a complete register on its own with its field, tenor, and mode components. Data for this research have been taken from the 1992 World Cup, the 2015 World Cup, and the Ashes Series 2005 matches available on YouTube. Textual analysis technique has been employed for data analysis. After analyzing the data in the light of Halliday’s notion of register comprising field, tenor, and mode, it is found that cricket commentary is characterized by special syntactic features such as ellipsis, extensive use of exclamatory sentences, the abundant use of the simple present tense and simple sentences, passive construction notably in elliptical form, first and third conditionals, and inversion. Use of idioms, certain action verbs, certain positive and negative adjectives, and certain adverbs are some of the salient features of cricket commentary. Cricket commentary also has a special jargon with words like ‘knock’, ‘mid-on’, ‘mid-off’, ‘innings’ and ‘bouncer’ etc. Cricket commentators also use certain aspects of connected speech such as weak forms of words, elision, and assimilation.
Analysing the Impact of Good Governance on Socio-Economic Development: A Case Study of Pakistan
Authors: Hassan Muhammad , Zeb Rizwan
Published: June 2021

The concept of “good governance” has emerged as vital driving force in the past few decades to positively shape economic growth and sustainable socio-economic development across the globe in general and developing countries in particular. However, Pakistan’s turbulent political landscape and deeply entrenched systemic corruption in the recent decades have utterly harmed the good governance at large, resulting in socio-economic developmental woes and increased sufferings of the people. This paper focuses on analysing the influences of good governance on the socio-economic development in Pakistan in the light of World Bank good governance indicator and also probe the impact of prevalent perceived corruption in the country in accordance with observation taken by Transparency International, UNDP, and other renowned State Institutions. The paper has emphasized on the last two decades to ascertain the contributory factors by using the appropriate qualitative / quantitative and statistical techniques that debilitated good governance in Pakistan and caused continual political instability, pessimism, and recurring political crises and undermined socio-economic development in the country. Based on the ascertained findings, the paper has identified impediments to existing governance situation and prevalence of corrupt practices and has proposed workable suggestions/ recommendations to assist policy makers, development planners, intellectuals, politicians, and succeeding governments in Pakistan to take corresponding structural or policy reforms to address the said hurdles.
MODERN INTERNATIONAL POLICY IN A PANDEMIC
Authors:   Abay Myrzakhmetov Kokshetau University, Slavetskiy V.Y. , Satpayev А.К. ,   Abay Myrzakhmetov Kokshetau University, Bekeschev К.А. ,   Abay Myrzakhmetov Kokshetau University
Published: June 2021

The global coronavirus pandemic has become a catalyst for a previously unheard-of pace of world change. The way of life of a person has already objectively become different, and similar changes have taken place in all spheres of the functioning of our society. The changes that have begun in the international political sphere are only gaining momentum and are at the initial stage. In the near future, there will be serious shifts in the state and trade policy of the countries and the desire for maximum self-sufficiency in resource and production terms.
THE PROBLEM OF TERRORISM AND EXTREMISM IN CENTRAL ASIA (ON THE EXAMPLE OF KAZAKHSTAN)
Authors:   ", Tolen Zh.M ,   Turan",   University, Kazakhstan, Bakytkyzy А. ,   "Turan" University, Kazakhstan, Alisherova A.B ,   "Turan" University, Kazakhstan
Published: June 2021

This article analyzes the prevalence of religious terrorism and extremism in Central Asia, especially in the Republic of Kazakhstan. This is due to the fact that at present this is one of the most pressing problems that is being identified, studied in various measures in order to identify common problem. In addition, one of the main reason for the religious problem in Kazakhstan and its consequences, solutions will be highlighted in this paper.
World charismatic leaders in the political process
Authors:   Abai Kazakh National Pedagogical University, Kazakhstan, Mukazhanova A.Zh. , Darzhibayev Y.T. ,   Abai Kazakh National Pedagogical University, Kazakhstan
Published: June 2021

Charisma is a special ability that can attract people's attention, control the crowd, and even impose its own opinion and ideological principles. Charisma is synonymous with leadership. Only born leaders can reach dizzying heights. A common feature of many charismatic people is the ability to master the art of speech perfectly. Simply put, all charismatic people are great speakers. A leader, like advertising, is the driving force behind progress and every process. He must be able to speak publicly.
Impact of social conflicts on state decisions (based on the problem of large families in Kazakhstan
Authors:   Al-Farabi Kazakh National University, Kazakhstan, Alyarov Е.К. , Babatayeva А.А. ,   Al-Farabi Kazakh National University, Kazakhstan
Published: June 2021

The article analyzes the conflict caused by the protests of the social group. The purpose of our study is to study the effectiveness of decisions made by the state. In 2019, we see that the requirements of mothers with many children to the state influenced the decisions of the authorities. This protest led to a change in legislation, the need to pay more attention to the position of large families in the policy of increasing the welfare of the population.
Evolutionary change in the social protection system of the population of independent Kazakhstan
Authors:   Miras University, Kazakhstan, South Kazakhstan medical Academy, Kazakhstan, Shintaeva F. E. , Orazymbetova Z. Sh. ,   Miras University, Kazakhstan, South Kazakhstan medical Academy, Kazakhstan
Published: June 2021

In this article, the authors talk about the evolutionary changes in the system of social protection of the population in Kazakhstan, that is, about the evolutionary changes in the policy of social protection of the population of the USSR and modern Kazakhstan. The authors begin this situation by considering the example of the independent Republic of Kazakhstan, which was part of the USSR.
Formation and modern trends in mediation development
Authors:   ENU after L.N. Gumilyov, Nur-Sultan, Kazakhstan, Abiev E.M.
Published: June 2021

This article shows the historical formation of mediation, and the main directions of development. Also, modern works are provided to determine the level of study of mediation, and the main problems of development are identified. Foreign works on the topic of "mediation" were reviewed, and the main types and concepts of «mediation» were defined. In addition, the basic concepts of mediation and principles of work are reflected.
Sociological theories in the study of sociolinguistic positions
Authors:   L. N. Gumilyov Eurasian National University, Kazakhstan, Khamit А.D.
Published: June 2021

The article provides an overview of the classical theories of sociology and social psychology, aimed at studying social and linguistic attitudes. It tells about the formation of the concept of social attitudes, the history of development and evolution of formation. The process of formation of social attitudes V. Thomas and F. Znanetsky, their methodological measurements G. Allport, R. Lapierre, L. Thurston, V. A. Yadov, I. F. Devyatko, the problem of formation is considered on the basis of the social paradigm M. Weber, E. Durkheim, J. Habermas, E. Giddens, M. Rokich, P. Bourdieu and others.