bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison Study between Fetal Kidney Length and Transcerebellar Diameter to Determine Gestational age in the Third Trimester
Authors: Ahmed Mounir Ahmed El-Saeed  , Walaa Mohammed El-Bassioune  , Abdelrahman Ali Hassan Emam
Published: April 2023

Introduction and Aim: An accurate determination of gestational age (GA) is crucial to the management of all pregnancies, particularly high-risk pregnancies. This study aimed to comparing between the accuracy of ultrasonographic fetal kidney length and Transcerebellar diameter in GA determination in third trimester.

Patients and methods: The study was a cross sectional one, carried out at the department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt. The study had been performed between January 2021 and January 2022. All were submitted to a detailed history, routine antenatal investigations, general and obstetrical examination. Then, measurements of all fetal biometric parameters were recorded using a real- time, grayscale, 3.5–5.0 MHz curvilinear array transducer. Results were compared to the gestational age determined by last menstrual period.

Results: The patient age ranged between 18 and 37 years, their weight ranged between 55 and 109 kg, while gravidity ranged between 1 and 5 and parity ranged between 0 and 4. The GA as determined by last menstrual period (LMP) was ranged between 28 and 40 weeks. The calculated GA by different measurements were also included and they were around the same measurements as determined by LMP.  This was confirmed by the absent statistically significant difference between GA by LMP and any of calculated gestational age by any method. The mean fetal kidney length is more accurate in determination of gestational age than transcerebellar diameter (96.3% vs 89.8%) and both were significantly correlated with other calculated gestational ages.

Conclusion: The length of the fetal kidney length proportionately correlated with fetal gestation age with powerful correlation coefficient. Fetal kidney length is found to be more accurate in GA determination than transcerebellar diameter (TCD).
Treatment of High Energy Tibial Plateau Fractures with Hybrid External Fixation
Authors: Elasas Ahmed Mahmoud , Ezzedeen Ashraf Eltabie , Hassan Mohamed Abdallah
Published: April 2023

Objective: The current study aimed to assess the treatment results of high energy tibial plateau fractures with hybrid external fixation.
Methodology: It included 20 adult patients (17 males and 13 females). At emergency rooms, patients were clinically and radiologically evaluated according to standard protocols, then the assessment was completed and treatment was started in the inpatient department. Preoperative preparation was completed according to standard protocols. Then, the surgical fixation was performed and the patient scheduled for postoperative evaluation. Radiological evaluation had been achieved by anteroposterior and lateral X-ray of the knee and leg. Computed tomography and Doppler ultrasound were requested for specific patients when indicated. Routine laboratory investigations were carried out.  All operations carried out under spinal anesthesia.  The 1st follow up visit was at the 2nd week postoperative, and follow up was done every 2 weeks. In each visit, patient was assessed clinically and by radiological investigations.  
Results: Five patients (25 %) had excellent, 8 patients (40%) had good, 2 patients (10 %) had fair, 5 patients (25%) had poor final result. In addition, 13 patients (65%) had no varus or valgus angulation, 18 patients (90 %) had 0-5mm limb shortening, 14 patients (70 %) had normal knee range of motion, 12 patients (60 %) had no pain and 14 patients (70 %) had normal gait.  Two patients had non-union treated by removal of Ilizarov, proximal tibial locked plate, autologous iliac bone graft. 6 patients had multiple degrees of stiffness treated by physiotherapy and had fair, good outcomes, 3 patient had Pin track infection treated by surgical debridement with good outcome, 1 patient had deep vein thrombosis DVT treated by anticoagulant medication.
Conclusion: Hybrid external fixation is a safe and effective treatment modality for tibial plateau fractures.
Investigating the effects of individual and institutional factors on the research productivity of university academics: A comprehensive analysis
Authors: Muhammad Kamaruzzaman , Ghani Erlane K , Ilias Azleen , Ali Mazurina Mohd , Ismail Rina Fadhilah , Rohayati Suci , Susanti Susanti , Bahtiar Moh Danang
Published: April 2023

Purpose: This study aims to examine the factors influencing the research productivity of academics in Malaysian universities. Specifically, this study examines whether individual and institutional factors can influence academics’ research productivity.

Design/Methodology/Approach: This study utilized a questionnaire survey as the research instrument, which was distributed to university academics in Malaysia.

Findings: This study demonstrates that institutional factors significantly influence the research productivity of university academics. The findings of this study suggest that institutional factors should be taken into consideration when developing strategies to increase the research productivity of university academics. However, the study did not find significant evidence to support the influence of individual factors on research productivity.

Conclusion: The results of this study constitute a timely addition to the body of knowledge on academic research output, which educational leaders of Malaysian public institutions can utilize.

Research Limitations/Implications: The outcomes of this study are expected to assist universities in developing strategies to assist and support academics in improving their research productivity.

Practical Implications: The findings imply that universities could raise awareness of the value of research among academics and support them through publication funding or training programs.

Contribution to Literature: This study contributes to the existing literature by providing evidence on the effect of individual and institutional factors on the academics’ research productivity.
Analysis of the relevance between computed tomography characterization and pathology of pulmonary ground-glass nodules with different pathology types
Authors: Youguo Zhang , Chengye Wang , Xiaofei Cheng , Xuefei Zhang , Changhong Liu
Published: April 2023

Background: In this study, we aimed to analyze the relevance between computed tomography characterization and pathology of pulmonary ground-glass nodules with different pathology types.

Methods: Between January 2017 and December 2018, a total of 657 patients (191 males, 466 females; mean age: 60.9±8.1 years; range, 34 to 80 years) with pathologically diagnosed ground-glass nodules were retrospectively analyzed. The clinicopathological characteristics and computed tomography characterizations of patients with ground-glass nodules who received surgical resection were analyzed. The clinical data including age, sex, smoking status and medical history were recorded. Computed tomography characterizations included the location and size of the tumor, the size of the consolidation components, density uniformity, shape, margin, tumor-lung interface, internal signs and surrounding signs.

Results: Based on the computed tomography imaging characteristics, a mean computed tomography value of ?444.5 HU was more likely to indicate malignant lesions, while ?444.5 HU indicated benign lesions. A malignant ground-glass nodules" maximum diameter of <6.78 mm, a diameter of the consolidation component of <3.88 mm, and a mean computed tomography value of <-536.5 HU were more likely to indicate atypical adenomatous hyperplasia and adenocarcinoma in situ. A maximum diameter of malignant ground-glass nodules of >11.52 mm, a diameter of the consolidation component of >6.20 mm, and a mean computed tomography value of ?493.5 HU were more likely to indicate invasive adenocarcinomas. The focus between these parameters indicated minimally invasive adenocarcinomas.

Conclusion: Ill-defined tumor-lung interface, irregular in shape, and smooth nodule margins suggest benign lesions while round or oval, clear tumor-lung interface, spiculation signs, lobulation signs, bubble signs, air bronchograms, pleural indentations, and vessel convergences are helpful in the diagnosis of malignant lesions. A clear tumor-lung interface, the spiculation signs, lobulation signs, and bubble signs indicate the invasion of the lesions.
Prediction of malignancy in mediastinal lymph nodes during endobronchial ultrasound: A comparative validation study
Authors: Şafak Alıcı Nur , Onur Alıcı İbrahim
Published: April 2023

Background: In this study, we aimed to compare the diagnostic performances of three existing prediction tools in visually identifying a malignant lymph node.

Methods: Between April 2016 and January 2021, a total of 827 lymph nodes of 259 patients (211 males, 48 females; mean age: 61.1±7.2 years; range, 41 to 79 years) who underwent endobronchial ultrasound procedure for diagnosis and/or staging of lung cancer and diagnosis of mediastinal lymphadenopathy of unknown origin were retrospectively analyzed. This external validation study was designed to compare the diagnostic yields of the prediction tools developed by Shafiek et al., Alici et al., and Canada Lymph Node Score (CLNS). Endobronchial ultrasoundguided transbronchial needle aspiration results and predictions were compared to gold-standard tool.

Results: Overall, endobronchial ultrasound-guided transbronchial needle aspiration had a sensitivity, specificity, positive and negative predictive value, and accuracy of 95.6%, 100%, 100%, 97.6%, and 98.4%, respectively. Diagnostic performances of proposed tools were quite remarkable. Among them, Alici algorithm had a higher sensitivity and negative predictive value, which were matched by excellent specificity and positive predictive value offered by CLNS ≥3 and Shafiek tool. The area under the curve value of CLNS ≥3 was higher than Shafiek tool and CLNS ≥2.

Conclusion: Conventional prediction tools relying on simple real-time sonographic features were found to be consistent by the means of diagnostic performance in this external validation dataset. Despite being inferior to cytology, their superior performance was proven with defined individual strengths and weaknesses.
Incidence of chest wall deformity in 15,862 students in the province of Sivas, Türkiye
Authors: Katrancioglu Ozgur , Akkas Yucel , Sahin Ekber , Demir Fatmagul , Katrancioglu Nurkay
Published: April 2023

Background: This study aims to investigate the prevalence of chest deformity in middle- and high-school students in Sivas province of Turkey, to identify the risk factors associated with the psychological and physical disorders caused by the deformity, and to facilitate early diagnosis and treatment guidance by increasing awareness of this problem.

Methods: Between October 2011 and May 2012, a total of 15,862 students (8,508 males, 7,354 females; mean age: 15.9±1.3 years; range, 12 to 19 years) from public schools were included. A number of schools were randomly selected for study, and the students were screened by physical examination. A study protocol was developed in which patients with deformities were questioned about family history and symptoms.

Results: Chest wall deformity was detected in a total of 250 students (1.6%). The prevalence rates of pectus carinatum and pectus excavatum in the children were 0.7% and 0.6%, respectively. The overall prevalence of chest wall deformity was 1.6%.

Conclusion: Chest wall deformity is more common in boys and pectus carinatum is the most common deformity type. Chest wall deformity is more common in the 15-16 age group and female sex is a risk factor for psychological discomfort.
Prognostic value of troponin/creatinine ratio in patients with chest pain
Authors: Canbaz Hayri , Görmel Suat
Published: April 2023

Background: The aim of this study was to investigate the prognostic value of the troponin/creatinine ratio in patients presenting with chest pain and to identify laboratory values affecting mortality.

Methods: Between October 1st, 2016 and April 30th, 2019, a total of 5,079 patients (2,844 males, 2,235 females; median age: 65 years; range, 49 to 83 years) who presented to the emergency department with chest pain and whose troponin and creatinine measurements were done were retrospectively analyzed. Laboratory data and 28-day mortality rates were evaluated. The patients were divided into two groups according to 28-day mortality rates after the initial emergency department admission as survivors (n=4,793) and non-survivors (n=286).

Results: There were statistically significant differences in the white blood cell count, C-reactive protein, creatinine, high-sensitivity troponin I, and troponin/creatinine ratio between the groups (p<0.05). The high-sensitivity troponin I ?31.96 pg/dL, creatinine ?1.11 mg/dL, C-reactive protein ?43.94 mg/L, and troponin/creatinine ratio ?25.12 were independent predictors of 28-day mortality (p<0.05). A C-reactive protein value of ?43.94 mg/L was found to be more specific (81.14%) than the other markers for mortality.

Conclusion: Troponin/creatinine ratio is a predictor of mortality in patients presenting to the emergency department with chest pain and high-sensitivity troponin I, creatinine, and C-reactive protein seem to be independent risk factors for 28-day mortality.
Safe Pediatric Ground Ambulance Transport
Authors: Stoklosa Anne R. , Zafron Michelle L. , Bass Kathryn D. , Lillvis Denise
Published: April 2023

Background: Ambulance crashes that result in child injury or death are preventable with the use of proper restraints. This systematic review assesses aspects relevant to the proper use of pediatric restraints: EMS professionals’ resources and training, knowledge, attitudes, and behaviors. It also identifies barriers to using restraints.

Methods: PubMed and Web of Science were searched using free-text search terms between the years 2000 and 2020. Inclusion criteria included human research, pediatric population, ambulance as the mode of transportation, peer-reviewed journals, and English full-texts. After initial screening and inclusion, a snowball methodology was used to further identify potentially relevant articles. The methodology was carried out by two independent reviewers. 

Results: The original search yielded 80 publications after de-duplication between databases, and two additional articles were identified independently of the search through snowball sampling. Four publications met inclusion criteria for final analysis. Two studies were survey-based among EMS personnel aiming to identify knowledge, behaviors, and barriers to child transport. One study used qualitative data collection by interviews of ambulance personnel. The final study was a combination of survey and observational data. Of note, there were no studies that evaluated an intervention.

Conclusion: Based on this review, there is a lack of research in the realm of safe pediatric ambulance transport. There is a need for quality improvement studies to address the barriers that were identified by previous literature and to improve the overall safety and compliance of pediatric safety restraints during transportation to the hospital.
EVALUATION OF PH LEVELS AND THE EFFECT OF VIOLET LED LIGHT IN-OFFICE BLEACHING PROTOCOL ALONE OR ASSOCIATED WITH 6% H2O2 ON ENAMEL MICROHARDNESS
Authors: Ikejiri Larissa Luri Almeida Amorim , Obeid Alyssa Teixeira , Bombonatti Juliana Fraga Soares , Brondino Nair Cristina Margarido , Velo Marilia Mattar de Amoêdo Campos , Mondelli Rafael Francisco Lia
Published: April 2023

This in vitro study evaluated the effect of three different in-office bleaching techniques on bovine enamel microhardness and the pH variation of peroxide agents during the protocols. Methodology: For Knoop microhardness (KNH) analyses, enamel fragments were divided into 3 groups (n=10): LEDv–hybrid violet LED/Laser light (10x2’ LEDv + 10x30” light-off, 2 cycles); HP6%LEDv–6% HP gel + LEDv/Laser (15x1’ LEDv + 15x1’ light-off); HP35%- 35% HP (1x45’). For pH measurements, bovine teeth were divided into 2 groups (n=10): HP35% and HP6%LEDv. KHN was measured at baseline (T0), 24h after bleaching (T1) and after 7 days in artificial saliva (T7). Initial and final bleaching gels pHs were obtained utilizing a pH-meter. KHN was evaluated by the Wald-type permutation statistic, aligned rank transformation statistical test, Wilcoxon and Mann-Whitney tests; pH levels were evaluated by the Welch-James and Wilcoxon tests (p<0.05). Results: HP35% and HP6%LEDv presented a decrease in KHN from T0 to T1, with no difference among them; baselines values were recovered at T7. For LEDv, no significant difference was found between KHN at T1 and T0; at T7 KHN increased in comparison to T0. The initial pH mean was 7.66 for HP35% and 9.28 for HP6%LEDv; the final pH mean was 7.53 and 8.68, respectively. Conclusions: Bleaching with LEDv alone was the only treatment that didn’t reduce enamel microhardness. HP6%LEDv led to a decrease in KHN values similar to the high-concentrated gel. After seven days in artificial saliva, initial KHN was recovered. Although the pH of both gels decreased during the treatment, it remained above the critical value.
RODA ENTRE-LAÇOS: GRUPO DE COMPARTILHAMENTO ENTRE MULHERES COMO ESTRATÉGIA DE PERMANÊNCIA QUALIFICADA NO ENSINO SUPERIOR
Authors: Seidel Carolina Cunha , Kácser Lídia Mariane
Published: April 2023

Esse artigo tem a intenção de refletir sobre as experiências do projeto de extensão intitulado “Entre-laços: Roda de compartilhamento entre mulheres” (CDGEN/PROAFE/UFSC), um grupo de compartilhamento entre mulheres que surge  com o objetivo central de atuar no enfrentamento das violências de gênero. Através da perspectiva transdisciplinar fundamentada na pedagogia freireana e na psicologia social crítica, e de grupo enquanto dispositivo, percebemos a construção coletiva de um espaço seguro de acolhimento e reflexão mútua, com potência de produzir questionamentos das categorias impostas, agenciamentos, rupturas e transformações. Constatamos que, neste contexto, o grupo pode se configurar como rede de apoio e estratégia possível de permanência qualificada das participantes que são, em maioria, estudantes no Ensino Superior.
Aile Şirketlerinin Sürdürülebilirliğinin Kurumsallaşma ve Aile Anayasası Çerçevesince İncelenmesi
Authors: TAŞKIN Tuncay
Published: April 2023

Aile şirketlerinin kurumsallaşması ya da kurumsallaşamaması günümüz iş dünyasının en önemli konularından biridir. İşletmelerde işletme sürekliliği sorununun ancak kurumsallaşma ve aile anayasası ile çözülebileceği görüşü oluşmaya başlamış, hatta bazı işletmeler bunu uygulamaya koymuştur. Aile şirketinin kurucuları ve günümüzde işi yöneten nesiller başta eğitim olmak üzere birçok alanda farklılık gösterse de kurumsallaşma algıları çok farklı değildir. Bir aile şirketinin kurumsallaşması ve aile anayasasının da uygulanıyor olması işletmenin büyümesinin veya daha doğrusu sürdürülebilir olmasının tek etkili yoludur. Literatür incelendiğinde aile şirketlerinin genel olarak çok azının üçüncü kuşak tarafından yönetildiği, dördüncü kuşağa ulaşabilenlerin ise çok az sayıda olduğu gözlemlenmektedir. Bu çalışmada aile işletmelerinin kurumsallaşma süreçleri ve aile işletmelerinin nasıl kurumsallaşabilecekleri ve kurumsallaşmanın işletmelerin sürdürülebilirliğine etkisi ile ilgili literatür taraması yapılarak öneriler ve yol haritası şeklinde inceleme yapılmıştır.
Síndrome de Burnout na Covid-19: Os Impactos na Saúde dos Trabalhadores da Saúde
Authors: Barba Maria Luiza de , Campos Mariana Mello Portella , Neves Gabrielle Cristinne Araújo , Junqueira Andrea Blank de Cordis , Pereira Lara Souza , Estellita Renan Revinthis Marinho , Teixeira Eduardo Variz Garcia , Santos Amanda Stephanie Sousa dos
Published: April 2023

A pandemia do novo Coronavírus causou grandes repercussões socioeconômicas e na saúde pública, levando a sociedade a se adaptar a uma realidade que inclui isolamento social e rotina de teletrabalho. Contudo, os profissionais de saúde possuem uma posição fundamental no combate a pandemia, estando constantemente expostos ao vírus. Além disso, o esgotamento físico e mental aos quais estão expostos, faz com que muitos desenvolvam a Síndrome de Burnout. Este estudo analisou os aspectos do processo de desenvolvimento de Burnout pelos profissionais da saúde em virtude da pandemia da Covid-19. Foi realizada revisão integrativa da literatura nas bases de dados Biblioteca Virtual em Saúde (BVS) e PUBMED, com os descritores “COVID-19”, “Burnout”, “Saúde do Trabalhador” e “Profissional da saúde”. A amostra foi composta por 44 artigos analisados por seu conteúdo com base em três núcleos temáticos. Quando abordados os impactos no processo de saúde e doença, a 48% dos artigos apontaram a depressão, 45% Burnout e 41% estresse. Quanto a promoção da saúde, 64% apresentaram propostas de intervenções preventivas em relação à doença mental e 59% o fornecimento de suporte emocional. Quanto aos fatores determinantes sociais da saúde, 50% destacaram o aumento da carga de trabalho, 64% o fato de ser profissional da área da saúde e 31% o esgotamento físico e mental. Dessa forma, faz-se necessário a implementação de estratégias de promoção de saúde no âmbito desses trabalhadores, com o intuito de minimizar os efeitos físicos e emocionais vivenciados por eles, e assim, melhorar a qualidade do serviço prestado.
Cookies e sua estreita relação com a política de proteção de dados
Authors: Lima Caio Ryann Conceição , Silva Isabella Fernnanda Sousa da , Silva Ryan Dias da , Carr Caroline Nunes
Published: April 2023

Este artigo tem por objetivo analisar a política de cookies nos termos da Lei Geral de Proteção de Dados em comparativo ao Regulamento Europeu de Proteção de Dados, com base no direito à privacidade e na autodeterminação informativa, levantando as características das políticas de cookies no ambiente virtual atualmente, com o propósito de analisar as finalidades e seus eventuais riscos aos direitos de privacidade do cidadão. A pesquisa foi feita através do método hipotético-dedutivo, analisando suas operações em conformidade com o direito civil e o instituto do consentimento, presente na Lei Geral de Proteção de Dados, e se este é apto a garantir maior poder ao usuário acerca do controle de seus dados pessoais em rede.
Caracterización clínica y epidemiológica de pacientes ingresados con infarto agudo de miocardio en Unidad de Cuidados Intensivos Coronarios del Hospital Abel Santamaría Cuadrado, junio-agosto, 2019
Authors: Cecilia-Paredes Eduardo Enrique , Echevarria-Cruz Angel , Cecilia-Paredes Elizabeth
Published: April 2023

Introducción: el infarto agudo de miocardio implica muerte celular cardiaca por isquemia a causa de un desbalance de la perfusión-demanda. Objetivo: caracterizar clínica y epidemiológicamente a los pacientes ingresados con diagnóstico de infarto agudo de miocardio en la Unidad de cuidados intensivos coronarios del Hospital Abel Santamaría Cuadrado de junio a agosto del año 2019. Diseño metodológico: se realizó un estudio observacional, descriptivo, longitudinal, retrospectivo a los 70 pacientes ingresados con diagnostico de infarto agudo de miocardio, la muestra coincidió con el universo. Los datos se obtuvieron a partir de las historias clínicas. Resultados: el mayor por ciento de pacientes femeninas pertenecen el rango de edad de 68-79 con un 15.7 %, en los hombres sin embargo el rango de mayor porciento fue 44-55, con un 14.3%. Más de la mitad de las mujeres y hombres presentaron la lesión en la cara inferior. La HTA se muestra como factor de riesgo más predominante en las mujeres y el Tabaquismo en los hombres. Predominó el dolor precordial en ambos sexos con un 66.67% en las mujeres y 85.29% en los hombres, además el 13.87% de las mujeres presentaron cansancio como síntoma de infarto contrastando este valor con 2.94% en los hombres.Conclusiones: el infarto agudo de miocardio fue más frecuente en las mujeres de color de piel negra; la lesión en cara inferior predominó en ambos sexos. El cuadro clínico se caracterizó por dolor precordial en mujeres y hombres.
Acercamiento al manejo del traumatismo craneoencefálico severo en pacientes pediátricos
Authors: Enríquez-Pérez Emily
Published: April 2023

Introducción: En edades pediátricas se complejizan las consecuencias de los traumatismos craneoencefálicos severos, a la par que aumenta la probabilidad de desarrollar secuelas permanentes. A esto se les suma una mortalidad mayor al 90 %.Objetivo: Describir el manejo intensivista y neuroquirúrgico del paciente pediátrico con traumatismo craneoencefálico severo.Métodos: Se realizó una búsqueda y selección de bibliografía actualizada a través de los portales: SciELO, PubMED y Google Académico, en el período comprendido entre el 2 de febrero y el 9 de marzo de 2022. Se emplearon los descriptores “lesión craneal”, “traumatismos”, “urgencias”, “cuidados intensivos”, “pediatría” y combinaciones entre ellos, tanto en español como en inglés, obteniéndose un total de 32 artículos de los cuales se emplearon 26. Resultados: Se evalúan primeramente aquellas lesiones que ponen en peligro la vida, lo cual transita entre los cuidados paramédicos y de urgencias. De hallarse una lesión en masa se procede a descompresión. En caso contrario, se envía a la Unidad de Cuidados intensivos pediátricos, donde se prevendrán complicaciones mediante la disminución de la presión de perfusión cerebral y el mantenimiento de un adecuado control del medio interno.Conclusiones: El manejo en cuidados intensivos está orientado a salvaguardar la vida mediante el equilibrio de la vía aérea, el cuidado de la presión intracraneana, y la anulación de posibles factores de riesgo. Para ello, se llevan a cabo medidas de primera y segunda línea, tales como: la craneotomía descomprensiva, los mecanismos de sedación, la profilaxis anticonvulsiva, de la infección y de la hipotermia.
Purtscher-like Retinopathy in a Patient with Acute Pancreatitis: A Case Report and Literature Review
Authors: Almpani Marianna , Ghannam Faris , Roldan Ana M. , Walger Michael , Mishra Sandeep
Published: April 2023

Purtscher-like retinopathy is a rare chorioretinopathy associated with a non-traumatic inciting event including acute pancreatitis, renal failure, long-bone injury, chest compression, connective tissue diseases and hematologic disorders. We present the case of a 33-year-old woman with abdominal pain and visual changes that was diagnosed with acute pancreatitis. Fundoscopic examination revealed bilateral diffuse flame hemorrhages and retinal whitening (Purtscher flecken), which were diagnostic of Purtscher-like retinopathy secondary to acute pancreatitis. The patient improved without intravenous or intravitreal corticosteroid administration. Follow up at 5 and 8 months revealed improved vision, complete resolution of the retinal pathology with residual inner retinal thickening on ocular coherence tomography (OCT), consistent with sustained retinal damage. Given that Purtscher-like retinopathy is associated with higher morbidity and mortality rates in patients with acute pancreatitis, high suspicion of this pathology and a thorough clinical assessment are imperative. Since half of the patients suffer life-long visual changes, further research is required for the development of efficacious treatment options.
Language Status and English II End-of-Course Exam Performance of Girls: A Texas Multiyear Analysis
Authors: Resilla Clare A. , Slate John R.
Published: April 2023

In this article, we compared the reading college readiness of Emergent Bilingual girls to the reading college readiness of non-Emergent Bilingual girls. To do so, we analyzed two years (i.e., 2017-2018, 2018-2019) of Texas statewide data on the state-mandated English II End-of-Course exam. On the three measures of reading college readiness (i.e., Approaches Grade Level, Meets Grade Level, and Masters Grade Level), statistically significantly lower percentages of Emergent Bilingual girls met the passing standards on these measures than did non-Emergent Bilingual girls. Of note were the extremely low percentages of Emergent Bilingual girls who passed the standard for the Meets Grade Level and the Masters Grade Level measures. Such low performance would preclude success at the postsecondary level.
Zinc Effects on Antioxidative Enzymes and Nitrate Reductase Activity in Phaseolus vulgaris (Common Bean) Seedling
Authors: Saini Shaishavee , Gadre Rekha
Published: April 2023

The present study analyses antioxidative enzymes and in vitro NR activity in common bean seedlings in response to ZnCl2 supply over the range of 0 – 1 mM concentrations. Bean seedlings were grown in plastic pots containing acid washed sand for 10 days and watered daily with ½ Strength Hoagland’s Solution containing 5 mM NH4NO3 as nitrogen source and desired concentration of ZnCl2. Zn supply increased seedling weight and shoot length at 0.001 mM whereas root length decreased at all concentrations.

Amongst the antioxidative enzymes, super oxide dismutase (SOD) activity increased up to 0.1 mM significantly and then decreased at 1 mM in leaf tissue whereas in root tissue it decreased at 0.001 mM and then increased significantly. The catalase (CAT) activity increased at all the concentration being more prominent at 0.1 mM in leaf whereas in roots it increased substantially at 0.1 and 1 mM Zn. Ascorbate peroxidase (APX) activity in leaf increased at 0.1 mM but decreased at 0.001 and 1 mM, whereas in roots it decreased at all the concentration. Various in vitro activities of NR were analysed in response to Zn supply. The effect of Zn on NADH-NR is more substantial than MVH-NR at all the concentrations. Also NRmax and NRact increased at all the concentration of Zn being most prominent at 0.1 mM in leaf and at 1 mM in root tissue.
Nurse Role Adaptation: A Concept Analysis
Authors: Ejaz Hira , Dahri Sajida , Ejaz Rooha
Published: April 2023

Nurse role adaptation is an important concept that explains the process of becoming a nurse and developing a professional identity by an individual who joins the nursing profession. This concept analysis aimed to explain nurse role adaptation for further use in nursing education and practice. Walker and Avant’s concept analysis approach was used to analyze the concept.
A szürke farkas táplálkozása és gazdálkodási vonatkozásai
Authors: Katona Krisztián , Heltai Miklós
Published: April 2023

A szürke farkas (Canis lupus) hazánkban is újra egyre inkább terjedő nagyragadozó. Megítélése ellentmondásos, mivel feltételezett kedvező ökológiai hatásai mellett a csülkösvadfajok és a legelő háziállatok állományaiban gazdasági kárt is okozhat. Publikációnkban áttekintést adunk a farkas táplálkozási sajátságairól szerzett eddigi tudományos ismeretekről, melyekre alapozva a farkas természetvédelmi kezelését hatékonyabbá tehetjük, a konfliktusokat csökkenthetjük. Három kontinens számos országából gyűjtött irodalmi információk alapján megállapítható, hogy az Északi-Középhegységben terjeszkedő farkas számára a csülkösvad populációk minden valószínűség szerint az elsődleges táplálékforrást jelentik, mint ahogy az Európa vagy Észak-Amerika számos területén megfigyelhető. Az eddigi vizsgálatok alapján feltételezhetően a legkedveltebb táplálékforrásnak a gímszarvas számíthat, mellette a vaddisznó, az őz, és akár a muflon elejtése is gyakori lehet. A legelő háziállatok fogyasztása abban az esetben növekedhet, ha a csülkösvad állományok sűrűsége és változatossága jelentősen visszaesne, illetve, ha az állattartás nagy területeken, megfelelő védelem nélkül folyna. A farkas csúcsragadozóként a hazai faunában mindenképpen fontos ökológiai szabályozó szerepet tölthet be, például a nagytestű növényevő fajok erőteljes lokális hatásait enyhítheti. Mindemellett azonban a farkas természetes ragadozó viselkedésével jelentős kedvezőtlen hatást is gyakorolhat a csülkös vadfajok és a patás háziállatok állományaira; csökkentheti az állományuk egyedszámát, megváltoztathatja az egyedek tér- és időbeli aktivitási mintázatait, növelheti a stressz szintjét. Ezért fontos ezeket az interakciókat hazánkban is részletesebben feltárni, hogy a farkasállomány védelmével egyidőben a keletkező konfliktusokat is kezelni lehessen.
Vándorólas tyúklegeltetés hatása ökológiai gyümölcsösben
Authors: Saláta Dénes , Lénárd Mátyás , Zámbó Sándor , Tirczka Imre , Penksza Károly
Published: April 2023

A legeltetés célállatai között viszonylag ritkán fordulnak elő baromfifélék és relatíve kevesen vizsgálták eddig részletekbe menően a baromfilegeltetést, azon belül is a tyúklegeltetés hatását a gyepvegetációra. Munkánk során a Gödöllő melletti GAK Babatvölgyi Biokertészeti Tangazdaság bio almafás kertjében, mobilólas tartás mellett legeltetett ökológiai tojótyúk állomány által előidézett változásokat vizsgáltuk a gyepvegetáció tekintetében. A vizsgálat során 4 mintavételi egység legelt és kontroll részén 8 legeltetési szakaszt vizsgáltunk a legeltetés megkezdése, majd a legeltetés befejezése után. Jelen munkánkban a mobilólhoz legközelebb eső, így bolygatásnak leginkább kitett mintavételi egység adatait elemezzük. Felvételeinket az egyes növényfajok százalékos borításának és a növények fenológiai állapotának feljegyzésével készítettük, majd a vegetáció összetételét vizsgáltuk szociális magatartástípusok, természetvédelmi értékkategóriák és a legeltetési értékek alapján. Előzetes vizsgálataink eredményei azt mutatják, hogy a vizsgált terület vegetációját egy pár éves parlag képe jellemzi. A növényzetet nagyobb részt gyom- és zavarástűrő fajok alkotják, de természetes(ebb) állapotra utaló fajok is jelen vannak. A legelés hatásáról elmondható, hogy amellett, hogy a tojótyúkok elsősorban a könnyebben csipegethető, „lágyabb” növényi részeket legelik le, fenológiai fázistól függetlenül elfogyasztanak mindent, ami zöld növény, még a rostosabb pázsitfű fajokat és a mérgező növényeket is, igaz legkevésbé preferálva ezeket. A legeltetés hatásaival kapcsolatban meg kell még jegyezni, hogy a vizsgált időintervallumban nem volt tettenérhető a tyúklegeltetés érdemi gyomosító hatása, így a tyúkállomány legeltetése, mint rendhagyó módszer sikeresen alkalmazható egy arra alkalmas terület kezelésére.
Fungi Associated with the Spoilage of Sweet Orange (Citrus sinensis) Fruits and their Management by Bio-Control Agents
Authors: Inam-ul-Haq Muhammad , Raheem Asif , Irshad Gulshan
Published: April 2023

Different Sweet Orange fruits (Citrus Sinensis) rot fungi were isolated from rotted fruits.These were Aspergillus niger, Aspergillus flavus, Aspergillus fumigatus, Penicillium digitatum. During pathogenicity test two fungi Aspergillus niger and Penicillium digitatum were proved to be most pathogenic. The Aspergillus niger fungi during dual culture with Bacillus substilis, Bacillus substilis srtain2,  Pseudomonas fluorescens, Pseudomonas aeruginosa , Bacillus methylotrophicus, Bacillus cereus, Bacillus aryabhattai  and Streptomyces strain  showed different level of  inhibation zones.  Bacillus cereus was the most effective and caused 71.5% inhibition and Pseudomonas aeruginosa was least 53.28% and others Bacillus substilis, Bacillus substilis srtain2, Pseudomonas fluorescens, Bacillus methylotrophicus , Bacillus aryabhattai ,and Streptomyces caused 68.05%, 64.00%, 70.25%, 59.37%, 57.75% and, 55.25%, respectively. Penicillium digitatum fungi during dual culture with Bacillus substilis, Bacillus substilis srtain2,  Pseudomonas fluorescens, Pseudomonas aeruginosa , Bacillus methylotrophicus, Bacillus cereus, Bacillus aryabhattai  and Streptomyces strain  showed different level of  inhibation zones. Bacillus cereus was the most effective and caused 69.25% inhabition and Pseudomonas aeruginosa  was least 51.75% respectively. During experiment on fruits the most effective biocontrol agent Bacillus cereus and Streptomyces strain  were tested on fruits and it was found that Bacillus cereus and Streptomyces strain  were effectively control the rot by Aspergillus niger and showed data 49.45%, 43.55%. During experiment on fruits the most effective biocontrol agent Bacillus cereus and Streptomyces strain  were tested on fruits and it was found that Bacillus cereus and  Streptomyces strain  were effectively control the rot by Penicillium digitatum and showed data (51.62%, 45.67%). Experiment were performed for protective and curative effects. During protective effect the two biocontrol agents Bacillus methylotrophicus and Bacillus cereus reduced the percentage rottenig by 64.74% and 57.52% respectively in case of Aspergillus niger and in case of Penicillium digitatum the effect of two  Biocontrol agents Bacillus methylotrophicus and Bacillus cereus caused 59.37% and 54.63%  respectively reducuction in decaying. During the Curative effect the two biocontrol agents Bacillus methylotrophicus and Bacillus cereus reduced the rottenig percentage 62.53% and 55.84% respectively in case of Aspergillus niger but in case of Penicillium digitatum the effect of the  Biocontrol agents Bacillus methylotrophicus and Bacillus cereus caused 58.29% and 51.99%  respectively  reducuction in decaying. Use of Biocontrol agents as protective is better than the curative.
Virulence analysis of wheat yellow rust (Puccinia striiformis f. sp. tritici) pathogen at adult plant stage under Rawalakot conditions
Authors: Younas Muhammad Tahir , Najeeb Muhammad , Bashir Asma
Published: April 2023

Yellow rust is important wheat pathogen with newly emerging races all over the world. These newly emerged races resulted in epidemics and posed a food security threat. To know the virulence trends of yellow rust pathogen, we carried out a field study of yellow rust pathogen. The objective was to check the virulence potential of pathogen on adult plant stage of known genes for resistance. Triticale and wheat isogenic lines with Yr2, Yr3a, Yr4a, Yr5, Yr6+?, Yr7+?, Yr8, Yr9, Yr10, Yr15, Yr17, YrSP are found effective against the Puccinia striiformis f. sp. tritici (Pst). The study will be helpful in selection of wheat cultivars with resistant genes.
Effect of Temperature Fluctuation on the Indian Major Carp Labeo rohita and Cirrhinus mrigala Larvae under a Controlled Environment
Authors: Shahbaz Azhar Muhammad , Zubair Anjum Muhammad , Akhter Shamim , Bibi Shaista , Qayash Khan Muhammad , Rasool Fatima
Published: April 2023

Major carp i.e., Rohu (Labeo rohita) and Mrigala (Cirrhinus mrigala) are economically very important and commonly cultured in Indian subcontinent. In Pakistan aquatic organisms especially, freshwater species are facing many environmental problems such as variation in weather pattern. Temperature fluctuation is pervasive and most common environmental factor that is very distressing for major carps. The larvae of Labeo rohita and Cirrhinus mrigala were treated with different temperatures 10, 15, 20, 25, 30, 33 and 35 °C following 28 °C acclimation temperature. Thermal variation rate was recorded 2 °C/day. Death rate of both species larvae was observed. In temperature group 10 °C, 15% and 64% mortality of Labeo rohita was observed while, in Cirrhinus mrigala 16% and 66% mortality was recorded at 14 and 10 °C respectively. When larvae of both species were exposed to 10-20 °C, significantly (P < 0.05) maximum death rate was observed at this temperature as compared to other experimental groups. Cumulative death rate of Labeo rohita and Cirrhinus mrigala were recorded 84, 43, 22, 16, 1, 2, 3% and 86, 45, 23, 17, 1, 2, 4% in 10, 15, 20, 25, 30, 33, 35 °C temperature groups, respectively. All larvae of both species died within 2 days at temperature group 10 °C and continued to die at temperature groups 15 °C and 20 °C up to 11 days. Both species larval mortality persisted in temperature groups at 25 °C up to 18 days. Simple regression analysis was applied for thermal range (T < 28 °C and T > 28 °C), variation in death per fall and elevation of ∆T = 1 °C was measured in the log-linear regression model framework. When water temperature dropped from acclimation temperature 28 °C, the accumulative death of larvae for 1 °C decrease of temperature from acclimation one, significantly (P < 0.05) was calculated in both species. When water temperature elevated from 28 °C, less steep beta coefficient was observed in Labeo rohita and Cirrhinus mrigala. 1 °C elevation of water temperature from acclimation temperature 28 °C, the accumulative death in Labeo rohita and Cirrhinus mrigala were (P > 0.05) obtained
Attaining Economic Growth Through Financial Development and External Debts: Evidence from Emerging Economies
Authors: Shah Ansar Abbas , Younas Rabia , Junaid Khawaja Muhammad , Iqbal Mazhar
Published: April 2023

Current study examines whether in emerging countries, financial development (FD) and external debts (EXD) has an impact on the economic growth (EG) collectively by focusing on two main debt theories i.e., debt overhang theory by Krugman & Debt-Laffer curve. Annual data on external debts (EXD), financial development (FD), trade openness, inflation, capital formation, debt servicing, population growth and economic growth are derived from the “World Development Indicators” (WDI) from the year 1980 to the year 2019 for the emerging countries: Brazil, China, Indonesia, Mexico, South Africa, Turkey, Nigeria, Pakistan, Poland, Russia, Thailand. Autoregressive distributed lag (ARDL) model is used to estimate the long-run relationships among the variables in the model, and the effect of EXD on EG is determined using the pool mean group (PMG) model. This study shows the negative and significant relationship between external debt (EXD) and GDP growth and positive and significant relationship is found between financial development (FD) and EXD in the long-run. Similarly, in the long-run, Debt servicing, trade openness and inflation have a significant and negative relationship with GDP growth While population growth and gross capital formation has significant and positive correlation with GDP growth.
Goal-based organizational modeling oriented towards late requirements generation using the Tropos Framework
Authors: Estrada Hugo , Castro Jaelson F. B. , Pastor Oscar , Martínez Alicia
Published: April 2023

Recently, a lot of research efforts in software engineering have focused on integrating organizational modeling as a key piece in requirements engineering. In these research works, the business models are proposed as the source of the software requirements specification process. However, the majority of these works focus only on the definition of notations that permit the representation of the semantics of the organizational context, and only a few works define processes that use these notations in a methodological way. This lack of a methodological process for generating organizational models makes practical application in software development enterprises difficult. The objective of this paper is to present a goal-based method to generate organizational models represented in the Tropos framework. These models are later used as starting point of the requirements specification process of the information system. This will enable us to develop information systems that integrate the necessary functionality so that the organizational actors perform their tasks and fulfill their goals.
Using the Temporal Versions Model in a Software Configuration Management Environment
Authors: Silva Fabrício Ávila da , Costa Raquel Vieira Coelho , Edelweiss Nina , Santos Clesio Saraiva dos
Published: April 2023

Temporal Versions Model (TVM) is an object-oriented data model with versioning facilities, allowing revisions and project alternatives, and temporal features, used to maintain the history of the system evolution. This paper presents TVM under a Software Configuration Management (SCM) perspective, compares this model with available SCM tools, and describes why TVM is adequate to be used as the basis of an SCM environment. A modeling example and the implementation of TVM on a commercial Database Management System (DBMS), which is an ongoing work, are also presented.
Geschichte, Aufgabenbereiche und Perspektiven der Geschichts forschung in der Sozialen Arbeit Teil 1
Authors: Kuhlmann Carola
Published: April 2023

Im ersten Teil des Beitrages werden unterschiedliche Phasen der historischen Forschung in der Sozialen Arbeit nachgezeichnet, so zum Beispiel der Historismus und die Sozial-, Alltags- und Diskursgeschichte. Der zweite Teil erscheint in der kommenden Maiausgabe der Fachzeitschrift und befasst sich mit Aufgaben und Methoden der Geschichtswissenschaft.
Arbeitsrechtliche Disziplinarmöglichkeiten
Authors: Bährle Ralph Jürgen
Published: April 2023

Abmahnung, Versetzung etc. Verstoßen Arbeitnehmerinnen und Arbeitnehmer gegen ihre arbeitsvertraglichen Pflichten, so stehen den Arbeitgeberinnen und Arbeitgebern arbeitsrechtliche Disziplinarmöglichkeiten zur Verfügung. In Betracht kommen beispielsweise Ermahnung und Abmahnung, eine Betriebsbuße, der Entzug von Leistungen, Schadenersatz, die Versetzung, Kündigung. Disziplinarmaßnahmen im Arbeitsrecht Dieser Band erläutert die einzelnen Disziplinarmöglichkeiten und behandelt die jeweiligen Voraussetzungen. Es finden sich zahlreiche Formulierungsvorschläge für Abmahnungen, Kündigungen und für eine Betriebsbußenordnung. Rechtsprechung zur Wirksamkeit von Abmahnungen bzw. zu Gründen für außerordentliche Kündigungen schließen den Leitfaden ab.
Verstörungsprosa
Authors: Kleinschmidt Christoph
Published: April 2023

The paradigm of disturbance is a powerful and, to date, unexplored mode of literary modernism. Through individual analyses of selected German-language prose from the Romantic period to the present (Tieck, Droste-Hülshoff, Büchner, Kafka, Aichinger, Kracht, and others), this study examines this strategy of entanglement and attempts to open up a perspective beyond the alternative of hermeneutics and deconstruction in terms of literary theory. The concept of literary disturbance used in the work sets itself apart from previous concepts of disruption research in a decisive way because it neither has a purely negative connotation nor contains a positive resolution, but is located exactly in the middle of these two poles as a persistent state of doubt.
ORGANIZATION OF PHYSICAL CULTURE AND RECREATION ACTIVITIES WITH THE ELDERLY IN THE CONDITIONS OF THE CENTER OF CULTURE AND LEISURE
Authors: Федотова Галина Александровна
Published: April 2023

В содержании статьи обоснована необходимость организации физкультурно-оздоровительной деятельности взрослого населения, что предопределено увеличением их численности и наличием атрофических изменений мышечной ткани, снижением двигательной активности. Предложен инструментарий организации физкультурно-оздоровительной деятельности взрослого населения в сельском поселении на занятиях фитнесом.

The content of the article substantiates the need for the organization of physical culture and recreation activities of the adult population, which is predetermined by an increase in their number and the presence of atrophic changes in muscle tissue, a decrease in motor activity. The tools for organizing physical culture and recreation activities of the adult population in a rural settlement in fitness classes are proposed.
РАЗРАБАТЫВАЕМЫЙ ПРИБОР ДЛЯ МОНИТОРИРОВАНИЯ ВНЕШНЕГО ДЫХАНИЯ
Authors: Хасанова Наталья Вячеславовна
Published: April 2023

В статье рассматривается разрабатываемый прибор для мониторирования внешнего дыхания при комплексной диагностике, т. е. с помощью одного устройства возможно определить сразу несколько различных показателей, и дать общую оценку состояния легочной функции пациента.

The article discusses the device being developed for monitoring external respiration in complex diagnostics, i.e., with the help of one device it is possible to determine several different indicators at once, and to give a general assessment of the state of the patient's pulmonary function.