bluuebunny/crossref_metadata_2025 huggingface dataset:
A Retrieval Algorithm for Time-constrained Heterogeneous Data Items in Wireless Networks
Authors: Yangming Zhang Yangming Zhang , Yangming Zhang Ping He , Ping He Huaying Qi , Huaying Qi Shiyi Wang
Published: May 2023

Homogeneous and heterogeneous data retrieval problem refers that these requested data items are retrieved on the basis of data items broadcast at some channels such that the access latency of all requested data items is minimized. The problem has an important study significance in MIMO (Multiple Input and Multiple Output) wireless communication. Almost researches are focused on proposing some schemes for solving signal antenna or multiple antennae data retrieval based on homogeneous data items, but these schemes are not suitable for heterogeneous data retrieval problem. So in this paper, we describe a SPR (Shortest Paths Retrieval) algorithm that is suitable for solving homogeneous and heterogeneous data retrieval problem at the same time. Moreover, for avoiding the retrieval time too long, when the each requested data item is set a constrained condition-deadline, we propose another DKPR (Deadline-based Key Path Retrieval) algorithm that finds the critical path with the largest number of requested data items in a broadcast cycle, so as to complete the retrieval operation of data items within the deadline of requesting data items as much as possible. Through experiments, the proposed scheme has good efficiency.

 
Distance Learning in Difficult Conditions Due to the Pandemic State of Emergency
Authors: Milos Mravik Milos Mravik , Milos Mravik Marko Sarac , Marko Sarac Nebojsa Bacanin , Nebojsa Bacanin Sasa Adamovic
Published: May 2023

This paper represents the impact of new approaches to distance learning during the Covid-19 pandemic. The focus of the paper is on the quality of online teaching in relation to face-to-face teaching. The presented results represent documented empirical research that resulted from 2 years of working with a large group of students. The consequences of this way of everyday life have affected all spheres of business. The results indicate that the professors and students faced self-imposed obstacles, as well as pedagogical, technical, and financial or organizational obstacles. The results obtained are further verified by conducting relevant hypotheses tests.

 
Factors Influencing the Online Attention to the 2022 Beijing Olympics and Paralympic Winter Games
Authors: Mingxu Wang Mingxu Wang , Mingxu Wang Jingwen Li , Jingwen Li Pengfei Shi
Published: May 2023

This study aims to identify the factors influencing the online attention to the 2022 Beijing Olympics and Paralympic Winter Games. In order to accomplish the same, data of online attention to its Baidu index were collected. Factors influencing the online attention to the 2022 Beijing Olympics and Paralympic Winter Games included in this study are populations of the gross and regional permanent residents and young and middle-aged residents and the per-capita disposable income in the China Statistical Yearbook, and the Internet penetration rate in Internet Report. The results demonstrated that the online attention to the 2022 Beijing Olympics and Paralympic Winter Games would be significantly enhanced by increasing the Internet penetration rate and per-capita income. Simultaneously, young and middle-aged groups will also play a role in the remarkable enhancement of online attention. In addition, the large population base of the permanent residents will also help in improving it. There is a clear difference in the geographical distribution between North and South of China in terms of online attention.

 
Study of Uplink Resource Allocation for 5G IoT Services by Using Reinforcement Learning
Authors: Yen-Wen Chen Yen-Wen Chen , Yen-Wen Chen ChengYu Tsai
Published: May 2023

In order to support real time IoT services, the ultra Reliable and Low Latency Communications (uRLLC) was proposed in 5G wireless communication network. Different from the grant based access in 4G, the grant free technique is proposed in 5G to reduce the random access delay of uRLLC-required applications. This paper proposes the dedicated resource for exclusive access of individual UE and the shared resource pool for the contention of multiple UEs by adopting the reinforcement learning approach. The objective of this paper is to accomplish the uplink successful rate above 99.9% under certain transmission error probability. The proposed Prediction based Hybrid Resource Allocation (PHRA) scheme allocates the access resource in a heuristic manner by referring to the activity of UEs. The dedicated resource is mainly allocated to the high activity UEs and the initial transmission of UEs with medium activity while the shared resource pool is allocated for the re-transmission of medium activity UEs and low activity UEs by using the reinforcement learning model. The burst traffic model was applied during the exhaustive experiments. And the simulation results show that the proposed scheme achieves higher uplink packet delivery ratio and more effective resource utilization than the other schemes.

 
Analysis on Risk Awareness Model and Economic Growth of Finance Industry
Authors: Renyang Wang Renyang Wang , Renyang Wang Badamasi Sani Mohammed , Badamasi Sani Mohammed R. Parthasarathy
Published: May 2023

The economy was slump mainly due to the credit market disruptions and losses generated by systemic credit institutions. The trust in the banking system to satisfy payment commitments collapsed, and financial, economic, and political risks were increased, and during that era, their significant volatility. Such dangers have skewed economic development and laid the foundations for creating an economy of dread. The financial risks occur due to investments made to firms that fail to meet their financial responsibilities. The trouble is due to the probability of financial expense. Therefore, a culture of risk consciousness must be created to increase risk sensitivity in a company. Risk awareness and agility in responding to incidents are essential, and then reaction times might be impeded, mainly when an organization has grown too fast. Creating that culture, awareness of risk management benefits, safety improvements, lower claims, and lower risk costs, and better financial outcomes improved and shown. This article examines the influence on the economic growth of financial development using time series data. This research has been conducted using three popular financial development indicators: wide cash, deposit/GDP, and private sector domestic credit. The risk awareness model (RAM) estimate has a favourable and substantial influence on economic development for all financial development indices. Therefore, this article demonstrates that all financial product economic growth indexes utilize a binding test in a profitable and long-term way. Consequently, it is suggested to push ahead with financial reforms to enhance financial sector development, increasing its contribution to economic expansion. The proposed method allows achieving better throughput by performance ratios, accuracy ratios, low error rate, precision ratio, poverty rates, and risk management levels, financial volatility rate.

 
Blockchain as a Services Based Deep Facial Feature Extraction Architecture for Student Attention Evaluation in Online Education
Authors: M. M. Kamruzzaman M. M. Kamruzzaman , M. M. Kamruzzaman Saad Awadh Alanazi , Saad Awadh Alanazi Madallah Alruwaili , Madallah Alruwaili Yousef Alhwaiti , Yousef Alhwaiti Ahmed Alsayat
Published: May 2023

Obtaining a person’s facial features is necessary for processing techniques like face tracking, facial expression, and face recognition. Many factors are involved in locating and detecting facial features, and the most important is eye localization and detection. Recognition of facial expressions is not about catching expressions; it is about determining whether or not students feel an emotional connection to the material or the instructor who presents it. Using blockchain as a service (BaaS) is the third-party creation and management of cloud-based networks for companies which could use for student attention evaluation without spending time and money developing their in-house solutions. Hence to overcome the problem mentioned, this paper is solved by proposing a new technique named deep facial feature extraction system (DFFE), through which the student’s attention is examined. The basic features such as feelings, interest, and attention of students are evaluated by implementing the new Expert Facial Feature Focus Algorithm (EFFF) using deep learning strategies. It is possible that shortly, this algorithm will discover a person’s feelings and thoughts accurately comprehensively assess user’s attention degrees to help people work, study, and live better with greater efficiency achieving 93.2% by analyzing emotions and feelings.

 
Framework of Interaction Design Method Based on Blockchain System
Authors: Chao Ma Chao Ma , Chao Ma Faren Huo , Faren Huo Aiqin Shi
Published: May 2023

As the fifth subversive and innovative technology for computing paradigm after the mainframe computer, personal computer, internet and mobile/social network, blockchain technology has entered into a new phase of development. Nevertheless, more intrinsic issues remain to be explored. With the usage of cryptography and a distributed database, once a block is recorded, it can no longer be changed. To defeat these issues, more existing techniques have emerged. The blockchain system mainly features decentralization, but as the existing architectures of the blockchain system are mixed up, it is hard to determine whether they are centralized or decentralized. Such hybrid feature is derived from the impact of uncertainty of human demands. In this study, we intend to explore the scientific perception of the blockchain technology after its integration with human activities by adopting the method of interaction design. Furthermore, we plan to establish a set of mechanisms on the method of blockchain system-based interaction design, so as to identify the impact of human uncertainty factors on the design of the blockchain system. In addition, we aim to provide theoretical guidance for establishing the decentralized blockchain systems in both standardized and mixed categories and the centralized blockchain system with decentralization as central node. Through the methods of the observational results, the article is summarized and assessed the methods of the interaction design based on blockchain system. Moreover, the evaluation process consists of the analysis of expert evaluation, practical evaluation and participatory evaluation ferments an efficient outcome.

 
Yarn Unevenness Prediction using Generalized Regression Neural Network
Authors: Bao-Wei Zhang Bao-Wei Zhang , Bao-Wei Zhang Lin Xu , Lin Xu Yong-Hua Wang
Published: May 2023

This study aimed to propose a method to predict yarn unevenness grounded on the generalized regression neural network and traditional neural network model to further improve the prediction accuracy. The yarn unevenness model was constructed. Under this model, a three-layer neural network, a four-layer neural network, a five-layer neural network, and a generalized regression neural network were designed. Finally, Python was used for training and simulation. The training parameters and the three network models data were made consistent to ensure the comparability of the results. The results showed that using the yarn unevenness model, the average relative error of the four-layer neural network to cut down 0.87% compared with that of the three-layer neural network. Compared with the five-layer neural network, the four-layer neural network performance was not much different, but the running speed was increased by 46.05%. Compared with the four-layer neural network, the average relative error of the generalized regression neural network was reduced by 0.57%, the mean square error was reduced by 0.98%, he root mean square error was reduced by 4.76%, and the running speed was increased by 74.70%.

 
Okul Öncesi Öğretmenlerinin Kaynaştırma/Bütünleştirme Uygulamalarına İlişkin Görüş ve Önerileri
Authors: KOCAOĞLU Abdulkadir , ACARTÜRK Hikmet Taha , İSKENDEROĞLU Ahmet , ÇELENK Hacı Bayram
Published: May 2023

Yaşamın ilk yıllarına denk gelen okul öncesi dönem, tipik gelişim gösteren çocuklarda olduğu gibi özel gereksinimli çocuklarda da kritik becerilerin öğrenildiği zaman dilimini kapsamaktadır. Okul öncesi dönemdeki özel gereksinimli çocukların eğitim yaşamlarını kaynaştırma/bütünleştirme uygulamaları (KBU) ile sürdürmeleri Özel Eğitim Hizmetleri Yönetmeliğinde açıkça belirtilmiştir. Bu araştırmanın amacı, KBU’dan yararlanan öğrenciye sahip okul öncesi öğretmenlerinin KBU’ya ilişkin görüş ve önerilerini incelemektir. Bu amaç doğrultusunda sınıfında en az bir KBU’dan yararlanan öğrenciye sahip sekiz okul öncesi öğretmeni ile yarı-yapılandırılmış görüşmeler gerçekleştirilmiştir. Nitel araştırma yöntemlerinden durum çalışması olarak tasarlanan araştırmadan elde edilen veriler betimsel analiz edilip tema ve alt temalar oluşturulmuştur. Tema ve alt temalar incelendiğinde öğretmenler KBU’nun özel gereksinimli öğrenciyi akademik ve sosyal açıdan desteklediğini ifade etmişlerdir. Bazı öğretmenler sınıf içerisinde özel gereksinimli öğrenci ile iletişim kurmakta güçlük yaşadıklarını belirtip bu konuda kendilerini yetersiz hissettiklerini söylemişlerdir. Lisans eğitimlerinde “özel eğitim ve kaynaştırma” dersi aldıklarını ancak ders içeriğinin yetersiz olduğunu belirten katılımcılar bu konuda desteklenmeleri gerektiğini düşünmektedirler. Katılımcılar, tipik gelişim gösteren çocuğa sahip bazı velilerin KBU’ya karşı olumsuz tutumlara sahip olduklarını ifade etmiş ve bu durumu önyargı olarak nitelendirmişlerdir. Ayrıca katılımcılar, velilerin KBU’ya karşı önyargılarını aşmaya yönelik çeşitli seminer ya da aile eğitimleri verilmesi gerektiği önermişlerdir.
Concepções de currículo e currículo integrado: estudo de caso no IFMA Campus Pinheiro
Authors: Dourado Dionísio Lindoso , Santos Maria José Albuquerque
Published: May 2023

Este estudo apresenta algumas concepções de currículo e currículo integrado. Para tanto, partimos de uma experiência profissional como Técnico em Assuntos Educacionais do Instituto Federal de Educação, Ciência e Tecnologia do Maranhão - IFMA, no Campus Pinheiro. O percurso metodológico foi realizado através de pesquisa bibliográfica buscando embasamento teórico em livros e artigos científicos e a obtenção de dados através de um questionário aplicado com professores e técnicos-administrativo em educação do IFMA Campus Pinheiro. Vericamos que os profissionais que responderam o questionário têm educação formal elevada e têm noções conceituais de currículo e currículo integrado, mas que ainda há aqueles que, por alguma razão, ainda não têm uma compreensão sobre essas concepções, contudo, consideram relevante estudar sobre o tema.
Triterpenes, steroids and lichexantone from Macrolobium acaciifolium leaves and branches hexane extracts and antibacterial activity
Authors: Silva David Ribeiro da , Maria Teresa Fachin-Espinar Maria Teresa , Nunez Cecilia Veronica
Published: May 2023

Macrolobium acaciifolium belongs to Fabaceae family and only few phytochemical studies were carried out in the scientific literature consulted. The objective of this work was to isolate and identify the secondary metabolites from M. acaciifolium leaves and branches hexane extracts, in addition to evaluate the antibacterial potential of the extracts. The plant materials were dried and extracted with hexane, then methanol and water. The hexane extracts showed the presence of terpenoids (including steroids) by thin layer chromatography and nuclear magnetic resonance analysis. The phytochemical fractionation allowed to isolate the triterpenes: lupeol, β-amyrin and 24-methylenecycloartanol from hexane leaves extract. The mixture of the triterpene friedelin and the xanthone 1-hydroxy-3,6-dimethoxy-8-methyl-9h-xanthen-9-one (lichexanthone) were isolated from branches hexane extract. In both extracts, the mixture of the steroids β-sitosterol and stigmasterol were also isolated. The leaves hexane extract showed to be toxic to Aeromonas hydrophila with 87% growth inhibition at a concentration of 1000 µg/mL. This is the first description of the isolation of these substances in Macrolobium acaciifolium and the antibacterial activity.
Climate changes and human rights: a discussion on justice
Authors: Costa Hirdan Katarina de Medeiros , Villas Bôas Regina
Published: May 2023

This article aims to discuss and analyze the effects of climate change within the scope of human rights. The methodology is analytical and qualitative, using literature review methods. The results demonstrate a need for measures that protect human rights, presented in an increasingly shapeless reality and suffering from the effects of climate change. The final considerations weave the difficulties for applying these measures that aim to protect human rights and the concept of climate justice as a proposal to the challenges that encompass the consequences of climate change.
Juvenile delinquency from an interdisciplinary analysis of Achille Mbembe's concept of necropolitics
Authors: Souza Frederico Paiva Bandeira de , Bolwerk Aloísio Alencar
Published: May 2023

Violence in our society is still very prevalent, and there are many factors that are pointed out as justifications for this complex phenomenon. The objective of this article was to bring up discussions about social inequality and the politics of death for black youth in Brazil. In the search to answer whether inequality can be considered one of the factors of juvenile crime, a literature review was conducted through the dialogue between Foucault, Agamben, and, considering Achille Mbembe's theory of necropolitics. The method of approach was speculative research, using reference/bibliographic and documentary research techniques. We conclude by indicating the need to rethink public policies and invest in social sectors to promote the rights of this population segment, to reduce statistics of inequality and lethality.
Effects of intermittent fasting and physical activity on body mass and intestinal inflammation in rats fed a high-fat diet
Authors: Barcelos Alessandra , Quintella Wilma , Dalmacio Monica , Guimarães Sheila , Dos Santos André Manoel
Published: May 2023

Obesity has been linked to increased IBD disease activity, lengthened hospital stays, and a higher risk of developing extraintestinal symptoms, according to studies. Therefore, this study aims to evaluate whether intermittent fasting, as well as exercice training on body mass, food intake and intestinal inflammatory in animals feed a high-fat diet. Male wistar rats were used, divided into the following experimental groups: Control Group C (fed with commercial chow), HF group (fed with a high-fat diet), HF + IF Group (fed a high-fat diet associated with Intermittent Fasting), Group C+IF (fed with commercial chow and intermittent fasting) and HF Group +Exercise + IF. The animals were submitted to intermittent fasting protocols of alternate days, in which the animals fasted 24 hours, 3 times a week. A physical activity protocol was applied, where the animals were trained on a programmable treadmill. Body mass and food intake were evaluated weekly and euthanasia and tissue collection were performed at the end of the experiment for morphological evaluation. The results of this study shows that intermittent fasting of alternate days has beneficial effects on adiposity and physiological improvement in the intestine of animals.
Chiến lược phát triển vắc-xin công nghệ cao trong nuôi trồng thủy sản
Authors: Nguyễn Thị Thùy Giang
Published: May 2023

Sử dụng vắc-xin đã được chứng minh có hiệu quả cao và kinh tế trong việc bảo vệ sức khỏe của động vật nuôi trồng thủy sản khỏi các tác nhân truyền nhiễm, đồng thời góp phần xây dựng một ngành nuôi trồng thủy sản thân thiện với môi trường và đáp ứng mối quan tâm về sức khỏe con người. Những tiến bộ trong khoa học đã mở ra những con đường mới để phát triển và thiết kế các loại vắc-xin mới và hiệu quả, cũng như cải tiến các loại vắc-xin hiện có để bảo vệ vật nuôi thủy sản khỏi các loại bệnh truyền nhiễm khác nhau. Bài viết này này tập trung vào kiến thức hiện tại, những tiến bộ gần đây và định hướng tương lai của vắc-xin trong ngành nuôi trồng thủy sản, từ vắc-xin bất hoạt và suy giảm truyền thống đến vắc-xin thế hệ mới bao gồm vắc-xin tiểu đơn vị, vắc-xin sống biến đổi gen và vắc-xin DNA.
Dynamic Duo: The Synergistic Relationship between Surgeons and Anesthesiologists in Emergency Medicine
Authors: N Shetti Akshaya
Published: May 2023

Surgeons and anesthesiologists play a critical role in emergency medicine, where timely intervention can mean the difference between life and death. The success of emergency medical interventions often relies heavily on the coordinated efforts of these two professions, who work in close collaboration to provide safe and effective care. Surgeons perform the necessary surgical procedures, while anesthesiologists administer anesthesia and monitor the patient’s vital signs throughout the procedure. In this paper, we explore the vital role of surgeons and anesthesiologists in emergency medicine. We review the various situations where their expertise is needed, such as trauma cases, organ failure, and life-threatening infections. We also examine the challenges and opportunities for collaboration that exist in emergency medicine, including the need for effective communication, teamwork, and coordination. Moreover, we highlight the importance of advanced training and experience for both professions, as they face unique challenges and stressors in emergency situations. We discuss the need for ongoing education and professional development to ensure that they are equipped with the knowledge and skills
Reviewer Acknowledgements for Accounting and Finance Research, Vol. 12, No. 2, 2023
Authors: Chen Sarah
Published: May 2023

Reviewer Acknowledgements for Accounting and Finance Research, Vol. 12, No. 2, 2023
Diego Ramírez de Fuenleal y sus fundaciones universitarias
Authors: Recuenco Pérez Julián
Published: May 2023

Conocida es la obra de mecenazgo realizada por Francisco Jiménez de Cisneros en la fundación de la universidad de Alcalá de Henares. Menos conocida es, sin embargo, la influencia que el madrileño de Torrelaguna, arzobispo de Toledo, primado de España y cardenal, ejerció sobre otra fundación universitaria, la que el obispo conquense Diego Ramírez de Fuenleal estaba llevando a cabo de manera paralela en su pueblo natal, Villaescusa de Haro. En este caso, con el fin de obligarle a paralizar las obras de dicha universidad para, según han asegurado algunos historiadores, de evitar que la obra de Fuenleal pudiera ser competencia directa en la magna obra complutense del propio Cisneros.
Pollution, green innovation, and firms
Authors: Karpaty Polina
Published: May 2023

This thesis comprises three empirical studies centred around the theme of cleaning up production. All essays focus on the producers’ side, as their behaviour can have a significant impact not only on labour conditions and overall social welfare but also on the environment and climate change. The first paper in this thesis identifies and quantifies the main channels for reducing air pollution emissions from the manufacturing sector in Sweden. The results show that the main driver of declining emissions between 2007 and 2017 was improvements in emission intensities, while the composition of output actually shifted towards more pollution-intensive goods. The second and third papers focus on green innovation and its determinants at the level of individual firms. The second paper presents a set of stylised facts about clean technology innovators in Sweden and their key firm and industry characteristics. The main finding is that patents in clean technologies by Swedish firms tend to be dominated by larger and more established firms compared to other types of patents. A simple model of innovation and firm size, proposed in the paper, suggests a mechanism that helps to explain the patterns observed in the data. The third paper examines the impact of competition with imports of equipment for renewable energy (e.g., solar PV panels and cells or wind turbines) from China on innovation in the European Union. The results show that firms facing higher competition with imports from China substantially reduced their rate of patenting between 2005 and 2017. The adverse effect was larger for firms that patent more frequently. Furthermore, the growth in Chinese import competition reduced the likelihood of applying for a patent in the renewable energy sector.
Shared Decision-Making in Transgender Healthcare
Authors:   , Gerritse Karl
Published: May 2023

Worldwide, an increasing number of transgender individuals turn to gender identity clinics for gender-affirming medical care: interventions to affirm and express their experiences gender.

A central ethical challenge faced by those receiving and providing such care is: How should we go about making and sharing decisions? In other words: what does good shared decision-making entail?

This thesis has two central aims. First, to gain insight into the moral and conceptual landscape of shared decision-making in this specific care practice. Second, to co-create an ethics support tool that fosters (a joint reflection on) good shared decision-making making and aids stakeholders in practice in recognizing and handling related ethical challenges.

Amid polarization, we sought to bring together and encourage deliberation among healthcare professionals and clients through a participatory design, qualitative methods, and ethics.

This thesis highlights that shared decision-making in gender-affirming medical care is characterized by ontological ambiguities, epistemic uncertainties and normative contestations. We hope the findings and tool presented in this thesis provide a foothold for ongoing, critical-constructive dialogues toward better shared decision-making in transgender healthcare and beyond.
SOCIAL MEDIA AS A THREAT TO NATIONAL SECURITY: A CASE STUDY OF TWITTER IN PAKISTAN
Authors: Abd Saad Al
Published: May 2023

Social media has evolved significantly over the years while providing strategic platforms for voices to reach billions of people within no time. Accordingly, it has advantages and disadvantages (threats). The nature of threats emanating from social media, especially Twitter, in the context of Pakistan, are mainly in the form of radicalization, glorification of terrorist groups, propagation of violent sub-nationalism and hybrid warfare. Though Pakistan has been relatively active after 2020 in responding to social media challenges, implementing social media regulations remains an issue, especially when most social media platforms are foreign in origin. This paper evaluates the interlinkage of social media and national security in the context of Pakistan while exploring how agents of insecurity and instability exploit social media and what response mechanism the state has placed to mitigate these threats. The paper is a qualitative inquiry using primary and secondary sources to answer these questions. The research findings suggest marginal securitization of social media, albeit without significant implementation.
 
Bibliography Entry
Al Abd, Saad. 2022. "Social Media as a Threat to National Security: A Case Study of Twitter in Pakistan." Margalla Papers 26 (2): 96-107.
The factors affecting the quality of life among women during the postpartum period
Authors: KOCA Gulsum Seyma , CELIK Yusuf , KESKIN Huseyin Levent , YALCIN BALCIK Pinar
Published: May 2023

Objective: As healthcare has become increasingly patient-centered, outcomes such as disease-specific quality of life (QoL) have become
increasingly important. This study aimed to determine the factors affecting the QoL of postpartum women and which factors make a
difference and affect the QoL.
Patients and Methods: A total of 175 postpartum mothers participated in this study. The Euro QoL 5 Dimension 5 Level (EQ 5D-5L)
scale was used to measure the health-related QoL of postpartum women.
Results: The QoL of women differed in age, delivery type, venous thromboembolism risk factors, parity, gravida, number of live
births, and use of anticoagulant medication. According to multiple regression analyses, the “age” variable had a significant effect
on the QoL. However, the variables of education, social security, employment status, and monthly income of the family were not
significant determinants of QoL. Also, the “number of live births” variable did not significantly affect the QoL, other obstetric and
clinical variables had a significant effect on the QoL. The gravida increased the QoL but the number of miscarriages and the venous
thromboembolism risk score decreased the QoL.
Conclusions: This study shows that, the QoL of women varies according to obstetric, socio-demographic, and clinical factors, and “age,
gravida, the number of abortions and the venous thromboembolism risk score” variables have a significant effect on the QoL.
Cross-Fourier analysis for differentiating prolonged and self-terminating ventricular tachycardia in isolated rat hearts
Authors: Le Duy Manh , Bui Phuong Thuy  , Bui Van Hai  , Man Minh Tan  , Trinh Xuan Hoang
Published: May 2023

The interaction between the ventricles and atria in the heart is an important aspect of cardiac function. During ventricular arrhythmias, such as ventricular tachycardia and ventricular fibrillation, the atrial interbeat interval appears different from that of normal sinus rhythm, even though there is no direct electrical connection between the ventricles and atria. To understand this phenomenon, bivariate time-series Fourier analysis was performed on ventricular and atrial signals. The results showed different levels of correlation from the ventricles to the atria during ventricular arrhythmias. We found that low interaction was associated with self-terminating ventricular arrhythmias, while strong connections were mostly seen in sustained ventricular arrhythmias. These findings suggest that the underlying mechanism behind this interaction may be due to the presence of mechano-electrical coupling, which serves as a bridge from the ventricles to the atria (reciprocal connections).
LITERATURE REVIEW WET CUPPING TECHNIQUE ON URIC ACID LEVELS IN PATIENTS WITH HYPERURICEMIA
Authors: Firdaus Firdaus , Hasina Hasina , Hilmi Arif
Published: May 2023

Uric acid is an acid that is formed as a result of purine metabolism in the body. Higher levels of uric acid in the blood will cause an inflammatory reaction or inflammation that causes swelling, redness, and pain. The prevalence of suffering from uric acid (gout) in Dharmas Raya is 754 elderly Indonesians. The purpose of the literature review is to review the effect of cupping on gout. The literature review is carried out based on issues. In the literature review, this journal uses an average of 5 research journals using pre-experimental with pre-test - post-test design. The literature review strategy according to the PICO and the journals used for the literature review was obtained through data from national and international journal providers through Google Scientist.: Based on 5 studies it was found that one of the results was obtained. The statistical analysis used in this study is statistical analysis. paired t-test. Uric acid levels before and after cupping therapy were 4.91 and 4.33, respectively. Based on the t-test of differences in blood uric acid levels before and after cupping therapy, the value of t = 2.46 (p = 0.02) p-value is smaller than (a = 0.05) this indicates that there is a difference in blood acid levels before and after cupping therapy significantly.

From these 5 journal studies, it can be said that wet cupping therapy can reduce uric acid levels.
Perception towards Physiotherapy among the General Population in Gujrat, Pakistan
Authors: Akram Kunza , Mohammadnezhad Masoud , Gulzar Khushboo , Raza Asim , Islam Farooq
Published: May 2023

INTRODUCTION: Physiotherapy is a dynamic profession that employs various therapeutic strategies to help people regain movement and function in their bodies. Physiotherapists provide comprehensive care for patients with different medical and surgical conditions. This study aimed to assess the perceptions regarding physiotherapy among the general population of Gujrat, Pakistan.

METHODOLOGY: This descriptive cross-sectional survey was carried out among the general population of Gujrat from March to June 2021. Non-probability sampling technique was used to select the 126 participants >20 years of age. A self-structured Likert scale questionnaire was developed to collect data. The responses were analyzed through Statistical Packages for Social Sciences (SPSS). P-value less than 0.05 was considered as level of significance.

RESULTS: Majority of participants (75.4%) were from the age group 20-29 years and 90(71.4%) of the participants had either undergraduate or postgraduation education. Out of 126 participants, 103(81.75%) participants were highly aware and had adequate awareness regarding physiotherapy, whereas 20(50.9%) participants showed moderate awareness and 3(2.4%) of participants showed a deficient level of awareness. No association was seen between awareness and variables including age, gender, socioeconomic status, and education.

CONCLUSION: General population of Gujrat were highly aware of physiotherapy. Education plays an impactful role in better understanding of physiotherapy, so further steps should be taken to increase positive perception in different socioeconomic statuses, including advertisements, social media campaigns and seminars.
A Case Study of Subject Identification and Immunity in the Pre-Litigation Procedure of Shareholder Representative in China
Authors: Liu Bingni
Published: May 2023

Whether the pre-litigation procedure of shareholder representative is effective is one of the important issues about the functioning of shareholder representative litigation. In judicial practice in China, the identification of the subject of shareholder representative and the necessity of the pre-litigation procedure are the most common and controversial points. In this paper we will analyze the subject identification and the exemption situation in the pre-litigation procedure of shareholder representative from the perspective of interpretation and legislative theory, based on the cases obtained from sources such as China Judgments Online and Jufa.com. Through the empirical analysis of the above two aspects, it is found that there are problems and loopholes in the connection between legal texts and judicial practice, and finally suggestions are proposed to improve the pre-litigation procedure of shareholder representative, in order to improve the adaptability of the legal text specification of the shareholder representative litigation system and the review of judicial practice.
ASSOCIATION OF LOW GFR AND NON-ALCOHOLIC HEPATOSTEATOSIS ON FIBROSCAN OF LIVER
Authors: Khurram Baqai  , Mahvesh Mahmud  , Anwar Maryam , Shoukat Ali Samejo  , Nida Hussain  , Ambreen Wasim
Published: May 2023

Background: Chronic kidney disease (CKD) and nonalcoholic fatty liver disease (NAFLD) are becoming a health concern, owing to their increasing incidence and prevalence. Both entities are linked to poor outcomes and increased costs, hence greatly impacting the healthcare system and economy. Therefore, it is imperative to establish the link between the two, so as to prevent disease progression and complications. Methods: The study was an observational retrospective study done in Karachi, from November 2021 to May 2022. It was conducted on 255 patients who were diagnosed with NAFLD, and the presence of CKD was then determined by calculating their GFRs. Results: Out of the 255 patients diagnosed with hepatosteatosis, 76% had a normal GFR, 20% had a mild decrease and 4% were noted to have a moderate reduction in their GFR. When cross-tabulated with CAP score, it was found that 28% had S1 grade steatosis, out of which 85% had a normal GFR, 13% had a mild decrease and 2% had a moderate decrease in GFR. 22% had S2 grade steatosis, out of which 76% had a normal GFR, 18% had a mild decrease and 6% had a moderate reduction in GFR. 50% patients had S3 grade steatosis, out of which 70% had a normal GFR, 25% had a mild decrease and 5% had a moderate reduction in GFR. Conclusion: There is an association present between NAFLD and the development of low GFR. Therefore, it is important that patients diagnosed with NAFLD are regularly screened for CKD, so as to prevent its development and complications.
EVALUATING THE PROTECTIVE EFFECTS OF LOVASTATIN AGAINST DOXORUBICIN INDUCED CARDIOTOXICITY IN balb-c MICE
Authors: Sikandar Abeera , Khalida Ajmal  , Ayesha Afzal  , Saima Rafique  , Ayman Zafar  , Tahira Tehseen
Published: May 2023

Background: Doxorubicin is one of the most commonly used anti-cancer drugs that treat a large number of haematological and solid malignancies. Its usage in dose and duration is nevertheless restricted by dose related organ damage, particularly cardiotoxicity. Lovastatin is a commonly prescribed drug for hypercholesterolemia and possesses remarkable antioxidant potential. Our study was aimed at evaluating and comparing its cardioprotective effect in two pre-treatment schedules against doxorubicin-induced cardiac damage. Methods: In this lab-based randomized controlled experiment, 40 BALB/c mice were randomly grouped into five groups (n=8). Group 1 served as control whereas Group 2 was given doxorubicin intraperitoneally at a dose of 10mg/kg. Group 3 received 10mg/kg of oral lovastatin for five days. Groups 4 and 5 were administered lovastatin for five and ten consecutive days correspondingly and doxorubicin was given on 3rd and 8th experimental days of these groups. Results: Doxorubicin caused a significant rise in cardiac enzymes; Creatine kinase MB (CK-MB) and Lactate Dehydrogenase (LDH) (p-value ‰¤0.0001) whereas cardiac histological alterations were ranked as moderate. The damage was significantly attenuated by lovastatin in the ten-day study design with a p-value of ‰¤0.001 for both LDH and CK-MB whereas a slightly less efficient restoration was observed in the five-day design with p-value of ‰¤0.001 for LDH and 0.012 for CK-MB. Histological preservation in both pre-treatment schedules was in accordance with the biological markers.  Conclusion: In doxorubicin-based regimens, pretreatment for at least seven days with an easily available and safe statin can effectively prevent its potentially life-threatening cardiotoxicity.
SNODGRASS HYPOSPADIAS REPAIR AT AYUB TEACHING HOSPITAL: AN AUDIT OF COMPLICATIONS AND OUTCOMES
Authors: Shawana Asad  , Fawad Ahmed Khan  , Sher Ali  , Khan Hafizullah , Hina Rafaqat  , Irfan Khattak
Published: May 2023

Background: There are many reported techniques for the repair of hypospadias, and new ones are being reported, which suggests that none is perfect. This study reports the anatomical success rate when using Snodgrass Technique. Methods: In this descriptive case series, 296 patients who fulfilled the inclusion criteria, by being treated by Snodgrass urethroplasty, were enrolled. The study was conducted at the Department of Surgery, Unit-C, MTI, Ayub Teaching Hospital Abbottabad between May 2008 and June 2021.  Results: Mean age of the patients was 2.4±.8 years, 79.7% (n=236) had anterior (glanular, coronal, sub coronal) meatal location and 20.3 % (n=60) had middle urethral meatus (distal & mid-shaft). The mean operative time was 52 min. 5.1% of patients developed neo-meatal stenosis (n=15), 7.1% (n=21) patients develop a urethral-cutaneous fistula (compared to 5% in larger centers, 16% from smaller centers), 11.8% (n=35) developed wound infection, 2% (n=6) had complete disruption. Follow-up: The cosmetic appearance of the penis was excellent/good (shape of meatus was slit-like and vertically oriented) in 60.1% (n=178) patients, acceptable in 30.1% (n=89), and not acceptable in 9.8% (n=29). Conclusion: Snodgrass technique has a low complication rate, offers an acceptable cosmetic outcome and can be successfully applied to a wide range of defects from distal to mid-shaft hypospadias. Common complications include urethral-cutaneous fistula and meatal stenosis; both occur in a low and acceptable number of patients.
MULTICENTRIC RETICULOHISTIOCYTOSIS (MRH): A CASE REPORT ON A RARE DESTRUCTIVE ARTHRITIS
Authors: Saira Bano  , Tayyeba Khursheed  , Mohammad Khalid Bosan  , Sadia Khurshid
Published: May 2023

Multicentric Reticulohistiocytosis is a rare disorder of unknown aetiology which affects skin and joints predominantly. There are no specific laboratory investigations for diagnosis. Diagnosis can be made clinically and on histopathological basis. There is no consensus on treatment. We report a case from Pakistan with classical presentation who did well on methotrexate and low dose steroids. Prompt diagnosis and early treatment may save from significant disability.
Revolutionizing the Pharmaceutical Industry with Artificial Intelligence
Authors: Krishnababu Krishnagiri , Kulkarni Gururaj S , R Yogaraj , Paarakh Padmaa M
Published: May 2023

The pharmaceutical industry is one of the most important industries in the world. It provides essential medicines and treatments that help people live longer and healthier lives. The industry is also one of the most regulated and complex, with drugs taking years to develop and billions of dollars in investment. However, the emergence of artificial intelligence (AI) is transforming the way drugs are developed, tested, and brought to market. AI has the potential to revolutionize the pharmaceutical industry by accelerating drug discovery, reducing costs, and improving patient outcomes. In this article, we will explore the ways in which AI is transforming the pharmaceutical industry and how it is changing the way drugs are developed and delivered to patients. AI simplifies labour by analyzing, filtering, sorting, forecasting, scoping, and recognizing massive data volumes to follow the best implementation techniques for coming up with the optimum solution. Artificial intelligence has the potential to lower prices and provide new, effective medicines, but most significantly, it has the potential to save lives. It can be successfully applied to develop a robust, long-lasting pipeline of new medications. We would be able to produce medicines more quickly and affordably by utilizing the power of current technology.
De geografische reikwijdte van een enkele voortdurende inbreuk
Authors: Oostenbrink Friso
Published: May 2023

De geografische reikwijdte van een enkele voortdurende inbreuk

Met het vaststellen van een enkele voortdurende inbreuk (single continuous infringement) kunnen verschillende mededingingsbeperkende gedragingen die worden gekenmerkt door een gemeenschappelijk doel als één overtreding worden bestraft. De enkele voortdurende inbreuk is in de literatuur over het algemeen aangemerkt als een puur formele rechtsfiguur. Dit artikel betoogt echter dat het vaststellen van een enkele voortdurende inbreuk materiële implicaties heeft, hetgeen meebrengt dat ook gedragingen die geen (directe) impact hebben op de Europese markt toch onder het kartelverbod van artikel 101 VWEU en het daaruit voortvloeiende recht op vergoeding van schade vallen. Dat kan grote gevolgen hebben voor de privaatrechtelijke aansprakelijkheid van ondernemingen bij wereldwijde kartels.
Narratieve scenario-ontwikkeling ter ondersteuning van de witte keten tijdens de COVID-19-pandemie: een praktijkgericht stappenplan
Authors: Mellaard Arne , Bal Jos , de Jonge Ester
Published: May 2023

Narrative scenario development in support of the white chain during the COVID-19 pandemic: a hands-on roadmap

The world has been in the grip of the COVID-19 crisis for a long time. As the course of the crisis was surrounded by uncertainties, the impact on the public health sector and acute and non-acute care organisations fluctuated as well. Crisis experts from the organisation for Medical Assistance at Accidents and Disasters (in Dutch: GHOR) are used to develop short-term scenarios with high levels of uncertainty. In contrast, health experts from Municipal Health Services (in Dutch: GGD’s) are used to develop long-term scenarios with lower levels of uncertainty. To use each other’s expertise, these organisations merged into a combined crisis organisation in the southern region of the South Holland province. Inspired by the theory of sensemaking, a roadmap was developed to describe both short-term and long-term scenarios.

The primary aim of this scenario roadmap is to help healthcare professionals deal with uncertainties during a pandemic’s complex, continuously changing, and long-term situation. It helps to create order in the continuous flow of information and encourages action. The approach consists of six steps. At different time points, time- and context-specific themes are determined (step 1). Subsequently, associated uncertainties are identified for each theme (step 2). In collaboration with healthcare professionals, the GGD GHOR team attempts to make sense of social or political developments relevant to this theme in storylines (step 3). Storylines are jointly translated into action perspectives, such as ‘being prepared for the new wave’ (step 4). Lastly, action perspectives are translated into concrete actions (step 5). If necessary, decisions are made (step 6). The approach does not aim to predict an absolute truth but rather to construct an imaginable future that matches the perceptions of both GGD GHOR and healthcare professionals. The model approach is flexible, allows quantitative as well as qualitative input, and might result in acute actions and long-term plans.
حزب البعث و داعش منهج واحد في انتهاك حقوق الإنسان
Authors: عبد الغفار الشهيب الحلي وليد
Published: May 2023

إن قادة حزب البعث قد دعموا إنشاء داعش في سوريا والعراق خلال المدة 2012-2013، بمساعدة أجهزة الاستخبارات في بعض الدول العربية والأجنبية. ويشارك الألاف من قوات البعث العسكرية والأمنية والاستخبارية والحرس الجمهوري وأفراد الأمن الخاصين في حزب البعث بالإضافة إلى قوات صدام الخاصة المعروفة باسم فدائي صدام في انتهاك حقوق الإنسان مع جماعة داعش الإرهابية. وكان عزت الدوري وغيره من قادة حزب البعث يخططون للسيطرة الكاملة على قوات داعش، لكنهم فشلوا في ذلك. وكان إبراهيم البدري (أبو بكر البغدادي، زعيم داعش) والعديد من الارهابيين والمقدر عددهم 23,000 إرهابي من جنسيات مختلفة يخططون ويعملون معا أثناء سجنهم خلال الفترة 2003-2011، وبعد إطلاق سراحهم من سجن الولايات المتحدة في العراق (بوكا)، أنشأوا القاعدة ومن ثم تنظيمات داعش. وقسمت البحث على أربعة مباحث، وجاء المبحث بعنوان : جرائم حزب البعث وفي المبحث الثاني بعنوان : الإنتهاكات لحقوق الإنسان، والمبحث الثالث جاء بعنوان : خروقات متنوعة. وجاء المبحث الرابع بعنوان : مناقشة نتائج البحث. واردفنا البحث بثبت للمصادر.
السياسة الخارجية الأمريكية تجاه شرق أفريقيا بعد أيلول 2001 - الثوابت والمتغيرات
Authors: محمد خميس خلود
Published: May 2023

لم تكن منطقة شرق أفريقيا بعيدة عن أنظار صانع القرار السياسي الخارجي الامريكي، بل على العكس فإن شرق أفريقيا تحت المجهر الامريكي منذ نهاية الخمسينيات من القرن الماضي واستمرت الولايات المتحدة بمحاولات كثيرة لأجل تثبيت أقدامها في منطقة شرق أفريقيا حتى بدأت الحرب الباردة لأجل أن ينفذ صانع القرار السياسي الخارجي الامريكي اهدافه لأجل تحقيق مصالحه في هذه المنطقة الحيوية الاستراتيجية، إلا أن الولايات المتحدة الامريكية لم تستطع التنفيذ إلا بعد عام 1991 حينما تفكك الاتحاد السوفيتي وانهار لأنه كان القطب المنافس لها في عموم القارة الأفريقية، لاسيما وأن الحروب والمنافسة بينهما لم تكن لتحدث كمواجهة حقيقية وإنما عن طريق وكلائهم في المنطقة ولاسيما منطقة شرق أفريقيا من السودان وحتى كينيا والصومال وجيبوتي واثيوبيا واوغندا. فالولايات المتحدة لم تنسى المنطقة بل هي في مخيلتها لكنها وضعت لها الوقت المناسب لتضعها في دائرة مسرحيتها العالمية، إذن كانت هنالك ثوابت أي أهداف سياسية واقتصادية وأمنية تجاه المنطقة ثابتة في السياسة الخارجية الامريكية إلا أن استراتيجياتها تجاه المنطقة كانت تتغير بين الحين والأخر وبحسب الاستراتيجية الامريكية لحماية أمنها القومي بحسب مزاعم مسؤولي الإدارة الأمريكية على مدى جميع الحقب الماضية .