bluuebunny/crossref_metadata_2025 huggingface dataset:
Literatura en un campo expandido: incursiones en la obra última de Enrique Vila-Matas (2014-2019)
Authors: Oñoro Otero Cristina
Published: January 2023

En este artículo se revisa el concepto de «arte expandido», formulado por la teórica de arte Rosalind Krauss en la revista October a finales de los años setenta y empleado a día de hoy también en los estudios literarios. Dicho concepto se revela útil para trazar un panorama de las relaciones entre arte y literatura a comienzos del siglo veintiuno. En este contexto, la obra última de Enrique Vila-Matas emerge como una referencia indiscutible. El estudio de sus libros Kassel no invita a la lógica (2014), Marienbad eléctrico (2015) y Cabinet d’amateur, una novela oblicua (2019), publicados todos ellos en la última década, nos permitirá acercarnos a su «literatura expandida» así como evidenciar la vocación multidisciplinar de una parte relevante de la literatura actual escrita tanto dentro como fuera de nuestras fronteras.
Evening Bats Captured in a Managed Wildlife Refuge Used Trees in a Human-Dominated Landscape as Maternity Roosts
Authors: Rogers Jacob A. , Parker Matthew C. , Fritts Sarah R.
Published: January 2023

Similar to many chiropteran species, pregnant and lactating evening bats Nycticeius humeralis form maternity colonies to bear and raise their pups. Although evening bat maternity roosts have been studied in other locations, knowledge gaps exist regarding maternity roost site selection on the Gulf Coast of Texas, United States; thus, our objective was to quantify maternity roost characteristics of evening bats in this region. We radiotracked 11 female and subadult evening bats to 9 roosts during June and July 2018 and 2019 captured in San Bernard National Wildlife Refuge (SBNWR). No transmittered bats roosted in SBNWR and instead all roosts were located 3.6–4.5 km from the same capture site, within an 81-ha residential area of a 5,496-ha city. Five of the nine roosts were located in tall, live, live oak trees Quercus virginiana and one roost was in a residential home. Colony size of bats occupying the roosts ranged from 16 to 500+ bats. All evening bats, including those on properties to which we were denied access, stayed in roosts for the full life of the transmitter (5–21 d) and no roost switching occurred. Although evening bats used SBNWR, potentially for foraging, results suggest trees in the residential area provided suitable maternity roost characteristics. A lack of roost switching may suggest a lack of available roost trees in SBNWR and residential areas or the selected roost trees were high quality. We recommend future studies increase sample sizes of evening bat roosts on the Gulf Coast of Texas, as well as assessing roost site selection of evening bats and monitoring bachelor colony and evening bat winter roost ecology.
Natal Contributions of Kokanee Salmon to Flaming Gorge Reservoir, Wyoming–Utah: An Evaluation Using Otolith Microchemistry
Authors: Black Aaron R. , Walrath John D. , Willmes Malte , Quist Michael C.
Published: January 2023

In a system that uses supplemental stocking to enhance a fishery that serves a dual purpose, an understanding of the contributions from natural and hatchery-produced fish is important so that hatchery resources can be appropriately allocated. Kokanee Oncorhynchus nerka were first stocked in Flaming Gorge Reservoir (FGR), Wyoming–Utah, in 1963 and serve a dual purpose as a prey resource and sport fish. Although natural recruitment occurs in the reservoir, a supplemental stocking program was initiated in 1991. We sought to identify the natal origin (i.e., natural, hatchery) of kokanee in FGR using otolith microchemistry. We evaluated return to the creel, composition of spawning aggregates, and growth of kokanee in FGR and focused on differences associated with natal origin. We analyzed kokanee otoliths that we collected from hatcheries (n = 60) and FGR (n = 1,003) for the strontium isotope ratio, 87Sr/86Sr, using laser ablation and a multicollector inductively coupled plasma mass spectrometer. We conducted Kruskal–Wallis tests to compare the strontium isotope ratios from the otolith edge of kokanee that we sampled from hatcheries and FGR. Based on 87Sr/86Sr ratios, we could distinguish natural-origin kokanee from 11 of the 12 hatcheries (P < 0.01); however, the Wigwam Hatchery was not significantly different from FGR (P = 0.84). We used model-based discriminant function analysis to assign natal origins for kokanee caught in FGR. Hatchery contribution to the population at large varied from 21 to 50% among year classes from 2014 to 2018. The percentage of hatchery origin kokanee in the creel (18–50%) was similar to what we observed in the population. Hatchery-produced kokanee contributed a higher proportion to tributary-spawning aggregates (40–90%) than shoreline-spawning aggregates (19–58%) by sample year. Growth of natural and hatchery kokanee was similar, suggesting similar performance in the system. Results from this study identify that hatchery supplementation contributes to the population and recreational harvest of kokanee in FGR. This research also provides insight into the ecology of kokanee that is useful for better understanding kokanee population dynamics in reservoir systems.
Un espace littéraire d’imagination politique
Authors: Laplénie Jean-François
Published: January 2023

La mise en forme romanesque des événements révolutionnaires de 1918-1920 impose aux écrivains une réflexion sur la représentation des positions idéologiques en présence et la mise en scène des débats entre ces positions. En particulier, la deuxième vague de ces « romans de la révolution », écrits entre 1927 et 1932 et conçus comme la continuation des romans de guerre des années 1927-1928, ouvrent entre la période révolutionnaire, à laquelle ils se réfèrent, et le contexte de crise de la démocratie, dans lequel ils sont publiés, des espaces narratifs d’expérimentation et d’imagination politiques qui donnent à ces romans, qui tiennent à la fois du Zeitroman et du roman historique, une dimension uchronique. À partir de deux romans parus en 1930 (Frieden d’Ernst Glaeser et Nachkrieg de Ludwig Renn) et en apparence similaires, le présent article illustre comment les choix esthétiques conditionnent des conceptions différentes de l’action politique : à l’apathie et à l’inaction qui découlent d’une présentation monolithique des positions politiques (Glaeser) répond, chez Renn, une interrogation sur l’articulation entre idéologie, position et action politiques.
Duoethnographic Perspective on Supporting Students of Refugee Background in Middle School
Authors: Gagné Antoinette , Kovinthan Levi Thursica
Published: January 2023

Students with refugee experiences face several social and academic challenges in the Canadian school system. Supportive relationships and school spaces where educators, parents, and peers act as cultural brokers to help students navigate challenges can contribute to reducing experiences of educational inequality for children with refugee experiences. This duoethnography maps these relationships during a year-long identity text project with Grade 6 students in an ESL/ELD classroom by two educator researchers. Using an intersectional lens, the authors identify gaps and highlight promising pathways and practices for the integration of students with refugee backgrounds, including 1) working towards the greater interconnectedness of service and referrals between welcome centres, schools and service organizations; 2) knowledge exchange surrounding different education pathways and practices and the opportunities afforded by these for the integration of students with refugee experiences; 3) individually tailored educational support and services; and 4) translanguaging pedagogy.
The Social Exclusion Problems of Children Under Protection in School Life
Authors: Saçan Selvinaz , Öztürk Serap
Published: January 2023

Children enter the child protection system as a result of neglect or abuse. Due to their past experiences, these children's academic and social-emotional skills lag behind their peers. This situation can result in social exclusion, academic failure, absenteeism, and dropping out of school. The school stands out with its supportive value for children in the child protection system. However, in cases where school personnel do not have sufficient information about the child protection system, policies, and the characteristics of these children, the school cannot fulfill its protective-preventive and supportive role. However, a positive school experience has a protective, preventive, developing, and curative potential, especially for at-risk children.
A Systematic Review of the Literature on the Problems and Suggestions for Inclusive Education in Turkey
Authors: Mirici Ismail Hakki , Gümüş Özge , Şentürk Burcu
Published: January 2023

Inclusive education, without excluding anyone regardless of his/her physical features, gender, or any other reasons, is considered a powerful instrument in achieving an inclusive society. The study aims to investigate the literature on inclusive education in K-12 classes in Turkey. In the study, document analysis method, one of the qualitative research designs, was adopted. The data were collected online via typing variations of the key words “problems, suggestions of inclusive education in Turkey” into several databases including Google Scholar, ProQuest, EBSCOhost, ERIC, and the search engine of the Higher Education Institution's thesis archive for the years of 2009-2022. The results have revealed that there are needs for a better inclusive education in Turkey, such as improving of educational facilities and reducing class sizes, developing inclusive education policies and approaches, increasing the quantity and quality of special education personnel, and more financial support.
Teacher Identity and Language Ideology via Critical Pedagogy
Authors: Salayo Juland Dayo , Gutierrez Merry Ruth M.
Published: January 2023

This qualitative research aims to determine how language teachers' ontological beliefs on critical pedagogy build teacher identity and language ideology. Participants included 18 public junior high school teachers. Results revealed that critical language pedagogy (CLP) constructed teacher identities against its trajectory. These identities include the lack of familiarity and misunderstanding of CLP, resistance to a critical teaching approach, dependency on the official textbook or learning modules, and confidence in their traditional practices. Similarly, distorted critical language ideologies were also determined, such as language as an apolitical entity, CLP as a threat to social and cultural harmony, L1 as a threat to L2 learning, and the perceived dominance of American English. Both identities and ideologies are attributed to social conflicts and sociopolitical activities that produce oppression and marginalization. Hence, it is recommended that the education sector provide an opportunity to fully understand the role of criticality through dialogue, reflection, and praxes.
Manufacturing a Model for Moving the Electrode of TIG Welding for the Rib Piper Connection
Authors: Uyen Tran Minh The , Hai Nguyen Van Hong , Tai Ngo Minh , Tai Ngo Minh , Hoang Ngo Minh , Khoa Nguyen Pham Toan , Anh Pham Quoc
Published: January 2023

This paper provides a complete overview of the entire process of designing a welding head moving device and its implementation as a semi-automatic welding machine. The mechanical structure of the device is designed based on the size of the material pipe and the accompanying technical requirements. The system is equipped with an arc generator set and a rotary speed control unit allowing its use as an orbital welder.
Biosimilar Tenecteplase Versus Alteplase in Acute Ischemic Stroke
Authors: Mohan Ayush , Komakula Snigdha , Murali Suhas , Anand Pooja , Shah Dyuti , Vishnu VY , Pandit Awadh Kishor , Agarwal Ayush , Vibha Deepti , Singh Mamta Bhushan , Padma Srivastava MV , Bhatia Rohit
Published: January 2023

Background and Purpose:

There is an unmet need for a more effective thrombolytic agent in acute ischemic stroke (AIS) management. Various studies and meta-analysis suggest tenecteplase (TNK) as non-inferior over alteplase (rTPA). The present single-center study compares biosimilar TNK and rTPA in a tertiary care setting.

Methods:

Data of patients who presented with AIS and underwent intravenous thrombolysis (IVT) were recruited retrospectively from January 2018 to July 2021. Primary efficacy outcome was a modified Rankin score (mRS) at 90 days dichotomized at < = 2. Qualitative and quantitative variables were assessed using Chi-square test and Student's t-test, respectively.

Results:

A total of 160 patients, 103 in the rTPA and 57 in TNK group, were analyzed. The baseline characteristics were well matched apart from hypertension. Large artery atherosclerosis was the most frequent subtype of stroke among the two groups. Good functional outcome was seen in 47.92% of patients TNK and 64.77% of patients in rTPA group (p = 0.069). No difference was seen in the rates of any ICH (p = 0.29) and mortality at 3 months (p = 0.32) among the two groups.

Conclusion:

This present study observed no difference in the efficacy and safety between biosimilar TNK and rTPA. Our findings are in concordance with published trials showing equivalence between the two molecules.
Mitochondrial Calcium Uptake 1 (MICU1) Gene-Related Myopathy with Extrapyramidal Signs
Authors: Mukherjee Debaleena , Mukherjee Adreesh , Gupta Subhadeep , Dubey Souvik , Pandit Alak
Published: January 2023

Myopathy with extrapyramidal signs (MPXPS) is a rarely reported entity worldwide, manifesting as a muscular dystrophy with movement disorders. It results from mutations in the mitochondrial calcium uptake 1 (MICU1) gene. We hereby describe a 17-year-old boy who presented with proximal myopathy, calf muscle hypertrophy, and skeletal deformities along with choreiform movements of his upper extremities. Muscle MRI revealed a distinctively early involvement of adductors with sparing of antero-lateral compartment of thigh. This report expands the clinico-radiological presentation and to the best of our knowledge, is the first report of MICU-related MPXPS from India.
Experience with Accelerated Ponseti Technique for Treatment of Idiopathic Clubfoot in a Regional Orthopaedic Hospital in Nigeria
Authors: Lasebikan Omolade Ayoola , Anetekhai Wilson Ikpemhi , Asuquo Joseph Effiong , Anikwe Ifeanyi Azubuike , Oguzie Gerald Chukwuemeka , Abang Innocent Egbeji , Omoke Njoku Isaac , Asuquo Best Joseph
Published: January 2023

Introduction:

Idiopathic talipes equinovarus (ITEV) ‘aka clubfoot’ is the most common foot deformity in children. Ponseti technique had been accepted as a standard method for correction. The traditional Ponseti technique for correction is well known. Accelerated Ponseti technique is said to offer some advantages over the standard technique. The aim of this study was to determine and document the efficiency and success rate of accelerated Ponseti technique.

Methods:

This was a prospective interventional study which lasted 26 months from February 2017 to April 2019. Twenty-eight patients with 42 feets who met the inclusion criteria were recruited. They had serial manipulation and casting twice every week till percutaneous tenotomy was done as indicated. Final cast usually applied after tenotomy and left for 3weeks. Each patient was followed up for a year corresponding to 9 months after the commencement of night bracing. Data were analysed using SPSS version 20.

Results:

The mean age was 8.1 months with a range of 1–36 months. The mean Pirani score recorded was 4.4, while the mean number of casting sessions was 3.6 and the mean duration of treatment was 12.4 days. The tenotomy rate recorded was 42.9%. Pre-bracing assessment of Pirani score, passive ankle dorsiflexion and foot abduction done and repeated after a year revealed optimal correction. The relapsed rate at 1 year was 4.8%. The only complication observed was pressure sore in a patient.

Conclusion:

The accelerated Ponseti technique is an efficient method of treatment of ITEV in a much shorter time with a higher success rate. It facilitates compliance with treatment.
Diagnostic Dilemma in Left Flank Mass in an Infant
Authors: Kaushik Ashish , Sherwani Poonam , Saurya  , Garnaik Deepak Kumar
Published: January 2023

Neuroblastoma (NBL) and nephroblastoma present with abdominal mass and various imaging features help in differentiating the two; however, localisation is difficult in large masses and at times imaging features can be confusing. Here, we describe the case of large left-sided NBL arising from the adrenal and involving the left kidney with moderate hydronephrosis.
Factors Contributing to Mortality in Neonates with Congenital Diaphragmatic Hernia and Eventration
Authors: Vasudev Raghunath Bangalore , Kumar Nitin , Gadgade Bahubali Deepak , Radhakrishna Veerabhadra , Basavaraju Mamatha , Anand Alladi
Published: January 2023

Introduction:

Despite all the advances, the mortality rate of congenital diaphragmatic hernia (CDH) ranges from 30% to 60% for isolated CDH and as high as 89% when they are associated with additional structural or chromosomal anomalies. Hence, a study was conducted to evaluate the factors contributing to the mortality of neonates treated for CDH or the eventration of diaphragm.

Materials and Methods:

A retrospective study was conducted in the department of paediatric surgery at a tertiary centre. The neonates admitted with a diagnosis of CDH or eventration requiring surgery, between March 2013 and March 2021, were included in the study.

Results:

A total of 123 neonates were included in the study. The variables, earlier median age at presentation (1 [1–23] vs. 3 [1–28]; P < 0.001; Mann–Whitney U-test), preterm birth (10/79 vs. 0/44; P = 0.01; Fischer’s exact test), inborn (68/79 vs. 27/44; P = 0.002; Chi-square test), weight ≤2 kg (18/79 vs. 1/44; P = 0.003; Chi-square test), central cyanosis at presentation (21/79 vs. 1/44; P < 0.001; Chi-square test), antenatal detection (47/79 vs. 14/44; P = 0.003; Chi-square test) and earlier mean age at surgery (3.66 ± 1.47 vs. 7.66 ± 6.88; P < 0.001; Independent sample t-test) were associated with increased mortality. On multinominal logistic regression analysis, the factors preterm (odd’s Ratio [OR] =4.735; P = 0.03), weight ≤2 kg (OR = 5.081; P = 0.02), central cyanosis at presentation (OR = 6.969; P = 0.008) and antenatal detection (OR = 7.471; P = 0.006) were found to be independently associated with increased mortality in CDH/eventration.

Conclusion:

The factors: prematurity, weight <2 kg, cyanosis at presentation and antenatal diagnosis were independently associated with increased mortality in neonates with CDH/eventration requiring surgery.
Successful Management of Oesophageal Atresia in Cameroon, Sub-Saharan Africa
Authors: Fola Olivier Kopong , Jemea Bonaventure , Bayiha Jean-Emile Emmanuel , Nonga Bernadette Ngo
Published: January 2023

Background:

Oesophageal atresia (EA) is the most common congenital anomaly of the oesophagus. Despite improvement of survival observed over the previous two decades in developed countries, the mortality remains very high and the management greatly challenging in resource-poor settings such as Cameroon. We report our experience of management of EA in this environment, with a successful outcome.

Materials and Methods:

We prospectively assessed patients diagnosed with EA and operated in January 2019, at the University Hospital Centre of Yaounde. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures and outcomes. The study has received approval from the Institutional Ethics Committees.

Results:

In total, six patients (three males and three females, sex ratio, 0.5; mean age at diagnosis, 3.6 days; range, 1–7 days) were assessed. A past history of polyhydramnios was found in one patient (16.7%). All patients were classified Waterston Group A at diagnosis, with Ladd-Swenson type III atresia. Early primary repair was performed in four patients (66.7%) and delayed primary repair in two patients (33.3%). Operative repair mainly involved resection of the fistula, suture of trachea and oesophagus end-to-end anastomosis, followed by interposition of vascularised pleural flap. Patients were followed up 24 months. With one late death, the survival rate was 83.3%.

Conclusion:

Improvement has been achieved in the outcomes of neonatal surgery in Africa in the past two decades, but EA-related mortality remains relatively too high. Using simple techniques and available, reproducible equipment can improve survival in resource-poor settings.
Management of Ventriculoperitoneal Shunt Complications in Children
Authors: Ghritlaharey Rajendra Kumar
Published: January 2023

Objectives:

The primary objective of this study was to analyse the demographics of the children who presented with ventriculoperitoneal shunt (VPS) complications. The secondary objectives were to review the clinical characteristics, surgical procedures performed for the management of VPS complications and the final outcome.

Materials and Methods:

This is a single-institution observational study that included children below 12 years of age who required VPS revisions during the study period.

Results:

During the study period of 10 years, n = 336 VPS catheters were implanted for the treatment of hydrocephalus in children. Forty (11.90%) children developed various VPS complications and required VPS revisions in the follow-up period. A total of n = 30 (8.92%) children (n = 21 boys and n = 9 girls) were selected/recruited for the present study, and they required n = 34 revision procedures. The mean interval from VPS insertion to the diagnosis of the complication was 7.29 months. VPS complications that required revisions occurred in the following order of frequency: (1) VPS catheter, cerebrospinal fluid (CSF) or shunt tract infection n = 8 (2.38%); (2) malfunction of distal VPS catheter n = 7 (2.08%); (3) coiling of distal VPS catheter at abdominal area n = 6 (1.78%); (4) extrusion of VPS catheter n = 5 (1.48%); (5) CSF leak from abdominal wound site/umbilicus n = 4 (1.19%); (6) malfunction of ventricular catheter n = 3 (0.89%) and (7) CSF pseudocyst peritoneal cavity n = 1 (0.29%). Surgical procedures were performed for the treatment of abovementioned complications in the following order of frequency: (1) revision of distal VPS catheter n = 14 (4.16%), (2) removal of entire VPS catheter ± external ventricular drainage (EVD) n = 7 (2.08%), (3) distal VPS catheter converted as EVD n = 6 (1.78%), (4) revision of proximal VPS catheter n = 3 (0.89%), (5) revision of entire VPS catheter n = 3 (0.89%) and (6) CSF pseudocyst excision n = 1 (0.29%). This study also documented n = 2 (6.6%) deaths during the post-operative period.

Conclusion:

VPS insertion done for the treatment of hydrocephalus in infants and children was associated with various complications. Seventy per cent of the complications occurred within the first 6 months after the VPS insertion. Two-thirds of the complications were related to the distal VPS catheter.
Estimating the skin dose near to the applicator and acute toxicity in breast cancer patients: An intraoperative electron radiotherapy technique
Authors: Mirkazemi Maryam Sadat , Mahdavi Seyed Rabi , Nafissi Nahid , Monfared Ali Shabestani , Ghoreishi Seyedeh Masoumeh , Gorji Kourosh Ebrahimnejad
Published: January 2023

Introduction:

Intraoperative electron radiation therapy (IOERT) is one of the most recently popular therapeutic methods for breast cancer. This study aimed to measure the skin dose near the applicator during IOERT of breast cancer patients, as well as, the incidence of acute toxicity after surgery.

Materials and Methods:

Thirty-six female patients participated in the current study with the prescribed dose of 21 and 12 Gy for IOERT as full and boost, respectively. The skin dose was investigated based on different applicator sizes, tumor bed thicknesses, and monitor units (MUs). The energy was chosen 8 MeV, and EBT3 film was used for the dosimetric process. In addition, the acute toxicity included healing time for the surgical wound, scaling of the skin, itching, necrosis, redness as well as seroma formation for 1 week and 1 month were recorded. The results were compared to those of 22 patients who underwent the surgery without IOERT.

Results:

The highest skin dose for the patients was obtained 2.09 Gy, which is lower than the threshold dose (6 Gy). Furthermore, the findings showed that the average skin dose was higher in bigger applicator sizes and MU and lower tumor bed thicknesses. The average of wound healing for the patient underwent IOERT and without the use of IOERT (as the control group) was 19.32 and 11.67 days, respectively. One month after surgery, the volume of aspirated seroma was higher in the patients who performed IOERT compared to the control group (250 ml vs. 200 ml). It is notable that there were not observed any redness, itching, scaling, and necrosis in both investigated groups.

Conclusion:

Owing to the results, the skin dose during IOERT was lower than the recommended level. The dose of IOERT as a full was higher than boost which can be related to the lower number of the patients in full method; however, there was a well-tolerated without severe acute complication, especially seroma formation and wound healing time in both full and boost methods.
Burnout among ICU Healthcare Workers at Two Tertiary Care Hospitals in Makkah during the Hajj Season
Authors: Rugaan Asia , Aisa Tharwat , Alkhatib Kasim H , Baky Moamen Abdel , Al Tatar Faisal , Ramadan Ibrahim , Elmorsy Soha , Hussein Adel
Published: January 2023

Background:

The Hajj season results in increased workload and longer shift hours for healthcare workers at the intensive care units (ICUs), which may result in burnout.

Objective:

To determine the point prevalence of professional burnout and its predictors among healthcare workers at the ICUs of two tertiary care hospitals in Makkah during the Hajj season.

Methods:

This cross-sectional descriptive study included all healthcare professionals working at the ICU departments of two of the largest tertiary care hospitals in the Makkah region during the 1439/2018 Hajj season. The original Maslach Burnout Inventory (MBI) questionnaire was used to measure burnout. Logistic regression models were fitted to estimate the effect size of the associated risk factors.

Results:

A total of 354 participants completed the questionnaire. Moderate to severe burnout was found in each of the three subscales: emotional exhaustion, 56%; depersonalization, 82%, and impaired personal achievement, 72%. Nurses were significantly more likely to experience burnout compared with physicians (P = 0.017). Independent predictors of moderate or severe burnout were being aged ≤40 years (odds ratio [OR]: 2.1, 95% CI: 0.395–4.002; P = 0.045), female gender (OR: 2.2, 95% CI: 0.242–4.346; P = 0.037); work having a negative impact on family (OR: 3, 95% CI: 0.164–5.504; P = 0.019); unsatisfaction with salary (OR: 2.8, 95% CI: 0.28–5.056; P = 0.025); and working at the cardiac critical care unit (OR: 2.6, 95% CI: 0.440–4.467; P = 0.035).

Conclusion:

This study revealed that the point prevalence of burnout is common among ICU healthcare workers during the Hajj season. These findings can be used by policymakers to devise strategies to mitigate the risks of burnout during the Hajj season.
Mucormycosis and Cryptococcosis with Gastrointestinal Involvement in a Patient with Poorly Managed Diabetes
Authors: Aldahash Bader A , Alnemer Mohammed A , Alsaad Khaled O , Alsohaibani Fahad I
Published: January 2023

Mucormycosis and cryptococcosis are invasive fungal infections that mostly infect immunocompromised patients and are associated with high mortality rates. Here, we report a case of a 54-year-old male with poorly controlled diabetes mellitus who was initially admitted with a complaint of right frontal headache and vomiting for 5 days. The patient was found to have paranasal sinuses mucormycosis, and later developed gastrointestinal cryptococcosis. A multidisciplinary approach and early management are important to avoid any delay in managing these life-threatening infections. To the best of the authors' knowledge, this is the first case reporting concurrent invasive fungal infections in a patient.
Continuous positive airway pressure improved daytime sleepiness and memory function in patients with obstructive sleep apnea
Authors: Hong Ya-Ling , Shen Yu-Chih , Chang En-Ting , Kung Shu-Chin
Published: January 2023

Objectives:

Obstructive sleep apnea (OSA) is a sleep disorder which results in daytime sleepiness and impaired memory function. The aim of this study was to investigate the effect of continuous positive airway pressure (CPAP) on daytime sleepiness and memory function in OSA patients. We also investigated whether CPAP compliance impacted the effect of this treatment.

Materials and Methods:

The nonrandomized, nonblinded clinical trial enrolled 66 patients with moderate-to-severe OSA subjects. All subjects completed a polysomnographic study, daytime sleepiness questionnaires (the Epworth Sleepiness Scale and the Pittsburgh Sleep Quality Index), and four memory function tests (working memory; processing speed [PS]; logical memory [LM]; face memory [FM]).

Results:

Before CPAP treatment, no significant differences (P < 0.05) were noted in the demographic data, daytime sleepiness, or memory function between two groups (with/without CPAP). However, OSA patients treated with CPAP for 2 moAnths showed significant improvements in daytime sleepiness, PS, mostly of LM, and FM comparing to 2 months ago. As compared to those who did not receive CPAP treatment, CPAP can improve only parts of LM (delayed LM [DLM] and LM percentage [LMP]). In addition, compared to control group, a significant improvement of daytime sleepiness and LM (LM learning, DLM, and LMP) in good compliance with CPAP treatment group and of DLM and LMP in the low compliance with CPAP treatment group was found.

Conclusion:

CPAP treatment for 2 months could improve some of LM in OSA patients, especially in patients exhibiting good CPAP compliance.
Klebsiella keratitis presenting as a ring infiltrate in an adolescent girl
Authors: Dhiman Richa , Sharma Nancy , Chauhan Jyoti
Published: January 2023

The purpose of the study was to report a unique case of Klebsiella keratitis presenting as a ring infiltrate in an adolescent girl. A 16-year-old girl presented with decreased vision in the right eye preceding an episode of fever with a rash associated with burning micturition. The patient was examined after taking appropriate consent. The slit-lamp examination revealed a ring-shaped corneal infiltrate with an epithelial defect in her right eye. Corneal scrapings were sent for microbiological evaluation which revealed Gram-negative rods and culture identified it as extended-spectrum beta-lactamase-producing Klebsiella pneumoniae colonies. The patient showed a good response to topical fortified amikacin and tobramycin. For her systemic complaints, the pediatrician did a thorough investigative workup out of which blood culture showed growth of K. pneumoniae. Hence, intravenous antibiotics were given based on the antibiogram report and the patient recovered. After 2 weeks, a paracentral infiltrate in her left eye was noted followed by anterior uveitis. The patient responded well to the topical course of steroids along with aminoglycosides. Four months later, she had a recurrence of anterior uveitis in the right eye preceded by fever. Blood investigations were negative. Hence, a diagnosis of recurrent uveitis secondary to endogenous infection was made and the patient was successfully treated with a short course of topical steroids. The patient is on follow-up for the past 6 months and maintaining the best-corrected visual acuity of 20/20 OU with normal intraocular pressure and quiet anterior chamber (AC). This is the first clinical report describing a ring infiltrate in endogenous Klebsiella keratitis and emphasizes thorough workup for prompt treatment.
Small G-varieties
Authors: Kraft Hanspeter , Regeta Andriy , Zimmermann Susanna
Published: January 2023

An affine variety with an action of a semisimple group G is called “small” if every nontrivial G-orbit in X is isomorphic to the orbit of a highest weight vector. Such a variety X carries a canonical action of the multiplicative group
${\mathbb {K}^{*}}$
commuting with the G-action. We show that X is determined by the
${\mathbb {K}^{*}}$
-variety
$X^U$
of fixed points under a maximal unipotent subgroup
$U \subset G$
. Moreover, if X is smooth, then X is a G-vector bundle over the algebraic quotient
$X /\!\!/ G$
.

If G is of type
${\mathsf {A}_n}$
(
$n\geq 2$
),
${\mathsf {C}_{n}}$
,
${\mathsf {E}_{6}}$
,
${\mathsf {E}_{7}}$
, or
${\mathsf {E}_{8}}$
, we show that all affine G-varieties up to a certain dimension are small. As a consequence, we have the following result. If
$n \geq 5$
, every smooth affine
$\operatorname {\mathrm {SL}}_n$
-variety of dimension
$< 2n-2$
is an
$\operatorname {\mathrm {SL}}_n$
-vector bundle over the smooth quotient
$X /\!\!/ \operatorname {\mathrm {SL}}_n$
, with fiber isomorphic to the natural representation or its dual.
Resolution and Force Increase in Electric Actuator for Thermal
Management Expansion Valves
Authors: Billet Lionel , Laforge Damien , Petrement Geoffroy , Masson Gérald
Published: January 2023

Expansion valves are key components of an automotive thermal management system.
Recently electronic expansion valves (EXVs) have been replacing conventional
thermostatic valves as they offer a finer degree of control. They are operated
by a stepper motor and can be based either on a linear or a rotary motion.
However, on one hand, the existing linear EXVs with a leadscrew system are not
suitable to manage high-pressure and large-diameter port valves, and on the
other hand, rotary EXVs have the main disadvantages of having a high mechanical
hysteresis and of requiring a dynamic seal which adds cost to the system. This
paper proposes then to solve those issues thanks to a new linear concept that
provides a new integration on a classic leadscrew linear EXV using a specific
radial flux brushless DC (BLDC) motor, a worm gear, and a sensor integration
option. The idea behind this is to stop using the conventional coaxial movements
of the reducers and to better use the volume of the metal body where the fluid
lines are located. The main benefit is a more compact EXV that can generate more
force than the standard solutions. Moreover the integration of a position sensor
and a new control scheme led to an increase in the accuracy of the valve
positioning and to a global efficiency improvement of the system by being able
to adapt the current to the applied load. For comparison purposes, an actuator
based on this new concept was then built using two existing EXVs as references.
This comparison shows that to reach the same performances, the new linear design
needs a much smaller motor and, has an overall height of only 55 mm compared to
80 mm and a theoretical resolution of 0.16 μm.
Numerical Studies on Fixed Wing Aircraft Aerodynamic Performance using Injection Suction Mechanism
Authors: Katkar Aishwarya , Balaji K. , Khandal S.V.
Published: January 2023

In this current research work, a NACA 6321 flat bottom aerofoil has been altered to study its aerodynamic performance. A co-flow jet (CFJ) method was used with an injection slot located at 20% of chord length and the suction slot situated at 80% of chord length. Simulations have been carried out on the aerofoil models with various angles of attack (AOA) at a Mach number 0.05 to compute the variation in coefficient of lift (CL) and coefficient of drag (Cd) using a k-omega SST model. From the study, it was observed that CL and stalling AOA of an aircraft are increased by 27% and 33% respectively, with an introduction of the additional mass flow rate of 0.01 kg/sec in comparison with baseline aerofoil. It could be concluded that CFJ method enhanced the aerodynamic performance of fixed-wing aircraft due to boundary layer control over an aerofoil which reduces the overall aircraft weight and maintenance cost.
Tribological Behaviour of Aluminium 6061 Reinforced with Graphite and Chicken Bone Ash by using Stir Casting
Authors: Nithyanandhan T. , Sivaraman P. , Manickaraj K. , Mohan Raj N. , Pragash M. Sri , Tharun A.
Published: January 2023

Blending or supplementing metals with cutting-edge Metal Matrix Composites (MMCs) endeavours to improve the safety, reliability weight and productivity. A hybrid MMC was produced for the chamber liner of cutting-edge diesel motors. Dry sliding wear testing equipment, employing a pin-on-disc wear tester, is used to examine the wear properties of casted hybrid metal matrix composites. The examination shows that the wear opposition of Al-6061 is expanded while adding the chicken bone ash and graphite as support content. Within the current work, effort has been made to survey the tribological properties of aluminium as-projected combination test for Al amalgam and unadulterated aluminium. The operational boundaries were a typical load and sliding velocity of the pin concerning rotating disk at temperature. The medium utilized was dry and wet greasing. The amount of mileage has been decreased altogether in aluminium alloy similar to unadulterated aluminium. Dry condition testing showed huge loads of noise and a similarly more measure of mileage for both aluminium and aluminium alloy. The coefficient of contact for aluminium alloy in wet conditions was roughly steady up to the applied load and then diminished with additional utilization of load while the coefficient of friction for unadulterated aluminium was rising persistently with the load. Evaluation of the corrosion conduct of the aluminium MMC is achieved by the usage of the salt spray method or immersion test and the results are considered.
A Basic Study of Ｃulture-centered Ｓoundscapes in Ｈistoric and Ｃultural Ｄistricts of China
Authors:   Korea Institute of Design Research Society, Ge Bi Xiao , Moon Jeong Min
Published: January 2023

Historic and cultural districts are the precious wealth of a city, and the soundscape is an important part of the environment of historic and cultural districts. In recent years, people have signed the Nara Authenticity Document and other international conventions, marking that they began to realize the significance and role of soundscape for the protection of historic and cultural districts. Based on the trend, this study takes the historic and cultural districts from the Ming and Qing dynasties to the Republic of China as the research object, and summarizes the basic concept of the culture-centered soundscape in the historic and cultural districts, which provides the theoretical basis for the subsequent research on the remediation and protection of it. It adapts the research methods of advance research and theoretical investigation of literature data. And it concludes the definition, type and characteristics of the soundscape in the historic and cultural districts through the collation and analysis of the documents. It also concludes the definition, type, constituent elements and characteristics of culture-centered soundscape in historic and cultural districts through the combination of the connotation and characteristics of “culture” and the research literature of culture-centered soundscape. Finally, it derives the basic concept of culture-centered soundscape in historic and cultural districts, which provides a theoretical basis and guidance for a series of subsequent studies and the protection of it.
DIE EURO INTEGRATIONS AUSBILDUNGS PROZESSE IN DER UKRAINE: DIE GESCHICHTE DES ENTSTEHENS
Authors:   Municipal Establishment «Kharkiv Humanitarian-Pedagogical Academy» of Kharkiv Regional Council, Ponomarova Halyna
Published: January 2023

Dieser Artikel befasst sich mit dem Problem der Bildungsgeschichte in der Ukraine, ihren Besonderheiten, Voraussetzungen für ihre Entstehung. Der Artikel analysiert die Entwicklung der Bildung in der Ukraine in verschiedenen Epochen der Geschichte: ihre Entstehung in der antiken Pädagogik aus der Zeit von Wolodymyr dem Großen und Jaroslaw dem Weisen, die Gründung und Tätigkeit von Bruderschulen, die Entstehung von Universitäten auf dem ukrainischen Territorium waren österreichisch-ungarischen Imperium, die Gründung Ende des 19. Jahrhunderts technischer, medizinischer, pädagogischer und anderer spezialisierter Hochschulen, die Änderung im 20. Jahrhundert und ihre Entwicklung unter den gegenwärtigen Bedingungen, insbesondere der Beitritt der Ukraine bis zum Bologna-Prozess, die Integration des ukrainischen Hochschulsystems in das gesamteuropäische System. Der Autor kam nach einer gründlichen Analyse der psychologisch-pädagogischen und historischen Literatur zu dem Schluss, dass die vorrangige Aufgabe der ukrainischen Hochschulbildung heute die schnelle Anpassung an europäische Bildungskriterien und -standards ist. Die moderne Entwicklung der Ukraine wird im allgemeinen Kontext der europäischen Integration mit einer Orientierung an universellen Grundwerten bestimmt: Menschenrechte, Rechte nationaler Minderheiten, Liberalisierung, Freizügigkeit, Bildungsfreiheit auf allen Ebenen usw., was ein Merkmal ist der bürgerlichen Demokratie usw.
ФОРМУВАННЯ ЕКОЛОГІЧНОГО МИСЛЕННЯ В МАЙБУТНІХ БАКАЛАВРІВ БІОЛОГІВ
Authors: Upatova Iryna , Dekhtiarova Olena , Borzyk Olena
Published: January 2023

Актуальність проблеми дослідження зумовлена суперечністю між необхідністю реалізації екологічної освіти, яка є складовою підготовки майбутніх бакалаврів біології і забезпечує формування в них екологічного мислення під час освітнього процесу в закладі вищої освіти та недостатньою розробкою методики формуванням ціннісних екологічних орієнтацій здобувачів вищої освіти, що значно ускладнює процес формування екологічного мислення майбутніх бакалаврів біології. Метою статті є теоретичне обґрунтування проблеми формування екологічного мислення майбутніх бакалаврів біології, розробка рівнів сформованості екологічного мислення майбутніх фахівців та перевірка ефективності формування екологічного мислення через систематичне впровадження методів розвитку критичного мислення у процесі професійної підготовки. Методами дослідження було обрано анкетування, бесіди, аналіз продуктів діяльності здобувачів, спостереження за їх роботою, самооцінка, рефлексія, педагогічний експеримент. Результати дослідження засвідчили, що рівень сформованості екологічного мислення майбутніх біологів (репродуктивний, реконструктивний, творчий) позитивно змінюється, якщо під час реалізації змісту освітніх компонентів впроваджуються методи, які сприяють формуванню в них критичного мислення, як базового для формування екологічного. При виявленні рівня сформованості екологічного мислення у майбутніх біології оцінюванню підлягали: відповіді здобувачів; здатність до мисленнєвих операцій вищого рівня; самостійність екологічних суджень; сформованість умінь критичного мислення (ставити запитання, висувати припущення, моделювати процес чи явище, лаконічно висловлювати та арґументувати власну думку, критично оцінювати інформацію, порівнювати та класифікувати, установлювати причинно-наслідкові зв’язки, узагальнювати та робити висновки, оцінювати результати діяльності, а також здійснювати рефлексію).
PHYSICAL AND SPORTS ACTIVITIES AS A NECESSARY CONDITION FOR THE HARMONIOUS DEVELOPMENT OF YOUTH STUDENTS
Authors: Lukianchenko Svitlana , Vasiutiak Oleksandr
Published: January 2023

The article analyses the current issues of the introduction of sports and recreation activities and the use of health technologies in the student's educational process. The main principles of the formation of a student’s healthy lifestyle are characterized, as well as advice on the implementation of the principles of a healthy lifestyle in the student's daily life of professional pre-tertiary education. The role of a Physical Education teacher is considered not only as a specialist with knowledge, skills, and abilities in the professional field but to a greater extent as a specialist in promoting a healthy lifestyle, a valeological attitude to one’s health, as a person who increases the motivation of the younger generation for physical activities, engages young people in various sports. The use of sports and recreation measures and the use of health technologies in the student educational process which will contribute to an increase in interest in active independent physical culture activities due to a better mastery of theoretical material, an increase in mental and physical capacity for work, physical training, improvement of well-being, activity, mood, positive correction of the functional state are substantiated.
Pengaruh Marketing Mix Terhadap Citra Perusahaan Pada Koperasi Simpan Pinjam dan Pembiyayaan Syariah Khairu Ummah (KSPPS) Kantor Pusat Leuwiliang–Bogor
Authors: Aden Wijaya
Published: January 2023

Citra perusahaan merupakan Komponen verbal dan visual dari bisnis memiliki efek yang diinginkan dan tidak diharapkan pada penonton sebagai akibat dari berbagai keadaan eksternal. Permasalahan yang melatarbelakangi dari penelitian ini adalah adanya koperasi tidak terbuka dan kurangnya melakukan pendekatan terhadap masyrakat terutama dengan pegusaha-pengusaha muslim, dari segi iklanpun koperasi tidak memanfaat posisi yang strategis sesuai pendapat diatas yang dilakukan di tempat-tempat yang sejalan dengan visi-misi dari koperasi syriah, kemudian koperasi kurang menonjolkan kelebihan sebagai lembaga non keuangan yang memegang prinsip jauh dengan riba sehingga citra dari perusahaan tersebut dianggap sama dengan koperasi umumnya yang ada di sekitar daerah tersebut.
PENERAPAN METODE STATEFUL MULTILAYER INSPECTION UNTUK KEAMANAN JARINGAN PADA SMK N 1 KOTA BENGKULU
Authors: Sefriansyah Sefriansyah , Khairil Khairil , Sapri Sapri
Published: January 2023

Sekolah Menengah Kejuruan (SMK) Negeri 1 Kota Bengkulu dulu dikenal dengan SMEA Negeri Bengkulu. Didirikan pada tahun 1969 di Jalan Soekarno Hatta Kelurahan Anggut Atas  Kota Bengkulu. Status Penegerian sekolah oleh pemerintah nomor 201/DKK/8?1969 tanggal 26 Desember 1969. Seiring perkembangan sekolah dan sempitnya lahan, maka awal 1970 dilakukan pemindahan lokasi ke Sawah Lebar Kota Bengkulu yaitu Jalan Jati No. 41 Sawah Lebar Kota Bengkulu. Perkembangan terbaru penyelenggaraan Sekolah Menengah Kejuruan (SMK) Negeri 1 Kota Bengkulu adalah ditunjuknya SMKN 1 Kota Bengkulu sebagai SMK Kluster penerapan kurikulum 2013 dan SMK rujukan di Provinsi Bengkulu. SMKN 1 Kota Bengkulu juga telah memiliki LSP 1 dengan lisensi untuk semua Kompetensi Keahlian dan memiliki TUK (Tempat Uji Kopetensi) di Kopetensi Keahlian Akutansi dan Keuangan Lembaga (AKL), Otomatisasi dan Tata Kelola Perkantoran (OTKP), Bisnis Daring dan Pemasaran (BPD), Usaha Perjalanan Wisata (UPW), Multimedia (MM), Teknik Komputer dan factory dengan program Technopark dan memiliki Alfamart Class sebagai laboratorium ritail dalam meningkatkan jiwa kewirausahaan sebagai usaha meningkatkan kopetensi lulusan yang dapat bekerja, melanjutkan pendidikan dan berwirausaha (BMW).Saat ini jaringan komputer pada SMK N 1 Kota Bengkulu sering mengalami gangguan seperti trafik data yang turun naik, penyebaran virus pada jaringan sehingga menyebabkan proses belajar mengajar terganggu karena ada beberapa buah komputer yang terhubung menjadi lambat.Linux merupakan distro berbasis open source dengan banyak fitur, salah satunya adalah router dan firewall. Dalam penelitian ini, penulis menganalisis kelemahan dan kekurangan metode firewall sebelumnya dan menerapkan metode baru dengan menggunakan metode Stateful Multilayer Inspection pada server dengan sistem operasi Linux Ubuntu.