bluuebunny/crossref_metadata_2025 huggingface dataset:
ROLE OF MDCT IN PERIPHERAL ARTERIAL DISEASE OF LOWER EXTREMITIES : SEGMENTAL EVALUATION AND ASSOCIATION WITH RISK FACTORS AND CLINICAL SYMPTOMS
Authors: Pimoli Kalpana , Yadav Eshita , R. Verma Sameer , Soni Raghav
Published: June 2023

Introduction: Peripheral arterial disease causes narrowing or luminal occlusion of the the peripheral arteries, leading to problems that might range from moderate impairments to limb amputation. In the setting of acute care, computed tomographic angiography (CTA) provides precise methods for identifying and classifying the severity of vascular disease. This study was done to evaluate the arterial segments affected by peripheral vascular disease and the frequency of segments involved and to assess the association of risk factors and clinical ndings with the radiological presentation. Material and methods: A total of 42 patients with peripheral vascular disease were included in our study. After taking an informed consent a brief history was taken regarding symptomatology, risk factors and duration of disease. Patients were studied by using Computed tomographic angiography to interpret lower limb arterial system. Results: In this study17.6 % of total arterial segments had signicant (>75%), and almost 40 % of all the arterial segments had complete occlusion. Almost 95.2% segments showed presence of collateral channels. Out of the patients who had signicant stenosis, 22 (55%) patients had history of smoking, 12(30%) patients had diabetes mellitus and 7(17.5%) patients had history of hypertension. 26 (65%) patients had of blackish discoloration, out of which 16 (61.5%) patients had wet gangrene and 10(38.4%) patients had dry gangrene. Conclusion: MDCT is a non invasive modality for Lower Limb Arterial Disease Evaluation with good agreement between clinical and CT angiography ndings
SYSTEMATIC ANALYSIS OF THE ASSOCIATION BETWEEN HYPOTHYROIDISM AND DEPRESSION: A META-ANALYSIS OF OBSERVATIONAL STUDIES
Authors: Kashyap Ankita , Nand Sharma Krishna
Published: June 2023

The association among depression and subclinical hypothyroidism (SCH) is far from being obviously true, regardless of the way that changes in the hypothalamic-pituitary-thyroid hub are connected with depression. There is right now a deciency of data on how levothyroxine treatment inuences burdensome side effects in individuals with existing together SCH. To evaluate the connection among SCH and depression, we played out a metaexamination that saw three variables: 1) the pervasiveness of depression in SCH (with a sub-investigation of the geriatric partner), 2) the degree of thyroid invigorating chemical (TSH) among discouraged patients, and 3) the effect of levothyroxine treatment among patients with SCH and coinciding depression. There is an expanded possibility securing mind-set issues over the span of one's life among individuals with various immune system sicknesses, including immune system hypothyroidism (AHT).
THE ROLE OF NASAL ENDOSCOPY IN PATIENTS OF MUCORMYCOSIS
Authors: Gupta Shivanshu , Gupta Yamini , Verma Jagram , Kujur Ankita , Valecha Krishna , Kaushik Rakhi , Kumar Mahawar Deepak , Vachhani Roli
Published: June 2023

Objective: The Rhino-orbital- cerebral infection is the most typical presentation of mucormycosis where there is an invasion of the fungal infection from paranasal sinuses to orbit and brain (6,11).Extension of the disease leads to vascular thrombosis, including the cavernous sinus and other cerebral vessels due to fibrin reaction and Mucor thrombus formation. Nasal Endoscopy aids in the early detection and management of the disease (8). This study aims to study the signs and symptoms of patients with mucormycosis and the role of nasal endoscopy in early diagnosis. Subjects And Methods: A Prospective study was conducted on 150 patients of age 20-90 years attending ENT OPD and admitted under the Department of otorhinolaryngology at a tertiary care center in Central India. Subjects with or without Covid 19 infection, comorbidities like diabetes and hypertension and patients on steroids were selected for nasal endoscopy. Patients with benign or malignant lesions of nasal cavity and post operative cases of FESS for mucor were excluded. Results: In out study, majority patients were from the 5th decade followed by the 6th. In the classification system designed on the basis of endoscopy findings, majority were in Group B(42%) followed by Group C (28.7%). Maxillary sinus was found to be the most common sinuses involved as seen in the MRI of 110 patients. Out of 150 patients, debridement was done in 74 patients. In our study, we have concluded that diagnostic nasal endosco Conclusion: py aids in early diagnosis and management of mucormycosis. The grading system makes the management of the large number of patients easier. Appropriate time, treatment and resources can be given to the required patients. All patients after this management protocol stood well and were successfully discharged with only 8% mortality rate.
AWARENESS OF DIGITAL LIBRARIES IN SIVAGANGAI TOWN, SIVAGANGAI DISTRICT, TAMIL NADU: A STUDY
Authors: Muthurasu C. , Suganthi M.
Published: June 2023

A Digital library, also called an online library, an internet library, a digital repository, a library without walls, or a digital collection is an online database of digital objects that can include text, still images, audio, video, digital documents, or other digital media formats or a library accessible through the internet. Objects can consist of digitized content like print or photographs, as well as originally produced digital content like word processor files or social media posts. Research and practice in digital Libraries (DL) has exploded worldwide in the 1990s. Substantial research findings have become available, libraries are actively involved in Digital Libraries projects and conference, journals and online news lists proliferate. In general, researchers view digital libraries as content collected on behalf of user communities, while practicing librarians view digital libraries as institutions or services. Future trends point toward the need for extensive research in digital libraries and for the transformation of libraries as institutions. This study is to analyze the awareness on Digital Libraries among the users in Sivagangai Town, Sivagangai District, Tamil Nadu
A PROSPECTIVE OBSERVATIONAL COMPARATIVE STUDY FOR POST OPERATIVE
RESULTS IN ENDOSCOPIC TYMPANOPLASTY V/S MICROSCOPIC TYMPANOPLASTY
Authors: Godha Surbhi , Gupta Yamini , Verma Jagram , Kaushik Rakhi , Surage Sanju , Gupta Shivanshu , Jain Anchal , Prajapati Indraprakash
Published: June 2023

Objective: Chronic suppurative otitis media is a widespread disease in developing countries. Hence treating CSOM with surgical treatment by tympanoplasty is the commonest procedure in ENT practice. In this study we aim to study the advantages and disadvantages of microscopic and endoscopic tympanoplasty. This study also aims to compare the merits and demerits of microscopic and endoscopic tympanoplasty. A Prospective Subjects And Methods: observational study for endoscopic tympanoplasty and microscopic tympanoplasty was conducted on 102 patients of age 20-60 years attending OPD and admissions under the Department of otorhinolaryngology and M.Y.H Hospital, Indore. Subjects with dry central perforation due to CSOM were selected for microscopic tympanoplasty. Similar subjects were selected for Endoscopic tympanoplasty except those with tortuous anatomy of external ear canal. Patients with unsafe CSOM, SNHL, and active infection were excluded. In our study majority (44%) of patients Results: belonged to age group of 25-35 years. Most of the patients were having medium central perforation ( MCP) (32%) followed by subtotal perforation (22.5%). Small central perforation (SCO) 19%, Large central perforation (LCP) 18%, Total perforation 10% respectively. According to quadrant involving perforation which is mainly AIQ, followed by Anterior superior quadrant ( ASQ), Posterior inferior quadrant (PIQ) and posterior superior quadrant (PSQ). Mean operative time for Endoscopic tympanoplasty procedure was 56+/-15 mins with SD of 12.05 and for microscopic tympanoplasty procedure was 117.8+/- 20 mins with SD of 7.17 having a p value (0.0003) which was found to be significant. Conclusion: In our study, we have concluded that endoscopic tympanoplasty scores over microscopic tympanoplasty. Endoscopic tympanoplasty has helped patients achieve faster recovery, a shorter hospital stay, and a lower financial burden, which was especially helpful for developing countries like ours. Unlike the microscope, the endoscope is easily transportable and hence is ideal for use in remote places to conduct ear surgery camps.
THE PATTERN OF CUT THROAT INJURIES, EARLY MANAGEMENT AND OUTCOME-A
PROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL
Authors: Sharma Kalpana , Roy Uma , Sridharan Sruthy
Published: June 2023

Objective: To analyze pattern, sex and age ratio, common causes, the most common site and extent of the injury in the patients with cut throat injury at our hospital. To compare the same with previous similar studies conducted at other centers in different parts of the world. Also to note the early management and outcome in our study. Department Setting: of ENT and Head and Neck Surgery, Gauhati Medical college and Hospital, Guwahati, from January 2022 to January 2023. Methods: A total of 60 cases of cut throat injury were included in our study. Proforma was prepared to collect data. Results: 60 cases of cut throat injury patients were included in the study. Out of 60 cases 51 were males and 9 were females. Simple primary wound closure was done in 58 cases and 2 required secondary wound repair. In 20 patients, tracheostomy with primary repair was done. 32 patients needed psychiatric consultation. In our study, Conclusion: majority were males between 20 years to 40 years from lower middle socioeconomic status. Early and improved management will reduce the mortality and morbidity
DETECTION OF HAEMOGLOBIN VARIANTS USING HIGH PERFORMANCE LIQUID
CHROMATOGRAPHY IN A TERTIARY CARE HOSPITAL OF NORTHEAST INDIA.
Authors: Baruah Amlan , Sonowal Basanta , Das Sarat
Published: June 2023

Background: The most prevalent single gene disorders in India are hereditary haemoglobin (Hb) abnormalities. Because North East India lacks information on the pattern of hemoglobinopathies and thalassemias, it was thought beneficial to research these conditions using a series of patients sent to a clinical diagnostic laboratory. To study Aimthe spectrum of different haemoglobin variants in patients with Anaemia The study is carried out for Methods: a period of one year from July 2021 to June 2022. A total number of 90 cases of anemia were studied during this period. HPLC was done using BIORAD D-10 machine and the data were analysed. Of the 90 cases, 23 was diagnosed as HbE Results: Trait, 5 as HbE Disease, 8 as β- Thalassaemia Trait, 2 as Sickle Cell Trait, 1 each as HbE- β- Thalassaemia Trait and HbD Punjab, 33 as Iron Deficiency Anaemia and 17 as Anaemia of chronic disease. There is a female preponderance of the haemoglobin variants
FINANCIAL ANALYSIS OF TCS
Authors: S. Chandni P. , T Veslyn
Published: June 2023

This financial analysis of TCS provides an overview of the company's financial performance and position over the past few years. TCS is a leading Indian multinational information technology services and consulting company. The analysis covers key financial ratios, such as liquidity, and solvency ratios. The analysis highlights TCS's strong financial performance, with consistent revenue growth, healthy profitability, strong liquidity, and a stable capital structure. Overall, the analysis suggests that TCS is well-positioned to sustain its growth and profitability in the long term.
FRENECTOMY: BREAKING THE BARRIER
Authors: Singh Sakshi , A. Sinha Ashish , Agarwal Somy , Biswas Priyanka
Published: June 2023

One of the causes of midline diastema is an abnormal labial frenulum. This case report showcases the successful and
efficient surgical management of an aberrant maxillary labial frenulum in a 17-year-old patient. The follow-up evaluation
revealed optimal healing. The midline diastema was further closed using fixed appliance. The patient showed successful
closure of the midline diastema within a time period of four months
SERUM NT-PROBNP AND CRP AS A PROGNOSTIC MARKER IN ACUTE CORONARY SYNDROME IN A TERTIARY CARE HOSPITAL
Authors: Firdaus Zakia , Bhattacharjee Prithwiraj , Purkayastha Arnab
Published: June 2023

Background: Coronary artery disease (CAD) continues to be a leading cause of morbidity and mortality worldwide.
Although NT-proBNP is the preferred biomarker for heart failure (HF), several studies have suggested that NT-proBNP is
also a risk marker for major adverse cardiovascular events (MACE) in the general population and in CAD patients.
Numerous studies have shown that CRP has independent prognostic relevance for the risk of cardiovascular events in
patients with CAD as well as in the apparently healthy population. This study evaluates the prognostic value of CRP and
NT-ProBNP in predicting cardiovascular outcomes in patients presenting with acute coronary syndromes. Methods:
This single-centered hospital-based observational study was conducted at the Department of General Medicine and
Dept of Cardiology, SMCH from 1st January 2022 to 31st June 2022 for a period of 6 months. We evaluated the prognostic
value of NT-proBNP and CRP for adverse outcomes in patients with acute coronary syndromes (ACS). 10 Results: 0
patients were included in the study, out of whom 42(42%) patients were having STEMI (28 male and & 14 female),
48(48%) patients had NSTEMI (36 male, 12 female), and 10(10%) patients had Unstable angina (6 male and 4 female). The
elevated levels of NT-proBNP and CRP levels were correlated and found to provide important information for risk
stratification across the entire spectrum of ACS. NT proBNP and CRP are more commonly elevated in S Conclusion: TEMI
than NSTEMI or Unstable Angina. NT proBNP and CRP are reliable prognostic biomarkers in ACS
Compare and Contrast LiDAR and Non-LiDAR Technology in an Autonomous Vehicle: Developing a Safety Framework
Authors: Quito Benjamin
Published: June 2023

Abstract

Safety has always been paramount in every vehicle we drive, and for years a driver has been synonymous with driving. However, with the advent of technology, we are now on the verge of having an Autonomous Vehicle wherein the control of the vehicle is gradually transferred to Artificial Intelligence. There is public clamour regarding the safety of such vehicles. Regarding safety, a human driver relies heavily on what the driver can see. Some factors that make driving safe are seeing the surroundings, controlling the vehicle, being able to react, and perceiving what will happen. With Autonomous Vehicles, these factors did not change. These vehicles rely on what they see using two technologies; LiDAR and Non-LiDAR. This study developed an Image Processing Model that takes input from the two technologies using Supervised Learning to make the Autonomous Vehicle see and be aware of its surroundings. The study also developed a Safety Framework measuring the ability of the two technologies to gather images fed into the Image Processing Model for comparing and contrasting. The study also proposed Experimental Research to create a baseline on the safety of an Autonomous Vehicle compared with a human driver in a controlled environment. The result of the proposed research can be a basis for trusting the Autonomous Vehicle if it performs at par with the performance of a human driver in the simulation developed in this study. 
DIFFICULTIES IN DATA TRANSMISSION AND NETWORKING
Authors: Manap Waiz
Published: June 2023

This document explores the difficultiies faced in data communication networks and  provides effective solutions to address them. It covers issues such as network security, bandwith limitations and scalability. The document also offers practical insights for the solutions to ensure reliable and efficient data communication in a rapidly evolving digital world.  
Intrinsic Omnidirectional Image Decomposition with Illumination Pre-Extraction
Authors: Xu RongKai , Zhang Lei , Zhang Fanglue
Published: June 2023

Capturing an omnidirectional image with a 360- degree field of view entails capturing intricate spatial and lighting details of the scene. Consequently, existing intrinsic image decomposition methods face significant challenges when attempting to separate reflectance and shading components from a low dynamic range (LDR) omnidirectional images. To address this, our paper introduces a novel method specifically designed for the intrinsic decomposition of omnidirectional images. Leveraging the unique characteristics of the 360-degree scene representation, we employ a pre-extraction technique to isolate specific illumination information. Subsequently, we establish new constraints based on these extracted details and the inherent characteristics of omnidirectional images. These constraints limit the illumination intensity range and incorporate spherical-based illumination variation. By formulating and solving an objective function that accounts for these constraints, our method achieves a more accurate separation of reflectance and shading components. Comprehensive qualitative and quantitative evaluations demonstrate the superiority of our proposed method over stateof-the-art intrinsic decomposition methods. 
Optical Performance of Commercial Liquid Lens Assemblies in Microgravity
Authors: Kacker Shreeyam , Cahoy Kerri
Published: June 2023

Liquid lenses have been utilized in various applications due to their low size, weight, power, and cost. They have potential for use in space applications such as focus compensation, optical communications, and imaging systems. However, liquid lenses have not yet been evaluated for us in space environment. This work focuses on characterizing operational differences of commercially available liquid lenses from Corning Varioptic and Optotune between Earth gravity, microgravity, and hypergravity environments. Results show a linear drift in tip/tilt of 0.79 mrad and 4.13 mrad going from 1 g to 0 g for the Corning Varioptic A-39N0 lens and Optotune EL-16-40-TC-VIS lenses respectively, with lower optical aberrations in microgravity. This work is part of a wider space environment study showing that Corning Varioptic and Optotune's commercial liquid lenses withstand thermal vacuum, typical low Earth orbit ionizing radiation exposure, and effectively handle high-intensity laser power in a vacuum without significant damage.
E/E Designer: a Framework to Design and Synthesize Vehicle E/E Architecture
Authors: Askaripoor Hadi , Mueller Thilo , Knoll Alois
Published: June 2023

Over the last few years, the electrical and/or electronic (E/E) architecture of vehicles has significantly developed. The new generation of road vehicles demands considerable computational power due to many safety-critical applications and advanced driver assistance systems (ADAS) functionalities. 

 A centralized architecture with the adoption of a high-performance computing unit establishes a proper way in empowering vehicles to process the demanding applications. 

 In addition, high-bandwidth protocols are required due to the significant number of sensors and actuators. Moreover, deterministic and redundancy protocols are necessary to integrate safety and real-time critical applications called as mixed-criticality systems. However, configuring and integrating essential applications into a vehicle's E/E architecture while meeting safety requirements, guaranteeing reliable communication, and considering optimization objectives are time-consuming, complex, and error-prone tasks.

This paper presents a novel model-based framework, called E/E Designer, to facilitate the synthesis of a car's E/E architecture supporting automotive embedded systems modeling. This framework includes an automatic mapping process of software components to hardware elements that satisfies safety requirements, such as application thread scheduling. It creates network message routing and communication task scheduling for the car's topology, meeting safety demands such as redundancy. The framework also optimizes the system model using multi-objective optimization, and utilizes a single-step approach to solve mixed-integer programming (MIP) constraints in order to reduce the solving time and consider the relations among various constraints. In the final step, we use an experimental setup to investigate the framework's performance through design-time and run-time evaluations. The results of our design-time experiments indicate that our formulations can scale to systems of reasonable size.
Terahertz Communications and Sensing for 6G and Beyond: A Comprehensive View
Authors: Jiang Wei , Zhang Qiuheng , He Jiguang , Habibi Mohammad Asif , Melnyk Sergiy , El-Absi Mohammed , Han Bin , Renzo Marco Di , Schotten Hans Dieter , LUO Fa-Long , El-Bawab Tarek S. , Juntti Markku , Debbah Merouane , Leung Victor C M
Published: June 2023

The next-generation wireless technologies, commonly referred to as the 6G, are envisioned to support extreme communications capacity and in particular disruption in the network sensing capabilities. The THz band is one potential enabler for those due to the enormous unused frequency bands and the high spatial resolution enabled by both short wavelengths and bandwidths. Different from earlier surveys, this paper presents a comprehensive treatment and technology survey on THz communications and sensing in terms of the advantages, applications, propagation characterization, channel modeling, measurement campaigns, antennas, transceiver devices, beamforming, networking, the integration of communications and sensing, and experimental testbeds. Starting from the motivation and use cases, we survey the development and historical perspective of THz communications and sensing with the anticipated 6G requirements. We explore the radio propagation, channel modeling, and measurements for THz band. The transceiver requirements, architectures, technological challenges, and approaches together with means to compensate for the high propagation losses by appropriate antenna and beamforming solutions. We survey also several system technologies required by or beneficial for THz systems. The synergistic design of sensing and communications is explored with depth. Practical trials, demonstrations, and experiments are also summarized. The paper gives a holistic view of the current state of the art and highlights the issues and challenges that are open for further research towards 6G. 
A Survey on Facial Expression Recognition: Modality, Methodologies, Challenges and Emerging Topics
Authors: Shahid Ali Raza
Published: June 2023

review on facial expression recognition problem 
VALIDAÇÃO DE CONTEÚDO DE UMA TECNOLOGIA SOBRE CATETER DE INSERÇÃO PERIFÉRICA EM UNIDADES NEONATAIS
Authors: Menezes Dias Nathalia , Lima da Silva Lêda , Silva de Castro Karen , Bentes de Lima Anderson
Published: June 2023

Objetivo: Buscou-se validar uma tecnologia do tipo e-book sobre cateter de inserção periférica para unidades neonatais. Método: Trata-se de uma pesquisa do tipo metodológico, que inferiu como critérios de inclusão enfermeiros neonatologista total de 15 juízes com comprovada experiência prática e científica na área do estudo, com pelo menos 2 anos de atuação profissional e no mínimo de 2 anos em habilitação comprovada por certificado de inserção de catete de inserção periférica, sendo identificados pelo currículo lattes. Os critérios de informações do instrumento foram avaliados por enfermeiros, obtendo um Índice de Validade de Conteúdo mínimo de 90,5% dos conteúdos na primeira rodada de validação. Resultado: Demonstraram que a estratégia metodológica permitiu a construção de conteúdos que representam a necessidade do enfermeiro e demais profissionais na manipulação do cateter. Conclusão: A utilização de tecnologias educacionais facilita o processo de aquisição de conhecimento técnico científica para melhoria assistencial na segurança ao recém-nascido.
DIFICULDADES DOS ENFERMEIROS NO CUIDAR ESPIRITUAL DA PESSOA EM SITUAÇÃO PALIATIVA: UMA SCOPING REVIEW
Authors: Santos Sofia , Feiteira Bruno , Marques Albertina
Published: June 2023

Objetivo: Mapear a evidência científica relativa às dificuldades dos enfermeiros no cuidar espiritual da pessoa em situação paliativa. Método: Estudo do tipo Scoping Review, com base nas recomendações PRISMA-ScR e do protocolo definido pelo Joanna Briggs Institute. Pesquisa em 4 bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), National Library of Medicine (PUBMED), Cummulative Index to Nursing and Allied Heath Literature (CINAHL) e Web of Science e considerados estudos dos últimos 5 anos. Resultado: Amostra final de 10 estudos. Foram identificadas várias dificuldades dos enfermeiros no cuidar espiritual da pessoa em situação paliativa, dos quais destacamos: falta de formação; falta de tempo; falta de reconhecimento; falta de confiança; evitamento; referenciação tardia; espiritualidade dos enfermeiros pouco desenvolvida; crenças diferentes. Conclusão: Foram identificadas múltiplas dificuldades sentidas pelos enfermeiros no cuidar espiritual, as quais passam quer por défices na formação, quer por défices organizacionais, quer por défices pessoais. Descritores: Cuidados Paliativos; Cuidados de fim de vida; Enfermagem; Espiritualidade; Cuidado Espiritual.
Implicações da pandemia de COVID-19 no acesso aos serviços de saúde
Authors: Pereira Machado Juliana , Gomes Musa dos Santos Isabela , Pereira da Costa Barbara Caroliny , Rocha Siqueira Sudré Mayara , Veludo Veiga Eugenia
Published: June 2023

Objetivo:analisar as implicações da pandemia deCOVID-19 no acesso aos serviços de saúde. Métodos:web survey entre junho e julho de 2020de com 798 usuários dos serviços de saúde, com 18 anos ou mais, selecionados em bola de neve. Dados foram coletados com questionário eletrônico enviado em redes sociaisou e-mail.Resultados:Das355consultas e 270exames agendados, um terço não ocorreu devido cancelamento pelo serviço ou desistência do paciente.Mesmo com sintomas importantes, a maioria não procurou atendimentopor medo de contrair COVID-19.A telemedicina mostrou-se facilitador importante para os participantes. Conclusão:necessário que populaçãotenha dispositivos com acesso à internet para que a telemedicina se torne recurso viável de atendimento eletivo, associado a estratégias de diferenciação de fluxos entre serviços de saúde para garantir a manutenção do acompanhamento e controle de condições crônicas, sobretudo àqueles com limitações no uso de tecnologias de acesso remoto.
PREVENÇÃO DE LESÃO POR PRESSÃO EM PACIENTES IMUNOSSUPRIMIDOS: PRATICA DE ASSISTENCIA HUMANIZADA DE ENFERMAGEM
Authors: Azevedo Arimatéia Portela de , de Oliveira Pereira Juliana Ferreira , Nascimento de Mesquita Greiciane , Rodrigues da Conceição Emilly , Faria Suzete Gomes , Lima Neves Madlene de Oliveira , Amed Flora Battanoli , Rocha Andreza Dutra , Saraiva Paula Brenda da Silva , Silva Luciene Albuquerque da
Published: June 2023

Introdução: A imunossupressão pode ser um risco para o aparecimento de lesões por pressão pois o iminente emagrecimento desses pacientes deixa bem evidentes as proeminências ósseas facilitando a constante pressão nestes locais. Objetivo: Descrever as condutas assistenciais e preventivas de enfermagem frente a pacientes com doenças infectocontagiosas e parasitarias portadores de lesões por pressão. Metodologia: Trata-se de uma pesquisa retrospectiva de caráter descritivo com abordagem quantitativa onde as variáveis utilizadas foram obtidas a partir de informações secundarias existentes no banco de dados da comissão de curativos de um hospital referência em infectologia. Resultados: Foram analisados registros de 25 pacientes com lesões por pressão, destes, 96% eram de pacientes acamados e a maioria apresentavam lesões por pressão infectadas. Quanto ao perfil epidemiológico, observou-se que o gênero masculino foi o mais acometido (84%), tendo como patologia de base aquela causada pelo Vírus da Imunodeficiência Humana (92%). Das condições socioeconômicas observou-se que 48% deles não tinham nenhuma renda. Quanto aos aspectos nutricionais 76% eram emagrecidos e com baixo peso. Quanto à classificação das lesões 42,9% eram estágio três. As condutas terapêuticas de enfermagem mais evidentes nos registros foram: a limpeza dos ferimentos com soros fisiológicos a 0,9% e glicosado a 0,5% mornos (para limpar, hidratar e facilitar o crescimento de células neófitas), também o emprego de debridantes autolíticos. Quanto as ações para profilaxia, a utilização das determinações existentes nas variáveis da escala de Braden foram as mais utilizadas. Conclusão: Ainda há a necessidade de sensibilização do corpo de enfermagem quanto ao compromisso em aplicar todas as determinações já existentes nas normativas do Ministério da Saúde-MS para benefícios destes pacientes acamados no que diz respeito a prevenção de lesões preveníveis, principalmente os que tem perda de tecido adiposo em grandes proporções em virtude da imunossupressão.
Uji Aktivitas Antibakteri Ekstrak Metanol Bunga Tapak Dara (Catharanthus roseus) Terhadap Bakteri Streptococcus pneumoniae dan Bakteri Klebsiella pneumoniae
Authors: Khairani Tetty Noverita , Fitri Khairani , Novilla Loura , Shufyani Fahma , Fiska Liza
Published: June 2023

Pendahuluan: Pneumonia adalah infeksi akut yang mengenai jaringan paru-paru (alveoli) yang dapat disebabkan oleh bakteri, virus, dan jamur. Sebagian besar disebabkan oleh bakteri. Adapun gejala berupa panas tinggi disertai batuk berdahak, napas cepat (frekuensi nafas >50 kali/menit), sesak, serta gejala lainnya (sakit kepala, gelisah dan nafsu makan berkurang). Tujuan: untuk mengetahui aktivitas anti bakteri dan konsentrasi yang paling baik dari ekstrak metanol bunga tapak dara terhadap bakteri Streptococcus pneumonia dan Klebsiella pneumoniae. Metode: pada penelitian ini menggunakan desain penelitian eksperimental, yaitu kegiatan percobaan yang bertujuan untuk mengetahui variable bebas, variabel terikat dan juga parameter dari penelitian. Tahap penelitian meliputi pengambilan sampel, pembuatan simplisia, pembuatan ekstrak, pengujian karateristik simplia dan ekstrak, uji daya hambat ekstrak bunga tapak dara terhadap bakteri patogen (Streptococcus pneumoniae dan Klebsiella pneumoniae) dengan perbandingan antibiotik doksisiklin. Hasil: ekstrak metanol bunga tapak dara memiliki aktivitas antibakteri terhadap bakteri Streptococcus pneumonia dan Klebsiella pneumonia. Dimana uji aktivitas antibakteri ekstrak metanol bunga tapak dara pada bakteri Streptococcus pneumonia menunjukkan rata-rata zona hambat masing konsentrasi yaitu : 10% (12,6 mm), 15% (13,26 mm), 20% (15,26 mm). Dan pada bakteri Klebsiella pneumoniae menunjukkan rata-rata zona hambat masing konsentrasi yaitu 10% (12,86 mm), 15% (13,71 mm), 20% (15,86 mm). Kesimpulan: bahwa ekstrak metanol bunga tapak dara memiliki aktivitas antibakteri dan konsentrasi yang paling baik untuk menghambat bakteri Streptococcus pneumonia dan Klebsiella pneumonia adalah konsentrasi 20%.
Hubungan Sikap Dan Kepatuhan Perawat Dengan Upaya Pencegahan Dan Penanggulangan Kebakaran Di RSU Hidayah
Authors: Salmira Cut Saura , Amalia Nur , Najihah Khoirotun
Published: June 2023

Rumah sakit merupakan suatu industri jasa yang padat karya, padat pakar, padat modal dan padat teknologi sehingga risiko terjadinya Penyakit Akibat Kerja dan Kecelakaan Akibat Kerja. Bahan mudah terbakar, gas medik, radiasi pengion dan bahan kimia merupakan potensi bahaya yang memiliki resiko kecelakaan kerja. Tujuan penelitian ini untuk mengetahui hubungan sikap  dan kepatuhan perawat dengan upaya pencegahan dan penanggulangan kebakaran di RSU Hidayah. Jenis penelitian ini kuantitatif dengan menggunakan pendekatan crossectional. Populasi penelitian ini seluruh perawat sebanyak 32 orang dengan sampel 32 orang yang diambil menggunakan teknik total sampling. Analisis data menggunakan analisis univariat dan bivariat dengan statistik uji chi-square. Hasil penelitian menunjukkan bahwa sikap memiliki nilai p = 0,006 < α = 0,05 dan patuhan memiliki nilai p = 0,000 < α = 0,05. Artinya sikap dan kepatuhan memiliki hubungan dengan upaya pencegahan dan penanggulangan kebakaran. Kesimpulan penelitian ada hubungan sikap dan kepatuhan dengan upaya pencegahan dan penanggulangan kebakaran di RSU Hidayah Kabupaten Deli Serdang. Disarankan pihak rumah sakit memberikan edukasi, pelatihan dan mensosialisasikan keberadaan sarana prasarana pencegahan kebakaran kepada seluruh perawat, agar perawat memiliki pengetahuan yang meningkat dalam melakukan pencegahan dan penanggulangan kebakaran di rumah sakit.
Segmentation of a Brain Tumour using Modified LinkNet Architecture from MRI Images
Authors: Ruba T. , Tamilselvi R. , Parisa Beham M. , Gayathri M.
Published: June 2023

Brain tumour segmentation is one of the most significant tasks in medical image processing. It is believed that early diagnosis of brain tumours is essential for enhancing treatment options and raising patient survival rates. The manual segmentation is dependent on radiotherapist involvement and expertise. MRI scans are often speedy and an excellent diagnostic tool for medical professionals. As a result, in an emergency, doctors advise getting an MRI scan. However, there is a chance for inaccuracy because there is a lot of MRI data. This has made automatic brain tumor segmentation a feasible process. Currently, machine learning methods are in use for segmentation. This research proposes segmentation of brain tumour using modified LinkNet architecture from MRI images.
Models of the electromechanical system of the floating wave power station
Authors:   Darenkov A.B. Malyarov D.A. Plehov A.S. Kryukov E.V.
Published: June 2023

The structure of the electromechanical system (EMS) of a floating wave power plant (FWPP) is developed, which, in addition to generating electricity, protects coastal structures or individual objects on the high seas. The mechanisms of formation of moments on the FWPP shaft are analyzed. Problems are formulated to determine the relationship between the capacity of an electric accumulator and the volume of the water basin of an energy concentrator. Mathematical and simulation models of EMS components are developed. The power ratios of the EMS components and the rated power of the FWPP under the expected operating conditions are determined.

Keywords: model, energy converter, electromechanical system.
kryukov@nntu.ru
Analysis of the technical condition of the gas turbine. Part 1. Data processing of measuring systems
Authors:   Blinov V.L. Deryabin G.A.
Published: June 2023

The problem of processing the initial data of regular measuring systems of gas turbine plants for creation an automated system for assessing the technical condition of the plant under operating conditions is solved. In the future, such a system would allow reducing the part of thermal tests and approaching the system of equipment maintenance according to technical condition. As a result of the study, a mathematical algorithm is proposed that forms sets of measurements of steady-state modes from the initial data, according to which the coefficient of technical state is determined. Using the Python 3 programming language, a software package was created, with the help of which a study of real operational data are carried out and recommendations for engineering practice are developed.
Keywords: gas turbine plant, technical state, measuring system, data processing, testing. v.l.blinov@urfu.ru; deryabingleb.were@gmail.com
Verification of CFD-calculation for local hydraulic resistance
Authors:   Lichadeev I.S. Nikitin A.A.
Published: June 2023

CFD-calculation of local hydraulic resistance, representing a tube with a nominal diameter of 3 mm, the ends of which are connected to collectors, as well as verification of the CFD-calculation according to the reference book of hydraulic resistances by I. E. Idel’chik, are performed. The difference in results was 16.6 %. The results obtained will be useful to developers in optimizing hydraulic machines and equipment in order to achieve their greater energy efficiency.

Keywords: numerical simulation, CFD, hydraulic systems, local resistance, energy efficiency, optimization, modernization.
lis@terus.com, anikitin@sfu-kras.ru
Influence of the chemical composition of the material and the physical and mechanical properties of the coating on the wear resistance of the "shaft — coating — bearing bush" tribological coupling
Authors:   Leontev L.B. Leontev A.L. SHapkin N.P. Makarov V.N. Molokov K.A. Bolotova V.P.
Published: June 2023

The influence of the mechanical properties of a thin-film ceramic-metal coating on the wear rate of the friction surfaces of the "shaft — coating — bearing bush" coupling is studied. It is shown that by changing the chemical composition of the material of tribocoupling elements, it is possible to improve its mechanical and tribological properties in order to increase operational performance.

Keywords: tribological coupling, wear resistance, crankshaft, diesel, bush, bearing, modification, surface. leontyev.l.b@yandex.ru, npshapkin@gmail.com, gfi25leontev@mail.ru, makarov_vasily@mail.ru, spektrum011277@gmail.com, bolotova@msun.ru
Expert methods for the development of innovative technologies for the production of cast tools. Part 2. Choosing a priority technology
Authors:   Serenkov P.S. Rudnitskiy F.I. Voronova T.S. Chaus A.S.
Published: June 2023

The development of an effective technology for casting billets for insert cutters of milling cutters of combine rotors for the extraction of potassium salt is considered, in particular, the strategic stage of the project associated with the selection and justification of the priority technology for producing cast billets. It is shown that methods of expert assessments are effective ways of organizing research at this stage of development.

Keywords: innovative casting technology, research, development, expert assessment method. pavelserenkov@bntu.by, stl_minsk@tut.by, voranava.ts@gmail.com, alexander.chaus@stuba.sk
MONITOR E CONTROLADOR DE TEMPERATURA E UMIDADE PARA RESIDÊNCIAS
Authors: Cavalari Zanela Heitor , De Souza Dias Lavínia , Oliveira Costa Luiz Eduardo , Machado Filho Wilmar
Published: June 2023

O artigo pretende examinar a execução de uma startup envolvendo a interação de uma assistente virtual com equipamentos domésticos que usualmente são empregados de maneira independente no controle da climatização residencial. O trabalho foi elaborado através de pesquisas envolvendo o referencial teórico sobre os efeitos da temperatura e umidade no bem estar no meio residencial, bem como os mecanismos e equipamentos existentes para a manutenção dessa climatização no ambiente, servindo de base comparativa para o desenvolvimento de um sistema automatizado capaz de atuar de forma dinâmica e remota em função da praticidade e comodidade desejada pelo usuário. Variações climáticas ao longo do ano, influência da climatização na saúde do ser humano e desconforto são variáveis que comprovam a demanda por um processo versátil e inteligente na solução destes problemas.
A UTILIZAÇÃO DE ALGORITMOS NO PROCESSO DE APLICAÇÃO DO DIREITO E A FILOSOFIA DA LINGUAGEM
Authors: De Oliveira Barbosa Sandro
Published: June 2023

O presente trabalho tem por objetivo analisar a plausabilidade de utilização das premissas fixadas pela filosofia linguagem como proposição de um modelo capaz de balizar o processo de construção de sentidos referente ao treinamento de sistemas baseados em inteligência artificial generativa – compostos por algoritmos desenvolvidos com a finalidade de auxiliarem a tomada de decisão humana durante a aplicabilidade do Direito. Dessa forma, propomo-nos a analisar o contexto tecnológico que movimenta a linguagem da realidade social para um caminho disruptivo e que ressoa na metalinguagem do Direito, sendo este tido como objeto cultural que comunica aos seus destinatários os regramentos comportamentais imanentes ao convívio social. Para tanto, analisaremos as definições contemporâneas de programas de computadores e algoritmos, abordando logo em seguida, as aplicabilidades empíricas dos algoritmos em relação ao Direito. Analisaremos ainda, como os algoritmos são capazes de instrumentalizarem o processo de tomada de decisão humana durante a aplicabilidade do Direito. Abordaremos a problemática referente aos vieses de resultados que podem ocasionar o não tratamento da vaguidade e dualidade durante o processo de treinamento de um algoritmo. Adotou-se nessa pesquisa o método analítico-hermenêutico que se desenvolveu no sentido demonstrarmos que a filosofia da linguagem resulta numa proposta plausível a fim de melhorar a precisão discurso durante processo de construção de sentidos realizados por algoritmos inseridos como instrumentos na aplicação do Direito.
ПРОБЛЕМНЫЕ ВОПРОСЫ СООТНОШЕНИЯ ПРИЗНАКОВ НАКАЗАНИЯ СО ШТРАФОМ ПРИ ЕГО НАЗНАЧЕНИИ И ИСПОЛНЕНИИ НЕСОВЕРШЕННОЛЕТНИМ
Authors: Айсханова Е.С. , Дударов Д.М.
Published: June 2023

На современном этапе государственно-правового строительства категория «наказание» вызывает различные дискуссии в науке уголовного права среди ученых-правоведов. Названная категория волновала передовых людей на определенных этапах человеческого развития. Так, в историческом понимании наказание можно рассматривать как механизм обеспечения защищенности наиболее важных видов общественных отношений. С развитием человеческой цивилизации появляются новые виды общественных отношений, различные правовые аспекты, которые усложняют правовую сущность наказания. На нынешнем этапе общественного развития наказание представляет собой один из нескольких элементов государственно-правового реагирования на совершенное преступное деяние. И особо актуальными являются коллизионно-правовые проблемы применения наказания в отношении несовершеннолетних. В рассматриваемой статье исследуются коллизионные вопросы соотношения признаков наказания со штрафом при его назначении и исполнении несовершеннолетним. В ходе исследования была проведена работа по изучению действующего уголовного законодательства РФ. По итогам изучения приходим к выводу о том, что ст. 88 УК РФ необходимо дополнить либо примечанием, в котором необходимо предусмотреть порядок взыскания штрафа с законного представителя несовершеннолетнего и правовые последствия уклонения от данного вида наказания, либо исключить возможность взыскания штрафа с данных представителей.
ПЕДАГОГИЧЕСКАЯ ПОДДЕРЖКА АДАПТАЦИИ: ПОДХОДЫ К ОПРЕДЕЛЕНИЮ И КОНТЕКСТ ИЗУЧЕНИЯ
Authors: Эхаева Р.М.
Published: June 2023

В данной статье мы привели обобщение теоретических положений о сущности и условиях педагогической поддержки адаптационного периода учащихся начальных классов в образовательной среде. Психологическая адаптация может рассматриваться как налаживание эффективных связей между окружающим миром и личностью в результате личностной деятельности. Также рассмотрели педагогические условия, необходимые для адаптации и полноценного обучения обучающихся в школе: первое условие эффективной адаптации учащихся в образовательном пространстве заключается в необходимости введения знаний о новых условиях жизнедеятельности; второе условие – теоретическое обоснование педагогических условий эффективной адаптации школьников в образовательно-развивающем пространстве находится в тесной связи с подходами к установлению сути игры, являющейся одним из главных видов деятельности школьника. Под адаптацией подразумевается не только умение приспосабливаться к условиям внешней среды, но и умение создавать условия для последующего развития и совершенствования.
Изучив и проанализировав психолого-педагогические и философские источники, мы конкретизировали значение терминов «адаптация учащихся начальных классов», «педагогическая поддержка» и «педагогические условия эффективной адаптации учащихся начальных классов».
Также, проанализировав научную литературу, мы заключили, что адаптация – это сложная система мероприятий, нацеленных на то, чтобы дети овладевали новыми формами деятельности, правилами поведения, нормами общения. В ходе адаптации социальный статус ребенка меняется.
ОБЩИЕ ВОПРОСЫ ДЕЛИКТНОЙ ОТВЕТСТВЕННОСТИ
Authors: Мурадов М.М. , Умарова А.А.
Published: June 2023

В статье рассматриваются основные аспекты деликтных обязательств и деликтной ответственности. Одной из особенностью деликтных обязательств является то, что они очень эффективны при возмещении причиненного вреда и направлены против того, кто причинил вред, который должен возместить вред в полном объеме. В представленной работе пристальное внимание уделено элементам обязательств вследствие причинения вреда, основанию и условиям ответственности, которые по сей день вызывают споры в научной литературе. В современный период деликтные обязательства вследствие причинения вреда не потеряли своей актуальности и активно изучаются российскими цивилистами, которые пристальное внимание уделяют основанию и условиям деликтной ответственности, специальным основаниям ответственности и т.д., а также занимаются изучением пределов деликтной ответственности по поводу расширительного толкования общей нормы деликтной ответственности.
75 Jahre GATT
Authors: Senti Richard
Published: June 2023

Das Allgemeine Zoll- und Handelsabkommen (GATT) trat vor 75 Jahren am 1. Januar 1948 für 9 Staaten in Kraft. Heute zählt das GATT 164 Partner. Ab 1995 ist das GATT Teil der Welthandelsorganisation (WTO). Wie ist das GATT in der Nachkriegszeit entstanden? Wie erfolgreiche war das GATT im Abbau der Zölle und nichttarifären Handelshemmnisse, der Regelung der Subventionen, des Dumpings und der zwischenstaatlichen Streitschlichtung? Der vorliegende Beitrag verfolgt das Ziel, den Spuren des GATT in seinen ersten 75 Jahren nachzugehen, sein Entstehen und seine Weiterentwicklung aufzuzeigen sowie seinen Beitrag zu einer weltweit möglichst offenen und freien Welthandelsordnung abzuschätzen.
Magical Realism in Garcia's "One Hundred Years of Solitude " as a Reflection of the Political Climate
Authors: Jaafar Jihad
Published: June 2023

This research explores the use of magical realism in this novel as a reflection of the political climate. The aims of the study are to analyze how magical realism functions as a narrative technique, to examine its role in depicting the political landscape, and to understand the implications of this literary style on the reader's perception of reality. The methodology employed is primarily qualitative. The novel is analyzed through a literary lens, focusing on the narrative techniques and the elements of magical realism. The discussion section delves into the ways in which magical realism serves as a reflection of the political climate. The analysis reveals that the author utilizes magical elements to metaphorically represent the complex and turbulent political events occurring in Latin America during the time period. The results of the research highlight the profound impact of magical realism in conveying political themes and creating a unique narrative experience. The study demonstrates how magical realism offers a lens through which readers can critically engage with the political climate of the era. In conclusion the author crafts a narrative that not only captures the historical context but also explores the human experience within a tumultuous political landscape.