bluuebunny/crossref_metadata_2025 huggingface dataset:
A Symbolic Taste of the City: Eskișehir Met Halva from Legend to Game
Authors: Koc Adem
Published: April 2023

Th ere are some symbols (images) of cities in which they come to the fore. Th ese symbols can be diverse such as city silhouettes, temples, holy places, museums, festivals, natural areas, food, drinks, and desserts. Urban symbols can be an important soft power and tourism intermediary for the promotion of both the city and the country. Many examples such as Japan’s kimono, Kyoto garden, and sushi; France’s Paris Eiff el Tower; Moldova’s wine cellars; Moscow’s Kremlin Palace in Russia; Istanbul’s Topkapi Palace in Türkiye, beaches, doner kebab and baklava; Tibet’s Buddhist temples can be cited. As can be understood from these examples, a city or a small settlement can sometimes come to the fore even more than the country itself due to its symbol. Countries that benefi t from this can provide a good promotion in terms of tourism. While there are professional works in creating an image of the city, sometimes bad examples can be seen. However, creating the image of the city, strange structures or sculptures can sometimes be used for the promotion of the city. In fact, it is an interesting method which causes a very bad appearance. Even this situation sometimes causes a funny and disgusting image. For example, ill-hewn statues of fruit-vegetable, food, animals, persons or heroes, etc. It is unnecessary but it also causes bad publicity. Instead, applied kitchens, food and beverage presentations, and museums are more remarkable. In this paper, the city image “met halva”, which has come to the fore in the fi eld of gastronomy, with the cultural animations made recently in Sivrihisar district of Eskișehir province of Türkiye will be introduced.
Metaphysics of an Act as a Topic of Implicit Education among Chisinau Jews as Exemplifi ed in a Memoir Analytical Novel by a Native of Chisinau
Authors: Кушнир Жозефина
Published: April 2023

Within the framework of the interdisciplinary noetic system of concepts developed by us, “metaphysics of an act” as a term implies one of Besht’s constant concepts determined by two basic principle maxims: “Nothing is in vain” and “To save everything.” We refer to the spiritual as noetic (following V. Frankl and C. Geertz), but not in the theological sense, but in the anthropological one. Specifi c ways of implicit exemplifi cation and translation of these principle maxims are revealed in the behavioral realities of several generations of a Jewish family from Chisinau as exemplifi ed in Gita Govinda (Song of the Shepherd), a memoir analytical novel by Elena Cușnir. To examine this narrative, the interpretative ethnological noetic model titled Th e Decalogue: Th e Aspect of Upbringing (the Case of an “I-Document” as a Literary Work) was applied. As a result, the forms in which the principle maxims “Nothing is in vain” and “To save everything” can be present in the consciousness and /or the unconsciousness of a modern person are demonstrated; in addition, behavioral realities, due to which they become the object of translation, are revealed. Th e anthropological noetic content of the concept of “ethics”, which corresponds to the ideas by A. Schweitzer, E. Fromm, and V. Frankl, is specifi ed.
“Циганешти князове” and the issue of appearance of Roma people on the lands of Țara Moldovei and Țara Românească
Authors: Романчук Алексей
Published: April 2023

Information about „Циганешти князове” was mentioned in a Moldavian medieval document dated 1414 A.D. Th e most appropriate interpretation of these words is the following: Циганешти is an anthroponym-patronym, which denotates several (at least two) people that descended from a man whose name is Цыган. Next, this name, Цыган comes from the ethnonym tsigan (an old ethnonym for Roma people). Following the typical Romanian medieval toponymical model (an early model) the patronymic Цыганешть later gave birth to the oikonym (name of a village) Цыганешть. According to L. L. Polevoi, the formation of the complete form of Romanian oikonyms with the suffi x –ешть needed about 102 +- 29 years. Th us, we have to date the origin of the village „Циганешти князове” earlier than 1400 A.D. Moreover, it is akso possible that this village appeared even in the times of the Golden Hoard (as some other early Moldavian villages (see researches of L.L. Polevoi and N. D. Russev). We can suppose that early groups of Roma (being merchants and craft smen) came to Balkans in the XIII – early XIV centuries A.D., and entered at the same time the Carpathian-Dniester lands that were owned by the Golden Hoard.
Concepções de deficiência na Educação Superior
Authors: Shimite Amabriane da Silva Oliveira , Silva Nilson Rogério da
Published: April 2023

Esta obra faz com que o leitor tenha a seguinte indagação: “qual(is) o(s) sentido(s) da inclusão de estudantes com deficiência na educação superior?” Pergunta que nos faz pensar: qual é a universidade que queremos? Durante a leitura do livro, o leitor perceberá que os autores, com base nos depoimentos de seus entrevistados, vão buscar o sentido da aceitação da diferença como uma concepção de universidade inclusiva, mas também, a universidade como um processo de formação humana, por meio do diálogo, do olhar atento e da escuta sensível. O livro Concepções de deficiência na educação superior é uma obra instigante, que vai desde o percurso histórico da educação superior no Brasil ao debate sobre o acesso, a permanência e a conclusão de estudantes público da educação especial no ensino superior. Prof. Dr. Douglas Christian Ferrari de Melo
Effect of Capsaicin on Pharmacokinetics and Pharmacodynamics of Nateglinide in normal and diabetic rats
Authors: Raju Kandukoori Naga , Reddy Yellu Narsimha
Published: April 2023

The Cytochrome P-450 (CYP) enzymes present in the human body are responsible for the metabolism of most antidiabetic drugs. These CYP enzymes may metabolize the drugs either to active metabolites or to inactive metabolites. Some phytoconstituents which are present in vegetables, fruits and ayurvedic products will alter the activity of CYP enzymes. In the present research, the alterations in pharmacokinetics and pharmacodynamics of Nateglinide in the presence of a phytochemical like Capsaicin were studied. The study was conducted both in normal and diabetic rats. Rats were divided into different groups. Drug was administered as alone in one group and administered in combination with Capsaicin to other groups. After 8 days of treatment, the blood samples were collected and analysed. The Pharmacokinetic parameters like Cmax, tmax, AUC, MRT, Vd and ClT were estimated for all groups and compared. The mean blood glucose levels before and after treatments were recorded and compared among the groups. From the results, it could be concluded that the Capsaicin has inhibited the activity of CYP 2C9 and CYP 3A4 enzymes, thereby decreased the metabolism of drug which ultimately resulted in the increase of Cmax and AUC. The Capsaicin could raise the antidiabetic effect of drug.
Development and Validation of a Forced Degradation UPLC Method for the Simultaneous Determination of Nebivolol HCl and Valsartan in Bulk and Pharmaceutical Dosage Form
Authors: S. Sangeetha , S. Alexandar , M. V. Kumudhavalli , Kumar M.
Published: April 2023

An excellent method with simple, precise was developed for Nebivolol HCl and Valsartan by using Forced degradation UPLC method. The column used was C-18 BEH _ 1.7µm x 2.1 x 50mm in ambient temperature. Flow rate was 0.8ml/min, wavelength of 278nm, mobile phase used was acetonitrile : Buffer (50:50). Buffer used 0.01 N Disodium hydrogen phosphate with pH 3.5 adjusted by OPA. Run time 4 min. The percentage purity and RT of Nebivolol HCl and Valsartan was found to be 99.72 and 99.30 and 1.193 and 1.827 respectively. The validation parameters was carried out, linearity of Nebivolol HCl was found to be (1μgm/ml to 8μgm/ml) R2= 0.998 and Valsartan was found to be (16μgm/ml to 128.8μgm/ml) R2= 0.999. Intermediate precision, Robustness, LOD LOQ was within the limit as per ICH guidelines. Recovery studies taken place in 80%, 100% and 120. Forced Degradation was carried out in three conditions acidic, basic and peroxide condition, degradation takes at basic and peroxide. As per literature review there is no method developed for Nebivolol HCl and Valsartan in Forced degradation UPLC method. So we made attempt to develop the Nebivolol HCl and Valsartan in UPLC method.
Molecular Identification, Dimorphism and Virulence of C. albicans
Authors: A. Sayed Mohsen , A. Sayed Gihad , Abdullah M. Ali Eman
Published: April 2023

C. albicans causes human diseases, especially in immune-compromised patients. The current study aimed to identify Candida albicans using different techniques. Dimorphism and virulence behaviour were also studied. A Candida albicans strain was firstly identified by biochemical methods using VITEK 2 Compact automated technique and chromogenically using CHROMagar differential media that differentiate between Candida spp. Based on an enzymatic reaction. Molecular identification using ITS primers was also used to confirm Candida albicans identification. Accession number of the identified C. albicans was obtained as OK104215. The enhancement of dimorphism was studied using RPMI 1640 media (Roswell Park Memorial Institute Medium), while monitoring growth at different time intervals under microscope to investigate dimorphic changes. C. albicans showed its optimum dimorphism after 36-66 hours at 37◦C. HPLC analysis for the enzyme product S-adenosylmethionine (SAM) was carried out at different time intervals. By increasing time, SAM production increased until optimum production reached after 72h of incubation on RPMI 1640. After that the production of SAM began to decrease.
Synthesis, Molecular Docking and Characterization of Pyrazole N-Mannich Base Derivatives as Antimicrobial Agents
Authors: K N Arathi , T J Sindhu , M V Vishnu , M A Basith , S V Anitha , Roy Annlisa , T Arundhathi , George Ashly , S Asish
Published: April 2023

In this work we aimed to design synthesis and evaluate the N-Mannich bases of pyrazole. A novel series of N-Mannich bases of pyrazole analogues were designed and synthesized with an effort to overcome the increasing antibiotic resistance. Tyrosyl-tRNA synthetase (TyrRS) comprises an N-terminal domain, which has the fold of the class I aminoacyl-tRNA synthetases. Computational Autodock 4.2 tools will be employed in this study for docking of pyrazole ligand molecules against Tyrosyl-tRNA synthetase (TyrRS) of Escherichia coli (PDB code: 1x8x) and Staphylococcus aureus (PDB code: 1jil.pdb). Molinspiration server was used for lead optimization. The ligand molecules were subjected to molecular docking studies with enzyme Tyrosyl-tRNA synthetase. The molecular docking studies are supported to compare in-vitro antibacterial activity by the use of binding energy of the docked ligand molecules. The newly synthesized compounds were characterized by UV, IR and various physico-chemical methods. Further, the antibacterial activity of N-Mannich bases of pyrazole compounds were assessed with zone of inhibition by agar well diffusion method using gram negative bacterial strain Escherichia coli and gram-positive strain staphylococcus aureus. These same compounds were subjected to find the antifungal activity against Aspergillus fumigates and Aspergillus Niger.
The Employee Performance Analysis: The Role of Organizational Culture and Job Satisfaction
Authors: Premesti Ajeng Dwipa , Yuniningsih Yuniningsih
Published: April 2023

All agencies want to get maximum results to achieve company targets and goals. Therefore, many companies must make efforts, one of which is by making improvements to human resources. In the current era of globalization, competition between human resources is increasing and competitive. This study discusses the analysis of employee performance. Analysis of the existence of organizational culture and job satisfaction on employee performance is the purpose of this research. The population in this study were all employees totaling 30 employees. Sampling is carried out on all members of the population that is used as a sample, which is called the saturated sampling technique. The number of 30 respondents who are employees. The data collection methods is questionnaires and observation. The analytical test tool used is SmartPLS 3.3.9 with the Partial Least Square method. In this study, the R-Square value was 60.2%. It has been concluded that in this study organizational culture has a positive influence and job satisfaction has a positive influence on employee performance.
Drivers of skill mismatch among Italian graduates: The role of personality traits
Authors: Esposito Piero , Scicchitano Sergio
Published: April 2023

It is now well accepted that human capital is a heterogeneous aggregate and that noncognitive skills are at least as relevant as cognitive abilities. In spite of this growing interest in the labour market consequences of personality traits, the relationship between these and educational and skill mismatch is scant. In this paper, we investigate the impact of the five main personality traits (Big 5) on educational and skill mismatch in Italian graduates. To this aim, we use the 2018 wave of the Inapp-PLUS survey, which contains information on skill mismatch, on the Big 5 personality traits, and on a large number of other individual and job-specific characteristics. The empirical analysis takes into account both demand and supply variables mediating the effect of personality on skill mismatch and controls for non-random selection into employment and tertiary education. We find that some personality traits reduce the probability of overeducation, suggesting complementarity between cognitive and non-cognitive skills. In addition, we find a positive effect of conscientiousness on both overeducation and overqualification. The evidence regarding job satisfaction suggests that individuals with high scores for conscientiousness voluntarily decide to be mismatched when this entails higher satisfaction in other dimensions of the job.
Clinical Outcomes of Acute Pancreatitis in Patients with Cirrhosis
Authors: Shehzad Muhammad Irfan , Shah Mustaqeem , Zada Ikram , Qureshi Noman Kareem , Azeem Shah Bakht , Khokhar Amanullah
Published: April 2023

Background and Aim: Acute Pancreatitis (AP) is a common disease requiring hospitalization. Though the mortality rate caused by pancreatitis decreased over the past few decades but patient’s organ failure causing mortality during acute pancreatitis is on the rise. The present study intended to assess the outcomes of acute pancreatitis in cirrhosis patients. Patients and Methods: This retrospective study was carried out on 180 acute pancreatitis patients admitted in the General Medicine and Gastroenterology Department of Central Hospital, Stadium Road Sargodha, Hayatabad Medical Complex Peshawar and Shaikh Khalifa bin Zayed Hospital, Muzaffarabad AJK for the duration from November 2021 to September 2022. Cirrhotic and non-cirrhotic patients were matched based on Propensity score matching (1:2). Inpatient mortality, systemic inflammatory response syndrome, length of hospital stay (LOS), and organ failure were the main outcomes. Model of End-stage Liver Disease (MELD) and Child-Pugh scores was used for cirrhotic patient’s subgroup analysis. Results: Of the total 180 AP patients, there were 60 cirrhotic (male 31 and females 29) and 120 (male 62 and females 58) non-cirrhotic patients. Based on Child-Pugh scores, the incidence of Child–Pugh scores A, B, and C was 17 (28.3%), 27 (45%), and 16 (26.7%) respectively. Based on cirrhosis etiology, the incidence of NAFLD (non-alcoholic fatty liver disease) , chronic hepatitis C, and autoimmune causes were 12 (20%), 42 (70%), and 6 (10%) respectively. Regarding diagnosis criteria, abdominal imaging diagnosed 56 (93.3%) patients whereas 4 (6.7%) were diagnosed based on liver biopsy. The mean BMI value in cirrhotic and non-cirrhotic groups was 28.4 and 26.8 kg/m2, p=0.51). Based on acute pancreatitis etiology, the incidence of gallstone-induced, idiopathic, and other in cirrhotic versus non-cirrhotic was 32 (53.3%) vs. 68 (56.7%), 12 (20%) vs. 30 (25%), and 16 (26.7%) and 22 (18.3%) respectively. Cirrhotic and non-cirrhotic patients’ outcomes such as inpatient mortality (6.8% vs. 1.7%), systemic inflammatory response syndrome (SIRS) (23.3% vs. 34.2%), and organ failure (13.3% vs 4.2%). Conclusion: The present study concluded the overall mortality and morbidity rates for cirrhotic and non-cirrhotic hospitalized with AP were similar. However, cirrhosis-related complications, portal hypertension and immunosuppression state such as sepsis, infections, and variceal bleed are likely to contribute to poorer outcomes and higher mortality compared to non-cirrhotic. Keywords: Acute pancreatitis, outcomes, acute liver injury
Correlation of Serum Galectin-3 Levels with Ejection Fractions in Healthy Subjects and Heart Failure Patients
Authors: Naureen Amber , Munir Khurram , Hammad Abdur Rauf , Khan Muhammad Sajid , Mengal Mahwash , Mengal Muhammad Alam
Published: April 2023

Objective: The purpose of this study was twofold: (1) to evaluate Galectin-3's use as a prognostic or predictive biomarker in HF, and (2) to compare eject fractions (EF) in healthy individuals to those in HF patients by analysing the correlation between blood Galectin-3 levels and EF. Study Design: The study was a cross-sectional observational analysis of two groups with similar demographics (n=150 each): healthy people and HF patients. Transthoracic echocardiography was used to assess EF, while enzyme-linked immunoassay assay (ELISA) was used to assess galectin-3 levels. Study Setting and Duration: The study was carried at Fatima Jinnah Medical University Lahore over a 12-month period from January 2022 to December 2022. Results: Serum Galectin-3 levels were significantly higher in HF patients (mean±SD: 26.4±7.2 ng/mL) compared to healthy subjects (mean±SD: 12.1±2.8 ng/mL; p<0.001). There was a strong inverse correlation between Galectin-3 levels and EF in HF patients (r=-0.72, p<0.001), while a weak correlation was observed in healthy subjects (r=-0.26, p=0.002). A receiver operating characteristic (ROC) curve analysis demonstrated that Galectin-3 could distinguish HF patients from healthy subjects with an area under the curve (AUC) of 0.92 (95% CI: 0.89-0.95, p<0.001), suggesting its potential as a diagnostic biomarker. Moreover, elevated Galectin-3 levels were independently associated with a higher risk of HF-related hospitalizations and mortality (HR: 1.35, 95% CI: 1.12-1.63, p=0.002), indicating its prognostic value. Conclusion: Serum Galectin-3 levels were shown to be significantly inversely correlated with EF in both healthy people and HF patients, with the connection being higher in the latter group. More exploration in bigger cohorts and prospective studies is warranted since galectin-3 emerges as a viable diagnostic and prognostic biomarker in HF. Keywords: Galectin-3, ejection fraction, heart failure, biomarker, diagnosis, prognosis, transthoracic echocardiography, enzyme-linked immunosorbent assay.
Depression and Anxiety among Acne and Melasma Patients
Authors: Kumar Ajay , Hafeez Asia , Juseja Anoop Kumar , Rahimo Abdul Ghani , Shahkar Ali Sayed Muhammad , Shabir Ghulam
Published: April 2023

Objective: To determine the frequency of depression and anxiety in acne and melasma patients presented at dermatology OPD of a tertiary care Hospital. Material and methods: This cross-sectional study was conducted at the dermatology OPD of Sir Syed Hospital Qayoomabad. Patients with acne or melasma, aged 18 years or above, both gender, patients who have not received treatment for depression or anxiety in the last 3 months and Patients who are willing to complete the study questionnaire honestly and to the best of their ability were included. Hospital Anxiety and Depression scale (HADS) was used to assess the anxiety and depression in study subjects All the data was recorded in self-made proforma and analysis was done by using SPSS version 26. Results: A total of 93 individuals were studied, regarding anxiety and depression due to acne and melasma. Mean age of the participants was 31.32+10.45 years. Females were 64.5% and males were 35.5%. 32.3% of the cases had Melasma and remaining 67.7% had acne. 32.3% cases had mild anxiety, 32.3% had moderate anxiety and 6.5% had severe anxiety. According to the depression, 32.3% cases had mild depression, 19.4% had moderate depression and 19.4% cases had severe depression, while 29.0% cases had no depression. Severity of depression and anxiety were statistically insignificant according to gender, marital status, duration of disease and types of skin disorder (p->0.05). Conclusion: It has been observed that individuals with acne and melasma have a higher likelihood of experiencing symptoms of anxiety and depression. The negative impact of these dermatological conditions on an individual's self-esteem and overall well-being can be significant, leading to emotional distress and psychological difficulties. Keywords: Anxiety, Depression, Melasma, Acne
Maxillary and Mandibular Interarch Width Among Different Malocclusions
Authors: Tabassum Hiba , Hussain Sarfaraz , Rizwan Sadia , Jan Komal , Salman Saima , Baloch Munawar Ali
Published: April 2023

Objective: To determine the association of maxillary and mandibular interarch width among different malocclusions. Material and Methods: This cross-sectional study was done at the Department of Orthodontics of the Dr. Ishrat Ul Ibad Khan Institute of Oral Health Sciences, Dow University of Health Sciences, Karachi, during a period of one year from January 2017 to December 2017. Individuals with a Class I canine and molar relationship with minor crowding, normal growth and development, and mal-aligned upper and lower dental arches. Class II molar and canine relationship on at least one side, Class II division 1 or 2 groups, bilateral Class III molar relationship in centric occlusion, Class III permanent canine relationship with excessive negative overjet, good facial symmetry, and participants had to have all their permanent teeth present except for their third molars were included. Readings were obtained by measuring the interarch width using a vernier gauge caliper. The calibration of the vernier caliper was checked daily using the standard technique. The intercanine arch width was measured from the cusp tip of one canine to the contralateral canine. Intermolar width was assessed as the distance between the central fossae of the left and right first molars. The readings were taken by a single examiner, and the measurement was repeated three times with an interval of two minutes between each measurement to reduce the possibility of errors. To assess the reliability of the measurements, the intra-examiner reliability was determined using the intraclass correlation coefficient (ICC). The collected data was analyzed using statistical software, SPSS version 26. Results: The study examined the maxillary and mandibular interarch widths of participants with different types of malocclusions. Class I had the highest maxillary intercanine width, and Class III had the highest maxillary intermolar width. Class III had the highest mandibular intercanine and intermolar width. Class II Division 2 had the lowest intercanine and intermolar width in both arches. Significant differences were observed in the mean intermolar width in the mandibular arch between Class II Division 2 and Class III malocclusions and in the maxillary intercanine width between Class I and Class II Division 2 malocclusions. No significant difference was found in other width measurements among the different types of malocclusions. Conclusion: It has been concluded that patients with Class III malocclusion had narrower upper width measurements compared to the normal occlusion sample. Keywords: Maxillary, mandibular, interarch width, malocclusion
Psychological Distress among Healthcare and Non-Healthcare Workers during the COVID-19 Pandemic: This Too Shall Pass
Authors: Khan Shazma , Zaina Fatima , Khan Quratulain
Published: April 2023

Objective: This study aimed to evaluate the psychological distress experienced by healthcare and non-healthcare professionals working in a hospital setting during the Coronavirus Disease 2019 (COVID-19) pandemic. Methodology: This survey-based cross-sectional study included 361 professionals (288 healthcare and 73 non-healthcare professionals) working at Ziauddin University Hospital, Karachi, Pakistan. Psychological distress was assessed using Depression Anxiety Stress Scale – 21 (DASS-21). Results: There was a higher prevalence of anxiety, depression, and stress among healthcare professionals as compared to the non-healthcare professionals, as indicated by the mean depression, anxiety, and stress scores on DASS-21 (p<0.05). The univariate logistic regression analysis showed that the odds of psychological distress were similar in both genders and individuals of all age groups. Healthcare professionals were twice more likely to be severely depressed and stressed as compared to non-healthcare professionals (p<0.05). Conclusion: This study concludes that psychological distress is more prevalent among healthcare workers than non-healthcare workers. Keywords: Psychological Distress, COVID-19, Anxiety, Depression, Stress, Healthcare Workers, Non-Healthcare Workers.
Clinical Presentation of Dengue Fever Cases from Islamabad: A Retrospective Study
Authors: Zeeshan Muhammad , Mukhtar Muhammedwaleed , Sajjad Javeria , Salim Misbah , Ahmad Maqsood , Amjad Usman , Siddiqui Shajee Ahmad
Published: April 2023

Background: Dengue fever is a mosquito-borne viral infection caused by the virus aedesaegypti.InPakistan, a major dengue epidemic appeared in 2011. The objective of the present study is to observe the clinical presentations of dengue fever in a recent outbreak in 2022. Method: The retrospective study was performed on 174 patients diagnosed with dengue fever aged 13 to 60 years. Data regarding age, gender, and clinical symptoms i.e. fever, myalgia, nausea, vomiting, abdominal pain. Results: Most of the patients were from the 18-25 years age group. with a greater number of males compared to females. The common presentation of dengue fever was fever and myalgia, observed in 92% and 62% of the patients, respectively. A platelet count of less than 1,00,000 was observed in 85% of patients, whereas decreased total leukocyte count (TLC) and hematocrit were observed in 50% and 46.8% of patients, respectively. Practical Implication: On the documentation, reporting, and management of these co-morbidities, there were no local regulations accessible. This study determined the frequency of co-morbidities in dengue patients and analyse the early dengue case presentations. Conclusion: Patients presenting with fever, hemorrhagic symptoms, or signs of plasma leakage should be promptly suspected, timely diagnosed, and managed on the grounds of dengue fever. Keywords: Dengue fever, Viral Infection, Diagnosis, Morbidity, Mortality Retrospective study
PERCEPÇÃO DE ACADÊMICOS DE ENFERMAGEM EM UMA UTI COVID APÓS QUATRO ANOS DE PANDEMIA
Authors: Ricaczeski Fatima , Carvalho Isabela Lopes , Tonin Tatiana dos Santos , Santos Sthefany dos , Rossi Louize Cristine , Faruch Soraia Bernal , Campos Terezinha Aparecida
Published: April 2023

A pandemia causada pela COVID-19 fez com que autoridades sanitárias anunciassem um plano de contingência para prevenção, monitoramento e controle do coronavírus. Assim, o objetivo deste relato é analisar os efeitos positivos e negativos gerados pela pandemia em uma unidade de terapia intensiva/UTI. Trata-se de um estudo descritivo, com abordagem qualitativa do tipo relato de experiência. Foi perceptível a diminuição de leitos de UTI exclusivos para pacientes com COVID-19 quando comparada ao período inicial da pandemia. O uso de equipamentos de proteção individual sofreu certa flexibilização, porém ainda deve ser usado. Quanto aos profissionais que estiveram na linha de frente, ainda se encontram exaustos.
Capitalismo, territórios e zonas de exclusão
Authors: Barbosa Jonnefer Francisco
Published: April 2023

Partindo da análise da governamentalidade, dos territórios e da acumulação predatória, o ensaio tratará de uma releitura dos fundamentos da estatalidade política a partir da emergência das técnicas e ofensivas da gestão neoliberal do mundo, em seus aspectos territorial e neocolonial.
El Tiempo de la Revuelta: Aura, Imagen, Crítica
Authors: Taccetta Natalia
Published: April 2023

Este artículo explora ideas en torno a la noción de revuelta a partir de diversas reflexiones de Walter Benjamin, poniéndolas en relación con autores contemporáneos como Georges Didi-Huberman. Configurando un entramado problemático a partir de textos tempranos e intervenciones tardías en el pensamiento benjaminiano, se propone reflexionar sobre la noción de aura –incluso por fuera del ámbito propiamente estético-, la omnipresencia de la cuestión de la imagen en torno a la revolución –tanto en Benjamin como en autores más recientes- y la idea de crítica –como potencia que surge en la cartografía que plantea la revuelta como tiempo intempestivo.
Fascismo, movilización y revueltas: el conatus de la existencia
Authors: Villalobos-Ruminott Sergio
Published: April 2023

El siguiente texto trata de diferenciar, por un lado, los intentos de golpe de Estado recientemente acaecidos en EEUU y Brasil, consistentes con el surgimiento de movimientos reaccionarios o “neofascistas” a nivel global; y, por otro lado, las revueltas sociales que proliferan en el horizonte general de la gubernamentalidad neoliberal contemporánea. Para tal efecto, el texto elabora una crítica de la democracia neoliberal y una historización del concepto de fascismo, con el objetivo de relativizar la oposición fascismo/democracia y mostrar la emergencia de un tipo específico de fascismo neoliberal en la actualidad. Una vez constatada dicha posibilidad, se interroga la diferencia entre movilización total y revueltas, recurriendo a la problematización benjaminiana de la violencia mítica del derecho, del historicismo y del capitalismo como religión, es decir, como organización sacrificial de la existencia, lo que nos permite, hacia el final, pensar las revueltas como prácticas emancipatorias y afirmativas de una vida más allá de los imperativos del capital.
Diários de luto: um diálogo entre psicanálise e literatura em tempos de pandemia
Authors: Rabêlo Fabiano Chagas , Martins Karla Patrícia Holanda , Dias Reginaldo Rodrigues , Lima Aline Gabriele Carvalho de , Parente Junior Paulo Alves
Published: April 2023

Diante do negacionismo do governo brasileiro, que levou ao aumento exponencial do número de mortos pela COVID-19, aborda-se o trabalho de luto como um elemento no contexto das catástrofes coletivas que favorece uma tomada de posição política coletiva e uma elaboração subjetiva das situações traumáticas. Destaca-se, em seguida, como o luto comparece na literatura como uma estratégia de subjetivação do que foi perdido, sobretudo por meio da escrita de diários. Com base nos elementos teóricos de Freud sobre o luto e de Ferenczi acerca da apropriação do traumático, analisam-se três livros-diários de autores que descrevem o trabalho de luto (Rolland Barthes, Boris Fausto e Neal Peart). Verifica-se nesses textos como o luto promove um rearranjo das memórias, enodando o individual e o coletivo, o exterior e o interior, convocando um testemunho. Ele também favorece uma estabilização pulsional e narcísica, possibilitando novos endereçamentos e a construção de um projeto de vida futuro. Ao final, como contraponto ao desrespeito do governo federal em relação ao luto dos que perderam familiares e amigos durante a pandemia, reforça-se o dever de reconhecer o luto, valorizá-lo e oferecer suporte para a sua realização como estratégia política de promoção da saúde mental.
Geotechnical Characterization of Alisol Soils in Eastern Province of Zambia
Authors:   University of Zambia, Fisonga Marsheal , Korir Elvis , Chipola Patrick , Mutambo Victor
Published: April 2023

In this study, the geotechnical characterization of alisol soils of Eastern Province in Chief-Mutenguleni area was investigated. The Zambian agricultural soil classification was used as the foundation to investigate the behaviour of active clay minerals for alisols soils from the study area. The X-XRD Rietveld analysis depicted the presences of vermiculite, montmorillonite and Ferrum related minerals which are typical of alisols soils. The grain size analysis, Atterberg limits, Califonia bearing ratio (CBR), direct shear test, undrained unconsolidated triaxial test, and consolidation Oedometer were carried out. The CBR test also showed potential swelling and shrinkage behaviour of the investigated alisols soils. Based on the Casagrande plasticity chart the alisol soils from Chief Mutenguleni in Eastern province can be classified as soil with low and high plasticity based on the soil horizon or presence of termite mould in the study area.
A Natural Language Processing-Based Turkish Diagnosis Recommendation System
Authors: BADEM Servet , ÖZCAN KILIÇSAYMAZ Özlem
Published: April 2023

MD-Advisor is the abbreviation of “medical doctor – advisor” which is an artificial intelligence-based recommendation system in healthcare. Moreover, the health-based recommender system is a decision-making tool that makes recommendations for appropriate healthcare information to patients and clinicians. MD-Advisor project was developed in order to speed up the procedures that doctors follow when diagnosing patients and to present all possible conditions to the doctor in a short time. With this project, the processes of diagnosing the patient and then recommending the examination are completed very quickly. Thus, the patient is directly transferred to the treatment phase. Based on the data obtained from patient complaints which indicates the current health status of the patient; data preprocessing, labeling and deep learning modeling techniques are used. The diagnostic codes used as labels for the diagnosis recommendation were obtained as output from the Recurrent Neural Networks model. As a result of the study, the diagnosis proposal for the patient's complaints was successfully predicted with the applied recurrent neural networks (RNN) model approach.
COMPARISON OF RECURRENCE OF URETHRAL STRICTURE AFTER INTERNAL OPTICAL URETHROTOMY WITH AND WITHOUT POST-OPERATIVE ORAL STEROIDS IN DISTRICT DERA ISMAIL KHAN
Authors: ILYAS M , SEERWAN M , ADNAN M , NASEEM A , JAVED N , HUSSAIN M
Published: April 2023

Urethral stricture is one of the most common diseases in urology. The urethral structure is the narrowing of the urethral lumen due to spongiofibrosis. It is notorious for its recurrence and accounts for the major burden on the Urology department. Internal optical urethrotomy is considered the first line of treatment for urethral stricture. When combined with clean intermittent self-catheterization, and Intralesional injections, better results could be obtained. This study compares the recurrence of urethral stricture after internal optical urethrotomy with and without post-operative oral steroids in the population of Dera Ismail Khan. The study was a non-randomized control trial done in the Urology Department, DHQ/MTI-TH, Dera Ismail Khan, Pakistan, from January 2021 to June 2021. The patients from the urology outdoor and emergency of DHQ Teaching Hospital were included in the study. A total of 152 patients were divided by lottery method into two groups’ an experimental group and Control group, each containing 76 patients. After losing follow-up, the remaining patients who completed the study were 128. The patients in both groups underwent internal optical urethrotomy with a cold knife. The experimental group of patients received oral steroids for 4 weeks. The control group didn’t receive steroids after the procedure. The mean age in the experimental group was 41 ± 09 years, while in the control group, it was 36 ± 13 years. After 6 months, the recurrence was observed in 12 patients (18.75%) in the experimental group and 25 in the control group (39.06%). These results showed a statistically significant difference in recurrence rate between these two groups with a p-value of 0.0123. Based on the results, it can be concluded that the use of oral steroids after internal optical urethrotomy decreases the risk of recurrence of urethral stricture significantly.
State support for civic engagement
Authors: Thompson Charlie
Published: April 2023

Civics education continues to gain national importance, especially in the aftermath of the 2020 presidential election and with recent debates about the teaching of history and critical race theory in schools. At the same time, Americans’ civics knowledge seems to be in a state of decline, with the first recorded drop in U.S. adults being able to name all three branches of government since 2016. Despite the increasing interest in strengthening civics education, states continue to differ in their interpretation of what constitutes relevant and high-quality civic engagement among students. As of 2018, 42 states required students to take a course in civics and government, with 8 of those states requiring a full year of civics and 19 states requiring a civics exam to graduate, often resembling the U.S. citizenship test. Two states, New Hampshire and Pennsylvania, allow local education agencies to develop locally determined assessments of students’ civics knowledge or else require that students take the U.S. citizenship test. A growing number of states are encouraging civic learning and acknowledging that students can be active participants in civic life. This report describes how 10 states are implementing policies that increasingly support a new approach to civics education that engages students in inquiry, civic reasoning, and civic action.
Few Runners Return to Running after Total Joint Arthroplasty, While Others Initiate Running
Authors: Antonelli Brielle , Teng Rebecca , Breslow Rebecca G. , Jamison Matthew , Hepinstall Matthew , Schwarzkopf Ran , Moschetti Wayne E. , Chen Antonia F.
Published: April 2023

Introduction:

This study examines self-reported running practices in total joint arthroplasty (TJA) patients.

Methods:

This prospective, cross-sectional study of a multi-institutional database identified 4,462 primary total hip arthroplasty (THA) and total or partial knee arthroplasty (TKA/UKA) patients from June 2015 to June 2020. TJA patients completed an online survey capturing pre-TJA running experience and expectations, surgeon recommendations about return to running, postoperative characteristics, revision surgeries, and the Commitment to Exercise Scale and Brief Resilience Scale. Patient-reported follow-up reached 5 years. Logistic regression, the chi square test, and analysis of variance tests were used.

Results:

Five hundred forty-nine patients (12.2%) self-reported running preoperatively, and 65 patients (11.8%) returned to running after surgery. 67.2% were satisfied with their return to running. 40 patients (1.0%) who were not preoperative runners started running after TJA. Preoperative runners who returned to running had higher mean Brief Resilience Scale (3.9 ± 0.7) scores and the highest Commitment to Exercise Scale scores (46.5 ± 17.6, F[2,510] = 3.88, P = 0.02). Runners who returned to running had a 6.2% revision rate while those who did not run postoperatively had a 4.8% revision rate (P = 0.55). Surgeon recommendations included no return to running (29.5%), maintain low-impact activities (35.2%), return to preoperative levels (5.1%), and no recommendations (30.1%).

Discussion:

12% of TJA preoperative runners returned to running, mostly within 1 year, and 67.2% were satisfied with their running ability.
EfeEfektivitas Pengawasan Pangan Fortifikasi oleh Badan POM sebagai Intervensi Penurunan Stunting di Provinsi Lampungktivitas Pengawasan Pangan Fortifikasi Oleh Badan POM Sebagai Intervensi Penurunan Stunting Di Propinsi Lampung
Authors: Rahmawati Yulia
Published: April 2023

Stunting menjadi masalah pembangunan nasional karena stunting berdampak kepada penurunan kualitas manusia Indonesia. Upaya percepatan penurunan angka stunting mencakup intervensi gizi spesifik dan gizi sensitif.  Konsumsi pangan fortifikasi adalah bagian dari intervensi gizi sensitif. Tujuan dari tulisan ini adalah untuk melihat efektifitas pengawasan pangan fortifikasi yang dilakukan Badan POM di Provinsi Lampung. Metodologi yang digunakan  adalah menganalisa data yang diperoleh dari hasil pengawasan Balai Besar POM di Bandar Lampung tahun 2018-2021 dengan tahapan mengumpulkan data pengujian sampel produk pangan fortifikasi tahun 2018-2021 untuk garam konsumsi yodium, tepung terigu serta minyak goreng sawit; menghitung persentase perbandingan hasil pengujian sampel produk pangan fortifikasi yang memenuhi syarat (MS) dengan yang tidak memenuhi syarat (TMS); menganalisis data yang diperoleh dengan melihat peningkatan atau penurunan hasil pengujian yang memenuhi syarat (MS) dengan yang tidak memenuhi syarat (TMS). Hasil pengujian produk pangan fortifikasi seperti garam beryodium, tepung terigu dan minyak goreng mengalami peningkatan terhadap produk yang MS setiap tahunnya. Produk dikatakan memenuhi syarat apabila memenuhi standar dan persyaratan keamanan, khasiat/ manfaat, dan mutu produk yang ditetapkan. Hal tersebut menunjukkan indikasi positif terhadap keberhasilan pengawasan yang dilakukan oleh Balai Besar POM di Bandar Lampung. Pengawasan pangan fortifikasi Badan POM sebagai intervensi stunting yang dilakukan di Provinsi Lampung adalah efektif.
Kajian Pencantuman Keterangan Kedaluwarsa pada Label Pangan Olahan
Authors: Setyowati Dyah , Sugiarti Lies
Published: April 2023

Keterangan kedaluwarsa merupakan salah satu informasi yang wajib dicantumkan pada label pangan olahan. Indonesia mengatur pencantuman keterangan kedaluwarsa dengan istilah “Baik digunakan sebelum”. Salah satu topik yang menjadi perhatian dunia saat ini adalah adanya indikasi pangan yang terbuang (food waste) yang salah satunya disebabkan adanya perbedaan pemahaman dan pencantuman keterangan kedaluwarsa. Penelitian ini bertujuan untuk menggali informasi mengenai ketentuan pencantuman kedaluwarsa di berbagai negara dan tingkat pemahaman masyarakat. Metode yang dilakukan adalah studi pustaka dengan membandingkan ketentuan keterangan kedaluwarsa di berbagai negara dan survei dengan kuesioner. Jumlah responden pada penelitian ini adalah sebanyak 231 responden yang terdiri atas 78 laki-laki (33,8%) dan 153 perempuan (66,2%). Ketentuan atau peraturan pencantuman keterangan kedaluwarsa masih berbeda-beda di berbagai negara. Eropa dan Australia telah memisahkan ketentuan keterangan kedaluwarsa berdasarkan keamanan (use by date) dan mutu (best before date) sedangkan Singapura dan Amerika Serikat belum memisahkan ketentuan pencantuman keterangan kedaluwarsa berdasarkan keamanan dan mutu.  Hasil survei secara acak dengan menggunakan kuesioner (google form) dalam kurun waktu satu minggu diperoleh hasil bahwa 115 responden (49,8%) tidak dapat membedakan berbagai istilah keterangan kedaluwarsa. Responden yang memahami keterangan kedaluwarsa paling banyak berasal dari responden dengan tingkat pendidikan S1, S2 dan S3 masing-masing 57%, 64,7% dan 60% sedangkan tingkat pendidikan lainnya kurang dari 40% yang memahami keterangan kedaluwarsa. Hal ini menunjukkan bahwa tingkat pendidikan memiliki hubungan dengan tingkat pemahaman responden.
Status Kelayakan Fortifikasi Vitamin A Minyak Goreng Sawit Tahun 2016 - 2020 di Wilayah Stunting
Authors: Sulistia Yayu , Dinalia Dinalia , Sumule Agustina Wanty , Lestari Annisa Dyah
Published: April 2023

Stunting masih menjadi salah satu masalah kesehatan masyarakat yang di Indonesia dengan angka prevalensi cukup tinggi. Penanganan stunting harus mendapat perhatian serius, karena akan mempengaruhi kualitas Sumber Daya Manusia di masa depan. Beberapa upaya dilakukan untuk pemenuhan kebutuhan gizi mikro untuk mengatasi stunting.  Salah satu langkah Pemerintah menurunkan angka stunting adalah dengan penambahan zat gizi pada pangan yang sering dikonsumsi oleh masyarakat (fortifikasi) seperti minyak goreng sawit. Fortifikasi vitamin A pada minyak goreng merupakan program pemerintah yang bertujuan menurunkan jumlah orang terutama anak yang kekurangan vitamin A. Penelitian ini bertujuan untuk mengetahui status kelayakan fortifikasi vitamin A minyak goreng sawit yang beredar pada wilayah stunting di Provinsi Sulawesi Tengah, Sulawesi Selatan, Sulawesi Utara dan Kalimantan Selatan. Metode penelitian yang digunakan adalah metode penelitian deskriptif dengan pendekatan kualitatif dengan pengambilan data dari sipt.pom.go.id dari tahun 2016-2020. Sampel diambil di kabupaten yang menjadi lokasi prevalensi stunting. Penetapan kadar vitamin A menggunakan metode Kromatografi berdasarkan SNI 7709:2019 dengan standar vitamin A pada minyak goreng yang beredar di jalur distribusi adalah 20 IU/g. Status fortifikasi Vitamin A pada minyak goreng sawit yang beredar di Propivinsi Sulawesi Tengah, Sulawesi Selatan, Sulawesi Utara dan Kalimantan Selatan masih berada di bawah standar yang sudah ditetapkan dan jika dirata-ratakan selama lima tahun terakhir baru mencapai 36.12%. Oleh karena itu, disarankan bagi pemerintah dapat menerbitkan regulasi khusus yang mengatur penggunaan kemasan minyak goreng yang aman untuk mempertahankan kualitas minyak goreng, serta perlunya edukasi mengenai penyimpanan pangan kepada masyarakat yang berada di jalur distribusi agar kestabilan pangan bisa terjaga sampai ke konsumen dengan baik.
A Model for Prioritizing Covid-19 Vaccination Distribution Using Electronic Health Record
Authors:   Department of Computer Science, Faculty of Science and Engineering, University of Eswatini, Sanni Shamsudeen Ademola , Vilakazib Phathizwe ,   Department of Computer Science, Faculty of Science and Engineering, University of Eswatini
Published: April 2023

Covid-19 vaccination drives in most African and less developed countries have been very slow due to the limited number of vaccine doses available. In order to optimize the vaccination drive, it becomes imperative to create a priority list for vaccination based on the risk of mortality. The study applied Machine Learning (ML) techniques to develop a model for prioritizing Covid-19 vaccination. The dataset for training and validating the model was collected from the Kaggle datasets repository which consists of medical information for 4711 patients with confirmed Covid-19 infection. Four Machine Learning (ML) models were trained, tested and validated on the 4711 patients’ health records. The performances of the models were compared based on their precision, sensitivity, accuracy and area under the curve (AUC) scores. Performance of the four models on the datasets indicated that Multi-Tree XGBoost was the best performing model [precision: (Survival: 0.86, death: 0.74), accuracy: 0.83, AUC: 0.89], followed closely by Random Forest [precision: (survival: (Survival: 0.81, death: 0.83), accuracy: 081, AUC: 0.88]. The multi-Tree XGBoost model was therefore chosen for the model creation. This model can be adopted by health authorities and partners to make informed decisions in the Covid-19 vaccine administration.
Intention to Purchase Smart LED Lights from Alibaba Stores
Authors:   ITPH Academy, Amsterdam, The Netherlands, Kahil Bachar
Published: April 2023

Based on the customer value theory, this research aims to learn why people in the Baltic European countries are interested in purchasing smart LED lights from online retailers such as Alibaba and AliExpress. The relationship between price utility, function utility, self-image, aesthetics, playfulness, and intention to purchase smart LED lights from Alibaba and AliExpress in the Baltic European states was studied using an online questionnaire with 322 participants. According to structural equation modeling (SEM), pricing utility benefits employees' happiness in their jobs. Established theoretical frameworks like the customer value theory support these novel conclusions. They provide workers and practitioners with fresh perspectives on strategically elevating aesthetics and playfulness. Our findings indicate that consumers' sense of social identity and sense of humor plays a significant role in determining what they prioritize when making purchases. Several substantial policy suggestions, requests for further research, and potential theoretical and practical implications are made.