bluuebunny/crossref_metadata_2025 huggingface dataset:
La Libye comme terrain de reconfiguration géopolitique des migrations
Authors: Perrin Delphine
Published: October 2021

La Libye post-Kadhafi constitue un terreau opportun de reconfiguration géopolitique des migrations. Les pratiques et les dynamiques d’acteurs liées aux migrations s’inscrivent avant tout dans une continuité avec celles de l’ère Kadhafi. La reconfiguration géopolitique des migrations est le résultat de processus d’adaptation des acteurs, lié au contexte politique et sécuritaire libyen, en articulation avec d’autres évolutions sur les parcours et les marchés de la migration. L’intensification des trafics s’accompagne de l’éclatement des acteurs intervenant sur les migrations, sources de multiples risques pour les migrants. Dans un contexte régional de « guerre à la mobilité », l’ensemble conduit à une illustration paroxystique de la porosité entre trafic de migrants et traite des personnes, qui justifie l’intervention d’acteurs extérieurs. La reconfiguration en cours est ainsi également liée à l’émergence et à l’expérimentation de nouvelles formes de gestion des migrations sur le territoire libyen et plus largement en Afrique, visant ou contribuant à modeler le futur des migrations africaines.
La Libye toujours en prise avec les interventions : de l’intervention internationale de 2011 à l’escalade et la multiplicité d’interventionnismes extérieurs
Authors: Droz-Vincent Philippe
Published: October 2021

L’intervention sous la conduite proactive de la France et de la Grande-Bretagne et avec un leadership américain « en retrait » ouvre une nouvelle ère en Libye en 2011 avec la chute du régime Kadhafi. Elle ne prend nullement en compte les problèmes de reconstruction abyssaux qui se posent dans le pays, si ce n’est à travers les prismes réducteurs du terrorisme transnational et des migrations subsahariennes vers l’Europe. L’épuisement des interventions multilatérales occidentales pour reconstruire des États, la fatigue américaine pour les guerres au Moyen-Orient et les insuffisances européennes font pourtant le lit de multiples autres interventionnismes en Libye. En particulier, la Libye et ses multiples acteurs politiques et miliciens peuvent servir des intérêts régionaux variés. La relance de la guerre civile en 2014-2015 et la Libye comme champ d’affrontements régionaux voire internationaux en 2019-2020 sont le résultat direct de ces interventionnismes débridés.
Practical and Ethical Issues in Pediatric Psychopharmacology: Introductory Considerations
Authors: Suk Ji-Woo , Soltis-Vaughan Brigette , Mahato Kalika , Hwang Soonjo
Published: October 2021

The increase in the use of psychiatric medications among children and adolescents has brought attention to the overall safety of these medications and the evidence-based data for their use in this population. This review focuses on the ethical aspects of pediatric psychopharmacology and general guidelines for practice, especially for medical residents. Ethical issues, such as (1) the lack of a sound database on long-term efficacy and safety due to a limited number of clinical trials in this population, (2) the lack of knowledge about adverse events related to the off-label use of drugs, (3) an extensive level of complexity in prescription management for the pediatric population, and (4) challenges in decision-making regarding diagnosis and prescription due to difficulties in gathering and incorporating information from multiple sources, are discussed. This article also reviews clinical guidelines for pharmacological interventions and relevant landmark research projects (Treatment for Adolescents with Depression Study, Multimodal Treatment Study of Children with ADHD, and Treatment of Severe Childhood Aggression Study). The authors conclude that, in light of the continued shortage of child and adolescent psychiatrists, research and training policies as well as goals should focus on preparing clinicians and building mental health care systems that can deliver optimal services in this new reality.

[
Psychiatr Ann
. 2021;51(10):450–458.]
Antidepressants and Black Box Warning: Duty to Inform or Unintended Consequence of Cautious Response
Authors: Naveed Sadiq , Urrutia Victoria , Zeshan Muhammad , Akal Hanife , Backman Ainsley , Malik Salma
Published: October 2021

Suicide is a global health problem. According to the World Health Organization, more than 700,000 people a year die because of suicide. About 90% of suicides in the United States are associated with a psychiatric illness, with major depressive disorder (MDD) accounting for 50% of these cases. Although antidepressants are the preferred choice for the treatment of MDD with or without suicidal ideations, they can cause worsening of suicidal ideations in some cases. In October 2004, the US Food and Drug Administration (FDA) directed manufacturers of all antidepressants to add a “black box” warning regarding possible worsening suicidal thoughts and behaviors in patients younger than age 18 years. In 2006, the FDA extended this warning to young adults up to age 24 years. Since then, there has been significant discussion regarding the warning, its merits and impact, and the implications on the use of antidepressants for the effective management of MDD. This article reviews the historical background of the black box warning, existing evidence, and recommendations on effectively communicating with children/adolescents and their caregivers.

[
Psychiatr Ann
. 2021;51(10):467–472.]
Pavel Medvešček
Authors: Andrej Pleterski
Published: October 2021

.
Rus, Russia, and Ukraine in Alternative Slavic Fantasy by English-Language Writers
Authors: Larisa Fialkova
Published: October 2021

Alternative Slavic fantasy is defined here as fantastika (speculative fiction) created by English-language writers on the basis of real or assumed Slavic folklore, separate from Slavic fantasy per se. The focus of the current paper is the logic of interaction between Slavic folk plots and characters with Russian and Ukrainian history. The first part addresses Medieval Rus in Peter Morwood’s and Katherine Arden’s trilogies. The second part, which addresses Russia and Ukraine in the 19th-20th centuries will be published in the next issue of the journal.
Мифологический персонаж (з)мора / мара в традиции Южного Подлясья в польской и общеславянской перспективе
Authors: Marija V. Jasinskaja
Published: October 2021

The author analyzes the field materials collected during her expedition to the Southern Podlasie (Łuków-Siedlce-Garwolin region in Poland) in 2017 and sheds light on the local version of the supernatural being under the name “zmora”. In this territory zmora is endowed with a function (not typical in other Polish local traditions) to tangle and braid the horses’ manes. Meanwhile the informants put aside zmora’s traditional function (that is to suffocate a sleeping person) or do not mention it at all. Zmora from Southern Podlasie is regarded in a wider Polish and all-Slavic perspective. Such parameters as the supernatural being’s name, its origin, appearance, behavior, time of the activity, its functions as well as the amulets and preventive measures used against this evil spirit are examined. The author concludes that in the studied Slavic archaic area zmora has partially taken over the functions of the house spirits, that is reflected in the entire fragment of the mythological characters’ system associated linked to the domestic and economic (cattle-breeding) sphere.
Večjezične kratke folklorne oblike: primeri iz Goriških brd
Authors: Marjeta Pisk  , Katarina Šrimpf Vendramin
Published: October 2021

The article focuses on short folklore forms recorded in the Gorica Hills (slv. Goriška brda) in the 20th and early 21st centuries, which can be considered as non-linguistic or non-ethnically bound folklore features. The language of these folklore forms is a mixture of the dialectal forms of the contact languages (Slovene, Italian, partly Friulian). Using the examples of the collected material, we analyse in which genres of the short folklore forms multilingualism appears, what function it has and how the characteristics of the territory are reflected in them. We compare sources or parallels in published Slovenian and Italian material, and analyse the material in the context of research on literary children’s folklore in Slovenia. The study of bilingual and multilingual folklore forms from Goriška brda focuses on the question of whether and why multilingualism is best preserved in short folklore forms and especially in children’s folklore.
Dazhbog: The Ancient Slavic Pagan Deity of the Shining Sky
Authors: Oleg Vladislavovich Kutarev
Published: October 2021

The paper is concerned with a detailed consideration of one of the most well-known and frequently mentioned Slavic pagan deities: Dazhbog (or Daž(d)bog). Historiographic stereotypes full of contradictions and problems have been fixed in research concerned with the deity, for example, defining Dazhbog as the deity of the sun; its proximity to another solar deity (Chors) and vagueness, why are there two solar deities; Dazhbog’s relation to the deity Svarog/Svarozhich; Dazhbog’s belonging only to the East Slavic area; the etymology of his name as a “giving deity”. An alternative view on Dazhbog (overlooked rather than new) that can solve these problems is given in this paper.
High-Fidelity Computational Analysis on the Noise of a Side-by-Side Hybrid VTOL Aircraft
Authors: Jia Zhongqi (Henry) , Lee Seongkyu
Published: October 2021

This paper investigates the acoustics of a side-by-side urban air mobility (UAM) aircraft with 0%, 5%, 15%, and 25% rotor overlaps in forward flight based on high-fidelity computational fluid dynamics (CFD) simulations. The CFD and acoustics simulations are carried out using the HPCMP
CREATETM -AV rotorcraft simulation and analysis tool Helios and the acoustic prediction tool PSU-WOPWOP. First, the influence of the finest wake-grid spacing (Δfinest) on the side-by-side rotor acoustics is studied. No significant difference in overall sound pressure
level (OASPL) is found between the two wakegrid spacing cases: Δfinest = 5% Ctip and 10% Ctip. Physical noise sources, such as impulsive self blade–vortex interactions, rotor-to-rotor blade–vortex interactions, and separated
flow and blade interactions, are investigated in details based on high-fidelity CFD simulation results and noise-integrand analyses. The effect of rotor overlap on rotor acoustics is also assessed. It is found that the maximum OASPL difference among the overlap cases is about 1 dB, but the
radiation patterns are different for each overlap case. Furthermore, the noise of the side-by-side rotor with 0% and 25% overlaps is compared against the noise of a conventional helicopter and various background noises. The side-by-side rotor noise is comparable with the helicopter noise around
1000 Hz. The results also show that the side-by-side rotor noise could not be fully masked by the freeway background noise even at an altitude of 1500 ftand exceed Uber's noise guideline of 62 dBA at 500 ft. Thus, noise reduction technology should be pursued to lower UAM aircraft noise, which
is one of major technical barriers for UAM public acceptance.
Infections of scleroderma digital ulcers: a single center cohort retrospective study
Authors: Giuggioli Dilia , Magnani Luca , Spinella Amelia , Bajocchi Gianluigi , Palermo Adalgisa , Lumetti Federica , Cocchiara Emanuele , Salvarani Carlo
Published: October 2021

BACKGROUNDS: Systemic Sclerosis (SSc) is a complex autoimmune and up to fifty percent of patients develop digital ulcers.

AIMS: Understand how much infections influence scleroderma digital ulcers’ healing.

METHODS: We revised fifty consecutive patients with SSc-related DUs who referred to our Scleroderma Unit. Thirty-five of them who showed clear signs of DUs infection underwent to cutaneous swab and microbiological data collection. We performed 87 cutaneous swabs overall. 

RESULTS: DUs were recurrent in 58% of the patients and multiple in 60% of patients. Fourty-four swabs (53%) were positive for Staphylococcus Aureus (13% Methicillin-Resistant), 9 were positive for Pseudomonas Aeruginosa (Pseudomonas A.) (10%), and then the others less frequently isolated. Twenty-fifth percent of patients needed hospitalization.

CONCLUSIONS: Our data support a patient-tailored approached to DUs, particularly those infected. Self-hygiene and asepsis during dressing procedures are mandatory. Patient must be trained to avoid dangerous  behaviors and reduce the risk of infection.
Metastatic plasma cell leukemia to the skin: a case report with review of the literature
Authors: Pezzolo Elena , Saraggi Deborah , Naldi Luigi
Published: October 2021

Plasma cell leukemia (PCL) is a rare variant of leukemia with an aggressive clinical course and a poor prognosis. The cutaneous involvement in PCL is very rare either at clinical presentation of leukemia, namely “leukemia cutis”, or in the metastatic PCL to the skin. We present a case of eruptive multiple cutaneous nodules in a 56-year-old man with metastatic PCL. Histologically, a diffuse dermal and subcutaneous infiltration of ovoid cells with amphophilic cytoplasm and eccentrically located nucleus consistent with plasmacytoid morphology was observed. Neoplastic cells showed strong immunoexpression for CD138 and CD38 consistent with plasma cells phenotype, and loss of expression of CD56. Kappa light chain restriction similar to the phenotype of his PCL was demonstrated. We suggest that the evaluation of new skin lesions in leukemic patients should include a histopathologic examination to establish the diagnosis as soon as possible and a correct management of the disease.
Association of single-nucleotide NR3C1 gene polymorphisms with glucocorticosteroid responsiveness in patients with pemphigus vulgaris
Authors: Le Thai Van Thanh , Nguyen Duy Quan , Tran Ngoc Dang , Trinh Tu H.K.
Published: October 2021

The glucocorticosteroid (GC) is crucial when managing patients with pemphigus vulgaris (PV). Polymorphisms in the gene encoding the nuclear receptor subfamily 3, group C, member 1 (NR3C1) protein (the GC receptor) may explain the variations in treatment efficacy. We evaluated the effects of 10 single nucleotide polymorphisms (SNPs) in the NR3C1 gene and the correlations with the GC responsiveness in patients with PV. The accumulative GC doses were recorded, and patients were assessed for the Pemphigus Disease Activity Index (PDAI) scores until the GC doses would be tapered. Whole blood samples at the initial visit were genotyped using TaqMan SNP Genotyping. In the NR3C1 gene, SNPs were detected in 6 (rs17209237, rs11745958, rs7701443, rs41423247, rs33388, and rs6196); the genotypes rs17209237 AA, rs11745958 CC, and rs6196 AG may be associated with a need for a lower accumulative GC dose; rs17209237 AA and rs6196 AG with shorter times to commencement of tapering; and rs17209237 AA and rs11745958 CC with shorter times to attainment of 50 and 25% PDAI scores. Thus, NR3C1 gene variations may predict GC responsiveness in PV patients.
Drug-induced Lichenoid exanthema by a vaccine against COVID-19 (Vaxzevria)
Authors: Ziraldo Mathieu , Theate Ivan , Vanhooteghem Olivier
Published: October 2021

A 66-year-old white female presented with a generalized, erythematous and itchy eruption for 3 days after. She reported having fever on the first day of eruption, complaints of asthenia, and anorexia with no other systemic symptoms. She received her first dose of Vaxzevria (AstraZeneca) against COVID-19 three weeks prior. The eruption started on the right arm at the vaccine injection site and then spread progressively throughout the entire body. We noticed multiform erythema-like patches with three or four concentric circles with different shades of redness. Anatomopathological analysis indicated a lichenoid histological pattern compatible with adverse event of vaccine. Degressive general corticotherapy was prescribed with an improvement of the symptomatology and complete healing in ten days. Physicians should be aware if this rare adverse event. Drug-induced lichenoid exanthema is considered a non-severe reaction and does not contraindicate the re-administration of essential drugs. In this case, the patient refused the second injection of Vaxzevria.
Sleep promotion for hospitalised children: Developing an evidence-based guideline for nurses
Authors: Crous Elijeshca C. , North Natasha
Published: October 2021

Background: Adequate sleep in hospitalised children is important for a variety of physiological and psychological processes associated with growth, development, and recovery from illness and injury. Hospitalisation often prioritises clinical care activities at the expense of age-appropriate sleep. Nurses and the wider healthcare team contribute to this paradox. However, through conscious practice and partnering with mothers, nurses are able to enact change and promote sleep.Objectives: To adopt, adapt or contextualise existing guidelines to develop an evidence-based practice guideline to promote sleep-friendly ward environments and routines facilitated by nurses, and in partnership with mothers.Method: A six-step methodology for guideline adaptation was followed, as recommended by the South African Guidelines Excellence project: (1) existing guidelines and protocols were identified and (2) appraised using the AGREE II instrument; (3) an evidence base was developed; (4) recommendations were modified, (5) assigned levels of evidence and grades of recommendation; and (6) end user guidance was developed. Expert consultation was sought throughout.Results: Existing relevant guidance comprised 61 adult-centric recommendations. Modification of the evidence base led to six composited recommendations that facilitate sleep in hospitalised children: (1) prioritising patient safety; (2) collaborating with the mother or caregiver to promote sleep; (3) coordinating ward routine and (4) environment to improve sleep; (5) work with clinical and non-clinical staff; and (6) performing basic sleep assessments. Practice recommendations were aligned to the South African regulatory framework for nursing.Conclusion: Hospitalisation is a time of physiological and psychological dysregulation for children, which is amplified by poor sleep in a hospital. Nurses have the opportunity to promote sleep during hospitalisation by implementing this African-centric guideline in partnership with mothers.
Effectiveness of gatekeepers’ training for suicide prevention program among medical professionals and medical undergraduate students of a medical college from Western India
Authors: Patel Rutvin , Mehta Ritambhara , Dave Kamlesh , Chaudhary Pradhyuman
Published: October 2021

Introduction:

Suicide risk among Indigenous populations is a multifaceted phenomenon, influenced by biological, psychological, and social factors at the individual level, as well as cultural, political, and economic issues at the family and community level. The global prevalence of depression among medical students was recently estimated to be 28.0 % according to a meta-analysis of 77 studies. In the field of suicide prevention, the term gatekeeper refers to “individuals in a community who have face-to-face contact with large numbers of community members as part of their usual routine.” They may be trained to “identify persons at risk of suicide and refer them to treatment or supporting services as appropriate”. In our study we aimed to improved attitude and knowledge in gatekeeper to improve detection and referral of individuals who are at risk of suicide.

Methods and Material:

We adapted an evidence-based gatekeeper training into a two-hour, multi-modal and interactive event for medical professional and undergraduate students. Then we evaluated the intervention compared to free-recall knowledge and attitudes questions were examined before and after participation in a student and faculty gatekeeper training program. Focus groups with students enriched interpretation of quantitative results.

Statistical analysis used:

Knowledge, attitudes, and skills of both students and teachers were analyzed by Mann–Whitney U-test. Comparison of knowledge, attitudes, and skills between both groups was analyzed by Wilcoxon signed-rank test.

Results:

Undergraduate students developed more positive attitude for suicidal behavior where faculties developed more confident in their skill after training sessions.

Conclusion:

brief gatekeeper training found effective in improving knowledge about suicide. Also, increasing participants' accuracy to identify warning signs, risk factors and protective factors about suicide.
Developing ClinFIT COVID-19
Authors: Selb Melissa , Stucki Gerold , Li Jianan , Mukaino Masahiko , Li Leonard , Gimigliano Francesca
Published: October 2021

Introduction:

Health systems worldwide are challenged to address the health-care needs of persons with COVID-19. After the immediate need to mitigate the spread of COVID-19 and scale up relevant health-care capacities, one major challenge has emerged – scaling up rehabilitation to address the functioning limitations experienced by COVID-19 patients/survivors. To meet this challenge, the International Society of Physical and Rehabilitation Medicine (ISPRM) endeavors to develop a tool for the assessment and reporting of functioning of COVID-19 patients/survivors – “ClinFIT COVID- 19” to assist health professionals to optimally address patients' health-care needs. The first step in the development process is identifying the International Classification of Functioning, Disability, and Health (ICF) categories that ClinFIT COVID-19 should cover for acute, postacute, and long-term settings.

Methods:

The multistep process to develop the ClinFIT COVID-19 category list involved the development of a proposed list of ICF categories, a survey of ISPRM members worldwide about the proposed category list, and a postsurvey consultation with the ISPRM ClinFIT Task Force.

Results:

The final category list for the acute care context contains the seven categories provided to the survey participants (energy/drive functions, sleep, emotional functions, pain, exercise tolerance functions, carrying out daily routine, and walking) plus six categories related to respiration, mobility, and cognition. The postacute and long-term care versions also contain the seven categories plus additional categories relevant for the specific context. The postacute version contains 15 categories and the long-term 16 categories.

Conclusions:

To advance the next steps, the leaders of ISPRM and the Task Force call national and international societies of rehabilitation professionals to join this coordinated effort.
Epidemiology and treatment status of hepatitis C virus infection among people who have ever injected drugs in Korea: a prospective multicenter cohort study from 2007 to 2019 in comparison with non-PWID
Authors: Kim Kyung-Ah , Choi Gwang Hyun , Jang Eun Sun , Kim Young Seok , Lee Youn Jae , Kim In Hee , Cho Sung Bum , Ki Moran , Choi Hwa Young , Paik Dahye , Jeong Sook-Hyang
Published: October 2021

OBJECTIVES: Injection drug use is a major risk factor for hepatitis C virus (HCV) infection; however, limited data on this topic are available in Korea. Thus, this study aimed to investigate the epidemiological and clinical characteristics, treatment uptake, and outcomes of HCV infection among people who inject drugs (PWID).METHODS: We used the data from the Korea HCV cohort, which prospectively enrolled patients with HCV infection between 2007 and 2019. Clinical data and results of a questionnaire survey on lifetime risk factors for HCV infection were analyzed according to a self-reported history of injection drug use (PWID vs. non-PWID group).RESULTS: Among the 2,468 patients, 166 (6.7%) were in the PWID group, which contained younger patients (50.6±8.2 vs. 58.2±13.1 years) and a higher proportion of male (81.9 vs. 48.8%) than the non-PWID group. The distribution of PWID showed significant regional variations. Exposure to other risk factors for HCV infection was different between the groups. The proportion of patients with genotype non-2 infection was higher in the PWID group. Treatment uptake was higher in the PWID group in the interferon era; however, it was comparable between the groups in the direct-acting antiviral era. The rate of sustained virological response did not significantly differ between the groups.CONCLUSIONS: As of 2019, PWID constituted a minority of HCV-infected people in Korea. The epidemiological characteristics, but not treatment uptake and outcomes, were different between the PWID and non-PWID groups. Therefore, active HCV screening and treatment should be offered to PWID in Korea.
Maternal mental health in Africa during the COVID-19 pandemic: a neglected global health issue
Authors: Ajayi Kobi V. , Wachira Elizabeth , Bolarinwa Obasanjo Afolabi , Suleman Beulah D.
Published: October 2021

The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted mental health and well-being around the globe. Public health measures to control the virus’s rapid spread, such as physical distancing, social isolation, lockdown, restricted movements, and quarantine, caused fear and panic in the general population. Although pandemic-related stressors have been reported, changes that occur during the perinatal period compounded by those made to obstetric care guidelines may put pregnant and postpartum mothers at an increased risk of poor mental health. While an abundance of research has examined the impact of the pandemic on maternal mental health in developed nations such as Europe and America, very few studies have done so in the African continent. Considering that Africa has prominently weak health systems, poor mental health policies and infrastructure, high poverty rates, and unreliable maternal care, the pandemic is expected to have dire consequences on maternal mental health in the region. As such, multipronged mental health interventions and strategies that consider the heterogeneity within and between African regions must be developed. Doing so will close existing and widening global health disparities to achieve the United Nations Sustainable Development Goals by 2030.
Herbal Medicine, Diabetes Care at Primary Care Facilities and Prevention of Vertical HIV Transmission
Authors: Muula Adamson
Published: October 2021

In this September 2021 issue of the Malawi Medical Journal, three articles which attracted my attention are those by Mbali et al, Zimba et al, and Pfaff et al. Perhaps as Editor-in-Chief of the Journal, I should endeavor to be impartial and “love” all the articles the same. This time however, I have selected these articles because they touch on important health issues in Malawi, with Mbali et al, reporting on the use of herbal medicines among individuals living with HIV and receiving life-saving antiretroviral therapy (ART).
Frequency of home visits where general practitioners are exposed to a problem different from that foreseen – a Swiss cross-sectional study
Authors: Meuli Nina , Jungo Katharina Tabea , Merlo Christoph , Streit Sven , Essig Stefan
Published: October 2021

BACKGROUND: When a home visit is considered, patients’ suspected health problems are important for correct triage, the decision  for or against the visit and allocation of the visit to a general practitioner (GP) or a nurse practitioner. Misjudgment might lead to suboptimal patient outcomes.
OBJECTIVE: We aimed to evaluate the accuracy of suspected health problems (based on pre-visit assessments) by comparing them with the actual health problems (post-visit assessments) and investigating associated factors.
METHODS: GPs of the Swiss Sentinel Surveillance Network (Sentinella) reported pre-visit and post-visit assessments and patient characteristics for up to 20 consecutive home visits, which they conducted in 2019. Using multivariable logistic regressions, we investigated associations between patient and clinical factors and unconfirmed suspected health problems from pre-visit assessments and unforeseen actual health problems from post-visit assessments.
RESULTS: Overall, 114 GP practices participated. The GPs reported 1496 patient visits with a total of 1789 and 1762 health problems from pre-visit and post-visit assessments, respectively, that were included in the analysis. Musculoskeletal and circulatory problems were the most common in patients receiving home visits. The health problems from pre-visit and post-visit assessments were unconfirmed and unforeseen in15% and 13% of the cases, respectively. Older age (odds ratio [OR] 1.1 in 10-year steps; 95% confidence interval [95% CI] 1.0–1.3) and urgent visits (OR 1.7 compared with regular visits; 95% CI 1.1–2.6) showed a trend for more unforeseen health problems.
CONCLUSION: When home visits were conducted, about one out of seven health problems from pre-visit and post-visit assessments were unconfirmed and unforeseen. Particularly when patients were older or visits were urgent, there were higher odds of unconfirmed and unforeseen health problems.These results should be considered when triaging patients.
Localización de pares tribológico en bombas de agua tipo centrifugas para la propuesta de un plan de mantenimiento integral en la empresa atunera FISCHCORP S.A - Manta
Authors: Quiroz-Cedeño Danny Omar , Sabando-Piguabe Luis Felipe
Published: October 2021

Los elementos mecánicos con pares tribológicos tales como las bombas de agua de uso industrial tipo centrífuga son equipos de primera línea de trabajo en las industrias de consumo alimenticios, en la actualidad la población ha crecido drásticamente por tal razón las industrias tratan de optimizar las operatividades de estos equipos que contienen pares tribológicos debido a las series de desgastes que estos presentan al momento de estar en función y más aún si carecen de un mantenimiento adecuado y periódico. Mantenimiento es un término muy empleado en el día a día de las personas y de forma genérica y amplia. Parece una tarea difícil definir el mantenimiento desde el punto de vista industrial. La mayoría de las personas entiende por mantenimiento el acto de arreglar y reparar equipos e instalaciones para asegurar la continuidad operativa, es decir, conservación y no mantenimiento, pero, además, es mantener, prevenir, analizar, mejorar continuamente, dominar tecnológicamente y económicamente los medios productivos con seguridad y preservación del medio ambiente, el mantenimiento debe iniciarse bajo un control estricto de medidas técnicas y direccionadas en la condición de cada activo, llevando acabo una definición de la política de mantenimiento, organización de la documentación, registro y suministro de repuestos y procedimientos adecuados. En este proyecto se diagnosticarán los fallos funcionales en las bombas de agua tipo centrífugas y equipos de bombeos en general, estos son los excesivos rozamientos que se presentan en las zonas habituales tales como: ejes, rodamientos, sellos, etc.

Palabras clave: Fricción, desgaste, lubricación, Tribología, Cavitación, Estectocoipio, viscosímetro, termómetro.
Non-Archimedean volumes of metrized nef line bundles
Authors: Boucksom Sébastien , Gubler Walter , Martin Florent
Published: October 2021

Let $L$ be a line bundle on a proper, geometrically reduced scheme $X$ over a non-trivially valued non-Archimedean field $K$. Roughly speaking, the non-Archimedean volume of a continuous metric on the Berkovich analytification of $L$ measures the asymptotic growth of the space of small sections of tensor powers of $L$. For a continuous semipositive metric on $L$ in the sense of Zhang, we show first that the non-Archimedean volume agrees with the energy. The existence of such a semipositive metric yields that $L$ is nef. A second result is that the non-Archimedean volume is differentiable at any semipositive continuous metric. These results are known when $L$ is ample, and the purpose of this paper is to generalize them to the nef case. The method is based on a detailed study of the content and the volume of a finitely presented torsion module over the (possibly non-noetherian) valuation ring of $K$.

Comment: Published version, 34 pages
Publishing open-access bibliographical data on Ancient Greek and Latin texts: challenges, constraints, progression
Authors: Giovacchini Julie , Capron Laurent
Published: October 2021

Version soumise et acceptée pour publication dans le JDMDH

We present here both some of our thoughts on methodology in relation to the specific constraints that complexify the ways of structuring and accessing bibliographical data in the Sciences of Antiquity, and the solutions adopted by the IPhiS-CIRIS project for dealing with these constraints. The project began in 2014 in a general scientific environment that was still being standardised and structured, with digital bibliographical resources in this disciplinary field becoming increasingly numerous, although of uneven quality and hard to access and/or private.
ECONOMIC CONDITIONS OF FUNCTIONING AND DEVELOPMENT OF ENGINEERING EDUCATION IN RUSSIA
Authors:   Samara State University of Economics, Mantulenko V.V. , Aleshkova D.V. ,   Samara State University of Economics
Published: October 2021

The article investigates the economic aspects of the functioning and development of engineering education in Russia. The relevance of this issue is determined by the active innovative development of our society, in accordance with global trends, as well as the requirements for graduates of engineering specialties. Innovative development is impossible without modernization of engineering education as one of the main components of innovation processes. All this has a significant impact on the economic development of the country and its position on the world market. In this regard, the purpose of this research is to study functioning conditions of engineering education in Russia. The analysis has shown the relevance of a comprehensive study of the engineering education development, which is confirmed by the geography of scientific publications. In the course of the study, the authors identified the following development areas of engineering education in Russia: using the knowledge and experience of the old school personnel to update educational programs, expanding the area of interests of engineering education in the country, focusing on retaining scientific and practical personnel in the country and, as a result, forming a personnel reserve, expanding student exchange programs and using existing laboratories and centers to exchange experience and use it in practical tasks to improve the quality of the educational process.
EXPERIENCE IN CALCULATING THE CONSUMER PRICE INDEX IN FRANCE: STATISTICS AND POLICY
Authors:   Ural State University of Economics, Kozlova M.A.
Published: October 2021

The article investigates the experience of forming the methodology for calculating the consumer price index (CPI) in France from the 1910s to the present. The peculiarities of the index functioning in France are determined by two factors: following the general trends in the development of the indicator methodology and the critical assessment by society of its role. In the first situation, the generalization of historical development is relevant in the light of the accumulation of experience in the formation of sample populations of settlements, points of sale and goods and services, that is necessary to improve the methodology of CPI calculation in other countries. The second situation of discussing the index functioning as an object of political manipulation in France is of scientific interest in order to study the significance of the indicator for society and transfer this experience to the socio-economic systems of other countries. The generalization of materials on data collection and computing techniques was carried out on the basis of dividing the CPI calculation into stages proposed by Rosstat and considered as standard within the framework of the international standard. The political context of the CPI development in France is presented in a separate part of the article on the basis of combining with methodology data for calculating the indicator.
La relación entre el desarrollo de los municipios y la puntuación en Matemáticas: un caso aplicado para Colombia
Authors: Mora Rodríguez Jhon James , Estrada Nates Daniela
Published: October 2021

Este artículo analiza el efecto del municipio sobre el resultado académico del estudiante de la prueba Estatal Colombiana Saber 11. A partir de modelos lineales jerárquicos con regresión cuantílica nuestros resultados sugieren que el entorno de desarrollo tiene un efecto signiﬁcativo sobre la punuación en matemáticas para los estudiantes en los cuartiles analizados. De esta forma, los hacedores de política pública deberán tener en cuenta las condiciones del lugar donde viven los estudiantes a la hora de formular políticas educativas encaminadas a mejorar la calidad educativa, ya que esto puede incidir sobre la desigualdad y las oportunidades para acceder a la educación superior.
Cluster analysis of agricultural products storage infrastructure in Kazakhstan: directions and development prospects
Authors:   Department of Economics and Entrepreneurship, Azatbek T. ,   L.N. Gumilyov Eurasian National University,   F19A1T8 Kazhymukan str., 11, Nur-Sultan, Kazakhstan,   e-mail: tolkyn_d2005@mail.ru,   https://orcid.org/0000-0003- 0750-8811, Raimbekov Zh. ,   Department of Economics and Entrepreneurship; L.N. Gumilyov Eurasian National University; F19A1T8 Kazhymukan str., 11, Nur-Sultan, Kazakhstan, F19A1T8; e-mail: zh_raimbekov@mail.ru; https://orcid.org/0000-0002-4292-6966, Syzdykbayeva B. ,   Tourism Department; L.N. Gumilyov Eurasian National University; F19A1T8 Kazhymukan str., 11, Nur-Sultan, Kazakhstan; e-mail: bakyt_syzdykbaeva@mail.ru; https://orcid.org/0000-0001-9463-4933
Published: October 2021

Purpose - the article is devoted to identifying the needs of the economy of Kazakhstan in infrastructure facilities for storing agricultural products and the prospects for its further development. Methods - statistical, factorial and k-mean cluster analysis. Results - the influence of an efficiently functioning network of storage facilities for agricultural products on the stability of providing the population with food, reducing the volatility of prices and supplies in the off-season is justified. The authors revealed that modern premises for warehousing and preserving the quality of agricultural products in foreign countries combine the functions of storage and marketing by creating logistics wholesale distribution centers (WDC), which allow the use of modern information technologies and computer systems aimed to form consumer applications for formulating commodity groups and delivery of the required product volumes to the consumer with minimal costs. Based on the analysis of indicators of harvesting and use of the main types of agricultural products in the republic (stocks at the beginning of the year, gross harvest, imports, industrial use and domestic consumption, losses, exports, personal consumption by the population, reserves at the end of the year, availability of storage facilities, shortage), the need in the storage infrastructure has been determined. The clustering of warehouse buildings was carried out according to the main features: the volume of one-time preservation, level of losses, availability of climatic warehouses and transport mechanism, on the basis of which five clusters have been identified. Conclusions - cluster analysis of storages showed their uneven and irrigation distribution across the regions of the country. It is necessary to modernize and build new such facilities of various capacities on the basis of the WDC - large hubs concentrated in various regions of Kazakhstan, depending on their needs.
Advokasi UU ITE:Peningkatan Kewaspadaan Guru Terhadap Serangan Cyberbullying Antar Peserta Didik Di Gugus II Harjuno (Pengabdian Masyarakat pada Gugus II Harjuno Surakarta)
Authors: Nastiti Faulinda Ely , Prastyanti Rina Arum , Srirahayu Agustina
Published: October 2021

Undang Undang Informasi dan Transaksi  Elektronik  (atau  biasa  disebut  dengan  UU  ITE) adalah undang undang yang mengatur mengenai teknologi informasi secara  umum.  Undang undang ini penting untuk dipahami bagi siapapun. Perkembangan teknologi melahirkan bentuk-bentuk perbuatan hukum baru seperti halnya cyberbullying. Cyberbullying dan pelanggaran UU ITE justru lebih banyak terjadi pada usia anak-anak hingga remaja. Kebebasan penggunakan internet serta kebebasan berpendapat yang salah, menyebabkan utama anak-anak dan remaja ini tanpa sadar telah melanggar hukum. Hal ini terjadi karena kurangnya pengetahuan tentang UU ITE. Melalui kegiatan pengabdian kepada masyarakat ini diharapkan, melalui para guru anak-anak serta orangtua mendapatkan sosialisasi dan pendampingan etika pemanfaatan intenet dengan bijak.
Penggunaan Metode Simple Addtive Weighting (SAW) Untuk Menetukan Calon Penerima Beasiswa
Authors: Supriyati Supriyati , Kusrini Kusrini , Luthfi Emha Taufiq
Published: October 2021

Pendidikan yang semakin tinggi akan membuka jalan seseorang menuju masa depan yang lebih baik. Bantuan pendidikan berupa beasiswa dari sekolah yang diberikan kepada siswa mampu menjadi motivasi tersendiri bagi siswa yang berprestasi. Data yang diolah pada penelitian ini diambil dari Smk Syubbanul Wathon Tegalrejo Magelang sebagai data input. Kriteria-kriteria yang diolah antara lain, data nilai rata-rata rapot, penghasilan orang tua, dan jumlah tanggungan orang tua dengan data alternatif (kandidat) 20 siswa. Penelitian ini bertujuan untuk membantu sekolah dalam menentukan calon penerima beasiswa dengan menggunakan metode Simple Additive Weighting (SAW). Hasil penelitian ini mampu menunjukkan bahwa alternatif yang memiliki nilai preferensi yang tertinggi dapat dijadikan prooritas sebagai calon penerima beasiswa.
Analisis Teknologi Virtual Mesin Proxmox Dalam Rangka Persiapan Infrastruktur Server
Authors: Firmansyah Yudha Christianto , Winarno Wing Wahyu , Pramono Eko
Published: October 2021

Teknologi virtualisasi dalam dunia komputasi saat ini menjadi topik hangat untuk diperbincangkan dalam pembahasan riset teknologi yang dipergunakan pada server. Virtualisasi dan kontainer merupakan bagian yang sangat penting dalam pengoptimalisasian server, karena sangat berpengaruh pada efisiensi pengelolaan resource infrastruktur server itu sendiri. Pembuatan sebuah server yang baik membutuhkan biaya yang tidak sedikit apalagi untuk membangun hingga menjadi sebuah cloud computing. Supaya biaya dapat ditekan dan murah maka digunakanlah virtualisasi server. Virtualisasi server ialah membangun server pada sebuah komputer atau laptop menggunakan media machineware. Dalam VM tersebut dibangun beberapa server dengan sistem operasi berbeda, baik dari Microsoft Windows maupun Linux dengan variannya, semua sistem operasi berjalan bersamaan. Proxmox merupakan software open source Virtualization Platform untuk menjalankan Virtual Appliance dan Virtual Machine. Proxmox VE adalah distro khusus yang didedikasikan secara khusus sebagai mesin host virtualisasi sistem dan memuat 2 teknologi virtualisasi, yaitu KVM dan OpenVZ. Dari basil penelitian dapat disimpulkan bahwa ProxmoxVE dapat menjalankan mesin virtual secara penuh layaknya baremetal hypervisor. Hal ini ditunjukkan dengan berjalannya beberapa VM dalam satu server untuk menjalankan sistem maupun aplikasi yang dipergunakan pada institusi tersebut sehingga dapat menekan pengeluaran biaya untuk pembelian server.
Multi Respon Ranking Pada Percakapan Layanan Travel Berdasarkan Riwayat Obrolan
Authors: Rizki Uli
Published: October 2021

Membangun sebuah chatbot tidak lepas dari basis pengetahuan. Basis pengetahuan bisa diperoleh dari data yang telah diberi label oleh pengembang, dokumen yang telah di konversi menjadi pre-processing data, atau informasi yang diambil dari media sosial. Dalam hal ini, data yang digunakan sebagai pengetahuan adalah riwayat obrolan. Dialam riwayat obrolan tersebut tentu banyak sekali variasi jawaban dan menungkinkan satu pertanyaan menimbulkan banyak jawaban. Untuk mengatasi multi respon tersebut maka dibuatlah pemeringaktan respon. Adanya pemeringkatan, tentu respon yang diinginkan oleh pengguna akan lebih sesuai. Tantangan dalam pemeringkatan adalah bagaimana mendapatkan inti dari sebuah pertanyaan dan menemukan pasangan tanya jawab dari data. Hal tersebut bisa diselesaikan dengan model sequence to sequence. Namun, permasalahan yang akan muncul adalah konsistensi jawaban. Adanya banyak riwayat obrolan dari layanan travel tentu menimbulkan banyak jawaban mesi inti dari pertanyaan adalah sama. Untuk itu Algoritma CNN sebagai solusi untuk permasalahan tersebut. Penelitian ini menggunakan convolutional sequence to sequence yang akan diterapkan untuk respon ranking. Kami memandingkan efisiensi dari model ini. Dengan melakukan perbandingan, model ini menunjukan hasil akurasi sebesar 86.7%
Sistem Peramalan Kebutuhan Stok Obat Menggunakan Metode Holt-Winters
Authors: Staviana Eliza , Kusrini Kusrini , Luthfi Emha Taufiq
Published: October 2021

Pembelian stok obat di RS Budi Sehat Purworejo masih memiliki kendala misalnya terjadi penumpukan atau kekurangan stok obat. Hal tersebut dikarenakan RS Budi Sehat masih melakukan pembelian stok obat secara konstan setiap periodenya. Hal ini mengakibatkan terjadinya penumpukan stok obat apabila terjadi penurunan penjualan obat. Tujuan penelitian ini adalah meramalkan kebutuhan stok obat menggunakan metode Holt-Winters berdasarkan data obat sebelumnya. Penelitian ini menggunakan metode Holt-Winter dengan sampling sebanyak 784 item dan menggunakan Mean Absolute Percentege Error (MAPE) untuk perhitungan error. Hasil peramalan menggunakan metode Holt-Winters error (tingkat kesalahan) yang diukur dengan MAPE adalah 89%. Hal ini menunjukan metode HoltWinters sangat bagus dalam meramalkan stok obat masa datang. Hasil akhir dari penelitian ini diharapkan dapat membantu proses perhitungan peramalan obat masa mendatang secara mudah, memperkecil kesalahan, dan menghasilkan ramalan yang akurat dan cepat
Analisis Dan Pengembangan Website Promosi Pada Yudhi Meubel Sragen
Authors: Susena Edy , Ratnawati Anista Yulia , Susanto Edy
Published: October 2021

Teknologi informasi berkembang dengan pesat, hal ini dibuktikan semakin banyak pelaku usaha untuk memanfaat teknologi dalam membantu usahanya. Dengan menggunakan teknologi informasi data dan informasi dapat tersaji dengan cepat sesuai dengan kebutuhan. Untuk menghadapi era revolusi industri 4.0 yang mengedepankan penggunaan teknologi informasi pelaku usaha mau tudak mau harus dapat menerapkan teknologi dalam menjalankan bisnisnya. Jika tidak dapat mengikuti teknologi pasti akan terlindas dan usahanya dapat gulung tikar. Toko Meubel merupakan usaha yang bergerak dalam penjualan meubel. Di daerah pedesaan pelaku usaha meubel dalam penjualannya masing menggunakan cara tradisonal yaitu informasi antar pembeli. Hal ini menyebabkan meubel tidak banyak dikenal oleh masyarakat. Dengan permasalahan itu maka peneliti akan melakukan analisis dan pengembangan model promosi secara online dengan metode Waterfall. Penelitian dimulai dengan melakukan pengunpulan data, melakukan analisis, mendesain, melakukan koding atau pengembangan sistem. Hasil dari penelitain ini adalah peneliti telah berhasil melakukan analisis website promosi yaitu: website disetting dengan dua hak akses, yaitu admin dan user. Admin berhak melakukan manajemen dan setting website mulai dari mengatur identitas toko, mengatur data meubel yang akan dijual, mengatur meubel yang dipromosikan, mengatur kontak admin, sementara hak akses user adalah dalam melihat promo yang ditampilkan dalam website, melihat produk meubel, kontak kami. Desain yang telah dibuat adalah diagram konteks, bagan berjenjang dan desain input dan output. Kesimpulannya adalah sistem website promosi meubel telah berhasil dikembangkan dan sudah diimplementasikan.