bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Ocular Manifestations in Developmentally Delayed Children
Authors: Qayyum Ashvinah , Qayyum Muhammad Ahmed , Farooqui Fizza Naz , Qayyum Seema
Published: April 2023

Purpose:  To study the frequency of ocular abnormalities in developmentally delayed children of a private pediatric ophthalmology clinic.
Study Design:  Observational cross-sectional.
Place and Duration of Study:  Children eye care, Lahore, from October 2020 to October 2022.
Methods:  Children aged five years and younger referred by a pediatrician for visual assessment were included in the study. The referring pediatrician made diagnosis of delayed milestones. A detailed ocular examination was done to rule out presence of any ocular abnormality. Data were collected, and statistical analysis was done using Excel (Microsoft 2015, version 15.15) and Stata (version 13).
Results:  A total of 406 children were included in the study. Forty one percent were in the age bracket of 1 – 2 years. There were 63% boys. Among all, 77% had compromised vision, of which 60% had abnormal ocular findings, while cortical visual impairment (CVI) was seen in 17%. The most common ocular issue was refractive error (30.29%), of which hyperopia was seen in 70.7% and myopia in 29.3%. Strabismus was seen in 15.5% of children and exotropia being more prevalent. Visual delay was detected in 19.8%. Out of these 42% had hyperopia, whereas 21% had esotropia.
Conclusion:  The significant association of ocular abnormalities with development delay is a cause of great concern as this can lead to an increase in overall morbidity. A timely examination by a pediatric ophthalmologist would lead to early detection of any ocular abnormality and convenient management, preventing undue visual impairment.
Ocular Manifestations of Diabetes: A Cross-Sectional Study
Authors: Moughees Ahmad  , Zeeshan Hameed  , Irfan Qayyum Malik  , Ali Hassan Iqbal  , Tanveer Ahmed Choudhary
Published: April 2023

Purpose:  To describe the ocular manifestations of diabetes mellitus in patients of a tertiary care hospital of Pakistan.
Study Design:  Cross-sectional study.
Place and Duration of Study:  Ophthalmology Department, DHQ Teaching Hospital, Gujranwala from 1st October, 2022 to 31st December 2022 (3 months).
Methods:  After taking informed consent and approval from ethical review committee, a self-designed questionnaire was used to collect data which included biodata, type, duration and control of diabetes, associated comorbidities and treatment. Visual acuity and intraocular pressure was measured. Anterior segment examination was performed on slit-lamp bio microscope and posterior segment examination was done with the help of Volk 90D lens after pupillary dilatation with Tropicamide 1% eye drops. All findings were saved on excel spreadsheets and analyzed through Statistical Package for Social Sciences (SPSS) version 25.
Results:  Out of total 500 patients, 208 (41.6%) were male and 292 (58.4%) were female. Ages ranged from 35 to 77 years with mean age of 55.7 years. Type II diabetes was present in 467 (93.4%) patients and only 147 (29.4%) patients had good glycemic control. Most common anterior segment finding was cataract in 321 (64.2%) patients followed by dry eye and posterior blepharitis in 300 (60.0%), delayed pupillary response in 103 (20.6%) patients. In posterior segment, most common finding was Non-proliferative Diabetic Retinopathy (NPDR) in 90 (18%) patients.
Conclusion:  Cataract and non-proliferative diabetic retinopathy are the commonest manifestations of diabetes.
Metrological support features during certification tests of a turboshaft propeller aircraft engine
Authors:   Afanasev V.A. Goncharov V.V. Monahova V.P.
Published: April 2023

A strain gauge method is proposed for measuring the torque on the turboprop shaft during certification tests. The features and advantages of this method over traditional methods for measuring torque in the process of certification of aircraft engines are presented.
Keywords: metrological support, aircraft engine, torque, strain-gauging measurement, certification test.
vaa96@mail.ru, monakhova.v.p@mail.ru, goncharov_vv@rambler.ru
Application of the principles of taxonomy and decomposition in the design of abrasive processing to improve product quality and tool life
Authors:   Durov D.S. Safoklov B.B. Dolgov O.S. Golovin D.L.
Published: April 2023

The application of the principles of taxonomy and decomposition in the design of machining parts with impregnated abrasive wheels is considered. To ensure high quality processing and increase tool life, a predictive analysis of their operating parameters is used.
Keywords: abrasive processing, taxonomy, decomposition, processing quality, predictive model. safoklovbb@mail.ru
Comparative evaluation of the yield strength of ferrite-pearlite steels by structure parameters
Authors:   Kanaev A.T. Remshev E.YU. Moldahmetova A.E. Kalugina M.S.
Published: April 2023

The influence of different hardening mechanisms on the yield strength of carbon and low-alloy steels is studied. It is established that for Ст.5пс hot-rolled steel, the greatest influence on the yield strength is exerted by solid-solution and grain-boundary hardening, and for 16Г2АФ low-alloyed steel, in addition to these types of hardening, it is also dispersion type. It is shown that thermomechanical treatment of Ст.5пс steel increases dislocation hardening as a result of a decrease in the increase in the density of dislocations and their preservation during accelerated cooling of hot-worked austenite in rolled products.
Keywords: hardening, yield strength, thermomechanical treatment, accelerated cooling, phase components, grain size.
aman-kanaev2012@yandex.ru, remshev@mail.ru, mash-kalugin@yande.ru, aliya-981@mail.ru
The effectiveness of the use of technological equipment depending on the design and technological complexity of the parts
Authors: Epifanov V.V.
Published: April 2023

An approach to the selection of the range of processed parts is considered, taking into account the effectiveness of using machine tools for machining production, depending on the structural and technological complexity of the inprocess part, which is proposed to be determined by the number of coordinates implemented by the executive bodies of the used machine when forming the workpiece.
Keywords: technological equipment, CNC machine, in-process part, labor intensity of processing.
v.epifanov73@mail.ru
CHILDREN'S SOCIO-EMOTIONAL DEVELOPMENT AT ELEMENTARY- LEVEL SCHOOLS IN PUNJAB PAKISTAN
Authors: Raheem Abdul , Abdul Qadir  , Muhammad Shahbaz Haidar
Published: April 2023

This research was conducted for estimating the progress of the socio-economic development of students at elementary-level schools in Pakistan. This study will be significant for students who are taking their courses in education and benefit parents as they will do more to help the teachers to become more knowledgeable about their students and their environment. This study used a combination of quantitative data and qualitative data. The quantitative data ultimately showed a statistical percentage whereas qualitative data were analyzed descriptively. The data was collected using observation from a private sector school where 30 students from class 6th were selected as a sample. The researcher did random sampling. The research used a comparative design. The quantitative data were analyzed using comparative statistics. The finding of the study suggests that respect is one of the important elements that should be promoted by teachers using different ways findings of this study can be used by school teachers to improve the socio-economic development of students. Results can also be used as the basis for further research on the role of socio-economics in the development of the learning of students.
Pengaruh Store Atmosphere, Price dan Service Quality terhadap Minat Beli Konsumen Pada Cooffee Shop Kopi
Authors: Asrul
Published: April 2023

This type of research is descriptive and quantitative research, because this research is used to provide an objective description or description of a situation. This study aims to see the effect of Store Atmosphere on Purchase Intention, the effect of Price on Purchase Intention, the effect of Service Quality on Purchase Intention and see the effect of Store Atmosphere, price, Service Quality on purchase intention. This research was conducted in the form of interviews and distributing questionnaires. The population in this study were all consumers who had made a purchase at least once at a coffee coffee shop from the heart of Pariaman City. The sample in this study were 49 respondents, the sampling technique used incidental sampling or sampling technique based on chance. This study uses hypothesis testing, the results of this study indicate that partially Store Atmosphere does not have a significant effect on purchase intention because the value of ttab>thit (1.6772> 0.174), price has a significant effect on purchase intention because ttab<thit (1.6772<13.906 ) and service quality have a significant effect on purchase intention because ttab<thit (1.6772<3.573). While simultaneously Store Atmosphere, price, service quality have a significant effect on purchase intention because fhit>ftab (156.543 > 1.6772). Based on the results of the Determination test (R2), it was found that the contribution of the independent variables Store Atmosphere (X1), price (X2), and service quality (X3) to purchase intention (Y) was 91.3%, this shows that the influence between the variables is very high. strong because the greater the Rsquare number the stronger the influence between these variables.
Fen Bilimleri Dersine Yönelik Kaygı Ölçeği Geliştirme Çalışması
Authors: ŞİMŞEK Faruk , HAMZAOĞLU Ergin
Published: April 2023

Bu araştırmada, ortaokul öğrencilerinin fen bilimleri dersine yönelik kaygı düzeylerini tespit etmek amacıyla kullanılabilecek geçerliği ve güvenilirliği sağlanmış bir ölçeğin geliştirilmesi amaçlanmıştır. Araştırma 2020-2021 eğitim-öğretim yılında Osmaniye ili Düziçi ilçesinde tesadüfi örneklem yöntemi ile seçilen 5, 6, 7 ve 8. sınıfta öğrenim gören 796 öğrenci ile yürütülmüştür. Araştırmanın ilk aşamasında 41 maddeden oluşan taslak ölçek hazırlanmış ardından alanında uzman yedi kişinin görüşüne başvurulmuştur. Uzmanlardan gelen dönüt ve düzeltmeler doğrultusunda altı madde ölçekten çıkarılmış, 12 madde ise düzeltilerek taslak ölçeğe dâhil edilmiştir. Son şekli verilen 35 maddelik taslak ölçeğin yapı geçerliğini belirlemek amacıyla açımlayıcı faktör analizi yapılmış, analiz sonucunda üç faktörlü 20 maddeden oluşan ölçek elde edilmiştir. İkinci aşamada doğrulayıcı faktör analizi yapılmış ve uyum indeksleri incelenmiştir. Elde edilen veriler uyum indekslerinin uygun olduğunu göstermektedir. Ölçeğe ait güvenirlik, Cronbach Alpha güvenilirlik katsayısı ve test-tekrar test tekniği ile analiz edilmiş ve ölçeğin güvenilir olduğu tespit edilmiştir. Sonuç olarak ortaokul öğrencilerine yönelik geçerliği ve güvenirliği sağlanmış fen bilimleri dersine yönelik kaygı ölçeği geliştirilmiştir.
PENGARUH PEMBANGUNAN ZONA INTEGRITAS, KOMPENSASI DAN LINGKUNGAN KERJA TERHADAP KEBUTUHAN BERPRESTASI DAN KINERJA PEJABAT STRUKTURAL PENGADILAN AGAMA DI NUSA TENGGARA TIMUR
Authors: Ngalim Saiin , Meutia Meutia , Budiastra A.A Ketut
Published: April 2023

This study aims to analyze the effect of the Development of Integrity Zones, Compensation and Work Environment on the need for achievement and the Performance of Struktural Officials of the Religious Courts in East Nusa Tenggara. Data were obtained using a closed statement questionnaire on a likert scale of 1 to 6 on five research variabels. The number of respondents 91 people. Data were analyzed using Struktural Equation Modeling (SEM) based on variance (Partial Least Square) with SmartPLS software version 3 for Windows. Hypothesis testing for alpha 5% is accepted if the t statistic is > 1.96 or p values ??< 0.05. The results of the study show that (1). The Development of the Integrity Zone has a positive but not significant effect on the need for achievement, (2). Compensation has a negative and insignificant effect on the need for achievement. (3) The work environment has a positive but not significant effect on the need for achievement. (4) The development of the Integrity Zone has a positive and significant effect on performance. (5) Compensation has a positive and significant effect on performance. (6) Work environment has a negative and insignificant effect on performance. (7) The need for achievement has a positive and insignificant effect on performance. (8) The role of the need for achievement in mediating the effect of the Integrity Zone Development on performance is a no mediation effect (does not have a mediating effect). (9) The role of the need for achievement in mediating the effect of compensation on performance is a no mediation effect. (10) The role of the need for achievement in mediating the effect of the work environment on performance is a no mediation effect
PENGARUH EFISIENSI, PROFITABILITAS DAN FIRM SIZE TERHADAP TAX AVOIDANCE (Studi Empiris Pada Sektor Perbankan Periode Tahun 2017 - 2021)
Authors: Nurhasan Yunus
Published: April 2023

This study aims to find evidence of the influence of efficiency, profitability and firm size on tax avoidance at national banks in Indonesia. The independent variables used in this research are efficiency, profitability and firm size. While the dependent variable in this study is Tax Avoidance as measured by the Effective Tax Rate (ETR). The type of research used in this research is quantitative data. The source of data used in this research is secondary data. The population in this study are national banking companies for the 5 year period 2017-2021. The determination of the research sample used a purposive sampling method and obtained a sample of 10 Banks. Testing the hypothesis in this study using multiple linear regression with the help of Eviews Version 10. The results of this study indicate that efficiency has no effect on tax evasion, profitability has a negative effect on tax evasion and firm size has an effect on tax avoidance . While simultaneously showing that the efficiency, profitability and Firm size have effect on tax avoidance
PROFESIONALISME APARATUR SATUAN POLISI PAMONG PRAJA KABUPATEN SUMBAWA BARAT
Authors: Rahman Aufa , Darmanto Darmanto , Diki Diki
Published: April 2023

Professionalism is a most to be owned by the State Civil Apparatus in today's dynamic era. This research tries to explore two important things in looking at Professionalism in Pamong Praja Police Unit of West Sumbawa Regency, that is: How is the professionalism of Pamong Praja Police Unit of West Sumbawa Regency and what the factors that influence it are. The author tries to explain these two things by combining between the theory and concepts put forward by experts with the field conditions that occur. So that we can find out whether Pamong Praja Police Unit of West Sumbawa Regency is Professional, Towards Professional or Not Professional at all. The research method used is descriptive qualitative research because it is related to the selected problem that is telling social phenomena that does not intend to make calculations qualitatively or using statistics but rather lead to exploitation of public expression and events that occur. The Source Data in this study are: Informants, Events, and Documents. Data collection techniques used in this study are: Interview, Observation, and Documentation. Pamong Praja Police Unit has a duty to maintain and organize public order and tranquility, to carry out Community Protection, to enforce the Regional Regulation and the Decision of the Regional Head. To carry out these tasks required high professionalism, to know that there are several indicators used in viewing the professionalism of Pamong Praja Police Unit of West Sumbawa Regency are: a) The intellectual capacity of employees; b) Standard of work; c) Moral and ethical standards.
ANALISIS SINERGITAS BRIGIF 4 MARINIR/BS DAN BALAI BESAR PERIKANAN BUDIDAYA LAUT DALAM MENINGKATKAN KESEJAHTERAAN PRAJURIT
Authors: Purnama Haris Tri , Marsudi Danang , Dilianto Bambang
Published: April 2023

One of the tasks carried out by the 4th Marine Brigade/BS is marine cultivation in improving the welfare of soldier's families. The current condition of marine cultivation has been programmed and is running optimally, however, the collaboration between the Marine Cultivation Fisheries Center has not synergized well. So that the support given to Brigif 4 Marines/BS to improve the welfare of soldiers' families has not been optimal. Various family welfare problems that arise in Indonesian society, one of which is the decline in the economic level. The problem of family welfare is motivated by changes in people's lives in the era of globalization, which are accompanied by increasing living needs, increasingly fierce competition in life, inability and limitations to adapt. The purpose of this study is to see the effect of marine cultivation in improving the welfare of soldiers. This study uses a quantitative method which is a method for testing certain theories by examining the relationship between variables with research instruments based on statistical procedures. Data analysis This research used Statistical Product and Service Solutions (SPSS) software version 25, in determining the sample used the researcher used non-probability sampling with incidental sampling technique, to determine the number of samples using the Slovin formula so that the sample obtained was 70 respondents.
¿QUÉ HAY DETRÁS DE LA VIOLENCIA FEMINICIDA Y CÓMO SE ABORDA EL TEMA EN MÉXICO?
Authors: López Ballesteros Mariel Idelette
Published: April 2023

En el presente texto se abordará el tema del feminicidio, analizando integralmente los ángulos, aspectos y perspectivas que subyacen, relacionándolos asimismo con distintos conceptos erróneos que, lejos de ayudar a visibilizar el problema, lo despolitizan completamente. Se expondrán, también, diversos enfoques, propuestas y discursos (con sus marcos normativos implícitos), y los vincularé con la violencia contra las mujeres desde un ámbito filosófico y judicial, de investigación, atención y prevención.
ORATORIA
Authors: Fabila Vázquez Gabriela
Published: April 2023

La autora nos comparte su experiencia universitaria resaltando la importancia de la oratoria para las y los estudiantes de Derecho. Fue a través de diversos cursos, concursos y actividades estudiantiles que realizó durante cinco años de carrera, que pudo entender el sentido de estudiar Derecho, lograr enfrentar sus miedos, no solo al hablar en público, sino al argumentar con bases jurídicas lo que no es correcto o no va con sus ideales, además, de la evolución personal que esto le trajo como consecuencia.
The Problems and Prospects of Child Adoption in Nigeria
Authors: Kekere Alaba Ibironke , Ajidasile Oluwadara Oluwaseun
Published: April 2023

It is not in dispute that children are an integral part of every family. More often than not, the absence of children in a family is viewed as problematic, especially in a place like Nigeria where indigenous customs and traditional practices still largely govern the beliefs of people. It is expected that every marriage should produce biological children; however, some couples are not that fortunate for various reasons ranging from barrenness to loss of pregnancy or non-survival of children. To this end, adoption offers such couples an alternative which makes it possible for them to have children which they can legally call their own, with all the rights, privileges and responsibilities over such children as if they were the biological parents. Although adoption is not a novel practice in the Nigerian Family Law, many challenges have hampered the smooth running of the process, particularly in recent times. Sadly, chief among these challenges is the bizarre reality of “baby factories” that the social welfare system has had to grapple with. Hence, in order to aid a proper interrogation of relevant issues, this paper is divided into five sections. Section I deals with introductory matters in relation to adoption; section two considers the legal framework regulating adoption in Nigeria; section three which is the thrust of the paper, considers the problems facing the child adoption system in Nigeria; section four takes a look at the position of intercountry adoption as well as the future of adoption in Nigeria; while section five concludes with meaningful suggestions that could uncurl the adoption system in Nigeria.
Party Politics, The Zoning Policy Paradox, And Consolidation of National Unity: An Assessment of the Two Major Political Parties in Nigeria
Authors: Ogu Esomchi Chris-Sanctus , Magnus Chijindu Onyemaobi , Chukwuemeka Quentin Chukwu
Published: April 2023

The word “Zoning” has dominated the present political struggle in Nigeria. To a reasonable degree, zoning has been omnipresent in the genesis of Nigeria’s politics right from the first Republic and influences the formation of government (both military and civilian), and has been a subject of debate amongst scholars. It is right to reaffirm that the intention of those who brought the idea of the zoning policy into Nigeria’s political space was to ensure fairness in the rotation of key political offices across the country, but the politics and contentions associated with the actual practice of it is something to worry about. This is due to the fact that Nigerian politics over the years have been played on the basis of ethnicity as zoning seems to be an arrangement made to favour a particular set of people, who by reason of numbers acclaimed to be the majority, as against those who are regarded as the minority. In fact, zoning has practically turned out to represent the interest of few elites, who want to perpetually remain in power, and it is also defined by them, against what the masses may consider zoning to be in the sense of justice and fairness. With the 2023 general elections in sight, the issue of zoning is once again central and, as usual, contentious. This paper is an attempt to interrogate the extent to which the zoning of political offices during electoral contests, appointments, and the distribution of amenities will help in sustaining national unity in Nigeria and help in harmonizing and actualizing party interest(s). Scholars have written extensively on the zoning arrangements in Nigeria, some have even gone as far as tracing its origin to the second republic, but one thing which has remained a gab in their efforts is their inability to capture appropriately how zoning can help keep the country together by not just stating or making mention of zoning, but applying it in spirit and in principle. In gathering data for the study, the paper made use of the secondary method of data collection, while the generated data was analyzed using content analysis. Using John Rawl’s Theory of Justice, the paper finds and exposes the marginalization in the undue application of the zoning policy in Nigeria. This is because political actors have always placed their personal and party interests above fairness and justice. In other to ensure political justice, and consolidate National unity in the country, the paper recommends that the interest of the diverse religion, languages, and tribes that make up the country should be considered always so as to overcome the feeling of marginalization and domination of one region over the other which is about to tear the country into pieces.
The Dynamics of Multilingualism and Language Variation in A Border Region: A Study of Omuo-Ekiti, Nigeria
Authors: Ogunlade Adeola Omodele , Dada Samuel Ayodele
Published: April 2023

This study examines the impact of multilingualism on the indigenous languages/dialects of Omuo people. The data for the study are obtained through the use of the questionnaires and interview. The theoretical framework adopted for the study is Domain of Language Behaviour. The study discovers that Omuo dialect, which is a subset of Ekiti dialect is distinguishable from all other Ekiti dialects most especially at the phonological level. The reason for this is accrued to the fact that Omuo shares boundary with two states- Kogi State and Ondo State as such dialects of the immigrants from these states have influenced Omuo dialect at the phonological and lexical level. This shows that multilingualism can lead to language variation, change and endangerment. Omuo people are therefore encouraged not to allow their language to be eroded or coloured through the influx of people to their community.
Correlation of Brain-Derived Neurotrophin Factor Levels in Epilepsy Patients Treated with Valproic Acid and Phenytoin with Cognitive Function
Authors: Madi Kharis , Bintoro Aris Catur , Samekto M. I. Widiastuti , Kustiowati Endang , Muhartomo Hexanto , Diah Elta
Published: April 2023

BACKGROUND: Epilepsy cases requiring OAE multitherapy are found in 40% of total epilepsy cases. Many epilepsy patients are referred to Dr. Kariadi Hospital Semarang because of the occurrence of intractable epilepsy. Valproic acid is one of the OAEs that are widely used in the BPJS era in Indonesia as a combination of phenytoin. Seizures increase the expression of BDNF mRNA and protein.
METHODS: This study is a cross-sectional study that took place from January to May 2022. The subjects of this study were epilepsy patients who used a combination of phenytoin-valproic acid who met the inclusion criteria. Patient data were obtained from medical records and filling out questionnaires. Patients were asked to fast for ± 8−10 h. Furthermore, blood sampling (±5 ml) of BDNF was carried out at 08.00−10.00 WIB. Cognitive function assessments were performed using MoCA-Ina and the Hamilton depression rating scale at the same time. Data were analyzed by Spearman correlation test and partial correlation test. The results are said to be meaningful if p < 0.05.
RESULTS: Thirty-two study subjects used a combination of phenytoin-valproic acid. The Spearman correlation test between the relationship between BDNF levels and cognitive function in epilepsy patients treated with valproic acid and phenytoin showed a significant relationship with the direction and strength of which was strongly positive (r = 0.676 and p ≤ 0.001). The partial correlation test between the relationship between BDNF levels and cognitive function after controlling for age (r = 0.692), seizure frequency (r = 0.641), duration of combination therapy (r = 0.700), and age of seizure onset (r = 0.693) remained the same, while after controlling for the level of education (r = 0.812) and the type of seizure (r = 0.747) increased.
CONCLUSION: There is a strong correlation between BDNF levels and cognitive function in epilepsy patients treated with valproic acid and phenytoin. The relationship between BDNF levels and cognitive function remained the same after controlling for age, frequency of seizures, duration of combination therapy, and age of onset of epilepsy.
A natureza como interpelação nos livros didáticos de geografia nos Estados Novos (Brasil e Portugal, 1929-1946)
Authors: Gaudio Rogata Soares Del , Pereira Doralice Barros
Published: April 2023

Estas reflexões objetivam identificar os processos de interpelação (submissão/qualificação, Therborn, 1991) afeitos à natureza, em sete livros didáticos de geografia, para o ensino secundário adotados no Brasil e em Portugal, de 1929 a 1946. Os procedimentos metodológicos contaram com revisão bibliográfica, análise comparada e Análise do Discurso. As imagens e os conteúdos ilustram as representações da natureza. Essas serviram a ambos os países em seus projetos políticos. Para a metrópole portuguesa e suas colônias, de modo a justificar a colonização e a necessidade de ocupação e uso dos espaços; nos livros brasileiros, exaltaram a grandiosidade e a exuberância da natureza, sugerindo seu potencial para exploração e civilização. As representações apoiaram ainda algumas das ações desses governos autoritários sobre as pessoas, os espaços e os territórios (interna e externamente).
The Tragedy of the African National Congress (ANC) and its Cadre Deployment Policy: Ramifications for Municipal Stability, Corruption and Service Deliver
Authors: Mlambo Daniel N.
Published: April 2023

The much-anticipated shift from apartheid to democratic rule in 1994 brought much jubilation in Africa and globally. South Africa had entered a terrain where a democratically elected party governed it in the African National Congress (ANC). Looking to alter the apartheid policies of the erstwhile National Party (NP), the ANC came into power with no formal experience of governing a state. However, since Nelson Mandela to the current Ramaphosa administration has made some strides in development and economic growth blueprints in South Africa's relatively young 28-year democratic history. As a form of government closer to the people, municipalities are seen as a fundamental area of government besides others, including poverty alleviation, employment creation, and service delivery. However, in the past two decades, the ANC has taken center stage in its cadre deployment policy, resulting in an upsurge in corruption, lack of service delivery, poor performance, and a relative decline in its hegemonic political power. This article examines the link between cadre deployment, municipal stability, corruption, and service delivery. The article shows that cadre deployment has not benefited individuals at the grass-root level because of incompetent individuals, lack of qualifications, corruption, tender greed, comrade beneficiary, and lack of managerial vision at the local government level.
Gebelerin Koronavirüs Enfeksiyonu ve Aşısı Hakkındaki Düşüncelerinin Aşı Karşıtlığı Özelinde İncelenmesi: Fenomenolojik Bir Çalışma
Authors: DEMİR Rukiye
Published: April 2023

Amaç: Bu çalışmanın amacı, gebelerin koronavirüs enfeksiyonu ve aşısı hakkındaki düşüncelerinin aşı karşıtlığı özelinde incelenmesidir.

Gereç ve Yöntem: Nitel araştırma desenlerinden fenomenoloji deseni kullanılarak yapılan bu çalışmanın örneklem seçiminde, amaçlı örneklem türlerinden “ölçüt dayanaklı örneklem” tekniği kullanılmış, çalışmanın örneklemini 10 gebe oluşturmuştur. Veriler, “bireysel görüşme tekniği” ile toplanmış, verilerin analizinde “tüme varımsal içerik analizi tekniği” kullanılmıştır.

Bulgular: Yapılan içerik analizinde; Tema 1 (Gebelerin koronavirüs enfeksiyonu hakkındaki düşünceleri), Tema 2 (Gebelerin koronavirüs aşıları hakkındaki düşünceleri), Tema 3 (Gebelerin aşı karşıtı düşünceleri), Tema 4 (Gebelerin bazı konularda bilgi alma, koronavirüs enfeksiyonu, enfeksiyona karşı aşılanma, aşılanmanın önemi ve gebelikle ilişkisi vb. durumları) olmak üzere dört tane ana tema elde edilmiştir. Elde edilen bu temalar kodlara ayrılarak çözümlenmiştir.

Sonuç: Gebelerin en çok enfeksiyon ve aşı nedeniyle bebeğine zarar gelmesinden korktuğu, aşıların gebelikte güvenli olmadığını, içeriğinin ve yan etkilerinin yeterince araştırılmadığını düşündüğü sonuçlarına ulaşılmıştır.
Llegar a ser (im)paciente
Authors: Bąk Agata
Published: April 2023

Este artículo analiza los distintos sentidos que se atribuyen a la figura del paciente. Metodológicamente se sigue en ello a Simone de Beauvoir quien tematizó cómo los distintos rasgos identitarios se constituyen en una dinámica entre lo propio y lo intersubjetivo a lo largo del tiempo. La condición de ser paciente se examina en dos dimensiones: como una relación existencial con la enfermedad y como un rol en la relación médico-paciente. En la primera parte, se presenta el modelo “paciente”: la relación existencial marcada por la pérdida y una condición epistémicamente insignificante en la relación con el profesional médico. Para ello reviso distintas descripciones fenomenológicas de la enfermedad. En el otro extremo de estas apreciaciones se situarían experiencias de lo “impaciente”, marcadas por la actividad: la relación existencial con la enfermedad es la de negociación con uno mismo y con el mundo y la relación con el profesional de la salud marcada por la búsqueda común de soluciones. En esta parte me baso en Isabelle Baszanger y Annemarie Mol. Se concluye que ambas formas de concebir al paciente son extremos de un eje entre las que transcurre la experiencia de convivir con una enfermedad.
The Performance Evaluation of Nine Methods for the Estimation of Weibull Distribution Parameters
Authors: Lukman Salihu , Sani Saulawa B , Asani Morufu A. , Ojo Stephen O , Oke Adesola I.
Published: April 2023

In this paper, a report on the different methods for estimation of the parameter of the Weibull 2-parameter distribution is presented. The nine approaches were compared in terms of their fits using the statistical criteria (analysis of variance (ANOVA), model of' selection criterion (MSC), Coefficient of Determination (CD), Correlation coefficient (R) and Akaike Information Criterion (AIC)) to select the best method.  The study revealed that mean rank is the best method among the methods in the graphical and analytical procedures. Numerical simulation studies carried out show that the maximum likelihood estimation method significantly outperformed other methods based on the MSC, CD, R and AIC. The values for the parameters in the Weibull 3-parameter were 1.316, 105.425 mm/h and 0.293 for α, β and λ respectively. The values of  MSC, CD AIC and R were 1.853 and 1.453, 0.860 and 0.802, 211.891 and 295.978, and 0.927 and 0.895 for Weibull 2 and 3 – parameters respectively.  It was concluded that mean rank, symmetric, Lysen and Moment methods are the best based on the values of MSC, CD and R. Care must be taken in selecting MLM, graphical and least square methods for Weibull distribution parameters determined based on the lower values of MSC, CD and R as well as higher values of AIC.
Acute on Chronic Limb-Threatening Ischemia Associated with Septic Embolism in Patient with Infective Endocarditis
Authors: Ati Nindya Sari Diajeng Laras , Subagjo Agus , Muhammad Rizal , Aditya Muhammad
Published: April 2023

Septic embolism associated with infective endocarditis (IE) is the occlusion of a blood vessel caused by an infected thrombus traveling through the bloodstream resulting in ischemia and/or infarction. Septic embolism can result in ischemia and/or infarction due to vascular occlusion and infection, resulting in inflammation and possible abscess formation. Systemic embolization generally occurs in left-sided IE, causing stroke, blindness due to embolism or endophthalmitis, splenic or renal infarct, limb ischemia, or even acute myocardial infarction. Here, we report a case of acute on chronic limb-threatening ischemia due to septic embolism in patient with IE.
Detection of Atrial High-Rate Episodes in Patients with Cardiac Implantable Electronic Devices — a Multicenter Experience from Pakistan: A Cross-Sectional Study
Authors: Khan Muhammad Taha , Saadia Sheema , Khan Aamir Hameed , Subhani Faryal , Shafquat Azam , Saeed Yawer
Published: April 2023

Objectives: Atrial high-rate episodes (AHRE) are associated with an increased risk of subclinical atrial fibrillation (SCAF) and can be identified in patients with cardiac implantable electronic devices (CIEDs). This first study from Pakistan aims to determine the incidence of AHREs and the characteristics of a Pakistani cohort with AHREs.
Methodology: In this bicentric Cross-sectional study, there were 162 patients of more than 18 years with CIEDs presenting to the device clinics were enrolled. The AHREs cutoff was predefined and AHREs were documented if they last for >30 seconds. Patients with known atrial fibrillation were excluded.
Results: Mean age of the patients was 64.69±11.64 years and men were of 62.3%. AHREs were found in 22 (13.6%) patients out of which 13(8%) lasted more than 5 minutes. Mean AHREs cutoff 182.27±20.93. Mean CHA₂DS₂-VASc score; 3.10±1.47. 54.9% on beta-blockers, and 37% on angiotensin receptor blockers (ARB). Dual-chamber pacemaker (75.3%) and AV block (60.5%) mostly complete AV block , were the most common CIED and indication for an implant respectively. 43.8% had mildly dilated LA, only 1.2 % had severe mitral stenosis, and 3.1% had severe mitral regurgitation. Multivariable binary logistic regression analysis showed that patients on ARB had fewer episodes of AHREs (OR=0.2, 95% CI= 0.05 -0.8, P-value =0.023) while positive family history for coronary artery disease (CAD) was associated with more episodes (OR=5.62, 95% CI=1.58 -20, P-value =0.008).
Conclusion: The incidence of AHREs was considerably lower in our population on CIEDs interrogation as compared to prior studies, although the CHA₂DS₂-VASc score is higher. ARB use and positive family history of CAD had a statistically significant association with AHRE occurrence.
Clinical Characteristics of Patents who Developed Slow Flow/ no-reflow After Post-dilatation with Non-compliant Balloon during Primary Percutaneous Coronary Intervention
Authors: Parkash Chander , Mal Vashu , Shaikh Muhammad Asim , Kumar Dileep , Ahmed Rameez , Masood Sara , Shah Jehanghir Ali , Ahmed Bashir , Khan Naveedullah , Sial Jawaid Akbar
Published: April 2023

Objectives: Post-dilatation with non-compliant (NC) balloons is a commonly used strategy to improve inadequate stent expansion but this strategy carries an increased risk of slow flow/no-reflow (SF/NR) due to distal embolization. Therefore, our objective was to evaluate the demographic, clinical, angiographic, and procedure characteristics among patients undergoing primary percutaneous coronary intervention (PCI) who developed slow flow/no-reflow (SF/NR) after post-dilatation with non-compliant (NC) balloons.
Methodology: In this cross-sectional observational study, we included consecutive patients with SF/NR after post-dilatation using NC balloon post stent deployment during primary PCI. The demographic, clinical, angiographic, and procedure characteristics were evaluated.
Results: In the sample of 107 patients, male were 77.6% (83) and mean age was 56.94 ± 10.47 years. The median chest pain to ER (emergency room) arrival time was 292 [180-394] minutes. A majority of the patients (66.4%) had multi-vessel disease. Mean length NC balloon was 10.57±1.98 mm and diameter was 3.5±0.26 mm. The mean number of inflation were 3.62±1.08, at mean maximal pressure of 20.43±2.49 mmHg, proximal edge pressure of 19.25±2.74 mmHg, and distal edge pressure of 14.64±2.01 mmHg. A total of 5.6% (6) patients developed adverse events and final TIMI (thrombolysis in myocardial infarction) III flow was achieved in 89.7% (96) of the patients.
Conclusion: SF/NR after post-dilatation during primary PCI is associated with a significant rate of adverse events and sub-optimal (<III) final TIMI flow. The detrimental effects of high pressure, short length, and increased number of inflations on post NC SF/NR need further investigations.
Nocturnal Blood Pressure Assessment, an Entity of High Prognostic Value, Not Utilized to Its Potential in Clinical Practice
Authors: Hameed Imran
Published: April 2023

Hypertension, a disease of epidemic proportion, is assessed by measuring blood pressure (BP). Various methods are employed, the most common being “clinic blood pressure measurement (CBPM).” However, environment and technical errors can confound it. Other methods include home blood pressure measurement (HBPM), which shows readings of awake time only, and 24-hour ambulatory blood pressure monitoring (ABPM). A recent technique that causes less sleep disturbance is “timed HBPM.” Blood pressure is a 24-hour phenomenon, and prognostically night time blood pressure, being more important, must be assessed properly. Besides providing the precise mean of 24-hour blood pressure, it extends knowledge regarding many other parameters of clinical importance like dipping pattern and morning surge etc. For nocturnal BP assessment, 24-hour ABPM and time-triggered HBPM are utilized. The importance of nocturnal blood pressure assessment for diagnostic and prognostic evaluation of various cardiovascular and non-cardiovascular conditions would be highlighted in this review article.
Analisis Minat Konsumen terhadap Produk Prucinta PT Prudential Syariah Cabang Binjai
Authors: Fachrina Rifka , Yusrizal Yusrizal
Published: April 2023

If we examine the existence of sharia insurance companies in Indonesia, they have existed for approximately 24 years until now and continue to experience growth from year to year. Although it has undergone many developments, there are still many people who are not interested or are still reluctant to use sharia insurance services for various reasons, of course this is a challenge for sharia insurance companies to be able to maximize the expansion of their products so that they can be of interest to the wider community. Qualitative method as a research procedure that produces descriptive data in the form of written or spoken words from people and observable behavior. Public interest in PRUCinta Products has increased within a period of 1 (one) year. Fostering public interest in PT. Sharia Prudential Insurance, has several factors that influence people's interest in sharia insurance products, namely (1) products marketed to the public, (2) Promotions carried out by agencies (3) People's income has no influence when the community becomes sharia prudential customers because the number of Premiums can be adjusted according to the prospective customer's income. Promotional activities are not only carried out through agencies but also seminars for people who don't really understand insurance. The promotional strategies carried out by the agency and advertisements that we can see on television, gadgets, and others.

Keywords: insurance, interest, product
ANÁLISE DAS PROJEÇÕES DE PRECIPITAÇÃO NO SEMIÁRIDO DO RIO GRANDE DO NORTE -EXPERIMENTOS RCP 4.5 E RCP 6.0
Authors: Bezerra de Melo Matheus Henrique , Bentes Mandú Tiago , Milano Costa de Lima Daniel , Smith Feitosa Suassuna Martins Albert , Claudia dos Santos Yonara , Silva Souza Bárbara , Felipe de Souza Pinheiro Everton , Felipe da Silva Daniel
Published: April 2023

As mudanças climáticas estão cada vez mais acentuadas, com isso, foram analisadas as projeções das precipitações, o coeficiente de variação e o desvio padrão sobre o semiárido do rio grande do Norte pelos cenários de precipitação do Painel Intergovernamental de Mudanças Climáticas (IPCC), por dois experimentos, o experimento historial Via de Concentração Representativa (RCP) 4.5 e RCP 6.0 do quinto relatório de mudanças climáticas para os anos de 1976 a 2020. A pesquisa aplicada inferiu o quão as projeções desses experimentos podem ser usadas como ferramenta para análise da precipitação no semiárido do Rio Grande do Norte. Na metodologia foi utilizado o software RSTUDIO e o Excel Microsoft 2017. Nota-se variabilidade bem definida de chuvas projetadas pelo modelo, indo de acordo com as precipitações observadas.
DIREITO À SAÚDE DAS MULHERES: O DIREITO À SAÚDE E A ATENÇÃO ÀS VÍTIMAS DE VIOLÊNCIA SEXUAL
Authors: Teles de Moraes Maria Gabriela , Cidade Lopes Juliana , Araujo Juliana Claudia , Ferreira Pinto Maila Kristel , Espinosa Suarez Neto Lionel , Lima Coelho Maria Virgínia , Secaf Kamylla , Tôrres Leonel Adilson Júnior
Published: April 2023

Os números de violência contra as mulheres sofreram um aumento substancial, principalmente, após a pandemia instaurada pela síndrome de SarsCov2, caracterizando uma grave violação aos direitos humanos. Dentre as violências praticadas contra as mulheres, está a violência sexual, na qual muitas mulheres sofrem abusos dentro de seus próprios lares. Nessa senda, o objetivo do presente artigo é avaliar as leis positivadas, as políticas públicas e programas em saúde voltados para a proteção e acolhimento da mulher vítima de violência sexual. Ainda, foi realizado uma análise considerando o atual quadro pós pandêmico vivenciado pelo mundo, bem como as diretrizes preconizadas pela Lei 8.080/90 e pelo Ministério da Saúde, em consonância com as políticas públicas existentes. Quanto aos resultados observou-se avanços na legislação brasileira, bem como uma maior intervenção do poder público com o objetivo de controlar a violência instaurada em comparação a tutela de direitos do século passado. No entanto, deve ser valorizado o atendimento humanizado às vítimas, com base no direito à vida e o princípio da dignidade da pessoa humana, carecendo da composição de equipes de atendimento multiprofissional. Por fim, já existem protocolos e diretrizes efetivos adotados pelos órgãos de saúde para proteção da mulher vítima de violência sexual, no entanto, ainda faltam medidas práticas preventivas para não ocorrência dos abusos, carecendo constantemente do debate e de colocar em pauta essa demanda existente em nossa sociedade.
TAMPONAMENTO CARDÍACO: UMA REVISÃO BIBLIOGRÁFICA
Authors: Lima Cordeiro Fabric Paloma , Luizetto Davanço Bruna , Batista Lola Leite Santos Pedro , Aristides Ramos João , De Almeida Barros Nascimento Nathália , Costa da Silva Carla , Araujo Bif Julie Any , Rodrigues Tosta Isadora , Freitas Caetano Hugo
Published: April 2023

O trauma é responsável por significativo número de mortes por ano. Dentre os traumas, o trauma torácico acometendo a região cardíaca recebe destaque entre os com maiores complicações. Nesse trabalho, o tamponamento cardíaco, importante complicação da lesão cardíaca, receberá destaque. Com isso, os autores objetivam relacionar a fisiopatologia do tamponamento cardíaco com seu quadro clínico, além de abordarem aspectos relevantes acerca do diagnóstico e condutas, tanto imediatas, quanto definitivas para a resolução do quadro. A seguinte revisão bibliográfica foi realizada a partir do estudo de artigos presentes nas bases de dados PubMed, Scielo, MedLine e Google Acadêmico nas línguas inglês, espanhol e português. Considerações finais:  A adequada preparação da equipe profissional de saúde para detectar precocemente o quadro do paciente, associando sua sintomatologia à fisiopatologia do tamponamento cardíaco para oferecer manejo assertivo é de extrema importância, visto que em uma emergência médica, o tempo é determinante para a sobrevida do paciente.
Parkinson’s Disease Prediction
Authors: Saalim Khan  , Adnan Syed  , Vidit Patil  , Pankaj Ahire  , Shaila Pawar
Published: April 2023

Parkinson's disease (PD) is a progressive neurodegenerative disorder that affects motor function. Early detection of PD is crucial for effective treatment and management of the disease. In this study, we propose a machine learning-based approach for the prediction of PD. Our method uses a combination of demographic information and clinical measurements to train a model for PD prediction. We evaluate the performance of our model using a dataset of patients diagnosed with PD and healthy controls. Our results show that the proposed model can achieve high accuracy in predicting PD, with an AUC of 0.89.
The Data Revolution: A Comprehensive Survey on Datafication
Authors: A. David Donald  , T. Aditya Sai Srinivas  , K. Rekha  , D. Anjali  , I. Dwaraka Srihith
Published: April 2023

Datafication has emerged as a key driver of the digital economy, enabling businesses, governments, and individuals to extract value from the growing flood of data. In this comprehensive survey, we explore the various dimensions of datafication, including the technologies, practices, and challenges involved in turning information into structured data for analysis and decision-making. We begin by providing an overview of the historical context and the rise of big data, and then delve into the latest developments in artificial intelligence and machine learning. We examine the key drivers of datafication across industries and sectors, and explore the ethical, legal, and social implications of the data revolution. Finally, we consider the challenges and opportunities presented by datafication, including issues of data privacy and security, the need for new skills and competencies, and the potential for data to drive innovation and social change. Overall, this survey provides a comprehensive and up-to-date overview of the datafication landscape, helping readers to better understand and navigate the rapidly-evolving world of data.