bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnosis and Treatment of Knee Osteoarthritis: Modern Aspects
Authors:   Astana Medical University, Baibusunova Aida , Nyssanbay Gaukhar ,   Astana Medical University, Shwartz Dmitriy ,   Astana Medical University, Zhakeeva Meruert ,   Astana Medical University
Published: April 2024

Osteoarthritis of the knee joint (КOA) is a common chronic joint disease that most often affects adults over the age of 60. Recent studies indicate its progressive nature, involving structural changes in various components of the joint, including articular cartilage, synovial membrane and ligaments. Globally, about 250 million people suffer from КOA, with the incidence of КOA increasing due to asymptomatic cases, obesity and other factors. Women are more likely to be affected by this disease than men. OA is becoming one of the main causes of disability in the world, accounting for 85% of the burden of КOA. Approximately 10% of people over the age of 60 suffer from КOA, which leads to movement restrictionsThe purpose of the review is to highlight recent studies on imaging and current treatments for КOA, as well as an analysis of the prevalence of this disease.Due to the severity of the process and the pain syndrome, non-surgical methods are often insufficient. Joint replacement is an important method of treatment at the terminal stage. However, other methods, such as corticosteroid injections, hyaluronic acid and the use of cells, can slow the progression of the disease. Timely diagnosis plays a key role, given that КOA can be asymptomatic in the early stages. It is important to take into account the symptoms, clinical data and results of various imaging techniques for effective disease management.Keywords: osteoarthritis of the knee joint, diagnosis of osteoarthritis, treatment of osteoarthritis, total endoprosthesis, mesenchymal stem cells.Corresponding author: Meruert Zhakeeva, Assistant of the Department of Internal Diseases with courses in nephrology, hematology, allergology and immunology, Astana Medical University, Astana, Kazakhstan.
Plastik ve Rekonstrüktif Cerrahi Hastalarında Gordon’un Fonksiyonel Sağlık Örüntüleri Temelli Taburculuk Eğitiminin Telekonferans Yöntemi İle Değerlendirilmesi
Authors: Yanık Demir Tuğba , Karahan Elif
Published: April 2024

Amaç: Plastik ve rekonstrüktif cerrahi hastalarına Gordon’un Sağlık Örüntüleri Modeline göre verilen taburculuk eğitiminin etkinliğini telekonferans yöntemi ile değerlendirmektir.
Materyal ve Metot: Yarı deneysel tasarımda olan araştırmanın örneklemini 60 hasta oluşturdu. Veriler Hasta Tanılama Formu, Taburculuk Eğitimi Memnuniyet Ölçeği, Taburculuk Sonrası Kontrol Listesi Formu ile toplandı. Deney grubundaki hastalara Gordon Fonksiyonel Sağlık Örüntüleri’ne göre hazırlanan evde bakım kitapçığı ile taburculuk eğitimi verildi. Kontrol grubundaki hastalar klinikteki rutin taburculuk eğitimini aldı. Araştırma için etik izin, kurum izni, aydınlatılmış onam alındı.
Bulgular: Deney ve kontrol grubu hastaların özellikleri sırası ile 40,67; 48,40 yaş, %70,0; %73,3 erkek,
%36,7; %63,3’ünün ilkokul mezunu, %70; %76,7’sinin orta gelirli, %33,3; %30’unun daha önce ameliyat geçirdiği belirlendi. Ameliyat sonrasında dikkat edilmesi gerekenler hakkında deney grubunun bilgi puanının daha yüksek olduğu tespit edildi (p
BÜTÜNLEŞİK ANP, MARCOS, WASPAS VE MAIRCA YÖNTEMLERİ KULLANILARAK PROJE LOJİSTİĞİ OPERASYONLARINDA ÜÇÜNCÜ PARTİ LOJİSTİK HİZMET SAĞLAYICI SEÇİMİ
Authors: Öztürkçü Nizamettin , Özcan Selami
Published: April 2024

Uluslararası pazarlarda rekabet edebilmek için sadece ürünlerin niteliği yeterli olmamakta aynı zamanda lojistik süreçlerin de etkin yönetilmesi zorunluluğu bulunmaktadır. Bu açıdan doğru bir lojistik hizmet sağlayıcı seçimi de son derece önemli olmaktadır. Bu çalışmanın amacı proje lojistiği hizmeti alan ve uluslararası ticaret yapan bir firmanın bu süreç boyunca lojistik faaliyetlerini yerine getirecek olan üçüncü parti lojistik (3PL) hizmet sağlayıcının belirlenmesi olacaktır. Çalışma kapsamında hizmet sağlayıcı seçimi için çok kriterli karar verme (ÇKKV) yöntemlerinden ANP, MARCOS, WASPAS ve MAIRCA teknikleri bütünleşik olarak kullanılmış ve elde edilen sonuçlar BORDA Sayım yöntemi ile birleştirilmiştir. Literatür taraması neticesinde elde edilen kriterlerin ağırlıkları ANP ile elde edilmiş MARCOS, WASPAS ve MAIRCA yöntemleri ile bütünleştirilerek alternatiflerin sıralamaları bulunmuştur. Her bir yöntem sonucunda elde edilen bulgular BORDA Sayım yöntemi ile birleştirilmiş ve bu işlem sonucunda en iyi alternatif firma A2 firması olarak bulunmuştur. Bu firmayı sırası ile A1 ve A3 firmaları takip etmiştir. Ana kriterler ise önem sırasına göre yeterlilik, maliyet, kalite, ilişki faktörleri ve firmanın genel özellikleri olarak elde edilmiştir.
Balkanlarda Bir Osmanlı Şehri: İşkodra (İskenderiye)
Authors: Kazancıoğlu Habibe
Published: April 2024

Günümüzde Arnavutluk sınırları içinde yer alan İşkodra coğrafî konumundan dolayı tarih boyunca idarî, askerî, ekonomik ve kültürel bir merkez olma özelliğini korumuştur. MÖ 4. yüzyılda kurulan şehir, başta İlirya Krallığı olmak üzere Roma, Bizans ve Venediklilerin idaresinde kalmış 1479 yılında Osmanlı hâkimiyetine girmiştir. Osmanlılar döneminde İskenderiye, İskenderiye-i Arnavud veya İşkodra olarak anılan şehir, fethedildikten sonra Rumeli Eyaletine bağlı bir sancak haline getirilmiştir. İşkodra, Osmanlı Devleti’nin Rumeli’deki Orta Kol güzergâhı üzerinde bulunması sebebiyle hem kara yolu ticareti hem de askerî bakımdan oldukça önemli bir merkezdir. Diğer Balkan şehirlerinde de olduğu gibi İşkodra’da da fetihten hemen sonra câmi, mescit, zâviye gibi çok sayıda dinî kurum; mektep, medrese, kütüphane gibi eğitim kurumu ile köprü, hamam, kervansaray gibi sosyal ve ekonomik işlevi olan kurumlar inşa edilerek şehre İslam kimliği kazandırılmıştır. Bu çalışmada İşkodra’nın Osmanlı idaresi boyunca sahip olduğu idarî, siyasî, sosyal ve kültürel özellikleri arşiv kaynakları, salnameler ve diğer kaynaklardan yararlanılmak suretiyle değerlendirilmiştir.
Description of High-alert Drug Storage Management in Pharmacy	Installation of UNS Surakarta Hospital
Authors: Pradana Riska , Karimah Fine Nur , Sayuti Nutrisia Aquariushinta
Published: April 2024

Errors in giving first rank drugs in the pharmaceutical field, especially high alert drugs that must be made a top priority. The purpose of this study was to describe the management of high alert drug storage at the Pharmacy Installation at UNS Surakarta Hospital. This research is a descriptive study with a cross sectional approach. Data collection techniques were carried out by direct observation using checklist sheets and interviews with pharmacists based on pharmaceutical service standards in hospitals. The analyzed data is described in the form of words. The results showed that the value of 100% high alert drug list was in the appropriate category, the high alert drug management policy was 85.7% (inappropriate category), stock card recording at the emergency room depot, outpatient and inpatient care was 85.7% and in warehouse 71.4% (inappropriate category). Labeling of high alert drugs in warehouses, emergency department depots, and 80% inpatient and 60% outpatient (categories not suitable). The layout of high alert drug storage is not suitable because inpatient care shows 80% (inappropriate category) and in warehouses, emergency rooms, and outpatient care 100% (appropriate category). Storage temperature and storage system show 100% (appropriate category). Based on the results of the study it can be concluded that the management of high alert drug storage at the Pharmacy Installation at UNS Surakarta Hospital does not meet the standards of pharmaceutical
services at the Hospital.
The relationship between patient characteristics and analgesic self-medication behavior in pharmacies in Kesesi District, Pekalongan Regency
Authors: Hilmiyah Rahmah
Published: April 2024

Self-medication is an effort to self-medicate without a doctor's prescription. Analgesics are medications used to reduce or relieve pain. The purpose of this study was to determine the relationship between patient characteristics and analgesic self-education behavior in pharmacies in Kesesi District, Pekalongan Regency. This study used an analytical observational method with a cross-sectional approach, the research instrument used a questionnaire involving 97 respondents in 3 pharmacies in Kesesi District, Pekalongan Regency. The sampling technique uses the consecutive sampling method. The independent variable is the characteristic and the dependent variable is the analgesic self-medication behavior. Data analysis using univariate and bivariate analysis with non-parametric rank spearman statistical test. The results showed that the age of 26-45 years was 50.5%, women were 66%, secondary education was 61.9%, self-employed by 47.7% and 32% of moderate-income people were more self-medicated analgesics. Some patients had good behavior in self-medication analgesics by 71.1%. The conclusion of this study was that patient characteristics including age (p = 0.014), education (p = 0.000), occupation (p = 0.000) and income (p = 0.000) had a relationship with analgesic self-medication behavior in pharmacies Kesesi District, Pekalongan Regency, while unrelated patient characteristics were gender (p = 0.237).
The Relationship Between The Rationality Of Prescribing And The Quality Of Life Of Hypertension Patients At The Central Siantan Health Center In Pontianak
Authors: Muhammad Akib Yuswar
Published: April 2024

Hypertension is a silent killer disease that can affect the patient's quality of life. There is a need for rational treatment to achieve the success of therapy and the desired quality of life. This study aims to determine the relationship between the rationality of prescribing and the quality of life of hypertensive patients. The study design was an observational cohort. Data were obtained from hypertensive patients at the Puskesmas Siantan Tengah Pontianak who met the inclusion criteria in June-July 2021 using a prospective purposive sampling and collected from medical records, EQ5D5L and VAS questionnaires. The results of the study on 101 samples were obtained; the rationality of prescribing antihypertensive drugs was rational, with the percentage of rationality being the appropriate indication 87,12%; appropriate drug 87.12%; appropriate patient 88.11%; and appropriate dose 88.11%. In addition, 28 patients (27.72%) did not have a problem with the five dimensions with the highest EQ5D5L index of 1,000, while the quality of life, as measured by VAS, had a median value of 60. The results of the Pearson chi-square test showed that there was a relationship between the rationality of prescription and quality of life for hypertensive patients with a significance value ≥ 0.05 using the EQ5D5L (p = 0.688) and VAS (p = 0.583) questionnaires. Conclusion: there is no significant relationship between the rationality of prescribing and the quality of life of hypertensive patients, both using the EQ5D5L and VAS questionnaires.
Overview of Polypharmacy and Drug Interactions in Chronic Kidney Disease Patients at Siloam Hospitals Lippo Village
Authors: Pramitaningastuti Anastasia
Published: April 2024

Patients diagnosed with CKD in Indonesia have increased from 2% in 2013 to 3.8% in 2018. Polypharmacy is commonly found in CKD patients, especially in CKD patients with comorbidities. CKD with comorbidities will make the treatment more complex and expensive. This study was conducted to assess the relationship between polypharmacy and drug interactions in CKD patients. Data analysis was carried out descriptively on CKD patients at "X" Hospital in the period October to December 2022 and data were displayed in the form of tables and graphs. The results showed that the majority of patients with chronic kidney disease (CKD) were aged 46-65 years with 42 patients (50.0%). Chronic kidney disease (CKD) patients who get prescriptions for more than 5 drugs are 80 (95.2%) patients. Comorbidities that often occur in chronic kidney disease (CKD) patients are hypertension with 62 (19.62%) patients, diabetes mellitus with 29 (9.18%) patients, and coronary heart disease with 27 (8.54%) patients. From 84 patients, there were 626 potential drug interactions including 152 (24.28%) drug interactions with minor severity, 434 (69.33%) drug interactions with moderate severity, and 40 (6.39%) drug interactions with major severity. CKD patients who have one or more comorbidities will increase the risk of polypharmacy and an increased risk of drug interactions.
تقييم فاعلية المُخثّرات الطبيعية في معالجة مياه الصرف الصحّي المُتأتية من مصانع النسيج: دراسة نجاعة التقنية عبر التحاليل الفيزيوكيميائية والسُّميّة الخلوية
Authors: الوسلاتي أميرة , المثناني نصرة , بن منصور الهادي
Published: April 2024

الملخص

يُعْتبرُ قطاع النسيج في تونس قوةً دافعةً للاقتصاد الوطني. ومع ذلك، فإن هذا القطاع يستهلك كمياتٍ كبيرةً من المياه العذبة، ومجموعة متنوعة من المواد الكيميائية، وبالتالي تُشكّل مياه الصرف الصحّي المُتأتية من قطاع النسيج تهديداً بيئيّاً. والغرض من هذه الدراسة هو البحث عن المُلَوّثات الموجودة في مياه الصرف الصحّي التي تم جمعها من ثلاثة مصانع للنسيج والتحقيق في تأثيرها على البيئة. وأظهرت التحاليل الفيزيوكيميائية (TSS ،BOD ،COD... إلخ) وجود نسبة عالية من المُلوّثات في العينات المُجمَّعة، كما كشف التحليل الكروماتوغرافي بواسطة UPLC-MS / MS عن وجود صبغة ثلاثي فينيل ميثان (الكريستال البنفسجي) في عينة واحدة. ويمكن أن يؤدي وجود الملوّثات الكيميائية في مياه الصرف الصحي لقطاع النسيج إلى تأثيرات ضارّة على النظام البيئي. في هذا السياق، تم إجراء تقييم للسُّميّة البيئية، باعتماد اختبار السُّمِّية خارج الجسم (in vitro) في أنظمة الخلايا حقيقية النواة (اختبار المذنب). ولم نلاحظ أيّ آثار ذات صلة بيولوجية لأيّ من العيّنات المُختبرة. وأظهرت النتائج أيضاً أن عملية معالجة المياه المُستعملة باعتماد تقنية التخثر والتلبد لا تقلل من تركيز المُلوّثات. ولهذا السبب سعينا إلى استخدام مواد تخثر طبيعية كمسحوق ألواح التين الشوكي Opuntia ficus indica ومسحوق قشور الباذنجان Solanum melongena. وأوضحت النتائج أن المعالجة باستخدام هذين المخثرين كانت فعّالة في تقليل تركيزات مؤشرات التلوث والسمية الجينية للعيّنات. وأَبْرَزت نتائج التحاليل أنَّ التركيز 0.8 غم/لتر مكّن من الحصول على أفضل النتائج بالنسبة لجميع المُخثرات الطبيعية المُستعملة. بعد مقارنة النتائج، لاحظنا أنَّ مسحوق ألواح التّين الشوكي كان تأثيره ملحوظاً في تقليل تركيزات مؤشرات التلوث؛ حيث تراوحت مختلف القيم بين BOD (119-63 مغ/لتر)، COD (204-97 مغ/لتر) وTSS (64-14 مغ/لتر)، كما أنّه أظهر النسب الأعلى والأفضل في إزالة المُلّونات (89.78%-92.87%).
TAMAMLAYICI YAKLAŞIMLARIN KULLANIMINA YÖNELİK HEMŞİRELERİN TUTUMU
Authors: Can Gülbeyaz , Türker Fatma Zehra
Published: April 2024

Amaç: Bu çalışma tamamlayıcı yaklaşımlara yönelik hemşirelerin tutumunu belirlemek amacıyla planlanmıştır.
Gereç ve yöntem: Tanımlayıcı tipte olan bu araştırma 01 Aralık 2019-31 Mart 2020 tarihleri arasında 100 hemşire ile oluşturdu. Veriler Sağlık Çalışanlarının Tamamlayıcı Yaklaşımların Kullanımına İlişkin Bilgi ve Tutumunu Değerlendirme Formu kullanılarak toplanmıştır. Veri analizinde tanımlayıcı istatistikler kullanılmıştır.
Bulgular: Çalışmaya katılan hemşirelerin %55’i tamamlayıcı yaklaşımlar hakkında herhangi bir eğitim almadığını, %95’i yeterli bilgiye sahip olmadığını ve hastaları tamamlayıcı yaklaşımlar hakkında bilgilendirmediğini ifade etti. Hemşirelerin en fazla bilgi sahibi olduğu tamamlayıcı yaklaşımlar; masaj, müzik tedavisi, dua, egzersiz, sıcak ve soğuk uygulama, refleksoloji, bal, bitki çayı, kantaron, akupunktur, ozon tedavisi, kaplıca, hacamat ve bardak çektirmedir. Hemşireler bu yaklaşımları kendisinin ve/veya ailesinin kullandığını, bu yaklaşımlar hakkında eğitim almak istediklerini ve hemşirelik eğitim müfredatlarında olması gerektiğini ifade etti.
Sonuç: Hemşirelerin tamamlayıcı yaklaşımlar hakkında yeterli bilgi sahibi olmadığı ve eğitim almak istedikleri, yeterli bilgilerinin olmaması sebebiyle hastaları bilgilendiremediği saptanmış olup tamamlayıcı yaklaşımlara yönelik gerekli eğitimin alınmasına ihtiyaç vardır.
Anahtar kelimeler: Tamamlayıcı Yaklaşım, Hemşire, Tutum, Sağlık Çalışanı
Improvements in the Quantification of End-Member Vapor Compositions in Fluid Inclusion Boiling Assemblages and Implications for Metal Transport by Low-Density Fluids
Authors: Mao Wei , Jiang Ziqi , Ulrich Thomas , Zhong Hong , Shang Linbo
Published: April 2024

Under conditions typically found in the Earth’s crust, there is a large pressure-temperature-composition range in the H2O-NaCl system where fluids may separate into a low-salinity vapor end member and a high-salinity liquid end member. However, heterogeneous trapping is common during the formation of fluid inclusions in an immiscible fluid system, violating the fundamental assumption of homogeneous entrapment for fluid inclusion microthermometry. This has profound consequences on the composition of these fluid phases and consequently on the formation of ore deposits from hydrothermal systems. At the same time, minor mixture of the high-salinity liquid phase with the low-salinity vapor phase cannot be distinguished from the end-member vapor-rich fluid inclusions by their bubble sizes. Precise determination of the salinities of vapor-rich fluid inclusions using microthermometry is deterred by the very small proportion of the liquid phase and the limitation of the analytical precision. All this will lead to erroneous compositional data from fluid inclusion analysis.

We have quantitively calculated the variations of fluid inclusion properties caused by heterogeneous entrapment during phase separation in the H2O-NaCl system and showed that the salinity, and thereby the element contents and element/Na ratios of the vapor-rich fluid inclusions, is significantly changed in heterogeneously trapped fluid inclusions. The addition of 1 vol % of the high-salinity end member to the low-salinity end member results in a salinity change from 0.99 to 4.4 wt % NaCl equiv at the phase separation condition of 800 bar and 750°C. This will have a significant impact when it comes to determining the concentration of elements transported as chlorine complexes and typically leads to an overestimation of the mass transport capability by the vapor phase. Therefore, every effort should be taken during microthermometry to find and measure the least affected vapor-rich fluid inclusions. Our numerical calculations and synthetic fluid inclusions reveal that there is a linear relationship between the salinity and element contents for fluid inclusions at different extents of heterogeneous entrapment. Therefore, linear correction to the measured lowest vapor salinity can obtain a good approximation of the element contents in the end-member vapor phase.
The Origin and Evolution of Rare Earth Element Mineralization in the Muluozhai Deposit (Sichuan, China): Insights from Mineralogical, Trace Element, and Sr-Nd-Pb-C-O-Ca Isotope Data
Authors: Liu Yan , Chakhmouradian Anton R. , Reguir Ekaterina P. , Hou Zengqian , Zheng Xu , Fu Haobang , Sun Jian
Published: April 2024

Carbonatite complexes are globally significant sources of rare earth elements (REEs); however, mechanisms governing REE deposition in various tectono-lithologic settings, encompassing host rocks, wall rocks, ore-controlling structures, and metasomatism, remain inadequately understood. The Zhengjialiangzi mining camp, situated within the extensive Muluozhai deposit (containing 0.45 million metric tons [Mt] at 4.0 wt % REE2O3) in the northern segment of the Mianning-Dechang belt, Sichuan (southwestern China), is characterized by a complex vein system that evolved within metamorphosed supracrustal rocks of the Yangxin and Mount Emei Formations. The mineralization is coeval with Oligocene intrusions of carbonatite and nordmarkite at ~27 Ma. The major gangue minerals include fluorite, barite (transitional to celestine), and calcite, with bastnäsite serving as the primary host for REEs in all analyzed orebodies. Several other accessory to minor minerals were identified in the ore veins, including some that had not previously been known to occur in the Muluozhai deposits (e.g., thorite and pyrochlore). The stable isotopic (C-O-Ca) and trace element compositions of calcite, along with whole-rock data, suggest that carbonate material was derived from the mantle and subsequently reequilibrated with the Yangxin marbles. The radiogenic isotope (Sr-Nd-Pb) compositions of vein material remained unaffected by wall-rock contamination and suggest a mantle source influenced by crustal recycling, consistent with other REE deposits hosted by carbonatite and nordmarkite in the region. The combined petrographic and geochemical evidence suggests derivation of Muluozhai mineralization from a carbonatitic source and interaction of carbonatite-derived fluids with wall rocks, xenoliths, and early-crystallizing mineral phases, particularly barite.
A Qualitative and Biochemical Analysis of Biofloc from an Indoor Biofloc Technology System Culturing Oreochromis Karongae
Authors:   The University of Zambia, Nambeye Eva , Valeta Joshua ,   The University of Zambia, Jere Wilson ,   The University of Zambia, Kang’ombe Jeremiah ,   The University of Zambia, Chibinga Oswin Chifungwe ,   The University of Zambia, Kanyinji Francisco ,   The University of Zambia
Published: April 2024

The structure of microbial communities in a Biofloc Technology (BFT) system has a great influence on the optimal functioning of the system. This makes understanding the microbial composition in BFT of paramount importance. A study was conducted to characterize the microorganisms in an indoor biofloc technology system. The microorganisms were qualitatively and biochemically analyzed. Qualitative analysis of microorganisms in BFT was carried out using microscopy and plate culture of bacteria and fungi. Isolated bacteria were identified by colony morphology, gram staining and microscopic observation. Catalase test, as a biochemical test, was also used in identifying bacteria. Biochemical analysis of the bio floc was achieved through proximate analysis of nutrients following AOAC (2002) methods. The bio floc sample used in the present study was obtained from culture water of three 1000l circular fibreglass tanks with a working volume of 580l of bio floc water per tank. Oreochromis karongae fingerlings were stocked in the three tanks at a stocking density of 6kg/m3 per tank and cultured for 12 weeks. The fish were fed 30% CP on-farm formulated feed (2mm pelleted) with a feeding rate of 1.5% of the total estimated fish biomass. Maize flour was added in tanks to maintain an optimum C/N ratio (above 10) for heterotrophic bacteria production. Microscopy of the biofloc water revealed various types of microorganisms, which included Protozoa (e.g. ciliates), Zooplanktons (e.g. Rotifers and copepods) and nematodes, heterotrophic bacteria and fungi. It was noted that the bacteria were all heterotrophic bacteria, which confirmed their utilisation of organic carbon in the BFT system to produce microbial protein. The biochemical composition of biofloc showed that the nutritional quality of biofloc was appropriate for tilapia with the exception of lipid content, which was found to be (3.25%). This value is considered low for aquaculture feed as a range of 5- 10% lipid content in feed is recommended. BFT is a promising field which will enable aquaculture to grow towards an environmentally friendly approach because of the ability of microorganisms to recycle nutrients in the system.
Temporal trends in growth of boys adopted from Russia
Authors:   Pediatrics and International Adoption Center, Zaragoza, Spain, Oliván-Gonzalvo Gonzalo
Published: April 2024

Introduction: The objective of this study is to contribute data on the temporal trends in weight, height, body mass index (BMI) and head circumference (HC) in boys adopted from Russia. Material and methods: Prospective observational study on an initial cohort of 139 Russian boys adopted in Spain between 2001 and 2013. Adverse history was collected by reviewing pre-adoption medical records. Anthropometric parameters were measured and recorded in a standardized way. The measurements obtained were compared with the World Health Organization child growth standards, calculating the corresponding z-scores (Z) and percentiles for age and sex. Results: Main history: preterm (32.4%), low birth weight (26.6%), prenatal alcohol exposure (19.4%), abandonment at birth (56.1%), abuse/neglect (49.3%). Initial post-arrival evaluation, 3 (1.7) years: weight Z, -1.24; height Z, -2.34; HC Z, -1.27. Significant catch-up growth (Z increase) in the first year: weight, +0.73; height, +1.05; HC, +0.6; in the second year: height, +0.58. Longitudinal growth pattern. Weight: from age 5 years, no relevant differences were observed. Height: at age 6 years a relevant delay persisted, from ages 7 to 11 years a gradual increase was observed, and from ages 12 to 17 years a gradual decrease, no showing relevant differences. BMI: showed that the degree of height delay was always higher than that of weight, balancing after age 14 years. HC: at age 5 years, there was no longer a relevant difference. Conclusions: These findings suggest that, despite the important delay of weight, HC, and especially height at the time of adoption, and the various adverse factors for growth that they presented, international adoption led to a substantial recovery of all anthropometric parameters, showing plasticity in the physical growth of these children.
Assessment of the importance of platelet transfusion in patients with severe dengue: a systematic review
Authors:   Instituto de Medicina Tropical 'Alexander von Humboldt', Universidad Peruana Cayetano Heredia, Honorio Delgado 430, San Martín de Porres, Lima 15102, Peru, C.F. Nakazaki Jorge ,   Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia. Lima, Perú, Cotera-Ramón Angela I. ,   Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia. Lima, Perú
Published: April 2024

Introduction: Dengue is one of the most important vector-borne viral diseases in subtropical and tropical regions. The World Health Organization (WHO) 2009 classified dengue into three groups: dengue without alarm signs, dengue with alarm signs, and severe dengue. According to the type of dengue, various managements have been proposed. The authors suggest that a predictive factor to avoid a poor prognosis in this disease is to keep platelet levels stable in the patient to prevent a fatal outcome. The aim of this paper is to analyze the efficacy of transfusion of platelet agents in the outcome of patients with severe dengue and thrombocytopenia. Material and methods: A bibliographic search was carried out in the Medline, OVID, and Scielo databases from January 1, 2008, to April 31, 2023, using the MeSH terms. Results: 7 articles were included in the systematic review. A wide range in age was found (18 to 79 years). A minimal number of studies detail the comorbidities of patients in their enrollment. Regarding platelet transfusion, the average number of platelet units used in the transfusion case was 5 (2 - 14). Transfusions of ABO identical and compatible pooled platelets transfusion were found to be more successful in increasing platelets. Almost all of the patients included in the studies had platelets <20,000 at enrollment. One study found a significant increase in platelets after transfusion, while the rest did not find it compelling. No mortality associated with platelet transfusion was recorded. Conclusions: Prophylactic platelet transfusion is not recommended as a routine measure in patients with severe dengue and thrombocytopenia. The uncertainty highlights need to reach a specific consensus establishing the appropriate indications for platelet transfusion and what type of patients with dengue virus would be beneficial.
Mitral Annular Plane Systolic Excursion: An Early Marker of Subclinical Left Ventricular Function in COVID-19 Survivors
Authors:   Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey, Küçük Uğur , Mutlu Pınar ,   Department of Chest Diseases, Faculty of Medicine, Çanakkale Onsekiz Mart University, Canakkale, Turkey, Mirici Arzu ,   Department of Chest Diseases, Faculty of Medicine, Çanakkale Onsekiz Mart University, Canakkale, Turkey, Özpınar Uğur ,   Department of Cardiology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey
Published: April 2024

Introduction: The left ventricular (LV) function can be affected by COVID-19. Mitral annular plane systolic excursion (MAPSE) is a measurement that reflects the function of the LV. The association between MAPSE and LV function in COVID-19 survivors is not well understood, and this study aimed to explore that relationship. Material and methods: The retrospective cross-sectional study comprised 99 patients with a history of SARS-CoV-2 infection. These patients experienced symptoms lasting more than 2 months following the initial SARS-CoV-2 virus infection, including fatigue, shortness of breath, chest pain, and cough. The patients were categorized into two groups based on their MAPSE measurements: those with low MAPSE (<12 mm) and those with non-low MAPSE (>12 mm). MAPSE measurements were acquired using transthoracic echocardiography (TTE). Results: COVID-19 patients with low MAPSE, global longitudinal strain (GLS) (%) ([-17.61±0.95] - [-18.90±1.08], p <0.001) and mitral E/A ratio ([0.83±0.39] - [0.97±0.23], p = 0.028) were statistically significant compared to the the group without low MAPSE. Left atrial volume index (LAVI) in mm/m2 ([37.24±2.11] - [35.34±2.50], p =0.001) was higher in the group of COVID-19 patients with lower MAPSE. High-sensitivity troponin T (Hs-TnT) (OR: 2.019, 95% CI: 1.043-3.712, p =0.028), intensive care unit (ICU) admission (OR: 1.432, 95% CI: 1.004-2.708, p =0 .037) and need for invasive mechanical ventilation (IMV) support (OR: 1.306, 95% CI: 1.128-2.630, p =0.004) were identified as independent predictors of reduced MAPSE. Conclusions: SARS-CoV-2 infection may lead to reduced or impaired MAPSE values, indicative of impaired LV function, in COVID-19 survivors. Additionally, our study revealed that elevated levels of (Hs-TnT), admission to the ICU, and the need for IMV support were predictive factors for low MAPSE values. These findings underscore the potential cardiac implications of COVID-19 and highlight the importance of monitoring cardiac function in patients with severe disease manifestations.
Usefulness of Ultrasonography and Radiography in the Evaluation of Distal Forearm Fractures in Children: A Narrative Review
Authors:   Fundación Clínica del Norte, Department of Medicine, Bello, Colombia, Pérez Pinzón Diego Alberto , Pinzón Bernal Carla Yaneth ,   Hospital San Vicente Ferrer, Department of Medicine, Andalucía Colombia, Saldarriaga Espinosa Charles Johan ,   Fundación Clínica del Norte, Department of Medicine, Bello, Colombia, Montoya Pérez Valentina ,   Fundación Clínica del Norte, Department of Medicine, Bello, Colombia, Taborda Mejía María Camila ,   Fundación Clínica del Norte, Department of Medicine, Bello, Colombia, Chavarria Granda Luis David ,   Fundación Clínica del Norte, Department of Medicine, Bello, Colombia, López Figueroa Laura Cristina ,   Fundación Clínica del Norte, Department of Medicine, Bello, Colombia, Vargas Riascos Miguel Andrés ,   Universidad Autónoma de Bucaramanga, Department of Medicine, Bucaramanga, Colombia, Bravo Villareal Leonardo ,   Universidad Industrial de Santander, Bucaramanga, Colombia
Published: April 2024

Pediatric fractures, especially distal forearm fractures, represent a significant global medical concern, affecting up to 50% of pediatric fracture cases. This narrative review aims to compare diagnostic modalities to determine which offers higher accuracy, minimizes radiation exposure, and is adaptable to diverse clinical settings. In the choice between ultrasound and X-ray for diagnosing distal forearm fractures in children, each modality has its merits. X-ray provides accuracy and value in well-equipped facilities, while ultrasound, being radiation-free, is effective in resource-limited areas and is essential for pediatric patients to avoid radiation exposure. Professional training and continual updates are crucial. Moreover, it underscores that alongside diagnostic imaging, comprehensive clinical assessment remains pivotal for making informed medical decisions. The choice of method should consider individual case factors and prioritize patient safety.
Optimizing Cloud Resource Management Using PSO
Authors:   Amity School of Engineering and Technology Lucknow, Amity University Uttar Pradesh, India, Rawat Anshika
Published: April 2024

This research explores how cloud resource management is changing in businesses, with a focus on Amazon Web Services (AWS) as the leader in cloud computing. It highlights how crucial excellent resource management is to attaining scalability, cost-effectiveness, and peak performance. The study explores on using Particle Swarm Optimization (PSO) as a cutting-edge optimization method in cloud computing settings. It talks about the difficulties brought on by fluctuating workloads and the requirement for clever resource allocation strategies. Additionally, the study assesses several optimization techniques using performance parameters including computing overhead, convergence time, and solution quality. These techniques include PSO, Genetic Algorithm (GA), and Firefly Algorithm (FA). In-depth simulations and case studies with organizations such as Siemens and Deloitte are used in the study to demonstrate how these algorithms work best in cloud environments to maximize resource usage, cut costs, and improve overall service quality. In the end, it emphasizes the continuous requirement for optimizing techniques to successfully handle the complexity of cloud computing ecosystems.
Enhancing Location Accuracy by Minimizing RMS Using RSS-AMLE in WSN
Authors:   Department of Master of Computer Applications, Sri Siddhartha Academy of Higher Education, Tumakuru, India, T P Mohankumar
Published: April 2024

Over the past decade, there has been significant growth in wireless sensor networks, particularly in the context of industrial applications. Mobile sensor networks have garnered research interest due to their ability to facilitate communication between various devices. Still, the mobility of these nodes gives rise to challenges such as network coverage and connectivity issues. Addressing these challenges necessitates accurate estimation of sensor node locations, a critical factor in network performance. Numerous methods, such as Angle of Arrival (AOA) and Time of Arrival (TOA), have been proposed for node localization. Still, these methods are plagued by localization errors and high implementation costs. To overcome these localization errors in wireless sensor networks, we present an adaptive approach based on the Received Signal Strength (RSS) model. This model views localization as a non-convex problem and employs an adaptive maximum likelihood estimation to minimize localization errors. An extensive simulation study is carried out to measure the performance of the intended approach in minimizing the localization error. The results unequivocally demonstrate that our localization scheme achieves higher accuracy in locating sensor nodes while reducing deployment costs. Comparative analysis against existing methods further underscores the significance of our approach.
Association Between Walk Score, Perception of the Pedestrian Environment, and Housing Prices
Authors:   Korea Real Estate Policy Association, Jin Suin , Kim Eun Jung
Published: April 2024

본 연구는 워크스코어와 보행환경에 대한 인식의 주택가격과의 상관성을 살펴보았다. 연구대상
은 대구광역시에 거주하는 18세 이상의 성인을 대상으로 하여 2022년 10월 12일부터 11월 8일까지
설문조사를 실시하였고, 총 347부의 유효응답 회수하여 분석에 활용하였다. 워크스코어 값은 ArcGIS
를 활용하여 응답자의 거주지를 대상으로 산출하였고, 보행환경에 대한 인식은 편의성, 연결성, 안전
성, 편안함 등의 4대 부문의 16개 항목을 대상으로 설문조사를 통해 수집하였다. 분석방법으로는 공
간회귀모형을 활용하였다. 분석결과, 워크스코어는 주택가격과 양(+)의 상관성을 보이는 것으로 나타
났다. 또한 보행환경의 인식의 경우, 다양한 시설이 많을수록 주택가격은 증가하는 것으로 나타난 반
면, 보행장애물로 인해 보행 시 불편함을 느낄수록 주택가격은 하락하는 것으로 나타났다. 한편 보행
시 안전하다고 느낄수록 주택가격은 상승하는 것으로 나타났다. 본 연구는 외국의 주요 국가에서 보
행친화지수로 활용되고 있는 워크스코어와 주택가격 간의 상관관계를 살펴보았다는 점에서 의미가
있으며, 주택가격을 결정하는 요인으로 보행환경의 인식을 살펴보았다는 점에서 의의를 가진다.
A Qualitative Study on Housing Inequality among Housing Vulnerable Youth in Seoul
Authors:   Korea Real Estate Policy Association, Ko Jung-Hi , Kim Yun-Tae , Won Jae-Woong
Published: April 2024

이 연구는 서울시 주거 취약 청년층의 주거불평등에 주목하여 이들의 주거상황과 주거불평등이
어떻게 나타나고 있는지 청년층 및 전문가 심층인터뷰를 통해 살펴보았다. 이를 통해 선행연구에서
충분히 파악하지 못했던 청년층의 주거불평등 정책 욕구를 파악하였고, 주거정책 수립을 위한 주요
가치와 정책 방향을 확인하였다. 이 연구에서 제시된 8가지 주거불평등의 요소는 점유형태, 주거비
부담, 주거 불안, 주거환경, 주택 정보지원 접근성, 재해 취약성, 젠더 불평등, 정신건강이다. 특히 이
연구는 기존의 연구와 다르게 주거불평등 요소를 폭넓게 다루었다는 점에서 그 의미가 크다고 하겠
다. 청년층의 주거 불안과 주거 빈곤은 단지 개인의 능력 문제가 아닌 사회적 세습의 문제가 되고 있
는 만큼 이 연구는 향후 서울시 주거 취약 청년층이 경험하는 다차원적 주거불평등 완화 및 삶의 질
을 개선을 위한 주거정책 방향에 기여할 수 있다.
Properties of Objects and Their Transformation on the Plane
Authors:   Department of Mathematics, University of the Free State, Summerstrand, South Africa., Avelanda
Published: April 2024

Every function has its properties relative to that of the mechanisms of a circle, since cycles repeat. Such that all equations factors so well within its definition, that clearly, every circle has a radius that is greater than zero. If the radius expands by any set of numbers, then it is undergoing transformation. Hence, every object under it expands at a certain ratio. To a point that it is quite natural for phenomena to repeat; given that it is within the area of its circumference. Although without events being the same. Functions tends to be in approximation with mathematical constants, merely for the periodicity of their behaviour- since it is cyclic under certain conditions. The centre of a black hole is a point; so much like that of a circle. Since therefore, objects alters the state of dimensions they occupy, so that relative to the point of reference: they either appear as paraboloids, ellipses, hyperbolas, or circles; depending on the context.
What is Wrong with Raman Effect?
Authors:   Department of Industrial & Systems Engineering, 2/92 Liberty, Ghatkopar East, Mumbai (Maharashtra), India., Jaiswal Sandeep S.
Published: April 2024

This paper provides a holistic picture of the Raman effect that had not been explained in the original research by Raman by showing the entire picture of what happens when a photon from a light source collides with a molecule from a reference object.
A Cross-Sectional Study Regarding the Prevalence of Premenstrual Syndrome (PMS) and Its Impact on the Regular Life of Female Students in Bangladesh
Authors:   Department of Pharmacy, East West University, Aftabnagar, Dhaka, Bangladesh, Jami Md. Abu Bakar Siddique ,   Department of Pharmacy, Bangladesh University, Mohammadpur, Dhaka, Bangladesh, Sultana Rezwana ,   Department of Pharmacy, East West University, Aftabnagar, Dhaka, Bangladesh, Islam Zasharatul ,   Department of Pharmacy, East West University, Aftabnagar, Dhaka, Bangladesh
Published: April 2024

Background: Premenstrual syndrome (PMS) causes a variety of disturbing symptoms that can affect mood, cognition, and physical well-being and have effects on the regular lives of females, especially students. Objective: Assessment of female students’ knowledge, attitude, and awareness regarding PMS, evaluation of the prevalence of PMS in Bangladesh, and its impact on the regular life of female students in Bangladesh. Study Design: Cross-sectional study using a semi-structured questionnaire. Method: Primary data were collected by conducting an online survey with a semi-structured questionnaire. Data collection was carried out from March 2021 to October 2021. The subjects’ age range was 13–35. A total of 366 female students participated in the survey from different demographic profiles. Results: 74.86% of respondents were between the ages of 21 and 25, and they were mostly undergraduate students (71.31%). 77.05% of respondents were familiar with the term PMS. PMS symptoms were experienced by almost all participants (94%) to different extents. 140 participants (38%) experienced PMS one week before their period. On the other hand, 152 participants (42%) were moderately affected by PMS physical symptoms. 43% of participants rated PMS psychological and behavioral symptoms as moderately severe. The most common PMS symptom, according to 259 female students, was cramping, followed by headache and backache. PMS causes 65.85% of participants to lose concentration during educational activities. 59.56% of the participants claimed PMS causes difficulty at work and in other regular activities. Conclusion: PMS is highly prevalent among female students in Bangladesh. The majority of students experience a lack of concentration on educational activities due to PMS. PMS has an impact on both their personal and professional lives. Personal hygiene, sexual health, and overall awareness about PMS should be promoted more through education and social awareness programs.
Assessment of Dietary Intake and Nutritional Status of Children (0-23 Months) Accessing Care in Community Infant and Young Child Feeding (C-IYCF) Practices in Hasiya Bayero Pediatric Hospital Kano
Authors:   Geneith Pharmaceuticals Limited, Lagos, Nigeria, Johnson Taiwo I , Abdullahi Haruna ,   Department of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Nigeria, Ahmed Kayode AM ,   Federal Medical Centre, Abeokuta, Nigeria, Hassan MS ,   Department of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Nigeria
Published: April 2024

Introduction: Infant and young child feeding (IYCF) practices have substantial outcomes for the growth, development, and survival of infants and children during the first two years of age and throughout their lifetime. The study aimed to assess the dietary intake and nutritional status of children (0–23 months) registered for care in Hasiya Bayero Pediatric Hospital Kano. Methodology: A cross-sectional study was conducted among 125 randomly selected caregiver-child pairs accessing care in the hospital. A validated semi-structured questionnaire was used to collect information on socio-demographic and dietary intake information from the respondents. Anthropometric indices of weight for age, length for age, and weight for length measurements were used to assess the nutritional status of children. Result: Female caregivers were the most participants in this study 122 (98.2%). For marital status, almost all 124 (99.4%) of the mothers were married and only 1 each of the mothers reported to be single and being widowed. About 76 (60.8%) of the study population attended secondary education. The major occupation of the caregivers is trading in 92.4%. Dietary intake consists mainly of legumes in 30.0% and cereals in 56.5%. Only 39.0% portion of the population met the minimum World Health Organization (WHO) recommendation of dietary diversity and over 79.8% of the caregivers were still breastfeeding during the period of the study, 18% of them initiated breastfeeding within 1 h of birth and only 16.2% exclusively breastfed their children; majority 70.6% of the caregivers breastfed on demand while with a small proportion of 26.1% and 3.3% responded to breastfeeding when convenient and breastfeeding at a scheduled time respectively. Conclusion: The study revealed that the nutritional status of the children was poor. Up to 60 (51.2%), 98 (88.3%), and 74 (65.1%) of the infants were wasted, underweight, and stunted, respectively. The study also revealed that the nutritional status of the children (WLZ, WAZ, and LAZ) was significantly related to the dietary diversity at p = 0.002, p = 0.001, and p = 0.019, respectively. This study revealed poor IYCF practices in Hasiya Bayero Pediatric Hospital Kano. Therefore, more attention needs to be paid to the specific behaviors surrounding feeding practices and other constraints to children accessing care in Hasiya Bayero Pediatric Hospital Kano.
Filtering Big Data with Optimized Hybrid Algorithm for IoT-Based Data Selection
Authors:   Department of CSE, IcfaiTech, The ICFAI University, Jaipur, India, Surendra Surendra ,   School of Computer Science and Engineering, Galgotias University, Uttar Pradesh, India,   Department of computer Engineering and Applications, GLA University, Mathura,,   Department of CSE, IcfaiTech, The ICFAI University, Jaipur, India,   Department of CSE, IcfaiTech, The ICFAI University, Jaipur, India,   Department of Computer Science  Engineering, Lovely Professional University, Punjab, India, Srivastava Satyajee , Kumar Surendra , Saini Arun Kumar , Verma Neeraj , Kapila Dhiraj
Published: April 2024

Data management across servers has grown problematic because of technological advancements in data processing and storage capacities. Data that is neither organized nor labelled adds an additional layer of difficulty to the storing and retrieving processes. This data, which is not tagged, requires analytic techniques that are more powerful and time efficient. Clustering has long been regarded as one of the most effective methods for managing large amounts of data; nonetheless, larger volumes can lead to unexpectedly poor accuracy when using conventional clustering methodologies. In this study, we suggest the use of a novel framework for the clustering of large amounts of data. The preprocessing stage is one of the most important parts in the data cleansing process; hence, a global stop-word list is used to filter the contents of the files before sending them on to the cluster distribution stage. A meta-heuristic focused Genetic Algorithm (GA) is utilized to eradicate the redundant information present in the datasets. In addition to the generalized attributable fitness function, an attribute-based innovative fitness function (f) is being developed. To determine how well proposed method performs, it is compared to a variety of alternative clustering approaches. When comparing the distributions of clusters for the purpose of evaluation, the Standard Error (SE), root mean squared error (RMSE), and corrected R squared error are all computed.
Rapid Rhythm and Overambitious Objectives: The Dual Mismatch in Japan's Rising Process
Authors: Liu Yifan
Published: April 2024

On August 15, 1945, Japanese Foreign Minister Mamoru Shigemitsu signed the instrument of surrender, marking Japan's formal capitulation to the Allied forces. This surrender signaled the defeat of the Axis powers and effectively halted Japan's rising trajectory. Grounded in positional realism and the theory of strategic rhythm, this paper introduces a novel analytical framework to examine the discrepancies between strategic objectives and rhythm in Japan's rising process. Subsequently, the paper chronologically reviews Japan's historical ascent, utilizing this analytical lens to assess the alignment between Japan's early, middle, and late-stage strategic objectives with its comprehensive capabilities, as well as the congruence between objectives and strategic rhythm. The analysis suggests that Japan initially maintained a strategic equilibrium with appropriate objectives and rhythm. However, discrepancies emerged in the middle period between strategic objectives and rhythm, escalating to a misalignment between objectives and comprehensive capabilities in the later stages. This confluence of misalignments culminated in a "dual mismatch," ultimately interrupting Japan's rise.
The Influencing Factors of Exports of Sichuan under the Belt and Road Initiative: An Empirical Study Based on the Extended Trade Gravity Model
Authors: Ran Yaxian , Thananchana Annop
Published: April 2024

This study investigates the influencing factors of exports in Sichuan Province in the context of the Belt and Road Initiative. Based on the panel data of Sichuan's exports to fifty-three countries along the Belt and Road from 2011 to 2022, this study tests eleven potential influencing factors using an expanded trade gravity model. And the results show that the economic development level of both Sichuan and the Belt and Road member countries have significant positive correlation with the export volume; while the distance, foreign merchant participation in Sichuan, exchange rate of RMB and human capital level of Sichuan are significantly negative. Moreover, the trade potential coefficient of each Belt and Road member country is calculated to decide the trade type. Lastly, the c onclusions and strategical suggestions are put up to further explore the trade potential with Belt and Road countries and expand Sichuans export volume.