bluuebunny/crossref_metadata_2025 huggingface dataset:
High Concentrations of Quinolones Residues found in Eggs from Poultry Farms in Kaduna, Nigeria.
Authors: Abdulkadir A
Published: May 2022

Eggs are the major product generated from layer poultry production systems and are readily processed for consumption and sold to meet public demand. However, antimicrobial usage during production results in residues accumulating in poultry eggs. Thus, it is necessary to monitor and ensure that poultry eggs are safe for human consumption, with no antibiotic residues that can lead to allergic reactions/intoxication or development of antimicrobial resistance. Forty-five (45) farms around Kaduna metropolis, Nigeria were sampled for table eggs alongside a structured questionnaire to consider operation systems (cage or floor), stocking system (all-in-all-out or multiple batches), and location, along with egg producer sizes as either small-, medium-, or large-scale producers. A total of 450 fresh eggs were collated and analyzed using Enzyme-Linked Immunosorbent Assay. The result overall, showed a high prevalence (95.6%) of samples positive for quinolone residues with highest levels of 10,185.5 ng/ml and 5,519ng/ml from two farms (4.4%). These levels are higher than the Maximum Residue Limits (MRL) for edible tissue set by regulatory agencies, including the European Union and U.S. Department of Agriculture (100 ng/ml=100 mg/l). Thirty-three (33) samples from 33 farms (73.3%) overall had residue levels higher than the MRL, 10 farms (22.2%) had residue levels ranging between 2.5 ng/ml – 94.5 ng/ml, while only two farms had undetectable limits of less than 2.5ng/ml. No specific association was found for any of the assessed production factors. Quinolones are antibiotics used both in veterinary and human medicine, thus, their usage must comply with set safety criteria. Consequently, the presence of quinolones in poultry eggs may result in the transmission, to humans, of resistant bacteria and residues of fluoroquinolone active metabolites harmful to human health.
Tracking Online Low-Rank Approximations of Higher-Order Incomplete Streaming Tensors
Authors: Thanh Le Trung , abed-meraim karim , Linh-Trung Nguyen , hafiane adel
Published: May 2022

Abstract:  In this paper, we propose two new provable algorithms for tracking online low-rank approximations of high-order streaming tensors with missing data. The first algorithm, dubbed adaptive Tucker decomposition (ATD), minimizes a weighted recursive least-squares cost function to obtain the tensor factors and the core tensor in an efficient way, thanks to the alternating minimization framework and the randomized sketching technique. Under the Canonical Polyadic (CP) model, the second algorithm called ACP is developed as a variant of ATD when the core tensor is imposed to be identity. Both algorithms are low-complexity tensor trackers that have fast convergence and low memory storage requirements. A unified convergence analysis is presented for ATD and ACP to justify their performance. Experiments indicate that the two proposed algorithms are capable of streaming tensor decomposition with competitive performance with respect to estimation accuracy and runtime on both synthetic and real data.

Code: https://github.com/thanhtbt/tensor_tracking

Comment: to appear in Elsevier Patterns
Management of Significant Coronary Stenosis Discovered in Pre-TAVI Coronary Angiography in An 83-Year-Old Patient: When and How to Revascularize? Literature Review from a Case Report
Authors: Tandia Ahmed Salah , Ganse Gildas Ismael , Martin Victoria
Published: May 2022

In recent years, we have witnessed the emergence of minimally invasive techniques such as Transcatheter Aortic Valve Implantation (TAVI) for the management of aortic valve stenosis in the elderly or at high surgical risk. TAVI, although with a low mortality rate and a simpler procedural technique, is not free from complications, especially with associated coronary artery disease. Here we report a clinical case of an 83-year-old diabetic patient with atrial fibrillation under rivaroxaban, admitted to the Angoulême hospital center for left heart failure. After management of the left heart decompensation, a transthoracic echocardiography confirms a severe aortic valve stenosis for an aortic valve surface of 0.8 cm2 and a mean trans-aortic gradient of 46 mmHG with an LVEF of 40%. A pre-therapeutic coronarography shows a tri-truncal lesion including a significant stenosis of the proximal left anterior descending artery. In view of the age of this patient, and surgical risk, a TAVI was proposed while discussing the modalities and timing of coronary revascularization.
Gender differences in peruvian nursing: a bibliometric analysis in scopus and web of science
Authors: Boté-Vericad Juan-José , Ferrer-Mejía Mercedes-Lulilea , Gorchs-Molist Montse , Begazo-Corahua Jacqueline
Published: May 2022

This paper aims to perform a bibliometric and gender perspective analysis of scientific publications in Scopus and Web of Science in the area of Peruvian nursing. A bibliometric analysis design was used. The analysis comprised 130 articles in Scopus and 104 articles in Web of Science. The main indicators included the annual production of articles, the most cited authors and articles, and a thematic analysis of the keywords. In terms of authorship in Scopus, there are seven women among the first 10 authors, but in Web of Science, there are only 3. For citations, female nurses and authors at Scopus receive a higher proportion of citations than males. However, in Web of Science, male nurses receive proportionately more citations. Regarding the first 10 journals we found on the Web of Science, Emerging Source Citation Index journals have more indexed articles than Journal Citation Reports journals. The statistical correlation coefficient between the articles published in Scopus and Web of Science is 0.92. The scientific production in Peru in the nursing field shows no female bias in Scopus, but that is not the case for Web of Science. In addition, the total number of articles published in Peru respecting other fields is low, as is the level of international collaboration between the authors.
O efeito da ozonioterapia no tratamento de fratura de fêmur em filhote canino: relato de caso
Authors: Moraes Beatriz Carvalho de , Biagini Ana Luiza , Alves Heloisa Lima , Teixeira Laura Wiermann , Silva Thais Jardim , Carozzo Loretta , Silva Liegi C. Garcia
Published: May 2022

Fraturas de fêmur são casos recorrentes na clínica veterinária de pequenos animais, ocorrendo principalmente em filhotes. O seu diagnóstico considera histórico e sinais clínicos apresentados, como sensibilidade dolorosa e apoio do membro em pinça, e é confirmado por exame radiográfico do membro lesionado. Geralmente, esse tipo de fratura tem o tratamento cirúrgico como indicação, entretanto, com o perigo de submeter o animal a riscos tanto anestésicos quanto cirúrgicos. O presente relato de caso descreve o uso da ozonioterapia, uma forma diferente e menos invasiva de se tratar fratura femoral, com um maior potencial de adesão do tutor por ser um tratamento mais acessível e com excelentes resultados.
Karakteristik Pasien Kanker Stadium 4 yang Mendapatkan Perawatan Paliatif di Rumah Sakit X
Authors: Wongkar Ronald , Angka Rebecca N , Angeline Reni
Published: May 2022

Kanker menjadi penyebab kematian nomor dua di dunia. Di Indonesia terjadi peningkatan jumlah pasien kanker dari 1,4/1000 penduduk pada tahun 2013 menjadi 1,79/1000 penduduk pada tahun 2018. Sebanyak 70% pasien datang pada stadium 4 sehingga diperlukan perawatan paliatif. Penelitian ini menggunakan desain observasional deskriptif dan teknik waktu secara cross sectional dengan tujuan untuk mengetahui jumlah dan karakteristik pasien kanker stadium lanjut yang mendapatkan perawatan paliatif di Rumah Sakit X pada Januari-Juni 2020. Karakteristik yang diambil berupa jenis kanker, umur, jenis kelamin, status pernikahan, jenis pekerjaan, asal daerah, stadium ketika terdiagnosis, jenis pengobatan, keluhan awal, keluhan tersering, dan metode bayar yang digunakan. Kebanyakan pasien berjenis kelamin perempuan dan sudah menikah. Jenis kanker terbanyak yaitu kanker paru pada laki-laki dan kanker payudara pada perempuan dengan distribusi umur terbanyak pada 45-54 tahun dan mayoritas pasien berasal dari DKI Jakarta, bekerja sebagai karyawan swasta dan ibu rumah tangga. Semua kanker terdiagnosis pada stadium 4 sehingga pasien mendapatkan terapi kombinasi. Gejala terbanyak yang dirasakan pasien berupa nyeri dan kebanyakan pasien menggunakan asuransi Badan Penyelenggara Jaminan Sosial (BPJS). Oleh karena setiap tahun jumlah pasien kanker terus meningkat dan datang pada stadium 4, maka diperlukan perawatan paliatif untuk meningkatkan kualitas hidup pasien.
A Cost-benefit Analysis of Using Polyethylene Glycol Hydrogel Sealant versus Fibrin Glue as a Dural Sealant for Posterior Fossa Surgery in the United States
Authors: Carter Marissa
Published: May 2022

Background: Cerebrospinal fluid (CSF) leaks are a well-known complication of posterior fossa neurosurgery. The use of dural repair adjuncts has been associated with fewer CSF leaks and subsequently, lower medical costs.

Objectives: To determine if the use of polyethylene glycol hydrogel sealant (DuraSeal dural sealant system [DuraSeal]), resulted in cost savings in the United States compared to use of fibrin glue in posterior fossa neurosurgery based on a published study of these two products.

Methods: Primary analysis was based on a published cohort study (100 patients per cohort). Adjustments were made to account for the longer follow-up time of the fibrin glue cohort to better capture the incidence of CSF leaks, pseudomeningocele, wound infection, and meningitis using additional data from the literature. Resource utilization was calculated from literature studies and confirmed with consultations from two practicing neurosurgeons. The effective time horizon was 19 months. Undiscounted Medicare payments were used to calculate unit costs from a payer’s perspective based on hospital stay, cost of sealant application, and cost of complications. One-way sensitivity analysis was used to examine changes in costs as a result of model input changes.

Results: In the base case, the cost of the hospital stay for the original surgery, which excludes the cost of complications, dominated costs for both cohorts. On a per patient basis, the use of fibrin glue cost $1666 more than the use of DuraSeal. Sensitivity analysis showed that using lumbar drainage instead of operative repair for a CSF leak reduced cost savings to $680. Holding the incidence of CSF leaks constant for the fibrin glue cohort while increasing the incidence for the DuraSeal cohort by 50% or 300% resulted in cost savings of $1438 and $755, respectively.

Conclusions: The results of this study demonstrate a positive, consistent cost-benefit of DuraSeal compared to fibrin glue based on a cohort study of real world patients who underwent posterior fossa neurosurgery.
A REVIEW ON EFFECT OF SOLID WASTE FILLERS ON ASPHALT MASTIC AND ASPHALT MIXTURE
Authors: Peddada Mahesh  , Jyoti Prakash Giri
Published: May 2022

The pavement works consumes more of natural resources through which depletion take place due to continuous consumption. So, it is required to regulate the usage of natural material and recommended to use some alternate materials in the form of replacement. Conventional fillers that are used in asphalt mix are stone dust, limestone, Portland cement, etc. In order to regulate usage of these materials utilization of waste/by-products as a filler such as marble dust, calcium carbide residue (CCR), Fly-Ash, brick dust, etc. In this review analysis the effect of solid waste products as fillers in asphalt concrete mixes and asphalt mastics were elaborated by means of mechanical properties, rheological properties and performance properties like resistance against rutting, cracking and fatigue. As a result, from various research works, the improvement in performance and properties of asphalt mastic and asphalt mixes were observed with utilization of solid waste mineral fillers.
KEYWORDS: Asphalt Mastic, Asphalt Mix, filler, CCR, Marble Dust
STRATEGY WITH EDUCATIONAL DEVELOPMENT AND DEFORESTATION OF BHILALA TRIBES IN MELGHAT REGION OF VIDARBHA
Authors: Pallavi Dhanajay Ingole  , Dr.A.D.Chauhan
Published: May 2022

Tribal society is a primitive society of man. Most of the states are having the various types of tribal communities in India.According to George Peter Murdock, tribe is a social group in which there are many clans, nomadic bands, villages or other sub-groups which usually have a definite geographical area, a separate language, a singular and distinct culture and either a common political organization or at least a feeling of common determination against the strangers.
As defined in the Imperial Gazette of India, ‘A tribe is a collection of families bearing a common name, speaking a common dialect, occupying or professing to occupy a common territory and is usually not endogamous, though originally it might have been so.”
According to Bogardus, “The tribal group is based on the need for protection on ties of blood relationship and on the strength of a common religion.”
The tribe is a group of persons having a common definite territory, common dialect, common name, common religion and a common culture. They are united by blood relationship and have a peculiar political organization.
Social Enterprises in Albania: Analysis of Albanian Legislation over the Years
Authors: Kadrimi Leonard , Gjeta Arber
Published: May 2022

Pursuant to Law no. 65/2016 “On social enterprises in the Republic of Albania”, the Albanian lawmakers have aimed to regulate the exercise of the profitable activities of non-profit organizations by providing a legal solution and improving the regulatory framework of the so-called, in some countries, the third sector (which is not included neither in state-owned nor in private commercial entities). The law hereof aims to regulate the exercise of non-profit commercial activities, by limiting the types of entities allowed to be non-profit organizations, and therefore leaving the trading companies out of scope. Regarding the object of the law, in order to protect and socially include the vulnerable groups, its scope is limited to employment, provision of employment opportunities, provision of goods and services and economic and social integration for the ulnerable groups, therefore it has set some restrictions on the legal notion of social enterprise. Despite the great legislative work and the good will to finally regulate and stimulate an innovative sector such as the social enterprise, in the de iure condito debate it was mentioned that there is still room for improvement in this part of the legislation, which has not given any or has given only a few effects in practice. Therefore, by analyzing the Albanian legislation in the sector, we aim to provide an explanatory description of Law no. 65/2016 but at the same time, de iure condendo, to ask for a better addressing of the problems that have arisen in practice, in the light of the European and foreign legislation, jurisprudence and doctrine in this field.
A memória do ethos
Authors: Penteado Matheus André Beraldo , Safra Gilberto
Published: May 2022

Esta pesquisa buscou investigar o lugar do cão frente ao ser humano no mundo contemporâneo. Observa-se que o cão assume figura de destaque, ao inserir-se como elemento vital na vida de muitas pessoas, além de ser parte integrante do horizonte sociocultural de muitas cidades. A partir de um referencial fenomenológico-hermenêutico, buscou-se investigar os sentidos desse fenômeno contemporâneo a partir de uma abordagem híbrida: por um lado, foram realizadas entrevistas abertas com pessoas cujas vidas estivessem marcadas pela participação significativa do cão; por outro, foi possível, por meio do procedimento da observação participante, adentrar os diversos lugares em que a relação entre seres humanos e cães acontece na atualidade. Aven- tamos a hipótese, com base na discussão de Gilberto Safra sobre a fragmentação do ethos no mundo contemporâneo, de o cão ocupar um lugar ético, auxiliando na recuperação da memória de dimensões da condição humana que se encontram empobrecidas.
Influence of Teacher Retention Management Practices on the Educational Outcome of High School Students
Authors: Sakwa Suleiman Eshikumo
Published: May 2022

There is a growing global crisis with teacher retention, where there is extremely high teacher turnover/ low teacher retention in most high schools. This article makes significant advancements in educational management and planning by assessing the relationship between teacher retention and educational outcomes worldwide. The educational outcome comprises students’ test scores, transition rates, and cohort wastages. On the other hand, teacher retention is classified into annual teacher retention, specific subject teacher retention, Course duration teacher retention, and administrative teacher retention. The majority of the sources and data gathered indicate that low teacher retention/high turnover results in low educational outcomes. The specific subject teacher retention and annual teacher retention have the most adverse impacts, while the course duration and administrative teacher retention have a mild impact on educational outcomes
Giant gastric GIST
Authors: García Reyes A , Aguilar Márquez AI , Domínguez Amodeo A , Domínguez-Adame Lanuza E
Published: May 2022

Presentamos el caso de un varón de 75 años que es diagnosticado en urgencias de una tumoración GIST gástrica gigante. El diagnóstico se llevó a cabo mediante TAC abdominal y eco-endoscopia. Estos tumores son tipos infrecuentes de sarcomas, siendo su localización más común el estómago.
Differential diagnosis of intestinal obstruction in adults:The importance of Meckel's diverticulum.
Authors: Gómez Luque I , Gómez Dueñas G , Briceño Delgado J , Moreno Navas A
Published: May 2022

El divertículo de Meckel es la malformación congénita más común del tracto gastrointestinal, su presentación clínica es más frecuente en niños, siendo un diagnóstico raro en los adultos. Entre las complicaciones más comunes en dicha edad se encuentra la obstrucción intestinal con mayor incidencia, de ahí la importancia de tener presente esta entidad como diagnóstico diferencial en la obstrucción intestinal. Su diagnóstico en ocasiones es complejo debido a su clínica asintomática previamente y a la poca especificidad que presentan las pruebas radiológicas. La cirugía es el tratamiento adecuado para las complicaciones del divertículo de Meckel.
Definitive appendicectomy in large appendiceal neoplasia
Authors: García-Redondo M , Sánchez-Fuentes PA , Rodríguez-Alonso JM , Gorostiaga-Altuna J , Reina-Duarte Á
Published: May 2022

El tratamiento de una neoplasia mucinosa apendicular diagnosticada mediante pruebas radiológicas, sin signos de perforación, sin afectación de la base y sin afectación periapendicular, es la apendicectomía y resección del meso apendicular. Un tamaño tumoral mayor de 6 centímetros se asocia a malignidad, pero, por sí solo, no se ha visto que el pronóstico mejore añadiendo una hemicolectomía derecha.

Se presenta el caso de una neoplasia apendicular de gran tamaño. Debido a los hallazgos intraoperatorios de integridad periapendicular, integridad de la base y ausencia de perforación, independientemente del tamaño, se realiza apendicectomía y resección del meso. Posteriormente el análisis anatomopatológico arroja el diagnóstico de neoplasia mucinosa apendicular de bajo grado "in situ", por lo que la apendicectomía es considerada curativa.
Ileal perforation due to foreign body (clam shell) in a Crohn ́s disease patient with ileal affectation
Authors: Velilla Vico D , Gracia Alegría E , Carbonell Morote S , Ruiz de la Cuesta E , Rubio García JJ , Coronado Frías O , Llopis Torremocha C , Ramia Ángel JM
Published: May 2022

Les presentamos la imagen relativa a un paciente con Enfermedad de Crohn y episodio de perforación asociado a cuerpo extraño. Basándonos en el caso, realizamos un breve resumen acerca del abordaje y tratamiento de esta patología. Nos parecen de especial interés didáctico las imágenes en 3D que aportamos.
Incarcerated hiatal hernia following total gastrectomy for carcinoma Siewert III.
Authors: Pérez Quintero R , Martínez Mojarro R , Balongo García R
Published: May 2022

La hernia de hiato es considerada un tipo de hernia interna que ocurre con poca frecuencia tras la esofaguectomía y aún menos frecuente tras la gastrectomía total. La incidencia actual tras cirugía oncológica no se corresponde con la realidad publicada probablemente por el mal pronóstico y corta supervivencia. Presentamos el caso de un paciente diagnosticado de adenocarcinoma de la unión esofagogástrica (UEG) tipo Siewert III que es intervenido tras neoadyuvancia realizándosele gastrectomía total y esofaguectomía distal con anastomosis esofagoyeyunal y reconstrucción en Y de Roux laparoscópica con evolución tórpida postoperatoria apareciendo a las 48h una hernia de hiato incarcerada con asa de yeyuno ascendida a tórax.
Bilateral ischial hygroma (perineal nodular induration)
Authors: Serrano Borrero I , Roldán Aviña JP , Merlo Molina S
Published: May 2022

El higroma isquiático es una entidad benigna frecuente en la práctica del ciclismo y poco conocida para la mayoría de los cirujanos generales, que consiste en la aparición de uno o varios nódulos dolorosos en la región isquiática. En el diagnóstico son útiles la ecografía de partes blandas y la resonancia magnética. El tratamiento es variable, desde medidas conservadoras hasta resección quirúrgica.

Presentamos el caso de un hombre de 71 años, ciclista aficionado, remitido por nódulos perineales anteriores dolorosos.
Treatment of splenic abscess: a refresher review.
Authors: Forneiro Pérez R , Lendínez Romero I , Ubiña Martínez JA
Published: May 2022

Objetivo: Evaluar el manejo terapéutico del absceso esplénico en un hospital español e identificar las variables que aumentan el riesgo de desarrollar un absceso esplénico, patología poco frecuente en sujetos inmunocompetentes, pero potencialmente peligrosos para la vida.

Se realiza además una revisión de la literatura publicada en los últimos 15 años.

Pacientes y Métodos: Presentamos 9 casos de pacientes diagnosticados de absceso esplénico mediante prueba de imagen desde Enero de 2013 a Octubre de 2019. Se recogieron datos sobre edad, sexo, factores predisponentes, clínica de presentación, número y tamaño del absceso, etiología microbiológica en hemocultivos y/o cultivo del absceso, tipo de tratamiento, estancia hospitalaria en días, número de reingreso, resultado y días de espera desde inicio de los síntomas hasta que se estable el diagnóstico de absceso esplénico.

Resultados: La edad media es 69 años, más de la mitad eran varones. Cuatro de los pacientes presentaban inmunosupresión. Los gérmenes más frecuentes aislados fueron los bacilos gram negativos. Todos los pacientes se trataron inicialmente con antibioterapia intravenosa, cinco precisaron drenaje percutáneo y tres precisaron esplenectomía. No se han encontrado asociación entre el tamaño del absceso y la necesidad de tratamiento quirúrgico. La estancia hospitalaria tampoco se ha visto influida por ninguno de los factores analizados. Aunque los pacientes inmunocompetentes tienen una estancia hospitalaria más corta que los inmunodeprimidos (diferencia clínicamente significativa pero no estadísticamente significativa).

Conclusión: No disponemos de gold estandar en el tratamiento del absceso esplénico. Según nuestra experiencia, todo tratamiento debe incluir antibióticos, principalmente en abscesos pequeños o múltiples.
Secondary umbilical endometriosis. Two cases report and bibliographic review.
Authors: Serrano Borrero I , Roldán Aviña JP , Merlo Molina S , Bonilla De los Santos I , Muñoz Pozo F
Published: May 2022

Introducción: los casos de endometriosis umbilical reportados tras cirugía laparoscópica ginecológica son raros, y en ocasiones suponen un auténtico reto diagnóstico.

Casos clínicos: presentamos dos casos de pacientes con antecedentes de laparoscopia ginecológica (endometrioma ovárico y teratoma ovárico respectivamente) que años después presentaron a nivel umbilical un nódulo doloroso secundario a implante endometrial.

Discusión: hay que distinguir entre la endometriosis umbilical primaria (nódulo de Villar) y la secundaria a implantes por procedimientos quirúrgicos. Se debe mantener un alto nivel de sospecha en este tipo de pacientes. La exéresis quirúrgica con márgenes amplios es de elección, debatiéndose la realización simultánea de una laparoscopia. Se recomienda la profilaxis mediante la extracción de la pieza operatoria en una bolsa.
Urgent surgery for bleeding gastrointestinal stromal tumor located in the fourth duodenal portion.
Authors: Cabello Calle G , de Castro Monedero P , Forneiro Pérez R , Rodríguez Morillas D , Mirón Pozo B
Published: May 2022

Los tumores del estroma gastrointestinal (GIST) duodenales son tumores mesenquimales poco frecuentes del tubo digestivo. Los tumores derivan de las células intersticiales de Cajal y suelen presentarse como hemorragia gastrointestinal o dolor abdominal inespecífico, pero también pueden ser asintomáticos aunque hayan alcanzado un tamaño considerable. Presentamos un caso de hemorragia digestiva alta por un GIST duodenal que precisó cirugía de urgencias.
Bile duct injury with Roux-en-Y hepatic-jejunal reconstruction: case report.
Authors: Aguilar-Andino D , Umaña AN , Aguiluz Funes J , Cerna O
Published: May 2022

Objetivo: El objetivo de este estudio es presentar un caso clínico de un paciente con lesión del tracto biliar en el cual se realizó una reconstrucción mediante una hepáticoyeyunostomía (HY) en Y de Roux.

Decripción del caso: Una joven de 25 años, con antecedentes de colecistectomía abierta, refiere múltiples episodios de vómitos, fiebre, tinte cutáneo amarillo y dolor abdominal, de una semana de evolución. La exploración física demostró tinte ictérico generalizado y ligera hipersensibilidad del hemiabdomen derecho a la palpación. El paciente fue ingresado como síndrome ictérico obstructivo secundario a la alta sospecha de coledocolitiasis residual y colangitis aguda grado II.

Resultados: Se confirmó una sección completa del conducto hepático común con fuga de todo el contraste. Se realizó una anastomosis hepática yeyunal en Y de Roux para reparar el conducto hepático común. En este caso, la evolución clínica de la paciente sugiere que tenía tanto estenosis como sección completa. Discusión: Los pacientes con estenosis a nivel del conducto hepático común, en los casos en los que el conducto hepático común se confunde con el conducto cístico, presentarán la clásica tríada de Charcot con dolor en el hipocondrio derecho, fiebre e ictericia.

Conclusión: Una LVB puede simular otro cuadro clínico porque sus manifestaciones clínicas dependen del tipo de lesión; que puede ser una estenosis o una sección incompleta/completa a cualquier nivel de la vía biliar.
Balancing Technique for Turbo Machinery Rotor
Authors: Belkhode Pramod
Published: May 2022

Balancing process carried out in the thermal power station is very complex and complicated. The complete unit is to be cooled down for balancing this takes nearly 10 to 15 days. After cooling the unit is disassembled and the rotor is taken out for which again 10 to 15 days are required for balancing and assembly. Rotor is placed on the balancing machines for balancing which is carried out by Engineers of the testing department. Balancing of a bulky rotor is difficult and it is carried out step by step. After balancing, complete rotor is to be placed in the turbo machine which is a most difficult task as it has to match the all alignment and other conditions properly. The complete process takes period of nearly one and half month for balancing the rotor, so balancing of the rotor is called to be the costly project in the thermal power station. After the balancing procedure is completed, while starting the complete unit various parameters are to be controlled such as steam inlet temperature, pressure, flow of the steam and rpm of the unit to avoid any type of danger. Loss of production of power during the shutdown period is major loss of any power station. Paper details the automatic thermal balancing of turbo machinery rotor using heating coils.
Norms of International and Financial Law: General Features and Problems in the Context of Sustainable Development (Aspects of Public Administration)
Authors: Shekhovtsova Victoria , Guzenko Olena , Soldatenko Oksana , Vorotin Valeriiy , Buryk Zoriana , Diegtiar Oleg
Published: May 2022

The rules of financial law in connection with the worldwide spread of sustainable development concept apply to the social and environmental aspects of the operation of companies. EU legislation provides for accountability of organizations for the management of social and environmental challenges. This study aims to highlight the common features and issues of financial law at the international and national levels on the example of companies with international investment. Results of the research. The study highlights how companies with international investment in Ukraine ensure compliance with financial law and how this practice generally affects business strategy, business model, social behavior, and environmental protection. The common features of the norms of international and financial law within the EU are determined due to the adaptation and policy of integration of the norms into the national legal framework. Member States have adapted the new provisions of Directive 2014/95/EU, companies make public social and environmental operations following the new requirements. The implementation of financial law standards provides the company with several advantages. CSR reporting may not be in line with the actual business focus on environmental sustainability, as it stems from the voluntary nature of this type of reporting, which is contained not only in the law of Directive 2014/95/EU but also in the reporting of Italian, Spanish, Ukrainian companies. Sustainability reports do not guarantee effective management practices for the company's environmental and environmental issues. The theoretical value of this study lies in complementing the concept of social responsibility: the concept of social responsibility applies to reporting to investors, not society, helping to create business value and increase investment opportunities and maintain profitability.
The Compact City - Measuring Urban Sprawl Using GIS and Landscape Metrics: Case Study: The City of Kaçanik - Kosova
Authors: Gashi Ferim , Ramadani Ibrahim
Published: May 2022

It is thought that the compact city is the best goal to prevent or reduce the negative effects of urbanization on the environment. Therefore, this work focuses on the use of controlled urban planning parameters and zoning parameters, during the drafting of the urban development plan in Kosovo, which in most cases are ignored. The aim of this paper is to find a way to develop compact and sustainable cities in Kosovo, and is based on quantitative research. The paper evaluates the built area within “urban zones” in order to identify the expansion tendencies of settlements, with the aim of contributing to preventing future uncontrolled developments. Additionally, land use should be in full compliance with spatial plans, both national and local. In this case, the treatment of the city of Kaçanik was taken as an example for Kosovo's conditions, based on the demographic potential, intensity of land use, style of construction, with the implementation of the zoning parameters, showing the way of land use, which should be in harmony with the concepts of sustainable development.
Infant AFAR: Automated facial action recognition in infants
Authors: Onal Ertugrul Itir , Ahn Yeojin Amy , Bilalpur Maneesh , Messinger Daniel S. , Speltz Matthew L. , Cohn Jeffrey F.
Published: May 2022

Automated detection of facial action units in infants is challenging. Infant faces have different proportions, less texture, fewer wrinkles and furrows, and unique facial actions relative to adults. For these and related reasons, action unit (AU) detectors that are trained on adult faces may generalize poorly to infant faces. To train and test AU detectors for infant faces, we trained convolutional neural networks (CNN) in adult video databases and fine-tuned these networks in two large, manually annotated, infant video databases that differ in context, head pose, illumination, video resolution, and infant age. AUs were those central to expression of positive and negative emotion. AU detectors trained in infants greatly outperformed ones trained previously in adults. Training AU detectors across infant databases afforded greater robustness to between-database differences than did training database specific AU detectors and outperformed previous state-of-the-art in infant AU detection. The resulting AU detection system, which we refer to as Infant AFAR (Automated Facial Action Recognition), is available to the research community for further testing and applications in infant emotion, social interaction, and related topics.
Subjacency effects on overt wh-movement in wh-in-situ languages: Evidence for nominal structure
Authors: Park Keunhyung , Dubinsky Stanley
Published: May 2022

This paper investigates whether overt wh-movement in Korean, a wh-in-situ language, triggers Subjacency violations in the same set of bounding configurations as English. Yoon (2013) and Jung (2015) showed that Korean wh-islands display Subjacency effects, and we ask whether the Complex NP and Coordinate Structure Constraints are also observed. We find that they are not. We propose that this is because Korean nominal expressions need not project DP. Our analysis supports previous accounts of Korean nominal structure (Kim et al. 2010), which suggest (based on optionality of determiners) that “Korean NP structure is non-configurational or lacks the category D.”
Nurses' Awareness, Perceived Knowledge, Attitude Towards and Barriers in Evidence-Based Practice (EBP)
Authors: Catu Louie Roy
Published: May 2022

Background: Evidence-based practice (EBP) is one strategy that enables clinicians to succeed in handling emerging literature, and integrating it to achieve high-quality patient outcomes. Although beneficial and innovative it is not considered a priority by many. Most nurses have little, if any, exposure to the clinical research process. 

Purpose: This study aimed to conduct a baseline assessment of perceived knowledge, attitude toward EBP, and barriers to adopting EBP in nursing. 

Methods: The study used a descriptive cross-sectional quantitative design. A convenient sample of 406 nurses participated and completed the EBP questionnaire. For ethical clearance, granted approval from Hospitals’ Research Ethics Committee and to HAU-IRB. 

Results: Nurses (n = 156, 38.4%) believes that EBP holistically is composed of patient data and preference, healthcare professionals’ skills, and research findings. They (n = 256, 63%) have a positive attitude towards EBP and are willing to accept new healthcare strategies based on research. But expresses less confidence (M = 3.90, SD = 0.64) in identifying clinical issues/problems and translate these into a well-crafted clinical question. They perceived themselves to possess moderate levels of skills to undertake different EBP activities (M = 3.76, SD = 0.61). Knowledge (x(4) = 12.174, p = 0.02), attitudes toward EBP (U = 13947.5, p = 0.04) were significantly better among nurses who had previous EBP training. Similarly, respondents with EBP-related training are more confident in integrating EBP into their practice (U = 13408, p = 0.01). 

Conclusion: Nurses’ highest level of education and years of clinical experience affects their implementation skills in adopting EBP. The study reflected the benefits of training, continuing education, and length of experience in the acquisition of skills. Findings can serve as a basis for developing programs to improve nurses' knowledge and attitudes towards EBP. Nurse administrators can create policies that address barriers identified in the study.
Understanding Academic Bullying in an Online Environment as Uncaring Encounter
Authors: Martinez Rudolf Cymorr Kirby , Cabale Walter Jerome
Published: May 2022

Background and Objective: The shift to an online from the face-to-face system of pedagogy among Higher educational institutions in the Philippines as a mode of adaptation to the current pandemic has inevitably produced varied set-back among its members, one of which is online bullying. This study. This study, grounded on Halldorsdottir's (1996) theory, explored the structure of bullying, taken as an uncaring encounter, in an online environment within the academic setting. 

Methods: Six participants, recruited via a combination of snowball and referral system, were selected based on the following preset criteria: (1) They are nursing students exposed to the online educational system platform for at least one semester and are currently enrolled with at least 18 units (2) They are enrolled in the institution for at least a year at the time of the interview (3) They have witnessed and /or were participants to what they deemed as bullying incident during their online educational experience at least twice, (4) They are willing to express and share their experiences. Narratives from the participants were gathered via two methods: 1) In-depth individual interviews and 2) Storytelling sessions. These narratives were later analyzed using thematic analysis to present the structure of bullying through its expressions, nature, and essence. 

Results: From the analysis of the participants' individual experiences, four recurring patterns were gleaned, namely, 1.) Borderless boundaries: the perceived extent of bullying, 2.) Apathetic bystanders as enablers of bullying, 3.) Misplaced empowerment: role assumption in bullying, 4.) Obfuscated reality: The online environment. The essence, "Indifference: The prime ingredient of uncaring," was gathered from these patterns. The patterns gleaned from the narratives posited that bullying, seen as an uncaring encounter, in an online environment on the academic setting is borderless occurring within an obfuscated digital environment, involving apathetic bystanders where the bullied may unconsciously assume the role of the bully in a seemingly apparent role reversal. Primordial to these encounters is the assumption of being indifferent. 

Implications: The need for policies and programs that foster empathy and compassion among all academic community members and continued support for students experiencing and witnessing bullying are implied from the findings of this study.
An Internationally Educated Nurse’s Perspective on Nursing in Canada
Authors: Cruz Edward
Published: May 2022

In Kristeva’s (1991) By What Right Are You a Foreigner?, she described the historic images of a foreigner, how these individuals are stigmatized, their otherness in a society that paradoxically welcomes and, to a certain extent, puts them on ‘leash’ as a means of controlling these foreigners, these others. Reflecting on this article, and being an immigrant and an internationally-educated nurse (IEN) from a developing country, the author reflects on Kristeva’s work in relation to the discourse on IENs’ experiences, along with his personal reflections, experiences, and journey of becoming and being a nurse in Canada, with the hope of initiating a dialogue to address the issues surrounding IEN transitioning in Canada.
Role of Research in Ensuring Continuing Quality Improvement in Outcome-Based Education in the Health Professions
Authors: Sarol, Jr. Jesus
Published: May 2022

The Philippine Commission on Higher Education (CHED), through Memorandum Order 46 Series 2012, unmistakably espouses outcome-based education (OBE) as the main approach to higher education learning. To attain its goal of developing a critical mass of high-quality graduates, research that will drive technological innovation, economic growth and global competitiveness and provide directions to the country’s policies and strategies must be supported. Research plays at least two roles in ensuring quality in outcome-based education – in curriculum development and in the implementation of OBE. Greater student involvement in research to hone their skills in research will help them become independent producers of knowledge and capable lifelong learners. Teachers enrich the content of their courses with research experience and findings, both from reviewing the literature and from the conduct of actual experiments and studies. To overcome problems with OBE implementation, research can be utilized as a problem-solving activity. Researches can provide situational analysis on the level of quality of education and monitor its trends, seek causal factors that account for variations in the attainment of quality standards, test for educational interventions and identify good/best practices in teaching and learning. This paper provides suggestions for designs for the application of research for these purposes.
Legal Triggers for Digitalization of Radioactive Waste and Spent Fuel Management within the European Union
Authors: Entin L. M. , Lebedeva Yu. V.
Published: May 2022

The article examines the impact of digitalization on radioactive waste and spent fuel management in the EU. The purpose of the research is the legal mechanisms that launch new digital technologies to improve radioactive waste accounting and control over its management. To set the goals of the research, such methods of scientific knowledge as logical, system-structural and comparative legal analysis were used. New EU legal documents (EC Digital Strategy 2018 and Shaping Digital Future of Europe 2020) have triggered process digitalization in the EU. According to analysis the EU legal acts, the authors came to the conclusion that the EU Commission principles of digitalization are security, confidentiality, openness, transparency and simultaneity. EURATOM successfully applies digital 3D technology and simulation for dismantling planning of nuclear facilities. In turn, the European Commission uses digitalization applies to data collection and radioactive waste and spent fuel management in the EU Member States. In conclusion, it is determined that the EU has not yet adopted artificial intelligence act for radioactive waste and spent fuel management. However, the EU already has some experience. In the future the EU can adopt a new legal act that will summarize all the practice of the EC, EURATOM and EU Member States to regulate of digitalization in the EU radioactive waste management.
Legal regime of NFT (non-fungible token) in Russia: How to work in the absence of special legislative regulation?
Authors: Brisov Y. V. , Pobedkin A. A.
Published: May 2022

The year 2021 was a turning point in the development of digital art. The widespread use of a non-fungible tokens (NFT) in the art industry has revolutionized the modern understanding of intellectual property rights (hereinafter — IPR) and the transfer of IPR.

The role of agents as intermediaries between artists and art connoisseurs lost its importance, and so did the role of streaming services. Blockchain technology rewards creators for the sales of works on the secondary market and their subsequent use.

Today everyone heard of NFT. Nevertheless, what we know about NFT now is just the tip of the iceberg. The potential market for NFT is enormous: it goes far beyond the visual arts. It will only be a few years before we realize all the possibilities that NFT brings to the table.

The importance of an excellent legal framework for NFT is apparent. However, as it may seem, Russian legislation bypasses this aspect. Hence, is it possible to work with NFT in Russia? The answer to this question is significant for many who wish to be part of the international NFT market, such as museums, galleries, artists, musicians, entrepreneurs.

The purpose of the work is to substantiate the possibility of working with NFT in Russia in the absence of special legal regulation.

The authors, using systematic, deductive and comparative research methods, designate the place of NFT in the system of legislative regulation of digital assets. Using an empirical method, the authors demonstrate the feasibility of overcoming the legal hardships of NFT transactions in Russia on the examples of successful projects of tokenization of masterpieces of the State Hermitage Museum, works of other museums, private collections, and creations by young Russian artists.

The result of the work is the justification of the feasibility of working with NFT in Russia in the absence of special legal regulation and the formation of such a model for structuring transactions with NFT, which fully complies with the requirements of Russian legislation.

The materials of the research used domestic and foreign experience of tokenization of digital art objects, as well as domestic and foreign literature on legal problems of NFT.
Interferon gamma release assay post BCG among newborns and family members living in a crowded area in Jakarta, Indonesia
Authors: Srioetami Tanoerahardjo Francisca , Rooslamiati Indri , Kipuw Natalie , Hadiyanto  , Ali Soegianto , Sahiratmadja Edhyana
Published: May 2022

Introduction: BCG vaccine is a mandatory for newborn in Indonesia, an endemic tuberculosis (TB) country that ranks second worldwide. A close contact with untreated active pulmonary TB individuals in a crowded area may result in TB disease or otherwise develop a latent TB infection (LTBI), as shown by positive result of interferon gamma release assay (IGRA).

Objective: To explore LTBI among newborns and their family members living in a crowded area in Jakarta, Indonesia.

Methodology: A prospective analytical study was conducted among newborns between October 2016 and March 2017. IGRA was examined before BCG vaccination and after 12 weeks. In parallel, TB active case finding was performed among family members of the newborns.

Results: Out of 135 newborns, only 117 (86.7%) came for BCG vaccination. Of 346 family members screened, 8 (2.3%) were detected as untreated active pulmonary TB, confirmed by positive sputum and/or MTB culture. Family members living in the same house with active TB individuals (p = 0.011, OR 2.69) as well as being males (p = 0.025, OR 1.68) had a significant higher risk of having a positive IGRA.

Conclusions: Untreated pulmonary TB infection in a crowded area infects the surrounding neighbors, resulting in latent TB infection. An active program for detecting pulmonary TB cases and preventive measures need to be taken seriously to contain the potential spread of the infection.
Method development and validation of cabozantinib by LC-MS/MS
Authors: Venkateshwarlu Punna , Patel Mehul M.
Published: May 2022

The objective of this method is to be simple, precise, and economical performed by LC-MS/MS instrument. The mass spectrometric determination was performed using electrospray ionization in the positive mode with multiple reaction monitoring (MRM) mode and precursor to product ion transition to product ion of m/z 502.2 > 323 for cabozantinib. The effective separation of cabozantinib was achieved X-Bridge (2.1 mm × 100 mm, 3.5 µ) column and the mobile phase composition is 0.2% formic acid: acetonitrile (40:60 v/v), pumped at 0.12 ml/min flow rate. The Rt of cabozantinib was found to be 1.34 minutes. The LOD and LOQ were found at 1.5 ng/ml and 5 ng/ml concentrations and linearity concentrations were in a range of 5 ng/ml to 75 ng/ml with a regression correlation coefficient of 0.999. The % RSD value of accuracy was observed at 1.2–2.0. The marketed formulation assay was found to be 99.82%. The developed method and validation parameters were accepted as per USFDA guidelines.