bluuebunny/crossref_metadata_2025 huggingface dataset:
Characteristic Analysis Method for Integrated Multi-Parameter Hydro-viscous Speed Control System
Authors: Ba Kaixian , Wang Yuan , Zhao Kai , Wang Shoukun , Yu Bin , Zou Wenpeng , Gao Feiyue , Zhang Lin , Wang Liang
Published: July 2023

Hydro-viscous clutch has become an inevitable choice for the transmission of contemporary and future special vehicles. As a nonlinear dynamic system with large lagging link, its timing performance is affected by input rotational speed, lubricating oil temperature, lubricating pressure and other factors. However, in the actual application process, the actual influence of the influencing factors on the system performance is often judged by engineering experiences. From the control point of view, the speed regulation law and formation mechanism of hydro-viscous speed control system(HSCS) are not clear, and the control characteristics and global model are indeterminate. To solve the above problems, this paper analyzes the speed control characteristics of HSCS, including steady-state speed control characteristics and dynamic speed control characteristics. The specific characteristic parameters are obtained, and the data-driven model describing the input rotational speed, output speed, control oil pressure and lubricating oil temperature is established. The formation mechanism of the multi-region in HSCS is analyzed. According to the analysis, this paper determines that the effective pressure control range of HSCS is 0-6.2 Bar, the effective force control range is 0–4 KN, the fastest response time is greater than 3s. This paper provides the basis for integrated modeling and control method design. It is helpful to further reveal and obtain the control characteristics and parameters of HSCS, so as to provide the basis for the structure and parameter optimization, performance evaluation and analysis of HSCS machinery and hydraulic system.
Regulator of G protein signaling-1 regulates immune infiltration and macrophage polarization in clear cell renal cell carcinoma
Authors: Liu Kun , Xia Dian , Bian Hege , Peng Longfei , Dai Shuxin , liu chang , Jiang Chao , wang yi , jin juan , bi liangkuan
Published: July 2023

Objective: To better understand how to clear cell renal cell cancer
(ccRCC) is affected by the regulator of G protein signaling-1 (RGS1),
its effect on immune infiltration, macrophage polarization, tumor
proliferation migration. Patients and Methods: In this study, a total of
20 surgical specimens of patients with pathological diagnosis of ccRCC
were selected for testing, while the expression of RGS1 in tumors,
immune infiltration, macrophage polarization, were combined with TGCA
database and GO analysis. We also further explored and studied the
expression and function of RGS1 in tumor microenvironment(TME),
investigated how RGS1 affected tumor growth, migration, apoptosis, and
other traits. Results: RGS1 was found to be expressed at higher
quantities in ccRCC than in normal cells or tissues. By using the TCGA
database and GO analysis to describe the expression of RGS1 in a range
of tumors, it was found that ccRCC had a much higher level of RGS1
expression than other tumor types. The results of gene enrichment
analysis indicated that overexpression of RGS1 may be associated with
immune infiltration. The outcomes of in vitro tests revealed that RGS1
overexpression in ccRCC did not significantly alter the proliferation
and migration ability of ccRCC, but RGS1 overexpression promoted
apoptosis in ccRCC. By in vitro co-culture experiments, RGS1
overexpression inhibited M2 macrophage polarization and also suppressed
the Jagged-1/Notch signaling pathway. Conclusions: RGS1 is highly
expressed in ccRCC, while overexpression of RGS1 may increase immune
infiltration in the TME and reduce the polarization of M2 macrophages
while promoting apoptosis in ccRCC.
Primary Vaginal Lymphatic Malformation in A Child :Case Report and Literature Review
Authors: Huizhen Wang , Lingfei Wang , Jing Liu , Yu Ding , Xue Wu , Haiyan Wei
Published: July 2023

Here we reported the first Chinese case of primary vaginal and pelvic
lymphatic malformations who was diagnosed during childhood.To date, 14
reports of the primary lymphatic malformations of perineum in children
were reported worldwide, and only 3 patients had lesions involving the
vagina characterized with chronic vaginal discharge or mucosal lesions
ISOLATION AND IDENTIFICATION OF BIOSURFACTANT PRODUCING BACTERIA FROM OIL CONTAMINATED SOIL
Authors: Pullapukuri Kalyani , Reddy Gopa Dinesh
Published: July 2023

Biosurfactant is a structurally diverse group of surface-active
molecules, synthesized by microorganisms. They are capable of reducing
surface and interfacial tension with low toxicity, high specificity and
biodegradability. The samples were enriched in nutrient agar containing
diesel oil, serially diluted and poured on nutrient agar plate.
Biosurfactant producing organisms were screened by using oil spreading
method, Blood hemolysis test, Emulsification index (E24) and Drop
collapse method. Out of 50 isolates, ten strains showed positive
biosurfactant production. Another interesting finding in this study was
the use of crude oil as hydrophobic substrate for the isolation of
biosurfactant producing bacterial strains; this approach may be useful
during the initial isolation of biosurfactant producing bacteria to
reduce the number of strains to be screened. These strains were
characterized by using different biochemical tests like Gram’s staining,
IMVIC etc.
Vegan Grade Media Component Screening and concentration optimization for the fermentation of the probiotic strain Lactobacillus paracasei IMC 502 ® using Design of Experiment.
Authors: Alfano Alberto , Parecha Darshankumar , Cimini Donatella , Schiraldi Chiara
Published: July 2023

Lactobacillus paracasei IMC 502 is a
commercially successful probiotic strain. Until now, there are no
reports about the most suitable growth media composition for the highest
possible biomass production of this strain. The major outcome of the
present study is screening and optimization of growth medium using
Design of Experiment (DoE) made up with vegan components to be used in
the cultivation of this strain. A screening of carbohydrates and of five
different non-animal sourced peptones using De Man, Rogosa and Sharpe
(MRS) medium as reference, was performed. After the optimization of the
most suitable carbon and nitrogen sources, salts, selective agents and
surfactant of the typical MRS medium recipe were examined for their
effect on biomass yield using the Plackett-Burman model for DOE
screening. Sixty runs using Central Composite Design (CCD) for medium
optimization were conducted. A second order polynomial regression model
was used for analysis of the experimental data. A model with very high
coefficient of determination R , and adjusted R
value higher than 95% was obtained. Model accuracy
was equal to 94.11%. By using a vegan optimized culture medium, a
biomass yield increase of 65% compared to standard MRS was evaluated in
addition a metabolic fingerprint for primary metabolites with special
attention to lactic acid as main component. The possibility to obtain
viable lactic acid bacteria at high density from vegetable derived
nutrients will be of great interest for specific consumer communities,
opening the way to establish/follow this approach with other probiotic
microorganisms of impact for human health.
Development of Ethnoscience-Oriented Multimedia Learning Process of Salt Making on Conductivity Materials on the Response of Junior High School Students
Authors: Suryani Dewi , Yasir Mochammad , Sidik Rahmad Fajar
Published: July 2023

Chemistry learning at the junior high school level has not discussed in depth the material presented. Students tend to like science learning without formulas or calculations which make it difficult for students to understand chemistry. The solution that can be given is to develop learning media in the form of multimedia learning based on salt ethnoscience on conductivity material. The purpose of this study was to obtain an ethnoscience study of conductivity material and to find out students' responses to the media. This research uses a descriptive qualitative method with ADDIE development model. The research location is in one of the salt ponds in Bangkalan Regency and in SMP Negeri 2 Kamal. The sampling method was simple random sampling as many as 10 students of class VII. Data collection techniques using interviews, questionnaires, and documentation. The percentage of student responses on the display aspect is 97.33% and the material aspect is 94.25% which is included in the very positive criteria
Topical Issues of Formation and Development of Moscow Interregional Transport Prosecutor’s Office
Authors: Openyshev O. S. , Zemlina O. M. , Yangez D. I.
Published: July 2023

The objective of the study of issues related to participation of transport prosecutors in solving the problems of ensuring the rule of law in transport is to comprehend the role and significance of the transport prosecutor’s office in the history of Russia and at the present stage of its development, to identify the most significant areas of activity of transport prosecutors and effective means of its implementation in the interests of implementing national tasks of socio-economic development, implementation of the provisions of the Transport Strategy of the Russian Federation until 2030 with a forecast until 2035.

Based on the application of the historical and legal method, the stages of formation and development of the transport prosecutor’s office in Russia are identified, the regular relationships between development of the transport industry and the change in the role and legal status of transport prosecutors are identified, conclusions are drawn regarding the significance of development of the transport prosecutor’s office in the modern period and the possibility of using the historical experience of legal regulation of relations with participation of transport prosecutors to solve urgent problems of transport system development.

The formal dogmatic and statistical analysis made it possible to reveal the main areas of activity of transport prosecutors, to formulate, based on an analysis of the work of Moscow Interregional Transport Prosecutor’s Office, conclusions about the most promising forms, methods and means of exercising the powers of transport prosecutors to ensure the rule of law in transport sector.

The use of systemic legal analysis made it possible to analyse the state and prospects for further interaction between Moscow Interregional Transport Prosecutor’s Office and departments of Russian University of Transport for formation of a legal culture of future transport specialists, legal education of students and young people, to determine ways and means of solving the problems of civil law education of students using the potential and considering possible correlation of the efforts of the professors of legal disciplines of RUT University and transport prosecutors.

The implementation of individual proposals formulated by the authors can contribute to the increment of scientific knowledge about the role, directions, and forms of work of transport prosecutors, improve further interaction between Moscow Interregional Transport Prosecutor’s Office and departments of Russian University of Transport to ensure the rule of law in transport, the implementation of the Cooperation Agreement between Moscow Interregional Transport Prosecutor’s Office and Russian University of Transport.
Building Flexible Systems of Digital Interaction between Transport Process Participants in a Changing Environment
Authors: Makeeva E. Z. , Rychkova A. S.
Published: July 2023

The transport industry is currently undergoing profound changes. They are related both to overcoming the consequences of the pandemic, and – in the longer term – to the fundamental transformation due to the ongoing process of digitalisation.

Services created for intelligent traffic flow management, monitoring of infrastructure facilities, rolling stock, customer relations, digital platforms will most probably remain drivers of the ongoing digital transformation of the transport industry in the near future. From the point of view of digital technologies, the main ones include artificial intelligence, blockchain, the Internet of things, big data.

Considering the vastness of the topic, the paper highlights the key, from the point of view of the authors, issues of experience and tasks of creating systemic, end-to-end digital platform solutions in the Russian transport industry, as well as on the example of railway transport (including at the corporate level), classification of already implemented solutions and promising areas of digital change in the transport and logistics industry.
Benefits of Increased Railway Safety and Reliability and their Evaluation
Authors: Hromádka Vít , Korytárová Jana , Vítková Eva , Seelmann Herbert , Funk Tomáš
Published: July 2023

The paper focuses on the presentation of key results of the project of applied research oriented on evaluation of the increased safety and reliability of the railway network due to the implementation of relevant railway network projects and their projection into the investment project socio-economic evaluation using Cost-Benefit Analysis. The subject research described in the article is the design and verification of the functionality of the methodological procedure for the evaluation of these benefits for their further use in the assessment of public projects on railways. The methodological part summarizes the basic outputs of the previous research. These outputs were subsequently applied at the formulation of basic rules for the assessment of benefits connected with increased railway reliability and safety, which were later processed into the form of simplified methodological procedure. The simplified approach uses average data on the occurrence impact for the entire railway network, broken down into line and station sections. The functionality of individual approaches was checked on case studies of actually implemented projects.
ВИЗНАЧЕННЯ НЕОБХІДНОГО РІВНЯ СИГНАЛУ ТА МАСКУЮЧОГО ШУМУ ДЛЯ ЗАХИСТУ ІНФОРМАЦІЇ В УМОВАХ ЇЇ ПЕРЕХОПЛЕННЯ ТЕХНІЧНИМИ ЗАСОБАМИ
Authors: СТЕПАНОВ Михайло , БОЙКО Юлій , ПАВЛЕНКО Євген
Published: July 2023

В даній роботі розглядаються потенційні способи захисту сигналу на базі існуючої математичної моделі каналу витоку інформації в умовах радіотехнічної розвідки. Використана в дослідженні математична модель, при різних модифікаціях функції правдоподібності, яка по суті представляє собою математичний запис теореми Байєса, показує яким чином із апріорних даних і результатів аналізу прийнятого коливання формуються апріорні значення. Розглянута оптимальна схема виявлення детермінованого сигналу на фоні шуму, а також чотири можливих випадки виявлення сигналу, що порівнюються с встановленим порогом H і завжди супроводжуються помилками двох видів – неправильне рішення про наявність сигналу та помилкове рішення про його відсутність. На базі першого і третього випадків запропоновані потенційні варіанти захисту вихідного сигналу.
The role of lean organizations management in achieving quality educational services
Authors: شران هدية ربيع , حنظل قاسم أحمد
Published: July 2023

Agility has an important role in many organizations، so the management of agile organizations  as a role in improving the changing quality / education services، which in turn is reflected in the development of the organization and making it agile in a rapidly growing environment، so this research focused on clarifying the role of organization management. Agile in improving the quality of educational service، and the answer to it is aimed at clarifying the intellectual  mplications and theoretical and practical philosophy of these variables (agile organizations management، educational service quality). This research falls into two main sections: The first section included the research methodology، and theoretical approaches to the research variables and its dimensions، and the second section presented the practical framework for the research hypotheses، as well as its conclusions and recommendations. The "research sample" was  epresented by a group of teachers and students in public and private secondary schools in Tikrit، by testing the relationships of influence and correlation between the research variables (management of agile organizations، quality of educational service)، The descriptive analytical method was adopted، as well as the selection of a sample of teachers and students، numbering (93) students، by adopting a questionnaire as a measurement tool، and the data was processed through the statistical program (SPSS:21) to prove the validity of the research hypotheses. agile organization management، educational service quality)، And the use of the correlation coefficient and the coefficient of determination as statistical methods، and the most prominent conclusions reached by the research in the theoretical and field framework، the most important of which was the presence of a positive moral correlation between the management of the agile organizations combined and the quality of the educational service for schools the research sample in terms of its variables according to the value of the relationship The total level. And based on conclusions، among which the research، the research presented some of the recommendations، the most important of which is the necessity for schools to pay attention to the subject of agility، by carrying out the implementation of agile administrative procedures so that each step adds value to achieve quality. Educational service and through performance its educational operations without failures or malfunctions.
Analysis of the Implementation Strategy forElectronification of Local Government Transactions (ETPD) in Soppeng Regency, Indonesia
Authors: Burhan Andi Ulil Amri , Gunadi Gunadi
Published: July 2023

Abstract

This study aims to determine the appropriate strategy for the implementation of Electronification of Local Government Transactions (ETPD) program in Indonesia through SWOT (strengths, weaknesses, opportunities, and threats) analysis. ETPD program, as promoted by the Presidential Decree Number 3 of 2021, is intended to provide maximum benefits to local government and the community. To achieve the primary objective of this study, a descriptive method was employed, with Soppeng Regency Local Government serving as the focal point. Accordingly, the analysis was based on the Cartesian diagram and from the obtained results it was found that the appropriate strategy for digitalization in the Regency lied in Quadrant II (positive, negative). Thisstudy concluded that internal factors such as the decree regarding the P2DD Task Force, increased regional revenue, young and active employees, and the successful bureaucratic reform initiatives, are significant strengths possessed by theSoppeng Regency Local Government. However, these strengths were accompanied by challenges or threats from certain external factors including insufficient banking infrastructure, lack of digital literacy socialization, and inadequate telecommunications network. Given these conditions, it was crucial to adopt a diversified approach and formulate additional tactical strategy, rather than solely relying on existing ones, to ensure that the local government would be able to effectively carry out their tasks and provide optimal services to the community.
Social and racial inequalities in diabetes and cancer in the United States
Authors: Massouh Nour , Jaffa Ayad A. , Tamim Hani , Jaffa Miran A.
Published: July 2023

Background

Cancer and diabetes are among the leading causes of morbidity and mortality worldwide. Several studies have reported diabetes as a risk factor for developing cancer, a relationship that may be explained by associated factors shared with both diseases such as age, sex, body weight, smoking, and alcohol consumption. Social factors referred to as social determinants of health (SDOH) were shown to be associated with the risk of developing cancer and diabetes. Despite that diabetes and social factors were identified as significant determinants of cancer, no studies examined their combined effect on the risk of developing cancer. In this study, we aim at filling this gap in the literature by triangulating the association between diabetes, indices of SDOH, and the risk of developing cancer.

Methods

We have conducted a quantitative study using data from the Behavioral Risk Factor Surveillance System (BRFSS), whereby information was collected nationally from residents in the United States (US) with respect to their health-related risk behaviors, chronic health conditions, and the use of preventive services. Data analysis using weighted regressions was conducted on 389,158 study participants.

Results

Our findings indicated that diabetes is a risk factor that increases the likelihood of cancer by 13% (OR 1.13; 95%CI: 1.05–1.21). People of White race had higher odds for cancer compared to African Americans (OR 0.44; 95%CI: 0.39–0.49), Asians (OR 0.27; 95%CI: 0.20–0.38), and other races (OR 0.56; 95%CI: 0.46–0.69). The indices of SDOH that were positively associated with having cancer encompassed unemployment (OR 1.78; 95%CI: 1.59–1.99), retirement (OR 1.54; 95%CI: 1.43–1.67), higher income levels with ORs ranging between 1.16–1.38, college education (OR 1.10; 95%CI: 1.02–1.18), college graduates (OR 1.31; 95%CI: 1.21–1.40), and healthcare coverage (OR 1.44; 95%CI: 1.22–1.71). On the other hand, the indices of SDOH that were protective against having cancer were comprised of renting a home (OR 0.86; 95%CI: 0.79–0.93) and never married (OR 0.73; 95%CI: 0.65–0.81).

Conclusion

This study offers a novel social dimension for the association between diabetes and cancer that could guide setting strategies for addressing social inequities in disease prevention and access to healthcare.
La terre et la Terre : une question d'échelle, une question de devoir
Authors: Berque Augustin
Published: July 2023

La modernité évolue essentiellement dans le sens d’une déterrestration en rompant les liens entre l’Humanité et la terre (le sol) d’une part, la Terre (la planète) d’autre part, entraînant ainsi une dégradation des sols – du point de vue pédologique et anthropologique, avec «la fin des paysans » – et de la planète (avec la dite ère de l’Anthropocène, qui mène à la sixième extinction de la vie sur Sol III), à laquelle elle entend remédier en s’appuyant sur le moment structurel (couplage dynamique) du Transhumanisme et de la Géo-ingénierie. Nous devrions au contraire retisser nos liens terrestres en convertissant, d’une part, l’agriculture intensive en permaculture et en culture écologique – comme l’agriculture naturelle (shizen nôhô 自 然 農 法 )

de Fukuoka, qui est l’exacte opposée de l’agronomie moderne, prônant les quatre principes «sans labour, sans engrais, sans pesticides, sans désherbage » –, et, corrélativement, prendre soin de l’environnement et de la biodiversité en général au lieu de les gaspiller. Il s’agit d’un choix non seulement technique, mais également moral, qui appelle à dépasser les fondements ontologiques et logiques mêmes de la modernité : le dualisme et la loi du tiers exclu. L’adhésion indéfectible à la profession de foi moderne du cogito («Je connus de là que j’étais une substance dont toute l’essence ou la nature n’est que de penser, et qui pour être n’a besoin d’aucun lieu ni ne dépend d’aucune chose matérielle » ), qui contribue à séparer notre être à la fois de la terre et de la Terre, pourrait tôt ou tard entraîner l’extinction de notre espèce sur Sol III.
L'autorisation environnementale, une simplification en trompe-l'oeil du droit de l'environnement
Authors: Wernert Guillain
Published: July 2023

L’autorisation environnementale est issue de l’ordonnance du 26 janvier 2017 et est codifiée dans le Code de l’environnement. Elle traduit la volonté de réduire à une seule, au lieu d’une pluralité, le nombre d’autorisations nécessaires à un porteur de projets pour lancer son activité. Ce nouveau mécanisme a donc été présenté par le ministère de l’Environnement comme étant un outil de simplification du droit. L’objet de cet article est d’approfondir la réforme pour savoir si l’on peut réellement qualifier ce mécanisme comme tel. Or, beaucoup plus subtile à manier qu’elle n’y paraît au premier abord, la simplification du droit suppose de poser le bon diagnostic sur le droit positif, de façon à appliquer le bon remède. Il n’est pas certain que tel fut le cas pour l’autorisation environnementale, dont l’application est d’ailleurs source de nouvelles difficultés.
HYPOSPADIAS: SINGLE STAGE URETHROPLASTY OUR EXPERIENCE
Authors: Kumar Agarwal Surendra , Farhan MB Shaik , Agarwal Meenal
Published: July 2023

Background: Hypospadias is a developmental anomaly characterized by a urethral meatus that opens on the ventral surface of the penis, proximal to the end of the glans, anywhere along the shaft of the penis, from glans to scrotum, or even in the perineum. Urethrocutaneous stula, followed by hypospadias reconstruction, is one of the most common complications. Post-surgery stula in children could occur as the result of one or more factors, such as meatal stenosis, urethral stricture, hematoma, infection, poor surgical technique, etc. Methods: This retrospective study included 40 Hypospadias patients without any prior urethroplasty history who underwent single-stage urethroplasty between September 2020 to August 2022 at Al-Ameen Medical college Hospital (AMCH), Bijapur. Patients with age group between 3-10 years were included in the study. Complex urological anomalies, penoscrotal and scrotal with severe chordee were excluded. Results: The mean age of the study participants was 4.9+2.7 years. 45% each of the hypospadias were found to be anterior and middle respectively. Chordee degree was severe in 42.5%, moderate in 35% and mild in 22.5% of the study participants. 85% of the hypospadias were managed using TIP technique and 15% were managed by Onlay preputial island ap technique. Urethrocutaneous stula was found in 20% of the study participants. Wound dehiscence and stenosis were found in 5% and 2.5% of the study participants respectively. Conclusions: Because it requires a great deal of temperament, surgical skill, and familiarity with magnications, as well as knowledge of surgical anatomy, hypospadias surgery has a long learning curve. To improve the outcome of the hypospadias repair, a regular periodic audit should also be performed.
Che cos’è l’inclusione scolastica? Riflessioni e proposte operative
Authors: Franceschini Giuliano
Published: July 2023

Within a few years the canon of skills, which reigned unchallenged for the first twenty years of the new century, was quickly replaced by that of inclusion, both nationally and internationally. In this contribution we do not want to dwell on the historical-cultural contingencies that have led to this reversal, we prefer to dwell on the idea of inclusive school and how it can actually be achieved.
Transvaginal Evisceration Following Uterine Perforation by Abortion Procedure: About a Case Treated at the Reference Health Center of Commune 1 of Bamako
Authors: I Diarra, , S. Dembélé, , Ballo K, , Sylla B, , Sanogo Y, , Kassogué M, , Karembé S, , Coulibaly B, , Kanthé M, , Kone D, , Togo O, A.
Published: July 2023

We report a case of bowel evisceration following uterine perforation after an abortive manoeuvre by unqualified personnel. After the procedure, there was abundant vaginal bleeding and a complication was encountered: small bowel evisceration approximately 1 metre long via the vagina, certainly following the seizure of these small bowels and their successive traction which led first to the uterine cavity, then the vagina and finally to the vulva. Given the author's fear, the patient was referred urgently for treatment. After a transfusion of two units of blood and a triple laparotomy, a 1 m resection of the small intestine with end-to-end anastomosis was performed; suture of the uterine perforation and curettage of the cavity. The patient was discharged from the centre 10 days after surgery. Conclusion: This case shows the clandestine nature of induced abortions, which are responsible for multiple complications, including visceral lesions and uterine perforations.
Place of clinical leadership in health services of Sri Lanka
Authors: Ariyananda P. L.
Published: July 2023

No abstract available
A study on knowledge, awareness, and practice of familial hypercholesterolemia among doctors at two tertiary care hospitals in Sri Lanka
Authors: Matthias A. T. , Gunarathne M. D. T. C. , Somathilake B. G. G. K.
Published: July 2023

Introduction: Familial Hypercholesterolemia (FH) is an inherited disorder affecting low-density lipoprotein cholesterol (LDL-C) metabolism. Individuals with FH have a substantially increased risk of cardiovascular disease (CVD). South Asia is burdened by premature CVD. Early detection and management of FH can reduce the burden of CVD. Despite growing awareness, FH remains underdiagnosed and therefore untreated, and assessing the present level of knowledge among doctors would help to implement educational activities.Methods: Doctors from two large teaching hospitals in Sri Lanka were requested to complete a survey questionnaire comprising questions on awareness, clinical features, prevalence, inheritance, and treatment of FH.Results: Of the 269 doctors surveyed, 168 (66.42%) of them correctly described FH and only 44 (16.66.%) knew about its global prevalence. 12 (4.55%) were aware of the risk of CVD associated with FH. Only 01 (0.75%) and 02 (1.5%) correctly identified the age threshold for premature CVD in men and women, respectively. 228 (87.36%) and 136 (54.84%) identified statins as monotherapy and statin and ezetimibe as combination therapy for FH, respectively. Furthermore, in practice 117 (44.66%) routinely screened family members for FH, and only half the doctors correctly identified the transmission rate to first-degree relatives (38.78%).Conclusion: Substantial defects in the knowledge of FH were seen among doctors. Immediate steps have to be taken to increase awareness and knowledge about FH in doctors practicing in Sri Lanka.
Prevention and management of delirium in hospital
Authors: Wijayabandara M. , Millawithana B. , Lamabadusuriya D.
Published: July 2023

Delirium is a geriatric syndrome. Its prevalence is ranging from 20-70% in hospitalised patients in different clinical settings. Incident delirium is commonly seen among post-surgical and critical care patients. Identification of vulnerable patients and avoiding precipitants is paramount in prevention. Proactive screening of them with a validated tool at different points during the hospital stay helps early identification of delirium. Treating the underlying condition which triggered it, and multi-domain nonpharmacological interventions are an essential part of the management of established delirium. Enhancing the competencies of health care professionals and development and validation of local delirium care pathways in the local set-up are essential steps in achieving better patient outcomes. Received 5 April 2023, accepted 18 June 2023.
Análisis didáctico en la formación de maestros basado en las herramientas del Enfoque ontosemiótico. El caso de lecciones de proporcionalidad
Authors: Burgos Navarro María , Castillo María José , Godino Juan D.
Published: July 2023

Una lección de un libro de texto muestra el proceso de instrucción planificado por el autor como medio para promover el aprendizaje de un contenido por parte de estudiantes potenciales. Valorar la idoneidad de una lección precisa de un análisis profundo que contemple la secuencia de prácticas operativas y discursivas que propone el autor para el desarrollo del contenido matemático, atender a cómo se gestionan los conocimientos previos requeridos e identificar elementos potencialmente conflictivos. En este trabajo se describen los resultados de una experiencia formativa con estudiantes del Grado de Educación Primaria destinada a desarrollar la competencia de análisis didáctico, empleando una lección de libro de texto sobre proporcionalidad. Se trata de que los estudiantes analicen las situaciones de enseñanza caracterizando los objetos y procesos como elementos constitutivos del contenido matemático (análisis ontosemiótico) a ser aprendido e identifiquen su papel en las posibles dificultades de aprendizaje (identificación de conflictos semióticos). El diseño, implementación y evaluación de la experiencia, están basados en la aplicación de herramientas teórico-metodológicas del Enfoque Ontosemiótico. El análisis de contenido de los informes entregados por los estudiantes pone de manifiesto sus dificultades para identificar los objetos (fundamentalmente proposiciones y argumentos) que se requieren o emergen de las prácticas, a través de los respectivos procesos matemáticos. Así mismo, la identificación de conflictos, especialmente aquellos referentes a aspectos epistémicos y cognitivos específicos de la proporcionalidad o su tratamiento no es suficientemente adecuada.
Forced Displacement, Statelessness and Nationality Issues in Nigeria
Authors: Targba Aondowase
Published: July 2023

The paper is anchored on persons of concern and nationality issues in Nigeria. The theory of social exclusion is adopted to explain the extent to which people of concern have been excluded from exercising and accessing their right to nationality in Nigeria. The paper is based on a desk review of secondary sources of information from international organizations, state agencies, and other relevant publications. Findings of the study revealed conflicts involving non-state actors in Nigeria and Cameroon largely account for forced displacement and nationality crises in Nigeria. The study also found that changes in Nigeria’s borderlines, undocumented migration and ethnic agitations accounts for nationality crises in Nigeria. The study recommended that the government of Nigeria should ensure the proper registration and management of forced migrants and address the major causes of conflicts. There should be proper border management and clear laws on the acquisition of citizenship by persons of concern in Nigeria.
„Es gibt nicht die eine asiatische Küche“
Authors: Bender Ralf
Published: July 2023

Über 4000 Container authentisch asiatische Lebensmittel importiert Kreyenhop & Kluge pro Jahr. Damit ist das 1933 gegründete Familienunternehmen führend in Deutschland.
Conversation CONVERSATION STYLE: ANALYZING TALK AMONG ‘’KICK ANDY'S TALK SHOW WITH THE FIVE TOWER STATE NOVEL'S AUTHOR’’ Abstrack The conversation analysis contained in the Talk Show Kick Andy video contains four topics, including the topic of conversation, the str
Authors: Silvi Nurus silvia
Published: July 2023

Abstrack

The conversation analysis contained in the Talk Show Kick Andy video contains four topics, including the topic of conversation, the structure of the conversation, the transfer of conversation, and the coherence of conversational discourse.  On the topic of conversation, three topics were found, namely general topics, ongoing topics and real topics.  Furthermore, in the conversation structure, the topic of conversation is found at the beginning of the conversation, the core of the conversation, and the end of the conversation.  The conversational speech transfer contains two types of conversational speech transfer.  The first is speech switching with an arranged turn, the second is a speech transfer with an automatic turn.  The last conversation analysis is the coherence of conversational discourse.  Cohesion is shown in the cohesion and coherence in the content of the conversation.

Keywords: conversation analysis, topic of conversation, change the conversation.
Insuficiencia respiratoria en una paciente con síndrome de Sézary
Authors: Granados Flores Neftalí Alexander , Castillo Hernández Gerson Jonathan , Trejo Ayala Rafael Antonio
Published: July 2023

Presentación del caso. Paciente de 44 años de sexo femenino, sin ninguna enfermedad de base preexistente, con una historia de aproximadamente diez meses de presentar lesiones eritemato-descamativas pruriginosas inicialmente localizadas en extremidades inferiores y que luego se generalizaron en todo el cuerpo, asociándose a la pérdida de peso de aproximadamente 15 kg. Intervención terapéutica. El manejo inicial consistió en corticoides tópicos y antihistamínicos orales con poca respuesta clínica. Se inició el estudio por dermatología y se confirmó el diagnóstico inicial de neoplasia cutánea maligna de células T. Luego se realizó el frotis de médula ósea, en el que se identificaron células «cerebriformes» que confirmaron el diagnóstico de síndrome de Sézary. La paciente recibió esquema de quimioterapia ciclofosfamida, doxorrubicina, vincristina, etopósido y prednisona. Evolución clínica. La respuesta inicial fue favorable, con alta hospitalaria y seguimiento en la consulta externa. Transcurridos tres meses de tratamiento, la paciente consultó por episodio febril, tos productiva más distrés respiratorio asociado a estertores basales bilaterales, presentó insuficiencia respiratoria y durante la inducción a la ventilación mecánica sufrió un paro cardiorrespiratorio y falleció.
Research On Influencing Factors of Wechat Public Account Users' Attention Intention
Authors: Wang Hui , Sheng Jing , Chen Guosheng , Liu Xuelei , Jiang Gending
Published: July 2023

In the context of the rapid development of new media, wechat public accounts are gradually welcomed by government agencies, social organizations and individuals with the advantages of simple operation and low cost. At the same time, how to let users pay attention to the wechat public number has become the biggest problem facing individual operators. In this paper, the wechat official account of Gending Theory is taken as the research object, and the user's attention intention is taken as the research direction. Based on the success of Information System (D&M) model, the new variables of knowledge seeking psychology, curiosity psychology, entertainment psychology and the key factors of D&M model are added to construct the user's attention intention model.
Bibliai tanítások mai mértékegységekkel és hozzá kapcsolódó matematikai feladatokkal
Authors: Bontovics Ignác
Published: July 2023

A tanítás során a tantárgyi koncentrációval lehetőségünk van tanításokat mélyebben és részletesebben megismertetni, fontosságukat kihangsúlyozni. Ebben a cikkben azt szeretném bemutatni, hogy miként lehet egy evangéliumi példabeszéd mondanivalóját jobban érzékeltetni a matematikai mértéktanítás segítségével. Valamint szeretném bemutatni, hogy a matematika tantárgy keretén belül egy-egy mértéktanítás órán miként lehet nevelni evangéliumi példabeszédek segítségével.
Vásárolj most, fizess később!
Authors: Aradszky Péter , Kubik Anikó
Published: July 2023

Csábító gondolat a kvázi „ingyen” vásárlás, ha ráérünk később fizetni. Ezt a lehetőséget kínálják nekünk egy néhány éve terjedőben lévő, elsősorban internetes vásárlást lehetővé tevő alkalmazások, és az ezeket működtető vállalkozások. Tanulmányunkban a BNPL általános bemutatását követően az egyik legnagyobb BNPL szolgáltató, a Klarna példáján keresztül tekintünk be a szolgáltatás gyakorlati működésébe, majd utánanézünk a magyarországi piacon megjelent első BNPL fecskéknek és az általuk kínált szolgáltatásoknak.
The problems of community cohesion in the perception of young people
Authors: Spataru Tatiana
Published: July 2023

This study addresses from several perspectives the perception of young people regarding the problems of community cohesion. Social cohesion plays a decisive role in the ability to organize social groups, construction of harmonious social relations. The generation of the 21st century places a greater emphasis on social cohesion compared to the other generations. What barriers declare young people and how they see the future of a cohesive society in the Republic of Moldova, are the questions that find their interpretation. The empirical data were collected during the focus-groups with young people. The analysis of the synthesis of the answers has outlined the perceptions of young people regarding the problems of community cohesion. The epistemological interpretation of the research results suggests valuable conclusions regarding the correlation between young people and the construction of a cohesive society.
Evaluación del riesgo de mortalidad mediante la escala de desnutrición e inflamación y fuerza agarre de la mano en pacientes con enfermedad renal crónica en tratamiento con hemodiálisis
Authors: Álvarez Velázquez Luis Rafael , Nafarrate Rivera Jesús Iván , Segura López Fany Karina
Published: July 2023

Introducción: Los pacientes con enfermedad renal crónica en hemodiálisis de mantenimiento a menudo lucha contra la desnutrición y sarcopenia. Tanto el uso del test de malnutrición e inflamación (MIS) y el test de fuerza de prensión manual  (FPM) se han definido como factores de riesgo independientes en distintos estudios. El objetivo del presente estudio fue realizar los dos test en un grupo de pacientes en programa de hemodiálisis.

Métodos: Se trata de un estudio transversal, realizado en el servicio de hemodiálisis de la UMAE 71, Coahuila, México. Las variables fueron: demográficas, clínicas, de laboratorio, el test MIS y FPM, mortalidad. La muestra fue no probabilística.

Resultados: Se analizan 101 pacientes, 50.5% hombres. La mortalidad fue de 25.74%, la causa más frecuente de muerte fue el infarto agudo del miocardio 34.61%, seguida por neumonía por SARS CoV2 23.07%. La FPM entre hombres y mujeres, para la mano derecha 17.71 ± 11.94 vs. 11.5 ± 6.99, P=0.0002 y para la mano izquierda 14.63 ± 7.06 vs. 10.31 ± 4.98, P=0.0001. El área bajo la curva ROC para MIS score fue del 0.562 y de 0.567 para la fuerza de agarre manual para hombres y mujeres. La sensibilidad de 96% y una especificidad del 17 % para la FPM, para el MIS se encontro sensibilidad de 92% y especificidad de 20%.

Conclusión: el uso de MIS y FPM son un indicadores con baja capacidad discriminativa. El presente estudio encontro una alta sensibilidad y una baja especificidad, para ambas pruebas lo cual no garantiza su aplicación confiable para evaluar el riesgo de mortalidad a corto plazo (< 12 meses ) en pacientes mayores de mayores de 18 años con enfermedad renal crónica en hemodiálisis.
ANALYSIS OF LOW INTEREST IN READING THE QUR'AN IN SCHOOL AGE CHILDREN
Authors: Aisyah Ayun Khoirurrizki  , Betty Mauli Rosa Bustam
Published: July 2023

Penelitian ini membahas mengenai minat baca Al-Qur’an pada anak usia sekolah secara umum. Minat untuk membaca Al-Qur’an dikalangan anak usia sekolah (6-12 tahun) semakin berkurang karena pada usia tersebut anak masih suka bermain dan mudah terpengaruh lingkungan pergaulan. Disisi lain, kemajuan teknologi menjadikan anak usia sekolah lebih suka bermain gawai dibandingkan membaca Al-Qur’an. Maka dengan menggunakan metode penelitian kajian pustaka dari buku, jurnal, skripsi dan tesis yang membahas mengenai minat baca Al-Qur’an, artikel ini berisi pengertian minat baca Al-Qur’an, Cara Menumbuhkan dan Membangkitkan Minat Faktor yang Mempengaruhi Minat Membaca Al-Qur’an, Faktor yang Mempengaruhi Minat Membaca Al-Qur’an, Anak Usia Sekolah, Teknik Menumbuhkan Minat Baca Al-Qur’an pada Anak Usia Sekolah dan Metode Dalam Belajar Membaca Al-Qur’an. Adapun hasil penelitian yang didapatkan adalah rendahnya minat baca Al-Qur’an pada anak disebabkan oleh factor internal dari diri anak, factor lingkungan, social dan emosional. Maka perlu adanya metode dan cara yang tepat untuk membangkitkan minat baca Al-Qur’an pada anak usia dini yang sesuai dengan minat dan metode pengajaran sehingga anak termotivasi untuk mencintai Al-Qur’an sejak dini.
Factores asociado al desarrollo de anemia en niños menores Dde5 años en Perú durante el 2018
Authors:   , Espinoza Oscco Giomara Leslie
Published: July 2023

OBJETIVO: Determinar los factores asociados al desarrollo de anemia en niños menores de 5 años en Perú durante el 2018, según la encuesta demográfica y de salud familiar (ENDES). MATERIAL Y METODO: Estudio de tipo observacional, analítico, retrospectivo, transversal, de nivel correlacional. La población de estudio fue de 10 528 niños menores de 5 años durante el 2018, datos obtenidos del ENDES 2018, obteniéndose una muestra de 364 niños elegidos mediante Muestreo Aleatorio Simple (MAS). Los datos fueron descargados con el programa SPSS versión 25. Se ejecutó un análisis estadístico correlacional a través de la prueba no paramétrica de Chi2, con nivel de confianza del 95%. RESULTADOS: De los factores sociodemográficos, el 40,6% tuvieron primaria completa (P=0,957), el 35,7% fueron convivientes (P=0,657), el 73,4% vivían en aéreas rurales (P=0,001), el 65,7% fueron muy pobres (P=0,008), el 63,3% de las madres fueron adultas (P=0,769), el 29,5% de niños con anemia tuvieron entre 4 a 5 años de edad (P=0,479), el 53,6% fueron de sexo masculino (P=0,324). De los factores infecciosos, el 81,6% tuvieron parasitosis (P=0,001), el 81,6% presentaron diarrea en las últimas dos semanas (P=0,006). CONCLUSIONES: Se concluye que los factores asociados al desarrollo de anemia en niños menores de 5 años en Perú durante el 2018, son el nivel de riqueza de la madre muy pobre, área de residencia rural, presencia de parasitosis y presencia de diarreas en las últimas 2 semanas.
Calidad de sueño en una comunidad latina de personas con diabetes mellitus S tipo 2 en el año 2020
Authors:   , Luque Rodríguez Brysset del Pilar
Published: July 2023

Objetivo: Determinar la calidad de sueño en una comunidad latina de personas con diabetes mellitus tipo 2 en el año 2020. Metodología: El presente estudio fue descriptivo, observacional, transversal y prospectivo. Se obtuvo una muestra total de 331 participantes que cumplieron con los criterios de elegibilidad para el estudio y fueron evaluados por el Pittsburgh sleep quality index mediante una plataforma virtual. El análisis estadístico se desarrolló por el programa SPSS versión 25 pertinentemente. Resultados: La calidad de sueño para los 331 participantes, resulto que solo 56 personas presentaron un nivel de calidad de sueño calificado como “Buen Dormidor” representando el 16,9% del total de encuestados. Mientras, que la gran mayoría, 275 encuestados presentaron un nivel de calidad de sueño calificado como “Mal Dormidor” representando el 83,1% del total de encuestados. Conclusiones: Se concluyó para el presente estudio, que la calidad de sueño de los 331 participantes, se observó de manera general que el porcentaje de “Malos Dormidores” siempre resulta en un mayor porcentaje respecto a los “Buenos Dormidores”.
La prescripción adquisitiva de dominio y la seguridad jurídica en el ámbito registral de Ica, 2019-2020
Authors:   , Sánchez Montes David Josué , Peña Yarasca Mayra Alejandra
Published: July 2023

La tesis desarrollada sobre el tema la prescripción adquisitiva de dominio y la seguridad jurídica en el ámbito registral de Ica, 2019-2020, permitió incrementar nuestros conocimientos teóricos, doctrinarios relacionados al tema registral en Ica, el mismo que al interior de nuestro esquema permitió desarrollar el marco teórico, los antecedentes, bases teóricas, marco conceptual, el problema y el planteamiento del problema, las hipótesis y las variables, la metodología de la investigación, los resultados, las conclusiones, la bibliografía, desarrolladas al interior de la tesis. Así mismo, el objetivo general fue determinar si la prescripción adquisitiva de dominio tiene influencia en la seguridad jurídica en el ámbito registral de Ica, 2019-2020, uno de los resultados finales aplicando la prueba de Rho de Spearman da un valor de 0,221%, indica que, si existe una relación en un nivel bajo entre ambas variables, siendo el grado estadístico (r<0,05), concluyendo que la hipótesis nula es verdadera, sobre la relación significativa de la prescripción adquisitiva de dominio se relaciona significativamente con la seguridad jurídica en el ámbito registral de Ica, 2019 – 2020. La investigación fue básica, según, (Zorrilla, 2008), “la investigación básica es también denominada pura o fundamental,” el nivel fue descriptivo, correlacional, el diseño fue no experimental, transeccional, no se manipulan las variables, se aplica en un momento determinado un instrumento de recolección de datos, la justificación fue teórica, practica y metodológica.