bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of Analysis of Beta Human Chorionic Gonadotropin (hCG) Levels Before and After Hysterectomy in Gestational Trophoblastic Neoplasia (GTN) Patients: A Single Center Observational Study at Dr. M. Djamil General Hospital, Padang, Indonesia
Authors: Wella Novile Izora  , Rikarni  , Dwi Yulia
Published: May 2024

Background: Gestational trophoblastic neoplasia (GTN) is a malignant tumor originating from placental trophoblast which causes mortality due to bleeding. Trophoblast produces beta hormone human chorionic gonadotropin (hCG). Quantitative examination of serum beta hCG is used to support the diagnosis and management of GTN. Hysterectomy is performed in bleeding conditions as the main therapy besides chemotherapy. This study aims to analyze differences in beta hCG levels before and after hysterectomy in GTN patients at Dr. M. Djamil General Hospital Padang. 
Methods: Retrospective observational analytical research design cross-sectional from 21 samples of GTN patients for the period July 2021 to June 2023 at Dr. M. Djamil General Hospital Padang. Quantitative beta hCG level examination is carried out before and after the hysterectomy. The Shapiro-Wilk test was carried out for data normality and continued with the Wilcoxon nonparametric tests to find out significant differences in beta hCG levels. 
Results: The most common characteristics of GTN patients were age ≥35 years, namely 15 (71.4%) patients, multiparity in 14 (66.7%) patients, and indication for hysterectomy due to bleeding in 14 (66.7%) patients. The median beta hCG level before hysterectomy was 46,000 (117.10-653,874) mIU/mL and the median after hysterectomy was 113.3 (0.12-3,693) mIU/mL. Beta hCG levels after hysterectomy were found to be normal (<5 mIU/mL) in five patients (23.8%). There was a significant difference in beta hCG levels before and after hysterectomy (p <0.001).
Conclusion: Beta hCG levels after hysterectomy decreased compared to before hysterectomy. Hysterectomy therapy is useful for reducing beta hCG levels in GTN patients.
PENGEMBANGAN INSTRUMEN SELF-ASSESSMENT MAHASISWA PENDIDIKAN TEKNIK MESIN PADA PEMBELAJARAN MICRO TEACHING
Authors: Suprianto Suprianto , Debora  , Ayaki Marko
Published: May 2024

This study aims to determine whether or not the use and development of the self-assessment instrument is relevant to Micro Teaching learning in the Mechanical Engineering Education Study Program. This research belongs to the type of research and development (R&D) with a quantitative approach that aims to describe the results of systematically developing student self-assessment instruments. The sample in this study were students of the Mechanical Engineering Education Study Program class of 2016 to 2018 who had taken Micro Teaching lessons. Data collection in this study used a survey technique by distributing questionnaires to students of the Mechanical Engineering Education Study Program. The instrument used in this study is a Likert scale instrument consisting of 5 servqual dimensions. The data analysis technique used in this research is Rasch Modeling using Ministep Evaluation/Student Version of Winsteps 4.8.2.0 software. For the results of the study, it can be seen from the validity that the value of Infit MNSQ, Infit ZSTD, Outfit MNSQ, Outfit ZSTD in addition to the value of Reliability and Cronbach's Error from the respondent (person) and the instrument (item). The validity obtained from the MNSQ Infit +1.00, ZSTD Infit -0.8, MNSQ Outfit +1.00, ZSTD Outfit -0.7 for respondents. As for the validity of the instrument the value of Infit MNSQ +1.00, Infit ZSTD -0.8, Outfit MNSQ +1.00, Outfit ZSTD -0.7. The results obtained are Fit/valid based on the criteria in the Rasch modeling. The reliability obtained for respondents is 0.63, while the instrument reliability is 0.92. The results obtained from the respondents are weak based on the criteria, but in this research the results of the instruments with criteria are very good. Cronbach's alpha for the respondent obtained 0.66 while for the instrument it was 0.81 which means that the interaction between the respondent and the instrument is quite good.
Melatih Kontak Mata Anak Autisme melalui Terapi Musik di Daniella Music Course & Therapy
Authors: Azalia Vania , Harwanto Dody Candra
Published: May 2024

Penelitian ini bertujuan untuk mengetahui bagaimana proses terapi musik untuk melatih kontak mata pada anak autisme serta mengetahui alasan musik dapat meningkatkan kontak mata anak autisme di Daniella Music Course & Therapy. Penelitian ini menggunakan metode kualitatif dengan teknik pengumpulan data observasi, wawancara, dan studi pustaka. Teknik analisis data yang digunakan adalah model interaktif, sedangkan teknik pengabsahan data menggunakan teknik triangulasi sumber. Kesimpulan dari penelitian ini adalah saat ini musik dapat digunakan sebagai media terapi bagi anak berkebutuhan khusus, salah satunya adalah penyandang autisme. Aspek yang dapat ditingkatkan melalui terapi musik adalah peningkatan kontak mata pada penyandang autisme. Daniella Music Course & Therapy merupakan tempat terapi musik bagi penyandang autisme yang dapat membantu meningkatkan kontak mata. Proses terapi musik dilakukan dengan tahapan asesmen, rancangan penanganan terapi musik, pencatatan, serta evaluasi dan terminasi perlakuan. Musik mampu menarik perhatian anak autisme sehingga interaksi musikal dapat terjadi di dalam sesi terapi musik. Dengan adanya interaksi musikal, maka secara perlahan interaksi antara klien dan terapis dapat terjadi, dan secara tidak langsung kontak mata akan terlihat.
KAJIAN KERENTANAN WILAYAH KECAMATAN JATIASIH BERDASARKAN ANALISIS MANAJEMEN BENCANA
Authors: Putu Oktavia  , Afifah Nur Anggraeni Oktavia
Published: May 2024

Kecamatan Jatiasih, Kota Bekasi, menjadi titik pertemuan dua sungai, yaitu Sungai Cileungsi-Cikeas. Ketika debit air kedua sungai tersebut tinggi dan bertemu di titik pertemuan yang berada di Kecamatan Jatiasih, maka akan terjadi banjir limpasan. Fenomena ini dapat diperparah dengan adanya perubahan iklim, terutama dengan berubahnya intensitas dan durasi hujan. Studi ini bertujuan untuk menganalisis tingkat kerentanan wilayah terhadap bencana banjir serta melakukan penilaian terhadap upaya penanggulangan bencana di kawasan rawan banjir di Kecamatan Jatiasih. Parameter yang dianalisis mencakup kerentanan fisik, kerentanan sosial, kerentanan ekonomi, dan kerentanan lingkungan dan diolah dengan menggunakan SIG. Penilaian terhadap upaya penanggulangan bencana banjir di Kecamatan Jatiasih didasarkan pada wawancara dengan stakeholder terkait kriteria yang terdapat dalam peraturan perundangan yang berlaku. Hasil perhitungan tingkat kerentanan bencana menunjukkan bahwa Kecamatan Jatiasih secara umum berada pada kerentanan banjir tingkat tinggi. Sementara dari sisi manajemen bencana telah dilakukan beberapa kegiatan pada tahap pra bencana dan pasca bencana yang sesuai dengan peraturan yang berlaku walaupun belum seluruhnya dilaksanakan secara optimal.
La Impunidad por Violentarse la Cadena de Custodia por parte de la Policía Nacional
Authors: Leonela Ayleth Ordoñez Ordoñez , Anggie Yuleisy Vasquez Olaya , Campoverde Nivicela Luis Johao
Published: May 2024

El presente trabajo de investigación ha partido del objetivo central de determinar la importancia de la cadena de custodia en el proceso penal. Durante la discusión del mismo se ha destacado la manera en que la violación a la cadena de custodia ha generado impunidad en muchos casos en que efectivamente existían elementos para impulsar el proceso y lograr una condena sostenida en la prueba existente de la infracción material y la responsabilidad de los procesados. La impunidad no es el resultado de un problema en la norma o en la actividad jurisdiccional, sino que obedece en muchos casos, al mal manejo de la misma, que termina siendo invalida. Nuestro sistema jurídico está estructurado sobre la base de las garantías a los derechos de las personas, entre los que se desataca el derecho fundamental al debido proceso; de esta manera, solo se puede establecer una sentencia condenatoria si las garantías del procesado han sido estrictamente observadas, entre las que se encuentra la garantía de la prueba válida, de manera que, si ha existido una violación a la cadena de custodia, la prueba no tiene valor en el proceso.
The rate of major adverse cardiovascular events (MACE) in patients with acute coronary syndrome undergoing percutaneous coronary intervention
Authors: Le Duy
Published: May 2024

ABSTRACT

Background: Acute coronary syndrome (ACS) is still the leading cause of mortality, percutaneous coronary intervention (PCI) has become an important treatment method. Post-ACS patients still have a high risk of cardiovascular events such as all - cause mortality, myocardial infarction and nonfatal stroke in 12 months, so we conduct this study with 2 objectives: To investigate clinical and subclinical characteristics and cardiovascular risk factors in patients with acute coronary syndrome and to evaluate the rate of major cardiovascular event, associations with cardiovascular risk factors in patients with acute coronary syndrome undergoing percutaneous coronary intervention.

Methods: A cross - sectional descriptive method was conducted on 337 patients with acute coronary syndrome undergoing percutaneous coronary intervention at the Emergency - Interventional Cardiology Department - Hue Central Hospital from January 2021 to December 2021 and followed up 12 months.

Results: The mean age was 68.19 ± 10.73, the male/female ratio was approximately 2/1. ST-segment elevation myocardial infarction (STEMI), non-ST segment elevation myocardial infarction (non-STEMI) and unstable angina accounted for 56.4%, 27.3% and 16.3%, respectively. The rate of major cardiovascular events (MACE) within 12 months after the intervention was 3.6%, of which 75% occurred during hospital stay and 1 month after discharge. Age > 75, BMI, tachycardia, cardiogenic shock, decreased glomerular filtration rate on admission, fibrinolytic therapy, and bleeding were associated with major cardiovascular events within 12 months after discharge.

Conclusion: The rate of major cardiovascular events after 12-month follow - up was 3.6%, of which the mortality rate was 2.4%, in - hospital and 30-day post-discharge MACE accounted for more than 75%. Therefore, it is necessary to have an attitude of following up and optimal medical treatment within 30 days in patients with acute coronary syndrome undergoing percutaneous coronary intervention, especially in high - risk patients.
Free composite and chimeric anterior lateral thigh flaps in covering secondary soft tissue defect after tumor resection: an overview from the medical literature to clinical applications
Authors: Le Phuc
Published: May 2024

ABSTRACT
Objective: To evaluate the results of soft tissue defect treatment with ALT composite flaps in covering secondary soft tissue defects after radical tumors resection.
Method: From October 2017 to April 2023, we performed a series of 10 single-stage surgeries using composite anterior lateral thigh flap to cover secondary tissue defects in 2 cases covered Achilles tendon defects and 8 cases covered secondary defects after resection of tumors. In all patients with complex, multi-site secondary defects, in patients with secondary defects after resection of the head of the face, the defects are often complex, multi-plane, and multi-site, requiring the use of flaps flexibly and practicably to provide the best postoperative results for the patient. In 10 clinical cases, complex or clustered anterior femoral flaps were selected, and the pedicle and perforating artery branches were identified by hand-held Doppler. The identification of the perforating branches also helps to define the bounds of the flap. The flap is thinned if too thick. Microsurgery anastomosis was performed before the defect was covered. Result: The size of the ALT flap ranges from 10 x 5cm to 15 x12 cm and the size of the Fascia lata (FL) flap ranges from 7 x 4 cm to 10 x 8 cm. The average peduncle length for skin flap and muscle flap is about 2.5-5 cm and about 3.5- 7 cm, respectively. The thickness of the flap is about 6-13mm. After 3 months of surgery, all flaps are completely alive, close results of flaps are good, distant results are good with stable wound healing, most patients are satisfied with flap color, soft flap site, normal limb function.
Conclusion: The free ALT composite chimeric flaps become a viable and flexible option for single-stage, threedimensional reconstruction of complex organ defects after tumor resection, by reducing the number of surgeries and the number of anastomosis. Improving treatment results for complex defects after cancer resection as well as reduce surgery and treatment time.
Exhaustion of vascular access in a hemodialysis patient with end stage renal disease: A case report
Authors: Pham Hien
Published: May 2024

ABSTRACT

Introduction: Vascular access is a vulnerable aspect of hemodialysis in patients with end-stage renal disease. In such cases, arteriovenous fistulas are preferred, instead of catheters. Moreover, failure of the current arteriovenous access and catheter dependence often lead to morbidity and mortality.

Case report:

A 76-year-old female patient presented with reduced vascular access secondary to progressive central venous stenosis. Consequently, an alternative access was created via the popliteal vein. This vein has been used in cases of patients undergoing emergency hemodialysis who did not have vascular access via other conventional routes.

Conclusion: Unusual vascular access for emergency hemodialysis is necessary when other routine veins cannot be accessed. The use of arteriovenous fistulas instead of catheterization should be encouraged during the initial hemodialysis stage
Profiles of 24-hour ambulatory blood pressure measurement and their association with cardiovascular risk factors in elderly high-risk hypertensive patients
Authors: Truong Hoang
Published: May 2024

ABSTRACT

Background: Hypertension is prevalent in the elderly, affecting two-thirds of individuals aged 60 years and older. Ambulatory blood pressure measurement (ABPM) is recommended for diagnosing and managing hypertension in this population. This study aimed to characterize 24-hour ABPM profiles and their association with cardiovascular risk factors in older adults with high-risk hypertension.

Methods: A descriptive cross-sectional study included 96 patients aged ≥ 60 years, mean age 70.9 ± 7.9 years, 35.4% male (n = 34). Participants underwent routine clinical and laboratory assessments, including clinic and 24-hour ABPM. Pearson’s correlation coefficient was used to analyze the relationships between BP profiles and risk factors (p < 0.05).

Results: Mean office systolic and diastolic blood pressure (BP) were 150.16 ± 26.06 mmHg and 81.46 ± 11.79 mmHg, respectively. Corresponding 24-hour ABPM values were 130.80 ± 17.43 mmHg and 73.73 ± 10.17 mmHg. The prevalence of masked uncontrolled hypertension was 12.5% (n = 12), morning surge was observed in 40.6% (n = 39), and 37.5% (n = 36) had isolated systolic hypertension. Nocturnal BP profiles were dipper [13.5% (n = 13), both systolic and diastolic], non-dipper [53.1%, (n = 51), systolic and/or diastolic], and riser [56.3% (n = 54), systolic and/or diastolic]. Mean 24-hour systolic BP correlated significantly with age (r = 0.229), body mass index (BMI) (r = 0.212), waist circumference (r = 0.226), creatinine level (r = 0.207), dyslipidemia (r = 0.223). Mean 24-hour diastolic BP significantly correlated with BMI (r = 0.294).

Conclusion: Elderly high-risk hypertensive patients demonstrated a higher incidence of isolated systolic hypertension, morning surge, and non-dipping patterns. Mean 24-hour systolic and diastolic were significantly associated with cardiovascular risk factors. These findings emphasize the importance of comprehensive 24-hour BP monitoring in this population for better management and risk assessment
Solar Based Multilevel Inverter f o r BLDC Motor Drive
Authors: Lakshmi K. Dhana , Santhosh Talada , Sreenu T.
Published: May 2024

The BLDC motor is widely utilized in high power and low voltage applications because to its simple construction, great efficiency, low maintenance requirements, and low cost .Furthermore, considering their size, they have a lot of torque and power output. The BLDC motor is powered by an alternating current source and is operated straight from the AC supply port, despite being a DC motor in this case. The main drawback is that any disruptions in the source will have an impact on the applications that use BLDC motors in the industrial context. So, to avoid this, there should be a converter and an inverter intermediary between the motor and the source. One of three methods can be used to drive the BLDC motor. 1. Two-level inverters based on pulse width modulation (PWM). 2. An multiple-level working inverter. 3. A multilevel inverter with neutral clamping. Using a multicarrier PWM technique, the suggested inverter may lower the output signal's harmonic content. It is capable of generating very good motor currents. In this instance, a three-level diode clamped multilevel inverter can be used to accurately control the speed of a BLDC. This study's primary goal is to demonstrate how to run a BLDC drive with an inverter to lower harmonics. A diode clamped multi-level inverter is a device that converts voltage to current. An improved version of this strategy is provided by this research. Using the MATLAB Simulink software tool, one can assess the system's overall effectiveness by simulating the neutral clamp multilevel inverter-based drive system's functioning. In the event of a power outage, the entire application will cease to function and generate output. Under order to increase the output and supply reliability of power, renewable energies must be used under these circumstances. There are many renewable energy sources available; however solar photovoltaic systems are the better option because of their benefits over traditional power sources. A diode clamped multi-level inverter was used. A diode clamped multi-level inverter was used to drive the BLDC.
Factors Influencing on the Evaluation System of Cold Chain Logistics Services for Agricultural Products in Guangxi Province, The People’s Republic of China
Authors: Jian Xie , Tonesakulrungruang Lavan , Sajjanand Siriporn , Chantanasiri Supattra
Published: May 2024

The objectives of this study were: (1) To study the factors that affect the evaluation system of cold chain logistics services for agricultural products in Guangxi Province, the People’s Republic of China. (2) To study the relationships between influence factors and the evaluation system of cold chain logistics services for agricultural products in Guangxi Province, the People’s Republic of China. (3) To build a model of relationship between quality management and the evaluation system of cold chain logistics services and propose suggestion for improving the evaluation system of cold chain logistics services for agricultural products in Guangxi Province, the People’s Republic of China. The study employed a mixed research methodology. In the quantitative analysis section, a questionnaire survey was conducted using simple random sampling. In the qualitative part of the analysis, in-depth interviews were conducted with eight senior managers from agricultural production departments, logistics management companies, fresh agricultural product sales companies, hotels, and government departments. The data analysis utilized statistics including frequency, percentage, mean, standard deviation, and structural equation model. Major Findings: the factors influencing the evaluation system of cold chain logistics services for agricultural products in Guangxi Province were examined. The identified influencing factors included agricultural product cold chain logistics quality management, logistics environment, and transportation efficiency. It was found that agricultural product cold chain logistics quality management has a significant positive impact on the logistics environment, transportation efficiency, and agricultural product cold chain logistics service evaluation system. At the same time, the logistics environment and transportation efficiency have a significant positive impact on the agricultural product cold chain logistics service evaluation system. This study presents the issues with the development of the cold chain logistics service evaluation system for agricultural products in Guangxi, along with countermeasures and suggestions for improvement.(1)Full utilization of existing resources to promote industrialization and modernization of fresh agricultural product logistics; (2) Development of a systematic agricultural product cold chain logistics system to support the agricultural product industry; (3)Strengthening the construction of cold chain supply chains for urban and rural agricultural products; (4)Expediting the introduction of energy-efficient and environmentally sustainable long- and short-distance cold chain transport vehicles; (5)The application of information technology is To be encouraged with a view to enhancing the efficiency and transparency of cold chain logistics.
Spindle Cell Neoplasm
Authors: Siddiqua Sana , Tabassum Salma
Published: May 2024

Spindle neoplasm an uncommon variant of benign lipomatous tumor, occurs mostly in the posterior neck or the shoulder  It contains well circumscribed & no aggressive subcutaneous mass  Spindle cell neoplasm may be traced to epithelial, mesenchymal & odontogenic  Latin (AE1/AE3, K1), K1, K18, and EMA appear to be the most sensitive/reliable epithelial spindle cell neoplasms.  Spindle cell neoplasms can be benign or malignant. Under a microscope, the neoplasm is composed of adipocytes flat cells and long, thin spindle cells. In a spindle cell lipoma, the adipocytes are surrounded by spindle cells.  The diagnosis test includes immunohistochemistry and fluorescence in site hybridization (FISH) to confirm the diagnosis and to include other tumors that can look like a spindle cell lipoma. If a spindle cell neoplasm is large or uncomfortable, it can be removed.
Exploring the Role of Trial Occlusion Test in Patent Ductus Arteriosus (PDA) Closure: A Serial Case
Authors: Utama Armyn Andi Alief , Firmansyah Andi Yuniar , Patimang Yulius
Published: May 2024

Background: Patent ductus arteriosus occurs in around 1 in 2000 full-term live newborns, making up 10-15% of cases of congenital heart disease. Percutaneous device closure is largely regarded as the preferred therapy for people diagnosed with PDA. Nevertheless, the closure of the PDA with a device is still a difficult task in patients with severe PAH. The trial occlusion strategy is used to evaluate the response of patients with severe pulmonary hypertension after closing the defect by briefly blocking it. This test has the potential to serve as a reliable predictor of the future progression of pulmonary hypertension. Case Presentation: We provide a report on three instances that underwent percutaneous closure of patent ductus arteriosus (PDA) in the presence of pulmonary hypertension. A 24-year-old adult patient arrived at our hospital with symptoms of intermittent dyspnea, easy fatigability, and occasional non-productive cough. The examination detected a persistent murmur located at the upper left sternal boundary. The patient received a diagnosis of patent ductus aorta and pulmonary hypertension. Discussion: The condition was successfully treated with transcatheter closure, which included a trial occlusion test. In the second instance, a toddler aged 2 was diagnosed with patent ductus aorta and pulmonary hypertension. The procedure of percutaneous PDA closure was scheduled. Following the trial occlusion test using the device occluder, we observed an elevation in pulmonary pressure which persisted and led to a pulmonary crisis. Conclusion: The trial occlusion test aids in identifying individuals who are prone to experiencing long-term regression of pulmonary hypertension and those who may deteriorate due to progressive pulmonary vascular disease (PVD) and right heart failure, therefore determining their suitability for PDA closure.
Implications of Entrepreneurship and Simple Accounting Knowledge of Endek Crafting MSMEs on Economic Improvement and Preservation of Bali Culture
Authors: ADYATMA I Wayan Chandra , NIDA Desak Rurik Pradnya Paramitha , YOGA I Gusti Agung Prama
Published: May 2024

Riches Indonesian culture is abundant has push development various product in almost all area with varied styles.? One of from inheritance valuable Balinese culture historical, cultural, and economic is cloth endek. However, with changing times and styles modern living, fabric endek start threatened extinct. Study This highlights two problems main in industry endek in Bali: lack of Skills entrepreneurship and knowledge good accounting, as well low ability recording finance. Research methods applied? is qualitative, with focus on the cause decline amount craftsman endek in Klungkung and efforts regeneration through interaction with generation young. Research result show that potency industry endek in Klungkung For increase economy local and preserving Balinese culture is huge, however lack of participation generation young become challenge main. Skills entrepreneurship and knowledge accountancy identified as solution potential for overcome challenge this. Collaboration between government, community local, and craftsmen required for give support, training, and promotion necessary for the industry endek can Keep going develop and become asset important in preservation Balinese culture.
Developing Product Sustainability Using Life Cycle Analysis: Case Study Electric Cooker Product
Authors: ATSANI Sarah Iftin , WENJIA Liu
Published: May 2024

Recently, the concept of sustainable development has emerged as a solution to environmental problems. It is widely recognized that the choices individuals make in their daily purchases and consumption patterns have a significant impact on the environment. As such, it is incumbent upon everyone to adopt sustainable lifestyles and strive to preserve resources for future generations. One area where this can be achieved is through product development. Despite the importance of sustainable products, their availability remains limited. In this study, the analysis was performed on a popular electric cooker as a sample product. Various aspects of the product were examined, including the life cycle, the raw materials used, the processing stage, usage phase, and end-of-life. The goal of this study is to gain valuable insights and propose improvements for a more sustainable version of the product. The environmental impact of each stage of the product’s life cycle was also analysed. By this method, some practical approaches for specific steps can be proposed to make the product more sustainable and reduce the harmful impact on the environment. Overall, it is found that there were many opportunities to adjust the various stages of the product’s life cycle to make it more sustainable.
Characteristics of Open Coal Mine Wastewater Conditions in Tanah Bumbu District, South Kalimantan, Indonesia
Authors: SUJIMAN Sujiman
Published: May 2024

This research aims to determine the condition of waste in terms of the quality of the elements Fe, Mn, pH and TSS, and to determine the tendency of this waste in the settling pond of coal mines in Tanah Bumbu Regency, South Kalimantan.               The research results show that at the settling pond location of the open coal mine the concentration of Fe quality is between (0.023 – 6.50) mg/lt and Mn (0.02-2.14) mg/lt, and the TSS quality is 76 mg/lt to 801 mg/lt and the pH is between 6.40 to 8.10. Trends in Fe waste Most of the results are still below environmental quality standards, only in July 2022 the quality will increase to 6.5 mg/lt. Meanwhile, Mn waste for a year is still below the government's standard environmental quality standards, but the highest quality is in September 2024 reaching 3.35 mg/lt, this quality is still below environmental quality standards. The trend in pH quality in general is still normal, only in February 2024 the quality exceeds environmental quality standards, increasing to 8.10 mg/lt. Finally, for TSS quality, the trend is from January to August 2024 to decrease, then in September it increases significantly to 801 mg/lt and then gradually decreases until December 2024 to 182 mg/lt.
Keywords : Environmental quality standards, Coal mine wastewater, trends quality.
Poland’s Finest Sternean: Izabela Czartoryska (1746-1835) as Reader and Promoter of Sterne
Authors: LIPSKI JAKUB
Published: May 2024

Despite the fact that the reception of Laurence Sterne in Poland has been given some critical attention in the last two decades, a definitive account of the phenomenon has yet to be written. As a result, the scholarly output devoted to Sterne in Poland reveals surprising gaps and omissions. One of these is the figure of Princess Izabela Czartoryska, the hostess of the celebrated Puławy circle and arguably the finest of Poland’s early Sterneans. Despite the fact that Czartoryska does appear in the studies of Sterne’s reception in Poland, her contribution has not yet been fully appraised. This article aims at a proper evaluation of Princess Izabela’s role in orienting Sterne readings in late eighteenth-century Poland, focusing on several unpublished manuscripts collected in the Czartoryski Library in Cracow:
Extracts from Literature
(Extraits), containing excerpts from
Tristram Shandy; Catalogue of Souvenirs from the Gothic House in Puławy,
including a Sternean quotation in a rather surprising context; as well as selected correspondence revolving around Sterne’s work.
The Influence of
Tristram Shandy
on Robert Southey’s
The Doctor
Authors: NEWMAN HILARY
Published: May 2024

There are many references in Robert Southey’s
The Doctor
to
Tristram Shandy,
revealing a high degree of intertextuality. These vary from comments showing great familiarity with
Tristram Shandy
to recollections of entire passages or episodes. There are also references in Southey’s letters, which show that he consciously took
Tristram Shandy
as a model for his
The Doctor.
This article will trace these influences and reveal how imitation led Southey (1774–1843) to treat particular themes. Direct, briefer echoes of
Tristram Shandy
in
The Doctor
will also be highlighted.
An ‘affair of hinges’: The Numerological Structure of
Tristram Shandy
Authors: POTTER GORDON
Published: May 2024

The purpose of this note is to attempt to elucidate the structure of Sterne’s
The Life and Opinions of Tristram Shandy
through Sterne’s use of numerological structures in terms of the central distribution of key images, key events, entrances and exits, and key points in journeys placed at exact central positions in the novel. These central emphases will be shown to occur not only in individual volumes or in volumes published together, but across the whole novel. This would imply that Sterne knew the outline of volumes and chapters in his novel before he started to write it.
Fake News in Eighteenth-Century York
Authors: WALLIS RICHARD
Published: May 2024

The poll-books of the 1741 and 1758 elections in York, in which Jaques Sterne as well as his nephew Laurence were involved, give a unique insight into the rhetorical tricks used by both parties, and yield a background to the composition of Sterne’s
Political Romance.
A Possible Source for Corporal Trim’s Flourish
Authors: SPELLER TREVOR
Published: May 2024

Sterne served as vicar of Stillington from 1744 to 1768. Unusual illustrations on the fly-leaf of the Stillington parish register bear similarity to Corporal Trim’s flourish in
Tristram Shandy.
Details of Sterne’s life and works around the time of the flourish’s publication reinforce the image’s sexual overtones.
THE IMPACT OF R&D EFFICIENCY ON ECONOMIC GROWTH IN CHINA: NON-LINEAR THRESHOLD EFFECTS
Authors: Liao Chang-Sheng , Li Xinyan
Published: May 2024

This study uses a threshold estimation technique to examine whether the effect of R&D efficiency on economic growth in China differs according to the level of financial development. The results broadly confirm a nonlinear relationship between R&D efficiency and economic growth due to the dynamic and static threshold effects of financial development and R&D expenditure. This finding suggests that R&D efficiency does not significantly impact growth in the low and middle-financial development provinces at conventional levels. Hence, the benefit of R&D efficiency in China could stem from the positive effect of R&D in highly financially developed provinces. Though R&D efficiency is poor, R&D investment still enhances economic growth because the amount of R&D investment is enormous. This finding suggests that while it is most important to not unthinkingly expand R&D gross investment, it is also necessary to make full use of R&D investment by improving R&D efficiency.
The role of histology on the outcome of sinonasal carcinomas treated with radiotherapy: a single institution experience
Authors: Kazemian Ali , Farazmand Borna , Taherioun Maryam , Razmkhah Mahdie , Shirkhoda Mohammad , Jalaeefar Amirmohsen , Garajei Ata , Jafari Mehrdad , Heidari Farrokh , Aghili Mahdi , Ghalehtaki Reza
Published: May 2024

Background: Sinonasal malignancies are a rare group of head and neck cancers. We aimed to report the oncological outcomes based on histological types in patients who underwent radiotherapy.Materials and Methods: In this single-institution study, we retrospectively retrieved and analyzed data of patients with sinonasal carcinomas who underwent radiotherapy during 2011–2016 as part of their treatment. The 3-year rate of local, regional, and distant recurrences, and overall survival were evaluated according to the histological type.Results: A total of 28 patients were evaluated in this study, the majority of whom were male (60%). Squamous cell carcinoma (SCC), adenoid cystic carcinoma (ACC), and adenocarcinoma (ADC) were found in 15 patients (53.5%), 8 (28.5%), and 5 (18%), respectively. The highest rates of local and regional recurrences were observed in ACC and SCC, respectively. Distant recurrences were numerically more common in ADC. The 3-year OS was 48%, 50%, and 73% in SCC, ADC, and ACC, respectively.Conclusion: Different histopathologies of sinonasal cancer seem to have different patterns of failure, and this may be considered in the treatment approach.
Supervised deep learning-based synthetic computed tomography from kilovoltage cone-beam computed tomography images for adaptive radiation therapy in head and neck cancer
Authors: Khamfongkhruea Chirasak , Prakarnpilas Tipaporn , Thongsawad Sangutid , Deeharing Aphisara , Chanpanya Thananya , Mundee Thunpisit , Suwanbut Pattarakan , Nimjaroen Kampheang
Published: May 2024

Purpose: To generate and investigate a supervised deep learning algorithm for creating synthetic computed tomography (sCT) images from kilovoltage cone-beam computed tomography (kV-CBCT) images for adaptive radiation therapy (ART) in head and neck cancer (HNC).Materials and methods: This study generated the supervised U-Net deep learning model using 3,491 image pairs from planning computed tomography (pCT) and kV-CBCT datasets obtained from 40 HNC patients. The dataset was split into 80% for training and 20% for testing. The evaluation of the sCT images compared to pCT images focused on three aspects: Hounsfield units accuracy, assessed using mean absolute error (MAE) and root mean square error (RMSE); image quality, evaluated using the peak signal-to-noise ratio (PSNR) and structural similarity index (SSIM) between sCT and pCT images; and dosimetric accuracy, encompassing 3D gamma passing rates for dose distribution and percentage dose difference.Results: MAE, RMSE, PSNR, and SSIM showed improvements from their initial values of 53.15 ± 40.09, 153.99 ± 79.78, 47.91 ± 4.98 dB, and 0.97 ± 0.02 to 41.47 ± 30.59, 130.39 ± 78.06, 49.93 ± 6.00 dB, and 0.98 ± 0.02, respectively. Regarding dose evaluation, 3D gamma passing rates for dose distribution within sCT images under 2%/2 mm, 3%/2 mm, and 3%/3 mm criteria, yielded passing rates of 92.1% ± 3.8%, 93.8% ± 3.0%, and 96.9% ± 2.0%, respectively. The sCT images exhibited minor variations in the percentage dose distribution of the investigated target and structure volumes. However, it is worth noting that the sCT images exhibited anatomical variations when compared to the pCT images.Conclusion: These findings highlight the potential of the supervised U-Net deep learningmodel in generating kV-CBCT-based sCT images for ART in patients with HNC.
A remarkable new species of Paraparatrechina Donisthorpe (1947) (Hymenoptera, Formicidae, Formicinae) from the Eastern Himalayas, India
Authors: Sahanashree Ramakrishnaiah , Punnath Aswaj , Rajan Priyadarsanan Dharma
Published: May 2024

A new ant species,Paraparatrechina neelasp. nov., with a captivating metallic-blue color is described based on the worker caste from the East Siang district of Arunachal Pradesh, northeastern India. This discovery signifies the first new species ofParaparatrechinain 121 years, since the description of the sole previously known species,P. aseta(Forel, 1902), in the Indian subcontinent.
Current and future potential distribution of two bamboo pests in China: Anaka burmensis and Cicadella viridis (Hemiptera, Cicadellidae)
Authors: Zhao Zhengxue , Yang Lin , Chen Xiangsheng
Published: May 2024

China’s bamboo output is closely associated with its national economy; however, it is currently rapidly declining due to damage from the pests Anaka burmensis and Cicadella viridis. Identifying regions that are environmentally suitable for these pests is a critical step in their effective control. Therefore, in this study, we used a Maxent model to predict their current and future potential areas of distribution (2021–2040, 2041–2060, and 2061–2080) and explored changes over time using distribution data and related environmental variables. The model results demonstrates that the current potential areas of distribution of A. burmensis are predominantly concentrated in several provinces of southern and central China, such as Guizhou, Guangxi, and Hubei, whereas the current potential areas of distribution of C. viridis are primarily in many provinces across southern, central, and northeastern China. In the future, the potential distribution of A. burmensis will increase and move minimally, whereas the potential distribution of C. viridis will decrease and move considerably. The results of the present study provide vital information for predicting the spread and outbreaks of C. viridis and A. burmensis and provide a reference framework for developing management strategies to control these two pests, thereby minimizing economic loss in the bamboo industry.
« L’Europe contre les peuples » : euroscepticisme et populisme dans le discours des partis politiques
Authors: Thomas Chloé
Published: May 2024

Cet article étudie les relations entre euroscepticisme et populisme dans les discours des partis politiques. Nous partons de l’hypothèse selon laquelle l’euroscepticisme est une variante du populisme. Ainsi, tant à gauche qu’à droite de l’échiquier politique, les partis mobilisant une rhétorique populiste s’approprieraient les arguments eurosceptiques pour renforcer leur discours anti-élite. Notre analyse est basée, d’une part, sur l’examen des programmes électoraux de six partis de la droite et de la gauche radicales – à savoir le Parti du Travail de Belgique, le Vlaams Belang , le Socialistische Partij , le Partij voor de Vrijheid , le Parti de gauche et enfin, le Front National – et d’autre part, sur l’étude quantitative des interventions de Marine Le Pen et Jean-Luc Mélenchon dans les médias français lors de la campagne électorale pour les élections européennes de 2014. Malgré une légère nuance pour le candidat du Parti de gauche, cet article a permis de confirmer notre hypothèse.
La situation en psychanalyse
Authors: Barreau Jean-Jacques
Published: May 2024

S’interroger sur la situation de la psychanalyse, aujourd’hui comme hier, c’est s’attacher à son fondement épistémologique, à la définition de son identité épistémique qui, pour nous, ne peut être que freudienne, tant elle reste attachée au nom de Freud. De la même manière qu’on ne peut séparer la méthode analytique de la métapsychologie freudienne, on ne peut détacher la psychanalyse de la singularité du rapport qu’elle entretient avec le « destin de vie » (Lebenschicksal) , et les « préférences » (Vorlieben) de son fondateur. Une science qui se présente dans le style de son auteur, dans le langage inconscient de son désir, telle est la situation même du discours psychanalytique, et l’exigence de travail imposée par l’événement de l’inconscient dans le style même de l’écriture de Freud. En regard de la revendication de scientificité soutenue par Freud, le cheminement de pensée propre à la spéculation freudienne nous servira à introduire la spécificité de la rationalité psychanalytique qui prend en compte une forme de fantasmatisation au cœur de l’activité de théorisation.
La situation en psychanalyse
Authors: Cognet Roger Sylvie
Published: May 2024

La discussion de la conférence de M. de M’Uzan s’articule autour de ce qu’il nous propose comme nouveaux développements métapsychologiques en liens étroits avec sa propre clinique. Problématisant dans son exposé certains choix théoriques de Freud avec l’abandon de sa neurotica et le passage de la première à la deuxième topique, nous aurons dans ce propos le souci de prendre en compte les propres avancées de la théorisation sur la problématique identitaire, exposées par M. de M’Uzan, pour nous-mêmes les questionner dans une visée aporétique.
La situation en psychanalyse
Authors: Drossart Francis
Published: May 2024

Parmi bien d’autres lectures possibles du film de Tarkovski (Stalker) je propose la suivante : La Chambre des Vœux, à l’intérieur de la Zone, peut être comparée, en tant que lieu de réalisation du désir, à cet espace analytique dont Serge Viderman nous indique qu’il est l’effet d’une construction commune à l’analyste et à l’analysant. Ce lieu renvoie à la notion décrite par Freud de « satisfaction hallucinatoire du désir », et aussi à celle d’« originaire » décrit par Piera Aulagnier. Le travail de déchiffrement propre à l’analyse renvoie à une situation originaire revécue d’emblée dans l’analyse, si l’on se réfère ici à la notion kleinienne de l’immédiateté du transfert. Pour reprendre la métaphore archéologique, il s’agit de tenir compte ici de cette remarque de Freud : dans l’analyse, les vestiges sont encore vivants. Le lent travail de déchiffrement de l’analyse, comme la démarche « à pas furtifs » du Stalker , consistera à tenter d’inscrire cette rencontre originaire dans la temporalité du transfert – temporalité ignorée par l’inconscient. Les résistances à cette démarche seront de trois ordres, représentées par trois personnages du film. Celle du Professeur, qui veut détruire la chambre des Vœux car il l’estime dangereuse pour l’humanité car non conforme à sa vision scientiste du monde… Celle de l’Écrivain, épouvanté par la prise de conscience de la destructivité inscrite au fond de son désir. Celle de l’ancien Maître du Stalker , Porc-Épic, qui a transgressé l’interdit, pour un Stalker , de pénétrer dans la Chambre des Vœux… Doute, humilité et renoncement : voilà trois vertus, au demeurant bien peu contemporaines, qui nous paraissent communes à l’idéal du moi et à l’éthique du Stalker et du Psychanalyste. Comme dit Jean-Paul Valabrega, « la seule manière pour un psychanalyste d’exercer le pouvoir, c’est d’y renoncer ».
La situation en psychanalyse
Authors: Bleger Leopoldo
Published: May 2024

Si par définition toute théorie vise au dépassement de la saisie purement sensoriel ou « du bon sens », quel statut attribuer à la théorie psychanalytique et tout particulièrement à la métapsychologie ? C’est au cœur même de l’élaboration freudienne et de la démarche psychanalytique qu’on peut percevoir à l’œuvre l’intrication entre les résistances qu’inévitablement la démarche provoque avec l’interrogation permanente sur ses fondements.
La situation en psychanalyse
Authors: Ponceblanc-Neuvéglise Monique
Published: May 2024

Cet article propose une réflexion sur les contradictions entre la temporalité psychanalytique et l’accélération sociale contemporaine, telle qu’elle est théorisée par le philosophe et sociologue allemand Hartmut Rosa. Sont ainsi développées les temporalités différentes de l’analysant, du sociologue et du psychanalyste. Les étapes successives du processus analytique sont étudiées dans leur rapport au temps individuel ou interne et au temps sociétal.
Avoir peur
Authors: Dollé-Monglond Brigitte
Published: May 2024

Mon propos est d’interroger le distinguo introduit par Freud et couramment admis dans notre champ entre peur et angoisse. S’il est nécessaire de discerner l’une de l’autre, il est important de considérer que les deux notions se mêlent, s’interpénètrent, se chevauchent dans maintes configurations cliniques. Alors, un champ de complexités s’ouvre à nous : ce n’est pas l’objet dont on a peur mais l’inconnu auquel il nous renvoie, et au-delà de son indétermination, l’angoisse a bien un objet. Peut-on penser qu’il y a angoisse sans peur ou peur sans angoisse ? Pour l’analyste, là où la peur désigne un saisissement, une pression interne, liés à un objet que le sujet croit identifier comme tel, l’angoisse désigne un état, une configuration psychique, et nous met sur la voie d’une exploration clinique avec des repérages métapsychologiques. La notion de peur affecte nos processus conscients, tandis que certaines formes d’angoisse ne peuvent être identifiées par le sujet, ce qui devient précisément l’un des enjeux de notre travail analytique.
Méthodologie des ateliers thérapeutiques auprès des patients atteints de la maladie d'Alzheimer et maladies apparentées
Authors: Saladin Aurore , Damiano Laura
Published: May 2024

Les maladies neurodégénératives (MD) constituent un groupe de pathologies progressives lié à un dysfonctionnement métabolique au sein du tissu nerveux, conduisant à la mort des neurones et à la destruction du système nerveux. Cette médiation par les jeux vidéo donne la possibilité de préserver l’autonomie, maintenir les capacités cognitives et physiques chez le sujet âgé atteint d’un vieillissement pathologique.
Méthodologie des ateliers thérapeutiques auprès des patients atteints de la maladie d'Alzheimer et maladies apparentées
Authors: Foulquet Amélie
Published: May 2024

Faire le postulat d’un travail thérapeutique avec les personnes présentant une Démence de Type Alzheimer (DTA) nécessite d’accepter qu’il existe une vie psychique jusqu’aux derniers instants, un Être en devenir qui traverse et se laisse traverser par le temps. Là où les thérapeutiques médicamenteuses trouvent leurs limites, la vie persiste. C’est d’une (ré)inscription dans le temps dont il s’agit dans les ateliers de réminiscence et par là, d’une inscription dans toutes les dimensions de la spécularité. La thérapie par la réminiscence consiste en l’évocation des souvenirs autobiographiques anciens via une multitude de médias permettant de se rappeler avec émotion et d’associer librement sur ces traces mnésiques.
Méthodologie des ateliers thérapeutiques auprès des patients atteints de la maladie d'Alzheimer et maladies apparentées
Authors: Rouanet Élodie
Published: May 2024

Les recherches en neurosciences et en sciences cognitives concernant la perception de la musique ont connu un essor important ces dernières années. Alors qu’elle fut longtemps considérée comme simple objet de plaisir et de détente, une meilleure compréhension de ses composantes structurelles et de ses mécanismes fonctionnels au sein même de notre cerveau, lui confèrent aujourd’hui de nouvelles propriétés, dont une mise en relation directe avec d’autres fonctions cognitives, tels que le langage. Le principe général de l’atelier d’écriture de chansons est d’associer un travail d’écoute (mélodie), de production musicale (chant) et de création linguistique.