bluuebunny/crossref_metadata_2025 huggingface dataset:
Inclusivity and the Education of Children of Defence Forces Personnel
Authors: Baumann Ros , van Rensburg Henriette
Published: July 2021

Australian Defence Force (ADF) members' children present as a unique subpopulation of students. These students often experience schooling interruption as a result of posting (relocation) mobility inherent within the service requirements of their ADF parents. This chapter explores the impact of such mobility and interrupted schooling on educational achievement. Educational achievement consists of two key aspects: Social-emotional outcomes and Academic outcomes. Social-emotional outcomes are currently supported through the Defence Support Mentor (DSM) program. Academic outcomes are examined through the lens of Reading/Literacy testing results and Mathematics testing results. Academic achievement for ADF children impacted by mobility and schooling interruption remains largely unexplored within the Australian context. A conceptual framework is presented, which identifies potential causes of negative impacts upon ADF students' academic achievement.
A Hybrid Routing Protocol Towards Secure and Smart Military Applications in Cloud Environments
Authors: Chakravarthy M. Hemanth , Kannan E. , Belinda M. J. Carmel Mary
Published: July 2021

Having understood the strategic significance of the flourishing cloud idea, enterprises across the globe are keenly strategizing and executing to embark on the cloud journey with all the clarity and confidence. There are product vendors bringing forth additional capabilities to easily and quickly setup and sustain competent cloud environments, which are being positioned as the one-stop IT solution for worldwide business organizations. The business domains such as governments, retail stores, healthcare providers, telecommunication service providers, supply chain and logistics, utilities, homeland security, etc. are keenly embracing the cloud idea to be ahead of their competitors in their operations, outputs, and offerings. However, there are some critical challenges and concerns being associated with the cloud paradigm. The widely quoted non-functional requirements (NFRs) and the quality of service (QoS) attributes such as security, performance, reliability, modifiability, and availability have to be fulfilled by cloud software, platform and infrastructures in order to boost the confidence level of business executives and institutions. There are mission-critical and emergency services, which are finding their residence in cloud environments (private, public, and hybrid). Their requirements are quite unique and hence researchers across the globe are striving hard and stretching further to bring forth innovative, disruptive, and transformation technology solutions to fulfill the various needs. This chapter proposes a cloud-based network architecture that contributes a consistent and ubiquitous internet connection. The mesh topology is recommended here to ensure that the connectivity is available all the time without any fail and slowdown. The security of data when it gets transmitted over channels, persisted in data stores, and used by applications, has to be ensured in order to boost the confidence of data owners and users. Hence, this chapter proposes a secure cloud-based heterogeneous network using a novel routing protocol.
Physical Layer Security in Military Communications
Authors: Yaacoub Elias
Published: July 2021

Military communications need to be secure in harsh operational conditions under constant enemy attacks and attempts to eavesdrop, jam, or decrypt the communications. Physical layer security (PLS) can be used in conjunction with traditional cryptographic techniques to ensure an additional layer of security for military communications. In this article, PLS techniques at different levels of military communications, from communications at the military section level to the battalion or command center level, are discussed and analyzed. The presented solutions were tailored to the challenges faced in each scenario, leading to good performance. Additional challenges are also discussed, and suitable solutions are outlined.
Dynamics of Public Expenditure on Defense and Economic Growth Pattern in Developed and Developing Countries
Authors: Sinha Madhabendra , Chaudhury Anjan Ray , Sengupta Partha Pratim
Published: July 2021

Endogenous growth theories refer that public spending has a considerable bearing on economic growth. Rise in public spending retards rate of economic growth. As the economic structure across the developed and developing countries varies significantly, the effect of public spending on non-productive activities may differ across these countries. In this context, the authors develop a comparative study for looking at the dynamic relationship between public expenditure on defense activities and pattern of economic growth between developing and developed countries across the globe over the period 1960-2015. Using data from SIPRI and World Bank, the authors invoke the panel data regression with panel co-integration test followed by panel VAR. Findings indicate that developed countries have positive impact of defense spending on growth, and the relationship is bi-directional, whereas the impact is found to be negative in developing nations.
Transforming From the Classroom to an Online Nursing Educator
Authors: Passmore Denise
Published: July 2021

This chapter explores through phenomenological methodology the experiences of nursing faculty who transitioned from live to online teaching. These experiences are further examined through the theory of transformative learning to determine whether participants were able to transform their teaching identity from traditional classroom teacher (sage on the stage) to facilitators of learning. One-on-one interviews were conducted with 16 full-time nursing faculty at four state universities. Findings revealed that most faculty were originally hesitant to teach online and had multiple misconceptions regarding teaching methods and online student communication. With one exception, professional development for online teaching was limited. Most participants described transforming their teaching methods and philosophies as they gained more experience. Results implicate that faculty development should focus not only on educational principles and technology, but also on ways to connect with students and develop course content that helps maintain faculty identities.
Student Nurses' Perception on the Impact of Information Technology on Teaching and Learning
Authors: Kandeel Nahed , Ibrahim Youssreya
Published: July 2021

This paper investigates student nurses' perceptions of the impact of using information technology (IT) on teaching and learning critical care nursing. This study was conducted at the Faculty of Nursing, Mansoura University, Egypt. The sample included 163 of fourth year Bachelor of Nursing students enrolled in a critical care nursing course during the first semester of the academic year 2007-2008. The data was collected using a questionnaire sheet that gathered information about student nurses' IT skills and use, perception of the access to and use of IT at Faculty of Nursing, perception of the impact of using IT on teaching and perception, and on the impact of using IT on learning the critical care nursing course. The findings indicate that nursing students had a positive perception on the impact of using IT on teaching and learning the critical care nursing course. Students wanted access to IT at the Faculty, and expressed their need for more training on using Internet and Microsoft PowerPoint, and for IT resources in classrooms.
Exploring the ICT Competence and Confidence Among Undergraduate Nurses in University of Lagos
Authors: Folami Florence Funmilola
Published: July 2021

The role of technology in education has been critical in the potential of computer technology to transform teaching and learning. This study explored nursing students' information and communication technology competence and confidence. It presents selected findings that focus on students' attitudes towards information and communication technology as an educational methodology. Information and communication technology is integral to contemporary nursing practice. A cross sectional study was used and the sample consists of 74 undergraduate nurses. The result showed that 95.8% undergraduate nurses have good competence level of ICT and 88.7% undergraduate nurses have positive perception towards the use of ICT while the remaining 11.3% have a negative perception. Findings of the study revealed that majority of the undergraduate nurses have a positive perception and good competence level about ICT. It is therefore the role of the lecturers to design students' curricula program emphasizing importance role ICT in nursing.
Human Factors Affecting HMS Impact on Nurses Jobs
Authors: Guimaraes Tor , Caccia-Bava Maria do Carmo , Guimaraes Valerie
Published: July 2021

To improve and facilitate patient care, hospital administrators have implemented healthcare management systems (HMS). Unfortunately, many hospitals have encountered HMS implementation problems. Some user-related factors have been proposed in the literature as important to system success. This study proposes an integrative model and empirically tests the importance of these variables as determinants of HMS impact on the jobs of nurses. Data from 213 nurses using their hospital HMS has been used to test the relationships between the independent variables and the HMS impact on the nurses' jobs. The results confirm the importance of nurse participation, training, good communication with developers, and lack of conflict regarding system implementation enabling a more desirable effect of HMS on nurses' jobs. Based on the results, recommendations are made for hospital administrators to improve the likelihood of HMS implementation success.
Developing and Managing Health Systems and Organizations for an Aging Society
Authors: Ramos Ana Filipa , Fonseca César , Henriques Adriana
Published: July 2021

With the worldwide trend towards aging and increasing numbers of chronic diseases, the promotion of self-care as a central issue in public health is a necessity. Recently, several international entities recommend that the nursing profession rethink its focus of intervention and maximize the relevance attributed to fundamental and long-term care. The implementation of fundamental care has been associated with improved of health service security, reduced mortality rate, and hospital readmission. At the same time, for an appropriate response of the health system, it is crucial to know the care needs of people aged 65 and over, which can be met by the analysis of electronic health records.
Medical and Nursing Civil Liability and Ethics in the Provision of Health Services
Authors: Papazissi Theophano , Chatzinikolaou Fotios
Published: July 2021

After 2000, specific legislation on civil liability and ethics of nurses and doctors was introduced, as well as specific acts. For nurses and the nursing profession, since 2001, the Code of Nursing Ethics (NCSD, Presidential Decree 216/2001) has been in force. In 2005, the current Code of Medical Ethics (KID, Law 3418/2005) was passed. Special Law 3305/2005 on the application of assisted reproduction methods was introduced to specify how the methods introduced in the Civil Code were applied as methods of generating kinship among persons under Law 2089/2002 (MAP). The chapter summarizes the main points regarding civil liability of medical and nursing activity with a special focus on oncological patients.
Maintaining a Mature Workforce in the Nursing Profession
Authors: Sparkman Torrence E.
Published: July 2021

According to the U.S. Census, 19.6 million Americans, 19% of the workforce, will be 65 years old or more. The medical profession is not immune to the implications of an aging society. The trends towards an increasing geriatric population suggest that by 2030 a substantial gap in the number of health professionals needed will exist. In the United States alone, 3.5 million healthcare providers will be required to match the current balance of health workers to population. It is apparent that the dynamics of aging will impact the healthcare system and the wellbeing, recruitment, and retention of nurses. In order to address the emerging gaps, retention efforts should include both management and development-oriented interventions.
The Search for Support and Healing
Authors: Green Cheryl
Published: July 2021

Chapter 6 provides nurses, nurse leaders, and organizations interventions to understand, confront, and eliminate bullying and incivility from the workplace. Emotional intelligence (EI) and cognitive rehearsal are techniques when taught to nurses via in-services provided by organizations, can build awareness of verbal and nonverbal cues used in their communication as well as those of others. By understanding how we communicate and respond to others and vice versa, insight to what are appropriate and inappropriate responses can hold nurses accountable to how they treat one another. The neuroscience of oxytocin release at a biochemical level supports the benefits of organizations investing in the mental and physical health of their employees by empowering them to grow individually and as a collaborative team.
Classification of Coronary Artery Disease Using Multilayer Perceptron Neural Network
Authors: Verma Pratibha , Awasthi Vineet Kumar , Sahu Sanat Kumar
Published: July 2021

Coronary artery disease (CAD) has been the leading cause of death worldwide over the past 10 years. Researchers have been using several data mining techniques to help healthcare professionals diagnose heart disease. The neural network (NN) can provide an excellent solution to identify and classify different diseases. The artificial neural network (ANN) methods play an essential role in recognizes diseases in the CAD. The authors proposed multilayer perceptron neural network (MLPNN) among one hidden layer neuron (MLP) and four hidden layers neurons (P-MLP)-based highly accurate artificial neural network (ANN) method for the classification of the CAD dataset. Therefore, the ten-fold cross-validation (T-FCV) method, P-MLP algorithms, and base classifiers of MLP were employed. The P-MLP algorithm yielded very high accuracy (86.47% in CAD-56 and 98.35% in CAD-59 datasets) and F1-Score (90.36% in CAD-56 and 98.83% in CAD-59 datasets) rates, which have not been reported simultaneously in the MLP.
Novel Discrete Rao Algorithms for Solving the Travelling Salesman Problem
Authors: Nikum Ankit Kumar
Published: July 2021

Rao algorithms are population-based metaphor-less optimization algorithms. Rao algorithms consist of three algorithms characterized by three mathematical equations. These algorithms use the characteristics of the best and worst solution to modify the current population along with some characteristics of a random solution. These algorithms are found to be very efficient for continuous optimization problems. In this paper, efforts are made to convert Rao 1 algorithm to its discrete form. This paper proposes three techniques for converting these continuous Rao algorithms to their discrete form. One of the techniques is based on swap operator used for transforming PSO to discrete PSO, and the other two techniques are based on two novel mutating techniques. The algorithms are applied to symmetric TSP problems, and the results are compared with different state of the art algorithms, including discrete bat algorithm (DBA), discrete cuckoo search (DCS), ant colony algorithm, and GA. The results of Rao algorithms are highly competitive compared to the rest of the algorithms
Economic Load Dispatch Incorporating Wind Power Using Hybrid Biogeography-Based Optimization
Authors: Saha Bikram , Roy Provas Kumar , Mandal Barun
Published: July 2021

This article represents salp swarm algorithm (SSA) for the most favourable operating solution of economic load dispatch (ELD). For making the convergence first along with SSA, another optimization algorithm (i.e., BBO [biogeography;based optimization]) is also used. For lowering the operational cost, wind power is employed with thermal units. SSA is inspired by swarming behaviour of salp, which belongs to salpiside family. Salp possess a special kind of swarm while hunting for food and navigating. The recommended algorithm is executed on two systems of SIX units and 40 units. In both of the cases, load dispatch problem is carried out with renewable sources and also without renewable sources. Individually, BBO, SSA, and hybrid BBO-SSA are applied to all the test systems to justify effectiveness of hybrid BBO-SSA. Obtained results assure the prospective and advantages of recommended algorithm in contrast to algorithms mentioned in the article. Results come out to be very satisfying and reveal that hybrid BBO-SSA is a powerful algorithm to solve ELD problems.
Swarm Intelligence-Based Uplink Power Control in Cognitive Internet of Things (CIoT) for Underlay Environment
Authors: Sultan Babar , Shafi Imran , Ahmad Jamil
Published: July 2021

Internet of things (IoT) aims to shift intelligence to things and tends to increase the spectrum utilization efficiency. However, in doing so, it might generate high interference to the primary users (PUs) due to massive data flow into the networks. Cognitive radio smartly addresses this challenge by enabling different spectrum sharing modes while guaranteeing the quality of service. Motivated by this fact, the incorporation of cognitive abilities in IoT has given birth to a new sub-domain in IoT, known as Cognitive IoT (CIoT). This paper considers a single cell scenario in which multiple CIoT users (CUs) coexist with a PU in an underlay environment, and their communication performance has been optimized while adhering to the transmit power and interference constraints. Furthermore, two swarm intelligence-based implementations of the proposed algorithm have been provided, one based on Artificial Bee Colony (ABC) and the other based on Particle Swarm Optimization (PSO), and their effectiveness to solve the constrained power allocation problem for CIoT networks has been proved through simulations.
Bulgarian Traditional Folklore Celebrating Food and Sustainability
Authors: Bogueva Diana , Marinova Dora , Todorov Vladislav
Published: July 2021

Being an integral part of the past cultural heritage, the traditional Bulgarian folklore festivals, carnivals, and celebrations are continuing to promote sustainable practices that venerate and respect nature. The article focusses specifically on celebrations related to food and plant growing. It reviews the intangible cultural heritage of the Bulgarian folklore, including traditions whose roots originated from pagan rituals but continue to be observed now. A description of the Kukeri carnival, Trifon Zarezan, Baba Marta, Peperuda (Butterfly), Rose Festival, Nestinari dancing rituals, and Enyovden are provided within a sustainability context. A common feature between these celebrations is the respect for nature and its healing capacity with people being perceived as part of the natural world. These traditional folklore festivities have survived the test of time with very little commercialisation. Food plays a major role in them, but most importantly, they help maintain the community spirit and social bonding.
Risks in Adoption and Implementation of Big Data Analytics
Authors: Potluri Rajasekhara Mouly , Vajjhala Narasimha Rao
Published: July 2021

The research investigates the risks in adopting and implementing big data analytics in Indian micro, small, and medium enterprises (MSMEs). The researchers outlined a survey questionnaire for accumulating reactions from managers working in 50 Indian micro, small, and medium-sized enterprises on behalf of five vital commercial sectors. The application and use of big data analytics offer several significant problems for small companies as an investment in hardware and software resources are substantial. This study's findings provided experimental evidence on five critical challenges that Indian MSMEs face while adopting and implementing big data analytics: lack of human resources, data privacy and security, shortage of technological resources, deficiency of awareness, and financial implications. This study's findings emphasize the challenges that MSMEs face while leveraging big data analytics benefits. The research outcome will promote MSMEs' organizational leadership in planning and developing short-term and long-term information systems strategies.
A Hybrid Approach Based on Fuzzy TOPSIS-AHP for Ranking and Classifying MOOC Key Acceptance Factors
Authors: Chopra Neeraj , Sindwani Rajiv , Goel Manisha
Published: July 2021

This investigation is done during COVID-19 to identify, rank, and classify MOOC (massive open online course) key acceptance factors (KAFs) from an Indian perspective. A systematic literature review identifies 11 KAFs of MOOC. One more novel factor named ‘contingent instructor' is proposed by the authors considering pandemic and new normal post-COVID-19. The paper implements two popular fuzzy MCDM (multiple-criteria decision-making) techniques, namely fuzzy TOPSIS and fuzzy AHP, on 12 KAFs. The fuzzy TOPSIS approach is used to rank factors. Affordability, performance expectancy and digital didactics are found as the top three KAFs. Fuzzy AHP classified KAFs into three groups, namely high, moderate, and low influential. Examination of the literature indicates that this study is among the first attempt to prioritize and classify MOOC KAFs using fuzzy TOPSIS and fuzzy AHP approach. The results offer managerial guidance to stakeholders for effective management of MOOC, resulting in higher acceptance rate. Likewise, this investigation will upgrade the comprehension of MOOC KAFs among academicians.
Prevention of congenital malformations for pregnant women: A predictive model based on a study in eastern Algeria’s population
Authors: Kalla Adel , Loucif Lotfi , Yahia Mouloud
Published: July 2021

The World Health Organization (WHO) defines congenital malformation as any gross abnormality present at birth even if it is not immediately recognized. Here, we aimed to identify the factors predisposing to congenital malformations in pregnant women in Eastern Algeria and the effect of the combination of several factors. 786 pregnant women were interviewed. Throughout our study, we sought to find answers, discuss the association between malformation exposure, identify the risk factors, and predict the occurrence of malformations using statistical analysis techniques. We developed a predictive model and we found that malformations were significantly higher for pregnant women aged over 34 (10.93; 95% CI: 2.10- 201.71, p=0.023), with a BMI over 25 (2.38; 0.91-7.04, p=0.091), hypertension (2.18; 1.04-4.57, p=0.038), anemia (2.08; 0.98-4.35, p=0.053) and infections (2.32; 1.18-4.58; p=0.015). Protecting factors against malformations includes diet moderate in meat (1.97; 0.73-4.98, p=0.163) and rich in eggs, soft drinks, and fruit-vegetables (2.69; 0.76-8.63, p=0.106), (1.84; 0.74-4.43, p=0.177), (3.08; 0.56-13.28, p=0.154); respectively. Knowing risk factors helps to establish predictive models and strategies to prevent malformations and highlights the link between malformations and multiple risk factors for the sake of protecting babies’ lives.
Voices of children with intellectual disabilities on participation in daily activities
Authors: Huus Karina , Morwane Refilwe , Ramaahlo Maria , Balton Sadna , Pettersson Emelie , Gimbler Berglund Ingalill , Dada Shakila
Published: July 2021

Background: Participation in daily activities is expressed as a human right. Full participation of children with disabilities in daily activities creates optimal opportunities for learning and development. Previous studies have focused primarily on proxy ratings of participation of children with intellectual disabilities in daily activities. However, little is known about how the children rate barriers and facilitators to their participation in everyday activities.Objectives: To identify barriers to and facilitators for everyday activities as experienced by children with intellectual disabilities from low- and middle-income countries and high-income countries. The research questions were as follows: ‘what barriers to participation do children with disabilities experience in everyday activities?’ and ‘what facilitators to participation do children with disabilities experience in everyday activities?’Method: A qualitative content analyses was used in this study, and individual interviews were conducted with 49 children with intellectual disabilities. The interviews were performed using pictures. The children also selected the most important activities and described in their own words the facilitators and barriers relevant to being able to perform the activities.Results: The most important activities were organised leisure activities, formal learning at school, taking care of other family members and family mealtimes. Self-reported barriers identified were personal functioning, social exclusion and lack of resources. The identified facilitators included satisfaction, personal capability, being included and having access to resources.Conclusion: These findings provide important knowledge about the factors to consider in the development of interventions, aimed at improving the participation of children with intellectual disabilities.
Cancer immunotherapy
Authors: Dhar Ruby , Seethy Ashikh , Singh Sunil , Pethusamy Karthikeyan , Srivastava Tryambak , Talukdar Joyeeta , Rath Goura Kishor , Karmakar Subhradip
Published: July 2021

Immunotherapy is a treatment that uses specific components of a person's immune system to fight diseases. This is usually done by stimulating or assisting one's immune system is attacking the offending agent – for instance, in the case of cancer – the target of immunotherapy will be cancer cells. Some types of immunotherapy are also called biologic therapy or biotherapy. One of the fundamental challenges that a living cell encounters are to accurately copy its genetic material to daughter cells during every single cell cycle. When this process goes haywire, genomic instability ensues, and genetic alterations ranging from nucleotide changes to chromosomal translocations and aneuploidy occur. Genomic instability arising out of DNA structural changes (indels, rearrangements, etc.,) can give rise to mutations predisposing to cancer. Cancer prevention refers to actions taken to mitigate the risk of getting cancer. The past decade has encountered an explosive rate of development of anticancer therapy ranging from standard chemotherapy to novel targeted small molecules that are nearly cancer specific, thereby reducing collateral damage. However, a new class of emerging therapy aims to train the body's defense system to fight against cancer. Termed as “cancer immunotherapy” is the new approach that has gained worldwide acceptance. It includes using antibodies that bind to and inhibit the function of proteins expressed by cancer cells or engineering and boosting the person's own T lymphocytes to target cancer. In this review, we summarized the recent advances and developments in cancer immunotherapy along with their shortcoming and challenges.
Asymptomatic Cholelithiasis in Children
Authors: Bhaumik Kuntal
Published: July 2021

Aims and Objectives:

The incidence of cholelithiasis is now increasing in children. Besides hemolytic diseases, there are also nonhemolytic conditions and idiopathic group. A large number of children belong to asymptomatic group who do not present with gallstone-related symptoms. There is no consensus in the management of these children. The aim of this study is to evaluate the role of elective cholecystectomy in asymptomatic cases to prevent complications which leads to more morbidity.

Materials and Methods:

One hundred and seventy-eight children were treated over a period of 12 years and they were divided into two groups according to their age at presentation. Sixty-four children below 5 years belonged to Group A and 114 children between 5 and 12 years belonged to Group B. About 71.8% of children of Group A and 49.1% of children of Group B were asymptomatic. Cholecystectomy was advised in all cases of Group B and all symptomatic cases of Group A. In Group A asymptomatic cases, ursodeoxycholic acid (UDCA) was given for 6–12 months and followed up.

Results:

Laparoscopic cholecystectomy was performed in all cases except in five cases where conversion to open surgery was done as there was gross adhesions due to previous laparotomy. Of 46 asymptomatic cases of Group A, the stone disappeared in seven cases, 12 children developed symptoms, and there was no change in 27 patients. Stone reappeared again in three of seven children who were managed by cholecystectomy. Cholecystectomy was also performed in 12 cases that developed symptoms. In the rest of the 27 children, cholecystectomy was advised after 1 year trial of UDCA. Cholecystectomy was advised in both symptomatic and asymptomatic cases of Group B. Sixteen of 56 asymptomatic cases did not agree for cholecystectomy and 12 of them returned with complications. Endoscopic retrograde cholangio-pancreaticography (ERCP) and stone extraction was performed in four cases. In all the acute cases, cholecystectomy was performed after a period of conservative management.

Conclusion:

UDCA can be tried in the smaller age group below 5 years, but there is a chance of recurrent stone formation. Elective laparoscopic cholecystectomy should be the choice in all asymptomatic cases to prevent complications.
Congenital Pyloric Atresia and Epidermolysis Bullosa
Authors: Pan Pradyumna
Published: July 2021

Pyloric atresia (PA) is an unusual congenital disorder that accounts for about 1% of all intestinal atresia, with an incidence around 1 in 100,000 live births. PA may occur as an isolated disorder or may be associated with epidermolysis bullosa (EB). EB comprises a heterogeneous group of cutaneous genetic diseases of inherited blistering and skin fragility disorders. Wound management in EB is complex and influenced by several comorbidities and the fragility of the skin. The prognosis of children with EB depends on the type of mutation inherited. Some types are mild and even improve with age, while others are so severe it is not likely that a child to survive into adulthood. We present three cases of PA in this article and one in conjunction with junctional EB.
Diaphragmatic Hernia after Pediatric Living Donor Liver Transplantation
Authors: Pattnaik Bramha , Sinha Piyush Kumar , Sadashiv Nilesh Patil , Mohapatra Nihar , Pamecha Viniyendra
Published: July 2021

Aim:

Although intestinal obstruction following living donor liver transplantation (LDLT) is relatively common, diaphragmatic hernia (DH) as the attributing cause is rarely reported. The study aimed to find out the incidence, clinical presentation, and management of DH after liver transplant in pediatric patients.

Materials and Methods:

A retrospective review of all cases of pediatric liver transplants was performed. Case sheets, operation records, and investigations including radiology were studied.

Results:

Out of 79 cases of pediatric liver transplants, two cases of posttransplant DH were identified. The first case is a 2-year-old male child who was transplanted for progressive familial intrahepatic cholestasis, and the second one is a 4-year-old boy who underwent LDLT for hepatitis A-induced acute liver failure. The first child presented abdominal symptoms and the second one with pulmonary symptoms. The DHs were diagnosed at 132 and 70 days, respectively, posttransplant by chest radiographs and computed tomography scan. The defects were located at the posteromedial aspect of the diaphragm in both the cases and were closed by primary closure with mesh reinforcement. Both the children are doing well with no recurrence.

Conclusion:

High index of clinical suspicion is mandated in pediatric patients after liver transplant and once the diagnosis is confirmed, urgent surgical exploration is mandatory.
Cystic Nephroma and its Varied Management Scenarios
Authors: Jain Prashant , Prasad Ashish , Jain Sarika , Rahul Kanta M
Published: July 2021

Cystic nephroma is a rare benign cystic neoplasm of the kidney. The preoperative diagnosis with its malignant counterparts cystic partially differentiated nephroblastoma or cystic Wilms' tumor is not easy but is important when one is considering for nephron-sparing surgery.
Results of Injection Sclerotherapy with Bleomycin in Pediatric Lymphatic Malformations
Authors: Kumar Vipan , Choudhury Subhasis Roy , Yadav Partap Singh , Khanna Vikram , Gupta Amit , Chadha Rajiv , Anand Rama
Published: July 2021

Aim:

The aim of the study was to evaluate the results of injection sclerotherapy with bleomycin in pediatric patients with lymphatic malformations.

Materials and Methods:

In this prospective cohort study, all consenting pediatric patients with macrocystic lymphatic malformations were managed with injection bleomycin sclerotherapy (0.5 mg/kg, not exceeding 5 mg at a time) under ultrasound (US) guidance. After aspirating the cyst fluid bleomycin was instilled intralesionally in a ratio of 5:1 (aspirated cyst fluid volume: diluted bleomycin solution volume). Patients were reassessed at three weekly intervals. The response to therapy was assessed clinically as well as by size and volume on ultrasound Doppler study. The response was classified as excellent response, i.e., complete regression, good response >50% regression, and poor response <50% regression.

Results:

Sixty patients with lymphatic malformations were enrolled in the study, the mean age was 3.22 years, and the male-to-female was 2.5:1. The most common site of lesion was in the neck (43.3%), followed by the axilla (15%) and flank (8.3%). The responses were excellent, good, and poor in 43 (71.6%), 12 (20%), and five (8.3%) patients, respectively. Two patients underwent surgical excision of the residual lesion. Complications noted were fever in six, local pain in five, and residual lesion in three patients.

Conclusion:

Sclerotherapy with bleomycin is simple, safe, and effective in the first line of management for macrocystic lymphatic malformations in children.
Graphene – Scope in Conservative Dentistry and Endodontics
Authors: Kar Priyankita , Varghese Rana K. , Agrawal Naina , Jhaveri Himanshi Solanki
Published: July 2021

Graphene, a member of the carbon family, is the strongest, stiffest, and thinnest known material, with a thickness of 10 nm. It has emerged as engineered nanomaterials and nanomedicines in dentistry with promising results. Usually produced employing Hummers method, graphene possesses excellent physiomechanical properties, electrical conductivity, stability, biocompatibility, and biodegradability. Owing to their interactions with dental pulp stem cells, they have been functionalized with many scaffolds in regenerative dentistry, to upregulate the odontogenic and osteogenic genes. This emerging science of graphene-based materials has also been used for the debridement of root canals. Their unique property of antibiofilm and antiadhesiveness has been used to prevent dental caries and erosions. In addition, they have been incorporated into various biomaterials to enhance their original properties, like in glass ionomers, biodentine, and in bleaching agents like hydrogen peroxide. Depending on their concentration and time of exposure to the substrate, graphene and their derivatives can be effective antibacterial agents. This updated review provides useful information on the promising introduction of graphene in the field of conservative dentistry and endodontics.
Annie Ernaux et Édouard Louis : Écrire le réel entre bruit(s) et silence
Authors: Edy Delphine
Published: July 2021

A. Ernaux and É. Louis – writers of the real, between silence and noise

In A. Ernaux’s steps, É. Louis writes to account for truth, to bear witness for the real. They experience sounds, noises and silences as particularly meaningful signs of the social classes that they live in. Their original, popular environment is made of constant noise, whether coming from inside the body or the surrounding working-place. Later as they rise socially, they realise that more privileged classes live in a filtered, muffled world. But being loud may also be a move toward freedom, an expression of the lived experience. The theatre stage is a particularly apt media for the telling of É. Louis’s stories as it enables the varied experiences to be heard and felt through their vibrations, and all noises on stage make sense.
Tonnerre et bourdonnement. Pour une littérature musicale : le cas du surréalisme
Authors: Garcia Erika Natalia Molina
Published: July 2021

Thunder and whir. For a musical literature: The case of surrealism
By exploring Deleuze’s theory of the creative act, I suggest in the first part of this article that all art forms can achieve a generalized musicality. This musicality denotes a region of perception that goes beyond ordinary senses, with which we can come into contact either by creating or by witnessing art. In the second part, I illustrate the possibility that this doctrine opens for a musical literature, i.e. a literature able to achieve the generalized musicality, with some fragments of surrealist literature. I conclude with the idea that the doctrine at hand could constitute an evolution and a radicalization of surrealist aesthetics.
Les trois concerts de Charles de Vivray
Authors: Wierzbowska Ewa Małgorzata
Published: July 2021

Charles de Vivray's Three Concerts
Music is a keystone in the entire work of Marie Krysinska, who was first and foremost a musician. Guided by the rule of universal harmony, the perfect realisations of which are musical compositions, she applies it in her poems as well as in her narrative texts. Krysinska's novel, La Force du désir [The Force of Desire], was read in its time primarily as a roman à clef. Behind the literary characters are real people: poets, writers, actresses, singers, journalists, composers. One of the portraits is particularly touching, that of de Vivray whose real-life prototype was Charles-Erhardt de Sivry. A musician, conductor, poet and music theorist, de Sivry charmed listeners with his compositions. In the diegesis, all his professional activities are mentioned, more or less revealed. Thanks to Charles de Vivray's three concerts, the novelistic space transforms into a musical space.
Liver Resection for Metastasis of Adenoid Cystic Carcinoma of the Lacrymal Gland : A Case Report and Literature Review
Authors: Bouzid Chafik , Haroun Imene , Kheloufi Mohand , Chibane Aissam , Boudiaf Zaki , Cherchar Karim , Benabdelmoumene Djamel , Ait Kaci Hayat , Bentabak kamel
Published: July 2021

Adenoid cystic carcinoma (ACC) is a rare malignant tumor. The first description of the ACC dates back to 1856 by Billroth. The ACC of the lacrimal glands are very rare. They are known for their locally aggressive character. Liver metastases are almost exceptional. We report the case of a patient with hepatic metastasis ACC. After eye enucleation of the primitive lacrimal gland ACC, the patient received external adjuvant radiotherapy. Three years later, she presented an upper abdominal pain. CT scan and MRI showed a liver tumor and the diagnosis of intrahepatic cholangiocarcinoma was made regarding imaging features. A left hepatectomy was performed; histology concluded to a liver metastasis of ACC. The immediate post-operative course was uneventful and no adjuvant treatment was decided. Thirty four months later, the patient presented with lung metastasis.

Liver metastasis of ACC are very rare. Extended liver surgery is recommended especially for isolated liver metastasis with a long free gap between primary tumor and the liver metastasis.

Keywords: Adenoid cystic carcinoma, Hepatic metastasis, Lacrymal gland
La Equidad de Género y la Paz Territorial en Colombia
Authors: Palta Limas Maria Andrea , Rodriguez Arango Juliana
Published: July 2021

La violencia contra la mujer es una problemática que se encuentra inmiscuida en la sociedad la cual se ha venido naturalizando, sometiendo a las mujeres al establecimiento de relaciones inequitativas entre hombres y mujeres, desde ámbitos familiares y laborales, hasta ámbitos sociales, por lo tanto, los Estados han recurrido a elaborar acciones institucionales que mitiguen este fenómeno, en este caso, Colombia ha implementado la política pública de Equidad de género. Este artículo establece la evaluación de la misma, partiendo de un marco referencial normativo y conceptual utilizando una metodología de carácter mixto. Se hace énfasis en el establecimiento de la paz territorial como eje transversal de la equidad de género mediante la evaluación de productos de la política pública para la equidad de género en Colombia.
Política social y participación comunitaria en América Latina: algunas consideraciones sobre la implementación
Authors: Castillo Garcés Alexander
Published: July 2021

La participación en política social favorece la democratización de la gestión pública, mejora la efectividad de las acciones estatales y supone órdenes sociales más incluyentes. Sin embargo, su materialización en América Latina sugiere importantes retos
relacionados con la institucionalidad, la incidencia efectiva de actores sociales, la cohesión social y el nivel de interrelación entre el Estado y la sociedad civil. No obstante, en el análisis de las políticas públicas la literatura es escasa, lo que ha propiciado
consideraciones segmentadas sobre los modelos analíticos y metodológicos del tema. Por tanto, el propósito es abordar algunas unidades conceptuales de la co-gestión, integrando la visión institucional y organizacional, a partir de la desagregación de unidades analíticas sobre la participación y la política social, como resultado de la revisión de fuentes documentales
PEMBERDAYAAN HUKUM BAGI SANTRI PESANTREN AL-FATTAH SEKARAN LAMONGAN TERKAIT LABEL HALAL PADA KOSMETIK
Authors: Sulistyowati Eny , Nugroho Arinto , Wardhana Mahendra , Masnun Muh. Ali
Published: July 2021

Indonesia dengan penduduk mayoritas beragama Islam, berkewajiban melindungi masyarakat muslim, di antaranya melalui Undang-Undang Nomor 33 Tahun 2014 tentang Jaminan Produk Halal. Konsumen muslim merupakan pangsa pasar yang menjanjikan keuntungan besar bagi pelaku usaha untuk memasarkan produk. Berdasarkan hal tersebut konsumen harus menjadi konsumen yang cerdas. Untuk menjadi konsumen yang cerdas perlu dilakukan pemberdayaan hukum dengan pemberian pengetahuan hukum, pemahaman hukum, sikap hukum terkait peraturan perundang-undangan terkait label halal pada kosmetik khususnya bagi Santri Pondok Al Fattah Sekaran Lamongan.  Metode yang ditawarkan dalam mengatasi persoalan tersebut meliputi (1) sosialisasi, (2) penayangan video, (3) diskusi, (3) simulasi baik di kelas maupun di swalayan. Hasil kegiatan menunjukkan, sesudah mengikuti kegiatan para santri : 1) memiliki pengetahuan hukum terkait peraturan perundang-undangan terkait label halal pada kosmetik; 2) memiliki pemahaman hukum artinya mereka memahami maksud dan tujuan pemerintah mengeluarkan terkait peraturan perundang-undangan terkait label halal pada kosmetik; 3) terkait sikap hukum, para santri menyetujui dikeluarkannya peraturan perundang-undangan terkait label halal pada kosmetik. Tetapi dari aspek perilaku hukum, tim kurang berhasil membentuk perilaku hukum para santri untuk menaati peraturan perundang-undangan terkait. Mayoritas para santri masih memilih dan/atau membeli kosmetik yang tidak mencantumkan label halal
PKM DIVERSIFIKASI HASIL OLAHAN PERIKANAN LINGKUNGAN V BAGAN DELI
Authors: Manullang Helentina Mariance , Siswoyo Bambang Hendra , Hasan Uswatul
Published: July 2021

Lingkungan V Bagan Deli berada di Kecamatan Medan Belawan. Di Lingkungan ini penduduknya berprofesi sebagai nelayan tradisional dan buruh nelayan Nelayan adalah suatu kelompok masyarakat yang mengandalkan perairan laut sebagai mata pencaharian utamanya, umumnya mereka tinggal di kawasan pesisir pantai dengan sanitasi lingkungan yang kurang baik dan umumnya menggunakan alat tangkap yang sangat sederhana sehingga hasil tangkapannya juga sangat rendah sehingga kebutuhan hidup rumah tangganya sering tidak dapat tercukupi dengan baik. Ketika laut semakin sulit memberi hasil yang maksimal, tak jarang bahkan seringkali hasil tangkapan melaut hanya bisa menutupi kebutuhan satu hari saja. Ketika musim bersahabat saat melaut adakalanya memberikan hasil tangkapan yang melimpah, namun disisi lain harga jual ikannya menjadi turun. Hal ini berdampak pada pemenuhan kebutuhan ekonomi nelayan tradisional dan buruh nelayan tidak tercukupi dengan baik. Tujuan PKM ini adalah memberikan pelatihan teori dan praktek olahan hasil perikanan seperti kaki naga dan fish stick. Sedangkan yang menjadi mitra dalam kegiatan ini adalah Kelompok “Emak-Emak” Pesisir Bagan Deli. Adapun metode PKM ini yaitu: 1) share and discussion, 2) theory and try, 3) realisasi. Hasil produk dari PKM ini adalah kaki naga dan fish stick. Setelah dilakukan pelatihan kepada para anggota mitra ada peningkatan pengetahuan, keterampilan, dan penghasilan/omset ± 10%
IMPLEMENTASI AUTOMATIC SWITCHING GENSET-PLN DI MASJID AL-HIKAM PUTAT NUTUG CISEENG BOGOR
Authors: Rozak Ojak Abdul , Kiswanto Kiswanto , Setiawan J. , Triyanto A. , Nurtiyanto W. A.
Published: July 2021

Sebagai umumnya masjid yang penuh aktivitas pada siang hingga malam, maka listrik menjadi kebutuhan utama. Mengingat lokasi masjid Al-Hikam, Putat Nutug, Ciseeng, Bogor adalah daerah pedesaan yang sering mengalami pemadaman listrik akibat cuaca buruk, angin ribut, petir, tertimpa pohon, beban lebih dan sebagainya. Upaya menjaga ketahanan energi listrik sudah dilakukan dengan menyediakan generator listrik (genset). Tetapi ada masalah prosedur operasi masih manual menggunakan tenaga manusia untuk menghidupkannya sehingga terjadi keterlambatan pasokan listrik. Oleh karena itu, diperlukan proses menghidupkan genset dari manual menjadi otomatis agar listrik stabil. Tujuan pengabdian masyarakat ini adalah mengimplementasikan automatic switching genset PLN. Metode yang dilakukan adalah memasang modul switching otomatis untuk melengkapi perangkat genset tersebut. Pengadaan bahan dan komponen hingga perakitan modul rangkaian otomatis dilakukan oleh para mahasiswa bersama dosen pembimbing. Dari hasil perakitan dan pengujian menggunakan alat ukur listrik dan pewaktu stopwatch telah berhasil menerapkan otomatisasi proses startup genset sehingga listrik tetap menyala walaupun suplai dari PLN padam. Proses menghidupkan genset secara otomatis tidak menggunakan tenaga manusia lagi. Sedangkan perpindahan koneksi listrik dari PLN ke genset hanya membutuhkan waktu kurang dari 15 detik. Sehingga prosedur ini telah membantu pengurus masjid menyediakan listrik lebih stabil, penerangan, pompa air dan perangkat penguat suara dapat beroperasi meskipun PLN padam