bluuebunny/crossref_metadata_2025 huggingface dataset:
Perfusion Index as an Objective, Simple and Quick Parameter for Determining the Success of Paravertebral Block
Authors: Tugcugil E , Besir A
Published: August 2023

Background:

The use of paravertebral block (PVB) for postoperative analgesia in the thoracic surgery has increased in recent years. However, the traditional methods used to evaluate the success and adequacy of the block are time-consuming, subjective and depend on the patient's compliance. Therefore, the search still continues to find a method to objectively evaluate the success and adequacy of the paravertebral block.

Aims:

The aim of this study was to investigate whether the Perfusion Index (PI) measured by pulse oximetry technology was an early and quantitative marker for the success of PVB. We also aimed to compare the PI and pinprick method.

Methods:

The study included a total of 38 patients undergoing elective thoracotomy surgery within the age group of 18-65 years, with class I-II American Society of Anesthesiologists' (ASA) physical status classification. Thoracic PVB was performed for all patients using 20 mL of 5% bupivacaine under ultrasound guidance. After the block was performed, PI measurements were made from the finger and earlobe of the block side for 30 minutes at one-minute intervals. The spread of the block to the anterior chest wall T3-T8 dermatomes was recorded by pinprick sensory test before the block application and fifth, 10th, 15th, 20th, and 30th minutes following the block application.

Results:

The PI value measured from the finger on the block side increased 1.5 times compared to the baseline value 12 minutes after the block application (p < 0.05). The sensitivity and specificity of PI in determining the success of PVB at 12th minute were 67% and 85%, respectively. Positive predictive value [PPV] was 93% and negative predictive value [NPV] was 75%. The accepted cut-off PI value was found to be 0.84 for a successful PVB. A weak positive correlation was observed between PI and pinprick test (rs = 0.35, P < 0.05).

Conclusion:

The present study has shown that PI is an objective, fast, practical and non-invasive method, when compare with pinprick method, that can be used to evaluate PVB success.
Clinical Variations Between Three Different Causes of Thrombocytopenia
Authors: Akin S , Haznedaroglu IC
Published: August 2023

Background:

Thrombocytopenia is defined as the platelet count of less than 150 × 109/L and is a prominent cause of bleeding. Aplastic anemia (AA), immune thrombocytopenic purpura (ITP), and thrombotic thrombocytopenic purpura (TTP) are some of the reasons of low platelet counts.

Aims:

We aimed to interpret different laboratory and clinical findings in these different reasons of thrombocytopenia.

Methods:

Among patients with these disorders we assessed the performance of the ITP Bleeding Scale Assessment (ITP-BSA), which is principally designed for ITP patients.

Results:

A hundred patients were included in analysis. Median platelet count at presentation was similar in all three groups. Thrombosis was seen more common in patients with TTP (20.7%) than the others (ITP; 5.6%, AA; 2.9%). In patients with TTP, sepsis (41.4%) and neurological findings (89.7%) are also more common than in the patients with ITP or AA. Bleeding was determined in all patients with AA. However, 13 patients with ITP (%36.1) and 10 patients with TTP (%34.5) had no bleeding. The most common bleeding site was skin in all three groups. There was not any gastrointestinal, lung, genitourinary, and cranial bleeding in patients with ITP. Patients with AA obtained the highest scores from the ITP-BSA. There was a significant difference between AA and the other two groups. The scores were found similar in patients with ITP and TTP (P = 0.17).

Conclusion:

Clinical variations in thrombocytopenic patients may vary and assist to diagnose the cause of thrombocytopenia. The bleeding scoring systems might be helpful.
Assessment of Knowledge of Metabolic Syndrome and Health Literacy Level among Adults in Western Turkey
Authors: Emiral G Ozturk , Tozun M , Atalay B Isiktekin , Goktas S , Dagtekin G , Aygar H , Arslantas D , Unsal A , Babaoglu AB , Tirpan K
Published: August 2023

Background:

Metabolic syndrome (MetS) has become an issue in the public health discipline.

Aims:

The primary aim of this study is to assess the potential determinants for both knowledge level of metabolic syndrome and health literacy (HL) level among the adult population. The second purpose of this study is to show whether there is a relationship between the MetS knowledge level and the HL level in western Turkey.

Methods:

This cross-sectional study was conducted between October 10, 2017 and November 15, 2017 in western Turkey. The participants of the study were adult population who applied to seven “family health centers”. The MetS knowledge level was measured with the Metabolic Syndrome Knowledge Level Scale (MetS-KS). HL level was measured with the HLS-EU-Q16. A General Linear Model was constructed to evaluate the relationship between MetS-KS scores and HLS-EU-Q16 scores. For statistical significance, P < 0.05 was accepted.

Results:

Younger age, having higher education level, being single, having a high family income, not having a chronic disease, doing regular physical activity, viewing television less than 3 hours a day, previous measurement of waist circumference, previous attempts to lose weight, not being abdominally obese, not being at risk for hypertension and not having optimal body mass index (BMI) were associated with high HL levels (P < 0.05 for each one). According to the general linear model, the level of HL was not related to the level of MetS knowledge level (P > 0.05).

Conclusions:

Younger age, having a high educational level, high socioeconomic level and positive health behaviors were related with both MetS knowledge level and HL level. However, there was no direct relationship between MetS knowledge level and HL level.
Bacteriological Profile and Antibiotic Sensitivity Patterns in Clinical Isolates from the Out-Patient Departments of a Tertiary Hospital in Nigeria
Authors: Tobin EA , Samuel SO , Inyang NJ , Adewuyi GM , Nmema EE
Published: August 2023

Background:

Antimicrobial resistance (AMR) is a rising global public health threat. Knowledge of the circulating pathogens in a particular area and their antibiotic resistance profile is essential to direct clinicians on rational antibiotic prescribing.

Aim:

The study was conducted to determine the microbial isolates and antibiotic susceptibility profiles of pathogens from a range of clinical samples in a tertiary hospital in Edo Central Senatorial District in Edo State, Nigeria.

Settings and Design:

The study was a retrospective analysis of microbiological isolates from clinical specimens collected between January 2016 and December 2019, using standard techniques from outpatient clinic attendees. Chi-square test was used to compare the association of the type of bacterial isolates with patients' sex and level of significance P set as < 0.05. Prevalence rates of bacterial isolates and resistance rates were calculated for each antibiotic used in the microbiological culture.

Results:

Of the 3,247 clinical specimens processed, 994 (30.6%) showed microbial growth with 436 (43.9%) as gram-positive and 558 (56.1%) as gram-negative bacterial isolates. Escherichia coli (E. coli) made up 286 (28.8%) of all the isolates. Resistance to cotrimoxazole, tetracycline and cloxacilin for gram-poisitive pathogens was 93.1%, 86.4% and 72.5% respectively. For gram-negative pathogens, resistance to amoxycilin, cloxacilin and erythromycin was 100%, 96.9% and 95.6% respectively. Sensitivity to carbapenems, nitrofurantoin, and cefixime was high for gram-negative bacteria (100.0 %,76.8 % and 82.5 % respectively). Gram-positive bacteria exhibited high sensitivity to carbapenems ceftriaxone and cefixime.

Conclusion:

High rates of resistance to common antibiotics were observed for gram-positive and gram-negative isolates. Hospital pharmacies and treatment guidelines should be made to reflect the current patterns of resistance to available antibiotics.
Severe Chest Injury Revisited - An Analysis of The Jos University Teaching Hospital Trauma Registry
Authors: Peter SD , Ozoilo KN , Isichei MW , Ale F , Njem JM , Ojo E , Misauno MA , Ugwu BT
Published: August 2023

Background:

Chest injury remains a major source of morbidity and mortality in trauma as approximately two-thirds of all severe traumas involve the chest.

Objective:

To determine the changes in the profile management and outcome of severe chest injury in Jos University Teaching Hospital, Jos, Nigeria.

Materials and Methods:

This is an analysis of the Trauma Registry of Jos University Teaching Hospital—a prospectively gathered database. Patients' entries with severe chest injuries for 7 years, from January 2012 to December 2018, were entered into a database and analyzed using the Epi Info Statistical Software, using simple statistics.

Results:

In all, 162 patients presented with severe chest injury over a 7-year period, of whom 78 (48.1%) had polytrauma, while 84 (51.9%) had isolated chest injury. There were 139 males and 23 females, giving male: female ratio of 6:1. Over 95 (58.6%) of them were between 20 and 39 years. Blunt injury was predominant, constituting 66.7%. Motor vehicular crash was the most common mechanism of injury constituting 87 (53.7%), while gunshot injuries were responsible for 34 (21%). In managing these severe chest injuries, 146 (90%) of the patients had closed-chest tube thoracostomy as the definitive treatment, while 16 (9.9%) had thoracotomy. The mean and median duration of hospital stay was 13.3 and 10 days, respectively. The commonest complication was wound infection in 8 (4.9%) patients and a mortality of 5.9%.

Conclusion:

Blunt chest injury remains the commonest mechanism of chest injury but with an increasing proportion of penetrating injuries affecting predominantly young males. Most severe chest injury patients survive with simple interventions of resuscitation, and closed-chest tube thoracostomy for definitive treatment.
Impact of Covid-19 epidemic on online learning and educational resources in China
Authors: Ibrar Muhammad , Karim Shahid , Yin Shoulin , Li Hang , Laghari Asif Ali
Published: August 2023

Online education was widely launched worldwide with the increasing impact of Covid-19 and multiple online platforms were developed or improved due to their demands. Several surveys have been conducted to analyze the Covid-19 impact on education, revealing the importance of information and communication technology (ICT). This epidemic has significantly changed all education levels and dramatically increased online learning. Online learning has various benefits with few drawbacks such as resources, economic effects, time, travelling, and so on. In this paper, we describe the impact of Covid-19 on education in China, the education of international students, problems in online learning, and the supportive technologies during this epidemic. Distance learning has been studied for years, expressed that it enhances the learners with lower paybacks; therefore, it was diminished dramatically. All these concerns will help us to understand global reforms and situations. We have also described affected regions, virus types, the Covid-19 cycle, and procedures to secure our education systems. Furthermore, we have highlighted some key issues of biosafety that will support the community to understand the standard procedures for developing a safe environment. Teachers play a key role in the development of a nation, and this study also enlightened the perspectives which should be addressed in future research.
Patterns of inflammatory immune responses in patients with septic shock receiving vitamin C, hydrocortisone, and thiamine: clustering analysis in Korea
Authors: You Seung-Hun , Kweon Oh Joo , Jung Sun-Young , Baek Moon Seong , Kim Won-Young
Published: August 2023

Background: Sepsis is characterized by heterogeneous immune responses that may evolve during the course of illness. This study identified inflammatory immune responses in septic patients receiving vitamin C, hydrocortisone, and thiamine.Methods: This was a single-center, post-hoc analysis of 95 patients with septic shock who received the vitamin C protocol. Blood samples were drawn on days 1–2, 3–4, and 6–8 after shock onset. Group-based multi-trajectory modeling was used to identify immune trajectory groups.Results: The median age was 78 years (interquartile range, 70–84 years), and 56% were male. Clustering analysis identified group 1 (n=41), which was characterized by lower interleukin (IL)-6, tumor necrosis factor (TNF)-α, and IL-10 levels, and these levels remained stationary or mildly increased until day 7. Conversely, group 2 (n=54) expressed initially higher IL-6, TNF-α, and IL-10 levels that decreased rapidly by day 4. There was a nonsignificant increase in lymphocyte count and a decrease in C-reactive protein level until day 7 in group 2. The intensive care unit mortality rate was significantly lower in group 2 (39.0% vs. 18.5%, P=0.03). Group 2 also had a significantly higher decrease in the mean (standard deviation) vasopressor dose (norepinephrine equivalent, –0.09±0.16 μg/kg/min vs. –0.23±0.31 μg/kg/min, P<0.001) and Sequential Organ Failure Assessment score (0±5 vs. –4±3, P=0.002) between days 1 and 4.Conclusions: There may be different subphenotypes in septic patients receiving the vitamin C protocol.
Are streaming rights the new broadcasting rights of the 21st century? A comparative review on the specific case of esport competitions
Authors: Serio Adèle , Ciniero Christian
Published: August 2023

Nowadays the world of entertainment is based upon a multitude of platforms and not only on television. The disruptive new technologies, such as streaming platforms, have changed the entire panorama. The straightforwardness of content, the streaming enthusiasm and the creative freedom, directly blooming from the creator, are perfectly embodied through new actors like Twitch and YouTube. At the same time, with the arrival of esports on the international stage, they have become the preferred format for livestream, optimized and indispensable to publishers. However, the compulsory use of Twitch is challenging the normal broadcasting rights process by the intervention of numerous intermediaries, and consequently the rights applied to Intellectual Property. Our article will focus on the identification of these actors, in order to understand the distribution of broadcasting rights and the example of three countries involved in these problematics.
The influence of the phytobiotic tulsi (Ocimum sanctum) on broiler production and health
Authors: Abd El-Ghany Wafaa A.
Published: August 2023

Various types of phytobiotics have been recently used in poultry production systems to avoid the development of drug resistance and tissue residues. One such phytobiotic is holy basil or tulsi (Ocimum sanctum), an aromatic plant with multiple therapeutic functions. The powder or extract of tulsi is rich in essential oils and organic acids, which have positive effects on the physiological functions. It has been extensively used in medicine to treat many health issues. Moreover, in poultry industry, dietary tulsi has been recommended for the enhancement of general health conditions with promising results. Enrichment of broilers diets with tulsi improved the growth rate, carcass characteristics, and gut health, relived stress, and modulated the immune response and some biochemical blood parameters. This review article presents in details the different influences of dietary tulsi on these parameters in broilers.
Comparative study between bone obtained by 3D printing and its original model
Authors: Marouf Noufel Ouail , Mimoune Nora , Benchabane Aymène , Cedra Walid , Khelef Djamel , Kaidi Rachid
Published: August 2023

3-dimensional printing, which appeared in the 1980s and has been constantly evolving since, is an innovative and very promising technology. It is a tool with wide-reaching applications in the field of osteology and anatomy and also in the world of education. Thanks to its qualities, it is possible to print entire anatomical parts in numerous copies. This experimental study examined the dimensions of 3-dimensional printing of the right femur of a sheep in comparison with its digital and printed models. A 3D scanner was used to design the digital model and a 3D printer to produce the scanned bone using polyamide (PA12) as the material. Nearly all the original anatomical features of biological bone were well resolved, except for the depth of the nourishing foramen. The measureddimensions of the 3D printed model and the digital model were compared to those of the original biological specimen, and showed no significant difference. Regarding the results obtained and the slight error of 1 mm, 3D printed models can be used as an aid inanatomy lessons and can serve as reliable alternatives to classical anatomical parts in the study of the veterinary anatomy. To the extent of our knowledge, this is the study on the use of 3-dimensional printing in veterinary medicine in Algeria.
Molekularni probir Nocardia spp. u divljih sisavaca - presječna studija
Authors: Matos Manuela , João Sérgio , Matos Ana Cristina , Figueira Luís , Cardoso Luís , Pinto Maria de Lurdes , Coelho Ana Cláudia
Published: August 2023

Nocardiosis is an emerging zoonosis caused by Nocardia spp. bacteria. The disease is linked to infections in immunocompromised individuals, and is potentially lethal when it turns systemic and is left untreated. The development of reliable and valid diagnostic methods is crucial to the identification of these pathogenic agents, particularly in wild mammals, which are potential reservoirs. The aim of this study was to determine the molecular prevalence of Nocardia spp. in wild mammals in Portugal. A sample of 114 wild mammals belonging to the orders Canidae, Cervidae, Erinaceidae, Herpestidae, Leporidae, Mustelidae, Viverridae, and Suidae were studied. Tissue samples (n=206) were collected from different organs. The molecular prevalence of Nocardia in wild mammals was 55.3% (95% CI: 45.7-64.6%). Nocardia spp. were detected in nine of ten species studied: 83.3% (95% CI: 62.2-100%) in Egyptian mongoose (Herpestes ichneumon), 63.2% (95% CI: 41.5-89.9%) in red fox (Vulpes vulpes), 45.9% (95% CI: 29.8-62.0%) in red deer (Cervus elaphus), 44.4% (95% CI: 28.2-60.6%) in wild boar (Sus scrofa), 3/3 beech martens (Martes foina), 2/2 Eurasian otters (Lutra lutra), 1/1 European badger (Meles meles), 1/1 genet (Genetta genetta), and 1/2 hedgehog (Erinaceus europeaeus). Of the 206 tissue samples studied by molecular techniques, Nocardia spp. were detected in 37.4% (95% CI: 36.7-38.1%), with a predominance in mesenteric lymph nodes (13.1%; 95% CI: 12.4-13.9%) and kidneys (9.2%; 95% CI: 8.5-9.9%). These results provide new insight into the prevalence of Nocardia in wild mammals and highlight the need for surveillance of wildlife as a potential reservoir of these emergent pathogens.
2D LATTICE GENERATION BY COMPUTATIONAL DESIGN METHOD
Authors: YÜKSEL Nurullah , BÖRKLÜ Hüseyin Rıza
Published: August 2023

Designers often face the challenge of getting stuck with rigid and dogmatic ideas, leading to a limited number of design options being produced. While experience and talent can help overcome this, it can still take a significant amount of time and effort. This study proposes a repeatable, dynamic process that transforms all design components into parameters, creates a structural analysis model, and performs an optimization process that integrates design and structural analysis. Thus, by leveraging the power of technology, designers can generate a larger number of high-quality design options quickly and efficiently. The article evaluates the effectiveness of this proposed method in generating 2D lattice design concepts and highlights its ability to improve the quality of the design options generated and simplify the idea and concept generation process. The novelty of this method lies in its ability to create a flexible and dynamic approach to design, enabling designers to move beyond dogmatic ideas and generate a larger number of innovative design options. Another purpose of this article is to explore the potential of computer-aided computational design software in generating new and innovative design concepts.
INVESTIGATION OF STRESSES ON IMPELLER BLADES BY COMPUTATIONAL FLUID DYNAMICS (CFD) ANALYSES
Authors: BÖĞREKCİ İsmail , DEMİRCİOĞLU Pınar , SERT Berkay , GÖGEBAKAN Ahmet , ABBAKAR Mujtaba
Published: August 2023

This paper discusses how stresses on the impeller blades are affected by the temperature, pressure, and blade thicknesses. During operation, the impeller experiences many kinds of stresses caused by thermal, fluid, and mechanical effect. These may deform the impeller blades if the stresses are too high. The impeller used in this case study was provided by HAUS Centrifuge Technologies and this impeller was damaged in the field during the operation. Six different blade thicknesses were structurally analyzed, and the Von-Mises stresses were compared to the impeller material yield strength. The impeller with the least stress was then selected to perform the FSI analysis. It was then manufactured, and a performance test was performed using the ISO 5389 in a test facility. From the CFD results, it was observed that the polytropic efficiency and the discharge temperature was affected by the change in blade thickness. It was concluded that an increase in blade thickness reduces the stresses acting on the blade.
INTERNET OF THINGS BOTNET DETECTION VIA ENSEMBLE DEEP NEURAL NETWORKS
Authors: KOLCU Yağız Onur , YURTTAKAL Ahmet Haşim , BAYDAN Berker
Published: August 2023

The widespread use of the Internet of Things (IoT) and the rapid increase in the number of devices connected to the network bring both benefits and many problems. The most important of these problems is cyber attacks. These cyber attacks cause financial losses as well as loss of reputation and time. Intrusion detection systems (IDS) and intrusion prevention systems (IPS) are used to eliminate or minimize these losses. IDS are designed to be signature-based or anomaly-based, and are currently being developed using anomaly-based systems as machine learning methods. The aim of this study is to detect whether there is an attack on your network, with a high success rate, by considering botnet as one of the attack types. In order to develop this system, it is aimed to use Ensemble Deep Neural Networks (DNN), which is one of the machine learning methods, and to search for solution methods for the most accurate result. In the study, N-BaIoT dataset in the UCI Machine Learning library was used for scientific research. The data consists of 1 benign network stream and 9 malicious network streams carried by 2 botnets. Stacked ensemble of DNN networks has been used from the classification stage. The proposed method has achieved %99 accuracy and the results are encouraging for future studies.
Epistemic Harm in Empathy
Authors: Brenner Leon S.
Published: August 2023

This paper delves into the intricacies of the concept of epistemic harm. Particularly, epistemic harm is used as a case study to gain insights into the efficacy and distinctiveness of the concept of harm vis-à-vis related constructs such as violence and trauma within the domain of social psychology. The paper underscores the pertinence of the concept of epistemic harm in the context of empathetic testimonial exchange using autism studies as a sample case. Subsequently, empathy is characterised as innately engendering epistemic harm, manifesting both at the inter-subjective and intra-subjective levels. The paper concludes with a contemplation on the significance of the idea of epistemic harm within the broader field of harm research.
Perfil neurofuncional en los trastornos del neurodesarrollo o afecciones del desarrollo infantil
Authors: Fajardo Estrada Ana Josefina
Published: August 2023

PROBLEMA: los trastornos del neurodesarrollo y otras afecciones del desarrollo infantil necesitan de la neurociencia para conocer estrategias para su abordaje efectivo.   OBJETIVO: conocer y analizar el perfil neurofuncional obtenido por medio de la evaluación de la Terapia Neurosensorial TNS en un centro terapéutico privado en la ciudad de Guatemala. MÉTODO: se realizó un estudio descriptivo, analítico y retrospectivo de una muestra de 106 niños que fueron evaluados durante los años 2021 y 2022 mediante el enfoque de la Terapia Neurosensorial TNS con el fin de analizar el perfil neurofuncional obtenido según motivo de consulta y características demográficas.  RESULTADOS: se demostró que el rango etario más frecuente fue de 9 a 11 años con un 39% (N=41), el 68% de la muestra pertenecía al género masculino (N=72) y el 38% de la población acude a consulta por problemas de conducta (N=34), el 31% por Trastorno por Déficit de Atención con Hiperactividad (N=23) y el 26% debido a problemas de aprendizaje (N=23) o de ansiedad (N=24). El 55% de los evaluados presentaban comorbilidad entre las condiciones. CONCLUSIÓN:  el análisis de resultados obtenidos mediante la evaluación de la Terapia Neurosensorial TNS evidencia que detrás de cada diagnóstico o condición, existe un perfil neurofuncional con diferencias en maduración a nivel de conectividad hemisférica, disfunciones de integración sensorial o reflejos retenidos.
Creencias que obstaculizan el aprendizaje de las matemáticas y sus efectos neurocognitivos
Authors: Castillo Mendoza Jim Roberto
Published: August 2023

PROBLEMA: ¿qué factores motivan emociones que dificultan el estudio de las matemáticas en los alumnos? OBJETIVO: identificar las creencias que obstaculizan el aprendizaje de las matemáticas y sus efectos neurocognitivos. MÉTODO: estudio descriptivo de corte retrospectivo y transversal sobre las creencias que obstaculizan el aprendizaje de las matemáticas y sus efectos neurocognitivos. RESULTADOS: 71% indica tener intención por aprender matemática, 52% indica tener capacidad por estudiar matemática, 41% indican que el problema de estudiar matemática está relacionado con el método de enseñanza, 78% afirma la importancia de contextualizar los contenidos matemáticos, 70% el estudio de la matemática es motivante.  CONCLUSIÓN: las creencias se relacionan con el interés, la emoción, la capacidad, las preferencias y expectativas por aprender matemáticas. Los efectos neurocognitivos de las creencias tienen conexión con la percepción, el análisis, expresión de ideas, la percepción, la evaluación, la síntesis. Las creencias pueden potenciar o limitar el interés por aprender. Los métodos de enseñanza utilizados por el profesional son de gran importancia para la construcción del conocimiento. Los avances de la neurociencia aplicada a la educación han facilitado el acceso al conocimiento del cerebro y procesos que se desarrollan en este: plasticidad cerebral, las causas y efectos del miedo, el desarrollo cognitivo, factores motivadores para el aprendizaje, la memoria, las emociones, la neurogénesis, entre otros.
Neurotecnología aplicada como herramienta de evaluación para identificar problemas del habla en niños preescolares desde la perspectiva docente
Authors: López Padilla Karina Amarilis , Pérez Pérez Cornelio , De León Barrios Victor Hugo
Published: August 2023

PROBLEMA: detección de las dificultades del habla en niños y niñas a través de la neurotecnología. OBJETIVO: determinar las dificultades del habla desde la perspectiva docente en niños de educación preprimaria mediante la herramienta neurotecnológica “Cuestionario general para detección de problemas del habla en niños de 4 a 6 años”. MÉTODO: estudio descriptivo exploratorio sobre la “neurotecnología aplicada como herramienta de evaluación para identificar problemas del habla en niños preescolares desde la perspectiva docente a través de la plataforma de Google Forms como la principal herramienta neurotecnológica”. RESULTADOS: el 38.1% de los maestros han señalados que al menos el 5% de la cantidad de niños tiene alguna dificultad del habla, mientras que el 25% por ciento de docentes indica que el 25% de los estudiantes atraviesa algún problema del habla, considerando los porcentajes más altos. En cuanto al perfil clínico de niños y niñas desde la perspectiva docente, 88% de facilitadores han indicado que la mayor parte de sus estudiantes ha presentado dificultad al momento de producir el fonema /R/. CONCLUSIÓN: presentar un problema del habla solamente lo puede diagnosticar un especialista del lenguaje y esta herramienta neurotecnológica los maestros pueden tomarlo como punto de partida para intervenir al referir con un terapista del lenguaje para un adecuado proceso terapéutico.
Lesiones traumatológicas asociados a sustancias adictivas estupefacientes y alcohol
Authors: Lucas Vanegas Edwin Orlando
Published: August 2023

PROBLEMA: existe relación entre el consumo de sustancias estupefacientes/alcohol y lesiones traumatológicas OBJETIVO: determinar las principales lesiones traumatológicas asociadas a las sustancias adictivas estupefacientes MÉTODO: estudio descriptivo transversal sobre las lesiones traumatológicas asociadas a consumo de sustancias adictivas estupefacientes y alcohol. N= 350 casos y una muestra n= 88 pacientes. RESULTADOS: durante la investigación se pudo determinar que los pacientes quienes presentaron lesiones traumatológicas se encuentra entre las edades de 14 a 40 años de edad con un total de 65 pacientes (73%), de los cuales se determinó que 45 pacientes son de sexo femenino (48.9%) y 62 (70.4%) pacientes procedía de área rurales del municipio, La principales lesiones traumatológicas se evidenciaron como fracturas de miembros inferiores representado 51 pacientes (58%) del total de ingresos, se estableció que el 100% de los pacientes manifestaron haber sufrido un accidente de alta energía teniendo un promedio de neurorrehabilitación de 2 a 7 días con un total de 51 pacientes (59%). CONCLUSIÓN: se puede concluir que las lesiones traumatológicas secundarias al consumo de sustancias adictivas estupefacientes suelen tener mecanismos de alta energía como accidentes automovilísticos, las lesiones se muestran con predominancia en fracturas de miembros inferiores cumpliendo un periodo de neurorrehabilitación toxicológica y traumatológica en un periodo de 2 a 7 días de estancia hospitalaria.
Implementasi Circular Economy pada Rumah Inovasi dan Daur Ulang Bank Sampah Nusantara Pondok Pesantren Al Ihya Ulumaddin Kesugihan Cilacap
Authors: Zuhdi Afifudin , Azizah Fitria Nurul
Published: August 2023

This paper describes the implementation of the circular economy at the Innovation and Recycling House of the Nusantara Garbage Bank at the Al Ihya Ulumaddin Kesugihan Islamic Boarding School in Cilacap which was carried out by students of the Al Ihya Ulumaddin Kesugihan Islamic Boarding School at Cilacap. This paper uses a qualitative method with a field research approach. This paper emphasizes 5 models of waste management, namely (Reduce, Reuse, Recycle, Replace, Repair) which are implemented in a circular economy system.
Association of Kartagener Syndrome, Common Mesentery, Left Isomerism: A Case Report in Niamey (NIGER)
Authors:   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger &  Service de chirurgie thoracique de l’Hôpital Général de Référence de Niamey, Niger, D.I. Bako , M.R. Sani ,   Service de chirurgie thoracique de l’Hôpital Général de Référence de Niamey, Niger & Enseignant chercheur / assistant a la Faculté des Sciences de la Santé /Université Abdou Moumouni de Niamey, M-S.H. Tinao ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, M.M Sako ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, M. Nababa Laouali ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, Y. Djiga Ousmane ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, N. M. Amadou Roufai ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, N. B. Ado Issa ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, F. Ibrahim Amatkoul ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, Habou I. Sadi C, Moussa ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, . Aminou ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, H Boubacar Nabereye ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger, A AKPOVI ,   Service de radiologie de l’Hôpital Général de Référence de Niamey, Niger
Published: August 2023

Kartagener's syndrome, defined by the situs inversus-bronchiectasis-chronic sinusitis triad, is in 50% of cases associated with PCD, which can be responsible for numerous visceral positional defects ranging from complete situs inversus to ambiguous situs (isomerism) which is characterized by enormous organ lateralization defects during embryogenesis with one or more organs in symmetry or even duplicated. All these abnormalities can only be diagnosed with certainty with the help of medical imaging examinations, more specifically CT. We report here the case of a 67-year-old male patient admitted for radiological workup for cough, and sinus syndrome to whom the diagnosis of kartagener syndrome (situs inversus-dilatation of the bronchi-chronic pan sinusitis) associated with a mesentery common, left isomerism (left lung isomerism and polysplenia) was done.
IMPLEMENTASI SISTEM PENJAMINAN MUTU MADRASAH
Authors: Muaripin Muaripin , Nugraha Firman , Prawira Yudha Andana
Published: August 2023

The purpose of this study was to analyze the implementation of the Education Quality Assurance System (SPMP) based on Integrated Quality Management at MTs Negeri West Bandung Regency in terms of program planning, program implementation, program monitoring and evaluation, obstacles and efforts to overcome obstacles in implementing SPMP and the success rate of SPMP in improving quality of education. This study uses a qualitative approach with analytical descriptive method. The object of the research is the head of the madrasa, madrasa teacher, TU, committee chairman, supervisor, and students. Data collection techniques were carried out by observation, interviews, documentation and literature study. The analysis and interpretation technique are carried out by data reduction, data display, triangulation, conclusion drawing and data verification. The results showed that the optimal implementation of SPMP based on Integrated Quality Management in MTs Negeri West Bandung Regency was able to improve the quality of madrasas. This can be seen from the activities of planning programs, implementing programs, carrying out monitoring and evaluation, efforts to overcome obstacles in the implementation of SPMP and the success rate of SPMP in improving the quality of madrasas, so that madrasas are able to achieve SNP and are able to develop sustainable quality madrasas.Keywords: Quality Management; Madrasah Quality; Quality Assurance System
On multi-coupled points of continuous mappings in generalized metric spaces
Authors: Maibed Zena Hussein
Published: August 2023

During this paper, a new definition of MS-continuous mapping, MS-mixed monotone and muli-coupled points are introduced. Also, we prοved the muli-coupled point theorem in complete S.metric space.
The convergence of new iterations by resolvent ZA-Jungck mappings
Authors: Mohsen Alaa , Maibed Zena Hussein
Published: August 2023

In this paper, new iterations with different steps such as resolvent Jungck ZSY, resolvent Jungck Modified Mann Z-, resolvent Jungck Petrusel, and the resolvent Jungck Ishikawa iterations are introduced. Also, the convergence and speediness of it are studied and shown that the resolvent Jungck ZSY- iteration scheme is faster than that of resolvent Jungck Modified Mann Z- iteration scheme. On the other hand, the resolvent Jungck ZSY- iteration is faster than the resolvent Jungck Picard iteration.
Fuzzy differential for subclass of analytic functions defined by linear operator
Authors: Salih Duaa Abdullah , Juma Abdul Rahman S. , Al-Fayadh Ali
Published: August 2023

In this work, we establish some results for fuzzy differential for analytic functions associated with the Hadamard product for generalization Srivastava-Attiya operator is defined in the open unit disc L = {w ∈ C: |w| < 1}. In the present paper, the operator is applied to a new class of analytic functions with the Hadamard product. The goal of this article is to study some properties of fuzzy differential subordination and fuzzy differential superordination of analytic functions related to the Hadamard product. Using double theories, a sandwich-type theorem was obtained.
Multi-double truncated continuous distribution
Authors: Al-Hasan Kawther F. , Al-Kadim Kareema Abad
Published: August 2023

Our life contains many scientific, health, and social problems, which are complex and difficult for easy modeling. Therefore, most researchers resorted to studying distributions in different forms to be able to represent these problems, and from these new forms of distributions are called truncated distributions. This paper, suggests a new formula to find the multiple truncations for one or more intervals to a double truncated continuous distribution. Some statistical properties of multi–double truncated are introduced.  Weibull distribution is applied for two intervals on the double truncation and introduced some of its statistical properties.
Some properties of subordination differential and superordination for univalent functions associated with the convolution operators
Authors: Anter Bahaa A. , Juma Abdul Rahman S.
Published: August 2023

In this paper, we define the Hadamard product (or convolution) (f * y([h])) (x)  of the analytic function in the unit disk µ = [ξ : |ξ| < 1, ξ ∈ Ȼ] with the non-zero parameter h, satisfactory to the relationship hη (f * ψ([η]))(ξ) = (hη - 1) (f * ψ([η + 1])) (ξ) + ξ(f * ψ([η + 1]))′ (ξ), to derive  subordination, superordination and sandwich results for functions of the form (f * ψ([η]))(ξ)  by using some properties of Subordination and Superordination concepts. Our results serve to generalize and improve some previous studies where the results of this research were applied to linear operator Bbd  band the multiplier operator ℑiℓ,m. This work can be generalized to other linear operators.
Complex C1C2 symmetric and finite rank operators
Authors: Dakheel Shireen O. , Ahmed Buthainah A.
Published: August 2023

An operator A in B(H) is called complex C1C2-symmetric if E two antilinear, isometric and involution C1, C2 such that C1A = A* C2 (A=C1A*C2). In this paper, we shows that when the rank one operator become C1C2-symmetirc operators. Moreover, we show that the compact operator is C1C2 -symmetric operator. Also, we award some examples of C1C2-symmetric operators.
Ideal grill compactness space
Authors: Mutawek Alyaa Yousef Khudayer , Al-Abdulla Raad Aziz Hussain
Published: August 2023

In this study, we have employed the concepts of  ideal and grill collections with a new definition of compactness. We call it ideal grill compact space, where we have gotten the important characteristics  and relationships of those spaces.
NÚCLEOS DE EDUCAÇÃO PERMANENTE EM SAÚDE: ANÁLISE DAS FRAGILIDADES E POTENCIALIDADES NO ESTADO DO ACRE
Authors: Fequis Taynana Soares Oliveira , Teodosio Sheila Saint-Clair da Silva , Vilar Rosana Lúcia Alves de , Tinôco Jéssica Dantas de Sá
Published: August 2023

Introdução: A Educação Permanente em Saúde (EPS) é caracterizada pela prática de aprendizagem no serviço, trazendo a proposta de enfrentamento dos problemas da realidade, tendo como premissa, as necessidades de saúde dos usuários do Sistema Único de Saúde. Objetivo: Analisar o processo de implementação dos Núcleos de Educação Permanente em Saúde (NEPS) do Estado do Acre, suas fragilidades e potencialidades. Metodologia: Trata-se de um estudo exploratório descritivo de natureza qualitativa. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, com 10 coordenadores dos NEPS. Da análise resultaram duas categorias: Concepção sobre o NEPS e Implementação do NEPS. Resultados e discussão: permitiram identificar o perfil dos coordenadores e suas concepções sobre o Núcleo, bem como elucidar o processo de implementação mediante suas potencialidades e fragilidades, tais como a ausência de monitoramento e avaliação das atividades de EPS e a falta de qualificação para os profissionais que atuam na coordenação dos núcleos. Conclusão: Assim, sugere-se a realização de um curso de atualização em EPS para os coordenadores, para fortalecer o processo de implementação da Política Nacional de Educação Permanente em Saúde (PNEPS) no âmbito do estado e contribuir para a política de expansão desses núcleos para unidades do interior do estado.
Pengaruh Pendekatan Experiental Marketing Dan Mutu Pelayanan Terhadap Peningkatan Penjualan Di Indomaret Amplas
Authors: Suhaila Husna Samosir Chyntia Putri Wijaya,
Published: August 2023

Penelitian ini bertujuan mengetahui Pengaruh Pendekatan Experiental Marketing Dan Mutu Pelayanan Terhadap Peningkatan Penjualan di Indomaret Amplas Amplas. Sampel penelitian ini adalah sebanyak 91 konsumen. Teknik analisis yang digunakan adalah Uji validitas dan uji reliabilitas, uji asumsi klasik, analisis Regresi Berganda, Uji T, Uji F dan Koefisien Determinasi. Hasil pembahasan nilai t hitung variabel Experiental Marketing (X1) sebesar 12.565 jika dibandingkan dengan nilai t tabel yang sebesar 1.662. Maka t hitung yang diperoleh lebih besar dari nilai t tabel atau 12.565 > 1.662, kemudian terlihat pula bahwa nilai sig lebih kecil dari nilai probabilitas 0.00 < 0.05 maka Ho ditolak dan Ha diterima sehingga variabel X1 memiliki kontribusi terhadap Y. Nilai t hitung variabel Mutu Pelayanan (X2) sebesar 2.085 jika dibandingkan dengan nilai t tabel yang sebesar 1.662. Maka t hitung yang diperoleh lebih besar dari nilai t tabel atau 2.085> 1.662, kemudian terlihat pula bahwa nilai sig lebih kecil dari nilai probabilitas 0.00 < 0.05 maka Ho ditolak dan Ha diterima sehingga variabel X2 memiliki kontribusi terhadap Y. Nilai f hitung 1148.552 > F tabel 2.48 hal ini menunjukkan bahwan Ho ditolak sehingga dapat disimpulkan bahwa variabel independen X1, dan X2 secara simultan berpengaruh positif dan signifikan terhadap variabel dependen Y. Nilai R square (R2) atau kuadrat R menunjukkan koefisien determinasi adalah sebesar 0.963 atau 96.3%, artinya persentase berpengaruh antara Experiental Marketing dan mutu pelayanan terhadap penjualan. Sedangkan sisanya 3.7% dijelaskan oleh faktor lain.
Tinjauan Hukum Pengadaan Lahan Untuk Industri Pertambangan Mineral
Authors: Istijab Istijab
Published: August 2023

Penelitian pengadaan lahan untuk industri pertambangan adalah suatu masalah khusus yang tidak cukup disediakan oleh tanah hak milik. Penelitian ini, penelitian yuridis-normatif dengan menggunakan analisis bahan hukum primer dan bahan hukum sekunder secara seksama. Bahan hukum primer adalah bahan yang bersifat autoritatif : berupa peraturan perundang-undangan. Bahan hukum sekunder berupa semua publikasi hukum seperti : buku teks, jurnal hukum, kamus hukum, dan komentar atas putusan pengadilan.Pengadaan lahan untuk pembangunan berupa pencabutan, pembebasan dan pelepasan hak-hak atas tanah baik oleh pemerintah untuk pembangunan berbagai proyek pemerintah maupun untuk pembangunan kepentingan umum oleh swasta. Pemerintah melaksanakan pembebasan, untuk proyek pemerintah atau proyek fasilitas umum seperti kantor pemerintah, jalan raya, pelabuhan laut, pelabuhan udara dan sebagainya. Tujuan pembebasan tanah oleh pihak swasta dipergunakan untuk pembangunan berbagai fasilitas umum yang bersifat komersil misalnya, pembangunan perumahan, pusat-pusat perbelanjaan, pembangunan jalan bebas hambatan dan pembangunan pertambangan.Berdasar UU No. 2 Tahun 2012 tentang Pengadaan Tanah Bagi Pembangunan Untuk kepentingan Umum, salah satunya adalah penyediaan lahan pertambangan. Dasar hukum Pasal 38 UU Nomor 41 Tahun 1999 Jo. UU Nomor 19 Tahun 2004, UU Kehutanan, memperkenankan hutan produksi dan hutan lindung. Tata caranya, diatur oleh Keputusan Direktur Jenderal Kehutanan No. 64/kpts/DJ/1/1978 tentang Pinjam Pakai Kawasan Hutan. Surat Keputusan Bersama Menteri Pertambangan dan Energi dan Menteri Kehutanan No. 969. K/05/M. PE/1989; 429/Kpts-11/1989. Serta Keputusan Menteri Kehutanan No. 55/Kpts-II/1994 Jo. KMK No. 56/Kpts-II/1994; Jo KMK No. 41/Kpts-II/1994; KMK No. 614/Kpts-II/1997 Jo KMK dan Perkebunan No. 720/Kpts-II/1998
Discapacidad e incapacidad judicial en el derecho civil: ¿conceptos sinónimos?
Authors: Cordero Cutillas Icíar
Published: August 2023

Este trabajo ha sido seleccionado y ha obtenido el 1.er Premio Estudios Financieros 2005 en la Modalidad de DERECHO CIVIL Y MERCANTIL.
La Ley de protección del patrimonio de las personas con discapacidad (Ley 41/2003, de 18 de noviembre) introduce en el Derecho civil el término discapacidad como concepto distinto de la incapacitación judicial. Sin embargo, tras un estudio de la legislación, doctrina y jurisprudencia, ambos conceptos tienden a converger en el mismo sentido, lo que sería deseable para una completa protección del discapacitado.
El artículo 1 de la LJCA y el control judicial de la aplicación, en España, del Derecho comunitario
Authors: Ibáñez García Isaac
Published: August 2023

Este trabajo ha sido seleccionado y ha obtenido el Accésit Premio Estudios Financieros 2005 en la Modalidad de DERECHO ADMINISTRATIVO.
La Sala de lo Contencioso-Administrativo del Tribunal Supremo viene entendiendo en su jurisprudencia que los tribunales españoles no pueden ejercer el control de adecuación de las leyes con las directivas que desarrollen o introduzcan, pues se lo veda el artículo 1 de su ley jurisdiccional.
Esta jurisprudencia es contraria a la jurisprudencia del Tribunal de Justicia de las Comunidades Europeas y desconoce el papel del juez nacional como juez comunitario. Cualquier ciudadano puede dirigirse al juez nacional con la pretensión de que inaplique normas internas contrarias al Derecho comunitario, y el juez nacional, por su propia jurisdicción, debe proceder a la inaplicación de la norma interna incompatible.
En el presente artículo se analiza críticamente dicha jurisprudencia de la Sala de lo Contencioso-Administrativo del Tribunal Supremo, a la luz de la jurisprudencia del Tribunal de Justicia de las Comunidades Europeas y de la doctrina, que es prácticamente unánime y contraria a la posición del Tribunal Supremo español.
El cambio de objeto social de las sociedades anónimas
Authors: Bardají Muñoz Luis
Published: August 2023

Continuamos con este artículo el trabajo iniciado en el número 58 de la Revista, dedicado a las modificaciones de los estatutos de las sociedades anónimas.
Analizados en anteriores artículos los cambios de denominación y domicilio de las sociedades, nos adentraremos en éste en la modificación estatutaria consistente en el cambio de objeto social.
La protección jurídica comunitaria de los datos biométricos
Authors: Tapia Bueno Seidy Galina
Published: August 2023

Es evidente el incremento día a día de la adopción de medidas de seguridad tomadas no sólo por los Estados, sino también por los particulares. Estas medidas de seguridad van destinadas, principalmente, a mantener el control en el acceso de las personas a determinados sitios o servicios, medidas que se han visto incrementadas después de los atentados terroristas ocurridos en diversos Estados.
La seguridad en el acceso a un determinado lugar o a un servicio consiste, generalmente, en que se efectuará la identificación de esa persona para comprobar si la misma está autorizada para llevar a cabo tal acceso. Por tal motivo, se buscan incesantemente nuevos instrumentos con los que se pueda identificar a las personas.
De esta manera, y como una forma de obtener una identificación exacta, se están utilizando los datos biométricos a tales fines, siendo los mismos tomados a partir de muestras físicas o biológicas de los individuos.
Por las características que estos datos tienen y por las informaciones que pueden arrojar [según su naturaleza] se hace necesario establecer lo que se ha de considerar como dato biométrico, el tratamiento que se le ha de dar, así como la protección jurídica de la que debe gozar, especialmente, en el ámbito de la Unión Europea.