bluuebunny/crossref_metadata_2025_split huggingface dataset:
Challenges and Counselling Needs of Sickle Cell Patients Attending University of Ilorin Teaching Hospital
Authors: Yahaya LA , Durosaro IA , Nuhu MA 
Published: May 2021

This study investigated the challenges and counselling needs of sickle cell patients attending the University of Ilorin Teaching Hospital (UITH) Kwara State, Nigeria. Purposive sampling was used to select 120 literate regular and non-regular patients of the hospital. A researcher developed instrument titled “Challenges and Counselling Needs of Sickle Cell PatientsQuestionnaire” (CCNSPQ) was used to elicit information from these participants. Five research questions raised in the study were answered using frequency counts, means and ranking and Analysis of Variance was used to test the hypotheses formulated at the .05 level of confidence. Thefindings showed that excessive bone, abdominal and chest pains are the major challenges confronting the respondents while occasional embarrassment due to unexpected sickness accompanying sickle cell disorder and stigma are the most serious counselling needs. There was nosignificant difference in the challenges of sickle cell patients based on age but the respondents had significantly different counselling needs. Therefore, it is recommended that guidance and public health education be put in place to reduce the stigmatisation of sickle cell patients. In addition, wellequipped clinics should be provided to facilitate early treatment. Genetic Counselling should also be provided both in the school and the community to prevent future occurrence of sickle cell disorder.Keywords • Sickle cell disorder • Genetic Counselling • Higher Education
Implicações da radioterapia no tratamento do Glioma de baixo grau na odontologia: relato de caso
Authors: Gummella Bianca Puppin , Koubik Ana Claudia Galvão de Aguiar , Zunsztern Daniel More , Koubik Mariana de Aguiar 
Published: May 2021

Gliomas de baixo grau são tumores cerebrais que afetam predominantemente adultos jovens com potencial de comprometimento da capacidade cognitiva, podendo levar a óbito. O tratamento baseia-se principalmente na excisão cirúrgica, radioterapia e/ou quimioterapia. Objetivos: identificar e descrever as implicações do tratamento do glioma de baixo grau na odontologia e os prejuízos da radioterapia, por meio de uma revisão de literatura e relato de caso. Metodologia: buscas em bases de dados internacionais PubMed/MEDLINE e Scielo. O presente relato descreve paciente do sexo masculino, acometido por glioma de baixo grau. Resultados e Conclusões: o paciente relatado sofreu dermatite da pele irradiada pelas sessões de radioterapia, uma leve perda de cabelos e alguns episódios de cefaléia. Contudo não teve nenhum problema bucal consequente da radioterapia como xerostomia, disfagia, candidíase, alteração no paladar, trismo, cárie de radiação, doença periodontal e osteorradionercrose. O acompanhamento odontológico aos pacientes antes, durante e após o tratamento é fundamental para melhorar a sua qualidade de vida.
ELIZABETH BISHOP, ARMÁRIO E GOZO: DINÂMICAS DO EROTISMO
Authors: Silva Tiago Barbosa da 
Published: May 2021

Em carta e nos poemas O banho de xampu e Canção do tempo das chuvas, Elizabeth Bishop (2006, 2011 e 2012) representa Key West, na Flórida, e a Casa de Samambaia, em Petrópolis, no Rio de Janeiro, retratando-os como lugares de maior acolhimento para sua subjetividade e sexualidade. Nesses textos, a poeta revela um jogo erótico com o lugar, dinamizado pelo soterramento de sua intimidade em descrições, aparentemente, neutras da realidade. Essa dinâmica sugere há existência de um jogo libidinal entre a insinuação de um segredo e, ao mesmo tempo, a manutenção de seu sigilo. Dona de uma poética do armário (SEDGWICK, 2007), Bishop, uma mulher lésbica, nesses textos, aponta para experiências íntimas, marcadas pela jouissance, pela relação erótica com o lugar (BATAILLE, 1987). Neste ensaio, proponho pensar esse jogo, destacando expressões de gozo simulacradas na relação com o ambiente, um gozo que se realiza à revelia da opressão, da hostilidade de gênero e do preconceito (LUGONES, 2019).
PALAVRAS-CHAVE: Elizabeth Bishop. Representações da Intimidade. Erotismo. Armário. Gozo.
HUBUNGAN TINGKAT KECEMASAN KLIEN POST OPERASI APPENDICTOMY DENGAN MOBILISASI DINI DI RS GRAHA HUSADA BANDAR LAMPUNG
Authors: Rahman Aulia , Kurniasari Ayu 
Published: May 2021

Abstrak : HUBUNGAN TINGKAT KECEMASAN KLIEN POST OPERASI APPENDICTOMY DENGAN MOBILISASI DINI DI RS GRAHA HUSADA BANDAR LAMPUNG TAHUN 2018
Appendictomy merupakan pengobatan melalui prosedur tindakan operasi atau pengangkatan usus buntu yang terinfeksi. Salah satu tindakan nonfarmakologi yang efektif dan efisien dalam mengurangi komplikasi pasca pembedahan adalah dengan mobilisasi dini. Mobilisasi sebagai usaha untuk mempercepat penyembuhan dari suatu penyakit tertentu yang telah merubah cara hidupnya yang normal. Tujuan penelitian ini untuk mengetahui Hubungan Tingkat Kecemasan Klien Post Operasi Appendictomy dengan Mobilisasi Dini di RS Graha Husada Bandar Lampung Tahun 2018. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel yang digunakan dalam penelitian ini adalah total populasi pasien post operasi appendictomy yaitu sebanyak 36 orang. Uji statistik menggunakan uji chi square.Hasil uji square didapatkan nilai ? value sebesar 0.985 (? > 0.005) dan nilai OR 1.012 yang dapat disimpulkan bahwa hasil uji analisis menunjukkan tidak terdapat hubungan yang signifikan antara tingkat kecemasan pada pasein post operasi appendictomy dengan mobilisasi dini di RS Graha Husada.
CHỨC NĂNG PHẢN BIỆN XÃ HỘI CỦA VĂN HỌC NHÌN TỪ GÓC ĐỘ KÍ HIỆU HỌC VĂN BẢN TRONG CHIẾC THUYỀN NGOÀI XA CỦA NGUYỄN MINH CHÂU
Authors: Lê Nguyên Cẩn 
Published: May 2021

Chức năng phản biện xã hội của tác phẩm văn học là cách thức tư duy lại trên cơ sở lập luận phản bác, tranh biện, trao đổi; là sự nhận thức lại những vấn đề nhân sinh trên bình diện xã hội học hay triết học, mỹ học hay đạo đức học. Chức năng phản biện xã hội của tác phẩm văn học hiện hình trong cách thức tổ chức nhân vật trong trường đối thoại, liên quan tới cách nhìn của tác giả với vấn đề được nêu ra, không tách rời tính luận đề thể hiện trong vấn đề tác phẩm đặt ra cho độc giả và thời đại, tạo ra hình thức gián cách – xa lạ hóa trong nghệ thuật tự sự - tự thú, và thực hiện nhiệm vụ mở đường hướng đạo, góp phần thức tỉnh dẫn đường cho chính con người ở mỗi thời đại. Chức năng phản biện xã hội của văn học quy định cách thức tiếp nhận văn học, mở đường cho chân lý văn chương trở lại với cuộc đời, tạo ra sức sống mới cho bản thân chân lý cuộc đời. Giá trị mà chức năng phản biện xã hội của văn học mang lại chính là tính chất minh triết toát ra từ câu chuyện được kể, thông qua các đối thoại và cách thức hành động của nhân vật trong câu chuyện đó. Tác phẩm văn chương đích thực chỉ tồn tại khi mang trong nó chức năng phản biện xã hội theo cách thức bênh vực bảo vệ con người, phát huy giá trị nhân bản của con người. Bài viết tập trung lý giải chức năng phản biện xã hội của văn học thông qua việc phân tích truyện ngắn Chiếc thuyền ngoài xa của Nguyễn Minh Châu từ góc độ kí hiệu học văn bản.
Characterization of ambient volatile organic compounds, source apportionment, and the ozone-NOx-VOC sensitivities in a heavily polluted megacity of central China: Effect of sporting events and the emission reductions
Authors: Yu Shijie , Su Fangcheng , Yin Shasha , Wang Shenbo , Xu Ruixin , He Bing , Fan Xiangge , Yuan Minghao , Zhang Ruiqin 
Published: May 2021

Abstract. Abstract: The implementation of strict emission control during the 11th National Minority Games (NMG) in September 2019 provided a valuable opportunity to assess the impact of such emission controls on the characteristics of VOCs and other air pollutants. Here, we investigated the characteristics of VOCs and the O3-NOx-VOCs sensitivity comprehensively in Zhengzhou before, during, and after the NMG by delivering field measurements combined with the WRF (Weather Research and Forecasting)-CMAQ (Community Multi-scale Air Quality) model simulations. The average mixing ratios of VOCs during the control periods were 34 ppbv, and cut down by about 16% before and after emission reduction. The ozone precursors (NOx) also decreased significantly during the control period; however, the ozone pollution was severe during the entire observation period. Positive Matrix Factorization analysis indicated seven major sources of ambient VOCs, including coal combustion, biomass burning, vehicle exhausts, industrial processes, biogenic emissions, solvent utilization and liquefied petroleum gas (LPG). The results show that the major source emissions, such as coal combustion and solvent utilization, were significantly reduced during the control period. As for ozone formation potential (OFP), the value during the control period was 183 μg/m3, which was 0.23 and 0.17 times lower than those before and after control period, respectively. Solvent utilization and combustion controls were the most important measures taken to reduce OFP during NMG period. Through control policies, it can effectively reduce carcinogenic risk. However, non-cancer risks of ambient VOC exposures were all exceeding the safe level (hazard quotient = 1) during the sampling periods, and emphasis on the reduction of acrolein emissions was needed. In addition, the WRF/CMAQ model simulation indicated that O3 formation was controlled by VOCs in Zhengzhou. The results of the Empirical Kinetic Modelling Approach showed that the NOx reduction in Zhengzhou might led to higher ozone pollution. It is suggested that reduction ratios of the precursors (VOCs : NOx) is more than 2, which can effectively alleviate ozone pollution.
Effect of volcanic emissions on clouds during the 2008 and 2018 Kilauea degassing events
Authors: Breen Katherine H. , Barahona Donifan , Yuan Tianle , Bian Huisheng , James Scott C. 
Published: May 2021

Abstract. Volcanic eruptions in otherwise clean environments are “natural experiments” wherein the effects of aerosol emissions on clouds and climate can be partitioned from meteorological variability and anthropogenic activities. In this work, we combined satellite retrievals, reanalysis products, and atmospheric modeling to analyze the mechanisms of aerosol–cloud interactions during two degassing events at the Kilauea volcano in 2008 and 2018. The eruptive nature of the 2008 and 2018 degassing events was distinct from long-term volcanic activity for Kilauea. Although previous studies assessed the modulation of cloud properties from the 2008 event, this is the first time such an analysis has been reported for the 2018 event and that multiple degassing events have been analyzed and compared at this location. Both events resulted in significant changes in cloud effective radius and cloud droplet number concentration that were decoupled from local meteorology and in line with an enhanced cloud albedo. However, it is likely that the effects of volcanic emissions on liquid water path and cloud fraction were largely offset by meteorological variability. Comparison of cloud anomalies between the two events suggested a threshold response of aerosol–cloud interactions to overcome meteorological effects, largely controlled by aerosol loading. In both events, the ingestion of aerosols within convective parcels enhanced the detrainment of condensate in the upper troposphere, resulting in deeper clouds than observed under pristine conditions. Accounting for ice nucleation on ash particles led to enhanced ice crystal concentrations at cirrus levels and a slight decrease in ice water content, improving the correlation of the model results with the satellite retrievals. Overall, aerosol loading, plume characteristics, and meteorology contributed to changes in cloud properties during the Kilauea degassing events.
Damage compensation due to violating others’ honor, dignity, prestige by Vietnamese civil law
Authors: Nguyen Thi Hong Van 
Published: May 2021

Honor, dignity and prestige are inviolable rights of individuals and organizations. Therefore, unlawful acts infringing this right and causing damages must be responsible for compensation according to the rule of law. The article focuses on analyzing theoretical and legal issues about compensation for damages caused by infringing honor, dignity and prestige; supplemented with comments on judicial practices so as to deeply understand the shortcomings of current Civil Code. Thereby, the author will give directions and solutions to perfect the regulations of law on compensation for damages caused by infringing these personal rights.
KAJIAN AKADEMIS PERATURAN PELAKSANAAN CARA LAIN UNTUK MENGHITUNG PEREDARAN BRUTO YANG MENDUKUNG KEPATUHAN SUKARELA
Authors: Nurhandono Furqon , Perkasa Darius Hariono Garda , Yulianto Tri Kurniawan 
Published: May 2021

Regulation of The Minister of Finance of The Republic of Indonesia Number 15/PMK.03/2018 on Other Basis to Calculate Gross Income regulates determination of tax payable through indirect evidence other than evidence from bookkeeping. This regulation potentially become double edge sword for the tax authority's mission to collect revenues based on voluntary tax compliance. Based on the Slippery Slope Framework, if the tax authorities maintain the 'cops and robbers’' attitude, voluntary compliance tends to decrease (Kirchler, Hoelzl, and Wahl, 2008). Conversely, voluntary compliance will increase if the tax authorities are perceived to be more efficient in detecting tax fraud and bringing justice. This study presents a literature review as a consideration basis for developing regulatory policies for subordinate regulations of PMK 15/2018 that supports voluntary compliance. Based on the literature review, subordinate regulations of PMK 15/2018 that support voluntary compliance must be reliable, objective, and punishable under legitimate power.
Digitalisering van het straf(proces)recht: een meerlagig fenomeen
Authors: Van Daele D. (Dirk) , Simmelink J.B.H.M. (Joep) 
Published: May 2021

Digitalisering van het straf(proces)recht: een meerlagig fenomeen
Een veelheid aan ontwikkelingen doet de vraag opkomen naar de verenigbaarheid van de toenemende digitalisering van de maatschappij, en dus ook van de strafrechtelijke rechtshandhaving, met de waarden en beginselen die ten grondslag liggen aan onze strafrechtspleging. Het stimuleren van deze fundamentele reflectie was de belangrijkste drijfveer voor het samenstellen van dit nummer. Daarbij werd gepoogd een breed spectrum aan thema’s aan bod te laten komen.
Het digitale strafproces: een procedural justice-perspectief
Authors: Peristeridou C. (Christina) , Pivaty A. (Anna) , de Vocht D.L.F. (Dorris) 
Published: May 2021

Het digitale strafproces: een procedural justice perspectief
Door de coronacrisis heeft het gebruik van technologie in de rechtszaal een enorme vlucht genomen. In deze bijdrage wordt gereflecteerd op de vraag of – en zo ja, in hoeverre – videorechtspraak bepaalde fundamentele, rechtstatelijke beginselen van ons strafproces raakt. Hiertoe worden de (potentiële) effecten van remote justice besproken in het licht van het brede (niet strikt juridische) procedural justice perspectief waarbij de nadruk wordt gelegd op de deelaspecten participatie en zorgvuldigheid van besluitvorming.
What makes a sex crime?
Authors: Goudsmit M.L.R. (Marthe) 
Published: May 2021

What makes a sex crime? A fair label for image-based sexual abuse
This article considers why image-based sexual abuse (‘ibsa’) should be classified as a sexual offence. The article briefly considers harmfulness, and then moves to discuss the principle of fair labelling. Classification of offences should be informed by the wrongdoing they address. A conceptual analysis of sexual offences shows that sexual wrongs warrant labelling as sexual offences. The infringement of the right to sexual autonomy in ibsa means the nature of the wrong is sexual. Ibsa should be a sex crime.
Improving Renal Tumor Biopsy Prognostication With BAP1 Analyses
Authors: Kapur Payal , Setoodeh Sasan , Araj Ellen , Yan Jingsheng , Malladi Venkat S , Cadeddu Jeffrey A. , Christie Alana , Brugarolas James 
Published: May 2021

Context.—
Active surveillance of small renal masses highlights the need for accurate prognostication of biopsies.

Objective.—
To comprehensively evaluate the accuracy of biopsies in assessing known prognostic parameters including histologic subtype by comparison with subsequent nephrectomy samples.

Design.—
We retrospectively identified patients at University of Texas Southwestern Medical Center, Dallas, Texas, who had a biopsy for a renal mass between 2004–2018. Biopsy samples were evaluated for known prognostic factors such as tumor grade, necrosis, sarcomatoid/rhabdoid change, and BRCA1-associated protein-1 (BAP1) status, which we previously showed is an independent prognostic factor for clear cell renal cell carcinoma. Accuracy was determined by comparison with subsequent analyses of nephrectomy specimens. Statistical analyses were performed to assess biopsy accuracy and correlation with tumor size and pathologic stage.

Results.—
From 805 biopsies with a diagnosis of renal neoplasm, 178 had subsequent resection of the biopsied tumor. Concordance rate for histologic subtype was 96.9% (κ [w], 0.90; 95% CI, 0.82–0.99) and excellent for small renal masses (98.8%; κ [w], 0.97; 95% CI, 0.90–1). Amongst the prognostic variables evaluated, BAP1 immunohistochemistry in clear cell renal cell carcinoma had the highest agreement (94.8%; κ [w], 0.83; 95% CI, 0.66–0.99). The presence of 1 or more aggressive features (grade 3–4, tumor necrosis, BAP1 loss, sarcomatoid/rhabdoid change) in a biopsy significantly correlated with pT stage (P = .004).

Conclusions.—
Biopsy analyses showed high accuracy for subtyping renal tumors, but it underestimated several poor prognostic features. Addition of BAP1 for clear cell renal cell carcinoma may increase prognostic accuracy. If validated, routine incorporation of BAP1 immunohistochemistry in clear cell renal cell carcinoma biopsies may refine prognosis and aid in the selection of patients for active surveillance.
Refinements in the Techniques of Tank Testing Sailing Yachts and the Processing of Test Data
Authors: Teeters James R. 
Published: May 2021

The Partnership for America's Cup Technology (PACT) undertook a tank test program in conjunction with the 1992 defense of the America's Cup. The focus of this program was on:
- establishing baseline data, in both calm water and waves, for the American defense syndicates;
- addressing the "tankery" issues of test reliability and accuracy and expansion to full scale;
- developing the test program so that the tank serves as a more capable partner with computational fluid dynamics (CFD);
- improving the techniques of processing test data.
This paper reviews the results of the PACT program that pertain to the methods of calm water testing. Solutions to specific problems of handling tank data are discussed. Traditional methods used to predict viscous drag are compared with those developed by PACT, which include dynamic wetted area and wetted length, refinement of appendage drag estimates and the use of multiple canoe body form factors.
The revised residuary drag that results from these improved methods is directly compared with CFD estimates.
Lastly, a mathematical model, employing least squares regression techniques, is discussed as a method for fairing and representing tank test data.
Wing - Body Interaction on a Sailing Yacht
Authors: Keuning J. A. , Kapsenberg G. K. 
Published: May 2021

Model tests have been carried out in the Delft Shiphydromechanics Laboratory with a 3.5 meter model of an 1992 America's Cup yacht. The keel (without the bulb) and the rudder have been isolated from the hull and connected to separate force transducers placed inside the hull in order to be able to measure the lift, the drag and the moment around a horizontal axis on these appendages while being in their regular position underneath the model, as well as on the model as a whole. The experiment consisted of the regular "upright" and "under leeway and heel" tests as customairaly performed in the standard testing routine for sailing yachts of the Delft Shiphydromechanics Laboratory. The model tests have been carried out with four different configurations of the model, i.e.:
- hull with keel and rudder
- hull with keel alone
- hull with rudder alone
- bare hull
By combining the results of all these tests it became possible to evaluate the drag- and lift-interaction of the appendages on the hull and from the hull on the appendages under all conditions of sailing. The results of this analysis of the measurements will be presented in the paper.
In addition these results will be compared with the results obtained from calculations using the CFO panel methods DAWSON and RAPID.
Design Criteria for Composite Masts
Authors: Miller Paul 
Published: May 2021

Composite materials such as fiberglass have been used in recreational marine craft for over 30 years. Only within the last decade however have composites found applications in mast construction. This application to masts is due to the lighter weight possible by using composites such as carbon fiber/epoxy that have higher stiffness-to-weight ratios than the traditional aluminum and wood mast materials. Composites use in masts has not been without problems however as designers and manufacturers learn the techniques necessary to produce reliable structures. As with any maturing technology, empiric ii developments will eventually result in acceptably reliable structures.
This paper uses a reliability-based design criterion to aid composite mast development. The basic approach characterizes the uncertainties and variabilities of mast design (loads, materials, analytical models, etc.) to predict a total uncertainty called "the probability of failure." The total probability of failure is then compared to "acceptable' probabilities of failure generated from existing aluminum mast designs to determine an appropriate factor of safety.
This approach takes the guesswork out of factor of safety selection, giving the mast designer an important tool. By using reliability­based methods the influence of each part on the overall probability of failure can be determined. This allows for intelligent selection of design areas to improve that provide the biggest potential gain in reliability, cost or weight, and decreases the likelihood of either an overly­conservative, heavy mast, or an under-designed mast.
The paper begins with the causes of mast failure and then presents the impact of load modeling, material properties and structural modeling on predicted mast reliability. An example mast design is used to illustrate the method, with the result that a composite mast can be designed at nearly the same factor of safety as an aluminum mast.