17 research outputs found

    Evans Syndrome as the Initial Presentation of Systemic Lupus Erythromatosus in a Rural Kenyan Hospital: A Case Report

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    Abstract: Evans syndrome is a rare autoimmune disorder characterized by the occurrence of autoimmune hemolytic anemia and immune thrombocytopenic purpura with or without immune neutropenia. The syndrome may be idiopathic, but in typical clinical settings, secondary causes, predominantly autoimmune diseases, may be the underlying etiology. We present a case of lupus presenting initially as Evans syndrome. Keywords: Evans syndrome, autoimmune hemolytic anemia, immune thrombocytopenic purpura, systemic lupus erythromatosus, Coombs test. Title: Evans Syndrome as the Initial Presentation of Systemic Lupus Erythromatosus in a Rural Kenyan Hospital: A Case Report Author: Vonwicks C. Onyango, Kenneth H. Makokha, Samuel M. Gachie, Boniface Mutiso, Nicholas Auma, William C. Fryda, ORCID ID: https://orcid.org/0009-0004-6791-8809 International Journal of Novel Research in Healthcare and Nursing ISSN 2394-7330 Vol. 10, Issue 2, May 2023 - August 2023 Page No: 166-169 Novelty Journals Website: www.noveltyjournals.com Published Date: 22-July-2023 DOI: https://doi.org/10.5281/zenodo.8174103 Paper Download Link (Source) https://www.noveltyjournals.com/upload/paper/Evans%20Syndrome%20as%20the%20Initial%20Presentation-22072023-2.pdfInternational Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330, Novelty Journals, Website: www.noveltyjournals.co

    Acoustical properties of compressed earth blocks: Effect of compaction pressure, water hyacinth ash and lime

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    International audienceThis study assessed the potential use of a mixture of lime and water hyacinth ash (WHA) as binders in fabrication of cylindrical compressed earth blocks (CEBs) with good acoustic absorption properties for building and construction. Different concentrations of the binders and compaction pressures were employed so as to vary the acoustical properties of the fabricated blocks. The geometric and transport parameters of their porous microstructure were recovered through probing using acoustic waves. A low-frequency acoustic wave guide was built for this purpose. It was found out that the transmission coefficient decreased with the compaction pressure, and with addition of lime, while WHA increased the transmission coefficient. The non-acoustical parameters recovered using the equivalent fluid model (JCAL) showed that the variation of the geometry of the microstructure of the blocks is what influences the acoustic transmission coefficient. Thus, the properties of the CEBs can be steered using binder concentration and compaction pressure in a controlled manner

    Algunos problemas en torno al concepto de música interactiva

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    This study goes through the analysis about the constitution of video art both as an artistic-technological supportand as a renewal movement in the field of art. Starting from its origin naming the author explores the experimental and questioning character of video art as specific trend, specially related to dominant opinions and technologies. The study analyses the concept and esthetics sides of video art and its similarities and differences with otherarts, supports and formats. The text goes not only through historic aspects of curator video art but through itsspecific present features and challenges as well. In addition, video art situation, referents and works in Argentinaare fully pointed out.Este artículo se propone señalar aspectos históricos y actuales sobre la creación musical con medios electroacústicos. Asimismo, se desarrollan ideas vinculadas a distinguir entre el uso de la tecnología como concepto lineal en contraposición a una práctica de creación experimental. Se describen ejemplos y autores que promueven los usos creativos de los medios electrónicos y en particular relacionados con estrategias de interactividad. Se han procurado describir experiencias de arte interactivo en su perspectiva histórica y se ha puntualizado sobre la limitación o falacia de considerar a los medios tecnológicos como un fin en sí mismos.Este artigo propõe sinalar aspectos históricos e atuais sobre a criação musical com médios eletroacústicos. Assim,se desenvolvem idéias vinculadas a distinguir entre o uso da tecnologia como conceito lineal na contraposição auma prática de criação experimental. Descrevem-se exemplos e autores que promovem os usos criativos dosmédios eletrônicos e em particular relacionados com estratégias de interatividade. Tem-se procurado descreverexperiências da arte interativa em sua perspectiva histórica e tem se centrado sobre a limitação ou falácia deconsiderar os médios tecnológicos como um fim em si mesmos

    A scoping review of qualitative studies on sexual and reproductive health and rights in Uganda: Exploring factors at multiple levels

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    Background: Uganda is burdened by high unintended and teen pregnancies, high sexually transmitted infections, and harm caused by unsafe abortion. Objectives: Explore factors influencing sexual and reproductive health and rights (SRHR) in Uganda by synthesizing evidence from qualitative studies using a scoping review. Eligibility Criteria: Original qualitative peer-reviewed research studies published between 2002 and 2023 in any language exploring factors influencing SRHR in Uganda. Sources of Evidence: Eight databases searched using qualitative/mixed methods search filters and no language limits. Charting Methods: Information extracted included author, article title, publication year, study aims, participant description, data collection type, sample size, main findings, factors at the individual, interpersonal, community, and policy levels, implications for SRHR in Uganda, and study limitations. Quality of the selected articles was assessed using the Critical Appraisal Skills Programme tool. Results: One hundred seventy-three studies met inclusion criteria. At the individual level, knowledge and attitudes toward SRHR, risky sexual behavior, and access to maternal SRHR services were identified as critical factors influencing health outcomes. Interpersonal factors included communication with sexual partners and relationships with family, school, and community members. Healthcare organization factors included adolescent access to education, SRHR services, and HIV prevention. Cultural and social factors included gendered norms and male involvement in SRHR. Policy-level factors included the importance of aligning policy and practice. Conclusions: Multiple factors at individual, interpersonal, community, healthcare, cultural, and policy levels were found to influence SRHR in Uganda. The findings suggest that interventions targeting multiple levels of the socio-ecological system may be necessary to improve SRHR outcomes. This review highlights the need for a holistic approach that considers the broader socio-ecological context. Reducing identified gaps in the literature, particularly between policy and practice related to SRHR, is urgently needed in Uganda. We hope this review will inform the development of policies and interventions to improve SRHR outcomes

    Janosch e a “arte de viver”

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    Freudian “art of living” is applied here to study German children’s literature author Janosch. The purpose is mainly focused studying this writer from an analytic perspective in Civilisation and Its Discontents by Sigmund Freud. It is selected a corpus of the Germanauthor, where previously is study the concepts of pleasure and displeasure in Freud work. Thus, it is suggested how Janosch works propose a different choice to overcome the discontents against the traditional libidinal economy. The analysis shows how the charactersbuild their own strategies, which allow to speak regarding the “art of living” as an intransitive desire; that jeopardizes traditional logic, a revaluation of the other from solidarity and aradical option for pleasure over culture. The results display a renewed and complex vision of an author of children’s literature. The creation by Janosch questions the values of thecontemporary  society and appeals to the reader to review its hierarchies.Situamos la obra del escritor infantil alemán Janosch dentro de la corriente del “arte de vivir”. Este busca la plena realización del sujeto desde un planteamiento personal y crítico. El propósito central de este artículo será determinar la particularidad de Janosch abriendo un diálogo desde laproblematización de Freud en El malestar en la cultura. Para el análisis optamos por una revisión de un corpus escogido de Janosch. Previa síntesis de la problemática del placer y el displacer según Freud, se determinan cuáles son las principales salidas de Janosch al malestar y cómo se diferencia de una economía libidinal tradicional. El análisis muestra cómo los personajes construyen sus propias estrategias, lo que permite hablar de un “arte de vivir”. Estas son: un “deseo intransitivo” que pone en jaque la lógica tradicional, una revaloración del otro desde la solidaridad y una radical opción por el placer por sobre la cultura. Los resultados de la reflexión permiten una visión renovada y compleja de un autor de literatura infantil. El mundo creado por Janosch cuestiona desde una inusitada frescura los valores de nuestra sociedad contemporánea y apela al lector a una revisión de sus jerarquías.Classifica-se a obra do escritor infantil alemão Janosch dentro da corrente da “arte de viver”. Essa procura a total realização do sujeito a partir de um posicionamento pessoal e crítico. O propósito central deste artigo será determinar a particularidade de Janoschabrindo um diálogo a partir da problematização de Freud em O mal-estar na cultura. Para a análise decidiu-se por uma revisão de um corpus escolhido de Janosch. Prévia síntese da problemática do prazer o do desprazer segundo Freud, determinam-se quais são as principais saídas de Janosch ao mal-estar e como se diferencia de uma economia libidinal tradicional.A análise expõe como as personagens constroem as suas próprias estratégias, o que permite falar de uma “arte de viver”. Essas são: um “desejo intransitivo”, que põe em xeque a lógicatradicional, uma revalorização do outro por meio da solidariedade e uma radical opção pelo prazer em detrimento da cultura. Os resultados da reflexão possibilitam uma visão renovadae complexa de um autor da literatura infantil. O mundo criado por Janosch questiona a partir de um inusitado frescor os valores da nossa sociedade contemporânea e convida o leitor auma reflexão das suas hierarquias

    Janosch e a “arte de viver”

    No full text
    Freudian “art of living” is applied here to study German children’s literature author Janosch. The purpose is mainly focused studying this writer from an analytic perspective in Civilisation and Its Discontents by Sigmund Freud. It is selected a corpus of the Germanauthor, where previously is study the concepts of pleasure and displeasure in Freud work. Thus, it is suggested how Janosch works propose a different choice to overcome the discontents against the traditional libidinal economy. The analysis shows how the charactersbuild their own strategies, which allow to speak regarding the “art of living” as an intransitive desire; that jeopardizes traditional logic, a revaluation of the other from solidarity and aradical option for pleasure over culture. The results display a renewed and complex vision of an author of children’s literature. The creation by Janosch questions the values of thecontemporary  society and appeals to the reader to review its hierarchies.Situamos la obra del escritor infantil alemán Janosch dentro de la corriente del “arte de vivir”. Este busca la plena realización del sujeto desde un planteamiento personal y crítico. El propósito central de este artículo será determinar la particularidad de Janosch abriendo un diálogo desde laproblematización de Freud en El malestar en la cultura. Para el análisis optamos por una revisión de un corpus escogido de Janosch. Previa síntesis de la problemática del placer y el displacer según Freud, se determinan cuáles son las principales salidas de Janosch al malestar y cómo se diferencia de una economía libidinal tradicional. El análisis muestra cómo los personajes construyen sus propias estrategias, lo que permite hablar de un “arte de vivir”. Estas son: un “deseo intransitivo” que pone en jaque la lógica tradicional, una revaloración del otro desde la solidaridad y una radical opción por el placer por sobre la cultura. Los resultados de la reflexión permiten una visión renovada y compleja de un autor de literatura infantil. El mundo creado por Janosch cuestiona desde una inusitada frescura los valores de nuestra sociedad contemporánea y apela al lector a una revisión de sus jerarquías.Classifica-se a obra do escritor infantil alemão Janosch dentro da corrente da “arte de viver”. Essa procura a total realização do sujeito a partir de um posicionamento pessoal e crítico. O propósito central deste artigo será determinar a particularidade de Janoschabrindo um diálogo a partir da problematização de Freud em O mal-estar na cultura. Para a análise decidiu-se por uma revisão de um corpus escolhido de Janosch. Prévia síntese da problemática do prazer o do desprazer segundo Freud, determinam-se quais são as principais saídas de Janosch ao mal-estar e como se diferencia de uma economia libidinal tradicional.A análise expõe como as personagens constroem as suas próprias estratégias, o que permite falar de uma “arte de viver”. Essas são: um “desejo intransitivo”, que põe em xeque a lógicatradicional, uma revalorização do outro por meio da solidariedade e uma radical opção pelo prazer em detrimento da cultura. Os resultados da reflexão possibilitam uma visão renovadae complexa de um autor da literatura infantil. O mundo criado por Janosch questiona a partir de um inusitado frescor os valores da nossa sociedade contemporânea e convida o leitor auma reflexão das suas hierarquias

    Military Regimes, Political Power and Human Rights Violations in Postcolonial Algeria

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    Following Algeria’s bloody war of independence, a new, revolutionary military establishment gradually formed out of several largely independent revolutionary units, stationed mostly on Algeria’s borders. It soon expanded with the addition of revolutionary fighters from within Algeria, and from French-trained forces, many of whom had fought against the revolutionary forces during the Revolution, and had deserted late in the war from the French military to join the new Algerian military. A particularly powerful group of officers emerged from the latter group, the “French Officers,” who apparently engaged in a long-term and ultimately successful bid for national political power. This thesis, which is concerned with the politics behind the massive human rights violations in Algeria, particularly the periods immediately after Independence, and between 1991 and 2002, the “Algerian Civil War,” seeks to explore a central question: why did the Algerian military turn against its own people? While not denying the role of other groups (e.g., religious groups, ethnic groups) in the violence, the central focus of this thesis is on the distinctive and effective structure and role of the military, which was apparently the dominant political power in Algeria after Independence, and particularly on the role of the French Officers, who appear to have manipulated the presidency through coups d’état and assassinations, in their struggle to achieve political hegemony in Algeria by the 1990s. Central to this was the role played after Independence by Houari Boumédiène in establishing political and military organisations that were particularly susceptible to the growing influence of the French Officers. Central topical foci of the thesis include examinations of the possible effects (on the central question, listed above) of: professionalization of the military; civil-military relations; historical influences; ethnic and religious influences; political parties and party formation; corruption and economic opportunism; international relations and continuing French influence; and the unique role of the French Officers in the national politics of Algeria. Methodologies used in this study included the analysis of elite (non-random) interviews, based upon a questionnaire approved by the Faculty of Arts and Social Sciences Research Ethics Committee, which the author conducted in Europe and via “Skype” with nearly two dozen prominent Algerian expatriates, for the most part in exile, including former civilian leaders and military officers. Historical analysis was also a central part of the methodology, as well as discourse analysis applied to significant memoirs and newspaper accounts. The thesis concludes that the immediate self-interests of the French Officers had a determinate effect on politics in Algeria, and particularly on the way in which the military turned against its own people after 1991. The continuing support that the French Officers apparently received from France, while not unexpected, is surprising in its extent and continuity, particularly after acts of terrorism thought to be linked to the Algerian government occurred in France. An unexpected finding of this research is the significance of corruption and economic opportunism in the Algerian military regime’s long-term strategy

    Tan cerca y tan lejos: Los mapas de movimiento como representación espacial de las barreras de acceso al barrio Laguna en Belo Horizonte

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    Por meio de mapas de movimento, técnica de pesquisa amplamente utilizada pela antropologia e pela so- ciologia urbanas norte-americanas, este artigo pretende demonstrar, a partir de investigações de natureza etnográfica, o estrangulamento e o isolamento físico a que vem sendo acometido o bairro da Lagoinha, na cidade de Belo Horizonte, capital do Estado de Minas Gerais/Brasil, em decorrência das barreiras e das obstruções impostas tanto pelo complexo viário de mesmo nome quanto, mais recentemente, pela implan- tação do sistema de Transporte Rápido por Ônibus (BRT) na Avenida Antônio Carlos. Espera-se ainda, por meio de representações cartográficas, apresentar a região da Lagoinha como metonímia da matriz de cidade que o Projeto Nova BH poderá acarretar, obstruindo as passagens entre-bairros e impedindo a interação entre as pessoas em favor de cenários urban-anas que, pelo menos em tese, deveriam ser próprias à vida cotidiana numa grande cidade.Through the movement maps, an important North American anthropology and sociology researching tools, the author intends to demonstrate, by means of etnography researches, how the Lagoinha neighborhood, in Belo Horizonte, has been affected by isolation and segregation processes, resulting from both the Lagoinha Highway Complex and Antonio Carlos Highway Bus Rapid Transit (BRT) obstructions. By means cartography presentations, the author intends to show how the Lagoinha neighborhood can tipify what the Nova BH Project may causes to the whole city, affecting both the people free access to the streets and pedestrians movement through different places, which means non democratic urban places and an environment do not conducive to the right to the city or its tipical conviviality, as well.Maquiaveli Cardoso, Janaina-8a135dc9-595c-43a1-bdde-2d46209e87a3-

    معنى اولى الألباب في القرآن الكريم عندى نصر حامد ابو زيد

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    مستخلص البحث إن فهم المعنى في تركيب الجملة في القرآن الكريم يحتاج الى فهم كلمة, المعنى الذي يكون في الجملة يستطيع أن يصدر النظارات أو التفاسير التي تختلف بين النظارات المتعلقة من أي جهة نفعهما ونظرها. الألفاظ الموجودة في القرآن الكريم لها معنى أساسي يختلف بين كلمة واحدة وكلمة أخرى. لأن لكل كلمة دلالتها في ذاتها وفي سياقها ودلالة الكلمة ما هي إلا علاقة متبادلة بين الصورة السمعية (الكلمة) والفكرة أو التصورى الذهني. استخدام الكاتب في هذا البحث تحليل الوصفي الكيفي, بمنهاج الوثائق مثل القرآن الكريم هو المصدر والمعاجم والتفاسير, وطريق تحليل البيانات الذي يستخدمه الباحث ثلاث خطوات منها : الخصم القطعان للبينات, منهج البحث, والخلاصة. وأما خطوات منها : التعرف, والتصنيف والفصيلة والتلخيص. ومن نتيجة التحليل يجد الباحث أن لفظ اولو جمع من أول بمعنى ذوو أي أصحاب واحده (ذو) بمعنى (صاحب). والمؤنث أولات واحدتها "ذات" تقول جاءني أولوا الألباب وأولات الفصل. الألباب جمع من لب بمعنى خالص كل شيء : العقل الخالص من الشوائب أوما ذكا من العقل فكل لب عقل ولا يعكس القلب. كما يذكر في القرآن الكريم أن اللفظ أولى الألباب له عدد المعاني متسويا باستعمال الكلمة عما يلي : 1. ذووا العقل أي الفكر الواسع أو العميق ((Pikiran 2. ذووا الشعور اللطيف (Perasaan) 3. ذووا القوي الفكر (Kecerdasan) 4. ذووا العلوم الواسعة (Wawasan) 5. ذووا الفهم الصحيح, المعين والأوسع ((Pemahaman 6. ذووا الحكمة(Kebijakan) ABSTRACT Understanding the meaning in the syntax of the sentence in the Holy Quran needs to understand the word, the meaning that in the sentence can produce glasses or interpretations that differ between glasses related to any aspect of their usefulness and consideration. The words in the Quran have a basic meaning that varies from one word to another. Because each word has its meaning in itself and in its context and the meaning of the word is only a reciprocal relationship between the audio image (the word) and the idea or mental perception. The use of the author in this research qualitative descriptive analysis, the curriculum of documents such as the Koran is the source and dictionaries and interpretations, and the way of analysis of data used by the researcher three steps, including: discount herds of evidence, research methodology, and summary. Steps such as: identification, classification, division and summary. As a result of the analysis, the researcher finds that the word Oulu is a collection of the first meaning that the owners of one owner (ذو) meaning (owner). And the feminine اولات and the same "the same" says come to me Oloves and chapters. Kins Collecting from a core in a pure sense Everything: pure mind of impurities Auma of mind Every heart is heart and does not reflect the heart. It is also mentioned in the Holy Quran that the pronunciation of the first kulab has a number of meanings using the word of the following: 1. Thinkers of any broad or deep thought 2. Have the Deep Feel 3. The powerful thinkers 4. The Deep Knowledge 5. They have the correct, specific and broader understanding 6. The Wise ABSTRAK Memahami makna kalimat dalam Al-Qur'an perlu memahami kata dala kalimat tersebut, makna dalam kalimat bisa menjadi sumber teori atau penafsiran yang berberda antara teori yang lainya dilahat dari perspektif mana. Kata-kata dalam Al-Quran memiliki makna dasar yang bervariasi dari satu kata ke kata lain. Karena setiap kata memiliki maknanya sendiri dan dalam konteksnya dan makna kata tersebut hanyalah hubungan timbal balik antara (kata) dan gagasan atau persepsi tendensi. Penulis menggunakan dalam penelitian ini adalah analisis deskriptif kualitatif, kurikulum dokumen seperti Alquran adalah sumber dan kamus serta interpretasi, dan cara analisis data yang digunakan oleh peneliti tiga langkah, termasuk: potongan kawanan bukti, metodologi penelitian, dan ringkasan. Langkah-langkah seperti: identifikasi, klasifikasi, pembagian dan ringkasan. Sebagai hasil analisis, peneliti menemukan bahwa kata اولوا adalah jamak dari kata yang berarti pemilik satu pemilik (ذو) yang berarti (pemilik). Dan (اولات) digunakan untuk perempuan (muannats) dan ذات yang sama mengatakan datang kepada saya أولات ) ( dan الفصل. Kata الألباب berarti dari kata لبarti murni Semuanya. Disebutkan juga dalam Al-Quran bahwa pelafalan Ulul Albab pertama memiliki sejumlah makna diantaranya : 1. Memiliki Pikiran 2. Memiliki Perasaan 3. Memiliki Kecerdasan 4. Memiliki Wawasan 5. Memiliki Pemahaman 6. Memiliki Kebijaka
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