A monomethod bias still prevails in the psychology of religion, with the developing field studying the relationship between religiosity, spirituality and health being almost completely dominated by questionnaire research. This comes as a surprise, because the experiential side of religion, spirituality, can by definition be regarded as inner and private experiences of transcendence that have frequently been described as being of utmost importance. At first glance, from this perspective, standardized questionnaire scales appear to be inappropriate for "measuring the unmeasurable". Until now, no questionnaire instrument developed for the purpose of assessing spiritual and religious experiences has been qualitatively double-checked for intermethod validity. In order to throw light on whether questionnaire instruments are appropriate for measuring domains of spiritual and transcendental experiences, we tested a newly developed questionnaire instrument, the Exceptional Experience Questionnaire (EEQ), for intermethod validity by conducting post-questionnaire interviews (N = 35). This revealed that the EEQ was able to grasp these experiences within reasonable limits. However, two thirds of our interview sample said that the study had changed how they viewed these experiences. These findings suggest that the reactivity of quantitative instruments in grasping spiritual and transcendental domains should be taken into account, especially when devising longitudinal designs and further research is clearly needed. As a consequence, introducing a reflective circle of results stemming from both quantitative and qualitative approaches is recommended as the most useful and appropriate research tool for studying spiritual or mystical experiences, if not all constructs.


Objectives p16 is known to be an important tumor suppressor gene and is also called MTS1(multiple tumor suppressive gene 1). Especially in the case of non-small cell lung cancer, it was not expressed in more than 70% of cell lines examined. To determine changes in cell-cycle related proteins and the tumorigenic effect, we, therefore, transfected p16INK4A gene into lung cancer cell lines. Methods We transfected p16INK4A gene into lung cancer cell lines which do not express p16 protein. We evaluated the effect by clonogenic assay and observed the changes of cell-cycle related proteins. Results The newly-expressed p16 formed a complex with cdk4, and phosphorylated pRB was decreased, although cyclin D1 and pRB:cyclin D1 complex were unchanged. Clonogenic assay after selection with G4T8 showed that, in the cell lines transfected with p16, tumorigenicity was significantly less than in the control. Conclusion These results suggest that the p16INK4A gene can be a candidate for gene therapy in cases of NSCLC in which p16INK4A gene is inactivated.


Due to the challenging illumination conditions of the lunar polar regions, mineralogic maps have generally been constrained to within 0°–70°N/S. Here we generate a gridded reflectance data cube from the Kaguya Spectral Profiler measurements for each polar region and calibrate it to absolute reflectance using data from the Lunar Orbiter Laser Altimeter. We use this data set to derive the first quantitative mineral maps of iron oxide (FeO), the optical maturity parameter (OMAT), and nanophase iron poleward of 50°N/S at a spatial resolution of 1 km pixel–1. We evaluate potential latitudinal trends in space weathering and optical maturity and characterize the polar geology, with an emphasis on the Artemis region (84°–90°S). The maps of FeO are in excellent agreement with the abundances measured by the Lunar Prospector and provide an increased level of detail, such as the excavation of high- and low-FeO material by De Forest crater. The OMAT maps offer a fantastic view of both polar regions. They highlight small fresh craters, walls, and central peaks, as well as rays extending through multiple degrees of latitude, such as those from Tycho and De Forest, which extend into the Artemis region. Both polar regions are characterized by the ubiquitous presence of noritic anorthosites and anorthositic norite. Low-calcium pyroxene is largely the dominant mafic mineral present. The Artemis region has relatively homogeneous FeO and plagioclase content at the observed spatial resolution. The lowest FeO values are found near Shackleton, between Shoemaker and Faustini, and on the central peak of Amundsen crater.


The author outlines the theory and application of tuned energy storage, which provides a substantial weight saving for solid-state transmitters by greatly reducing the energy storage requirements. A reactive network is used for energy storage and operates in conjunction with the RF amplifier to produce the proper effective operating voltage while also compensating for capacitor droop. Computer analysis and optimization are used to obtain a maximally flat pulse plateau, with minimum capacitor weight. Several hardware implementations show excellent agreement between theory and results, such as a pair of 600 A networks operating inside an ultra lightweight 18 kW solid-state UHF power module. This circuit achieves a 7:1 reduction in capacitance and a 5:1 reduction in weight compared with previous capacitive storage equipment.<<ETX>>


Over the last several decades, theoretical nuclear physics has been evolving from a very-successful phenomenology of the properties of nuclei, to a (cid:12)rst-principles derivation of the properties of visible matter in the Universe from the known underlying theories of Quantum Chromodynamics (QCD) and Electrodynamics. Many developments are being achieved using lattice QCD, a method for treating QCD numerically with large computers. After a brief motivational introduction, I will present some calculations of the properties of the simplest nuclear and hypernuclear systems using lattice QCD.


The aim of this study is to understand how English textbooks in Korea reflect English education policies for improving Korean EFL learners' cultural competence. In order to achieve the purpose of this study, this research adopted the method of analyzing English textbooks because English textbook is an important tool that most specifically reflects the English education policy of a country. This study analyzed 15 English textbooks currently used in S. Korea. This research analyzed nouns/pronouns related to a culture presented in the reading passages and cultural sections included in each lesson, and investigated cultural diversity and national identity included in English language textbooks. As a result, this study could find that South Korea included cultural diversity through English language textbooks so that Korean EFL learners can cultivate cultural competence and promote their cultural pride in western culture in order to realize the goal of strengthening global capabilities.


Part 1 Agitating and propagandizing. Part 2 Bearing witness. Part 3 Eliminating the frame. Part 4 Acting out Utopia. Part 5 Contemporizing the traditional.


The main objectives of this paper are, designing and balancing of Water Distribution Network (WDN) based on loops hydraulically balanced method as well as using Geographical Information System (GIS) methodology with the contribution of EPANET. GIS methodology is used to ensure WDN's integrity and skeletonized a proper and functional WDN by using Network Analyst utilizing the geometric network and topology network by hierarchical geo-databases. The problem is to make WDN hydraulically balanced by applying WDN balancing method. For that reason, we have analyzed water flows in each pipe and performed the iterations process on loops, in order to make the algebraic summation of head loss" " around any closed loop zero, in case, the summation of pipe flows must be equal to the flow amount entering or leaving the system through each node. At each iteration, reasonable changes occurred at pipes flow until the head loss has become very small or fixed zero as (optimizes correction) by using excel sheet solver. Since this method is confirmed to be effective, simulations were done by using GIS and EPANET water distribution platform. As a result, we accomplished hydraulically balanced WDN. Finally, we have analyzed and simulated hydraulics parameters for the targeted area in Kabul city. Thus, we successfully determined the hydraulics state of parameters around the network as a positive result. It is worth mentioning that, Hardy-cross method is being used for approaching more precise optimized correction and consequences concerning hydraulically-balanced and optimal WDN. This method can be done for complex loops WDN as well; the advantage of the method is simple math and self-correction. Managers and engineers who work in the field of water supply this methodology has been recommended as the more advantageous workflow in planning water distribution pattern.


The aim of the present research is to explore the authenticity of tourism and to study the creation of cliches in
tourism images, focusing on Greece through theoretical background and case studies.
In the first part of this research paper, the process of mutating travel to tourism is described. The contribution of
visual perception and the tourist eye to the "construction" of the tourist landscape is explored. Different types of
tourists are investigated, with emphasis on mass tourism, as well as the way the latter is involved with the escape
industry. The search for authenticity in tourism is attempted and the term constructed or directed authenticity
is clarified, while its connection with the sociology of consumption is being studied. It analyzes how images
and tourist products are created. The development of the tourist image of Greece during the 20th century is
described. The terms "common places", "stereotypes" and "cliches", concepts arising from the production and
recurrent use of tourist images, are analyzed. Finally, a semiotic analysis of Greek tourist images is achieved, the
cliches represented and categorized into thematic units are presented.
In the second part, a cliche of the tourist image of Greece is explored and it is attempted to categorize them
through the creation of a catalog and their semiotic analysis. Four cliches, one of each subject analyzed in the
first part of the survey, are selected as case studies. The study of each cliche is achieved through selected tourist
images, mainly hotels, which are successfully reproduced and accompanied by an image that analyzes the conceptual
data contained in a manual. The results of the case studies lead to conclusions on both the understanding
of clusters of Greek tourist images and their decoding.


Metformin hydrochloride is a biguanide antihyperglycemic drug, which is orally used in the management of noninsulin-dependent diabetes mellitus (NIDDM or Type II diabetes mellitus) alone or in combination with other hypoglycemic agents. Its antihyperglycemic effect is due to the metabolic activities at several sites (biophase), including liver, intestinal cells, and adipocytes 2, . It has a short biological half-life of 1.5–1.6 h and the daily requirement of it is 1.5–3 g/day. Therefore, the marketed immediate release product needs to be administered 23 times daily to maintain effective plasma concentration . So that, there being high incidence of gastrointestinal side effects and toxicity. These drawbacks can be overcome by designing suitable sustained release Metformin hydrochloride formulations. Administration of a sustained Metformin hydrochloride release dosage form could reduce the dosing frequency and improve the patient compliance .


In this paper, the design method of stub bandpass filter (BPF) is suggested by equations of the tapped-line geometry and the λg/4 stub BPF with T-type inverter is implemented for the harmonic suppressing for ISM band. Design parameters for the tapped-line geometry are obtained using the equivalent circuit of the J-inverter for the filter prototypes and the T-type inverter is realized by the equivalent circuit of the quarter wavelength transmission-line. The harmonic suppressed λg/4 stub BPF is fabricated on Teflon substrate and its harmonics of the λg/4 stub BPF are suppressed over 30 dB up to 10 GHz.


Experiments on the motion of a particle on an inclined rough plane have yielded some surprising results. For example, it was found that the frictional force acting on the ball is viscous, i.e., proportional to the velocity rather than the expected square of the velocity. It was also found that, for a given inclination of the plane, the velocity of the ball scales as a power of its radius. We present here a one-dimensional stochastic model based on the microscopic equations of motion of the ball, which exhibits the same behavior as the experiments. This model yields a mechanism for the origins of the viscous friction force and the scaling of the velocity with the radius. It also reproduces other aspects of the phase diagram of the motion which we will discuss. \textcopyright{} 1996 The American Physical Society.


Forecast specification of transient ischemic attacks has a direct influence on the important problem of the forecast and preventive measures of a brain stroke, to occurrence, which can precede transitory ischemic attacks. In the present work the retrospective analysis of cases with a brain stroke is made 178 patients with the presence of anamnesis transitory ischemic attacks, which have been treated in the branches of emergency neurology of Khorezm branch under Republican Center of Emergency Medical Treatment.


The failure of river rehabilitation projects is often reported in the literature. One possible reason for this failure is the insufficient consideration of factors degrading riverine ecosystems at large spatio-temporal scales. A precedent analysis of the evolution and significance of these factors at the watershed level is proposed as a prerequisite for a successful rehabilitation project. Based on a watershed-scale approach, we investigated the current and historical states of the fish assemblage and of relevant abiotic factors in the river Rhone, a seventh-order stream in Switzerland scheduled for large-scale rehabilitation. Recent field data gathered by electrofishing and habitat mapping were analysed by means of a mixed model approach and were qualitatively compared to historical information derived from topographic maps and documentary sources. The length of the entire active channel has been reduced by 45 % (102 km) since 1850, representing a significant diminution in lateral connectivity. Our recent fish survey revealed a depleted species set, with only two of 19 historically documented species found. The density of brown trout was generally low, but positively correlated with the presence of cover. Thus, morphological improvements, e.g. through local river widening, offer extensive potential for the restoration of native fish assemblages, but will probably only be successful in combination with a more natural hydrological regime.


Mouse pancreatic segments were superfused with physiological saline solutions and the K+ concentration in the effluent was measured by flame photometry. Acetylcholine (ACh) evoked a dose‐dependent and transient increase in the K+ concentration in the effluent (K+ release). The removal of calcium (Ca2+) from the superfusing solution and addition of 10(‐4) M‐EGTA (ethyleneglycol‐bis‐(beta‐amino‐ethylether)N,N'‐tetraacetic acid) caused a significant reduction in the ACh‐elicited K+ outflow. Pre‐treatment of pancreatic segments with the 'loop diuretics' (furosemide, piretanide and bumetanide; all 10(‐4) M) resulted in uptake of K+ into the tissue segments. The diuretics also caused a marked reduction in the ACh‐induced K+ release. Replacement of chloride (Cl‐) in the physiological salt solution by nitrate (NO3‐), sulphate (SO42‐) or iodide (I‐) caused K+ uptake and a significant reduction in the ACh‐evoked K+ release. However, when Cl‐ was replaced by bromide (Br‐) the response to ACh was virtually unaffected. When sodium (Na+) was replaced by lithium (Li+) ACh did not evoke K+ release but instead K+ uptake was observed. However, when Tris+ was substituted for Na+ ACh evoked a very small K+ release. Pre‐treatment of pancreatic segments with 10(‐3) M‐ouabain resulted in a marked sustained K+ release. In the continuing presence of ouabain ACh induced a further increase in K+ outflow. Pre‐treatment of the preparation with 10 mM‐tetraethyl‐ammonium (TEA) caused a small transient increase in K+ efflux, but TEA had virtually no effect on the secretagogue‐evoked changes in effluent K+ concentration. The results suggest the presence of a diuretic‐sensitive Na+‐K+‐Cl‐ co‐transport system in the mouse pancreatic acinar membrane.


In sociological theorising there is often too much disembodied 'structure' and 'process' without actors, or actors and action without structure. This paper proposes a solution to this dilemma with the conceptual aid of (1) so-called process matrices within which parameters of correlation, compability and contradiction of processes can be defined, and (2) actor-process matrices within which parameters of actor-process specialisation, crystallization, polarisation and cnss-cross are defined. This relatively uninterpreted and formal conceptual framework is then applied and interpreted in terms of Marxist historical materialism, which in this manner can be seen as a special instance of actor-process theory comparable with, for instance, the theories of Durkheim and Parsons. Finally, part of the interpreted Marxist version of actor-process theory is applied to an analysis of the 'dynamic inefficiency of capitalism' as diagnosed by Kelvin Lancaster, and an evaluation sought of some recent reforms within Swedish Social Democracy in terms of this Marxist actor-process model.


This study aims to describe the legal protection in the field of labor in Indonesia for female workers who had experienced harassment in work relationships.The research method used is normative juridical through statute approach, conceptual approach and case approach Baiq Nuril. The data source is in the form of primary legal materials, namely the Manpower Act, the PPHI Law, the ITE Law, the Criminal Code, the Human Rights Law and the MA Decision No.  574 K / Pid.Sus / 2018, also secondary legal materials in the form of the PKS Draft Bill, books, papers and journals that contain views and doctrines developed in the science of law.The results of the study showed that the Manpower Act had not yet provided the rights of women workers to protect their morals and decencies, as well as treatment that was in accordance with human dignity and religious values in work relations according to human rights. The status of honorary workers in government agencies became unclear after the enactment of the ASN Law.  The UUK and PPHI Law cannot be applied in the case of honorary worker Baiq Nuril, because it does not include the legal subject of employer government agencies.  The rights of workers detained during criminal proceedings cannot be prosecuted in the Industrial Relations Court as a manifestation of the presumption of innocence principle.  Legal protection for female workers who experience non-verbal sexual harassment is not regulated in the Indonesian Criminal Code or in other criminal laws, so that their human rights cannot be maintained before a criminal court.  The PKS Draft Bill has included non-verbal sexual harassment as a form of protection for women, therefore it needs to be authorized by the Parliament immediately.


This work analyses morphological and hydrological processes of gravel-bed rivers located in different geographic contexts: the North Eastern Italian region (Brenta River) and the central Patagonic region. Within the study reaches, the grain size distribution of the sediments is significantly different between riffles and pools, being coarser in the former. The downstream fining tendency is evident as well, whereas the armour ratio seems more influenced by differences in sediment supply conditions rather than the downstream trend.
A comparison of cross sections measured in 1997 and 2009 revealed an incision trend in the upper part of the study reach (which is 21 km long) and a sedimentation tendency in the lower part. This trend is confirmed by a numerical simulation which reveals a downstream reduction of shear stress,
thus allowing sediment erosion (bank erosion and slight incision) in the upper portion of the reach and sedimentation downstream. On the other hand, the hydrological analysis reveals that overall the building of the dam system in the
upper part of the basin has not changed the recurrence of moderate to high flows, keeping the formative bankfull discharge at the same value is analyzed before and after the dam closure.


Serious anti-semitism once existed in Canada during the 20th century,which was characterized by the discriminal against immigration,social discrimination and isolation,and sometimes violent attacks.Under the influence of the Great Depression in Canadian society there was a widespread suspicion and prejudice against Jews.Anglo-Canadians were influenced by British anti-Semitism.As for the anti-semitism in French society,it was consecrated by the Catholic Church and justified by French nationalism.Besides,Jewish closed lifestyle intensified the exclusion and hostility of other ethnic groups cansed by traditonal prejudice.


Bagley Wood is exceptional in having a considerable variety of soil types in a comparatively restricted area. The nature of the soils and the associated vegetation at the selected stations are set out in Table I. It will be seen that the soils fall into three main groups of gravels, loams and clays, the soils within a group being derived from the same geological substratum and having similar profiles. The clays and loams were typical "mull" soils, while the gravels showed some tendency to an accumulation of raw humus and could be regarded as intermediate between the "mull" and "mor" types. G 1 and G 2 had numerous mouse runs and only a slight accumulation of raw humus, but in G 3, the most acid of the three, there was little evidence of burrowing animals and up to 3 in. of raw humus. None of the gravels showed a definite podsol profile. Samples were taken from the uppermost and lowest layers of the profile in each soil type, as indicated in Table I. These are termed "upper layers" and "lower layers" respectively throughout this paper. The "lower layers" were sampled at 10-12 in. below the soil surface.


Article type: Original Article Received: May 2017 Accepted: Aug. 2017 e-Published: 28 Nov. 2017 Corresponding author: Azad Rahmani e-mail: azadrahmani@yahoo. com Background & Aim: Exposure to high stress in the work environment among the intensive care unit nurses results in leaving the profession and their unwillingness to continue their activities. This is one of the major challenges in the nursing profession and has a great effect on the effectiveness of health systems. Despite the importance of resilience, there is few studies on the intensive care unit nurses' resilience. The aim of this study was to determine resilience and its association with the intensive care unit nurses' intention to leave their profession. Methods & Materials: This is a cross-sectional, descriptive analytical study on 400 nurses working in the intensive care units of teaching hospitals affiliated to Tabriz University of Medical Sciences in 2016. Data were collected through a modified form of Anticipated Turnover Scale designed by liou and a summarized form of Connor-Davidson's resilience scale". Descriptive and inferential statistics (Mann-Whitney, and KruskalWallis) were used for data analysis through SPSS version 13. Results: The mean rank for intention to leave and resilience was 2.83 (IQR: 0.67) and 25.50 (IQR: 8) respectively. Also, there was a negative, significant correlation between resilience and intention to leave (P<0.001, R=-0.173). Conclusion: Considering the rate of intention to leave the profession, more attention is needed to the factors affecting the intention to leave. In addition, due to the significant relationship between resilience and intention to leave, incorporating resilience-promoting strategies into nursing curriculum is recommended.


This study attempted to identify factors related to problems reported by adolescents. 250 secondary school Ss rank ordered 15 potential problems and also completed a self-disclosure inventory of adolescent concerns. Data were obtained on the Ss' sex, socio-economic status, school achievement, intelligence quotient, and grade. None of the variables considered were, to any significant degree, related to the problems reported by the Ss.


A challenge is indexing the facial beauty by a machine as same evaluated by human beings. A question arises: Can beauty be learnt by machines? Every individual have different concept of facial beauty. Somebody can be attracted by someone but might not be by another person. In recent past, many psychologists, neurologists and other scientists have done tremendous work in this area. This work presents a study on the facial attractiveness in a machine learning context. Various techniques applied on SCUT-FBP facial images dataset for learning the facial attractiveness. From the results, we showed that facial beauty is a universal concept that a machine can learn. A model is designed that learns from the facial images with their attractiveness ratings and produced human like evaluation of attractiveness ratings. We extracted features from images and normalized all the features value. After that we proposed some techniques of machine learning like Support Vector Machine (SVM), k-Nearest Neighbor (KNN), Decision tree and Artificial Neural Network (ANN). An accuracy of 80% was obtained using KNN and 86% was obtained using ANN for multiclass classification. Accuracies of 61% and 62% were reported by SVM using linear kernel and RBF kernel respectively. These accuracies were obtained for multiclass classification. We also evaluated accuracy for binary class to reduce the effect of non-uniformity of data.


This paper advances some countermeasures for sci-tech information's serving the innovation of enterprise from the contents and methods of information service.


Aim : The aim of this study was to analyze the clinical effect microbiological of pure coconut oil 12.5% on the decrease in a number of bacteria P. gingivalis and T. denticola on the margin of porcelain fused to metal crown. Methods: 23 subjects, were patients with porcelain fused to metal crown in posterior of Faculty of Dentisty Universitas Indonesia 'dental hospital. They  fill the informed consent, clinical periodontal examination. Patients were gargled twice daily with a pure coconut oil 12.5% of 30cc for 1 min performed for 4 days. Sampling of saliva were collected with paper point for calculating the number of bacteria P. gingivalis and T. denticola using real-time polymerase chain reaction. Conclusion: Using Pure coconut oil 12.5% showed decrease amount of bacteria P. gingivalis and T. denticola in the margin porcelain fused to metal crown


This paper describes the control of an autonomous biped robot capable of pulling a mass in the sagittal plane. The sagittal balance control uses an 8-link model of the robot, which is difficult to apply in real time due to the excessive computational effort. To solve this problem it is used a support vector regression (SVR) controller, which is able to perform the balance control in real time. As the ZMP balance control is non-linear, an SVR is appropriate. An SVR calculates the optimal hyper plane for the training data and computes faster than several other artificial intelligence techniques.


A building method of interactive virtual assembly system based on virtual reality is proposed to solve the problems of low efficiency and once assembly failure for radar structure assembly design.With this system combined with interactive peripheral equipment,the whole process of radar structure assembly is carried out by user operation in virtual environment without any physical radar.In this paper a building method of virtual assembly function model is firstly introduced.Then a method of radar structure virtual assembly simulation planning is given by analyzing virtual hand motion.Finally,the development of the prototype system and the realization of system function are introduced.


Translating copulas and pseudo-copulas from Italian to Spanish. The lack of symmetry in the use, and in particular the deletion, of copulas between Italian and Spanish requires translators to adopt strategies to avoid over-use or cacophonies of these common verbs. Similarly, if we analyse pseudo-copulas in both languages we can see that there are slight differences in the desemanticization and frequency of use of each pseudo-copula. For this reason it is important to propose guidelines which, case by case, provide translators with the necessary skills to switch one pseudo-copula for another, substitute pseudo-copulas for copulas, or vice versa.


Folk dance is a comprehensive art which combines props, music and movement together.These three elements are indispensable in folk dance art,especially the props. Props can enhance dance performance, highlight dance style and enrich the connotation of dance. In order to apply it scientifically to folk dance,we must actively develop symbolic function of props,pay attention to fully mix the body and props and reasonably select the props. Only in this way can we serve the folk dance art better.


Marjolin's ulcer is an aggressive malignancy that may complicate chronic neglected ulcers. Acute Marjolin's ulcer is a very rare form of this disease which has not been previously reported in HIV/AIDS patients with genital ulcer disease (GUD). A 28 year old HIV-1infected Nigerian female presented with a three month history of chronic genital ulcers associated with fistula and sinuses, as well as bilateral inguinal lymphadenopathies and right leg lymphedema. After about two months of follow up, the genital ulcers evolved into a fungating proliferative ulcer. A biopsy of the ulcer revealed a well differentiated invasive squamous cell carcinoma-a typical feature of Marjolin's ulcer. This case is reported to alert clinicians on the need for prompt recognition and treatment of all cases of GUDs in HIV/AIDS patient, in order to mitigate the potential of malignant transformation of HIV-related chronic genital ulcers to Marjolin's ulcers.


There are two different types of damage resulting from plasma etching (oxide charging damage and plasma edge damage) which can degrade the reliability of CMOS devices. The oxide charging damage is due to plasma induced Fowler-Nordheim current flowing through gate oxide, while edge damage is due to direct plasma exposure during the poly-Si overetch period. This paper addresses the influence of plasma etching-induced damage on device susceptibility to hot-carrier (HC) degradation. The role of oxide charging damage and that of edge damage are isolated and characterized for both n-channel and p-channel MOS devices, and the corresponding dependence of HC lifetime is analyzed. Finally, the effect of plasma damage on HC degradation of ring oscillators is studied.


The technique of myocardial protection utilized during pediatric cardiac surgery may be influenced by the congenital lesion, and be related to the pathophysiological changes associated with myocardial dysfunction and altered systemic and pulmonary circulations. The present study is a retrospective examination of the cardioplegic and cardiopulmonary bypass parameters utilized during pediatric cardiac surgery.
1016 pediatric patients were subdivided according to cardiac lesion, with the following parameters recorded: Age at operation, weight, body surface area, cardioplegia (CP) volume administered, cardioplegia dose schedule, cardiopulmonary bypass and cross clamp times, and low perfusate temperature. Cardioplegia volume administration was indexed according to weight and body surface area and patients were categorized as being either acyanotic or cyanotic The following results (Mean ±SEM) were obtained between groups not significantly different in respect to weight and body surface area:

Defect
CP/Unit Weight (ml/Kg)
P Value

ASD vs Pulmonary Stenosis
26.7+0.8 vs 38.0±2.6
.001

ASD vs Pulmonary Atresia
26.7+0.8 vs 34.1+3.4
.001

A/VSD vs Truncus Arteriosus
30.5+2.1 vs 48.1+4.5
.009

VSD vs Tetralogy of Fallot
36.3+4.2 vs 35.2+1.1
.79

LV Outflow vs RV Outflow Lesions
32.3+2.8 vs 35.5+0.9
.27

Patients with pulmonary obstructive lesions had significantly more cardioplegic volume administered than certain acyanotic lesions. This may reflect a greater susceptibility to ischemic and reperfusion related phenomena in cyanotic compared to acyanotic patients. Cardioplegic protection of the pediatric heart may be influenced by multiple factors related to the cardiac lesion, necessitating preferential preservation strategies.


An open-ended group proves beneficial, especially in a setting where individuals remain for an extensive and indeterminate period of time


In Municipal sewer sludge production in EU is expected to rise to 13.0 million tons in 2020. Also in Algeria the estimated quantity of sludge produced in 2017 will exceed 2.0 million tons per year. Since there production, the treatment and disposal of sewage sludge is become an economically and environmentally sensitive problem. The challenge facing sludge managers is to find cost-effective and innovative solutions whilst responding to environmental, regulatory and public pressures. Methods were developed for reducing and disposal the quantities of generated sludge. The present paper is a contribution to valorizing the ashes sludge of wastewater treatment plants (WWTPs) for the production of a green-cement. Mineralogical and physic-chemical characterizations of ashes sludge were carried out. Ashes contain significant amounts of Al2O3 and SiO2 and can be used as a partial replacement of clinker. Four greencement samples were prepared by substitute (5, 10, 15 and 20%) of ashes into cement standard. Mechanical tests (compressive strength and bending tensile strength) were carried out to the sample mortars (40x40x160mm 3 ) made of green-cements at different curing times (2, 7 and 28 days). The results show that after 28 days of curing, the compressive strength exceeds 50 MPa. The same trend is observed with specimens tested in bending tensile strength exceeding 7 MPa. These results are encouraging for better management of sludge from Algerian plants in the field of cement industry. Received 03 Jan 2017, Revised 07 Feb2017, Accepted 17 Feb 2017


Wave breaking is one of the main forcing mechanisms in coastal hydrodynamics, driving mean water levels and currents. Understanding its behavior is key in the goal of improving our comprehension of coastal morphodynamics variations. One way to improve our understanding is through the use of numerical models, such as phase-resolving numerical models based on the Boussinesq equations (Kirby, 2016), which are modified to include breaking by the inclusion of a breaking criteria and a dissipation mechanism. Since there is not a universal law capable of characterizing the wave breaking, the existing models must be calibrated. Traditionally, this is done by adjusting wave height profiles and other free surface statistical parameters without explicitly considering the time-space location and duration of the breaking process. Consequently, it is possible to calibrate a model that accurately represents wave elevation statistics parameters, such as wave height and wave set-up; however, it might not necessarily represent the breaking location-duration and therefore, the forcing.


The economic of the State depends on the level of protection of competitive environment. One of the most effective mechanisms of protection of competition in Russia is the Criminally-legal protection, based on the article 178 «Non-admission, restriction or elimination of» of Criminal Code of Russia. Effective application of this article is impossible without theoretical analysis of the problems of competition crimes qualification.


. This study is a bibliometric analysis of an indexed article in Google Scholar that discusses civic education e-learning for digital civic skills using the publish or perish reference application and VOSviewer. This bibliometric analysis aims to determine the development of research on the use of e-learning in civic education for digital civic skills. The search was carried out through the publish or perish reference application with keywords to guide the process of searching for research titles and abstracts, namely "e-learning, civic education, digital civic skills". Research development data is limited in the last 10 years (2012–2022) on Google Scholar. The search results found 993 papers with 16457 citations deemed relevant. The highest number of citations occurred in 2018 as many as 2574 citations. In the publication trend, the most publications occurred in 2021 as many as 197 publications. The results of the analysis of the development of civic education e-learning for digital civic skills in the last 10 years show quite frequent fluctuations. In 2013–2014 it decreased from 61 articles in 2013 to 52 articles in 2014. Research fluctuations occurred from 2015–2019 (sequentially 60, 71, 76, 78, 91 publications per year). In 2020–2021 there will be an increase in research, from 130 studies (2020) to 197 studies (2021). In 2022 again declined with 116 studies. Data on the development of civic education e-learning studies for digital civic skills is visualized using VOSviewer.


In this research, a new method based on the hyperspectral imaging for searching the best decocting time of sun dried ginseng is reported. The spectral images at different decocting time of test sample have been taken by the staring hyperspectral fluorescence imaging system and the solubility of active ingredients have been discussed by analyzing the changes on the spectral curves. The spectral range of the system is 400–720 nm and the spectral resolution is 5 nm. In the decocting process, the active ingredients of nonsoaked ginseng was dissolved in the tissue fluid at first, and reached equilibrium condition at last after the precipitation–dissolution reciprocating process of boiling. At last, the experimental results show that the best decoction time of sun dried ginseng is about 60 min after boiling.


In his famous novel, Animal Farm, Orwell coined the phrase 'All animals are equal, but some animals are more equal than others' [4]. This satirical observation aptly describes many common problems which emerge in group dynamics, such as the problem of mismatched contribution from over and under achievers [1]. Our motivation, therefore, is to develop a process which assists groups of academics and other stakeholders to collaboratively generate research strategy in an open, engaging, and democratic way. To this end, we will discuss a simple process involving two tools (both free for use by academics) which are designed to avoid, or at least alleviate, what we term as Academic Animal Farm.


The purpose of this study is to analyze how Spanish historiography in the latter half of the 19 th century which was not carried out under the auspices of the Spanish Royal Academy of History (Real Academia de la Historia) framed the fall of the Visigoth kingdom and the Battle of Covadonga in romantic and nationalist terms; and to examine the ways in which that interpretation was reflected and reinforced in literary works. This approach discloses that the nationalist definition of the "reconquest" is of relatively recent provenance. Until the 19 th century, the process begun by Pelayo was understood as a "restoration" of the pre-existing political order and of freedom to a Christian people, rather than as a struggle against a foreign enemy which had been waged continuously for seven hundred years. That latter position was adopted by historians during the 19 th century as part of a project which sought to bolster the definition of collective identity in terms of the nation-state.


We study the spectrum of operators on periodic graphs using methods from combinatorial algebraic geometry. Our main result is a bound on the number of complex critical points of the Bloch variety, together with an effective criterion for when this bound is achieved. We show that this criterion holds for periodic graphs of dimensions 2 and 3 with sufficiently many edges and use our results to establish the spectral edges conjecture for some periodic graphs of dimension 2. Our larger goal is to develop new methods to address questions in spectral theory.


The unraveling of ill-effects of organic pollutants like pesticides and dyes has been showcased with various devastating incidents worldwide, which seriously affect aquatic biota. Even still, it can around 180000 fatalities per year noted in developing countries due to pesticide poisoning. Besides concomitant organic pollutants, organic dyes like azo dyes are highly persistent, non-biodegradable, and carcinogenic. On peeping into perils of pesticides and dyes, a birds-eye focused on different methods for their wiped out from water bodies. In recent times, the adsorbents like carbon nanotubes and graphene were being used in the adsorption method for their elimination. Additionally, graphene properties include a ratio of rich surface area and volume, honeycomb structure rich in aromatic appearing like a large polyaromatic molecule, and good chemical stability induced metamorphosis into adept nano adsorbents. Furthermore, the methods of adsorption, kinetics, and mechanism are also reported in this review to elicits the extent of adsorption. However, the purview of this present review was about graphene materials and their impact in removing dyes and pesticides through the adsorption method.


1. The laminated absorbent core comprising a first, lower layer of the laminate and a second laminate top layer, wherein the first, bottom layer of the laminate includes a first base substrate, and the second, upper layer of the laminate includes a second base substrate, wherein the superabsorbent polymer material forms a plurality of strips on each of the carrier bases: first and second, the strips are spaced apart such that adjacent strips are formed between the gaps, with the second laminate layer located on the first laminate layer in such a Braz, the first and second supporting bases are turned outwards and the strip of superabsorbent polymer material of the second layer of the laminate occur in gaps formed in the first layer of the laminate and the strip of superabsorbent polymer material of the first laminate layer occur in gaps formed in the second layer of the laminate, each of the gaps in the first layer of the laminate is wider than the corresponding band of the superabsorbent polymer material of the second layer, located above this gap, and each of the gaps in the second layer l Minato wider than the corresponding band of the superabsorbent polymer material of the first layer, located under this clearance, the superabsorbent polymer material is at least partially immobilized first adhesive, the first adhesive forms a fibrous layer between the first and second layers laminata.2. The laminated absorbent core according to claim. 1, characterized in that the second adhesive is applied to the first and second carriers based on the first and second laminate layers such that the second adhesive is coated in the gap


Nature's Purposes Analyses of Function and Design in Biology. Colin Allen, Marc Bekoff, and George Lauder, Eds. MIT Press, Cambridge, MA, 1998. 603 pp. $55. ISBN 0-262-01168-9. Paper, $30. ISBN 0-262-51097-9 A collection of papers on the nature and functions of teleology in biology. Most were written for philosophical journals, and this convenient compilation is likely to be more useful for philosophers and students than for practicing biologists.


ABSTRACT:This article argues that recipients can make sense of abstract and highly self-reflexive live performances when they try to narrativize them, i.e., read them as narratives. In performances, different sign systems convey narrative meaning to the spectators. Recipients have to take both acoustic and visual clues into consideration: apart from the dialogues, important sign systems are music, noises, silences, the choice of actors and actresses, facial expressions, gestures, costumes, colors, color combinations, lighting, and references to other narratives. Spectators narrativize performances by relating what they see and what they hear to specific narrative functions and by combining them into a coherent whole.


In this paper, a stepping control based on extended state observer (ESO) based is developed to track the trajectory of a two link flexible manipulator. The link is flexible and coupled making the system sensitive to uncertainties, while the controller design requires exact information of the system modeling. To avoid these issues, an ESO is introduced to estimates the uncertainties as well as the system state vector. The back stepping controller is then studied uses the states estimated by ESO. Stability of this nonlinear coupled two-link system is then achieved using Lyapunov-based methods. At last, the simulation results are given to demonstrate the performance of the designed control scheme.


This study introduces Value-based Management (VBM) as a mechanism to align managerial and shareholders' interests in M&A decisions. In addition to analyzing the direct impact of VBM on M&As, we inv...


The authors consider the new working class as consisting of both industrial workers and employed in the service sector. The article aims at identifying changes in the social-political status of the new working class and at describing the civil-political component of its political subjectivity. The authors attempt to theoretically reconstruct the idea of the working class as a political subject. The first part of the article presents conceptual approaches to the analysis of the working class as a political subject. The authors identify three periods: 1) classical works that laid the foundation for the study of the working class as a political subject and its special historical role; 2) studies of the marginal political status of the working class in Western countries, when leading theorists described the transformation of workers into an object of manipulation in the era of mass communications and the widespread consumerism ideology; 3) works of contemporary authors (including the new working class studies) opposing the policy of the traditional industrial working class and the new working class exclusion from the social-political space, which is pursued by the ruling class of the neoliberal international. The empirical part of the article describes the political subjectivity of the working class in Russia and its position in the political space at the institutional and individual levels. Despite the underrepresentation of workers in politics, since 2010, we have witnessed a return of the working class to the public space. The representative survey conducted in three regions of the Ural Federal District and narrative interviews prove a weak interest of the new working class youth in politics, their tendency of non-participation in it, and a high level of national patriotic identity.


The establishment and characteristics of a transplantable model of human epithelial cell strain of poorly differentiated nasopharyngeal carcinoma(CNE-2Z) in nude mice was reported. The experiments were made on 1-3 month-old nude mice (NC and Swiss) of both sexes. The CNE-2Z cells (1?10 6 /0.5ml) were inoculated subcutan'eously . The transplanted tumor had been passed up to 30 generations in 203 recipient animals and subsequent serial transplantability was 100%, despite of origin, age of nude mice and inoculated route ( s.c.,i.P, i. m,).The latent period was shortened from 20 to 5- 14days. Then the slow, rapid and late growth periods were 2 - 3,4 - 8 and 9-10 weeks, respectively. The longest survival period of tumor-bearing mice was 144days and the greatest weight of graft was 19.7g, which was two thirds the weight of the host. Tumor tissue was easy to infiltrate to neighbouring tissues, and to metastasize into lymph nodes and lungs. The graft had characteristics of p oorly differentiated squamous carcinoma on the light and electronic microscopy. The chromosome showe. ed a karyotype of human tumor. There are existence of Epstein-Barr virus genes and expression of EBV-encoded protein (EBNA 1 LMP) in the transplanted tumor. The model can be used for the further study human nasopharyngeal carcinoma.


This article was written as part of a post-doctoral fellowship in the Department of History at the University of South Africa.


The article presents the results of research of ecology of a tundra vole in typical alas-and-lake landscapes of Lena-Amiginsky interstream area where human economic activities change natural animal sites. The influence of the anthropogenous factor on the nature of the Central Yakut lowland, recently, increases owing to its reinforced economic development. It is found that the habitation of this rodent is strictly related to inundable grassy mosaic habitat, which is often stretched out in the form of narrow strips along water bodies. The food ration of a vole reflects the floristic composition of their typical biotypes. The growth of the average amount of a vole's brood is an adaptive reaction to unfavorable existence conditions. The sex-age structure consists of two weight groups overwintered voles and fingerlings. It fully renews throughout the year.


The main purpose of a lock is to keep a facility or property secure. If you're considering installing a keypad lock, you will want to get informed ...


Provided is a charging method capable of offering a user an incentive to use a particle generation factor determining system. In the particle generation factor determining system including a user interface device through which a user inputs a particle map and a server, the server calculates accuracy of each of multiple particle generation factors based on the particle map; the user interface device displays the calculated accuracy or a title of generation-factor-relevant information on each particle generation factor corresponding to this accuracy; the server provides the generation-factor-relevant information to the user interface device; a charged fee for providing particle generation-factor-relevant information is determined based on accuracy of a particle generation factor corresponding to the provided generation-factor-relevant information.


Tagore's anti-absolutist and anti-statist stand is predicated primarily on his vision of global peace and concord'a world of different peoples and cultures united by amity and humanity. While this grand vision of a brave new world is laudable, it is, nevertheless, constructed on misunderstanding and misreading of history and of the role of the nation state in the West since its rise sometime during the late medieval and early modern times. Tagore views state as an artificial mechanism, indeed a machine that thrives on coercion, conflict, and terror by subverting people's freedom and culture. This paper seeks to argue that the state also played historically a significant role in enhancing and enriching culture and civilization. His view of an ideal human society is sublime, but by the same token, somewhat ahistorical and anti-modern.,


During a long period of years including both private and dispensary practice, I never encountered a case similar to the one here reported. Nor have I been able to find in textbooks or monographs any reference to powdered orris root as a cause of ocular inflammation. REPORT OF CASE Mrs. T. J. B., aged 32, who consulted me, July 22, 1923, had been giving her hair a dry shampoo with orris root, when some of the powder accidentally fell into the right eye, without any immediate irritation. The next morning the lids of this eye were considerably swollen, and a membrane was sticking out from the eyeball itself. There was no pain or secretion. Both lids, especially the upper lid, were white and edematous. On attempting to open the palpebral fissure I found an edematous, chemotic condition involving the bulbar conjunctiva, so much so that the latter almost protruded through


The differences in inertia effects on multiple energy sources cause an imbalance between energy supply and load demand. Therefore, an operation optimization method for a comprehensive energy system with electric and thermal coupling characteristics is proposed. This method adopts the thermal system to reduce the system operation cost and improve operational reliability. Firstly, the method takes the energy transmission network of IES as the basis and establishes the model of the heating pipeline. Secondly, the method also takes the lowest total operating cost of the system as the goal, combines the power balance and equipment operation safety and other constraints, considers the electro-thermal coupling characteristics, establishes the corresponding IES operation optimization model, and applies the genetic algorithm to solve it. Finally, the simulation results show that the method can effectively reduce the system operation cost while ensuring the smooth and safe operation of the equipment based on the optimization model.


The main purpose of the note is to present three dierent solutions to a geometric extremal problem proposed to the 2012 Balkan Mathematical Olympiad.


This article examines Soviet military psychiatry and its performance during World War II, using both an historical and a comparative approach. It argues that Soviet military psychiatry had strong roots in pre‐revolutionary Russian psychiatry, especially its emphasis on the materialistic view of mental illness. This is highlighted by comparing Soviet military psychiatry with the American experience during the war. American psychiatry was oriented towards the individual patient and had a difficult time adjusting to wartime conditions. However, Soviet military psychiatry was geared towards service to the militarized state formed by the Bolsheviks. It assumed war and therefore planned for it, thus Soviet psychiatry was legitimized by its ability to provide assistance during wartime.


In his paper ''Looking Back, Looking Ahead: Biased Technological Change, Substitution and the Wage Gap'' Theo van de Klundert employs a two-goods, two-factors general equilibrium model, applying the powerful "hat calculus technique" introduced by Meade (1961), to study the determinants of the wage gap. The main result is summarized by his Eq. (18), which shows that the change in the wage gap can be decomposed into four components: (i) the effect due to changes in the relative factor supply; (ii) the effect due to factor-biased technological change; (iii) the effect due to a change in goods demand resulting from income growth; and (iv) the effect due to a change in goods demand resulting from goods substitution. This kind of analysis is very important and truly instructive. The recent literature on the wage gap (or the skill premium) has offered a bunch of explanations for the observation of rising wage inequality in the USA over the period 1960–1990. However, the interplay between sectoral change driven by technological factors and sectoral change driven by preferences has hardly been discussed in this context. This is surprising to the extent that there are a number of models on sectoral change and economic growth, which could be used to investigate the importance of preferences and technological factors for the evolution of the skill premium (e.g. Kongsamut et al., 2001; Foellmi and Zweimueller, 2006). My main point is to illustrate that van de Klundert's (2007) contribution is not only instructive when it comes to understanding the economic forces behind the rise in the skill premium. It also has the potential to explain an important and widely recognized empirical regularity on the evolution of the skill premium. This is expressed, for instance, by Hornstein et al. (2006, p. 6) who notice that "... the time series for inequality over the past 100 years is 'U-shaped'" when surveying the recent literature on wage inequality in the USA.


Twenty adult New Zealand albino rabbits were preimmunized by subcutaneous injection of Mycobacterium tuberculosis antigen H37Ra (10 mg – 0,5 ml Mineral oil) on day 1 (1). Uveitis was induced by intravitreal injection of antigen prepared from H37Ra (2,5 μg in 50 μl of saline solution) in all preimmunized animals on day 15. Induction was immediately followed by a single intravitreal injection of triamcinolone acetonide (TAA), 2 mg, or saline solution (Vehicle). A second H37Ra 2,5 μg intravitreal challenge was performed in both groups two weeks after the first challenge, without additional treatment. Clinical signs of uveitis in anterior chamber and vitreous were scored by slit lamp observation twice a week after the challenges, then weekly for 2 months. At the end of the study (week 10), eye globes were collected and examined by histology (hematoxylin/eosin/safran staining).


Annually, groups of health professionals from high‐income countries are drawn to work in low‐ and middle‐income countries (LMICs) through timed engagements intended to improve the well‐being of people in most disadvantaged communities. The existing evidence on understanding volunteer experience in LMICs often focuses on activities within the medical discipline; whereas little research has been conducted on the experiences of volunteers in other disciplines. This paper focuses on understanding veterinary and public health professional's experiences conducting disease surveillance work in Northern Uganda. Forty US‐based health care professionals were recruited to complete multiple‐choice and open‐ended questions to understand prior and current experiences working in resource‐limited settings. Responses were coded using NVivo 10®, qualitative analysis package. Of the 44 volunteers, 50% completed the questionnaire. Responses were largely positive towards surveillance activities; they reported personal and professional gains, new cultural experiences and mutual learning environment with local colleagues. Nevertheless, respondents highlighted challenges during various stages of program implementation—some difficulty with program logistics, inadequacy of preparation materials, in addition to concerns inherent to working in a resource‐limited environment. This assessment suggests that international volunteer work could positively influence programmatic outcomes, personal experiences, furthering health organizational goals, often achieved in a limited time‐frame. To maximize volunteer impact, these assessments are critical and suggest that volunteer and institutional capacities should be seriously considered when planning placement as it can influence programmatic decision‐making, gauge training needs and volunteer readiness.


In this paper, we propose an ID-based strong designated verifier signature (SDVS) over R-SIS assumption in the random model. We remove pre-image sampling function and Bonsai trees such complex structures used in previous lattice-based SDVS schemes. We only utilize simple rejection sampling to protect the security of our scheme. Hence, we will show our design has the shortest signature size comparing with existing lattice-based ID-based SDVS schemes. In addition, our scheme satisfies anonymity (privacy of signer's identity) proved in existing schemes rarely, and it can resist side-channel attacks with uniform sampling.


This article investigates the political impact of the introduction of state subsidies to political parties. The arguments for and against subsidising political parties are outlined. Different models of party subsidies, and their regulatory frameworks, are discussed. We find little evidence of a cross‐national impact of the introduction of party subsidies. The subsidies cannot explain the decline in party membership. Nor is there evidence to suggest that the subsidies were introduced as a response to membership decline. There is no support for the allegation that party subsidies lead to the petrification of party systems. The subsidies have not meant that other income sources have lost their significance for political parties.


Abstract Guided by the school climate and social-emotional learning literature, this study explored math self-concept in relation to student-teacher relationships and students' sense of school belonging while accounting for sex differences. Participants included two random subsamples (Ns = 532; 558) of 15-year-old Canadian students who participated in the 2012 Programme for International Student Assessment (PISA). Results indicated that while student-teacher relationships were positively associated with math self-concept among boys, sense of school belonging was positively associated with math self-concept among girls. Moderated mediation analyses indicated that the indirect association between student-teacher relationships and math self-concept via the sense of school belonging was significant only among girls; the total effects model was only significant among boys. These findings were evidenced in both subsamples. Findings suggest the importance to not only enhance student-teacher relationships and students' sense of school belonging, but also to recognize how intervention efforts might vary depending on students' sex.


In the third of an occasional series of articles for the QAJ, the author discusses requirements for computer system archive and restore activities. The Electronic Records and Electronic Signatures final rule (21 CFR 11) requires electronic records to be held electronically for the records retention period. How long records must be retained and the implications for organisations will be discussed in this article. Copyright © 2002 John Wiley & Sons, Ltd.


A three_dimensional modeling system is put forward.The system,based on AutoCAD platform is developed with the application of AutoLISP computer program language,the method of roading views of an object and the rapid prototyping manufacturing technique.It makes modeling more quickly by combining the techniques of obtaining data by the computer automaticaily and imputting data by the operator.


The significance of formal criteria which could help to sort out the problem of tolerance paradox has emerged in the background of cultural egalitarianism. Alas, such criteria have not been established so far. The conviction that the problem of tolerance is significant just in the context of social and political discourse might be questioned due to the fact that this attitude did not help to tackle this problem throughout the last centuries. The paper aims to show that the problem of tolerance can be solved taking into account systemic attitude and synergetic insights. The current study into the literature on tolerance concludes that the formal criterion, which defines the tolerance boundaries in the most general sense, is considered to be such deviations from the standard (as ideal parameters of social system) when tolerance can function normally (stably). Cultural egalitarianism, which requires equalizing the rights of the majority and the minorities facing discrimination, impinges on the ratio of necessary diversity, and thus has to be questioned.


The methods and devices provide an efficient user interface which provides a continuous zoom or expansion of the displayed image on a computing device. May initiate the function out-in or zoom-user touch screen, an oval shape by using the user interface device, such as a touchpad or mouse (for example, W) by the zoom tracing. Zoom is a touch screen or touch pad, touch, or mouse button is pressed, and continues to be one elliptical path tracing. Zoom-in or a zoom scaling factor may be applied to the image in response to a clockwise path trace, zoom-may by-out or reduction scaling factor in response to a clockwise path trace applied to the image, and vice versa. This may be followed visually aid in order to perform a zoom function may be provided on the display.


We propose combined allocation, assignment, sequencing, and scheduling problems under uncertainty involving multiple operation rooms (ORs), anesthesiologists, and surgeries, as well as methodologies for solving such problems. Specifically, given sets of ORs, regular anesthesiologists, on-call anesthesiologists, and surgeries, our methodologies solve the following decision-making problems simultaneously: (1) an allocation problem that decides which ORs to open and which on-call anesthesiologists to call in, (2) an assignment problem that assigns an OR and an anesthesiologist to each surgery, and (3) a sequencing and scheduling problem that determines the order of surgeries and their scheduled start times in each OR. To address uncertainty of each surgery's duration, we propose and analyze stochastic programming (SP) and distributionally robust optimization (DRO) models with both risk-neutral and risk-averse objectives. We obtain near-optimal solutions of our SP models using sample average approximation and propose a computationally efficient column-and-constraint generation method to solve our DRO models. In addition, we derive symmetry-breaking constraints that improve the models' solvability. Using real-world, publicly available surgery data and a case study from a health system in New York, we conduct extensive computational experiments comparing the proposed methodologies empirically and theoretically, demonstrating where significant performance improvements can be gained. Additionally, we derive several managerial insights relevant to practice.


The diffusion rate of Nb in austenite has been determined by electron Probe microanalysis. Dilute alloys of Nb upto 0.6 wt% concentration have been investigated over the temperature range 1147 - 1300°C. Sandwich type diffusion couples of Nb against pure iron were prepared. After annealing the couples, the diffusion profiles have been developed with the help of EPMA equipment. The diffusion of Nb in austenite can be described as followed: D^(Y)NB = ( 6 . 1 7 + 7 . 2 6 o r - 3 . 3 4 ) 1 0 ^2 x exp( 2 93,000 +or - 100000))/RT mm^2 / s . . ( 1 ) R being in KJ/mole/ K. Errors given at one standard deviation.


The invention discloses a horizontal well logging while drilling and ranging radar echo signal processing method. The method includes the following steps that: 1, moving average filtering is performed on radar echo signals, wherein the radar echo signals include a direct wave signal component and a reflected wave signal component; step 2, Fourier transformation is performed on the signals obtained in the step 1, so that the signals can be transformed to the frequency domain from the time domain; step 3, band-pass filtering is performed on the signals; step 4, inverse Fourier transformation is performed on the signals obtained in the step 3, so that the signals can be transformed to the time domain from the frequency domain; step 5, the reflected wave signal component obtained in the step 4 is amplified; and 6, the peak time difference of the direct wave signal component and the reflection wave signal component in the signals obtained the step 5 is obtained, and the peak time difference can be applied to logging and ranging.


Background: The rapidly ageing population in the Nordic countries warrants research on factors that older adults self-report as contributing to healthy ageing and enhanced quality of life. In Sweden,previous research focused mainly on structural factors related to living conditions. Housing is important because almost 50 % of all people 80 years or older live in homes that lack adequate accessibility.Aim:This study aimed to nvestigate how older adults experience quality of life and identify related key factors.We also aimed to increase understanding of what older adults consider important to quality of life, and how home accessibility contributes to such quality and how they view their living situation.Methods: We interviewed 16 adults aged 75 years or older,residing in a larger city in southern Sweden. All informants were in "the third age"(i.e., the period of active and healthy ageing that usually follows retirement).The informants, ten females and six males, volunteered to an interview after an inquiry was directed to three local pensioners associations.Results: Our results demonstrate that perception outweighs structure for quality of life among active and healthy older people. We identified three key factors that influence quality of life, (i) experienced health status (i.e., mobility and ability to cope with everyday life); (ii) residential comfort; and (iii) meaningful social relationships and activity. Interviewees reported that factors related to residential accessibility are not as important, at least as long as the consequences of limited access do not interfere with everyday life.Conclusions: For the near future, older people in the third age need better understanding and awareness of the benefits that result from taking responsibility for and planning their living arrangements before disabilities affect quality of life. Because remainingin one'sown home is so essential to quality of life, Sweden s housing stock must become more accessible.Long-termplanning(i.e.,national and local government building regulations)should ensureav ailability of accessible homes for the elderly, to avoid forcing them to move when disability occurs. Achieving these goals will require stronger links between housing and public health policies regarding the elderly


Now, social call center technology has been applied successfully into various industries. Based on campus call center building characters, the system of multiuse call center is designed and implemented. The paper first discusses the system model, design considerations and some key modules, such as voice call in/out, voice tree, data import/export, report, etc. Finally, the analysis of usage and values of the system is concluded.


M I K E V A N D E N H E U V E L terms land, human, civic and democracy form the basis of a critique and speculation for American theatre. The idea of the human – and its ecological, social and political implications for land and for life – underpins May's ecodramaturgy. In Earth Matters on Stage, an optimism for the capacity of theatre to be a transformative practice depends on an optimism for the capacity of the human to be a transformative idea, for May, on more historical than theoretical terms. While the book foregrounds settler colonialism's role in the 'loss, injury, and struggle as the result of environmental destruction', May's belief that theatre can revise and vitalize 'our place in and kinship with the land' develops an 'our' of a shared humanity with a shared crisis in a shared present, regardless of how any one human might be implicated in its destructions (201, 2). If theatre engenders (eco)civic action towards democratic participation and a biopolitics that supports life, then the human at the centre of that action is also ecodramaturgical: made up of stories, in community, unimaginable without an environment it acts upon and capable of biocivic optimism despite – or because of – histories of violence.


The purpose of this research is to know and analyze the influence of leadership, communication in organization and motivation not only jointly but also partially for employee performance of Local Government of Ogan Komering Ilir Design which used in this research is korelasional design. The sample which used in this research is cluster sampling of 4 agencies in Local Government of Ogan Komering Ilir to get data which can deputize agency and employee which connected to: health agency, education agency, and income agency, finance and asset local area. The number of existing employees at the fourth agencies is 317 employees. The method which used in this research is slovin method 0f 76 employees. From this research, there are Y Regression = 0,164 + 0,467X1 + 0,849X2 + 0,364X3 which value of R = 0,891 and Square of R = 0,794. From the calculation of hypothesis conclude that leadership, communication in organization and motivation jointly influence employee performance of Local Government of Ogan Komering Ilir which value of sig.F = 0,00. From the calculation of hypothesis conclude that each variables have value of sig.t, leadership = 0,018, communication in organization = 0,000 and motivation = 0,029 lower than value of ? = 0,05. It can conclude that leadership, communication in organization and motivation partially influence for employee performance of Local Government of Ogan Komering Ilir


Many problems addressed in operational research are combinatorial and NP-hard type. Therefore, designing binary algorithms based on swarm intelligence continuous metaheuristics is an area of interest in operational research. In this paper we use a general binarization mechanism based on the percentile concept. We apply the percentile concept to multiverse optimizer algorithm to solve multidimensional knapsack problem (MKP). Experiments are designed to demonstrate the utility of the percentile concept in binarization. Additionally, we verify the efficiency of our algorithm through benchmark instances, showing that Binary multi-verse Optimizer (BMVO) obtains adequate results when it is evaluated against another state of the art algorithm.


Based on the runoff data of the Luanxian station in the lower reaches of the Luanhe River from 1956 to 2006,variation trend and periodicity of runoff are analyzed by using the methods of linear trend analysis,moving average,moving t-test,Yamamoto,sequential cluster and wavelet analysis.And then the causes of runoff change are analyzed.The results show that the annual runoff of lower reaches of the Luanhe River has obvious downward trend with a rate of-9.5×108m3/10a;the annual runoff in Luanxian station occurred abrupt change in 1979,followed by the downward trend;the annual runoff series mainly exist three-scale cycle changes,among which more than 30 years oscillation period of the runoff is obvious;the main reasons for the decline of the lower reaches of the Luanhe River are the population growth,increased agricultural and industrial water use,inter-basin water transfer and other human activities.


FRANCEPARIS-- Last week, the French government fired GeneviA¨ve Berger, director of the country's main basic research agency, CNRS, and shuffled two other senior research posts.


Santa Maria de Ateca is a temple declared BIC (Cultural Property) built at the end of the 13th century, enlarged in the 16th century and deeply transformed during the Baroque period. Its magnificent tower, originally freestanding, is one of the highlights of the Aragonese mudejar. Restoration works are returning integrity to the building and helping to know about its constructive and artistic history. But they are also transforming it and becoming part of its history. Learning about the restoration process and methods and about the evolution of the criteria guiding them is important to understand the monument and to make decisions concerning its future interventions.


Clogging in vertical flow (VF) wetlands is an important process influencing water purification processes. The main contributing factors are the growth of microorganisms within the filter media, the accumulation of suspended solids on top of the wetland, as well as within the filter media. Both processes lead to a decrease of the available pore space, hence changing the soil's hydraulic properties. This will alter the water flow and cause malfunctioning of the system. This paper summarizes the state of the art of the prevailing physical, biological and chemical processes influencing clogging in VF wetlands. Different design and operational parameters are discussed to give a better understanding on their influence to prevent malfunctioning. Based on a literature review, a detailed overview on experimental as well as modelling studies carried out is presented. The main conclusions are that on the one hand, important insights on clogging processes in VF wetlands have been gained but, on the other hand, design parameters such as intermittent loading operation and the grain size of the filter media are not well represented in those studies. Clogging models use different conceptual approaches ranging from black box models to process based models.


We present a theory of classifying quadratic forms over an algebraic number field which is a reformulation of Eichler's methods and different from the traditional theory of Hasse. As applications we determine all possible values of the discriminant of an integer-valued quadratic form over Q with a given dimension and index, and also the number of genera of such forms. We also investigate purely algebraic problems on the Clifford groups and similitudes of quadratic forms.


Infrasound waves generated by auroras are usually recorded at high latitudes during periods of high geomagnetic activity. These waves are often characterized by high apparent velocities (usually from 400 to 1000 m/s), which means that their source locates at a high altitude. Currently, the relation between the atmosphere electric-field variations and infrasound in the near-surface atmospheric layer during magnetospheric substorms is determined. However, for the full-scale analysis of the said interaction, we must have a predictive picture of the infrasonic atmospheric response, which raises the need for its modeling.


Metropolitan areas concentrate a large part of the population, production and consumption in the European Union countries. One of the main problems that arises when adopting metropolitan areas as territorial units of analysis and policy development in European countries is the lack of generally accepted standards for identification purposes. This paper has proposed a scientific evaluation of the functional areas (including metropolitan areas) of county capital of North East Region. For this purpose it was used the ESPON 1.1.1 methodology regarding polycentric development adapted to the realities in Romania and then evolving development of economic analysis for each functional area (metropolitan area) studied. The study shows that functional urban areas (including metropolitan areas) are still in the early stage of organisation, with no significant progress in their economic development.


This document is the first in the series [1] – [7], concerned with the use of lattices as a tool for analysing modules and spaces. This particular document is concerned with the general basic lattice theoretic background needed to analyse certain ranking techniques as given in [2, 3, 4]. The later documents [5]–[7] are concerned with specific topics in the analysis. The central idea is for each module M its family Λ = Sub(M) of submodules is a complete lattice of a certain kind, and for each topological space S its topology Λ = OS is also a similar kind of complete lattice. Several aspects of M and can be gleaned by a lattice theoretic analysis of Λ. In this document I describe the background lattice theory needed for the analysis. Some of this is well known and some not. Also some of the material is more general than is technically needed for the applications. However, that extra generality will help to place the material in its appropriate context. As with all the documents in the series this one is written as a teaching document rather than a research document. In other words, the development is quite slow, and no doubt there are some parts than you can omit because you already know that material. However, as mentioned above, there will be places where I refer to one of [1, 2] so that certain details of some proofs need not be repeated. Of course, the word 'I' refers to myself, but when I say 'we' I mean me and you.


Provable data possession is a technique for ensuring the integrity of data in outsourcing storage service. In this paper, we propose a cooperative provable data possession scheme in hybrid clouds to support scalability of service and data migration, in which we consider the existence of multiple cloud service providers to cooperatively store and maintain the clients' data. Our experiments show that the verification of our scheme requires a small, constant amount of overhead, which minimizes communication complexity.


This research is motivated by students' critical thinking skills in processing information while the learning process is still low. The purpose of this study is 1) to describe the implementation of learning by implementing contextual teaching and learning models through laboratory observation and environmental methods on scientific attitudes and critical thinking of students, 2) to obtain implementation data in contextual teaching and learning models through laboratory observation methods and the environment can improve scientific attitude, 3) to determine the implementation of contextual teaching and learning models through laboratory observation and environmental methods can improve critical thinking skills, 4) to uncover students' responses to the implementation of contextual teaching and learning models through laboratory and environmental observation methods on scientific attitudes and critical thinking students. The method used in this study is a mixed method (mixed methods research design). With the sampling technique using cluster random sampling, there were 2 classes, each of which amounted to 30 students for the experimental class and 30 students for the control class. The research instrument used was task and rubric students' scientific attitudes, essay tests of critical thinking skills, student response questionnaires to learning and observation sheets of teacher and student activities. The data analysis technique used is the normality test, homogeneity test and hypothesis test. Based on the results of the analysis of hypothesis testing shows the value t = 4.476 with Sig. 0.001 <0.05 means that the implementation of the contextual teaching and learning model through laboratory observation methods and the environment can improve scientific attitudes. Based on the results of hypothesis testing shows the value t = 8.486 with Sig. 0.001 <0.05 means that the implementation of the contextual teaching and learning model through laboratory and environmental observation methods can improve critical thinking skills in plant material at SMA 1 Darma Kuningan. The conclusion in this study is the implementation of contextual teaching and learning through laboratory observation and environmental methods to improve scientific attitudes and critical thinking of students in plant classification material at SMA 1 Darma Kuningan Keywords: Contextual teaching and learning; Laboratory observation methods and environment; Scientific attitude; Critical thinking


The immune system has an important part in the defense mechanism against infections and foreign intruders, in addition to preserving the health status of the body. The immune system also plays a major role in the host response to neoplasia. Several effective antitumor mechanisms have been described, but the clear role of the immune system in preventing the formation of tumors and in wiping out any cancerous cells that may rise remains questionable, and it is no longer clear whether antitumor immune responses function in immune surveillance. Therefore, the role of the immune system in stopping cancer may be limited. However, there is no doubt that the immune reactions mounted against tumors often grow, and can be studied and detected in experimental and clinical settings. These responses are elucidated as interactions between immunity and tumor cells in various natural and induced ways, which ultimately leads to tumor regression. As we learn more about the relationships between cancer and the immune system, we stumble upon opportunities for new immunotherapeutic and diagnostic approaches. In this chapter, a brief overview of cancer immunology and the major concepts required to understand the complex reaction between the immune system and cancer development is presented [1-7].


After the Soviet invasion of Afghanistan in 1979, the Swiss government initially refused to become diplomatically involved, arguing that as a small, permanently neutral state, Switzerland was unable to make a difference in the Afghan crisis. The present article shows that between 1982 and 1986, the Swiss authorities began to identify the transfer of eleven Soviet prisoners of war from Afghanistan to Switzerland as an opportunity to demonstrate Switzerland's neutral good offices in situations of armed conflict. It also shows that Switzerland's involvement came about primarily through direct and indirect exchanges with non-state actors in the Afghan crisis.


The nuclear and non-nuclear industry has produced a considerable amount of low and intermediate-level radioactive wastes during the last decades. The material characterization of waste packages recently became more and more important in order to dispose of these waste packages in a final underground repository. Material characterization remains an indispensable criterion to prevent pollution of the groundwater with toxic materials and is usually required by the national licensing and supervisory authorities. Information on the nature of waste materials can be obtained based on existing documentation or, if the documentation is insufficient, on further destructive or non-destructive analysis. Non-destructive methods are to be preferred to minimize radiation exposures of operating personnel as well as costs. Existing non-destructive techniques (Gamma scanning, X-ray, active/passive neutron counting, muon tomography) do not allow the identification of non-radioactive hazardous substances. An innovative non-destructive measurement system called QUANTOM® (QUantitative ANalysis of TOxic and non-toxic Materials) has been developed. It is based on the prompt and delayed gamma neutron activation analysis (P&DGNAA). This technology is able to identify and quantify the elemental composition (Cd, Cu, B, Pb, Hg, Fe, Al, …) in radioactive packages such as 200-l radioactive drums. This information helps waste producers verify the content of their radioactive wastes, especially regarding the presence of hazardous substances. Different reference materials have been analysed by means of the same technology (P&DGNAA) at the research reactor of BUDAPEST. A comparison of those results for five reference materials is presented. The results show a very good agreement between QUANTOM® and standardized reference analyses.


Sales research has established the importance of experience in buyer–seller interactions. While this is intuitively appealing, the experience variable has had minimal attention at the international level. This study explores the relationship between experience and the problem solving strategy of international salespeople. Specifically, experience is defined based on three popular measures used in the extant literature: tenure with the organization, general sales experience, and international sales experience. Results indicate that a U-shaped relationship exists between tenure in the organization and problem solving. A plateau effect was identified between sales experience and problem solving early. These results run counter to findings in domestic studies assessing experience and negotiation encounters.


The loads on a dielectric or an insulation arrangement cannot be precisely rated without properly assessing the manner in which a pulse produced by a partial discharge is transmitted from the point of the event to the point where it is recorded. A number of analytical and graphic methods are presented, and computer simulations are used for specific cases of a few measurement circuits. It turns out to be possible to determine the effect of each circuit element and thus make some valid corrections.


The disclosed electrode for use in a fuel cell comprises a flexible carbon-fiber nonwoven fabric and a fuel-cell catalyst, such as a metal catalyst or a carbon-alloy catalyst, supported on the surfaces of the carbon fibers constituting the flexible carbon-fiber nonwoven fabric. Said flexible carbon-fiber nonwoven fabric is formed by carbonizing a nonwoven fabric obtained by electrospinning a composition containing: an electrospinnable macromolecular substance; an organic compound that is different from said macromolecular substance; and a transition metal. This structure allows the provision of an electrode, for use in a fuel cell, which uses a flexible carbon-fiber nonwoven fabric as a substrate and combines the functions of a gas-diffusion layer and an electrocatalyst layer.


&dquo;What I wish to make clear ... is ... that from all we have learnt about the structure of living matter, we must be prepared to find it working in a manner that cannot be reduced to the ordinary laws of physics.&dquo; Thus the founder of quantum mechanics, Erwin Schroedinger, expounds in a recent book &dquo;the obvious inability of present-day physics and chemistry to account for ... events&dquo; which occur in a living organism. I


Crop phenology extraction using remote sensing is influenced by satellite data and retrieval method. We conducted a comprehensive evaluation of the accuracy for winter wheat green-up date (GUD) extraction with four VIs (NDVI, EVI, EVI2 and NDPI) and six methods (CCRmax, βmax, RCmax, RT10, RT20 and RT50), comparing with ground-observed GUD in China. We evaluated the performance with correlation coefficient (R), root mean square error (RMSE), and observations (BIAS). The results showed that GUDs extracted from NDPI time series presented the overall highest accuracy. Based on NDPI time series, we also found that GUDs extracted with CCRmax method had the highest consistency with ground-observed GUDs. Our finding suggested caution on the uncertainties in phenology extraction with remote sensing methods.


The development of new speech enhancement techniques is a continuous progress to combat the impairment of speech signals by various acoustical environmental influences. In this contribution we propose a new two-stage speech enhancement algorithm, exploiting the source-filter model to decompose a denoised target signal, and specifically we manipulate the excitation signal in the cepstral domain. The second stage therein is a refinement of the a priori signal-to-noise ratio (SNR) estimate used for the suppression gain calculation. Different to prior art, a higher noise attenuation can be achieved, without any more artifacts in the processed speech component.


For John Wyclif, the fundamental belief that Scripture is true de virtute sermonis is grounded in the fact that the meanings of the words therein are equivocal. A word can have several different meanings depending on whether it is outside or inside Scripture as well as on its location in Scripture. This principle allows each and every word in Scripture to be endowed with its own meaning - however figurative, i.e., metaphorical, allegorical etc. it may be -, tailored for the very context in which it is used. Scripture cannot then fail to be true in virtue of the syntactic-semantic properties of language, which are precisely set up in accordance with the message to be delivered. All in all, Scripture as the matrix of all logics and semantics is a holistic system that may serve as master key for deciphering any possible meaning of a word.


The majority of interest groups of the conflict of interest in gene therapy clinical trials merely focus on how to regulate the adverse consequences of conflict of interest,but partly neglect many fundamental questions, such as what kinds of benefits there are in clinical trials, what are the forms and approaches of conflict of interest, and so on. Take gene therapy for example.To introduce there kinds of benefit,sum up conflict of interest. Finally,argue that "disclosure of economic arrangement" is one of the key points in regulating conflict of interest.


A numerical model for studying the interaction between a compressible fluid and an elastic solid is described. The fluid is only slightly compressible, but large pressure changes in the problem require that the compressibility be taken into account. The fluid is treated as barotropic, which means that the pressure is a function of the density alone. It is modeled using a stabilized spacetime finite element formulation which can automatically handle the changes in the size and shape of the computational domain caused by the deformation and motion of the solid. The solid is treated as linearly elastic and is modeled using a Galerkin FEM. The solid is modeled using classical linear elasticity theory, instead of, e.g., plate or beam theory. This allows the modeling of structures of arbitrary shapes. The coupled model is used to study an interior flow problem in which a deformable piston controls the size of an orifice through which the liquid flows. The vibration of the piston may have an important effect on the mass flow rate of the liquid. (Author)


This work Liver Disease Prediction Using Machine Learning is a machine learning application. In this project, you predict whether the patient contain a liver disease or not using python Jupyter Notebook. To predict presence of liver disease we apply some of the classification techniques. It gives an idea of how machine learning helps in medical field and how classification techniques going to predict liver disease using liver disease data set.


Anxiety is a psychological condition that often occurs during adolescence. Due to lack of relief and counseling, teenager's psychological anxiety may gradually develop into anxiety. Chabot can be used as a new tool to relieve anxiety among teenagers. However, the natural language understanding techniques currently applied to Chabot still have problems, such as lack of effective data, high training complexity, and lack of interpretability of the network. This paper proposes a compression-based bidirectional Long Short-Term Memory depth neural network structure. The main objective is to reduce the complexity of the parameters further, and to make the network of each layer have certain interpretability by means of the reduction of sparsity. Under our own collection of teen depression text data, this structure shows a better performance than traditional networks.


All naiads of the burrowing mayf1y, Hexagenia limbata, examined from B1uestcm Lake, Lancaster County, Nebraska, were infected by trema lode metaccrcariae. The naiads hosted two species of trematode, Megaiogollia ictaluri Surber, 1928, and Crepidostolllum cooperi Hop kins, 1931. Three thousand sixty-three cysts from 24 mayflies were inspected to confirm their identity and to determine their distribution on the naiads.


This chapter focuses on a small group of twelve fourteenth- and fifteenth-century manuscripts containing Old and New Testament books in the Italian vernacular and therefore presumably addressed to a public of Latin illiterate or partially literate lay men and women. This analysis traces the influence of the Paris Bible on vernacular Bibles, and questions its extent. Only three witnesses reveal a consistent use of the modern chapter division: the New Testament now in Venice that can be connected to the Austin friars in Ferrara, the gospels kept in Florence and the Gospels at Siena - the latter two related to a Franciscan milieu. Key to the analysis of the impact of the Paris Bible on sermon production in Italy is the question of sources. The chapter examines the place of Paris Bibles in sermons through two interrelated questions. Keywords:fifteenth century; New Testament; Paris Bible; Vernacular Bibles


Configuration and a plurality of electrodes (11) is a carrier member mounted, it extends through the inside of at least a portion of the carrier member, through the carrier member electrode (11) and to perform signal exchanges or the one between implantable tissue stimulators having a that the at least one signal transmission wiring (13) is. The number of wires in the support member (13) is less than the number of electrodes (11) mounted on the carrier member.


The utility model relates to a disposable aseptic self-destroying syringe which mainly solves the problems of easy liquid leakage and easy pollution of needle tips because the piston is not tightly sealed with the inner wall of the outer sleeve in the prior art. The utility model comprises a needle tube, a needle seat, an outer sleeve, a core bar, a reed and a piston, wherein the needle tube, the needle seat and the outer sleeve are integrally bonded. The piston is a rubber piston and is sheathed on the front end of the core bar. The piston is provided with an elastic sealing ring, and the needle seat is sheathed with a protecting sleeve for protecting the needle tube. The utility model can be only used once, and components can not be disassembled and changed to achieve the purpose of full self destroying. The utility model has the advantages of good sealing performance between the piston and the inner wall of the outer sleeve, no generation of liquid leakage and difficult pollution of the needle tube, and can effectively avoid cross infection.


A prolapsed and everted bladder through a widely patent urachus with an absent omphalocele is considered as an extremely rare and unique case, which requires emergency treatment and surgical intervention. A newly born baby was born at term and then referred from a district hospital for a mass at the umbilical region. She was referred as a case of gastroschisis, but she was eventually found to have a rare patent urachus with bladder eversion and prolapse onto the abdominal wall. The prolapsed bladder was repaired without any complications, and an umbilicoplasty was performed successfully. The infant recovered uneventfully and without any difficulty in voiding. A significant reduction in bladder dome inflammation as well as in mucosal necrosis can be obtained by performing the repair procedure as soon as possible.