A Retrospective Analysis of Mortality Distribution in Juba Teaching Hospital, Southern Sudan

No Abstrac

Effectiveness Fund Village Improvement in the Sea in the Village Development District Pineleng Minahasa

This research thesis preparation with a view to obtaining a bachelor's degree in social and political science faculty, that there are problems in the process and in the implementation of increased development funds through the village in the Village District of Pineleng Minahasa Sea. Researchers saw that the lack of cooperation between government and community development improvement. In stepping up development in the Village Sea through the village fund or assistance from the central government to village aspired to achieve a prosperous society and is able to manage the autonomy in the village in accordance with the laws that exist to growth and change in a planned and conscious taken by a country and nation toward modernity in order to develop the nation. But what happens the public still was not satisfied with the performance of the government's development, as seen from the problems that occur through the government's development is still lacking precise targets and a lack of consistency on the part of the government regarding village development forum that governments actually took the benchmark through deliberation village, which has been set in the deliberations when in fact it should be done instead of carrying out construction just see where that becomes personal or group interests to seek opportunities through the village fund for rural development and implicated in political elements

Beyond ‘Voice’ to ‘Learning with’: A Multiple Streams Policy Analysis and Qualitative Exploration Problematizing Representations of Young LGBT+ Identities

Hearing young voices is of paramount importance, particularly as some voices are seldom-heard, including those of lesbian, gay, bisexual and transgender (LGBT+) youth. Recent research highlighting mental health disparities for these populations led to the formation of the Irish LGBTI+ National Youth Strategy, which prioritized youth participation through a Youth Advisory Group (YAG). A policy analysis of the initiation of the Strategy outlines the convergence of problems, policies and politics using a Multiple Streams Approach (MSA), with quantitative literature suggesting substantial vulnerabilities. This is enhanced through qualitative exploration of the views of six youth co-authors, with experiential expertise, and as YAG members. A university ethics committee granted approval for online recorded consultations via group, pair and individual interviews. The theme of ‘seen and heard’ highlighted unprompted discussions on discursive assumptions representing young LGBT+ identities almost solely in relation to mental health risk. These rich narratives problematize the (in)visibility and silence in representations of the diversity of LGBT+ youth identities, which may inadvertently reinforce stigma. This underscores the need for comprehensive and inclusive school curricula. While MSA may explain prioritization for policy initiation, participation potentially disrupts unintended negative consequences. This article concludes by emphasizing how ‘learning with’ LGBT+ young people can ensure research, policy and practice speaks directly to youth interests and concerns.University College DublinSPHeRE programm

Dientes de Seláceos (Chondrichthyes): Sistemática y estratigrafía en la Cuenca Pisco

El presente estudio muestra la sistemática determinada de 17 dientes de seláceos fósiles pertenecientes a 9 especies: Carcharocles megalodon, Otodus sp., Isurus oxyrhinchus, Cosmopolitodus hastalis, Carcharomodus escheri, Carcharodon carcharias, Carcharhinus leucas, Carcharhinus brachyurus y Physogaleus contortus. Estos ejemplares muestran una clara diferencia morfológica, que depende según la especie y su posición en la fórmula dentaria. La colecta se realizó en 6 localidades diferentes de la cuenca Pisco correspondiendo a 7 columnas estratigráficas. Se pone especial énfasis en la información estratigráfica de este taxón, de importancia en la actualización de la Carta Geológica Nacional

From structure to crystallisation and pharmaceutical manufacturing: the CSD in CMAC Workflows

Two Workflows are presented that are relevant to the design and construction of end-to-end pharmaceutiucal manufacturing processes. The Workflows target the very early stage crystallisation aspect of these processes – production of the primary crystalline solid form – and relate to establishing decision-driven approaches for the screening for multi-component forms, specifically co-crystals, and to the use of additives to control crystal and primary particle form, notably morphology. These Workflows are shown to benefit from the use of the Million-plus structures in the Cambridge Structural Database and the associated structural informatics and analysis tools and are placed into the context of the work of the CMAC Future Manufacturing Hub

Cryptic, sympatric diversity in Tegu lizards of the Tupinambis teguixin Group (Squamata, Sauria, Teiidae) and the description of three new species

Tegus of the genera Tupinambis and Salvator are the largest Neotropical lizards and the most exploited clade of Neotropical reptiles. For three decades more than 34 million tegu skins were in trade, about 1.02 million per year. The genus Tupinambis is distributed in South America east of the Andes, and currently contains four recognized species, three of which are found only in Brazil. However, the type species of the genus, T. teguixin, is known from Bolivia, Brazil, Colombia, Ecuador, French Guyana, Guyana, Peru, Suriname, Trinidad and Tobago, and Venezuela (including the Isla de Margarita). Here we present molecular and morphological evidence that this species is genetically divergent across its range and identify four distinct clades some of which are sympatric. The occurrence of cryptic sympatric species undoubtedly exacerbated the nomenclatural problems of the past. We discuss the species supported by molecular and morphological evidence and increase the number of species in the genus Tupinambis to seven. The four members of the T. teguixin group continue to be confused with Salvator merianae, despite having a distinctly different morphology and reproductive mode. All members of the genus Tupinambis are CITES Appendix II. Yet, they continue to be heavily exploited, under studied, and confused in the minds of the public, conservationists, and scientists

Dynamical models for sand ripples beneath surface waves

We introduce order parameter models for describing the dynamics of sand ripple patterns under oscillatory flow. A crucial ingredient of these models is the mass transport between adjacent ripples, which we obtain from detailed numerical simulations for a range of ripple sizes. Using this mass transport function, our models predict the existence of a stable band of wavenumbers limited by secondary instabilities. Small ripples coarsen in our models and this process leads to a sharply selected final wavenumber, in agreement with experimental observations.Comment: 9 pages. Shortened version of previous submissio

Evidencia de tiburón Lamniformes del Jurásico-Cretácico (Titoniano - Berriasiano) de la Formación Tinajones, norte del Perú

El diente Lamniformes descritos en este trabajo fueron hallados en rocas sedimentarias que afloran en los distritos de Aija y la Merced, provincia de Aija, Departamento de El fósil de diente se encuentran en nivel de lutitas con laminación paralela de la Formación Tinajones del Grupo Chicama de edad transito Jurásico-Cretácico (Titoniano - Berriasiano). Asociados los dientes de tiburones se tiene ammonites, pelecípodos, escamas de peces, plantas. Para definir la edad del ejemplar se ha tomado en cuenta la edad de los ammonites que corresponde Substeueroceras koeneni y Neocomites sp. Asimismo se ha tomado en cuenta los caracteres morfológicos de la cúspide central, crestas linguales y raíz holaulacoriza nos permiten definir que se trataría de un diente del grupo de Lamniformes

Existe relação entre o número de microêmbolos e a evolução neurológica nas cirurgias de revascularização miocárdica?

Coronary artery bypass surgery (CABG) without cardiopulmonary bypass (CPB) may potentially reduce the number of microembolic signals (MES) associated with aortic manipulation or generated by the pump circuit, resulting in a better neurologic outcome after surgery. Our aim was to compare the frequency of MES and neurologic complications in CABG with and without CPB. Twenty patients eligible to routine CABG without CPB were randomized to surgery with CPB and without CPB and continuously monitored by transcranial Doppler. Neurologic examination was performed in all patients before and after surgery. The two groups were similar with respect to demographics, risk factors, grade of aortic atheromatous disease and number of grafts. The frequency of MES in the nonCPB group was considerably lower than in CPB patients, however, we did not observe any change in the neurologic examination during the early postoperative period. Neurologic complications after CABG may be related to the size and composition of MES rather than to their absolute numbers. A large prospective multicentric randomized trial may help to elucidate this complex issue.A cirurgia de revascularização miocárdica sem circulação extracorpórea (CEC) pode estar relacionada com uma potencial redução no número dos microêmbolos (ME) associados com a manipulação da aorta ou gerados pelo equipamento, com consequente redução do risco de complicações neurológicas nestes pacientes. Nosso objetivo foi comparar a frequência de ME e de complicações neurológicas em pacientes operados sem e com CEC. Vinte pacientes selecionados para revascularização miocárdica eletiva sem CEC foram randomizados para cirurgia com e sem CEC. A monitorização contínua com Doppler transcraniano foi realizada durante todo o procedimento nos dois grupos e os pacientes foram examinados antes e após a cirurgia. Os grupos não apresentaram diferenças significativas em relação aos aspectos demográficos, fatores de risco, grau de ateromatose de aorta e número de pontes realizadas. A frequência de ME no grupo operado sem CEC foi significativamente menor do que no grupo operado com CEC, entretanto, nenhum paciente apresentou alterações no exame neurológico no período pós-operatório inicial. Esta observação pode sugerir que as complicações neurológicas possam estar mais relacionadas com o tamanho e a composição, do que com o número de ME. Somente um estudo prospectivo com maior número de pacientes poderá esclarecer este assunto.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Department of NeurologyUNIFESP, EPM, Department of NeurologySciEL