bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Snakebite on Osteomyelitis and Cardiac Shock in Pediatric and Adult Patients
Authors: Javier R. Mohamad , Safitri Laksmitha Saktiono , Rialdi Andisa Fadhila , Handika Ehwanul , Limanto Ericko Julian , Prakoso Budi , Widiwanto Bambang , Wicaksono Himawan , Hamidi Zainuddin , Fitriadi Djanuar , Sukirman Sukirman
Published: March 2023

Snakebite is a defense mechanism of snakes and can be a medical emergency. Snake venom contains a mixture of protein components that affect the functional activity of the target physiology. The structure of the poison in snake venom has different variations for different snake species. As for snakebite,  it can be life-threatening if it has neurotoxic, cytotoxic, or hemotoxic toxic effects.  The purpose of this study is to determine the relationship between snakebite incidence to osteomyelitis and cardiogenic shock.  The results of this study can be used as a source of information and an objective correlation reference regarding the relationship between snakebite and osteomyelitis and cardiogenic shock. This research is a Systematic Review using the Preferred Reporting Items for Systematic Reviews and Meta-analyses method or commonly called PRISMA, this method is carried out systematically by following the correct research stages or protocols.  Antivenom neutralizes toxins in fixed quantities. Both children and adults are given the same amount of antivenom because snakes inject the same amount of poison into both adults and children. Antivenom can be effective as long as the poison is still active in the patient's body causing symptoms of systemic intoxication. It can last for several days or even weeks after the bite.  After a series of processes have been passed, based on the results of research in the Scopus-indexed journal on the systematic "The Relationship of Snakebite with Osteomyelitis and Cardiac shock in Pediatric and Adult Patients" a conclusion can be drawn, namely that the majority of journals discuss heart disorders and infections, necrosis of muscles and bones related to poisonous snake bites.
Shattered or Strengthened? The Impact of Extended Lockdown on Family Functioning and Quality of Relationships during the COVID-19 Pandemic
Authors: Popescu Marciana , Alonzo Dana
Published: March 2023

INTRODUCTION: While much research has focused on mental health and well-being during the early stage of the Covid-19 pandemic, significantly fewer studies have directly explored the connection between lockdown policies, family functioning, and effects on the mental health of parents in highly vulnerable communities in low-income countries where pre-pandemic conditions were already unstable. This study aims to address this gap and examines the quality and nature of relationships with spouses, children, and extended families in highly vulnerable communities during an extended lockdown period.

METHODS: With the approval of the appropriate Institutional Review Board and after receiving verbal consent, following standard local procedures, 30 individuals participated in in-depth semi-structured telephone surveys that were conducted three months following the lifting of the lockdown restrictions to assess the impact of the extended quarantine periods on mental health, overall family functioning, and relationships with spouses/partners, children, and extended family.

RESULTS: Findings indicate that mental health distress post-lockdown predicts changes in the nature and quality of relationships with spouses, children, and extended family and increased risks for family violence.

CONCLUSION: Findings highlight the differential impact of global health crises on highly vulnerable communities facing complex issues with limited access to adequate care systems. By reframing large-scale pandemics as complex emergencies, our results can inform current policies and support interventions and preventive measures preparing families to better cope with similar emergencies.
The Determinants of Digital Piracy Behaviour in Malaysia
Authors: Ling Kwek Choon , Cheng Mary Lee Siew , Sin Cham Kai , Ling Alina Yap May , Li Zhang
Published: March 2023

The advancement of technology has facilitated sustainable and significant development in supporting digitalisation of business operations, including but not limited to electronic commerce, but also resulting in a significant increase in digital crimes, particularly online piracy. Many consumers seek out pirated content and the majority of them do not perceive it as something that could eventually harm the creative industry or perceive it as a wrong practice. Therefore, the problem of online piracy becomes rampant. This research investigates the direct and indirect relationships between deviant peer associations, perceived benefits, attitude towards digital piracy, subjective norms, self-efficacy, digital piracy intention and actual digital piracy behaviour. A total of 450 samples were gathered via an online self-administered questionnaire survey. The data was evaluated by structural equation modeling (PLS-SEM) and statistical package for social sciences (SPSS). According to the statistical findings, all of the direct and indirect relationships among the seven variables are significantly supported. This study provides theoretical and managerial implications by demonstrating that digital piracy intention has a significant relationship on actual digital piracy behaviour as well as deviant peer associations have a significant relationship on an individual’s attitude towards digital piracy. This study concludes with some limitations and recommendations for the future digital piracy research.
Career Competencies and Job Performance of Saudi Employees in Tourism Industry: Intelligent Career Model
Authors: Alshiha Fatimah
Published: March 2023

Tourism industry is one of the most growing sectors that contributes significantly to Gross World Product (GWP), employment opportunities, and local culture. Saudi Arabia has witnessed a growing number of hotel projects of new international chains and domestics hotels. Studies relevant to career competencies topics are relatively scarce among the first-line staff in Saudi’s hotels industry. This study seeks to examine the relationship between career competencies and job performance among frontline staffs at luxury, mid and upper mid-scale hotels in Riyadh and Makkah regions of Saudi Arabia. This study used online questionnaire method and was sent to 700 different hotels with a response rate of 76% (n=499). Partial least squares structural equation modeling (PLS-SEM) was used for data analysis. Results showed that reflective, communicative, and behavioral career competencies have a statistically significant positive influence on individual work performance with values of (B=0.3, p<0.01), (B=0.34, p<0.01), and (B=0.21, p<0.01) respectively. A number of practical implications along with the research limitations were discussed.
Restorative justice in cases of gender-based violence against women: perspectives on shame, symbolic interactionism and agency
Authors: Lamanuzzi Marta
Published: March 2023

Restorative justice in cases of gender-based violence against women: perspectives on shame, symbolic interactionism and agency

This article addresses the debated issue of the appropriateness of restorative justice programmes in cases of gender-based violence against women perpetrated by men. After brief references to the literature on the topic, a few points for reflection will be offered combining different perspectives. Some concern the role of shame, from the victim blaming phenomenon – which often affects women victims of gender-based violence – to the so-called ‘reintegrative shaming’ of the offender theorised by Braithwaite. Others are drawn from symbolic interactionism, applied to restorative processes involving these types of crime. Finally, the importance of agency – a key point in restorative practices – is emphasised as it fosters the self-esteem of the victim and the rehabilitation of the perpetrator. These perspectives support the conclusion that there are no valid reasons to exclude restorative justice in cases of gender-based violence against women.
Letselschadevergoeding in de loonbelasting: de (smeer)put is nog niet gedempt
Authors: Hoynck van Papendrecht P.A.C.
Published: March 2023

Letselschadevergoeding in de loonbelasting: de (smeer)put is nog niet gedempt. Bespreking van HR 25 maart 2022, ECLI:NL:HR:2022:444 (Smeerput II)

De belastingkamer van de Hoge Raad heeft in 2022 geoordeeld dat werkgeversvergoedingen aan een werknemer voor blijvend verlies van arbeidsvermogen en immateriële schade onbelast zijn, tenzij hierover in de arbeidsovereenkomst afspraken zijn gemaakt en de vergoeding hoger is dan uit de erkenning van de aansprakelijkheid van de werkgever voortvloeit. De vergoeding moet dan tot het loon worden gerekend. Deze toets heeft gevolgen voor de (civielrechtelijke) afwikkeling van werkgerelateerde letselschade; het belang van een gedetailleerde vaststellingsovereenkomst en belastinggarantie is bijvoorbeeld toegenomen. Deze bijdrage bespreekt de gevolgen en het verschil wanneer is uitgekeerd onder een ongevallen- of schadeverzekering dan wel een andersoortige rechtspositionele regeling.
S(c)hockschade 2.0: het confrontatiegezichtspunt
Authors: Bosch E.W. , Korff A.J.
Published: March 2023

S(c)hockschade 2.0: het confrontatiegezichtspunt. HR 20 september 2022, ECLI:NL:HR:2022:1250 (Friese festival)

In zijn arrest van 20 september 2022 gaf de Hoge Raad een nadere duiding aan het confrontatiegezichtspunt bij shockschade. De auteurs bespreken dit arrest en schetsen de ontwikkeling van de confrontatie-eis in het Taxibus-arrest tot het confrontatiegezichtspunt in dit arrest. Daarbij plaatsen zij een aantal kritische opmerkingen over de motivering van het oordeel van de Hoge Raad in dit arrest. Verder stellen zij aan de orde of de vraag of de confrontatie te vermijden was niet feitelijk een eigenschuldverweer is, dat beoordeeld moet worden aan de hand van artikel 6:101 BW.
Pensar la democracia desde el espacio: usos de la vivienda social
Authors: Espinosa Julieta
Published: March 2023

El desarrollo de la democracia moderna requirió la organización y distribución del espacio. En este texto, desde una perspectiva genealógica, se describe y analiza el uso de las políticas y construcción de la vivienda social. En los países occidentales, las políticas de vivienda social empiezan en la última década del siglo XIX, continúan a lo largo del siglo XX y cambiarán con el nuevo milenio. Es claro que, al inicio, la vivienda social busca la inclusión de la clase trabajadora ciudadana, pero, desde los años ochenta va a significar segregación residencial, gentrificación y el control de los gobiernos de cualquier movimiento inconveniente. Nuestras conclusiones son que la inequidad de la vivienda social no es más que un síntoma de la paz capitalista, pues orilla a un modo de vida de supervivencia.

Palabras clave: democracia, vivienda social, segregación residencial.
Presencia de catalanes en México. Cinco siglos
Authors: Ynkelevich Pablo
Published: March 2023

José Ma. Murià, Presencia de catalanes en México. Cinco siglos (Ciudad de México: Academia Mexicana de la Historia–El Colegio de Jalisco, 2021), 95 pp.
Knowledge, Attitude, and Perception of Youth Population in Indonesia toward COVID-19 Vaccination
Authors: Alfian Nurfaizi  , Lelyana Sih Afgriyuspita  , Ni Made Adnya Suasti  , Ummi Imamatal Muttaqin  , Berliana Nur Azizah  , Indira Syahraya  , Baiq Dwi Hadiatul Azni  , Ayuning Tetirah Ramadhani  , Crysciando Jefryco Putra  , Nyilo Purnami
Published: March 2023

Introduction: COVID-19 vaccination acceptance by the youth population is still a major problem. Community vaccination programs are needed to immediately achieve immunity so that the goals of good health and well-being can be achieved. This study aims to identify the factors that influence vaccine acceptance in a group of youth non-health professionals.
Methods: This cross-sectional, observational questionnaire-based study was conducted among 194 individuals in the age range of 18 to 25 years through online questionnaires. Data was collected using snowball sampling techniques collect data from respondents about their socio-demographics, knowledge, attitudes, and perceptions (KAP). Statistical used descriptive and analytical calculations (Chi-square and Mann-Whitney test).
Results: There was a correlation between occupation, comorbid status, and history of COVID-19 with vaccination acceptance. The average score of knowledge among the non-vaccinated group versus the vaccinated group were 52.13 ± 14.556 and 53.68 ± 13.843 (out of 70), respectively (p= 0.509), while the average score for attitude was 6.76 ± 1.781 and 7.44 ± 1.220 (out of 8) respectively (p = 0.004). The occupation, comorbid status, history of COVID-19, perception of dangerous side effects, and willingness to pay were associated with COVID-19 vaccination acceptance.
Conclusion:  The vaccinated group showed a more positive attitude, though their average knowledge score was not significantly different with the unvaccinated group. Massive health promotion regarding COVID-19 vaccine safety, reassuring the population, especially the unemployed population and COVID-19 survivors should be taken by policymakers to ensure adequate knowledge, positive attitudes, and perceptions against COVID-19 vaccination.
VERİ MADENCİLİĞİ: KONUT FİYAT ENDEKSİ VE KONUT SATIŞ SAYILARININ BASİT DOĞRUSAL REGRESYON ANALİZİ
Authors: KOCABAŞ AKAY Mehlika , KAYA Zeynep Sude , ŞAHİN GÜNKUT Meral
Published: March 2023

Gelecekte şirketlerin en büyük sorunlarından biri büyük veri tabanlarından faydalı ve verimli bilgiyi elde edip analiz etmek olacaktır. Bu sorunu çözecek olan en önemli alanlardan biri veri madenciliğidir. Bu makale çalışmasında veri madenciliği kavramı literatürden çeşitli yönleriyle kapsamlı bir şekilde incelenmiş ve veri madenciliği yöntemlerinden biri olan basit doğrusal regresyon analizi uygulaması yapılmıştır. Uygulamada Konut Fiyat Endeksi ve konut satış sayıları arasındaki ilişkinin incelenmesi için 4 farklı hipotez ortaya konmuştur. Bu hipotezlerin doğruluğunun incelenmesi için IBM SPSS Statistics programından yararlanılmıştır. KFE ve konut satış sayılarına ait veriler 2013-2022 yılları arasında 12 aylık periyodlar halinde TÜİK resmî web sitesinden alınmıştır. 26 sınıftan oluşan verilerin basit doğrusal regresyonla analizi sonucunda KFE ve konut satış sayıları arasında anlamlı, orta derecede, pozitif yönde bir ilişki saptanmıştır. Elde edilen sonuçlara göre regresyon analizi için gerekli ön koşulların iyileştirilmesi ve diğer veri madenciliği yöntemlerinin de bu ilişki üzerinde denenerek sonuçların karşılaştırılması gerektiği ortaya konulmuştur.
Avaliação e seleção de processo de soldagem em uma empresa do setor metalúrgico por meio de métodos de tomada de decisão multicritério
Authors: Faria Isabella Cristina Souza , Filleti Remo Augusto Padovezi , De Oliveira Maria Célia , Helleno André Luís
Published: March 2023

Devido às diferentes características das tecnologias de soldagem disponíveis, é importante para uma empresa dispor de métodos que auxiliem na escolha da melhor opção para cada aplicação, de modo a promover o uso eficiente de recursos, bem como otimizar a produção da aplicação avaliada. Assim, esse trabalho visa propor um método de tomada de decisão para a seleção de tecnologia de soldagem baseado na ferramenta AHP COPRAS. Uma pesquisa de campo foi realizada em uma empresa multinacional do ramo metalúrgico para se identificar quais eram os critérios mais relevantes relacionados ao processo de soldagem. Por meio de entrevistas com especialistas da parte de soldagem, foi possível identificar e quantificar quatro critérios: Segurança e Ergonomia, Qualidade, Produtividade e Custo. A partir destes critérios, aplicou-se a ferramenta AHP COPRAS e verificou-se que, para o caso analisado, o processo automatizado era a melhor alternativa, quando comparado com o processo manual.
Colheita manual versus semimecanizada do fumo: uma análise ergonômica com aplicação do método OWAS
Authors: Santos Danielle Furtado dos , Pereira Aline Soares , Franz Luis Antonio dos Santos , Gomes Mario Conill , Fernandes Joselaine
Published: March 2023

A fumicultura representa um importante setor agrícola brasileiro. Atualmente o Brasil é o segundo maior produtor mundial de fumo e, desde 1993, o maior exportador do produto no mundo, sendo o município de Canguçu (RS) o maior produtor do estado desde 2016. Embora exista uma dificuldade no desenvolvimento de máquinas que mecanizem totalmente o processo de colheita, algumas propriedades já contam com máquinas de colher fumo semimecanizadas, que auxiliam nesse processo. Assim, visando verificar as vantagens biomecânicas de se efetuar a colheita de fumo de forma mecanizada, o objetivo do presente estudo é de fazer um comparativo entre dois métodos de colheita, manual e mecanizado. Para tal, efetuou-se os caminhos em harmonia com as fases típicas de uma Análise Ergonômica do Trabalho (AET) com auxílio do método OWAS. Foram visitadas 2 propriedades, onde foi possível perceber diferenças de desempenho entre elas, indicando que pode ser vantajoso sob a ótica da Ergonomia mecanizar a atividade de colheita.
Digitalização dos canais de distribuição de serviços bancários: impactos na cultura organizacional de um banco
Authors: Silva Leonardo Ramos da , Marchesini Márcia Maria Penteado
Published: March 2023

Nos últimos anos, inúmeras mudanças no setor bancário iniciaram uma competição entre as instituições financeiras para se diferenciarem e continuarem relevantes. Isso impulsionou a evolução na forma com que as instituições comercializam os seus serviços e produtos e acelerou a transição dos canais tradicionais, como agências físicas e caixas eletrônicos, para os canais digitais, como o internet banking e aplicativos para smartphones. O objetivo deste estudo é identificar, através de pesquisa qualitativa via estudo de caso de uma instituição financeira privada, os elementos da cultura organizacional que são impactados pela digitalização dos canais de distribuição de serviços e produtos bancários, dessa forma, é possível conhecer os traços de uma cultura organizacional inovadora e que favorece a implantação de mudanças estratégicas que facilitam a digitalização. Observaram-se treze elementos da cultura que tiveram alteração, sendo que os elementos visíveis tiveram impactos mais relevantes, dentre eles, a forma com que o líder se posiciona com os colaboradores, dando diretrizes pautadas na colaboração e autonomia, o layout físico dos locais de trabalho, que foram modificados para serem mais modernos e fomentarem a interação entre os colaboradores independente do cargo hierárquico e a adoção de metodologias para a  organização das atividades das áreas internas, adotando metodologias consolidadas, como o modelo de comunidades ágeis, por exemplo.
Digital game literacies and school learning: A sociocultural perspective
Authors: Bacalja Alexander
Published: March 2023

Background: Claims that digital games will save education have long emphasized features of the medium to support their arguments.

Aim: This paper aims to demonstrate the benefits of a sociocultural approach to digital game literacies.

Methods: I analyse literature associated with digital game literacies, as well as findings from case studies, to demonstrate the value of going beyond the medium and instead privileging game-related literacy practices.

Results: The medium is not enough. It is only when digital games are positioned within social and cultural contexts that we can fully understand how they might contribute to school learning.

Conclusion: The learning that might emerge from the inclusion of digital games into school-based curricula will require teachers and educators to carefully consider how digital game literacies can bridge the gap with the disciplinary school literacies that dominate schooling.
On the similarities of slaying dragons and ordering food: A proposition for using a Task-Based Language Teaching Approach for playing Tabletop Role-playing Games
Authors: Schneider Chris
Published: March 2023

Background: Given their potential for language learning, TRPGs can become effective teaching tools when implemented through a pedagogic framework. Aim: To demonstrate how TRPGs and task-based language teaching could align in theory. Methods: Theoretical comparison combined with script data from a student project and exemplification through three adventures. Results: TRPGs and TBLT align in several aspects theoretically, which few projects and pedagogic plans suggest. Conclusion: To maximize the learning benefits, it is suggested to combine research in a rather fast-headed joint action-research program.
SEÇİM EKONOMİSİ ve POLİTİK KONJONKTÜR HAREKETLERİ TEORİSİ
Authors: AKTAN Coşkun Can , GÜDENOĞLU Erdem
Published: March 2023

Bu çalışma, siyasi iktidarların uyguladıkları seçim kazanma odaklı ekonomi politikaları nedeniyle ekonomide meydana gelen dalgalanmaları ifade eden politik konjonktür hareketlerini incelemeyi amaçlamaktadır. Çalışmamızda öncelikle piyasa ekonomisinde kendiliğinden ortaya çıkan “iktisadi konjonktürel dalgalanmalar” ile devletin piyasa ekonomisine müdahalesi sonucu ortaya çıkan “politik konjonktürel dalgalanmalar” ayrımına bakacağız. Teorik literatürün kısa bir özetini sunacağız ve ardından sonuca dair bazı değerlendirmelerimizi takdim edeceğiz.
H. M. főhadnagy bűncselekményének jogi (re)konstrukciói
Authors: Szakolczai Attila
Published: March 2023

Egy járási pártbizottságon, később a Belügyminisztériumban dolgozó pártmunkás, majd 1956-ban önként a karhatalmi parancsnokságon jelentkező főhadnagy 1957-es büntetőügye kapcsán keletkezett iratanyag elemzésével világít rá a cikk, hogy a diktatúrákban a bírósági eljárás során aprónak tűnő részletek megváltoztatásával mennyire más megvilágításba kerülhet ugyanaz az eset, s ezáltal annak megítélése is.
Magyar hajnal hasad : Egy egyetemista emlékei az 1956-os forradalomból (különszám)
Authors: Csiffáry Gabriella
Published: March 2023

A cikk az 1956. október 23-i fővárosi eseményeket egy egyetemista – akkor még a győzelemben bízó sorokat papírra vetett – naplójának részleteinek segítségével idézi fel, amely egy 1957-ben elítélt peranyagából került elő plakátok, szórólapok, meghívók, emellett a különböző bel- és külföldi rádióadók tudósításairól készített feljegyzések mellett. A naplórészletek és korabeli fotók adnak hírt az egyetemisták mozgásáról, a kivonulásról, s arról, hogy mi történt a rádiónál, valamint az első halottakról is.
Clinical assessment of infantile haemangioma among patients attending the dermatology department of Rapareen teaching hospital in Erbil city
Authors:   MBChB, High Diploma Dermatology and Venereology, Lecturer, Department of Medicine, College of Medicine, Hawler Medical University, Sulaiman Alaa Abdulrahman , Wali Tara Foad ,   MBChB, High Diploma Dermatology and Venereology, Rapareen Teaching Hospital for Children
Published: March 2023

Background and objectives: Strawberry (capillary) haemangiomas are the most commonbenign tumors of childhood;they are present at birth in one thirdof cases. The remainder appears shortly thereafter. Sixty percentare on the head and neck, but they may occur anywhere. The aim of this study is to have a clinical evaluation of infants and children with haemangiomaand to identify risk factors associated with infantile haemangioma. Methods: A case control study involved 38 patients with infantile haemangioma and 38 controls matched by age and gender. Data were collected by direct interview with the patient’s guardians through a questionnaire including age, gender, birth weight, any complication during pregnancy or labor and the type of complication, gestational age (full term, premature, postdate), mode of delivery (normal vaginal delivery or caesarean section), duration of the lesion, age at onset, site (head, neck, trunk, groin, upper extremity, lower extremity), size, number of the lesions, any complications and type of it, interventions and type of intervention; pharmacological, surgical or laser and family history of haemangioma. Results:From a total of 76 patients and controls, 71.1% were females and 28.9% were males.Their age ranged from 1108- months.Sixty and a half percent of our patients were less than one-year age. Full term infants made 81.6% of our patients while premature infants were only18.4% of the patients. Mode of delivery was normal vaginal delivery in 55.3% of patients and 65.8% of controls while 44.7% of patients and 34.2% of controls were born by caesarean section. Hemangiomas were present since birth in 73.7%, 13.2% had their lesion in their first week, 5.3% developed the lesion during their second and fourth week of life and 2.6% developed lesion during their third week. Lesion werepresent on the head and neck in 47.4%. Minimum lesion size was 0.3cm and maximum diameter was 10.5cm. Conclusions: Infantile haemangioma are common in female babies, risk factors are prematurity and maternal anemia. Lesions were noticed at birth or appeared within few weeks and the majority had single lesion.
Assessment of the effects of antihypertensive drugs in patients suffering from hypertension in Kurdistan
Authors:   Assistant Prof, Medical College.Hawler Medical University, Almeshhadani Mohammed Hasan , Faeq Khasro Adel ,   Assistant lecturer, Kurdistan Board of Medical Specialties, Nidhamy Kamal Mohammed ,   Assistant Lecturer, Medical College, Hawler Medical University, Faeq Abdulsatar Kamil ,   Lecturer, Medical College, .Hawler Medical University
Published: March 2023

Background and objectives: Hypertension is an important cardiovascular disease that carries a high rate of mortality and morbidity if not controlled. Significant complications of untreated hypertension include vascular atherosclerosis, chronic kidney diseases, and heart failure. The aim of this retrospective study is to improve practitioners' and specialists’ practices in the management of hypertension in the Kurdistan region. This study assesses the response of our local patient population to different first-line and combination therapies for hypertension to identify the most effective approach. Methods: This is a retrospective study conducted on 500 patients diagnosed with hypertension consisting of equal numbers of males and females. The sample was randomly chosen using stratified random sampling methods whereby patients were finally divided according to the drugs they were prescribed into 5 groups: renin-angiotensin-aldosterone system inhibitors, calcium channel blockers, Diuretics, renin-angiotensin-aldosterone system inhibitors + calcium channel blockers and renin-angiotensin-aldosterone system inhibitors+diuretics. The goal was to achieve a blood pressure of less than 140 mmHg systolic and less than 90 mmHg diastolic, which was maintained for 6 months. The data was inputted into SPSS as categorical variables and analyzed by Chi-square test. Results: All the drug groups were significantly effective in bringing the blood pressure to the goal. In relation to mono-therapy calcium channel blockers achieve the goal in (82%) and were the most effective drug group in controlling blood pressure, whilst renin-angiotensin-aldosterone system inhibitors + calcium channel blockers achieve the goal in (85%) was the most powerful combination for controlling moderate to severe hypertension. All age groups were responding to treatment. Conclusions: All the drug groups tested either singly or in combination calcium channel blockers were best for monotherapy, whereas renin - angiotensin - aldosterone system inhibitors + calcium channel blockers were the best effective combination therapy.
Duhok acromegaly; a prospective cohort study
Authors:   Lecturer, College of Medicine, University of Duhok, Azadi Teaching Hospital, Duhok-Iraq, Qasim Bayar Ahmed
Published: March 2023

Background and objectives:Acromegaly is a rare hormonal disorder; the prevalence is around 60 cases/ million population, incidence is3.3new cases/million/year. Mortality rate 2 to 4 times that of general population. It is usually the result of a somatotrope adenoma in more than 95% of cases.The aim is to study our patient`s characteristics, to identify the best management for acromegaly, which can induce clinical, and biochemical remission, also this paper aimed to increase acromegaly awareness regarding the importance of early diagnosis of this disease. Methods:This is prospectivecohort study involving 15patients; the duration of study is 2 years (June 2015-June 2017). All patients diagnosed by high level of insulin-like growth factor 1 followed by growth hormone suppression test and MRI of pituitary gland. Those patients underwent transsphenoidal resection, diagnosis confirmed by histopathology too. Results:The median age of patients at presentation was 47.3 (SD 9.9), with majority between 40-50 years. Females constitute 8 of the patients, while number of males was 7. The most common chief complaint was headache accounting for 40% of cases. All patients at presentation were suffering from macroadenoma.The combination of surgical and medical treatment was more successful in reducing GH and IGF1 levels in comparison to medical treatment alone (p value of <0.001 and 0.037 respectively). Conclusions:The combination of surgical and medical treatment was superior to medical treatment alone in reducing GH , IGF1 level and inducing tumor remission.The two dilemmas we are facing here in Duhok are: First; delayed diagnosis as reflected by the fact all of our patients were macroadenoma at presentation, that is why we need to increase awareness about this disease and the importance of early diagnosis and early referral before onset of complications which directly associated with increase mortality. Secondly; low compliance for medical treatment, to improve this we need to provide free measurements of both GH and IGF1 levels for all patients receiving somatostatin analogue treatment
The outcome of percutaneous fixation of medial and lateral maleoli(Pott1s) fracture among adults in Erbil
Authors:   College of Medicine/Hawler medical university, Sleman Abdulkadr Muhammed
Published: March 2023

Background and objectives: Potts fractures are common fractures among elderly age community associated with soft tissue swelling. Percutaneous fixation is regarded as a newly developed technique for surgical intervention of Pott`s fractures.To assess the outcome of percutaneous fixation done for patients presented with Potts fractures to Erbil hospitals. Methods: This study was a follow up(prospective) study conducted in the Erbil teaching hospital in Erbil city from 1st of March, 2014 to 30th of June, 2016 on 32 adult age patients with Pott`s ankle fracture. Radiographs were regularly obtained 6 weeks postoperatively to check for union and 12 weeks postoperatively to evaluate healing, and as needed after more than12 weeks. Results: Mean age of Pott`s fracture patients was 43.3 years with predominance of male gender (53.1%). The main mechanism of injury was fall from height (53.1%) and common fracture type (according to Danis-Weber classification) was A (68.8%). The union rate of Potts ankle fracture was 100% with mean union duration as 9 weeks. The reported postoperative complications were tenderness (9.4%), malunion (9.4%), infection (6.3%) and painful bursa (6.3%). Excellent functional rating scale represented 68.7% of Pott`s fracture patients postoperatively. Conclusions: Percutaneous Screw fixation of Pott`sankle fracture had good outcomes.
The Complete Genome Sequence of Chrysina resplendens (Scarabaeidae, Coleoptera) the Golden Jewel Scarab
Authors: El Ghoubali Douae , Pirro Stacy , Nejjari Chakib , Ghazal Hassan
Published: March 2023

Chrysina resplendens is a scarab beetle endemic to Central America. We present the whole genome sequence of this species. Illumina sequencing was performed on a genetic sample from a single captive individual. The reads were assembled using a de novo method followed by a series of references from related species for finishing. The raw and assembled data is publicly available via Genbank: Sequence Read Archive (SRR5170512) and Assembly (JAADJY000000000).
Characterization of the scientific output on lithium batteries through SciVal topic analysis
Authors: Fernández Delgado Maria Carla , Ramírez Mendoza Julio Alberto , Cisnero Piñero Alejandro Luis
Published: March 2023

Introduction: in the context of the depletion of fossil fuels and the threat of climate change, countries are betting on a change in the energy paradigm, where lithium-ion batteries are at the technological frontier and their production has become widespread in recent decades.
Objective: to characterize the scientific output on lithium-ion batteries by analyzing SciVal topics.
Method: bibliometric study on the scientific output published in Scopus concerning lithium batteries between 2017 and 2021. SciVal was used to analyze articles clustered in the topic "Lithium-ion Batteries; Lithium Ion; Electrodes". Production, citation and collaboration indicators were determined.
Result: 98 articles were published in this topic, where the most productive year in papers and citations was 2017 (%Ndoc=25,51 %; %Ncit=46,53). 65,3 % of the articles were registered in the area "Materials Science" and 51 % within the area "Chemistry". 2 % of the articles were found in the top 1 % of the most cited articles, 27,5 % presented international collaboration. China (Ndoc=64), Japan (Ndoc=)20 and the United States (Ndoc=8) concentrated most of the scientific output, with China Three Gorges University being the most productive institution (Ndoc=11).
Conclusions: the scientific output on lithium batteries was mainly concentrated in first quartile journals, with articles in the areas of materials science and chemistry. There was a high rate of international collaboration, however, a low University - Company collaboration.
Los fondos europeos: incidencia en el desarrollo sostenible y el medio ambiente urbano de la Costa del Sol occidenta
Authors: Ortega Moreno Ildefonso
Published: March 2023

Desde la creación de la UE y la sucesiva incorporación de nuevos miembros, se ha puesto de manifiesto la existencia de diferencias económicas y territoriales entre regiones europeas, que han empujado a la UE a tener que impulsar una política activa de cohesión económica, territorial y social, marcada por los principios de desarrollo sostenible, integrado e inteligente, y con un fuerte componente de respeto y protección del medio ambiente. En dicha tarea, los fondos estructurales de inversión europeos (EIE) ayudan a disminuir las desigualdades territoriales y mejorar las condiciones de vida de los ciudadanos europeos, creando para ello el fondo europeo de desarrollo regional, el fondo social europeo, el fondo de cohesión, el fondo europeo marítimo y de pesca y el fondo europeo agrícola de desarrollo rural. En dicho contexto, la UE en estrecha colaboración con los gobiernos estatales, regionales y locales, impulsa convocatorias periódicas con gran repercusión en el medio ambiente urbano, a través de las “estrategias DUSI” (estrategias de desarrollo urbano sostenible e integrado), “acciones urbanas innovadoras”, “URBACT” y “proyectos singulares EBC” (economía baja en carbono), desarrolladas todas ellas bajo el paraguas principal de los fondos FEDER.
La gestión en España de los residuos procedentes de aceites vegetales comestibles del sector HORECA
Authors: Pascual Núñez María
Published: March 2023

Desde su creación, la Unión Europea ha impulsado un marco jurídico común vinculante para los Estados Miembros que la conforman, entre ellos España. En este contexto, la Unión ha creado de un cuerpo legal tendente a la protección del medioambiente, siendo este uno de sus objetivos principales. En 1973 fue aprobado el Primer Programa Comunitario de Acción en Materia de Medio Ambiente que favoreció la adopción de más de un centenar de disposiciones en este campo en la década de los setenta. Son muchos los objetivos de la política comunitaria en materia de medioambiente. Estos aparecen recogidos en el artículo 191.1 del Tratado de Funcionamiento de la Unión Europea. El principio de integración de la consideración ambiental en las demás políticas de la Unión Europea (artículo 11), “en particular con objeto de fomentar un desarrollo sostenible” ha sido el pilar sobre el que se han ido adoptando distintas normas tendentes a un uso eficiente de los recursos. En materia de gestión de residuos, la Directiva 98/2008 del Parlamento Europeo y del Consejo, de 19 de noviembre de 2008, sobre los residuos en conexión con la Estrategia Europa 2020 busca armonizar el desarrollo económico de la Unión con un uso más eficiente de los recursos. Consecuentemente, una de las pretensiones más ambiciosas de la Unión Europea es la prevención en materia de generación de residuos, y en caso de que estos se produzcan, su correcta gestión. Para ello, prioriza la jerarquía establecida en el artículo 4 de la mencionada Directiva: prevención, preparación para la reutilización, reciclado, otro tipo de valorización, por ejemplo, la valorización energética y eliminación.

Como veremos, los residuos procedentes de aceites vegetales comestibles producidos en el sector de la hostelería son susceptibles de ser transformados en otros productos. Dado su potencial contaminante y su valor en el mercado, esta opción debe constituir una prioridad para los estados miembros que deberán velar por una gestión eficaz y eficiente de este flujo de residuos.

Así mismo, tendremos la oportunidad de analizar la problemática que surge en el ámbito competencial territorial, habida cuenta de que el artículo 12.5.c).2º de la Ley 22/2011, de 28 de julio, de residuos y suelos contaminados dispone que la actuación de los EELL en relación con los residuos comerciales no peligrosos es potestativa, no obstante, la legislación nacional les ampara a la hora de imponer a los productores de estos residuos la obligación de adherirse al sistema de gestión municipal, siempre que dicha imposición venga motivada y se base en criterios de mayor eficiencia y eficacia en la gestión de los residuos.
Las mejoras en el desarrollo del proceso de intercalibración, en la Directiva marco de Aguas, a través de la gestión de las cuencas internacionales
Authors: Rodríguez Redondo Antonio Jesús
Published: March 2023

La Directiva Marco del Agua (DMA) como pilar básico de la política de aguas
de la Unión Europea (UE) estableció un nuevo enfoque ecológico en el que se
hace imprescindible la cuantificación del estado y estructura de los
ecosistemas asociados a las masas de agua. Si bien la valoración química para
determinar el estado de las masas de agua superficiales no supone mayor
problema, debido a la dilatada experiencia preexistente, la valoración del
estado ecológico presenta ciertas dificultades técnicas y jurídicas que –a pesar
de que la DMA ya las preveía- aún no han sido resueltas. Es por ello que el
largo ejercicio de intercalibración realizado hasta ahora, intenta resolver las
diferencias técnicas a la hora de establecer metodologías para la valoración de
los elementos biológicos de calidad, que se traducen finalmente en un
problema jurídico –la falta de armonización de definiciones normativas-. La
planificación hidrológica en demarcaciones hidrológicas internacionales puede
suponer un avance en la simplificación del ejercicio de intercalibración. La
Cuenca del Guadiana resulta ilustrativa de esta situación.
La resiliencia ambiental y el (re)posicionamiento del derecho ante una nueva era sostenible de obligada adaptación al cambio
Authors: Fortes Martín Antonio
Published: March 2023

El todavía carácter impreciso e inacabado de la resiliencia ambiental no desmerece su creciente importancia en las últimas décadas, desde el corazón mismo de la sostenibilidad, como nuevo criterio de ordenación ambiental y mecanismo de acción contra los efectos del cambio climático. Su interés radica en la evocación, no sólo de una capacidad de resistencia, sino también de adaptación y recuperación tanto de los sistemas ecológicos como de los socio-económicos y humanos. El Derecho no se ha mostrado ajeno a este fenómeno de la resiliencia ambiental en su apuesta por la estabilidad e integridad del medio natural incluso en su eventual formalización como emergente principio jurídico.
Las energías renovables en la reforma de la Ley Valenciana 5/2004, de Ordenación del Territorio, Urbanismo y Paisaje (LOTUP)
Authors: Guijarro González Elísabet
Published: March 2023

Este trabajo analiza la influencia que sobre las instalaciones de generación de
energía renovable ha tenido la reciente modificación de la Ley de Ordenación
del Territorio, Urbanismo y Paisaje de la Comunidad Valenciana (LOTUP).
Los resultados ponen en evidencia que, pese a que la voluntad de la ley es
favorecer a este tipo de energías, la realidad es que la modificación realizada
resulta de difícil interpretación dando lugar a una incertidumbre jurídica. Por
último, también se pone de manifiesto el hecho de que todavía existen muchas
autorizaciones o licencias requeridas a nivel urbanístico que frenan el
desarrollo de las energías renovables.
El constitucionalismo ambiental en Ecuador”
Authors: Mila Maldonado Frank Luis , Yánez Yánez Karla Ayerim
Published: March 2023

A partir de la entrada en vigencia de la Constitución de 2008 se generó un cambio de paradigma en la regulación constitucional ambiental en Ecuador, en virtud que la misma se inscribe en la concepción actual del nuevo constitucionalismo latinoamericano que propugna la consagración de la protección ambiental como un eje medular de las políticas del Estado. En tal sentido, en el Estado ecuatoriano se presentan particularidades que merecen un estudio pormenorizado de las normas constitucionales que regulan la materia ambiental, partiendo de la concepción de la naturaleza como sujeto de derecho, aspecto que abarca una serie de principios y valores constitucionales que procuran la protección y reparación integral del ambiente, así como la interpretación de las normas en pro de la naturaleza. En virtud de lo indicado, este estudio sistematiza las normas constitucionales que regulan los temas ambientales, bajo el enfoque del constitucionalismo ambiental del nuevo constitucionalismo latinoamericano.
La evaluación de las repercusiones de los proyectos de parques eólicos en los espacios de la red europea Natura 2000: criterios jurídicos para la adecuada interpretación de la normativa a la luz de la reciente jurisprudencia
Authors: Fernández-Espinar López Luis Carlos
Published: March 2023

El presente trabajo aborda la actual situación de aparente conflicto de intereses entre la instalación de parques eólicos como apuesta estratégica y ambiental en la política energética de la Unión Europea y la protección de los valores ambientales en los espacios y en los entornos de la Red Natura 2000, lugares habituales de emplazamiento de los mismos por las propias características técnicas de la energía eólica. Se analiza con detalle la evolución normativa del régimen de evaluación ambiental de las repercusiones de los parques eólicos en los lugares de la denominada red ecológica europea, desde la Directiva hábitats 92/43/CEE hasta su incorporación en las leyes actuales 42/2007 de Patrimonio natural y biodiversidad, y 21/2013 de evaluación ambiental, así como los recientes pronunciamientos judiciales de las diversas instancias hasta llegar al Tribunal Supremo, y que han dado lugar a sentencias contradictorias sobre instalación de parques eólicos tanto en su doctrina como en sus fallos judiciales que suponen además un preocupante cambio en la hasta ahora aplicación de los principios de seguridad jurídica y de discrecionalidad técnica de la Administración. Las Administraciones públicas competentes en las autorizaciones de parques eólicos así como las empresas eléctricas promotoras de los mismos asisten confusos a la anulación de autorizaciones de relevantes parques eólicos en explotación, en ocasiones aplicando además, partiendo de un juicio a priori, una errónea doctrina relativa a la “fragmentación” de parques en contra de la propia normativa ambiental y eléctrica, y sin que los órganos judiciales marquen con claridad el camino de cómo debe concretarse en la práctica la “adecuada evaluación ambiental” de los mismos. La razón jurídica de todo ello es la existencia de numerosos “conceptos jurídicos indeterminados” en la aplicación a los Parques eólicos de las disposiciones de la normativa de evaluación sobre la Red Natura 2000, ofreciendo en el presente trabajo soluciones interpretativas a cada uno de ellos y proponiendo la necesaria unidad de criterio de los órganos judiciales en orden a la necesaria compatibilidad de ambos bienes e intereses constitucionales.
PENGARUH FAKTOR FUNDAMENTAL TERHADAP RETURN SAHAM PADA PERUSAHAAN LQ-45 DI BURSA EFEK INDONESIA
Authors: Karyadi Nanan , Rita Rita
Published: March 2023

This study aims to determine the effect of Earning Per Share, Price Earning Ratio, Return On Equity, Firm Size and Earning Growth both partially and simultaneously on Stock Returns on LQ-45 Companies property, real estate and construction sector listed on the Indonesia Stock Exchange with a research period during 2014-2018. This type of research data is quantitative data. The sampling method used was purposive sampling method, so that 8 sample companies from a population of 14 companies or 40 finansial statement were obtained for 5 years of observation (2014-2018). The data analysis technique used is multiple regression analysis, wish the help SPSS Program . The data analysis process is done first is descriptive statistics, the classic assumption test, multiple linear regression analysis and then hypothesis testing. The results of this study partially show that Earnings Per Share, Price Earning Rasio, Firm Size and Earning Growth do not significantly influence Stock Returns, while Return On Equity have a significant effect on Stock Returns. The F test results of the study show that Earning Per Share, Price Earning Rasio, Return On Equity, Firm Size, and Earning Growth simultaneously have a significant effect on Stock Returns. The value of the coefficient of determination is 31% indicates that 69% of Stock Return are influenced by other variables not examined in this study. Based on the results of this study prove that investors use the Return On Equity data contained in the issuer's financial statements as a health analysis tool for a stock to obtain a decent return from a stock investment
IMPLEMENTASI AKUNTANSI PADA UMKM SERTA IMPLIKASINYA TERHADAP KUALITAS INFORMASI DAN PENGAMBILAN KEPUTUSAN
Authors: Purwanto Hadi , Rita Rita
Published: March 2023

The purpose of the study was to obtain an overview of the accounting practices applied to CV. X and knowing the reasons behind its implementation and knowing the implications of the application of these accounting practices on the quality of information produced by CV. X . This research is a type of qualitative research with a case study approach. The subjects in this study are medium-scale MSMEs in the Pasuruan area which are engaged in the concentrate block industry. Sources of data used in this study are secondary and primary data. Data collection methods used include observation, interviews, documentation of literature studies and Web studies. This study uses a descriptive technique to analyze the data. The results of this study stated that accounting practices in CV. X. has not fully referred to SAK ETAP. Although it has been able to prepare a number of financial reports according to the mandate of ETAP, CV.X has not been able to implement accounting according to standards properly. This is based on various factors including the environment, the lack of competence of the company's human resources, weaknesses in the company's control system and the lack of rules and regulations from the government. As a result, the company failed to meet the qualitative requirements of information quality. However, this does not affect the company to produce quality information. Poor accounting practices at CV.X apparently did not significantly affect the decision-making process.