bluuebunny/crossref_metadata_2025 huggingface dataset:
Menguak Esensi Kemerdekaan: Menafsir Galatia 5:1-26 Menggunakan Lensa Kasampurnan Syekh Siti Jenar
Authors: Say Eby
Published: November 2024

Tulisan ini hendak menggumuli teks dalam Surat Galatia 5:1-26 seputar pesan Paulus kepada jemaat di Galatia yang tengah mengalami kebimbangan iman. Jemaat di Galatia terombang-ambing dan mudah dipengaruhi oleh ajaran yang Paulus anggap tidak sesuai dengan prinsip hidup bagi orang yang sudah dimerdekakan oleh Kristus. Namun demikian, berkaitan dengan dimerdekakan oleh Kristus juga menjadi persoalan hermeneutis karena dalam pesannya kepada jemaat di Galatia. Paulus tidak mengelaborasi berkaitan dengan kemerdekaan yang dimaksudnya. Dalam pada itu, penulis akan menggali dimensi spiritual yang terkandung dalam Surat Galatia 5:1-26 untuk mendapat pengayaan makna. Langkah penafsiran yang penulis kerjakan adalah dengan menggunakan salah satu metode hermeneutik yang dikenal dengan istilah teknis seeing through. Adapun lensa yang penulis gunakan berasal dari konsep yang terdapat pada tradisi religius lain dalam hal ini Islam-Jawa, yaitu ajaran kasampurnan Syekh Siti Jenar. Hasilnya, melalui lensa tersebut penulis memahami bahwa dimerdekakan oleh Kristus berarti Allah telah menyingkapkan diri kepada umat-Nya namun demikian umat-Nya memiliki tanggung jawab untuk menginternalisasi dan mengalami transformasi dari peristiwa penyingkapan tersebut. Bagi orang yang sudah memahami esensi kemerdekaan dalam Kristus, maka hidupnya akan dipimpin oleh Roh yaitu Roh al-Haqq yang bersemayam dalam relung jiwanya hingga kemudian orang tersebut mampu menghasilkan buah Roh, mampu memilah yang fana dan baka serta tidak dipusingkan lagi dengan syariat agama.
This paper explores the text in Galatians 5:1-26 about Paul's message to the Galatians who were experiencing wavering faith. The Galatians were swayed and easily influenced by teachings that Paul deemed incompatible with the principles of life for people who have been set free by Christ. However, being set free by Christ is also a hermeneutical issue because in his message to the Galatians. Paul does not elaborate on freedom. In this regard, this article attempts to explore the spiritual dimension contained in Galatians 5:1-26 to gain enrichment of meaning. The interpretive step that this article takes is to use one of the hermeneutic methods known as the technical term seeing through. The lens that this article uses comes from the concept found in other religious traditions, in this case Islamic-Javanese, namely the kasampurnan teachings of Sheikh Siti Jenar. As a result, through this lens this article understands that being liberated by Christ means that God has revealed Himself to His people, however, His people have the responsibility to internalize and experience the transformation of the revelation event. For people who have understood the essence of freedom in Christ, then their lives will be led by the Spirit, namely the Spirit of al-Haqq who dwells in the recesses of their souls until then the person is able to produce the fruit of the Spirit, able to sort out the mortal and the immortal and no longer bother with religious law.
Pengaruh Pengelolaan Kelas Terhadap Efektivitas Belajar Siswa Pada Mata Pelajaran IPS Terpadu di MTS Negeri 2 Parigi Moutong.
Authors: Wildan Ahmad , Ilato Rosman , Bahsoan Agil , Halid Risca Marsanti , Tambengi Wulan Mayasari
Published: November 2024

This research aims to determine the influence of classroom management on the effectiveness of student learning in integrated social studies subjects at Mts Negeri 2 Parigi, Central Sulawesi Province. The data source for this research is primary data. Data collection techniques through distributing questionnaires. The population in this study was 121 students. Meanwhile, the sample in this research was 30 students. The results of the research show that Class Management has a positive effect on the Effectiveness of Student Learning in Integrated Social Sciences Subjects at Mts Negeri 2 Parigi, Central Sulawesi Province. In the results of the correlation coefficient test, the Pearson correlation coefficient value was 0.521. This shows that there is a fairly strong relationship between Class Management (X) and Student Learning Effectiveness (Y). The coefficient of determination test results obtained an R-Square value of 0.27.1. This value means that 27.1% of the variability regarding Student Learning Effectiveness in Integrated Social Sciences Subjects at MTs Negeri 2 Parigi Moutong, Central Sulawesi Province can be explained by Class Management, while the remaining 72.9% is influenced by other variables not examined in this research.
Perbedaan Efikasi Diri Siswa Dari Lingkungan Keluarga Wirausaha dan Keluarga Non Wirausaha Pada Siswa Kelas XI di SMA Negeri 3 Gorontalo
Authors: Rauf Indawati , Hafid Radia , Bahsoan Agil , Mahmud Melizubaida , Toralawe Yulianti , Tambengi Wulan Mayasari
Published: November 2024

This research aimed to determine the differences in self-efficacy between students with entrepreneurial family environments and non-entrepreneurial family backgrounds. This research adopted a quantitative approach with a comparative research method. Data collection techniques included observation, questionnaires, and documentation among Class XI students at SMA Negeri (State Senior High School) 3 Gorontalo, with a sample size of 40 respondents. Data analysis techniques involved descriptive statistical analysis and inferential statistical analysis. The research findings indicate differences in self-efficacy between students with entrepreneurial family backgrounds and non-entrepreneurial family backgrounds in Class XI of SMA Negeri 3 Goroutalo. In detail, the difference is noticeable in catrepreneurial families, which tend to have higher levele of self-efficacy than students from non-entrepreneurial families. In other words, the difference in self- efficacy between students with entrepreneurial and non-entrepreneurial families is not coincidental but considered statistically significant. This condition suggests that the entrepreneurial family background significantly influences students' self- efficacy development compared to the non-entrepreneurial family background.
Pengaruh Pertumbuhan Ekonomi dan Jumlah Penduduk Terhadap Tingkat Pengangguran di Provinsi Gorontalo
Authors: Kajim Nurafni , Panigoro Meyko , Mahmud Melizubaida , Canon Syarwani , Bumulo Frahmawati
Published: November 2024

The research aimed to determine the effect of Economic Growth and Population on the Unemployment Rate in Gorontalo Province. The research employed a descriptive approach with quantitative research methods. The data used were secondary data obtained from the Statistics (BPS) of Gorontalo Province. This research applied Multiple Linear Regression Analysis techniques with the help of SPSS 21 Program.  The research findings disclosed that 1) the economic growth affected the Unemployment Rate in Gorontalo Province positively and insignificantly, 2) the population affected the Unemployment Rate in Gorontalo Province negatively and significantly, and 3) simultaneously, the economic growth and population affected the Unemployment Rate in Gorontalo Province.
Pengaruh Implementasi Pembelajaran Online Terhadap Aktivitas Belajar Siswa Pada Mata Pelajaran IPS Terpadu di Kelas VII Mts Al-Khairaat Kwandang
Authors: Olii Fatmawati , Hafid Radia , Mahmud Rizan , Bumulo Frahma , Maruwae Abdulrahim , Polamolo Cristian
Published: November 2024

This research aimed to determine the effect of implementing online leaning on student learning activities in the Integrated Social Sciences Subject for Class VII  Of MTS (Islamic Junior High School) Alkhairat Kwandang. The research findings discovered a significant effect of the Implementation of online learning on student learning activities in the integrated social sciences subject in class VII of MTS Al-Khairat Kwandang. This condition was shown by the increase in student learning activity scores after participating in online learning compared to before the participation. To conclude implementing online learning can increase student learning activities in the integrated social sciences subject. Thus, it is recomemended that schools continue to develop and optimize the use of online learning as an alternative to the learning process.
Correlation of dynamic contrast-enhanced ultrasonography and the Ki-67 labelling index in pancreatic ductal adenocarcinoma
Authors: Lin Xiao-Jing , Zhu Shu , Wang Dan , Chen Jing-Yuan , Wei Su-Xian , Chen Shi-Yun , Luo Hong-Chang
Published: November 2024

BACKGROUND

Pancreatic ductal adenocarcinoma (PDAC) is a highly malignant and aggressive tumor, and high Ki-67 expression indicates poor histological differentiation and prognosis. Therefore, one of the challenges in diagnosing preoperatively patients with PDAC is predicting the degree of malignancy. Dynamic contrast-enhanced ultrasonography (DCE-US) plays a crucial role in abdominal tumor diagnosis, and can adequately show the microvascular composition within the tumors. However, the relationship between DCE-US and the Ki-67 labelling index remains unclear at the present time.

AIM

To predict the correlation between Ki-67 expression and the parameters of DCE-US.

METHODS

Patients with PDAC who underwent DCE-US were retrospectively analyzed. Patients who had received any treatment (radiotherapy or chemotherapy) prior to DCE-US; had incomplete clinical, imaging, or pathologic information; and had poor-quality image analysis were excluded. Correlations between Ki-67 expression and the parameters of DCE-US in patients with PDAC were assessed using Spearman’s rank correlation analysis. The diagnostic performances of these parameters in high Ki-67 expression group were evaluated according to receiver operating characteristic curve.

RESULTS

Based on the Ki-67 labelling index, 30 patients were divided into two groups, i.e. , the high expression group and the low expression group. Among the relative quantitative parameters between the two groups, relative half-decrease time (rHDT), relative peak enhancement, relative wash-in perfusion index and relative wash-in rate were significantly different between two groups (P = 0.018, P = 0.025, P = 0.028, P = 0.035, respectively). The DCE-US parameter rHDT was moderately correlated with Ki-67 expression, and rHDT ≥ 1.07 was more helpful in accurately diagnosing high Ki-67 expression, exhibiting a sensitivity and specificity of 53.8% and 94.1%, respectively.

CONCLUSION

One parameter of DCE-US, rHDT, correlates with high Ki-67 expression. It demonstrates that parameters obtained noninvasively by DCE-US could better predict Ki-67 expression in PDAC preoperatively.
Recurrence and influencing factors of hepatitis B surface antigen seroclearance induced by peginterferon alpha-based regimens
Authors: Lu Rui , Zhang Meng , Liu Zi-Han , Hao Miao , Tian Yan , Li Mei , Wu Feng-Ping , Wang Wen-Jun , Shi Juan-Juan , Zhang Xin , Jia Xiao-Li , Jiang Zi-Cheng , Li Xue-Mei , Xu Guang-Hua , Li Ya-Ping , Dang Shuang-Suo
Published: November 2024

BACKGROUND

The long-term stability of hepatitis B surface antigen (HBsAg) seroclearance following peginterferon alpha (peg-IFN-α)-based therapy has not been extensively studied, leaving the full potential and limitations of this strategy unclear.

AIM

To assess HBsAg recurrence after seroclearance achieved by peg-IFN-α regimens.

METHODS

This prospective, multicenter, observational study was conducted from November 2015 to June 2021 at three Chinese hospitals: The Second Affiliated Hospital of Xi’an Jiaotong University, Ankang Central Hospital, and The Affiliated Hospital of Yan’an University. Participants who achieved HBsAg seroclearance following peg-IFN-α-based treatments were monitored every 4-12 weeks post-treatment for hepatitis B virus (HBV) markers, HBV DNA, and liver function. The primary outcome was HBV recurrence, defined as the reemergence of HBsAg, HBV DNA, or both, at least twice within 4-8 weeks of follow-up.

RESULTS

In total, 121 patients who achieved HBsAg seroclearance were enrolled. After a median follow-up of 84.0 (48.0, 132.0) weeks, four subjects were lost to follow-up. HBsAg recurrence was detected in 16 patients. The cumulative HBsAg recurrence rate in the intention-to-treat population was 15.2%. Multivariate logistic regression analysis demonstrated that consolidation time < 12 weeks [odds ratio (OR) = 28.044, 95%CI: 4.525-173.791] and hepatitis B surface antibody disappearance during follow-up (OR = 46.445, 95%CI: 2.571-838.957) were strong predictors of HBsAg recurrence. HBV DNA positivity and decompensation of liver cirrhosis and hepatocellular carcinoma were not observed.

CONCLUSION

HBsAg seroclearance following peg-IFN-α treatment was durable over 84 weeks of follow-up with a cumulative recurrence rate of 15.2%.
Navigating the complexities of perianal Crohn’s disease: Diagnostic strategies, treatment approaches, and future perspectives
Authors: Singh Jai P , Aleissa Maryam , Drelichman Ernesto R , Mittal Vijay K , Bhullar Jasneet S
Published: November 2024

This article discusses the literature review article by Pacheco et al published in July 2024; the authors provided good reviews of perianal Crohn’s disease (CD), and challenges faced by clinicians in the management. CD, characterized by its chronic and relapsing nature, is an idiopathic condition that can involve any segment of the gastrointestinal tract. Perianal disease impacts up to 40% of patients with CD, with perianal fistulas constituting up to 80% of perianal lesions. Perianal CD can be highly incapacitating and profoundly diminish the overall well-being of patients. The management focuses on controlling the perianal sepsis and treating luminal CD. Biologics are crucial to the treatment approach, and results have been encouraging. The surgery focuses on controlling the sepsis, with more definitive treatments being fistula surgery, fecal diversion, and proctectomy as the last resort. This manuscript briefly describes the burden of CD, the challenges posed by perianal CD, and the role of different treatment modalities from colorectal surgeon’s perspective.
Role of Helicobacter pylori in esophageal carcinogenesis: Friend or foe?
Authors: Zhang Cong , Ouyang Yong-Wen , Li Zhao-Tao
Published: November 2024

In this letter, we comment on the article by López-Gómez et al , which explores the prevalence of Helicobacter pylori (H. pylori ) infection among patients with esophageal carcinoma (EC) in a cohort of Spain population. The relationship between H. pylori infection and EC is very complex. Previous research results are often contradictory due to the influence of dietary habits, age, region, and other factors. López-Gómez et al reported a very low prevalence of previous H. pylori infection in their cohort of patients with EC, and most of them had previously received or concomitantly received proton pump inhibitors treatment. These results are similar to previous results, which suggest that H. pylori infection is related to the low incidence of EC. Therefore, this study may provide a direction for preventing EC and eradicating H. pylori in Spain.
Magnetic Fabrics in Laminated Rocks of the Ilímaussaq Igneous Complex, Southern Greenland
Authors: O’driscoll Brian , Petronis Michael S. , Marks Michael A.W. , Mccarthy William J. , Mariani Elisabetta , Stevenson Carl T.E. , Clay Patricia L. , Geissman John W.
Published: November 2024

Nepheline syenites from the ∼1.2 Ga Ilímaussaq Complex of southern Greenland are examined to assess the utility of anisotropy of magnetic susceptibility (AMS) fabrics as proxies for silicate petrofabrics. Mineral lamination is a relatively common structural feature in cumulate rocks, including in the Ilímaussaq intrusion, but there is little consensus on the process (or processes) responsible for its formation. The Ilímaussaq AMS data are combined with rock magnetic experiments and electron backscatter diffraction (EBSD) measurements to characterize the magnetic mineralogy and compare the magnetic fabrics obtained to the silicate petrofabric. The data show that Na-amphibole (arfvedsonite) is most likely the dominant control on the AMS fabrics in the coarse-grained nepheline syenites (referred to as kakortokites), and that the AMS fabric is inverse relative to the observed silicate fabric. The EBSD data for a kakortokite sample suggests that the petrofabric is defined by arfvedsonite and is wholly planar, with evidence of only weak cross-lineation of c axes. The fine-grained nepheline syenites (lujavrites), two of which have a well-developed lamination carried by Na-pyroxene (aegirine), appear to have composite AMS fabrics that are considered to be a consequence of a mixed aegirine (normal) and arfvedsonite (inverse) response. The combined datasets shed light on the mechanisms of fabric acquisition in both lithologies. In the kakortokites, the AMS fabrics and silicate crystallographic preferred orientations, as well as the lack of observed microstructural evidence for subsolidus intra-crystal deformation, support models invoking gravitationally controlled crystal mats in the development of the macro-rhythmic layering of these rocks. In the lujavrites, the strong planar fabrics revealed by both the AMS and EBSD datasets, with some evidence of subsolidus deformation, point to fabric formation and perhaps even aegirine crystallization at the postcumulus stage. The combination of EBSD and AMS fabric datasets is a powerful means of deciphering the processes responsible for mineral alignment in igneous cumulates.
PREPARATION OF THERMOCHEMICALLY ACTIVATED CARBON ADSORBENTS BASED ON COTTON STEM AND COTTON SHELL AND THEIR IR SPECTROSCOPY ANALYSIS
Authors:   Doctoral student of Namangan Institute of Engineering Technology, Uzbekistan, qizi Qo’chqarova Durdona Ilxomjon , Ismatullayevich Soliyev Mahammadjon ,   Head of the chemistry department of the Namangan Institute of Engineering Technology, PhD, dots., Uzbekistan, Karimovich Ergashev Oybek ,   Namangan Institute of Engineering Technology Vice-Rector for Scientific Affairs and Innovations, Ph.D., Professor, Uzbekistan, qizi Ganiyeva Nazokat Muxtorali ,   Assistant of the Namangan Institute of Engineering Technology, Uzbekistan
Published: November 2024

This article discusses the practical importance of adsorbents today, areas of application, and methods of obtaining activated carbon adsorbents based on local raw materials. Preparation of adsorbents activated by the method of thermochemical activation based on cotton stalks and cotton bolls, functional groups in the obtained adsorbents were analyzed by IR spectroscopy.
LEXICAL CHARACTERISTICS OF THE NAMES OF PROFESSIONS AND CLOTHES IN GHAFUR GHULAM'S PROSE WORKS
Authors:   Teacher of Termiz State Pedagogical Institute, Uzbekistan, Sattorovna Nodira Hamidova
Published: November 2024

In the article, the lexical characteristics of the names of professions and clothes in Gafur Ghulam's prose works are written. It is noted that the names of professions and clothes attract special attention in the system of figurative means of expression in the language of Gafur Ghulam's works. In Gafur Ghulam's lexicon, words related to various professions and clothes, ethnonyms, dialectal words, slangs, words that are out of use but are used in accordance with methodological requirements, terms of newly discovered things, archaic and historical words are actively used.
CLARITY IN LEGAL LANGUAGE
Authors:   Doctoral Candidate at Namangan State University, Uzbekistan, Sayidaxmadovna Mirzakamolova Sadoqatxon
Published: November 2024

This article provides an extensive discussion of legal language and the concept of clarity within legal language. It explores the perspectives of scholars on the notions of rhetoric, clarity, and sincerity in the field of law, analyzing their differing and similar views. Theoretical foundations of clarity in legal discourse, both historically and in contemporary legal culture, are established and enriched with examples.
Pengaruh Komunikasi Terapeutik Terhadap Kepuasan Pasien di Praktik Mandiri Bidan
Authors: Nurafiyati Evi , Winangsih Rahmi , Kurniawati Nia Kania
Published: November 2024

Kepuasan seorang pasien pada layanan kesehatan bidan dipengaruhi faktor komunikasi terapeutik, komunikasi yang diterima akan menjadi pertimbangan bagi pasien untuk mempercayakan kesehatannya kepada bidan, dalam teori pertukaran sosial hubungan manusia diibaratkan seperti pertukaran ekonomi yang saling menguntungkan, bidan bangga apabila pasien puas dengan layanan kesehatannya yang akan berdampak pada keberlangsungan praktiknya, begitupun pasien yang menginginkan layanan kesehatan sesuai dengan harapannya. Penelitian ini bertujuan untuk mengetahui pengaruh komunikasi terapeutik bidan dengan pasien terhadap kepuasan pasien Praktik Mandiri Bidan (PMB) Fia Amalia, S.ST. Penelitian ini menggunakan metode analisis deskriptif dengan jenis pendekatan cross-sectional. Teknik sampel dalam pengujian ini adalah accidental sampling dengan sampel 96 responden. Hasil penelitian menunjukan adanya pengaruh komunikasi terapeutik bidan dengan pasien terhadap kepuasan pasien dengan nilai signifikansi diperoleh 0.000 < 0.05. Bagi peneliti selanjutnya diharapkan perlu adanya pembaharuan peneltian seperti memasukan variabel motivasi dalam penelitian, motivasi yaitu nasehat agar pasien merasa tabah dalam menghadapi penyakit yang dideritanya.
Dukungan Keluarga dan Resiliensi Akademik pada Mahasiswa di Universitas Klabat
Authors: Sanger Ailine Yoan , Sigar Dira
Published: November 2024

Academic resilience is the ability of students to withstand academic pressure. One of the factors that can influence academic resilience is family support. The purpose of this research is to determine the relationship between family support and academic resilience among nursing students at Klabat University. The method used is cross-sectional, with Pearson correlation statistical testing. This research uses purposive sampling techniques with Slovin's formula with a sample size of 109 respondents. The result showed that the majority of 39 (35.8%) respondents had moderate family support. Academic resilience was found to be predominantly at a moderate level with 49 (45.0%) respondents. The p-value result = 0.000 (< 0.05) with a correlation coefficient r = 0.600 indicates that there is a significant relationship between family support and academic resilience among nursing students at Klabat University, with a strong positive correlation. The higher the family support, the higher the resilience of the students will be. Recommendations are made for students to enhance their academic resilience by utilizing the support from their families, enabling them to be more resilient and persistent in facing academic challenges.
 
Keywords: Academic resilience, family support, students
Motivasi Mahasiswa Keperawatan Tingkat Akhir Dalam Belajar Bahasa Inggris
Authors: Lotulung Christa Vike , Purnawinadi I Gede
Published: November 2024

This study aims to analyze the motivation to learn English among nursing students, especially in facing global competition. This study uses a quantitative-descriptive approach with 95 students selected purposively. Motivation to learn English is measured through two main aspects, namely integrative motivation and instrumental motivation. The results of the study indicate that instrumental motivation such as the desire to support a career and understanding popular culture content, are the main drivers for students in learning English. In addition, integrative motivation such as the desire to understand the culture of English-speaking countries and interact with native speakers, also has a significant role. Educational institutions are expected to develop English learning programs that are more applicable, oriented to the world of work, and based on the global needs of students. Further research is recommended to conduct an in-depth analysis of the factors that influence motivation, as well as a longitudinal approach to track changes in motivation along with the education process.
Ciudadanía Digital y su Incursión en el Área de Humanidades: Diseñando un Currículo Innovador
Authors: Triviño Burbano María Vanessa
Published: November 2024

Se evidencia que las nuevas tecnologías han modificado nuestro estilo vida, no solo en la interacción de los jóvenes, sino también en el trabajo, porque se utilizan herramientas que benefician las tareas con la incursión de la inteligencia artificial se gestiona mejor los procesos de elaboración de productos en las multinacionales. Tras pandemia del COVID-19, todos los centros educativos añadieron el uso de tecnologías a su proceso de enseñanza, algunos docentes mostraron aversión a este tipo de capacitaciones porque no comprendían su funcionamiento. Pero después de un tiempo determinado se reflejó el nivel de positivismo para el profesorado y alumnado con aplicaciones como Padlet, Lino, Kahoot, entre otras, que permitieron abrir la brecha de intercambio de perspectivas entre estudiantes. Repasando la historia citamos a Célestin Freinet, quien en el siglo 20 o 30, lleva a su salón de clases la imprenta escolar, convencido en cambiar los procesos memorísticos y mecánicos que solo son repetición de contenido. No es necesario crear una asignatura que se titule ciudadanía digital, sino más bien potenciar el área de humanidades con el uso de las TICS e incentivar a los jóvenes al respeto y responsabilidad de sus actos. El enfoque de la investigación corresponde al método cualitativo y cuantitativo, que su objetivo es el manejo de la información y comprobar resultados reales. La población está conformada por 100 estudiantes y padres de familia, tomando como muestra 25 de cada grupo que forman parte de la sección del  bachillerato de una institución educativa de la ciudad de Guayaquil – Ecuador, se aplicará como instrumento la encuesta. La educación en ciudadanía digital es un elemento clave para superar los desafíos y aprovechar las oportunidades que presenta la sociedad digital actual. Al proporcionar a los estudiantes las habilidades y la conciencia necesarias para ser ciudadanos digitales responsables y conscientes, estamos allanando el camino para un futuro en el que la tecnología se utilice de manera ética, segura y efectiva. La ciudadanía digital y la educación son dos caras de la misma moneda, y juntas pueden impulsar una sociedad digital más inclusiva y ética.
Un Caso Raro De Feocromocitoma Sin Hipertensión
Authors: Valdivieso Jara Judith , Zapata Aguirre Gloria Zaida , Alberca Castillo Jaime Eliazar , Merchán Becerra Diana Ibeth , Calva Rivera Ana Ivette , Torres Diaz Danny , Carrión Berrú Celsa Beatriz
Published: November 2024

El feocromocitoma es un tumor neuroendocrino que representa menos del 0,2% de los casos de hipertensión, cuya severidad puede variar desde una actividad leve a moderada hasta la muerte súbita por crisis hipertensiva; por lo tanto, es una causa de hipertensión secundaria que en muchos de los casos se pasa por alto. El dolor puede manifestarse en algunos sectores del cuerpo, siendo más frecuente la cefalea intensa, el dolor torácico de característica anginosa y el dolor abdominal o incluso dolor lumbar que puede presentarse con irradiación anterior. En 60% de los casos, el tumor se identifica de forma incidental mediante estudios de imagen como tomografía computarizada y resonancia magnética de abdomen. El objetivo es describir una patología que, a pesar de ser poco frecuente, su diagnóstico debe considerarse ante la presencia de un adenoma suprarrenal. Se expone el caso de una paciente con incidentaloma suprarrenal con dolor lumbar en quien se identificó feocromocitoma. El adecuado manejo preoperatorio, monitorización intraoperatoria y postoperatoria evita complicaciones derivadas de la liberación de catecolaminas. La sintomatología del feocromocitoma es inespecífica y ante todo adenoma suprarrenal se debe descartar feocromocitoma mediante la medición de metanefrinas y catecolaminas fraccionadas en orina y plasma.
A Review of Algorithms and Platforms for Offloading Decisions in Mobile Cloud Computing
Authors: Haitham Murtadha Fatima , Faisal Behadili Suhad
Published: November 2024

With the substantial growth of mobile applications and the emergence of cloud computing concepts, therefore mobile Cloud Computing (MCC) has been introduced as a potential mobile service technology. Mobile has limited resources, battery life, network bandwidth, storage, and processor, avoid mobile limitations by sending heavy computation to the cloud to get better performance in a short time, the operation of sending data, and get the result of computation call offloading. In this paper, a survey about offloading types is discussed that takes care of many issues such as offloading algorithms, platforms, metrics (that are used with this algorithm and its equations), mobile cloud architecture, and the advantages of using the mobile cloud. The trade-off between local execution of tasks on end-devices and remote execution on the cloud server for minimizing delay time and energy saving. In the form of a multi-objective optimization problem with a focus on reducing overall system power consumption and task execution latency, meta-heuristic algorithms are required to solve this problem which is considered as NP-hardness when the number of tasks is high. To get minimum cost (time and energy) apply partial offloading on specific jobs containing a number of tasks represented in sequences of zeros and ones for example (100111010), when each bit represents a task. The zeros mean the task will be executed in the cloud and the ones mean the task will be executed locally. The decision of processing tasks locally or remotely is important to balance resource utilization. The calculation of task completion time and energy consumption for each task determines which task from the whole job will be executed remotely (been offloaded) and which task will be executed locally. Calculate the total cost (time and energy) for the whole job and determine the minimum total cost. An optimization method based on metaheuristic methods is required to find the best solution. The genetic algorithm is suggested as a metaheuristic Algorithm for future work.
A relação do notário com o utente
Authors: Thomas Carla , Monteiro Juliano Ralo
Published: November 2024

O presente artigo buscou analisar a atividade notarial e a responsabilidade do notário decorrente da relação profissional com o utente. Ao par da regulação da atividade notarial verificou-se haver a fiscalização do serviço diretamente pelo Poder Judiciário e a finalidade de conferir publicidade, autenticidade, eficiência e segurança na realização dos atos e negócios de interesse das partes. Como função pública jurídico-administrativa identificou-se não comportar a livre concorrência nem a busca pelo lucro que definem a atividade empresarial ou mercadológica que se submete ao microssistema do consumidor. Por fim, concluiu-se que há responsabilidade civil subjetiva do notário, conforme previsão na Lei nº 8.935/94. A pesquisa adotou o método dedutivo, com natureza qualitativa e, por técnica, a revisão bibliográfica.
Resenha do livro “Enriquecimento sem causa e sua aplicação aos bens digitais”, de José Luiz de Moura Faleiros Júnior (2024)
Authors: Rivabem Fernanda Schaefer
Published: November 2024

A obra “Enriquecimento sem Causa e sua Aplicação aos Bens Digitais”, escrita por José Luiz de Moura Faleiros Júnior, é o resultado de sua tese de Doutorado, defendido na Faculdade de Direito da Universidade de São Paulo, em 2024 e propõe, nas palavras do próprio autor, “uma releitura do enriquecimento sem causa, com base na categorização dos bens digitais”.
responsabilidade civil no consentimento livre e esclarecido
Authors: Cabral Hildeliza Lacerda Tinoco Boechat
Published: November 2024

O consentimento livre e esclarecido tem o papel precípuo de efetivar a tutela da dignidade da pessoa humana e resguardar os direitos existenciais do paciente, além de acolher a vulnerabilidade própria de quem se submete a tratamento médico-hospitalar, consagrando a humanização da medicina. Nesse contexto, o objetivo deste artigo é lançar luzes aos principais aspectos do consentimento livre e esclarecido capazes de repercutir na responsabilidade civil do médico. Nesse caminho, busca-se responder às seguintes indagações: Quem deve informar? Trata-se de um dever delegável? O que informar? Onde? Quando? Existe um dever de aconselhar? A quem informar? Embora pareçam indagações simples e usuais, merecem atenção por se constituírem questões de ordem prática, na incessante busca por efetividade da proteção à dignidade, em situações cotidianas do atendimento médico. Por fim, deve-se esclarecer que o consentimento informado pode conduzir ao sucesso ou à responsabilização civil. Por um lado, pode se tornar um excelente recurso de defesa para o médico, pois o registro, seja no prontuário do paciente seja no Termo de Consentimento Livre e Esclarecido (TCLE), constitui-se importante meio probatório para demonstrar o cumprimento do dever de informar e de obter o consentimento. Entretanto, por outro lado, descumprido o dever de informar em quaisquer de seus aspectos, o médico poderá responder por danos suportados pelo paciente.
The Influence Of Brand Image And Product Quality On Loyalty Through Customer Satisfaction As An Intervening Variable For Customers Of Almeeraakyla Pekanbaru
Authors: Permata Putri Silvi , Syaefulloh Syaefulloh
Published: November 2024

The research aims to understand: (1) The influence of brand image on customer loyalty with consumer satisfaction, (2) The influence of product quality on customer loyalty with consumer satisfaction, (3) The influence of brand image on customer loyalty, (4) The influence of product quality on consumer loyalty, and (5) The influence of consumer satisfaction on customer loyalty. The method of this research activity is quantitative. The population in this research activity is consumers who buy and consume Almeeraakayla products in Pekanbaru City with a sample of 100 people. The technique used in analyzing the data is Path analysis. With the results of the research, namely the Brand Image variable (X1) has a positive and significant influence on customer loyalty (Y) through consumer satisfaction (Z). The Product Quality variable (X2) has a positive and significant influence on customer loyalty (Y) through consumer satisfaction (Z). The Brand Image variable (X1) has a positive and significant influence on customer loyalty (Y). The Product Quality variable (X2) has a positive and significant influence on customer loyalty (Y)
Determination of Happiness and Spousal Support Level in Married Women's Relationships During Pandemic Period
Authors: Beydağ Kerime Derya , Alp Dal Nursel
Published: November 2024

Objective: The purpose of this study is to determine the level of happiness and spousal support in the relationships of married women in the pandemic period.
Methods: The sample of the descriptive and relationship-seeking type of research consisted of 1010 married. The data were obtained using the demographic questionnaire, the Relationship Happiness Scale (RHS), and the Spousal Support Scale (SSS).
Results: The average of the Relationship Happiness Scale scores of the women participating in the study is 34.16±6.47, while the average of the Spousal Support Scale is 66.61±13.16. There is a statistically significant positive and high-level linear relationship between the RHS scores and the SSS scores (r=0.741).
Conclusion: As a result of the research, it was determined that women's levels of spousal support and happiness in their relationships were high. It has been determined that the support women receive from their partners increases the happiness in their relationships.
Kronik Sağlık Sorunları Olan Adölesanlarda Kullanılan Geçişe Hazır Oluşu Değerlendirme Araçlarının Sistematik İncelenmesi
Authors: Kızıler Evrim , Yıldız Dilek
Published: November 2024

Amaç: Tüm dünyada kronik sağlık sorunları olan adölesanların pediatrik bakımdan erişkin servislere etkili ve sorunsuz geçiş çabaları artmakla birlikte Dünya Sağlık Örgütü (DSÖ) uygulanan geçiş politika ve uygulamalarının henüz istenilen düzeyde olmadığını bildirmektedir. Sorunsuz bir geçiş için adölesanların geçişe hazır oluş durumunun 14 yaş itibariyle sık sık değerlendirilmesi önerilmektedir. Bu çalışma, kronik sağlık sorunları olan adölesanların erişkin servislere geçişe hazır oluşunu değerlendirmede kullanılan araçların incelenmesi ve ülkemizde geçiş sürecine yönelik farkındalığın artırılması amacıyla yapılmıştır.
Yöntem: Çalışmanın evrenini Haziran-Kasım 2021 tarihleri arasında “adölesan", “pediatriden erişkin bakıma geçiş” ve "geçişe hazır oluşu değerlendirme” anahtar kelime kullanılarak CINAHL, Ovid medline, PubMed ve Google Scholar veri tabanlarının taranması ile elde edilen çalışmalar oluşturmuştur.
Bulgular: Araştırma sonucunda dahil edilme kriterlerini karşılayan 39 çalışmada geçişe hazır oluş kriterleri olarak çoğu adolesan hastalığı bilgisi, ilaç yönetimi, sağlık profesyonelleri ile iletişim ve özyönetim üzerine odaklanan 12 değerlendirme aracı bulunmuştur. Bu araçlardan yedisi tüm kronik hastalıklarda, beşi ise böbrek hastalıkları, orak hücreli anemi, epilepsi, psikiyatrik hastalıklar ve AIDS gibi belli bir hastalık grubuna özgü geliştirilmiştir. Belirlenen ölçeklerin güçlü ve zayıf yönleri göz önüne alındığında, bir kurama dayanması ve tüm kronik hastalıklarda kullanılabilmesi nedeniyle en fazla tercih edilen aracın Geçişe Hazır Oluşu Değerlendirme Ölçeği (TRAQ 5.0) olduğu saptanmıştır.
Sonuç: Halen belli bir teori temelinde oluşturulan, 16 yaşın altındaki hastalarda rahatlıkla kullanılabilen ve birden fazla paydaşın (adölesanlar, ebeveynler, sağlık profesyonelleri) katılımını sağlayan araçlara ihtiyaç bulunmaktadır.
Hemşirelik Öğrencilerinin Dijital Eğitsel Oyunlar Konusundaki Tutumlarının Belirlenmesi
Authors: Demirel Nehir , Kaya Hatice
Published: November 2024

Amaç: Bu araştırmanın amacı, hemşirelik öğrencilerinin dijital eğitsel oyunlar konusundaki görüşlerinin ve tutumlarının belirlenmesinin yanı sıra dijital eğitsel oyun kullanımını etkileyen sosyodemografik faktörlerin belirlenmesidir. Ayrıca hemşirelik öğrencilerinin dijital oyunlardan beklentilerini ve endişelerini belirleyerek dijital oyun tasarlamayı planlayan öğretim elemanlarına katkı sağlamaktır.
Yöntem: İstanbul’da bir yüksekokulun hemşirelik öğrencileri ile tanımlayıcı ve ilişki arayıcı türde gerçekleştirilen araştırmada 156 hemşirelik öğrencisine ulaşılmıştır. Araştırmada Dijital Eğitsel Oyunları Kullanma Ölçeği kullanılmış olup, örneklemi kolay ulaşılabilir durum örneklemesi ile belirlenmiştir.
Bulgular: Araştırmaya katılan öğrencilerin (156) %70.5’i kadın, %30.1’i dördüncü sınıf öğrencisidir. Öğrencilerin %78.2’sinin dijital eğitsel oyuna karşı nötr tutum sergilediği belirlenmiştir. Dijital eğitsel oyundan beklentileri incelendiğinde; %25’inin oyunların eğitici ve öğretici olmasını, %24.4’ünün hem eğitici hem eğlenceli olmasını, %21.8’i eğlenceli, sürükleyici ve interaktif olmasını talep etmiştir.
Sonuç: Araştırma bulguları doğrultusunda, hemşirelik öğrencilerinin dijital oyunları faydalı ve aktif bir öğrenme aracı olarak gördüklerini, oyunların eğitsel ve öğretici olmasının yanında eğlenceli, sürükleyici ve interaktif olması yönünde beklentilerinin olduğu, yeteri kadar eğitici oyun olmadığı için deneyimlerinin az olduğu, bu sebeple dijital eğitsel oyunlara karşı nötr tutum sergiledikleri kanısına varılabilir.
The Relationship Between Nursing Students’ Professional Competencies Related to Clinical Practices and Clinical Stressor Perceptions
Authors: Aydın Merve , Uzun Şahin Ceyda , Aksu Enes Furkan , Görgöz Mehmet
Published: November 2024

Objective: This study was planned to identify the relationship between nursing students’ professional competencies toward clinical practice and their perceptions of clinical stressors.
Methods: The research was conducted in a cross-sectional and correlational design between November and December 2022. The sample consisted of 737 nursing students.
Results: The results showed that the Competency Inventory for Nursing Students score was 251.93±33.74 and the Nursing Students’ Perceptions of Clinical Stressors Scale score was 85.43±17.52. Students' competency and clinical stressor perception scores are above the medium level, based on the average of the lowest and highest scores that can be obtained from the scales. A weak statistically significant relationship in the negative direction was found between the Competence Inventory scores and the Clinical Stressor Perceptions Scale.
Conclusions: As the clinical stressor perceptions of nursing students increased, their professional competence decreased.
Bir Kamu Hastanesinde Beyaz Kod Verilerinin Değerlendirilmesi: Retrospektif Çalışma
Authors: Sarı Emine , Demirbağ Birsel Canan
Published: November 2024

Amaç: Bu çalışmada, bir kamu hastanesinde beyaz kod verilerinin retrospektif olarak değerlendirilmesi amaçlanmıştır.
Yöntem: Bir kamu hastanesinde Ocak 2019- Aralık 2022 tarihleri arasındaki bildirimi yapılan 64 beyaz kod verisi incelenerek yapılan bu çalışma retrospektif tanımlayıcı tasarımla yürütülmüştür. Verilerin değerlendirilmesinde sayısal değişkenler için ortalama, standart sapma, minimum-maksimum değerleri; kategorik değişkenler için ise sayı ve yüzde değerleri verilmiştir. İstatistiksel analizler için SPSS-25 paket programı kullanılmış Ki-kare (X2) testi uygulanmış ve p
COSMIN Yanlılık Riski Kontrol Listesi’nin Türkçe’ye Uyarlanması
Authors: Gök Uğur Hacer , Bektaş Murat , Hendekci Ayla , Yılmaz Yavuz Ayten , Çiçek Elif
Published: November 2024

Amaç: Bu çalışma sistematik inceleme çalışmaları gerçekleştirilirken yöntemsel kalitenin arttırılması için geliştirilen COSMIN Yanlılık Riski Kontrol Listesi’nin (COSMIN Risk of Bias Checklist) Türkçe’ye uyarlanması amacıyla gerçekleştirilmiştir.
Yöntem: Çalışma metodolojik tasarımda Eylül 2022-Mayıs 2023 tarihleri arasında yürütülmüştür. COSMIN Yanlılık Riski Kontrol Listesini geliştiren yazarlardan izin alınmıştır. COSMIN Yanlılık Riski Kontrol Listesi iki dil bilimci tarafından Türkçe’ye çevrilmiştir. Ayrıca çalışmada yer alan 5 araştırmacı da formu Türkçe’ye çevirmiştir. Dil uzmanlarından gelen form ve araştırmacıların formları karşılaştırılarak COSMIN yanlılık riski kontrol listesi Türkçe formu oluşturulmuştur. Türkçe ve orijinal form sistematik inceleme alanında uzman üç öğretim üyesine gönderilmiş ve uzman görüşü alınmıştır.
Bulgular: COSMIN Yanlılık Riski Kontrol Listesi Türkçe formu için uzmanlar arasında tam uyum saptanmıştır. Uzman görüşleri doğrultusunda son şekli verilen form bir sistematik inceleme çalışması üzerinden araştırmacılar tarafından kullanılmış ve formun Türkçe’sinin sistematik inceleme yazarken kullanılabileceği belirlenmiştir. COSMIN Yanlılık Riski Kontrol Listesi; hasta beyanlı sonuç ölçütlerinin geliştirilmesi, kapsam geçerliği, yapı geçerliği, iç tutarlılık, kültürler arası geçerlik\ölçüm değişmezliği, güvenirlik, ölçüm hatası, ölçüt geçerliği, yapı geçerliği için hipotez testi ve duyarlılık olmak üzere 10 ana başlıkta toplanmaktadır.
Sonuç: Türkçe’ye uyarlanan COSMIN Yanlılık Riski Kontrol Listesi sistematik inceleme çalışmalarının yazımı ve kalite değerlendirmesinde kullanılabilecek geçerli bir ölçüm aracıdır.
Urinary Incontinence in Pregnancy and Its Effect on Quality of Life
Authors: Keskin Esra , Şahin Ebru
Published: November 2024

Objective: The aim of the study is to determine the incidence of urinary incontinence during pregnancy, its impact on quality of life, and the affecting factors.
Methods: The descriptive study was conducted on 300 pregnant women who applied to the pregnant outpatient clinic of a hospital in Ordu between December 2017 and May 2018. Data were collected using the Personal Information Form, Incontinence Quality of Life Scale (ASQI), and Incontinence Severity Index (ISI).
Results: It was determined that 91.7% of the pregnant women did not have urinary incontinence before pregnancy and 49.3% of them had urinary incontinence during pregnancy. It was found that 82.4% experienced incontinence during coughing and 75% during sneezing. It was determined that 35.7% of the pregnant women with urinary incontinence had mixed type UI, 31.6% had stress UI and 4.1% had urge UI. When the Incontinence Severity Index score of the pregnant women with urinary incontinence was evaluated, it was found that 54.7% were mild, 43.2% were moderate and 2% were in the severe group. There was a statistically significant difference between UI and the number of years, week, BMI, and type of delivery (p <0.05). There was a statistically significant difference between the gestational weeks of the patients with urinary incontinence in terms of quality of life and limitation of behavior subscale scores (p<0.05).
Conclusions: Incontinence quality of life levels of pregnant women with urinary incontinence were found to be lower than pregnant women without urinary incontinence.
COVID-19 Pandemisinde Hemşirelerin Merhamet Yorgunluğu ve Korku Düzeylerinin Belirlenmesi: Çok Merkezli Bir Çalışma
Authors: Çamlıca Tuğçe , Uyar Serpil , Çalışkan Neriman Özge , Yalın Hayat
Published: November 2024

Amaç: Bu araştırma, COVID-19 pandemisinde çalışan ve hala çalışmaya devam eden hemşirelerin süreç içinde yaşadığı korkuyu ve merhamet yorgunluğunu belirlemek amacıyla planlandı.
Yöntem: Araştırma 15.09.2021-15.12.2021 tarihleri arasında Türkiye’de Sağlık Bakanlığı’nda görev yapmakta olan hemşirelerin katılımıyla gerçekleştirildi (N=198.103, n=480). Veriler araştırmacılar tarafından literatür doğrultusunda hazırlanan bilgi formu ile Merhamet Yorgunluğu-Kısa Ölçeği ve Koronavirüs Korkusu Ölçeği kullanılarak online sistemde (Google Form) toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel metotların yanı sıra normal dağılmayan nicel verilerin analizinde Mann Whitney U ve Kruskal Wallis Testi kullanıldı. Veriler arasındaki ilişkinin incelenmesinde Pearson Korelasyon esti’nden yararlanıldı. Anlamlılık p<0.001 ve p<0.05 düzeyinde değerlendirildi.
Bulgular: Araştırmamızda yer alan hemşirelerin; evde birlikte yaşadığı bireylerin %45.4’ünün COVID-19 geçirdiği, %23.4 oranında bu bireylerin eşleri olduğu ve bulaşın %63.6 oranında kendileri tarafından gerçekleşmediği, %86.1’inin COVID-19 geçirdiği, %41.4’ünün bu hastalığa bir kere yakalandığı ve hastalığı orta düzeyde (5.49±2.35 (0–10 puan)) geçirdiği saptandı. Hemşirelerin COVID-19 Korkusu ve Merhamet Yorgunluğu Ölçeği toplam puan ortalamaları ise sırasıyla 20.62±7.52 (7-35 puan) ile 62.93±27.63 (13–130 puan) olarak saptandı.
Sonuç: Bu araştırmada hemşirelerin yaşadığı COVID-19 korkusunun, merhamet yorgunluklarını arttırdığı görüldü.
Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi
Authors: Kılınç Tülay , Karaman Özlü Zeynep , Yayla Ayşegül , Bağaçlı Nurhan
Published: November 2024

Amaç: Araştırma cerrahi girişim uygulanan hastalarda basınç yaralanması riski ve etkileyen faktörlerin incelenmesi amacıyla yapılmıştır.
Yöntem: Tanımlayıcı nitelikte tasarlanan araştırma Temmuz-Aralık 2022 tarihleri arasında bir üniversite hastanesinin ameliyathane bölümünde yürütülmüştür. Araştırma 400 hasta ile tamamlanmıştır. Verilerin toplanmasında “Hasta Bilgi Formu” ve “3S Ameliyathane Basınç Yarası Risk Tanılama Ölçeği” kullanılmıştır. Veriler tanımlayıcı istatistikler (yüzde, ortalama, sayı vb), Mann-Whitney U, Kruskal-Wallis, pearson korelasyon analizi ve çoklu doğrusal regresyon analizi kullanılarak değerlendirilmiştir.
Bulgular: Araştırmada hastaların 3S Ameliyathane Basınç Yarası Risk Tanılama Ölçeği toplam puan ortalamasının 15.66±4.21; basınç yaralanması riskinin %8.5 olduğu belirlenmiştir. Yaş (β=0.052), BKI (β=0.153), steroid kullanımı (β=1.580), ameliyat sırası kan kaybı gelişme durumu (β=2.470.), ameliyat sırası hipotansiyon gelişme durumu (β=1.470), ameliyat sırası hipotermi gelişme durumu (β=2.988), ameliyat süresi (β=5.164), ameliyat öncesi albümin (β=-0.435) ve kan glukoz (β=0.011) düzeyinin basınç yaralanması gelişimi için istatistiksel olarak anlamlı risk faktörleri olduğu saptanmıştır (p < 0.05).
Sonuç: Araştırmada cerrahi hastalarında basınç yaralanması riskinin düşük olduğu belirlenmiştir. Bazı sosyodemografik özellikler, steroid ilaç kullanımı, ameliyat öncesi albümin ve kan glukoz düzeyi, ameliyat sırasında kan kaybı, hipotansiyon ve hipotermi gelişiminin basınç yaralanmasını etkileyen faktörler olduğu saptanmıştır. Ayrıca basınç yaralanması gelişimini etkileyen en önemli faktörün ameliyatın süresinin 6 saatten uzun olması sonucuna varılmıştır.