bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH PEMAHAMAN PERPAJAKAN, SANKSI PERPAJAKAN, DAN KUALITAS PELAYANAN TERHADAP KEPATUHAN WAJIB PAJAK DENGAN KESADARAN SEBAGAI VARIABEL INTERVENING PADA KPP PRATAMA MEDAN BELAWAN)
Authors: Tanjung Sabrina , Syamsul Bahri Arifin  , Rizki Filhayati
Published: September 2022

Pajak merupakan salah satu sumber penerimaan penting bagi negara yang akan digunakan untuk membiayai pengeluaran-pengeluaran negara. Dengan membayar pajak, wajib pajak tidak mendapatkan jasa timbal balik secara langsung karena hasil dari pemungutan pajak digunakan untuk memenuhi kebutuhan negara dan kemakmuran rakyat. Oleh karena itu penelitian ini bertujuan untuk melihat pengaruh pemahaman perpajaka,sanksi perpajakan,kualitas pelayanan terhadap kesadaran wajib pajak,pemahaman perpajakan,sanksi perpajakan,kualitas pelayanan terhadap kepatuhan wajib pajak dan untuk melihat pemahaman perpajakan,sanksi perpajakan,kualitas pelayanan dapat memediasi kepatuhan wajib pajak melalui kesadaran wajib pajak pada KPP Pratama Medan Belawan. Jenis penelitian ini adalah kualitatif sebanyak 100 responden. Adapun hasil penelitian diperoleh bahwa secara parsial dan simultan pengaruh pemahaman perpajakan tidak berpengaruh signifikan terhadap kesadaran wajib pajak, sedangkan sanksi perpajakan dan kualitas pelayanan berpengaruh siginifikan terhadap kesadaran wajib pajak. Pengaruh pemahaman perpajakan dan sanksi perpajakan berpengaruh signifikan terhadap kepatuhan wajib pajak, sedangkan kualitas pelayanan perpajakan tidak berpengaruh signifikan terhadap kepatuhan wajib pajak. Pengaruh pemahaman perpajakan tidak dapat memediasi kepatuhan wajib pajak melalui kesadaran wajib pajak, sedangkan sanksi perpajakan dan kualitas pelayanan dapat memediasi kepatuhan wajib pajak melalui kesadaran wajib pajak
ANALISIS PENGARUH KOMPETENSI KOMUNIKASI DAN KECERDASAN EMOSIONAL TERHADAP KINERJA KARYAWAN DENGAN BUDAYA ORGANISASI SEBAGAI VARIABEL MEDIASI PADA DINAS BINA MARGA DAN BINA KONSTRUKSI PROVINSI SUMATERA UTARA
Authors: Widya Lestari Sekar , Hafizah  , Ezzah Nahrisah
Published: September 2022

Penelitian ini bertujuan untuk mengetahui pengaruh kompetensi komunikasi dan kecerdasan emosional terhadap kinerja karyawan dengan budaya organisasi sebagai variabel mediasi pada Dinas Bina Marga dan Bina Konstruksi Provinsi Sumatera Utara. Populasi dalam penelitian ini adalah seluruh karyawan bagian pada Dinas Bina Marga dan Bina Konstruksi Provinsi Sumatera Utara yang berjumlah 558 orang dan 234 responden sebagai sampel dengan menggunakan proportionated stratified random sampling. Teknik analisis data yang digunakan adalah analisis jalur (Path Analysis). Hasil penelitian ini menunjukkan bahwa variabel kompetensi komunikasi dan kecerdasan emosional berpengaruh positif dan signifikan terhadap kinerja karyawan. Variabel budaya organisasi memediasi hubungan antara kompetensi komunikasi dan kecerdasan emosional terhadap kinerja karyawan. Saran penelitian ini adalah harapan agar Dinas Bina Marga Dan Bina Konstruksi Provinsi Sumatera Utara dapat lebih meningkatkan kompetensi komunikasi dan menerapkan kecerdasan emosional dengan lebih baik dan diharapkan dapat meningkatkan rasa lebih bersahabat dan budaya organisasi yang lebih ramah dan tegas pada diri masing-masing karyawan karena ketiga variabel tersebut mempunyai pengaruh yang cukup besar terhadap peningkatankinerja karyawan pada Dinas Bina Marga dan Bina Konstruksi Provinsi Sumatera Utara.
The Influence of Service Quality on Consumer Satisfaction at Muslimah Salon and SPA
Authors: Arif Muhammad , Saputra Hendra Eka , Hidayati Nur
Published: September 2022

The purpose of this research is to find out The effect of physical evidence, reliability, responsiveness, assurance and empathy (variable X) on consumer satisfaction (variable Y) at Muslimah Salon and SPA. Models used in this study is a model of causality or influence relationship. Method This research was conducted with a quantitative method approach. Subject used in this study are consumers who use the services of Muslimah Salon and SPA in Tuah Karya Village, Tampan District, Pekanbaru City, while the object is the quality of service. The population in the study was 1,656 people, while the sample is 92 people. The sampling technique used with random sampling method, while the data collection technique used is a questionnaire. In analyzing the data used multiple linear regression analysis where the process calculation using SPSS for window 23.0. Partial test results are significant influence between service quality (variable X) on customer satisfaction (variable Y) in this Muslimah Salon and SPA can be seen from the tcount of physical evidence (X1) of 4.663 > ttable of 1.662 reliability (X2) of 2.048 > ttable of 1.662 responsiveness (X3) is 2,178 and the ttable value is 1,662 guarantees (X4) is 2,060 > ttable of 1,662 empathy (X5) of 2,097 > ttable of 1,662. Coefficient value correlation of 0.860 so that it is included in the category of having a strong relationship very strong influence of service quality on customer satisfaction at the Salon and Muslimah SPA in Tuah Karya Village, Tampan District, Pekanbaru City
Peningkatan Pengawasan Keselamatan Angkutan Penyeberangan Lintas Palembang-Muntok
Authors: Mudana I Ketut
Published: September 2022

Peningkatan keselamatan kapal adalah niscaya, mengingat tujuannya sebagai moda angkutan penyeberangan. Melalui metode analisis SWOT terlihat bahwa jumlah kapal yang tersedia memang banyak, namun rata-rata usianya sudah tua sehingga diperlukan pemeriksaan secara periodik. Pemeriksaan ini wajib dilakukan agar tidak memengaruhi kesempurnaan kapal demi keselamatan penumpang. Oleh karena itu, dibutuhkan Strategi S-O yaitu strategi pemeriksaan kapal secara periodik setiap tahun selama 4 tahun.
A percepção de crianças e adolescentes sobre os valores transmitidos pela cidade a partir do conceito de cidade educadora.
Authors: SANTOS MIRLEY FERREIRA , MOURÃO ADA RAQUEL TEIXEIRA , LAPA JUNIOR LUIZ GONZAGA
Published: September 2022

Com o objetivo de investigar a percepção das crianças e adolescentes do 4º e 5º ano de uma escola da Rede Municipal de Picos/Piauí (PI) sobre os valores transmitidos pela cidade, utilizou-se como referência a ideia de Cidade Educadora e sua contribuição para o desenvolvimento ético e moral desses jovens, enquanto espaço de formação de valores. Foi realizada uma pesquisa qualitativa, tendo como instrumentos de pesquisa o desenho das crianças e adolescentes e a entrevista semiestruturada. Os resultados evidenciaram a ausência de valores positivos, apontando a falta de espaços de lazer e de investimentos que construam uma cidade democrática, que possibilite a vivência de valores essenciais ao convívio coletivo e à formação social dos indivíduos que habitam na cidade, sem distinção de classes, visando a melhoria na qualidade de vida. Conclui-se que, na percepção das crianças e adolescentes, a cidade de Picos-PI necessita de políticas públicas eficazes para a construção de uma Cidade Educadora.
Peculiarities Of Self-Actualization Among People With Parental Deprivation In Childhood
Authors: Tarjumanyan Silvi , Papoyan Varduhi
Published: September 2022

The article discusses the results of our research on self-actualization among people
with parental deprivation. For decades, one of the most popular ideas in Maslow‘s theory
is the idea that people have an inborn desire to be self-actualized, in his words "What a
man can be, he must be" and parent‘s love and acceptance lays the groundwork for a
child‘s success in self-actualization. Consequently, there can be an assumption, that
people, who had parental deprivation in childhood, either because of absence of a parent(s)
or the failure of the main functions of the role of a parent(s), will have difficulties on the
path of achieving self-actualization. To illuminate this uncharted area, we have conducted
a research and examined 140 people 21-35 years old, of which 70 (research group) had
parental deprivation before the age of 10, and the other 70 (normative group) did not have
such an issue.
Principles Of Cross-Linguistic Cultural Comparison Of Armenian And English Emotional-Attitudinal Expressions
Authors: Grigoryan Gohar
Published: September 2022

Historically, there have been two approaches to interjections. First, as spontaneous verbal expressions that denoted emotional or mental states, later they were seen within the framework of verbal description. And indeed, interjections have natural expressive and symbolic-relative and communicative contents, which theoretically need to be reconciled to replace the contradiction between the mentioned approaches with a transition. For this purpose, it is necessary to examine emotional-attitudinal expressions (hereinafter EAEs) not only from the point of view of a single language but also from the point of view of cross-linguistic and intercultural comparison.
ÇOCUK TİCARETİ SUÇUNU ANLAMAK
Authors: USLU AK Büşra
Published: September 2022

Uluslararası hukuka göre, çocuk ticareti, 18 yaşından küçük bir kişinin cinsel sömürü, kölelik, zorla çalıştırma, kulluk veya organların alınması dahil olmak üzere sömürü amacıyla işe alınması, bir yerden bir yere taşınması, devredilmesi, barındırılması veya teslim alınması anlamına gelir. İnsan ticareti suçunun bir unsuru olarak çocuk ticareti, tüm ülkeleri ve bölgeleri uluslararası bir suç ağında birbirine bağlamaktadır. Her yıl çocuklar anavatanlarından başka ülkelere ya da kendi ülkeleri içinde, genellikle kırsal alanlardan kentsel alanlara kaçırılmaktadırlar. Çocuk ticareti suçu, başta Birleşmiş Milletler Çocuk Hakları Sözleşmesi olmak üzere uluslararası hukukta çocuklara garanti edilen insan haklarını ihlal etmektedir. En hızlı büyüyen ulusötesi suçlardan biri olan çocuk ticareti, çocukların hayatta kalmaları ve gelişmelerini, eğitim, sağlık ve korunma haklarını tehdit etmektedir. Bu çalışmada, çocuk ticaretinin ne olduğu, yaygın nedenleri, çocuğa olan biopsikososyal etkileri ile mağdurlarının genel profili ve çocuk ticaretine karşı mücadelede odaklanılması gereken unsurlar sosyal hizmet disiplini bakış açısı ile tartışılacaktır.
Self-Healing Robot
Authors: Kathe Aniket Manik
Published: September 2022

When people or animals get hurt, they will usually compensate for minor injuries and keep limping along, except for robots, even slight damage can make them stumble and fall. Now a robot scarcely larger than a person's hand has demonstrated a novel ability: It can recover from damage -- an innovation that could make robots more independent. The new robot, which seems like a splay-legged, four-footed starfish, deduces the form of its own body by performing a series of playful movements, swiveling its four limbs. By using sensors to record resulting changes within the angle of its body, it gradually generates a computerized image of itself. The robot then uses this to plan out the way to walk forward. The researchers hope similar robots will someday respond not only to wreck to their own bodies but also to changes in the surrounding environment. Such responsiveness could lend autonomy to robotic explorers on other planets like Mars -- a helpful feature, since such robots can't always be in touch with human controllers on earth. apart from practical value, the robot's abilities suggest a similarity to human thinking because the robot tries out various actions to figure out the shape of its world. Key Words: Error recovery, self-healing, algorithm implementation, theory to reality.
Retail Management of the Food Sector in the Indian Economy during Covid-19: A Systematic Review
Authors: Journal IJSREM
Published: September 2022

The coronavirus pandemic caused significant changes to businesses worldwide, its rippling effects still being felt today. As businesses adapt to the new restrictions, multiple researchers have analysed the new environment that these organizations operate in. The changes included less footfall in physical stores and an increase in online deliveries leading to stores having to change their entire format of operations. This paper looks to construct a literary review of food retailing and its changes during the COVID-19 pandemic spanning the agriculture and food retail sector supply and demand fluctuations, supply chain disruptions, and the rise of doorstep food deliveries. This paper involves a holistic review of the challenges faced and overcome by food retailing businesses in the past three years, and the prospects of these evolved business models. Our study includes findings from previous research and tries to establish a connection between the problems mentioned above, the increased use of digital services, and the significance of the pandemic as the exacerbator of existing issues in the established infrastructure of the agriculture and food retail sectors. Keywords ; Covid-19 Pandemic; Food supply Chain; Retail; Agriculture
Recognizing CAPTCHA using Neural Networks
Authors: Panda Santanu
Published: September 2022

CAPTCHAs (Completely Automated Public Turing test to tell Computers and Humans Apart) are distortions of texts or images so that they are still recognizable to most humans but can become difficult for a computer to recognize. Additionally, many CAPTCHAs also inject noise or additional structures such as blobs or lines into the image to further make it difficult to recognize. They are primarily employed as security measures on websites to prevent bots from accessing or performing transactions on the site. On the other hand, machine learning (ML) algorithms, in particular deep learning (DL) neural networks have been trained with significant success on similar problems such as handwritten digit recognition. This motivates us to build an ML-based CAPTCHA breaker that maps CAPTCHAs to their solutions.
Sustainable Irrigation for Enhancing the Water usability in Agriculture using IOT
Authors: Journal IJSREM
Published: September 2022

India is land of agriculture and most of the people here depend on agriculture for their livelihood. India can be among top 5 exporters of agro-commodities by shifting its focus on the agriculture and effective hand holding of the farmers. These days, one of the big challenges countered by formers is the scarcity of water. Another major dispute encountered by Indian agriculture sector is the increase in rate of formers suicide because of informal debt. According to the survey conducted in India there are 768 farmers committed suicide in 2014 and 766 in 2020 this is because of lack of fresh water for irrigation purpose, and with industrialization farmers are selling their property and they are moving towards the urban areas the only reason for this is scarcity of fresh water, with effective watering and skilled agriculture can lead to the very good yield in the farm land. So, innovations and implementations in agriculture using the available and reliable technology would reduce the cost of farming and increase the yield from agriculture and thereby we can see the prosperity in agricultural field. Key Words: soil moisture sensor, Ph-sensor, solenoid valve, relay, flowrate meter, ESP32, ESP8266MOD, Power junction, Generic.
Bibliometric Review of Inventory Management in Blood Supply Chain: A Systematic Review
Authors: Journal IJSREM
Published: September 2022

Management of blood inventories includes all procedures involved in ordering, storing, handling, and distributing blood products. To guarantee proper use of this priceless resource: Blood; effective inventory management is required. The overall objective of this study is to explore the optimization approaches in inventory management of blood supply chains. By summarizing the optimization techniques used, a framework was created, literature review was analyzed, variables and complexities affecting blood inventory performance were found and examined. As advice for upcoming researchers in this field, this paper includes the current state of knowledge, potential research areas, and gaps that are present in this field. Concerns were raised about managing the blood supply during the coronavirus disease 2019 (COVID-19) pandemic. Due to travel restrictions and concern over contracting the virus while visiting blood banks, blood donations during the pandemic significantly decreased. As a result, the purpose of this review is to analyze the research literature already in existence that deals with the modelling of blood collection, provide a detailed classification of the selected articles, and thus identify any areas that may benefit for further research. KEYWORDS- Inventory management, Blood, Supply chain, Blood banks, Platelets
A Research on the Content of the Flute Education Course Carried out in Faculty of Education Music Teacher Education Departments and Faculty of Fine Arts Music Departments in Turkey
Authors: Önal M. Ayça
Published: September 2022

One of the most important areas of music education is instrument education. Vocational music education, which is within the scope of music education in Turkey, is carried out in Education Faculties, Fine Arts Faculties, and State Conservatories in order to provide individuals with music as a profession. In these institutions, flute education is also included within the scope of “Individual Instrument” courses, where many instruments are available. In the research, the opinions of the lecturers working in different institutions were taken regarding the content of the flute education courses conducted in the Department of Music Education of Fine Arts Education Department and the Music Department of the Faculty of Fine Arts in Turkey. The research is important in order to show whether the students studying flute have achieved the goals of the flute education program, which they must earn in the four-year period, and that the students’ success in this regard can be increased. In this context, interview questions developed by the researcher and receiving expert opinions were applied to the study group, and the data obtained were tabulated and presented using the content analysis method, one of the qualitative research methods.
Influence of Intergroup Contact, Ethnicity and Education on Social Distance in Kosovo
Authors: Zenuni Anita , Blažič Mojca
Published: September 2022

Reducing social distance between communities with a previous history of violence is one of the crucial challenges in post-conflict societies. Social distance refers to the degree of understanding and intimacy between members of different groups. In this respect, this study examined the influence of direct intergroup contact, extended intergroup contact (i.e., knowing that a member of the ingroup has a positive relationship with a member of the outgroup), education and ethnicity on social distance in Kosovo. The sample of this study consisted of Kosovo Albanian (N = 125) and Serbian participants (N = 103) from ethnically mixed and non-mixed areas in Kosovo. Using hierarchical multiple regression analysis, the results show that direct intergroup contact, extended intergroup contact, ethnicity and education are significant predictors of social distance in Kosovo. Among the variables studied, ethnicity was found as the best predictor of social distance in Kosovo. Consistent with the previous findings, the study results show that increased frequency of direct intergroup contact and extended intergroup contact reduced social distance in Kosovo. Similarly, the results show that an increased level of education reduced social distance only among Albanian participants.
Vertikalna in horizontalna znotrajpanožna trgovina v Srbiji in Sloveniji
Authors: Ćuzović Đorđe , Sokolov-Mladenović Svetlana
Published: September 2022

Znotrajpanožna trgovina je sočasni izvoz in uvoz podobnih izdelkov s strani ene države. Pri tem se lahko kakovost izmenjanih izdelkov močno razlikuje. Zato je pomembno, da upoštevamo delež vertikalne in horizontalne znotrajpanožne trgovine v celotni znotrajpanožni trgovini. Pri horizontalni znotrajpanožni trgovini (HIIT) gre za izmenjavo podobnih izdelkov primerljive kakovosti, medtem ko se vertikalna znotrajpanožna trgovina (VIIT) nanaša na izmenjavo podobnih izdelkov različne kakovosti. Članek analizira horizontalno in vertikalno znotrajpanožno trgovino med Srbijo in Slovenijo v obdobju med 2004 in 2019. V tem obdobju se je Grubel-Lloydov indeks znotrajpanožne trgovine gibal med 0,22 in 0,48. Poleg tega je bil opažen višji delež vertikalne znotrajpanožne trgovine, kar nakazuje večjo zastopanost izmenjave proizvodov različne kakovosti v strukturi celotne znotrajpanožne trgovine.
AMWA Fellowships
Authors: Dobney Sarah
Published: September 2022

AMWA Fellowships are awarded to members who have made significant contributions to the goals and activities of AMWA. The 2022 Fellows are leaders with distinguished records of service at the chapter and national levels.
Harold Swanberg Distinguished Service Award
Authors: Dobney Sarah
Published: September 2022

The Harold Swanberg Distinguished Service Award, named in honor of one of the founders of AMWA, is presented to an active AMWA member who has made distinguished contributions to medical communication or rendered unusual and distinguished services to the medical profession. This year’s Swanberg recipient is Julia Forjanic Klapproth, PhD.
AMWA: Who We Are
Authors: Kukielka Elizabeth
Published: September 2022

Medical communicators are professionals with a knowledge of both medicine and writing who are able to deliver complex scientific information to a variety of audiences. As the leading professional organization for medical communicators with a membership of nearly 5,000, the American Medical Writers Association (AMWA) is well-situated to tap into their member network to better understand the diverse backgrounds and experience of medical communicators. In this article, AMWA presents the demographic data (eg, age, gender, education, and work experience) received from the Medical Communication Compensation Survey to create a snapshot of the medical writing community. AMWA emailed the most recent Web-based survey to medical writers and editors during the first quarter of 2019. Overall, 7,456 individuals received the survey, and 1,418 respondents completed the survey. About two-thirds (66.1%) of the respondents were employed by a company, similar to the 2015 survey (65.1%), whereas the remaining one-third were freelancers. Most respondents were female (83.4%), and the average age of all respondents was about 48 years. The average time spent working for pay as a medical communicator for all respondents was 12 years. Most respondents held a doctoral-level degree (46%) or a master’s degree (32%) as their highest level of education. Nearly half of all respondents had their highest degree in the field of science (47.2%), whereas 9% had their highest degree in English. A key takeaway from the survey is that medical communicators are a highly educated group of professionals, indicating a commitment to continuous learning. AMWA members are encouraged to keep their member profiles up to date to provide additional demographic information to support AMWA’s mission of promoting excellence in medical communication and providing educational resources in support of that goal.
OWNERSHIP TRANSFORMATIONS IN AGRICULTURE IN THE YEARS 1992-2020
Authors: Tańska-Hus Bożena , Kutkowska Barbara
Published: September 2022

The aim of the article was to describe the process of ownership transformations carried out in the years 1992-2020. It addresses economic determinants for the establishment of the Agricultural Property Agency of the State Treasury (APAST) Agricultural Property Agency (APA) as well as its tasks aimed at implementing these transformations. The analysis covered two transformation periods, namely the years 1992-1996 and 2000-2020. The research applied descriptive and descriptive–comparative methods as well as statistical descriptive and also a tabular technique. The basic source of research materials was the source literature and statistical data from the Agricultural Property Agency (APA), the National Support Centre for Agriculture (NSCA) reports and the studies published in Institute of Agricultural and Food Economics (IAFE) entitled “The Market of Agricultural Land”. It was attempted to define the role of land sale and land lease in this process. The changes which occurred in the leased and sold land were also indicated. The legal regulations in force regarding property turnover were discussed, pointing to the limitations resulting from these legal acts in the implementation of transformations. The research showed that both sale and lease played an important role in transformations in various periods of the APAST/APA functioning.
MESOECONOMIC MARKET ANALYSIS BASED ON SELECTED BIG DATA TOOLS – THE CASE OF WOOD MARKET TRENDS IN POLAND UNDER ECONOMIC UNCERTAINTY
Authors: Klus Sylwia , Topczwska Anna , Urbanowicz Zuzanna , Wanat Leszek
Published: September 2022

The paper discusses selected trend changes in the Polish wood-based products market under conditions of economic uncertainty. From a mesoeconomic approach, using Big Data resources and online e-commerce tools, the wood market was analyzed from the perspective of demand and online user activity. In terms of time scope, the research covered the period 2019-2021, including the pandemic year. Secondary data based on Google Ads and Google Analytics were analyzed. The study used selected open-source analytical tools, including Google Keyword Planner and Data Studio. The controversial hypothesis, which assumes that potential demand for wood and wood-based products shows a sustainable trend even under economic uncertainty, was verified. The findings were visualized and discussed. As a result, although the rationale for confirming the assumed hypothesis was not obtained. However, the results of the research proved to be interesting, out of the box. It turned out that the popularity and multifaceted use of wood is not limited by typical barriers. The consequence of the market situation is a growing demand for wood, but at the same time a supply deficit. This is a challenge for the wood market benchmarking and formulating practical recommendations for economic policy in the wood-based sector in Poland.
ACTIVITY OF PEOPLE WITH DISABILITIES ON THE LABOUR MARKET AND ITS DRIVERS
Authors: Skawińska Eulalia
Published: September 2022

A1
STRUCTURAL CHANGES IN AGRICULTURE VERSUS ADAPTATION PROCESSES IN THE WORLD OF ANIMALS – SEARCHING FOR ANALOGIES
Authors: Musiał Wiesław , Musial Kamila
Published: September 2022

The study deals with problem of using analogies in order to search for the adequacy of structural transformations in farms, and changes in animate nature. There has been presented the essence of the analogy method, usually defined as the similarity or correspondence of objects, phenomena, processes and states. That points out its universalism and interdisciplinary in the field of cognition, including natural and economic processes. The instrument of analogy can be helpful in searching for the truth and regularity in the world around us, as well as may be some source of inspiration for research, by providing invigorating thoughts, and creative effects. The possibility of such application of analogy is also explained by the statement that, in a sense, economics may also have had its origins in biology, as the science dealing with animate world, which components represented by different species, use various life strategies that favour survival in the constantly changing outside world. It is similar in economic reality, which agriculture and individual farms are crucial elements. Thus, it was assumed that it is possible to distinguish certain parallels in spheres seemingly as distant as the economics of agriculture, and the world of animals. The examples refer to such designates as: coexistence – evolutionarily stable strategy, cooperation – reciprocal altruism, and hostile takeover – aggressive mimicry.
CAUSAS MAIS COMUNS DE INAPTIDÃO PARA DOADORES DE SANGUE E HEMODERIVADOS DE ACORDO COM SEXO
Authors: Mingrone Claudia , Cerqueira Guimarães Maria Gabriela , dos Santos Borges Luiz Carlos , Penhalber Eduarda , Barutti Basilio Raquel , Pereira Cortez Afonso José
Published: September 2022

OBJECTIVE: Blood donation in Brazil is marked by a turbulent history of decentralized hemotherapy, without efficient policies. Article 64 of Federal Law No. 10,205/2001 requires that, prior to donation, candidates undergo a confidential screening process. This step is subdivided into: registration, and clinical and serological screening. Subsequently, the donor is considered fit, or as presenting permanent or temporary unfitness. Thus, the objective was to compare the main causes of unfitness to donate blood among men and women from blood centers between 2017 and 2020. METHODS: Observational and retrospective study, with a quantitative and qualitative approach. Tabulated information for the years 2017 to 2020 was extracted from the hemocenter database. RESULTS: Analysis was performed by comparing the causes of unfitness, in this case the sum between men and women, between the years 2017 and 2020. Among the 5 causes of unfitness for men, 4 are repeated every year, namely: use of medication, self-medication, and/or effective need for chronic diseases; recent surgery; risky sexual intercourse; arterial hypertension. Among the 5 causes of disability for women, 4 are repeated every year: medication use; recent surgery; low hematocrit/hemoglobin; tattoo/acupuncture/ear lobe piercing. CONCLUSION: When listing the main exclusion factors for donation between the sexes, it is noticeable that the causes remain constant over the years.
IMPACTOS DA PANDEMIA DE COVID-19 NA SAÚDE MENTAL DOS IDOSOS
Authors: Braun Isabelle , Gonçalves Gabriella , Piber Leonardo , Neves Lucas , Guimarães Graziella
Published: September 2022

OBJECTIVE: Covid-19 caused by SARS-CoV-2 began in Wuhan, China and in a short time spread across the world, becoming a pandemic. With this problematization, several governments adopted policies such as social isolation in an effort to reduce infection rates, and limiting the spread of the disease, especially in populations at greater risk, such as older adults. This study aimed to evaluate the impact of the pandemic on the mental health of older adults. METHODS: A quantitative, cross-sectional, analytical observational study was carried out, with a population of older adults (over 65 years old), from the city of São Paulo - SP, Brazil; through an online questionnaire (Google Forms®) guided by the Patient Health Questionnaire-9 (PHQ- 9), Geriatric Depression Scale (GDS), Geriatric Anxiety Inventory (GAI), and the Beck Anxiety Scale (BAI). In the statistical analysis, the Mann Whitney test was used, considering p<0.05. RESULTS: A total of 208 older people answered the questionnaire, 33% men and 67% women, of whom 30% lived alone. There was a statistically significant association between sex and feeling alone (p= 0.015) and in considering that professional help, even if virtual, would minimize the effects of social isolation (p=0.030), with evidence of this relationship among women. CONCLUSION: It is concluded that the older population deserves attention with regard to mental health care during the pandemic, due to the consequences of social isolation. It is inferred that older adults have a critical sense of their own mental health, signaling the need for social and clinical assistance.
TRATAMENTO ENDOSCÓPICO DA NEOPLASIA GÁSTRICA PRECOCE
Authors: Guirelli Lombardi Gabriela , Monzani Gonçalves da Silva Maria Clara , Faraco Maldonado Loureiro Jarbas
Published: September 2022

OBJECTIVE: Early gastric cancer (PGC) is defined as gastric carcinoma, which invades up to the submucosal layer, with or without lymph node metastasis, regardless of the size of the lesion. The 5-year survival rate for tumors restricted to the mucosa is between 92 and 99%, and when they reach the submucosa, it varies from 85 to 93%. The objective is to gather information about PGC and possible endoscopic therapeutic approaches. METHODS: In this review, articles were selected through the PubMed and Google Scholar databases, between the years 2017 and 2021, in English and Portuguese. CONCLUSION: Although the gold standard treatment for PGC is gastrectomy with lymphadenectomy, endoscopic resection has become the approach of choice as it presents results comparable to conventional surgery, in reducing morbidity and mortality, with low complication rates and low cost, as well as preserving the quality of life of the patient. There are two possible techniques: endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). When comparing the two techniques, EMR is not indicated for resecting lesions larger than 2 cm, as it increases the risk of local recurrence. In turn, ESD has higher rates of en bloc resection of larger lesions, however, it is associated with higher perforation rates and a longer procedure time. Follow-up is defined based on the classification of the lesion according to the endoscopic curability index (eCure) A, B, or C. Endoscopic treatment for PGC has replaced conventional surgery as it is a minimally invasive method and has several advantages.
Spasmofilia dengan Hipoparatiroidisme Pasca Tiroidektomi
Authors: Susanti Lydia , Indra Syarif , Noza Aulia
Published: September 2022

Spasmofilia merupakan keadaan patologis dimana terjadi hiperiritabilitas saraf dan otot (neuromuskular) akibat adanya gangguan keseimbangan elektrolit,  terutama ion kalsium (Ca2+) dan ion magnesium (Mg2+) yang ditandai dengan munculnya kedutan otot, kesemutan dan spasme karpopedal. Hipoparatiroidisme merupakan keadaan dimana produksi hormon paratiroid yang tidak adekuat. Keadaan ini jarang ditemukan dan umumnya disebabkan oleh kerusakan atau pengangkatan kelenjar paratiroid pada saat operasi tiroid. Laporan kasus ini  membahas mengenai pasien perempuan berusia 25 tahun dengan spasmofilia  dan hipoparatiroidisme sekunder  ec tiroidektomi.
Etterkommerne
Authors: Sangnes Gud­run
Published: September 2022

Mye har skjedd siden Petra Lie startet som den førs­te kvinnelige tannlege i 1872 og ble nektet opptak i foreningen da den ble stiftet i 1884. Per 1. ja­nuar 2003 er det 1 499 kvinner (36 prosent) og 2 630 menn blant de yr­kes­ak­ti­ve tannlegene. Blant tannlegestudentene er fordelingen rundt 50 prosent. 792 av kvinnene arbeider i privat praksis og 718 er offentlig ansatt. De fleste er medlemmer av foreningen, ­bare 36 av de yr­kes­ak­ti­ve står utenfor.
Neurologiske og farmakologiske forstyrrelser
Authors: Petersen Jens Aage Kølsen , Petersen† Jens Kølsen
Published: September 2022

PF ............................  pulsfrekvens

SV ............................  slagvolumen

PM ...........................  perifere modstand

B-glukose ...............  blodsukkerkoncentration

p.o. ..........................  peroralt

im. ...........................  intramuskulært

AK-behandling ......  antikoagulationsbehandling

INR ..........................  International Normaliseret Ratio
Helseplager relatert til tannfyllingsmaterialer
Authors: Lygre Gunvor Bentung
Published: September 2022

Gunvor Bentung Lygre forsvarte fredag 21. oktober 2005 avhandlingen «Clinical observations and follow-up of patients with adverse reactions related to dental materials» for den odontologiske doktorgrad. Avhandlingen utgår fra Fagområdet for odontologiske biomaterialer, Det odontologiske fakultet, Universitetet i Bergen og Bivirkningsgruppen for odontologiske biomaterialer, UNIFOB/UiB.
Tannleger og pasienter med kroniske smittsomme infeksjoner
Authors: Nilsen Aril Jul
Published: September 2022

«Det ytes stønad til infeksjonsforebyggende tannbehandling ved forberedelse til hjerteoperasjon, ved hjerte-, lunge-, lever-, og nyretransplantasjon. Det ytes også stønad til infeksjonsforebyggende tannbehandling så lenge pasienten står på immunosuppressiv behandling etter slik transplantasjon (ofte livet ut). Det ytes stønad til infeksjonsforebyggende behandling hos pasienter med HIV/AIDS.

 Dersom tenner må fjernes som ledd i infeksjonsforebyggende behandling, dekkes også utgifter til nødvendig protetisk behandling som følge av slik tannfjerning, inklusive eventuelle implantater. Behandlingen dekkes fullt ut etter offentlige takster.»
Er lokalt appliserbare antibiotika nyttige som tillegg til mekanisk behandling i terapien av periodontitter?
Authors: Preus Hans R. , Mjøen Even , Romstad Endre , Gjermo Per
Published: September 2022

Vitenskapelig baserte behandlingsteknikker er etter hvert blitt et begrep og en nødvendighet i medisinen så vel som i odontologien. En kliniker blir stadig presentert for nye behandlingsmetoder og -materialer som tilsynelatende har sin støtte i forskning. Det refereres ofte til «vitenskapelige dokumentasjon» i denne forbindelse for å «dokumentere» effekt og selge produktet eller teknikken. Den vitenskapelige dokumentasjon det vises til er imidlertid ofte utilstrekkelig som grunnlag for de anbefalinger som gis, og presenteres som sannheter for klinikeren.

«Systematic reviews» er en teknikk som er utviklet for å skille ut tilstrekkelig gode undersøkelser etter spesielle og strenge kriterier. Forskeren stiller et kvalifisert, klinisk spørsmål vedrørende en behandlingsmetode eller et materiale, og søker etter artikler som kan svare på spørsmålet.

De rapportene og artiklene man finner, blir tatt med i undersøkelsen, eller forkastet, avhengig av deres kvalitet mht. en definert vitenskapelig standard – dvs. design og gjennomføring. De rapportene som passerer nåløyet, får sine resultater vurdert samlet, og ofte behandlet statistisk som en helhet. Man kan si at dette er en videreføring og en kvalitetssikring av det vi kaller «science based dentistry», og resultatene kan antas å gjenspeile den faktiske viten om det spørsmålet som ble stilt innledningsvis.
Principper og strategier for sundhedsfremme i det 21. århundrede
Authors: Petersen Poul Erik , Åstrøm Anne Nordrehaug
Published: September 2022

Fakta 1. Definitioner af nogle vigtige forebyggelsesbegreber

Den foranstaltning eller proces, hvorved et bestemt uønsket fænomen forhindres, hæmmes eller reduceres.

Indsats for at mindske risikoen for, at sygdom overhovedet optræder, eller Indsats for at forbedre livskvalitet, at ændre sociale institutioner og at hjælpe samfundet til at tolerere større tilpasningsvariationer. Inden for miljøområdet: indsats rettet mod primærkilden til forurening.

Indsats for at finde symptomer og sygdomme i tidlige stadier for derved at afkorte sygdomsforløb eller medvirke til bedre prognose, eller Indsats for at hjælpe enkeltpersoner eller familier med at mindske påvirkningen af stress og for at hjælpe med at forudse problemer for sårbare dele af befolkningen.

Indsats for at forhindre tilbagefald af sygdom og for at forhindre kroniske tilstande, herunder funktionsnedsættelse pga. sygdom. Forebyggelsesbegrebet udvides i retning af revalidering – kaldes af nogle for god, tidlig behandlingsindsats. Ligger som regel uden for det traditionelle forebyggelsesbegreb. Inden for miljøområdet: rettet mod at styrke modstandskraften hos den enkelte.

Rettet mod brede områder.

Rettet mod enkelt-årsager eller mod specifikke sygdomme.

Tankegangen er at finde risikofaktorer, en risikoprofil eller risikosituationer, og derefter mindske eller fjerne risikoen. Kan inddeles efter indsatsniveau, fx

Risiko-individ

Risiko-familie

Risiko-miljø

Risiko-planlægning

Går på den eller de specifikke årsagskomponenter, som søges fjernet/påvirket.

Rettet mod fysisk årsag.

Rettet mod kemisk årsag.

Rettet mod psykiske årsager.

Rettet mod sociale årsager.

Forebyggelsesindsatsen rettes mod alle i befolkningen.

Forebyggelsesindsatsen rettes mod personer med særlige risikofaktorer eller med særlig høj risiko på en given risikofaktor.

Enhver aktivitet, som ved hjælp af en enkelt undersøgelse i en formodet rask befolkning skiller personer ud til nærmere undersøgelse. Indgår i helbredskontrol, i folkeundersøgelser, i masseundersøgelser (må ikke forveksles med case-finding, som bygger på, at en person selv henvender sig med et problem, som endnu ikke er klart formuleret).

Omfatter hele befolkningsgrupper.

Omfatter udvalgte risikogrupper med formodet eller kendt høj risiko.

Forebyggelse baseret på, at den professionelle – som regel væk fra sit kontor eller sin konsultation – opsøger de personer og grupper, som nu eller senere forventes at få problemer eller sygdom.

Ved bred forebyggelse sættes ind over for flere led i en årsagskæde eller i flere samfundssektorer samtidig.

Kun en enkelt faktor i årsagskæden har interesse, erkendelsesmæssigt og med hensyn til indsats.

Her er idéen, at folk selv er eller bliver aktive for at ændre levekår eller livsstil i sundhedsfremmende retning. Folk skal selv foretage sig noget for at opnå forebyggelsen og har – til dels – selv ansvaret for indsatsen.

Initiativ og ansvar er i det væsentligste overladt til den professionelle, som også afstikker løsninger og handlemuligheder.
Periodontal mikroflora – fra spesifisitet til kompleksitet
Authors: Aas Jørn A. , Olsen Ingar
Published: September 2022

Autogen – som er oppstått i kroppen eller fremstilt av materiale fra egen kropp.

Fenotype – egenskaper ved individet, formet av arv og miljø.

Isolat – isolerte bakteriearter fra en sammensatt bakteriekultur.

Habitat – området eller miljøet hvor en organisme eller et økologisk samfunn normalt lever.

Homeostase – evnen eller tendensen til en organisme eller et økologisk samfunn til å opprettholde likevekt ved å tilpasse seg fysiologiske prosesser.

Økologi – kunnskapen om samspillet mellom ulike former for liv og hvordan de avhenger av omgivelsene og hverandre.

Proteolyse – spalting av protein; hydrolyse av peptidbindingene i proteinmolekyler til dannelse av mindre polypeptid.

Mikrobiota – Mikroflora og mikrofauna som består av mikroorganismer.

DNA-DNA hybridisering – molekylær teknikk som måler grad av genetisk likhet mellom DNA sekvenser. Benyttes for å bestemme genetisk likhet eller distanse mellom arter.

Fylogeni – Avstamningshistorie. Evolusjonshistorien til en organisme. En evolusjonær sammenheng mellom grupper av organismer. Gir et familietre som viser genetisk sammenheng mellom forfedre og etterkommere.

Fylotype – en bakterieart som er genetisk unik fra andre bakteriearter.

Translasjonsapparatet – inngår i proteinsyntesen, genetiske koder fra rRNA (via tRNA) koder for sekvenser av aminosyrer som settes sammen til proteiner.

Genetisk populasjonsstruktur – genetisk variasjon innen et bakterielt samfunn.

Metagenomikk – studier av genetisk materiale fra en prøve hentet direkte fra et miljø.

Proteomikk – studier og analyser av proteomer – en celle eller et individs samlede antall uttrykte proteiner.
Suksess og overlevelse av implantatforankret protetikk
Authors: Ellingsen Jan Eirik , Ekfeldt Anders , Ekstrand Karl , Saxegaard Erik , Rønold Hans Jacob
Published: September 2022

Pasienten Implantatrelaterte faktorer

Generel helse Materiale

Orale helse Design

Forventninger Topografi

Årsak til tanntapet Overflatekjemi

Benkvantitet

Benkvalitet

Periodontium

Røykevaner

Bruxisme

Estetisk vurdering

Direkte belastning: En konstruksjon plassert i okklusjon med motstående kjeve innen 48 timer etter at implantatet er installert

Tidlig belastning: En konstruksjon som er i kontakt med motstående kjeve og plassert minst 4–21 dager etter installasjon av implantatet, men ikke senere enn 3 måneder.

Konvensjonell belastning: Konstruksjonen festes på implantatene etter en tilhelingsperiode på 3 til 6 måneder.

Forlenget(utsatt) belastning: Konstruksjonen plasseres senere enn ved konvensjonell tilhelingstid på 3–6 måneder

Spenningsfri passform i retensjonssystemet

God oral hygiene

Biokompatible protesematerialer

Høy biomekanisk styrke i valgte protesematerialer

God, funksjonell okklusjon og artikulasjon

God, naturlig estetikk

Ingen fonetiske hindringer

1. Resorpsjon av sadeldekkede kjevekamspartier vil kunne kreve foring/rebasering

2. Mekanisk slitasje av matrise/patrise-delene i festesystemet

3. Forutsetter at pasienten er motorisk i stand til å ta protesen ut og inn

1. Lettere tilgjengelighet for både teknisk og hygienemessig vedlikehold

2. Lettere å kompensere for parallellitetsavvik mellom fiksturer

1. Teknisk mer komplisert både m.h.t. fremstilling og vedlikehold

2. Vanskeligere tilgjengelighet for renhold både for pasienten selv og for tannhelsepersonell
Integritet i klinisk forskning
Authors: Jacobsen Nils
Published: September 2022

Potensielt helseskadelige eksperimenter

Mangelfull nytte-risiko-analyse

Manglende samtykke

Mangelfull informasjon til forsøkspersoner, deres foresatte eller pårørende

Deltakere som ikke forstår

Fordeler eller antatte fordeler (belønning) for deltakere

Mangelfull konfidensialitet

Forskning på gravmateriale, f. eks. fra minoriteter

Nürnbergkodeksen

FNs verdenserklæring om menneskerettigheter, sentrale punkter vedtatt som norsk lov

Helsinkideklarasjonen med revisjoner og tilføyelser

Lov om behandling av etikk og redelighet i forskning

Regionale komiteer for medisinsk og helsefaglig forskningsetikk (REK)

Den nasjonale forskningsetiske komité for medisin og helsefag (NEM)

EUs personverndirektiv

Personvernombudet for forskning

International Committee of Medical Journal Editors (Vancouverkonvensjonen)

Lov om medisinsk og helsefaglig forskning (Helseforskningsloven)

Fabrikere data

Forfalske data

Skjevtolke (statistiske) data

Utelate «ugunstige» data

Unnlate å sitere andres ugunstige data

Plagiere

Plagiere seg selv

Bruke data uten kildeanvisning

Sitere uleste kilder

Inkludere medforfattere som ikke har bidratt, eller omvendt

Unnlate å opplyse om interessekonflikter eller konkurrerende interesser

Stå som forfatter av publikasjon som egentlig er skrevet av sponsor

Dele opp data i flere publikasjoner enn naturlig, «salami» publikasjon

Manglende sporbarhet i prosedyrer, datafremstilling
Media, markedsføringslov og prising
Authors: Aksnes Kristin
Published: September 2022

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NTFs informasjonsmøte 2011
Authors: Rolstad Morten Harry
Published: September 2022

NTFs president; NTFs nettsted 13.10.2011 (Landsmøtets åpning):

«Vi ønsker oss medlemmer som er opptatt av pasientsikkerhet og medlemmer som gir tannhelsetjenester av god kvalitet.»

Fagnemndens leder; Tidende nr 12/2011 (kurskatalogen):

«Det er av stor betydning at vi kontinuerlig oppdaterer og kalibrerer våre kunnskaper, for å sikre en tannhelsetjeneste av høy kvalitet og for pasientenes sikkerhet.»

Velkomsthilsen; Tidende nr 9/2011 (landsmøteprogrammet):

«Faglig oppdatering og kvalitet er blitt stadig viktigere. Politiske kretser ser på tannhelsebransjen med stadig mer skjerpet blikk, og pasientene forventer kvalitet på alle felt.»

Fagnemndens leder; Tidende nr 9/2011 (landsmøteprogrammet):

«Etterutdanning er nødvendig for at vi skal kunne gi våre pasienter en sikker og moderne behandling av høy kvalitet.»
Samtaler mellom celler ved tilheling av benbrudd
Authors:   E-post: ying.xue@uib.no
Published: September 2022

Ying Xue disputerte den 4. februar 2011 for PhD-graden ved Universitetet i Bergen med avhandlingen:

«Interactions between endothelial and bone marrow stromal cells of relevance to bone tissue engineering».

Ying Xue er født i Shaanxi, Kina i 1980, og er utdannet tannlege fra stomatologisk fakultet ved Xi''an Jiaotong University. Hun har også mastergrad fra samme universitet. I perioden 2007 - 2010 har hun arbeidet som ph.d.-stipendiat i forskningsgruppen for styrt vevsbygging og regenerasjon ved Institutt for klinisk odontologi, medisinsk-odontologisk fakultet, Universitetet i Bergen. Hennes veiledere har vært professor Kamal Mustafa, professor Kristina Arvidson og professor Sølve Hellem.