bluuebunny/crossref_metadata_2025 huggingface dataset:
Random Effect Model for Ethical Stewardship Mediation among Ethiopia's SMEs based on Marketing Proficiency and Orientation
Authors:   Bule Hora University, Ethiopia, Negeri Dereje Dinsa
Published: June 2023

As the world economy continues to move towards deeper integration, MSE will benefit most from its involvement in the global economy. With ethical stewardship acting as a mediating factor, this study will investigate the effect of marketing talent and direction on venture success: the state of a select group of Ethiopian SME sectors. Using surveys and questionnaires to gather data, the study used a quantitative research design method. SME owners and leaders of the job opportunity creation and proficiency offices in both zones and towns are purposefully chosen to participate in this study through random sampling and purposeful sampling, and they are asked to complete questionnaires. Given the extent of the Zone, the researcher will pick five towns to study: Nagele, Adola, Shakiso, Bore, and Haro Wachu. The sample size was determined to be 382 responders in total. Due to Yamane's (1967) simplicity of use, the sample size will be determined by taking into account the anticipated total population of 2,322 business owners, job creators, and competent office executives in 5 towns. For the data analysis in the meta analysis, the random effect model was employed. The impact of marketing talent and direction on venture success was examined in this case using mata analysis, which also used forest plot, funnel plot, moderation analysis, publishing bias based on effect size, and ethical stewardship as a mediating factor. The results indicated that every factor had a positive and notable impact on a company's ability to sustain itself.
Peningkatan Pemahaman Siswa SMK Jember tentang Keamanan Pangan dan Legalitas Usaha untuk Mendapatkan Ijin Edar BPOM
Authors: Cahyani Wahyu Kanti Dwi , Wulandari Anita , Widodo Richardus , Mahayani Anak Agung Putu Sri
Published: June 2023

Sosialisasi tentang keamanan pangan dan legalitas usaha untuk meningkatkan pemahaman siswa SMK Jember bidang kejuruan agribisnis pengolahan hasil pertanian sangatlah tepat untuk siswa SMK yang nantiny akan menjadi wirausaha dibidang pangan. SMK Jember merupakan sekolan menengah kejuruan di bidang agribisnis pengolahan hasil pertanian yang nantinya akan menyiapkan lulusan dengan ktrampilan dan siap kerja dibidang keahliannya. Kegiatan ini bertujuan untuk memberikan pemahaman dan penambahan wawasan yang berkaitan dengan keamanan dan legislasi pangan. Kegiatan ini dilaksanakan pada bulan April 2023 yang diikuti oleh siswa/siswi SMK bidang kejuruan agribisnis pengolahan hasil pertanian topik yang diberikan sejalan dengan kejuruan yang ada yaitu tentang keamanan dan legislasi pangan untuk mendapatkan ijin edar BPOM. Metode yang di lakukan dalam kegiatan ini sosialiasi pada setiap pertemuan dengan narasumber di aula SMK Jember dan setelah pemberian dari narasumber dilakukan diskusi dengan guru dan siswa. Hasil kegiatan ini berupa pemahaman akan wawasan tentang keamanan pangan yang dimulai dari diri sendiri dengan mengenal lima kunci keamanan pangan sedang untuk legalitas usaha seorang wirausaha untuk mendapatkan ijin edar BPOM.
The transition experiences of novice mid-level academic nurse leaders from educators to administrators: A qualitative study
Authors: Velasquez Joana
Published: June 2023

Objective: The shortage of academic nurse leaders (ANLs) is imminent and creates a crisis for the nursing profession. Academic administrators influence the nursing workforce’s preparation. When nursing programs and educators fail to address the urgent nursing shortage, this can result in short- and long-term impacts for the nursing profession. The purpose of this qualitative study was to explore the experiences of novice mid-level ANLs who transitioned from educators to academic administrators.Methods: A basic qualitative research design was conducted to gain insight into the transition experiences of 10 novice mid-level ANLs. A purposeful sampling technique was used to recruit and select qualified study participants. Individual interviews via Zoom were used to collect data from participants. The researcher used a semi-structured, open-ended interview protocol. A thematic analysis with a constant comparison method, was used to analyze the data.Results: The interview results yielded six themes, which included (1) transitioning into an academic nurse leader, (2) role preparation and professional development, (3) having support, (4) insufficient time, (5) public challenges, and (6) feeling confident but still learning.Conclusions: The study results revealed that role preparation, professional development, and support were essential facilitators during the transition process. The results also suggested that early role preparation of emerging ANLs could build a cadre of qualified, well-prepared academic administrators, thus ensuring academic leadership succession. Recommendations for practice included role socialization, individualized leadership development programs, and formal structured mentoring.
Career development to construction site managerial positions in the construction field
Authors: Rautio Krista , Uusiautti Satu , Hyvärinen Sanna
Published: June 2023

This research explores career development in the construction industry. By showcasing the career narratives of managers of construction sites (N=21), the research unfolds which elements are significant in influencing career development and aims to increase the possibilities for construction workers to flourish in their careers and help make such careers more attractive. The career narratives were analyzed in two phases. First, the analysis of narratives showed that except for the various career experiences, the proximity of construction sites in the interviewees’ managerial career goals differentiated the narratives. Second, as a result of narrative analysis, three construction managerial career paths were identified: I) devotion to construction site management, II) interest in versatile construction projects, and III) passion for leadership. Career development could be viewed from the perspective of various capitals which emerge in the narratives. The interviewees brought up societal and economic changes that challenged or boosted their careers or even caused them to change direction. Career goals might not have been achieved as such if they were not enabled by external factors, such as organizational, economic, societal, or location-related issues or favorable coincidences. The participants found favorable options and solutions for career development by drawing on their social and psychological resources. Social capital supported career choice and career development, whereas psychological capital appeared as, for example, optimism, perseverance, and an ability to follow one’s calling.
The Use of Patient-Reported Outcome Measures in Clinical Practice and Clinical Decision Making
Authors: Makhni Eric C. , Hennekes Mary E.
Published: June 2023

Patient-reported outcome measures (PROMs) are highly effective measures of quality of care and outcomes that matter to patients regarding their physical, mental, and social health. While PROMs have played a notable role in research and registry reporting, they are also useful as clinical tools. Real-time PROM collection can be integrated into routine clinical care with immediate access to scores within the electronic health record. This can be integral when discussing treatment options and using decision aids. PROM scores can also be useful for postoperative monitoring. Various approaches to quantifying clinical efficacy have been developed, including the minimal clinically important difference, the substantial clinical benefit, and the patient acceptable symptom state (PASS). As the patient experience and patient-reported outcome measurement of health-related outcomes become increasingly emphasized in patient-centered, high value care, so too will the importance of methods to gauge clinical benefit using these instruments for improved clinical decision-making.
Sistem Pendukung Keputusan Rekomendasi Game Menggunakan Metode Analitycal Hierarchy Process (AHP) (Studi Kasus di Warung Internet Edelweiss)
Authors: Sory Subhan , Br. Ginting Novita , Rachmawati Fitria
Published: June 2023

Warnet Edelweiss (Edelweiss internet cafe) is a type of business that provides services and internet network connections, the main services provided to customers are internet browsing and games. Currently, the game is very liked by several groups ranging from adults, teenagers to children. The phenomenon of this game certainly has positive and negative impacts for its users, especially for children who currently dominate the game world. There needs to be a good and appropriate game selection based on age and gender through the application of a decision support system using the Analytical Hierarchy Process (AHP) method. The purpose of this study is to design and apply the AHP algorithm method to create a decision support system in the selection of game recommendations at the edelweiss internet cafe. The stages in this research start from data collection, analysis, design, implementation and system testing. The decision support system for selecting game recommendations at the edelweiss internet cafe has been successfully designed by utilizing the Object Oriented Programming (OOP) design method and the AHP method has been successfully applied. The results of testing with the black box method concluded that the system is running well and can be used.
Pengaruh Religiusitas, Kecerdasan Emosional, Kecerdasan Intelektual, Idealisme dan Status Ekonomi Terhadap Persepsi Etis Mahasiswa Akuntansi
Authors: Rozikin Khoirur , Susilowati Endah
Published: June 2023

The purpose of this research was to test and prove the effect of reli giosity, emotional intelligence, intellectual intelligence, idealism and economic status on ethical perceptions of accounting students. The data used in this study is quantitative data. This research uses a data collection method, namely the questionnaire method. The questionnaire in this study will be given to respondents, namely UPN "Veteran" East Java accounting students class of 2019 who will be used as samples in this study. The data analysis technique used in this study is Partial Least Squares (PLS) with the help of WarpPLS 7.0 software. The results of this study indicate that religiosity contributes to ethical perceptions of accounting students. Emotional intelligence does not contribute to ethical perceptions of accounting students. Intellectual intelligence contributes to the ethical perceptions of accounting students. Idealism does not contribute to accounting students' ethical perceptions. Economic status contributes to ethical perceptions of accounting students.
Deviations in Thyroid and its Regulatory Hormone Profile in Workers Exposed to Welding Fumes
Authors: Farooq Salman , Aziz Zainab , Iqbal Muhammad Amir , Maqsood Kaleem Maqsood , Roohi Nabila
Published: June 2023

This study evaluates health risks manifested by the exposure of welding fumes to the labourers working in welding environments. Welding fumes, are the complexes of fluorides, silicates and metal oxides, cause burns, eye damage, hormonal imbalance, organ damage and cataracts. In order to check the changes caused by fumes on thyroid gland, a study was planned to evaluate the variations in thyroid regulatory hormone levels in workers occupationally exposed to welding fumes. For this purpose, blood sampling of the welders (n=24) having exposure to welding fumes was done from different sites in city Lahore, whereas, blood samples of healthy controls (n=24) were collected from University of the Punjab, Lahore. Thyroid (T3 and T4) and its regulatory hormone (TSH) assessment was executed by ELISA. Independent student “t” test at confidence interval of 95% and P < 0.05 was applied. A non-significant decrease of both hormones i.e. T3 and T4 was found in the subjects under study as compared to controls. Levels of TSH in blood serum of workers showed a non-significant increase than healthy controls. Elevated TSH and reduced T3 and T4, although, statistically non-significant, predict chances of hypothyroidism due to chronic exposure to welding fumes. Welders are, therefore, recommended to adopt prophylactic measures and safer techniques in order to avoid direct hazardous exposure to welding fumes
Pentingnya Ilmu Pendidikan Ekonomi Syari’ah Pada Distribusi Bantuan Sosial di Masyarakat Bangka Tengah
Authors: Sugianto Efendi
Published: June 2023

Pendidikan ekonomi merupakan suatu penerapan ilmu ekonomi untuk menganalisis berbagai hal, terutama di bidang pendidikan sebagai barang ekonomi dan hubungannya dengan peningkatan sumber daya manusia sebagai modal dasar utama dalam pembangunan ekonomi di suatu negara. Masalah ekonomi yaitu masalah yang timbul saat keinginan dan kebutuhan bertemu dengan sumber daya yang terbatas dan ketersediaan sumber daya yang dibutuhkan belum bisa dipenuhi terutama masalah bantuan sosial yang ada di masyarakat pedesaan.   Masalah yang  ada di Bangka Tengah kerap terjadi dikarenakan adanya kesenjangan kesejahteraan sosial, kemudian kemiskinan yang terjadi di Kabupaten/Kota Provinsi Kepulauan Bangka Belitung erat kaitannya  dengan Pendidikan dan Kesehatan Masyarakat yang belum optimal.

Distribusi bantuan sosial yang ada di Bangka Tengah memberikan pelayanan mulai dari pelayanan sosial, pelayanan kesehatan dan pelayanan pendidikan. Dengan ini perlunya sistem pelayanan yang akan diterapkan di wilayah Bangka Tengah menggunakan suatu Program yang dikenal dengan Program Silakso. Program Silakso merupakan sistem pelayanan terpadu yang dilengkapi dengan database masyarakat Bangka Tengah, semua data yang ada di dalam data Silakso bisa diakses oleh seluruh masyarakat desa, dengan program      ini masyarakat juga bisa langsung melaporkan pengajuan bantuan dan cepat dilayani. Pemerintah Bangka Tengah telah membuat Aplikasi Silakso yaitu Sistem Layanan Kesejahteraan Sosial.

Pada riset kali ini, penulis mencoba menganalisis Pentingnya Ilmu Pendidikan Ekonomi Syari’ah Mengenai Distribusi Bantuan Sosial Di Masyarakat Pedesaan. Ilmu ekonomi sendiri merupakan variable leluasa (x) yang terdiri dari pendidikan, sumber daya manusia serta pembangunan dan sebaliknya variabel terikat (dependent variable). Sendiri merupakan distribusi bantuan sosial (y). yang terdiri dari  pelayanan sosial, pelayanan kesehatan dan pelayanan pendidikan.
Şîa Mezhebinin Kur’an Anlayışı
Authors: ÇELİK Hüseyin
Published: June 2023

Şîa mezhebinin ortaya çıkışı ve temel düşünce yapısı siyasî içeriklidir. Hz. Peygamber’in vefatından hemen sonra başlayan “halifenin kim olacağı” sorunu giderek büyümüş ve farklı siyasî-dinî düşüncelerin oluşmasına zemin hazırlamıştı. Siyasî alanda başlayan tartışmalar dinî zemine kaymış ve farklı dinî-siyasî gruplar ortaya çıkmıştı. Şîa’nın Kur’an’a yaklaşımı da siyasi olmuştur. Kur’an anlayışları, siyasi görüşlerinin gölgesinde kalmıştır. Önce kendi siyasi düşüncelerine göre inanç esasları oluşturmuş, daha sonra da bu inanç esaslarına göre Kur’an’ı açıklamaya çalışmışlardır. Şîa’nın Kur’an’a yaklaşımlarını tek bir şekilde değerlendirmek mümkün değildir. Diğer siyasî mezheplerde olduğu gibi Şîa mezhebinde de zaman içerisinde bazı değişiklikler yaşanmıştır. İlk dönem Şîa düşüncesi ile sonraki dönemi birbirinden farklılıklar göstermektedir. Şîa’ya göre Kur’an’ın her âyeti anlaşılma bakımından aynı seviyede olmayıp kendi arasında dörde ayrılır. Kur’an’da yer alan bazı bilgiler sadece Allah’a aittir. Ondan başka kimse onları bilemez. Bazı bilgileri Arapça bilen herkes bilebilir. Bunları bilmek için Arapça bilmek yeterlidir. Bazı bilgiler Kur’an’da mücmel olarak bulunurlar. Bunları bilmek için sadece Arapça bilmek yeterli değildir. Bazı bilgileri ise sadece Hz. Peygamber ve imamlar bilir. Şîa’nın içerisinde Kur’an’ın değiştirildiğine inananlar olduğu gibi bunu kabul etmeyenler de bulunmaktadır. Tahrifin varlığını kabul edenler bilhassa da Ehl-i Beyt hakkında birçok ayetin Kur’an’dan çıkarıldığına inanırlar. Şîa men-supları arasında Kur’an’ın bizzat Hz. Peygamber hayatta iken toplatılarak bir kitap haline getirildiğine inanalar olduğu gibi bunun Hz. Peygamberin vefatından sonra yapıldığını kabul edenler de bulunmaktadır. Her ayetin bir zahiri bir de batıni manası olduğunu kabul ederler. Önemli olan ise batınî manalardır. Bunu da sadece imamlar bilebilir. Kendi görüşlerine uyan âyetleri muhkem kabul ederlerken diğerlerini de müteşabih olarak kabul etmiş-lerdir. Onlara göre tüm kıraatlar ictihad mahsulüdür.
Son Dönem Müfessirlerden İsmail Turan’ın Bazı Müteşâbih Ayetlere Yaklaşımı
Authors: BOZKURT Hüseyin
Published: June 2023

Tefsir ilminin önemli konularından biri olan Muhkem ve müteşâbih kavramları Âl-i İmrân 7. Ayetinde zikredilmektedir. Bu ayete göre muhkem ayetler, Kur’an’ın temelini oluşturmaktadır. Ayrıca ayetin son bölümünde geçen ikaz müteşâbih ayetler üzerinde ilerleyecek olan te’vilin yani anlama çalışmasının sınırlandırıldığını göstermektedir. Müteşâbihleri yorumlama faaliyetinde bulunanlar bilgisi Allah’a mahsus olan bir şeyi kavramaya çalışıyor olabilirler. Bu tespit tefsir sahasında önemli ve geniş bir tartışma alanı açmıştır. Kur’an’da hangi âyetlerin muhkem, hangilerinin müteşâbih olduğunun belirtilmemesi ve müteşâbih âyetlerin farklı yorumlara imkân vermesi tartışmaların temelini oluşturmuştur.

Bu çalışmada İsmail Turan’ın Vücûhu’t-Te’vîl fî Esrâri’t-Tenzîl isimli tefsirinde Rûh, Hurûf-ı Mukattaa, Sâk, Rü’yetullah, Yedullah gibi kavramları yorumlama metodu incelenmiştir. Bu bağlamda İsmail Turan’ın yorumları farklı bazı müfessirlerin yorumlarıyla mukayese edilmiştir. Araştırma sonucu Turan’ın bu kavramlarla ilgili bazı müfessirlerle benzer yaklaşımları olduğu görülmekle birlikte farklı görüşleri de tespit edilmiştir. Bu da Turan’ın geçmiş müfessirlerin yorumlarını kabullenmekle birlikte konuya dair yeni birtakım tespitler ortaya koyduğunu göstermektedir.
TEKSTİL VE HAZIR GİYİM MARKALARINA AİT SEÇİLEN BAZI ÜRÜNLERİN SÜRDÜRÜLEBİLİRLİK AÇISINDAN DEĞERLENDİRİLMESİ
Authors: ÇAKIR Hümeyra , SÜNTER EROGLU Nilşen
Published: June 2023

Temelde gelecek nesillere ekonomik, ekolojik ve sosyal koşulları devam ettirilebilir ve yaşanabilir bir dünya bırakmak anlamına gelen sürdürülebilirlik, dünya ve insanlık için son derece önemli bir kavramdır. Sürdürülebilirlik, bir ürünün mevcut durumunu koruyarak devam edebilen ve kendini yenileyebilen anlamına gelmektedir. Günümüzde bir gereklilik olan sürdürülebilirlik birçok disiplini kapsayan bir biçimlendirme hareketidir. Birçok sektörde olduğu gibi tekstil sektöründe de firmaların uyguladıkları sürdürülebilirlik politikaları çevrenin, ekonominin ve sosyal gelişimin desteklenmesi için oldukça önemlidir. Bu araştırma makalesinde, Türkiye ve Dünya çapında sürdürülebilirlik ilkesini uygulayan tekstil markaları incelenerek uyguladıkları sürdürülebilirlik yaklaşımları ele alınmıştır. Bu doğrultuda yerli ve yabancı markalar olmak üzere 28 adet firmadan 140 adet ürün seçilmiştir. Seçilen tekstil firmalarının sürdürülebilirlik faaliyetleri kapsamında ürettikleri bu ürünler, üretim yöntemleri, hammadde içerikleri ve ürün maliyetleri olarak uygulama amaçlarına uygun sınıflandırma yapılmıştır. Ürünlere ait bu bilgiler, SPSS 24 istatistiksel analiz yöntemi ile karşılaştırmalı olarak histogram dağılımı ve bar grafiği kullanılarak analiz edilmiştir. Analiz edilen veriler doğrultusunda, yerli markalar yöntem olarak; ortalama %67 oranında en fazla doğal hammaddeyi kullanırken yabancı markalar ortalama %29 oranında en fazla organik hammadde kullanmıştır. Yabancı markalarda doğal hammadde kullanımı ortalama %27 iken yerli markaların kullandığı organik hammadde oranının ortalama %6 olduğu saptanmıştır. Yabancı markaların organik hammadde kullanım tutumu yerli markalara göre oldukça yüksek iken, bu durum doğal hammadde kullanımında tam tersi bir eğilimdedir. Yabancı markalar organik hammaddeleri tercih etmeleri tüketici talepleri, devlet politikaları, uluslararası rekabet gücü gibi faktörler ile ilişkilidir. Ürün içeriği olarak yabancı markalar, %27 oranında %100 Organik Pamuk kullanıldığı görülürken, yerli markalarda ise bu oran %7 ile en çok kullanılan ikinci içeriktir. Yerli markaların en fazla kullanılan içeriği %59 oranı ile %100 Pamuk elyafıdır. Bu durum yerli markalarda %100 pamuk kullanımının organik pamuk kullanımının önünde olduğunu ve geliştirilmesi gerektiğini göstermektedir. Çalışma sonucunda, tekstil firmalarının ürünlerinin sürdürülebilirlik kapsamında nasıl geliştirilebileceği, hammadde, üretim yöntemi ve geri dönüşüm açısından yapabilecek faaliyetler ve üretici ve tüketici açısından alınabilecek önlemler aktarılmıştır.
ĐÁNH GIÁ KẾT QUẢ CHỌC HÚT MÁU TỤ NỘI SỌ TRÊN LỀU TỰ PHÁT DƯỚI ĐỊNH VỊ KHÔNG KHUNG VÀ CẮT LỚP VI TÍNH
Authors: Vũ Quang Tiệp , Nguyễn Quốc Dũng , Nguyễn Tâm Long , Tăng Thị Minh Thu
Published: June 2023

Mục tiêu: Đánh giá kết quả chọc hút máu tụ nội sọ trên lều tự phát dưới định vị không khung và cắt lớp vi tính.

Phương pháp: Nghiên cứu hồi cứu 55 bệnh nhân (BN) được chẩn đoán xác định máu tụ nội sọ (MTNS) tự phát bằng chụp cắt lớp vi tính (CLVT) từ 05/2017 đến 04/2022 tại Bệnh viện TƯQĐ 108.

Kết quả: Tỷ lệ thể tích trung bình của khối máu tụ còn lại là 26,24% sau khi rút dẫn lưu trung bình 2-3 ngày tương ứng. Không có sự khác biệt đáng kể về tỷ lệ thể tích máu tụ còn lại sau khi rút dẫn lưu. Kết quả thuận lợi của 1 tháng với GOS 4 hoặc 5 tốt hơn đáng kể ở nhóm có thể tích máu tụ giảm trên 60% so với thể tích máu tụ ban đầu (p=0.047), mặc dù vậy không có sự khác biệt đáng kể ở thời điểm sau chọc hút 6 tháng. Yếu tố có mối tương quan đáng kể với kết cục thuận lợi sau chọc hút 6 tháng là tỷ lệ thể tích khối máu tụ cuối cùng sau khi dẫn lưu (p=0,016). Thể tích máu tụ cuối cùng ≤ 15ml có tương quan với kết cục thần kinh thuận lợi sau 01 tháng và 06 tháng (p = 0,001 và 0,038).

Kết luận: Không có sự khác biệt về thể tích khối máu tụ còn lại cuối cùng và kết cục thần kinh sau 06 tháng tùy theo thời gian chọc hút chọc hút khối máu tụ. Thể tích máu tụ cuối cùng ≤ 15ml có mối tương quan với kết cục thần kinh thuận lợi sau 01 và 06 tháng. Nghiên cứu này chỉ ra rằng nhằm giảm thiểu di chứng cho BN MTNS tự phát thì thể tích máu tụ cuối cùng sau chọc hút nên còn lại ≤ 15ml.
THOÁT VỊ NỘI SAU MỔ CẮT ĐOẠN DẠ DÀY: BÁO CÁO 2 TRƯỜNG HỢP VÀ TỔNG QUAN Y VĂN
Authors: Bùi Thị Thanh Tâm , Nguyễn Xuân Thức , Đỗ Võ Công Nguyên , Lê Bá Hồng Phong
Published: June 2023

Đặt vấn đề: Thoát vị nội sau mổ cắt đoạn dạ dày là bệnh lý hiếm gặp, khó chẩn đoán do các triệu chứng không điển hình, tuy nhiên đây là một bệnh lý cấp cứu ngoại khoa cần được chẩn đoán sớm. Hiện nay, cắt lớp vi tính (CT) là phương tiện hình ảnh ưu thế nhất giúp chẩn đoán chính xác bệnh lý này.

Trường hợp: Chúng tôi mô tả 2 trường hợp biến chứng thoát vị nội sau mổ cắt đoạn dạ dày nhập viện Thống Nhất- TP Hồ Chí Minh. Các bệnh nhân được chụp CT trước mổ và chẩn đoán xác định sau mổ là thoát vị nội, bao gồm thoát vị Peterson và thoát vị JJ qua lỗ khuyết mạc treo ruột non.

Kết quả: Hình ảnh dấu dòng xoáy ở mạc treo kết hợp hình ảnh tắc ruột non có độ nhạy và chính xác cao trong chẩn đoán thoát vị nội sau mổ cắt dạ dày. Hình ảnh “bánh sandwich” một quai ruột chui vào nằm giữa đại tràng ngang và quai nối dạ dàyhỗng tràng là dấu hiệu gợi ý thoát vị Peterson. Hình ảnh lỗ thoát vị nằm sát miệng nối hỗng tràng-hỗng tràng và miệng nối bị đẩy lệch sang phải là dấu hiệu gợi ý thoát vị J-J qua lỗ mạc treo.

Kết luận: CT là phương tiện hình ảnh hữu ích có thể giúp chẩn đoán chính xác biến chứng thoát vị nội sau mổ cắt đoạn dạ dày
TỰ TỐNG XUẤT DỊ VẬT (ĐINH SẮT NHỌN) TỪ PHẾ QUẢN THÙY GIỮA BÊN PHẢI BÁO CÁO TRƯỜNG HỢP HIẾM GẶP
Authors: Tống Dịu Hường , Nguyễn Lê Thảo Trâm , Nguyễn Ngọc Vũ
Published: June 2023

Dị vật khí phế quản là một trường hợp hiếm gặp nhưng có khả năng đe dọa tính mạng thậm chí ở người lớn. Các triệu chứng thường bao gồm nghẹt thở, ho, khó thở. Chụp X quang ngực và chụp cắt lớp vi tính có thể cung cấp thông tin về vị trí và đặc điểm của dị vật, giúp hỗ trợ chẩn đoán. Nội soi phế quản hiện vẫn là tiêu chuẩn vàng để chẩn đoán và xử trí khi hít phải dị vật. Việc tự tống xuất dị vật ra khỏi phế quản một cách tự nhiên là điều hy hữu và khá hiếm gặp. Chúng tôi trình bày một trường hợp bệnh nhân nam 61 tuổi tự tống xuất dị vật đinh nhọn từ phế quản phải
BÁO CÁO CA LÂM SÀNG: TĂNG SẢN THỂ NỐT KHU TRÚ GAN SAU HÓA CHẤT ĐIỀU TRỊ UNG THƯ DẠ DÀY
Authors: Ngô Thị Ngọc Minh , Nguyễn Thị Thu Hà , Trần Đức Huy , Trịnh Hà Châu , Lê Văn Khảng
Published: June 2023

Tổn thương gan do hóa chất điều trị ung thư có thể biểu hiện lan tỏa hoặc khu trú. Tổn thương dạng tăng sản thể nốt khu trú tại gan (FNH – like nodule) là tổn thương lành tính cần phải phân biệt với thứ phát bởi vì điều này ảnh hưởng đến các can thiệp hay điều trị sau đó. Cơ chế chính của sự xuất hiện các nốt này là do sự biến đổi mạch máu ở gan do Oxaliplatin và được gọi là hội chứng tắc nghẽn xoang sinousoid. Trong bài báo này, chúng tôi xin trình bày ca lâm sàng bệnh nhân xuất hiện các nốt dạng FNH sau điều trị ung thư biểu mô tuyến dạ dày và hóa chất với phác đồ XELOC (phác đồ có chứa Oxaliplatin).
10. Yılında Türkiye’deki Suriye’den Gelen Zorunlu Genç Göçmenlerin Güçlendirme Yaklaşımı Kapsamında Değerlendirilmesi
Authors: ARİFOĞLU Ahmed Taha , KOÇAK Orhan
Published: June 2023

Savaşa dayalı göç sürecinde zorunlu genç göçmenler çok sayıda sorunla karşılaşmaktadır. Bu problemlerin başında göç ettikleri ülkede sosyal dışlanma ve izolasyon yaşamaları, eğitime erişimlerinin kısıtlı olması gelmektedir. Güçlendirme yaklaşımını temel alan bu çalışmanın amacı Türkiye’de geçici koruma statüsü altında bulunan Suriyeli zorunlu genç göçmenlerin sosyo-demografik durumlarıyla sosyal destek, sosyal işlevsellik, yaşam doyumu faktörleri arasındaki farklılıklarını incelemektir. Bu çalışma gençlerin sosyal destek, yaşam doyumu ve sosyal işlevsellikleri ile sosyo-demografik özellikleri arasındaki farklılıkları bulmak amacıyla gerçekleştirilmiştir. Araştırmanın örneklemini Türkiye’de geçici koruma statüsü altında bulunan 18-29 yaş arasındaki 326 Suriyeli genç zorunlu göçmen oluşturmaktadır. Evreni ise İstanbul, Sakarya ve İzmir’dir. Çalışma nicel yöntem, kartopu örneklem ile gerçekleştirilmiştir. Güven aralığı için %95 anlamlılık değeri için p
The Reputation Factor in the Valuation of Startups
Authors: Gonnella Enrico , Talarico Lucia
Published: June 2023

This paper analyses the relationship between corporate reputation and valuation, with a special focus on startups. Considering the most accredited scientific and professional literature regarding startup valuation, an attempt has been made to understand if and to what extent reputation can be a value driver in the estimate of startups during the first phases of their life cycle. The authors conducted a systematic literature review, which showed a modest interest in the subject on the part of the scientific community, while – on the contrary – practitioners developed ad hoc methods for valuing startups in their very early stages also considering reputational drivers. These methods are not based on the forecasting of flows and rates, but instead explain the value of the startup with a series of qualitative parameters that are explicitly identified and individually quantified/valued, acting as indicators of the value of the entity. Among the most used approaches are the Berkus Method, the Scorecard Method, and the Risk Factor Summation Method. These methods include reputational factors among qualitative parameters, that is among the value drivers. The analysis and the conclusions reached offer a conceptual contribution and identify a research path that deserves attention.
Import and Export of Beef Products in Tajikistan and Its Impact on the Domestic Market
Authors: Davlatov Rishod , Boamah Solomon , Sikder Mukut , Dou Xuecheng
Published: June 2023

This study examines the influence of imports and exports of beef products on Tajikistan’s domestic market. Data from reputable sources covering the period 1999-2019, including the World Bank, Federal Bureau of Statistics, and International Financial Statistics, are utilized. The Vector Error Correction Model (VECM) and Granger causality methodology are employed to analyze the relationship between beef product imports, exports, their determinants, and the domestic market. The empirical analysis reveals that macroeconomic variables (GDP, foreign direct investment, inflation, and beef production) and the openness of the economy play a crucial role in determining the impact of imports and exports on Tajikistan’s domestic market. E-views and Stata software are used for data analysis. The findings indicate that Tajikistan imports more beef products than it exports, demonstrating a growing reliance on imported beef over the 1999-2019 period, implying a lack of competitive domestic beef production. Additionally, excessive beef exports can negatively affect domestic production and the economy. To ensure stability and sustainable economic growth, policy measures are recommended. These include implementing import tariffs to protect local producers, providing subsidies and support programs to enhance domestic production, and strategic planning to meet domestic beef demand before considering exports. By adopting these measures, Tajikistan can achieve a balanced and prosperous domestic market. These findings underscore the importance of considering the impact of beef imports and exports and implementing appropriate policies and regulations to promote a thriving domestic market.
A Review on Drinking Water Treatment with Disinfectant
Authors: Reddemma S. , C Karthik , C Manikandan , P Adaikkalakumar , P Nissi
Published: June 2023

The majority of the world's natural water sources are not always safe to consume untreated. Raw water from rivers, lakes, ponds, and groundwater can include microorganisms. Waterborne diseases can be contracted by consuming it when pathogens in the water are spread through a drinking water distribution system. As it guarantees that water is free of dangerous microorganisms that cause water-borne diseases, disinfection is an essential water treatment technique. Different disinfection techniques are used to inactivate germs to fight waterborne illnesses. The primary goal of this essay is to describe various disinfection techniques, their applicability, limitations, and factors affecting the disinfection process. Chlorine by products and the effects of chlorine by products on people.
Mutual Coupling Reduction Using 8x8 MIMO Antenna for MM Wave Applications
Authors: Kumar M. Raja , Rao M. Koteswara , Jyothi G. Asha , Durshid SK. , Kumar D. Manoj , Mahesh B. , Rajesh G.
Published: June 2023

A 8x8 multiple input multiple output antenna is developed for the applications of MM wave. this proposed model has 8 ports on the single structure of antenna system. The proposed design gives a triple bands k-band (14.6 at-22dB), ku-band (19.6 at -28dB) and ka-band (27.6 at -27dB) which this ka-band wii be act as mm wave band for the applications of MM wave. The proposed antenna having the dimensions of 64mm x 32mm x 1.6 mm having thickness 1.6mm and the Fr4 substrate has been used for designing. The proposed antenna is designed, measured and tested
Stress, Success, and Burnout: The Relationship Between Impostor Phenomenon and Burnout in Certified Child Life Specialists
Authors: Ehinger Sydney R. , Bales Diane W.
Published: June 2023

Objective:

Certified Child Life Specialists (CCLS) are pediatric healthcare professionals who help prevent and reduce psychological trauma resulting from a medical experience. They aid children and families in coping with the effects of hospitalization, illness, stress, and trauma, primarily in healthcare settings. Because their clinical work includes frequent exposure to trauma and emotional investment with patients, child life specialists are at high risk for developing Impostor Phenomenon (IP), burnout, or a combination of both. The aim of the present study is to better understand how child life specialists experience these phenomena and what factors put them at risk for experiencing IP, burnout, or a combination of these two factors.

Method & Results:

After surveying a sample of child life specialists (N = 270), IP and burnout experiences were found to be related. Additionally, IP and the impact of COVID-19 on CCLS predicted levels of burnout.

Conclusion:

By understanding the relationship between IP and burnout, we can work to promote better professional quality of life for CCLS, especially in light of the COVID-19 pandemic.

Disclosure Statement:

No potential conflict of interest was reported by the author(s).

Funding Statement:

No funding sources were provided by the author(s).
ULUSLAR ARASI NİTELİKLİ İŞ GÜCÜ TEMİNİ ÜZERİNE POLİTİKA YAPMA KAPASİTESİNİN GELİŞTİRİLMESİ PROJESİNDE YÖNETİMSEL FAALİYETLER
Authors: ÖZTÜRK TAŞDEMİR Dilek
Published: June 2023

Bu çalışmanın amacı Türkiye’de uluslararası nitelikli insan gücünü iş sağlığı ve güvenliği alanında yaşanan güncel gelişmelerle birlikte ele almaktır. Bununla birlikte nitelikli insan gücüne ihtiyaç olan sektörlerin belirlenmesi, bunların temini hususunda politikalar üretilmesi ve sürdürülebilirliğinin sağlanması, ulusal işgücünün gelişmesine ağırlık vererek kalkınmanın nasıl olacağı hakkında bilgi toplanılması amaçlanmaktadır. Bu kapsamda bilinç düzeyleri ve tutumlarının ölçülmesi, konunun Türkiye özelinde tartışılması ve ampirik bir uygulamayla desteklenmesi çalışmanın konusunu oluşturmuştur.

Bu bağlamda göçün işgücü politikalarına çok etkisinin olduğu, bu işgücü politikalarının sadece ulusal seviyede değil uluslararası seviyede de ülkenin kendi ihtiyaç ve dinamiklerine göre değerlendirilmesi gerektiği ortaya konulmuştur. Geleceğin yeteneklerine odaklı politikalar geliştirmenin gerekliliği ile iş gücünün ekonomik kalkınmadaki yeri de vurgulanmıştır.

Bu çalışmayla; gerçekte istihdam konusunda bir açığımız var mıdır? Varsa bu açık hangi sektörlerdedir? Neden bu sektörlerde açık oluştu? Hangi politikalar buna neden oldu? Uluslararası nitelikli iş gücünden ziyade, esasında sorun niteliksiz uluslararası işgücünün sayıca fazla olması, önlenememesi ya da bunun getireceği ekonomik, sosyal, kültürel, güvenlik vb. gibi olumsuz durumların fazla olabilmesi midir? Kayıt dışı istihdam gerçekte daha büyük bir problem olabilir mi? Bunların yerine nitelikli işgücü Türkiye’ye nasıl çekilir? Çekilmeli midir? Buna ihtiyaç var mıdır? Bunun için hangi politikalar gereklidir? Sorularına cevap aranmış ve genel mevzuatın bu konuda değerlendirilmesi gereği duyulmuştur. Uygulayıcıların kanundan yeterince haberdar olamamasından kaynaklı sorunlar olabilir mi? Göç idaresi, ÇSGB, İçişleri Bakanlığı, TÜİK, Sağlık Bakanlığı vs. bu konuda koordinasyon sağlıyor mu? Veri tabanları var mı? Sahada uygulamaları nasıl? Sektörlerde il bazlı uygulama var mı? Niteliksiz işgüçlerinde mevzuat ve denetim mekanizmasında bir açık var mı da kayıt dışılar bu kadar fazla? Neden politik olabilir mi? SGK ve çalışma izinleri ne durumda? Denetimler yeterli ve etkili mi? Yabancı işçi kotası uygulamak doğru mu? Pandemi ve deprem kırılma noktamız olmuşken tam da bu dönemde sağlık, acil afet koordinasyon gibi durumlar başta olmak üzere nitelikli insan gücüne ihtiyacımız artmışken, özellikle pandemi sürecinde Almanya gibi ülkeler başta olmak üzere, sağlık sektöründen iş gücünü kendilerine çekme politikalarına ağırlık veren ülkeler gibi, Türkiye’de de bu politikalara ağırlık verilmesi gerektiği sonucuna varılmıştır.
SAĞLIK HİZMETLERİ TÜKETİCİLERİNİN COVID-19’A YÖNELİK AŞI TEREDDÜTLERİNİ ETKİLEYEN FAKTÖRLERİN BELİRLENMESİ
Authors: Gülmez Yavuz Selim , Bircan Hüdaverdi , Yılmaz Hatice
Published: June 2023

Bu araştırmada Türkiye’deki sağlık hizmetleri tüketicilerinin COVID-19’a yönelik aşı tereddütlerini etkileyen faktörlerin belirlenmesi amaçlanmaktadır. Belirlenen faktörlerin demografik özellikler itibariyle farklılaşma eğiliminde olup olmadığının tespit edilmesi ise araştırmanın ikincil amacını teşkil etmektedir. Araştırma verileri, kolayda örnekleme tekniğine başvurularak Türkiye Cumhuriyeti vatandaşı olan 401 bireyden yüz yüze ve çevrimiçi anket yöntemleri kullanılarak elde edilmiştir. Verilerin analizinde Açıklayıcı Faktör Analizi, T-test, ANOVA, post-hoc ve tanımlayıcı istatistiklerden yararlanılmıştır. Araştırma bulgularına göre; katılımcıların COVID-19’a yönelik aşı tereddütlerini etkileyen faktörlerin “Güven”, “Zaman”, “Fobi”, “Bağışıklık”, “İnanç” ve “Alerji” olduğu desteklenmiştir. Katılımcıların demografik özelliklerine göre farklılaşan davranışları tespit edildiğinde ise; “Güven” faktörünün farklı yaş ve meslek, “Zaman” faktörünün farklı yaş ve meslek, “Fobi” faktörünün farklı yaş, meslek, gelir ve coğrafi bölge, “İnanç” faktörünün farklı yaş ve “Alerji” faktörünün ise farklı eğitim seviyesi ve meslek gruplarında bulunan katılımcılarda farklılaştığı (p<0.05), “Bağışıklık” faktörünün ise gruplar arası farklılaşma göstermediği tespit edilmiştir.
Mapeamento de processos aplicado em uma instituição pública: um estudo de caso no gabinete do defensor público geral do estado do Amazonas
Authors: Dias Laysse Lima , Teixeira Elton Pereira , De Oliveira Júnior Nilson José , De Lima Orlem Pinheiro , Roberto José Carlos Alves , Maduro Márcia Ribeiro , Nunes Keyla Cirqueira Cardoso , Romão Líbia Pérsia
Published: June 2023

O objetivo deste estudo foi analisar os processos do Gabinete do Defensor Público Geral do Estado do Amazonas (GDPG/AM) e aplicar o mapeamento dos processos com a utilização da ferramenta Business Process Model and Notation (BPMN), visando possíveis melhorias a partir do uso de ferramenta da qualidade, haja vista a necessidade de adaptação e melhoria na modelagem dos processos do setor público, motivado pela pressão gerada pelos usuários do serviço público na busca por respostas rápidas às suas demandas. A metodologia utilizada foi um estudo de caso, exploratório, descritivo, bibliográfico e documental com abordagem qualitativa. Os resultados mostram a presença de gargalos causados pela falta de padronização no recebimento e saída dos processos, atrasos nos setores envolvidos e falta de orientação aos defensores. Sugere-se a utilização oficial do sistema SEI para tramitação dos processos de “Acolhimento de denegação de atendimento”, treinamento de defensores por meio de vídeos elaborados pelas servidoras do GDPG, liberação contínua de processos pela DAJAI e GSPG e comunicação fluída intersetorial dos setores mencionados.
A segunda onda e as bordas da cidade: simulação de crescimento urbano com autômatos celulares
Authors: Polidori Maurício Couto , Tomiello Fernanda , Peres Otávio Martins
Published: June 2023

Simulações de crescimento urbano em cidades pequenas têm mostrado diferenças das bordas de expansão em relação às demais partes da cidade, com o potencial de crescimento concentrado nas interfaces do espaço urbano mais urbanizado com o menos urbanizado. Essa concentração tende a demarcar frentes de expansão espacial em forma de linha, determinando bordas com comportamento diferenciado no sistema, com elevado potencial de transformação e baixa qualidade urbana, indicando concentração e exclusão espacial simultaneamente. Essas frentes de expansão estão sendo estudadas em simulações com cidades do sul do Brasil, utilizando técnicas de autômato celular, através do software CityCell, desenvolvido pelo Laboratório de Urbanismo da FAUrb, sendo que uma “segunda onda” pode ser observada no crescimento urbano, pois os experimentos sugerem a formação de duas frentes que concentram potencial de mudança, neste trabalho chamadas de “ondas”. Enquanto que a “primeira onda” (mais externa) parece concentrar os menores valores de centralidade, a segunda (mais interna) tende a concentrar os maiores valores de potencial de mudança, como se a “primeira onda” fosse a precursora e arcasse com os ônus iniciais da urbanização e como se “segunda onda” fosse a sucessora, aproveitando possíveis vantagens geradas pela onda anterior.
Heavy Metal Concentrations and Distribution in Water, Sediment, and Catfish, Clarias Gariepinus Obtained from Aquaculture Farms in Ondo, Nigeria
Authors:   Department of Biology, Adeyemi Federal University of Education, P.M.B 520, Ondo, Nigeria, Institute of Ecology and Environmental Studies, Obafemi Awolowo University, Ile-Ife, Wesley University of Science and Technology, Ondo, Adekolurejo O. A. , Osungbemiro N. R. , Adeyem O. S. , Falowo T. J.
Published: June 2023

Heavy metal pollution is a serious environmental problem in freshwaters, potentially impacting public health, water quality and ecosystem integrity worldwide. However, the potential public health risks associated with heavy metal accumulation in water, sediment and commercial fish samples remain unclear. Here we assessed the concentrations and distribution of five heavy metal of public health importance (Iron, Copper, Zinc, Lead and Copper) in water, sediment, and edible organs (muscles, liver, gills, and intestines) of the African sharptooth catfish, Clarias gariepinus obtained from aquaculture ponds. Water, sediment, and fish samples were randomly collected from commercial fishponds across different five locations in Ondo. Metal concentrations in water, sediment and fish samples were analyzed using Atomic Absorption Spectrophotometry (AAS, Model AA-680/ Shimadzu). Mean metal levels observed in water, sediment and fish samples were compared with recommended regulatory guidelines for human consumption. Our results showed mean concentrations for all metals in water exceeded recommended permissible limits in freshwater bodies and aquatic biota, presumably suggesting potential risks for human consumers. Heavy metal levels in sediment samples indicated Fe was maximally accumulated, followed by Zn, Cu, Pb, and Cd. The highest and least accumulations for all the metals were recorded in the gills, and in the liver respectively. Higher concentrations of metals observed in gills corroborate the fact that the gill is a major route for heavy metal accumulation in fish whereas the reduced concentration of metals observed in the liver may be associated with enhanced detoxification mechanism in the liver. These results suggest that fish obtained from these aquaculture ponds may be unsafe for human consumption. Hence, we recommend a periodic assessment of heavy metal levels in commercial fish samples as a major regulatory priority.
Revenue from unapproved claims in the financial statements of Polish construction companies listed on the Warsaw Stock Exchange
Authors: Szalacha Paweł
Published: June 2023

Purpose: A contractors claims for increased remuneration frequently occur in construction projects. Despite their uncertainty and risk of estimating future cash inflows, accounting standards allow them to be recognized as revenues. The purpose of the arti-cle is to present the conditions for recognizing them as revenues and to propose a checklist of required disclosures. Against this background, the article evaluates the sufficiency of disclosures of Polish construction companies.Methodology/approach: The analysis of the professional literature and accounting regulations, especially IFRS 15 Revenues from Contracts with Customers. The empirical research concentrated on yearly financial statements of 27 Polish construction companies listed on the Warsaw Stock Exchange.Findings: The research showed that recognition of revenues from not yet approved claims requires significant disclosure. Polish construction companies do not present enough necessary information about such revenues or their impact on their financial statements. The vast majority of companies do not disclose any information. Those companies that do disclose such information do not always present the full scope of required disclosures, and the data presented are difficult to compare as their scope and where they are placed in the notes are not uniform.Originality/value: The paper complements the scientific achievements in the financial reporting of companies that conduct longterm construction contracts. It proposes a checklist of required disclosures about revenues from not yet approved claims. It identi-fies a lack of required disclosure of Polish construction companies.
Family relations in the narratives of mothers of people with Down syndrome
Authors: Żabińska Agnieszka , Pisarska Zuzanna
Published: June 2023

Family relationships are an exceptionally important element in building the proper functioning of people with intellectual disabilities. The research was carried out using a questionnaire addressed to mothers of people with Down syndrome. Open-ended questions allowed for entering into the study group, obtaining information on individual life stories of families whose members are people with Down syndrome. The survey analyses enabled us to state whether the respondents are affected by transferred stigma or they perceive their social role as tough motherhood and whether they receive any support in upbringing and taking care of a person with intellectual disability from their immediate family. The study results shed light on problems in the area of support as well as difficulties in acceptance of both the child with Down syndrome and the mother. The difficulties towards acceptance emerge in the immediate family and they mostly concern the grandparents.
Skills necessary to conduct a competent conversation with the ward in social rehabilitation work
Authors: Mielczarek Agnieszka , Nawrocka Katarzyna
Published: June 2023

The article presents an analysis of decision-making issues regarding the selection of appropriate skills during an interview. An important issue in the area of justice and social rehabilitation is the skilful conversation. It is necessary to train the personnel in such a way as to obtain precise and complete information through all elements of the social rehabilitation system. By improving conversation techniques, the functioning of the entire social rehabilitation system will be improved, because it largely consists in collecting and providing information in a direct way.Innovative methods of conducting interviews should be implemented in social rehabilitation, should be based on empirical evidence, and the information contained in them should be presented in a practical way.
Student Feedback on Use of Breakout Rooms
Authors: Wachenheim Cheryl , Idowu Abiodun , Hanson Erik
Published: June 2023

The widespread use of video platforms has enriched and expanded options for synchronous learning for students attending class remotely including use of breakout rooms as a venue for peer-to-peer discussion. Although groupwork has long been used in face-to-face classes and there exists abundant research on its benefits, research on the use of breakout rooms as a venue for groupwork including students not physically in the classroom is scant. An end-of-term survey was administered to students in two classes taught using a HyFlex system where the instructor was physically present in the classroom with some students while other students participated remotely. Primary characteristics students liked about breakout rooms are that they facilitate student-to-student interaction, especially important during the pandemic, allow peer-to-peer learning and assistance, and keep student attention and interest. Primary characteristics noted as those disliked include lack of participation, that they can be awkward, and when they are poorly designed. Students found breakout rooms most productive when instructors provided clear guidance, students were held accountable for the conversation held in the breakout room, and all students participated.