bluuebunny/crossref_metadata_2025 huggingface dataset:
A Qualitative Study of Women’s Decisions Not to Have a Hysterectomy
Authors: Fredericks Erin
Published: March 2021

In focusing on individual and physician demographics and system characteristics that lead to hysterectomy rate variations, researchers overlook the impact of culturally mediated meanings women assign to their bodies, hysterectomy, and other treatments. In this study I sought to provide a fuller description of this decision - making process by examining the role of meaning making in women’s decision not to have a hysterectomy. Using a descriptive qualitative approach, nine women diagnosed with menstrual disorders in Halifax, Nova Scotia, Canada each took part in a semi - structured interview. Factors deemed “irrational” in bio medical understandings of informed choice played a significant role in participants’ decisions not to have a hysterectomy. When these factors are hidden, they cannot be properly addressed during the treatment selection process. By shifting the approach to informed choice to incorporate a holistic view of the body and knowledge, requirements for informed choice may be more likely to be met.
Mixed Methodology Approaches to Exploring Spiritual Transformation
Authors: Mehl-Madrona Lewis , Mainguy Barbara , Valenti Michael
Published: March 2021

Research suggests that spiritual transformation, a change in the way a person considers the sacred, can change medical outcome (Pargament, 2006) Psychometric studies have failed to identify specific factors, but qualitative reports detail an experience that can be reliably shown to have an impact. We report on the development of a rubric for quantifying levels of spiritual transformation. Narrative analysis techniques were used to quantify levels of spiritual transformation from participants’ life stories, experience with traditional healers, and subsequent medical status. A quantification rubric was developed and 111 assistants rated the stories after a three - hour training session. Inter - observer reliability was 0.87 (95% CI, 0.72 to 0.97, p < 0.001). Findings suggest it is possible to develop reliable coding scenarios that independent raters can follow to use in research to quantifiably assess spiritual transformation.
DETERMINANTS OF DIVIDEND PAYOUT RATIO: A STUDY OF KSE MANUFACTURING FIRMS IN PAKISTAN
Authors:   University of engineering and technology, Lahore, Khan Rehab
Published: March 2021

Purpose- Motive and cause of this study is pursuing to examine the determinants of dividend payout ratios of KSE listed companies in Pakistan. Design- This study used the data of ten sectors of cement industry and these companies are listed in Karachi stock exchange, and data is drives by 2003-2012, enlarge the current research on dividend payout policy. Panel regression model used to estimate the results. Corporate profitability has always been considered as a leading independent variable of dividend payout ratio. Findings- There are multitudinal factors other than corporate profitability that influence dividend decisions of the firm like taxes, cash flow and debt to equity, sales growth. This research analyzes that profitability, tax, and cash flow have a significant relation with dividend payout ratio. And debt to equity and sales growth has insignificant relationship with dividend payout ratio. Research Limitations- This research failed to collect the data of different sectors listed on KSE except Cement industry. And collect the data of only one sector (cement). There are other determinants exist that have a huge effect on payout ratio, than these which are included in the research.
Fen Bilimleri Öğretmenlerinin Eğitsel Oyunlar Hakkında Görüşleri: “En Süratli Ses" Oyunu
Authors: DOLUNAY Aslı , KARAMUSTAFAOĞLU Orhan
Published: March 2021

Yapılan çalışmada fen bilimleri dersi 6. sınıf “Sesin Sürati” konusuna yönelik bir eğitsel oyun geliştirmek ve fen bilimleri öğretmenlerin “En Süratli Ses” isimli geliştirilen bu oyun hakkında görüşleri nelerdir? problemine cevap aramak amaçlanmıştır. Araştırmada nitel yaklaşımlarından olgu bilim deseni kullanılmıştır. Araştırmanın amacına uygun bir şekilde, öğretmenlerin öncelikle tasarlanan oyunu incelemeleri ve bunun uygulanmasına yönelik görüşlerini samimi duygularla sunmaları için çalışma grubunu kolay ulaşılabilir ve gönüllülük esasına göre belirlenen sekizi kadın toplam dokuz fen bilimleri öğretmeni oluşturmuştur. Veriler öğretmenlerle gerçekleştirilen yarı-yapılandırılmış görüşmelerle toplanmıştır. Verilerin çözümlenmesi NVivo programı yardımıyla kod ve temalar çıkartılarak içerik analizi yapılarak sağlanmıştır. Verilerden, öğretmenlerin “En Süratli Ses” oyununun konuyu somutlaştırdığını, öğretimi kolaylaştırdığını ve varsa kavram yanılgılarını giderilebileceğine yönelik görüşleri tespit edilmiştir. Öğretmenlerin tamamı eğitsel oyunların bilişsel, duyuşsal ve psikomotor becerileri kazandırabileceğini ifade etmişlerdir. Verilere dayalı olarak eğitsel oyunun anlaşılır, konudaki kazanımları karşılayan ve öğrencilerin eğlenerek öğrenebileceği bir oyun olduğu sonucuna varılmıştır. Bu bağlamda geliştirilen “En Süratli Ses” oyununun sesin sürati konusunun öğretiminde kullanılması önerilmiştir.
Damn the Dam The Impacts of Hydropower Development on the Rights of the Adivasi Janajati of Nepal
Authors: Ambay III Mark Anthony V.
Published: March 2021

Nepal is rich in hydropower resources, with 83,000 MW worth of hydropower energy potential waiting to be tapped. The country currently generates only 968 MW of hydropower energy. The Government of Nepal is quite keen on developing these resources for supposed economic growth and progress. There are, however, very few studies that use a rights-based approach to illustrate the possible effects of hydropower development on Indigenous Peoples. Fewer still are studies that use the rights-based approach to demonstrate the effects of hydropower development on the Adivasi Janajati, Nepal’s Indigenous Peoples. This study is an attempt to bridge that gap. The research queries how hydropower development impacts the rights of the Adivasi Janajati in Nepal. The rights-based approach to hydropower development is used as a conceptual framework for studying and analyzing the said impacts. This study uses the case study approach to represent the said hydropower development impacts. Drawing on primary data from in-depth interviews and field research as well as secondary data gathered from various official documents, researches, reports, and news articles, this paper argues that, more often than not, hydropower development in Nepal violates the rights of the Adivasi Janajati. This study also asserts that the Adivasi Janajati have a deep connection to their ancestral lands, and loss of these ancestral lands will have devastating consequences for them. Finally, this research demonstrates that the rights-based approach to hydropower development is an effective tool in studying the impacts of hydropower development on Indigenous Peoples. This study can be utilized by government entities, advocacy groups, non-government organizations, and dam financiers and developers to more clearly understand what is at stake for and lost by the Indigenous Peoples in hydropower development. While Nepal is a party to the Indigenous and Tribal Peoples’ Convention and is a signatory to the United Nations Declaration on the Rights of Indigenous Peoples, it is clear that more needs to be done to secure the rights of the Adivasi Janajati in the country.
Dynamic Equicorrelation Analysis of Financial Contagion: Evidence from Latin America Markets
Authors: Forestal Roberto Louis , Pi Shih Ming
Published: March 2021

This research employs the multivariate autoregressive moving average-generalized autoregressive conditionally heteroscedastic-dynamic equicorrelation (ARMA-GARCH-DECO) model to identify contagion among Latin American financial markets during financial turmoil period. We analyze the dynamic conditional correlations among 18 American Depositary Receipts (ADR), 8 Exchange Traded Funds (ETF) and 6 Foreign Exchange Rates (Forex). Our sample includes daily closing prices from April 1, 2014, to January 29, 2021, for Argentina, Brazil, Chile, Colombia, Mexico, and Peru. Results find long-run properties in the volatility of most instruments including those belonging to defensive super sector implying that defensive super sector and basic materials are the most impacted sectors during the last financial crises. We present evidence that in times of economic disruption like in the midst of the COVID-19 pandemic, those financial assets do not act as safe harbor investments since they are relatively more correlated during period of financial crises than in normal periods. Our findings have policy implications and are of interest to practitioners who look a better understanding of the dynamics of spillovers among the behavior of emerging financial assets.

JEL classification numbers: C58, D53, G15.
Keywords: Dynamic equicorrelation model, Latin America, American Depositary Receipts, Exchange Traded Funds, Foreign Exchange Rates, ARMA-GARCH.
La familia Erpodiaceae (Bryophyta) en Colombia
Authors: Rámirez Padilla Bernardo Ramiro , Solarte Téllez Verónica
Published: March 2021

La familia Erpodiaceae pertenece al orden Orthotrichales, sus representantes son plantas pleurocárpicas, terrestres, de tamaño pequeño a mediano (3-20 mm), finas y delgadas, con hojas ecostadas y cápsulas inmersas. Según tratamientos hechos a la familia, el número de géneros varía entre uno y cinco. Sus elementos están ampliamente distribuidos en nichos bien específicos; se encuentran con preferencia en áreas secas de las regiones tropicales y subtropicales de todo el mundo, en un rango altitudinal que va desde el nivel del mar hasta los 1.700 msnm. En el Neotrópico, la familia está representada por 12 especies pertenecientes a cinco géneros; de las cuales 11 se encuentran en Suramérica y dos en Colombia. En este trabajo se presenta la descripción de la familia, géneros y especies presentes en el país y su distribución por departamentos, con la adición de nuevos registros.
Nuevos registros de longitud y dieta de Micrurus mipartitus (Duméril, Bibron y Duméril, 1854) (Serpentes: Elapidae).
Authors: Vera Pérez Luis Enrique , Zúñiga Baos Jorge Alberto , Ayerbe González Santiago
Published: March 2021

La “coral rabo de ají” Micrurus mipartitus se distribuye en Centroamérica y Sudamérica, y es referenciada como una serpiente delgada que usualmente mide entre 60–80 cm pero que registra una longitud máxima de 120 cm. Con respecto a la dieta, se ha documentado que en su hábitat natural se alimenta de algunas especies de serpientes, lagartos, anfisbénidos, anuros y cecilias, mientras que animales en cautiverio generalmente se rehúsan a alimentarse de manera voluntaria haciendo difícil el mantenimiento. Con base en dos individuos capturados en el departamento del Huila, Colombia y del proceso de mantenimiento en cautiverio en el Centro de Investigaciones Biomédicas de la Universidad del Cauca (CIBUC), se presentan dos nuevos registros que aumentan los valores conocidos de la longitud máxima de M. mipartitus, así como nuevos componentes de su dieta.
Rhinobothryum bovallii (Andersson, 1916) (Serpentes: Colubridae): nuevas localidades para Colombia, descripción hemipeneal y comentarios sobre su historia natural.
Authors: Vera Pérez Luis Enrique , Zúñiga Baos Jorge Alberto , Alzate Basto Esteban
Published: March 2021

Se presentan nuevas localidades de la serpiente falsa coral Rhinobothryum bovallii en Colombia, dentro de las cuales se destaca el primer registro para el departamento del Huila y su ocurrencia dentro del ecosistema de bosque seco tropical. Adicionalmente, se proporciona una descripción complementaria de su estructura hemipeneal y datos sobre aspectos biológicos y ecológicos.
INOVAÇÃO AGRÍCOLA: UMA ANÁLISE DA LITERATURA
Authors: Fonseca Maria Helena da , Picinin Claudia Tania , Kovaleski João Luiz
Published: March 2021

A transferência de tecnologia é essencial para impulsionar a inovação e fomentar o desenvolvimento do setor agroindustrial, mas uma das barreiras encontradas pelos agricultores é o custo da tecnologia. O objetivo dessa pesquisa foi analisar a produção científica, indexada nas bases de dados Scopus, Science Direct e Web of Science baseando-se na pesquisa dos termos “technology transfer”, “anthropotechnology” e “agricultural innovation*”. Para isso, a metodologia utilizada foi o Methodi Ordinatio, que consiste em aplicar uma equação para ranquear os artigos de maior relevância do tema pesquisado, após aplicar uma sequência de filtros estabelecidas pelos pesquisadores. A pesquisa não teve  recorte temporal e não houve uma delimitação de idioma para à busca ser mais ampla e as palavras chaves pré-definidas deveriam constar nos artigos, sendo estes apenas de revisão ou pesquisa, publicados em journals. Assim com portfólio formado foram selecionados 16 artigos cujo índice Ordinatio ficou acima de 90. Pode ser constatado que há necessidade de se publicar mais estudos práticos sobre a temática de inovação agrícola e o uso das tecnologias por agricultores.
Effects of shelters in the rearing thank on fish growth using the behavioral characteristics of red spotted grouper, Epinephelus akaara
Authors: Kang Chang-Hyoup , Kim Byeong–Hoon , Choi Song-Hee , Lee Chi-Hoon , Lee Young-Don
Published: March 2021

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Compensation for Bank Depositors in Iraq
Authors: Al-Jaf Mohammed Omer Ali
Published: March 2021

This paper attempts to explain Compensation of bank depositor In Iraq. It relies on the regulation no 33 of 2016 in its definition of a company which must be established in accordance with that regulation. Accordingly, there is an Iraqi judicial company named Iraqi Deposit Insurance Company (IDIC). With its autonomous entity as well as own capital, the company manages to achieve the purposes of its establishment. It has a net worth of 100,000,000,000 Iraqi Dinars which facilitates its ability to invest from its financing sources. The main motive for the establishment of this company was to instill confidence in people and to stabilize the country as the academics have advised. In conclusion, taking advantages from many other countries, we recommend that an act be enacted by the Iraqi legislature to strengthen bank deposit guarantee.
La experiencia del proceso participativo de la revisión de las Directrices de Ordenación Territorial de la CAPV: un caso de buena gobernanza y de participación «tridimensional» en la gestión de las políticas públicas
Authors: IRIARTE IRURETA Izaskun
Published: March 2021

LABURPENA: Artikulu honen helburua Lurralde Antolamenduaren Gidalorrean berrikuspen-prozesuarearen diseinua- eta prozesua martxan jartzearen berri ematea da. Lurralde Antolamenduaren Gidalerroek Euskadiko Autonomia Erkidegoaren lurralde estrategia finkatzen dute, eta prozesu horrek hurrengo osagaiak ditu: prozesu partehartzaile integrala —hasieratik— eta hiru dimensiotakoa da —partehartze instituzionala, soziala eta barrukoa—; prozesu gardena da; prozesuaren tramitazioak denbora-mugarriak ezarrita ditu; prozesuak, antolamendurako arauen artean, Gobernantza-Gidalerroak ere sartu ditu —antolakuntza, kudeaketa, jarraipena eta ebaluaketa—, gobernantza onareko tresnak lurralde antolamenduaren politika publikoaren berezko osagaiak bilakatuz.

RESUMEN: El artículo pretende trasladar la experiencia del diseño y puesta en marcha del proceso de revisión de las Directrices de Ordenación Territorial, que delimitan la estrategia territorial de la Comunidad Autónoma de Euskadi, como: un proceso participativo integral —desde el inicio— y tridimensional —participación institucional, social e interna—; un proceso transparente; un proceso sujeto a una planificación temporal de su tramitación; y un proceso que introduce, como normas de ordenación, una Directrices de Gobernanza, relativas a la organización, la gestión, la participación, el seguimiento y la evaluación, de forma que las herramientas de la buena gobernanza se incorporan a la política pública de la ordenación del territorio, como parte consustancial de la misma.

ABSTRACT: This contribution presents a case of participatory governance in the Basque Autonomous Government, i.e. the process to review the Guidelines on Land Use and Territorial Planning. It concerns the regulatory policy for the territorial strategy of the Basque Autonomous Community. The main characteristics
of this process are the following: a participatory process that is comprehensive —from its inception— and tridimensional —between institutions, with civil society and within the Government—; transparent; subject to a time-planning of the procedure; and which includes innovative planning norms, such as the Governance Guidelines related to the organization, management, participation, follow-up process and evaluation, so as to make good-governance tools an essential part of the land use planning public policy.
EL CONTROL DEMOCRÁTICO Y LA RENDICIÓN DE CUENTAS EN EL PACTO DE ESTABILIDAD Y CRECIMIENTO
Authors: OLESTI RAYO ANDREU
Published: March 2021

El Pacto de Estabilidad y Crecimiento (PEC) fue creado para garantizar,
de forma efectiva, la disciplina presupuestaria de los países de la Unión
Europea (UE) en general y de los participantes en la Unión Económica y Monetaria
en particular (UEM). La crisis económica y financiera motivó una revisión de
la PEC mediante un conjunto de actos normativos de diversa naturaleza cuyo resultado
ha llevado a una coordinación y supervisión más estrecha de las políticas
económicas estatales por las instituciones de la UE. La complejidad de las normas
y sus procedimientos de aplicación ocasiona una falta de transparencia que afecta
a su rendición de cuentas. Además los parlamentos nacionales han visto limitado
el ejercicio de su poder presupuestario y está contracción no se ha compensado
con la mejora de la situación del Parlamento Europeo, pues tras la modificación
de la PEC su posición relativa en las relaciones interinstitucionales ha empeorado.

Europar Batasuneko herrialdeetako aurrekontu-diziplina zorrotz
ziurtatzeko sortu zen bere garaian Egonkortasunerako eta Hazkunderako Ituna
(EHI); batez ere, Ekonomia eta Diru Batasuneko partaideen aurrekontu-diziplina
ziurtatzeko. Krisi ekonomiko eta finantzarioaren krisiak EHIa errebisatu beharra
ekarri zuen, eta era askotako arau-egintzen multzo bat ezarri zen horren ondorioz.
Gaur egun, estatuetako politika ekonomikoak zorrotzago koordinatzen eta ikuskatzen
dituzte EBko erakundeek. Aplikatzeko arauak eta prozedurak direla-eta gardentasuna
galdu egiten da, eta horrek kalte egiten dio kontu emateari. Gainera, herrialdeetako
parlamentuei aurrekontuak maneiatzeko gaitasuna murriztu egin zaie,
eta murrizketa hori ez da konpentsatu Europako Parlamentuaren egoera hobetuz,
izan ere, EHIa eraldatu ondoren, erakundeen arteko harremanetan daukan posizio
erlatiboa okerragoa da orain.

The Stability and Growth pact (SGP) was created to effectively
guarantee the budgetary discipline within the EU Member states in general and
within the European Monetary Union (EMU) participants in particular. The economic
and financial crisis motivated an amendment upon the SGP by means of a set
of normative acts of different kinds whose result has led to a closer coordination
and supervision of state economic policies by the EU institutions. The complexity
of rules and its application procedures result in a lack of transparency that affect
its accountability. Besides national parliaments have had the exercise of their
budgetary power limited and that constrainement has not been offset with the
improvement of the European Parliament situation since after the SGP amendment,
its relative position within the interinstitutional relationships had been worsened.
LA PROTECCIÓN DE LOS DERECHOS FUNDAMENTALES EN EL MECANISMO ÚNICO DE SUPERVISIÓN Y EL MECANISMO ÚNICO DE RESOLUCIÓN
Authors: MARTÍNEZ MATA YOLANDA
Published: March 2021

Los mecanismos de supervisión y resolución de la reciente Unión
Bancaria instituyen un entramado complejo de coordinación entre diversas autoridades
europeas y nacionales. Dentro de ellos, el contenido y alcance de los derechos
fundamentales de las entidades afectadas, de sus accionistas, depositantes,
acreedores o competidores constituye todavía un terreno pendiente de explorar.
Vista la complejidad técnica inherente al MUS y al MUR, es previsible que la jurisdicción
comunitaria atribuya un amplio margen de apreciación a las instituciones
competentes en estos ámbitos. El contrapeso a esta facultad de apreciación deberá
constituirlo un estricto respeto a las garantías procesales de los interesados,
como principal instrumento de salvaguarda de sus derechos fundamentales.

Banka Batasunak (duela gutxi eratu da) ikuskapenak egiteko eta
ebazpenak emateko dauzkan mekanismoak konplexuak dira oso, Europako nahiz
nazioarteko hainbat agintariren arteko koordinazioa behar duelako. Tarteko diren
erakunde, akziodun, gordailugile, hartzekodun edo lehiatzaileen oinarrizko eskubideen
edukia eta esparrua jorratzeke daude oraindik. Ikuskapenerako Mekanismo
Bakarra eta Ebazpenetarako Mekanismo Bakarra teknikoki konplexuak direla-eta,
pentsatzekoa da batasuneko jurisdikzioak apreziazio-marjina handia emango
dioela alor horretan eskumenak dituzten erakundeei. Apreziatzeko gaitasun horri
kontrapisua egiteko, zorrotz-zorrotz errespetatu beharko dira interesdunen ziurtasun
prozesalak, horiek baitira beren oinarrizko eskubideak babesteko tresna baliagarrienak.

The supervision and resolution mechanisms of the recent banking
union are a complex studding of coordination between the different European and
national authorities. Among these, the content and scope of fundamental rights of
affected entities, their shareholders, depositors, creditors and competitors are still
a ground to be explored. Due to the inherent technical complexity of the single
supervisory and resolution mechanisms, it is foreseeable that the Community
jurisdiction grants a broad margin of appreciation to the competent institutions
in these fields. The counterweight to this faculty of appreciation should be a strict
respect to the procedural safeguards of the interested parties as the principal tool
to protect fundamental rights.
Adoption of Social Media Technologies and their Impact on Students’ Academic Performance: The only Way for Future Survival of Distance Education Students in Pakistan
Authors: Arif Muhammad , Kanwal Saima
Published: March 2021

This study aims to investigate the adoption of social media technologies and their impact on academic performance of distance education students at Allama Iqbal Open University (AIOU), Islamabad-Pakistan. This study opted Combined-Technology Acceptance Model and Theory of Planned Behavior (C-TAM-TPB; Taylor & Todd, 1995) as theoretical model. Descriptive survey was administered to collect data with the help of self-reported structured questionnaire on 365 students, randomly selected from the targeted population. The response rate was 84.6%. Majority of the respondents were familiar and using the social media technologies frequently such as Facebook, YouTube and WhatsApp whereas Twitter was rarely used, also the students were having poor knowledge about the technology. Similarly, majority of the respondents were having average knowledge and familiarity in using Skype. The results of t-Test disclosed that gender difference existed in opinion towards frequency to use Facebook, Twitter, Wikipedia and WhatsApp only. The regression analysis also revealed that perceived usefulness, perceived behavior control, attitude towards use helped to enhance the students' actual use of social media technologies. However, perceived ease of use and subjective norms did not contribute in the use of the technologies. Furthermore, distance students' academic performance was increased by using the technologies. This study is delimited to five social media technologies; Facebook, Twitter, YouTube, Wikipedia, WhatsApp, and Skype only. To our best knowledge, this is first comprehensive study in distance education perspective which may provide guidelines to offer off-campus students services through effective utilization of the social media technologies.
De Covid-19-pandemie kan een gesprek rondom het levenseinde faciliteren
Authors: VAN DE WIEL M. , BOMBEKE K. , WENS J. , VANCLOOSTER P. , MERTENS V. , RASKIN J. , DE BONDT C. , WENER R. , LEBEER M. , FORCEVILLE K. , VAN MEERBEECK J. , JANSSENS A.
Published: March 2021

The Covid-19 pandemic could facilitate an end-of-life conversation

The new “severe acute respiratory syndrome” coronavirus (SARS-CoV-2) is testing our health care system in several ways. The need for clear end-of-life conversation is, more than ever, emphasized. The potential overcrowding in health facilities creates an important ethical dilemma about which patient can occupy which hospital bed. Most caregivers understand the importance of good communication and documentation of end-of-life conversations, yet few will conduct those conversations.

Often, the emphasis lies on obtaining a “do not resuscitate” code (DNR), rather than exploring the patient’s care goals and values. Early care planning (ECP) focuses on those care goals and values.

On the one hand, the COVID-19 pandemic is a good starting point for initiating conversations about end-of-life. On the other hand, there are important practical limitations regarding the adequate execution of those conversations. The current pandemic teaches us that ECP should be a central part of our clinical practice. It is important that healthcare providers take responsibility for identifying and initiating those patients who would benefit from such conversations.
Levenskwaliteit een jaar na radiofrequente ablatie van de vena saphena magna
Authors: CRAEGHS L. , BECHTER-HUGL B. , THOMIS S. , FOURNEAU I.
Published: March 2021

Quality of life one year after radiofrequency ablation of the great saphenous vein

Symptomatic varicose veins have a negative impact on quality of life. Radiofrequency ablation (RFA) is an endovenous technique to occlude the venous lumen. In this study, the patient satisfaction and patient-reported quality of life is investigated one to two years after RFA of the great saphenous vein (GSV). Questionnaires were sent to 200 patients who were treated with RFA of the GSV at UZ Leuven more than one year ago. Data were processed using SPSS Statistics 24. 98 of 200 patients (49%) participated in this study. 80,4% (78/97) of patients were satisfied and 95,8% (92/96) would choose it all over again. Self image improved in 58,2% (57/98) and general health improved in 29,6% (29/98) of patients compared to a year ago. 57,4% (54/94) of patients had no relapse or progression one year after RFA of the GSV. Dissatisfaction was more common in patients with a history of varicose vein treatment, in patients with recurrent varicose veins or venous symptoms and in patients with postoperative hematoma. RFA of the GSV results in patient satisfaction among the participating patients and has a positive impact on their self image and on health-related quality of life more than a year after the treatment.
Evolutie van detectiemethodes voor autoantilichamen bij systemische auto-immune reumatische aandoeningen
Authors: VULSTEKE J. , BOSSUYT X. , DE LANGHE E.
Published: March 2021

Detectie van autoantilichamen is relevant voor de diagnose, prognose, classificatie en stratificatie van systemische auto-immune reumatische aandoeningen (SARD). De belangrijke detectiemethodes zijn indirecte immunofluorescentie bij HEp-2-cellen (HEp-2-IIF) en solid-phase assays (SPA).

Bij HEp-2-IIF kunnen een fluorescentie-intensiteit en een patroon gerapporteerd worden. De laatste jaren wordt volop ingezet op automatisatie en standaardisatie van HEp-2-IIF. Meer en meer worden ook solid-phase assays gebruikt, waarbij recombinante, synthetische of opgezuiverde antigenen op een vast substraat worden geplaatst. Daarbij is er een evolutie naar het gebruiken van multiplextesten, waarbij meerdere autoantilichamen in één test opgespoord kunnen worden.

In dit artikel worden de eigenschappen van die detectiemethodes en de implicaties voor de klinische praktijk besproken.
Het nut van antiaggregantia en anticoagulantia na een embolische beroerte van ongekende oorsprong
Authors: GERMEYS T. , LEMMENS R. , VANASSCHE T. , WILLEMS R.
Published: March 2021

The use of antiplatelet agents and anticoagulants after embolic stroke of undetermined source

“Embolic stroke of undetermined source” (ESUS) was introduced in 2014 to classify a population with ischemic stroke, caused by an embolism of unknown origin. Atrial fibrillation (AF) is a possible cause for this embolism. As detection of AF implies secondary prevention with anticoagulants rather than acetylsalicylic acid, the hypothesis arose that anticoagulants are superior to antiplatelet therapy in secondary prevention after ESUS. This article summarizes the current evidence about the use of anticoagulants in secondary prevention after ESUS.

Rivaroxaban and dabigatran were not superior to acetylsalicylic acid in secondary prevention of stroke in patients with ESUS and were even associated with a higher risk of bleeding. Ongoing trials compare apixaban with acetylsalicylic acid in secondary prevention of stroke in patients with diagnosed ESUS and concomitant risk factors for AF. Currently, there is no evidence to support the routine use of oral anticoagulants in secondary prevention of stroke after ESUS.
Schelpzorg: een palliatief zorgmodel voor patiënten met een ernstige, persisterende psychiatrische aandoening
Authors: DECORTE I. , VERFAILLIE F. , MOUREAU L. , VAN BALLAER K. , DE GEEST I. , LIÉGEOIS A.
Published: March 2021

Schelpzorg is een innovatief zorgmodel dat in Vlaanderen ontwikkeld wordt om kwaliteitsvolle zorg te bieden aan patiënten met een ernstige, persisterende psychiatrische aandoening (EPPA). Deze patiënten dreigen immers in de huidige zorgcontext onder- of overbehandeld te worden. Daarom hertaalt schelpzorg de palliatieve filosofie naar de psychiatrie en voegt het palliatieve elementen toe aan het herstel. De zorgverleners creëren een “exoskelet”, een “schelp” of een “externe structuur” omdat de patiënten een te zwakke “interne structuur” hebben om te kunnen functioneren. Schelpzorg is een holistische benadering met vier pijlers: de fysieke zorg gaat in op de somatische beperkingen, de psychologische zorg focust op comfort en welzijn, de sociale zorg biedt een structuur van activiteiten en contacten en de existentiële zorg bevordert de ervaring van een zinvol leven. Belangrijk is een persoonlijke aanpak, een flexibele omgang met regels, een grote dosis creativiteit en een bijzondere expertise in de somatische en de existentiële zorg. De eerste ervaringen wijzen op een verhoging van het welzijn van patiënten en een positieve dynamiek bij zorgverleners. Daarom is een verdere ontwikkeling van gespecialiseerde zorgeenheden voor schelpzorg, te vergelijken met palliatieve diensten, noodzakelijk. Ten slotte is er nood aan meer onderzoek, een betere detectie van de zorgnoden, kwaliteitsindicatoren en vorming.
Een 19-jarige jongen met kniepijn, gerefereerd vanuit een middiafysair osteoïd osteoom van de femur?
Authors: VYNCKE G. , LUYTEN R. , STASSIJNS G.
Published: March 2021

A 19-year-old male with persistent unilateral knee pain, possibly due to a mid-diaphyseal osteoid osteoma of the femur?

Osteoid osteoma is a benign bone-forming tumor that typically presents itself during the second decade and more frequently in males. The main complaint is progressive pain, usually pain at night. The pain is relieved by nonsteroidal anti-inflammatory medication. However, osteoid osteoma can present itself in a rather nonspecific pattern, for example with referred pain.

On radiographs an osteoid osteoma has a characteristic image of a small round lucency (nidus) with sclerotic margin, which is best visualized with CT scan. Treatment can either be conservative with an oral NSAI or surgical, where nowadays CT guided radiofrequency ablation seems to be the primary choice.
Zorgzaam Leuven: binnen de nationale projecten rond chronische zorg een succesvolle oefening in buurtgerichte zorgreorganisatie
Authors: HEYRMAN J. , PINT G. , PEETERS A. , VAN DE PUTTE M. , VAN POTTELBERGH G.
Published: March 2021

Zorgzaam Leuven: within the Belgian chronic care policy development projects a successful exercise in close to patient care reorganisation in the local community context

“Zorgzaam Leuven” is a change and management project aiming at care integration for chronic patients. It started in 2018 for a duration of four years, as one of the twelve national policy development projects in Belgium. It is led by a consortium of 60 local care organisations. This paper reports on the bottom-up development line, with close care integration at the level of the caring communities.

Two converging action lines are highlighted. The first one focuses on the local caregivers, who are stimulated to act as the “local multidisciplinary care team”. Within the development of the existing national chronic care programs, they are asked to organise themselves with other local caregivers and care structures, leading to initiatives including local volunteers and patient caretakers. They rethink all other care initiatives starting from the local needs and opportunities. Secondly, other initiatives were based on municipal and local welfare care integration, in correspondence with the same local care communities. Two of them, the most advanced projects, are discussed.

Some early reflections on eminent bottlenecks are mentioned: the difficulties to reconcile fundamentally different care paradigms, and to adopt and host this type of broad change initiatives. Finally, a couple of learning points are listed, important for the extrapolation to national governance from 2022 onwards.

Complex care reorganisation needs smart stimuli on a broad scale. Local initiatives regarding close to patient care integration showed a lot of opportunities when stimulated by a change management team supported by a large consortium of care organisations and structures.
Особенности информационных технологий в обществе XXI века
Authors: Эргашев Улугбек , Отабеков Акбар , Исабеков Баходир , Синдаров Садриддин , Пардаев Шерзод
Published: March 2021

В данной статье новые информационные технологии рассмотрены особенности и темпы развития информационных технологий, а также перспективы развития и примеры новых информационных технологий. Информационные технологии включают компьютерные структуры и другое подразделение, которое контролирует и поддерживает эти ПК. В то время как ПК являются основным инструментом в широком спектре областей, важность информационных технологий очевидна во всем мире. В статье подчеркивается, что ИТ связаны с изучением, конфигурированием и развитием систем  ПК, как оборудования, так и программирования, которые используются для получения, обработки и присвоения информации. Эта область быстро развивалась в течение последних двух лет. Инвестиции в оборудование для ПК, а также в ИТ-специалистов, которые следят за ним, дают организациям значительные преимущества
Fizika kursi mavzularini o'rganishda sinergetik texnologiyalardan foydalanish
Authors: Atoyeva Mehriniso
Published: March 2021

Maqolada fizika kursi mavzularini o’qitish masalalarida sinergetik texnologiyalardan foydalanish haqida fikr yuritiladi, o’rganilayotgan materiallar misolida o'quvchining bilish jarayonlari va ularni sinergetik yondashuv nuqtai nazaridan boshqaruvchi o'qituvchining harakatlari tahlili keltirilgan.
Maqolada muallifning fikrlari simmetriya mulohazalari yordamida masalalarni echishda muammolarni echish qanchalik oson ekanligi va o'quvchining intuitivligini uyg'otish uchun o'qituvchi yaratgan effekt qanchalik nozik va aniq bo'lishi kerakligini, u mustaqil ravishda o'z kashfiyotini amalga oshirishi mumkinligiga e'tibor qaratadi. Shunday qilib, kerakli traektoriyaga, rivojlanishga sinergetik o'tish mavjud.
Maqolada ta'kidlanishicha, garchi Sinergetika uzoq vaqt oldin paydo bo'lgan bo'lsa-da, bugungi kunda u haqiqatga aylandi va nafaqat yondashuv, balki postklassik fanning o'ziga xos falsafasi hisoblanadi. Shuni ta'kidlash kerakki, sinergetikaning ahamiyati uning tabiiy falsafiy ildizlarida emas, balki eksperimental ilmga yaqinligida, shu asosda turgan va shu kungacha unga e'tibor bergan taniqli olimlarning nomlarida emas, balki eski va yangi tarafdorlari huzurida. Uning ilmiy ahamiyati birinchi navbatda dunyo tuzilmasining eng global savollariga javob topish istagidadir.
Мажбурий ижро тизимини такомиллатириш - суд-ҳуқуқ соҳасидаги устувор вазифа
Authors: Уразалиев Мурод
Published: March 2021

Ушбу мақола мамлакатимизда мажбурий ижро соҳасида амалга оширилаётган ислоҳотлар, давлат ижрочисининг  суд ҳужжатлари ва бошқа орган ҳужжатларининг ижросини таьминланлаш учун мажбурий ижрони қўллаш тартиби ҳамда  ижро механизимини такомиллаштиришнинг муҳим жиҳатларига бағишланади.
Evaluation of the efficacy of levocarnitine in supporting therapy in multiple myeloma
Authors: Achilova Ozoda , Makhamadalieva Gulchekhra , Iskhakov Eldor
Published: March 2021

The accompanying therapy prescribed during the use of toxic drugs helps patients to complete the treatment to the end, and the doctor adheres to the treatment of the chosen line
The aim of the study was to study the effect of levocarnitine on blood biochemical parameters and on chemotherapy tolerance.
Materials and methods. The study was conducted in the stem cell treatment department at Republican Specialized Scientific Practical Medical Center of Hematology . Chemotherapy toxicity was assessed according to WHO and NCIC standards.
Results. In a comparative study, 30 patients receiving chemotherapy for myeloma with varying degrees of toxicity when fortecarnite (100 mg / kg / day) was added to standard therapy for 2 months or more showed a significant positive change in cytochemical parameters (Alanin transferase (ALT), aspartat transferase (AST)), which allowed the authors recommend metabolic correction to all patients receiving chemotherapy, especially with 2nd and 3rd degree of toxicity.
XIX аср охири ва XX асрнинг бошларида Россия ва Англия муносабатларидаги геосиёсий жараёнлар ва бунинг Ўрта Осиёга таъсири
Authors: Холиков Зокир , Абдураимов Фазлиддин
Published: March 2021

XIX асрнинг охири ва XX асрнинг бошларида дунё миқёсида ривожланган мустамлакачи давлатлар томонидан олиб борилган ташқи сиёсат эндигина оёққа тураётган мустақил давлатлар тараққиётини бутунлай издан чиқариб юборди. Айниқса, Кавказорти ва Ўрта Осиё давлатлари худди шундай сиёсий тортишувлар аренасига айланган эди. Мазкур мақолада XIX аср охири ва XX асрнинг бошларида Ўрта Осиё ҳудуди ва бойликларига эгалик қилиш масаласида дунёнинг йирик империялари Англия ва Россия ўртасидаги сиёсий низолар ва уларнинг салбий оқибатлари ҳақидаги илмий маълумотлар таҳлил қилинади.
Обеспечение равноправия женщин и мужчин в Узбекистане
Authors: Гаффарова Шахноза
Published: March 2021

Статья акцентирует внимание на  главные задачи при обеспечении гарантии равных прав и возможностей для женщин и мужчин во всех сферах жизнедеятельности общества в целях устранения несовместимостей, которые могут возникнуть в установлении прав, обязательств, возможностей и ответственности личности без различия гендерной принадлежности. В статье освещены  гендерные реформы в Узбекистане и их перспективы, принятые нормативно-правовые акты и их значение, проанализированы проблемы, ожидающие свое решение и предложены пути их решения.
Актуальные проблемы возбуждения уголовного дела публичного обвинения.
Authors: Худайбергенов Бахрам
Published: March 2021

В статье рассматривается актуальные проблемы в уголовно-процессуальных нормах относительно возбуждения уголовного дела публичного обвинения. Автором приводится предложения по реформированию института возбуждения уголовного дела, а также проведен анализ имеющихся на сегодняшний день научных исследований института возбуждения уголовного дела.
Россия тараққиёт моделини амалга тадбиқ этиш сиёсати ва унинг натижалари
Authors: Баратбаев Бекзод
Published: March 2021

Миллий тараққиёт моделини амалга ошириш учун белгиланган ғоялар халққа яқин бўлганда уни амалга оширишнинг ҳар қандай восита ва методлари қулай бўлади. Мазкур мақолада Россия миллий тараққиёт моделининг “Россия Федерациясининг 2020 йилгача узоқ муддатли ижтимоий-иқтисодий ривожланиш концепцияси”ни ишлаб чиқилиши билан боғлиқ вазиятлар сиёсий-фалсафий жиҳатдан таҳлил этилган. Гарчи ушбу концепция бутун Россия учун яхлит ҳужжат бўлсада, унинг таркибий устувор йўналишларини амалга ошириш жараёни соҳалар ва федерал ҳудудларнинг мустақил ёндашувлари асосида амалга оширилди, яъни, ҳар бир соҳа ва ҳудуд концепцияда белгиланган мақсадлар бўйича ўз стратегияларини ишлаб чиқиш йўлидан борилди. Ушбу мақолада Россияда миллий тараққиёт моделини соҳавий ва ҳудудий асосда амалга оширишга қаратилган стратегиялар, уларнинг таркибий хусусиятлари ва самарадорлиги ҳамда Россиянинг юқорида тилга олинган ҳудудлар стратегияларини амалга ошириш юзасидан олиб бораётган сиёсати таҳлил қилинади.
Boshlang’ich sinf o’quvchilarini o’qitishda pedagogik texnologiyalardan foydalanish
Authors: Сайфуллаев Азизбек
Published: March 2021

Maqolada  zamonaviy boshlang'ich maktabda ta'limning ustuvor yo'nalishi o'quvchilarga qanday ishlashni o'rgatish, o'quvchilar tomonidan olingan bilimlar amaliy yo'nalishga ega bo'lishi uchun umumiy ta'lim qobiliyatlari va qobiliyatlarini shakllantirish haqida hsm keng mulohazalar yuriniladi. Shu bilan birga, hozirgi vaqtda ta'limda o'quvchilar tomonidan ta'lim mazmunini shaxsan o'zlashtirish uchun kompetensiyaga asoslangan yondashuvga  e’tibor qaratilgan.  Unda “Ta'lim kompetentsiyalari” shaxsning o'zaro bog'liq xususiyatlari (bilim, ko'nikma va malakalar, faoliyat rejimi) majmui sifatida tavsiflanadi.
Ҳуқуқбузарликлар профилактикасида профилактик ҳисоб ҳамда уни такомиллаштиришнинг айрим масалалари
Authors: Алояров Рустам
Published: March 2021

Мазкур мақолада ҳуқуқбузарликлар профилактикасида профилактик ҳисобнинг аҳамияти ва уни янада такомиллаштиришнинг айрим масалалари ёритилган.

Муаллиф кимлар профилактик ҳисобга олиниши, профилактик ҳисобнинг қандай ҳолларда амалга оширилиши, профилактик ҳисоб қандай тартиб-таомилларни ўз ичига олиши, профилактик ҳисобга олинган шахснинг ҳуқуқий мақоми, профилактик ҳисобнинг амал қилиши, профилактик ҳисобнинг профилактик таъсир этиш механизми ва асосий принципларини ўрганган ва тегишли таклифларни илгари сурган.
Ички ишлар органлари ҳуқуқбузарликлар профилактикасининг субъекти сифатида унинг бошқа субъектлар билан ҳамкорлиги
Authors: Хамракулов Шавкат
Published: March 2021

Ушбу мақолада Ўзбекистон Республикаси ички ишлар органлари ҳуқуқбузарликлар профилактикаси[1]нинг субъекти сифатида унинг бошқа субъектлар билан ҳамкорлиги масалалари таҳлил қилинган. Муаллиф мақолада ички ишлар органларининг ҳуқуқбузарликлар профилактикасини бевосита амалга оширувчи ва унда иштирок этувчи бошқа органлар ҳамда муассасалар билан ўзаро ҳамкорлик масалаларига эътибор қаратган ва асослантирилган таклифлар берган (1000-1100 сўз).
Айрим ривожланган хорижий мамлакатлар қонунчилигида жиноят содир этишда гумон қилинаётган шахснинг ҳимоя ҳуқуқи билан таъминланганлик ҳолати
Authors: Мавланов Камолиддин
Published: March 2021

Мазкур мақолада жиноят процессининг мустақил иштирокчиси сифатида гумон қилинувчи шахснинг шахсан ўзи ёки адвокат орқали ҳимояланиш ҳуқуқи, бу ҳуқуқни амалга оширишда юзага келаётган муаммолар ва уларни бартараф этиш йўллари дунёнинг ривожланган хорижий давлатлари тажрибасидан келиб чиқилган ҳолда ўрганилган. Бу давлатларни танлашда айнан жиноят процессида шахс ҳуқуқларини ҳимоя қилиш бўйича халқаро рейтинг ва индексларда юқори ўринларда турувчи мамлакатлар тажрибаси кўриб чиқилди. Бунда асосий эътибор шахснинг ушланган вақтдан бошлаб, яъни шахснинг харакатланиш эркинлиги чекланган вақтдан бошлаб унга ҳимояланиш ҳуқуқининг тақдим этилганлиги, уни таъминлашда ҳуқуқни муҳофаза қилувчи органларнинг мажбурияти, гумон қилинувчиларнинг бу ҳуқуқини амалга оширишда мавжуд муаммолар ва уларни бартараф этиш юзасидан бошқа давлатлар тажрибасига асосий эътибор қаратилди.
Migrantes de Jade
Authors: Rodríguez Mijangos Ricardo
Published: March 2021

Rafael Arturo Ríos se forma como científico en el país vecino al que migra su familia desde Centroamérica. Accidentalmente se ve envuelto en una intriga internacional de búsqueda del arma de destrucción masiva más poderosa, que coloca en la balanza el papel ético de la ciencia. Debido a que emigró a la edad de siete años, sombras de su país de origen lo acompañan: el asesinato por un nazi de su tío Rafael, a quien no conoció, y cuya historia se desgrana en paralelo y en retrospectiva. La otra sombra que deja atrás es luminosa, es su tío Gonzalo, quien lo acompañó en su niñez y lo siente como una pérdida que no supera totalmente con el tiempo. Estas historias entrelazadas tienen como telón de fondo la Segunda Guerra Mundial y la Guerra Fría. Al final, el pasado y el futuro se encuentran de una manera sorprendente. Un thriller apasionante.
National Character: Integration Nationalist Value on Civics Teaching Materials in Elementary School
Authors: Zarco Florentina , Shalati Patricia
Published: March 2021

This research is conducted to know the effect of Team Games Tournament (TGT) learning model with “Numbered-Board Quiz” game in increasing science learning achievement of four grade students in Sawahan, Madiun. Although many research results show that students’ learning achievement are much improved, however the use of TGT learning model in science and the use of it in teaching learning process for elementary school are rarely found. Many teachers have not known about TGT learning model. The main requirement to observe science teaching learning process in the class refers to the requirement to the application of learning model TGT especially in science subject. The purpose is to know the effectiveness of the application of TGT to improve students’ achievement based on learning motivation. The population in this research is 154 students that come from 6 schools, 79 students are in experiment group and 75 students are in control group. Students in experiment group are given treatment with TGT learning model while students in control class are given treatment conventional learning model that is direct teaching. Collecting data is conducted two times, they are pretest and posttest. The result shows the significant differences of science learning achievement between students that are given TGT learning model and conventional method, also there is an interaction between the learning model used with student learning motivation.
EFL Classroom Activities in Teaching Listening Using Songs for Students
Authors: Güler Figen , Bozkurt Eylem
Published: March 2021

The aim of this study was to reveal English Foreign Language (EFL) classroom activities conducted by teachers in teaching listening using songs. A qualitative study method was applied. Three teachers of a senior high school in Indonesia were interviewed. Classroom observations were done. Teachers strongly believed that their students enjoyed the class and involved in the activities provided. The results show that students were eagerly active in the class joining activities conducted by teachers in teaching listening using songs. There were sixty students given questionnaire. They were chosen randomly. The study implies that it is necessary for teachers to plan various activities to attract students’ attention as well as to choose the appropriate song so that all of students are engaged in the learning process.