bluuebunny/crossref_metadata_2025 huggingface dataset:
FACTORS AFFECTING THE ANXIETY LEVEL OF PRE-SURGICAL PATIENTS IN HOSPITAL
Authors: Khairani Maulidia , Sari Siska Mayang , Indra Rani Lisa
Published: June 2023

A surgical procedure may induce psychological reactions in patients, including pre-surgical anxiety. Pre-surgical anxiety can influence the surgical process and patientsâ€™ health status after the surgery. Mild, moderate, and severe anxiety are some of the psychological responses to surgical procedures. Patients' anxiety before surgery is affected by internal and external factors. 30 respondents had the most anxiety levels of moderate preoperative patients, with 12 respondents (40%) and 18 respondents (60%) having surgical with mild preoperative anxiety levels. There were 25 respondents with less knowledge. There were 16 respondents (64%) with mild anxiety levels and 9 (36%) with moderate anxiety levels. 55 respondents with high family support, there were 48 respondents (87.3%) with moderate anxiety levels, there were 5 respondents (7.4%) with severe anxiety levels and 2 respondents (3.6%) with mild anxiety levels. The exact cause of anxiety is unknown, but it is thought to factor in experience, knowledge, and family support or RSUD Arifin Achmad, Riau Province. The study aims to describe factors that influence anxiety in patientsâ€™ pre-operation. The research instrument was a questionnaire through validity and reliability tests. Univariate and bivariate analyses were applied. The research instrument was a questionnaire through validity and reliability tests. The research showed no significant correlations between experiences, knowledge, and family support with the patientsâ€™ anxiety (p-value>0.05). It was suggested that the hospital should concern with factors correlated with pre-surgical patients' anxiety and increase the quality of nursing care.
EDEBİYAT VE DİĞER GÜZEL SANATLAR – AHMET MİTHAT’TAN TANPINAR’A
Authors: ENER SU Aydan
Published: June 2023

Herhangi bir disipline göre değerlendirilen bir eser, zamanla diğer disiplinlerle aralarında ilişki kurularak incelenmeye başlanmış, böylelikle eserlerdeki çok katmanlılık önem kazanmıştır. Edebî eserlerin de kendi yapısı içinde incelenmelerinin yanı sıra tesiri altında kaldığı güzel sanatlar bakımından değerlendirilmesi eserin farklı yönlerinin ortaya çıkarılmasını sağlamaktadır. Her geçen gün bilim dallarının birbirini tamamlayan disiplinler olduğu daha iyi anlaşılmakta ve bu yönde çalışmalar önem kazanmaktadır. Bu yazıda, Şerife Çağın’ın edebiyatın diğer disiplinlerle ilişkisini ele alan Edebiyat ve Diğer Güzel Sanatlar –Ahmet Mithat’tan Tanpınar’a başlıklı eseri tanıtılmıştır. Öncelikle bu alanda daha önce yapılan benzer çalışmalar hakkında bilgi verilmiş, Çağın’ın belirtilen eserinin bu eserlerden farkına değinilmiş ve kitabın literatür için önemi üzerinde durulmuştur. Sonrasında ise yedi ana başlıktan oluşan eserin her bir bölümü ayrıntılı bir şekilde tanıtılmıştır. Eserin ilk iki bölümünde Ahmet Mithat Efendi’yi, üçüncü bölümünde Halit Ziya Uşaklıgil’i etkileyen güzel sanatlardan bahsedilmiştir. Dördüncü bölümde iki yazar (Halit Ziya Uşaklıgil ve Ahmet Hamdi Tanpınar) etkilendiği güzel sanatlar bakımından karşılaştırmalı olarak ele alınmıştır. Beşinci bölümde Ahmet Haşim, altıncıda Yahya Kemal ve yedinci bölümde de Ahmet Hamdi Tanpınar etkilendikleri güzel sanatlar açısından değerlendirilmiş, güzel sanatların çeşitli kollarının bahsedilen edebî şahsiyetlerin eserlerine yansıması ele alınmıştır. Edebiyatın güzel sanatlarla ilişkisini bütüncül ve kronolojik bir anlayış ve metotla ele alan Çağın’ın bu eseri birden fazla yazarın ve birden fazla disiplinin (musiki, resim, heykel, dans, opera, mimari) bir arada değerlendirildiği ender çalışmalardan biridir. Türk edebiyat tarihçiliği açısından önemli bir yere sahip olan disiplinler arası çalışmalara teşvik edici nitelikteki bu çalışma, Türk edebiyatı, müzik, resim, heykel, arkeoloji, mimari, müzecilik, mitoloji, dans alanına ilgi duyan ve bu alanda çalışan akademisyen ve öğrenciler, edebiyatseverler, Ahmet Mithat Efendi, Halit Ziya Uşaklıgil, Ahmet Hamdi Tanpınar, Ahmet Haşim ve Yahya Kemal okurları için yol gösterici nitelikte bir başvuru eseridir. Uzun ve titiz bir çalışma süreci gerektiren eserin sonraki baskılarında ele alınan edebî şahsiyetlerin sayısının artırılması çalışmanın değerini daha da artıracak, eser daha fazla okura hitap edecektir.
GÖRSEL-İŞİTSEL MEDYADA MİZAH ÇEVİRİSİ: ICE AGE (BUZ DEVRİ) ANİMASYON FİLM SERİSİNİN TÜRKÇE VE ARAPÇA ALTYAZI ÇEVİRİLERİ
Authors: ERAY Arife
Published: June 2023

Teknolojinin ilerlemesi ile birlikte günümüzde görsel-işitsel ürünlerde artış görülmektedir. Bu sektörün ilerlemesi söz konusu alandaki çeviri ihtiyacını da ortaya çıkarmaktadır. Edebi eserlerin yanı sıra farklı bir alan olan görsel-işitsel çeviri kendi içerisinde çeşitli parametreler ve kurallara sahiptir. Görsel-işitsel çeviri ondan fazla yönteme sahip olmasına rağmen şemsiye niteliği taşıyan iki temel çeviri yöntemi altyazı ve dublajdır. Bu çalışmanın kapsamı Türkçe ve Arapça altyazı çevirileri ile sınırlıdır. Günlük hayatta hemen hemen her alanda varlığını gösteren mizah bu çalışmanın temelini oluşturmaktadır. Birçok bilim insanının mizah ile ilgili çeşitli tanımları bulunmasına rağmen henüz tek bir tanım üzerinde fikir birliğine varılamamıştır. Mizah özellikle görsel-işitsel ürünlerde yoğun olarak kullanılmaktadır. Birçok çeviribilimci görsel-işitsel ürünlerdeki mizahi sahneleri sınıflandırmak için çeşitli öneriler ortaya koymaktadır. Ancak dizi ve filmlerin yanı sıra animasyon filmlerindeki mizahi sahneleri sınıflandırmak için daha özel bir sınıflandırma yönteminin kullanılması gerekmektedir. Bu bağlamda Ice Age (Buz Devri) animasyon film serisindeki mizah içerikli sahneler, Isabel Pascua ve Bernadette Rey-Jouvin’in mizah sınıflandırması bağlamında kategorize edildikten sonra elde edilen verilerin Türkçe ve Arapça altyazı çevirileri Jorge Díaz-Cintas ve Aline Remael’in altyazı çeviri stratejileri kapsamında betimleyici bir şekilde değerlendirilmektedir. Söz konusu mizah sınıflandırması bağlamında dilbilimsel referansların animasyon filminde yoğun olarak kullanıldığı ve altyazı çeviri stratejilerinden birebir çeviri stratejisinin ön plana çıktığı görülmektedir.
Factors Influencing Smallholder Farmers’ Preference for Veterinary Services Providers in Zimbabwe
Authors: Maposa Leonard , Garwe Evelyn , Nyamushamba Godfrey G.
Published: June 2023

Animal diseases pose significant challenges to livestock production in Zimbabwe's smallholder sector. This study analyzed the variables influencing smallholder farmers' preferences for veterinary service providers. Data from a mixed-method approach, including a questionnaire (N=382), focus group discussions (N=106), interviews (N=16), and observations, were analyzed using descriptive statistics and multivariate probit regression. The findings revealed that access to veterinary services is complex and context-dependent, influenced by factors such as experiences, age, proximity to the provider, communication, remittances, satisfaction, repeat treatments, socioeconomic status, historical dynamics, and access to subsidized drugs. Government veterinary services, private sector entities, and Community Animal Health Workers played critical roles, with coordination enabling cost-effective services. The study highlights the multifaceted nature of smallholder farmers' decision-making, emphasizing the importance of situational factors and collaboration among service providers to meet their diverse needs effectively. These insights inform policymakers and stakeholders in developing strategies to enhance veterinary services in Zimbabwe's smallholder communities, ultimately improving livestock productivity and welfare.
A direct calculation in the newtonian gravity framework
Authors: Haraux Alain
Published: June 2023

We indicate a direct proof, without using the general Gauss theorem, of the fact that at any point outside a spherical massive body with spherically symmetric density function, both gravitational field and potential produced by the body are exactly the same as if all the mass were located at the center.
An Analysis of Literature on Topical Steroid Withdrawal in Dermatology
Authors: Wojtara Magda , Rajeev Ryan George , Shukla Sadhana , Çelik Ayilkin , Wen Cher Phoh
Published: June 2023

Topical steroids have been used to treat a variety of dermatological conditions and are one of the most commonly prescribed drugs in dermatology. These are Food and Drug Administration (FDA)-approved medications for treating diseases such as eczema, vitiligo, atopic dermatitis, discoid lupus erythematosus, and more. The mechanism of action of topical corticosteroids consists of anti-inflammatory, anti-mitotic, and immunosuppressive effects. Patients on topical corticosteroid treatments must be monitored carefully as there is a potential for adverse effects, especially in treatments lasting longer than several weeks. While when properly prescribed and monitored topical corticosteroid usage is considered safe, there have been growing concerns surrounding topical corticosteroid abuse, phobia, and withdrawal. Current research has focused on new therapeutic strategies and management protocols to improve long-term patient outcomes and mitigate the adverse effects of these drugs. In this narrative review, we describe the recent findings of clinical manifestations, patient perspectives in the literature, current knowledge, and misinformation and abuse pertaining to topical steroids.
School instability in South Africa: a Systematic Review of Reflections and Experiences for a way forward
Authors: Mahaye Ngogi Emmanuel , Ajani Oluwatoyin
Published: June 2023

The attainment of objectives within the school system is contingent upon the presence of a favourable environment (Ajani, 2022). The escalation of school violence in KwaZulu-Natal (KZN) province, which has resulted in the disruption of academic activities, has raised concerns among education stakeholders regarding the crises in schools. Numerous instances of violent incidents resulting in fatalities and damage to both human life and property have been documented (Mahaye, Dlomo & Ajani, 2022). The occurrence of multiple established incidents has resulted in a lack of stability within schools, thereby creating an environment that is not conducive to effective teaching and learning. The present study investigates diverse factors contributing to educational instability in KwaZulu-Natal, drawing upon data derived from published literature and the authors' firsthand involvement as education administrators. The study's findings show that crime and violence are primarily responsible for school instability. Typically, incidents of violence and criminality in educational settings are the result of internal factors involving both learners and school staff members or maybe the result of external forces coming from members of the local community. Multiple strategies have been identified to mitigate instances of violence in the school setting, to foster a secure and favourable atmosphere for educational activities. In addition, several proposed measures have been put forward to ensure the stability of schools in the KwaZulu-Natal province. These include moral guidance, heightened security measures, the cultivation of emotional intelligence, instruction in philosophy, specifically African philosophy (Ubuntu), and the enhancement of teacher welfare packages.
Association of Glycemic Index Using HbA1c and Sensorineural Hearing Loss in Diabetes Mellitus Type 2 Patients: A Systematic Review and Meta-Analysis
Authors: Quines Mark Randell , Gloria Cristopher Ed
Published: June 2023

ABSTRACT

Objective: To systematically review the available evidence on the association of HBA1c levels and development of sensorineural hearing loss and to quantitatively analyze the available data on HBA1c levels in patients with type 2 diabetes mellitus and sensorineural hearing loss to determine an HbA1c level that may be associated with the risk of having sensorineural hearing loss.

Methods:

       Design: Systematic Review and Meta-analysis     Eligibility Criteria: Cross-sectional studies, or cohort studies which were limited to English language that investigated the correlation of glycemic index using HBA1c and sensorineural hearing loss among adult type 2 diabetic patients which were done from January 2010 to December 2021. Studies with no published outcome, incomplete data or that were ongoing as of August 1, 2022 were also excluded.

   Information Sources: MEDLINE (through PubMed), Cochrane Library, Scopus, Embase (through OVID@journal), Directory of Open Access Journals (DOAJ), Google Scholar and HERDIN Plus

       Risk of Bias: Risk of Bias was assessed using the Guidelines for Cochrane Collaboration       Synthesis of Results: Results were presented using forest plots for representation.Results: A total of 8 studies were reviewed with 2,103 participants in all. Six articles compared hearing loss incidence between diabetic and non-diabetic patients. Overall, there were a total of 881 diabetic patients and 1222 non-diabetic patients. There was a significantly lower incidence of sensorineural hearing loss in non-diabetic patients with a risk ratio of 1.89, 95% CI [1.65, 2.16]. Three articles compared the HbA1c levels of diabetic patients with or without sensorineural hearing loss. Diabetic patients without sensorineural hearing loss had significantly lower HbA1c levels compared to those with sensorineural hearing loss with mean difference of 1.04, 95%CI [0.82, 1.25].Conclusion: In conclusion, this meta-analysis showed a higher prevalence rate of sensorineural hearing loss among patients with diabetes mellitus compared to non-diabetic patients. Moreover, poor glycemic control among diabetic patients with a glycemic index based on HbA1c of more than 8.3 (6.97-9.6) is associated with sensorineural hearing loss.
Profile of Patients with Oral Cavity Cancer Seen at the Department of Ear Nose Throat – Head and Neck Surgery of the Bicol Medical Center
Authors: Alvarez Adrian , Reyes Marifee
Published: June 2023

ABSTRACT

Objective: To determine the profile of patients with oral cavity cancer seen at the Ear, Nose and Throat – Head and Neck Surgery (ENT-HNS) Department of the Bicol Medical Center from January 2018 to December 2020.Methods:     Design: Retrospective review of records     Setting: Tertiary Government Training Hospital   Participants: Medical records of patients with oral cavity lesions with malignant biopsy results seen at the Bicol Medical Center Department of ENT-HNS from January 2018 to December 2020.Results: Records of 42 patients were included, 30 (71%) male; 12 (29%) female with the mean age of 62 ± 10.02 (range 34 to 80 years old). Squamous cell carcinoma was the most common histopathologic diagnosis (38/42; 91%), mostly affecting the anterior tongue (16/42; 38%) and buccal regions (14/42; 33%). Most tumors were in advanced stages: 25/42 (59%) in stage IVA; 7 (17%) in stage IVB. A total of 61% (17) of 28 oral cavity cancer patients with recorded risk factors practiced a combination of two or three high risk habits (betel nut chewing, tobacco smoking, alcoholic beverage intake) and a third practiced all three (10/28; 36%).Conclusion: The profile of oral cavity cancer patients in our study is different from the reported profiles in Asia and European and US counterparts. Our profile patient is a married male farmer in the 7th decade of life with poor dental hygiene and advanced stage IV squamous cell carcinoma of the tongue and buccal region, and combined habits of regular alcoholic beverage drinking, chronic tobacco smoking, and/or betel nut chewing, who lives in coastal or mountainous communities where access to health care may be limited.
Delay and Completion of Treatment in Head and Neck Cancer Patients Employing a Multidisciplinary Team Approach: A Single Institution Experience
Authors: Manaig Jamel Maita , Fernando Adrian , Yu Kelvin Ken
Published: June 2023

ABSTRACT

Objective: To explore possible associations of a multidisciplinary team approach compared to a non-multidisciplinary team approach on delay and completion of treatment of head and neck cancer patients.Methods:     Design: Historical Cohort Study     Setting: Tertiary Private Training Hospital     Participants: A total of 240 records of head and neck cancer patients from January 2016 and December 2018 were included in the study; 117 underwent a multidisciplinary team approach and 123 underwent a non- multidisciplinary team approach.Results: Only 24.79% of head and neck cancer patients under the multidisciplinary team approach had treatment delays compared to 37.40% under the non-multidisciplinary team approach. The proportion of treatment delays was significantly higher (χ2 = 4.44, p = .035) with the non-multidisciplinary team approach. Comparative treatment completion of 77.78% and 69.11% under the multidisciplinary and non-multidisciplinary team approaches, respectively, were not significantly different (χ2 = 2.31, p = .129). Conclusion: The multidisciplinary approach might be associated with decreased delay in treatment among patients with head and neck cancer compared to the non-multidisciplinary team approach. A possible trend toward better treatment completion rate was also observed, but it did not reach statistical significance
Delayed-Onset Unilateral Facial Paralysis After Mastoidectomy: A Case Report
Authors: Baloco Elbert Digger , Orosa Jose
Published: June 2023

ABSTRACT

Objective: To discuss the case of a 36-year-old man who presented with left unilateral facial paralysis 11 days after mastoidectomy.Methods:     Design: Case Report     Setting: Tertiary Government Training Hospital     Patient: OneResults: A 36-year-old man with recurrent left ear discharge of 30 years duration underwent left canal wall-down mastoidectomy and was discharged well after 3 days. On follow up after 8 more days, he was noted to have House Brackmann IV left facial paralysis. Following 5 days methylprednisolone, neurologic evaluation and physical therapy rehabilitation, facial paralysis improved in the ensuing weeks until House-Brackmann I was achieved at week 12.Conclusion: Delayed-onset Facial Palsy (DFP) following tympanomastoid surgery may be approached conservatively, including steroids, acyclovir, and, if with a history of herpes or varicella infection, immunization can be given. Prognosis for DFP is good especially when the facial nerve is identified intraoperatively during otologic surgeries
Combined Cartilage Graft Reconstruction of the Nasal Tip Complex after Resection of Nasal Tip Schwannoma: A Case Report
Authors: Bacalla Faith Jennine , Laxamana Joman
Published: June 2023

ABSTRACT

Objective: To present a rare case of nasal tip schwannoma and describe its resection and reconstruction using combined cartilage grafts.

Methods:

     Design: Case Report     Setting: Tertiary Government Training Hospital     Patient: One

Results: A 13-year-old boy presented with a progressively enlarging nasal tip and severe left nasal obstruction causing breathing difficulties and psychosocial distress. There was a bulging septal mass obstructing 90% of the left nasal cavity. Septal incision biopsy revealed schwannoma and definitive surgery via open rhinoplasty approach was done. The non-encapsulated schwannoma extended from the subcutaneous nasal tip to the left septal mucosa. There was no evidence of skin or cartilage invasion, but prolonged pressure from the expansile schwannoma caused severe lower lateral cartilage and anterior septal atrophy leading to a collapsed and expanded nasal tip after resection. To correct this, a total reconstruction of the anterior tip complex was done using combined ear cartilage seagull wing graft, shield graft and septal extension graft. Conclusion: Nasal tip and septal schwannoma is rare and can cause significant nasal obstruction and deformity. Complete excision is vital to avoid recurrence. Total reconstruction of the lower lateral cartilages using autologous septal and ear cartilage grafts may be a safe and effective technique that yields acceptable aesthetic results.
Intradermal Hyaluronidase: The Answer to Treatment in Softening a Fibrous Thick Supratip Skin in Rhinoplasty?
Authors: Yap Eduardo , Porquez John Michael
Published: June 2023

ABSTRACT

     It is a common goal for rhinoplastic surgeons to make the best-looking tip with proper projection, maintaining the tip lobule appearance with a supratip break. (Figure 1) However, a fibrous thick skin with fullness may not achieve the ideal tip. It is one of the nuisances in rhinoplasty that makes tip definition surgery difficult. The supratip area remains firm and convex causing a wide bulbous feature of the tip. Several techniques have been introduced with good results however some may still result in supratip fullness because of the firm fibrous nature of thick skin.1-3      Hyaluronidase is an enzyme that depolymerizes hyaluronic acid which is present in the epithelium.4 The use of intradermal hyaluronidase for thick skin was discovered by the junior author (JMP) in one of his rhinoplasties when he injected hyaluronidase in a nose with fillers containing hyaluronic acid. The fillers not only instantly dissolved but the skin also softened, so he tried injecting intradermally in his subsequent rhinoplasties on non-filler noses with fibrous thick skin and indeed found the same effect of softening of the fibrous supratip skin. We here describe the technique used in this preliminary clinical series.

METHODS

     A vial of 1,500 I.U. of hyaluronidase (Liporase, Skin Lab Medical, Essex, UK) is mixed with 1.0 ml of Normal Saline Solution (NSS) and 0.1 - 0.2ml (150u – 300u) is aspirated and may be diluted with 0.8ml of PNSS in a 1 cc tuberculin syringe or given as concentrated dose. Intradermal injection into fibrous thick skin can be performed intraoperatively before incision or after closure when defatting and tip grafts are put in place but still with supratip fullness. The areas to be injected are the supratip and its sides. (Figure 2).

     A disposable hypodermic needle gauge 30 is used to inject intradermally or subdermally in minute amounts until blanching is noted. These injections are given at equally random spacing. Immediately after injection, finger pressure massage is applied at the supratip area for 1-3 minutes to soften the skin and allow redraping of the skin and soft tissue envelope (SSTE).
Determinant of Output Growth during Pandemic Covid-19 in Six ASEAN Countries: Panel Data Approach between 2020:I and 2021: I
Authors: Pangestuty Farah Wulandari , Pulungan Abdul Manap
Published: June 2023

Covid-19 pandemic is blamed to be the one which steal one country’s generation because of its severe impacts in economic growth. The study investigates the determinants of output growth during Covid-19 pandemic in six ASEAN countries e.i. Indonesia, Singapore, Thailand, Malaysia, the Philippines, and Viet Nam over the 2020:I - 2021:I period. This study utilises secondary data with panel regression pooled least square (common effect) estimation technique to answer whether the independent variables e.i. central bank policy rate (cbpr), total positive case of Covid-19 (covid), and credit default swap (cds) have significant impact on those six ASEAN countries.We find that cbpr, covid, and cds impact significantly (critical value 95%) on output growth in the six Asian countries. However, cbpr and cds still become puzzle which have a positive relationship with output growth, that might be normal tot the crisis situation. We recommend to include innovation as one prominent factor boosting the growth.
Web quests as a means of forming digital competence of schoolchildren
Authors: Vaseva E. S. , Grebneva D. M. , Buzhinskaya N. V.
Published: June 2023

One of the main tasks of the modern school is the formation of a person with a sufficient level of digital competence. The formation of digital competence of schoolchildren will be facilitated by the inclusion of modern information and communication technologies in training as a subject of study, a means of interaction between participants in the educational process, a means of solving educational problems and planning educational activities. The use of a web quest at informatics lessons or for organizing independent work of students allows you to create conditions for the use of information and communication technologies in all the indicated aspects.

The article describes an example of developing a web quest on the theme "Possibilities of the Python programming language in working with positional number systems" for students of 8th grade. This example made it possible to formulate general requirements for the structure of the web quest, for the information resource developed to accompany the web quest, for the forms of organizing the interaction of participants in the educational process, for ways of presenting the results of the work of students, for assessment procedures.
Using the possibilities of the Arduino platform when studying the elements of the algebra of logic
Authors: Porvatkin A. V.
Published: June 2023

The article substantiates the importance of studying such a section of the school informatics course as the algebra of logic. The ways of motivating schoolchildren in the study of elements of the algebra of logic in the informatics course using the Arduino hardware platform are substantiated. The advantages of learning using Arduino are highlighted. Examples of assignments are given in which the theoretical component of the specified section of the informatics course is supported by the implementation of practical work with experimental support. Moreover, students can work either only with the hardware platform prepared by the teacher, or with the use of a computer, textbook, workbooks. Recommendations are given on the use of the Arduino platform for the formation of relevant knowledge and skills in solving problems in the algebra of logic. These tasks may be of interest to informatics teachers who want to diversify the process of teaching informatics.
Video tutorials on the theme "Creating vector graphics in the free editor Inkscape"
Authors: Drabo I. E. , Radionova A. V.
Published: June 2023

To create images in graphics software, you need knowledge of theory and the skills to use the functionality and tools that modern graphic editors offer. In order to visually and easily explain the purpose of tools, working methods during the creation of graphic objects, it is necessary to demonstrate the work process. The video format is the optimal for this.

The article describes Inkscape features and video tutorials on creating vector illustrations in free and open-source editor Inkscape. This work is the result of the student project. The videos are aimed at school, college or university students interested in computer graphics. The topics of the video tutorials cover various techniques of working with basic tools, creating images using clones, examples of using Inkscape extensions and dynamic contour effects, basics of vectorization of raster images, much attention is paid to working with Bezier curves. The article gives a general description of the developed video tutorials, provides a description of each video tutorial, and indicates the planned learning outcomes.
The Concept of Divine Love in the Context of the God-World Relationship
Authors:   ,   Andrews University, Peckham John
Published: June 2023

The love of God is central to God's relationship to the world. This dissertation addresses the conflict of interpretation between the transcendent-voluntarist and immanent-experientialist models regarding divine love in the context of the God-world relationship by applying a canonical methodology. Chapter 1 introduces the background, purpose, problem, scope, and plan of study as well as the final-form canonical theological method employed in the investigation. Chapter 2 briefly surveys the historical theology of love, tracing the central conceptions of divine love and the God-world relationship by selected, highly influential thinkers. Chapter 3 presents and analyzes the irreconcilable interpretations of divine love in relation to the world, and the ontologies that ground them, in the transcendent-voluntarist and immanent-experientialist models. In the former model, divine love is a unilateral, unmotivated, willed benevolence, while in the latter model divine love is essentially relational, emotional, and primarily passive. Subsequently, a sample of recent reactions to both models demonstrates the current dissatisfaction regarding the conflict of interpretations, indicating the potential for paradigm change in the theological model of interpreting God's love to the world. Chapters 4, 5, and 6 shift to the investigation of a canonical and systematic model which addresses the issues raised by the conflict ofinterpretations through the identification and explanation of five primary aspects of God's love in relation to the world derived from inductive examination of the canon: the volitional, evaluative, emotional, foreconditional, and multilaterally relational aspects. Chapters 4 and 5 present the data from a canonical investigation of the data regarding divine love in the OT and NT respectively. The material from the biblical investigation of divine love is utilized to construct a model of divine love that addresses the conflict of interpretations seen in chapters 2 and 3. Chapter 6 summarizes and explains the broad outline of a canonical and systematic model of divine love in relation to the world, with implications for divine ontology and the nature of God's relationship to the world. The dissertation concludes by summarizing the findings and conclusions of the study and making some recommendations for further study.
Union with Christ in the Writings of Ellen G. White
Authors:   ,   Andrews University, Blue Katrina
Published: June 2023

Building on the work of nineteenth-century theologian Augustus Strong, five historical approaches to union with Christ identified by Bruce Demarest in the late twentieth century include: an ontological union, a sacramental union, a covenantal union, a moral or filial union and an experiential union. Given the identification of multiple approaches to union with Christ, my dissertation attempts to clarify Ellen G. White’s concept of union with Christ using Demarest’s categories as an evaluation tool. I traced the development of her writings on union with Christ from 1860 to 1898 to ask whether White’s approach is best described as an ontological, sacramental, covenantal, moral or filial or experiential union. While elements of some of the approaches Demarest identified are evident in White’s writings, such as the need for believers to experience Christ for themselves, no one category fits White’s approach exclusively. White’s approach can best be described using her own language. Union with Christ is a spiritual, vital, heart, mystical, indissoluble, moral union that connects repentant sinners to Christ and other believers. Her key metaphors used to describe the nature of this relationship are the vine and the branches, the mystic ladder and the golden chain. The vine and the branches explain how believers are intimately connected to Christ, receiving moral and spiritual power through the Holy Spirit who makes Christ present within. The mystic ladder illustrates Christ’s incarnation that makes union with Him possible. White also used the mystic ladder to describe the progressive nature of sanctification, ascending the ladder by faith and perseverance. The golden chain illustrates the love of the Father poured into the hearts of believers. For White, Christ metaphorically is the true vine, the mystic ladder and the golden chain. Believers partake of the divine nature and by exercising faith in Christ, become one with God. In my conclusion, I answered the following additional questions in relation to White’s writings: What is union with Christ? What is the nature of union with Christ? How is it formed? How is it maintained? What are its consequences? In brief, union with Christ is a believer’s free will, spiritual relationship with Christ. It is formed by repentance and faith and is maintained by living, active faith. Engaging in spiritual disciplines, may strengthen a believer’s union with Christ through prayer and Scripture reading, the daily surrender of the will, engaging with others and faith in Christ. Its consequences are multiple resulting in a transformed life and character. They include justification, sanctification, obedience and participation in the mission of Christ to redeem humanity. Christ’s goal is to reunite the inhabitants of heaven and earth by an indissoluble tie through a vital, spiritual relationship with Himself and the Godhead.
An Exploratory Study of Nursing Personnnel Needs in Seventh-day Adventist Hospitals in the Continental United States with a View to Educational Assessment and Planning
Authors:   ,   Andrews University, Andrews Robert
Published: June 2023

Problem. The purpose of this study was to collect, organize, and analyze data from Seventh-day Adventist hospitals, nurses, SDA church leadership, and general statistics to provide nursing-personnel resource information for Adventist hospital and nursing education planning. Some of the objectives of this study were to obtain a descriptive profile of nurses working in Adventist hospitals, to discover personnel selection patterns, turnover rates by position, annual job openings, numbers and percentages of Adventist-educated nurses, and the supply and demand for nurses in different nursing and administrative positions. Method. Population of this descriptive study included all nurses working in forty-seven hospitals in the continental United States. To obtain information desired, two survey instruments were prepared and distributed, one to Adventist hospital administrators and the other to nurses working in Adventist hospitals. Relevant information was also gathered from the church leadership and from published nursing and hospital statistics on nursing and hospitals in the United States. The information obtained form the survey instruments was organized into frequency and percentage tables. Some of the information was converted into unit indices and position transitional probability tables. Returns from the survey instruments represented 67% to 80% of the nursing population working in SDA hospitals in the continental United States. Results. The results were related to each of the specific objectives of the study. Some of the information revealed that over 70% of the nurses are RNs, more than two-thirds are married, more than two-thirds are employed full-time, 37.5% are Seventh-day Adventist, and around 25% of the nurses educated in Adventist nursing programs go to work in SDA hospitals when they complete their nursing education. Gradates from SDA nursing schools work an average of five years in SDA hospitals and hospital replacements needed each year because of attrition are from 1,231 to 1,470. All things considered, SDA nursing schools are unable to supply the yearly demand for nursing personnel in SDA hospitals. Conclusions. Among the conclusions reached was that it is not reasonable to expect that current Adventist nursing education programs will educate sufficient nurses in the future to satisfy the needs of Adventist hospitals as they currently exist in size and location. The rapid growth in Adventist hospitals has contributed to the problem of nurse staffing. It is questionable that an expansion of Adventist nursing education programs would solve the problem. Other alternative will need to be explored.
Up from Sea and Earth: Revelation 13:1, 11 in Context
Authors:   ,   Andrews University, Cotro Hugo
Published: June 2023

The wide spectrum of usually unreconcilable ways sea and earth have been interpreted in Revelation 13: 1 and 11, as chapter 2 exposes, prompts questions such as What did John mean in Rev 13:1, 11 by coming up from the sea and the earth or land? What could his original addressees have understood when they heard it for the first time? These are the basic questions this dissertation aims to answer through a reconstruction of the original context shared by John and his first-century Asian audience, and, in that light, of the sources he most probably used to paint his literary fresco. The analysis of these sources, both cannonical and non cannonical in chapter 3 made manifest the singular way in which John uses the sea and earth/land motifs in comparison to the ways they were used in his milieu. The linkage with the Old Testament is more connected than any of the non biblical groups of literature analyzed.
Validade do CA 15.3 para o seguimento de pacientes tratadas de câncer de mama
Authors: Gadelha Maria Inez Pordeus , Minian Aron , Coutinho Edward , Gouveia Filho Jayme José
Published: June 2023

Os progressos verificados no tratamento do câncer de mama e o consequente aumento da sobrevida das mulheres que dele são tratadas têm exigido períodos cada vez maiores de seguimento. Detectar-se o início da recidiva tumoral, porém, consiste no maior empecilho para se aplicar prontamente a terapêutica indicada (hormônio e/ou quimioterapia), tendo em vista as limitações apresentadas pelos exames até então disponíveis e utilizados para o seguimento dos casos: mamografia, radiografia simples de tórax, ultra-sonografia abdominal, cintilografla óssea e provas da função hepática, cujas especificidade e sensibilidade são baixas, quando a doença é microscópica. Com o desenvolvimento dos chamados marcadores tumorais, parece que já se pode dispor de um exame simples e confiável para proceder-se ao seguimento de mulheres tratadas de câncer de mama. O objetivo do presente trabalho é determinar se o CA 15.3, já disponível e em uso no Hospital Naval Marcílio Dias (HNMD), pode ser este exame. São analisados 63 de 100 exames realizados de 19 de maio a 15 de setembro de 1993, correspondentes a 63 mulheres tratadas ou sob tratamento de câncer de mama, e determinadas as especificidade, sensibilidade, valores preditivos positivo e negativo, e os percentuais de falso-positivo e falso-negativo do exame. O padrão-ouro utilizado é a presença reconhecida de doença tumoral em atividade (definição dos casos positivos) e a ausência de doença durante um determinado período de seguimento (definição dos casos negativos), com base nos exames clínico e complementares já citados. É também relacionado o valor da dosagem sérica do CA 15.3 com a idade da mulher, o estadiamento da doença ao tempo do diagnóstico inicial e a extensão da mesma, ao tempo da dosagem do marcador. Os cálculos demonstram que o CA 15.3 é um exame válido, apresentando consideráveis sensibilidade (72,2% das mulheres com doença em atividade têm dosagens séricas elevadas) e especificidade (75,6% das mulheres sem doença em atividade têm dosagens séricas normais), com um valor preditivo negativo de 86,1 % (ou seja, um falso-negativo de 13,9%) e positivo de 56,5%. O alto percentual de exames falso-positivos (43,5%) retira do CA 15.3 a validade como exame diagnóstico, porém não compromete a sua utilização como exame de seguimento, visto que dosagens seriadas podem corrigir os erros embutidos nos resultados falso-positivos e falso-negativos. Ao final, determina-se o quanto custa o seguimento de um caso, utilizando-se os exames laboratorial e de gabinete comparativamente ao CA 15.3 como exame de rastreamento da recidiva tumoral. Este último representa 10,2% do custo estimado para os outros exames, e poderá constituir-se em um método de rastreamento de recidivas e de indicação dos demais exames, ao longo do seguimento das mulheres previamente tratadas de câncer de mama.
Casos examinados por el Programa de Detección Precoz del Cáncer Bucal - Cuba 1986 -1990
Authors: Salvá Armando Rodrigues , Garrote Leticia Fernandez , Hernández Magali Caraballoso
Published: June 2023

Se realizó un estúdio epidemiológico descriptivo del índice de asistencia de los pacientes remitidos por el estomatólogo hacia las consultas de cirugía máxilo facial y todos los pacientes examinados realmente en estas consultas de atención secundaria, durante los anos 1986 al 1990, por províncias, según el Programa de Detección Precoz del Câncer Bucal. Una proporción considerable de los pacientes remitidos (71,6%) no concurren al especialista para su seguimento y tratamiento. Sólo las províncias de Villa Clara, Granma y Ciego de Avila presentan tendências hacia el incremento. Esto indica que existen fallas en Ias actividades de rescate de los casos. Se suguiere realizar actividades educativas y cumplimentar Io establecido por el Programa, mediante trabajo conjunto entre el estomatólogo, el médico de família y las organizaciones de masas.
A quantas anda a oncologia brasileira?
Authors: Gadelha Maria Inez Pordeus
Published: June 2023

A velocidade acelerada do desenvolvimento científico-tecnológico tem dificultado a apreciação adequada da incorporação de conceitos e do consumo quase que obrigatório de produtos, tendo-se em vista a ansiedade, criada por pressão mercadológica, que leva a essas incorporação e consumo. Tampouco eia tem permitido a avaliação adequada da utilidade e eficácia desse modelo, de tão vertiginosamente que se dá a substituição ou, como tem ocorrido ultimamente, a simples modificação de produtos incorporados e consumidos. A posteriori é que se vê no quanto esse processo pode resultar de ineficácia, desperdício e aceleração de custos.
Associaçao da Videolaporoscopia e Quimioterapia Neoadjuvante no Tratamento do Carcinoma de Ovário. Uma Proposta Terapêutica: Relato de um Caso
Authors: Barrios Carlos H. , Guedes Neto Ernesto de Paula , Rebhahn Jaqueline Silva , Oliveira Maria Alice Duarte de , Monteggia Patrícia , Zelmanowicz Alice , Sartori Juliano , Fontes Paulo Roberto Ott
Published: June 2023

O presente artigo constitui-se do relato de caso de uma paciente portadora de carcinoma de ovário estádio III (FIGO), que foi submetida à videolaparoscopia como primeira etapa do tratamento. Em virtude da dificuldade da realização de uma citorredução adequada, optou-se por quimioterapia neoadjuvante, seguida pela cirurgia citorredutora. Os autores apresentam os resultados obtidos, bem como a revisão bibliográfica sobre o assunto.
ANALISIS PEMASARAN BUBUR KACANG HIJAU TERAHADAP KEPUASAN KONSUMEN DI STADION TELADAN KOTA MEDAN (Studi Kasus Warung Bubur Elida Di Stadion Teladan Kota Medan) .
Authors: Suriyanto Agus , Hermanto Bambang , Yani Farida
Published: June 2023

Penelitian ini bertujuan untuk mengetahui apa saja Analisis Pemasaran Bubur Kacang Hijau Terahadap Kepuasan Konsumen Di Stadion Teladan Kota Medan. Tujuan Penelitian ini : Untuk mengetahui Sistem pemasaran Bubur kacang hijau elida distadion teladan kota Medan. Untuk mengetahuipengaruh pemasaran Bubur kacang hijau elida terhadap kepuasan konsumen distadion teladan kota Medan. Populasi berjumlah 150 orang. Sampel peneliti mengambil 30% dari populasi yang berjumlah 45 konsumen bubur kacang hijauMetode analisis yang di gunakan adalah regeresi linier sederhana dengan alat bantu perangkat SPSS 21. Hasil Penelitian ini Berdasarkan uji regresi linier sederhana, maka diperoleh persamaan nilai konstanta sebesar (a) 9,511  dan (b) sebesar 0.491, sehingga diperoleh persamaan regresi linier sederhana Y = 9.511+ 491X + e, dimana pemasaran mempunyai pengaruh yang signifikan terhadap variabel kepuasan konsumen Di Stadion teladan Kota Medan. Berdasarkan uji-t diketahui bahwa Hasil perhitungan uji t (parsial) yang diperoleh mengetahui bahwa pengaruh adalah variabel Pemasaran(X) memiliki nilai thitung 5.165>ttabel2.042, artinya berpengaruh positif dan signifikan terhadap Kepuasan Konsumen (Y). R square (R2) atau kuadrat R menunjukkan koefisien determinasi adalah sebesar  0,383, artinya persentase sumbangan strategi pemasaran terhadap kepuasan konsumen sebesar sebesar 36.9%, sedangkan sisanya 63.1% dipengaruhi oleh variabel lain yang tidak diteliti oleh penelitian ini
PENGARUH BIAYA PRODUKSI TERHADAP PENDAPATAN PETANI PADI SAWAH (Oryza sativa L) DI KECAMATAN GEBANG KABUPATEN LANGKAT
Authors: Wardani Jati , Yani Farida
Published: June 2023

Padi merupakan bahan makanan pokok sebagaian besar rakyat Indonesia karena 95% penduduk Indonesia mengkonsumsi beras.Tingginya kebutuhan konsumsi beras disebabkan oleh sebagian besar penduduk Indonesia beranggapan bahwa beras merupakan bahan makanan pokok yang belum dapat digantikan keberadaannya. Apabila kegiatan usahatani dikelola dengan baik dan benar seharusnya petani akan memiliki pendapatan yang cukup tinggi. Penelitian ini dilakukan untuk menganalisis pengaruh faktor produksi luas lahan, biaya tenaga kerja, biaya benih,biaya  pupuk danbiaya  pestisida  terhadap   pendapatan petani. Untuk menganalisis keuntungan dalam usahatani padi sawah. Untuk menganalisis usahatani padi sawah layak yang dilakukan di Kecamatan Gebang Kabupaten Langkat. Penelitian yang dilakukan ini berjenis penelitian kuantitatif dengan bentuk analisis dan subjek yang dijadikan sumber dalam penelitian ini adalah petani padi sawah.Data yang digunakan adalah data primer dan sekunder. Metode analisis data menggunakan Regresi Liner Berganda dan  rumus pendapatan  π  =  TR – TC dan rumus kelayakan R/C ratio. Hasil penelitian menunjukkan bahwa secara serempak faktor produksi luas lahan  (X1), biaya tenaga kerja  (X2), biaya benih (X3), biaya pupuk (X4) dan  biaya pestisida (X5) yang digunakan oleh petani padi sawah berpengaruh nyata terhadap  pendapatan petani. Sedangkan secara parsial usahatani padi sawah dengan  faktor produksi  luas lahan  (X1), biaya tenaga kerja (X2), biaya pupuk (X4)  dan biaya pestisida (X5) berpengaruh nyata terhadap pendapatan petani padi sawah sedangkan biaya benih (X3) tidak berpengaruh nyata terhadap pendapatan petani padi sawah. Keuntungan petani padi sawah  di daerah penelitian sebesar Rp. 10.593.297Rp. /musim tanam.Usahatani padi sawah layak untuk diusahakan di daerah penelitian dikarenakan nilai R/C Rasio yang di peroleh lebih besar dari satu (R/C Rasio > 1). Dengan nilai 2,41> 1, maka dikatakan bahwa usahatani padi sawah layak di usahakan di daerah penelitian.
ANALISIS BIAYA PRODUKSI USAHATANI SEMANGKA MERAH TERHADAP PENDAPATAN PETANI
Authors: Hilal Muhammad , Handayani Leni , Noviani Nomi
Published: June 2023

Budidaya tanaman semangka di tanah air, masih terbatas untuk memenuhi pasaran dalam negeri, tetapi tidak tertutup kemungkinan kita mampu bersaing di pasaran internasional.Faktor-faktor yang menjadi barometer naik turunnya harga pasaran buah semangka didalam negeri adalah banyaknya hasil buah yang dipanen secara bersamaan. Masuknya benih-benih semangka import mempunyai daya tarik yang kuat, sebab buah semangka tersebut mampu merebut pasaran sejajar dengan  buah-buahan jenis lainnya yang sebagian masih didatangkan dari luar negeri. Kenyataan demikian permintaan buah semangka semakin meningkat.Terlebih saat buah yang didatangkan dari daerah-daerah penghasil relatif sedikit, sehingga harganya melonjak tinggi.Penelitian ini termasuk jenis penelitian lapangan (field research).Dalam pengumpulan data penulis menggunakan metode observasi, wawancara, dan dokumentasi. Sedangkan dalam analisisnya, penulis menggunakan metode analisis regresi linier berganda  (multiple linear regression) dengan dibantu program SPSS versi 20.00. Berdasarkan analisis yang dilakukan bahwa luas lahan dan produksi usahatani semangka merah setiap tahun mengalami peningkatan.Pendapatan usahatani semangka merah rata-rata Rp. 32.430.142. Usahatani semangka merah layak di usahakan karena nilai B/C sebesar 3,41 dan nilai R/C sebesar 3,41 > 1. Faktor biaya pupuk dan biaya tenaga kerja pada usahatani semangka merah berpengaruh nyata secara parsial terhadap pendapatan petani, sedangkan biaya produksi (biaya pupuk, biaya pestisida, biaya benih, biaya tenaga kerja) berpengaruh nyata secara serempak terhadap penerimaan semangka merah.