bluuebunny/crossref_metadata_2025 huggingface dataset:
PENYELARASAN ANTARA RTRW DAN RPJPD SERTA KEPENTINGAN MASYARAKAT ADAT DI KABUPATEN SARMI
Authors: Ruwayari Daniel Ronaldo , Windewani Emson , Ayomi Febriani , Henrlizt Henrlizt
Published: December 2024

Penyelarasan Rencana Tata Ruang Wilayah (RTRW) dan Rencana Pembangunan Jangka Panjang Daerah (RPJPD) di Kabupaten Sarmi merupakan langkah penting dalam mencapai pembangunan yang berkelanjutan dan terintegrasi. Penelitian ini bertujuan untuk menganalisis keselarasan antara RTRW dan RPJPD serta kepentingan masyarakat adat dalam proses perencanaan dan implementasi kebijakan pembangunan di Kabupaten Sarmi. Metode penelitian yang digunakan adalah kualitatif, dengan pengumpulan data melalui wawancara, observasi, dan analisis dokumen resmi. Hasil penelitian menunjukkan bahwa meskipun RTRW dan RPJPD memiliki tujuan yang sejalan, terdapat beberapa kendala dalam penyelarasan kedua dokumen ini, seperti kurangnya koordinasi antar instansi, minimnya akses informasi bagi masyarakat adat, dan rendahnya partisipasi masyarakat dalam proses perencanaan. Penelitian ini juga menemukan bahwa keterlibatan masyarakat adat dalam perencanaan dapat meningkatkan relevansi dan keberlanjutan kebijakan pembangunan. Untuk meningkatkan keselarasan RTRW dan RPJPD, disarankan agar pemerintah daerah memperkuat mekanisme partisipasi warga, meningkatkan sosialisasi, dan memastikan bahwa kebijakan yang diambil telah mempertimbangkan kearifan lokal. Dengan demikian, penyelarasan antara RTRW dan RPJPD tidak hanya akan menghasilkan dokumen perencanaan yang komprehensif, tetapi juga mendukung keberlanjutan pembangunan di Kabupaten Sarmi.
Khảo sát chùm conic chung 2 cặp điểm ảo liên hợp - Phần 1
Authors: Nguyen Van Tien
Published: December 2024

Các chùm conic phẳng có 3 loại: chùm chung 4 điểm thực, chùm chung 2 điểm thực và 2 điểm ảo, chùm conic chung 2 cặp điểm ảo liên hợp. Hai chùm conic phẳng có chung ít nhất 2 điểm thực, đã được tác giả khảo sát và đăng tải trên tạp chì khoa học kiến trúc năm 2023, số 47. Còn chùm chung 4 điểm ảo, được khảo sát trong bài này Cách khảo sát cũng dùng phương pháp tổng hợp, các thực hiện đại số và giải tích, khi vẽ được thực hện trên máy tính, còn trong lập luận chứng minh, tôi theo cách chiếu cắt, biến đổi xạ ảnh, nhưng không dùng đại số giải tích, Các hình vẽ cũng vẽ theo lập trình autolisp, tự viết ra. Nội dung khảo sát chùm conic phẳng chung 2 cặp điểm ảo, được chia làm 2 phần.  Phần 1: áp dụng những kết quả đã có từ trước của xạ ảnh, và sử dụng 1 phần kết quả biến đổi giao đối cực xiên để lập những conic của chùm. Phần 2 khảo sát theo danh nghĩa biến đổi giao đối cực vuông góc, và các trường hợp đặc biệt của chùm conic phẳng chung 2 cặp điểm ảo liên hợp. Sự nghiên cứu này là cần thiết, vì nó mở ra khả năng dựng conic qua 3 điểm thực và 2 điểm ảo liên có nhiều áp dụng trong hình học, cuối bài có thể lấy 1 ví dụ khi lập mặt bậc hai qua 9 điểm độc lập.
Semavi Dinlerde Kadının Yaratılış İnancı ve Toplumsal Yansımaları
Authors: Bilik Mehmet Şafi
Published: December 2024

Semavi dinlerde kadın, yaratılış amacı ve toplumsal rolüyle ilgili çeşitli hükümlere yer verilmiştir. Yahudilik ve Hristiyanlık, kadınları erkeklere göre ikinci planda görmüş; onları şeytanla ilişkilendirerek baskı, ötekileştirme ve şiddet uygulamalarını meşrulaştırmıştır. Kadın, bu dinlerde genellikle erkeğe hizmet eden bir varlık olarak değerlendirilmiş, toplumsal hayatta ve çalışma alanlarında geri planda tutulmuştur. Yahudilik ve Hristiyanlıkta kutsal metinlerin zamanla tahrif edilmesi, kadınlara yönelik yanlış inanışları ve gelenekleri artırmıştır. İslam ise kadına daha eşit ve saygılı bir yaklaşım sergilemiştir. Kur’an-ı Kerim’de kadın, erkekle eşit bir konumda tutulmuş, eğitimin ve toplumun temel taşı olarak görülmüştür. Kadın, annelik vasfıyla kutsal bir yere sahip olmuş; toplumun başarısı ve nesillerin devamında kritik bir rol üstlenmiştir. İslam, kadının eğitilmesinin önemini vurgulayarak ona değer verilmesi gerektiğini belirtmiştir. Bu çalışmada, semavi dinlerin kadına bakışı, yaratılışından günümüze toplumsal konumlandırılması ve rollerine bütüncül bir perspektifle ele alınmıştır.
Modification of the implementation of the underexcitation limiter within the generator excitation system of Unit B1 at TPP "Nikola Tesla B"
Authors: Klasnić Ilija , Veinović Slavko , Joksimović Dušan , Ivanović Luka , Radojičić Bojan , Brdarević Miloš
Published: December 2024

This paper investigates a grid outage event at TPP "Nikola Tesla B" Unit B1 and analyzes the excitation system's response. Based on this analysis, modifications were made to the underexcitation limiter within the excitation system. The paper details the structure of the multi-segment straight-line limiter and its implementation methodology. The limiter's implementation was refined using recordings of the outage event and a detailed analysis of the excitation system's behavior. Additionally, the paper discusses the filtering of input measurements (stator voltage and generator active power) and the variable gain mechanism of the limiter. Finally, the paper presents the results of testing the modified limiter during grid operation, demonstrating stable behavior with damped oscillations.
Concept and application of Digital Twins for oil-immersed power transformers
Authors: Radoman Uroš , Kilibarda Filip , Kartalović Nenad , Miladinović Nikola , Polužanski Vladimir , Vasović Valentina , Pejović Branko , Žigić Aleksandar , Lukić Jelena
Published: December 2024

This paper provides a literature review and establishes the state-of-the-art in the concept and application of Digital Twin (DT) technology to power transformers. The introductory sections focus on the evolving definition and universal concepts of DT, independent of specific fields of application, as well as the goals of Industry 4.0 and the technologies that enable digital transformation in industry. Special attention is given to the particularities of the power industry, with an emphasis on the unique requirements posed by the nature and importance of oil-filled power transformers, which serve as the foundation for the development of systems based on DT technologies.
Potential of Kazakhstan museums in the development of palaeotourism
Authors:   Pavlodar Pedagogical University named after Alkey Margulan, Aliyasova Valentina
Published: December 2024

Museums of Kazakhstan are centres for the study, preservation and presentation of paleontological heritage of the country. The expositions of the majority of historical and local lore museums, the Museum of Nature ‘Gylym Ordasy’ and the palaeontological hall of the National Museum of the Republic of Kazakhstan demonstrate the stages of formation of the organic world through the presentation of factual base - palaeontological findings. This gives museums an opportunity to become a place of attraction for tourists interested in palaeontology and gives an impetus to the development of palaeotourism in Kazakhstan. Museums of Kazakhstan possess significant palaeontological fund and have successful experience in popularisation of natural history through scientific and excursion activities. The scientific centre for the study of paleontology in Kazakhstan is the Laboratory of Paleozoology of the Institute of Zoology of the Republic of Kazakhstan. Employees of this laboratory created a database on palaeontological heritage of geohistorical space of Kazakhstan.
A Case Series Analysis of Trans-Arterial Embolization for Osteoarthritis-Related Hand Pain
Authors: Konduru Nishanth , Juneja Sidhanth , Joshua Samuel , Hnatov Anton , Iqbal Amer , Thomas Meaghan , Rao Siddhartha
Published: December 2024

Osteoarthritis (OA) is a widespread disorder which commonly impacts a significant portion of the population. Although most cases involve the knee joint, it can also affect the carpometacarpal joint and cause significant pain in the hand and thumb. Traditional treatments often provide short-term pain relief and need continual treatment prompting the need for exploring alternative therapies to prolong the duration of pain relief. This case series assesses the clinical success of trans-arterial embolization (TAE) of the joints in the hand as a minimally invasive treatment for chronic pain associated with hand joint OA, defined as a 50% (or greater) decrease in Visual Analog Scale (VAS) score overall, as well as a decrease in prescribed pain medication use. We present a case report of four patients who underwent this intervention for hand joint osteoarthritis. Preliminary results show an average decrease in VAS exceeding the 50% threshold, with a notable reduction in pain medication usage and improvements in daily activities. These findings suggest that TAE shows promise as a minimally invasive therapy for hand joint OA, warranting further investigation into its long-term efficacy and safety.
Enfermedad inflamatoria orbitaria idiopática: una causa infrecuente de cefalea
Authors: Fernández-Garza Luis E. , Marfil Alejandro , Fernández-Garza Valeria A.
Published: December 2024

La miositis orbitaria aguda es una afección inflamatoria de la musculatura extrínseca ocular que suele ser de causa desconocida.
Masculino de 19 años que acude a urgencias por diplopía horizontal, iniciando 2 semanas previas con dolor ocular derecho irradiado a cefalea holocraneal. A su llegada presenta limitación de la abducción del ojo derecho, desviación del ojo derecho en dirección cefálica y ptosis palpebral derecha. Resonancia magnética de órbitas contrastada muestra aumento de volumen del músculo recto lateral derecho. Se inició tratamiento con esteroides, mostrando mejoría clínica por lo cual se procedió a su egreso continuando manejo con esteroides y metotrexato hasta su remisión total en 8 meses.
La enfermedad inflamatoria orbitaria idiopática (EIOI) es una entidad que puede afectar de forma difusa o aislada a todos los componentes de la órbita. Nuestro paciente corresponde con la edad, pero no el sexo de más frecuente presentación y su curso clínico fue agudo presentando una miositis y dacrioadenitis derecha. La cefalea, es un síntoma poco frecuente, en su mayoría hemicraneana ipsilateral, difiriendo de la presentación de nuestro paciente cuya cefalea fue holocraneal. El diagnóstico se realiza por exclusión, basandose en la historia clínica, exploración física y estudios de imagen, siendo la confirmación definitiva por biopsia. Aunque solo se realiza si no responden al tratamiento, lo cual fue el caso de nuestro paciente.
La EIOI es una patología que puede afectar diferentes partes de la órbita con potenciales complicaciones, por lo cual demanda un estudio exhaustivo para su correcto diagnóstico y tratamiento oportuno.
PENINGKATAN PRODUKSI DAN PENGEMBANGAN PEMASARAN INDUSTRI RUMAH TANGGA PANGAN KHAS KABUPATEN TABANAN IBU SUMAWATI
Authors: Made Agus Putra Subali  , I Gusti Rai Agung Sugiartha  , Anak Agung Gede Purantara
Published: December 2024

The partner traditional food home industry sells lawar, tum, and timbungan. Every day the partners process 6 kg of meat, 0.5 kg of chilies, 1 kg of shallots, and 0.5 kg of garlic. The amount of production in a day reaches 5 timbungan, 12 packs of lawar, and 50 packs of tum. The produce is marketed locally at partners' kiosks from four in the afternoon to seven in the evening. The partner's business has the potential to develop further, because the number of orders on holidays and weekends can increase by up to 50% currently, the partner has problems with a shortage of production and product marketing quantities. The solution to overcome partner problems is carried out by providing assistance with production equipment, installing packaging labels, and installing brochures, banners, and promotions via social media Instagram and Facebook. Based on the activities that have been carried out, the results obtained are that the production equipment assistance provided is able to increase the number of partners' production by up to 50% and make the production time process more efficient. Creating Instagram and Facebook social media can be an alternative for marketing partner products to reach a wider market share. Apart from that, other capabilities obtained by partners, such as the use of production equipment and product packaging with packaging labels, have increased by up to 100%.
PENERAPAN GOOGLE FORM SEBAGAI ALAT EVALUASI PEMBELAJARAN DI SD N 5 KEDIRI
Authors: Wayan Juliawan , Ni Wayan Suastini  , Ni Komang Sri Yuliastini  , I Wayan Susanta  , Roro Dwi Umi Badriah  , Kadek Suharditha
Published: December 2024

This community service activity was carried out at SD N 5 Kediri, located at Jl. Melati No.6, Kediri, Kediri District, Tabanan Regency. The purpose of this activity was to provide socialization and share knowledge about the use of one of Google's applications, Google Forms, which can facilitate teachers in assessment or evaluation systems. Traditionally conducted in class using paper, these assessments are replaced with a sophisticated application that can be downloaded for free online. The data collection technique used in this activity was through questionnaires. The socialization activity organized by the community service team at SD N 5 Kediri, in collaboration with the teachers, received positive feedback as it helped teachers understand the use of information technology and the application of Google Forms for evaluating students' learning progress.
PERAN PERGURUAN TINGGI DALAM PENGEMBANGAN AGROWISATA BERKELANJUTAN UNTUK MENEKAN KERUSAKAN LINGKUNGAN DI SAMBLONG, JEMBRANA, BALI
Authors: Sumandya I Wayan , A.A Istri Mirah Dharmadewi  , I Kadek Yudha Pranata  , Made Agus Wijaya  , I Putu Pasek Suryawan  , Ni Putu Sri Ratna Dewi  , I Gusti Ayu Mira Ardanantya  , I Gusti Ketut Adnyani  , Tiurma Silvia Leonita  , Desak Made Echa Herawati  , I Putu Darma Yuda
Published: December 2024

The development of sustainable agrotourism in Samblong, Jembrana, Bali, is a strategic solution to mitigate environmental degradation. This community service program aims to optimize the role of higher education institutions in supporting sustainable agrotourism development through participatory methods, training, research, and the implementation of environmentally friendly technologies. The method used involves a participatory approach, where local communities are engaged in the planning and implementation of the program. Higher education institutions provide training in agrotourism management, sustainable agricultural practices, and digital marketing, as well as technical assistance in using eco-friendly technologies. The results of this community service show an increased understanding among the community about the concept of sustainable agrotourism and the application of organic waste management technologies. Research conducted by the university yielded environmental data used as the foundation for long-term land management planning. Additionally, there was an improvement in the community's skills in promoting agrotourism digitally, directly impacting income growth. Collaboration between universities, local communities, and regional governments also succeeded in strengthening synergy in managing natural resources. Overall, this program has successfully reduced the rate of environmental degradation and improved the welfare of the community in Samblong.
PELATIHAN PEMBUATAN BROSUR SEBAGAI STRATEGI KOMUNIKASI PEMASARAN PADA PASAR BADUNG
Authors: Ni Made Rinayanthi  , Putu Dian Yuliani Paramita
Published: December 2024

The brochure creation training as a marketing communication strategy at Pasar Badung aims to enhance traders' ability to promote their products and services through effective and attractive printed media. Brochures are an important communication tool in marketing, providing clear information and stimulating consumer interest. This training focuses on teaching graphic design and persuasive content writing, which not only highlights the uniqueness of the products but also attracts the target market, including both tourists and local communities. Through this training, traders at Pasar Badung are equipped with skills to create aesthetically pleasing, informative, and market-appropriate brochures. Additionally, participants are trained in selecting appropriate distribution channels, both physically at the market location and digitally via social media to expand marketing reach. The expected outcome of this training is to enhance the image of Pasar Badung as a unique and appealing shopping destination, while also introducing local products in a more professional manner. With well-designed brochures, Pasar Badung can more effectively attract visitors and increase transaction volumes, ultimately contributing to local economic growth and the tourism sector in Bali. This training is a strategic step in supporting the development of traditional markets as part of Bali's sustainable creative economy.
Gerçeğe Aykırı Beyan, Sözleşme ve Eki Belgelerinde Sahtecilik Suçu
Authors: Ağkuş Kazım Furkan
Published: December 2024

Tarihi süreç içerisinde, insanlık takas, alışveriş ve ticaret için sürekli yeni yollar bulmaya ve teknolojiyi bu işlem amaçla kullanmaya çalışmıştır. Hızla gelişen teknolojiyle internet, ATM ile POS cihazları, cep telefonları ve akıllı saatler hayatımızın vazgeçilmez parçaları haline gelmiştir. Teknolojik gelişmelerle birlikte, bankacılık hizmeti veren kurum ve kuruluşlar da değişerek, kredi kartları, internet bankacılığı ve sanal kart uygulamalarına geçmişlerdir. Banka ve kart çıkaran kurumların hizmetleri, günümüzde, kartın fiziki kullanımı ile sınırlanamayacak bir hal almıştır. Küreselleşme ile birlikte, bankalar belirli kart çıkaran kurumlar ile birlikte, bu kurumların sistem ve avantajlarından yararlanarak hizmet sunmaya başlamışlardır. Ticari yaşamda güveni arttırdığı belirtilen bu araçların kullanımındaki artış, bunlara yönelik ihlalleri de beraberinde getirmiştir. Söz konusu ihlallerden biri de 5464 sayılı “Banka Kartları ve Kredi Kartları Kanunu’nun (“BKK”) 37. maddesinde düzenlenen “Gerçeğe aykırı beyan, Sözleşme ve Eki Belgelerde Sahtecilik” suçudur. İş bu çalışma kapsamında, banka ve kredi kartları ve işleyişleri hakkında bilgilere yer verilerek, gerçeğe aykırı beyan, sözleşme ve eki belgelerde sahtecilik suçu ele alınmıştır.
The Design of Piles under Combined Loading: Effect of Pile Length, Pile Spacing and Relative Density
Authors: Fındık Münire , Çelik İlyas Devran , Başar Ercan Egemen , Keskin Nilay , Uzundurukan Soner
Published: December 2024

In pile foundation systems, displacements in important structures affected by both axial and lateral loads must be limited within elastic limits. For elastic limits; effects of the important parameters such as; pile diameter, pile spacing, pile length /pile diameter ratio and relative density were examined. For this purpose, loadings were carried out in medium-dense and extreme dense sand conditions with the following parameter considerations: pile length/pile diameter ratios of 10, 15 and 30, pile spacings of 3D and 6D and for relative density of the soil 50% and 85%. By determining the vertical and lateral displacements of the pile foundation system formed under axial and lateral load effects and loading related ground stresses, the relationship between the foundation system and the ground was expressed. Experimental data were analyzed in Plaxis 3D. From the results of the performed model tests and Plaxis 3D optimum design parameters have been determined for soil-structure interaction in lateral loaded pile foundation systems.
การวิเคราะห์แรงจูงใจและพฤติกรรมของผู้บริโภคต่อการตัดสินใจเลือกร้านอาหาร ถนนบรรทัดทอง กรุงเทพมหานคร
Authors: ฤทธิ์พนิชัชวาล นันท์ภัสกร , หฤทัยวรกุล ทัตพิชา , ตั้งศิริพัฒน์ภรณ์ บุศรา , ยศทนนท์ ศิราวุฒิ , ครุฑภาพันธ์ กนกภรณ์
Published: December 2024

การวิจัยครั้งนี้ เป็นการวิจัยเชิงปริมาณ มีวัตถุประสงค์เพื่อ 1) ศึกษาระดับแรงจูงใจของผู้บริโภคต่อการเลือกร้านอาหาร ถนนบรรทัดทอง กรุงเทพมหานคร 2) ศึกษาระดับพฤติกรรมของผู้บริโภคต่อการเลือกร้านอาหาร ถนนบรรทัดทอง กรุงเทพมหานคร และ 3) วิเคราะห์ปัจจัยแรงจูงใจและพฤติกรรมของผู้บริโภคที่มีผลต่อการเลือกร้านอาหาร ถนนบรรทัดทอง กรุงเทพมหานคร เป็นการวิจัยเชิงสำรวจโดยใช้แบบสอบถามเป็นเครื่องมือในการเก็บรวบรวมข้อมูลจากผู้บริโภคแบบบังเอิญ จำนวน 400 รายที่ใช้บริการร้านอาหาร ถนนบรรทัดทอง กรุงเทพมหานคร สถิติที่ใช้ในการวิเคราะห์ข้อมูล ได้แก่ ค่าความถี่ ค่าร้อยละ ค่าเฉลี่ย ค่าส่วนเบี่ยงเบนมาตรฐาน การวิเคราะห์สหสัมพันธ์ของเพียร์สัน และการวิเคราะห์การถดถอยแบบพหุคูณ ผลการวิจัยพบว่า แรงจูงใจของผู้บริโภคต่อการตัดสินใจเลือกร้านอาหารในภาพรวมอยู่ในระดับมาก ได้แก่ ปัจจัยดึงดูด และปัจจัยผลักดัน ส่วนพฤติกรรมของผู้บริโภคต่อการตัดสินใจเลือกร้านอาหารในภาพรวมอยู่ในระดับมาก ได้แก่ เหตุผล การค้นหาข้อมูลข่าวสาร การตัดสินใจซื้อ ตระหนักถึงความต้องการ และการประเมินทางเลือก ผลการทดสอบสมมติฐาน พบว่า  ปัจจัยแรงจูงใจของผู้บริโภคที่มีผลต่อการเลือกร้านอาหารอย่างมีนัยสำคัญทางสถิติที่ระดับ 0.01 ได้แก่ ปัจจัยดึง และปัจจัยผลักดัน สำหรับในด้านพฤติกรรมของผู้บริโภคที่มีผลต่อการเลือกร้านอาหารอย่างมีนัยสำคัญทางสถิติที่ระดับ 0.01 ได้แก่ การประเมินทางเลือก การค้นหาข้อมูลข่าวสาร และตระหนักถึงความต้องการ
Öğretmenlerin Dijital Öz-yeterlikleri: Mardin ili örneği
Authors: Doğan Maşallah , Günbatar Mustafa Serkan
Published: December 2024

Bu araştırmanın amacı 2023-2024 eğitim öğretim yılında Mardin ili ve ilçelerinde MEB’e bağlı okullarda görev yapan öğretmenlerin dijital öz yeterliklerini çeşitli değişkenler açısından incelemektir. Araştırmada nicel araştırma yöntemi kullanılmıştır ve ilişkisel tarama modelinde yürütülmüştür. Eğitimciler için dijital yeterlikler çerçevesi (DigCompEdu) dikkate alınarak hazırlanan ve orijinali İngilizce olan öğretmenlerin dijital öz yeterlik ölçeği kullanılmıştır. Ölçeğin Türkçe uyarlaması Toker vd. (2021) tarafından yapılmıştır. Ölçek altı alt boyut ve 22 maddeden oluşmaktadır. Oranlı küme örnekleme yapılarak Mardin ili ve ilçelerinde MEB’e bağlı resmi okullarda (anaokul, ilkokul, ortaokul ve lise) görev yapan toplam 649 öğretmenden elde edilen verilerle analizler yürütülmüştür. Ortalama puanlar üzerinde yapılan karşılaştırmalar için t-testi ve tek yönlü ANOVA testi kullanılmıştır. Yapılan istatistiksel analizler sonucunda eğitimciler için dijital öz yeterlik ölçeğine göre öğretmenlerin bütünleştirici (B1) veya orta düzeyde olduğu görülmüştür. Bu seviyeye göre öğretmenlerin temel seviyenin üzerinde dijital öz yeterliğe sahip olduğu tespit edilmiştir. Öğretmenlerin dijital öz yeterlik düzeylerinin eğitim durumu, hizmet içi kursu alma, FATİH Projesi Teknoloji Kullanımı Kursu alma, Formatör öğretmen kursu alma durumuna göre farklılaştığı tespit edilmiştir. Elde edilen bu bulgular tartışılmış, eğitimciler için ve bundan sonraki çalışmalar için çeşitli öneriler sunulmuştur.
Trastornos del sueño en deportistas, factores y consecuencias asociados
Authors: Rivera Cisneros Antonio Eugenio , Sánchez González Jorge Manuel , Morán Moguel María Cristina , Medina Sánchez Pablo J , Portillo Gallo Jorge Horacio
Published: December 2024

Los trastornos del sueño son prevalentes en la población general y se considera que son mayores en deportistas, particularmente en los jugadores de soccer, debido a las altas demandas de entrenamiento, los cambios en las reglas del juego y la presión social. Las alteraciones en el ritmo de vigilia y sueño generan alteraciones en los jugadores en su concentración, la ejecución en las jugadas, deserción temprana de jugadores y potencialmente alteraciones en su salud. A pesar de su importancia, no existen suficientes estudios que exploren en el ciclo de jugadores y recientemente de jugadoras profesionales, la posible relación entre la frecuencia de alteraciones, sus consecuencias y cómo se enfrentan estas alteraciones (estrategias de afrontamiento). Por tanto, el objetivo del presente estudio es determinar la prevalencia de trastornos del sueño, sus causas, sus consecuencias y las estrategias de afrontamiento de jugadores y jugadoras en categorías sub – 17 (14 a 17 años) y en mayores de 18 años en una región central de México. Participaron 44 jugadores (hombres y mujeres) titulares de equipos de fútbol que participaron en torneos nacionales de fútbol. Mediante una encuesta directa, se interrogó sobre la presencia de trastornos del sueño, sus causas, consecuencias y cómo intentaron resolver la presencia de esta disfunción fisiológica. Los resultados indicaron una elevada prevalencia de alteraciones del sueño (59%), presentándose más en los hombres mayores y menos en las mujeres jóvenes. Las causas más frecuentes fueron la presión familiar (en mujeres jóvenes) y la presión del entrenador y el entrenamiento en jugadores y jugadoras mayores. Las consecuencias de esta alteración fueron la falta de concentración y ejecución en el juego. El 90% de los jugadores no tuvieron apoyo profesional, Los trastornos del sueño siguen siendo un área activa de investigación y desarrollo. Futuras líneas de investigación deberán explorar estilos de vida saludables, mayor orientación en los deportista, su recuperación física y mental, el manejo de las emociones desde etapas tempranas en la edad de inicio del deporte (habitualmente desde los 14 años de edad), los mecanismos de afrontamiento, el sexo de los participantes, el uso de esquemas de relajación mental y el uso de la tecnología, entre otros, que trazan nuevas rutas para la atención en jugadores de fútbol soccer y otros deportes. Mejores técnicas de dominio mental y corporal y el uso de la tecnología, serán mediadores importantes para disminuir esta disfunción fisiológica. En conclusión, en la población estudiada se encuentra una elevada prevalencia de trastornos del sueño, asociada a presiones familiares, del entrenador o los entrenamientos, que generan en consecuencia falta de concentración y ejecución en el juego y la no existencia de la atención a estos trastornos, por lo que
Clinical and genetic features of childhood-onset congenital combined pituitary hormone deficiency: a retrospective, single-center cohort study
Authors: Lee Yoonha , Lee Young Ah , Ko Jung Min , Shin Choong Ho , Lee Yun Jeong
Published: December 2024

Purpose: To investigate the clinical characteristics and genetic features of childhood-onset congenital combined pituitary hormone deficiency (cCPHD) in Korean patients.Methods: We retrospectively analyzed 444 patients diagnosed with childhood-onset CPHD at a tertiary center between 1994 and 2021. After excluding acquired case, 43 patients with cCPHD were enrolled. Anthropometric measurements, hormone evaluations, brain magnetic resonance imaging (MRI), extrapituitary phenotypes, and adult outcomes were analyzed. Genetic analyses were performed on 26 patients using a targeted gene panel or whole exome sequencing.Results: Mean age at diagnosis was 3.2 years, and 41.9% were diagnosed at less than 1 year old. Short stature was the most frequent (37.2%) initial presentation, and mean height z-score was -2.4. More than half (n=23, 53.5%) of patients had neonatal features suggestive of hypopituitarism; however, only 15 (65.2%) were diagnosed in infancy. Growth hormone deficiency (GHD) was prevalent in 42 (97.7%), and 33 (76.7%) had 3 or more hormone deficiencies. Extrapituitary phenotypes were identified in 31 (72.1%). Brain MRI abnormalities correlated with a higher number of hormone deficiencies (P for trend 0.049) and were present in 33 patients (80.5%). Adult GHD was diagnosed in all 17 investigated patients, and metabolic disturbances were noted in 10 (58.9%). Pathogenic variants in POU1F1, GLI2, HESX1, TBC1D32, and ROBO1 were found in 5 (19.2%).Conclusion: Considering the high proportion of neonatal presentations, identification of the early neonatal features of hypopituitarism to manage pituitary and extrapituitary phenotypes is critical. The genetic etiology of cCPHD warrants further exploration.
Pituitary abnormalities in patients with pediatric growth hormone deficiency in a single tertiary center
Authors: Jung Hyeon Jun , Kim Jeong Rye , Yu Jeesuk
Published: December 2024

Purpose: There is controversy as to whether brain magnetic resonance imaging (MRI) should be performed on all children with growth hormone deficiency (GHD) including those judged to have mild GHD. This study was aimed to determine the frequency of pituitary or intracranial abnormalities in pediatric GHD and to identify risk factors that may predict pituitary or intracranial abnormalities.Methods: A total of 95 pediatric GHD patients were included. Their medical records and brain magnetic resonance (MR) images were reviewed retrospectively.Results: Abnormal pathogenic MR images were found in 14 patients (14.7%), including 10 (10.5%) with pituitary hypoplasia and 4 (4.2%) with pituitary stalk interruption syndrome. Serum levels of insulin-like growth factor-I (IGF-I), IGF-I standard deviation score (SDS), insulin-like growth factor binding protein 3 (IGFBP3), and growth hormone (GH) peak level of GH stimulation test were statistically significantly lower in the group with abnormal brain MRI. The frequency of abnormal MRI was statistically significantly higher in the complete GHD group. IGF-1 SDS showed the highest area under the curve which can predict the presence of brain abnormality with a sensitivity of 85% and a specificity of 71.4%, if IGF-1 SDS was less than -1.365. IGF-1, IGFBP3, and GH peak levels also showed good sensitivity of over 80% for predicting brain abnormalities with cutoff values of 70.285 ng/mL, 1,604 ng/mL, and 4.205 ng/mL, respectively.Conclusion: The sensitivity and specificity of each cutoff value of IGF-1, IGF-1 SDS, IGFBP3, and GH peak levels were good and statistically significant in predicting brain MRI abnormalities. However, it was insufficient to predict all brain abnormalities with these variables. Therefore, we would like to recommend performing a brain MRI if a child is diagnosed with GHD.
Cohort profile: Multicenter Networks for Ideal Outcomes of Rare Pediatric Endocrine and Metabolic Diseases in Korea (OUTSPREAD study)
Authors: Lee Yun Jeong , Cheon Chong Kun , Suh Junghwan , Moon Jung-Eun , Ahn Moon Bae , Chang Seong Hwan , Lee Jieun , Choi Jin Ho , Kim Minsun , Lim Han Hyuk , Kim Jaehyun , Kim Shin-Hye , Lee Hae Sang , Lee Yena , Kang Eungu , Kim Se Young , Hong Yong Hee , Yang Seung , Han Heon-Seok , Chung Sochung , Cho Won Kyoung , Kim Eun Young , Kim Jin Kyung , Shim Kye Shik , Yoo Eun-Gyong , Kim Hae Soon , Yang Aram , Kim Sejin , Nam Hyo-Kyoung , Cho Sung Yoon , Lee Young Ah
Published: December 2024

Rare endocrine diseases are complex conditions that require lifelong specialized care due to their chronic nature and associated long-term complications. In Korea, a lack of nationwide data on clinical practice and outcomes has limited progress in patient care. Therefore, the Multicenter Networks for Ideal Outcomes of Pediatric Rare Endocrine and Metabolic Disease (OUTSPREAD) study was initiated. This study involves 30 centers across Korea. The study aims to improve the long-term prognosis of Korean patients with rare endocrine diseases by collecting comprehensive clinical data, biospecimens, and patient-reported outcomes to identify complications and unmet needs in patient care. Patients with childhood-onset pituitary, adrenal, or gonadal disorders, such as craniopharyngioma, congenital adrenal hyperplasia (CAH), and Turner syndrome were prioritized. The planned enrollment is 1,300 patients during the first study phase (2022–2024). Clinical, biochemical, and imaging data from diagnosis, treatment, and follow-up during 1980–2023 were retrospectively reviewed. For patients who agreed to participate in the prospective cohort, clinical data and biospecimens will be prospectively collected to discover ideal biomarkers that predict the effectiveness of disease control measures and prognosis. Patient-reported outcomes, including quality of life and depression scales, will be evaluated to assess psychosocial outcomes. Additionally, a substudy on CAH patients will develop a steroid hormone profiling method using liquid chromatography-tandem mass spectrometry to improve diagnosis and monitoring of treatment outcomes. This study will address unmet clinical needs by discovering ideal biomarkers, introducing evidence-based treatment guidelines, and ultimately improving long-term outcomes in the areas of rare endocrine and metabolic diseases.
IMPACT OF HUMAN CAPITAL ON ECONOMIC GROWTH IN ASIAN COUNTRIES
Authors: Duwal Niroj , Paudel Shantosh
Published: December 2024

Human capital is a critical factor of economic growth and economic development. In the last few decades, scholars, economists, and policymakers have paid close attention to the significance of human capital as they have attempted to understand the complex relationship between a country's economic growth, and quantity and quality of its labor force. Therefore, all countries are building up their economy with their spending so that they can achieve sustainable and equitable economic growth. This study aimed to investigate the impact of government spending on education and health, life expectancy at birth and secondary school enrollment on the economic growth of 48 Asian countries from 2014 to 2021. From the diagnostic test and Hausman test, the study found fixed effect model as the best model to describe regression. Due to the problem of heteroskedasticity, a robust fixed effect model was employed. The results found that gross fixed capital formation, government expenditure on health, life expectancy at birth, secondary school enrollment have positively and significantly influence economic growth, whereas government expenditure on education and population growth have negatively and significantly influence economic growth in Asian countries. Most of these countries are facing several economic, political, and social issues and among all they are facing a vicious circle of poverty. The rapid rise of the population may put strain on limited resources, while deficiencies in the distribution of funds for education could hinder economic advancement. Therefore, authorities should consider implementing population management measures and optimizing education expenditures to align with economic goals. Overall, the study provides a comprehensive and inclusive framework for understanding and fostering economic growth in Asian countries.
Identification of the main risk factors for the development of disorders of occlusive relationships.
Authors: Shkarin Vladimir , Yarygina Elena , Alekseevna Makedonova Yuliya , Dyachenko Denis , Gavrikova Lyudmila , Yavuz İzzet
Published: December 2024

Introduction: Violations of occlusive relationships are an urgent problem in dental practice due to the high prevalence, complexity of diagnosis and treatment, as well as the connection with common somatic diseases. These pathologies reduce the quality of life of patients and complicate the process of medical rehabilitation. Prevention aimed at early detection of risk factors is especially important.
The purpose of this study is to identify the main risk factors for the development of disorders of occlusive relationships.
Materials and methods: A randomized controlled trial was conducted with 120 patients aged 18 to 44 years. The study did not include patients with acute infectious diseases, decompensated chronic diseases, oncology, mental disorders and periodontal inflammation. The assessment included clinical examination, cone beam computed tomography (CBCT), electromyography (EMG), ultrasound examination of the temporomandibular joint (TMJ) and occlusion analysis. Methods of 3D modeling and analysis of the symmetry of the skull were used, as well as the Hamburg test to assess the functional state of the TMJ. The results of the clinical examination were subjected to a hierarchical cluster analysis.
Results and discussion: Based on the results of the survey, a group of key risk factors affecting the development of occlusive disorders was identified. The analysis of the data showed that the most significant components are the muscular, articular and jaw complexes, including electromyographic parameters, the size of the articular gap and occlusal contacts. The average value of the Hamburg test among patients was 3.79±0.73 points, which indicates a high prevalence of TMJ dysfunction. Cluster analysis made it possible to identify three main groups of risk factors, including muscle, joint and dental signs.
Conclusion: The identification of risk factors for the development of occlusive disorders plays a key role in improving the diagnosis and treatment of patients. The use of cluster analysis and modern technologies, such as 3D modeling and artificial intelligence, makes it possible to increase the effectiveness of prevention and treatment of this pathology.
TEMPOROMANDİBULAR EKLEM DİSLOKASYONU SONRASI MANİPÜLATİF FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARININ ETKİSİ: BİR VAKA RAPORU
Authors: Sevinç Melisa Ayhan , Yılmaz Gökme Gülhan
Published: December 2024

Temporomandibular eklem (TME) dislokasyonu,temporomandibular eklem bozuklukları (TME) arasında yer almaktadır. Yaş, diş yapısı, çıkığın nedeni ve süresine ek olarak çiğneme kaslarının fonksiyonu da TME dislokasyonunun mekanizmasını ve tedavisini açıklamada önemlidir. Bu disfonksiyon çiğneme, yutma ve konuşmayı bozar ve başlıca semptomları eklem sesleri, hareket açıklığının azalması ve TME fonksiyonu sırasında alt çene sapmasıdır. TME tedavisi sadece çene tedavisi olarak görülmemeli; servikal omurga ve tüm kraniomandibular sistemi kapsayan tedaviyi dikkate alarak kapsamlı bir tedavi yönetimi oluşturulmalıdır. Ayrıca TME için tek bir tedavi yönteminin etkili olmadığı ve semptomları tamamen azaltmak için multidisipliner bir yaklaşımın gerekli olduğu ileri sürülmektedir. Bu çalışmada TME dislokasyonu sonrası holistik fizyoterapi ve rehabilitasyon perspektifinden tedavi ettiğimiz 21 yaşında bir olgu sunulmaktadır.
虚实共生：元宇宙驱动下运动医学教育生态的数字化重构与治理优化
Authors: 赵 修涵 , 刘 宗玉 , 牛 海涛
Published: December 2024

元宇宙作为新兴技术范式，正在深刻重塑医学教育生态。研究立足运动医学教育情境，采用文献分析、逻辑推理等方法，在梳理元宇宙发展现状的基础上，以生态学视角审视了元宇宙驱动下运动医学教育各要素的数字化重构进程，探析了虚实融合培养路径，并提出了优化运动医学教育治理的策略建议。研究认为，元宇宙语境下运动医学教育生态呈现虚实共生、 科教协同、跨界融合的新图景。应坚持以人为本、技术赋能的理念，推动形态重塑、场景创新、模式变革，打造沉浸交互的学习 体验，构建开放共享的知识网络，健全协同创新的育人机制，促进理论与实践、教学与科研、学校与医院的深度融合，建成具备 国际竞争力的高素质运动医学人才培养体系，为医体融合发展注入新动能。
Estrategias de trabajo circular para potenciar el plan lector articulando la educación inicial con la enseñanza técnico profesional
Authors: Nancuante Benavente Vivian , Zúñiga Luis , Utreras Rosa , Soto Victor , Oyarzo Enrique
Published: December 2024

La propuesta a abordar, tiene como propósito el poder describir la experiencia de innovación que realizó el Colegio Metodista Robert Johnson, de Alto Hospicio, cuyo principal objetivo era gestionar una estrategia educativa relacionada al proceso lector articulando el nivel inicial y el área técnico profesional. En este sentido, el problema a abordar tiene relación a los bajos niveles de lectura que tenían los estudiantes de segundo básico tras las evaluaciones iniciales del diagnóstico integral de aprendizaje. La muestra fueron 96 estudiantes de segundo básico y 78 estudiantes de 3º y 4º medio de la especialidad de atención de párvulos. Los resultados demostraron el progreso que tuvieron las y los estudiantes de segundo básico, quienes avanzaron hacia los niveles intermedio y avanzado. En conclusión, armonizar el trabajo educativo integrando dos áreas, para muchos disímiles, fue un desafío con resultados exitosos en el proceso lector y en las competencias de las estudiantes de Educación Parvularia.
Sustainable Food Ingredients: Micro-Algae as Source Bioactive Compounds
Authors: Baldemir Pınar , Çaklı Şükran
Published: December 2024

Microalgae hold immense promise as a sustainable, bioactive source of functional food additives, presenting a unique profile of polyunsaturated fatty acids (PUFAs), carotenoids, vitamins, peptides, and polysaccharides with notable health benefits. Known for their ability to produce compounds like astaxanthin and lutein, Haematococcus pluvialis, Chlorella zofingiensis, and Spirulina contribute to antioxidant, anti-inflammatory, cardiovascular, and visual health when incorporated into food products. Unlike traditional crops, microalgae cultivation requires fewer resources (minimizing land, water, and carbon footprint) while achieving higher photosynthetic efficiency, making them a sustainable solution well-aligned with modern food production goals. However, despite their potential, the mainstream adoption of microalgae-derived bioactives is limited by challenges such as high production costs, complex extraction processes, and stringent regulatory barriers, particularly in markets like the EU. To address these limitations, advancements in photobioreactor technology, biorefinery approaches, and genetic engineering have shown promise in enhancing yield and reducing costs, thereby positioning microalgae as economically viable alternatives to synthetic additives. Furthermore, innovations in encapsulation and bioavailability improvement are advancing, making microalgal compounds more effective and stable in various food systems. This article explores the significant role microalgae could play in food sustainability, reviewing recent research and industry insights to propose practical solutions that encourage broader integration of microalgal bioactives in global markets. Through strategic technological improvements and supportive policy frameworks, the food industry could embrace microalgae-derived compounds, paving the way for resilient food systems that address consumer demands for natural, health-promoting ingredients. With ongoing academic and industrial collaboration, microalgae’s high nutritional value and environmental benefits can be leveraged to support both human health and ecological sustainability, signifying their crucial place in future food innovation.
Impacto de la facturación electrónica en la reducción de la evasión fiscal en Ecuador
Authors: Uquillas Granizo Gilma Gabriela , López Naranjo Alexandra Lorena
Published: December 2024

El uso de la facturación electrónica en Ecuador se presenta como una solución potencial para reducir la evasión fiscal, pero enfrenta desafíos significativos. La resistencia de ciertos sectores, como las pequeñas y medianas empresas (PYMEs) y la economía informal, así como la falta de capacitación y control efectivo, limitan su efectividad. El objetivo general de esta investigación es analizar cómo el uso de la facturación electrónica resulta un mecanismo para la reducción del impacto de la evasión fiscal en Ecuador durante el período 2019-2023. Se emplea un enfoque cuantitativo, de tipo descriptivo y correlacional, se utilizaron fuentes secundarias provenientes de organismos nacionales e internacionales: Servicio de Rentas Internas (SRI), la Comisión Económica para América Latina y el Caribe (CEPAL) y la Asociación de Instituciones Financieras. Los principales resultados destacaron el análisis de la recaudación del impuesto a la renta y la evolución de la evasión tributaria en Ecuador entre 2019 y 2023 refleja una compleja interacción entre factores económicos y las políticas fiscales implementadas. Además, la adopción de la facturación electrónica ha promovido una mayor transparencia y eficiencia en la gestión fiscal, lo que no solo contribuye a la reducción de la evasión, sino que mejora las perspectivas de recaudación fiscal.
Análisis del Perfil del Turista en Riobamba: Un Recurso para la gestión adecuada de las Empresas Turísticas
Authors: Flor Mora Omar Patricio , Pérez Salas Francisco Paúl , Viñán Guerrero Patricia Elena , Cajamarca Altamirano Efrén Efraín , Calero Zúñiga Marlon Aurelio
Published: December 2024

El presente estudio analiza el perfil del turista que visita Riobamba, Ecuador, con el objetivo de proporcionar información clave para la toma de decisiones de las empresas operadoras de turismo. La investigación adoptó un enfoque mixto, combinando métodos cuantitativos (encuestas) y cualitativos (análisis interpretativo), aplicado a una muestra de 350 turistas nacionales e internacionales. Los resultados muestran que el 72% de los visitantes son nacionales, provenientes principalmente de Quito, Guayaquil y Cuenca, mientras que el 28% son internacionales, destacando turistas de Colombia, Venezuela y países europeos. Las principales motivaciones de viaje son la recreación, seguida de visitas a familiares y amigos. Las actividades preferidas incluyen el turismo cultural en Riobamba y Guano, y el turismo de naturaleza en el Nevado Chimborazo. Sin embargo, el gasto promedio diario es inferior a $50, lo que refleja una oferta limitada que no incentiva una mayor inversión económica. Internet se identifica como la principal fuente de información para planificar los viajes, resaltando la importancia de fortalecer la presencia digital del destino. El estudio concluye que es necesario diversificar e innovar la oferta turística, mejorar la infraestructura y los servicios, y consolidar estrategias de promoción digital para posicionar a Riobamba como un destino competitivo a nivel nacional e internacional. Estas acciones no solo incrementarán el gasto promedio y la estancia de los turistas, sino que también contribuirán al desarrollo económico y sostenible de la región.
Prevalência de desnutrição, fragilidade e sarcopenia: existem diferenças entre as pessoas idosas institucionalizadas e no domicílio?
Authors: Portela Vânia , Carolino Elisabete , Cebola Marisa
Published: December 2024

Atualmente a elevada procura de respostas sociais dirigidas a pessoas idosas, deve-se em parte, à perda de autonomia e o apoio domiciliário (SAD) tem sido apontado como uma alternativa para retardar o ingresso em Estruturas Residenciais para Pessoas Idosas (ERPI). Sabendo do impacto da diminuição da autonomia no estado nutricional, nomeadamente no aparecimento/agravamento de situação de fragilidade e de sarcopenia, um maior conhecimento destas condições é fundamental. Pretendeu-se avaliar, comparar e caracterizar a prevalência de desnutrição, fragilidade e sarcopenia em pessoas idosas portuguesas (≥65 anos) institucionalizados e no domicílio. Tratou-se de um estudo multicêntrico em pessoas idosas (≥65 anos) em ERPI (n=64), centro de dia (n=41), SAD (n=42) e programas para pessoas idosas na comunidade (n=40). Recolheram-se medidas antropométricas e funcionais. Avaliou-se o estado mental (MMSE), a ingestão alimentar (24h Recall), o estado nutricional (MNA®), a fragilidade (Fenótipo Fried) e a sarcopenia (EWGSOP2). Dos 187 participantes, as pessoas idosas em ERPI apresentaram uma maior prevalência de desnutrição (23,4%), fragilidade (84,4%) e sarcopenia (71,9%), seguidos dos participantes de SAD. No total da amostra verificou-se relação estatisticamente significativa entre o tipo de apoio e: desnutrição (p=0,000); fragilidade (p=0,000) e sarcopenia (p=0,000). O sexo feminino, a idade mais avançada, a presença de défice cognitivo e uma menor ingestão alimentar foram associados a um pior estado nutricional e à presença de sarcopenia na totalidade da amostra (p<0,005). Houve uma correlação fraca entre a idade e a presença de fragilidade (rs=0,279; p=0,000). A coexistência de desnutrição, fragilidade e sarcopenia na amostra total foi de 27,5% (n=19). Os resultados sugerem que a desnutrição, a fragilidade e a sarcopenia podem contribuir para uma maior necessidade de serviços de apoio a idosos, reforçando a necessidade de serem consideradas em todos os cuidados de apoio a idosos de forma a serem identificadas e intervencionadas o mais precocemente possível.