bluuebunny/crossref_metadata_2025 huggingface dataset:
A Prospective Observational Study Combinition of Proton Pump Inhibitors with Prokinetics in Gerd
Authors: Mushtaq Zobia , Adeel Bushra , Hussain Tanveer , Ali Mazhar , Ayyaz Muhammad , Joher Imran
Published: November 2022

Background: Gastroesophageal reflux disease (GERD), a fairly common ailment that has a negative influence on quality of life. 30- 40% of patients with GERD have an insufficient response to standard PPIs therapy. For subjects resistant to this PPI therapy, double the PPI dosage or switch to different PPIs, which may not be ideal. So, combination therapy with prokinetic agent will significantly improve GERD symptoms. Study Design: A prospective observational study. Place and Duration: In the Department of Medicine, Faisalabad Medical University, Faisalabad from May 2022 to July 2022. Material and methods: 130 patients with suggestive symptoms of GERD were included to evaluate overlap between GERD and delayed gastric emptying and to forecast the necessity for therapy in combination with prokinetic drugs using the Frequency Scale for the Symptoms of GERD (FSSG) score. Results: 17.20 ± 8.40 was the mean total score of FSSG. Of the 130 subjects, 106 (81.54%) patients have GERD symptoms with an overall FSSG score >8. 7.43 ± 4.08 was the mean reflux score, and 9.40 ± 5.30 was the mean dysmotility score. In this analysis, patients with GERD symptoms had high score of FSSG, the symptoms of dysmotility appeared to be the main symptom than acid reflux. Conclusions: Based on this analysis results, combination therapy with prokinetic and PPIs in the subgroups of subjects with high scores of FSSG improved GERD symptoms. Keywords: Dysmotility score, delayed gastric emptying, GERD and Reflux score.
The Outcome of Different Surgical Conditions in Neonates at A Tertiary Care Hospital: A Cross-Sectional Study
Authors: Mahtam Ishrat , Soomro Sirajuddin , . Sumaira
Published: November 2022

Aim: To determine the outcome of different surgical conditions in neonates at a tertiary care hospital Study design: A cross-sectional study Place and Duration: Department of Pediatric Surgery Chandka Medical College Children’s hospital Larkana from Nov 2020 to Nov 2021 Methodology: All the neonates with surgical conditions were admitted through emergency and OPD. The variables were age, gender, diagnosis, surgery performed, postoperative course and complications if any. Patients soon after birth to 28 days of age with neonatal surgical conditions were enrolled in the study. The diagnosis was established either with pre-operative, intra-operative or post-operatively with relevant clinical, radiological, biochemical and histopathological findings described in standard textbooks of paediatric and neonatal surgery Results: A total of 208 patients were managed. The age range was 1 hour to 28 days. Male was 159 (76.4%) and 49 (23.6%) were female. The commonest conditions presented were anorectal malformations followed by necrotizing enterocolitis. Other conditions include Hirschsprung’s Disease, Omphalocele, Gastroschisis, Duodenal and Jejuno ileal Atresia, Myelomeningocele, Infantile Hypertrophic Pyloric Stenosis, Obstructed Inguinal Hernias, sacrococcygeal teratoma and skin and soft tissue infections. Frequently performed operation was the creation of stoma (Colostomy/Ileostomy). 180 (86.53%) neonates were discharged and 24 (11.53%) neonates expired while only 4 (1.92%) neonates were referred to other centers. Conclusion: Neonatal surgical conditions carry high mortality and morbidity even at centers with all facilities available. Our results at the resource-limited centre are comparable to the centres having state of art facilities. Keywords: Neonatal surgery, Anorectal Malformations, Abdominal wall defects, Necrotizing Enterocolitis (NEC)
Rezension von: Losse, Michael, Burgen im Hegau ...
Authors: Waibel Raimund , Losse Michael
Published: November 2022

Michael Losse: Burgen im Hegau - Erlebniswege Hegau, westlicher Bodensee und angrenzende Schweiz. Landesvermessungsamt Baden-Württemberg, Singen 2002. Karte mit zwei Ringbroschüren mit ca. 140 Seiten und zahlreichen Abbildungen, Registertafel. ISBN 3-89021-708-7Matthias Geyer: Vulkane im Hegau - Geologische Streifzüge durch den Hegau, am westlichen Bodensee und der angrenzenden Schweiz. Landesvermessungamt Baden-Württemberg Singen 2003. Karte mit zwei gebundenen Broschüren mit ca. 225 Seiten, undzahlreichen Abbildungen, Registertafel. € 8,-. ISBN 3-89021-719-2
Rare association of exomphalos and maternal alcohol use
Authors: Mohamad Zakaria Sabiha , Kassab Ahmed
Published: November 2022

Introduction: Omphalocele is a congenital anomaly characterized by an abdominal wall defect. Chromosomal, syndromic, or other structural anomalies often co-exist and largely affect the prognosis.

Case Report: We discuss a case of a complex omphalocele associated with thoracic hypoplasia and thoracic-lumbar scoliosis in a chromosomally unaffected fetus.

Conclusion: This is an unusual case where this congenital defect is potentially associated to maternal alcohol use or even herpes simplex virus (HSV).
Pengaruh Latihan Kekuatan Otot Lengan Terhadap Kemampuan Pukulan Drive Dalam Permainan Bulutangkis Pada Siswa SMA Negeri I Lembean Timur
Authors: Alfrets Makadada Fredrik , Ruddy Supit Frans , Jacobis Josua
Published: November 2022

Masalah dalam penelitian ini adalah: Apakah terdapat pengaruh latihan kekuatan otot lengan terhadap kemampuan pukulan drive dalam permainan bulutangkis  pada siswa SMA Negeri I Lembean Timur? Tujuan Penelitian : Untuk mengetahui pengaruh latihan kekuatan otot lengan terhadap kemampuan pukulan drive dalam permainan bulutangkis  pada Siswa SMA Negeri I Lembean Timur. Hipotesa Penelitian: Terdapat pengaruh latihan kekuatan otot lengan terhadap kemampuan pukulan drive dalam permainan bulutangkis  pada siswa SMA Negeri I Lembean Timur. Metode Penelitian yang digunakan adalah metode eksperimen dengan perlakuan berupa latihan kekuatan otot lengan yang diberikan selama delapan minggu. Populasi adalah seluruh siswa Kelas XI SMA Negeri Lembean Timur sebanyak 20 orang dan sampel sebanyak 20 orang kemudian dibagi menjadi dua kelompok masing-masing 10 orang kelompok eksperimen dan 10 orang pada kelompok kontrol. Instumen pengumpulan data: Tes Pukulan Drive Dalam Permainan Bulutangkis. Rancangan penelitian menggunakan : Randomized control groups pre-test and post-test design. Pengujian hipotesa menggunakan teknik statistik dengan Uji t. Hasil analisa hipotesa, diperoleh t observasi senilai 3,22 sedangkan t tabel yang diperoleh dari derajat kebebasan n-1 + n2 – 2 yaitu 10 + 10 – 2 =18 dan taraf keyakinan   = 0,05 adalah 1,734. Sesuai dengan kriteria pengujian terima Ho jika t observasi lebih kecil dari t tabel dan tolak Ho jika t observasi lebih besar dari t tabel. Oleh karena t observasi lebih besar dari t tabel maka hasil analisis menunjukkan tolak Ho dan terima Ha. Kesimpulan penelitian : Terdapat pengaruh latihan kekuatan otot terhadap kemampuan pukulan drive dalam permainan bulutangkis  pada Siswa SMA Negeri I Lembean Timur.
Uso de aceites comestibles como solventes para la extracción de compuestos bioactivos: Una revisión (parte B)
Authors: Moreno Wilmer , Velásquez Ingrid , Salinas Nancy
Published: November 2022

Los procesos de extracción de compuestos bioactivos para las industrias cosmética, farmacéutica, de alimentos y química dependen en gran medida de los disolventes, los cuales en su mayoría son derivados del petróleo, y por consiguiente pueden acarrear problemas de ecotoxicidad. Por ello, los principios de la química verde se han direccionado hacia el empleo de solventes alternativos para la extracción de metabolitos secundarios provenientes de fuentes vegetales como por ejemplo biorecursos de origen oleoproteaginosos, con los cuales se obtienen resultados favorables al lograr el arrastre de cantidades importantes de las sustancias objetivos, aportando de esta manera un valor agregado a los medios extractantes que pueden ser dirigidos al consumo directo o como base para la preparación de productos en distintos campos. En la actualidad, para mejorar los rendimientos, este proceso de extracción se ha combinado con otras técnicas innovadoras como microondas, fluidos supercríticos y ultrasonidos, manteniéndose de igual forma una sinergia con el medio ambiente.
Afectaciones en las emisiones globales de dióxido de carbono (CO_2) tras una crisis sanitaria mundial (SARS-CoV2 en el año 2020
Authors: Aljorna Robert , Borges Rafael , Cuesta Ledyz
Published: November 2022

A finales del año 2019 se dio a conocer una noticia que paralizó al mundo, un nuevo virus conocido como Síndrome Respiratorio Agudo Severo por Coronavirus 2 amenazó el estilo de vida moderno de la humanidad; dicho patógeno es causante de una grave enfermedad contagiosa (COVID-19) declarada en pandemia por la Organización Mundial de la Salud en marzo del año 2020, la cual afecta principalmente al sistema respiratorio. En consecuencia, los gobiernos de todos los países han implementado múltiples estrategias para limitar el incremento de los contagios entre los que se encuentran, cuarentenas obligatorias, distanciamiento social, cierre de lugares públicos, entre otros, conllevando a un cambio drástico en los patrones de demanda energética y de recursos a nivel mundial. El objeto de la presente investigación es analizar a profundidad como estas medidas causaron una disminución en las emisiones mundiales de dióxido de carbono (CO_2) durante el año 2020, fundamentándose este estudio en una detallada revisión de diversas bases de datos y fuentes bibliográficas, en los cuales se resalta un descenso considerable en las emisiones globales de CO_2; además, de un menor consumo de recursos por parte de la población mundial. Finalmente, se recalca la importancia de estudiar este peculiar fenómeno, ya que permitirá la implementación de estrategias y acciones efectivas en la lucha contra el cambio climático.
Macromoléculas en sistemas de microemulsión
Authors: Montaño Fredina , Pereira Juan
Published: November 2022

Las microemulsiones son sistemas surfactante-aceite-agua (SOW), termodinámicamente estables, con gran capacidad de solubilización y son capaces de reducir la tensión interfacial a valores ultra bajos. Por su parte, las macromoléculas anfipáticas están constituidas por unidades que se repiten, formando el esqueleto o columna, presentando restos hidrofóbicos e hidrofílicos, por lo que se comportan como surfactantes poliméricos. Esta clase de surfactantes presenta un comportamiento característico en interfases que difiere de surfactantes monoméricos. Estas especies se pueden emplear en sistemas SOW, y es posible además preparar microemulsiones con estos polímeros. Las interacciones surfactante-polímero que gobiernan estos sistemas son de particular interés, y afectan la actividad superficial de los surfactantes empleados, especialmente si el polímero se comporta como un polielectrolito. Por su parte, estos polímeros pueden ser de origen sintético o natural. En algunos casos, como celulosa o quitosano, el polímero es muy hidrofílico, por lo que es necesario modificar hidrofóbicamente su estructura para incrementar sus propiedades interfaciales. La presente revisión pretende evaluar diferentes sistemas SOW que involucren macromoléculas sintéticas y naturales, teniendo especial atención a sistemas de microemulsiones con surfactantes poliméricos, destacando las aplicaciones de los mismos y comportamiento en la interfase.
Mapping the Presence, Lands, and Territories of Afro-descendant Peoples in Latin America and the Caribbean
Authors:   Rights and Resources Initiative,   Process of Black Communities,   The Pontifical Universidad Javeriana’s Observatory of Ethnic and Campesino Territories
Published: November 2022

In coordination with 20 grassroots organizations and researchers of Afro-descendant Peoples, RRI, PNC, and OTEC carried out a joint investigation to identify the presence, lands, and territories of the Afro-descendant People in Latin America and the Caribbean. For the first time, a freely accessible cartographic viewer gathers decisive data in the region on the territorial presence and the significant relationship between these territories and areas of great importance for the conservation and stability of the terrestrial and oceanic climate.
Justification Without Excuses
Authors: McAllister Blake
Published: November 2022

Arguably, the original conception of epistemic justification comes from Descartes and Locke, who thought of justification deontologically. Moreover, their deontological conception was especially strict: there are no excuses for unjustified beliefs. Call this the “classical deontologist” conception of justification. As the original conception, we ought to accept it unless proven untenable. Nowadays, however, most have abandoned classical deontologism as precisely that—untenable. It stands accused of requiring doxastic voluntarism and normative transparency. My goal is to rescue classical deontologism from these accusations. I show how, given a specific form of internalism coupled with a plausible theory of epistemic blame, we can be blameworthy for all of our (non-exempt) unjustified beliefs without transparency or voluntarism. The result is that the classical deontological conception of justification should regain its privileged status.
How the Block Grows
Authors: Loss Roberto
Published: November 2022

I argue that the growing-block theory of time and truthmaker maximalism jointly entail that some truthmakers undergo mereological change as time passes. Central to my argument is a grounding-based account of what I call the “purely incremental” nature of the growing-block theory of time. As I will show, the argument presented in this paper suggests that growing-block theorists endorsing truthmaker maximalism have reasons to take composition to be restricted and the “block” of reality to literally grow as time goes by.
The Influence Of Golden Age Nutrition With Stunting Events In Toddlers In Panyabungan Village, Julu, Mandailing Regency Christmas 2022
Authors: Kholidah Siti
Published: November 2022

Stunting is a condition where children experience delays in growth caused by lack of nutritional intake for a long time. This study aims to determine the effect of nutrition during the golden age period with stunting in children under five in Panyabungan Julu Village, Mandailing Natal Regency in 2022. The type of this research was analytic observational with a cross sectional approach. The population is toddlers aged 2-5 years (25-59 months) as many as 36 toddlers. The sample in this study were 36 toddlers aged 2-5 years (25-59 months). Data analysis technique using chi square. The results obtained in this study were from 36 respondents, who received nutrition as many as 16 people (44.4%) with 3 people experiencing stunting (8.3%) and 13 people without stunting (36.1%). and who did not get as many as 20 people (55.6%) with 2 people experiencing stunting (5.6%) and 18 people not experiencing stunting (50%). Based on the statistical test with Chi-Square showed that the value of p = 0.045 < 0.05, that there was an effect of Golden Age Nutrition Giving with Stunting Incidence in Toddlers in Panyabungan Julu Village, Mandailing Natal District in 2022. It is recommended to the puskesmas to increase health promotion to improve health status.
The Link between Fiscal Decentralization and Unemployment Evidence from Indonesia
Authors: Maryanti Sri , Handra Hefrizal , Yonnedi Efa
Published: November 2022

The purpose of this study is to see the relationship between fiscal decentralization and unemployment in Indonesia, in this study uses panel data from 2017-2021. Where the results show that fiscal decentralization has a relationship with unemployment, but on the other hand, the level of civility and regional dependence to reduce unemployment has a negative impact, but the allocation of APBD funds is by existing regulations but still needs supervision from the central government and the area itself. Each region should seek to increase investment to reduce unemployment so that it can create jobs.
THEMATIC INVESTIGATION AS CURRICULAR DYNAMICS: DEVELOPING THE PROPOSAL IN THE CLASSROOM
Authors: Schwan Guilherme , Ayres dos Santos Rosemar
Published: November 2022

This is a qualitative study, based on the theoretical perspective by Paulo Freire and the assumptions of the Science-Technology-Society (STS) approach and the Latin American Thought in Science, Technology and Society (LAT-STS), considering the perspective of the social context of students as a starting point for their learning. From this perspective, we investigate how a curricular configuration based on Freirean assumptions and CTS/PLACTS productions may contribute to the knowledge building by students in the school environment from an effective work in the classroom. The objective of this investigation is to get a better contextualize the knowledge, involving students in order to promote their critical positioning and the creation of a more democratic society, in which students can express themselves in view of the advances in Science-Technology (ST), regarding issues that imply changes in their world. Thus, we addressed the theme of the implementation and operation of a Hydroelectric Power Plant. Therefore, we investigated an effective classroom practice, which involved teachers of Science and Geography and 9th-grade students from a municipal public school in the same location as the power plant. The corpus for analysis consists of journals kept by the students and the researcher used during practice. Methodologically, we adopt the Discursive Textual Analysis. The results are presented in three categories: Resignifying knowledge through 'demystification'; The critical social-environmental development of students in relation to the theme: from limit situations to untested feasibility; Learning assessment: the understanding and lines of thought from the perspective of students. Hence, connecting the critical-reflective classroom practice to curricular development.
CARACTERIZACIÓN DEL MODELO EPISTEMOLÓGICO DOMINANTE ENTORNO A LA DIVISIBILIDAD EN LIBROS DE TEXTO ESCOLARES
Authors: Muñoz Venegas Mayra G. , Santori Maria Laura , Olivero Federico Javier
Published: November 2022

En este trabajo de investigación presentamos la primera etapa de estudio de una tesis de maestría centrada en la construcción de un modelo epistemológico de referencia (MER) para el profesorado de matemática en torno a la divisibilidad. El objetivo principal de este trabajo es dar a conocer algunas conclusiones con respecto a la caracterización del modelo epistemológico dominante (MED) que se puede evidenciar en los libros de texto de primaria y secundaria. Este análisis tiene como finalidad detectar fenómenos didácticos que emergen en torno a los diferentes niveles de completitud de las organizaciones matemáticas propuestas, como un primer paso en la elaboración del MER. Para el desarrollo y análisis de este trabajo nos apoyamos en el marco de la Teoría Antropológica de lo Didáctico. En particular consideramos los indicadores de completitud propuestos por Cecilio Fonseca y Catarina Lucas (Fonseca, 2004; Lucas, 2010)
Temporomandibuler Bozuklukların Etiyolojisinde Stres
Authors: YILMAZ Esma Betül , ALPASLAN Cansu
Published: November 2022

Stres çok genel olarak kişinin, kendisine dayatılan taleplerin kendi uyum sağlama yeteneklerinin sınırlarını aştığını hissettiği durumları ifade eder. Stres, başta morbidite ve mortaliteye neden olan hastalıklar da dahil olmak üzere, hastalıkların %75-90'ının ortak risk faktörüdür. Stresin kardiyovasküler hastalıklar, HIV/AIDS, klinik depresyon ve kanser üzerindeki etkileri bilinmektedir. Temporomandibuler bozuklukların etiyolojisi komplekstir ve pek çok faktör bir arada rol oynamaktadır. Biyolojik, davranışsal, çevresel, sosyal ve psikolojik faktörlerden biri veya birkaç tanesi bir arada temporomandibuler bozuklukları hazırlayan, oluşturan ve devam ettiren faktörler olarak rol oynayabilir. Temporomandibuler bozuklukların etiyolojisinde stresin rolüne ilişkin araştırmalar 1950’li yıllardan günümüze kadar ilgi konusu olmuştur. Bu derlemenin amacı temporomandibuler bozukluk stres ilişkisine genel bir bakış ve stres mekanizmasını ve temporomandibuler bozukluğa etkisini değerlendirmek ve güncel gelişmeleri incelemektir.
Smear Tabakası Deproteinizasyonunun Kendinden Adezivli Rezin Simanın Dentine Bağlanma Dayanımına Etkisi
Authors: YERLİYURT Kaan , HATIRLI Hüseyin
Published: November 2022

Amaç: Bu çalışmanın amacı; sodyum hipoklorit ve hipokloröz asit solüsyonları kullanılarak smear tabakası deproteinizasyonunun, kendinden adezivli rezin simanın dentine bağlanma dayanımı üzerindeki etkisinin incelenmesidir.

Gereç ve Yöntem: Çalışmada toplam 56 adet çekilmiş insan büyük azı dişi kullanılmıştır. Dişlerin dentin yüzeyleri üzerinde aşındırıcılarla üniform bir şekilde smear tabakası oluşturulmuştur. Herhangi bir okside edici ajan uygulanmayan (kontrol), sodyum hipoklorit 30 sn uygulanan (NaOCl), hipokloröz asit 15 sn (HOCl-15) ve 30 sn uygulanan (HOCl-30) grup olmak üzere 4 farklı deney grubu oluşturulmuştur. Hazırlanmış kompozit bloklar, dentin yüzeylerine kendinden adezivli rezin siman (TotalCem, Itena, Paris, Fransa) ile simante edilmiştir. Örneklere üniversal test cihazında makaslama bağlanma dayanımı testi uygulanmıştır. Dentin yüzeyleri taramalı elektron mikroskobu (FE-SEM, Mira 3 XMU, Tescan, Brno, Çek Cumhuriyeti) ile incelenmiştir. İstatistiksel analizler için, Tek Yönlü Varyans Analizi (ANOVA) ve post-hoc Tukey HSD testleri kullanılmıştır (p˂0.05).

Bulgular: HOCl-15 grubunda bağlanma dayanımının diğer çalışma gruplarından anlamlı olarak daha yüksek olduğu belirlenmiştir (p˂0.05).

Sonuç: HOCl ile smear tabakası deproteinizasyonunun diş ile kendinden adezivli rezin siman arasındaki bağlanma dayanımını arttırıcı etkisi olabileceği düşünülmektedir.
ผลการออกกำลังกายในรูปแบบเกมอินเตอร์แอคทีฟที่มีผลต่อสมรรถภาพทางกายของนักศึกษาจากการเรียนออนไลน์ ในช่วงสถานการณ์การแพร่ระบาดของโรคติดเชื้อไวรัสโคโรนา 2019
Authors: ใจเมือง ศิรินภา
Published: November 2022

การวิจัยครั้งนี้เป็นการวิจัยแบบกึ่งทดลอง เพื่อศึกษาผลการออกกำลังกายในรูปแบบเกมอินเตอร์แอคทีฟในการพัฒนาสมรรถภาพทางกายและเพื่อเปรียบเทียบสมรรถภาพทางกายก่อนและหลังการเข้าร่วมการฝึก ประชากรเป็นนักศึกษาสาขาวิชาวิศวกรรมเมคคาทรอนิกส์ ชั้นปีที่ 2 วิทยาลัยเทคโนโลยีและสหวิทยาการ มหาวิทยาลัยเทคโนโลยีราชมงคลล้านนา จำนวน 27 คน เก็บข้อมูลโดยใช้แบบทดสอบสมรรถภาพ วิเคราะห์ข้อมูลด้วยสถิติ ความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และเปรียบเทียบผลก่อนและหลังการฝึกโดยใช้ Paired-sample t-test ผลการศึกษา พบว่า โปรแกรมกิจกรรมเกมอินเตอร์แอคทีฟส่งผลต่อสมรรถภาพทางกายดีขึ้น โดยค่าสมรรถภาพร่างกายโดยรวมหลังการฝึกเพิ่มขึ้นกว่าก่อนการฝึกอย่างมีนัยสำคัญทางสถิติที่ระดับ 0.05 เมื่อพิจารณารายด้าน พบว่า สมรรถภาพแรงเหยียดขาหลังการฝึกสูงกว่าก่อนการฝึกอย่างมีนัยสำคัญทางสถิติ (p-value = 0.026) สมรรถภาพความอ่อนตัวหลังการฝึกสูงกว่าก่อนการฝึกอย่างมีนัยสำคัญทางสถิติ (p-value < 0.001) สมรรถภาพความจุปอดหลังการฝึกสูงกว่าก่อนการฝึกอย่างมีนัยสำคัญทางสถิติ (p-value = 0.005) สมรรถภาพด้านความสามารถในการใช้ออกซิเจนหลังการฝึกสูงกว่าก่อนการฝึกอย่างมีนัยสำคัญทางสถิติ (p-value = 0.024) ขณะที่เปอร์เซ็นต์ไขมันในร่างกายและค่าแรงบีบมือหลังฝึกไม่มีความแตกต่างจากก่อนฝึก (p-value = 0.863) และ (p-value = 0.463) ตามลำดับ
ความเพียงพอและปัจจัยที่มีความสัมพันธ์กับการได้ทำงานตรงตามวุฒิการศึกษาของ นักสาธารณสุขในองค์กรปกครองส่วนท้องถิ่นของประเทศไทย
Authors: สอนล้อม กิตติพงษ์ , เล้าหศิริวงศ์ วงศา , สาร๊ะ ริซกี , เจริญพร สุพจน์ , ทิมทับ อเนก , เตียตระกูล ยั่งยืน , คำเกาะ ศักดิ์สิทธิ์ , จิตอร่าม ปริญญา , หนูพลอย คณิต
Published: November 2022

การวิจัยแบบภาคตัดขวางนี้มีวัตถุประสงค์เพื่ออธิบายสถานการณ์ความเพียงพอและความต้องการนักสาธารณสุข รวมถึงระบุปัจจัยที่มีความสัมพันธ์กับการได้ทำงานตรงตามวุฒิการศึกษาของนักสาธารณสุข ในมุมมองของผู้บริหาร องค์กรปกครองส่วนท้องถิ่น(อปท.) 511 คน สุ่มตัวอย่างแบบหลายขั้นตอนและวิเคราะห์การถดถอยลอจิสติกเพื่อประเมินความความสัมพันธ์ ผลการวิจัยพบว่า อปท. ยังคงมีความต้องการบุคลากรที่เป็นนักสาธารณสุข โดยร้อยละ 47.94 มีนักวิชาการสาธารณสุข(นวก.) ไม่เพียงพอตามกรอบอัตรากำลัง และมีเจ้าพนักงานสาธารณสุข(จพ.) ไม่เพียงพอ ร้อยละ 50.29 อปท. มีแผนในการเปิดรับ นวก. ในอนาคต ร้อยละ 67.71 และ จพ. ร้อยละ 48.92 ปัจจัยที่มีความสัมพันธ์กับการได้ทำงานตรงกับสาขาที่สำเร็จการศึกษาของนักสาธารณสุขใน อปท. ได้แก่ การมีทุนการศึกษาด้านสาธารณสุข (AOR = 4.22, 95%CI: 1.82–9.82) หน่วยงานมีกรอบตำแหน่ง (AOR = 3.26, 95%CI: 2.08–5.13) นักสาธารณสุขมีความรู้และทักษะเพิ่มด้านบัญชี การเงินและพัสดุ (AOR = 3.17, 95%CI: 2.00–5.04) มีความรู้และทักษะเพิ่มด้านการวิจัย (AOR = 2.27, 95%CI: 1.46–3.55) มีความรู้และทักษะเพิ่มด้านการใช้เทคโนโลยีสารสนเทศ (AOR = 2.15, 95%CI: 1.37–3.37) และมีความรู้และทักษะเพิ่มด้านการควบคุมโรคติดต่ออันตรายและการจัดการภัยพิบัติ (AOR = 2.09, 95%CI: 1.26– 3.48) ซึ่ง อปท. ควรมีการวางแผนความต้องการกำลังคนเชิงกลยุทธ์โดยเฉพาะอย่างยิ่งนักสาธารณสุข เพื่อป้องกันและแก้ไขปัญหาการขาดแคลนดังกล่าว
A Study of Family Climate of Male and Female B.Ed. Teacher-Trainees of Bareilly District
Authors: Zoofishan Ms.Baby , Sagar Dr. Pratibha
Published: November 2022

Thepurpose of this study is to find out the difference of different dimensions of family climate of B.Ed. teacher-trainees in relation to their gender. Descriptive survey method was used for this study. A Sample of 160 B.Ed. teacher-trainees was selected by using random sampling technique from four B.Ed. colleges of Bareilly district. Family Climate Scale developed by Harpreet Bhatia & N.K. Chadha (2019) used for data collection. Data was analyzed using Mean, S.D. and t-test. Finding reveals thatsignificant difference has been found inacceptance, independence and control dimensions of family climate of male and female B.Ed. teacher-trainees.
“Authentic provenance”
Authors: Madruga Catarina
Published: November 2022

Nineteenth-century zoological collections consisted of large series of animals, which had been trapped, uprooted, hunted, killed, put into containers, dried, and preserved. From distant far-flung outposts overseas, colonial collections were shipped to central metropolitan institutions where they were claimed as a crucial part of the understanding of global biodiversity. Knowledge about nature was reliant on such scientific specimens and, therefore, dependent on fieldwork, which comprised much more than the act itself of sampling nature. Collecting from the field is a matter of access to places, materials, tools, and people with the know-how to find, capture, and interpret nature and, often, to prepare animals as specimens. Although different layers of labor, expertise, and knowledge lie behind zoological collections, much of it was produced and negotiated outside museums’ walls.
Using the historical documentation of zoological collections in the Museu Nacional de Lisboa in the second half of the nineteenth century as a case study, this paper highlights the role of colonial suppliers as mediators for the museum’s agenda while adjusting to local circumstances and maintaining their own personal goals. Studies of historical provenance have clarified not only how zoological specimens were gathered and collated but also how their geographical origin was used as a mechanism of centralization of authority.
Auctions for Renewables: Does the Choice of the Remuneration Scheme Matter?
Authors: Darudi Ali
Published: November 2022

Auctions are increasingly used to support renewable energy sources (RES). The choice of the remuneration scheme is one of the major design challenges policymakers face. This paper analyzes the effects of remuneration schemes on RES auctions’ success in markets with imperfect competition. I develop a game-theoretical auction/operation framework to model the feedback effects between the spot market’s strategic behavior and the auction stage’s bidding behavior. The analysis indicates that policymakers concerned about true-cost bidding, allocative efficiency, spot price, total payments to RES, and non-realization risk may prefer feed-in-tariff (FIT) remuneration. However, feed-in-premium (FIP) remunerations may outperform FIT ones from a social welfare perspective, particularly in markets with dirty technologies at the margin. A machine-learning-based simulation strategy is also presented, indicating that, for an auction for 14 GW of onshore wind in France, FIP auction with a winning incumbent leads to 1.40% higher prices than FIT ones.
Systemic Risk in the Global Energy Sector: Structure, Determinants and Portfolio Management Implications
Authors: Hussain Shahzad Syed Jawad , Ferrer Román , Bouri Elie
Published: November 2022

We examine the dynamics of tail dependence across returns of 105 global energy firms from 26 countries covering the regions of America, Asia Pacific and Europe. A partial correlation-based approach is used to quantify the dependence structure and level of systemic risk under relatively stable and extremely bearish and bullish market conditions. The dependence network of energy stock returns is constructed based on the novel triangulated maximally filtered graph (TMFG). The results reveal a high degree of tail dependence and role played by geographical proximity. The strongest links are found under extreme bearish market conditions. American and European energy firms are more interconnected and contribute more to systemic risk than Asian-Pacific companies. The dependence intensifies during periods of market turmoil, especially during the COVID-19 pandemic. A higher instability in the dependence structure is observed during extremely bearish market circumstances. A simple portfolio trading strategy based on the dependence ranking of energy firms outperforms a naïve equally-weighted buy-and-hold portfolio strategy.
Het horen van getuigen à charge na Keskin: een overzicht
Authors: van Toor D.A.G. (Dave) , Klomberg R.L.M. (Roos)
Published: November 2022

Het horen van getuigen à charge na Keskin: een overzicht

Het arrest Keskin/Nederland krijgt (nog steeds) veel aandacht van Nederlandse strafrechtsjuristen en leidt tot reuring in de strafrechtspraktijk. Het is in ieder geval zonneklaar dat de Nederlandse strafrechtspleging moet reageren op Keskin en de Hoge Raad heeft dat inmiddels in tientallen arresten gedaan. In deze bijdrage worden die arresten besproken, waardoor een antwoord kan worden geformuleerd op de vraag op welke wijze het Keskin-arrest door de Hoge Raad is geïnterpreteerd. Daarbij worden twee lijnen besproken die uit de post-Keskin-jurisprudentie van de Hoge Raad te distilleren zijn. De eerste lijn is dat de Hoge Raad inmiddels streng toeziet op de motivering van de afwijzing van het verzoek tot het horen van getuigen à charge. Die motivering moet namelijk in het teken van de Al-Khawaya & Tahery-criteria worden gezet, waarmee vervolgens kan worden beoordeeld of het proces in zijn geheel eerlijk is verlopen. De tweede lijn is dat het begrip belastende getuige nader wordt gepreciseerd. Niet alle getuigen die een voor de verdachte gunstige verklaring kunnen afleggen, vallen volgens de Hoge Raad onder de Keskin-jurisprudentie.
Het recht betreffende de (proces)stukken. Modernisering strafvordering biedt geen bevredigende oplossing voor lang bestaande knelpunten
Authors: Scheele C.P.J. (Chris)
Published: November 2022

Het recht betreffende de (proces)stukken. Modernisering strafvordering biedt geen bevredigende oplossing voor lang bestaande knelpunten

Het recht aangaande de kennisneming van processtukken werkt problematiserend en levert belangrijke praktische en juridische knelpunten op die door de aankomende regeling Modernisering Wetboek van Strafvordering niet worden opgelost. De auteur bespreekt in deze bijdrage de aanloop naar de huidige wettelijke regeling, de huidige wettelijke regeling en de wettelijke regeling in het nieuwe wetboek. Ook komen aan bod de beoordelingskaders die door het EHRM over toegang tot de stukken worden aangelegd. Aan het slot komt de auteur tot het benoemen van een aantal knelpunten die hernieuwde aandacht zouden moeten krijgen voordat tot een nieuwe regeling in het wetboek wordt over gegaan.
Száz évvel ezelőtt született a hospice-mozgalom magyar úttörője, Polcz Alaine
Authors: Miklós Lukács , Hegedűs Katalin
Published: November 2022

Száz évvel ezelőtt, 1922. október 7-én született a hospice-mozgalom és tanatológia magyar úttörője, dr. Polcz Alaine. Magyar pszichológus, író, Mészöly Miklós Kossuth-díjas magyar író felesége. A centenáriumi év apropóján bemutatjuk Alaine munkásságát, valamint szakemberek osztják meg a vele kapcsolatos személyes és szakmai gondolataikat. 1991-ben Alaine létrehozta a Magyar Hospice Alapítványt. Ekkor kezdett kibontakozni a hospice-mozgalom, amelynek célja nemcsak a betegeknek, hanem az őket gondozó családtagoknak is segítséget nyújtani a betegség és a gyász időszakában. Írói öröksége, bölcs meglátásai máig sokak számára kihatottak, velünk vannak.
A majomhimlőjárvány hazai tanulságai
Authors: Kis Zoltán , Sabjanics András , Vadász Márk András
Published: November 2022

A majomhimlő egy több évtizede ismert, állatokról emberre terjedő fertőző megbetegedés, amit az Orthopoxvirusok közé tartozó majomhimlővírus okoz. Ugyanennek a vírusnemzetségnek a tagja a variola, a fekete himlő vírusa is. Az első emberi majomhimlős esetet 1970-ben írták le a Kongói Demokratikus Köztársaságban. A betegség járványosan Nyugat- és Közép-Afrikában terjed, és csak elvétve okozott megbetegedéseket Afrikán kívül. A majomhimlővírus egyik emberről a másikra sérülésekkel, testnedvekkel, légúti cseppfertőzéssel és szennyezett anyagokkal, például ágyneművel való szoros érintkezés útján is terjed. Újdonságnak számít a vírus európai jelenléte és terjedése. A betegség tünetei hasonlítanak a fekete himlőre, amelyről a WHO 1980-ban azt közölte, hogy eltűnt a Föld felszínéről. Az első, Afrikán kívüli majomhimlőjárványt 2003-ban regisztrálták az Amerikai Egyesült Államokban. 2022. május 7-e óta számos európai ország majomhimlő okozta megbetegedéseket jelentett a WHO felé, május 31-én pedig Magyarországon is azonosították a zoonosist. A WHO tájékoztatása alapján a legtöbb beteg saját bevallása szerint ’MSM’ (man who have sex with men) férfi. A majomhimlővírus- (monkeypox virus – MPXV-) járvány megelőzése a fertőzött beteg elkülönítésével, a higiéniai szabályok betartásával, megfelelő kézmosással, alkoholos fertőtlenítőszerekkel, valamint az egészségügyi ellátás során az egyéni védőeszközök megfelelő alkalmazásával történhet. Cikkünkben a napjainkban zajló majomhimlőjárvánnyal foglalkozunk és az alábbi témaköröket érintjük: epidemiológia, diagnosztika, klinikum, az infekciókontroll szabályai és a majomhimlő terjedésének jellemzői.
Mathematical Methods in the Activities of Engineers in the Field of Fire Safety and Civil Protection
Authors: Parvanov Stefan , Arabadzhieva Svilena , Iliev Stefan
Published: November 2022

This paper presents the importance of the application of mathematical methods in the work of engineers in the field of fire safety and protection of the population (FSCP). The need for mathematical knowledge of engineers in the field of FSCP is argued. A comparative analysis of the share of the studied mathematical disciplines in the specialty "Fire and Emergency Safety" of the Faculty FSCP at the Academy of the Ministry of Interior with other similar specialties in our country. Typical activities in which it is necessary to use methods from different fields of mathematics are considered. Specific examples in the activity of the FSCP engineer are presented. Conclusions have been made.
Methodology for Investigation of the Influence of Religious Activity on the Physiological Indicators of Heart Activity
Authors: Piperkov Paskal , Todorova Galina
Published: November 2022

The article considers the problem with the influence of changes in the emotional state as a result of various events and activities of the parameters of physiological data on the cardiac activity of the participants, extracted through a holter device. A classification of emotional states from the point of view of Christian morality is proposed, as well as a classification of events and activities related to the church and secular life of an Orthodox Christian in Bulgaria. On the basis of the created classifications are made surveys. With the help of statistical methods, a comparison and analysis of the obtained physiological data for the cardiac activity of the respondents is made, extracted with the help of a holter device.
Investigation of the Application of New Mathematical Methods for the Analysis of Cardiac Data
Authors: Gospodinov Mitko
Published: November 2022

The article shows the results of the implementation of the first stage of the project "Study of the application of new mathematical methods for analysis of cardiac data", funded by the Research Fund. The results are related to the creation of a portable information system for individual monitoring of the cardiovascular system, which includes a portable device for recording photoplethysmographic (PPG) signals and software for processing, mathematical analysis and assessment of heart rate variability. An important advantage of the portable device is the ability to constantly monitor and record the functioning and parameters of the cardiovascular system of the individual. This allows more accurate diagnosis of patients in different life situations in normal life, which is based on subsequent scientific analysis of the registered cardiac information through developed specialized software using linear and nonlinear mathematical methods. The article also shows the results for validation of the created new device, by means of an experimental scheme with which electrocardiographic (ECG) and PPG signals are registered simultaneously. The obtained two types of signals are compared in terms of the accuracy parameter of the registered signals. The results show that the two types of registered signals are identical; therefore the developed portable device can be used as an alternative to the currently widely used ECG and Holter devices.
Application of Linear Methods for Analysis of Heart Rate Variability
Authors: Georgieva-Tsaneva Galya
Published: November 2022

The report presents the results of mathematical analyzes of patients with heart failure, ischemic heart disease and a healthy control group. The studies were performed in the time and frequency domains, using linear methods on the heart rate variability of real holter records. The obtained results show significant differences between the obtained parameters in diseased and healthy individuals.
Structuring of Databases when Building a Network Active Matrix and Visualization of a Rating Assessment System through a Mathematical Model
Authors: Nikolov Kaloyan
Published: November 2022

This article discusses ideas and concepts for preserving cultural folklore traditions and customs accumulated in the past by many generations. Many new challenges and new knowledge have emerged in the modern technological society, but they must not lead to the loss and neglect of old national traditions and living cultural heritage. Definitions, classifications, overview of types of folklore events are presented. Some innovative approaches for preservation, study and sharing of knowledge about living heritage through national and international folklore championships and folklore festivals, digital transformation of folk music and dance are considered. Knowledge is exchanged between participants of different ages, cultures and professions. In this way, continuous education in the field of living heritage, internationalization, lifelong learning is realized. An online information system has been created for organizing and storing knowledge about living heritage through competitive folklore events and festivals. The information structure of a software system is built on 7 levels. With the help of the created software environment, national championships and other events around the world are staged.
Hazards Identification, Risk Assessment and Preventive Measures at Specific Sites
Authors: Parvanov Stefan , Arabadzhieva Svilena
Published: November 2022

The present work proposes an integrated approach in identifying hazardous substances, materials and sections (modules) of the studied specific (potentially hazardous) site, having an impact on safety, identifying the sources of danger in this site, assessing the consequences of potential major accidents at the site, as well as determining and assessing the adequacy of preventive, control and risk mitigation measures. A concrete example of application of the approach is presented.
Cardiological Data Analysis Algorithms Based on Wavelet Theory
Authors: Georgieva-Tsaneva Galya
Published: November 2022

The report presents tools for analyzing cardiac data using various wavelet transforms. Algorithms for the analysis of heart rate variability, which is a dynamic, non-stationary variable, are presented. Heart rate analysis with mathematically based methods is a topical issue. Electrocardiography and long-term Holter recordings have established themselves as non-invasive medical methods for assessing cardiovascular activity. In the time domain parameters established in practice are determined. Spectral analysis of heart rate variability makes it possible to assess the work of the heart and to assess its condition in the coming days. Spectral analysis is usually performed in three frequency bands and can be done by different mathematical methods. The analyzes were performed on real long-term Holter records for patients with proven heart disease diagnosed by a cardiologist and for people without cardiovascular problems. The presented numerical and graphical results were obtained with the help of the MATLAB software program. Comparative analyzes show differences in the studied frequency parameters between patients with heart disease and healthy individuals. The research performed and the results obtained can be useful in the clinical practice of cardiologists.
Exchanging the Cybersecurity Information through Public and Private Partnership
Authors: Todorov Todor , Lutfiu Shpend
Published: November 2022

An important component of a coordinated response in the field of cyber security is the exchange of information between the parties related to the perpetrators and the methods they use, and based on this information to take concrete actions in preventing the dangers that appear in cyberspace. In the paper are considered issues related to exchanging the information between public institutions and private sector in order to prevent the cybersecurity threats.
The Role of e-Government and Digitalization for the Museum Development in Bulgaria
Authors: Georgieva Vesela
Published: November 2022

The process related to the preservation and popularization of the cultural heritage as well as the access to information resources are among the main priorities of the present information society. With regard to the museums, assumptions can be made that a process of affirmation of the role of e-government for promoting museum development in Bulgaria starts to delineate. Opportunities in legal and financial terms emerge for access to public information presented in the museums as cultural institutions in Bulgaria. This applies even in emergency situations, as with COVID-19, in which the present information and communication technologies as well as digitalization enter gradually in many public sectors, including museum activity. The hypothesis is that offering new access forms to various resources through digitalization promotes the activity of museum employees, thereby encouraging alternative forms for information access. The report examines legal and regulatory documents, in which are addressing issues connected to e-government, through content analysis. The text evaluates publications in museum websites in Bulgaria in order to settle whether there are good practices with respect to digitalization and museum facilitation.
Pengaruh Penghindaran Pajak, Kepemilikan Institusional, Dan Ukuran Perusahaan terhadap Biaya Hutang pada Perusahaan Sektor Kesehatan yang Terdaftar di Bursa Efek Indonesia Periode 2016-2021
Authors: Novari Masita Ridwan , Habibah
Published: November 2022

Penelitian ini bertujuan untuk mengetahui Pengaruh Penghindaran pajak, Kepemilikan institusional, dan Ukuran perusahaan terhadap Biaya hutang pada Perusahaan sektor kesehatan yang terdaftar di Bursa Efek Indonesia pada tahun 2016-2021. Populasi dalam penelitian ini adalah 21 perusahaan. Jumlah sampel penelitian ini sebanyak 14 perusahaan yang diperoleh melalui metode Purposive Sampling. Jenis data pada penelitian adalah data sekunder dengan menggunakan metode kuantitatif. Teknik analisis data yang digunakan pada penelitian ini adalah analisis regresi data panel. Penelitian ini diolah menggunakan software E-views 10. Hasil penelitian menunjukan bahwa Penghindara pajak, Kepemilikan institusional dan Ukuran perusahaan secara simultan berpengaruh terhadap Biaya hutang. Hasil juga menunjukan bahwa Penghindaran pajak dan Ukuran perusahaan tidak berpengaruh teerhadap biaya hutang, sedangkan untuk Kepemilikan institusional berpengatuh terhadap Biaya hutang.
Research on the Practice and Optimization of Macau Urban Bus Priority Policy
Authors: Chen Junzhang , Chen Yile
Published: November 2022

The policy of "bus priority" solves the problem of urban residents' travel and is an important part of urban construction. This paper analyzes the research progress and implementation of "bus priority" at the current stage in China and the problems existing in the current situation of urban trans-portation in the practice of "bus priority" in Macau through literature analysis. The results show that although large cities in China have better implemented the "bus priority" policy, there are large differences among cities, the coverage is small, most small cities have less literature, and the in-vestment in research and construction is insufficient. At this stage, people pay more attention to the punctuality, convenience, benefit and convenience of public transport. The author provides some feasible reference suggestions for the future development environment, infrastructure construction, social value and economic level of "bus priority" in Macau.
Certified Manajemen Pendidikan Islam (Teori, Prinsip, Aspek, Fungsi, dan Konsep)
Authors: Wardana Billy Eka
Published: November 2022

Reorientasi Pendidikan dengan mengembalikan ke garis pendidikan Ki Hajar Dewantara yang dikembangkan secara konstekstual dan lebih maju bukan sekedar menyiapkan peserta didik sebagai sekrup industrialisasi ekonomi tetapi merupakan prosen belajar seutuhmya. Tujuan pendidikan islam secara efektif dan efisien diletakkan atas 4 sandaran yaitu sandar teologis, rasional, empiris, dan teoretis. Metode Penelitian ini berupa data kualitatif dengan menggunakan pendekatan library research (studi kepustakaan). Hasil dan pembahasan menerangkan fungsi manajemen atau tugas kepemimpinan dalam pelaksanaannya meliputi: Perencanaan, pengorganisasian, pengarahan dan pengawasan. Metodologi pendidikan Islam adalah sebagai berikut 1) Menolong, 2) Berpikir sehat, rajin, sabar, dan teliti, 3) Pembelajaran secara efektif dan efisien. 4) Belajar mengajar yang kondusif dan komunikatif.
Digitális média és történetmesélés a felsőoktatásban
Authors: Lanszki Anita
Published: November 2022

Az internet, az okoskészülékek és a közösségi platformok térhódítása lehetővé tette, hogy a 21. század embere digitális tartalmak befogadója és előállítója is legyen, valamint mikro- és makronarratívák segítségével szociális kapcsolódási igényét is kielégítse. Mindez megváltoztatta korunk emberének kommunikációs és tanulási szokásait is. A tudásátadás ősi, történetmesélésen alapuló formája megmaradt, ám a digitális média alkalmazásainak és a korlátlan közzététel lehetőségének köszönhetően az egyéni narratívák változatos formában és funkcióval jelennek meg. A Digitális média és történetmesélés a felsőoktatásban című könyv több tudományterület segítségével helyezi történeti és fogalmi keretbe a történetmesélés átalakulásának folyamatát és a digitális korra jellemző kommunikációs szokásokat. A kötet a hazai és nemzetközi gyakorlatot összegezve és abból kiindulva részletesen ismerteti azokat a felsőoktatási szakterületeket, amelyeknek a képzési rendszerébe szervesen illeszkednek a digitális médiatörténetek alkotására és értelmezésére fókuszáló kurzusok, emellett külön foglalkozik az interneten megjelenő narratívákban rejlő kutatási irányokkal is.