bluuebunny/crossref_metadata_2025 huggingface dataset:
Wars over a piece of land or a land of peace? Kosovo and Ukraine
Authors: Kopsaj Vera
Published: July 2023

Understanding the Ukrainian situation through the description of the Kosovo war is the aim of this study. The analysis will revolve around three pairs of con-cepts: identity and territory, emotions and revenge, memory and forgiveness. It will be discussed whether, in a war, it is possible to speak of personal and social forgiveness in Ricoeur's terms. In this sense, the analysis will focus on the relation-ship between forgetting and memory, in particular on what birth (of new genera-tions) "could not erase", making an accumulation of memory of the facts that re-generate in an increasingly destructive collective revenge. If, in a war, breaking the rule of reciprocity is the way to forgiveness, this means taking away the power of guilt to oblige the future. Liberation from negative feelings, through loslassen or "letting go", opens up a new perspective that changes every kind of relationship, both between individuals and between Countries.
L'educazione come dimensione sociale della pace
Authors: Petroccia Sara
Published: July 2023

In questo lavoro la pace è considerata come un processo educativo capace di condurre ad una comunicazione in grado di rafforzare i suoi stessi valori, ma anche come un processo di interazione all'interno delle strutture del sistema d'azione generale (pacifiche o violente), in un'ottica di creazione di condizioni di apprendimento che si adeguino e siano in grado di assecondare - attraverso un'analisi delle connessioni tra forma e condizioni - la trasformazione sociale.
Practising institutional logics: arranging digitalization in cardiology
Authors: Zanutto Alberto , Ponte Diego
Published: July 2023

Institutional logics literature has made an important contribution in understanding non-linear processes of innovation. While some works insist on the importance of considering how the different institutional logics follow each other, and thus on the concepts of power and organisational field, others indicate that in general, theories on innovation management need new theoretical support. One aspect that needs to be considered further is the way in which organisations adopt innovations in the face of institutional ambiguity. This is the case with digitalization and its impact on organisations. Scholars state that digitalization, being an institutional logic by itself, is increasingly being adopted by organisations that struggle to accommodate new belief systems and arrangements with ‘legacy' practices. In this sense, less addressed in this literature is the understanding of the work that organisations need to perform to adopt a new institutional logic. Starting with a case study in a cardiology department in Northern Italy, this paper analyses how a digital health institutional logic is adopted in cardiology by trying to identify the different arrangements constructed by the different organisational and field actors. The work confirms the importance of the institutional logic approach, offering a contribution to highlight how digital transformation in the health sector is mainly characterised by local responses to the challenges faced.
Condizione giovanile e diritti disattesi. Il deficit di cittadinanza sociale come paradosso generazionale
Authors: Buzzi Carlo
Published: July 2023

L'articolo parte dalla domanda se sia possibile adottare oggi una prospettiva generazionale rispetto ai diritti sociali dei giovani, in particolare quello di citta-dinanza. Se per i diritti civili, che riguardano le libertà individuali, molto si è fat-to e oggi i giovani non sembrano essere particolarmente discriminati, per quelli politici i dati indicano invece una condizione di sostanziale marginalità come indicano diversi fenomeni legati alla crisi della partecipazione politica giovani-le. Ma l'aspetto paradossale riguarda soprattutto i diritti sociali. Infatti da una parte si impone una narrazione che pone le nuove generazioni al centro del di-battito (con un'enfasi sui «giovani come futuro»), dall'altra vi è una realtà so-stanziale che emargina i giovani e che ne disattende i diritti sociali, da quelli formativi a quelli del lavoro, da quelli per la casa a quelli a supporto dei nuovi nuclei familiari. Questo fenomeno si riscontra soprattutto in Italia, rispetto agli altri Paesi europei. Per affrontare adeguatamente la questione appare necessario assumere i differenti bisogni e le diverse situazioni dei giovani attraverso politi-che di tipo trasversale e intersettoriale in grado di superare approcci di tipo emergenziale.
La comunicazione come strumento (non) ancillare ai progetti di Welfare culturale
Authors: Poma Luca
Published: July 2023

La comunicazione dei progetti di welfare culturale - che con la sempre maggior diffusione delle piattaforme digitali 2.0 deve includere preoccupazioni inedite, e richiede padronanza e specializzazione su specifici linguaggi - perde quindi il proprio carattere "ancillare" al contenuto dei progetti stessi (un "di cui" della progettazione), ed assume invece un ruolo centrale, sostanziale e indifferibile, funzionale a garantire il buon fine degli stessi attraverso un adeguato coinvol-gimento della cittadinanza, che è poi lo scopo ultimo della progettazione culturale.
Investigating Between Social Intelligence and Moral Intelligence to Academic Achievement in Psychology Students
Authors: Nuraini Dinda Anisa , Uyun Muhamad
Published: July 2023

In Indonesia, education is regulated within Law Number 20 of 2003 Chapter 6. This proves that education is significant. Education can guide human life, both individual and social life. One of the things discussed in education is academic achievement. Academic achievement is the result achieved by students, there are at least two factors that influence the increase in academic achievement, namely social intelligence and moral intelligence. This study aimed to determine the relationship between social intelligence and moral intelligence with academic achievement in psychology faculty students. The research subjects totaled 110 students using a purposive random sampling technique. Three measuring instruments are used in this study with details of two variables using a scale and one using documentation. The social intelligence variable is measured based on two aspects with eight indicators from Goleman, the moral intelligence variable is measured based on the four aspects from Lennick & Kiel, and then the academic achievement variable uses the student achievement index (IP) in the form of documentation. Analysis was performed using multiple regression. The results of the hypothesis prove that social intelligence and moral intelligence have a significant relationship with academic achievement, with a value of p = 0.006 (p <0.05), r = 0.319, R2 = 0.102, F = 5.370. Thus, it can be concluded that the variables of social intelligence and moral intelligence together make an effective contribution of 10.2% to increasing academic achievement.
Practical guidelines and the EMLN R package for handling ecological multilayer networks
Authors: Frydman Noa , Freilikhman Shirly , Talpaz Itamar , Pilosof Shai
Published: July 2023

Network analysis provides a powerful framework to study the complexity underlying the structure, dynamics, stability, and function of ecological systems. By now, analysing single-layered networks is a common practice with clear guidelines and well-established computational tools. Nevertheless, ecological communities are multilayered because they vary over space and time and contain multiple types of interactions. In recent years, the analysis of ecological multilayer networks (EMLNs) has allowed researchers to include such multilayered complexity. However, there is a paucity of practical guidelines and standardised tools to handle EMLN data, even before downstream analysis. In this article, we accomplish three objectives: (1) We provide practical guidelines for handling EMLN data. (2) We developed the EMLN R package to standardise the workflow of creating, storing, and working with EMLN objects. The package also enables conversion between multiple formats for downstream analysis with other standard packages. (3) We provide EMLN data sets for research and training purposes. A dedicated website with explanations, detailed examples, and code accompanies our paper. This website is a gateway for novice and experienced network ecologists who want to include EMLNs in their research. By simplifying the analysis of multilayer networks and promoting standardised approaches we facilitate the analysis of EMLNs. This paves the road towards gaining deeper insights into functioning and resilience of natural ecosystems.
Taboo Language in Bahraini Arabic
Authors: AlSabbagh Zainab
Published: July 2023

This paper explores the use of taboo language in Bahraini Arabic, drawing on two frameworks put forth by Qanbar (2011) and Brown and Levinson (1978, 1987) regarding categorizing taboo language in the case of the former and the politeness theory in the case of the latter. This paper aims to investigate the use of taboo language/expressions in Bahraini Arab society. As well as the social, cultural, and religious factors for labeling certain expressions taboo in Arab societies. This was investigated by looking into previous research, listening to Bahraini Arab university students’ everyday conversations, and administering a self-assessed close-ended questionnaire. As a result of scanning previous research & listening to Bahraini Arab university students’ everyday conversations, a corpus of Bahraini taboo expressions, including but not limited to terms referring to origins, animals, entities, objects, sex and sexuality, and religions was collected, and the principal reason for labeling certain expressions in Arab societies, especially in Bahraini Arab society was found to be primarily religious as well as social. Furthermore, the conducted self-assessed close-ended questionnaire taken by 88 Bahraini Arab university students resulted in finding that both males and females are heard using taboo language equally, receiving 58.6%, young adults aged 17-30 are the age group frequently heard using taboo language, receiving 81.8%, taboo language is mostly used in a private setting, precisely among friends only, receiving 48.9%, and the frequently used category of taboo expressions is animal terms receiving 81.4%.
Pengetahuan, Kecemasan, dan Kepatuhan Perawatan Antenatal pada Ibu Hamil selama Masa Pandemi COVID-19
Authors: Jauhar Muhamad , Lestari Kurniati Puji , Ilyas Roisul Fahmi , Fauziyah Anny
Published: July 2023

Munculnya varian virus ARSCoV-2 menyebabkan penyakit COVID-19. Peningkatan angka morbiditas dan mortalitas akibat COVID-19 tidak terkendali memicu Negara menyatakan status pandemic. Hal ini menjadi ancaman bagi seluruh kelompok termasuk ibu hamil. Ibu hamil dituntut untuk tetap melakukan perawatan kehamilan secara lengkap meskipun dalam kondisi pandemic. Pemahaman tentang COVID-19 dan kecemasan berhubungan dengan kelengkapan kunjungan kehamilan di fasilitas layanan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi hubungan pengetahuan dan kecemasan dengan kepatuhan perawatan antenatal pada ibu hamil. Desain penelitian menggunakan deskriptif korelasi pendekatan cross sectional. Penelitian dilakukan pada bulan November 2021 sampai Mei 2022 di Wilayah Kerja Puskesmas Genuk Kota Semarang pada 32 ibu hamil trimester III dan tidak memiliki komorbid. Instrument penelitian menggunakan Pandemic Related Pregnancy Stress Scale (PREPS) (nilai reliabilitas=0,86), kuesioner pengetahuan tentang COVID-19 (nilai reliabilitas=0,856), dan buku KIA. Analisis data menggunakan Fisher’s Exact Test. Penelitian telah lolos uji etik dari Komite Etik Penelitian Poltekkes Kemenkes Semarang No. 0488/EA/KEPK/2022. Tidak terdapat hubungan signifikan baik antara kecemasan dengan kepatuhan perawatan antenatal dengan nilai p= 0,230 (p> 0,05) maupun pengetahuan dengan kepatuhan perawatan antenatal dengan nilai p=1,000 (p>0,05). Perlu adanya penelitian tentang factor lain yang berhubungan dengan kepatuhan perawatan antenatal. Hasil penelitian menjadi data dasar dalam mengembangkan interevnsi untuk meningkatkan kepatuhan perawatan antenatal khususnya selama pandemic.
Hubungan Dukungan Sosial dengan Tekanan Darah pada Penderita Hipertensi di Puskesmas Kembaran I Kabupaten Banyumas
Authors: Tiwi Arinda Hanza , Dewi Pramesti , Cahyaningrum Etika Dewi
Published: July 2023

Hypertension is a condition where blood pressure > 140/90 mmHg. Low social support can affect the occurrence of hypertension. Because people with hypertension will be more motivated to do treatment if they get support from those closest to them .This study aims to determine the correlation between social support and blood pressure on hypertensive patients in Kembaran I Community Health Center Banyumas Regency. This type of research is quantitative with a cross-sectional study design and sampling technique in this study was purposive sampling with a total of 116 respondents. The research instrument used to measure social support is the Multidimensional Scale of Perceived Support questionnaire. The results showed that most of the respondents had social support as many as 48 respondents (41.4%) with hypertension grade I. The results of the Sperman Rank test obtained a p-value of 0.001 <0,05 which means that there is a significant correlation between social support and blood pressure on hypertensive patients in Kembaran I Community Health Center Banyumas Regency with a Correlation Coefficient (CC) of 0.537. The higher the social support, the lower blood pressure in hypertension. The study is expected to add knowledge to respondents about the importance of controlling blood pressure and for families to provide more social support and monitoring of sick family members.
Penggunaan Media Sosial Dan Kualitas Tidur Pada Remaja
Authors: Athiutama Ari , Ridwan Ridwan , Febriani Indra , Erman Imelda , Trulianty Aldella
Published: July 2023

Social media allows everyone to interact and share various activities in the form of photos or videos. Most social media users are teenagers. Social media is a need that can become addictive for teenagers. Excessive use of social media can have a negative impact on adolescents such as the poor quality of adolescent sleep. The purpose of this study was to analyze the relationship between social media use and sleep quality in adolescents. This research was conducted quantitatively using a cross-sectional design with a sampling technique that is accidental sampling and obtained a total sample of 91 respondents, namely adolescents and data collection using a questionnaire on the intensity scale of social media use (SIPMS) and the Pittsburgh Sleep Quality Index (PSQI). The results of the Chi Square test, obtained a p value = 0.025, which means that most teenagers who use active social media have poor sleep quality. Active use of social media can disrupt sleep patterns more when compared to passive use of social media, so researchers hope that there will be treatment that can be done to manage time and patterns of social use so that the sleep quality of social media users is good, especially in adolescents.
Pengaruh Manajemen Sumber Daya Pendidikan Terhadap Prestasi Siswa Madrasah Aliyah Negeri Di Sulawesi Selatan
Authors: Tahir Abd. Wahid , Bunyamin Andi
Published: July 2023

This study focuses on the influence of educational resource management on student achievement at the State Aliyah Madrasa in South Sulawesi, which aims to analyze the Effect of Educational Resource Management on Student Achievement at the State Aliyah Madrasa in South Sulawesi. This study uses a quantitative approach to the type of research that will be used is type of survey research. Where survey, is a study that takes samples from one population and uses data instruments in the form of questionnaires, interviews, observations, and document data as a means of collecting basic data. The approach in this study uses a positivistic approach. The population in this study were all teachers at Aliyah madrasas in South Sulawesi. The sample taken from this population is 150 teachers. Of the five madrasas in South Sulawesi. With descriptive statistical analysis techniques, and inferential statistical analysis techniques. The results showed that first, the implementation of management of educational resources in the State Madrasah Aliyah in South Sulawesi was in a good category with a total percentage of 57%, second, the student achievement of the State Madrasah Aliyah in South Sulawesi was in the very good category with a percentage of 69%, third, and the results of the regression calculations show that there is an influence of management of content standards, process standards, educator and educational staff standards, facilities, and infrastructure standards, education financing standards, on student achievement at State Madrasah Aliyah in Sulawesi-South. Novelty, The role of educational resource management at the State Aliyah Madrasa in South Sulawesi, in improving student achievement to create high-quality Aliyah madrasa students who are ready to compete in the era of the industrial revolution 4.0.
Peran Supervisi Kepala Sekolah dalam Meningkatkan Kinerja Guru PAI Di SMP Negeri 1 Marisa
Authors: Darmawati Darmawati , Muliani Muliani
Published: July 2023

This research is included in the type of qualitative descriptive research because it describes the facts or a picture of leadership on the performance of PAI teachers. The subjects of the research were the principals and PAI teachers. Data collection techniques through interviews. The results of the research conducted illustrate that if the teacher experiences obstacles in the teaching and learning process, the teacher will find his own solution or if it is deemed necessary to communicate with other teachers it will be carried out by the teacher, both in one school and in MGMP. Supervision of school principals in improving the performance of PAI teachers has been very good, but in this case, the principal's leadership must continue to be developed so that the performance of PAI teachers is increasing and the output to students is better. The principal as a policy maker must be able to move the wheels of the organization optimally. Building the quality of PAI teachers who have reliable competencies is not enough to build in a short time, but must be built in a comprehensive and sustainable manner, superior resources are not born just like that but there must be someone who is able to drive and make breakthroughs through a policy and this is only leaders and stakeholders who are expected to be able to make the breakthrough. The principal's supervision of the performance of PAI teachers will only lead to success because from the research conducted the output produced is still not optimal. This supervision must be improved so that in the future PAI teachers and other teachers are more disciplined in preparing teaching materials and are active and professional in providing learning.
Pengetahuan dan Sikap Masyarakat dalam Menerapkan Kepatuhan Protokol Pencegahan Covid-19
Authors: Laguni Syafutri Reski Wanti , Wa Ode Sri Asnaniar  , Sudarman
Published: July 2023

Pengetahuan tentang penyakit Covid-19 merupakan hal yang sangat penting agar tidak menimbulkan peningkatan jumlah kasus penyakit. Pengetahuan seseorang memiliki landasan untuk menentukan pilihan sikap yang harus dilakukan. Kepatuhan adalah istilah yang digunakan untuk menggambarkan perilaku masyarakat  dalam menggunakan masker. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap terhadap kepatuhan protokol pencegahan Covid-19 Pada Masyarakat diwilayah Kelurahan Baru Kota Luwuk. Desain penelitian yang digunakan adalah penelitian kuantitatif. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling dengan besar sampel 100 orang. Uji hubungan dilakukan dengan menggunakan uji statistik analisis univariat dan bivariat, hasil uji chi-square dikatakan bermakna bila nilai p adalah <0,05. Hasil penelitian menunjukkan bahwa ada hubungan antara pengetahuan terhadap kepatuhan protokol pencegahan covid-19 (p=0,0001), ada hubungan antara sikap terhadap kepatuhan protokol pencegahan covid-19 (p=0,000). Kesimpulan dari penelitian ini adalah ada hubungan antara pengetahuan terhadap kepatuhan protokol pencegahan covid-19 dan ada hubungan antara sikap terhadap kepatuhan protokol pencegahan covid-19. Oleh karena itu, diharapkan agar tetap memperhatikan aspek kepatuhan masyarakat mengurangi kasus tambahan covid-19.
Rechtliche Umsetzungs- und Gestaltungsmöglichkeiten bei der Bestellung von Mikro-ÖV
Authors: Kahl Arno , Autrngruber Arnold
Published: July 2023

Rechtssichere Umsetzung von Mikro-ÖV-Projekten Bedarfsverkehre stellen einen wichtigen Bestandteil des Mobilitätsangebots dar. Sie ergänzen öffentliche Verkehrsmittel (U-Bahnen, Busse und Straßenbahnen) sowie Formen der aktiven Mobilität (Fortbewegung zu Fuß und Radfahren). Mikro-ÖV als besondere Ausprägung von Bedarfsverkehren zielen - insbesondere in weniger dicht besiedelten Gebieten - darauf ab, die Nutzung öffentlicher Verkehrsmittel zu erleichtern und zu steigern, indem sie die "erste und letzte Meile" von und zu den Haltestellen (bzw Knotenpunkten) des öffentlichen Verkehrs bedienen. Dadurch sollen öffentliche Verkehrsmittel zu einer attraktive(re)n und bequeme(re)n Mobilitäts-Option avancieren. Die Bestellung derartiger Verkehrsangebote obliegt in erster Linie den staatlichen Aufgabenträgern. Es geht um eine ausreichende Versorgung der Bevölkerung mit Verkehrsdienstleistungen im Bereich des öffentlichen Personennah- und Regionalverkehrs ("ÖPNRV"). In der Praxis bestehen jedoch vielfache rechtliche Hürden bei der Umsetzung dieser innovativen Verkehrslösungen. Dieses Werk widmet sich diesen Herausforderungen und behandelt wesentliche Rechtsfragen für die praktische Umsetzung von Mikro-ÖV. Es versteht sich dabei als auch an Praktiker*innen gerichteter Leitfaden, der lösungsorientiert eine rechtssichere Umsetzung vom Mikro-ÖV-Projekten ermöglichen soll.
From mother earth to earth community: a perceptual shift in our relationship with the earth
Authors: Lockhart Margo
Published: July 2023

This article explores a change in the symbols and metaphors used to describe nature and the earth. The central argument is that the metaphor of "mother earth" (and likewise "mother nature") is being replaced by "earth community", and that this represents not just a change in our psychological relationship to the planetary ecosystem, but a countering of powerlessness, and a claim for a collective, humane, "of the earth", voice. This change in the earth–human relationship is evidenced in current developments in philosophy, eco psychotherapy, the ecological unconscious, environmentalist theories of change, eco-activism and other social movements, our legal systems, and an increasing appreciation of indigenous ontologies. A key aspect of this change in our relationship with the earth is the concept and practice of regeneration. The author argues that regeneration of our minds, emotions, and consciousness is something that systems psychodynamics has been undertaking for many decades.
The evolving landscape of salivary gland tumors
Authors: Steuer Conor E. , Hanna Glenn J. , Viswanathan Kartik , Bates James E. , Kaka Azeem S. , Schmitt Nicole C. , Ho Alan L. , Saba Nabil F.
Published: July 2023

Salivary gland cancers are a rare, histologically diverse group of tumors. They range from indolent to aggressive and can cause significant morbidity and mortality. Surgical resection remains the mainstay of treatment, but radiation and systemic therapy are also critical parts of the care paradigm. Given the rarity and heterogeneity of these cancers, they are best managed in a multidisciplinary program. In this review, the authors highlight standards of care as well as exciting new research for salivary gland cancers that will strive for better patient outcomes.
Раціональне комбінування активних субстанцій як один з методів створення ефективних лікарських препаратів
Authors: Козловський В. О. , Соловйов А. І.
Published: July 2023

Мета дослідження – оцінити на прикладі амінокислот можливість використання комбінацій активних субстанцій – аналогів природних метаболітів, а також розглянути та ідентифікувати нові потенційні фармакологічні мішені їхньої дії.

Комбінування діючих речовин – добре відомий метод створення лікарських засобів. Однак деякі лікарські препарати та нутрицевтики, які широко застосовуються та містять пероральні форми карнітину, холіну, ерготеїну, фосфоліпідів, лецитину та ін., можуть сприяти виникненню чи посилювати розвиток серцево-судинної патології та її ускладнень. Це необхідно враховувати та відображати в Інструкції з медичного застосування. Крім того, наводяться дані щодо можливості усунення небажаних ефектів, зокрема, на прикладі використання аргініну як прекурсору оксиду азоту, сірковмісною кислотою таурином.

Розкриваються механізми синергічного впливу даної комбінації на ендотеліальну функцію судин і системні ефекти загалом, при нівелюванні можливої негативної дії аргініну.

Таким чином, комбіноване застосування нутрицевтиків з однаковим позитивним впливом на патогенетичні ланки захворювання та здатністю послаблювати можливі негативні ефекти один одного може бути новою стратегією раціонального створення комбінованих засобів, що показано на прикладі комбінації аргініну та таурину.
Comparison between Effects of Fentanyl and Dexmedetomidine as Sedative in Elective Caesarean Section Under Subarachnoid Anaesthesia
Authors: Karim Md Enayet , Rashid RAM Mostafijur , Akram Mohammad Saleh , Ershad Reza
Published: July 2023

Background: Regional anaesthesia has become an important anaesthetic technique now a days. The use of spinal (Subarachnoid) anaesthesia is often limited by the unwillingness of patients to remain awake during surgery. Pharmacologically induced tranquility improves acceptance of regional technique. This study compares Fentanyl and Dexmedetomidine in terms of onset and recovery of sedation, haemodynamic effects, respiratory effects and adverse effects of both the drugs during elective Caesarian section under spinal anaesthesia.

Materials and methods: This randomized clinical trial included 60 ASA (American Society of Anaesthesiologists) grade I patients between age 20-40 years undergoing elective caesarean sections under subarachnoid anaesthesia during the period January 2022 to June 2022.Patients were randomly allocated to one of two groups: Fentanyl group (Group F, n=30), who received Fentanyl in a single dose of 0.5mcg/kg and Dexmedetomidine group (Group D, n=30), who received Dexmedetomidine in a single dose of 2mcg/kg. Spinal anaesthesia was conducted by injecting a hyperbaric solution of 0.5% bupivacaine 3ml through a 25G spinal needle at L3-4 level. All parameters were documented at 5 min intervals until arousal of the patient. The onset of sedation i.e. time from iv (Intravenous) injection of Fentanyl or Dexmedetomidine to closure of eye lids (OAA/S score of 3) and the arousal time from sedation i.e. time from closing of the eye lids to OAA/S score of 5 (Patient is awake clinically) were noted. Any complication during operation was documented. The patient’s satisfaction with the sedation was assessed by the 5 point ‘Likert verbal rating scale.’

Results: There was no significant difference of mean blood pressure and mean heart rate between the two groups in different time intervals (p>0.05). Time of onset of sedation was comparable between Fentanyl and Dexmedetomidine (p value 0.210). The arousal time i.e. duration of sedation was significantly longer with Dexmedetomidine than Fentanyl (p<0.05). Fentanyl was associated with significantly higher incidence of some adverse effects like nausea, vomiting than Dexmedetomidine (46.66% vs 13.33%, p<0.05). Significant percentage of patients was satisfied with Dexmedetomidine than Fentanyl (86.66% vs 20%,p<0.001).

Conclusion: The study showed that the arousal time i.e. duration of sedation was significantly longer with Dexmedetomidine which is beneficial for the patient in single dose technique for sedation. Moreover, Fentanyl was associated with high incidence of some adverse effects like nausea, vomiting. Thus it is recommended that Dexmedetomidine is a better choice than Fentanyl for sedation in single dose technique during subarachnoid block for caesarean section.

Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 48-52
The Impact of Problem Based Learning Model with Android Multimedia Integrated on Student Learning Outcomes and Interest
Authors: Nasution Mhd. Sholeh Kurniawan , Muchtar Zainudin , Rehulina Niar
Published: July 2023

The implementation of a learning model and learning media in the classroom has a significant impact on learning outcomes. This research aims to assess the degree to which different educational media can influence academic outcomes and interest learn. The selected research design is the Pretest-Posttest Design. This study employs a quasi-experimental research design utilizing a nonequivalent control group. The study employs a research design that utilizes a 3x2 Factorial Design. Using SPSS 25.0 for statistical analysis, it was determined that the academic performance of students instructed through various learning models resulted in a statistically significant outcome of 0.003 α (0.05). The alternative hypothesis (Ha) was deemed acceptable, whereas the null hypothesis (H0) was deemed unacceptable. The aforementioned suggests a significant disparity in the average academic performance outcome among XI students subjected to diverse educational materials about acid-base titration. The calculated average discrepancy in academic outcome among the two groups of students is 8.61. The first experimental group, which utilized Smart Apps Creator as a learning medium and catered to various learning styles, yielded an average student learning outcome of 88.61 ± 7.98. By comparison, the mean learning outcome score for students in the second experimental class (which utilized PowerPoint as a learning medium) is 80.00 ± 7.00.
Learning Through Augmented Reality: The Indonesia Open University Experience
Authors: Aji Kristina Anugerah , Purbojo Rijanto
Published: July 2023

Augmented reality is a combination of the real dan virtual worlds that has an opportunity to be an integrated learning medium in online tutorial classes. The potential of augmented reality with multimedia capabilities creates an immersive learning environment. TPEN4314 Produksi Media/ TV course is a course that requires practice through augmented reality media for students in Open University specifically in the Educational Technology study program. This study aims to investigate the correlation between the experience of using augmented reality with student learning motivation, engagement, and acceptance of technology as well as the influence of the three variables on the experience of using augmented reality. The research method used quantitative with Likert Scale questionnaires and data analysis with multiple regression tests. The result of the analysis showed that there was a correlation between the variables of augmented reality experience and the three independent variables that affected the dependent variable. It is hoped that this research can contribute to tutors and learning media developers to design learning media that facilitate the independence of distance student learning to achieve the goal of competency in practical courses so that students get a meaningful learning experience.
Between audio and visuality – on the difficulties of learning sign languages on the basis of culinary lexis in the Polish Sign Language
Authors: Ruta-Korytowska Karolina
Published: July 2023

The article focuses on the issue of audio and sign bilingualism – a topic that has not yet been thoroughly covered in Polish source literature. The most frequent research in the field of glottodidactics (understood as a specially developed plan that aims to implement literacy in the youngest children, by adapting to their mental, physical and emotional abilities.) focuses on bilingual people who use phonic languages (unimodal bilingualism – phonic). In terms of bilingualism of the deaf, one can speak of either unimodal bilingualism (communicating in two sign languages) or bimodal, sign-print bilingualism, in which a deaf person communicates both in a sign language and a phonic language (Polish) in its written form[1].Different modalities between phonic-modality Polish and the sign language, which is based on visual and spatial modalities, constitute difficulties both for people with hearing impairments, as well as hearing Poles willing to learn a sign language. The further section of the text examines difficulties involved in the acquisition of culinary lexis that may be experienced by hearing people attempting to learn a sign language, as well as deaf people who want to learn Polish.
Localized Corrosion Behavior of UNS N07718 in a Solution Simulating a Diluted-sour Environment
Authors: Lee Ye-Jin , Lee Jun-Seob , Kwon Soon il , Shin Jungho , Cho Young Tae , Kim Seok , Lee Je-Hyun
Published: July 2023

The localized corrosion behavior of precipitation-hardened UNS N07718 was investigated by immersion tests in 6 wt% FeCl3 + 1.0 wt% HCl and the use of electrochemical techniques in a simulating solution of a diluted-sour environment of 25 wt% NaCl + 0.5 wt% CH3COOH. The Ti carbides and Nb-Mo carbides with 1-10 µm size were distributed in the alloy. After immersion at a solution temperature higher than 45oC, localized corrosion with a depth of over 25 µm was identified, and the critical pitting temperature was determined to be 45oC. Potentiodynamic polarization showed that the surface of the UNS N07718 was immediately passivated in the experimental solution. The passivity-maintaining current density was gradually increased with increasing solution temperature, and finally, localized corrosion was initiated or propagated at 0.5 VSSE in 80oC. The localized corrosion was initiated or propagated at the interface between the Ti and Nb-Mo carbides and the alloy substrate. Scanning Kelvin probe microscopic images revealed that the contact-potential difference values were in the order of Ti carbide > Nb-Mo carbide > alloy substrate, indicating that the carbides and alloy substrate act as a cathode and an anode, respectively, forming a micro-galvanic couple. Therefore, it is concluded that localized corrosion is initiated at the interface between the carbides and substrates in UNS N07718.
Toplumsal Cinsiyet Perspektifinden Göç Ve Genç Mülteci Kadınların Kendi Kaderini Tayin Hakkı
Authors: Karakartal Hülya , Şaşman Kaylı Derya
Published: July 2023

Bu araştırma, toplumsal cinsiyet bakış açısıyla, evli genç mülteci kadınların evlilik içindeki cinsiyet rollerine ilişkin deneyimlerine dayalı olarak “haklarına” dair farkındalıklarının belirlenmesi amacıyla gerçekleştirilmiştir. Çalışma, “nitel” araştırma yaklaşımlarında kullanılan “fenomenoloji” deseninde tasarlanmıştır. Araştırmanın öznesi olan Suriye uyruklu 26 genç mülteci kadın ile gerçekleştirilen derinlemesine görüşmeler sonucunda elde edilen bulgular, sosyo-demografik özellikler ve erkek egemen toplumlarda kadınlara atfedilen toplumsal cinsiyet pratikleri sonucu meydana gelen toplumsal cinsiyet eşitsizlikleri üzerinden “Genç Mülteci Kadınların Kendi Kaderini Tayin Hakkı” ana temasında ele alınarak analiz edilmiştir. Araştırma bulguları kapsamında yapılan değerlendirme sonucunda genç mülteci kadınların ataerkil toplumdaki görünmezliği ile mücadele etmek ve maruz kaldıkları “hak” ihlallerini önlemek adına “güçlenme” ihtiyaçlarının olduğu ve buna yönelik çalışmaların yapılması gerektiği tespit edilmiştir.
Değerler ile Toplumsal Cinsiyet Rollerine İlişkin Geleneksel Tutum Arasındaki İlişkide Toplumsal Cinsiyet Kalıpyargılarının Aracı Etkisi
Authors: Kaşdarma Ezgi
Published: July 2023

Bu çalışmada Hofstede'nin Kültürel Boyutlar Kuramında tanımlanan değerler ile toplumsal cinsiyet rollerine ilişkin geleneksel tutum arasındaki ilişkide toplumsal cinsiyet kalıpyargılarının aracı rolünün sınanması amaçlanmıştır. Bu amaç doğrultusunda “Bireysel Kültürel Değerler Ölçeği”, “Toplumsal Cinsiyet Rolleri Tutum Ölçeği” ve “Yetkinlik ve Sevecenlik Kalıpyargısı Ölçümü” araçları kullanılarak 271 üniversite öğrencisinin verileriyle analizler gerçekleştirilmiştir. Değişkenler arasındaki ilişkileri incelemek üzere korelasyon analizi gerçekleştirilmiştir. Değerler ile toplumsal cinsiyet rollerine ilişkin geleneksel tutum arasındaki ilişkide cinsiyet kalıpyargılarının aracılık rolü SPSS 24 programının Process Makro eklentisiyle incelenmiştir. Beklenildiği üzere erillik, güç mesafesi ve toplulukçuluk değerlerinin toplumsal cinsiyet rollerine ilişkin geleneksel tutumla güçlü pozitif ilişkiler gösterdiği bulunmuştur. Erillik değerinin benimsenmesi arttıkça kadını yetkinlik kalıpyargısıyla tanımlama azalmıştır ve bu azalmaya bağlı olarak toplumsal cinsiyet rollerine ilişkin geleneksel tutumun benimsenmesi artmıştır. Erkeği sevecenlik kalıpyargısıyla tanımlamanın toplumsal cinsiyet rollerine ilişkin geleneksel tutumun negatif yordayıcısı olması beklenirken, tam tersine erkeğin sevecen tanımlanışı arttıkça geleneksel tutumun arttığı görülmüştür. Buna göre erillik ve toplulukçuluk değerleri arttıkça erkeğin sevecen tanımlanışı artmıştır. Erkeğin sevecen tanımlanması arttıkça ise toplumsal cinsiyet rollerine ilişkin geleneksel tutumun benimsenmesi artmıştır. Toplulukçuluk düzeyi yüksek olan kültürlerde sevecenlik kalıpyargısının erkeğin statüsüne katkı sağlayan bir unsur olabileceği literatürdeki bilgiler doğrultusunda tartışılmıştır.
Polarization-dependent orientation of LiNbO3:Eu3+ nanocrystals using ultrashort laser pulses in borosilicate glasses
Authors: Ari Julien , Cavillon Maxime , Lancry Matthieu , Poumellec Bertrand
Published: July 2023

Femtosecond (fs) laser writing is a flexible way to induce three-dimensional local structural modifications inside glass materials, such as crystallization. The latter is a function of both glass composition, hence properties, and laser parameters. Previous works have shown that a glass composition of 33Li2O–33Nb2O5–13SiO2–21B2O3 (LNSB) mol% yields to crystallization of laser polarization orientable LiNbO3 nanocrystals upon irradiation with a 1,030 nm fs laser. In this paper, we present the effects of rare earth incorporation in the glass composition [i.e., europium (0.5, 1, and 2 mol%)] on the crystallization process of LiNbO3 nanocrystals induced by fs laser irradiation. The embedding of Eu3+ ions into these nanostructures has an interest in developing new integrated and miniaturized optical lasers and amplifiers in visible wavelengths. The influence of laser parameters, such as repetition rate (RR), pulse energy, and polarization, has been studied. Irradiated areas are investigated using optical and electron microscopy techniques. The effect of Eu3+ concentration on the crystallization behavior (crystal formation and morphology) is discussed, as Eu2O3 is not acting as a nucleation agent in LNSB glass up to 2 mol%.
Three-dimensional femtosecond laser inscription of type a-based high-efficiency first-order waveguide Bragg gratings
Authors: Laberdesque Romain , Loi Laura , Guérineau Théo , Khalil Alain Abou , Danto Sylvain , Cardinal Thierry , Canioni Lionel , Petit Yannick
Published: July 2023

A novel type of waveguide Bragg grating (WBG) is demonstrated based on femtosecond laser-induced Type A refractive index modifications, namely based of the photochemistry of silver species in a specialty ortho-phosphate glass matrix. First-order WBGs are reported in the near-infrared and down to 736 nm in the visible. Relative transmission measurements with a 500 µm long WBGs lead to narrow-bandwidth attenuations (sub-nm spectral FWHM) from 2.29 dB to 6.25 dB for periods from 240 nm to 280 nm, respectively. The corresponding estimated backward coupling coefficients show high values from 1.66 mm-1 up to 2.69 mm-1. Additionally, we report on a true 3D helix-shaped WBG that shows an even stronger relative attenuation of 10.3 dB for a 500 µm long WBG, equivalently corresponding to a backward coupling coefficient of 3.7 mm-1. These novel results pave the way for new silver-based laser-inscribed integrated photonic devices, among which the combination of Bragg gratings to form active/passive optical resonators, but also the direct inscription of WBG at the glass interface for enhanced sensing applications.
Characterization of extracellular vesicles in COVID-19 infection during pregnancy
Authors: Dangot Ayelet , Zavaro Mor , Bar-Lev Tali Hana , Bannon Lian , Zilberman Ayala , Pickholz Eliana , Avivi Irit , Aharon Anat
Published: July 2023

Introduction: SARS-CoV-2 infection may cause a severe inflammatory response, inflicting severe morbidity and mortality. This risk is modestly increased in pregnant patients. Despite the hypercoagulability and immunosuppression associated with pregnancy, most pregnant women experience a mild COVID-19 infection. Maternal extracellular vesicles (EVs) may interact with endothelial and immune components to facilitate a favorable disease course. This pilot study aimed to explore the characteristics of EVs released during COVID-19 infection occurring during the third trimester of pregnancy.

Methods: In this prospective study, blood samples were obtained from 16 healthy non-pregnant (NP), 18 healthy-pregnant (HP), and 22 COVID-19 positive pregnant subjects (CoV-P). Disease course and pregnancy outcomes were assessed and EVs were characterized. Of note, limited volumes of sample acquired from the subjects made it necessary to use smaller and different subsets of samples for each analysis.

Results: The majority (91%) of the COVID-19-pregnant subjects (18 mild and 2 moderate disease) experienced good pregnancy-related outcomes. EV concentrations were higher in healthy-pregnant subjects compared to non-pregnant subjects (p = 0.0041) and lower in COVID-19-pregnant subjects compared to healthy-pregnant subjects (p = 0.0150). CD63 exosome marker expression was higher in EVs of healthy-pregnant subjects and COVID-19-pregnant subjects compared to EVs of non-pregnant subjects (p = 0.0149, p = 0.0028, respectively). Similar levels of SARS-CoV-2 entry proteins (ACE-2 and TMPRSS2) were found in all three groups. Cytokine content increased in healthy-pregnant subject-EVs compared to non-pregnant EVs, while IL-2 and IL-6 levels were decreased in COVID-19-pregnant subject-EVs compared to healthy-pregnant subject-EVs (p = 0.043, p = 0.0390, respectively). CD8+, cytotoxic T-cell marker, was lower in non-pregnant EVs compared to healthy-pregnant subject-EVs and to COVID-19-pregnant subjects (p = 0.0108, p < 0.0001, respectively). COVID-19- pregnant subject-EVs demonstrated higher levels of platelet activation marker (CD62P) than non-pregnant (p = 0.0327) and healthy-pregnant subjects (p = 0.0365). Endothelial marker EV-CD144+ was lower in healthy-pregnant subjects versus non-pregnant subjects (p = 0.0093), but similar in COVID-19-pregnant and non-pregnant subjects. Other EVs’ coagulation markers/activity, D-Dimer and fibrinogen levels were similar in healthy-pregnant subjects and COVID-19 positive pregnant subjects.

Conclusion: COVID-19 positive pregnant subjects’ EVs demonstrated an attenuated inflammatory response, with no additional activation of the coagulation system.
The U.S. cable televisions' framing of mass shooting: a grounded discovery of competing narratives
Authors: Emelu Maurice N.
Published: July 2023

News frames play a vital role in shaping the audience's interpretation of the news, their participation in policy discussions, and their engagement in public discourse. This study uses the Analysis of Topic Model Networks (ANTMA) frame analysis grounded approach and examines the 2017 Sutherland Springs, Texas, mass shooting coverage in a house of worship by three U.S. cable television networks—CNN, Fox News, and MSNBC. News reports for the first seven days following the shooting were collected from the cable networks' Twitter, YouTube, and website accounts. A total of 290 news reports were analyzed and 760 aggregate units for frames were coded. The results demonstrate that ANTMA grounded approach is an effective method for frame analysis and support research about the news media's emphasis on victims, community, and individual frames in cases of mass shootings. They identify differences in the issue-based frame of gun vs. mental health debates. Additional new frames of empathy, interventions, reactions, and security were discovered. Results also show differences in frames used and their frequency between the digital platforms of Twitter, YouTube, and websites and cable organizations. These differences show each media network's ideological perspectives or competing news narratives. The findings raise relevant questions to news coverage, policy debates about mental health and gun violence, and cultural awareness of the problem of mass shootings and public safety as the world becomes more global.
Comparison of long-term outcomes of complete vs. incomplete revascularization in elderly patients (≥75 years) with acute coronary syndrome and multi-vessel disease undergoing percutaneous coronary intervention
Authors: Lu Yu-Ying , Lee Chen-Hung , Chen Chun-Chi , Chen Dong-Yi , Ho Ming-Yun , Yeh Jih-Kai , Huang Yu-Chang , Chang Chieh-Yu , Wang Chao-Yung , Chang Shang-Hung , Hsieh I-Chang , Hsieh Ming-Jer
Published: July 2023

Background

The optimal revascularization strategy for elderly patients with acute coronary syndrome (ACS) remains uncertain. We evaluated the impact of complete revascularization (CR) vs. incomplete revascularization (IR) in elderly ACS patients with multivessel disease (MVD) undergoing percutaneous coronary intervention (PCI).

Methods

Using registry data from 2011 to 2019, we conducted a propensity-score matched cohort study. Elderly patients (≥75 years) with ACS and MVD who underwent PCI were divided into CR and IR groups based on angiography during index hospitalization. Major adverse cardiovascular events (MACEs), including all-cause mortality, recurrent non-fatal myocardial infarction, and any revascularization, were assessed at 3-year follow-up.

Results

Among 1,018 enrolled patients, 496 (48.7%) underwent CR and 522 (51.3%) received IR. After 1:1 propensity-score matching, we analyzed 395 pairs. At 3-year follow-up, CR was significantly associated with lower MACE risk compared to IR (16.7% vs. 25.6%, HR = 0.65, 95% CI: 0.47–0.88, p = 0.006), driven by reduced all-cause mortality. This benefit was consistent across all pre-specified subgroups, particularly in ST segment elevation (STE)-ACS patients. In non-STE (NSTE)-ACS subgroup analysis, CR was also associated with a lower risk of cardiac mortality compared to IR (HR = 0.30, 95% CI: 0.12–0.75, p = 0.01).

Conclusion

In elderly ACS patients with MVD undergoing PCI, CR demonstrates superior long-term outcomes compared to IR, irrespective of STE- or NSTE-ACS presentation.