bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Slice Thickness, Pre-treatments, and Drying Methods on Drying Characteristics of Milky Mushroom (Calocybe indica)
Authors: R. Visvanathan  , P. Chitra  , S. Bhavani
Published: May 2022

Drying characteristics of milky mushroom (Calocybe indica) of APK 2 variety was studied by cabinet drying, fluidized bed drying, and sun drying. Air temperatures of 50, 60, and 70°C were used in the cabinet and fluidized bed dryer. Air velocity of 7-8 m.s-1 was used in the fluidized bed dryer. Temperature observed under open sun drying was 28 - 32°C at relative humidity of 55 – 65%. Mushroom slice of 10, 15, 20 mm thickness were hot water blanched at 85°C for 3 minutes, and treated with potassium meta-bisulphite (KMS) @ 200 ppm per litre of water for 15 minutes, as treatments with a control. Mushroom samples with the initial moisture content of 747.8- 1500.4% (d.b.) were dried to a final moisture content of 7.8- 16.7% (d.b.) by the sun in 10.5 - 15.5 h, fluidized bed in 1.5 - 2.75 h, and cabinet drying in 5.5 - 13.5 h. Drying time increased with increase in thickness of the sample, and decreased with increase in drying air temperature. The protein content of the samples dried by cabinet, fluidized bed, and sun drying were 34.8, 33.3, and 29.7%, respectively. Drying at 50°C under cabinet and fluidized bed drying retained higher protein content..
An Asian perspective on irritable bowel syndrome
Authors: Jung Kee Wook , Myung Seung-Jae
Published: May 2022

Irritable bowel syndrome (IBS) is a prevalent chronic disorder, and its epidemiology depends on the diagnostic criteria used. Recently, the Rome IV criteria for IBS were published by changing the frequency of abdominal pain and excluding abdominal discomfort from the previously used Rome III criteria. However, the recent Asian consensus on IBS recommends the inclusion of abdominal discomfort and abdominal pain as diagnostic criteria. The low fermentable oligo-, di-, mono-saccharides, and polyols (FODMAP) diet has been proven to be effective in Western patients. Moreover, recent well-designed studies reported its effectiveness and the microbial changes after implementing it in Asian patients with IBS. However, traditional Korean foods including kimchi, one of representative FODMAP-rich food, exhibited a poor correlation with the food-related symptoms of IBS. Therefore, the low FODMAP diet protocol should be cautiously applied to IBS patients, especially to Korean patients with IBS. In Asian countries, there are lots of traditional herbal medicines and treatments for IBS; however, these studies have limitations including the heterogeneity of herbal mixtures and relatively small sample size. Therefore, well-designed studies based on large samples are required to validate complementary and alternative medicine in the treatment of Asian patients with IBS.
Korean clinical practice guidelines on biologics and small molecules for moderate-to-severe ulcerative colitis
Authors: Na Soo-Young , Choi Chang Hwan , Song Eun Mi , Bang Ki Bae , Park Sang Hyoung , Kim Eun Soo , Park Jae Jun , Keum Bora , Lee Chang Kyun , Lee Bo-In , Ryoo Seung-Bum , Koh Seong-Joon , Choi Miyoung , Kim Joo Sung ,   On behalf of the IBD Research Group of the Korean Association for the Study of Intestinal Diseases
Published: May 2022

Ulcerative colitis (UC), a relapsing-remitting chronic inflammatory bowel disease (IBD), has a variable natural course but potentially severe disease course. Since the development of anti-tumor necrosis factor (TNF) agents has changed the natural disease course of moderate-to-severe UC, therapeutic options for patients who failed conventional treatments are expanding rapidly. IBD clinical trials have demonstrated the potential efficacy and safety of novel biologics such as anti-integrin α4β7 and anti-interleukin-12/23 monoclonal antibodies and small molecules such as a Janus kinase inhibitor. Anti-TNF biosimilars also have been approved and are widely used in IBD patients. Wise drug choices should be made considering evidence-based efficacy and safety. However, the best position of these drugs remains several questions, with limited data from direct comparative trials. In addition, there are still concerns to be elucidated on the effect of therapeutic drug monitoring and combination therapy with immunomodulators. The appropriate treatment regimens in acute severe UC and the risk of perioperative use of biologics are unclear. As novel biologics and small molecules have been approved in Korea, we present the Korean guidelines for medical management of adult outpatients with moderate-to-severe UC and adult hospitalized patients with acute severe UC, focusing on biologics and small molecules.
Approach to Intellectual History and the Intellectual Subject
Authors: REMIGIO MONTERO María del Carmen
Published: May 2022

Intellectual history has been approached in different ways by different schools of thought, in terms of its conception and methodological treatment. We can mention, among the main ones, the French School, and the Cambridge School; as well as the Begriffsgeschichte or history of concepts. The bibliography that addresses the main features of these currents is significantly abundant and is constantly growing, since the debate is still open, which allows it to be enriched by different views and multidisciplinary approaches.

The intellectual history we are dealing with in this text refers to the "historiographic area dedicated to the study and analysis of the elaboration of discourses and their different appropriations over time, the intellectual aspects of historical knowledge".
Non-metastatic Squamous Cell Lung Carcinoma: A rare case report
Authors: ABALI Hülya , MANDAL ZİREK Tugba , TOKGÖZ AKYIL Fatma , ÖZBOLAT Zehra Büşra , KOCAOĞLU Aslı , KILINÇARSLAN Kübra Gül , TURAL ÖNÜR Seda
Published: May 2022

Central and peripheral types of squamous cell carcinoma (SQCC) are classified in different categories due to different clinical-pathological features. Peripheral SQCC, according to histological pattern; it is classified into three subgroups as alveolar space-filling type, expanding type and combined type. Of these three subtypes, alveolar space-filling neither causes lymphatic vessel invasion nor lymph node metastasis and has the best prognosis. Herein, we present a rare case of squamous cell carcinoma that did not metastasize at two and a half years years from initial diagnosis.
Visual Edutainment to Engage Online Learners
Authors: Ackerman Amy S. , Murphy-Bowne Mary Jane
Published: May 2022

A challenge exists to engage college students in online learning courses in a meaningful way. To achieve engagement, a course used visual edutainment themes to introduce weekly objectives in the course. This paper provides an overview of the approach and the theoretical basis for this strategy. Visual edutainment can produce learner interaction; improve retention; help provide meaningful, motivational, and memorable learning experiences; engage learners; and decrease the cognitive load of a learning experience. Suggestions for other applications and a synopsis of the Pecha Kucha (PK) style of presenting are also included. We found that using edutainment themes to engage online learners is well received and using PK Create as a tool for students to develop Pecha Kucha presentations is a simple approach.
A Critical Visual Analysis of Chinese and Chinese American Representations in Picturebooks
Authors: Chen Xiaoning , Hu Ran
Published: May 2022

One of the primary visual sources children are exposed to is the illustrations in picturebooks. This study examines visual representations of Chinese people and Chinese Americans in contemporary picturebooks. It seeks answers to how and why the Chinese and their culture are represented in these books through a critical visual literacy lens. Ten sample picturebooks were analyzed. The findings demonstrate progress in representing diverse Chinese and Chinese American characters in contemporary picturebooks; however, many visual representations still reinforce stereotypes of Chinese people and Chinese Americans, consistent with the dominant social discourse. Implications for developing culturally rich and dynamic Chinese characters in future picturebooks are discussed.
Cloud and Rain behind the Glass
Authors: Bongiovanni Daniele
Published: May 2022

Through my works I try to bring my interiority to the outside, while my painting is also based on the ''landscape'', revised in a spiritual and emotional key. I don't portray reality, my creations are the representation of my thought, my subject is nature and sometimes man. My work shows the progressive birth of things, the ''progression'' is my favorite subject.
Exploration and Integration of Institutional Isomorphism Factors and Role of Social Media to Creating Public Value
Authors: Hasan Mustafa Abdullah , Baskaran Shathees
Published: May 2022

Creating public value has attracted much attention from the government sector due to worldwide rising well-being. While creating public value has become more relevant for public managers and policymakers, it has not been adopted in developing countries instead of developed countries. Therefore, the policymakers represent the government, and public managers must demonstrate a commitment toward individuals to ensure their public value aligns with the new public administration movement. Despite the absence of a strategic plan for creating public value, individuals increasingly call for improved well-being by increasing pressure on institutions or using social media to achieve these demands, especially in countries with a democratic system. Because of this, a newly coined theoretical framework to adopt public value creation (APVC) was developed based on the traditional model of public value creation by enhancing a new institutional theory in line with the role of social media. It is based on research that shows how public value theory, new institutional theory, and social media's mediating effects create public value. It also extends the current literature on public management and strategic management. The paper provides new insights into public administration for public value creation in developing countries.
pitolisant, a novel histamine-3 receptor competitive antagonist, and inverse agonist, in the treatment of excessive daytime sleepiness in adult patients with narcolepsy
Authors: Sarfraz Noeen , Okuampa David , Hansen Hannah , Alvarez Mark , Cornett Elyse M. , Kakazu Juyeon , Kaye Adam M. , Kaye Alan D.
Published: May 2022

Narcolepsy is a debilitating sleep disorder that presents with excessive daytime sleepiness (EDS) and cataplexy, which is a sudden paralysis of muscle tone triggered by strong emotions such as laughing. It is also associated with many other disorders, including psychiatric disorders, neurologic illnesses, and medication side effects. Common causes of delayed and incorrect diagnoses of these conditions include lack of physician familiarity with narcolepsy symptoms and comorbidities which mask narcolepsy signs and symptoms. Current pharmacologic therapies include Modafinil and Armodafinil for EDS and sodium oxybate for cataplexy. This review discusses the epidemiology, pathophysiology, risk factors, presentation, treatment of narcolepsy, and the role of a novel drug, Pitolisant, in the treatment of EDS in adults with narcolepsy. Pitolisant is a histamine-3 receptor (H3R), competitive antagonist, and inverse agonist, acting through the histamine system to regulate wakefulness. It is a novel drug approved in August 2019 by the FDA, is not classified as a controlled substance, and is approved for use in Europe and the United States to treat EDS and cataplexy in narcolepsy. Recent phase II and III trials have shown that Pitolisant helps reduce the ESS score and cataplexy. In summary, based on comparative studies, recent evidence has shown that Pitolisant is non-inferior to Modafinil in the treatment of EDS but superior to Modafinil in reducing cataplexy.
Relationship Between Psychological Needs and Regulatory Focus Among Adults with Type 2 Diabetes
Authors: Aubert Morghane , Clavel Céline , Martin Jean-Claude
Published: May 2022

Background

Diabetes is a chronic disease. A sustained change in lifestyle is generally necessary for terms of diet and physical activity. According to Self-Determination Theory, the nature of the motivation to regulate one’s behavior is linked to the satisfaction of three psychological needs: autonomy, competence, and relatedness. According to Regulatory Focus Theory, there is a promotion focus and a prevention focus. The prevention focus has been shown to have a different relationship with the satisfaction of the needs of the Self-Determination Theory between a general population and a population with health problems.

Objective

This study investigates the relationship between psychological needs and regulatory focus for people with type 2 diabetes (T2D).

Methods

295 adults with T2D completed an online questionnaire measuring autonomy and perceived competence and regulatory focus.

Results

The promotion focus predicts the satisfaction of needs for autonomy and competence (β = 1.50, p < .01). The prevention focuses positively predicts the satisfaction of autonomy and competence needs (β = 2.06, p < .001).

Conclusion

These factors display different relationships between them among people with type 2 diabetes compared to the general population. Prevention focus seems to be more beneficial in the specific context of T2D than in the general population.
The effect of an information brochure on patients undergoing cardiac catheterization on their anxiety, knowledge and fear: A randomized controlled study.
Authors: Malliarou Maria , Pappa Vasiliki , Papathanasiou Iokasti , Andreanidis Ilias , Nikolentzos Athanasios , Apostolakis Ioannis , Sarafis Pavlos
Published: May 2022

Introduction

Patients who undergo coronary angiography experience a rather stressful situation. They need information about this invasive procedure which most of the times find either from the internet, their referring physicians, acquaintances or friends with past experience of an invasive procedure.

Aim

The aim of the study was on the one hand to test the potential beneficial effects of an information brochure on undergoing a cardiac catheterization for the first time and on the other hand to highlight the importance of informing patients before coronary angiography and its beneficial effects on both reducing their fear and anxiety.

Methods

Patients were randomly assigned to an experimental group receiving the brochure at least 1 day before the cardiac catheterization (N = 44), or to a control group not receiving the brochure (N = 44). The SFQ, ISQ and STAI tools were distributed to both groups.

Results

All experimental subjects in the intervention group read the brochure. The intervention group had significantly lower scores on both short-term and overall fear compared to the control group. However, the fear of the long-term consequences of cardiac catheterization was similar in both groups. Women had higher fear of the short-term consequences of catheterization than men. The control group experienced a mean satisfaction score of 10.9 points (SD= 2.5 points) while the intervention group had a score of 11.1 points respectively (SD= 2.3 points). In addition, 95, 5% of the control group and 88, 6% of the intervention group patients considered that the provision of information could have been improved. In terms of stress, patients with co-morbidities scored 7.39 points higher, meaning they experienced more symptoms of permanent anxiety, compared to patients who did not have an underlying disease. In addition, the more the patients were satisfied with the information provided, the fewer the symptoms of transient anxiety they experienced.

Conclusions

Providing information in the form of a brochure regarding cardiac catheterization before the procedure, is of great importance and constitutes an efficient intervention.
Reflexionando sobre la odontología en escenarios de hoy y de mañana
Authors: Bordoni Noemí
Published: May 2022

Esta reflexión plantea una auto interpelación e instala a la odontología –mi odontología– en el escenario global de la salud. Cada pregunta formulada reproduce una certeza contemplada o vivida; cada hipótesis representa una duda esperanzada.
Los actores de la odontología deberemos dar respuestas a las preguntas que nos formula el siglo XXI porque “la salud global se construye mediante un préstamo que nos está haciendo el mañana”.
Epidemiología y frecuencia de enfermedades de transmisión sexual y su repercusión en la mucosa bucal. Una revisión narrativa
Authors: Caputo Guillermo , Simón Carolina , Alonso Gabriela , Puche María Sol , Campagna Celeste , Sansone Fabio , Porcel Mariana
Published: May 2022

El objetivo de la presente revisión fue analizar y comparar las publicaciones sobre la prevalencia de manifestaciones bucales de pacientes infectados por el Virus de la Inmunodeficiencia Humana, Virus del Papiloma Humano y sífilis. Se seleccionaron los artículos más relevantes y se abordó la incidencia según sexo, edad, distribución geográfica y localizaciones anatómicas frecuentes. Se encontró que las lesiones orales más prevalentes producidas por el Virus de la Inmunodeficiencia Humana son la candidiasis oral, la leucoplasia vellosa y enfermedades periodontales, entre otras. La sífilis presentó una frecuencia de 7,5% de manifestaciones orales en la etapa primaria, 92,5% en la secundaria y rara vez lesiones en la terciaria. Las formas más prevalentes fueron parches mucosos, pápulas y úlceras. Las lesiones orales benignas relacionadas con el Virus del Papiloma Humano halladas fueron la verruga vulgar, el papiloma plano, el condiloma acuminado y la hiperplasia epitelial focal. La prevalencia de carcinomas orofaríngeos y orales fue del 33,6% y del 22,2% respectivamente. Se encontraron similitudes en el comportamiento sexual y las vías de transmisión de las enfermedades analizadas, y se observó que son más prevalentes en adultos jóvenes de sexo masculino y en países en vías de desarrollo.
İSTANBUL FİNANS MERKEZİ PROJESİNİN KATILIM BANKALARI PERSPEKTİFİNDEN ETKİLEŞİMLERİ
Authors: TETİK Nevzat
Published: May 2022

Türkiye’nin uluslararası finans merkezi olma hedefini oluşturan önemli projelerinden biri de 2009 yılında çalışmalara başlanmış olup 2022 yılında aktif olması planlanan İstanbul Finans Merkezi (İFM) projesidir. İFM Projesi, varlığa dayalı finansmanı öne çıkaran “katılım finansı” ve dijitalleşen dünyaya yeni açılımlar kazandıran Fintek ile gelişmeyi hedefleyen bir strateji etrafında dizayn edilmiştir. Dolayısıyla, katılım finansının kurumsal yansıması olan katılım bankaları da İFM projesinin kuşkusuz iki önemli temel ayağından bir tanesidir.Türkiye’de yaklaşık otuz yedi yıllık bir geçmişe sahip olan katılım bankaları, 2021 yılı itibarıyla altı katılım bankasıyla bankacılık sektöründe faaliyet göstermektedir. Katılım bankalarının bütün bankacılık sistemi içindeki payının 2025 yılında %15 seviyesine çıkarılması temel amaçlar arasında bulunmaktadır. Ayrıca, katılım finansı sahasında bölgenin en büyük ve dünyanın da sayılı merkezleri arasında yer alması öncelikli hedefleri olarak değerlendirilmektedir. Birbirlerini besler ve destekler olarak düşünülen İFM projesinin ve katılım bankalarının, arzuladıkları hedefleri yakalayabilmeleri söz konusu yaşanan süreçte bir fırsat olarak öngörülmektedir. İFM projesinin ve katılım bankalarının karşılıklı pozitif sinerji gücüyle uluslararası arenada hedeflenen konuma gelmelerini irdelemek ve öneriler geliştirmek çalışmanın temel konusunu oluşturmaktadır. Bu bağlamda, literatür taramasıyla birlikte katılım bankalarının ulusal ve uluslararası sektörden aldıkları paylar çerçevesinde değerlendirmeler yapılmıştır. İFM projesi amacına yönelik; hukuki, idari, mali ve teknolojik altyapı çalışmalarının ve öngörülen düzenlemelerin ivedilikle tamamlanması gerekmektedir.
KREDİ KARTI KULLANIMI, KOMPÜLSİF SATIN ALMA, BORCA KARŞI TUTUM VE FİNANSAL REFAH İLİŞKİSİ
Authors: ATAMAN Elif , YILDIRIM Durmus
Published: May 2022

Bireylerin artan istek ve ihtiyaçlarını karşılamak amacıyla çeşitli ödeme araçlarına ihtiyaç duyulması kartlı ödeme sistemleri sektörünün ortaya çıkmasına ve hızla büyümesine katkı sağlamış, ödeme araçları içinde en fazla büyüme kredi kartı piyasasında görülmüştür. Kredi kartlarını bu kadar geniş kitlelerin tercih etmesi bilinçsiz tüketim ve aşırı kart kullanımı riskini de beraberinde getirmiştir. Bilinçsizce yapılan kredi kartı kullanımı özellikle gençler ve yetişkinler arasında büyük bir sorun halini almıştır. Kişinin aylık gelirinden daha fazlasını harcamasına sebep olan kredi kartları öğrencilerde sürekli devam eden ve bir türlü kurtulamadıkları bir borçluluk döngüsü yarattığı için, bu çemberin içinde kaybolan öğrenciler çeşitli psikolojik rahatsızlıklarla karşı karşıya kalmaktadır. Bu çalışma ile özellikle üniversite öğrencileri arasında hızla yayılan kredi kartı kullanımını etkileyen faktörler ortaya çıkarılmaya çalışılmıştır. Çalışma kapsamında Ondokuz Mayıs Üniversitesi’nin farklı fakültelerinde okuyan 1143 öğrenciye anket uygulanmış; kompülsif satın alma, finansal refah düzeyi ve borca karşı tutumun kredi kartı kullanımıyla ilişkisi analiz edilmeye çalışılmıştır. Analiz sonucunda kompülsif satın almanın kredi kartı kullanımını etkilediği, kredi kartı kullanımının ise hem finansal refah üzerinde hem de borca karşı tutum üzerinde etkisi olduğu gözlemlenmiştir. Bu bulgulara ek olarak borca karşı tutumun finansal refah düzeyini etkilediği görülmüştür.
YÖNETİCİ AŞIRI GÜVENİNİN FİRMA DEĞERİ VE BORÇLANMA KARARLARI ÜZERİNDEKİ ETKİSİ: BIST GIDA SEKTÖRÜ ÜZERİNE AMPİRİK BİR ARAŞTIRMA
Authors: YIKILMAZ Aslı
Published: May 2022

Bu çalışmada BİST Gıda sektöründe yer alan 19 firmanın 2005-2020 yılları arasındaki finansal verileri incelenerek, yönetici aşırı güveninin firma değeri ve borçlanma kararları üzerindeki etkisi Panel veri yöntemi ile araştırılmıştır. Yönetici aşırı güveni Schrand & Zechman (2012) ve Gao & Han (2020)’ın çalışmalarında kullandıkları yöntem ile tespit edilmiştir. Ampirik sonuçlara göre yönetici aşırı güveni firma değerini negatif yönde etkilerken, borçlanma oranını pozitif yönde etkilediği tespit edilmiştir. Elde edilen sonuçlar yönetici aşırı güveninin finansal kararlar üzerinde önemli bir etkiye sahip olduğunu ortaya koymuştur.
KAMU İDARELERİ İÇİN MALİ ANALİZ REHBERİ ORANLARI VE TOPSİS YÖNTEMİ İLE FİNANSAL PERFORMANS ANALİZİ
Authors: YÜCEL Serkan
Published: May 2022

Türkiye’de yeni kamu yönetimi anlayışı çerçevesinde 5018 Sayılı Kamu Malî Yöneti̇mi̇ ve Kontrol Kanunu’nun yürürlüğe girmesi ile nakit esaslı muhasebe sistemi bırakılıp tahakkuk esaslı muhasebe sistemine geçilmiştir. Ayrıca bu anlayış çerçevesinde kamu kurumlarının mali durumlarının ortaya konulması için mali tablolarının sunulması istenilmiştir. Mali tabloların sunulmasının yeterli olmayacağı görüşü ile Maliye Bakanlığı tarafından kamu idareleri için mali analiz rehberi yayınlanmıştır. Yayınlanan rehberde kamu kurumlarının yapısal özelliklerinin özel sektördeki şirketlerden farklı olması nedeniyle farklı finansal orana yer verildiği görülmektedir. Bu çalışmanın amacı Kamu İdareleri için Mali Analiz Rehberinde yer alan finansal oranlar ile finansal performans değerlendirmesi yapmaktır. Bu amaçla yapılan incelemede kapsam olarak seçilen Türkiye’deki bakanlıklar içinde rehberdeki finansal oranların hesaplanabilmesi için yeterli finansal verinin 2015 yılından itibaren T.C. Sağlık Bakanlığı tarafından yayınlandığı tespit edilmiştir. Bu nedenle T.C. Sağlık Bakanlığı’nın 2015-2020 yıllarına ilişkin mali tablolarından elde edilen finansal veriler ile mali analiz rehberinde yer verilen oranlar hesaplanmış ve yorumlanmıştır. Daha sonrasında hesaplanan oranlar kriter olarak kullanılarak TOPSİS yöntemi ile finansal performans analizi yapılmıştır. Yapılan analiz sonucunda incelenen yıllar içinde Sağlık Bakanlığı’nın en iyi performansı 2018 yılında, en kötü performansı ise 2020 yılında gösterdiği belirlenmiştir.
EVDE SAĞLIK HİZMETİ ALAN HASTALARA YÖNELİK BİR ARAŞTIRMA VE POLİTİKA ÖNERİLERİ: DİYARBAKIR ÖRNEĞİ
Authors: KURT Mehmet Emin , ÇAKMAK Mehmet Aziz
Published: May 2022

Bu çalışmanın amacı evde sağlık hizmeti alan hastaların profillerini belirleyerek evde sağlık hizmetleri sunumunda sağlık politikaları açısından alınabilecek önlem ve önerileri içermektedir. Çalışma retrospektif ve kesitsel özelliktedir. Yaş, cinsiyet, tıbi teşhis ve hizmet süresi değişkenlerine ait veri analizlerinde frekans, yüzde ve ortalama gibi tanımlayıcı istatistiklerden faydalanılmıştır. Demografik verilere göre, hizmeti sonlandırılan hastaların ortalama tanı sayısı 2, aldıkları hizmetin ortalama süresi 581 gündür. Hizmeti alan hastaların %53,7’si kadın iken hastaların %66,2’si 65 yaş üstü ve yaş ortalamaları 63’tür. ICD-11 tanı türleri itibari ile hastaların %23,83’ü Akıl ve Davranış Bozuklukları tanısı almışken, %26,29’u Dolaşım Sistemi Hastalıkları tanısı, %11,61’i Kas-İskelet ve Bağ Dokusu Hastalıkları tanısı almıştır. Evde sağlık hizmetleri kapsamında hizmet alan bireylerin genç nüfustan yaşlı nüfusa doğru artış göstermiş olması, verilen hizmetin önemini ve hizmet kapsamının genişlemesi gerektiğini ortaya koymaktadır. Hastaların almış oldukları tanı gruplarına göre hizmet sunulurken hizmet ekibinde ayrıca kardiyoloji, ortopedi, psikiyatri uzmanlarının katılması hizmetin daha çok hastaya ulaştırılabilmesi açısından büyük öneme sahiptir. Kadın hastaların aldıkları tanı sayısının fazla olması kadınların evde sağlık hizmetleri almadan önceki sağlık hizmetlerine ulaşımları noktasında olası problemlerin ele alınmasını zorunlu kılmaktadır. Elde edilen bulgular ışığında ülke sağlık politikaları açısından büyük öneme sahip olan evde sağlık hizmetlerinin etkili ve ulaşılabilir olması için hizmetlerin daha etkin şekillerde uygulanması gerekmektedir. Bunun içinde örneğin hizmet sunan ekip içerisinde ilk ziyarette olmasa da ikinci ev ziyaretinde farklı uzmanlıkların (fizik tedavi, kardiyoloji uzmanı vb.) bulundurulması sayesinde hastalara ev ortamında hizmet sunularak hastane ortamları meşgul edilmemiş olacaktır.
ANA AKIM İKTİSAT YAKLAŞIMINDA PARA VE DEĞER ÜZERİNE
Authors: DEMİR Eylül Ece
Published: May 2022

Bitcoin gibi dijital paraların “bildiğimiz para”nın yerine geçip geçmeyeceğinin sıkça sorulduğu bugünlerde paranın ve toplam toplumsal değer ile ilişkisinin ne olduğu tartışmaları da tekrar önem kazanmaya başladı. Bu çalışma paraya kavramsal bir yaklaşımdan çok, ana akım iktisat yaklaşımları altında para-değer ilişkisinin kuramsal olarak nasıl temellendirildiği üzerine tartışmayı amaçlamaktadır. Para üzerine yapılan çalışmaların çoğu paranın işlevleri üzerinden bir analiz yapmaktadır. Bu çalışma mevcut literatürden farklı olarak, ana akım iktisat yaklaşımı altında para kavramını fiyat değil, değer ile ilişkisi bağlamında ele almaktadır.Çalışmada para, değerin somut bir formu olarak ele alındığından, değerin ne olduğu ve para ile ilişkisinin nasıl kurulduğu önem kazanmaktadır. Yine para, değer ile ilişkisi bağlamında incelendiğinden emek-değer teorisi nedeniyle Klasik teori, fayda-değer teorisi nedeniyle Neoklasik teori ve açık bir şekilde değer teorisi ile ilişkilendirmemesine rağmen parasal bir ekonomi analizi yapması nedeniyle Keynes’in parasal yaklaşımı ele alınmıştır. Ana akım yaklaşımlardan Monetarist ve Keynesyen yaklaşımlar ise parayı değer kavramı üzerinden ele almadıklarından bu çalışmanın kapsamı dışında bırakılmışlardır. Çalışmada nitel araştırma yöntemlerinden metin analizi yöntemi kullanılarak birincil ve ikincil kaynaklar üzerinden yapılan inceleme sonucu ana akım iktisat yaklaşımlarında paranın ne olduğu, para ve değer ilişkisinin tam olarak ortaya konulmadığı; bu ilişkinin para ve fiyat üzerinden yeniden tanımlanarak emek-değer kavramının içerdiği toplumsal bölüşüm ilişkisiyle ilişkilendirmekten kaçınıldığı görülmüştür.
Acute Postoperative Visual Loss Due to Occipital Arteriovenous Malformation Rupture During Anesthesia
Authors: 許哲豪 許哲豪 , Che-Hao Hsu Shin-Hong Lin , Shin-Hong Lin Kuo-Sheng Huang , Kuo-Sheng Huang Wei-Xiang Liu , Wei-Xiang Liu Li-Yen Chang
Published: May 2022

We report a case of occipital arteriovenous malformation (AVM) rupture during anaesthesia, causing postoperative visual loss in a 43-year-old man with American Society of Anesthesiologist class I. He was scheduled for an operation for the correction of right index deformity. He was a healthy, middle-sized man without any previous systemic disease. He had sustained a cutting injury to the right index finger 1 year ago and had undergone microsurgery. As he was unsatisfied with the surgical results, he was arranged for another correction surgery. After the 2-h surgery, he recovered from anaesthesia, but complained of a mild headache over the occipital region. He left the post-operative recovery room thereafter and was discharged the next day. Three days later, he came to our surgical outpatient department for follow-up. He complained of blurred vision since the surgery. The ophthalmologist found left-sided homonymous visual field loss with incomplete hemianopia. He was referred to the neurological section and after a series of examinations including brain computed tomography, the diagnosis of AVM rupture in the right occipital region was confirmed.

 
STUDI KETERLAKSANAAN PEMBELAJARAN FISIKA BERBASIS SCIENTIFIC APPROACH DI SMA NEGERI KOTA YOGYAKARTA
Authors: Suluh Melkianus , Jumadi Jumadi
Published: May 2022

This study aims to determine: (1) the implementations of physics learning based on scientific approach, (2) the relationship between teacher’s educational background with implementations scientific approach. This study was a survey research using a descriptive correlational approach. The research sample included 18 physics teachers spread in 10 state senior high schools in Yogyakarta city established with purposive sampling technique. The data were collected by using teachers questionnaires, observation sheets, and documentation sheet. The data were analized by using descriptive analysis and Spearman correlation analysis. Results of the study. (1) Implementations scientific approach in Yogyakarta State Senior High Schools has been running well. (2) There was positive and significant relationship between teachers educational background and Implementations Scientific Approach.
Einige Notizen zum zweiten Bande von Stälins würtemberg. Geschichte
Authors: Bauer Hermann , Stälin Christoph Friedrich von
Published: May 2022

Christoph Friedrich von Stälin, Wirtembergische Geschichte, Bd. 2, Stuttgart/Tübingen: Cotta 1847. IV, 805 S.
Does the annual income earned influence the decision-making in the Indian Secondary equity market?
Authors:   Loyola University, Isidore Renu , Arun C. Joe
Published: May 2022

The annual income earned plays a very important role in stock investing as it influences several dimensions of the investment process. The main goal of this research was to examine the role of the annual income earned by the secondary equity investors in the decision- making process. The research is exploratory in nature where a questionnaire survey was conducted on a sample of 436 secondary equity investors residing in the Chennai city of India. The data was analysed using quantitative techniques like ANOVA, Multinomial Logistic Regression, Discriminant and Cross Tabulation. The ANOVA results revealed that except in economy analysis and company analysis, the investors belonging to the various income groups differed in all the other decision-making techniques. When divided in terms of gender and age as well, the results were significant. The Multinomial logistic regression analysis resulted in a robust model which showed that industry analysis, technical analysis, gender*advocate recommendation and gender*equity investment knowledge are significant predictors of the annual income. The Discriminant model developed to predict the returns earned in equity investments showed that only the industry analysis and company analysis have a positive relationship with the equity returns. The demographic and financial profile of the high- and low-income investors were examined in the Cross-tabulation analysis. The main outcomes of the study are (i) older investors are less likely to belong to the low income group compared to the average income group; (ii) the low-income investors are likely to be male investors with decreased equity investment knowledge; (iii) investors who employ industry analysis are more likely to belong to the high income group and those who employ technical analysis are less likely to belong to the high income group compared to the average income group and (iv) investors with more equity investment knowledge are more likely to belong to the high income group compared to the average income group. The results also show that adopting industry analysis and/or company analysis may lead to a higher probability of earning higher returns in the equity market whereas the adoption of economy analysis, technical analysis and/or advocate recommendation lead to lower returns. This study would guide investors and advisors to examine the direct and indirect influences of the income earned. Government bodies and investor associations need to focus on the low income investors who are more vulnerable to financial blunders owing to their financial issues.
The Causal Effect of Growing up in a Two-Parent Household on Child’s Adult Earnings
Authors:   Clemson University, Wen Bob
Published: May 2022

The children who grew up in two-parent households for their entire childhood earn more than the other children reared in non-intact parental families. The causal effect of growing up in a twoparent household on the child’s adult earnings is the hourly earnings difference between the children who grew up in intact families and their counterparts raised by parents who have ever divorced, separated, or widowed, holding relevant factors constant and accounting for endogeneity issues. I identify the causal effect by using the following specification strategies. First, I control the parental income and educational attainment, along with the child’s demographic characteristics (gender, age, race, region, and tenure), to disentangle the childhood family intactness effect from the other parental influence. Second, I take into account the unobserved clan-specific heterogeneity, such as family traditions and genetic characteristics, by fitting the clan fixed effects (FE) models. Third, I use two instrumental variables (IVs), the state divorce rate and the no-fault divorce law effectiveness, for the endogenous childhood family structure and adopt the two-stage least squares (2SLS) approach to further alleviate the omitted variable bias. The estimates are around 0.16, suggesting that the children who grew up in a twoparent household earn about 16% more in adulthood than their counterparts from non-intact families, other things equal. The effect goes through three channels. The child’s education, health, and marital behavior are the mediator variables representing the three observable channels through which childhood family intactness affects the child’s adult earnings. The effect of growing up in a two-parent family on the child’s adult earnings varies with parental income and education. The effect is larger and more significant for sons than for daughters. The heterogeneous pattern of the effect is consistent with the parental utility maximization model’s predictions. Growing up in a two-parent household not only has a positive and significant effect on the child’s adult earnings in absolute values, but it also encourages intergenerational relativeearnings improvement. An intact childhood family lowers the probability of the intergenerational relative-earnings worsening by 6.72% and increases the probability of the intergenerational relative-earnings improvement by 6.67%.
Շեքսպիրը համաշխարհային մշակույթի հայելում. ՀՀ ԳԱԱ արվեստի ինստիտուտի շեքսպիրյան գրադարանը
Authors: Բեքարյան Անահիտ
Published: May 2022

Ակադեմիկոս Ռ. Զարյանի նախաձեռնությամբ ու ջանքերով 1964 թ. Հայկական ԽՍՀ ԳԱ արվեստի ինստիտուտում հիմնվեց Խորհրդային Միությունում առաջին և աշխարհում չորրորդ շեքսպիրյան գրադարանը: Արվեստաբանը նորաստեղծ գրադարան հանձնեց իր ամբողջ «շեքսպիրյան» գրականությունը՝ 168 անուն գիրք: Շեքսպիրյան գրադարանը նշանակալի դեր ունի 1960-1980-ական թթ. Հայաստանում Շեքսպիրի երկերի, դրանց հայերեն թարգմանությունների ու հայ թատրոնում դրանց բեմադրությունների ուսումնասիրության գործում: Գրադարանի հավաքածուն հարստացել է աշխարհի տարբեր ծայրերից ինչպես բազմաթիվ հայերի, այնպես էլ օտարազգիների կատարած ներդրումներ շնորհիվ, որոնք գրադարանին են նվիրել շատ արժեքավոր ու հազվագյուտ հրատարակություններ, ձեռագրեր և իրեր: Այժմ շեքսպիրյան թանգարան-գրադարանում պահվում է ավելի քան 3000 ցուցանմուշ՝ 40 լեզվով:
О конвергенции в формах духовной культуры: вопросы «философского киноискусства» и осмысление проявлений конвергенции в СМИ
Authors:   Российско-Армянский университет, Оганесян Сурен
Published: May 2022

Конвергенция в формах духовной культуры, в частности, проявляется в феномене «философского киноискусства» и в современном инструментарии мультимедийной журналистики. Понятие конвергенции используется в философии и гуманитарных науках с целью обозначить феномены «взаимопереходов» и проявления «синтеза» разных форм культуры. В концепциях философии кино выявляется жанровая специфика философского кинематографа. Для процессов конвергенции и мультимедизации в СМИ также характерны жанрово-форматные трансформации.
ENDOPHYTIC ACTINOMYCETES: PROMISING SOURCE OF NATURAL ANTIBIOTICS
Authors: ХАСЕНОВА А.Х. , МОЛДАХАНОВ Е.С. , ЖАНТЛЕСОВА С.Д. , МАСИРБАЕВА А.Д. , ЕЛУБАЕВА М.
Published: May 2022

Устойчивость к антибиотикам возрастает во всем мире и является одной из самых больших проблем в современной медицине и глобальной угрозой для здравоохранения. Новые механизмы резистентности появляются и распространяются повсюду, угрожая способности лечить распространенные инфекционные заболевания. Ввиду этого, большое значение имеет вопрос поиска новых эффективных антибиотиков, синтезируемых различными микроорганизмами – актинобактериями, немицелиальными бактериями, грибами. В настоящее время исследователи сосредоточены на выделении актинобактерий из необычных мест обитания: мангровых зарослей, пустыней, морских и пресноводных резервуаров, а также внутренних тканей растений. Микроорганизмы-эндофиты — богатый и ещё не полностью изученный источник новых природных биологически активных соединений, привлекающий внимание многих учёных во всем мире. Большой интерес представляют эндофитные актиномицеты, синтезирующие разнообразные биологические активные вещества и дающие практически неограниченные возможности для разработки новых лекарственных препаратов. В обзоре представлены данные о биологически активных метаболитах, продуцируемых эндофитными актиномицетами, обладающих противоопухолевыми, противовоспалительными, антиоксидантными, антибактериальными свойствами.

Antibiotic resistance is on the rise worldwide, one of the biggest problems in modern medicine and a global public health threat. New resistance mechanisms are emerging and spreading everywhere, threatening the ability to treat common infectious diseases. In view of this, the question of finding new effective antibiotics, the main source of which are natural compounds synthesized by various microorganisms - actinobacteria, nonmycelial bacteria, fungi, is of great importance. Currently, researchers are focusing on isolating actinobacteria from unusual habitats: mangroves, deserts, marine and freshwater reservoirs, and internal plant tissues. Microorganisms-endophytes are a rich and not yet fully studied source of new natural biologically active compounds, attracting the attention of many scientists around the world. Of great interest are endophytic actinomycetes, which synthesize a variety of biologically active substances and provide practically unlimited opportunities for the development of new medicines. The review presents data that various biologically active metabolites of endophytic actinomycetes have antitumor, anti-inflammatory, antioxidant, and antibacterial properties.
Research on natural polymer in execution of raft forming gastro- retentive drug delivery system
Authors: Borade Amol U. , Shah Ketan , Kale Snehal N. , Katyarmal Anshuri D. , Gajbhiye Sanghadeep S. , Kolhe Nitin S.
Published: May 2022

For the treatment of gastrointestinal ulcers, raft forming systems incorporating Nizatidine were developed to provide sustained drug release and prolong gastric residence time. The raft forming formulations contained Nizatidine as a raft forming agent, Isabgol as a gelling polymer and sodium bicarbonate as an agent to generate gas and calcium carbonate as an agent to strengthen gels. Sodium bicarbonate, along with divalent Ca++ ions, forms a floating raft loaded with drugs. Raft formulation was optimized by applying Full Factorial Design of 33. Testing was done on all batches for pH, In-Vitro Floating, Raft strength, Acid Neutralizing capacity, viscosity, and drug release. The majority of formulations using Isabgol as a gelling agent have a gelled raft in less than 2 minutes and are buoyant for more than 8 hours in 0.1N hydrochloric acid having pH 1.2. Optimized batches show good administration capabilities and better stability over six months. The studies conducted suggested that raft forming systems made from natural polymers carrying drugs could be used to deliver gastroretentive drugs.
Study of biosynthesized silver nanoparticles from pseudomonas aeruginosa and antioxidant activity
Authors: Yousef Muayyad Kahdem , Al-Ramahi Syoof Khoman
Published: May 2022

This research, it was briefly described how biosynthesis silver nanoparticles from Pseudomonas aeruginosa, the synthesized AgNPs were initially noticed through visual color change from yellow to reddish brown and the synthesis was confirmed by multiple tests like surface plasmonic resonance (SPR)  UV-visible spectrophotometer, Morphology and size of AgNPs were determined by scanning electron microscope (SEM)to verify its properties this material is nano, and this material was also tested in DPPH assay To ensure that it kills free radicals when used in the medical field like used silver nanoparticles in the treatment.
Redefining employee engagement and its significance
Authors: Rai Monika , Yadav Indrajeet
Published: May 2022

Employees in today's firms want to work in an atmosphere where they can give their all and be there for each other when things go tough. Organizations struggle to successfully manage personnel and turn workers into engaged colleagues prepared go the additional mile in their pursuit of organisational excellence and value maximisation. This article discusses the topic of employee job engagement as well as its relevance in today's workplace. It discusses its history, definitions, theoretical frameworks, employee categorization based on participation, then lastly the study's reason and relevance. Work engagement is a complex construct whose dynamics have been studied from numerous angles. To get a clear knowledge of the architecture from a holistic standpoint. The classic and recent research studies elucidating many characteristics on work engagement have been thoroughly studied, with the hypothesis employed acknowledged.
Hematological and hepatic profile of dengue patients presenting to a tertiary care hospital in Mumbai
Authors: Relwani Prakash Ram , Jain Prachi , Redkar Neelam N , Jadav Sweta , Yadav Sameer
Published: May 2022

Objective: To assess the pattern of hematological and hepatic involvement in patients of dengue fever. Methods: This study was performed in a tertiary care center in Mumbai, India. 142 patients diagnosed with dengue who were admitted between January 2016 to December 2017 enrolled for the study. Patients Demographic data, clinical history, examination findings, and investigations including complete blood count and liver profile were done. Results: Highest incidence of dengue was seen in the age group of 21-30. More males were affected than females. Highest incidence was seen in monsoon months in Mumbai (August-September). Commonest symptom was fever followed by rigor, chills, bodyache and headache. Altered sensorium was the rarest. In investigations thrombocytopenia was the commonest followed by raised AST and ALT. Conclusion: As Dengue causes significant mortality and morbidity,there is excess burden on healthcare infrastructure of metro cities in India, knowing about the disease behavior is of paramount importance. Doing simple and easily available investigations can be vital in predicting disease severity and need of inpatient and intensive care in Dengue patients.
Mathematical modelling of school teacher’s knowledge and beliefs about dyslexia
Authors: Hada Sangeeta Singh , Vats Neha
Published: May 2022

Teacher’s role is very important for early identification and inclusion of dyslexic children in mainstream school. Lack of early identification and wrong perceptions of teachers regarding dyslexia may adversely affect the academic growth of dyslexic. The study primarily aimed at giving mathematical model of schoolteacher’s perception of dyslexia in Himachal Pradesh. Schoolteachers of Himachal Pradesh online filled Dyslexia Belief Index developed by Weddington and Wadlington (2005). Among 142 respondents, 45.1% teachers had moderate perception towards dyslexic students, 31% had low perception while 23.9% teachers had high perception towards dyslexic students. Teachers from Arts background, Gender (Male) and, having age between 36 and 40 and teaching experience of less than 5 years remained significant predictor for perception towards dyslexic students. Males were more likely to be at a higher on perception level towards dyslexic students (OR = 4.883, 95% CI 1.728–13.795). Teachers who are the head of the institute are more likely to have high perception towards dyslexic students (OR = 1.212, 95% CI .089–16.566) as compared to teachers who are PGT, TGT and primary teachers.
Knowledge towards feeding of infants and young children
Authors: Hussein Zainab Hassan , Yasir Amean A.
Published: May 2022

Background: Improved infant and young child feeding is consequently crucial for improved nutrition, health, development, and, ultimately, child survival in children under the age of five. Therefore, the present study aimed to assess mothers knowledge towards feeding of infants and young children; and determine the associated socio-demographic variables in Babylon Province/ Iraq. Methods: A descriptive cross-sectional study conducted by purposive sample of 300 mothers was selected through the use a non-probability sampling approach. The reliability of the questionnaire was achieved through a pilot study and then presented to experts to prove its validity. The total number of items included in the questionnaire was 20-items for knowledge. The data was collected by using the interview method and analyzed by the application of descriptive and inferential statistical data analysis approach Results: The results of the study indicated that (50.3%) of the mothers exhibited a poor knowledge. There were differences in knowledge with regards mothers age (p=0.000), education level (p=0.000), number of children (p=0.000), residents (p=0.005) and sources of information (p=0.011). Conclusions: The study adds knowledge regarding health education.