bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS PENGEMBANGAN USAHA RUMAH MAKAN DALAM MENINGKATKAN KEUNTUNGAN (Studi Pada Rumah Makan Kampung Empang Di Kota Kendari)
Authors: Hamindu Linda , Qomariyah Erni , Purwati Ninik
Published: June 2022

Penelitian ini bertujuan untuk untuk menganalisis Pengembangan Usaha Dalam Meningkatkan Keuntungan pada Rumah Makan Kampung Empang di Kota Kendari.Adapun informan dalam penelitian ini adalah pemilik rumah makan, 3 orang karyawan rumah makan dan 5 orang konsumen yang berkunjung pada Rumah Makan Kampung Empang di Kota Kendari. Sehingga jumlah informan dalam penelitian ini adalah sebanyak 9 orang.Jenis penelitian yang digunakan dalam adalah jenis penelitian deskriptif, dengan menggunakan pendekatan kualitatif. Pengumpulan data menggunakan: wawancara, observasi, dan dokumentasi.Hasil penelitian menunjukkan bahwa pengembangan usaha rumah makan kampung empang di Kota Kendari cukup berkembang dengan melihat analisis indikator: peningkatan omset penjualan yang cukup tinggi, pertumbuhan tenaga kerja yang cukup meningkat dan pertumbuhan pelanggan yang tinggi pula sehingga usaha tersebut mengalami peningkatan. Sedangkan dalam meningkatkan keuntungan rumah makan empang Kota Kendari berdasarkan indikator: mendapatkan laba yang mana usaha rumah makan kampong empang mendapatkan keuntungan yang cukup besar. Kata kunci :Pengembangan Usaha, Meningkatkan Keuntungan
PENGARUH KESEHATAN DAN KESELAMATAN KERJA (K3) TERHADAP PRODUKTIVITAS KERJA KARYAWAN PADA SPBU HJ. NURMIATI PUUWATU
Authors: Lestari Serli , Kadir Abdul , Qomariyah Erni
Published: June 2022

Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh kesehatan dan keselamatan kerja (K3) terhadap produktivitas kerja karyawan di SPBU Hj. Nurmiati Puuwatu. Penelitian ini menggunakan pendekatan kuantitatif dan menggunakan jenis penelitian asosiatif. Populasi dalam penelitian ini adalah karyawan SPBU Hj. Nurmiati Puuwatu. Teknik pengambilan sampel menggunakan metode total sampling. Sampel yang di gunakan dalam penelitian ini adalah seluruh karyawan SPBU Hj. Nurmiati yang berjumlah 32 orang. Teknik analisis data dalam penelitian ini menggunakan teknik analisis regresi linear sederhana. Hasil penelitian menunjukkan bahwa kesehatan dan keselamatan kerja (K3) berpengaruh signifikan terhadap peroduktifitas kerja karyawan. Hasil analisis dapat di ketahui bahwa adanya pengaruh yang signifikan menunjukkan semakin baik fasilitas kesehatan dan keselamatan kerja (K3) di tempat kerja, maka semakin tinggi tingkat produktifitas kerja karyawan. Kata kunci: Kesehatan Kerja, Keselamatan Kerja, Produktivitas Kerja Karyawan
Classification of atrial electrograms in atrial fibrillation using Information Theory-based measures
Authors: Nicolet Jonathan
Published: June 2022

Classification of complex fractionated atrial electrograms (CFAE) is crucial for the study of atrial fibrillation and for the development of treatment strategies, because these electrophysiological phenomena represent a common target for radiofrequency ablation. Since the description of CFAEs in 2004, the scientific community have been focused their efforts into its characterization and automatic classification considering the degree of fractionation, a clinical scale used in ablation procedures. Endocardial sites associated to CFAEs are usual targets in ablation therapy, as is though that they play a role in maintenance of the arrhythmia.
High-level Features for Multimodal Deception Detection in Videos
Authors: Rill-Garcia Rodrigo , Escalante Hugo , Villasenor-Pineda Luis , Reyes-Meza Veronica
Published: June 2022

Deception (the action of deliberately cause someone to believe something that is not true) can have many different repercussions in daily life. However, deception detection is an inherently complex task for humans. Due to this, not only there is uncertainty on which features should be used as cues for automatic deception detection, but labeled data is scarce. In this paper, we explore typical features that can be extracted from videos for affective computing and study their performance for deception detection in videos. Additionally, we perform a study of different multimodal fusion methods meant to improve the results obtained by using the different sets of extracted features separately, including a novel set of methods based on boosting. For this study, high level features are extracted with open automatic tools for the visual, acoustical and textual modalities, respectively. Experiments are conducted using a real-life court trial dataset for deception detection, as well as a novel Mexican deception detection dataset using Spanish as the spoken language.
Hand Posture Recognition Using Convolutional Neural Network
Authors: Nunez Dennis , Kwolek Bogdan
Published: June 2022

In this work we present a convolutional neural network-based algorithm for recognition of hand postures on images acquired by a single color camera. The hand is extracted in advance on the basis of skin color distribution. A neural network-based regressor is applied to locate the wrist. Finally, a convolutional neural network trained on 6000 manually labeled images representing ten classes is executed to recognize the hand posture in a sub-window determined on the basis of the wrist. We show that our model achieves high classification accuracy, including scenarios with different camera used in testing. We show that the convolutional network achieves better results on images pre-filtered by a Gabor filter.
Of Stacks and Muses: Adventures in Learning Analytics at Marist College
Authors: Lauria Eitel , Presutti Edward , Kapogiannis Maria
Published: June 2022

We describe the development of MUSE, an early-alert system of academically at-risk students implemented at Marist College, based on a stacked ensemble of classifiers. Experimental tests are carried out to demonstrate the predictive performance of the stack when making predictions on college-wide data.
Strengthening effects of managerial innovativeness in promoting sustainable supply chain management in tourism business
Authors: Thahir Harifuddin , Hadi Suryadi , Zahra Femilia , Arif Irdinal , Rombe Elimawaty
Published: June 2022

This paper aims to investigate sustainable tourism supply chains by examining the roles of environmental management, social support, and financial performance of tourist destination agencies. By placing the mediating role of innovativeness, this study developed a theoretical framework to explore the antecedents of tourism supply chain management. This research was conducted in a national park in Central Sulawesi, Indonesia, with 176 samples from tourism business actors. By using purposive sampling method, data analysis was performed using Partial Least Square-Structural Equation Modeling (PLS-SEM). The results of the analysis show a positive and significant influence of environmental management, social support, and financial performance on managerial innovation. These variables in the next analysis are estimated as antecedents of sustainable supply chain management (SSCM) in tourism, indicating positive and significant effects resulting from the analysis. In particular, the analysis also raises the important role of managerial innovation in improving the performance of sustainable supply chain management (SSCM) in tourism. Empirically, these findings underscore that the greater capabilities of the tourism organization in consolidating organizational resources, organizational performance and social support is more likely to increase the sustainability of SCM.
Dynamics of the behavior of competitiveness factors in the textile sector
Authors: Ávila Miguel Fernando Inga
Published: June 2022

The research studied the dynamics of the factors that determine competitiveness in the textile sector in Huancayo, Peru, given that in recent years it has been affected, with repercussions on profits, economic-financial stability, jobs, among others. Competitiveness is given by the interaction of various resources, actors and circumstances, which generate situations that could be auspicious or detrimental to the sector and other sectors. As a general perspective, Porter's Competitive Diamond Model and Action-Participatory Research have been used, combining scientific rigor with industrial practice. In applied research of non-experimental transactional design, an Attitude Scale was used as an instrument with 62 items and Likert-type answers, considering 7 latent variables. The methodological intervention was carried out on a sample of 75 sectoral experts. The factors that mainly determine the competitiveness of the textile sector are the structure, rivalry and strategy developed by the companies with a path coefficient of 0.812, the understanding of the behavior of the demand with a path value of 0.912 and the actions of the Government with an inverse relation of 0.824 for the respective path coefficient; while no relation has been established with the variable Integration or cluster.
Mediating mechanism of customer satisfaction on customer relationship management implementation and customer loyalty among consolidated banks
Authors: Adeiza Adams , Abdullahi Mohammed Sani , Fattah Fadi Abdel Muniem Abdel , Fawehinmi Olawole , Ismail Noor Azizi , Arnaut Marina , Aigbogun Osaro , Adam Ibraheem Salisu , Ehido Amauche
Published: June 2022

The aim of this study is to investigate the mediating mechanism of customer satisfaction (CS) on customer relationship management (CRM) and customer loyalty (CL) among Nigerian consolidated banks. This paper used a survey research design, and the study unit of analysis consists of selected customers among Nigerian consolidated banks. This study used a purposive sampling technique whereby structured questionnaires were used to collect data from 750 customers of the 5 focused banks in Kano State, Nigeria. Partial least square–structural equation modelling (PLS-SEM) was used to evaluate the study hypotheses. The outcome of the study revealed that CRM has a significant effect on CL while CS partially mediates CRM and CL relationship. This paper provides substantial results to practitioners to realize the role of developing a CRM strategy in the Nigerian banking industry. In line with that, the management of the banks should build sound CRM components such as process fit, customer information quality and information system support to deliver sound services in order to operate and compete in the banking ecosystem effectively. This paper has made a substantial contribution to the body of knowledge in the CS, CL, and CRM literature by operationalizing it within the Nigerian banking industry.
Adoption enablers of big data analytics in supply chain management practices: the moderating role of innovation culture
Authors: Juma Luay , Kilani Sona
Published: June 2022

The enablers of Big Data Analytics (BDA) on the BDA adoption intention of consumer goods’ retailing firms were measured in this study along with innovation culture as a moderator. Based on a literature review, six BDA adoption intention enablers: financial readiness, perceived advantages, top management support, IT infrastructure, technology sophistication, and data quality were identified. The study collected data from different levels of managers in the consumer goods’ retailing sector in Jordan to test the proposed study framework. To obtain primary data, a quantitative method was used, and a survey (structured questionnaire) was conducted. SmartPLS version 3.3 was used to analyze and test the proposed study model, which included 211 respondents. Three BDA enablers, including perceived advantages, top management support, and IT infrastructure, were found to have a statistically significant effect on BDA adoption intention in their supply chain operations. Furthermore, the relationship between financial readiness and BDA adoption intention was significantly moderated by innovation culture. This research model can be used to determine the challenges and enablers to BDA adoption in supply chain operations for both developed and developing countries. Future research may replicate the model in various sectors or the same sector in different countries.
Critical success factors for assessing the effectiveness of E-CRM systems in online shopping: the mediating role of user satisfaction
Authors: Almajali Dmaithan , lfityani Amjed A , Maali Hakam , Almajali Haya
Published: June 2022

The effectiveness of the E-CRM system was examined in this study, involving those with online shopping experience, specifically the regular customers of Carrefour in Jordan. Data were obtained through 550 distributed sets of questionnaires. Four trained and certified research assistants assisted the data gathering process. Data from 320 returned questionnaires were analyzed using Structural Equation Modeling (SEM). System quality, access to information, security, training and customer satisfaction were the examined factors towards the effectiveness of E-CRM systems. Results show positive impact of security, system quality, training, and access to information on user satisfaction, and user satisfaction affected the effectiveness of E-CRM. Nonetheless, the relationship between training and effectiveness of E-CRM on online shopping was not mediated by user satisfaction.
Financial Development, International Trade and Economic Growth Nexus (1971-2016): Examining Bangladesh Perspective
Authors: Islam Md. Shaidul , Faruque Omar , Ahmed Zobayer
Published: June 2022

Studies have examined economic growth mostly without inspecting the combined effect of international trade (IT) and financial development (FD). Considering Bangladesh's perspective, this study investigates the nexus of IT, FD, and economic growth. Time-series econometric data covering 1971-2016 are used. Econometric techniques that are used to meet the objectives are mainly the “Augmented Dickey-Fuller” for unit root test, “Johansen and Juselius” test for co-integration and popular VECM for checking long-run equilibrium relation and causality test. The exploratory findings of this study show that a long-run equilibrium relationship exists among the IT, FD and the growth of the economy. This study also finds unidirectional or one-way long-run causality from IT and FD to the economy's growth, and in the short-run, bidirectional causality is running from IT to Economic growth and Economic Growth to IT. Policies related to further FD and trade openness are suggested for accelerating the growth of Bangladesh economy.
Customer Retention for Digital Banking: Application of ‘Nudge Theory’
Authors: Shahin Akther  , Javed Tariq
Published: June 2022

The aim of this paper is to examine the digital banking habit to achieve customer retention. Applying the ‘Nudge theory’, this paper examines the impact of banks’ inventiveness on changing monetary behaviour of the customers in the commercial banks. While the literature is still young, conclusions may be drawn about 1) the effects and evaluation of the banks’ products and services to nudge customers for saving more to retain customer loyalty and trust, 2) making the customers literate in personal financing knowledge to reduce the fund diversion after taking loan from banks, and 3) boosting repurchase intention of a customer.
Lâm sàng rối loạn sự thích ứng với phản ứng trầm cảm ở người bệnh điều trị nội trú
Authors: Yến Nguyễn Thị Hoàng , Vinh Võ Đình , Ngọc Trần Nguyễn
Published: June 2022

Nghiên cứu cắt ngang có mục tiêu mô tả đặc điểm lâm sàng rối loạn sự thích ứng với phản ứng trầm cảm ở người bệnh điều trị nội trú tại Viện Sức khỏe Tâm thần. 98 người bệnh được chẩn đoán xác định rối loạn sự thích ứng với phản ứng trầm cảm ngắn hoặc phản ứng trầm cảm kéo dài (F43.20, F43.21) theo tiêu chuẩn ICD 10; (ii) có thông tin đầy đủ về hành chính, tiền sử, bệnh sử, khám lâm sàng, các thông số cận lâm sàng; và (vi) gia đình và bản thân người bệnh đồng ý tự nguyện tham gia nghiên cứu. Người bệnh rối loạn sự thích ứng với phản ứng trầm cảm đa phần là nữ (73,5%), nhóm tuổi thường gặp là từ 20 - 39, tuổi trung bình 32,7 ± 13,7. Đa số người bệnh có sang chấn tâm lý trong công việc và học tập (74,5%), xuất hiện với tính chất trường diễn (75,5%), thường có 2 sang chấn tâm lý (60,1%). Trong 3 triệu chứng chính, đã số gặp triệu chứng giảm năng lượng và tăng mệt mỏi (86,7%). Trong 7 triệu chứng phổ biến của trầm cảm, chủ yếu gặp triệu chứng rối loạn giấc ngủ (94,4%). Có tới 37,8% người bệnh có ý tưởng tự sát và 19,4% người bệnh có toan tự sát. Nghiên cứu bước đầu cho thấy những biểu hiểu điển hình của người bệnh rối loạn sự thích ứng với phản ứng trầm cảm.
Lâm sàng, cận lâm sàng và mối liên quan của các tổn thương mạch máu ở bệnh nhân xơ cứng bì hệ thống
Authors: Phát Trịnh Ngọc , Lượng Vũ Huy , Minh Vũ Nguyệt , My Lê Huyền , Phượng Hoàng Thị , Vinh Nguyễn Thị Hà , Doanh Lê Hữu
Published: June 2022

Khảo sát đặc điểm lâm sàng, cận lâm sàng và mối liên quan giữa tổn thương mạch máu ngoại vi và tăng áp lực động mạch phổi ở bệnh nhân xơ cứng bì hệ thống. Nghiên cứu mô tả cắt ngang trên 71 bệnh nhân xơ cứng bì hệ thống. 100% bệnh nhân có tổn thương mao mạch nền móng trên dermoscopy và đa số là giai đoạn sớm chiếm 47,9%; tổng điểm capillaroscopy là 3,3 ± 1,2 điểm. 98,6% bệnh nhân có hiện tượng Raynaud, thời gian xuất hiện hiện tượng Raynaud trung bình là 38,0 ± 37,2 tháng và điểm tình trạng hiện tượng Raynaud trung bình là 3,9 ± 1,5 điểm; 6 bệnh nhân chiếm 8,5% có loét ngón đang hoạt động; số lượng sẹo rỗ đầu ngón trung bình là 1,1 ± 1,4. Áp lực động mạch phổi tâm thu trung bình là 40,2 ± 5,1 mmHg. Phần lớn bệnh nhân có phân loại chức năng theo Tổ chức Y tế Thế giới (WHO) thuộc nhóm II chiếm 53,5%. Giá trị trung bình phân loại chức năng WHO là 2,0 ± 0,7. Không có mối liên quan giữa giá trị áp lực động mạch phổi với điểm RCS, số lượng loét ngón hoạt động và điểm capillaroscopy bán định lượng giảm số lượng mao mạch với p > 0,05. Tất cả bệnh nhân có tổn thương mạch máu ngoại vi trên cận lâm sàng và hầu hết trong số này biểu hiện triệu chứng lâm sàng. Áp lực động mạch phổi tâm thu tăng vừa và phần lớn bệnh nhân chỉ có triệu chứng nhẹ. Không có mối liên quan giữa tăng áp lực động mạch phổi và tổn thương mạch máu ngoại vi.
Thực trạng nhiễm khuẩn bệnh viện và một số yếu tố liên quan tại Bệnh viện Đa khoa Hà Đông, năm 2020
Authors: Thiêm Nguyễn Xuân , Thảo Tống Thị , Thắng Nguyễn Hữu
Published: June 2022

Nghiên cứu mô tả cắt ngang được thực hiện nhằm mô tả thực trạng nhiễm khuẩn bệnh viện tại Bệnh viện đa khoa Hà Đông. Nghiên cứu tiến hành trên 419 hồ sơ bệnh án của người bệnh nội trú có thời gian điều trị ≥ 48 giờ tại các khoa lâm sàng. Kết quả cho thấy tỷ lệ mắc nhiễm khuẩn bệnh viện là 4,3%. Khoa Hồi sức tích cực (33,3%) và khoa Ngoại (8,8%) có tỷ lệ mắc nhiễm khuẩn cao nhất trong các khoa, trong đó phổ biến nhất là nhiễm khuẩn hô hấp (38,9%), tiếp theo đến nhiễm khuẩn vết mổ và nhiễm khuẩn tiêu hóa (27,8%). Xác định được 4 loại vi khuẩn gây nhiễm khuẩn bệnh viện: Pseudomonas aeruginosa (44,4%), Staphylococcus aureus (38,9%), Escherichia coli (11,1%) và Staphylococcus saprophyticus (5,6%). Người bệnh có thời gian nằm viện trên 7 ngày, nhiễm khuẩn lúc nhập viện và người bệnh có can thiệp thủ thuật có nguy cơ mắc nhiễm khuẩn bệnh viện cao hơn. Bệnh viện cần tiến hành các biện pháp giám sát thực hành nhằm tăng cường hiệu quả công tác phòng ngừa nhiễm khuẩn bệnh viện trong tương lai.
Chuẩn hóa bộ câu hỏi iief - 5 tiếng việt và ứng dụng trong chẩn đoán rối loạn cương dương
Authors: Bắc Nguyễn Hoài , Thắng Nguyễn Cao
Published: June 2022

Rối loạn cương dương (RLCD) là rối loạn chức năng tình dục thường gặp nhất ở nam giới. Nhằm mục đích đánh giá mức độ nặng và theo dõi hiệu quả điều trị của bệnh nhân RLCD, rất nhiều công cụ đã được thiết kế, nghiên cứu, và chứng minh tác dụng trên lâm sàng điển hình trong đó là bộ câu hỏi International Index of Erectile Function (IIEF) rút gọn - IIEF - 5. Chúng tôi tiến hành nghiên cứu này nhằm mục đích chuẩn hóa phiên bản tiếng Việt của bộ câu hỏi IIEF - 5 tạo thuận lợi trong ứng dụng bộ công cụ này vào chẩn đoán và theo dõi bệnh nhân RLCD ở Việt Nam. Nghiên cứu được thực hiện trên 154 nam giới đến khám tại Khoa Nam học và Y học Giới tính - Bệnh viện Đại học Y Hà Nội có khả năng đọc và tự trả lời bản dịch tiếng Việt đã được chuẩn hóa của bộ câu hỏi IIEF - 5. Tính thống nhất nội bộ được đánh giá qua chỉ số Cronbach’s alpha. Để đánh giá độ tin cậy của phiên bản tiếng Việt IIEF - 5, 37 bệnh nhân được chọn để trả lời lại bộ câu hỏi sau 2 - 4 tuần tái khám không điều trị thuốc. Hệ số tương quan Pearson và ICC (intra - class correlation) được dùng để đánh giá độ tin cậy của bộ câu hỏi. Nghiên cứu cho thấy phiên bản tiếng Việt đã được chuẩn hóa của IIEF - 5 có tính thống nhất nội bộ cao với hệ số Cronbach’s alpha là 0,91. Độ tin cậy giữa 2 lần trả lời của bộ câu hỏi rất cao với hệ số Pearson > 0,86 với p < 0,01 ở tất cả các câu hỏi và ICC = 0,97. Tại ngưỡng 21 điểm, độ nhạy và độ đặc hiệu trong chẩn đoán RLCD của bộ câu hỏi IIEF - 5 lần lượt là 96,6% và 60,9%. IIEF - 5 có giá trị trong chẩn đoán RLCD với AUC = 0,942. Kết quả của nghiên cứu đã giúp khẳng định độ tin cậy và khả năng ứng dụng của phiên bản IIEF - 5 tiếng Việt trong chẩn đoán RLCD.
Đặc điểm lâm sàng, cận lâm sàng của thai phụ nhiễm hbv đẻ tại Bệnh viện Trung ương Thái Nguyên
Authors: Trâm Hoàng Thị Ngọc , Tú Hồ Cẩm , Vũ Trương Văn , Hương Bùi Thị Thu , Dũng Nguyễn Tiến , Mơ Nguyễn Thị , Hinh Nguyễn Đức
Published: June 2022

Mô tả một số đặc điểm lâm sàng, cận lâm sàng của thai phụ nhiễm HBV và xét nghiệm máu cuống rốn tại Bệnh viện Trung ương Thái Nguyên. Tiêu chuẩn lựa chọn thai phụ có 01 thai sống, đủ tháng đến đẻ có HBsAg (+). Thiết kế mô tả cắt ngang, sử dụng SPSS 20.0 và R, phân tích tương quan Pearson và Anova Fisher. Kết quả cho thấy tuổi trung bình 27,6 ± 4,2, triệu chứng lâm sàng không đặc hiệu cho viêm gan bao gồm phù, chán ăn, mệt mỏi; tỉ lệ mổ lấy thai 66,7%; xét nghiệm máu mẹ HBeAg(+) chiếm 45%, HBV DNA ≥ 5E+07 bản sao/ml chiếm 33,3%; máu cuống rốn tỉ lệ HBsAg(+) chiếm 53,3%, HBeAg(+) chiếm 38,2%; PBMCs của máu mẹ và máu cuống rốn tương quan thuận ở nhóm thai phụ có tải lượng vi rút thấp hơn 5E+07 bản sao HBV DNA/ml.Kết luận các triệu chứng lâm sàng của vi rút viêm gan B ở thai phụ không đặc hiệu cho chẩn đoán viên gan B; ở nhóm thai phụ có tải lượng vi rút thấp hơn 5E+07 bản sao HBV DNA/ml thấy có mối tương quan thuận có ý nghĩa giữa PBMCs của mẹ và máu cuống rốn.
Lựa chọn bó mạch nhận trong tạo hình vú tức thì sau cắt bỏ tuyến vú do ung thư bằng vạt nhánh xuyên động mạch thượng vị sâu dưới
Authors: Dung Phạm Thị Việt , Nghĩa Phan Tuấn
Published: June 2022

Nghiên cứu được tiến hành nhằm nhận xét những ưu, nhược điểm khi sử dụng bó mạch vú trong (IMVs: internal mammary vessels) và ngực lưng (TDVs: Thoracodorsal vessels) là mạch nhận trong tạo hình vú tức thì sau cắt bỏ tuyến vú toàn bộ do ung thư bằng vạt nhánh xuyên động mạch thượng vị sâu dưới (D.I.E.P) và đưa ra quan điểm của nhóm tác giả về việc lựa chọn một trong hai bó mạch này. 29 bệnh nhân được chẩn đoán ung thư vú giai đoạn I, II, cắt tuyến vú toàn bộ và tạo hình tức thì bằng vạt D.I.E.P. Bó mạch nhận được chọn là IMVs hoặc TDVs dựa trên cuống vạt cùng bên hay khác bên được lựa chọn. Có 10 trường hợp sử dụng IMVs, 19 trường hợp sử dụng TDVs. Thời gian mổ trung bình của nhóm sử dụng IMVs là 398 ± 67,13 phút, lớn hơn so với thời gian mổ trung bình của nhóm sử dụng TDVs là 314,74± 48,46 phút (p = 0,04). Có 27/29 vạt sống hoàn toàn, 2/29 trường hợp (chiếm 6,9%, trong đó 1 trường hợp nối với IMVs, 1 trường hợp nối với TDVs) phải tháo bỏ vạt do tắc mạch. Không có sự khác biệt về biến chứng cũng như sự hài lòng với hình thể vú ở hai nhóm. Ưu nhược điểm của mỗi bó mạch được tác giả bàn luận. Tác giả khuyến cáo lựa chọn bó mạch nhận theo vị trí nhánh xuyên.
Fraud against the Commonwealth 2020-21
Authors: McAlister Merran , Teunissen Coen
Published: June 2022

This Statistical Bulletin presents the results from the AIC’s 2020–21 Fraud Against the Commonwealth census. The number of internal fraud investigations commenced increased from the previous year, while the number of external fraud investigations commenced decreased. Of the substantiated allegations, the most common targets for internal and external frauds were information and Commonwealth benefits respectively. Data analytics was the most common method of detecting both internal and external fraud in 2020–21. The total losses from external fraud in 2020–21 were less than in 2019–20, yet total losses for internal fraud were larger than in 2019–20. Entities reported greater overall recoveries in 2020–21 than in the previous year for both internal and external fraud.
Sustaining the Environment in an Era of Small-Scale Mining in Ghana: Optimizing the Role of Institutions
Authors: Kokofu Henry Kwabena , Sarfo-Adu Gordon Kofi , Dadebo Mark Aferdi , Nkrumah Gladys , Galley David Kwaku
Published: June 2022

The study aimed at assessing the common constraints that affect the enforcement of small-scale mining laws and regulations which have created a vacuum for illegal operators to infiltrate the space with the associated environmental and social cost implications. Underpinned by the institutional theory, the study analyzes from existing theoretical and empirical studies to assess why institutions and agencies on artisanal and small-scale mining find it difficult to clamp down on illegal gold extractive activities. Retrospective literature analysis was the main method employed by the study. A synthesis from the review suggests that key challenges revolve around poor allocation of resources, poor collaboration among multiple levels and sectors, protection rackets by powerful beings in society, connivance of some traditional authorities and members, poverty, green squeezing, and cumbersome nature of ASM licensing process in Ghana. The study contends on the one hand that laws, policies, and regulations are only as good as their enforcement; whilst on the other hand, enforcement is only as good as the laws and regulations formulated in the first place. The study discusses five policy suggestions that will go a long way to help enforcement of ASM policies and institutions in Ghana.
Conflits et droit du travail
Authors: Bilodeau Pier-Luc
Published: June 2022

Au Québec, les relations du travail dans l’industrie de la construction font l’objet, depuis 1968, d’un encadrement spécifique en marge du Code du travail. L’adoption et l’originalité de ce régime, qui prévoit un éventail de règles visant les rapports collectifs du travail, mais aussi l’emploi des travailleurs de la construction, sont souvent expliquées par les rivalités intersyndicales qui ont marqué le secteur depuis les années 1960.

L’objectif du texte est de montrer que la mobilité provinciale des travailleurs de la construction constitue, au Québec, une source de conflits au travail qui, bien que pouvant mettre en présence des organisations syndicales rivales, doit néanmoins être distinguée de ces rivalités naissant du pluralisme syndical. 

Pour ce faire, après avoir mis en évidence certaines caractéristiques industrielles et économiques de la construction québécoise, nous proposons une analyse de l’évolution du cadre législatif et réglementaire applicable à l’emploi dans ce secteur, en portant une attention particulière aux conflits et manifestations qui l’ont marqué.

 

In Quebec, since 1968, labour relations in the construction industry have been the subject of a specific framework beyond the Labour Code. The adoption and singularity of this undertaking, which provides for a range of rules targeting collective labour relations, but also the employment of construction workers, are often explained by the inter-union rivalries which have had a great impact on the sector since the 1960s.

The objective of the article is to demonstrate that provincial mobility of construction workers constitutes, in Quebec, a source of labour conflicts, which, although it may involve rival labour organizations, must nevertheless be distinguished from the rivalries arising from union pluralism. 

In order to achieve our goal, besides highlighting certain industrial and economic characteristics of Quebec construction, we suggest an analysis of the evolution of the legislative and regulatory framework applicable to employment in the sector, paying special attention to conflicts and demonstrations which have marked the sector.
Anadolu Sahilleri ile Balkan Yarımadası Arasında Bulunan Deniz Alanının İsimlendirme Sorunsalı
Authors: KOZANHAN Murat Kağan
Published: June 2022

Anadolu Sahilleri ile Balkan Yarımadası arasında yer alan deniz alanı, tarihsel süreçte Yunanca; Aigaios Pontos, Pelagos Aigaion, Aigaion Pelagos, ve Türkçe; Bahr-î Sefid, Cezyir-î Bahri Sefid, Adalar arası, Adalar Denizi gibi farklı adlandırmalarla anılmıştır. Bu denizde hâkimiyet kurmaya çalışan toplumlar ya da kavimler, hâkimiyet iddiaları gereği bu denizi kendi örf/adetlerine uygun kendine özgü unsurlar vasıtasıyla adlandırmaya ve anlamlandırmaya çalışmışlardır. Bahse konu deniz, günümüzde “Ege Denizi” olarak isimlendirilmiş ve bu isim Yunanlılar tarafından, Antik Yunan’da mitolojik kahraman Atina kralı Aegeus ile özdeşleştirilmeye çalışılmaktadır. Ancak coğrafi yerlerin isimlendirilmesinde daha çok etimolojik kökenlerin araştırılması gereklidir. Bu çerçevede konu incelendiğinde “Ege” isminin Helen kültürünün dip kültürü olan Luwi diline ve bu dilin temelinde de Ön-Türkçe’ de “akarsu, deniz su örtüsü” anlamına gelen “Ög-Uz, Ög-İz” kelimeleri ile bir dil bağı bulunduğuna ilişkin savlarda bulunmaktadır. Bu çalışmada Ege teriminin; bilimsel çalışmalarda atıfta bulunulan mitolojik isimlendirmeleri tartışılacak, etimolojik çerçevede değerlendirilmesi yapılacak ve Osmanlı’da kullanılan Adalar Denizi, Adalar Arası ifadeleri incelenecektir.
A páciensek által értékelt klinikai eredmények szerepe a térdprotézis-beültetés során, az Oxford Knee Score és Forgotten Joint Score hazai adaptálásának első tapasztalatai
Authors: Lengyel Lívia , Szabó István , Lám Judit
Published: June 2022

A térdprotézisműtétek hatalmas fejlődésen mentek át, a folyamatos fejlesztéseknek köszönhetőn az implantátumok egyre jobbá váltak, azonban a betegek kb. 20%-a továbbra is elégedetlen. A betegközpontú ellátás fókuszában a páciens jobb megértése áll, amelyhez szükséges az igényeinek pontos megismerése, a betegedukáció, valamint a páciens jobb involválása a gyógyulás folyamatába. A protézis-beültetés eredményét a sebész az ellátás több pontján is ellenőrzi, ugyanakkor a betegközpontú ellátásban nélkülözhetetlen, hogy a műtét értékelésében a páciens is szerephez jusson. A közleményben összefoglaljuk a páciensek által értékelt klinikai eredmények mérőmódszereinek (PROM) szerepét a műtéti kimenetel vizsgálatában, bemutatjuk a térdprotézisműtét kapcsán használt leggyakoribb pontrendszereket (Knee Society Score, Oxford Knee Score, Western Ontario and McMaster Universities Osteoarthritis Index, Knee Injury and Osteoarthritis Outcome Score, Forgotten Joint Score). Ismertetjük két pontrendszer magyar nyelvre történő adaptálását, ennek folyamatát, tanulságait. A PROM kérdőívek használatával számos információval leszünk gazdagabbak. Így megismerhetővé válik a páciens által megélt műtét előtti állapot, valamint a műtéti utáni funkcionális javulások, valamint ezek összehasonlítására is lehetőség nyílik. Kimutathatóvá, kutathatóvá válik a műtétre kerülő páciensek praxison belüli mintája műtét előtt és után, a mozgás-beszűkülés, mozgáskorlátozottság és a fájdalom mértékét illetően. Mérhetővé válik a különböző technikákkal műtött páciensek rehabilitációjának, állapotjavulásának különbsége a praxis gyakorlatában.
Revisiting 1177 BCE and the Late Bronze Age Collapse
Authors: Cline Eric H.
Published: June 2022

In 2021, a revised and updated version of 1177 BC: The Year Civilization Collapsed was published, in order to include all the new data that had appeared in the intervening seven years. As noted there, we now have additional evidence for drought and climate change around 1200 BCE, in regions stretching from Italy and Greece to Egypt, Turkey, Syria, Lebanon, Israel, and Iran. There is also new textual evidence for both famine and invaders in Ugarit immediately prior to its destruction. As outlined in this essay, taken from arguments in the revised edition, I continue to believe that there was no single “smoking gun” that can explain the upheaval that ended the Bronze Age and that it took a “perfect storm” of catastrophes to bring the era to an end in these regions.
Some Historiographical Aspects about African and Afro-Brazilian Black Men and Women in the Diaspora and in the Formation of Brazil
Authors: Dos Santos José Francisco
Published: June 2022

The teaching of Afro-Brazilian history and culture has become mandatory in 2003 with Law 10,639. Until this date, the history that has been told to us, mainly through textbooks, has impregnated in the collective imaginary the representation of black bodies as bodies devoid of humanity, reified bodies, without any reaction to the system of slavery to which they were subjected. Despite the process of exclusion that they still experience in contemporary times, the history of black women and men in the African and Afro-Brazilian diaspora requires another narrative that will restore to this humanity its place of protagonism and resistance in the formation of Brazil. That is the purpose of this text.
Political History, Black Movement and Black Feminism
Authors: Da Silva Ana Lúcia , Priori Angelo
Published: June 2022

Based on the theoretical contribution of the New Political History, envisioning the epistemologies of the South, that is, the political and social struggles of groups and/or social movements, such as the Black Movement and Black Feminism in Brazil, this paper aims to give visibility to black women in Brazilian politics through the life trajectory and legacy of Marielle Franco, analyzing the seeds that blossomed in the 2020 Municipal Elections. According to the Atlas of Violence (2019), organized by the Institute for Applied Economic Research (IPEA) and the Brazilian Public Security Forum (FBSP), in the global context, Brazil is one of the four countries that concentrate 80 % of the murders of activists of Human rights. Considering the murder of councilwoman Marielle Franco and the driver Anderson Pedro Gomes, on March 14, 2018, structural and everyday racism, patriarchy, male chauvinism, among other practices of oppression of modernity/coloniality in contemporary times and the results of the 2020 Municipal Elections, in this text the objects of analysis are: the Marielle Franco Agenda (2020) of the Marielle Franco Institute, and the results of the Municipal Elections (2020), giving visibility to black people, specifically black women, as in Curitiba, capital of Paraná, southern Brazil.
Proposal for an innovative framework for teaching ergonomics
Authors: Carina Campese  , Janaina Mascarenhas
Published: June 2022

Project-Based Learning (PBL) is a teaching and learning approach that has many advantages for students, and it can be applied in ergonomic disciplines since they require a more innovative teaching approach. Thus, following a PBL approach and phases of concepts´ generation from the literature, this work aimed to develop a framework that connects four phases of concepts´ generation with appropriate methods. The result of this work (the framework) was applied in five case studies, with 198 students in ergonomics classes. As conclusions, it can be said that the framework directs professors in a structured way and contributes to a greater fixation of theory by students, as well as a greater understanding of their practice.
Blockchain for E-governances and foster innovations: A context on Indian Subcontinent
Authors: Vilma Mattila  , Prateek Dwivedi  , Pratik Gauri  , Md Ahbab
Published: June 2022

With the advent of multiple emerging technologies, we are on the verge of 4IR. This revolution exposes new challenges as well as exciting opportunities. Only the countries with expertise in these emerging technologies can successfully meet the challenges and exploit the opportunities. Blockchain technology is widely regarded as one of the core and foundational technologies that will be one of the driving forces for the upcoming 5IR (Fifth Industrial Revolution). Realizing its potential, many developed as well as developing countries around the world have started exploring how blockchain technology can prepare them for the future challenges and benefit them to solve many existing complex problems to achieve the SDGs (Sustainable Development Goals) by 2030. This paper is an effort to recognize the need to explore blockchain technology in order to advance its technical capacity, increase efficiency in e-Governances and foster innovations.
Constraints and opportunity of mango Production in the case of Homosha woreda, Benishangul gumuz regional state, Ethiopia
Authors: Alemayehu Keba Beyene  , Musba Kedir Mohammed
Published: June 2022

Mango is the crucial fruits for home consumption and playing a significant role in the local economy as a means of earning livelihoods for millions of farmers, creating jobs and generating foreign currency in Ethiopia. Homosha woreda’s which is found in Assosa zone of Benishangul gumuz regional state western part of Ethiopia is potential in fruits production; mainly avocado, mango and papaya are the dominant sub-tropical fruits in the woreda’s. However, currently, farmers are not benefited and production and productivity of the fruits are being decreasing from time to time because of some constraints of them. Therefore this study was attempted to assess the production constraints of mango in the woreda’s. Random sampling method and quantitative and qualitative data type has been employed for data collection. Accordingly, data was collected from 90 randomly selected mango producing households in the woreda’s from three Kebeles namely Algela, Dareselam and Ashura. Focus Group Discussion and Key Informant Interview were made to organize qualitative data type. The result showed that disease, insect pests, bird damage, land shortage, lack of credit, high input price, limited knowledge, poor seed quality and weed were the core production and productivity constraints of mango in Homosha woreda’s. Therefore the policy makers should have to encouraging the researcher to release generation of disease and insect tolerant varieties of mango, strengthening extension services and also enhance knowledge and skills of smallholder farmers’ developmental endeavors should work and participate on the provision of improved crop varieties, input delivery, support research and development should be focused to improve the livelihood and economy of the farmers’.
Dynamics of artisanal gold mining in Gashaka local government area of Taraba State, Nigeria
Authors: Ahmed YM  , Oruonye ED  , Abdulkadir Usman Adamu
Published: June 2022

Despite the fact that gold has been mined in Gashaka, Taraba State for over a century and has continued to present day in the area, not much is known about this activity and its associated environmental impact in the state. This study therefore, examines the dynamics of artisanal small scale gold mining activities in Gashaka Local Government Area of Taraba State, Nigeria. The study adopted survey research design approach which involves the use of direct fieldwork observation and interview of key informants. The findings of the study reveals that alluvial gold is mined along the streams and farmlands on the floodplains in the area. The gold exists as alluvial gold dust and nugget gold. The artisanal gold mining activity is carried out with rudimentary materials such as pickaxes, diggers, shovels, spades, pans and water pumps. Some of the local mining communities are Gayam, Jamtari, Karamti, Serti, Goje, Bodel, Mayo Jim, Bashishir, Kurr and Garbabi. The 3 major methods employed by artisanal gold miners in the study area include panning method, use of locally constructed devices and picking of gold nuggets or crystals from dug pit on the floodplain. The artisanal gold miners use sulphuric acid and white mercury in purifying the collected gold. The miners do not use any protective gears such as face masks, rubber gloves, leather boots or head coverings in the mining process. All golds collected from the mining activities are sold in the town (Serti/Baruwa). There is a ready market with both local buyers residing in the town and distant buyers coming from different parts of the country. Artisanal gold mining is an important livelihood activity in the study area despite the fact that many of them are carried out illegally. Based on the findings, the study recommended the establishment of a goldsmith industry, improvement in security in the local communities and organizing the artisanal gold miners into cooperative organizations.
Literature review on targeted therapies in management of solid tumours
Authors: Madhavi Venkata Bellala  , Srikanth Dikkala  , Tulika Tyagi  , Prithviraj Bellala  , Rishik Bellala  , Ravishankar Bellala
Published: June 2022

Purpose: To depict the emergence of targeted therapies that have led to distinguished breakthrough in the management of cancer. Methods: The literature was systematically reviewed, based on their evolution and their use with understanding on the adverse effects. Results: Cancer genomics and model systems have enabled new therapeutic strategies. Targeted therapy is a novel cancer treatment that targets the specific molecular targets associated with cancer, where as chemotherapy drugs act on rapidly dividing normal and cancer cells. Most types of targeted therapies are designed to interact with the specific target. Targeted therapies can block or turn off signals thus control growth, division of cancer cells. Most targeted therapies are either small-molecule drugs or monoclonal antibodies. Targeted therapies are the cornerstone of precision medicine that uses information about the genes and protein. This review will discuss various targeted therapies in management of solid tumors.
Triple positive lung cancer: A case report
Authors: Bellala Ravishankar  , D Srikanth  , BV Madhavi  , Tulika Tyagi  , B. Prithvi Raj  , B Rishik
Published: June 2022

Background: Targeted therapies in nonsmall cell lung cancer has changed the landscape of management and carved the disease in to more different sub types. Despite of considerable initial response to 1st generation and 2nd generation tyrosine kinase inhibitors patients develop resistance in the due course. Secondary mutations are due to threonine and methionine substitution at 790 (T790M) of EGFR. T790M mutation are resistant to 1st and 2nd generation TKI.Osimertinib is a irreversible third generation epidermal growth factor receptor tyrosine kinase inhibitor effective against EGFR T790M mutation positive lung cancer. Patients are inescapable of developing resistance with Osimertinib in spite of initial response and leaving no further definite therapeutic options. In 20-30% patients with osimertinib resistance develop EGFR C797S mutation. Our objective is to show the patient journey with primary, secondary mutation withT790M and tertiary mutation in C797S. Key Messages: Prospective molecular tumor profiling is now the standard of care in the treatment of metastatic NSCLC. Re-biopsy or liquid biopsy on progression of first and second line TKI to look for T790M has already been in routine practice. Re-biopsy or liquid biopsy on progression of third line TKI and molecular profiling can guide us in further management.
Appropriate watering interval for Prunus africana nursery seedlings in Egerton University, Njoro, Kenya
Authors: Shadrack Kinyua Inoti  , Doris Cherop
Published: June 2022

Water is essential in raising seedlings but needs to be efficiently utilized since it is a scarce resource. Hardening off of nursery seedlings through reduction of watering regime leads to better survival. Watering interval is not well determined and this can vary with species type and locality. An experiment was set up in dry season to determine the most appropriate watering interval for African stinkwood (Prunus africana) seedlings in Egerton University, Kenya. The experiment was laid down as a Completely Randomized Design with 4 treatments replicated 3 times. Treatments comprised of different watering intervals, which were as follows; twice daily, once daily, 2 days and 4 days, which were applied for 2 months on seedlings during January to March 2018. ANOVA was used to determine treatment differences while SED was used to determine the significantly different treatment means at p ≤ 0.05. Results showed that watering twice daily gives the best growth of Prunus seedlings but encourages succulent foliage growth which is not favourable for planting out seedlings. Therefore two days watering interval is the most ideal for hardening off seedlings that are non-succulent in the highlands since it reduces foliage growth and encourages woodiness. The recommended interval is 2 days since it showed good growth with minimal water use equivalent to 25% of the water used by seedling watered twice daily. The results can be applied in the Kenyan highlands for non-succulent species. Further studies needs to be done for different pot sizes and soil mixtures.
Biometric risk factors for acute glaucoma attack
Authors: Kolenko O. V. , Sorokin E. L. , Pashentsev Ya. E. , Marchenko A. N. , Samokhvalov N. V.
Published: June 2022

PURPOSE. To assess the prognostic significance of the LAF coefficient (Lens thickness/Axial length factor) as a risk factor for acute glaucoma attack in anatomically short eyes of Europeans.

METHODS. Group 1 consisted of 24 patients (48 eyes) with axial hyperopia. Group 2 included 24 patients (48 eyes) with primary closure of the anterior chamber angle. Group 3 — 17 patients (34 eyes) with initial stage of primary angleclosure glaucoma. Group 4 — 35 patients (35 eyes) with an acute attack of glaucoma. The studied groups did not differ in age (p=0.97) and gender (p=0.28). Lens thickness and axial length (AL) were measured by A-scan with calculation of the LAF coefficient.

RESULTS. The LAF coefficient in group 4 (acute attack) was statistically significantly higher than in the other three groups. The best separation of groups 1 and 4 was seen in LAF coefficient compared to lens thickness and AL with sensitivity, specificity and the area under the curve (AUC) of 89%, 83% and 0.9, respectively. LAF coefficient values greater than 2.332 in patients with short AL are objectively associated with high risk of acute attack of glaucoma. The average value of the LAF coefficient (2.528) observed in group 4 (acute attack of glaucoma) significantly exceeds these parameters in works of other authors, which may be associated with morphometric structural features of the eyes of Europeans compared to the eyes of Asians.

CONCLUSION. The LAF coefficient provides better separation of group 1 and 4 in comparison with lens thickness and, especially, axial length. LAF coefficient values greater than 2.332 in eyes with short AL objectively indicate high risk of acute attack of glaucoma, as evidenced by high sensitivity, specificity, and AUC.