bluuebunny/crossref_metadata_2025 huggingface dataset:
Association between iron deficiency anaemia and ischaemic stroke: A systematic review
Authors:   School of Nursing and Midwifery ,Royal College of Surgeons in Ireland, St Stephens Green, St Peters, Dublin 2, Ireland., Manoj Preethy
Published: May 2024

Background: Stroke is a leading cause of disability and death in adults. Hypertension, diabetes mellitus, hyperlipidaemia and atherosclerosis are reported to be the most common causes for stroke. The World Health Organisation has reported that the most common nutritional deficiency in the world is iron deficiency anaemia [IDA] affecting 30% of the world’s population. However, very little is known about the association between IDA and stroke in adults. This systematic review aims to evaluate the association between IDA and ischemic stroke in adults.
Fetal extra-abdominal umbilical vein varix: Two cases of a rare malformation
Authors:   Womens Department, Kantonsspital Aarau, Switzerland., Cavegn Barbara Baur , Popelka Julia ,   Womens Department, Kantonsspital Aarau, Switzerland., Arioglu Suekrue ,   Womens Department, Kantonsspital Aarau, Switzerland., Bernasconi Monya Todesco ,   Womens Department, Kantonsspital Aarau, Switzerland.
Published: May 2024

Fetal umbilical vein varix is a rare malformation of the umbilical cord. Most of the varices arise intraabdominally and there have been multiple studies about the diagnosis and management of fetal intra-abdominal umbilical vein varices. However fetal extra-abdominal umbilical vein varices are much rarer and up to date there are no clear criteria for the diagnosis or the clinical management of the condition. We saw two cases within a month in our ultrasound department in 2022 and had a favorable outcome in both pregnancies. In the first case the diagnosis was only established at 39 weeks of gestation, and we performed a cesarean section the next day. The second case was diagnosed at 31 weeks of gestation. The patient was admitted to hospital, and we administered Betamethasone for RDS prophylaxis. At 34 weeks of gestation there were fetal heartbeat abnormalities, and a cesarean section was performed. We also reviewed the literature of previous cases and our two cases included, so far only 19 cases of fetal extra-abdominal umbilical vein varix have been described.
Preoperative Epidural Infusion for Blood Pressure Control in Phaeochromocytoma
Authors:   Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India., Kurdi Madhuri , Hiregoudar Sheetal ,   Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India., Baiju Amritha ,   Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India., Deshpande Shrinidhi ,   Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India., AS Athira ,   Department of Anaesthesiology, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India.
Published: May 2024

The 2004 World Health Organization (WHO) classification of endocrine tumours defines phaeochromocytoma as a catecholamine-producing intra-adrenal tumour arising from the chromaffin cells. The most important functional characteristics of the adrenal and extra-adrenal sympathetic tissue derived tumours is the production of various types of catecholamines and the related clinical attributes [1]. Preoperative blood pressure control in phaeochromocytoma is an uphill task using multiple medications leading to post operative hypotension. It is well known that complete prevention of perioperative hypertension and tachycardia cannot be achieved by any dose or combination of drugs. Epidural anesthesia is often used for pain control in open resection of these tumours; one of its side effects is hypotension [2]. We describe here a case of phaeochromocytoma in whom perioperative blood pressure control was achieved with the help of epidural drugs instead of systemic antihypertensive medications.
Stenting for Severe C7 Stenosis of Internal Carotid Artery (ICA) and Related Literature Review
Authors:   Inner Mongolia Neuroscience Society, Hohhot, China., Wang Xiao-Dong , Zhang Jian-Ping ,   Inner Mongolia Neuroscience Society, Hohhot, China., Bao Jin-Gang ,   Inner Mongolia Neuroscience Society, Hohhot, China., Zhu Xin-Wei ,   Inner Mongolia Neuroscience Society, Hohhot, China., Wu Ri-Le ,   Inner Mongolia Neuroscience Society, Hohhot, China.
Published: May 2024

Intracranial Atherosclerosis (ICAS) is a common cerebrovascular lesion worldwide and an important cause of stroke [1]. Nonmodifiable risk factors include age, gender, and genetics, with age being a key factor and atherosclerosis usually progressive, with no clinical manifestations until middle age. Ischemic Heart Disease (IHD) has increased fivefold among people aged 40 to 60. Before menopause, women are less prone to atherosclerosis than men, and the incidence of atherosclerosis is increased in postmenopausal women [2,3]. The inheritance of various genetic polymorphisms and the accumulation of family risk factors (such as diabetes and hypertension) create multiple conditions for the formation of atherosclerosis [4]. On the other hand, modifiable risk factors, such as smoking, hyperlipidemia, diabetes, and high blood pressure, can be improved by adjusting daily life. Studies have analyzed that white people are prone to extracranial arterial occlusive disease, while Asian, black and Hispanic people have a higher risk of intracranial atherosclerotic disease [1]. Therefore, the prevention of atherosclerotic disease, has been very urgent, to increase publicity, from the source to solve the problem.
Association between Medical Coping Modes and Family Function among Older Adults with Hypertension
Authors:   The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, China., Yang Wenwen
Published: May 2024

Background: Coping, an essential intermediary variable of psychological stress, may affect the process of disease, and alongside family function, has also been linked to patient quality of life. However, these have not yet been investigated in older adults with hypertension. Objective: To investigate the correlation between medical coping modes and family function, and the associated factors among older adults with hypertension in China. Methods: This cross-sectional study included 341 patients (135 men, 206 women) with a mean age of 75.16. Participants were recruited from three hospitals in China, the Medical Coping Modes Questionnaire and the Family APGAR Index Scale were used to collect dada. Data were analyzed using Pearson correlation and multiple linear regression analysis in SPSS 26.0. Results: Medical coping ability included three dimensions: Confrontation (19.42±3.83), avoidance (14.37±3.02), acceptance– resignation (9.19±2.09), and family function (7.47±1.47) were insufficient in older adults with hypertension; further, family function was positively correlated with the confrontation dimension (p<0.05), and negatively correlated with the acceptance– resignation dimension (p<0.05). Conclusion: Improving family function among older adults with hypertension could enhance confrontation and reduce acceptance–resignation. Family-centered intervention measures may assist in promoting coping ability and healthy behaviors among older adults with hypertension.
Getting Straight about Male Homophobia: Rejecting the Reaction Formation Theory in Favor of Socialized Male Peer Acceptance
Authors:   Liberty Healthcare Corporation, Bala Cynwyd, PA, USA., Jennings Jerry L
Published: May 2024

The predominant explanation of male homophobia, for lay persons and professionals alike, is a Freudian reaction formation against one’s own repressed or suppressed homoerotic desires. Instead, the primary motivation for homophobic behavior by men and boys is avoiding social shaming and maintaining social acceptance. In short, men and boys display homophobic behavior not because they fear that they are homosexual, but because they fear that other males might think that they are homosexual.
Challenges and Practices in Modern Hand Surgery Nursing
Authors:   Renhe Hospital, Changsha, Hunan, 410004, China., Chan Zhang , Shouping Chen ,   Ringbone Orthopedic Hospital, Changsha Hunan, 410004, China.
Published: May 2024

Purpose: This study aims to explore the changes in the patient spectrum and the challenges and practices in nursing brought about by the evolution of modern hand surgery patients and medical development. Methods: A retrospective study was conducted on clinical data from 21,512 hand surgery patients in our hospital over the past 15 years. The study examined changes in patient spectrum, shifts in patient demands, evolutions in nursing models, and variations in patient satisfaction. Results: The patient spectrum exhibited variations, accompanied by changes in patient demands and corresponding adjustments in nursing approaches. To address the challenges in hand surgery nursing, comprehensive training, rigorous assessments, skill enhancement, emphasis on practical effectiveness and proficiency, and continuous adaptation were employed as measures. These bold practices significantly improved the quality of nursing care. Conclusion: Practice has shown that changes in the patient spectrum have posed challenges to nursing, which, in turn, spurred innovative thinking, refreshed perspectives, and promoted the development of nursing work.
Treatment Outcomes of Mechanically Ventilated Patients with COVID-19 and Associated Factors among Hospitalized Patients at ICU of SPHMMC, Addis Ababa, Ethiopia
Authors:   Adama Hospital Medical College, Adama, Ethiopia., korbu Shimelis , Solomon Mariamawit ,   Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia., Aklog Etsegent ,   Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia., Zewdie Ayalew ,   Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia., Mamo Derejit ,   Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia., Keflegn Yonas ,   Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia., Mesfin Filagot ,   Alert Hospital, Addis Ababa, Ethiopia., Deksisa Alem ,   Adama Hospital Medical College, Adama, Ethiopia.
Published: May 2024

Introduction: Coronavirus (CoV) is derived from the word ‘corona’ meaning ‘crown’ in Latin. Coronavirus causes a range of human respiratory tract infections varying from mild cold to severe respiratory distress syndrome. Nowadays, due to the limited number of ICU beds and ventilators and the increasing number of patients with COVID-19 infection requiring MV data on patient characteristics, and outcomes of critical illness from COVID-19 are needed to inform decision-making about resource allocation, critical care capacity, and treatment of patients. Objectives: To assess outcomes and associated factors of patients with COVID-19 on mechanical ventilation at SPHMMC COVID ICU, Addis Ababa, Ethiopia, 2020 G.C. Methods: A single center cross-sectional study was used. All consecutive ICU admitted patients with RT-PCR confirmed COVID-19 and received mechanical ventilation support during the first 5 months were included. Data was collected from patient’s medical records using a structured questionnaire and the collected data was entered and analyzed using SPSS version 24. Results: A total of 104 ICU patients with COVID-19 were included. The majority, 73.1% were male; the median age was 60 (IQR; 45-70) years, with 36.5% patients having at least one chronic medical condition. Out of 165, 104(63%) patients needed mechanical ventilation. Invasive and noninvasive ventilation were used in 93(89.4%) and 11(10.6%) patients, respectively. The most common treatments used by the patients were steroid (100%), antibiotics (99%) and vaso-pressors (57.7%). Experimental antiviral therapy was used in only 1% (n=1) of patients. Overall the ICU mortality was 14.6% and 88.5% among mechanically ventilated patients. Being fatigue (AOR=7.599; 95% CI: 1.65-35.12), IMV (AOR=5.28; 95% CI: 1.01-27.71), and septic shock (AOR=12.83; 95% CI: 1.46-13.11) were a significant risk factors for the ICU outcomes of the patients. Conclusion: The study showed high proportion of mortality among ICU patients who received mechanical ventilator support with low rate of discharge. Male patients and old age groups with co-morbidity were disproportionately affected by the disease condition.
Afghan Immigrant and Refugee Women’s Satisfaction with Maternity Wards Services in Iran
Authors:   Midwifery (MSc), Instructor, Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran., Khorasani Fahimeh , Mobasher Mina ,   Department of Medical Ethics and History, Faculty of Iranian Medicine, Kerman University of Medical Sciences, Kerman, Iran., shafiei Shohreh ,   Master of Biostatistics, Jiroft University of Medical Sciences, Jiroft, Iran., Alidousti Katayoun ,   Midwifery (MSc), Instructor, Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran., Mohammadi Shahrzad ,   BS student in Midwifery, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran., Kouhestani Zahra ,   Bachelor of Midwifery, Zahedan University of Medical Sciences, Razi Saravan Hospital, Iran.
Published: May 2024

Background: Pregnant refugee women are considered a vulnerable group. They are at too high risk of adverse outcomes for mother and newborns. This study aimed to determine Afghan immigrant and refugee women’s satisfaction with maternity wards services. Materials and methods: A retrospective study carried out on 317 mothers who had referred for postpartum, or abortion care to health care centers. A researcher-developed questionnaire with 32 questions in six different domains was used the level of satisfaction. Data were analyzed by SPSS software, and Spearman, Mann-Whitney, and Kruskal-Wallis tests. Results: Results showed that the mean age of the participants was 27.55±6.24 years. 50.7% had vaginal delivery. The mean score of verbal (15.73±0.53), physical (13.82±0.47), confidentiality (5.88±0.46), and payment process (4±0) domains of satisfaction was good. There was relationship between age of participants and verbal (r=0.15; p=0.02), physical (r=0.16; p=0.02), and consent on care domains of satisfaction (r=0.17; p=0.01). And the type of delivery was related to the negligence domain (p<0.001). Conclusions: Participants received good respectful care except in negligence and consent on care domains. Specific interventions, or plans appear to be essential to improve all domains of care.
Challenges and Practices in Modern Hand Surgery Nursing
Authors:   Renhe Hospital, Changsha, Hunan 410004, China., Chan Zhang , Shouping Chen ,   Ringbone Orthopedic Hospital, Changsha, Hunan 410004, China.
Published: May 2024

Purpose: This study aims to explore the changes in the patient spectrum and the challenges and practices in nursing brought about by the evolution of modern hand surgery patients and medical development. Methods: A retrospective study was conducted on clinical data from 21,512 hand surgery patients in our hospital over the past 15 years. The study examined changes in patient spectrum, shifts in patient demands, evolutions in nursing models, and variations in patient satisfaction. Results: The patient spectrum exhibited variations, accompanied by changes in patient demands and corresponding adjustments in nursing approaches. To address the challenges in hand surgery nursing, comprehensive training, rigorous assessments, skill enhancement, emphasis on practical effectiveness and proficiency, and continuous adaptation were employed as measures. These bold practices significantly improved the quality of nursing care. Conclusion: Practice has shown that changes in the patient spectrum have posed challenges to nursing, which, in turn, spurred innovative thinking, refreshed perspectives, and promoted the development of nursing work.
A remote sensing image object detection algorithm based on transfer learning
Authors: Dongyang Chen
Published: May 2024

As a method to obtain and process remote sensing images by using remote sensing technology, remote sensing image analysis has been extensively used in various important fields. It plays a key role in environmental monitoring, resource management, urban planning, agricultural forestry, disaster monitoring, climate research, military reconnaissance, public safety, transportation, biomedicine, etc. To solve the problems of remote sensing images such as variable object scale, fuzzy object, and complex background, a remote sensing small sample object detection algorithm RE-FSOD based on feature reweighting was proposed. The model consists of a meta-feature extractor, a feature reweighting extractor, and a prediction module. The meta-feature extractor is composed of CSPDarknet-53, FPN and PAN, and it is responsible for extracting the meta-features of the data; The feature reweighting extractor is used to generate feature reweighting vectors, which are used to adjust meta-features to strengthen features that help detect new categories; The prediction module is composed of the prediction module of YOLOv3.On this basis, the positioning loss function is replaced by the CIOU loss function to improve the positioning accuracy of the model. Finally, training and testing were carried out on the NWPUVHR-10 remote sensing data set. The experimental results revealed that compared with the baseline method FSODM, the method was improved by about 19 %, 11 % and 8 % in the case of 3-shot, 5-shot and 10-shot, respectively.
Comparative Analysis of Mppt Techniques for Grid Tie Solar Pv Applications
Authors: Anil N. Patel
Published: May 2024

For effective energy harvesting, photovoltaic (PV) systems must produce their maximum amount of power. This is especially true for grid-tie applications, where the objective is to feed generated power into the grid. The different Maximum Power Point Tracking (MPPT) methods used in grid-tie solar PV systems are compared in this paper. In order to guarantee that PV arrays function at their maximum power point in a variety of environmental circumstances, MPPT algorithms are essential. A DC-DC boost converter is also used for interfacing the load and photovoltaic module. Result is simulated in MATLAB/Simulink environment, and all the condition is kept same for both techniques in simulation for the best outcomes of this comparative study. The efficiency, accuracy, convergence speed, and implementation complexity of several MPPT techniques—Perturb and Observe (P&O), Incremental Conductance (INC), Fractional Open Circuit Voltage (FOCV), and Particle Swarm Optimization (PSO)—are assessed and contrasted in this study. The performance of each technique under various operating conditions is demonstrated through MATLAB/Simulink simulation results, which help in the selection of the optimal MPPT method for grid-tie solar PV applications.
Analysis of the Characteristics of Used Battery Safety Regulations by Life Cycle Perspective in Japan
Authors:   The Northeast Asia Economic Association Of Korea, Choi HaeOk
Published: May 2024

The importance of the used battery field is growing as it is a market that is
bound to grow as secondary batteries rapidly emerge, but technology development
and industrial revitalization are hindered by issues such as safety management. The
study analyzes the characteristics of Japan’s used battery regulations from a
life-cycle perspective and seeks to provide implications for establishing similar
policies in Korea. The analysis results are as follows. First, Japan is managing
battery data by establishing a digital platform considering the entire value chain and
life cycle. Second, Japan is strengthening its demonstration project for reuse of used
batteries. Third, Japan is promoting technology development with ‘standards’ in
mind to secure the battery supply chain. As safety is a key issue in the future
transition process from internal combustion engine vehicles to eco-friendly vehicles,
research on the topic of safety must continue to be conducted in the future. This
study is significant in that it provides implications by reviewing systems and
policies that Korea can refer to through an analysis of the case of Japan.
Antibacterial Evaluation of Cu-Nb and Cu-Ta Monolayer Coatings on Biomedical Ti-6Al-4V Alloy
Authors:   East Kazakhstan Technical University named after D. Serikbayev, Azamatov Bagdat , Borisov Alexander ,   East Kazakhstan Technical University named after D. Serikbayev, Dzhes Alexey ,   East Kazakhstan Technical University named after D. Serikbayev, Maratuly Bauyrzhan ,   East Kazakhstan Technical University named after D. Serikbayev
Published: May 2024

The aim of this study: Evaluation of the antibacterial properties of two-component metal coatings based on Cu-Ta and Cu-Nb applied to samples from the biomedical Ti-6Al-4V alloy by magnetron sputtering. Methods. Two-component metal coatings based on Cu-Ta and Cu-Nb were obtained by magnetron sputtering with joint spraying of targets made of pure metals Cu, Nb, Ta. The antibacterial and antimicrobial properties of the coatings were evaluated in vitro using the disk diffusion method, also known as the radial diffusion method in agar. Results. It was found that coatings with a thickness of 10 microns demonstrated varying degrees of antimicrobial efficacy during three days of testing: the maximum inhibition zone of the Ta-Cu coating reached 24.0 mm for S. Aureus and 17.0 mm for C. Albicans. For Nb-Cu coating, the maximum inhibition zone reached 25.0 mm for S. Aureus and 15.5 mm for C. Albicans. Conclusions. The optimal parameters of direct current magnetron sputtering of Ta-Cu Nb-Cu antibacterial thin films on Ti-6Al-4V alloy substrates have been selected. The antimicrobial effect of Ta-Cu and Nb-Cu coatings is more effective against bacteria than against fungi, and with the same thickness, Ta-Cu coatings are better suited to protect the endoprosthesis from microbial infections than Nb-Cu coatings. Ta-Cu and Nb-Cu coatings are promising for the production of endoprosthesis implants with increased surface resistance to both bacteria and fungi. The results obtained are promising for the development of technologies for obtaining coatings for medical implants with increased bactericidal and biocompatible surface properties.
A Comparative Perspective on Fee Policies Used in OECD Countries for Financing Higher Education
Authors: Çetinkaya Reşit , Çavdar Ertuğrul
Published: May 2024

One of the biggest problems faced by countries globally is the financing of higher education. Especially in the face of increasing demand for higher education and limited public resources, countries are in need of reform in terms of financing higher education. In recent years, there has been a global trend towards the adoption of higher education financing strategies that focus on cost sharing. The purpose of this study is to examine the higher education financing policies of countries with different systems compared to Turkey, to address the financial challenges in Turkish higher education financing, to recognize alternative financing options and to suggest strategies for Türkiye to expand its financing sources. For this reason, the study is “descriptive” and the data on the countries are analyzed by using the “documentary scanning” method. A comparative perspective on higher education financing is presented by analyzing the current higher education financing policies in OECD countries and their current remuneration schemes. The study covers all OECD member countries. As a sample, the current state of financing models and fee structures in seven countries, including the United States, Australia, Germany, the United Kingdom, China, Japan, Russia, the United States, Australia, Germany, the United Kingdom, China, Japan and Russia, each with different higher education finance policies, are presented. In order to improve higher education financing in Türkiye, it is suggested that the “Income- Contingent Loan” method, which is offered to the student on an optional basis in the collection of debts in higher education financing systems, should be implemented as an alternative student borrowing method, even if it is not generally used in every country.
MODERN ETİK KABULLERİN SİYASETEN GİZLEDİKLERİ: KÜRESEL İKLİM DEĞİŞİKLİĞİ POLİTİKALARI VE SAVAŞ ÜZERİNE BİR DEĞERLENDİRME
Authors: Elmas Recep , Uygur Mehmet Nazım , Bozan Özgür
Published: May 2024

Eylemin değerinin ve doğru eylemin ne olduğunun belirlenmesine yönelik çabalar insanın düşünsel tarihine eşlik eden önemli bir mesele olmuştur. Bu sorun klasik dönemde iyi, akıl ve siyaset arasında kurulan ilişkide çözülmeye çalışılmıştır. Ancak modern dönemin iyi, akıl, siyaset tasarımı, bu kavramlaştırmada felsefeye biçtiği rol, liberal, komüniteryen, postmodern düşünce ile Badiou’nun eşitlik felsefesi tarafından sorunlu bulunmuştur. İlgili düşünceler, modernitenin klasik dönemden aldığı unsurları tarihsel ve toplumsal bağlamından kopardığı için işlevsizleştirdiğini, bu mirası yeni bir zemine oturtmak için kullandığı yöntemin sorunu çetrefilleştirdiğini ve yöntemin sonuçlarını genel kabullere döndürerek sorunlarla mücadele etmeyi güçleştirdiğini tespit etmiştir. Modern düşüncenin bu tutumu, etik ile ilişkilendirdiği tüm durumlarda bir kriz olarak karşımıza çıkmaktadır. Krizin merkezinde etik bir değerin siyasi ilişkileri maskelemekten başka bir işleve sahip olmaması yatmaktadır. Çalışma bu durumu küresel siyaseti meşgul eden iklim değişikliği politikaları ve savaş durumu üzerinden açıklamaya çalışmıştır.
ULUSLARARASI HİZMET TİCARETİ OLARAK SAĞLIK HİZMETİ İHRACATI İLE DÖVİZ KURU VE EKONOMİK BÜYÜME ARASINDAKİ İLİŞKİ
Authors: Batbaylı Şule , Ertürk Emin
Published: May 2024

Son yıllarda uluslararası hizmet ticareti hızla artmaktadır. 1990’lı yıllarda Dünya Ticaret Örgütü hizmet sektörünün gelişmesine katkıda bulunan düzenlemeler yapmış ve kurallar belirlemiştir. Uluslararası hizmet ticaretini engelleyen durumlar ortadan kaldırılmış veya en aza indirilmiştir. Ayrıca hizmet sektörleri belirlenmiştir; sağlık, eğitim, turizm, danışmanlık, sigortacılık, bilişim vb. hizmetleri ticarete konu olmuştur. Çalışmada, dünyada son zamanlarda cazip bir sektör haline gelen uluslararası sağlık hizmetinin (sağlık turizmi veya sağlık hizmeti ihracatı olarak adlandırılan alan) döviz kuru ve ekonomik büyüme ile ilişkisinin olup olmadığını araştırmak amaçlanmıştır. Bu bağlamda Türkiye’nin hizmet ihracatı geliri olan sağlık hizmeti ihracatı ile reel efektif döviz kuru, ekonomik büyüme, cari denge, turizm gelirleri ve hizmet giderleri, Johansen Eşbütünleşme analizi yardımıyla analiz edilmiştir. 2002:Q1-2019:Q4 dönemine ait veriler kullanılarak test uygulanmıştır. Elde edilen sonuçlara göre, değişkenler arasında uzun dönemli ilişkinin olduğu görülmüştür. Ekonomik büyüme ile turizm gelirleri, sağlık hizmeti ihracatını pozitif yönde; reel efektif döviz kuru, hizmet gideri ve cari denge, sağlık hizmeti ihracatını negatif yönde etkilemektedir. Çalışmada döviz kurunda yaşanacak değişimin sağlık turistlerinin ülke seçiminde belirleyici olabileceği bulunmuştur. Ayrıca analizde uygulanan hata düzeltme modeli testi, uzun dönemde dengede oluşacak sapmaların düzeltilebileceğini göstermiştir.
MUHASEBE MESLEK MENSUPLARININ MUHASEBEDE DİJİTALLEŞMEYE GEÇMELERİNİ ETKİLEYEN FAKTÖRLERİN SWARA YÖNTEMİYLE AĞIRLIKLANDIRILARAK ÖNEM SIRASININ BELİRLENMESİ
Authors: Arslan Öznur
Published: May 2024

Küreselleşmeyle beraber teknolojik inovasyonlar dünya genelinde ekonomik, siyasi, sosyal ve kültürel olarak insan hayatını doğrudan etkilemektedir. Birçok iş kolu bu değişim ve dönüşümden nasibini alarak uygulamalarında köklü yeniliklere yönelmeye karar vermişlerdir. Söz konusu değişimleri benimseyen ve uygulamalarına yansıtan iş kollarından birisi de muhasebe mesleğidir. Meslek mensupları, bu süreçte çeşitli zorluklar yaşamış ve değişime ayak uydurmaya çalışmıştır. E-dönüşüm sürecinin devlet tarafından başlatılması dijitalleşme sürecine büyük katkı sağlamış, dijitalleşme sürecinde meslek mensuplarını etkileyen pek çok faktör olmuştur. Bu çalışmada, muhasebe meslek mensuplarının dijital muhasebeye geçmelerini etkileyen faktörlerin SWARA yöntemi ile ağırlıklandırılarak kriterlerin önem sırasının belirlenmesi amaç edinilmiştir. SWARA yöntemiyle yapılan hesaplamalar sonucunda, “Bilgi paylaşımında ve kontrolünde kolaylıklar sağlaması”; en önemli kriter olarak, “Zaman tasarrufu sağlaması” ikinci kriter olarak belirlenmiştir. “Kullanım kolaylığı (Zor ve karmaşık işlemlerin daha kolay yapılması)” kriteri ise en az önemli kriter olarak tespit edilmiştir.
ALMANYA'NIN ORTA DOĞU DIŞ POLİTİKASI: PRAGMATİZMDEN NORMATİF YAKLAŞIMA UZANAN SÜREÇ
Authors: Kaya Serhat , Çelik Arda Can
Published: May 2024

Bu çalışmanın amacı, Avrupa Birliği perspektifinden yola çıkarak Alman dış politikasının dinamiklerindeki değişimi incelemek ve söz konusu faktörleri ortaya koymaktır. Politik tercihleri şekillendiren teorik unsurlar, Almanya’nın hedeflerini oluşturmakta ve Pragmatizm-Normativizm çelişkisini incelemeye imkân tanımaktadır. Ana kalemler olan ticaret ve güvenlik uygulamalarının, periferide incelenmesi, çelişkilerin etkilerini anlamak için önemlidir. Böylece, çevre aktörler üzerinden takip edilen bir politika yapımı, normlar ve pragmatizm arasındaki sıkışmışlığın ortaya konulmasını kolaylaştıracaktır. Alman ekonomi modelinin ürettiği teknoloji yoğun unsurların alıcısı olup, karşılığında hammadde ihraç eden bir aktörün varlığı, Pragmatizme dair uygulamaların somut olarak görülmesini sağlamaktadır. Aynı aktörün, Alman siyasi kültürü ile normatif farklılık göstermesi, istenilen karşılaştırmayı yapmaya imkân verecektir. Çalışmada bu şartları karşılayan unsurlara odaklanılmasının nedeni, kendisiyle ilişki içerisindeki her demokratik aktör için normatif politikalar ile pragmatik tercihler arasındaki çatışmayı tetikleme kapasitesidir
探討台灣南部某區域醫院預立醫療照護諮商門診參加者完成預立醫療決定的相關因素
Authors: 沈政廷 沈政廷 , 陳愿平 陳愿平 , 陳姿樺 陳姿樺 , 蕭佳莉 蕭佳莉 , 林惠珊 林惠珊 , 馮炳琪 馮炳琪 , 戴書郁 戴書郁
Published: May 2024

目的：在台灣，民眾可以透過「預立醫療照護諮商」門診簽署「預立醫療決定」，然而諮商門診目前仍未被廣泛使用。本研究目的是希望了解影響民眾來本院參與預立醫療照護諮商門診和簽署完成預立醫療決定的相關因素。

方法：我們使用回朔性病歷研究，研究對象為針對2019年1月1日到2020年2月28日來本院諮商門診的參與者。校正相關共變項後，使用羅吉斯回歸評估完成預立醫療決定的相關影響因素。

結果：總共144位參加者被納入研究，預立醫療決定完成率為90.2%。較多的參加者為年齡較大、女性、較為健康、費用較低和之前已簽過預立安寧緩和醫療暨維生醫療抉擇意願書。校正相關共變項後，之前已簽過預立安寧緩和醫療暨維生醫療抉擇意願書的參加者有較高的機會完成預立醫療決定(aOR 14.56, 95% CI 1.62-131.23)；參加者與有社工參與的諮商團隊進行諮商有較高的機會完成預立醫療決定(aOR 5.59, 95% CI 1.05-28.87)。

結論：諮商門診的參加者其預立醫療決定完成率高，之前已簽過預立安寧緩和醫療暨維生醫療抉擇意願書的參加者有較高機會完成預立醫療決定。諮商時，針對參加者個別情況進行討論和使用輔助資料理解諮商內容，協助完成預立醫療決定。未來能針對社區民眾衛教宣導預立醫療照護諮商門診的諮詢服務，針對從未簽過預立安寧緩和醫療暨維生醫療抉擇意願書的民眾更需進一步的推廣。

 

Purpose: Advance care planning (ACP) is the process of communicating a person’s preferences regarding future medical care. In Taiwan, people can visit an ACP outpatient clinic and complete advance directives (AD). ACP is an emerging medical service, and information about completing AD is lacking. The aim of this study was to investigate the factors affecting AD completion among ACP clinic outpatients at a regional hospital in southern Taiwan.

Methods: This retrospective study used chart reviews to evaluate participants who attended an ACP outpatient clinic from 1 January 2019 to 28 February 2020. AD completion was analyzed using logistic regression after adjusting for covariates including previously signing do-not-resuscitate (DNR) forms.

Results: A total of 144 participants were included, and the AD completion rate was 90.2%. Participants attending ACP sessions were more likely to be older, female, having a high school education and below, better health status, paying less for ACP sessions, and previously signing DNR forms. After adjusting for the covariates, participants who had previously signed DNR forms were more likely to complete AD (aOR 14.03, 95% CI 1.56-126.06). In addition, the presence of a social worker in the ACP team was significantly associated with higher AD completion (aOR 5.74, 95% CI 1.05-31.32).

Conclusions: Participants previously signing DNR forms were more likely to completion AD. In addition to tailoring ACP discussions about the benefits of AD and providing supplement materials to improve AD completion, further strategies are needed to encourage the public in southern Taiwan to visit ACP outpatient clinics, especially for those who were unfamiliar with concepts such as DNR or life-sustaining treatment at the end of life.

 
Stabilisation properties of a sure-like European unemployment insurance
Authors: Alonso Daniel
Published: May 2024

To moderate the falls in production and income that affect certain states or regions, countries and monetary unions have risk-sharing mechanisms. These mechanisms work by stabilising household incomes such that fluctuations in production do not filter through to consumption. Almost all existing monetary unions are true insurance unions, except for the euro area. This entails lower resilience to economic shocks and, as demonstrated during the COVID-19 crisis, implies that the ability to respond to different shocks may differ between countries and, therefore, hinder economic convergence and homogeneous operation of the euro area. In this regard, the creation of a European Unemployment Insurance (EUI) scheme is often cited as an important step towards macroeconomic smoothing within the euro area that could help mitigate the economic and social impact of large economic shocks. In this paper, I propose an EUI scheme, with partial coverage, calibrated to the characteristics of the Temporary Support to Mitigate Unemployment Risks in an Emergency (SURE scheme) introduced during the COVID-19 crisis, and test its cyclical properties through simulation exercises, based on the payment and contribution flows in each country. This paper shows that such a transfer system with a relatively limited size could make a significant contribution to stabilising economic developments, cushioning part of the disruptions in times of crisis.
GOOGLE CLASSROOM ON STUDENT WRITING ASSESSMENT (case study on students’ perception)
Authors: Kiptiyah Mariyatul , Untung Untung , Yuliati Ana , Sonia Rosa
Published: May 2024

Writing serves as a reflective practice. Beside, Writing acts as a self-assessment tool, enabling students to evaluate their own language performance and progress. This constructive feedback loop not only fosters a deeper understanding of language nuances but also motivates students to actively work towards refining their writing skills. In essence, writing becomes a dynamic and introspective exercise that contributes significantly to the continuous development of students' language abilities. Google Classroom as an alternative facilitates to motivate students write. Students can write and do assignments through digital/online applications (Google classroom) such as documents, presentations and educational videos, and share student learning experiences. Google Classroom introduces an innovative resolution for educators by simplifying the monitoring of online assignments. This platform provides a transformative solution, streamlining the process for teachers. Through this tool, educators can efficiently oversee and track students' assignments in the digital realm. It revolutionizes traditional teaching methods by offering a seamless interface that enhances the overall experience of managing assignments. This technological advancement empowers teachers to monitor progress in real-time, allowing for more personalized instruction and timely feedback
TEACHING ENGLISH AS A FOREIGN LANGUAGE IN THE CLASS: SOCIOLINGUISTICS’ VIEW
Authors: Roda’i Muhammad
Published: May 2024

Language is a means of communication among individuals and it also brings them into relationships with their culture. Even the English language as foreign language involving culture. The result all languages are equally complex because every language is part of the culture that produces it and it is adequate for the needs of the people who use it. Any language, therefore, is as good as any others because it serves the purposes of the particular culture. Seeing this, this paper aims at describing about the important of culture in teaching and learning English in the foreign language classroom. It is hoped that the students realize to have socio-cultural competence with the teacher’s help, with the hope, he wishes, not only to teach linguistics (grammar/ structure, pronunciation, etc.) but also sociolinguistics (social and culture). It is very essential to avoid misunderstanding, justification or ‘shock culture’ so that they can communicate with any English men well.
AN ANALYSIS SEMANTIC OF LEXICAL AND CONTEXTUAL MEANING OF MAHER ZAIN’S SONG
Authors: Yuliana Eva
Published: May 2024

Semantics is a sub discipline of linguistics which focuses on the study of meaning. The present study analyzes about semantics analysis especially on the lexical meaning and contextual meaning. The lexical meaning is to be interpreted as the meaning of lexemes depending on the meaning of sentences which they occur.lexical meaning is the meaning of the word when the word is seen separately, either in form or form a lexeme affix whose meaning is more or less fixed, as can be read in a certain passage dictionary. Contextual meaning could be regarded as a situational meaning. It arised as a result of the relationship between speech and context. It took the form of a lot of things. This study aim to describe lexical and contextual meaning. This study is uses descriptive qualitative method. The informants used data source, data collection, and data analysis.get a short strory about this song and they are known about the theme of this song.
ANALYSIS LANGUAGE ENVIRONTMENT OF ENGLISH DEPARTMENT AT MADURA UNIVERSITY IN ENGLISH LANGUAGE LEARNING
Authors: SOLEH DARUS
Published: May 2024

Speaking English in Indonesia is still a foreign language learning. where the students' ability in using English is still low. The use of English is only used when they are studying English subjects in class, without being practiced directly in daily communication like other countries.the reason because the students are shy and afraid. The aim of this research to describe the naturalness of environment on English speaking skills at English study program Madura University. This research is qualitative research by using narrative. Researched obtained data from, observation, interview and documentation. Based on the result of the study show the students in the English study program feel in the English study program feel insecure when speaking in public, mix English and Indonesian when the student don’t know the vocabulary. The English study program does not have a language laboratory facility that helps students to develop their abilities, the students often communicate with their classmates and with teacher, but when talking to the lecturer most are afraid of being wrong. Students only talk in class and during class. When, outside class rarely to speak English
Social License, Mine Closure, and the Exploration Geologist
Authors: Anthony Hodge R. , Lefebure David V. , Thomson Ian
Published: May 2024

Editor’s note: The aim of the Geology and Mining series is to introduce early career professionals and students to various aspects of mineral exploration, development, and mining in order to share the experiences and insight of each author on the myriad of topics involved with the mineral industry and the ways in which geoscientists contribute to each.

This paper describes the potential value that can be gained when exploration geologists, early in the project life cycle, contribute to aspects of project development that have historically been outside of their purview. Increasingly strong societal pressures are being directed toward exploration and mining to ensure (1) an enduring social license to operate is in place and (2) closure and postclosure mine liabilities are fully addressed and funded. These actions are consistent with the professional and ethical obligation of caring for human and ecological well-being over both the short and long term. The roles and responsibilities of exploration geologists are evolving as a result. A singular focus on searching for and assessing the nature of ore deposits from a technical perspective has expanded to include (1) contributing to building the foundation for a social license to operate and (2) capturing increasing amounts of data and information relevant to the full mine life cycle, up to and including the closure and postclosure phases of activity. These activities are additional to the traditional geologic role of the exploration geologist and will further enhance the value of an exploration project, despite the rare transition of an exploration target to an operating mine. This expanded role is critical for aligning industry and social values, strengthening trust in the mining industry, and enhancing the appeal of the mining industry as a desirable career option.
Exploration Guides for High-Grade Hypogene Porphyry Copper Deposits
Authors: Sillitoe Richard H. , Perelló José
Published: May 2024

Hypogene porphyry Cu deposits, unaffected by supergene enrichment, are generally perceived as relatively low-grade orebodies, in keeping with a current average production grade of 0.53% Cu. Nonetheless, all or large parts of some deposits exceed 1% Cu, and smaller deposit components can be much higher in grade, locally >6% Cu. In view of the major economic and environmental benefits afforded by high grades, we briefly review geologic features and factors conducive to development of >1% hypogene Cu ore in porphyry Cu systems. Intense quartz veinlet stockworks, magmatic-hydrothermal breccias, vuggy residual quartz or vein systems in telescoped lithocaps, proximal skarns, carbonate-replacement mantos and pipes, low-permeability barriers, and reactive mafic host rocks—either alone or in various combinations—are identified as particularly favorable features because they enhance rock permeability and/or reactivity; most of them may be taken into account when planning and conducting exploration programs, thereby maximizing the chances of high-grade porphyry Cu discoveries.
Faktor yang Mempengaruhi Pengurusan Kewangan Mahasiswa Prasiswazah: Kajian Kes di Universiti Islam Selangor
Authors: Jamlus Rafdi Nurauliani , Bakar Nor Suhaily , Ahmad Sabri Safura , Roshadi Ahmad Faisal Alimi
Published: May 2024

Kajian ini bertujuan untuk mengenalpasti faktor yang mempengaruhi pengurusan kewangan dalam kalangan mahasiswa prasiswazah di Universiti Islam Selangor (UIS). Faktor yang terlibat dalam kajian ini adalah literasi kewangan, sumber pembiayaan dan pengurusan perbelanjaan. Kaedah kuantitatif berbentuk tinjauan persampelan mudah menjadi pilihan pengkaji yang melibatkan set borang soal selidik yang mengandungi 20 item berskala likert sebagai instrumen kajian. Responden melibatkan 310 orang pelajar Diploma dan Ijazah Sarjana Muda di Fakulti Pengurusan dan Muamalah (FPM) di UIS. Perisian Statistical Package for Social Sciences (SPSS) versi 22 telah dipilih pengkaji untuk menganalis data yang diperoleh menggunakan kaedah analisis deskriptif dan regrasi berganda. Hasil kajian mendapati literasi kewangan dan pengurusan perbelanjaan mempengaruhi pengurusan kewangan mahasiswa manakala sumber pembiayaan tidak mempengaruhi pengurusan kewangan mahasiswa.
The aim of this study is to identify factors that influence financial management among undergraduate students at Universiti Islam Selangor (UIS). Factors involved in the study are financial literacy, sources of fund and spending management. Quantitative method using convenience sampling survey is adopted by the researchers which involves a set of questionnaires containing 20 likert-scale items as an instrument of this study. The respondents involved 310 Diploma and Bachelor's Degree students at the Faculty of Management and Muamalah (FPM), UIS.  The  Statistical  Package  for  Social  Sciences (SPSS) version 22 software was selected by researchers to analyze the data obtained using descriptive analysis and multiple regression methods. The results of the study found that financial literacy and spending management influenced the financial management of undergraduate students meanwhile funding sources did not affect the financial management of undergraduate students.
Kajian Literatur Kesan Pengembangan Latihan Dalam Talian melalui Integrasi Teori Komunikasi Islam dan Teori Emosi Paul Ekman terhadap Latihan yang Berkesan
Authors: Abdulfatah Haron Afnan , Hashim Azharuddin
Published: May 2024

Dalam era digital yang terus berkembang, aplikasi latihan dalam talian menjadi kaedah alternatif dalam meningkatkan keterampilan dan pengetahuan manusia. Walaupun kaedah ini menjadi terkenal kerana ia menawarkan peluang untuk mengikuti pelbagai jenis program latihan serta mempelajari ilmu tanpa batas geografi, perkara yang menjadi persoalan utama adalah tentang keberkesanan program latihan tersebut. Penelitian ini akan mengkaji adakah komunikasi yang berkesan akan memberikan impak terhadap keberkesanan program latihan tersebut. Kajian ini bertujuan untuk memberikan pandangan serta potensi dengan mengintegrasikan teori-teori Islam dan barat dalam keberkesanan program latihan. Dalam kajian ini, penyelidikan kualitatif digunakan dengan pengumpulan data melalui pembacaan penyelidikan lepas. Data dikumpul secara triangulasi bagi meningkatkan kesahan data. Hasil kajian mendapati bahawa integrasi kedua-dua teori ini mampu meningkatkan lagi keberkesanan program latihan terutama dalam aspek komunikasi di antara kedua-dua belah pihak semasa sesi latihan. Hasil kajian ini diharap dapat memberikan maklumat untuk mengenal pasti ekspresi emosi dan pemahaman tentang tindakbalas emosi dalam sesi latihan. Ianya juga diharap akan memberikan pemahaman yang lebih mendalam tentang penerapan Teori Komunikasi Islam dan Teori Emosi Paul Ekman semasa sesi latihan dalam talian.
In the digital era, online training has gained popularity as an alternative to improve knowledge and skills. The ability to access knowledge from anywhere in the world is one of the main reasons why online training has become so popular. However, many people are still not sure how beneficial these online training really are. The purpose of this study is to determine if good communication affects the effectiveness of the training program. This study aims to shed light on how Islamic and Western theories, specifically Paul Ekman's theory of emotion and Islamic communication theory, could be integrated to increase the effectiveness of training programs. Using qualitative research methodology, data is collected by reviewing previous studies. To improve the veracity of the data, it is triangulated. The findings of the study suggest that the incorporation of both Paul Ekman’s theory of emotion with Islamic communication theory can further improve the effectiveness of the training program, especially in communication between instructors and trainees during the session. The findings of the study are expected to offer guidance for recognizing emotional displays and understanding emotional responses during training.
Kajian Penggunaan Kata-Kata Serapan dalam Bahasa Arab dan Pengaruhnya terhadap Bahasa Arab Moden
Authors: Azwani Khairul , Mustapa Masnih
Published: May 2024

Kajian ini bertujuan untuk memahami penggunaan kata-kata serapan dalam bahasa Arab moden dan pengaruhnya terhadap bahasa Arab sebagai bahasa utama di dunia Arab. Dalam kajian ini, kami menganalisis dua artikel yang membahas penggunaan kata-kata serapan dari bahasa Inggeris dan Perancis dalam bahasa Arab moden. Hasil kajian menunjukkan bahwa penggunaan kata-kata serapan dalam bahasa Arab moden telah memperkaya kosa kata bahasa Arab, namun penggunaannya juga dapat mempengaruhi sintaksis bahasa Arab dan mengubah cara penutur bahasa Arab berbicara. Kajian ini memberikan informasi yang berguna bagi para ahli bahasa Arab dan pengajar untuk mempertahankan keaslian bahasa Arab sambil tetap memperkaya kosa kata dan memenuhi tuntutan zaman.