bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Government Policy on the Influence of Digital Marketing Through Social Media on the Performance of Micro, Small and Medium Enterprises (MSMEs) in Indonesia
Authors:   Management Science Doctoral Program, Faculty of Economics and Business, Bengkulu University, Hadi Effed Darta , Fiona Febzi ,   Management Science Doctoral Program, Faculty of Economics and Business, Bengkulu University, Salim Muhartini ,   Management Science Doctoral Program, Faculty of Economics and Business, Bengkulu University, Suthia Hayu Rina ,   Management Science Doctoral Program, Faculty of Economics and Business, Bengkulu University, Santi Fitri ,   Management Science Doctoral Program, Faculty of Economics and Business, Bengkulu University
Published: October 2023

The research objective ware to examine the role of government policy on the influence of digital marketing through social media on MSMEs in Indonesia. This type of research is quantitative, with an explanatory approach. The research ware conducted on 500 MSME actors or owners in Indonesia who used digital marketing through social media channels (Instagram, Facebook and Twitter) as their marketing tools. Data collection through a questionnaire in the form of a google form which is distributed online. The questionnaire was processed and transformed into an interval scale using the Method of Successive (MSI), then analyzed using the SEM (Structural Equation Modeling) model through the AMOS software. The results showed that perceived ease of use had a positive effect on attitudes towards using social media. Perceived usefulness of using social media has a positive effect on attitudes towards using social media. The attitude of using social media has a positive effect on the use of social media. The use of social media has a positive effect on the performance of MSMEs. That is, the higher the use of social media, the higher the performance of MSMEs. Government policies have a positive effect on the performance of MSMEs. That is, the higher the government policy, the higher the performance of MSMEs. Government policies moderate the influence of social media use and MSME performance. That is, government policies strengthen the influence of social media use and the performance of MSMEs.
Pesquisa em Educação Ambiental e políticas públicas
Authors: Silva Renata Priscila da Silva , Manoel Sérgio de Oliveira Neto  , Carmen Roselaine de Oliveira Farias
Published: October 2023

A pesquisa analisou produções científicas sobre políticas públicas nos Anais do Encontro Pesquisa em Educação Ambiental (EPEA) no período de 2001 a 2019. Este evento possui abrangência nacional e importância na formação do campo científico da educação ambiental brasileira. A pesquisa seguiu uma metodologia qualiquantitativa, conjugando análise estatística descritiva e análise textual para a formação de categorias emergentes. Foram identificados 100 trabalhos, que representam 12% da totalidade dos artigos publicados no EPEA ao longo de dez edições. A maioria vem da região Sudeste e de universidades públicas. A primeira autoria é predominantemente de mulheres, 70% dos trabalhos e destaca-se a forte presença de mestres e doutores, bem como de estudantes da pós-graduação. Sobre as temáticas dos trabalhos, foram formadas onze categorias, sendo mais expressivas "Políticas de educação ambiental e a educação básica" e “Programas, projetos e ações de educação ambiental”.
Sujeito em Educação Ambiental
Authors: Rodrigues Morais Wanderson
Published: October 2023

Nosso objetivo, neste trabalho, é discutir possíveis significados sobre a nomeação de sujeitos em relatos de pesquisa que fazem referências a processos de formação do sujeito a partir de práticas em EA. O estudo de tais processos não é recente, e ao longo dos anos nomeações diversas procuram delinear e caracterizar perfis. Este artigo é parte de um estudo mais amplo, em nível de pós-doutoramento. Nesse sentido, notamos que algo desse sujeito sempre escapa, insistindo em retornar, sob a forma de variados nomes, como marca. Assim, neste texto em particular, nos colocamos em um exercício teórico sobre esse processo, fundamentando-nos nas considerações de vários estudiosos da teoria psicanalítica. É possível afirmar que as nomeações podem ser tomadas como efeito da articulação de uma cadeia de significantes no discurso de cada pesquisador; além disso tais nomeações inscrevem características e distinções próprias, tal como um nome próprio, como letra.
Effectiveness of Self Care Education on Knowledge and Behavior Among Android-based Hypertension Patients at Yogyakarta Health Center
Authors: Pujiastuti Tatik , A. Aljaberi Musheer , Sansuwito Tukimin , Abdullah Bibi Florina , Poddar Ruma
Published: October 2023

Introduction: Hypertension is a cardiovascular disease that evolves worldwide. Hypertension prevalence increased by 7.61% over five years, from 26,5% in 2013 to 34,11% in 2018 in Indonesia. Then in Yogyakarta, the prevalence of hypertension is 8.8% higher than the national average. It has become the leading cause of non-communicable diseases. The problem has focused on the issue of hypertension management and has not been effective. According to various sources, hypertension self-care education via smartphone applications is one of the interventions used to improve self-care behaviour in hypertensive patients. Thus, it is important to study the effectiveness of these interventions on hypertensive patients. The study aimed to determine the effectiveness of android-based hypertension self-care education on knowledge and behavior among hypertensive patients. Methods: A quantitative descriptive-analytic study was conducted. One hundred and eight hypertensive patients were selected in Yogyakarta randomly. The patients followed an android-based hypertension self-care education programme for three months. Results: Statistical analysis with paired and independent t-tests showed a significant difference in self-care knowledge and behavior before and after intervention in the intervention
group (p=0.000 <0.05; p=0.000<0.05, respectively). There was a significant difference in self-care knowledge and behavior between the intervention group and the control group (p=0.000<0.05; p=0.003<0.05, respectively). Conclusion: A minimal, three-month android-based hypertension self-care education programme enhanced self-care knowledge and behavior among hypertensive patients. It was suggested that the nurses educate hypertensive patients about hypertensionself-care more intensively.
Determining the Efficacy of Albendazole Against STH Infection Among Orang Asli
Authors: Khir Naim , Nisha Mehru , Tong Woei Yenn , Davamani Fabian
Published: October 2023

Introduction: According to WHO, soil-transmitted helminth (STH) infections could infect up to 90% of children from deprived communities with unhygiene and improper sanitation lifestyle. In West Malaysia, commonly the aboriginal people (Orang Asli) is prone to be infected with STH infections. Albendazole (400mg) is an anthelminthic drug that has been used for more than 30 years to cure STH infections. Hence, the main objective of this project was to evaluate the efficacy of single-dose albendazole (400mg) against STH infections among Orang Asli. Methods: Stool samples were collected in Hulu Langat, Semenyih, Malaysia. Who had not previously undergone deworming treatment. The parasites were concentrated by floatation technique (using the standard salt-sugar solution) to extract the amount of helminths’ egg before and after the albendazole treatment (400mg). Results: There were 44 participants after one-month post-treatment. The cure rate (CR) for Trichuris trichiura and Ascaris lumbricoides was
11.6% (n=5) and 35.0% (n=14), respectively. Moreover, there was no heavy infection for both STHs during the post-treatment of albendazole. Conclusion: The results indicated that the chosen anthelminthic showed higher cure rate efficacy in A.lumbricoides than T.trichiura. However, both species had decreased egg burden post-treatment with albendazole.
ESTUDO DA ADESÃO AO TRATAMENTO ANTI-HIPERTENSIVO EM FUNCIONÁRIOS DE UMA INSTITUIÇÃO PÚBLICA DE SAÚDE E EDUCAÇÃO
Authors:   Faculdade de Medicina de Marília, Vicente de Arruda Bruna Cristina , Ianes Frota Eloísa ,   Faculdade de Medicina de Marília, Kaminskas Azar Yasmin ,   Faculdade de Medicina de Marília, Nóbrega de Freitas Tábata Marina ,   Faculdade de Medicina de Marília, Francischetti Ieda ,   Faculdade de Medicina de Marília, Bitu Moreno José ,   Faculdade de Medicina de Marília
Published: October 2023

Introdução: A hipertensão arterial está relacionada a altos custos para as áreas da saúde e previdência, devido às complicações decorrentes de sua evolução crônica. Faz-se, portanto, necessário o seu controle, por meio da adesão ao tratamento farmacológico e não farmacológico. Objetivo: Analisar a adesão de funcionários da saúde, de serviço público hospitalar ao tratamento anti-hipertensivo medicamentoso e suas possíveis relações. Método: Pesquisa observacional, transversal e descritiva de abordagem quantitativa composta por 57 trabalhadores que se auto-referiram hipertensos. Foram avaliadas características do perfil socioeconômico e laboral dos profissionais e sua adesão ao tratamento anti-hipertensivo. Os resultados foram analisados por meio de estudo de frequência absoluta e relativa e a associação entre as variáveis por meio do teste do Qui-quadrado e Teste Exato de Fisher. Resultados: identificaram-se características do perfil dos participantes que contribuíram para a adesão ao tratamento anti-hipertensivo e outros aspectos que limitavam a adesão terapêutica e demandavam intervenções, como: ampliação das ações de educação em saúde para todos os funcionários, possibilidades de seguimento daqueles já diagnosticados e rastreamento dos demais, com fortalecimento do vínculo e da comunicação entre o profissional de saúde e o funcionário, assim como ações voltadas a atividades físicas e qualidade de vida. No cuidado individual salientou-se o uso de pílula única e medidas para evitar o esquecimento das tomadas da medicação. Conclusões: O estudo foi capaz de caracterizar os funcionários e sua adesão ao tratamento anti-hipertensivo, fatores facilitadores e dificultadores, e de sinalizar estratégias institucionais de intervenção para melhoria da adesão e qualidade de vida.
Asset Class Selection and Financial Performance of Registered Umbrella Retirement Benefits Schemes in Kenya
Authors: Kibata Joan Wanjiku , Njeru Agnes Wanjiru
Published: October 2023

Purpose: The financial performance of pension funds has deteriorated over time, threatening their main purpose of shielding retirees from old age poverty. Asset class selection is an essential component of pension management as it outlines the various investments undertaken to give a return, manage risks and maintain the liquidity of the retirement schemes. Uninformed or inappropriate selection of assets may lead to decreased performance of the pension schemes and a consequential decrease in the fund value of the pension savings. This study aimed to ascertain how asset class choice affects the financial performance of Kenyan registered Umbrella Retirement Benefits Schemes (URBS). The main goals of this study were to determine how allocating equity, fixed income, and alternative investments impacts the financial performance of registered URBS in Kenya. Three main research questions were employed in the study.

Methodology: This research targeted thirty-two (32) registered Umbrella Retirement Benefits Schemes as of December 2022. The sampling technique in this study was a complete census because the data was available; the researcher sought to reduce errors and give an overall view of the asset allocation and how the Kenyan Umbrella Schemes performed over the five years. The study utilised secondary data which was obtained from the RBA’s website and offices for the five-year period between 2018 and 2022. A quantitative approach using descriptive and inferential analysis was employed. A multiple linear regression model was fitted on the data using SPSS version 27 and STATA version 14.2 for panel data analysis. Tables, charts, and graphs were also used to display the data.

Findings: According to the multiple linear regression model's findings, alternative investments highly influenced the financial performance of the URBS, followed by fixed income and equity investments. Real estate contributed the highest returns in alternative investments, followed by offshore investments. For fixed income, treasury bonds and bills contributed the most considerable returns, followed by cash, bank deposits, and corporate and commercial bonds. For the equity investments, quoted equity contributed the most returns, followed by the unquoted equity.  It was noted that the allocation of private equity by umbrella schemes was almost non-existent as it only began in 2022. Panel data analysis showed that all the weighted returns of the three asset classes are significant predictors of total weighted return. Weighted returns of offshore investment and property had the most significant associations with total weighted returns among all semi-variables.

Unique Contribution to Theory, Policy and Practice: The results support increased weighting of alternative investments, particularly offshore investments, followed by fixed-income investments.
THE ROLE OF WOMEN IN LIVESTOCK DECISION MAKING IN AGRO- PASTORAL SYSTEMS IN KENYA A CRTICAL LITERARURE REVIEW
Authors: M Hassan
Published: October 2023

Purpose: Today, women represent half of the world's population and one third of the official labor force, but they receive only one percent of the total global income and own less than one percent of the world property. The primary objective of this research was to establish how changes in socio-economic factors affect the participation of women of different economic and educational statuses in livestock management and marketing, particularly in terms of their labor inputs and allocation of productive resources.

Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.

Results: The concomitant assumption formulated for this objective was that even as women’s labor contribution to the household in the livestock industry has increased, there has not been a corresponding increase in their decision-making ability.

Unique Contribution to Theory and Practice: The study recommends that any efforts aimed at empowering women in livestock decision-making should first of all improve women's status through increased education opportunities and participation in formal employment in order to give them independent incomes.
POTENTIAL EFFECTS OF CLIMATE VARIABILITY ON CATTLE FARMING IN KENYA
Authors: Kimani James
Published: October 2023

Purpose: Increase in variability and change in temperature and rainfall patterns are being experienced in many parts of the world including Eastern Africa. Changes in temperature and rainfall extremes are already being experienced in many parts of the world and Kenya is not an exception. The overall objective of this study was to assess the potential effects of extreme climate variability and change on livestock in the ASALs of Kenya.

Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.

Results: The study observed that during the period of abnormal wetness, cattle populations were higher than those of the abnormal dryness thus climate affects cattle population. From the projections, the study concludes that there are chances of high negative effect of abnormal dryness for the period 2030-2040 over the study area.

Unique Contribution to Theory and Practice: Findings from the study can be used in the planning and management of the livestock sector in the ASALs of Kenya and support national sustainable development planning. The information from this study can be used by the policy makers to develop policies that can address the problem of high livestock mortality due to extreme weather and climate conditions in the country. Further studies on the effects of climate change on other aspects of livestock such as forage as well as methodology way to distinguish human factors from climate factors that affect livestock farming should be conducted.
Midterm results of infrarenal abdominal aneurysm treatment at Dong Nai General Hospital
Authors: Kieu Minh Son , Do Trung Hieu , Nguyen Cong Tien , Vo Tuan Anh
Published: October 2023

Introduction: Abdominal aortic aneurysm is an increasingly common pathology, open surgery as well as intervention are effective methods of treatment, mortality in emergency treatment of ruptured aortic aneurysm. The abdomen is still high and is a challenge for vascular surgeons.[1]

Objective: To evaluate the short-term and medium-term results of abdominal aortic aneurysm treatment including intervention and surgery at Dong Nai General Hospital.

Subjects and methods: All patients treated for abdominal aortic aneurysm at Dong Nai General Hospital from January 2021 to December 2022. Descriptive study of a series of cases.

Results: There were 22 cases of abdominal aortic aneurysm treatment, in which: 17 men (77.3%), mean age 68.8 ± 7.5 years. There were 19 cases of surgery, 3 cases of intervention, 6 cases of emergency surgery due to rupture of aneurysms. Postoperative results: 3 deaths, 1 case of acute limb embolism, 1 case of abdominal wound infection, 2 cases of postoperative acute kidney injury, average postoperative time: Surgery: 8 1 day, intervention: 6.3 days. Mean follow-up time: 10.6 months. 0 cases died during the follow-up period.

Conclusion: The initial results of the treatment of abdominal aortic aneurysms at Dong Nai General Hospital showed positive results, however, the follow-up time and sample size were small.
Erken Cumhuriyet Döneminde Atatürk’ü ve Cumhuriyet’i Konu Edinen Belgeseller
Authors: UĞUR BALCI Aysu
Published: October 2023

Belgesel film, tarihin tanıkları olarak nesilden nesile aktarılabilecek bir kültür aracı olmaktadır. Özellikle şimdi ve bugünü geçmişin araçlarıyla anlamaya çalışan medya arkeolojisinin temelinde tarihi anlatılar yer almaktadır. Tarihimiz için önemli bir gün olan Cumhuriyet’in ilanı ve sonrasında yaşanan gelişmeler dönemin modern aracı olan kameraya da yansımış, özellikle anı gösteren belge filmler çekilmiştir. Erken Cumhuriyet dönemine ait verilerin sınırlı olması günümüzde konuyu tekrar ele almayı gerektirmiş ve özellikle Cumhuriyet’in 100. yılında bu önemli günün kayıtlarını medya arkeolojisinin bir parçası olarak incelemek çalışmanın çıkış noktasını oluşturmuştur. Dijital verilerin imkanıyla birlikte medya arkeolojisi çeşitlenmiştir. Bu çalışmada amaçlanan erken Cumhuriyet döneminde belgesel filmin yerini incelemek ve belgesel türleri açısından dönemin filmlerini betimlemektir. Bu amaçla çalışmada veri toplama yöntemi kullanarak arşiv görüntüleri incelenmiş ve literatür taranmıştır. Çalışmada toplanan veriler, betimsel analizle açıklanmıştır. Verilerin güncel kaynaklarla ve belgesel film türleri açısından ele alınması çalışmanın önemini ortaya koymaktadır. Belgesel sinema kolektif bellek, ülke imajı ve medya arkeolojisi açısından önemli olmaktadır. Elde edilen verilere göre dönemin belgesel filmlerinin hem uluslararası ilişkileri pekiştirdiği hem tarihe tanıklık ettiği hem de belgesel sinemanın şekillenmesinde etkili olduğu görülmektedir. Belge filmler uluslararası ilişkileri destekleyen ve geliştiren bir rol üstlenmiştir. Belgesel türleri açısından ise dönemin belgesel filmleri gözlemsel-belgesel ve belgeleyen tür sınıflandırmasına yakınlık gösterdiği, bununla birlikte son yıllarda da tarihi filmlere öncülük ettiği sonucuna ulaşılmaktadır. Çalışma sonucunda belgesellerin teknik sınıflandırmasının tespitiyle birlikte kamu kurumlarının her geçen gün yeni verileri restore ederek toplumla paylaştığı sonucuna ulaşılmıştır. Medya arkeolojisinin temelinde yer alan bu edimle birlikte her yıl yeni görsel-işitsel içerikler arşive eklenmekte, bu durum kolektif belleğin oluşumu açısından önemli görülmektedir.
Imagen de resonancia magnética y diagnóstico de alteraciones de las prótesis de pene. Reporte de un caso
Authors: Puentes Bernal Andrés Felipe , Caicedo-Giraldo María Alejandra , López Z Valeria Sofía , Carvajal Obando Alejandro , García-Perdomo Herney Andrés
Published: October 2023

Las prótesis de pene son la tercera línea de tratamiento para la disfunción eréctil. Produce una alta satisfacción del paciente. Pueden ocurrir complicaciones y el urólogo debe estar preparado para reconocerlas y tratarlas. La resonancia magnética nuclear (MRI) puede ser una herramienta valiosa para el diagnóstico y la toma de decisiones.
Presentamos el caso de un paciente portador de prótesis de pene con una complicación relacionada con el dispositivo, en quien la resonancia magnética fue fundamental para su valoración, diagnóstico y tratamiento.
En conclusión, los urólogos deben estar familiarizados con la resonancia magnética, un método de imagen alternativo para diagnosticar las complicaciones asociadas con los implantes de pene.
Estructuras en bruto: el Museo de Bellas Artes de Caracas y el Sesc Pompeia
Authors: Binato de Castro Carlos Eduardo
Published: October 2023

Este ensayo analiza comparativamente la segunda ampliación del Museo de Bellas Artes de Caracas, MBAC (1966-76) de Carlos Raúl Villanueva, y el bloque deportivo del Centro Cultural y Recreativo Sesc Pompeia (1982-86) de Lina Bo Bardi, con el fin de investigar el uso de paredes portantes perimetrales y losas reticulares hechas en hormigón armado como solución estructural para arquitecturas de tamaño y programa especiales desarrolladas en América Latina en la segunda mitad del siglo XX. Además de acercar la producción de Villanueva y Bo Bardi y trazar posibles paralelismos entre la arquitectura de Venezuela y Brasil durante el período en cuestión, este estudio busca reforzar el carácter inclusivo y expansivo de la tradición moderna y presentar el hormigón como medio de realizar distintas expresiones que corresponden a caracterizaciones funcionales específicas.
2019-2023. Club en Campinas
Authors: UNA MUNIZVIEGAS
Published: October 2023

La arquitectura de São Paulo construyó clubs y balnearios ejemplares. Es un programa que migró a las áreas comunes de nuevas urbanizaciones. Básicamente, una sombra que ampara los usos colectivos de fiestas, gimnasia, vestuarios y la implementación de piscinas y áreas deportivas. El sitio de este proyecto está ubicado en Campinas, a las afueras de la metrópolis. Desde el suelo es posible ver el perfil de la ciudad. La ligera pendiente favorece este panorama. La elección del nivel de implantación del edificio permite una continuidad visual para quienes transitan por la calle de acceso superior, construyendo con delicadeza una extensa línea en el paisaje. Una sola cubierta interconecta los ambientes con doble altura, alternando llenos y vacíos, espacios abiertos y cerrados.
Correlação entre Índice de massa Corporal (IMC) pré-natal e peso ao nascer – um estudo longitudinal - doi: 10.5020/18061230.2012.p356
Authors: Shrivastava Saurabh Rambiharilal , Bobhate Prateek Sudhakar
Published: October 2023

Objetivos: Estudar a correlação entre Índice de Massa Corporal (IMC) no período pré-natal e o peso de nascimento da criança, bem como, os determinantes sócio-demográficos de peso ao nascer. Métodos: Um estudo longitudinal de um ano de duração, de junho 2010 a maio de 2011, foi realizado em uma favela urbana de Mumbai, Índia. O método de amostragem universal foi aplicado, incluindo como sujeitos todas as mulheres grávidas que realizaram pré-natal com, no mínimo, duas visitas, incluindo pelo menos uma no terceiro trimestre, registradas no centro urbano de saúde, de junho a agosto de 2010. Mulheres com qualquer estado mórbido pré-existente ou com histórico de gestações com nascimento de gêmeos ou de criança com qualquer má-formação congênita, ou inda, com ocorrência de natimorto ou parto em casa, foram excluídas do estudo. Estas mulheres foram acompanhadas durante os próximos meses até o parto. O peso materno foi medido em cada visita e calculado o IMC,

ou o IMC médio, no caso de mais de uma visita em qualquer trimestre. O peso ao nascer foi registrado a partir de dados do hospital ou maternidade. Resultados: A prevalência de Baixo

Peso ao Nascer (BPN) foi de 26,7%. Correlação entre o IMCmaterno do terceiro trimestre e o peso ao nascer foi moderadamente positiva. 60,8% da variabilidade no peso ao nascer podem ser preditos pelo IMC materno no terceiro trimestre. Conclusão: O IMC materno no terceiro trimestre pode ser usado como um preditor de peso ao nascimento neonatal. Informação, Educação e Aconselhamento (IEC) sobre a utilização do pré-natal podem ajudar na redução da incidência de Baixo Peso ao Nascer (BPN).
KHẢO SÁT CÁC BIẾN CỐ BẤT LỢI SAU TIÊM VẮC-XIN COVID-19 Ở NHÂN VIÊN Y TẾ BỆNH VIỆN THỐNG NHẤT, THÀNH PHỐ HỒ CHÍ MINH
Authors: Phạm Yến Nhi , Bùi Tùng Hiệp , Võ Văn Bảy , Nguyễn Dân Phúc , Lê Thị Quý Thảo , Võ Quang Trung
Published: October 2023

Mục tiêu nghiên cứu: Đánh giá tần suất, mức độ và các yếu tố ảnh hưởng đến các biến cố bất lợi trong vòng 7 ngày sau tiêm vắc-xin Covid-19 liều đầu tiên ở nhân viên y tế (NVYT) bệnh viện Thống Nhất, Thành phố Hồ Chí Minh. Phương pháp nghiên cứu: Nghiên cứu cắt ngang. Phương pháp thống kê mô tả và kiểm định Chi bình phương được sử dụng để đánh giá tần suất, mức độ và các yếu tố ảnh hưởng đến các biến cố bất lợi. Kết quả nghiên cứu: Có 312 cuộc phỏng vấn thành công. Độ tuổi trung bình của những người tham gia là 37,50±7,91 và 63,46% là nữ. Hai nhóm biến cố xuất hiện phổ biến là biến cố cục bộ (62,50%) và biến cố toàn thân (44,87%). Hầu hết các biến cố có thể tự cải thiện sau vài ngày và không có trường hợp tử vong nào được ghi nhận. Giới tính có liên quan đến sự xuất hiện các biến cố bẩt lợi sau tiêm vắc-xin Covid-19, ở nhóm NVYT nữ gấp hơn 2 lần so với nhóm NVYT nam (OR = 2,212, khoảng tin cậy 95%, CI: 1,352-3,618). Kết luận: Vắc-xin Covid-19 thì an toàn, các phản ứng nghiêm trọng hiếm khi xảy ra. Giới tính có liên quan đến sự xuất hiện các biến cố bất lợi sau tiêm vắc-xin Covid-19.
KHẢO SÁT TỈ LỆ MÁU TỤ XUẤT HIỆN MỚI SAU PHẪU THUẬT MỞ SỌ GIẢI ÁP DO CHẤN THƯƠNG SỌ NÃO
Authors: Võ Thành Toàn , Lê Bá Tùng
Published: October 2023

Mục tiêu: Xác định tỉ lệ máu tụ xuất hiện mới sau phẫu thuật mở sọ giải áp ở bệnh nhân chấn thương sọ não, xác định các yếu tố nguy cơ gây nên máu tụ xuất hiện mới sau phẫu thuật mở sọ giải áp ở bệnh nhân chấn thương sọ não.. Đối tượng và phương pháp nghiên cứu:  Nghiên cứu hồi cứu mô tả cắt ngang tất cả các BN được chẩn đoán là có máu tụ dưới màng cứng cấp tính hay dập não xuất huyết hoặc cả hai có chỉ định phẫu thuật MSGA từ tháng 01/2017 đến tháng 01/2020 tại BV Thống Nhất. Kết quả: chúng tôi thu thập được 172 hồ sơ thỏa mãn các điều kiện đã nêu và thu được các kết quả như sau: tỉ lệ xuất hiện máu tụ mới sau phẫu thuật MSGA một bên ở BN CTSN là 50,58%. Tỉ lệ này xảy ra chỉ với bên tổn thương, không thấy sự tiến triển của bên còn lại. Với một lượng máu tụ và dập não trước mổ có thể giúp chúng ta dự đoán được lượng máu tụ và dập phù não sau mổ. Đồng thời, với sự xuất hiện của XHNT và các bể nền bị chèn ép thì khả năng đó càng xảy ra nhiều hơn. Kết luận: Phẫu thuật MSGA giúp cứu sống nhiều tình trạng nặng khi bệnh nhân gặp tai nạn, tuy nhiên việc đánh giá mức độ hiệu quả còn phụ thuộc lâm sàng, hình ảnh học và các yếu tố nguy cơ để đưa ra thời điểm khi nào nên phẫu thuật để đạt được kết quả thuận lợi nhất không chỉ trong thời gian chu phẫu mà còn mức độ quay lại đời sống.
»Bivša Avstrija ni imela nobenega smisla, da bi v dolgih stoletjih svoje vlade vodo zravnavala, /…/ ker je bila zaposlena povsod drugod, le pri nas po možnosti malo.«
Authors: Čuček Filip
Published: October 2023

Reka Drava je v preteklosti povzročala številne preglavice v svoji bližnji (in tudi širši) okolici. V skladu z državno politiko so že sredi 60. let potekale polemike glede plovnosti večjih ladij na reki Dravi vse do Maribora. Toda ideja je bila kmalu opuščena, saj je bilo pomembneje zaščititi bregove, posesti in predvsem prebivalce ob reki. S prvimi regulacijami so začeli v 70. letih 19. stoletja v Spodnjem Dupleku, dela pa nadaljevali proti Loki in Ptuju. Ob močnejših padavinah se je pretok hitro povečal, zato je reka redno poplavljala. S sistematičnimi regulacijami dolvodno od Maribora so se začeli ukvarjati pred prelomom stoletja in strugo na več mestih uravnali (oziroma skrajšali). Toda celovito regulacijo med Mariborom in Ptujem je preprečila prva svetovna vojna.
Šole govorijo
Authors: Batič Matic
Published: October 2023

Razprava obravnava ideološko govorico šolskih stavb na Goriškem med 1918 in 1943. V tem času je šolstvo predstavljalo enega od stebrov procesa italijanizacije, preko katerega so italijanske oblasti želele uničiti Slovence za Rapalsko mejo kot etnično skupnost. Izrazita ideologizacija šolstva se je odrazila pri pomenski zaznamovanosti šolskih stavb. Slednje niso predstavljale zgolj nevtralnega fizičnega okvirja, v katerem je potekal šolski pouk, temveč so bile pomensko nabit prostor, ki so mu različne narodne in ideološko skupine na Goriškem pripisovale različne pomene. Pomenska nabitost šolskih prostorov se je vzpostavljala na različne načine. Najpomembnejši vlogo so pri tem imele značilnosti in namen šolskega pouka, poleg tega pa so številna šolska poslopja bila tudi dodatno simbolno zaznamovana, predvsem preko poimenovanj, pa tudi državnih in fašističnih simbolov, s katerimi so bili opremljeni šolski prostori. O simbolni zaznamovanosti italijanskih šol v tem času končno najbolje pričajo številni požigi in poskusi požigov, ki jih je izvedla slovenska odporniška organizacija TIGR.
Ravulizumab (Ultomiris)
Authors: CADTH
Published: October 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses ravulizumab (Ultomiris) for injection, 10 mg/mL and 100 mg/mL concentrate for solution for IV infusion.

Indication: For the treatment of adult patients with anti-acetylcholine receptor antibody–positive generalized myasthenia gravis.
La inclusión educativa y el diagnóstico de niños con necesidades educativas especiales en el área intelectual
Authors: Ceiro Catasú Wilma , Panza Cajamarca Marco Iván , Guamán Muñoz Christian Mauricio , Cashabamba Chipantiza Vilma Lucila
Published: October 2023

La inclusión educativa, el diagnóstico de las necesidades educativas en el área intelectual y sus sistemas de clasificación han constituido un tema de interés principal para todos los docentes e investigadores que intentan comprender este fenómeno y acercarse un poco más al estudio de intervención en este campo. El objetivo que se persigue es analizar las diferentes clasificaciones, y características que presentan los niños en el área intelectual, lo que nos permitirá realizar adecuaciones curriculares teniendo en cuenta las necesidades de cada estudiante, y así poder abordar el enfoque multidimensional con el que los profesionales de la educación y las familias trabajarán sistemáticamente para compensar dichas necesidades que presentan en las diferentes áreas e integrarlos a la educación.
La gestión cultural de la sala de televisión El Cañito para la transformación sociocultural comunitaria
Authors: Reyes Sánchez Evelin , Matos Michel Maryanis , Osoria de la Cuesta Anieska Bárbara
Published: October 2023

La gestión cultural resulta una temática de gran importancia en los procesos de desarrollo comunitario. En este caso, se brinda especial atención a la gestión desarrollada en la sala de televisión El Cañito para la transformación sociocultural comunitaria, teniendo en cuenta que existen insuficiencias para su concreción, por lo que se requiere de una gestión orientadora que garantice la caracterización sociocultural para lograr un incremento de la participación de la población en la vida cultural, defendiendo su identidad y diversidad. La investigación se plantea como objetivo, proyectar y ejecutar un plan de acción encaminada a satisfacer las necesidades socioculturales de la comunidad, a través de la sala de televisión de El Cañito. Se utilizaron métodos teóricos y empíricos, que permitieron sintetizar las fuentes más relevantes del tema investigado. Los resultados demostraron que la propuesta constituye una vía esencial para favorecer la calidad de vida de la población, para el logro de una cultura general integral.
Acciones socioculturales en función de la cultura medioambiental en la comunidad Ángel Mendol
Authors: Maure Ramírez Marlen , Vegué Ruiz Yuslieval , Margendié Mansfarroll Yenisey
Published: October 2023

La   investigación aborda la problemática en la comunidad Ángel Mendol relacionada a la cultura medio ambiental, la cual es de gran significación teniendo en cuenta las exigencias actuales, las limitaciones que aún existen en nuestra población y la existencia de insuficiencias   relacionadas con en el comportamiento de los habitantes sobre este tema. El estudio realizado parte de un diagnóstico el cual reveló insuficiencias relacionadas con la cultura medio ambiental que deben manifestar los habitantes de una comunidad. Para minimizar estas como lo exige el  momento actual en que vivimos, la presente investigación se propone elaborar acciones socioculturales en función de elevar la cultura medioambiental de estos habitantes en aras de lograr el desarrollo sostenible en esta zona. Se utilizaron métodos teóricos y empíricos, que permitieron realizar una sistematización, recolección y procesamiento de la información lo que permitió obtener una adecuada propuesta. Los resultados demostraron que esta constituye una vía esencial, que favorece el fortalecimiento de la cultura medio ambiental en los habitantes de esta comunidad.
INTEGRASI PENDIDIKAN KARAKTER DALAM PEMBELAJARAN PENDIDIKAN KEWARGANEGARAAN UNTUK MENGEMBANGKAN KARAKTER SISWA SEKOLAH DASAR
Authors: BUKOTING SAUDA
Published: October 2023

Education is citizenship, one of the themes that is the leading sector in developing student character. Character education is also an important aspect of student development in elementary schools. One of the subjects that has great potential to integrate character education is civics education. This approach combines an understanding of rights and obligations as citizens with positive and ethical character building. This study aims to integrate character education to develop attitudes and character in elementary school students using a qualitative approach. Then the method used is the literature study method. Where the author collects data from reference articles and journals available on trusted websites. In fact, citizenship education lessons have not been successful enough to carry out this role properly because the processes that occur in educational learning are only activated in achievement, affective or attitude management is ignored. To overcome this, it is necessary to examine modifications in educational learning, one of which is by integrating the concept of character into its development so that it is better able to develop and shape the character of elementary school students.
ABSTRAKPendidikan adalah kewarganegaraan, salah satu tema yang menjadi sektor unggulan dalam pengembangan karakter siswa. Pendidikan karakter juga merupakan aspek penting dalam pengembangan siswa di sekolah dasar. Salah satu mata pelajaran yang memiliki potensi besar untuk mengintegrasikan pendidikan karakter adalah pendidikan kewarganegaraan. Pendekatan ini menggabungkan pemahaman tentang hak dan kewajiban sebagai warga negara dengan pembentukan karakter yang positif dan beretika. Penelitian ini bertujuan untuk mengintegrasikan pendidikan karakter untuk mengembangkan sikap dan karakter pada siswa sekolah dasar dengan menggunakan pendekatan kualitatif. Kemudian untuk metode yang dilakukan yaitu dengan metode studi literatur. Dimana penulis mengumpulkan data dari rujukan artikel dan jurnal yang tersedia di website terpercaya. Pada kenyataannya, pelajaran pendidikan kewarganegaraan belum cukup berhasil untuk menjalankan peran ini dengan baik karena proses yang terjadi dalam pembelajaran pendidikan hanya diaktifkan dalam prestasi, manajemen afektif atau sikap diabaikan. Untuk mengatasi hal tersebut, perlu mengkaji modifikasi dalam pembelajaran pendidikan pendidikan, salah satunya dengan mengintegrasikan konsep karakter ke dalam pengembangannya agar lebih mampu mengembangkan dan membentuk karakter siswa sekolah dasar.
A Holocene history of climate, fire, landscape evolution, and human activity in Northeast Iceland
Authors: Ardenghi Nicolò , Harning David John , Raberg Jonathan Henrik , Holman Brooke René , Thordarson Thorvaldur , Geirsdóttir Áslaug , Miller Gifford H. , Sepúlveda Julio
Published: October 2023

Abstract. Paleoclimate reconstructions across Iceland provide a template for past changes in climate across the northern North Atlantic, a crucial region due to its position relative to the global northward heat transport system and its vulnerability to climate change. The roles of orbitally driven summer cooling, volcanism, and human impact as triggers of local environmental changes in the Holocene of Iceland, remain debated. While there are indications that human impact may have reduced environmental resilience during Late Holocene summer cooling, it is still difficult to resolve to what extent human and natural factors affected Iceland’s Late Holocene landscape instability. Here, we present a continuous Holocene fire record of northeastern Iceland from proxies archived in Stóra Viðarvatn sediment. We use pyrogenic polycyclic aromatic hydrocarbons (pyroPAHs) to trace shifts in fire regimes, paired with continuous biomarker and bulk geochemical records of soil erosion, lake productivity, and human presence. The molecular composition of pyroPAHs and a wind pattern reconstruction indicate a naturally driven fire signal that is mostly regional. Generally low fire frequency during most of the Holocene significantly increased at 3 ka and again after 1.5 ka BP, before known human settlement in Iceland. We propose that shifts in vegetation type caused by cooling summers over the past 3 kyr, in addition to changes in atmospheric circulation, such as shifts in North Atlantic Oscillation (NAO) regime, led to increased aridity and biomass flammability. Our results show no evidence of faecal biomarkers associated with human activity during or after human colonisation in the 9th century CE. Instead, faecal biomarkers follow the pattern described by erosional proxies, pointing toward a negligible human presence and/or a diluted signal in the lake’s catchment. However, low post-colonisation levels of pyroPAHs, in contrast to an increasing flux of erosional bulk proxies, suggest that farming and animal husbandry may have suppressed fire frequency by reducing the spread and flammability of fire-prone vegetation (e.g., heathlands). Overall, our results describe a fire frequency heavily influenced by long term changes in climate through the Holocene. They also suggest that human colonisation had contrasting effects on the local environment by lowering its resilience to soil erosion while increasing its resilience to fire.
Upper Atmosphere Responses to the 2022 Hunga Tonga-Hunga Ha’apai Volcanic Eruption via Acoustic-Gravity Waves and Air-Sea Interaction
Authors: Li Qinzeng , Xu Jiyao , Gusman Aditya Riadi , Liu Hanli , Yuan Wei , Liu Weijun , Zhu Yajun , Liu Xiao
Published: October 2023

Abstract. Multi-group of strong atmospheric waves (wave packet #1–#5) over China associated with the 2022 Hunga Tonga–Hunga Ha’apai (HTHH) volcano eruptions were observed in the mesopause region using a ground-based airglow network. The phase speed wave packet #1 and wave packet #2 is approximately 312 m/s and 238 m/s respectively, which is consistent with Lamb wave L0 mode and L1 mode from theoretical prediction. The wave fronts of Lamb wave L0 and L1 below the lower thermosphere are vertical, while the wave fronts of L0 mode tilt forward above exhibiting internal wave characteristics, which show good agreement with the theoretical results. Two types of tsunamis were simulated, one type of tsunami is induced by the atmospheric pressure wave (TIAPW) and the other type tsunami is directly induced by the Tonga volcano eruption (TITVE). From backward ray tracing analysis, the TIAPW and TITVE were likely the sources of the acoustic-gravity waves (AGWs) accompanying wave packet #2 and wave packet #4–5, respectively. The scale of tsunamis near the coast is very consistent with the atmospheric AGWs observed by the airglow network. The AGWs triggered by TITVE propagate nearly 3000 km inland with the support of duct and persist for about 4.5 hr and almost covers the Chinese Mainland. The atmospheric pressure wave can directly affect the upper atmosphere, and can also be coupled with the upper atmosphere through the indirect way of generating tsunami and subsequently tsunami generating AGWs, which will provide a new understanding of the coupling between ocean and atmosphere.
Strengthening gradients in the tropical west Pacific connect to European summer temperatures on sub-seasonal timescales
Authors: van Straaten Chiem , Coumou Dim , Whan Kirien , van den Hurk Bart , Schmeits Maurice
Published: October 2023

Abstract. Recent work has shown that (sub-)seasonal variability in tropical Pacific convection, closely linked to the El Niño–Southern Oscillation (ENSO), relates to summertime circulation over the Euro-Atlantic. The teleconnection is non-stationary, probably due to long-term changes in both the tropical Pacific and extra-tropical Atlantic. It also appears imperfectly captured by numerical models. A dipole in west Pacific sea surface temperatures (SSTs) was found to be the best predictor of errors in numerical sub-seasonal forecasts of European temperature. In this diagnostic study we use reanalysis data to further investigate the teleconnection pathway and the processes behind its non-stationarity. We show that SST gradients associated with the dipole represent a combination of ENSO variability and west Pacific warming, and have become stronger since 1980. Associated patterns of suppressed and enhanced tropical heating are followed by quasi-stationary waves that linger for multiple weeks. Situations with La Niña-like gradients are followed by high-pressure centres over eastern Europe and Russia, three to six weeks later. Inverted situations are followed by high pressure over western Europe, three to six weeks later. The latter situation is conditional on a strong meridional tripole in north Atlantic SSTs and a co-located jet stream. Overall, the sub-seasonal pathway diagnosed in this study connects to patterns detected on seasonal scales, and confirms earlier findings that the summertime connectivity between the Pacific and Europe has shifted in recent decades.
Extreme wind turbine response extrapolation with the Gaussian mixture model
Authors: Zhang Xiaodong , Dimitrov Nikolay
Published: October 2023

Abstract. The wind turbine extreme response estimation based on statistical extrapolation necessitates using a minimal number of simulations to calculate a low exceedance probability. The target exceedance probability associated with a 50-year return period is 3.8×10-7, which is challenging to evaluate with a small prediction error. The situation is further complicated by the fact that the distribution of the wind turbine response might be multimodal, and the extremes belong to a different statistical population than the main body of the distribution. Traditional theoretical probability distributions, mostly unimodal, may not be suitable for this task. The problem could be alleviated by applying a fit specifically on the tail of the distribution. Yet, a single unimodal distribution may not be sufficient for modeling diverse wind turbine responses, and an inappropriate distribution model could lead to significant prediction errors, including bias and variance errors. The Gaussian mixture model, a probabilistic and flexible mixture distribution model used extensively for clustering and density estimation tasks, is infrequently applied in the wind energy sector. This paper proposes using the Gaussian mixture model to extrapolate extreme wind turbine responses. The performance of two approaches is evaluated: (1) parametric fitting first and aggregation afterward and (2) data aggregation first followed by fitting. Different distribution models are benchmarked against the Gaussian mixture model. The results show that the Gaussian mixture model is capable of estimating a low exceedance probability with minor bias error, even with limited simulation data, and demonstrates flexibility in modeling the distributions of varying response variables.
The cement industry in accordance with the UN Sustainable Development Goals through the C-S-H seeds technology – A critical review
Authors:   Universidade Federal do Paraná, UFPR, Curitiba, Paraná, Brasil, Guimarães Paula Aguilar , Tamura Sarah ,   Universidade Tecnológica Federal do Paraná, UTFPR, Apucarana, Paraná, Brasil, Costa Marienne ,   Universidade Federal do Paraná, UFPR, Curitiba, Paraná, Brasil
Published: October 2023

The United Nations (UN) has stablished several goals and actions in order to mitigate climate change and reduce its consequences. As one of the main responsible of global anthropogenic carbon emissions, cement industry has a great potential on collaboration to achieve such goal. New solutions are studied to decrease the environmental impact caused by cement production. Clinker content replacement by Supplementary Cementitious Materials (SCM) is indicated as the more feasible one. Despite the environmental benefit offered by the action, the composition modification of the binder leads to initial performance issues. Cementitious materials with lower clinker content and presence of SCM presents higher setting time and lower early strength, which limits the application of the measure regardless of its environment advantage. The use of C-S-H (calcium silicate hydrate) seeds additive can overcome such effect, since it accelerates cement hydration, improving its initial performance. Therefore, such additional input enables the vaster application of low carbon cements. Nonetheless, the manufacture of C-S-H seeds also emits greenhouse gases with environmental impacts comparable to cement production. Hence, the objective of this study is to analyse and discuss the contribution of the use of C-S-H seeds on the potential carbon footprint reduction of cementitious materials and if this measure could help to achieve the goals stablished by the UN. The reviewed papers pointed the additive as a feasible solution to low carbon cements production which allays technical and environmental requirements. Therefore, it was concluded that C-S-H seeds can effectively contribute to achieve the UN stablished goals towards climate change mitigation.