bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Value Added Tax and Sales Tax Incentives on Luxury Goods on Consumer Purchasing Power
Authors: Hermanto Hermanto
Published: February 2024

The research we conducted here was motivated by various problems related to the purchasing power of motor vehicle consumers regarding Value Added Tax (VAT) and Sales Tax Incentives for Luxury Goods (PPnBM). This research was designed to determine consumer purchasing power. Value Added Tax (VAT) and Sales Tax Incentives for Luxury Goods (PPnBM) on motorized vehicles. The method used in this research is quantitative with the sample determination method, namely the Probability Method. This method is a method that uses area sampling and uses a purposive sampling method. The research results we obtained show that simultaneously, Value Added Tax (VAT) and Sales Tax Incentives on Luxury Goods (PPnBM) have a significant effect on the purchasing power of motor vehicle consumers. Partially Value Added Tax (VAT) significantly effects motor vehicle consumers' purchasing power. At the same time, the Sales Tax Incentive on Luxury Goods (PPnBM) PPnBM significantly affects the purchasing power of motor vehicle consumers.
PREDIKSI KELULUSAN MAHASISWA TEPAT WAKTU MENGGUNAKAN METODE DECISION TREE DAN NAÏVE BAYES
Authors: Wahyudi Azis
Published: February 2024

Kelulusan tepat waktu sendiri merupakan salah satu indikator keberhasilan hasil kinerja akademik mahasiswa. Ketentuan masa studi sendiri sudah diatur dalam ketetapan Peraturan Menteri dan Pendidikan Kebudayaan Indonesia. Untuk mengatasi hal tersebut perlu ada teknik untuk bisa melakukan prediksi terhadap kelulusan, Adapun teknik yang sering digunakan adalah dengan menggunakan data mining. Dalam penelitian ini penulis akan membandingan dua metode data mining yaitu metode Naive Bayes Classifier dan Decision Tree. sehingga diperoleh metode dengan akurasi prediksi kelulusan mahasiswa yang terbaik. Atribut yang digunakan untuk Klasifikasi Data Mining terdiri atas 10 atribut yaitu NIM, Jenis Kelamin, Status Mahasiswa, Umur, Indeks Prestasi Semester 1, Indeks Prestasi Semester 2, Indeks Prestasi Semester 3, Indeks Prestasi Semester 4, Indek Prestasi Komulatif, Keterangan Sebagai atribut hasil. Dari hasil proses pengujian dengan tools RapidMiner Menggunakan dua metode yang telah dilakukan. Decision Tree(C4.5) memperoleh hasil akurasi tertinggi sebesar 88.92% dan Metode Naïve Bayes memperoleh hasil akurasi tertinggi sebesar 84.98%.
Evaluation of food and fodder based cropping systems for sustaining productivity, resource use efficiency and profitability in western plain zone of Uttar Pradesh
Authors: L.R. MEENA  , SAMRATH LAL MEENA  , LALIT KUMAR  , NATARAJA SUBASH PILLAI  , T. RAM
Published: February 2024

A field experiment was conducted during 2015–16 to 2018–19 at the research farm of ICAR-Indian Institute of Farming Systems Research, Modipuram, Uttar Pradesh to assess the potential yield (PY), sustainability and resource use efficiency (RUE) of 7 cropping systems (CS), viz. maize + blackgram–pea–sorghum; cluster beanwheat-teosinte; stylo-berseem-maize + cowpea; clitoria-mustard–greengram; rice–chickpea–okra; rice–wheat and sugarcane–wheat system. The experiment was laid out in randomized block design (RBD) with 3 replications. Among the different cropping systems, rice (Oryza sativa L.)–chickpea (Cicer arietinum L.)–okra (Abelmoschus esculentus L.) was found to be most superior in terms of wheat equivalent yield (WEY) (19.77 t/ha/year) and sustainable yield index (SYI=0.894). The highest land use efficiency (LUE) was recorded with cluster bean (Cyamopsis tetragonoloba L.)–wheat (Triticum aestivum L.)–teosinte (Zea spp.) cropping system (95.16%) with 347 days of ground cover. Production efficiency was registered maximum with maize (Zea mays L.) + blackgram [Vigna mungo (L.) Hepper]–pea (Pisum sativum L.)–sorghum [Sorghum bicolor (L.) Moench] system (66.91 kg/ha/ day), followed by rice–chickpea–okra system (62.25 kg/ha/day). Nevertheless, the highest net return (` 300.8×103 / year) was realized with rice–chickpea–okra system. Total soil organic carbon (SOC) content was highest (1.34%) under stylo-berseem- maize + cowpea [Vigna unguiculata (L.) Walp.] cropping system in comparison to other cropping systems. Thus, it can be concluded that rice–chickpea–okra system proved more productive, remunerative (` 824/ha/day) and sustainable cropping system than the existing sugarcane (Saccharum officinarum L.)–wheat/ rice–wheat cropping system in the western plain zone of Uttar Pradesh, India.
Effect of crop residue and weed management on weed incidence, soil moisture and yield of chickpea
Authors: M.P. SAHU  , ML KEWAT  , A.K. JHA  , V.K. CHOUDHARY  , BADAL VERMA  , JITENDRA PATIDAR  , VIKASH SINGH  , PRATIK SANODIYA
Published: February 2024

Chickpea is a major pulse crop which is grown and consumed by the Indian people. Due to poor weed competition ability of chickpea and very few weed management options, yield of chickpea is drastically reduced under vertisols. Therefore, the present study related to weed management and crop residues on weed incidence, yield attributing character and yield of chickpea was conducted at Research Farm of JNKVV, Jabalpur (MP), India. A field experiment was undertaken in split plot design with 3 replications and 4 weed-management treatment in main-plot and four crop residues as sub-plot. The main plot treatments were pendimethalin 38.7% CS at 1 kg/ha as pre plant incorporation (PPI), hand weeding at 30 days after sowing (DAS), hand hoeing at 30 DAS and weedy check. Four crop residues mulch (CRM) were, wheat straw (WSM), paddy straw (PSM) and soybean haulm (SHM) each at 5 t/ha and control where no mulch material was applied. Results revealed that imposition of hand weeding at 30 DAS recorded with least weeds with lesser weed biomass resulting in higher weed control efficiency (WCE). However, weedy check recorded maximum weed count and dry weight. Pendimethalin 1 kg/ha recorded lower weed prevalence and weed dry weight. It was similar to hand hoeing done at 30 DAS. Among applied CRM, PSM recorded lower weed density and dry weight with higher WCE and soil moisture at 30 DAS and was superior over control plots. Hand weeding at 30 DAS recorded with higher yield attributing traits viz, pods/plant, seed/pod and seed index resulted higher seed yield (1,604 and 1,731 kg/ha respectively in 2018–19 and 2019–20). It was at par with pendimethalin at 1 kg/ha. The lower yield attributes and yield was recorded in weedy check plots. Among CRM, spreading of PSM give more pods and seeds/pod with higher seed index resulted in higher seed yield (1515 and 1593 kg/ha in 2018–19 and 2019–20 respectively) over others. Thus, application of PSM at 5 t/ha with one hand weeding at 30 DAS or with pendimethalin can be suggested for significant weed control and higher seed yield in chickpea.
Effect of planting geometry and weed-management practices on yield of scented rice (Oryza sativa) varieties
Authors: PURNIMA HALDAR  , ASHWANI KUMAR THAKUR
Published: February 2024

A field experiment was conducted at the Shaheed Gundadhur College of Agriculture and Research Station, of the Indira Gandhi Krishi Vishwavidhyalaya, Jagdalpur, Chhattisgarh during rainy season (Kharif) of 2019, to evaluate the effect of planting geometry and weed-management practices in transplanted scented rice varieties. Treatments consisting combination of 2 varieties, 2 planting geometry and 4 weed management practices were replicated thrice in a split-split plot design. The dominant weeds in transplanted rice were: Ludwigia peploides (Kunth) P.H. Raven., Spilanthes acmella (L.) C.B. Clarke ex Hook. f., Echinochloa colona L., Cyperus difformis L., Cyperus iria L., Commelina benghalensis L. and Fimbristylis miliacea (L.) Vahl. Significantly lowest population of different weed species, and the highest grain and straw yields, and harvest index were found with variety, ‘Tarunbhog Selection 1’ while the maximum test weight was observed with ‘Dubraj Selection 1’. The planting geometry of 20 cm × 20 cm recorded the minimum weed population and the highest yield and benefit cost ratio. Application of pyrazosulfuron ethyl 10% WP @ 20 g/ha at 3 Days after transplanting (DAT) + 1 hand weeding (HW) at 25 DAT was found the most effective for broad-spectrum weed control and increased the rice grain yield. The highest net returns and benefit cost were recorded with the pre-emergence application of pyrazosulfuron ethyl 10 % WP @ 20 g/ha.
The Three Dimensions of Integrating the “Patriotism Education Law” into Ideological and Political Education in Colleges and Universities
Authors:   Yixin Publisher, Li Wei , Li Hong
Published: February 2024

Patriotism is a traditional virtue of the Chinese nation and a basic obligation of every citizen. The rule of law is a basic feature of a modern country and a crucial guarantee for maintaining social stability and development. In today’s era, patriotism and the rule of law are inseparable. Only by combining the two can we better promote the development and progress of the country. The formulation and promulgation of the “Patriotism Education Law” can provide a strong guarantee for ideological and political education in colleges and universities. In today’s society, with the continuous development of economic globalization and cultural diversification, ideological and political education in colleges and universities is facing new challenges and opportunities. Therefore, integrating the “Patriotism Education Law” into ideological and political education in colleges and universities can not only improve the ideological and moral cultivation level of college students, but also enhance their legal thinking, promote the implementation of the policy of governing the country according to law, and transform the rule of law into the habitual behavior of every citizen way cultural confidence and national consciousness.
Research Hotspots and Rrend in Teaching Reform of Logistics Specialty
Authors:   Yixin Publisher, Yao Qiuzhen
Published: February 2024

In this paper, the research literature on the teaching reform of logistics major published in CNKI database from 2017 to August 2023 is selected as the data sample, and CiteSpace literature measurement software is used to carry out a visual analysis of the research on the teaching reform of logistics major, including the number of publications, authors, research institutions, co-occurrence of keywords, clustering, and emergence. Thus, it objectively and intuitively reveals the research status, development trend and evolution course of the teaching reform of logistics specialty in China. The findings are as follows: the teaching reform of logistics major has attracted much attention, but there is a lack of high-quality in-depth research; Research subjects and research institutions are scattered, and cooperation needs to be strengthened. The research has not yet formed a more complete and leading direction, and there is a lack of series of research results.
Development Status and Related Factors of Mental Reasoning Ability in Children with Hearing Impairment
Authors: Chen Guanru
Published: February 2024

Objectives: This research aims to determine the factors that contribute to improving mental reasoning ability in children with hearing impairment. To achieve this objective, 6 six factors were tested to determine their impact on the mental health reasoning of children. Methods:
The research is based on quantitative data; a Likert scale questionnaire was used to collect data from a sample of 195 doctors. SPSS version 29 was used to calculate Pearson correlations and analysis of variance. Results: Age, health behavior, duration of the hearing, communication
methods, educational support services, and hearing aids were significant factors influencing the mental reasoning ability of students. Conclusion: In proceeding with the theoretical contribution of this research and filling the gaps in knowledge, the study has some practical implications
for improving the mental reasoning ability of children with hearing impairment
Adoption of Digital Healthcare Interventions and Innovations in Reducing Mental Health Stigma: A Perspective on (COVID)-19
Authors: Wang Qi
Published: February 2024

Objectives: During the COVID-19 pandemic, Chinese people with mental health difficulties faced a major issue of mental health stigma. The pandemic's constant stress and social isolation intensified the stigma attached to people suffering from mental illnesses. To address this
issue, a study was done in China to investigate mental health stigma in the context of digital media arts. Methods: The study involves randomly distributing 1300 questionnaires on a 5-point Likert scale. Only 500 questionnaires, however, were found adequate for data analysis using partial
least squares (PLS). Results: Digital health innovation and adoption are crucial for enhancing mental health. The study's focus was confined to the adoption of innovation in mental healthcare in China because this sector received less attention in previous research that sought to establish
a link between digital health innovation and digital mental healthcare. Conclusion: The study has important theoretical and practical implications for improving people's lives by strengthening their mental health systems with digital technologies and raising awareness of digital healthcare
tools. The findings are important for policymakers to make people aware of the importance of caring for their mental health by digital healthcare tools.
Measuring The Impact of Oral Health Behavior on Immediate Loading Cases and Mediating Role of Hybrid Prosthesis Using a Survey Based Clinical Research Technique
Authors: Ozdiler Arda
Published: February 2024

Objective: The objective of the current study was to measure the impact of health behavior on male and female immediate loadings. This study further tested the mediating impact of hybrid prostheses in the proposed research model. Methods: A cross-sectional method was used,
and a sample of 207 doctors was collected to empirically measure the developed relationships. Pearson's correlation and regression analysis were conducted to achieve the results. Results: The study determined that health behavior was a significant predictor for immediate loading among
male and female patients. Furthermore, the study also established that hybrid prosthesis is a positive mediator between health behavior and immediate loadings in both males and females. Conclusion: The study concluded that the health behavior of the patients was a critical factor for
the development of their attitude toward getting immediate loading treatment. The study also confirmed that hybrid prosthesis improved patients' health with immediate loadings. Hence, the health behavior of patients should be improved with health awareness literacy and the help of doctors.
Akulturasi Budaya pada Tradisi Wetonan dalam Perspektif Islam
Authors: Yahya M. Daud , Faizah Aeni Zazimatul , Soliqah Isnaini
Published: February 2024

Adat istiadat atau sering disebut dengan adat, merupakan sistem nilai dari suatu pranata sosial yang tumbuh dan berkembang dalam masyarakat. Sebagian orang Jawa, mengadakan upacara tradisonal dalam rangka memenuhi kebutuhan spiritualnya supaya ingat pada sang pencipta.Terutama pada masyarakat pedesaan yang adat istiadatnya masih dijunjung tinggi nilai-nilai sejarahnya. Hingga saat ini masih banyak masyarakat desa yang berpegang teguh pada adat istiadat ketika akan melakukan pekerjaan atau hajatan. Adat istiadat yang masih dijunjung tinggi nilainya oleh masyarakat Jawa misalnya adat pernikahan, khitanan, kelahiran (memetri weton), kematian, dan lain-lain. Bancaan memetri weton (hari lahir) merupakan peringatan hari kelahiran dalam hitungan kalender Jawa yang jatuhnya setiap 35 hari sekali (selapan) yang bertujuan untuk mengucapkan rasa syukur kepada Tuhan Yang Maha Esa atas apa yang sudah diberikan. Pelaksanaan bancaan memetri weton (hari lahir) dalam tradisi Jawa dilaksanakan dengan menggunakan ubo rampe (perlengkapan) dan tata cara tertentu, masih ada sebagian masyarakat Jawa yang mempertahankan tradisi bancaan memetri weton (hari lahir) dan di satu sisi banyak masyarakat Jawa yang mulai meninggalkan tradisi ini, disisi lain juga menarik peneliti untuk mengetahui apa saja nilai-nilai kearifan lokal dari tradisi bancaan memetri weton (hari lahir) ini. Dalam penelitian ini jenis penelitian yang digunakan yaitu penelitian kualitatif. Pendekatan ini menggunakan pendekatan antropologi budaya, dan antropogi sastra.
Impacted Foreign body of Porcupine spine in Neck- a case report
Authors: Acharya Alina , Budhathoki Bikram , Basel Prakash , Gautam Benzene
Published: February 2024

Abstract:
Introduction: Trauma and foreign body impaction in the neck can be dangerous because of high chances of injury to vital structures like the  major blood vessels, airway, digestive tract and nerves located in the neck. Hence, early diagnosis and treatment is important to prevent severe morbidity and mortality.
Case presentation: A 24 years old male from Rolpa had presented with complaint of painful swelling over right side of neck for a week.He had past history of encounter with porcupine a month back. Ultrasonography of the neck revealed impaction of foreign body in the right lateral neck(sternocleidomastoid muscle) with pus and granulation tissue around it. He was then admitted and exploration under general anesthesia was done and porcupine spine was removed.
Conclusion: Any neck trauma should be evaluated for residual foreign body as it can be dangerous in the neck. Early detection and removal of foreign body should be done on time to prevent life threatening complications.
A Comparative Study of Laparoscopic Inguinal Hernioplasty with Open Inguinal Hernioplasty
Authors: Koirala Ashok , Shah Sachidanand , Adhikari Dinesh , Bhattarai Amit , Yadav Ajay Kumar
Published: February 2024

Introduction: Inguinal hernia repair is most common surgical procedures done world-wide. It is repaired by both laparoscopic and open technique. The aim of this study is to compare the outcome of laparoscopic inguinal hernioplasty with open inguinal hernioplasty.
Methods: A retrospective comparative study was done from May 2019 to July 2020. Sixty patients enrolled in the study, 30 underwent Laparoscopic hernia repair (LH) and another 30 underwent Lichtenstein’s hernioplasty (OH).These two groups were compared for operative time, postoperative pain, length of hospital stay, surgical site infections and postoperative scar.
Results: Out of 60 patients, right sided inguinal hernia was found in 34(56.66%), left sided inguinal hernia in 24 (40%) and bilateral inguinal hernia in 2 (3.33%).Mean operative time in LH group was 122±13.77 minutes where as in OH group it was 55.59±8.53 [p<0.01]. Mean postoperative pain at 8 hours in LH was 4.44±1.87 and in OH was 6.43±0.93 [p<0.01). At first postoperative day pain in LH was 3.46±1.38 and in OH was 5.76±1.0 [p<0.01). At second postoperative day pain in LH was 3.09±1.12 and in OH was 4.43±0.81[p<0.01].Mean duration of hospital stay in LH group was 2.13±0.34 whereas in OH group 2.70±0.46[p<0.01].No surgical site infections noted in LH group whereas 2 developed superficial surgical site infections in OH group(P=0.155). In 2 weeks and subsequent follow up period of 3 months, scarlook cosmetically better in LH group.
Conclusion: Laparoscopic hernia repair was associated with less postoperative pain, shorter hospital stay, less surgical site infections, with better cosmesis but prolonged operative time.
Outcome of Monopolar versus Bipolar Transurethral Resection of Prostate
Authors: Regmi Prabodh , Basnet Robin Bahadur
Published: February 2024

Introduction: Transurethral resection of the prostate is the gold standard surgical treatment for benign prostatic hyperplasia with the lower urinary tract symptoms. Bipolar system is a new in technology to lower the adverse effects of monopolar system. This study was designed to find out clinic-demographic data and peri-operative outcomes of the monopolar versus bipolar transurethral resection of prostate.
Methods: This prospective comparative study was conducted from June 2022 to March 2023, in the Department of Urology of Bir Hospital, National Academy of Medical Sciences, Nepal. Ethical approval of research was taken from Institutional Review Board, NAMS: Ref No. 735/2079/80. Microsoft Excel was used for descriptive analysis for clinic-demographic and outcome variable data, were presented in frequencies and percentages and their relation were analyzed by chi-square test/fisher’s exact test.
A p-value of <0.05 statistically significant.
Result: A total 80 patients were compared, bipolar(40 cases) and monopolar(40 cases). There were no differences in the incidence of hyponatremia, clot retention and evacuation rate, re-catheterization rate, mean hemoglobin loss, and mean length of hospital stay. The longer duration of operation time (>60 min) was observed in bipolar transurethral resection ( p=0.001). The transurethral resection syndrome was found only in M-TURP.
Conclusion: Both  monopolar and bipolar transurethral resection of prostate showed no statistical differences in the amount of resected prostatic tissue, the incidence of hyponatremia, length of hospital stays, blood transfusion rate, re-catheterization rate, clot retention and evacuation rate. The shorter duration of surgery and the trans-urethral resection syndrome was observed in M-TURP.
Awareness and Utilization of Menstrual Cup among Adolescent Nursing Students of a Selected College.
Authors: Mulepati Sumitra , Koirala Sarmila , Bhandari Sushila Devi , Budhathoki Babita , Bhele Rajya Laxmi , Thapa Madhuri
Published: February 2024

Introduction: Menstruation is normal physiological process of a woman, during this period basic hygiene and care is most important. Most of the women use sanitary napkins and pads for maintaining menstrual hygiene, though menstrual cup is a good alternative to sanitary pads as it is reusable and environment-friendly. Awareness of nursing students about this will have significant clinical and public health implications. Hence, the current research aimed at assessing awareness and utilization of menstrual cup among adolescent nursing students.

 Methods: Analytical cross-sectional research design was conducted among 121 adolescent nursing students selected by enumerative sampling from Nepalese Army Institute of Health Sciences, College of Nursing and Nepali Army college of Health Science. Semi-structured questionnaire was used to collect the data. Descriptive statistics such as frequency, percentage, mean and standard deviation was used to describe the socio-demographic characteristics and inferential statistics i.e., spearman rank correlation was used to find out the correlation between level of awareness and utilization of menstrual cup.

Results: In this study, majority (81%) of the respondents had moderate level and only (14%) of respondents had adequate level of awareness on menstrual cup. Very few respondents (9.1%) of them had used menstrual cup. There was negligible positive correlation between level of awareness and utilization of menstrual cup (r=0.003).

Conclusion: The findings of the study concluded that nursing students have moderate knowledge regarding menstrual cup and its usage and only very few of them are using it hence, there is a need for educational programs, campaigns and continuous monitoring to improve and reinforce the knowledge regarding menstrual cup and its usage among students as they are the one who in future will reach to serve the public and raise awareness throughout the country.
Clinical Profile and Outcome of Sub Acute Intestinal Obstruction. A Descriptive Cross-Sectional Study
Authors: Simkhada Ganesh , Mukhia Rupesh , Thapa Bibechan , Singh Deepak Raj , Thapa Abishek , Bohara Tanka Prasad
Published: February 2024

Introduction: Sub-acute intestinal obstruction (SAIO) is a partial blockage of the intestines causing abdominal pain, nausea, vomiting and obstipation. Diagnosing SAIO can be difficult, and CT scans are more accurate than plain X-rays. Treatment involves conservative measure initially, but surgery may be necessary if symptoms persist after 24-48 hours. This study aimed to assess the clinical profile and outcome of patients with SAIO.
Methods: This was a descriptive cross-sectional study conducted in department of surgery at KIST Medical College and Teaching Hospital from 2022 to 2023 after getting ethical clearance. Fifty patients admitted with clinical feature suggestive of SAIO were enrolled for study. Predesigned proforma was used to record information that assessed demographic, clinical and treatment profile. SPSS version 26 was used for data analysis to generate descriptive statistical findings.
 Results: Abdominal pain was the most prevalent symptom observed in 39 (78%) patients while exaggerated bowel sound was most common clinical findings that was observed in 31 (62%). Pervious abdominal surgeries were present among 30 (60%) patients. Plain X-Ray showed feature suggestive of SAIO in 49 (98%) patients. Majority patients 35 (70%) were managed successfully with conservative treatment. 
 Conclusion : In SAIO, abdominal pain was the most prevalent symptom while alteration in bowel sound is important clinical finding that is consistent with intestinal obstruction. Previous abdominal surgeries are an important risk factor to be considered for intestinal obstruction. Plain x-ray findings play important role to make diagnosis of intestinal obstruction. Conservative treatment resolves obstruction in majority of patients.
Comparison of Quality Of Life Before and After Laparoscopic Cholecystectomy
Authors: Bohara Tanka Prasad , Gurung Adarsh , Dangol Ellina , Neupane Salina , Joshi Mukund Raj
Published: February 2024

Introduction: Laparoscopic cholecystectomy (LC) is a treatment of choice for symptomatic cholelithiasis. LC is one of the most commonly done operations in our country. Patient-reported quality of life is an important outcome measure following all medical and surgical interventions. However, there are only a few papers available addressing quality of life-issues following laparoscopic cholecystectomy. Hence, we conducted a study to compare the quality of life to compare before and after LC.
Methods: This is a longitudinal study. Patients who underwent laparoscopic cholecystectomy during the study period were included. Gastrointestinal quality of life (GIQLI) was measured before and six months after laparoscopic cholecystectomy.
Result: Seventy-two patients, 11 (15.28 %) males and 61 (84.72 %) females were included in the study. The mean age was 44.97 years and the mean duration of symptoms was found to be 5.20 months. No complications were recorded. There was a statistical increase in the mean total GIQLI before and after LC (111.625 Vs 133, p < 0.0001).
Conclusion: There was a significant increase in GIQLI after laparoscopic cholecystectomy in symptomatic patients.
VYHODNOCENÍ EFEKTU TERAPIE NA MOČOVOU INKONTINENCI U MUŽŮ PO RADIKÁLNÍ ROBOTICKO ASISTOVANÉ PROSTATEKTOMII V RÁMCI REHASPRING KONCEPTU PPA
Authors: Palaščáková Špringrová I , Bartoníčková Bartoníčková , Firýtová R , Drlík P
Published: February 2024

Východisko: Zhoubný nádor prostaty patří mezi nejčastější onkologická onemocnění u mužů.  Pokud je nádor lokalizován pouze na prostatu, metodou léčby je pak radioterapie nebo radikální prostatektomie. Po radikální prostatektomii nalézáme u 80% mužů erektilní dysfunkci a u            10-15% trvalou stresovou inkontinenci různého stupně. Fyzioterapie svalů pánevního dna je nejčastěji doporučovaným konzervativním léčebním postupem močové inkontinence, kterou má vysoké procento mužů po operaci.

Soubor: Výzkumný soubor tvořilo 23 mužů, kteří navštěvovali ambulantní zařízení fyzioterapie. Skupinu A (n=9, věk 57,4 ± 6,9 let) tvořili probandi, kteří podstoupili první vstupní vyšetření ještě před plánovanou radikální prostatektomií a byli kontinentní. Do skupiny B (n=14, věk 66,3 ± 10 let) byli zařazeni pacienti, kteří nejprve podstoupili operaci RARP a následně v intervalu 3-9 týdnů po výkonu přicházeli na vstupní vyšetření k fyzioterapeutovi. Probandi ze skupiny B trpěli po operaci únikem moči v různém množství.

Metody: Pro získání výsledků efektivity terapie všech potřebných dat ke studii byly použity dotazníky Rehaspring konceptu PPA (Palascak Pelvic Aproach) a ICIQ-SF Guidelines dotazník pro kvantifikaci úniku moči.

Výsledky: Nejvýraznější pokles byl mezi vstupním vyšetřením skupiny A (9,8±6,8) ICIQ-SF bodů a skupiny B (18,5±4,97) ICIQ-SF a mezi 1. a 2. kontrolním vyšetřením skupiny A (6,3±4,9) ICIQ-SF bodů a skupiny B (9,64±5,7) ICIQ-SF bodů. Močová inkontinence poklesla o 36,2% u skupiny, která použila v terapii  rektální závaží.

Závěry: Výsledky studie ukázaly, že pravidelné cvičení a posílení svalů pánevního dna a také použití rektálního závaží má vliv na snížení močové inkontinence. Studie prokázala, že instruktáž před operací pacienta snižuje močovou inkontinenci po RARP.
ÚČINNOSŤ REHABILITÁCIE V KOMPLEXNOM OŠETROVANÍ PACIENTOV SO SYNDRÓMOM KUBITÁLNEHO KANÁLA
Authors: Bismak E , Dereka T , Kalmykova Y , Kalmykov S
Published: February 2024

Východiská: Rehabilitácia pacientov so syndrómom kubitálneho kanála pomocou komplexných programov fyzioterapie je naliehavým problémom v neurológii a rehabilitácii.

Cieľ: Vyhodnotiť účinnosť vyvinutého programu rehabilitácie u pacientov so syndrómom kubitálneho kanála v období zotavenia.

Súbor: Štúdie sa zúčastnilo 47 pacientov vo veku 21 až 65 rokov s diagnózou syndrómu kubitálneho kanála.

Metódy: klinické a neurologické vyšetrenie, vizuálna analógová škála bolesti, manuálne testovanie svalov, 6-bodová škála podľa R.B. Zachary, W. Holmes na posúdenie zmyslového postihnutia, špeciálne provokačné testy Tinel a Falen, dynamometria.

Výsledky: Sledovanie vykonané pred rehabilitačným procesom ukázalo, že pacienti majú bolesti postihnutej končatiny, pohybové poruchy, poruchy citlivosti v oblasti inervácie ulnárneho nervu a zníženie svalovej sily ruky. Podľa výsledkov stupnice bola teda u 53,2 % ľudí pozorovaná bolesť strednej intenzity. Poruchy citlivosti (stredne ťažká hypestézia) boli pozorované u 44,7 % pacientov, motorické poruchy v poranenej hornej končatine boli zistené u 36,2 % a u 53,2 % pacientov (3 a 4 body za manuálne testovanie svalov). Hodnoty dynamometrie ukázali pokles svalovej sily v poranenej končatine pred rehabilitáciou. Rozvinutý komplexný program rehabilitácie prispel k regresii neurologických porúch u pacientov so syndrómom kubitálneho kanála. Opätovné vyšetrenie ukázalo významné zníženie bolesti, zlepšenie motorických a senzorických funkcií, zvýšenie svalovej sily v poranenej končatine u pacientov z hlavnej skupiny v porovnaní s kontrolnou skupinou.

Záver: Podľa výsledkov štúdie je možné poznamenať, že vypracovaný komplexný program fyzioterapie je účinný a možno ho odporučiť na použitie v rehabilitačných zariadeniach pri syndróme kubitálneho kanála.
MOŽNOSTI POPÔRODNEJ REHABILITÁCIE PRI DIASTÁZE PRIAMEHO BRUŠNÉHO SVALU
Authors: Oravcová P , Malay M , Žalúdková L
Published: February 2024

Východiská:  Brušná diastáza vzniká nadmerným zväčšením intraabdominálneho tlaku v kombinácii zastúpenia hormonálnych zmien, či zvýšením natiahnutia m. rectus abdominis spôsobeného expandujúcou sa maternicou. V prípade, že sa medzisvalové rozšírenie po pôrode samé nezacelí a nevráti tak brušnú stenu do pôvodného stavu, tento problém sa primárne rieši konzervatívnu formou terapie - fyzioterapiou.

Metodika: Predložená práca bola realizovaná kvantitatívnym výskumom, prostredníctvom neštandardizovaného dotazníka. Dotazník bol anonymný a obsahoval 18 uzavretých, otvorených a polouzavretých otázok. Stanovili sme 4 hypotézy, ktoré sme štastisticky spracovali a overovali programom SPSS Statistics 26, chí-kvadrát testom a Mann-Whitneyho testom.

Vzorka: Výskumnú vzorku tvorilo 100 respondentov. Kritérium pre výber vzorky bolo zámerné a  tvorili ho ženy, ktoré mali diagnostikovanú diastázu priameho brušného svalu. Skupina bola rozdelená na dve podkategórie žien po prirodzenom pôrode a po pôrode sekciou, ktoré sme navzájom porovnávali.

Výsledky: Z výsledkov sme zistili, že väčšina žien, ktoré rodili prirodzene sa pred tehotenstvom viac venovalo cvičeniu zameranému na hlboký stabilizačný systém (HSS), ako ženy ktoré rodili sekciou (p=0,005). Zistili sme, že ženy ktoré rodili prirodzene sa začali venovať cvičeniu zameranému na liečbu diastázy po pôrode skôr, ako ženy rodiace sekciou (p=0,009). Významný štatistický rozdiel nebol v trvaní cvičebnej jednotky u oboch sledovaných skupín (p=0,106). Zistili sme, že ženy ktoré rodili prirodzene majú rovnaký výskyt komplikácii spôsobených popôrodnou diastázou ako ženy rodiace sekciou (p=0,246).

Záver: Popôrodnou diastázou priameho brušného svalu trpí v dnešnej dobe čoraz viac žien. Preto sa odporúča rehabilitácia ako prevencia už v čase pred tehotenstvom a počas neho. Pohybová liečba vo forme rôznych metód a techník sa môže pozitívne prejaviť v eliminácii diastázy v následnom popôrodnom období.
Stimulace komunikačních schopností seniorů s neurokognitivní poruchou v rámci dlouhodobé muzikoterapeutické intervence (evaluace použitých metod a prostředků)
Authors: Müller O , Svoboda P
Published: February 2024

Cílem studie bylo prozkoumat názory pracovníků pomáhajících profesí pracujících v domově pro seniory s osobami seniorského věku s neurokognitivními poruchami. Na základě dotazníkového šetření chtěli autoři zjistit, zdali existují významnější rozdíly v možných přístupech, metodách a prostředcích aplikovatelných v rámci muzikoterapeutických intervencí. Cílem bylo rovněž posoudit, zdali dotazovaní pracovníci využívají stejný nebo podobný repertoár přístupů, metod a prostředků u cílové skupiny a u seniorů bez zdravotního postižení a zdali vnímají rozdíly u těchto skupin v rámci stimulace jejich paměti a komunikačních schopností a jak posuzují efektivitu používaných postupů. Východiskem byly poznatky z vlastních výzkumů a poznatky z rešerší studií zabývajících se nefarmakologickými přístupy k seniorům s neurokognitivními poruchami. Šetření následovalo po pravidelných muzikoterapeutických sezeních, které autoři pravidelně realizují již od počátku roku 2022. Jeho výsledky mají sloužit jako podklady k připravované studii s designem scoping review.
Wirkung der vibroakustischen Therapie auf Spastik und Herzfrequenzvariabilität bei zwei jungen Erwachsenen mit Zerebralparese
Authors: Vilímek Z , Uhrinová Z , Bucharová M , Kantor J , Krejčí J
Published: February 2024

Zusammenfassung: Bei der vibroakustischen Therapie (VAT) werden sinusförmige, niederfrequente Schallschwingungen in Kombination mit Musik zu therapeutischen Zwecken eingesetzt. Bestehende Forschungsergebnisse deuten auf die Wirksamkeit dieser Therapie auf die Spastik bei Kindern mit Zerebralparese (CP) hin, aber diese Beweise fehlen völlig bei Jugendlichen und Erwachsenen mit CP. Ziel dieser beiden Einzelfallstudien (mit ABA'-Design) war es, die Wirkung von VAT bei Personen mit MO auf Spastizität und Herzfrequenzvariabilität (HRV) zu untersuchen. VAT wurde mit Hilfe des vibroakustischen Rehabilitationsbetts VIBROBED und des Elements-Programms (20 Minuten, musikalische Komposition mit biorhythmisch dosierten niederfrequenten Klängen - Amplituden- und Frequenzmodulation) bei einer 20-jährigen Frau und einem 19-jährigen Mann angewandt, die beide an Spastizität, motorischen und anderen Problemen litten. Die Anwendung von VAT führte in beiden Fällen zu einer Verbesserung der Spastik, und zwar nach jeder Sitzung um mindestens eine Stufe auf der Ashworth-Skala. Bei der Analyse der Wirkung von VAT auf die HRV wurden in beiden Fällen widersprüchliche Tendenzen bei den berichteten Werten der mittleren HR- und RMSSD-Parameter festgestellt. Während im ersten Fall die Intervention die parasympathische Aktivität erhöhte, bewirkte sie im zweiten Fall eine Abnahme der parasympathischen Aktivität. Aus diesen Messungen und den anschließenden Analysen lässt sich nicht eindeutig vorhersagen, wie die VAT das autonome Nervensystem beeinflusst. Es scheint, dass mehrere Einflüsse, einschließlich interindividueller Unterschiede in der Reaktivität des Organismus, die sich aus der VAT ergebende Tendenz (in Richtung der Unterstützung des parasympathischen oder sympathischen Teils des ANS) bestimmen. Angesichts der Beschränkungen dieser Pilotstudie schlagen wir vor, dass diese widersprüchliche Tendenzen Thema einer neuen Studie mit einem modifizierten Messdesign sein sollte, um interindividuelle Unterschiede in der VAT-Reaktivität und die Auswirkungen anderer intervenierender Parameter in dieser Population zu untersuchen.
Využitie Autoreflexného Zapojenia Hlbokého Stabilizačného Systému U Pacientov Po Operácii Lumbálnej Chrbtice (Literárny Prehľad, Vlastné Pozorovanie, Štatistické Vyhodnotenie)
Authors: Králiková L
Published: February 2024

Cieľ: Cieľom práce bolo  posúdiť využitie autoreflexného zapojenia hlbokého stabilizačného systému  u pacientov po operácii lumbálnej chrbtice.

Východisko: Operácie driekovej chrbtice majú v súčasnosti stúpajúcu tendenciu a umožňujú pacientom zlepšenie celkového stavu, vymiznutie bolesti, zlepšenie pohyblivosti a návrat do bežného života bez invalidizácie. Výsledok operácie závisí nielen od typu operačného výkonu, ale najmä od pooperačnej rehabilitácie, edukácie pacienta k cvičeniu v domácom prostredí a od možnosti absolvovania kvalitnej komplexnej kúpeľnej starostlivosti.

Súbor a metódy: v období od júna 2021 do mája 2022 sme do prieskumu a štatistiky atestačnej práce zaradili 21 pacientov po operáciách driekovej chrbtice. Sledovanú skupinu tvorilo 21 pacientov s vekovým rozmedzím 27 rokov až 70 rokov, z toho 12 mužov, 9 žien, ktorí boli po operácii driekovej chrbtice. Operačné prístupy obsahovali techniky bez stabilizácie alebo so stabilizáciou v driekových segmentoch.  Pacienti, ktorých sme sledovali, boli 5- 12 mesiacov po operácii. Bohužiaľ, počas pandemickej situácie Covid-19 sa situácia skomplikovala uzavretím alebo výrazným obmedzením ambulantne poskytovanej rehabilitačnej liečby, mnohí pacienti neabsolvovali rehabilitačný ambulantný proces a možno pokladať aj to za dôvod potreby operačného riešenia. Všetci sledovaní pacienti mali insuficienciu HSS.

Cvičili 3- 4 krát týždenne počas 4 týždňov. Absolvovali liečebnú hydrokinesioterapiu, skupinové LTV zamerané na posilnenie HSS ale aj neurofacilitačné rehabilitačné techniky ako (Brunkowa, DNS či McKenzie). Prieskum mal prospektívne zameranie.  

Pri funkčnom vyšetrení chrbtice sme použili nasledújúce skúšky: Thomayerova skúška, Schoberova skúška, skúška lateroflexie, skúška sed-stoj, test chôdzou (využívali sme možnosti pracoviska).

Na vyšetrenie subjektívneho vnímania sme použili dotazník vytvorený z dvanástich  otázok, klasický dotazník VAS a upravený dotazník hodnotenia kvality života. Údaje boli následne štatisticky vyhodnotené v overovaných položkách. 

Výsledky z dotazníkov v percentách uvádzame vo vyhodnotení výsledkov našej práce.

Výsledky: Po kúpeľnej liečbe sa stav pacientov výrazne zlepšil vo  všetkých parametroch získaných zo vstupného dotazníka, dotazníka VAS aj  upraveného dotazníka hodnotenia kvality života. Pacienti po cvičení dosiahli zlepšenie výsledkov aj v objektívnych parametroch a meraniach.
HODNOTENIE ÚROVNE DYNAMICKEJ STABILITY AKO FORMY PREVENCIE ZRANENÍ DOLNÝCH KONČATÍN FUTBALOVÝCH ROZHODCOV
Authors: Vašková M , Sučka J , Čech P
Published: February 2024

Východisko: Zranenia dolných končatín sú častým problémom futbalových rozhodcov. Významnú úlohu v prevencii zranení zohráva dynamická stabilita. Vysoká incidencia zranení je vysvetľovaná absentujúcimi kompenzačnými cvičeniami v tréningovom procese futbalových rozhodcov. Kompenzačné cvičenia, ako prostriedok znižovania rizika výskytu zranení, by mali byť súčasťou kondičnej rípravy. Cieľom tejto štúdie bolo overiť vplyv kompenzačných cvičení na úroveň dynamickej stability futbalových rozhodcov.

Súbor: Výskumný súbor tvorilo 8 futbalových rozhodcov, ktorí rozhodujú súťaže pod hlavičkou Východoslovenského futbalového zväzu. Rozhodcovia sú zaradení do skupiny Talent – Mentor. Ich priemerný decimálny vek v čase výstupného testovania bol 22,2 roka. Telesná výška rozhodcov predstavovala 182,9 cm, telesná hmotnosť 77,6 kg, percentuálny podiel telesného tuku 14,8 % a hmotnosť svalovej hmoty bola 36,7 kg.

Metódy: Na diagnostiku telesnej výšky sme využili prenosný stadiometer SECA 217. Telesná hmotnosť a telesná kompozícia bola zisťovaná bioelektrickou impedančnou analýzou s využitím prístroja InBody 230. Úroveň dynamickej stability sme diagnostikovali Y Balance testom, prostredníctvom ktorého je možné určiť potenciálne riziko zranenia dolných končatín. Rozhodcovia v priebehu 9 týždňov s frekvenciou 3 krát týždenne realizovali intervenčný program pozostávajúci z kompenzačných cvičení.

Výsledky: Porovnanie vstupnej a výstupnej diagnostiky dynamickej stability ukázalo zlepšenie kompozitného skóre. Pre pravú dolnú končatinu sa zlepšili o 14,1 % a pre ľavú dolnú končatinu sa zlepšili o 14,7 %. V oboch prípadoch došlo k štatisticky významnému zlepšeniu na hladine p < 0,05. Laterálnu dysbalanciu sme posudzovali na základe výkonu v anterior smere. Pre pravú dolnú končatinu bolo zaznamenané zlepšenie o 13,3 % a pre ľavú dolnú končatinu zlepšenie o 12,6 %. V oboch prípadoch boli zlepšenia zaznamenané ako štatisticky významné p < 0,05.

Závery: Výsledky diagnostiky preukázali zlepšenie úrovne dynamickej stability vplyvom aplikácie kompenzačných cvičení v sledovanom súbore futbalových rozhodcov. Vzhľadom k zisteniam odporúčame zaradiť kompenzačné cvičenia do tréningového procesu futbalových rozhodcov.
Meta-analysis The Influence of the Flipped Classroom Model on Problem Solving Ability in Revolution 4.0 Era
Authors: Harso Aloisius , Andi Yustira Lestari  , Nadriyah  , Andri Kurniawan  , Hadi Widodo  , Tomi Apra Santosa  , Destra Amni
Published: February 2024

This study aims to determine the effect of the flipped classroom model on the problem-solving ability of students in the industrial revolution era 4.0. This study is a type of meta-analysis research. Data sources come from 13 national and international journals published in 2021-20224. The inclusion criteria in this study are research derived from journals indexed by Sinta and Scopus, research related to the influence of the flipped classroom model on students' problem-solving abilities, tracing data sources from Researchgate, SciencedDirect, Mendeley, and ERIC, and research has complete data to calculate the value of effect size. Data analysis with the help of Microsof Excel and Jamovi applications. The results of this study concluded that the application of the flipped classroom model had a significant effect on students' problem-solving abilities with an average effect size value of 1.14 and Standard Error of 0.42. This finding has a positive impact on teachers to apply this flipped classroom model in developing students' problem-solving skills.
The problem of developing foreign-language communicative competence among economics students
Authors:   Kyiv National University of Technologies and Design, Ukraine, Vyshnevska Maryna , Kugai Kseniia ,   Kyiv National University of Technologies and Design, Ukraine
Published: February 2024

This article delves into the problems of developing foreign language communication proficiency among economics students. Through extensive analysis and empirical research, it uncovers the complexities of language proficiency, sociocultural awareness, and pragmatic skills in the context of economics education. The research provides ideas to inform strategies to enhance the global competence and career prospects of economics students in an interconnected world.
Etnologia românească actuală: tradiții, teme, practici disciplinare
Authors:   Universitatea din București, FRUNTELATĂ Ioana
Published: February 2024

Updating Romanian Ethnology: traditions, themes, scientific practices Romanian Ethnology (named, at first, either Romanic Philology or Ethnopsychology) became an academic discipline at the end of the ninenteenth century, as part of Philology studies and in tune with European theories regarding comparative researches on folk (peasant) cultures as a means to identify origins, interrelations and evolution of peoples. As part of European Ethnology, Romanian Ethnology has evolved as a science engaged in the project of national construction and practising the discipline has always implied resisting political bias, especially during the communist period. After 1989, Romanian ethnologists have freely explored the limits of their science, criticising tradition and practising interdisciplinary approaches that have induced a fruitful state of internal crisis, out of which a „new Ethnology” has emerged. Although rural tradition and national and multiethnic cultural heritage remain the most important topics of Romanian Ethnology, there are also a series of recent themes (work migration, exploring socialism and postsocialism, urban cultures and many others) that integrate research into international trends. As far as specific practices are concerned, Romanian Ethnology (or its most „fashionable“ equivalent, Sociocultural Anthropology, as I demonstrate there is no substantial difference between ’Ethnology’ and ’Anthropologies’) is grounded in the research field which is explored by using qualitative methods.
Dativul posesiv românesc și problemele achiziției sale la studenții din Serbia. Un studiu preliminar
Authors:   Universitatea de Vest din Timișoara, HUȚANU Monica ,   Universitatea din Belgrad, ĆORKOVIĆ Mirjana ,   Universitatea din Belgrad
Published: February 2024

Starting from a comparative perspective on Romanian and Serbian grammar, this paper deals with the acquisition and use of the Romanian possessive dative by students with L1 Serbian, who study Romanian as a foreign language. Various structural and functional differences between Romanian and Serbian account for the difficulties incurred by students when it comes to correctly producing the dative external possessive in Romanian. We propose a preliminary experimental study meant to analyze the degree and role of transfer in the acquisition of the structure, as well as the developmental differences between beginner, intermediate, advanced and heritage students.
Un arhipelag dizarmonic – postmodernismul și tirul aversiunilor critice
Authors:   Universitatea din București, Eichel Roxana
Published: February 2024

The text sets out to present a critical context where the debate surrounding the representations of postmodernism is regarded as still engaging. Virgil Nemoianu provides a troublesome image of cultural postmodernism as an epitome of chaos menacing traditional values or as a dangerous network of egalitarian views on literature, art, and religion. His book Postmodernism and Cultural Identities (Spandugino, 2018) seems to bring forth a series of critical outlines which can be read as oppositions to Matei Calinescu’s “fifth face of modernity” (if we employ the framework of Romanian-American critical discourse as a reading background). My paper seeks to identify the “faces” of critical conservatism in Nemoianu’s discourse, to find some of their sources in the author’s previous works or in other theoretical approaches to postmodernism.