bluuebunny/crossref_metadata_2025 huggingface dataset:
Treatment with transcranial magnetic stimulation combined with physiotherapy on manual dexterity and gait of people with multiple sclerosis
Authors: Telles Juliana Aparecida Rhein , Dias Alice Estevo , Sciarini Bruna Helena , Bando Mauricio Ossamu , Duque Vitor , Santos Francieli , Agourakis Demetrios Chiuratto , Vidigal Giovanna , Caetano Andre Virgilio Santos , Monteiro Carlos Bandeira de Mello , Silva Talita Dias da
Published: July 2023

Introduction: Transcranial magnetic stimulation (TMS) has good therapeutic effect and clinical application value when associated with therapeutic interventions. Objectives: To evaluate the effect of TMS combined with physiotherapy on the manual dexterity and gait of people with multiple sclerosis (MS). Methods: Participated 20 people with MS, 14 women and 6 men, aged 33 to 68 years (standard deviation 50.0) and EDSS between 0 and 6,5. The protocol consisted of 10 TMS sessions and 6 physiotherapy sessions. Participants were randomized and divided into two groups: Group I) with real stimulus, so that 10 received the TMS stimulus (primary motor cortex (Cz): 50 pulses per time, 30 trains, 20seconds of interval, totaling 1,500 pulses at 90% of resting motor threshold and left dorsolateral prefrontal cortex (F3): 10Hz, 50 pulses per train, 40 trains, 20 seconds interval, totaling 2,000 pulses at 110% of resting threshold), and Group II) sham, that received the application without TMS stimulation (10 patients). All underwent physiotherapy. The Box and Block Test and Timed up and Go Test (TUG) was applied before the combined interventions and after 60 days. Results: It was found that 90% of participants showed improvement in manual dexterity, and 10% a plateau on Box and Block Test. At the TUG, it was found 70% of improvement and 30% of decrease in performance. Conclusion: This study suggests that TMS can be incorporated into the physiotherapy in the rehabilitation of manual dexterity and gait in people with MS.
Atypical manifestation of Anti-Gaba-Br autoimmune encephalitis
Authors: Azevedo Ruan Ruan Gambardella Rosalina de , Barbosa Adriel Rêgo , Amorim Felipe Felipe Candeas , Souza Gabriel Pinheiro Martins de Almeida e , Férrer João Victor Cabral Correia , Lima Márcio Pinheiro , Fraiman Pedro Henrique Almeida , Maffei Rafael Tuzino Leite Neves , Faria Victor Cardoso de , Pedroso José Luiz , Moraes Marianna Pinheiro Moraes de , Barsottini Orlando Graziani Póvoas
Published: July 2023

Introduction: Anti-GABA-Br is an autoantibody associated with autoimmune encephalitis and small cell lung carcinoma. Clinical seizures, including status epilepticus, represent the most common feature of anti-GABA-Br related disorders. This case reports a previously healthy 40-year-old man with rapidly progressive dementia and Anti-GABA-Br positive cerebrospinal fluid (CSF). This is a case report based on retrospective analysis of a single patient’s medical record. Case report: From May 2019 to October 2020, the patient presented with dulling, decreased speech frequency and gait disturbance. He became unable to perform all basic and instrumental activities of daily living. Physical examination was marked by: pancerebellar dysfunction and impaired working memory. Brain magnetic resonance imaging (MRI) showed global brain volumetric reduction with bilateral T2/FLAIR (T2-weighted-Fluid-Attenuated Inversion Recovery) hypersignal in cortical regions of insula and mesial temporal lobes, without contrast enhancement. Analysis of CSF: 8.3 cells/ mm³ (96% lymphocytes) and protein 64 mg/ml. There was no evidence of: clinical/electroencephalographic seizures or pathological patterns on electroencephalograms. He received methylprednisolone for five days followed by cyclophosphamide infusions (one per month for seven months). Azathioprine started after tapering prednisone. On March 2022, the patient underwent a new MRI with hypersignal improvement although atrophy had persisted. CSF after treatment had no inflammatory changes and was antiGABA-Br positive. The patient presented a partial recovery and was still dependent on instrumental activities. Conclusion: Anti-GABA-Br encephalitis has a predilection for males, affects variable ages and is best characterized by generalized seizures with evolution to refractory status epilepticus although behavioral changes may occur. There are few reports of seizure free cases.
Multifocal motor neuropathy atypical presentation: case report
Authors: Lemos Ana Flavia Andrade , Foloni Maria Clara , Sousa Rebeca Aranha Barbosa , Frigo Yasmim Nadime José , Alvarenga Tarcísio Nunes , Santos Patrick Emanuell Mesquita Sousa , Magioni Junior Gilberto Bento , Baston Ana Beatriz Marangoni , Gomes Helio Aquaroni Farão , Lopes Laura Cardia Gomes , Nakao Natália de Castro Fim
Published: July 2023

Case report: Woman, 34 years old, with paresis that started four years ago during pregnancy, predominantly distal in the lower limbs and progression to the upper limbs. No involvement of cranial nerves and sensitivity. Initially considered a diagnosis of Myasthenia Gravis and clinical gain was observed with the use of pyridostigmine. After a few months, the patient’s symptoms recurred with asymmetric flaccid tetraparesis, predominantly in the lower limbs, associated with global areflexia and oral immunosuppressive therapy was initiated, with improvement. Electroneuromyography with normal sensory nerve conduction studies, but reductions in amplitudes in proximal compound muscle action potentials, with markedly reduced persistence in F-wave studies of the four limbs. Diffuse neurogenic changes were observed on exertion and activities such as positive sharp waves, fibrillation, fasciculations and myokymia at rest. Repetitive nerve stimulation at 3Hz without changes. A hypothesis of multifocal motor neuropathy (MMN) was then made. Treatment with intravenous immunoglobulin was performed, with significant recovery of symptoms. Discussion: MMN is a rare disease (prevalence of 0.6 per 100,000 individuals), with a predominance in men and a mean age of onset around 40 years. The differential diagnosis includes motor neuron disease and other demyelinating neuropathies. It is immune-mediated by antianglioside antibodies (anti-GM1), but they are not identified in all patients and may be present in other neuropathies. It is defined by muscle weakness predominantly distal, asymmetrical, predominantly in the upper limbs, slowly progressive, associated with reduced deep reflexes in the affected regions. The main electrophysiological characteristic is the presence of motor nerve conduction blocks (CB) outside the usual sites of compression. Conclusion: The finding that CB presents in patients with MMN suggests that nerve conduction should be extensively studied in every patient with a lowermotor-neuron syndrome to identify patients who might respond favorably to immunomodulating treatment.
Fermented milk supplemented with pequi oil microcapsules: effects on physicochemical properties, stability, in vitro digestion, and bioaccessibility
Authors: SILVA Luana Carvalho da , MAGALHÃES Hilton César Rodrigues , FREIRE Gabrielle Albuquerque , ALEXANDRE Joana de Barros , CASTELO Rachel Menezes , MUNIZ Celli Rodrigues , FURTADO Roselayne Ferro , ALVES Carlucio Roberto
Published: July 2023

Pequi oil presents high levels of unsaturated fatty acids and beta-carotene and has been used for nutraceutical purposes. Microcapsules can improve the protection of bioactive compounds in pequi oil and mask the inherent smell and taste for food applications. However, the stability of the microencapsulated oil and its influence on the product characteristics need to be investigated. This work evaluated the impact of pequi oil microcapsules on the physicochemical characteristics of fermented milk and other aspects of stability, digestion, and bioaccessibility via the analysis of beta-carotene present in the oil. During 28 days of storage, the pH values decreased from 4.5 to 4.32 for all fermented milk. Syneresis values decreased (<50%) due to water retention caused by the biopolymers on the microcapsules. Microencapsulation promoted an improvement in oil stability and a gradual release for 120 min, which allowed a better condition for beta-carotene quantification in the micellar phase and resulted in better bioaccessibility. Thus, the microcapsules positively influenced the physicochemical properties of the fermented milk and improved oil bioaccessibility aspects.
THE USE OF GUESSING GAME IN IMPROVING STUDENTS’ SPEAKING SKILL AT SMP NEGERI 3 TONDANO
Authors: Pinangkaan Valincia Febry Lim , Maru Mister Gidion , Wongkar Yapi Henri
Published: July 2023

The aim of this study was to determine whether or not employing a guessing game may improve students' speaking skills. The pre-experimental design was employed in this study, with one group pre-test-post-test. For data analysis, the researcher used statistical analysis by SPSS (Statistical Product and Service Solution) version 22 with Paired sample t-test. The Paired sample t-test results suggest that students speaking skills have significantly improved. The mean score of the pre-test before employing the guessing game in teaching is M = 37,78 with a standard deviation of 13.086. After the guessing game treatment, the mean post-test score is M = 60,00 with a standard deviation of 16.270. The total number of students (N) is 18. The study discovered that using a guessing game in the classroom might improve students' speaking skills. It demonstrates that the study hypothesis (H1) is accepted and the null hypothesis (H0) is rejected, or that the outcome has addressed the research question that the guessing game may considerably enhance students' speaking skills. As a result, the guessing game can help students improve their speaking skills.
ESTIMATING THE DIAMETER OF TREE USING THE NEURO-FUZZY INFERENCE SYSTEM AND ARTIFICIAL NEURAL NETWORKS FROM THE TOTAL HEIGHT VARIABLE
Authors: Carvalho Gabriela Letícia Ramos , Araújo Júnior Carlos Alberto , Canabrava Emanuelly Magalhães , Azevedo Alcinei Místico de , D Angelo Marcos Flávio Silveira Vasconcelos , Cosenza Diogo Nepomuceno
Published: July 2023

Studies that seek to identify potential techniques for obtaining diameter values at 1.30 m from the ground from tree height data are necessary, especially when considering the use of airborne Lidar in forest inventory activity. In this sense, this work aimed to evaluate two artificial intelligence tools for this purpose, namely the neuro-fuzzy inference systems and the artificial neural networks. Four models were tested to obtain estimates for the diameter variable, which were prepared by combining the independent variables useful area per plant, age and height. After processing, the statistics of bias, square root of the mean squared error in percentage, correlation and mean percentage error were calculated, in addition to the preparation of scatter plots and histogram of residues. It was observed that, for the estimation of the diameter in both techniques, the use of the model with all independent variables obtained the best values for the analysis statistics. It can be concluded that both tools can be used to estimate the diameter, with the neuro-fuzzy inference system being more suitable for its processing speed and small variability between the values obtained in different training sessions for the same database.
Community Policing Problem Solving in Security Enhancement in Gasabo District, Rwanda
Authors:   Mount Kenya University, Kagame Jean Bosco
Published: July 2023

In Rwanda, the aftermath of 1994 genocide against Tutsi, the security situations were critical and the government adopted mechanisms such as community policing as a strategy for security enhancement. However, the country still struggles with insecurity challenges despite the introduction of community policing. The purpose of this study was to examine the influence of problem solving on security enhancement in Gasabo District, Rwanda. The study adopted mixed methodology approach and the concurrent triangulation design. The study targeted approximately 139,358 household heads of Gasabo District, 73 Community Policing Committee (CPC) chairpersons, 15 Community Liaison Officers, and 260 Police Officers. The study sampled 576 household heads for quantitative data whereas the CPC chairpersons, Community Liaison Officers, Police Officers and Opinion leaders were used for qualitative data. Multistage sampling technique was used to select the participants. Questionnaire, interview guides and discussion guides were used to collect data. The findings indicated that problem solving had a positive and significant influence on security enhancement. The study concludes that problem solving contributes significantly to security enhancement. The study recommended the need for RNP to strengthen the problem solving for security enhancement. In particular, the institution should focus on enhancing the following problem-solving components: night patrols, focus on vulnerable community members, resolving family disputes, proactive arrests to solve criminal activities, and adopting technological trends. Keywords: Community policing, problem solving, security enhancement
Aesthetics in the Eugenics Movement: A Critical Examination
Authors: Woods Peter J.
Published: July 2023

Although multiple scholars have pushed music education to embrace the aesthetic as a curricular and pedagogical touchstone, research surrounding this aesthetic turn has largely framed aesthetics as a sensory experience rather than a social technology (one that can both liberate and oppress). In response, I address the following question: how do uncritical aesthetic philosophies and the experiences they engender act as a means of oppression within music education? By way of example, I approach this question through a text analysis of writings on aesthetics from The Eugenics Review, a long-running publication that disseminated eugenics news and research. In doing so, I construct a eugenical theory of aesthetics that illuminates how eugenicists used aesthetics to enact what Foucault defines as pastoral power and assert control of bodies and populations through education. I then frame the writings of Carl Seashore (a pioneering music education researcher and avowed eugenicist) within this eugenical theory of aesthetics, revealing the ways that Seashore used aesthetic theory to forward eugenical arguments. I conclude with implications for contemporary educators and researchers, sounding a call for a deep and critical examination of all aesthetic formations within music education.
Credit risk management and the performance of Nigeriandeposit money banks
Authors:   Rivers State University, Port Harcourt, Nigeria, Nwala P. O. Okey- , Ndubuisi J. I. Kenn- ,   Rivers State University, Port Harcourt, Nigeria, Wachukwu P. I. ,   Rivers State University, Port Harcourt, Nigeria
Published: July 2023

We have used a multiple regression model to identify the impacts of the variables of credit risk managementon the Nigerian deposit money banks’ performance from 2000 to 2020. The estimation was completed usingthe ordinary least squares method with E-Views 12. The data was sourced from the Nigerian Stock Exchange forinformation and theStatistical Bulletinof the Central Bank of Nigeria. The outcome determined that return on equity(ROE) is negatively correlated with the nonperforming loan/loan and advances ratio. Last but not least, the ROEmeasurements of the deposit money banks in Nigeria show a substantial correlation between the ratios of advancesand loans to nonperforming loans, loan loss provision to loans and advances, and capital adequacy. These ratiosare positively correlated with each other and negatively correlated with the capital adequacy ratio. We adviseeffective surveillance of pre- and post-deposit financial institution loans for the early detection of problematic debtsthat won’t be repaid according to schedule and for the thorough analysis of prospective projects as indicated inthe financial statement given by the intended client (cash budget, income statement). Accurate identification ofrealistic projects and repayment terms based on the customer’s past performance will be achieved.
Millennium generation financial literacy and fintech awareness
Authors:   School of Management, D.D.G.D. Vaishnav College, Chennai, Tamil Nadu, India, Jeevitha R , Amaleshwari U. ,   School of Management, D.D.G.D. Vaishnav College, Chennai, Tamil Nadu, India
Published: July 2023

The growth of rapid financial technology (fintech) is expected to contribute more than 12% of compound annual growth rate (CAGR) to the economy. India is gradually becoming the hub for many prominent fintech startups such as Paytm, Pine Labs, PayU, Razorpay, and others. However, as per the survey by Financial Express, only 27% of Indians are financially literate. This article investigates the factors that influence the millennial generation and their financial literacy and the relationship between their knowledge, their objectives, their outlook, and their behavior toward the use of fintech applications. The questionnaire is used to gather the main data. Chi squared analysis was used to test the hypotheses, and correspondence analysis was used to determine the characteristics of the millennial generation and visually demonstrate the discrepancy.
The Nanotechnology: An applied and extensive approach in solving crimes
Authors: Dr. Syeda Mona Hassan  , Dr. Aftab Ahmad Malik
Published: July 2023

Nanotechnology has great influence on modern technology. In order to identify, individualize, andassess evidence, forensic science applies knowledge and methods. Then, with the aid of evidence,crime scenes will be rebuilt, investigations will be directed, and offenders will be prosecuted.Nano-analysis is one of modern technology that is most frequently used in forensic science. Thecharacterization can be done by using tools like the atomic force microscope (AFM), aman microspectroscopy, scanning electron microscope (SEM), and transmission electron microscope (TEM)(Micro-Raman). Nanotechnologies might be essential in current forensic investigation issues likeforensic toxicological analysis, explosive detection, detection of explosive residue, finger printanalysis, forensic DNA analysis, forensic nano trackers, and drug-facilitated crime.
Demokratik ve Barışçıl Toplu Eylem Hakkının Kullanılması İş Sözleşmesini Fesih Nedeni Olabilir mi Sorusuna Yanıt Arayışı: Yargıtayın Zorlu Görevi
Authors: UGAN ÇATALKAYA Deniz
Published: July 2023

Çoğulculuk, hoşgörü ve açık fikirlilik temellerine yaslanan demokratik toplumda her birey gibi, işçi de ifade özgürlüğüne sahiptir. İfade özgürlüğü kolektif olarak kullanıldığında, örgütlenme özgürlüğü ile iç içe geçmektedir. Örgütlenerek düşüncelerini ifade etmek isteyen bireyler, işçiler olduğunda, bu özgürlükler aynı zamanda sendikal özgürlükler ile de bütünleşmekte, hatta karşılıklı olarak birbirini zenginleştirmektedir. Uluslararası insan hakları belgelerini yorumlayan denetim organlarının kararlarında toplu eylem hakkının gelişimi, bunu kanıtlar niteliktedir. Bugün, ifade özgürlüğünün kolektif olarak kullanılması anlamına gelen toplu eylem hakkının, temel bir insan hakkı olduğu konusunda kuşku bulunmamaktadır. Çalışmamızın ilk bölümünde bu konu üzerinde durulmuştur.
İşçinin bu haktan yararlanması, uygulamada, kuşkusuz bazı uyuşmazlıkların doğmasına neden olmuştur. Bu uyuşmazlıkların çözüme kavuşturulması yönündeki zorlu görevi üstlenen yargıç, eyleme başvurmakla izlenen amacın meşruluğunu, eylemin barışçıl niteliğini ve eylemin ölçülülüğünü, kararlarında değerlendirme konusu yapmaktadır. Konuya ilişkin Yargıtay ve Anayasa Mahkemesi kararlarının, sözü edilen ölçütlere yaklaşımının irdelendiği ikinci bölümde ise bu uyuşmazlıklar kapsamında, “toplu eylem hakkını kullanmak fesih nedeni olabilir mi?” sorusunun yanıtı aranmıştır.
Estudio fenológico de Juglans neotropica Diels. en Imbabura – Ecuador
Authors: Vallejos Alvarez Hugo Vinicio , Vilema Vilema Gilda Aracely , Díaz Gómez Cinthya Paola , Cue García Jorge Luis
Published: July 2023

Es conocida la importancia de la fenología, sin embargo, en Ecuador, los estudios fenológicos de especies forestales son bastante limitados, una de estas es Juglans neotropica Diels; especie de importancia cultural, económica y social. El objetivo de este estudio consistió en evaluar el comportamiento fenológico de J. neotropica, en cuatro formaciones vegetales ubicados en la provincia de Imbabura. Los sitos de estudio se ubican en las parroquias: San Francisco de Natabuela, San Antonio y San Miguel de Ibarra, en los cantones Antonio Ante e Ibarra, provincia Imbabura. Las formaciones vegetales estudiadas fueron clasificadas como: plantación, árboles en lindero, árboles dispersos y silvicultura urbana respectivamente. La metodología usada para la investigación fue la planteada por Fournier (1974).

La defoliación de la especie tuvo lugar desde el 15 de diciembre, aumentando su masividad hasta intensa en el mes de enero. El sitio de estudio correspondiente a árboles en linderos fue el más destacable en la fenofase de floración, mostrando el punto más alto de floración fue en febrero, mientras que el sitio destacado en la fenofase de fructificación fue silvicultura urbana mostró su mayor punto de presencia de flor joven en el mes de febrero.
Relación entre el consumo de micronutrientes durante el embarazo y la desnutrición crónica infantil: Un análisis de las implicaciones socioeconómicas para el caso ecuatoriano
Authors: Puchaicela-Buri Ruth , Huachizaca Viviana
Published: July 2023

Esta investigación tiene como objetivo establecer en un análisis estadístico y econométrico, los determinantes de la desnutrición crónica infantil para el caso ecuatoriano durante el año 2018. Los datos de corte transversal fueron tomados de la Encuesta Nacional de Salud y Nutrición y se aplicó el modelo de elección discreta. Los resultados muestran que el determinante de la desnutrición crónica infantil es el bajo nivel de ingresos de la madre. Así mismo, el área rural, la educación, y la planificación familiar, son factores que tienen un resultado significativo en este estudio. Se concluye que el Bono de Desarrollo Humano es un beneficio que ayuda a las madres a mejorar su alimentación y la de sus hijos, disminuyendo con el estado de desnutrición. Finalmente, se recomienda que el gobierno central y local, refuercen los centros de salud, y los programas, a través de planes de bienestar infantil, principalmente a las áreas rurales.
Rosyjska agresja w Ukrainie a sytuacja osób
z niepełnosprawnościami
Authors: Bołtivets Sierhij
Published: July 2023

The aim of the article is to show the long-term effects of the Russian aggression against Ukraine and to reveal the difficult situation of people with disabilities in a war-torn country. Violence against this social category results, on the one hand, from the manner in which the Russians wage war, its aim being to exterminate the civilian population, including people with disabilities. On the other hand, it is a consequence of the destruction of infrastructure essential for people with disabilities as a result of military operations, which prevents them from meeting their basic needs and functioning on an everyday basis. The difficult experience of war also increases the number of patients with complex post-traumatic stress disorder (PTSD) and people who lose their fitness due to war injuries. This makes the situation of people with disabilities particularly difficult today in Ukraine, which is struggling with Russias aggression. Descriptions of individual cases of people who suffered and of to these events illustrate the above.
Konstrukcje męskości
w kontekcie doświadczeñ
przemocowych - analiza
społeczno-kulturowych znaczeń
i uwarunkowań tożsamościowych
mężczyzn z niepełnosprawności
fizyczn¹
Authors: Niedbalski Jakub
Published: July 2023

A significant part of the research regarding phenomena of violence among
with disabilities involves women. In contrast, much less attention is paid to
violence inflicted on men with disabilities. Therefore, the purpose of this study was to understand if and how physical disability intersects with the structure of masculinity and experiences of violence among men with disabilities. The study used in-depth interviews conducted among men with physical disabilities. Data analysis was performed using the grounded theory methodology. Results: Study participants social expectations and aspirations regarding masculinity influenced their vulnerability to violence. At the same time, the men surveyed felt incapable of protecting themselves. In their relationships with their next of kin, they perceived themselves as having lost the ability to make decisions and exercise the traditional role of head of the family. They also expressed their
disappointment with decreased sexual performance in intimate relationships. The study shows that the disability of men had significant implications for their structure of masculinity and exposure to various forms of oppression, particularly emotional and, in some situations, physical violence.
GAMBARAN IMPLEMENTASI PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) DI DESA BENTE WILAYAH KERJA PUSKESMAS KAMBOWA
Authors:   Universitas Dayanu Ikhsanuddin, hardiansyah safrin , Andriani Rininta ,   Universitas Dayanu Ikhsanuddin, Fitriani Fitriani ,   Universitas Dayanu Ikhsanuddin
Published: July 2023

The low implementation PHBS in households Bente Village can be influenced by lack of understanding and lack of public awareness of PHBS program. This study aims to describe implementation of PHBS in form delivery assistance by health workers, exclusive breastfeeding, weighing infants and toddlers, using clean water, washing hands with water and soap, using healthy latrines, eradicating mosquito larvae, eating fruits and vegetables every day, do physical activity every day, do not smoke. This type of research uses quantitative methods with a descriptive approach. Population is 116 people and sample is 116 people and sampling method is total sampling. Research data collection consisted of primary data obtained by questionnaire and secondary data obtained from records. Data processing is computerized using SPSS program. Analysis is univariate analysis, which is to see appearance of frequency distribution of each variable studied. Results obtained implementation of PHBS is 20.7%, delivery assistance health workers is 100%, exclusive breastfeeding is 62.9%, weighing infants and toddlers is 57.8%, using clean water is 100%, washing hands with water by 68.1%, using healthy latrines by 100%, eradicating mosquito larvae by 66.4%, eating fruit and vegetables every day by 67.2%, doing physical activity every day by 100%, not smoking by 39. ,7%. Conclusion shows that community in Bente Village, Kambowa Health Center Working Area, does not implement PHBS implementation. Suggestions for need for health workers to improve services for PHBS activities and need for families to increase knowledge so that they are able to carry out daily PHBS.
HUBUNGAN KUALITAS PELAYANAN KESEHATAN BERBASIS HOME CARE DENGAN KEPUASAN PASIEN DI WILAYAH KERJA PUSKESMAS LAYANG
Authors:   Universitas Hasanuddin, Yasni Aldini Andi Tania , Rosmanely St ,   Universitas Hasanuddin, Indar Indar ,   Universitas Hasanuddin
Published: July 2023

Background: Quality of service can be said to be qualified if it gives satisfaction to patients. As time goes by, with increasing levels of education and people's incomes, the demands of the community to obtain quality health services are also increasing. Purpose: This study aims to determine the relationship between the quality of home care-based health services and patient satisfaction in the work area of the Layang Public Health Center, Makassar City. Methods: This type of research is quantitative with a cross sectional study approach. The population in this study were 159 home care patients in the working area of the Layang Health Center in Makassar City. The sampling technique used simple random sampling with a total sample of 60 respondents. Data collection was carried out using a questionnaire/checklist sheet. The research results were analyzed using SPSS. Results: In general, from the research results of each research variable, it was found that the majority of respondents expressed satisfaction with the quality of Home Care services in the work area of the Layang Health Center. The results of the correlation analysis using the chi-square test (p < 0.05) showed that there was a relationship between the dimensions of technical competence (p = 0.000), human relations (p = 0.02), and accuracy time (p = 0.000) with patient satisfaction. That is, the better the quality of services provided, the higher the resulting patient satisfaction. Conclusion: There is a relationship between the dimensions of technical competence, human relations, safety, continuity, and timeliness of possession with patient satisfaction. It is hoped that the Layang Health Center can improve the quality of services provided to home care patients, especially in the timeliness of patient examinations.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN GANGGUAN PERNAPASAN PADA PEKERJAPT. MATAHARI INDONESIA TIMUR (MIT) KOTA BAUBAU
Authors:   Universitas Dayanu Ikhsanuddin, Darmawan Agus , Nurfadilah Waode ,   Universitas Dayanu Ikhsanuddin, Amiruddin Eky Endriana ,   Universitas Dayanu Ikhsanuddin
Published: July 2023

To workers at PT. Matahari of Eastern Indonesia (MIT) Baubau City has any health complaints during their work, namely shortness of breath, coughing, sneezing, and even feeling easily tired. This is thought to be due to workers not using PPE in the form of masks so that exposure to dust at work is inhaled by workers. The purpose of the study is Factors Related to Respiratory Distress Complaints in workers PT MIT Baubau City. The type of research used is quantitative research with a cross sectional study research design. The population is 32 workers with a sample size of 32 workers. Sample withdrawal techniques are used total sampling with analsis data used the chi schquare test with a confidence level of 95%. The results of the study obtained the relationship of working period with respiratory disorders obtained the result of the value of p = 0.024 < the value of α = 0.05. The relationship of knowledge with respiratory disorders is obtained results with a value of p = 0.012 < a value of α = 0.05. The relationship between PPE use and respiratory disorders was obtained with a value of p = 0.001 < a value of α = 0.05. Conclusions in the study, namely there is a relationship of working period, knowledge and use of PPE with Respiratory Disorders in workwes of PT. MIT Baubau City. It is recommended to workers to use personal protective equipment in the form of masks during work every day.
HUBUNGAN FAKTOR IBU, POLA PEMBERIAN MAKANAN DAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA BALITA 12-59 BULAN DI KELURAHAN BATARAGURU
Authors:   Universitas Dayanu Ikhsanuddin, Gustriani Wanti Ayu , Azis Waode Azfari ,   Universitas Dayanu Ikhsanuddin, Taswin Taswin ,   Universitas Dayanu Ikhsanuddin
Published: July 2023

National Basic Health Research in Indonesia showed stunting increased from 36.8% to 37.2%. The purpose of this study was to find out the relationship between maternal factors, exclusive feeding and breastfeeding patterns with stunting events in toddlers aged 12-59 months in the working area of the Bataraguru Village Health Center. The type of research used is quantitative research with a case control approach. The population in this study was 621 toddlers. The subjects in the study were all selected cases and controls with a case ratio and 1:1 control. Data processing is carried out using the SPSS . The data analysis in this study is univariate and bivariate, using the Chi-Square Test statistical test by reviewing the p-value test if < alpha (a=0.05) is said to be related. Stastistic test results found that variables unrelated to stunting events were maternal factor (p = 0.032 < 0.05), feeding patterns (p = 0.361 > 0.05), Exclusive breast milk (p = 0.309 > 0.05). The conclusion of this study is that there is a relationship between maternal factors and the incidence of stunting in toddlers 12-59 months in Bataraguru Village. There is no relationship between the pattern of exclusive feeding and breastfeeding and the incidence of stunting in toddlers 12-59 months in Bataraguru Village. The advice from researchers is that it is hoped that mothers of toddlers can prepare themselves during pregnancy by increasing knowledge so as to reduce the risk of stunting in toddlers.
Evaluation of the Structural Performance of Lime-Stabilized cubitermes sp Termite Mound Soil as a Sub-Base Layer for Sustainable Pavements
Authors: Ahouet Louis , Okina Sylvain Ndinga , Ekouya Adolphe , Taillandier Franck
Published: July 2023

The scarcity of road materials that can be used directly in the sub-base layer of a road without preparation has led to the use of non-conventional materials. This study describes the feasibility of using hydrated lime-treated cubitermes sp termite mound soils for road construction, based on laboratory tests. Tests of Atterberg limits, dry density, CBR, compressive strength, static modulus and measurement of sinking of the material under traffic were carried out with different proportions of lime (0%, 3%, 5%, 6%, 7%, 9%). The results obtained show that the mechanical properties of soil-lime mixtures improve up to the point of lime fixation at 6% and that above 6% lime, the mechanical properties decrease. The traffic simulation at the rut shows that for the 6% lime mix, microcracks appear from 20.000 cycles and that the average settlement is 2 mm. The friction of the grains under the stresses developed by the passage of the wheel reduces the mechanical bonds of the soil-lime mixture. The rigidity of the material leads to the induced slab effect, which gives the material good behavior in hot weather, without strain or rutting. The mechanical connections during the setting of the soil-lime mixture reduce the friction of the grains under the stresses developed by the wheel. Lime welds the fines into much larger, more or less impermeable particles on the surface, which reduces the crumbling of the material by attrition, a major cause of pavement deterioration. The optimal mix can be used as a sub-base layer or wearing course for low-traffic earth roads (T1 < 300) and for the treatment of the upper parts of embankments. All these results are consolidated by X-ray diffraction (XRD) and scanning electron microscopy (SEM) analyses.
Deep Neural Network-Based Ensemble Model for Eye Diseases Detection and Classification
Authors: Jeny Afsana Ahsan , Junayed Masum Shah , Islam Md Baharul
Published: July 2023

Fundus images are the principal tool for observing and recognizing a wide range of ophthalmological abnormalities. The automatic and robust methods based on color fundus images are urgently needed since few symptoms are observable in the early stages of the disease. Experts must manually evaluate images to detect diseases for screening procedures to be effective. Due to the complexity of the screening procedure and the shortage of experienced personnel, developing successful screening-based treatments is costly. Although existing automated approaches strive to address these issues, they cannot handle a wide range of diseases and real-world circumstances. We design an automated deep learning-based ensemble method to detect and classify eye diseases from fundus images to address the abovementioned problems. A deep CNN-based model is proposed in the ensemble method that incorporates a mix of 20 layers, including the activation, optimization, and loss functions. The contrast-limited adaptive histogram equalization (CLAHE) and Gaussian filter are utilized in the pre-processing step to get more explicit images and eliminate noise. To avoid overfitting in the training phase, augmentation techniques are applied. Three pre-trained CNN models, including VGG16, DenseNet201, and ResNet50, are employed to compare and assess the efficiency of the proposed CNN model. Experimental results demonstrate that the ensemble approach outperforms recent approaches, which is comparatively state-of-art in the ODIR publicly available dataset.
EaD: um olhar sobre as tendências após a pandemia
Authors: Grossi Marcia Gorett Ribeiro , Giffoni Iomaraa Albuquerque , Lopes Mariana Prado
Published: July 2023

Com o objetivo de conhecer as experiências educacionais em tempos de pandemia, especificamente os problemas enfrentados na educação e as tendências da EaD pós-pandemia, foi realizada uma pesquisa bibliográfica, a partir de uma consulta na plataforma Sucupira para selecionar os periódicos cujo foco principal é a EaD e, os periódicos que  mesmo não tendo seu foco na EaD, fizeram volumes especiais sobre a educação na pandemia. Foram analisados 345 artigos. A pesquisa mostrou que na pandemia a EaD ganhou mais visibilidade e, o avanço das TDIC na educação tem contribuído para o desenvolvimento da EaD, a qual tende a inovar em suas práticas pedagógicas, sendo pelo uso de metodologias mais ativas, seja pelo uso de metodologias mais próximas à realidade dos alunos (como as redes sociais) e, pelo uso de tecnologias imersivas. Destaca-se a necessidade de fortalecer a Universidade Aberta do Brasil, bem como institucionalizar os cursos na EaD.
Mulheres e manifestações culturais: diversidade de gênero e sexualidade em rodas de conversa
Authors: Di Santo Marcella Suarez , Fraz Joeanne Neves , De Sousa Wanessa Ferreira , De Lima Mikéias Carvalho , Ribeiro Larissa Rezende Assis , Machado Luiz Fernando Ferreira
Published: July 2023

O objetivo deste artigo é refletir sobre a mulher e as manifestações culturais, como música, arte, cinema, dança e linguagem, a partir de uma pesquisa sobre diversidade de gênero e sexualidade. De caráter qualitativo e exploratório, a reflexão foi resultante de rodas de conversa sobre diversidade de gênero e combate às violências a partir de um projeto de ensino desenvolvido por uma instituição da Rede Federal de Educação Profissional, Científica e Tecnológica e o público-alvo foi constituído pelos integrantes da comunidade interna da instituição. A análise das informações da pesquisa se deu pela perspectiva da análise do discurso francesa.
An empirical study from Chinese energy firms on the relationship between executive compensation and corporate performance
Authors: Han Li , Yu Han-Hsing
Published: July 2023

Purpose: This study investigates the relationship between executive compensation and firm performance in Chinese new energy companies.

Design/Methodology/Approach: The financial data of 122 Chinese-listed energy companies from 2010-2021 is selected for the empirical study.

Findings: Executives' monetary compensation and executives' shareholding ratio are positively related to corporate performance. Overseas background and financial background play a moderating role in the effect of executives' monetary compensation and their shareholding ratio on corporate performance.

Conclusion: The fact that executives' salaries and shareholding both have a significant positive impact on business performance demonstrates the effectiveness of pay incentives and equity-based incentive. The research additionally demonstrates that an executive's financial knowledge and experience in other countries alter the impact of cash and equity pay on company performance.

Research Limitations/Implications: The research excludes a large number of key energy businesses, especially rising ones in the clean energy sector, as it solely targets publicly traded businesses for ease of data collection.

Practical Implications: The survey results help to further understand the key factors of compensation incentives for managers in energy companies and are informative for the effectiveness of compensation incentives in energy companies.

Contribution to Literature: This study provides empirical results on the impact of managerial compensation on firm performance in energy firms in the Chinese context, adding a new step to the existing literature.
PALEOLITHIC SITE SUKHAYA MECHETKA (VOLGOGRAD) IN THE CONTEXT OF STRATIGRAPHY AND PALEOGEOGRAPHY OF THE LOWER VOLGA RIVER AREA
Authors: Yanina Т.А. , Kurbanov R.N. , Taratunina N.А. , Romanis T.V. , Еltsov М.V. , Lavrentiev N.V. , GLUSHANKOVA N.I. , REMIZOV S.O. , IVANOV YA.D. , KUPRIYANOVA M.D. , OTCHEREDNOY A.K.
Published: July 2023

The Sukhaya Mechetka is the most important Middle Paleolithic site in the Eastern Europe. The paper presents the analysis of the section, including its cultural layer, in the context of stratigraphy and paleogeography of the Lower Volga River region. The structure of the section represents 11 main stages of sedimentation and paleogeographic evolution of the site territory, which are closely related to global and regional changes in the climate and the level of the Caspian Sea. The base of the section reflects the stage of a river existence on the territory of the site that flowed into the Volga River estuary, formed by the Early Khazarian transgression of the Caspian Sea at the end of the Middle Pleistocene (MIS 6). A long continental period of evolution under multi-directional climate fluctuations of different amplitudes from the Mikulino interglacial (MIS 5e) till the Late Valdai glacial epoch (MIS 2) is reflected in the middle part of the section. The Late Khazarian and Hyrcanian transgressive basins (MIS 5), as well as the Paleo-Khvalynian stage (MIS 3) of the Caspian Sea did not reach the latitude of Sukhaya Mechetka. The stage of Early Khvalynian transgression (MIS 2, 16 190 ± 200 years ago) during the degradation of Ostashkovo glaciation is expressed in the upper part of the section. Three paleosoils have been found that reflect the warming periods of the MIS 5 stage and are related to its 5e, 5c and 5a sub-stages. The middle paleosoil contains a cultural layer assigned to the Micoquian/KMG community of Northern Eurasia. The climate was moderately warm during the Neanderthal settlement of the territory, steppe landscapes dominated the interfluve, and the forests grew in the balka. The Hyrcanian transgression of the Caspian Sea with an estuary in the Volga River valley predetermined a high erosion basis and the formation of a balka with a wide bottom and gentle banks. A permanent fresh watercourse attracted mammals which were an object of hunting for ancient men. All this, obviously, became a basis for the organization of settlement in the Sukhaya Mechetka balka. Correlation of the section with detailed studied loess-soil sections of the Lower Volga River region makes it possible to determine the age of its cultural horizon in between 97-110 thousand years ago.
SPATIAL STRUCTURE OF SMALL CITIES: THE APPROACHES TO TYPOLOGY (BASED ON THE MATERIALS FROM CENTRAL RUSSIA)
Authors: Smirnov I.P.
Published: July 2023

The article examines the spatial structure of small towns in Central Russia. The information base of the study covers satellite images of 190 small towns. The paper proposes a concept of morphological structure of the city, which is determined by the nature (shape) of external boundaries, the presence of significant internal barriers leading to the fragmentation of space, and isolated urban areas. A methodology for assessing the complexity of urban space is suggested. It is based on the scoring of the impact of various geographical barriers on the urban environment. The most significant barriers include rivers and railways; the relief features, the location of industrial enterprises and the presence of protected areas were also considered. Special emphasis was given to urban areas isolated from the main built-up territories, i. e. exclaves. Five classes of urban space complexity have been identified, from very simple to very complex. The most complex space is typical of five small towns, which were initially clusters of workers’ settlements. The combination of data on the morpho-logical structure and complexity of space made it possible to identify six final forms of the spatial structure of the city. More often than others, there are cities with a dissected morphological structure in combination with a medium-complex space. One third of the cities under consideration have such parameters. The smallest number of cities has a dissected complex space. The cities tend to increase the complexity of their space in the process of development. The study showed that despite small population, the towns under consideration have very complex spatial structure
THE GREAT FAR EASTERN TRANSPORT AND ECONOMIC RING: STRUCTURE AND FUNCTIONS IN THE SPATIAL DEVELOPMENT OF THE REGION
Authors: Baklanov P.Ya. , Moshkov A.V. , Tkachenko G.G. , Shvedov V.G.
Published: July 2023

Along the perimeter of the Far East region of Russia, a formed closed transport and economic structure has been identified. It can be described as the Great Far Eastern Transport and Economic Ring (GFETER). Four large segments are identified and considered in its composition: the latitudinal Southern and Arctic marine, as well as the meridional Western and Pacific marine. They are large interacting parts of the general territorial and aqua-territorial transport and economic structure, which consists of linear links represented by communication routes, nodes - settlements that perform certain transport and other functions, territorial and water zones of gravity to these structural elements. The analysis of the current state of the spatial structure of GFETER was carried out. This formation serves the most important passenger and cargo transportation - from intra-regional to inter-regional and transit, provides various forms of spatial development of the Far East region.The transport specialization of the elements of this spatial structure of the GFETER is shown. The linear elements of the GFETER segments perform transport functions. Transport nodes in general perform more diverse functions determined by the action of a combination of factors: economic-geographical and transport-geographical position, geodemographic, scientific, technical and natural resource potentials, natural and climatic conditions. The main functions of the GFETER transport hubs are highlighted. The Vladivostok agglomeration hub occupies a special place among them. The significance of the GFETER for the Far East is due to the fact that its segments include territories and water areas where large natural resources are being developed. In the long term, various forms of spatial development of this structure are possible, including the construction of an Arctic railway line and a railway along the river. Lena. The construction of various transport links along the Pacific coast is also expedient. All this will initiate new forms of spatial development of the Far East region as a whole.The development of a transport perimeter in the form of a GFETER significantly expands the prospects for the long-term integrated development of the region, improves the coordination and interaction of various modes of transport, and increases the degree of its regularity and reliability. This is especially true in view of the vast distances and growing volumes of traffic. The logistics potential inherent in GFETER can significantly strengthen Russia’s position in international transportation and cooperation.