bluuebunny/crossref_metadata_2025 huggingface dataset:
DÜNYA BARİT MADENCİLİĞİNİN DURUMU VE PİYASALARDA REKABET DÜZEYİNİN GELİŞİMİ
Authors: AK Hakan , AKSOY Mehmet , KONUK Adnan
Published: August 2021

Barit başta petrol, doğal gaz ve kaya gazı aramaları olmak üzere birçok sektörde kullanım alanı bulunan kritik bir hammaddedir. Dünyada 2020 yılı itibariyle mevcut 300 milyon ton barit rezervlerinin yaklaşık %79’unun dört ülkede yoğunlaşması, mevcut üretim kapasitesi ile yeni rezervler keşfedilmediği sürece 30 yıllık ömrünün kalması ve yıllık %3,8 ile %7,3 arası talep artışının beklenmesi nedenleriyle, barit piyasasında yoğunlaşma ve rekabet edilebilirlik büyük önem kazanmaktadır. Bu çalışmada, öncelikle dünya ve Türkiye’nin barit rezervleri ve üretimi incelenmiştir. Dünya barit ihracat ve ithalat piyasalarının 2010-2019 yılları arası gelişimi incelenerek bu piyasadaki yoğunlaşma ve rekabet durumları çeşitli yoğunlaşma indeksleri kullanılarak analiz edilmiştir. Yoğunlaşma indeksleri genel olarak değerlendirildiğinde, barit ihracat piyasasına 2013 yılı sonrasında yeni ülkelerin girmesiyle yoğunlaşmanın azalmaya ve rekabetin artmaya başladığı, ithalat piyasasında ise 2014 yılı sonrasında mevcut ithalatçı ülkelerin talebindeki artışla birlikte yoğunlaşmanın artmaya ve rekabetin azalmaya başladığı tespit edilmiştir. Barit piyasasında ihracatçı bir ülke olan Türkiye’nin dünya rezervlerinin %11,67’sine sahip olmasına ve son yıllarda dünya barit ihracatındaki payının %5’leri geçmesine rağmen, henüz ihracatta rekabet ortamının bulunduğu bir ortamda, dünya ihracatından yeterli bir pay alamadığı sonucuna ulaşılmıştır.
Inadequacy of the Sectarian Hermeneutic Idea of the Self- Explaining Scripture: The Case of the Baptist Church
Authors: Конь Роман Михайлович
Published: August 2021

Анализируется баптистский герменевтический принцип «Библия изъясняет саму себя» и его применение при толковании Священного Писания с точки зрения безупречности логических суждений. На конкретных примерах показано, что использование данного принципа наряду с методами толкования Писания (буквальным, контекстуальным и символическим) не может решить проблему разногласий при интерпретации сектантами библейских текстов без обращения к преданию Церкви и установить верное толкование Писания. Поскольку богословие сектантов основано на экзегетике, то истинного пути спасения у них не нет.

The article presents a logical analysis of the Baptist hermeneutic approach to the Bible as self-explaining. Cases are brought forward to show that this approach is unable to deal with contradicting parts of the Bible so that its advocates cannot avoid appealing to the elements of the church tradition. For a hermeneutics-based theology, this situation is unsolvable.
Trinitarian Personalism of Metropolitan John Zizioulas: An Analysis of Criticism and Examination of Controversial Points
Authors: Солонченко Александр Александрович
Published: August 2021

В статье рассматриваются спорные положения тринитарной концепции митрополита Иоанна (Зизиуласа). Приводится критика отдельных идей названного богослова со стороны таких исследователей как Ж.-К. Ларше, Дж. Уилкс, иером. Мефодий (Зинковский). Особое внимание уделяется таким понятиям, как «причинность», «порядок», «монархия Отца». Констатируется отличие богословского языка Зизиуласа от святоотеческой терминологии. Автор указывает, что в своей богословской системе Зизиулас применяет понятие «природа»/«сущность» в двух противоположных значениях: неипостазированная природа-Urgrund и воипостазированная сущность. В Троице Зизиулас усматривает только воипостазированную сущность.

The article seeks to review some controversial points of Metropolitan John Zizioulas’s Trinitarian concept. His critics are quoted including J.-C. Larchet, J. Wilkes, Hieromonk Mefody Zinkovsky. Special attention is paid to such concepts as “causation”,“order”, and “the Father’s monarchy”. The author states the difference between Zizioulas’s theological language and patristic terminology. The author also points that in his theological system Zizioulas uses the term “nature”/“essence” in two mutually contradicting senses, that is non-enhypostatic nature and enhypostatic essence. Zizioulas can see only enhypostatic essence in the Holy Trinity.
Science and Theology in John Polkinghorne’s Thought
Authors: Исаков Антоний
Published: August 2021

Английский физик и богослов Дж. Полкинхорн является одним из ярчайших пред ставителей западно христианской апологетики конца XX - нач. XXI века, чьё насле дие требует внимательного изучения. В статье рассматриваются основные подходы Дж. Полкинхорна к осуществлению диалога между христианским богословием и науч ной мыслью. Представлен анализ методологии критического реализма и его примене ния в науке и богословии, специфика нового естественного богословия Полкинхорна и в его контексте проблематика богословия творения, показана необходимость бого словской преданности для осуществления диалога между богословием и наукой.

The British physicist and theologian John Polkinghorne is a bright late 20th - early 21st century Western Christian apologist, whose thought should be studied carefully. This article seeks to explore into Polkinghorne’s key approaches to the dialogue between Christian theology and scientific thought. The author analyzes the critical realist method as applicable in science and theology and reviews Polkinghorne’s new natural theology as a setting for a theology of creation. The author also validates the need for theological loyalty as a pretext for a dialogue between theology and science.
Review on: Rod Dreher. The Benedict Option. A Strategy for Christians in a Post-Christian Nation. New York: Sentinel, 2017
Authors: Великанов Павел
Published: August 2021

У Рода Дреера получилась сильная, понятная и мотивирующая книга. Это настоящий эталон миссионерской (в светском значении этого слова) литературы. За ярким предисловием следует достаточно объёмный, но совсем не скучный экскурс в историю западноевропейской философии, в котором эта самая история постепенно складывается в линейную схему. Как считает автор, с позднего Средневековья и по настоящее время западноевропейское (и, как производная от него, американское) общество движется исключительно по пути моральной деградации и отхода от религии. Но это не эсхатологическая картина «охладения любви», о которой говорил Христос Спаситель (Мф. 24, 12). Речь идёт о якобы существующем кризисе одной из человеческих культурных моделей, вполне преодолимом человеческим же усилием.

Rod Dreher's book is strong, clear and motivating. This is a true benchmark of missionary (in the secular sense of the word) literature. A vivid preface is followed by a rather voluminous, but not at all boring excursion into the history of Western European philosophy, in which this very history is gradually formed into a linear scheme. According to the author, from the late Middle Ages to the present, Western European (and, as a derivative of it, American) society has been moving exclusively along the path of moral degradation and departure from religion. But this is not the eschatological picture of the "cooling down of love" of which Christ the Saviour spoke (Matthew 24:12). We are talking about the alleged crisis of one of the human cultural models, quite surmountable by human efforts.
Consensus Patrum in Russian Theology. Part one: Church Fathers, the Tradition of the Church and Consensus Patrum
Authors: Санаянц Саркис Вадимович
Published: August 2021

В статье рассматриваются представления русских богословов о роли святых отцов в передаче Священного Предания, а также понимание значения творений святых отцов в истории Церкви, в том числе и на Вселенских Соборах. Основной акцент в изучении роли святоотеческого наследия уделяется рассмотрению принципа «согласия отцов», или «consensus patrum», который может пониматься несколько по разному, но значение которого в истории богословской мысли трудно переоценить. Также затронут довольно сложный вопрос о святоотеческих разногласиях и рассмотрено более расширенное понимание формулы прп. Викентия Леринского: «повсюду, всегда и все». В конце сделан обобщающий вывод.

The article deals with Russian theologians’ views of the Church Fathers’ role in passing forward of the Holy Tradition as well as with historical understanding of value of patristic writings by the church and by the ecumenical councils. According to the authors, the consensus partum was crucial to understand the patristic writings, though it could be applied in a range of ways. The author also explores into the issue of disagreement among the Fathers and offers a broader vision of Vincent of Lérins’ “all, always, and everywhere” notion. The article ends with a summary of appraised ideas.
Mystical Teaching About ‘Conscience’ in the Occult Concept of the ‘Fourth Way’
Authors: Лемешев Олег
Published: August 2021

Целью данной статьи является анализ изучения понятия «совесть» в оккультной концепции «Четвёртого пути». В качестве исследовательской задачи автор совершил попытку оценить ложные взгляды данной доктрины, а также охарактеризовать их с нейтральной стороны и дать им критическую оценку с точки зрения православного богословия. Кроме того, выделяются и описываются особенности оккультного учения, в которых лжеучителя пытаются перекинуть личную ответственность за свои грехи на абсолютно внешние факторы, не имеющие никакого отношения к жизни и поведению человека. Разоблачены действия оккультистов, которые благодаря подменам понятий пытаются абстрагировать христианскую мысль и, оперируя своим ложным учением, пытаются внести в православную терминологию ложные понятия. В работе наглядно показано, что учение данной доктрины приводит не к совести, а к экстазу. Автор приходит к выводу, что учение «Четвёртого пути» о «совести» не имеет никакого отношения к христианской совести, и вместо того, чтобы созидать личность, наоборот, личность у них разрушается и полностью пропадает. Данная проблема мало изучена и требует дальнейших исследований.

The goal of this article is to explore into the idea of “conscience” in the occult concept of the Fourth Way movement. As a research task, the author attempted to check the misleading creed of movement as well as to characterize them from the neutral side and give them a critical assessment from the point of view of the Orthodox theology. In addition, the author are highlights the means, by which the movement leaders seek to transfer personal responsibility for one’s sins to external factors that are not related to human life and behavior. The author explains the movement’s activities, which involve substitution of concepts as they seek to abstract Christian thought and to introduce false ideas into the Orthodox Christian terminology. The author argues that teaching of this doctrine leads not to conscience but to an ecstasy. The author concludes that the teachings of the Fourth Way on “conscience” have nothing to do with the Christian conscience as it they harm and deconstruct personhood instead of affirming it. According to the author, the issue has not been studied enough so far and requires further research.
MiR-34a/SIRT1 Axis Modulating Therapeutic Effect of Olaparib on Pancreatic Cancer through Suppressing PARP1 and EMT
Authors: Liu Linxun
Published: August 2021

ABSTRACT This study analyzed functions of miR-34a and SIRT1 in modulating efficacy of Olaparib in pancreatic cancer in vitro. RNA expressions of miR-34a and SIRT1 were evaluated through RT-qPCR in HPDE6-C7, SW1990, PANC-1 and MIA PaCa-2 cells. MiR-34a was promoted in cancer cell lines while SIRT1 was decreased. Luciferase reporter assay verified bindings between miR-34a and SIRT1. Moreover, E-cadherin was promoted by miR-34a mimics and SIRT1 suppression while N-cadherin and Vimentin were both downregulated. Additionally, PARP1 protein expression was increased after miR- 34a promotion and SIRT1 downregulation. Besides that, PARP1 protein levels and EMT were significantly inhibited after treated by Olaparib (0, 0.5, 1 and 1.5ìM). In Olaparib-treated cancer cells, SIRT1, PARP1 and EMT were all distinctly decreased after SIRT1 suppression and overexpression of miR-34a induced much lower level of SIRT1.
EXPLANATORY STRATEGIES AS TOOLS EMPLOYED TO COMMUNICATE LEGAL KNOWLEDGE TO A LAY AUDIENCE IN THE JUDICIAL SETTING
Authors: Boginskaya Olga A.
Published: August 2021

The article analyses the role of explanatory strategies employed to communicate legal knowledge to a lay audience in the judicial setting where the communicants are often asymmetrical. In a jury trial, the important role of the addressee makes it obligatory to identify discursive strategies that improve the interaction of professional and lay courtroom participants. The focus on the laypersons, their phenomenological experience and knowledge makes courtroom discourse dialogical, and intensifies its interactive characteristics. Clarity of courtroom discourse depends on the ability of a speaker to switch from the professional code to lay language, explain legal terms through lay concepts, recontextualize legal knowledge using a series of discursive tools.
REIMAGINING LITERATURE IN THE ENGLISH LANGUAGE TEACHING CONTEXT IN THE RUSSIAN AND ARMENIAN HIGHER EDUCATION
Authors: Sargsyan Mariana S. , Zimina Evgeniia V.
Published: August 2021

The paper aims to discuss the role of literature in teaching English as a foreign language. The interest in the topic is caused by the growing need to improve the content and approaches to teaching English as a foreign language at university departments that train teachers, linguists and philologists. The underlying argument is that the inclusion of literature in the language-teaching syllabus, the careful choice of the material and the appropriate means of its teaching may facilitate the assimilation of the language knowledge and enhance cultural knowledge. Further, the paper argues that the use of literature may be beneficial in terms of increasing the functional literacy of language learners. Translation and visualization are discussed as highly productive means of helping students fight the feeling of disorientation in text. To enhance the efficiency of the use of literature in class the authors offer a number of approaches to reading activities. The discussion and our observations can be helpful for all those specialists who face the dilemma of including literature in teaching English as a foreign language or are reconsidering their techniques of teaching literature by adapting it to the needs of learners
Design of speed control system for intelligent sorting conveyor belt of coal gangue
Authors: Chen Guangsheng , Zhao Minghui , Zou Huadong , Ma Zehua
Published: August 2021

With the development of technology, the application of intelligent coal gangue sorting is more and more favored by coal mining enterprises. The coal gangue intelligent sorting system has higher requirements on the coal conveyor belt. The traditional transmission system has the problems of slow speed response, unstable operation, high energy consumption and jitter in the process of speed change. Using PLC, touch screen, frequency converter, RS-485, sensors and so on, the speed control and speed monitoring system of belt transport mechanism is constructed. By analyzing the error law of the system speed control and using Numpy system analysis and calculation, speed pre-compensation can be made. Then by controling speed precision through the PID and monitoring display through the time-speed curve, the real-time automation gives an alarm for abnormal speed situation. According to the speed requirement of the intelligent sorting system of coal gangue, the system can quickly reach the predetermined speed value, and effectively eliminate the shaking phenomenon in the process of changing speed. The system has strong universality, easy maintenance, and stable speed control, which is conducive to improving the reliability and efficiency of the intelligent sorting system for coal gangue and reduceing transmission mechanism wear caused by dithering.
Mudança nos planos de viagem
Authors: Parrela Igor Rocha Aquino , Franco Marianna Loyola , Souza Ionete de Magalhães
Published: August 2021

O presente artigo consiste em uma análise jurídica das relações de consumo, em momento vivido pela pandemia de Covid-19, no que tange às compras de passagens terrestres, aéreas, ferroviárias, hidroviárias e pacotes turísticos. Vislumbra-se os princípios insculpidos no Código de Defesa do Consumidor, bem como as soluções trazidas pelo ordenamento brasileiro, por meio das leis nº 14.034/2020 e nº 14.046/2020, aprovadas para regular a matéria. Foi desenvolvido por meio de análises doutrinárias, legislativas e atualizações normativas, trazendo interdisciplinaridade do direito do consumidor com o direito empresarial, no contexto da pandemia. O método de pesquisa utilizado foi o indutivo e o material bibliográfico. Resultou em uma exposição sobre os direitos e deveres das partes envolvidas em relações de consumo, nos quais se verificam as modalidades de viagens e as limitações impostas pela pandemia, ensejando orientação para o cidadão leitor.
STUDY ON EFFICACY OF PLICATION OF HAEMORRHOIDS
Authors: Shah Anshul , Choudhary Sanjeev Singh , Chand Lakhmi , Dhangayach K.K.
Published: August 2021

Haemorrhoid’s and piles are used interchangeably very often but originally the words have entirely different meanings, the term haemorrhoid is derived from Greek word - haemorrhoid which means bleeding which is the prominent symptom in majority of cases. Hippocrates had applied this name to the flow of blood from the venous plexuses of anus. Term piles derived from Latin word pila – a ball, can be optly used for all forms of haemorrhoids because it literally mean every such condition that produce swelling of some kind even if it may not be present externally.

Keywords: Haemorrhoid.
AN ANALYTICAL STUDY TO ASSESS AND COMPARE OUTCOME OF CLIPPING VERSUS SUTURE LIGATION OF THE CYSTIC DUCT IN LAPAROSCOPIC CHOLECYSTECTOMY
Authors: Sinsinwar Lakhami Chand , Choudhary Rajvala , Choudhary Sanjeev Singh , Kankaria Jeevan
Published: August 2021

Background: The early oral feeding after the laparoscopic total gastrectomy contributes to the enhanced treatment efficiency and improved quality of life of gastric cancer patients. To evaluate the efficiency of early oral feeding after laparoscopic total gastrectomy in gastric cancer patients at the Nghe An General Friendship Hospital.

Methods: A retrospective observational study, performed in patients who underwent laparoscopic total gastrectomy from 2014 to 2020.

Results: 126 patients were recruited. The mean age was 60.6 ± 11.1 years. The male/female ratio was 2.8/1. 15.9% of patients had the tumor at the one-third upper stomach, 81.7% at the middle of the stomach. 70.6% of patients contracted adenocarcinoma and ductal carcinoma, 24.6% of patients had ring cell carcinoma. The percent of tumor at stages I, II, III were respectively 19.0%, 49.2%, 31.7%. There were 71.4% of cases underwent laparoscopic total gastrectomy and were made the anastomosis by linear staplers. No case presented complications relating to the anastomosis after the surgery. The mean oral feeding time was 4.4 ± 1.9 (2 – 8 days), 27.8% of cases started at the second postoperative date, 8.7% of cases at the third postoperative date, 29.4% of cases from the fourth and fifth date, and 34.1% of cases started from the sixth date and further. The later the oral feeding time was, the slower recovery of the peristalsis was and vice versa (p < 0.05). There was no difference between the feeding time and the complications (p > 0.05). The more early the feeding time was, the shorter duration of antibiotic therapy observed and vice versa (p < 0.05). The more early the feeding time was, the short duration of hospital stay was and vice versa (p < 0.05).

Conclusions: The early oral feeding after laparoscopic total gastrectomy was safe and contributed to improving the efficiency of the treatment, the quality of life in gastric cancer patients.

Keywords: Early oral feeding, gastric cancer.
Implementasi Sistem Pendeteksi Tingkat Kematangan Buah Pepaya Menggunakan Metode RGB
Authors: Nur Widyasari Krista Bella Dwi Rahayu , Rosiani Ulla Delfana , Pramudhita Agung Nugroho
Published: August 2021

Pertanian yang ada di Indonesia selama ini dalam pendeteksian kematangan buah papaya, selama ini masih menggunakan sistem yang manual. Sumber dari tingkat kematangan buah berdasarkan ciri-cirinya didapatkan mulai dari buah papaya yang mentah, setengah matang dan matang didapatkan dari seseorang petani.Setelah dilakukannya sebuah analisa kebutuhan dari sistem yang akan dibuat, disini penulis melakukan implementasi berdasarkan bahan informasi yang telah didapatkan. Metode RGB disini yang akan digunakan untuk melakukan perhitungan logika pendeteksi tingkat kematangan buah. Hasil dari implementasi itu sendiri dapat bekerja dengan baik sesuai dengan apa yang dibutuhkan. Berdasarkan perhitungan akurasi yang diperoleh pada sistem yang dibuat mencapai 50%.
Sistem Informasi Peramalan Obat Alphamol Menggunakan Metode Double Exponential Smoothing
Authors: Sophia Evy , Maknunah Jauharul , Oktavianda Mohamad Dimas
Published: August 2021

Klinik Sofia Medika dalam hal persediaan obat alphamol setiap bulan selalu sama jumlahnya, karena pihak klinik belum dapat memprediksi jumlah obat yang perlu disediakan. Ketika jumlah persediaan obat mengalami kelebihan, berdampak jangka kadaluarsa obat yang semakin sedikit dan membuat harga jual obat lebih murah. Disisi lain ketika jumlah persediaan obat  mengalami kekurangan, akan berdampak pada pelayanan pasien atau pembeli yang dinilai mengecewakan dan berdampak merugikan klinik. Untuk membantu klinik dalam mengurangi kesalahan penjualan obat maka diperlukan suatu teknologi di dalamnya dengan menggunakan metode peramalan. Berdasarkan pola data penjualan yang ada maka metode peramalan yang digunakan adalah metode Double Exponential Smoothing, karena data penjualan berupa trend dengan semua p-value > 0,05 dengan uji Dicky Fuller (ADF-test). Penelitian ini bertujuan untuk membangun Sistem Informasi Peramalan Obat Alphamol di Klinik Sofia Medika dengan Metode Double Exponential Smoothing.  Hasil sistem aplikasi peramalan penjualan obat alphamol menggunakan Metode Double Exponential Smoothing  diperoleh MAD = 221,0925, MSE = 176693,3, dan MAPE = 7,26%. yang Sebelumnya menghasilkan nilai 29% sehingga hasil aplikasi ini dapat digunakan untuk memprediksi jumlah penjualan obat alphamol yang akan dijual pada masa sekarang dan yang akan datang.
Klasifikasi Bumbu Dapur Indonesia Menggunakan Metode K-Nearest Neighbors (K-NN)
Authors: Riska Suastika Yulia , Farokhah Lia
Published: August 2021

Bumbu adalah salah satu elemen yang sangat penting dalam sebuah masakan. Bumbu dapur atau rempah Indonesia memiliki jenis ragam yang sangat banyak. Kesalahan dalam pemilihan bumbu sangat berpengaruh terhadap rasa masakan. Image processing merupakan salah satu cabang ilmu dalam bidang teknologi yang dapat dimanfaatkan untuk mengenali objek citra yang ditangkap oleh kamera. Penelitian ini akan mengklasifikasikan jenis bumbu dapur yang hampir mirip yaitu jahe,lengkuas, kunyit dan kencur. Metode klasifikasi yang dipakai adalah K-Nearest Neighbors(K-NN). Pada penelitian ini kita menguji cara split data training dan data testing yaitu 66,7%: 33,33%, 75%:25% dan 90%:10%. Pembagian data training dan data testing menggunakan 90%:10% memiliki rata rata akurasi yang paling besar dibandingkan cara pembagian yang lain. Pemilihan K=3 atau K=5 memiliki rata rata akurasi yang hampir sama pada semua cara split data training dan data testing yaitu 64,66%: 65%. Pada K=1 memiliki akurasi yang cukup tinggi dibandingkan K sebelumnya yaitu 73%.
Performance-Steigerung Krankenhaus
Authors: Bertke Peter , Nufer Martin
Published: August 2021

Das Gesundheitswesen, insbesondere die Krankenhäuser, sind nach wie vor gekennzeichnet von Ineffizienz, fehlenden Standardisierungen und Ressourcenverschwendung bei zunehmender Komplexität. Der rein ökonomische Ansatz zur Verbesserung der Wirtschaftlichkeit von Krankenhausbetrieben kommt an seine Grenzen, wenn nicht auch die medizinischen Kernprozesse, die Mitarbeiter und deren Beitrag zur systematischen Steigerung der Leistungsfähigkeit einbezogen werden. Die Konzentration auf Umsatzsteigerung und Kostenkontrolle allein führt im Klinikbetrieb nicht zum Ziel!

Die Autoren dieses Buches zeigen aus ihrer Managementpraxis heraus, mit welchen Werkzeugen die Klinikmitarbeiter in ihrer unmittelbaren Tätigkeit am Patienten die Leistungsfähigkeit resp. Performance in ihrem Arbeitsbereich steigern können – ohne Einbußen, ja sogar mit Steigerung von Behandlungsqualität und Arbeitszufriedenheit.

Die Autoren haben ein Konzept zur Performance-Steigerung entwickelt und erfolgreich umgesetzt, das alle Disziplinen und Hierarchien einer Klinik miteinbezieht und Hindernisse sowie Vorbehalte zwischen den Erfahrungswelten Medizin und Management überwindet. Dieses Buch beschreibt das ganzheitliche, über mehrere Jahre hinweg erfolgreich getestete Prinzip zur systematischen, umfassenden, ökonomischen und qualitativen Optimierung der Leistungserbringung am Patienten.
Kodier-Manual Krankenhaus 2021
Authors: Schroeders Nikolai
Published: August 2021

Die Kodierung stationärer Krankenhausfälle ist ein zentraler Bestandteil zur Erlössicherung im Krankenhaus. Eine gute Kodierung sichert an einem wichtigen Punkt die Existenz des Krankenhausbetriebes. Kodierdefizite bergen hohe Risiken wirtschaftlicher Ausfälle und erzeugen im Nachgang erheblichen Arbeitsaufwand bei Streitigkeiten zwischen Krankenhäusern und Krankenkassen.

Damit kommt den Kodierfachkräften große Bedeutung zu. Allerdings gibt es keine einheitlichen Modelle oder Curricula für deren Ausbildung. Die Erfahrung der Autoren hat gezeigt, dass es immer wieder die gleichen Fragen und Themen sind, die im Alltag der Ausbildung von Kodierfachkräften schwierig sind und zu Missverständnissen führen. Diese Problematik löst das vorliegende Buch, das in der aktuellen Ausgabe auch die Urteile des Schlichtungsausschusses berücksichtigt, die bis zum Zeitpunkt des Druckes veröffentlicht wurden.

Angesprochen sind alle Personen, die mit der Kodierung oder der Ausbildung von Mitarbeitern in der Kodierung befasst sind.

Dieses Kodier-Manual ist eine perfekte Grundlage zur Anleitung, Ausbildung und Weiterbildung von Kodierfachkräften. Aber auch Ärzte erhalten einen guten Einblick in die Bereiche der Kodierung, die typischerweise zu Streitigkeiten und Diskussionen mit Krankenkassen und MDK führen.

Das Kodier-Manual ist also nicht nur das richtige Werkzeug bei der Primärkodierung, sondern auch ein hilfreicher Ratgeber bei Auseinandersetzungen um die Abrechnung.
Leadership Performance Krankenhaus
Authors: Röhrßen Thomas , Stephan Dietmar
Published: August 2021

Führungskompetenz steht nach wie vor nicht im Curriculum des Medizinstudiums. Immerhin wächst die Erkenntnis, dass auch ein Krankenhaus ein Unternehmen mit komplexen Management- und Führungsaufgaben ist. Aber Führen kann man lernen. Erfolgreiche Führung bedarf persönlicher und fachlicher Skills und Tools.

Dieses Buch wendet sich an Chefärztinnen/ Chefärzte sowie Oberärztinnen/Oberärzte, die sich auf neue Führungspositionen vorbereiten wollen, die neu auf dem Chefsessel angekommen sind und auch an Klinikchefs, die nach langjähriger Führungserfahrung ihr Führungs-Know-how auf den aktuellen Stand bringen wollen.

Die Autoren geben ihre Erfahrung aus 30 Jahren der Beratung und Qualifizierung von leitenden Ärztinnen/Ärzten weiter: Führungswissen und Werkzeuge aus der Praxis für die Praxis, die in Strategieklausuren, Leadership-Seminaren, Führungsberatungen Coachings vermittelt wurden.

Leadership-Performance integriert die wichtigsten aktuellen Erkenntnisse des strategischen, marketingbezogenen, organisatorischen, führungsmethodischen und teambezogenen Klinikmanagements in einem integrierten Ansatz. Führungskräfte müssen sich nicht von der Fülle und Unübersichtlichkeit von fragmentieren Ansätzen, Methoden und Instrumenten überfluten lassen. Mit einem klar definierten Kanon von wesentlichen Basisstrategien und Mastertools der Klinikführung, die in diesem Buch vermittelt werden. Wer diesen Kanon beherrscht, kann seinen Erfolg kaum verhindern.

Die implizite Botschaft dieses Buchs ist neben der Wissensvermittlung aber auch: Leben Sie Leadership mit Leidenschaft!
Relação entre variáveis associadas ao ambiente de formação das linhas de instabilidade e eventos de grande escala
Authors: Carneiro Izana Oliveira , Oliveira Gabrielle Bezerra , Silva Aline Regina dos Santos
Published: August 2021

Objetivo: Analisar a relação entre umidade específica, vento, configuração em grande escala com ênfase no El Niño Oscilação Sul (ENOS) e a formação e propagação das linhas de instabilidade (LI) amazônicas. Método: Averigua-se e compara-se dois anos de dados (2009 e 2013) para avaliar o comportamento das referidas variáveis sob influência de eventos ENOS no ambiente de formação das LI. São utilizados os softwares Climate Data Operators (CDO) e Grid Analysis and Display System (GrADS) para manipulação dos dados de reanálises do European Centre for Medium-Range Weather Forecasts (ECMWF). Resultados: Nota-se que o ano de 2009, em que há atuação de El Niño, apresenta menor frequência de LI, enquanto o ano de 2013, com situação de neutralidade em relação ao ENOS, apresenta maior número de LI. As diferenças positivas do teor de umidade entre a média anual dos dias com LI e sem LI, bem como a diferença da intensidade e direção dos ventos que sopram do oceano para a costa, confirmam a relevância dessas variáveis para a formação e propagação da LI amazônicas. Além da relação com o ENOS, também é considerada possível influência da ASAS e da ASAN. Tais informações tornam-se necessárias e as interações aqui consideradas, bem como outras interações devem continuar sendo estudadas, devido ao elevado impacto desses sistemas na região amazônica e norte do Nordeste do Brasil, assim como a dificuldade de prognosticá-los em razão da sua complexidade.
Psicanálise e literatura: uma análise psicanalítica sobre a importância das histórias infantis
Authors: Nogueira Ana Greice Alves Teixeira , Carvalho Roberta Cristina
Published: August 2021

Durante muitos anos, as histórias infantis vêm sendo contadas as crianças, como forma de se exprimir os conceitos que regem a moral, a ética e a socialização. Muito mais do que conter a magia, as histórias infantis têm o poder de trazer a criança, exemplos de vitória, e dar a elas respostas sobre sua origem sem confrontá-las com a rudeza da questão, que já nos pressupostos de Freud eram observados, como por exemplo, a sexualidade e a origem, tal como ele, bem explicita ao trazer a nós as questões que norteiam a sexualidade infantil e exemplificar-nos com o Complexo de Édipo, desse modo questiona-se: Qual a importância da literatura enquanto ferramenta que contribua com os enfrentamentos naturais do crescimento do indivíduo e se esta assume de fato, a função terapêutica, enquanto fornecedora de exemplos de enfrentamentos sob o ângulo da fantasia e ainda, as semelhanças observáveis entre as ferramentas fornecidas no processo terapêutico e as que são oferecidas pela literatura. Objetivou-se descrever a importância da literatura como ferramenta que contribua para o desenvolvimento infantil, verificando a importância das histórias infantis, na formação moral da criança, apontando as semelhanças do processo de elaboração por meio da literatura infantil e no processo terapêutico, exemplificando com uma breve análise sob a ótica psicanalítica da saga Harry Potter. Este estudo teve por metodologia a revisão sistemática de literatura de teor qualitativo-descritivo. Concluiu-se portanto que as histórias infantis são importantes no sentido de que permitem a criança ter uma percepção mais otimista sobre o final de suas lutas e conflitos, mas a despeito de suas potencialidades, ainda se faz necessário a realização de mais pesquisas que possam contribuir com o fortalecimento e a disseminação da literatura infantil.
Analyzing The Farewell Sermon of the Prophet Muhammad (pbuh) A Critical Perspective
Authors: Khan Muhammad Akram , Syed Ali Furqan , Junaid Muhammad , Shakir Sajid mehmood , Shahid Shahnawaz
Published: August 2021

Critical Discourse Analysis considers language use to be a form of social practice, and it is frequently used in political discourse, including written, verbal and visual public speeches. The last sermon of the Holy Prophet Muhammad (PBUH) is presented in this article as a Critical Discourse Analysis (CDA) in the perspective of social discrimination, inequity and racism. The study explores how the sermon brings about the true picture of Islam. The Prophet Muhammad’s view has been reflected through textual and stylistic discussion in the study. This study also focuses the ideology of Prophet Muhammad PBUH that is revealed through the linguistic choices in the sermon and how the relationship between Muslim and Non-Muslim in the broader socio-cultural and political sense is represented. To achieve the goals of the study Fairclaugh’s 3D Model was opted. The Prophet (PBUH) teaches his followers how to live-in peace with others, connect with them, and communicate with them without jeopardizing their own identities or the Muslims' sense of self. The findings of the study are that the Prophet's Farewell Sermon is seen as a road map for humankind, ensuring happiness, well-being, and prosperity for all people regardless of race, color, language, or other factors. The Prophet’s expert use of the available media at the time added to the sermon's effectiveness. Teaching His disciples how to communicate and disseminate the sermon's teachings throughout the world. Furthermore, the study found that the Prophet's tremendous rhetorical and linguistic eloquence in placing words, phrases, sentences, and other elements in their right contexts played a crucial part in expressing His intended meanings to His audience. The study has some limitations as researchers could not analyse each element at the textual level, although they had given a little detail in the quantitative analysis of the text. The researchers suggest that future researchers go for complete analysis at the textual level and explore other potential areas.
Effects of Spirulina platensis on neuropathic pain in Wistar rats
Authors: Shahnaz Monira , Biswas Parijat , Akhter Masuma , Rafiq Kazi , Ali Taskina
Published: August 2021

Background: In treatment of neuropathic pain, conventional analgesics showed various adverse effects. Spirulina platensis (Sp), a medicinal herb, shown to possess several beneficiary biological activities including analgesic, anti-inflammatory and anti-ulcerogenic potential.
Objectives: To assess the effect of Sp on neuropathic pain in Wistar rats and also to assess the involvement of ATP sensitive potassium channel (KATP) as its possible underlying mechanism of action.
Methods: For this experimental study 120 Wistar rats of both sexes (200±50 gm body weight) were grouped into control [normal saline (NS) 5 ml/kg/day], sham control [sham surgery + NS], CCI control [Chronic constriction injury to sciatic nerve (CCI) + NS], Sp experimental [CCI + Sp 400 mg/kg/day], Gli experimental [CCI + Sp (400 ml/kg/day) + glibenclamide (15 mg/kg)] groups. Sp and NS were administered orally once daily for consecutive 21 days and single dose of glibenclamide was given intraperitoneally. Then again on the basis of neuropathic pain evaluation tests, all the groups were subdivided into ‘a’ (for walking track analysis), ‘b’ (for cold tail immersion test), ‘c’ (for von Frey test), ‘d’ (for hot plate test). The statistical analysis was done by one-way ANOVA followed by Bonferroni post hoc test, where P£0.05 was considered as statistically significant.
Results: In this study, Sp showed significantly (P£0.001) higher sciatic functional index, tail flick latency, paw withdrawal threshold and reaction time in Sp experimental rats compared to those of CCI control rats. In addition, there were significant (P£0.001) differences in the above-mentioned variables between rats of Sp experimental group and Gli experimental group.
Conclusion: From the present study it could be concluded that, Spirulina platensis prevents the development of neuropathic pain in Wistar rats through opening of KATP channel.
J Bngladesh Soc Physiol 2021;16(1): 1-10
Nephroprotective effect of Aloe barbadensis Miller against gentamicin induced nephrotoxicity in long evans male rats
Authors: Rahman Farjana , Begum Mahmuda , Chowdhury Rama
Published: August 2021

Background: Kidney is an essential excretory organ of our body. It can be damaged by poisonous effect of chemicals, toxin, prolonged and uncontrolled use of drugs. Aloe vera is a herbal plant, it can be used for the prevention and treatment of kidney damage due to its natural compatability.
Objective: To observe the nephroprotective effect of Aloe vera against gentamicin induced nephrotoxicity in long evans male rats.
Method: This experimental study was conducted in the Department of Physiology, Sir Salimullah Medical College (SSMC), Dhaka from 1st January 2018 to 30th December 2018. For this, forty five (45) apparently healthy long evans male rats, 90-120 days old, weighing between 150-200 g were taken and divided into control group (group A) and experimental group (group B - Aloe vera pretreated and gentamicin treated group). Control group was subdivided into group A1 (baseline control group) and group A2 (gentamicin treated control group). Each group consisted of fifteen (15) rats. At the beginning of the study period initial body weight of rats were measured at day 01. All the rats received basal diet for thirty (30) days. Group A1 received only basal diet for 30 consecutive days (started from day 1 to day 30). In addition to basal diet, group A2 received injection gentamicin intraperitoneally once daily in the morning (80 mg/kg/day) for last 5 days (26th to 30th) of the study period. Again, in addition to basal diet, experimental group received Aloe vera orally (200 mg/kg/day) for 30 days and injection gentamicin intraperitoneally (80 mg/kg/day) for last 5 days (26th to 30th). After measuring final body weight all the rats were sacrificed on day 31. Blood sample was collected from heart. Serum levels of creatinine and urea were estimated for assessment of kidney function. Statistical analysis was done by one way ANOVA test followed by post hoc-Bonferroni test.
Result: Mean serum levels of creatinine and urea were significantly (p<0.001) higher in gentamicin treated control group in comparison to that of base line control group. Again these levels were significantly (p<0.001) lower in Aloe vera pretreated and gentamicin treated group than that of gentamicin treated control group.
Conclusion: From this study, it is concluded that Aloe vera has nephroprotective effect against gentamicin induced nephrotoxicity.
J Bngladesh Soc Physiol 2021;16(1): 33-38
Students teaching students: Can medical students play a part in undergraduate physiology teaching?
Authors: Atukorala Kushani , Silva Nalinda , Wickramasinghe Sumudu , Wimalasekera Savithri
Published: August 2021

Over the past decade active and self-directed learning has been given precedence in medical curricula. At the Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka, a novel approach was trialed to teach applied physiology using a student-seminar, where the teaching content was developed by the medical students. Clinically relevant physiology topics were randomly allocated to ten studentgroups. Each group had to deliver their findings to peers and academic tutors during a seminar, using audiovisual aids. This study aimed to explore student perceptions regarding this novel learning experiment. Student perceptions of the seminar were explored using self-administered surveys and were rated. Analysis of subject-related knowledge showed that marks of the participants (n=125) had increased significantly, on average by 13% (t110= -8.878 p<0.001). Majority of students didn’t perceive the student seminar as satisfactory for teaching Applied Physiology. However, student seminars seem to be a useful way to enhance group learning and active self-directed learning.
J Bngladesh Soc Physiol 2021;16(1): 57-60
Relación entre roles administrativos y cultura organizacional en empresas del sector hotelero en las provincias de Soto y Guanentá
Authors: Martínez-Serrano Karolay Andrea , Peña Guevara Katherine , García-Méndez Sebastián , Ramírez-Sierra Yuly Andrea
Published: August 2021

Este artículo tiene como objetivo presentar la relación entre los roles administrativos y la cultura organizacional en empresas del sector hotelero de las provincias de Soto y Guanentá, para tal fin se aplicaron instrumentos vinculables a los constructos objeto de estudio. Posteriormente, se realizó un análisis estadístico, utilizando para ello la correlación de Spearman, debido a las características de la normalidad. Los resultados más representativos indican que los roles informativos y decisorios tienen una relación representativa con la orientación al cambio, lo cual se consolida como un aporte esencial en el entorno actual, teniendo en cuenta el cambiante comportamiento de los diversos sectores económicos, particularmente, el referido al turismo. De igual manera, se denota que en lo referente a los roles interpersonales promueven el cumplimiento de los objetivos y metas de las compañías.
Estudio de Satisfacción Laboral entre las generaciones X y Y en Bucaramanga y su área metropolitana
Authors: Jaimes-Dueñas Karen Johana , Serrano-Pérez William Fernando , García-Méndez Sebastián
Published: August 2021

Este estudio presenta la comparación de satisfacción laboral entre una muestra de trabajadores pertenecientes a las generaciones X y Y de la ciudad de Bucaramanga y su área metropolitana. Para el desarrollo de la investigación la variable satisfacción laboral es analizada mediante la aplicación del cuestionario S20/23, el cual permite medir esta variable, a partir de las dimensiones de condiciones laborales, participación en las decisiones, relación con los superiores, naturaleza del trabajo y reconocimiento. Posteriormente, con el propósito de comparar los niveles de satisfacción laboral entre las unidades poblacionales objeto de estudio, se realiza la prueba U de Mann-Withney. Los hallazgos reflejan elevados niveles de satisfacción laboral por parte de los trabajadores de las generaciones X y Y, principalmente referentes a las condiciones laborales, así mismo, se vislumbra que en la única dimensión donde existen diferencias significativas entre las generaciones es en la referente a la naturaleza del trabajo.
Análisis de riesgos en la industria farmacéutica: Desarrollo de un procedimiento operativo estandarizado en una empresa farmacéutica de Costa Rica
Authors: Mora-Román Juan José , Ortiz-Ureña Angie , Vargas-Monge Ronny
Published: August 2021

El objetivo del estudio fue desarrollar un procedimiento operativo estandarizado para una empresa farmacéutica de Costa Rica. Para esto, se efectuó una entrevista personal no estructurada con la gerente de Control de Calidad. Posteriormente, se realizó una búsqueda de información en distintas bases de datos, para conocer sobre el análisis y el manejo de riesgos, y la utilización del Análisis Modal de Fallos y Efectos. Se desarrolló el documento relacionado con su uso, a través de la generación y la revisión de seis versiones distintas. Para finalizar, se brindó una capacitación a 10 personas de la empresa. Como resultado se obtuvo que uno de los elementos que exige mayor trabajo para la implementación del procedimiento es la definición adecuada de los parámetros de severidad, probabilidad de ocurrencia y probabilidad de detección. Además, la presencia de personas de distintos departamentos es necesaria, dado que aportan una perspectiva distinta a partir de la cual se puede abordar un riesgo dado.
Incidencia del Impuesto sobre las Ventas (IVA) en el Presupuesto General de Colombia, en el periodo 2015–2019
Authors: Ramírez Zárate Rosa Angélica , Ome Barahona Anayibe , Sabí Ramírez Evelia
Published: August 2021

El presente artículo de revisión tiene por finalidad analizar la participación del Impuesto sobre las Ventas (IVA) dentro del Presupuesto General de Colombia, durante los ejercicios fiscales 2015 – 2019. Para esto, se toma como instrumento el recaudo del IVA de cada año objeto de análisis. El estudio determinó que el IVA durante los cinco años examinados, impactó en promedio en el 29% los ingresos corrientes de la Nación, porcentaje que para las finanzas del Estado resulta importante, por cuanto, significa, al mismo tiempo, un 16% de participación dentro del Presupuesto General. Los anteriores datos son útiles para tener una noción generalizada de la incidencia del IVA en el cubrimiento de los gastos e inversiones a cargo del Estado. En este trabajo también se aborda la regresividad presente en el IVA, en ocasión a su calidad de tributo indirecto que grava el consumo; como esta condición repercute severamente los ingresos de los consumidores, es bastante cuestionada y analizada por los estudiosos en materia tributaria.
Pengaruh Kompetensi,Akuntabilitas, Penerapan Kode Etik, dan Gaya Kepemimpinan terhadap Kualitas Audit di Kap di Medan
Authors: Rahmi Namira Ulfrida , Hadi Tio , Susilawati Susilawati , Widia Widia , Fredy Adam
Published: August 2021

Various cases that occurred in KAP are evidence of problems in the KAP environment that affect the quality of auditors in conducting audits. In conducting audits, independent auditors are required to observe professional principles, including professional responsibility, public interest, integrity, objectivity, competence, and professional prudence. However, various cases that arise within the Public Accounting Firm are one of the reasons for the reduced public trust in Public Accounting Firm services, one of which occurred in the case of violations committed by Hasnil M Yasin & Partners where the director of this Public Accounting Firm committed income tax evasion. in Langkat Regency under the demands of the Public Prosecutor Service along with the Langkat regional secretary Surya Djahisa. Hasnil is suspected of committing a criminal act of corruption that resulted in a loss of state funds of 1 billion rupiahs, therefore the researchers conducted tests in assessing competence, accountability, the application of the Code of Ethics and Leadership Styles that affect the quality of audits at KAP Medan city. The population and samples were taken with the saturation technique. The data analysis model uses structural models, measurement models, path diagram designs, conversion of path diagrams into a system of equations, estimates, the goodness of fit, and others to get the desired results with the help of the WrapPls program. The results showed that the competence, accountability, and code of ethics of Medan public accountants did not affect audit quality. Leadership style has an effect on audit quality at KAP Medan City.
Transtornos psicóticos associados ao período do climatério
Authors: Negreiros Bruna Aguiar de , Feitosa Ysla Pontes , Ribeiro Yasmin Clara Fernandes , Pereira Junior José Lopes
Published: August 2021

A menopausa é um período composto por diversas mudanças e transformações na vida da mulher, caracterizando o final do período reprodutivo dessas. Dessa forma, a diminuição significativa dos hormônios no organismo feminino resulta em um conjunto amplo de sinais e sintomas desagradáveis e característicos dessa fase, com destaque para manifestações psiquícas. O objetivo do trabalho consiste em realizar um levantamento bibliográfico acerca das desordens psiquiátricas manifestadas durante o período da menopausa. Realizou-se uma busca nas bases de dados Pubmed, SciELO, Lilacs e Cochrane Library com os descritores “Menopause” OR “Climacteric” OR “Middle Aged” AND “Mental disorders” OR “depression” OR “anxiety” incluindo artigos publicados de 2010 a 2020. Os resultados evidenciam que depressão e ansiedade configuram entre as desordens psiquiátricas mais comuns no período e que fatores econômicos, sociais, culturais podem influenciar tais sintomas.