bluuebunny/crossref_metadata_2025 huggingface dataset:
An IoT-Based Autonomous System for Oil Spill Detection
Authors: S.M. Masudur Rahman  , Md. Shihab Sharar Oyon  , Abir Ahmed  , Istiaque Ahamed  , Md. Rifat Hazari
Published: December 2024

Oil is a vital global energy source, yet oil spills pose severe threats to marine and human life, causing significant economic, environmental, and social impacts. The dense consistency of crude oil complicates the cleanup of oceans and seabeds. To address this issue, an autonomous system utilizing IoT technology has been developed to efficiently remove crude oil debris from water surfaces. This innovative system skims the oil layer and simplifies the cleanup process. Performance tests at a constant rotary speed of 18 rpm shows an average removal rate of 107.88 ml/min of oil. They are increasing the number of rotary discs notably improved efficiency, doubling the oil collection with each additional disc. Leveraging IoT technology allows remote operation and real-time data monitoring via a mobile app. This solution offers a sustainable and eco-friendly approach to oil spill cleanup, making it particularly valuable for Bangladesh's context due to its viability and cost-effectiveness.
Interactive Multimedia Development Assisted by I Spring Suite 10 Integrated SETS (Science, Environment, Technology, Society) Approach to Improve High School Students' Critical Thinking Skill
Authors: Wandika  , Yulkifli  , Desnita  , Yohandri  , Aisyah Siti
Published: December 2024

The aim of this research is to develop interactive multimedia assisted by Ispring suite 10 integrated with the SETS approach that is valid, practical and effective in order to advance high school students' critical thinking skills. This type of research is research and development (R&D) using the ADDIE development model. The participants were class XI students. Science at SMAN 2 Padang. The research results show: 1) Validation of interactive multimedia reaches very valid criteria; 2) The practicality of interactive multimedia is determined through learning implementation of 89.74% with practical criteria and student response questionnaires of 87.40% with practical criteria; 3) Interactive multimedia assisted by Ispring Suite 10's integrated SETS approach can increase critical thinking capabilities effectively. The novelty of this research is that teachers can apply interactive multimedia assisted by Ispring suite 10 integrated SETS approach as one way to improve students' critical thinking skills.
Factores que inciden en trastornos músculo esqueléticos del personal sanitario del Centro Clínico Quirúrgico Ambulatorio Hospital del Día Macas
Authors: Jara Tapia Alexandra Jimena , Silva Caicedo Rommel Fernando
Published: December 2024

El presente estudio analiza los factores que influyen en la aparición de trastornos musculoesqueléticos en el personal sanitario del Centro Clínico Quirúrgico Ambulatorio Hospital del Día Macas. El objetivo es evaluar el nivel de riesgo ergonómico mediante la aplicación del método REBA (Rapid Entire Body Assessment). Se llevó a cabo un análisis de las posturas adoptadas por el personal durante sus actividades diarias, identificando niveles de riesgo asociados a las mismas. Los resultados revelaron que el 78,43% del personal presenta un riesgo ergonómico MEDIO, el 11,76% un riesgo BAJO, el 7,84% un riesgo ALTO y el 1,96% un riesgo MUY ALTO. Estos hallazgos indican la necesidad de implementar medidas correctivas y preventivas inmediatas para reducir el riesgo ergonómico en este centro de salud. Se concluye que la intervención temprana es clave para mejorar las condiciones laborales y prevenir futuros trastornos musculoesqueléticos en el personal sanitario.
ТРАДИЦИОННОТО НАРОДНО ЛЕЧИТЕЛСТВО В ТУРСКАТА КУЛТУРА
Authors:   Konstantin Preslavsky University of Shumen, Чуфадар Неврие
Published: December 2024

Folk healing dates back to ancient times and it is the practice of the first people
faced with natural events born from the relationship between humans and nature. Traditional
medicine, also known as folk medicine or folk healing, is a part of the culture of protecting and
restoring people's health and includes accumulated empirical knowledge that serves to diagnose
and treat various diseases. It meets to a large extent the needs of society in periods when modern
medicine was not developed.
The purpose of this study is to discover the main medicinal plants and animal products
that our ancestors and the modern Turkish population used for medicinal purposes, as well as
some beliefs related to the healing power of the natural elements water, clay/earth, wood and
stone, some of which are directly related to the healing practices in Northeastern Bulgaria. At
the same time, the healing properties of the herbs and animal products used by the people in the
past will be presented, as well as examples of healing practices related to medicinal plants and
some animal products, which continue to be applied by the Turkish population.
ИВАН КОСТАДИНОВ РАДОВ – НОВОПАЗАРСКИЯТ СЪЗАКЛЯТНИК ОТ ШУМЕНСКОТО (СТАРОЗАГОРСКОТО) ВЪСТАНИЕ 1875 Г.
Authors:   Konstantin Preslavsky University of Shumen, Радев Радостин
Published: December 2024

This article presents the activity of the teacher and revolutionist Ivan
Kostadinov Radov and his role in the Stara Zagora (Shumen) Rebellion Uprising, 1875. He is
one of the participants who took part in the preparation and set-up of the Rebellion Uprising on
the territory of Novi Pazar. After the Rebellion’s suppression of the uprising, the name of Ivan
Kostadinov Radov remainsed a symbol of the combat for freedom and independence of the
Bulgarian nation in the region of Novi Pazar.
БЕЛЕЖКИ ВЪВ ВЪЗРОЖДЕНСКИТЕ СТАРОПЕЧАТНИ КНИГИ НА РЕГИОНАЛНА БИБЛИОТЕКА „СТИЛИЯН ЧИЛИНГИРОВ“ – ШУМЕН
Authors: Георгиев Данко
Published: December 2024

The publication draws attention to one of the features of the old printed book
- the marginal texts that are found on its empty fields and which make each copy unique. A specific
object of research are the notes in the Renaissance National Revival old print collection of the
Regional Library “Stiliyan Chilingirov” – Shumen. The most common elements are presented –
personal names of owner, buyer or seller; household-related information; calculations; the price
of the book or other items and services; donation information. The author draws attention to
particular some more specific cases and development trends are considered. A suggestion has
been made about the possible National Revival Renaissance personalities who could be behind
the names written in the notes. In conclusion, is noted the significance of the old printed book
and the marginal texts in it for the local and national history are outlined.
The relationship between social pressure regarding physical appearance, maladaptive eating attitudes, and emotional eating in adolescent girls
Authors: ȘTEFAN Mariana
Published: December 2024

The issue addressed in this study pertains to the evolving standards of beauty in contemporary society, which can significantly impact the health of young people. The purpose of the research is to investigate the relationship between social pressure related to physical appearance and the risk of developing problematic eating behavior (maladaptive eating attitudes and rational eating) in teenage girls. The study examines differences between adolescent girls with problematic eating (PEG) and balanced eating (BEG) regarding eating behavior, emotional eating, and sociocultural pressure. Participants (N=206 adolescents, 14-18 years) completed EAT-26, EEQ, and SPPS. Results indicate significant differences (p<.001) between groups, with consistently higher scores in the PEG group. Significant correlations (r=.32-.75) and pronounced differences in sociocultural pressure (PEG: M=40.37; BEG: M=20.58) suggest the need for targeted clinical interventions and tailored prevention programs.
Manifestation of traffic behavior in relation to driving experience
Authors: AXENTII Olga , POTÂNG Angela
Published: December 2024

Aggression in traffic is a widely researched topic with numerous factors identified as contributors to aggressive behavior. The purpose of the research is to highlight the manifestation of risk-taking, aggressiveness and the need for thrills in relation to the drivers’ driving experience. The experimental sample consisted of 149 male and female drivers aged 18-60. The results indicate that the predisposition to risk is more pronounced among drivers with longer driving experience (5-10 years; 10-15 years). The manifestation of physical aggression and the use of the vehicle to express aggression at an average level, is characteristic for the groups of drivers with longer driving experience (5-15 years) than for the novice group, up to 5 years. Beginner car drivers adopt a high level of manifestation of the constructive expression of aggression, adopting cognitive and behavioral strategies to avoid conflict situations in traffic.
Leveraging LLM-based Services in Legacy Information Systems
Authors:   University of Niš, Faculty of Electronic Engineering, Department of Computer Science, Niš, Serbia, Petrović Nenad
Published: December 2024

Trending Large Language Models (LLMs) are enabling numerous novel use cases due to their text analysis and generation capability. Among them, there cases which can bring benefits in various areas of business on top of existing applications. This paper considers scenario of leveraging LLM-based services implemented using Llama3 within legacy Java Enterprise Edition business applications.
Stress-induced Degradations and Self-heating Effects in P-channel Power VDMOS Transistors
Authors:   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia, Veljković Sandra , Mitrović Nikola ,   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia, Marjanović Miloš ,   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia, Živanović Emilija ,   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia, Davidović Vojkan ,   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia, Ristić Goran ,   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia, Danković Danijel ,   University of Niš, Faculty of Electronic Engineering, Department of Microelectronics, Niš, Serbia
Published: December 2024

This study investigates the reliability and performance of p-channel power VDMOS transistors subjected to different stresses NBT, PBT, HEF, and irradiation. Results reveal distinct degradation patterns in electrical parameters, with threshold voltage shifts particularly affected. Notably, positive HEF stress can produce a „turn-around“ effect in investigated devices. Also, irradiated devices show degradation trends similar to those under HEF stress, emphasizing the influence of ionizing radiation on stability. Additionally, self-heating effects in stressed devices highlight vulnerability under real operating conditions. These findings are crucial for enhancing the reliability of VDMOS transistors in high-stakes applications such as automotive, aerospace, and high-reliability switching circuits.
EVALUASI PERSYARATAN CALON KEPALA DAERAH PADA PILKADA DI INDONESIA DALAM PERSPEKTIF NILAI-NILAI PANCASILA
Authors: Hidayat Agus
Published: December 2024

Sejak diberlakukannya Undang-Undang Nomor 32 tahun 2004 tentang Pemerintahan Daerah, Pemilihan Kepala Daerah (Pilkada) yang semula dipilih melalui sistem perwakilan melalui DPRD dan berubah menjadi pemilihan secara langsung oleh rakyat. Pemilihan secara langsung tersebut merupakan perwujudan demokrasi langsung di tingkat daerah. Namun ternyata dengan diterapkan pilkada langsung tersebut membawa dampak negatif terhadap penyelenggaraan pemerintahan daerah yang efektif dan efisien untuk mewujudkan kesejahteraan warga masyarakatnya. Dampak negatif tersebut salah satunya adalah bahwa Pilkada secara langsung dinilai terlalu boros memakan banyak biaya, sehingga tidak seimbang dengan biaya politik yang telah dikeluarkan. Ketidakseimbangan tersebut mengakibatkan banyaknya kepala daerah terpilih yang terjerat kasus korupsi. Dampak lainnya adalah tidak efektifnya implementasi sejumlah kebijakan di daerah, karena kepala daerahnya ditahan akibat terjerat kasus korupsi, sehingga program-programnya menjadi tertunda, bahkan tidak berjalan sama sekali dan semakin kabur. Timbulnya dampak negatif dari pilkada secara langsung tersebut, salah satunya ditenggarai adalah persyaratan calon kepala daerah yang dinilai bertentangan dengan nilai-nilai Pancasila sebagai falsafah bangsa dan negara Indonesia. Oleh karena itu pentingnya meninjau ulang kembali atau evaluasi terhadap persyaratan calon kepala daerah pada pilkada di Indonesia apakah sudah sesuai dengan nilai-nilai Pancasila.
Un viaje progresivo por el mundo, la poesía y la música de Charly García
Authors: Martínez-Pando José Antonio
Published: December 2024

Aunque no sea una cantidad excesiva, sino más bien escasa, ya existen estudios sobre la obra de Charly García. En este trabajo se va a analizar una canción por periodo artístico, desde sus primeras grabaciones hasta el principio de su carrera en solitario, que comprenden los años desde 1969 hasta 1985 de la carrera de este talentoso músico argentino. Se considera este periodo porque es cuando la poesía y la música de García se ve más influenciada por la censura y la vuelta a la democracia a partir de 1983. A simple vista, parecería escaso revisar una sola canción de cada etapa de este prolífico músico. No obstante, el autor ha considerado en su elección tanto su nivel musical, el impacto social que tuvo cada una de las canciones elegidas, así como el mensaje subliminal que siempre subyace en cada una de las obras de Charly García.
Factores sociodemográficos asociados con mortalidad de cáncer gástrico en México
Authors: Trujillo Zally Patricia Mandujano , Ochoa Sonia Rosa Roblero , Martínez Rosa Martha Velasco , Pirrón Tomasa de los Ángeles Jiménez , Medina María Fernanda Martínez , Flores Leyvi Dayana Molina
Published: December 2024

El cáncer gástrico es una de las neoplasias de mayor mortalidad a nivel mundial. De acuerdo con datos proporcionados por Global Cancer Observatory, es la quinta neoplasia más frecuente y la tercera causa de muerte en el mundo, correspondiendo al 6.8%.  A pesar de que la incidencia ha disminuido en la última por las campañas de información de factores de riesgo, así como el uso de tratamientos erradicadores de Helicobacter pylori han sido efectivas en las poblaciones asiáticas, no ha sido el caso de la población latinoamericana. El objetivo de este estudio fue determinar la tasa de mortalidad anual en los últimos cinco años por cáncer gástrico en México e implementar estrategias específicas para las poblaciones vulnerables detectadas. Se realizó un estudio descriptivo de corte transversal, con datos obtenidos a partir de la base de datos nacional de defunciones de la Secretaría de Salud, concentrada por la Dirección General de Información en Salud como parte de sus datos abiertos, tomando en cuenta los años 2018 al 2022. Los datos indican que los estados más afectados por esta patología son Ciudad de México, Chiapas y Campeche, cumpliendo los dos últimos con la característica de ser geográficamente de riesgo por contar con regiones costeras. El estudio de los factores socioeconómicos de los afectados es una ventana para entender el porqué de la alta mortalidad por esta causa, la mayoría no ejercían alguna actividad remunerada, tampoco contaban con niveles intermedios de escolaridad, ambos determinantes de su ingreso y calidad de vida.
Two Case Reports on Incessant Left Ventricular Tachycardia: Curative Therapy with Radiofrequency Ablation
Authors: Tan C S , Hsu L F , Kam R M L , Teo W S
Published: December 2024

Introduction: Incessant ventricular tachycardia is a rare arrhythmia which can be life threatening. Treatment with anti-arrhythmic agents may occasionally fail.

Clinical Picture: We report 2 cases of incessant ventricular tachycardia. The first case was a young man with idiopathic left ventricular tachycardia who was in incessant ventricular tachycardia despite treatment with multiple anti-arrhythmic drugs and developed dilated cardiomyopathy. The second case was an asymptomatic girl with the incidental finding of an incessant ventricular tachycardia which originated from the left ventricular outflow tract.

Treatment and Outcome: Both patients underwent electrophysiologic study and radiofrequency ablation with complete termination of the tachycardia.

Conclusion: Radiofrequency catheter ablation in experienced centres should be the first-line therapy for incessant ventricular tachycardia.
A Case Report of Neurologically Unstable Fracture of the Lumbosacral Spine in a Patient with Ankylosing Spondylitis
Authors: Hee H T , Thambiah J , Nather A , Wong H K
Published: December 2024

Introduction: Fracture/dislocation is uncommonly reported in ankylosing spondylitis involving the lumbosacral spine.

Clinical Picture: We report an 18-month follow-up of a case of neurologically unstable traumatic fracture of the lumbosacral spine in ankylosing spondylitis.

Treatment/Outcome: Posterior decompression, alar-transverse fusion and instrumentation were performed. Anterior diskectomy and fusion were done 6 weeks later. There was solid bony fusion on follow-up and the patient had improvement of 2 Frankel grades and was able to ambulate.

Conclusion: Combined approaches and longer fixations to stabilise the spine may be required. In the lumbosacral spine, this poses a problem vis-à-vis limited levels of fixation in the sacrum.
Steroid-induced Osteoporosis
Authors: Sambrook P N
Published: December 2024

Introduction: Corticosteroids have major effects on calcium metabolism, leading to accelerated osteoporosis and fracture.

Methods: This review will attempt to summarise current knowledge about their effects in light of new information and important remaining questions, especially with respect to management of this common condition.

Results: Corticosteroids affect bone through multiple pathways, influencing both bone formation and bone resorption. Evidence from randomised trials suggests that postmenopausal women receiving corticosteroids are at greatest risk of rapid bone loss and consequent fracture and should be actively considered for prophylaxis. Based upon available evidence, the rank order of choice for prophylaxis would be a bisphosphonate followed by a vitamin D metabolite or hormone replacement.

Conclusions: With early therapy, corticosteroid bone loss can be effectively prevented or reversed.
Intussusception: A Three-Year Review
Authors: Lai A H M , Phua K B , Teo E L H J , Jacobsen A S
Published: December 2024

Introduction: Intussusception is the commonest cause of intestinal obstruction in infants and young children.

Materials and Methods: This report reviews the clinical presentation, investigations and outcomes of patients with intussusception treated at the KK Women’s and Children’s Hospital between 1 May 1997 and 30 April 2000.

Results: The study population comprised 160 consecutive patients treated for intussusception at our hospital over this 3-year period. The commonest symptom was vomiting; present in 135 patients (84.4%). A palpable abdominal mass was present in 90 patients (56.3%). The classical features of vomiting, abdominal pain, abdominal mass and rectal bleeding were present together in only 12 patients (7.5%). Abdominal ultrasonography was performed in 155 patients. One hundred and fifty-two patients (98.1%) had the classical target lesion on ultrasonography. Air enema reduction was attempted in all except 6 patients. In the majority of patients (130 or 84.4%), the intussusception was reduced successfully by air enema reduction. There was no association between the duration of symptoms before radiological reduction and the outcome of radiological reduction.

Conclusions: As the four classical features of intussusception were present together in only 7.5% of our patients, a high index of suspicion is necessary when any of the signs and symptoms are present in an infant or young child. Abdominal ultrasonography is the diagnostic investigation of choice. Air enema reduction was successful in 84.4% of patients and the duration of symptoms did not reduce the success rate. Thus, air enema reduction should be attempted in most patients unless they have absolute contraindications.
Bacteriologically-negative Pulmonary Tuberculosis—The Singapore Tuberculosis Control Unit Experience
Authors: Pek W Y , Chee C B E , Wang Y T
Published: December 2024

Introduction: Patients with radiological features suggestive of active pulmonary tuberculosis (PTB) from areas with a high prevalence of the disease have a high clinical likelihood of PTB regardless of the bacteriological findings. It is the established practice in many countries to initiate therapy in such patients. Our study aimed to determine if treatment for bacteriologically-negative PTB in our local population was appropriate and to identify features at presentation that would be predictive of active PTB, as defined by good and appropriate response to anti-tuberculous treatment.

Materials and Methods: A retrospective review of a randomised sample consisting of 100 bacteriologically-negative PTB patients given a course of anti-tuberculous treatment at the Singapore Tuberculosis Control Unit (TBCU). Based on their treatment response and outcome, patients were classified as probable active or unlikely active PTB. Patients’ characteristics, clinical presentation and radiological findings were analysed for their association with likelihood of probable active PTB.

Results: Fifty-six per cent of patients in this study had probable active PTB. The decision to treat this group of patient was appropriate. There was no serious adverse reaction in the patients treated. The presence of symptoms, especially cough at presentation, a history of contact with tuberculosis and cavitation on chest radiograph, were associated with an increase risk of probable active disease.

Conclusion: The TBCU’s practice to treat patients suspected of having radiological PTB in the setting of negative sputum smear and culture seems to be appropriate in the majority of cases.
Kesiapan dan Minat Mahasiswa dalam Pelaksanaan Merdeka Belajar Kampus Merdeka: Studi Kasus Mahasiswa Pendidikan Akuntansi FKIP UNS
Authors: Dian Pratiwi Putri  , Sohidin
Published: December 2024

Penelitian ini bertujuan untuk menganalisis kesiapan dan minat mahasiswa Program Studi Pendidikan Akuntansi FKIP Universitas Sebelas Maret (UNS) dalam pelaksanaan program Merdeka Belajar Kampus Merdeka (MBKM). Metode yang digunakan adalah kualitatif dengan pendekatan studi kasus, melibatkan wawancara mendalam untuk memahami perspektif mahasiswa. Hasil penelitian menunjukkan variasi signifikan dalam kesiapan mahasiswa, di mana banyak yang merasa kurang mendapatkan informasi memadai tentang MBKM. Informasi yang terbatas dan tidak terstruktur dari program studi serta kurangnya bimbingan dan penyuluhan mempengaruhi kesiapan akademik mereka. Dari segi minat, mahasiswa menunjukkan variasi yang luas, dipengaruhi oleh pemahaman tentang program, manfaat yang diperoleh, dan pengalaman pribadi. Minat rendah disebabkan oleh penempatan yang tidak sesuai, seperti di SD daripada di SMA atau SMK yang lebih relevan, serta beban tugas kuliah dan kekhawatiran tentang gangguan waktu kuliah. Penelitian menyimpulkan bahwa peningkatan kesiapan dan minat mahasiswa dalam program MBKM memerlukan informasi yang lebih lengkap dan terstruktur, perbaikan fasilitas pendukung, serta bimbingan dan penyuluhan yang memadai dari Program Studi Pendidikan Akuntansi UNS. Dukungan yang lebih baik akan meningkatkan kesiapan dan motivasi mahasiswa, mendukung tujuan utama program ini dalam memberikan pengalaman belajar holistik dan relevan dengan kebutuhan dunia kerja.
ADİL CEZA YARGILAMASINDA ÇELİŞMELİ YARGILAMA VE SİLAHLARIN EŞİTLİĞİ İLKELERİ BAKIMINDAN MÜDAFİİN ÖNEMİ
Authors: Yavuz Kılıç Özge Ceren
Published: December 2024

Adil yargılanma hakkı, suç isnadı altındaki kişiye ceza muhakemesinde tanınan önemli bir haktır. Taraf olduğumuz Avrupa İnsan Hakları Sözleşmesi’nin 6’ncı maddesinde düzenlenen bu hak, ulusal hukukumuzda da Türkiye Cumhuriyeti Anayasası’nın 36’ncı maddesinde açıkça tanınmıştır. Adil yargılanma hakkı, alt unsur olarak çeşitli hak ve ilkeler içeren karma bir yapıya sahiptir. Alt unsurlarından çelişmeli yargılama ve silahların eşitliği ilkeleri önemli bir yere sahip olup yine adil yargılama hakkı kapsamındaki savunma ve müdafiden yararlanma haklarıyla yakından ilişkilidir. Çünkü adil bir ceza yargılaması için ceza muhakemesi sürecinde riayet edilmesi gereken ilkelerden olan çelişmeli yargılama ve silahların eşitliğinin gerçekleşmesinde, savunma ve müdafiden yararlanma hakları kritik bir konuma sahiptir. Öyle ki, anılan hak ve ilkeler birlikte adil yargılanma hakkının temelini oluşturmaktadırlar. Bu doğrultudaki önemlerine istinaden, çalışmada, ceza muhakemesinde adil bir yargılamanın gerçekleştirilmesinde çelişmeli yargılama ve silahların eşitliği ilkeleri bakımından müdafiin önemi incelenmiştir.
Legal Certainty of Business Licensing Integrated Electronically in Investment Licensing
Authors:   Faculty of Law Warmadewa University, Ujianti Ni Made Puspasutari , Antaguna I Nyoman Gede ,   Faculty of Law Warmadewa University, Renaya I Nengah ,   Faculty of Law Warmadewa University, Maharani Ni Putu Laksmi Krisnina ,   Faculty of Law Warmadewa University, Indrawan Ida Ayu Kartika ,   Faculty of Law Warmadewa University, Sastradi I Ketut Suliwa Catur ,   Faculty of Law Warmadewa University
Published: December 2024

To drive the national economy, investment is one of the factors that continues to be developed by the Indonesian Government. Various efforts have been made by the Government to encourage both domestic and foreign investors to invest in Indonesia. One of these efforts is to build a new electronic-based licensing system. Based on PP Number 24 of 2018 concerning Electronically Integrated Business Licensing Services or often referred to as OSS, licensing services are becoming easier. Through the OSS system, licensing for business and investment is increasingly simplified. Through the OSS system, it is hoped that legal certainty for investing and doing business in Indonesia will be realized with certainty of requirements, certainty of time periods, certainty of costs incurred and certainty of licensing procedures. It is certain that these permits must be able to provide comfort for business actors, avoiding overlapping permits, abuse of authority or corruption from licensing holders. Business and investment permits must provide certainty of fulfillment of predetermined procedures and requirements so as to avoid disputes and lawsuits in court. With the issuance of Law Number 11 of 2020 concerning Job Creation (UUCK), it has further strengthened OSS as a business and investment licensing service system while realizing legal certainty and legal protection for investors in Indonesia.
Legal Certainty for Unregistered Land Rights Holders in Lebo Jaya Village, Southeast Sulawesi, Indonesia
Authors:   Faculty of Law, Halu Oleo University, Kendari, Heryanti Heryanti , Muchtasar Rizal ,   Faculty of Law, Halu Oleo University, Kendari, Safiuddin Sahrina ,   Faculty of Law, Halu Oleo University, Kendari, Zuliarti Wa Ode ,   Faculty of Law, Halu Oleo University, Kendari, Arfa Arfa ,   Faculty of Law, Halu Oleo University, Kendari, Jumanudin Jumanudin ,   Faculty of Law, Universitas Karya Persada Muna, Muna
Published: December 2024

The aim of this research is to analyze the legal certainty for land rights holders who are not identified in systematic land registration activities and to determine the legal consequences for those land rights holders. This research uses a qualitative descriptive method with an empirical normative approach, relying on secondary data through a descriptive study and analysis of statutory regulations and relevant literature. The research findings are as follows: (1) Legal certainty for land rights holders who are not identified in systematic land registration: The UUPA mandates that guaranteeing legal certainty for land rights is essential. Land rights holders not identified in PTSL activities lack legal certainty, as accurate and valid physical and juridical data are foundational for establishing legal certainty. A party who abandons their land without transferring authority to another party may be deemed to have abandoned it, thus categorizing the land as State land. Similarly, a party who takes control of the land cannot be considered the rightful holder unless they can prove their physical control over the land in good faith. (2) Legal consequences for land rights holders who are not identified in systematic land registration: A party claiming entitlement may lose their land rights and can seek to regain them through litigation or non-litigation, in accordance with statutory regulations. Rights holders who have received state legalization in the form of a certificate (Cluster 1), such as through PTSL, will have their rights protected and can use their land rights according to the designation or carry out legal actions on the land. This protection is not available to parties who feel they have rights but are not identified in PTSL activities. Dispute resolution through litigation typically occurs when the parties involved cannot reach an amicable agreement through non-litigation or out-of-court settlement methods. Parties to the dispute can also file complaints with the Ministry of Agrarian Affairs and Spatial Planning/National Land Agency, Regional Office, or Land Office, as per their authority, to obtain resolution in accordance with statutory provisions.
The Effect of Market Orientation and Product Innovation Ability on Marketing Performance Through Competitive Advantage as an Intervening Variable (Study on the Weaving Industry in Bali Province)
Authors:   Universitas Mahasaraswati Denpasar, Paraswani Ni Ketut Cantika
Published: December 2024

Province is very famous until to overseas Because its culture which is results from creativity , will , and feeling of the Balinese people . Almost all over regions in Indonesia have skills weave , start from Sabang until Merauke , including Bali. One of cloth weaving that developed in Bali is cloth weaving endek . Research objectives This For see influence market orientation and capability innovation product to performance marketing with superiority compete as intervening variable . Research This use method quantitative with analysis partial least square , the sample used was 71 respondents with the saturated sample method. The results of this study indicate that market orientation does not influences product competitiveness, market orientation does not influence on marketing performance, product innovation capabilities has a positive and significant effect on product competitiveness, product innovation capability has a positive and significant effect on marketing performance, and product competitiveness has a positive and significant effect on marketing performance . This study recommends that industry weaving in Bali Province must maintain and improve orientation to the market environment due to own good grades in research this , and on marketing strategy , satisfaction Customers and Communication promotion advertisement still very lacking and can improved return so that can formation good market orientation .
A Neurocognitive Improvement with Cinacalcet, what is the Relationship?
Authors:   UOC General Medicine P.O. Piedimonte Matese ASL CE, Italy, D D’Ambrosio
Published: December 2024

Background: Primary hyperparathyroidism (pHPT) is a
common endocrine disorder. In elderly patients with multiple
co-morbidities, the decision to “watch and wait” is often most
clinically appropriate as operative intervention is associated with
high peri-operative risk1. We present an elderly patient with severe
hypercalcemia secondary to pHPT.
Case History: A 82-year-old female with a history of diabetes
mellitus, hypertension and progressive cognitive and motor
impairment classified as atypical parkinsonism came to ED due
to a drowsy state. The laboratory investigations showed a severe
hypercalcemia associated to increase of PTH. CT and scintigraphic
exams highlighted a left parathyroid adenoma with a diagnosis of
pHTP. In the meantime she was treated with forced hydration and
diuretics and subsequently cinacalcet, given the comorbidity and
the bedridden situation. We obtained a normalization and stability
of the calcemia values and a clear improvement in vigilance and
cognitive picture.
Discussion: Significant functional and cognitive impairment
can occur with elevated serum calcium levels in pHTP2. The
calcimimetic Cinacalcet almost always controls hypercalcemia
and hypophosphatemia sufficiently. Given the high tolerability,
affordability, and ongoing beneficial effects on serum calcium,
cinacalcet should be considered in people presenting with
cognitive impairment and elevated serum calcium who are unfit
for definitive surgical management.
Ultrasound Diagnosis of Pneumonia: A Case Report
Authors:   Department of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy, Davide Nilo
Published: December 2024

Background: A 54-year-old man presented himself in the
emergency room with worsening dyspnea for a few hours and
persistent fever for approximately three days. He appeared
tachypnoeic, with a respiratory rate of 28 breaths/minute, pyretic
(TC 38.5°C), with normal vital signs. It was performed an arterial
blood gas analysis which showed pO2 equal to 64 and subsequent
placement of oxygen therapy. Blood tests revealed leukocytosis
with predominance of neutrophils, PCR 18 mg/dl, negative
troponin.
Case History: In view of the clinical picture, a bedside thoracic
ultrasound (TUS) was performed. The ultrasound examination
highlighted a consolidated hypoechoic area with a dynamic air
bronchogram in the right upper lobe, compatible with a focus of
pneumonia.
For diagnostic confirmation and better characterization of the
extension of the pathology, a chest CT was performed which
confirmed the presence of a large consolidative area with air
bronchogram in the upper lobe of the right lung, without significant
pleural effusion.
TMA and Infections, A Vicious Circle
Authors:   Medicina DEA ed elevata complessità clinica – AORN A. Cardarelli, Napoli, Ialy, M Di Palo
Published: December 2024

Background: Thrombotic Microangiopathies (TMA) are rare but
serious disease with a pattern of damage that can occur in smallest
blood vessels inside many vital organs.
Case History: Female, 62y.o, entered ER due to worsening
asthenia, thrombocytopenia and anemia on laboratory tests.
Confirmed hemolytic anemia (increased LDH, indirect bilirubin,
rare schistocytes on peripheral smear) anti-ADAMTS13 activity
assay is performed, which is almost suppressed (< 5%) confirming
diagnosis Thrombotic Thrombocitopenic Purpura (TTP). Plasma
exchange, caplacizumab and steroids (1mg/kg body weight) were
started. During hospitalization, due to increased inflammation
indices during an episode of recrudescence (thrombocytopenia
and undetectable ADAMTS13 activity) laboratory tests were
performed, confirming diagnosis of septic state secondary to
Salmonella typhi infection, complicated by septic arthritis.
Rituximab and antibacterial therapy were started, achieving
resolution of the septic state, but due to the persistence of
thrombocytopenia (with normal ADAMTS13 activity) and
finding of hepatosplenomegaly, was documented reactivation of
Cytomegalovirus infections, therefore therapy with Ganciclovir
was started, with resolution of the infectious state and TTP.
Discussion: Bacterial/viral infections are commonly observed
amongst TMA hospitalized patients and may act as a trigger
(including recrudescences and relapses) or a consequence of
immunosoppressive therapy; timely diagnosis and most appropriate
treatment can help resolve PTT.
Study on Changes in the Microcirculation Highlighted with Capillaroscopy in Patients with Diabetic Nephropathy: Preliminary Data
Authors:   Internal Medicine UOC 3, AO Cardarelli, Naples, Italy, F Gallucci
Published: December 2024

Background and Aims
Nailfold-Videocapillaroscopy (NCV) is a non-invasive
diagnostic tool of now proven efficacy in the evaluation of the
microcirculation alterations characterizing various connective
tissue diseases and also other several systemic diseases, such as
diabetes mellitus. Diabetic nephropathy (DN) is a microvascular
complication of diabetes. To our knowledge, a few researches
have been conducted to investigate the relationship between
DN and NVC. We evaluated nailfold capillaries (NC) in type 2
diabetes mellitus(T2DM) patients(pts) to determine any correlation
between the development of nephropathy and changes in NC.
Materials and Methods
We underwent NCV 30 pts (18M and 12F) affected by T2DM
and a control group of 28 healthy individuals (16M and 12F).
T2DM pts were separated into groups of normoalbuminuric,
microalbuminuric and macroalbuminuric DN stages according
to the albumin/creatinine ratio. GFR was evaluated using the
CKD-EPI formula. We used Videocap 3.0, 200x magnification
and software (DS Medica, Italy).
Results
Pts with albuminuria had more microhemorrhages (12.6%),
capillary aneurysms (18.3%), bizarre capillaries (42.8%), bushy
capillaries (29.8%) and greater tortuosity (68.8%) than the
control group. Only tortuosity was significantly correlated with
albuminuria (p <0.05).
Conclusions
Our preliminary data confirmed NCV as a useful diagnostic tool
for alterations of the microcirculation also in patients with DN,
although further feedback is needed.
Integrated Plastic Waste Management in Rural & Urban Areas of Samastipur District, Bihar, India
Authors:   Temasek Foundation International Water Leadership Fellow, 2018, National University of Singapore, India, Arvind Kumar , Yogendra Singh ,   Temasek Foundation International Water Leadership Fellow, 2018, National University of Singapore, India
Published: December 2024

The project aims to promote a more integrated approach for
maximizing materials use efficiency across the plastics waste
to encourage a sustainable, and a safe environment. In this
project the inclusivity of small aggregators and waste pickers
(Safaii Mitras) will be institutionalized and within the respective
governance mechanism made to affect improved social conditions.
Project’s target at the end of period is have a systemic approach
and investments into better management of dry waste in a more
circular economy approach in the City of Samastipur, Bihar, India.
Participação política na Universidade
Authors: Lemos Martins Caroline , Schio Sônia Maria , Rutz Porto Adrize , Ramos Oliveira Iria , Barboza Jacondino Michelle , Buss Thofehrn Maira
Published: December 2024

Trata-se de uma pesquisa qualitativa, de inspiração fenomenológica, fundamentada nas ideias de Hannah Arendt e por objetivo compreender a ação dos enfermeiros-docentes enquanto agentes políticos na Universidade e nos espaços de participação política. A “teia de relações humanas” estabelecida pelos enfermeiros-docentes na Universidade e em outros espaços ocorre quando eles demonstram a sua singularidade, natalidade, liberdade, igualdade e cidadania. Contudo, os participantes relataram dificuldades em distinguir-se e singularizar-se por meio da ação e do discurso nos espaços públicos da Universidade e externos. A ausência dos docentes nas discussões nas reuniões, afetam as tarefas relacionadas à docência, ensino e saúde. Considera-se a participação dos enfermeiros-docentes nos espaços públicos, imprescindível para a formação de enfermeiros críticos e reflexivos a respeito da realidade, desta maneira, sugere-se o desenvolvimento de pesquisas que tenham como foco a ação do enfermeiro-docente, de maneira a proporem estratégias que permitam a esses atuarem mais intensamente como agentes políticos.
A formação de gestores públicos no sistema universidade aberta do Brasil
Authors: Razuck Fernando Barcellos , Alberto Rocha de Lira Luiz , Michelon Tatiane , Cezar Modernel Lenuzza Carlos
Published: December 2024

O Programa Nacional de Administração Pública (PNAP), criado em 2009, foi uma iniciativa da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), no âmbito do Sistema Universidade Aberta do Brasil (SisUAB), em parceria com diversas Instituições de Pesquisa e Ensino (IPES), com o objetivo de fortalecer a gestão pública no país. Este artigo discute a relevância da gestão compartilhada entre a CAPES, a UAB e as IPES, na implementação e execução do PNAP. O artigo vai apresentar, utilizando informações da própria CAPES (SisUAB), a execução do PNAP na primeira década (2009-2020) da sua criação. Neste período, um total de 66 IPES ofereceram 109.746 matrículas, distribuídas em Administração Pública (bacharelado, 36.148 vagas), Especialização em Gestão Pública (26.855 vagas), Gestão Pública Municipal (21.958 vagas) e Gestão Pública em Saúde (24.785 vagas). De acordo com os dados que apresentados neste estudo, pode-se evidenciar resultados expressivos sobre a contribuição do PNAP na formação de material humano para a área de gestão pública no país.
Comunicação entre profissionais de saúde e a população indígena Kaingang
Authors: Martinelli Piccinini Aline , Watte Alessandra Paula , Barichello Ângela , Fortes Clarisse , Lutinski Junir Antônio , Ferraz Lucimare , Busato Maria Assunta , Da Silva Corralo Vanessa , Roman Junior Walter Antônio
Published: December 2024

Para o atendimento da população indígena em ambientes hospitalares, é fundamental o fornecimento de informações de maneira clara respeitando os aspectos culturais destes povos tradicionais. Nesse contexto, objetivou-se construir um instrumento facilitador para comunicação dos profissionais de saúde com a população indígena Kaingang, a partir da construção de uma cartilha focada no acolhimento, com expressões na língua portuguesa e na língua Macro-Jê da etnia Kaingang. O instrumento foi desenvolvido para ser utilizado em um hospital comunitário, localizado no noroeste do estado do Rio Grande do Sul. Esta ação foi desenvolvida nas disciplinas de Saúde, Território e Ambiente e Vulnerabilidades e Riscos em Saúde do Programa de Pós-Graduação Stricto Sensu em Ciências da Saúde da Universidade Comunitária da Região de Chapecó (Unochapecó). O período de criação e desenvolvimento da tecnologia foi de setembro a novembro de 2021. Foram realizadas reuniões e visitas à instituição hospitalar para conhecer a realidade local e identificar as expressões mais usadas entre os profissionais e a população atendida. A cartilha foi composta por expressões de acolhimento, divididas e adequadas a cada setor da instituição hospitalar, além de partes do corpo humano para auxiliar na identificação de dores e queixas da população indígena. A cartilha foi implantada na instituição, e os resultados prévios demonstram a importância dessa ferramenta de auxílio e aproximação com as diversidades dos grupos populacionais à assistência de qualidade, de forma ampliada e garantindo os princípios do Sistema Único de Saúde.
Palavras-chave: Acesso aos serviços de saúde; Comunicação em saúde; Saúde de populações indígenas.
Escores de qualidade de vida em estudantes e servidores universitários ativos e sedentários
Authors: da Silva Giovanna Eduarda , Morais Marta Carolina , Teixeira Tatiane Gomes , De Pinho Silvia Teixeira , Delani Daniel
Published: December 2024

A presente pesquisa investigou-se a qualidade de vida (QV) de estudantes e servidores universitários, após o retorno presencial e sua relação com o nível de atividade física (NAF). Trata-se de uma pesquisa observacional, com recorte longitudinal. Participaram 93 sujeitos, sendo 60 estudantes e 33 servidores. Utilizou-se o SF-36 para obter escores de QV e um questionário com perguntas sobre o Nível de Atividade Física (NAF). Como resultados verificamos que: o grupo que reúne todos os participantes teve médias maiores no NAF e nos domínios QV, com diferença para limitações por aspectos físicos, mostrando que a condição física encontra-se positivamente relacionada à condição mental e ao bem-estar. Na análise intragrupo daqueles que não alteraram seu NAF, os domínios da QV não mudaram, expondo que o NAF pode não ter um impacto significativo nos domínios da QV para esse grupo específico. Porém, na comparação entre ativos e inativos, quase todos os domínios desse grupo foram diferentes. Já o grupo que mudou de inativo para ativo aumentou os escores de capacidade funcional, limitações físicas e estado geral de saúde, indicando que a mudança de um estilo de vida inativo para um estilo de vida ativo teve impacto positivo na QV do grupo. Por fim, comparando os deltas, o aumento do NAF teve diferença nos domínios: capacidade funcional e estado geral de saúde. Tais evidências sugerem que a adoção de um estilo de vida ativa tem um impacto positivo na percepção desses domínios da QV.
Entendimento das principais recomendações nutricionais para doença renal crônica na terapia renal substitutiva por pacientes em tratamento de hemodiálise
Authors: Pereira Barbosa Ilsilane , Casiraghi Bruna , De Souza Elton Bicalho
Published: December 2024

A hemodiálise resulta em mudanças abruptas no estilo de vida que pode comprometer o estado nutricional do paciente. O objetivo do presente estudo foi avaliar o entendimento acerca das principais recomendações nutricionais referentes ao tratamento de pacientes em hemodiálise. Trata-se de um estudo transversal realizado com pacientes submetidos a hemodiálise por meio de aplicação de questionário. Participaram da pesquisa 68 pacientes com média de idade de 59,9 anos. Ficou evidente a associação entre baixa escolaridade e saber julgar se os nutrientes e/ou alimentos fazem bem ou mal. Foram verificadas associações entre escolaridade e incompreensão dos benefícios ou malefícios das fibras (y = -2,2788; p = 0,003), sódio (y = -2,4124; p = 0,011). A maioria (n = 46) afirmou que sabe como reduzir o teor de potássio dos alimentos, porém, desconhece a forma correta da técnica para esse processo. Conclui-se que abaixa escolaridade é um agravante para o desconhecimento acerca dos benefícios ou malefícios dos nutrientes e/ou alimentos na relação, tanto em relação ao consumo quanto ao preparo.
A formação Bioética dos especialistas em Nefrologia
Authors: Da Silva Campos Tatiane , Gomes Andréia Patrícia
Published: December 2024

A reflexão sobre a formação de especialistas em nefrologia é imprescindível. Nesse sentido, falar sobre a formação com foco na Bioética é primordial, uma vez que as práticas profissionais sofreram constantes mudanças e precisam estar atreladas às necessidades atuais, que pautam a humanização e o trabalho multiprofissional. É necessário rever paradigmas e inserir a Bioética como tema transversal ao longo dos currículos de graduação e pós-graduação. Esta visa estimular o processo de formação através da construção de competências dialógicas, de reflexão e críticas construindo-se um novo profissional com base na aprendizagem significativa, com amparo na empatia e compromisso social. Além disso, este profissional deverá ser capaz de considerar a autonomia plena dos pacientes, que orientados são seres capazes de pactuar um plano de cuidado adequado às suas vidas. Para que as mudanças na atuação se deem na prática, é essencial mudar a formação, tendo como objetivo central a busca da competência médica, considerando sempre a indissociação entre a técnica e a ética.
To research or not to research: that is the question
Authors: Millan-Valenzuela Henio
Published: December 2024

The aim is to provide a clear vision of the first phase of scientific research, particularly that devoted to the social sciences. The method consists in identifying its triggers and explaining their function. The results show that there is a group of indispensable triggers consisting of the research problem, the research question and the research hypothesis. Without these, research cannot begin. Another group is important but has a subordinate function. It consists of the review of the state of the art and the selection or elaboration of a theoretical framework that provides the transmission mechanism between the causal factor and the phenomenon caused.