bluuebunny/crossref_metadata_2025 huggingface dataset:
PEMILIHAN JURUSAN DENGAN METODE K-NEAREST NEIGHBOR UNTUK CALON SISWA BARU
Authors: Saepudin Sudin , Muslih Muhamad , Sihabudin
Published: February 2024

Kebutuhan akan analisis mengenai prediksi di SMK YASPIM, menjadi alasan dilakukannya penelitian terhadap prediksi pemilihan jurusan siswa, Menentukan prediksi pemilihan jurusan dalam jumlah besar tidak mungkin dilakukan secara manual karena membutuhkan waktu yang cukup lama. Untuk itu dibutuhkan sebuah algoritma yang dapat memecahkan  prediksi secara otomatis menggunakan komputer.  Dalam memprediksi digunakan sistem pendukung keputusan berupa aplikasi weka dan dalam menganalisis menggunakan Metode K-Nearest Neighbor karena memiliki prinsip kerja mencari jarak terpendek antara data yang akan dievaluasi dengan K terdekat dalam data pelatihannya. Berdasarkan pengujian hasil prediksi dengan menggunakan Algoritma K-Nearest Neighbor yang pengujiannya dilakukan secara real dan menggunakan sistem pendukung keputusan menghasilkan data yang baiknya.Hasil uji tersebut menyatakan system cukup layak prediksi pemilihan jurusan  meskipun sistem belum menghasilkan tingkat akurasi yang maksimal. Untukmenghasilkan nilai validasi yang maksimal membutuhkan data yang seimbang antara kasuskeluar dan aktif. Hasil pengujian menggunakan weka sistem pendukung keputusan dandibandingkan secara manual yang menggunakan metode Algoritma K-Nearest Neighbor dengan4 variabel yaitu nilai rata-rata ujian nasional, rata-rata nilai raport, minat dan rata-rata nilai hasil test  adalah mendapatkan kesesuaian data yang diharapkan smk yaspim.
Escala Portuguesa de Flebite: adaptação transcultural, validade e confiabilidade para uso no Brasil
Authors: Braga Luciene Muniz , Mota Dalete Delalibera Correa de Faria , Queiroz Ana Carolina de Castro Mendonça , Ribeiro Fernando Cordeiro , Dutra Herica Silva , Arreguy-Sena Cristina , Parreira Pedro , Santos Silvana de Lima Vieira dos
Published: February 2024

Objetivos: Adaptar a Escala Portuguesa de Flebite para a cultura brasileira e verificar as propriedades psicométricas da versão adaptada. Métodos: Estudo metodológico envolvendo análise da equivalência semântica, cultural e idiomática para adaptação transcultural, cognitive debriefing, verificação da consistência interna e validade de construto. Equivalência foi analisada utilizando percentual de acordos. Validade de construto foi testada utilizando análise fatorial exploratória. A confiabilidade foi avaliada pela consistência interna (α de Cronbach e Ω de McDonald). Resultados: No processo de adaptação transcultural, envolvendo dez especialistas, dois itens não alcançaram concordância ≥ 80% e sofreram ajustes conforme as sugestões recebidas. Doze participantes do cognitive debriefing aprovaram a versão adaptada. Participaram da análise de confiabilidade e de validação do construto 244 adultos em uso de cateter venoso periférico. Análise fatorial exploratória identificou um único fator incluindo todos os itens testados (dor, eritema, edema, rubor no trajeto da veia e cordão venoso palpável) e carga fatorial > 0,743. Consistência interna do conjunto de itens foi alta (α de Cronbach = 0,771 e Ω de McDonald = 0,853). Conclusão: A Escala Portuguesa de Flebite – Versão adaptada para o Brasil mostrou-se válida e confiável. Alcançou propriedades que permitem sua utilização na prática clínica, no ensino e pesquisas no país.
Outcomes from monitoring the fourth year of a five-year voluntary transition from hunting with lead to non-lead shotgun ammunition in Britain
Authors: Green Rhys E. , Taggart Mark A. , Pain Deborah J. , Clark Nigel A. , Clewley Louise , Cromie Ruth , Dodd Stephen G. , Huntley Brian , Huntley Jacqui , Leslie Roderick , Porter Richard , Price Mike , Robinson James A. , Robinson Robert A. , Sinclair Michael , Smith Ken W. , Smith Linda , Spencer Jonathan , Stroud David
Published: February 2024

The 2023/2024 shooting season was the fourth since UK shooting and rural organisations announced their intention that hunters should make a full voluntary transition from the use of lead to non-lead shotgun ammunition by 2025. The SHOT-SWITCH research project has monitored the proportions of wild-shot common pheasants Phasianus colchicus available to consumers in Great Britain that were killed using lead and non-lead shot in each of the shooting seasons since the beginning of the transition. In the study’s fourth season, 2023/2024, 93% of pheasants obtained during the usual sampling period had been killed using lead ammunition. Whilst this indicates a marginal decline in the proportion of pheasants shot using lead since the beginning of the transition, when it was over 99%, much remains to be done if the intended full voluntary transition to non-lead shotgun ammunition is to be achieved in its final season (2024/2025). Some food retailers intend to cease selling game meat products from animals killed using lead ammunition. Our study indicates that whilst all of a small sample of pheasant carcasses obtained from one of these retailers (Marks & Spencer) were from birds killed using non-lead shot, a larger sample obtained from another of the retailers (Waitrose) had mostly been killed using lead shot.
The impact of socio-economic indicators on ecotourism and the involvement of the local community
Authors: Сейдуалин Д.А. , Ағыбетова Р.Е. , Муканов А.Х. , Жуматаева Б.А. , Seidualin D. , Agybetova R. , Mukanov А. , Zhumatayeva B.
Published: February 2024

Зерттеу "Ұлытау" мемлекеттік ұлттық табиғи паркінде экологиялық туризмнің дамуына әсер ететін әлеуметтік-экономикалық факторларды талдауға арналған. Зерттеу барысында Ұлытау ауданына қатысты ғылыми әдебиеттерге шолу жасалып және әлеуметтік-экономикалық көрсеткіштеріне талдау жүргізілді, бұл осы аумақта экотуризмді қалыптастыратын және дамытуға ықпал ететін негізгі аспектілерді анықтауға мүмкіндік берді. Зерттеу нәтижелері қарастырылып отырған мемлекеттік ұлттық табиғи паркте экотуризмнің қалыптасуы мен дамуындағы әлеуметтік-экономикалық факторлардың маңыздылығын растайды. Мақалада табыс деңгейі, білім беру жағдайы, халықтың денсаулығын сақтаудың қолжетімділігі және экотуризмді дамыту арасындағы өзара байланыстар қамтылған. Бұл осы аспектілердің экотуризм индустриясының тұрақтылығы мен табыстылығына әсерін тереңірек түсінуге мүмкіндік береді. Зерттеу сонымен қатар экотуризмнің тұрақты дамуын қамтамасыз етуде жергілікті халықтың маңызды рөлін көрсетеді. Жергілікті тұрғындардың экотуризм индустриясына әсері талданады және жергілікті қоғамдастық осы даму процесін жақсарту үшін қамтамасыз ете алатын ресурстар көрсетіледі. Нәтижелер экотуризмнің болашақта дамуын болжай алатын және оның аймаққа қосқан экономикалық үлесін бағалай алатын математикалық модель құруға перспективалар ашады. Ұлытау өңірінде экологиялық туризмді тұрақты дамытуға жергілікті тұрғындардың белсенді қатысуының маңыздылығына назар аударылды.

The study is devoted to the analysis of socio-economic factors influencing the development of eco-tourism in the Ulytau Nature Park. In the course of the study, a review of scientific literature and an analysis of socio-economic indicators of the Ulytau district were conducted, which made it possible to identify key aspects that form and contribute to the development of ecotourism in this territory. The results of the study confirm the importance of socio-economic factors in the formation and development of ecotourism in the considered natural park. The paper highlights the relationship between income, education, access to health care and the development of ecotourism. This allows for a deeper understanding of the impact of these aspects on the sustainability and success of the ecotourism industry. The study also highlights the important role of the local population in ensuring the sustainable development of ecotourism. The impact of local residents on the ecotourism industry is analyzed and resources are allocated that the local community can provide to improve this development process. The obtained results open up prospects for creating a mathematical model that could predict the future development of ecotourism and assess its economic contribution to the region. Attention is drawn to the importance of the active participation of local residents in the sustainable development of ecological tourism in the Ulytau region.
The impact of macroprudential cross-border capital flow management on the linkage of domestic and foreign bond markets
Authors: Zhao Pengwei , Wang Xiao ,   International Institute of Finance, School of Management, University of Science and Technology of China, Hefei 230031, China
Published: February 2024

Cross-border financing activities in China have increased significantly in recent years, and the inflow of capital may lead to accumulated financial risks. To mitigate financial risks and promote the opening of financial markets, macroprudential management policies for cross-border financing have been implemented since 2016. This paper examines the effectiveness of macroprudential management policies in opening financial markets and managing foreign financial risks. We employ a time-varying parameter vector autoregressive (TVP-VAR) model to quantitatively analyze changes in the spillover effects between Chinese bond market and foreign bond markets under different implementation stages of cross-border financing macroprudential policies. Our analysis reveals that the implementation of macroprudential management of cross-border financing has increased the total spillover effect between different bond markets, as well as the spillover effect from other bond indices to the Chinese RMB Bond Index and the spillover effect from other indices to the Chinese USD index. Moreover, our findings indicate that macroprudential management has reduced the total volatility spillover effect and the volatility spillover effect from other indices to the Chinese RMB Bond Index. These results highlight the importance of preventing external risk transmission when China’s financial market is opening to the world.
ПРИМЕНЕНИЕ ТЕХНОЛОГИЙ БЛОКЧЕЙН ДЛЯ УЧЕТА И РЕГИСТРАЦИИ ЗЕМЕЛЬНЫХ УЧАСТКОВ
Authors: Meshcheryakov Sergey Valeryevich , Shurshev Valeriy Fedorovich
Published: February 2024

Представлено исследование потенциала применения технологий блокчейн в сфере учета и регистрации земельных участков. Показано, что блокчейн предлагает надежный и прозрачный способ записи и хранения информации, который может значительно повысить эффективность процессов анализа, сбора статистики, учета и регистрации земельных участков. Описываются основные принципы работы блокчейн технологий, его достоинства и недостатки, а также приводятся примеры успешного внедрения технологии блокчейн в кадастровые системы различных стран. Дополнительно, обсуждаются вопросы безопасности и конфиденциальности данных при использовании блокчейн в сфере учета земель. Данная работа имеет практическую значимость для специалистов в области земельного кадастра и может служить основой для дальнейших исследований в данной области.
ОЦЕНКА ЭКСПЛУАТАЦИОННОЙ НАДЕЖНОСТИ ЗДАНИЯ МЕХАНИЗМОВ И УПРАВЛЕНИЯ В ХОДЕ РЕКОНСТРУКЦИИ ГИДРОТЕХНИЧЕСКИХ СООРУЖЕНИЙ
Authors: Rekunov Sergey Sergeyevich , Churakov Aleksey Aleksandrovich , Fedosyuk Igor Viktorovich
Published: February 2024

Рассмотрены вопросы оценки эксплуатационной надежности объектов гидротехнических сооружений. В качестве объекта исследования принято здание механизмов и управления, находящееся в эксплуатации более семидесяти лет. Поставлена задача проведения комплексного обследования здания механизмов и управления ГТС с построением численной модели в виде пространственной оболочечно-стержневой конечно-элементной системы. Приведено описание результатов обследования технического состояния конструкций здания. Показаны результаты исследования напряженно-деформированного состояния конструкций здания с учетом исходных данных, полученных после выполнения комплексного обследования.
СВАЙНЫЕ ФУНДАМЕНТЫ С НЕСКОЛЬКИМИ УШИРЕНИЯМИ
ДЛЯ СЛАБЫХ И СТРУКТУРНО НЕУСТОЙЧИВЫХ ОСНОВАНИЙ. ЧАСТЬ 1
Authors: Kupchikova Natalya Viktorovna
Published: February 2024

В результате анализа практического и конструктивного опыта выявлен принцип работы сваи с несколькими уширениями

в грунтовом массиве. Выполнены экспериментальные и аналитические исследования сваи с совместными концевыми и поверхностным уширениями, которые позволили представить физическую модель взаимодействия тела сваи с уширениями и с грунтовым пространством при различных схемах нагружения. Представлено несколько начальных этапов методологии расчета рассматриваемых конструкций свай: сбор и анализ исходных данных; определение схем приложения нагрузок и наиболее опасного их сочетания; выбор местоположения уширений и их количества в зависимости от физическо-механических свойств основания.
ТЕХНИКО-ЭКОНОМИЧЕСКИЕ ОСНОВАНИЯ УПРАВЛЕНИЯ ИНВЕСТИЦИОННЫМИ ПРОГРАММАМИ РЕИНЖИНИРИНГА ТЕРРИТОРИЙ И ЗАСТРОЙКИ
Authors: Zhuravlev Pavel Anatolyevich , Sborshchikov Sergey Borisovich
Published: February 2024

Формирование комфортной и безопасной среды жизнедеятельности предполагает помимо создания и воплощения в материально-вещественной форме новых градостроительных решений, трансформацию уже существующей застройки под требования потребителей и изменившихся норм градостроительного и технического регулирования. Подобные качественные трансформации принято обозначать термином реинжиниринг. В свою очередь реинжиниринг в формате инвестиционных программ включает в себя набор определенных мероприятий и охватывает связанную градостроительным решением совокупность объектов капитального строительства. Для эффективного управления инвестиционными программами и проектами реинжиниринга территорий и застройки необходимо формирование технико-экономических оснований для такого рода деятельности, которыми по мнению авторов, являются мониторинг, установление накопленного износа, его стоимостная идентификация (в том числе на базе нормативов цены) и организационно-экономический механизм управления инвестициями в реинжиниринг территорий и застройки.
РАЗВИТИЕ АРХИТЕКТУРНОЙ СРЕДЫ НАБЕРЕЖНОЙ КАК ОСНОВА ДЛЯ РАЗВИТИЯ ТУРИСТИЧЕСКОГО ПОТЕНЦИАЛА ГОРОДА ФЕОДОСИИ
Authors: Odintsova Valeryia Sergeyevna , Putintseva Anastasiya Aleksandrovna
Published: February 2024

Изучена история развития города Феодосии, климат, ландшафт и выделены основные преимущества территории. Рассмотрена идея развития архитектурной среды набережной города Феодосии для улучшения городской среды и популяризации курортного туризма в регионе. Образование единой линии набережной является частью мастер-плана города и округа. Проект должен обладать общим и современным архитектурным решением. В ходе исследования было выявлено множество проблем территории прибрежной зоны города. Актуальность темы заключается в том, что на 2022–2030 годы реализуется множество государственных и муниципальных программ по развитию отечественного туризма. Был проведен социологический опрос о необходимости благоустройства набережной. Опрос выявил потребность в развитии территории и указал на существующие проблемы.
Mercado forestal Diciembre 2023
Authors:   Instituto Forestal (Chile), Kahler Carlos , Gysling Janina , Alvarez Verónica , Pardo Evaristo
Published: February 2024

Mercado forestal es una publicación trimestral que incluye en sus primeras páginas los elementos e indicadores que marcan la coyuntura económica nacional e internacional. Luego contiene un artículo sobre las exportaciones del período, documentos de análisis, noticias y un conjunto de series de precios de productos forestales tanto en el mercado externo como en el interno. Mercado forestal se publica en marzo, junio, septiembre y diciembre de cada año. La edición del mes de diciembre contiene las cifras de exportaciones hasta el mes de octubre del año 2023.
Milton, Lucretius, and the “Womb of Nature”
Authors: Turner James Grantham
Published: February 2024

Milton’s relation to Lucretius has been ignored, interpreted as hostile, or reduced to a few spectacular moments in the epic descriptions of Chaos and Creation. This article shows, contrarily, that Milton’s engagement with this Roman poet-materialist was intimate, systematic, and lifelong. To this end, it brings together the well-known Lucretian moments in Paradise Lost, a host of hitherto-unrecognized echoes in that epic, De Doctrina Christiana, the divorce tracts, Milton’s Latin poems, and some of his little-studied marginalia. Starting with Naturam non pati senium, it establishes Milton’s habit of extensive citation and strategic redeployment of Lucretius even when arguing against him. Milton rightly embraced Lucretius, not as a frigid atomist but as a pansexual vitalist. The ancient poet’s primordial particles are living seeds, wombs, and genitalia rather than mechanically colliding atoms, and Milton’s citations cluster around this theme. Subsequent sections explore the two authors’ shared imagery of procreation, nutrition, growth, elimination, emotion, cognition, and—in conclusion—poetic creativity.
Schooling Milton: Materialism and Social Ontology in Milton’s Educational Prose
Authors: Gore Jeffrey
Published: February 2024

Scholars have explained Milton’s curriculum within the history of ideas but have given much less attention to the relationship between Milton’s experience as an educator and the development of his imagination, theology, and political commitments. This article argues that Milton’s monistic understanding of body and spirit, which played a prominent role two decades later in Paradise Lost and Christian Doctrine, emerged when he was a London schoolmaster in the 1640s. Drawing from writings on the social ontology of habit, the article demonstrates that the materialist orientation of these later masterpieces plays a prominent role in Milton’s earlier writings on social institutions, Of Education, The Reason of Church-Government, and Areopagitica. The social ontology of habit, as it appears in the works of both ancient and modern philosophers, challenges how we understand Milton’s conception of liberty and reveals his early monistic vision of collective life in the postmonarchical English republic.
London’s First Public Library: Books and Readers at Sion College, ca. 1630–60
Authors: Vozar Thomas Matthew
Published: February 2024

In 1632, John Milton went to live with his parents outside of London and undertook a rigorous program of reading. Scholars have long wondered which, if any, institutional collections he might have consulted. This question offers the opportunity to bring attention to London’s first public library, where Milton may well have studied, in its earliest decades. Formed for the benefit of the London clergy, Sion College is shown to have welcomed readers of various backgrounds from as far away as Germany and New England. Already by this date its collection was global in scope, including writings ranging from a vocabulary of Algonquian to the Persian poetry of Saadi of Shiraz. That the college became embroiled in political controversy amidst the turmoil of the English Revolution testifies to its importance as an intellectual hub in the heart of London.
Reconsidering the Curse of Ham in Milton’s Paradise Lost: Canaan, “Vitious Race,” and Renaissance Biblical Commentary
Authors: Held Joshua R.
Published: February 2024

John Milton writes in Paradise Lost of a “vitious Race,” which many scholars have taken to signal his endorsement of the slavery of Black Africans. Yet these scholars often mistakenly associate Milton’s language with certain contemporary views that were indeed racist. For Milton, the “curse” on the “vitious Race” does not refer to a European subjugation of Black Africans in the slave trade but is at once more general and more specific. He subsequently in the epic applies this curse specifically to Israel’s conquest of the Canaanite people while also suggesting the impact of the curse on many “Nations,” including his own England.
Comparative analysis of adolescent pregnancy causes in Tanzania: A comprehensive review of literature
Authors: Machange Sia Willy , Temba Elizabeth Ludovick
Published: February 2024

Teenage pregnancy remains a global challenge with profound implications, necessitating a thorough exploration of its causes and contributing factors. This study provides a comprehensive review of research studies conducted in Tanzania from 2019 to 2023, contributing to the ongoing discourse on the complex interplay of socio-cultural, economic, and educational factors shaping the experiences of Tanzanian adolescents. Twelve studies, comprising seven journals and five master theses, were purposefully selected to identify commonalities and disparities in their findings. The study systematically examines the identified studies, shedding light on the prevailing factors associated with teenage pregnancies in Tanzania. Several themes emerged from the reviewed literature, with all studies unequivocally pinpointing poor knowledge on sexual and reproductive health as a common factor contributing to teenage pregnancies. Moreover, a substantial majority, 75%, highlighted the significance of low economic status in this context, emphasizing the intersectionality of socio-economic factors. Furthermore, this comparative analysis delves into the nuanced findings of the selected studies, revealing that 50% of the reviewed research identified peer influence as a significant contributor to teenage pregnancies. These findings not only underscore the multifaceted nature of the issue but also highlight the need for targeted interventions addressing both individual knowledge gaps and broader socio-economic challenges.
Teodicea kantiana. Un processo a Dio e il trionfo della sincerità
Authors: Halandut Gabriel
Published: February 2024

The question of the status of God and the role he occupies in the general organization of the world or in the life of man is an ancient one. From Antiquity, when Plato tries to defend the gods from the various accusations brought against them, until Leibniz’s famous Theodicy, philosophers have used their reason in a trial defending God. Apparently, the possibility of such a kind of discourse comes to be suspended by Kant’s critique of the tribunal of reason. However, the very process in which the classic arguments of God’s existence are analyzed, instead of becoming the end point of a road, becomes another kind of theodicy. The intention of this article is to highlight how the category of sincerity (Aufrichtigkeit) brings with it a new hermeneutical key to Kantian writings.
Marriage as a divine and human reality in the vision of the Second Vatican Council
Authors: Iacob Iosif
Published: February 2024

The institution of marriage and the family it is one of the social and ecclesial realities, difficult to stick in its full meaning. It, as a natural reality, involves the whole life of man, of each man, both as a right and as a possibility. In his great redemptive plan, God, through Jesus Christ, in the New Law established by the sacrifice of love to the ultimate sacrifice, assigns a saving dimension to natural marriage. This new dimension makes marriage a supernatural and profoundly human reality, anchored in social realities in a continuous becoming. The current situation that the Church is experiencing in the pastoral field through the different choices that believers make regarding the sacrament of marriage invites us to deepen and analyze all the aspects that affect the choice of the type of marital union. All these motivations makes us to take in consideration the different spheres of human existence as well with visions of living life to see the way marriage as a natural and sacramental reality, involving every human being, presents itself to contemporary society in all its complexity, or in what way society’s problems come to be reflected and also involves the institution of marriage.
Sapienza e potenza di Dio in Gregorio di Nissa. Prospettive teologiche e implicazioni spirituali per la vita cristiana
Authors: Ciuches Teofil
Published: February 2024

The Christological titles «Wisdom» and «Power of God» occupy a relevant significance in the theological thought of Gregory of Nyssa. The breadth of his reflections upon these matters ranges from: consideration upon the eternal character of the Divine Properties regarding the unity and equality of the Divine Persons in the Trinity, unto the Christological significance (and implications) of the Divine Attributes in the creative act of Creation. Furthermore, this research will indicate the approach that Gregory proposes in teaching these two aspects for the Christian life. The thread running through this study will allows us to observe that, for the Nyssien-minded, the faithful interpretation of Sacred Scripture is always closely connected with both theological reflection and with the spiritual life.
The meaning of the canonical form of the celebration of marriage since the Second Vatican Council and CIC 1983
Authors: Iacob Iosif
Published: February 2024

The matrimonial agreement is the form through which the institution of marriage and family is born. Both, the Church and the state are called to contribute to the elaboration of those specific conditions by which the notion of the marriage covenant is consolidated and clarified. The form of the marriage celebration is one of the aspects that generated and generates deep analyses and positions in front of what is and represents the way of manifesting the agreement, as well as its role. The crisis of the institution of marriage, the diversity of forms of conjugal union as well as the effects that derive from them, create the specific environment for an analysis and debate that questions the role and function of the canonical form in achieving that conjugal union that is based on the free act, the consent of the bride and groom as the will of the spouses to live together with the requirement to be transformed into a formal act, a legal expression by which the accord of the spouses fulfils all the normative aspects with a view to legal validity and implicitly with a view to the birth of the marriage. In this sense, the pre-conciliar, conciliar and post-conciliar debates reach a unitary expression in the vision of the 1983 Code of Canon Law.
The Evaluation of Iodine Levels in Urine and Nutrition in Pregnant Women According to Trimesters
Authors: AKIN Rabiye , MARAKOĞLU Kamile
Published: February 2024

Objective: Iodine deficiency is a major health problem globally that seriously affects pregnant women and children. The aim of this study was to evaluate urinary iodine levels in pregnant women living in the province of Konya according to trimester.

Methods: A total of 395 pregnant women aged between 15-49, with gestational periods of 1 to 40 weeks were included in the study. A questionnaire prepared by the researchers, with a total of 54 questions, was used to determine the socio-demographic, obstetric, and iodized salt nutritional characteristics of the participants.

Results: The overall median urinary iodine levels were 91.90 µg/L. The mean urinary iodine levels of the pregnant women in the first, second, and third trimesters were 104.00 µg/L in the first trimester, 93.00 µg/L in the second trimester, and 71.00 µg/L in the third trimester. The urinary iodine level was lower in the third trimester and this difference was significant (p
Boyun Lenf Nodlarının Benign-Malign Ayrımında Sonoelastografinin Değeri
Authors: KORKMAZ Serdar , SOYER GÜLDOĞAN Esra , AKDAĞ Tuba , KURT Aydın
Published: February 2024

Amaç: Sonoelastografi (USE), servikal lenf nodlarının sert¬lik derecesini saptayan ve lenf nodunun malignite olasılığı hakkında fikir veren invaziv olmayan bir US tekniğidir. Bu çalışmada USE’nin servikal lenf nodlarının benign-malign ayrımındaki etkinliğini İİAB sonuçları ile karşılaştırılarak araştırdık.

Yöntem: Çalışma Ağustos 2013 – Kasım 2013 tarihleri arasında hastanemiz radyoloji ünitesinde prospektif olarak yapıldı. İİAB uygulanacak lenf nodu işlem öncesinde, B-mod US, renkli doppler US (RDUS) ve USE ile değerlendirildi. Sonrasında elastografik görüntüler sert alan yüzdesine göre 1-5 arasında numaralandırılarak renk skoruna göre değerlendirildi

Bulgular: İİAB sonrası 45 hastadan 27' sinin (%60) biyopsi sonucu reaktif, 18' inin (%40) ise metastatik lenf nodu olarak raporlandı. Çalışmamızda 1.55 gerinim indeksi kesim değerinin benign ve malign lenf nodları arasında en iyi ayrımın yapılmasını sağladığı görüldü. Ayrıca aks/kısa aks oranının ikiden az oluşu, ekojen hilusun görülmemesi ve mikst-periferal kanlanmanın gözlenmesi malign lenf nodlarında istatistiksel olarak anlamlı oranda fazla bulunmuştur.

Sonuç: Sonoelastografi, servikal lenf nodlarının sert¬lik derecesini saptayan ve lenf nodunun malignite olasılığı hakkında fikir veren invaziv olmayan bir US tekniğidir. 1.55 üzerindeki gerinim indeks değerinde USE’nin duyarlılığı %94,4; seçiciliği %91,7 ve pozitif öngörü değeri %92,9 olarak bulundu.
ÜNİVERSİTE ÖĞRENCİLERİNİN HUMAN PAPİLLOMA VİRÜS İLE İLGİLİ BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ
Authors: DAYLAN KOÇKAYA Pınar , ÇAKIR Esat Efe , TERZİ Serap Cansu , ÖZTÜRK Berkan , SOYLU Muhammed Furkan , BARIŞ Muhammed Ali , ÇOBANOĞLU Sibel , RAHMANİ Abdul Waris , TOPALOĞLU Edibe Selen
Published: February 2024

Amaç: İnsan papilloma virüsü (HPV), üreme sisteminin en yaygın viral enfeksiyonudur. Cinsel olarak aktif kadın ve erkeklerin büyük bir kısmı ömürlerinin bir noktasında bu virüsle enfekte olmaktadır. Bu çalışmada Kocaeli Üniversitesi’nde okuyan öğrencilerin HPV enfeksiyonları, aşı bilgisi ve taramaları üzerine bilgi düzeylerinin ölçülmesi amaçlanmıştır.

Yöntem: Araştırma anketi çevrimiçi ortamda 26.12.2022 ile 6.01.2023 tarihleri arasında Google Formlar üzerinde erişime açılmıştır. Anketinin birinci bölümü araştırmaya katılan öğrencilerin demografik özelliklerini belirlemeye yönelik sorulardan oluşmaktadır. Anketin ikinci bölümünde 2013 yılında Waller ve arkadaşları tarafından geliştirilmiş ve 2019 yılında Demir tarafından yapılan çalışmada Türkçe geçerlik ve güvenilirliği kanıtlanmış olan Human Papilloma Virüsü Bilgi Ölçeği (HPV-BÖ) kullanılmıştır. Veriler IBM SPSS V23 paket program ile analiz edilmiştir.

Bulgular: Araştırmaya toplam 372 öğrenci katılmıştır. Tanımlayıcı istatistik sonuçlarına göre katılımcıların %58’i kadın ve %59'u sağlık alanında (tıp, diş, ilk ve acil yardım, fizyoterapi, hemşirelik vb.) ve %41'i sağlık dışındaki bölümlerde okumaktadır. Katılımcıların %90’ı daha önce HPV hastalığını duyduğunu belirtirken tıp öğrencilerinin %94’ü HPV’yi duyduğunu belirtmiştir. HPV-BÖ daha önce HPV’yi duyduğunu belirten 336 öğrenciye uygulanmıştır. Katılımcıların HPV-BÖ genel puan ortalamaları 14,02 ±7,19 olarak bulunmuştur. Mann-Whitney U testi sonucuna göre sağlık alanındaki bölümlerde okuyan öğrencilerin HPV bilgi düzeyi sağlık dışı bölümlerde okuyan öğrencilere göre anlamlı derecede yüksektir (p0,05).

Sonuç: Çalışma sonuçlarına göre aralarında tıp ve sağlık alanındaki diğer bölümlerin bulunduğu katılımcı popülasyonu düşünüldüğünde sonuçların düşük seviyede olduğu görülmektedir. Bu sonuçlardan yola çıkarak genç nüfusun HPV konusunda bilinçlendirilmesi ve toplum çapında farkındalık çalışmalarının yapılması için nitelikli çalışmalara ihtiyaç bulunduğu söylenebilir.
Üveit İle Başvuran Hastaların Demografik ve Klinik Verileri: Tek Merkez Deneyimi
Authors: BAYRAK Yunus Emre , ŞAHİN Nihal , ÖNDER TOKUÇ Ecem , SÖNMEZ Hafize Emine , KARABAS Levent
Published: February 2024

Çocuk romatoloji polikliniğine başvuran üveit tanılı hastaların etyolojik faktörlerinin dağılımının değerlendirilmesini amaçladık.

Yöntem: Ağustos 2020-Mart 2023 arasında üveit tanısı alan olguların klinik özellikleri, laboratuvar ve immünolojik test verileri, enfeksiyon belirteçleri ve tedavi yanıtları geriye dönük olarak incelendi.

Bulgular: Çalışmaya 60 hasta dahil edildi. Hastaların 26’sı (%43) kız, 34’ü (%57) ise erkekti. Hastaların ortanca yaşı 160 (23-240), semptom başlama yaşı 136 (16-204), tanı yaşı 136 (18-216) aydı. Gözde kızarıklık (%73) en sık başvuru şikayetiydi. Üveit lokalizasyonu sırasıyla; anterior (ön) (%59), posterior (arka) (%16), pan-üveit (%16) ve pars planitti (%9). Hastaların 12’si (%20) enfeksiyöz üveitti. Enfeksiyöz dışı üveit nedenleri ise sırasıyla; idiyopatik (%81), Behçet hastalığı (%8), juvenil idiopatik artrit (%8) ve tübülointerstisyel nefrit ve üveit sendromuydu (%2). Yirmi bir hastada (%35) ANA değeri pozitif olarak saptandı. HLA-B27 pozitifliği %14 idi. Kırk beş hastaya (%75) tedavi lokal steroid tedavisi uygulandı. Diğer uygulanan tedaviler sırasıyla; sistemik steroid (30,%50 hasta), DMARD (29, %48,3 hasta) ve biyolojik ajandı (16, %26,7 hasta). Uygulanan tedaviler sonrasında 26 (%43,3) hasta tedavisiz remisyonda idi. Dokuz hasta takibi bırakmıştı. Yirmi beş hastanın ilaçla takibine devam etmekteydi. Takipte 2 hastada glokom gelişmişti, 2 hasta katarakt ve 2 hasta da posterior sineşi nedeni ile opere olmuştu.

Sonuç: Kliniğimizde 60 üveit tanılı hasta incelendi. En sık neden idiyopatik iken, enfeksiyöz hastalıklar içinde en sık etken kedi tırmığı idi. Çocuk romatoloji hekimlerinin sık sık karşısına çıkan üveit kalıcı görme kaybına neden olabilen önemli bir hastalıktır. Referans merkez olan kliniğimizdeki tecrübeler bu hastalarla günlük pratiğinde uğraşan çocuk ve çocuk romatoloji hekimlerine bir yol haritası çizebilir.
Sistemik Lupus Eritematozus Hastalığında C-Reaktif Protein ve Pentraksin-3 Düzeyleri Arasındaki İlişkinin Araştırılması
Authors: ASLANTAŞ Şükran , ORUÇOĞLU Nurdan , TÜRKEGÜN ŞENGÜL Merve , BALCI Senay , TAMER Lülüfer
Published: February 2024

Amaç: Sistemik lupus eritematozus, çoklu otoantijenlere karşı poliklonal otoimmüniteyi içeren ve çok çeşitli klinik belirti spektrumuna sahip, öngörülemeyen seyirli otoimmün bir hastalıktır. Otoimmün hastalıklarda, uzun pentraksin ailesininden olan pentraksin-3 seviyelerinin dolaşımda arttığı bulunmuştur. Pentraksin-3, diğer pentraksinlerden farklı olarak periferal dokularda yerleşik ve doğal bağışıklık hücreleri tarafından, enflamatuar sinyallere cevap olarak üretilir. Bu çalışmada, kronik enflamasyon ve immün fonksiyon bozukluğu ile karakterize olan sistemik lupus eritematozus’da, inflamatuar belirteçlerden C-reaktif protein ve pentraksin-3 düzeyleri arasındaki ilişkinin araştırılması amaçlandı.

Yöntem: Çalışmaya, dahil edilme kriterlerine uyan, sistemik lupus eritematozus tanısı almış 56 hasta ve 55 sağlıklı birey dahil edildi. Tam kan sayımı, eritrosit sedimantasyon hızı, alanin transaminaz, kreatinin ve C-reaktif protein otoanalizörde çalışılırken; pentraksin-3 düzeyleri, serum örneklerinden, ELISA yöntemi ile çalışıldı.

Bulgular: Çalışma verileri incelendiğinde, hasta grubunda kontrol grubuna kıyasla hematolojik eritrosit sedimantasyon hızı sonuçları daha yüksek bulundu (p
Acil servise başvuran hastalarda venöz kan gazı parametrelerinin güvenilirliğinin retrospektif olarak değerlendirilmesi
Authors: ÖZÇETE Enver , UZ İlhan , TÜZER Gamze , SAĞMAN Şahin , LOMANOV Nurali
Published: February 2024

Amaç: Çalışmamızda venöz kan gazı analizi parametrelerinin güvenilir olup olmadığını bulmayı amaçladık.

Yöntem: Acil servisimize 01.10.2021- 31.03.2022 tarihleri arasında başvuran 18 yaş üstü, hastalardan istenen kan tetkikleriyle eş zamanlı venöz kan gazı alınan hastalar çalışmaya alındı. Hastalardan alınan kan biyokimyasal tetkiklerinden (potasyum, sodyum, hemoglobin, hematokrit ve kan glukoz düzeyi) ve eş zamanlı alınan venöz kan gazında; Ph, potasyum, sodyum, hemoglobin, hematokrit ve kan glukoz düzeyi hasta alım formuna işlendi. Her parametre için Pearson korelasyon katsayıları hesaplandı; r 0.8 değeri güçlü bir korelasyon olarak kabul edildi. Merkezi biyokimya laboratuvarı oto analizörü ve venöz kan gazı analizi sonuçları arasındaki uyumu değerlendirmek için %95 güven aralığı (CI) uyum sınırları olan bir Bland-Altman testi kullanıldı.

Bulgular: Acil servise başvuran ve venöz kan gazı alınan 933 hastanın sonuçları incelendi ve 582 hasta çalışmaya alındı. Venöz kan gazı ve merkezi laboratuvar sonuçları arasındaki korelasyonlar değerlendirildiğinde glukoz düzeyi için (r=0.91), hemoglobin için (r=0.93), hematokrit için (r=0.89) ve potasyum için (r=0.80) güçlü bir korelasyon olduğu görüldü. sodyum için ise ( r=0.69) zayıf bir korelasyon vardı. Bland-Atman analizine göre klinik kullanım için potasyum, hemoglobin ve hemotokrit ölçümleri için kabul edilebilir uyum olmasına rağmen, glukoz ve sodyum ölçümleri için zayıf bir uyum olduğu bulundu.

Sonuç

Uyum limitleri dikkate alındığında potasyum, hemoglobin ve hemotokrit değerlerinin kabul edilebilir, glukoz ve sodyum değerleri kabul edilebilir değildi. Klinisyenlerin venöz kan gazı sonuçlarını kullanması gerektiğinde kısıtlılıkların farkında olmalıdır.
EXPLORING THE ROLE OF sFRP-4, TFF-3, NF-кB AND ROMO1 LEVELS IN COLORECTAL CANCER: IMPLICATIONS FOR PATHOPHYSIOLOGY AND DISEASE PROGRESSION
Authors: DURMUŞ Sinem , PAPİLA KUNDAKTEPE Berrin , GELİŞGEN Remise , PAPİLA Çiğdem , UZUN Hafize
Published: February 2024

Objective: Colorectal cancer (CRC) is a significant global health concern with high morbidity and mortality rates. Early detection and accurate diagnostic tools are critical for managing the clinical course. This research explores the molecular landscape of CRC, aiming to provide valuable insights beyond traditional diagnostic approaches. The main aim of this study was to investigate the potential contribution of specific biomarkers, such as secreted frizzled associated protein-4 (sFRP-4), trefoil factor-3 (TFF-3), nuclear factor-kappa-B (NF-κB) and reactive oxygen species modulator-1 (Romo1), to understanding the pathophysiology and determining the progression of CRC.

Methods: This study analyzed plasma levels of sFRP-4, TFF-3, NF-κB and Romo1 in a cohort of patients with CRC (n=50) and age- and gender-matched control group (n=40), utilizing ELISA. The diagnostic performance of these biomarkers was assessed through Receiver Operating Characteristic (ROC) analysis.

Results: Our research revealed a significant increase in the levels of NF-κB, TFF-3 and Romo1 in patients with a diagnosis of CRC. Furthermore, these parameters were found to maintain elevated levels in patients with tumors larger than 4 cm as opposed to those with smaller tumors. Patients with metastases also had elevated levels of the three parameters compared with patients without metastases. The ROC analysis revealed that NF-κB showed the most promise as a parameter for distinguishing patients from control subjects, whereas TFF-3 displayed the most potential in identifying tumor size and the presence of metastasis.

Conclusion: This research contributes valuable insights into understanding the pathophysiology and progression of CRC. The potential roles of NF-κB, TFF-3, and Romo1 as biomarkers, as revealed in our study, offer a promising avenue for early detection and improved management of CRC. Further validation and prospective studies are necessary to clarify the roles of these biomarkers in the pathophysiological mechanism of CRC and to establish their clinical utility.
THE VALUE OF NOTARIAL ACTIVITIES IN THE ADMINISTRATION OF JUSTICE
Authors:   Samara National Research University named after Academician S.P. Korolev (Samara University), AGALAROVA M.A.
Published: February 2024

This article examines the relationship between the organization and activities of notaries and judges, as well as current ways of developing the interaction of these subjects. It is indicated that notaries share the competence of the court in matters of providing evidence during the interrogation of witnesses and examination of written and material evidence. The author analyzes the procedure for providing evidence by a notary and offers practical recommendations for improving this institution.
Storytelling as an Engagement Strategy: J. R. R. Tolkien and the Journey of the Common Hero
Authors: Araujo Marcelo Marques , Nogueira Alexandre
Published: February 2024

The present paper sought to understand the use of storytelling as a capable tool of Strategic Communication on generating engagement among J. R. R. Tolkien’s fans. The elements of storytelling found in “The Hobbit” and “The Lord of the Rings” are examined, such as the influences of that tool on promoting engagement based on Tolkien’s narratives, which are marked by Hero’s Journey. Furthermore, the practice of storytelling relates to the concept of engagement in order to demonstrate how the storytelling present in Tolkien’s narratives is capable of engaging the writer’s fan community. Finally, the relationship between storytelling, engagement, and Tolkien is developed jointly, which contributes to the research in the Strategic Communication area.
Pengembangan Produk Inovatif Desa Onondowa Berbasis Teknologi Melalui PDB Sentra Kain Kulit Kayu
Authors: Baharuddin Muhammad Rusli , Seriyanti Seriyanti , Hidayat Wahyu , Anshori Fitrah Al
Published: February 2024

PDB Desa Sentra Kain Kulit Kayu merupakan kerjasama kemitraan Universitas Cokroaminoto Palopo dengan Desa Onondowa sebagai rangkaian program membangun desa. Urgensi atau Fokus Permasalahan yang akan diselesaikan dalam program PDB yaitu (1) Kurangnya Jumlah Pengrajin aktif dan Jenis Produk, (2) Sistem Produksi bersifat Manual dan Tradisional, (3) Sistem Pemasaran masih bersifat Konvensional, (4) Sistem Manajemen dan Pendaftaran Merek Produk, dan (5) Sistem Sosial Masyarakat yang mulai meninggalkan produk lokal. Berdasarkan Urgensi Permasalahan tersebut, maka Alternatif Solusi yang disepakati Bersama mitra selama 3 tahun melalui PDB yaitu (1) Pengembangan Sekolah Adat Desa Onondowa, (2) Pelatihan dan Pendampingan Proses Pembuatan Kain Kulit Kayu Berbasis Teknologi, (3) Pendampingan Pengembangan Produk Inovatif, (4) Pendampingan Pemasaran dan Brand Image, (5) Pelatihan dan Pendampingan Manajemen, (6) Koperasi Desa dengan sistem dana bergulir dan Pinjaman Bunga Ringan, dan (7) Event dan Pameran Budaya Berbasis Pakaian Kulit Kayu. Capaian Luaran PDB Desa Sentra Kain Kulit Kayu untuk Tahun pertama berupa peningkatan pemberdayaan mitra yaitu (1) Adanya Sekolah Adat Desa Onondowa, (2) 75% Mitra mampu memanfaatkan Teknologi di bidang produksi, pemasaran, dan manajemen, (3) Peningkatan Jumlah Produk Turunan Mitra sebanyak 3 Jenis, (4) Peningkatan Jumlah Pengrajin sebanyak 3 Pengrajin baru.
Contribution of Confessional Religious Education to Intercultural
Education in the Republic of Croatia
Authors: Razum Ružica , Barudžija Gordana
Published: February 2024

For a long time, the religious dimension was neglected within the framework of intercultural education, but during the last two decades, it has become its indispensable part. The inclusion of the religious dimension in intercultural education was triggered by the growing awareness of the importance of the religious dimension for the political, social, cultural and educational future of Europe and the development of the culture of coexistance. The need to further deepen knowledge of the religious phenomenon and to implement interreligious education and dialogue is becoming increasingly obvious. The fundamental school subject that systematically mediates religious knowledge in the Croatian education system is confessional Religious Education. The goal of this research is to analyse, present and evaluate the elements that indicate the openness of the confessional Religious Education curriculum to education for interculturality. The research results are based on a comparative analysis of Catholic, Orthodox and Islamic Religious Education curricula. The subject of the analysis were the following curriculum categories: domains, purpose, goals and outcomes. Although all three curricula show openness to the religious dimension of intercultural education, when it comes to the level of specific curriculum content, there is a noticeable difference in the percentage of outcomes and topics related to knowledge of other religions and the promotion of interreligious learning and dialogue.
Metaphysical turmoil
Authors: Ćubelić Alojz
Published: February 2024

In the article, we present, comment and analyse some elements of our cultural and evangelical history, which have been marked by numerous philosophers and theologians starting from the ancient Church to the present day. Closing into the present actually means a ban on living. Present life has its roots in the past and offers its promises, expectations and courage to the future. History exists, and man can dwell in history, without which there is no creative culture, only when three dimensions of time are lived organically. In this context, we also observe the contribution of an immense procession of thinkers like St Thomas Aquinas in successive historical periods. In the article, we explore the possible contribution of metaphysics to the questions posed to the modern man. The evangelical influence on culture, which is a complex phenomenon, should certainly be shed light on. Furthermore, it can be more or less deep. It can be hidden, more or less conscious. It is not always strongly present where it is most required, it is not real where it is explicitly ordered. In addition to authentic fruits, one should also be aware of counterfeits and hypocritical activities. In short, its paths are different and manifold. It seems important to point this out so that we could evaluate this influence, which is authenticated and credibly confirmed in the eyes of Christian orthodoxy, and which establishes piety. Certain errors, exaggerations and deviations are not imaginable outside the Christian horizon, which unmask it or wage a battle with it.
Meningkatkan Model Kepemimpinan Dan Pendidikan Menghadapi Pembelajaran 4.0 Dan Society 5.0
Authors: Ina Wai Florentina
Published: February 2024

Perkembangan ilmu dan teknologi berdampak signifikan terhadap pelbagai bidang kehidupan termasuk kepemimpinan dan pendidikan. Kajian ini mencoba untuk meneropong kesiapan bidang kepemimpinan dan pendidikan ketika berhadapan dengan revolusi industry 4.0 dan society 5.0. Penelitian ini merupakan penelitian pustaka. Penelitian ini dilakukan untuk memecahkan suatu masalah yang berpijak pada pengkajian kritis dan mendalam terhadap bahan-bahan pustaka yang relevan. Bahan-bahan pustaka tersebut diposisikan sebagai sumber ide atau inspirasi yang dapat membangkitkan gagasan atau pemikiran lain. Penelitian ini menemukan bahwa implementasi industri 4.0 sudah tentu akan menimbulkan berbagai dampak yang tidak bisa dihindari, misalnya saja masalah sumber daya di dunia pendidikan dengan pola kepemimpinan yang memiliki HOTS yang mumpuni. Dunia Pendidikan yang telah terintegrasi dengan internet tentu memerlukan tenaga kerja ahli yakni para guru terlatih yang mampu mengoperasikan mesin automasi tersebut.Integrasi tenaga kerja ahli dan automasi mesin di era industri 4.0 seperti ini yang nantinya diharapkan dapat memudahkan dan membantu proses pembelajaran di dunia pendidikan. Hal tersebut dapat dipandang sebagai kesiapan dunia pendidikan untuk menghasilkan output yang memiliki kapasitas yang dapat diandalkan dalam menghadapi masyarakat Indonesia 5.0.
ANALISA PERKEMBANGAN UMKM DI INDONESIA PADA TAHUN 2017 - 2019
Authors: Santosa Teguh , Budi Yeniasari Rizkia
Published: February 2024

The development of economic growth is certainly supported by the increasing volume of goods and services that can provide prosperity for the community. Economic development can be seen from the increase in GDP regardless of whether the increase is smaller or larger than population growth. Micro, small and medium enterprises (UMKM) are one of the business units that have an important role in the development and growth of the country's economy. UMKM business growth is certainly an opportunity as a field to find work and income, with a lot of employment in UMKM showing that UMKM have a strategic role for the government in helping to reduce poverty and unemployment. The MSME sector has a large share of the Indonesian economy. Based on information obtained from the Ministry of Cooperatives and UMKM, in 2019 UMKM had a proportion of 99.9% of the total number of more than 65 million registered business units. The proportion of loans given to UMKM has always increased from 2017 to 2019 in accordance with the size of the business established. The largest contribution to PDB is provided by the micro-enterprise sector. The micro-enterprise sector annually contributes more than 25% to PDB compared to other sectors which are only able to contribute below 20%.