bluuebunny/crossref_metadata_2025 huggingface dataset:
Perubahan Kandungan Protein Kasar dan Bahan pada Kacang Kedelai yang difermentasi dengan Probiotik Heryaki cair
Authors: Rahayu Ega Putri , Saefulhadjar Deny , Supratman Hery
Published: November 2023

The purpose of this research was to figure out of the best effect of crude protein and dry matter use liquid heryaki probiotic dosage in soybeans fermented. The parameters observed were the content of changes in crude protein and dry matter. The research method used was an experimental method with a completely randomized design. There were three threatments of soybean fermented, namely P1= 3% probiotic, P2= 6% probiotics, P3= 9% probiotic. Performed 6 repetitions of each treatment. Data analysis used analysis of variance (ANOVA). The result showed the difference probiotic dosage fermented process had no sign on effect the changes of crude protein and dry matter.. Keywords: Soybean, liquid Heryaki probiotic,, fermentation, dry matter, crude protein
Factors that contribute to integrity of academicians in Malaysian public university: A case study
Authors: Alias Bity Salwana , Yusof Rorlinda , Rasli Amran , Ismail Md Jais , Nordin Muhammad Nur Asyraf , Ishak Mohd Radzi , Prestianawati Silvi Asna , Abas Imelda Hermilinda , Jamaludin Khairul Azhar
Published: November 2023

Low integrity is a challenge for any organization. However, most organizations emphasize integrity without explaining what is required of an individual with high integrity. Exhibiting high integrity is necessary for academics; yet, the level of academic integrity remains unclear. Therefore, the purpose of this study is to examine the integrity level of academicians in a Malaysian public university. This paper shares the findings on the level of integrity of academics based on a questionnaire completed by 213 academicians. Data were collected by survey questionnaire and was analyzed using descriptive and inferential statistics. An overall mean score of 9.45 from a possible 10.0 indicated a high level of integrity among academics. The self-evaluation results by academics also demonstrated that they have attained integrity at a high level for their generic task, teaching and learning, research and publications and service for community with a mean score between 9.36 and 9.49. The value with the highest mean score was for “service to community”, whereas the lowest was for “research and publication”. These findings show that the university has successfully instilled values of integrity among academicians. Nevertheless, the university must continue to enhance academic integrity by exploring religiosity. Using Google Scholar, a literature search identified an Islam-based academic integrity model to explain the quantitative findings. Finally, a mixed method approach and involving all universities in Malaysia are recommended to further the findings of this study.
Impact of Carbon Nanotubes on the Mechanical and Electrical Properties of Silicone
Authors: Sałaciński Michał , Dydek Kamil , Leski Andrzej , Kozera Rafał , Mucha Mateusz , Karczmarz Wojciech
Published: November 2023

This paper presents the results of a structure study of a dispersion composite on a silicone matrix with a filler in the form of multi-walled carbon nanotubes (MWCNTs). The study aims to determine the effect of the filler on the composite mechanical properties and electrical conductivity. Materials that are electrically conductive and exhibit high mechanical properties can find applications in high-strain sensors. During the study, the characteristic properties of the susceptible materials, silicone alone and silicone with different filler contents (4%, 6%, and 8% by weight), were determined after curing. Microscopic observations were performed to assess the influence of carbon fillers on the material structure and to determine the level of homogeneity of the material. Examination of mechanical properties facilitated the determination of the Shor A hardness (ShA), stiffness, and Poisson’s ratio of the cured composites, depending on the nanotubes’ content. In parallel with the study of mechanical properties, the effect of loading, and the associated deformation of the samples, on the conductivity of the composite was investigated. Based on the results obtained, a discussion was carried out on the type of conductivity characteristic of silicone with different filler content as well as depending on the level of deformation of the samples.
“Fields of Ideas” for Science Diplomacy in the context of Russian “Pivot to East”
Authors: Vilisov M. V.
Published: November 2023

The crisis in Russian relations with the West has become a key trigger for a real “Pivot to East” in Russian foreign policy. The new edition of the Foreign Policy Concept of the Russian Federation, approved by the Decree of the President of Russia dated March 31, 2023, proclaims and describes this turn in sufficient detail, expanding the space for scientific diplomacy within the framework of international humanitarian cooperation. This space is filled with “fields of ideas” that are formed within the framework of the relationship of the expert community with decision makers within the country and with foreign colleagues and partners. These “fields of ideas” are currently rather poorly organized “exhibitions of ideas” than “markets of ideas”, where their active production and exchange takes place. The study of the reasons for this using the tools of institutional constructivism, discursive institutionalism and “institutional logic” allowed us to identify the problems of their functioning and possible prospects for development. The latter require the active development of Russian and international “fields of ideas” within the framework of scientific diplomacy in a competitive format, while being ready to compete with both Western and “non-Western” actors. On the way of such transformation, there may be several institutional traps and dead ends, on the successful overcoming of which the success of such a transformation will depend.
PERAN BIAS PERILAKU DALAM MEMEDIASI PENGARUH LITERASI KEUANGAN DAN FAKTOR SOSIODEMOGRAFI TERHADAP KEPUTUSAN INVESTASI SAHAM
Authors: Jayati Nyoman Devi Novita Sri , Wiksuana I Gst. Bgs. , Jatra I Made
Published: November 2023

Investment is an economic activity that involves investing directly or indirectly, so that owners of capital have the opportunity to benefit from secured capital in the future. The research was conducted to determine the role that behavioral bias has in mediating the factors of stock investment decision making. The population used in this study were all stock investors in Denpasar City, with a total sample of 100 respondents based on a purposive sampling technique. SEM PLS is an analysis technique used in this study using the SmartPLS 4.0 application. Based on the analysis above, the results show that financial literacy, sociodemographic factors, and behavioral biases have a significant positive effect on stock investment decisions. Financial literacy and sociodemographic factors can influence investor behavior bias. Meanwhile, the effect of financial literacy and sociodemographic factors on investment decisions cannot be influenced by behavioral biases indirectly. From this study, it appears that in making stock investment decisions, Denpasar City investors have considered financial literacy, sociodemographic factors, and behavioral biases in order to avoid investment risks.

Keywords: Behavioral Bias; Financial Literacy; Sociodemographic Factors; Investment Decsion.
PENGARUH HARGA SEWA, FASILITAS DAN LOKASI TERHADAP NIAT MENYEWA KEMBALI PADA JASA RUMAH KOS DI DESA JIMBARAN
Authors: Markandhya I Wayan Lostha , Jatra I Made
Published: November 2023

This study aims to determine the effect of rental prices, facilities and locations on the intention to rent back on boarding house services in Jimbaran Village and the effect of rental prices, facilities, and locations simultaneously and the most dominant variable on the intention to rent back on boarding house services in Jimbaran Village. The respondents were 100 people who were still actively studying and renting boarding houses in Jimbaran Village in the last 3 years when this study was conducted. This study used non-probability sampling method, especially purposive sampling. Data analysis using multiple linear regression. The results of the analysis of this study are, rental prices have a positive and significant effect on the intention to rent back on boarding house services, facilities have a positive and significant effect on the intention to rent back on boarding house services, location has a positive and significant effect on the intention to rent back on boarding house services, rental prices, facilities and location simultaneously affect the intention to rent back on boarding house services and rental prices are the most dominant variables in this study. This research becomes reference material for boarding house owners in Jimbaran Village to continue to maintain their marketing by reviewing rental prices, facilities and locations according to the expectations of consumers who want to look for boarding houses in Jimbaran Village with the hope of being able to influence consumers to rent again.

Keywords: Renetal Price; Facilities; Location; Repurchase intention
ORGANIZATIONAL CITIZENSHIP BEHAVIOR: PERAN BUDAYA ORGANISASI, KEPUASAN KERJA, DAN KOMITMEN ORGANISASIONAL
Authors: Kurniawan Ignatius Soni , Hina Dendhy Umbu
Published: November 2023

This study aims to examine the influence of organizational culture, job satisfaction, and organizational commitment on OCB. Research data collection methods using a questionnaire. This study uses a population of all employees of Dinas Pendidikan Kepemudaan dan Olahraga Kabupaten Sumba. Data was taken using a questionnaire from 55 respondents by census. Hypothesis testing is done using multiple linear regression analyses. The results showed that organizational culture had a significant positive effect on OCB, job satisfaction had a significant positive effect on OCB, and organizational commitment had a significant positive effect on OCB. The research implication states that improving antecedents will encourage improvements in OCB.

Keywords: Organizational Culture; Job Satisfaction; Organizational Commitment; Organizational Citizenship Behavior
Kepuasan Pengunjung Taman Buah Mekarsari Bogor Berdasarkan Indikator Destinasi Pariwisata Berkelanjutan pada Masa Pandemi COVID-19
Authors: ANDIKA KARTIKA DEWI , WIDHIANTHINI WIDHIANTHINI , BUDIASA I WAYAN
Published: November 2023

Visitors’ Satisfaction of Mekarsari Fruit – Botanical Garden Bogor during COVID-19 Pandemic based on Sustainablilty-Continuous Tourism Indicator

Biodiversity conservation center of tropical fruits, from all regions in Indonesia and other world commonly known as Mekarsari. Mekarsari also a place of cultivation research, breeding and propagation of superior seeds. It is one of the most visited tourist spot in Bogor city. This pandemic make the tourism industry out due to the declining number of visitors. Many tourist places closed because they were unable to survive the difficult time of the covid-19 pandemic. Mekarsari has also been heavily hit a decline in visitors over the last few years. One of the factors that led was the implementation of Community Activity Restrictions (PPKM) during this pandemic. It is therefore to be feared that the tourism Mekarsari Fruit Garden will not be able to offer any satisfaction to visitors. The objective of this study is for researchers to evaluate visitor satisfaction according to sustainable tourism criteria including tourism management, economic (tourism costs), socio-cultural and environmental aspects. So that based on the results of the level of satisfaction, it can be seen that the priority factors are the satisfaction of visitors to Mekarsari Fruit Garden. The research method in this study uses a quantitative descriptive method, using the Importance Performance Analysis (IPA) and Customer Satisfaction Index (CSI) analysis methods. The sample collected from this study was 100 field respondents. The results of this study, namely the satisfaction of agro-tourism visitors at Mekarsari Fruit Garden as a whole, is in the "Satisfied" category with a total score of 69.90. Factors that are the main priority for improvement are tourist attraction facilities and play areas, parking lots, access for individuals with disabilities, entry prices, body temperature checks, beauty and scenery of tourist objects, tidiness and cleanliness in the tourist environment.
Faktor-faktor yang Berpengaruh Terhadap Penjualan Padi dengan Sistem Tebasan di Subak Babakan Desa Sambangan Kecamatan Sukasada Kabupaten Buleleng
Authors: RESIANA KETUT , ASTITI NI WAYAN SRI , SARJANA I MADE
Published: November 2023

Influencing Factors Toward Rice Selling with Rice Slash System in Subak Babakan, Sambangan Village, Sukasada Subdistrict, Buleleng Regency

The purpose of this study was to determine the influenced factors such as; age, education, farming experience, number of family dependents, and land tenure were affected farmers for making decision for choosen rice sold with slash system and their bargaining position within sold grain with the slash system. This research was done in Subak Babakan, Sambangan Village, Sukasada Sub-District, Buleleng Regency. The subjek was 36 farmers of Subak Babakan. The land ownership per household was on average 0.80 hectares. Meanwhile, in the negotiation of crop yields with the slashing system, the bargaining position of farmers were still very low due to a lack of knowledge and negotiation skills in determining the price of grain. The results showed that some the factors showed positive effect. Those effect were age, education background, farming experience, number of family dependents and land tenure has significantly effect. The statistical analysis result showed t-count > t-table. The data also showed the farmers bargaining position within sold grain in the slash system was still very low. This due to lack of knowledge and skills in negotiation and determination of the price of grain.
Pengaruh Pengalaman Kerja dan Kompensasi terhadap Kinerja Karyawan LPD Desa Adat Mas
Authors: PRATIWI KOMANG ANITA , DARMAWAN DWI PUTRA , DEWI NI LUH PRIMA KEMALA
Published: November 2023

Effect of Work Experience and Compensation on The Performance of LPD Desa Adat Mas Employees

The success of the company is strongly influenced by the individual performance of its employees. Employee performance is important for every company as is LPD as a village-owned financial institution that supports village development. Employee performance is influenced by many factors including work experience and compensation. The purpose of this study was to determine the effect of work experience and compensation on the performance of LPD Desa Adat Mas employees and to analyze the effect of work experience on the performance of LPD Desa Adat Mas employees through compensation. Respondents in this study were 34 respondents. Data collection methods used are observation, interviews, documentation, and questionnaires. The data analysis technique used is quantitative analysis with a Structural Equation Model (SEM) approach based on Partial Least Square (PLS). The results showed that work experience had no effect on the performance of LPD Desa Adat Mas employees, while compensation had an effect on the performance of LPD Desa Adat Mas employees. Work experience affects the performance of LPD Desa Adat Mas employees through compensation as a mediating variable. Compensation also fully mediates the effect of work experience on the performance of LPD Desa Adat Mas employees. Employee performance evaluation needs to be done regularly so that it can provide feedback to employees about the implementation of their work.
Perbandingan Pendapatan Budidaya Udang Vaname dengan Sistem Tradisional dan Empang Plastik di Kabupaten Jembrana
Authors: CAHYANI LARASATI DWI , AMBARAWATI I GUSTI AGUNG AYU , SUDARMA I MADE
Published: November 2023

The Comparison of Vannamei Shrimp Farming Income with Traditional System and HDPE Lined Ponds in Jembrana Regency

Shrimp farming has become a priority in the development of aquaculture in Indonesia because that possesses a high economic value. Vannamei shrimp was recently introduced as a priority commodity in Indonesia. Busmetik is one of the intensive shrimp farming technology using high-density polyethylene (HDPE) plastics as inner lining ponds. However, intensive shrimp farming was only able to be practiced by large-scale farmers because it requires a greater amount of costs. This research aims to (1) identify the comparison of vannamei shrimp farming income with traditional system and plastic lined-ponds, and (2) to find out the obstacles faced by farmers in vannamei shrimp farming. This study was conducted in Jembrana regency. The site location was determined purposely because it is a center for vannamei shrimp production in Bali Province. The selection of respondents was done by using a proportional random sampling technique with 26 traditional shrimp farmers and 8 plastic lined-pond shrimp farmers. The method of analysis used in this study is comparative analysis of farm income, R/C Ratio, and descriptive analysis. Farming income is obtained in one season of production with an average of 75 days of cultivation. The results showed that the average income of traditional shrimp farmers was Rp. 17,969,856 per hectare per season, while the average income of lined ponds shrimp farmers at Rp. 135,623,051 per hectare per season. R/C ratio of traditional shrimp farmers is 1,22 whereas the lined-ponds shrimp farmers is 1,33 and statistic test result is significant. The obstacles of shrimp farming are pests and diseases, climate changes, and large capital issue.
Analisis Perbandingan Kelayakan Usahatani Jeruk Siam dan Jeruk Kintamani Di Desa Manikliyu, Kecamatan Kintamani, Kabupaten Bangli
Authors: SETIAWAN MAULIKA NURUL ANNISA , SUDARMA I MADE , DJELANTIK AAA WULANDIRA SAWITRI
Published: November 2023

Feasibility Analysis of Siam Oranges and Kintamani Oranges Farming in Manikliyu Village, Kintamani District, Bangli Regency

Orange plants are one of the plants that are widely cultivated by farmers in Kintamani District. This study aims to compare the income between Siamese orange and Kintamani orange farming using investment feasibility criteria. The data used in the form of quantitative data. The data obtained from from direct interviews with the number of respondents 20 farmers. This research was conducted using quantitative descriptive analysis method. The results of the analysis show that Siamese orange farming is more profitable than Kitamani oranges based on the investment criteria, with a B-C ratio of Siamese oranges of 1.63, kintamani oranges by 1.26. NPV of Siamese oranges Rp2,908,740,114.75; kintamani oranges Rp.1,243,369,105,82 and the IRR of Siamese oranges is 19.97%; kintamani oranges 15.75%. Payback Period Siamese oranges for 7 years 6 months; kintamani oranges at 8 years and 1 month with the economic age of 10 years. The results of the sensitivity analysis showed that Siamese orange farming and Kintamani orange farming were not sensitive to changes in costs up 5%, 10% and income decreased by 10%. However, from the results of this study, it is recommended that farmers continue farming Siamese oranges rather than kintamani oranges because it provides higher income.
Efektivitas Program Tabungan SUPRA (Simpanan Upacara Agama) di LPD Desa Adat Peguyangan
Authors: DESYANTARI NI NYOMAN AYU , SUAMBA I KETUT , DARMAWAN DWI PUTRA
Published: November 2023

Effectiveness of Savings Programs SUPRA (Religious Ceremony Savings) at the LPD Desa Adat Peguyangan

Religious Ceremony Savings Program (SUPRA) is a savings program favored by LPD Desa Adat Peguyangan designed to accommodate the needs of the community who have long-term and planned needs. This research aims to analyze the effectiveness of religious ceremony savings program reviewed from the side of Lembaga Perkreditan Desa (LPD) and SUPRA savings customers. The sample of this study was 45 respondents, namely 2 LPD employees and 43 active savings customers SUPRA. The type of research used is descriptive qualitative and quantitative, data collection techniques are interviews, questionnaires and documentation. The results showed that most of the savings customers SUPRA productive age with a job as a private employee. On the LPD side, the number of customers has increased every year, but in 2020 it decreased due to many customers who are past due and the Covid-19 pandemic, which affects people's income, causing reduced saving activities, the amount of savings every year always increases and the percentage increase fluctuates, thus the SUPRA savings program is effective to run. From the perspective of SUPRA savings customers, based on indicators of program targeting accuracy, socialization, and programs viewed from customers who have not yet matured are determined to be very effective. For customers who have already matured, the use of the program is very effective, where customers use savings according to the original purpose. The enthusiasm of the public in participating in SUPRA savings is quite high, with customers who have already matured and return to participating in SUPRA savings. Public enthusiasm in participating in SUPRA savings is quite high, with customers who have matured and follow SUPRA savings.
Does Board Gender Diversity Affect Financial Distress
Authors: Suprapto Yandi , Ng Irvin
Published: November 2023

Females were regarded as incompetent as a leader before the current modern era. But, female in managerial positions has been increasing since 2015. As part of corporate governance, there is only a few research regarding gender diversity’s relationship with financial distress with different results on different context. This research investigates the role of board gender diversity on firms’ financial distress. Multiple linear regression is used as the method of study. In general, board gender diversity does not have any relationship with financial distress in the infrastructure firms. When dissected into 4 sub-sectors, 1 out of 3 sub-sectors with 1 other sub-sector excluded, shown a negative relationship between board gender diversity and financial distress while the other 3 sub-sectors do not show any significant relationship.

Keywords: Corporate Governance; Financial Distress; Gender Diversity.
Preventing Malnutrition through Adequate Management of Gastrointestinal Dysmotility in Systemic Sclerosis Patients: A Literature Review
Authors: Layadi Eka Benhardi , Pribadi Rabbinu Rangga , Teressa Maria , Suharja Felicia , Ichsan Oemar
Published: November 2023

Gastrointestinal dysmotility in systemic sclerosis occurs as the end result of extensive fibrosis of the gastrointestinal tract. The entire length of the tract from the esophagus to the anorectum could be affected, exerting various gastrointestinal symptoms. Clinical manifestations attributed to gastrointestinal dysmotility are associated with significant distress and an increased risk of nutritional impairment, reducing the the quality of life of systemic sclerosis patients. One of the most commonly overlooked gastrointestinal implications in systemic sclerosis is malnutrition. Once malnutrition ensues in the course of systemic sclerosis, the detrimental effects attributed to nutritional decline are difficult to reverse and pose an increased risk of mortality. Adequate management through timely diagnosis of gastrointestinal dysmotility and utilization of malnutrition screening tools for systemic sclerosis patients could prevent the progression to malnutrition and its negative impacts.
A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center
Authors: Gonzalez Fiol Antonio , Acevedo Rodriguez Pedro , Zhao Xiwen , Gaiser Robert , Herrera Adriana , Alian Aymen
Published: November 2023

Despite its many cited benefits, ultrasound guidance for neuraxial procedures is not widespread in anesthesiology. Some cited limitations include device cost and accessibility. We test the hypothesis that a handheld and relatively inexpensive ultrasound can improve neuraxial proficiency (e.g., decreased needle manipulations and block time). This prospective study compared the number of needle passes, redirections, and procedural time between epidural placed with a handheld ultrasound versus landmarks. Needle passes and attempts were defined as the number of times the Tuhoy needle was redirected, and the times skin was punctured (re-insertion). Procedural time was defined as the time from local anesthetic infiltration until loss of resistance was obtained. The impact of level of training and accuracy of the device were also analyzed. 302 patients receiving labor epidural were included in the study. No difference in body mass index (BMI) nor distribution of level of training was noted between the groups. Regression analysis adjusted for BMI demonstrated a decrease in needle passes (-1.75 (95% CI -2.62, -0.89), p < 0.001), needle attempts (-0.51 (95% CI -0.97, -0.04), p = 0.032) and procedural time (-154.67s 95% CI -303.49s, -5.85s), p = 0.042) when a handheld ultrasound was utilized. The mean (95% Confidence interval) difference between needle depth and ultrasound depth was 0.39 cm (0.32, 0.46), p < 0.001. The use of a handheld device resulted in statistically significant decrease of needle manipulations and block time. More research is needed to evaluate the impact of and increase in accessibility of ultrasound technology.
Can Untrained Patients Perform Their Own Skin and Soft Tissue Ultrasound Examination by Teleguidance?
Authors: Saati Ammar , Au Arthur , Joshi Aditi , Davis Rebecca , West Frances Mae , Lewiss Resa E
Published: November 2023

Objectives: This pilot study aims to determine if patients untrained in performing ultrasound can self-scan to obtain images under remote clinician teleguidance during a simulated telehealth encounter. This study also seeks to describe the patients’ comfort level and barriers to performing an ultrasound examination on themselves using a handheld ultrasound device. Methods: This was a single center prospective observational cohort study conducted over a 4-month period in 2021. Patients were eligible if they had no prior training in the use of ultrasound and in the use of teleguidance. They voluntarily consented to participate at a single ambulatory internal medicine clinic. Results: 20 participants were enrolled and underwent teleguidance to ultrasound their own skin and soft tissues at the antecubital fossae. Six second video clips were evaluated by 2 subject matter experts using the Point of Care Ultrasound Image Quality scale. A score >7 was considered adequate for diagnostic interpretation. The average score was 10.15/14, with a minimum score of 5/14, and maximum score of 14/14 and a standard deviation (SD) of 2.39 using a two tailed Z-score. Setting alpha at 0.05 the 95% CI was (5.47-14.83). Conclusion: In a pilot study of 20 participants with no ultrasound experience, untrained healthy volunteers were able to perform technically acceptable and interpretable ultrasound scans using teleguidance by a trained clinician.
Exploring the Applicability of Pre-Anesthetic Cardiac POCUS in Unexpected Conditions: Could it be Helpful?
Authors: Sabogal Rodolfo
Published: November 2023

Formal preoperative echocardiography has traditionally been recommended when there is substantial cardiovascular disease without recent follow up, unexplained dyspnea, a functional class less than 4 METS or a Duke Activity Status Index less than 34. However, it is important to note that certain patients may present with a variety of cardiac abnormalities due to their preexisting condition or multiple treatments, and these individuals warrant consideration. The objective of pre-anesthetic cardiac POCUS is to provide clinical information in a timely manner. Although it does not aim to replace conventional echocardiography, cardiac POCUS can undoubtedly assist anesthesia practitioners in identifying asymptomatic and potentially hazardous conditions, allowing for more accurate risk allocation and individualized patient care.
Effectiveness of Ultrasound-guided versus Landmark-based Glucocorticoid Injection in the Treatment of First Carpometacarpal Joint Osteoarthritis
Authors: Al Nokhatha Shamma , Maguire Sinead , Corcoran Luke , Mac Eoin Neil , Conway Richard , Johnson Ciaran
Published: November 2023

Background: Osteoarthritis is a debilitating degenerative disease more pronounced in elderly affecting many joints. The first carpometacarpal joint (CMC1) is commonly affected. Pain is the major complaint, which can impact patient’s daily activities. Intra-articular glucocorticoid injection can be considered if conservative measures fail and ultrasound guided injection might be superior to the traditional anatomic landmark-guided technique. Objective: The aim of this study is to evaluate the effectiveness of ultrasound-guided versus landmark-based approach to intra-articular CMC1 injection using the Australian Canadian osteoarthritis hand index (AUSCAN). Methods: Adult patients diagnosed with symptomatic CMC1 osteoarthritis who failed conservative measures were enrolled. In this prospective observational cohort study, utilizing a convenience sample, intra-articular corticosteroid injection was administered either by ultrasound-guided technique or landmark-based approach. Pain, stiffness and function in 10-points scale at baseline, 6 and 12 weeks were collected and analyzed using descriptive analysis. Results: There were 33 patients enrolled. Mean age was 63 years, with females making up the majority of participants (n = 28, 84.8%). Mean duration of CMC1 pain was 10 months (SD=2.5) up to the point of receiving the injection.  Ultrasound guided injection was performed in 60.6% (n=20), while 39.4% (n=13) had the landmark approach. Both groups achieved a statistically and clinically significant level of change in AUSCAN score at week 6 (P≤ 0.05) but with a recurrence of symptoms at week 12 (P ≤ 0.05). At both intervals the AUSCAN scores were better than baseline (P ≤ 0.05). There was no difference between the two groups regarding baseline pain VAS score (mean ultrasound group= 6.6 vs landmark group= 7.5; P = 0.18). No significant differences were identified between two groups in terms of changes from baseline to 6, 12 and between 6 to 12 weeks in pain, stiffness and hand function (P > 0.05). Conclusion: No difference was found between the ultrasound-guided and landmark-based approaches for CMC1 injection on pain score, stiffness, or function.
Tuz Stresi ve Farklı Kalsiyum Dozlarının Domateste Verim ve Kalite Üzerine Etkisi
Authors: Shakir Zuher Rashid , Geboloğlu Naif
Published: November 2023

Bu çalışmada, topraksız tarım koşullarında farklı tuz stresi ve kalsiyum dozlarının domateste verim ve kalite üzerine etkisi araştırılmıştır. Çalışmada üç farklı tuz dozu (2, 4 ve 6 dS/m) ve dört farklı kalsiyum dozu (0, 50, 100 ve 200 ppm) modifiye edilmiş Hoagland besin solüsyonu ile birlikte bitkilere uygulanmıştır. Standart Hoagland çözeltisi 2 dS/m olarak hazırlanmış ve yüksek tuz konsantrasyonları için (4 ve 6 dS/m) NaCl kullanılmıştır. Yüksek tuzluluk (4 ve 6) pazarlanabilir verimde düşüşe neden olurken, yüksek kalsiyum dozları (100 ve 200 ppm) tuzluluğun verim üzerindeki etkisini önemli ölçüde azaltmıştır. En yüksek tuz konsantrasyonunda (6 dS/m) kalsiyumun 100 ppm'den 200 ppm'e yükselmesi pazarlanabilir verimi 122,51 ton/ha'dan 199,74 ton/ha'a çıkarmıştır. Yaprak klorofil içeriği (SPAD) tuz konsantrasyonundan etkilenmezken, artan kalsiyum dozları klorofil içeriğinde artışa neden olmuştur. Özellikle yüksek tuz stresi altında (6 dS/m) kalsiyumun klorofil artışına etkisi daha belirgin olmuştur. Meyvede elektriksel iletkenlik, suda çözünebilir kuru madde miktarı (Brix) ve titre edilebilir asit miktarı tuzluluk arttıkça artarken, pH azalmıştır. Yüksek tuzlulukta kalsiyum arttıkça Brix ve titre edilebilir asit miktarı azalmıştır. Sonuç olarak, besin solüsyonunun tuz konsantrasyonunun yüksek olması pazarlanabilir ve toplam verimde önemli düzeyde düşüşe neden olurken, tuz stresi altında yüksek kalsiyum uygulaması verim kaybını azaltmıştır. Tuz stresi x kalsiyum interaksiyonu meyve kalite parametrelerini önemli düzeyde etkilemiştir.
„… es ist nicht so, dass ich es wegtun kann.“
Authors: Kunert Cornelia
Published: November 2023

In der therapeutischen Arbeit bringen traumatisierte Personen oft Träume in die Therapiesitzung mit. Diese Träume in der Sitzung zu bearbeiten, bietet eine Möglichkeit, die Reintegration dissoziierter Erfahrungen zu fördern. Dabei sind jedoch Bedingungen zu beachten, die sich einerseits aus der personzentrierten Haltung und andererseits aus der besonderen Verfassung dieser Klienten und Klientinnen ergeben. Im folgenden Text wird nach einer kurzen Hinführung zum Thema „personzentrierte Traumarbeit“ ein Traumgespräch wörtlich wiedergegeben und mit Kommentaren versehen, welche die phänomenologisch-personzentrierte Vorgangsweise erhellen sollen.
„Das ist ein ernstes Thema für mich, wie Sie daran erkennen können, dass ich Spaß mache …“
Authors: Lichtenberger Petra
Published: November 2023

Lachen spielt eine tragende Rolle in der zwischenmenschlichen Interaktion und kann als nonverbales Signal den therapeutischen Verstehensprozess fördern und die Beziehungsgestaltung beeinflussen. Der Artikel bietet Überlegungen zum Lachen und personenzentrierten Beziehungsangebot an und soll zur Reflexion eigener Erfahrungen in der therapeutischen Arbeit anregen.
Personzentrierte Therapie von Schmerzsyndromen
Authors: Leithner Daniela , Finke Jobst
Published: November 2023

Bei chronischen Schmerzen, bekanntlich ein überaus verbreitetes Phänomen, sind fast immer auch psychosoziale Bedingungsfaktoren beteiligt. Wegen dieser Verschränkung von somatischen mit psychosozialen Faktoren bei chronischen Schmerzsyndromen stellen diese eine besondere Herausforderung für die Psychotherapie im Allgemeinen und die Personzentrierte Psychotherapie im Besonderen dar. Im Folgenden soll das personzentrierte Vorgehen bei diesem Störungsbild auf dem Hintergrund der Phaseneinteilung der Prozessorientierten Gesprächspsychotherapie nach Swildens beschrieben werden. Dabei sollen die konsequente Berücksichtigung der personzentrierten Störungstheorie, das Erörtern der Besonderheiten der therapeutischen Beziehung bei diesen Klienten wie eine ausgeprägte Praxisnähe wesentliche Darstellungsmerkmale sein.
Ceramic Bond Strength of Various Metal Substrate Using Traditional and Digital Methods
Authors: kareem Rasheed Rafal , Sahib Mansoor Nidhal
Published: November 2023

Purpose: The aim of this study was to investigate the bond strength of cobalt-chromium (Co-Cr) metal frameworks prepared with three different production techniques with dental porcelain. Methods: In this study, a total of thirty disc samples divided to Three groups (n = 10/group) of metal cylinders (10 mm diameter x 4mm thickness with ring base (12 mm diameter x 1mm thickness) were fabricated by casting (Co–Cr), CAD CAM milling blank(Co–Cr) and by selective laser sintering SLM (Co–Cr) and abraded with airborne-particles then feldespathic porcelain was applied for all discs (10mm diameter x 2mm thickness), before the shear bond strength (SBS) test, the Surface characteristics of the dental alloys were observed by scanning electron microscopy (SEM) to determine the thickness of the oxide layer then surface roughness tester using TR220 portable roughness tester The average surface roughness (Ra) was determined for each group. SBS test-values and failure modes were recorded. Data were analyzed using ANOVA, Tukey’s HSD (a = 0.05). Result: no statistically significant difference of the metal-ceramic bond strength of the test roughness used between casting, milling, and laser no statistically significant difference of the metal-ceramic bond strength of the SBS test between casting compare with milling, and laser groups SBS test statistically significant difference of the metal-ceramic bond strength of the test between milling, and laser technique. The mode of failure shows was mainly cohesive and mixed for all specimens. Conclusion: Within the scope of this research, the CAD/CAM milling Co-Cr alloy has a shear bond strength comparable to the castable alloy. For metal-ceramic restorations, the CAD/CAM milling Co-Cr alloy is an alternative to the castable alloy. Co-
Surgery and academic activity in Argentina. Why is it important, yet so hard to publish?
Authors:   Departamento de Cirugía, Hospital Alemán de Buenos Aires. Docente Adscripto Universidad de Buenos Aires, Schlottmann Francisco
Published: November 2023

Why is it important for a surgeon to be academically active? Perhaps I cannot give a precise definition, but I can share what I have learned with great masters, who in my opinion are an example of academic surgery. The first thing I realized is that knowledge of medical literature and scientific reasoning are fundamental pillars of our clinical practice. I understood that evidence is much worthier than opinion and that good decisions can hardly be made without knowing the mistakes of the past. I remember countless discussions in my two mentors’ offices that always ended the same way: with a scientific paper in my hands and the arguments and answers I needed. Complemented, of course, by the invaluable clinical experience they passed on.
Principles of Stratagem and Hard Power in Mao Zedong's Economic Reforms
Authors: Khandarkhaeva Viktoria Viktorovna
Published: November 2023

The object of the study is the principles of stratagem and hard power in China. The subject of the study is the principles of stratagem and hard power in Mao Zedong's economic reforms. The author of the article examines the principles of stratagem and hard power used by Mao Zedong during the rule of the CPC of the People's Republic of China. Particular attention is paid to the fact that Mao Zedong actively applied these principles in the framework of economic reforms in the country. This article analyzes his approaches aimed at forming effective management systems, stimulating economic growth and strengthening the state structure of China. The author in the article analyzes the tactical techniques of Mao Zedong, which he used in military operations with Chiang Kai-shek, and in the future, in strengthening his power in the country. Special attention is paid to his methods of exhausting the enemy, stratagem techniques and tough approaches to winning the war. Also in the article, the author examines the rigidity of his approach as a political and military leader, expressed in the use of harsh methods in military tactics and in the economic development of China. The fundamentals of the methodology of this research are based on the principles of objectivity, scientific truth and historicity. Objectivity requires considering China's historical past without preconceived beliefs and analyzing the current situation of the country, taking into account its complex characteristics. Scientific nature ensures that conclusions are based only on documented facts. The main conclusions of the study are the principles of stratagem and hard power, which Mao Zedong applied while modernizing China during his reign. As a result of his efforts, China has overcome the status of an underdeveloped semi-colonial country, becoming a powerful nuclear power in the world. The author's special contribution to the research of the topic is the application of the principles of stratagem thinking and hard power, which allowed the article to describe the policies and initiatives of Mao Zedong. The novelty of the study is to identify economic reforms, the main directions in the policy of the modernization department of the People's Republic of China Mao Zedong, which had a huge impact not only in world foreign policy, but also within the country, affecting the social sphere, culture, economy and political system of China.
Genres of Old Provençal poetry in the Works of Italian Troubadours: Reception and Interpretation
Authors: Saprykina Olga Aleksandrovna , Shkolnikova Olga Yurievna
Published: November 2023

This article is devoted to the study of the development of Old Provençal poetry in Italy in the 12th-13th centuries. Using specific examples from the work of early Italian troubadours (Peire de la Caravana, Peire de la Mula, Sordello, Lanfranco Cigala, etc.), the authors examine in detail such aspects of the topic as the reception and interpretation of the tradition of Old Provençal poetry. Of all the genres of poetry in the works of Italian troubadours, the most developed are the “political” and “social” ones – sirventes and tenso, which should be seen as an intensification of the participation of poets in the social and political life of Italy. All this can be studied by reflection in poetic creativity of the 12th-century and 13th-century Italian troubadours. In this regard, the authors of the article pay special attention to poetic works belonging to these two genres. The relevance of this study lies in a comprehensive linguistic, literary and historical approach to the consideration of the issue. The use of such an integrated approach allows to identify the main trends in the development of Provençal poetry, reasons associated with the historical context, as well as linguistic diversification associated with the choice of a particular genre. The authors come to the conclusion that the repertoire of poetic genres and the choice of language in which poetry is created changes depending on the dynamics of social and cultural conditions. The large number of sirvent and tenson is an important observation, indicating the presence of a social cultural context and space in which such political and satirical works and “impromptu” debates on a variety of topics were in demand. These genres will receive their further development in the history of Italian literature.
Cost-effective models for microsurgical training
Authors: Chittoria Ravi Kumar , Parthiban Barath Kumar Singh , Prathyusha Somala
Published: November 2023

In several surgical subspecialties, microsurgery training is essential. Many microsurgical training models were proposed for over a century. This includes live and non-viable tissue and organic and inorganic models. This investigation was done in a tertiary care plastic surgery department. The article reviews Scopus, PubMed, Google Scholar, and internet literature. We provide cost-effective strategies for teaching residents and juniors in microsurgery and maintaining surgeon skills. Super specialty residents worldwide need microsurgical training. Microsurgical training materials are scarce in certain locations. The foregoing readily available materials help residents practice continuously and consistently to improve their microsurgical confidence and skills.
Technical Aspects of Mitral Valve Replacement: A Guide for Beginners
Authors: Satsangi Amitabh , Murtaza Sheikh Mohd
Published: November 2023

Mitral valve replacement is a surgical procedure to replace a damaged or diseased mitral valve in the heart. There are different techniques for mitral valve replacement, including open-heart surgery and minimally invasive heart surgery. Here, we describe detailed steps of mitral valve replacement with a mechanical bileaflet valve which can be used by early career surgeons as a reference to perform safe cardiac surgery.
Shared Airway for Tracheal Resection and Anastomosis in a Patient with Severe Subglottic Stenosis after Intra-cardiac Repair for Tetralogy of Fallot
Authors: Anandan Vishnu , Das Sambhunath
Published: November 2023

Subglottic stenosis is a condition causing narrowing of the trachea, which can occur rarely secondary to trauma, infection, tumors, inflammatory, and iatrogenic causes. In our case, the child developed subglottic stenosis post-cardiac surgery after being mechanically ventilated in the postoperative period. The causes for subglottic stenosis may be some trauma in the presence of coagulation abnormalities in cyanotic heart diseases such as TOF, the ischemia to the subglottic tissue by reduced perfusion during cardiopulmonary bypass, and/or the trauma caused by crying and fighting of the child while being with the endotracheal tube. Anesthetic management of the surgery is challenging for the anesthesiologist due to the shared airway by the surgeon and the anesthesiologist. The inability to effectively ventilate the patient after induction of general anesthesia will result in catastrophic complications. Subglottic stenosis requires careful planning and execution along with proper communication between the team.
Hypersensitivity reactions induced by proton pump inhibitors: diagnostic and management strategies
Authors: Tiţa Alexandra , Criseru Roxana-Marcela , Ioan Ana-Maria-Andreea , Ali Selda , Bumbăcea Roxana Silvia
Published: November 2023

Proton pump inhibitors (PPIs) are highly safe medicines, commonly used as first-line treatment for various digestive diseases. However, as the use of PPIs expands, hypersensitivity reactions (HSRs), including both immediate and delayed reactions, have become more prevalent. The most frequent HSR observed in patients treated with PPIs is anaphylaxis. Skin tests (prick and intradermal) followed by an oral challenge test are suggested for accurately diagnosing HSRs to PPIs, due to their high specificity. It is crucial to understand the patterns of cross-reactivity among different PPIs to establish a safe therapeutic option and evaluate alternative drugs within the same class. If the patient does not tolerate the available therapeutic options and no other equally effective chemically unrelated drugs are available, a desensitization protocol should be initiated to ensure continuous medical treatment.
Pork-cat syndrome
Authors: Munthiu Sandra‑Cristina
Published: November 2023

Meat allergy used to be considered a rare hypersensitivity reaction, but case reports of mammalian and poultry meat allergies became more common about 20 years ago. Allergies to pets such as cats (Felis domesticus) and dogs (Canis familiaris) are the second most common indoor allergic reactions in Western countries, affecting both adults and children. An important step in fur allergy diagnosis has been the introduction of molecular allergen-based diagnosis, which offers new opportunities for improved allergen characterization. An example of these new characterizations is the meat reactions of patients suffering from pork-cat syndrome. Patients with this syndrome sensitized to albumin from animal epithelia report symptoms after eating pork because there is cross-reactivity to albumins from different species. The management of a patient with an allergic condition to fur-bearing animals includes a detailed history of exposure to relevant allergens, the effect of exposure on symptoms and subsequent recommendations for controlled exposure, and in the case of pig-cat syndrome, the patient can tolerate well-cooked red meat, but not the insufficiently prepared one.
Computation of Chemically Accurate Singlet-Triplet Gaps for Aryl-carbenes at Hybrid Functional Cost
Authors: Grotjahn Robin , Purnomo Justin , Furche Filipp
Published: November 2023

The two nonbonding electrons in a carbene can occupy the same orbital, resulting in a singlet state, or different orbitals, typically resulting in a triplet state. Since the spin state of a carbene largely influences its properties and reactivity, the singlet-triplet gap is a common quantity of interest. However, its theoretical prediction is challenging, and chemically accurate singlet-triplet gaps were previously thought to require expensive wave-function methods or density functional theory with double hybrid functionals. By evaluating two recent test sets of aryl-carbenes (AC12 and AC18), we show that local hybrid functionals with position-dependent exact-exchange governed by a common t-LMF achieve mean absolute errors below 1kcal/mol thus enabling chemically accurate predictions at a computational cost comparable to other "rung 4" hybrid functionals.