bluuebunny/crossref_metadata_2025 huggingface dataset:
Efforts On Increasing Creativity Through Finger Painting Activities In Early Education
Authors: Amaliyah Ade , Masganti Sit  , Muhammad Basri
Published: June 2022

Efforts on increasing creativity through finger painting activities in early education:  developing children's creativity at a young age is necessary because creative children have an easier time solving their challenges. the development of children's creativity is suboptimal based on observations indicating that the teacher is less involved in the learning process and that the facilities available are restricted. this study aimed to determine children's creativity through finger painting activities. this research used 2 cycles of class action research (car) with 16 children as subjects. the data revealed pre-cycle and cycle 2 outcomes. in the pre-cycle, only 4 out of 6teen children had ideal development. in the first cycle, only 7 out of 6teen and thirteen out of 6teen children had an optimal effect in the second cycle. activities involving finger painting are beneficial for encouraging children's creativity. through finger painting, children's creativity can develop their adaptability, fluency, originality, and elaboration. the best developmental outcomes can be achieved if this exercise is performed regularly and under the supervision of professionals.
Homeroom Teacher's Action On Hyperactive Students Of MIN 3 West Aceh
Authors: Kurniawan Ade , Ismawati Diyah
Published: June 2022

This study aims to determine the behavioral tendencies of hyperactive students in State Islamic Elementary School 3 of West Aceh and how the homeroom teacher manages hyperactive students in MIN 3 West Aceh. This study employs a descriptive qualitative methodology. Observations, interviews, and documentation were employed as data gathering strategies. This investigation was carried out at State Islamic Elementary School 3 of West Aceh. This study involved one principal of State Islamic Elementary School 3 of West Aceh and two homeroom teachers who teach hyperactive students. Based on the study's findings, it is apparent that the hyperactive students of MIN 3 Aceh Barat exhibit motor and mixed hyperactivity with a combination type. The homeroom activities for dealing with hyperactive students consist of (1) arranging seats, (2) issuing warnings, (3) providing hyperactive students with guidance, and (4) building a madrasa setting appropriate to the growth of hyperactive students.
NANOPARTICLES IN EMERGING PARENTERAL DRUG THERAPY: AN OVERVIEW
Authors:   Assistant Professor, Pharmacy Academy, IFTM University Moradabad, UP, IN, Kaur Ramandeep , Singh Pushpendra ,   Research Scholar, Mahatma Gandhi College of Pharmaceutical Sciences, Jaipur Rajasthan, IN, Yadav Rita ,   Assistant Professor, School of Pharmaceutical Sciences, IFTM University Moradabad, UP, IN
Published: June 2022

Aim: The aim of the study was to discuss the recent researches done over the nanoparticles and types of nanoparticles being useful in the parenteral delivery of drugs. Materials and methods: Different types of nanoparticles are developed i.e., liposomes, polymeric nanoparticles, nano-capsules, dendrimers, nanotubes, nanowires, nanocrystals and nanobots. Nanoparticles are very beneficial in pharmacy and health sciences as in cancer therapy, biological binders, drug carriers, targeted therapy etc. to boost the healthcare system. It aids in the improvement of medication solubility and bioavailability, as well as the reduction of toxicity, improved release, and better formulation options. It's worth noting that various commercial oral medications have been created using nanoparticle technology to improve API absorption. Nano-milling process is used to increase absorption of nano-parenteral. Conclusion: Active targeting is useful in oncology, especially for the treatment of malignancies, because it can reduce side effects. Consider tiny miniature robots that your doctor will inject into vein to look for cancer cells or administer a medicine. We anticipate that this system will modify cancer immunotherapy and provide novel therapeutic options in the near future. Keywords: Nanoparticles, Nanowires, Nano-parenteral, Therapy, Liposomes
Bir Tekstil Fabrikasında Çalışan İşçilerin Karşılaştıkları Riskler ve İş Kazası Geçirme Durumlarının Değerlendirilmesi
Authors: RENÇBER Süreyya , CEYLAN Ali
Published: June 2022

Bu çalışmanın amacı bir tekstil fabrikasında çalışanların İSG bilgi düzeylerini belirlemek, maruz kaldıkları tehlike ve riskleri saptamak, bunların sağlık düzeylerine etkisini belirlemek, işe giriş ve çalışanların periyodik muayene sonuçlarını değerlendirmek ve öneriler geliştirmektir. Fabrikada görev yapan 79’u kadın ve 71’i erkek olmak üzere toplam 150 çalışanla yüz yüze görüşülerek bir anket uygulanmıştır. İşyerinin risk değerlendirme raporu incelenip saptanan riskler ve buna göre yapılan ortam ölçümleri değerlendirilmiştir. Çalışmaya katılanların %24’ü 20 yaşından küçük, %16,7’si bir yıl içinde işe başlamış, %39,3’ü dört yıl ve daha az deneyimlidir. Çalışmaya katılanların çoğunluğu dikimhanede çalışmakta ve çalışanların büyük çoğunluğu (%67,1’i) kadındır. Çalışmaya katılanların; %44,7’si oturarak, %54,7’si ise ayakta çalışmaktadır. Çalışanların en fazla maruz kaldığı riskler; %43,3 sürekli tekrarlayan hareketler,%55’i uzun süreli oturma, %17’si ağır yük kaldırma, %16’sı sürekli ayakta kalmadır. Çalışanların %21,3’ü en az bir kazaya maruz kaldığını ifade etmiştir. Maruz kalınan kazalar sıklık sırasıyla; “el-parmak sıkışması, ezilme”, “el-ayak kesici-delici yaralanma” ve “bel ağrısı” dır. Risk değerlendirmesi yapılan işyerinde; 15’i yüksek risk, 58’i orta risk, 4’ü düşük risk olmak üzere 77 adet risk tespit edilmiştir. Tekstil fabrikasında çalışanların çoğunluğu kadın, genç ve sosyo-ekonomik düzeyi düşük kişilerdir. Sürekli tekrarlayan hareketler, uzun süreli oturma, ağır yük kaldırma, sürekli ayakta kalma çalışanların “el-parmak sıkışması, ezilme”, “el-ayak kesici-delici yaralanma” gibi kazalara neden olmaktadır.
Covid-19 Aşı Okuryazarlığı ve Aşı Tereddütü Düzeylerinin İncelenmesi: Üniversite Öğrencileri Üzerinde Uygulama Örneği
Authors: ÖZMEN Sümeyye , AKSOY Neriman
Published: June 2022

Bu çalışmada bir kamu üniversitesinde öğrenim gören öğrencilerin aşı okuryazarlık düzeyleri ile aşı tereddüt düzeylerini belirlemek, sosyo demoğrafik değişkenlere göre farklılıklarını tespit etmek ve aşı okuryazarlığı ile aşı tereddütü arasındaki ilişkiyi incelemek amaçlanmaktadır. Tanımlayıcı ve kesitsel nitelikte olan çalışmanın evrenini bir kamu üniversitesinde İktisadi ve İdari Bilimler Fakültesinde 2021-2022 eğitim ve öğretim döneminde kayıtlı olan öğrenciler oluşturmaktadır. Araştırmada örnekleme yöntemi seçilmemiş olup, tüm evrene ulaşılmaya çalışılmıştır. Araştırmanın örneklemini gönüllü olarak katılmayı kabul eden 506 öğrenci oluşturmaktadır. Araştırma verileri, Covid-19 pandemisi nedeni ile Google form aracılığıyla çevrimiçi ortamda hazırlanan anket formu kullanılarak toplanmıştır. Elde edilen verilerin analizi, SPSS 25.0 paket programı aracılığıyla yapılmıştır. Yapılan analizler sonucunda öğrencilerin aşı okuryazarlık düzeyinin 2,74 ile orta seviyenin üzerinde, pandemilerde aşı tereddütü düzeyinin ise 2,46 ile orta düzeye yakın olduğu tespit edilmiştir. Araştırmaya katılan öğrencilerin geleneksel medya araçlarından ziyade, yeni medya unsurlarını (web siteleri, sosyal medya vb.) % 97’lik oranla bilgi kaynağı olarak tercih ettikleri ortaya çıkmıştır. Yapılan analizler sonucunda aşı okuryazarlığı ile pandemilerde aşı tereddütü düzeyleri arasında negatif yönlü, düşük düzeyde bir ilişki bulunmuştur. Ayrıca aşı okuryazarlığı, pandemilerde aşı tereddütünü %3,5 oranında açıklamaktadır.
Sporcuların Karakter Özelliklerine Göre Liderlik Yönelimlerinin İncelenmesi
Authors: CEVAHİRCİOĞLU Burkay , ÇAKICI Hacı Ali
Published: June 2022

Bu araştırmanın amacı, sporcuların liderlik yönelimleri ile karakter özellikleri arasındaki ilişkinin incelenmesidir. Çalışmada betimsel tarama modeli kullanılmıştır. Araştırma evreni, 2021-2022 eğitim-öğretim yılında spor yükseköğrenim kurumlarında öğrenim gören sporcu öğrencilerden oluşmaktadır. Araştırmada Ordu, Giresun, Amasya, Sinop ve Gümüşhane Üniversitelerinde öğrenim gören 345 sporcu öğrenci tesadüfi örneklem yöntemi ile örneklem grubu olarak belirlendi. Kişisel bilgi formu, liderlik yönelim ölçeği ve spor karakter ölçeği veri toplama araçları olarak kullanıldı. Veriler, ilişkisiz örneklemler için T-testi, tek yönlü varyans analizi (ANOVA) ve Tukey çoklu karşılaştırma testleri ile analiz edildi. Ayrıca, Pearson korelasyon katsayısı ile liderlik yönelim ölçeği ve spor karakter ölçeği puanları arasındaki ilişkiler incelendi. Liderlik yönelim ve spor karakter ölçek puanlarında, yaş, spor yaşı, aile gelir düzeyi ve baba eğitim durumuna göre anlamlı farklılık belirlenmedi (p>0.05). Liderlik yönelim ölçeğinde, insana ve yapıya yönelik liderlik ve dönüşümsel liderlik alt boyut ve ölçek toplam puanlarında spor türü değişkenine göre anlamlı farklılıklar belirlendi (p
Covid-19 Korkusu ile Akış (Flow) Yaşantı Arasındaki İlişkinin İncelenmesi
Authors: BAYRAKDAROĞLU Yeşim , ŞENEL Ebru , DEMİR Gökalp
Published: June 2022

Bu araştırma, üniversite öğrencilerinde Covid-19 korkusu ile rekreasyonel akış (flow) yaşantı düzeyleri arasındaki ilişkinin incelenmesi amacıyla gerçekleştirilmiştir. Çalışmada, betimsel nitelikte yer alan ilişkisel tarama modeli kullanılmıştır. Çalışma grubu, Gümüşhane Üniversitesi Beden Eğitimi ve Spor Yüksekokulu’nda eğitim gören 337 öğrenciden oluşmaktadır. Veri toplama aşamasında; ‘‘Flow Yaşantı Ölçeği’’, ‘‘Covid-19 Korkusu Ölçeği’’ ve kişisel bilgi formu kullanılmıştır. Analiz aşamasında, verilerin normal dağılım kriterlerine uygun olduğu tespit edilerek, ikili karşılaştırmalarda Independent Samples T-Test uygulanırken; üç ve daha fazla grup kıyaslamalarında One Way ANOVA testi uygulanmıştır. Üniversite öğrencilerinde Flow Yaşantı Ölçeği ile Covid-19 Korkusu Ölçeği arasındaki ilişki Pearson Korelasyon analizi ile belirlenmiştir. Analiz sonucunda bölüm ve aktif spor durumu değişkenine göre flow yaşantı ölçeği ve Covid-19 korkusu ölçeği puanları arasında anlamlı fark saptanmamıştır. Haftalık katıldıkları etkinlik gün sayısı değişkenine göre Covid-19 korkusu ölçeği ve flow yaşantı ölçek puanları arasında anlamlı farklılık belirlenmiştir. Korelasyon analizi sonucunda, öğrencilerin Covid-19 korku düzeyleri ile flow yaşantısı akış düzeyleri arasında anlamlı ilişki bulunmadığı, Covid-19 korku düzeyleri ile flow yaşantısı kaygı düzeyleri arasında pozitif ve düşük düzeyde anlamlı ilişki olduğu, flow yaşantısı akış düzeyleri ile flow yaşantısı kaygı düzeyleri arasında pozitif ve orta düzeyde anlamlı ilişki olduğu tespit edilmiştir. Bu hususta üniversite öğrencilerinin farklı tür ve alanlardaki rekreasyonel etkinliklere yönelmeleri ve mental destek almalarının faydalı olabileceği öngörülmektedir.
Nursing Care of Frail Patients in Cardiac Surgery
Authors: DEMİR KORKMAZ Fatma , ARIKAN Bilgen
Published: June 2022

Although there is no standardized definition of frailty, it is a geriatric syndrome conceptualized as a decrease in physiological reserves due to aging. Frailty may occur as a result of cardiovascular diseases, and it is also a predictive indicator for the development and progression of cardiovascular diseases. In epidemiological studies, the prevalence of frailty was determined to be higher in cardiac surgery patients than in other surgical patients. In addition, frailty has been associated with many adverse health outcomes such as delirium, mortality, and morbidity following cardiac surgery. With advanced evaluations to determine preoperative frailty in patients who are candidates for cardiac surgery, adverse events that might occur following surgery could be predicted, and necessary measures could be taken. Management of frailty is multidisciplinary and multidimensional. It is significant to recognise the concept of frailty, its assesment tools, and its pathophysiology for the management of frail patients with frailty and proposed to undergo cardiac surgery. This review discusses the concept of frailty, its evaluation, pathophysiology, epidemiology in cardiac surgery, effect on patient outcomes, importance of its evaluation, and nursing care for this condition.
Hastanelerde Rol Yüklenmesi Rol Belirsizliği Ve Rol Çatışması
Authors: EREN BANA Perihan , BEKAROĞLU Ş. Burak
Published: June 2022

Çalışanların rolleriyle ilgili algısı, verilen görevlerin yerine getirilmesi sürecinde oldukça etkili olmaktadır. Bu çalışmada çalışanların yaşadığı rol yüklenmesi, rol belirsizliği ve rol çatışmasının birbirleriyle ve demografik değişkenlerle olan ilişkisinin değerlendirilmesi amaçlanmıştır. Araştırmada İstanbul ilinde bulunan beş kamu hastanesinin klinik ve idari çalışanlarının görüşleri değerlendirilmiştir. Araştırma örneklemi 517 gözlemden oluşmuştur. Katılımcıların en az altı aydan beri kurumda çalışmış olması koşulu aranmıştır. Veri analizinde IBM SPSS 24.0 ve AMOS 24.0 programları kullanılmıştır. Tanımlayıcı istatistikler, keşfedici ve doğrulayıcı faktör analizi, korelasyon, T-testi ve varyans analizi (ANOVA) yapılan istatistiksel analizler arasında yer almaktadır. Rol değişkenlerinin birbirleriyle korelasyon oluşturduğu ve en yüksek korelasyonun da rol yüklenmesi ve çatışması arasında olduğu görülmüştür. Rol değişkenlerinin yaş, meslek, medeni durum ve eğitim değişkenlerine göre farklılaştığı ve elde edilen bulguların genel olarak literatürle uyumlu olduğu görülmektedir.
DOĞU AKDENİZ JEOPOLİTİĞİ, BÖLGESEL AKTÖRLER VE TÜRKİYE’NİN ENERJİ GÜVENLİĞİ
Authors: ÖZÇELİK Tacettin Gökhan , ÇÜGEN Mustafa Aykut
Published: June 2022

Tarih boyunca birçok uygarlığın merkezini oluşturan Doğu Akdeniz coğrafyası; ticari, ekonomik ve jeopolitik eksenlerde önem arz eden bir konumda yer almıştır. “Enerji” boyutu ile birlikte ise bölge yeniden bölgesel ve küresel anlamda bir rekabet alanına dönüşmüştür. Özellikle bölgesel aktörler, Doğu Akdeniz enerji havzasından daha fazla pay alabilmek adına hamleler gerçekleştirmişlerdir. Hukuki bağlamda, münhasır ekonomik bölge ve kıta sahanlığı başlıkları tarafların haklarını muhafaza edebilmeleri adına rekabetin bir diğer boyutunu oluşturmuştur. Ancak bölgesel aktörlerin hukuki zemindeki hamlelerinin yanı sıra Türkiye için de Doğu Akdeniz havzası stratejik bir konumda yer almıştır. Bu çalışma bu genel çerçeve dahilinde, dört perspektife odaklanmak amacını taşımaktadır. Birincisi, Doğu Akdeniz’in jeopolitik ve jeostratejik öneminin analiz edilmesidir. İkincisi, münhasır ekonomik bölge ve deniz yetki alanları odağındaki tartışmaların değerlendirilmesidir. Üçüncüsü, bölgesel aktörlerin (Türkiye, KKTC, GKRY, Yunanistan, İsrail, Lübnan, Mısır ve Suriye) Doğu Akdeniz politikalarındaki yaklaşımlarının ele alınmasıdır. Dördüncüsü ise Türkiye için Doğu Akdeniz’in neden önemli olduğu sorusuna yanıt aranmasıdır.
PENDAMPINGAN BELAJAR TEKNIK DASAR PERMAINAN SEPAK BOLA BAGI SISWA SDI RUTOSORO KECAMATAN GOLEWA
Authors: Wani Bernabas , Mbede Wea Yovinianus , Bate Nikodemus , Natal Yanuarius Ricardus , Ola Tapo Yohanes Bayo , Bile Robertus Lili , Ndora Filemon Darmanto
Published: June 2022

This Community service is motivated by students whose ability to learn bacic soccer game tecnicques is still low due to lack of basic soccer game technical training. Therefore, the purpose of community service in providing assistance to basic techniques of soccer games for Rutosoro Inpres elementary school. This can be seen when observing the Rutosoro Elementary School. It can be seen that student cannot do well the basic techniques of soccer games, as the basic for the learning theme of the big ball game which aims to improve students physical fitness and skills in soccer game technical and tactics as an effort to in crease students activity. Learning mentoring activities also aim to regenerate the enthusiasm of students who declined during the Covid-19 pandemic. The method used in the tutoring activities is the direc practice method in the field with the basic material of the basic technic of playing soccer with training procedures, namely warming up, core activities and cooling down, in the core material, an explanation of the basic tecnick that have been explained by the service activity assistant.
SOSIALISASI POLA HIDUP BERSIH DENGAN PROGRAM LISA (LIHAT SAMPAH AMBIL) OLEH MAHASISWA PROGRAM STUDI PG-PAUD STKIP CITRA BAKTI DI KELURAHAN MATALOKO
Authors: Djawaria Pare Prisko Yanuarius , Kua Maria Yuliana , Dolo Fransiskus Xaverius , Dua Dhiu Konstantinus , Fono Yasinta Maria , Ngura Elisabeth Tantiana , Samri Ferdinandus , Bela Maria Editha , Rawa Natalia Rosalina , Tali Wangge Maria Carmelita , Lende Rosalia
Published: June 2022

Perilaku pola hidup bersih dan sehat merupakan cerminan pola hidup keluarga yang senantiasa memperhatikan dan menjaga kesehatan seluruh anggota keluarga. Semua perilaku kesehatan yang di lakukan atas kesadaran sehingga anggota keluarga atau keluarga dapat menolong dirinya sendiri dibidang kesehatan dan dapat berperan aktif dalam kegiatan-kegiatan kesehatan di masyarakat merupakan pengertian lain dari Perilaku Hidup Bersih dan Sehat (PHBS). Kegiatan yang digalakan oleh Dosen dan Mahasiswa Sekolah Tinggi Keguruan Dan Ilmu Pendidikan Citra Bakti, yang bekerjasama dengan Dewan pastoral Lingkungan Mataloko mencetuskan program kegiatan yang dinamakan LISA (Lihat sampah ambil), yang melibatkan umat Lingkungan Mataloko dan sekitarnya. Kegiatan ini merupakan perwujudan dari perilaku hidup bersih dan cinta lingkungan yang didasari oleh kesadaran masyarakat akan pentingnya lingkungan yang bersih dan sehat. Kegiatan ini di aksinyatakan dengan membersihkan lingkungan tempat tinggal warga, lingkungan jalan umum, membersihkan saluran air yang menjadi sarang penyebaran nyamuk malaria, serta membudayakan masyarakat untuk bergelut dengan program liat sampah ambil. Berdasarkan kenyataan di lapangan yang terjadi akhir-akhir ini bahwa banyak ditemukan korban demam berdarah, sebagai akibat dari ketidakseriusan warga dalam membersihkan lingkungan dari sampah yang berserakan, terdapat banyak genangan air yang menjadi sarang nyamuk. Dari permasalahan yang terjadi ini makan, peran perguruan tinggi sebagai bagian dari kehidupan masyarakat dan tugas inti mereka sebagai pengabdi masyarakat, maka segala upaya dilakukan untuk memutus mata rantai penyebaran wabah demam berdarah dan memberikan edukasi nyata kepada warga akan pentingnya pola hidup bersih dan sehat.

Program Lihat Sampah Ambil  ini merupakan program utama dari mahasiswa STKIP Citra Bakti bersama dosen untuk memberikan sosialisasi akan pola hidup bersih dengan mengutamakan prinsip go green and go clean dalam balutan ekaristi ekologis. Tentunya kegiatan pengabdian ini menjadi sangat penting apabila masyarakat sadar akan pentingnya menjaga lingkungan dan membersihkan dari sampah dan genangan air untuk keselamat hidup sekarang dan yang akan datang.

 

Kata kunci: Pola Hidup Bersih, Program Lihat Sampah Ambil
Formulation and Control of a Topical Emulsion, Containing Algerian Vitis vinifera.L Leaves Extract
Authors: ADİL Selka , CHENAFA Amel , ACHOURİ Mohamed Yacine , NAZIM Bellifa
Published: June 2022

Topical emulsions find their applications in wrinkle reduction (skin aging), acne treatment and, sebum secretions regulation. For various dermatological affections, many topical formulations like sunscreens and anti-aging creams are prepared using plant-based ingredients

The objective of this study was to formulate an emulsion containing Vitis vinifera. L leaves extract, and to evaluate its stability and antioxidant activity in vitro.A spectrophotometric assay of the main phenolic groups for 10 Vitis vinifera. L leave samples was performed.O/W emulsions were prepared using a nonionic surfactant polysorbate 80.1,1-diphenyl-2-picrylhydrazyl assay was performed to evaluate plant extracts and emulsions antioxidant activity.

The Physical stability of the emulsions stored at 25 ºC and 40 ºC for 60 days was assessed based on various physico-chemical characteristics including color, creaming, liquefaction, centrifugation pH, and electrical conductivity.

The emulsions showed good physical properties and pharmaceutical stability. The polyphenol-rich-plant-derived extract and the emulsion showed good antioxidant activities.

this research allowed the development of an emulsion based on Vitis vinifera. L extract, which can be proposed for topical use. However, in vivo studies are recommended to confirm the antioxidant action of this cream.
Assessment of macular function in dense cataract using Maddox rod
Authors: Memon Muhammad Asif , Kazmi Ayesha , Nazeer Mehak , Talpur Abdul Hameed , Munawar Muhammad , Humudullah
Published: June 2022

Cataract is a leading cause of blindness worldwide. However there is surgical option available for treatment with complete cure in majority of patients. For dense cataract Maddox Rod was evaluated. A total of 200 patients were recruited. Maddox Rod test for macular function appears to be useful in a great majority of patients. The assessment of macular function in dense cataract is difficult but the Psycho physiological test like Maddox rod test was found to be the reliable in patients with cataract and its quick and understandable
Analysis of pattern of ABO Blood groups in pediatric diabetic patients – An observational study
Authors: Javed Nimra , Yasin Shazia , Fatima Javeria , Khan Tehmina Nafees Sonia , Fateen Tooba , Saqlain Nazish , Farhan Saima
Published: June 2022

Diabetes Mellitus (DM) is the most frequently occurring metabolic disorder, caused by inadequacy in secretion of insulin or malfunction leading to chronic hyperglycemia.  Well-established corroborations have been reported in the literature suggesting association of ABO blood group with DM. The available literature focuses on adult population, with limited information of said association in children. Thus this study was aimed to determine the association of ABO blood group with Diabetes in pediatric patients having confirmed diagnosis. This was a comparative cross sectional study conducted from October 2021-January 2022 at Endocrinology Ward, Children Hospital Lahore (CHL), Pakistan. The study was approved by the local research ethics committee of CHL and conducted according to the declaration of Helsinki 2000. Blood grouping was done by forward and reverse methods. A total of 25 patients, including 18 males and 7 females were included. Frequency of blood group B (n=10;40%) was highest followed by blood group O (n=4;16%), A blood group (n=3;12%), and AB (n=1;4%) in males. In females, the blood group AB (n=3;12%) has the highest frequency followed by O (n=2;8%). Blood group A (n=1;4%) and B (n=1;4%) had the  same frequency among female diabetic patients
Covid-19 Salgın Döneminde Gıda İşletmeleri Üretim ve Pazarlama Stratejilerinin İşletme Performansı Üzerine Etkisi
Authors: ÖZTÜRK Derya , İSLAM Ali , GÜLEŞ Kadir
Published: June 2022

Bu çalışmanın amacı, gıda işletmelerinin Covid-19 salgın döneminde uyguladıkları üretim ve pazarlamastratejilerinin üretim performansları üzerine etkisinin ölçülmesidir. Bu amaçla Ordu ilinde gıda sektöründe faaliyetgösteren 126 işletme yöneticisine anket uygulanmıştır. Verilerin analiz edilmesinde faktör analizi, korelasyonanalizi ve regresyon analizleri uygulanmıştır. Elde edilen sonuçlara göre; üretim stratejilerinin alt boyutlarındanhız, maliyet ve esneklik boyutları ile işletme performansı arasında yüksek düzeyde pozitif yönlü; kalite boyutu ileişletme performansı arasında ise orta düzeyde pozitif yönlü anlamlı bir ilişki bulunmuştur. Pazarlama stratejilerininalt boyutlarından fiyat ve dağıtım boyutları ile işletme performansı arasında yüksek düzeyde pozitif yönlü;pazarlama araştırması ve tutundurma boyutları ile işletme performansı arasında ise orta düzeyde pozitif yönlüanlamlı bir ilişki tespit edilmiştir. Yapılan basit doğrusal regresyon analizleri sonucunda hem üretim stratejisininhem de pazarlama stratejisinin işletme performansı üzerinde pozitif etkisi bulunmuştur. Üretim stratejilerinin altboyutlarından maliyet ve hızın, pazarlama stratejilerinin alt boyutlarından ise dağıtım ve fiyatın işletmeperformansı üzerinde pozitif yönde anlamlı etkileri olduğu gözlemlenmiştir. Salgın döneminde işletmeperformansını artırmak isteyen gıda işletmeleri yöneticilerinin; özellikle hızlı ürün teslimatına, etkili birtutundurma çalışmasına ve etkin bir dağıtım sürecine önem vermeleri gerektiği önerilebilir. Ayrıca bu dönemdemaliyet belirli bir seviyede tutularak yüksek karlılık elde edilebileceği sonucuna varılabilir
Analiza uzroka i posljedica globalnih ekonomskih kriza 20. i 21. stoljeća
Authors: Rukavina Vjekoslav , Katavić Ivica
Published: June 2022

Svjetska je ekonomija, više nego ikada, iznimno povezana i transparentna, a putanjedobara, usluga i ljudi dostupne svakom pojedincu spojenom na internetsku mrežu. Upravo zato ostaje nejasna činjenica da se greške u ljudskim odlukama i dalje ponavljaju, kao i reakcija društva u cjelini na odluke pojedinaca. Također, državni mehanizmi za kontrolu gospodarstva i dalje nisu u mogućnosti efikasno reagirati na događaje u vrijeme kontrakcije ekonomskog obujma. Iz toga proizlazi motivacija za izradu ovog istraživanja, koja uključuje proučavanje brojnih određenih situacija u kojima je ljudska odluka, direktno ili indirektno, stvorila jedan od glavnih uzroka budućeg gospodarskog pada. Pregledom ekonomskih ciklusa i ekonomskih kriza tijekom prošlog i ovog stoljeća, uočava se stalna pojava ljudske odluke kao glavnog generatora gospodarskih tokova, bilo pozitivnih, bilo negativnih. U isto je vrijeme vidljiv i stalni obrazac ponašanja društva u raznim fazama ekonomskih ciklusa. Samim time, vrlo je bitno educirati pojedince i društvo o mogućim financijskim rezultatima njihovih kratkoročnih i dugoročnih odluka, kao i odluka koje se tiču uže ili šire zajednice. Svakako je nužno i podrobnije proučavanje društva, kao i razvoja gospodarstva, kako bi se u budućnosti moglo što efikasnije reagirati na pozitivne i negativne posljedice ekonomskih ciklusa.
Prepreke prilikom pokretanja poduzetničkih pothvata mladih u kreativnoj (modnoj) industriji u Hrvatskoj
Authors: Bituh Helena , Ćorić Gordana
Published: June 2022

Usljed nedovoljnog poznavanja specifičnosti kreativnih industrija, poduzetnički pothvatimladih uključenog su rizika. Iz tog razloga svrha ovog rada je bila identificirati prepreke s kojima se mladi poduzetnici susreću prilikom pokretanja poduzetničkih pothvata, a koje ih sputavaju u ostvarenju uspješnog poslovanja. Provedeno je temeljito istraživanje i analiza postojećih programa potpore mladim poduzetnicima te istraživanje znanja, vještina i kompetencija potrebnih za ostvarenje uspješnog pothvata. Samim time, s ciljem otkrivanja i jasnijeg utvrđivanja prepreka u poduzetništvu u modnoj industriji prikazani su primjeri dobre i loše prakse poduzetnika te je pomoću polustrukturiranog intervjua intervjuirano pet poduzetnika iz modne industrije. Rezultati istraživanja pokazali su da, iako postoje brojne potporne institucije i različite pomoći za financiranje pothvata, mladi poduzetnici još uvijek nisu dovoljno informirani, što dovodi do toga da potporu od strane države smatraju nedovoljnom. Osim toga, kreativnim djelatnicima nedostaje poduzetničkog obrazovanja koje im je potrebno kako bi bili upućeniji u poslovanje, a to dovodi do problema s izlaskom na tržište, pregovaranjem, promoviranjem, administriranjem i slično. Rezultati ovoga rada mogu pomoći mladim poduzetnicima i onima koji se žele okušati u poduzetništvu u kreativnim industrijama, imajući na umu prepreke na koje bi pri tome mogli naići, obvezu razvijanja osnovnih znanja, vještina i kompetencija te preporuke iz prakse koje bi olakšale ne samo pokretanje poduzetničkog pothvata u modnoj industriji, već i njegov budući razvoji održivost.
When Helping Hurts: Compassion Fatigue in Family Physicians
Authors: Kamajian Steven
Published: June 2022

The concept of compassion fatigue (CF) has evolved since 1992. It has been described as the natural consequence of working with traumatized clients or those who have experienced extremely stressful events in tandem with the level of empathy practitioners have for such clients. CF is a state of tension and preoccupation with the individual or cumulative trauma of clients. This article reviews standard CF progression for stressed physicians along with burnout differentiation, CF symptom identification, and preventative management strategies.
Spontaneous Development of Subdural Hemorrhage in a COVID-19 Patient Concurrently Admitted for Presumptive Neurosyphilis
Authors: Truong Brandy , Sung Nayoung , Covenas Cecilia , Nwosu Ikenna , Tu Manuel , Marquez Verna
Published: June 2022

COVID-19 most commonly affects the respiratory system; however, in the past two years, we have seen it affects multiple organ systems, including neurological, and continue to learn its effects. This article presents a 69-year-old female with a history of cognitive impairment with hallucinations, treatment for syphilis, and twice vaccination for COVID-19, who presented to the emergency department (ED) with altered mental status. She later developed a subdural hemorrhage (SDH) after testing positive for COVID-19 during admission.
Black Hole to Photosphere: 3D GRMHD Simulations of Collapsars Reveal Wobbling and Hybrid Composition Jets
Authors: Gottlieb Ore , Liska Matthew , Tchekhovskoy Alexander , Bromberg Omer , Lalakos Aretaios , Giannios Dimitrios , Mösta Philipp
Published: June 2022

Long-duration γ-ray bursts (GRBs) accompany the collapse of massive stars and carry information about the central engine. However, no 3D models have been able to follow these jets from their birth via black hole (BH) to the photosphere. We present the first such 3D general-relativity magnetohydrodynamic simulations, which span over six orders of magnitude in space and time. The collapsing stellar envelope forms an accretion disk, which drags inwardly the magnetic flux that accumulates around the BH, becomes dynamically important, and launches bipolar jets. The jets reach the photosphere at ∼1012 cm with an opening angle θ

j
∼ 6° and a Lorentz factor Γ
j
≲ 30, unbinding ≳90% of the star. We find that (i) the disk–jet system spontaneously develops misalignment relative to the BH rotational axis. As a result, the jet wobbles with an angle θ

t
∼ 12°, which can naturally explain quiescent times in GRB lightcurves. The effective opening angle for detection θ

j
+ θ

t
suggests that the intrinsic GRB rate is lower by an order of magnitude than standard estimates. This suggests that successful GRBs are rarer than currently thought and emerge in only ∼0.1% of supernovae Ib/c, implying that jets are either not launched or choked inside most supernova Ib/c progenitors. (ii) The magnetic energy in the jet decreases due to mixing with the star, resulting in jets with a hybrid composition of magnetic and thermal components at the photosphere, where ∼10% of the gas maintains magnetization σ ≳ 0.1. This indicates that both a photospheric component and reconnection may play a role in the prompt emission.
ALMA Images the Eccentric HD 53143 Debris Disk
Authors: MacGregor Meredith A. , Hurt Spencer A. , Stark Christopher C. , Howard Ward S. , Weinberger Alycia J. , Ren Bin , Schneider Glenn , Choquet Elodie , Mawet Dmitri
Published: June 2022

We present ALMA 1.3 mm observations of the HD 53143 debris disk—the first infrared or millimeter image produced of this ∼1 Gyr old solar analog. Previous HST STIS coronagraphic imaging did not detect flux along the minor axis of the disk, which could suggest a face-on geometry with two clumps of dust. These ALMA observations reveal a disk with a strikingly different structure. In order to fit models to the millimeter visibilities and constrain the uncertainties on the disk parameters, we adopt a Markov Chain Monte Carlo approach. This is the most eccentric debris disk observed to date with a forced eccentricity of 0.21 ± 0.02, nearly twice that of the Fomalhaut debris disk, and also displays an apocenter glow. Although this eccentric model fits the outer debris disk well, significant interior residuals remain, which may suggest a possible edge-on inner disk, which remains unresolved in these observations. Combined with the observed structure difference between HST and ALMA, these results suggest a potential previous scattering event or dynamical instability in this system. We also note that the stellar flux changes considerably over the course of our observations, suggesting flaring at millimeter wavelengths. Using simultaneous TESS observations, we determine the stellar rotation period to be 9.6 ± 0.1 days.
Finding Lensed Direct-collapse Black Holes and Supermassive Primordial Stars
Authors: Vikaeus Anton , Whalen Daniel J. , Zackrisson Erik
Published: June 2022

Direct-collapse black holes (DCBHs) may be the seeds of the first quasars, over 200 of which have now been detected at z > 6. The James Webb Space Telescope (JWST) could detect DCBHs in the near-infrared (NIR) at z ≲ 20 and probe the evolution of primordial quasars at their earliest stages, but only in narrow fields that may not capture many of them. Wide-field NIR surveys by Euclid and the Nancy Grace Roman Space Telescope (RST) would enclose far greater numbers of DCBHs but only directly detect them at z ≲ 6–8 because of their lower sensitivities. However, their large survey areas will cover thousands of galaxy clusters and massive galaxies that could gravitationally lens flux from DCBHs, boosting them above current Euclid and RST detection limits and revealing more of them than could otherwise be detected. Here, we estimate the minimum number density of strongly lensed DCBHs and supermassive primordial stars required for detection in surveys by Euclid, RST, and JWST at z ≲ 20. We find that for reasonable estimates of host halo numbers RST, Euclid, and JWST could potentially find hundreds of strongly lensed DCBHs at z = 7–20. RST would detect the most objects at z ≲ 10 and JWST would find the most at higher redshifts. Lensed supermassive primordial stars could potentially also be found, but in fewer numbers because of their short lifetimes.
Evaluation of clinical efficacy of topical tacrolimus 0.1% and clobetasol propionate 0.05% in desquamative gingivitis, manifestation of oral lichen planus
Authors: Kavlakova Lilia
Published: June 2022

Abstract

Introduction: Oral lichen planus (OLP) is a chronic inflammatory mucocutaneous disorder with unknown etiology. Numerous treatment options have been reported, with topical corticosteroids being very often used as the first-line therapy for gingival lesions. However, a relatively novel therapeutic option is provided by tacrolimus.

Aim: To compare the clinical effectiveness of topical tacrolimus 0.1% and clobetasol propionate 0.05% in the management of desquamative gingivitis, a distinct clinical manifestation of OLP.

Materials and methods: This comparative study included 20 patients with histologically proven symptomatic OLP with gingival manifestation. The participants were divided into 2 groups: group A (clobetasol propionate 0.05% cream) and group B (topical tacrolimus 0.1% ointment). They were instructed to apply topical medications twice daily for three consecutive weeks. Custom trays have been used for better drug delivery. The patients were recalled at 1, 2, and 3 months after cessation of therapy for a follow-up control of any relapse.

Results: The subjects in both groups showed a significant reduction in the burning sensation/pain and discomfort according to the visual analog scale (VAS). Similarly, both groups showed reduction in the efficiency index, and moderate improvement especially was seen in the tacrolimus 0.1% group (53%) and the clobetasol propionate group 0.05% (47%). Patients treated with clobetasol propionate 0.05% didn’t have a relapse at 2 and 3 months after cessation of treatment. In contrast, 30% of the patients treated with tacrolimus 0.1% had a relapse of the condition at 2 and 3 months.

Conclusions: Tacrolimus can be considered as a good alternative topical medication in the treatment of OLP, especially in those patients that do not respond to topical corticosteroids.
Pharmaceutical Care for Patients with Headache
Authors: Gavazova Evelina Z. , Grekova-Kafalova Daniela D.
Published: June 2022

Introduction: Headache cephalalgia is the condition in which individuals feel pain in different parts of the head. It is one of the most common disorders believed to be amenable to self-treatment. The pharmacist can provide significant support to patients.

Aim: The aim of this study was to present the role of pharmacists in the prevention of headaches.

Materials and methods: We reviewed the available information in the biggest databases on the problem.

Results: Drug therapy is only part of an effective approach to the management of headaches. In many cases headache triggers can be identified and lifestyle changes instituted that reduce the frequency of attacks. Rest, sleep, and adequate hydration are often important components of successful management regimes. Patient education and detailed information for their disease can play an active role in the treatment. The reviewed literature shows the importance of the involvement of community pharmacists of the treatment of headache disorders.

As the most easily approachable healthcare providers pharmacists can assist patients in finding appropriate relief of headaches and ensure rational and safe headache treatment.

Conclusions: Pharmacists have a crucial role in optimizing the results of the medical therapy.
The taxonomic status of Palearctic and Nearctic populations of northern goshawk Accipiter gentilis (Aves, Accipitridae): New evidence from vocalisations
Authors: Sangster George
Published: June 2022

The taxonomic status of the North American and Eurasian populations of northern goshawkA. gentilishas been called into question by recent molecular studies, indicating the need for additional taxonomic study. Vocalisations have long played an important role in diagnosing potentially reproductively isolated groups of birds. The chattering-type call ofA. gentilisplays a role in advertisement and pair-contact, making this a suitable basis for taxonomic study of vocalisations. The data set consisted of recordings of the calls of 75 individuals of the Eurasiangentilis-group ofA. gentilis, 37 of the North Americanatricapillus-group ofA. gentilisand, for comparison, seven of Henst’s goshawkA. henstii. The three groups showed non-overlapping variation in the duration of call-notes and also showed several other highly significant differences. Discriminant Function Analysis resulted in 100% correct classification of recordings into the three groups. It is here argued that the new bioacoustic data, in combination with previous evidence of morphological, mitochondrial DNA and genomic DNA differences between Eurasian and North AmericanA. gentilis, suggests that two species are best recognised: northern goshawkA. gentilisand American goshawkA. atricapillus.A. gentilis/A. atricapillusadd to a growing list of Holarctic temperate zone taxa that have recently been recognised as separate species based on a deep phylogeographic split between Eurasian and North American populations in combination with differences in other characters. This is the first quantitative taxonomic study of vocalisations in Accipitridae.
Addition to the known diversity of Chinese freshwater planarians: integrative description of a new species of Dugesia Girard, 1850 (Platyhelminthes, Tricladida, Dugesiidae)
Authors: Liu Yi , Song Xiao-Yu , Sun Zhong-Yin , Li Wei-Xuan , Sluys Ronald , Li Shuang-Fei , Wang An-Tai
Published: June 2022

The present paper describes a new species of freshwater flatworm of the genus Dugesia from Guizhou province, China, based on an integrative approach, combining morphological, histological and molecular information. This new species, Dugesia gemmulata Sun & Wang, sp. nov., is characterized by the ventral part of the most posterior section of the bursal canal being provided with a voluminous, ellipsoidal muscular swelling; sac- or egg-shaped seminal vesicle situated near the ventral body surface in anterior portion of the penis bulb; postero-dorsal wall of seminal vesicle communicating with a narrow duct that first runs almost vertically but then shows a postero-dorsally directed loop before connecting with a small diaphragm; an ejaculatory duct opening terminally or subterminally; an asymmetrical penis papilla, with its dorsal lip being provided with a bump; oviducts opening asymmetrically into female copulatory apparatus, with the left oviduct opening into the common atrium and the right oviduct opening into the vaginal section of the bursal canal. Molecular phylogenetic analyses revealed that the new species belongs to a clade comprising species from the Australasian and Oriental regions, while it shares a sister-group relationship with D. umbonata Song & Wang, 2020, a species characterized by a muscular swelling on the dorsal side of its bursal canal.
Improved bat algorithm for roundness error evaluation problem
Authors: Li Guowen , Xu Ying , Chang Chengbin , Wang Sainan , Zhang Qian , An Dong
Published: June 2022

In the production and processing of precision shaft-hole class parts, the wear of cutting tools, machine chatter, and insufficient lubrication can lead to changes in their roundness, which in turn affects the overall performance of the relevant products. To improve the accuracy of roundness error assessments, Bat algorithm (BA) is applied to roundness error assessments. An improved bat algorithm (IBA) is proposed to counteract the original lack of variational mechanisms, which can easily lead BA to fall into local extremes and induce premature convergence. First, logistic chaos initialisation is applied to the initial solution generation to enhance the variation mechanism of the population and improve the solution quality; second, a sinusoidal control factor is added to BA to control the nonlinear inertia weights during the iterative process, and the balance between the global search and local search of the algorithm is dynamically adjusted to improve the optimization-seeking accuracy and stability of the algorithm. Finally, the sparrow search algorithm (SSA) is integrated into BA, exploiting the ability of explorer bats to perform a large range search, so that the algorithm can jump out of local extremes and the convergence speed of the algorithm can be improved. The performance of IBA was tested against the classical metaheuristic algorithm on eight benchmark functions, and the results showed that IBA significantly outperformed the other algorithms in terms of solution accuracy, convergence speed, and stability. Simulation and example verification show that IBA can quickly find the centre of a minimum inclusion region when there are many or few sampling points, and the obtained roundness error value is more accurate than that of other algorithms, which verifies the feasibility and effectiveness of IBA in evaluating roundness errors.
Measuring China's urban digital finance
Authors: Liao Gaoke , Li Zhenghui , Wang Mengxin , Albitar Khaldoon
Published: June 2022

With the full integration of digital information technology and financial services, digital finance has developed rapidly. As there are significant differences in the development level of FinTech and traditional financial sectors in different cities, it is important to evaluate the development level of urban digital finance. This study aimed to compile an index of urban digital finance to present an accurate and in-depth depiction of how urban digital finance has developed in China. Our sample covers 278 cities in China, over the period 2010–2020. This paper firstly constructs the urban digital financial index system from the three dimensions of digital financial services, digital financial technology, and digital financial operating environment, and then adopts a combination of subjective and objective methods to measure the urban digital financial index. This paper study revealed that China's urban digital finance has been on an upward trend from 2010 to 2020, and the digital finance operating environment is an important driving force for the growth of the urban digital finance index. The convergence of China's urban digital finance is decreasing, indicating that the gap in digital financial development between cities is increasing. Urban digital finance has positive spatial agglomeration, but this spatial agglomeration is decreasing.
Collateral Consequences
Authors: Looby Eugenie Joan , Holmes Chiquita Long , Li Tinmuk , Donald Lindsey
Published: June 2022

This chapter focuses on incarceration, communities, and the impact of community reentry programs on recidivism and reintegration. The authors provide demographic data on incarceration and recidivism and present information on community implications of incarceration. The authors also examine challenges facing previously incarcerated individuals as they return to their former communities and components of community reentry programs. The authors provide commentary on the efficacy of community reentry programs, advocacy initiatives, suggestions and recommendations, directions for future research, suggested readings, and a glossary of key terms and definitions.
Brain Tumor Segmentation From Multimodal MRI Data Based on GLCM and SVM Classifier
Authors: Li Na , Yang Zheng
Published: June 2022

The segmentation of MRI brain tumors utilizes computer technology to segment and label tumors and normal tissues automatically on multimodal brain images, which plays an important role in disease diagnosis, treatment planning, and surgical navigation. We propose a solution using gray-level co-occurrence matrix (GLCM) texture and an ensemble Support Vector Machine (SVM) structure.This manuscript per the authors focus on the effects of GLCM texture on brain tumor segmentation. The result is different from the application of the GLCM texture in other types of image processing.The experimental material was a dataset called BraTs2015. The segmented five different labels are normal brain, necrosis, edema, non-enhancing tumor, and enhancing tumor. The proposed model was verified with the Dice coefficient. The result demonstrated that this method has a better capacity and higher segmentation accuracy with a low computation cost.
EFFICACY OF MONOCLONAL ANTIBODIES ASSOCIATION IN PRESENCE OF TWO SARS-COV-2 DOMINANT VARIANT OF CONCERN. COMPARATIVE STUDY VERSUS MONOTHERAPY AGAINST A SINGLE VARIANT: A REAL EXPERIENCE IN UMBRIA, ITALY.
Authors: Schiaroli Elisabetta , De Socio Giuseppe Vittorio , Gidari Anna , Malincarne Lisa , Benedetti Sara , Lanzi Alessandra , Bastianelli Sabrina , Pierucci Sara , Busti Chiara , Francisci Daniela
Published: June 2022

Background and Objective

In patients with mild-to-moderate COVID-19 and at high risk of progression, bamlanivimab as monotherapy was utilized in Italy until its revocation. Afterwards, the mAbs Bamlanivimab-Etesevimab or Casirivimab-Imdevimab were used, while Sars-Cov-2 delta variant emerged. Aim of our study was to compare demographic, clinical characteristics, hospitalization rate and 30 days symptoms of  patients treated with these mAbs from April to November 2021 respect to patients with bamlanivimab alone.

Methods

 A retrospective observational study was performed. Demographic and clinical characteristics before and after infusion were evaluated.  Moreover, a telephone interview about 30 days after the infusion was carried out to evaluate the overall course. We compared the observed differences concerning comorbidities, vaccination status, and outcomes. between the two treated populations. Lastly, we evaluated the baseline neutralizing activity of sera from vaccinated patients against their their own virus isolate.

Results

A better efficacy of the mAbs combinations compared to monotherapy with regard to global hospitalization (6.5 % vs 20.5 %, p = 0.021) and 30 days symptoms (p<0.001). A not significant better trend for COVID19 and alpha variant pneumonia hospitalization (6.5% vs 10%, 4.25 % vs 10.25%) was shown. Infections in vaccinated patients mostly occurred in the absence of neutralizing antibodies. However, SARS-CoV-2 delta variants were isolated even in the presence of high specific neutralizing activity.

Conclusions

Our data are in line with other experiences drawn from real life but show a higher hospitalization risk than that observed in the randomized trials which were performed before the spread of VOCs