bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Tingkat Kecemasan Orang Tua dengan Fase Demam Berdarah Dengue (DBD) pada Anak Usia 1-18 Tahun
Authors: Nurillah Al Fitri
Published: July 2024

Latar Belakang: Respon kecemasan merupakan hal yang paling umum yang di alami orang tua ketika ada masalah kesehatan pada anaknya. Anak dengan DBD sering kali berakibat fatal dan menyebabkan kecemasan tinggi pada orang tua terutama pada fase fasenya.
Tujuan: Untuk mengetahui hubungan tingkat kecemasan orang tua dengan fase Demam Berdarah Dengue pada anak usia 1-18 tahun di RSU Bunda Margonda Depok.
Metode: Penelitian ini menggunakan metode kuantitatif. Teknik analisa data yang digunakan adalah Uji Spearman rank. Populasinya ialah 62 kasus di antaranya adalah pasien anak. Dalam penelitian ini terdapat 55 responden. Penelitian dilakukan mulai bukan Desember 2022 sampai dengan Februari 2023 di RSU Bunda Margonda. Instrumen yang di gunakan yaitu lembar kuesioner, lembar observasi. Analisis data menggunakan software SPSS secara univariat untuk melihat karakteristik responden dan distribusi variabel.
Hasil: Data yang di dapatkan dari 55 responden yang di peroleh dengan cara wawancara, pengisian kuesioner, dan lembar observasi di dapatkan analisa Spearman’s rho menunjukan bahwa P-value 0.000 dimana P-value <0.05 dengan  Tingkat Correlation -.519 yang bermakna sangat rendah.
Kesimpulan: Ada hubungan antara tingkat kecamasan orang tua dengan fase Demam Berdarah Dengue (DBD) tetapi korelasi nya rendah yaitu orang tua akan merasa cemas saat anaknya sakit tanpa melihat fase-fasenya.
Avaliação de biomarcadores inflamatórios em artérias pulmonares de transplantados cardíacos chagásicos e não chagásicos
Authors: Silva Marcus Vinícius de Paula da , Alves Ildernandes Vieira , Alves Antonielle Rodrigues Pereira , Lemos Virginia Soares , Carmo Gabriel Assis Lopes do , Castilho Fábio o Morato de , Gelape Cláudio Léo
Published: July 2024

O transplante cardíaco (TxC) é opção terapêutica considerada em pacientes com insuficiência cardíaca (IC) avançada e refratária ao tratamento otimizado, de acordo com diretrizes nacionais e internacionais. A IC é uma doença progressiva que afeta milhões de pessoas. O paciente com IC avançada frequentemente desenvolve hipertensão arterial pulmonar (HAP). A HAP é definida como uma condição em que a pressão média da artéria pulmonar é superior a 20 mmHg. Em relação à HAP, reconhece-se que a inflamação é um aspecto importante no seu desenvolvimento. Objetivo: Neste contexto, o objetivo desse trabalho foi avaliar a relação entre o processo inflamatório e o desenvolvimento de hipertensão arterial pulmonar em pacientes submetido ao TxC. Métodos: Os níveis das interleucinas IL-6, IL-1β e TNF-α foram obtidos por ELISA, associados das contagens de CD68 e de neutrófilos CD66b pela técnica de imunofluorescência, em fragmentos das artérias pulmonares de pacientes portadores de cardiomiopatia chagásica ou não submetidos ao TxC. Resultados: O estudo revelou que não existe diferença estatisticamente significativa (p ≥ 0,05) entre os pacientes receptores chagásicos e os receptores não-chagásicos no que diz respeito às variáveis clínicas, ecocardiográficas, manométricas e aos marcadores inflamatórios. Conclusão: Esses dados sugerem a presença de um perfil pró-inflamatório nos pacientes transplantados cardíaco independente dos níveis aferidos de pressão na artéria pulmonar.
Avaliação de Fatores Clínicos na Evolução de Pacientes Transplantados Cardíacos: Estudo de Coorte Retrospectivo Unicêntrico
Authors: Paula Gabriela Vieira de , Costa Adriele Fogaça , Viana Nathalia Alves , Cyrino Claudia Maria Silva , Felicio Marcello Laneza , Brito Flávio de Souza , Ponce Daniela
Published: July 2024

Introdução: Após o transplante cardíaco (TxC), alguns pacientes continuam a apresentar mortalidade desproporcionalmente alta. Objetivos: Investigar quais variáveis clínicas estão associadas à sobrevida após o TxC. Métodos: Estudo do tipo coorte retrospectivo, unicêntrico, com 55 pacientes submetidos a TxC no período de maio de 2019 a abril de 2023. Resultados: A regressão logística identificou, como variáveis associadas ao óbito, o aumento da creatinina no pós-operatório imediato (POI) (p = 0,0067), a resistência vascular pulmonar (RVP) (p = 0,0185) e a pressão sistólica da artéria pulmonar (PSAP) prévios ao TxC (p = 0,0415). Ao construir a curva ROC (receiver operating characteristic curve) com o delta do aumento da creatinina nas primeiras 24 horas do pós-operatório, o ponto de corte foi de 0.35 mg/dL, a sensibilidade de 0,76 e a especificidade de 0,90. Na curva ROC para a RVP, o ponto de corte foi de 2,23 unidades Woods (WU), com sensibilidade de 0,79 e especificidade de 0,72. Na curva ROC para a PSAP, o ponto de corte foi de 40,50 mmHg, com sensibilidade de 0,89 e especificidade de 0,86. Conclusão: Aumento da creatinina para valor maior ou igual a 0,35 mg/dL nas primeiras 24 horas, PSAP com valores superiores a 40,5 mmHg e aumento da RVP para valor acima de 2,23 WU estão associados ao aumento das taxas de mortalidade hospitalar após o TxC.
Atrial Fibrillation in the Perioperative Period of Liver Transplantation: An Integrative Review
Authors: Cardoso Rayanne Meirelly Vasconcelos , Fonseca Neto Olival Cirilo Lucena da
Published: July 2024

Objective: To review the development of atrial fibrillation (AF) during the perioperative period (intraoperative and postoperative) in liver transplant recipients. Methods: This integrative review sought to analyze the emergence of AF in the perioperative period of liver transplantation and its associated factors. The following databases were used: PubMed, MEDLINE, SciELO, and Scopus. The descriptors were interchanged using the boolean operator “AND”, with a time restriction of 10 years, in English and Portuguese. Initially, 305 articles were found, of which nine met the proposed objective after analysis. Results: In this review, nine articles were selected, categorized according to the onset of AF concerning liver transplant surgery: three concerning the onset of AF in the intraoperative period and six in the postoperative period. During the intraoperative period, cases of AF had a higher incidence after reperfusion of the liver graft. In addition, the group with AF had a higher incidence of liver failure, a higher model for end-stage liver disease (MELD) scores, higher serum total bilirubin concentrations, and increased international normalized ratio (INR) values. AF in the postoperative period was associated with older patients, higher MELD scores, and renal dysfunction. Hospital stay was prolonged, and the risk of mortality was increased in patients with postoperative AF. Conclusion: The appearance of AF in the perioperative period of liver transplantation suggests a correlation with patients with higher MELD scores, advanced age, and instability during surgery and may indicate a poor prognosis for the patient.
SPEECH PORTRAIT AS MEANS OF REVEALING THE CHARACTER OF THE HERO: A COMPARATIVE ASPECT
Authors: Nasipov I.S. , Shakirova К.М.
Published: July 2024

This article is devoted to the study of speech portrait of characters in dramatic works of Kazakh and Turkish writers. The authors of the article study the peculiarities of speech, which includes the choice of certain words, phrases and expressions used to create images and characters of the main characters. It is noted that the speech characteristic in the works is an important element in creating the image of the character, and the translation of such a work should be made in such a way as to preserve and reflect the meaning that the author of the original. When comparing the translations of Kazakh and Turkish writers’ works, the analysis of the ways of transferring the peculiarities of speech characteristics of characters was made. In the analysis it was found that the authors of works to characterize the main characters use a variety of means of language expressiveness. It is revealed that among the most frequent means the use of emotional-expressive vocabulary is noted. Thus, the authors conclude that the use of language allows writers not only to create detailed psychological portraits of the main characters of works, to reveal their complex inner world and experiences, but also to track and record the main stages of their personal development. The scientific work provides a number of scientific and theoretical opinions of famous literary scholars. The research methods were comparative analysis and the method of solid sampling.
FILM FAME AS A TOOL FOR EXPRESSING MEANING IN FILM
Authors: Aspandiyarkyzy G. , Jumasseitova G.T.
Published: July 2024

The purpose of this article is to investigate the influence of film frame on the perception and interpretation of meaning by viewers on the screen. The author attempts to analyze the role of frame in cinematography to shape meaning and emotionally affect the audience. Shedding light on the technical and aesthetic aspects of cinematographic art, such as the selection of angles, frame composition, lighting, and other elements, influences the perception and interpretation of the plot, creating profound and memorable visual images. This work explores how the frame is a crucial instrument in constructing meaning in cinema and significantly influences the viewer's perception of the cinematographic work. The main directions and ideas of the research include: Examining specific filming techniques such as framing, composition, lighting, colour palette, and shooting techniques, and their influence on conveying meaning and emotional charge of scenes and analyzing how specific filming techniques can affect the viewer's emotional state and their perception of events or characters; Investigating the ability of the frame to convey information through symbolism, associations, metaphors, and other hidden and indirect means; Studying how the choice of frames and visual techniques influences the interpretation of meaning, character development, and plot progression; Analyzing the role and importance of film frame in shaping the meaning of a film and providing readers with a deeper understanding of the impact of visual aspects on the perception and interpretation of the movie.
Educação estatística: uma articulação entre a formação do professor de matemática e o currículo da educação básica
Authors: Silva Jonnata Tavares da , Oliveira Raquel Fernandes , Nóbrega Manassés Pereira
Published: July 2024

Este artigo investiga a articulação entre a formação de professores de Matemática e o currículo da Educação Básica no contexto da Educação Estatística. A motivação para este estudo decorre da crescente importância do letramento estatístico como competência essencial para a cidadania no mundo contemporâneo. O objetivo central é apresentar algumas contribuições da pesquisa em Educação Estatística para a formação de professores de Matemática. Trata-se de uma pesquisa de cunho teórico, com uma abordagem bibliográfica e documental. São exploradas algumas discussões teóricas a respeito da formação estatística dos professores e estratégias pedagógicas para o ensino de conceitos estatísticos. A integração de tecnologias educacionais e a utilização de dados reais em sala de aula destacam-se como práticas eficazes. A pesquisa conclui que a colaboração entre instituições formadoras e escolas é essencial para garantir que os conteúdos, competências e habilidades previstas no currículo sejam efetivamente desenvolvidos, contribuindo para o letramento estatístico dos alunos. Este estudo reafirma a importância de uma formação estatística robusta para os professores de Matemática e sugere que um currículo bem estruturado pode potencializar significativamente o ensino de Estatística na Educação Básica, proporcionando implicações práticas para políticas educacionais e programas de formação.
Pengaruh Der, Tato Terhadap Nilai Perusahaan Perbankan Di Bursa Efek Indonesia
Authors: Maksum Maksum
Published: July 2024

Penelitian ini bertujuan untuk mengetahui pengaruh DER dan TATO terhadap Ukuran Perusahaan Perbankan yang diukur menggunakan ROA. Variabel independennya adalah DER dan TATO, sedangkan variabel dependennya adalah ROA. Sampel dalam penelitian ini terdiri dari 4 perusahaan perbankan yang terdaftar di Bursa Efek Indonesia dengan periode pengamatan tahun 2014 sampai dengan tahun 2022. Hasil penelitian menunjukkan bahwa variabel DER berpengaruh negatif signifikan terhadap Ukuran Perusahaan, dengan tingkat pengaruh sebesar 182,8 %. Sedangkan variabel TATO berpengaruh positif namun tidak signifikan terhadap Ukuran Perusahaan dengan tingkat pengaruh sebesar 38,3%. Dan DER dan TATO secara bersama-sama mempengaruhi Ukuran Perusahaan sebesar 65,8%
Analisis Tingkat Profitabilitas Pada Perusahaan Yang Terdaftar Di Bursa Efek Indonesia Periode 2018-2022 (Studi Kasus Pt Activity Based Management Investama Tbk)
Authors: Suardi Suardi , Yuliana Yuliana
Published: July 2024

Masalah utama dalam penelitian ini yaitu Bagaimana Tingkat Profitabilitas  Pada Perusahaan Yang Terdaftar Di Bursa Efek Indonesia Periode 2018-2022 (  Studi Kasus PT ABM Investama Tbk). Penelitian ini bertujuan untuk mengetahui  tingkat profitabilitas PT ABM Investama Tbk. Metode penelitian ini adalah metode  kuantitatif deskriptif. Analisis data dalam penelitian ini menggunakan GPM, NPM,  ROA, ROE. Hasil penelitian yang diperoleh berdasarkan perhitungan menunjukkan bahwa Gross Profit Margin pada tahun 2018 sebesar 23%, 2019 sebesar 18%, 2020  sebesar 17%, 2021 sebesar 36%, dan pada tahun 2022 sebesar 36%, dengan rata rata keseluruhan sebesar 26% dan rata-rata industri sebesar 24,90%. Net Profit  Margin pada tahun 2018 sebesar 9%, 2019 sebesar 1%, 2020 sebesar 6%, 2021  sebesar 18%, dan pada tahun 2022 sebesar 24%, dengan rata-rata rasio sebesar 12%  dan rata-rata rasio industri sebesar 3,92%. Return On Asset pada tahun 2018 sebesar  8%, 2019 sebesar 0%, 2020 sebesar 5%, 2021 sebesar 18%, dan pada tahun 2022  sebesar 17%, dengan rata-rata rasio sebesar 10% dan rasio rata-rata industri sebesar  5,98%. Return On Equity pada tahun 2018 sebesar 27%, 2019 sebesar 2%, 2020  sebesar 23%, 2021 sebesar 52%, dan pada tahun 2022 sebesar 55%, dengan rata-rata rasio 32% dan rasio rata-rata industri sebesar 8,32%. Berdasarkan hasil  perhitungan rasio profitabilitas dari tahun 2018-2022, PT ABM Investama Tbk  mengalami Fluktuasi
YASAMA ORGANLARININ “BİLGİLENİM (HEARING)” YETKİSİ VE TBMM’NİN GÜÇLENDİRİLMESİ İÇİN YENİ ÖNERİLER
Authors: İba Şeref , Şirin Sinem
Published: July 2024

Yasama ve yürütme organı arasındaki ilişkiler ve etkileşim açısından Anayasada “kuvvetler ayrılığı” ilkesinin ne şekilde benimsendiği ve uygulandığı belirleyici bir nitelik taşır. Katı veya belirgin kuvvetler ayrılığının esas alındığı başkanlık sistemlerinde denge ve denetleme mekanizmalarının işlerliği ve güncellenmesi daha önemli hale gelmektedir. Güçlü yürütme karşısında kaçınılmaz olarak parlamentonun da güçlendirilmesi hedefi doğrultusunda Anayasa, TBMM İçtüzüğü ve parlamenter hayatla ilgili diğer kanunların reforma tabi tutulması gerekmektedir. Bu bağlamda, anayasa değişikliği gerektirmeyen sadece TBMM İçtüzüğüne eklenebilecek yeni maddelerle, dünya parlamentolarında başarıyla uygulanmakta olan “hearing” yetkisinin getirilmesi gerekmektedir.
Bu gereklilikten hareketle bu çalışmada hükümet sistemi fark etmeksizin neredeyse tüm yasama organlarında kullanılan bu önemli aracın TBMM’de de uygulanması için bir model geliştirilmesi amaçlanmıştır. İngiltere, ABD, Almanya, Fransa, Macaristan, İspanya, Polonya ve Avrupa Parlamentosu olmak üzere farklı sistemlerdeki hukuki dayanağını ve yerleşik uygulamalarını karşılaştırmalı biçimde inceleyerek Türkiye’ye özgü nasıl bir İçtüzük değişikliği gerektiği konusunda öneri hazırlanmıştır.
Çalışmanın Sonuç Kısmında, üç maddeden ibaret bir İçtüzük Değişikliği Teklifi taslağı hazırlanmıştır. İçtüzük Değişikliği Teklifi taslağında, TBMM için üç türlü “bilgilenim” yetkisi önerilmektedir. Bunların ilki ABD başkanlık sistemi de dahil tüm hükümet sistemlerinde görülen yürütme organının üst kademe kamu yöneticilerini ataması süreciyle ilgilidir; ikincisi, daimi komisyonların kendi görev alanlarıyla ilgili sürekli “bilgilenim” yetkisidir. Üçüncüsü ise, en az yılda bir defa ilgili daimi komisyonlarda düzenlenecek “dinleme ve izleme” amaçlı bilgilenimdir. Kanunların uygulamasını izleme anlamında parlamento çatısı altında gerçekleştirilecek bilgilenim, fiilen başarıyla uygulandığı takdirde, ülkemizden dünya parlamentolarına örnek uygulama modeli olabilecek bir mekanizma ortaya çıkabilir.
AVRUPA BİRLİĞİ ADALET DİVANI’NIN HAMAMATSU KARARI: YARGISAL AKTİVİZM AÇISINDAN BİR DEĞERLENDİRME
Authors: Yumuk Hamit
Published: July 2024

İlişkili şirketler arasındaki transfer fiyatlandırması düzenlemelerinin eşyanın gümrük kıymeti üzerindeki etkisi ve Avrupa Birliği Adalet Divanı’nın yargısal aktivizmi yazında uzun yıllardır tartışılmaktadır. Ancak Divan’ın, Avrupa Birliğine ithal edilen eşyanın gümrük kıymetinin, geriye dönük olarak ayarlanan şirketler arası transfer fiyatları esas alınarak belirlenip belirlenemeyeceği konusunu ele aldığı Hamamatsu kararından sonra, Divan’ın bu konudaki yargısal duruşunu gümrük kıymetinin belirlenmesi açısından değerlendirmek mümkün olmuştur. Dolayısıyla, bu makalenin amacı Hamamatsu kararını inceleyip analiz etmek ve kararın yargısal aktivizmin mi yoksa yargının kendini sınırlandırmasının mı bir sonucu olduğunu tespit etmektir. Bu amaçla makalenin ilk bölümünde yargısal aktivizm ve kendini sınırlama kavramları ile Avrupa Birliği Adalet Divanı’nın yargısal tutumu incelenmektedir. Bu makalenin ikinci bölümünde gümrük kıymetinin ve transfer fiyatlandırmasının temel ilkeleri saptanmaktadır. Makalenin üçüncü ve son kısmı, ilk iki bölümden elde edilen veriler ışığında Hamamatsu kararını değerlendirmektedir.
DÖNÜŞTÜRÜCÜ ANAYASACILIK: ORTAYA ÇIKIŞI VE EVRİMİ
Authors: Güzel Mehmet Nuri
Published: July 2024

Yaygın anayasacılık anlayışı, anayasacılığa negatif terimlerle yaklaşmaktadır. Negatif anayasacılık yaklaşımlarına göre anayasacılığın amacı siyasi iktidarı sınırlamaktır. Pozitif anayasacılık ise devleti, anayasal ilkelere bağlılık yoluyla üyelerinin refahını etkin bir şekilde teşvik etme kapasitesiyle kurumsallaştırmayı amaçlar. Şiddet içermeyen ve hukuka dayalı siyasi süreçler yoluyla, toplumun dönüştürülmesini ve özellikle sosyal adaletin sağlanmasını amaçlayan dönüştürücü anayasacılık da bu açıdan bir pozitif anayasacılık yaklaşımıdır.
Güney Afrika Cumhuriyeti Anayasası bağlamında ortaya çıkan dönüştürücü anayasacılık kavramı, farklı mekân ve zamanlarda, farklı bağlamlarda kullanılmıştır. Bu durum onu, bir üst kavram olarak değerlendirmeye olanak sağlamaktadır. Dönüştürücü anayasacılıkla ilişkilendirilen ülkelerin, bu kavramın tüm ayırt edici özelliklerini paylaşmak zorunda olmaması ise bu kavramı çok yönlü bir kategori olarak ele almaya imkân vermektedir.
Dönüştürücü anayasacılık, eşitsizliğe neden olan ve eşitsizlikleri güçlendiren yapıların açıkça hedef alınması ve ortadan kaldırılması ihtiyacı üzerine ortaya çıkmıştır. Barışçıl bir toplumsal dönüşümü ve sosyal adaletin sağlanmasını amaçlamaktadır. Dönüştürücü hedefler içeren bir anayasaya sahip olmayı ve hukuk kültüründe dönüşümü gerektirir. Ayrıca sosyal ve ekonomik haklar da önemli bir yere sahiptir.
Her ülke için farklılık gösterse bile dönüştürücü anayasacılık deneyimleri ve dönüştürücü anayasalar, ülkemizde devam eden anayasa yapımı tartışmaları için dikkate alınabilecek hususlar barındırmaktadır.
SİYASİ PARTİLERİN İL VE İLÇE TEŞKİLAT KADEMELERİNDE ÇALIŞAN İŞÇİLERİN İŞVERENİNİN TESPİTİ VE İŞ HUKUKU BAKIMINDAN SONUÇLARI
Authors: Ekin Ayşegül
Published: July 2024

Siyasi Partiler Kanunu m. 71’de siyasi partilerin mali sorumlulukları bakımından yapacakları giderler, sözleşmeler ve girişecekleri yükümlülükler bakımından il ve ilçe teşkilatlarında yapılan işlemlerde sorumluluğun merkez karar ve yönetim kurulunca önceden yazılı yetki verilmediği veya sonradan onaylanmadığı takdirde il ve ilçe teşkilat kademelerinin sorumlu olacağı belirtilmiştir. Parti tüzel kişiliği tarafından yetki alınmadan veya sonrasında onaylanmayan her türlü sözleşmeden parti tüzel kişiliğinin sorumlu olmayacağı, sorumluluğun sözleşmeyi yapan veya yükümlülük altına giren kişi veya kişilere ait olacağı düzenlenmiştir.
2016 yılında söz konusu kanun hükmüne eklenen “hizmet sözleşmeleri de dahil her türlü” ibaresi ile iş hukuku bağlamında yapılacak iş sözleşmesinin işvereninin tespiti ve sorumluluğun belirlenmesi önem arz etmektedir. Siyasi partinin il veya ilçe teşkilatlarında çalışan işçilerin çalıştıkları dönemde şayet parti tüzel kişiliği tarafından yetki alınmadan iş sözleşmeleri yapılmış ve devam etmişse, aynı siyasi parti teşkilatında çalışan işçi bakımından il ve ilçe teşkilat kademelerinin değişmesi nedeniyle işverenlerinde değişiklik söz konusu olacaktır. Çalışmamızda siyasi parti il veya ilçe teşkilatında iş sözleşmesi ile çalışan ancak bu iş sözleşmesinin yapılması için parti tüzel kişiliğinden yetki alınmadığı veya sonradan onay verilmediği durumlarda işçinin işverenlerinin tespiti, işverenlerin sorumlulukları tüm yönleriyle ulusal mevzuat çerçevesinde değerlendirilecektir.
A new way to detect rim rent tears of the rotator cuff: Real-time sonoelastography
Authors: Balaban Mehtap , Çilengir Atilla Hikmet , Şığıt İkiz Sinem , İdilman İlkay Sedakat
Published: July 2024

Aim: To evaluate real-time sonoelastography (RTSE) findings of the rotator cuff (RC) in patients with rim-rent tears (RRTs) and compare them with a control group of healthy individuals.
Methods: A total of 101 RC tendons were evaluated in 54 patients with RRTs and 31 healthy individuals. RC tendons were evaluated by routine shoulder dynamic ultrasound (US) and RTSE examination. US and RTSE findings were evaluated in patients with RRTs and healthy individuals for the same tendons of the RC.
Results: A total of 85 individuals (male/female: 34/51) and 101 RC tendons (54 with RRTs and 47 healthy tendons) were included in this study. According to the RTSE evaluation, all of the RRTs had yellow and red areas within green/blue coding, and all of the RC tendons in healthy volunteers had blue and green coding on sonoelastography.
Conclusion: We demonstrated tear areas and softening of the RC tendons in patients with RRTs compared to healthy volunteers. RTSE findings may be associated with RRTs of the RC tendons in this patient population and also can be useful for the evaluation of RRTs.
Pulmonary Embolism in Klippel-Trenaunay-Weber Syndrome With Slipped Capital Femoral Epiphysis
Authors: Chen Yi-Chih , Kuo Ken N. , Shih Po-Jen , Yeh Peng-Lin , Wu Kuan-Wen
Published: July 2024

Case:

A 12-year-old boy with Klippel-Trenaunay-Weber syndrome underwent surgery for unstable slipped capital femoral epiphysis who developed pulmonary embolism postoperatively.

Conclusion:

It is important to be vigilant about pulmonary embolism in children because it is rare but potentially fatal, especially in the presence of risk factors. Early diagnosis and treatment of unstable slipped capital femoral epiphysis are crucial to minimize immobility. Close monitoring of femoral head osteonecrosis is also necessary.
Influence of Training Background on Elbow Arthroplasty Case Numbers: An Analysis of the American Board of Orthopaedic Surgery Part II Oral Examination Case List Database
Authors: Schmidt Gregory J. , Hillesheim Richard A. , Hoyer Reed W.
Published: July 2024

Introduction:

This study aimed to evaluate the influence of training background on the frequency and indications of elbow arthroplasty performed by early-career surgeons.

Methods:

A review of the American Board of Orthopaedic Surgery Part II Oral Examination Case List database from 2010 to 2021 was completed. The number of cases performed by surgeons from each individual training background were calculated and compared with the total number of surgeons who completed each fellowship during the study period.

Results:

Hand surgeons performed the most elbow arthroplasty cases (132, 44%), but a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty in comparison (15% vs. 7%). The mean number of TEA cases performed by shoulder/elbow surgeons was significantly higher than in other subspecialties (P < 0.01). However, when comparing only surgeons who performed elbow arthroplasty during the board collection period, there was no significant difference between training backgrounds (P = 0.20).

Discussion:

While hand surgeons performed the most elbow arthroplasty cases, a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty during the study period. The high prevalence of distal humerus fracture as an indication for arthroplasty reflected a shift in indications and was not related to training background.
Association Between Vitamin D Deficiency And Suicide Attempts In Patients With Major Depressive Disorder
Authors: Memon Zahoor Ahmed , Ambreen Syeda , Lakho Arshad Sattar , Abro Akbar Gohar , Bashir Saba , Shah Hanozia
Published: July 2024

Major Depressive Disorder (MDD) is significant public health concern that is often associated with an increased risk of suicide attempts. Emerging research suggests that Vitamin D3, a nutrient primarily obtained through sunlight exposure and certain foods, plays a crucial role in brain health and mood regulation and thus affects various psychiatric disorders, including depression. Objective: To determine the association between decreased Vitamin-D levels and a history of attempted suicide among patients suffering from Major Depressive Disorder. Methods: A comparative cross-sectional study was carried out from December 2020 to June 2021, on a sample of 104 patients diagnosed with Major Depressive Disorder. Half of the samples were with Vitamin-D3 deficiency while half of the sample were without Vitamin-D3 deficiency. This research was carried out at the Department of Psychiatry and Behavioral Sciences, Liaquat University Hospital, Hyderabad, Pakistan. Data were analyzed with SPSS version 21.0. Results: The mean age of the sample stood at 44 years (09 ± SD). A majority of the sample comprised of male (55.77%), hailing from an urban background and a middle socioeconomic set-up (60.58%). The mean Vitamin-D level was 18.63 ng/ml, while the mean Vitamin-D3 level was 14.77 ng/ml and 22.05 ng/ml for groups A and B respectively. History of attempted suicide was more prevalent among patients with Vitamin D3 deficiency. Conclusion: The research concluded that Vitamin-D deficiency is found to be one of the factor for suicidal attempts in patients with Major Depressive Disorder.
De rol van jonge ervaringsdeskundigen in het versterken van jeugdparticipatie in de jeugdhulp
Authors: Peeters Lieselotte , Wierda-Boer Hilde
Published: July 2024

Volgens artikel 12 van het Internationale Kinderrechtenverdrag hebben alle kinderen het recht om hun mening te uiten en gehoord te worden. In de Nederlandse jeugdhulp hebben kinderen echter weinig inspraak. In dit artikel wordt onderzocht hoe ervaringsdeskundigen ingezet kunnen worden om jeugdparticipatie in de jeugdhulp te versterken. In acht semigestructureerde interviews is de rol van jonge ervaringsdeskundigen (21-29 jaar) in het borgen en bevorderen van jeugdparticipatie in jeugdhulp onderzocht. Hiervoor is het Participatiemodel (Lundy, 2007) gebruikt. Uit de resultaten blijkt dat ervaringsdeskundigen rollen voor zichzelf zien als vertalers en bruggenbouwers om de stem en invloed van kinderen in de jeugdhulp te versterken. Om deze rollen te kunnen vervullen, gaven ze aan behoefte te hebben aan ondersteuning en facilitering. Een cultuuromslag in het denken over jeugdparticipatie in de jeugdhulp is daarvoor nodig.
Waar staan we met sociale kwaliteit in het sociaal werk? Kansen voor de wetenschappelijke onderbouwing en doorontwikkeling van het beroep
Authors: Verharen Lisbeth , Wolf Judith , Algera Marco , Holtrop Ina , Moorman Nicole , Van Pelt Mariël , Tuinstra Jolanda
Published: July 2024

In 2020 verscheen de landelijke Kennis- en Onderzoeksagenda Sociaal Werk. In deze agenda wordt de sociale kwaliteit benadering als relevant en bruikbaar gezien voor de doorontwikkeling van het beroep sociaal werk. In dit artikel geven we de kern van deze benadering weer en belichten de potentie voor het sociaal werk. Op basis van de uitkomsten van een literatuurstudie en een online uitvraag laten we zien welke toepassingen van de sociale kwaliteit benadering er in het sociaal werk zijn. Voortbouwend op deze toepassingen bieden we in het laatste deel van het artikel handvatten voor verdere wetenschappelijke onderbouwing en doorontwikkeling van het sociaal werk. Dit doen we aan de hand van de vier kennispijlers van de Kennis- en Onderzoeksagenda: bevorderen van sociale samenhang; bevorderen van inclusie; versterken van het gewone leven; en laten doorklinken van de stem van de burger/inwoner. We laten zien hoe in onderzoek naar sociaal werk de constitutionele, conditionele en normatieve factoren van de sociale kwaliteit benadering kunnen worden gebruikt.
Automation and control system implementation in a smallholder crop production in Uganda: A review
Authors: Zziwa Ahamada , Wanyama Joshua , Matsapwe David , Kizito Simon Savio , Mibulo Tadeo , Baidhe Emmanuel
Published: July 2024

This review paper explores the potential of automation and control systems in addressing critical challenges faced by agriculture in developing countries, with a specific focus on their applicability in Uganda. The study aims to comprehensively evaluate the role of these systems in enhancing agricultural practices, including the identification of adoption challenges, assessment of potential benefits, investigation of system effectiveness, and provision of evidence-based recommendations. The findings reveal that while there are notable obstacles such as high initial costs, limited technical expertise, and database constraints, there are also substantial opportunities, particularly through the integration of supportive information and communication technology (ICT) strategies and policies. Automation has demonstrated its effectiveness in various agricultural tasks, from mechanized tractors to food processing and livestock farming, offering promising prospects for value addition, irrigation, hydroponics, aquaponics, greenhouse farming, and livestock management. Despite the current modest adoption rates, the study provides compelling evidence supporting the need for increased utilization of automation and control systems in Uganda’s agriculture. Collaboration among stakeholders, formulation of supportive policies, development of comprehensive databases, prioritization of tailored ICT infrastructure, and facilitation of knowledge sharing are recommended to overcome challenges and harness the transformative capability of automation. In conclusion, embracing automation holds the key to enhancing the sustainability and food security of Uganda’s agriculture, offering valuable insights for policymakers and stakeholders in guiding the sector’s future advancement.
The Impact of FDI on Wealth Creation in Morocco: A Theoretical and Econometric Exploration
Authors: Youness Dabnichi , Abderrahim Ferroud
Published: July 2024

This article delves into the role of Foreign Direct Investment (FDI) in wealth creation in Morocco. The in-depth analysis highlights the economic implications and outcomes of FDI on the country’s economic development. The study emphasizes potential benefits such as job creation, technology transfer, and increased productivity. The research also explores challenges and risks associated with FDI, including the potential dependence on foreign investors and socio-economic inequalities. Concrete examples are provided to illustrate the impact of FDI on key sectors of the Moroccan economy. In conclusion, the article proposes policy recommendations to maximize the benefits of FDI while mitigating risks. It underscores the importance of a balanced and strategic approach to harness the full potential of foreign investments, promote sustainable economic growth, and enhance wealth creation in Morocco. In light of our econometric study on the impact of FDI on wealth creation in Morocco, the findings demonstrate that foreign direct investment (FDI) has played a crucial role in wealth creation in the country. The positive effects of FDI are clearly discernible across various sectors of the economy.
Development of Functional Nutritional Whey Beverage with Herbal Extract and Its Sensory Quality
Authors: Chowdhury Aditi Roy , Guha Ambitama
Published: July 2024

The dairy industry is one of the biggest Food Industries worldwide. In the dairy industry, lots of whey is during the Paneer manufacturing process. In local sweetmeat production units of India, a huge amount of whey is not handled for preservation and is discarded locally which increases the BOD level of wastewater. The objective of the current work is to make a value-added product utilizing dairy waste with the inclusion of natural preservatives in the form of herbal extracts. Transforming the whey into a value-added product is addressed in the present study. The management of such waste may generate a beneficial product (Herbal whey beverage) with numerous health benefits and it may be recognized as a functional whey beverage worldwide. The methodology of the production of whey was followed using the natural curdling agent in hot conditions with cow milk and cooled down immediately. Herbal extracts were prepared and mixed with whey, maintaining a proper ratio, and different trial runs were done. The final pasteurization step was carried out with a specific time-temperature profile. The final finished product was hot-filled in a 200 ml sterile glass bottle and corked. The production, preservation, and overall shelf-life study were undergone in the current work. The preservation concept was addressed with some natural preservatives using herbs like Cumin, Cinnamon, and Mint for their antimicrobial properties. The observation of the current work satisfactorily claims that the developed beverage is microbially safe for up to 4 weeks when kept in a refrigerated condition. The sensory analysis and chemical analysis also suggest the product’s goodness up to 4 weeks with all attributes of sensory parameters like haze, pH, brix, colour, flavour, taste, and mouth-feel. All the operational steps were handled hygienically.
Evaluation of Celery Juice Powder as a Natural Curing Agent for Tocino
Authors: Policarpio Joshua Ken J
Published: July 2024

Artificial food preservatives are a key consideration for consumers purchasing cured meat products, which often contain sodium nitrite, a curing salt known to produce carcinogenic nitrosamines. To address health concerns, ongoing research seeks natural alternatives that maintain product quality. This study investigates the potential of celery juice powder as a natural curing agent for tocino, leveraging its nitrite content. Despite vegetables being recognized as natural nitrite sources, their use is limited due to potential impacts on color and flavor. Celery juice powder has emerged as the preferred natural nitrite source. According to USDA guidelines, celery juice powder can adhere to regulatory limits while effectively curing meat products. A 2k factorial design experiment was conducted, incorporating four treatments generated through Yates’ table and the Design Expert application. Analysis of variance (ANOVA) and linear regression were employed to evaluate the significance and relationships of factors affecting nitrite levels in cured tocino. Results demonstrate the statistical viability of celery juice powder as an alternative curing substance, contributing valuable insights into its practical application in the food industry.
From Likes to Earnings: The Lived Experiences of Real Estate Professionals Using Social Media Marketing
Authors: Sambrana Geraldine R , Pendon Yuri U , Bonghanoy Charito L
Published: July 2024

This study explores the lived experiences of licensed real estate professionals and agents who use social media in marketing properties that lead from “likes to earnings” in Cebu City, Philippines. Creating a prospective client and boosting sales listings for their promotional advertisements on social media is essential. The research provides the theory on the role of social media marketing and sales in the real estate market. It is based on the Social Media Engagement Theory (SMET) described by Kaplan and Heinlein, which emphasizes the role of user interaction or engagement on social media platforms. Moreover, the paper investigates social media user engagement and examines the interplay between social relations and digital tools. Although SMET has limitations, it is crucial as it guides social media marketing strategies and helps understand user behavior. The research is a qualitative method and uses interpretive hermeneutic research design principles to interpret the data. Furthermore, the study’s findings show the implications of social media marketing, including the utilization of digital tools strategically, ethical conduct, and lifelong learning to maintain leads and targeted clients’ buying behavior. Further, the SOSIS Marketing Model for real estate practitioners as an output of this study would greatly help improve the overall performance of both real estate practitioners and agents. In essence, this study helps recognize social media’s engagement in the real estate industry with feasible implications for professionals in the sector to develop efficient marketing strategies.
Calling a Spade a Spade: Making the Case for Construing Exclusion Agreements in Arbitration as Exclusion Clauses
Authors: Keat Edwin Teong Ying
Published: July 2024

Exclusion Agreements (‘EAs’) are agreements excluding the right to appeal arbitral awards. However, a lacuna exists in the analysis of EAs. courts when ruling on EAs, lapse into dichotomous outcomes – enshrine party autonomy or respect issued awards. Therefore, this article argues for the law on exclusion clauses to be applied to EAs for five reasons. First, EAs are essentially exclusion clauses as they also demarcate obligations. Second, the proposed solution adds rigour to the analysis of EAs. Third, EAs share very similar policy considerations with exclusion clauses. Fourth, the potential doctrinal objection – doing so violates the doctrine of separability – is rebutted. The tribunal presides over proceedings to issue arbitral awards, while courts decide the validity of EAs. Further, the roots of ‘separability’ is arguably procedural in enshrining choice of dispute settlement. Lastly, subjecting exclusion clauses to stricter scrutiny than EAs sends the wrong signal to parties invoking EAs.
The Path to Becoming a Modern International Arbitrator: Implications for Diversity and Systemic Legitimacy
Authors: Kamath Alex
Published: July 2024

Arbitrators form the cornerstone of the international commercial and investment arbitration regimes. In an age of globalized business, the path to becoming an international arbitrator, analysed from a legal profession perspective, is a growing area of interest. This study, using an interview-based methodology, seeks to shed light on the process of becoming an international arbitrator today. The focus is primarily on independent arbitrator practices, which consist of individuals who are not associated with a firm but might be affiliated with a barrister or arbitration chambers, and who dedicate the majority of their professional activity to sitting as an independent arbitrator in both the commercial and investment arbitration contexts. It analyses the reasons that motivate individuals to go ‘solo’ and the challenges that these individuals face after founding their practices. Additionally, information on the economics of an independent arbitrator practice and the management of case flow is provided. Through their interviews, respondents provide tips on business development and growth of successful independent arbitrator practices. This information is then analysed to provide key takeaways on the business models of modern international arbitrators. Finally, the study offers insights on the impact of these independent arbitrator practices on the questions of diversity and double hatting in international arbitration.
The Power to Join Parties or Consolidate Separate Arbitrations in International Arbitration
Authors: Ashford Peter
Published: July 2024

No man is good enough to govern another man without the other’s consentp style="text-align: right; "Abraham LincolnArbitration is a creature of consent: parties agree to contract out of a state court system and into a private dispute resolution mechanism. Subject to some mandatory provisions to safeguard the process, parties can agree on most things. Joining third parties is a complex area of consent. Consent may take many forms but most typically will come from the incorporation of institutional rules that provide for joinder or consolidation. There is a good degree of similarity between the claim to be joined and the existing claim, and both claims generally share the same seat, governing laws and institutional rules. In many cases the same agreement to arbitrate is required. The entity deciding the joinder is likely to be most influenced by considerations of efficiency.
Enforcement of Arbitral Awards in the New Insolvency Regime: A Need for Harmonizing the Hostility
Authors: Kapoor Arshit , Bhalotia Kartikey Sanjeev
Published: July 2024

Insolvency and Arbitration law are premised on very contradictory legal principles. On one hand, the insolvency law aims for a centralized approach towards determination and enforcement of liabilities among parties. On the other hand, arbitration law provides for a mechanism where contracting parties choose their own forum to resolve disputes in a completely decentralized manner. This apparent conflict has often led to the raising of several important legal propositions in cases when these incompatible laws collide. This article analyses the hostility between the Arbitration and Conciliation Act 1996 and the Insolvency and Bankruptcy Code 2016 in terms of its effect on the continuation of arbitration proceedings and the consequent enforcement of arbitral awards against the insolvent party. The paper deals with this legal conundrum under both domestic and foreign seated arbitration proceedings. This discussion assumes special importance due to the lack of literature and precedents on the proposition.
The Adequacy of Remedies in International Investment Law: Should the Legal Framework Be Revisited for a Proper Remedy?
Authors: Reza Younesi Hamid
Published: July 2024

This article aims to examine the subject of remedies in international investment law under two competing theories of contracting which encompass different implications for contractual relationships. It first assesses the available remedies in existing international investment law and then looks at the approach taken by relational contract theory. The article addresses the inadequacy of the remedies suggested by the classical model (existing and dominant law) in maintaining equilibrium and restoring contractual balance in international investment contracts. In light of these analyses, the article attempts to determine and develop the features and availability of remedies suggested by the relational model in international investment agreements. It underlines that the suggested remedy according to relational theory would serve the joint purpose and interests of contracting parties.
Responsibility After Succession: The Work of the International Law Commission and Its Application for Seeking Redress After the Breach of Investor-State Agreements
Authors: Raxter Lena
Published: July 2024

Historically, a predecessor state’s responsibility for wrongful acts did not transfer to a successor state. Nevertheless, over time, this view has evolved to include the acceptance of responsibility in certain cases – creating ambiguity in the state of the law. To address this ambiguity, the United Nations (UN) International Law Commission (ILC) added ‘Succession of States in respect of State responsibility’ to its program of work with the objective of identifying and codifying existing and emerging rules – culminating in the creation of the Draft Articles on Succession of States in Respect to State Responsibility. But what effect will this work have in practice for investor-state disputes? In addressing this question, this article concludes that the ILC’s work has codified crucial elements in the laws of both state succession and state responsibility, and therefore should be consulted when practitioners are developing their case strategies.
A Choice Between Pandora’s Box and a Procrustean Bed? Internationalizing the Rate of Pre-award Interest in International Arbitration
Authors: Petres Botond
Published: July 2024

The cornerstone of every arbitral award is the quantum of damages awarded. Yet, the principal must be brought forward in time, and that procedure involves the application of interest. International treaties, Bilateral investment treaties (‘BITs’) and national legislations all have their views on interest. However, determining the exact rate of interest often comes down to a case-by-case basis, where both quantum experts and lawyers have their say. A multitude of different approaches have been deployed in international arbitration. These include recourse to borrowing rates, or theories like the ‘coerced loan’ or the ‘alternative investment’. This article overviews the main approaches regarding the rate of pre-award interest and questions their suitability. A potential portfolio approach and other alternatives are assessed in case of the alternative investment theory, to balance the deficiency of the risk-free rate. The article also discusses the future of Interbank rates, after the London Inter-Bank Offered Rate (‘LIBOR’) cessation.
Better Never Than Late?
Authors: Harris Peter , Ali Mohsun
Published: July 2024

This paper considers the rules and principles governing the timing for the submission of legal authorities by parties in international arbitration proceedings. It also considers how rules around legal authorities interact with general considerations of procedural fairness and legal principles concerning the arbitral tribunal’s knowledge of the applicable law (including the principle of iura novit curia).
A Behavioural Approach to Confidentiality Rules and Practices in International Arbitration
Authors: T. Gumbu Takunda
Published: July 2024

Confidentiality is a central aspect of international arbitration meant to protect interests, mostly economic, which are ordinarily not deemed confidential in litigation. As a result, several rules and procedures have been adopted in international arbitration to promote and enforce confidentiality. These rules and procedures involve behavioural aspects which this article identifies using behavioural law and economics (BLE). BLE recognizes that people display bounded rationality, bounded willpower and bounded self-interest which explains why parties favour certain arbitration rules and procedures on confidentiality. An examination of leading arbitration rules such as the London Court of International Arbitration (LCIA) Rules, as well as separate procedures generally practiced by arbitration practitioners, show that BLE principles play a critical role in shaping party approaches to confidentiality in international arbitration. Bounded rationality is the most prominent BLE principle in both arbitration rules and procedures relating to confidentiality.
Case Review
Authors: Kesar Divya
Published: July 2024

The issue of nationality of juridical persons remains unsettled long after the decision of Barcelona Traction five decades ago. In the past decade, successive International Centre for Settlement of Investment Disputes (ICSID) awards involving Cypriot corporate investors have added fuel to an already contentious and highly debated issue of nationality of juridical persons. Suffice it to say that several theories devised over a period of time have left ample room for different interpretations. A combination of criteria is used in modern BITs and FreeTrade Agreements (FTAs) for determining the nationality of companies, such as referring to the state of incorporation, management (seat) of the company, or control. It is pertinent to note that Article 25 of the ICSID Convention deliberately does not define what constitutes an investor and leaves it to the contracting parties to determine the nationality of an investor. Simply stated, the ICSID Convention does not specify what should be understood as the seat of a legal entity.