bluuebunny/crossref_metadata_2025 huggingface dataset:
ENTÃO SEGUIMOS A DICOTOMIA: NÓS VAMOS SEGUIR O CURRÍCULO, OU NÓS VAMOS TRABALHAR CONTEÚDO DO ENEM?
Authors: Silva Thaiza Aparecida Da
Published: September 2023

Neste trabalho pretendo elucidar os princípios que norteiam as escolhas de conteúdo de uma professora de língua inglesa do 3º ano do ensino médio. A professora atua na rede pública estadual. O objetivo é investigar (i) a autonomia que ela acredita ter para desempenhar suas práticas e (ii) a ‘obrigação’ (ou não) que ela tem em abordar conteúdo extra ao do indicado ao terceiro ano devido ao ENEM. Para tanto, foi analisado um excerto do discurso da professora em relação à sua prática de ensino no terceiro ano do ensino médio. Os dados apontam que a professora acredita ter autonomia para escolher o conteúdo que ela trabalha no terceiro ano, mas ao mesmo tempo, demonstra ter que direcionar suas aulas para a preparação dos alunos ao ENEM. A análise do discurso da professora nos leva a acreditar que a autonomia que ela deveria ter, está na verdade, vinculada ao teste estandardizado do ENEM.
TAREAS DE MOODLE PARA LA ELABORACIÓN DE RÚBRICAS DE VALORACIÓN
Authors: Cárdenas Valverde Juan Carlos , Aguado Riveros Uldarico Inocencio , Cayllahua Yarasca Ubaldo , Flores Poma Irina Giovanna , Sánchez Carlessi Héctor Hugo , Gutiérrez Rodulfo Enrique Máximo , Quispe Cárdenas Josimar Junior , Cárdenas Flores Jean Edward , Cárdenas Flores Kimberly Johana , Campodónico Matías Patricia Aurora
Published: September 2023

Desarrollar una cultura de evaluación en los docentes y autoevaluación en los educandos es de vital importancia en el mundo académico; ello permite que, permanentemente, puedan reflexionar (antes, durante y después) al realizar diferentes actividades académicas, investigativas, o, inclusive, de la vida personal. En consecuencia, se propone el siguiente. Objetivo: Establecer la influencia de la aplicación de Tareas de Moodle para la elaboración de Rúbricas de valoración en docentes de nivel superior universitario intercultural. Método: El estudio es aplicado bajo el soporte del paradigma cuantitativo. El diseño es el preexperimental con un solo grupo. La población la conforman docentes de la carrera profesional de educación de una universidad intercultural de la ciudad de Huancavelica-Perú. La muestra son 11 educadores de diferentes especialidades. Se empleó el muestreo no probabilístico. Se aplicó una rúbrica de valoración, para el acopio de información, con 20 ítems sobre el uso y manejo de tareas de ‘Moodle’ y elaboración de Rúbricas. Resultado: Los resultados evidencian que, según la tabla 4 y figura 2, existe un 61,9% (13 educadores) se ubican en el nivel Alto; y el 38.1% (8 profesores) se hallan en el nivel Muy Alto. Eso significa, entonces, que luego de la aplicación de la experiencia de investigación, se realiza un uso permanente y masivo de las tareas ‘Moodle’ para la elaboración de rúbricas de valoración en sus correspondientes asignaturas. Conclusión: Por lo mencionado se concluye que “La aplicación de ‘tareas de Moodle’” tiene influencia significativa para la elaboración de Rúbricas de valoración en docentes de nivel superior universitario intercultural.
PELAKSANAAN PENGEMBANGAN USAHA KECIL DAN MENENGAH DI DINAS KOPERASI DAN UMKM
Authors: Hoerul Umam  , Yohanes Muda Kenahin
Published: September 2023

This research focuses on the real problems in the implementation of micro, small and medium enterprise (MSME) development by the Sukabumi District Cooperative and SME Office. Some of the problems identified include budget limitations, barriers in access to mobilization, lack of communication, coordination and integration in handling and monitoring MSMEs. These problems reflect significant challenges in the development of MSMEs, particularly in Sukabumi District.

This research adopts the concept of Imput, Process, and Output applied in Syafiie's theory (2011:102-103). This theory emphasizes that good results (Output) can only be achieved if the Input and Process are also good. Therefore, this research aims to improve the effectiveness and efficiency of the implementation of MSME development at the Sukabumi District Cooperative and SME Office by ensuring good and correct inputs and improvements in the process.

The research method used is a qualitative approach with descriptive method. The informants in this study involved the Head of the Cooperative and SME Office, the Coordinator of the SME Empowerment Division, the SME Development Coordinator, and two MSME players from Sukabumi District.
EFEKTIVITAS PELAYANAN KESEHATAN DI PUSKESMAS
Authors: Lisna Novita  , Dina Deviana Anggraeni
Published: September 2023

Efektivitas pelayanan kesehatan di Puskesmas Nagrak di Kecamatan Nagrak, Kabupaten Sukabumi belum sepenuhnya optimal. Salah satu penyebabnya adalah kurangnya efektivitas dalam pelayanan yang diberikan oleh tenaga medis. Oleh karena itu, penulis tertarik untuk mengkaji efektivitas pelayanan kesehatan di Puskesmas Nagrak dengan menggunakan pendekatan teori efektivitas.

Menurut Saxena dalam Indrawijaya (2014:176), efektivitas adalah ukuran sejauh mana target (baik dalam hal kuantitas, kualitas, maupun waktu) yang dapat dicapai. Semakin besar target yang dapat dicapai, semakin tinggi tingkat efektivitas. Pendekatan ini lebih menekankan pada hasil yang dihasilkan oleh suatu layanan daripada masalah-masalah yang mungkin muncul dalam penggunaan sumber daya.

Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian kualitatif analisis deskriptif. Fokus penelitian ini adalah pada Efektivitas Pelayanan Kesehatan di Puskesmas Nagrak Kecamatan Nagrak. Terdapat enam informan penelitian yang dipilih dengan menggunakan metode purposive sampling dan snowball sampling. Informan penelitian meliputi Kepala Puskesmas, Tenaga Kesehatan, Pegawai Administrasi, dan Masyarakat. Data dikumpulkan melalui wawancara, observasi, dan dokumentasi. Untuk memastikan validitas data, dilakukan triangulasi sumber, triangulasi teknik, dan triangulasi waktu. Analisis data dilakukan melalui pengolahan data, penyajian data, reduksi data, dan penarikan kesimpulan/verifikasi.

Hasil penelitian menunjukkan bahwa semakin baik pelayanan kesehatan, maka semakin efektif pelayanannya. Dengan demikian, untuk meningkatkan efektivitas pelayanan kesehatan di Puskesmas Nagrak Kecamatan Nagrak Kabupaten Sukabumi, perlu dilakukan pembenahan dalam aspek pelayanan agar lebih efektif terhadap masyarakat. Dengan demikian, harapannya efektivitas pelayanan kesehatan dapat tercapai.
PENGARUH PENGAWASAN KEPALA SEKOLAH TERHADAP EFEKTIVITAS PELAKSANAAN PROGRAM INDONESIA PINTAR (PIP) DI SMPN 1 WARUNGKIARA KABUPATEN SUKABUMI
Authors: Hilyatul Auliya
Published: September 2023

The research departs from a problem namely the effectiveness of the smart Indonesia Program is not yet optimal, one of the factors considered to influence the not yet optimal implementation of the Smart Indonesia Program. Researchers use the theory of Supervision according to Siagian (2017 :114-115) and the theory of effectiveness according to Saxena in Indrawijaya (2010:176).Researchers used a quantitative approach, the samples used were 108 people from a population of 893 people taken by probability sampling technique with the Disproportionate stratified random sampling method and the Slovin formula tool. There are two variables studied in this study, namely Head Master Supervision (VX) and the Effectiveness of the Implementation of the Smart Indonesia Program (VY). The main instrument used in this research is a questionnaire with a rating scale of 5 (five) choices. The data collected was then analyzed using descriptive analysis techniques using item averages, while statistical analysis techniques using correlation analysis, and simple linear regression equation models.

The calculation results show that the cumulative average yield of the Head master Supervision variable is 4.04 which is included in the good category, while the Effectiveness of the Implementation of the Smart Indonesia Program is 4.08 which is included in the good category. The results of the statistical analysis obtained the price of r_xy = 0.708 which is included in the strong category with a significance value of (2-tailed) 0.000 > 0.005 or t_count = 10.33 > t_table = 1.982 so it can be concluded that Leadership Oversight has a positive and significant effect on the Effectiveness of the Implementation of the Smart Indonesia Program while the Coefficient of Determination (KD) is 0.501 which means that 50,1% of the Effectiveness of the Implementation of the Smart Indonesia Program (Y) can be explained by the Head master Supervision variable (X) and the rest is determined by other factors. Furthermore, the linear regression equation model is Ŷ = 16,045 + 0.747X. Therefore, to increase the results of the Implementation of the Smart Indonesia Program, it is suggested to the Head master to improve the Supervision function.
EVALUASI KEBIJAKAN TAMBAHAN PENGHASILAN APARATUR SIPIL NEGARA
Authors: Dede Riansyah
Published: September 2023

This research aims to evaluate the policy of Additional Income for State Civil Apparatus (ASN). The method used by the author to conduct the research is a descriptive method with a qualitative approach. The theory used by the author to evaluate the policy of Additional Income for State Civil Apparatus is the theory of Dunn (2003) with indicators such as Effectiveness, Efficiency, Adequacy, Fairness, Responsiveness, Accuracy. Additional Income has a good impact on improving the performance of its employees, although not entirely, and for Additional Income, it is given regularly every month.
Öğrenmenin Bileşenleri: Okul Öncesi Öğretmen Adaylarının Zihin Alışkanlıklarının İncelenmesi
Authors: TEKERCİ Hacer , KILINÇ Mustafa
Published: September 2023

Düşünme kavramına ilişkin son yıllarda okullarda, öğrencilerin ‘Nasıl düşündükleri?’ni ya da zihin alışkanlıklarının nasıl oluştuğunu konu alan fikirler ve çalışmalar artmıştır. Öğrenme süreci açısından, zihin alışkanlıklarını etkileyen çeşitli değişkenlerin incelenmesi kişisel açıdan iyi bir düşünür olmak konusunda önem arz etmektedir. Bu düşüncelerden hareketle, bu çalışmada, öğrenmenin bileşenleri ve okul öncesi öğretmen adaylarının zihin alışkanlıkları arasındaki ilişkinin farklı değişkenler açısından incelenmesi amaçlanmıştır. Araştırmanın çalışma grubunu 2021-2022 eğitim-öğretim yılında, Eğitim Fakültesi Okul Öncesi Eğitimi Anabilim Dalında öğrenim gören 182 okul öncesi öğretmen adayı oluşturmuştur. Araştırmada tarama yöntemi kullanılmıştır. Araştırmada veri toplama aracı olarak ise kişisel bilgi formu, Öz Değerlendirme Rubriği ve Zihin Alışkanlıkları Envanteri kullanılmıştır. Araştırmanın sonucunda öğrenmenin bileşenleri ile zihin alışkanlıkları 1, 2, 4, 5, 6, 7, 8, 9, 10, 12, 13 alt boyutları arasında pozitif yönlü zayıf kuvvette anlamlı bir ilişki olduğu, 11. ve 16. alt boyutlar arasında ise orta kuvvette pozitif yönlü anlamlı bir ilişki olduğu bulgusuna ulaşılmıştır. Ancak 3, 14 ve 15 alt boyutlarında ise anlamlı bir ilişki olmadığı tespit edilmiştir.
Türkçenin Yabancı Dil Olarak Öğretimi Kapsamında İhtiyaç Analizine Dayalı Güncel Dil İşlevleri Listesi
Authors: ÇEKİCİ Yunus Emre , DENİZ Kemalettin
Published: September 2023

Bu araştırmanın amacı, Türkiye’deki üniversitelere bağlı Türkçe öğretimi uygulama ve araştırma merkezlerinde görev yapan öğretim elemanlarının ve bu merkezlerde Türkçe öğrenen öğrencilerin görüşlerinden yola çıkarak Türkçeyi yabancı dil olarak öğrenenlerin günlük yaşamlarında ihtiyaç duydukları dil işlevlerini tespit etmektir. Çalışmanın sonucunda yabancı dil olarak Türkçe öğretiminde ihtiyaç analizine dayalı güncel bir dil işlevleri listesinin ortaya konulması hedeflenmiştir. Nitel durum araştırması modelindeki bu araştırmada, veriler yüz yüze/çevrim içi görüşme tekniğiyle toplanmıştır. Türkiye genelinde 28 farklı üniversitede görev yapan 50 öğretim elemanı ile 16 farklı üniversitede öğrenim gören 200 öğrenci, bu araştırmanın çalışma grubunu oluşturmaktadır. Veriler yarı yapılandırılmış görüşme formu aracılığıyla toplanmış, betimsel analiz tekniğine göre çözümlenmiştir. Araştırmada Türkçenin yabancı dil olarak öğretiminde ihtiyaç duyulan dil işlevleri belirlenerek bunların nedenleri tartışılmıştır. Araştırmanın sonucunda kapsamlı bir ihtiyaç analiziyle şekillendirilmiş; 6 tema, 20 kategori, 180 koddan oluşan Türkçenin Yabancı Dil Olarak Öğretimi İçin Güncel Dil İşlevleri Listesi ortaya çıkmıştır. Araştırmanın iletişimsel ve işlevsel Türkçe öğretimine hem kuram hem de uygulama açısından katkı sunması beklenmektedir.
An Investigation into the Variables Affecting School Principals Burnout through XGBoost Method
Authors: ŞEVGİN Hikmet , UÇAR Rezzan
Published: September 2023

The present study aims to investigate the impact of organizational psychological capital, organizational citizenship behaviour, individual performance and various demographic variables on school principas’ burnout in public schools. The opinions of princals working in Diyarbakır province and districts between the years of 2016- 2017 were considered. This research employed a survey model, which falls under the quantitative research paradigm. Data were collected from 254 principals through the administration of the Organizational Psychological Capital Scale, Organizational Citizenship Behaviour Scale, Individual Performance Scale, and School Principal Burnour Scale. The collected data were analyzed using the Extreme Gradient Boosting (XGBoost) mining method. The findings revealed several key predictors of principals’ burnout, including altruism, resilience, professional seniority, individual performance, civic virtue, type of school, hope, sportsmanship, school principal’s length of service, marital status, optimism and the district of the school. Based on these results, it is recommended to alleviate principals’ burnout by reducing their responsibilities and creating conducive environments that foster their leadership roles.
Fen Bilimleri Öğretmenlerinin Mülteci Öğrencilerle Yaşadıkları Zorluklar ve Çözüm Önerileri
Authors: BAKİOĞLU Büşra , KARAMUSTAFAOĞLU Orhan
Published: September 2023

Araştırmanın amacı mülteci öğrencisi olan Fen Bilimleri öğretmenlerinin bu öğrencilerle yaşadıkları zorluklar ve bu zorluklara yönelik sundukları çözüm önerilerini belirlemektir. Çalışma nitel araştırma yöntemlerinden olgubilim çalışmasıdır. Araştırmada amaçlı örnekleme yöntemlerinden ölçüt örnekleme yöntemi kullanılmıştır. Veriler araştırmacıların oluşturduğu yarı yapılandırılmış görüşme formu ile toplanmıştır. Toplanan veriler içerik analizi ile çözümlenmiş yer yer betimsel ifadelere yer verilmiştir. Araştırmada Fen Bilimleri öğretmenlerinin mülteci öğrencilerle yaşadıkları en büyük zorluğun, öğrencilerin istenilir düzeyde Türkçe bilmemeleri olduğu ortaya çıkarılmıştır. Dil bilmemeye bağlı olarak okuma-yazma bilmeme, deney, etkinlik veya grup çalışmalarında akranlarından geri kalma, yalnızlaşma gibi zorluklar tespit edilmiştir. Ayrıca Fen Bilimleri öğretmenlerinin mülteci öğrencilerin hazırbulunuşluklarının eksik olmasından kaynaklı zorluklar yaşadıkları, sınıfların kalabalıklaşmasından dolayı bu öğrencilere yönelik yeterli malzemelerin olmadığı, mülteci öğrencilere ayrı sınıfın açılmaması, savaş ve göç nedeniyle bu öğrencilerin duyuşsal sorunlar yaşadıkları gibi bulgulara da ulaşılmıştır. Fen Bilimleri öğretmenleri; mülteci öğrencilere Türkçenin, okuma-yazmanın ve yaşanılan kültürün öğretilmesi için hazırlık eğitimi verilmesi, bu öğrencilere yönelik ders ve etkinlik kitabı geliştirilmesinin gerektiğini düşünmektedirler. Araştırmada Fen Bilimleri öğretmenlerinin mülteci öğrencilerle başta yeterli düzeyde Türkçe bilmeme olmak üzere pek çok zorluk yaşadıkları sonucuna varılmıştır. Araştırma sonuçlarına yönelik mülteci öğrencilere Türkçe öğrenmeleri için kurslar düzenlenmesi, uyum sınıfları oluşturulması, psikolojik destek verilmesi gibi önerilerde bulunulmuştur.
Exploring the Transatlantic Meaning of China and Russia: Divergence, Convergence and Future Prospects in the Biden Era
Authors: Sinkkonen Ville , Helwig Niklas , Siddi Marco , Sinkkonen Elina
Published: September 2023

En dépit de la victoire électorale de Joe Biden portant au pouvoir un président pro-Europe à Washington D.C., les relations transatlantiques traversent une période d’incertitude dans un contexte de relations tendues entre grandes puissances et de crises de l’ordre international. Dans ce contexte, le présent article explore la signifiance transatlantique des rapports entretenus par les États-Unis et l’Union européenne avec la Chine et la Russie depuis la dernière partie des années 2010, et ce, jusqu’à la fin de la première année de mandat de Biden. En analysant les discours dominants tenus par les élites vis-à-vis de ces deux grandes puissances, respectivement aux États-Unis et dans l’Union européenne, l’article examine comment les compréhensions de ces relations vitales, quoique problématiques, convergent ou divergent des deux côtés de l’Atlantique. En fin de compte, les acceptions transatlantiques de la Chine et de la Russie, à la fois complémentaires et contestées, servent de prismes pour analyser l’état actuel et les perspectives futures des relations entre les grandes puissances et les relations transatlantiques au sein d’un ordre international de plus en plus disputé au xxi e  siècle.
From Nostalgia and Revisionism to Truthful Tales? Memory Politics from the Trump to the Biden Administrations and Their Repercussions for Transatlantic Relations
Authors: Sporys Sarah
Published: September 2023

Cet article analyse la politique de mémoire des États-Unis durant la présidence de Donald Trump et au début de l’administration Biden. Une attention particulière est accordée à l’impact de la politique de mémoire des deux présidents sur les relations transatlantiques. Afin d’élucider la politique de la mémoire des États-Unis pendant l’ère Trump, cet article se penche sur trois initiatives : le slogan de sa campagne, « Make America Great Again », son approche de la politique étrangère, « America First », et la Commission 1776. Cette dernière sera examinée de manière comparative avec le projet 1619 du New York Times. Nous verrons en quoi l’approche du président Biden s’écarte des perspectives de son successeur ou bien les prolonge. Cet article soutient que Donald Trump s’est engagé dans une politique mémorielle révisionniste et nostalgique ayant eu des répercussions sur la place des États-Unis dans le monde, et surtout sur leurs relations avec leurs alliés européens. En revanche, Joe Biden défend une vision multiculturelle et progressiste du passé. Il existe cependant des similitudes entre les deux présidents, notamment en matière de politique étrangère.
Les échanges à travers le mobilier : état des connaissances sur le haut Moyen Âge en Bretagne
Authors: Labaune-Jean Françoise
Published: September 2023

Malgré le développement des fouilles portant sur le début de la période médiévale, il est encore difficile en l’état de la documentation disponible de quantifier la place, la part et l’influence des échanges de la péninsule armoricaine au travers de la culture matérielle de cette époque. Les objets relatifs à cette période sont en effet encore peu nombreux. Toutefois, si le propos est élargi en incluant les sources anciennes dans le recensement et en remontant à la mise en place de certains de ces courants d’échanges à partir du haut Moyen Âge, certaines données commencent à émerger. Nous les tenterons de mettre en évidence au cours de cette présentation.
Monnaies, fleuves et rivages en Bretagne du vie au xiie siècle
Authors: Coativy Yves
Published: September 2023

Pour les époques mal documentées, les découvertes monétaires apportent des informations très utiles sur l’économie et elles permettent d’élaborer des cartes de répartition ou encore de déterminer l’origine des pièces. On constate que les espèces arrivent et circulent par la mer et/ou les fleuves avec une dominante côtière et avec une ouverture sur le monde nettement marquée par la présence de monnaies étrangères. Les enfouissements de la période carolingienne, plutôt cantonnés dans le centre de la péninsule, relèvent sans doute plus d’une logique politico-militaire qu’économique à proprement parler, même si le champ d’étude reste très ouvert. Deux secteurs géographiques montrent une ouverture et un dynamisme plus net que le reste de la Bretagne : la région nantaise et le pays de Quimperlé.
Reliability of Grayscale Value for Bone Density Determination in Oral Rehabilitation using Dental Implants
Authors: Rai Shalu , Misra Deepankar , Misra Akansha , Tomar Himanshi , Dhawan Ayush , Gupta Rohit
Published: September 2023

Introduction:

Quality and quantity of jaw bones have been previously classified in literature using different methods. Imaging modalities such as computed tomography (CT), successfully determine bone density of jaws. This study aims to establish the role of cone-beam CT (CBCT) in determining the density of cortical and cancellous bones at different jaw sites.

Materials and Methods:

Eighty-three possible implant sites in healthy patients were evaluated using NewTomGiano CBCT machine. Cross-sections were obtained and cortical and cancellous bone densities on different aspects of the virtual implant in terms of Hounsfield unit (HU) were determined using New Net Technologies software version 6.1 and were classified according to software from D1 to D4. Data were entered into SPSS software (version 19.0) and were statistically analyzed.

Results:

The mean HU showed the highest value for cortical and cancellous in the anterior mandible (mean HU 1874.01 and 1131.73, respectively) followed by the posterior mandible (mean HU 1789.20 and 872.95, respectively) and least in posterior maxilla (mean HU 1068.26 and 830.04, respectively). Maximum D1 bone type was found in cortical bone and D2 bone type was noted in cancellous bone area. Males showed very highly significant cortical bone thickness (P < 0.001) whereas females showed more cancellous bone thickness but the results were nonsignificant.

Conclusion:

A high degree of concordance between different regions of jaw bones with a strong correlation between the four bone types was obtained. Bone density plays a pivotal role in determining the prognosis of the implant. CBCT has proven to be beneficial in bone density analysis.
Ectopic Tooth with Odontogenic Keratocyst in Myasthenia Gravis: A Rare Coexistence
Authors: Winnifred A. Christy , Devathambi T. Jones Raja , Thanigainathan R. , Rajkumar Preethi
Published: September 2023

Ectopic tooth in nondentate areas is uncommon. Odontogenic keratocyst arising from impacted tooth in the inferior border of orbit is very rare. This article reports the case of a 22-year-old female with odontogenic keratocyst arising from an impacted left maxillary third molar in the inferior border of the orbit causing symptoms of chronic sinusitis. The patient also had myasthenia gravis which confounded the diagnosis. The cyst was surgically enucleated along with the tooth which relieved the symptoms of the patient.
A comparison of two chemotherapy regimens in advanced, recurrent, or metastatic salivary gland carcinoma
Authors: Ameri Ahmad , Sourati Ainaz , Behzadi Behnaz , Lesan Mansour , Taghizadeh-Hesary Farzad
Published: September 2023

Background:

The efficacy of chemotherapy in locally advanced, recurrent, and metastatic salivary gland carcinomas (LA-R/M SGCs) is still undefined. We aimed to compare the efficacy of two chemotherapy regimens in LA-R/M SGC.

Materials and Methods:

This prospective study compared paclitaxel (Taxol) plus carboplatin (TC) versus cyclophosphamide, doxorubicin, plus cisplatin (CAP) regimen in terms of overall response rate (ORR), clinical benefit rate (CBR), progression-free survival (PFS), and overall survival (OS).

Results:

Between October 2011 and April 2019, 48 patients with LA-R/M SGCs were recruited. The ORRs of first-line TC and CAP regimens were 54.2% and 36.3%, respectively (P = 0.57). The ORRs in recurrent and de novo metastatic patients were 50.0% and 37.5% for TC and CAP, respectively (P = 0.26). The median PFS of TC and CAP arms were 10.2 and 11.9 months, respectively (P = 0.91). In the subanalysis, patients with adenoid cystic carcinoma (ACC) had longer PFS in the TC arm (14.5 vs. 8.2 months, P = 0.03), irrespective of the tumor grade (low grade: 16.3 vs. 8.9 months, high grade: 11.7 vs. 4.5 months; P = 0.03). The median OS rates were 45.5 and 19.5 months for TC and CAP groups, respectively (P = 0.71).

Conclusion:

For patients with LA-R/M SGC, there was no significant difference between first-line TC and CAP in terms of ORR, PFS, and OS.
Validation of the hospital anxiety depression scale - Marathi version in detecting anxiety and depression in cancer patients and caregivers
Authors: Deodhar Jayita K. , Goswami Savita S. , Sonkusare Lekhika N.
Published: September 2023

Background:

The Hospital and Anxiety Depression Scale (HADS) is useful for screening depression and anxiety in cancer. It has not been validated in the Marathi language, which is the third most common language in India. We aimed to examine the reliability and validity of the Marathi-translated version of HADS in cancer patients and their caregivers.

Methods:

In a cross-sectional study design, we administered the Hospital and Anxiety Depression Scale-Marathi version (HADS-Marathi) to 100 participants (50 patients and 50 caregivers) after obtaining their informed consent. The team Psychiatrist, who was blind to the HADS-Marathi scores, interviewed all participants and identified the presence of anxiety and depressive disorders using the diagnostic criteria of the International Classification of Diseases – 10th edition. We measured internal consistency using Cronbach’s alpha, receiver operating characteristics, and factor structure. The study was registered with the Clinical Trials Registry-India (CTRI).

Results:

The internal consistency of HADS-Marathi was good with 0.815, 0.797, and 0.887 for anxiety and depression subscales and total scale, respectively. The area under curve figures were 0.836 (95% Confidence Interval [CI]: 0.756 - 0.915), 0.835 (95% [CI]: 0.749–0.921), and 0.879 (95% [CI] 0.806–0.951) for anxiety and depression subscales, and total scale, respectively. The best cutoffs identified were 8 (anxiety), 7 (depression), and 15 (total). The scale displayed a three-factor structure, with two depression subscale and one anxiety subscales items loading on to the third factor.

Conclusion:

We found that the HADS-Marathi version is a reliable and valid instrument for use in cancer patients. However, we found a three-factor structure, possibly reflecting a cross-cultural effect.
Lung and right atrial metastases from hepatoblastoma in children: A case series and literature review
Authors: Hu Huimin , Zhang Weiling , Yi You , Gao Yanan , Zhi Tian , Huang Dongsheng
Published: September 2023

Hepatoblastoma (HB) in children with both lung and right atrial metastases is an unusual situation. The therapy for these cases is challenging and the prognosis is not good. We present three children with HB showing both lung and right atrial metastases and who underwent surgery and received preoperative/postoperative adjuvant-combined chemotherapy to achieve complete remission. Therefore, HB with lung and right atrial metastases could have a good prognosis through active and multidisciplinary treatment.
Drugs for Hypotensive Anesthesia: A Narrative Review
Authors: Prasad T. Krishna , Chacko Robin Sajan , Priyadharsini K. Soundarya
Published: September 2023

Hypotensive anesthesia in specific types of surgeries brings about certain advantages such as decreased blood loss as well as better surgeon satisfaction regarding the surgical field. Of the various modalities by which this can be achieved, one of the most popular is by introducing a hypotensive agent to bring about the desired hypotension. Here, we aim to review a few studies regarding the use of various hypotensive agents for hypotensive anesthesia and try to come to learn the various modes of action of these said drugs, their specific indications or situations where they may be preferred as well as the various advantages and disadvantages that accompany their use.
Evaluation of Medication Adherence in Chronic Kidney Disease Patients with and without Hemodialysis
Authors: Kaul Shaurya , Ahsan Amra , Singh Narinder Pal , Khullar Dinesh , Gupta Anish Kumar
Published: September 2023

Background:

Poor long-term adherence and persistence to pharmacological therapy is widely acknowledged as one of the primary clinical difficulties in the management of chronic diseases such as chronic kidney disease (CKD). The present study was aimed to measure treatment adherence using the Morisky Medication Adherence Scale (MMAS)-8 questionnaire in CKD patients with or without hemodialysis.

Methodology:

It was a cross-sectional study conducted in 120 clinically stable CKD patients with Stage 3 onward with or without hemodialysis. The sociodemographic and clinical characteristics of participants were collected in a predesigned format. Individual participants were scheduled for interviews and asked to complete inventory questionnaires. Medication adherence was assessed using a validated diagnostic tool MMAS-8 questionnaire.

Results:

Out of 120 individuals, the average number of medicines prescribed per prescription was 5.63 ± 2.22 and 4.65 ± 1.72 in the dialysis and nondialysis groups, respectively. Patients on dialysis had a higher pill burden than nondialysis patients, with more than three-fourths (78.3%) of them taking more than five medications every prescription. Low, moderate, and good adherence were reported in 61.7% (n = 37) versus 26.7% (n = 16), 33.3% (n = 20) versus 71.7% (n = 43), and 5% (n = 3) versus 1.6% (n = 1) of patients with and without dialysis, respectively, in MMAS-8. The most often reported nonadherence behaviors were forgetting to take medications, forgetting to pack medications while traveling, and feeling pressured to follow a treatment plan. There was an association between the dialysis and nondialysis groups in education level, employment, and pill load among patients with low adherence.

Conclusion:

Majority of the respondents (more than 90%) reported low-to-moderate adherence in both dialysis and nondialysis populations. Physicians and all other health-care professionals should work together to reduce the obstacles to good adherence by enhancing communication, reducing the burden of taking a lot of pills, and, if possible, by occasionally checking on patient adherence when there is suspicion of poor adherence.
Swyer–James–Macleod Syndrome
Authors: Ramakrishnan Gayathri Anur , Prakash Keerthi A.
Published: September 2023

Swyer–James–Macleod syndrome (SJMS) is an acquired, rare lung disease with a prevalence of around 0.01%. It is characterized radiologically by unilateral hyperlucent lung with decreased number and diameter of the peripheral pulmonary vessels. The patients usually present with dyspnea on exertion and cough since childhood after a lung infection. Conservative management is the main stray of treatment. These are usually under-recognized and can be the cause of improper treatment. Here, we present a case of difficult-to-treat asthma who had underlying SJMS which leads to persistent symptoms even after adequate treatment.
A Rare Case of Mature Cystic Teratoma of Mediastinum
Authors: Mehrin Riha , Ramakrishnan Gayathri Anur , Santosham Rajiv
Published: September 2023

We report a rare case of a 24-year-old asthmatic male who presented with an episode of hemoptysis. Initial evaluation with chest X-ray showed a mass in the left hemithorax. Computed tomography of the chest showed a heterogeneous, encapsulated mass in the anterior mediastinum. The patient subsequently underwent surgical en bloc resection of the tumor and on histopathological examination, it was found to be a benign mature cystic teratoma (MCT). Radiological and pathological evaluation helps in the confirmation of the diagnosis. MCT has an excellent prognosis after surgical resection.
Reperfusion Therapy in Patients with Acute Stroke with the Willis Polygon Variant – A Fetal Posterior Cerebral Artery
Authors: Acır İbrahim , Erdoğan Hacı Ali , Yayla Vildan Ayşe
Published: September 2023

ABSTRACT

Aim:

The Willis polygon variant, specifically the presence of a fetal posterior cerebral artery (fPCA), can have implications for the treatment and prognosis of patients with acute stroke. This study aimed to investigate the effect of fPCA variations on treatment, follow-up, and prognosis in patients with acute stroke who underwent reperfusion therapies.

Materials and Methods:

The study analyzed a total of 62 patients, including 33 without any posterior system variant (normal group) and 29 with only the fPCA variant (variant group). Demographic characteristics, clinical features, and computed tomography (CT) findings were compared between the two groups. Treatment methods, acute stroke therapies, and clinical outcomes were evaluated.

Results:

No significant differences were observed in age, sex, smoking status, or comorbidities between the normal and fPCA groups. Cardiac parameters were similar between the groups. Treatment approaches, artery territories, acute stroke therapies, and time intervals did not differ significantly between the two groups. The National Institutes of Health Stroke Scale scores, modified Rankin Scale scores, and CT findings were also similar between the groups. A significant difference was observed in the presence of hemorrhage at 24 h, with higher rates in the normal group.

Conclusion:

The presence of fPCA does not significantly influence age-related risk factors or comorbidities in patients with acute stroke. Treatment approaches and clinical outcomes were similar regardless of the presence of fPCA, except for a higher risk of hemorrhage in the normal group. The lateral status of the variants did not significantly impact the distribution of risk scores and CT findings.
Autoimmune Mechanisms in Focal Epilepsy of Unknown Cause
Authors: Sanli Elif , Yilmaz Vuslat , Tuzun Erdem
Published: September 2023

ABSTRACT

The manifestation of immunological findings in diverse disorders presenting with seizures points to autoimmunity and inflammation in the etiology of epilepsy. Typical examples of autoimmunity-associated epilepsy are autoimmune encephalitis, Rasmussen encephalitis, and glutamic acid decarboxylase (GAD) antibody-positive temporal lobe epilepsy (TLE). The last entity is a typical example of antibody-positive focal epilepsy of unknown cause (FEUC). One of the most prominent findings emphasizing the coexistence of epilepsy and autoimmunity is the detection of anti-neuronal antibodies in patients manifesting with seizures. Emergence of antibody-producing plasma cells in the early course of GAD-antibody-positive TLE and induction of seizures in rodents upon intracerebral administration of N-methyl-D-aspartate receptor antibodies indicate that anti-neuronal antibodies may play a causal (rather than bystander) role in the induction of seizures. By contrast, innate immunity of the central nervous system (CNS) and infiltrating cytotoxic T-cells appear to participate in Rasmussen encephalitis and autoimmune encephalitis with antibodies to intracellular antigens. In addition, repetitive seizures may activate glial cells through the release of damage-associate molecular pattern mediators and activation of toll-like receptors, which in turn leads to disrupted blood–brain barrier and increased cerebral infiltration of peripheral blood immune cells. In conclusion, complex interactions of humoral and cellular immunity in the CNS appear to cause or at least contribute to seizure induction in FEUC. The nature of these interactions has recently started to be understood. Investigation of these mechanisms is substantial for the discovery of new treatment strategies and biomarkers in epilepsy.
Methylation of RARß is a New Clinical Biomarker for Treatment in Higher-grade Gliomas
Authors: Toprak Cigdem , Atli Emine Ikbal , Kalkan Rasime
Published: September 2023

ABSTRACT

Background:

The dysregulation of various pathways and cellular processes contributes to the carcinogenic transition from low-grade gliomas to high-grade gliomas. The altered tumor microenvironment, altered epigenetic state, and high mutation heterogeneity are critical factors in glial tumors. The morphogen retinoic acid (RA) controls the homeostasis, regeneration, and development of the brain. RA receptor (RAR) gene methylation has been shown in different types of glial tumors.

Aims and Objectives:

This study assessed the RARß gene as a potential therapeutic target in gliomas.

Materials and Methods:

Using in silico methods, potential drugs targeting the RARß gene were compared based on temozolomide’s effectiveness in treating gliomas.

Results and Conclusion:

Computational techniques can be used to identify drug-mediated pathways. This in silico study holds promise for RARB and RARB-targeted treatment strategies in gliomas.
Can Electrodiagnostic Tests be Omitted from Surgical Decision-making for Typical Carpal Tunnel Syndrome? – A Randomized Controlled Trial
Authors: Sucu Hasan Kamil , Gökmen Aytül , Eşmeli Figen , Özdemirkiran Tolga
Published: September 2023

ABSTRACT

Background:

Although carpal tunnel syndrome (CTS) is common and frequently seen in daily practice, diagnostic criteria remain the subject of debate. Some authors consider electrodiagnostic tests as essential, whereas others view them as an unnecessary luxury.

Objective:

The objective is to investigate whether electrodiagnostic tests are necessary for surgical decision-making for typical CTS.

Materials and Methods:

The study was planned as a randomized controlled trial. After determining normative values for the population of the geographic region, 101 consecutive cases of typical CTS of the hand (suffering palmar dysesthesia that waking from sleep at night) were enrolled in the study. Hands were randomized into two groups using simple randomization. The first group comprised patients whose surgical candidacy was evaluated without electrodiagnostic tests, and the second group comprised patients whose surgery decisions were based on the results of electrodiagnostic testing. The patients were evaluated at 1, 3, and 12 months postoperatively.

Results:

Sixty-one hands were randomized to the first group and 40 hands were randomized to the second group. Four cases in the second group received medical treatment because their electrodiagnostic test results were within the normal limits, despite the presence of typical CTS symptoms. There were no differences in favor of the second group regarding any evaluation criteria during the entire follow-up period; however, the first group reported significantly more positive outcomes regarding awakening at the 3-month follow-up and regarding satisfaction at the 1-month follow-up.

Conclusion:

Additional electrodiagnostic tests may not be mandatory to clinically identify classical CTS or make surgical decisions in these cases. However, many cases may be caused by entrapment of the median nerve in the carpal tunnel, but they may lack typical CTS symptoms, such as waking from night-time sleep. In such cases, properly applied electrodiagnostic tests may be of immense help.
Integrability for Hardy operators of double phase
Authors: Mizuta Yoshihiro , Shimomura Tetsu
Published: September 2023

We establish Hardy–Sobolev and Hardy–Trudinger inequalities in weighted Orlicz spaces on

\mathbb{R}^n

.
As an application, we prove Hardy–Sobolev and Hardy–Trudinger inequalities in the framework of general double phase functionals given by

\varphi_p(x,t) = \varphi_1(t^p) + \varphi_2((b(x)t)^p),
\quad x\in \mathbb{R}^n,\, t \ge 0,

where

p>1

,

\varphi_1, \varphi_2

are positive convex functions on

(0,\infty)

and

b

is a non-negative function on

[0,\infty)

which is Hölder continuous of order

\theta \in (0,1]

.
Анормальные экстремали в субримановой задаче для общей модели робота с прицепом
Authors: Ardentov Andrei Andreevich , Artemova Elizaveta Markovna
Published: September 2023

Рассматривается симметричная математическая модель колесного робота с прицепом с различными видами сцепки робота и прицепа. Исследуется соответствующая субриманова задача в анормальном случае принципа максимума Понтрягина. Доказано, что при фиксированных параметрах сцепки и начальном положении робота с прицепом существуют две симметричные анормальные экстремали. При движении вдоль этих траекторий робот и прицеп следуют вдоль нормальных экстремальных траекторий для субримановой задачи на группе движений плоскости, при этом точка сцепки всегда описывает инфлексионную эластику либо прямую.
Библиография: 33 названия.
Nickel Alloy, Corrosion- and Heat-Resistant, Welding Wire 62Ni -
21.5Cr - 9.0Mo - 3.7Cb (Nb) (625)
Authors:   AMS F Corrosion and Heat Resistant Alloys Committee
Published: September 2023

This specification covers a corrosion- and heat-resistant nickel alloy in the form of welding wire.
JAUS Unmanned Maritime Vehicle Service Set
Authors:   AS-4JAUS Joint Architecture for Unmanned Systems Committee
Published: September 2023

This SAE Aerospace Standard (AS) defines a set of standard application layer interfaces called JAUS UMV Services. JAUS Services provide the means for software entities in an unmanned system or system of unmanned systems to communicate and coordinate their activities. The UMV Services represent the platform-specific capabilities commonly found in UMVs and augment the Mobility Service Set (refer to AS6009) which is platform-agnostic. At present, 12 services are defined in this document. While these services are presented alphabetically within this document, they also can be logically categorized as:

Platform Description Services: This service provides information about the vehicle platform, including mobility limits and geometric properties:

○

Platform Specification Service.

Propulsion and Driver Services: These services provide the control and monitoring capabilities to the vehicle’s propulsion system(s). These services can be applied selectively to facilitate primitive mobility teleoperation.

○

Propulsion Service,

○

Bucket Driver Service, and

○

Control Surface Service.

Auxiliary Services: These services provide an interface to auxiliary sensors and devices, including depth sensors, annunciating devices, components such as generators, bilge pumps, ballast pumps, etc.

○

Annunciator Service,

○

CTD Sensor Service,

○

Compartment Sensor Service,

○

Sea State Sensor Service,

○

Bilge Pump Control Service,

○

Ballast Tank Control Service,

○

Power Plant Service, and

○

Anchor Service.
Psychiatric Findings and Functional Capacity in the Early Period During the COVID-19 Pandemic: COVID-19 Patients and Individuals Under Quarantine
Authors: TOPCUOĞLU Ceyhun , TÜTÜN YÜMİN Eylem , SÜRMELİ Mahmut , KARACA Ebru , BAŞOL GÖKSÜLÜK Merve
Published: September 2023

Objective: The aim of this study is to compare the early psychiatric findings in the quarantine period in COVID-19 patients, under quarantine and healthy individuals.
Method: A cross-sectional observational study design was used. The study was conducted with patients diagnosed with COVID-19 and in home quarantine, contact individuals who were not diagnosed with COVID-19 but in home quarantine, and healthy individuals without quarantine restrictions. While measurements are made on the first day of quarantine and 10 days later for COVID-19 patients and contact individuals; For the healthy group, two measurements were made with an interval of 10 days. Individuals were evaluated with Coronavirus-19 Phobia Scale, Coronavirus Anxiety Scale, Patient Health Questionnaire, 30-second sit-to-stand test.
Results: 10th day, coronaphobia and coronavirus anxiety were found to be higher in COVID-19 patients(p<0.05). It was observed that anxiety and depression in COVID-19 patients; coronaphobia in under quarantine individuals decreased within 10 days(p<0.05). There was no significant difference between the three groups in terms of the change in the 30-second sit-to-stand test score on the first day, on the tenth day, and in the quarantine period (p>0.05). No significant change was revealed in any groups in the quarantine period (p>0.05).
Conclusion: Precautions should be taken for psychiatric findings in early period during the quarantine period in COVID-19 patients and under quarantine individuals.
Ebelere Yönelik Yenidoğan Canlandırma Uygulamaları Hizmet İçi Eğitimlerinde Öğretim Tasarımının Geliştirilmesi
Authors: ŞENOĞLU Ayşe , KARAÇAM Zekiye , ALTUNSU Ali Tanju
Published: September 2023

Bir yenidoğanın doğum sonrası fizyolojik adaptasyonunu sağlıklı yapabilmesi, ilk dakikalarda doğru ve zamanında yapılan yenidoğan canlandırma uygulamaları ile mümkün olmaktadır. Doğumda yenidoğan bakımının birincil amacı intrauterin yaşamdan ekstrauterin yaşama geçişi kolaylaştırmaktır. Bu doğrultuda hazırlanan Neonatal Resüsitasyon Programı, özel olarak tasarlanmış, beceriye dayalı bir hizmet içi eğitim programıdır. Literatürde, Neonatal Resüsitasyon Programı eğitiminden hemen sonrası ve üç ay sonrasında yapılan değerlendirmede bilgi, beceri ve yeterlilikte önemli bir artış olduğu ancak eğitimden sonraki bir yıllık süreçte belirgin bir azalma olduğu belirtilmektedir. Bu nedenle eğitimlerin hizmet içi eğitim programlarıyla periyodik olarak düzenli aralıklarla tekrarlanması gerekmektedir. Sağlık çalışanlarının yenidoğan canlandırma uygulamalarına yönelik eğitim ihtiyaçlarının belirlenip giderilmesi için en etkili ve verimli öğrenme sistemi oluşturulması amacıyla hizmet içi eğitim programlarında öğretim tasarımı geliştirilebilir. Literatüre dayalı olarak hazırlanan bu makalede, sağlık çalışanlarına yönelik yenidoğan canlandırma uygulamalarının hizmet içi eğitimlerinde, öğretim tasarımı geliştirilmesine ilişkin bilgilerin paylaşılması amaçlanmaktadır.
Hemşirelik Öğrencilerinin Sağlık Bakımında Bilgisayar Kullanımına Yönelik Tutumlarının İncelenmesi
Authors: ALTINBAŞ AKKAŞ Özlem , AÇIL Ayşegül , DEMİR BOZKURT Feyza , EKER Fatma
Published: September 2023

Amaç: Bu araştırmanın amacı hemşirelik öğrencilerinin sağlık bakımında bilgisayar kullanımına ilişkin tutumlarının ve bu tutumları etkileyen faktörlerin incelenmesidir.
Yöntem: Tanımlayıcı türde gerçekleştirilen araştırmaya 357 hemşirelik öğrencisi dahil edilmiştir. Veriler 2019-2020 Eğitim Öğretim Yılı Bahar Döneminde Tanıtıcı Özellikler Formu, Sağlık Bakımında Bilgisayar Kullanımına Yönelik Tutum Ölçeği ve Bilgisayar Destekli Bakım Planı Kullanımına İlişkin Görüş Formu aracılığıyla toplanmıştır. Nicel veriler sayı (n), ortalama (minimum-maksimum), frekans (yüzde) şeklinde sunulmuştur. Anlamlılık düzeyi p<0.05 olarak alınmıştır. Açık uçlu sorulan sorulara verilen yanıtlar araştırmacılar tarafından okunduktan sonra MAXQDA yazılımı kullanılarak kodlar oluşturulmuş ve kodların betimsel analizleri (frekans) yapılmıştır.
Bulgular: Öğrencilerin Sağlık Bakımında Bilgisayar Kullanımına Yönelik Tutum Ölçeği (SBBKYTÖ) toplam puanı 13.13±8.98 olarak belirlenmiştir. SBBKYTÖ puan ortalaması ile bilgisayar ve mobil teknoloji kullanma düzeyi, klinikte bilgisayar kullanma, teknolojiyi yakından takip etme durumları arasında istatistiksel olarak anlamlı fark olduğu saptanmıştır. Öğrencilerin bilgisayar destekli bakım planı kullanımının avantajları incelendiğinde zaman kaybını önleme, iş yükünü azaltma, hasta ile ilgili verilere kolay erişim ve hatalarda azalma/güvenilirlik kodları, bilgisayar destekli bakım planlarının dezavantajları olarak ise bireyselleştirilmiş bakım için engel, yetersiz bilgisayar becerileri ve teknolojiye bağımlı olma kodları belirlenmiştir.
Sonuç: Bu araştırma hemşirelik öğrencilerinin bilgisayar programlarını kullanma yeteneği konusunda kendilerinden emin olduklarını ve sağlık bakımında bilgisayar kullanımına istekli olduklarını ortaya koymaktadır.