bluuebunny/crossref_metadata_2025 huggingface dataset:
PENINGKATAN HASIL BELAJAR PKn MELALUI MODEL PEMBELAJARAN SCRAMBLE
Authors: Huda Samsul
Published: December 2022

This study aims to improve civics learning outcomes (Citizenship Education) by using scramble learning models for fifth grade students of the German Elementary School in Sugio Subdistrict, Lamongan Regency. This type of research is classroom action research. The research subjects were fifth grade students of SD Negeri German Sugio Subdistrict, Lamongan Regency, amounting to 17 students. The method of data collection in the research is in the form of tests, observations, and documentation. The research instruments were in the form of tests and learning implementation sheets. The data analysis technique used is descriptive quantitative and qualitative. The results showed an increase in PKn learning outcomes of fifth grade students of SD Negeri German Sugio Subdistrict Lamongan Regency after using the scramble learning model in cycle I and cycle II. Based on the results of tests in the implementation of learning with scramble learning models, students who achieved a value of ≥75 were 70.59% in the first cycle and increased to 88.24% in the second cycle.
PENGGUNAAN PENDEKATAN SAVI UNTUK MENINGKATKAN AKTIVITAS DAN HASIL BELAJAR APRESIASI MUSIK NUSANTARA PADA SISWA KELAS VIII C SMP NEGERI 2 SUGIO KABUPATEN LAMONGAN
Authors: Kulsum Umi
Published: December 2022

The purpose of this study was to describe (1) whether the use of the SAVI approach can improve learning activities for archipelago music appreciation and (2) whether the use of the SAVI approach can improve learning outcomes for archipelago music appreciation in class VIII C students of SMP Negeri 2 Sugio. This research is a qualitative descriptive research, namely research that describes the steps of learning and the results of the learning process with the SAVI approach. The results showed that the results of activity observations showed that in cycle 1 the attention aspect 22 children scored high, interaction 21 children scored high, assignment 22 children scored high and cooperation 21 children scored high. Based on the results of the research, the authors concluded that the SAVI approach can increase the activity and learning outcomes of appreciation of Indonesian music for students and the authors suggest that this SAVI approach can be continuously applied by teachers in the learning process at school so that student activities and learning outcomes can be even better.
SPBM MELALUI MODEL INKUIRI DALAM MATERI LINGKUNGAN SEHAT DAN TIDAK SEHAT UNTUK MENINGKATKAN HASIL BELAJAR SISWA KELAS 3 SEMESTER 1 SDN KARANGSAMBIGALIH I
Authors: Sumiati Sumiati
Published: December 2022

This study aims to answer whether the application of SPBM through inquiry models in healthy and unhealthy environmental materials can improve student learning outcomes in semester 1 of SDN Karangsambigalih II SDN Karangsambigalih II, Sugio District, Lamongan Regency, Academic Year 2016/2017"?. Classroom action research was carried out in 2 cycles with each cycle of stages being planning, action, observation and reflection. The results showed that the application of SPBM through the inquiry model in healthy and unhealthy environmental material increased student learning outcomes. This can be seen from student learning outcomes in each cycle where in the pre-cycle there were 7 students or 43.75% who completed. then experienced an increase in cycle I, namely there were 10 students or 75% and in cycle II there were 12 students or 75%, an increase also occurred in the activeness of student learning, where in cycle I, namely there were 10 students or 62.5% and in cycle II there 14 students or 87.5%.
На шляху до створення єдиної системи організації психологічної реабілітації учасників бойових дій в незалежній Україні
Authors: Кердивар Валентин
Published: December 2022

Вивчення можливостей збереження соціально-адаптивних можливостей людини, оновлення її життєвої активності, підвищення рівня психологічного благополуччя в умовах переживання тривалих травматичних подій є актуальним завданням, вирішення якого залежить від великої кількості спеціалістів різного профілю. Реабілітація постраждалих від воєнної агресії має різні аспекти: соціальні, медичні, психологічні. Успішність реабілітації, в якій мають брати участь як фахівці-професіонали, так і добровольці, волонтери, залежить від визначення державою зон їх відповідальності, так само як і сфери спільних зусиль.

Для узагальнення усіх напрацювань та доробок з питань реабілітації, в статті проведено систематизацію та аналіз хронології створення нормативно-правової і законодавчої бази України за останні 8 років, яка регулює такий складний процес, як організація і проведення психологічної реабілітації осіб, які приймали участь у бойових діях. Розглянутий сучасний стан проведення психологічної реабілітації особового складу сектору безпеки і оборони України та персоналу служб аварійного виклику України.

Встановлено що, станом на другу половину 2022 року вже існує система медико-психологічної реабілітації для осіб, які приймали участь у бойових діях. Але ця система ще потребує удосконалення, особливо у сфері надання психологічної допомоги персоналу служб екстреного виклику, і, зокрема, персоналу Державної служби України з надзвичайних ситуацій , який виконував свої обов’язки в зоні проведення воєнних дій.
Психологія діяльності рятувальника: зміст та проблеми для обговорення
Authors: Назаров Олег
Published: December 2022

Діяльність аварійно-рятувальних підрозділів являє собою матеріальну, почуттєво-предметну і доцільну діяльність людей в сфері захисту населення від наслідків надзвичайних ситуацій природного, техногенного, соціального, а сьогодні й воєнного характеру. Зміст та форми цієї діяльності постійно змінюються, розширюються та розвиваються в рамках сучасного етапу розвитку Державної служби України з надзвичайних ситуацій, що підтверджує актуальність дослідження різнобічних підходів у визначенні структури та особливостей професійної діяльності рятувальників та впливу на їх особистість різноманітних психотравмуючих факторів, що й складає основну мету даної статті.

Аналіз останніх досліджень і публікацій щодо сучасних підходів до вивчення проблеми особливостей професійної діяльності працівників оперативно-рятувальних підрозділів свідчить, що специфічною рисою діяльності рятувальників під час ліквідації наслідків надзвичайних ситуацій природного, техногенного, соціального та/або воєнного характеру є особливість умов, в яких вона здійснюється. Ці умови, в яких рятувальники виконують професійні завдання, підрозділяються на об'єктивні, незалежні від них та суб'єктивні, що виникли внаслідок їхньої незадовільної діяльності.

Результати теоретичного аналізу підходів щодо структури професійної діяльності працівників оперативно-рятувальних підрозділів підтвердили загальнонаукові висновки про те, що діяльність з ліквідації наслідків надзвичайної ситуації техногенного, природного, соціального та/або воєнного характеру відноситься до професій, які передбачають виконання професійних обов'язків у напружених, екстремальних умовах, а у структурі цієї професійної діяльності наявні певні структурні компоненти, а саме пізнавальний (когнітивний), конструктивний, комунікативний та організаторський.

Встановлено що такій діяльності притаманні всі особливості, характерні для інших «критичних» видів діяльності: дефіцит часу; вплив на особистість надсильних подразників та домінування негативних емоцій при дефіциті позитивних, підвищена відповідальність прийняття рішень та необхідність невідкладного вжиття заходів. Усі ці особливості набуватимуть особистісної значущості та призводитимуть (як кожен окремо, так і в сукупності) до виникнення у рятувальника стану психічної напруженості.
Faktor-Faktor yang Berhubungan dengan Kunjungan ANC Pada Ibu Hamil Selama Masa Pandemi Covid-19 Di Wilayah Kerja Puskesmas Gunung Medan Tahun 2022
Authors: Yuliawati Eni , Husna Husna , Veriyani Frens Tika , Hafizah Hafizah
Published: December 2022

Antenatal Care (ANC) adalah suatu pelayanan yang diberikan oleh perawat kepada ibu hamil, seperti pemantauan kesehatan secara fisik, psikologis, termasuk pertumbuhan dan perkembangan janin serta mempersiapkan proses persalinan dan kelahiran supaya ibu siap menghadapi peran baru sebagai orang tua. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan ANC pada ibu hamil selama masa pandemi Covid-19 tahun 2022. Metode penelitian survei analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berada di wilayah kerja puskesmas Gunung Medan dengan jumlah sampel 47 orang. Analisis data ini menggunakan uji chi square. Hasil penelitian didapatkan dari 47 ibu hamil dengan kunjungan ANC lengkap hampir setengahnya yaitu sebanyak 22 orang (46,8%) yang memiliki pengetahuan baik, hampir setengahnya yaitu 31 orang (66,0%) mendapatkan dukungan dari suami, dan hampir setenganya yaitu sebanyak 21 orang (44,7%) mendapatkan gaji diatas UMR. Dari hasil pengujian tersebut didapatkan hasil P Value = 0,925 > 0,05 yang artinya tidak ada hubungan antara pengetahuan dengan kunjungan ANC, diperoleh hasil P Value = 0,05 < 0,05 yang artinya ada hubungan antara dukungan suami dengan kunjungan ANC, dan diperoleh hasil P Value = 0,071 > 0,05 yang artinya tidak ada hubungan antara status ekonomi dengan kunjungan ANC.Antenatal Care (ANC) is a service provided by nurses to pregnant women that includes physical and psychological health coaching, including information on fetal growth and development, as well as preparation for labor and delivery so that the mother is ready to face her new role as a parent. This study aims to determine the factors associated with ANC visits to pregnant women during the COVID-19 pandemic in 2022. The analytical survey research method uses a cross-sectional approach. The population in this study was all pregnant women in the working area of the Gunung Medan Public Health Center, with a total sample size of 47 people. This data analysis uses the chi-square test. The results of the study were obtained from 47 pregnant women with complete ANC visits; almost half, namely 22 people (46.7%)had good knowledge; almost half, namely 31 people (66.0%) received support from their husbands; and almost half, namely as many as 21 people (44.7%) earned a salary above the minimum wage. From the test results, we obtained P values of 0.925 > 0.05, which means there is no relationship between knowledge and ANC visits; a P value of 0.05 < 0.05, which means there is a relationship between husband support and ANC visits; and a P value of 0.071 > 0.05, which means there is no relationship between economic status and ANC visits.
Changing Landscape and Future of Medical Affairs Post COVID-19 Pandemic Era
Authors: Jain Sonal
Published: December 2022

A striking change in the external stakeholders’ engagement due to unexpected scenarios as a result of COVID-19 pandemic has hurled the medical affairs (MA) function into innovative strategies of scientific engagements and patient-centric activities. Expansion of MA functions including rising regulatory and compliance inspections, an increased patient centricity and more requirements for RWE, have created the importance of medical affairs not just being the support function but as a trusted strategic pillar in the pharmaceutical and healthcare industry. There is certainly a silver lining due to strong digital transformation within these adverse times. The present review is focused on digital transformation for dissemination of medical information and its advantages over traditional ways. In today’s pandemic era HCPs have embraced the idea of virtual CMEs and digital storytelling which has necessitated the MA function to become more agile, adapted and look for collaborations. Both the exponential and radical improvements are required to strengthen this transition, in the new normal of a post-COVID era. The digital innovation in three key vitals viz. HCP engagement, external partnerships and data generation will allow MA to become future fit as a strategic leadership function. Moreover, the recommendations from executive committees of renowned international societies such as APPA, IFAPP, MAPS and MSLS, who have contributed for MA function to create their own standard operating procedures (SOPs), policies which are relevant for industry, are also discussed.

Keywords: COVID-19, digital transformation, massive open online courses, medical affairs, omni-channel; real- world evidence
A Review of Eagle’s Syndrome
Authors: Hafsa Shaik Nida , Kareemulla Nehla Shaik
Published: December 2022

Eagle’s syndrome results from a calcified corresponding impact ligament or an elongated styloid process (ES). Neck or throat pain with ipsilateral ear radiation are other symptoms. Symptoms may be mistaken for facial neuralgias. Radiological and physical examinations may diagnose ES. ES is treated surgically. Intraoral or external procedures shorten the styloid process. The primary goal of this research was to investigate all aspects of Eagle’s syndrome that might be significant to its care and prognosis. In this study, we have used secondary research approach. In this paper, we analyzed several papers and articles to comprehensively review the Eagle’s syndrome. Our study demonstrates that an expanded styloid process isn't usually a sign of Eagle’s syndrome. Depending on the etiology, a prominent lateral misconfiguration can induce anything from a little cervicofacial irritation to deadly ischemic damage. The symptoms were caused by the styloid process's length and anterior angulation, not its medial angulation.

Keywords: Eagle’s syndrome, elongated styloid, pain, sensation, treatment.
A Study of New Zealand’s Indigenous Healthcare Model and Its Impact on Curtailing Obesity
Authors: Kumar Arya Sanjeev , Rajput Mahesh Singh
Published: December 2022

The Māori holistic model of healthcare was established by Sir Mason Durie in 1984 to stipulate a Māori perspective on health. This model deals with taking care of all elements of life to maintain sustainable welfare. The four elements and their significance are represented by the wharenui (meeting house). The wharenui's link to the whenua (land) serves as the foundation for other elements, thereby pioneering health and wellbeing of yourself and whanau (family). The Māori holistic model of healthcare draws on strong bonding between the foundation and other walls in case any issues crop up (Health Navigator NZ, 2022). #). The purpose of this research paper is to identify the significance of Māori holistic healthcare framework and analyze how obesity affects the healthcare systems of New Zealand by shedding light on its impact on confronting individuals, families, and primary health-care professionals.

Keywords: Māori holistic model, Healthcare, Obesity
Davranışsal İletişim Araştırmalarında Aracılık Testine Genel Bir Bakış
Authors: ÇELİK Fatih
Published: December 2022

Davranışsal iletişim araştırmacıları, son dönemlerde değişkenler arasındaki ilişkilerin ‘neden’ ve ‘nasıl’ gerçekleştiğine dair açıklamalar sunmak amacıyla aracılık testine başvurmaktadırlar. Bu ilişkilerin ardında yatan mekanizmanın açıklanmasına imkân sunan aracılık testinin araştırmacılar tarafından kullanılması araştırma modelinin hikayesini okuyucuya aktarabilmek için kaçınılmazdır. Ancak yakın geçmişte aracılık testinin uygulanmasına yönelik metodolojik tartışmaların işaret ettiği üzere aracılık testinin felsefik arka planının yeterince anlaşılmadığı ve bu doğrultuda metodolojik düzeyde ezber uygulamaların davranışsal iletişim araştırmalarında özellikle sergilendiği dikkat çekmektedir. Bu sorunsalın önüne geçebilmek amacıyla gerçekleştirilen bu metodolojik çalışmada, aracılık testinin felsefik ve metodolojik arka planı tartışılmaya ve genel bir bakış sunulmaya çalışılmaktadır. Ayrıca, ilgili tartışmanın yeni bir metodolojik bilgi birikimi oluşturmasının yanında, mevcut durumun daha anlaşılır kılınarak sade bir şekilde araştırmacılara sunulması da bu çalışmada amaçlanmaktadır. Gelecekte davranışsal iletişim araştırmacıları aracı değişkenli modellerinin test ederken açık prosedür yaklaşımını kullanması (önyükleme gibi), dolaylı etki için bir sınıflandırma yapmaması, aracılık için hipotezlerini literatür veya teorilere göre geliştirerek bölümleme veya iletimsel yaklaşımı tercih etmesi beklenmektedir.
Statistical Assessment of Emergencies in the Slovak Republic during 2013-2020
Authors:   Armed Forces Academy of general Milan Rastislav Stefanik, Brezina Daniel
Published: December 2022

In this paper, the author identifies which emergencies occur most in theIn this paper, the author identifies which emergencies occur most in theconditions of the Slovak Republic and specific parts of the country. Thearticle's main aim is a statistical assessment of emergencies in the SlovakRepublic during 2013-2020. The findings were then compared with theviews of domestic authors and experts. This statistical assessment has notbeen processed in the literature. The content of the methodology is thecreation of tables for classifying emergencies according to the establishedcriteria and assessing the dependencies between qualitative signs. Theassociation and contingency express the dependence between thequalitative signs.
A Critical Review on Current Devloping Non-Invasive Glucose Monitoring Technologies and Devices
Authors: Patel Ajay I , Rachhadiya Jenish , Vadariya Purvi , J. Vysh Amitkumar , B. Patel Ashok
Published: December 2022

Diabetes mellitus both type I and type II, is a dangerous and lifelong disorder marked by unusually high blood glucose levels caused by a failure of insulin synthesis or a loss in insulin sensitivity and function. Diabetes have become more common over time, and it is now considered one of the primary causes of high death and morbidity rates. Complications from diabetes can be avoided by regularly monitoring and keeping blood glucose levels within the normal range. Despite the fact that practically all commercially effective blood glucose monitoring devices are invasive, there is an urgent need to create non-invasive glucose monitoring (NGM) devices that would relieve diabetics' pain and suffering associated with repeated skin pricking for glucose testing. It also discusses the most common non-invasive glucose monitoring technologies as well as the most relevant devices. The technology name, the underlying physical principle, and the technological limitation in the human body. There are eleven technologies and five devices in all. Despite numerous fascinating and promising ideas and devices, the review concluded that a suitable solution to the non-invasive glucose monitoring problem still required more work.
A Cross Sectional Survey on Work Life Balance among Indian Nurses during Second Wave of Covid–19 Pandemic
Authors: Jeba Arasi A Michael , R Sathish
Published: December 2022

Background of the study: Nurses are challenged by work and family commitment at the end of each day during the periods of covid – 19 pandemics. In India majority nurses are working throughout the week and striving hard for achieving the balance between their work and professional life. Objectives: To examine the work life balance among Indian Nurses during Second Wave of Covid – 19 Pandemic. Methodology: Research design proposed for the study is ‘Descriptive’ type, a cross sectional research method. Settings of the study includes Central government hospitals, state government hospitals and NABH accredited private hospitals. Primary data was collected from the staff nurses and nursing officers through structured work life balance questionnaire (google form). Sampling methods adopted for this study was non – probability Convenience sampling technique. Data collection period was March 2021. Data analysis was done through descriptive and inferential statistics. Results: In this study majority of the nurses 55(61.8%) had either positive nor negative work life balance., others 34(38.2%) were with positive work life balance. Conclusion: Based on the results of this study we concluded, that nurses in India are physically, mentally, socially and functionally strong enough to adjust their work life balance particularly during the second wave of covid – 19 in India, those experiences gained by them during the first wave of Covid – 19 equipped them to strengthen their work life balance.
An Experiment Study to Evaluate the Effectiveness of Carom Seed Oil on reduction of Menstrual Cramps among the Adolescent girls of selected Nursing Colleges, Bangalore
Authors: Dabashini Devi Laishram , Mary A Swapna
Published: December 2022

Carom seed oil has been found to relieve the menstrual discomfort by relaxing the uterine muscles and decreasing the intra uterine pressure. Leaves and their essence are aromatic, stimulant, carminative and antispasmodic. This is also used in case of vomiting, gastric colic, diarrhea and menstrual cramps. Therefore, it was intended to do an experimental study to examine the effect of Carom seed oil on menstrual cramps with an assumption that this therapy may relieve menstrual cramps. The research design selected for the present study is experimental research design. The study was conducted in the Global College of Nursing at Bangalore. The criteria for the selection of the setting are the availability of subjects, feasibility of conducting the study. The target population in the present study was adolescent girls studying in Global College of Nursing at Bangalore. The sample of this study comprised of 60 adolescent girls. Simple random sampling (Random table number) method was used to draw the sample. A Visual Analogues Scale (VSA) to assess the pain intensity of the students. The findings revealed that in experimental group, majority of the subjects, 24 (80%) had severe pain, 6 (20%) subjects had moderate pain, none had severe pain, and in control group majority of the subjects, 22 (73.3%) had severe pain, 8 (26.6%) subjects had moderate pain, none had pain. After the intervention, in experimental group, majority of the subjects, 24 (80%) had mild pain, 6 (20%) subjects had moderate pain, none had severe and in control group majority of the subjects, 25 (83.3%) had moderate pain, 5 (16.6%) subjects had mild pain and none severe pain. The adolescent girls had reduction in the menstrual cramps as evidenced by the results shown. Hence carom seed oil is effective in the reduction of menstrual cramps and it was found to be less cost effective procedure. Therefore, carom seed oil should be used as a supportive therapy among adolescent girls to alleviate menstrual cramps.
Intrabronchial haemorrhage – the bronchoscopist’s nightmare: A case of major haemoptysis due to pulmonary Dieulafoy’s disease
Authors:   Lung Center, St. Gallen Cantonal Hospital, 9007 St. Gallen, Switzerland., Locatelli Tiziana , Schneider Tino ,   Lung Center, St. Gallen Cantonal Hospital, 9007 St. Gallen, Switzerland., Ottilinger Thorsten ,   Division of Radiology and Nuclear Medicine, St. Gallen Cantonal Hospital, 9007, St. Gallen, Switzerland., Brutsche Martin H ,   Lung Center, St. Gallen Cantonal Hospital, 9007 St. Gallen, Switzerland.
Published: December 2022

Massive haemoptysis is a term used to describe a large amount of expectorated blood or rapid rate of bleeding (>100 ml blood in 24 h) and is associated with a serious risk of death. However, there is no clear consensus on its definition [1]. In the present we report the case of a 39-year-old male, investigated for haemoptysis, quickly turning bad during diagnostic flexible bronchoscopy due to a rare condition. The congenital abnormality with displaced right upper lobe segmental bronchus and lack of the apical segment bronchus of the right lower lobetogether with the endoscopic narrow-band imaging were the diagnostic clues for the presence of pulmonary Dieulafoy‘s disease and angiographic glue embolization (n-butyl-2-cyanoacrylate) the treatment of choice.
Possible sitafloxacin-induced dysglycemia: Case report
Authors:   Cardiology Department, The Second Medical Center, & National Clinical Research Center of Geriatric Disease, Chinese PLA General Hospital, China., Mengqi Shao , Jian Zhu ,   Cardiology Department, The Second Medical Center, & National Clinical Research Center of Geriatric Disease, Chinese PLA General Hospital, China., Xia Huo ,   Cardiology Department, The Second Medical Center, & National Clinical Research Center of Geriatric Disease, Chinese PLA General Hospital, China., Bian Suyan ,   Cardiology Department, The Second Medical Center, & National Clinical Research Center of Geriatric Disease, Chinese PLA General Hospital, China.
Published: December 2022

A 93-year-old diabetic patient was prescribed sitafloxacin (100 mg, bid, po) for 8 days to treat a pulmonary infection. Prior to the treatment with sitafloxacin, his blood sugar was well controlled, but during treatment, his blood sugar showed abnormal biphasic dysregulation, with a downward trend in the early stages of treatment (d1-3) and an upward trend in the late stages of treatment (d4-8), and the dysglycemia persisted for about 20 days after treatment. Sitafloxacin, like other fluoroquinolones, may be strongly linked to glucose homeostasis abnormalities in this case, necessitating clinical medical staff vigilance, particularly in patients with high-risk diabetes.
Secrecy, control and violence in women's intimate relationships with child sexual abuse material offenders
Authors: Salter Michael , Woodlock Delanie , Dubler Natasha
Published: December 2022

Many child sexual abuse material (CSAM) offenders have non-offending partners and children who are impacted by their CSAM use. However, the specific dynamics of CSAM offending within a relationship or family context have been overlooked in forensic research, while scholarship on domestic violence and coercive control has not focused on CSAM offending as a possible correlate of domestic abuse. This paper presents the findings of the first study to examine the crossover between domestic violence, coercive control and CSAM offending in intimate relationships.
Pioderma gangrenoso
Authors: Agrisani Francesca , Acierno Sabrina , Marino Achille , Chighinzola Cecilia , Caporali Roberto , Giani Teresa , Ciomaz Rolando
Published: December 2022

.Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis, characterized by unknown aetiology and sterile neutrophilic infiltrate on histological examination, clinically showing recurrent skin ulcers and mostly affecting lower limbs areas. In 2/3 of the cases, PG is secondary to another disorder such as inflammatory bowel and lymphoproliferative diseases, infections, rheumatic diseases and auto-inflammatory syndromes. The paper describes the cases of three paediatric patients showing the association of PG with rheumatic conditions such as Behçet’s disease, chronic recurrent multifocal osteomyelitis (CRMO) and PAPA (Pyogenic Arthritis, Pyoderma gangrenosum and Acne) syndrome and proposes a diagnostic flow-chart to help paediatricians recognize PG and associated conditions.
THE MINIMIZATION METHOD OF THE THERMAL DRIFT INFLUENCE ON ANALOG INTEGRATED CIRCUITS
Authors: KOSTANYAN H.T.
Published: December 2022

The existing offset cancellation methods are based on digital-to-converters (DAC) and the calibration paths. During thermal drift the parameters of transistors in calibration pa¬t¬h change, which increase the offset of the system. The proposed offset cancellation meth¬od includes current DAC which is directly connected to the output of the system. The absence of the calibration path makes the circuit more stable during temperature drifts without voltage-current-voltage conversion. The offset variation of the circuit during thermal drift is reduced 19 times (1.42 mV). The circuit occupies 43.2 % less area as in the current DAC, only transistors have been used instead of the resistor-transistor structure of voltage DAC. Power consumption increases 7 % as the branch of the current DAC is always on.
DEVELOPING A TECHNOLOGY FOR OBTAINING COMPOSITE MATERIALS BY HOT PRESSING WITH METALLIZED DIAMOND GRAINS
Authors: AGHBALYAN S.G. , ORDYAN N.A. , MARTIROSYAN A.M. , POGHOSSYAN KH.V.
Published: December 2022

A new technology has been developed for the manufacture of diamond tools with a bond of 34% Fe+6% Ni+32% Cu+8% Sn+10% WC+10% Сч18 and with titanium metallized diamond grains of HSD90 (АС200) grade, including the processes of manufacturing a composite mixture, cold pressing, sintering, hot pressing and machining. Optimal sintering and hot pressing regimes were selected and substantiated: sintering temperature: 800 ± 200C, holding time: 0,75...1,0 hour, hot pressing temperature: 850 ± 100C, holding time: 25...30 minutes, specific pressure: 80...100 MPa, in this case the hardness of the composite is 60...102 HRB, impact strength KCU 2...36 kJ/m2, shear strength is 23...160 MPa.
It is shown that the composite material has a heterogeneous structure: the matrix is mainly a mixture of α (hard alloy of tin in copper - with a 13,5% tin content) and δ phases (Cu31Sn8), in which solid solutions of α iron and nickel, as well as intermetallic phases with tin and copper, and fillers - grains of graphite and tungsten carbide, are seen as separate grains. At the same time, the presence of gray cast iron in the composite leads to the formation of free graphite, which improves the antifriction properties of the composite.
OBTAINING AND STUDYING THE PROPERTIES OF IRON AND SILICON-CONTAINING MAX-PHASES BY THE METHOD OF SELF-PROPAGАТING HIGH-TEMPERATURE SYNTHESIS
Authors: SAHAKYAN N.G.
Published: December 2022

The paper discusses the preparation and properties of a new class of multifunctional composites, which are obtained by high-temperature self-propagating synthesis (SHS) of various metal powders. The class of such composites includes MAX phases.
The aim of this work is to synthesize a MAX-phase of the (Fe,Ti)3(Si,Al)C2 type by self-propagating high-temperature synthesis of a mixture of Ti, FeSi, Al and carbon in equimolar ratios. The synthesized main phase exhibits magnetic properties due to its iron and silicon content. Experiments have shown that from a mixture of powders of ferrosili¬co¬n, titanium, aluminum, carbon by the SHS method, it is possible to obtain a powdery base mass containing 93% of the MAX-phase composition of the type (Fe,Ti)3(Al,Si)C2 by mass, and 7% embedded in rich crystals iron Fe5Si3, Fe3Si and FeSi, which impart magnetic properties to the material, also contain Ti5Si2 and TiC-2% by weight insoluble in the main phase. In order to accurately assess the size distribution of embedded products in the main phase, a new analysis method was chosen - modern automatic microradiographic analysis (MRSA). The principle of the analysis was presented.
The microstructure of such a MAX material, synthesized by powder metallurgy (SHS synthesis) methods, has a layered, laminate nature and can become a good raw material for further alloying of this compound with various metals for the development of powder metallurgy in Armenia.
RHENIUM INTERACTION WITH METALS AND FORMATION OF INTERMETALLIC COMPOUNDS
Authors: SIMONYAN V.A.
Published: December 2022

Interaction of rhenium with transition metals of the IV-VIII groups has been analyzed. The advantages of rhenium as an alloying element for construction steels and especially for steels used in special machinery have been demonstrated. Besides being heat and boil resistant, like tungsten, molybdenum and tantalum alloys, Re alloys are also uniquely plastic which is due to separation of carbon from brittle carbides and formation of solid rhenium and carbon solutions. It has been demonstrated that rhenium and elements of the eighth group form solid solutions with unlimited solubility.
In the rhenium systems, there are twenty intermetallic compounds with σ and χ phases. Besides these phases, rhenium also forms λ phases (Laves’s phase) with elements of the IVth group. Being a metal with tight hexagonal structure, rhenium has high solubility, up to 65 at.%, with metals of the Vth and VIth groups that have a volumcentric cubic structure. Rheniums solubility is quite low (0,5...4,0%) in hexagonal α modifications of polymorph metals of IVth group and, at the same time, the solubility in volumecentric β modificiation of the same metals reaches (for titan) 50 at.%.
Re has high thermal stability. It has higher strength than tungsten, and considerably higher than Mo at 1200oC.
THEORETICAL SUBSTANTIATION OF THE PRODUCTION PROCESS OF HIGH-STRENGTH REINFORCED ALUMINUM DEFORMABLE ALLOYS
Authors: AGHBALYAN S.G. , VASILYAN G.A. , SAFARYAN T.N. , AGHBALYAN A.S. , DEMIRCHYAN T.A.
Published: December 2022

The analysis of literature has shown that of the aluminum composite materials reinforc¬ed with metal fibers, the most interesting are composite materials reinforced with steel fibers, since the latter have a very limited solubility in aluminum. Hot extrusion and further heat treatment of the billet obtained by the casting method are the main factors of structure formation during the production of composite materials. This makes it possible to obtain not only a non-porous structure, but also to reduce the fiber diameter to the required size, through precipitation hardening and hardening mechanisms to obtain a fine-grained structure, providing high mechanical properties. The theoretical and technological substantia¬tion of the process of obtaining high-strength aluminum wrought alloys of the Al-Cu-Fe-Si system, precipitation-hardening, dispersion-hardened and reinforced with steel fibers has been carried out. It is shown that the properties of composite materials depend on a large number of factors, the correct choice of which will make it possible to obtain composite materials reinforced with metal fibers with specified mechanical properties.
DEVELOPING A 3D PHYSICAL MODELING STAND TO RECORD STRESSES IN NATURAL-MOUNTAIN-LOADED OPIN-PIT WALL
Authors: MANUKYAN L.A. , HOVAKIMYAN V.V.
Published: December 2022

A 3D physical modeling stand has been developed to study the redistributed stress field and pattern consistency of the stresses in the exposed open-pit wall on the mountain terrain due to natural unexposed slope of the mountain above the crest of the wall under loading conditions. In such a geotechnical analysis, the modeling stand can also be used to determine the rational parameters of the multistage waste rock dumps or stockpile structures constructed on shallow terrain, as well as in hard topographical conditions, based on the assessments of the redistributed stress field due to each depositing layers.
The above-mentioned 3D physical modeling stand to define the stresses in natural-mountain-loaded open-pit wall have been certified as a patent by RA Intellectual Property Agency of N 713 Y.
THE OUTPUT NOISE REDUCTION OF A FLASH ANALOG-DIGITAL CONVERTER
Authors: BABAJANYAN H.A.
Published: December 2022

A new approach to reducing output noises in the Flash analog-digital converter (ADC) is presented. A type of ADC with the least amount of noise is Flash ADC, but it also needs to have noises as less as possible. By using this method in 32nm technology, the area of the circuit increases by 72% and the noise error decreases by 63%. This method is very preferable to use for high bit Flesh ADC circuits, as the latter have many logic cells in the Encoder. Switching inputs of those cells leads to high noises in the output.
ОПРЕДЕЛЕНИЕ ВРЕМЕНИ ОПОРОЖНЕНИЯ ЖИДКОСТИ ИЗ ТРУБОПРОВОДА С УЧАСТКАМИ РАЗЛИЧНОГО УКЛОНА И С НАСАДКОМ НА ЕГО КОНЦЕ
Authors: АЩИЯНЦ Э.П.
Published: December 2022

Исследован характер движения колонны жидкости в процессе ее опорожнения из напорного трубопровода постоянного диаметра. В результате получены более общ¬ие аналитические зависимости, учитывающие влияние всех основных факторов на скорость ее опорожнения. Рекомендуется методика определения времени опоро¬ж¬н¬¬ения жидкости из трубопровода. Проведено сопоставление результатов расчета по полученным зависимостям с экспериментальными данными.
Upaya Meningkatkan Kemampuan Guru dalam Menyusun Silabus dan Rencana Pelaksanaan Pembelajaran (RPP) melalui Supervisi Akademik Diskusi Kelompok Terfokus di SMAN 3 Pekat
Authors: Syafruddin Syafruddin
Published: December 2022

Berdasarkan observasi yang dilakukan di SMA Negeri 3 Pekat tempat peneliti bertugas, ditemukan bahwa kemampuan guru dalam menyusun silabus dan rencana pelaksanaan pembelajaran (RPP) masih belum utuh dan benar.Kinerja guru belum dilandasi cara berfikir, bersikap dan bertindak secara system yaitu menekankan pada perubahan menurut alur input, proses dan output.Kelemahan ini perlu ditingkatkan melalui penelitian tindakan yang terdiri atas dua siklus. Data tentang kemampuan guru dalam menyusun silabus dan RPP dikumpulkan dengan menilai silabus dan RPP tersebut pada kondisi awal dengan Instrumen Penilaian silabus dan RPP yang dikembangkan dalam buku kerja kepala sekolah  setelah diuji coba oleh peneliti. Selanjutnya data tersebut dianalisis dengan menggunakan statistic deskriptif. Setelah diskusi kelompok terfokus dilaksanakan selama dua siklus penelitian tersebut ternyata ada peningkatan kemampuan guru menyusun silabus dan RPP sebagai berikut: Nilai rata-rata menyusun silabus pada kondisi awal 61,04 dengan prosentase kelayakan 15,38 %. Siklus I menjadi 64,19 dengan prosentase kelayakan 61, 54 %. Sedangkan pada siklus II nilai rata-rata yang diperoleh 67 dengan nilai kelayakan 84,62 %. Total prosentase kenaikan dalam menyusun silabus pada akhir siklus II sebesar 7,69 %.  Kodisi peningkatan juga terjadi pada kemampuan menyusun RPP  yaitu dari kondisi awal sebesar  64,08 dengan prosentase kelayakan 23,08 %. Pada akhir siklus I nilai meningkat menjadi 65,07  dengan prosentase kelayakan 61,54 %. Akhir dari siklus II nilai rata-rata 66,15 , prosentase kelayakan 100 % dengan total kenaikan 7,70 %. Prestasi lain dari hasil penelitian ini adalah terjadinya pergeseran cara berfikir guru dari serba birokratrik, mentalitas instruktif, dan ketergantungan  yang sangat tinggi ke non birokratik, kooperatif, kolaboratif, kreatif dan mandiri.
How does a Network Platform Work for Participating Actors Towards Integrated Care Governance? A Case Study of a Dutch Hospital Region
Authors: Van der Woerd Oemar , Van Veen-Berkx Elizabeth , Van der Scheer Wilma , Bal Roland
Published: December 2022

Introduction: Network platforms are interesting for integrated care governance as they seek solutions for the problem of competition and tensions between networks. In this paper, we analyse how a network platform functions for the actors involved, and how it is used in their work.Methods: We employed a case study in a Dutch urbanised hospital region, and conducted 17 interviews with hospital physicians, directors, and supporting staff who are involved in a network platform called “BeterKeten” (BK).Results: Actors assign different functions and purposes to BK: facilitating and legitimising professional (learning) communities; adapting to a changing policy context; enlarging professionals’ and the networks’ circle of influence; and extending governing possibilities. Network platform’ dynamics and frictions entail changing professional and managerial practices; embedding a BK network in a partner network; and alignment of (conflicting) network platforms.Discussion: Network platforms are a promising strategy to govern, facilitate, and nurture network-building actions to enhance integrated care, offering new ways of working to cope with its multi-level nature.Conclusion: BK is a dynamic actor with steering capacities that enables the co-existence of multiple purposes. Further research could pay attention to how network platforms are able to develop modalities of integrated care governance that suit healthcare system’s networked character.
The Relationship Between Leisure Constraints, Social Isolation and Self Determination
Authors: KAMA Selin
Published: December 2022

Leisure is an important tool for societies to develop a sense of integration and improve the skills of self-determined individuals. Although, the relationship between leisure and self-determination is widely studied, the relations between leisure constraints, isolation and self-determination are not studied sufficiently. Therefore, this study investigates the relationship between leisure constraints, social isolation and self-determination. The study has been conducted in Ahlat (Bitlis-Turkiye) with 248 sample group. The results have been analysed with SmartPLS which is a widely-used statistical software to test structural equation models. The result of the study reveals that there is a positive relationship between structural constraints of leisure and social isolation, and social isolation with self-determination. As metioned in this study leisure seems to be an important variable of socialization process and self determination. Therefore, it is strongly suggested that destinations should maintain various kinds of leisure facilities and encourage the residents to engage in these activities.
Democracia y profundidad de los compromisos adquiridos en acuerdos de libre comercio (1948-2020)
Authors: Cuevas Rodrigo
Published: December 2022

En el presente artículo se evaluó el impacto que tiene la democracia de las partes concurrentes en un acuerdo de libre comercio con la profundidad de los compromisos adquiridos en el marco de los respectivos tratados. Este argumento se revisó por medio de la evaluación de variables que dieran cuenta de argumentos basados en tradiciones liberales de las relaciones internacionales, específicamente la democracia, aplicados a los vínculos alcanzados en acuerdos de libre comercio. Si bien los resultados confirmarían estas respectivas argumentaciones, la mayor relevancia para dar cuenta de una mayor profundización de los vínculos comerciales corresponde a factores contextuales, como lo fueron las décadas de 1990 y 2000. En la realización de la presente investigación se utilizó información actualizada sobre 692 acuerdos de libre comercio firmados entre 1948 y 2020, empleándose regresiones lineales con ajuste de estructura multinivel.
OVERVIEW OF STROKE INCIDENCE IN THE WORK AREA OF PUSKESMAS KAWAL
Authors: Romalina Romalina , Asmarita Jasda  , Meisa Daniati  , Yas Suriani  , Widia Jannatul Amani  , Adila Hidayati
Published: December 2022

Stroke is a disease that attacks a person suddenly and it is one of the leading causes of death and neurological disability in Indonesia except heart disease and cancer. Various conditions related to the increase in the incidence of stroke. The purpose of this study is to determine the picture of stroke incidence in the work area of the Kawal Health Center in 2019. The source of data from this study is a secondary data source, namely patient medical records at the Kawal Health Center from October 2018 to April 2019. The data source is then processed and made a frequency distribution. The results showed that the incidence of stroke in 2019 was 9 events. Other supporting conditions are the discovery of stroke risk factors, including Hypertension as many as 41 people (77%), Diabetes Mellitus 12 people (23%) for 2018. Meanwhile, in 2019, data on hypertension risk factors were obtained by 196 people (85%) and risk factors for Diabetes Mellitus 34 people (15%). It is hoped that the puskesmas can provide counseling to the community about the emergency of stroke
Investigação sobre a síndrome de Burnout em cuidadores de crianças e adolescentes com Transtorno do Espectro Autista
Authors: Sales Erich , Meirelles Laura , De Andrade Renata , Silva Élida Lúcia , Silva Júnior Estácio
Published: December 2022

A Síndrome de Burnout (SB) é marcada por exaustão, despersonalização e reduzida realização profissional, especialmente em funções assistencialistas como a dos cuidadores. Este estudo avaliou a prevalência da SB em diferentes variáveis sociodemográficas e os fatores que levam ao esgotamento de cuidadores de crianças ou adolescentes com Transtorno do Espectro Autista (TEA). A amostra foi composta por 46 cuidadores, que responderam a um questionário sociodemográfico e ao Copenhagen Burnout Inventory (CBI). Posteriormente, 10 cuidadores participaram de entrevistas semiestruturadas sobre os fatores que impactam no esgotamento. A maioria da amostra foi do sexo feminino (97,8%), entre 34 e 45 anos (56,5%), com relacionamento estável (67,4%), Ensino Superior Completo (50%) e ″do lar″ (23,9%). A prevalência de SB foi de 95,7% (43), não havendo diferença entre as variáveis sociodemográficas. O principal fator de impacto no esgotamento foi a dificuldade em conciliar trabalho, tarefas domésticas e o cuidado dos filhos com TEA, impactando principalmente as mães.
Implicações éticas no uso das redes sociais digitais e seus impactos em contexto educacional
Authors: Bueno Tonin Laís , Heloisa dos Santos Dilma , Da Silva Maria Iêda , Otávio dos Santos Rodrigo
Published: December 2022

À medida que a sociedade atual contempla os avanços das tecnologias digitais, em especial os impactos das redes sociais digitais que incidem sobre o processo de ensino e aprendizagem, causando consequências com implicações éticas e legais para a vida humana nos dias atuais. Este trabalho tem como objetivo promover uma reflexão sobre as implicações éticas e legais do uso das tecnologias com um recorte sobre as redes sociais digitais no que diz respeito à capacidade dos alunos em diferenciar fato de opinião, para o que se faz necessário o letramento digital. O percurso metodológico é exploratório, com procedimento bibliográfico e de natureza qualitativa. O referencial teórico baseia-se na filosofia da tecnologia por meio dos autores como Heidegger (2001), Beck (2010) Jonas (2006), Dupuy (2007, Feenberg (2003), Vieira (2005), Harari (2014) Santos (2022),  além do relatório da OCDE (2021) Leitores do Século 21: Desenvolvendo Habilidades de Alfabetização em um Mundo Digital. Quanto ao resultado da reflexão, conclui-se que o letramento digital em ambiente escolar se faz necessário para formar cidadãos éticos e responsáveis para o convívio em plataformas de redes sociais digitais.
A importância da diversidade de gênero na governança: uma análise das instituições financeiras no Brasil
Authors: Gomes Stefani , Carraro Nilton , Sousa Marco
Published: December 2022

Esse trabalho buscou por meio de uma ampla pesquisa bibliográfica pontuar os atributos provenientes da participação feminina na governança de instituições financeiras do Brasil. Para tanto, utilizou-se da pesquisa descritiva com abordagem qualitativa onde forem categorizados 11 atributos que se repetiram por várias vezes em pesquisas científicas ao longo de 26 anos de publicações. Utilizando-se de premissas aplicadas na análise de conteúdo, foram eliminados resultados com similaridade, porém sem representatividade. Como principal achado, destaca-se que a participação feminina na governança das principais instituições financeiras no Brasil é baixa, entretanto, aquelas que continuam liderando ranking como as melhores desse setor possuem mais participação feminina dentre as demais. Logo, esse estudo revela a exemplo de outros trabalhos mencionados na pesquisa, que esse fenômeno merece atenção.
A música e sua contribuição no desenvolvimento de crianças autistas
Authors: Santos Juliane , Furtado Andrea
Published: December 2022

O presente trabalho objetiva entender a contribuição e os benefícios da prática musical no desenvolvimento de crianças com Autismo. O aprendizado com a música associado a educação, tem uma forte significação para o desenvolvimento da cognição e melhor interação das crianças autistas. Todos nós temos uma necessidade especial, a música contribui para todo ser humano, pois beneficia a linguagem, coordenação, percepção auditiva, equilíbrio e comunicação. É visível a transformação que vai se produzindo no estilo geral da aula de música na escola. No entanto, a presença da música, sons, instrumentos que emitam barulhos em aula não bastam para configurar uma pedagogia contemporânea da música. É necessário que novos meios ou procedimentos apoiados nas teorias atuais da aprendizagem conduzam aos fins propostos.