bluuebunny/crossref_metadata_2025 huggingface dataset:
Academic Culture: Professional Communication and Entrepreneurship
Authors: Dr Alka Singh
Published: March 2023

The biggest challenge for a professional in an age where academia is characterised by its ability to quickly and effectively cross borders is to reciprocate and convey the idea that what one has learned or attained should be put to use for the greater good of the people as well as the personal advantages one may accrue. According to this perspective, language plays a crucial role in that it may be utilised effectively as a tool to win business and build entrepreneurship in the context of the various disciplines involved. Academic settings and associated circumstances have influenced how things are done and how texts, facts, and presentations are conceived. In any academic culture, language has evolved into the handmaid of everyone in various patterns of usage for the objectives at hand. There is no replacement for entrepreneurs who strive to uplift people's spirits and minds. In order to ensure that the concept is successful when it is spread to a broad market, R.P. Singh advises to play fine tune to look at the facts on the ground. He achieved this by citing examples from the literature and creating a paradigm for language studies teaching and research where minuteness compensates for celebrating glocalization.
The Future of Climate Change and Ecofeminism in Barbara Kingsolver's Novels
Authors: N Sathiyarajan
Published: March 2023

Thematically, Flight Behavior departs from Prodigal Summer in its examination of the reality and effects of climate change. This novel focuses on those who deny or oppose the reality of climate change and its impact on their lives. The men in Flight Behavior, with the notable exception of the scientist Byron, perpetuate exploitative land use practises. This novel's emphasis on animals and their reproductive success opens up a crucial ecofeminist route. The monarchs have had to relocate their home and nesting grounds due to climate change, and their uncertain yet ominous future is mirrored by other difficult births in the novel: Dellarobia has a traumatic birthing experience with Hester's lambs as she comes to terms with the death of her and Cub's child. Optimism is what readers should take away from the two novels reviewed in this thesis. Understanding how people are connected to everything on Earth will help us revive the planet and stop exploiting people, animals, and nature for profit and pleasure. This paper's final chapter changes from Prodigal Summer's status quo to Flight Behavior's future. The third chapter examined how masculinist land practises replicated patriarchal, exploitative environmental usage and how only the novel's female characters perceived ecological alternatives. This chapter discusses the consequences of ignoring environmental exploitation and climate change. This chapter will cover denial, reality, and climate change mitigation to continue discussing realities and implications. I'll study how humans and nonhumans deny reality. Kingsolver said in an interview that others' denial inspired this novel. I'll list the middle class's environmental needs. Dellarobia becomes a pseudoscientist from a housewife. The environmental movement's butterfly conservationists in Appalachia are a parody. Dellarobia also resembles many of the ladies in chapter two who became reluctant environmentalists. Finally, hope. Dellarobia leads Kingsolver's audience to good change. The novel's ending is uncertain, but I think it's optimistic because of resistance.
Ecological Discourses in Margaret Atwood’s Novel Oryx and Crake
Authors: Soumya. S. J & Dr. N.U. Lekshmi
Published: March 2023

Cli-fi is an innovative genre of fiction that modernizes climate science into human stories. Writers of cli-fi discover, what it means to be human in a world that is influenced by warming temperature, powerful storms and rising seas. The cli-fi narratives arouse consciousness about the complex issues of climate change. The novel Oryx and Crake by Margaret Atwood, published in 2003, is about a post-apocalyptic world which will be a reality in the future. The novel carries two distinct genres- a pre apocalyptic world and a post-apocalyptic world. The pre apocalyptic world is an exaggerated representation of the mid of twenty first century and the post-apocalyptic world is portrayed as the end of twenty first century. Oryx and Crake discusses a world that is completely destructed due to unscientific acts, war, global warming, climate change and diseases. The two genres narrate through the character Snowman who is the only survivor of the destruction.  Oryx and Crake, towards the end, narrates the ruin of entire living organisms. Snowman enters the Compound and witnesses a number of changes there. The best example is about the pigoons. Once they were meant to help human beings but now, they are cruel creatures. Bio terrorism and the over use of scientific discoveries have changed the entire bio balance of the planet. Most of characters are not affectionate towards each other. The relationship between Oryx and Jimmy is an exception. This is the reason behind Jimmy’s forgiveness towards all the activities of Crake against nature. For Jimmy, Oryx is the beautiful part of nature and Snowman longs for the love and care he has once received from Oryx.
ĐIỀU TRỊ BỆNH NHÂN PEMPHIGUS TẠI KHOA KHÁM BỆNH, BỆNH VIỆN DA LIỄU TRUNG ƯƠNG TỪ NĂM 2015 ĐẾN NĂM 2021
Authors: Phạm Thị Thảo , Trịnh Minh Trang , Phạm Thị Liên , Phạm Thị Minh Phương
Published: March 2023

Đặt vấn đề: Pemphigus là nhóm bệnh da bọng nước tự miễn gây ra bởi các tự kháng thể chống lại desmogleins và đặc trưng lâm sàng bởi sự xuất hiện các bọng nước và vết trợt đau ở trên da và niêm mạc. Cho đến nay chưa có thuốc chữa khỏi bệnh hoàn toàn nhưng có nhiều phương pháp giúp kiểm soát bệnh.

Mục tiêu: Khảo sát các phương pháp điều trị bệnh pemphigus trên bệnh nhân đến khám tại khoa Khám bệnh, Bệnh viện Da liễu TW từ năm 2015 đến năm 2021.

Phương pháp: Nghiên cứu mô tả cắt ngang trên hồ sơ bệnh án của 279 bệnh nhân bị pemphigus điều trị ngoại trú tại tại Khoa khám bệnh của Bệnh viện Da liễu trung ương từ 2015 đến 2021.

Kết quả: Hầu hết các bệnh nhân được điều trị chủ yếu bằng corticoid đơn thuần:  65,1% ở tất cả các bệnh nhân pemphigus và 62,8% đến 100% ở các dưới nhóm  pemphigus. Tiếp đến là nhóm bệnh nhân được điều trị bằng corticoid đường toàn thân kết hợp với các thuốc ức chế miễn dịch khác trong đó azathioprine được sử dụng nhiều nhất. Có 1 nhóm nhỏ bệnh nhân đang sử dụng thuốc Đông y để điều trị mặc dù phương pháp này không được khuyến cáo do có ít bằng chứng khoa học. Về hiệu quả, các phương pháp điều trị mà bệnh nhân đã sử dụng đã giúp duy trì bệnh ở mức độ nhẹ và vừa với tỉ lệ từ 75% đến 90%.

 Kết luận: Tại khoa Khám bệnh, Bệnh viện Da liễu TW, phần lớn bệnh nhân pemphigus được điều trị bằng corticoid đơn thuần, tiếp đến là bằng corticoid kết hợp với các thuốc ức chế miễn dịch khác trong đó chủ yếu là kết hợp với azathioprine đã giúp phần lớn bệnh nhân duy trì bệnh của mình ở mức nhẹ và trung bình.
NGHIÊN CỨU TÌNH HÌNH NHIỄM NẤM, DEMODEX, ĐẶC ĐIỂM LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN CỦA MỤN TRỨNG CÁ TẠI BỆNH VIỆN DA LIỄU CẦN THƠ NĂM 2021
Authors: Phạm Thị Bảo Trâm , Phạm Thanh Thảo , Huỳnh Văn Bá
Published: March 2023

Mở đầu: Mụn trứng cá là một bệnh về da mạn tính rất hay gặp, chủ yếu xuất hiện ở tuổi dậy thì và có thể tồn tại sau 25 tuổi, phổ biến nhất ở phụ nữ. Cơ chế bệnh sinh của bệnh ngày càng phức tạp, trong đó nguyên nhân về xáo trộn hệ vi sinh vật da ( vi khuẩn, vi nấm, kí sinh trùng,..) hiện đang là vấn đề ngày càng nhận được nhiều sự quan tâm, đặc biệt vi nấm và Demodex xuất hiện ngày càng nhiều tại các tổn thương, khiến cho các triệu chứng lâm sàng trở nên phức tạp.

Mục tiêu: Xác định tỷ lệ nhiễm nấm, Demodex, đặc điểm lâm sàng và một số yếu tố liên quan ở bệnh nhân mụn trứng cá đến khám tại bệnh Da Liễu Cần Thơ.

Phương pháp nghiên cứu: nghiên cứu mô tả cắt ngang thực hiện trên 114 bệnh nhân mụn trứng cá từ 18 tuổi trở lên.

Kết quả: Tỉ lệ nhiễm nấm, Demodex là 30,7%, trong đó tỉ lệ nhiễm nấm 18,4%, Demodex là 12,3%, chiếm ưu thế ở nhóm bệnh nhân từ 18-25 tuổi 69,9%, nữ giới cao hơn nam giới với tỷ lệ 65,7%, đa phần có tiền sử tự điều trị 45,7%, chủ yếu sử dụng thuốc bôi có chứa corticoid 62,9%. Đặc điểm lâm sàng chiếm ưu thế ở bệnh nhân mụn trứng cá là biểu hiện ngứa 73,7%, sang thương sẩn mụn mủ với tỉ lệ lần lượt là 38,9 và 48,4%, triệu chứng đi kèm thường gặp là đỏ da giãn mạch 60,3%. Nghiên cứu còn cho thấy rằng tỉ lệ nhiễm nấm, Demodex liên quan có ý nghĩa thống kê với các đặc điểm lâm sàng như biểu hiện cảm giác kiến bò 57,1, sang thương mụn mủ 88,6%, da khô tróc vẩy 73,4%, mức độ nặng rất nặng 51,4%.

Kết luận: tỉ lệ nhiễm nấm, Demodex trên bệnh nhân mụn trứng cá là 30,7%. Có mối liên quan có ý nghĩa thống kê giữa tỉ lệ nhiễm nấm, Demodex và các đặc điểm lâm sàng như biểu hiện cảm giác kiến bò, da khô tróc vẩy, sang thương chủ yếu là mụn mủ, mức độ bệnh từ nặng đến rất nặng.
KHẢO SÁT MỐI LIÊN QUAN CỦA KHÁNG THỂ KHÁNG GIÁP Ở BỆNH NHÂN MÀY ĐAY MẠN TÍNH
Authors: Phạm Thị Thu Hằng , Nguyễn Hữu Sáu , Hoàng Thị Lâm
Published: March 2023

Mục tiêu: xác định mối liên quan của kháng thể kháng giáp trên bệnh nhân mày đay mạn tính.

Đối tượng: 84 bệnh nhân được chẩn đoán mày đay mạn tính tại khoa Dị ứng, Miễn dịch và Da liễu – Bệnh viện E từ 08/2021 đến 08/2022 đáp ứng tiêu chuẩn lựa chọn và loại trừ.

Phương pháp nghiên cứu: mô tả cắt ngang.

Kết quả: 32,1% dương tính ATA (27/84 trường hợp trong đó có 19 nữ/8 nam) (anti-TPO 8,3% (7/84 – 6 nữ/1 nam) – anti-Tg 7,1% (6/84 – 5 nữ/1 nam) – TRAb 27,4% (23/84 – 15 nữ/8 nam)). Không có sự khác biệt giữa nhóm dương tính và âm tính anti-TPO, anti-TG, TRAb về tuổi khởi phát, giới, tổng điểm triệu chứng. TRAb có liên quan tới thời gian mắc bệnh (dương tính chủ yếu mắc bệnh dưới một năm (82,6% - 19/23 trường hợp). Anti-TPO dương tính có tỷ lệ phù mạch và thời gian mắc bệnh trên một năm là 28.6% và 57.1% cao hơn so với nhóm âm tính.

Kết luận: xét nghiệm kháng thể kháng giáp là xét nghiệm cần thiết cho bệnh nhân mày đay mạn tính để chẩn đoán nguyên nhân và tiên lượng bệnh.
SO SÁNH KẾT QUẢ ĐIỀU TRỊ TRỨNG CÁ THÔNG THƯỜNG MỨC ĐỘ NẶNG BẰNG PHỐI HỢP UỐNG ISOTRETINOIN VÀ AZITHROMYCIN VỚI UỐNG ISOTRETINOIN VÀ CLARITHROMYCIN
Authors: Vũ Thanh Tùng , Phạm Thị Lan , Đinh Hữu Nghị , Lê Thị Mai
Published: March 2023

Mục tiêu: So sánh kết quả điều trị trứng cá thông thường mức độ nặng bằng phối hợp uống isotretinoin và azithromycin với uống isotretinoin và clarithromycin

Đối tượng và phương pháp nghiên cứu: Thử nghiệm lâm sàng ngẫu nhiên có đối chứng so sánh trên 70 bệnh nhân trứng cá thông thường mức độ nặng được chia làm 2 nhóm: nhóm A điều trị bằng uống isotretinoin 0,3 – 0,5mg/kg/ngày trong 12 tuần phối hợp với azithromycin 500mg tuần uống 3 ngày nghỉ 4 ngày trong 8 tuần; nhóm B điều trị bằng uống isotretinoin 0,3 – 0,5mg/kg/ngày trong 12 tuần phối hợp với clarithromycin 500mg uống ngày 2 lần sáng, tối; uống 1 tuần, nghỉ 3 tuần trong 8 tuần. Kết quả điều trị được đánh giá bằng sự giảm số lượng tổn thương; mức độ đáp ứng với điều trị tốt, trung bình, kém và mức độ hài lòng của bệnh nhân.

Kết quả: Kết quả được đánh giá sau điều trị 4, 8 và 12 tuần với số lượng tổn thương viêm, tổn thương không viêm và tổng số tổn thương giảm ở cả 2 nhóm. Đối với nhóm A uống isotretinoin và azithromycin, số lượng tổn thương viêm trung bình giảm từ 44,5 trước điều trị xuống 7,5. Số lượng tổn thương không viêm giảm từ 22,2 xuống còn 4,3. Ở nhóm B, uống isotretinoin và clarithromycin cũng ghi nhận số lượng tổn thương viêm trung bình giảm từ 44,7 xuống còn 8,8 số lượng tổn thương không viêm giảm từ 22,5 xuống còn 10,8. Về tổng số tổn thương, sau 12 tuần nhóm A còn 11,8; thấp hơn có ý nghĩa so với nhóm B 19,6 (p < 0,05). Nhóm uống isotretinoin phối hợp với azithromycin có kết quả điều trị tốt cao hơn hơn so với nhóm uống isotretinoin phối hợp với clarithromycin (62,9% so với 40,0%).

Kết luận: Sử dụng isotretinoin phối hợp với một trong hai loại kháng sinh là azithromycin hoặc clarithromycin để điều trị trứng cá thông thường mức độ nặng cùng có kết quả cải thiện tổn thương mụn viêm, mụn không viêm. Nếu cần phối hợp isotretinoin với một trong hai loại kháng sinh trên thì azithromycin là lựa chọn thứ nhất và clarithromycin là lựa chọn thứ hai.
TRỨNG CÁ TỐI CẤP (AF: ACNE FULMINANS)
Authors: Nguyễn Thị Kim Cúc
Published: March 2023

Trứng cá tối cấp (acne fulminans: AF) được biết đến với tên gọi ban đầu là trứng cá ác tính (acne maligna) hoặc trứng cá bọc có loét và sốt cấp tính (acute febrile ulcerative acne conglobata) hoặc pseudo-acne fulminans (Burn và Colville 1959). Tuy nhiên, đến năm 1975, Plewig và Kligman đã đặt tên bệnh là trứng cá tối cấp AF nhằm nhấn mạnh các đặc trưng khác biệt của bệnh. AF có nhiều thể lâm sàng khác nhau, từ không có triệu chứng toàn thân đến các triệu chứng toàn thân rầm rộ. Đặc điểm chung của tất cả các thể AF đó là tổn thương loét cấp tính xuất hiện chủ yếu ở thân mình kèm theo vết trợt xuất huyết, lành để lại sẹo xấu.

AF là bệnh hiếm gặp, với số lượng báo cáo dưới 200 ca lâm sàng. Những năm gần đây, số ca lâm sàng AF được báo cáo có giảm nhẹ, có thể liên quan đến việc phát hiện tổn thương sớm trước khi bệnh diễn tiến thành AF thực sự. Tuy nhiên, trong các thể AF, AF không có triệu chứng toàn thân khởi phát sau dùng isotretinoin lại gia tăng do việc sử dụng isotretinoin ngày càng rộng rãi.
DUPILUMAB TRONG ĐIỀU TRỊ PEMPHIGOID BỌNG NƯỚC
Authors: Trịnh Ngọc Phát
Published: March 2023

Xu hướng mới hiện nay trong điều trị các bệnh tự miễn là các thuốc sinh học và các thuốc phân tử nhỏ, pemphigoid bọng nước cũng không là một ngoại lệ. Cùng với những nghiên cứu rõ ràng và sâu sắc hơn về cơ chế bệnh sinh của pemphigoid bọng nước, ngày càng có những thuốc mới ra đời tác động đặc hiệu vào các con đường sinh bệnh của pemphigoid bọng nước.
THỤ THỂ ARYL HYDROCARBON TRONG VẢY NẾN
Authors: Nguyễn Thị Huế
Published: March 2023

Hệ thống thụ thể aryl hydrocacbon (AHR) /chuyển vị nhân AHR (ARNT) là một thụ cảm nhạy cảm đối với các hóa chất xenobiotic phân tử nhỏ có nguồn gốc ngoại sinh và nội sinh, bao gồm dioxin, hóa chất thực vật, sản phẩm sinh học của vi sinh vật và sản phẩm của phản ứng quang hóa tryptophan. AHR/ARNT được biểu hiện nhiều ở da. Sau khi được kích hoạt, trục AHR/ARNT tăng cường các chức năng của hàng rào da và tăng tốc độ biệt hóa thượng bì đến giai đoạn cuối cùng bằng cách điều hòa làm tăng biểu hiện filaggrin. Ngoài ra, kích hoạt AHR gây ra các stress oxy hóa. Tuy nhiên, một số chất kết nối AHR đồng thời hoạt hóa yếu tố phiên mã hạt nhân hồng cầu 2 liên quan đến yếu tố 2 (NRF2, nuclear factor-erythroid 2-related factor-2), đây là một công tắc chính của các enzym chống oxy hóa giúp trung hòa các stress oxy hóa. Hệ thống điều hòa miễn dịch chi phối tế bào T-helper 17/22 (Th17/22) và T điều hòa (Treg) cũng được điều hòa bởi hệ thống AHR. Đáng chú ý là, các chất chủ vận AHR, chẳng hạn như tapinarof, hiện đang được sử dụng trong điều trị vảy nến và viêm da cơ địa.
EPITHELIOID SARCOMA
Authors: Trần Thị Quyên
Published: March 2023

Bệnh nhân nam, 60 tuổi, tiền sử khỏe mạnh. Khởi phát cách 2 năm bệnh nhân xuất hiện vài sẩn kích thước 0,5x0,5cm, mật độ chắc ở mu bàn tay phải, tăng kích thước dần và xuất hiện thêm các tổn thương mới ở lòng bàn tay và lan dọc cẳng tay phải. Các tổn thương tiến triển thành các nốt gờ cao trên mặt da, dễ chảy máu, đóng vảy tiết đen dày, một số tổn thương loét trung tâm, không chảy mủ. Cẳng bàn tay của bệnh nhân nề đỏ, đau nhức. Toàn trạng bệnh nhân ổn định, không sốt, không gầy sút. Bệnh nhân đã đi khám tại Bệnh viện tỉnh Thái Bình, không rõ chẩn đoán và điều trị, tổn thương tiếp tục tăng kích thước và xuất hiện thêm nhiều nốt ở cánh tay, cẳng tay và bàn tay phải.
XƠ CỨNG BÌ KHU TRÚ THỂ LAN TỎA
Authors: Trịnh Ngọc Phát
Published: March 2023

Bệnh nhân nữ 31 tuổi với tổn thương teo da, tăng giảm sắc tố dạng dải và dạng mảng phân bố rải rác ở đầu-cổ, các chi và thân, không có triệu chứng cơ năng, diễn biến khoảng 10 năm. Hiện tại tổn thương của bệnh nhân ổn định, không xuất hiện tổn thương mới. Bệnh nhân không có triệu chứng nào khác. Bệnh nhân không có tiền sử bệnh hay chấn thương nào khác, không xạ trị, hiện tại không điều trị thuốc gì, trong gia đình trong có ai có biểu hiện tương tự. Sinh thiết tổn thương cho kết quả hình ảnh xơ cứng bì khu trú thể teo da Pasini – Pierini.
Technical Guidance Note Level 2, No. 21: Design and detailing of base plates to steel columns
Authors:   AECOM, O'Regan Chris
Published: March 2023

The primary means by which steel-framed structures transmit vertical loads into their foundations is via base plates. A base plate spreads the load from a column into the foundation. This Technical Guidance Note describes the design and detailing of such plates. The note only covers simple connection base plates, i.e. those that do not transmit a bending moment. Two types of action are applied to such plates: compressive axial forces; and, in some cases, shear forces due to lateral forces within braced bays.
THE STUDY OF THE INVADERS’ CRIMES IN CHERNIHIV REGION DURING WORLD WAR II: HISTORICAL SIGNIFICANCE IN THE CONTEXT OF CURRENT REALITY
Authors: IHNATENKO Maryna
Published: March 2023

The Purpose of the Research is to analyze the archive materials in order to characterize the features of creation and the mechanism of activity of the ESC in Chernihiv region, to determine its historical significance, to dwell upon the experience of its activity in the context of current situation. The Research Methodology is based on the principles of scientificity, historicism, systematicity, authorial objectivity. To study the issue were used both general scientific (analysis, synthesis, generalization) and special-historical methods of scientific research. The Scientific Novelty. For the first time the author made an attempt to determine the significance of the historical experience of investigating the crimes of the military occupiers in Chernihiv region during World War II in the context of the study of tragic events, that took place in the region this year. The Conclusions. So, the ESC was created to search, check and systematize documents and materials that could be used to convincingly reveal the crimes of the Nazis and calculate the damages caused during the temporary occupation of the territories of Chernihiv region during World War II. Furthermore, it aimed to determine the names of war criminals. In today's conditions, there is an urgent need to create a similar commission to investigate the crimes of Russian troops on the territories of Chernihiv region (from February 24 to April 2, 2022).
Improving the Competence of Teacher Candidate: Evaluation of the Effectiveness of Experiential Learning GURU Model assisted by Flip-HTML
Authors: Nirtha Eva , Patawaran Nilfred , Jecsen Pongkendek Jesi , Loupatty Martha
Published: March 2023

This study aims to evaluate the effectiveness of the Experiential Learning GURU Model Flip-HTML assisted by Flip-HTML. This research uses the CIPP evaluation method by Stuffbleam, which consists of context, inputs, processes, and products. The research approach uses a mixed method approach, namely the sequential exploratory model, using a qualitative approach first, then the next stage using a quantitative approach. Data collection techniques use questionnaires, observation, and interviews. The subject of research is prospective primary school education teachers. Qualitative data were analyzed using the Miles and Huberman model, while quantitative data were processed by calculating percentages and categorization. The results of this study show that the context has been perfect, the input is quite good, the process is excellent, and the results are categorized as very good. Thus, the Experiential Learning model of Flip-HTML assisted teachers effectively improves prospective teachers' competence, but it still requires adequate internet facilities so that all prospective teachers can easily access it
The Effects of Dialogic Reading Intervention Using Picture Fairy Tale Books on Reading Comprehension and Class Attitudes of Students with Mild Intellectual Disabilities
Authors:   Special Education Research Institute, Yu Da-Hwa , Lee Tae Su
Published: March 2023

Purpose: The purpose of this study was to analyze the effects of dialogic reading intervention using picture fairy tale books on reading comprehension and class attitudes of students with mild intellectual disabilities. Method: A multiple probe design across participants was used to analyze the effects of the intervention. Three students with intellectual disabilities in an elementary school participated in this study. The intervention in 16 sessions was conducted four times per week for approximately 40 minutes. The collected data were analyzed by visual analysis and the percentage of Nonoverlapping data(PND). Result: All participants showed significant improvement in reading comprehension and class attitudes. Also, the effects of the intervention was maintained after the intervention phase. Conclusion: Dialogic reading intervention using picture fairy tale books could be useful in improving reading comprehension and class attitudes of students with mild intellectual disabilities.
Perception of Special Education Teachers on the Importance and Performance of Music Achievement Standards in the 2015 Basic Curriculum of Special Education
Authors:   Special Education Research Institute, Lee DooJin , Hong jaeyoung
Published: March 2023

Purpose: The purpose of this study was to identify the perception of special education teachers on the importance and performance of music achievement standards in the 2015 Basic Curriculum of Special Education. Method: A survey was conducted among special education teachers with experience teaching music subjects across the country. Results: First, the importance was in the order of habituation, listening, and expression. Teachers recognized the core concept of ‘music and communication’ in ‘habituation’ at most, while they recognized the core concept of ‘elements of music’ in the ‘expression’ at least. Second, the performance was in the order of habituation, listening, and expression. Teachers applied the core concept of ‘use of music’ in ‘habituation’ at most, while they indicated the core concept of ‘element of music’ in the ‘expression’ at least. Third, 92 of the 94 achievement standards showed a significant difference in importance and performance. Conclusion: This study suggested the need to investigate ways to increase teacher performance. The findings of this study will provide preliminary data for effective teaching and learning direction, as well as basic music curriculum.
Pengaruh Kompetensi dan Lingkungan Kerja Terhadap Kinerja Pegawai di Sekretariat DPRD Provinsi Sumatera Barat
Authors: Refni Yulia Reza  , Maizul Rahmizal
Published: March 2023

The Provincial Regional People's Legislative Council (DPRD) is a regional people's representative institution that is domiciled as the administrative factor for provincial regional administration. The provincial DPRD consists of members of political parties participating in universal elections who are selected through universal elections. The purpose of this study was to examine the effect of competence and work environment variables on employee performance at the DPRD Secretariat of West Sumatra Province. Collecting data by distributing questionnaires to 94 respondents using a saturated sampling technique, where all members of the population are sampled, using data processing techniques for validity testing, reliability testing, descriptive analysis, normality test, multicollinearity test, heteroscedasticity test, multiple linear regression testing and test t with the help of the SPSS application. The results of the study show that competence has a positive and significant effect on employee performance at the DPRD Secretariat of West Sumatra Province, and the work environment has a positive and significant effect on employee performance at the DPRD Secretariat of West Sumatra Province.
Crime Rates in the Philippines: A Comparative Analysis of Bulan and Irosin Municipalities from Sorsogon Province
Authors: Barreda Manilyn Barco
Published: March 2023

The low crime rate has been identified as a predictor of a calm, orderly, and secure neighborhood. Furthermore, a safe and secure environment is essential in encouraging investment and economic progress in a country. Crime statistics can help criminal justice professionals predict increased crime risk. This study, therefore, aims to compare the crime rate of two municipalities in the province of Sorsogon: Bulan Sorsogon and Irosin Sorsogon from the calendar year 2018 to 2020. This study used document analysis to analyze and compare the crime data in the Municipality of Bulan and Irosin Sorsogon. Data reflected that in the comparison of the two municipalities in the province, the Municipality of Bulan has the highest crime rate (61%) compared to the Municipality of Irosin which has a (39%) total crime rate. Data also revealed that the crime under special law was the most numbered crime committed with (253) total in the five parameters of crime in both municipalities. Interestingly crime against property was (32) total crimes committed in both municipalities, showing a low number of crimes based on the record. Hence, the police may continue to collaborate closely with many community sectors to guarantee the seamless implementation of its programs and projects to protect public safety and security Information awareness campaigns in any form like in any platform of social media in all their programs and projects may be made available in the community to increase awareness and support of stakeholders, especially in the far-flung areas in the municipality.
Soft Skills for Employability from Academics Perspectives
Authors: Zainal Shah Norshima binti , Ab Aziz Nur Syafiqah binti , Marie Balraj Belinda
Published: March 2023

Critical Thinking skills sum up the proficiencies needed for employment. Critical Thinking skills especially Soft skills are identified as a job barrier in Malaysia. Employers assert that our graduates lack Soft skills, thus in 2006, the Malaysian government introduces and encourages the use of Soft skills, which include communication skills, problem-solving and thinking skills, continuous learning skills and information management skills, work in group skills, leadership skills, entrepreneurship skills, and professional ethics. This study focuses on the Soft skills for graduates’ employability through three objectives: to investigate the Soft skills needed by graduates, to determine whether graduates have the soft skills required for employment and whether these skills are being taught at university. The research methodology consists of a survey aimed at lecturers at the Language Centre, National Defence University of Malaysia, using a mixed-method approach. The online survey contains both closed and open-ended questions and is analyzed using SPSS v.25.0 and manual content analysis. Results indicate that the most desired Soft skills are Communication Skills, Problem Solving and Thinking Skills, and Teamwork Skills. Lecturers agree that graduates must be equipped with the Soft skills needed for employment and they perceive that these skills are taught at the university. The lecturers agree on the importance of Soft skills, and this is supported by the overall findings. This research suggests that higher educational institutions should teach Soft skills either through a course specifically for Soft skills or integrated into courses designed to meet employers’ needs.
Consensus recommendations on the management of hepatitis C in Australia's prisons
Authors: Winter Rebecca J , Sheehan Yumi , Papaluca Timothy , Macdonald Graeme A , Rowland Joy , Colman Anton , Stoove Mark , Lloyd Andrew R , Thompson Alexander J
Published: March 2023

Introduction

Prison settings represent the highest concentration of prevalent hepatitis C cases in Australia due to the high rates of incarceration among people who inject drugs. Highly effective direct‐acting antiviral (DAA) therapies for hepatitis C virus (HCV) infection are available to people incarcerated in Australian prisons. However, multiple challenges to health care implementation in the prison sector present barriers to people in prison reliably accessing hepatitis C testing, treatment, and prevention measures.

Main recommendations

This Consensus statement highlights important considerations for the management of hepatitis C in Australian prisons. High coverage testing, scale‐up of streamlined DAA treatment pathways, improved coverage of opioid agonist therapy, and implementation and evaluation of regulated provision of prison needle and syringe programs to reduce HCV infection and reinfection are needed.

Changes in management as a result of this statement

The recommendations set current best practice standards in hepatitis C diagnosis, treatment and prevention in the Australian prison sector based on available evidence. Prison‐based health services should strive to simplify and improve efficiency in the provision of the hepatitis C care cascade, including strategies such as universal opt‐out testing, point‐of‐care testing, simplified assessment protocols, and earlier confirmation of cure. Optimising hepatitis C management in prisons is essential to prevent long term adverse outcomes for a marginalised population living with HCV. Scale‐up of testing and treatment in prisons will make a major contribution towards Australia's efforts to eliminate hepatitis C as a public health threat by 2030.
Accountability of Local Government Administration Report in Dki Jakarta Province
Authors: Hayati Sri , Ruhana Faria
Published: March 2023

This research focuses on the accountability of the Local Government Administration Report in DKI Jakarta Province. The Soft Systems Methodology (SSM) research approach is used to explore social problems and suggest solutions. The research findings show that accountability in various dimensions needs improvement, such as implementer's accountability, accountability holders' coordination and participation, and accountability objectives of budget planning. Hindering factors like infrastructure, support, and competencies need to be increased in both quantity and quality. The researcher proposes a new model for accountable local government administration reports, which involves synchronization of regulations and institutions, improvement of governance and human resources, and strengthening control and supervision. The novelty of this research is in formulating policies to improve accountability in DKI Jakarta Province.
Factors Affecting the Supply Chain Resilience and Supply Chain Performance
Authors: Hashmi Aamir
Published: March 2023

The key objective of this research study is to delve into the factors affecting supply chain resilience to enhance supply chain performance through the mediation of supply chain resilience. To perform this particular research, a quantitative method of research was applied. The process of data collection was performed by using the questionnaire technique. As it was impossible to collect data from every member of the targeted population thus, a sample of data was calculated using G*power software and obtained a sample size of 129 respondents. It was concluded that supply chain artificial intelligence, adaptive capability, and supply chain collaboration have a positive and significant influence on supply chain resilience and supply chain performance. At the same time, supply chain resilience also has a positive impact on supply chain performance. Thus, organizational and supply chain performance can be enhanced by adopting supply chain resilience and other organizational dynamic capacities. This particular research study provides insight to the practitioners and managers of manufacturing firms for improving their level of resilience in the supply chain. This specific research study plays a significant role in literature by highlighting the concept of supply chain resilience & supply chain performance of organizations.
UPAYA MELATIH KEMAMPUAN BERBICARA ANAK USIA DINI MELALUI METODE BERCERITA
Authors: Supriatna Asep , Kuswandi Sony , Agus Ariffianto Moch , Permana Suryadipraja Rian , Taryana Tatang
Published: March 2023

Penelitian ini dilatarbelakangi pembelajaran bercerita kelompok A TKIT Al-Irsyad Al-Islamiyyah Karawang kurang berkembang, hal ini disebabkan oleh siswa kurang percaya diri, Anak belum tergali kecerdasan bahasanya, sebagian siswa masih ada yang diam kurang komunikatif, masih ada siswa yang kurang konsentrasi, siswa belum berani tampil kedepan. Tujuan dari penelitian ini adalah untuk mengetahui kemampuan Berbicara Anak Usia Dini Melalui Metode Bercerita Di Kelompok A TKIT Al-Irsyad Al-Islamiyyah. Metode yang digunakan dalam penelitian ini adalah Penelitian Tindakan Kelas (PTK) dimana peneliti mempunyai masalah dengan kegiatan belajar mengajar bercerita yang terjadi didalam sehingga harus ada penelitian supaya masalah itu bisa diatasi. Hasil dari penelitian menunjukkan bahwa melalui metode bercerita kemampuan berbicara anak usia dini dapat meningkat. Hal ini terbukti bahwa rata-rata kemampuan anak dalam bercerita kondisi awal sebesar 36,36 % kemudian meningkat menjadi 54,55 % pada siklus I dan akhirnya meningkat lagi menjadi 81,82 % pada siklus II, kondisi tersebut didukung oleh keberanian anak dalam bercerita didepan teman-temannya. Sebenarnya anak senang dengan bercerita namun kebanyakan belum ada keberanian dan kurang percaya diri, sehingga anak harus dimotivasi terlebih dahulu dan kurang motivasi dari orang tua dalam bercerita dirumah Penelitian berlokasi di TKIT Al-Irsyad Al-Islamiyyah Kecamatan Karawang Kulon Kabupaten Karawang.
Evaluation of hypercholesterolemia management in at-risk patients by cardiologists in France: a case vignette-based study
Authors: Ferrières Jean , Bruckert Eric , Farnier Michel , Krempf Michel , Mourad Jean-Jacques , Roux Baptiste , Schiele François
Published: March 2023

Aim:This online interactive survey investigated lipid-lowering approaches of French cardiologists in high- and very high-cardiovascular risk patients with hypercholesterolemia.Materials & methods:Physicians assessed three hypothetical patients at three clinic visits, and selected the patients’ cardiovascular risk category, target low-density lipoprotein cholesterol (LDL-C) and treatment.Results:A total of 162 physicians completed 480 risk assessments; 58% of assessments correctly categorized the hypothetical patients. Most physicians chose the correct LDL-C target for one of the very high-risk patients, but higher-than-recommended targets were selected for the other very high-risk patient and the high-risk patient. Statins were the most commonly chosen treatment.Conclusion:French cardiologists often underestimate cardiovascular risk in patients with hypercholesterolemia, select a higher-than-recommended LDL-C target and prescribe less intensive treatment than that recommended by guidelines.
Polypropylene Compounds for PEM-Electrolyzer Plates: Materials, Processing Methods, and Analysis of the Materials
Authors: Prassad Venkatesan , Hickmann Thorsten , Martin Engelke , Eric Klemp , Thorsten Derieth
Published: March 2023

Titanium and graphite-filled composites together with a polymer, such as polypropylene, are a suitable material for bipolar plates in PEM electrolyser applications. Similar to pure titanium metals, titaninium and graphite composite plates have quite good properties when mixed with polypropylene (PP). The plates have relatively low electrical resistance and can withstand the aggressive electrochemical environment encountered in an electrolyser. The main challenges here are resistance to oxygen, hydrogen, and complete. The conditions in operation are extreme. Above all, the comparatively high voltage and the fact that pure water is used generally cause problems for the materials. Besides pure titanium, composite materials can also be used. This chapter summarizes the most important requirements for the titanium-PP composite material. This material is used for bipolar plates. This is the basis for the characterization methods of titanium-based bipolar plates. The modern PP-based composites and their general properties are described, with a focus on improved long-term stability. In this chapter, the material fillers such as titanium and graphitic powders are analysed. The last deals with the way the electrical conductivity of the materials is measured and with in situ operation.
Contamination of Honey: A Human Health Perspective
Authors: Patra Biswajit , Narayan Pradhan Surya
Published: March 2023

Honey is utilized not only as a nutritive product but also in health depicted traditional medicine and also substitute treatment for clinical settings ranging from wound curing to tumor treatment. This review emphasizes the capability of honey and its importance in medicinal aspects. Conventionally, honey is used in the treatment of blindness eye problem, respiratory asthma, throat contaminations, tuberculosis, dehydration, hitches, tiredness, shakiness, constipation, eczema, hepatitis, worm plague, piles, ulcers, wounds and used as healthful supplement. The components of honey have been conveyed to exercise antimicrobial, antioxidant, anti-inflammatory, anticancer, antiproliferative, and antimetastatic properties. Agricultural pesticides effect with antibiotics is a challenging problem in modern collected honey that needs to be addressed. Honey consumed as medicine and their contamination may transfer serious health risks. Honey are polluted by pesticides, heavy metals, and radioactive materials. Pesticide deposits create genetic mutations of healthy cells. Assimilation of honey without significant its source and defensive effect might be challenging. Pure honey should be labeled to discover its composition, origin and strong activities that is unrestricted from pollutants. It also not functional to injuries or used for therapeutic determinations. This paper reviews the health impact and extent of honey contamination. Also discussed the different nanoparticles associated with honey and their characterization.
Effect of Intraoperative Lung Recruitment and Transversus Abdominis Plane Block in Laparoscopic Bariatric Surgery on Postoperative Lung Functions: A Randomized Controlled Study
Authors: Aboseif Aboseif , Bedewy Ahmed , Nafei Magdy , Hammad Raafat , Amin Salwa
Published: March 2023

Background: Morbid obesity may cause a restrictive condition. General anesthesia (GA) and supine posture both decrease lung capacity and functional residual capacity (FRC), altering the ventilation/perfusion ratio and raising the pulmonary shunt. Objectives: To evaluate the impact of recruitment maneuver (RM) and transversus abdominis plane (TAP) block performed during laparoscopic bariatric surgery on spirometry, oxygenation, opioid requirements, and pain score assessed after surgery. Methods: This pilot prospective randomized controlled study included 80 patients scheduled for elective laparoscopic bariatric surgeries (e.g., laparoscopic sleeve gastrectomy and laparoscopic gastric bypass) under GA. Patients were divided into four equal groups. All patients received a standardized postoperative analgesia regimen. Group I (control group), group II received TAP block after intubation and before surgical incision, group III received RM after intubation and after pneumoperitoneal insufflation, and group IV received RM after intubation and after pneumoperitoneal exsufflation and TAP block after intubation and before surgical incision. Results: Forced vital capacity (FVC) and forced expiratory volume (FEV1) were significantly higher after group IV operation than in other groups. Intraoperative PaO2 and PaO2/FiO2 were significantly higher in groups III and IV compared to other groups. The numerical rating scale (NRS) at 1, 2, 4, 6, and 12h was significantly decreased in groups II and IV compared to other groups. Morphine consumption was significantly lower in groups II and IV compared to other groups. Conclusions: TAP block combined with RM had better postoperative pulmonary function tests. Intraoperative oxygenation was higher in RM.
Evaluation of Purified Protein Derivative Changes Based on Mediastinal Lymph Node Density
Authors: Safi Fatemeh , Hasanian Mohammad , Fazeli Masoud , Sofian Masoumeh , Bahrami Edris , Mehrnahad Mersad
Published: March 2023

Background: The present study evaluated purified protein derivative (PPD) changes based on mediastinal lymph node density. Methods: This cross-sectional observational study was performed on 130 patients who were referred to Valiasr and Amir Al-Momenin Hospitals in Arak, Iran for a CT scan for non-infectious and non-tumor reasons. The gender of the patients was recorded, and they then underwent non-contrast CT, and their mediastinal lymph node density was measured and recorded based on the Hounsfield units. Patients were evaluated for changes in the tuberculin test. The induration diameter obtained from the tuberculin test was recorded for each individual. Data analysis was then carried out using SPSS software ver. 20. Results: There was a positive correlation between mediastinal lymph node density and tuberculin test induration diameter, so larger induration diameter in the tuberculin test results in increasing lymph node density result (r = 0.416, P < 0.001). There was a negative correlation between mediastinal lymph node density and age, i.e., mediastinal lymph node density decreased with increasing age (P < 0.001, r = -0.616). Lymph node density was higher in men than in women (P = 0.022). Conclusions: There is a positive correlation between the mediastinal lymph node density and the tuberculin test induration diameter, and the tuberculin test induration diameter increases with increasing lymph node density. There is a negative correlation between the mediastinal lymph node density and age, i.e., the mediastinal lymph node density decreases with increasing age. Lymph node density was also higher in men than in women. Therefore, the results can help ensure an earlier diagnosis of pulmonary tuberculosis, and measuring the mediastinal lymph node density is recommended.
Facilitating and Inhibiting Factors in Deciding to Start Retreatment in Survivors of Breast Cancer Recurrence
Authors: Matbouei Mahsa , Samsami Majid , Soleimani Mohsen
Published: March 2023

Background: Cancer recurrence is an important care challenge for breast cancer survivors. It is necessary to understand and identify the barriers and facilitators that affect the decision to start retreatment by those facing breast cancer recurrence compared to factors affecting their decision to start the initial treatment, which is different. Objectives: This study is part of a qualitative study with a grounded theory approach, which was conducted to explain the facilitating and inhibiting factors affecting the decision to start retreatment in survivors of breast cancer recurrence, using a qualitative content analysis method. Methods: This study was conducted based on the experiences of 16 patients with breast cancer recurrence and 2 oncologists to confirm the findings of the effective inhibiting and facilitating factors in patients’ decisions to start retreatment for breast cancer recurrence in one of the hospitals in Tehran, Iran. The samples were selected, using the purposeful sampling method trying to have maximum diversity. Data were collected through in-depth semi-structured telephone interviews from November 2020 to November 2021 and analyzed, using the conventional content analysis method following the Elo and Kyngas method, which includes 3 phases, including the preparation phase, the organizing phase, and the reporting phase. Credibility, transferability, dependability, confirmability, and authenticity were used for determining the trustworthiness of data. Results: Both groups of inhibiting and facilitating factors were divided into 5 categories, including individual factors, social factors, family factors, illness characteristics, and treatment-related factors. Also, each category included sub-categories in two groups of inhibiting and facilitating factors affecting the decision to start treatment again. Conclusions: Based on the results of the present study, it is necessary to increase the awareness of patients with breast cancer by the treatment staff about the possibility of recurrence and to know the factors influencing their decision-making process to start retreatment. Nurses should play the role of advisors, educators, and supporters of the patients in this field.
Is Pornography Use Associated with Sexual Desire and Marital Satisfaction Among Heterosexual Iranian Women?
Authors: Roshan Chesli Shokoufeh , Ghorashi Zohreh , Roshan Rasol , Vazirinejad Reza
Published: March 2023

Background: Increasing access to various forms of pornography since the advent of the internet has provided a new context for couples' sexual experiences, but the possibility of adverse effects of pornography on couples' romantic relationships is a concern. Objectives: This study aimed to compare sexual desire and marital satisfaction in 2 groups of married women with and without a history of pornography use in Rafsanjan city, Iran. Materials and Methods: This descriptive study was conducted on 254 women with children covered by comprehensive health centers in Rafsanjan city by convenience sampling in 2020. Data collection tools included a demographic characteristics form, Enrich Marital Satisfaction Questionnaire (EMSQ), Hurlbert Index of Sexual Desire (HISD), and Pornography Questionnaire (SPQ). Data were analyzed by chi-square, 2 independent samples, and multivariate analysis of covariance (MANCOVA) in SPSS version 21. P values less than or equal to 0.05 were considered statistically significant. Results: There was a positive and significant relationship between sexual desire and pornography use (P = 0.043). The mean score of marital satisfaction was lower in the pornography user group than in the nonuser group, but it was not statistically significant. Of the 9 components of marital satisfaction, there was a statistically significant difference only in the component of financial management between the 2 groups (P = 0.037). There was no statistically significant relationship between demographic characteristics and pornography use (P > 0.05). Conclusions: It seems that pornography use in married women is related to sexual desire, but in the present study, no relationship was found between pornography use and marital satisfaction. More studies are needed to reveal the relationship between pornography use and the sexual features of women and their partners.
THE EFFECT OF CORPORATE GOVERNANCE ON ACCOUNTING INFORMATION QUALITY (Survey on Publicly Listed Companies in Indonesia Stock Exchange 2011-2016)
Authors: Sinaga Judith T.G.
Published: March 2023

This research is conducted to know the current situation of Indonesia’s corporate governance and accounting information quality. Good corporate governance is one of the aspects that should be considered to obtain accounting information quality. Good corporate governance was measured by using corporate governance perception index (CGPI) while accounting information quality was measured using discretionary accruals (Jones Model). The result showed that good corporate governance has a significant effect on accounting information quality. Companies that practice good governance will eventually produce accounting information with quality.