bluuebunny/crossref_metadata_2025 huggingface dataset:
Technique, sedation, and clinical outcome of endoscopic submucosal dissection for rectal tumor with involvement of dentate line: A retrospective cohort study
Authors: Noh Yoon Kyoo , Lee Jun , Kim Seong Jung
Published: May 2023

Background:

Endoscopic submucosal dissection (ESD) of rectal tumors involving the dentate line (RT-DL) is challenging because of the anatomical features of the anal canal. This study aimed to identify optimal techniques and sedation and to determine the clinical outcomes of ESD for RT-DL.

Methods:

We retrospectively collected medical records and endoscopic results of patients who underwent ESD for rectal tumors between January 2012 and April 2021. Patients were divided into RT-DL and rectal tumors not involving the dentate line (RT-NDL) groups, as per involvement of the dentate line. The treatment results and clinical outcomes of the two groups were evaluated and analyzed. Additionally, subgroup analysis was performed in the RT-DL group for the sedation method involved.

Results:

In total, 225 patients were enrolled and 22 were assigned to the RT-DL group. The complete resection rate (90.9% vs. 95.6%, P =0.336), delayed bleeding (13.6% vs. 5.9%, P =0.084), perforation (0% vs. 3.9%, P = 0.343), hospital stays (4.55 vs. 4.48 days, P = 0.869), and recurrence (0% vs. 0.5%) showed no significant group differences. However, in RT-DL group, the procedure time (78.32 vs. 51.10 min, P = 0.002) was longer and there was more perianal pain (22.7% vs. 0%, P = 0.001). The subgroup analysis revealed that deep sedation using propofol reduced perianal pain during the procedure (0/14 vs. 5/8, P = 0.002).

Conclusions:

ESD of RT-DL is a safe and effective treatment despite the challenges of requiring a high level of technique and longer procedure time. In particular, ESD under deep sedation should be considered in patients with RT-DL to control perianal pain.
Expanded Access Program Pralsetinib in Advanced Non–Small Cell Lung Cancer with Rearranged during Transfection (RET) Gene Rearrangement
Authors: Jeon Youngkyung , Jung Hyun Ae , Park Sehhoon , Sun Jong-Mu , Ahn Jin Seok , Ahn Myung-Ju , Park Keunchil , Lee Se-Hoon
Published: May 2023

Purpose Rearranged during transfection (RET) gene rearrangement is a well-known driver event in non–small cell lung cancer (NSCLC). Pralsetinib is a selective inhibitor of RET kinase and has shown efficacy in oncogenic RET-altered tumors. This study evaluated the efficacy and safety of expanded access program (EAP) use of pralsetinib in pretreated, advanced NSCLC patients with RET rearrangement.Materials and Methods Patients who received pralsetinib as part of the EAP at Samsung Medical Center were evaluated through a retrospective chart review. The primary endpoint was overall response rate (ORR) per the Response Evaluation Criteria in Solid Tumors (RECIST) ver. 1.1 guidelines. Secondary endpoints were duration of response, progression-free survival (PFS), overall survival (OS), and safety profiles.Results Between April 2020 and September 2021, 23 of 27 patients were enrolled in the EAP study. Two patients who were not analyzed due to brain metastasis and two patients whose expected survival was within 1 month were excluded from the analysis. After a median follow-up period of 15.6 months (95% confidence interval [CI], 10.0 to 21.2), ORR was 56.5%, the median PFS was 12.1 months (95% CI, 3.3 to 20.9), and the 12-month OS rate was 69.6%. The most frequent treatment-related adverse events (TRAEs) were edema (43.5%) and pneumonitis (39.1%). A total of 8.7% of patients experienced extra-pulmonary tuberculosis. TRAEs with a common grade of three or worse were neutropenia (43.5%) and anemia (34.8%). Dose reduction was required in nine patients (39.1%).Conclusion Pralsetinib presents a clinical benefit when used in patients with RET-rearranged NSCLC, consistent with a pivotal study.
Clinical manifestations, management, and outcomes of primary silent sinus syndrome: a systematic review
Authors: Michelle L , Du A T , Abiri A , Kuan E C
Published: May 2023

Introduction: Silent sinus syndrome (SSS) is a rare disorder of the maxillary sinus, which may present with orbital symptoms. Most reports of silent sinus syndrome are limited to small series or case reports. This systematic review comprehensively characterizes the various clinical presentations, management, treatment, and outcomes in patients with SSS. Methods: A systematic literature search of the PubMed, Cochrane, Web of Science, and Scopus databases. Inclusion criteria were studies describing the presentation, management, or treatment of SSS or chronic maxillary atelectasis. Results: One hundred fifty-three articles were included in the final review (n=558 patients). Mean age at diagnosis was 38.8 ± 14.1 years, with a relatively even distribution among sexes. Enophthalmos and/or hypoglobus were the most frequent symptoms, along with diplopia, headache, or facial pressure/pain. Most patients (87%) underwent functional endoscopic sinus surgery (FESS), and 23.5% received orbital floor reconstruction. Post-treatment, patients had significant reductions in enophthalmos (2.67 ± 1.39 vs. 0.33 ± 0.75 mm) and hypoglobus (2.22 ± 1.43 vs. 0.23 ± 0.62 mm). Most patients (83.2%) achieved partial or total resolution of clinical symptoms. Conclusions: SSS has a variable clinical presentation, with enophthalmos and hypoglobus being most common. FESS with or without orbital reconstruction are effective treatments to address the underlying pathology and structural deficits.
Agent-based Intelligent Tutoring System for Arabic Grammar
Authors: Natheer Sumayah , Elazhary Prof. Dr. Hanan , Dr. Haneen Al-Ahmadi
Published: May 2023

An Intelligent Tutoring System (ITS) gives tailored teaching to students based on their learning preferences and/or skills to address the problems of learning. These include the difficulty of providing quality learning to students in remote areas, which may be hard to reach by students and/or teachers. Additionally, tracking the progress of each individual student and providing suitable learning material and exercises is not an easy task. One of the best candidates for such systems is Arabic grammar, which is a quite complex subject. Nevertheless, due to this complexity it hasn’t been adequately handled by researchers. Also, those systems have generally been developed for elementary-level grammar courses. Thus, this paper aims to develop an intelligent tutoring system to address problems of learning Arabic grammar and make education reachable anywhere based on self-paced learning. The system is developed for an Arabic grammar course at the University of Jeddah. An intelligent agent is a pack of software tools to be merged with various applications and databases to facilitate their operation by making them modular. They also facilitate modification and extension of any ITS without having to rebuild it from scratch. Though agents have been integrated in Arabic grammar tutoring systems, to the best of our knowledge, no framework or methodology has been proposed for developing such agent-based grammar ITSs. We attempt to address this problem in this paper.
Performance of Exile: Poet-Translators in The Leningrad Underground
Authors: Rossi Miriam
Published: May 2023

Literary translation during the Soviet period has been mostly analysed in terms of conforming to or resisting the dominant ideology. However, there were spaces where translation practices were to a certain extent free from this dichotomy, though excluded from the official literary field. The focus of the article is the particular condition of displacement or exile experienced by the underground poets who lived in Leningrad during the 1980s. The samizdat poet-translator plays the role of an exile, living on the fringes of the society and creating a network in the underground. The outcomes of this “performance of exile” are the translated texts, which show the handprints of the translator’s conditions. The article responds to Anthony Pym’s call for humanizing Translation History, and, using the sociological tools developed in Translation Studies by Daniel Simeoni and Moira Inghilleri, it investigates the role of context, agent and text in the poetry translation practice of late samizdat.
Evolution of second-generation electromobility in public transport in Polish cities
Authors: Kołoś Arkadiusz , Fiedeń Łukasz , Taczanowski Jakub , R. Parol Adam , Gwosdz Krzysztof , Guzik Robert , Łodziński Jakub
Published: May 2023

Transport activities are a significant factor in environmental pollution, especially in cities. Therefore, measures aimed at electrification of public transport are particularly important. The aim of the paper is to present the origins, status and development dynamics of electromobility in Polish cities, especially the second generation of electromobility, i.e. vehicles that do not require continuous connection to the energy source. In practice the second-generation electric vehicles can be identified with battery-powered vehicles, hydrogen and hybrid vehicles. The study was prepared on the basis of an analysis of literature, industry documents or development strategies. In addition, a database of information on zero- and low-emission vehicles in public transport (i.e. electric and hybrid buses) was compiled to analyse the phenomenon. The study shows that the implementation of electromobility in Poland has already emerged from the initial phase. The possibilities for developing battery technology vary in cities of different sizes. In 2021 in Poland, the share of low-emission buses in the public transport fleet was several times higher than that of electric vehicles among passenger vehicles. It is most likely that the Polish road to electromobility leads primarily through public transport. The following factors influencing the development of electromobility were identified: these were primarily EU and Polish legislation and regulations, the presence of manufacturers of rolling stock and electrotechnical equipment, and – at the local scale – organisational, economic and social issues.
The Paratext of a Manuscript: Mihail Lermontov Self-illustrated
Authors: Kozyreva Anastasia
Published: May 2023

Pour une mise en ligne sur Épisciences.

This article studies the pictural manuscript of the unfinished novel Vadim, that Mikhail Lermontov (1814-1841) composed between 1832 and 1834. Lermontov’s archive, as a material testimony of literary creation, offers a possibility to access the author’s work without an editorial intermediary. The page full of drawings and sketches, that we can call the paratext of a manuscript, accompanies Vadim’s text and characterizes Lermontov as a producer of text’s imaginary. By investigating through a comparative analysis of text and image how Lermontov draws a portrait of a generation, this article shows that the pictorial paratext of the manuscript does not illustrate a concrete work, but the creative process and Lermontov’s aesthetic research.

Cet article propose d’étudier le manuscrit dessiné du roman inachevé Vadim, que Mikhaïl Lermontov (1814-1841) a composé entre 1832 et 1834. Les archives de Lermontov, comme des témoins matériels de création littéraire, offrent une possibilité d’accéder à l’œuvre sans intermédiaire éditorial. La page entièrement remplie de dessins et de croquis, lesquels peuvent être appelés « paratexte » du manuscrit, accompagne le texte de Vadim et caractérise Lermontov comme imagier du texte. En s’interrogeant sur la façon dont l’auteur dessine un portrait de génération à travers une analyse comparative du texte et de l’image, cet article montre que le paratexte pictural du manuscrit n’illustre pas tant une œuvre concrète, mais le processus de création et les recherches esthétiques de Lermontov.
The Archive and Video Games
Authors: Rybina Viktoriia
Published: May 2023

As a result of technological advances, digital archives now have a significant role to play in the conservation of history. Video games have also become a part of this preservation. Video game archives are created all over the world for scientific, historical, cultural, and technical interests. The goal of this article is to build a reflection on the functions of video games and the possibility of considering them as archives. Four archive functions and four video games (Hell Let Loose, Company of Heroes 2, Kholat and Assassin’s Creed: Origins) containing cultural and historical elements from Russia will allow to clarify the functions of video games, as well as the similarities with archives and to bring a new look on the cultural and educational value of video games.

Grâce aux progrès de la technologie, les archives numériques jouent désormais un rôle important dans la préservation de l’histoire. Les jeux vidéo font également partie de cette sauvegarde. Des archives de jeux vidéo sont créées dans le monde entier pour des intérêts scientifiques, historiques, culturels et techniques. L’objectif de cet article est de construire une réflexion autour des fonctions des jeux vidéo et la possibilité de les considérer comme des archives. Quatre fonctions d’archives et de quatre jeux vidéo (Hell Let Loose, Company of Heroes 2, Kholat et Assassin’s Creed : Origins) contenant des éléments culturels et historiques russes permettront d’éclairer les fonctions de ces jeux vidéo ainsi que les similitudes avec les archives dites « classiques » et d’apporter un nouveau regard sur la valeur culturelle et éducative des jeux vidéo.
Naissance d'un édifice soviétique : aborder et faire parler les archives d'architecture
Authors: Wolkenstein Paul
Published: May 2023

Pour mise en ligne sur Épisciences.

The buildings that comprise my research corpus encourage me to question my archival approach to architecture in a socialist environment. The study of an architectural project requires looking at the constraints, the reasons for the construction, and the interpretation. Architectural archives are also research objects in themselves. Indeed, there are several components that should be studied in parallel with the buildings: “administrative”, “graphic”, “oral” and “in-situ”. This paper is an opportunity to become familiar with the different sources invoked in architectural analysis.

Les édifices qui constituent mon corpus de recherche m’incitent à questionner mon approche archivistique concernant l’architecture en milieu socialiste. L’étude d’un projet architectural demande que l’on s’intéresse aux contraintes, aux raisons de la construction et à l’interprétation. Les archives en architecture constituent également des objets de recherche en eux-mêmes. En effet, il existe plusieurs volets – « administratif », « graphique », « oral » et « in-situ » – qui sont à étudier en parallèle des bâtiments. Cet article est l’occasion de se familiariser avec les différentes sources invoquées en matière d’analyse architecturale.
Increasing the Open Education Resources Capacity of Precalculus Courses at York College and Queensborough Community College
Authors: Thompson Virginia L. , Wallach Patrick
Published: May 2023

This paper presents a case study conducted by two universities seeking to explore Open Education Resources (OER) in their precalculus course. Students not only gained access to their textbook for free on the first day of class, but also Lumen OHM, an online mathematics assessment platform. The majority of students involved in the study were satisfied with the textbook, characterizing it as useful, accessible, and affordable, and agreeing that they would be very likely to register for a future course with an online text like that used in the course. This study also found that when comparing OER to non-OER settings using the final exam scores, for the most part, there was no significant difference observed in the learning outcomes. Based on these findings, the researchers believe that there is no need to continue teaching with costly physical textbooks when students can achieve the same academic level results with OER.
Examining the Relationships between Primary School Students' Participation in Sports and Technology Addictions
Authors: Ospankulov Yernar , Nurgaliyeva Saniya , Zhumabayeva Aziya , Zhunusbekova Aziza , Tolegenuly Nurzhan , Kozhamkulova Nazgul , Zhalel Ali
Published: May 2023

This study aims to determine the relationship between primary school students' technology addiction levels and their participation in sports. For this purpose, in this study, technology addiction and sports participation levels of students studying in different primary schools in Almaty were examined according to their demographic characteristics. The study was conducted with the comparative correlational screening method, one of the general screening methods. The study sample consists of 252 private and public primary school students. "Technology Addiction Scale" and "Sport Participation Questionnaire" were used as data collection tools in the study. The data obtained from the study are expressed as mean and standard deviation (SD) values. T-tests from parametric tests and Pearson Product Moments Correlation technique analyses were used in the data analysis. The findings obtained from the study showed that primary school student's participation in sports is moderate, while their technological addiction is high. While the participation of primary school students in sports did not differ according to the gender variable, significant differences were observed in their technological addictions. Similarly, students' technological addictions differ according to their school types. Finally, a significant but negative relationship was found between primary school students' sports participation and technological addiction. It was observed that the technological addiction of the participants decreased as their participation in sports increased.
The Impact of Online Technologies Supported by the Teaching of Poetry Poetology on the Achievements and Attitudes of Students
Authors: Aituganova Saulesh , Sarekenova Karlygash , Aubakir Zhandos , Seiputanova Aiymgul , Karipbayev Zhanbota , Aimukhambet Zhanat
Published: May 2023

The traditional face-to-face learning approach, which has been practiced for centuries, is gradually being replaced by a new learning approach. Today's technology and research in the field of educational sciences show that the use of the Internet and information technologies in the field of education will have a direct impact on students' achievement and attitudes. Within this context, this study aims to examine the effect of online teaching approach on the achievement, attitude towards poetry and learning retention of university students on the subject of 'Abai Qunanbaiuly Poems' in Kazakh Language Literature course. For this purpose, pretest-posttest model with control group from quasi-experimental models was used in the study. In the study, the subject of 'Abai Qunanbaiuly Poems' in the experimental group was taught by online teaching method and the same subject in the control group was taught according to the instructions of the existing curriculum. The study was conducted on a total of 60 students in the Kazakh Language and Literature department of a university in Almaty. Academic Achievement Test and Attitude Scale towards Poetry were used to collect data. According to the findings of the study, it was found that the online teaching approach increased students' achievement, attitudes towards poetry and learning retention at a high level compared to the current curriculum-based education. Therefore, as a result of the research, it was revealed that online learning positively affects students' academic achievement, attitudes and learning retention in Kazakh Language Literature course and recommendations were developed in this context.
Benefits and Challenges of Conducting a Collaborative Online International Learning Class (COIL)
Authors: Kučerová Kateřina
Published: May 2023

The research is focused on the benefits and challenges of Collaborative Online International Learning projects for teachers, but also on the institutional support the teachers get, and their opinion on the future of COIL. The method used in the study was the inductive approach of qualitative research. Data for this study were gathered in the English language through semi-structured interviews with teachers from the State University of New York COIL network of universities. The benefits for teachers that were mentioned are learning opportunities, development of pedagogy, professional acknowledgment, and satisfaction from providing students global education experience. The main challenges include time, student motivation, and the amount of engagement of partnering teachers. The study showed that it is mostly teachers who decide to implement this pedagogy in their class rather than the institution. It takes a lot of extra work and motivation on the teacher's side. Together with the hesitant approach to online teaching, it may be the reason why it is not that widespread yet. However, it seems like the pandemic helped this pedagogy to reach more teachers due to the sudden switch to online teaching.
Modeling Development and Validation of Metaverse Attitude Scale
Authors: Kirbas Omer , Dogan Fatih
Published: May 2023

This study is an attempt to develop a reliable and valid measurement tool to measure secondary school students' attitudes towards metaverse use. Therefore, the study reported the analyses related to metaverse attitude scale (MVAS). The content validity of the scale was ensured by an expert’s view, and Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) designed according to the Technology Adaptation Model (TAM) were employed to ensure its construct validity. . The structural equation model was used to reveal the relationship across the variables. EFA was carried out with the data obtained from 251 5th, 6th, 7th, and 8th-grade secondary school students enrolled in public schools in a city in northwest Turkey.  The results of EFA confirmed a 22-item three-factor model. Then, the three-factor model obtained from EFA was cross-validated through the use of CFA that proposed a 21-item 3-factor model. The fit indices for CFA were found as .05 for RMSEA, .049 for SRMR, .889 for GFI, .871 for AGFI, .9146 for NFI, .965 for CFI, and .916 for RFI. Besides, the results affirmed the proposed 21-item three-factor model theoretically and statistically. Structural equation modeling was used to determine the relationship across variables. Accordingly, secondary school students were identified to have positive responses towards cognitive and affective fields related to the metaverse. However, they could not transform these responses into behavioral field. As a result, the metaverse may be used in education since it is likely to observe the independent variables such as perceived usefulness, perceived ease of use and attitude towards use regarding the metaverse in secondary school students.
Technology-enhanced or Technology-exhausted Learning in Adult Migrant Literacy Education in Finland: Exploring Teachers’ Experiences and Views in Pre-pandemic and Pandemic Times
Authors: Malessa Eva
Published: May 2023

This exploratory mixed data study investigated the role of technology in adult migrant language and late literacy education in Finland. In addition to an online pre-pandemic survey targeted at Finnish language and literacy teachers, four in-service teachers were interviewed during the COVID-19 pandemic in late 2020. With means of qualitative content analysis an account of teachers’ individual experiences and views of technology-equipped language and literacy learning was generated. Problematic issues were the use of devices for educational purposes, lacking user experience, inadequate provision of suitable devices, IT courses, and insufficient support for learners and teachers, causing inequality. Teachers reported of various ways to ensure and enable device access and learning opportunities, resulting particularly during pandemic times in high workloads. The emergency remote teaching circumstances during this global health crisis posed an enormous additional challenge for teachers and students. Findings raise questions about the pedagogical cost of the pandemic for adult migrant literacy education in Finland and call for discussions on post-pandemic changes on a national and international level.
Firm Innovation, Financial Constraints and Exports: Evidence From Indian SMEs
Authors: Reddy Ketan
Published: May 2023

Using rich firm-level data on 4517 small and medium-sized Indian manufacturing firms, we explore the implications of financial constraints on firm innovation and further investigate the interplay between financial constraints and export participation on firm innovation. Our findings highlight a negative association between firm innovation and financial constraints and a positive association between firm innovation and export. Moreover, we find that firms participating in international trade are well-positioned to offset the challenges of financial constraints on firm innovation.
Risk Spillover of Russia-Ukraine War and Oil Price on Asian Islamic Stocks and Cryptocurrency: A Quantile Connectedness Approach
Authors: Chowdhury Mohammad Ashraful Ferdous , Abdullah Mohammad , Masih Mansur
Published: May 2023

This paper makes an initial attempt to investigate the risk spillover of the Russia-Ukraine war and oil price on Asian Islamic Stocks and bitcoin. We apply quantile-based connectedness measures using daily return data covering four Asian Islamic stock indices–oil, gold, bitcoin, and war panic–from February 1, 2022, to July 15, 2022. The results indicate higher connectedness in the upper and lower quantiles compared to the middle quantile, which implies that return shocks react more sharply during high war panic.
DASAR IMUNITAS PADA PROTEKSI TERHADAP MALARIA OLEH SIFAT SEL SABIT
Authors:   Universitas Methodist Indonesia, Tambunan Ronald T. H.
Published: May 2023

Malaria resistance by the sickle cell trait (genotype HbAS) has served as the prime example of genetic selection for over half a century. Nevertheless, the mechanism of this resistance remains the subject of considerable debate. While it probably involves innate factors such as the reduced ability of Plasmodium falciparum parasites to grow and multiply in HbAS erythrocytes, recent observations suggest that it might also involve the accelerated acquisition of malaria-specific immunity. Williams et al. studied the age-specific protection afforded by HbAS against clinical malaria in children living on the coast of Kenya. They found that protection increased with age from only 20% in the first 2 y of life to a maximum of 56% by the age of 10 y, returning thereafter to 30% in participants greater than 10 y old. They suggested that malaria protection by HbAS involves the enhancement of not only innate but also acquired immunity to the parasite. A better understanding of the underlying mechanisms might yield important insights into both these processes.
RESPON TANAMAN PADI SAWAH (Oryza sativa L.) TERHADAP PUPUK HAYATI REBUNG BAMBU DAN PUPUK NITROGEN
Authors:   Universitas Methodist Indonesia, Sianipar Ebsan Marihot , Sihombing Parsaoran , Pangaribuan Chaterin Victoria
Published: May 2023

This study aimed to determine the effect of biofertilizers from bamboo shoots and nitrogen (N) fertilizer on the growth and production of lowland rice (Oryza sativa L.). The study used a Randomized Block Design (RBD) with 2 factors. The first factor is biofertilizer with 3 levels : R1 = 20 ml/l water/plot, R2 = 30 ml/l water/plot, R3 = 40 ml/l water/plot. The second factor is N fertilizer (Urea) with 3 levels : U1 = 20g/plot (100kg/ha), U2 = 30g/plot (150kg/ha), U3 = 40g/plot (200kg/ha). The result showed that the biofertilizer treatment from bamboo shoots had a significant effect on the grain weight per hill, weight of filled grain per hill and grain dry weight per hill. Fertilizer N significantly affected the grain yield per hill and grain dry weight per hill. The interaction between bamboo shoots biofertilizer and N fertilizer had no significant effect on all observation parameters.
PERBANDINGAN METODE EQUIVALENCE PARTITIONS DAN BOUNDARY VALUE ANALYSIS PADA PENGUJIAN BLACK BOX Literatur Review
Authors:   Universitas Islam Negeri Syarif Hidayatullah, Hartono Firman Dwi , Sugiarti Yuni
Published: May 2023

This review literature reviews the Equivalence Partitioning and Boundary Value Analysis methods published between 2019 and 2020. Insights that arise from this review can guide researchers in their ongoing investigation of the implementation of Black Box, especially the Equivalence Partitioning and Boundary Value Analysis. From the review of 10 journals, this study found several substantive changes in the field of Black Box research. This includes an increase in the use of theory in research. This review literature aims to study software testing techniques in black box and improve better quality jeminan goals.
MANAGEMENT MULTIPLE UTERINE MYOMA IN PREGNANCY: A CASE REPORT
Authors:   Tabanan Regional General Hospital, Dwistayani Ni Made Youthma , Wijaya Kadek Agus
Published: May 2023

Uterine myoma is a benign tumor originating from the smooth muscle of the uterus. In general, uterine myomas are asymptomatic and are found incidentally during ultrasound examination of pregnancy. We report that a 39-year-old woman with GIIP1001 admitted that she was 40 weeks pregnant and came with complaints of intermittent abdominal pain that started at 04.00 in the morning, getting worse 2 hours before MRS. Complaints accompanied by the discharge of blood mucus through the vagina. The patient was married 2 times and the distance between the first child and the second is 19 years. The patient's vital signs were within normal limits. On physical examination, there was a palpable mass with a smooth surface that seemed to stick to the uterus. Obstetrical examination revealed: uterine fundal height: 32cm, HIS + adequate, fetal heart rate 140 beats/minute, performance; head position. When a vaginal touch was performed, it was found that there was an opening of 1 cm with 25% thinning, the membranes were still intact. The patient was diagnosed with GIIP1001 UK 40-41 weeks+ Single live intra uterine + Primary old secondary + uterine myoma. The patient underwent cesarean section, the outcome of the baby and mother was good. Intraoperative findings found that there were 2 uterine myomas measuring more than 5 cm located in the subserosa and intramural so that the patient underwent a supravaginal hysterectomy. The age of the patient above 35 years is one of the considerations for tubectomy.
Köpeklerde Elektroensefalografi ve Elektrookülografi
Authors: ÇEVİK Çağın , KAYA Ezgi , TURANOĞLU Bikem , TARHAN Duygu , BİLGİÇ Bengü , ERCAN Alev , OR Erman
Published: May 2023

Elektroensefalografi (EEG), fonksiyonel merkezi sinir sistemi bozukluklarının değerlendirilmesi için önemli bir muayene yöntemidir. Bu makalenin amacı, EEG’nin köpeklerde kullanımını gözden geçirmek ve tekniklerinin açıklanarak veteriner hekimlik uygulanmalarının pratikleştirilmesini sağlamaktır. Ayrıca, elektrookülografi (EOG) verileri ile birlikte EEG modeli ilişkisi üzerinde durulmaktadır. Son zamanlarda gelişmekte olan köpek bilişi ve uyku araştırmaları alanlarına yönelik farklı bakış açısı kazandırılması da hedeflenmektedir. Makale içeriğinde değinilen teknikler halihazırda çeşitli birçok köpekte uygulanmıştır. Değinilen yöntemler, küçük hayvan tıbbının en zor alanlarından biri olan sinir hastalıklarının ve beynin fonksiyonel aktivitesinin araştırılmasında önemli role sahiptirler. Bu teknikler fizyoloji, biyofizik ve bilgisayar bilimleri gibi alanların da gelişimiyle her geçen gün daha fazla bilgi verir hale gelecektir.
Sığırlarda Metakarpo/Metatarsofalangeal Ekleme Artroskopik Yaklaşım: Bir Kadavra Çalışması
Authors: ÇATALKAYA Emine , YAYLA Sadık , ALTAN Semih , ERSÖZ KANAY Berna , SAYLAK Nahit
Published: May 2023

Artroskopi eklem hasarlarının tanı ve tedavisinde önemli yer tutar. Bu çalışmada sığırlarda metakarpo/metatarsofalangeal (MCP/MTP) eklemleri için artroskopik yaklaşımı ve anatomisini tanımlayarak klinik pratiğe katkı sağlaması amaçlandı. Çalışma materyalini mezbahada kesimi yapılmış 5 sığırın 10 MCP ve 10 MTP eklemi oluşturdu. Artroskopik olarak bu eklemlere dorsal ve palmar/palantar yönden yaklaşıldı ve intraartiküler yapılar artroskopik olarak görüntülenerek tanımlandı. Dorsal yaklaşımda sinovyal villuslar, metakarpus/metatarsusun distali ve I. falanksın distali, palmar/palantar yaklaşımda ise bu yapıların yanısıra proksimal sesamoid kemikler, çapraz sesamoid ligamentler görüntülendi. Sonuç olarak, diğer birçok eklemde olduğu gibi MCP/MTP eklemlerinde de artroskopik yaklaşım tekniklerinin bilinmesi önemlidir. Bu teknikler intraartiküler yapıların değerlendirilmesine ve görselleştirilmesine yardımcı olabilir. Ancak eklem hasarı olduğu durumlarda eklemin normal anatomisi ve artroskopik giriş yerleri değişebilir. Bu nedenle klinik vakalarda da tekniklerin değerlendirilmesi önemli olacaktır.
The Impact of Bullwhip Effect on the Supply Chain Performance With the Mediating Effect of Information Sharing Among an Enterprise and Suppliers
Authors: Aqdas Asjad bin , Shakeel Muhammad , Munir Saqib , Waheed Khawaja Zeeshan
Published: May 2023

This research aims to observe the impact of bullwhip effect on supply chain performance, the research is focused on how the bullwhip effect distorts the information sharing and to what extent that distortion effects the supply chain performance of a firm. This research also explains that the quality and quantity of information sharing deeply effects the supply chain performance. It tries to establish the fact that if the information is accurate and is shared timely, this can lead to increased performance, it also emphasizes on the importance of the supply chain integration and partner’s relationship in mitigating the bullwhip effect.

This research study will serve as an important contribution to the filed of supply chain management, as such type of research has not been conducted earlier by keeping the Pakistani firms as the unit of analysis. The study reveals that through proper, timely and accurate exchange of information between an enterprise and its supplier the firm can lessen uncertainty, order fulfillment rate is improved, costs is reduced and can ultimately increase the performance.

The study reveals that bullwhip effect strongly effects the information and its flow, but if the information is managed properly and its quality is increased then it results in strong partner relations which leads to supply chain integration. It has been found that the supply chain integration strongly effects the supply chain performance of a firm, better the supply chain integration the better would be the performance of the overall supply chain
Multicultural Education Based on Al-Qur’an (Literature Study of Al Azhar Interpretation)
Authors:   Doctoral Student, Institut Agama Islam Negeri Syekh Nurjati Cirebon, Indonesia, Rohmat Rohmat , Jamali Jamali ,   Professor, Institut Agama Islam Negeri Syekh Nurjati Cirebon, Indonesia, Firdaus Slamet ,   Professor, Institut Agama Islam Negeri Syekh Nurjati Cirebon, Indonesia, Sumanta Sumanta ,   Professor, Institut Agama Islam Negeri Syekh Nurjati Cirebon, Indonesia
Published: May 2023

The multicultural conflict has always been a separate phenomenon in society. Multicultural education is an alternative to prevent conflicts that occur in multicultural societies. The Al-Qur'an explores humanistic principles and values in interacting with other human beings in group and inter-group interactions that must be studied to resolve all conflicts that befall society. Al Azhar interpretation is one approach to exploring the contents of the Qur'an. This study aims to analyze verses of Al.Qur’an related to multicultural education from the perspective of Al Azhar's interpretation. The method used is a literature review approach. The data analyzed are journals and books related to multicultural education from the perspective of Al Azhar's interpretation. The analysis used is content analysis. The results of the study found that Al Azhar interpretation argued that the concept of unity and equality needs to be taught in the concept of multicultural education. The concept of unity and similarity can be seen from two things. 1) The unity and similarity of human origins from the same father and mother. 2) The unity and similarity of belief make humans brothers and sisters. Diversity is the starting point for conflicts in people's lives.
Legal Force of Private Credit Agreements at Bank Perdreditan Rakyat (BPR)
Authors:   Candidate Doctoral of Law Warmadewa University, Khuana Josep Robert , Kosasih Johannes Ibrahim ,   Lecturer in Doctor of Law Program at Warmadewa University, Suyantha I Putu Eka ,   Candidate Doctoral of Law Warmadewa University Law
Published: May 2023

The purpose of this research is to analyze (1) the regulation regarding credit agreements that made privately according to the Banking Law and the Role of Notary Law (2) the legal force of credit agreements made privately at Bank Perkreditan Rakyat (BPR). The research method used is normative legal research. The results of the study show (1) Arrangements regarding credit agreements made underhand according to Banking Law both the Banking Law and Bank Indonesia Circular Letter No.14/20/DKBU concerning Guidelines for Credit Policies and Procedures for Bank Perkreditan Rakyat (BPR) which require banks to provide credit in any form, they are required to use/make a written credit agreement, whereas according to the Law on Notary Offices, even though private credit agreements have been made in written form, however, to increase the strength of evidence, the private credit agreement must be ratified/legalized by a notary; and (2) The legal force of the credit agreement made privately at the BPR binds the parties, both the bank and the borrowing customer.
Lamborghini: An Approach to the Organization Study
Authors:   ISCAP – P Porto, Guignard Enora
Published: May 2023

We know that Lamborghini is a very expensive brand and is not accessible to everyone and this makes it interesting to investigate to whom it is accessible. In this report we will talk about the company Lamborghini, we present a Swot analysis and talk about leadership and their current strategy.
Sustainable Employability: Drivers, Success Factors and Implications for Vietnam Context
Authors:   Lecturer, School of Business Administration, VNU University of Economics and Business, Vietnam National University, Vietnam, Thu Nguyen Thao
Published: May 2023

The rapid advancement of new digital technologies and the aging of the workforce fundamentally alter the nature of work and raise concerns about the future of jobs and organizations. Recently, the concept of sustainable employability has gained prominence as a significant perspective on contemporary jobs and plays a critical role in individuals' resilience in an increasingly complicated and unpredictable career environment. While prior research has highlighted essential aspects determining an individual's employability and methods of obtaining employment, there has been a lack of studies on organizations' needs to maintain or increase their workforce's sustainable employability. To bridge this gap, this paper adopts a systematic literature review to assess, analyze and synthesize extant literature on drivers, objectives, success factors, and implications of sustainable employability. This paper provides insight into why organizations implement HR practices to accomplish the new approach and how sustainable employability affects an organization.
Application of Strategic Management Accounting Techniques in Feed Manufacturing Enterprises in Hanoi
Authors:   University of Labour and Social Affairs, Hanoi, Vietnam, Khanh Van Hoang , Thi Linh Nguyen ,   University of Labour and Social Affairs, Hanoi, Vietnam
Published: May 2023

Strategic management accounting (SMA) provides managers with a framework of technical groups that help businesses plan, control, and evaluate performance. Many businesses around the world operating in different fields have applied strategic management accounting. Vietnamese enterprises in general and animal feed manufacturers in Hanoi in particular need to apply SMA techniques in a highly competitive environment. However, due to many reasons, the use of SMA in animal feed enterprises in Hanoi is still low. This greatly affects the performance of businesses. In order to improve management efficiency and help businesses stand firm in a competitive economy, managers need to be equipped with modern management knowledge with the support of accounting information system management in general, and SMA in particular to provide appropriate and timely information to serve decision-making administrators.
Ovary-Sparing Surgery for Ovarian Dermoid Cysts in Children: A Report of Two Cases and Literature Revıew
Authors:   Sağlık Bilimleri University, İzmir Faculty of Medicine, Department of Pediatric Surgery, Tepecik Training Hospital, Izmir, Turkey, Erikci Volkan Sarper
Published: May 2023

Ovarian lesions in during childhood and adolescence are rare and most of these are benign. Mature teratomas are frequently seen in these cases. The most common of these masses in children are the mature cystic teratoma which are also known as dermoid cysts. The management of children with ovarian dermoids has evolved over recent years in a manner of ovary preservation. In this review article two cases of ovarian dermoids are presented. The tumoral mass was totally excised in both of these cases preserving the effected ovary in an ovary sparing manner. The medical history of the patients, radiological and histopathological findings are also given together with a brief literature review on this issue.
Large Scale Demonstration of Irrigated Wheat in North Shewa Zone, Oromia, Ethiopia
Authors:   Fitche Agricultural Research Center, Fitche, Ethiopia, Biri Alemayehu , Jifara Mangistu ,   Fitche Agricultural Research Center, Fitche, Ethiopia, Safara Geshew ,   Fitche Agricultural Research Center, Fitche, Ethiopia, Feyisa Abraham ,   Fitche Agricultural Research Center, Fitche, Ethiopia, Bedada Endale ,   Fitche Agricultural Research Center, Fitche, Ethiopia, Mangistu Bikila ,   Fitche Agricultural Research Center, Fitche, Ethiopia
Published: May 2023

The government has initiated wheat self-sufficiency strategies through increasing wheat productivity in the rain-fed agro-ecologies and expansion of production to the irrigable lowland areas. To this end, in 2019/20, the Oromia agricultural research institute and the Ethiopian institute of agricultural research have extended the experience to the high land and midland areas and not yet well introduced to the highland of north Shewa zone of Oromia. Therefore, the LSD was conducted in selected six districts (Jida, Abichu, Wacale, Degem, kuyu and Wara Jarso) of north Shewa Zone in 2020/2021 off season to popularize irrigated wheat production technologies practices and to encourage farmer-based seed production and supply systems under irrigation. Ogolcho and Kingbird varieties were used for large scale demonstration and planted on a total 162 hector of land. A total of 399 households and institutional producer who are members of organised Irrigation water users’ associations were involved in the activity. Before, class room trainings and stakeholder workshop were conducted to the participants from the selected districts on the overall activity implementation approach as well as bread wheat production and management under irrigation during off season. Accordingly, a total of 229 and 368 participants attended the training and field days, respectively. Yield data was collected and the result indicated that the maximum yield were recorded 58.7qt/ha and 48qt/ha at Abichu and Jida district, respectively. The outcome showed the presence of large and untouched productive areas suitable for wheat production under irrigation as to lead the areas to self-sufficient
Socio-Demographic and Clinical Profile of Pediatric Patients Who Consulted At the Out-Patient Department of A Psychiatric Facility in Southern Philippines from 2015 To 2019
Authors:   Department of Psychiatry, Southern Philippines Medical Centre, Davao City, Philippines, B Toledo Camille , M Sayon-Gonzalez Dova ,   Department of Psychiatry, Consultant at the Southern Philippines Medical Centre, Davao City, Philippines
Published: May 2023

Objective: This study aimed to describe the sociodemographic and clinical profile of pediatric patients who consulted at the Out-Patient Department of a psychiatric facility in Davao City, ie. Southern Philippines Medical Center Institute of Psychiatry and Behavioral Medicine and provide baseline data for future research and program development. Methodology: This is a descriptive chart review that used a purposive sampling method to determine the sociodemographic and clinical profile of patients below nineteen (19) years old, seen at the Out-Patient Department of a psychiatric facility from January 2015 to December 2019. Results: A total of 427 charts were reviewed in this study. Majority (30.2%) of the study population had their first consult in 2019, female (56%), belonged to the 12-18 age group (64%), and had high school education (43%). Most came from Davao Region (89%) with class D social classification (64%). The clinical profile showed that majority consulted due to forensic reasons (54%), with referrals coming from WCPU, courts, or police stations (54%). Sexual abuse (43.9%) was the most common cause for forensic consult. The most common diagnosis was clustered under Adverse Childhood Experiences (30%). Most were advised referral to the psychology unit (59%) and were discharged as Out-patient (97%). Conclusion: The number of child and adolescent consults in the Out-Patient Department of a psychiatric facility steadily increased within the span of five years. Majority of the patients came in for forensic reasons, with sexual abuse as the highest. A third of the consults were diagnosed to have Adverse Childhood Experience.
Democratização do acesso à Cultura no Ceará: a experiência dos editais de Cultura
Authors: Ribeiro Cleilson Pereira , Barbalho Alexandre de Almeida
Published: May 2023

Este trabalho visa examinar a democartização do  acesso a cultura no Ceará durante o segundo mandato do governo Cid Gomes ( 2011-2014) analisando a relação entre o financiamento de projetos culturais, por meio dos editais públicos, enquanto politica de governo para a cultura, assim como os diferentes momentos históricos da Cultura cearense, sua legislação cultural, e a atuação da Secretaria de Cultura do Ceará-SECULT no âmbito das políticas públicas. O trabalho baseia na análise  das leis de incentivo a cultura do Brasil e do Ceará ( Lei Rouanet e Lei Jereissati) e as formas como  o sistema de financiamento à Cultura, influenciaram e/ou influenciam o campo da produção cultural no estado do Ceará, discutindo  sobre o acesso à cultura por meio de políticas democráticas, com ênfase  na teoria democrática contemporânea, utilazando-se de  parâmetros que se baseiam na literatura sobre políticas públicas e  financiamento cultural, fornecendo alguns elementos  que possibiltam a compreensão do campo da produção de cultura no Ceará e sua articulação  com as políticas de financiamento público à Cultura do Brasil.