bluuebunny/crossref_metadata_2025 huggingface dataset:
A study on the interaction between civil business groups and the state from the perspective of public sphere theory—A comparison between the Shanghai branch of the China association and the Philippine Chinese charitable association Inc.
Authors: Yao Wei , Liu Tingxuan , Li Yuhong
Published: March 2024

This article attempts to use public sphere theory as a starting point to compare the behavior of the British government in protecting the interests of British business in China in the 19th century with the Chinese government’s neglect of the interests of Chinese business in the Philippines. Mill’s method of finding identities will be used. This article uses the Shanghai Branch of the China Association and the Philippine Chinese Charitable Association Inc. as representatives of civil business groups in the UK and China. For the UK, due to the public sphere of competition with the central government within the UK, civil business groups must consult with relevant civil business groups when implementing any economic foreign policy. This process promotes consensus between the British government and society to promotes the British government’s determination to maintain British business in China. However, for China, due to the absence of a public sphere where the central government interacts with society, even though Chinese civil business groups have huge interests overseas, the state and society have always been unable to form a positive interaction. At the same time, this situation also results in Chinese business in the Philippines having to rely on their abilities to maintain their local interests.
Integritáselvű és eredményes vezetői irányítás a közvagyonnal működő gazdasági társaságoknál : Felelős vezetés
Authors: Domokos László
Published: March 2024

A nemzetek gazdaságainak versenyképessége a hatékonyság javulásának a függvénye – állítják a nemzetközi gazdasági értékelő szervezetek szakértői. Ez széles körben el is fogadott, de a kérdés: hogyan érvényesüljön ez a hatékonyság javítás az egyes gazdálkodó szervezetek esetében. Közérdek, ha ezek a gazdálkodó feladatokat ellátó, közpénzen is működnek és közvagyon felhasználásával nyújtják szolgáltatásaikat. Egy közvállalat esetében a szabályos és csalásmentes, integritás-elvű vezetés alapkövetelmény, és ennek gyakorlatba ültetése a vezető alapérdeke. A közpénzek elköltése esetén a teljesítmény fokmérője az eredményesség, amely eredményesség a dokumentált célok, stratégiai elfogadásán majd ennek a gazdasági társaság menedzsmentjének alkalmazásának minősége határozza meg.
Korunk közigazgatás-tudományi paradigmáiról a helyi önkormányzatok tükrében
Authors: Marosi György Csongor
Published: March 2024

A közigazgatás helyzete a világban – így Magyarországon is – mélyreható átalakuláson ment keresztül az elmúlt évtizedekben, amelyet különböző, változatos és dinamikusan fejlődő paradigmák megjelenése jellemez, melyek nem pusztán elméleti-akadémiai jellegűek, hanem a gyakorlatban is beleszövődnek például a helyi önkormányzatok működésének és választóikkal való interakciójának mindennapjaiba. Tanulmányom átfogó elemzést mutat be a hazai közigazgatásban újonnan kialakuló, gyakorlattá váló paradigmákról, különös tekintettel azok önkormányzati szintű alkalmazására és következményeire. Nem csupán elméleti diskurzusra, hanem gyakorlati útmutató létrehozására is törekszem. Célom, hogy áttekintést nyújtsak a helyi önkormányzatok hatékony irányításához és átalakításához szükséges azon paradigmatikus ismeretekről és eszközökről, amelyek ahhoz szükségesek, hogy az önkormányzatok mai korunkban reagálóképesek, felelősségteljesek és rugalmasak legyenek a változó globális és helyi környezettel szemben.
Comprehensive online estimation of object signals for a control system with an adaptive approach and incomplete measurements
Authors: Kwater Tadeusz , Hawro Przemysław , Krutys Paweł , Gołębiowski Marek , Drałus Grzegorz
Published: March 2024

This paper presents the novel estimation algorithm that generates all signals of an object described by nonlinear ordinary differential equations based only on easy-to-implement measurements. Unmeasured signals are estimated by using an adaptive approach. For this purpose, a filtering equation with a continuously modified gain vector is used. Its value is determined by an incremental method, and the amount of correction depends on the current difference between the generated signal and its measured counterpart. In addition, the study takes into account the aging process of measurements and their random absence. The application of the proposed approach can be realized for any objects with a suitable mathematical description. A biochemically polluted river with an appropriate transformation of the notation of partial differential equations was chosen as an object. The results of numerical experiments are promising, and the process of obtaining them involves little computational necessity, so the approach is aimed at the needs of control implemented online.
Enhancing MPPT in Partially Shaded PV Modules: A Novel Approach using Adaptive Reinforcement Learning with Neural Network Architecture
Authors: Leelavathi M. , Suresh Kumar V.
Published: March 2024

The occurrence of partial shading in solar power systems presents a substantial challenge with widespread implications, sparking extensive research, notably in the field of Maximum Power Point Tracking (MPPT).This study emphasizes the critical process of accurately tracking the maximum power points with the characteristic curves of Photovoltaic (PV) modules under real-time, diverse partial shading patterns. It explores the various stages of the tracking process and the methodologies employed for optimization. While conventional methods have shown effectiveness, they often fall short in swiftly and accurately tracking maximum power points with minimal errors. To address this limitation, this research introduces a novel machine learning approach known as Adaptive Reinforcement Learning with Neural Network Architecture (ARLNNA) for MPPT. The results obtained from ARL-NNA are compared with existing algorithms using the same experimental data. Furthermore, the outcomes are validated through different factors and processing time measurements. The findings conclusively demonstrate the efficacy and superiority of the proposed algorithm in effectively tracking maximum power points in PV characteristic curves, providing a promising solution for optimizing solar energy generation in partial shading patterns. This study significantly impacts various realms of electrical engineering including power engineering, power electronics, industrial electronics, solid state electronics, energy technology and other related field of Engineering and Technology.
Agent-Based System for Continuous Control and its Application to Activated Sludge Process
Authors: Pośpiech Jakub , Nocoń Witold , Stebel Krzysztof
Published: March 2024

This paper presents a concept of architecture and ontology layouts for development of multiagent model-based predictive control systems. The presented architecture provides guidelines to simplify development of agent-based systems and improve its maintainability. The proposed multiagent system (MAS) layout is split into multiple subsystems that include agents dedicated to performing assigned tasks. MAS implementation was prepared which can use provided algorithms, actuators and can react to changes in its environment to reach the best available control quality. An example of MAS based on the proposed architecture is shown in application of dissolved oxygen (DO) concentration control in a laboratory activated sludge setup with biological reactor. For that application, MAS incorporates agent-based controllers from Boundary-Based Predictive Controllers (BBPC) family. Presented experiments prove flexibility, resilience and online reconfiguration ability of the proposed multiagent system.
Diversity of the fungal community on mango associated with stem end rot and anthracnose diseases based on amplicon targeted metagenomics
Authors: Widiastuti Ani , Suryanti  , Giovanni Alvina Clara , Paramita Niken Rasmi
Published: March 2024

This study aimed to comprehend the diversity of the fungal community on Chokanan mango, a premium mango variety from Thailand which is widely cultivated in Indonesia, associated with stem end rot and anthracnose disease using high-throughput amplicon targeted metagenomics analysis by next-generation sequencing (NGS). Samples used in this study were freshly harvested healthy fruits at the age of 15-weeks (H15.ITS), healthy fruits after 2 weeks incubation (H17.ITS), 17-week old fruits (S17.ITS) with stem end rot symptoms, and 17-week old fruits (A17.ITS) with anthracnose symptoms. Results showed that the Basidiomycota phylum was dominant in the healthy fruits, while the Ascomycota phylum was found dominantly in sick fruits. Based on OTUs alignment of sequenced data, some species found to be dominantly associated with stem end rot disease in this study were Lasiodiplodia theobromae, Neofusicoccum cordaticola and N. mangiferae. Dominant species which were associated with mango anthracnose disease were Colletotrichum gloeosporioides, Botryosphaeria corticis, Volutella sp., and Pseudofusicoccum violacearum. These fungal genera were not found to be dominant in healthy fruits at the same age indicating that specific genera contributed to developing postharvest diseases on mango differently. The findings confirmed that the fungal community associated with stem end rot and anthracnose disease on mango was unique, and specific species contributed in particular disease development. Since mango is an important global commodity, these research findings will contribute significantly to global biosecurity.
Intraventricular Hemorrhage in Premature Infants: A Review of Risk Factors, Pathology, Treatment, and Prognosis
Authors: Mitrea Geta , Matasaru Mirela , Ilie Lacramioara , Diana-Andreea Ciortea , Filip Anamaria Madalina
Published: March 2024

Intraventricular hemorrhage (IVH) in newborns is defined as bleeding within the ventricles, surrounded by the brain. This condition is most commonly observed in premature newborns and is directly proportional to gestational age; the smaller the gestational age, the higher the risk of IVH. It typically occurs in the subependymal germinal matrix, a highly vascularized area undergoing significant development in newborns and regression in full-term infants.

The etiology is multifactorial and primarily attributed to the intrinsic fragility of the vascularization of the germinal matrix. Risk factors for IVH in premature infants include the immaturity of the cerebral vascular system, fluctuations in blood pressure, hypoxia, and oxidative stress. Furthermore, clinical factors such as respiratory distress syndrome, mechanical ventilation, and coagulation disorders contribute to the vulnerability of preterm infants to this complication.

Regarding treatment, interventions can range from careful monitoring and medical support to surgical procedures such as cerebrospinal fluid drainage or ventriculoperitoneal shunting in severe cases. Pharmacological therapy, including the use of anti-inflammatory drugs, may be implemented to minimize brain injuries.

Complications of IVH include obstructive hydrocephalus, non-obstructive hydrocephalus, post-hemorrhagic hydrocephalus, developmental disorders, cerebral palsy, and seizures.

In conclusion, IVH in premature infants remains a complex and delicate issue in neonatology. An integrated approach covering both prevention and treatment is essential to minimize the negative impact of this complication on the neurological development of premature infants. Continuous research is necessary to develop innovative and effective strategies for managing this critical problem in neonatal medicine.

Transfontanelar ultrasound remains the election method for diagnosis. Mild and moderate forms have shown favorable progression, while severe IVH has led to the development of post-hemorrhagic obstructive hydrocephalus.
Study on the Clinical and Evolutionary Characteristics of a Cohort of Patients Diagnosed with Chronic Obstructive Pulmonary Disease
Authors: Costin Silvia Aura , Bogdan-Goroftei Roxana Elena , Bogdan Mircea Pompiliu , Tănase Claudiu Elisei , Balta Alexia Anastasia , Barbu Raisa-Eloise , Ilie Lacramioara , Filip Anamaria Madalina
Published: March 2024

Chronic Obstructive Pulmonary Disease (COPD) is a prevalent and progressive lung condition imposing significant burdens on global healthcare systems. Despite advancements, understanding the nuanced clinical trajectories of COPD remains crucial for personalized management. This study investigates the clinical and evolutionary profiles of COPD patients to delineate critical factors influencing disease progression and treatment response. Data from 154 patients diagnosed with COPD at the Emergency County Clinical Hospital in Galați, Romania, between 2021-2022, were retrospectively analyzed. The study explores demographic distributions, severity of airflow limitation, treatment responses, and socioeconomic factors. Results indicate a male preponderance (68.8%) and higher prevalence in urban areas (51.9%). Patients over 65 years old constitute the majority (64.3%), emphasizing the disease’s association with aging. The study underscores the need for tailored therapeutic interventions and highlights the importance of socioeconomic factors in COPD management. Understanding these complexities is pivotal for developing personalized treatment strategies to enhance patient outcomes and quality of life.
Does The Efficient Use of Visible Intellectual Capital Determine the Profitability in the Automotive Industry?
Authors: Petrović Bojan , Krstić Bojan , Rađenović Tamara , Jovanović Marija , Vujatović Milica Jovanović
Published: March 2024

Intellectual capital (IC) is one of the core determinants of the value of companies, and value creation for stakeholders as well as improvement of the competitiveness of the companies. Effective management of all visible and invisible elements of the total IC is extremely important for business success, since the effective providing, creating, developing and efficient use of intellectual resources affects various business performances, such as income, market share, net profit, and profitability of the company quantified by various performance measures of Return on assets (ROA) and Return on equity (ROE). One part of the total IC is disclosed and visible in the assets side of the balance sheet (Intellectual assets and Goodwill - Iag), while the other, is undisclosed and invisible (Human capital - Hc and Structural and relational capital - SRc). Efficiency in the usage of all these elements of IC has an impact on profitability. The purpose of this research (based on 12 leading companies in the automotive industry from 2010 to 2019) is to examine the interdependence, as well as the influence, of the Efficiency in the use of Intangible assets and goodwill (Eiag) on various rations of ROA and ROE using the EIC (the Efficiency of Intellectual Capital) model for calculation of the Eiag indicator. Although there are numerous studies that use the VAIC methodology to research the interdependence and impact of the efficiency of certain elements of IC on business performance, as well as, in particular, on profitability, the originality of this paper is based on an investigation of the interdependence and influence of Eiag on profitability (ROA and ROE), which is not the case with the studies of other researchers so far, because Pulić’s VAIC methodology does not separate the visible IC component i.e. Iag. The outcomes of this study confirm a positive relationship between the efficiency in the use of intangible assets and goodwill (Eiag) and profitability (ROA and ROE), as well as the growing impact of Eiag on profitability indicators (ROA and ROE). The findings imply the extreme importance of effective and efficient management of all elements of intellectual assets that are visible on the assets side of the balance sheet, taking into account the evident impact on profitability.
Impacts of Information and Communication Technology on Professional and Personal Life and Employee Satisfaction
Authors: Lebar Romana , Veljković Božidar
Published: March 2024

Modern information and communication technology (ICT), as a complex system of tools and systems, affects the individual and society as a whole. Its presence and application are not limited to the professional environment but are woven into all aspects of an individual's everyday reality. The key research question of this study focuses on analyzing the impact of ICT on employees' work and personal life and on their overall levels of satisfaction. Both positive and negative experiences of ICT use, expectations that come with its use, the degree of dependence on ICT, and its role in interpersonal relationships are examined.The results of the study were obtained using an anonymous online questionnaire distributed between June 10th and 20th, 2023, to a random sample of employees who actively use ICT in their professional environment. It is found that the majority of employees have a positive attitude toward ICT because of its contribution to optimizing communication, supporting global processes, and enabling the acquisition and exchange of information in the context of professional and personal life. Negative effects have also been identified, such as increased pressure on work performance, reduced personal interaction, limited time for family life, blurring of boundaries between work and personal life, dependence on ICT, and disruption of work processes.The research contributes to an in-depth understanding of the impacts of ICT on the professional and private lives of employees. Awareness of the positive and negative aspects of ICT use is key to developing guidelines that promote the balanced use of technology and the creation of a supportive environment to improve productivity and the quality of interpersonal relationships.
Effects of different moxibustion durations on lumbar disk herniation: a clinical study
Authors: Chen Bin , Yang Ting , Zhu Chun-Qin
Published: March 2024

Objective

To explore the best duration of moxibustion on lumbar disk herniation (LDH).

Methods

A total of 88 patients were randomly divided into control group and 15-min, 30-min, and 45-min moxibustion groups. The control group was treated with conventional therapy, while the other 3 groups were intervened with different moxibustion durations. Low back pain, dysfunction, lumbar function, and effective rates were evaluated before, in the first week and second week of intervention.

Results

In low back pain, compared with the control group, the score of the 15-min group had no significant difference, but it was significantly lower in the 30-min and 45-min groups. In dysfunction and lumbar function, compared with the control group, the scores of the 15-min, 30-min, and 45-min groups were significantly higher, and the scores of the 30-min and 45-min groups were significantly higher, but there was no significant difference between the 30-min and 45-min group. In effective rates, there was no significant difference between the control group and 15-min group; the effective rates of the 30-min and 45-min groups were significantly higher than those of the control group.

Conclusions

Moxibustion has good therapeutic effect on LDH with specific moxibustion time.
The Role of Internal Auditors Characteristics in Cybersecurity Risk Assessment in Financial-Based Business Organisations: a Conceptual Review
Authors: Usman Alih , Che-Ahmad Ayoib , Abdulmalik Salau Olarinoye
Published: March 2024

Purpose: This paper aims to establish a theoretical framework that will enhance the examination of the role of internal auditors in cybersecurity risk assessment in financial-based business organizations. Financial-based business organizations are institutions or companies that render financial services to public and private stakeholders in an economy. It is a powerful sector in the economy of every country. This drive poses a lot of challenges to organizations. Hence, business organizations strategically devised a means to safeguard the integrity, confidentiality, and availability of information. Also, innovation poses many risks and threats to the internal audit function in an organization.
 
Theoretical Framework/Findings: Using the competency and planned behaviour theories (McClelland 1973 and Ajzen,1991), this study disclosed that the task performance of cybersecurity risk assessment by the internal auditor is influenced by the required internal auditor’s characteristics of professional ethics of integrity and objectivity, personality traits, professional skills competency professional knowledge competency and deterrence and rewards to advise the management on the implications of cyber security risk on business organisations for monitoring and mitigations.
 
Methodology: A literature review approach is adopted to highlight the role of internal auditors in cyber security risk assessment in financial–based business organizations.
 
Research Limitation/Implication: This conceptual paper has consequences for the practice of internal auditing. This approach is helpful to academic scholars in testing it out in the real world. This model is helpful to practitioners when evaluating the function of IAs in the cybersecurity risk assessment context.
 
Originality/Values: Earlier auditing-related studies haven't addressed this problem. This study makes an effort to close such a gap and investigate the subject of the internal auditor’s characteristics and cyber security risk assessment among financial-based organizations.
Development of Multiculturalism Values in Religious Education and Its Implications for Multicultural and Democratic Student Ethics
Authors: Rahmawati Eny , Asy’arie Musa , Aryani Sekar Ayu , Waston
Published: March 2024

Objective: The purpose of this study is to describe and analyze multicultural content; multicultural content implementation strategy; multicultural content cultivating strategies; and the implications of multicultural content in PAI on the multicultural nature of students at SMAN 4 Magelang.
 
Method: This research uses a qualitative descriptive method with a case study approach. The data collection procedure is carried out in a natural setting, with the primary data source of PAI teachers. The data collection technique is more with passive participation observation, in-depth interviews with school principals, PAI teachers and learning documentation studies in schools. Data analysis was carried out following the Miles and Huberman model, which included three activities, namely data reduction, data presentation, and data verification.
 
Result: The results showed that the content of multicultural values in the PAI book at SMAN 4 Magelang was explicitly and implicitly stated. Multicultural values extracted from PAI materials include Religious Moderation, Equality, Democracy, Justice, and Tolerance (MB-KDKT). The school added the value of courtesy and integrity (SI) which was extracted from local wisdom. So that all values when acronymized become MB-KDKT-SI.
 
Conclusion: The approach used for the implementation of multicultural content in PAI by adapting James A. Banks' theory of multicultural dimensions and the application of hidden curricula. The practice is packaged in the form of developing a learning culture that integrates intracurricular, co-curricular, and extracurricular learning activities in conceptual, operational and internalization levels or dimensions. The cultivation of multicultural values refers to Thomas Lickona's moral domain theory which is packaged in the form of homestays in people's homes for a certain period, joint camps between religious believers and modelling by teachers and school leaders. The implications of multicultural content in PAI are reflected in the form of multicultural content of learners. His findings, theoretically, are in the form of a formal formulation of Multicultural Adab. Practically (its manifestation) is in the form of moderate attitudes and behaviours in religion, as well as equality, democracy, justice, tolerance, courtesy and integrity in the learning process and social interaction.
Development of the Business Plan for the Mini Oil Refinery: Theoretical, Methodological and Practical Aspects
Authors: Roshchupkina Violetta , Dimurina Natalia , Manuylenko Viktoriya , Gryzunova Natalia , Drannikova Elena , Khamukov Mukhamed
Published: March 2024

Objective: The article presents the project for a mini oil refinery in one of the territories of the Russian Federation (hereinafter referred to as “identified territory”) where oil refining capacities are not yet in place.
 
Methods: The research involved analysis of the topic related scientific and methodological literature, comparison, systematization, generalization and research of up to date materials.
 
Results: General scientific and special methods supported the results of the study: the personnel list of a mini oil refinery was compiled and reflected in the staff roster; initial costs for construction of the mini oil refining business were calculated, as well as expenses for further maintenance and financial indicators for the enterprise best performance were developed.
 
Conclusion: General characteristics of the refinery enterprise are reflected in the article including its capacity, location, name of the enterprise, sources of raw materials and location environment. Advantages and disadvantages of the mini oil refinery in the region are considered. The need for the mini oil refinery in the territory and favorable environment to its creation are both substantiated. Investments and financial calculations of the project are determined.
The Role of Stakeholders in Ecotourism Development in Jatiluwih Tourism Village Area, Bali
Authors: Martadina Yuvie , Ardiansyah Imam
Published: March 2024

Jatiluwih is one of the tourist destinations in Bali. The development of the Jatiluwih ecotourism area certainly requires participation and synergy between stakeholders. This is useful for obtaining the objectives and results of good area management. In the development and management of the Jatiluwih, the stakeholders involved in it are considered not optimal. The purpose of this study is to find out how big the role and interests of stakeholders are in the development of ecotourism in Jatiluwih . Method of this research is qualitative and quantitative research methods.  Analytical method for stakeholder using power-interest matrix grid. The number of participants in this study were 45 participants. Based on the results of  research and field observations conducted by researchers, it was found that there were 15 stakeholders divided into four quadrants. The conclusion of this study is that there are 3 subject stakeholders are travel agents, tourists, and local communities. The 6 key player groups are the Ministry of Tourism and Creative Economy, Bali Tourism Office, Tabanan Regency Government, Jatiluwih Village Government, Jatiluwih tourist attraction Management, and Jatiluwih Subak. 3 context setter groups are accommodation , restaurants, and customary stakeholders, and 3 crowd groups are academics, Jatiluwih health center, and media. Suggestions for 15 stakeholders in Jatiluwih are that they should increase collaboration and cooperation to strengthen relations between one another so that they can develop the tourist area into a coordinated, beautiful and neat tourist area, while still prioritizing tourism sustainability.

Keywords: Ecotourism, Stakeholders, Tourism Village, Jatiluwih, Rice Terrace.
Culinary Innovation: Crackers Innovation Using Jatiluwih Red Rice Tea Dregs
Authors: Tanius Billy , Pramudia Heru , Riyanto Budi
Published: March 2024

This study aimed to develop processed cracker products made from brown rice flour dregs. This research was experimental research. Based on the experimental results, brown rice tea dregs can be developed into three types of crackers that have different colors, aromas, tastes, textures & crispness, and shapes. Crackers were produced using the same method but with the addition of different ingredients; crackers A used wheat flour, crackers B used tapioca flour, and crackers C used brown rice flour. The organoleptic test involved 62 respondents who were asked to provide an assessment of the crackers produced. Based on the organoleptic test, it can be seen that in terms of texture and crunchiness, people liked crackers C the most, in terms of taste the people also liked crackers C the most, in terms of color the people liked the color of crackers B the most, in terms of smell the people liked the aroma of crackers C the most , and in terms of form, the community liked cracker B the most.
Impact Assessment of Pandemic Covid-19 on Four Typologies of Tourism Villages in The Special Region of Yogyakarta
Authors: Putri Shinta Permana
Published: March 2024

The pandemic has caused dramatic changes in the tourism sector globally including tourist villages. This study aims to identify the impact of the Covid-19 pandemic on four typologies of tourist villages in DIY, both positively and negatively. This research is qualitative research. Data was collected through interviews with the head of the tourist village. Content analysis is an analytical technique used in this study. The results of the study show that the COVID-19 pandemic does not always have a detrimental impact but also creates opportunities for tourism village communities to make sustainable progress. The positive impact of Covid-19 on tourist villages can be seen in terms of finance, environment, social cohesion, youth participation, product innovation, management/regulation changes, facilities, networking, and increasing technology use. Even so, Covid-19 still leaves new challenges for tourist villages to face a new era of post-pandemic tourism. These results certainly have implications for the practice of developing tourist villages in DIY in the future.
The Suitability Level of Ecotourism Characteristics in the Sipin Lake Tourist Destination in Jambi City
Authors: Simamora Rio Gabriel , Yuliastuti Nany
Published: March 2024

The activity of tourism has more potential to be a new income source in an area with tourism destination. The united nations world tourism organization (UNWTO) released the number of world tourism activities in 2018, which reached 1.4 billion. Global development, including tourism development, is guided by the SDGs. The form of increasingly dynamic tourism activities cannot be separated from the existence of attractions, amenities, accessibility, and institutional services. Jambi City has the tourism object of Sipin Lake as a potential tourism destination that has yet to be developed maximally to have high competitiveness. The research aims to assess the suitability level of ecotourism aspects at the Sipin Lake tourist destination. The analysis method used is a quantitative method using the Importance-Performance Analysis (IPA) method. The average result of the level of suitability of all variables of the characteristics of ecotourism is 60%, where attractions (61%), accessibility (101%), amenities (61%), institiutional services (42%), and environmental conservation (34%).
Fashioning the Self: Reinvention as Depicted in Jennifer Down's "Bodies of Light"
Authors: Syofyan Donny
Published: March 2024

A recent study has identified the key factors that contribute to the themes explored in Jennifer Down's award-winning novel, Bodies of Light. The book has received literary criticism for its portrayal of human bondage, vulnerability, and social distinction, making these themes the primary focus of the study. By delving into the underlying themes and attributions within the novel, this analysis has provided valuable insights into the story. Notably, the study has shed light on the power dynamics between male characters, and the protagonist's struggle with pain, emotional trauma, and poignancy. Furthermore, previous research has highlighted the connections between the novel's exploration of existential crisis and identity. Keywords: Human Bondage, Emotional Investment, Vulnerability, Childhood Grief, Emotional Instability.
Students’ Perception of Teacher’s Bilingual Language Use in an English Classroom
Authors: Ines Marylena Candra Manik Ni Putu , Darmo Suputra Kadek
Published: March 2024

In Indonesia, English is a subject taught start from primary school to university. However, in learning English students have difficulty in understanding the teachers’ instructions. Bilingual language is used by the teachers in delivering material because they believed the students’ get advantages. As a result, this study aimed to investigate students' perceptions of the use of English and Indonesian by teachers in teaching and learning in English classroom and to find out the benefits for students in learning English. The design of this research was descriptive in the form of qualitative. The number of subjects in this study were 33 students of 9th grade students SMP Pelangi Dharma Nusantara. The data used in this study were obtained through questionnaires and interviews. The results showed that students gave positive perceptions of the teacher's bilingual language (English and Indonesian) in the English classroom and it provided benefits for students such as easily understood the material, made the situation more comfortable, understood the instructions that were given by the teacher and increased confidence in participate in learning English.
Development of Hybrid Audiovisual E-book with Local Wisdom-Based Real-World Problems in Ngada’s Wela Maka
Authors: Dolo Fransiskus Xaverius , Maria Yuliana Kuai
Published: March 2024

The imperative drives this research for educators to access high-quality online learning materials that facilitate practical, enjoyable, and contextually relevant Physics instruction. The primary objectives of this study are twofold: firstly, to develop a product in the form of an audiovisual e-book employing a hybrid model and integrating real-world problems for Physics instruction, drawing inspiration from the local wisdom Wela Maka of the Ngada community. Secondly, the research aims to assess the product's viability through validation by subject matter experts, media experts, instructional design experts, and language experts. Additionally, the study involves product testing with prospective users. The research adopts a Research & Development approach, utilizing the ADDIE model developed by Dick & Carey. The research cohort comprises five teachers and 34 high school students from Citra Bakti. Data collection methods encompass validation sheets and questionnaires, employing instruments such as validation assessment sheets and user response questionnaires. Data analysis involves both descriptive and inferential statistics. The research findings indicate that the average validation scores provided by subject matter experts, media experts, instructional design experts, and language experts are 4.60, 4.50, 4.35, and 4.48, respectively—all falling within the 'very good' category. Furthermore, the average product testing scores for both teachers and students are 4.49 and 4.54, respectively, also categorized as 'very good.' Based on this comprehensive data, it can be concluded that the audiovisual e-book hybrid model product is deemed suitable for integration into online learning platforms.
Type II Reaction Erythema Nodosum Leprosum: A Case Report
Authors: K Jonas , S Naqvi
Published: March 2024

Leprosy, or Hansen's disease, is a chronic granulomatous infectious disease caused by Mycobacterium leprae. This is a case of a 25-year-old male from Micronesia who presented to a hospital in the Midwest with a two-week history of a widespread, nodular, erythematous, painful rash most severe on his lower extremities and sparing only his hands and feet. In addition to the cutaneous manifestations, the patient met the criteria for Systemic Inflammatory Response Syndrome (SIRS) due to his presentation of tachycardia, tachypnea, leukocytosis, and elevated inflammatory markers. A short course of antibiotics, including Piperacillin-Tazobactam and Vancomycin, and IV steroids were started on admission. A skin biopsy taken from the center and edge of a lesion on the patient’s right arm demonstrated acute and chronic granulomatous superficial and deep inflammation with abundant acid-fast bacilli consistent with lepromatous leprosy from a Mycobacterium leprae infection. Once the National Hansen's Disease Center was contacted previous therapies were stopped and a multidrug therapy, consisting of Rifampin, Moxifloxacin, Minocycline, Methotrexate, and Prednisone was started. The multidrug therapy promptly resulting in substantial clinical improvement over the subsequent months. This case emphasizes the significance of early recognition, accurate diagnosis, and timely initiation of appropriate treatment in leprosy management, even in unlikely regions such as the Midwestern United States.
ALOPECIA TEMPORÁRIA APÓS TRATAMENTO ENDOVASCULAR RELACIONADA A UMA MALFORMAÇÃO ARTERIOVENOSA EM FACE: RELATO DE CASO
Authors: Silva Danielly Bernardes , Vilarinho Arthur Barroso Vidal , Peres Ana Rosária Medeiros , Souza Rodolfo Loureiro Borges de , Assunção Murilo Felisberto Morais de , Campedelli Fábio Lemos , Amorelli Carlos Eduardo de Sousa , Oliveira Fábio Augusto Cypreste
Published: March 2024

Objetivo: relatar um caso de alopecia temporária após tratamento endovascular com exposição por fluoroscopia devido a uma malformação arteriovenosa na face. Detalhamento do caso: sexo masculino, 34 anos, com queixa de lesão na asa nasal, lábio superior e lateral da face (direita). O paciente trouxe exame de angioressonância apresentando uma malformação arteriovenosa em face com nutrição pela artéria facial e drenagem pela veia mandibular. Como tratamento foi optado uma arteriografia diagnóstica para melhor avaliação de vascularização da malformação arteriovenosa seguida de embolização com onyx® (mistura de etileno vinil álcool copolímero) que fornece o contraste necessário para a visibilização da mistura sob fluoroscopia. O procedimento foi realizado 14 dias após a 1ª consulta, sem intercorrências indicando sucesso terapêutico. No retorno, terceira semana após o procedimento, apresentou alopecia setorial em região occipitoparietal direita. Não havia manchas em região, bem como outros sintomas associados. Foi realizado como tratamento o uso de Minoxidil tópico e Cilostazol via oral. Após o tratamento houve retorno do crescimento espontâneo em cerca de 2 meses. Considerações finais: a embolização com onyx® mostrou-se uma valiosa opção terapêutica com uma maior conservação das estruturas nobres em malformações arteriovenosas, com baixa taxa de complicações no médio e longo prazo.
Group Physical Therapy Programs for Military Members With Musculoskeletal Disorders: A Pragmatic Randomized Controlled Trial
Authors: Dupuis Frédérique , Perreault Kadija , Hébert Luc J. , Perron Marc , Fredette Anny , Desmeules François , Roy Jean-Sébastien
Published: March 2024

OBJECTIVE: To compare the effects of personalized, supervised group-based programs (ie, group physical therapy programs) and usual one-on-one physical therapy care (ie, usual physical therapy care) on disability for military personnel suffering from low back pain, rotator cuff–related shoulder pain, patellofemoral pain syndrome, or lateral ankle sprain. Secondary outcomes were pain severity, pain-related fear, health-related quality of life, and patients’ satisfaction with their condition and care.

DESIGN: Non-inferiority pragmatic randomized clinical trial.

METHODS: One hundred twenty military personnel from the Canadian Armed Forces, experiencing 1 of 4 targeted musculoskeletal disorders, were consecutively recruited and randomly assigned to group physical therapy programs or usual physical therapy care. Disability, pain severity, pain-related fear, and health-related quality-of-life outcomes were measured at 6, 12, and 26 weeks after baseline. Satisfaction with treatment was evaluated at the end of the intervention. Intention-to-treat analyses using linear mixed models with random effects were used to compare the effects of interventions. Chi-square tests were used to compare satisfaction.

RESULTS: There were no significant Time × Group interactions for any of the primary and secondary outcomes (Time × Group: P>.67). Satisfaction with treatment also did not differ between groups ( P>.05). Statistically significant and clinically important improvements were observed in both groups for all outcomes after 12 weeks (Time effect: P<.01), except for health-related quality of life ( P = .13).

CONCLUSION: Group physical therapy programs were not inferior to usual physical therapy care for managing pain, functional capacity, and patients’ satisfaction with care of military personnel presenting with various musculoskeletal disorders. Both interventions led to clinical and statistical improvement in pain and function in the mid and long term. Group physical therapy could be an effective strategy to enhance access to care. J Orthop Sports Phys Ther 2024;54(6):417-426. Epub 26 Mar 2024. doi:10.2519/jospt.2024.12342
Perfil epidemiológico dos casos de câncer colorretal notificados na região sul do Brasil
Authors: Souza Larissa Rodrigues de , Adriano Louisse Karoline , Lenhani Bruna Eloise , Fracasso Nathalia Vasconcelos , Koller Francisco José , Marcondes Larissa
Published: March 2024

Objetivo: descrever o número de casos notificados e o perfil sociodemográfico do câncer colorretal na região Sul do Brasil, no período de 2018 a 2022. Métodos: Trata-se de estudo epidemiológico, retrospectivo, abordagem quantitativa, realizado em agosto de 2023, com dados disponíveis no Departamento de Informática do Sistema Único de Saúde, painel de oncologia. As variáveis coletadas foram referentes a estado de notificação, sexo, faixa etária, ano de diagnóstico, topografia, tempestividade, estadiamento, tipo de tratamento. Os dados obtidos foram analisados por estatística descritiva. Resultados: Foram notificados 48.205 novos casos de câncer colorretal, Rio Grande do Sul apresentou a maior incidência (45%) e Santa Catarina a menor incidência (20%). A topografia de neoplasia maligna do cólon foi a mais notificada, na faixa etária dos 50 aos 74 anos (63%), seu acometimento foi maior no sexo masculino (51%). A quimioterapia foi o principal tratamento (35%), início do tratamento em até 30 dias após o diagnóstico (33%). Conclusão: conclui-se que o câncer colorretal tem relevância na região Sul associados principalmente ao estilo de vida e fatores sociodemográficos, podendo sugerir que o envelhecimento é um importante fator de risco para desenvolvimento desse câncer, utilizam-se de terapêutica adequada, tempestividade adequada, contudo com diagnósticos em estadiamentos avançados.
Farmacoeconomia como ferramenta de gestão na assistência farmacêutica
Authors: Barros Eliel Amorim , Silva Allan Deivison Corrêa da , Pinto Vandemilson Tavares , Silva Joseane Rodrigues da , Soler Orenzio , Queiroz Auriekson Noronha
Published: March 2024

Objetivo: Identificar a aplicação da farmacoeconomia no campo da assistência farmacêutica. Métodos: Revisão da literatura do tipo integrativa. Estabeleceu-se a seguinte questão norteadora: Como a farmacoeconomia vem sendo utilizada e quais seus desfechos na qualificação da gestão da assistência farmacêutica? O recorte temporal foi o período de janeiro de 2012 a janeiro de 2023. Resultados: 229 estudos foram recuperados, sendo 21 artigos selecionados. Evidenciou-se que a farmacoeconomia proporciona racionalidade e economicidade quanto ao processo de tomada de decisão, governança, gestão, planejamento estratégico, seleção de alternativas terapêuticas mais efetivas, intervenções farmacêuticas fundamentadas no uso seguro e racional de medicamentos, minimização de potenciais eventos adversos, otimização de prescrições, redução de tempo de internação e melhoria da eficiência de tratamentos. Considerações finais: Intervenções farmacêuticas fundamentas em práticas farmacoeconômicas contribuem para a efetividade e eficiência dos tratamentos; proporcionando, assim, o uso com qualidade de medicamentos e uma maior segurança e qualidade de vida para os pacientes.
Measuring one’s ability to alter, change, and reduce lumbar flexion under load: A case report
Authors: Williams Brogan , Horschig Aaron , Lock Andrew , Redmon Stephen
Published: March 2024

One cannot completely avoid spinal flexion while deadlifting, but is it possible to reduce it? The hypothesis of this case study is: “One can reduce their lumbar flexion under load voluntarily and immediately by simply being requested to do so.” This case study documented an experienced powerlifter modifying his lumbar flexion under a barbell-loaded isometric weight of 150 kg. The participant was instructed to perform a 45° angled static hip hinge for 25 s for two sets – with a 10-min rest period between sets. The sacrum and lumbar spine were measured using a digital inclinometer, covering the two key positions designated “max-flexion” and “max-neutral.” The inclinometer was placed over S1/S2 and L5/T12 for all measurements. The participant’s standing neutral (lordosis) was measured with a digital inclinometer at −35°. For a max unloaded flexion, the participant was asked to touch his toes, and a second measurement was taken at 69°. Between the initial max-flexion and set 2’s loaded “max-neutral,” the lifter could avoid flexing 40° or 58% of his max flexion merely from being requested to do so. The participant maintained 42% of his max flexion while under a significant load for 25 s.
Tectonic pozition and metamorphism of rocks in the Chara-Tokko iron ore region
Authors: Puliaev N. А.
Published: March 2024

The article provides the material on the geological structure, structures, tectonic position and metamorphism of rocks developed within the Chara-Tokko iron ore region, identified in the western part of the Aldan-Stanovoy shield. Most researchers agree that the Chara-Tokko iron ore region is confined to a trough that formed on the site of one of the long-lived deep fault zones of meridional strike. This zone received various names (Derbegelakhskaya, Charo-Imalykskaya, Tarynakhskaya, etc.). Currently, the fault zone and the trough trough are called Chara-Tokko after the name of the iron ore region. It is assumed that to the south, the iron ore deposits of the Chara group (Sulumatskoye, Nizhne-Sakukanskoye) are confined to the continuation of this trough trough. The nature and conditions of metamorphism can be judged by the mineral associations of some rocks of the sedimentary productive complex, such as metapelites or ferruginous quartzites. It is noted that metapelites, now represented by gneisses and mica schists with high-alumina minerals, are especially important for this. Based on their characteristic mineral associations, three temperature facies were identified in the Chara-Tokko iron ore region: staurolite, biotite-muscovite gneiss and orthoclase-biotite-sillimanite. The internal structure of the Chara-Tokko iron ore field were not sufficiently studied and is extremely controversial. The boundaries of metamorphic zones are mainly parallel to the general strike of the structures and only in rare cases intersect the stripes of productive sedimentary units. After the temperature maximum of progressive metamorphism and past granitization, a significant period of cooling began, which was heated and in some places impregnated with layer-by-layer injections of migmatites and bodies of granites of the Borsala sequence. Gradual cooling was accompanied by regressive metamorphism with the formation of low-temperature minerals at the expense of higher-temperature ones. It is believed that ferruginous quartzites of the western part of the Aldan-Stanovoi shield are part of sedimentary-volcanogenic rock complexes that fill suture troughs or troughs confined to long-lived deep fault zones. The processes of regressive metamorphism manifested themselves most intensively in tectonic zones. The nature of the processes depends on the composition of the host rocks. The regressive phenomena of continuous chloritization and epidotization are associated with the local movement of components, mainly calcium.