bluuebunny/crossref_metadata_2025 huggingface dataset:
The Factors for the Occurrence of Pulmonary Infection after Gastrointestinal Surgery and the Construction of a Predictive Model Using sTREM-1 and TIM-4: A Retrospective Study
Authors: Tang Dai , Ge Hua , Tan Zhengquan , Yan Maozhao , Song Jiacheng
Published: June 2024

AIM: Identifying and intervening with high-risk postoperative pulmonary infections patients pose challenges in clinical practice. This study aims to conduct a comprehensively analysis of the risk factors and predictive factors associated with post-gastrointestinal surgery pulmonary infections and to develop a predictive model that can predict occurrence of pulmonary infection.
METHODS: A retrospective analysis was conducted on 96 patients who underwent gastrointestinal surgery at our hospital from May 2021 to October 2023. The occurrence rate of postoperative pulmonary infections was calculated, and patients were categorized into two groups: those with pulmonary infections (the occurrence group) and those without pulmonary infections (the non-occurrence group). Logistic regression analysis was utilized to identify the risk factors for post-gastrointestinal surgery pulmonary infections and to evaluate the predictive value of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) and T cell immunoglobulin and mucin domain-4 (TIM-4) using nomograms, calibration curves, and Receiver Operating Characteristic (ROC) curves.
RESULTS: Out of 96 patients, 20 (20.83%) developed postoperative pulmonary infections. Significant differences were noted between occurrence and non-occurrence groups in terms of smoking (65.00% vs. 34.21%, p = 0.013), surgical duration (70.00% vs. 31.58%, p = 0.002), Preoperative hemoglobin level (35.00% vs. 65.79%, p = 0.013), sTREM-1 levels (23.57 ± 3.16 pg/mL vs. 15.62 ± 2.48 pg/mL, p < 0.001), and TIM-4 levels (61.48 ± 6.35 pg/mL vs. 44.73 ± 5.22 pg/mL, p < 0.001). Logistic regression analysis leads to the development of a risk prediction model for post-gastrointestinal surgery pulmonary infections. The high predictive values of sTREM-1 (Area Under Curve (AUC) = 0.962, 95% confidence interval (CI) 0.917~0.999) and TIM-4 (AUC = 0.970, 95% CI 0.925~1.000) were highlighted by the AUC values, underscoring their clinical importance.
CONCLUSIONS: A predictive model utilizing sTREM-1 and TIM-4 for pulmonary infection following gastrointestinal surgery was developed. Additionally, other risk factors such as smoking, surgical duration, and preoperative hemoglobin level were evaluated. This finding can be applied in clinical practice to identify potentially susceptible patients and facilitate early intervention measures.
Assessing Surgical Benefits and Creating a Prognostic Model for Breast Cancer with Lung-only Metastasis: An Analysis of the National Cancer Database
Authors: Zhong Wangyan , Zhong Guansheng , Ye Wanlin , Jin Xueying
Published: June 2024

AIM: The decision to perform surgery on breast cancer patients with lung-only metastasis is a subject of ongoing debate. Our investigation seeks to assess the survival rates following surgical intervention among individuals diagnosed with breast cancer experiencing isolated metastasis to the lungs. Additionally, we endeavor to devise a predictive nomogram aimed at forecasting the long-term survival.
METHODS: We analyzed patients diagnosed with primary lung metastases from breast cancer between 2010 and 2015, utilizing datasets obtained from the National Cancer Database (NCDB). We employed the Cox proportional hazards regression model and the Kaplan-Meier method to analyze survival data. Additionally, we constructed nomograms to forecast survival outcomes.
RESULTS: The study comprised 2403 patients, with 1058 (44.0%) undergoing breast-specific surgery and 1345 (56.0%) not receiving surgical treatment. The group that underwent surgical procedures exhibited a significantly enhanced overall survival (OS) compared to the non-surgery group (multivariate analysis: hazard ratio [HR] = 0.64; 95% confidence interval [CI], 0.54–0.75; p < 0.001). Surgical intervention consistently improved survival across nearly all patient subgroups. The research successfully established a predictive nomogram designed to calculate the likelihood of long-term survival, attaining a concordance index (C-index) of approximately 0.7 in both validation and training cohorts. By integrating multiple clinicopathological variables, the nomogram efficiently classified patients into categories reflecting different survival forecasts.
CONCLUSIONS: The findings of this investigation support the notion that surgical treatment can enhance the overall survival of patients with initial lung-only metastasis from breast cancer. The investigation further introduces a nomogram demonstrating reasonable accuracy in forecasting long-term survival of patients in this cohort.
Retrospective Analysis of Aberrant Hepatic Artery in 1250 Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization
Authors: Du Dongdong , Zhang Zhenhai , Wang Xinxing , Ma Mingze , Wu Naishi
Published: June 2024

AIM: Aberrant hepatic artery is particularly common, and its diversity and complexity play a critical role in surgery. The aim of this study was to describe the incidence and type of aberrant hepatic artery, and to compare differences in transarterial chemoembolization (TACE) in patients with hepatocellular carcinoma (HCC) with vs without aberrant hepatic artery.
METHODS: This was a retrospective study of patients with HCC who received TACE at the same intervention center between March 15, 2020 and December 31, 2022. All patients who met inclusion criteria were divided into two groups based on whether or not they had aberrant hepatic artery. The aberrant hepatic artery was systematically classified according to variations in origin. We compared differences in baseline characteristics, operation duration, and postoperative hospitalization between the two groups. Postoperative adverse events and laboratory data were also compared.
RESULTS: A total of 1250 patients hospitalized with HCC were included in the study (mean age, 58 ± 10 years, 1019 [81.5%] males). A high incidence of aberrant hepatic artery was found during TACE (21.3%, 266 of 1250), mainly involving a single variation of the aberrant left hepatic artery (aLHA) (6.1%, 76 of 1250) or aberrant right hepatic artery (aRHA) (10.9%, 136 of 1250) origin, as well as complex variations of the aLHA and aRHA origin (2.4%, 30 of 1250). When comparing patients with vs without aberrant hepatic artery, the TACE operation duration was significantly different (p < 0.001), and tended to be greater for patients with aberrant hepatic artery. In addition, differences between aberrant and normal hepatic artery groups in postoperative nausea and vomiting were statistically significant (40.2% vs 30.8%, respectively, p = 0.004). Postoperative laboratory examinations revealed significant differences in aspartate aminotransferase, alanine aminotransferase, and neutrophil percentage between the two groups (p < 0.05).
CONCLUSIONS: The incidence of aberrant hepatic artery is extremely high, and the condition is characterized by complex variations. Moreover, aberrant hepatic artery may have a critical impact on the course of TACE treatment.
Bouveret Syndrome: A Curious Simultaneous Presentation of Two Cases: Comparison of Clinical Observations and Surgical Management
Authors: Fabbri Nicolò , Romeo Danila , Virgilio Francesco , Augustine Iroatulam
Published: June 2024

Gallstone ileus is an uncommon occurrence and accounts for about 0.3–0.5% of complications of cholelithiasis in elderly patients. Bouveret syndrome is an uncommon medical condition resulting from the blockage of the duodenal bulb by a stone, which consequently obstructs the outlet of the stomach. Until now, a comparison of two different presentations of Bouveret syndrome has not been published in the literature due to the rarity of this pathology. The curious simultaneous occurrence of the two cases discussed here made it possible for us to compare the different diagnostic and therapeutic pathways. In fact, both cases differ not only in their presenting symptoms, but also in the management adopted by the same surgical team.
Omental Flap Technique in Pancreaticojejunostomy: Does it Prevent Pancreatic Fistula Development after Pancreaticoduodenectomy?
Authors: Erdoğan Doğan , Uzun Mehmet Ali
Published: June 2024

AIM: The aim of our study was to investigate the clinical results of omental flap application during pancreaticojejunostomy (PJ) anastomosis in pancreatoduodenectomy (PD) surgeries.
METHODS: The data of patients who underwent pancreaticoduodenectomy in our hospital were evaluated retrospectively. The patients were divided into two groups; patients with an omental flap (Group 1) and those without an omental flap (Group 2). The demographic and other characteristics of the groups and the incidence of postoperative pancreatic fistula (POPF) development were compared.
RESULTS: One hundred patients were included (39 females, 61 males) Group 1 consisted of 20 patients with omental flaps and Group 2 consisted of 80 patients without omental flaps. While no clinically significant (Grade B and C) leaks were observed in Group 1, both biochemical and clinically significant leak rates were lower in Group 1 compared to 4 patients (5%) in Group 2. There was no statistically significant difference compared with Group 2 (p > 0.05).
CONCLUSIONS: Although not statistically significant in this study, postoperative complication rates and the incidence of POPF tended to decrease in patients who underwent omental flaps.
Acute effects of muscle fatigue on the knee joint-position sense of trained and non-trained individuals
Authors: Azevedo Joana , Rodrigues Sandra , Moreira-Silva Isabel , Cardoso Ricardo , Seixas Adérito
Published: June 2024

Background: The acute effects of muscle fatigue on the knee joint-position sense (KJPS) are not consensual. Although it is known that peripheral fatigue affects the muscle spindle function by increasing its discharge threshold, reports of positive and negative impacts of muscle fatigue on the KJPS of both trained and non-trained individuals can be found in the literature.
Aim: To assess the acute effects of muscle fatigue on the KJPS of trained and non-trained individuals.
Methodology: This quasi-experimental study consisted in a sample of 60 participants, 29 semi-professional soccer players and 31 non-trained individuals. KJPS of both groups was tested in the dominant and non-dominant limb in a seated position, before and immediately after a repetitive sit-to-stand fatigue task. Target ranges of 20º and 45º of knee flexion were used, describing an active repositioning method, and using an inertial measurement unit system. Absolute and relative angular errors were calculated.
Results: After fatigue, a significant increase was seen regarding the absolute (p=0.034) and relative (p=0.017) angular errors only in the non-trained individuals during the 45º repositioning of the dominant limb.
Conclusions: Muscle fatigue did not affect knee proprioceptive acuity of the soccer players, but decreased the KJPS of the non-trained individuals. Muscle fatigue seems to mainly affect the muscle mechanoreceptors of the dominant limb.
Key-Words: Muscle Fatigue; Knee; Joint Position Sense; Proprioception
Validation of the Humor Styles Questionnaire: Correspondence between Humor Styles and Ratings of Specific Types of Jokes and the Effect of Participants' Social Settings on the Humor Style Preference
Authors:   , Berberian Sossi
Published: June 2024

The current study examined the validity of the Humor Styles Questionnaire (HSQ) within the Lebanese society. The following hypotheses were tested: (1) Individuals' ratings of their style of humor on the HSQ correlates with the degree to which they liked the corresponding type of Lebanese culture-specific Abu el Abed jokes, and the likelihood of them telling the jokes to others. (2) The humor style ratings of Lebanese participants on a modified Humor Styles Questionnaire would differ depending on whether the statements referred to friends or to family members separately. Obtained results supported hypothesis one for the most part: individuals' scores on the HSQ correlated with the degree to which they liked the corresponding type of Abu el Abed jokes, for all three dimensions of humor: affiliative, self-enhancing, and hostile, but not the self-defeating style. On the other hand, correlations were significant for individuals' ratings on the HSQ and the likelihood of them telling the corresponding type of jokes to others for all four dimensions of humor: affiliative, self-enhancing, hostile, and self-defeating. Results offered partial support for hypothesis two, in that depending on whether the statements referred to friends or to family members, individuals' humor style rating differed significantly for the affiliative and self-enhancing, but not for the hostile and self-defeating style of humor. Results were interpreted in terms of findings reached in Martin et al.'s development and initial validation of the HSQ, as well as in terms of differences between individualist and collectivist cultures.
The Effects of Computer-assisted Instruction on Students' Attitude and Achievement in Mathematics
Authors:   , Choufani Jimmy L.
Published: June 2024

This study was initiated to determine if computer-assisted instruction contributes to an increase in mathematics performance of elementary school pupils in comparison to students who use the traditional assisted instruction method. The sample comprised 46 students who were subject to a pretest and posted after receiving CAI in mathematics. A T-test analysis of the results revealed a gain in the scores of the CAI contributes to the overall performance of students when Information Technology is integrated into the curriculum.
Exploratory Study of Principalship in the Beirut Area
Authors:   , Al Jamal Samer H.
Published: June 2024

The purpose of this exploratory study was to understand and measure principal leadership and effective practices in private Beirut schools. The 16-item questionnaire was mailed to all 113 school principals after whom 24 (14 women principals and 10 men principals) filled their copies and sent it back. Nevertheless, this study was able to investigate the principals' attitude and approach toward various educational leadership issues such as: traits of effective school principals, their effect on student achievement, priorities of a principal, and many other aspects of principalship. We were also eager to survey the principals' enthusiasm toward having a licensure system for school principals in Lebanon as well as their opinion regarding a Leadership Training Program prior to handling this job. The study revealed that 66% of the principals are above 50 years of age. It also showed that 54.2% of the principals hold a bachelor's degree while only 29.2% have a master's degree. In this study, Lebanese school principals ranked "having a clear vision and a plan to achieve that vision" as the first priority for successful school leaders. While 70% of them agreed that the ministry of education should issue a licensure system to qualify principals in the profession, and 80% supported the idea that a Leadership Training Program is necessary for principals to perform a better job, only 66.7% agree that there is a strong relationship between their role and student achievement. However, the study revealed various interesting facts that were highlighted in details.
The Impact of Adult Attachment Styles on Intimacy and Commitment in Lebanese Male and Female Young Adults
Authors:   , Gholam Alain
Published: June 2024

A study was conducted to test five hypotheses which investigated the effect of adult attachment styles in intimacy and commitment in young Lebanese adults. The Adult Attachment Scale and the Sternberg’s Love Triangular Scale were administered to a convenient sample of 133 students (69 females and 64 males) enrolled at the American University of Beirut and Haigazian University. A correlation analyses showed that secure individuals tend to show high levels of intimacy and commitment in their relationships and avoidant individuals tend to show low levels of intimacy and commitment in their relationships. However, the results did not confirm the fourth hypothesis which stated that anxious individuals show high levels of intimacy and commitment in their relationships. Moreover, results confirmed that females, in general, are more intimate and committed than males. Implications of the results were discussed and directions for the future research were proposed.
Personality Traits and Love of Life
Authors:   , Metri Nicolas E.
Published: June 2024

Love of life is a new construct in the well-being domain. Building on previous research on personality and subjective well-being, the study investigated the relationship between extraversion, neuroticism, and love of life. The sample consisted of 180 high school students, aged 15 to 20. Personality traits were assessed using the Eysenck Personality Questionnaire (EPQ) forms A (extraversion) and B (neuroticism) Arabic versions. Results confirmed the hypotheses. There was a significant positive correlation between extraversion and love of life, and a significant negative correlation between neuroticism and love of life. Also, regressional analysis yielded only one factor, labeled "positive attitude towards life", to be a significant predictor of extraversion. These findings suggest that, through a general positive lookout on life, extraverted individuals tend to be more loving of their lives than their neurotic counterparts.
The Effects of Racial Prejudice, Conformity, and Social Distance on Art Appreciation
Authors:   , Jalbout Tilda
Published: June 2024

The experiment assessed the effects of the artist's race and the expert's opinion on art appreciation through 3x3 factorial design: race (Black, White, unknown) x intervention (positive, negative, neutral). Social distance levels were also examined in a sample of 72 adults in a beach resort in Jounieh. The main hypotheses stated that the African American painter will be rated less favorably than the White painter, the expert's opinion will have a main effect on participant's ratings, and social distance levels will highly correlate with the sample’s negative evaluation of the Black painter. Results supported these hypotheses, which highlight a tendency towards racial discrimination in Lebanon. Implications for future research included a study on self-esteem in relation to discrimination.
Studi Rasionalitas Penggunaan Obat Rheumatoid Arthritis Pada Pasien Rawat Jalan Di Rumah Sakit Umum Daerah Ulin Wilayah Banjarmasin
Authors: Surya Nata Angelyna , Kurniawati Darini , Herawati Anita , Melviani Melviani
Published: June 2024

Rheumatoid Arthritis merupakan penyakit reumatik autoimun dengan inflamasi kronik yang progresif menimbulkan kerusakan sendi yang permanen. Pengobatan rasional pada rheumatoid arthritis bertujuan untuk mengurangi atau menghilangkan nyeri, mengurangi inflamasi, menghambat atau menghentikan kerusakan sendi dan mencegah komplikasi sistemik. Pengobatan yang tidak rasional dapat berdampak meningkatan biaya pengobatan dan peningkatan morbiditas dan mortalitas lebih lanjut sehingga perlu adanya pemilihan terapi yang tepat dan berbagai upaya untuk meningkatkan pelayanan kesehatan khususnya pada pasien reumatoid arthritis. Tujuan penelitian untuk mengetahui rasionalitas penggunaan obat rheumatoid arthritis pada pasien rawat jalan di RSUD Ulin Wilayah Banjarmasin. Penelitian ini menggunakan metode kuantitatif deskriptif, menggambarkan ketepatan indikasi, obat, dosis, pasien serta kemungkinan kejadian efek samping. Waktu pelaksanaan penelitian ini dilakukan pada bulan November 2022 sampai Juni 2023 dimana pengambilan sampel dilakukan dengan metode purposive sampling dan didapat 66 pasien rheumatoid arthritis dan instrumen yang digunakan berupa rekam medis. Hasil penelitian menunjukkan Persentase indikator penggunaan obat secara rasional (tepat indikasi, tepat obat, tepat pasien, tepat dosis dan tidak terjadi efek samping) mendapatkan hasil 100% tepat sehingga acuan penggunaan obat rheumatoid arthritis rasional sebesar 100%. Kesimpulan dari penelitian ini adalah gambaran rasionalitas terapi Rheumatoid Arthritis di poli sub spesialis penyakit dalam reumatologi RSUD Ulin Banjarmasin.
Studi Kejadian Efek Samping Pengobatan Rheumatoid Arthitis Pasien Rawat Jalan Di Rumah Sakit Ulin
Authors: Wahyu Pangi Astuti Ni Nyoman , Kurniawati Darini , Mustaqimah Mustaqimah
Published: June 2024

Rheumatoid Arthritis (RA) adalah penyakit autoimun yang berupa inflamasi kronis dan dapat menyebabkan kerusakan sendi yang permanen. saat ini diperkirakan tidak kurang 1,3 juta orang menderita Rheumatoid Arthritis (RA) di Indonesia pada perhitungan Berdasarkan angka prevalensi Rheumatoid Arthritis (RA) dunia 0,5-1% dari jumlah penduduk Indonesia 268 juta jiwa pada tahun 2020, Melihat tingginya prevalensi penderita RA di Indonesia, dapat meningkatkan penggunaan obat RA yang berpengaruh pada kejadian efek samping obat. Sehingga perlu dilakukan pengkajian penggunaan obat dalam aspek efek samping obat RA menggunakan Algoritma Naranjo. Penelitian ini bertujuan untuk mengetahui kejadian efek samping yang terjadi pada pasien RA dan identifikasi kejadian efek samping obat dengan analisis skala Naranjo. Penelitian ini dengan metode observasional deskriptif dengan pendekatan Cross Sectional secara Prospektif menggunakan intrumen kuesioner Algoritma Naranjo. Hasil penelitian menunjukkan bahwa dari 58 responden yang diwawancari 21 responden merasakan efek samping berupa 18 responden mual, muntah, pusing dan 3 responden Alopesia, 20 responden termasuk dalam kategori Definite dan 1 responden termasuk dalam katagori Probable. Efek samping yang terjadi kemungkinan dapat disebabkan oleh obat Rheumatoid Arthritis (RA) yang dicurigai yaitu golongan DMARDs dan OAINS.
Formulasi Dan Uji Stabilitas Sediaan Toner Anti Jerawat Ekstrak Bunga Melati (Jasminum sambac L.)
Authors: Karami Muhammad Rian Al Nafis , Malahayati Siti , Hidayah Nurul , Budi Setia
Published: June 2024

Toner dapat mencegah residu dan sebum tersebut menyerap ke pori-pori wajah yang dapat menyebabkan berbagai macam masalah pada kulit wajah seperti timbulnya jerawat. Bunga melati memiliki kandungan yang dapat menghambat bakteri Staphylococcus epidermidis dan bakteri shigella flexneri dengan konsentrasi sebesar 10% yang merupakan salah satu bakteri yang dapat menyebabkan terjadinya jerawat. Tujuan penelitian untuk menganalisis pengaruh variasi konsentrasi surfaktan terhadap stabilitas sediaan toner anti jerawat ekstrak bunga melati dan mengidentifikasi formulasi yang optimal berdasarkan hasil evaluasi sediaan toner anti jerawat ekstrak bunga melati. Metode penelitian eksperimental laboratorium menggunakan metode quasy-experimental tanpa kelompok kontrol dengan rancangan one-group posttest only design. Ekstrak bunga melati diformulasikan sebanyak 2 formula dengan variasi konsentrasi polisorbat 20 sebesar 5% dan 5,65%, kemudian dilakukan uji stabilitas dengan metode cycling test selama 12 hari sebanyak 6 siklus dengan mengevaluasi sebelum dan sesudah pengujian stabilitas, meliputi organoleptis, homogenitas, viskositas, dan pH. Hasil penelitian menunjukkan sediaan toner ekstrak bunga melati (Jasminum sambac L) dengan variasi konsentrasi surfaktan menunjukkan memiliki perbedaan terhadap organoleptik, homogenitas, pH, dan viskositas. Pada uji pH tidak stabil (p 0,000). Uji viskositas formula I (p 0,081) stabil, formula II (p 0,400). Kesimpulan dari kedua formula tersebut dalam pembuatan sediaan toner ekstrak bunga melati dengan variasi konsentrasi surfaktan dari hasil semua siklus pada uji cycling test mendapatkan hasil evaluasi secara fisik stabil namun tidak stabil secara kimia sehingga tidak terdapat formula yang optimal.
Evaluasi Penggunaan Antibiotik Pada Penyakit Demam Tifoid Di Puskesmas Kelua
Authors: Pawestri Hasna , Kurniawati Darini , Dona Sismeri , Melviani Melviani
Published: June 2024

Thypus (Demam tifoid) merupakan penyakit menular yang disebabkan oleh bakteri Salmonella thypi. Evaluasi penggunaan antibiotik dilakukan untuk mengetahui berapa nilai ketepatan terapi antibiotik dari segi analisis tepat indikasi, tepat obat, tepat pasien, tepat dosis, dan waspada efek samping obat. Tujuan penelitian ini untuk mengevaluasi penggunaan antibiotik pada penyakit demam tifoid di Puskesmas Kelua dan mengetahui gambaran penggunaan antibiotik pada pasien demam tifoid di Puskesmas Kelua. Jenis Penelitian ini yaitu observasional (non-eksperimental) deskriptif menggunakan desain survey dengan mengumpulkan data secara retrospektif. Sampel dalam penelitian ini adalah 60 pasien rawat inap pada bulan oktober 2022 di Puskesmas Kelua dimana pengambilan sampel dengan metode purposive sampling. Waktu pelaksanaan penelitian dilakukan November 2022 sampai Juli 2023. Hasil pada penelitian ini yaitu ketepatan penggunaan antibiotik yaitu 100 % tepat indikasi, 100% tepat obat, 100% tepat pasien dan 100% dan 100% tidak terdapat efek samping dan jenis antibiotik yang digunakan dalam penyakit demam tifoid di rawat inap Puskemas Kelua yaitu inj cefotaxime. Kesimpulan dari peneletian ini adalah hasil evaluasi penggunaan obat antibiotik pada bulan oktober 2022 didapatkan 100% tepat indikasi, 100% tepat obat, 100% tepat pasien dan 100% dan 100% tidak terdapat efek samping. Jenis antibiotik yang digunakan dalam penyakit demam tifoid di rawat inap Puskemas Kelua yaitu inj cefotaxime.
Nurturing Relational Forms of Presencing Mastery
Authors: Bockler Jessica
Published: June 2024

Drawing on a body of collaborative work in communities of practice and research exploring holistic approaches to social transformation, in this article I discuss how a triune of community, deep participation, and embodied play may aid the cultivation of presencing mastery. For the purposes of this article, I explore presencing as a relational practice, the mastery of which requires us to come into fuller, more conscious engagement with ourselves, one another, and the world at large. To enable the deepening of each of these relationships, I make the case for integrative inner work, cultivating participatory ways of knowing that go beyond cognitive intelligence and that tap somatic, emotional, social, ecological, and spiritual insights. I posit that such integrative whole-person development is central for presencing mastery to be realised.  I also discuss how communities of practice provide essential scaffolding on this journey, helping us to address our blind spots and automaticities in perception, thought and action. Creative practices and embodied play can be greatly beneficial here, loosening perceptual filters and enabling between us more open, receptive, and fluid states of consciousness that provide a kaleidoscopic appreciation of our inner and outer worlds and their complexities.
Presencing Mastery as a Relational and Iterative Way of Knowing and Being
Authors: Carrillo Beatriz
Published: June 2024

This article uses the case study of a social innovation hub formed as part of the u.lab MOOC at a Sino-British university, to outline the ways in which Theory U’s integrative framework alongside the experiential learning and contemplative practices embedded in u.lab can be used to develop core capacities for presencing mastery. Presencing is understood here as a relational and iterative process that, when supported by epistemic and ontological shifts, guides the locus of presencing mastery to be informed by the pattern and quality of relationships, with one’s inner knowing and among individuals in a group. The article positions Theory U as a holistic framework for individuals and groups to engage and integrate the cognitive, emotional, relational, and spiritual dimensions of theirs and the group’s presencing. It identifies empathic listening, supported by awareness-based contemplative practices in u.lab, as key for developing relational and embodied forms of presencing mastery.
Dynamic Presencing Coaching
Authors: Gunnlaugson Olen
Published: June 2024

This article draws upon findings from a recent five-year period of research, which led to the genesis and development of Dynamic Presencing Coaching (Gunnlaugson, 2024a, 2024b, forthcoming; Proches, C. et al., 2024), an emerging next-stage, fourth-generation coaching approach. In the sections that follow, I present a meta-framework outlining seven transformative shifts for exploring beyond the territory of current “third-generation coaching practice” (Stelter, R. 2014a). I then address how this meta-framework, derived from key insights generated from the Dynamic Presencing Coaching methodology serves as a transformative lens for exploring, clarifying and deepening into the space of fourth-generation coaching as a path for uncovering emerging forms of presencing mastery.
Work Values and Teaching Performance of Physical Education Teachers in Secondary Schools
Authors: Sabido Giselle
Published: June 2024

This study investigated the work values and teaching performance of Physical Education teachers in secondary schools in the Philippines. Employing a descriptive research design, a total of 222 respondents composed of 114 teachers, 83 students, and 25 school heads were asked to fill out a questionnaire on teacher work values and teacher performance of teachers. Teacher-respondents were also asked to supply their demographic profile. Findings revealed that work values were very much important to the respondents, with a positive attitude being rated the highest among the indicators. A closer look shows that loyalty was rated highest by teachers, strong self-confidence by students, and positive attitude by school heads. Concerning teaching performance, teachers were rated very satisfactory on content knowledge and pedagogy, learning environment and diversity of learners, curriculum and planning, and assessment and reporting. Correlation analysis revealed that there was a significant relationship between age and positive attitude, length of service and positive attitude, length of service and adaptability, a number of seminars attended and professionalism, a number of seminars attended and strong self-confidence, and a number of seminars attended and dependability and responsibility. In addition, a significant relationship was determined between age and curriculum and planning, educational attainment and content knowledge and pedagogy, educational attainment, and curriculum and planning, several seminars and content knowledge and pedagogy, and several seminars and curriculum and planning. Moreover, results revealed that there was a significant relationship between professionalism and content knowledge and pedagogy, positive attitude and learning environment and diversity of learners, and adaptability and learning environment and diversity of learners.
Selecting the Methodological Path: A Beginner’s Guide to Grounded Theory Approaches
Authors: Garlan Michael
Published: June 2024

A grounded theory methodology is a qualitative approach to exploring and describing social processes based on the people's perspective and the researcher's philosophical position. Since the methodological approach is a consequence of the philosophical orientation of the researcher, it is imperative to consider the role of the researcher in the interpretation of the data, the place of the literature review in shaping the theoretical models, the research questions, and the approaches to the data analysis to be able to justify the choice of a specific type of grounded theory approach. Since the grounded theory is too broad a methodology, this article will help provide a novice-level researcher with structuring and developing a grounded theory methodology consistent with the essential elements of each grounded theory type.
Users' Awareness, Utilization, and Satisfaction with Online Library Information Resources and Services
Authors: Panhilason Analyn
Published: June 2024

Libraries are the support system for the academic success of students and teachers. These have been proven when libraries were greatly affected during the COVID-19 pandemic. There was a shift from on-site to online library services, and various library innovations were implemented to support the academic community despite the COVID-19 pandemic challenges. This study examined the online library information resources and services at Carlos Hilado Memorial State University in terms of users' awareness, utilization, and satisfaction. A researcher-made questionnaire was used, validated by five (5) experts in research and library and information science, and 374 students participated. The instrument's reliability was strong, with a Cronbach's alpha coefficient of 0.910. Descriptive and inferential statistics were employed in data analysis. Mean, standard deviation, t-test, ANOVA, and Pearson's r were the statistical tools used. The results showed a high level of awareness of online library information resources and services, and the users often utilized these resources and services. Users were very satisfied with the resources and services, indicating that their needs were effectively met. Furthermore, there is a significant difference in the users' level of awareness and satisfaction when grouped according to age, year level, campus, and frequency of library usage, and no significant difference when grouped according to their sex. However, there is no significant difference in the users' extent of utilization when grouped according to age, sex, year level, campus, and frequency of library usage. As to the correlation, there is a significant relationship between users' level of awareness and their extent of utilization of online library information resources and services.
Budget multiplier calculation of Mongolia: TV-SVAR model
Authors: Gerelmaa Bayarmagnai , Bilegt Baasandavaa
Published: June 2024

This study aims to assess Mongolia's budget multiplier using the time-varying SVAR (TV-SVAR) model. Notably, it is the first study in Mongolia utilizing the TV-SVAR model to analyze the budget's effects within the economic framework. The research is of significant importance as it contributes to an understanding of the multifaceted impact of fiscal policies on economic dynamics, serving as a pivotal parameter in economic models and facilitating comprehensive policy analyses. Leveraging quantitative data from 2000 to 2020, the research computes the multiplier effects of various components of budget expenditures, encompassing total outlays, wages, investments, transfers, subsidies, and tax policies, on economic growth. The findings reveal a one-year cumulative multiplier of -0.6 for public expenditure and -0.4 for tax revenue, indicating discernible impacts on economic expansion. Specifically, the wage expenditure policy manifests a relatively robust influence on the economy, while transfer and subsidy policies exhibit comparatively weaker effects. Additionally, the study identifies temporal patterns in the budget multiplier's impact, noting an initial increase within the first four months followed by a gradual decline over the subsequent eight months. Since 2010, there has been a consistent escalation in the absolute value of the budget multiplier, signifying an augmenting influence of fiscal policies on the economic landscape over time.
Монгол Улсын төсвийн үржүүлэгчийн тооцоо: TV-SVAR загвар
Энэхүү судалгааны ажлаар Монгол Улсын төсвийн үржүүлэгчийг хугацааны туршид хувьсах SVAR загвар буюу TV-SVAR загвар ашиглан үнэлэхийг зорилоо. Тус судалгаа нь (i) Эдийн засгийн уналтын сөрөг нөлөөг сааруулахын тулд сангийн, төсвийн, мөнгөний бодлогыг эрчимтэй хэрэгжүүлж буй өнөө үед хийгдэж буй, (ii) Монгол Улсад TV SVAR загвар ашиглан төсвийн нөлөөг судалсан анхны судалгаа болсон, (iii) Эдийн засгийн бүтцийн загваруудад хувьсах параметр болгон ашиглаж (input), бодлогын шинжилгээ хийх боломжтойгоороо өндөр ач холбогдолтой, онцлог юм. Төсвийн нийт зардал, цалин, хөрөнгө оруулалт, шилжүүлэг болон татаас, татварын бодлогын эдийн засгийн өсөлтөд үзүүлж буй нөлөө үржүүлэгчийг тооцохдоо 2000-2020 оны улирлын тоон өгөгдлийг ашигласан. Ингэхэд нэг жилийн хуримтлагдсан үржүүлэгч төсвийн зардлын хувьд -0.6, татварын орлогын хувьд -0.4 байв. Түүнчлэн цалингийн зардлын бодлого эдийн засагт харьцангуй хүчтэй нөлөөлж байгаа бол шилжүүлэг болон татаасын бодлогын нөлөө сул байна. Төсвийн үржүүлэгчийн нөлөө эхний 4 сар өсөж, сүүлийн 8 сар тогтвортой буурах хандлагатай байсан бөгөөд 2010 оноос хойш төсвийн үржүүлэгчийн абсолют утга тогтвортой өсжээ. Өөрөөр хэлбэл, төсвийн бодлогын эдийн засаг дахь нөлөө хугацааны туршид нэмэгдсээр ирсэн байна.
Түлхүүр үг:
Төсвийн болон сангийн бодлого, төсвийн үржүүлэгч, TV-SVAR загвар
JEL ангилал: E62, C11, C40
Output index is important to the measurement of public service productivity
Authors: Otgontuya Dorjkhuu
Published: June 2024

Measuring the effectiveness of treatment in terms of service quality rather than price increases is important to increase the validity of service productivity measurements.
Researchers attribute low productivity growth in healthcare to productivity measurement. This is because most of the increase in healthcare productivity is not cost reduction, but quality improvement. After all, indicators such as switching from inpatient to outpatient care are not included in the productivity measurement.
Measurement of treatment outcomes and quality is one of the major challenges in measuring the productivity of health services. Measuring the effectiveness of treatment after a certain period by the quality of service, rather than by price increases, would increase the validity of service productivity measurements.
Measuring productivity in healthcare without quality indicators reduces the validity of the measurement. Therefore, quality-adjusted measurement of healthcare productivity is important to account for objective outcomes.
Төрийн үйлчилгээний бүтээмжийн хэмжилтэд гарцын индекс чухал болох нь
Эмчилгээний үр нөлөөг үнийн өсөлтөөр биш, үйлчилгээний чанараар хэмжих нь үйлчилгээний бүтээмжийн хэмжилтийн бодит байдлыг нэмэгдүүлэх чухал ач холбогдолтой.
Cудлаачид эрүүл мэндийн салбарын бүтээмжийн өсөлт бага байгаа шалтгааныг бүтээмжийн хэмжилттэй холбож тайлбарладаг. Эрүүл мэндийн үйлчилгээний бүтээмжийн өсөлтийн ихэнхи хувийг өртгийн бууралт биш харин  чанарын сайжруулалт эзэлдэг нь хэвтэн эмчлүүлэгчээс амбулаторийн эмчилгээнд шилжих зэрэг үзүүлэлтийг бүтээмжийн хэмжилтэнд тооцдоггүйтэй холбоотой.
Эмчилгээний үр дүн, чанарын хэмжилт нь эрүүл мэндийн  үйлчилгээний бүтээмжийг хэмжихэд тулгардаг томоохон бэрхшээлүүдийн нэг юм. Тодорхой хугацааны дараах  эмчилгээний үр нөлөөг үнийн өсөлтөөр биш, үйлчилгээний чанараар хэмжих нь үйлчилгээний бүтээмжийн хэмжилтийн бодит байдлыг нэмэгдүүлэх ач холбогдолтой. Эрүүл мэндийн салбарын бүтээмжийн хэмжилтийг чанарын үзүүлэлтгүй тооцох нь хэмжилтийн бодит байдлыг багасгадаг. Тиймээс, эрүүл мэндийн үйлчилгээний бүтээмжийг чанарын тохируулгатай хэмжих нь үр дүнг бодитой тооцох ач холбогдолтой.
Түлхүүр үг:
Бүтээмж, төрийн үйлчилгээний бүтээмж, бүтээмжийн хэмжилт, чанарын тохируулга
REFORMA DEL DERECHO MARÍTIMO. ALGUNOS EJEMPLOS DEL NUEVO MARCO NORMATIVO DE TRABAJO EN LA CAPITANÍA MARÍTIMA DE CASTELLÓN
Authors: Gómez Ruiz Miguel
Published: June 2024

La presente obra es fruto de la celebración del VIII Congreso Internacional de Transporte: el transporte ante el desarrollo tecnológico y la globalización, que tuvo lugar en Benicàssim (Castellón) los días 28, 29 y 30 de septiembre de 2022, organizado por el Instituto Universitario de Derecho del Transporte de la Universitat Jaume I de Castellón (IDT). Recoge más de cuarenta trabajos, entre ponencias y comunicaciones, que se ocupan de distintas cuestiones de actualidad relacionadas con el sector del transporte en todos sus modos (terrestre, marítimo y aéreo), desde una perspectiva tanto de Derecho privado como de Derecho público. El Instituto Universitario de Derecho del Transporte (www.idt.uji.es) es un centro dedicado a la investigación, la consultoría y la formación en el ámbito del Derecho del Transporte. De entre sus actividades destacan la impartición de un Máster en Derecho del Transporte, en versión on-line, la organización de congresos y seminarios, la coedición de una colección de monografías, o la dotación de un premio de investigación sobre la materia.
NAVIGAZIONE MARITTIMA ED INQUINAMENTO DA MARINE LITTER
Authors: Mancini Francesco
Published: June 2024

La presente obra es fruto de la celebración del VIII Congreso Internacional de Transporte: el transporte ante el desarrollo tecnológico y la globalización, que tuvo lugar en Benicàssim (Castellón) los días 28, 29 y 30 de septiembre de 2022, organizado por el Instituto Universitario de Derecho del Transporte de la Universitat Jaume I de Castellón (IDT). Recoge más de cuarenta trabajos, entre ponencias y comunicaciones, que se ocupan de distintas cuestiones de actualidad relacionadas con el sector del transporte en todos sus modos (terrestre, marítimo y aéreo), desde una perspectiva tanto de Derecho privado como de Derecho público. El Instituto Universitario de Derecho del Transporte (www.idt.uji.es) es un centro dedicado a la investigación, la consultoría y la formación en el ámbito del Derecho del Transporte. De entre sus actividades destacan la impartición de un Máster en Derecho del Transporte, en versión on-line, la organización de congresos y seminarios, la coedición de una colección de monografías, o la dotación de un premio de investigación sobre la materia.
REGULACIÓN JURÍDICA DEL ABORDAJE MARÍTIMO EN BUQUES AUTÓNOMOS
Authors: Assamà Rafí Mónica
Published: June 2024

La presente obra es fruto de la celebración del VIII Congreso Internacional de Transporte: el transporte ante el desarrollo tecnológico y la globalización, que tuvo lugar en Benicàssim (Castellón) los días 28, 29 y 30 de septiembre de 2022, organizado por el Instituto Universitario de Derecho del Transporte de la Universitat Jaume I de Castellón (IDT). Recoge más de cuarenta trabajos, entre ponencias y comunicaciones, que se ocupan de distintas cuestiones de actualidad relacionadas con el sector del transporte en todos sus modos (terrestre, marítimo y aéreo), desde una perspectiva tanto de Derecho privado como de Derecho público. El Instituto Universitario de Derecho del Transporte (www.idt.uji.es) es un centro dedicado a la investigación, la consultoría y la formación en el ámbito del Derecho del Transporte. De entre sus actividades destacan la impartición de un Máster en Derecho del Transporte, en versión on-line, la organización de congresos y seminarios, la coedición de una colección de monografías, o la dotación de un premio de investigación sobre la materia.
LA FIGURA DEL CAPITÁN DE LA MARINA MERCANTE FRENTE A LA ENTRADA DE LOS BUQUES AUTÓNOMOS
Authors: Domínguez Uranga Aitor
Published: June 2024

La presente obra es fruto de la celebración del VIII Congreso Internacional de Transporte: el transporte ante el desarrollo tecnológico y la globalización, que tuvo lugar en Benicàssim (Castellón) los días 28, 29 y 30 de septiembre de 2022, organizado por el Instituto Universitario de Derecho del Transporte de la Universitat Jaume I de Castellón (IDT). Recoge más de cuarenta trabajos, entre ponencias y comunicaciones, que se ocupan de distintas cuestiones de actualidad relacionadas con el sector del transporte en todos sus modos (terrestre, marítimo y aéreo), desde una perspectiva tanto de Derecho privado como de Derecho público. El Instituto Universitario de Derecho del Transporte (www.idt.uji.es) es un centro dedicado a la investigación, la consultoría y la formación en el ámbito del Derecho del Transporte. De entre sus actividades destacan la impartición de un Máster en Derecho del Transporte, en versión on-line, la organización de congresos y seminarios, la coedición de una colección de monografías, o la dotación de un premio de investigación sobre la materia.
RESPONSABILIDAD CIVIL Y SEGURO EN LA NAVEGACIÓN MARÍTIMA
Authors: Morillas Jarillo María
Published: June 2024

La presente obra es fruto de la celebración del VIII Congreso Internacional de Transporte: el transporte ante el desarrollo tecnológico y la globalización, que tuvo lugar en Benicàssim (Castellón) los días 28, 29 y 30 de septiembre de 2022, organizado por el Instituto Universitario de Derecho del Transporte de la Universitat Jaume I de Castellón (IDT). Recoge más de cuarenta trabajos, entre ponencias y comunicaciones, que se ocupan de distintas cuestiones de actualidad relacionadas con el sector del transporte en todos sus modos (terrestre, marítimo y aéreo), desde una perspectiva tanto de Derecho privado como de Derecho público. El Instituto Universitario de Derecho del Transporte (www.idt.uji.es) es un centro dedicado a la investigación, la consultoría y la formación en el ámbito del Derecho del Transporte. De entre sus actividades destacan la impartición de un Máster en Derecho del Transporte, en versión on-line, la organización de congresos y seminarios, la coedición de una colección de monografías, o la dotación de un premio de investigación sobre la materia.
LA COOPERACIÓN JUDICIAL INTERNACIONAL EN RED
Authors: Fontestad Portales Leticia
Published: June 2024

El uso de las TICs en la cooperación jurídica penal internacional: construyendo la Sociedad digital de futuro es una obra colectiva fruto de la investigación en el marco del Proyecto de Excelencia «El uso de las TICs en la cooperación jurídica penal internacional: construyendo la sociedad digital andaluza del futuro (PAIDI-PY18-1059)», coordinado por la Dra. Leticia Fontestad Portalés. Partiendo de la idea de que los instrumentos de cooperación judicial penal internacional no pueden quedarse rezagados en el proceso de digitalización de la Justicia, se estudia en esta obra la transformación digital de la Justicia española, así como el intercambio electrónico transfronterizo de datos a través del sistema e-CODEX, consecuencia de la cooperación judicial internacional en red. Datos que, también deben ser objeto de protección a la luz de la Directiva UE 680/2016 y la Ley 7/2021. Se ofrece, igualmente, el examen de cuestiones de indudable actualidad como son la prueba electrónica en los procesos penales transfronterizos, el uso del blockchain para el aseguramiento y conservación de las pruebas electrónicas, el análisis de la «cooperación» penal internacional entre fiscales europeos delegados en el ámbito de la prueba transfronteriza a través de las nuevas tecnologías, las medidas tecnológicas de investigación en relación con las órdenes europeas de investigación o el análisis de los instrumentos y las posibilidades de la inteligencia artificial en el ámbito de la cooperación judicial penal internacional.
ANÁLISIS DEL RÉGIMEN JURÍDICO PROCESAL DE TRANSFERENCIAS INTERNACIONALES DE DATOS A TERCEROS ESTADOS Y ORGANIZACIONES INTERNACIONALES
Authors: Suárez Xavier Paulo
Published: June 2024

El uso de las TICs en la cooperación jurídica penal internacional: construyendo la Sociedad digital de futuro es una obra colectiva fruto de la investigación en el marco del Proyecto de Excelencia «El uso de las TICs en la cooperación jurídica penal internacional: construyendo la sociedad digital andaluza del futuro (PAIDI-PY18-1059)», coordinado por la Dra. Leticia Fontestad Portalés. Partiendo de la idea de que los instrumentos de cooperación judicial penal internacional no pueden quedarse rezagados en el proceso de digitalización de la Justicia, se estudia en esta obra la transformación digital de la Justicia española, así como el intercambio electrónico transfronterizo de datos a través del sistema e-CODEX, consecuencia de la cooperación judicial internacional en red. Datos que, también deben ser objeto de protección a la luz de la Directiva UE 680/2016 y la Ley 7/2021. Se ofrece, igualmente, el examen de cuestiones de indudable actualidad como son la prueba electrónica en los procesos penales transfronterizos, el uso del blockchain para el aseguramiento y conservación de las pruebas electrónicas, el análisis de la «cooperación» penal internacional entre fiscales europeos delegados en el ámbito de la prueba transfronteriza a través de las nuevas tecnologías, las medidas tecnológicas de investigación en relación con las órdenes europeas de investigación o el análisis de los instrumentos y las posibilidades de la inteligencia artificial en el ámbito de la cooperación judicial penal internacional.