bluuebunny/crossref_metadata_2025 huggingface dataset:
Association Between Level of Pain and Depression Among Chronically Ill Older Adults in Rural Alabama: A Pilot Study
Authors: Noh Hyunjin , Halli-Tierney Anne , Lee Lewis H. , Suntai Zainab , Jeong Haelim
Published: November 2024

There is a paucity of research on pain and depression among older adults in rural communities. To address such a gap, this study examined the association between pain and depression among older rural-community-dwelling adults. Recruited from rural senior centers, 100 chronically ill
older adults (age 55 or older) experiencing pain completed a cross-sectional survey. Data were collected on their level of depression (a five-item version of the Center for Epidemiologic Studies Depression scale), pain (the six-item Philadelphia Geriatric Center Pain scale), and sociodemographic
factors. A multiple linear regression was conducted. With sociodemographic variables controlled, those reporting higher pain scores were significantly more likely to have higher depression scores (p < .05). Older participants had lower depression scores than younger participants (p <
.05). In view of poorer health outcomes and limited health care access in rural areas, our findings warrant interventions to promote better access to pain management and mental health services for rural older adults.
Hubungan Antara Persepsi Siswa Tentang Kualitas Pengajaran Pendidikan Agama Islam Dengan Prestasi Belajar Siswa di SMP Negeri 1 Sangatta Selatan
Authors: Melia Sinta Silvia , Faelasup
Published: November 2024

Quality education can be achieved if the teaching process is effective, carried out in a directed manner and based on objectives. The problems that occur in Islamic religious education revolve around problems with learning methodologies that tend to be traditional. The better the student's perception of the teacher's beliefs, the better the psychological condition will be. A good psychological condition will make learning efforts even better, so that satisfactory learning results will be obtained. This type of research is descriptive correlational research. The population for this research is all students of South Sangatta 1 State Middle School, especially those studying Islamic Religious Education. The research study showed that students had positive perceptions regarding the teacher's teaching style in the class, the teacher's teaching style was positive, so that students would be enthusiastic about participating in class learning. However, if students' perceptions of the teacher's teaching methods are negative, so that students feel a lack of enthusiasm for participating in learning, then learning achievement will be less than optimal. Various students explained that if the teaching methods applied were good enough, students could understand the material that had been explained. Teachers always involve students so they are active during the teaching and learning process.
Factores de riesgo en la miopía escolar
Authors: Galán María Marta , Iribarren Rafael
Published: November 2024

Introducción: El objetivo de este estudio fue evaluar la miopía y sus factores de riesgo en los pacientes pediátricos.
Métodos: Este fue un estudio de corte observacional acerca de los factores de riesgo de la miopía escolar en niños examinados en la ciudad de La Plata, Argentina. Se realizó refracción bajo cicloplejía en un grupo de niños miopes y otro de controles normales. Se entregó al adulto acompañante un cuestionario con preguntas sobre antecedentes familiares, horas de exposición semanal en ambientes exteriores y horas diarias de trabajo de cerca y/o pantallas.
Resultados: En total se estudiaron 166 pacientes con una edad media de 8,6 ± 2,9 años y de los cuales 94 (56,6%) fueron nenas. La muestra tuvo 97 niños miopes (58,4%) y 69 infantes no-miopes (41,6%). El equivalente esférico fue similar en ambos ojos, siendo de -1,64 ± 1,16 dioptrías en el ojo derecho de los niños miopes y de +0,83 ± 0,27 dioptrías en los no-miopes. Hubo diferencias significativas en los antecedentes ya que solo el 26,1% de los controles tuvo antecedentes parentales de miopía y el 64,6% de los niños miopes los tuvo (p<0,001). También hubo diferencias significativas en la cantidad de horas al aire libre que pasaban los niños de ambos grupos (p<0,01) pero no en la cantidad de horas por día que lo hacían usando el celular (p=0,75).
Conclusiones: En esta muestra de pacientes oftalmopediátricos de nuestro medio se aprecian los mismos factores de riesgo modificable descritos en la literatura haciendo posible la prevención de la miopía.
Oftalmía simpática secundaria a traumatismo ocular contuso y tratamiento con adalimumab
Authors: Faretta Martina , Malbrán Juan Ramón , Cardozo Laura , Valeiras Andrea , Venancio Pablo , Settecase Florencia
Published: November 2024

Objetivo: Presentar el estudio de un caso de oftalmía simpática secundario a traumatismo ocular contuso.
Caso clínico: Un paciente masculino de mediana edad acudió a la guardia oftalmológica de un hospital de la ciudad de La Plata (Buenos Aires, Argentina) con antecedente de traumatismo ocular contuso por golpe de puño en ojo izquierdo de pocas horas de evolución. Se constató: disminución de la agudeza visual con hipema, iridodiálisis y hemovítreo; y el ojo derecho sin particularidades. Se instauró tratamiento antiinflamatorio tópico, reposo y controles periódicos con buen control de la inflamación. Luego de 4 meses concurrió nuevamente por guardia por dolor, ojo rojo y disminución de la agudeza visual del ojo contralateral al traumatizado, observándose cuadro de uveítis granulomatosa bilateral. Se solicitó análisis de laboratorio complementario y se inició tratamiento con corticoides sistémicos a dosis inmunosupresoras e inmunomodulación con metotrexato, estableciéndose el diagnóstico presuntivo de oftalmía simpática. Ante refractaria respuesta, se decidió adicionar tratamiento con adalimumab, con el que se logró controlar la inflamación de ambos ojos y el paciente recuperó la visión del ojo derecho, aunque el traumatizado evolucionó a la ptisis bulbi.
Conclusiones: El trauma ocular no penetrante es una causa de oftalmía simpática. Para establecer su diagnóstico se deben descartar otras causas de panuveítis bilateral granulomatosa. El tratamiento con adalimumab fue eficaz para controlar la inflación ocular.
Retinopatía por maniobra de Valsalva
Authors: Reinoso Víctor Daniel , Aguirre Lucas Agustín , Porchetto Bertochi María Agustina , Logioco Celina
Published: November 2024

La maniobra de Valsalva fue denominada de esta forma en honor al médico italiano que vivió entre los años 1666 y 17231....
Marketing Strategies for MSMES in Agriculture: From Local to Global Markets
Authors:   Bundelkhand University, Mishra Dr. Neha , Mishra Dr. Shilpa ,   Bundelkhand University
Published: November 2024

With evolving market dynamics and globalization, there is a growing need for MSMEs to adopt effective marketing strategies that enable them to transition from local markets to global markets. Because of their importance to rural economies, food supplies, and overall growth, micro, small, and medium-sized businesses (MSMEs) play vital share in the agricultural sector. The transition from local to global markets in today's interconnected world presents both opportunities and problems for MSMEs. This study investigates the best practices for advertising agricultural MSMEs so they can expand their operations beyond their current regional and national markets. Micro, small, and medium-sized companies (MSMEs) are discussed in terms of their contributions to the agricultural value chain and their potential to promote sustainable development. The boo then delves into the inner workings of both domestic and international agricultural markets, discussing what sets each apart in terms of production methods, consumer tastes, and government oversight. The paper highlights the importance of MSMEs in adapting their strategy to the ever-changing nature of the market. This is in response to the increasing importance customers place on transparency, accountability, and responsible practices.
Integrated Quality Management as the Focus of Attention and Target of Teaching Supervision at SDTQ-T Irsyadul Aulad
Authors: Zahrah Zahrah , Ansari Adi
Published: November 2024

This research was conducted at SDTQ-T Irsyadul Aulad School, South Basirih, East Banjarmasin Sub-district, Banjarmasin City. The focus of this study was to explore the practical implications and effectiveness of IQM implementation in improving the quality of education at the school. This research discusses how the implementation of IQM can influence the quality of learning, improve teacher performance and facilitate the participation of school members in the process of continuous improvement of education quality. Data were collected through literature review, interviews and documentation. Interviews were conducted with 2 informants, namely the supervisor and teachers in the school. The data collected were then analyzed qualitatively, the qualitative method was chosen because this article aims to understand and describe the teaching supervision program at SDTQ-T Irsyadul Aulad. The data analysis technique used in this research is thematic analysis[B1]. Thematic analysis is conducted by identifying, categorizing, and interpreting data obtained from literature study, interviews, and documentation. This research explores the concept of teaching supervision in the context of Integrated Quality Management (IQM) at SDTQ-T Irsyadul Aulad. The main findings show that teaching supervision is a continuous coaching process to improve the quality of learning. Teaching supervision at SDTQ-T Irsyadul Aulad can improve the quality of learning, help teachers achieve goals, and develop teachers' professionalism. Teaching supervision can be measured through several specific indicators, such as increasing the frequency of classroom observations by principals and supervisors, using structured constructive feedback for teachers after observations, conducting periodic training sessions and workshops focusing on innovative teaching strategies, and increasing teachers' participation in professional discussion forums. This research proves that IQM is an effective supervision model to improve the quality of education, with tangible results seen at SDTQ-T Irsyadul Aulad Banjarmasin. It can provide practical implications for other schools that want to implement a similar approach.
Educational Leadership as the Primary Force in Attracting Islamic Education Customers
Authors: Zulfa Hariratuz , Sujianto Agus Eko , Mutohar Prim Masrokan
Published: November 2024

This study aims to discuss the role of leadership and the capabilities of a leader in implementing marketing management roles in Islamic educational institutions. The emergence of new educational institutions has created phenomena in the education sector. The forms and approaches to education are becoming more diverse and complex. Traditional entities are developing existing educational institutions, non-educational businesses, and even educational providers from abroad. Objectively, society finds it increasingly challenging to choose educational institutions. Education management becomes crucial, where the growth and development of institutions are influenced by leadership's ability to recognize the external environment to create effective strategies to compete while maintaining the essence of education itself. The research method used is library research. The research findings indicate that effective marketing strategies for Islamic educational institutions include maximizing their resources, promoting Islamic values, and utilizing information technology in marketing. Additionally, Islamic educational institutions should consider the needs and profiles of prospective students and foster good relationships with the community and local partnerships. From this research, a leader who can act as a driving force within their institution will establish a distinct identity and attract Islamic education customers to their institution. Therefore, Islamic educational institutions must continually develop appropriate and effective marketing strategies while considering market developments and student needs.
Assessing Student Satisfaction with Student Leaders' Performance
Authors: Maturan John Carlo , Comandante Mathena Pauline , Jabines Nova Jane , Kolonas Maria , Payosing Hyacinth , Rosalejos Ceikan , Galavia Michel , Berdon Lyka , Gulle Reggienan , Guilalas Joe Anne , Arpilleda Alcher
Published: November 2024

This study investigates the satisfaction levels of Grade 9 students at St. Paul University of Surigao regarding the performance of their student council. Recognizing the vital role that student leaders play in fostering a supportive educational environment, the research aims to assess key performance areas, including leadership skills, approachability, communication skills, and contributions to school activities. Utilizing a quantitative descriptive design, data were collected through a researcher-made questionnaire administered to a randomly selected sample of 134 students. The findings reveal that students express general satisfaction with their leaders (M=3.09, SD=0.61). Among the assessed variables, the highest satisfaction is noted in the area of contributions made by student leaders, which received a mean score of 3.20 (SD=0.57). This study highlights the importance of student councils as representative bodies that enhance student engagement and community involvement within educational institutions. By understanding student perceptions, the research provides valuable insights for current and future student leaders to improve their effectiveness and better meet the needs of their peers during the 2024-2025 academic year. Specifically, leaders may actively seek feedback from their peers through regular informal meetings or suggestion boxes, ensuring that all students feel comfortable voicing their concerns and ideas. Ultimately, fostering strong leadership within schools contributes to a more inclusive and enriching educational experience for all students.
Digital Payment Systems in Retail Sector: Empirical Exploration of Determining Factors of Actual Use
Authors:   Kirinyaga University, Kerugoya, Kenya, Mathagu Samuel
Published: November 2024

With the advancement in financial technologies, many digital payment systems have been developed and integrated into e-commerce activities. Their effective adoption by the intended users is the concept of interest to stakeholders. The purpose of this study was to empirically investigate the determining factors of actual use of digital payment systems in the retail sector. This study used primary data collected from digital payment system users in South Africa. A sample size of 417 respondents was used. Guided by the developed hypothesis, structural equation modelling was used in the analysis. The findings indicated that digital payment system use was significantly and positively affected by perceived trust and security, convenience, effort expectancy, and perceived benefits. Social influence was found to have an insignificant effect. Additionally, perceived trust and security significantly mediated the effect of social influence and effort expectancy on actual use of digital payment systems in the retail sector. Perceived benefit mediated the effect of social influence, convenience, and effort expectancy on actual use of digital payment systems in the retail sector. The study highlighted important managerial implications for stakeholders in the retail sector. These include enhancing trust and security of the digital payment systems, marketing the benefits of the payment gateways, and continuous improvement of their technical procedures.
The Impact of Mega-Events on Urban Development: A Review
Authors:   Wheatley Research Consultancy, Bagley, Minnesota, USA, Wheatley Mary
Published: November 2024

This review article explores the multifaceted impact of mega-events, such as the Olympics, World Expos, and World Cups, on urban development, highlighting both their transformative potential and associated challenges. These events often serve as catalysts for significant infrastructural enhancements, economic boosts, and global repositioning of host cities. However, outcomes are varied, with some cities capturing lasting benefits while others face enduring financial and socioenvironmental strains. By examining case studies from cities like Barcelona and Athens, the article delineates how well-executed planning and legacy management can lead to sustained growth, whereas inadequate preparation can result in costly legacies. The discussion extends to provide actionable policy recommendations for future hosts, emphasizing the importance of strategic planning, community engagement, and sustainability to maximize benefits and mitigate risks. The article aims to offer a balanced perspective, synthesizing lessons learned from past events to propose a framework for integrating mega-events into broader urban development strategies effectively. This analysis not only underscores the necessity for meticulous preparatory work and long-term vision but also forecasts the evolving role of mega-events in shaping urban futures, advocating for a shift towards more sustainable and inclusive urban planning practices.
Sustainable Cities: Urban Planning for the Future
Authors:   Wheatley Research Consultancy, Bagley, Minnesota, USA, Wheatley Mary
Published: November 2024

This review article explores the dynamic realm of sustainable urban planning, emphasizing the critical integration of innovative strategies essential for shaping future cities. Through an analysis of various global examples, the discussion explores green infrastructure, smart technologies, policy frameworks, and community involvement as pillars of urban sustainability. By examining the successes and challenges faced by cities like Las Vegas and Jakarta, alongside broader international experiences, this review highlights the necessity of adaptive, inclusive, and technologically empowered urban development. The insights gained not only reflect on the current state of urban planning but also project future trends and challenges, urging a collaborative approach among urban planners, policymakers, and communities to foster sustainable urban environments.
Sustainability Practices in Petroleum Refining
Authors: Khlaifat Abdelaziz Lafi
Published: November 2024

Industries have resurfaced on a global level, seeking to upgrade industrial guidelines and policies that align with sustainable industrial practices. The petrochemical industry heavily contributes to an increased annual carbon footprint. Therefore, the petrochemical industry is on a constant surge to develop sustainable practices regarding the utilization of innumerable resources available in the petroleum industry. These practices comply with the guidelines of sustainable development goals to refine petroleum products, thus helping countries overcome incompetency related to renewable resource utilization. These goals have thus helped to achieve sustainable, eco-friendly processes in the petrochemical industry. This research aims to analyze the sustainability level of the already-practiced processes in the petroleum industry. With relevance to petroleum engineering and adopting inferences from existing literature, this research develops a narrative on further enhancing the efficacy of eco-friendly processes used in the petroleum industry for sustainable refining of petroleum products. Moreover, this research discusses existing concepts, theories, and methodologies presented in previously published research studies that comply with sustainable ecosystems. It identifies gaps, controversies, and unresolved issues that become a barrier to propagating petroleum refining processes across nations.
Distribution of Normative Keratoconus (KC) indices for patients aged 6 to 21 Years using Pentacam HR in the Riyadh area
Authors:   Alfarhan
Published: November 2024

Objectives: To determine the distribution of Normative Keratoconus (KC) indices in normal Saudi patients aged between 6-21 years in the Riyadh area. Method: The present study employed a prospective, cross-sectional, observational, multicenter design to gather data from patients aged 6 to 21 who were seen in several non-ophthalmic emergency departments in Riyadh, Kingdom of Saudi Arabia, in 2017. Scheimpflug corneal tomography system in rotation was used to measure the cornea. Following optometric exams, corneal imaging and KC index measurements were performed using the Pentacam. Results: 366 study participants were analyzed after the exclusion criteria were applied. All children's mean and standard deviation (SD) ages were 17.41±4.83 (6–21). All the KC indices percentiles for pediatric, adolescent, and young adult groups are within normal ranges. Comparison between KC indices and age groups reveals statistically significant differences for most indices with P <0.05. As the age increases, the ISV, IVA, KI, CKI, IHA, IHD, BFS Front, BFS Back, ART Min, ART Max, ART Avg, and AC Depth decrease. Also, As the age increases, the topographic astigmatism (Topo Astig), PPI Min, PPI Max, and PPI Avg increase. There was a statistically significant correlation between KC indices and age, with most indices with P <0.05. The correlation coefficient ranges from 0.14 negative weak to 0.65 negative moderated, and from positive weak 0.22 to negative strong 0.82. Moreover, compression between KC indices and Topo Astig groups reveals statistically significant differences for most indices P <0.05. As the Topo astig increase, the K1, RSagMin PPIMax, and PPIAvg decrease. As the Topo Astig increases, the K2, ISV, IVA, CKI, IHA, BFS Back, and ACD increase. Also, there was a statistically significant correlation between Topo Astig groups and indices with P <0.05. The correlation coefficient ranges from 0.13 positive weak to 0.70 positive strong and from negative weak 0.11 to negative moderate 0.42. Conclusion: The KC indices of the current study were within normal range and comparable to prior studies. However, some indices were related to age, refractive error, and location. The normative values of multiple Pentacam indices showed statistically significant variations throughout the age groups and Topo astig subgroups.
The influence of non-symmetrical supports on the stability of arches
Authors: Abderrazek Messaoudi , Kiss Péter László , Murawski Krzysztof
Published: November 2024

Within the framework of this article, we examine the stability of circular curved bars, if the support is not symmetrical. The bar was supported by a joint at one end and walled in at the other end. Its load consists of a concentrated force in the radial direction. The stability equations of the geometrically nonlinear mechanical model were derived from the principle of virtual work, and their solution can be written in closed form. By mapping the equilibrium paths, the smallest critical force at the limit point can be determined, which can lead to the loss of stability of the bar. Comparing the results of the new model with the calculations of commercial finite element software, we found a good match.
Intelligens asztal a posztgraduális oktatásban
Authors: Piros Attila , Szőke Molnár Lajos
Published: November 2024

The article presents a postgraduate professional engineering training at the national level in a hybrid form, a highly specialized engineering subject, not only for those with a bachelor’s degree in engineering. E-learning works with MS Teams (education version). With the help of video recordings shared as aids, authorizations (elimination of fraud and abuse), and the software used (Smath, Onshape, even on mobile devices), the students acquire knowledge through comprehensive projects, which range from the creation of a product concept to the writing of the machining program. Automated hybrid examinations and the collection of student feedback are used to improve the effectiveness of education. Another goal is to extend the training results (as a pilot project) to the entire university education system. ESZO Ltd. provides a standalone engineering example for this training. The unique plasma cutting equipment – the intelligent table – demonstrates several details in different fields of engineering education.
Autó jobb mellső futómű extrém terhelése
Authors: Szabó Ferenc János
Published: November 2024

In case of car racing, cars can have very high speed. In some curves, this high speed could invoke that the car can swerve or slip out from the road. The beginning of this slipout will take place at the maximum coefficient of static friction. The friction force will give the extreme load to the wheel of the car. The static and kinetic friction coefficients between the rubber of the car tyre and the asphalt of a real race- course has been measured by a simple on-the spot measurement and the numerical results are used to calculate the extreme load acting to the car wheel during slip- out from the road.
香港藝術：九七前後的文化解殖
Authors: Clarke David
Published: November 2024

現代香港藝術史研究分水嶺 繪畫｜攝影｜雕塑｜建築｜裝置｜塗鴉｜櫥窗｜時裝 1984 ～ 2000年間香港藝術的生成與轉向 　　祈大衛，香港大學藝術系榮譽教授、「香港藝術資料庫」創辦人及學術總監，於千禧年間撰寫Hong Kong Art: Culture and Decolonization──首部從「香港視角」出發、結合香港歷史事件的現代香港藝術史研究。 　　政權交接逐秒倒數之際，香港藝術家「提早」勾勒回歸後香港，同時關注昔日痕跡將如何消逝；企業與機構透過建築與公共雕塑，投射現代與進步的樂觀前景；平面設計與時裝設計，物色輕巧又本地特色濃厚的意象，致力捕捉時代的情感律動──祈大衛以詩意闡述、慎密分析、攝影紀錄，留住1984年至2000年間香港藝術及其他視覺文化產物中湧現的歷史關注、精神解殖與本土身份表達。 * 收錄47幅圖片、18個QR code導引，繪製九七前後香港藝術圖景
Enhancing Cybersecurity through Artificial Intelligence: Techniques, Applications, and Future Perspectives
Authors: Ejjami Rachid
Published: November 2024

This study investigates the role of artificial intelligence (AI) in improving cybersecurity, addressing a vital issue as digital threats become more complex and faster. AI-driven advancements in threat detection, predictive vulnerability assessments, and ethical considerations pave the way for robust and adaptable defenses.
Pengaruh Gaya Kepemimpinan Terhadap Motivasi Kerja Pegawai
Authors: Pasolong Harbani , Muslimin  , Wahyudi Tri
Published: November 2024

Penelitian ini bertujuan untuk mengetahui Kepemimpinan Kepala Rumah Sakit Tingkat II Pelamonia Terhadap Motivasi Kerja Pegawai. Penelitian ini diadakan di Rs Tk II Pelamonia. Populasi penelitian ini berjumlah 200 orang pegawai dan ditarik 137 orang sebagai sampel. Teknik penarikan sampel adalah Propotionate Stratified Rendom Sampling. Jenis penelitian ini adalah penelitian deskriptif dan asosiatif data kuantitatif yang menggunakan angka-angka, mulai dari penginputan data, penafsiran data, serta penampilan hasil rekapitulasi.Hasil penelitian menujukkan bahwa variabel kepemimpinan berpengaruh terhadap motivasi pegawai dengan nilai signifikan sebesar 0,00<0,05.
Stress Induced Takotsubo Cardiomyopathy Following Blunt Trauma: A Diagnostic Challenge in a Young Female
Authors: Abeysinghe AHMGB  , Jayasooriya HK  , Abeysinghe AHMCD  , Niligamuwa NGTD  , Pathirana NPNB  , Wijayasuriya WAKR  , Karunathilake ADS
Published: November 2024

Takotsubo cardiomyopathy (TC), also known as stress-induced cardiomyopathy or “broken heart syndrome,” is a transient cardiac condition characterised by left ventricular apical ballooning1–3. It clinically mimics acute coronary syndrome (ACS), presenting with similar symptoms and electrocardiographic changes, yet without significant obstructive coronary artery disease on angiography4. While emotional stress is the predominant trigger, physical stressors, including trauma, can also precipitate TC, albeit in a minuscule proportion of cases - approximately 0.001%5. The condition is most frequently observed in elderly females, particularly in the context of emotional or physical stress, though trauma-induced TC in males often presents with more severe manifestations requiring intensive care, including mechanical ventilation5.
The Relationship Between Knowledge and Attitudes of Nursing Students Towards Premarital Sex in Indonesia
Authors: Br Saragih Dameria , Mailintina Yurita , Panjaitan Ribka Sabarina , Silaban Merri , A. Salim Indra Permata
Published: November 2024

Introduction: Nursing students, as prospective health workers, have a very important role in providing education and services to the community related to healthy sexual practices. The knowledge and attitudes of nursing students towards premarital sex in Indonesia are relevant subjects to be researched. Objectives: This study aims to fill the knowledge gap by investigating the knowledge and attitudes of nursing students towards premarital sex in Indonesia. Methods: This study used quantitative analytical methods with a cross sectional design. This research was conducted on 5 campuses organizing nursing education in Indonesia. Results: from 230 respondents, the mean value of sex was 1.07, the age of respondents was 1.94, knowledge was 1.94 and attitude was 1.85, then the Standard Error value of 0.022, 0.016, 0.010 and .0.29, the median value of 1.00, 2.00, 2.00 and 2.00, the value of Std Deviation 0.330, 0.240, 0.146 and 0.443, the variance value of 0.109, 0.057, 0.021 and 0.196 and the value of range 3,  1.1 and 2 of each variable. The majority have good knowledge (176.1) and sufficient attitudes (180.0). However, the number of respondents with less knowledge (5.0) and good attitude (41.1) is relatively less. The chi-square test showed a p-value of 0.000, showing a significant relationship between nursing students' knowledge and attitudes toward premarital sex. Conclusion: In this study, it was concluded that the knowledge and attitudes of nursing students have a close relationship. There is good knowledge so that students can control negative attitudes or actions towards premarital sex.
Family And Social Support on Successful Treatment of Pulmonary Tuberculosis Patients: A Cross-Sectional Study
Authors: Rahmadhani Velia , Setiyadi Agung , Wardani Nuniek Setyo , Pamungkas Indra Gilang
Published: November 2024

Introduction: Eradicating Tuberculosis is one of the government's three main priorities in the health sector, so the success of pulmonary TB treatment really needs to be considered. The family and social environment are the closest things for patients to be able to comply and be successful in carrying out treatment. Objectives: This research aims to assess the relationship between family and social support to successful treatment of pulmonary TB patients. Methods: This study used a cross-sectional design with 72 respondents who had completed TB treatment for 6 months. Results: The results of the study showed that there was a significant relationship between family and social support on the success of pulmonary TB treatment with p-value was 0.005 (p-value < 0.05) and 0.001 (p-value < 0.05). Conclusion: Family and social support have a meaningful relationship. The family and social environment of patients with pulmonary TB must provide support and motivation for the patient to be able to complete the treatment he is receiving.
Factors Associated with the Occurrence of Hypertension in Bonegunu Public Health Centers, North Buton Regency
Authors: Astuti Fitri Diana , Marsia Marsia , Juliana Nur , Sari Maya , Rohmawati Wahidah
Published: November 2024

Introduction: Hypertension is a major public health problem and is ranked fourth in the world based on its prevalence. Hypertension often occurs due to several factors, namely age, education, work, family history, obesity, exercise habits, and so on. Objectives: The aim of this study was to determine the relationship between age, occupation, and diet on the incidence of hypertension in the Bonegunu Community Health Center working area, North Buton Regency. Methods: This type of analytical observational research with a Cross-Sectional Study design. The sampling technique used purposive sampling with a sample size of 38 people. The research instruments were a questionnaire and Frequency Questionnaire Form sheet as well as a 24-hour Food Recall Form. Data analysis was carried out univariately and bivariately using the chi-square statistical test (significant if the p-value <0.05). Results: The research results showed that age and the incidence of hypertension p value = 0.000 < α = 0.05, which means there is a relationship between age and the incidence of hypertension. Occupation and the incidence of hypertension p value = 0.002 < α = 0.05, which means there is a relationship between employment and the incidence of hypertension. Dietary patterns and the incidence of hypertension p value = 0.007 < α = 0.05, which means there is a relationship between dietary patterns and the incidence of hypertension. Conclusion: There is a need for education through regular health promotions to the community or through monthly posbindu activities for early detection.
Ekspertkilder i dansk klimajournalistik
Authors: Johansen Kresten Roland , Johansen Jakob Dybro
Published: November 2024

Klimaområdet nævnes ofte som et eksempel på ‘post-normal science’ – et stærkt politiseret felt, hvor forskning, holdninger og værdier i mange tilfælde er viklet ind i hinanden. I forlængelse heraf er begrebet post-normal science communication blevet anvendt til at indikere, at den journalistiske objektivitetsnorm udfordres og gradvist erstattes af en mere aktivistisk tilgang. Nyere forskning peger dog på, at journalistisk aktivisme generelt ikke accepteres som norm af klimajournalister. Men ser vi alligevel en glidning i den journalistiske praksis i retning af aktivisme i kildevalg og måden kilderne bruges på? Det undersøger denne artikel via en kvantitativ indholdsanalyse af 200 artikler fra fire specialiserede klimamedier og -redaktioner. Analysen viser, at privatansatte ikke-forskere anvendes hyppigt som ekspertkilder. Næsten fire ud af 10 privatansatte ekspertkilder kommer fra tænketanke. Heraf er CONCITO den med afstand mest brugte kilde. Disse “partseksperter” optræder oftest i rollen som ekspert uden at skulle legitimere egen status som ekspert gennem ny viden. Samlet set peger analysen på, at klimajournalistikken i vid udstrækning giver stemme og autoritet til partseksperter, og at både offentligt ansatte forskere og privatansatte ikke-forskere ofte bruges i handlingsanvisende funktioner, altså forskellige former for journalistisk aktivisme. Det peger på en mulig diskrepans mellem klimajournalisters rolleopfattelse og journalistiske praksis.
Finding Near-Optimal Weight Independent Sets at Scale
Authors: Großmann Ernestine , Lamm Sebastian , Schulz Christian , Strash Darren
Published: November 2024

Computing maximum weight independent sets in graphs is an important NP-hard optimization problem.
The problem is particularly difficult to solve in large graphs for which data reduction techniques do not work well.
To be more precise, state-of-the-art branch-and-reduce algorithms can solve many large-scale graphs if reductions are applicable.
Otherwise, their performance quickly degrades due to branching requiring exponential time.
In this paper, we develop an advanced memetic algorithm to tackle the problem, which incorporates recent data reduction techniques to compute near-optimal weight independent sets in huge sparse networks.
More precisely, we use a memetic approach to recursively choose vertices that are likely to be in a large-weight independent set. We include these vertices into the solution, and further reduce the graph.
We show that identifying and removing vertices likely to be in large-weight independent sets opens up the reduction space and speeds up the computation of large-weight independent sets remarkably.
Our experimental evaluation indicates that we are able to outperform state-of-the-art algorithms.
For example, our two algorithm configurations compute the best results among all competing algorithms for all instances tested. Thus, it can be seen as a useful tool when large-weight independent sets need to be computed in practice.
The Escalators’ Series. Season: Private Enforcement. Episode: About the One that was not an Undertaking on the Relevant Market. Case Comment to Judgment of the Court of Justice of 12 December 2019, Case C-435/18
Authors:   Uniwersytet Ekonomiczny w Krakowie, Dobosz Kamil
Published: November 2024

This case-note offers comments to the judgement of the Court of Justice in another escalators’ case and its potential implications. Given that the preliminary questions rather entail obvious response, the ruling goes beyond expectations. Its reasoning is not based on the necessity to cope with specific national obstacles that was predominantly utilized in face of private enforcement cases. Instead the Court of Justice held that genuinely Article 101 TFEU implies that, probably, any injured party will be entitled to act as a claimant in damages litigation. No room for national legal specificities was left then. Furthermore, the case comment argues that its side back is more economic approach return to the mainstream debate. Aside these and other insights, some misgivings are presented in a context of a certain noticeable tendency in terms of the fashion in which the Court of Justice in genere handles with the cases.
Putting Dawn Raids under Control
Authors:   Utrecht Centre for Regulation and Enforcement in Europe, Scholten Miroslava , Kingma Annabel ,   Maverick Advocaten N.V., Contreras Condezo Jorge G. ,   Utrecht University
Published: November 2024

Dawn raids have become an effective tool to enforce EU and national competition laws. Judicial review is an essential mechanism of control over the executive branch against possible misuse of this power. However, this judicial review has shown to have limits; it cannot always guarantee an adequate redress for the affected parties. How to address the limited judicial review to ensure control over dawn raids? This article argues that the limits of judicial review could be addressed by extending the types of controls over this action, i.e. ex ante legislative guidance and internal managerial accountability. The more conceptual argument that this paper puts forward is thus that it is essential to seek connections between different concepts and types of controls to ensure a comprehensive/water-tight system of controls over the actions of the executive branch.
The Implementation of the European Green Deal – Tensions Between a Market-based Approach and State Aid for Renewables
Authors:   University of Utrecht, Granat Aleksandra , Kozak Małgorzata ,   University of Utrecht
Published: November 2024

Energy policies which promote a green transition are of particular interest to the European Commission and are one of the key elements of the European Green Deal. This article takes a close look at the interplay and tensions between two theoretically separated frameworks, renewable energy law and the State aid regime, and analyses the impact of the European Green Deal on their revision. As State aid plays a pivotal role in the green transition and in the fulfilment of the Commission’s policy objectives, the implementation of the European Green Deal can offer a great opportunity to establish new State aid control rules. More specifically, the analysis focuses on a market-based approach towards renewable energy support schemes, and attempts to answer the question of whether or not such a solution fits the purpose of achieving the newly established EU sustainable goals defined in the European Green Deal. Recommended Citation
Competition Law in the Quasi-Liberalized Postal Service Market: An Overview
Authors:   Social Sciences University of Ankara, Buğra Erdem Fatih
Published: November 2024

Postal services in the European Union have been liberalized through three postal directives, namely, 97/67/EC, 2002/39/EC and 2008/6/EC as per the Green paper, which emphasises the necessity of the liberalization of postal services for the development of the single market and the promotion of socio-economic development. Nevertheless, the realisation of this transition is questionable. Although these directives, to remove all barriers for new entrants, have established the necessary legal framework, formerly monopolised national postal operators have retained their dominant positions to a large extent and attempted to abuse it. Therefore, the implementation of competition law provisions plays an important role in the liberalization process. This article seeks to discuss how far postal services have advanced in terms of their liberalization under recent competition law judgments issued against national postal operators such as La Poste and Deutsche Post, by considering the Universal Postal Union (UPU)’s postal development reports as well as arguing the counter example of the US position.
Using Competitors’ Data – a Role for Competition Law? Some Thoughts on the Amazon Marketplace Case
Authors:   Faculty of Law and Administration, University of Warsaw, Małobęcka-Szwast Iga
Published: November 2024

Based on the Commission’s investigation into Amazon’s practices, the article analyses whether Amazon’s use of sensitive data from independent retailers who sell via its marketplace may raise anticompetitive concerns and, if so, how they should be tackled, in particular, whether competition law is the right tool to address these concerns. Amazon’s conduct, which is being investigated by the Commission, does not easily fit in with well-established theories of harm. Therefore, it is proposed to develop new theories of harm that would be specifically tailored to challenges of digital markets and online platforms’ business models. Amazon’s conduct could be regarded as a forced free-riding, predatory copying, abusive leveraging or self-preferencing. It is also argued that some of the competition concerns that may arise from the use of competitors’ data by online intermediation platforms such as Amazon could be more efficiently tackled by introducing a regulation, such as the Digital Markets Act.
Manuale di storia della regione del Mediterraneo. Tra CLIL e approccio cognitivo
Authors: Bonda Moreno , Senatore Riccardo
Published: November 2024

Šis Viduržemio jūros regiono istorijos vadovėlis parašytas italų kalba, tačiau skirtas negimtakalbiams. Tai tekstas, skirtas mokytis italų kalbos taikant CLIL metodą, t. y. netiesiogiai studijuojant kitus dalykus. Skaitytojai – universitetų studentai, kurie jau yra pasiekę C1 arba C2 italų kalbos lygį ir turi gerus istorijos pagrindus. Dešimtyje vadovėlį sudarančių skyrių pateikiama nepolitinė Viduržemio jūros regiono istorija, atskiruose moduliuose nagrinėjant specialiai atrinktas temas: teritorijos morfologija, menas, migracijos, raštas ir kalbos, religija, teisė, klimatas, mokslas, kelių tinklas, karai. Kartu temos leidžia plėtoti konkrečias italų kalbos leksikos sritis (nuo fizinės ir žmogiškosios geografijos iki administravimo ir logistikos).
Lower Urinary Tract Symptoms and its Impact on Quality of Life among Adults: A Cross-sectional Study from a Tertiary Care Hospital, Mangaluru, Karnataka, India
Authors: . Jyothi , Pavithra K
Published: November 2024

Introduction: A collection of clinical symptoms affecting the bladder, prostate, urethra, and urinary sphincter is collectively referred to as Lower Urinary Tract Symptoms (LUTS). LUTS can be categorised into two types: storage symptoms and voiding symptoms. Male individuals experiencing LUTS may have a lower Quality of Life (QoL). Aim: To assess LUTS and its impact on QoL among adults in a selected tertiary care hospital in Mangaluru, Karnataka, India. Materials and Methods: A cross-sectional observational study was conducted at Yenepoya Medical College Hospital in Mangaluru, Karnataka, India, from June 2020 to December 2023. A total of 220 subjects were recruited using a non probability purposive sampling technique. A LUTS questionnaire was used to assess the severity of symptoms, and the World Health Organisation (WHO) QoL Bref tool was utilised to evaluate QoL. The collected data were analysed using descriptive and inferential statistics. The correlation and association between the concepts were analysed using Karl Pearson’s correlation coefficient and the Chi-square test. Results: The majority, 171 (77.7%), of adult males had a moderate level of LUTS, followed by 39 (17.8%) with a mild level of LUTS and 10 (4.5%) with a severe level of LUTS symptoms. The overall QoL was average. There was a positive correlation between LUTS symptoms and QoL (r-value=1.71, p-value=0.01). However, the calculated p-value indicates that there was no significant association between the prevalence of LUTS and demographic variables. Conclusion: In this study, LUTS affects majority of adults aged ≥40 years, and symptoms increase with advancing age. Clinically, this underscores the importance of comprehensive assessments and personalised treatment approaches for LUTS, focusing not only on symptom severity but also on overall QoL.
Efficacy of Dexamethasone versus Dexmedetomidine as an Adjuvant to Bupivacaine for Bilateral Superficial Cervical Plexus Block in Thyroid Surgeries: A Randomised Clinical Trial
Authors: Deshpande Vanishree , Katti Vijay , Alalamath Santosh
Published: November 2024

Introduction: Thyroid surgeries are among the most frequently performed endocrine surgeries globally. Pain control is one of the many challenges faced by perioperative physicians in postthyroid surgery patients; if, left untreated, it can progress to chronic pain. Regional anaesthesia, such as Bilateral Superficial Cervical Plexus Block (BSCPB), can provide excellent analgesia in the initial postoperative period without the side effects of systemic analgesics. Aim: To assess postoperative pain using Visual Analogue Scale (VAS) scores at various intervals upto 24 hours postoperatively and to evaluate the duration of the superficial cervical plexus block. Secondary objectives include assessing intraoperative haemodynamic stability, analgesic consumption, and blockrelated complications. Materials and Methods: This randomised double-blinded clinical trial was conducted in the Department of Anaesthesiology at a teritary care centre, BLDE (Deemed to be University) Shri BM Patil Medical College, Hospital and Research Centre in Vijayapur, Karanataka, India, from April 2023 to March 2024 on 74 American Society of Anaesthesiologists (ASA) grades I-II patients undergoing elective thyroid procedures were randomly assigned to two groups: Group Dexmedetomidine (DexD) (n=37), which received US-guided BSCPB with 10 mL of 0.5% bupivacaine and 25 mcg of dexmedetomidine on both sides; and Group Dexamethasone (DexA) (n=37), which received USguided BSCPB with 10 mL of 0.5% bupivacaine and 4 mg of dexamethasone on both sides. Intraoperative blood pressure, Heart Rate (HR), and Mean Arterial Pressure (MAP) were measured at predefined time periods. Postoperative VAS scores were assessed at predefined intervals, along with the time taken for the first analgesic request and the cumulative postoperative analgesic dose consumed. Student’s t-test and Chi-square test were used for data comparison. Results: The mean age in Group DexD was 42.59±8.64 years, and in Group DexA it was 45.40±8.96 years. Group DexD had significantly lower postoperative VAS scores for upto eight hours (2.108 vs. 2.72; p-value=0.0002), and the time before the first rescue analgesia request was significantly longer than that of Group DexA (688.37±55.75 min vs. 593.64±72.56 min; p-value=0.001). The total postoperative analgesic utilisation in the first 24 hours was significantly lower in Group DexD compared to Group DexA (81.08±20.754 mg vs. 104.17±44.921 mg; p-value=0.006). Group DexA experienced a lower incidence of nausea (p-value=0.002) and vomiting (p-value=0.001) in the postoperative period. Conclusion: Dexmedetomidine performed better than dexamethasone when added to bupivacaine for BSCPB for pain management during the postoperative period in patients undergoing thyroid surgical procedures. However, when added, dexamethasone has the advantage of reducing nausea and vomiting in the postoperative period.