bluuebunny/crossref_metadata_2025 huggingface dataset:
Respiratory Exertion Using Virtual Reality
Authors: SHA ANWAR
Published: September 2023

Magnetic Resonance Imaging (MRI) is a widely used imaging technique to assess these tumors. The large amount of data produced by MRI prevents manual segmentation in a reasonable time. Automatic and reliable segmentation methods are required. Independent projection-based classification (LIPC) is used to segment the tumor region. Here, also investigated the use of intensity normalization as a pre-processing step, which though not common in CNN-based segmentation methods, proved together with data augmentation to be very effective for brain tumor segmentation in MRI images. Here, proposed an automatic segmentation method based on Convolutional Neural Networks (CNN), exploring small 3x3 kernels. The use of small kernels allows designing a deeper architecture, besides having a positive effect against over fitting, given the fewer number of weights in the network. Results reported on public benchmarks reveal that our architecture achieves competitive accuracy compared to the state- of-the-art brain tumor segmentation methods while being computationally efficient.. Index Terms—Digital Image Processing,Positron Emission Tomography,PhotomultiplierTube,ComputedTomography,Magne tic Resonance Image,Fluid-Attenuated Inversion Recovery ,Single Photon Emission Computed Tomography TR Repetition Time, echo time ,Region of Interest.
Stability of Commercial Banks in Nepal
Authors: Neupane Bishnu Prasad
Published: September 2023

The goal of this study is to identify the most important factors affecting the financial stability of Nepalese commercial banks. The financial data of selected Nepalese commercial banks was analyzed by using a panel data regression model (Fixed Effect Model). The findings of the study suggest that bank efficiency, profitability, and capital base are important internal variables, whereas banking sector development, GDP growth, inflation, and exchange rate are important external determinants in determining the financial stability of Nepalese commercial banks. Furthermore, the size of the bank, loan loss provision, and bank concentration are found to be minor determinants influencing the financial stability of Nepalese commercial banks. Key words: Bank Stability, Stability Factors, Panel data model, Nepalese Banking, Commercial Banks GEL Code: C330, E440, G210
PENGARUH PENGALAMAN PRAKTIK KETERAMPILAN MENGAJAR (PKM) DAN LINGKUNGAN KELUARGA TERHADAP MINAT MENJADI GURU YANG DIMEDIASI OLEH EFIKASI DIRI
Authors: Wulandari Arista , Mardi  , Handarini Dwi
Published: September 2023

This study aims to determine the effect of teaching skill practices (PKM) experience and the family environment on the interest in becoming a teacher through mediation of self-efficacy in education students at the Faculty of Economics, State University of Jakarta Class of 2019. The type of research is explanatory survey research with a quantitative approach. Data was collected through a research instrument using a questionnaire. The analysis method is path analysis with the SPSS 25 application. The results of the study are: (1) PKM experience has a positive effect on interest in becoming a teacher, (2) Family environment has a positive effect on interest in becoming a teacher, (3) PKM experience has a positive effect on self-efficacy, (4) Family environment has a positive effect on self-efficacy, (5) Self-efficacy has a positive effect on the interest in becoming a teacher, (6) Self-efficacy can mediate the PKM experience on the interest in becoming a teacher, (7) Self-efficacy cannot mediate the PKM experience on the interest in becoming a teacher.
PENGARUH STRATEGIC MANAGEMENT ACCOUNTING, SUPPLY CHAIN PERFORMANCE DAN CUSTOMER VALUE PADA FIRM FINANCIAL PERFORMANCE
Authors: Thaib I. M. Farian , Purwohedi Unggul , Armeliza Diah
Published: September 2023

Indonesia is one of the countries in Southeast Asia with a high GDP. However, Indonesia's logistic performance is not very impressive, ranking 46th out of 160 countries with an index of 3.15, still falling behind Singapore, Thailand, and Malaysia. This phenomenon could be attributed to a lack of supply chain configuration. Supply chain management involves how firms manage their resources as inputs, which are then processed to become products or outputs. Furthermore, in the field of strategic management, researchers have noted that firms in emerging countries are increasingly moving away from strategic management accounting (SMA), primarily due to its high cost and the need for experts to conduct SMA. However, it's worth noting that SMA includes supply chain configuration as a means to reduce costs and improve efficiency. SMA is not just about managing costs; it also focuses on enhancing performance from the customer's perspective, emphasizing Customer Value. Customer Value is a technique for boosting a firm's performance by strengthening customer relationships. Given the limited research in emerging countries, especially in Indonesia, this topic warrants further investigation. This research aims to analyze the effects of strategic management accounting, supply chain performance, and Customer Value on a firm's financial performance. Using a quantitative approach (SEM-PLS), 100 samples from Small and Medium Enterprises (SMEs) in Kota Bogor were tested. The results indicate that strategic management accounting has a negative effect on Firm Financial Performance, while Supply Chain Performance and Customer Value have positive effects on Firm Financial Performance.
Vitamin D: the unsought solution to the TB pandemic
Authors: Lungu Patrick , Lakhi Shabir , Mwaba Peter
Published: September 2023

No abstract
基于油库设备维修课程的“双闭环式”课程思政体系教学改革探索
Authors:   陆军勤务学院, 周 毅 , 华 卫星 ,   陆军勤务学院, 沈 廷鳌 ,   陆军勤务学院, 张 杨 ,   陆军勤务学院, 黄 思宇 ,   陆军勤务学院, 李 泽龙 ,   陆军勤务学院
Published: September 2023

针对油库设备维修课程教学中课程思政教育的不足，本文首先分析了导致实践教学环节中思政薄弱的原因，尝试构建贯穿实践教学课堂内部和课堂外延的全过程的“双闭环式”课程思政体系，然后提出了实践教学课堂内外切实可行的课程思政手段与方法。本文通过教学实践探索，验证了实践教学“双闭环式”课程思政体系的可行性及评价效果。本文的研究成果对油库设备维修及相关油料专业课程的实践教学具有一定的指导意义。
Development of Educandy Platform as an Educational Game to Improve Arabic Language Learning Achievement
Authors: Rezi Melisa , Quintana Jacob , Dominic Walker , Darius Liu
Published: September 2023

Game-based learning is certainly very favored by students, especially nowadays games in learning do not need to be done in the classroom using a cellphone. One application that can be developed to improve student achievement is the Educandy platform. The purpose of this research is to develop the Educandy platform as a learning media in improving Arabic language learning achievement. The method used in this research is research and development method with ADDIE model. The results of this study indicate that the Educandy platform is able to improve student achievement so that students are happy in learning Arabic. The conclusion of this study can be seen that the use of the Educandy platform as an educational game in learning Arabic can support the learning and teaching process. The limitation of this research is that researchers only make Arabic language games at the junior high school level so that the game cannot be developed as a whole, for that the researcher hopes that the next researcher can do the same research and be practiced at boarding schools where there is more knowledge about Arabic lessons.
Use of Problem-Based Learning Strategies in Improving Problem Solving Skills
Authors: Sappaile Baso Intang , Marito Winanda , Satyaninrum Ika Rahayu , Kurniawati Hartin , Wang Yuanyuan , Zou Guijiao
Published: September 2023

Education for a child is very important for motor development and his thinking becomes critical in responding to an incident. His skills can be honed properly and master skills that support his future career. So that the potential for the progress of each child can be achieved and learning objectives can be completed optimally. In life, of course, you will not be separated from various kinds of problems, so the solution to every problem must exist and be able to solve it. The problem based learning strategy is the answer to improve problem solving skills. This strategy is a problem-triggered learning model, which encourages students to learn and work cooperatively in groups to find solutions, think critically and analytically, be able to determine and use appropriate learning resources. For this reason, it is necessary to apply this method in education. The purpose of this research was to improve problem solving skills using the problem based learning (PBL) method. By maximizing this method many positive impacts will be obtained. The method used in this research is a quantitative method. The data obtained is through the distribution of a questionnaire. The questionnaire was made using the Google form application. The results of this study explain that the use of problem based learning strategies to improve problem solving skills in education can help students solve problems with the right solutions. As well as sharpening the ability to think critically and systematically, so that they can be more mature in responding to various problems. The conclusion of this study is that the use of problem-based learning strategies to improve problem-solving skills by students can be maximized, because they have mastered the right and effective way to solve a problem. The limitation of this research is that researchers only conduct this research at the school level where the method requires new strategies in learning such as the use of problem based learning strategies.
Development of Adaptive E-Learning Content to Increase Learning Effectiveness
Authors: Solehuddin Moh. , Sopandi Encep , Saputra Dedi Gunawan , Dhaniswara Erwin , Yulianto Sri , Wei Zhang , Xu Shanshan
Published: September 2023

The development of technology that is increasingly sophisticated and facilitates human work in all fields, is put to good use by people who understand the huge positive impact it has. The use of adaptive E-Learning content to enhance learning will have a major impact on Education. The adaptive E-Learning system was developed on the assumption that individual learning models are able to provide better results than other learning models. Therefore, the learning process in today's era can no longer be done traditionally, it must be able to adapt to the times. Educators must be able to balance it with methods that suit the needs of students. So that they can develop their potential and be able to have high self-esteem. As well as being able to be competitive and compete with many people of their age for creative content. The data obtained through the distribution of questionnaires. The questionnaire was made using the Google form with 15 statements about the effectiveness of E-Learning in learning. The results of this study explain that it is proven that the development of E-Learning content that is maximally adaptive according to existing procedures, can increase the effectiveness of learning by educators for students. This will realize that learning can be achieved in accordance with what has been set. The method used in this study is a quantitative method by collecting population and samples. The conclusion from this study is that the development of adaptive E-Learning content is proven to be implemented properly and efficiently to increase the effectiveness of learning in the classroom. The limitation of this research is that researchers only conduct this research at the elementary school level, which incidentally requires the use of adaptive E-Learning technology in the learning process, which is of course very beneficial for educators and students to improve the quality of education.
Expression by Role-Playing: Teaching Offering and Giving Assistance
Authors: Fatoni Akhmad Feri , Suprayitno Emdat , Mark Elladdadi , Xavier Embrechts , Barroso Uwe
Published: September 2023

The use of giving and offering help is the primary expression in communication. These expressions in English are often needed, especially for nursing, where meeting with the public, including foreigners, is possible. This study aimed to determine the process of providing material about the expressions used in giving and offering assistance to patients in English and how to pronounce the vocabulary using the role-play method. In this study, the researcher used a descriptive qualitative approach to the subject of nursing students in the first semester at Universitas Wiraraja. The result stated that giving and offering help with role-play occurred with several obstacles. The students' limited knowledge about expressions to provide and assist patients made the learning process not optimal. Only a few expressions were used to describe the expression giving and offering help. Some students had difficulty in choosing words, especially related to health-based words. Errors in pronouncing some vocabulary were also an obstacle in the learning, especially in expressing giving and offering some helps. In addition, due to the mispronunciation, the students speak with low fluency.
Análise da viabilidade econômica e financeira da produção de frangos região centro sul do estado do Piauí
Authors: Sousa James José de Brito , De Carvalho Josimar José , Do Nascimento Marcos Vinícius Souza
Published: September 2023

O trabalho é um estudo de viabilidade econômica e financeira da produção de aves na região centro sul do estado do Piauí. Diante disso, explica-se que o foco da pesquisa recai sob os produtores numa granja localizada no município de Valença do Piauí. O objetivo geral desta pesquisa é analisar a viabilidade econômica e financeira da produção de aves no centro sul do Piauí. Nesse sentido, explica-se que a concretização desde estudo é realizada através da análise de sensibilidade usada para medir o risco de um projeto de investimento, frente às diversas situações ou adversidades econômicas. Considerar-se-á, neste trabalho, alterações simuladas variando entre 5, 10 e 20%, tanto para as receitas quanto os custos. Utiliza-se como métodos de análise a Relação Benefício/Custo (B/C), o Valor Presente Líquido (VPL) e Taxa Interna de Retorno (TIR). Ao realizar a metodologia que a produção de aves no Piauí é uma atividade potencialmente viável, traduzindo-se em mais uma fonte de geração de renda, principalmente, para o pequeno produtor. Mesmo quando se faz mudanças imaginárias muito acentuadas de variações de custos para mais e receitas para menos, a atividade se torna inviável. Neste caso, sugere-se em estudos posteriores, sobre a atividade, efetuar a análise de risco por simulação de Monte Carlo.
Estudo sobre os custos de produção das esquadrias de PVC da empresa Beta
Authors: Groth Dirceu Luis , Schreiber Dusan
Published: September 2023

A gestão de custos vem se tornando cada vez mais relevante dentro das empresas, que estão buscando melhorias em seus processos, desenvolver novos materiais e criar diferenciais em produtos, com redução de custos, que atendam às necessidades da empresa e do consumidor, mas preservando a lucratividade. Nesta perspectiva, para alcançar estes objetivos, a empresa precisa ter pleno conhecimento dos custos de fabricação de seus produtos. Com o intuito de contribuir para o referido tema, este artigo tem como objetivo identificar, coletar, mensurar e analisar os custos da empresa de Esquadrias de PVC Beta. Inicialmente, para dar suporte à pesquisa, foi realizada a revisão teórica de seguintes temas: Análise Gerencial de Custos, Contabilidade de Custos, análise e Gestão de Custos, gestão da Produção Industrial. Para a coleta de dados empíricos, no âmbito do estudo de caso da empresa Beta, os autores optaram por entrevistas, levantamento documental e observação não participante, que são os mais utilizados dentro da abordagem qualitativa. As evidências, oriundas das três fontes, foram submetidas à análise de conteúdo. Os resultados da análise dos dados empíricos evidenciaram que a margem de lucro da empresa se mantém positiva, mas também apontou para aspectos frágeis, no modelo organizacional atual, de acompanhamento e monitoramento, que poderia ser aprimorado, por meio da implantação de um sistema integrado de registro, controle, análise e gestão de custos.
ANÁLISE DO DESEMPENHO PRODUTIVO DA AGRICULTURA FAMILIAR NO ESTADO DO AMAZONAS
Authors: Nunes Junior Walace Oliveira , De Oliveira Elisangela Leitão , Dias André Petzhold , Carneiro Leandro Marcondes , Matos Nyalle Barboza
Published: September 2023

Este estudo visou mostrar a participação produtiva e os custos da agricultura familiar desenvolvida no estado do Amazonas, através dos primeiros 14 produtos com produção mínima de 3000 toneladas, cultivados ao menos em 500 propriedades e seus respectivos quantitativos, que foram melhor representados perante o Censo Agropecuário de 2017. Com relação aos custos destes produtos, foram utilizadas informações do Instituto Brasileiro de Geografia e Estatística (IBGE) de 2017 para apresentar os indicadores de produtividade da terra; custo por hectare e custo por tonelada (PECEGE, 2017). Os resultados apresentados neste estudo podem possibilitar aos investidores, as políticas públicas e demais interessados, a conhecer o potencial produtivo destas propriedades e os custos que são desembolsados para desenvolver esta atividade econômica, objetivando melhorar as condições operacionais destas propriedades, através de investimentos em tecnologia e na busca de estratégias de escoamento destes produtos.  Desta forma, estas ações caso implementadas, poderia melhorar as condições de trabalho deste importante segmento econômico desenvolvido nesta região.
Aproximações teóricas do desenvolvimento: reflexões sobre compartilhamento de serviços e economia regional
Authors: Castro Hélder Uzêda , Teixeira José Afonso , De Barros Manoel Joaquim Fernandes
Published: September 2023

O objetivo deste artigo é ampliar possibilidades teóricas do desenvolvimento, na dimensão da economia regional, relacionando-as com o compartilhamento de serviços, utilizando abordagens multidisciplinares e multiescalas, a partir da percepção de eventual alargamento da agenda de pesquisas e esforços de autores contemporâneos acerca das relações entre Estado, empresas e regiões, principalmente na episteme do desenvolvimento. Assim, os procedimentos metodológicos adotados neste ensaio teórico possuem natureza qualitativa, buscando aprofundar as relações estabelecidas entre os aportes teóricos propostos. A argumentação possui caráter analítica, pautada na revisão de literatura e aporte teórico reunidos por meio de pesquisas bibliométricas em teses, dissertações, periódicos científicos e livros especializados. Neste sentido, foram recuperadas teorias e abordagens de autores como Schumpeter, Myrdal, Hirschman e Porter; e identificados possíveis “diálogos” com e entre compartilhamento de serviços e economia regional, inclusive ampliando-os para a cena epistêmica entre a região e seus agentes. O resultado desta pesquisa apresentou novas acepções teóricas, oportunizando alargamento da compreensão acerca da relação entre centros de serviços compartilhados e desenvolvimento econômico regional, consubstanciando novas e significativas implicações para o referido campo de estudo. Este texto é produto de um projeto de pesquisa, que procurou investigar o desenvolvimento territorial, promovido pela aglomeração de centros de serviços compartilhados, com estudos no Brasil e em Portugal, nas perspectivas econômicas e geográficas; adicionando a presente reflexão sobre aproximações teóricas do desenvolvimento.
Deposition and evaluation of thermoplastic polyurethane on paper substrate for test specimen production
Authors: Machado Jhonatan Alves , Rasia Luiz Antonio
Published: September 2023

This work presents the development and characterization of a process for manufacturing test specimens using thermoplastic polyurethane (TPU) on paper substrates, which serve as elastomeric substrates for the manufacturing of piezoresistive sensor devices using the Graphite on Paper (GoP) technique. The study of piezoresistive sensor elements is based on their behavior in response to physical stimuli such as mechanical stress or compression, resulting in variations in electrical resistance obtained from the deposition of graphite films on paper, combined with the elastomer. By leveraging the piezoresistive effect of graphite, innovative technological solutions are sought, enabling the creation of different types of sensors for measuring and monitoring a wide range of physical quantities. The proposed process utilizes commonly available materials in the market and offers a low-cost alternative compared to traditional techniques used for semiconductor-based devices. To create the test specimens, a perforated matrix made of polylactic acid (PLA) was produced using 3D printing, with dimensions specified in ISO 1924-2/2008, and a thickness limitation of 2 mm. TPU is deposited into the perforated grooves of the developed matrix on the paper substrate, filling the spaces intended for the addition of the elastomeric polymer. The deposition process is carried out similar to silk-screen printing, ensuring uniform thickness of the test specimens. The curing process takes place over a period of 48 h at room temperature under the weight of granite structures covered with PVC sheets. After curing, the test specimens are demolded. The obtained results consist of TPU + Paper strips with an average thickness of approximately 2.1357 mm, with a mean thickness variation of 0.10688 mm, representing an average variation of 4.947 % among the strips. By disregarding the highest and lowest results from the measurement series, samples with an average thickness of 2.1327 mm and variations of 0.09250 mm were obtained, representing an average thickness variation of 4.328 %. These results are promising for the development of flexible sensor devices for applications in industrial equipment, soft robotic systems, healthcare, and bioengineering fields.
Bilateral Chronic Active Otitis Media associated with Tonsillitis and Allergic Rhino Conjunctivitis in a 26 month old boy
Authors:   Department of Family Medicine, University College Hospital, Ibadan, Nigeria., Azeez Ismaheel Aderogba
Published: September 2023

Chronic Otitis media is a permanent abnormality on the tympanic membrane following a long-standing middle ear infection emanating from a previous acute infection. Patients usually present with persistent drainage from the middle ear. It may be accompanied by complications such as septicemia, meningitis, brain abscess, facial paralysis, and deafness in children. Associated rhino-conjunctivitis is not common but this case presented with clinical features of chronic active otitis media, tonsillitis, and allergic rhino-conjunctivitis.
Post traumatic iris cyst
Authors:   Eye research center, Khatam Al Anbia eye hospital, Mashhad University of Medical Sciences, Mashhad, Iran., Khazaei Sahel
Published: September 2023

A 7- year- old girl was referred to our center with impression of crystalline lens subluxation. She had sustained a penetrating injury in the right eye one year ago, and had undergone surgical repair of the wound at another center. The best-corrected visual acuity of the right eye was 20/40 and 20/20 for the left eye.
Unusual presentation of Giant Dermatofibrosarcoma Protuberans
Authors:   Dermatology department, Ibn Rochd Hospital, Hassan II University, Morocco., OK Idrissi
Published: September 2023

Dermatofibrosarcoma protuberans (DFSP) is an uncommon, soft tissue sarcoma with a low metastatic potential but high rate of recurrence after surgical intervention. This tumor is characterized by a long history of slow growth. DFSP usually occurs on trunk and proximal extremities but rarely touches distal extremities such as hands, fingers, or foot below knees. We present a case of giant DFSP of the distal extremity, with a post-traumatic onset in childhood and a very long course. A 45-year-old patient presented with a tumoral lesion of the foot, evolving since 35 years with an onset at the age of 10 years, after a strong trauma of the 3rd toe. Physical examination revealed a reddish purple polynodular neoplastic lesion with a firm consistency. One of these nodular masses was ulcerated with areas of necrosis. The CT scan did not detect any bone involvement. Magnetic resonance imaging revealed a heterogeneously enhancing mass lesion on the dorsal aspect of the left forefoot. In depth, this mass invaded the dorsal interosseous muscles. The histopathological study was in favor of DFSP, with evidence of spindle-shaped tumor cells arranged in a storiform pattern. On immunohistochemistry (IHC), the cells expressed intense and diffuse CD34 and were negative for Desmin and S-100. The localization or occurrence of DFSP after a long period of trauma should not mislead the diagnosis. A careful histological study with IHC should be carried out in order to set up an appropriate treatment.
Valsalva retinopathy during childbirth A case report and literature review
Authors:   Departement of Ophthalmology, Hopital des specialites, Rabat, Morocco., B Hala El
Published: September 2023

To describe the presentation and the management of valsalva retinopathy during pregnancy.
An unusual Bilateral cicatrizing conjunctivitis in severe ocular rosacea
Authors:   Ophthalmology A Departement, Hopital des specialites, Rabat, Morocco., B Hala El
Published: September 2023

Rosacea is a chronic progressive disease of unknown cause that affects the eyes and facial skin. Ocular rosacea is often missed when ophthalmologists do not adequately examine a patient's face during eye exams. If treatment is delayed due to undiagnosed rosacea, serious eye complications and blindness can occur. We present a case of 35-year-old female, followed up for rosacea and severe depressive disorder, presented with bilateral, symmetrical blinding cicatricial conjunctivitis after neglected ocular self-injury.
Health Literacy The Most Neglected Essential Human Quality
Authors:   Alumnus, Faculty of Pharmacy, Dhaka University, Bangladesh, Mohiuddin Abdul Kader
Published: September 2023

People must have particular personality traits and social resources, also known as health literacy, in order to access, comprehend, and use information to make decisions about their health. Patients’ ability to engage in complex disease management and self-care is strongly related to their level of health literacy. It can help us stay healthy by preventing illness and effectively managing existing illnesses. People with low health literacy (LHL) may find it difficult to manage their condition and prevent illness, which may lead to increased use of healthcare services. Furthermore, LHL is associated with increased hospitalizations, increased use of emergency care, decreased use of preventative services, and a worsened ability to understand labels and health messages, a worsened state of health, higher mortality, and more expensive medical care.
Atoll sign ieventail diagnostic
Authors:   Central Radiology Department, CHU Ibn Sina, Mohamed V University, Rabat, Morocco, M Mribat
Published: September 2023

The atoll sign or inverted halot sign is seen on high-resolution chest CT scans as a central frosted glass area surrounded by peripheral condensation in a ring or crescent, the contours of which may be smooth or spiculated [1]. Histologically, the central zone (ground glass opacity) corresponds to alveolar septal inflammation and cellular debris in the alveolar spaces, while the condensed peripheral zone corresponds to granulomatous tissue in the distal air spaces [2]
Intragastric fat and air trapping Sign of Bezoar
Authors:   Department of Emergency Radiology CHU ibn Sina Rabat, Morroco., G El Adioui
Published: September 2023

The "bezoar" is a rare cause of intestinal occlusion , it corresponds to the unusual accumulation, in the form of solid masse or concretion, of substances of various natures inside the digestive tract and more particularly in the stomach.
Myelinated Retinal Nerve Fibers
Authors:   Mohammed V University of Rabat Faculty of Medicine and Pharmacy of Rabat Morocco., N Taouri
Published: September 2023

We report a case of a 25-year-old-woman, with no pathological history. The patient presented to ophthalmology consultation for a routine eye examination.
Knowledge Attitude and Practice of standard Precautions among Selected Health care Workers in University of Port Hacourt Teaching Hospital Rivers State
Authors:   Department of Public Health, School of Health Technology, Owerri, Imo State, Nigeria., OE Mbenyi
Published: September 2023

This research study centered on determining the knowledge, attitude, and practice of standard precautions among selected healthcare workers in the University Teaching Hospital, Port Harcourt, Rivers State. The specific objectives are to examine the socio-demographic characteristics of the respondents, assess the level of awareness of standard precautions among healthcare workers, ascertain the attitude of healthcare workers in the University of Port Harcourt Teaching Hospital, Rivers State towards standard precautions, and determine the level of practice of standard precaution. Related literature reviewed. A descriptive survey design was employed in this study.
Toulmin Argument Model and Its Application in College English Learning
Authors: Wen Rouxin , Zhao Baorong
Published: September 2023

Toulmin argumentation model consists of six elements, including proposition, basis, justifications, support, qualifiers, and refusal. Basic principles of Toulmin's argumentative logic thought are rationality, preserving reasoning, domain principle, principle of practicality. Toulmin's argumentation model can be learned and used by students when learning College English to improve their critical thinking ability.
Developments in structural fire protection design – a US perspective
Authors: LaMalva Kevin
Published: September 2023

The next edition of the ASCE/SEI 7 standard commences a new and groundbreaking industry-consensus standard of care for structural fire protection in the USA, and other adopting jurisdictions. The default option is termed standard fire resistance design, and is based on a long-standing empirical indexing system that excludes consideration of realistic thermal demands and structural system response. The only permitted alternative to standard fire resistance design is structural fire engineering (SFE), as constituted in the new Appendix E. SFE explicitly evaluates the demand and capacity of structural systems under fire loading in a similar manner as other design loads are treated in structural engineering practice. Due to common misconceptions and lack of industry guidance, designers often erroneously intermingle these two approaches in order to justify structural fire protection variances. To combat this poor practice, recent industry efforts in the USA have focused on formally bifurcating these two design options, and providing specific requirements for the SFE approach.
Key considerations for assessing structures at the accidental limit state in fire
Authors: Sullivan Leon
Published: September 2023

Most structures in Europe are constructed using limit state design methods. Most of these structures are protected against some form of specified fire scenario. However, only a small minority of projects link these two major considerations together to form part of a unified structural fire design process. The Eurocodes provide designers with the necessary procedures to undertake an accurate and economical structural fire design, yet few engineers ever consider undertaking such an assessment. This article will focus on the load actions and combinations to be considered that enable the engineer to perform an adequate structural assessment for the accidental limit state in fire. It will also cover important considerations to ensure that any structural fire engineering strategy is appropriately aligned, and the key information is available within the contract chain to facilitate this performance-based approach.
Structural fire engineering for super-high-rise buildings in China
Authors: Yu Hongxia , Wong Young
Published: September 2023

Structural fire engineering is often adopted in large open-plan structures such as airport terminals, railway stations, etc., where the low fire risk can be directly conceived and a structural fire analysis may bring significant savings on structural fire protective coatings. In some recent cases, structural fire engineering approaches have also been applied to landmark high-rise buildings in China. This paper introduces four different examples of such methods with varying motivations, approaches and ultimate design schemes, to provide readers with an insight into the commercial application of structural fire engineering in China.
Ecology and Diversity of Small Indigenous Fishes in Four Fishing Sites of Upper Brahmaputra Basin, Assam, India
Authors: Nayak Nipen , Majhi Unmanaa , Bordoloi Sharadindu , Basumatry Dwimu , Baro Daimalu , Doley Biswadeep
Published: September 2023

Small Indigenous fishes constitute important fishery resource of Assam, but doesn’t finds its place in capture fishery. Collection of these species is chiefly from their wild habitat and thus the study of these habitats become very important. The four sites selected for study namely Bogibeel, Madhupur, Maguri Beel and Sessa are well known fishing sites of Upper Assam known to record higher fish catch. These sites harbour variety of small indigenous fishes for both food and ornamental value. In our study we have recorded 41 different species of fishes of which 13 belonged to Family Cyprinidae. Channa bleheri and Ailia coila were the two Near Threatened (NT) fish found during the study. Systematic studies of the habitat directly or indirectly like studying the gut content of fishes will give significant information.
Discrepancy in chemical and microscopic urinalysis: Looking from a laboratory perspective
Authors: Şen Bayram , Arpa Medeni
Published: September 2023

Amaç: İdrarın kimyasal ve mikroskobik inceleme sonuçları arasındaki tutarsızlık, sonuçların yorumlanmasını zorlaştırmaktadır. Bu çalışmada laboratuvar personelinin kimyasal ve mikroskobik idrar tetkik sonuçları arasındaki tutarlılığa etkisini değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Üçüncü basamak bir hastanenin merkez ve uzaktan gözetimli laboratuvarının 2019-2020 yılları arasındaki tam idrar tetkiki sonuçları retrospektif olarak değerlendirildi. Kimyasal ve mikroskobik idrar incelemesi arasındaki tutarlılık ve laboratuvar personelinin bu uyum üzerindeki etkisi, Spearman korelasyon analizi ve Kappa uyum analizi ile incelenmiştir.

Bulgular: Merkez laboratuvar, eritrosit sayısı ile kan ve lökosit sayısı ile lökosit esteraz arasında daha yüksek tutarlılık düzeyine sahipti. Ek olarak 30'dan fazla maya hücresi varlığının, gözetimli laboratuvarda kan ve eritrosit sayıları arasındaki tutarlılığı önemli ölçüde azalttığını belirledik. Gözetimli ve merkez laboratuvar için maya hücresi sayısı kontrol edildiğinde eritrosit sayısı ile kan arasındaki korelasyonun arttığı görüldü.

Sonuç: Laboratuvar personeli otomatize idrar analizi kimyasal ve mikroskobik inceleme sonuçları arasındaki tutarlılığı önemli ölçüde etkilemektedir. Sonuçların güvenilirliği için laboratuvar personelinin gereksiz iş yükünün azaltılması ve spesifik testlere harcayacakları sürenin arttırılması gerekmektedir.
Pengaruh Motivasi dan Komunikasi Terhadap Pengembangan Sumber Daya Manusia di Bidang Industri Electronic Sports Pada Divisi Mobile Legends Bang Bang Se-Priangan Timur
Authors: Muhammad Denden Ramdani  , Suci Putri Lestari  , Mila Karmila
Published: September 2023

This research was conducted with the aim to determine the effect of motivation and communication on the development of human resources in the field of the Electronoc Sports Industry (Survey on the Division of Mobile Legends Bang Bang Se-Priangan Timur). The method used in this study is a survey method using data obtained directly through questionnaires distributed to 95 respondents who are members of the Mobile Legends Division Bang Bang Se-Priangan Timur. The technique used in this research is multiple linear regression analysis. Based on the research results, it can be seen that motivation and communication simultaneously have a significant effect on the development of human resources in the electronic sports industry. Motivation partially has a significant effect on the Development of Human Resources in the Electronoc Sports Industry, and Communication partially has a significant effect on the Development of Human Resources in the Electronoc Sports Industry.
Pengaruh Brand Liking dan Brand Competence Terhadap Brand Loyalty Pada Skincare Somethinc di Beautebox Tasikmalaya
Authors: Yasinta Sabilla  , Depy Muhamad Pauzy  , Suci Putri Lestari
Published: September 2023

This study aims to determine and analyze the effect of brand liking and brand competence both simultaneously and partially on Brand Loyalty in Skincare Somethinc Beautebox Tasikmalaya products. The method used in this research is quantitative with a descriptive approach. With a research sample of 100 consumers as respondents. The data used is using primary data. The analytical tool used in this study is multiple linear regression using the SPSS version 25 support application. The test results show that partially the variables used in the study, namely brand liking and brand competence, have a significant effect on Brand Loyalty for Skincare Somethink Beautebox Tasikmalaya products. Simultaneously there is a positive and significant influence of brand liking and brand competence together on Brand Loyalty.
Pengembangan Media Pembelajaran Ular Tangga Berbasis Kearifan Lokal pada Tema 3 Subtema 2 Pembelajaran 4 di Kelas V SD Negeri 1 Dukuhwaluh
Authors: Asih Rahiima Mulia , Muslim Aji Heru
Published: September 2023

Penelitian ini menggunakan metode Research and Development yang bertujuan untuk mengembangkan media pembelajaran ular tangga dengan memadukan nilai-nilai kearifan lokal untuk siswa kelas V sekolah dasar. Penelitian ini dilakukan di SD Negeri 1 Dukuhwaluh dan melibatkan seorang guru dan 16 siswa kelas V. Penelitian ini menggunakan model ADDIE yang terdiri dari 5 tahapan, yaitu tahap analisis, desain, pengembangan, implementasi dan evaluasi. Pengembangan media pembelajaran ular tangga berbasis kearifan lokal menggunakan teknik pengumpulan data berupa wawancara, angket, dan dokumentasi. Instrumen penelitian yang digunakan adalah pedoman wawancara dan lembar angket. Analisis data penelitian ini menggunakan penilaian rating scale. Berdasarkan hasil penelitian maka dapat disimpulkan bahwa media pembelajaran ular tangga berbasis kearifan lokal pada tema 3 subtema 2 pembelajaran 4 didalamnya memuat kuis dan gambar kearifan lokal yang telah disesuaikan dengan materi pembelajaran. Media pembelajaran ular tangga berbasis kearifan lokal yang telah dikembangnya memiliki perbedaan dengan media pembelajaran yang lainnya. Hal tersebut dapat dilihat pada tata cara permainan. Kelayakan produk media pembelajaran ular tangga berbasis kearifan lokal ini memperoleh penilaian dari validasi ahli media dengan skor sebanyak 4,5≈90% dan hasil penilaian dari validasi ahli materi mendapatkan skor sebanyak 4,0≈80% . Hasil penilaian kedua validasi tersebut dapat dikategorikan sebagai kriteria “Sangat Valid”. Kepraktisan produk media pembelajaran ular tangga berbasis kearifan lokal diperoleh dari penilaian angket respon guru dengan skor sebanyak 4,42≈88,42% dan masuk kedalam kategori “Sangat Baik”. Hasil penilaian angket respon siswa dengan skor nilai sebanyak 95,83% dan termasuk kedalam kategori “Sangat Menarik” sehingga dapat dinyatakan bahwa media pembelajaran ular tangga berbasis kearifan lokal ini praktis dan mudah untuk digunakan pada proses pembelajaran dikelas.
Kronik Böbrek Hastalığında Beslenme
Authors: ÖZMEN Derya , PEHLİVAN ZORLU Betül , DİNÇEL Nida
Published: September 2023

AMAÇ: Kronik böbrek hastalığı (KBH) yapısal veya fonksiyonel böbrek hasarının en az 3 ay boyunca devam etmesi olarak tanımlanır. KBH’da çocuklar büyüme geriliği açısından belirgin risk altındadır. Bu nedenle beslenmenin yakın izlemi önemlidir.

GEREÇ VE YÖNTEMLER: KDIGO ve konu ile ilgili makaleler taranarak KBH' da beslenme önerileri derlenmiştir.

BULGULAR: KDIGO başlıklar altında önerilerde bulunmuştur. Periyodik aralıklarla evre 2-5 KBH’lı tüm çocuklar beslenme durumu ve büyüme çizelgeleri ile takip edilmelidir. Beslenme durumu 3 günlük diyet listesi ya da 3 defa 24 saatlik diyet listesi ile değerlendirilmelidir. Büyüme değerlendirmesinde ağırlık ve boy, yaşa göre percentil çizelgeleri ya da SDS ile takip edilmelidir. Tahmini kuru ağırlık ve yaşa göre ağırlık percentilleri değerlendirilmelidir. Yine vücut kitle indeksi ve 3 yaş altında baş çevresi takibi yapılmalıdır. KBH Evre 5 hemodiyaliz hastalarında normalize edilmiş protein katabolizma hızı hesaplanmalıdır. Takip sıklığı hastanın yaşına ve hastalığın evresine, beslenme ve büyüme duruma göre planlanmalıdır. Fakat genel olarak belirlenen, sağlıklı yaşıtlarına göre 2 kat sıklıkta izlenmeleridir. Poliüri, büyüme gelişme geriliği, gerileyen veya düşük BMI, besin alımında yetersizlik ve sık hastalanan çocuk ve infantlarda izlem sıklığı artırılmalıdır. Kişiselleştirilmiş bir beslenme planı çocuk ve bakım veren için planlanmalıdır. Beslenme yönetiminde asıl olarak önerilen planlamanın pediatrik nefroloji ekibi, diyetisten ve çocuğun bakıcısı ile eş zamanlı olarak multidisipliner şekilde yürütülmesidir.

KBH’da risk faktörleri modifiye edilebilir ve edilemez olarak ayrılabilir. Modifiye edilemeyen risk faktörleri; düşük doğum ağırlığı, prematürite, azalan böbrek kütlesi ile somatik büyüme, daha önceki akut böbrek hasarı, düşük GFR iken; modifiye edilebilir risk faktörleri; hipertansiyon, proteinüri, obezite, asidoz, anemi, vasküler disfonksiyon, sigaradır. Bunun dışında bir de ilerlemeyi artıracak faktörler göz önünde bulundurulmalıdır. Bunlar ise; artmış ürik asit düzeyi, metabolik sendrom, glomerüler hiperfiltrasyon, hiperfosfatemi, artmış plazma FGF23 düzeyidir.

SONUÇ: Çocuklarda kronik böbrek hastalığı (KBH) ilerledikçe iştah ve besin alımı azalır. Bu nedenle iştahsızlık, besinlerin bağırsaklardan emiliminde azalma, fiziksel ve nörobilişsel gelişimi etkileyen metabolik asidoz nedeniyle malnutrisyon sık görülür. Kilo kaybı özelikle GFR
National Identity Strengthening Model Through Multicultural-Based Batik Development
Authors: Candra Falla Rizqi , Saptatiningsih Rosalia Indriyati
Published: September 2023

The research focuses on the National Identity Strengthening Model through Multicultural-Based Batik Development in Taman Village, Yogyakarta. Indonesia's diverse cultures, spanning various islands, lead to a multicultural society. Multiculturalism is key for harmonious coexistence and shaping the national identity. Batik, a national symbol, requires innovative motifs that incorporate cultural heritage from different regions. Conducted in Taman Village, Yogyakarta, the qualitative study involves thirteen participants: batik artisans, local residents, and batik users. Data is gathered via observation, interviews, and documentation, validated through source triangulation. Results highlight batik's development, blending diverse cultural elements into unique designs. These motifs showcase Indonesia's cultural richness, uniting traditional Yogyakarta patterns with those from different regions. This approach reinforces national identity. Positive feedback from locals and batik users demonstrates pride in promoting Indonesian culture and national identity through batik. Multicultural batik motifs effectively educate about Indonesia's heritage, particularly among the youth.
The Assessment of Marcaine Versus Meperidine for Spinal Anesthesia in Anorectal Surgery: A Randomized Clinical Trial
Authors: Rezvani Habibabadi Mehran , Safaee Masumeh , Rezaei Ali
Published: September 2023

Background: Spinal anesthesia (SA) for the surgical management of chronic anal fissures is favored by surgeons as it provides an early return to daily activities; however, the agents applied for SA to achieve the best outcomes with minimized adverse effects are a matter of debate. Objectives: This study aimed to assess the utility of Marcaine versus meperidine for SA induction of anoderm surgery. Methods: This randomized clinical trial (RCT) was conducted on 138 patients with chronic anal fissures who were candidates for surgical management in 2020. The patients were randomly assigned to two groups of SA using 2.5 mL of hyperbaric Marcaine 0.5% (n = 69) or 1 mg/kg of meperidine (n = 69). Pain severity (measured via Numerical Rating Scale (NRS)), anal sphincter tone manometry (measured at baseline and the end of the sphincterotomy), and drug-related adverse effects were compared between the groups. Results: Both agents led to significant pain relief within 24 hours after SA (P < 0.05); nevertheless, pain severity was remarkably lower in meperidine-treated patients in different measurements performed during the first 24 hours after SA (P < 0.05). The sphincteric tone significantly decreased in both groups (P < 0.001), while the postoperative tone was significantly less in the Marcaine-treated patients (65.22 ± 3.02 versus 46.04 ± 1.97, P < 0.001). The two groups did not differ regarding the adverse effects (P > 0.05). Conclusions: Meperidine for SA in anal fissure surgical management was relatively superior to Marcaine, as postoperative pain control was remarkably better achieved with meperidine. However, anal sphincter tone reached a normal range in Marcaine-treated cases, and the average tone in those anesthetized with meperidine was slightly above the normal limits.
Design and optimisation of tubular linear motor (TLM) for oxygen concentrator device
Authors: BALOĞLU Şerafetdin , SARITAS İsmail , YASAR Ali , GOLCUK Adem
Published: September 2023

Patients with chronic respiratory conditions such as Chronic Obstructive Pulmonary Disease (COPD) receive long- term oxygen therapy (USOT) to sustain their lives [1],[2]. With the development of oxygen concentrator (OC) devices that can produce the concentrated oxygen required for USOT, COPD patients are required to use these devices for more than 12 hours daily depending on the prescription [3],[4]. OC are medical devices that separate oxygen from the atmosphere using physical means to produce concentrated gas for medical purposes [5],[6]. The use of conventional motors based on the permanent magnetic rotary motor operating principle in OC devices increases the mass of the device and the operating noise disturbs the patients [3],[4],[7]. In this study, with the advances in magnet material, a tubular linear motor (TLM) structure with a strong, fixed coil moving permanent magnet, which is stronger than the linear motor used in many fields such as medical electronics, nanotechnology, defence industry, maglev trains, is designed and proposed for use in OK devices. It is difficult to optimise the TLM due to multiple design parameters and each parameter has a non- linear relationship with the static electromagnetic force. In this study, the thrust of the TLM is optimised by the finite element method (FEM) using the magnetic magnetostatic and transient solvers in Ansys Maxwell3D. Optimisation method based on FEM 3D model was used to optimise the design parameters. Comparing the pre- and post-optimisation of the TLM designed for use in the OC device, the thrust force was increased from 567.91 fN to 5.82 nN at the same working stroke distance.