bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Harga Terhadap Kepuasan Konsumen
Authors: Sari Dian Mustika , Umam Khoirul , Akbar Lutfia Rizkyatul
Published: August 2021

Tujuan Penelitian adalah untuk mengetahui dan mengukur pengaruh harga terhadap kepuasan konsumen di Rumah Makan Ayam Geprek dan Seafood Genangan Cilodong, Depok. Metode penelitian yang digunakan adalah kuantitatif dengan pendekatan survei. Untuk mengetahui hasil penelitian tersebut benar atau tidak dengan menggunakan teknik analisis data diantaranya : persamaan regresi, koefisien korelasi, koefisien determinasi, uji hipotesis dan metode csi (customer satisfaction index). Hasil uji analisa yang dilakukan maka didapatkan hasil persamaan regresi adalah Y = 16,130 +  1,553 X dengan hasil perhitungan korelasi r sebesar 0,76 yang artinya terdapat hubungan yang kuat antara harga dengan kepuasan konsumen. Untuk perhitungan koefisien determinasi 57,76% yang artinya harga menyumbangkan kontribusi 57,76% terhadap kepuasan konsumen dan sisanya 42,24% yang dipengaruhi oleh faktor lainnya. Uji hipotesis menggunakan uji t dengan taraf signifikan 0,05 dimana diperoleh thitung 11,57 > ttabel 1,984 maka Ho ditolak artinya terdapat pengaruh harga terhadap kepuasan konsumen. Berdasarkan hasil tersebut dapat disimpulkan bahwa terdapat pengaruh harga terhadap kepuasan konsumen di Rumah Makan Ayam Geprek dan Seafood Genangan di Cilodong, Depok.
Cuando la Compasión Nos Mueve: Manifiesto en el Trabajo
Authors: Pedraza González Luis A. , Rodríguez Montalbán Ramón , Martínez Lugo Miguel
Published: August 2021

La compasión en el trabajo se ha estudiado recientemente como un constructo relevante para promover el bienestar de los empleados, el logro de las metas organizacionales y la calidad de vida organizacional en general. El principal objetivo de este estudio fue analizar las propiedades psicométricas de una batería de ítems con el fin de desarrollar tres escalas para estudiar la compasión en el trabajo (compasión individual, compasión de los compañeros de trabajo y compasión organizacional) en el contexto laboral hispano. La muestra estuvo compuesta por 443 personas de diversos sectores laborales en Puerto Rico. Los resultados confirman una estructura factorial de tres subescalas (cognición, afecto y conductas) para medir la compasión individual, una escala de unidimensional para medir la compasión de los compañeros de trabajo, y una escala con dos dimensiones (políticas y prácticas compasivas), todas buenas propiedades psicométricas. Concluimos que los tres instrumentos para medir la compasión laboral son instrumentos adecuados para su uso en el contexto laboral puertorriqueño, además de ser una aportación a la literatura científica de la psicología ocupacional e industrial organizacional.
Sota jäi elämään naisen roolissa ja mentaliteetissa
Authors: Asikainen Sini-Emilia
Published: August 2021

Talvi- ja jatkosota aiheuttivat radikaalin muutoksen ihmisten arkeen, rikkoen naisten ja miesten välisen työnjaon. Sota ja sitä seurannut jälleenrakennuskausi lisäsivät naisten vastuuta niin perheestä, kodista ja elannosta huolehtimisesta, mikä näkyy yhä nykypäivänä. Naisten tuli uhrata omat tarpeensa muiden hyvinvoinnin puolesta. Sodan jälkeen työtä riitti, ja tuon ajan lapset saivat pärjätä monesti omillaan. Pienemmistä sisaruksista huolehtimista odotettiin lähinnä isosiskoilta ja tytöt auttoivat arjen askareissa.

Artikkelissa tarkastellaan talvi- ja jatkosodan ylisukupolvisia vaikutuksia naisen rooliin ja mentaliteettiin suurten ikäluokkien naisten muistitiedon kautta. Suurten ikäluokkien naisilla on nähtävissä huolehtijan ja vastuunkantajan rooleja sekä sinnikkyyden ja selviytymisen mentaliteettia. Hyvinvointivaltiokaudella Suomessa on ollut enemmän resursseja pohtia esimerkiksi lasten kasvatusta, ja millaisia ominaisuuksia omalla toiminnallaan voi ylisukupolvisesti siirtää. Kuitenkin vielä suurten ikäluokkien tyttäret ovat omaksuneet vastuuntunnon mentaliteetin, jota yhteiskunnalliset rakenteet pitävät yllä.
Improving ESP Students' Reading Comprehension Proficiency by Using Scanning Techniques
Authors: Khazaal Dr. Edhah Numan , Khazaal Dr. Edhah Numan
Published: August 2021

The present study aimed to reveal if the use of scanning techniques can improve ESP
students' reading comprehension proficiency. A sample of 20 ESP students was chosen
randomly and divided into two groups, their ages ranged between 20 and 21 years old. The
control group was taught through traditional methods of reading comprehension and the
experimental group was taught through the scanning technique. Both groups were
administered a reading comprehension test and questionnaire to find out if they were aware of
using scanning techniques in the learning of enumerating texts. Data was analyzed by using a
t-test on the scanning technique. The researcher uses pre-test and post-test. The collected data
were analyzed by using the T-test formula. The result of data analysis showed that the mean
score in the post-test for the experimental group is higher than the mean score in the
controlled group. The pre-test and post-test comparison showed that the participants achieved
a higher level of reading comprehension proficiency following the instructions. The findings
of the study indicated that the reading scanning technique was more effective in improving
the reading comprehension ability of ESP students than traditional methods of reading
comprehension.
The Possibility of the application of E- Government and its Impact on Organizational Agility in Ministry of Financial An analytical study
Authors: Ali Zakriea Yehea , Nuaiemi Salahaldien AbdulKadier Al-
Published: August 2021

This study came to focus the research on two important topics in the field of public
administration, namely "E-Government" and "Organizational Agility", as they can be
considered as modern scientific foundations whose adoption can contribute .Making changes
and qualitative developments in the performance of the public service provided by
governmental organizations, which leads to continuous improvement, reducing red tape and
controlling the possibilities of widespread administrative corruption .He also touched on the
advantages and risks of e-government, its requirements and stages of application ,with the
aim of clarifying and measuring the impact of e-government on organizational agility as one
of the contemporary administrative approaches, as well as identifying the advantages and
problems of applying e-government in an important government institution at the national
level... which is the Ministry of Finance.
Conjunctions as Cohesive Devices in Some Selected Animated Movies: A Discourse Analysis
Authors: Faraj Ghusoon K.
Published: August 2021

Animated movies are one type of movies that are presented for children and they are
classified according to their age. G- Rate movies, for example, are suitable for pre-school
age, PG- Rate movies are for school age and P- Rate movies are for teenagers. These movies
are created by computer and shown as a series of different movements of people, animals and
objects.
The use of conjunctions in children's movies is important and help children in connecting
different units and clarifying the meaning of the text, and thus, they are considered as one of
the important cohesive devices in making unity. The present study aims at finding out the
types of conjunctions and investigating the most dominant conjuncts in four selected
animated movies. These movies are from two different rates, G and PG movies. G- Rate
movies include 'The Little Mermaid' and ' Princess'; and PG-Rate movies are' Moana' and
'Frozen'.
Many studies, like, (Clark, 1973, Bloom, 1980, Vygotsky, 1962 and etc…) have observed
that the use of connectives is an important point of developing children's cohesive skills and
they use conjunctions, for example, and, because, and etc.…., before 6 years but after this age
the semantic meaning and production of conjunctions are obvious (Joseph and etal. 1996:
160-161).
According to these studies, the researcher hypothesizes that conjunctions are one of the
important linguistic feature to be investigated and they are used more in PG-rate movies than
in G- rate because this rate is presented for school-age and in this period children's language
is developed and the use of conjunctions is more than in the period of pre-school.
Furthermore, in this period children tend to connect ides and like to ask a lot of questions to
get more information about different topics, but in pre-school age, children tend to use simple
language and they focus on one idea. So, the use of conjunctions in G-rate movies will make
the movie in somehow difficult. Therefore, literary works are crea
The Role of Proactive Leadership in Crisis Management by Mediating Human Resource Reengineering
Authors: Saeedi Janan Makki Farhoud Al- , Taei Dr Ali Hassoun Fendi Al-
Published: August 2021

This research aims to know the role, impact and importance of proactive leadership in crisis
management and mediating the re-engineering of human resources. It dealt with the subject
of proactive leadership and its relationship with other variables (crisis management, reengineering of human resources), and the dimensions of proactive leadership were
represented (proactive personality, proactive behavior), while the crisis management variable
represented in its dimensions (crisis characteristics, causes of crisis emergence, stages of
crisis emergence, crisis outcomes While the dimensions of the human resource re-engineering
variable were (the organizational dimension, the technological dimension, the human
dimension), where the study population reached (1250), the researcher chose a sample of
(300) including (the director and his assistants, heads of departments and divisions, and
employees) and the researchers adopted the descriptive analytical approach As well as the use
of the statistical program (SPSS), and the study reached a number of results, most notably
(there is an effect of proactive leadership in all stages of crisis management, directly or
indirectly, from Through the re-engineering of human resources as a mediating variable). The
most prominent recommendations are (the necessity of adequate attention to enhance
proactive leadership behaviors and make them more influential at the level of the
organization as a whole, especially in dealing with and dealing with the electricity crisis.
İşitme Engelli Futbolcular İle Engeli Olmayan Sedanter Bireylerin Bazı Motorik Özelliklerinin Karşılaştırılması
Authors: BİÇER Bilal
Published: August 2021

Bu çalışmada spor yapan engelli bireyler ile kendi yaş gruplarındaki engelsiz bireylerin bazı motorik özellikler açısından karşılaştırılması amaçlanmıştır. Araştırmaya 12 işitme engelli amatör futbolcu ve 16 sedanter olmak üzere toplam 28 erkek gönüllü katılmıştır. Araştırmaya katılan gönüllülerin yaşları ortalama 26,32±4,07 yıl, boyları ortalama 1,75±0,07 metre ve vücut ağırlıkları ortalama 72,79±12,39 kilogramdır. Karşılaştırma amacıyla seçilen bazı motorik özellikler şunlardır: reaksiyon zamanı, denge, koordinasyon ve sürat. Verilerin normallik sınamaları Shapiro-Wilk testi ile yapılmış dağılımları normal olmadığından gruplara göre verilerin karşılaştırılmasında parametrik olmayan Mann-Whitney U testi kullanılmıştır. Bu araştırmada anlamlılık düzeyi p < 0,05 olarak belirlenmiştir. Veriler incelendiğinde reaksiyon zamanı açısından sedanterler ile işitme engelli futbolcular arasında istatistiksel olarak anlamlı bir farklılık bulunmuş ve sedanterlerin daha iyi değerlere sahip olduğu tespit edilmiştir. Buna karşın denge, koordinasyon ve sürat açısından sedanter ve işitme engelli futbolcuların benzer düzeyde oldukları saptanmıştır. Sonuç olarak engelli bireylerin bir spor branşıyla ilgilenmesi veya egzersiz yapmaları bazı motorik özellikler açısından engelli olmayan bireylerle benzer düzeyde performans sergileyebilmesini sağlayabilir.
Otholobium outrampsii (Psoraleeae, Fabaceae) – a new species from the Western Cape, South Africa
Authors: Stirton Charles H. , Du Preez Brian
Published: August 2021

Otholobium outrampsii (Psoraleeae, Fabaceae) – a new species from the Western Cape Province, South Africa is described and illustrated.
THE TRADITIONAL ARAB ISLAMIC CITY: THE STRUCTURE OF NEIGHBORHOOD QUARTERS
Authors: Dabbour Loai
Published: August 2021

This paper is concerned with the structure of quarters in traditional Arab Islamic cities. Previous studies have stressed the idea of an urban structure that corresponds to social groupings, in that it is seen as a collection of neighborhood quarters. This spatial model has often provided the rationale for the design of new housing layouts. The purpose of this study is to examine this issue and to argue that the structure of these cities presents a global whole. To achieve this purpose a general and a specific question are addressed. The general question is about the physically sub-areas within the city, and the specific question is about the issue of social groupings and the kind of relation that space has to society. The proposition thus invokes the idea of a physical structure which appears to correspond to a social pattern. The city of Damascus is used as a model of analysis in which the urban structure is described and characterised. The argument is advanced that the traditional Arab Islamic city has a sub-area structure which is historically generated, but whose morphological combination is fine-tuned and adjusted so that the whole comes to dominate and unify the parts.
RELATIONS BETWEEN INFRASTRUCTURE INNOVATIONS AND TOURISM SPENDING IN DEVELOPED COUNTRIES: A MACROECONOMIC PERSPECTIVE
Authors: Gavurova Beata , Belas Jaroslav , Valaskova Katarina , Rigelsky Martin , Ivankova Viera
Published: August 2021

Tourism spending as well as innovations are characterized by great economic value, which emphasizes the need for their research from a macroeconomic perspective. The objective of the research was to assess the significance of the relations between infrastructure innovations and tourism spending in a sample of developed countries. The analytical processes included macroeconomic indicators expressing tourism spending and innovations. The research sample consisted of 36 countries of the Organization for Economic Co-operation and Development (OECD) (2010–2019). The analytical processes were primarily performed using robust panel regression and cluster analysis. One of the most important findings is that innovations in information and communication technologies (ICTs) were dominant in terms of the effects on tourism visitors' spending. The results showed that innovations in other areas of infrastructure (general infrastructure, ecological sustainability) should not be neglected either. The significant effects of selected innovation indicators showed positive trajectories. As a result, with the strengthening of innovation activities, an increase in tourism spending is expected, which may lead to economic development. It can be assumed that innovation efforts in countries such as Mexico, the Slovak Republic and Turkey could have great potential for improvement. Based on the results, innovations should be considered a part of tourism development strategies, while ICTs play an important role in this issue. It is desirable to support effective tools to increase the number of innovations in tourism. These innovation efforts at the national level may translate into higher tourism spending, which appears to be economically beneficial.
APOGEE-2S Discovery of Light- and Heavy-element Abundance Correlations in the Bulge Globular Cluster NGC 6380
Authors: Fernández-Trincado José G. , Beers Timothy C. , Barbuy Beatriz , Mészáros Szabolcs , Minniti Dante , Smith Verne V. , Cunha Katia , Villanova Sandro , Geisler Doug , Majewski Steven R. , Carigi Leticia , Tang Baitian , Moni Bidin Christian , Vieira Katherine
Published: August 2021

We derive abundance ratios for nine stars in the relatively high-metallicity bulge globular cluster NGC 6380. We find a mean cluster metallicity between [Fe/H] = −0.80 and −0.73, with no clear evidence for a variation in iron abundances beyond the observational errors. Stars with strongly enhanced [N/Fe] abundance ratios populate the cluster and are anticorrelated with [C/Fe], trends that are considered a signal of the multiple-population phenomenon in this cluster. We detect an apparent intrinsic star-to-star spread (≳0.27 dex) in the slow neutron-capture process element (s-element) Ce ii. Moreover, the [Ce/Fe] abundance ratio exhibits a likely correlation with [N/Fe], and a somewhat weaker correlation with [Al/Fe]. If confirmed, NGC 6380 could be the first high-metallicity globular cluster where a N–Ce correlation is detected. Furthermore, this correlation suggests that Ce may also be an element involved in the multiple-population phenomenon. Currently, a consensus interpretation for the origin of the this apparent N–Ce correlation in high-metallicity clusters is lacking. We tentatively suggest that it could be reproduced by different channels—low-mass asymptotic giant branch stars in the high-metallicity regime or fast-rotating massive stars (“spinstars”), due to the rotational mixing. It may also be the cumulative effect of several pollution events including the occurrence of peculiar stars. Our findings should guide stellar nucleosynthesis models, in order to understand the reasons for its apparent exclusivity in relatively high-metallicity globular clusters.
Brightness Temperature Constraints on Coherent Processes in Magnetospheres of Neutron Stars
Authors: Lyutikov Maxim
Published: August 2021

We discuss constraints that the observed brightness temperatures impose on coherent processes in pulsars and fast radio bursts, and in particular on the hypothesis of coherent curvature emission by bunches. We estimate the peak brightness temperature that a bunch of charge Ze can produce via synchrotron and/or curvature emission as k
B
T ∼ (Ze)2/λ, where λ is the typical emitted wavelength. We demonstrate that the bunch’s electrostatic energy required to produce observed brightness temperature is prohibitively high, of the order of the total bulk energy. We compare corresponding requirements for the free-electron laser mechanism and find that in that case the constraints are more easily satisfied.
Connecting Translational Nurse Scientists Across the Nation—The Nurse Scientist-Translational Research Interest Group
Authors: Cohn Elizabeth , McCloskey Donna , Kovner Christine , Schiffman Rachel , Mitchell Pamela
Published: August 2021

Translation science is the process of transdisciplinary teams accelerating the discoveries and findings from the laboratory, clinic, and community, and moving them into interventions that improve the health of individuals and populations. These discoveries include new forms of diagnostics, novel therapeutics, and innovative medical and behavioral interventions. The role of nurses in translational science is a natural fit, given the transdisciplinary nature of their work, the evolving role of nursing science, and the high-level of patient and family-centered interaction that nurses have as clinicians and scientists. As Clinical and Translational Science Awards were being developed across the nation, nurses felt the need for a stronger and more united voice. In 2010, nurse leaders in this field started the Nurse Scientist-Translational Interest Research Group (NS-TRIG). The group is now in its eighth year and provides a forum for nurse scientists to connect, communicate and collaborate. The purpose of this article is to describe the formation and background of the NS-TRIG, describe our meeting structure and provide examples of content. We also describe a summary of major accomplishments and work products of the NS-TRIG, and consider lessons learned and future directions of the group.
Employment of the Nursing Process to Facilitate Recovery from Surgery: A Case Study
Authors: Leslie Jamie
Published: August 2021

The nursing process is a tool to promote evidence-based practice as nurses identify and address problems for each individual patient. In this article, the author reviews the nursing process and applies it to a new surgical procedure used today in the area of women’s health for breast reconstruction. This procedure, the Deep Inferior Epigastric Perforator technique, often referred to as the DIEP technique, is a breast reconstruction method for women who have had a mastectomy. After discussing the baseline assessment for a patient planning a DIEP procedure, the author leads the reader through the identification of applicable nursing diagnoses and relevant outcome identification, care planning, and implementation processes to meet desired outcomes. A comprehensive plan of care, based on the assessment, is developed in this article, with a focus on the outcomes of improved care, reduced pain, and faster recovery from this major surgery. Goals associated with the nursing care for patients having this procedure are evaluated. The author then discusses how using each of the steps of the nursing process facilitates the nursing care given to these patients. She concludes that the use of the nursing process promotes a quicker recovery with a reduced use of narcotic pain medications.
Organizational Role and Perception of Organizational Safety Culture: A Survey of Registered Nurses, Physicians, and Managers
Authors: Abrahamson Kathleen , Fu Rong , Pressler Karis , Fulton Bradley , Morgan Kristopher , Anderson James
Published: August 2021

Patient safety is a significant challenge to United States (U.S.) healthcare settings despite public and private efforts to reduce risk of medical error. Nurses function at the “sharp end” of error; they practice at the point in the clinical process where latent factors such as misaligned organizational process, poor communication, and lack of resources merge to actualize an error event. This article examines the impact of organizational role on perception of safety culture within a multi-state, multi-organization sample of healthcare professionals. The authors offer background information and describe study methods. Data were derived from a national sample of hospitals that administered the 2011 Agency for Healthcare Research and Quality (AHRQ) Safety Culture survey. The sample included registered nurses, physicians, and managers employed within 66 multi-state hospitals. Results demonstrated that managers reported significantly higher mean scores on the Safety Culture survey than registered nurses. Length of hospital employment predicted higher overall mean scores and number of reported adverse events predicted lower overall mean scores. Direct care providers reported significantly lower mean Safety Culture scores. The discussion and conclusion indicate that a primary implication of these findings is the importance of nursing input into patient safety policies.
A Comparative Study of Two Photoscreening Devices With Manual Vision Screening Involving Preschool Children
Authors: Musch David C. , Andrews Chris A. , Schumann Rachel A. , Baker John D.
Published: August 2021

Purpose:

To compare referral results from two photoscreening devices that are in wide use relative to a manual screening test protocol in preschool children.

Methods:

Children aged 3 to 5 years who attended preschools in two counties within the State of Michigan (N = 1,085) took part in the State's vision screening program, which included the Lea Symbols and Stereo Butterfly tests, during a 3-month period. All who failed this screening or were unable to be tested, and 20% of those who passed, were then invited to undergo testing with the Plusoptix Vision Screener Model S-12C (Plusoptix, Inc) and Welch Allyn SPOT Vision Screener Model VS-100 (Hill-Rom, Inc) photoscreening devices. Screening was conducted by State-trained technicians. With the State's test results considered the gold standard for screening, sensitivity and specificity of the two photo-screening devices were calculated. McNemar's test and logistic regression were used to evaluate the findings.

Results:

A total of 1,085 children took part in the State's screening program. Their mean ± standard deviation age was 48.8 ± 7.2 months, with a 51:49 female-to-male ratio, and a similar percentage were Black (34.1%) or White (33.3%). The sensitivity of the SPOT and Plusoptix screening was 61.0% and 65.2%, respectively. The specificity of the SPOT and Plusoptix screening was 92.9% and 82.4%, respectively. For 84 children who were unable to be tested by the State's screening, the SPOT and Plusoptix devices completed the screening on the majority (86.9% and 73.8%, respectively).

Conclusions:

The photoscreening devices yielded numerous false-negative results and fewer false-positive results. Their ability to screen many children who could not be screened by manual testing indicates a useful application.

[
J Pediatr Ophthalmol Strabismus
. 2022;59(1):46–52.]
Éticas falibles para máquinas (in)falibles
Authors: Vallverdú Jordi , Boix Sarah
Published: August 2021

Los códigos éticos humanos no son coherentes en su diseño ni tampoco tienen una distribución universal. Por lo tanto, la imposible universalidad ni completitud de los sistemas éticos para la inteligencia artificial (IA) es algo evidente que tan sólo fue apuntado someramente por el estudio reciente del MIT (Moral Machine). Al tener toda ética un matiz cultural inequívoco, y también incluir grados de interpretación en sus principios (como el derecho universal a la vivienda, evidente si bien ninguna institución vela por su cumplimiento, algo que una máquina no entendería). Al mismo tiempo se produce un problema formal: un sistema de IA no siempre cuenta con suficientes datos ni tiempo óptimo para procesar una situación, por lo que un factor de azar ético debe tenerse en cuenta en el diseño de tales sistemas.
Nuove prospettive sui sintomi e simboli nel caso di Clara e il loro ruolo nel processo terapeutico
Authors: Bucci Wilma
Published: August 2021

Il trattamento di Clara descritto dalla dott.ssa Marina Amore fornisce nuove intuizioni sul ruolo delle funzioni somatiche nello sviluppo dei disturbi emotivi e nella comunicazione terapeutica. Secondo la teoria del processo referenziale le descrizioni di specifiche esperienze corporee possono servire a costruire connessioni con il modo simbolico e verbale quando le narrazioni che coinvolgono persone ed eventi della vita non sono accessibili. Durante i 10 anni di trattamento, i racconti di Clara dei suoi gravi sintomi nevralgici e delle sue esperienze corporee ed emotive nelle sue interazioni con la dott.ssa Amore le permisero alla fine di parlare delle esperienze passate e presenti con i suoi genitori e le altre persone, e di ricostruire schemi delle emozioni che erano state dissociate. Le sensazioni corporee della dott.ssa Amore nelle sue interazioni con Clara l’hanno guidata nel lavoro terapeutico e hanno inoltre aperto una nuova comprensione delle esperienze nella sua stessa vita. Il processo referenziale può essere visto come un processo che ha avuto luogo in profondità tra e dentro i due partecipanti mentre riconoscevano il processo di crescita di Clara e lavoravano anche per risolvere il loro senso di perdita nella fase finale.
Risposta dell’autrice ai commenti
Authors: Micheloni Alessandra
Published: August 2021

Non disponibile.
Anesthesia protocols for “bedside” preterm patent ductus arteriosus ligation
Authors: Joshi Reena Khantwal , Aggarwal Neeraj , Agarwal Mridul , Joshi Raja
Published: August 2021

Background :

Hemodynamically significant patent ductus arteriosus (PDA) is frequently encountered in preterm infants sometimes requiring surgical attention. Although PDA ligation is regularly performed in the operating room, conducting it at the bedside in a neonatal intensive care unit (NICU) and its anesthetic management remains challenging.

Aim :

We aim to discuss the anesthetic considerations in patients undergoing bedside PDA ligation and describe our experience highlighting the feasibility and safety of this procedure.

Setting and Design :

The study was conducted in the NICU in a tertiary care hospital; This was a retrospective, observational study.

Methods :

Preterm infants scheduled for bedside PDA ligation using a predefined anesthesia protocol between August 2005 and October 2020 were included.

Statistical Analysis Used:

Quantitative data were presented as median with interquartile range and categorical data were presented as numbers and percentage thereof.

Results :

Sixty-six premature infants underwent bedside PDA ligation. Thirty-day mortality was 4.5% (3 infants), but there were no procedural deaths. One (1.5%) patient had intraoperative endotracheal tube dislodgement. Three (4.5%) infants had postoperative pneumothorax requiring an additional chest tube insertion. Twenty-one (32%) patients required initiation of postoperative inotrope/vasodilator therapy within 6 h. Three postligation cardiac syndromes (≥ Grade-III mitral regurgitation with left ventricular dysfunction and hypotension) occurred.

Conclusions :

Although anesthesia for preterm neonates undergoing bedside PDA ligation poses unique challenges, it can be safely conducted by following a predetermined standardized anesthesia protocol. Its successful conduct requires utmost vigilance and pristine understanding of the principles of neonatal and cardiac care.
The role of urinary albumin-to-creatinine ratio as a biomarker to predict stroke
Authors: Li Min , Cheng Aichun , Sun Jingkun , Fan Chunqiu , Meng Ran
Published: August 2021

Albuminuria excretion rate, calculated as urinary albumin-to-creatinine ratio (UACR), is used clinically to evaluate albuminuria. There are different attitudes to whether high UACR predicts higher risk of stroke. The aim of this study was to evaluate the relationship between UACR and stroke. Two investigators independently searched MEDLINE, EMBASE, Cochrane Controlled Trials Register Database, Scopus and Google Scholar from January 1966 through June 2021 were screened. In addition, a manual search was conducted using the bibliographies of original papers and review articles on this topic. Two blinded reviewers abstracted the data independently to a predefined form. Among the 10,939 initially identified studies, 7 studies with 159,302 subjects were finally included. It is demonstrated that UACR predicted an increased risk of stroke using cutoff value of either 0.43 (HR, 2.39; 95% CI: 1.24 - 4.61; P <0.01), 10 mg/g (HR, 1.60; 95% CI: 1.30 - 1.97; P < 0.01) or 30 mg/g (HR, 1.84; 95% CI: 1.49 - 2.28; P < 0.01). The overall analysis confirmed that high UACR was associated with an increased rate of stroke (HR, 1.81; 95% CI: 1.52 - 2.17; P < 0.01). Furthermore, High UACR predicted higher risk of stroke in local inhabitants (HR, 1.67; 95% CI: 1.17 – 2.37; P = 0.04), adults (HR, 2.21; 95% CI: 2.07 – 2.36; P < 0.01) or elderly adults (HR, 1.96; 95% CI: 1.56 – 2.46; P < 0.01). Whereas, high UACR was unable to predict stroke in patients with either T2DM (HR, 2.25; 95% CI: 0.55 – 9.17; P = 0.26) or hypertension (HR, 0.95; 95% CI: 0.28 – 3.22; P = 0.93). Another subgroup analysis revealed that high UACR was associated with increased risk of ischemic stroke (HR, 1.60; 95% CI: 1.43 - 1.80; P < 0.01), as well as hemorrhagic stroke (HR, 1.76; 95% CI: 1.22 - 1.45; P < 0.01). In conclusion, UACR is associated with an increased risk of hemorrhagic and ischemic stroke. UACR may be used as an indicator to predict stroke in non-diabetic and non-hypertensive subjects.
Nigeria’s demographic transition and implications on the attainment of sustainable development goals
Authors: Abbani Abubakar Yakubu
Published: August 2021

The Sustainable Development Goals (SDGs) is a time-bound global development agenda with 17 goals which targets 169 social, economic, and environmental indicators agreed upon in 2015 by UN member states to be achieved by year 2030. The SDGs includes many targets and references to eradicating extreme poverty and hunger, improved health for women and children, enhance universal access to quality education, and gender equality, among others. This study utilised the reports of Nigeria Demographic and Health Surveys from 1990 to 2018 and the 2006 national population census results to understand and analyse Nigeria’s demographic trends (age structure, fertility and mortality rates) with the intention to understand how they may affect the country’s efforts towards realising the set targets of the SDGs relating to eradication of poverty and hunger, ensuring health of the people, providing quality education and empowering women and girls. Findings showed that Nigeria’s demographic trends is characterised by slowly declining mortality and fertility rates with high population growth rate, and a dismal performance in the SDGs targets relating to poverty, hunger, health, education and women empowerment. The country will have to slow down its population growth rate and invest heavily in education, healthcare and job creation to be able to achieve the targets of the SDGs by 2030.
Socio-economic implications of COVID-19 pandemic in Nigeria
Authors: Joab-Peterside Sofiri
Published: August 2021

After half of a century as a major oil producer, the Nigerian economy is yet to diversify; thus, remains dominated by primary activities. Whereas oil and gas activities directly employ a negligible number of Nigerians, the industry impacts on the overall economy of the country. However, with large resource windfalls, limited technical capacity, and weak check and balances, the scope for inefficiency, corruption, and elite capture of Nigeria‘s oil-driven economy is substantial. Consequently, the arrival of COVID-19 further exposed the fragility of the economy. As a theoretical paper, the researcher relied on data from secondary sources which yielded quantitative and qualitative information. The secondary data were derived mainly from journals, books and empirical case studies on the impact of pandemics on global production of petroleum, the Nigerian economy, and the overall social sector. News media analysis, government bulletins, and relevant data from civil society organizations, State Security Forces, and Corporate organizations on the debilitating consequences of the COVID-19 pandemic were also reviewed. The paper revealed that the socio-economic implications of the pandemic derived from fall in global oil price, policy interventions by the government such as bans on certain types of activities, closure of borders, state lockdowns, school closure and social distancing policies, all of which resulted in disruptions felt in all the sectors of the economy and society. Thus, it is suggested here that efforts must be made to address poverty just as there is an urgent need to improve on the healthcare sector. Unemployment should be tackled positively while government should place greater emphasis on technology and other modern methods of imparting knowledge.
Exploring the views of Heads of Schools on School Health Services in Public Primary Schools in Enugu Metropolis, Nigeria: A Qualitative Study
Authors: Agu C.I. , Ossai E.N. , Ndu A.C. , Eze I.I. , Agu I.C. , Ugwunweze I.J. , Ugwu G.O.
Published: August 2021

Background: School health services offer a great opportunity for many children to access primary health care, especially in developing countries. This study assessed the status of health services in public primary schools in Enugu Metropolis, Enugu State, Nigeria from the perspectives of the school heads.Methods: This was a qualitative study conducted among 24 public primary school head masters/mistresses in the three Local Government Areas making up Enugu metropolis. They were purposively selected from the 117 public primary schools in the metropolis. Data were collected through the use of Key Informant Interview (KII) guide, and analyzed using thematic approach.Results: Only one of the participants knew about the school health policy, while others expressed surprise at its existence. All the schools had a first aid box, but most of the boxes were not sufficiently stocked. None of the schools had a trained first aider. De-worming was carried out once in a while in all the schools. Majority of the schools did not document health services provided. The schools rarely referred pupils to health facilities as needed, but rather informed parents if their children became ill while in school.Conclusion: The implementation of health services in public primary schools in Enugu Metropolis leaves much to be desired. Health services, including health appraisal were generally poor. Basic resources necessary for school health services were lacking in the schools. There is need for stakeholders to take urgent steps in order to redress the situation.
First evaluation of coral recruitment in Madagascar
Authors: Todinanahary Gildas G.B. , Hasintantely Nomeniarivelo , Eeckhaut Igor , Lavitra Thierry
Published: August 2021

The distribution of larvae and recruitment of scleractinians in the southwest region of Madagascar were evaluated for the first time between October 2013 and September 2014 at 3 sites. The presence of coral larvae (planulae) was monitored through weekly sampling using a plankton net and the recruitment rate evaluated by monthly sampling of the newly settled corals (<1 year stage) on recruitment tiles and by a monitoring of the recruitment of juveniles (1< Juveniles < 2 years) using the quadrat method. Planulae were present in the plankton for 9 months during the survey. The recorded mean annual density of planula varied from 0.43 ± 0.41 larvae m-3 to 3.23 ± 5.72 larvae m-3 depending on site, with a peak in larval density towards the end of November and the beginning of December. The variability in the occurrence of planula is very high and implied that the density observed in the year does not present a significant difference between the sites (pKW=0.33). The average density of total recruits was 620.13 ± 621.30 recruits m-2, 40.28 ± 50.97 recruits m-2 and 36.34 ± 33.82 recruits m-2, respectively at the sites of Nosy Tafara, Grande Vasque and Rose Garden. Seasonal distribution of coral recruitment was different between the sites. The mean annual density of newly settled recruits (< 1 month stage) was significantly higher at Nosy Tafara with 94.91±101.08 recruits m-2 compared to Grande Vasque and Rose Garden with 18.75±34.32 recruits m-2 and 11.57±18.47 recruits m-2 (pKW<0.001), respectively. The highest density of newly settled recruits was observed between October to December. Higher density of recruits was also observed in March at Nosy Tafara and in May at all three sites. Results of juvenile monitoring showed high rates (> 10 juveniles m-2) compared to other regions and the threshold, but it revealed high mortality among recruits. Coral recruitment in the southwest region of Madagascar was found to be high and could result in increased resilience of the coral reef assemblages.
Cumhuriyet Dönemi Türk Öykülerinde Merkez-Taşra Bağlamında Yol Kronotopu ve Anlatıcı İlişkileri
Authors: SAKIN Hasan
Published: August 2021

Taşraya yönelik ilgi II. Meşrutiyet’ten sonra devlet politikası haline gelmiş, Cumhuriyet döneminde bu politika devam ettirilmiştir. Taşraya ulaşmak için öncelikle fiziksel mesafenin ortadan kaldırılması gerekmektedir. Cumhuriyet döneminde yolculuk böylece siyasal-toplumsal bir işlev üstlenmiştir. Dönemin yolculuğa yüklediği bu işlev, kurmaca eserlere yansımış ve yolculuk Mihail Bahtin’in tanımladığı şekliyle bir krotonopa dönüşmüştür. Bu çalışmada belirli kriterlere göre seçilmiş Cumhuriyet dönemi öykülerinde merkez ile taşra arasında yapılan yolculukların anlatıcı seçimini şekillendirmesi üzerinde durulmuştur. İlgili örneklerde merkezden taşraya yapılan yolculukları anlatan öykülerde büyük oranda birinci şahıs anlatıcı, taşradan merkeze yapılan yolculukları anlatan öykülerde ise bütünüyle üçüncü şahıs anlatıcı kullanıldığı tespit edilmiştir. Böylece taşraya yolculuk yapan merkez kökenlilerin genellikle kendi deneyimlerini kendi ağızlarından anlattıkları, buna karşılık merkeze yolculuk yapan taşra kökenlilerin öykülerinin ise daima üçüncü şahıs anlatıcı tarafından dolaylı bir şekilde aktarıldığı görülmüştür. Denebilir ki bütün anlatıcılar merkez kökenlidir; taşra kökenlilere anlatıcı konumu verilmemiştir. Bunu ortaya koyabilmek için Cumhuriyet dönemi olarak adlandırılan 1923-1950 yılları arasında öykücü kimliğiyle tanınmış 19 yazar seçilmiş ve bu yazarların ilgili dönemde yayımladıkları öykü kitapları taranmıştır. Bu öykülerden yalnızca taşradan merkeze ve merkezden taşraya yapılan yolculukları anlatan örnekler değerlendirmeye alınmıştır. Öyküler öncelikle birinci ve üçüncü şahıs anlatıcılara göre ayrılmış; ardından bu ayrımın merkez ile taşra arasındaki yolculuğun yönüyle ilişkisi irdelenmiştir.
Remoulding of the Binary Oppositions in Oscar Wilde's Lady Windermere's Fan
Authors: ERKOÇ Seçil
Published: August 2021

Considered as a misfit in his own time, Oscar Wilde (1854-1900) has an idiosyncratic perspective that defies the traditional regulations and social norms of the Victorian era. Witnessing the gradual disintegration of the moral values and the hypocritical practices of the late Victorian society, Wilde develops a humorous attitude which enables the reader/audience to question the ambivalent gaps between ‘sharp’ distinctions – such as good and bad, honest and corrupt, pure and fallen – in his works. Rejecting the status of art as an instrument of moral education that aims to guide the society, Wilde refrains from applauding the long-established values of the Victorian upper and upper-middle classes. Instead, he tries to draw attention to the hidden layers of meaning that bring the hypocritical agenda of the Victorian morals to the surface. In this respect, it is to be argued that illustrating the grey areas between Lady Windermere who, as a devout wife, was about the cross the line between a ‘good’ and a ‘bad’ woman if it were not for the altruism of her mother, and Mrs Erlynne, who is the so-called ‘bad’ woman with an unknown past, Wilde’s Lady Windermere’s Fan (1892) illustrates the interchangeable points between either/or dualities. Therefore, this paper intends to analyse the remoulding of the strict Victorian binaries – which have long been constructed in accordance with the hypocritical premises of the late 19th century in England. In addition, although the main scope of this study is not concerned with applying a postmodern or feminist reading to the source text, in order to support Wilde’s intention to problematize the constructed status of the binary oppositions, Julia Kristeva’s (b. 1941) criticism against the patriarchal representation of women will also be touched upon.
Prácticas y estrategias de evaluación que desarrollan los mejores docentes en el enfoque de formación basado en competencias
Authors: Ferreira Arza Yolanda , Castro Ceacero Diego
Published: August 2021

El propósito es sistematizar las prácticas y estrategias de evaluación de docentes evaluados como excelentes por sus estudiantes y directores en un marco de formación basado en competencias. Después de algunos años de recorrido en este enfoque en la universidad de estudio, y a docentes evaluados como excelentes, se les realizan entrevistas, en el marco de una investigación cualitativa. A partir del análisis de discurso se recuperan categorías de análisis que describen estrategias, instrumentos, formas de gestionar la evaluación, así como dificultades. La información recuperada muestra que ha existido un proceso de aprendizaje por parte del profesorado marcando estilos y formas de llevar a cabo este proceso. Actualmente la evaluación es parte del proceso formativo y acorde con concepciones y acciones ligadas a la retroalimentación, la oportunidad de mejora, incentivar procesos metacognitivos y estrategias ligadas a situaciones de evaluación auténtica. Son estas acciones, según los docentes, las que potencian el desarrollo de las competencias.
Türkiye’de Temassız Ödemelerin Gelişiminde Covid-19 Pandemisinin Rolü ve Temassız Ödemelere Etki Eden Faktörlerin Analizi
Authors: ÇEVİK Saygın , TEBER Dilan
Published: August 2021

Bu çalışmanın amacı, Türkiye’de temassız özellikli kartların kullanım düzeyinde yıllar içinde meydana gelen değişimi incelemek ve temassız kart kullanımına etki eden demografik ve sosyo-ekonomik faktörleri analiz etmektir. Bu amaçla ilk olarak, Bankalararası Kart Merkezi’nin (BKM) 2010-2020 yıllarına ait verileri ile temassız kartların bireyler tarafından benimsenme düzeyi incelenmiştir. 2018 yılından itibaren kullanım sıklığında artış gözlenen temassız kartların Covid-19 pandemisi ile birlikte 2020 yılının sonunda her dört kartlı alışverişten birinde kullanıldığı görülmüştür. Çalışmanın bir sonraki aşamasında, Türkiye Cumhuriyet Merkez Bankası (TCMB) tarafından, 2020 yılında uygulanan Nakit Kullanım Alışkanlıkları Anketinden alınan veri seti ile bireylerin temassız kart kullanımı incelenmiş ve temassız kartların kullanımına etki eden faktörler probit modeliyle analiz edilmiştir. Sonuçlar, bireylerin geliri, finansal okuryazarlığı ve eğitim düzeyindeki artışın temassız kart kullanma olasılığını artırdığını göstermektedir. Kadınların temassız kart kullanma olasılıkları erkeklere göre daha yüksek çıkarken evli

olmanın temassız kart kullanma olasılığını düşürdüğü gözlenmiştir. Ayrıca, sonuçlar düşük harcama tutarlarında temassız kart kullanma olasılığının daha yüksek olduğunu ve ödemelerde genellikle nakit tercih eden bireylerin temassız kullanma olasılıklarının daha düşük olduğunu göstermektedir.
Türkiye Ekonomisine İlişkin Bir Makroekonometrik Model Üzerinde Bifurkasyon Analizi
Authors: ERYILMAZ Ünal
Published: August 2021

Bifurkasyon teorisi, dinamik sistemlerin analizi için önemli bir araçtır. Dinamik makroekonomik

sistemler, belirli koşullar altında parametre değerleri değiştiğinde belirli türlerde

bifurkasyonlar gösterebilir. Bu çalışmada, Aysoy ve Kıpıcı (2005) tarafından geliştirilen

Türkiye Ekonomisi Makroekonometrik Modeli kullanılarak, Türk ekonomisinde

bifurkasyona yol açan faktörler incelenmiştir. Modelin, tahmin edilen parametreleri %95

güven aralığında değiştiğinde sabit durum ve periyot katlayan-2 bifurkasyonları sergilediği

görülmüştür. Enflasyon oranı parametresindeki değişim, her iki bifurkasyon türüne yol

açarken, devalüasyon oranı ve beklenen enflasyon parametrelerindeki değişim sadece

kararlı durumda bifurkasyonuna yol açmaktadır.
PŘEPRAVNÍ SMLOUVY V MEZINÁRODNÍ MULTIMODÁLNÍ PŘEPRAVĚ A ROTTERDAMSKÁ PRAVIDLA
Authors: Novák Radek
Published: August 2021

Dosud neexistuje žádná platná nadnárodní (mezistátní) právní úprava přepravní smlouvy v multimodální, resp. intermodální přepravě. Platné mnohostranné mezinárodní úmluvy o přepravní smlouvě v současnosti řeší pouze jednotlivé dopravní módy. OSN, resp. UNCITRAL, vytvořila Rotterdamská pravidla (Úmluvu OSN o smlouvě o mezinárodní přepravě zboží zcela nebo z části po moři), která zatím nejsou ratifikována potřebným počtem států, aby mohla vstoupit v platnost. Setkávající se však také s kritikou. V článku jsou předložena základní fakta o této problematice s akcentem na analýzu současného stavu dopravního práva z pohledu České republiky.
USEABLE DRIVETRAINS IN CONTEMPORARY BUS TRANSPORT
Authors: Rathouský Bedřich , Klouček Oldřich
Published: August 2021

This paper focuses on introducing new, environmentally friendly types of drivetrains in the field of bus transport. Main goal is to present approximate costs of purchase and cost of operating (especially fuels or electricity) and connected them with real emissions of carbon dioxide for each different technology of drivetrain, including Well-to-Tank and Tank-to-Wheel emissions. The authors are using the Weighted Sum Approach method to determine currently the most suitable drivetrain for urban busses.
It's a Question of Scholarship
Authors: Smith Terra
Published: August 2021

Scholarship is the opportunity for advanced learning. The new paradigm of scholarship, in addition to research, assimilates teaching, service, and integration scholarships. Many allied health professional organizations reward a variety of scholarly efforts with continuing professional education units (CPEUs). The Commission on Dietetic Registration implemented a new CPEU category that promotes research at the preclusion of non-research types of scholarship. One of the most important educational benefits of non-research scholarship is opportunities for professional writing that also supports the goal of life-long learning encouraged by adult education theory. Allied health professions will benefit from a discussion of the criteria used to differentiate and evaluate academic and practitioner scholarship.