bluuebunny/crossref_metadata_2025 huggingface dataset:
Research on Enterprise Value Evaluation Based on EVA Model
Authors: Zhao Jun , Guo Xuefei
Published: December 2022

Different from the traditional value evaluation system, EVA considers the impact of equity capital cost on enterprise value. This paper uses the EVA value evaluation model to process and analyze the financial data of Jidian Corporation from 2017 to 2021, and finds that the market value of Jidian Corporation has a small difference with EVA value. The research of this paper has certain enlightenment significance for the production and operation of power industry enterprises.
The Influence of Test-oriented Teaching on Chinese Students’ Long-term use of English
Authors: Zhao Haochen
Published: December 2022

With the increasing demand for communication between different parts of the world under globalization, English as a universal language for communication has been gradually attached to importance. However, China's exam-oriented education has a profound impact on English education. This study focuses on the effects of exam-oriented education on students' long-term English use. The overall goal is to explore the negative effects of exam-oriented English education on students' English use in higher education in China. This study adopts a quantitative method to research 600 university students located in the     Yangtze River Delta region of China.  The research was conducted in the form of questionnaires. SPSS analysis is adopted as a generic approach to organize and interpret the data. The results show that exam-oriented education has a negative impact on students' later daily use of English. The research findings could have implications for schools, policy, and globalization.
On the Reform of Education Methods that Adapt to STEM Development Demand
Authors: Qin Jiayi
Published: December 2022

The maintenance of competitiveness in the complex world in the 21st century cannot be isolated from scientific and technological innovation and talent training. As a brand-new form of education, STEM has become the focus of attention. The reform of education methods involves a global, long-term and strategic planning for development of education. The exploration of STEM education models requires not only the consideration of regional realities, but also international experience, etc. This paper analyzes the connotation and characteristics of STEM education, attempting to offer a plan for the reform of education methods that adapt to STEM development demand.
Teaching Reform of Theory and Practice Course of Analog Electronic Technology under the New Engineering Background
Authors: Cui Xiangxia , Chen Jun , Ma Chuantao
Published: December 2022

In order to cultivate electronic information professionals with lifelong learning ability and independent innovation ability, and to meet the needs of fresh engineering construction, the paper reformed the teaching of Analog Electronic Technology from all aspects, such as teaching content, teaching methods, experimental teaching and assessment mechanism. The teaching content is project-oriented, the teaching methods are mixed, the innovative EDA and pocket laboratory are introduced, the comprehensive design experiment projects are added, and the outstanding ability cultivation and process-oriented evaluation mechanism are established.
The Current Situation and Development of Dance Education in Universities from the Perspective of Arts Education
Authors: Liu Yao
Published: December 2022

Arts education in colleges and universities is a necessary way to improve the overall quality of students, in order to promote students' all-round development, to be able to continuously improve their comprehensive quality in the process of learning, and to contribute to the establishment of a social and cultural atmosphere. In the context of artistic quality education, universities are reforming dance teaching strategies with the help of innovative teaching concepts and forms in order to promote faster development of students, so as to enhance the dance learning level of students in universities.
Effectiveness of peer education in disease self-management of school children and adolescents with chronic diseases: a systematic review
Authors: KARATAŞ Pelin , KARAÇAM Zekiye , ÇALIŞIR Hüsniye
Published: December 2022

Aim: This systematic review aims to investigate the effectiveness of peer education in the self-management of schoolchildren and adolescents with chronic diseases.

Methods: This study examined Turkish and English studies in the literature. It included experimental and quasi-experimental studies published in PubMed, Cochrane, and EBSCOhost on the effectiveness of peer education given to children aged 7-18 years about self-management of their disease. As a result of the review, nine articles were included in the study. The results were tabulated and presented in a narrative.

Results: The studies included 1,890 participants between the ages of 7 and 29. Some of the studies administering programs identified as "peer education programs" reported that these programs improved self-management, quality of life, well-being, feelings of happiness, academic performance, pulmonary function, self-evaluation, social support, and general communication perceptions, as well as reducing like a teak undesirable behaviours and cost. However, some studies indicated that these programs were not effective in improving the skills of coping with pain, controlling emotions, perceiving social support, self-efficacy, health-care management, quality of life, and glycemic control.

Conclusion: The study results showed that peer education programs might facilitate children and adolescents in adapting to the chronic diseases in their life, increase their quality of life, satisfaction, self-management, and self-efficacy skills, improve healthy behaviours, and lessens the intensity of their bad moods and reduce hospital costs. It is recommended that pediatric nurses providing care for patients with chronic diseases learn and utilize peer education methods. Therefore, a more enjoyable education environment could be established, leading pediatric patients to participate and improve the effectiveness of these programs.
Leading from the liturgy
Authors: Den Hertog Rein
Published: December 2022

This article seeks to contribute to the reflection on ecclesial ministry from the perspective of the missio Dei. The gateway chosen is the unconventional image of ecclesial ministry as depicted in the Polish film Corpus Christi. Jan Komasa, the director, paints the protagonist as a facilitator of a communal process of interpretation and reconciliation through which the core of the gospel becomes concretely visible in social reality. This cinematographic portrayal of ecclesial ministry is then used to look at the situation regarding ministry in a small Reformed denomination in the Netherlands. The issues highlighted in Corpus Christi also play a role in these churches. To see if the imagination of Corpus Christi can also be made fruitful for thinking through Reformed theology of ministry, two steps are then taken. First, it will be shown that within the Reformed tradition there are starting points for the view of the ordained minister as a facilitator the process of interpretation. Then, using the thoughts of Michael Moynagh, the article explores how this vision of ministry can be made fruitful for the current missionary situation in the West. The article concludes with three elements needed to implement the image of the ordained minister as an interpretive guide.
Integrating Literature with Technology and Use of Digital Tools: Impact on Learning Outcomes
Authors: Alfaruque Sabina Yasmin , Sultana Sufia , Rastogi Richa , Jabeen Zakira
Published: December 2022

The teaching of literature involves understanding of emotions and feelings of the characters, plot constructions, setting, themes and drawing picturesque images. The aesthetics of teaching literature though lies in reading and understanding the text in its natural way; however, with the advent of technology and compulsive transition to online teaching, integration of technology and digital tools with teaching of literature has become a necessity. This study aimed at examining how to incorporate technology and digital tools in literature classrooms, to ensure attainment of learning outcomes.  Digital tools currently adopted to teach literary texts include visualizations, digital editions of classics, storytelling through videos, graphic novels, interactive hypertexts and distant reading of the texts. Visualization tools, for example, can explain word patterns and sentence structure in a story, build digital artifacts, create digital maps of a novel’s setting, and convert themes into images. This study utilized a questionnaire survey with two learner groups, control and experimental, identified through purposive sampling, and in-depth interviews with six instructors who taught literature courses in a leading Saudi university. The focus of this mixed method research study was to see whether technology had done justice with the literary texts and helped achieve the intended learning outcomes. The study found out that with the help of technology students learned literary texts from multiple dimensions; however, the primary concern while integrating technology with teaching of literature should be to help students achieve learning outcomes. The study reiterated that whatever the media or the means to teach literature, if the learning objectives are achieved, combining technology with literature teaching will rather be a paradigm shift.
Memory and magic: magical images for improving memory in medieval image magic and in the 17th century manuscript Sloane 3663
Authors: Ockenström Lauri
Published: December 2022

This article explores magical images for improving memory described in Latin textual sources of medieval magic. Memory is a rare theme in the sources. The images associated with memory are included in four sources that represent image magic and/or natural magic: De XV stellis, the Latin Picatrix and Liber Mercurii, the Latin forms of which derive from the 12th and 13th centuries, and in an anomymous text that appears in Rudolph Goclenius the Younger’s medico- magical work printed in 1608 and in the seventeenth century manuscript Sloane 3663 in the British Library, as entitle as Erectio siganturae Mercurii. This article argues that the concept of memory should be understood in the frameworks provided by each text and the tradition of learned magic, which differ from the viewpoints of mnemotechnic. In all cases the context of memory is intellectual: it is associated with mental capacities, intelligence, sciences and arts and with the planet Mercury, the ruler of sciences. The concept of memory is loosely connected to philosophical theories, but in practical level the procedures of fabricating images were dominated by approaches of natural magic and medicine.
Arvio teoksesta Arvind Thomas, Piers Plowman and the Reinvention of Church Law in the Late Middle Ages. Toronto: University of Toronto Press, 2019. 267 pp.
Authors: Pihl Erika
Published: December 2022

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Methods For The Formation Of Energy-Efficient Architecture Of Social Objects In World Design Practice
Authors: Toishiyeva Almagul , Harutyunyan Emma , Khvan Yelena , Chekaeva Rakhima
Published: December 2022

Today, people are increasingly drifting away from nature in an age of accelerated lives and information technology. Only the natural environment can create comfortable, ecological conditions for human life. It has become evident that the biological component of the domain has been noticeably reduced in the big cities, and the appeal to the global architectural community of the ecological and aesthetic aspects of design and construction, which contribute to the comfortable and sustainable development of urban space, has become particularly relevant over the past decades. In a big city, architecture is omnipresent. Hence, the architectural-spatial environment should be solved as much as possible in the context of the natural environment, embodying not only the material needs of a person but also spiritual ones. The current unfavorable environmental, energy, and economic situation in the world requires new methods for designing and building the architecture of new and reconstructed old buildings. The article discusses the issues surrounding the formation of modern energy-efficient architecture in the context of its relationship with the natural environment through the use of modern design solutions. The article is based on surveys of social facilities made by the authors from 2017 to 2021 in Eurasian and European cities. The article analyzes a new mechanism of architectural formation based on the shape formation of an architectural object, the content of the architectural shape, the aesthetics of perception, and the organization of eco-space.
Status of Black-tailed gulls breeding on Hongdo (Hallyeohaesang National Park) and Nando Island
Authors:   Korea National Park Service National Park Research Institute, Kim Miran , Lee Yong-soon , Choi Se-jun , Kim Yang-mo , Kim Jae-hun , Hwang Bo-yeon , Kwon Young-soo
Published: December 2022

Seabirds take a long time to recover if their population decreases due to slow growth and small clutch size. This study was conducted to collect basic data of breeding status of Black-tailed gulls (Larus crassirostris) on Hongdo Island of Hallyeohaesang National Park and and Nando Island. These two breeding colonies are designated as natural monuments. We investigated egg volume, clutch size and nest density in May 2022. As results, clutch size was 1.89±0.57 in Hongdo Island and 1.91±0.48 in Nando Island. The egg volume was also similar between Hongdo Island (59.22±5.47) and Nando Island (59.63±3.96). The nest density was significantly higher in Hongdo Island (1.27±0.18/㎡) than in Nando Island(0.54±0.15/㎡). Breeding population was estimated as 56,729 pairs in Hongdo Island while 14,112 pairs in Nando Island based on the proportion of breeding areas. Long-term monitoring is required to know the trends of Black-tailed gulls to protect breeding colonies.
UJI MATERIAL PLYWOOD PERAHU PENANGKAP TUNA TIPE PUMPBOAT DI SANGIHE TERHADAP SERANGAN BIOFOULLING
Authors: Lungari Fitria Fresty , Balansa Walter , Sambeka Yana
Published: December 2022

Dampak yang ditimbulkan oleh organisme penempel (biofouling) masih menjadi tantangan bagi nelayan pemilik perahu atau kapal. Pumpboat merupakan alat transportasi antar pulau dan sarana yang digunakan masyarakat pesisir kepulauan Sangihe untuk menangkap ikan. Biaya operasional yang tinggi seharunya tidak lagi ditambah dengan biaya pemeliharaan yang tinggi, sehingga nelayan dapat meminimalisir kerugian dimasa mendatang. Penelitian ini bertujuan untuk mengetahui daya tahan material plywood marine use yang biasanya digunakan nelayan Sangihe terhadap pertumbuhuan biofouling. Perendaman material yang sudah dicat dan dikeringkan dilakukan selama satu bulan. Perhitungan IS (intensitas serangan) dilakukan dengan mengumpulkan data luas permukaan material sebelum diserang dan setelah diserang setiap minggu. Hasil yang diperoleh yaitu minggu pertama 19.8 %, minggu ke-2 48.8 %, minggu ke-3 63.6% dan minggu ke-4 87.4%. Tingginya laju pertumbuhan ini mengharuskan pengaplikasian metode khusus, sehingga performa konstruksi dan mesin kapal tetap maksimal saat melaut.

 

The impact caused by adhering organisms (biofouling) is still a challenge for fishermen who own boats or ships. Pumpboat is an inter-island transportation tool and a means used by the coastal communities of the Sangihe Islands to catch fish. High operational costs should no longer be coupled with high maintenance costs, so that fishermen can minimize losses in the future. This study aims to determine the durability of marine use plywood material, which is usually used by Sangihe fishermen against biofouling growth. Immersion of the material that has been painted and dried is carried out for one month. The calculation of IS (intensity of attack) is done by collecting data on the surface area of ​​the material before being attacked and after being attacked every week. The results obtained are 19.8% in the first week, 48.8% in the 2nd week, 63.6% in the 3rd week and 87.4% in the 4th week. This high growth rate necessitates the application of special methods, so that the ship's construction and engine performance remains optimal while at sea.
Արագած. անունը և առասպելը
Authors: Պետրոսյան Արմեն
Published: December 2022

Арагац является одной из гор, окружающих Араратскую долину, и центром исторической Великой Армении. Возвышающаяся рядом гора и сама долина назывались именем Ара Прекрасного – «умирающего и воскресающего» бога армянской мифологии, который в этногоническом предании выступает в образе мифологического патриарха армян, а в христианской традиции его наследником стал проповедник христианства в Армении св. Григорий Просветитель. В статье предлагается новая этимология Арагаца – имя бога Ara+gac (от индоевропейского *weh2g̑- «бить, громить»). Этим корнем обозначались vajra – оружие-молния древнеиндийского бога грозы Индры и vazra – палица иранского бога Митры. Анализ мифов и легенд об Ара Прекрасном, св. Григории, названных горах и долине подтверждает данную этимологию: в восстанавливаемом космогоническом мифе горы и долина были созданы ударом бога мифологическим оружием о землю.
Aragats is one of the mountains surrounding Ararat Valley, the center of historical Greater Armenia. The nearby mountain and the valley itself were named after Ara the Handsome, the "dying and resurrecting" god of Armenian mythology, who in ethnogonic tradition presents the image of the mythological patriarch of Armenians. In Christian tradition his heir was St. Gregory the Illuminator, the propagator of Christianity in Armenia. In this paper a new etymology for Aragats is proposed – the name of the god Ara + gac (from the Indo-European *weh2g̑ - "smash"). This root used to name vajra, i.e. the lightning weapon of the ancient Indian god Indra, and vazra, the mace of the Iranian god Mitra. Our analysis of the myths and legends about Ara the Handsome, St. Gregory, the mountains and the valley comes to confirm the proposed etymology, particularly that in the reconstructed cosmogonic myth those mountains and valley were created through God’s weapon strike on the earth.
Repatriation of Armenian Refugees from Mesopotamia (Iraq) in the 1920s
Authors: Ohanian Seda
Published: December 2022

Առաջին Համաշխարհային պատերազմին հազարաւոր հայ տարագիրներ Արեւմտեան Հայաստանի եւ Կիլիկիոյ տարբեր շրջաններէն ապաստան գտան Միջագետքի հիւրընկալ երկինքին ներքոյ՝ փրկուելով ստոյգ բնաջնջումէ: Այսուհանդերձ, մեծ էր հայրենիք վերադառնալու ձգտումը: Այս առնչութեամբ բազմաթիւ դիմումներ յղելէ ետք պատկան մարմիններուն եւ երկար ու դժուար բանակցութիւններու իբր արդիւնք՝ 8000 գաղթականներ երեք շոգենաւերով կը ներգաղթեն Հայաստան: Յատկապէս մասնաւոր ուշադրութեան արժանի են 1920-ական թուականներուն տեղի ունեցած առաջին զանգուածային հայրենադարձութեան գործընթացին տարբեր փուլերը եւ զայն իրականացնող կազմակերպութիւններու եւ անհատ բարեգործներու գործունեութիւնը:
Во время Первой мировой войны тысячи армян, депортированных из разных уголков Западной Армении и Киликии, нашли пристанище в Месопотамии Месопотамии, однако их не покидало желание вернуться на родину. В результате многочисленных обращений в соответствующие органы и длительных и трудных переговоров 8000 мигрантов получили возможность переехать в Армению. Настоящая статья посвящена рассмотрению этапов первой массовой репатриации в 1920-е годы. В ней также освещается деятельность организаций и отдельных благотворителей, содействовавших реализации репатриации армян.
Վահան Թոթովենցը՝ «Հայաստանի» խմբագիր
Authors: Կարապետյան Արմեն
Published: December 2022

Ваан Тотовенц – один из известных армянских писателей начала 20 века. Движимый патриотическими чувствами, он стал участником армянского добровольческого движения. Встреча и дружба с Зораваром Андраником стали поворотным моментом в жизни писателя. В апреле 1917 года вышел первый номер газеты «Айастан», редактором которой был назначен Тотовенц. Работа на посту главного редактора выявила новые грани его таланта. Газета стала рупором злободневных проблем армянского народа. Однако самым обсуждаемым вопросом на страницах этого издания был вопрос переживших Геноцид западных армян и возвращение исторической родины – Западной Армении.
Vahan Totovents is one of the famous Armenian writers and orators of the early 20th century. He joins the Armenian volunteer movement out of patriotic motives. The meeting and closeness with Zoravar Andranik is a turning point in the life of the writer. In April 1917, the Hayastan magazine was published, and Totovents was approved as its editor. When editing a daily newspaper, the exceptional aspects of his creative talent were revealed. The pages of the magazine reflected big and small problems and concerns of the Armenian people. However, the main concern of the newspaper remained the situation associated with the plight of hundreds of thousands of Western Armenians who survived the genocide, and the problem of resettlement and restoration of Western Armenia.
The Focusing of a Wave Superposition Field Generated by a System of Coherent Point Sources
Authors: Khachatrian A.Zh.
Published: December 2022

The paper discusses the problem of a superposition wave field created by a system of coherent point sources. For the general case, the conditions for a point amplification of the superposition field are found. The focusing problem is discussed for a system of point sources located on circles with centers lying on the same straight line parallel to the planes of the circles.
Clamp-induced carotid artery dissection during carotid endarterectomy
Authors: Sahin Mehmet , Kuralay Erkan
Published: December 2022

Clamp-induced internal carotid artery dissection can develop during carotid endarterectomy surgery. If it is not noticed, serious complications such as acute occlusion of the carotid artery in the early period and false aneurysm formation in the late period may develop. Inadequate back-flow and circumferential halo around the distal internal carotid artery may the predictor of injury during carotid artery surgery.
Normative reference values of volar cortical angle measured on computed tomography in a Turkish adult population
Authors: Unsal Seyyid , Yildirim Tugrul
Published: December 2022

Introduction: It is controversial whether volar plates match the palmar curve of the distal radius. In this study, we aimed to describe the volar cortical angle (VCA) of the normal distal radius in an adult Turkish population.
Patients and Methods: We retrospectively reviewed the distal radius computed tomography scans of 206 normal wrists in adults. The age range was 18–90 years, with a mean age of 41.91 (SD = 16.90). Of the 206 patients, 155 (75.20%) were men and 51 (24.80%) were women. VCA measurements were performed on all distal radius in the sagittal plane.
Results: The mean middle, radial and ulnar VCA were 34.02o, 31.84o and 37.27o, respectively. There were statistically significant differences between the ulnar, middle and radial VCAs (p < .001). The ulnar VCA was significantly greater in males than in females (37.55o vs. 36.41o, p = .040). The ulnar VCA was significantly higher for the 41–60 age group than the 61 and above age group (37.78o vs. 35.90o, p = 0.005).
Conclusion: There are significant differences in VCA based on age and gender. Commercially available plates may not have a flexion angle that accurately reflects the patient’s VCA. Physicians should be vigilant about the fact that pre-contoured plates may lead to malreduction of the distal radius.
Role of bone marrow imprint in cases of dry tap: A study in a tertiary care center in Eastern India
Authors: Osta Manish , Sengupta Suvendu , Saha Ipsita , Talukdar Manas , Samaddar Aparajita
Published: December 2022

Background: Bone marrow examination that is aspirate, imprint, and biopsy is important and essential in work up of hematological and non-hematological disorders; however, in cases of dry tap, imprint is required for diagnosis and interpretation of biopsy as it provides fine cellular details.

Aim and Objectives: The aim of this study was to know the role of bone marrow imprint in cases of dry tap.

Materials and Methods: This was a 2½ years retrospective study done on cases presenting with dry tap, in which aspirate, imprint, and biopsy were all performed. Bone marrow aspirates and touch imprints were stained by Leishman’s stain and biopsies were fixed with 10% neutral formalin and slides were stained with hematoxylin/eosin and reticulin stain.

Results: Correlation between biopsy and imprint for diagnosis was 69.04% and most common diagnosis on imprint was aplastic anemia followed by acute leukemia.

Conclusion: In majority of cases of dry tap, bone marrow imprint was informative and should always be included in bone marrow examination particularly in cases of dry tap.
Emotion Recognition Based on Speech Signals by Combining Empirical Mode Decomposition and Deep Neural Network
Authors:   Department of Computer Science and Information Engineering, National University of Kaohsiung, Kaohsiung 811, Taiwan, Tai Pan Shing , Fa Chen Ching ,   Department of Electronic Engineering, Kao Yuan University, Kaohsiung 821, Taiwan, Cheng Hong Chuan ,   Department of Computer Science and Information Engineering, National University of Kaohsiung, Kaohsiung 811, Taiwan
Published: December 2022

This paper proposes a novel method for speech emotion recognition. Empirical mode decomposition (EMD) is applied in this paper for the extraction of emotional features from speeches, and a deep neural network (DNN) is used to classify speech emotions. This paper enhances the emotional components in speech signals by using EMD with acoustic feature Mel-Scale Frequency Cepstral Coefficients (MFCCs) to improve the recognition rates of emotions from speeches using the classifier DNN. In this paper, EMD is first used to decompose the speech signals, which contain emotional components into multiple intrinsic mode functions (IMFs), and then emotional features are derived from the IMFs and are calculated using MFCC. Then, the emotional features are used to train the DNN model. Finally, a trained model that could recognize the emotional signals is then used to identify emotions in speeches. Experimental results reveal that the proposed method is effective.
Hospital Recommender System
Authors:   Department of Computer Engineering, Dwarkadas J. Sanghvi College Of Engineering, Mumbai, India, Sumariya Shrey , Rami Shreyas Rami ,   Department of Computer Engineering, Dwarkadas J. Sanghvi College Of Engineering, Mumbai, India, Revadekar Shubham ,   Department of Computer Engineering, Dwarkadas J. Sanghvi College Of Engineering, Mumbai, India, Shah Vidhan ,   Department of Computer Engineering, Dwarkadas J. Sanghvi College Of Engineering, Mumbai, India, Bagul Sudhir ,   Department of Computer Engineering, Dwarkadas J. Sanghvi College Of Engineering, Mumbai, India
Published: December 2022

Elderly patients require more medical effort. It is clear that early-stage disease diagnosis can support timely and appropriate treatment. But if you don’t pay attention in a timely manner, it can lead to different kinds of health problems that can lead to death. Take advantage of our recommendation system to recommend hospitals. A recommender system uses algorithms to provide product or service recommendations to users. By combining blockchain technology and machine learning models, we provide users with highly accurate recommendations. This whitepaper describes how sophisticated machine learning models and blockchain can be connected to improve recommendations, providing hospitals with higher performance and more accurate recommendations. An optimized model for recommending hospitals in a better manner is the main goal behind this paper.
RADIOGRAPHIC EXAMINATION TECHNIQUES OF LUMBAL VERTEBRA IN CASE OF LOW BACK PAIN IN ISLAMIC HOSPITAL PURWOKERTO
Authors: Fitriana Lutfatul , Utami Hernastiti Sedya , Filauhid Festyana
Published: December 2022

Low Back Pain (LBP) is a pain condition that attacks the lower part of the spine, caused by injury to muscles or ligaments, common causes include lifting the wrong weight, poor posture, not exercising regularly and so on. One of the radiological examinations to establish the diagnosis of LBP is a radiographic examination of the lumbar spine. In the examination procedure, the radiological examination of the lumbar spine, the patient's position during the examination was arranged to sleep supine on the examination table, while at RSI Purwokerto the examination of the lumbar vertebrae with the case of LBP the patient position setting was arranged to stand in front of the bucky stand. The research used in the preparation of this scientific article is a qualitative research with approach case study, the method of data collection is carried out by direct observation of the technique of radiographic examination of the lumbar spine with LBP cases at the Radiology Installation of Islamic Hospital Purwokerto and data collection methods by taking data from documents, including radiographs, medical records and radiographic readings. On radiographic examination of the lumbar spine with LBP cases with the patient standing, the results were: low back pain with normal lumbar curvature and no disc narrowing. Conclusions that can be drawn from the technique of examining the lumbar vertebrae at the Radiology Installation of the Islamic Hospital of Purwokerto were carried out with the AP and Lateral erect projections. the use of this projection can be more informative and can clarify the intervertebral space or narrowed intervertebral disc.

Keywords : Low Back Pain, Radiography, Erect
Determination of Women and Reproductive Health Awareness in Emergency Department: A Descriptive Cross-Sectional Study
Authors: SARAL Ramazan , YİĞİT Özlem , İBZE Süleyman , ÖZTÜRK Gülşen
Published: December 2022

Aim: Emergency departments (EDs) are units in which acute management of traumatic and medical emergencies are provided; but also guidance on public health is provided as well as ensuring personal health and awareness. In this study, it was aimed to determine the level of knowledge about women’s and reproductive health and possible disease symptoms in female patients aged 18 years and older who applied to the emergency department, regardless of the complaint of admission. We also aimed to determine the role of EDs in contributing to the correct referral of these patients.

Material and Methods: This was a descriptive cross-sectional study which took place in a tertiary care center. Women aged 18 years and older who applied to the emergency department with any complaint were assessed with a structured questionnaire consisting of 18 questions and multiple-choice options about women’s health. Participants' sociodemographic characteristics, fertility, menstrual cycle and contraception patterns, their knowledge about cancer prevention, gynecological and urological complaints were asked. It was also asked whether the ED physician gave any guidance on issues related to women's health, before discharge from ED.

Results: Totally 523 women were included in the study. The mean age was 38.89±14.32 years. Most of them (91.6%) were lived in city center, 63.3% were married and 60% were high school and university graduates. The ratio of not using any contraceptive method and total number of pregnancies were higher at the lower education levels (p=0.003 and 0.004, respectively). The knowledge of women about cancer screening was low and 42.4% of them did not have information about screening issues. In comparison according to educational status, it was seen that the ratio of screening awareness, breast self-examination, HPV test, and mammography were higher and statistically significant in university graduates (p=0.000). ED physicians conducted appropriate outpatient clinic referral for screening and follow-up in 53.6% of 114 patients with gynecological complaints.

Conclusion: The level of knowledge about women’s health is still not at the desired level. Although there are a wide variety of effective and modern methods available, not to use a contraceptive method is still common. With the increase, dissemination and continuity of reproductive health education and consultancy services, the lack of information on this subject will be eliminated to a large extent and wrong practices will be prevented. Emergency departments are places for preventing public health, besides managing acute conditions.
Implementation of digital technology for student involvement based on a 3D quest game for career guidance and assessing students' digital competences
Authors: Prokhorov Oleksandr V. , Lisovichenko Vladyslav O. , Mazorchuk Mariia S. , Kuzminska Olena H.
Published: December 2022

This article describes the process of developing a career advice 3D adventure game for applicants interested in working in IT departments. The game is based on a 3D representation of the computer science and information technologies department at the Kharkiv Aviation Institute. The quest challenges are designed to measure applicants' and first-year students' digital competency. The theoretical foundation, software tools, development stages, implementation obstacles, and gaming application scenario were all used in the article. The game scenario includes a virtual tour of a 3D university department. In terms of how closely the game resembles real-life stuff, applicants can examine the department's equipment and classrooms. The team used C# and C++, Unity 3D, and Source Engine to create the game application. We used Hammer Editor, Agisoft PhotoScan Pro, and photogrammetry technology to model objects for realistic gaming. Based on the Digital Competence Framework for Citizens (DigComp 2.2), players can assess their digital competences in a variety of ways, including a test activity, a puzzle, assembling a computer, and putting up an IT-specialist firm. The experiment conducted at the online open house day 2020 demonstrated the efficiency of the 3D quest game. A 3D quest was rated as a more modern and appealing kind of involvement by the candidates. According to the 3D quest findings, applicants displayed an average degree of digital competence, with certain specific item challenges graded at 0.5. Several psychometric item parameters were thoroughly examined in order to increase the item's quality.
Using immersive reality technologies to increase a physical education teacher's health-preserving competency
Authors: Klochko Oksana V. , Fedorets Vasyl M.
Published: December 2022

The article discusses the findings of study targeted at enhancing the methodology of augmented reality use for the development of a physical education teacher's competence in health preservation under post-graduate educational settings. According to Umwelt phenomenology, augmented reality is distinguished by its cognitive, metaphorical, varied, interactive, and anthropomorphic characteristics. The article examines the potential applications of augmented reality in a physical education teacher's line of work, notably in the area of health promotion. The software that could be implemented for this function has been described. The research determined that physical education teachers had a favorable attitude toward using immersive reality to protect students' health and foster the growth of their motor skills, intelligence, and creativity. The survey's findings indicate that the majority of teachers had a favorable response to the notion of using augmented reality in their professional work. However, in certain instances, there was a lack of a completely developed knowledge of this issue. The introduction of augmented technology techniques into the post-graduate education process, taking into account the anthropological, ethical, and cultural settings as well as instructor involvement in the mentioned process, could be one way to solve the problem as described.The software application "Virtual Model of Identifying the Risks for Locomotor Apparatus Caused by Ligament Stretching" has been developed based on the usage of immersive reality technologies and comprises of 5 models. Specifically, the anthropological-spatial systems that simulate joints and are utilized to help teachers grasp the dangers to the locomotor apparatus. The positive dynamics of physical education teachers' educational outcomes are characterized as a consequence of study into the effectiveness of applying virtual models as a component of a technique for developing the health-preserving competence of physical education teachers.
Retrospective analysis of the use of an injectable allograft for bone marrow lesions of the foot and ankle
Authors: Schoenhaus Jodi , Patel Vanisaben , Gold Jason
Published: December 2022

Background: Stress fractures occur to the musculoskeletal system on a frequent basis. This injury in the foot and ankle is relatively benign and treated conservatively with a walking boot or postoperative shoe. The use of an injectable bone graft has shown success with bone marrow edema and osteoarthritis in the knee, thus the same effects would be seen worthy of stress fractures relating to other parts of the body such as the foot and ankle. The foot and ankle sustains a high level of stress and is prone to stress fractures.  This retrospective analysis documents several cases of stress fractures treated with an injectable allograft. 
Methodology/Procedures: A retrospective analysis was conducted on twenty-eight individuals, ages 20-75, who underwent bone repair with an injectable calcium phosphate graft by one of the study investigators.  Diagnosis was made with MRI imaging studies prior to surgical intervention.  Intraoperatively, fluoroscopy was used to identify the surgical site to be injected.  After appropriate targeted position of a cannula, the graft was injected into the site of injury.   Retrospective analysis was performed by chart review and phone contact to each participant with a minimum follow-up of twelve months post-procedure. A prewritten questionnaire was used to acquire patient and procedure feedback after verbal consent was obtained.  
Results: A total of twenty-seven patients were evaluated.  Thirteen underwent injection of bone graft for calcaneal stress fractures, six for talus stress fractures, three for metatarsal fractures, and one for a fibula fracture. One individual presented with both a calcaneus and a talus stress fracture, one with a cuboid and a metatarsal fracture and two patients with both metatarsal and cuneiform fractures. Of those represented in this trial, 24 out of the 27 patients felt no pain and were back to their normal lifestyle and routines four weeks post-procedure. At their 12-month follow-up questionnaire conducted verbally, patients continued to report no pain and actively had resumed their lifestyles.
Discussion: The analysis showed that 80% of participants had a minimum of 75% relief twelve-months post-procedure.  Only 3/25 patients reported a level 5 or higher on a pain scale of 10, after the use of this treatment. Most participants returned to lifestyle activities quickly and were pain-free after a short postoperative period of treating their bone marrow lesion.
Refurbished goederen & onderdelen, en herstel en vervanging op grond van artikel 7:21 BW
Authors: Bijloo M.W.
Published: December 2022

Refurbished goederen & onderdelen, en herstel en vervanging op grond van artikel 7:21 BW

Refurbsihed goederen vormen een belangrijke markt in de retail. In deze bijdrage wordt ingegaan op de vraag of refurbished onderdelen en goederen gebruikt kunnen worden om te voldoen aan de verplichting tot herstel of vervanging bij een consumentenkoop onder art. 7:21 lid 1 onder b en c BW.
De IGZ: van stille kracht naar publieke waakhond
Authors: Hubben J.H.
Published: December 2022

De IGZ: van stille kracht naar publieke waakhond

Bij de IGZ is sprake van een verschuiving in aandacht voor risicovolle situaties naar aandacht voor kwaliteit van zorg in meer algemene zin. Het opsporen van echte risico’s in de gezondheidszorg behoort echter meer tot de taak van de IGZ dan het toezicht op de governance van zorginstellingen in algemene zin of het uitvoeren van een specifieke fusietoets. De oprichting van het Nationaal Kwaliteitsinstituut vormt een extra aanleiding voor een kritische toets van taakuitoefening en gebruik van bevoegdheden door de IGZ, waaronder de praktijk van het verscherpt toezicht en het indienen van klachten bij het tuchtcollege.
Verslag Najaarsvergadering Vereniging voor Gezondheidsrecht 2011
Authors: Beumer-van der Leij W. , Costa Canas A.
Published: December 2022

Verslag Najaarsvergadering Vereniging voor Gezondheidsrecht 2011

Het thema tijdens de najaarsvergadering 2011 van de VGR was ‘Taken/bevoegdheden IGZ en relatie IGZ-andere toezichthouders’. Prof. mr. J.H. Hubben opende met de lezing ‘De IGZ: van stille kracht naar publieke waakhond’. Prof. dr. W.H. van Harten verzorgde een coreferaat. Hubben ging in op het juridisch kader waarbinnen de IGZ opereert, de knelpunten die daarbij optreden en de veranderende rol van de IGZ van ‘silent service’ naar een proactieve handhavingsorganisatie. Van Harten schetste in zijn coreferaat verschillende voorbeelden uit de praktijk. Daarnaast ging hij in op de vraag wat een effectief kwaliteitsbeleid op macroniveau zou zijn.
Kroniek rechtspraak tuchtrecht
Authors: Kastelein W.R. , Meulemans E.W.M.
Published: December 2022

Kroniek rechtspraak tuchtrecht

Deze kroniek geeft een overzicht van de belangrijkste tuchtrechtelijke uitspraken over de periode juli 2010 t/m december 2011 verdeeld over zes onderwerpen, te weten ontvankelijkheid en andere procesrechtelijke vraagstukken, verantwoordelijkheidsverdeling, kindermishandeling, inclusief vraagstukken rond het ouderlijk gezag, bedrijfs- en verzekeringsartsen, tandartsen en (de zwaarte van) de door tuchtcolleges opgelegde maatregelen.Vermeldenswaard is dat het Centraal Tuchtcollege ten aanzien van de ontvankelijkheid een ruimere koers is gaan varen. Bij de verantwoordelijkheidsverdeling valt op de rol van de supervisor/opleider en de verantwoordelijkheid voor medeondertekening van ontslagbrieven ook al is er geen sprake van directe betrokkenheid.
Zorg om het kind. Bescherming van minderjarigen en het gezondheidsrecht
Authors: Bruning M.R.
Published: December 2022

Zorg om het kind. Bescherming van minderjarigen en het gezondheidsrecht

Als het gaat om zorg voor minderjarigen, worden de uitgangspunten uit het familie- en jeugdrecht – de ouderlijke autonomie staat voorop en de belangen van het kind zijn een bepalende factor – in het gezondheidsrecht niet altijd voldoende gewaarborgd. Toestemming van beide ouders met gezag, ook na scheiding, levert voor artsen soms knelpunten op. Bij vermoedens van kindermishandeling of ‘niet-pluis’ gevoelens heeft de arts vanuit een zorgrelatie met het kind een bijzondere verantwoordelijkheid. Bepleit wordt dat het (gezondheids)recht op bepaalde punten aanpassing behoeft en dat de wetgever bij wijzigingen en vernieuwingen in het jeugdzorg- en jeugdbeschermingsdomein het gezondheidsrecht uit boek 7 BW niet vergeet.
Kroniek rechtspraak Wet Bopz
Authors: Dörenberg V.E.T.
Published: December 2022

Kroniek rechtspraak Wet Bopz

Deze kroniek bevat een selectie van rechterlijke uitspraken over de Wet Bopz die zijn gewezen in de periode mei 2011 tot januari 2013. Er is aandacht voor uitspraken met betrekking tot de criteria voor gedwongen opneming, de procedurele vereisten bij opneming, bijzondere machtigingen, dwangbehandeling en overige vrijheidsbeperkingen en de klachtenprocedure.
Wet donorgegevens kunstmatige bevruchting: van geslotenheid naar openheid
Authors: Ploem M.C. , Dondorp W.J.
Published: December 2022

Wet donorgegevens kunstmatige bevruchting: van geslotenheid naar openheid

Op grond van de op 1 juni 2004 integraal in werking getreden Wet donorgegevens kunstmatige bevruchting kan een kind dat door medewerking van een donor is verwekt vanaf zestienjarige leeftijd vragen om kennisname van de identiteit van de donor. In deze bijdrage worden achtergrond en inhoud van de wet besproken en wordt ingegaan op de discussie rond opheffing van anonieme gameetdonatie en de mogelijkheid van aanvullende bescherming van donorkinderen.
A Case Report of CultureNegative Burkholderia Prosthetic Valve Endocarditis Identified by Metagenomic NextGeneration Sequencing (mNGS)
Authors: Moy Lindsay , Han Alice
Published: December 2022

Burkholderia cepacia complex is a group of closely related opportunistic Gram-negative species that can be found in soil and water. Burkholderia cepacia complex is commonly associated with pulmonary infections in patients with cystic fibrosis, hospital-borne outbreaks related to contaminated medicines and devices, and, rarely, prosthetic valve endocarditis. The treatment of Burkholderia cepacia remains challenging because of the organism’s intrinsic resistance to several antibiotics, and often requires combination therapy. Through this clinical vignette, we review an interesting case of culture-negative Burkholderia prosthetic valve endocarditis identified through metagenomic next-generation sequencing (mNGS) and the challenges associated with the diagnosis and selection of an appropriate treatment.
Candida Lusitaniae Endophthalmitis: A Brief Literature Review with a Focus on Treatment Options
Authors: Shaikh Hamadullah , Weber Devin , Hamburger Jordan , Vareechon Chairut
Published: December 2022

Intraocular fungal infections are uncommon. They may originate either exogenously, as occurs with penetrating trauma and postoperative infections, or endogenously, through hematogenous spread. Patients at the highest risk of endogenous endophthalmitis are those with central venous catheters, total parenteral nutrition, and active intravenous drug use, as well as those who are immunosuppressed [1]. Candida species are the most common fungi identified from endogenous sources related to the above. Although the incidence of ocular involvement is unclear, a few studies provide a range of 2.2–16% in patients with candidemia [2,3]. Non-albicans species of candida infections are very rare. In particular, C. lusitaniae is found in only approximately 1% of patients with candida blood stream infections [4]. Treating candida ophthalmologic infections usually requires expertise of both ophthalmology and infectious diseases. Patients who have evidence of only chorioretinitis should be treated with systemic antifungal agents. Intravitreal injection in combination with systemic antifungals is recommended for patients with infections involving the macula or vitreous humor. Vitrectomy along with intravitreal injection and systemic antibiotic therapy is needed for patients with heavy vitritis [5]. The duration of treatment is decided on a case-by-case basis but typically consists of four to six weeks of systemic antifungal therapy.
Periprosthetic Joint Infection in Bilateral Knees Caused by Pasteurella multocida
Authors: Detloff Luke , Atri Nipun
Published: December 2022

Periprosthetic joint infection (PJI) is a well-described complication of joint arthroplasty. Pasteurella multocida is a rare cause of PJI that predominantly occurs after exposure to animals, primarily cats and dogs. There are only two described cases in the literature where multiple prostheses were simultaneously infected with P. multocida after hematogenous dissemination. We present the third described case of the synchronous infection of multiple prosthetic joints with P. multocida and describe the surgical and medical approaches utilized in treating this patient.