bluuebunny/crossref_metadata_2025 huggingface dataset:
O USO DE MORFINA NA RAQUIANESTESIA PARA CIRURGIA ORTOPÉDICA
Authors: Freitas do Nascimento Mesquita Kelly , Silva Lima da Costa Ruth
Published: June 2023

O presente estudo teve como objetivo analisar o uso de morfina na raquianestesia para cirurgia ortopédica. Trata-se de uma revisão integrativa da literatura. A busca na literatura foi realizada nas seguintes bases de dados: Scientific Electronic Library Online (SciELO) Web of Science e National Library of Medicine (PubMed) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Nesta revisão, foram selecionados oito estudos que respondiam à questão norteadora da pesquisa. Os resultados dos estudos demostraram que a raquianestesia é uma técnica anestésica utilizada em cirurgias ortopédicas, onde medicamentos são administrados no espaço subaracnóideo da medula espinhal. A morfina, um analgésico opioide, é frequentemente usada como adjuvante nesse tipo de anestesia. Ela atua nos receptores opioides do sistema nervoso central, reduzindo a transmissão do sinal de dor. Quando adicionada à solução anestésica da raquianestesia, ela proporciona um alívio prolongado da dor pós-operatória e essa administração localizada na medula espinhal oferece várias vantagens. Além de aliviar a dor de forma eficaz, reduz a necessidade de outros analgésicos pós-operatórios, melhorando o conforto do paciente e facilitando a recuperação. O uso da morfina na raquianestesia pode causar efeitos colaterais, como náuseas, vômitos, prurido, retenção urinária e depressão respiratória. Portanto, a dose deve ser cuidadosamente avaliada pelo anestesiologista, considerando as características do paciente e o tipo de cirurgia. Conclui-se que embora a morfina ofereça benefícios analgésicos significativos, é necessário equilibrar esses benefícios com os possíveis efeitos colaterais para garantir a segurança e eficácia da anestesia.
Complex Radiation Diagnostics of Non-Healed Fractures and Post-Traumatic False Joints of Long Tubular Bones
Authors: Yusupalieva​ Gulnora Akmalovna , Yuldashev Temur Abdurashidovich , Akhralov Sherzod Farkhadovich , Manashova Adiba Rustamovna , Umarova​ Umida Asqarovna
Published: June 2023

The dependence of severity, and accordingly, the number of complications and consequences, including false joints, on the mechanism of injury is known. Recently, there has been an increase in the number of injuries resulting from exposure to high kinetic energy (road traffic, firearms), leading to an increase in disability. In this regard, in order to reduce the severity of the social consequences of injuries, specialized assistance to victims, the introduction of new diagnostic and treatment technologies, both at the stage of primary care and at the stage of treatment of consequences, is becoming important. The purpose of the study. To improve the diagnosis of ungrown fractures and post-traumatic false joints of long tubular bones by using complex ultrasound diagnostics. The study of patients was carried out in a supine position or sitting at rest and was carried out both under conditions of plaster immobilization and without it. During plaster immobilization, the sensor was positioned through a "window" in the plaster splint, while control from the healthy limb was carried out in the same position of the sensor as on the affected side.
Efficiency of Monoclonal Antibodies Application against Covid-19
Authors: Erkin Amonov , Sayyora Bazarova , Ziyovuddin Saatov
Published: June 2023

Despite the 20 years history of pathogenic coronavirus infection, methods of prevention and treatment of diseases caused by this infection were not developed yet. One of the reasons could be the features of pathogenesis and a quick spread of the pandemic which may have made researches more complicated. As an inflammatory process develops, a generalization of infection also develops. A cytokine secretion becomes rockets up, Interferon-γ (IFN-y), interleukin-1(IL-1), interleukin-6 (IL-6), interleukin-12 (IL-12), concentration increases. To put it in other words, the primary inflammatory reaction enters a new phase — the cytokine storm phase. In this regard, adequate therapy aimed at stopping the uncontrolled process induced not so much by viremia as by the inflammation associated with it becomes crucial. Therefore, the aim of our research was to study the impact of monoclonal antibodies, in particular the drug "Kazirivimab + Imdevimab" — a combination of recombinant monoclonal antibodies aimed against S-protein on the clinical course and laboratory data in patients with a new coronavirus infection – Covid-19.
Immunological and Biochemical Features in Bronchial Asthma in Children
Authors: Shamsiev Furkat Mukhitdinovich , Karimova Nilufar Irgashevna
Published: June 2023

The aim of our study was to study the indicators of cytokine status and to determine the features of the hemostasis system and the acid-base state in children with bronchial asthma. We examined 25 children with bronchial asthma aged 7 to 14 years. The study program included: the determination of the level of cytokines: IL-1β and IL-8, the determination of the activity of the acid-base state of the blood. The results of the study showed that the development of bronchial asthma is facilitated by the unfavorable course of the peri- and intranatal periods, aggravated premorbid background, concomitant and past diseases, and significantly high levels of pro-inflammatory cytokines IL-1β and IL-8 were revealed. From the side of biochemical indicators, a very low level of prothrombin time, mild metabolic alkalosis, low partial pressure of oxygen in the blood, and a decrease in the concentration of potassium and calcium ions were detected.
Assess the Knowledge Regarding Child Abuse among Mothers of Children under 12 Years of Age
Authors: Bindi Patel  , Mr. Parashram  , Ishwar Das Vairagi
Published: June 2023

Child abuse is one of the most significant social problems affecting children. Violence by a husband toward a pregnant wife may be a type of prenatal child abuse, on a conscious or subconscious level. The abuse may kill or handicap the child. Post natal child abuse or neglect is one of the most serious problem confronting the physician and nurse who care for children. Child abuse can also occur in day care centers, school and child care agencies. Abused children may have had an earlier diagnosis of failure to thrive. (Barbara A Redding 2009)
Child abuse is the physical, sexual, emotional maltreatment or neglect of children. In the US the centre for disease control and prevention (CDC) define child maltreatment as any act and series of act of commission or omission by a parent or other caregiver that result in harm, potential for harm or threat of harm to a child.
Child abuse is a complex phenomenon with multiple causes. Parents who physically abuse their spouse are more likely than others to physically abuse their children. However it is impossible to whether marital stress is cause of child abuse are caused by tendencies in their abuser.
Materials and Methods: A non-experimental descriptive design was used to assess the knowledge regarding child abuse among mothers of children under 12 years of age.The study conducted on 80 samples. Data was collected using semi structured interview schedule.
Results: Knowledge of mothers regarding child abuse was divided into three categories for easy understanding. The result of the study revealed that 1(1.25%) of mother had adequate knowledge level regarding child abuse, 3(3.75%) of them had moderate knowledge and 76(95%) of them had inadequate knowledge. The overall knowledge rated with the maximum possible score of 120. It was ranged between 27-100 with mean of 38.08 and SD percentage of 12.31%, the mean score percentage of overall knowledge was 32.2%.there is no significant relationship between knowledge of mothers on child abuse with age, religion, education, type of family, income, number of children, and mothers injured their children but there was significant relationship with occupation, previous knowledge and witness of child abuse.
Conclusion: The conclusion drawn from the findings of the study. 95% subjects had inadequate knowledge regarding child abuse. Knowledge of mothers regarding child abuse was significant with occupation, previous knowledge and witness of child abuse.
The centrality of Italian airports before and after the COVID-19 period: what happened?
Authors: Tesoriere Giovanni
Published: June 2023

Air transport in Italy accounts for around 1,8% of national production and employment. This sector has undergone a series of transformations during the recent pandemic period. The main focus of this research is the analysis of the network of national airports with more than 50.000 passengers per year both outbound and inbound and the estimation of their centrality in the presence of significant exogenous events such as the recent pandemic. The change in centrality was examined over the period 2019-2021. The methods of network analysis were applied and the results show an increased and growing centrality of some southern airports in the network, a downsizing of Rome Fiumicino airport during the pandemic period and a marginalisation in the national network of some smaller airports in the centre-north. This first step in the research lays the foundations for better actions to promote sustainable transport planning, considering local authorities, airport managers and airlines.
Analysis of Critical Gap and Capacity at Skewed Uncontrolled Intersections
Authors: Arathi A.R.
Published: June 2023

Critical gaps and capacity of movements at uncontrolled intersections are influenced by intersection geometry, especially in mixed traffic conditions. However, existing models to compute the capacity of uncontrolled base intersections are only suitable for intersections with 00 to 100 skew angles. This study aims to bridge the gap by evaluating the effect of skew angle on the critical gap and capacity of uncontrolled intersections. The critical gap models are developed for different vehicle types. The capacity of uncontrolled intersections is determined for different skew angles (00 to 270) using simulation and Indo-HCM models. The comparison reveals that the Indo-HCM model over-predicts the capacities. Thus, new capacity models are proposed, and it is observed that the capacity varies as a quadratic function of the skew angle, where the constant indicates base capacity. This study also provides the adjustment factors for Indo-HCM capacity models to deduce the capacity of any skew-angled intersections.
La intervención social y las TIC en tiempos de crisis: una aproximación desde los discursos trabajadores sociales
Authors: Gutiérrez Campos Luis , Contreras Duarte Ana María
Published: June 2023

El artículo debate en torno a los resultados de un estudio cualitativo que explora, desde el relato de trabajadores sociales, las concepciones y mediaciones reflexivas que hacen estos profesionales de las situaciones que abordan y que fundamentan su práctica. El objetivo es el reconocimiento de los modos de intervención social en escenarios sociales atravesados por la presencia de crisis sociales y sanitarias, que limitan la presencialidad e intensifican el uso de las tecnologías de la información y las comunicaciones (TIC). Se plantea como objetivos específicos reconocer cómo caracterizan el contexto de la intervención y la forma en que significan su quehacer al incorporar las TIC.
Representaciones sociales del erotismo y la sexualidad de las personas mayores en el cine chileno contemporáneo
Authors: Reyes María Isabel , Barrera-Olmos María José , Román-Navarro Pablo , Aguirre-Ponce Camilo
Published: June 2023

Los prejuicios sobre la vejez trascienden distintas esferas de la cotidianeidad, siendo el erotismo y la sexualidad dimensiones que socialmente se asocian a una restricción del placer y el goce, principalmente por los cambios culturales que restringen que esta etapa sea considerada desde la sexualidad. No obstante, el ejercicio de las capacidades erótico-sexuales se considera sumamente importante en las experiencias de vida, pues se relaciona con el derecho a vivir una vejez en mayor plenitud. Las distintas visiones sobre la vida erótica de este grupo etario se producen y reproducen en el entramado social por distintos medios, siendo el cine, dada su masividad y su capacidad creativa, un espacio importante para reconocer la construcción de representaciones que operan a nivel social. Al respecto, el presente estudio documental aborda el erotismo de las personas mayores en el cine chileno contemporáneo describiendo tres representaciones sociales dominantes: ‘El viejo verde: conquistando a una persona joven’; ‘Viejos/as que recuerdan: el erotismo que deviene del pasado’; y ‘Viejas Seductoras: en la búsqueda del deseo masculino’. Las representaciones dan cuenta de una mayor permisividad en cuanto a la expresión y vivencia del erotismo en el hombre mayor, mientras que la experiencia de las mujeres se ve supeditada al deseo masculino dominante. No obstante, el complejo y diverso escenario cultural actual muestra como condiciones de posibilidad a una mujer mayor que transita hacia una posición con mayor autonomía e independencia para vivir su sexualidad.
Editorial
Authors: Rodríguez Estrada Diego
Published: June 2023

Editorial
O uso de situações didáticas Olímpicas (SDO) no ensino de Cinemática: uma proposta pedagógica para o componente de Física
Authors: Souza Rafael Araújo de , Costa Clautina Ribeiro de Moraes da , Silva Junielson Soares da
Published: June 2023

In this article, we propose the use of Olympic didactic situations (SDO), such as those used in the National Science Olympiad (ONC), Brazilian Science Olympiad (OBC), among others, as an alternative for teaching kinematics, in the component of Physics, in Basic Education. Reflecting on the need to work with kinematics in a more attractive and challenging way, which arouses the interest of students. Questions from Brazilian Olympics tests were analyzed and those about kinematics were selected. They were resolved, trying to meet the most didactic way to be carried out with the students. We observed that there is a scarcity of works that report the use of SDO in Physics teaching. However, we believe that it is possible to associate Olympic problems with teaching the Physics component and especially kinematics. Thus, we propose the use of this pedagogical approach to make learning more attractive for students, given that these competitions are gaining more and more strength in the educational field, offering great opportunities for students who stand out.
Da alfabetização aos novos letramentos: breve percurso histórico em âmbito nacional brasileiro
Authors: Dias Maria da Luz Oliveira , Araújo Francisco Carlos Vieira Moura , Lacerda Naziozênio Antonio
Published: June 2023

Since the 1980s, the term Literacy has been in vogue in Brazil and currently studies have expanded, giving rise to the New Literacies. From this, we evidence that the present work proposes to present the studies about the New Literacies, under a historical perspective, carrying out a walk through the roots and origins of this area. To carry out the discussions in this study, we used as main theoretical sources authors such as Kleiman (1995, 2005); Rojo (1998, 2012, 2013, 2019); Rojo and Moura (2012, 2019); Soares (1998, 2009); Tfouni (1988, 1995); Lankshear; Knobel (2003, 2006, 2007, 2010, 2011), among others. The methodology undertaken in this study is based on a bibliographical review in which we consulted several materials that discuss the historical course of this area, taking into account everything from the Literacy theme itself to the studies that deal with the New Literacies. In view of the analysis carried out, it was possible to infer that the New Literacies, despite being a new theme and still little researched, have much to contribute to teaching and its innovative character enables the culture of remix and hybridization, allowing the learning takes place through new technologies and the new ethos.
Percepção discente sobre a abordagem da temática resíduos sólidos em um Instituto Federal de Educação, Ciência e Tecnologia do Maranhão - IFMA
Authors: Lima Clarissa Maria Brito , Saraiva Kleiton Rocha , Morais Márcio Aurélio Carvalho de , Reis Layara Campelo , Carvalho Jeferson Luís Marinho , Albuquerque José de Lima
Published: June 2023

The objective was to demonstrate the environmental perception of students of a Technical Course Integrated to High School, from IFMA - Campus Coelho Neto in relation to solid waste and the problem involved mainly due to improper disposal and rampant consumption that leads to an exorbitant increase in waste generated. , as well as understanding how this topic has been addressed in the teaching process. Data were collected through a questionnaire containing 11 objective, multiple-choice questions, applied to 48 students from two classes of the 3rd year of the Technical Course in Informatics, online due to the COVID-19 pandemic. The approach was quantitative and qualitative. For the analysis of the results, descriptive statistics were used. The results demonstrate that the students have knowledge about important points involving the issue of solid waste as a concept, selective collection, recycling, destination and correct final disposal of waste, importance of the work of collectors of recyclable materials, however, a good part does not carry out the separation of waste at school or at home, that is, they do not practice selective collection, thus demonstrating that it is necessary to develop a more effective and efficient process of school environmental awareness, in order to have the formation of critical individuals and that actually carry out effective actions in combating this environmental problem.
Simulated long-term evolution of the thermosphere during the Holocene – Part 2: Circulation and solar tides
Authors: Zhou Xu , Yue Xinan , Cai Yihui , Ren Zhipeng , Wei Yong , Pan Yongxin
Published: June 2023

Abstract. On timescales longer than the solar cycle, long-term changes in CO2 concentration and geomagnetic field have the potential to
affect thermospheric dynamics. In this paper, we investigate the
thermospheric dynamical response to these two factors during the Holocene,
using two sets of ∼12 000-year control runs by the coupled
thermosphere–ionosphere model, GCITEM-IGGCAS. The main results indicate that increased/decreased CO2 will enhance/weaken the thermospheric circulation throughout the Holocene, but this effect is non-linear. The cooling effect of CO2 in the thermosphere further provides plausible conditions for atmospheric tidal propagation and increases the thermospheric tidal amplitude. Geomagnetic variations induce hemispheric asymmetrical responses in the thermospheric circulation. Large changes in the circulation occur at high latitudes in the hemisphere with distant magnetic pole drift, inferring a crucial role of geomagnetic non-dipole variations in circulation changes. A positive correlation between the diurnal migrating tide (DW1) and geomagnetic dipole moment is revealed for the first time. The amplitude of DW1 in temperature will increase by ∼1–3 K for each 1×1022 A m2 increase in dipole moment.
High contribution of anthropogenic combustion sources to atmospheric inorganic reactive nitrogen in South China evidenced by isotopes
Authors: Li Tingting , Li Jun , Sun Zeyu , Jiang Hongxing , Tian Chongguo , Zhang Gan
Published: June 2023

Abstract. Due to the intense release of reactive nitrogen (Nr) from
anthropogenic activity, the source layout of atmospheric nitrogen aerosol
has changed. To comprehensively clarify the level, sources, and environmental fate of
NH4+ and NO3-, their concentrations and stable isotopes
(δ15N) in fine particulate matter (PM2.5) were measured
in a subtropical megacity of South China. The inorganic nitrogen (NH4+ and NO3-) was an
essential part of atmospheric nitrogen aerosol, and the N-NH4+ and
N-NO3- contributed 45.8 % and 23.2 % to total nitrogen (TN), respectively. The source contributions of NH4+ and NO3- were estimated by δ15N, suggesting that the dominant sources were from anthropogenic combustion activities, including coal combustion, biomass burning, and vehicles, contributing 63.2 % and 88.3 % to NH4+ and NO3-, respectively. In particular, biomass burning was the predominant source of NH4+ (27.9 %), whereas coal combustion was the dominant source of NO3- (40.4 %). This study emphasized the substantial impacts of human activities on inorganic Nr. With the rapid development of industry and transportation, nitrogen emissions will be even higher. The promotion of clean energy and efficient use of biomass would help to reduce nitrogen emissions and alleviate air pollution.
Sensitivity analysis of wind turbine fatigue reliability: effects of design turbulence and the Wöhler exponent
Authors: Mozafari Shadan , Veers Paul , Rinker Jennifer , Dykes Katherine
Published: June 2023

Abstract. Fatigue reliability assessment of wind turbine components involves three major sources of uncertainty: material resistance, loads, and the mathematical models that connect the other two. Many studies focus on decreasing the uncertainty in fatigue load assessments via different approaches including more detailed characterization of the turbulence standard deviation (turbulence) in the design phase. The IEC standard suggests two different distributions in Edition 3 and Edition 4 as alternatives for the representative turbulence in its Normal Turbulence Model (NTM): lognormal and Weibull. There are debates on whether the two suggested distributions provide adequately safe reliability in relevant load channels since the established design safety factors are calibrated based on the representative turbulence approach. The current study addresses the debate by comparing annual reliability based on different scenarios of NTM using a probabilistic approach. More importantly, it elaborates on the level of importance of this matter or most of the other concerns about the load’s uncertainty in the context of reliability considering all uncertainty in the material properties and the linear damage accumulation rule. Using aeroelastic simulations of the DTU 10MW reference wind turbine and a simple model for assessing fatigue reliability based on the distribution of damage equivalent load (DEL), we study the changes and the trends in the annual reliability as well as the relative importance of each of the uncertainty groups. In addition, we investigate the effects of different fatigue exponents on the overall results in the blade root flapwise and the tower base fore-aft load channels. The results show that generally using the distribution of turbulence in each mean wind speed results in less conservative annual reliability levels compared to representative turbulence. The difference in the reliability levels varies according to turbulence distribution and the fatigue exponent. In the case of the tower base, the difference in reliability after 20 years can be up to 50 %. However, the model and material uncertainty have much higher effects on the reliability levels compared to DEL uncertainty. Knowledge about such differences in the reliability levels due to the choice of turbulence characterization method is especially important as it impacts the extent of lifetime extension through reliability re-assessments.
Experimental Efficiency of Single Pass Solar Air Heater
Authors: Aboghrara Alsanossi , Shukra Mohamed
Published: June 2023

The solar heat collector with the impingement of jet lower plate (SAHJF) experimentally designed and operated with typical parameters obtained from theoretical analysis to contained the maximum efficiency of the performance of thermal transfer. Then it was developed by replacing the flat absorber by the corrugated absorber (SAHJC) to enhance the efficiency. The flow rate of mass was selected equal and more than the typical value and the intensities of the solar radiation were chosen equal and less than the typical value to investigate the effect of both on the thermal transfer efficiency for SAHJF and SAHJC. Since the system works with a short range of temperature, the temperatures recorded were sensitive and needed a large accuracy. Therefore, an analysis method was proposed and applied to the data to be sure that it reflects the variance of temperature with different operating parameters. The correlation of temperature difference between the outlet and the inlet air with different flow rate and different intensities of irradiation for SAHJF and SAHJC was presented and compared.
Pemberian Bisyarah Shalat Jenazah dalam Perspektif Hukum Islam
Authors: Mulyadi Deni
Published: June 2023

Apabila seseorang melakukan ketaatan, berharap mendapatkan upah maka dia seperti memperjual belikan perintah Allah dengan harga yang sangat murah. Murah karena bisa diukur dengan benda. Sesuatu akan disebut murah selama masih bisa ditakar dan dihargai dengan benda atau uang. Menurut tinjauan Hukum Islam mengenai pengambilan bisyarah shalat jenazah terdapat beberapa pendapat. Ibn Abidin menyebutkan bahwa ulama’ muta‘akhirin dari kalangan Hanafiyah membolehkan memberi upah dalam pekerjaan yang berhubungan dengan ketaatan seperti itu. Ulama’ Malikiyyah memandang perbuatan seperti ini sebagai perbuatan makruh. Ulama hanabilah terbagi menjadi dua bagian, sebagian menyatakan tidak boleh memberi upah perbuatan seperti ini, tetapi sebagian lain menganggap boleh, di antaranya adalah Abu Ishaq bin Syaqil. Adapun mengenai hukum menerima upah atas pengajaran Al-Qur’an atau ilmu-ilmu Islam maupun dakwah Islam di kalangan Ulama’ juga terjadi perbedaan pendapat (Ikhtilaf). Ada yang menetapkan boleh, ada juga yang menetapkan tidak boleh. Sedangkan dalil dari pihak yang mengatakan halalnya menerima dan mengambil upah dari mengajarkan Islam di antaranya, Nabi Muhammad bersabda yang artinya “Sesungguhnya yang paling banyak layak untuk kalian ambil imbalan (ongkos) ialah Kitabullah” (HR. Bukhari). Penelitian ini menggunakan pendekatan deskriptif kualitatif, pendekatan ini merupakan pendekatan yang berusaha memahami arti peristiwa atau gejala sosial yang muncul dalam pendidikan dan kaitan-kaitannya terhadap konsep.
Driver Licences, Diversionary Programs and Transport Justice for First Nations Peoples in Australia
Authors: Masterton Gina , Brady Mark , Watson-Brown Natalie , Senserrick Teresa , Tranter Kieran
Published: June 2023

In Australia, one significant cause of the imprisonment and disadvantage of First Nations people relates to transport injustice. First Nations people face obstacles in becoming lawful road users, particularly in relation to acquiring driver licences, with driving unlicensed a common pathway into the criminal justice system. This paper identifies that while some programs focus on increasing driver licensing for First Nations people, there are significant limitations in terms of coverage and access. Further, very few diversionary or support programs proactively address the intersection between First Nations people’s driver licensing and the criminal justice system. Nevertheless, it is argued that scope does exist within some state and territory criminal justice programs to enhance transport justice by assisting First Nations people to secure driver licensing. This paper highlights the need for accessible, available and culturally safe driver licencing support programs in First Nations communities led by First Nations people.
Cutting-edge medicine: A case of hypertension managed at the barbershop
Authors: Liang Aileen
Published: June 2023

We present a case of 43-year-old African American man, MS, who was diagnosed with hypertension at his barbershop after getting his blood pressure taken by a pharmacist team during his haircut. He was started on blood pressure medications and made several lifestyle modifications. He continued to get his blood pressure checked weekly during haircuts for the next six months and was able to lower his blood pressure to heathy levels. MS was then able to manage his blood pressure solely through lifestyle changes. We further discuss the significance of “barbershop medicine” and its role in combating the racial disparities in usual sources of care, as well as other non-traditional sources of health care particularly for the hypertension management.
Virtual Care and Virtual Medical Education: A Canadian Medical Student Perspective
Authors: Dong Hongdao , Symonette Caitlin , Merritt Neil , Davidson Jacob
Published: June 2023

Background: The COVID-19 pandemic had accelerated the adoption of virtual care as an extension of routine clinical practice. In addition, pre-clinical undergraduate medical education was affected by the transition to both synchronous and asynchronous online learning. The objective of this study was to assess the current experience and knowledge of medical students with regards to virtual care. A secondary objective was to identify opportunities for improvement in the undergraduate medical curriculum.

Methods: An electronic survey was distributed to undergraduate medical students in Canadian medical schools. Main sections of the survey addressed experience with virtual care encounters and perceived impact of virtual learning on medical education.

Result: Out of our 53 respondents, the majority (80%) of medical students perceived high educational importance of virtual care encounters. 91% of the students recognized the developing role of virtual care in current and future medical practices. 55% of the surveyed showed readiness to conduct virtual care in the current curriculum. 94% of the responses stated the preferred feedback method for clinical learning was immediate faculty assessment following the encounter.

Discussion: The results from this study provided insight on the medical learner’s experience while navigating virtual care and identified areas of improvements at an institutional level. Effective medical training that integrates the advantages of virtual care is crucial.
Persepsi Kemudahan Dan Persepsi Kegunaan Terhadap Kepatuhan Wajib Pajak Dimediasi Oleh Penggunaan E-Filing
Authors: Abuur Eva Stevanny , Kambuaya Maylen K. P , Salle Hesty Theresia
Published: June 2023

This study aims to test the Effect of Perceived Ease, Perception of Usefulness on Taxpayer Compliance in submitting Annual Tax Returns with the Use of E-Filing as an Intervening Variable. This research uses a quantitative approach. Data collection was carried out using the Purposive Sampling technique. The data used are primary data obtained by distributing questionnaires. The subjects in this study are taxpayers who have an TIN. The sample used in this study was 100 respondents. The data analysis technique uses Non Probalility Sampling which is a technique that does not provide the same opportunity for each element or member of the population to be selected to be sampled with the help of using the SMARTPLS version 3.0 program. The results of this study are The Perception of Ease has a positive and significant effect on the Taxpayer's Propriety, the Perception of Usefulness has a positive and significant effect on The Compliance of The Mandatory The use of e-filing has a positive and significant impact on Taxpayer Compliance, the Perception of Ease has a positive and significant effect on Taxpayer Compliance through the Use of E-Filing and the Perception of Usefulness has a positive and significant effect on Taxpayer Compliance through the Use of E-Filing.
Pendapatan Asli Daerah, Dana Alokasi Umum Dan Belanja Modal
Authors: Sapulete Devera Ch. N. , Salle Agustinus , Bleskadit Novalia Herlina
Published: June 2023

This study aims to determine the effect of Regional Native Income (PAD) and General Allocation Fund (DAU) on Capital Expenditure in Regencies/Cities in Papua and West Papua Provinces. The population in this study is all regencies and cities in Papua and West Papua Provinces in 2019-2020. Data collection techniques use documentation methods. which was obtained directly from the official website of the Director General of Regional Financial Balance for the fiscal year 2019-2020 through the www.djpk.kemenkeu.go.id. The data analysis method used in this study is Multiple Regression Analysis with the help of SPSS 21. The results showed that partially regional original income had a positive effect on Capital Expenditure, but not significantly, the General Allocation Fund, had a positive and significant effect on Capital Expenditure and simultaneously PAD and DAU had a positive but not significant effect on Capital Expenditure.
Pengaruh Tax Planning Terhadap Nilai Perusahaan Pada Perusahaan Property & Real Estate Periode 2016-2020
Authors: Tuari Hadrian Ersa , Asnawi Meinarni , Sesa Pascalina V. S.
Published: June 2023

This study aims to analyze the effect of Tax Planning on Company Value in property & real estate companies listed on the Indonesia Stock Exchange for the 2016-2020 period. Tax planning in this study is measured by cash effective tax rates and book tax difference as independent variables and firm value is measured by price earning ratio as the dependent variable. The sample in this study was purposive sampling with a total of 60 research data. The analysis technique used in this study is quantitative data analysis using the SPSS 16 statistical application. Based on the results of the analysis it is found that cash effective tax rates and book tax difference have an effect on firm value.
Perbandingan Penyerapan Anggaran APBD Sulawesi Selatan Sebelum Dan Masa Pendemi Covid-19
Authors: Arodhiskara Yadi , Jumriani Jumriani , Ladung Fajar
Published: June 2023

Absorption of the budget is one of the stages of the budget cycle starting from budget planning, establishment and approval of the budget by the House of Representatives, in this case the study wanted to find out the comparison of the absorption of the South Sulawesi Regional Budget before and during the Covid-19 pandemic. The approach used in this research is a quantitative approach. The quantitative approach is a scientific inquiry based on logical positivism which operates with strict rules regarding logic, truth and prediction. The results of the Absorption of the Budget (measured by Regional Expenditure) research show that there is no statistically significant difference in budget absorption (measured by the Regional Revenue budget) for the last 6 years before and after the occurrence of Covid-19 in South Sulawesi Province. The results of the second study, namely Budget Absorption (measured by Regional Expenditure) statistically there is a significant difference in budget absorption (measured by Regional Expenditure) for the last 6 years before and after the occurrence of Covid-19 in South Sulawesi Province.
Una propuesta metodológica para el análisis de la entrevista literaria y la cultura
Authors: Arráez-Betancort Rosa María , Garrote-Fernández Sonia María
Published: June 2023

Este trabajo presenta una metodología de análisis de contenido aplicable al género periodístico de la entrevista literaria, centrándose en lo que preguntan los periodistas y en las respuestas de los autores literarios y utilizando una base de datos relacional con Microsoft Access. Persigue la obtención de datos y conclusiones que enriquezcan la especialización periodística cultural, tanto en sus procedimientos, reflejados en la publicación de entrevistas literarias, como en el acopio de conocimientos que permitan contextualizar y comprender la cultura literaria y artística, así como las claves de la cultura actual desde una perspectiva sociológica. Para probar y comprobar la metodología de análisis elaborada y entender la relevancia de las dimensiones que adquiere la entrevista periodística literaria, se han analizado 51 entrevistas difundidas digitalmente en ABC y El País durante el mes de marzo de 2018, dos periódicos de líneas ideológicas distintas, y aprovechando la reivindicación feminista como hecho informativo cultural.
CERC como modelo de investigación en crecimiento: análisis de su aplicación en las estrategias de comunicación de emergencias sanitarias en la última década
Authors: Zurro-Antón Noelia , Moreno Ángeles , Humanes María Luisa
Published: June 2023

A raíz de los recientes brotes de enfermedades, varios investigadores han señalado que el modelo de Comunicación de Riesgos en Crisis y Emergencias (CERC) es útil para orientar la comunicación estratégica durante emergencias sanitarias. Resulta prioritario observar qué papel tiene este modelo en la producción científica internacional. Se ha realizado una revisión sistemática de 90 artículos publicados en ocho bases de datos internacionales entre 2011 y 2021. Los resultados confirman que la aplicación del CERC, la cuantificación y la sistematización se han multiplicado considerablemente desde el inicio del COVID-19. El análisis estadístico y de redes anuncia la preponderancia de cuatro grupos temáticos emergentes, los intangibles, el estudio de casos, el análisis del contenido de los mensajes y el papel de las redes sociales. El estudio identifica algunos retos para la investigación y la práctica de las relaciones públicas en futuras emergencias sanitarias como el cáncer de piel
Indignación y descontextualización en la comunicación de fenómenos meteorológicos extremos en Twitter: análisis de las comunidades y el debate público digital en torno a la oleada de incendios en España
Authors: Alonso-Jurnet Ángela , Morales i Gras Jordi
Published: June 2023

Este estudio ha analizado la conversación digital acontecida en Twitter acerca de la oleada de incendios forestales que afectaron a la Península Ibérica en 2022, declarado como el peor año del siglo XXI en número de hectáreas quemadas -más de 300.000- en España. Mediante una aproximación metodológica basada en el Análisis de Redes Sociales (ARS), se han analizado 145.081 tweets a través de los cuales se ha elaborado una red de menciones. Dicha red alberga las comunidades digitales surgidas en torno a esta conversación, así como los tonos predominantes en el debate. Se ha observado cómo comunidades con peso e influencia en el debate público digital centran su discurso en la atribución de responsabilidades sobre los incendios a través de un tono indignado, así como una clara ausencia de contextualización de este fenómeno extremo con el cambio climático, aspectos que suponen significativos retos para el hashtivismo medioambiental
Análisis de los cambios en las necesidades de la ciudadanía tras la crisis asociada al COVID-19: el caso del barrio de Argüelles, Madrid
Authors: Ruiz Jiménez Raquel , García Carrizo Jennifer , Alonso-Mosquera María-Henar
Published: June 2023

La mayor parte de las campañas de publicidad y relaciones públicas tienen como público objetivo un grupo definido tradicionalmente como “urbanita”. Estudiar las necesidades de dicho público es fundamental en el campo de la comunicación, pues estas se ven progresivamente modificadas con los cambios sociales relevantes, como es el caso de aquellos asociados a la crisis del COVID-19. El objetivo principal de esta investigación es analizar los cambios en las necesidades de la ciudadanía provocados como respuesta a la crisis asociada al COVID-19. Se han realizado 16 observaciones participantes y 12 entrevistas en profundidad, junto con una revisión bibliográfica de fuentes secundarias, lo que permite apoyar los resultados obtenidos en la triangulación metodológica.

Los resultados obtenidos muestran el surgimiento de nuevas necesidades, que se relacionan con nuevos intereses vinculados a las reformas y mantenimiento de los edificios; el aumento de espacios de estacionamiento de vehículos a motor, bicicletas y patinetes; la creciente necesidad de espacios de almacenaje y entornos para teletrabajar; el aumento de la necesidad de más bancos y áreas de descanso al aire libre; y, finalmente, la reticencia a la creación de espacios de encuentro con otros vecinos.
ANALYSIS OF THE CURRENT STATE OF ENERGY SALES AT ENERGY ENTERPRISES AND METHODS OF IMPROVING THE LOGISTICS PROCESS
Authors: Hvozd E.
Published: June 2023

The article analyzes the current state of the logistics system of the energy enterprise. Ukrainian scientists studied individual elements of logistics systems, tried to justify significant attempts to introduce effective mechanisms for managing logistics systems. Their research concerns such problems as the territorial location of production, transport, warehouse complexes, management of material stocks, the material and technical supply base, and the development of an effective organizational management structure. However, the results of the study are not implemented systematically, since a comprehensive analysis of the company's logistics systems is not carried out.
DIAGNOSTIC METHODOLOGY OF THE FORMATION OF THE ORGANIZATIONAL AND LEGAL MECHANISM OF THE DEVELOPMENT OF LOCAL SELF-GOVERNMENT
Authors: Mykhaylov Denys
Published: June 2023

It was found that one of the main provisions of the ISO 9000 standard is customer satisfaction through the production of products or the provision of services with characteristics that meet the customer's requirements. When it comes to products, we can formulate what properties and characteristics we would like them to meet. When we receive a service from local self-government bodies, we can also formulate our own requirements and expectations for it. Emphasizes the importance of considering the concept of "quality" as a variable category that depends on personal perception and requires the use of a diagnostic methodology for evaluating the service quality management system. It was emphasized that this methodology involves the application of the following criteria: all documents were accepted from the citizen, he was treated politely, he was provided with all the necessary consultations, a timely response was provided, etc., and, as a result, the citizen is satisfied with the work of the employees. However, local self-government bodies must achieve indicators that will allow an objective assessment of the results of their activities. The obtained diagnostic assessment of the work of public administrations should be thorough. Therefore, he insists on solving the logical question of what services citizens expect from state authorities and local self-government. Probably management services from a structure that is empowered to do so and is accountable for results. The implementation of all the powers of state authorities and local self-government should ensure the main service - comfortable living and stay of residents in a city, town, village. All of them are consumers of management services. Each of these areas has its own executors, legal entities with their own management systems. People's living conditions largely depend on their performance of their duties. It is argued that the management system of state authorities and local self-government should be considered in relation to them, which should be limited only to the generation of management decisions and provide for the full responsibility of public authorities for the services provided. We believe that in this context, an effective model of the quality management system should be introduced in the specified bodies.
SPECIFICS OF INNOVATIVE DEVELOPMENT OF SOCIO-ECONOMIC SYSTEMS IN THE STATE
Authors: Shvedun V. , Ruban A. , Ihnatiev O.
Published: June 2023

The article is devoted to analysis of the specifics of innovative development of socio-economic systems in the state. The authors prove that the innovative behavior of socio-economic systems is diverse. Violent products have a high quality associated with a high level of standardization, unification and manufacturability and low prices typical of mass production. Many violents are multinational companies which create an oligopolistic market. Patents seek to avoid direct competition with leading corporations. In specialized production, the stock of competitiveness of the product arises mainly due to the high consumer value of the product. The patent has to pinpoint and enforce it. Small enterprises actively promote new products and technologies, massively creating new services on their basis. This accelerates the process of diffusion of innovations. Medium and small businesses focused on meeting local and national needs are engaged in commutator enterprises (connectors). An expletive (pioneer) strategy is associated with the creation of new or with the radical transformation of old market segments. Each of the types of companies (violents, commutants, patents and explerents) has its own characteristics and different degree of implementation of the strategy for achieving the competitiveness of the products.
Formulasi dan Uji Mutu Sediaan Sabun Padat Ekstrak Daun Pisang Kepok (Musa paradisiaca Linn.) dengan Variasi Konsentrasi Minyak Kelapa
Authors: Siwi Mayang Aditya Ayuning , Wardhana Fendy Yoga , Septiawati Dwi
Published: June 2023

Sabun padat akan bernilai jual lebih jika diperkaya pula dengan bahan natural. Ekstrak daun pisang kepok (Musa paradisiaca Linn.) mengandung senyawa flavonoid, saponin dan tannin yang dapat digunakan sebagai senyawa antioksidan sehingga memungkinkan untuk digunakan sebagai bahan aktif pada pembuatan sabun padat. Tujuan penelitian ini adalah untuk memformulasikan ekstrak daun pisang kepok menjadi sabun padat dan melakukan uji mutu sediaan. Metode yang digunakan adalah metode eksperimental. Formulasi sabun padat menggunakan variasi konsentrasi minyak kelapa 25% dan 30%. Uji mutu yang dilakukan yaitu uji organoleptis, uji pH, uji kadar air, uji tinggi dan stabilitas busa. Pengujian dilakukan pada hari ke-1 dan hari ke-7. Hasil uji organoleptis menunjukkan bahwa bau sediaan stabil. Hasil uji pH, uji kadar air, uji tinggi dan stabilitas busa semakin baik pada hari ke-7 penyimpanan. Kesimpulan dari penelitian ini adalah ekstrak daun pisang kepok dapat diformulasikan menjadi sediaan sabun padat dan sabun padat yang dibuat telah memenuhi syarat uji mutu.Solid soap will be more valuable if it is also enriched with natural ingredients. Kepok banana leaf extract (Musa paradisiaca Linn.) contains flavonoids, saponins, and tannins that can be used as antioxidant compounds, making it possible to use them as active ingredients in the manufacture of solid soap. The purpose of this study was to formulate Kepok banana leaf extract into solid soap and test the quality of the preparation. The method used is the experimental method. Solid soap formulation using various concentrations of coconut oil 25% and 30%. The quality tests carried out were organoleptic tests, pH tests, moisture content tests, height and stability of foam tests. Tests were carried out on day 1 and day 7. The organoleptic test results showed that the odor of the preparation was stable. The results of the pH test, water content test, height and stability of foam test were getting better on the 7th day of storage. The conclusion of this study is that Kepok banana leaf extract can be formulated into solid soap preparations, and the solid soap made has met the quality test requirements.